Yancey_Co._Historic_Well_Permits

NORTH CAROLINA
BOARD OF WATER AND AIR RESOURCES
P E R M I T
For the Construction of a Well o
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
FOR THE CONSTRUCTION OF A ALILLAMMMMM at SWO Vftd lbo 1136r BU1%0VM*
in IWXM County, in accordance with the application dated Atyawt 20, ISM ,
and in conformity with specifications and supporting data, all of which are filed with the
Office of Water and Air Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any provisions or require-
ments of the Water Use Act'of 1967, or any other applicable laws or regulations.
Construction of a well under this permit shall be in compliance with the North Carolina
Well Construction Regulations and Standards, and any other laws and regulations pertaining
to well construction.
This Permit shall be subject to other specified conditions, limitations, or exceptions
as follows:
Permit issued this the 13th day of 3q7bWbW 19 j'. .
By e[%L
PERMIT NO. Bully
Chief, Ground Water Division
Office of Water and Air Resources
GW-26

NORTH CAROLINA
BOARD OF WATER AND AIR RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WELL
Auauat 28 19 92
TO: North Carolina Board of Water and Air Resources
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North
Carolina, and regulations pursuant thereto, application is hereby made by State
Departigent of for a permit to construct a well
name of well owner)
as described below and in the accompanying data submitted as a part of this application.
(a) Name of property owner Same
(b) Location of property State
(Road, Community, Subdivision, Lot No. Town County
(c) Purpose of well Water supply for public use (prison institution)
(d) Will proposed well replace an existing well yes (condemned. salt contamination)
(e) Total capacity of existing system: 14M gallons per day
Well No. Yield Well No. Yield
1 25 GPM
This well condemed due to
salt cm tien.
(f) Proposed well:
Construction type open end (open-end, screened, gravel-packed, etc.)
Estimated depth 2501 approM. Estimated yield 25 GPM
Estimated date of construction: Begin i—edlatalx Complete tea.-r sber 15, 1972
(g) Drilling contractor: to be determined
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road identi-
fication numbers. Show all existing water supply wells within a radius of 1 ,OO6 feet
of the proposed well.
(i) Well Construction Diagram: Provide a diagram showing proposed construction
specifications. (See Form GW-22A)
State Department of Correction
831 West Mor Street Ralei N. C.
The Applicant hereby agrees the proposed Mailing Address of Well Owner Required
well will be constructed in accordance with
approved specifications and conditions of
the Well Construction Permit. Same as above
Mailing Address of Agent
d?V �J- W. Tinaen
Signature of We Owner or Agent
Utilities Consultant
Title //
PERMIT N0. ,3 7 issued 192�=.
FORM GW-22

DIAGRAM OF PROPOSED
CONSTRUCTION SPECIFICATIONS
Straight-Screened
or Open-End Well
Gravel-Packed Well (Constructed in consolid-
(Constructed in unconsolidated formations) ated formations)
land surface
A) Casing:
1) Inner: type I. D. lbs./ft.
ft. (depth) ft. (into rock)
2) Outer: 6" type A-33 I. D. 18•971ba./ft.
250 ft. (depth)
B) Cement: approx.
1) Inner Casing: ft. to ft.
2) Outer Casing:&$ rea'dit. to ft.
Rock Rock
C) Screen(s): type I. D.
ft. to ft.
ft. to ft.
D) Gravel: :t. to ft. in.
(size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction including, but not limited to,
casing (outer and inner), sealing material (cement, clay,
etc. ), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con-
tain information required in item (g) of the application).
Camnt grout will be used to sad casing into rock.
GW 22A

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YANCEY Y PRISON UNIT
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WELL 140. f
PERMIT ✓
NORTH CAR.OLINA RECORD
INS:=CT!ON
ENVIRONMENTAL MANAGEMENT COMMISSION P!,:r,Ir>TEST
DEPARTMENT OF NATURAL AND ECONCMIC RF_SOURCES
RALEIGH, N.C.
PERMIT FOR TIC C014SPUCTION OF A CL OR WELL SYSTEM
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
YANCEY COUNTY BCEMIM
FOR THE CONSTRUCTION OF A WELL/NXKLK83ZM AT SR 140 A" Les 21Mrttary Sebeel
in Tamer County, in accordance with the application dated
Auawt 22 and in conformity with specifications and supporting data, all
of which are filed with the Department of Natural and Economic Resources and are
considered a part of this Permit.
This Permit is for well construction only, and does not waive any provisions or
requirements of the Water Use Act of 1967, or any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the North
Carolina Well Construction Regulations and Standards, and any other laws and
regulations pertaining to well construction.
This Permit shall be subject to other specified conditions, limitations, or
exceptions as follows:
1* lrlor notles of the psspltng teat late trot be Slow to Doe Llak 139 Hoolfta
itttoat bhavllls, M.C. at laaat 24 Ysoss pslw to %be stereof the test.
Permit issued this the9th day of Ssptssllar , 19 74 .
NORTH CAROLINA E-NfIR94AENTAL MANAGEI,IFNT COMMISSION
BY r�
DIRECTOR
DIVISION OF ENVIRONMENTAL MANAGEMENT
By Authority of the Secretary of the Department of Natural and Economic Resources
PERMIT NO. IM
GW Form 26

'fG
NORTH CAROLINA `' Cif•
BOARD OF WATER AND AIR RESOURCES j
APPLICATION FOR PERMIT TO CONSTRUCT A WELL
TO: North Carolina Board of Water and Air Resources
Gentlemen:
In cordanee with the visions of Artic ter 87, General Statutes of North
arolir}a, and regL4*tions pursuant. thereto, at�plicatio tia hereby made by
r
!� d /.•'.tilT y �'Ile e L 5 7 for a permit to construct a well
( a�ne of 'a it o jn r
L'fita submitted as a part of th-is application.
(a) Name of property owner lie e L Ln ,idny
(b) Location of property .0 C' . `� W,/
Road, Community, Su divisi n, Lo To0, Co ty
(c) Pu pose of well :. ad
(d) Will proposed well replace an existing well o
(e) Total capacity of existing system: im, //6 AJ/ AJoViAJ) gallons per day
Well No. Yield Well No. Yield
(f) Proposed well: /
Construction type (3Q-,V 6V (open-end, screened, gravel-packed, etc.)
Estimated depth e'1 Ci0 / Estimated yield
Estimated date of construction: Begin Complete ,5�,o 76L
(g) Drilling contractor: [=�/�t/lam/� 1 C// �"/�ii✓1s� t�� - ("r
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road identi-
fication rumbers. Show all existing water supply wells within a radius of 1 ,006 feet
of the proposed well. Rs, W,LL .3� f�R ?,'v:y ramr
(i) Well Construction Diagram: Provide a diagram showing proposed construction
specifications. (See Form GW-22A) LfP.✓:ElJFJT
S-'r1,d't 6}! Fcu•v��' Sc/fr;c.6qy
JJ.:LG� • . C • J 14
The Applicant hereby agrees the proposed Mailing Address' of Well Owner Required
well will be constructed in accordance with
approved specifications and conditions of 0A1.4 w�h�s GL' 6L ��•«•�y,
the Well Con ction P
Mailing Address of Agent
Signature f Well Owner or Agent
C.�l r
Title
PERMIT NO. /90 issued 1C)
'`ORM CA•1-22 ��

DIAGRAM OF PROPOSED <� -
CONSTRUCTION SPECIFICATIONS`, �I ti
Straight-Screened ,••��:_ �:✓'
or Open-End Well
Gravel-Packed Well - (Constructed in consolid-
� !.%�'<ated formations)
(Constructed in unconsolidated formations)
land surface
A) Casing:
1) Inner: — type — I. D. — lbs./ft.
it. (deDthj '-' ft. (into rock)
2) Outer:S ,�cL type - I. D. /j lbs./ft. -
r_
I B) Cement:
1) Innerr Casing: 4"� ft. to ft.
2) Outer Casing: Oft. to �3_ ft. _
Rock Rock
C)_ Screen(s): type I. D.
ft. to ft. '
ft. to ft.
D) Gravel: 't. to ft. in.
(size)
(Fill in each blank that applies and use appropriate diagram _
to show proposed construction including, but not limited to,
casing (outer and inner), sealing material (cement, clay,
etc.), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con-
tain information required in item (g) of. the application). ,
Gh 22:1

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I'ELL NO.
NORTH CAROLINA PERMIT
PECORD
ENVIRONMENTAL MANAGEMENT COMMISSION INSPECTION ✓
DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES PUMPTEST
QW
RALEIGH, N.C.
SAMPLES
PM41T FOR H CONSTRUCTION OF A WELL OR WELL SYSTEM
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
,':03LRT L. BMCS
FOR THE CONSTRUCTION OF A WELL AT U 1168
in Tam" County, in accordance with the application dated
Ms7 5 , and in conformity with specifications and supporting data, all
of which are filed with the Department of Natural and Economic Resources and are
considered a part of this Permit.
This Permit 1s for well construction only, and does not waive any provisions or
requirements of the Water Use Act of 1967, or any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the North
Carolina Well Construction Regulations and Standards, and any other laws and
regulations pertaining to well construction.
This Permit shall. be subject to other specified conditions, limitations, or
exceptions as follows:
1. PACT setlas of the pumping test date must be Biwa to Boa Link T.n. "x 370
Ashsvills, N.C. 253-3341 at least 24 hCurs prior to t'Ae start of the test.
Permit issued this the 5th day of June 19 75
FOR THE NORTH CA A ENVIRONMENTAL MANAGEMENT COMMISSION
BY
DAN E . MCDONA D, ASSISTANT DIRECTOR
DIVISION OF RESOURCE PLANNING AND EVALUATION
By Authority of the Secretary of the Department of Natural and Economic Resources
PERMIT NO. 2001
GW Form 26

NORTH CAROLINA
BOARD OF WATER AND AIR RESOURCES ,
APPLICATION FOR PERMIT TO CONSTRUCT A WELL
w /! 19 r�
TO: North Carolina Board of Water and Air Resources
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North
Carol and regul. tiops pursuant thereto, application is hereby made by
for a permit to construct a well
name of well owner
as described below and in the accompanying data submitted as a part of this application.
(a) Name of property owner 1f t L c cc,
(b) Location of property_f7c, , a /7Git CEt0' Spurn Tcc T YA !VCEV
Road, Community, Subdivision, Lot No. Town County
(c) Purpose of well F-Aitiji- / AwD 5✓MMN�-IZ C_ krtli7 IJ5 �
(d) Will proposed well replace an existing well
(e) Total capacity of existing system: y U U (] gallons per day
Well No. Yield Well No. Yield
/ +
(f) Proposed well:
IN
Construction type__0 PE w-t. tv if a pen-end, screened, gravel-packed,q etc.)
Estimated depth f �� t Estimated yield o
Estimated date of construction: Begin J=3�7$— Complete s- '75
(g) Drilling contractor: (, Tr :!V ! I PIN It 41 , M A R.10 Wr tv.C- ,
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road identi-
fication numbers. Show all existing water supply wells within a radius of 1 ,006 feet
of the proposed well.
(i) Well Construction Diagram: Provide a diagram showing proposed construction
specifications. (See Form GW-22A)
The Applicant hereby agrees the proposed
well will be constructed in accordance with Mailing Address of Well Owner Required
approved specifications and conditions of
the Well Construction Permit.
Mailing Address of Agent
Signature of Well Owner or Agent V
Title
PERMIT N0. -'00/ issued 6 S 19�.
JP>IEaT '641rt2u5
FORMGW-22 tS LGG� 4 llor ace olr THtS T/Zn � 7 of 4-A �D wHicr/
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DIAGRAM OF PROPOSED
CONSTRUCTION SPECIFICATIONS
Straight-Screened
or Open-End Well
Gravel-Packed Well (Constructed in consolid-
(Constructed in unconsolidated formations) ated formations)
land surface
A) Cas7'- t
1) e I. D. 3 lba.�ft.
(depth) 9 ft. (into .rock)
2) pe I. D. Iba./ft.
ft. (depth)
B) Cement:
1) Inner Casing: ft. to ft.
2) Outer Casing: J ft. to U 8t.
Rock HoCk
C) Screen(s): type I. D.
ft. to ft.
ft. to ft.
D) Gravel: :t, to ft. in.
(size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction including, but not limited to,
casing (outer and inner), sealing material (cement, clay,
etc.), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con-
tain information required in item (g) of the /TAgpljca
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NORTH CAROLINA
BOARD OF WATER AND AIR RESOURCES
P E R M I T
For the Construction of a 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
be, Mi T(ZMz
FOR THE CONSTRUCTION OF A WELLJ.%MMX. at SwY11iC
in yr,;;-;� County, in accordance with the application dated
and in conformity with specifications and supporting data, all of which are filed with the
Office of Water and Air Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any provisions or require-
ments of the Water Use Act of 1967, or any other applicable laws or regulations.
Construction of a well under this permit shall be in compliance with the North Carolina
Well Construction Regulations and Standards, and any other laws and regulations pertaining
to well construction.
This Permit shall be subject to other specified conditions, limitations, or exceptions
as follows:
WELL NO. 3 S
PERMIT
RECORD J ✓
LO
Permit issued this the �4th day of may , 19
By `
PERMIT NO. M-11 Hnrsg 2.. Feek
Chief, Ground Water Division
Office of Water and Air Resources
GW-26

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114_: 1

NORTE CAROLINA ��.
BOARD OF WATER AND AIR RESOURCES .,.,,:J
RALEIGH, N,c-
APPLICATION FOR PERMIT TO CONSTRUCT A WELL
26 19 7 •3
TO: North Carolina Board of Water and Air Resources
Gentlemen:
dr -ccordance with the provisions of Article 7, Chapter 87, General Statist o, North '
Guali(na, regulations pursuant thereto, application is hereby made by
for a permit to cons 1
—� name of well owner
described below and in the accompanying data submitted as a
(� part of this application.
--t
(a) Name of property owner �)_trrv, 1. QP<,F,Q 1
;b) Location of property �.<t
(Road, m
Coma; a di s , No. Town County
Purpose of well (.,_ t ((
(11) Will proposed well replace an exi
(e) Total capacity of existing system: gallons per day
Well No. Yield Well No. Yield
V 3 c
(_') Proposed well:
Construction type ,, „_,• _G (open-end, screened, gravel-packed, etc.)
Estimated depth - C r Estimated yield?-c
Estimated date of construction: Begin Complete 3
( ) Drilling contractor: urt �'., l.L�Q �� "LUI-L. .
;.) Location of Well: Provide a detailed map showing theJ location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road identi-
fication numbers. Show all existing water supply wells within a radius o£ 1 ,006 feet
of the proposed well.
(i) Well Construction Diagram: Provide a diagram showing proposed construction
ppecifications. (See Form GW-22A)
r, t
i "C7.L4LtL fir GL.• .�` �Cl..
'The Applicant hereby agrees e pro sed ailing Address of Well Owner (Required)
well will be constructed in accordance with
approved specifications and conditions of h
the Well Construction Permit. ?
Mailing Address 9;r 7Went
Signa Well
Owner
RECEIVES
/% Signature�f Well Owner or Agent
_ rye'; MAY 11) 1973
J Title
GROUND P! i I
PE=T NO. 1_2 issuetY+LEI 1y .
FC R A GW-22

E'OF NORTH CAROLINA
ARTMENT OF NATURAL AND ECONOMIC RESOURCES
'337 Raleigh 27611
5 E.HARRINGTON TAMES E.HOLSHOUS".14
GOVERNOR
°CRETARY -
ELEPHONE 11
000E 919-899-. May > 1973
3
f "_C3EtARY
Caldwells Well Drilling MAY I d 67
351 New Lecister Hwy
,idTURAL !1
Asheville, N.C.
Dear Mr. Caldwell:
Your application for a permit to construct a well for Mt.
Mitchell Lands carinot be approved without the well 16cation diagram.
The roads must be identified by state road numbers.
Sincere ours,
Leland A. Laymon
n; Permits and Regulations
FOR: Harry M. Peek
Chief
Ground Water Division
C—N
1973
RALEIGH, N. C.
- 01*0
n
.b.

RECEIVES:
'} DIAGRAM OF PROPOSED MAY j '1 1973
CONSTRUCTION SPECIFICATIONS
Straight-Screened GROuriu wAE:; uwiSlC
or Open-End-W&M IGN, N:
Gravel-packed Well
(Constructed in consolid-
. ;nstructed in unconsolidated formations) ated formations)
land surface
FOuter
: type I. D. lbs./ft.
c
ft. (depth) ft. (into rock)
: L� hype I. D.���lbs./ft.
C� ft. (de
Casing; ft. to ft. {1{
Out
Casin h�
g: C ft. to (^ ft.
): type Rock Rock
YP I. D.
ft. to ft.
ft. to ft. f
D) Gravel: .t. to ft. in. L
(size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction including, but not limited to, -
casing (outer and inner), sealing material (cement, clay,
etc.), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con-
tain information required in item (g) of the application). ,
RECEIVtE)
MAY 10 1973
GROONO WAfEk UAVISIGN
RALEIGH, N. C. -
2 - �� �.

rINSFECT!ON
L NO. '�3
J U
. _ MIT
NORTH CAROLINA ORD
ENVIRONMENTAL MANAGEMENT COMMISSION
PUMP TEST
DEPARTMENT OF NATURAL AND ECOI:OMIC RESOURCES OW
RALEIGH, N.G. SAMPLES
PM1IT FOR 11-E COi'ySTRUCTI91 OF A WELL OR WflL SYSTEM
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
KFIINTETR HU'TTMI
FOR THE CONSTRUCTION CF A WELT:jPW='SYSTiM AT On SR 1405
in Yancey Couaty, in accordance with the application dated
"?arch 15 , and in conformity with specifications and supporting data, all
of which are filed with the Department of Natural and Economic Resources and are
considered a part of this Permit.
This Permit is for well construction only, and does not waive any provisions or
requirements of the Water Use Act of 1967, or any ether applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the North
Carolina Well Construction Regulations and Standards, and any other laws and
regulations pertaining to well construction.
This Permit shall be subject to other specified conditions, limitations, or
exceptions as follows:
1. Prior notice of the pumping test date must be given to won Link P.O. Box 370
Asheville, N.C. 253-3141 at least 24 hours prior to the start of the test.
Permit issued this the 19thday of March � 19 76
FOR THE NORTH C INA E VIRONMENTAL MANAGEMENT COMMISSION
BY
D N E. MCDONALD, ASSISTANT DIRECTOR.
DIVISION OF RESOURCE PLANNING AND EVALUATION
By Authority of the Secretary of the Department of NaturaZ and Economic Resources
PERMIT NO. 2171
CW Form 26

:. NORTH CAROLINA
BOARD OF WATER AND AIR RESOURCES
C51� APPLICATION FOR P=T TO CONSTRUCT A WELL
19 -7 (
h.
TO: North Carolina Board of Water and Air Resources
Gentlemen:
In accordannc w ' the provisions Arta 7, Chapter 87, General Statutes of North
Carolinaa and regulations pur uant th reto, application is hereby made by
aAh A for a permit to construct a well
name of well owner
as escribed below and in th data submitted as a part of this application.
(a) Name of property owner E-/ d V i�
(b) Location of property BEE- LD 6- 9 t gAh1N 1 ✓2� t/� n/
Road, Comity, Subdivision, Lot No. Co ty
(c) Purpose of well IEED1 - F-dte- 50 46, /,5io✓
(d) Will proposed well replace an existing well/ f AM '
(e) Total capacity of existing system: gallons per day
Well No. Yield Well No. Yield
t-_ in EAM
!� .-PM rt 40e A rs
(f) Proposed well:
Construction type {SEA] i�^/ 'i) (open-end, screened, gravel-packed, etc.)
Estimated depth 3�10 Estimated yield / C� �"/
Estimated date of construction: Begin c�J VIYJ4 `74 Complete
(g) Drilling contractor: EL45 UIaL-L �)9/LL/-vim �i1IC
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road identi-
fication numbers. Show all existing water supply wells within a radius of 1 ,000 feet
of the proposed well.
(i) Well Construction Diagram: Provide a diagram showing proposed construction
specifications. (See Form GW-22A)
The Applicant hereby agrees the proposed " ' li 3 d 5li Own
PP Y Mailing Address of Well Owner Required
well will be constructed in accordance with
approved specifications and conditions of /
the Well C nstruction Permit. L6iGET�.G /yGJ7, �SrfFK<iE �_,
Mailing Address of Agent
S1 turee of Well Owner/ or Agent
_7 Title
PERMIT NO. ?! issued 3111 19 z7_6L
FORM GW-22

DIAGRAM OF PROPOSED
CONSTRUCTION SPECIFICATIONS
Straight-Screened
or Opeu-End Well
Gravel-Packed Well (Constructed in consolid-
(Constructed in unconsolidated formations) ated formations)
land surface
A) Casing:
1) Inner:-type I. D. lbs./ft.
ft. (depth) ft. (into rock) r
•� a
2) Outer:�type(p.M !k D. Iq lbs./ft, b
�0 ft. (depth) q
B) Cement:
1) Inner Casing: ft, to ft, v!
2) Outer Casing: ft. to ft.
Rock Rock
C) Screen(s): type I. D.
ft. to ft.
ft. to ft.
D) Gravel: It. to ft. in.
(size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction including, but not limited to,
casing (outer and inner), sealing material (cement, clay,
etc.), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con-
-rgc . 4io(3,
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Gl 22A

WELL NO.J(81 I`�
PERMIT _I
NORTH CAROLINA
RECORD
ENVIRONMENTAL MANAGEMENT COMMISSION INSPECTION /
DEPARTMENT OF NATURAL AND ECONOMIC RESOURCES PJSiP TEST �I
_-.. —
QW
RALEIGH, NORTH CAROLINA I
PERMIT FOR THE CONSTRUCTION OF A WELL OR 6'I YST M
In accordance with the provisions of. Article 7, Chapter 87, North Carolina General
katutes, and other applicable Laws, Rules and Regulations,
PERMISSION IS HEREBY GRANTED TO
SWELT WATER MOUNTAIN LAND LUMJIA;�Y
'OR THE CONSTRUCTION OF A WEL 1.8 mi. N. of Lwy• 80 .8 mi. 1. of Boelkc
[n lw cEy County, in accordance with the application dated February 23 ,
end in conformity with specifications and supporting date, all of which are filed with the
)eeartment of Natural and Economic Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any provisions or
•equirements of the Water Use Act of 1967, or any other applicable-Jaws or regulations.
Construction of a well under this Permit shall be in compliance with the North Carolina
fell Construction Regulations and Standards, and any other laws and .regulations pertaining
o well construction.
This Permit shall be subject to other specified conditions, limitations , or exceptions
,s follows:
1. Prior autice of the pumpitW, teat date must Se liven to Lou Link P.O. box 370 Asheville, a.�.
2;3- 34i 'It ieaat 24 hours prior to the start of the teat.
Permit issued this the let day of Harch , 19 77
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMI ION
BY Original Signed by
W. E. KNIGHT, DIRECTOR
DIVISION OF ENVIRONMENTAL MANAGEMENT
By Authority of the Secretary of the Department of Natural and Economic Resources
ERMIT NO. 2391
W 26

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VNMOM FWON

DIAGR%4 OF PROPOSED
CONSTHDCTION SPECIFICATIONS
Straight-Screened Open-End Well
or
Gravel-Packed Well (Constructed is consolid-
(Constructed in unconsolidated formations) ated formations) j
t j
land surface ;
A) Casing:
ttt n
1) Inner: N•/f type I. D. lbs./ft. M
ft. (depth) ft. (into rock) Z
2) Outer: Galv. type 64 I. D. 13 lbs./ft. tR 6
ft. (depth)
B) Cement:
1) Inner Casing: ft. to ft. i
2) Outer Casing: 0 ft. to _*ft.
Rock Rock
C) Screen(s): type I. D. IKI 0
ft. to ft. Drive Shoe a
ft. to ft.
D) Gravel: it. to ft. in.
(size) ;
(Fill in each blank that applies and use appropriate diagram
_. to show proposed construction including, but not limited to,
casing (outer and inner), sealing material (cement, clay,
etc. ), packers, screens, gravel, chemical feed lines, etc.)
a a
Location Diagram- (Previously prepared maps may be submitted provided they con-
tain information required in item (g) of the application).
i
a
W 22%

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E
Gi d'
.5771(77 �
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{3N IZIM OO SM011331dla 2 SMO!IV30j ,MOIlV IV SNj
w '^

• 1nv�
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
Ja I mes G. Martin, Governor David R. Spain
S. Thom
as Rhodes, Secretary
� DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
May 5, 1988
Mr. Joseph M. Mattheis
T. R. Edgerton, Inc.
102-F Woodwinds Industrial Court
Cary, North Carolina 27511
1 SUBJECT: Well Construction Permit No. 99-0051-WM-0008
Gouge Oil Company
Groundwater Incident No. 3005
Yancey County, North Carolina
Dear Mr. Mattheis:
In accordance with your application received April 29, 1988, we are
forwarding herewith Well Construction Permit No. 99-0051-WM-0008 dated May
5, 1988, issued to Gouge Oil Company for the construction of three monitor
wells at the former Tipton Grocery on N. C. 197 in Yancey County.
- - If any parts, requirements, or-limitations-contained in this- Permit are
_unacceptable, to- you;: you have the right -to ari adjudicatory healing before a
hearing officer- upon written demand to the Director within 30. days following
f receipt of this -Permit, identifying the specific issues- to be- contended.
Unless such demand is made, this Permit shall be final and binding.
i
i
This Permit will--be effective from the date-of -its issuance until
November-5, -1988,- and-shall be subject to the conditions and limitations as
.j• - specified -therein.- Attachedi are Well_,CoriStruction Records -to be completed
I-- and-signed by-the drilling contractor. These forms should be submitted to
-the Department upon completion of the wells.
Sincerely,
Roy M. Davis
Regional Supervisor
RMD:LKD:ar
Attachments
cc: Perry Nelson
Harold W. Berry, Jr.
Staunton Norris
Jim Gouge
Interchange Building, 59 Woodfin Place, P.O.Box 370, Asheville, N.C.2M-0370•Telephone j 704-251-62od
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ASHEVILLE, NORTH CAROLINA
P E RM=T F O R THE
C O N S T RU C T S O M O F A W E L L
O R W E L L S Y S T E M
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
GOUGE OIL COMPANY
FOR THE CONSTRUCTION OF three monitor wells for Groundwater Incident No.
3005 in the Residuum System of the Blue Ridge-Inner Piedmont Hydrogeologic
Unit, located at the former Tipton Grocery on N. C. 197 in Yancey County,
in accordance with the application dated April 25, 1988, and in conformity
-with specifications and supporting data, all of which are filed with the _
Department of Natural Resources and Community Development_ and are
considered a part of this Permit.
This Permit is -for well construction only, and does not waive any
provisions or -requirements of any other'applicable° lawi or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other
State and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until
November 5 , 1988, and shall be subject to other specified conditions,
limitations, or exceptions as follows:

Page 2
1. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number; date
well completed; total depth of well; a warning that the well is not
for water supply and that the groundwater may contain hazardous
materials; and depth to screens.
2. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15 NCAC 2C .0100).
3. Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
4. All wells shall be afforded reasonable protection against damage
during construction and use.
5. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15 NCAC 2C) .
6. The top of the well screen shall extend above the anticipated high
water table; if a water table is not encountered, the top of the well
screen shall extend five feet above the top of the bedrock, if
practical.
7. The gravel pack shall extend one to two feet above the top of the
screen. --- — - _ -
8. If bedrock conditions warrant deviations from this Permit, contact the
Asheville Regional Office at 704-251-6208 for approval.
9. Provisions shall be made on the well cover to'prevent surface water
with possible-contaminants from entering the well pit,-and
contaminating the monitor wells.
10. The well driller shall notify the Asheville Regional Office prior to
actual construction of the well.
11. Written permission must be obtained from the property owner prior to
construction of the well.

Page 3
Permit issued this the 5th day of May, 1988.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Tr\�a) a�
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0051-WM-0008

NORTH CAROLINA DEPART I.ENI OF NATURAL RESOI AND COMMUNTY DEVELOPMENT FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEMENT -GROUNDWATER SECTION
P.O.BOX 27e87-RALEKIN,N.C.27e11.PHONE[phone] Clued. No. it 112 4 Serial No.
Let. Long. Po
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
-- — Header Ent. GW-1 Ent.
DRILLING CONTRACTOR
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER —_ _ PERMIT NUMBER: MAIM' -A/^i9dDir
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: County:
(Road, Community, or Subdivision and Lot No.)
/� Depth DRILLING LOG
2. OWNER ✓e dil�"�� from To Formation Description
At.
ADDRESS ✓
Street or Route No. THREE COPIES OF THIS FORM WERE
CityATTACHED TO THE PERMIT
1. or Town State Zip Code _
1. DATE DRILLED USE OF WELL
1. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
i. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
J. STATIC WATER LEVEL: FT. ❑ above TOP OF CASING,
O below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
i. YIELD (gpm): METHOD OF TEST
I. WATER ZONES (depth):
1. CHLORINATION: Type Amount
0. CASING: Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material LOCATION SKETCH
From To Ft. -. (Show direction and distance from at least two State Roads,
From To Ft._ — or other map reference points)
From To Ft.
1. GROUT:
Depth Material Method
From To—Ft,—
From To Ft.
2. SCREEN:
Depth Diameter Slot Size Material
From To FL in. in.
From To Ft. in. in.
From To Ft. in. in.
3. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft. �� �� J'
4. REMARKS: 4045*1W&I Ao- &4/ AdC4 '/M JA Ak S
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C. WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SK3NATURE OF CONTRACTOR OR AGENT DATE
)W-1 Revised 11/84 Submit original to Division of Environmental Management and copy to well owner.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY 41ELL(S)
To: HORTII CAROLINA ENVIRONMENTAL MANAGEMENT COMM I SS ION Apri_T 1 25 19Ftj_
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
G n9 _ for a permit to construct a
�i1(name"of +ell owner
monitor/recovery well(s) as described below and in the accompanying data submitted as a
part of this application.
(a) Name of property owner: Ms- Mary Asher & Mr. & Mrs. Kenneth Wagner
(b) Location of property: 1.7 miles North of Covy Rock Church on NC 197 Yancey County
--IRoed, In ustry, Conuoun ty, etc. Town County
(c) Type of facility or site being monitored:
Tinton Grocery Store
(d) Types of contamination being monitored or recovered: Gasoline
(e) Existing monitor well numbers: 1 Production well
(f) Existing monitor wells showing contamination (well no.): 1 Production well
(g) Estimated water-table depth: 20 feet '
(h) Estimated date of construction: Begin May 1988 Complete May 1988
(i) Drilling constractor: - S&ME
(i) Location of well : Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relation to the
pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1 ,000 feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including .diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed Gouge Oil Company
well will be constructed- in accordance with PO Box 7, Spruce Pine, NC 28777
approved specifications and conditions of- —(Mai ing Address of-Well Owner-Required)
the Well Construction Permit. As regulated T. R. Edgerton, Inc.
under the Well Construction Standards (Title 102-F Woodwinds Indus. Ct. , Cary. NC 27511
15 - North Carolina Administrative Code, (Mailing Address of Agent-if other
Subchapter 2C) !� than above)
Sign4ture of Well Owner or Agent FOR OFFICE USE ONLY
Geolo ist, T. R. Ed erton Inc. PERMIT NO. issued 19_
Ti tie({f applicable
GW-22B

WELL SCHEMATIC;....
Well No Proposed Geologist Matthe;s
Date Drilled May 1988 Static Water Level NA Date
Drilling Method Hollow Stem Auger
RemarksRock Core Drilling may also be used
Borehole O.D. 7" Water Tight Manhole
Casing.O.D. 2° Locking Cap
Type PVC
Ground Surface
Screen Type PVC
Slot 0.010„
Cement Grout
Depth to Top of Bentonite 1311
Bentonita=
Depth to Top of Gravel 15'
• • • Depth to Top of Screen 17'
Sand Pack `
• s
• Depth to Bottan of Screen 27
• •, .• s 27.52 Total Depth
NntP• A11 DPntha RPfnrPnr?d frrm Crnnnd SnrfarP
PROJECT. Former Tipton Grocery, Gouge Oil
JOB NO. 1096-G88-001
FIGURE NO. 1 T. R. Edgerton, Inc.
4-26-88

� O
O House Tipton Grocery
Source Area
I
Red Hill NC 197' Burnsville , :
- -- Covy Rock Church 1.7 mi. �,
I
Existing .Water Supply Well
Proposed Monitoring Well - --
Walking Bridge
' North Toe River q/
Site Map - Tipton Grocery T. R. Edgerton, Inc. Scale- 1" = 50'
Yancey County, N.C. : Environmental Consultants r Project # 1096-G88-001
4-26-881

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Site Location Map T. R. Edgerton, Inc. NC DOT County Road Map
Yancey County Envirormental Consultants

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Yancey County, NC Environmental Consultants 7.5 Minute Series
A- 2(-SS

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
December 22, 1989
Mr. J. J. Gouge
J. J. Gouge and Son Oil Company, Incorporated
Post Office Box 7
Spruce Pine, North Carolina 28777
Dear Mr. Gouge:
Subject: Well Construction Permit No. 99-0052-WM-0009
Phillips Grocery
Groundwater Incident No. 5073
Yancey County, North Carolina
In accordance with your application received December 15, 1989, we are
forwarding herewith Well Construction Permit No. 99-0052-WM-0009 dated December
22, 1989, issued to J. J. Gouge and Son Oil Company, Incorporated for the
construction of three (3) monitor wells, or more as needed, at Phillips Grocery
in Yancey County.
If any parts, requirements, or limitations contained in this Permit
are unacceptable to you, you have the right to an adjudicatory hearing
before a hearing officer upon written demand to the Director within 30 days
following receipt of this Permit, identifying the specific issues to be
contended. Unless such demand is made, this Permit shall be final and
binding.
This Permit will be effective from the date of its issuance until June 22,
1990, and shall be subject to the conditions and limitations as specified
therein. Attached are Well Construction Records to be completed and signed by
the drilling contractor. These forms should be submitted to the Department
upon completion of the wells.
Sincerely,
Qj��- �
Roy M. Davis
RMD/LCH/gc Regional Supervisor
Attachments
cc: Perry Nelson
Mark Creel
Guy Phillips
John Hardin
Interchange Building, 59 Woodfin Place,Asheville, N.C.28801 •Telephone 704-25Ib208
An Equal opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
P E RM 31 T F O R THE
C ON S T RU C T=ON O F A WE L L
O R W E L L S Y S T E M
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
J. J. GOUGE AND SON OIL COMPANY, INCORPORATED
FOR THE CONSTRUCTION OF three (3) monitor wells, or more as needed, in the
Residuum System in the Blue Ridge-Inner Piedmont Hydrogeologic Unit ,
located at Phillips Grocery in Yancey County, in accordance with the
application dated December 7, 1989, and in conformity with specifications
and supporting data, all of which are filed with the Department of
Environment, Health, and Natural Resources and are considered a part of
this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with
the North Carolina Well Construction Regulations and Standards, and any
other State and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until June
22, 1990, and shall be subject to other specified conditions, limitations,
or exceptions as follows:
1. Written permission must be obtained from the property owner prior
to construction of the wells.

