WM0501607_Final Permit_20240108

North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1611 Mail Service Center Raleigh, North Carolina 27699-1611
919.707.9000

January 8, 2024 Mr. Jay King Community Development Dept. City of Raleigh 1646 Mail Service Center Raleigh, NC 27699 [e-mail] Subject: Monitoring Well Construction Permit # WM0501607 327 Haywood Street Raleigh, NC 27601 – Wake County Mr. King: In accordance with the application received on January 4, 2024, we are forwarding herewith Monitoring Well Construction Permit No. WM0501607 dated January 8, 2024, issued for the construction of a monitoring well system (installation of one well). 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 Michael Hall at [phone] or via email at [e-mail]. Sincerely,
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ Enclosure -Permit -Application Package cc: Consultant/Agent Laserfiche

DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1611 Mail Service Center Raleigh, North Carolina 27699-1611
919.707.9000

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 City of Raleigh – Community Development Department FOR THE CONSTRUCTION OF A MONITORING WELL SYSTEM consisting of one monitoring well owned by City of Raleigh – Community Development Department at 1646 Mail Service Center, NC 27699-1646. The wells will be located on the property owned by the City of Raleigh, at 327 Haywood Street, Raleigh, NC 27601. This Permit is issued in accordance with the application received on January 4, 2024, 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.

____________________________________
Vanessa E. Manuel, Assistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission

Permit Number: WM0501607 Permit Issued: January 8, 2024
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
FOR OFFICE USE ONLY

PERMIT NO. ISSUED DATE
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
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 monitoring or recovery wells.

1. Date: 12/20/23

2. County: Wake

3. What type of well are you applying for? (monitoring or recovery): Permanent Monitoring Well

4. Applicant: City of Raleigh - Community Development Dept.(petitioner for DSCA Site #DC920045) Telephone: Jay King: [phone]

Applicant’s Mailing Address: DWM DSCA Program, Attn: Jay King, 1646 Mail Service Center, Raleigh, NC 27699-1646

Applicant’s Email Address (if available): [e-mail]

5. Contact Person (if different than Applicant): Jeffrey Ollison, Hart & Hickman, PC Telephone: [phone]

Contact Person’s Mailing Address: 3921 Sunset Ridge Road, Suite 301, Raleigh, NC 27607_

Contact Person’s Email Address (if available): [e-mail]

6. Property Owner (if different than Applicant): City of Raleigh Telephone: [phone]

Property Owner’s Mailing Address: PO Box 590, Raleigh, NC 27602

Property Owner’s Email Address (if available): [e-mail]

7. Property Physical Address (Including PIN Number) 327 Haywood St (PIN#1713073386)
City Raleigh County Wake Zip Code 27601

8. Reason for Well(s): Environmental Assessment for DSCA Program
(ex: non-discharge permit requirements, suspected contamination, assessment, groundwater contamination, remediation, etc.)

9. Type of facility or site for which the well(s) is(are) needed: Former Dry Cleaner
(ex: non-discharge facility, waste disposal site, landfill, UST, etc.)

10. Are there any current water quality permits or incidents associated with this facility or site? If so, list permit and/or incident no(s).

NCDEQ DSCA Site ID #DC920045

11. Type of contaminants being monitored or recovered: Chlorinated Solvents
(ex: organics, nutrients, heavy metals, etc.)

