WS0701187_Application_20230914

GMA
September 11, 2023
Mr. Randy Sipe
Hydrogeologist
North Carolina Department of Environmental Quality
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
Groundwater Management Associates, Inc.
4300 Sapphire Court, Suite 100
Greenville, North Carolina 27834
Telephone [phone]
www.cimci-nc.com
Re: Well Construction Permit Application for a Public Water -Supply Well for the North Carolina
Department of Transportation (NCDOT) Marine Maintenance Facility in Manns Harbor, NC
Dear Randy,
Groundwater Management Associates, Inc. (GMA) has been contracted by the engineering firm
Highfill Infrastructure Engineering and their client, the North Carolina Department of
Transportation (NCDOT), to assist in their efforts to construct new water -supply wells for the
NCDOT Marine Maintenance Facility located at 8850 Shipyard Road, Dare County, Manns
Harbor, NC. GMA will oversee the construction and testing of both a test well/production well
and a second production water -supply well at the NCDOT property (NCDOT Property)
immediately north and adjacent to the Marine Maintenance Facility. If successful, the new
water -supply wells will serve as a new source of raw water for the NCDOT facility. Previously,
NCDEQ approved the permit for a single production well (Permit # WS0701186). Updated
engineering requirements at the site need an additional low -volume production well for their
potable water treatment facility separate from their fire suppression system. NCDOT seeks
approval to permit the test well as second production well at the site.
The proposed NCDOT Manns Harbor Marine Maintenance Facility's water -supply wells will be
constructed on what is currently identified as an adjacent NCDOT property at 8404 Shipyard
Road, Dare County, NC, and can be found in the attached figures. A Well Site Investigation has
been completed by the NCDEQ Public Water Supply Section, and a copy of the preliminary well
site approval letter is included. The NCDEQ Public Water Supply Section has been notified
about the need for a second production well and responded that there is no need to conduct a
re-evaluation of the site and requires no additional approval.

Randy Sipe
Page 2
Well Construction Permit Aoolication Details
The completed GW-22W form (attached) provides details of the well owner, contact
information, intended use, and design capacity for the potable supply well. The Attached Figure
1 presents the location for the proposed well in addition to property lines. The proposed well
location will be at N 35° 52' 26.3", W 750 45' 17.1". The proposed well location meets the
setback requirements outlined in 15A NCAC 02C .0107 and setbacks from Public Water Supply
Wells per 15A NCAC 18C .0203
Attachment 1 presents diagrams showing the proposed well construction details, including:
borehole and well diameters, planned well depth, screen intervals, gravel -pack interval, casing
materials and thicknesses, grout intervals, and wellhead completion details. This well permit
application applies to the test well specifications, as it will be converted into a production well
after installation. Note that the well casing will extend approximately 7.5 feet above land
surface and will be equipped with a temporary well seal until the final pump design and
wellhead piping can be determined by Highfill. Following well construction and development, a
24-hour constant rate pumping test will be performed at the 50 GPM design capacity. Based
upon the hydraulic performance of the well as determined by the pumping test, a final pump
will be designed, and the final wellhead will be constructed. Due to the proximity of the
production wells to one another, the final pump depth/design will take into account well
interference that may occur while both wells are pumping.
All well contractor work will be done by a NC Certified Well Contractor (Magette Well and Pump
Company, Inc., Certification #2299), and all well construction will be completed in accordance
with the 15A NCAC 02C Well Construction Standards. Highfill and NCDOT anticipate that
construction of the well will begin in October 2023. Construction of the well pumping facilities
will be performed as a part of a larger construction project that will include the pump
installation and piping system to convey water from the proposed well to the new water system
at the maintenance facility which includes a fire protection system, a potable water system, and
a water storage tank. The design flow rate of the proposed well is 50 GPM based on potable
water needs at the facility and the daily capacity of the well will be 0.036 MGD.

