WS0701198_Well Permit_20240507

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY - DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater) nnJwr
PLEASE TYPE OR PRINT CLEARLY
MAY -7 2024
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 water supply wells. Water Quality
1. Date: March 17, 2024
2. County: Beaufort
- rteglonal Dpe: ations Section
FOR OFFICE USE O Y HegionAl On1r.,
PERMIT NO. ISSUED DATE:
3. Applicant Carl VanStaalduinen Telephone: [phone]
Applicant's Mailing Address: 3810 Terra Ceia Road Pantego NC 27860
Applicant's Email Address (if available): [e-mail]
4. Contact Person (if different than Applicant):
Contact Person's Mailing Address:
Contac Person's Email Address (if available):
Telephone:
5. Property Owner (if different than Applicant): VanStaalduinen Brothers LLC Telephone:
Owners Mailing Address: same as above
Owner's Email Address (if available): same as above
6. Property Physical Address (including PIN Number): south of Terra Ceia Road PIN 6667-67-831
City: Pantego County: Beaufort Zip Code:27860
7. Intended use of Well or Well System:
(examples: irrigation, consumption, E
8. Will the proposed water supply well or well system replace or be added to an existing well or well system?
(If yes, complete questions 7 and 8) (If no, complete question 7 and then skip to question 9)
9. Total design capacity of proposed well or well system in gallons per day (gpd): 1,296,000
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
11. Is this a public well or well system? no If yes, give Public Water ID Number:
If yes, give Project Engineer and contact information:
12. Well Contractor:
Well Contractor Address:
Well Contractor Certification No.:
PROPOSED WELL CONSTRUCTION INFORMATION
As required by 15A NCAC 02C .0105(0(7), attach a well
construction diagram of each well showing the following:
a. Borehole and well diameter
b. Estimated well depth
C. Screen intervals
d. Sand/gravel pack intervals
e. Type of casing material and thickness
f. Grout horizons
g. Well Head completion details
2. No. of wells to be constructed in unconsolidated
material: 1
3. No. of wells to be constructed in bedrock: 0
4. Total No. of wells to be constructed: 1
(add answers from 2 and 3)
5. Estimated beginning construction date: 4-1-24
6. Estimated construction completion date: 3-31-25
Continued on Reverse

S: r

ADDITIONAL INFORMATION
1. 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. 143-215.108(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
2. As required by 15A NCAC 02C .0105(g)(3), for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium, potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits (if required). [e.g. Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NC
counties by NC Division of Water Resources, visit: http:/Avww.ncwater.org]
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
the Water Supply Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C) and accepts full responsibility for compliance with these rules
w?A er, P-TL a --
Signature 1of' Applicant or *Agent Title of Applicant or *Agent
* 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
water supply wells as outlined in this Water Supply Well Construction Permit application and that it shall be the responsibility of the
applicant to ensure that the water supply well(s) conform to the Well Construction Standards (Title 15A of the North Carolina
y� Administrative Code, Subchapter 2C).
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VW1-\ ?)QA S . r �..1-C�
Signature of Property Owner (if different than Applicant)
VWN S(M'Ai.ou/I1T1,Q
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]
GW-22W Rev. 3-1-2016

vt
qm:

12" Class 150 Flange
12" minimum above grade
Concrete Slab
Sloped for drainage
Ground
Grout with cement, concrete or bentonite
chips hydrated in place to a minimum
depth of 3' below ground level
Grout with bentonite, cement,
or concrete grout, or bentonite chips
hydrated in place, to a minimum
depth of 20' below ground level
Formation Packer
Terra Ceia Farms "South"
N35.59274°
W76.75907e
Install Identification Plate
per 15A NCAC 02C.0107i2
12" PVC Casing
ASTM F-480 SDR-21
180' Long m.o.l.
20 1/2" Bore
20' Minimum Depth below Ground Level
17" Bore
Estimated depth to top of confining unit 127'
Estimated depth to top of aquifer 163'
I V Bore to 280' m.o.l.
Total Depth
Open Ended Completion

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Carolina Coastal Railroad
i Christian School Road
Terta Ceia Road
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Proposed Well "South"
N35.59274°
W 76.75907°
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Christian School Road
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All shaded tracts are owned by
VanStaalduinen Brothers LLC
or related entities
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�i There are no known existing wells, test borings
or sources of pollution within 500' of the proposed well
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J I

