WM0501466_Permit (Issuance)_20220207

ROY COOPER
Governor
ELIZABETH S. BISER
5ecrercrry
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
February 7, 2022
Guy Iverson
East Carolina University
3409 Carol Belk Building, Mail Stop 529
Greenville, N.C. 27058
Subject: Monitoring Well Construction
Permit # WM0501466
Michael Drive 2217
2217 Michael Drive
Raleigh, NC -Wake County
Dear Mr. Iverson:
In accordance with the application received on January 24, 2022, and the additional information
received on February 2, 2022, we are forwarding herewith Monitoring Well Construction Permit No.
WM0501466 dated February 7, 2022, issued for the construction of a monitor well system (installation of
ten wells) at the subject property. Please be aware that some counties have well construction ro rams
and you may be required to obtain a well construction permit be ore installation.
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 [phone].
Sincerely,
—DocuSigned by:
Sc ekt- 1J ex�
`— BCDA9D825D4A46D...
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
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 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
Guy Iverson
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Michael Drive 2217) consisting of ten monitoring
wells owned by Guy Iverson at mailing address 3409 Carol Belk Building in Greenville, N.C. The wells will be located on
the property owned by Chris Barry at 2217 Michael Drive in Raleigh, N.C.-Wake County. This Permit is issued in
accordance with the application received on January 24, 2022, and the additional requested information received on
February 2, 2022, 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 7th of February 2022
FOR THE NORTH CAROLINA .V NMiTAL MANAGEMENT COMMISSION
Scott inson, Regional Supervisor
Div' ' h44ftiburces
By Authority of the Environmental Management Commission
Permit No. WM0501466
North Carolina Department of Environmental Quality i Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive 1 Raleigh, North Carolina 27609
919.7914200

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RE OUR S
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: 2-� 41 Oil,/ 2.4 Z. Z
2. County: Wo...kC.
FOR OFFICE USE ONLY
PERMIT NO. 1J1'r1b5 M-6'4 ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): J &ftt-br• etg
4. Applicant o dye. (San
Applicants Mailing Address: 11
Applicant's Email Address (If available): `L ss.r.-. M 8 . ea.&
5. Contact Person (If different than Applicant): Yl‘ .P ee
S2
Telephone: (2sz -777 -sot,{
.4/L 7 7tr8
Telephone: Ck‘q . c 0 c
Contact Person's Mailing Address: O5`1 \e/•‘• l t c t crn *kAk 3 . C,�r. "NI 2'15i i
Contact Person's Email Address (If available): fit? • 0.11si-a.r€ J Oilyi 1 ('aOrY1
8. Property Owner (if different than Applicant): Cr1r 1 Sjarr Telephone: one: Rlal - °l l'-;' - 9 Property Owner's Mailing Address: aO5'k & re Far rrtVOLk 3 � 4ir tVC also?,
Property Owner's Email Address (if available): Cjr, r' i $ co-r ADA c+ QiynQy` . 'C r-1r1
7. Property Physical Address (Including PIN Number) Lt t17- tQiiit , 'Pr. (PM: Qg Z1 SLB�
City k ' , _ County km ak•- Zip Code 21b o 3
$o •ti,x
8. Reason for Well(s): &64e, ,n.. 4 o f see M. sys P&eft.., A st �c d)
(ex: non-ctscharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the well(s) is(are) needed: r o -d; rc1+•�5c 4,4: I; y / Mowlr. •« rta 464c- . s
(ex: non -discharge facility, waste disposal site, landfill, LIST, 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).
11. Type of contaminants being monitored or recovered: ,+,{ 14-n &Aft
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells assodated with the proposed well(s)? If yes, how many? A4
Existing Monitoring or Recovery Well Construction Permit No(s).:
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): 0 J fit ; wells „ FA-.4.4w1 % otatinaas
ouw'guy rfon.
14. Are there any water wells located less than 500 feet from the proposed well(s)? Na fw.ww /,,,►Ier s. o4/ we/It
If yes, give distance(s):
15. Well Contractor.
Well Contrador Address:
Certification No.:
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 a 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 wens to be construed in un�solldated 5. How will the well(s) be secured? s /41e /iwr
material: G-/i� sr J f vv gn1"71 Svff�4J Ant( sLL 7'� �K�
vrr r6 bbx
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: Z E.
4. Total Number of wells to be constructed: 6- /d 7. Estimated construction completion date: 5� 22, 5 Z2
(add answers from 2 and 3)
ADDITIONAL INFORMATION
1 As required by 15A NCAC 02C .0105(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 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. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
SIGNATURES v
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
A51 �i�sser
Applicant or "Agent Title of Applicant or *Agent
Vy G.rsen
Printed nme 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
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).
C'.hrtsa:r�
Signature of Property r er (if +' - rent 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]
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]
GW-22MR Rev. 3-1-2018

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Proposed Well Location
Property Boundary
Proposed Well Buffer (500 ft)
Property Buffer (500 ft)
Stream Meters
Drinking Well 300
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Garage & Race Track Feet
0 1,000 2,000
Known & Suspected Septic Tank l , I , I
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600
Figure 2. Site map showing proposed well scheme (approximately 6 — 10 wells total) to
monitor surficial aquifer concentrations of nutrients downgradient from septic systems.
Additional known or potential groundwater contaminants are also mapped within 500 ft
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