WM0701248_Application_20210506

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
1. Date: April 23, 2021
2. County: Currituck
3.
4. Applicant: Oak Trail Solar, LLC
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
What type of well are you applying for? (monitoring or recovery): monitoring well (1)
Telephone:
[phone]
Applicant's Mailing Address: 800 Town and Country Boulevard, Suite 500, Houston, TX 77024
Applicant's Email Address (if available):
5. Contact Person (if different than Applicant): Chris Pruneau Telephone: [phone]
Contact Person's Mailing Address: 5710 Oleander Drive, Suite 110, Wilmington, NC 28403
Contact Person's Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): FPI Carolinas LLC Telephone: [phone]
Property Owner's Mailing Address: 4600 S SYRACUSE ST STE 1450, DENVER, CO 80237
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) PIN: 1100000010000 (off Puddin Ridge Rd.)
City Moyock County Currituck Zip Code 27958
8. Reason for Well(s): Baseline groundwater monitoring
(ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: solar energy facility
(ex: non -discharge facility, waste disposal site, landfill, UST, etc.)
10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).
No
11. Type of contaminants being monitored or recovered: No known contamination is present
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? No
Existing Monitoring or Recovery Well Construction Permit No(s).:
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): N/A
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? None known
If yes, give distance(s):
15. Well Contractor: Regional Probing Services Certification No.: 3322
Well Contractor Address: PO Box 1161 Wake Forest NC 27588
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following:
a. Borehole and well diameter e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
c. Screen intervals g. Well head completion details
d. Sand/gravel pack intervals
Continued on Reverse

PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated
material: 1
3. Number of wells to be constructed in bedrock: N/A
4. Total Number of wells to be constructed: 1
(add answers from 2 and 3)
5. How will the well(s) be secured? Locking steel cover,
cemented into concrete pad
6. Estimated beginning construction date: 5/15/21
7. Estimated construction completion date:
5/31/21
1.
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following:
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feet of the proposed well or well system.
b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
c. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
this Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
Subchapter 2C) and accepts full responsibility for compliance with these rules
Dm cam. 46Bud z% -
Authorized Signatory
Signature of Applicant or *Agent Title of Applicant or *Agent
Omar Aboudaher
* If signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
wells as outlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
.well(s) conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
Signature of Property Owner (if different than Applicant)
FPI Carolinas LLC
Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
01/4
it
.i�
Wil ngron GW-22MR Rev. 3-1-2016
Raleigh Regional Office
Wilmington Regional Office
127 Cardinal Drive Extension
GW-22M (Rev. 5/11)

DocuSign Envelope ID: OBEE85CC-FF19-4043-972B-5702EB4C20E1
IYVR I rI VNRVLIIYr► UCrNR 11Y1CIY I .jr- CIY V 11WIJMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
1. Date: April 23, 2021
2. County: Currituck
3.
4. Applicant: Oak Trail Solar, LLC
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
What type of well are you applying for? (monitoring or recovery): monitoring well (1)
Telephone:
[phone]
Applicant's Mailing Address: 800 Town and Country Boulevard, Suite 500, Houston, TX 77024
Applicant's Email Address (if available):
5. Contact Person (if different than Applicant): Chris Pruneau Telephone: [phone]
Contact Person's Mailing Address: 5710 Oleander Drive, Suite 110, Wilmington, NC 28403
Contact Person's Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): Karen Jarvis a/k/a Karen Lea Jarvis Telephone: [phone]
Property Owner's Mailing Address: 301 LYNDEN LN, NEW BERN, NC 28560
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) PIN: 1000000110000 (Puddin Ridge Rd.)
City Moyock County Currituck Zip Code 27958
8. Reason for Well(s): Baseline groundwater monitoring
(ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: solar energy facility
(ex: non -discharge facility, waste disposal site, landfill, UST, etc.)
10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).
No
11. Type of contaminants being monitored or recovered: No known contamination is present
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? No
Existing Monitoring or Recovery Well Construction Permit No(s).:
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): N/A
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? None known
If yes, give distance(s):
15. Well Contractor: Regional Probing Services Certification No.: 3322
Well Contractor Address: PO Box 1161 Wake Forest NC 27588
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following:
a. Borehole and well diameter e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
c. Screen intervals g. Well head completion details
d. Sand/gravel pack intervals
Continued on Reverse