Page 2
2. The well driller shall notify the Asheville Regional Office prior
to actual construction of the wells.
3. The wells shall be constructed with well casing and well screens
that conform to requirements of the "Criteria and Standards
Applicable to Water Supply and Certain Other Type Wells" (15A
NCAC 2C .0100) .
4. All wells shall be afforded reasonable protection against damage
during construction and use.
5. The well screens shall be set at a depth where the anticipated
high water table would be below the top of the screens so that
any floating petroleum products could enter the monitor wells and
of sufficient depth so there is water adequate for sampling
during the seasonally low water table.
6. Provisions shall be made on the well covers to prevent surface
water with possible contaminants from entering the well pits and
contaminating the monitor wells.
7. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well
is not for water supply and that the groundwater may contain
hazardous materials; and depth to screens.
8. Well completion, well abandonment, and water quality reports are
to be submitted to the Division of Environmental Management's
Groundwater Section Central Office in Raleigh.
9. When the wells have served their purpose and are of no further
use, they shall be permanently abandoned according to the
requirements of Section .0113 of the "Criteria and Standards
Applicable To Water Supply and Certain Other Type Wells" (15A
NCAC 2C) .
10. If additional monitor wells, not shown on the location diagram,
need to be constructed during the time frame of this Permit, a
map showing the proposed location shall be submitted to the
Asheville Regional Office.
Permit issued this the 22nd day of December, 1989.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Davi , Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0052-WM-0009

NORTH CAROLINA DEPARTMENT OF NATURAL F RCES AND COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEI­ - GROUNDWATER SECTION Fy
P.O.BOX 27687-RALEIGKN.C.27611.PHONE[phone] Quad. No. ISl d Serial No.
Lai. Long. Po
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
Header Ent. QW-1 Ent._
DRILLING CONTRACTOR fI(•/i/iA5 4,111F+ drV/ ('�pr/SfOr
�'�� STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER PERMIT NUMBER: i 9 - CLS 2 - LdA.f- 0 007
I. WELL LOCATION: (Show sketch of the location below)
Nearest Town: 664 /9 .4A/D hWAA1Q Bald A//n I?d County: Van LI/
(Road, Community. or Subdivision and Lot No.) Depth DRILLING LOG
From To Formation Description
2. OWNER J J. l "Ad .1/1 Oi/ GUmLYt/ry /,t//r.
ADDRESS 4r Ofibie $cX 7
Street or Route No. 7FWF aFM IIILS ICXAI I!<+1ZE 5$if TU 1FE 1RIIIFR
S�grya P1np /Vc11.h l)arD//X. 2R777
City or Town State Zip Code
3. DATE DRILLED USE OF WELL
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑ No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. MELD (gDm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING: Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To-Ft.-
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.-
From-To- Ft.
14. REMARKS: 6trand L"Aer /n/ai/ini A- h>P-73 Pe/7dPUr71 644r"I'laiL icy-1
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C. WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Division of Environmental Management and copy to well owner.

RE cell va
DEC 15 109
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT C014MISSION Groundwater Section
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPM T Asheville Regional ONi�e
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVER WELLS)
To : NORTH C.AROLINA ENVIRONMENTAL MANAGEMENT COMMISSION Dec. 7 1989
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
_ J.J. Gou e & Son Oil company, Inc. for a
name o we owner permit to cpnstruc a
monitor/recovery well(s) as described below and An the accompanying data submitted as a
part of this application.
(a) Name of property owner: Buster Phillips
(b) Location of property: Hwy. 19 Wand Bald Mtn. Rd. , Yancey County, N.C.
�Roa In ustry, Commun ty, etc. own County
(c) Type of facility or site being monitored: Gas Station
(d) Types of contamination being monitored or recovered: Petroleum Hydrocarbons
(e) Existing monitor well numbers: A
(f) Existing monitor wells showing contamination (well no.): N/A
(9) Estimated water-table depth: 14' feet
(h) Estimated date of construction: .Begin 12/89
_ Complete 2190
(i) Drilling constractor: Hardin's Pump & Compressor, Rt. 16, P.O. Box 519, Winsto go�em ffi
0) Location of well: Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relation to the
Pollution source(s) being monitored and to at least two (2) nearby permanent reference
Points such as roads, intersections, and streams. identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed P.O. Box 7
well will be constructed in accordance with Spruce Pine, N.C. 28777
ions of
te approvedWell ConstructionnPermit.s and Astregulated
Ma ng ress o e Owner-Required)
under the Well Construction Standards (Title P.O. Box 30519
15 - North Carolina Administrative Code, h N.C. 27622
Subchapter 2C) (Mailing Address of Agent-if other
than above)
/yy�� ^A o l /
Signature We Owner or Ag t
Environmental Specialist FOR OFFICE USE ONLY
Tit a tf app icab a PERMIT NO. issued 19
GW-220 9�J— UOv64 v

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State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
June 20, 1991
Mr. Ronnie Proffitt
Yancey County Board of Education
621 West Main Street
Burnsville, North Carolina 28714
Dear Mr. Proffitt:
00//
Subject: Well Construction Permit No. 99-0054-WM-001-4-
Yancey County School Bus Garage
Underground Storage Tank Incident No. 5604
Yancey County, North Carolina
In accordance with your application received June 12, 1991, we are
forwarding herewith Well Construction Permit No. 99-0054-WM-0014 dated June 20,
1991, issued to Yancey County Board of Education for the construction of two
(2) monitor wells, or more as needed, at the Yancey County School Bus Garage in
Yancey County.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended. Unless
such demand is made, this Permit shall be final and binding.
This Permit will be effective for the construction of monitor wells from
the date of its issuance until the site assessment has been completed, and
shall be subject to the conditions and limitations as specified therein.
Attached are Well Construction Records to be completed and signed by the
drilling contractor. These forms should be 'submitted to the Department upon
completion of the wells.
Sincerely,,
Roy M. avis
RMD/LCH/gc Regional Supervisor
Attachments
cc: Perry Nelson
Peter Nathanson
Interchange Building, 59 Woodfin Place, Asheville, N.C. 29801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
YANCEY COUNTY BOARD OF EDUCATION
FOR THE CONSTRUCTION OF two (2) monitor wells, or more as needed, for
Groundwater Incident No. 5604 in the Residuum System of the Blue Ridge-Inner
Piedmont Hydrogeologic Unit, located at the Yancey County School Bus Garage,
Burnsville in Yancey County, in accordance with the application dated June 6,
1991, and in conformity with specifications and supporting data, all of which
are filed with the Department of Environment, Health, and Natural Resources and
are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining to well construction.
This Permit will be effective for the construction of monitor wells from
the date of its issuance until the site assessment has been completed, and shall
be subject to other specified conditions, limitations, or exceptions as follows:
1. Written permission must be obtained from the property owner prior to
construction of the wells.

• r-
Page 2
2. The well driller shall notify the Asheville Regional Office prior to
actual construction of the wells.
3. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15A NCAC 2C .0100).
4. All wells shall be afforded reasonable protection against damage
during construction and use.
5. The well screens shall be set at a depth where the anticipated high
water table would be below the top of the screens so that any floating
petroleum products could enter the monitor wells and of sufficient
depth so there is water adequate for sampling during the seasonally
low water table.
6. Provisions shall be made on the well covers to prevent surface water
with possible contaminants from entering the well pits and
contaminating the monitor wells.
7. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well
is not for water supply and that the groundwater may contain
hazardous materials; and depth to screens.
8. Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
9. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15A NCAC 2C).
10. If additional monitor wells, not shown on the location diagram,
need to be constructed, a map showing the proposed location shall be
submitted to the Asheville Regional Office.
Permit issued this the 20th day of June, 1991.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
1
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0054-WM-0014

NORTH CAROLINA DEPARTMENT OF ENVIRONMEI• 1LTH AND NATURAL RESOURCES FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGER iROUNDWATER SECTION
P.O.BOX 27687.RALEIGH,NC 27611.7687 peed. No. TBs Serial No.
PHONE[phone]
Lat.36•68 2.0" Long. 0,2007 ' Pc—
Minor Basin
WELL CONSTRUCTION RECORD Basin code
/ Header Ent.
v GW-1 Ent-
DRILLING CONTRACTOR [sn u6Ne�sf
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER 41,Z PERMIT NUMBER: 9Q-O 0SLI-W fA -
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: BpRNSVILLB z t%x County: _yA-MLCy
cG 1369- 6REtN MOUNTANJ -p/tIVC Depth DRILLING LOG
(Road, Community, or Subdivision and Lot No.) From To Formation Description
2. OWNER VAOV 90! (DUNI)F of ��ac'�T7bf�
ADDRESS 67.1 WEST MAIN ST♦ZEiT TWO (:)PINS OF THIS FORM WERE SENT TO
Street or Route No.) THE DRTi i F.R
'3ulu+3vlLue NG 26714
City or Town State Zip Code
3. DATE DRILLED USE OF WELL
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING.
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING: Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To Ft._ or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To—Ft.-
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in, in.
From To Ft. in. in.
From To Ft. in. h
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS: - UST INutL.-.+ Pao U0
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-i REVISED 2/90 Submit original to Division of Environmental Management and copy to well owner.

0
1991
Westinghouse Environmental 1400 Sweeten Creek Road
Inc, Asheville,North Carolina 2aBlli
and Geotechnical Services,
.--GRDU OW CTI 274-
Fax( 274-
1 Fax [phone]
North Carolina Department of
Environment, Health, and Natural Resources
Groundwater Section
59 Woodfin Place
Asheville, North Carolina 28801
Attention: Ms. Laura Herbert
Reference: Request to Install Monitoring Wells
Yancey County School Bus Garage
Commercial Underground Storage Tank (UST)
Incident No. 5604
Westinghouse Job No. SGW A114/1267-90-256
Dear Ms. Herbert:
Please consider this a request to install at most two groundwater
monitoring wells at the referenced site. The wells will be installed at the
locations indicated on the attached Site Plan. Attached are a typical
monitoring well schematic, Application for Permit to Construct Monitor Wells,
and a Site Plan.
Should you have any questions concerning this letter or the attached
information, please do not hesitate to contact us.
Sincerely,
WESTINGHOUSE ENVIRONMENTAL AND
GEOTECHNICAL SERVICES, INC.
�kFA
Peter T. Nathanson, P.E.
Project Manager
PTN:dam
Enclosures
CC: Mr. Ronnie Proffitt
A Westinghouse Electric Corporation subsidiary.

r
LOCKING CAP
CONCRETE
PAD"'
STEEL OUTER CASING
LAND _ SURFACE;
ALTERNATE
MANHOLE
VARIES COVER-USED IN
NEAT CEMENT GROUT -TRAFFIC AREAS
WELL CASING •,
2' or 4' SCH 40 PVC PIPE
t f t. - 2 tt.
PELLETIZED BENTONITE
tft. - 21t.
CLEAN WASHED SAND
5ft. - 15ft.
WELL SCREEN
2' or 4' MACHINE-SLOTTED
PVC SCREEN
CONSTRUCTION DETAIL FOR A MONITORING WELL
PROJECT SCALE; AS SHOWN
YANCEY COUNTY SCHOOL O WesUnghouseEnvironmental JOB NO; SGw—Aii4/1267-90—
6
BUS GARAGE UST and Ge&chnical Services,Inc. FIG. NO : 2

PROTECTIVE CASING
0 o.
o •o
GROUP
.0 ( O ALTERNATE
MANHOLE
O
COVER—USEDIN
O 0 O TRAFFIC AREAS
CD o$0
o� . bo
2" SCH 40 PVC CASING • CI.
�O O
O
flO O
BENTONITE
a
GRAVEL/SAND
SCREEN
SCHEMATIC OF MONITOR WELL
PROJECT SCALE: AS SHOWN
J 0 B NO . SGW—A114/1267-90—
YANCEY COUNTY SCHOOL Westinghouse Environmental 256
BUS GARAGE UST and Gectechnical Services. Inc. Fl G. NO '. 1

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY 1(ELL(S)
To: NORTH :CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION JUNE.6, 1991
Gentlemen:
In accordance with the provisions of Article 7. Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
YANCEY COUNTY BOARD OF EDUCATION for a permit to construct a
(name—of well owner
monitor/recovery well(s). as described below and in the accompanying data submitted as a
Part of this application.
(a) Name of property owner: YANCEY COUNTY BOARD OF EDUCATION
(b) Location of property: 621 WEST MAIN STREET - BURNSVILLE, N.C. YANCEY I
(Road, ustry, Community. etc. own County
(c) Type of facility or site being monitored: '
UNDERGROUND STORAGE TANKS AT SCHOOL BUS GARAGE
I
(d) Types of contamination being monitored or recovered:
DISSOLVED CONSTITUENTS OF GASOLINE & FUEL OIL
(e) Existing monitor,well numbers: MW-1 THROUGH MW=6
(f) Existing monitor wells showing contamination (well no.): MW-1, 4, 5, 6
(g) Estimated water-table depth: 10 feet
(h) Estimated date of construction: Begin JULY 1, 1991 Complete JULY 31, 1991
(i) Drilling constrictor: WESTINGHOUSE ENVIRONMENTAL AND GEOTECHNICAL SERVICES,INC.
0) Location of well: Provide a detailed map showing the location of the proposed well(s),
and of any •wells in an existing monitoring system (if applicable), in relation to the
Pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway t
road identification numbers. (Show all existing water supply wells within a radius of tt 1,G00•feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens. sand pack, grout, type of materials. etc.
The Applicant hereby agrees the proposed 621 WEST MAIN STREET
well will be constructed.in accordance with BURNSVILLE;_ N.C. 28714
approved specifications and conditions of (Mailing Address of Wellner- equ red)
the Well Construction Permit. As regulated 1400 SWEETEN CREEK ROAD
under the Well Construction Standards (Title ASHEVILLE, N.C. 28803
15 - North Carolina Administrative Code, (Hailing Address of Agent-if other
Subchap r 2C) than above)
Signature o We Owner or Agent
FOR OFFICE USE ONLY
PROJECT MANAGER
T t e app ca a PERMIT NO. -issued 19
GW-22B

LEGEND
EXISTING MONITOR WELL
A6 PROPOSED MONITOR WELL N
PROPERTY
LINE ,
STEEP BANK
MW-4
MW-8 0
MW-3 MW-2
SCHOOL BUS
GARAGE
MW-5 TANK FARM
AREA
MW- I
MW-7
MW-6
GREEN MOUNTAIN ROAD
SCALE : NT.S.
PROJECT Westinghouse Environmental
YANCEY COUNTY SCHOOL BUS ® J 0 B NO: 1267- 90- 256
GARAGE SITE PLAN and Geotechnical Services, lnc. FIG NO: I OF I

SEP 24 ' 90 10:53 it-idE9•T-PN-&H0US-E--v,_--- ^-• "- PAGE . 002
Westinghouse Environmental 155 Tradd Street
and Gefthnical Semi=Inc. Spartanburg.SauUi Carolina 29301
(8031574.2360
Fax(803)57MI30
Greenville(803)232-8987
September 24, 1990
North Carolina Department of
Environment, Health, and Natural Resources
Division of Environmental Management
59 Woodfin Place
Asheville, North Carolina 28801
Attention: Ms, Laura Herbert
Subject: Proposed Monitoring Well Locations
Yancey County School Bus Garage
Burnsville, North Carolina
1257-90-256
Dear Ms, Herbert.-
Please consider this a request to install five groundwater
monitoring wells at the locations indicated on the attached site plan. There
is a possibility that wells MW-21 HW-4 and MW-5 will have to be shifted from
the location indicated on the site plan because of the close proximity to
overhead power lines, If the well locations are moved during installation, we
will notify your office. The wells are currently permitted under Permit No.
99-0054-WM-0011.
We anticipate beginning the installation of the additional wells
upon your verbal approval of these locations. Should you have any questions
concerning this letter or the attached information, please feel free to
contact us at 803/574-2360•
Sincerely,
WESTINGHOUSE ENVIRONMENTAL &
GEOTECHNICAL SERVICES, INC.
John Whitehead, P.G.
Project Geologist
cc: Mr. Ronnie Proffitt
Yancey County Board of Education
A Westinghouse Electric Corporation subsidiary.

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D MW-3
O
OWERH D LM *Ag*WAD LIDS
w SCHOOL Bus GARAGE is"
13
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WALE : DATE arAwso TITLE : Wm ftm
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V
1
State of North Carolina z
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann R Orr
William W. Cohey,Jr., SecretaryDIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
July 10, 1990
Mr. Ronnie Proffitt
Yancey County Board of Education
621 West Main Street
Burnsville, North Carolina 28714
Dear Mr. Proffitt:
Subject: Well Construction Permit No. 99-0054-WM-0011
Yancey County School Bus Garage
Underground Storage Tank Incident No. 5604
Yancey County, North Carolina
In accordance with your application received June 13, 1990, we are
forwarding herewith Well Construction Permit No. 99-0054-WM-0011 dated July 10,
1990, issued to the Yancey County Board of Education for the construction of
one (1) monitor well, or more as needed, at the Yancey County School Bus Garage
in Yancey County.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended.
Unless such demand is made, this Permit shall be final and binding.
This Permit will be effective from the date of its issuance until January
10, 1991, and shall be subject to the conditions and limitations as specified
therein. Attached is a Well Construction Record to be completed and signed by
the drilling contractor. This form should be submitted to the Department upon
completion of the well.
SIncerely,
Roy Davis
Regional Supervisor
RMD/LCH/gc
Attachment
cc: Perry Nelson
John Whitehead
Interchange Building,59 Woodfin Place, Asheville, N.C.28801 •Telephone [phone]
\ An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION ,
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA Y,
h
L'
1
PERMIT FOR THE #
CONSTRUCTION OF A WELL
OR WELL' SYSTEM ;
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
THE YANCEY COUNTY BOARD OF EDUCATION
FOR THE CONSTRUCTION OF one (1) monitor well, or more as needed, for
Underground Storage Tank No. 5604 in the Residuum System of the Blue
Ridge-Inner Piedmont Hydrogeologic Unit located at the Yancey County School
Bus Garage, Burnsville, in Yancey Cbunty, in accordance with the
application dated June 7, 1990, and in conformity with specifications and
supporting data, all of which are filed with the Department of Environment,
Health, and Natural Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with
the North Carolina Well Construction Regulations and Standards, and any
other State and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until
January 10, 1991, and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. The well driller shall notify the Asheville Regional Office prior
to actual construction of the well.

Page 2
2. The well shall be constructed with well casing and well screen
that conform to requirements of the "Criteria and Standards
Applicable to Water Supply and Certain Other Type Wells" (15A
NCAC 2C .0100).
3. The well shall be afforded reasonable protection against damage
during construction and use.
4. The well screen shall be set at a depth where the anticipated
high water table will be below the top of the screen so that any
floating petroleum products can enter the monitor well and of
sufficient depth so there is water adequate for sampling during
the seasonally low water table. '
5. Provisions shall be made on the well cover to prevent surface
water with possible contaminants from entering the well pit, and
contaminating the monitor well.
6. The well shall have permanently affixed an Identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well.
Is not for water supply and that the groundwater may contain
hazardous materials; and depth to screen.
7. Well completion, well abandonment, and water quality reports are
to be submitted to the Division of Environmental Management's
Groundwater Section Central Office in Raleigh.
8. When the well has served its purpose and is of no further use, it
shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15A NCAC 2C).
9. If an additional monitor well, not shown on the location diagram,
needs to be constructed during the time frame of this Permit, a
map showing the proposed location shall be submitted to the
Asheville Regional Office.
Permit issued this the loth day of July, 1990.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Davis, \Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0054-WM-0011

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT.HEM ID NATURAL RESOURCES FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEMENT-Of. iWATER SECTION p 1
P.O.BOX 27697-RALEIGH,NC 27611-7667 Quad. No. V 3 W Serial No.
PHONE[phone] Lat. 35'S5 r ZO rr Lon O f
g. 92 � Pc—
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
/I Header Ent. GW-1 Ent.
STATE WELL DRILLING CONTRACTOR fa1J6fTiA/6f{Dd,SE
DRILLER REGISTRATION NUMBER
`F12 PERMIT NUMBER:
qqCONSTRUCTION055/-Lu/r1- Doll
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: arise 40d t6 , A/C, County: 17
Ste /369 - 45AF&V /xwA1rkA1 401t/Ve Depth DRILLING LOG
(Road, Community, or Subdivision and Lot No.) From To Formation Description
2. OWNER r&ago&W y 'Ad myo AF apmf 'T/Dw
ADDRESS 6a/ 11/fSf K 1L}7N �S�XES7 QVE M ❑F 7M Flld`I WAS SEW 10 U E MIER
/J DI/2A6NI/C 1 StrN 9o7R ou N Z87I54
City or Town State Zip Code
3. DATE DRILLED USE OF WELL
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑ No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. YI D (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING: Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two Slate Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To—Ft.—
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. In.
From To Ft. in. in.
From To Ft. in, in.
13. GRAVEL PACK:
Depth Size Material
From To Ff.—
From—To— Ft.
14. REMARKS: LKf /AcjLUP - NA .540g-
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 REVISED 2/90 Submit original to Division of Environmental Management and copy to well owner.

jt.ec e. se ��
NORTH CAROL INA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY WELL(S)
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION June 7 , 1990
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
Yancey Count Board of Education fora permit t0 construct a
moue o weI I owner
monitor/recovery well(s) as described below and in the accompanying data submitted as a
part of this application.
(a) Name of property owner: Yancey County Board of Education
(b) Location of property: 621 West Main Street, Burnsville Yancey
(Road, Industry, ommun ty, etc. own Tounty
(c) Type of facility or site being monitored:
Underground storage tanks at school bus garage
(d) Types of contamination being monitored or recovered:
Dissolved constituents of gasoline and fuel oil
I (e) Existing monitor well numbers: None
(f) Existing monitor wells showing contamination (well no.): None
I (g) Estimated water-table depth: 10 feet
(h) Estimated date of construction: Begin July 1, 1990 Complete July 31, 1990
(i) Drilling eonstraetor: Westinghouse Environmental and Geotechnical Services, Inc.
(J) Location of well: Provide a detailed map showing the location of the proposed well(s),
t and of any wells in an existing monitoring system (if applicable), in relation to the
pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed 621 West Main Street
well will be constructed in accordance with Burnsville North Carolina 28714
approved specifications and conditions of �Kalling Address of Wellr- equ red)
the Well Construction Permit. As regulated 1 5 Tradd Street
under the Well Construction Standards (Title Spartanburr, South Carolina 2930i
15 - North Carolina Administrative code, (Mailing Address of Agent-if other
Subchapter 20 than above)
g re of Well Owner or Agent
FOR OFFICE USE ONLY
Pro'eit Geolo 'st PERMIT NO. issued 19
_
rojit e app ca e
GY-22B

LoclaNc CAP
WATER ,F,,ffT CAP
CONCRETE Ft1D
STEEL OUTER CASING
LAND SURFACE
D .4
C 9 ALTERNATE MANHOLE
9 �• COVER-USED IN
.(7. .Q. yS HEAVY TRAFFIC AREAS
NEK CEMENT GROUT Q
Q
WELL CASING
2'or 4'SCH PVC PIPE
10
PELLETIZED BENTONTTE 1-2 FEET
1-2 FEET
' CLEAN WASHED SAND .
15 FEET
t
' WELL SCREEN
2'-4'MACHWE-SLOTTED
PVC SCREEN —
CONSTRUCTION DETAIL FOR A MONITOR WELL

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
July 23, 1990
Mr. Ray McCall
Carolina Water Service, Incorporated
23 Morgan Street
Brevard, North Carolina 28712
Dear Mr. McCall:
Subject: Well Construction Permit No. 99-0055-WS-0012
Blue Mountain Estates Lodge & Country Club
Yancey County, North Carolina
In accordance with your application received July 16, 1990, we are
forwarding herewith Well Construction Permit No. 99-0055-WS-0012 dated July 23,
1990, issued to Carolina Water Service, Incorporated for the construction of a
70 gallon per day water supply well.
This Permit will be effective from the date of its issuance and shall be
subject to the conditions and limitations as specified therein. Attached is a
Well Construction Record to be completed and signed by the drilling con-
tractor. This form should be submitted to the Department upon completion of
the well.
Sincerely,
Roy Davis
Regional Supervisor
RMD/FCH/gc
Attachment
cc: Perry Nelson
Division of Health Services
Interchange Building,59 Woodlin Place, Asheville, N.C.28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
CAROLINA WATER SERVICE, INCORPORATED
FOR THE CONSTRUCTION OF one (1) water supply well in the Bedrock System of
the Blue Ridge-Inner Piedmont Hydrogeologic Unit, located at Blue Mountain
Estates Lodge & Country Club in Yancey County, in accordance with the
application dated July 13, 1990, and in conformity with specifications and
supporting data, all of which are filed with the Department of Environment,
Health, and Natural Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with
the North Carolina Well Construction Regulations and Standards, and any
other State and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until
January 23, 1991, and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. Prior notice of the pumping test date must be given to Donald R.
Link, 59 Woodfin Place, Asheville, North Carolina 28801, (704)
251-6208, at least 48 hours prior to the start of the test.

Page 2
2. Well site approval must be obtained from the Division of Health
Services of the North Carolina Department of Environment, Health,
and Natural Resources in Black Mountain, North Carolina.
Permit issued this the 23rd day of July, 1990.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Da 's, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0055-WS-0012

NORTH CAROUNA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEMENT - GROUNDWATER SECTION
P.O.BOX 27887-RALEIG/LN.C.27611.PHONE[phone] Quad. No.S 8r` ft' Serial No.
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
Header End. OW-i Ent.
DRILLING CONTRACTOR -ALDyvCfG
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER etwo 99 PERMIT NUMBER:
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: I41" liWXLrL. County: _I4-- e4y
Depth DRILLING LOG
(Road, Community, or Subdivision and Lot No.) From To Formation Description
2. OWNER AfAAeeVN 41�07 49— 1-AW1C,/�
ADDRESS —?J e"AWAI erT' cm cow of d is farm ww s®t to the &iller
(Street or Route No.
✓.9.ea .v_G A J"I/a
City or Town State Zip Code
3. DATE DRILLED USE OF WELL 4
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING: Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To FL
11. GROUT:
Depth Material Method
From To-Ft.-
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. In. in.
From To Ft. in. in.
From To Ft. in, In.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:_kora a�✓�Gy
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO TFE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Division of Environmental Management and copy to well owner.

NORTH C LiNA ENVIRONMENTAL MANAGEMEyi L*tISSIOty'� or C. iE ;« V
DEPARTMENT OF NATURAL RESOURCES AN COMMUNI"X DEVELOPME
P.O. BOX 27687 R-ALEIGH, N.C. 27611 JUL 16
1990
APPLICATION FOR PERMIT TO MNSTRUCT A WELL Groundwater Section
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION7-Z 19 Q® tl
Gentlemen: -I
In accordance with the provisions of Article 7, Chapter 87, General Statutes of
No th Carolina, and regulations pursuant thereto, application is hereby made by
-t for a permit to construct
(name of well owner)
a well as described below and in the accompanying data submitted as a part of this
application.
(a) Name of Property owner
(b) i Location of Property. j
(Road, Community, Subdivision, Lot No. ) Town County
(c) Purpose of well
(d) Will proposed well replace an existing well )
(e) Total capacity of existing system: gallons per day
Well No. Yield Well 'No. Yield
(f) Proposed well: /�
Construction typePl?Al tl.tJ� (open end, screened, gravel packed, etc. )
Estimated depth 0�:n Estimated Yield f/r,
Estimated date of cwtruction: Begin 3o n Complete / p J y 4)
(g) Drilling Contractor: (�jJ�(LEnL�TjCILL,�nx-
(h) Location of Well: Provide a detailed map showing the location of the proposed well
and any wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road
identification numbers. Show all existing water supply wells within a radius of
1,000 feet of the proposed well. Ny 4 e.
M Well Construction Diagram: Provide a diagram showing proposed construction
specification. (See Form GW-22A)
The Appti.eant hereby agaeee .the pnopoaed
weP.2 watt be conb.thucted in accordance with (Mailing Address of 7VJel Owner (Required,
apphoved Apeei6icatiom and condition o5 23 Y>7D/ � Sr
to Wett Co auction PeAmci.t.
Mailing Address of Agent o- /
gnature of Well Owner or Agent �tyU-44 ;S7/gyp �(p
itle PERMIT NO. issued 19
GW-22

DIAGRAM OF PROPOSED /
CONSTRUCTION SPECIFICATIONS
Straight—Screened
or Open—End Well
Gravel—Packed Well (Constructed in consolid—
(Constructed in unconsolidated formations) ated formations)
I land surface
A) Casing:
1) Inner: type I. D. Ibs./ft.
ft. (depth) ft. (into rock) /
2) Outer: type I. D. Llbs./ft.
M�p^ _1�_ft. (depth) �g
B) Cement: PRock
.__.1) inner Casing: ft. •to ft.
2) Outer Casing: �ft. toQ ft. Rock
C) Screen(s): type I. D.
ft. to ft.
ft. to ft.
D) Gravel: :t. to ft, in.
(size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction including, but not limited to,
casing (outer and inner)_, sealing material (cement, clay,
etc. ), packers, screens, gravel, chemical feed lines, etc.)
Location Diagram: (Previously prepared maps may be submitted provided they con—
tain information required in item (g) of the application).
GW 22A

•w� . � �S:'� i 4 `� `_ �Y �r tf t '4�.; �t �ti Y Cr a1 t�l' �...
t -- � t A r.� �' t +.t a /` . . 1 � ',�(t i � \ I� •-. �...� il.Tr• ,� T• t�
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i _ ,y t t_ 4 ;1'/ - .f� a;T�-�ip� t �:s• F•T"yr +n,f� -��••
9
C�.� •� Y
� 1• y-
ISI It
Y
^I M �j � \arc rf• .•
- c toff•►' V

07 '20 t ='0 17: 25 FROM C INR WATER SERVICE TO 170 .6452 P.01
CAROLINA WATER SERVICE.INC.of N.C.
+w.rinurt hr
ULTrIILLIlirll cc.
Cwpwalo Offja ; Minh Caroflru:
2335 Sm4s,Roan
Nomwo k,Illowlc 60062 Nnarma.NO [phone]
Telephone:(712)49a-6440 Wnnar EA.NO (704)$%&SOI I
Cn4/Una,NO (704)625.79W
Baaionel O(11cw; Malehaad City,NO [phone]
5701 Waalpark W.,8oea 1ol New$ern,NO (919)W34920
P.O.box 240705 Wn'epen69 Pinar,NO NIS)wV-2010
CnarlOna.NO 28224
[phone]
Date Tirne �_ �7�"�
Attention:-- FZep
From FZAY M c-c-'qGt-
Number of pages• 3 including this cover page.
Our Facs-jnLe Num�,ar is: (704) $62 -- ¢3g 2.
Remarks:
'�l�SQSraIJS�'-_
�U L'A locA+,o-+� c�lAe- pyd p6scq 1 LL
C.Ray Nlcca)t
WA4em Reg"Me:,ay7er
Fax.704-a62.4382
Bus:7N-A6-4248
CAROLINA WATER SERVICE, INC.
23 Morgan St.
Urevara, NC 28712

07/20/1990 13:26 FROM C .INA WATER SERVICE TO 170-16452
?,Vooeal
5 �
it
350
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412
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is 40"
44
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7F cam: ` 3g50 R
392
7•lo j

07/20/19`9`90 13: 26 FROM C .INA WATER SERVICE TO 17e"-16452 P.03
W o w L 4 U Cie n�.
140 .� ....•• $WEM�r Pita . .
ibY \ OYS2lpG1L VILL.
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..... ...� a:
Ilk
On
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
February 22, 1991
Mr. Jim McQueen
Mountain Air Country Club
Post Office Box 1037
Burnsville, North Carolina 28714
Dear Mr. McQueen:
Subject: Well Construction Permit No. 99-0056-WS-0013
Mountain Air Country Club
Yancey County, North Carolina
In accordance with your application received February 14, 1991, we are
forwarding herewith Well Construction Permit No. 99-0056-WS-0013 dated February
22, 1991, issued to Mountain Air Country Club for the construction of a 144,000
gallon per day water supply well, or more as needed.
This Permit will be effective from the date of its issuance and shall be
subject to the conditions and limitations as specified therein. Attached is a
Well Construction Record to be completed and signed by the drilling con-
tractor. This form should be submitted to the Department upon completion of
the well.
Sincerely,
11 � \
Roy . Davis
Regional Supervisor
RMD/GSG/gc
Attachment
cc: Perry Nelson
Division of Environmental Health
Caldwell's Well Drilling, Incorporated
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
MOUNTAIN AIR COUNTRY CLUB
FOR THE CONSTRUCTION OF one (1) water supply well, or more as needed, in the
Bedrock System of the Blue Ridge-Inner Piedmont Hydrogeologic Unit, located off
of Phipps Creek Road in Yancey County, in accordance with the application dated
February 12, 1991, and in conformity with specifications and supporting data,
all of which are filed with the Department of Environment; Health, and Natural
Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until, and
shall be subject to other specified conditions, limitations, or exceptions as
follows:
1. Prior notice of the pumping test date must be given to Donald R. Link,
59 Woodfin Place, Asheville, N. C. 28801, 251-6208, at least 48 hours
prior to the start of the test.

Page 2
2. Well site approval must be obtained from the Division of Environmental
Health Services of the North Carolina Department of Environment,
Health, and Natural Resources in Black Mountain, N. C.
3. If additional water supply wells, not shown on the location diagram,
need to be constructed during the time frame of this Permit, a map
showing the proposed location shall be submitted to the Asheville
Regional Office.
Permit issued this the 22nd day of February, 1991.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0056-WS-0013

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT .TH AND NATURAL RESOURCES FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEMEI iOUNDWATER SECTION
P.O.BOX 27687-RALEIGH,NC 27611-7687 - Serial NO.
PHONE)919)]33-3221 QUr)i NO.
Lat. Long. PC_
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
I „s Header Ent. OW-1 Ent.
DRILLING CONTRACTOR C 4 ld we �S �C Y/11.TNc,
STATE WELL CONSTgIZCfIOIJ05`" WS_ OO 13 DRILLER REGISTRATION NUMBER 9 Y PERMIT NUMBER: 4499 OO
1. WELL LOCATION: (Show sketch of the location below) Y /.
Nearest Town: County: 1 Q h G C,
Depth DRILLING LOG
(Road. Community, or Subdivision and Lot No.) .t / From To Formation Description
2. OWNER MCIA Y1 tat Air(� Go1Av\ 1 rU C�[
ADDRESS (M M OF IM FM MS SW 10 IM DM.PR
(Street or Route No.
City or Town State Zip Code
3. DATE DRILLED USE OF WELL
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. ❑ above TOP OF CASING,
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING: Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To FL or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To-Ft.-
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. In.
From To Ft. in. kL
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C. WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-i REVISED 2i90 Submit original to Division of Environmental Management and copy to well owner.