Randy Sipe
Page 3
This Application for Permit to Construct a Water Supply Well was prepared by Groundwater
Management Associates, Inc. on behalf of the NCDOT. GMA is a professional corporation
licensed to practice geology (#C-121) and engineering (#C-0854) in North Carolina. I, Cody J.
Shell, a North Carolina licensed Geologist employed by GMA, do certify that the Information
provided in this permit application package is accurate and correct to the best of my
knowledge.
Please let me know if you have any questions or need additional information.
Sincerely,
Groundwater Management Associates, Inc.
\\NINININI
r�.01" C A A
"% \GE,NSE
2737
Cody J. Shell, P.G.
ss O
Project Hydrogeologist •y O� EOLOr
Enclosures:
Application Form GW-22W
Figure 1— Proposed Water -Supply Well Location
Attachment 1— HIGHFILL - NCDOT MANNS HARBOR MARINE MAINTENANCE FACILITY
WELLS
Attachment 2 — NCDEQ PWS — Well Site Investigation Letter
CC: Chris Ford, P.E. — Engineering Manager - Highfill
Jay Holley, P.G. — Groundwater Management Associates, Inc.
John Wise, P.E. — Groundwater Management Associates, Inc.
Catherine Peele, CPM — NCDOT Ferry Division
Brian Doliber — NCDOT Ferry Division
Phil Harris—Transystems

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY — DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
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 water supply wells.
1. Date: 9/14/2023
2. County:
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE:
3. Applicant: NCDOT Ferry Division - Manna Harbor Marine Maintenance Facility
Telephone: [phone] (Catherine Peale)
Applicant's Mailing Address: 8550 Shipyard Road, Manna Harbor, NC 27953
Applicant's Email Address (if available): cdpeele(dncdot.gov
4. Contact Person (if different than Applicant): Cody Shell Telephone: [phone]
Contact Person's Mailing Address: 4300 Sapphire Ct. Suite 100, Greenville NC 27834
Contact Person's Email Address (if available):
5. Property Owner (if different than Applicant):
Owner's Mailing Address:
Owner's Email Address (if available):
Telephone:
6. Property Physical Address (including PIN Number): 8404 Shipyard Rd. (PIN: 976805083806)
City: Manns Harbor County: Dare Zip Code: 27953
7. Intended use of Well or Well System: Consumption
(examples: irrigation, consumption, etc.)
8. Will the proposed water supply well or well system replace or be added to an existing well or well system? Replace
(If yes, complete questions 7 and 8) (if no, complete question 7 and then skip to question 9)
9. Total design capacity of proposed well or well system in gallons per day (gpd): 396.000
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields
11. Is this a public well or well system? Yes If yes, give Public Water ID Number: NC0428414
If yes, give Project Engineer and contact information: Chris Ford P.E. — Highfill Infrastructure Engineering, P.C.
Phone: [phone] Email: cford(aihiepc.com
12. Well Contractor: Mauette Well & Pump Company, Inc. Well Contractor Certification No.: #2299
Well Contractor Address: 2342 US HWY 13 S. Ahoskie NC 27910
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
b.
Estimated well depth
C.
Screen intervals
d.
Sand/gravel pack intervals
e.
Type of casing material and thickness
f.
Grout horizons
9.
Well Head completion details
2. No. of wells to be constructed in unconsolidated
material: 1
3. No. of wells to be constructed in bedrock: 0
4. Total No. of wells to be constructed: 1
(add answers from 2 and 3)
5. Estimated beginning construction date: Nov 2023
6. Estimated construction completion date: April 2024

Continued on Reverse
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locafions 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 lest 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. 143-215.108(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
2. As required by 15A NCAC 02C .0105(g)(3), for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium, potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits (if required). [e.g. Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NC
counties by NC Division of Water Resources, visit: httpJA% wi.ncwater.org]
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
the Water Supply Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina
\n1Administrative Code, Subchapter 2C) and accepts full responsibility for compliance with these rules
Hvdroaeologist - Prned Manager
Signature of Af pl' t or *Agent Title of Applicant or *Agent
Cody Shell • 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
water supply wells as outlined in this Water Supply Well Construction Permit application and that it shall be the responsibility of the
applicant to ensure that the water supply well(s) conform to the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C).
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 Raleigh Regional Office Wilmington Regional Office
2090 U.S. Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh, NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 283015094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
GW-22W Rev. 3-1-2016

