WM0801196_Application_20220610

Highlands
Environmental
Solutions, Inc.
3117 Lantern Way; Wilmington, NC 28409
Phone: [phone] / www.HESfast.com
June 10, 2022
Mr. Geoff Kegley
North Carolina Department of Environmental Quality
Division of Water Resources — Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Subject: Application for Permit to Install Groundwater Monitoring Wells
NCDEQ Incident #96547
HES Project #552002
Dear Mr. Kegley:
On behalf of our client (G. Tyson Hopkins Associates, LLC (GTH)), Highlands Environmental
Solutions, Inc. (HES) is submitting this application to install one off -site groundwater monitoring
well as a condition of the completion of a Comprehensive Site Assessment (CSA) per the Notice
of Regulatory Requirement (NORR) letter dated May 6, 2022. A copy of the letter is included in
Attachment A.
Based on the findings during the Phase I Limited Site Assessment (LSA) completed by HES,
NCDEQ has required GTH to perform an CSA on the property. A total of four monitoring wells
were constructed during LSA site activities. Since the installation of the initial wells did not define
the lateral and vertical extent of the groundwater contamination, HES is proposing the installation
of additional wells to include one off -site monitoring well during CSA project activities. The
location of the GTH site is depicted on Figure 1, included in Attachment B.
The scope of work for the CSA includes the installation of additional groundwater monitoring wells
with one to be constructed on the subject site, and the second on the adjacent property located
Northeast and downgradient of the area of petroleum -impacted soil. The locations of property
boundaries and proposed well locations are depicted on Figure 2. Each well will be an EPA
Type II groundwater monitoring well. The off -site well will be installed to a maximum anticipated
depth of 12 feet below grade. The well will be constructed of two-inch Schedule 40 PVC
materials, and completed with a flush mount metal cover and locking expansion cap. A
schematic of the proposed well is included as Figure 3.
Because one of the wells will be installed on a third -party property, we are required to obtain a
Monitoring Well Permit from the NCDEQ. The completed Monitoring Well Permit Application is
included in Attachment C.
If there are any questions regarding the installation of the wells or the project in general, please
contact me via email at [e-mail] or via phone at 910-859-9050.
Sincerely,

Ms. Geoff Kegley
Application For Permit to Install Groundwater Monitoring Wells
June 10, 2022
Page 2
Highlands Environmental Solutions, Inc.
Kendall Sutler
Senior Project Manager
Attachments
Cc: Mr. Tyson Hopkins — G. Tyson Hopkins Associates, LLC
Mr. Alex Schroeder — A and J Fuel Dock, LLC
Ms. Sarah Brown — NCDEQ
File

ATTACHMENT A

•
•
ROY COOPER ' e
Governor yr y
ELIZABETH 5.BISER
Secretary
MICHAEL SCOTT NORTH CAROLINA
Director Enviranmenterl Quality
May 6,2022
Email only
A&J Fuel dock LLC
Alex Schroeder
Re: Notice of Regulatory
Requirements
15A N CAC 2L.0106(c)and(g)
Corrective Action
A&J Fuel dock LLC
412 Roland Ave
Pcnder County
Incident Number: 96547
Risk Classification: Pending High
Dear Mr.Schroeder:
Information received by the UST Section, Division of Waste Management,Wilmington Regional
Office in the Limited Site Assessment on April 8, 2022, has been reviewed. Information in the report
confirms a release or discharge of petroleum product from an aboveground storage tank system as the
result of a spill at the above-referenced location. This office has determined that you are responsible for
the release or discharge.
As a responsible party, you must comply with assessment and cleanup requirements of TitlelSA
NCAC 2L .0106(c)(3) and 2L .0106(g). A Comprehensive Site Assessment (CSA) Report prepared in
accordance with these requirements and the most recent version of the UST Section Guidelines for the
Investigation and Remediation of Contamination from Non-UST Petroleum Releases must be received by
this office within 90 days of the date of this notice. In addition, you must submit a summary of the CSA
Report to the local Health Director and the local Chief Administrative Officer in accordance with 15A NCAC
2L .0114. The summary should be submitted to these persons no later than five working days after
submittal of the CSA Report to this office. Failure to comply in the manner and time specified,may result
in the assessment of civil penalties and/or the use of other enforcement mechanisms.
Because a release or discharge has been confirmed,a Licensed Geologist or a Professional Engineer,
certified by the State of North Carolina, is required to prepare and certify ail reports submitted to the
Department of Environmental Quality in accordance with Title 15A NCAC 2L.0103(e)and 2L.0111(b).
D E �1 North Carolina Department of Environmental Quality I Division of Waste Management
Wilmington Regfonal Office 1127 Cardinal Drive Extension I Wilmington.NC 28405 I
tin.Arm.rnr snromroma.wa 1910)796-7215

If you have any questions regarding the actions that must be taken or the rules mentioned in this
letter,please contact me at the address or telephone number listed below.
erely,
Environmental Specialist II
Wilmington Regional Office
UST Section,Division of Waste Management,
NCDEQ
cc: foe Seaman and Kendall Sutler,Highlands Environmental Solutions,inc.(email only)
Carolyn Moser, Pander County Health Department Director(email only)
Wilmington Regional Offee 1 127 Cardinal Drive Exti Wilmington,NC 28405 I(910)796-7215
lAR ray nnnsi t NfiR..intx
North Carolina Department of Environmental Quality I Division of Waste Management
. 11.:11EQ,J)
Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington,INC 28405 I
rMorn,,.sxgn..o_4.1 WOr {9117j 796 7215

