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Home My WebLink AboutWM0401345_Monitoring Well Permit_20220202R.OY COOPER. Governor ELIZABETH S. BISER Secretary S. DANIEL SMITH NORTH CAROLINA Director Environmental Quality February 2, 2022 Mr. Scott Stupak NCDEQ — DSCA Program 1646 Mail Service Center Raleigh, North Carolina 27699-1646 SUBJECT: MONITORING WELL CONSTRUCTION PERMIT NO. WM0401345 COUNTY: Guilford FILE NAME: A Cleaner City — DSCA Site DC410023 Dear Mr. Stupak: In accordance with your application received on January 31, 2022, we are forwarding herewith: 1. Monitoring Well Construction Permit No. WM0401345 for the construction of three (3) monitoring wells, two (2) in the municipal Right -of -Way along North Holden Road and one (1) in the municipal Right -of -Way along Shady Lawn Drive in Greensboro in Guilford County. Henceforth, correspondence and data relating to this well shall be designated as specified in the subject heading above. This Permit will be effective from the date of issuance and shall be subject to the conditions and limitations as specified therein. If you have any questions regarding this permit, please contact me or Jim Gonsiewski at (336) 776-9800. Sincerely, DocuSigned by:< 145B49E225C94EA... Lon T. Snider Regional Supervisor Water Quality Regional Operations Section Division of Water Resources, NCDEQ - WSRO cc: Richard Lovett — City of Greensboro (Electronic Copy) Gene Mao — Guilford County Environmental Health (Electronic Copy) Robert Harrell — Hart & Hickman, PC (Electronic Copy) WSRO Electronic Files Laserfiche Files NORTH D E D.o.rtm.m .f Dnim.mo.t.i Ou.i` North Carolina Department of Environmental Quality Division of Water Resources Winston-Salem Regional Office 450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105 336.776.9800 NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES — WATER QUALITY REGIONAL OPERATIONS SECTION 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 NCDEQ DSCA Program FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of three monitoring wells owned by the NCDEQ DSCA Program. Two wells will be located in the municipal Right - of -Way along North Holden Road and one in the municipal Right -of -Way along Shady Lawn Drive in Greensboro, North Carolina, in Guilford County. This Permit is issued in accordance with the application received on January 31, 2022 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: LD_E NORTH CAROLINA Department of Environmental quaky North Carolina Department of Environmental Quality j Division of Water Resources Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105 336.776.9800 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. 7. The County Health Depaitiiient may require a county monitoring well construction permit. Please contact the health department for their requirements. Permit issued the 2nd day of February, 2022 FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION LD_E NORTH CAROLINA Department of Environmental quaky E/.-oDocuSignedigb<y: A, l . JA.IdG- 145B49E225C94EA... Lon T. Snider, Regional Supervisor Water Quality Regional Operations Section Division of Water Resources, NCDEQ - WSRO By Authority of the Environmental Management Commission Permit No. WM0401345 North Carolina Department of Environmental Quality j Division of Water Resources Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105 336.776.9800