WM0501309_Issuance of Permit_20181228

d�c STA7f a
ROY COOPER
Governor f
MICHAEL S.REGAN
Secretary
LINDA CULPEPPER
interim Director NORTH CAROLINA
Environmental Quality
December 28, 2018
Said Sarraa
Quick Stop
35 Pond Ridge Rd.
Louisburg,NC 27549
Subject: Monitoring Well Construction
Permit#WM0501309
Quick Stop
611 N. Bickett Blvd.
Louisburg,NC - Franklin County
Dear Mr. Sarraa:
In accordance with the application received on August 27, 2018, and the additional
requested information received on December 19, 2018, we are forwarding herewith Monitoring
Well Construction Permit No. WM0501309 dated December 28,2018,issued for the construction
of a monitor well system (installation of two monitoring wells) in the NC DOT Right-of-Way
(Encroachment Contract—E053-035-18-00014). Please be aware that some counties have well
construction programs,and you may
installation. be required to obtain a well construction Hermit before
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
Franklin County Health Department
Email- rdkerins(a,terraquestpc.com, Ryan Kerins, Terraquest Environmental Consultants,
P.C., 100 E Ru m Street Mebane,NC 27302.
Q El-k Q-55
N.e
North Carolina Department of Environmental Quality I Division of Water Resources I Raleigh Regional Office
3800 Barrett Drive 11628 Mail Service Center f Raleigh,North Carolina 27699-1628
919,791.4200

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
Quick Stop c/o Said Sarraa
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM (Quick Stop) consisting of a monitoring well
system(two (2)monitoring wells) owned by the Said Sarraa at mailing address 35 Pond Ridge Rd, Louisburg,NC
27549.The wells will be located in the NCDOT Right-of-Way(Encroachment Contract—E053-035-18-00014)across
US-401 from Quick Stop (PIN: 2805-88-9071). Monitoring well "A" will located approximately 44 feet from
centerline of US-401 and 220.5 feet from the intersection of US-401 and Justice Street,and monitoring well`B"will
be located approximately 56 feet from the centerline of US-401 and 124.1 feet from the intersection of US-401 and
Justice Street. This Permit is issued in accordance with the application received on August 27,2018 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 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 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(GW-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 28'of December, 2018
FOR THE NORTH CAROLINA ENVIRPNMENTAL MANAGEMENT COMMISSION
Rick Bolich,L. ",rssistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No.WM0501309
D.P.a r.wam..m awen�
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
919.791.4200