WS0601440_Water Supply Well_20201112

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Mr. Edgar Baker, Vice President
Cross Creek Specialty Products, Inc.
2000 Vass Road
Raeford, North Carolina 28376
SUBJECT:
Mr. Baker:
NORTH CAROLINA
Environmental Quality
November 12, 2020
Well Construction Permit No. WS06-01440
Vass road farm/PIN #: 694260001013
One (1) Water Supply Well
Raeford, Hoke County
In accordance with the permit application from Charles R. Underwood Incorporated dated 2
November 2020 and received in the Fayetteville Regional Office on 2 November 2020, we are
forwarding herewith Well Construction Permit No. WS06-01440 dated 12 November 2020 issued to
Cross Creek Specialty Products, Incorporated for the construction of one (1) water supply well to be
located on land owned by EWSB Properties, LLC (P.I.N. #: 694260001013) located at 2000 Vass
road as identified above and depicted on a site map provided with the permit application.
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 that according to North Carolina Administrative Code, Title 15A, Subchapter 2C, Section
.0105 (g), "it is the responsibility of the well owner or his agent to see that a permit is secured prior to
the beginning of construction of any well for which a permit is required." Local permitting may be
required, so also check with the county Environmental Health program to determine the requirements
for Hoke County.
If any parts, requirements, or limitations contained in this Permit are unacceptable to you, you have the
right to an adjudicatory hearing before a hearing officer upon written demand to the Director within 30
days following receipt of this Permit, identifying the specific issues to be contended. Unless such
demand is made, this Permit shall be final and binding.
ilag gg11aby: o n w
NRAk
Trent Allen Regional Supervisor
`-5189C2D3D 5d42B...
Division of Water Resources — Water Quality Programs
cc: FRO Files Charles R. Underwood Incorporated
Hoke County Health Department Division of Water Resources — Gabrielle Chianese
North Carolina Department of Environmental Quality Division of Water Resources
Fayetteville Regional Office 225 Green Street. Suite 714 Fayetteville. North Carolina 28301
910.4313300

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALTIY
DIVISION OF WATER RESOURCES — WATER QUALITY PROGRAMS
PERMIT FOR THE CONSTRUCTION OF A WATER SUPPLY WELL OR
WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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
CROSS CREEK SPECIALTY PRODUCTS INCORPORATED
FOR THE CONSTRUCTION OF AN WATER SUPPLY WELL SYSTEM consisting of one water
supply well on property owned by EWSB Properties, LLC located at2000 Vass road, Raeford, North
Carolina in Hoke County (Pin No.: 694260001013). This Permit is issued in accordance with the
application received on 2 November 2020 in conformity with specifications and supporting data, all
of which are filed with the Department of Environmental Quality and are considered integral parts of
this Permit.
This Permit is for well construction only and does not waive any provision or requirement or any
other applicable law or regulation. Withdrawals of 1 MGD or more are required to be registered with
the Division of Water Resources in accordance with 143-215-.22H.
This Permit does not constitute approval of a site, for which the Public Water Supply Section may
require additional information or approval of the proposed volume of water to be withdrawn, within
an area defined as a Capacity Use Area (G.S. 143-215.15) and regulated by the Division of Water
Resources.
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 water supply 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. A well test for yield shall be conducted in accordance with 15A NCAC 02C .0110(b) and the
results of that test shall be submitted to the Division of Water Resources Regional Office
within 30 days of the test conclusion.
2. Each well shall have a Well Contractor Identification Plate and a Pump Installation
Information Plate in accordance with 15A NCAC 02C .0107(j) (2) and (3).
3. 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.
4. 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 Resources Information Processing Unit within 30 days of the well abandonment.
5. In accordance with your application and the information provided in reference to the
subject proposed well, this permit is issued with construction standards that exceed the
minimum standards specified in 15A NCAC 2C .0107. Specifically, the well grout
requirement for this well will be as follows: the well casing shall be grouted to the first
competent confining unit greater than 20 feet below land surface or a minimum of fifty
feet if no competent confining unit is encountered during construction. All other
minimum construction standards shall be met.
6. Any well has the potential to create a pathway for contaminates to enter the subsurface
aquifers. The location of this well increases the likelihood of this occurring due to the
application of agricultural chemicals in proximity to this well. As part of this permit, you as
the well owner, are responsible for maintaining a minimum setback of 50 horizontal
feet from the well with all chemical applications (i.e. herbicides, pesticides, fertilizers,
etc.) associated with any agricultural land use or chemical mixing operations.
Permit issued the 12th day of November 2020
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT
COMMISSION
-DocuSignedd by: n
Trent A-1-len,84klxgionaieSupervisor
Division of Water Resources - Water Quality Programs
By Authority of the Environmental Management Commission
Permit No. # WS0601440

