WM0100144_Complete - Historical File_20190326

FIELD MONITORING WELL INSTALLATION DIAGRAM FOR WELL NO. Proposed Well
MONITORING WELL DATA
Flush Mounted Bolt Down
Steel Manhole Cover 1. Water Level Fan Top
\ of PVC
Date: Depth:(ft)
Cement 2.5ft.
Bentonite Grout �� \
Seal and Plug \
PVC Pipe �, \
Diameter= 2
Schedule 40
2. Well Developed by
1.0 1±
Bentonite - " -
Pellet Seal ,
1.5 ±
Date: Gallons:
Total
Washed Gravel of Depth
Coarse Sand — =15 ft.
3. Elevations:
10 ft. Ground Surface= ft.
PVC Well Screen _ Top of PVC ft.
Diameter= 2 —
Schedule 40 —
Slot Size=0.010"
Suggested Warning Label
WARNING
For Monitoring Only
Not To Be Used For
Portable.-.Water
Borehole
Diameter
= 8 of
Date Installed: Drill Rig: Crew:
Proposed Monitoring Well Construction DiagramAT PHA I 400 D ELLWOOD ROAD •BUILDING A.SUM 2
Avery County Oil Company F.O.BOX 71• WAyNESvtuE,NC 26766
' IIIVIRONM NTAL SCIENCES INC
SCALE Dawn: Job No.
NTS Chocked: Dwr. No.
Data:

9
>. Th'icimss of casrn . inches
�. How Will the well(s) be secured? bolt down well covers/locking plugs
3. Estimated beginning 'constniction 'date: 11-23-98 =
9. Estimated completion date* 11-24-98
ADDITIONAL INFORMATION
1. ATTACH A SITE MAP SHOWING THE LOCATIONS OF THE FOLLOWING:
1 - PROPOSED MONITORING WEH (S)
2- ALL EXISTING MONITORING AND RECOVERY WELLS OR TEST BORINGS "MA THE PROPERTY
BOUNDARY
3 - ALL WATER SUPPLY WELLS WITHIN 500 FEET OF THE WASTE SOURCES
4 - AT LEAST TWO REFERENCE POINTS (NUMBERED ROADS, INTERSECTIONS, STREAMS, ETC.)
2. PROVIDE A WELL CONSTRUCTION DIAGRAM OF EACH WELL SHOWING DIAMETER, ESTIMATED DEPTH, SCREEN
INTERVALS, SAND(GRAVEL PACKS, TYPE OF CASING MATERIAL, CASING WALL THICKNESS, WELL HEAD COMPLE-
TION DETAILS, ETC.)
The Applicant hereby agrees the proposed well(s) will be constructed in accordance with
approved specifications and copditions of the Well Construction Permit as regulated under the Well
Construction Standards (Title 15A North Carolina Administrative Code, Subchapter 2C) and accepts
full responsibility for compliance with these rules.
S' nature of Applicant or
Tittle (if applicable)
If the property is owned by someone other than the applicant, the property owner hereby
consents to allow the applicant to construct monitoring wells as outlined in this application and that
it shall be the responsibility of the applicant to ensure that these monitoring wells conform to the Well
Construction Standards (Fitle 15A North Carolina Administrative Code, Subchapter 2C).
Signs. rk of ro er (d different from applicant) -

