WR0800815_Permit (Issuance)_20230608

DocuSign Envelope ID: 21 FD090E-1 E4E-4E1A-AD85-3E1 854E91 CA6
PERMIT NO. WR0800815
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION OF A WELL OR WELL SYSTEM
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
Nick Shore, AECOM — Petitioner for DSCA Site ID DC670006 (Al Cleaners)
FOR THE CONSTRUCTION OF three (3) recovery wells, which will be exposed to the Surficial Aquifer, and which
will be located at 501 Beacham Lane (PIN 437714337067), Jacksonville, Onslow County, in accordance with the
application received June 2, 2023 and in conformity with specifications and supporting data, all of which are filed with
the Department of Environmental Quality and are considered part of the Permit.
This Permit is for well construction only and does not waive any provisions or requirements of the Water Use Act of
1967, or any other applicable laws and regulations. Well construction shall be in compliance with the North Carolina
Well Construction Regulations and Standards. However, this Permit pertains to the jurisdictional authority of the
Division of Water Resource and does not waive the requirements of other jurisdictions.
This Permit will be effective from the date of its issuance until June 8, 2024, and shall be subject to other specified
conditions, limitations, or exceptions as follows:
1. The well shall be located and constructed as shown on the attachments submitted as part of the permit application.
2. Well construction record (GW-1) for the well must be supplied to the Division of Water Resources' Information
Processing Unit within 30 days of well completion. Provide the well construction permit number on the GW-1
form.
3. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued by another agency.
4. When a well is discontinued or abandoned, it shall be abandoned in accordance with 15A NCAC 02C.0240 and a
well abandonment record (GW-30) shall be submitted to the Division of Water Resource's Information Processing
Unit within 30 days of well abandonment.
5. The wells shall have a Well Contractor Identification Plate in accordance with 15A NCAC 02C.0108(o).
6. 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.
C:\PROGRAMDATA\ACTIVEPDFITEMP\DOCCONVERTER\API\INPUT\$5C4C255D86D5$580786AC06F6491 DB86F 184B3D
A9F237.DOCX

DocuSign Envelope ID: 21 FD090E-1 E4E-4E1A-AD85-3E1 854E91 CA6
PERMIT NO. WR0800815
If any requirements or limitations of this Permit are unacceptable, you have the right to an adjudicatory hearing upon
written request within 30 days. 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 demand is made, this Permit is final and binding.
Permit issued this 81h day of June 2023
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
IDocu Signed by:
MQz1PA 5"dt� K;.�
E3ABAUA=C434...
Morella S. King, Ph.D., P.E., Environmental Program Supervisor III
Division of Water Resources
By Authority of the Environmental Management Commission
Cc: Nick Shore — AECOM (via email)
Scott Stupak — NCDEQ DWM DSCA (via email)
Wednesday L. Cowan — (via email)
WiRO- DWR (Laserfiche)
C:\PROGRAMDATA\ACTIVEPDFITEMP\DOCCONVERTER\API\INPUT\$5C4C255D86D5$580786AC06F6491 DB86F 184B3D
A9F237.DOCX