ZOIZd]S ON Mbd 11JHDIH Sll]M A]CVJ 30NVN31NIVX ]NNVN UOeWH SNNVA lOODN
//�/
— I
M1h
IaYyY
ui
J S
L
11 }
= Y
V
o
LL
w
z
U
Z
-m
Z
w
i a"w
W
d
Q
U
Z
W
U
r
w >w o
S 3 3u
Z�
O(o
owrcoo�o
.10
U U U 3 U
O
Z
�
N
N
Z
o*
LL
z
w
O
LL
(D
€
m
=
§
tea&
VI
Z
i�
1
Z5
d
b
O
U
Z

a..,.
�p
a
jsaE�
a�
ON3 J3l >d SNOftlA'898tl 'S310N Ntl83N30
4a
y�
n
o
o
.n
ue r.axar Wien
ry aoea,. s..m,
�rvrrv3m rw Nianry aoseve sr.nrry moary
3!
Q
O
a
I
I
+x
III
Ili
2 '7
§ &
o77
q[o
d o &
gggS
st€zYSs&'z eau£Ss�ig e3s:tE 77
i
3E®d�tEaB£eBdL4ici5 `.: I.F�Hd
yyy }
E3
�d si 8 am $ � eygg
g�g55FFff
gn
¢'� 9E d Eo p; i� 3�33��rY� �`d b�?8g•�2SP &�= e$E" Y E§gt ¢� �'
�5]$ "SpC dd�}''eyyi�
P�yEEpdE
�ell 3� i9 �^ QR »H 2§a
:� `Id C933 d� i 9g SsF i�9 �R�'$�3��"G'Q
p
3 g4i F E 88 4 d R Tq. d ENY 'ES aP9y E� .» r o [5 £
"c2¢§S$e igt ny �ePeB
T;
Y c #§ i$ P qqe Ellip!yy E
F`Yi
Y
YYY bde �8�F g3=903
aY §$ i4. o om)�
gy i €d5 -3`eo 5§
g _., F 8r �4 g� g
ON NR
t€B dfi.
a r ; aj sds ;s 3�xx4��Him �3�;� � �

Y mad a I
NV d 3DS 113M Po
oai
a�; =V'" e a y Sll3M Ali 1]tl] 3]NVN31N tlW 3MJVW bOE2tlH SNNO/1 !00]N �N
=��sB�aaaisas
s..s
�as
?3
£G44i4u
E
�r
II i�
t-• r raj'-+r•}i----� �-
guile 4�'=�
i
xI
6 pp
Ivys
I.I
-;asd.•
�gYqGp�
;s�11
a`�11 II
s
•,
11p'
g
s.11 I
v1 I�
r.

» » » § (34 (}
) " _ _
z r
_
----- ------ --
() ,
|
](
§
m %
;#<
!® -#
/

J=e j 3
SlIv130 NOIS083
«. O YN 6 3 iii { 3N sn� a
• ts�NrrvsiN nweoe swanry aoeaae srvnrw :ooaN
e a�E Q
ZE
8 EF•a«� C g ee - i� kY gg 3 n
3
5g€ NyME! 3� IEP
h§�&$� g�iOR
gg�g
yyygn 88 2 {"'d So„2 4 r
:'R�£$g'$8oe $k sax$ Sffi
$Ss'%gC�
8e'j a¢ 55 C1 '3i a§hf$a `8 he € c o5 �y5 838k .:
g32 4 W'Eaeea 5a34:3$
c. e$pe3ai"s'd R" $K OH e¢$R$m$5
_ g
NIP
. mv8� 5 i Si pY k
� Cak$Q 2�yk Fa IC
NJ @kiGk
" a ky�4,3n3o Ta'3 d2
e c
Y
vl;�2e�
B
E u�
kio % RsuM�
�h94y h��Y =i
Rip
MIMN
Oil-
p y $ w®R 3[[ Bo 9 c33 e a a
3
R Uhl
i Y €oe$d :, 5[s4&
R 8
�y^ 'yha
it E .«. �y Cad 4L Q
a1R«EN
g ' Fb o4 m
g�Y pg 9 .F a erg `a, € 8 $
H WE 0 _-4 a4
�S'„ [$ ��� ?$o �e �s pia 6s' w 7`4

