WR0700822_Application_20210928

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: September 27, 2021
2. County: Craven
PERMIT NO.
FOR OFFICE USE ONLY
ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Recover, Well
4. Applicant: Jeffrey Christopher for MCAS Cher! Point Telephone: [phone]
Applicant's Mailing Address: PSC Box 8006, 4223 Access Road Cherry Point. NC 28533
Applicant's Email Address (if available): Jeffrev.christophera,usmc.mil
5. Contact Person (if different than Applicant): Shane Chasteen Telephone: [phone]
Contact Person's Mailing Address: 220 Old Dairy Road. Wilmington, NC 28405
Contact Person's Email Address (if available): shane.chasteen[a7catlinusa.com
6. Property Owner (if different than Applicant): MCAS Cherry Point Telephone: Same as above
Property Owner's Mailing Address: _ Same as above
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) Near 7th Avenue and G Street
City Cherr•v Point County Craven Zip Code 28533
8. Reason for Well(s): Remediation
(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: UST Site 4075
(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).
Yes, NCDEQ Incident #s 6360 9950, 9140 and 9276
11. Type of contaminants being monitored or recovered: Free -Phase Product (JP5' and Contaminated Groundwater
(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): Location is in contaminated area so 0 feet
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: CATLIN Engineers and Scientists— D.T. Chalmers, Jr. Certification No.: 4146A
Well Contractor Address: 220 Old Dainy Road. Wilmington. NC 28405
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
5. How will the well(s) be secured? In vault box with
lockin, lid
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)
1
6. Estimated beginning construction date: 10/11/21
7. Estimated construction completion date: 10/15/21
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 hereby
this Well Cons
Si
re
o:r'e
A••licaor Agent
SIGNATURES
rees tha ' the proposed well(s) will be constructed in accordance with approved specifications and conditions of
gulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
chapter 2C) and accepts full responsibility for compliance with these rules
Printed name of Applicant or *Agent
ifia V 8 V r—
Title pf 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).
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]
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
/tshrvd'�c.
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]
i ..
143/1. Ak\
,?1Yifi.gr"
mington
t
GW-22MR Rev. 3-1-2016
Raleigh Regional Office
Wilmington Regional Office
127 Cardinal Drive Extension
GW-22M (Rev. 5/11)

66PR78
All.Pr
'. AilL41111IL:11:714111._
LEGEND
® Type -II Monitoring Well
OO Type -III Monitoring Well
E Recovery Well
EProposed Recovery Well
Stormwater Line
- Electrical Line
- Water Line
Active Fuel Line
Inactive Fuel Line
4075 RECOVERY SYSTEM B
• Junction Box
Transformer
• Product Removal
SVE
SVE & Product Recovery
Recovery Lines
Data Sources: Aerial Photography and Buildings and Structures
data provided by MCAS Cherry Point GIS Department.
40
20
0
40
■ Feet
PROJECT
WORKPLAN
TITLE 56GW07 AREA -
FIGURE
AREA
DETAILED SITE MAP
CATLIN
RECOVERY WELL
INSTALLATION
WITH PROPOSED RECOVERY
Engineers and
Scientists
MCAS CHERRY POINT, NC
WELL LOCATION
JOB NO.
DATE
SCALE
DRAWN BY
CHECKED BY
218041.06
SEPT 2021
AS SHOWN
THW
SAC
S:Iwpmktg\PROJECT120181218041.06 ITMS - 56GW07 Recovery WelllFigurelFigure2.mxd

LOG
CATLIN
Engineers and Scientists
ztaoar.os SHEET 1 OF 1
ELL
PROJECT NO.: 218041.06
STATE: NC
COUNTY: CARTERET
LOCATION: MCAS, CHERRY POINT
PROJECT: 56GW07 AREA RECOVERY WELL
INSTALLATION
LOGGED BY: NA
WELL ID:
66PR133
DRILLER: NA
NORTHING:
EASTING:
CREW: NA
SYSTEM:
BORING LOCATION:
T.O.C. ELEV.:
DRILL MACHINE:
METHOD: 8.25 H.S. AUGERS
0 HOUR DTW: N/A
TOTAL DEPTH: 25.0
START DATE:
END DATE:
24 HOUR DTW: N/A
WELL DEPTH: 25.0
DEPTH
BLOW
0.5ft
0.5ft
COUNT
0.5ft
0.5ft
OVA
(ppm)
LAB
o
S
o
G
SOIL AND ROCK
DEPTH DESCRIPTION
WELL
DETAIL
0.0 LAND SURFACE
o.o
—
TO BE COMPLETED
25.0
Il I !!.I.1!.I U.1.! I, 11.11.1 U111,11.0 ll.1.! !!.!.l1.1 U.1.! I.11.11.1 U.1! 111.l!I llII I. '111.1 ll.1! I. I I.l!I ll! !!!l!I ll! !!.l!..:::.:......
N W
� O O
25.0
—
BORING TERMINATED AT DEPTH 25.0 ft
u Portland Cement
Bentonite Pellets
#2 Medium Sand