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
S. DANIEL SMITH
Director
Mr. Carl Vanstaalduinen
Terra Ceia Farms, LLC
3810 Terra Ceia Road
Pantego, NC 27860
Subject:
Dear Mr. Vanstaalduinen:
NORTH CAROLINA
Environmental Quality
April 29, 2021
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7018 0680 0001 7705 6235
9590 9402 5494 9249 0059 66
CCPCUA Permit No. CU3350 for
Terra Ceia Farms, LLC. in Beaufort County
In accordance with your application dated March 10, 2021, and associated documentation, we are forwarding
Permit No. CU3350 for water use in the Central Coastal Plain Capacity Use Area in Beaufort County. This
permit allows for the withdrawal of water for the purpose of agricultural irrigation.
Enclosed with this package are forms DWR CCPCUA-4 and DWR CCPCUA-6. Form DWR CCPCUA-4 is for
reporting water withdrawals, in accordance with Sections I. C. and IV. A. of your permit. Form DWR
CCPCUA-6 is for reporting ground water levels, in accordance with Sections II. B. and IV. B. of your permit.
Also, please note that the new permit for your facility includes a chloride monitoring provision in Section II (C),
Monitoring of Chlorides. This yearly sampling must be completed in order for you to remain in compliance
with the permit.
If you are not already doing so, DWR requests you submit your monthly water withdrawal, water level and
chloride information using our online system. By doing so you will not need to mail the Division a signed hard
copy. The CCPCUA online permit renewal application, water withdrawal, water level and chloride reporting
forms are at:
http://www.newater.org/CCPCUAreportonfine
If you do not have internet access then please make as many copies as necessary and send forms on a monthly
basis to the address on the top of the forms.
This permit is effective from the date of issuance until April 30, 2026, and is subject to the conditions and/or
limitations contained therein. In order for this permit to continue uninterrupted, please apply for permit renewal
at least three (3) months before the expiration date.
Sincerely,
Gabrielle Chianese, CCPCUA Program
Ground Water Management Branch
Division of Water Resources
�\ North Carolina Department of Environmental Quality l Division of Water Resources
51'_' No. Salisbury Street 1 163t, Mail Service Center Raleigh. No. I Carolina 27690b 1636
giY.707.9000

North Carolina
Environmental Management Commission
Department of Environmental Quality
Permit For The Withdrawal And Use Of Water
In The Central Coastal Plain Capacity Use Area
In accordance with the provisions of Part 2, Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and any other applicable Laws, Rules and Regulations,
Permission Is Hereby Granted To
Terra Ceia Farms. LLC.
FOR THE
Withdrawal and Use of Water in Beaufort County, North Carolina in accordance with the
grantee's application dated March 10, 2021, and any supporting data submitted with the
application, all of which are filed with the Department of Environmental Quality and are
considered part of this Permit.
This Permit shall be effective from the date of its issuance until April 30, 2026, and shall be
subject to the specified conditions and/or limitations contained in Sections I - X of this Permit.
Permit issued this the 2911, day of April 2021 .
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
BY SZ)0!% /74/-
S. Daniel Smith
Director, Division of Water Resources
By Authority of the Secretary of the Department of Environmental Quality
PERMIT # CU3350
Page l of 5

CCPCUA Water Use Permit # CU3350 for Terra Ceia Farms, LLC.
I. WITHDRAWALS
A. USE
This Permit allows the withdrawal of water for the purpose of agricultural irrigation.
B. SOURCE(S) AND RATES OF WITHDRAWALS
The maximum quantity of water that may be withdrawn from two wells (North &
South) in the Castle Hayne aquifer shall not exceed 1,300,000 gallons per day (gpd).
C. MONITORING OF WITHDRAWALS
Withdrawals from each source, whether well or sump, shall be measured by an
approved metering device equipped with a totalizing indicator, and having an
accuracy within plus or minus five percent.
II. WATER LEVELS AND CHLORIDE SAMPLING
A. MAXIMUM DRAWDOWN LEVELS
1. Pump intakes for the well(s) shall not be set below the depth specified in the
permit application or associated documentation without prior approval of the
Division of Water Resources.
In the event that data from the permitted wells or other wells within the zone
influenced by pumping of the permitted wells indicates a deterioration of quality
or quantity in surrounding aquifers or the source aquifer, an alternate maximum
pumping level may be established by the Division of Water Resources.
B. MONITORING OF WATER LEVELS
The pumpine water level in each supply well shall be measured once a month:
a. by a steel or electric tape from a fixed reference point, or by using the air -line
method
b. within accuracy limits of plus or minus one percent,
c. just prior to shutting off the pump, or after sufficient time of pumping, so that a
maximum drawdown may be obtained, and
d. during the last planned pumping day of the month, or within the last five days
of the month.
The static water level in each supply well shall be measured once a month:
a. by a steel or electric tape from a fixed reference point, or by using the air -line
method
b. within accuracy limits of plus or minus one percent,
c. after the pump is shut off for approximately 12 hours, and
d. within the last five days of the month.
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CCPCUA Water Use Permit # CU3350 for Terra Ceia Farms, LLC.
Unused supply wells or other suitable wells that may be available shall be
monitored when such monitoring is specified by the Division of Water Resources
and when pertinent to observation or evaluation of the effects of withdrawals
made under this permit.
C. MONITORING OF CHLORIDES
Chloride sampling of raw water for each well shall be performed once a year in
September or October and analyzed by a State certified laboratory. Analytical results
from the Chloride Concentration Analysis shall be submitted to the Division of
Water Resources not later than November 30 of each year.
III. OTHER PROVISIONS
A. WELL CONSTRUCTION APPROVAL
No new wells shall be constructed without prior approval from the Director of Water
Resources. A Well Construction Permit shall be required prior to the construction of
any well that will be used to withdraw any portion of the water regulated under this
Permit. Application for the well construction permit must be submitted to the
Washington Regional Office, Water Quality Regional Operations Section, 943
Washington Square Mall, Washington, NC.
A copy of the Well Construction record (GW-1) shall be submitted to the Division of
Water Resources' CCPCUA_program at 1611 MSC Raleigh NC 27699-1611 and
the Water Quality Regional Operations Section within 30 days upon completion of
the well construction.
B. ACCESS TO FACILITIES
The Environmental Management Commission and employees of the Department of
Environmental Quality shall have reasonable access to areas owned and under
control of the permittee for observation and inspection of water use and related
facilities pertinent to the provisions of this permit and other regulations.
IV. REPORTS REQUIRED
A. WITHDRAWALS
Monthly reports of daily withdrawal totals from each well or sump shall be furnished
to the Division no later than 30 days after the end of each calendar month.
B. WATER LEVELS
Water level measurements for each supply well shall be measured in accordance
Page 3 of 5