ROY COOPER
Governor
ELIZABETH S. BISER
Secretory
RICHARD E. ROGERS, JR.
Director
NCDOT - Ferry Division
Attn: Ms. Catherine Peele
8550 Shipyard Road
Manns Harbor, NC 27953
Re: Preliminary Well Site Approval
DOT - NC State Shipyard
Water System No.: NC0428414
Dare County
Dear Ms, Peele:
NORTH CAROLINA
Environmental Quality
May 11, 2023
On May 4, 2023,1 met with Mr. Cody Shell, Mr. Chris Ford, Mr. Anthony Roper, Mr. Brian
Doliber, Mr. David Pharr, Mr. Bill Neeland, and yourself to conduct a preliminary investigation
of the proposed well site listed below and as shown on maps provided to this Office by Mr.
Cody Shell of Groundwater Management Associates. The proposed well has been assigned a
Water System Facility (WSF) Identification Number and Sampling Point Code as Indicated
below.
WSF ID
No.
Sampling
Point Code
Description of Well Site
Preliminary Latitude and
Longitude
W02
RW2
100' radius around the proposed
35e 52' 26.4" N
well location (Well #2) at the
75e 45' 17.4" W
preliminary coordinates.
Property is located at 8404
Shipyard Road on adjacent
NCDOT property and north of
the Ferry Division facility as
shown on the map provided by
GMA (Figure 1) dated 4/27/23.
This letter Is provided by the Public Water Supply (PWS) Section, in accordance with
Rule .0305(b) of the Rules Governing Public Water Systems (15A NCAC 18C), to provide
permission to drill a well at the listed site In order to establish the quality and quantity of water
and the suitability of the well as a source for a public water system.
North Carolina Depemnent of EWfonmenui Quality I Division of Water Resources
Washington Regional Office 1 943 Washington Square Mall I Washington, Nonh Carolina 27889
' , • .D Q 232.94644811

The Proposed well must be drilled within 24 months of the date of this letter. If not drilled
within this 24-month period, this Preliminary Well Site Approval letter is void and permission
to drill the well is no longer valid. To regain permission to drill the well, PWS Section staff
must revisit the proposed site to conduct an investigation and issue a new preliminary well
site approval letter before the well may be drilled.
In addition, this "Preliminary Well Site Approval' is to acknowledge that according to the
information and documentation provided, we understand that the proposed well is located on
a lot so that the area within 100 feet of the well is owned or controlled by the person supplying
the water and that the supplier of water will protect the well lot from potential sources of
pollution and construct landscape features for drainage and diversion of pollution as required
in 15A NCAC 18C .0203(a)(1). Furthermore, we understand that Groundwater Management
Associates per letter dated May 10, 2023, has determined that the proposed well location
satisfies the minimum horizontal separation distances specified in 15A NCAC 18C .0203(a)(2)
and summarized in the following table:
Distance (in
Potential Source of Pollution
feet)
100
• From any sanitary sewage disposal system, sewer, or sewer pipe
(unless sewer is constructed of water main materials and joints, in
which the sewer pipe shall be at least 50 feet from the well,
• From buildings, mobile homes, permanent structures, animal houses
or lots, cultivated areas to which chemicals are applied.
• From surface water.
• From a chemical or petroleum fuel underground storage tank with
secondary containment.
• From any other potential source of pollutlon not listed in this table.
200
• From a subsurface sanitary sewage treatment and disposal system
designed for 3,000 or more gallons of wastewater a day, unless your
well water source is a confined aquifer.
300
• From any cemetery or burial ground.
500
• From a septage disposal site.
• From a chemical or petroleum fuel underground storage tank without
secondary containment.
• From the boundary of a ground water contamination area.
• From a sanitary landfill or non -permitted non -hazardous solid waste
disposal site.
1,000
• From a hazardous waste disposal site or In any location which conflicts
with the North Carolina Hazardous Waste Management Rules cited in
NCAC 13A.
D_EQ� North CarollnaDepartmentof rivimnmenlalQuality I Division of Water Resources
,�, Washington Regional Office 1 943 Washington Square Mall I Wuhington, North Carolina 27889
ne aw.wuuan� 252.946.6481