6 - �
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION -JAN a M
,DEPARIMENr OF ENVIRONMENT, . HBAI.TH, & NATURAL URCES
APPUCATION FOR PERMIT TO CONSTRUCT A MONTI'O G k d t'�
Date: November 5, , 19 98 County Avery
In aocardance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant
thereto, application is hereby made for a permit to monitoring wells.
1. Name of Applicant Avery County Oil Company (Telephone: (828) 733-4J26
Appliicanfs Mailing Address: P. 0. Box 553, Newland, NC 28657
2. Name of Property Owner (if different from applicant) Mr. Jack Wiseman
Owner's Mailing Address: P. 0. Box .517, Newland, NC 28657
3. Contact Person: Mr. Bob Gragg (Telephone: (828) 733-4f26
4. Location of Property: NC 194, South of Newland, NC
5. Reason for Monitoring Well(s): Comprehensive Site Assessment
(ex: rnirdischarge pern it requirements, suspected oortamirvation, envirormental assessrmnt etc.)
6. Type of facility or site for which the monitoring well(s) is needed: bulk petroleum plant - AST's
(ex: nondscharge faality, waste dsposal site, lan1ill, underground storage taric, etc.)
7. Type of Contamination being monitored (if applicable): petroleum hydrocarbon
(ex: nu rients, orgarics, heavy metals, etc.)
B. Are any existing recovery wells associated with the monitoring well(s)? No If yes, how many?
Recovery Well Construdon Permit No.
9. Distance to a known waste or pollution source: 250 feet
10. Are any water supply wells located less than 500 feet from the proposed monitoring wells? , Yes
ff yes, give distance: 300 feet
11. Well Driller: Alpha Environmental Sciences, Inc.
12. Registration #: 1441
13. Driller's Address: P 0 Box 31, Waynesville, NC 28786
PROPOSED MONITORING WELL CONSTRUCTION INFORMATION
1. Total Number of Wells to be constructed: 1 ; (A) Number to be completed in bedrock? 0
(B) Number to be completed in unconsolidated material? 1
2. Estimated'depth of well(s): 15 feet _ FOR OF 9CE USE ONLY
PERMITTED ACTIVITY
— U.S.T. LEAK DETECTION
3. Gravel or sand pack interval (if appropriate) _ GROUNDWATER QUALITY STANDARDS
From 3.5 feet To 15 feet VIOLATIONS SUSPECTED FROM UNPERMfT7ED
ACTIVITIES
4. Type of using used: PVC _ NOTICE OF NON-COMPLIANCE AT
(ex: PVC, stalriess steel, galvanized steel, etc.) UNPERMITTED FACILITIES
PERMIT NO.—ISSUED-- 19
5. Diameter of casing: 2 inches INCIDENT #
r`�AF Y)f A r7n11

Ncr,h Carciina - Department of Envirenrr Ho?allh, and Natural Resources F'Cn CFnCE USE ChLY
D!�isicn of Environmental Manocf t -Groundwater Sacticn QUAD.NO. SEi,IAL NO.
P.O. Box 29535 - Raleigh, N.C. 27625.0535
Phone [phone] Est tar;. RO-
Minor easin -
W,ELL CONSTRUCTION RECORD easinCoda -
DRILLING CONTRACTOR: Haader Est. G'Y�-{ Ent :'•...:_.
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMSER: PERMIT NUMBER: AI Wji.j.q
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: County:
(Road, Communiry,or Sutdivlsion and Lot No.) DEPTH DRILLING LCG
2. OWNER �IL2VIA �`Q`• -LV16 Q l �0!`A el V1,61 From To Formation Descriy:icn
ADDRESS
(Street or Route No.)
City or T ovin State zip Cccc ONE COPY OF THIS FORM
3. DATE DRILLED USE OF WELL SENT TO DRILLER
4. TOTAL DEPTH
5. CUTTINGS COLLECTED YES FJ NOI_
6. DOES WELL REPLACE E'XISTING.WELL? YES NOF_�
7. STATIC WATER LEVEL Be!cw Top of Casing: FT.
.
(Use it Above Top of Casing)
8. TOP OF CASING IS FT.Above Land Surface'
'Casing Terminated attar below land surface Is illegal unless a variance Is Issued
In accordance with 15A NCAC 2C .0118
9. YIELD (gpm): METHOD OF TEST
10. WATER ZONES (depth):
11. CHLORINATION: Type Amount If additional space is needed use back of form
12. CASING:
LOCA T iCN SKETCH
Wall Thickness
Depth Diameter or WeighVFt. Material (Snow direction and distance from at least Nvc Slate
Frcm To Ft. Roads.or other man reference points)
From To Ft.
From To Ft.
13. GROUT:
Depth Material Method
From To Ft.
From To Ft.
14. SCREEN:
Depth Diameter Slot Size Material
From To Ft in. in.
From To Ft. in. _ in.
From To Ft. in. in.
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From Ta Ft.
16. REMARKS:
100 HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A 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
GvV-1 REV.9,51 Siihmit nrinin l en N,Av inn of C virnnm.+ntel 1l n _-�__-•• _n _.-.__.

