WM0501443_Permit (Issuance)_20210715

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
NORTH CAROL IN
Environmental Qualify
July 15, 2021
Aubrey Linville, Manager
Twin City Capital, LLC
206 West Fourth Street
Winston-Salem, N.C.
Subject: Monitoring Well Construction
Permit .i WM0501443
Central Lube
1687 South Brightleaf Boulevard
Smithfield, NC -Johnston County
Dear Mr. Linville:
In accordance with the application received on July 6, 2021 and the additional requested
information received on July 13, 2021, we are forwarding herewith Monitoring Well Construction Permit
No. WM0501443 dated July 15, 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 (919) 79I-4242.
Sincerely,
--DoouSigned by
get l g\AUM ,
BCDA9D82504A48D
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files
Johnston County Health Department
Email: tloquinn a,ecslimited.com Travis O'Quinn, ECS Southeast, 1812 Center Park Drive, Suite
D, Charlotte, NC
r:tE
North Carolina Department of Environmental Quality Division of Water Resource%
Raleigh Regional Office , 3800 Barrel[ Drive Raleigh. North Carolina 27h09
019.791.42(}0

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
Twin City Capital, LLC
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Central Lube) consisting of three temporary
monitoring wells owned by Twin City Capital, LLC at mailing address 206 West Fourth Street in Winston-Salem, NC.
The wells will be located on the property owned by Timothy and Lynn Matthews located at 1687 Brightleaf Boulevard in
Smithfield, NC -Johnston County. This Permit is issued in accordance with the application received on July 6, 2021, and
the additional requested information received on July I3, 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:
I. 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 15th of July 2021
FOR THE NORTH CAROLINA ENNRONMENTAL MANAGEMENT COMMISSION
Scott Vinson, Ree&ional Supervisor
Divi is on OT a °er"Ke ources
By Authority of the Environmental Management Commission
Permit No. WM0501443
£ E
a.n.,m..r a awn\
North Carolina Department of Environmental Qual iy Division of Water Resources
Raleigh Regional Office ' 3800 Barren Drive Ralrigh. 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: 7/13/2021
2. County: Johnston
FOR OFFICE USE ONLY
PERMIT NO. O‘D5b/f'3SSUED DATE
3. What type of well are you applying for? (monitoring or recovery):
4. Applicant: Aubrey Linville — Twin City Capital
Monitoring
Telephone: Not Applicable
Applicant's Mailing Address: 206 West Fourth Street, Winston-Salem, North Carolina 27101
Applicant's Email Address (if available): aubrev cC�.ltpcommercial.com
5. Contact Person (if different than Applicant): Travis O'Quinn Telephone: [phone]
Contact Person's Mailing Address: 1812 Center Park Drive, Suite D Charlotte. NC 28217
Contact Person's Email Address (if available): tloauinnnecslimited.com
6. Property Owner (if different than Applicant):
Timothy and Lynn Matthews Telephone: [phone]
Property Owner's Mailing Address: 11133 Highway 70 West, Clayton, North Carolina 27520
Property Owner's Email Address (if available): Not Applicable
7. Property Physical Address (Including PIN Number): 1687 South Brightleaf Boulevard PIN 163400-02-6460
City: Smithfield County: Johnston Zip Code: 27577
8. Reason for Well(s): Assessment
(ex: non -discharge pen -nit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: Commercial (Auto Service & Maintenance Shop)
(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).
Not Applicable
11. Type of contaminants being monitored or recovered: VOCs and SVOCs
(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).: Not Applicable
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet). Approx. 320 feet
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No
If yes, give distance(s): Not Applicable
15. Well Contractor: Quantex. Inc. Certification No.: 3106
Well Contractor Address: ibarker3(rDnc.rr.com
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 5. How will the well(s) be secured? Groundwater
material: 3 Samplina Probe
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: 7/20/2021
4. Total Number of wells to be constructed: 3 7. Estimated construction completion date: 7/20/2021
(add answers from 2 and 3)
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 wall 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 • • licantr : y 8 that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
this ell as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
Subchapter 2C) and accepts full responsibility fgr,gomptiance with these rules
a
Title of Applicant or *Agent
• If signing es Agent, attach authorization agreement stating
that you have the authority to act as the Agent.
Sign'tu : o •pli.-ntor'Ag nt
Printed name of Applican or *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)
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]
\
„It; Atrigior
1114114
GW-22MR Rev. 3-1-2016

APPROX.
500 FOOT
RADIUS
SITE PARCEL
BOUNDARY
NO WATER SUPPLY WELLS OR POTENTIAL SOURCES
OF CONTAMINATION ARE KNOWN TO EXIST OTHER
THAN ILLUSTRATED ABOVE.
SOURCE:
NCDEQ
DWM SITE LOCATOR TOOL
APPROXIMATE SCALE:
225 ft.
FIGURE 2
POTENTIAL SOURCES MAP
Central Lulbe— Smithfield, NC
1687 South Brightleaf Blvd
Smithfield, Johnston County, NC
ECS Project No. 49:14200-A

SOURCE:
GOOGLE EARTH
IMAGERY DATED 2018
APPROXIMATE SCALE:
50ft
Central Lube
Facility
FIGURE 2
SAMPLE LOCATION MAP
Central Lube —Smithfield, NC
1687 South Brightleaf Blvd
Smithfield, Johnston County, NC
ECS Project No. 49:14200-A

GROUND
SURFACE
ESTI MATED
FEET
NATURAL FORMATION
BACKFILL
GROUNDWATER
v
V
TOP OF DIRECT PUSH STEEL
RODS ABOVE THE LAND
SURFACE
NOT TO SCALE
421.1_4 ik
1.5-INCH STEEL DIRECT
PUSH RISER
2—INCH BORE
HOLE
SLOTTED STEEL SCREEN
0.01-INCH SLOT WIDTHS
SET TO INTERSECT GROUNDWATER
ESTIMATED 4 FEET IN LENGTH
WELL CONSTRUCTION DIAGRAM IS
REPRESENTATIVE OF DIRECT PUSH SCREEN
POINT SAMPLER
FIGURE 3
PROPOSED TEMP SCREEN POINT SAMPLER
Central Lube —Smithfield, NC
1687 South Brightleaf Blvd
Smithfield, Johnston County, NC
ECS Project No. 49:14200-A

11.111.11111
ECS SOUTHEAST, UP
ECS SOUTHEAST, LLP
PROPERTY OWNER ACCESS AUTHORIZATION
Proposal No.: 49:25121P
Scope of Work: Proposal for Environmental Assessment Services
Project: Central Lube — Smithfield, NC
Location: 1687 South Brightleaf Boulevard, Smithfield, Johnston 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): 1i 1., 4g417 44
Property Owner Telephone (please print): 9 (1 0(0 - aDa-
Property Owner Signature: r ' Mi24' d o� Date:
ECS Proposal No. 49:25121P
Page 18