NORTH 30L1NA ENVIRONri NTAL MANAGEI S, 10:^2 T D
DEPARTMENT OF N. TUPAL RESOU' CES ADD CO:,2xIiNTTY DEV T
P.O. BOY, 27687 R97EIGH, N.C. 27611 '
APPLICATION FOR PERMIT TO COs9STRUCT A WE' Y
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION _ /2 19_yl/ _
Gentlemen:
In accordance with the provisions of Article 7, Chanter 87, General Statutes of
North Carolina, and regulations ursuant thereto, application is hereby made by
y77� �� for a permit to construct
(name of well er)
a well as described below and in the accompanying data submitted as a part of this
application. f
(a) Name of Property owner az,i af'�
(b) Location of Property. L%r.Q/ /9_"�
(Road, Community, Sub ivision, Lot No. ) Town V Coun
gry
(c) Purpose of well jk_')AZ�
(d) Will proposed ?well replace an existing well rd
(e) Total capacity of existing system: ? gallons per day
Well No. Yield Well No. Yield
!z /
2-
(f) Proposed well:
Construction type g c+ Ev�l (open end, screened, gravel packed, etc.)
Estimated depth a Estimated Yield v`-a - led 6r'i�I
Estimated date of construction.: Begin _7 -/8- P/ Complete 3
(g) Drilling Contractor: tgu/�
(h) Locat4on4f Well: Provide a detailed map showing the location of the proposed well
and airy wells in the existing system to at least two (2) nearby reference points such
as roads, intersections, and streams. Identify roads with State Highway road
identification numbers. Show all existing water supply wells within a radius of
1,000 feet of the proposed well.
M Well Construction Diagram: Provide a diagram showing proposed construction
specification. (See Form GW-22A)
The Appt i can.t hereby agnee6 .the p2o poa ed /--f e?'t-Y Cam
weft wi,U be con6.tltucted in accordance with (Mailing Address of ell Owner (Require
approved apeci6icattion6 and condLti-ond o6
.the wau.. Con.a.tAue.ti.on Pen ni-.t. Pd• x!5;X 1437
LJ. Mailing Address of Agent2 T7__/F
Signature of. Well Owner ore-Agent
z
Title PERMIT NO. issued 19
GW-22

DIAGRAM OF PROP0SED '
CONSTRUCTION SPECIFICATIONS
Straight-Screened
or _ Open-End Well
Gravel-Packed Well (Constructed in consolid-
(Constructed in unconsolidated formations) ated formations)
land surface y
I
A) Casing:
1) Inner: type I. D. Iba./ft.
—ft. (depth) ft. (into rock) � p
2) Outer:S7"a c type 6 I. D. ISY ibs./ft. D
ft. (depth) W
V
B) Cement:
1) Inner Casing: ft. to Yt.
2) Outer Casing: 0 ft. to 2 O ft.
Rock Rock
C) Screen(s): type I. D.
__�Mt. to ft.
ft. to ft.
D) Gravel: `Z o ft. in.
(size)
(Fill in each blank that applies and use appropriate diagram
to show proposed construction including, but not limited to,
casing (outer and inner), sealing material (cement, clay,
etc. ), packers, screens, gravel, chemical feed lines, etc. )
Location Diagram: (Previously prepared maps may be submitted provided they con-
tain information required in item (g) of the application).
r
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a..SLV[o
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office `
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
February 4, 1992
Mr. Al Chieves
Avondale Mills
900 Avondale Avenue
Sylacauga, Alabama 28714
Dear Mr. Chieves:
Subject: Well Construction Permit No. 99-0057-WM-0014
Avondale Mills
Underground Storage Tank Closure Assessment
Yancey County, North Carolina
In accordance with your application received January 21, 1992, we are
forwarding herewith Well Construction Permit No. 99-0057-WM-0014 dated February
4, 1992, issued to Avondale Mills for the construction of one (1) monitor well,
or more as needed, at Avondale Mills, 700 W. Main Street, Burnsville in Yancey
County.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended.
Unless such demand is made, this Permit shall be final and binding.
This Permit will be effective for the construction of a monitor well from
the date of its issuance until the site assessment has been completed, and
shall be subject to the conditions and limitations as specified therein.
Attached is a Well Construction Record to be completed and signed by the
drilling contractor. This form should be submitted to the Department upon
completion of the well.
Sincerely,
f1
Royi, Davis
RMD/LKD/gc Regional Supervisor
Attachment
cc: Perry Nelson
Max Kimel
A E Drilling Services, Incorporated
Interchange Building, 59 Woodfin flue,Asheville, N.C. 28801 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
AVONDALE MILLS
FOR THE CONSTRUCTION OF one (1) monitor well, or more as needed, for an
underground storage tank closure assessment in the Residuum System of the Blue
Ridge-Inner Piedmont Hydrogeologic Unit, located at Avondale Mills, 700 W. Main
Street, Burnsville in Yancey County, in accordance with the application dated
January 20, 1992, and in conformity with specifications and supporting data, all
of which are filed with the Department of Environment, Health, and Natural
Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining to well construction.
This Permit will be effective for the construction of monitor wells from
the date of its issuance until the site assessment has been completed, and shall
be subject to other specified conditions, limitations, or exceptions as follows:
1. The well driller shall notify the Asheville Regional Office prior to
actual construction of the well.

Page 2
2. The well shall be constructed with well casing and well screen that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15A NCAC 2C .0100).
3. The well shall be afforded reasonable protection against damage during
construction and use.
4. The well screen shall be set at a depth where the anticipated high
water table will be below the top of the screen so that any floating
petroleum products can enter the monitor well and of sufficient depth
so there is water adequate for sampling during the seasonally low
water table.
5. Provisions shall be made on the well cover to prevent surface water
with possible contaminants from entering the well pit and
contaminating the monitor well.
6. The well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well
is not for water supply and that the groundwater may contain
hazardous materials; and depth to screen.
7. Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
8. When the well has served its purpose and is of no further use, it
shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15A NCAC 2C).
9. if an additional monitor well, not shown on the location diagram,
needs to be constructed, a map showing the proposed location shall be
submitted to the Asheville Regional Office.
Permit issued this the 4th day of February, 1992.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Rq M. Davis, egional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0057-WM-0014

/ North Carolina- Department of Environment. Health,and Natural Resources FOR OFFICE USE ONLY
x/ Division of Environmental Manac it-Groundwater Section QUAD,I f$3 SERIAL NO.
P.O. Box 29535- Ralei C.27626-0535
Phone [phone] Lac Long, RO
Minor Basin
WELL CONSTRUCTION RECORD Basin Coda
DRILLING CONTRACTOR: Header Ent GW-1 Ent
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER: PERMIT NUMBER: 9f— QOS7—L�/JI—OO/�
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: County:
(Road,CommunityQQ,or Subdivision and Lot No. DEPTH DRILLING LOG
2. OWNER /7LM1�OI�C �� From To Formation Description
ADDRESS ONf' G0 07— T#1_5 )C:i7 h. S�X 7—
(Street or Route No.) _n D 2/LL C2
City or Town State Zip Code l
3. DATE DRILLED USE OF WELL —
4. TOTAL DEPTH
5. CUTTINGS COLLECTED YES❑ NO❑
6. DOES WELL REPLACE EXISTING WELL? YES NOF—]
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use'+'if Above Top of Casing)
8. TOP OF CASING IS FT. Above Land Surface'
Casing Terminated atlor below land surface Is Illegal unless a variance Is Issued
In accordance with 15A NCAC 2C .0118 --
9. YIELD (gpm): METHOD OF TEST
10. WATER ZONES (depth):
11. CHLORINATION: Type Amount If additional space is needed use back of form
12. CASING:
Wall Thickness LOCATION SKETCH
Depth Diameter or weight/Ft. Material (Show direction and distance from at least two Slate
From—To — Ft.— Roads,or other map reference points)
From To Ft.
From To Ft.
13. GROUT:
Depth Material Method
From To Ft.
From To Ft.
14. SCREEN:
Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft. in. _ in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS: / l{57 Sire 1f.SSCS3 +IP47'
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND.THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 REV,901 Submit original to Division of Environmental Management and copy to well owner.

kUhhh,.HIOLSTON REMEDIATION, INC.
Specializing in Highly Personalized Service to Meet Your Environmental Needs
January 20, 1992
Ms.Kay Dechant
North Carolina Department of Environment, Health and Natural Resources
59 Woodfin Place
Asheville, North Carolina 28802
Re: Avondale Mills
Groundwater Monitoring Well Permit Application
Dear Ms. Deehant,
Please find enclosed the following:
1. Application
2. Site Map
for the above referenced project.
If you have any questions or need any additional information, please feel free to contact me at
[phone].
Sincerely, /
Max Kimel
Environmental Consultant
�-a
o
JAW 2 ! gee
NORTH CAROLINA TENNF_CSFF_
P. O. Box 158 P. O. Box 6069
Wayneevllle,NC 28786 Chattanooga,TN 37401
[phone] [phone]
[phone] [phone]

NORTH CAROLINA
7 ivvrRONMENTAL MANAGEMENT COMMtabtON "7ROUUNOWPER
• DEPARIMENr OF ENVIRONMENT, HEAI7H. & NATURAL
APPLICATION FOR PERMIT' TO CONSTRUCT A MONITORIN
Date: .January 20 , 19 92 County Yancey
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North C
thereto, application is hereby made for a permit to monitoring wells.
1. Name of Applicant Avondale Mills (Telephone: [phone]
Applicants Mailing Address: 700 W. Main St. , Burnsville, NC 28714
2. Name of Property Owner (if different from applicant) Avondale Mills
Owner's Mailing Address: 900 Avondale Ave. Sylacauga, AL 28714
3. Contact Person: Al Chieves (Telephone: [phone])
4. Location of Property: 700 W. Main St Burnsvi1le, NC
5. Reason for Monitoring Well(s): Environmental Assessment
(ex: nondscharge permit requirements, suspected contamination, environ mental assessment, etc.)
G. Type of facility or site for which the monitoring well(s) is needed:_ underground storage tank closure assessment
(ex: nondischarge facility, waste disposal she, landfill, underground storage tank, etc.)
7. Type of contamination being monitored (if applicable): petroleum hydrocarbons
(ex: nutrients, organics, heavy metals, etc.)
8. Are any existing recovery wells associated with the monitoring well(s)? no If yes, how many?
Recovery Well Construction Permit No.
9. Distance to a known waste or pollution source: 5 feet
10. Are any water supply wells located less than 500 feet from the proposed monitoring wells? no
If yes, give distance: feet
11. Well Driller: AE Drilling Services, Inc.
12. Registration #: _ 993
13. Driller's Address: 102 Pilgrim Rd _ Greenville. SC 29607
PROPOSED MONITORING WELL CONSTRUCTION INFORMATION
1. Total Number of Wells to be constructed: 1 (A) Number to be completed in bedrock? 0
(B) Number to be completed in unconsolidated material? 1
FOR OFFICE USE ONLY
2. Estimated depth of well(s): 35 feet _ PERMITTED ACTIVITY
U.S.T. LEAK DETECTION
3. Gravel or sand pack interval (if appropriate) _ GROUNDWATER QUALITY STANDARDS
From 24' feet To 35' feet VIOLATIONS SUSPECTED FROM UNPERMITTED
ACTIVITIES
4. Type of casing used: PVC — NOTICE OF NON-COMPLIANCE AT
(ex: PVC, stainless steel, galvanized steel, etc.) UNPERMITTED FACILITIES
PERMIT NO. ISSUED 19
5. Diameter of casing: 2" inches INCIDENT #
GW 22M (7/91)

6. Thickness of casing: erhH_ do hes
7. How will the well(s) be secured? concrete pad
8. Estimated beginning construction date: February 7, 1992
9. Estimated completion date: February 7, 1992
ADDITIONAL INFORMATION
1. ATTACH A SITE MAP SHOWING THE LOCATIONS OF THE FOLLOWING:
1 - PROPOSED MONITORING WELL(S)
2 - ALL EXISTING MONITORING AND RECOVERY WELLS OR TEST BORINGS WITH THE PROPERTY
BOUNDARY
3 - ALL WATER SUPPLY WELLS WITHIN 500 FEET OF THE WASTE SOURCES
4 - AT LEAST TWO REFERENCE POINTS (NUMBERED ROADS, INTERSECTIONS, STREAMS, ETC.)
2. PROVIDE A WELL CONSTRUCTION DIAGRAM OF EACH WELL SHOWING DIAMETER, ESTIMATED DEPTH, SCREEN
INTERVALS, SAND/GRAVEL PACKS, TYPE OF CASING MATERIAL, CASING WALL THICKNESS, WELL HEAD COMPLE-
TION DETAILS, ETC.)
The Applicant hereby agrees the proposed well(s) will be constructed in accordance with
approved specifications and conditions of the Well Construction Permit as regulated under the Well
Construction Standards (Title 15A North Carolina Administrative Code, Subchapter 2C) and accepts
full responsibility for compliance with these rules.
Signature of Applicant or Agent
Fes.., o�,_ .-
Title (if applicable)
If the property is owned by someone other than the applicant, the property owner hereby
consents to allow the applicant to construct monitoring wells as outlined in this application and that
it shall be the responsibility of the applicant to ensure that these monitoring wells conform to the Well
Construction Standards (Title 15A North Carolina Administrative Code, Subchapter 2C).
Signature of Property Owner (if different from applicant)

HOLSTON REMEDIATION, INC.
Specializing in Highly Personalized Service to Meet Your Environmental Needs
WELL CONSTRUCTION DIAGRAM
(not to scale)
LAND SURFACE
CONCRETE PAD
8" WATER TIGHT MANHOLE
LOCKING CAP
NEAT CEMENT GROUT
" PVC CASING
IL
BENTONITE SEAL
CLEAN, WASHED
SAND PACK
" PVC WELL SCREEN 3 y
BOREHOLE
NORTH CAROLINA TENNESSEE
P.O.Box Ise P. O.Box 6069
Waynesville,NC 28786 Chattanooga,TN 37401
[phone] (615)2669400
[phone] [phone]

HOLSTON REMEDIATION. INC.
,, ,, • - SITE MAP
DATE /- .20 - 9? JOB # //RT Nc ///O
CLIENT /l yoiv dA IG Mir/1S '
JOB LOCATION 700 W. /NAiN S OU/'N.L'✓.'//c _ Nc: Y.vNCCy C'00✓7y
W. W O"f/. S
- - -
qP
L
SLRIG
�� a grrrex SOS •

c u 16
r uaFf. F3utICK Wolfer Cfwt7' ,
M e.s
ATLANTA ENVIRONMENTAL
MANAGEMENT INC.
April 6 , 1992
Mr. Michael Streeter
North Carolina Department
of Environment, Health and Natural Resources
59 Woodfin Place
Asheville, NC 28801
Reference: Well Permit Application
U. S . Forest Service
Busick Work Center
Dear Mr. Streeter:
Attached is a permit application for installing groundwater
monitoring wells at the U.S. Forest Service Busick Work Center.
We have worked with Ted Minnick previously regarding this site.
Approximately 250-300 cubic yards of contaminated soil have been
excavated at this site, but there is some remaining soil
contamination. Ted directed the Forest Service to install
groundwater monitoring wells to determine if groundwater has been
impacted, rather than doing any further soil excavation.
If you have any questions regarding the attached permit
application, please call . Thank you for your cooperation.
Sincerely,
�p
Robert M. Lewis
Project Engineer
cc: Mr. Steve Cole- U.S. Forest Service
n
9 1992
�reun iaterza7n
ksh2vi?le Ra��.oaal O;Esr,P,
1020 MONROE DRIVE.N.E. SUIT& 100 ATLANTA. GEORGIA 30324
TELEMONE: [phone] FAx:[phone]

NORTH CAR011MA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPIIMME OF ENVIRONMENT. HEALTH, & NATURAL RESO g M N
APPLICATION FOR PEnUT TO CONSTRUCr A RECOVERY G
Date: April 6 , 19 92 County Yancey j APR
- 91992
In accordance with the provisions of Article 7, Chapter 87, General StariiOes of North Carolinj ar1cJ,
thereto, application G hereby made for a permit to monitoring wells. -nAl OFFICE
1. Name of Applicant USDA FOREST SERVICE (Telephone: )
Applicant's Mailing Address: P.O. BOX 2750, OLD POST OFFICE BLDG. , ASHEVILLE NC 28802
2. Name of Property Owner (if different from applicant)
Owner's Mailing Address:
3. Contact Person: STEVE COLE (704) 257-4238
(Telephone: )
4. Location of Property: BUSICK WORK CENTER, FS 472A BUSICK, N.C.
5. Reason for Recovery Well(s): Assess Potential Groundwater Contamination
(ex: groundwater contamination, remedation, etc.)
6. Type of.faidlity or site for which a recovery well is needed: Forest Service Work Center
(ex: existing nondscharge facility, waste disposal site, landlid, underground storage tank, etc.)
7. Type of contamination being recovered (rf applicable): Motor n;1 — r_rea ce
8. Are any existing monitor wells associated with the proposed recovery well(s)? No 0 yes, how many?
Monitoriing Wei Corstnution Permit No.
9. Distance to a known waste or pollution source: @ 10 feet (For Proposed Wells)
10. Are any water supply wells located less than 500 feet from the proposed recovery wells? Yes
,11. Well Driller. Sunrise Drilling Comoanv ff Yes, give stance. @ 400 feet
12. Registration #,. 1321
13. Driller$ Address: 3717 Graham Ridge Ct. Lithonia, Georgia 30058
RECOVERY WELL INFORMATION
FOR OFFICE USE ONLY
1. Total Number of Wells to be constricted: Four (4) _ PERMITTED ACTIVITY
— U.S.T. LEAK DETECTION
No, completed in bedrock? None _ GROUNDWATER QUALITY STANDARDS
VIOLATIONS SUSPECTED FROM UNPERMFTED
No. completed in unconsolidated sediments? None ACTIVITIES
NOTICE OF AT
Completed in unconsolidated material? Four (4) UNPERMITTED FACILITIES
PERMIT NO ISSUED 19
2. Estimated depth of well(s): 24 feet INCIDENT #
2A. Estimated screen interval (Feet below land surface) 13.5 to 7't-S Ft.
3. Will gravel or sand pats be used?: Yes If yes, for what interval: 1 1 s ft to 24 it
GW-22R (791)
(Continued on reverse)

4. Type of casing used: 2.0 inch threaded schartnle 40 PVC
(ex: PVC, stainless steel, galvanized steel, etc.)
5. Diameter of casing: 2 n inches
6. Thickness of casing: 0. 154 inches
7. How will the well(s) be secured? Locked Protective Casing
B. Estimated pumping rate: 2-1 GPM
9. Estimated beginning construction date: 4-15-92
10. Estimated completion date: 4-17-92
ADDITIONAL INFORMATION [REQUIRED INFORMATION]
(APPLICATION CANNOT BE PROCESSED WrrHOUT THIS INFORMATION)
1. ATTACH A SITE MAP SHOWING THE LOCATIONS OF THE FOLLOWING:
I - PROPOSED RECOVERY WELL(S)
2 - ALL EXISTING MONITORING AND RECOVERY WELLS OR TEST BORNGS WITH THE PROPERTY
BOUNDARY
3 - ALL WATER SUPPLY WELLS WITHIN 500 FEET OF THE WASTE SOURCES
4 - AT LEAST TWO REFERENCE POINTS (NUMBERED ROADS, INTERSECTIONS, STREAMS, ETC.)
2. PROVIDE A WELL CONSTRUCTION DIAGRAM OF EACH WELL SHOWING DIAMETER, ESTIMATED DEPTH, SCREEN
INTERVALS, SAND/GRAVEL PACKS, TYPE OF CASING MATERIAL, CASING WALL THICKNESS, WELL HEAD COMPLE-
TION DETAILS, ETC.)
The Applicant hereby agrees the proposed well(s) will be constructed in accordance with
approved specifications and conditions of the Well Construction Permit as regulated under the Well
Construction Standards (title 15A North Carolina Administrative Code, Subchapter 2C) and accepts
full responsibility for compliance with these rules.
Atlanta Environmental
Management, Inc.1920 Monroe Drive, N.E.
Signature of Applicant or Agent Suite 100
Atlanta, Georgia, 30324
Project Manager
Title (if applicable)
If the property is owned by someone other than the applicant the property owner hereby
consents to allow the applicant to construct recovery wells as outlined in this application and that
it shall be the responsibility of the applicant to ensure that these recovery wells conform to the Well
Construction Standards (fftle 15A North Carolina Administrative Code, Subchapter 2C).
Signature of Property Owner (if different from applicant)

:LAN GMEMT,. =C.
P=pject: USDA Forest Service=
rr^,, Leeatiea: Busick Work Center
WeLL Humi-e_--MW-1,2,3.4 Gz--=6 NA
Date Lttstalled:4 15l17=9 2 Casiro __evatioa(d�.L) : NA j
Hale Diamete_"(iaj : 8.0 Piltar Pack Tie: 20-40 SAM
Well CasiLng Diametz=(i., :3.0"Sch.Sf.= - Slot Cpea�q(laj : a.�!
Cas�c
N
to be
;=;,eS large=
!:a... ouC3-ode dia.
of casing.
CiOL't Typee
Camert
Z.C .."g n.and. scree�'a� "' asi
to be cencared
bo rho Ld.
tie..
3•Sao of well
screen should be
t I, above nean h 36
Seal °'-ate seasonal wacar
Benconice' vellecs
�: r7ell,
CeDt: 4•Casing and screen.
Toll Seal Lanc— nacertal to be I
HC=in i. i comvacible •rich
Deur-h c7pe of concami-
I aanc being aonito I::.
I
t' 5.'Jell head to be
Labeled with high'/+
,_-
$Ceps visible warning
Pae's� Length saying "'Jell Is for
c : ronicoring and nab
L2a�• -w considered safe fot
�5 .
al^nk dr:akiag".
ft.
I Length
6.7eI3. to be affar:'.a .
=£t. 1 1.
reasonable procac_,-.
against damage after
conscrucrion.
Cc>mQpa=:Too of filter vack.will be Z.O. °—t Iheoa. rnn of 1J,77 ,17
screened across ehe water riblo z4rN at + `^oa of oven sereev on rne-
Ae11 Develcament•
'Page ai

our
GROUNDWATER FLOW BUILDING
w-11 (Estimated)
"o -4 CULVERT
Greaa Area
• �� .IMPACTED SOIL POLLUTANT '
WOODED,AREA EXCAVATION SOURCE
Is CONCRETE
--�� --'-- —7' PAD -- -
x
GRASS PAVING IIORN CENTER
OUT BUILDING
Grass Area
s RATER WELL
t LEGEND
Not to scale
Proposed Monitoring Well Locations

xY
0
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
jantes (;. Martin, Gu crnor Ann B. Orr
William W. Cobey, jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
April 6, 1992
Mr. Robert Lewis
Atlanta Environmental Management, Incorporated
1920 Monroe Drive, N. E
"Bile 100
Atlanta, Georgia 30324
Dear Mr. Lewis:
Subject: Well Construction Permit No. 99-0059-WM-0015
USDA Forest Service-Busick Work Center
Highway 80-Busick
Groundwater Incident No. 6616
Yancey County, North Carolina
In accordance with your application received April 2, 1992, we are
forwarding herewith Well Construction Permit No. 99-0059-WM-0015 dated April 6,
1992, issued to USDA Forest Service for the construction of four (4) monitor
wells, or more as needed, at USDA Forest Service-Busick Work Center in Yancey
County.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, Identifying the specific issues to be contended. Unless
such demand is made, this Permit shall be final and binding.
This Permit will be effective for the construction of monitor wells from
the date of its Issuance until the site assessment has been completed, and shall
be subject to the conditions and limitations as specified therein. Attached are
Well Construction Records to be completed and signed by the drilling contractor.
These forms should be submitted to the Department upon completion of the wells.
Sincerely,
Roy M. bavis
RMD/MES/gc Regional Supervisor
Attachments
cc: Perry Nelson
Sunrise Drilling Company
Interchange Building, 59 Woodfm Mace, Asheville, N.C. 28MI •Tekphw 70425"208
An Equal Oprx)mni t,Affirmative Action EmpA over

w
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
USDA FOREST SERVICE
FOR THE CONSTRUCTION OF four (4) monitor wells, or more as needed, for
Groundwater Incident No. 6616 in the Residuum System of the Blue Ridge-Inner
Piedmont Hydrogeologic Unit, located at USDA Forest Service-Busick Work Center
in Yancey County, in accordance with the application dated March 27, 1992, and
in conformity with specifications and supporting data, all of which are filed
with the Department of Environment, Health, and Natural Resources and are
considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining 'to well construction.
This Permit will be effective for the construction of monitor wells from
the date of its issuance until the site assessment has been completed, and shall
be subject to other specified conditions, limitations, or exceptions as follows:
I. Written permission must be obtained from the property owner prior to
construction of the wells.

t
Page 2
2. The well driller shall notify the Asheville Regional Office prior to
actual construction of the wells.
3. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15A NCAC !2C .0100).
4. All wells shall be afforded reasonable protection against damage
during construction and use.
5. The wells shall be constructed to a depth of ten feet below the
seasonally low water table.
6. The well screens shall be set at a depth where the anticipated high
water table would be below the top of the screens so that any floating
petroleum products could enter the monitor wells and be of sufficient
depth so there is water adequate for sampling during the seasonally
low water table.
7. Provisions shall be made on the well covers to prevent surface water
with possible contaminants from entering the well pits and
contaminating the monitor wells.
8. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well
is not for water supply and that the groundwater may contain
hazardous materials; and depth to screens.
9. Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
10. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and, Standards Applicable To Water
Supply and Certain Other Type Wells" (15A NCAC 2C).
11. If additional monitor wells, not shown on the location diagram,
need to be constructed, a map showing the proposed location shall be
submitted to the Asheville Regional Office.
Permit issued this the 6th day of April, 1992.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. D vis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0059-WM-0015

North Carolina-Department of Environment,"--"h, and Natural Resources Ni OFFICE USE ONLY
Division of Environmental Managemen oundwater Section
P.O.Box 29535. Raleigh, N..,. r 626-0535 QUAD.NO. 5 1 P SERIAL NO.
Phone[phone] LaL_3 - 44-oq Long. g2- -gz4z- RO gR-O
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
DRILLING CONTRACTOR: _ S nrl s� 1�/.��kKA Ct, • Header EnL GW-1 Ent
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER: PERMIT NUMBER: qAq- oo5q-W lAn- 6a15
1. WELL LOCATION: (Show sketch of the location below) �J
Nearest Town: P�4 x OIL- County: `CA"O'
_ ___ tc %O
(Rend Community,or Subdivision and Lot No.) DEPTH DRILLING LOG
2. OWNFR '3sli From To 6prmalon Description
ADDRESS- _Te.._%Q.-f qe LI Ccy�t t S u4 11�.1 �i1"Yir—J
(Street or Rome No.) P K} d r
Ra�.L�tLt 1N1: 2 g�oZ -
City or Town State Zip Code
3. DATE DRILLED USE OF WELL __ — —
4. TOTAL DEPTH -
5. CUTTINGS COLLECTED YES❑ NOD
6. DOFS WELL REPLACE EXISTING WELL? YES [::] NO[::]
7. STATIC WATFR LEVEL Below Top of Casing: FT.
(Use"+"if Above Top of Casing)
8. TOP OF CASING IS FT. Above Land Surface'
Casing Terminated atlor below land surface Is Illegal unless a variance Is issued
In accordance with 15A NCAC 2C .0118
9. YIELD (gpm): METHOD OF TEST
10. WATER ZONES (depth):
11. CHLORINATION: Type Amount If additional space is needed use back of form
12. CASING:
Wall Thickness LOCATION SKETCH
Depth Diameter or WeighVFt. Material (Show direction and distance from at least Iwo State
From—To — Ft.— Roads,or other map reference points)
From To Ft.
From To Ft.
13. GROUT:
Depth Material Method
From To Ft.
From To Ft.
14. SCREEN:
Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft. in. _ in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16 REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND.THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GIN 1 REV,9/91 Submit original to Division of Environmental Management and copy to well owner.

GtSF $- � srce v✓oeK CENrEA
e MEs 219R
ATI.ANTA I1:NVIRON➢IENTA1, f /
Xl( N,NA( 1:MRN'1' TN(,.
March 30 , 1992
Ms . Kay Dechant
_ North Carolina Department
of Environment, Health and Natural Resources
59 Woodfin Place
Asheville, NC 28801
Reference: Well Permit Applications
Dear Kay:
i
Attached are well permit applications for two of the sites in
North Carolina where Atlanta Environmental Management is conducting
assessment work.
I
1 . The first site is the lagoon area at the Torrington Company
Shiloh Plant in Rutherfordton. There have already been wells
installed and sampled in this area with no contaminants
detected. These additional wells will! ensure sufficient
coverage of the area .
2 . The second site is the U.S . Forest Service'Busick Work Center.
I realize that this is not one of your projects . Please pass
this application on to Michael Streeter.
i
If you have any questions regarding the attached permit
applications, please call . Thank you for your continued
cooperation.
Sincerely,
Robert M. Lewis
Project Engineer
APR 21992 k
' � Groyndrs'ate(Section
���ASt{f.'L'1'tE RC t:Stlul C,ii1C°
10^_0 MoNm , Dwvm. N.P. F.rrrr 100 ATI.ANTA. (1r•. RMA 30324
Tel,e•:rnoNr: [phone] FAx: [phone]

MR77i =QLLNA
ErlgiIC.M- T-L IWIA&Zu-C IT a:MrSS:CF
X'JAAT'!EIr OF HAiTIM iE:,-UCZS AN0 C2qqLj M4 OFMCAt'!T
AP%IG:TiC9 R PE=P!IT i0 CYSinUG t!Q1yjTQHjge= -ty M�fSJ
To: NOATf GaoC:AA _9Y[70yr.E9'AI fAHAG"c'!E9T CONN[SS:0:t March 27, 19 92
Gent:anen:
ra ae-.:rd-anc± a _e .rnvi,:ens :f ;r-:c`e doter 37. Ganeni S:aC:es of
NOP_'. _11'7i lnd, anC Y3iat::nS :Jf:}ant _eves:, aadi!ca C':n :s ner!:y we :y
Wade t„ ar
:.ner;
7ant:Y;r�t3vr^, .ei;i:; as :es:. !Zea .e;cr ira :n =e ac==Anvrrq Ea t1 :ami:��a tS a
;ar of t:s to:i:qt::n.
(a) Name .. _J
:rner• •re,
-% d -groat i+•••:_
:f :r-:er-%: 1 472A Busick Vancey County
iricac, iacrs r - t amunia. at:.; inn :aaty
(c) TYpe of faciii;% or size `_e!nq tom rrS
- Rucick Work Center
(d) Types :f C:ntaatnat:cn :eina r !-it:ver-o Oil - Grease
(e) Exts:ng mmz:r .ei, ntmroer.: Ncne
er
Ex:iz:nq Lantz:r .tiffs acwrnrt _:nt_mrnat:dn (veil nd.:: NONE
(9) Es-.:-Mated «car-caole :eve.:• 25 feet
(h) Est:macea data of onst:ac-:on' 3eg:n 4 6/91 Can Iete 4/8/91
(i) Or.l"ng onstrac=r: Sunrise Drilling Company
N) Loat:on of veii: Provide a detailed lac snowing ase location of ale aroosed weil(s).
and Of any ,ells in in ex,s-..nq -omt:r.nq system (if aooliaoie), in relaron = ate
poiluc:an saurta(s) 5eirq mmtor_a and = at least Moo (Z) nearty 7eraanent reference
potntrr SU4= as roads. intersec-.:onS, and StreaR. Identify roads views State Hignray
road iaentifiat:on nramoers. (Shur III at'-sting water sraooty wells wiattn a radius of
1,GOa feet of me Ar000sea .ell.)
(k) Yeil enstructlon diagrar Provide A diagrm snoring :r000sed const"ar-:on sdecifiations,
including aiaeeter, est:maced deotn, screens. sand Pact, grout. type of aatenals. etc.
The Aaol iant her_oy agrees ate araoosed USDA. Forest Serr:ce
"ii will Oe tans«ee-ed in acarmnce .ttm P.O. Box 2750, Old Pasc Mice Huil'diag
A h v4." 9 -7
aodroved son fiat:ons and cortdit:dns Of LNartrnq address or .etc clrtter equttea)
Cie deli Cars-.rar_ton fern-.. As requlaced AEl, L92a :Monroe Drive. 5E. Suite Lao
under ate ''Jell Catscroc-non Sandaris (Title Aclanca. GA 30324
iS - NOryt Carolina Aaatmstrat:ve Code.
SuaCTaeter ZC; (Nailing Address of Agent-if amen
CCan game)
SrgnaGr_ or .ei r Ower or :gene
FOR aMC: IEE amy
r t e (t r ao o n cao t e; PEW-1 NO. issued Lf-3 t9k L
�-a4Sl-WNW—*DOT RR
Q- lSZ23 D I 1 1 U�q L5
� 2 � D
GROUNDWATER SECTION
ASHEVILLE REGIONAL OFFICE

' STS.aN A MMIRON:"_'_:l"?_ :R uMGM=, LrC.
r-
")C= CONS77'_C7_ON DrnrcamM
p=ejec-,: USDA Forest Service-
Location: Buslck Work Center Well Number: HW-1.2.3.4 Ground Elevaticn(AHST.) : NA
Date Insr_alled:4'r•6/10 -9 2 _ Casir_g Elevation() : NA
Hale Diameterr-[inl : 8.0 Filter Pack Tvpe: 20-40 SAND
Well Casing Oiamets[1z) :2.0"Sch.40. :Lot Qpeai:q[ia) : 0.0! i
Cas" ^C \ i
Ccnc=ore 3--C
Ground Su=-_aca
r _j
j N0'_- i
i) L.Borehole to be
sic inches larger
than outside dia.
of casing.
Grout Type
Czmenc 2.Casing and screen
�.,�
to be centered Ln
borehole.
i
3.I0o of well
^� screen should be
above mean high
Seal 'TM7L'e - seasonal water
"i level
Bentonice Pellets :L: Well
Oeoth 4.Cas4ng and scree):
Total Seal Land.: material to be
Horinq compatible with
Denth f�
ft. .type of contami-
•'.� _ man[ being monitorec:.
t-
5.We11 head to be
labeled with highly
_ $c.-•een visible warning 1
FilterT Length saying "olell is for
Lan gth monitoring and no
ft. considered safe for
�5 Hlank drinking".
ft• Length
6.We11 to be affo I z•:
=ft• reasonable proeectic-
against damage aater
construction.
Ccmments: Top of filter pack will be Z.0 feet ahovo ton of qr,ppm dell mitt by
screened across the water eahte with at I...E I £o,o.0 of open screen on top_
Tel Develctment-
Page of