We also understand that the owner will ensure that the lot is graded or sloped so that surface
water is diverted away from the wellhead and that the well shall not have greater than a 1
percent annual chance of flooding in accordance with 15A NCAC 18C .0203(a)(4).
PWS Section "Authorization to Construct" and "Final Approval'
Subsequent to well drilling and evaluating water quality and quantity (i.e., collecting and
analyzing samples and performing a 24-hour well drawdown test) the owner must submit an
"Application for Approval of Engineering Plans and Specifications For Water Supply Systems" to
document proposed well completion (i.e., selected pump, wellhead and well house details) and
associated transmission lines, treatment and/or storage facilities and other critical Information
about the public water system, In accordance with 15A NCAC 18C .0305(a) no construction shall
be undertaken until the PWS Section issues an "Authorization to Construct' letter. In addition,
in accordance with 15A NCAC 18C .0309(a) the new well and all associated treatment, storage
or transmission/distributions lines shall not be placed into service until the PWS Section has
issued a "Final Approval." These steps are described in the Engineering Planning and
Development Guidance Document available at
https://files.nc.govincdeg/Water%20Resources/files/i)ws/planreview/EPD Guidance July2019.
Pdf
Be aware that plans, specifications and reports for the new well must be certified by a
Professional Engineer. Therefore, it is recommended that a Professional Engineer or Licensed
Geologist (or their designated representative) experienced in the construction of water supply
wells, conduct on -site monitoring of well construction. At a minimum, certain critical phases of
well construction such as installation and grouting of casing should be monitored. In many
situations it may be necessary to go beyond the minimum requirements in order to protect the
public health and ground water resources.
Other Agency Approvals Required
This PWS Section "Preliminary Well Site Approval' letter does not address other agency
applicable rules and requirements pertaining to well construction and registration.
Local county well construction rules and ordinances may include additional requirements.
Well construction must meet the standards specified in the Well Construction Standards (15A
NCAC 2C). Be aware that these rules require a permit to be obtained from the Water Quality
Regional Operations Section of the Division of Water Resources before the well is constructed if
it is anticipated that the new well will be part of a water system with a design capacity of
100,000 gallons per day or greater. In addition, these rules require that wells be constructed by
a properly certified well driller. For more Information, call 919-707-3668 or go to:
https://dea. n c.gov/about/divisions/water-resources/water-resou rces-perm its/wastewater-
bra nch/ground-water-protection/well-progra m#largecapwell
� Nmlhnsmlinasional menl, 1 943 nmmtet QualinSgry i Diliaion of WasWattt Wasources
hington.
Waahingtm, RegioneltMice � 948 Washington Square Mill I Weshingtm, North Carolina 27889
" n..oim /7 353.946.6481

Sincerely,
Joey C. White
Public Water Supply Section
Washington Regional Office
Cc: Regional Files — Public Water Supply Section
Central Files — Public Water Supply Section
Dare County Health Department
Mr. Cody Shell, GMA
Mr. Chris Ford, Highfill
Mr. Anthony Roper, Transystems
Mr. David May, Regional Supervisor — Water Quality Regional Operations Section
Mr. Brian Doliber, NCDOT-Ferry Division
Mr. David Pharr, NCDOT-Ferry Division
Mr, Bill Neeland, NCDOT-Ferry Division
North Carolina Department of Environmental Quality I Division of Water Resourm
Washington Regional Office 1 947 Washington Square Mall I Washington, North Caroline 27889
yam, 252.946.6481