WQ0011443_Complete File - Historical_20170302

Non-Discharge Closure Report Checklist
Permittee/Facility Name: ()Lim — iA S
Permit No.: WQ v ( 1 lI y 3
Reviewer: /11 ,R-
Date: 7/2-l/
1. PERMIT INFO
Permit issued date: ?/I/I y Expiration date: 9,//3 o i q
2. PERMIT RESCISSION/CLOSURE RE UEST_
Date Received g/a3//C, JQ
- -- l Document received from Permittee requesting permit rescission? / (Yes or No).
Did Request include Reason for Closure? y (Yes or No).
Did Request include document from oversight agency authorizing closure of permit? Y
(Yes or No).
All Annual Fees Paid? v (Yes or No).
Did Request include a description of the proposed closure procedure? i (Yes or No).
Comments:
3. CLOSURE ACTIVITIES REPO T
1-40 Date Received: 0 eJ a/a�J?--(ge V/Se.",pj
� J
Draft Permit Rescission APPROVAL Letter Attached? I (Yes or No).
Injection Well(s)
Was injection well(s)properly abandoned per 15A NCAC 2C .0240? /1.0- (Yes/No/N/A).
If abandoned, Date GW-30(s) received:
If well(s) converted to other purposes,Date Injection Well Status Form Received:
Comments: fr •�en� /�/ ��,,,-�;, c.,I� o� —5���- c�o 1a.-e �:��`t�,r
�q
f
Infiltration Gallery
Was infiltration Gallery closed such that the gallery was rendered permanently unusable for
the disposal or infiltr6on of treated effluent fluids and will not serve as a source or channel
of contamination? 1 (Yes/No/N/A).
Record of disposal of contaminated soil/materials received? Al 4- (Yes or No).
Evidence provided excavation has no residual contaminated soil. n.//4- (Yes or No).
Comments:
Dates provided for all activities? (Yes or No).
Closure Report complete, accurate, factual, and accurate per person signing report?
(Yes or No).
T -- g. 42rroe. 4.e, ? ( )& )
Non-Discharge Permit Closure Checklist(1-31-2017)

4. BIMS
Wells Tab reflect GW-1 s/GW-30s (if applicable) have been entered and/or well type and
status modified: �►1 (Yes or No). If not received,then request from consultant and CC
Permittee. After r 77c eipt from these parties, enter as-built well construction into BIMS; and
well abandonment data or well type and well status, if applicable.
5. AFTER PERMIT RESCISSION APPROVAL LETTER is SIGNED BY SUPERVISOR
and PERMIT is RESCINDED _
Date Completion Letter Sent to Permittee plus CCs:
Date Permit Rescinded in Events Tab in BIMS: • j
Date copies of all documents are put is permit folder n S Drive and submitted to be filed:
3/V/ •
FINAL COMMENTS, if any
Non-Discharge Permit Closure Checklist(1-3 1-201 7)

Rogers, Michael
From: Wang, Shuying
Sent: Tuesday, February 28, 2017 10:22 AM
To: Rogers, Michael
Cc: Knight, Sherri; Berger, Herb
Subject: RE: ECS Project# 1010-B NCDEQ TF#8995 - Long Hill Store TA#3
Hi Michael,
To me, the infiltration closure meets 2L requirements.The permit can be rescinded.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
----Nothing Compares
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Berger, Herb
Sent: Tuesday, February 28, 2017 10:16 AM
To: Wang, Shuying <[e-mail]>
Cc: Rogers, Michael <[e-mail]>; Knight, Sherri <[e-mail]>
Subject: RE: ECS Project# 1010-B NCDEQTF#8995 - Long Hill Store TA#3
Hello Shuying;
I would like to keep the recovery wells for groundwater monitoring purposes. Once the project reaches closure, the
system will be removed. I see no reason to keep the permit open.
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
• 1

Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a ncdenr.Qov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Wang, Shuying
Sent: Monday, February 27, 2017 11:12 AM
To: Berger, Herb<[e-mail]>
Cc: Rogers, Michael <[e-mail]>; Knight, Sherri <[e-mail]>
Subject: FW: ECS Project# 1010-B NCDEQ TF#8995- Long Hill Store TA#3
Hi Herb,
It seems to meet the permit closure requirements to me. Do you have any concerns that can be addressed by DWR
before the permit is rescinded? For example, do any recovery wells need to be properly abandoned at this time or do
you want to keep them for groundwater monitoring purpose? Are there any reasons that the basin or containment in
which the sensor wires entering vault and PVC pipe extending into the infiltration gallery were abandoned should be left
in the way as ECS did(refer to Photographs 7 and 8)? Or the metal casing should be removed and the area should be
restored to the natural condition.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mitt Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.orgjweb/wq
2

"'�tc�t_hnc Compares.,,,.
n.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent: Monday, February 27, 2017 10:36 AM
To: Wang, Shuying<[e-mail]>
Subject: FW: ECS Project# 1010-B NCDEQ TF#8995 - Long Hill Store TA#3
Let me know if you are OK now with the system being closed and the permit being rescinded.
Thanks
From: AMerritt [mailto:[e-mail]]
Sent: Monday, February 27, 2017 10:12 AM
To: Rogers, Michael<[e-mail]>; Berger, Herb<[e-mail]>; Wang, Shuying
<[e-mail]>
Cc: RCavallier<[e-mail]>;JStewartl <[e-mail]>
Subject: ECS Project# 1010-B NCDEQ TF#8995- Long Hill Store TA#3
Good Morning,
Attached is our Revised Final Letter Report for Long Hill Store TA#3. If you have any questions or comments, please
contact John Stewart.
Thank you and have a great day,
AMBERLY MERRITT I Environmental Administrative Assistant
T 336-856-7150 I D 336-478-1656
4811 Koger Boulevard I Greensboro I NC 127407
[CS SOUTHEAST, LLP
www.ecslimited.com
Confidential/proprietary message/attachments. Delete message/attachments if not intended recipient.
3

Rogers, Michael
From: AMerritt<[e-mail]>
Sent: Monday, February 27, 2017 10:12 AM
To: Rogers, Michael; Berger, Herb; Wang, Shuying
Cc: RCavallier; JStewartl
Subject: ECS Project# 1010-B NCDEQ TF#8995- Long Hill Store TA#3
Attachments: 49-1010-B- NCDEQ TF#8995- Long Hill Store TA#3.pdf
Good Morning,
Attached is our Revised Final Letter Report for Long Hill Store TA#3. If you have any questions or comments, please
contact John Stewart.
Thank you and have a great day,
AMBERLY MERRITT I Environmental Administrative Assistant
T 336-856-7150 I D 336-478-1656
4811 Koger Boulevard I Greensboro I NC 127407
ECS SOUTHEAST, LLP
www.ecslimited.com
Confidential/proprietary message/attachments. Delete message/attachments if not intended recipient.
1

.
(i2c 'S ,)-h ?--
SOUTHEAST LLP
C
setting the Standard lard for service'
----
- m= . . Oeotechnical * Construction Materials - Environmental • Facilities ` `( e
Rtr;(_s E ., r;::__ dc-c
February 24, 2017
Mr. Michael Rogers
North Carolina Department of Environmental Quality
Division of Water Resources
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Reference: Non-Discharge Permit No. WQ0011443 Closure Revised
Long Hill Store
NCDEQ Incident No.8995
2482 Old US Highway 52
Pilot Mountain, Surry County, North Carolina
ECS Project 49.1010B
Dear Mr. Rogers:
The North Carolina Department of Environmental Quality (NCDEQ), Trust Fund Branch
notified you on September 23, 2016 of their desire to shut down the remediation system
at the former Long Hill Store located at 2482 Old US 52 in Pilot Mountain, North
Carolina. The groundwater treatment system discharged water into an infiltration gallery
under a non-discharge permit (No. WO0011443). Since the treatment system is no
longer active, the DEQ requested that the permit be rescinded. On September 26, 2016,
ECS Carolinas, LLP (ECS) submitted a request to decommission the remediation
system and associated infiltration gallery per 15A NCAC 02T .1608 (Requirements for
Closure). On November 11, 2016, the North Carolina Division of Water Resources
(NCDWR) approved the plan via email.
On January 17, 2017, ECS personnel mobilized to the site, cut the PVC discharge line
just below the floor level and filled the 2-inch PVC discharge line from the former
remediation system to the infiltration gallery with Portland cement. The second white
pipe visible in the photographs was the 1-inch PVC conduit for the high level sensor
wires that went to the infiltration gallery. On February 20, 2017, ECS at the request of
NCDWR, returned to the site and pulled the high level sensor wires from the conduit.
The sensor conduit, like the discharge pipe, was cutoff level with the ground and filled
with grout. ECS found the sensors entered the infiltration gallery by way of a short (4-
inch diameter by 4 foot long) PVC screen installed in a well vault. The vault was
opened, the wires removed and grout was placed in the end of the sensor conduit and
the PVC screen was filled with grout. Photographs of the pipe and sensor conduit
abandonment are attached.
ECS has removed all remediation pumps from the monitoring/recovery wells at the site.
ECS recommends that the NCDWR rescind the permit for the on-site remediation
system and associated infiltration gallery. Through years of groundwater monitoring, it
has been determined that the hydrocarbon plume has reached equilibrium, and no
longer needs to be actively remediated. However, the DEQ continues to monitor the
groundwater on a regular basis, so the existing monitoring wells are still in use and were
not abandoned.
„r s RAC, - ECS era t(- • �C.:Mici-At;'Yrilc; C: . ECS ri • FCS.
ECS G�;�=.�I �er.i-.�_.r�__, rliz i..�, _� � - • �r car>�. ,t__G :�t,u#:,east t_P • ECS .ex._s ._..
..:,,W,'ecslirnited.con:

Long Hill Stare
2482 Old US Highway 52
Pilot Mountain, Surry County, North Carolina
ECS Project 49.1010B
February 24, 2017
If you have any questions regarding this project or the information attached to the letter,
please call us.
Sincerely,
ECS SOUTHEAST, LLP
163-
Rand H. Cavallier oh . ew � , J !Za�7
Envir nmental Project Manager Chief e.logis I $ t
rcavallier(c�ecslimited.com s • rt1c��- s rf1t�• c�
336-478-1612 336-48 `'
53e
Attachments:
Notice of Intent to Close Remediation System Letter
Infiltration Gallery Design
Site Photographs
cc: Mr. Herb Berger— NCDEQ Trust Fund Branch
Ms. Shuying Wang — NCDEQ Division of Water Resources

PAT MCCRORY
a - Gave,nor
DONALD R. VAN DER VAART
Sen elnn
MICHAEL SCOTT
Waste Management rlireclor
ENVIRONMENTAL QUALITY
September 23,2016
Mr.Michael Rogers
North Carolina Department of Environmental Quality
Division of Water Resources
1636 Mail Service Center
Raleigh,NC 27699-1636
RE: Notice of Intent to Close Remediation System
Former Long Hill Store
2482 Old US Hwy 52
Pilot Mountain,Surry County NC
Incident#8995
Dear Mr.Rogers:
The purpose of this letter is to inform the North Carolina Division of Water Resources that the
Underground Storage Tank Section of the North Carolina Division of Waste Management intends to
authorize ECS Carolinas to remove the remediation system at the referenced site. The UST Section took
over environmental management of the referenced site on October 22,2015. A groundwater extraction
and treatment system and associated infiltration gallery has been operated at the site for many years, and
the UST Section has concluded the remediation system is not cost effectively reducing contaminant levels
at the site. Therefore,the UST Section has determined that the system should be removed from the site.
Please understand that the incident is not applicable for closure at this time,and the UST Section is
committed to managing the environmental activities at the site until contaminant concentrations reach
acceptable levels. The proposed closure procedure will be submitted by ECS Carolinas.
If you have any questions concerning this matter,please contact me at(919)707-8170.
Sincerely,
Herb Berger,Jr., .G.
Division of Waste Management,NCDEQ
8995 2016 09 23 Notice_of Intent To_Close_Remediation_System
State of North Carolina Environmental Quality Waste Management
I 646 Mail Service Center 217 West Jones Street Raleigh,NC 27699-1646
919 707 8200 T

. ..,_•
GROUNDWATER
REMEDIATION SYSTEM
LONG HILL STORE
PILOT MOUNTAIN NORTH CAROL/NA
FINAL DESIGN
NOT APPROVED FOR CONSTRUCTION
r PREPARED BY: ` `Q'Atitt5711tJVJJJ' ' INDEX OF SHEETS
AR
O ''
SITE -
�j PLAN (BpA) SHEET G 1
s
SPA WITHERS & RAVENEL �:) , PLAN k SECTIONS-INFILTRATION GALLERY (BPA) SHEET G-2
ENVIRONMENTAL & ENGINEERING, INC. ENGINEERING & SURVEYING, INC. PROCESS AND INSTRUMENTATION DIAGRAM SHEET P-I
•
SE n-
1
7641—G Randleman Rood 111 GENERAL EQUIPMENT ARRANGEMENT SHEET T-I
A(ocKenan Drive _
Greensboro, North Carolina 27406 CarY, North Carolina 27511 =
A 'f4 TYPICAL wEL1 VAULT DETAILS SHEET T-2
Tetepham Of An 9tp--272-5773 {� �>' ti i t 1 1111 t
Takphone Of flew sr9-4b9-33M •. FN` • t � `its,9 '+ ,f��7 SPECIFICATIONS AND CONSTRUCTION NOTES SHEET T-3
FAX [phone] �r • ,,,,, >e t(, ‘ C .IS r
FAX 979-t6T-b0O9 pia / e �� `�� a dI f ;i
t o�i C l � � _ 5 f/� GENERAL ELECTRICAL ARRANGEMENT SHEET E-f
J Bpi°°� sM s��� \ `30� ELECTRICALIAGRAM
CONTROL SHEET E-22. O
Q. SEAL
:� 8513
Y plc 1�r�'21 fi4

