wm0501442_Permit (Issuance)_20210622

ROY COOPER
Governor
JOHN NICHOLSON
Interim Secretary
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
June 22, 2021
2800 Erwin Durham Holdings, LLC
1550 17th Street, Suite 500
Denver, CO 80202
Subject: Monitoring Well Construction
Permit # WM0501442
AC Hotel Duke Hospital
2800 Erwin Road
Durham, NC -Durham County
To Whom It May Concern:
In accordance with the application received on June 15, 2021 we are forwarding herewith
Monitoring Well Construction Permit No. WM0501442 dated June 22, 2021, 2021 issued for the
construction of a monitor well system (installation of three temporary wells) at the subject property. Please
be aware that some counties have well construction programs. and you may be required to obtain a
well construction permit before installation.
This Permit will be effective from the date of its issuance and shall be subject to the conditions and
limitations as specified therein. Please note the addition of stipulation #3 to the permit enclosed. If you have
any questions about this permit, please contact Eric Rice at [phone].
Sincerely,
by:
[Doau8Ined
e
BCDA9D825D4A48D...
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files
Durham County Health Department
Email: [e-mail] Samantha Szakasits, ECS Southeast, 5260 Greens Dairy
Road, Raleigh, NC
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable Laws,
Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
2800 Erwin Durham Holdings, LLC
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (AC Hotel Duke University) consisting of three
temporary monitoring wells owned by 2800 Erwin Durham Holdings, LLC at mailing address 1550 17th Street, Suite 500
in Denver, Colorado. The wells will be located on the property owned by Blue Devils Hospitality, LLP located at 2800
Erwin Road in Durham, NC -Durham County. This Permit is issued in accordance with the application received on June
15, 2021, in conformity with specifications and supporting data, all of which are filed with the Department of
Environment and Natural Resources and are considered integral parts of this Permit.
This Permit is for well construction only, and does not waive any provision or requirement of any other applicable law or
regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina Well
Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and regulations pertaining
to well construction.
If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatory hearing upon
written request within 30 days of receipt of this Permit. The request must be in the form of a written petition conforming
to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this Permit is final and binding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. Issuance of this Permit does not obligate reimbursement from State trust funds, if these wells are being
installed as part of an investigation for contamination from an underground storage tank or dry cleaner
incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another
agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit
application.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
5. Well construction records (GW-1) for each well shall be submitted to the Division of Water Quality's
Information Processing Unit within 30 days of the well completion.
6. When the well is discontinued or abandoned, it shall be abandoned in accordance with 15A NCAC 02C
.0113 and a well abandonment record (GW-30) shall be submitted to the Division of Water Quality's
Information Processing Unit within 30 days of the well abandonment.
7. If the well penetrates any water -bearing zone that contains contaminated waters, the upper three feet of the
well shall be grouted within one day after the casing is set or the well abandoned.
8. Temporary wells must be permanently abandoned or converted to a permanent well within seven days (168
hours) of the completion of drilling of the borehole
Permit issued the 22nd of June 2021
FOR THE NORTH CAROLINA ENTAL MANAGEMENT COMMISSION
n /1 .
Scott mson,`RegionaI Supervisor
Divi WIWEe'itesources
By Authority of the Environmental Management Commission
Permit No. WM0501442
North Carolina Department of Environmental Quality 1 Division of Water Resources
Raleigh Regional Office 1 3800 Barrett Drive I Raleigh. North Carolina 27609
919.791.4200

