WM0701249_Application_20210604

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: 5-27-2021
2. County: Lenoir
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery):
Monitoring
4. Applicant: Univar Solutions USA Inc. c/o Mark Kleiman
Telephone: [phone]
Applicant's Mailing Address: 503 SW Hampton Ct., Port St. Lucie, FL 34986
Applicant's Email Address (if available): [e-mail]
5. Contact Person (if different than Applicant): Hillary Goodell - Arcadis
Telephone: [phone]
Contact Person's Mailing Address: 5420 Wade Park Boulevard, Suite 350, Raleigh, NC 27607
Contact Person's Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): Joseph E and Dorothy R Hunter Telephone:
Property Owner's Mailing Address: 289 Neuse Road, Kinston, NC 28501
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) Neuse Road PIN 453404544207
City Kinston County Lenoir Zip Code 28501
8. Reason for Well(s): Groundwater assessment
(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: Former pesticide blending, packaging, and distribution
(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).
11. Type of contaminants being monitored or recovered: Pesticides, VOCs (ex:
organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? 5
Existing Monitoring or Recovery Well Construction Permit No(s).: NA
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 200
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No
If yes, give distance(s):
15. Well Contractor: Innovative Environmental Technologies, Inc. (IET) Certification No.: 3455-A
Well Contractor Address: 232 Hwy 49 South Concord, NC 28025
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)
Number of wells to be constructed in unconsolidated
material: 1
3. Number of wells to be constructed in bedrock: 0
4. Total Number of wells to be constructed:
(add answers from 2 and 3)
5. How will the well(s) be secured? Locking well cap,
8" flush -mounted manhole cover in 2'x2' concrete pad.
6. Estimated beginning construction date: 6/1/21
7. Estimated construction completion date: 6/4/21
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(0(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. Ali 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
Signature of pplicant or *Agent
M V
Printed na e of Applicant or *Agent
.3c:; A,J4,)4 C4Irc
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
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).
*See attached access agreement
Signature of Property Owner (if different than Applicant)
*See attached access agreement
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]
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mali
Washington. NC 27889
Phone: [phone]
Fax: [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
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]
OW-22MR Rev. 3-1-2016

ARCAD I S
WELL CONSTRUCTION DETAILS -TYPE II
* see notes for details
1
LAND SURFACE
8 inch diameter
drilled hole
—
Well casing,
2 inch diameter,
Sch 40 PVC
Grout Portland type I/II
3 ft*
Bentonite
5
7
ft*
ft*
—Well Screen.
2 inch diameter
Sch 40 PVC , 10 slot
[X]Sand Pack
17 ft*
17 ft*
Depth Below Land Surface
Notes - Well will be completed at the surface with an 8"
steel manhole cover within a 2'x2' concrete pad.

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LEGEND:
SITE
TAX PARCELS
MW-1 MONITORING WELLS
MW-6 -j- PROPOSED MONITORING WELLS
HP-1 0 PROPOSED HYDROPUNCH LOCATIONS
NOTE:
1. BASE MAP AND SAMPLE LOCATIONS FROM
GIS FIGURES PROVIDED BY ERM.
0 100'
•
200'
GRAPHIC SCALE
FORMER DALY HERRING FACILITY
403 NEUSE ROAD, KINSTON, LENOIR COUNTY, NC
PROPOSED MONITORING WELLS
ARCADIS
"esyn&Consultancy
for natural and
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FIGURE

ACCESS AGREEMENT
This ACCESS AGREEMENT ("Agreement") dated for reference purposes May 5, 2020
is made by and between Joseph and Dorothy Hunter ("Owner"), and Univar Solutions USA Inc.
("Univar Solutions").
RECITALS
WHEREAS, Owner owns the real property located at SR 1804 Tract 1, Neuse Road,
Kinston, North Carolina, which is identified as Lenoir county tax parcel number parcel 28841
(the "Property").
WHEREAS, Univar Solutions has retained Arcadis G&M of North Carolina, Inc. to conduct
an environmental investigation and/or remedial action work ("Remediation Work") at and
around the Property associated with historical activities performed at the Former Daly Herring
Facility located at 403 Neuse Road in Kinston, North Carolina, which is defined as Lenoir county
tax parcel number 26080.
WHEREAS, as part of the Remediation Work, Univar Solutions and Arcadis G&M of North
Carolina, Inc. desire access to the Property in order to complete certain activities more
specifically described in Exhibit A ("Work").
WHEREAS, the North Carolina Department of Environmental Quality ("NCDEQ") is
overseeing the Work and may require access to the Property in order to direct, monitor, or
conduct activities related to the Work ("Oversight Activities").
NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of
which is hereby acknowledged, the parties agree as follows:
AGREEMENT
1. Access to the Property. Subject to the provisions of this Agreement, Owner
hereby grants to Univar Solutions and its authorized representatives, agents, contractors and
subcontractors, including Arcadis G&M of North Carolina, Inc. (collectively, "Univar Solutions
Parties") permission to enter the Property for the sole purpose of conducting the Work and any
restoration activities authorized in Section 4, and hereby grants to NCDEQ and its authorized
representatives, permission to enter the Property for the purpose of conducting the Oversight
Activities.
2. Time of Entry. Univar Solutions Parties shall provide Owner with reasonable
advance written notice of any intent to enter the Property and shall conduct all Work at
reasonable times and in a reasonable manner so as to ensure the Work does not interfere with
operations at the Property.
ACCESS AGREEMENT Page 1 of 4

