WM0501478_Permit (Issuance)_20220419

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
April 19, 2021
Gwaltney Oil and Gas Company, Inc.
P.O. Box 100
Mebane, NC 27302
Subject: Monitoring Well Construction
Permit # WM0501478
Hillsborough Street 4701
4701 Hillsborough Street
Durham, NC -Durham County
To Whom It May Concern:
In accordance with the application received on April 12, 2022, and the additional information
received on April 14 & 19, 2022, we are forwarding herewith Monitoring Well Construction Permit No.
WM0501478 dated April 19, 2022, issued for the construction of a monitor well system (installation of two
wells) at the subject property 2315 Sparger Road. Please be aware that some counties have well
construction programs, and you may be required to obtain a well construction permit before
installation.
This Permit will be effective from the date of its issuance and shall be subject to the conditions and
limitations as specified therein. Please note the addition of stipulation #3 to the permit enclosed. If you have
any questions about this permit, please contact Eric Rice at [phone].
Sincerely,
,-DocuSigned by:
s. �i n sin
'-BCDA9D825D4A46D..
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files/Laserfiche
Durham County Health Department
Email: jricks(a,pilotenviro.com Jason Ricks, Pilot Geological, PLLC PO Box 128, Kernersville,
NC
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
919.707.9000

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable Laws,
Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO
Gwaltney Oil and Gas Company, Inc.
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Hillsborough Street 4701) consisting of two
monitoring wells owned by Gwaltney Oil and Gas Company, Inc. at mailing address F.O. Box 100 in Mebane, NC. The
wells will be located on the property owned by DBK Capital Properties, LLC at 2315 Sparger Road in Durham, NC -
Durham County. This Permit is issued in accordance with the application received on April 12, 2022, and the additional
information received on April 14 & 19, 2022, in conformity with specifications and supporting data, all of which are filed
with the Department of Environment and Natural Resources and are considered integral parts of this Permit.
This Permit is for well construction only, and does not waive any provision or requirement of any other applicable law or
regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina Well
Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and regulations pertaining
to well construction.
If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatoiy hearing upon
written request within 30 days of receipt of this Permit. The request must be in the form of a written petition conforming
to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this Permit is final and binding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. Issuance of this Permit does not obligate reimbursement from State trust funds, if these wells are being
installed as part of an investigation for contamination from an underground storage tank or dry cleaner
incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another
agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit
application.
4. Each well shall have a Well Contractor Identification PIate in accordance with 15A NCAC 02C .0108(o).
5. Well construction records (GW-1) for each well shall be submitted to the Division of Water Quality's
Information Processing Unit within 30 days of the well completion.
6. When the well is discontinued or abandoned, it shall be abandoned in accordance with 15A NCAC 02C
.0113 and a well abandonment record (GW-30) shall be submitted to the Division of Water Quality's
Information Processing Unit within 30 days of the well abandonment.
7. If the well penetrates any water -bearing zone that contains contaminated waters, the upper three feet of the
well shall be grouted within one day after the casing is set or the well abandoned.
Permit issued the April 19'h 2022
FOR THE NORTH CAROLINA EPIVIRON 1l NTAL MANAGEMENT COMMISSION
Scott Vinson, Regional Supervisor
Dis>ist5Vf8f9WRRASources
By Authority of the Environmental Management Commission
Permit No. WM0501478
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1161 1 Mail Service Center 1 Raleigh, North Carolina 27699-1611
919.707.9000

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
1. Date: 4/12/22
2. County: Durham
1
t�,,, FOR OFFICE USE ONLY
PERMIT NO. cc�►r t0-s0/`f'%ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery):
4. Applicant: Gwaltney Oil and Gas Company. Inc.
Applicant's Mailing Address: PO Box 100. Mebane, NC 27302
Monitoring
Telephone: [phone]
Applicants Email Address (if available): rndeodoil{a hotmail.aorn
5. Contact Person (if different than Applicant): Jason Ricks Telephone: [phone]
Contact Person's Mailing Address: PO Box 128, Kemersville. NC 27285
Contact Person's Email Address (if available): iricksOpilotenviro.com
6. Property Owner (if different than Applicant): DBK Capital Properties. LLQ Telephone: [phone]
Property Owner's Mailing Address: PO Box 61417, Durham, NC 27715
Property Owner's Email Address (if available): blake.kingedbkingec.com
7. Property Physical Address (Including PIN Number) 2315 Sparser Road (0803-04-51-2101)
City Durham
8. Reason for Well(s): UST related Assessment
County Durham
Zip Code 27325
(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).
39072
11. Type of contaminants being monitored or recovered: Petroleum -related
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? 12
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): --120
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? Yes
If yes, give distance(s): -200 ft. (closest)
15. Well Contractor: TBD Certification No.:
Well Contractor Address:
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?
material: 1 Lockable Metal Cover
3. Number of wells to be constructed in bedrock: 1 6. Estimated beginning construction date: 5/20/22
4. Total Number of wells to be constructed: 2 7. Estimated construction completion date: 5/20/22
(add answers from 2 and 3)
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations of the following:
a. 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
Jason Ricks - Agent
Printed name of Applicant or *Agent
Agent
Title of Applicant or *Agent
* if signing as Agent, attach authorization agreement stating
that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
wells as outlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
well(s) conform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
Signature of Property Owner (if different than Applicant)
Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone [phone]
Fax: [phone]
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
iticrdm="w"11150 war,
Atm ittrAidr
AK&
GW 22MR Rev. 3-1-2016