DocuSign Envelope ID: OBEE85CC-FF19-4043-972B-5702EB4C20E1
rr<vrvomu VVIM 0 i mUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated
material: 1
3. Number of wells to be constructed in bedrock: N/A
4. Total Number of wells to be constructed: 1
(add answers from 2 and 3)
5.
6.
7. Estimated construction completion date:
How will the well(s) be secured? Locking steel cover,
cemented into concrete pad
Estimated beginning construction date: 5/15/21
5/31/21
1.
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following:
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feet of the proposed well or well system.
b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
c. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
thi lgiL,ge t6}iction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
Subchapter 2C) and accepts full responsibility for compliance with these rules
V kto.,44.1nu-
0F17E7D8513343E...
Signature of Applicant or *Agent
Omar Aboudaher
Printed name of Applicant or *Agent
Authorized Signatory
Title of Applicant or *Agent
* If signing as Agent, attach authorization agreement stating
that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
Ikcggoitlicied in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
2234E7C2B85C49C...
Karen Jarvis a/k/a/ Karen Lea Jarvis
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
kei al .4 I
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
k\4.
*�a
a111'—'7'
414
ngtan
GW-22MR Rev. 3-1-2016
Raleigh Regional Office
Wilmington Regional Office
127 Cardinal Drive Extension
GW-22M (Rev. 5/11)

DocuSign Envelope ID: 8749C73F-D46E-4D59-A602-BE634F209F51
IYVIr I rI VNrwLIIVr► UCrNR I ivi I .jr- CI9 V 11WIJMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
1. Date: April 23, 2021
2. County: Currituck
3.
4. Applicant: Oak Trail Solar, LLC
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
What type of well are you applying for? (monitoring or recovery): monitoring well (1)
Telephone:
[phone]
Applicant's Mailing Address: 800 Town and Country Boulevard, Suite 500, Houston, TX 77024
Applicant's Email Address (if available):
5. Contact Person (if different than Applicant): Chris Pruneau Telephone: [phone]
Contact Person's Mailing Address: 5710 Oleander Drive, Suite 110, Wilmington, NC 28403
Contact Person's Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): Charles D. Jarvis Telephone: [phone]
Property Owner's Mailing Address: 1211 TOXEY RD, ELIZABETH CITY, NC 27909
Property Owner's Email Address (if available): [e-mail]
7. Property Physical Address (Including PIN Number) PIN: 0010000018D0000 (Puddin Ridge Rd.)
City Moyock County Currituck Zip Code 27958
8. Reason for Well(s): Baseline groundwater monitoring
(ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: solar energy facility
(ex: non -discharge facility, waste disposal site, landfill, UST, etc.)
10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).
No
11. Type of contaminants being monitored or recovered: No known contamination is present
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? No
Existing Monitoring or Recovery Well Construction Permit No(s).:
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): N/A
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? None known
If yes, give distance(s):
15. Well Contractor: Regional Probing Services Certification No.: 3322
Well Contractor Address: PO Box 1161 Wake Forest NC 27588
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(f)(7), attach a well construction diagram of each well showing the following:
a. Borehole and well diameter e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
c. Screen intervals g. Well head completion details
d. Sand/gravel pack intervals
Continued on Reverse

DocuSign Envelope ID: 8749C73F-D46E-4D59-A602-BE634F209F51
rrwrvomu %AMMO I rcUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated
material: 1
3. Number of wells to be constructed in bedrock: N/A
4. Total Number of wells to be constructed: 1
(add answers from 2 and 3)
5. How will the well(s) be secured? Locking steel cover,
cemented into concrete pad
6. Estimated beginning construction date: 5/15/21
7. Estimated construction completion date: 5/31/
1.
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following:
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feet of the proposed well or well system.
b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
c. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
this tglgsg9§3rNption Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
MAC A bum Subchapter 2C) and accepts full responsibility for compliance with these rules
0F17E7D8513343E...
Signature of Applicant or *Agent
Omar Aboudaher
Authorized Signatory
Title of Applicant or *Agent
* If signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
wells as utlped in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
co
� o u ignfn d by:
well s� orm to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
S jtxvvus
'-Q8Q44Q63FD174B8
Charles D. Jarvis
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
AMMER
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
k\4.
*�a
a111'—'7'
414
ngtan
GW-22MR Rev. 3-1-2016
Raleigh Regional Office
Wilmington Regional Office
127 Cardinal Drive Extension
GW-22M (Rev. 5/11)

