WM0701263_Application_20211109

Q
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: 10/4/2021
2. County: Beaufort
W/'1ti7W263
FFOROFFICE USE ONLY ISSUED DATE / Y� Z()Z
�r
3. What type of well are you applying for? (monitoring or recovery): "Monitoring" DPT slotted screen point sampler
4. Applicant: Jonathan Noles
Applicant's Mailing Address: inolesegeiconsultants.com
Telephone: [phone]
Applicant's Email Address (if available): 4000 Centregreen Way, Suite 180, Cary, NC 27513
5. Contact Person (if different than Applicant): Mark Westrav
Telephone: [phone]
Contact Person's Mailing Address: 4000 Centregreen Wav, Suite 180, Cary, NC 27513
Contact Person's Email Address (if available): mwestravageiconsultants.com
6. Property Owner (if different than Applicant): Daniel Mason
Property Owner's Mailing Address: 31 40th Ave. Ct., NW, Hickory, NC 28601
Property Owner's Email Address (if available): mason39497na.gmail.com
Telephone:
7. Property Physical Address (Including PIN Number) Pin: 566-95-4818, 440 Clarks Neck Rd.
City Washington County Beaufort Zip Code 27889
8. Reason for Well(s): delineation of groundwater contamination
(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: manufacturing
(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).
NCD091567065
11. Type of contaminants being monitored or recovered: chlorinated volatile organic compounds
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? N/A
Existing Monitoring or Recovery Well Construction Permit No(s).: N/A
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): —320 ft
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? yes
If yes, give distance(s): —150 ft
15. Well Contractor: Larry Opper, Regional Probing Services Certification No.: NCWCC License # 3322-A
Well Contractor Address: P.O. Box 1161 Wake Forest, NC 27588
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 = <2 inches e. Type of casing material and thickness = N/A
b. Estimated well depth = < 50 ft f. Grout horizons = N/A, abandon via tremie grout
c. Screen intervals = g. Well head completion details = N/A
d;, Sand/gravel pack intervals = N/A
Continued on Reverse

PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed: inunconsolidated
material: <15.
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: 10/30/2021
Total Number of wells to be constructed: <15
5. How will the well(s)be secured? Temnorary - N/A
•
(add answers from 2 and 3)
7. Estimated construction completion date:. 2/1/2022
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .01050)(5), attach a scaled mapof the site showing the locations of the following:
a.
b.
c.
d.
e.
- All property boundaries; at least one of which is.referencedto a minimum.of two landmarks such as identified. roads;
intersections, streams, or:lakes within 500 feetof the. proposed well or well system. .
All existing wells; identified by, type of use, within 500 feet of the proposed: well or well system..
The -proposed well or well system: .
Any test borings within 500 feet of proposed well :or well system.•
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. 143-215.1OB(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 niles
1.4
SeniorProlect Manager
Signature of Applicant or *Agent . Title of Applicant or *Agent
Mark Westrav * If signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent 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 WeII Construction Standards (Title 15A of the North•Carolina Administrative Code; Subchapter 2C).
l��' ,'dui-L� ,�� 1,1-c 6 II/
Signature of Prop rty Own r (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: (828) 299=7043
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] r f
Raleigh Regional Office.
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mali
Washington, NC 27889
Phone: [phone]
Fax: (2527 --371.
0. 5-� Winton•Salo
i •a
Fyotte�H' I
GW-22MR Rev. 3-1-2016
Wilmington Regional Office
127 Cardinal_ Drive' Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston=Salem Regional Office
450.W. Hanes Mill Road
Su" Oq""�-_;��
IC 27105
9800
7
_i__wil�iingtOn

7/
DANNY MASON
DEEP SUPPLY WELL
DANNY MASON
SHALLOW SUPPLY,WELL
MASON
DEEP SUPPLY WELL
ABANDONED SUPPLY WI LL*
jj
SOURCE'
1. GOGGLE EARTH PRO.
2. BEAUFORT COUNTY PARCEL DATA, BEAUFORT COUNTY
GISI LAND RECORDS OFFICE.
3. SURVEYED MONITORING WELLS FROM TAYLOR
WISEMAN AND TAYLOR ENGINEERS, MAY 19, 2006.
Ga ai,epA... GB-2
GB-4 GB-3fGB=3A.-�.-._, GB-11G8-1 At
CHURCH WELL
SCALE: 1" = 220'
•
LEGEND
• GEOPROBE LOCATIONS PROPOSED BY THE BRANCH
A DPT GROUNDWATER LOCATIONS
O TEMPORARY WELLS, 2016
• TEMPORARY WELLS, 2014
SUPPLY WELLS
+ MONITORING WELLS
4- MONITORING WELLS TO BE ABANDONED
PARCELS
Stanadyne Corporation Site
230 Clarks Neck Road
Washington, North Carolina
Stanadyne Corporation
Windsor, Connecticut
GELLoq
..
Project 2002455
LOCATIONS OF EXISTING
WELLS AND PREVIOUS AND
PLANNED TEMPORARY
WELL POINTS
May 2021
Fig. 1
W:4Stanedyne Corp1Moy2016 Update120210324 Addl Inv Wella.nud

