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Home My WebLink AboutWM0501673_Well Permit Application_20241112 November 12, 2024 Ms. Amy Dean L.G. Jordan Oil Company PO Box 220 Apex, NC 27502-0220 Sent Via Email Subject: Monitoring Well Construction Permit # WM0501673 Former Phillips 66 (UST Incident #10974) 400 North Salem Street Apex, NC 27502 – Wake County Ms. Dean: In accordance with the application received on November 5, 2024, and additional information received on November 11, 2024, we are forwarding herewith Monitoring Well Construction Permit No. WM0501673 dated November 12, 2024, issued for the construction of a monitoring 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 (919) 791-4237 or via email at michael.hall@deq.nc.gov. Sincerely, Michael Hall, Regional Supervisor Water Quality Regional Operations Section Raleigh Regional Office Division of Water Resources, NCDEQ Enclosure -Permit -Application Package Ec: William Regenthal, PG, Geological Resources, Incorporated Laserfiche Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 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 L.G. Jordan Oil Company FOR THE CONSTRUCTION OF A MONITORING WELL owned by the L.G. Jordan Oil Company at mailing address PO Box 220, Apex, NC 27502-0220. The wells will be located on the property owned by Mauro Gonzalez, at 400 North Salem Street (PIN 0742427268), Apex, NC 27502. This Permit is issued in accordance with the application received on November 5, 2024, and additional information received on November 11, 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. ____________________________________ Michael Hall, Regional Supervisor Division of Water Resources, Raleigh Regional Office By Authority of the Environmental Management Commission Permit Number: WM0501673 Permit Issued: November 12, 2024 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 SITE 0742427160 0742520513 0742427268 0742426467 0742425243 0742426402 0742425394 0742426577 0742428513 SALEM ST HUNTER ST A P E X P E W Y PATE ST CENTER ST CASH ST LAURA DUNCAN RD CHATHAM ST SAWCUT LN SAUNDERS ST MASON ST ELM ST HUGHES ST O L D R A L E I G H R D HINTON ST AMBERGATE STA BLANCHARD S T CULVERT ST OAKGATE CT WOODBRIAR S T GRINDSTONE DR ABBEY OAK LN KEITH ST O LD MILL VILLA G E D R SEABOARD ST JONES ST M I L L H O P P E R L N GROVE ST NORTH ST HOLLEMAN ST N E W D O V E R R D BLADESTONE CT COMMERCE ST GRAINERY WAY FAIRDALE CT NEW CHESTER CT TWIN CIRCLE CT TEMPLETON ST H I L T C T B R I T T A N Y P O I N T C T TUNSTALL AVE GRAND CENTRAL STA ELM ST OL D MIL L V IL LA G E D R ITY MAP FIGURE 3: SITE VICINFORMER PHILLIPS 66400 NORTH SALEM STREETAPEX, WAKE COUNTYNORTH CAROLINAINCIDENT NO. 10974 PREPARED BY:GEOLOGICAL RESOURCES, INC.OCTOBER 3, 2014 ³ 0 300150 Feet 1 inch = 300 feet 1,500-FOOT RADIUS 1,000 -FOOT RADIUS 250-FOOT RADIUS LEGEND Wake_Streets_2013_9 Wake_HydroPolys_2011_10 Wake_Property_2014_8 PIN No. 0742427268 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Proposed excavation area Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 + – h -78.846 35.734 Degrees 200ft200ft200ft200ft200ft ENCDEQ Community Mapping System f n Find address or place c Site UST Incident #26818 Pritchard Residence (Ewan) UST Incident #33783 Cattano Construction AST Incident 87468 Apex Community Center No known water supply wells were observed within a 1,500-foot radius of the Site. Locations of monitoring wells associated with listed incidents that are not the Phillips 66 site are unknown. Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847 Docusign Envelope ID: 2605BB5F-443C-437C-8877-448DF05BD847