N
OUT
GROUNDWATER FLOW BUILDING
MlJ I (Es tlmated)
U t CULVERT
Trench
mwd
/ - Grass Area
IMPACTED SOIL POLLUTANT
HOODED AREA EXCAVATION % ,/
SOURCE
Is — CONCRETE
_ice _.7 —7. --7 PAD
x
GRASS PAVING WORN CENTER
Wi BUILDING
I
A
SL Grass Area '
Wj,,a \ WATER WELL
7 LRGSND
Not to Scale
Proposed Nonftorinp Well Locations
S

N
OUT
GROUNDWATER FLOW BUILDING
1. 3I (Estimated)
Ito CULVERT
- - • -- -- Trench / -
///rrr f
P ,
Grano Area
114PACTED 'SOIL j POLLUTANT
HOODED AREA EXCAVATION 1 SOURCE
-- CONCRETE Y
- -PAD
i
GRASS PAVING WORK CENTER
� OUT BUILOIM6
A% U 1 Grano Area
'P■�?� HATER WELL
et 1 LEGEND
Not to scale
,
0 Proposed Monitoring Well Locations
i
6..

i
k
Y
State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
June 8, 1992
Ms. Mary Edwards
Route 3, Box 112
Burnsville, North Carolina 28714
Dear Ms. Edwards:
Subject: Well Construction Permit No. 99-0060-WM-0016
Mary Edwards Residence
Groundwater Incident No. 7712
Yancey County, North Carolina
In accordance with your application received June 1, 1992, we are
forwarding herewith Well Construction Permit No. 99-0060-WM-0016 dated June 8, �e. .:
1992, issued to Mary Edwards for the construction of two (2) monitor wells, or
more as needed, at Mary Edwards residence in Yancey County. y '
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended. Unless
such demand is made, this Permit shall be final and binding.
This Permit will be effective for the construction of monitor wells from
the date of its Issuance until the site assessment has been completed, and shall
be subject to the conditions and limitations as specified therein. Attached are
Well Construction Records to be completed and signed by the drilling contractor.
These forms should be submitted to the Department upon completion of the wells.
Sincerely,
Roy M. avIs
Regional Supervisor
RMD/FCH/gc
Attachments
cc: Perry Nelson
Phil Higgins
Caldwell's Well Drilling, Incorporated
Interchange Building, 59 Wbodfin Place, Asheville, N.C. 288o1 •Telephone [phone]
An Equal Opportunity Affirmative Action Employer

� r
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
MARY EDWARDS
FOR THE CONSTRUCTION OF two (2) monitor wells, or more as needed, for
Groundwater Incident No. 7712 in the Residuum System of the Blue Ridge-Inner
Piedmont Hydrogeologic Unit located at Mary Edwards residence, Hardscrabble Road
in Yancey County, in accordance with the application dated May 29, 1992, and in
conformity with specifications and supporting data, all of which are filed with
the Department of Environment, Health, and Natural Resources and are considered
a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining to well construction.
This Permit will be effective for the construction of monitor wells from
the date of its issuance until the site assessment has been completed, and shall
be subject to other specified conditions, limitations, or exceptions as follows:
1. The well driller shall notify the Asheville Regional Office prior to
actual construction of the wells.

r .
Page 2
2. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15A NCAC 2C .0100).
3. All wells shall be afforded reasonable protection against damage
during construction and use. j
4. The well screens shall be set at a depth where the anticipated high
water table would be below the top of the screens so that any floating
petroleum products could enter the monitor wells and be of sufficient
depth so there Is water adequate for sampling during the seasonally
low water table.
5. Provisions shall be made on the well covers to prevent surface water
with possible contaminants from entering the well pits and
contaminating the monitor wells.
6. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number; date
well completed; total depth of well; a warning that the well is not
for water supply and that the groundwater may contain hazardous
materials; and depth to screens.
7. Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
8. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15A NCAC 2C).
9. If additional monitor wells, not shown on the location diagram,
need to be constructed, a map showing the proposed location shall be
submitted to the Asheville Regional Office.
Permit issued this the 8th day of June, 1992.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0060-WM-0016

/-. NORTH CAROLINA DEPARTMENT OF ENVIRONMENT,HI AND NATURAL RESOURCES FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEMENT- NOWATER SECTION
P.O.BOX 27687.RALEIGH,NC k,..,4687
PHONE)919)733-3221 Quad. N0. , �Se�del`N�.O.��
Lat Lorgl�[.(Or'e—
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
��t��/ e / Header Ent. GW-1 Ent.
DRILLING CONTRACTOR 15ACW6a DN,S U/V� _
STATE WELL CONST U9TION
DRILLER REGISTRATION NUMBER �'XJ A00k4 PERMIT NUMBER: -�CITo
1. WELL LOCATION:: ((Show sketch of the location below)
�IlI Nearest Town: "9VE County: yvlaty
Depth DRILLING LOG
(Road, Community, or Subdivision and Lot No.) From 7o Formation Description
2. OWNER lY�ar_�_�„,d ir'Y�J
ADDRESS -7-ivd WAEf O;:: TWI
y� Y�
8yI/�ri�l`�Si0 gr Route /�
City or Town c State Zip Code •J `L�'
3. DATE DRILLED USE OF WELL 17/•'17�
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING: Wall Thickness If additional space Is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft. /fin
14. REMARKS: M &dn& in cl
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 REVISED 2/90 Submit original to Division of Environmental Management and copy to well owner.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION GROUND'WATERSECTION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPM Wl F,SHFVILLEREGIONALOFFICE
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY WELL(S)
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION 5- 7 / 19 5'L
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North of a, and re lotions pursu they o, application is hereby made by
for a permit to construct a
owner
monitor/thirec ery ells as descr ow and in the accompanying data bmitted as a
part of this applica on.
(a) Name of property owner:
(b) Location of property: s t 2
oa mm
Industry. Coon ty, etc. own ounty
(c) Type of facility or site being monitored: QQS"X� -,4-e
(d) Types of contamination being monitored or recovered:
(e) Existing monitor well numbers: No N&--
(f) Existing monitor wells showing contamination (well no.): u oN a_
(9) Estimated water-table depth: _ feet
(h) Estimated date of construction: Begin Complete (a / r 2- j t
(i) Drilling constractor:
(3) Location of well: Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relatfon to the
Pollution source(s) being monitored and to at least two (2) nearby permanent reference
Points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed
well will be constructed in accordance with ,A'/3 60ZZ Z�2, :'*0 ,
approved specifications and conditions of
the Well Construction Permit. As regulated r Address o We ner-Required)��� ,l
under the Well Construction Standards (Title J"
15 - North Carolina Administrative Code,
Subchapter C) (Mailing Address of Agent-if other
than above)
�fuwner
igna e or Agent
FOR OFFICE USE ONLY
t e app ca a PERMIT NO. issued 19
GW-228

Locking Cap
NOTE:
Steel Outer Casing
1. Borehole to be six inches
(if plastic inner casing)
� larger than outside diameter of
casing.
Land a a Surface
2. Casing and screen to be
centered in borehole.
L0
3. Top of well screen should not
Neat Cement Grout--T,
be above mean high seasoned
y water level.
Well Casing c`o 4. Casing and screen material to
W or larger diam.) be compatible with type of
contaminant being monitored.
Pelletized Bentonite ci 5. Well head to be labeled with
.: highly visible warning saying :
T 'Well is for monitoring and not
considered safe for drinking.'
Clean Washed 6. Well to be afforded reasonable
Sand Or Gravel protection against damage
after construction.
o y
4+•CU
Y- '
Well Screen -= LO
QWS 10/84
Recommended Construction Details For A Contaminant Monitor Well
In An Unconfined, Unconsolidated Aauifer.

I '
i
I
SQL
o � 1
/�IbNIIO(Z
Wells -
-TR ,jIc
I

r
ONE ( 1 ) WELL
7H/5 WILL Q6 Taft S4'4
/�s 99-ooGo-ww-ooiG
o riiy Kecove,-K
DIVISION OF ENVIRONMENTAL MANAGEMENT " J7 '
HS .MYo�y Cow,,.uzs
Y
�S✓.Cus�/Vi�iA . A/C ^-9? 7/9
Dear NS �r.JAitDf %�
Subject: Well Construction Permit No.
11B.ty Eos✓,r eas iC'esiD cs
dik6 i ovo 7 7/X
In accordance with your application received we are
forwarding herewith Well Construction Permit No.
dated , issued to A #140 EAlwjiIRDS for
the construction of I (wowirter/ covery well, or more as needed, at
T�iG MAAfy E0NIIIA L REsip . c6 in
yANGy County.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended.
Unless such demand is made, this Permit shall be final and binding.
This Permit will be effective for the construction of a 14 / ecover
well from the date of its issuance until the site assessment has been
completed, and shall be subject to the conditions and limitations as specified
therein. Attached is a Well Construction Record to be completed and signed by
the drilling contractor. This form should be submitted to the Department upon
completion of the well.
Sincerely,
Roy M. Davis
RMD/ /gc Regional Supervisor
Attachment
cc: Perry Nelson

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
/%fftN EL1w.4RD5
FOR THE CONSTRUCTION OF 6A1E- well/ or more as needed,
(1 tF MIS)
for Groundwater Incident No. 771a in the I�ewGu�rr. r�YFj r L
/ /,// SpitiR
�k /s /-�• &4;7 , located at (P&Ajitm Lr Wu"Z:
in County, in
accordance with the application dated and in conformity with
specifications and supporting data, all of which are filed with the Department
of Environment, Health, and Natural Resources and are considered a part of this
Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining to well construction.
This Permit will be effective for the construction of ( recover )
wells from the date of its issuance until the site assessment has been
completed, and shall be subject to other specified conditions, limitations, or
exceptions as follows:

fs
PERMIT CONDITIONS
1 . ) Written permission must be obtained from the property owner
prior to construction of the well.
2. ) The well driller shall notify the Asheville Regional Office
prior to actual construction of the well.
3. ) 02 The well shall be constructed with well casing and well screen
that conform to requirements of the "Criteria and Standards
Applicable to Water Supply and Certain Other Type Wells" (15A
NCAC 2C .0100) .
4. ) 3 The well shall be afforded reasonable protection against damage
during construction and use.
5. ) The well shall be constructed to a depth of ten feet below the
L seasonally low water.
6. ) T The well screen shall be set at a depth where the anticipated
high water table will be below the top of the screen so that any
floating petroleum products can enter the (rew' cov )
well and of sufficient depth so there is water adequate for
during the seasonally low water table.
ecevt
7. ) S Provisions shall be made on the well cover to prevent surface
water with possible contaminants from entering the well pit and
/ contaminating the (monitor ecover well.
8. ) tp The well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration
number; date well completed; total depth of well; a warning that
the well is not for water supply and that the groundwater may
contain hazardous materials; and depth to screen.
9. ) 7 Well completion, well abandonment, and water quality reports are
to be submitted to the Division of Environmental Management's
Groundwater Section Central Office in Raleigh.
10. ) D When the well has served its purpose and is of no further use,
it shall be permanently abandoned according to the requirements
of Section .0113 of the "Criteria and Standards Applicable To
Water Supply and Certain Other Type Wells" (15A NCAC 2C) .
11 . ) An aquifer test shall be conducted on the well prior to its
being utilized for recovery purposes. The aquifer test shall be
conducted as described in the "Criteria and Standards Applicable
to Water Supply and Certain Other Type Wells" [15A NCAC 2C
.0110(d) Measurements of the water levels in the other
anonitorJrecov yV wells on site shall be taken preceding,
during, and at the end of the aquifer test.
12. If an additional (mew&h" ecover well, not shown on the
location diagram, needs to be constructed, a map showing the
proposed location shall be submitted to the Asheville Regional
Office. 9d
PERMIT NO. �� QO61�-tt//L -eel-I

North Carolina-Department of Environment,Health,and Natural Resources FOR OFFICE USE ONLY
Division of Environmental Management-Groundwater Section QUAD.NO. _ SERIAL NO.
P.O. Box 29535-Raleigh, N.C.27626-0535
Phone[phone] Lat Long. RO
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
DRILLING CONTRACTOR: CALD4/�LLS F.LL Q/L t//(m,/ 1;�C Header Ent. GW-1 Ent.
h STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER: 97 PERMIT NUMBER:
1. WELL LOCATION:!(Show skPt�h of the location below)
Nearest Town:— elIK"SVILLF County: yNN �c
f>`i3R�SCRNPPLi� ROOD
(Road,Community,or Subdivision and Lot No.) DEPTH DRILLING LOG
2. OWNER /MIRY LSAa�AR?�S From To Formation Description
ADDRESS Ajdlnr
(Street or Route No.)
aV4Custlfu.lf NG 2R7/�
City or Town State Zip Code
3. DATE DRILLED USE OF WELL v6
4. TOTAL DEPTH
5. CUTTINGS COLLECTED YES❑ NO❑
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO❑
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use'+'if Above Top of Casing)
8. TOP OF CASING IS FT.Above Land Surface'
'Casing Terminated stlor below land surface Is Illegal unless a variance is Issued
In accordance with 15A NCAC 2C .0118
9. YIELD (gpm): METHOD OF TEST
10. WATER ZONES (depth):
11. CHLORINATION: Type Amount If additional space is needed use back of form
12. CASING:
Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From-To - Ft.— Roads,or other map reference points)
From To Ft.
From To Ft.
13. GROUT:
Depth Material Method
From To Ft.
From To Ft.
14. SCREEN:
Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS: 69yVNDwATCK it- L60K A86110(t4to-VO T,vK-
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND,THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-i REV.9/91 Submit original to Division of Environmental Management and copy to well owner.

„ .State of North Caf � AGA
Department of Er!_.:<�t -Health and Natural Resources
James B. Hunt, Jr., Governor. e
Jonathan B. Howes, Secretary p E H N A: Preston Itoward, Jr., P.E., Director
DIVISION OF ENVIRONMENTAL MANAGEMENT
July 20, 1993 {
i
Mr. Ronnie Proffitt
Yancey County Board of Education
621 West Main Street
Burnsville, North Carolina 28714
Dear Mr. Proffitt:
Subject: Well Construction Permit No. 99-0054-WR-0018
Yancey County School Bus Garage
Groundwater Incident No. 5604 .
Yancey County, North Carolina
In accordance with your application received July 14, 1993, we are
forwarding herewith Well Construction Permit No. 99-0054-WR-0018 dated July 20,
1993, issued to Yancey County Board of Education for the construction of two
(2) recovery wells, or more as needed, at the School Bus Garage Site in Yancey
County.
If any parts, requirements, or limitations contained in this Permit .are
unacceptable to you; you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended. Unless
such demand is made, this Permit shall be final and binding.
This Permit will be effective for the construction of recovery wells” from
the date of its issuance until the site assessment has been completed, and
shall be subject to the conditions and limitations as specified therein.
Attached are Well Construction Records to be completed and signed by the
drilling contractor. These forms should be submitted to the Department upon
completion of the wells.
Sincerely,
Roy M. Davis
Regional Supervisor
RMD/FCH/gc
Attachments
cc: Arthur Mouberry
Chris Taylorson, S&ME
Lee & Sims, Incorporated
IntctchanRe 111111619, 59 Wrxxlf r, Mace, Aahnille, N.C. 28A01 •Telcplxme 704.2514X8
An Fqual nppntttxdn• Affirmative Acdnn Fmp6pv

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
YANCEY COUNTY BOARD OF EDUCATION
FOR THE CONSTRUCTION OF two (2) recovery wells, or more as needed, for
Groundwater Incident No. 5604 in the Residuum System of the Blue Ridge-Inner
Piedmont Hydrogeologic Unit, located at Yancey County School Bus Garage,
Burnsville, in Yancey County, in accordance with the application dated July 12,
1993, and in conformity with specifications and supporting data, all of which
are filed with the Department of Environment, Health, and Natural Resources and
are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws-or regulations.
Construction of a well under this Permit shall be in compliance with the
s
North Carolina Well Construction Regulations and Standards, and any other State
and local laws and regulations pertaining to well construction.
This Permit will be effective for the construction of recovery wells from
the date of its issuance until the site assessment has been completed, and shall
be subject to other specified conditions, limitations, or exceptions as follows:
1. The well driller shall notify the Asheville Regional Office prior to
actual construction of the wells.

Page 2
2. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15A NCAC 2C .0100).
3. All wells shall be afforded reasonable protection against damage
during construction and use.
i
4. Provisions shall be made on the well covers to prevent surface water
with possible contaminants from entering the well pits and
contaminating the recovery wells.
5. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well
Is not for water supply and that the groundwater may contain
hazardous materials; and depth to screens.
6. Well completion, well abandonment,; and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
7. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15A NCAC 2C).
8. Aquifer tests shall be conducted on the wells prior to the wells being
utilized for recovery purposes. The aquifer test shall be conducted
as described in the "Criteria and Standards Applicable to Water Supply
and Certain. Other Type Wells" 115A NCAC 2C .0110(d)]. Measurements of
the water levels in the other recovery wells on site shall be taken
preceding, during, and at the end of the aquifer test.
9. If additional recovery wells, not shown on the location diagram,
need to be constructed, a map showing the proposed location shall be
submitted to the Asheville Regional Office.
Permit issued this the 20th day of July, 1993.
NORTH CA.ROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0054-WR-0018

\ / North Carolina- Department of Environmp-f Health,and Natural Resources
X t Division of Environmental Managei -Groundwater Section FqP OFFICE USE ONLY
P.O.Box 29535- Raleigh,.-._. 27626-0535 QUAD.NC SERIAL NO. __
Phone[phone] Lat.]u7 ,-'xJ WLong. "i 17 ao Ro _
Minor Basin
WELL CONSTRUCTION RECORD Basin code -
DRILLING CONTRACTOR: Z6 f ¢ S/MS Header Ent. GW-1 Ent
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER: PERMIT NUMBER: 9—Q9Sf��<
1. WELL LOCATIO?A4: (Show sketch of the location below)
Nearest Town: A&PIl ✓i��b , // County:
(Road,Commu``nity.or Subdivision and of No.) DEPTH DRILLING LOG
2. OWNER ,�tt '--sjita-� From To Formation Description
ADDRESS 4i e
(Street or Route No.)
rsLa. a ie a E -tzu d Cu r r_ s ,_s rnv City or Town '7i�
State Zip Code S� l It.
3. DATE DRILLED USE OF WEL� L
4. TOTAL DEPTH
5. CUTTINGS COLLECTED YES❑ NO❑
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO[::]
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use'.'if Above Top of Casing)
8. TOP OF CASING IS FT. Above Land Surface*
Casing Terminated at/or below land surface Is Illegal unleas s varlence is Issued
In accordance with 15A NCAC 2C .0118
9. YIELD (gpm): METHOD OF TEST
10. WATER ZONES (depth):
11. CHLORINATION: Type Amount If additional space is needed use back of form
12. CASING:
Wall Thickness LOCATION SKETCH
Depth Diameter or Weight/Ft. Material (Show direction and distance from at least two State
From-To — Ft.— Roads,or other map reference points)
From To Ft.
From To Ft.
13. GROUT:
Depth Material Method
From — To —Ft. —
From To Ft. _
14. SCREEN:
Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft. in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GWA REV.9r91 Submit original to Division of Environmental Management and copy to well owner.

Yr c o
SGoy
July 13, 1993
North Carolina Department
of Environmental Management
59 Woodfin Place
Asheville, North Carolina 28801
Attention: Mr. Fred Hankinson
Subject: Recovery Well Installation Permits
Yancey County Board of Education
School Bus Garage Site
S&ME Project 1264-90-256
Dear Mr. Hankinson:
Attached for you approval is a recovery well installation
permit request for the referenced project. Drilling of the two
recovery wells is scheduled for the week of July 19, 1993, in order
to meet our system installation schedule. We have selected Lee &
Sims Well Drilling, Inc. as our well installation contractor, at a
total installation cost of $6160 . 00 . Please note that the quoted
price exceeds common monitor well installation costs. The
recommended wells are 30 inch boreholes with six inch PVC casing,
installed to maximize recovery rate and to optimize system
operation. Please approve this installation along with the
attached well permits . Please give us a call if you have any
questions .
Sincerely,
S&ME, INC.
Chris Ta le son E. I .T. VrdLummus, P.E.
Y
Project Engineer Senior Environmental Engineer
CT/SL/1sc/ENV7C r
.RL 4 1993
S&ME, Inc. 155 Tradd Street,Spartanburg,South Carolina 29301,[phone],Fox(803)576-8730
Greenville,South Carolina(803)232-8987 -: -

4'WA7£R LINE 4'SEWER LINE /N MM
00
OAPOYJ ppp G EN9>p?x�sp• T _ 9"Rsr•
ER L/N p0
PANE PARK/NG ARE Ir9
MW 12
98.44'
Y"MY COUNTY SCHOOL BUS GARAGE
FM MVMGE
tiOZ 10
IC
11
110
PARKWAY 'I4 Y14NC�'�
PLAYHOUSE �6
20

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85 _, 77064ER LINE
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91,050
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W-
81.
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mw/3
® 9a70
92.55
a
6
8 LE!�NR
00
TOPOGRAPHIC CONTOUR
(RELATIVE ELEVATION IN FEET)
M1/f3 MONITOR WELL IDENTIFICATION
ERAPPROXIMATE LOCATION MONITOR WELL
9255 . RELATIVE ELEVATION OF WELL COVER
OUNTT �J APPROXIMATE LOCATION OF RECOVERY WELL
11-4 7_ N RIN-1
,a9 NO- 1267-90-256 r� FIGURE 1
DATE: 7-13-93 SITE PLAN
YANCY COUNTY SCHOOL
SCALE � BUS GARAGE
NA
CAD FILE: 90256POT.DM BURNSVILLE, NORTH CAROLI

FLUID TRANSPORT STEEL WELL VAULT
LINES WITHIN
CONTAINMENT LINE
GROUT
"N
WELL CASING -H
60 SCH 40 PVC
PELLETIZED iv
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mu
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WELL SCREEN-
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NN.
GROUNDWATER t::::: NIN
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....::
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RECOVERY PUMP—44--
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N
CONSTRUCTION DETAIL
FOR A
TYPE II RECOVERY WELL
N.T.S.
JOB NO.: 1264-90-256 S8 TIM FIGURE 2
M WELL DETAIL
EDAM- 7-13-193
T TC YANCY COUNTY SCHOOL
sc". NOT TO SCALE E BUS GARAGE
0 CAD
go wltw
90�a%DWO AD FlM 2 BURNSVILLE, NORTH CAROLINA

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY WELL(S)
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION July 12 lg 92
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
Yancy County Board of Education for a permit to construct a
of well owner
monitor/ covery well(s) as described below and in the accompanying data submitted as a
part of is_application.
(a) Name of property owner: Yancy County Board of Education
(b) Location of property: Green Mountain Road, Burnsville Yancy
(Road, Industry, Community, etc. own county-
(c) Type of facility or site being monitored: School Bus Garage
(d) Types of contamination being monitored or recovered: Dissolved Volatiles
(e) Existing monitor well numbers: M W-1 through M W-7
(f) Existing monitor wells showing contamination (well no.): MW-1, 5, 6, 7
(g) Estimated water-table depth: 10 feet
(h) Estimated date of construction: Begin July 19, 1993 Complete July 23, 1993
(i) Drilling constrictor: Lee & Sims, Inc.
(j) Location of well: Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relation to the
pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well .)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed
well will be constructed in accordance with 621 West Main St. , Burnsville, NC 28714
approved specifications and conditions of lKiling Address of Wellr- equ red)
the Well Construction Permit. As regulated S&ME, INC.
under the Well Construction Standards (Title 155 Tradd Street, Soartanbure. SC 29301
15 - North Carolina Administrative Code, (Mailing Address of Agent-if other
Subchapter C) than above)
S re o e Owner or gent
e- , FOR OFFICE USE ONLY
Senior Environmental Engineer
Title applicable) PERMIT N0. issued 19
GW-226
,L 14 IM
GROUNDWATER SECTION
ASHEVILLE REGIONAL OFFICE

Tr, • 3ra-�-576-S3 -, q7 r J'J0 .
FAX'TRANSMITTAL 5&ME, Inc.
155 COVER SH S
EET parta geat
tsm partanbururg,Souih Carolina 29301
URGENT TRANSMISSION [phone]
Please Forward Immediately ENVIRONMENTAL 911VICES Fox [phone]
1 ENGINEERING • TESTINq
TO:
FIRM: __—
LOCATION: _--
— re,cnw.• OrberaeorR•Wan
ttnnxvala• •1WMv111a
_G
fir CtwI �e i5 Txt Ht.�tt�0^�
FROM:
SPARTANBURG,SOUTH CAROLINA Byenene°fq wuml.rpton
DATE: —/ I� _ TIME. _t 3 G am (a-
RETURN FAX NUMBER: [phone]
8rvn.,u,M
NUMBER OF PAGES INCLUDING COVER SHEET
(It all pages not received, call [phone]
COMMENTS
A cm py_. OP T,—WiA4:
S&ME Project Number:
This cover shoat and the document• aGwompanying this teieeopy transmission contain Informal on from AWE Inc., which in e•.... ayally
pnvilegad The info,friattom Is Mended Only tow the use of the individual or entity named on tttrr tranamlaaion sham. !lbc 1+'.a, xu are
nafaby notil:ad that any disc vowe,tx4pyinil.dwi butior or ins taking of any action In reflauce on these,ner'J" —1' ev:cvY rrnn.nden
S6ME aPa-OOw
IaEv.6,031

JUL - - '4 17 :34 NO .ULL Y .U�
# S&ME
July 13, 1993
North Carolina Department
of Environmental Management
59 Woodfin Place
Asheville, North Carolina 28801
Attention: Mr . Fred Hankinson
Subject: Recovery well Installation Permits
Yancey County Board of Education
School Bus Garage Site
S&ME Project 1264-90-256
Dear Mr. Hankinson:
Attached for you approval is a recovery well installation
permit request for the referenced project . Drilling of the two
recovery wells is scheduled for the week of July 19, 1993, in order
to meet our system installation schedule. we have selected Lee &
Sims Well Drilling, Inc . as our well installation contractor, at a
total installation cost of $6160 . 00. Please note that the quoted
price exceeds common monitor well installation costs. The
recommended wells are 30 inch boreholes with six inch PVC casing,
installed to maximize recovery rate and to optimize system
operation. please approve this installation along with the
attached well permits . Please give us a call if you have any
questions.
Sincerely,
S&ME, INC.
f
Chris Taylerson, F. I .T. Sta ord t,ummus, P.E.
Project Engineer Senior Environmental Engineer
CT/sUISCAWIC
fi4 y&w one. 155 TroW 5rwmet,.ounonbiry.S wm Corollno 29a01.(OUX 574 2360,Fax(800)576E 730
�,G/ GreenNue,Sash CvWiw(803)232-8987

"+ hI In >,.,, - -F,_ _ r5i; n_ . . .13.5 15 : 64 No .v22 r .V,5
MpRTN CAROL INA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AMD COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY WELL(S)
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION July 12 , 19 92
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and reguletiot�s urt(uant thereto, application is hereby made by
Yancy County Buard of 1•:dEea ion for a permit to construc a
kOWC 0~
monitor/recovery well($) as described below and in the accompanying data submitted as a
rrt of this application.
a) Name of property owner: Xanav County Board of Education
(b) L"ation Of property: Green Mountain Road Burnsville Yanc
—W&T.—Industry, Common y, etc. own ours y
(c) Type of facility or site being monitored: Schuol Bus Garage
(d) Types of contamination being monitoredor recovered: Dissolved Volattles
(0) Existing monitor well numbers: _MW-1 through MW-7
(f) Existing monitor wells showing contamination (well no.): NIW-1 , 5,_ 6, 7
(9) Estimated water-table depth: 19 feet
(h) Estimated date of construction: Begin July 19, 1993 Complete July 23, 1993
(i) Drilling eonstraetor: Lee a Sims, Inc.
W Location of well : Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relation to the
pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well .)
(k) well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materiels, etc.
The Applicant hereby agrees the proposed
well will be Constructed 1n accordance with 621 West Main St. Burnsville NC 2e714
approved specifications and conditions of ng Address Of e r- equ red)
the well Construction Permit. As regulated SAME, INC.
under the will Construction Standards (Title 155 Tradd ^Street Suartarabur ._ 'C' 29301
16 - North Carolina Administrative Code, (flailing Address of Agent-if other
Subchapter C) than above)
/re oir NeTT�vrner oor en -� FOR OFFICE USE ONLY
Senior Envirunmental Engineer PERMIT NO. issued-TM 19
e Applicable) -
kGw-22A
I

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�./ YhNCY COUNTY SCHOOL
BUS GARAGE
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FLUID TRANSPORT STEEL v/ELL VAULT
LINES WITHIN
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if
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Mr:
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CONSTRUCTION DETAIL
FOR A
TYPE II RECOVERY WELL
NO.: 12614-9.0-256 Mny- FIGURE'7'
1 WELL DETAIL
DATF!=7-13-93
SCALF., NOT TO SCALE YANCY COUNTY SCHOOL
BUS GARAGE SCHOOL
'o BURNSVILLE, NORTH CAROLINA MAD RMLL 9025ORW.DWO

FS ME ` I t4U5-3(b-t5(SU JUL `JO 17iJh IYU .ULL r .vo
l to & Sims Well Drilling, Inc.
10659 Augusta Rd., Belton, S.C. 29627
(803)-243-26R2 fax[phone]
COST ESTIMATE
Date: July 12, 1993
To: Stan i.ummis
S & M E
155 Tradd Street
Spartanburg, South Carolina 29301
} f: Installation of Two Recovery Wells
Burnsville, North Carolina
From: Bruce Sims
Mobilization tb Burnsville. North Carolina ^ � $1000,00. ..
S 10
` N' Bucket Drilling - 50 ft @ $30.00 per ft $1500,00
` 6" PVC Screen (.020 slot) - 40 ft @ $12.17. per ft $ 484.80
6" PVC Riser - 10' CO) $9.03 per h S 90131
• 6" PVC Bottom Cap - 2 @ $23.75 each $ 47.50
• Gravel (DSI #4) - 5 tons C $120.00 per ton $ Ow.00
" Hole Plug - 18 bugs (g $10.00 per bag $ 180.00
• Well Installation - 2 hours @ $125.00 per hour $ 4S0,00
• Well Development - 3 hours @ $125.00 per hour S 375,00
• Dump Truck, Loader, and Air Compressor (rental) -
2 days @ $2W.00 per day $ 400.00
Site Clean-Up - 2 hours (e� $125.00 per hour S 250A0
• Per Diem $ 180.00
Total Batim u: $5357.00

� _
__ __ . _
' OF W�V�1771
A rF .-- — 1 ichael F. Easley
Governor
William G. Ross,Jr.,Secretary
-4 North Carolina Department of Environment and Natural Resources
O Y Alan E.Klimek, P.E.,Director
Division of Water Quality
Asheville Regional Office
GROUNDWATER SECTION
August29,2002
Mr. Carl McConnell,P.E.
Mountain Air Country Club
Post Office Box 1037
Burnsville,North Carolina 28714
Subject: Well Construction Permit No. WS 01-00015
Mountain Air Country Club
Yancey County,North Carolina
Dear Mr. McConnell:
In accordance with your application received August 27, 2002, we are forwarding
herewith Well Construction Permit No. WS 01-00015 dated August 29, 2002, issued to
Mountain Air Country Club for the construction of one(1)or more 72,000 gallons per day water
supply wells.
This Permit will be effective from the date of its issuance and shall be subject to the
conditions and limitations as specified therein. Attached are Well Construction Records (GW-1)
to be completed and signed by the certified drilling contractor. These forms should be submitted
to the Department upon completion of the wells.
Sincerely,
G. Landon Davidson, L.G.
Regional Groundwater Supervisor
GLD/hem
Attachments
cc: Reuben Caldwell,R. Caldwell Drilling, Inc.
Groundwater Central Office
Division of Environmental Health
ARO/file
��
Groundwater Section, 59 Woodfin Place Asheville, NC 28801-2414 Telephone: [phone] Customer Service
Fax: [phone] 1 800 623-7748

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
ASHEVILLE,NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
MOUNTAIN AIR COUNTRY CLUB
FOR THE CONSTRUCTION OF ONE (1) or more water supply wells in the Blue
Ridge Inner Piedmont Hydrogeologic Unit, located near Burnsville in Yancey County,
in accordance with the application dated August 27, 2002, and in conformity with
specifications and supporting data, all of which are filed with the Department of
Environment and Natural Resources and are considered a part of this Permit.
This permit is for well construction only, and does not waive any provisions or
requirements of any other applicable laws or regulations.
Construction of wells under this Permit shall be in compliance with the North
Carolina Well Construction Regulations and Standards, and any other State and local
laws and regulations pertaining to well construction.
This Permit will be effective for the construction of water supply well (s) from the
date of its issuance and shall be subject to other specified conditions, limitation, or
exceptions as follows:
1. Prior notice of the pumping test date must be given to Landon Davidson, 59
Woodfin Place,Asheville,NC 28801, [phone], at least 48 hours prior
to the start of the test.
2. Well site approval must be obtained from the Public Water Supply Section of
the Department of Environment and Natural Resources.

