WM0701322_Application_20240405

AECOM
April 5, 2024
Nageb M Ali
T/A Safeway Market
2205 Stanton Road
Kinston, North Carolina 28504
RE: Temporary Access to Install Monitor Well(s)
700 Dr Martin Luther King Jr Boulevard
Kinston, North Carolina 28501
Dear Sir or Madam:
AECOM
6000 Fairview Road, Suite 200
Charlotte, NC 28210
aecom.com
AECOM Project # 60690414
AECOM Technical Services, Inc. (AECOM) has been retained by Speedway, LLC (Speedway) to perform an
environmental assessment of the soil and groundwater at the referenced site. In order to complete the assessment,
the installation of one groundwater monitor well (MW) on the property located at 700 Dr Martin Luther King Jr
Boulevard in Kinston, NC is necessary. Enclosed is a Temporary Access Agreement (TAA) for installation of one
monitor well on the subject property. The monitor well will be installed downgradient in the area of former monitor well
MW-8. Also enclosed, you will find Attachment A illustrating the adjoining Speedway property and the approximate
location of the proposed monitor wells, Attachment B showing the appearance of a typical monitor well, and
Attachment C describing the protocol for drilling, maintaining, and removing off -site monitor wells. Every reasonable
effort will be made to schedule drilling at a time convenient to you.
Please review and, if acceptable, please sign the Temporary Access Agreement and return all to AECOM within ten
(10) business days via mail. Once executed by Speedway, the original will be returned to you.
AECOM Technical Services, Inc. is providing this letter and performing these activities at the direction and on behalf of
Speedway. AECOM is not liable for any hazardous or non -hazardous wastes, substances, or materials that exist on,
at, or underneath your property, including groundwater and drinking water.
AECOM appreciates your cooperation in this matter. If you have any questions or require additional information,
please contact Nicole Long at [phone]. Thank you very much.
Sincerely,
AECOM Technical Services, Inc.
Nicole Long
Project Manager
Nicole.Long(o-)aecom.com
Marie Treiber
Senior Program Manager
marie.treiber(a)_aecom.com

ATTACHMENT A
Proposed Monitor Well Location Map

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NOTE: ALL MAP FEATURES ARE APPROXIMATE Kinston, NC 28501
IN SCALE AND LOCATION.
DATE: FEBRUARY 2024 DRAWN BY: D. OLTEANU
LEGEND
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Approximate Property Boundary
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SITE PLAN
REVIEWED BY: N. LONG I PROJECT NO.: 60690414
FIGURE 2
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Client: Speedway #8263 WELL ID:
_ Project Number:
A=COM Site Location: 708 Dr Martin Luther King Jr Blvd, Kinston, NC Date Installed:
Well Location: Coords: Inspector:
Method: Auger and Air Rotary Contractor:
WELL CONSTRUCTION DETAIL
Top of Riser Pipe
Ground Surface (G.S.)
Riser Pipe:
Length
Diameter (ID)
Type of Material
Thickness
Grout:
Type
Thickness
Top of Bentonite
Bentonite Seal Thickness
Top of Sand
Top of Screen
Type/Size of Sand #2
Sand Pack Thickness 32
Bottom of Screen
Bottom of Tail Pipe:
Bottom of Borehole
Borehole Diameter 2.25" ID Geoprobe
Describe Measuring Point:
5
Neat Cement
2
Stabilized Water Level
Screen:
Length
10'
Diameter (ID)
2"
Slot Size
10 slot
Typ e of Material
PVC
Thic kness
Sch 40
Depth from G.S. (feet)
0.0
0.0
2'
4'
5'
15
15
15
Elevation (feet)
Datum
Signature
Date