12. Are there any existing wells associated with the proposed well(s)? If yes, how many? Yes, 2 monitoring wells

Existing Monitoring or Recovery Well Construction Permit No(s).: WM0500886

13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Onsite

14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No

If yes, give distance(s): N/A

15. Well Contractor: Geologic Exploration Inc. Certification No.: 3098-A

Well Contractor Address: 176 Commerce Boulevard, Statesville, NC 28677

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 e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
c. Screen intervals g. Well head completion details
d. Sand/gravel pack intervals
Continued on Reverse
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
Attachment 1
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
TYPE II MONITORING WELL CONSTRUCTION DETAILS
CROSS SECTIONAL VIEW
LOCKABLE WELL CAP CONCRETE PAD
FLUSH METAL WELL COVER
CONCRETE PAD
BACKFILL AROUND CASING
MATERIAL cement grout
LENGTH 3 ft (0 to 3 ft)
WELL CASING
MATERIAL schedule 40 PVC
DIAMETER 2 inches
JOINT TYPE flush threaded
LENGTH 20 feet
L1
BACKFILL AROUND CASING
L3 MATERIAL bentonite/grout
LENGTH 13 feet (3 ft to 16 ft)
SEAL
TYPE OF SEAL bentonite
THICKNESS 2 feet (16 ft to 18 ft)
FILTER PACK
TYPE OF FILTER No. 2 Sand
THICKNESS 12 feet (18 ft to 30 ft)
WELL SCREEN
SCREEN MATERIAL schedule 40 PVC
L2 DIAMETER 2 inches
LENGTH 10 feet
SLOT SIZE 0.010 inches
DEPTH TO BOTTOM OF
L1 =20 FT.MONITORING WELL 30 feet
L2 =10 FT.DIAMETER OF
L3 =30 FT.BOREHOLE
4.25 in
TITLE Monitoring Well Diagram
MW-11 Hart & Hickman, PC
3921 Sunset Ridge Rd., Suite 301
Raleigh, North Carolina 27607
FILE PREP. BY REV. BY DATE
SPH 12/20/2023
PROJECT NO.
DS0-142 (DSCA ID# DC920045)JAO
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
Attachment 2
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
MW-1
MW-2
MW-3
MW-5
MW-6
MW-7
MW-4
CA
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E.DAVIE STREET
MW-8D
E.MARTIN STREET
MW-9
MW-10
MW-11
MW-12S/D
E.CABARRUS STREET
AL
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E.HARGETT STREET
JOB NO. DSO.142
REVISION NO. 0DATE: 12-20-23
ATTACHMENT NO. 2A
PROPOSED MONITORING WELL
LOCATION MAP
3921 Sunset Ridge Road, Suite 301
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
License # C-1269 / #C-245 Geology
FORMER HOLDEN CLEANERS
DSCA SITE ID: DC920045
702 EAST MARTIN STREET
RALEIGH, WAKE COUNTY
LEGEND
SOURCE PROPERTY BOUNDARY
PARCEL LINE
FORMER HOLDEN CLEANERS
TYPE II MONITORING WELL
TYPE II MONITORING WELL
(ABANDONED)
DEEP TYPE III MONITORING WELL
(ABANDONED)
PROPOSED MONITORING WELL
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NOTE: PROPOSED MONITORING WELLS MW-9,
MW-10, AND MW-11 WILL BE SHALLOW MONITONG
WELLS. PROPOSED MONITORING WELLS MW-12S
AND MW-12D WILL BE NESTED SHALLOW AND TOP-
OF-ROCK MONITORING WELLS.
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
JOB NO. DSO.142
REVISION NO. 0DATE: 08-24-18
ATTACHMENT NO. 2B
GROUNDWATER CONTAMINANT
CONCENTRATION MAP
MW-1
(0.045)
MW-2
(<0.00050)
MW-3
(1.12)
MW-5
(<0.00050)
MW-6
(<0.00050)
MW-7
(<0.00050)
MW-8D
(0.000866J)
MW-4
(<0.00100)
E. MARTIN STREET
CA
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FORMER HOLDEN CLEANERS
PCE ISOCONCENTRATION CONTOUR mg/L
(DASHED WHERE INFERRED)
PCE CONCENTRATION mg/L
0.007
(1.12)
PCE = TETRACHLOROETHYLENE
J = ESTIMATED CONCENTRATION ABOVE METHOD
DETECTION LIMIT BUT BELOW REPORTING LIMIT.
CONCENTRATIONS SHOWN IN milligrams per LITER (mg/L).
DEEP WELL MW-8D NOT USED IN CONTOURING.
SAMPLES COLLECTED FROM MONITORING WELLS
MW-1, MW-2, MW-5, MW-6, AND MW-7 ON JULY 30,
2013 AND FROM MONITORING WELLS MW-3, MW-4
AND MW-8D ON AUGUST 11, 2015.
NOTES
1.
2.
3.
4.
5.
HOLDEN CLEANERS
DSCA SITE No. DC920045
702 EAST MARTIN STREET
RALEIGH, NORTH CAROLINA
3921 Sunset Ridge Road, Suite 301
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
License # C-1269 / #C-245 Geology
LEGEND
TAX PARCEL BOUNDARY LINES
TYPE II MONITORING WELL
TYPE II MONITORING WELL
(ABANDONED)
DEEP TYPE III MONITORING WELL
(ABANDONED)
STORMWATER DRAIN / CULVERTED
STREAM
PROPOSED BUILDING FOOTPRINT
MW-12
MW-11
MW-10
MW-9