1
2
3
4
5
6
7
8
9
10
A
B
C
D
E
F
G
H
J
K
L
N/F GARRETT BROTHERS FARM INC.
PARCEL # 0006000013A0000
AG
COOPER GA
N/F GARRETT BROTHERS FARM INC.
PARCEL # 0006000013A0000
AG
FLOOD
CONTROL
DEVICE 096
Gvi
/
/
/L
150' BOUNDARY
SETBACK
N/F BLUE SKY REAL ESTATE LLC
PARCEL # 000600000160000
AG
PROPOSED SITE
ACCESS ROAD
N/F BLUE SKY REAL ESTATE LLC
PARCEL # 000700000030000
AG
N/F GILL
PARCEL # 0006000009130000
AG
i
/
PROPOSED MONITORING WELL
N: 1015415.00
E: 2822272.12
/
/
1
/
/
N/F JARVIS
PARCEL # 001000000100000
AG
/
.j
PROPOSED SITE
ENTRANCE 1
LE ANDING = E.KJ4',
SHINGLE J—
N/F BRICKHOUSE
PARCEL # 001000000150000
AG
••
APPROX LOCATIO
OF PCS
TY P
OSED SITE ENTRANCE 4
S
N/F BRICKHOUSE
PARCEL # 001000000150000
AG
GvINE
\ q
M
Nq`
q TFRgC q
C,a
N/F BLUE SKY REAL ESTATE LLC
PARCEL # 000700000040000
AG
SITE ENTRANCE 3
N/F DAVIS
PARCEL # 001000000290000
AG
/
/
D
•
/
/
/
/
-X
N/F BIRTELL
PARCEL # 001000000160000
AG
PROPOSED SITE
ENTRANCE 2
N/F ROMM
PARCEL # 001000000900000
AG
/
N/F BRICKHOUSE
PARCEL #
001000001880000
AG
PROPOSED ,�4'h��
SECURITY FENCE �rSo!
0
.____jcz..
m' o� e
a-
O
N/F BURNS
PARCEL # 0010000017A0000
N/F DOSHEN
PARCEL # 001000001713000
N/F JOHN
PARCEL # 0010000017C0000.
* •
"OPOSED MONITORI
N: 1018975.47
E: 2823306.35
N/F GODFREY
PARCEL # 0010000021A0000
N/F GODFREY
PARCEL # 0010000025A0000
PROPOSED SITE ENTRANCE 5
N/F HARBBY
PARCEL # 0010000009F
AG
N/F ROMM
PARCEL # 0010000009F0000
AG
qR N/F \°po
oF< �' op,00N040
A° 0o ,BGppp°
/1/
1
01
01
PROPOSED DEDICATED
ACCESS ROAD TO
SUBSTATION AND
SWITCHYARD
0
SITE BOUNDARY
NG W
2 S
1./
FPI CAROLINAS INC
PARCEL # 001000000190000
SFM
•\
FLOOD CONTROL DEVICE 022
00o05
A
SITE DATA TABLE
PARCELS
001100000010000; 000600000120000;
000600000120000; 001000000130000;
001000000110000; 001 000001 8F0000;
001000001 4A0000;
001000000120000;
001000001 8D0000
ZONING
AG — AGRICULTURAL
ADJACENT ZONING
AG — AGRICULTURAL
TOTAL SITE AREA
1,126.4± AC
EXIST DOMINION 230 kV
TRANSMISSION
CORRIDOR
—PROPOSED MONITORING WELL
N: 1014456.30
E: 2829698.22
41
I
Irr
iti# a
•
•
11#
10 twl
: :ft" fistottottstsitsts siiiam
dir
N/F LINDSOY
PARCEL
FLOOD CONTROL
DEVICE 034
AG AG \
.-_�. AGAGAG AG "7.'
G
F
00
t1M 0 HOLDINGS LLC
1 ooa20000z0000
AG
\\
G
PROPOSED
N SWITCHYARD
AG AG ��
AG AG
AG
CaI
rigo# Pe= UM=
N.
wil ale: If:
um
ltall =
INEE• To
go MI
NS MA
MI
iIII NE
mg MN
INN 44/11.
Se big
. # D:
II:
' SCE 000/111
ME
IPS
110
MS
Ell
MIN
all
Me
in
MIN
N/F LAKE VIEW LAND DEOELO EN
PARCEL # 001500008 0000
SFM
N/F EAGLE CR
PARCEL
1,"
A
T LLC
LLC
INC
FLOOD
CONTROL
DEVICE 032
600' 300'
0 600'
SCALE: 1 "=600'
1200'
1800'
REV
DATE
REVISION DESCRIPTION
BY CHK APP
WOO
WOOD
ENVIRONMENT & INFRASTRUCTURE SOLUTIONS, INC.
4021 STIRRUP CREEK DRIVE, SUITE 100
DURHAM, NC 27703
T: 919 381 9900 I WWW.WOODPLC.COM
ENGINEERING: F-1253
NC GEOLOGY: C-247
OAK TRAIL SOLAR, LLC
800 TOWN AND COUNTRY BLVD, SUITE 500
HOUSTON, TX 77024
PHONE: [phone]
TITLE:
OAK TRAIL SOLAR, LLC
CURRITUCK COUNTY, NORTH CAROLINA, USA
PROJECT: 100 MWac NOMINAL CAPACITY SOLAR PV SYSTEM
FOR P EAR? MIr1T Ir J AG
SHEET TITLE:
MONITORING WELL EXHIBIT
PROJ. MGR.
M. CROOK
PROJ. ENGR.
E. NEVAREZ
DR. BY
KMV
CHK. BY
XXX
SCALE:
PROJ. DIRECTOR
TBD
JOB No.
SYS-00XXX
PROJECT CODE
OAK1
DRAWING No
1 OF 1
REV.
A
GREGORY THOMPSON, P.E.
NC P.E. LICENSE NO. 21155
DATE
THIS PRINT IS NOT TO BE USED FOR CONSTRUCTION UNLESS NOTED
AND SIGNED OK FOR CONSTRUCTION ABOVE LAST REVISION.
C:\Users\kenneth.veal\Desktop\nc\cad\Plans\OAK-MONITORING WELL EXHIBIT.dwg kenneth.veal Apr 19, 2021 - 2:58pm
5

