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HomeMy WebLinkAboutWM0501453_Permit (Issuance)_20211008ROY COOPER Governor ELIZABETH S. BISER Seaway S. DANIEL SMITH Director NORTH CAROLINA Environmental Qualify October 8, 2021 Miller Oil Company P.O. Box 1858 Norfolk, VA 23501 Subject: Monitoring We11 Construction Permit # WM0501453 Kildaire Farm Road Grocery 3498 Kildare Farm Road Cary, NC -Wake County To Whom It May Concern: In accordance with the application received on September 30, 2021, and the additional requested information received on October 7, 2021, we are forwarding herewith Monitoring Well Construction Permit No. WM0501453 dated October 8, 2021, issued for the construction of a monitor well system (installation of one well) at the subject property (3300 Ten Ten Road). P a : , t ..� , hay w pae(ructioa proarama._pad you may be required to o item a we contra 'on perm t ore 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) 791-4242. Sincerely, cg DocuSigned by: et 1J,4411/4, BCDA9D825D4A48D. Scott Vinson, Regional Supervisor Water Quality Regional Operations Section Raleigh Regional Office Division of Water Resources, NCDEQ Enclosure cc: RRO Files/Laserfiche Wake County Health Department Email: rdkerinsf terraques pc.com Terraquest, 100 E. Ruffin St, Mebane, NC North Carolina Department of Environmental Quality I Division of Water Resources Raleigh Regional office i 3800 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 Miller Oil Company FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Kildaire Farm Road Grocery) consisting of one monitoring well owned by Miller Oil Company at mailing address P.O. Box 1858 in Norfolk, VA. The well will be located on the property owned by Living Light Properties at 3300 Ten Ten Road in CaryNC-Wake County. This Permit is issued in accordance with the application received on September 30, 2021, and the additional requested information received on October 7, 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. Permit issued the 8t of October 2021 FOR THE NORTH CAROLINA IBR+A/IMENTAL MANAGEMENT COMMISSION e 4.41A, Scott inson, Re Tonal Supervisor Divisio 18Sources By Authority of the Environmental Management Commission Permit No. WM0501453 North Carolina Department of Environmental QuaNty 1 Division of Water Resources Raklph Regional office 13800 Barrett Drive I Raleigh. North Carollna 27609 919.7914200 NORTH CAROLINA DEPARTINENT OF ENV Rec 9/3 ON OF WATER RESOURCES APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING ORDIVISiRECOVERY 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: 9/30/21 2. County: Wake FOR OFFICE USE ONLY PERMIT NO. WA05p/4f ISSUED DATE 3. What type of well are you applying for? (monitoring or recovery): Moniforino 4. Applicant Miller Oil Company . Applicant's Mailing Address: PO Box 1858 Norfolk. VA 23501 Applicant's Email Address (ff available): Telephone: 5. Contact Person (if different than Applicant): Rvan Kerins Telephone: Contact Person's Mailing Address: 100 E Ruffin St. Mebane. NC 27302 919-583-9091 Contact Person's Email Address (if available): Jdkennseterraauestoc.c m 6. Property Owner (if different than Applicant): Livina Uaht Properties Telephone: Property Owner's Mailing Address: 3035 Banks Rd. Raleigh. NC 27603-9684 Property Owner's Email Address (if available): 7. Property Physical Address (Including PIN Number) 3300 Ten Ten Rd. PIN 0761008958 City- Cary County Wake Zip Code 27518 8. Reason for Well(s): petroleum UST release assessment (ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, rernediation, etc.) 9. Type of facility or sfte for which the well(s) is(are) needed: UST (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) no 11. Type of contaminants being monitored or recovered: petroleum (ex: organics, nutrients, heavy metals, etc.) 12. Are there any existing wens associated with the proposed well(s)? If yes, how many? 23 Existing Monitoring or Recovery Well Construction Permit No(s).: 13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): <50' 14. Are there any water supply wells located less than 500 feet from the proposed well(s)? Yes If yes, give distance(s): <150' 15. Well Contractor: Terraauest Environmental — Jonathan Grubbs Certification No.: 3001 Well Contractor Address: _ 100 E Ruffin St. Mebane. NC 27302 PROPOSED WELL CONSTRUCTION INFORMATION 1. As required by 15A NCAC 02C .0105(0(7), attach a well construction diagram of each well showing the following: a. Borehole and wen diameter b. Estimated wen depth f.eTyou of casing material and thickness a Screen intervalst: Grout horizons d. Sandlgravei pack intervals P. Well