August 29, 2002
Page 2
Permit issued this the 29th day of August 2002 .
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G. Landon Davidson, L.G.
Regional Groundwater Supervisor
DIVISION OF WATER QUALITY
By Authority of the Environmental Management Commission
PERMIT NO. WS 01-00015

Rug 27 02 08: 52a p. 2
• FROM ENNR ARo
a0.e7.3002 00,H F. I
NORTH CAROLINA ENVIRONMENTAljMANAGRMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL
Upon completion, submit this form fo the approprfple Regional ofte fisted on the reverse side
To: NORTtr CAROLINA UNVIRONMI:NTAi.MANAOEM13NTCOMMISSION '7r '4 G )`-
In accordance will life Provisions of Article 7,Chapter 87,Oeneral S(atues of North Caro iq a
regulations pursuant thereto,application is hereby made by
for a permit to construe a well as described belo and
(name orweli ow1mr) In the accompanying data submitted as a Part of this application.
(a) Namo of Property Owner
(b) Location of Property c
Alice
Roa ,Communit 'Su 1 ion, t g a T C ty
(c) pprpose of Well
(d) Will proposed w rut existing well c•• '
(e) Total capacity ofexlstingsystem: I be, ••-r,7 gallons per day
Yicl>i EAU Y141d
(1) Ptoposed well:
Construction type Ll'-ex- (open end,screened,gravel packed,etc.)
Fstinwted depth imated yield
Mlimated date ofconsI //ion: Begin: Complete: �?
(8) Drilling Contractor.
(h) lineation of Well: Provide o detailed map showing the loc onrof the proposed well and any wells in
the existing system to at least two(2)nearby rokrenee pomto such as rood&,intersections,and streams.
Identify rends with Stnic Highway road identiffcstlon numbers. Show all existing water supply wells
within It radius of 1,000 feet of the proposed well.
(i) Well Construction Diagram: Attach o diagram showing the proposed construction speolflcationa.
7Ire Apnitcanr hereby agrees that the propayed wdl will
be constructed in accordance frith approved speciJleartoat
and condulons of the Well Construction Permit. _ c'• Fj /U %C) %t 7�`f
7 (Malling address of Well Owner—Required)
SO natu a of Well Owner or Agent / /J'/� /U
(Mailin dreasofAg
Tit t) j/f tlZ
M� R-te— Permit NO. liJSOh°0ff
issued Zrr 414 t� 7L
GW-21NY REV..Irra . ._ ....,_._ ... ...y �D . ./ � —_,Carl McConnell,P.E.
IFuter nail Seiner 4epara++ent
tCC
Office(828)682-3 —Fxt.27
FA 82-4125
email: [e-mail] mountainaircc.com

WELL CONSTRUCTION RECORD
North Carolina-Department of Environment and Natural Resources-Division of Water Quality-Groundwater Section
WELL CONTRACTOR(INDIVIDUAL)NAME (print) -n !� CERTIFICATION 8
WELL CONTRACTOR COMPANY NAME (/'h CA l�4 L �(1 uJ e, (( 1 J�' (�'�;PHONE 8 ( 1
STATE WELL CONSTRUCTION PERMrrB W S U�� n O 0 S ASSOCIATED WQ PERMIT#
(if applicable) (if applicable)
I. WELL USE(Check Applicable Box):Residential❑ Municipal/Public❑ Industrial❑ Agricultural❑
Monitoring❑ Recovery ❑ Heat Pure Water Injection❑ Other❑ If Other,List Use
2. WELL LOCATION: Topographic/Land setting
Nearest Town: County.��U ! ( Midge ❑Slope ❑Valley ❑Flat
1 (check appropriate box)
(Street Name,Numbers,Community,Subdivision,Lot No.,tip Code) LatitudcAongitude of well location
3. OWNER: (deQaal°'i°°ted'eco°d')
Address LatitudeAongitude source:❑GPS❑Topographic map
(Suet or Route No.) (chat bone)
DEPTH DRILLING D
City or Town State Zip Code From To Formation Description
[�)
Arta code-Phone number
4. DATE DRILLED
5. TOTAL DEPTH:
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO ❑
7. STATIC WATER LEVEL Below Top of Casing: FT.
(Use"+"if Above Top of Cuing)
8. TOP OF CASING IS FT.Above Land Surface'
-Top of cuing terminated at/or below land surface requires a
variance In accordance with ISA NCAC 2C.0118.
9. YIELD(gpm): METHOD OF TEST
10.WATER ZONES(depth):
t OCATION SKETCH
11. DISINFECTION:Type Amount Show direction and distance in miles from at least
12. CASING: Walt Thickness two State Roads or County Roads.Include the road
Depth Diameter or Weight/Ft. Material numbers and common road names.
From To Ft.
From To Ft.
From To Ft
13. GROUT: Depth Material Method
From To Ft
From To Ft
14. SCREEN: Depth Diameter Slot Sim Material
From To Ft in. in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft
From To Ft.
16. REMARKS:
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C,WELL
CONSTRUCTION STANDARDS,AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER
SIGNATURE OF PERSON CONSTRUCTING THE WELL DATE
Submit the original to the Division of Water Quality,Groundwater Section,1636 Mail Service Center-Raleigh,NC
276WI636 Phone No.[phone],within 30 days. GW-1 REV.07/2001

FILE No.755 08/28 '02 12:49 ID:MADC CONSTR. FAX[phone] PAGE 1
flug £•7 Uz US:htta v. o
Ism RMMR ARe es.11.2e93 Dent r. 7
NORTH CAROLINA ENVIRONMENTAL MANAGItHtNT COMMISSION
DEPARTMENT OY ENVIRONMENT AND NATURAL RT+SOURCCS
APPLJCA,r10N FOR PILRMIT TO CONSTRUCT A WATER SUPPLY WELL
Upon completion, suAMll fhfa form 10 the epploprlala Raylonal Ofts,Ualed on fho ravafats aide
To'. NUAI II CAkOI.INA LNVIBOHMI.NTAI.MANACHMaNr COMM1SSWN a, 2Z 4Lv
In awordmr s Willi the pmvisiona of ATUOR 7,Chapter 07,Uenesal Slenka of Norill fitultnyt and
rt:gu)vdom pursuant Iharctn,eppllcetion is heraby made by M.+,sJ[tar 1.) �}� �nIL!�( C;CAttrr
---
for s permit to construct a Well so described below and
(erele et well owned in in the xccompmylag data tuhmined as a part of this Rpplloallon,
e) Name of Pro Art Utmer I k4 .�L71�51� �O P
r � y I tor- r� Q 0.11 1 '.=�'�I ll-L YHA)( ry
(b) L.oCtlllon of ropedy ,�...��a._.....____,..,
(1(oad,Colnutunpy,5ubdlvlslcn,Lot N) Town County
(c) pyrpoae of Woil Dt') , --_----_
(d) Will pmpowd eel)mptaoa;as exisllnp Well
fs) Tolalcopacilyofexiningsysteml 20 pllonaparday
ricid J3ts1Lt xIAW
(t) prormscd well!
(4sn3truc1lua type 9 I-11 1 o v n (upon a screened,gravel packed,etc.)
Fitimawd dspth„__,fir- Qo 7 IiAlilnatad ` 6L
lisdmucd due of eonalruclkm: ilcgim Complete6_: Q,,.trZ__
(g) Urminp Contractor:_ R,SI+J,TIyd�� ILIW
(b) Location of W& Providc n detailed map Rhowlnp the Ieaatlon a the proposed well and any wells in
Im cxixtind system IQ xI Icatl Iwo(Z)nearby reference points such m ruadR,imemw bona,and maAms.
IdenlIN muds wit),SWIC Hisimny rand idemlflu0on msmZ1. Blew all existing warar supply walla
within a radius of 1,wo rrrl or the proposed well.
r
(i) Well Cnnsuuuliou I)ingram' Altach a diagram showing dro proposed evisiruction spaoitleallona, '6t51I+�
P t) IORa CaaG Tta
EhfAppJfrontbarrhyadroa'dmrrhrtrropoaoduVtll+Ill �+
he vanrbueted In accordance Irish approved apsci/Iealhlna ?U slug , SIC• �4�-) 1'�
4r4;0IWItlonr ofthr Well Cuevroulnn Yerrnd.
�� (Mailing eddrne oC Well bwncr-RngxlreA)
t�G, P�ayc IpQO qq
slpraro a of Wull wncr ar ANenI ,�`„ v�.�.GU'•�._ 2� f T
(MAilhtgpddrcssofAgem) �,.,...
�('1�11177Y" Title J. A'R. 'Wx'c4'f G pomti(NQ..�,._._.._� issuod
GW.3JW af.V.sNa -DW L— RP
pCCEI
IT c xo_ -___ . x AUG 2 6 2002
GROUNDWATER SECTION
�o•u�
ASHEVILLE REGIONAL OFFICE
EM 'd ulVtie 4S1. ZR7L.Z/RR 13G r Ilz&"321e JNiJdII I i'xl a[V NJJJ

OF vvn/F
-��0 9qY Michael F.Easley,Governor
WC [ William G.Ross,Jr.,Secretary
Q North Carolina Department of Environment and Natural Resources
Alan E.Klimek,P.E.,Director
Division of Water Quality
Coleen H.Sullins,Deputy Director
Division of Water Quality
Asheville Regional Office-
GROUNDWATER SECTION
December 3, 2003
Mr.Bill Schroeder
Bald Mountain,Inc.
1200 River Place Boulevard
Suite 902
Jacksonville,Florida 32207
Subject: Well Construction Permit No.WS 01-00022
Bald Mountain,Inc.
Yancey County,North Carolina
Dear Mr.Schroeder:
In accordance with your application received December 3, 2003,we are forwarding herewith Well
Construction Permit No.WS 01-00022,dated December 4,2003, issued to Bald Mountain, Inc. for the construction
of one or more 72,000 gallons per day water supply wells.
This Permit will be effective from the date of its issuance and shall be subject to the conditions and
limitations as specified therein. Attached are Well Construction Records(GW-1)to be completed and signed by the
certified drilling contractor. These forms should be submitted to the Department upon completion of the wells.
Sincerely,
G.Landon Davidson,L.G.
Regional Groundwater Supervisor
Attachments
cc: Mr.Wilson Martin,Air Drilling Co.
Mr. Robert Burgin,Jr.P.E.
Groundwater Central Office
Division of Environmental Health
ARO/file
06 N
N.C.Division of Water Quality/Groundwater Section
Interchange Building,59 Woodfin Place,Asheville,NC 28801-2414 _
Phone:[phone] FAX:[phone] Internet: http://aw.ehnr.state.nc.us
Customer Service
1 877 623-6748

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
ASHEVILLE,NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
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
BALD MOUNTAIN,INC
FOR THE CONSTRUCTION OF ONE or more water supply wells in the Blue Ridge Inner Piedmont
Hvdrogeologie unit, located at Wolf Laurel in Yancey County,in accordance with the application dated December
3,2003,and in conformity with specifications and supporting data, all of which are filed with the Department of
Environment and Natural Resources and are considered a part of this Permit.
This Permit is for well construction only,and does not waive any provisions or requirements of any other
applicable laws or regulations.
Construction of wells under this Permit shall be in compliance with the North Carolina Well Construction
Regulations and Standards,and any other State and local laws and regulations pertaining to well construction.
This Permit will be effective for the construction of water supply wells from the date of its issuance and
shall be subject to other specified conditions, limitations, or exceptions as follows:
1. Prior notice of the pumping test date must be given to Landon Davidson,59 Woodfm Place,Asheville,
NC 28801, [phone],at least 48 hours prior to the start of the test.
2. Well site approval must be obtained from the Public Water Supply Section of the Department of
Environment and Natural Resources.
Permit issued this the 4°day of December.2003.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G. Landon Davidson,L.G.
Regional Groundwater Supervisor
DIVISION OF WATER QUALITY
By Authority of the Environmental Management Commission
PERMIT NO.WS O1-00022

!n
G)
Robert is ' ` a ®9 lace
rC
:Co LYvfl m o Cm7
a c`'
iTy I
i G7
r O
T�
M uuu
m
TO: MR.TED MINNICK,JR.Q 828-251-6452
FROM: ROBERT G.BURGIN,JR,P.E. PO BOX 1804 IRMO,SC 29063
SUBJECT: APPLICATION FOR PERMIT TO CONSTRUCT WELL BALD MOUNTAIN,INC.
DATE: WEDNESDAY,DECEMBER 03,2003
PAGES: 4,INCLUDING COVER PAGE
THE INFORMATION CONTAINED IN THIS MESSAGE IS PnIVILAGED AND CONFIDENTIAL INFORMATION
INTENDED ONLY FOR THE USE OF THE INDIVIDUALS OR ENTITY NAMED ABOVE. IF THE READER OF
THIS MESSAGE IS NOT THE INTENDED RECIPENT,YOU ARE HEREBY NOTIFIED THAT ANY
DISEMINATION,DISTRIBUTION OR COPY OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IFYOU
HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US BY TELEPHONE AND RETURN
THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA THE U.S.POSTAL SERVICE. THANKYOU.
Dear Minnick:
"Thank you for sending me the form for the application for permit to construct well. I have
attached the completed form and a map showing the well. As I discussed Kay in your office.we
will possibly drill three wells..On the map the well we are proposing with this application is well
site 42. The only wells that would be close to Well#2 would be the proposed future wells at sites
1 and 3. The well yield of well 42 will determine if the drill wells 1 and 3. Well site#2 is located
at N35°57.14'and W82°28.97'. We will submit applications for sites 1 and 3 if we decide to
move forward with drilling on these sites.
If you have any questions concerning this matter,please feel free to call upon me at anytime at
[phone].
With kind regards,I am
Sincerely yours,
Robert G. Burgin.,Inc.
(
Robert G. Burgin,Jr.,PE
IiI�S O�— OOOL2_
Attachments
Robert G.Bummi.Jr.,Lne. PO Box 1804 Irmo.SC 29063
Phone-(303);•Si:9fi5 Fas{803)751-5419 DigitalPa,er-iS03)b90-iTi7
1 *4 d66 :2T 60 60 08CI

f ROn :i.4R oRt i2.M 1003 e7:33 s• 2
I
t
NORTH CAROLINA
WminONMEM'AL MANAOBMLNT COMMISSION
DEPARTMENT OP IrWAONM2NC HEALTH.&NATURAL R2Cf)(JR(C9S•�'
.-'.•nA VL1CA• 10N FOR PERM T TO CONSTRUCT A VMM;+.,t-: •..�
Nd• OLINA Wtl oWlaAL HAMACMI MS tW1195I09 December3 j l ' 20034 -
fd dte dddt6 with the ptoviaiona of Article t. Chapter gi. daner4i Statutdo bf
Nof311C it d1 dtld ragulatidnl:pursuant thereto, application is herabytdltde byi -
' ' Bald Mountain Inc. for a paiwit t0 edhaltSO£ —
ti ace or Well•ounet) I '
a WAU .de eiibod below and in the aeaomponying data submitted as a part of thid:
appiide', All. ' t i
(a) M bt lft6�erty owner . Bald Mountain,Inc.
(b) Le' tie ' hOperty 'I Laurel 5Ubrvieion at the end of Ridge Gateway Road
• ;,y�r_„_„j, Road• Community. Debdiwiaion+ Let•Ho: ) Town' coaety -
�t).$i�S It 0� wall_ Public Water Supply .i
(d) Ui otj pdsed veil replace an existing veil No
(a) To,JTa1 el pleity of existing systems 195,120 gallona 'pat day
i l Ho Yield Ne ' go. Ylaid ;
I
i -
• l
CAM ttleti6d type Open end (Open bed, widened, 4rivel'paek64j ate:)
xeti 16jild'ddpth 12M feet L'atindtad ?laid 50gpm
Uti ated date of eonetructiont Begin . 12003 Complete 1131/04
• (t) Dri�ilin Conttttetor: Air Drilling Company
(h) Le do Of gall: Provide a detailed map showing the location of the proposed Veil
an Ally w4110 in the existing systed to at least two (2) nearby rdfdtenea poiete aueh
a/ tdad a idt:atesetionsl end atteame. Identity roads witb Seat■ Highway toad
id atii Citien ntrbbete. Show all existing water supply walls within a tddius of
Ili60 t at of the ptep6dad well. i
(1) VA
1 CO diraetioe Didgtaet Provide a diaares shoving proposed construction
1 1p cif! aften. (Ses form GW22-A 0n rsvorne) t� �tu�
I A damt htAtby dgaeas .flee ptep06ed gab fI3230r
the rAlutnutted Let netvk&net wLth (Ha11Ing dread of Well
owner (Required)
Mu CcUb Pews/.YcOndLtCOnd Of ao�c�.r.
PE
Ime.so 29M
;ppKailing.-Address of Agent
331142 a of veil owner or Agent
Consultln�Pm nal Civil Engineer to Owner Wes 0/
Title {{44 PEI!lSIS MD.-QMa--isauadLY {•y ZQ03
ON•22 tity. I go
� II.
U N C,— 3 SECTION�
ASHEVILLE RE610NAL OFFICE
Z •ci dEB :ZT EO 613 oaa

s h1AanAR at M5011htli I
' -... •COtt8tWlMlaN ><t£C)tlCAt'.tdU9 ' '
Ifs.{'%l:'t' i _:'S1% !: -Inf,FWIMA Toilpoaa-Eeid.Yeil
Y.:'.
1Ceeaeruetad i!M daadlid. i
� :... ;y,(G!� �� a,;,ld.4Atenaeildatad forauttene) a!!d taH141lS11%r=,-,=-»'ixw`,•�
,•j •lend outface'....
A) Casin:r -
Steel t0' 28
1)lonerr Llpe .. .- G U.�.:...., 16e./ft� ••� ^ 'I
u
• - S0 !k. (dayth) 'D,;_�t.-(kak6 lbeh) i -
9) Afbrr !y[a ►. 6. ` lba:/ft:
Z.
B) Ceaeatr :f . 3 li. ,t<:•
�s t) Imfer Caetape 0 tt. to 50 t!. ':y� 2) autbr Caelagi -It, to •ft. !
_. . C) Sereea(s)t type 1. A.
ft: t6 tt.
ft, to-._ ft.
i
0) arerss} !t. to tE. !n. 1
(cite) '
(rill in eeeh blank that applies and use appropriate diagram .
to show proposed eonstroaetes tnelddtnit, but not-itaited to,
ioaNns (ogler cad latNt), eediak material (teaegt, clay}
jA eto.), packs". tenons, travel, ci�sd h eal lied ose, eat:)
Imitift cis rau (Provieuety prtpand asps may be submitted provided they boa-
. I -,. ...- . :..
tala Infermatton required is taco (m) of the appl leatica)I.-<
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Robert G Burpin, Jr., Inc.
Consultlnt C" ugtne m
N
Sent Fedea o a
October 24, 2003 N
nM Oet
Mr.Ted Minnick z Q
Groundwater Technician a
DENR
T�
59 Woodfin Place
Asheville,NC 28801
Re: Wolf Laurel Additional Well Sites
Dear Mr. Minnick:
I have attached one(1)copy drawing showing the original approved sites and four additional well
sites that we will be asking Jerry Freeman to approve in the field. If these could be added to our
approved sites it would be greatly appreciated.
As noted on plan we attempted to drill well site#1 but the loose rock in first 100 feet kept falling
back into the drill hole preventing any chance of getting the casing in place with conventional
techniques. We did drill well site#2 to 1198 feet but did not get but about 1 gpm.
If you have any questions concerning this matter,please feel free to call upon me at anytime at
[phone].
With kind regards, I am
Sincerely yours,
Robert G. Burgin., Inc.
(3x.t X.Q.V.,'\
Robert G. Burgin, Jr.,PE
Enclosures
Cc: Mr. Jerry Freeman
Robert G.Burgin,Jr.,Inc.PO Box 1804 Irmo,SC 29063
Phone-[phone] Fax-[phone] Digital Pager-[phone]

Bensinger & Garrison
ENVIRONMENTAL, INC .
Bluefield Engineering, P.C. P.O. BOX 14609 • RTP, NC 27709
PHONE [phone]
FAX [phone]
July 11, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7006 0100 00018196 3431
Mr. G. Landon Davidson,PG
Aquifer Protection Section Supervisor
NCDENR—DWQ
Asheville Regional Office JUL 13 2006
Swan U.S.Hi 70
NC 2
Swannanoa NC 8778 n 7hev l!e Regional Office f
_ Aquifer Protection
RE: Proposed Construction of Three Type II Groundwater Monitoring Wells
Glen Raven Technical Fabrics,LLC
Site ID No.NCDO03158094
Dear Mr. Davidson:
Enclosed are completed applications to construct three Type I1 groundwater monitoring wells on
properties south and west of the Glen Raven facility on Highway 19E, Burnsville, North
Carolina. The applications are signed by the property owners and include Site Access
Agreements granting Bensinger & Garrison Environmental, Inc. (B&G) access to the properties
to install these monitoring wells(MW-5, 6, & 7).
A map showing the proposed location of the new wells, well construction schematics, and a
drawing that shows the existing wells (MW-1, 2, 3 & 4) on Glen Raven property are also
enclosed as required by the Application for Permit to Construct a Monitoring Well System.
B&G will forward the application, construction record, analytical results, and all associated
correspondence to the property owner and responsible party. Well construction records will be
filed once the wells have been installed. Should you have any questions or need additional
information,please call me or Tim Monroe at(919)484-8536.
Sincerely,
BENSINGER& GARRISON ENVIRONMENTAL, INC.
C; ck H ►�
ack H. Garrison, Jr.
Vice President/ Senior Environmental Consultant
JHG/gb
Enclosures
cc: David Cates—Glen Raven
Bryan Peterson—Glen Raven
GRIBurnsville/SiteAssessmend103796120061MW AppLDENR.ltr.0706
Wa 0100161

I
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
DIVISION OF WATER QUALITY - GROUNDWATER SECTION
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING WELL SYSTEM
(Please Type or Print Clearly)
Date: June 2006 County Yancey
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 wells.
1. Name of Applicant:
Glen Raven Technical Fabrics LLC (Telephone:[phone]
)
Applicants Mailing Address: 73 Fast US IIWy 19-E, Burnsville, W 28714
2. Name of Property Owner(i(different from Well Owner): United Cormunity Bank
Owner's Mailing Address: 12300 S. 226 Highway Spruce Pine NC 28777
3. Contact Person: Mr. Rick King (Telephone: [phone] )
4. Location of Property: 603 West Bypass, Burnsville, NC
5. Reason for Monitoring Well(s): Suspected contamination
(ex:nondischarge permit requirements,suspected contamination,environmental assessment,etc.)
6. Type of facility or site for which the monitoring well(s)is needed: Surface release
(ex:nonrhscharge facility,waste disposal site,landfill,underground storage tank etc.)
7. Type of contamination being monitored(if applicable): ICE
(ex:nuhierds,organics,heavy metals,etc.)
8. Are any existing recovery wells associated with the monitoring well(s)? No If yes, how many?
Recovery Well Construction Permit No.
9. Distance to a known waste or pollution source: 1000 feet
10. Are any water supply wells located less than 500 feet from the proposed monitoring welts? No
If yes, give distance: feet
11. Well Contractor. Parratt-Wolff Inc.
12. Well Contractor Certification #: 2973 PLEvrd f Ilan) 11356
13. Well Contractor's Address: 501 Millstone Drive, Hillsborough, NC 27278
PROPOSED MONITORING WELL CONSTRUCTION INFORMATION
1. Total Number of Wells to be constructed: one ; (A) Number to be completed in bedrock? 0
(13)Number to be completed in unconsolidated material? one
2. Estimated depth of well(s): 50 feet FOR OFFICE USE ONLY
PERMITTED ACTIVITY
3. Gravel or sand pack interval (if appropriate) — U.S.T. LEAK DETECTION
— GROUNDWATER QUALITY STANDARDS
From 43 feet To 50 feet VIOLATIONS SUSPECTED FROM UNPERMITTED
ACTIVITIES
4. Type of casing used: PVC _ NOTICE OF NON-COMPLIANCE AT
(ex:PVC,stainless steel,galvanized steel,etc.) UNPERMITTED FACILITIES
PERMIT NO. ISSUED 19
5. Diameter of casing: 2.0 inches
1P16fBEiff# /A A4 0/ tXJlto�
GW-22M(REV 3P2000) Montinund nn RPvarcal

Sch. 40 I
6. Thickness of casing: inches
7. How will the well(s) be secured? Locking cap
8. Estimated beginning construction date: July 2006
9. Estimated completion date, July 2006
ADDITIONAL INFORMATION
1. ATTACH A SITE MAP SHOWING THE LOCATIONS OF THE FOLLOWING:
1 - PROPOSED MONITORING WELL(S)
2 - ALL EXISTING MONITORING AND RECOVERY WELLS OR TEST BORINGS WITH THE PROPERTY
BOUNDARY
3- ALL WATER SUPPLY WELLS WITHIN 500 FEET OF THE WASTE SOURCES
4- AT LEAST TWO REFERENCE POINTS (NUMBERED ROADS, INTERSECTIONS,STREAMS, ETC.)
2. PROVIDE A WELL CONSTRUCTION DIAGRAM OF EACH WELL SHOWING DIAMETER, ESTIMATED DEPTH,SCREEN
INTERVALS,SANDIGRAVEL PACKS,TYPE OF CASING MATERIAL,CASING WALL THICKNESS,WELL HEAD
COMPLETION DETAILS, ETC.)
The Applicant hereby agrees the proposed well(s) will be constructed in accordance with
approved specifications and conditions of the Well Construction Permit as regulated under the Well
Construction Standards (Title 15A North Carolina Administrative Code, Subchapter 2C) and accepts
full responsibility for compliance with these rules.
Agent on behalf of Glen Raven Technical Fabrics LLC
Sign ure of Applicant or Agent
Vice President, Bensinger & Garrison Envirormntal, Inc.
Title(it applicable)
If the property is owned by someone other than the applicant, the property owner hereby
consents to allow the applicant to construct monitoring wells as outlined in this application and that
it shall be the responsibility of the applicant to ensure that these monitoring wells conform to the Well
1Construction Standards (Title 15A North Carolina Administrative Code, Subchapter 2C).
Signature of Property r d di ere t om app oa t
t

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.n r r st
FK
F�' ,� %•�r # 082012952360000a--
q•.GLEN.RAVEN FILAMENT rABRCSI LLO.
•';{. ,�;.- 22A6
010 a '1 5"D,4801 SM r"
x s {
tl83001050307000 .T •- "' -i
,t :� �_ D COMMUNITY SANK
t t B453/P625
I+ ,E. - '�• 06
i y �1013 041-1 I7
}kok
Y ! I I '-♦ vi a. ��c_ , . 3zD', 41000 ` +
r t ifl � YUNI .CAI NITYBANK
3 22?
lip
l `
-
.
R4
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SM _
x i
083003040052000 •` ir'
YANCEY COUNTY
1 r•
^'s; 6473/P778
6263 acres ' '
•-c s - d
^hey Y''p• � /s �:� J y1 _ - f 1
J e ✓ ram'..' mf.
C

9' Manhole Cover
Building Floor Surface ° ` •° . • Water - Tight •• "
Lockable Cap
0.3 ft. deep
e
P •• ,,4 n
Concrete Pad •° •• • '
0.5 ft. deep
Well Casing
(2' PVC)
Portland Grout
5 ft. deep
Bentonite Plug
7 ft. deep
I i
9 ft. deep
Silica Sand Pack
I
Well Screen
(2' PVC: Slot Size 0.010')
Well Plug
---- --_------ 14 ft. deep
(confining layer)
FIGURE 1: STANDARD TYPE II PROJECT NO.: 103796 SCALE: As Shown
GROUNDWATER MONITORING DATE: June, 2006
WELL (FLUSH) REVISION DATE: NA
DRAWN BY: CHC BENSINBER & GARRISON
APPROVED BY: JHG �- ENVIRONMENTAL, INC.
FILE: GR Burnsville BLUEFIELD ENGINEERING, P.C.

SITE ACCESS AGREEMENT
THIS SITE ACCESS AGREEMENT,made this $'14 day of June , 2006, by and
between United Community Bank,(the"Grantor") and Glen Raven Technical Fabrics LLC
(the "Grantee');
WHEREAS,the Grantor is the owner of certain property located at 603 West Bypass in
Burnsville, Yancey County,North Carolina(NCPIN: 010130408) ("the Property") and;
WHEREAS, the Grantee has requested access to the Property for the purpose of
performing environmental assessment activities, including the installation, sampling and testing
of groundwater monitoring wells on the Property, for and pursuant to monitoring groundwater
environmental conditions related to the Glen Raven Facility("Facility") located at 73 Highway
19E in Burnsville,North Carolina(the"Work"), and;
WHEREAS, Grantor and Grantee are desirous of executing an Agreement providing
Grantee with access to the Property for the purpose of performing certain of the Work on the
Property.
NOW THEREFORE, in consideration of good and valuable consideration,the receipt
and sufficiency of which is hereby acknowledged, the parties hereto, intending to be legally
bound, agree as follows:
1. Grantor grants to Grantee, its employees, agents, successors, and assigns, as well as to
Grantee's contractors, subcontractors, invitees, and contractors' subcontractors for a period of
three (3) years from the date above, the right, liberty, privilege, license, and authority to enter
upon the Property to do such acts necessary for performance of the Work, together with a
reasonable right of ingress and egress and the right to take any reasonable necessary action to
minimize impacts of such ingress and egress.
2. The monitoring wells shall be installed and the Work conducted in accordance with
applicable environmental laws. All operations by or on behalf of Grantee shall be carried out in
such a manner so as not to unreasonably interfere with the Grantor's use and enjoyment of the
Property.
3. Grantee further agrees to hold harmless and indemnify Grantor from any and all claims
from third parties, including claims arising from this Agreement, for damages or compensation
by way of contribution, indemnification, restitution, or otherwise arising from Grantee's or its
agents' acts or omissions on the Property under this Agreement.
4. At the completion of the Work Grantee shall, at its cost and expense, restore the Property
or cause the Property to be restored to its condition prior to the performance of the Work;
provided,however,with respect to any well installed by Grantee on the Property,permanent

closure of such well in accordance with all applicable laws and regulations shall be sufficient to
satisfy Grantee's obligations under this paragraph.
5. Grantee will promptly provide Grantor with copies, at no cost, of all laboratory analytical
reports resulting from sampling of any groundwater monitoring well on the Property.
6. In the event that any provision of this Agreement is found to be invalid or unenforceable,
the validity and enforceability of the remainder of this Agreement shall not be affected thereby,
and each other term and provision of this Agreement shall be valid and shall be enforced to the
fullest extent permitted by law.
7. Nothing in this Agreement is intended or shall be construed to be an admission of any
law or fact, nor a waiver of right, claim or defense, in any dispute, proceeding or litigation
regarding potential liability for conditions on the Property.
8. This Agreement, which cannot be amended without the written consent of both parties,
shall be construed and enforced in accordance with the laws of the State of North Carolina.
[Signatures appear on following page.]
2

IN WITNESS WHEREOF, and intending to be legally bound hereby, the parties hereto
have executed this Site Access Agreement on the date first above mentioned.
UNITED COMMUNITY BANK
By: C lz "
[INS RT TI E]
GLEN RAVEN TECHNICAL FABRICS LLC
By: /
Harold Hill,President
9304518.1
3

�0F WATF9 p Michael F.Easley,Governor
FILE p William G.Ross al Secretary
North Carolina Department of Environment and Natural Resources
> y fop
O < �i I r Alan W.Klimek,P.E.Director
Division of Water Quality
July 19, 2006
Mr. Jack Garrison
Senior Environmental Consultant
Bensinger& Garrison Environmental, Inc.
Post Office Box 14609
Research Triangle Park, North Carolina 27709
Subject: Well Construction Permit No. WM 0100161
Glen Raven Technical Fabrics, LLC
Yancey County,North Carolina
Dear Mr. Garrison:
In accordance with your application received July 13, 2006,we are forwarding herewith
Well Construction Permit No. WM 0100161 dated July 19, 2006, issued to Glen Raven
Technical Fabrics, LLC, for the construction of one (1) monitor well, located on the United
Community Bank property specified in the application, in Yancey County,North Carolina.
If any parts, requirements, or limitations contained in this Permit are unacceptable to you,
you have the right to an adjudicatory hearing before a hearing officer upon written demand to the
Director within thirty (30) days following receipt of this Permit, identifying the specific issues to
be contended. Unless such demand is made,this Permit shall be final and binding.
This Permit will be effective for the construction of a monitor well from the date of its
issuance until the site assessment has been completed, and shall be subject to the conditions and
limitations as specified therein. Attached is a Well Construction Record(GW-1)to be
completed and signed by the certified drilling contractor. This form shall be submitted to the
Department upon completion of the well.
Sincerely,
G. Landon D idson, L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
Attachment
cc: Mr. Rick King, United Community Bank
Mr. Kevin White, WCC #2973
ARO/file
N�y�e1,Carolina
rNatura!!y
North Carolina Division of Water Quality—Asheville Regional Office 2090 U.S.Highway 70 Swannanoa,N.C. 28779 Phone[phone]
FAX [phone]
Customer service 1-877-623-6748
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycledl10%Post Consumer Paper

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
ASHEVILLE,NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A MONITOR 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
GLEN RAVEN TECHNICAL FABRICS, LLC
FOR THE CONSTRUCTION OF one (1) monitor well, located on United
Community Bank property off of NC Highway 197, in Yancey County,North Carolina in the
Residuum System of the Blue Ridge Inner Piedmont Hydrogeological Unit in accordance with
the application received July 13,2006, and in conformity with specifications and supporting
data, all of which are filed with the Department of Environment and Natural Resources and are
considered a part of this Permit.
This Permit is for well construction only, and does not waive any provisions or
requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the North Carolina
Well Construction Regulations and Standards, and any other State and local laws and regulations
pertaining to well construction.
This permit will be effective for the construction of a monitor well from the date of its
issuance until the site assessment has been completed, and shall be subject to other specified
conditions, limitations, or exceptions as follows:
1. The well contractor shall notify the Asheville Regional Office prior to actual
construction of the well.
2. The well shall be constructed with well casing and well screens that conform to
requirements of the "Criteria and Standards Applicable to Water Supply and
Certain Other Type Wells" (15A NCAC 2C. 0100).
3. The well shall be afforded reasonable protection against damage during
construction and use.
4. The well screen shall be set at a depth where the anticipated high water table will
be below the top of the screens so that any floating volatile organics can enter
the monitor well, and of sufficient depth so that there is water adequate for
sampling during the seasonally low water table.
5. Provisions shall be made on the well cover to prevent surface water with possible
contaminants from entering the well pit and contaminating the monitor well.

i
•f .
6. The well shall have permanently affixed an identification plate constructed of
durable material and shall contain the following information: drilling contractor's
name and certification number; date well completed; total depth of well; a
warning that the well is not for water supply and that the groundwater may
contain hazardous materials; and depth to screens.
7. Well completion, well abandonment, and water quality reports are to be submitted
to the Division of Water Quality's Aquifer Protection Section Central Office in
Raleigh.
8. When the well has served its purpose and is of no further use, it shall be
permanently abandoned by the applicant according to the requirements of Section
.0113 of the"Criteria and Standards Applicable to Water Supply and Certain
Other Type Wells" (15A NCAC 2C).
Permit issued this the 19t' day of July 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G. Landon Dave L-P.
Aquifer Protection Section Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. WM 0100161
I
- I
it

;len Raven Well Permits
Subject: Glen Raven Well Permits
From: "Jack Garrison" <[e-mail]>
Date: Mon,24 Jul 2006 13:20:19 -0400
To: <[e-mail]>
CC: 'Bill Lane" <[e-mail]>, "David Cates" <[e-mail]>
Hello Ted,
Thanks for the 'quick turnaround on the two permits, WM 0100161 and 162. As
we discussed, these permits are for shallow wells, but we have DENRs
approval to install type II wells as was on the applications.
Jack
olq
I of 1 7/24/2006 1:29 PM

State of North Carolina
Department of Environment, Health, and Natural Resources
Asheville Regional Office
James G. Martin, Governor Ann B. Orr
William W. Cobey,Jr., Secretary Regional Manager
DIVISION OF ENVIRONMENTAL MANAGEMENT
March 12, 1990
Mr. William Bright
Post Office Box 2622
Lumberton, NC 28359
Dear Mr. Bright:
Subject: Well Construction Permit No. 99-0053-WM-0010
Jordan Oil Company .
Hot Spot - Burnsville
Yancey County, North Carolina
In accordance with your application received February 27, 1990, we are
forwarding herewith Well Construction Permit No. 99-0053-WM-0010 dated March
12, 1990, issued to Jordan Oil Company for the construction of five monitor
wells at the Hot Spot C-Store, 704 E. Main Street, Burnsville in Yancey
County.
If any parts, requirements, or limitations contained in this Permit are
unacceptable to you, you have the right to an adjudicatory hearing before a
hearing officer upon written demand to the Director within 30 days following
receipt of this Permit, identifying the specific issues to be contended.
Unless such demand is made, this Permit shall be final and binding.
This Permit shall be effective from the date of its issuance until
September 12, 1990, and shall be subject to the conditions and limitations as
specified therein. Attached are Well Construction Records to be completed and
signed by the drilling contractor. These forms should be submitted to the
Department upon completion of the wells.
Sincerely,
Roy M. Davis
Regional Supervisor
RMD:HEMjr:a
Attachments
cc: Perry Nelson
Jordan Oil Company
Interchange Building, 59 Woodfin Place, Asheville, N.C. 28801 •Telephone 704-251fi208
An Equal Opportunity Affirmative Action Employer

Page 2
3. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15 NCAC 2C .0100).
4. All wells shall be afforded reasonable protection against damage
during construction and use.
5. The well screens shall be set at a depth where the anticipated high
water table would be below the top of the screens so that any
floating petroleum products could enter the monitor wells and of
sufficient depth so there is water adequate for sampling during the
seasonally low water table.
6. Provisions shall be made on the well covers to prevent surface water
with possible contaminants from entering the well pits and contamina-
ting the monitor wells.
7. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number;
date well completed; total depth of well; a warning that the well is
not for water supply and that the groundwater may contain hazardous
materials; and depth to screens.
8. Well completion, well abandonment, and water quality reports are to
be submitted to the Division of Environmental Management's
Groundwater Section Central Office in Raleigh.
9. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according to the requirements of
Section .0113 of the "Criteria and Standards Applicable to Water
Supply and Certain Other Type Wells" (15 NCAC 2C).
10. If additional monitor wells, not shown on the location diagram, need
to be constructed during the time frame of this Permit, a map showing
the proposed location shall be submitted to the Asheville Regional
Office.
Permit issued this the 12th day of March, 1990.
NORTH CAROL`II/fNA ENURORO/NMMEPT ALAL MANAGEMENT COMMISSION
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 99-0053-WM-0010

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
P E RM=T FOR TH E
C ON S TRU C T 2 ON OF A WE L L
OR WELL SYSTEM
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
JORDAN OIL COMPANY
FOR THE CONSTRUCTION OF five (5) monitor wells in the Residuum System of the
Blue Ridge-Inner Piedmont Hydrogelogic Unit, located at Hot Spot, 704 E. Main
Street, Burnsville in Yancey County, in accordance with the application dated
February 19, 1990, and in conformity with the specifications and supporting
data, all of which are filed with the Department of Environment, Health, and
Natural Resources and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with the
North Carolina Well Construction Regulations and Standards, and any other
State and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until
September 12, 1990, and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. Written permission must be obtained from the property owner prior to
construction of the wells.
2. The well driller shall notify the Asheville Regional Office prior to
actual construction of the wells.

NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT -GROUNDWATER SECTION FOR OFFICE USE ONLY
P.O.BOX 27687-RALEIGH.N.C.27611.PHONE(81e)733-3221 Quad. No. 83 Serial No.
Lat. Long. Pc_
Minor Basin
WELL CONSTRUCTION RECORD Mason Code
Header Ent. GW-1 Ent.
DRILLING CONTRACTOR . 61C (U1. Fa iC �
DRILLER REGISTRATION NUMBER /Ol9 STATE WELL CONSTRUCTION
PERMIT NUMBER: 99- OOS-3-WA4- 00 1 p
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: County: _ LAW
eel
(Road, Community, or Subdivision and Lot No.) Depth DRILLING LOG
2. OWNER JoBDAnf O(L Lp — l4T �OQ� From To Formation Description
ADDRESS _ /�4 E• "k"A( Sy-
/�VWlC( LS treet or Routp flo.
Clty Or Town State Zip Code
3. DATE DRILLED USE OF WELL O&AII��
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
TOP OF CASING IS FT. A OVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING:
Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
From LOCATION SKETCH
To Ft. (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Division of Environmental Management and copy to well owner.

NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT -
DIVISION OF ENVIRONMENTAL MANAGEMENT -GROUNDWATER SECTION FOR OFFICE USE ONLY
P.O.BOX 27687-RALEIGH,N.C.27611,PHONE[phone] Quad. No. 3 Sarfal No.
Lat. Long. Pc_
WELL CONSTRUCTION RECORD Minor BasinBasin Code
Header Ent. GW-1 Ent.
DRILLING CONTRACTOR We CW• ArAIclfr)
DRILLER REGISTRATION NUMBER /C 2 9/ STATE WELL CONSTRUCTION
PERMIT NUMBER: 9,7—COS-3—ay-00/0
1. WELL LOCATION: (Show sketch of the location below) I'//
Nearest Town: 15 J% f LE SV1 L County: VA.-JCE)"
i
(Road, Community, Or Subdivision and
Lot No..)/ Depth DRILLING LOG
2. OWNER 23;PbA+J 6t( 6 /{� �jOe� From To Formation Description
ADDRESS— /OzF F• VA-A( �y
05-
City or Town /State Zip Code
3. DATE DRILLED USE OF WELL 00if 1
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. ❑ above TOP OF CASING,
TOP OF CASING IS FT. ABOVE belLAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING:
Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
From To Ft. LOCATION SKETCH
(Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in, in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER,
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Division of Environmental Management and copy to well owner.

NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT -
DIVISION OF ENVIRONMENTAL MANAGEMENT-GROUNDWATER SECTION �FOR OFFICE USE ONLY
P.O.BOX 27687-RALEIGH,N.C.27611,PHONE[phone] Quad. No. 3 Serial No.
Lat. Long. PoMinor Basin
WELL CONSTRUCTION RECORD Basin Code
\ Header Ent. GW-1 Ent.
DRILLING CONTRACTOR S�tL1 �VJ- I�Q IC2ELi)
DRILLER REGISTRATION NUMBER /6 Z g STATE WELL CONSTRUCJION
PERMIT NUMBER: g`1-00 f4A?_00/0
I. WELL LOCATION: (Show sketch of the location below)
Nearest Town: � rJ'.QndSdi GLE County:
(Road, Community, or Subdivision and Lot No.) / �L� Depth DRILLING LOG
I OIL tie- /��f/�
2. OWNER _-J r�2,21.Q-n From To Formation Description
ADDRESS 704 6 •/Y Sir—
,Peetor RoOta No.
City or Town State Zip Code
3. DATE DRILLED USE OF WELL Owl V�FAe_
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑ No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
TOP OF CASING IS ❑ below
FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type � Amount
10. CASING:
Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
From LOCATION SKETCH
To Ft. (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft, in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Divislon of Environmental Management and copy to well owner.

. I I
NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT -GROUNDWATER SECTION FOR OFFICE USE ONLY
P.O.90X 27687-RALEIGH,N.C.27611.PHONE[phone] Quad. No. 1'a 3 Serial No.
Lat. Long. PC_
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
Header Ent. GW-1 Ent._
DRILLING CONTRACTOR �ttLl �IJ• &t1C'*-r
DRILLER REGISTRATION NUMBER 10 2 J STATE WELL CONSTV TION
PERMIT NUMBER: 79—OQT3 -Wd/_00 to
1. WELL LOCATION: (Show
,,sketch of the location below)
Nearest Town: dv/�AJS(�l�(� �/f
County:
(Road, Community, or Subdivision and/Loot No C Depth DRILLING LOG
2. OWNER �r7QD,{/�-A� d/L. (-/y]— From To Formation Description
ADDRESS �/D,7� - E • M/+'/N
/aVl�-Wa GLtFet or R&NO.
City or Town State Zip Code
3. DATE DRILLED USE OF WELL ROW1 PTR
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑ No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. O above TOP OF CASING,
TOP OF CASING IS FT. ow
ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING:
Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To Ft._ or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft, in. in.
From To Ft. in. - in.
From To—Ft. in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Division of Environmental Management and copy to well owner.

i
NORTH CAROLINA DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT-GROUNDWATER SECTION FOR OFFICE USE ONLY
P.O.BOX 27987-RALEIGH,N.C.27611.PHONE(a 19)733-3221 Quad. No. O 3
�_ Serial No.
Lat. Long. PC
WELL CONSTRUCTION RECORD Minor Basin
Basin Coda
Header Ent. GW-1 Ent.
DRILLING CONTRACTOR EF�C 14) • ?SO—
�—' STATE WELL CONSTRll11GG77ION DRILLER REGISTRATION NUMBER — Z� PERMIT NUMBER: �/Y—BOY—mjjtf-®a/o
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: AKreAls✓/GGE
County:
i
(Road, Community, Or Subdivision and Lot No Depth DRILLING LOG
From
2. OWNER _y�bQ 1J QIL // r To S;O07 Formation Description
ADDRESS_[�¢ E• /V/fF/AJ j;—
.QAlSt/,CLL reet orgge No.
City or Town State Zip Code
3. DATE DRILLED USE OF WELL dam[`6P-
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑ No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. 0 above TOP OF CASING,
TOP OF CASING IS ❑ below
FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING:
Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
From TO LOCATION SKETCH
Ft. (Show direction and distance from at least two State Roads,
From To Ft._ or other map reference points)
From To Ft
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
14. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 6/88 Submit original to Division of Environmental Management and COPY to well owner.

I
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY WELL(S)
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION 2/19 , 19 90
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
Jordan Oil Co. for a permit to construct a
name o we owner
monitor/recovery well as described below and in the accompanying data submitted as a
part of this application.
(a) Name of property owner: Hot Spot C—Stores
(b) Location of property: 4 E. Mairi St. BurnSV111e Yancey
(Road, Industry, Community, etc. own County
(c) Typc of facility or site being monitored: Convenient Store
(d) Types of contamination being monitored or recovered: Petroleum Hydrocarbons
(e) Existing monitor well numbers: None
(f) Existing monitor wells showing contamination (well no.): Norte
(g) Estimated water-table depth: 1 5—20 feet
(h) Estimated date of construction: Begin 3/7/90 Complete 318/90
(i) Drilling constractor: EHC #1029
(J) Location of well: Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relation to the
Pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed 29304
well will be constructed in accordance with Ps0. Box 2527, Spartanburg,SC
approved specifications and conditions of �mai n ng Address of Well Owner-Required)
the Well Construction Permit. As regulated
under the Well Construction Standards (Title F.C. Box 2622 Lumberton,NC 28359
15 - North Carolina Administrative Code,
Subchapter 2C) (Mailing Address of Agent-if other
than above)
%G L Clci/
Signature A nt
FOR OFFICE USE ONLY
Tit e i app scab a PERMIT NO. issued 19
GW-22B � `c C
Groundwater Sectior.
Asheville Reeinnal OUi�e
:a

/
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I

Bensinger & Garrison
ENVIRONMENTAL, INC.
Bluefield Engineering, P.C. P.O. BOX 14609 RTP, NC 27709
PHONE [phone]
FAX [phone]
July 11, 2006
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7006 0100 00018196 3431
Mr. G. Landon Davidson,PG
Aquifer Protection Section Supervisor
NCDENR—DWQ
Asheville Regional Office JUL If 2006
2090 U.S.Highway 70
Swannanoa,NC 28778
✓i
RE: Proposed Construction of Three Type II Groundwater Monitoring Wells
Glen Raven Technical Fabrics,LLC
Site ID No.NCDO03158094
Dear Mr. Davidson:
Enclosed are completed applications to construct three Type II groundwater monitoring wells on
properties south and west of the Glen Raven facility on Highway 19E, Burnsville, North
Carolina. The applications are signed by the property owners and include Site Access
Agreements granting Bensinger & Garrison Environmental, Inc. (B&G) access to the properties
to install these monitoring wells (MW-5, 6, &7).
A map showing the proposed_location of the new wells, well construction schematics, and a
drawing that .shows the existing wells (MW-1, 2, 3 & 4) on Glen Raven property are also
enclosed as required by the Application for Permit to Construct a Monitoring Well System.
B&G will forward the application, construction record, analytical results, and all associated
correspondence to the property owner and responsible party. Well construction records will be
filed once the wells have been installed. Should you have any questions or need additional
information, please call me or Tim Monroe at(919) 484-8536.
Sincerely,
BENSINGER & GARRISON ENVIRONMENTAL, INC.
JacktHarrison, Jr.
Vice President/ Senior Environmental Consultant
JHG/gb
Enclosures
CC: DavidCates—GlenRaven
Bryan Peterson—Glen Raven
GR/Burnsville/SiteAssessm ent/103796120061MW Appl.DEAR.11r.0706
IAN 0/00/6¢

i
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER QUALITY - GROUNDWATER SECTION
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING WELL SYSTEM
(Please Type or Print Clearly)
Date: June 2006 County Yancey
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 wells.
1. Name of Applicant: Glen Raven Technical Fabrics LLC (Telephone: 828-67BE3016 )
Applicant's Mailing Address: 73 East US Hwy 19-E, Burnsville NC 28714
2. Name of Property Owner(if different from Well Owner): Yancey County
Owners Mailing Address: 110 Town Square, Roan 11
C h L h Ms. Michele awern, County Manager (Telephone: [phone] )
3. Contact Person: Ph
4. Location of Property: On US Hwy 19-E across from applicant's address
5. Reason for Monitoring Well(s): Suspected contamination
(ex:nondischarge permit requirements,suspected contamination.environmental assessment,etc.)
6. Type of facility or site for which the monitoring wells)is needed: Surface release
(ex:nondischarge facility,waste disposal site,landfill,underground storage tank etc.)
7. Type of contamination being monitored(d applicable): TCE
(ex:nutrients,organics,heavy metals,etc.)
8. Are any existing recovery wells associated with the monitoring well(s)? No If yes, how many?
Recovery Well Construction Permit No.
9. Distance to a known waste or pollution source: 1000 feet
10. Are any water supply wells located less than 500 feet from the proposed monitoring wells? No
It yes,give distance: feet
11. Well Contractor. Parratt-Wolff Inc.
12. Well Contractor Certification C 2973 IUL I q 2006
13. Well Contractor's Address: 501 Millstone Drive Hillsborough W 27278
PROPOSED MONITORING WELL CONSTRUCTION INFORMATION
1. Total Number of Wells to be constructed: two ; (A) Number to be completed in bedrock? 0
(B) Number to be completed in unconsolidated material? two
FOR OFFICE USE ONLY
2. Estimated depth of well(s): 50 teen _ PERMITTED ACTIVITY
_ U.S.T. LEAK DETECTION
3. Gravel or sand pack interval (H ppropriate) _ GROUNDWATER QUALITY STANDARDS
From 3 feet To 50feet VIOLATIONS SUSPECTED FROM UNPERMITTED
ACTIVITIES
4. Type of casing used: PVC _ NOTICE OF NON-COMPLIANCE AT
(ex:PVC,stainless steel,galvanized steel,etc.) UNPERMITTED FACILITIES
PERMIT NO. ISSUED 19
5. Diameter of casing: 2.0 inches OA4 0/00Mo y
GW-22M(REV 3/2000) (Continued nn Raverse)

i
6. Thickness of casing: Sch. 40 inches
7. How will the well(s)be secured? Locking cap
8. Estimated beginning construction date: July 2006
9. Estimated completion date, July 2006
ADDITIONAL INFORMATION
1. ATTACH A SITE MAP SHOWING THE LOCATIONS OF THE FOLLOWING:
1 - PROPOSED MONITORING WELL(S)
2- ALL EXISTING MONITORING AND RECOVERY WELLS OR TEST BORINGS WITH THE PROPERTY
BOUNDARY
3- ALL WATER SUPPLY WELLS WITHIN 500 FEET OF THE WASTE SOURCES
4- AT LEAST TWO REFERENCE POINTS (NUMBERED ROADS, INTERSECTIONS,STREAMS, ETC.)
2. PROVIDE A WELL CONSTRUCTION DIAGRAM OF EACH WELL SHOWING DIAMETER, ESTIMATED DEPTH,SCREEN
INTERVALS,SANDIGRAVEL PACKS,TYPE OF CASING MATERIAL,CASING WALL THICKNESS,WELL HEAD
COMPLETION DETAILS, ETC.)
The Applicant hereby agrees the proposed well(s) will be constructed in accordance with
approved specifications and conditions of the Well Construction Permit as regulated under the Well
Construction Standards (Title 15A North Carolina Administrative Code, Subchapter 2C) and accepts
full responsibility for compliance with these rules.
Agent on behalf of Glen Raven Technical Fabrics LLG
S' re of Applicant or Ag nt
Vice President, Bensinger & Garrison Environmental, Inc.
Title(0 applicable)
If the property is owned by someone other than the applicant, the property owner hereby
consents to allow the applicant to construct monitoring wells as outlined in this application and that
it shal be the responsibility of the applicant to ensure that these monitoring wells conform to the Well
Con uction Standar Title 15A North Car a Ad 'nistrative Code, Subchapter 2C).
\-/Simot Prope n r Of diierent from applicant
L

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8' Manhole Cover
Building Floor Surface ° ; tea. Water - Tight • ' �! '
Lo knble Cap
• 0.3 ft. deep
Q e• .Q
Concrete Pad .a••
0.5 ft. deep
Well Casing
(2' PVC)
Portland Grout
5 ft. deep
Bentonite Plug
7 ft. deep
9 ft. deep
1
Silica Sand Pack
i
I
Well Screen
(2' PVC: Slot Size 0.010')
Well Plug
--- — 14 f t. deep
(confining layer)
FIGURE 1: STANDARD TYPE II PROJECT NO: 103796
GROUNDWATER MONITORING DATE: June, 200 SCALE: As Shown
WELL (FLUSH) REVISION DATE: NA
DRAWN BY: CHC BENSINGER & GARRISON
APPROVED BY: JHG - �-� ENVIRONMENTAL, INC.
FILE: GR Burnsville BLUEFIELD ENGINEERING, P.C.

SITE ACCESS AGREEMENT
THIS SITE ACCESS AGREEMENT,made this F'u' day of June, 2006,by and
between Yancey County,(the"Grantor") and Glen Raven Technical Fabrics LLC (the
"Grantee"),
WHEREAS,the Grantor is the owner of certain property located on Highway 19E in
Burnsville,Yancey County,North Carolina(NCPIN: 0100802161 ) ("the Property") and;
WHEREAS,the Grantee has requested access to the Property for the purpose of
performing environmental assessment activities, including the installation, sampling and testing
of groundwater monitoring wells on the Property, for and pursuant to monitoring groundwater
environmental conditions related to the Glen Raven Facility("Facility") located at 73 Highway
19E in Burnsville,North Carolina(the"Work"), and;
WHEREAS, Grantor and Grantee are desirous of executing an Agreement providing
Grantee with access to the Property for the purpose of performing certain of the Work on the
Property.
NOW THEREFORE,in consideration of good and valuable consideration, the receipt
and sufficiency of which is hereby acknowledged, the parties hereto, intending to be legally
bound, agree as follows:
1. Grantor grants to Grantee, its employees, agents, successors, and assigns, as well as to
Grantee's contractors, subcontractors, invitees, and contractors' subcontractors for a period of
three (3) years from the date above, the right, liberty, privilege, license, and authority to enter
upon the Property to do such acts necessary for performance of the Work, together with a
reasonable right of ingress and egress and the right to take any reasonable necessary action to
minimize impacts of such ingress and egress.
2. The monitoring wells shall be installed and the Work conducted in accordance with
applicable environmental laws. All operations by or on behalf of Grantee shall be carried out in
such a manner so as not to unreasonably interfere with the Grantor's use and enjoyment of the
Property.
3. Grantee further agrees to hold harmless and indemnify Grantor from any and all claims
from third parties, including claims arising from this Agreement, for damages or compensation
by way of contribution, indemnification, restitution, or otherwise arising from Grantee's or its
agents' acts or omissions on the Property under this Agreement.

4. At the completion of the Work Grantee shall, at its cost and expense,restore the Property
or cause the Property to be restored to its condition prior to the performance of the Work;
provided,however,with respect to any well installed by Grantee on the Property,permanent
closure of such well in accordance with all applicable laws and regulations shall be sufficient to
satisfy Grantee's obligations under this paragraph.
5. Grantee will promptly provide Grantor with copies, at no cost, of all laboratory analytical
reports resulting from sampling of any groundwater monitoring well on the Property.
6. In the event that any provision of this Agreement is found to be invalid or unenforceable,
the validity and enforceability of the remainder of�this Agreement shall not be affected thereby,
and each other term and provision of this Agreement shall be valid and shall be enforced to the
fullest extent permitted by law.
7. Nothing in this Agreement is intended or shall be construed to be an admission of any
law or fact, nor a waiver of right, claim or defense, in any dispute, proceeding or litigation
regarding potential liability for conditions on the Property.
8. This Agreement, which cannot be amended without the written consent of both parties,
shall be construed and enforced in accordance with the laws of the State of North Carolina.
[Signatures appear on following page.]
2

IN WITNESS WHEREOF, and intending to be legally bound hereby,the parties hereto
have executed this Site Access Agreement on the date first above mentioned.
YANCEY COUNTY
By: ,
Co anager
GLEN RAVEN TECHNICAL FABRICS LLC
By:
Harold Hill,President
9304518.1
3 '

LEGEND
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FIGURE 2: PROPOSED MW3 & MW4 LOCATIONS 7 RAWN CHIC
POAT A t A D BY: JHG BENSINGER & GARRISON
Glen Raven Technical Fabrics LLC REVISION DATE: n/a FILE: GR Burnsville ENVIRONMENTAL, INC.
73 Highway 19E BLUEFIELD ENGINEERING, P.C.
Burnsville, Yancey Co., North Carolina SCALE1 Not to Scale

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�OF w a rFR p Michael F.Easley,Governor
O William G.Ross Jr.,Secretary
FILE COPY
1 r" North Carolina Department of Environment and Natural Resources
'C Alan W.Klimek,P.E.Director
Division of Water Quality
July 19, 2006
Mr. Jack Garrison
Senior Environmental Consultant
Bensinger& Garrison Environmental, Inc.
Post Office Box 14609
Research Triangle Park, North Carolina 27709
Subject: Well Construction Permit No. WM 0100162
Glen Raven Technical Fabrics, LLC
Yancey County,North Carolina
Dear Mr. Garrison:
In accordance with your application received July 14, 2006, we are forwarding herewith
Well Construction Permit No. WM 0100162 dated July 19, 2006, issued to Glen Raven
Technical Fabrics, LLC, for the construction of two (2)monitor wells, located on property
owned by Yancey County, in Yancey County,North Carolina.
If any parts, requirements, or limitations contained in this Permit are unacceptable to you,
you have the right to an adjudicatory hearing before a hearing officer upon written demand to the
Director within thirty (30)days following receipt of this Permit, identifying the specific issues to
be contended. Unless such demand is made,this Permit shall be final and binding.
This Permit will be effective for the construction of monitor wells from the date of its
issuance until the site assessment has been completed, and shall be subject to the conditions and
limitations as specified therein. Attached are Well Construction Records (GW-1)to be
completed and signed by the certified drilling contractor. These forms shall be submitted to the
Department upon completion of the wells.
Sic `
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
Attachments
cc: Ms. Michele Lawhem, County Manager
Mr. Kevin White, WCC#2973
ARO/file
IV�°n�en Carolina
,Naturu!!y
North Carolina Division of Water Quality-Asheville Regional Office 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone]
FAX [phone]
Customer Service 1-877-623-6748
Internet: h2o.enr.slate.no.us
An Equal Opportunity/Affirmative Action Employer-50%Recyded/l0%Post Consumer Paper

J ..
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
ASHEVILLE,NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF MONITOR WELLS
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
GLEN RAVEN TECHNICAL FABRICS, LLC
FOR THE CONSTRUCTION OF two (2) monitor wells, located on Yancey County
property off of US Highway 19-E, in Yancey County,North Carolina in the Residuum System
of the Blue Ridge Inner Piedmont Hydrogeological Unit in accordance with the application
received July 14,2006, and in conformity with specifications and supporting data, all of which
are filed with the Department of Environment and Natural Resources and are considered a part of
this Permit.
This Permit is for well construction only, and does not waive any provisions or
requirements of any other applicable laws or regulations.
Construction of wells under this Permit shall be in compliance with the North Carolina
Well Construction Regulations and Standards, and any other State and local laws and regulations
pertaining to well construction.
This permit will be effective for the construction of monitor wells from the date of its
issuance until the site assessment has been completed, and shall be subject to other specified
conditions, limitations, or exceptions as follows:
I. The well contractor shall notify the Asheville Regional Office prior to actual
construction of the wells.
2. The wells shall be constructed with well casing and well screens that conform to
requirements of the "Criteria and Standards Applicable to Water Supply and
Certain Other Type Wells" (15A NCAC 2C. 0100).
3. The wells shall be afforded reasonable protection against damage during
construction and use.
4. The well screens shall be set at a depth where the anticipated high water table will
be below the top of the screens so that any floating volatile organics can enter
the monitor wells, and of suffrcient'depth so that there is water adequate for
sampling during the seasonally low water table.
5. Provisions shall be made on the well covers to prevent surface water with possible
contaminants from entering the well pits and contaminating the monitor wells.

6. The wells shall have permanently affixed an identification plate constructed of
durable material and shall contain the following information: drilling contractor's
name and certification number; date well completed; total depth of well; a
warning that the well is not for water supply and that the groundwater may
contain hazardous materials; and depth to screens.
7. Well completion, well abandonment, and water quality reports are to be submitted
to the Division of Water Quality's Aquifer Protection Section Central Office in
Raleigh.
8. When the wells have served their purpose and are of no further use,they shall be
permanently abandoned by the applicant according to the requirements of Section
.0113 of the "Criteria and Standards Applicable to Water Supply and Certain
Other Type Wells" (15A NCAC 2C).
Permit issued this the 19`h day of July 2006.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. WM 0100162

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
July 31, 2013
Carolina Water Service,Inc. of NC
PO Box 240909
Charlotte,N.C.28224
Attri Martin Lashua
Re: Well Construction Permit: WS0100057
1384 Big Bald Road,Mars Hill,NC 28754
Property PIN: 986201490706000
Yancey County,N.C.
Dear Mr. Lashua,
In accordance with the application submitted on your behalf by Mr. Landon Burgin on July 18,
2013,we are forwarding the well construction permit numbered WS0100057 dated July 31,2013, issued
to Carolina Water Service,Inc. of NC. The permit is for construction of a water supply well as described
in the application and the attached permit.
The permit will be effective from the date of issuance and is subject to the conditions and
limitations as specified therein.Please review the attached permit conditions.
Please contact Andrew Moore if you should have any questions or need additional information at
828-2964500.
Sincerely,
G. Landon Davidson,P.G.
Regional Supervisor
Aquifer Protection Section
Asheville Regional Office
cc: ARO/file
ec: Robert Burgin, Burgin Engineering,Inc.
Bill Conner,NC DENR Public Water Supply Section
AQUIFER PROTECTION SECTION
North Carolina Division of Water Quality-Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet h2o.enr.state.nc.us
An Equal OpportunitylAffirri Action Employer

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF A WATER SUPPLY WELL OR WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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
Carolina Water Service,Inc. of NC
FOR THE CONSTRUCTION OF A WATER SUPPLY WELL SYSTEM consisting of 1 water supply well(s) on property
owned by R.Lee and Christy A.Smith located at 13 84 Big Bald Road,in Mars Hill,North Carolina in Yancey County(or Pin
No.986201490706000). This Permit is issued in accordance with the application received on July 18,2013,and the requested
additional information received on July 24 and 26,2013,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 or any other applicable law or
regulation. This Permit does not constitute approval of a site, for which the Public Water Supply Section may require
additional information or approval of the proposed volume of water to be withdrawn,within an area defined as a Capacity Use
Area,regulated by the Division of Water Resources.
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 water supply 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. A well test for yield shall be conducted in accordance with 15A NCAC 02C.0110(b)and the results of that
test shall be submitted to the Division of Water Quality's Regional Office within 30 days of the test conclusion.
2. Each well shall have a Well Contractor Identification Plate and a Pump Installation Information Plate in
accordance with 15A NCAC 02C.01070)(2)and(3).
3. 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.
4. 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.
Permit issued the 31 st day of July,2013
FOR THE NORTH CAROLIN=ENTAL ANAGEMENT COMMISSION
G. Landon Davidson,Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No.#WS0100057
Revised July 2011

WSolovos7
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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 water supply wells.
1. Date: 7/18/13 FOR OFFICE USE ONLY
2. County: Yancey PERMIT NO. ISSUED DATE:
3, Applicant Carolina Water Service, Inc. of NC Telephone: [phone]
Applicant's Mailing Address: PO Box 240909 Charlotte NC 28224
Applicant's Email Address(if available): MJLashua(a)uiwater.conn m
n
4. Contact Person(if different than Applicant): Telephone: 5
Contact Person's Mailing Address: ro IC" 0
Contac Person's Email Address(if available):
Ir ITI
5. Property Owner(if different than Applicant): Telephone: alp
Owner's Mailing Address:
Owner's Email Address(if available):
6. Property Physical Address(including zip code)and PIN Number: Well 5A-13a4 Big Bald Rd,Mars Hill, NC 28754
PfN:98620149U/Ub000
7. Intended use of Well or Well System: Consumption
(examples: irrigation, consumption, etc.)
8. Will the proposed water supply well or well system replace or be added to an existing well or well system? Added to exishng(yes)
(If yes, complete questions 7 and 8) (if no, complete question 7 and then skip to question 9)
9, Total design capacity of proposed well or well system in gallons per day(gpd): 20,160
10. If adding a well to an existing system,list the existing water supply wells in the existing system and their respective yields:
See attached system well information
11. Is this a public well or well system? Yes If yes,give Public Water ID Number: NC 01-58-101
If yes,give Project Engineer and contact information: Robert G. Burgin,Jr. P.E. Burgin Engineering, Inc.
urgxr ngrneenng .com
12, Well Contractor: Yadkin Well Well Contractor Certification No.: 474
Well Contractor Address, 1908 Hamotonville Rd Hamotonville, NC 27020
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(f)(7), attach a well 2. Number of wells to be constructed in unconsolidated
construction diagram of each well showing the following.
a. Borehole and well diameter material: 0
b. Estimated well depth 3. Number of wells to be constructed in bedrock: 1
C. Screen intervals
d. Sand/gravel pack intervals 4. Total number of wells to be constructed: 1
e. Type of casing material and thickness (add answers from 2 and 3)
f. Grout horizons
g. Well head completion details 5. Estimated beginning construction date: 09/1/12
6. Estimated construction completion date: 04/1/13
Continued on Reverse

ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(@(5), attach a scaled map of the site showing the locations of the following:
a. At 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 a 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.
2. As required by 15A NCAC 02C .0105(g)(3),for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium,potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits(if required). [e.g.Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NC
counties by NC Division of Water Resources,visit: http:/hvww.ncwater.org]
SIGNATURES
The Applicant herebL
he proposed well(s)will be constructed in accordance with approved specifications and conditions of
the Water Supplt "on Per @ as regulated under the Well Construction Standards(Title 15A of the North Carolina
S apter 2C)and accepts full responsibility for compliance withh,these rules
1''LG/0hQ f .0 I'ree
Signature ofAppicant_orl'Agent r L Title ofAppkc or'Agent
N signing as Agent, attach authorization agmemerrt 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
water supply wells as outlined in this Water Supply Well Construction Permit application and that it shall be the responsibility of the
applicant to ensure that the water supply 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 Quality's Aquifer Protection Section Regional Office:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090 U.S.Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh,NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
725 Green .Street,Suits 714 943 Washington Square Mall 595 Waughtown Street
Fayetteville,NC 28301-5094 Washington, NC 27889 Winston-Salem, NC 27107
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Mooresville Regional Office e _
610 East Center Avenue wn
Mooresville,NC 28115
Phone: [phone]
Fax: [phone]
alp=.
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Well# GPM
Well#1, 630 Buckeye Rd 41
Well#2,59 Curtis Ln 9
Well#3,447 Unakite Ln 13
Well#5, 854 Big Bald Rd 17.5
Well#9,20 Elminer Ct 17
Well#12, 635 Valleyview Circle 26
Well#14A, 307 Spring Valley Rd 65
Well#14B, 140 Valleyview Circle 82

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Bering""' PROJ.#77-001

PROPOSED r UNION,TYP.
PROPOSED r BALLVALVE,TYP. PROPOSEDr METER
PROPOSED r DIPWATEALDff TO SYSTEM PROPOSFDrC ECAVALVE
PROPOSED PRESSURE GAUGE
EXISTING CHEMICAL FEED PUMPS
PROPOSED r TEE,TYP. MOUNTED ON RELOCATED SFELF)
PROPOSED 2-ELL.TYP. PROPOSED CHEMICAL FEED PUMPS
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PROPOSED CHEMICAL IWEC ION POINT,TYP. RELOCATED EXISTING SHELVES
PROPOSED r BLOWOFF PROPOSED
D (IOATMOSPHERE) CHEMICAL-
PROPOSED SAMPLE TM PROPOSED 9?WATER LINE
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PROPOSEDVENIIATIONFAN
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PROPOSED 380 GALLON CHEMICAL
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STORAGE DRUMS
PROPOSED CONCRETE
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c
PROPOSEDC DIP WATERLINE
NOTE:ROOFING,BUILDING WALLS& FRDM PROPOSED WELL5A
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c1 PROPOSED WELL 5 ADDITIONS-ISOMETRIC VIEW PROPOSED Y:WATER UNE
cm1 �AIe NOrF PROPOSED VENTILATION FAN PROPOSED 3TELL,TYP.
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PR POSEDr CHECK VALVE IOUNTELI ON RELOCATED SEEIE) PROPOSEDr EALLVALVE,TYP.
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Ti OB'DIP EXISTING WDL PROPOSED r DF WATERLINE TO SYSTEM
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N SHOWN FOR CLARITY. emt w.,�.t,�ra PROPOSED 4-DIP WATERLINE
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EXISTING EL GAL
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NOTE:ROOFNG,BUILGNG WALLS 6
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NOTE:ROOFING.ELECTRICAL&BUILONG
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`PROPOSED 4'DIP WATERLINE
FROM PROPOSED WE SA
PROPOSED CONCRETE BLOCK BUILDING ADDff1ON PROPOSED
VENTILATION
EXISTING CONCRETE SLAB
E%ISTING DOOR(OPEN)
NOTES:
1.ALL SLAB PENETRATIONS TO BE AT LEAST
35'FROM WELL CASING.
2.ALL PIPING SHALL BE r GLAVANIZED
UNLESS NOTED OTHERWISE.
3.CONCRETE SLAB SHALL BE SLOPED AWAY
FROM WELL CASING Y4-PER FOOT.
4.TOP OF CONCRETE SLAB SHALL BE 4'
ABOVE FINISHED GRADE.
5.HEAT TRACE ALL PIPING AS NECESSARY.
NOTE:ROOFING NOT —CAUTION"
PROPOSED r BLOWOFF SHOWN FOR CLARITY.
PROPOSED CHEMICAL INJECTION POINT,TYP.
u PROPOSED WELL S ADDITIONS-TOP VIEW
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NOTES:
1.ALL SLAB PENETRATION ARE AT LEAST 36'
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NOTE:DOGHOUSE COVER PROPOSED ELECRBCAL BOX(MOUNTED ON IV UNISTRU
NOT SHOWN FOR CLARITY.
PROPOSED W DIP WATERUNE
PROPOSED P'TEE,TYP. TO EXISTING WELL 6
PROPOSED PRESSURE GAUGE
PROPOSED r CHECK VALVE
PROPOSED 2'GALV.WATER LINE TO
PROPOSED SAMPLE TAP CONNECTION WIPROPOSED 4'
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r BLCWOFF(TO ATMOSPHERE)
PROPOSED r ELL,TYP.
e
PROPOSLD W THK CONCREI
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ram ear:xoN6
PROPOSED MEKCO MODEL 655-M PROPOSED r CHECK VALVE
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APPROVED TVAL TO HOUSE
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PROPOSED ELECTRICAL BOX
(MOUNTED ON IV UNISTRUT,TYP.)
PROPOSED Y ELL,TYP.
PROPOSED Y TEE,TYP.
PROPOSED Y BLOWOFF IN
VALVE BOX(TO ATMOSPHERE) m
VALVE BOX B COVER
PROPOSED Y UNION,TYP. ra ur
NOTES:
1.ALL SLAB PENETRATIONS TO BE AT LEAST
PROPOSED2'CHECK VALVE 38'FROM WELL CASING.
2.ALL PIPING SHALL BE Y GLAVANIZED
UNLESS NOTED OTHERWISE.
3.CONCRETE SLAB SHALL BE SLOPED AWAY
FROM WELL CASING Y.'PER FOOT.
4.TOP OF CONCRETE SLAB SHALL BE 4'
PROPOSED Y RALL VALVE,TYP. ABOVE FINISHED GRADE.
S.HEAT TRACE ALL PIPING AS NECESSARY.
PROPOSED W WELL SEAL
Ta YP —CAUTION—
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c� erAler•lw
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COVER((�Xr�OR TO HOSE (MOUNTEDON IV UNISTRUT,TYP.)
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JRES(SEE DETAIL CVOZW) Bye
PROPOSED PRESSURE GAUGE WOLFLADREL
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IREGAUGE PROPOSED$METAL ShmT!*
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-ETAP PROPOSED Y CHECKVALVE OWNER PREPARED FOR:
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PROPOSED Y UNION,TYP. a0AN" W W
06006aa
:TOP OF CONCRETE �� 000
TO BE 4-ABOVE GRADE. / 'w \ PROPOSED WELL 5A-FRONT VIEW Burgin Engineering Inc.
Gaff eW£i'•PP POBOXI M WID,SC 2M
(Pm)m400S