SITE ACCESS AGREEMENT
This Site Access Agreement (the "Agreement") is made and entered into by DBK Capital
Properties, LLC ("Owner") and Pilot Geological, PLLC ("Consultant"), this the 24th day of
August, 2021.
WHEREAS, Owner owns the property located at 2315 Sparger Road, Durham, North
Carolina (the "Property");
WHEREAS, the Consultant desires to enter upon the Property to the extent permitted in
this Agreement for the purposes of installing monitoring wells, surveying the monitoring wells
and collecting groundwater samples (the "Work"); and Owner is willing to allow such access to
the Property upon the terms and conditions set forth in this Agreement;
NOW, THEREFORE, in consideration of the covenants and agreements described below
and other good and valuable consideration, the receipt and sufficiency of which are
acknowledged, the parties agree:
1. Owner grants to Consultant and its agents and employees, contractors, and
subcontractors (collectively "Representatives") reasonable, non-exclusive access to the Property
from time to time for the sole purpose of performing the Work.
2. Consultant shall be responsible for obtaining, at its sole cost and expense, all
permits and other governmental authorizations, if any, necessary for the Work and shall comply
(and will cause their Representatives to comply) with all applicable laws, permits, and other
governmental authorizations and legal requirements. All fees related to the aforementioned
activities will be the responsibility of parties other than the Owner.
3. Owner understands that Representatives intend to perform Work on the Property
during a period of time as discussed with the Owner, and there may be a need for some follow up
work on the Property. Notwithstanding anything contained herein to the contrary, their
Representatives shall not be allowed to perform any Work on the Property without three (3)
business days' prior notice written or verbal to the Owner. Owner will not interfere with or
hinder the Consultant and its Representatives during their performance of the Work as limited to
the Work. Owner may have its employees or agents observe the Work at Owner's sole cost and
expense.
4. Consultant and its Representatives will perform all Work on the Property with
reasonable care and diligence to avoid accident, damage, or harm to persons or property.
Consultant will conduct the Work on the Property with minimum disturbance to Owner and
Owner's personnel, agents, and invitees and with minimum interference with use of and access
to the Property by Owner and Owner's personnel, agents, and invitees.
4819-6473-2920.v1

5. The Work shall be performed at the cost and expense of parties other than the
Owner. Consultant shall be responsible for the proper handling and disposal of any contaminated
equipment, soil, sediment, surface water, groundwater, or other materials removed from the
Property in connection with the Work. Note that per the North Carolina Department of
Environmental Quality (NCDEQ) guidance the drill cuttings and purge water are allowed to be
and will be spread on the property
6. Consultant agrees to cause its Representatives to provide Owner with a certificate
of insurance evidencing liability insurance coverage in the amount of not less than $1,000,000
prior to entering the Property and shall name Owner as additional named insured in reference to
such policy of insurance. Consultant or its subcontractors shall restore the Property as near as
practicable to its condition existing immediately before Representatives' entry upon the Property,
normal wear and tear excepted. Consultant shall indemnify, defend and hold Owner and its
officers and employees harmless from all claims, injuries, demands, liabilities, losses, damages,
costs and expenses, including reasonable attorneys' fees and disbursements (collectively,
"Claims") for any bodily injury, property damage or construction liens caused by the conduct or
acts of Representatives.
7. Consultant hereby releases Owner, its subsidiaries, affiliates and their respective
members, directors, officers and agents from all present and future Claims that the Consultant
now has or may hereafter accrue on account of or in any way arising out of any and all known
bodily and personal injuries or property damage and the consequences thereof resulting or which
may result from Consultant's entry upon the Property or the negligent use of any equipment or
procedures while on, entering or leaving the Property. Claims arising out of the gross negligence
or willful misconduct of Owner are excluded from this Release.
8. This Agreement and the right of access granted by this Agreement shall terminate
upon the completion of the Work, but not later than December 31, 2026, unless extended by
written agreement. The rights and obligations under Paragraphs 6, 7 and 11 will survive
termination of this Agreement. This Agreement and the right of access and the scope of the
Work may be extended or modified only by written amendment signed by each party.
9. Consultant shall provide Owner with a copy of all written reports which
Consultant obtains regarding environmental conditions on the Property, if requested. The reports
will be a matter of public record and can be obtained from the NCDEQ.
10. The undersigned represent that they are authorized to execute this Agreement on
behalf of, and to bind, Owner and Consultant and that the parties have the rights and capacities to
perform any acts authorized or contemplated by this Agreement. This Agreement shall be
governed by and interpreted in accordance with the laws of the State of North Carolina.
11. The access granted by this Agreement is being granted on the express condition
that Consultant's investigations will be limited to Work performed on the Property.
4819-6973-2920.v 1