3. Performance of Work. Univar Solutions Parties shall comply with all applicable
federal, state and local laws and regulations, and obtain all necessary permits and
governmental approvals in conducting the Work.
4. Restoration of Property. Upon completion of Work or if Univar Solutions Parties
cause damage to the Property in the course of conducting the Work, Univar Solutions Parties
shall restore the area of the Property damaged by the Work to as near the condition existing
before the Work commenced as practicable, or in an alternate manner as agreed to in writing
by both Univar Solutions and Owner.
5. Results of Work. Univar Solutions Parties shall provide Owner with all validated
analytical data obtained by Arcadis G&M of North Carolina, Inc. as part of the Work upon
receiving a written request for such data from Owner.
6. Insurance and Indemnity. All Univar Solutions Parties that access the Property
shall carry and maintain in full force throughout the term of this Agreement liability insurance
with coverage limits of not less than $1,000,000 for personal injuries or property damage
arising from the Work. Univar Solutions shall indemnify and hold Owner harmless against any
claims or demands asserted against Owner by any third-party(ies) to the extent they arise out
of the negligence or willful misconduct of Univar Solutions Parties in conducting the Work, but
Univar Solutions shall not indemnify Owner against claims, causes of action, or demands arising
out of the negligence or willful misconduct of Owner.
7. Notices. All notices and communications regarding this Agreement shall be in
writing, shall be directed to the persons and addresses set forth below, and shall be deemed
duly given: (a) when personally delivered to the other party; (b) one day after being sent via
email; or (c) two days after being mailed to the other party by regular and certified mail, return
receipt requested.
Univar Solutions Parties:
Univar Solutions USA Inc. c/o Mark Kleiman
503 SW Hampton Ct
Port St Lucie, FL 34986
[e-mail]
With a copy to:
Arcadis G&M of North Carolina, Inc. c/o William Anckner
5420 Wade Park Boulevard, Suite 350
Raleigh, North Carolina 27607
[e-mail]
ACCESS AGREEMENT Page 2 of 4

Owner:
Joseph and Dorothy Hunter
289 Neuse Road
Kinston, NC 28501
Either party may change the above designations by written notice to the other party.
8. Relationship of the Parties. Nothing contained in this Agreement shall be
deemed or construed to create the relationship of principal and agent, or of partnership, or of
joint venture, or of any other association between the parties.
9. Effect of Agreement. Nothing in this Agreement shall constitute an admission of
fact, responsibility, fault, or liability of any kind, or constitute a waiver or limitation of any legal
claim or defense available to any party.
10. Parties Bound and Assignment. This Agreement shall be binding on and inure to
the benefit of the parties and their respective successors and assigns. Neither party may assign
the rights and obligations provided by this Agreement without the other party's prior written
consent.
11. Authority to Execute. Each person executing this Agreement represents and
warrants that he or she is fully authorized to execute this Agreement on behalf of the party he
or she represents.
12. Entire Agreement and Amendment. This Agreement contains the parties' entire
agreement and supersedes all prior agreements and understandings between the parties
relating to its subject matter. This Agreement may not be amended or modified except by a
written instrument duly executed by the parties.
13. Waiver and Severability. The waiver of performance of any covenant, term, or
condition of this Agreement by either party shall not be construed as a waiver of any
subsequent breach of the same covenant, term or condition. If a court of competent
jurisdiction determines any provision of this Agreement is invalid or otherwise unenforceable,
all of the remaining provisions shall remain in full force and effect.
14. Term of Agreement. Univar Solutions may terminate this Agreement at any time
by providing written notice to Owner. Owner may terminate this Agreement at any time after
completion of the Work or upon Univar Solutions Parties' breach of any term or condition of
this Agreement by providing written notice to Univar Solutions Parties.
ACCESS AGREEMENT Page 3 of 4

15_ Governing Law and Venue. This Agreement shall be construed in accordance
with the laws of the State of North Carolina. Venue for any action arising under this Agreement
shall be in any court of competent jurisdiction in Lenoir County, North Carolina, and each party
hereby agrees to jurisdiction in the State of North Carolina for all actions arising under this
Agreement. The prevailing party in any action arising under this Agreement shall be entitled to
an award of its reasonable attorneys' fees and costs.
16. Counterparts. This Agreement may be executed in multiple counterparts, and all
such counterparts once so executed shall together be deemed to constitute one final
agreement, as if one document had been signed by all parties, and each such counterpart, upon
execution and delivery, shall be deemed a complete original, binding on the parties. An email
copy of an original signature shall be deemed to have the same force and effect as the original
signature.
17. Effective Date. This Agreement shall be effective as of the latest date of
execution below.
Owner:
Signature: ) ,Jt.. 9-4 LtAiThL
Print Name: a) ell-61'H R . Gb h +E,-
Date: (Y i ts )
Title: r ( f E ^�
Univar Solutions:
Signature: /)t(, n { Date: 516 - ,(')7,�-
Print Name: PA 4 L , l AA) Title: i;=-'4 -"' ciqr' ^)dujiwA(
ACCESS AGREEMENT Page 4 of 4