05-0070-WM-0035_Complete - Historical File_20190326

8
LEGEND MW-6 X _'
® - EXISTING MONITORING WELLS LOAD*4G
/ \ X TERMMIAL
® - PROPOSED MONITORING WELLS /
W /
- EXISTING WATER SULLY WELLS MW-d
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MW-S ® c
APf4tOXIMATE BOUNDARY O
OF EXCAVATED AREA =
MW=1's a PINEOLA TEXACO
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1-BTORY FRAME 8
RESIDENCE 8
MW-9
LAUREL OIL
OFFICE
N NC HWY. 181
TITLE: SITE PLAN
SCALE 1"-30'
LAUREL COUNTRY STORE
DATE: 8-27-46 SLW
Y
JOB NUMBER: 1267-88-116

LOCKING CAP
CONCRETE
PAD..
STEEL OUTER CASING
LAND SURFACE
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,.
ALTERNATE
• % MANHOLE
• VARIES COVER-USED IN
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'•%NEAT CEMENT GROUT TRAFFIC AWAS
•
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WELL CASING
PELLETIZED •ENTONITE Ift. - 2ft.
1 R. - 2ft.
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WELL SCREEN - ---
CONSTRUCTION DETAIL FOR A MONITORING WELL

JUN P. 7 1988
NORTH CAROLINA Groundwater Section
ENVIRONMENTAL MANAGEMENT COMMISSION Asheville Regional Office ;
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
APPLICATION FOR PERMIT TO CONSTRUCT MONITOR/RECOVERY"WELL(S)
To: NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION June 21 19 88
Gentlemen:
In accordance with the provisions of Article 7, Chapter 87, General Statutues of
North Carolina, and regulations pursuant thereto, application is hereby made by
McCombs and Associates for a permit to construct a
name of well owner
monitor/recovery well(s) as described below and in the accompanying data submitted as a
part of this application.
(a) Name of property owner: McCombs and Associates
(b) Location of property: U.S. Hwy 221 & N.C. Hwy 181, Pineola Aver
Road, Industry, Community, etc. Town County
(c) Type of facility or site being monitored: Convenience Store/Gas Station
(d) Types of contamination being monitored or recovered: Hydrocarbons
(e) Existing monitor well numbers: _MW-1 through MW-8
(f) Existing monitor wells showing contamination (well no.): MW-1, MW-2, MW-3, MW-5, MW-7
(g) Estimated water-table depth: 25.0 feet
(h) Estimated date of construction: Begin July 1 Complete July 31
(i) Drilling constractor: Soil & Material Engineers #412
(j) Location of well: Provide a detailed map showing the location of the proposed well(s),
and of any wells in an existing monitoring system (if applicable), in relation to the
pollution source(s) being monitored and to at least two (2) nearby permanent reference
points such as roads, intersections, and streams. Identify roads with State Highway
road identification numbers. (Show all existing water supply wells within a radius of
1,000 feet of the proposed well.)
(k) Well construction diagram: Provide a diagram showing proposed construction specifications,
including diameter, estimated depth, screens, sand pack, grout, type of materials, etc.
The Applicant hereby agrees the proposed 9020 West Union
well will be constructed in accordance with Morganton, N.C. 28655
approved specifications and conditions of M iling Address of We Owner-Required)
the Well Construction Permit. As regulated 34 East Blackstock Road
under the Well Construction Standards (Title Spartanburg, S.C. 29301
15 - North Carolina Administrative Code, (Mailing Address of Agent-if other
Subchapter 2C) than above)
� ignature of Well Owner or Agent
FOR OFFICE USE ONLY
H dro eolo 'st PERMIT NO. issued 19
Title if applicable)
GW-22B

NORTH CAROLINA DEPARTMENT OF NATURAL I JRCES AND COMMUNITY DEVELOPMENT FOR OFFICE USE ONLY
DIVISION OF ENVIRONMENTAL MANAGEr;m4i -GROUNDWATER SECTION �
P.O.BOX 27687-RALEIgH,N.C.27611,PHONE[phone] Quad. No.�L� Serial No.
Lat. Long. Pc
Minor Basin
WELL CONSTRUCTION RECORD Basin Code
Header Ent, GW-1 Ent.
DRILLING CONTRACTOR .So."
_ STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER PERMIT NUMBER: OS—
1. WELL LOCATION: (Show sketch of the location below) //
Nearest Town: County: /yer—a.
Depth DRILLING LOG
(Road, Community, or Subdivision and Lot No.)
From To Formation Description
2. OWNER �[�eM65 di i f}a,5Otiafes
ADDRESS
(Street or Route No.) L FIVE COPIES OF- THIS'-FORM:'WERE:^SENT
City or Town State Zip Code ` TO THE WELL DRILLER
3. DATE DRILLED USE OF WELL.
4. TOTAL DEPTH CUTTINGS COLLECTED ❑Yes ❑ No
5. DOES WELL REPLACE EXISTING WELL? ❑ Yes ❑ No
6. STATIC WATER LEVEL: FT. ❑ above TOP OF CASING,
❑ below
TOP OF CASING IS FT. ABOVE LAND SURFACE.
7. YIELD (gpm): METHOD OF TEST
8. WATER ZONES (depth):
9. CHLORINATION: Type Amount
10. CASING:
Wall Thickness If additional space is needed use back of form.
Depth Diameter or Weight/Ft. Material
LOCATION SKETCH
From To Ft. (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From To Ft.
From To Ft.
12. SCREEN:
Depth Diameter Slot Size Material
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in. in.
13. GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft,;
14. REMARKS: A" 6,60AM t .liftIdPAt 3 161A, � aos0/iife rDi7�wtjifa'/tb�f
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
GW-1 Revised 11/84 Submit oriainal to Division of Fnvirnnmantal Unnnnome^• ^^.+ ^^^•, ^� ^•^^�

