WM0300987_Final Permit_20181204

Environmental
Quality
December 4, 2018
Mr. Shane Sisco (via email)
Hart and Hickman, PC
2923 S. Tryon Street
Suite 100
Charlotte, NC 282103
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
RE: Monitoring Well Construction Permit
Permit #WM0300987
Holiday Cleaners, DSCA Site #DC600083
8920 Nations Ford Road, Charlotte
Mecklenburg County
Dear Mr. Sisco,
In accordance with your completed applications received on December 4, 2018, we are forwarding
herewith Monitoring Well Construction Permit Numbered WM0300987 and issued for the construction of
four monitoring wells located near the subject site in Charlotte, Mecklenburg County.
This Permit will be effective for one year from 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] ext. 2198, or by
email at [e-mail].
Sincerely,
EA
DocuSigned by:
�ww H Pam.
F161 FB69A2D84A3...
Andrew H. Pitner, P.G., Assistant Regional Supervisor
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
CC: WQROS, Central Office (via Laserfiche)
Sue Murphy, NCDEQ DSCA Program (via email)
Geologic Exploration (via email)
State of North 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 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
NCDEQ DSCA Program (Hart & Hickman, PC as Agent)
FOR THE CONSTRUCTION OF A MONITOR WELL SYSTEM consisting of four monitoring wells owned by NCDEQ-
DSCA Program near the subject site in, Charlotte, Mecklenburg County. This Permit is issued in accordance with the
applications received on December 4, 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 .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:
I. 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 must be obtained from Mecklenburg County Groundwater and Wastewater Services.
Permit issued the 4th day of December, 2018
FOR THE NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
DocuSigned by:
powHPuft
F161 FB69A2D84A3...
Andrew H. Pitner, P.G., Assistant Regional Supervisor
Division of Water Resources
By Authority of the Environmental Management Commission
Permit No. # WM0300987