WR0300108_Well Permit_20170523

Water Resources
ENVIRONMENTAL QUALITY
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
May 23, 2018
Mr. Ed Kuhn
Phillips 66 Company
1338 Hundreds Oak Drive, Suite A
Charlotte, North Carolina 28217
RE: Recovery Well Permit
Permit # WR0300108
Phillips 66 Company — Former Star -Brite Laundry
5639 Statesville Road, Charlotte
Mecklenburg County
Dear Mr. Kuhn,
In accordance with your completed application received on May 22, 2018, we are forwarding herewith
Recovery Well Construction Permit Numbered WR0300108 and issued for the construction of one recovery
well to be incorporated within the existing on-site recovery well system located at the subject property in
Charlotte, Mecklenburg County.
This permit will be effective for one year form the date of issuance and shall be subject to the conditions and
limitations as specified therein.
Should you have any questions, please contact Edward Watson at [phone] or by email at
edward.watsonkncdenr. gov.
Sincerely
Docugigned by:
F161F 6 D84A
Andrew ltner, :G., Assistant Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
CC: WQROS, Central Office (via Laserfiche)
Frans Lowman, ATC Group Services, LLC (via email)
Keith Speece, Carolina Soil Investigations, LLC (via email)
State ofNorth Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT FOR THE CONSTRUCTION OF A RECOVERY 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
Phillips 66 Company (ATC Group Services, LLC as Agent)
FOR THE CONSTRUCTION OF A RECOVERY WELL SYSTEM consisting of one recovery well owned by Phillips
66 Company and located at the subject site in Charlotte, Mecklenburg County. This Permit is issued in accordance
with the application received on May 22, 2018, 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 .0 100), 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 Resources'
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 Resources'
Information Processing Unit within 30 days of the well abandonment.
7. Adequate permits shall be obtained from Mecklenburg County Groundwater and Wastewater Services.
Permit issued the 23rd day of May, 2018
FOR THE NORTH CAROLINA Eq7&0WVRTAL MANAGEMENT COMMISSION
A44 ww H P44 -ft
F161 FB69A2D84A3...
Andrew H. Pitner, P.G., Assistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. # WR0300108