I Per NC
PROPOSED LOCATION OF GENERAL NQIFS 1 I. P he DF3INR Tres[Fund,'change orders midstream of work will not be
M1W,-T INFILTRATIONvow, nY' reimbursed'Therefore.only writle.design t o cs/Omexdmens or drawing revitiou
NOTE ELEVATION OF 4 (SEE SHEET O-ZPORT; mode subsequent to acceptance of bids aadfor changes in the scope of cork
CONCRETE PAD AT RW-2 10o-9 CONSTRUCITON D TAA3) I. The Greensboro,NC office of BPA Environmental&Engineering rec.(EPA)shall apedflo lly authorised,in rretiny by to Eoymer attar the work commences will be
EL 98.04 FT,TOP OF - _ N be notified prior to beginning work([phone]). As used herein,the Engineer considered as a valid basis for a change order from the bid price_
CASINO EL 97.09 FT -. - EXPLANATION shall mean the BPA Engineer or his designated field site supervisor.
r�� -• The contractor shall therefore satisfy himself regarding existing site conditions,any
SEE SHIFT O.2 • ' 2. It abaft he the respom30ity of the contractor to verify all dlmensbom anal notify the coollics,errors,or discrepancies n the proposed design,or spccificati000#leiaib
FOR INFILTRATION ��_ \ � MONITORING WELL Engineer of discrepancies prior tommvuetiom.Any proposed adjustments to line and shirk require clarification and bring them to the attention of the Eng[mer for
GALLERY/DISTRIBUTION � i���8 grade of the specified construction shall be approved by the Engineer prior to the satisfactory resolution prior to submittal of bids. Bid prices dud'be considered firm
INFILTRATION GALLERY D RECOVERY WELL son of wort rod complete and shall Meiotic ed irate nllorances and contingencies for unknowns
CONNECT
DETAILS. J P W t
CONNECT EFFLUENT LINE r .`��� MONITORING WELL or risks,m deemed necessary by the contractor,to allow completion of the work to
TO STUBBED RISER FROM -� ,, ii -v-- PROPERTY LINE 3. The NC DOT tight-of-vay may not he used for soy oa-going consiroctioo,*down, the mlisfactioo of the Engineer.
�. •.� APPROXIMATE EXTENT' or storage activities.To ensure public safely,proper trade control procedures shall
DISTRIBUTION MANIFOLD # t�y� �i,:ar-
v '/'� -.P� .\�m� OF ASPHALT PAVEMENT ---- UNCERTAIN PROPERTY LINE be used for any work which temporarily utilizes the rightof-of my manner during
97 v-' t •";'/,' � mmtruetioo activities. Traffic cmvoi:lesion,signs.etc,in accordance with lbs
PROPOSED DISCHARGE t.�
TRENCH % ///�'- - ;? -�K_ .tip ---- OVERHEAD POWER LINE•NCDOT RfW latest Manuel on Uniform Traffic Control Devito(MUTCD),the North Grolier
�r a` 8 s 4�Awas Supplement to the MUTCD,Trrific Control Devices Haadbook,and Work Zone SPECIFICATIONS FOR
96 5 >F1 ""�k�- �__ \' X x FENCE Traffic Control Standards and Guidelines shall be installed. PIPE BEDDING AND TRENCH RAC XFII 7
SEE TYPICAL DETAIL AD J. .T- ���/_
COMPLETION DETAILS THIS 95 /�� 9!{3 ` r� v Oy FORMER DISPENSERS 4. The contractor shall accurately locate all utiliti40es,�� � achy tes,contact the just soemendatei Utility 1. All utility conduitsand discbugjoints/Mshall be oshal h specified l Schedule l rd a:a materials
SHEET AND SHEET T•2 [ RW-2 + ‘'�' psry(fea)invoked,a zy t 1 soy utilities to lisp '
� ...A P 4H0 ,�. +4 i ��-- � Clem vvo and make satisfactory urah emenu to ad'nst tdttiu in unlers otherwise rioted. All joints/Many' shall he leaned and usemHed is
,rs . '''s'r"rYt'vvre TREE LINE conflict with the proposed work prior to coastrnetioa accordance with manufacturer's recommendation, loinle/fittiep shell be glued
t N-r t✓ /.�•.s __ uniformly arouod their full circumference with a solvent-based cement as
92,48 A %+ D ` i `_,. -,.• i j FORMER UNDERGROUND STORAGE TANK S. The contractor shall be responsible for.0 Cco,penis,and.orpcctfoes required for recommended by aloe pipe manufacturer. Joints shill be fully seated o verified by
+ A' D _ _ __ the project eomtnn2lon. suitable alignment nub.
I sr 97.7 MW-I v/ 99A ( __J APPROxn4ATE AREA OF PREVIOUS EXCAVATION
PROPOSED RECOVERY +98.4 - 6. The contractor shall satisfy himself o to the edsteece of any buried or bidden 2. AB prodsctfwater sew...ry fines and air hoses ahttll be of material*as apaificd w
TRE77LTi: RW1 48.5,.a yr � B3---�- EXISTING TOPOGRAPHIC CONTOUR LINE subsurface conditions or obstacles which could impact the cons or schedule for Sheer T-3 and shall be seamless with brm'fockfag•spat mamma_All water sad air
p _ B t s MG `� �r completion of the work prior to hegianing construction Geologic don 10 presented hose toonootiom shall be bested IooMe wet vaults u noted on Sheet T-2,
/ •r97 1 2 B ;y g { EXISTING LAND SURFACE ELEVATION 3. Install 1/{inch a atria ill 1� t
982 xr f V s for Informational purposes oety.BPA warrants only those conditions misting Y the
• } - 99.2 (RF-1.ATIVE TO TBM OF El.100 FT.) specific :loos, P depths, t borings/wells
7bo p g in ovlily conduits.The I stria shall be twice
97.7 i s ` '� 'S. a e bra to the s a and at the date of drilling of boric
s a`A. j r '.\ 'W A'- t G_'. InstelledbyBPA.[awtigatiouAatupeoteoioaa oft co�tiomttgroundwater the length of the conduit run
RW- . i � } '+? conditions cdstfo at other than:hue
e s x g specific boring Mations and/or at other than
'o y 13 98.1 ,,AA� c =; CONTOUR INTERVAL=0.5 FT. the time or drilling ate the responsibility of the contractor- otiglnaboring Oq recover? ( recovery lines and air hoses thou be
po ty Copies of l 4. Prior to bacttBl trench(es),the
+ \i. i lop are available upon request. possums tested by maintaining■tooanot pascoto of 100 psi for a m[oir=of 30
Nu A` 98.6 ' iw_y TANZ \��"'�-`'..,.,,, T'OPOGRAPHY(REIJ TIME T'O TEMPORARY min'men.
-,�.' '� ✓`*PIT2 t>, L: BENCISMARZBY BPA ENVIRONMENTAL d 7. The contractor shall satisfy himself o to 5. Where luamHW I¢ can and cores
0 .S .� ,%0 s;p` (IBM)) tafy graenrMtoe IevelJveather cmmtiom
98.8 981 ENGINEERING,INC.9/11H5 anticipated at the time of construction and shall be rapoambic for all trencher, the utility conduit(s)for the air
v� a, a479 •4 v 988 + . 't drat ageMewabuing aad/ot divettie*of rainfall ememary to effectwouraaloe ottbe Soseahecovery lines and the treatment system discharge pipe:halite properly bedded
__ 's97.1 IN-\ i VASE MAP FROM CRUTCHFIELD SURVEY discharge pipe and infiltration gallery to the tine and grade shown- o provided herein The pipeicoadoit(s)slag be Idd true to lime and grade on a
MAP NO.02-20-87,l ini 7 shaped bed of Na 67 weds=stone along their entire length. Should rock be
MW-5 9 8. Materials and construction shall be of re doss workmen,*thronehout. Alt =muntQed,the trench shall be undercut at leastes 6 lath andbackf0i1=withswnbic
-0- s+£ 97-2+ AOETAI UTILITIES @ construction shall be to the Reefs)and grade rs s)shown on the dwiage material free of task or gravel
89.0 +993 $ APPROXIMATE LOCATION OF
M W-4 $� +96b e- 'b TEMPORARY �. FactpeeEogioeer,the NC 6. All'dean site soil'bac�li to be placed n pipe cover shell be of approved manial.NC9UT R/W,30 FT,FROM 9. All work m progress shall he tab' to the ins :ion of the
BENCHMARK OLD US 52 MINK.or other Shoe rod teal outbodtlu at any time. Final inspection enden dcBnad bemire The fill along be placed fa 6-8 Farb bmo horizontal fayrn and shell
_ + tb
979 approval of the coestrnen shall be by the Engineer,or his designee be compacted to at least 95% um of the maxim dry deaaley es determined by ASTM D-
qh cV 698(Standard Proctor).The moistore content shall be maintained within a range of
PROPOSED GROUNDWATER
(SEETER
TREATMENT SYSTEM Stirnf3 T-3,-T,-1) Ill* Tie contractor shall warrant and be a mpoaaible for materials,wohmanab e,proper elm or mires 2%of optimum moisture doting compaction. When compacting in
fuouion and oporotioa,and ramified performance of system coorpoae:nta and fayers,ash lava must be tborougbly tamped by a arrsbmiwl tamp before rho neat
construction under his control*Should the system ood/or its construction not deli is layer is place&A pneumatic tamp,a gasufioe tem type tamp,or a vibrating tamp will
20 0 20 40 the specified performance;the contractor thou mete adjustment;effect*alms,or be required to meet the opecfsr•.slr.at of a asecbeoical temp'
lPLAN LOCATION-PROPC)SETZ provide a suitable replacement to the satisfaction of the Engineer_
era?In D(FEET IBFAIMIsNT SYSTEM
7. 'Clean site soilr•shall he deEsed as soils remvsd from the proposed locality of aloe
iotitratioe gallery anal atkover trenches which are(nun areas greater than I IR
C'EMF27'I'GROVI'PAD Inches diameter and absent of petroleum rootamfootioe u determleed by periodic
\fY t7 Vac•.Ntleet�rATKta rpt m SPC*ATER Ri5P8 OVA headsps.tcreeaiog by the BPArlte supervisor.Should OvAacreeoingsuggrst
241K.SO.LOCKING FLUSH !-I- petroleum coatemiaa(too is pecseot within excavated sal; the petroleum
�:.-'•f O9watarwMstarnsyFrtorrSyram tr Wee atw-tu.dRW2.pW-0wd RX-a alto mrMafbeoitbwt,p Spad6t err,.See Sheet T-]forfireawyharp motamimted soils shall he stockpiled o030 mE plerie$outh of the ecsting building
MOUNT STEEL WELL VAULT *2a INi- 8IUDIAM PLUSH 8y,ymtipo- ,s
1 •, MOUNT WELL D and betmed with bay bale at We dirtstson of the B_PA site sopemror_
t - 4 r VAULT two was Sept b Wel O.0ps Design BpoBlod OW Poop Saco Op.Asonr Cpsralenal
2'0' COMPALIEU CLEAN SITE . _ ,i:-- ht. QitRCol Eaec Wi.ee Jlvpd,ffi Yt�s_(ts�m Sk•' nevi F�wrr P+essfN p4treot a7vddrt Rid Oros 9Q PmawAtpwl
EXISTING GROUND t• ? „S„
SOIL BACKFILL - 1tw-1 2 oS 00 at-ter 0-5 ate+6weAP SPECIFICATIONS FOR CONSTRUCITON OF BUILDING SLAB
-Ftfi.cgml L7a YlxsDkWb m o-m
SURFACE ELLyf,bEXIST1Nj,MONITORING sw_s a .a n 1-4 0-40 cr£ta,oaW-Y1Lway.at sskt,mlNteta a a-ter
- ..,,.-- ; N4 N WELLHEAD COMPLETION iv-3 4 at se 1-1 o-ao rya era-aster
'a' DETAIL MW-ATYPICAL) tar* a.atwxskvlsb V 4o-ter
£ _ I j RN-4 4 as et 96-4 0-.c GEE Shed 1. Tbc maacrc building alas for the ucatmcat mime shalt be a turndown ales of 4loch
y., • Njr , .., 1Va,ugd AD sr p-ter unmloal tbickoeao constructed of 3000 relobosced concrete with a 4 loch thick
4• 24 IN-MIN.DEPTH 1.- ___...LLL pal
+18 IN. 5 --;r �:' OE BURIAL FOR f I TLtoO..i+sy+mnritt lRoiq S-7F9prrr suhba.eo(Na 67 washed mom.Control joints thaUbeplaced atold-Iwgtkmndmid-
sto
F%'-% '' x 9[N. NOTFi• tleshremeeedown width of the concrete slab. Control joints shall be of I inch minimum de th. See
t'. FREEZEPROTECTION aiaasy.a+e prod<xt eels.dlMs.me+.a non wrwro- �r_;d •'e Sheet T-t for comstrunion deb its• p
:�s.�Tr.- SEE SHEET T-2 FOR WEII. BASS wra,;,s2 y0vsyrw to sal pry Ors is
'-.mg 3 12'NOMINAL THICKNESSwe bemp pued tamraatybrm,e aewe moon av atet o.nx
61N. AA YELLOW'CAUTION'TAPE wf CONCRETE PAD VAULT/PIPING DETAILS. 2- Influent,discharge,and air line modules and control wire cooduite shalt be stubbed
6 IN. ts, METALLIC BACKING REMOVE AND REPLACE OR
1."it MODIFY EXISTING CONS RUCTION through the concrete pad into the interior of the utility building as showy on Sheet
NO.67 1 IN.ID.WATER RECOVERY LINE FXIS77NG RECOVERY WV.T.I{F�tD ASSHOWN THEREIN T.I.
WASHED STONE COMPLETION DETAIL FINAL
INAL DESIGN
4 IN.SCH 40 PVC CONDUIT
(RW-1.-2.-3.-4f!'YPICAL) SITE LOCATION MAP
3,4 IN.MAIN AIR SUPPLY J \ / -,' ry-at
SECTIONA-A'(NTS) NOT APPROVED FOR CONSTRUCTION - ;�� � -�'-? _'�� �'�- `° 4 � ,
/ \ " / �' ;M t►Mal"
EXISTING GROUND EXISTING GROUND -1 .q (1,.)..k*j'� f =sl a 5_EAL r',
COMPACTED CLEAN 't l�_ •, I
SURFACE SURFACE COMPACTED CLEAN EXISTING GROUND �l ti- 11 t e_i s • - /
SITE SOIL BACKFILL ' _ s:nE )-` ,) _ �� •t' I�
SITE SOIL BACRFTLL SURFACE COMPACTED SELECT _ J!�``(�/jy
VC
EXISTING GROUND �--2'O'---i COMPACTED CLEAR 1--2'0' 2'0' Y 0' SITE SOIL BACKFILL • ��..........�' . • -•_-- 7 f s 8E .'- /f
SURFACE SITE SOIL BACKFILL t_ �\
�"� a '�� , N ''... . .,.,. iiyaC
7 . r[nr44 ern f . r-4 24 IN.Mesa.DEPTH �s{--.4..." m. tea,,-ale , t t S` f� del 4 S
+18 IN 21 IN.MIN.DEPTH OF
O--7 "a✓a =-24 W.MIN.DEPTH I -v Ni (j 1fJJt1/'r, t .
;r OF BURIAL FOR t 181>` ti� t 181N �� 21 IX.MIN.DEPTH ill IN 1 '✓� � ~
.a„- = E PROTECTION
�,.`.BURIAL FOR FREEZE :9 `.t OF HUR[AI.FOR OF BURIAL FOR „
- PROTECTION I .r FRFE/FPROTECTION IC/ •
I. .s 5, - FAeEZE PRorecnoN I _ ';'v \/r;^ {11 n � . -,7 7.
1 1 II '
6 RC -�� d IN. - i �q E 6IN t, L to00 0 2000 3000 LONG HILL STORE
• YELLOW'CAUTION"TAPE 6 IN' I 1 -. 4144540451
61N f1� - 6 1N. L YELLOW-CAUT70N- -•> SCs'P IN FEET
PILOT MOUNTAIN,NORTH CAROLINA
-T- u, M { rw\ TAPE Wf METALLIC fills. _ _ 'YELLOW'CAUTION' NOTE t.
WITH ME'7AII.lC BACKING rar! YELLOW'CAUTION' 6IN. .+x.�
-T TAPE Wf METALLIC T TAPE W/METALLIC LOCATION MAP IS FROM USGS 73 MINUTE
NO.67 t IN.SCH 40 PVC CONDUt7 FOR NO. \ BACKING NO.67 BACKING NO 67 '
WASHED STONE INFILTRATION GAL t>'RY HIGH WASHED STONE WASHED STONE WASHED STONE
LEVEL SENSOR CONTROL WIRE 3/4 IN.MAIN AIR ONE-I[N.LD. BACKING TOPOGRAPHIC PILOTSERIES;MOUNTAIN,AIRY SOIR'H,
BPA Environmental Engineering, Inc.
W0.t IN.LA WATER 11N.I.D.SCH 40 PVC
TWO-:IN.LD.WATER NC 1470 AND NC(1971
RECOVERY LINES f3 D
SUPPLY RECOVERY LINES WATER.RECOVERY CONDUIT FOR INFILTRATION REV.NO.2%eJ3 iv'tF i'1� t ` }1 1 =
2 IN,SCH 40 PVC EFFLUENT DISCHARGE PIPE LINE GALLERY MOH LEVEL ilia T O.t99T .4.1995
(I%MIN.SLOPE TO INfILTRAT ION GALLERY) 1 IN.SCH AO PVC 6IN,SCH 40 PVC CONDUIT SENSOR CONTROL WIRE EXPL`tN ADD BAR SCALE;INCORPORATE
CONDUIT 3(4IN.MAIN AIR SUPPLYWWI:AM WAR
SITE PLAN
SECTION D-D'(NTS) SECTION B-B'(NTS) SECTION C-C'(NT-S) SECTION E-E'(h'TS) to IN.WATER COMMENTS;
LINECOORDINATE
DWGS SHEET G-I

SPECIFICATIONS FOR INFILTRATION GA FRY CONSTRUCTION SPECIFICATIONS FOR SEEDING
MW-7
PROPOSID\ 111I EXPLANATION 1. Discharge pipe.manifold.and distribution ties shall beef specified nominal diameter 1. For newton control and aestberirs,peraaocat grass cover shalt be established on all
FILTRATION GA LT Pg.y,:.-- N Schedule 40 PVC as noted on the drawings. All joiolsilittings shall be cleaned mad disturbed areas at the completion or construction.
-
' MONITORING WELL assembled In accordamx with manufacturer's recommeadatioos loinv/Dttings shall
lbr y
he glued uniformly around their fug circomlereaoe with a suitable solaew-based 2 All disturbed areas shall be fins graded or dressed to specked final contours and/or
h0 RECOVERY WELL cement as recommended by the pipe manufacturer. Joints shall be fully seated as original misting typical sections and plowed parallel to topographic contours to a
PROPERTY LINE verified by suitable alignment marks. depth 46 ioohm.The top 2 itsdtes shall be pulverized to provide a uniform seedbed.
FINAL GROUND SURFACE OF GALLERY \ Lime shall be applied beforo ploang-
le
TO BE GRADED TO SLOPE MIN 2% >i 9a \ ---- UNCERTAIN PROPERTY LINE 2. Fiord bonedco o[the yi hydrostatic
pipe shall be hued fo the absence of rnptetoea of
TO DITCH TO ENSURE RAINFALL RUNOFF p
\ . leakage nntn. bred an k onbs tp leakdowo tau [:sand as the d
Per r�P�On 3. Kinds and rates(per sire)of seed,Fertflisec,one limestone:hers be u follows:
coenrumton wherein■constant pressured 30 psi is reahmained fora min.of 1 how.
• , \ —_— OVERHEAD POWER LINE fit NCDOT RAY
r 100 Wa Xcotucky 31 felt fescue
:J- 3. The manifold end dstributioo Imes to be installed within the inTltratioo galleryshall
y id dy -. �� properlyPr grade 15 roc Reliant,SwWia, Aurora hand Nessus 91 111/. 3 - ,\ \Y en a bed of bedded waasbed mane which been shell
in as n Corm taper seines the
if
P y 500 iba 10.20.20 fertilizer
,;yayb ((t�)S�� FORMER DISPENSERS3� 1K ^ btxbm of tbeiafd[ration gallery and chapel tomaform to the dutnbutio furs alaag d000 grt Limestone.TTINO MONCTORWG AND L ' � 4. LimS++ed(s)and[ertillaerthan be applied with aniforms �r'y s a i-s TAN :Yt method t not acceptable.• --'- FORMER UNDERGROUND STORAGE TANK,&- PIT1 / 4. TpreventdoggigthMirafi140NgeoteatriaSlierhak:ballbelaas aW2 \f,�F" ` % �i F Y.. 1-------- APPROXIMATE AREA OF EXCAVATION separawr fabric ores the top sorbtae d the washed:lose prior m placement of the 5. The reeled area shalt be cuhipadced m provide a firm seedbed and seed:hall be
NOTE ELEVATION OF •.' J os ---J overlying select site coils AR Welk strips/edges ahmH be overlapped a minfmtsm d 12 adequately erected.
CONCRETE PAD AT KW-2 \ t'�% , rr 95,�- TOPOGRAPHIC CONTOUR LINE(PROPOSED) inches.To prevent UV deterioration the opened fabric roll shell not be capes.to
EL 9&Os FT,TOP OF `1 k�y_I •\ / ff., direct sunlight for an extended period and will be covered as soon as reasonably 6. All seeded areas shall be mulched with graimttaw and tacked immediately after
CASING EL 97.09 FT / j •'- \ osuble. The initial bore lift of impervious corer shall b< laded blasting and
�' -� 400
_{`- P Per"i P by b seeming.The molested area shall be either staked m tacked with asphalt sufficient to
•. spreading a windrow of impervious sob cover ahead of a small dour or small loader. bold the straw in plan.
x In oo case will vehicle traffic or berry machinery be allowed to travel directly on the
/ RWH-I v i.::.� BUILDING \ _ filter fabric nor will coodltiom such that mud will cake or dog Ilse fabric be allowed. 7. Grain atom shall be applied over seeded areas ace mukh No bare ground shall be
• r_ ti^ t, visible Thick clumps of straw ere not permissible;a uniform coverages required.
'pj • a •.. - + CONTOUR INTERVAL a 03 FL 5. The impervions covet for the Infiltration gallery shall be construct.of'select site
• %J'\ - ;r} stair bs"smt,on defined herein,to the final Ike and grade shown on the drawings- & Ditch treatment shalt be toed where elopes w steep grader could owe erodes_ Use
• MW-6D '� -\\ .. TOPOGRAPHIY(RELATIVE TO TEMPORARY The select sin soil bact[UI she![be placed In 6-8 inch loosed life and compacted to at of jute mesh,no ekior matting,or fiberglass roving is acceptable. Ditch treatment
7 - .tTNK BENCHMARK(IBM))BY EPA ENVIRONMENTAL A Least 95%of the maximum dry dewily as determined by ASTM 8-696(Standard should be im41{d blots the mulching operation.
RW 3 ,I.:'~ / i
\v pTT 7/ t . ENGINEERING,INC 9/13ry5 Proctor).The moisture content shall be saintaind widths a range of optimum to plus
litc-w3\-t- v ? 3%oCoptimnsmoirturoduriogcompactae Wheacompactlagm]I!v,eachlTtmuu ]breperodoCthree(3)monthsehercompktaadeoaetruction,theuoatracorshalt
/ t BASE MAP FROM CRUTCHFIELD SURVEY be thoroughly compacted using:event passes of an approved mechmiml roller before aced and=mulch as required to maintain a healthy stand of turf gras.
vJ / a-rT 4 MAP NO.02-20.87,11R/8I the meet loose lift u placed. A towed or self-propelled wedge foot or aheepafoot
- = -: roller,smooth drum roller,or rubber-tired roller capable of achieving the specified
—� K'_ companion with 4-6 passer will be required to nest the specifications of'mechanical
-ai \ ;v roller.
S \ \ .y GENERAL SPECIFICATIONS FOR EXCAVATION
'IIII
MW-S 6. 'Select rite rani:bail be the tonal permeable of the dean site sons as reviotu
+ s TEMPORARY Pc ( P rJ•
s\ M W-SD — Aa S`I'OC]�IZE�� defined on Sheet 0-1)removed front the proposed location of the infiltration gallery
and shall be free of particles greater then 3/4 inch diameter es determined by the I, To not compromise the integrity of the misting building, pavement structure,
Mw'-4It.______, STEMPORARY LOCATION OF
visual tdassifiotion of the BPA Approximately en
site supervisor.Apprimately 100 ey of select she shoulders,and earbeekmt dopes;.open cuts shall n sicc ut ed 10 ll in depth nor
APPROXIMATEBENCHMARK NCDr7f SJW,30 FT.FROM solk shall be segregated and stockpiled for sae as Hoar Impervious ex ue
us cover for the encroach within a distance of Ica ft to the matting building fodalions.
DISPOSE OF CLEAN EXCAVATED SITE SOILS h OLD US$2 infiltration gdlery.
9 14 FT X 22 FT X 4 IN NOMINAL
BETWEEN EL 90 FT-AND EL 96 FT CONTOURS. ,— 2 Excavation..or adjacent w the right-of-war which may be hazardous to traffic shall
THICKNESS CONCRETE TURNDOWN_��
AS SHOWN. COMPACT IN 10.f2 WfF LOOSE LIFTS not be ten open,unp nteeted,or otherwise allowed t0 remain onside or arshielded
TO 95%STANDARD PROCTOR MAXIMUM DRY DENSITY- SLAB(TOP OF SLAB AT EL 992 FT s)- overnight
CONTRACTOR TO REMOVE AND DISPOSE OF EXISTING RGANIC
(SEE SHEET T-1 FOR CONSTRUCTION DETAILS OF CLEARANDPROOFROLL
FOUNDATION AREA UNDER SLAB OF DIRECT
CONCRETE PAD AND PROTECTIVE FENCE) MATTER AND PPREE SUBGRADE AS PER DIRECTION
TREES AND VEGETATION OFFSITE PRIOR TO PLACING OF BPA FIELD REPRESENTATIVE PRIOR TO PLACEMENT 3. All e>mvatians and temporary bracing of rouvations shall conform to OSHA safely
BACFI KLI_ONSITE BURNING OF DEBRIS WILL NOT PLAN-FINAL SURFACE OP GRAVEL SUBBASE OF SLAB_ guidelines
BE ALLOWED. GRADING 4. Proper temporary and tem..'erosion control measures shall be used to prevent
siltation of stream:wad adjacent property In aorerdaace with the correnr edition of
20 _ _ - 0 20 40 the NCDOT Standard Soeafiestiorn for Roads end Streets..sad all local,State,sad
SCSI F IN FEET Federal retaliations. Siltation basins,silt freer,and sodding and mulcting shall be
SEE SIlE TT T-2 FOR toed,as required and where appropriate
TYPICAL VAULT BOX SECTION SENSOR CONTROL WIRE 5. An areas excavated material shall be removed and disposed in designated area
19 W.COMPACTED SELECT SITE SOIL 1 IN.CONDUIT FOR outside the limier of bloc right-of-wry-of-wryin such a meaner ea not to stole onto nor to
COVER;SLOPE MIN_2%TO ' �� interfere with the drainage of highways or adjacent properties.
EXISTING DITCH FOR DRAINAGE,W/GRASS COVER NO.67 WASHED STONE HIGH LEVEL SENSOR
ELECTRICAL CONTROL _ 6- Any drainage structure disturbed or damaged by the wort shall be restored to its
FINAL GROUND SURFACE --2%MIN_SLOPE TO EXISTING DITCH
M I40 N WIRE w�u.SEAL original condition as directed by the Eagiaccr-
FILTERLTER FABRIC
EL 99 IT.± —EL t00 FT \ 4 1N.SCH 40 PVC MONITORING - '• = *12'BI-_NIONITE
•'.. fib ors T' - 1 _SEAT ?- At the sad of construction,permanent great coact stall be established on the
EFFLUENT PROM— F, - - :,. PIPE/WELL SCREEN --.-.—
,+ ti, - EXISTING WELL M W-2 s INFILTRATION GALLERY i- - impcnioaa soil cover or the infiltration gallery,all cut/cover trenches,all disturbed
TREATMENT SYSTEM : ��;,, f t;.: MONITORING WELL FOR DETAILS k SPECIFICATIONS area,and all die 1 stress in auordaace with the'Specifications for Seedio
T TO BE PRESERVED T p°s+ g•
EL 93 FT.±— ' l2"IN ''' I EL 93 FT.+ SOLID RISER Ti) (SEE DETAIL THIS SHEET) OR HIGH LEVEL SENSOR SEE - *4 Ff.SLOTTED PVC
2 IN.SCH 40 PVC EFFLUENT LINE v DISTRIBUTION / SHEET T-3 = SCREEN(0.020 IN.)
2 N.SCH 40 PVC DISTRIBUTION MANIFOLD. RISER 10 pT — WIENDCAP
FROM TREATMENT SYSTEM/SOLID RISER f0 Fr,
NO.67 = -
ANDTEE TO DISTRIBUTION MANIFOLD MANIFOLD CONSTRUCTED OF SLOTTED TO BE SLAT GROUND AND B s •
WASHED STONE_.-
PIPE(.020 IN.)AND SOLID TEES CAPPED AT ` +p� Y A' N SEE SHEET G-1 FOR GENERAL NOTES
SURFACE FOR LATER / Y r `
SECTION A-A' HOOKUP TO EFFLUENT 0 t'f` x._ LIMIT OF EXCAVATION OF
LINE FROM TREATMENT z•:ir'^E'+.
5 .' 10 20 SYSTEM S INFILTRATION GALI.ERY
SCALE W FEET j Ens.-. .•.............
,` v vs;wo
47
4
trs „I;L.i 40TT. INFILTRATION GALLERY MONITORING
IS IN.COMPACTED SELECT SITE SOIL 4 b ter. `� WELL SECTION fTYPICALI ` e 5 -)z'Y
MIRAF1 140 N IMPERVIOUS COVER;W/GR ASS COVER B' NTS
NO.67 WASHED I "" ,,^'`�Qq
FILTER FABRIC STONE FINAL GROUND SURFACE 2 IN.SCH 40 PVC DISCHARGE PIPE - V�.�er (yq(
IN CUT/COVER TRENCH,MIN.2 FT. v\ ffryt7er0 (fgGJ
—61,99.5 Ff.± DRPTHAIN G (SOBBURIAL,1%MIN.SLOPE i I �A� DESIGN
i/ hr'' t
EL 992 FT t— g El. '- TO INFIOF N GALLERY FOR c\ 'a �f'� (2l.�'�.
..� s r" ,.r �#� .:-d DRAINAGE(FOR DETAILS OF EXIST-MO
CONSIRUCTION SEE SHEET 0.1 BUILDING
'.s` 7 EL 93S FT.- } LONG HILL STORE
EL 92.5 IT.±�-- • l2 IN. UNCAPPED END(S) EFFLUENT LINE FROM NOT APPROVED FOR CONSTRUCTION PILOT MOUNTAIN,NORTH CAROLINA
2 IN.SCE 40 PVC SOLID RISER 21N.SCH 40 PVC SLOTTED(.02D IN.) TREATMENT SYSTEM era
TO HORIZONTAL MANIFOLD
DISTRIBUTION PIPING • TREATMENT
SLOPE BASE GALLERY/DISTRIBUTION SYSTEM BPA Environmental &Engineering Inc.
PIPING Q 1/40 TO NORTHWEST // �
PLAN OF INTERNAL PIPING REV.NO. 2 't al/1.4 1 Pills I r4(d(
SECTION B-li' Y_ITIiILI INFILTRATION GALLERY DATE DEC 12 f995 _DEC.4,1995
PLAN AND SECTIONS—
' 67fPLAx ADD BAR SCALE INCORPORATE
10 0 20 40 INFILTRATION GALLERY
5 0 10 20WSIR
- cSr-►i F W FEET SCALE IN FEET COMMENTS/
COORDINATE
DWGS SHEET G-2