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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 water supply wells.
1. Date: November 2, 2020
2. County: Hoke
FOR OFFICE USE ONLY
ws06,- o/yyv
PERMIT NO. W,S06-01 3 ISSUED DATE: //// /-Z0
3. Applicant Cross Creek Specialty Products
Applicant's Mailing Address: 2000 Vass Road, Raeford, NC 28376
Applicant's Email Address (if available): ... l o.ros reekseed, .em
4. Contact Person (if different than Applicant): Same-Ed...Baker.....
Contact Person's Mailing Address: Same
Contac Person's Email Address (if available): Same
5. Property Owner (if different than Applicant): EWSB Properties LLC
Owner's Mailing Address: 2000 Vass Road, Raeford, NC 28376
Owner's Email Address (if available): cd crossc..reekseed.com
Telephone: [phone]
Telephone:
Telephone:
6. Property Physical Address (including PIN Number): 2000 Vass Road PIN #,,6,94 60001103 G 9 yam. 6 0 00/ o/3
City: Raeford, NC County: Hoke Zip Code: 28376
7. Intended use of Well or Well System: Irrigation
............... ......
(examples: irrigation, consumption, etc.)
8. Will the proposed water supply well or well system replace or be added to an existing well or well system? No
(If yes, complete questions 7 and B) (/f no, complete question 7 and then skip to question 9)
9. Total design capacity of proposed well or well system in gallons per day (gpd): Unknown ..
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
11. Is this a public well or well system? N
If yes, give Project Engineer and contact information:
12. Well Contractor: Travis Frazier
If yes, give Public Water ID Number:
Well Contractor Certification No.: 4150-A
Well Contractor Address: Charles R. Underwood, Inc. 2000 Boone Trail Road, Sanford, NC 27330
................................................
PROPOSED WELL CONSTRUCTION INFORMATION
As required by 15A NCAC 02C .0105(f)(7), attach a well
construction dagram of each well showing the following:
a, Borehole and well diameter
b. Estimated well depth
c. Screen intervals
d. Sand/gravel pack intervals
e. Type of casing -material and thickness
f. Grout horizons
g. Well Head completion details
2. No. of wells to be constructed in unconsolidated
material: 2
3.. No. of wells to be constructed in bedrock: 0
4. Total No. of wells to be constructed:
2
(add answers from 2 and 3)
5. Estimated beginning construction date: 11-10- Z0
6, Estimated construction completion date:
fr0)3
Continued on Reverse

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. 143-215.108(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
2. As required by 15A NCAC 02C .0105(g)(3), for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium, potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits (if required). [e.g_ Central Coastal Plain Capacity Use Area Pemnit is required in 15 eastem NC
counties by NC Division of Water Resources, visit: http://www.ncwater.org]
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
the Water Supply 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 Applicant or *Agent
Applicant or *Agent
Title of Applicant or *Agent
If signing as Agent, attach authorization agreement stating Printed name of
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
water supply wells as outtin - • in this Water Supply Well Construction Permit application and that it shalt be the responsibility of the
appti nt to ensure thattl e er supply well(s) conform to the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C).
Sign
of P
\i\J
perty Owner different than Applicant)
Ed Baker for EWSB Properties 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]
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-22W Rev 3-1-2016

Cross Creek Speciality Products
"Thomas Plumbing"
Cross"Creek-Speciaity'Products Well #2
Google Earth
24,18 Co
Legend
? Cross Creek Seed
-� Cross Creek Specialty Products Well
Specialty Products Well 441
3000 ft
A

