WM0100523_Monitoring Well Construction Permit_20220927

North Carolina Department of Environmental Quality | Division of Water Resources
Asheville Regional Office | 2090 U.S. Highway 70 | Swannanoa, North Carolina 28778
828.296.4500

September 27, 2022

Burke Oil Company
ATTN: Jerry Baker
P.O. Box 128
Valdese, NC 28690

Re: Well Construction Permit WM0100523
102 Baxter Street
Burke County, NC

Dear Mr. Baker:

In accordance with your application submitted September 27, 2022, we are forwarding well construction
permit WM0100523 dated September 27, 2022. The permit is for the construction of one (1) monitoring
well on property owned by the Drexel First Church of God as described in the application and the
attached permit.

The permit will be effective from the date of issuance for a period of one year and is subject to the
conditions and limitations as specified therein. A Well Construction Record shall be completed and
signed by the certified drilling contractor for the well. The form shall be submitted to the Department
upon completion of the well and shall reference the applicable permit number. Please review the
attached permit conditions.

If you should have any questions or need additional information, contact Brett Laverty at 828-296-4500
or [e-mail].

Sincerely,

G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office

ec: Laserfiche/DWR-Water Quality Permitting/Asheville/GW-UIC/WM0100523

DocuSign Envelope ID: D0E21810-F719-42F0-9531-852E077E5FD1

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF 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
Burke Oil Company
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of one (1) monitoring well owned by Burke
Oil Company, P.O. Box 128, Valdese, NC 28690. The monitoring well(s) will be located on property owned by the
Drexel First Church of God (Parcel #2724-80-0845). This Permit is issued in accordance with the application
received September 27, 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 supersede any other agreement, permit, or requirement issued
by another agency.
2. The well(s) shall be located and constructed as shown on the attachments submitted as part of the
Permit application.
3. Each well shall have a Well Contractor Identification Plate in accordance with 15A NCAC
02C .0108(O) where applicable.
4. The monitoring well shall be maintained in accordance with 15A NCAC 02C .0108.
5. A Well Construction Record (GW-1) for each well shall be submitted to the Division of Water
Resource’s Information Processing Unit within 30 days of the well completion in accordance with
15A NCAC 02C .0114.
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
Resource’s Information Processing Unit and the property owner within 30 days of the well
abandonment in accordance with 15A NCAC 2C .0114.

Permit issued the 27th day of September 2022
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION

_____________________________________________
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
By Authority of the Environmental Management Commission
Permit No. # WM0100523
DocuSign Envelope ID: D0E21810-F719-42F0-9531-852E077E5FD1