ATTACHMENT B
Color Photograph of Typical Monitor Well

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ATTACHMENT C
PROTOCOL FOR DRILLING, MAINTAINING, AND REMOVING OFF -SITE WELLS
The proposed monitor well(s) will be installed to an appropriate depth below ground level. It will be drilled
with a mobile drilling rig, direct push equipment, or a "hand -auger," depending on overhead and available
space restrictions. The monitor well(s) will be constructed with threaded, PVC pipe and installed properly
to meet all appropriate local/state water well rules and regulations. The top of the monitor well(s) will be
completed to be at, or slightly below, ground level and will be encased in a "water -tight" steel manhole
box and secured in order to protect it and not interfere with typical, everyday use of the land around it.
The length of time required for installation is approximately four (4) to six (6) hours (actual time may vary).
The area around the proposed monitor well(s) will be cleaned up after installation is completed.
Groundwater will be checked with an electronic probe and samples collected from the monitor well(s)
once per quarter, or as directed by the appropriate regulatory agency. These activities will typically be
completed by one (1) person. The length of time required for this activity is approximately one and one-
half (1 '/2) hours per quarter.
When the monitor well(s) is no longer needed or required by the regulatory agency for groundwater
monitoring, to the extent permitted to do so, the monitor well(s) will be plugged according to appropriate
State Water Well Rules and Regulations. After the monitor well(s) is plugged, the area around it will be
restored as stated in the temporary access agreement.

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.
I FOR OFFICE USE ONLY
1. Date: 5/1/2024
2. County: Lenoir I PERMIT NO. ISSUED DATE
3. What type of well are you applying for? (monitoring or recovery): Monitoring
4. Applicant: Sr)eedway, LI C. Telephone: [phone]
Applicant's Mailing Address: 600 S eedwa Drive Enon Ohio 45323
Applicant's Email Address (if available): SamUeLKrarnerCcD7-11.com
5. Contact Person (if different than Applicant): Nicole Long Telephone: [phone]
Contact Person's Mailing Address: AECOM. 6000 Fairview Road, Suite 200. Charlotte, NC 28210
Contact Person's Email Address (if available): [e-mail]
6. Property Owner (if different than Applicant): Nageb M Ali T/A Safeway Market Telephone Unknown
Property Owners Mailing Address: 2205 Stanton Road Kinston North Carolina 28504
Property Owner's Email Address (if available): Unknown
7. Property Physical Address (Including PIN Number) 708 Dr MLK Jr Boulevard PIN: 452511651621
City Kinston County Lenoir Zip Code 28501
8. Reason for Well(s): Assessment Assessment
(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:
(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).
11. Type of contaminants being monitored or recovered: Petroleum
(ex: organics, nutrients, heavy metals, etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes, how many? No
Existing Monitoring or Recovery Well Construction Permit No(s).: NIA
13. Distance from proposed well(s) to nearest known waste or pollution source (in feet): Unknown
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: Geological Resources, Inc. Certification No.: 3270
Well Contractor Address: 2301 Haves Road, Monroe, NC 28110
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

PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
Number of wells to be constructed in unconsolidated
material: 1
3. Number of wells to be constructed in bedrock. NIA
4. Total Number of wells to be constructed: 1
(add answers from 2 and 3)
How will the well(s) be secured? Grout
Estimated beginning construction date: May 2024
Estimated construction completion date: May 2024
ADDITIONAL INFORMATION
As required by 15A NCAC 02C .0105(f)(5), attach a scaled map of the site showing the locations 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 test 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. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or wail system.
— SIGNATURES
The Applicant assumes total responsibility for ensuring that the well(s) will be located, constructed, maintained, and abandoned in
accordance with 15A NCAC 02C.
signature of Applicant or *Agent
Project Manager -as limited field agent for Speedway
Title of Applicant or *Agent
Nicole Long 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
well(s) as outlined in this Well Construction Permit application and acknowledges that it shall be the responsibility of the Applicant to
e re that the well(s) will be located, constructed, maintained, and abandoned in accordance with 15A NCAC 02C.
_h- I l� _ A w ', tom- 4/ —
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 28301-5094
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]
(;w-rZM/K (Kev. 5-26-zo22)