Page 2
1. Each well shall have permanently affixed an identification plate
constructed of durable material and shall contain the following
information: drilling contractor's name and registration number; date
well completed; total depth of well; a warning that the well is not
for water supply and that the groundwater may contain hazardous
materials; and depth to screens.
2. The wells shall be constructed with well casing and well screens that
conform to requirements of the "Criteria and Standards Applicable to
Water Supply and Certain Other Type Wells" (15 NCAC 2C .0100) .
3 . Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Environmental Management's Groundwater
Section Central Office in Raleigh.
4 . All wells shall be afforded reasonable protection against damage
during construction and use.
5. When the wells have served their purpose and are of no further use,
they shall be permanently abandoned according-to the requirements of
Section .0113 of the "Criteria and Standards Applicable To Water
Supply and Certain Other Type Wells" (15 NCAC 2C) .
6. The well screens shall be set at a depth where the anticipated high
water table would be below the top of the screen so that any floating
petroleum products could enter the monitor well and of sufficient
depth so there is water adequate for sampling during the seasonally
low water table.
7. Provisions shall be made on the well cover to prevent surface water
with possible contaminants from entering the well pit and
contaminating the monitor wells.
8. The well driller shall notify the Asheville Regional Office prior to
actual construction of the well.
9. Written permission must be obtained from the property owner prior to
construction of the well.
Permit issued this the 28th day of June, 1988.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Roy M. Davis, Regional Supervisor
Division of Environmental Management
By Authority of the Environmental Management
Commission
PERMIT NO. 05-0070-WM-0035

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ASHEVILLE, NORTH CAROLINA
PERMMrr FOR THE
GONSTRLTCT= ON OF A WELL,
O R W E M.L S Y S T E M
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
MCCOMBS AND ASSOCIATES
FOR THE CONSTRUCTION OF five monitor wells for Groundwater Incident No.
3612 in the Residuum System of the Great Smoky Mountain Hydrogeologic Unit,
located at Laurel Country Store at the intersection of US 221 and NC 181 in
Avery County, in accordance with the application dated June 21, 1988 , and
in conformity with specifications and supporting data, all of which are
filed with the Department of Natural Resources and Community Development
and are considered a part of this Permit.
This Permit is for well construction only, and does not waive any
provisions or requirements of any other applicable laws or regulations.
Construction of a well under this Permit shall be in compliance with
the North Carolina Well Construction Regulations and Standards, and any
other State and local laws and regulations pertaining to well construction.
This Permit will be effective from the date of its issuance until
December 28, 1988, and shall be subject to other specified conditions,
limitations, or exceptions as follows:

.. I ` N d r✓n,�
State of North Carolina
Department of Natural Resources and Community Development
Asheville Regional Office
James G. Martin, Governor David R. Spain
S. Thomas Rhodes, Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT Regional Manager
June 28, 1988
Mr. John Whitehead
SSME, Inc.
349 East Blackstock Road
Spartanburg, South Carolina 29301
SUBJECT: Well Construction Permit No. 05-0070-WM-0035
McCombs and Associates
Groundwater Incident No. 3612
Avery County, North Carolina
Dear Mr. Whitehead:
In accordance with your application received June 27, 1988, we are
forwarding herewith Well Construction Permit No. 05-0070-WM-0035 dated June
28, 1988, issued to McCombs and Associates for the construction of five
monitor wells at Laurel Country Store and adjacent property at the
intersection of US 221 and NC 181 in Avery County.
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 specific issues to be contended.
Unless such demand is made, this Permit shall be final and binding.
This Permit will be effective from the date of its issuance until
December 28, 1988, and shall be subject to the conditions and limitations
as specified therein. Attached are Well Construction Records to be
completed and signed by the drilling contractor. These forms should be
submitted to the Department upon completion of the wells.
Sincerely,
Roy M. Davis
Regional Supervisor
RMD:LKD:ar
Attachments
cc: Perry Nelson
J. H. McCombs
Interchange Building, 59 Woodfin Place, P.O Box 370,Asheville, N.C. 28802-0370•Telephone [phone]
An Equal Opportunity Affirmative Action Employer