WM0301322_Final Permit_20231017

ROY COOPER
Govemar
ELIZABETH S. BISER
secretory
RICHARD E. ROGERS, JR.
birector
Mr. Scott Ryals (via email)
NCDEQ DWM, UST
State Lead Program
1646 Mail Service Center
Raleigh, NC 27699-1646
Dear Mr. Ryals,
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NORTH GAROLINA
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October 17, 2023
RE: Monitoring Well Construction
Permit # WM0301322
Mountain Village Grocery
2302 Dallas Cherryville Hwy.
Gaston County
Permit
, Dallas
In accordance with your completed application received on October 17, 2023, we are forwarding
herewith Monitoring Well Construction Permit Numbered WM0301322 and issued for the
construction of three monitoring wells located near the subject site in Dallas, Gaston County.
As a reminder, well construction permit requirements are covered in 15A NCAC 02C .0105 Permits
with the following relevant sections:
(a) No person shall locate or construct any of the following wells until a permit has
been issued by the Department:
(3) any temporary or permanent monitoring well or monitoring well system,
including wells installed using direct -push technology (DPT) or Geoprobe®
technology, designed to penetrate an aquifer to obtain groundwater data
on property not owned by the well owner;
(d) An application for any well requiring a permit pursuant to Paragraph (a) of this
Rule shall be submitted by the owner or his or her agent. In the event that the permit
applicant is not the owner of the property where the well or well system is to be
constructed, the permit application shall contain written approval from the property
owner and a statement that the applicant assumes total responsibility for ensuring
that the well(s) will be located, constructed, maintained and abandoned in accordance
with the requirements of this Subchapter.
(j) The well owner or his or her agent, and the North Carolina certified well contractor
shall see that a permit is secured prior to the beginning of construction of any well for
which a permit is required under the rules of this Subchapter.
North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office 1 601 East Center Avenue, Suite 3011 Mooresville, NC 28115
NORTH CAROLINA ^ 704.663.1699
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This Permit will be effective for one year from the date of issuance and shall be subject to the
conditions and limitations as specified therein.
Should you have any questions, please contact Edward Watson at [phone], or by
email at edward.watsonCa-)-ncdenr.gov.
Sincerely,
DocuSigned by:
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F161FB69A2D84A3...
Andrew H. Pitner, P.G., Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources
CC: WQROS, Central Office (via Laserfiche)
Greg Hans, CES Group (via email)
Corey Speece, Carolina Soil Investigations (via email)
D ��� North Carolina Department of Environmental Quality j Division of Water Resources
Mooresville Regional Office 1610 East Center Avenue, Suite 301 1 Mooresville, North Carolina 28115
NOR;T aH aouNn
oenmm,am 0 �a onmi akr� /� 704.663.1699

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
NCDEQ DWM UST State Lead Program (CES Group Engineers, LLP as Agent)
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of three (3) monitoring wells owned by the NCDEQ
DWM UST State Lead Program, near the subject site located at 2302 Dallas Cherryville Hwy., in Dallas, Gaston County.
This Permit is issued in accordance with the application received on October 17, 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 Resources' 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 Resources' 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 completion of drilling the borehole.
9. Adequate permits shall be obtained from Gaston County Environmental Health.
Permit issued the 171h day of October 2023
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
EA
DocuSigned by:
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F161F669AM84A3...
Andrew H. Pitner, P.G., Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. # WM0301322
D North Carolina Department of Environmental Quality I Division of Water Resources
Mooresville Regional Office 1610 East Center Avenue, Suite 301 1 Mooresville, North Carolina 28115
NC Rid OAR!�I_'NAlp_
a°ann 704.6631699