WM0601159_Monitoring Well_20200930

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Mr. Matt Atkinson
CSX Transportation, Inc.
1590 Marietta Boulevard NW
Atlanta, Georgia 30318
NORTH CAROLINA
Environmental Quality
September 30, 2020
SUBJECT: Well Construction Permit No. WM0601159 (MW-17)
One (1) monitoring well: S&W Ready Mix property (P.I.N. #030162024159)
Lumberton, Cumberland County
Mr. Atkinson:
In accordance with the application prepared by Wood Environmental & Infrastructure Solutions, Incorporated
dated 12 December 2019 and received in the Fayetteville Regional Office on 29 September 2020; we are
forwarding herewith Well Construction Permit No. WM0601159 dated 30 September 2020 issued to CSX
Transportation for the construction of one (1) monitoring well located on the property owned by S & W Ready
Mix Concrete Company LLC (Parcel ID: 030162024159) at the intersection of Roberts Avenue (NC Hwy 72)
and Osterneck Robotex Drive in Lumberton, North Carolina.
This Permit will be effective from the date of its issuance for one year 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
commencement of construction of any well for which a permit is required."
Issuance of this permit does not constitute approval of the subject wells for reimbursement from Trust
Funds.
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,
—DocuSigned by:
jreStA5JSgional Supervisor
Division of Water Resources — Water Quality
Enclosure
cc: FRO Files
Wood Environment & Infrastructure
Programs
Robeson County Health Department
S & W Ready Mix Concrete Company LLC
IEQNORTH CAROLINA \\\\\\ ��//
I:Wartnn 1 of En*oamendl OuaN
North Carolina Department of Environmental Quality 1 Division of Water Resources
Fayetteville Regional Office 1 225 Green Street, Suite 714 1 Fayetteville, North Carolina 28301
910.433.3300

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES — WATER QUALITY PROGRAMS
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
CSX TRANSPORTATION, INCORPORATED
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of one (1) monitoring
well owned by CSX Transportation Incorporated located at 1590 Marietta Boulevard NW, Atlanta,
Georgia. The monitoring well will be located on property owned by S & W Ready Mix Concrete Company
LLC (Parcel ID: 030162024159) at the intersection of Roberts Avenue and Osterneck Robotex Drive in
Lumberton, Robeson County, North Carolina. This Permit is issued in accordance with the application
received on 29 September 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 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 Resources
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
Resources Information Processing Unit within 30 days of the well abandonment.
Permit issued the 30th day of September 2020
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
DocuSignedd by:
Trent AlieJ4,,Kgupervisor
Division of Water Resources — Water Quality Programs
By Authority of the Environmental Management Commission
Permit No. # WM0601159

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: December 12, 2019
2. County: Robeson County
FOR OFFICE USE ONLY
PERMIT NO. W OCoO1/Si ISSUED DATE
9030 226 `✓
3. What type of well are you applying for? (monitoring or recovery):
Monitoring
4. Applicant: Matt Adkins, CSX Transportation, Inc.
Applicant's Mailing Address: 1590 Marietta Blvd NW, Atlanta, GA 30318
Applicant's Email Address (if available): matt adkinsc csx.com
5. Contact Person (if different than Applicant): Bonani Langan Telephone: [phone]
Telephone: [phone]
Contact Person's Mailing Address: 4021 Stirrup Creek Drive, Suite 100, Durham, NC 27703
Contact Person's Email Address (if available): bonani.langan(c�woodplc.com
6. Property Owner (if different than Applicant): Hank Gay Telephone: [phone]
Property Owner's Mailing Address: 5700 Lake Wright Drive, Suite 300, Norfolk, VA 23502
Property Owner's Email Address (if available): hgayasnwreadymix.com
7. Property Physical Address (Including PIN Number) Roberts & Ostemeck Robotex Drive (03016202415e/ C 1 In _ MW /7)
City Lumberton County Robeson Zip Code 28358
8. Reason for Well(s): Groundwater Contamination Delineation
(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 fueling station: UST site assessment
(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).
Incident Number: 29739
11. Type of contaminants being monitored or recovered: Petroleum related constituents
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? 18
Existing Monitoring or Recovery Well Construction Permit No(s).: WM0600995, WM0600996
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 15
14. Are there any water supply wells located Tess than 500 feet from the proposed well(s)? Yes
If yes, give distance(s):
15. Well Contractor:
Well Contractor Address:
90 feet
Geologic Exploration
Certification No.: 2580-A
176 Commerce Blvd. Statesville, NC 28625
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: 1 (M CV— I -z )
3. Number of wells to be constructed in bedrock: 0
4. Total Number of wells to be constructed: 1
(add answers from 2 and 3)
5. How will the well(s) be secured? Flush mount and
or above grade protective steel cover. concrete pad, locking
well cap
6. Estimated beginning construction date:
7. Estimated construction completion date:
,TBEr /6/1/26
. 113
1.
ADDITIONAL INFORMATION
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. 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.
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
Signs re of Property Owner
41 gN\C6 iti(iiteAceaerAiosem.
name of
Printed
Property Owner
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
wellsasoutlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
II(snforyn to t a Ijle Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
Signature of
Applicant
DIRECTIONS
Printed name of
Applicant
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]
16N,t
GW-22MR Rev. 3-1-2016