ATTACHMENT B

Highlands
Environmental
Solutions, Inc.
Drawing / Project Name
Site Location Diagram
Surf City, NC
Client
A&J Fuel Docks
Project #
552002
Date
May 2022
Scale
As Shown
PM
KS
DB
JB
PG
JB
PE 1Fig.
1

f _r.
" OF:",
} t
„ .
7 -
x -
w •.- `� Proposed Off-
- Site Well
� . • � � � � �. Location
,,,,\.\1/4\\ .
• 4... .:),00::: v • .I.:Wii
.4,04. VP • A .. arr.' .
./111> .• •min. 1,1". . .... •- ••• ient/4f ' .
\(F A
S /} ; l'j . • ` - Approximate Property
- . `{. . . °,1, . - Boundary
I.
BNE Property
1.46
• ,F. -444'.fkl ' -*-...I i*'- S..• ..-.. ..
.. lik
*#
A it
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_ a +* . A:
GTH Property 6..
6
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Approximate Scale
N
0 45 90
feet
Base diagram from Google Earth.
Drawing/Project Name
Proposed Well Location Diagram
Highlands Roland Avenue; Surf City, NC
Environmental Client
G. Tyson Hopkins Associates, LLC -A&J Fuel Dock LLC
Solutions, Inc. Project# Date
552002 June 2022
Scale PM DB PG PE Fig.
As Shown KS JB JB 2

Flush -Mount Cover
Total Depth of Boring 15ft.)
Total Depth of Well (15 ft.)
Locking Expansion Cap
Total Length of Sand Filter Pack (16 ft.)
Concrete
Schedule 40 PVC Casing
(5 ft.)
Neat Portland Cement Grout
Hydrated Bentonite
(1.0 feet)
Ir Screened interval must bracket
Borehole Width = 0 333 feet
the water table.
Clean filter sand
Schedule 40 PVC Manufactured Screen
(0.010 Slot)
(10 ft.)
Title
Highlands Proposed Monitoring Well Schematic
Environmental Client/Project
A&J Fuel Dock
Solutions, Inc. Surf City, NC
DB PG PE PM Project No. Scale Date Fig
JB JB KS 552002 NTS May 2022 3

ATTACHMENT C

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: May 24, 2022 FOR OFFICE USE ONLY
2. County: Fender PERMIT NO. ISSUED DATE
3. What type of well are you applying for?(monitoring or recovery): Monitoring
4. Applicant: G. Tyson Hopkins Associates, LLC Telephone: [phone]
Applicant's Mailing Address: 6811 Clifton Road: Clifton, VA 20124
Applicants Email Address(if available): tyhopkins(�r?gmail.com
5. Contact Person(if different than Applicant): Mr. Kendall Sutler Telephone: [phone]
Contact Person's Mailing Address: HES, Inc.; 3117 Lantern Way,Wilmington, NC 28409
Contact Person's Email Address(if available): ksutler(a�hesnc.com
6. Property Owner(if different than Applicant): BNE Restaurant Group II, LLC Telephone: [phone]
Property Owner's Mailing Address: 1021 Noell Lane; Rocky Mount, NC 27802-1908
Property Owner's Email Address(if available). TED _ .
7. Property Physical Address(Including PIN Number):418 Roland Avenue(PINs 4235-80-2119-000 and 4235-80-1278-0000)
City Surf City County Pender Zip Code 28445
8. Reason for Well(s): Environmental assessment
(ex: non-discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)
9. Type of facility or site for which the wells)is(are)needed: Aboveground storage tank
(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: Petroleurn hydrocarbons
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes. how many'? Yes there are currently four wells
Existing Monitoring or Recovery Well Construction Permit No(s).: No
13. Distance from proposed well(s)to nearest known waste or pollution source(in feet): 20 feet
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: TED Certification No..
Well Contractor Address:
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C.0105(f0(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. Flow will the well(s)be secured? Flush mount metal
material- 1 cover and locking expansion cap
3. Number of wells to be constructed in bedrock: 0 6. Estimated beginning construction date: June 13, 2022 -
4. Total Number of wells to be constructed: 1 - 7. Estimated construction completion date: June 15,2022
(add answers from 2 and 3) (tentative)
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. 143-215.108(5), landfills, or other waste disposal areas)within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant a ebragrees that the proposed well(s)will be constructed in accordance with approved specifications and conditions of
this Well nstruction 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
\,...— '� AC„ 1 1-- e--1.-1. ftil4lic -'4H1 ►f" 1iv,&L 1 5
Sig A plicant or nt PtSS�:• L Title of Applican or*Agent
ti f-- ci,.. -•ra-2._ •If signing as Resent, attach authorization agreement stating
Printed name of Applicant or*Agent that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant,the property owner hereby consents to allow the applicant to construct
wells as outlined in this Well Construction Permit application and that it shall be the responsibility of the applicant to ensure that the
well(s)conform to the Well Construction Standards(Title 15A of the North Carolina Administrative Code, Subchapter 2C).
(-7-4j S 1 0\L E i)1-1E7tV C6'KeC7oQf co.clu 7+E s ire.1•µT
Signature of roperty 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 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 450 W. Hanes Mill Road
Fayetteville, NC 28301-5094 Washington, NC 27889 Suite 300
Phone: [phone] Phone: [phone] Winston-Salem, NC 27105
Fax: [phone] Fax: [phone] Phone: [phone]
Fax: [phone]
Mooresville Regional Office i _ - — --
610 East Center Avenue 1.'`;i Win Sole ' }
Mooresville, NC 28115 •= y ; - ,• . .Pi
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Phone [phone] -I ye{ .-c
Fax: [phone] • ..�f r '�! .ge r
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