8" CASING
12-MIN WELL SLAB
GROUT
100' DEPTH �� NON-PRODUCTIVE
l OO, CASING -8'. FORMATION
100' DEPTH
STATIC WATER
LEVEL 178'
o
BEDROCK
o
0 0 2 Y2" DROP PIPE
0
CHECK VALVE
O EVERY 231'
INSIDE WELL
AQUIFER 1 ,100,
24 HOUR PUMP
WATER LEVEL
798'
SUBMERSIBLE PUMP
882' DEPTH
ROCK WELL- WOLF LAUREL WELL 5A
SCAL&NONE

2012—r0 16a7 30 Rll6el 671
P: 232 ES
il9ee0JbeOaPo ,. ae n Fees: 2fi.00wla � , oc. . Yncy CoulYaa
milt w fthFill
This Instrument was prcpared by Staunton Norris,Attorney at Low,P.O.Ba%54 , (,r'asville,N
Caroline 28714, without review or examination of title to the hereinafter desert Prb arty,an n
opinions or representations are being made,either ex ren or implied,by said altorne
43
STATE OF NORTH CAROLINA C�
EMENT
COUNTY OF YANCEY DAT JULY,2012
R.LEE SMITH and wife,C� STY A.SMITH,GRANTORS,hereby deeds
to CAROLINA WATER SER % NC. OF NORTH CAROLINA of
2335 Sanders Road,Northbrook,IL 60062, EE,thus;
W SS
WHEREAS,the GRANTO e f t2 as shown on a map and plat of
record in the Yancey Coun"eed Regis t PI oak 3,Page 55,a copy of which map
and plat is attached hereto mark xhibit ncorporated herein by reference;and
WHEREAS, the G TO a heretofore conveyed the adjacent Lot 3'to
Bald Mountain Developm orporation, ich in turn conveyed an exclusive easement
in the said lot to the GRA E;and
WHE. 1 he G N II own and operate a well to be located on said
Lot 3 as sh on s wd a an p a;and
a p\orti o he easement required for said well is located on Lot 2
and d si�gnate n yid map and plat as "the area of needed exclusive easement",
con ni g 1 .6 uale�feet;and

2012-01673 B:671 P:233 ES 0 7/1 9/2 01 2 02:31:05 PM Page 2 of 4 it
9
WHEREAS, CAROLINA WATER SERVICE OF NORTH CAROLINA, IN
has requested of the GRANTORS an easement for said area and the GRANTORS
agreeable to provide the same.
NOW,THEREFORE,for TEN DOLLARS AND 0/100($10.00)and oth r�oo
and valuable considerations, the receipt of which are hereby acknowledged, e
GRANTORS do hereby grant and convey unto the GRANTEE, it's suc sots d
assigns, a perpetual and exclusive easement and right to install, constru t, at n,
operate,inspect,improve,repair,replace and relocate wells,pumps,gencra and war
rea
transmission lines within the aforesaid 1206.68 square foot a shown al �g western
boundary of Lot 2 shown on the aforesaid map and plat, a copy of whichl' et r
hereto.
IT IS UNDERSTOOD AND AGREED by and between' e p at the
easement herein conveyed shall not interfere with the GRANTO access to from
the hereinabove described Lot 2 over and upon all road ays show on a afo s d map
and plat,including,but not limited to,the roadway 1 from the n hwes ortion of
Lot No.2 over and through Lot No.3 to Big Bald ( d.
TO HAVE AND TO HOLD the h id'bove d---b ement and
appurtenant rights associated therewith, togethe �Jitp all If rivileges and
appurtenances thereto belonging,unto it,the said G TEEytssa sots and assigns,
forever.
IN WITNESS WHEREOF,thdG NTORS have hereunto set their hands and
affixed their seals this the day and year s t!Ito written,
AL)
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CH .SMITH
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STATE OF FLORIDA
COUNTY OF DUVAL
1, UW 'ki nachnYl - Al Notary Public, do herebyAn'
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persons described,personally appeared before me this,day and aelaowl their du
execution of the foregoing INSTRUMENT for all purposes therein expre
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NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL.OR WELL SYSTEM'
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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 water supply wells.
1. Date: 7/18/13 FOR OFFICE USE ONLY
2. County: _Yancey PERMITNO. . IS$UEDDATE:
3. Applicant Carolina Water Service, Inc, of NC Telephone: [phone]
Applicant's Mailing Address: PO Box 240909 Charlotte, NC 28224
Applicant's Email Address(if available): MJLashua(o)uiwater.com
4. Contact Person(if different than Applicant): Telephone:
Contact-Person's Mailing Address: '
Contac Person's-Email.Address(ifavailable);
5. Property.Owner(if different than Applicant): Telephone:
Owner's Mailing Address:
Owner's Email Address(if available):
6. Property Physical Address(including zip code)and PIN Number: Well 5A-1384 Big,Bald Rd.Mars Hill, NC 28754
PIN:986201490706000
7. Intended use of Well or Well System: Consumption
(examples: Irrigation.,consumption;etc.)
6. Will the proposed water supply wellor well,system replace or be added'taan existing well or well system? Added to existing(yes)
(if yes, complete•questions 7 and 8) (If no, complete question land then skip to question'9)
9. Total design capacity of proposed well or well system'in gallons per day(gpd); 20,160
10. If adding a well to an existing system,list the existing water supply wells In the existing system and their respective yields:
See attached'system well Information
11. Is this a public well or well system? Yes If yes,give Public Water ID Number: NC 01-58-101
If yes,give Project.Engineer and contact information: Robert G.Burgin,Jr.P.E.Burgin Engineering, Inc.
R(SUgHurgintrigineenngING.com -
12. Well Contractor. Yadkin Well :Well Contractor Certlficatlon!No.: .. 474
Well ContractorAddresst 1908Hamotonville,Rd. Hamolonville,NG.�27020
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C.0105(f)(7), attach a well 2. Number of wells to be constructed in unconsolidated
construction diagram of each well showing the following:
material: 0
a. .Borehole and well diameter
b. Estimated:well.depth 3. Number of wells to be constructed in bedrock: 1
C. Screen intervals
d. Sandlgravel pack intervals '4. Total number of wells to.be constructed: 1
e. Type of casing material and thickness (add answers from 2 and 3)
f. Grout horizons
g. Well head completion details 5. Estimated beginning construction date: 09/1112
8. Estimated construction completion date: 04/1113
Continued on everse

ADDITIONAL INFORMATION
I. As required by 15A NCAC 02C.0105(I)(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.143-215.106(5),landfills, or other waste disposal areas)within 500 feet
of the proposed well or well system.
2. As required by1SA'NCAC 02C.0105(g)(3),for wells screened in multiple zones or aquifers, provide representative data on the
static water level,pH,specific conductance,and concentrations of sodium,potassium,calcium, magnesium,sulfate,chloride,
and carbonates from each aquifer or zone'from which water is proposed to be withdrawn.
3. Attach any water use permits(if required). [e.g.Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NO
counties by NO Division of Water Resources,visit: httplAvww,nmater.org]
SIGNATURES
The Applicant hereby grees that the proposed well(s)will-be constructed in accordance:with approved specifications and conditions of
the Water 9rpply ell Co struc'on P it as regulated under the Well Construction Standards(Title 15A of the North Carolina
istm a Co e,S apter 2C)and accepts full responsibility for compliance with these rules
t�-�Ci/otldl ree-4v�i �
Signature ofApp scantyor)*Agent �J Title of `Apphc or'Agent
�IrRT-I "' L_lc�-S Lt ',7f signing as Agent,attach aufhorizafionegrearnet'stating
Prim6d name of-Applicant or'Agent that you havz the aufhonly 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
water supply wells as outlined in this Water Supply Well Construction Permit application and that it be the responsibility of the
applicant to ensure that the water supply well(s)conform to the Well Construction Standards(Tide 15Aof the North Carolina
Administrative Code,Subchapter 2C).
Signature of Property Owner(f dfferent than Applicant) Printed name of Property Owner(f cfifferent than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division.of Water.Quality's Aquifer Protection Section Regional Once:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090'U.S.Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NO 28778 Raleigh,NC27609 ytrlmington, NO 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
2?..5 Green Street,Suite 714 043 Washington Squaro Mail 585 Waughtown Street
Fayetteville,NO 28301-5094 Washington, NO 27e89 Winston-Salem, NO 27107
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Mooresville Regional Office
61 6�East Center Avenue
rpry tYnro' ata <t � ,s ry r ' �
Mooresville,NO 26115
Phone: [phone]
Fax: [phone].
x
i Jt'gx 4,.
"k ita
U�.` Ir nafpn
GW-22✓J(Rev.ari 1)

Well# GPM
Well#1,630 Buckeye Rd 41
Well#2,59 Curtis Ln 9
Well#3,447 Unakite Ln 13
Well#5,854 Big Bald Rd 17.5
Well#9, 20 Elminer Ct 17
Well#12, 635 Valleyview Circle 26
Well#14A,307 Spring Valley Rd 65
Well#14B, 140 Valleyview Circle 82

. �0F WA rFq Michael F.Easley,Governor
William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
O Y Alan W.Klimek P.E. Director
Division of Water Quality V
� aY
I �
FAX TRANSMITTAL
Date: February 12, 2007
To: Wes B.
Fax # [phone]
From: Landon Davidson, Supervisor, ARO Aquifer Protection
828-296-4500
Re: Well Construction Permit # WM0100165 — Glen Raven Technical Fabrics, LLC
Pages (including cover page): 4
Per your request, this fax includes DENR-DWQ-Aquifer Protection-ARO's permit issuance
for the construction of three (3) monitoring wells, located on property in Burnsville, NC,
owned by Yancey County.
You may contact me at 828-296-4500 if you have additional questions.
``
rCarolina
urallb,
North Carolina Division of Water Quality—Asheville Regional Office 2090 U.S.Highway 70 Swannanoa,NC 28778 Phone[phone]
Aquifer Protection Section FAX [phone]
Customer Service 1-877-623-6748
Internet: h2o.encstate.nc.us
An Equal OpportunolABumafive Action Employer—50%Recycled110%Post Consumer Paper

R WAT 9 q
OF "- �II,—,
ll�f Michael F.Easley,Governor
rWilliam G.Ross Jr.,Secretary North Carolina Department of Environment and Natural Resources
�i
O C Alan W.Klimek,P.E.Director
Division of Water Quality
February 8, 2007
Mr. Jack Garrison
Senior Environmental Consultant
Bensinger& Garrison Environmental, Inc.
Post Office Box 14609
Research Triangle Park,North Carolina 27709
Subject: Well Construction Permit No. WM 0100165
Glen Raven Technical Fabrics, LLC
Yancey County,North Carolina
Dear Mr. Garrison:
In accordance with your application received February 5, 2007,we are forwarding
herewith Well Construction Permit No. WM 0100165 dated February 8, 2007, issued to Glen
Raven Technical Fabrics, LLC, for the construction of three (3)monitor wells, located on
property owned by Yancey County, in Burnsville,North Carolina.
If any parts,requirements, or limitations contained in this Permit are unacceptable to you,
you have the right to an adjudicatory hearing before a hearing officer upon written demand to the
Director within thirty (30) days following receipt of this Permit, identifying the specific issues to
be contended. Unless such demand is made,this Permit shall be final and binding.
This Permit will be effective for the construction of monitor wells from the date of its
issuance until the site assessment has been completed, and shall be subject to the conditions and
limitations as specified therein. Attached are Well Construction Records (GW-1)to be
completed and signed by the certified drilling contractor. These forms shall be submitted to the
Department upon completion of the wells.
Sincerely,
G. Landon Davidson,L.G.
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
Attachments
cc: Ms. Michele Lawhem, County Manager
Mr. Kevin White, WCC #2973
ARO/file
tCarolina
ura!!y
North Carolina Division of Water Quality—Asheville Regional Office 2090 U.S.Highway 70 Swannanoa,N.C. 28778 Phone[phone]
Customer Service 1-877-623-6748 FAX [phone]
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycled110%Post Consumer Paper

lie4, NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
ASHEVILLE,NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF MONITOR WELLS
,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
.GLEN RAVEN TECHNICAL FABRICS, LLC
FOR THE CONSTRUCTION OF three (3) monitor wells, located on Yancey County
property off of US Highway 19-E, in Yancey County,North Carolina in the Residuum System
of the Blue Ridge Inner Piedmont Hydrogeological Unit in accordance with the application
received February 5, 2007, and in conformity with specifications and supporting data, all of
which are filed with the Department of Environment and Natural Resources and are considered a
part of this Permit.
This Permit is for well construction only, and does not waive any provisions or
requirements of any other applicable laws or regulations.
Construction of wells under this Permit shall be in compliance with the North Carolina
Well Construction Regulations and Standards, and any other State and local laws and regulations
pertaining to well construction.
This permit will be effective for the construction of monitor wells from the date of its
issuance until the site assessment has been completed, and shall be subject to other specified
conditions, limitations, or exceptions as follows:
1. The well contractor shall notify the Asheville Regional Office prior to actual
construction of the wells.
2. The wells shall be constructed with.well casing and well screens that conform to
requirements of the "Criteria and Standards Applicable to Water Supply and
Certain Other Type Wells" (15A NCAC 2C. 0100).
3. The wells shall be afforded reasonable protection against damage during
construction and use.
4. The well screens shall be set at a depth where the anticipated high water table will
be below the top of the screens so that any floating volatile organics can enter
the monitor wells, and of sufficient depth so that there is water adequate for
sampling during the seasonally low water table.
5. Provisions shall be made on the well covers to prevent surface water with possible
contaminants from entering the well pits and contaminating the monitor wells.

6. The wells shall have permanently affixed an identification plate constructed of
durable material and shall contain the following information: drilling contractor's
name and certification number; date well completed; total depth of well; a
warning that the well is not for water supply and that the groundwater may
contain hazardous materials; and depth to screens.
7. Well completion, well abandonment, and water quality reports are to be submitted
to the Division of Water Quality's Aquifer Protection Section Central Office in
Raleigh.
8. When the wells have served their purpose and are of no further use,they shall be
permanently abandoned by the applicant according to the requirements of Section
.0113-of the"Criteria and Standards Applicable to Water Supply and Certain
Other Type Wells" (15A NCAC 2C).
Permit issued this the 8`' day of February 2007.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
G. Landon Davidson, L.G.
Aquifer Protection Section Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. WM 0100165

Bensinger & Garrison
ENVIRONMENTAL, INC.
Bluefield Engineering, P.C. P.O. BOX 14609 • RTP, NC 27709
PHONE [phone]
FAX [phone]
February 1, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7006 0100 00018188 2824
Mr. G. Landon Davidson,PG -
Aquifer Protection Section Supervisor h e-C E I V E�
NCDENR-DWQ
Asheville Regional Office FEB 05 2007
2090 U.S.Highway 70
Swannanoa,NC 28778 n^` ^ Regional Office
Protection V
RE: Proposed Construction of Three Type II Groundwater Monitoring Wells
Glen Raven Technical Fabrics,LLC
Site ID No.NCDO03158094
Dear Mr. Davidson:
Enclosed is a completed application to construct three Type II groundwater monitoring wells on
a property southeast of the Glen Raven facility on Highway 19E, Burnsville,North Carolina. The
application is signed by the property owner and includes a Site Access Agreement granting
Bensinger & Garrison Environmental, Inc. (B&G) access to the property to install these
monitoring wells(MW-8, 9 & 10).
A map showing the proposed location of the new wells, well construction schematics, and a
drawing that shows the existing wells (MW-1, 2, 3, &4)on Glen Raven property and (MW-5, 6,
& 7) on adjacent properties are also enclosed as required by the Application for Permit to
Construct a Monitoring Well System. B&G will forward the application, construction record,
analytical results, and all associated correspondence to the property owner and responsible party.
Well construction records will be filed once the wells have been installed. Should you have any
questions or need additional information,please call me or Tun Monroe at(919)484-8536.
Sincerely,
BENSINGE/R& GARRISON ENVIRONMENTAL,INC.
�� N
ali7 ck H. Garrison, Jr.
Vice President/Senior Environmental Consultant
JHG/gb
Enclosures
cc: David Cates—Glen Raven
Bryan Peterson—Glen Raven
GRIBurnsville/SiteAssessmenb103796120071MW Appl.DENR.l1r.2.07

NOR HCAIZOLfNADEPAR1MMI Tor>:NVIRONmENr8cNliTURALR) SOURCES
DMSIOIT Or WATLR 9UAI31y-GROUNDWAIERSECTION
AI'PLTCATION FOR PERMIT TO CONSTRUCT A MONITORWG:WELL SYSTEM
(Please Type or Print Cleary)
Date:. Ahveirber , 2036 County_ Yancey _
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 monhodng wells.
1. Name of Appliosnl Glen P'an Technical Fabrics LTG (Telephone:[phone] )
Applitcart's Mat mg Address: 73 Fast US Hwy 19-E Burnsville 1`'C 28714
2. Ifamo of Property Owner(d different from Well Owner): Ymmy County
Ovmers Marring Address; 110 Town Square, Room 1 I
3. CoritadPcr=: Ms. Michele Lm*&m, (lamty Kroger (Telephone: 828-M--3971 )
4. Lorarion of Property: On US Bray 19-8 acmes from applicant's address
S. ReasonforMoniWdngWell(s): Smpectedcontaoination _
(ox;nandw harge PormQ MWiements.Vispeaed confaminauq;omimnmental assessment,e(o)
& Type of facility or site,for which the monitodngwell(s)Isneeded; Surface-release
(ex:n0nT3C1Wl1c.fadUty,wastedsposalsfte,tardili,tm Mroundstoragetank,etc)
7. Typootcordaminaton being moni(ored(rTap{Aicable): la
(e>r numents,organs.heavy metals,eta)
S. Are any existing recovery welts associated with the monitoring well($)? t yes,how many?
Recovery Wet Construction Permit No.
9. Dis orm to a known waste or pollution source: 1000 feet
18.Are any vratersupply wells located Imam Goo feet from the proposed monitoring wells? Yes
If yes,CW drsfaliw 300 feet
11.Well Contractor Parrattidolff Sine.
12.Well Contractor Certification p 2973 i
i
13.WellONttraciors Address: 501 Millstone Drive, Hi.Llsborougj NC 27278
PROPOSED MONITORING WELL CONSTRUCTION INFORMATION
1. Total Number of Wells to be const=ted: three 0 I
(A)Number to be completed in bedrock?
(8)Number tobe completed in unconsolidated material? -t?hree
2. Estimated depth of well(s): 30 feet FOR OFFICE USE ONLY
i
• — PERMITTED ACIIVrTY
3. G(ovei or sand pack interval(1 appropriate) — U.S.T.UEAK DETECTION j
From 23 feet To 30 feet — GROUNDWATER QUALITY STANDARDS
VIOLATIONS SUSPECTED FROM UNPERMII I
4. Type of casing used: PVC ACTIVITIES
_ NOTICEOFNON-COMPLIANCEAT
(Or PVC,stainless stock valvanrzed steel,etc.) IJNPERMiTTED FACILITIES
PERMIT NO,--ISSUED 19-------
S. Diameter of casing: 2.0 inches
INCIDENT 9
GW-22M(REV 3t2000)
lConlimrad nn Reversel !
. • • II
I

r
i
6. Thidmess or casing., .sch. 40 inches
7. Hew W111 the W01I(s)be secured? locking cap
G. Estimated beginning c0nstcuckn date: December 2OD6
9. Estimated complegon date. December 2006
M—DITIONAL INFORMAMON
I. ATfACHASrrE MAP SHOWING THE LOCATIONS OFTHEFOLLOWING:
t- PROPOSED MONITORING WECL(S)
2- ALL EXISTING MONITORING AND RECOVERY WELLS OR TEST BORINGS WITH THE PROPERTY
BOUNDARY
S- ALL WATEn SUPPLYWEI1S"mm 6m FEET OFTHE WASTE SOURCES
4- AT'REASTTWO.REFME JOE P01Ni•S(NULWERED ROADS,INTERSECTION%STREAMS,ETC.)
2 PROVIDEA WELL OONSiTiUDMN DIASRAM OF EACH WELL SHOWING DIAMETER,ESTMYED DEPTH,SCREEN
INTERVALS,SAND(GRAVEL PACK$.TYPE OFOASING MATERIAf.,CASING WALL INICKNEM WE L HEAD
COMPLETION DETAILS,ETC.)
- The AppCcant hereby agrees.fhe proposed Well(s)WIN be constructed in acoordartce with
approved speotfications and conditions of the Well Construction Pem*as regulated under the.Well
Contraction Standards(Fide i BA North Carolina Administrative Code,Subchapter2G)and accepts
full�res-poonsiibirdy for compliance with these rules,
" Agent oc behalf of Glen Raven Technical Fabrics LTG
(/��59� APPiccantor gene/
Vice President, Bensinger &Garrison Hnvim mental, Inc.
TNo(A appla:abta)
If the property Is owned by someone other than the applicant,the property owner hereby .
consents to allow the applicant to Oonstdiot monitoring wells as outlined In this application and that
It shall be the responsibilrly of they.APRoant'to ensure that these monitoring wells nform•to4he Well '
Contr mAlon Standardsr(tige 1: North Carolina Administrative Code,Subchapter 20).
L--Bignre t' ropnrty Owne (dtie n hom applloantj
I
a 3
i

SITE ACCESS AGREEMENT
THIS SITE ACCESS AGREEMENT,made this 31 Srday of December 2006,by
and between Yancey County,(the"Grantor")and Glen Raven Technical Fabrics LLC (the
"Grantee");
WHEREAS,the Grantor is the owner of certain property located on Highway 19E in
Burnsville,Yancey County,North Carolina(NCPIN:_ 0100802161 ("the Property) and;
WHEREAS,the Grantee has requested access to the Property for the purpose of
performing environmental assessment activities,including the installation, sampling and testing
of groundwater monitoring wells(MW-8,NM-9,MW-10)on the Property,for and pursuant to
monitoring groundwater environmental conditions related to the Glen Raven Facility("Facility")
located at 73 Highway 19E in Burnsville,North Carolina(the"Work"), and;
WHEREAS,Grantor and Grantee are desirous of executing an Agreement providing
Grantee with access to the Property for the purpose of performing certain of the Work on the
Property.
NOW THEREFORE,in consideration of good and valuable consideration,the receipt
and sufficiency of which is hereby acknowledged,the parties hereto,intending to be legally
bound,agree as follows:
1. Grantor grants to Grantee, its employees, agents, successors, and assigns, as well as to
Grantee's contractors, subcontractors, invitees, and contractors' subcontractors for a period of
three (3) years from the date above, the right, liberty, privilege, licensc,.and authority to enter
Upon the Property to do such acts necessary for performance of the Work, together with a
reasonable right of ingress.and egress and the right to take any reasonable necessary action to
minimize impacts of such ingress and egress.
2. Three monitoring wells (MW-8, MW-9, and MW-10) shall be installed and the Work
conducted in accordance with applicable environmental laws. All operations by or on behalf of
Grantee shall be carried out in such a manner so as not to unreasonably interfere with the
Grantor's use and enjoyment of the Property.
3. Grantee further agrees to hold harmless and indemnify Grantor from any and all claims
from third parties, including claims arising from this Agreement, for damages or compensation
by way of contribution, indemnification, restitution, or otherwise arising from Grantee's or its
agents' acts or omissions on the Property under this Agreement.

4. At the completion of the Work Grantee shall, at its.cost and expense,restore the Property
or cause the Property to be restored to its condition prior to the performance of the Work;
provided,however,with respect to any well installed(MW-8,MW-9,MW-10)by Grantee on the
Property,permanent closure of such well in accordance with all applicable laws and regulations
shall be sufficient to satisfy Grantee's obligations under this paragraph.
5. Grantee will promptly provide Grantor with copies, at no cost,of all laboratory analytical
reports resulting from sampling of any groundwater monitoring well on the Property within 60
days.
6. In the event that any provision of this Agreement is found to be invalid or unenforceable,
the validity and enforceability of the remainder of this Agreement shall not be affected thereby,
and each other term and provision of this Agreement shall be valid and shall be enforced to the
fullest extent permitted by law.
7. Nothing in this Agreement is intended or shall be construed to be an admission of any
law or fact, nor a waiver of right, claim or defense, in any dispute, proceeding or litigation I
regarding potential liability for conditions on the Property.
.8. This Agreement, which cannot be amended without the written consent of both parties,
shall be construed and enforced in accordance with the laws of the State of North Carolina.
[Signatures appear on following page.]
2

IN WITNESS WHEREOF,and intending to be legally bound hereby,the parties hereto
have executed this Site Access Agreement on the date first above mentioned.
YANCEY COUNTY
C ty Manager
GLEN RAVEN TECHNICAL FABRICS LLC
i
By.
azold Hill,President '
9304518.1
f,
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Glen Raven Technical Fabrics LLC Burnsville, Yancey County, North Carolina

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Well Plug
— 30.0 ft. deep
FIGURE 1: STANDARD TYPE II PROJECT NO.: 103796 SCALE As Shown
GROUNDWATER M❑NIT❑RING DA E: November 2006
WELL (RAISED) REVISI❑N DATE: Feb. 2007
Glen Raven Tech. Fabrics DRAWN BY: RES/WZB B EN S I N G ER & GARRISON
73 Hwy. 19 East APPROVED BY: TWM ENVIRONMENTAL, INC.
Burnsville, North Carolina FILE: GR-Burns. BLUEFIELD ENGINEERING, P. C.

LEGEND
' N
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\ / eiY �^M•
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MW2 — Gute__---- MW3 Fence / 2
Highway 19E
W
Rey craw.
FIGURE 2: PROPOSED MW3 & MW4 LOCATIONS PRAWN Y: H
ODDATE: A t VEY: JHGj BENSINGER & GARRISON
Glen Raven Technical Fabrics LLC REVISION DATE: n/a FILE: GR Burnsville ENVIRONMENTAL, INC.
73 Highway 19E BLUEFIELD ENGINEERING, P.C.
Burnsville, Yancey Co., North Carolina SCALE: Not to Scale

dA
W F
Y� 1
o ,. p
MW9 �
p (P(PROPOSED) mW11SED)
S�9l �5 <
O
CO0
I >(W��eWnter
LITTLE CRABTREE CREEK
083003G$00529=
YANCEYCOUNIY
B473FM
a2M twee
01008 02181
CLOSED FACTORY,
FIGURE 21 PROPOSED MONITORING WELL LOCATIONS
GLEN RAVEN TECHNICAL FABRICS
73 HWY. 19E
BURNSVILLE, YANCEY COUNY, NORTH CAROLINA
NOV. 2006 1 File: GR-BURNS. Project No. 103796
Bensinger & Garrison
ENVIRONMENTAL, INC.
Blue Field Engineering, P.C.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild,P.E. Dee Freeman
Governor Director Secretary
August 7, 2012
Clara Cassida
160 Snake Den Drive
Burnsville, NC 28714
Subject: Well Construction Permits WM0100304 and WM0100305
UST Incident#28501
Rebecca Shepherd and William Presnelt Properties
1311 US Highway 19E and 84 Georges Fork Rd., Yancey County, North Carolina
PIN#s: 083004530189 and 083003436746
Dear Ms. Cassida,
In accordance with the applications submitted on your behalf by David Loftis on July 30, 2012, we are
forwarding herewith Well Construction Permits numbered WM0100304 and WM0100305 dated August 7,
2012, issued for the construction of monitoring wells as described in the applications and attached permits.
These wells will be drilled on the properties referenced above.
These permits will be effective from the date of issuance and shall be subject to the conditions and
limitations as specified therein. A Well Construction Record (GW-1 b) shall be completed and signed by the
certified drilling contractor for each well. These forms shall be submitted to the Department upon
completion of each well. Please note the attached permit conditions.
Sincerely,
G. Landon Da son, L.G. \
Aquifer Protection Section Regional Supervisor
Asheville Regional Office
cc: ARO/file
ec: David Loftis
North Carolina Division of Water Quality—Asheville Regional Office One
2090 U.S.Highway 70, Swanmanoa,N.C. 28778 Phone[phone] FAX [phone] NorthCarolirta
Customer Service 1-877-623.6748 Internet: h2o.encstate.nc.us Natffml`y
An Equal Opponunily/Afrirmative Action Employer

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL(S)
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
Clara Cassida
FOR THE CONSTRUCTION OF ONE MONITORING WELL SYSTEM consisting of one well owned by Clara
Cassida, 160 Snake Den Drive, Burnsville, NC 28714. This well will be located on property owned by Rebecca
Shepherd, located on U.S. Highway 19 East, Burnsville, NC in Yancey County (PIN # 083004530189). This Permit is
issued in accordance with the application received on August 1, 2012 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:
I. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another
agency. i
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit
application.
4. You are required to provide a copy of this permit to the property owner(s).
5. You are required to provide notification to ,the property owner upon well completion and upon
termination of monitoring.
6. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
7. The monitoring well shall be maintained in accordance with 15A NCAC 2C .0108.
8. 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.
9. 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 and the property owner within 30 days of the well abandonment.
Permit issued the 7 s day of August,2012
FOR THE NORTH CAROLINA ENVIRONM NTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No.#V M0100304
i
Revised July 2011
,I .

