WM0501446_Permit (Issuance)_20210806

ROY COOPER
Governor
ELIZABETH S. B1SER
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
August 6, 2021
John Snyder, PE, PG
Tetra Tech
1955 Evergreen Boulevard
Duluth, GA 30096
Subject: Monitoring Well Construction
Permit # WM050I446
Eakes Cleaners Former
200 Gregson Street
Durham, NC -Durham County
Dear Mr. Snyder:
In accordance with the application received on July 30, 2021, we are forwarding herewith
Monitoring Well Construction Permit No. WM0501446 dated August 6, 2021, issued for the construction
of a monitor well system (installation of two temporary wells) at the subject property (823 West Morgan
St.). 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,
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files/Laserfiche
Durham County Health Department
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North CaroUna 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
John Snyder
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Eakes Cleaners Former) consisting of two temporary
monitoring wells owned by John Snyder at mailing address 1955 Evergreen Boulevard in Duluth, Georgia. The wells will
be located on the property owned by AP Brightleaf Square located at 823 West Morgan Street in Durham, NC -Durham
County. This Permit is issued in accordance with the application received on July 30, 2021, in conformity with
specifications and supporting data, all of which are fled 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 weil(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 6`h of August 2021
FOR THE NORTH CAROLIN ENVIRON ENTAL MANAGEMENT COMMISSION
Vins Scott on, gional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. WM0501446
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
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:
7/30/2021
2. County: Durham
3.
4. Applicant
FOR OFFICE USE ONLY
PERMIT NO. u (yid sd ling{-( ISSUED DATE
What type of well are you applying for? (monitoring or recovery): Monitoring
John Snyder PE. PG
Telephone: [phone]
Applicant's Mailing Address: 1955 Evergreen Blvd Duluth. GA 30096
Applicants Email Address (if available): [e-mail]
5. Contact Person (if different than Applicant):
Telephone:
Contact Person's Mailing Address:
Contact Person's Email Address (if available):
6. Property Owner (if different than Applicant):
Property Owner's Mailing Address:
AP Brightleaf Sauare Telephone: [phone] (owner's consultant)
1616 Camden Rd Suite 210 Charlotte. NC 28203
Property Owner's Email Address (if available): itanQAoneenv.cam downers consultant}
7. Property Physical Address (Including PIN Number) 0821-07-69-8234 823 W Morgan St
City Durham
8. Reason for Well(s): assessment
County Durham
Zip Code 27701
(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: adiacent former dry cleaner
(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).
None on this property. Evaluating `Former Eakes Dry Cleaners"
11. Type of contaminants being monitored or recovered: chlorinated solvents
(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): < 100 ft
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: Parratt-Wolff Todd Muench Certification No.: 3371
Well Contractor Address: 501 Millstone Drive. Hillsborough. NC 27278
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? Temp wells only.
material: 2 abandoned immediately upon sampling
3. Number of wells to be constructed in bedrock: 0
6. Estimated beginning construction date: 8/4/21
4. Total Number of wells to be constructed: 2 7. Estimated construction completion date: 8/4/21
(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 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.
The Applicant herby
this Wel � :�
07
Sign
re of Appli
a
on e
SIGNATURES
rees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
ubchapter 2C) and accepts full responsibility for compliance with these rules
nt or *Agent
John Snyder, PE, PG
Printed name of Applicant or `Agent
Environmental Engineer
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).
fort - Forrest Cherry
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
6-9800
797
GW-22MR Rev. 3-1-2016

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WELL INSTALLATION DATE(S)
PAD COMPLETION DATE(S)
DRILLING INFORMATION
DRILLING COMPANY Pa .1-
DRILLERS LICENSE NO: 1((]](
DRILLING METHOD: f fq Ilnt
HAS
FROM. TO: FEET BGS
TOTAL DEPTH OF WELL
( U FEET BGS
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TOTAL DEPTH OF BOREHOLE
1 0 FEET BGS
FEET NGVD
GROUND SURFACE
ELEVATION FEET NGVD
SURFACE CASING /
Material: }Stets Diameter
FROM: TO FEET BGS
SAND/CEMENT Da FROM s: } FE T+ Zilr,1
Boreho e dameter
4— PORTLANDIBENNITE GROUT
Date: f JJ
FROM TO: FEET BGS
Borehole diameter:
BOREHOLE DIAMETER
BENTONITE PELLETS
FROM TO- FEE—BGS
WELL RISER CASING
Material:
Diameter:
FROM:
i4J 4J=
TO: FEET BGS
SAND PACK Silica Sand
FROM: ! I) TO: (:) FEET BGS
FROM: TO: FEET NGVD
WELL SCREEN
Material: j �' f�► L
Diameter: t Slot size: () .
FROM: , TO. FEET BGS
FROM: / () TO- 0 FT NGVD
SUMP LENGTH
FEET
BGS = BELOW GROUND SURFACE
IN = INCH
NGVD - NATIONAL GEODETIC VERTICAL DATUM
PVC = POLYVINYL CHLORIDE
TOC = TOP OF CASING