WQ0005790_Permit to Construct a Water Supply Well System_20240815

North Carolina Department of Environmental Quality | Division of Water Resources
Raleigh Regional Office | 3800 Barrett Drive | Raleigh, North Carolina 27609
919.791.4200

August 15, 2024 Mr. Jeff Holt, Mayor Town of Pine Level 306 East Brown Street Pine Level, NC 27568 Sent Via Email Subject: Water Supply Well Construction Permit # WS0500161 Town of Pine Level Crystl Blvd. (PIN 262313-13-3715) Pine Level, NC 27568 – Johnston County Mr. Holt: In accordance with your application received June 6, 2024, and additional information received August 1, 2024, we are forwarding herewith Well Construction Permit No. WS0500161, dated August 15, 2024, issued to Town of Pine Level for the construction of a water supply well system consisting 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 until June 6, 2025 and shall be subject to the
conditions and limitations as specified therein. If any parts, requirements, or limitations contained in this
Permit are unacceptable to you, you have the right to an adjudicatory hearing before a hearing officer
upon written demand to the Director within 30 days following receipt of this Permit, identifying the
specified issues to be contended. Unless such demand is made, this Permit shall be final and binding.

In an effort to protect and conserve the groundwater resources, the Division encourages water users to
develop and implement a water conservation and management plan. If you have any questions about this
permit, please contact Michael Hall at [phone] or via email at [e-mail]. Sincerely,
Michael Hall, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ Enclosure -Permit -Application Package Ec: Phillip N. Pressley, PE, TRC Engineers, Inc, Tresha Price, Raleigh Regional Office, DWR Public Water Supply Section Laserfiche

Docusign Envelope ID: 1AE6C746-9E39-4A70-A404-C2B9531DA058

North Carolina Department of Environmental Quality | Division of Water Resources
Raleigh Regional Office | 3800 Barrett Drive | Raleigh, North Carolina 27609
919.791.4200
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES PERMIT FOR THE CONSTRUCTION OF A WATER SUPPLY WELL OR 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 The Town of Pine Level FOR THE CONSTRUCTION OF A WATER SUPPLY WELL SYSTEM consisting of one water supply well owned by The Town of Pine Level, at mailing address 306 East Brown Street, Pine Level, NC 27568. The wells will be located on the property owned by Richard Braswell, at Crystal Blvd. (PIN 262313-13-3715), Pine Level, NC 27568. This Permit is issued in accordance with the application received on June 6, 2024, and additional information received on August 1, 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 or 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 water supply 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 supersede any other agreement, permit, or requirement issued
by another agency.
2. The well(s) shall be located and constructed as shown on the attachments submitted as part of
the Permit application.
3. The well(s) shall have a Well Contractor Identification Plate and a Pump Installation Information
Plate in accordance with 15A NCAC 02C .0107(j)(2) and (3).
4. Well construction record (GW-1) for the well shall be submitted to the Division of Water
Resources’ Information Processing Unit and CCPCUA Program, 1611 Mail Service Center, Raleigh,
NC 27699-1611 within 30 days of the well completion.

5. When the wells are discontinued or abandoned, they 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 Resources’ Information Processing Unit within 30 days of the well abandonment.

____________________________________
Michael Hall, Regional Supervisor
Division of Water Resources, Raleigh Regional Office
By Authority of the Environmental Management Commission

Permit Number: WS0500161
Permit Issued: August 15, 2024
Docusign Envelope ID: 1AE6C746-9E39-4A70-A404-C2B9531DA058
Docusign Envelope ID: 1AE6C746-9E39-4A70-A404-C2B9531DA058
Docusign Envelope ID: 1AE6C746-9E39-4A70-A404-C2B9531DA058
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RICHARD D
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REVOCABLE TRUST
45 SHORELINE DR
PRINCETON, NC
27569-9227
PIN: 262313-13-4458
RICHARD D
BRASWELL
REVOCABLE TRUST
45 SHORELINE DR
PRINCETON, NC
27569-9227
PIN: 262313-13-7574
RICHARD D
BRASWELL
REVOCABLE TRUST
45 SHORELINE DR
PRINCETON, NC
27569-9227
PIN:262313-13-6999
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2620 LOUIS STEPHENS DR
CARY, NC 27519-7679
PIN:262313-13-3715
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45 SHORELINE DR
PRINCETON, NC
27569-9227
10'
500' FROM PROPOSED WELL
400' FROM PROPOSED WELL
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PROJECT:496613
NEW WELL AND WTP IMPROVEMENTS
PINE LEVEL, NC
Engineering Surveying Environmental Services
114 Edinburgh South Drive, Suite 200
Cary, NC 27511
919-873-1060 Fax: [phone]
NC Firm License # F-1429
Fayetteville, NC
Hampton Roads, VA
Northern Virginia
Charlottesville, VA
Blacksburg, VA
Richmond, VA
Virginia Beach, VA
1" = 150'
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JULY 2024
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BOUNDARY
NOTES:
BEYOND WHAT IS SHOWN, THE 500' RADIUS IS NOT KNOWN
TO INCLUDE ANY:
·SEPTIC TANKS SYSTEMS
·STORAGE AREAS FOR PESTICIDES, CHEMICALS, OR FUEL
·ANIMAL FEEDLOTS
·LANDFILLS OR OTHER WASTE DISPOSAL AREAS
BACKGROUND IMAGERY FROM AUTODESK
100' FROM
PROPOSED
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STORAGE
Docusign Envelope ID: 1AE6C746-9E39-4A70-A404-C2B9531DA058
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DRAWN
DESIGNED
SCALE:
PROJECT:496613
NEW WELL AND WTP IMPROVEMENTS
PINE LEVEL, NC
Engineering Surveying Environmental Services
114 Edinburgh South Drive, Suite 200
Cary, NC 27511
919-873-1060 Fax: [phone]
NC Firm License # F-1429
Fayetteville, NC
Hampton Roads, VA
Northern Virginia
Charlottesville, VA
Blacksburg, VA
Richmond, VA
Virginia Beach, VA
NONE
EWG
ABM
JULY 2024
NEW WELL DETAIL
SCALE = N.T.S
Docusign Envelope ID: 1AE6C746-9E39-4A70-A404-C2B9531DA058