Proposed Shallow Monitoring Well

Proposed Nested Shallow and Top-of-
Rock Monitoring Well
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
SB-65
SB-70
SB-66
SB-47
SB-46
SB-61
SB-60
SB-73 SB-62 SB-57 SB-53 SB-67
SB-68
SB-69
SB-49
SB-50SB-51
SB-76 SB-77SB-75
SB-64
SB-63
SB-56 SB-52
SB-55
SB-72
SB-54
SB-48
SB-20
SB-11
SB-42
SB-12
SB-43SB-13
SB-18
SB-44
SB-6
SB-45
SB-8 SB-14SB-38 SB-10 SB-5SB-39
SB-37
SB-36
SB-35
SB-34
SB-9
SB-17
SB-33
SB-16
SB-15
SB-19
SB-7
SB-3
SB-71
SB-78 SB-81
SB-82SB-80SB-79
SB-84 SB-83
SB-85 SB-86
SB-82
SB-84 SB-83
SB-85 SB-86
SB-59
SB-58
SB-4
SB-21
SB-22
SB-2
SB-32
SB-41
SB-40
SB-31
SB-29SB-24
SB-1 SB-30
SB-27
SB-25
SB-26
SB-28SB-23
SB-74
REVISION NO. 0
JOB NO. DS0-142
DATE: 8-24-18
ATTACHMENT NO. 2C
HOLDEN CLEANERS
DSCA SITE NO: DC920045
702 EAST MARTIN STREET
RALEIGH, NORTH CAROLINA
SURFICIAL & SUBSURFACE SOIL
CONTAMINANT CONCENTRATION MAP
NOTES:
1. PCE = TETRACHLOROETHYLENE
2. CONCENTRATIONS SHOWN IN BOLD ARE ABOVE THE LOWEST
PRELIMINARY SOIL REMEDIATION GOAL (PSRG) DATED
FEBRUARY 2018 (0.0063 mg/kg FOR PCE).
3. J FLAG INDICATES CONCENTRATION BETWEEN LABORATORY
REPORTING LIMITS & METHOD DETECTION LIMITS.
4. A AND E FLAGS INDICATE ESTIMATED CONCENTRATIONS
ABOVE THE LABORATORY CALIBRATION RANGE.
5. * = SAMPLES COLLECTED WITHIN SOIL BLENDING AREA PRIOR
TO BLENDING; CURRENT CONCENTRATIONS ARE LIKELY
LOWER.
6. FIGURE DOES NOT SHOW DATA FOR EXCAVATED SOIL
SAMPLE LOCATIONS & SOIL SAMPLE LOCATIONS RESAMPLED
IN 2018.
7. SITE SPECIFIC TARGET LEVEL (SSTL) FOR SOIL LEACHING TO
GROUNDWATER CALCULATED USING RISK CALCULATOR AND
ASSUMING A POINT OF EXPOSURE 450 FT TO THE
SOUTH-SOUTHEAST (0.58 mg/kg FOR PCE).
8. AT SAMPLING LOCATIONS SHOWN IN GRAY WITH ITALICS,
SOIL SAMPLING LOCATIONS WERE EXCAVATED.
SOIL EXCAVATED TO A DEPTH OF 12 FT WITHIN SOIL
EXCAVATION AREA THEN SOIL BLENDING PERFORMED
FROM 12 TO 17 FT BELOW GROUND SURFACE
3921 Sunset Ridge Road, Suite 301
Raleigh, North Carolina 27607
919-847-4241(p) 919-847-4261(f)
License # C-1269 / #C-245 Geology
LEGEND
2014 SOIL EXCAVATION AREA
FORMER HOLDEN CLEANERS
PROPOSED BUILDING FOOTPRINT
SOIL BORING LOCATION
EXTENT OF SOIL IMPACTED ABOVE LOWEST
PSRGs
EXTENT OF SOIL IMPACTED ABOVE SSTL
FOR SOIL LEACHING TO GROUNDWATER
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
Attachment 3
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7
DocuSign Envelope ID: 4A4F40B9-E678-4D31-9587-C5FD1CF36BD7