WM0301215_Final Permit_20220615

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHAR❑ E. ROGERS, JR.
Director
NORTH CAROLINA
ErtaOronmerttal Quality
June 15, 2022
Jeff Hvozdik (via email)
AECOM
6000 Fairview Road, Suite 200
Charlotte, NC 28210
RE: Monitoring Well Construction Permit
Permit # WM0301215
Charlie Brown Dry Cleaners DSCA Site
Major St., Charlotte
Mecklenburg County
Dear Mr. Hvozdik,
In accordance with your completed application received on June 15, 2022, we are forwarding herewith
Monitoring Well Construction Permit Numbered WM0301215 and issued for the construction of two
monitoring wells located near the subject site in Charlotte, Mecklenburg County.
This Permit will be effective for one year from the date of issuance and shall be subject to the conditions and
limitations as specified therein. In addition to those conditions, please provide a completed signed
agreement with Charlotte DOT once all signatures have been obtained.
Should you have any questions, please contact Edward Watson at [phone], or by email at
[e-mail].
Sincerely,
DocuSigned by:
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Andrew H. Pitner, P.G. Assistant Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources
CC: WQROS, Central Office (via Laserfiche)
Lashon Chisholm, Tabono Care Services (via email: [e-mail])
David Hall, Geologic Exploration (via email: [e-mail])
GDEQ1
NORTH CAROLINA
urormrm or Fmtraamaafm Qualm,
North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office 1601 East Center Avenue, Suite 301 I Mooresville, NC 28115
704.663.1699

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
DEQ-DSCA Program, Petitioner — Tabono Care Services (AECOM as Agent)
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of two monitoring wells owned by the DEQ-
DSCA Program (Tabono Care Services, Petitioner), near the subject site located at 4325 Major St., Charlotte,
Mecklenburg County. This Permit is issued in accordance with the application received on March 25, 2022, 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 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings,
6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this Permit is final and
binding.
This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations, or exceptions as follows:
1. Issuance of this Permit does not obligate reimbursement from State trust funds, if these wells are being installed as
part of an investigation for contamination from an underground storage tank or dry cleaner incident.
2. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another agency.
3. The well(s) shall be located and constructed as shown on the attachments submitted as part of the Permit
application.
4. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C .0108(o).
5. Well construction records (GW-1) for each well shall be submitted to the Division of Water Resources' 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 Resources' 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.
8. Temporary wells must be permanently abandoned or converted to a permanent well within seven days (168 hours)
of completion of drilling the borehole.
9. Adequate permits shall be obtained from Mecklenburg County Groundwater and Wastewater Services.
Permit issued the 15!" day of June 2022
FOR THE NORTH CAROLINA E EMINFNTAL MANAGEMENT COMMISSION
r4s4EDCa4..
Andrew H. Pitner, P.G., Assistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. # WM0301215
NCRTw,l 01! vvNA
peparlmenof nvlmnmrnnl Quality
North Carolina Department of Environmental Quality Division of Water Resources
Mooresville Regional Office 1610 East Center Avenue, Suite 301 I Mooresville, North Carolina 28115
704.663.1699