head completion derails Continued on Reverse i PROPOSED WELL CONSTRUCTION INFORMATION (Continued) 2. Number of wells to be constructed in unconsolidated 5. How will the well(s) be secured? Manhole material: 1 end locking wellcao 3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: _ 10/2021 4. Total Number of wells to be constructed: 1 7. Estimated construction completion date: 10/2021 (add answers from 2 and 3) ADDITIONAL INFORMATION 1. As required by 15A NCAC 02C .01050)(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 welt or well system. d. Any test borings within 500 feet of proposed well or well system, e. Alt 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 Constriction Permit es 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 Project Manager Signature of Applicant or *Agent Title of Applicant or *Agent Rvan D. Kerins, Ter aauest Environmental Consultants. P.C. *If signing as Agent, attach authorization agreement stating Printed name of Applicant or *Agent that you have the authority to act as the Agent lithe property is owned by someone other than the applicant, the property owner hereby consents to allow the aplicant 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 access agreement Park view Shooing Center Condominium Association Signature of Property Owner (if different than Applicant) Printed name of Property party 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: (828) 296-4500 Fax: (828) 299-7043 Fayetteville Regional Office 225 Green Street, Suite 714 Fayetteville, NC 28301-5094 Phone: (910) 433-3300 Fax: (910) 486-0707 Mooresville Regional Office 610 East Center Avenue Mooresville, NC 28115 Phone: (704) 683-1699 Fax: (704) 663-6040 Raleigh Regional Office 3800 Barrett Drive Raleigh, NC 27609 Phone: (919) 791-4200 Fax: (919) 571.4718 Washington Regional Office 943 Washington Square Mall Washington, NC 27889 Phone: (252) 946-6481 Fax: (252) 975-3716 Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office 450 W. Hanes Mill Road Suite 300 Winston-Salem, NC 27105 6-9800 797 GW 22MR Rev. 3-1-2016 ACCESS AGREEMENT FORM Access is hereby granted to Miller Oil Company, Inc., Terraquest Environmental Consultants, P.C., and their agents and assigns for the purpose of installing, sampling, and maintaining, one groundwater monitoring well at 3300 Ten Ten Rd, in Cary, NC 27518 with the tax PIN number 0761006956. The proposed well location is the northeast corner of the property as shown on the enclosed Figure 1. Note that the monitoring well location may be adjusted at the time of drilling, should unanticipated utilities or other obstacles be encountered at the location. The well will be constructed in accordance with regulations under Title 15A NCAC 2C. Miller Oil will be responsible for all costs associated with the installation, maintenance, and subsequent abandonment of the well. Access is hereby granted for personnel to access the well for sampling and maintenance purposes on a regular basis. Once the NC Division of Waste Management's Underground Storage Tank Section has issued a Notice of No Further Action the well will be abandoned by filling with cement or bentonite in accordance with the rules contained within Title 15A NCAC 2C. Living Light Properties, LLC 09/30/21 Date 9/30/21 TERRAQUEST ENVIRONMENTAL CONSULTANTS, P.C. Date Ryan D. Kerins, Project Manager 3' 4' 5' 25' FIGURE 1 TYPICAL TYPE .I MONITORING WELL DETAIL 6" 8" MANHOLE COVER LOCKING CAP CEMENT GROUT BENTONITE SEAL TOP OF SCREEN GRAVEL PACK BOTTOM OF SCREEN BOTTOM OF BORING GENERAL INFORMATION Groundwater monitoring wells are simple 2" d'ameter wells used to monitor groundwater quality. They are constructed using Schedule 40 PVC piping and screen as shown in the diagram to the left. Upon completion, an 8" round manhole cover is installed over the well for protection. In the event that the well is installed in an area where there exists the possibility that it could be damaged such as on agr'cultural field. an aboveground or stickup manhole will be used. After the manhole is set, a small concrete pad is poured around the manhole. Both the manhole and pad are flush w'th the ground surface. except as noted, and wall not interfere with driving, mowing, foot traffic, etc. Type 11 monitoring wells are used for sampling groundwater from shallow, unconfined aquifers. They are used to determ'ne the horizontal extent of contamination. Well Driller. Terraquest Environmental Consultants, P.C. — Jonothon R. Grubbs #3001 !!IRAquest ErMRONMENTAL CONSULTANTS. P.C. Ki daire Farm Rood SSSSSSSSSSS H3mn48S SITE LAYOUT MAP KLDNRE FARM ROAD GROCERY 3400 K0.DNRE FARM ROAD