WM0501331_Issuance of Permit_20181214

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Direcrar
Sampson-Biaden Oil Company
3309 Drake Circle
Raleigh, NC 27607
NORTH CAROLINA
Envlromnenlal Quality
December 14, 2018
Subject: Monitoring Well Construction
Permit # WM0501331
Handee Hugo's #40
401 Benson Road
Garner, NC -Wake County
To Whom It May Concern:
In accordance with the application received on December 1I, 2018, we are forwarding
herewith Monitoring Well Construction Permit No. WM0501331 dated December 14, 2018, issued
for the construction of a monitor well system (installation of two monitoring wells) at the subject
properties. Please be aware that some counties have well construction programs, and You may
be required toobtain 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.
Sincerely,
Rick Bolich, L.G.
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosure
cc: RRO Files
Wake County Health Department
Email- k ollardnc.rr.com, Kirk Pollard, Mineral Springs Environmental, PC, 4600
Mineral Springs tane, Raleigh, NC 27616
e:!r0::f^�Q/
North Carolina Department of Environmental Quality i Division of Water Resources i Raleigh Regional Office
3800 Barrett Drive 11628 Mail Service Center I Raleigh, North Carolina 27699-1628
919.791.420O

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
Sampson-Bladen Oil Company
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Handy Hugo 940) consisting of a monitoring well
system (two ((.2) monitoring wells) owned by the Sampson-Bladen Oil Company at mailing address 3309 Drake Circle
in Raleigh, NC. The wells will be located on the propperty owned by PGP Garner Plaza, LLC located at 537 Plaza
Circle in Garner, NC -Wake County (PIN: 171151260). This Permit is issued in accordance with the application
received on December 11, 2018 which is 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 I50B of the North Carolina General Statutes and fled 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 Resource'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 (G W-30) shall be submitted to the Division of Water Resource'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.
8. Temporary wells must be permanently abandoned or converted to a permanent well within seven days (168
hours) of the completion of drilling of the borehole.
Permit issued the 14" of December, 2018
FOR THE NORTH CAROLINA ENVIR �NTAL MANAGEMENT COMMISSION
Rick Bolich, L.G., ssistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. WM0501331
E Q5
.�rww wor.r�Mre.4 V
North Carolina Department of Environmental Quality I Division of Water Resources I Raleigh Regional office
3800 Barrett Drive 11628 Mail Service Center I Raleigh, North Caro ina 27699-1628
919.791.4200