Groundwater
Sampler Schematic
Extenswn Rod.Ha
Ealen:1op Rod
Damp) ea Sheath
Wdu•Vyound Stainiass Steel
or PVC Strcen
PVC Grout Plug
•A. Fully Assembled
B. Screen Partially Deployed
Typical closed screen sampler
assembly (from Geoprobe®.
Systems, 2001)
Legend:
Potentiometric
surface
Proposed
Groundwater
Sample interval
Single push of the
DPT pointed screen
slot sampler
Notes:
- Animation Not to Scale
Ft bgs feet below
ground surface
Castle'H yne CConfining Unit
Castle Hayne Aquifer
Stanadyne Corporation Site
230 Clarks Neck Road
Washington, North Carolina
Stanadyne Corporation
Windsor, Connecticut
GE
161.1)140.1
Consultants
SCHEMATIC OF
GROU NDWATER SAMPLE
COLLECTION
Project 2002455
October 2021 Fig. 1

NORTH CAROLINA DEPARTMENT OP -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.
Date: 10/4/2021
County: Beaufort
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
What type of well are you applying for? (monitoring or recovery): "Monitoring" DPT slotted screen point sampler
Applicant Jonathan Nolen, P.G.
;Applicant's Mailing Address: •. inolesOgeiconsultants.com.
Telephone: [phone]
Applicant's Email Address (if available):. 4000 Centregreen Way, Suite 180, Cary, NC 27513
5. Contact Person (if different than Applicant): Mark Westrav Telephone:` 919-628-3587
Contact Person's Mailing Address: 4000 Centregreen Way,Suite 180, Cary, NC. 27513
Contact Person's Email Address (if available): mwestravegeiconsultants.com
Property. Owner (if different than Applicant): Bryan Commercial Properties, LLC. Telephone: [phone]
Property Owner's Mailing:Address:: 1904 Eastwood Rd.. Wilmington, NC 28403
. Property Owner's Email Address:(if available): buddvbrvan8792ayahoo.com
Property Physical Address (Including PIN Number) PIN: 5666-94-1374; 445 Clarks Neck Rd.
City Washington
County - Beaufort Zip Code
27889
Reason for Well(s): delineation of groundwater contamination
(ex: ,non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
Type of facility or site for which the well(s) is(are) needed: manufacturing
(ex: non- discharge facility, waste disposal site, landfill, UST, etc.)
10 Are there any currentwaterquality permits or incidents associated with this facility or site? If so,.list permit and/or incident no(s).
NCD091567065
1:1,• Type of contaminants being monitored or recovered:' chlorinated volatile organic compounds
(ex: -organics; nutrients; heavy' metals,. etc.)
• 12. Are there any existing wells associated with the proposed well(s)? If yes, .how many? • N/A
Existing Monitoring or Recovery Well Construction: Permit No(s).:. N/A •
13. Distance -from proposed well(s) to nearest known waste -or pollution source (in feet): 525:ft
14. Are there any water supply wells located less than500 feet from the proposed well(s)? yes, 1 water supply well
If yes, give distance(s): -180 ft from one area and -370 ft from another area
15. Well Contractor: Larry Opper, Regional Probing Services .Certification No.: NCWCC License #: 3322=A
Well;ContractorAddress: P.O. Box 1161 Wake Forest, NC 27588
PROPOSED WELL CONSTRUCTION INFORMATION
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 = <2 inches e. Type of casing rriaterial and thickness = N/A
b. Estimated well depth = < 50 ft f.. . Grout horizons = N/A, abandon via tremie grout
c. Screen intervals = g. Well head completion details = N/A
d. Sand/gravel pack intervals = NIA
Continued on Reverse.

2.
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
Number of wells to beconstructed in unconsolidated 5. How will the well(s) be secured?
material: <15
Temparatv N/A
3. Number of Wells to be constructed in bedrock: 0 6. Estimated beginning constructer' date: 10/30/2021
4. Total Number of wells to be constructed: <15 .7. Estimated construction completion date: 2/1/2022:
(add answers from 2 and 3)
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .01.05(f)(5), attach a scaled map of the site showing the locations of the following:
a.:
b.
c.
d.
e.
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 theproposed well or well system.
Ali existing wells, identified by type of use, within 500 feet of the proposed well or well system..
The proposed well or well system.
Any test borings within 500 feet of proposed well or Well syttem.
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. 1437215.10B(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) andaccepts full responsibility for compliance with these rules
Signature of Applicant or *Agent
• • SeniorProject.Mananer
Title of Applicant or *Agent
Mark Westrav * It signing as Agent, attach authorization agreement stating
Printed name of Applicant or *Agent 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
we!IJ conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
Signature of Pr
rty Owner (if
ererit than Applicant) •
fgrn Aita g P gYAA,
Printed name of Property °Wrier (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: [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]§
Win tonSa
GW-22MR Rev. 3-1-2016
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
yattevi a
,Witnenatan
C 27105
9806
7