R.OY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Mr. Edgar Baker, Vice President
Cross Creek Specialty Products, Inc.
2000 Vass Road
Raeford, North Carolina 28376
SUBJECT:
Mr. Baker
NORTH CAROLINA
Environmental Quality
November 15, 2019
Well Construction Permit No. WS06-01423
Vass road farm/PIN 4: 694260001013
One (1) Water Supply Well
Raeford, Hoke County
In accordance with the permit application from Charles R. Underwood Incorporated dated 4
November 2019 and received in the Fayetteville Regional Office on 5 November 2019, we are
forwarding herewith Well Construction Permit No. WS06-01422 dated 15 November 2019 isstie4 to
Cross Creek Specialty Products Incorporated for the construction of one (1) water supply well to be
located on land owned by Cros Creek Specialty Products, Incorporated (P.I.N. 4: 694260001013)
located at 2000 Vass road as identified above and depicted on a site map provided with the permit
application.
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 that according to North Carolina Administrative Code, Title 15A, Subchapter 2C, Section
.0105 (g), it is the responsibility of the well owner or his agent to see that a permit is secured prior to
the beginning of construction of any well for which a permit is required." Local permitting may be
required, so also check with the county Environmental Health program to determine the requirements
for Robeson County.
If any parts, requirements, or limitations contained in this Permit are unacceptable to you, you have the
right to an adjudicatory hearing before a hearing officer upon written demand to the Director within 30
days following receipt of this Permit, identifying the specific issues to be contended. Unless such
demand is made, this Permit shall be final and binding.
Sincerely,
Trent Allen, Regional Supervisor
Division of Water Resources Water Quality Programs
cc: FRO Files Charles R. Underwood Incorporated
Hoke County Health Department Division of Water Resources - Gabrielle Chianese
North Carolina Deportment of Environmental Qualify Division of Water Resources
Fayetteville Regional Office 225 Green Street. Suite 714 Fayetteville North Carol na 28301
910,433 3300

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALTIY
DIVISION OF WATER RESOURCES — WATER QUALITY PROGRAMS
PERMIT FOR THE CONSTRUCTION OF A WATER SUPPLY WELL OR
WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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
CROSS CREEK SPECIALTY PRODUCTS INCORPORATED
FOR THE CONSTRUCTION OF AN WATER SUPPLY WELL SYSTEM consisting of one water
supply well on property owned by Cross Creek Specialty Products, Incorporated located at 2000 Vass
road, Raeford, North Carolina in Hoke County (Pin No.: 694260001013). This Permit is issued in
accordance with the application received on 5 November 2019 in conformity with specifications and
supporting data, all of which are filed with the Department of Environmental Quality and are
considered integral parts of this Permit.
This Permit is for welt construction only and does not waive any provision or requirement or any
other applicable law or regulation. Withdrawals of 1 MGD or more are required to be registered with
the Division of Water Resources in accordance with 143-215-.22H.
This Permit does not constitute approval of a site, for which the Public Water Supply Section may
require additional information or approval of the proposed volume of water to be withdrawn, within
an area defined as a Capacity Use Area (G.S. 143-215.15) and regulated by the Division of Water
Resources.
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), arid other State and Local Laws
and regulations pertaining to water supply 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:

A well test for yield shall be conducted in accordance with 15A NCAC 02C .0110(b) and the
results of that test shall be submitted to the Division of Water Resources Regional Office
within 30 days of the test conclusion.
Each well shall have a Well Contractor Identification Plate and a Pump Installation
Information Plate in accordance with 15A NCAC 02C ,0107(j) (2) and (3).
3. 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.
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 Resources Information Processing Unit within 30 days of the well abandonment.
In accordance with your application and the information provided in reference to the
subject proposed well, this permit is issued with construction standards that exceed the
minimum standards specified in 15A NCAC 2C .0107. Specifically, the well grout
requirement for this well will be as follows: the well casing shall be grouted to the first
competent confining unit greater than 20 feet below land surface or a minimum of fifty
feet if no competent confining unit is encountered during construction. All other
minimum construction standards shall be met.
Any well has the potential to create a pathway for contaminates to enter the subsurface
aquifers. The location of this well increases the likelihood of this occurring due to the
application of agricultural chemicals in proximity to this well. As part of this permit, you as
the well owner, are responsible for maintaining a minimum setback of 50 horizontal
feet from the well with all chemical applications (Le. herbicides, pesticides, fertilizers,
etc.) associated with any agricultural land use or chemical mixing operations.
Permit issued the 15th day of November 2019
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT
COMMISSION
Trent Allen, Regional Supervisor
Division of Water Resources - Water Quality Programs
By Authority of the Environmental Management Commission
Permit No. # WS0601423