Wood E&IS, Inc.
Wilmington, NC
W lm Oleander Drive, Suite 110 wood.
Phone: [phone]
TYPE II MONITORING INSTALLATION RECORD
JOB NAME
TBD
BACKFILL MATERIAL
TORPEDO SAND
JOB NUMBER
TBD
SCREEN SLOT SIZE
0.01 - INCH
WELL NUMBER
TBD
SCREEN MATERIAL
PVC
INSTALL DATE
TBD
RISER MATERIAL
PVC
LOCATION
TBD
SCREEN DIAMETER
1.5 - INCH
GROUND ELEVATION
TBD
RISER DIAMETER
1.5 - INCH
REFERENCE ELEVATION
TBD
BOREHOLE DIAMETER
3 - INCH
WOOD REPRESENTATIVE
Pruneau
LOCK BRAND
MASTER
DRILLING CONTRACTOR
Regional Probing Services
SIZE / MODEL
NO. 4
DRILLING TECHNIQUE
Geoprobe
KEY CODE
TBD
STEEL PROTECTIVE
LOCKABLE COVER
HEIGHT OF STICK UP
2.5'
2' x 2' CONCRETE PAD
BENTONITE/GROUT SEAL
DEPTH TO TOP OF
BENTONITE
16.0'
SEAL
DEPTH TO TOP
BENTONITE SEAL OF SAND
18.0'
TOTAL DEPTH
OF BOREHOLE
SOLID RISER PIPE
20.0'
SCREEN INTERVAL
SAND PACK 15.0'
LENGTH OF SCREEN
WELL SCREEN 5_0'
WELL CAP
120.0'
NOTES:
REFERENCE ELEVATION = TBD CREATED BY: WJM 3/26/21