Permit issued this the 27th day of January, 1999.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
r
a
Donald R. Link, L. G., Regional Groundwater Supervisor
Division of Water Quality
By Authority of the Environmental Management Commission
PERMIT NO. WM0100144

This Permit will be effective for the construction of a monitor well from the
date of its issuance until the site assessment has been completed, and shall be
subject to other specified conditions, limitations, or exceptions as follows:
1. The well driller shall notify the Asheville Regional Office prior to actual
construction of the well.
2. The well shall be constructed with well casing and well screen that
conform to requirements of the "Criteria and Standards Applicable to Water
Supply and Certain Other Type Wells" (15A NCAC 2C .0100).
3. The well shall be afforded reasonable protection against damage
during construction and use.
4. The well screen shall be set at a depth where the anticipated high water
table will be below the top of the screen so that any floating petroleum products
can enter the monitor wells and of sufficient depth so there is water adequate for
sampling during the seasonally low water table.
5. Provisions shall be made on the well cover to prevent surface water
with possible contaminants from entering the well pit and contaminating the
monitor well.
6. The 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 screen.
7. Well completion, well abandonment, and water quality reports are to be
submitted to the Division of Water Quality's. Groundwater Section Central
Office in Raleigh.
8. When the well has served its purpose and is of no further use, it shall be
permanently abandoned by the applicant according to the requirements of
Section .0113 of the "Criteria and Standards Applicable to Water Supply and
Certain Other Type Wells" (15A NCAC 2C).

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
ASHEVILLE, NORTH CAROLINA
PERMIT FOR THE
CONSTRUCTION OF A WELL
OR WELL SYSTEM
--------------------------------------------------------------------------------------------------------------------
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
AVERY COUNTY OIL COMPANY
FOR THE CONSTRUCTION OF a monitor well for Groundwater Incident No. 18321 in
the Saprolite System of the Great Smoky Mountain Hydrogeologic Unit, located at
NC 194 South of Newland, across from Avery County Oil Company, Newland, in
Avery County, in accordance with the completed application dated November 5, 1998,
and in conformity with specifications and supporting data, all of which are filed with the
Department of Environment and Natural Resources 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.

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
ASHEVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
NCDENRGroundwater Section
January 27, 1999
JAMES B.HUNTJR. Mr. Bob Gragg
GOVERNOR
Avery County Oil Company
Post Office Box 553
Newland, North Carolina 28657
WAYNE MCDEVITT
SECRETARY Dear Mr. Gragg:
Subject: Well Construction Permit No. WM0100144
Jack Wiseman Property
A.PRESTON HOWARD,JR., NC 194 South of Newland
P.E.,DIRECTOR Across Street From Incident Site
Groundwater Incident No. 18321
Avery County, North Carolina
In accordance with your application received January 20, 1999, we are
forwarding herewith Well Construction Permit No. WM0100144 dated January 27,
1999, issued to Avery County Oil Company for the construction of a monitor well
at Jack Wiseman property, NC 194 South of Newland 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 for the construction of a monitor well from the
date of its issuance until the site assessment has been completed, and shall be
subject to the conditions and limitations as specified therein. Attached is a Well
Construction Record to be completed and signed by the drilling contractor. This
form should be submitted to the Department upon completion of the well.
Sincerely,
I�
Donald R. Link, L. G.
Regional Groundwater Supervisor
DRL/JB/gc
Attachment
cc: Arthur Mouberry
Roger Moore, Alpha Environmental
Jack Wiseman
INTERCHANGE BUILDING,59 WOODFIN PLACE,ASHEVILLE,NC 28601-24 1 4
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER-50%RECYCLED/1 Oq POST-CONSUMER PAPER