_ _ _ _ _ _ r -
I rCOROR1 t/ �Psera
IHLPSI _ j FINAL DESIGN
NOT APPROVED FOR CONSTRUCTION
AIR
fl_ 140 COMPRESSOR
4
-r� DISCHARGE TO I DISCHARGE TO
. 4 ATMOSPHERE ATMOSPHERE 1•t`"CAR''t,,,
•
FROM PROPOSED s 1 ( , • '*L'LS S r: VENT DISCHARGE TO
RECOVERY WELLS I _ A ATMOSPHERE
-79 i :77- +
DISCHARGE TO • rXIM •
• - ,(. , ,/
ATMOSPHERE I I I LHLS I ''' 44 ..••r' L�1s's
E IRON I ,rt141J ftrsvraitl`11`
004 V 4 I ., FILTER I
I . I
I i ' ''....{)C4Clir"''''.51111° . I •
•
AIR t
7 @
PNEUMATIC CONTROLS TO IRON STRIPPER
I fir,
FILTER WtR
BE INSTALLED WITHIN _ RESERVOIR
PROPOSED BUILDING eTh 0.3 ��--L
LPCCI ( LPCC2
HPS --l...1-7 I HPS I TRANSFER
•
DUAL GRANULAR ACTIVATED]
I HNS( //
TP2 CARBON CANISTERS
�\�j \ \ \,\ I LHLS I I HPS ! I till
\�\\Q
DISCHARGE TO
I BLOWER INFILTRATION GALLERY
I
U , TRANSFER HH
PRODUCT _ •
' ri P - TANK
T
O:L WAT R I
E
T� • SEPARATOR LINE : •+ TRANSFER INFILTRATION GALLERY %� INFILTRATION .
PUMP (DESIGN BY 8PA) GALLERY
I TP f PROVIDE ON SKID OR 1
: iff tN Pf?FCONSTRUCFED BUILDINGLE
Y HH S I : PROCESS WATER LINE DC(I FLOW CONTROL VALVE I HPS I HIGH PRESSURE LOW PRESSURE
L. SWITCH I LPS I SWITCH
--- — PROCESS AIR LINE ^ LOW/HIGH LEVEL
[�I_I�' BAG FILTER ILHLSI SWITCH IHLPSJ HIGH LOW LEVEL
— — CONTROL LINE PRE SURE SWITCH
(HHLS( HIGH-HIGH LEVEL ��
0 FLOWMETER/ SWITCH ! 5i 1 SOLENOID VALVE
PNUEMATIC RECOVERY -——" VENT LINE TOTALIZER
PUMP (4 EA TYPICAL) • INTERNAL PRESSURE GAUGE Fuca PRESSURE CONTROL
PRODUCT TANK PRODUCT LINE VALVE & FILTER
,PRO.VIpF DN .SICIQ OR . , , • , _ 0 FLOW INDICATOR NM
IN PRECONSTRUCTED BUILDING • • • • • PROVIDE ON SKID Ej STRAINER
2-WAY BALL VALVE
CHECK VALVE Cl- SAMPLE PORT NORMALLY CLOSED
CF- QUICK DISCONNECT a2-WAY BALL VALVE
NORMALLY OPEN
r%-,t�=, WHOM t Eu►�ra It Surveying, ,+.+«" t:o1 1
LONG HILL STORE , , ""` p... ..o
,,, , .,ro„ �,„ -Cary. NC. zn„ PILOT MOUNTAIN, NORTH CAROLINA PROCESS AND INSTRUMENTATION DIAGRAM P- 1
c..:. sr.9-.as-xi.a AU'ors--.s7-coax a..d.i By �...�
� •. -- ___wr 7o-n-aoi

DISCHARGE TO R41LTRARON:AUER,'
H
1T15' -g�--� �
ut I 4
i x x x ,r.= X i
A ` 6 X 6-W1<x WI.4, o d d Q7 o.kusr u- 'h
p ` WELDED vARE FABRIC. 1 2'$(}T.O PVC WF�LiRAnon CALLER,DISCHARGE !- XH.so PVC P,PE I t I Err-TI ,
\ p
eswl/>� H 1 U--vm) •
•
2 I
III„Ill' . . 4 p
JRi.\R► - \ /
p ! 1 NOTES:
111111111111111. 1. 1" WATER HOSES SHALL BE PARKER 841 HYDRAULIC HOSES X \�1 X
!'SCR PVCN OT OR EOUIVALENT. 3/4"AND 3/8"AIR LINES SHALL BE PARKER 301 -5
p L FOP InFUTRAnDN CALL Rr PUSH-LOK OR EQUIVALENT.
�..■■� wGR LEvELRCR WIRE
■■■.F Z CONDUIT.CONTRACTOR TO INSTALL 1/4"PULL STRING IN ALL WATER AND AIR HOSE v 11••■� 3. CONTRACTOR TO VERIFY LOCATIONS OF EXISTING ON-SITE (1 ,vv:R) O� I o
1■■.r CI"-. UTILITIES PRIOR TO EXCAVATION. d
(r'11 c
'."911111r' 4. SUPPLY UNIONS OR OUICXCONNECTS AT ALL UNIT PROCESS
4 INFLUENT AND EFFLUENT `7 sc...so P PPE
d 5. CONTRACTOR TO ROUTE PIPING FROM TRANSFER PUMP WI THROUGH X
IRON REMOVAL FILTERS TO STRIPPER. it -
TRANSFER
a
- 6. ALL PIPING TO BE SECURELY ANCHORED AT 4'INTERVALS. X PU..P:RI
7. OIL/WATER SEPARATOR. TRANSFER TANK AND AIR STRIPPER SHALL -
- BE VENTED TO THE OUTSIDE 10 FEET ABOVE GRADE BY A COMMON 4 INCH a
DIAMETER PVC VENT PIPE OR SEPARATELY AS SHOWN. TRANSITION THROUGH J`\
23' . f -1 - WALL OR CEILING SHALL BE WATER TIGHT. a ` ,
`T V q 5 LOW PROFlLE AW STR,0PER ` 24'
EQUIP..ENT R1n:DING "q (4'-VTR)
p ANCHOR TO CONCRETE C C X
ANO LOGY.CODEPER S�ECsfuTONS
-
V
.� p .4 1 r scH z°avC x:No HMB CONNECTOR
A [ l
4" CONCRETE SLAB — (' 'iy "r) ,
_NiV
3000 PSI �� Y.
SKIPPER BLOWER
• -" -I' S
2" S01.60 PVC PIPE \ 'ny1, 3 O�SLT`ATOT
f _ ti BAG FlLTER PDYP TPZ
'`b.A 1
p 6-S7.A0 PVC CONOU1T FRO..RECOVERv WELL RW-3 RW-1 MW-1,&RW=3 I RW-4 WA,.'.3
: / _ -- TO OLAvATER SEPARATORs. '
4 V V • " O 9AG FILTER ,u0.� P C r,¢
Hus Hi X
urs-x
•
FLOW TOTAu2ER(TIP.)
A I •
• • • - - 0 �' 1-Row CON TRa VALVE(TY'.) Q 9 j B" a
t• p 4 a
- V - .. V.'SAMPLE PORT(T P.) IowHORo4-� ` �r�����.��{ m......
!! �`' •
vT -C. "T_DCVR CONCRETE.A0) f
• ..� .-y-� q - , -REC01£RY LINE(TIP.) - ` ` 'Six':ETAL ON d d
•
.• p - - - 4 v VA W..AW SUPPLY LINE I BUILDING S'.AB \/ S\ Y O 4 X
\
ROUTE 10 AIR COMPRESSOR �\ ZQ _ - I,
}
-4"Sal AO PVC CONCUR FROM RFC°MDRT WELL P.W-4 / 1
CONCRETE PAD DETAIL i 1 1 sly
I CONTRACTOR SHALL PROVIDE
1 INCH = 2 FEET
5 SO 40 PVC A SCH 00 PVC TREATEID0 4000 b'xCR F0 0'
\ •FACE 4- CORSTRUTS OF
CO0Dtxr FROM Rw-S CCNDLAT ERNA Rw-A . X VERTICAL4- S:ATS o fi 0-C
1'GATE 5'0 C..T X POST TO BE WV°..UL
e'O.C..6"x 604 TOR UTE
Awovaa IDEGA S-S X TES AS N ROARS TALsN L BE
WELLED wxRE FABRIC
3--.., _ 4 — T EQUIPMENT PLAN FOR PSUPPORTO An0 GALVANIZED.CAAZED TURNBUCKLES IGES.
SECTION B—B' PIPE MANIFOLD DETAIL ALA WOOD SRtALL BE PRESSURE TREATED
1—
GROUND CONTACT OPAOE
•
u 1r 1 •
,- f • .• GRAPHIC SCALE
WASH NO SCALE
- z Urn STONE
CENTERED I, 1Er 6 MIL VAPOR EURRIER
,,,,tlt if:frrrl
• I T- SCR 40 PVC CONDUIT = SCR.O PVC oIw �S rr { IN FEET }
FOR INFlLIRAD N GALLERY RNFlLTRATION GALLERY A+`
HIGH LEVEL SENSOR WIRE orsoaRGE v+A� `` CAR /r�ir� 1 inch = Z ft
ii SCH l0 PVC i SCR sp VJE
CONDUIT(TM) CONasT UTE.) s Q -7 .� LEGEND
SECTION A—A' — CONCRETE PAD EDGE (TYPICAL) _ EA - ————
PROCESS WATER FROM RECOVERY*ELLS VENT THROUGH ROOF
1 INCH = 2 FEET 4 - = _•_•— v (VTR)
ffL•� /'1 ��+� 1-SCH. 40 PVC CONDUIT X
'� !j••. V ��`L`R`e PROCESS WATER X PROPOSED FENCE
I
INAL [)E
S I G IT`S /.�•' ..f•���� ��, INFILTRATION GALLERY DISCHARGE WATER
UNIT PROCESS FOOT PRINT
�ps"Pitt It fff ii'`��,
NOT APPROVED FOR CONSTRUCTION
Prig WITHERS RAVEN£E Engineering A- Surveying, Inc. Re.:s)als } �v. sAwA 'cw n. '
"°. o«.Q! Do le 'BY. LONG HILL STORE GENERAL EQUIPMENT ARRANGEMENT
.a. AS-9K1•A LFEOAP➢.L
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PlLOT MOUNTAIN, NORTH CAROLINA 0.a ae, Jo*0-
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NOTE: CONTRACTOR TO MODIFY EXISTING Cam%r RECOVERY wT31 CM.) I 1
2' X 2' VALULTS AT RW-2/RW-4 w0- EN NOTE: CONTRACTOR TO MODIFY EXISTING
AS SHOWN HEREIN AND ON THE TYPICAL E%IsTWG GROUND SURFACE t 2' X 2' VAULT AT RW-3 AS SHOWN HEREIN
VAULT BOX SECTION DETAIL 1' s I AND ON TYPICAL VAULT BOX SECTION DETAIL
3/3'AIR SUPPLY uNE - It t
EXISTING WELL VAULT COVER
7---.-7.-7-: 1.5 TYP
f dPEr •y Siam). 1 1 1 .-...,--CONCRETE(�TYP.) I I I I—�
f I 1-1 I. I. EXISTING METAL —I I I- �-
0 . —III VAULT 80X OR DEEP -tI 1 I—I / I' RECIROnw
- I
SEE PLAN FOR PIPwG DIAGRAL< 3 r WIN AIR 54PPLY UNE NO"FROM '
•� t, �—J'4nNYUY I I-1 1'—I( E%ISfING 1� le MIN. (TYP.) -I__ I —) I I- J/(- 1D 3/4 REDUCER
_ f RECOVER/
—III—III— RECOVERY WELL -
11-1 11— OSE TROM Rw_2
• 1 I-1 11-11 —+ III-1 I I 3,R AIR SUPPLY(TY•
•' i$PARE PVC CONDUIT 17 MINIMUM .
EXISTING r RECOVERY wEL1(1YF,)
• s _ _
•
1 DISL'1VRGE NOSE _ V.STAIl IN Rw-4 VAULT - —I I 1—III 36- FvC _ —ti NSTA11 -
_ 7 I
. T PAC r
' • I I—III—I I SANE,--- IL'ONOUR NSTALL r(TYPN(7+L)
—111-111 _ O
PVC �_- [III—I I i—I
f 3,r MAN MR SUPPLY UME 11—I 111 I 1=1 I - 1 1-111-1 I I- A ,'DIS NOSE A'
-911—III-1 11-111 1=11 I-1 l 1=I 11-1 I - 4
3,r TD 3,�REDUCER . - • 11,=11111=1111=11111�1 1I1I�)1111 11111=1111; ;
k
i1j 3 EISRNG WELL VAULT EXISTING BENTONITE
GROUT SEAL TO SURFACE
''-•.--• TYPICAL VAULT BOX SECTION RW-2, RW-3, & RW-4 2' X 2' RECOVERY WELL VAULT
NTS RW-3 VAULT PLAN
2' X 2' RECOVERY WELL VAULT
RW-2/RW-4 VAULT PLAN FINAL DESIGN
NTS
NTS
NOT APPROVED FOR CONSTRUCTION
g
EXISTING GROUND SURFACE
' n EXISTING GROUND 3/8'AIR NOSE TO ccwffiR w.3/4'MAN SUPPLY
ocs AG 2-MONnoRNG wELL .. /: r, I -
WELL VAULT COVER EXISTING WELL VAULT COVER
. _ 6 _
ti - �_ RATED _"- I TYP
:
TRAFFIC
OJUF INN PARY[EKEI�TC'£R 3fr MAR AIR SUPPLY LIE (—I I 1 I— - Y dSCNARCE NOSE
II
_/ METAL VAULT BOX 2s' DEEP MEAL VAULT BOX
MN-LDK OR Mow. - —
Ile - - SEE PLAN FOR PIFNC DUGR:w —
R SUPPLY UNE _ —
_• ����e -III _ \ _ i''/ ENCASED IN CONCRETE III 1—I I III I-
S 4:NIWM \\
I—I
tre.,at
I (TNT.)
=III III i--III _
I-I I EXISTING Y MOWTORNG WELL I l I—) I WSTALL
INSTALL • s / Y uwtMUM ( 1SANDIoUlcAc coNNEcrs e'Pvc coNOurz4'SPARE PVC CONDUIT - !.• f j ^t = ) m EauP PAD
III I ill /--hh —I T—
PVC fl.P X 6' WEEPt14�1 I- RECOVERY _ ,f� INSTALL i PVC -1 ( 1--I I( ( I 1 I—f 1 1 I I—)I I
HOLE WITH \ NOSE FROM Rw-1 J I 1 I - SOPEr�� Y roNDD(T(Irrn.AL) I-1 i I III- I• III III—I I I—
CRAVEL -
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1, ( • • :�N ••,t 1C' I` I a i4 I� ! 5 MN-(TYP)
i i I—II I-III. -11 I1 —i I I—I I I`I I I-III- T,aTONITE,GRG�SEAL
///I El
Pti 0
4'SDI AO PVC RECOVERY Wu.
• - - . . a `3D00 P9 CONCRETE(TYP.) 6 %6-WEEP NOCE wfTN GRAVEL_ ttitttf7tl frJ/4"TO t/4- RECUCFR \\ %' D 1,,NOTE: CONTRACTOR TO REMOVE/REPLACE `3 „ \\a O ..17T• .EXISTING B'• MW—) WELL VAULT WITH z IoTYPICAL VAULT BOX SECTION MW-1 a� °"""°P�` �-
2' X 2' VAULT AS SHOWN HEREIN AND ON CAM OCONNEE3 s
TYPICAL VAULT BCX SECTION DETAIL NTS PNCLAIAT/C SU 4J PW.P ENEACAL) - S A L -
2' X 2' RECOVERY WELL VAULT y
MW—1 VAULT PLAN NOTES: 1) SEE TYPICAL VAULT BOX SECTIONS FOR ADDITIONAL DETAILS.
lL'- Cf -Q�,.• 4`'
NTS 2) SEE BPA SHEET G-1 FOR LOCATIONS AND DESCRIPTIONS OF EXISTING WELL VAULTS. A — A' a.. ‹. �'••-•••-••�����.`
3) SPARE CONDUIT SHOWN ON PLANS TO BE INSTALLED TO EXTEND 3 FEET (MINIMUM) RW-3 WELL VAULT SECTION (TYP.) `'A.f-1A'1 E. 't0%
f7s77tISEIf'
OUT OF VAULTS WITH CAPS. NTS
4) THE EXISTING WELL VAULTS SHALL BE INSULATED BY ADHERING 1" THICK POLYSTYRENE
FOAM BOARD TO THE UNDERSIDE OF THE LID. OPEN SEAMS AND PIPING PERFORATIONS
SHALL BE SEALED WITH AN APPROVED SILICONE CAULK,
wINERS&RA r s ► NpR D.�ylb., Dote By LONG HILL STORECAD Me
i CNN.*by AR*Y.TYPICAL WELL VAULT DETAILS '�` N>= �"`"'
`r �1 r am " •`�' �� zy�lr PILOT MOUNTAIN, NORTH CAROLINA a.. t,/.1 T-2
1:.:.-.N1�.-• 310-IE9-.S3A0 NAY f)}4.67-60E{6 ` \

