WM0401510_Monitoring well construction permit WM040141510 applicaiton additonal information_20240214

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P I L O T G E❑ L O G I C A L. PLLC
February 12, 2024
Ms. Shuying Wang
Hydrogeologist, Division of Water Resources
North Carolina Department of Environmental Quality
450 West Hanes Mill Road, Suite 300
Winston-Salem, North Carolina 27105
Reference: Agent Authorization
Sam's Mart
5545 Highway 119 North
Mebane, Alamance County, North Carolina
Pilot Project G-9207.3
NCDEQ Incident No. 48926
Risk Classification: H160D
Ms. Wang:
Pilot Geological, PLLC (Pilot) is working for Midway Oil and Gas Company (Midway) for
this project. By executing page 2 of this document, Midway is agreeing to allow Pilot to
act as its agent as described.
If you have questions regarding this notice, please contact Pilot at [phone].
Sincerely,
Pilot Geological, PLLC
Jason T. Ricks
Principal Geologist
PO Box 128
Kernersville, North Carolina
www.pilotenviro.com

Sam's Mart
Pilot Project G-9207.3
February 12, 2024
Midway Oil and Gas Company grants Pilot Geological, PLLC permission to act on their
behalf as agent regarding monitoring well permits, manifests and other associated UST
incident rel%15
men s. / ,�
Signature: l� Date: i� L
NO, TH CAROLINA
4C11ir1C-0- COUNTY
(Name of county in which acknowledgment was taken)
I certify that the following person(s) personally appeared before me this day, each
acknowledging to me that he or she signed the foregoing document:
Printed Name: Michael Tompkins Title:�c `mot v'1
Date: , -'l -�)-3UNq,
(Official Seal)
Selena Jett
NOTARY PUBLIC
Alamance County
North Carolina
My Commission Expires October 2 2024
(signature of Note ry Public)
(printed or typed name of Notary Public)
Notary Public
My commission expires: -q
2