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HomeMy WebLinkAboutWQ0029894_Final Permit_20230119 (5)DocuSign Envelope ID: 65A5D8D2-083A-4EF5-A6DD-4286A6DDBDF6 ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. NORTH CAROLINA Director Environmental Quality January 19, 2023 Mr. John Hallett Edge Express Car Wash 2307 Crescent Car Wash Charlotte, NC 27525 Subject: Monitoring Well Construction Permit # WM0501535 4421 Durham -Chapel Hill Blvd. Durham, NC 27707 — Durham County Mr. Hallett: In accordance with the application received on January 12, 2023, we are forwarding herewith Monitoring Well Construction Permit No. WM0501535 effective January 19, 2022, issued for the construction of a monitor well system (installation of three wells). Please be aware that some counties have well construction programs, and you may be required to obtain a well construction permit before installation. This Permit will be effective from the date of its issuance and shall be subject to the conditions and limitations as specified therein. Please note the addition of stipulation #3 to the permit enclosed. If you have any questions about this permit, please contact Tyler Clark at (919) 791-4234. Enclosure cc: RRO Files/Laserfiche NORTH CAROLINA Department M Environmental Quality Sincerely, Docu Signed by: IcLIA ssa. f. houttit,t) for B2916E6AB32144F... Scott Vinson, Regional Supervisor Water Quality Regional Operations Section Raleigh Regional Office Division of Water Resources, NCDEQ North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11611 Mail Service Center I Raleigh, North Carolina 27699-1611 919.707.9000 DocuSign Envelope ID: 65A5D8D2-083A-4EF5-A6DD-4286A6DDBDF6 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 Mr. John Hallett - Edge Express Car Wash FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of three monitoring wells owned by Mr. John Hallett, Edge Express Car Wash, 2307 Crescent Car Wash. Charlotte, NC 27525. The wells will be located at 4421 Durham -Chapel Hill Blvd., Durham, NC 27707, on property owned by Management by TC, LLC. This Permit is issued in accordance with the application received on January 12, 2023, 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 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. Permit issued the 19th of January 2023 FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DocuSigned by: ibLIALSSA, f. itkatA.wJ,, Fer B2916E6AB32144F... Scott Vinson, Regional Supervisor Division of Water Resources By Authority of the Environmental Management Commission Permit No. WM0501535 £ D_E NORTH CAROLINA Department of Environmental Duel North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 11611 Mail Service Center I Raleigh, North Carolina 27699-1611 919.707.9000 DocuSign Envelope ID: 65A5D8D2-083A-4EF5-A6DD-4286A6DDBDF6 Iwr� I n l.MrWLIrvr► IJCr/1r' 1 IVICIY 1 jr Cwv,r«►iJMENTAL QUALITY - DIVISION OF WATER RESOURCES APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM PLEASE TYPE OR PRINT CLEARLY 1. 2. 3. 4. 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. Date: 1/12/13 County: Durham FOR OFFICE USE ONLY PERMIT NO. ISSUED DATE What type of well are you applying for? (monitoring or recovery): Applicant: Edge Express Car Wash (Mr. John Hallett) Monitoring Telephone: 703-801-6862 Applicant's Mailing Address: 2307 Crescent Car Wash, Charlotte, North Carolina 28207 Applicant's Email Address (if available): jhallett©edgeexpresscarwash.com 5. Contact Person (if different than Applicant): Scott Young Telephone: 704-724-4814 Contact Person's Mailing Address: 1812 Center Park Drive, Suite D, Charlotte, NC 28217 Contact Person's Email Address (if available): svoungl (a�ecslimited.com 6. Property Owner (if different than Applicant): Management by TC, LLC Telephone: Property Owner's Mailing Address: 4421 Durham Chapel Hill Boulevard, Durham, NC 27707 Property Owner's Email Address (if available): Property Physical Address (Including PIN Number) 4421 Durham Chapel Hill Boulevard — PIN-0800-85-24-3887 7. 8. 9. 10. City Durham County Reason for Well(s): Assessment Durham Zip Code 27707 (ex: non -discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.) Type of facility or site for which the well(s) is(are) needed: Industrial (ex: non -discharge facility, waste disposal site, landfill, UST, etc.) Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s). Unknown 11. Type of contaminants being monitored or recovered: petroleum (ex: organics, nutrients, heavy metals, etc.) 