<--tiIDiNNYdMASE Nj
y/ ' r-wy''��'II''D'"'E EP SUPPYL WELL .,;,
•
••• __41 ANNY
• SHAYLOVia PPL,YAW E rit
MASON
DEER,SUPPLY,WELL
,, ;BANDONED SUPR.LY WELL
,,. ia! SS
.;-fie �• ��A�--A,�
GB51G6I5A µ.h�GB'�=2��s �,@
Gt 7:71 iG8-v1G_8T3A'�•" G811G8-1A
CHURti,,H EL•L ,
SOURCE " _
1. GOOGLE EARTH PRO. .
2. BEAUFORT COUNTY PARCEL DATA, BEAUFORT COUNTY. -
GISI LAND RECORDS OFFICE. "
3:SURVEYED MONITORING WELLS FROM TAYLOR" '
WISEMAN AND TAYLOR ENGINEERS,.MAY 19, 2006. .
SCALE: 1" = 220'
440
>`1
LEGEND
GEOPROBE LOCATIONS PROPOSED BY;THE BRANCH:
DPT GROUNDWATER. LOCATIONS '
TEMPORARY WELLS, 2016
TEMPORARY WELLS,.2014
SUPPLY WELLS .
'MONITORING WELLS
.MONITORING WELLS TO BE ABANDONED
PARCELS.
■
A
0
Stanadyne Corporation Site
230 Clarks Neck Road.
Washington, North Carolina
• Stanadyne Corporation
Windsor, Connecticut
G EL tAn=SU
Project 2002455
LOCATIONS OF EXISTING
WELLS AND PREVIOUS AND:
PLANNED. TEMPORARY .
• WELL POINTS
May 2021
Fig. 1
• W:\Stanodyne Corp\Mey 2016 Update120210324 Addl Inv Wells.rn d

Groundwater -
Sampler. Schematic•
• xteriion Rod Handle
ProOe Rod • . ,
Extension Rid
Drive New.
Smp4c Sheath
•Viitoxirdund Stainleiso Sleet
or -PVC Semen
R. Fully'Assompled
PVC Grout Plug
.EXpondatife &Ivo Paint
8. ScrooriPartially Deployed
Typical closed screen sampler
.assembly (from Eeoprobe®.
Systems, 2001) •
Castle Hayne Confining Unit
Legend:
Potentiometric
surface •
• Proposed
Groundwater
Sample Interval
Single push of the
DPT Pointed screen
slot sampler
Notes:
- Animation Not to Scale
- Ft bgs = feet below
ground surface
a Castle Hayne Aquifer •
• Stanadyne Corporation Site
230 Clarks Neck Road
Washington, North Carolina
Stanadyne Corporation
Windsor; Connecticut
GE
LI14)
• Consultants
SCHEMATIC OF
GROUNDWATER SAMPLE
COLLECTION
Project 2002455
October 2021 Fig. 1

Hart, William
From:
Sent:
To:
Subject:
Westray, Mark <[e-mail]>
Friday, November 5, 2021 12:14 PM
Hart; William; Noles, Johnnie
[External] RE: Permit to Construct Monitoring Wells
CAUTION: External;e iaail!.;D:c1not-rlicklinks,or/ej?enrattachrnents;unless.y,.ou!weri yl,Sencllallisuspicious email; as an, attachment to: 1
Report Spam. ; w . _ d _ �.__ _ ��
Will,
I think I failed to reply to your request. I apologize. The well owner/our client is:
Stanadyne LLC
92 Deerfield Road
Windsor, CT 06095
Costas Loukellis, CFO
[e-mail]
860-683-4508
Please let me know if you require any additional information.
Thank you,
Mark
GEI
MARK S. WESTRAY
Senior Project Manager
919.322.8705 cell: 919.628.3587
4000 CentreGreen Way, Suite 180, Cary, NC 27513
I r I ri r ff
IYU
From: Hart, William <[e-mail]>
Sent: Tuesday, November 2, 20218:17 AM
To: Westray, Mark <[e-mail]>; Noles, Johnnie <[e-mail]>
Subject: [EXT] Permit to Construct Monitoring Wells
i Y11:IfNAL I.MAIL
Good morning, gentlemen, I've been assigned the application for permit to construct monitoring wells on Clark's Neck
Rd in Beaufort County. We typically do not issue well construction permits to consultants, but I don't mind if you sign as
agent for the owner; it's pretty clear that you are working on someone's behalf to obtain the permit. To complete the
review and issue the permit I need contact information for the well owner, the entity that is contracting you to install
the wells. When this information is received I can draft the permit and send it to my supervisor for signature.
Thank you,
Will Hart
Hydrogeologist
1

Division of Water. Resources
Water Quality. Regional Operations Section
Department of Environmental Quality
252 948.3968 office
252 402 1826 mobile
william. hartCa).ncdenr.gov
943 Washington Square Mall
Washington, North Carolina 27889
.''Nothiin Compares.
Email correspondence to and from this address is subject to the
North Carolina Public Recordsl_aw and maybe disclosed to third parties.
2