MONITORING WELL RECORD
wood.
Well Development
Method
Client: CSX Tansportation, Inc.
WELL ID: Proposed Shallow Well
Project Number: 643008054
Submersible Surge
Site Location: Lumberton
State: North Carolina
Well Location: TBD
Date Began: TBD
Amount Reproved
Drill Method: TBD
Rig Type: TBD
Log By:
30 Gallons
(sec Record)
Aquifer Type: Surficial
Date Installed: TBD
Coords: N
TBD
E TBD
Drill Contractor: Geologic Exploration
License #: 2580-A
General Notes/Comments:
Well Tag Installed: Yes
MP for Surveying and Water
Levels
Top of Steel Guard Pipe
Top of Riser Pipe
Land Surface (L.S.)
ft als/bls
ft als./bts
3
Depth from L.S. (feet)
0.0
Elevation (ft)
Datum (ft) (ft MSL or other): ft MSL
TBD
0.00
TBD
0.0
TBD
Cement, Bentonite, Bentonite
Slum' Grout, or Native
Materials
Method Added
TBD
R
Riser Pipe:
Length (ft)
Inside Diameter (ft)
Type of Material
Top of Bentonite (ft bls)
TBD
0.083
Schedule 40 PVC
l
1/4" Size of Chips
1
TBD
Bentonite Seal Thickness (ft)
Top of Sand (ft bls)
2
TBD
TBD Amt. Water Addedd
bona)
10
Bo
Describe Measuring Point (MP):
Notes: Depths and elevation are measured
Top of Screen (ft bls)
Stabilized Water Level (ft
Screen:
Length (ft)
Inside Diameter (ID)(ft)
Slot Size (in)
Type of Material
Type/Size of Sand
Sand Pack Thickness (ft)
Bottom of Screen (ft bls)
Bottom of Tail Pipc:(ft bls)
Bottom of Borehole (ft bls)
By:
Approval
Signature
3
TBD
TBD
TBD
TBD
TBD
0.083
0.01
Schedule 40 PVC
#2 Ann Sand (cu.ft.)
11 Method Added
Top pour outside screen
13
13.2
TBD
14
TBD
0.25 -
a ote Diameter (ft
from land surface
:
(Is).
Notes:
Date:
Date

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wood.
September 22, 2020
Mr. Trent Allen
North Carolina Department of Environmental Quality
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Reference: GROUNDWATER MONITORING WELL PERMIT APPLICATION
CSX - FORMER M&J FUEL COMPANY SITE
ROBESON COUNTY
LUMBERTON, NORTH CAROLINA
Dear Mr. Allen:
On behalf of CSX Transportation, Inc. (CSXT), Wood Environment & Infrastructure Solutions, Inc.
(Wood) is submitting the enclosed permit applications to install groundwater monitoring wells as
part of an ongoing site assessment at the former M & J Fuel Company service station on NC
72 and Old Whiteville Road (Figure 1). C�o� o-v.)
/ (
Wood plans to install six groundwater monitoring wells (MW-17, MW-18, MW-19, MW-20,
Highway v
.-o
Gief4t
o
MW-21,
and DMW-3) shown in the enclosed Figure 7. The wells will be installed using a truck mounted
Geoprobe or standard drilling rig and will be finished with a flush mount or stick-up completion
based on location. The wells will be installed at the appropriate distance from the edge of any road
or rail and should not affect the property or site operations.
If you have any comments or questions, please feel free to contact either of the the undersigned
at [phone].
Respectfully submitted,
Wood Environment & Infrastructure Solutions, Inc.
Bonani S. Langan, PE, RSM
Associate Engineer/Project Manager
Attachments
cc: Mr. Matthew L. Adkins - CSX Transportation, Inc.
Wood Environment & Infrastructure Solutions, Inc.
4021 Stirrup Creek Drive, Suite 100
Durham, NC 27703
www.woodplc.com
Le,
Ian Ros, PE
Project Engineer
Tel - [phone]
Fax - [phone]

Barber, Jim
From: Allen, Trent
Sent: Tuesday, September 29, 2020 11:08 AM
To: Barber, Jim
Subject: FW: [External] Lumberton, NC; CSX Project R57939; Former M&J Fuel; Site Access
Agreement & Well Permit Applications
Attachments: Combined_CSX Lumberton Well Agreement Package_1.pdf
Well application.
Trent Allen
Fayetteville Regional Supervisor
Division of Water Resources
910 433 3336 office
[e-mail]
225 Green Street — Suite 714
Fayetteville, NC 28301
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties
From: Ros, Ian [mailto:[e-mail]]
Sent: Monday, September 28, 2020 9:11 AM
To: Allen, Trent <[e-mail]>
Cc: Brantley, Mark <[e-mail]>; Langan, Bonani <[e-mail]>
Subject: [External] Lumberton, NC; CSX Project R57939; Former M&J Fuel; Site Access Agreement & Well Permit
Applications
al email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
The following attachment image001.png,combined_csx lumberton well agreement package_1.pdf has timed
out, hence bypassing our Attachment Defense System. Only open it up if you are truly expecting this file.
Mr. Allen,
Please find the attached groundwater monitoring well permit applications for the CSX Site in Lumberton, NC. Please let
us know if you need any additional information.
Thank you,
lan J. Ros, PE
1