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).: Not Applicable 13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): —100 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: TBD Certification No.: TBD Well Contractor Address: 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. b. c. d. Borehole and well diameter Estimated well depth Screen intervals Sand/gravel pack intervals e. f. g• Type of casing material and thickness Grout horizons Well head completion details Continued on Reverse DocuSign Envelope ID: 65A5D8D2-083A-4EF5-A6DD-4286A6DDBDF6 rrcvrvomu YVCLL %,vi'ia i rcUCTION INFORMATION (Continued) 2. Number of wells to be constructed in unconsolidated material: 3 3. Number of wells to be constructed in bedrock: 0 4. Total Number of wells to be constructed: 3 (add answers from 2 and 3) 5. How will the well(s) be secured? The samples will be collected through the Geoprobe rods and will not require securing 6. Estimated beginning construction date: TBD 7. Estimated construction completion date: TBD 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 Constrt, ction 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 Signature of Senior Environmental Project Manager pplic.: t or *Agent Title of Applicant or *Agent Scott Young * 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 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). See attached signed Access Agreement Signature of Property 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: (828) 296-4500 Fax: (828) 299-7043 Fayetteville Regional Office 225 Green Street, Suite 714 Fayetteville, NC 28301-5094 Phone: (910) 433-3300 Fax: (910) 486-0707 Mooresville Regional Office 610 East Center Avenue Mooresville, NC 28115 Phone: (704) 663-1699 Fax: (704) 663-6040 Raleigh Regional Office 3800 Barrett Drive Raleigh, NC 27609 Phone: (919) 791-4200 Fax: (919) 571-4718 Washington Regional Office 943 Washington Square Mall Washington, NC 27889 Phone: (252) 946-6481 Fax: (252) 975-3716 wmi trla Wilmington Regional Office 127 Cardinal Drive Extension Wilmington, NC 28405 Phone: (910) 796-7215 Fax: (910) 350-2004 Winston-Salem Regional Office 450 W. Hanes Mill Road Suite 300 Winston-Salem, NC 27105 Phone: (336) 776-9800 Fax: (336) 776-9797 .11114"b4 10‘01 441114 ~YL 411,11Nti! 4414r Wil Ong GW-22MR Rev. 3-1-2016 DpniSinn Envpinne In- R5A5nRn9-nR3A-dEFS-AR,nn-4.2RRAF,nDBDE6 SCALE 1:24 000 1 0_5 0 KILOMETERS 1 10U0 500 0 METERS 1000 2000 1 0.5 0 MI LES 1000 C 1000 Z0W 3000 4X10 5020 60.20 7000 LCCC 9DCC 1000C SOURCE: USGS 7.5' TOPOGRAPHIC MAP SOUTHWEST DURHAM, NC 2022 SCALE: AS SHOWN FIGURE 1 USGS TOPOGRAPHIC MAP CAR WASH PROPERTY 4421 DURHAM-CHAPEL HILL BOULEVARD DURHAM, SOUTH CAROLINA ECS PROJECT NO. 49:19137-A Dori 'Sinn Envelope ID: 65A5D8D2-083A-4EF5-A6DD-42RRARnnRnFR LEGEND APPROXIMATE SITE BOUNDARY APPROXIMATE PROPOSED GROUNDWATER BORING LOCATION SOURCE: DURHAM COUNTY GIS WEBSITE ACCESSED DECEMBER 21, 2022 SCALE (feet): 100 50 0 FIGURE 2 PROPOSED SAMPLE LOCATION MAP CAR WASH PROPERTY 4421 DURHAM-CHAPEL HILL BOULEVARD DURHAM, SOUTH CAROLINA ECS PROJECT NO. 49:19137-A DocuSign Envelope ID: 65A5D8D2-083A-4EF5-A6DD-4286A6DDBDF6 GROUND TOP OF PVC CASING ABOVE THE LAND SURFACE ESTIMATED -15'-20' FEET A NATURAL FORMATION BACKFILL GROUNDWATER 1-INCH PVC RISER 2--INCH BORE HOLE SLOTTED PVC S( 0.01-INCH SLOT W SET TO INTERSECT GRO ESTIMATED 5 FEET IN \ / V WELL CONTRUCTION DIL REPRESENTATIVE OF TEMPORJ 1A/F I I REEN DTHS UNDWATER LENGTH GRAM IS RY MONITORING NOT TO SCALE 1 LiSs-Jira IT. FIGURE 3 PROPOSED TEMPORARY SCREEN POINT SAMPLER CAR WASH PROPERTY 4421 DURHAM-CHAPEL HILL BOULEVARD DURHAM, SOUTH CAROLINA ECS PROJECT NO. 49:19137-A DocuSign Envelope ID: 65A5D8D2-083A-4EF5-A6DD-4286A6DDBDF6 December 21, 2022 ECS SOUTHEAST, LLP PROPERTY OWNER ACCESS AUTHORIZATION Proposal No.: 49:35294P Scope of Work: Proposal for Environmental Assessment Services Project: ..-FCSiLivio t{.ctst\ Location: 4421 Durham -Chapel Hill Boulevard, Durham, Durham County, North Carolina EC5 Southeast, LLP (ECS) has been requested by the purchaser to conduct groundwater sampling at the site. The groundwater sampling requires that ECS procure a permit from the North Carolina Department of Environmental Quality (NCDEQ). ECS respectfully requests that the owner of the property grant permission to ECS to access the property to conduct the groundwater sampling. By signed below, the property owner authorizes ECS to conduct the aforementioned sampling at the site. Property Owner (please print):( Y1 AVV Property Owner Address (please print): q iid- 6Ivd Property Owner Telephone (please print): i ' 0-7 Property Owner Signature: ECS Project No. 49:35394P Page I 1 Date: 1.-�3