Charles R. Underwood Inc.
Municipal Pump Sales & Service
2000 Boone Trail Road Phone: [phone]
Sanford, North Carolina 27330 Fax: [phone]
November 2, 2020
Mr. Trent Alien, Regional Supervisor
Division of Water Resources -Water Quality Programs
NC Department of Environmental Quality
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
Reference: Request for Permit Renewal
Well Construction Permit No, WS06-01423
Vass Road Farm/PIN # 694260001013
Raeford, NC Hoke County
Dear Mr. Trent,
A permit application was submitted for construction of One (1) water supply well for the
above noted property on November 4, 2019. The Fayetteville regional office
subsequently issued the above noted permit on November 15, 2019 with an expiration
date in one year.
The farmer is still interested in drilling this well and therefore, we hereby request a
renewal of this permit for another year, if this would be acceptable to the FRO.
I am enclosing a newly signed permit application and a map depicting the location of this
well (referred to as Well #2) and a copy of the original permit.
Please contact me if there is any additional information regarding this request that you
need at 919-604--1198 or email at [e-mail].
Thank you for your time regarding this permit application.
Sincerely,
'
Carolyn Tderwood

Barber, Jim
From:
Sent:
To:
Cc:
Subject:
Attachments:
Drilling <[e-mail]>
Monday, November 2, 2020 1:27 PM
Barber, Jim
Drilling
[External] Cross Creek Specialty Products permit renewal request
Cross Creek Speciality
Mr. Barber, please find enclosed a request for a construction permit renewal for Cross Creek Specialty Products. Please
let me know if there is anything further that is needed to renew this permit.
Thank you, Carolyn Underwood
1

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PIN No.: 694260001013
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11/12/2020

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Business Corporation
Legal Name
CROSS CREEK SPECIALTY PRODUCTS, INC.
Information
Sosld: 1415050
Status: Current -Active O
Date Formed: 12/31/2014
Citizenship: Domestic
Fiscal Month: December
Annual Report Due Date: April 15th
CurrentAnnual Report Status:
Registered Agent: Baker, Edgar M., Jr.
Addresses
Mailing Principal Office Reg Office
2000 Vass Road 2000 Vass Road 2000 Vass Road
Raeford, NC 28376-8138 Raeford, NC 28376-8138 Raeford, NC 28376-8138
Reg Mailing
2000 Vass Road
Raeford, NC 28376-8138
Officers
Vice President President
Edgar M Baker , Jr Samuel C Baker
110 Mitchell Rd 13382 Wesleyan Dr
Southern Pines NC 28387 Laurinburg NC 28352
https://www.sosnc.gov/onlineservices/search/Business Registration_ Results 11/12/2020

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Add Entity to My Email Notification List • View Filings • Print a Pre -Populated Annual Report form • Print
an Amended a Annual Report form
Limited Liability Company
Legal Name
EWSB Properties, LLC
Information
Sosld: 1283103
Status: Current -Active 0
Date Formed: 10/16/2012
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: Baker Jr, Edgar M.
Addresses
Mailing Principal Office Reg Office
2000 Vass Road 2000 Vass Road 2000 Vass Road
Raeford, NC 28376-8138 Raeford, NC 28376-8138 Raeford, NC 28376-8138
Reg Mailing
2000 Vass Road
Raeford, NC 28376-8138
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Member Member
Edgar Miller Baker , Jr Samuel Clark Baker Worthy Baker McFadyen
110 Mitchell Road 13382 Wesleyan Dr 245 Woodland Dr
Southern Pines NC 28387 Laurinburg NC 28532 Pinehurst NC 28374
https://www.sosnc.gov/online_services/search/BusinessRegistration_Results 1 1 /12/2020