CCPCUA Water Use Permit # CU3350 for Terra Ceia Farms, LLC.
with Condition II. B. 1. of this permit and submitted to the Division not later than 30
days after the end of the calendar month in which the measurement was taken.
V. MODIFICATION OR REVOCATION
A. MODIFICATION
The Permittee must notify the Director of any proposed major changes in usage
and apply for a modification of the permit for such changes or for any revisions of
the terms of this permit.
The Director may modify the terms of the permit, after 60 days written notice to
the permittee, if he finds that the terms of the permit and/or the resulting water use
are found to be contrary to the purposes of the Water Use Act of 1967 or contrary
to public interest or having an unreasonably adverse effect upon other water uses
in the capacity use area. Modifications may include, but are not limited to,
requirements for alternate pumping levels or the collection, analysis, and
reporting of ground or surface water quality samples.
B. REVOCATION
The Director may revoke the permit if he finds that:
1. the Permittee has violated the terms of the permit; or
the terms of the Permit and/or the resulting water use are contrary to the purpose
of the Water Use Act of 1967 or contrary to the public interest or having an
unreasonably adverse effect upon other water uses in the capacity use area and
cannot be cured by modification; or
the Permittee made false or fraudulent statements in the application for the water
use permit; or
water withdrawn under the terms of the permit is used for purposes other than
those set forth in the permit.
VI. CONSTRUCTION OF PERMIT
A. The terms and conditions shall not be construed to relieve the Permittee of any legal
obligation or liability, which it owes or may incur to third parties as the result of the
conduct of its operations in conformity with this Permit.
B. When under the terms hereof, any provision of this Permit requires approval of the
Department or becomes effective at the discretion of the Department, the notice of
approval or the exercise of such discretion shall be evidenced by written instrument
issued by the Department.
C. The terms and conditions of this Permit shall not be construed as a limitation of the
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CCPCUA Water Use Permit # CU3350 for Terra Ceia Farms, LLC.
powers, duties, and authority vested in the Environmental Management Commission
or any other State, Federal, or local agency, or any applicable laws hereafter enacted.
VII. ADDITIONAL CONDITIONS
A. This Permit shall be subject to any limitations or conditions in other State permits,
including but not limited to permits required pursuant to North Carolina General
Statutes §143-215.1.
B. Issuance of this Permit shall have no bearing on subsequent State decision(s)
regarding any other water use or other permit application(s) submitted or which may
be submitted by the Permittee, its successors or assigns.
C. Compliance with the terms and conditions in this permit does not relieve the
permittee of compliance with any provision, now in force or hereafter enacted or
promulgated, of the Water Use Act of 1967, the regulations promulgated thereunder,
or any other provision of State law.
VIII. PENALTIES
Violations of the terms and conditions of this Permit are subject to penalties as set forth
in North Carolina General Statutes §143-215.17.
IX. PERMIT NONTRANSFERABLE
Water Use Permits shall not be transferred except with approval of the Environmental
Management Commission.
X. RENEWAL OF PERMIT
The Permittee, at least three (3) months prior to the expiration of this permit, shall request
its extension. Upon receipt of the request, the Commission will review the adequacy of
the facilities described therein, and if warranted, will extend the permit for such period of
time and under such conditions and limitations as it may deem appropriate.
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