Engineer, Environmental
Direct: [phone]
Mobile: [phone]
www.woodplc.com
wood
This message is the property of John Wood Group PLC and/or its subsidiaries and/or affiliates and is intended only for the
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our privacy notice at https://www.woodplc.com/policies/privacy-notice
2

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North Carolina Secretary of State Search Results Page 1 of 2
• File an Annual Report/Amend an Annual Report • Upload a PDF Filing • Order a Document Online •
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an Amended a Annual Report form
Limited Liability Company
Legal Name
S & W Ready Mix Concrete Company LLC
Prev Legal Name
S & W Ready Mix Concrete Company
Information
Sosld: 0184621
Status: Current -Active 0
Date Formed: 10/31/2007
Citizenship: Domestic
Annual Report Due Date: April 15th
Registered Agent: Corporation Service Company
Addresses
Reg Office Reg Mailing Mailing
2626 Glenwood Ave Ste 550 2626 Glenwood Ave Ste 550 5700 Lake Wright Drive, Suite 300
Raleigh, NC 27608 Raleigh, NC 27608 Norfolk, VA 23502
Principal Office
5700 Lake Wright Drive, Suite 300
Norfolk, VA 23502
Company Officials
All LLCs are managed by their managers pursuant to N.C.G.S. 57D-3-20.
Manager Manager
Kevin Baird Karen V. Fittler
5700 Lake Wright Drive, Suite 300 5700 Lake Wright Drive, Suite 300
Norfolk VA 23502 Norfolk VA 23502
https://www.sosnc.gov/onlineservices/search/Business_Registration_Results 9/29/2020

Barber, Jim
From:
Sent:
To:
Subject:
Langan, Bonani <[e-mail]>
Tuesday, September 29, 2020 3:45 PM
Barber, Jim
RE: [External] RE: M&J monitoring well permit applications
Jim,
Please estimate 10/1/20 through 12/31/21. That will give us more than enough time.
Thank you,
Bonani
From: Barber, Jim <[e-mail]>
Sent: Tuesday, September 29, 2020 3:37 PM
To: Langan, Bonani <[e-mail]>
Subject: RE: [External] RE: M&J monitoring well permit applications
CAUTION: External email. Please do not click on links/attachments unless you know the content is genuine and safe.
Bonani Langan;
Thanks for the updated info for the NCDOT right of way monitoring wells. I forgot to ask in my initial email about a
timeframe for installation and completion. Can you give a some dates so I can put info in our database to get a permit
number. The start and finish dates can have a gracious timeline (i.e. 1 Oct 2020 to 1 April 2021), so long as I have
something to put into BIMS to generate the permit number.
Thanks
Jim Barber
Environmental Engineer
NCDEQ-DWR-WQRO
Fayetteville Regional Office
910-433-3340 voice
910-486-0707 fax
jim.barberRncdenr.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
�,- Go Green! Print this email only when necessary. Thank you for helping NCDENR be environmentally responsible
From: Langan, Bonani[mailto:[e-mail]]
Sent: Tuesday, September 29, 2020 12:52 PM
To: Barber, Jim <[e-mail]>
Cc: Allen, Trent <[e-mail]>; Ros, Ian <[e-mail]>
Subject: [External] RE: M&J monitoring well permit applications
1

Jim,
I'm sorry we attached the wrong copy. Please see the signed encroachment agreement package attached. Please move
forward with the well permits for the other two properties. Let me know if you need any other information.
Thank you,
Bonani
Bonani S. Langan PE, RSM
Associate Engineer. Durham, NC
Wood Environment & Infrastructure Solutions
Direct: [phone] Mobile: [phone]
bonani. langanAwoodplc.com
www.woodpic.com
-y
i Y § j._.
From: Barber, Jim <[e-mail]>
Sent: Tuesday, September 29, 2020 12:19 PM
To: Langan, Bonani <[e-mail]>
Cc: Allen, Trent <[e-mail]>
Subject: M&J monitoring well permit applications
CAUTION: External email. Please do not click on links/attachments unless you know the content is genuine and safe.
Bonani Langan;
I received the monitoring well permit application for the former M & J Fuel Company (on behalf of CSX) this morning. I
can process two of the three permits requested for the sites of Hank Gay and the City of Lumberton based on having the
required signatures for the landowner.
The permit for the NCDOT right of way site has a Right of Way Encroachment agreement document provided but no
signature for a representative of NCDOT on the document. On the monitoring well application page there is an email
address for [e-mail]. Do you have a signed encroachment agreement from Phillip Pittman or from an
appropriate representative of NCDOT, Division 6?
2