WM0501484_Permit (Issuance)_20220607

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
June 7, 2022
Eric Rifkin, Asa start Vice President
The Halle Companies ado Geosyntec Consultants of NC P.C.
2501 Blue Ridge Road, Suite 4330
Raleigh, N.C. 27613
Subject: Monitoring Well Construction
Permit # WM 0501484
Poole Road Multifamily Development
4401 Poole Road
Raleigh, NC -Wake County
Deer Mr. Rifkin:
In accordance with the application received on May 24, 2022, we ere forwarding herewith
Monitoring Well Construction Hermit No. WM 0501484 dated June 7, 2022, issued for the construction of
a monitor well system (installation of five temporary wells) at the subject property. Please beawarethat
some counties have well construction programs, and you may be required to obtain a well
construction Kermit beforeinstallation.
This Permit will be effective from the date of its 'mare and shall be subject to the conditions and
Iindtationsasspecified therein. Pleas notetheaddition of stippulation#3tothe permit enclosed. If you have
any questions about this permit, please contact Eric Rice at [phone].
Sincerely,
DocuSianed by:
Soft VttisotA,
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Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
End owe
cc: RRO Files'La9erfiche
WaiceCounty Health Department
Email: shbct m boA ht of zoux Mon Geosyntec 2501 Blue Ridge Road, Raleigh, NC
Na thCaadinaDepartment d Environments Quality I Division of Mier Resources
512 North Soli:bury Street 1611 Mal ServioeCener Raleigh, North Cadina27699-1611
919.707.9000

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF A MONITORING WELL
'-1
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 Halle Companies
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (4401 Poole Road) consisting of five temporary
monitoring wells owned by The Halle Companies at mailing address 2501 Blue Ridge Road in Raleigh, N.C. The wells
will be located on the property owned by WaI-Mart Real Estate Business Trust at 440I Poole Road in Raleigh, N.C.-
Wake County. This Permit is issued in accordance with the application received on May 24, 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 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 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.
8. Temporary wells must be permanently abandoned or converted to a permanent well within seven days (168
hours) of the completion of drilling of the borehole
Permit issuedothe 7'� of June 2022
FOR THE NORTH CAROLINA AV K��V���(`AL MANAGEMENT COMMISSION
Scott Vifi�lnR Ion4Sia� isor
Divl flPCl�'�ces
By Authority of the Environmental Management Commission
Permit No. WM0501484
DEC 11)
�o.w�
North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 11611 Mail Service Center I Raleigh, North Carolina 27699-1611
919,707 9000

DocuSign E„vrpe RO:%!ttaiI.jli, ttCinB.vi ivrzcrsvi^vMMENTAL 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: 5/18/2022
2. County: Wake
FOR OFFICE USE ONLY
PERMIT NO.44 jNr,( ) 14 ?- ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Temporary Monitoring Wells to be Abandoned After Sampling
4. Applicant Geosyntec Consultants of NC P.C. as agent of The Halle Companies Telephone: [phone]
Applicant's Mailing Address: 2501 Blue Ridge Road, Suite 430. Raleigh. NC 27607
Applicant's Email Address (if available):
5. Contact Person (if different than Applicant): Ryan Gabelman
Telephone: [phone]
Contact Person's Mailing Address: 2501 Blue Ridge Road, Suite 430, Raleigh. NC 27607
Contact Person's Email Address (if available): rgabelman(5 aeosvntec.com
6. Property Owner (if different than Applicant): Wal-Mart Real Estate Business Trust Telephone:
Property Owner's Mailing Address: PO Box 8050 Bentonville, AR. 72716-8050
Property Owner's Email Address (if available):
7. Property Physical Address (Including PIN Number) 4401 Poole Rd, Raleigh. NC 27610. PIN 1733047524
City Raleigh County NC Zip Code 27610
8. Reason for Well(s): Environmental Site 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: Undeveloped Property
(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
(ex: organics, nutrients, heavy metals, etc.): Wells will be sampled to evaluate potential presence of Volatile Organic
Compounds (VOCs)
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).: WM0501468
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Possible LUST— 254 feet south of the Site
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: AmeriProbe. LLC — John Allen (Driller Certification No.: 4196-B
Well Contractor Address: PO Box 135. Huntersviile, NC 28070
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

DocuSign Envelope ID: 6AAC3162-4DAB-46C8-BB13-F8A1302DBo7211 uilued on Reverse
Eric Rifkin
Halt C.mp.,i.. oo•A.iriNornell.srainehilkicompaW.
NI702211 eem'� Signature of Applicant or *Agent
Eric Rifkin
PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated 5. How will the well(s) be secured? Locking
material: 5 expansion plug
3. Number of wells to be constructed in bedrock: 0
4. Total Number of wells to be constructed: 5
(add answers from 2 and 3)
6. Estimated beginning construction date: 6/6/2022
7 Estimated construction completion date: 6/8/2022
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 Constriction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina Administrative Code,
°`'d'""r"d°t nhapter 2C) and accepts full responsibility for compliance with these rules
Printed name of Applicant or *Agent
Assistant Vice President
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
C„k„,.nform to the Well Construction Standards (Title 15A of the North Carolina Administrative Code, Subchapter 2C).
AtIn.A. gol.t,Y't„ t. Walmart Real Estate Gina Meredith
SI natTh, iliwar
g 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
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, 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]
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Wilmington Regional Office
127 Cardinal Drive Extension
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DocuSign Envelope ID: 6AAC3162-4DAB-46C8-BB13-F8A1302DB072
GROUND SURFACE
1" SCH 40 PVC RISER
4.41
7' BGS
9' BGS
10 FT. 1" SCH 40 PVC
SCREEN (0.01" SLOT
SIZE)
,
•
•
4 '.
• . `
LOCKING COMPRESSION CAP
7' GROUT TO SURFACE
END CAP
TD=20' BGS
2' BENTONITE SEAL
11' 20/30 SAND FILTER PACK
NOTE: Total depth may be modified based on
field conditions.
BGS - below ground surface
Grout will only be used if converted to a
permanent monitoring well
NOT TO SCALE
MONITORING WELL CONSTRUCTION DETAILS
Geosyntecd Figure
consultants
('.emyn"c ConwkI.a4 of \L PL 2
GN8486 May 2022