WM0501568_Final Permit_20230720

DocuSign Envelope ID: 50060E3D-79C7-4AC1-A10E-714EDD40B72D
ROY COOPER Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR. NORTH CAROLINA
Director Environmental Quality
July 20, 2023
Mr. Jay King
Six Forks-FCA, LLC (Sherril's Dry Cleaners DC90020)
North Carolina Department of Environmental Quality
Division of Waste Management
1949 Mail Service Center
Raleigh, NC 27699
Sent Via Email
Subject: Monitoring Well Construction
Permit # WM0501568
Sherril's Dry Cleaners (DC920020)
7463 Six Forks Road
Raleigh, NC 27615 — Wake County
Mr. King:
In accordance with the application received on July 18, 2023, we are forwarding herewith
Monitoring Well Construction Permit No. WM0501568 dated July 19, 2023, issued for the construction of
a monitoring well system (installation of two wells). Please be aware that some counties have well
construction oroerams. and you may be reauired 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 Michael Hall at [phone] or via email at
[e-mail].
Sincerely,
DocuSigned by:
BCDA9D825D4A46D_.
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Enclosure
-Permit
cc: RRO Files/Laserfiche
D E Q ,fJ North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
NORTH CAROLINA (J1(�.'�O'�.(�OQO
Department of Emlmnmenfal Duali�

DocuSign Envelope ID: 50060E3D-79C7-4AC1-A10E-714EDD40B72D
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
Six Forks-FCA, LLC (Sherril's Dry Cleaners DC90020)
FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of two monitoring wells owned by
Six Forks-FCA, LLC (Sherril's Dry Cleaners DC90020) at mailing address 1949 Mail Service Center, Raleigh,
NC 27699. The wells will be located on the property owned by the City of Raleigh, on the right of way at
7512 and 7601 Stuart Drive, Raleigh, NC 27615. This Permit is issued in accordance with the application
received on July 20, 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.
ESDocuSigned by:
(h f vtv, s6v,
BCDA9D825D4A46D_.
Scott Vinson, Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number: WM0501568
Permit Issued: July 20, 2023
D E Q �J North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1611 Mail Service Center I Raleigh, North Carolina 27699-1611
NORrH CAROLINA �/ 919.707.9000
oepanmem or environmental auaii