WM0501489_Application_20220602

L7
synTerra
Science & Engineering Consultants
VIA email: brion.byers©ncdenr.qov
June 1, 2022
Mr. Brion N. Byers, P.G.
Division of Water Resources
North Carolina Department of Environmental Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, North Carolina 27609
511 Keisler Dr # 102, Cary, NC 27518 1919.858.9898
Reference: Application to construct Monitoring Wells
Alvarado Holdings Property
1334 E. 11th Street
Siler City, North Carolina
Good afternoon, Brion:
Attached please find an application to construct monitoring wells at the site referenced above.
The permit applications have been signed by the landowner and our client, Mountaire. We plan
to construct the wells the week of June 13, 2022.
Please contact me at [phone] X121 or via email at [e-mail] if you have
any questions.
All the best,
SynTerra
Evan M. Hamo, P.G.
Project Scientist
Attachments: Permit Application
Site Map
Well Construction Diagrams
Proposed Well Map
Former Well Location Maps
synterracorp.com

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dotloopsignature verifiLation:clrin ,:./',Vin'.ijlI',
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 27, 2022
2. County: Chatham
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery):
4. Applicant: Mountaire Farms Inc.
Applicant's Mailing Address: PO Box 1320, Millsboro,_DE 19966
Applicant's Email Address (if available): trogers-vickersamountaire.com (Tanya Rogers -Vickers)
Monitoring
5. Contact Person (if different than Applicant): Rick Kolb
Telephone: [phone]
Telephone: [phone]
Contact Person's Mailing Address: Svnterra Corporation: 511 Keisler Drive, Suite 102: Cary, NC 27518
Contact Person's Email Address (if available): rkolbCa�synterracoro.com
6. Property Owner (if different than Applicant): Alvarado Holdings LLC Telephone:
Property Owner's Mailing Address: PO Box 12025; Winston-Salem, NC 27107
Property Owner's Email Address (if available):
7. Property Physical Address (Including PlN Number) 1334 East Eleventh Street, PIN 8762-20-71-6416
City Siler City County Chatham Zip Code 27344
8. Reason for Well(s): Groundwater 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: Future parking lot
(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).
Incident no. 33570 Chatham Chevrolet Buick Pontiac, and no. 87978 Siler City Chevrolet
11. Type of contaminants being monitored or recovered: organics
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes. 2 — MW-3 and OW-2
Existing Monitoring or Recovery Well Construction Permit No(s).: Not known
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): In vicinity of contaminant source (MW-3)
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No
If yes, give dlstance(s):
15. Well Contractor: Geologic Exploration Certification No.: 2401
Well Contractor Address: 176 Commerce Blvd., Statesville 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

dotloap signature verification: dclp.us/K7LA-1.11F0-airrn
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated 5, How will the well(s) be secured? Well cover and
material: 3
3. Number of wells to be constructed in bedrock: 2
locked cap
6. Estimated beginning construction date: 6/13/22
4. Total Number of wells to be constructed: 5 7. Estimated construction completion date: 6/15/22
(add answers from 2 and 3)
1
ADDITIONAL INFORMATION
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,
Subchaptetr ) and adepts full responsibility for compliance with these rules
bi'Vl-osr sg- Envi ron ner Gompl.ance
Signature of 1pplicant ol'* ent
7a (« (j . , , r S ~ V (c�.4 ir,s ' 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 applica ion and that it shall be the responsibility of the applicant to ensure that the
II() rrinfnrm tr, the V16.11 nnnctrl it inn Stanriarric Title 15A of the North Carolina Administrative Code, Subchapter 2C).
detloop verified
SK06DYEr/22 i-uGY29 PM POT Ignacio Alvarado
SR06-VYEH-VGYr�ZOF2
Signature or rroperty owner it alrrerent tnan Hppiicant)
Title of Applicant or *Agent
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]
-cA,-nab
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
GW-22MR Rev. 3-1-2016
GW-22M (Rev. 5/11)

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Chatham County Tax Map
Wade
'Paschal Rd
f
f
Legend
Parcel Pop -Up
RoadCenterli...
Address Points
Parcels
Service Layer Credits: Esri., Inc., City of
Naperville, Illinois
0
A
0.075
mi
0.15
CHATHAM COUNTY
NORTH CAROLI\A
Date: 6/1/2022
Time: 11:53:54AM

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GROUNDWATER MONITORING WELL CONSTRUCTION DETAIL
Project Name: Alvarado Drilling Co: Geologic Exploration Well Number:
Location: 1334 East 11th St, Siler City I` Driller: Steve Taylor Job Number:
Client: Mountaire Drilling Method: Air Rotary Date Completed:
Geologist: Evan Hamo Static Water Level 25 feet b.TOC Survey Datum:
N/A
MLS
Bolt -down Cast Iron Traffic Vault
Top Of Casing 0.00 ft
8-inch Diameter \ Stickup
Grass, Asphalt/Concrete
Concrete Surface Pad
(2ftx2ftx6in)
Note:
Drawing Not to Scale
All Depths are Referenced to Ground Surface
/ Land Surface
K.
Surface Casing From 0.0 ft to 20.0 ft
Casing Type: PVC
Inside Diameter: 2 inches
Diameter of Borehole (nominal)
Bentonite/Cement Grout
From
Bentonite Pellet Seal
From
8.0 in
0.5 ft to 15.0 ft
15.0 ft to 17.0 ft
Top of Screen Depth 20.0 ft
Screen Type: slotted
Screen Slot Size: 0.01
Screen Length: 10.0 ft
Filter Sand for Screen
Sand Type: Sand Pack
From
17.0 ft to 30.0 ft
Bottom of Well Depth 30.0 ft
Bottom of Boring Depth 30.5 ft
Total Depth of Well, b. Top of Casing Depth 30.0 ft
Shallow Monitoring Well Diagram (Well 2)