CONSTRUCTION NOTES SPECIFICATIONS
1. SYSTEM SHALL INCLUDE VALVES SWITCHES GAUGES PIPING AND AIR STRIPPER BAG FILTER FITTINGS AS MCI"IN SHEET P-1 PID DIAGRAM. SHAU_OVTRAY MODEL 2331-P 17R COUIV. FILTER SPECIALIST KMEl rsP-20 OR EQUIV.
BLOWER. 3 TRAY,3NP,3CC 6M t l4' VC, 150 PSI MAX PRESSURE V/ Y NPT INLET AND OUTLET
2. ALL EOUIPMENT SHALL BE INSTALLED IN ACCORDANCE WITH I PHASE, 230V, EXP.PROF CARBON STEEL CONST.V/BUS-N GASKET
MANUFACTURERS RECOQENDATION-
3 AIR STRIPPER'S AIR SUPPLY AND EXHAUST SHALL BE VENTED THROUGH ACCESSORIES, FABRICATED FRAME,AIR PRESSURE GAUGE 50 MICRON POEX FILTER
LEG STAND
TPI SC PIMP,15 GENT I 90'TDM 075 HP, I PHASE 4*55. EXP.PROOF
BUILDING TO ATMOSPlERE AS SHDvM DR PLANS TP2 DISCHARGE PUP, IS GPM!I7Q• TDM>3 HP, I PHASE,2301,EXP.PR[7JF RECOVERY PUMPS
LOV/HIGH AIR PRESSURE ALARM/SIJTDOWN SWITCH EXP. PROOF PUP CRV-3 L RV-4). CLEAN ENVIRONENT EQUIP.CO.MODEL AP-4/BL OR EDUIV.
4, TRANSFER TANK SHALL BE VENTED THROUGH BUILDING TO ATMOSPHERE AIR FLOW NETER. SAMPLE PARTS Q)ITROLLERLESS AUTO PUP - DISSOLVED AND/OR SINKER
AS SHOWN EN PLANS. TANG SHALL BE SUPPORTED AND ALL FIELD LEVEL CONTROLS FOR FEED L DISCHARGE PUPS EXP.PR()tf
CONTAMINANT REMOVAL
CONNECTIONS PERFORMED IN A(SORDANK[ WITH MAMfACTIRERS
RECQMNENDATIOL TRANSFER TANG 3 112'OD X 39'LONG -ROTTEN LOADING
ASSNMRR MODEL HfS 203 POLYOLEFIN FREE STANDING 200-GAR_ 250 PSI MAX OPERATING PRESSURE
5. OIL WATER SEPARATOR AND INTERNAL PRODUCT TANG SHALL BE CYLINDRICAL HORIZONTAL OR EDUIV.V/3' NPT INLET BULKHEAD AN➢ 2' I'MOCK CONNECTS FOR DISCHARGE HOSE,3/13'EUIEK
VENTED AS SHIM"Rd PLANS. OUTLET BILKIEAD AID 2'VENT PIPE BLLIWEAD CONNECTS FOR AIR SUPPLY AND OEBOLT FOR PUP SUPPORT
WI MERCURY FLOAT Sv(TCHES COAT - SUPER SINGLE MODEL SSD OR SAT OR(DUI/. EXP.PROOF PUP DPI-ik CLEAN ENVIRO VENT EC1U1P.COL MODEL AP-2/TL OR EWIV.
6. SYSTEM SHALL BE OPERATED AT A MAX FLOAT OF 12 GPM.
OIL/WATER SEPARATOR CDNTRQLLERLESS AUTO PtNA - TOTAL FLUIDS RECOVERY SYSTEM
7, EXP.PROF ER HAZARDOUS LOCATIONS SHALL LEAN NEC CLASS L HYDRO-FLO MODEL DP-004-F34(R COUNT. 13/4' OD X 50'LONG - TOT LOADING
DIVISION L GROUP A FIBERGLASS COALESCING TYPE,DYNA-PAX 250 PSI MAX OPERATING PRESSURE
13 GPM 19-GALLON SLUDGE CHAMBER CAPACITY I/2' QUICK CONNECTS FOR DISCHARGE HOSE TO WELLHEAD
S. ALL WIRING AND ELECTRICAL METHODS SHALL CONFORM TO TIE TEC- 69-GAL - INTERNAL OIL CHAMBER CAPACITY V/SIGHT I'HOSE FROM YELL HEAD TO TREATMENT SYSTEM. 1/4'OUICK
HIGH OIL LEVEL SWITCH EXP.PROW CONNECTS FOR AIR SUPPLY AND EYEBOLT FOR PUMP SPPORT
9. RECOVERY PUP SYSTEM FUR RECOVERY WELLS RV-2,MV-L RV-3, L RV-4
SHALL CONFORM TO SPECIFICATIONS ON THIS swot_ CARBON CLPCCI - LPCC21 -LIQUID PHASE PUMP CRv-2k CLEAR ENVIROWENT EQUIP.Cl MODEL AP-a/TL OR EDUtY_
ICE CM/TRACTORTO BE RESPONSIBLE FIR ALL FEES PERMITS AND CEQRIRE CONTINENTAL IPL2W OR EWiv. CONTRQLLERLESS AUTO PIMP - TOTAL FLUID RECOVERY SYSTEM
200 LB. ACTIVATED CARBON CAPACITY 3 I/2' OD X 37' LUNG - TOP LOADING
INSPECTIONS ASSOCIATED WITH THIS PROJECT. 15 GPM NAIL FLOW RATE PER VESSEL 250 PSI MAIL OPERATING PRESSURE
II. PRIER TO 1NACKF ILL7NIG TRENCH, CONTRACTOR SHALL.HYDROSTATIC PRESSURE TEST 75 PSI MAX.OPERATIONAL PRESSURE I' QUICK CONNECTS FOR DISCHARGE HOSE,3/W QUICK
j fET INLET t OUTLET CONCUSS FQR AIR SUA'Ff.Y AND EYEBOLT FOR Alyp SIPPERS
RE ORY LINES AND AIR HOSES sr MAINTAININGORALA CONSTANT PRESSUREUEPDXY-LINED CARBON-STEEL VESSEL
or 100 PSI FTR A MINIMUM OF 30 MINUTES. DISCHARGE HOSE 02v-2. RV-3, L RV-4N CLEAN ENV.1' DIA OR EWIV.
AIR COPRESSOR t TANG 125 PSI MN WORKING PRESSURE
12- CONTRACTOR SHALL SUBMIT IN'ORIATION IN ALL MAJOR ECXIIPNENT SEAM-LESS OIL AND HEAT RESISTANT REINFORCED
FOR APPROVAL By ENGINEER PRIOR TO CDNSTRUCTI(71 SNCERSOLI-RAND NNODEL 2420115 HIGH STRENGTH SYNTHETIC RUBBER
SIP.19.7 CFM B 175 PSI TWO STAGE RECIPROCATING LOCKING SLEEVE BRASS WICK CONFECT
13- EXPOSED INSULATION MUST HAVE 25/50 RATING. 230v, I PHASE v/NINIMM BO GALLON
PRESSURE TA PRESSURE GM)GE ARID SAFETY VALVE, HIGH/LOV PRESSURE WITCH 85' LENGTH GCE INCLUDING PUMP LENGTH)NG,
Ia. IT IS CONTRACTORS RESPONSIBILITY TO VERIFY ALL DINENSItM AND INGERSO L-RAND AUTO DRAIN v/TIEM NODEL NfL ADV1711 DISCHARGE HOSE QIV-ik CLEAN ENV. Ill' DIA OR COIN.
NOTIFY ENGINEER OF DISCREPANCIES, 725 PSI MIN VO}TKING PRESSURE
NEAT
IRON REMQYK HIGH STRENGTH SYNSEAN-LESS OIL ANDSYNTHETIC RARER RESISTANT REINF[RCED
75- HIGH PRESSURE SWITCH XHPS> HALL BE SET PER ENGINEERS RELYQHENOATIOVS FQL-NOT BRAND OR EWIY.
50 GPM SD PSI MAX 1.5"Nei INLET/OUTLET LOCKING SLEEVE BRASS QIIOX CONNECT
16. HEATER AND EXHAUST FAN SHALL BE INSTALLED IN EXISTING BUILDING SY LENGTH OCT INCLUDING PUMP LENGTH)
BY CONTRACTOR.
AIR HOSE=CLEAN ENV.3/4' DIA TRIBE LINE OR EQUIV.
17. INSTALL 1/4' NYLON PULL 5Tk•4H. N ALL CTItU7Y commas TWICE THE LENGTH OF THE1 TRANSFER PIMP(API) 3/8' DIA. APPLY LINE FOR MODELS AP-4 AND 1/a'FOR MDOELS
EXP. PROOF
PIPE - SEEN AIR STRIPPER SPECIFICATION V AP-2 OR EIXIIv-200 PSI WORKING PRESSURE
SEAM-LESS OIL AND HEAT RESISTANT RETN"ORCED
18. INITIALLY,FREE PRODUCT/GROUNONATER WALL BE PIRHPEO FROM WELLS vW-1 AND Rw-2 TRANSFER PUMP CTP2> HIGH STRENGTH SYNTHETIC RUBBER
ONCE FREE PRODUCT IS REMOVED. TAPS-I. RW-2. R11I-3,AND RIY-4 WILL 8E PAVED 15 GPM 8 17P TI►.1S HP,I PHASE,230v EXP_ Pear BRASS WICK CONNECTS V1TH ONE-VAY SHUT O-F/O4 TO RfADVE DISSOLVED COH[Ait3MANT5- SEE AIR STRIPPER SPECIFICATIONPHA PRESSOR£ END
BON' LENGTH MT INCLUDING PCRP LENGTH)FOR MODELS AP-4
19. CHANGE ORDERS ARE NOT ACCEPTABLE UNDER ANY(TKUSCSTANICES PER NC AND>D FT FOR AP-2
WISDN OF ONTRONuENTAL WNAGD ENT, CONTRACTOR SHALL DE REgpNS18LE GATE VALVE
FOR PROPER OPERATION OF REMEQATDM SYSTEM. TO MATCH PIPE DIAMETER AIR EXHAUST (IRA-1). SANE AS AIR HOSE EXCEPT BRASS QUICK
20. SPEOFKADON NOTES ON(PA SHEET G-1 AND G-2 ARE INCLUSIVE ANDBRASS CONSTRUCTION CQNECT IS STRAIGHT THROUGH FITTING
ONCpRP'ORATEQ INTO THIS 1'IFS7C.N 3/8' ID AND 10- IN LENGTH
LHEIX VALVE AIR EXHAUST (RV-2. Rv-S. S RV-4} SANE AS AIR HOSE EXCEPT BRASS
21. SYSTEM WILL N Sq0 MOtR4TE0 AS stows ON SHEET P-t OR PRECDNSTRUCTW N TO MATCH PIPE DIAMETER/BRASS CONSTRUCTION
BUILDING SPECIFIED, SYSTEM TO Be DELCVERED TO SITE. SPRING LOADED BALL CHECK DUCK CONNECT IS STRAIGHT THROUGH FITTING
Ile ID AND 2 HOSES t 40' IN LENGTH
22. BALDING TO INCLUSIVE EXPLOSION-PROOF HEATER.LIGHTING AM)VENTING. SAMPLE AIR/FILTER REGULATOR: ALIT(pUAP SINGLE STAGE
23. SYSTEM WOOL SE PREIM0. W 1/4' BALL VALVES BRASS CONSTRUCTIONE PR£PL BEO AND PRETESTED PRIOR TO DEIJVERY- CIR EQUIV.5 MICRON FILTER/REGULATOR V/PRESSURE GAUGE
FLOW METER AND TOTALIZER AND AUTO DRAIN
24. CONTRACTOR TO PRANCE CUT SHEETS FOR AU.EQTAPMENT FOR APPROVAL BY ENGINEER PRECISION MODEL USG OR E:/JIV.
PRIOR TO CONSTRUCTING SYSTEIL PAPMN 3/4"
2 ART BRASS BODY CONTROLLER
25. CONTRACTOR TO PROVIDE SYSTEM USER MANUAL.ONE DAY OPERATIONAL TRMNNG AND IL LISTED NEI444,LOOKING ELECTRICAL ENCLOSURE
12 YOMIH WARRANTY ON ALL EOUCPMENT ANO LIBOR. FLOW INDICATOR CONTROL PANEL DESIGN SHALL ccerc RM TO PROCESS AND
DVYER MODEL VFC -5'SCALE 1143 OR EOUly. IISTRUHENTATi1OH DIAGRAM
2A TO 20 CPR 100 PSIG MAX V/1'NPT INLET t OUTLET ALL OVER CURRENT AND SHORT CIRCUIT PROTECTION FOR
FINAL DESIGN ALL ELL. ALARMSHAVETORIGNATE SHALL RED INDICATOR LAMPS.
TO MATCH PIPE DIAMETER
BRASS CONSTRICTION
NOT APPROVED FOR CONSTRUCTION D OUT W/lacHnnclQN Of rAut.T. "�'° "
PRESSURE SWTTC1NF5 (tJ(X)ID)-TRANSFER PUMPS ;BAG FLYER OF FAULT AND 7ERNNATION OF DUAL OUT SEQUENCE. CONTRACTOR TO
PRYER SERIES 1950 MODEL 1950P-50 OR EOUN. EXP. PROOF PROGRAM TELEMETRY TO DAL SECURITY ANSWER SERVICE AS SPEC7FED
BY DOWER, DIAL OUT PROGRANMNG SHALL BE ACTUATED BY
6Fp1ESeiE:it RlaAj/, 1YAY PILOT OR RAEOl.GENERAL SERVICE d210 $ 1)PRE STARCH,HIGH AR STRIPPER PROOUC`T TANK LEVEL ALARIL 21.104 TRANSFER PLOD2 TP1 AND TP2 HIGH
4'yti F H_ 1 c•; / 3/4- NPT BRASS CONSTRUCTION INFLUENT BAG FILTER NICH PRESSURE GALLERY HIGH LEVEL SENSOR SNATCH.AND(6)n+FC17RATKkt
�_ LEVEL SWITCHES (S)VPS)
IMEREIROL EU4OTEL$1 SOWS 910 DR tow. DIP. PROOF HEATER Cl2-X 20')UTILITY BUILDING
Gi'-'ct ,(�J�jr
a DAYTON MODEL aE295 FOR HAT. LOCATIONS QR (Duly.
!� 7 PRESSURE EMiGE —0-100 PS6132 BTU. LBW VAIlS
+C�`- F ., UOl1K1 Flll.F'A BOTTOM CONNECTER) 208/230V SINGLE PRASE
+ yTHEtDpSTAT. VH1TE ROGERS MODEL 2A2O-2 FOR EXP.LOCATIONS
•0 • i2' X 20'UTILITY BUILDING 120-V,40-9a DEGREE F TEMP_RANGE
` ;jjjJJJ�rr LEONARD CONVINCER SERIES
E7
HEIGHT- 135' AT PEAK or AT ATALL 0-SUSS FAH SYSTEM c)2-X 2Q'UTILITY BUILDING)
/��-t GC(' : STRUCTURAL:ALUIINILM TYPE A ROOF, ALUM WALLS,. I'WELDED STEEL FRAME FAN.DAYTON PIXEL 7F{48 LI DIA.FOR HAL LOCATIONS OR EOUIv.
S Z • :yP f `„.:• ELECTRICAL-AS SH(!VN OP SHEET E-7 AND E-c 1183 CYM FREE AIR DELIVERY
VV 1 ACCESSORIES,3Q'SIDE DOJR AND 9.1G 7' GARAGE DOER THERMOSTAT: WHITE ROGERS MODEL 2A20-2 FOR EXP.LOCATIONS
'i ••. .•' .�C+ , 1/4HP., 1725 RPM I75v SINGLE PHASE
/ / .• `� GABLE VENT AT FRONT AND INSULATION(EXPOSED INSULATION
DEGREE
-iA/ /A A G •L `..� MKT HAVE 20/50 RATING. AUTO SNU77Eft DAYTON MODEL 4C'S56 SIKLRAE RANGE
DR EWIY-
//44jtRel HL IC!CLASS SECURITY FENCE HIGH LEVEL SENSOR NC (INFILTRATION GALLERY)-- ROBE LEVEL SENSING DEVICE OR OMEGA LV-II WITH COVER
6' HIGH FEE(PRESSURE TREATED GROUND CONTACT GRADE) -
MC FLOAT/P
1' X 4' VERTICAL SLATS 8 OL 4'X 4' POST 18' O.C.(MAX/
HORIZONTAL NAILER-3 EA 2"X 4' GATE POSTS SHALL BE 6' X 6' PROBE 1-1/4' Dlw AND FLOAT 1-7/4' Diw OR EWiV.
PROVIDE GALV. TURN&ICHCLES AND.12'GALA. T HINGES WITH GALE ALL EOUP.EKT SUPPUED IN BUILDING SHALL BE PRETESTED PooR TO OEIJVERY TO THE SITE.
TA
�� n atS&xA E & Surveying, kw- Na.L+�DM,Description B, LONG HILL STORE °tea �. u° TJ}Gy.IM
`../`-, 111 Mac Canon Drive -CO`1' N.C. 27511 SPECIFICATIONS AND CONSTRUCTION NOTES '" 4.. 3
91f-.�.�4• FAX [phone]� PILOT MOUNTAIN, NORTH CAROLINA 1 �, :

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a diEXHAUSTcv LOAD u on at ADI LMD w /VA Ali I / AMP VASEANCE � DSC.A2CQ4t,ZpP 'USE
6 450 60/3 1 ^ 2 20/1 1510 12 RE6➢TA 5 .
1350 3 ' ^ 4 20/1 1500 12 ON FAH Q
AW CVPRESSCR 6 4200 5 r, as6 20/2 1500 12 OVAL HFAIFU
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32 n 36 - /�/r TO CONTROLLER
LOCADCAL =RADE MD Emma A 6
PAKL M04I11192 SURFACE =MEM VA sg./
SEPACF:240/120,1 PH,3. AC ruts 4Eb1RAL,SEANCE FAR;AMCE PHASE"A" - 11,550 VA
OUr 2 AD SP'M PHASE W - 11_550 VA Q a COW PROFILE AR 57R1PPER
OW 89EASER 200A iti
CABAET:HOAR 7R DECOM VA l (4'-Vitt) O
ACCESs1YS fROIA40 Mit PHASE'A' . 11.550 VA k < /
...
=EM 1Er PAWL 100r PHASE 19' - 11,550 Vh l 2�t2W 12GR
2- /iTO CONTROLLER
a l POVOISFAT nrr
40V�2Pf FUSE
fAc. C-t1i 0-1
Ai.' ITCPPER BLOWER
MOP 6,8I'....... - 1.w„;
! 30A 240V 2P FUSE
t J7 DISC. C-7, D-i
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X
SERVICE SHALL BE /
SERVIC240/12E
3 Y+1RE 33OA 24ov 2PD FUSE �• / 2#12w#12GR -
SINGLE PHASE. v '/ TO CONTROLLER
MDP-2 or 1.,;''. Q METER AND BASE
f-, 3-3/0 THWN COPPER ~--._ }
IN 2" CONDUIT f d "r- cr 'As 000R 4 - I .- 1-i
FOR CONNECTION BY UTILITY / LEGEND GFCl/WF / \ v 4 a a
/ 3-�16 TWIN COPPER W/
�ytOGR IN 1 1/4" CONDUIT 60A 240V 2P F ISE c
OVERHEAD POWER aea RECEPTACLE n C�SC..NEMA 3R d X
BY UTILITY PANEL "MDP" CONTROLLER \ a' a 4
240/120 240/120 SWITCH
W/200AX'.....'''''--...........:::::;,(.MCP-5,7
ALL WORK BY THE 0 111111 MAIN CB
ELECi1CAL CONTRACTOR A 0' EQUIPMENT DISCONNECT
METER &BASE
BY UTIUTY 14 COPPER GROUNDING II GE H8 HAZ LOCATION INCANDESCENT LIGHT
ELECTRODE CONDUCTOR
BONDED TO WATER PIPE C-1 CLASS 1
AND BLDG STEEL AND PLAN `�ssssrsrrerrrrr,
3-3/0 THWN COPPER AUX GROUND ROO_ D-, DIVISION 7 EQUIPMENT P!_t>N �,•`- � - CAq p�r',y.
IN 2" CONDUIT �' l/l/
NTS • 0.ts`a •9'
BUILDING POWER RISER _ = � ,
o. l�
NO SCALE NOTE: CONTROL WIRE FROM TREATMENT SYSTEM TO HIGH -^ .• t�y • ::..;
cli, ��
FINAL LEVEL2- SWITCH
WIRE.TRATI{}N GALLERY SHALL BE 9 f� �E�:'
rYG(JC1Q[t iv H av
,rFrrr/,_„...tt3.t,
NOT APPROVED FOR CONSTRUCTION Ari7ii-r//r,
INNERS 6l R4IIZM1 6A,k1..17tnQ s., ""� RaVfuime 0.�pron Oelf s, LONG HILL STORE a« A5-5,1� "0 FAA EI>o7E»
` 111 Mxxe1E7 ufi. .0 ,; N.C. vsrr PILOT MOUNTAIN, NORTH CAROLINA GENERAL ELECTRICAL ARRANGEMENT S ... W 9.r�_a
4Fp-«.Apo( FAY AIP-445- 42
V.
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LEGEND
U-S LOW LEVEL SWITCH 720 N
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MILS raaH-HHx>H LEVEL sera+
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ACKNOWLEDGE PH-8UTTON RESET . ua
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•�• LOW PRESSURE SnuCH `` (Q •
HIGH PRESSURE SWITCH • 1 ` : • ..a W.
•y. LJ O Q •
/A• • 120 N
0• HHANO-OFF AUlOMADC SWITCH • .�o. •� I bfi Q I I
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EXTERx�tL DEVICE • u . • ry i
0
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u-r 0TRANSFER PUMP CONTACTOR • 11 • tyro-, Ma
M-r F.—T.— 1 • ''1 •
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Photograph 2: Discharge Line Cut Below Floor Level
f
PHOTOGRAPH LOG
LONG HILL STORE
PILOT MOUNTAIN, SURRY COUNTY,
\'`\ NORTH CAROLINA
NCDEQ INCIDENT N0. 8995
ECS PROJECT NO.49 1010E

411
Sensor Conduit
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Photograph 3: Funnel Attached to Discharge Line
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Sensor Conduit Grout Filled Discharge Line
Photograph 4: Discharge Line Filled with Concrete
PHOTOGRAPH LOG
LONG HILL STORE
PILOT MOUNTAIN, SURRY COUNTY,
NORTH CAROLINA
NCDEQ INCIDENT NO. 8995
ECS PROJECT NO.49-1010B

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Photograph 6: Discharge Line and Sensor Conduit Filled with Concrete
iiiid
PHOTOGRAPH LOG
LONG HILL STORE
PILOT MOUNTAIN, SURRY COUNTY,
NORTH CAROLINA
NCDEQ INCIDENT NO. 8995
ECS PROJECT NO.49-1010B
.
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PHOTOGRAPH LOG
r—
LONG HILL STORE
PILOT MOUNTAIN, SURRY COUNTY,
ti NORTH CAROLINA
NCDEO INCIDENT NO. 8995
ECS PROJECT NO.49-1010B

id2 , s3/0-
ECS ECS SOUTHEAST, LLP "Setting the Standard for issituntsard. Geotechnical • Construction Materials • Environmental • Facilities
January 30, 2017
Mr. Michael Rogers
North Carolina Department of Environmental Quality
Division of Water Resources
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Reference: Non-Discharge Permit No. W00011443 Closure
Long Hill Store
NCDEQ Incident No.8995
2482 Old US Highway 52
Pilot Mountain, Surry County, North Carolina
ECS Project 49.1010E
Dear Mr. Rogers:
The North Carolina Department of Environmental Quality (NCDEQ), Trust Fund Branch
notified you on September 23, 2016 of their desire to shut down the remediation system
at the former Long Hill Store located at 2482 Old US 52 in Pilot Mountain, North
Carolina. The groundwater treatment system discharged water into an infiltration gallery
under a non-discharge permit (No. WQ0011443). Since the treatment system is no
longer active, the DEQ requested that the permit be rescinded. On September 26, 2016,
ECS Carolinas, LLP (ECS) submitted a request to decommission the remediation
system and associated infiltration gallery per 15A NCAC 02T .1608 (Requirements for
Closure). On November 11, 2016, the North Carolina Division of Water Resources
(NCDWR) approved the plan via email.
On January 17, 2017, ECS personnel mobilized to the site, cut the PVC discharge line
just below the floor level and filled the 2-inch PVC discharge line from the former
remediation system to the infiltration gallery with Portland cement (See attached
photographs). The second white pipe visible in the photographs was the conduit for the
high level sensor wires that went to the infiltration gallery. ECS has removed all
remediation pumps from the monitoring/recovery wells at the site. ECS recommends that
the NCDWR rescind the permit for the on-site remediation system and associated
infiltration gallery. Through years of groundwater monitoring, it has been determined
that the hydrocarbon plume has reached equilibrium, and no longer needs to be actively
remediated. However, the DEQ continues to monitor the groundwater on a regular
basis, so the existing monitoring wells are still in use and were not abandoned.
ECS Capitol Services,PLLC • ECS Flonda,LLC • ECS Mid-Atlantic,LLC • ECS Midwest,LLC • ECS Southeast,LLP • ECS Texas,LLP
www.ecslimited.com

Long Hill Store
2482 Old US Highway 52
Pilot Mountain. Surry County, North Carolina
ECS Project 49.1010B
January 30, 2017
If you have any questions regarding this project or the information attached to the letter,
please call us.
Sincerely,
ECS SOUTHEAST, LLP
Y�`1 •
Rand H. Cavallier M. Stewart,P,G:
Envir nmental Project Manager Ch' f Geologist• 3e17i 17
[e-mail] ewart 1 e I r .c
336-478-1612
336-478-1621 . PS
Attachments:
Notice of Intent to Close Remediation System Letter
Site Photographs
cc: Mr. Herb Berger— NCDEQ Trust Fund Branch
Ms. Shuying WangNCDEQ 9 — Division of Water Resources