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: 6/14/2021
2. County: Durham
FOR OFFICE USE ONLY
PERMIT NO. (Uiiv1p5"Q 141'' ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery):
4. Applicant: 2800 Erwin Durham Holdings LLC
Temporary Monitoring Well
Telephone: [phone]
Applicants Mailing Address: 1550 17th Street, Suite 500, Denver, Colorado 80202
Applicant's Email Address (if available): Dean.Millere,dgslaw.com
5. Contact Person (if different than Applicant): ECS Southeast, LLP — Samantha M. Szakasits Telephone: [phone]
Contact Person's Mailing Address: 5260 Greens Dairy Road, Raleigh, North Carolina 27616
Contact Person's Email Address (if available): sszakasits(a7.ecslimited.com
6. Property Owner (if different than Applicant): Blue Devils Hospitality, LLP Telephone:
Property Owner's Mailing Address: 1005 Slater Road, Suite 107, Durham, Durham County, North Carolina 27703
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) 2800 Erwin Road — PIN 223406
City Durham County Durham Zip Code 27705
8. Reason for Well(s): 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: Off -site UST Incident
(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).
Unknown
11. Type of contaminants being monitored or recovered: VOCs, SVOCs, & MADEP EPHNPH
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Unknown
Existing Monitoring or Recovery Well Construction Permit No(s).: N/A
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Approximately 66 feet Northeast
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? Unknown
If yes, give distance(s):
15. Well Contractor: Quantex Drilling Certification No.:
3106-A
Well Contractor Address: PO Box 1388, Wendell, NC 27591
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: 3
5. How will the well(s) be secured? Not Applicable —
temporary monitoring wells to be abandoned upon completion
3. Number of wells to be constructed in bedrock: Zero (0) 6. Estimated beginning construction date: TBD
4. Total Number of wells to be constructed: 3
(add answers from 2 and 3)
7. Estimated construction completion date: TBD
ADDITIONAL INFORMATION
1. 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
Managing Director
Signature of Applicant or *Agent Title of Applicant or *Agent
Mike Wilbert
* 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).
SEE ATTACHED
Signature of Property Owner (if different than Applicant)
Blue Devils Hospitality, LLP
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 Mall
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]
GW-22MR Rev. 3-1-2016

June 2, 2021
ECS SOUTHEAST, LLP
ECS SOUTHEAST, LLP
PROPERTY OWNER ACCESS AUTHORIZATION
Proposal No.: 49:24761P
Scope of Work: Proposal for Environmental Assessment Services
Project: AC Hotel Duke University
Location: 2800 Erwin Road, Durham, Durham County, North Carolina
As part of the proposed real estate transaction, ECS Southeast, LLP (ECS) has been requested by the
purchaser to conduct subsurface soil and groundwater quality sampling at the site. The groundwater
sampling requires that ECS procure a permit from the North Carolina Department of Environmental
Quality (NCDEQ).
ECS respectfully requests that the owner of the property grant permission to ECS to access the property
to conduct the soil and groundwater sampling. By signing below, the property owner authorizes ECS to
conduct the aforementioned sampling at the site.
Property Owner (please print): Taru n Patel
Property Owner Telephone (please print): 91 9.605.0559
Property Owner Signature: Date: 6/14/21
ECS Proposal No. 49:24761P
Page 17
.istr

o
•
UST Incidents
Brownfields Program Sites
Proposed Groundwater Boring Location
LEGEND
Parcels (Polygons) - Parcels
Site Parcel Boundary
N
s
F
SOURCE:
NCDEQ-DWM SITE LOCATION TOOL
ACCESSED JUNE 11, 2021
APPROXIMATE SCALE:
200 FT.
FIGURE 3
CONTAMINATION SOURCE LOCATION MAP
AC HOTEL DUKE UNIVERSITY
2800 ERWIN ROAD
DURHAM, NORTH CAROLINA
ECS PROJECT NO. 49-14252

GROUND SURFACE
TOP OF DIRECT PUSH STEEL RODS
ABOVE THE LAND SURFACE
30-40
n
FEET
NATURAL FORMATION
BACKFILL
GROUNDWATER
—
1.5-INCH STEEL DIRE(
PUSH RISER
2--INCH BORE
HOLE
SLOTTED STEEL S
0.01-INCH SLOT
SET TO INTERSECT GRO
ESTIMATED 15 FEET I
` ,
V
V
—
WELL CONTRUCTION DI
REPRESENTATIVE OF DII
T
CREEN
WIDTHS
UNDWATER
N LENGTH
AGRAM IS
ECT PUSH
IPLER
NOT TO SCALE
1401
FIGURE 4
PROPOSED TEMPORARY SCREEN POINT SAMPLER
AC HOTEL DUKE UNIVERSITY
2800 ERWIN ROAD
DURHAM, NORTH CAROLINA
ECS PROJECT NO. 49-14252