GROUNDWATER MONITORING WELL CONSTRUCTION DETAIL
Project Name: Alvarado Drilling Co: Geologic Exploration Well Number:
Location: 1334 East 11th St, Siler City I` Driller: Steve Taylor Job Number:
Client: Mountaire Drilling Method: Air Rotary Date Completed:
Geologist: Evan Hamo Static Water Level 25 Feet b.TOC Survey Datum:
3
N/A
MLS
Bolt -down Cast Iron Traffic Vault
8-inch Diameter
Grass, Asphalt/Concrete
Concrete Surface Pad
(2ftx2ftx6in)
COMMENTS
Diameter of Borehole (nominal)`
8.0 in
Diameter of Borehole (nominal)
6.0 in
Note:
Drawing Not to Scale
All Depths are Referenced to Ground Surface
tit
yC--,.,.,-'tip
Top Of Casing 0.00 ft
Stickup
/ Land Surface
Surface Casing From 0.0 ft to 40.0 ft
Casing Type: PVC
Inside Diameter: 2 inches
Bentonite/Cement Grout
From
Bentonite/Cement Grout
From
Inner Casing From
Bentonite Pellet Seal
From
Top of Screen
Screen Type: slotted
0.0 ft to 30.0 ft
0.0 ft to 31.0 ft
0.0 ft 50.0 ft
40.0 ft to 42.0 ft
Screen Slot Size: 0.01
Screen Length: 5.0 ft
Filter Sand for Screen
Sand Type: Well Pack
From
Depth 45.0 ft
42.0 ft to 50.0 ft
Bottom of Well Depth 50.0 ft
Bottom of Boring Depth 50.0 ft
Total Depth of Well, b. Top of Casing Depth 50.0 ft
Type 3 Monitoring Well Diagram (Well 3)

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MA SA CME
1311 E. ELEVENTH STREET
Shallow MW-1
MOUNTAIRE FARMS PARKING LOT
1040 E. THIRD STREET
Type III Deep MW-3
ADVANCE AUTO PARTS
, 1401 E. ELEVENTH STREET
W
41,
E ELEVENTH ST (U.S.64)
Shallow MW-4
LEGEND
MONITORING WELL
• POLE -MOUNTED TRANSFORMER
SOIL EXCAVATION LIMITS
SITE BOUNDARY
NOTES:
1. PROPERTY BOUNDARY PROVIDED BY NC ONEMAPAT
https://www.nconemap.gov/pages/parcels ON MARCH 31, 2022.
2. AERIAL IMAGERY PROVIDED BY NC ONEMAPAT
https://www.nconemap.gov/pages/imagery ON MARCH 31,
2022.
3. MONITORING WELLS AND EXCAVATION BOUNDARY
LOCATIONS ARE GEOREFERENCED AND APPROXIMATE.
CONCRETE -PAVED
PARKING LOT
GRAVEL -COVERED
PARKING LOT
synTerra
www.s nterracor..com
Shallow MW-5
EPC/MICHAELS AUTO
1305 E. RALEIGH ST
LYNNE'S FLORIST
1328 E. RALEIGH STREET
mir
Shallow MW-2
NCDOT
1404 E. RALEIGH STREET
„1.
FIGURE 2
SITE LOCATION MAP
ALVARADO HOLDINGS PROPERTY
SILER CITY, NORTH CAROLINA
DRAWN BY: T. KING
REVISED BY: T. KING
CHECKED BY: R. KOLB
APPROVED BY: R. KOLB
PROJECT MANAGER: D. DUNCKLEE
DATE_ 02/17/2022
DATE_ 04/26/2022
DATE_ 04/26/2022
DATE_ 04/26/2022
GRAPHIC SCALE
0 0 00 000
(IN FEET)

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textile mill
auto parts store
restaurant
Commercial
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lin Catch basin
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FIGURE NUMBER: 2
DRAWN BY: VAHIDRL
PROJECT NUMBER: EN MO081197.00
SCALE: NTS
SITE MAP
Chatham Chevrolet Buick Pontiac
1402 East 11 tm Street
Slier City, North Carolina
AEI
ENVIRONMENTAL INVESTIGATIONS, INC.

AkWrir
soil excavation limits
(13ft x 13ft x 6ft)
and confirmation sample
locations
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SW2
WSW2
WSW
SSW2
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exIsting' hydraulic/lift
FIG NO:
DWN BY:
DATE:
PROJ. NO.
SCALE:
3
DRL
8/15/08
ENM0081197.0C
1" — 30'
SOIL EXCAVATION LIMITS AND
SOIL CONFIRMATION SAMPLES
Chatham Chevrolet Buick Pontiac
1402 East llth Street
Siler City, North Carolina
ENVIRONMENTAL INVESTIGATIONS, INC

textile mill
auto parts store
restaurant
Commercial
properties
formerly
Tummy &
Tank Site
Exxon
station
East 11 th Street and US HWY 64
\
original -
building !
Acme/McCrory
textiles
Formerly
IIr,nd:a10 Hosiery
new an
used oil
storage
Soil boring/sample location
0 Pole -mounted transformer
Property Boundary
Groundwater monitoring well
Oil -water separator
Aboveground storage tank
Catch basin
In -ground hydraulic lift
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cometec
r\'es
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roP
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•
4
FIGURE NUMBER: 2
DRAWN BY:
VAH/DRL
PROJECT NUMBER:ENM0071123,00
SCALE:
NTS
SITE MAP
Chatham Chevrolet Buick Pontiac
1402 East 11 th Street
Siler City, North Carolina
ENVIRONMENTAL INVESTIGATIONS, INC.