110 PAT MCCRORY
(Jo erno?
DONALD R. VAN DER VAART
Secretnrr
MICHAEL SCOTT
Waste Management or,`tor
ENVIRONMENTAL QUALITY
September 23,2016
Mr. Michael Rogers
North Carolina Department of Environmental Quality
Division of Water Resources
1636 Mail Service Center
Raleigh,NC 27699-1636
RE: Notice of Intent to Close Remediation System
Former Long Hill Store
2482 Old US Hwy 52
Pilot Mountain, Surry County NC
Incident#8995
Dear Mr. Rogers:
The purpose of this letter is to inform the North Carolina Division of Water Resources that the
Underground Storage Tank Section of the North Carolina Division of Waste Management intends to
authorize ECS Carolinas to remove the remediation system at the referenced site. The UST Section took
over environmental management of the referenced site on October 22,2015. A groundwater extraction
and treatment system and associated infiltration gallery has been operated at the site for many years,and
the UST Section has concluded the remediation system is not cost effectively reducing contaminant levels
at the site. Therefore,the UST Section has determined that the system should be removed from the site.
Please understand that the incident is not applicable for closure at this time,and the UST Section is
committed to managing the environmental activities at the site until contaminant concentrations reach
acceptable levels. The proposed closure procedure will be submitted by ECS Carolinas.
If you have any questions concerning this matter,please contact me at(919)707-8170.
Sincerely,
Herb Berger,Jr., .G.
Division of Waste Management,NCDEQ
8995_2016_09_23_Notice_of Intent To_Close_Remediation_System
State of North Carolina Environmental Quality Waste Management
1646 Mail Service Center 1 217 West Jones Street Raleigh,NC 27699-1646
919 707 8200 T

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Photograph 1: Remediation System Discharge line
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Photograph 2: Discharge Line Cut Below Floor Level
LaimmiariimiNta.1
PHOTOGRAPH LOG
s LONG HILL STORE
imilii
PILOT MOUNTAIN, SURRY COUNTY,
NORTH CAROLINA
NCDEQ INCIDENT NO. 8995
ECS PROJECT NO. 49-1010B

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Photograph 3: Funnel Attached to Discharge Line
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Photograph 4: Discharge Line Filled with Concrete
PHOTOGRAPH LOG
LONG HILL STORE
I--
PILOT MOUNTAIN. SURRY COUNTY,
NORTH CAROLINA
NCDEQ INCIDENT NO. 8995
ECS PROJECT NO. 49-1010B

Rogers, Michael
From: Rogers, Michael
Sent: Friday, February 03, 2017 9:34 AM
To: Wang, Shuying; 'JStewartl'; Berger, Herb
Cc: Knight, Sherri; Watts, Debra
Subject: RE: Long Hill Store WQ0011443
John- Per comments below the 1" pipe can't be a source of any contamination. What assurances do you have that the
pipe will not be a channel of contamination into the aquifer?
Shuying- Would you please hit 'reply all' with any questions or comments after John responds, so you can tell him
directly. This will be more efficient. Thanks.
From: Wang, Shuying
Sent: Friday, February 03, 2017 8:14 AM
To: Rogers, Michael <[e-mail]>
Cc: Knight, Sherri<[e-mail]>; Watts, Debra <[e-mail]>
Subject: RE: Long Hill Store WQ0011443
Hi Michael,
I think that in order for us to consider the infiltration gallery being properly closed, 1-inch PVC conduit needs to be
removed if it cannot be filled by grouting because it could be a contamination channel for the groundwater. Of cause,
they may explore other engineering solutions.
This is just my opinion.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
-""'Nothin g Compares,
/14 ‘14‘11;!
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
1

Rogers, Michael
From: sbrown <[e-mail]>
Sent: Tuesday, January 24, 2017 7:55 PM
To: Gregson, Jim
Subject: Oak Island irrigation well issues
Attachments: Example Irrigation Well.Table Code Violations.1 24 17.pdf
Mr. Gregson it was a pleasure speaking to you again this afternoon. I appreciated your offer to meet with me
and your supervisors on Oak Island to discuss the well adjacent to my property. Due to my clinical schedule I
am only rarely on Oak Island on a business day so I fear this is impractical.
However I wanted to forward to you a table of the various code violations for the well in question. I believe
this provides sufficient information for an informed opinion as to whether or not this well - as sited and
constructed - provides equivalent protection of the groundwaters of the state.
I have also recently written to Mr. Michael Rogers requesting clarification on several points in his Well
Construction Policy memorandum dated 7/15/2016. One particular point is relevant to our conversation.
In the well variance applications the tables attached allow for a variance separation of 50 feet from
wastewater pipes not constructed to water main standards. However Mr. Rogers did not reference this as an
option in his memorandum. The separation distance of 50 feet is found in 15A NCAC 18A.1950 (e) which is
sewer construction code, and which conflicts with 15A NCAC 02C.0107(a)(3)(b) which allows a reduced
separation distance only for pipes constructed to water main standards; it also conflicts with 15A NCAC
02T.0305(g)(2) which allows a reduced separation distance only for pipes constructed to water main
standards.
I'm not sure how you resolve this, go with the 2 out of 3 vote or say that well construction code supersedes
sewer construction code when the sewer is already in place. It seems to me that the well drillers are legally
bound by 15A NCAC 02C. However I believe a unified interpretation of NCAC 02C, NCAC 02T and the
memorandum means that the minimum separation distance for wastewater pipes not constructed to water
main standards is 100 feet regardless of lot size.
I hope to hear from you within a few days as to the DWR's willingness to address my environmental
concerns. I am optimistic that the recent change in administration will allow the DWR to return to its mission
of protecting the groundwaters of the state without interference.
Sandra/Brawn/MD
Pediatric Ophthalmology
P gY
Adult Strabismus
Neuro-Ophthalmology
Cabarrus Eye Center
201 LePhillip Ct NE
Concord, NC 28025
Phone [phone]
FAX [phone]

Example Non-Conforming Irrigation Well on Oak Island Rev date 1/24/17
See 15A NCAC 02C.0100 Well Construction Standards.
See also Variance Application for Well Construction Standards:
Attachment A (Coastal Plains) (revised 2013).
The Division of Water Resources regional branch office is responsible for enforcement.
To obtain a variance additional minimum well construction standards must be met that
"provide equal or better protection of the groundwater."
Code/Type Object Minimum Current Comments
separation separation
distance distance(feet)
(feet)
Standard/
Variance
15A NCAC 02C.0107 (a)(2)(M) Building perimeter and attached structures
1 Stairs attached to 25'/ Less than 25' Well is 26'
house built on from the
termiticide-treated unspecified corner of the
pilings house; Note 1
15A NCAC 02C.0107 (a)(3)(b)
15A NCAC 02T.0305 (g)(2) Sewer appurtenance Note 2
2 Valve pit on NW 100'/? 59' Received
side of Dolphin variance
Street
3 Valve pit on NE side 100'/? 72' Received
of Dolphin Street variance
4 ROW Wye fitting 100'/? Possibly less Buried
and cleanout on than 50 feet
private lateral at
property
5 ROW Wye fitting 100'/? Less than 60' Estimated
and cleanout on but more than
private lateral at 50'
house to east

6 ROW Wye fitting 100'/? ^' 14%feet
and cleanout on
private lateral at
house to west
7 Air intake pipe for 100'/? 60' Received
sewer lateral at variance
property
8 Air intake pipe for 100'/? 70' Received
sewer lateral at variance
house to east
9 Air intake pipe for 100'/? 63' Received
sewer lateral at variance
house to west
10 Backwater valve for 100'/? "'65'
sewer lateral at
property
11 Backwater valve for 100'/? "'75'
sewer lateral at
house to east
12 Backwater valve for 100'/? "70'
sewer lateral at
house to west
13 Wye fitting and 100'/? "'65'
cleanout on private
lateral at property
at start of sewer
lateral
14 Wye fitting and 100'/? ^'75'
cleanout on private
lateral at house to
east at start of
sewer lateral
15 Wye fitting and 100'/? "70'
cleanrout on private
lateral at house to
west at start of
sewer lateral
14A NCAC 02C.0107 (a)(2)(E) Sewer lateral not constructed to water main standards
Note 3A
16 Private lateral at 100'/? Less than 50' Lot width is 50'
property not built
to water main (table=50') Note 3B
standards

•
17 Private lateral at 100'/? Less than 60' Estimated
house to east not but more than
built to water main (table=50') 50'
standards
18 Private lateral at 100'/? "' 14%feet See
house to west not photograph
built to water main (table=50')
standards
15A NCAC 02C.0107(a)(3)(b)
15A NCAC 18A.1950(e)(2) Sewer lateral constructed to water main standards
19 Public sewer lateral 25'/ Less than 20' Note 4
at house to west estimated This refers to
built to water main "site pipe installed
standards specific" under the
street
Code violations listed in RED cannot be overcome as the separation distances are smaller than
those allowed by the Coastal Plains variance table.
See the following page for technical Notes.

•
Note 1: The intention is to separate a water supply well from soil termiticide. The well is less
than 25 feet from elevated stairs supported by numerous termiticide-treated pilings. One 8 x 8
inch square piling is treated with about the same volume of termiticide as 4 linear feet of
foundation.
Note 2: The code on constructing wells next to sewer systems (15A NCAC 02C.0100) interlocks
with the code on constructing sewer systems next to wells (15A NCAC 02T and 15A NCAC 18A).
Under 15A NCAC 02C.0100, reduced separation distances are allowed when constructing water
supply wells serving single family dwellings under certain circumstances.
Code makes a distinction between components of a sewer system "built to water main
standards" and all other components. Sewer pipe built "to water main standards" must be able
to withstand internal pressure and all joins or openings in the pipe must also be able to
withstand pressure without leakage.
Sewer pipe "not built to water main standards" is made of thinner walled pipe that is more
susceptible to damage; a synonymous term is "not pressure rated."
Well construction code 15A NCAC 02C.0107(a)(2)(D) requires a minimum separation between a
water supply well and sewer components built to water main standards of 50 feet. 15A NCAC
02C.0107(a)(3)(B) allows a minimum separation between a private well and a sewer component
built to water main standards of 25 feet. However this code is "in accordance with" Sewer
construction code 15A NCAC 02T.0305(g)(2)which specifically excludes appurtenances from the
reduced setback regardless of whether they are built to water main standards or not.
Examples of appurtenances in a vacuum sewer system include valve pits; sewer lateral air
intake pipes; sewer lateral cleanouts; backwater valves.
The Coastal Plains Variance Table does not treat appurtenances separately although in all other
aspects it appears to follow the NCAC chapters above.
Note 3A: The DWR Well Construction Policy memorandum dated 7/15/16 does not allow for a
reduced separation distance of 50 feet from sewer lines not constructed to water main
standards. This separation distance is found only in 15A NCAC 18A.1950(e) and is contradicted
by 15A NCAC 02C.0107(a)(3)(b) and 15A NCAC 02T.0305 (g)(2).
Note 3B: The Town of Oak Island provided a document to plumbers installing private sewer
laterals that specified schedule 40 DWV pipe which is not pressure rated and cannot be
considered "constructed to water main standards."

•
Note 4: This refers to the Town-installed lateral line from the valve pit to the junction with the
private sewer lateral (pipe running under the street). I have made the assumption that the pipe
used was pressure rated.

())
(2) For public or private wells,piping materials,testing methods and acceptability standards meeingwater
main standards shall be used where these minimum separations cannot be maintained. All
appurtenances shall be outside the 100 foot radius. The minimum separation shall howevernotbe less
than 25 feet from a private well or 50 ft from a public welL
(3) For public water main horizontal or vertical separations,alternatives as described in 15A NCAC 18C
.0906(b)and(c).
(4) For less than 36-inches cover from final earth grade,ductile iron pipe shall be specified. Ductile iron
pipe or other pipe with proper bedding to develop design supporting strength shall beprovrdedwhere
sewers are subject to traffic bearing loads.
(5) For all other separations,materials,testing methods and acceptability standards meeting water main
standards(15A NCAC 18C)shall be specified.
(h) The following criteria shall be met for all pumping stations and force mains:
(1) Pump Station Reliability:
(A) Pump stations,except when exempted by Subparagraph(jX2)of this Rule,shall be designed
with multiple pumps such that peak flow can be pumped with the largest pump outofseuvice.
(B) A standby power source or pump is required at all pump stations except for those pump
stations subject to Subparagraph (I)(2) of this Rule. Controls shall be provided to
automatically activate the standby source and signal an alarm condition.
(C) As an alternative to Part(B)for pump stations with an average daily design flow less than
15,000 gallons per day as calculated using Rule.0114 of this Subchapter,a portable power
source or pumping capability may be utilized. It shall be demonstrated to the Division that
the portable source is owned or contracted by the permittee and is compatible with the
station. If the portable power source or pump is dedicated to multiple pump stations,an
evaluation of all the pump stations' storage capacities and the rotation schedule of the
portable power source or pump,including travel timeframes,shall be provided nthecaseofa
multiple station power outage.
(D) As an alternative to Part(B)for pump or vacuum stations connecting a single building to an
alternative sewer system,wet well storage requirements shall be documented to provide24-
hours worth of wastewater storage or,exceed the greatest power outage over the last three
years or the documented response time to replace a failed pump, whichever is greater.
Documentation shall be required pursuant to the permit application.
(E) All pump stations designed for two pumps or more shall have a telemetry system to provide
remote notification of a problem condition to include power failure and high water alarm.
(F) high water audio and visual alarm.
(2) Pump stations shall have a permanent weatherproof sign stating the pump station identifier,24-hour
emergency number and instructions to call in case of emergency.Sinrplexpump or vacuum stations
serving a single-family residence shall have a placard or sticker placed inside the control panelwlha
24-hour emergency contact number.
(3) Screened vents for all wet wells.
(4) The public shall be restricted access to the site and equipment.
(5) Air relief valves shall be provided at all high points along force mains where the vertical distance
exceeds ten feet.
(i) The following criteria shall be met for gravity sewers:
(1) for public gravity sewers, a minimum eight inch diameter pipe and for private gravity sewers, a
minimum six inch diameter pipe;
(2) the maximum separation between manholes shall be 425 feet unless written documentation's submtted
with the application that the owner/authority has the capability to perform routine cleaning and
maintenance on the sewer at the specified manhole separation;and
(3) drop manholes shall be provided where invert separations exceed 2.5 feet.
(j) The following criteria shall be met for low pressure sewers,vacuum sewers,STEP and other alternative sewers
discharging into another sewer system
(1) Hydraulic modeling of the system shall be submitted using the statistical(projected)nunberofpunps
running at one time.If computer modeling is provided by a pump manufacturer,it shalbeindicated and
shall be considered part of the design calculations pursuant to Subparagraph (bX2)of this Rule.

•
Rogers, Michael
From: Rogers, Michael
Sent: Monday, June 06, 2016 10:44 AM
To: Mize, Wilson
Cc: Smith, Eric
Subject: Water main standards
The AWWA standards I mentioned Friday are as follows:
• For Ductile Iron Pipe (DIP) the standards are C151 (materials-NSF) and C600 (installation and testing).
• For PVC the standard is C605 (installation) and C900 (materials and testing).
The AWWA standards is available on their website at a cost. The Public Water Supply loaned me a cd Friday but I can't
copy anything out of it as it is copyrighted. It is very technical. If you have any specific questions, contact Shashi Bhatta
919-707-9100 or Julia Cavalier 919-707-9100, who loaned me the cd.
Thanks.
Michael Rogers, P.G. (NC& FL)
Underground Injection Control (UIC) Program Manager- Hydrogeologist
NCDEQ- DWR
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699
Direct No. 919-807-6412
http://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/ground-water-
protection/ground-water-applications
NOTE: Per Executive Order No. 150, all e-mails sent to and from this account are subject to the North Carolina Public
Records Law and may be disclosed to third parties.
•
i

Rogers, Michael
From: Watts, Debra
Sent: Wednesday, May 18, 2016 4:45 PM
To: Smith, Eric; Risgaard, Jon; Rogers, Michael
Subject: RE: Well Setback Questions
All
Below is the public comment I received from a couple of people concerning the topic we discussed today. djw
15A NCAC 02C.0107 STANDARDS OF CONSTRUCTION: WATER SUPPLY WELLS
Commenter Name: John Nykamp
Do I agree with the Agency's determination?Yes
I would determine this rule's classification as: undefined
Do I want to submit a written comment on this rule?Yes
My comment type on this rule is: An objection to the rule
Do I want to enter a comment, or submit a file? Enter a comment
My Comment Text: 15A NCAC 02C .0107 STANDARDS OF CONSTRUCTION: WATER SUPPLY WELLS (a) (2) (D) Sewage or
liquid-waste collection or transfer facility constructed to water main standards in accordance with 15A NCAC 02T
.0305(g)(2) or 15A NCAC 18A.1950(e), as applicable: 50 feet
FOR REFERENCE: 15A NCAC 02T.0305(g)(2) For public or private wells, piping materials,testing methods and
acceptability standards meeting water main standards shall be used where these minimum separations cannot be
maintained. All appurtenances shall be outside the 100 foot radius.The minimum separation shall however not be less
than 25 feet from a private well or 50 ft from a public well.
2C .0100 should define what is"water main standards". 02T.0305 defines how to construct a sewer line. We are
approving sites for wells, not testing materials for sewer lines. If the well can be 50 feet from a sewer line,why must the
well be 100 feet from a manhole that is vacuum tested. The manhole would have visible overflow to the surface,yet the
sewer pipe could leak underground where it would not be visible.
Agency Response:
The agency's selected determination is "necessary with substantive public interest." Comments will be considered
during the readoption process.
•

From: Smith, Eric
Sent: Wednesday, May 18, 2016 4:23 PM
To: Watts, Debra <[e-mail]>; Risgaard,Jon <[e-mail]>; Rogers, Michael
<[e-mail]>
Subject: RE: Well Setback Questions
All:
Just an FYI
Referring to Question 1
15A NCAC 18A .1935 defines a collection sewer as:
"Collection sewer" means gravity flow pipelines, force mains, effluent supply lines, and appliances
appurtenant thereto, used for conducting wastes from building drains to a treatment system or to a
ground absorption sewage treatment and disposal system.
Referring to Question 2
I have attached two Variance Forms. The one that says "Current" was as of January 2013. The other one with the
February 2013 date is the one that would be current as of now?
Found under S:\APS\Shared for APS\Groundwater Protection\WELLS OTHER PROGRAM\2C 0100 Variance.
Referring to Question 3
Based on very brief research, nearly all municipalities have different definitions of"attached structure."
-Eric G. Smith
Eric G. Smith
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
Department of Environmental Quality
919 807 6407 office
eric.q.smithncdenr.gov
512 N. Salisbury St
1636 Mail Service Center
Raleigh, NC 27699-1636
F » '---l"-Nc thitng Compares �...r..
--��k
gF
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
2

From: Watts, Debra
Sent: Wednesday, May 18, 2016 2:53 PM
To: Smith, Eric<[e-mail]>
Subject: FW: Well Setback Questions
HELP!
From: Risgaard,Jon
Sent: Tuesday, May 17, 2016 11:58 AM
To: Watts, Debra <[e-mail]>
Subject: FW: Well Setback Questions
Debra, Please see the attached table with responses from the regions on questions that Jim raised. Based on the
variation in the responses we should get them a response from CO so they can look at these consistently. Is this
something for Mike Rogers? If he is looking for RO help, Rick is likely a good candidate.
Thanks
Jon
Jon Riscear_. - Sec _er, Chiel
Water Quality Regional Operations
Department- _ _ Environmental Quality
91 9-b:_ 4�c
http_ //portal.ncdenr.org/web/wq/aps
1636 service Center
Raleigh, 27699-1636
•3�Sothing Compares
ares.-._.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Gregson, Jim
Sent: Monday, May 16, 2016 1:18 PM
To: Risgaard,Jon<[e-mail]>
Cc: May, David <[e-mail]>; Henson, Belinda <[e-mail]>; Knight, Sherri
<[e-mail]>; Smith, Danny<[e-mail]>; Basinger, Corey<[e-mail]>;
Davidson, Landon<[e-mail]>; Kegley, Geoff<[e-mail]>; King, Morella s
<[e-mail]>
Subject:Well Setback Questions
Attached are the responses from each region. Please let me know if I have anything incorrect.
Jim Gregson
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
3

f
•
Department of Environmental Quality
910.796.7215 Reception Desk
910.796.7386 Direct
910.350.2004 Fax
[e-mail]
Wilmington Regional Office
127 Cardinal Drive Ext
Wilmington,NC 28405
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
4