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
PERMIT FOR THE CONSTRUCTION OF MONITORING WELL(S)
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
Clara Cassida
FOR THE CONSTRUCTION OF ONE MONITORING WELL SYSTEM consisting of one well owned by Clara
Cassida, 160 Snake Den Drive, Burnsville,NC 28714. This well will be located on property owned by William Presnell,
located on 84 Georges Fork Road, Burnsville, NC in Yancey County (PIN # 083003436746). This Permit is issued in
accordance with the application received on August 1, 2012 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 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. You are required to provide a copy of this permit to the property owner(s).
5. You are required to provide notification to the property owner upon well completion and upon
termination of monitoring.
6. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
7. The monitoring well shall be maintained in accordance with 15A NCAC 2C .0108.
8. 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.
9. 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 and the property owner within 30 days of the well abandonment.
Permit issued the 7te day of August,2012
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No.#WM0100305
Revised July 2011

July 30, 2012 #S&ME
NCDENR
Division of Water Quality—Aquifer Protection Section i RECEIVED
Asheville Regional Office
2090 US Highway 70 j A.-Jr. 01 W12
Swannanoa, North Carolina 28778
'\01 v;lie Regional Office
Reference: Monitoring Well Installation Permits { 1\ uiler Protection
Former Edd's Independent Station —'-
1330 NC Highway 19E
Burnsville, Yancey County,North Carolina
NCDENR UST Incident No. 28501
S&ME Project No. 1411-12-012
To Whom It May Concern:
On behalf of the Ms. Clara Cassida, S&ME, Inc. (S&ME) is providing the attached
monitoring well permits for the installation of two (2) permanent monitoring wells. The
monitoring wells are needed to further define the extent of the petroleum plume
originating from a leaking underground storage tank(UST) formerly in operation at the
former Edd's Independent Station in Burnsville, North Carolina.
S&ME proposes to install monitoring well MW-7 on the property addressed as 1311 NC
Highway 19E in Burnsville and owned by Ms. Rebecca Shepherd. S&ME proposes to
install monitoring well MW-8 on the property addressed as 84 Georges Fork Road in
Burnsville. The property owners for 84 Georges Fork Road are deceased and are being
represented by Mr. William Presnell and Ms. Sharon Morgan.
If you have any questions, please do not hesitate to contact Mr. David Loftis, P.E. (828)
483-3012.
Kind regards,
S&ME, Inc.
&'dLa
David R. Loftis, P.E. Scott A. Spinner, P.G.
Project Engineer Project Geologist
SA2012\1411\ENV Projects\012 Ecid's Independent Additional Assessment\MW Application\Cover Letter to
NCDENR (7-30-12).doc
Attachments: Well Permit Applications
cc: Ms. Clara Cassida
c/o Mr. Duane Cassida
198 Thomcrest Drive
Burnsville, North Carolina 28714
S&ME,INC.144 Buck Shoals Road,Unit C-3/Arden,NC 28704/p 828.687.9060 f 828.687.8003/w .smeinc.com

d NORTH CAROLINA DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
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: June 4,2012 FOR OFFICE USE ONLY
a
2. County.. Yancey PERMIT NO. ISSUED DATE !�
C,
3. What a of well are you applying for?(monitoring or recovery): monitoring
type Y ( 9 rY)�
4. Applicant: Ms. Clara Cassida Telephone: [phone]
160 Snake Den Drive, Burnsville, North Carolina 28714 O
Applicant's Mailing Address: 'n
Applicant's Email Address (if available): )Q
Loftis David R. ,
5. Contact Person(if different than Applicant): Mr. P.E. [phone] Telephone: 40
Contact Person's Mailing Address:
44 Buck Shoals Road, Suite C-3,Arden, North Carolina 28704
Contact Person's Email Address(if available):
[e-mail] I If
6. Property Owner(if different than Applicant): Ms. Rebecca Shepherd Telephone: [phone](cell)
Property Owner's Mailing Address: 1311 NC Highway 19E, Burnsville, NC 28714
Property Owner's Email Address(if available):
7. Property Physical Address(including zip code)and PIN Number 1311 E US Highway 19E, Burnsville, NC 28714 PIN#083002426;46
8. Reason for Well(s): Suspected groundwater contamination related to the former Edd's Independent Station (UST Incident No.28501)
(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: former gasoline station(USTs)
(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, NCDENR UST Incident No.28501
11. Type of contaminants being monitored or recovered: Petroleum hydrocarbons
(ex: organics,nutrients, heavy metals,etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? yes, six
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): approximately 250 feet
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? yes,four
If yes,give distance(s): 240 feet,330 feet,410 feet,and 460 feet
15. Well Contractor: SAEDACCO, Inc. Certification No.: to be determined
Well Contractor Address: 9088 Northfield Drive, Fort Mill,SC 29715
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 5. How will the well(s)be secured? Locking expansion
material: 1 plug and bolted well cover
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: July 16,2012
4. Total Number of wells to be constructed: 1 7. Estimated construction completion date: July 17,2012
(add answers from 2 and 3)
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(1)(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.
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 rules
Signature of Applicant
t or*Agent Title of Applicant or*Agent
c 1 Q.Y, fo �L-55 t •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
wel to the Well o t�n Standards(title 15A of the�N rth Carolina Administrative Code, 2C).
Signature,of Property Owner(if differevIt than Applicant) Printed name of Property Owner(if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Quality's Aquifer Protection Section Regional Office:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090 U.S. Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh, NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
225 Green Street, Suite 714 943 Washington Square Mall 585 Waughtown Street
Fayetteville, NC 28301-5094 Washington, NC 27889 Winston-Salem, NC 27107
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Mooresville Regional Office win ton sole ^
610 East Center Avenue I
Mooresville, NC 28115 at
Phone: a 'tn re
Phone: [phone]
Fax: [phone] 'lie oor In ,
• � �d
ett rvilte 'k^', a--
Wit ngron
• GW-22MR(Rev.7111)

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER QUALITY—AQUIFER PROTECTION SECTION
' 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. r
Y
1. Date: June 4,2012
FOR OFFICE USE ONLY t
2. County: Yancey [PERMIT NO. monitoring ISSUED DATE
3. What type of well are you applying for?(monitoring or recovery): (4Y�
4. Applicant: Ms. Clara Cassida Telephone: [phone] )�
Applicant's Mailing Address:
160 Snake Den Drive, Burnsville, North Carolina 28714 C
Applicant's Email Address(if available):
5. Contact Person (if different than Applicant): Mr. David R. Loftis, P.E. Telephone: [phone]CIN
Contact Person's Mailing Address: 44 Buck Shoals Road,Suite C-3,Arden, North Carolina 28704 IN
IV
iki
Contact Person's Email Address (if available): [e-mail]
Ms. Sharon Morgan (co-executor of the William and Elma Presnell Estate) [phone] (spouse's cell)
6. Property Owner(if different than Applicant): I elephone:
Property Owner's Mailing Address: 9 Scarlet Ridge,Weaverville, North Carolina 28787
Property Owner's Email Address(if available): [e-mail](spouse's email)
t�
7. Property Physical Address(including zip code) and PIN Number 84 Georges Fork Road, Burnsville, NC 28714 PIN#083003436746.00
8. Reason for Well(s): Suspected groundwater contamination related to the former Edd's Independent Station(UST Incident No.28501)
(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: former gasoline station (USTs)
(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, NCDENR UST Incident No.28501
11. Type of contaminants being monitored or recovered: petroleum hydrocarbons
(ex: organics, nutrients, heavy metals,etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? yes,six
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): approximately 300 feet
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? yes,three
If yes,give distance(s): 380 feet,480 feet,and 480 feet
15. Well Contractor: SAEDACCO, Inc. Certification No.: to be determined
Well Contractor Address: 9088 Northfield Drive, Fort Mill, SC 29715
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 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 5. How will the well(s)be secured? Locking expansion
material: 1 plug and bolted well cover
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: July 16,2012
4. Total Number of wells to be constructed: 1 7. Estimated construction completion date: July 17,2012
(add answers from 2 and 3)
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(%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.
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 rules
Signature of Applicant or*Agent Title of Applicant or*Agent
(1,1, � le-rc� a 5 5 I j Ce •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 ConstrugUgn Permit application and that it shall be the responsibility of the applicant to ensure that the
we I(s)c form to th ell Co tr ction St (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
g tur roperty Owner 'f different than Applicant) Printed ame of Property Owner(if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Quality's Aquifer Protection Section Regional Office:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090 U.S. Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh, NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
225 Green Street, Suite 714 943 Washington Square Mall 585 Waughtown Street
Fayetteville, NC 28301-5094 Washington, NC 27889 Winston-Salem, NC 27107
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Mooresville Regional Office win ale
610 East Center Avenue
Mooresville, NC 28115 allPhone: [phone] `
Fax: [phone]
Y _ r
_J F ee�rills
'nBtoe
GW-22MR(Rev.7111)

COMPLETION REPORT OF WELL No. MW Sheet 1 of 1
PROJECT:_F,6rmer_Edd's_lndependent -
PROJECT NO: 1411-12-012 WATER LEVEL:
PROJECT LOCATION: BurnsVille, NC
LATITUDE:
DRILLING CONTRACTOR: LONGITUDE:
DRILLING METHOD: 4 1/4" H.S.A. TOP OF CASING ELEVATION:
DATE DRILLED: DATUM: MSL
LOGGED BY:
STRATA WELL o 0
m F-- DETAILS we 0 t WELL CONSTRUCTION DETAILS
DESCRIPTION G.e ❑ w w
N O J J +
w
PROTECTIVE CASING
0 0.00 GS Diameter:
0.25 TOC ! Type:
0.50 CG I Interval:
RISER CASING
5 i Diameter: 2-Inch
Type: PVC
Interval: 0.25-25
10 GROUT
Type: Neat cement
Interval: 0.5-21
! SEAL
15 Type: Bentonite
Interval: 21 -23
I
i
FILTERPACK
20 21.00 Bs Type: #2 Filter Pack
Interval: 23-40
23.00 FP
SCREEN
25 25.00 TSC Diameter: 2-Inch
Type: 0.010-inch
Interval: 25-40
30 LEGEND
FILTER PACK
c
w
■ BENTONITE TOC TOP OF CASING
s GS GROUND SURFACE
H 35 ® CEMENT GROUT BS BENTONITE SEAL
it ® CUTTINGS/BACKFILL FP FILTER PACK
TSC TOP OF SCREEN
= STATIC WATER LEVEL BSC BOTTOM OF SCREEN
TO TOTAL DEPTH
6 40.00 TO ' G CEMENT GROUT
a
t- I
J !
S&ME COMPLETION REPORT OF
o _ WELL No. MW
p ENGINEERING•TESTING Figure 2
f ENVIRONMENWALSERVICES

r
N
SHEPHERD PROPERTY
1311 NC HIGHWAY 19E
t
PROPOSED LOCATION
OF
YYY L
MW_4 OW-6
n
n
R
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3
FORMERC
LIST SYSTEM
3
c
FORMERDD INDEPENDENT STATION
t9
IM
IM 6
F4
Z
W2
O
O
LEGEND & NOTES
SCALE(FT.) - o
APPROXIMATE LOCATION OF ACTIVE WATER SUPPLY WELL �
—100 0 100
NOTE:
-PARCEL LINES COURTESY Of YANCEY COUNTY GIS. �� MONITORING WELL LOCATION
-MONITORING WELL LOCATION REFERENCE
FROM F PLE LOCATIONS
RESULTS-- CSA. DATED 8-15-09 BY CLIFF i
LUNDGREN. P.G.
-2010 AERIAL FROM WWW.NCONEMAP.COM R
N
SCALE: AS SHOWN FIGURE NO
S&ME PROPOSED MONITORING WELL
DATE: 07-30-12 MW-7 LOCATION MAP
DRAWN BY: Epp 1NWW.SMEINC.COM EDD'S INDEPENDENT 1
PROJECT NO: STATION
1411-12-012 ENGINEERING LICENSE NO: FF0176 BURNSVILLE, NC

N
PROPERTY4661
PRESNELL i
84 GEORGES FORK "• ' •
PROPOSED LOCATION
OF MW-8
F
aF d a C
•,- .� .: R
a!! hMW4
\.
5
FORMER LEAKING
C
•It
♦ _
LIST SYSTEM
C
z
• FORMER EDD*S
ui
INDEPENDENT STATION
ix
Ul
• 0
F4
Z
ZO
W
W6
O
0
LEGEND & NOTES
SCALE(FT.) %
v APPROXIMATE LOCATION OF ACTIVE WATER SUPPLY WELL
—100 0 100
NOTE:
-PARCEL UNES COURTESY OF YANCEY COUNTY GIS. u
-MONITORING WELL LOCATION REFERENCE / MONITORING WELL LOCATION
FROM FIGURE 4o-SAMPLE LOCATIONS
RESULTS- CSA, DATED 8-15-09 BY CUFF 7
LUNDGREN. P.G.
-2010 AERIAL FROM WWW.NCONEMAP.COM
No
SCALE: AS SHOWN FIGURENO. E
PROPOSED MONITORING WELL
DATE. o�-sa12 *S&ME MW-8 LOCATION MAP =
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PROJECT NO STATION
14I -12-D12 ENGINEERING LICENSE NO F-0116 BURNSVILLE,NC

Ar1L1:1
NCDEFIR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
August 14, 2014
Randy Dellinger
P.O.Box 695
Burnsville,NC 28714
Re: Well Construction Permit WR0100051
B&R Grocery
59 Cane Branch Road
Yancey County,North Carolina
PIN#: 084000344460000
Dear Mr.Dellinger,
In accordance with the application submitted on your behalf by Patrick Kelly on August 12,2014,
we are forwarding herewith Well Construction Permit numbered WRO100051 dated August 14, 2014, issued
for the construction of one recovery well as described in the application and attached permit. The well will
be drilled on the subject property referenced above.
This permit will be effective from the date of issuance and shall be subject to the conditions and
limitations as specified therein. A Well Construction Record(GW-1)shall be completed and signed by the
certified drilling contractor for each well. These forms shall be submitted to the Department upon
completion of each well. Please note the attached permit conditions.
Sincerely,
G. Landon Davidson, P.G.
Regional Supervisor
Water Quality Section
cc: ARO/file
ec: Patrick Kelly, Shield Engineering, Inc.
North Carolina Division of Water Resources—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet http:llpodal.ncdencorglweIXvq/
An Equal Opportunity/Affirmative Action Employer

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES—WATER QUALITY SECTION
PERMIT FOR THE CONSTRUCTION OF RECOVERY WELL(S)
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
Randy Dellinger
FOR THE CONSTRUCTION OF ONE RECOVERY WELL SYSTEM consisting of one well owned by Randy
Dellinger, PO Box 695, Burnsville, NC 28714. The well will be located on property owned by Randy Dellinger, located
at 59 Cane Branch Road, Burnsville, NC in Yancey County. (PIN # 084000344460000). This Permit is issued in
accordance with the application received on August 12, 2014, and supporting information received August 13, 2014, 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.
i
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 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. You are required to provide a copy of this permit to the property owner(s).
5. You are required to provide notification to the property owner upon well completion and upon
termination of monitoring]recovery.
6. Each well shall have a Well Contractor Identification Plate in accordance with ISA NCAC 02C .0108(o).
7. The recovery wells shall be maintained in accordance with 15A NCAC 2C .0108.
8. Well construction records (GW-1) for each well shall be submitted to the Division of Water Resource's
Information Processing Unit within 30 days of the well completion.
9. 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 Resource's
Information Processing Unit and the property owner within 30 days of the well abandonment.
Permit issued the 14th day of August,2014
FOR THE NORTH CAROLIN IONMENTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. #WR0100051
Revised July 2011

1r NORTH CAROLINA DEPARTMENT OF ENVIRONMENT& NATURAL RESOURCES
DIVISION OF WATER RESOURCES—AQUIFER PROTECTION SECTION
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.
FOR OFFICE USE ONLY
i
1. Date: June 5. 2014
2. County: Yancey PERMIT NO. 0,I000T) ISSUEDDATE_
3. What type of well are you applying for?(monitoring or recovery): Recovery
i4. Applicant: Randy Dellinger Telephone: [phone]____________
ji Applicant's Mailing Address: P_0 BoxU Burnsuille NO 28714
Applicant's Email Address(if available): deli msn com
Patrick Kelly,
5. Contact Person(if different than Applicant): Shlele Pnailisertnn Inc Telephone: [phone]
Contact Person's Mailing Address: 4301 Taggart Creek Rd, Charlotte, NC 28208
Contact Person's Email Address(if available): nuellly 8 shieldengineerind com
6. Property Owner(if different than Al Telephone
Property Owner's Mailing Address:
Property Owner's Email Address(if available):
7. Property Physical Address (including zip code)and PIN NuMber59 Cane Branch Rd, Burnsville, NC 28714/PIN:08400034460
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
(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).
Grouncyya Incident?f 28854
11, Type of contaminants being monitored or recovered: Motor Fuels
(ex: organics, nutrients, heavy metals,etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes. 13 monitoring wells.
Existing Monitoring or Recovery Well Construction Permit No(s).: Not Applicable
13. Distance from proposed well(s)to nearest known waste or pollution source(in feet): 0
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? Yes, 2 water supply wells.
If yes,give distance(s): 360 feet (WSW-1) and 430 feet(WSW-3)
15. Well Contractor: Geologic Exploration, Inc. Certification No.: A-3098
Well Contractor Address: 176 CommeLgq Blvd. Statesville, NC 28625
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

J
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2 Number of wells to be constructed in unconsolidated 5. How will the wells) be secured? locking well cap &
material: 1 flush well cover.
3. Number of wells to be constructed in bedrock: _0 _ 6. Estimated beginning construction date: Ju y,20114
4. Total Number of wells to be constructed: 1 7, Estimated construction completion dale: July, 2014
(add answers from 2 and 3)
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C.0105(0(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. 143-215.108(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 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
c�4� rJ U t-✓ /) er
Signature AppIi sQ0ht or`Agent Title of Applicant or"Agent
ail tit t 4 .�te.I/!-I L'r 'If signing as Agent, attach authorization agreement stating
Prime name of kcant 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 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's Aquifer Protection Section Regional Office:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090 U.S.Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh,NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
i
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
225 Green Street, Suite 714 943 Washington Square Mall 585 Waughtown Street
Fayetteville. NC 28301-5094 Washington, NC 27889 Winston-Salem, NC 27107
Phone: [phone] Phone. [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
ngton
GW-22MR(Rev.8113)

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SHIELD
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ENGINEERING,7NC. Scale: unknown
Burnsville,North Carolina
Yancey County Source: Yancey County GIS

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L DATE: 061/19/13 DRAWN BY RBS
SCALE: AS SHOWN FIGURE: 2

� LEGEND
\ O SITE SOURCE
N ae,00mu,ea PARCEL IDENTIFICATION NUMBER
W W19
WATER SUPPLY WELLwsw-ta - SPRING
—————— WATER LINE
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9 A� 5p° 1,500' RADIUS MAP
i W5W,9 / B&R GROCERY
6 59 CANE BRANCH ROAD
y BURNSVILLE,YANCLY COVNIY,NORTH CAROLINA
C \ W9W47 WSW-16 PHIEIDYIIOM3L1
e iI DATE: 05/06/11 DRAWN BY.: RBS
SCALE: AS SHOWN FIGURE: 5

Moore, Andrew W
From: Patrick Kelly <[e-mail]>
Sent: Wednesday,August 13, 2014 10:40 AM
To: Moore, Andrew W
Subject: RE: Recovery Well Permit Application - B&R Grocery
Attachments: B&R Grocery Site Map.pdf, B&R Grocery 1,500' RADIUS MAP.pdf
Mr. Moore,
I do not have one map that shows all of the wells on site and water supply wells within 500 feet. I have attached a site
map with the approximate location of the proposed dual phase extraction well and a 1,500 foot radius map for your use.
The well is proposed to a depth of 30 feet below ground surface (bgs), with 22 feet of screen (8' to 30' bgs) and 8 feet of
casing (0-8' bgs). Sand will be from 6'to 30', bentonite will be from 5'to 6',and grout will be from surface or 1'bgs to 5'
bgs.
Please let me know if you need any additional information.
PatrickR. Kelly, P.G.
Staff Geologist
Shield Engineering, Inc.
4301 Taggart Creek Road
Charlotte, NC 28208
[phone] Office
[phone] Mobile
[phone] Fax
pkellyashieldenoineering.com
From: Moore, Andrew W [mailto:andrew.w.moore(alncdenr.gov]
Sent: Wednesday,August 13, 2014 8:52 AM
To: Patrick Kelly
Subject: RE: Recovery Well Permit Application - B&R Grocery'
Patrick,
To complete the application I will need an estimate of the total depth of the well,depth and extent of screen interval,
length of sand pack, length of casing, and depth of grout. I will also need a map that that shows all existing wells,
including water supply,within 500 feet of the proposed well.
Feel free to contact me if you have any questions.
Thanks,
Andrew W. Moore, P.G.—[e-mail]
North Carolina Dept. of Environment and Natural Resources
Division of Water Resources—Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel:[phone]
1

Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina
Public Records Law and therefore may be disclosed to third parties.
From: Patrick Kelly [mailto:okelly(ulshieldengineering.com]
Sent: Tuesday,August 12, 2014 4:05 PM
To: Moore,Andrew W
Cc: Andersen,Jan
Subject: Recovery Well Permit Application - B&R Grocery
Mr. Moore,
I have attached a PDF copy of an "Application For Permit to Construct A Monitoring or Recovery Well System"to install
one Dual Phase Extraction (Recovery)well at the B&R Grocery site located in Burnsville,Yancey Co. NC for your
use. Please do not hesitate to contact me if you have any questions or concerns regarding the attached well permit
form.
Sincerely,
Patrick R. Kelly, P.G.
Staff Geologist
Shield Engineering, Inc.
4301 Taggart Creek Road
Charlotte, NC 28208
[phone] Office
[phone] Mobile
[phone] Fax
p k e l l y(a)s h i e l d e n g i n ee ri n g.co m
From: colorcopier(alshieldengineering.com [mailto:colorcopier(alshieldengineering.com]
Sent: Tuesday, August 12, 2014 3:52 PM
To: Patrick Kelly
Subject: Attached Image
2

ROY COOPER '`+r `
Covenwr - -
MCHAEL S.REGAN NORTH CAROUNA
� FNWronnreniuJ Qua!!ty
IMPA CULPEPPER
tirtmi'eii'Otre+cror
October 1, 2018
ARC Environmental,'Inc.
Attn:Walt Henley
P.O. Box 190
Huntsville,AL 35471
Re: Well Construction Permit WM0100446
Gene Ledford Property
5208 East U.S. Highway 19E, Burnsville
Yancey County
Dear Mr. Henley,
In accordance with your application submitted September 27,2018, and supplemental information
received September 28,2018,we are forwarding well construction permit WM0100446 dated October
1,2018.The permit is for the construction of one temporary monitoring well on property owned by
Gene Ledford as described in the application and the attached permit.
The permit will be effective from the date of issuance for a period of one year and is subject to the
conditions and limitations as specified therein.A Well Construction Record shall be completed and
signed by the certified drilling contractor for the well.The form shall be submitted to the Department
upon completion of the well and shall reference the applicable permit number. Please review the
attached permit conditions.
If you should have any questions or need additional information,contact Andrew Moore at 828-296-
4S00.
Sincerely,
G. Landon Davidson, P.G.
Regional Supervisor
Water Quality Regional Operations Section
cc: ARO file
_- D E,�'
North Carolina Departmentof Environmental Quality I Division of Water Resources
2090 US 70 Highway,Swannanoa,NC 28778
828.296.4500

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF 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
ARC Environmental,Inc.
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of one temporary monitoring well owned by
ARC Environmental,Inc., P.O. Box 190,Huntsville,AL 35471.The monitoring well will be located on property
owned by Gene Ledford located in Yancey County(PIN#085003402550000).This Permit is issued in accordance
with the application received on September 27,2018,and additional information received September 28,2018, 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 150E 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 supersede any other agreement, permit, or requirement issued
by another agency.
2. The well(s)shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C
.0108(0)where applicable.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C.0108.
5. A Well Construction Record (GW-1) for each well shall be submitted to the Division of Water
Resource's Information Processing Unit within 30 days of the well completion in accordance with
15A NCAC 02C.0114.
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
Resource's Information Processing Unit and the property owner within 30 days of the well
abandonment in accordance with 15A NCAC 2C.0114.
Permit issued the 1st day of October,2018
FOR THE NORTH CAROLINA ENVIR�MEkTAL MANAGEMENT COMMISSION
Landon Davidson,Regional Supervisor
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No.#WM0100446

r^ 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.
FOR OFFICE USE ONLY
1. Date: September25, 2018 'Ar
2. County: Yancey PERMIT NO. 1NMO�� `)b ISSUED DATE
3. What type of well are you applying for?(monitoring or recovery): Monitoring
4. Applicant: ARC Environmental, Inc. T vi"elephoner-- (205)913-14E4-�---1
I
Applicant's Mailing Address: P.O. Box 190 Huntsville AL 35471 '
Applicant's Email Address(f available): [e-mail]
EP 2 ' � �5. Contact Person(if different than Applicant): Waft Henley telephone: (205)91 - 452
Contact Person's Mailing Address: same as above
Contact Person's Email Address (if available): same as above
6. Property Owner(if different than Applicant): Gene Ledford Telephone: [phone]
Property Owner's Mailing Address: 970 Bear Wallow Road, Burnsville,NC 28714
Property Owner's Email Address(if available): not available
7. Property Physical Address(Including PIN Number) 5209 East U.S.Highway 19
City Burnsville County Yancey Zip Code 28714
8. Reason for Well(s): Assessment
(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: Commercial property(Phase II ESA for real estate transaction)
(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: Potentially petroleum
(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).: Not applicable
13. Distance from proposed well(s)to nearest known waste or pollution source(in feet): 10 feet(diesel AST)
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. William Cullom Walker Certification No.: NCWS 4237-B
Well Contractor Address: 1317 Hummingbird Drive,West Columbia, SC 29169(P.O. Box 8446, Columbia SC 29202)
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

00/25/2018 13.08 FAX 003/005'
PROPOSED WE_m UCTION INFORMAT'ON(Cori inued)
2. Number of mb to be mnitructed in vnmm a 1 5. How will the well(s)be sepurW7 Temporary wall ro he
maMtd: 1 aban"W the came tlay
0. lWrrieraf wNs bbm emrbtwlW in R Eatimdag begiraft mndnxgm do* 1401418
4. Total Number of wrMe n 3)f Conatn,reeed;
(add answcys somY and 3) T. EOWm consmicom completion Cats: 1SM=7B
jA INFORMATION
�.. i.. As required by 15A NCAC 02C.0109(f)(5),a a map Of the ske the locations ed the f u,,j
stwaNrg ,W,
a. AN property binderim at ieast one q to a MA*UM"011111w iandTadre 9nch se 1aeMf W made,
krtsresderrs sbsarrts,or(alms redin dr proposed wall or web ydwn
b. AA 9>adirg waft,identlMe t}rp d by e of ' 5M Net of the pmpoeed wok or;d system,
C. The proposed we0 or wig oye am.
a Arty tad bo*W Mthin aM I"of pm or weu syetan.
'. e. AN spondee Of Iorrnalt or pdentlal wm (auoh at tent syetants,paa0dds,ahamicW or f9W
ge w storasm,afYmal feedlots as In 14"15-1090),bndfIW Is,dr other Wpft dfepooW emu)wlft 500 fed
j of the proposed well or wag system,
gNATURES
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2090 U.S. Highway 70 3600 127 Cardinal Drbe EraarWm
Swannmva•NC 28778 , 009 WAmingtan,NC 294W
Phamw (15M)206.46)0 (B7 701.42W Phone: [phone]
Fax [phone] Farc 19) 1.4716 Faoc (910)M04004
F 11"awme Re9lonal ORIM W He9forlai Odlcm Wlndsn$elsi RoglmW Office
225 Green&MK Soho 714 943 BlItme moo 460 W_Names Mill Road
F v/ao@,A• NC 2=1,60" W 2780 Suite 300
Phenol (910)4"-"W 948401 Wi sion-Selem,NC 27100
Fax (910)4B&CM7 FNc 16 Phorre: (336)775.06M
MowwWM F"Iomf Office Fax (386)7M4797
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NC 28116
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Moore, Andrew W
From: Moore,Andrew W
Sent: Friday, September 28,2018 9:35 AM
To: 'whenley arcco.org'
Subject: RE: [External] Monitoring well permit- Phase H in Burnsville, NC
Walt,
I have reviewed the subject application and have determined that the application is incomplete and cannot be
processed.The application is on hold until the following items are addressed:
1.)The applicant is considered the well owner and responsible for compliance with North Carolina well construction
standards. Generally,for a Phase II ESA,this would be the prospective property purchaser, not the environmental
consultant. Please confirm that ARC Environmental is the applicant and is assuming ownership/responsibility for the
proposed well. If not, please provide the applicant's information, including signature.
2.) Please provide the PIN number for the property on which the well is proposed.Yancey County GIS lists a property
owned by Gene Ledford at 5208 East U.S. Highway 19, but I was unable to find a 5209 East U.S. Highway 19.
3.) Please provide proposed well construction information as described at the bottom of page 1 of the application under
the "Proposed Well Construction Information" section.
4.) Please provide a map of the site showing all information listed on the second page of the application under the
"Additional Information"section.
The application is deemed incomplete until the requested information is received.
Feel free to contact me if you have any questions.
Andrew W. Moore, P.G.
Environmental Specialist—Asheville Regional Office Water Quality Regional Operations Section NCDEQ—Division of
Water Resources
828 296 4684 office
email:[e-mail]
2090 U.S. Hwy.70
Swannanoa, N.C. 28778
Email correspondence to and.from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
-----Original Message--
From:whenley arcco.org<[e-mail]>
Sent:Thursday,September 27,2018 4:25 PM
To: Moore,Andrew W<[e-mail]>
Subject: [External] Monitoring well permit- Phase II in Burnsville, NC
CAUTION: External email. Do not click links or open attachments unless verified.Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
1

• 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.
FOR OFFICE USE ONLY
1. Date: September 25 201a
2. County: Yancey [PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monitoring
4. Applicant: ARC Environmental Inc Telephone: f205)913-1452
Applicant's Mailing Address: P.O. Box 190.w,nt,lIlle AL 35471
Applicant's Email Address(if available): whenlevgarcco.or
5. Contact Person (if different than Applicant): Walt Henley Telephone: [phone]=1452
Contact Person's Mailing Address: same as above
Contact Person's Email Address (it available): same as above
6. Property Owner(if different than Applicant): Gene Ledford Telephone: [phone]
Property Owner's Mailing Address: 970 Bear Wallow Road Burnsville. NC 28714
Property Owner's Email Address(it available): not available
7. Property Physical Address(including PIN Number)_5208 Fast U.S.Highway 19(PIN 085003402550000)
City Burnsville County Yancey Zip Code 28714
B. Reason for Well(s): Assessment
(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: Commercial Property(Phase II ESA for real estate transaction)
(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? It so, list perrn8 and/or incident no(s).
No
�a
11. Type of contaminants being monitored or recovered: Potentially petroleum
lax: organics, nutrients,heavy metals, etc.)
SEP 2 R 2015
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? N I
Existing Monitoring or Recovery Well Construction Permit No(s).: Not aoolicable ,T ^
- T.�j�en.aNnnS
13. Distance from proposed wells) to nearest known waste or pollution source On feet): 10 feet(diesel A<
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: William Cullom Walker Certificalion No.: NCWS 4237-6
Well Contractor Address: 1317 Hummingbird Drive West Columbia SC 29169 (P.O. Box 8446. Columbia. SC 29202)
PROPOSED WELL CONSTRUCTION INFORMATION
1- As required by 15A NCAC 02C.0105(1)(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 I. Grout horizons
C. Screen intervals 9. Well head completion details
d. Sand/gravel pack intervals
Continued on Reverse

e /25/2018 13.00 FAX �003!OOL "
I
PROPOSED WELL C 0N UCfION INFORMATION(Caftnued)
2. Minter of welt to be cansnoted in
ntatenat: -- 1 5- Fmw wOf the w wd dos s he p besecured? Temoorery wreli m 6e
abarldoiome effiv
A Number Of wtls to be eorglnclad in a Fmrrbed booming=%trucwn dxte: jgM=1g
4. Total Number of wells 10 be constructed: 7. co�tuc5on comDleflOn dqe; 10/f1�1019
(add answersm�mYand3) Eadrtrateq
' A INFORMAnON
1. As required by 16A NCAC 02C,0105(f)(5),a a map at the she sllowhrg the locations of the falowtrug:
IL AN propetgr bou radar ak 3 least to■mi Mmlm d iwo LwxkT&Aw such as kf ft%d roads,
krhno•dats,s069rmm or W ms wiWn .af ow proposed well or wed sydwn,
b. Al wwarg wreAs,idertdfad by type d . . 5M feet of Ole proposed wish w wee system,
C. The proposed wed at wet syelim.
(L Any last bongs wMW 6W fast of pm or wau system.
e. Al souro•a of lamm"or paten"orals kn(w0h as sepoc t*systems,pssbofde,dlwrd0•I or fuel
steraw weal,Named 4edi0es•s don In ias.215.1Ot9(6),WIMb,dr dt1•f wAiae dtepoeal tress)witl*500 bet
of are proposed was a wee ryatem.
13NATURES
TTw Applicant hereby that Vw proaosed vA MVIh1r0ted'br OMMarlde shh a pmM 4peoMos6oru end contftmu of
this Wd Cvnsiucaon P >K prAofod udder U1 M atttcbn 84hnOktds(Tilt 15A of the North Carolina Adndnlshaf)ve Cede,
eef 2C)ad a tote ,Ireoporwlblity for cmmplana with these Mes
Proiars oar.EnNrdmm��l 1
SWmffe M Apply rd or*A71, The of App6padW Agent
Wall jtler p sk�ritp 4r Ap�ltr .trecn mm+atnod„apreentent smar,v
Printed name of Appecart or Agent fAar ytw lyw^s�authority to as se dos Agent
1
I1 the property to owned fry smgaw Otlwr 1?bfh the% pnlperty onrrwr hereby cormsnm m a�w 4q aOpNesttt m Construrz
ails as ouNned In O•e wed Corawxkn Permit end 1 iiW be tlw m wood ilfty of Me appfkutt to oft"mat 0w
w*lXs)confomn to the Well Con ucban 16A of the North Cwvl*Acknirw rmlve Cede, Subchepwr 2C)-
Goer L.odaee!
of Properly lY ilferarot than ) Prirrlad Remo of Property owner(l difWa d awn AppNaenO
RECTIONS
Plowis send ew Co.tpMtna APp6=tti to the of war Re rcffiee ae¢onal offfoe:
ow,[a PAKJkMW ONke offioe WflmimalM FAgWW Offics
2090 U.S. Highway 70 39p0 127 Caffmai Drt"ExIwWon
'.�Swannerxas,NC 2577a WlmkVton,NC 2B4M
Ph&'w (6M)VS-45M � 781-42M Pharos: [phone]
iFox (92a)290.7043 Fax 1 471a Fmc (910)3604004
II'Fayette Me Fagjw1N OMos W NeYlortel Office Winston4lelam Regional Office
225 Ciraan shyest,Buie 714 943 tigtlare NYq 450 W-Nara Mil Road
F&pMvila,NC 28301 sots W 2788D suite too
FlImm (910)49 -MW W6M81 Windom-Salem,NO 27105
Fmc (910)48&0707 FIX 1a Phdrre: [phone]
Fax (336)776-UM
F
HaplonN OfRaRter Avenue
NC28116
4)565.Jtidy053-640
'I
wl`gaw Rev.5.1-2016
it
i

1
Proposed Temporary
Monitoring Well Proposed Boring
Construction Abandonment
f—No Cap (Temp Well) Well Casing and
Screen Removed
/ Topsoil(0 to 1'BGS)
Native
Soil
Open borehole
i
1"O.D.PVC Riser Bentonite Pellets(l'BGS
to boring depth)
Sand to Approx.2' above screen
1"O.D.PVC Screen(2'to 5' long)
Est. Well Depth(34' to 49')
Est.Boring Depth(35' to 50') Est.Boring Depth(35' to 50')
Borehole Diameter(2"to 3") Borehole Diameter(2"to 3")
The Broadway Group Figure 1
PDG-Burnsville, NC Temporary Well
�i 5208 East U.S. Highway 19 Construction
cENV18ONMENTAL;WC' Burnsville,North Carolina
i

T
N
80
F
NUO
i u-c.ppl
Proposed
0 Boriugrrempornry
Monitoring WeB
. Proposed Boring
Sourte: Google Earth-1015
The Broadway Group Figure 1
Proposed Dollar General Proposed Soil Boring/
t 5208 East U.S.Highway 19
Burnsville,North Carolina
E Y41RONMEMN Temporary Well Map
:,INC.'

Moore, Andrew W
From: Moore,Andrew W
Sent: Monday, October 01, 2018 11:34 AM
To: 'whenley arcco.org'
Subject: RE: [External] Monitoring well permit- Phase H in Burnsville, NC
Attachments: 20181001_W M0100446_P ERM.pdf
Walt,
See monitoring well construction permit attached.
Feel free to contact me if you have any questions.
Thanks,
Andrew W. Moore, P.G.
Environmental Specialist—Asheville Regional Office Water Quality Regional Operations Section NCDEQ—Division of
Water Resources
828 296 4684 office
email:[e-mail]
2090 U.S. Hwy.70
Swannanoa, N.C.28778
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
---Original Message----- 1
From:whenley arcco.org<[e-mail]>
Sent: Friday,September 28, 2018 6:37 PM
To: Moore,Andrew W<[e-mail]>
Subject: Re: [External] Monitoring well permit- Phase II in Burnsville, NC
CAUTION: External email. Do not click links or open attachments unless verified.Send all suspicious email as an
attachment to Report Spa m.<mailto:[e-mail]>
On 9/28/2018 9:30 AM,whenley arcco.org wrote:
>Andrew,
>I apologize for leaving out the additional information that was r1equired to be attached to the application. I will forward
that to you as soon as I get back in the office this afternoon.
>Often, as in this case,the potential purchaser does not wish to make their name public until the transaction is
completed.Therefore,ARC will accept ownership and complete r'espo'nsibility for the well.
t