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be properly
executed and sealed the day and year first above written.
Pilot Geological PLLC
By:
2-
Title: Manager
Phone: [phone]
Email: [e-mail]
DBK Capital Properties, LLC
By: Ts .1:›P-41-,--ts.- f7r-
Title: Y%
Phone: 9 m-442-20SC
Email: 61,14t. K.�Z L'P^g ec.cz»c .,
3
4819-6473-2920.v1

Eel°
--Hiiisborouh Road
tor
1.47
MW-g •Der 2 BMW-1
•
e
Approximate Property Boundary
Type II Monitoring Well Location
Type NI Monitoring Well Location
Structure
Proposed Monitoring Well location
as a to
re c
cco {C o
a z�
co
a 4;
2 Q 0

Drawing 5
Google Earth
Interactive Mapping
Scale : 1"= 335'
Approximate Drinking Water Supply Well Location
Approximate Irrigation Water Supply Well Location
I L O Z GOLOGCALILC
Receptor Survey Map
La Marqueta Site
4701 Hillsborough Road
Durham, Durham County, NC
Pilot Project G-6525

PROPOSED MONITORING WELL CONSTRUCTION DIAGRAM
Lockable steel manway set in
concrete at the ground surface
Project La Marqueta
Durham, NC
Owner
Well No. MW-13
Location 2315 Sparger Road
1a01111111141RIM ;Ell r
MD Coordinators
l
4 inch diameter
State Permit No. Pending
Topography Setting
if
/
Fpp
`
4
Pa
4
drilled hole
Well casing,
2 inch diameter,
Grout to surface
0-3 ft.
3 ft Top of bentonite
Ground Elevation
Drilled By TBD
Drilling Started TBD
Drilling Completed
Method of Drilling Augers
Type of Rig Geoprobe
MONITORING WELL DATA
Bentonite
4 ft Top of sand
Well No. MW 13
Hole Diameter 4 inches
Hole Depth 25 ft.
'
20 ft. Screen
Casing Diameter 2 inch
Casing Length 5 ft.
Screen Diameter 2 inch
Screen Slot 0.01
Screen Type slot
_.
=
_':
::.
Well Screen,
2 inch diamter
0.01 slot
Sand Pack
25 ft.
Surface Elevation No Data
Screen Top El. No Data
Screen Bottom El. No Data
Well Status Active
REMARKS
i
25 ft.
All Measuring Points are from the Top of
Casing Unless Otherwise Noted.
MW-1 log

PROPOSED MONITORING WELL CONSTRUCTION DIAGRAM
Lockable steel manway set in
concrete at the ground surface
Project La Marqueta
Durham, NC
Owner
Well No. DW-3
Location 2315 Sparger Road
l
. :.
== .
..
. =
' _
.
40
ToWell
Fr
A
• NM ■lief
MD Coordinators
All Measuring
Casing
Itill
A
leiL"
State Permit No. Pending
4 inch diameter
Topography Setting
drilled hole
casing,
2 inch diameter,
Grout to surface
0-67 ft.
67 ft Top of bentonite
Ground Elevation
Drilled By TBD
Drilling Started TBD
Drilling Completed
Method of Drilling Augers
Type of Rig Geoprobe
MONITORING WELL DATA
Bentonite
69 ft Top of sand
Well No. DW-3
Hole Diameter 8 inches
Hole Depth 75 ft.
5 ft. Screen
Casing Diameter 6 inch outer, 2 inch inner
Casing Length 65 ft. Outer 6", 70 ft. Inner 2"
Screen Diameter 2 inch
Screen Slot 0.01
Screen Type slot
Well Screen,
2 inch diamter
0.01 slot
Sand Pack
1
75ft.
Surface Elevation No Data
Screen Top El. No Data
Screen Bottom El. No Data
Well Status Active
REMARKS
Outer 6 inch casing will be grouted from the bottom
to the ground surface
75 ft.
Points are from the Top of
Unless Otherwise Noted.
DW-3 Diagram