Are you requiring setbacks from the sewer line from the house to the street? If so are you
considering it a"sewage or liquid waste collection or transfer facility"-.0107(a)(2)(E)-requiring
100' setback or are you considering it under"all other potential sources of groundwater
contamination"-.0107(a)(2)(T)-requiring 50' setback.
ASHEVILLE Would need to consult with DHHS to be consistent but we've gone with"sewage
and liquid waste"or"other sewage"section(in a2 or a3).
FAYETTVILLE I consider the sewer line from the home under item D in 2C (sewage or liquid waste
collection constructed to water main standards)and use 50'. If the well is a
geothermal well,the same standard applies,but I'm more amenable to a variance for
a geothermal well verses a supply well for the home.
MOORESVILLE We have not generally considered the lateral from the house to the street as a
"sewage or liquid..."requiring 100 ft; the 50 ft"all other..."is the preferred
interpretation of the lateral. The rule is pretty clear on 100 ft from the main line
sewer and septic tank/drain field(unless they can invoke fixed lot conditions in the
next section of the rule).
RALEIGH We've been interpreting a 100 foot separation between a sewer line servicing a
house and a(newly constructed)private well UNLESS they can meet the vague
sewer line construction standards set forth in.0107(a)(2)(D)that gives a 50 foot
setback for sewer lines constructed to"water main"standards.
WASHINGTON We would consider the sewer lateral as requiring a 100' setback if location can be
determined.
WILMINGTON We have not considered the line from the house to sewer main in determining well
setbacks. On site drawings for variance requests,the service line to the house is not
indicated.
WINSTON— I consider the sewer line to the street as having the required setback for either
SALEM .0107(a)(2)(D)water main standards—50 feet or(E)other sewage and liquid-waste
collection... - 100 feet. Unless they specifically install to water main standards,the
majority are going to fall under the 100 foot setback.
DHHS Generally,the way most(though I cannot promise all)counties have been handling
this is by attempting to maintain the setback to all appurtenances. Much like when
we have a septic system that is being pumped off site,we attempt to maintain the
setback to the line running from the pump/lift station to the disposal site. We don't
view these as major concerns when it comes to potential sources of contamination
so there are often times I have to grant variances to this setback due to limited area
on small sites(and require full length grout etc.). Furthermore,one of our engineers
is supposed to be working on a position statement to allow materials other than
ductile iron, such as certain schedules of PVC,so hopefully that will make enforcing
this rule a little easier in the future.
Are you requiring authorization letter from owner when well variance application is signed by
contractor? .0105(e)The well variance application has different language than the geothermal.
ASHEVILLE 15A NCAC 02C .0105(e) requires submittal of permit application by owner or
agent. So contractor would need to prove or otherwise indicate they are an agent
otherwise, we always connect with the owner on these variances now since we get
so few and there are often alternatives to the variance permits once we visit the site.
FAYETTVILLE The contractor is the one applying for the variance because he(well contractor) is
responsible for complying with 2C (well construction standards). Again,this is for
the supply well serving a residence.
MOORESVILLE We've allowed both well owners and contractors to sign the variance request.
RALEIGH We have been issuing private well construction variances(which are rare)to the
well owner. If the well contractor constructed a well in violation of 2C rules, we

notify the WCCC for any potential disciplinary action. The homeowner has the
right, in my opinion,to require the Contractor to repair or replace a well not
constructed to standards.
WASHINGTON For variance requests we would require the application to be signed by owner so
that they are aware of the variance.
WILMINGTON We have allowed well contractors to sign without authorization statement from
property owner.
WINSTON— I would require at least a signature or acknowledgement from the property owner. I
SALEM think our old variance request form had a signature block for the property owner so
at least we knew they were aware of what was going on.
DHHS
Do you consider stairs to be part of the"building perimeters,including any attached structures"
requiring 25' setback-.0107(A)(2)M)?
ASHEVILLE 0107(2)(M) includes"attached structures" so I would count the stairs as part of the
setback. This had long been a point of discussion so the"attached structures"part
was added to 2C I think in 2009. I think DHHS is basically using the drip edge or
outer-most footprint of all structures as the reference point.
FAYETTVILLE Building perimeters is more or less addressing that part of a structure that is treated
for pest control(i.e.termites, ants, spiders, etc.)around foundations and floor slabs.
Stairs may or may not get treated by pest control, hence I base the 25' from the
actual livable structure.
MOORESVILLE We've considered stairs&decks to be part of the building perimeter.
RALEIGH We've never had the issue of whether stairs would be considered part of the
building requiring a 25' setback. I'd offer that, in my opinion,the 25' building
setback was probably intended to protect against possible contamination from
termaticides and other pesticides that could be applied to a foundation, so stairs may
or may not be subject to that type of treatment, depending on their construction. If
we have reason to believe that they are or were subject to termaticide treatments,I
would interpret a 25' separation. Otherwise,probably not.
WASHINGTON We would consider decks as part of the building perimeter but in most cases not
stairs. Would be considered on case-by-case basis.
WILMINGTON We have not considered stairs to be an attached structure per.0107(a)(2)(M). Stairs
are rarely indicated on site drawings.
WINSTON— Good question which has come up a number of times before. As I understand the
SALEM intent of the setback from house foundations, it pertained to the possibility of
termite treatment,which would not really be applicable for a deck BUT I do think
that the health departments have been instructed to consider all attached structures
including decks to be considered the same as foundations.
DHHS When it comes to enforcing this rule it can get complicated and we issue variances
all the time to allow decks to be installed less than 25' from an existing
well. Generally,we attempt to maintain the 25' setback to the deck and staircase
simply because the rule references building perimeters and any attached
structures. That being said,I run into situations at the coast where you may have
hundreds of feet of walkways attached to the steps in order to get over dunes and
access the beach. In those cases,we do not include these walkways and steps away
from the deck as we would likely have nowhere to issue a well permit without
granting a variance. In summary, yes we attempt to maintain the 25' setback to
steps,however, if it is not a possibility we will issue a variance to make it work.

Q DO 114tq
Rogers, Michael
From: Rogers, Mike
Sent: Thursday, February 02, 2017 1:24 PM
To: Rogers, Michael
Subject: FW: Long Hill Store
Attachments: 49-1010-A- NCDEQ TF#8995- Long Hill Store TA#2.rs.pdf; 8995
_Remed iation_System_Design_Drawi ngs.pdf
Michael, is this yours?
Michael Rogers
Hydrogeologist II
Division of Waste Management, UST Section
North Carolina Department of Environmental Quality
[phone] office
[phone] fax
Email mike.rogersc ncdenr.gov
DEQ Winston-Salem Regional Office
450 West Hanes Mill Road
Winston-Salem, NC 27105
f
Notthng.C.Crnpa S--:-
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From:JStewartl [mailto:[e-mail]]
Sent:Thursday, February 02, 2017 10:27 AM
To: Rogers, Mike<[e-mail]>
Cc: Berger, Herb <[e-mail]>
Subject: Long Hill Store
Mike,
Per our discussion this morning, I am providing some additional clarification on the site and infiltration gallery.
• The infiltration gallery which is approximately 40 feet square was capped with a 18 inches of low permeability
clay soil to minimize the infiltration of surface water into the gallery. The reasons for the cap were primarily two
fold,to reduce additional water into the system (we did not want more water being added to the system in
addition to the water placed via the treatment system) and to minimize the introduction of contaminants via
surface water. Note that the building on the site has not been used for any business since the installation of the
treatment system. A copy of the remediation drawings are attached.
• The water discharging to the gallery was sampled and analyzed on a regular basis.The treatment system
consisted of an oil/water separator, air stripper with carbon polish. I do not remember any analysis showing
break through, so the water entering the gallery was clean, so the gravel in the gallery would not be impacted or
an ongoing source of contamination.
• Though the remediation system has been shut down, it was not because the groundwater is clean. It has been
determined that the hydrocarbon plume has stabilized and it was determined that continued groundwater
1

remediation was not beneficial or cost effective. The groundwater in the vicinity of the gallery is still impacted
and free product is present in at least one monitoring well near the gallery. A copy of the last monitoring report
is attached.
• The State Trust Fund Section continues to monitor the site on a regular basis.
Please let me know if I can provide additional information to assist in the closure of the permit.
JOHN M. STEWART, P.G.,CPG I Chief Geologist,Vice President
T 336-856-7150 I D 336-478-1621 I C 336-880-9370
4811 Koger Boulevard 'Greensboro I NC 127407
ECS SOUTHEAST, LIP
www.ecslimited.com
Confidential/proprietary message/attachments. Delete message/attachments if not intended recipient.
2

SPECIFICATIONS FOR INFILTRATION GALLERY CONSTRUCTION SPP.CLPICATIONS FOR SEEDING
I. Discharge pipe.manifold,end distribution Red shall be of specified nominal diameter I. For erosion control and aesthetics,permanent grass cover shell be established on all
Schedule 40 PVC as noted oo the drawings. All joints/fittings shall be cleaned sad disturbed steal at the comp/titan of construction.
assembled In accordance with manufacturer's reeommeedatioeo.Joints/Entrap shall
he glued uniformly mound their Cult circumference with a suitable solvent-based 2. All disturbed slam shall be fine graded or droved to apeeified Goal cootoun and/or
cement at recommended by the pipe manufacturer. Joints shall be fully seated as original existing typical sections sad plowed parallel to lopogtaphk rootoun to a
verified by suitable alignment marks. depth of 6 iocbes.The top 2 inches shall be pnFerired to provide a uniform seedbed.
Lime shall be applied before plowing.
2. Final aceepuace of the discharge pipe shall be baud on the ebsear:e of mcaaeeeable
leakage based oo en hydrostatic leakdowe test performed u the completion of 3. Kinds and rate,(per acre)of seed,fertiliser,and limestone shell be as follows:
conatruetloo wherein a constant pressure of 30 psi is maintained for a min.of 1 bout.
"R/W
100 Iles Kentucky 31 tall femme
3. The manifold and distribution lines to be installed within the infiltration gallery shall 15 Ibs Kenblue Kentucky Bluegrass
be property bedded ar provided herds The lino shall be laid tree to line and pada 15 Iles Reliant,Scalds,or Aurora hard fescue
on a bed of No.67 washed stows which has been placed to en uniform layer arena.the 500 lb. 10-20-20 fertilizes
bottom of the infiltration gallery and shaped to conform to the distribution lines along 4,000 Re Limestone
their entire length.Should rock be encountered,the gallery shall be undercut and/or
repositioned per the direction of the BPA site supervisor. 4. lime,seed(s),and ferdltrer shall be applied with necessary equipment to give uniform
E TANK 4. To revcot c distribution of these materiels. The hood-bucket method is not acceptsbk.
p logging,the Mirth 140N gcote Mile flter fabric shall be lei, as
ION separator fabric over the top surface of the washed stone prier to placement of rho 3. The seeded area shall be eultipacked toprovide a firm seedbed and reed shall be
overlying select site wilt_All fabric strips/edges shall be overlapped•minimum of 12 adequately covered.
OYOSED) incises.To prevent UV deterioration,the opened fabric roll shall not be exposed to
direct sunlight for an coteeded period end will be covered as soon as reasonably 6. All seeded areas shell be mulched with grainstrew and tacked immedlatety after
possible. The initial loose lift of impervious cover shall be placed by Wading sod seedier'.The mulched area shrill be either staked or tacked with asphalt sufficient to
spreading a windrow of impervious soil cover ahead of a small dozer or small loader. hold the straw in place.
In no cue will vehicle traffic or henry machinery be allowed to travel directly on the
filter fabric nor will conditions mach that mud will cake or clog the fabric be allowed. 7. Orate straw shall be applied over seeded stem es is mulch. No bare ground shall be
visible.Thick clumps of strew are not permissible,a uniform coverage I required.
5. The impervious cover for the Infiltration gallery shall be constructed of'select site
soil'backfdl,as defined herein,to the Final line and grade shown on the drawings. 8. Ditch treatment shall be used where slopes or troop grades could cease erosion.Use
lbe select site soil backfill shall be placed la.68 inch loose lifts and compacted to at of into mph.emelsbr mailing,or liberties*roving is aceeptabin Ditch treatment
lent 95%of the maximum dry dsmity a.determined by ASTM D-698(Standard should be installed before the mulching operation.
Proctor}The moismrecooterd shall be maintained within a range of optimum to plus
3%of optimum moi,tum during companion-When eompaedeg In llfu,each lift muse 9. For a period of three(3)months after completion of construction,the contractor shall
be thoroughly compacted using servant paves of on approved eneebanieol roller before reseed and remulch as required to maintain a healthy stand of turf grass.
the nest loose lift is pieced. A towed or self-propelled wedge foot or abeepsfoat
roller,smooth drum roller,or rubber-tired roller capable of achieving the specified
compaction with 4-6 passes will be required to meet the specificatioas of'mechnolcal
roller'.
GENERAL SPECIFICATIONS FOR EXCAVATION
r 'Select site soils'shall be the least permeable of the clean site soils(as previonty
defined on Sheet 0-1)removed from the proposed location of the infiltration gallery
and shall be free of particles greater than 3/4 loch diameter as determined by the I To ea compromise the integrity of the cabling building, pavement/hurter[,
visual elaufllea[ba of the BPA site supervisor. Approzimatdy 100 cy of mica site shoulders,and embankment dopes;open cola shall not canned Ill ft in depth nor
soils shall be aopegated and stockpiled foe use es fled Impervious cover for the encroach within s distance of 10 ft to the misting building foundation.
infiltration gallery.
2. &undoes on or adjaseat to the rightof-waywhkh maybe bantdow to traffic shall
not he left open,unprotected,or otherwise allowed to remain unsafe or ue5hlelded
overnight.
3. All emanation.and temporary bruins of eocevntlws shell conform to OSHA safety
guidelines.
4. Proper le/openly and permanent erosion control measures shall De used to prevent
siltation of meanie and edJaoeot property In accordance with the current edition of
the NCDOTSl,gdard Soecfcatlom for Roads and Structure;end all local,State,end
Federal regulations Siltation ballot,tilt fence,and seeding and mulching shell be
SEE SHEET T-2 FOR used,es required and where appropriate.
TYPICAL VAULT BOX SE ON SENSOR CONTROL WIRE 5. All emcee excavated msterlal shall be removed end di
sposed in designated areas
I IN.CONDUIT FOR r w ootrltk the limits of the tfgDt-of-wey to such a manner as not to erode onto nor to
HIGH LEVEL SENSOR interfere with the drainage of highways or adf scent properties.
ELECTRICAL CONTROL 6. Any drainage structure disturbed or dame
WIRE _.-WELL SEA gad by the work shall be restored to its
original condition as directed by the Engineer.
4 IN.SCH 40 PVC MONITORING I s 12'BENTONITE 7. Al the end of coostruci g PIPE/WELL SCREEN --^'- - -SEAL impervious soil cover of the io<IRstioo a sus cover shall be established sew the
.ERY `� ! -s- a Par g lksy,all mUcover trenches,all disturbed
FOR DETAILS a SPECIFICATIONS 1F 11 f area,sod all disposal nasal In accordance with the'Specifkations for Seeding'.
NET) OR HIOH LEVEL SENSOR SEE ii n'e s 4 FT.SLOTTED PVC
SHEET T-3 SCRIM(0.1120 IN.)
NO.67 W/ENDCAP —.`
WASHED STONE - SEE SHEET G-1 FOR GENERAL NOTES
ri
i ,
LIMIT OF EXCAVATION OF
INFILTRATION GALLERY
INE1LTRAT10N GALLERY MONITORINUI i ret�t�s
WELL SECTION(TYPICA1 j tn� s. to,i' (r F`
NIA qA/s l�• (if(
\ ff r04,1M..
FINAL DESIGN � � fzlf��>,.
fc
• LONO HILL STORE
NOT APPROVED FOR CONSTRUCTION PILOT MOUNTAIN,NORMCAROLNA
BPA Environmental &Engineering, Inc.
REV.NO.2 CkPA IT-//14e, 1 1z(ai/ qt
DATE DEC 12,1995 EC.4,1495 PLAN AND SECTIONS-
EXPLAN ADD BAR SCALE INCORPORATE
Wall INFILTRATION GALLERY
COMMENTS/
COORDINATE
DWOS
SHEET 0-2

. 1,\JOI Li
Rogers, Michael
From: AMerritt<[e-mail]>
Sent: Monday, January 30, 2017 1:24 PM
To: Rogers, Michael; Berger, Herb; Wang, Shuying
Cc: RCavallier; JStewartl
Subject: ECS Project# 1010-B NCDEQ TF#8995- Long Hill Store TA#3
Attachments: 49-1010-B - NCDEQ TF#8995- Long Hill Store TA#3.pdf
Good Afternoon,
Attached is our Final Letter Report for Long Hill Store TA#3. If you have any questions or comments, please contact John
Stewart.
Thank you and have a great day,
AMBERLY MERRITT I Environmental Administrative Assistant
T 336-856-7150 I D 336-478-1656
4811 Koger Boulevard I Greensboro I NC 127407
ECS SOUTHEAST, LLP
www.ecslimited.com
Confidential/proprietary message/attachments. Delete message/attachments if not intended recipient.
1

Rogers, Michael
From: Rogers, Michael
Sent: Friday, November 04, 2016 2:14 PM
To: Wang, Shuying; Knight, Sherri; Gonsiewski, James J; Jackson, Vance; Berger, Herb
Cc: '[e-mail]'; '[e-mail]'
Subject: RE: Groundwater remediation system closure at Lang Hill Store, W00011443 Long Hill Store,
Incident#8995
The closure plan has been approved and you can proceed with closing system. After closing, provide some
documentation/photos verifying closure of gallery, wells, and associated piping. After, receipt we will then rescind
permit.
Thanks
From: Wang, Shuying
Sent:Tuesday, October 18, 2016 8:50 AM
To: Rogers, Michael <[e-mail]>; Knight, Sherri <[e-mail]>; Gonsiewski, James J
<[e-mail]>;Jackson, Vance<[e-mail]>; Berger, Herb
<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
4.4
Nothing Compares
‘4
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: RCavallier [mailto:[e-mail]]
Sent: Monday, October 17, 2016 3:11 PM
To;Wang, Shuying <[e-mail]>

Cc:JStewartl<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store, Incident#8995
Shuying,
You will probably need to print this out on 11 X 17 (Ledger) sized paper to be able to read it. If you still cannot read it,
let me know and I will put a copy in the mail to you.
Randy
RANDY H. CAVALLIER
Senior Environmental Project Manager
ECS Carolinas,LLP 4811 Koger Boulevard,Greensboro,NC 27407
T: 336-856-7150 D:336-478-1612 C:336-362-5692 F:336-856-7160 www.ecslimited.com
Confidential/proprietary message/attachments. Delete message/attachments if not intended recipient.
From: JStewartl
Sent: Monday, October 17, 2016 3:00 PM
To: RCavallier
Subject: Fwd: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Did you get this taken care of.
John M. Stewart, P.G., CPG
Chief Geologist
ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC
336.880.9370 c
336,856.7150 o
Begin forwarded message:
From: "Wang, Shuying"<[e-mail]>
Date: October 14,2016 at 4:36:55 PM EDT
To: "[e-mail]"<[e-mail]>
Cc: "Berger, Herb"<[e-mail]>, "Jackson,Vance"<[e-mail]>,
"Shrestha, Shristi R"<[e-mail]>, "Rogers, Michael" <[e-mail]>,
"Knight,Sherri"<[e-mail]>
Subject: RE:Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store,
lncident#8995
Hi John,
I am reviewing the subject Non-Discharge Permit Closure package.On the first page of the request
letter,you mentioned the attached Final Design(Sheet G72); however,there is not such an attachment
with the letter. Please fax or email me the sheet as soon as possible.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
WinstodawiSalem Regional Office
2

Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: Shuying.WangPncdenr.gov
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
<2 Noth r g Compares .<_
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Thursday, October 13, 2016 12:46 PM
To: Berger, Herb <[e-mail]>;JStewartl ([e-mail])
<[e-mail]>
Cc:Jackson,Vance<[e-mail]>; Wang, Shuying<[e-mail]>;
Shrestha, Shristi R<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store,
Incident#8995
Disregard, it was found and is in the review process.
From: Berger, Herb
Sent:Thursday, October 13, 2016 10:53 AM
To:JStewartl ([e-mail]) <[e-mail]>
Cc:Jackson,Vance <[e-mail]>; Rogers, Michael<[e-mail]>
Subject: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store,
Incident#8995
Hey John,
I approved ECS' closure plan for this site. Do you know if the plan was ever submitted to Michael
Rogers?
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.gov
3

1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
' ahrg Compares. -.
•
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, October 13, 2016 10:48 AM
To: Berger, Herb<[e-mail]>
Cc:Jackson, Vance <[e-mail]>; Wang, Shuying<[e-mail]>;
Shrestha, Shristi R <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
We still have not received a permit rescission request/closure plan for this site. Should we take this file
out of our pending project/inbox?Thanks.
From: Berger, Herb
g
Sent:Thursday, August 18, 2016 9:29 AM
To: Rogers, Michael<[e-mail]>
Cc:Jackson,Vance <[e-mail]>; Wang, Shuying<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Hi Michael,
The State Lead program of the North Carolina UST Section authorized ECS Carolinas to prepare a system
closure plan, and the plan is due on August 30, 2016.
Thanks
Herbert E. Berger, Jr.,LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
4

t % ` ttt h ng Compares.- ,�._
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, August 18, 2016 9:21 AM
To: Wang, Shuying<[e-mail]>; Berger, Herb <[e-mail]>;Jackson,
Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Gents-
Just curious where you are at in submitting a closure plan for the above site? I have folder for this
project in my current active file that i was going thru.
Thanks.
From: Wang, Shuying
Sent: Tuesday, August 16, 2016 5:35 PM
To: Rogers, Michael <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
No, I did not.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq I
At41 r. ''''Nothing Compares
5

E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Tuesday, August 16, 2016 4:25 PM
To: Wang, Shuying<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Did you ever get a proposed closure plan for this site? I didn't.
From: Rogers, Michael
Sent:Thursday,June 23, 2016 10:12 AM
To: Berger, Herb<[e-mail]>
Cc: Watts, Debra <[e-mail]>;Jackson, Vance<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
I checked our BIMS database. This site is a `no fee'. Therefore, no fees are due.
From: Berger, Herb
Sent:Thursday,June 23, 2016 10:07 AM
To: Rogers, Michael <[e-mail]>
Cc: Watts, Debra <[e-mail]>;Jackson, Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Are any annual fees due? Funding on projects accepted into the State Lead program are extremely
limited. Is it possible that the fees could be waived for the Division of Waste Management?
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(cr7,ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
$1_ __
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
6

From: Rogers, Michael
Sent:Thursday,June 23, 2016 9:52 AM
To: Wang, Shuying<[e-mail]>; [e-mail]
Cc: Watts, Debra <[e-mail]>; Knight, Sherri<[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Also, before closing out the permit all annual fees need to be paid if any are due.
From: Rogers, Michael
Sent: Wednesday,June 22, 2016 1:13 PM
To: Wang, Shuying<[e-mail]>;[e-mail]
Cc:Watts, Debra <[e-mail]>; Knight,Sherri<[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Thanks.
From: Wang, Shuying
Sent: Wednesday,June 22, 2016 10:03 AM
To:[e-mail]
Cc: Rogers, Michael <[e-mail]>; Watts, Debra<[e-mail]>; Knight,
Sherri <[e-mail]>; Berger, Herb<[e-mail]>; Smith, George
<[e-mail]>
Subject: Groundwater remediation system closure at Lang Hill Store, WQ001443
Hi John,
It was nice to talk to you!
As we just discussed on the phone, please refer 2T.1608 for groundwater remediation system closure
and provide a closure plan as described in the rule to both the CO (Mike Rogers) and WSRO. As you are
requesting the permit be rescinded, please include the request in the package.
A infiltration gallery closure plan should adequately addresses the piping and also consider the potential
for the permeable fill portion of the infiltration gallery would retain the ability to be used for infiltration.
Please note, 15A NCAC 02T.1602(3) defines "infiltration gallery" as a subsurface ground absorption
system expressly designed for the introduction of wastewater into the subsurface
environment. Normally the piping is placed in permeable material in an excavation cut into the
subsurface in order to facilitate infiltration of the wastewater. Because the permeable material
surrounding the piping could still be used for infiltration, if not addressed, and serve as a source
of contamination to the extent that contaminants remain present in the permeable material or
surrounding soil, 15A NCAC 02T.1608(b)(2) requires that "infiltration galleries shall be closed such that
the infiltration gallery will be rendered permanently unusable for the disposal or infiltration of fluids and
will not serve as a source or channel of contamination." The requirements of.1608(b)(2) can be met by
excavating subsurface permeable materials or by covering them with uncontaminated low-permeability
material.
If you have any further questions, please let me know.Thanks for contacting us!
7

Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/webiwq
''°' ^Noth g, mpares
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
8

•
Rogers, Michael
From: Wang, Shuying
Sent: Friday, November 04, 2016 1:11 PM
To: Rogers, Michael
Cc: Wang, Shuying
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WO0011443 Long Hill Store,
Incident#8995
I think photos and document of the closure mentioned in the plan will be fine.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email:[e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
• Nothing Compares
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent: Friday, November 04, 2016 1:07 PM
To:Wang, Shuying <[e-mail]>
Cc: Knight,Sherri<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
I rec'd your approval for permit rescission. You state we need verification of closure of the system before
rescinding. What type of verification did you have in mind?...They provide photos and documents of closure?
From: Wang, Shuying
Sent:Tuesday, October 18, 2016 8:50 AM
To: Rogers, Michael <[e-mail]>; Knight, Sherri <[e-mail]>; Gonsiewski,James J
<[e-mail]>;Jackson, Vance <[e-mail]>; Berger, Herb
<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
1

Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
lit I -:‹P'1q0.thing Compares„,-,
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: RCavallier(mailto:[e-mail]
Sent: Monday,October 17, 2016 3:11 PM
To:Wang,Shuying<shuying.wangPncdenr.gov>
Cc:JStewartl<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Shuying,
You will probably need to print this out on 11 X 17 (Ledger) sized paper to be able to read it. If you still cannot read it,
let me know and I will put a copy in the mail to you.
Randy
RANDY H. CAVALLIER
Senior Environmental Project Manager
ECS Carolinas,LLP 4811 Koger Boulevard.Greensboro; NC 27407
T: 336-856-7150 D:336-478-1612 C:336-362-5692 F:336-856-7160 www.ecslimited.corn
Confidential/proprietary message/attachments Delete message/attachments if not intended recipient.
From: JStewartl
Sent: Monday, October 17, 2016 3:00 PM
To: RCavallier
Subject: Fwd: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Did you get this taken care of.
John M. Stewart, P.G., CPG
Chief Geologist
2

ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC
336.880.9370 c
336.856.7150 o
Begin forwarded message:
From: "Wang,Shuying"<[e-mail]>
Date:October 14, 2016 at 4:36:55 PM EDT
To: "[e-mail]" <[e-mail]>
Cc: "Berger, Herb"<[e-mail]>, "Jackson,Vance"<[e-mail]>,
"Shrestha, Shristi R" <[e-mail]>, "Rogers, Michael"<[e-mail]>,
"Knight, Sherri" <[e-mail]>
Subject: RE:Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store,
Incident#8995
Hi John,
I am reviewing the subject Non-Discharge Permit Closure package.On the first page of the request
letter,you mentioned the attached Final Design (Sheet G-2); however,there is not such an attachment
with the letter. Please fax or email me the sheet as soon as possible.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email:[e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://porta I.ncdenr.org/web/wq
!`'''Not}ting Compare$ --..-
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Thursday, October 13, 2016 12:46 PM
To: Berger, Herb<[e-mail]>;JStewartl ([e-mail])
3

<[e-mail]>
Cc:Jackson,Vance<[e-mail]>;Wang,Shuying<[e-mail]>;
Shrestha, Shristi R<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store,
Incident#8995
Disregard, it was found and is in the review process.
From: Berger, Herb
Sent:Thursday, October 13, 2016 10:53 AM
To:JStewartl ([e-mail])<[e-mail]>
Cc:Jackson,Vance<[e-mail]>; Rogers, Michael<[e-mail]>
Subject:Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store,
Incident#8995
Hey John,
I approved ECS' closure plan for this site. Do you know if the plan was ever submitted to Michael
Rogers?
Thanks
•
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(c�ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
- ''`i�othIng Compares. z,ro
t t
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, October 13, 2016 10:48 AM
To: Berger, Herb<[e-mail]>
Cc:Jackson,Vance<[e-mail]>; Wang,Shuying<[e-mail]>;
Shrestha, Shristi R<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store
4

We still have not received a permit rescission request/closure plan for this site. Should we take this file
out of our pending project/inbox?Thanks.
From: Berger, Herb
Sent:Thursday,August 18,2016 9:29 AM
To: Rogers, Michael<[e-mail]>
Cc:Jackson,Vance<[e-mail]>; Wang,Shuying<shuving.wang@)ncdenr.gov>
Subject: RE: Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store
Hi Michael,
The State Lead program of the North Carolina UST Section authorized ECS Carolinas to prepare a system
closure plan, and the plan is due on August 30, 2016.
Thanks
Herbert E. Berger,Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
•
-'"'Nothing Compares-t...
r
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday,August 18, 2016 9:21 AM
To:Wang,Shuying<[e-mail]>; Berger, Herb<[e-mail]>;Jackson,
Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Gents-
Just curious where you are at in submitting a closure plan for the above site? I have folder for this
project in my current active file that i was going thru.
Thanks.
5

From:Wang,Shuying
Sent:Tuesday,August 16, 2016 5:35 PM
To: Rogers, Michael<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
No, I did not.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://porta I.ncdenr.org/web/wq
"Not
� � E
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Tuesday,August 16, 2016 4:25 PM
To:Wang,Shuying<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Did you ever get a proposed closure plan for this site? I didn't.
From: Rogers, Michael
Sent:Thursday,June 23, 2016 10:12 AM
To: Berger, Herb<[e-mail]>
Cc:Watts, Debra <[e-mail]>;Jackson,Vance<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
I checked our BIMS database. This site is a 'no fee'. Therefore, no fees are due.
From: Berger, Herb
Sent:Thursday,June 23, 2016 10:07 AM
To: Rogers, Michael<[e-mail]>
Cc:Watts, Debra <[e-mail]>;Jackson,Vance<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
6

•
•
Are any annual fees due? Funding on projects accepted into the State Lead program are extremely
limited. Is it possible that the fees could be waived for the Division of Waste Management?
Thanks
Herbert E. Berger,Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Bergerat ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
• Nothing Compares
s
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday,June 23, 2016 9:52 AM
To: Wang,Shuying<[e-mail]>;[e-mail]
Cc:Watts, Debra <[e-mail]>; Knight,Sherri<[e-mail]>; Berger, Herb
<[e-mail]>;Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store
Also, before closing out the permit all annual fees need to be paid if any are due.
From: Rogers, Michael
Sent:Wednesday,June 22,2016 1:13 PM
To:Wang,Shuying<[e-mail]>;[e-mail]
Cc:Watts, Debra <[e-mail]>; Knight,Sherri<[e-mail]>; Berger, Herb
<[e-mail]>; Smith,George<[e-mail]>
Subject: RE:Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Thanks.
From:Wang,Shuying
Sent:Wednesday,June 22,2016 10:03 AM
To:[e-mail]
Cc: Rogers, Michael<[e-mail]>;Watts, Debra<[e-mail]>; Knight,
Sherri<[e-mail]>; Berger, Herb<[e-mail]>; Smith, George
7

t
<george.smith ftncdenr.gov>
Subject:Groundwater remediation system closure at Lang Hill Store, WQ001443
Hi John,
It was nice to talk to you!
As we just discussed on the phone, please refer 2T.1608 for groundwater remediation system closure
and provide a closure plan as described in the rule to both the CO (Mike Rogers)and WSRO. As you are
requesting the permit be rescinded, please include the request in the package.
A infiltration gallery closure plan should adequately addresses the piping and also consider the potential
for the permeable fill portion of the infiltration gallery would retain the ability to be used for infiltration.
Please note, 15A NCAC 02T.1602(3) defines"infiltration gallery" as a subsurface ground absorption
system expressly designed for the introduction of wastewater into the subsurface
environment. Normally the piping is placed in permeable material in an excavation cut into the
subsurface in order to facilitate infiltration of the wastewater. Because the permeable material
surrounding the piping could still be used for infiltration, if not addressed, and serve as a source
of contamination to the extent that contaminants remain present in the permeable material or
surrounding soil, 15A NCAC 02T.1608(b)(2) requires that"infiltration galleries shall be closed such that
the infiltration gallery will be rendered permanently unusable for the disposal or infiltration of fluids and
will not serve as a source or channel of contamination." The requirements of.1608(b)(2) can be met by
excavating subsurface permeable materials or by covering them with uncontaminated low-permeability
material.
If you have any further questions, please let me know.Thanks for contacting us!
Shuying Wang,P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
''?'Noting Compares
.t:
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
8

Rogers, Michael
From: Wang, Shuying
Sent: Tuesday, October 18, 2016 8:50 AM
To: RCavallier
Cc: JStewartl; Rogers, Michael; Knight, Sherri; Gonsiewski, James J; Jackson, Vance; Berger,
Herb
Subject: RE: Groundwater remediation system closure at Lang Hill Store, W00011443 Long Hill Store,
Incident#8995
HI Randy,
I would like to make a site visit to confirm conditions of the infiltration gallery next Friday(10/28).We can be at the site
at 10:00. If you (or Herb)wish, let's meet there, but you do not have to. I am familiar with the site. Please just let me
know.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
� K-.� otht�g Compares=. r
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: RCavallier [mailto:[e-mail]]
Sent: Monday,October 17, 2016 3:11 PM
To:Wang, Shuying<[e-mail]>
Cc:JStewartl<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
i•
Shuying,
You will probably need to print this out on 11 X 17 (Ledger) sized paper to be able to read it. If you still cannot read it,
let me know and I will put a copy in the mail to you.
1

Randy
RANDY H. CAVALLIER
Senior Environmental Project Manager
ECS Carolinas,LLP 4811 Koger Boulevard,Greensboro, NC 27407
T:336-856-7150 D:336-478-1612 C:336-362-5692 F:336-856-7160 www.ecslimited.com
Confidential propnetary message/attachments Delete message/attachments if not intended recipient.
From: 3Stewartl
Sent: Monday, October 17, 2016 3:00 PM
To: RCavallier
Subject: Fwd: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Did you get this taken care of.
John M. Stewart, P.G., CPG
Chief Geologist
ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC
336.880.9370 c
336.856.7150 0
Begin forwarded message:
From: "Wang, Shuying"<[e-mail]>
Date: October 14, 2016 at 4:36:55 PM EDT
To: "[e-mail]" <[e-mail]>
Cc: "Berger, Herb"<[e-mail]>, "Jackson,Vance"<[e-mail]>,
"Shrestha, Shristi R" <[e-mail]>, "Rogers, Michael" <[e-mail]>,
"Knight, Sherri"<[e-mail]>
Subject: RE:Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store,
Incident#8995
Hi John,
I am reviewing the subject Non-Discharge Permit Closure package. On the first page of the request
letter,you mentioned the attached Final Design(Sheet G-2); however,there is not such an attachment
with the letter. Please fax or email me the sheet as soon as possible.
Thank you!
Shuying Wang,P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email:[e-mail]
2

Rogers, Michael
From: Wang, Shuying
Sent: Tuesday, October 18, 2016 8:50 AM
To: RCavallier
Cc: JStewartl; Rogers, Michael; Knight, Sherri; Gonsiewski, James J; Jackson, Vance; Berger,
Herb
Subject: RE: Groundwater remediation system closure at Lang Hill Store, W00011443 Long Hill Store,
Incident#8995
HI Randy,
I would like to make a site visit to confirm conditions of the infiltration gallery next Friday(10/28). We can be at the site
at 10:00. If you (or Herb)wish, let's meet there, but you do not have to. I am familiar with the site. Please just let me
know.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email:[e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
•
<>"Nothing Compares _.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: RCavallier[mailto:[e-mail]]
Sent: Monday, October 17, 2016 3:11 PM
To:Wang, Shuying<[e-mail]>
Cc:JStewartl <[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Shuying,
You will probably need to print this out on 11 X 17 (Ledger) sized paper to be able to read it. If you still cannot read it,
let me know and I will put a copy in the mail to you.
1

•
Randy
RANDY H. CAVALLIER
Senior Environmental Project Manager ,
ECS Carolinas,LLP 4811 Koger Boulevard, Greensboro,NC 27407
T:336-856-7150 D:336-478-1612 C:336-362-5692 F:336-856-7160 www.ecslimited.com
Confidentiaiipropnetay message/attachments. Delete message/attachments if not intended recipient
From: JStewartl
Sent: Monday, October 17, 2016 3:00 PM
To: RCavallier
Subject: Fwd: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Did you get this taken care of.
John M.Stewart, P.G., CPG
Chief Geologist
ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC
336.880.9370 c
336.856.7150 o
Begin forwarded message:
From: "Wang, Shuying"<shuying.wang(6 ncdenr.gov>
Date:October 14, 2016 at 4:36:55 PM EDT
To: "[e-mail]"<[e-mail]>
Cc: "Berger, Herb" <[e-mail]>, "Jackson,Vance"<[e-mail]>,
"Shrestha, Shristi R"<[e-mail]>, "Rogers, Michael" <[e-mail]>,
"Knight,Sherri" <[e-mail]>
Subject: RE:Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store,
(ncident#8995
Hi John,
I am reviewing the subject Non-Discharge Permit Closure package.On the first page of the request
letter,you mentioned the attached Final Design(Sheet G-2); however,there is not such an attachment
with the letter. Please fax or email me the sheet as soon as possible.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email:[e-mail]
2

450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/webiwct
------Nothing Compares
•E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent: Thursday, October 13, 2016 12:46 PM
To: Berger, Herb <[e-mail]>; JStewartl ([e-mail])
<[e-mail]>
Cc:Jackson,Vance<[e-mail]>; Wang, Shuying <[e-mail]>;
Shrestha, Shristi R <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store,
Incident#8995
Disregard, it was found and is in the review process.
From: Berger, Herb
Sent: Thursday, October 13, 2016 10:53 AM
To:JStewart1 ([e-mail]) <[e-mail]>
Cc:Jackson,Vance <[e-mail]>; Rogers, Michael <[e-mail]>
Subject: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store,
Incident#8995
Hey John,
I approved ECS' closure plan for this site. Do you know if the plan was ever submitted to Michael
Rogers?
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
3

~"<>-"Nothinc Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, October 13, 2016 10:48 AM
To: Berger, Herb <[e-mail]>
Cc:Jackson, Vance <[e-mail]>; Wang, Shuying<[e-mail]>;
Shrestha, Shristi R<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
We still have not received a permit rescission request/closure plan for this site. Should we take this file
out of our pending project/inbox?Thanks.
From: Berger, Herb
Sent:Thursday, August 18, 2016 9:29 AM
To: Rogers, Michael <[e-mail]>
Cc:Jackson, Vance <[e-mail]>; Wang, Shuying<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Hi Michael,
The State Lead program of the North Carolina UST Section authorized ECS Carolinas to prepare a system
closure plan, and the plan is due on August 30, 2016.
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.bov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
tatting Compares. �.
Email correspondence to and from this address is subject to the
9

North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, August 18, 2016 9:21 AM
To: Wang, Shuying<[e-mail]>; Berger, Herb <[e-mail]>;Jackson,
Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Gents-
Just curious where you are at in submitting a closure plan for the above site? I have folder for this
project in my current active file that i was going thru.
Thanks.
From: Wang, Shuying
Sent:Tuesday, August 16, 2016 5:35 PM
To: Rogers, Michael<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
No, I did not.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
4ift 1
, 1 . ---- --"-Nothing Compares -- -
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Tuesday, August 16, 2016 4:25 PM
5

To: Wang, Shuying <[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Did you ever get a proposed closure plan for this site? I didn't.
From: Rogers, Michael
Sent:Thursday, June 23, 2016 10:12 AM
To: Berger, Herb <[e-mail]>
Cc: Watts, Debra <[e-mail]>;Jackson, Vance<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
I checked our BIMS database. This site is a `no fee'. Therefore, no fees are due.
From: Berger, Herb
Sent:Thursday,June 23, 2016 10:07 AM
To: Rogers, Michael <[e-mail]>
Cc:Watts, Debra <[e-mail]>;Jackson, Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Are any annual fees due? Funding on projects accepted into the State Lead program are extremely
limited. Is it possible that the fees could be waived for the Division of Waste Management?
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Bergerncdenr.gov
1646 Mail Service Center
Raleigh. NC 27699-1646
217 West Jones Street. Office 2430V
Raleigh, NC 27602
4 .-`".,'~Notiinq Compares----:_
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, June 23, 2016 9:52 AM
To: Wang, Shuying <[e-mail]>;[e-mail]
Cc:Watts, Debra <[e-mail]>; Knight, Sherri <[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
6

Also, before closing out the permit all annual fees need to be paid if any are due.
From: Rogers, Michael
Sent: Wednesday,June 22, 2016 1:13 PM
To:Wang, Shuying<[e-mail]>;[e-mail]
Cc:Watts, Debra<[e-mail]>; Knight,Sherri<[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Thanks.
From:Wang,Shuying
Sent:Wednesday,June 22, 2016 10:03 AM
To:[e-mail]
Cc: Rogers, Michael<[e-mail]>; Watts, Debra <[e-mail]>; Knight,
Sherri <[e-mail]>; Berger, Herb<[e-mail]>;Smith, George
<[e-mail]>
Subject: Groundwater remediation system closure at Lang Hill Store,WQ001443
Hi John,
ft was nice to talk to you!
As we just discussed on the phone, please refer 2T.1608 for groundwater remediation system closure
and provide a closure plan as described in the rule to both the CO (Mike Rogers) and WSRO. As you are
requesting the permit be rescinded, please include the request in the package.
A infiltration gallery closure plan should adequately addresses the piping and also consider the potential
for the permeable fill portion of the infiltration gallery would retain the ability to be used for infiltration.
Please note, 15A NCAC 02T.1602(3) defines"infiltration gallery" as a subsurface ground absorption
system expressly designed for the introduction of wastewater into the subsurface
environment. Normally the piping is placed in permeable material in an excavation cut into the
subsurface in order to facilitate infiltration of the wastewater. Because the permeable material
surrounding the piping could still be used for infiltration, if not addressed, and serve as a source
of contamination to the extent that contaminants remain present in the permeable material or
surrounding soil, 15A NCAC 02T.1608(b)(2) requires that "infiltration galleries shall be closed such that
the infiltration gallery will be rendered permanently unusable for the disposal or infiltration of fluids and
will not serve as a source or channel of contamination." The requirements of.1608(b)(2)can be met by
excavating subsurface permeable materials or by covering them with uncontaminated low-permeability
material.
If you have any further questions, please let me know.Thanks for contacting us!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]

Mobile: [phone]
Fax: [phone]
Email:Shuving.WangPncdenr.gov
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
..-^^Nothn Compares:
E-mail correspondence to and from this address may be subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statute or other regulation.
III
8

r
Rogers, Michael
From: Wang. Shuying
Sent: Tuesday; October 18, 2016 8:50 AM
To: Rogers, Michael; Knight, Sherri; Gonsiewski, James J; Jackson. Vance: Berger, Herb
Subject: FW: Groundwater remediation system closure at Lang Hill Store, W00011443 Long Hill Store.
lncident#8995
Attachments: Send data from MFP07297142 10/17/2016 14:57
Shuyirtg Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone] I -
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
• - Nothing Compares .._..-
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and maybe
disclosed to third parties unless the content is exempt by statute or other regulation.
From: RCavallier [mailto:[e-mail]]
Sent: Monday, October 17, 2016 3:11 PM
To: Wang, Shuying<[e-mail]>
Cc:JStewartl <[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Shuying,
You will probably need to print this out on 11 X 17 (Ledger) sized paper to be able to read it. If you still cannot read it,
let me know and I will put a copy in the mail to you.
Randy
RANDY H. CAVALLIER
Senior Environmental Project Manager
EGS Carolinas, LLP 4811 Koger Boulevard. Greensboro. NC 27407
T 336-856-7150 D:336-478-1612 C:336-362-5692 F 336-856-7160 www ecslimited.corn
Contoertiodprcare,a-,messe e ner t!- ,-3essaee'a: rents/7,ct in;e-ideo renpier:.
1

From: JStewartl
Sent: Monday, October 17, 2016 3:00 PM
To: RCavallier
Subject: Fwd: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store, Incident#8995
Did you get this taken care of.
John M.Stewart, P.G., CPG
Chief Geologist
ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC
336.880.9370 c
336.856.7150 o
Begin forwarded message:
From: "Wang, Shuying"<[e-mail]>
Date:October 14, 2016 at 4:36:55 PM EDT
To: "[e-mail]" <[e-mail]>
Cc: "Berger, Herb" <[e-mail]>, "Jackson,Vance" <[e-mail]>,
"Shrestha, Shristi R"<shristi.shresthana ncdenr.gov>, "Rogers, Michael"<[e-mail]>,
"Knight, Sherri"<[e-mail]>
Subject: RE:Groundwater remediation system closure at Lang Hill Store,WQ0011443 Long Hill Store,
Incident#8995
Hi John,
Lam reviewing the subject Non-Discharge Permit Closure package.On the first page of the request
letter,you mentioned the attached Final Design (Sheet G-2); however,there is not such an attachment
with the letter. Please fax or email me the sheet as soon as possible.
Thank you!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email:[e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://porta l.ncdenr.org/web/wq
2

•
• '
•
li SPECIFICATIONS FOR INFILTRflTIGINGALIJ-IY BRIK HON' v 1'1111'4-tiIkth ma5SFOFNa1
Mw•7 \ 11
PROPOSED LeenTuON OF gX.PLORalgli 1 Disebarge pipe,manifold.and distribmioa Hnea shall be of specified nominal diameter 1 For erosion control cod aestbetio,permanent gram cover shall be established on ell
FILTRATION Ras pp Y;• , Scbedule 40 PVC as noted no the drawinµ. MI Joints/fittings shall be eleaod and disturbed pen at the completion of corutruelinn.
4 MONITORING WELL assembled la accordance with troseuf.tereer.resommeedatiooe lolau/Lulngs shall
he glued uniformly around their Cull circa/Meleeoe with a suitable soloeot-bared All disturbed wens shall be Gee graded or dressed to specified fm.l contours and/or
O RECOVERY WELL cement u rerommeaded by the pipe merrufaauter. Joints shall be fully strata as original existing typical sections and plowed pantie!to topoptphk cootoun to s
.141i. .
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FI
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TO BE GROUND TO LA E S P OAIiJSRY t \ Final ore ,
apoace of the discharge pipe shall be bass on We absence of roemmeablc
TO BB GRADED SLOPE SON 2% •"`� -1N I .
'\ UNCERTAIN-PROPERTY LINE leakage Dazed on w hydrwaadc kakdowo to potmsocd at flea cmplattw of Kiodr sod No(per acTa)of reed,fertilizer,and limestone than be as tolbws.
TO DITCH TO ENSURE RAINFALL RUNOFF }•/ \ - OVERHEAD
constnmlon wherein.constant pressure d 30 psi is malet.ined(Grenada.of l boor.
N. OVERHEAD POWER LINE @ NCDOT PJN' 100Ibs Kentucky 31 tall fescue
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91
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their entire length.Should rock be ammo cored,the gallery shall be oodercul and/or
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RECOYRWjil
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r'ACING fll.1q,N ATT i
'0 \•,' Y 9• spreading a windrow of impervious son cover ahead of a small doper or small loader. hold the strew in plow.
_....-~� r+ + ""'.. to no eve will vehisk traffic on heavy machinery be allowed to travel directly on thei,"
cotes fabric nor wilt conditions such that mud will cake m deg the fabric be aHowesL Ocala straw shall tM applied over seeded stem m e mulch. No Dare ground shall be
/ _ H V :;': `Sr,." �1 visible.Thick clump of straw are not permissible*a uniform coverage u requited.
3f :�� !.• _ -\ ,. The impervious cover for the Infiltration ge0try rbalf be s showncted or'select site
CONTOUR INTERVAL=0.S FT.
sj cii.Lik...:
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• MAP N0.02-24g7,11f11ST
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4 4\ :� `w ' STOCfourORA1tY defieed on Sheet 0-1)rammed from the proposed location of the inf.-Malkin gallery t To not comgomise the integrity of die mating boiMlat pavement auuctuse,
\ _mac tE ORICKP111 AR1f and l n be free of particles greater then 3/4 inch diameter a determiacd by the
Mw,i,1,1�- $ \' DX ARM AERIAL UTTLITTES® o abwWem,and embankment dopes;open cow shall not*nerd ID ft in depth nor
r APPRf77fWA2fi LOCAT)C!N Of
visual cos a Inge rs the and
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7711CICNPSt OONCRETR TVA7(DOMT[ ----- not he loft npea,enpcolmd,or otherwise a s. a somata unsafe or unshielded
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SLAB(TOP OF SLAB AT EL 99.2 FT s)-
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TO 9394 STANDARD PROCTOR MAXIMUMDRY DEXISTING
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CONTRACTOR TO REMOVE AND DISPOSERIOR OF PLACING
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PR PRESENTOLL TIE ADE AS DIRECTION
TREES AND VEGETATION OFFSTfB PRIOR TO OP BPA FIELD REPRESENTATIVE PRIOR TO PLACEMENT All rnervatfans and temporary bracing of excavations.ball conform to OSHA safety
gu{de0oes.
BACKERS-ONSITE BURNING OP DEBRIS WILL NOT Yld1N:I1tlAL REA OP(IRAYIO.YUORASE OPSI.AS
OE AI-IAWF73. fiN AD/Nfi 4. Proper temponory sad perm...erosion control menarat shall be used m prnwt
siltation or stream.and adjure.property to ooeotdaace with the current edition of
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se--._� ....- a•-�---4 Federal malodour. Siltation balm,rill fcc sod maim sad mulch/et Nail be
WALE IN FEET used,as required and where appropriate.
SEE SIIPET'T•2 FOR
TYPICAL VAULT BOX SE,. ION SENSOR CONTROL WIRE AB o.ess recmted material stall be removed end disposed in deaigeotcd non
ootside Ibe lima of the dgbl•o(e,y to such a manner n not to erode onto nor to
IS lass COMPACTED SELECT S1TB SOIL 1 Ill. I El/Fl CT POR y;
TPN'ERYIOI$COVES;SLOPE MIN.'M TO NIGH LEVI%SENSOR v interfere with the drainage of highways or adJ.unt properties.
LOOMING PITCH FOR DRAINAGE.WI GRASS COVER NO 67 WASHED STUNS
BLF.C.THlCA1(ASOle'>L ?•
MIRAF7 140 N WIRE o Any*same.taeture disturbed or damaged by the work shall be restored to its
:i• _--WELL SEAL original condition as directed by the Engineer.
PiNAI.GROUND SURE --74/KIN.SLOPE TO EXISTING DITCH 'SUER FAWN(
01N.SCH fall PVC h(ONITOIUNG ll =;= t 12•B7:NT'ONf7E 7, At the end of construction,permanent gees covet shall be noblisbd oat the
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TIORAT EFFLUENT FROM MOINPNITOR I N/N GAI.I.R11 Y
OJftS7:N6 WHLLMW7 ' (p-- T .ter,and all sDaptsaal mean in aceardroce with the•Specinc.tions for Seeding:
TREATMENT SYSTEM 1 tiA DE PRESERVED MONITORING WELL. FOR DETAILS d SPECIFICATIONS
EL 93 FT.±— ,�! '--.-- "•""s""' y EL93 PT.± SOLID RISER lU (SEE DETAIL THIS SHEET) OR H1OH LEVEL SENSOR SEE �c 2 x 4 Fr.SLOTTED PVC
__"17 IN.�� d4STRIBUTHW SHEET TA SCREEN(0.020 IN.)
J 11J,SG71 fall PVC EFFLUENT LINE '..e" 2 N.SCH 40 PVC DIOIR21VI1ON MANIl01.D R1She 0 FT.v.. 0IT.a + [1D,6T/ w/ENDCAP
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TO HORIZONTAL MANIFOLD DLITR2HUTION PIPING 0 -`TREATTHFNt
RAPE RASH GALLERY/DISTRIBUTION 5TYTEM
jl A BPA Environmental &Engineering, Inc.
PIPING,TOO TO NORTHWEST REV.NO 7(.,S}1;:./l:1�f ,1 t f� ^
N OF TtireITHA-L PIIII'f4. DATE DEC,12. ix.t sf9 PLAN AND SECTIONS-
STSTIfIN B-R• X(I17 thou 76TRAT1ortgALLER Y DATE ADD Irate 3li iNt7CIRl4 f-
10 0 20 40 was INFILTRATION GALLERY
4 • W 711 STAIR IN PM COORDINATE
COMMENTS,
SCALEIN(1![:T oW(1% SHEET 0-2

NC Department
i Environmental Quality .
Received
DIVISION OF WATER RESOURCES OCT 0 4 2016
6
Water Quality Regional Operations Section - Central Offleet. Winston-Salem
a..
Regional Office
Regional Office Interoffice Mail Routing Cover Sheet
Date: ` )`///lo
t .ECEIVEDINCDEQ.IDWR
To: ❑ ARO- WQROS OCT 31 2016
❑ Landon Davidson ❑ Other Water Quality Regional
Ooorat;ons Section
❑ FRO- WQROS
❑ Belinda Henson ❑ Other
❑ MRO- WQROS
❑ Cory Basinger ❑ Andrew Pitner ❑ Other
❑ RRO- WQROS
❑ Danny Smith ❑ Rick Bolich ❑ Other
❑ WaRO- WQROS
❑ David May ❑ Robert Tankard ❑ Other
❑ WiRO- WQROS
❑ Jim Gregson ❑ Morella Sanchez-King ❑ Other
WSRO- WQROS
Sherri Knight /14 Other 1/JA/JC'
From: it/- �0 6-61._s , WQROS — Central Office.
For your [Review/InformationXFile
Please Respond with Comments: At your convenience; ❑ Within business days
after receipt
Comments:
.�� 7k°44.s-r- eciA-L-A•^2A-04 l,,ems � .2160•45
WQROS Regional Office Interoffice Mail Routing Cover Ver. 12/16/15

•
PERMIT RESCISSION and/or NON-DISCHARGE SYSTEM CLOSURE PLAN
REQUEST
Information to be filled out by Central Office
WQROS Staff Member Processing Permit Rescission Request: Michael Rogers
Permittee/Facility Name: DWM-DSCA Program/Former Long Hill Store
Permit Number: WQ0011443
Regional Office: W-SRO
County: Surry
Date Rescission Request Received: 9/28/16
Received Original Request: X Central Office Regional Office
Form of Received Request: X Letter Signed Annual Fee Invoice Other
Information to be filled out by Regional Office & Returned to Central Office
Please Check Appropriately:
Site Visit Performed Groundwater Concerns Addressed
Recommendations:
INRescind Permit Non-Discharge System Closure Plan Approved and
t! v.•-e. , zerif et Recommend Permit Rescission (if applicable)'jilt-
it¢ 645
4re fie/1f:,t ift;;r s far/141 GP.r4..4-"ye�vv 1v /s rr4 044, r,: ty�»a4 pitai
n4
' '
Reason for Approval/ omments:
<1 /44) /-74.41 2-717i 711_ s j7- � a.» e-
2>- Tk¢ ;///t i'4,i V � aI�>.c—' ,t" c -i-kte ( a4 a� R,4d
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t L An 5 GtZ f p�5i t t. //LYE' 2 //�4 c .-5~ 0,6,..r;S caleo�p7- i
Require Renewal with Suspended Actions ' d
Recommended Actions to be Taken:
Do Not Rescind-> Recommend Permit Renewal
Reason for Denial:
Revised 9-29-2016 Page 1

Name (Print) and Signature of RO Staff Member:
61m y l\7 ►,/a
Date Rescission and/or Non-Discharge System Closure Plan Request
Approved/Certified: Or-hill/I, 23,
Additional Notes/Comments, if needed:
Revised 9-29-2016 Page 2

..W7S ECS CAROLINAS, LLP "Setting the Standard for Service"
Geotechnical • Construction Materials • Environmental • Facilities
September 26, 2016
Mr. Michael Rogers
North Carolina Department of Environmental Quality
Division of Water Resources
1636 Mail Service Center DECEIVED/NCDEQIDWR
Raleigh, North Carolina 27699-1636
SEP 2 8 2016
Reference: Non-Discharge Permit#W00011443 Closure
Long Hill Store Water Quality
NCDEQ Incident No.8995 Regional Operations Section
2482 Old US Highway 52
Pilot Mountain, Surry County, North Carolina
ECS Project 49.1010A
Dear Mr. Rogers:
The North Carolina Department of Environmental Quality (NCDEQ), Trust Fund Branch
has requested that ECS Carolinas, LLP (ECS) decommission the on-site remediation
system and associated infiltration gallery (WQ0011443).
Per 15A NCAC 02T .1608 (Requirements for Closure):
1. The reason for closure — Continued operation of the system is not recommended
because it is not effectively remediating the site. It is our opinion that the
contaminant plume has stabilized and the NCDEQ Trust Fund Branch will
continue with annual groundwater monitoring.
2. The NCDEQ, Trust Fund Branch (the oversight agency) has issued a letter
authorizing the closure of the system (attached).
3. A description of the proposed closure procedure is presented below.
The requirements of 15A NCAC 02T .1608(b)(2) requires that "infiltration galleries shall
be closed such that the infiltration gallery will be rendered permanently unuseable for the
disposal or infiltration of fluids and will not serve as a source or channel of
contamination". The requirements of .1608(b)(2) can be met by excavating subsurface
permeable materials or by covering the infiltration gallery with uncontaminated low-
permeability material.
Based on the attached Final Design (Sheet G-2), the infiltration gallery is approximately
forty feet long, forty feet wide and seven feet deep and was constructed with an eighteen
inch compacted soil impervious cover. This was done to prevent surface water and rain
water from entering the gallery. It is ECS's opinion, that the impervious cover satisfies
the .1608(b)(2) requirement of being covered with a low-permeability material. No
additional work to further"close"the infiltration gallery is recommended.
ECS Capitol Services.PLLC•ECS Carolinas,LLP•ECS Central.PLLC•ECS Florida.LLC•ECS Mid-Atlantic,LLC•ECS Midwest,LLC•ECS Southeast, LLC•ECS Texas.LLP
www.ecslimited.com

Long Hill Store
2482 Old US Highway 52
Pilot Mountain, Surry County, North Carolina
ECS Project 49.1010A
September 26, 2016
ECS has removed all remediation pumps from the monitoring/recovery wells at the site.
Additionally, ECS proposes to fill the 2-inch PVC discharge line from the former
remediation system to the infiltration gallery (see Sheet G-2) with flowable Portland
cement. This will be performed once the DWQ approves the closure plan. ECS will
provide photographic documentation of the final closure.
If you have any questions regarding this project or the information attached to the letter,
please call me at [phone].
Sincerely,
ECS CAROLINAS, LLP
Rand H. Cavallier Sohn M. Stewart, P.G.
Senior Environmental Project Manager Chief Geologist
Attachments:
Notice of Intent To Close Remediation System Letter
cc: Mr. Herb Berger— NCDEQ-Trust Fund Branch •

PAT MCCRORY
DONALD R. VAN DER VAART
402.
MICHAEL SCOTT
Waste:Management 3u.e.:ror
ENYIP.ONMENTA!QUALITY
September 23,2016
Mr.Michael Rogers
North Carolina Department of Environmental Quality
Division of Water Resources
1636 Mail Service Center
Raleigh,NC 27699-1636
RE: Notice of Intent to Close Remediation System
Former Long Hill Store
2482 Old US Hwy 52
Pilot Mountain,Surry County NC
Incident#8995
Dear Mr.Rogers:
The purpose of this letter is to inform the North Carolina Division of Water Resources that the
Underground Storage Tank Section of the North Carolina Division of Waste Management intends to
authorize ECS Carolinas to remove the remediation system at the referenced site. The UST Section took
over environmental management of the referenced site on October 22,2015. A groundwater extraction
and treatment system and associated infiltration gallery has been operated at the site for many years,and
the UST Section has concluded the remediation system is not cost effectively reducing contaminant levels
at the site. Therefore,the UST Section has determined that the system should be removed from the site.
Please understand that the incident is not applicable for closure at this time,and the UST Section is
committed to managing the environmental activities at the site until contaminant concentrations reach
acceptable levels. The proposed closure procedure will be submitted by ECS Carolinas.
If you have any questions concerning this matter,please contact me at(919)707-8170.
Sincerely,
Herb Berger,
Division of Waste Management,NCDEQ
8995_2016_09_23_Notice of Intent_To_CloseRemediation_System
State of North Carolina Environmental Quality Waste Management
1646 Mail Service Center 217 West Jones Street Raleigh,NC 27699-1646
919 707 8200 T
r -71792--f- y
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'I•HAT1f3sI tea 1ping,-
' r `�� puttied nominal diameter
'pN Schedule w PVC as noted no the drawings. All}ointt(ffttiaga oholl be etearsed aad disturbed aro s at the completion of construction
MONITORING WELL assembled In arxordaace with menutaer fuer'.remmmeedations. Joiatstlbttlnps shag
eit
be.glued uniformly mooed thole full circumference with a suitable solvent.based Ali dotucbcd mesa shell be Gee graded w dreascd to specified foal contours dadkor
�t�,, + kI9L'O'VBR•Y WELL cement u tewmmeadel by she pipe oonrof murtr. Joints shall be fully seated as original existing typical soonest eat)plowed parallel to topographic contours Co a ,;.
". `^~ ,�••' ?•.• verified by ruttable aignouol marks depth of 6 iarbea.The top 2 fachastaU be pnhuiud to Provide a uniform neared.
s e MOr Pr TY NR Lime shall he applied before plowing.
ANAT.Otalll D 8Ur1.P+tL"N OF*ALLA Final acceptance or the discharge pipe shell be hared on the absences of ineesoreablc
TO BE GRADED TO SLOPE MIN 2% !M 1.- -- UNCERTAIN PROPERTY LINE
T43 ENTCIt•24}ENSURE RAA2fALL"RW1QPt a ^-� onestr 0bao d au as hydrostatic c katdawo eve to mad d the mist.
of 1 h of )" Kinds and riles(per bete)of seed,fertflitet,and limestone Hull be as folbus. g'
rill' coeasru wherein•rxiwsaat preteens d Moll R madataiaad for■sofa.N 1 hour. lr
}� •+' - OVERHEAD POWER LINE go NCDOT R/IV
r _`..•t �� 14.0 Ibs Kentucky 31 loll issue -_
lf a. FENCE se
The manifold and distribution lima to be installed within the infiltration gallery Mail 15 Ihs Kenblue Kentucky Bleepers -
l ,
t x�- Sy yg, bebedded at resided herein.The lines shell be laid true to bee and
, x on nabbed of No,67 washed stone rrbicb her been plead la as uniform layer aeroailite San tbs B °z,k Iofioo r Amore hard fence
gl _� _ [4�i�-��Ij DISPENSERS
� FORMER
NOYh •a TO D b 4r kw Limestone
t'� ! -�*>-toes
bottom of the infdtzation gallery end shaped to conform to the dmlribartioa!lees elrag o0D '
ALL.s, �r,r t ri,....AND 96� > LINE their itionmaie cog Should rock be the sites,Um gallery:ha c rrdercad a.+ttor
A ` •� .+ -^� � t.`•-�� FOAMERUNUt-JY.GROUND STOAACrfi TANK re-petitioned per be 8irectum of EPA sites supervises. ntnbaa'oo(so(6ae�matbariaThc n:kat met• dunoacceptable�u�fotm
S
er Mull be applied with
ment to
f 14^ TAN ,r d .
• PtT! I.Y_ -.,_J 4 To prevent clogging,the Mire& 140N geotextile flea fabric MIMI be lain as a
'' se raver[atrris over thesurface of the washed stone tier to 7, The seeded area dhoti be cufti adtad to de a firm seedbed arid toed thrill be
r APPROXIMATE AREA OF EXCAVATIONP prow'
Nt)T'l1: ELEVATION OF Rd eTf °� f s T '-- overlyingBcop Mare B prior
Nm minimum adequately
+� �.w..,i select roe solo.All Labels sui )des shall be over) cmcred.
CONCRETE tAIO AT"viva • r '''y)r'.'. r.�u inches To plevad UV deter ruatioor the opened fabric roll shell tint be rowed to
1' 's\ - yb...�-�-' TOPOGRAPHIC CONTOUR LINE(PROPOSED)
ig1 Mtn ry,Mr Or r ka,�,l �,ri ,.,. dirad sunlight fix an=leaded peter}and will be covered as taan a reasonably e. All seeded crass shall be mulched with grainura+v and tacked ions diately after
EASING E try*FT - '"; o ,. F pea bic The Fattiest loam tier 9C�pervtoaa Cara:shall be placed by Wading and seedless. The watched area thole be maser caked or tacked with asphalt satTciaot to
.„.„—
spreading I spreading a windrow of 7mpeovioee soli cover ahead of a smell dozed or smell loader. bold the strove in place
Es
.''el d ;"`c Inas
no
outwit! allowed traffic or heavy machinery be ald W tearer directly on Ibo
#� SEM A s a:r,.r / Met tahcfe not wIll enediuom.such that mud will rake or clog the fabric be allowed Grain enact thall be applied over seeded ntaes to a mulch. No bare ground shall be
r '(iiiiiit - t ?\ i vnblo.Thick clomps of straw arc tat permissible;a uniform cnnrage 111
is •required,
y `}�-t s' fe r ° t 1 CONTOUR INTERVAL e SS FT. S. The impervious cover for the fofittcetiae gallery shall be wtutraucd of*select ai:c
7 .S„ _s_1 ..^ ,'c s c. soil'backfill,as defined herein,to the noel line sod glade shown on the drawings. 5. Ditch neatmeet shalt be used etrore slopes orsmxp grade could rouse eretloa. Use
lrtN' 1 -'� I �+riy`", TOPOORAP1EY(RELATIVE TO TEMPORARY The select*Retail backf hl shell be placed la 6-8 inch lemon lifts and compacted to at of iota mesh.exoalslor matting,or fibergfau ravine la aueplabla DReb treatment
411,
p L t ,err ', . � ,rite p ry BENCHMARK(IBM))BY EPA ENVIRONMENTAL,d: !cast 95%of the mammon dry density as delermioed by ASTM D-698(Standard should Lc imtilicd before the to etching operation,
It
'}•.: f ENGINEERING,INC.9h3AS Proctor}The moutusecorneals hall bemaintainted'witbinarangeotorimumloplus
7 M #;a it
S -i,a,r 0 346 ufaptFinam moisture during compaction.When compacttag#n Ufts,each lift men[ it, For a period^t+L-•-(J)menthe ahnrwmgktian ofeanatsudioa,the,contractor shell
/ '\ ,ems'` .dr .X 8.9d�7sthP 1rRbM lcU YHY be lhoreoehlysamptcted arias several pats.of unapproved mechanical roller before ,owes sod reenacts as requited to maintain a healthy stand of turf grass:
e RW1'vr { iraa �;a MAP NO.02-20.87,IS(7lBT Eba neat lace lift is pieced. A towed or self•pmpelted wedge foot or sbeepsfeol
'� -;1 +G, ` roller,smooth drum roller,or rubber-tires!roller capable of ecb1ewng the fpeciled
a, `,, compaotloa wtrb 4-6 posses Will be required to outer the speelficatioas of'wertmnbcoi
... ".,
x r
fr; 3 °o-• f� 'd!':iRARS' s 'Sateet site sails'shall 6a dx least permeable of the clean site reds(Its previously
�, \ - • ..- #T€'NLYtP]E8 At11# defined on Sheet 0.1)removed from the proposed Iratiaa of the ietdttratioo gallery
esf
_ end shell be Roe of tidn treater Hsu 3/4 tech diameter as determined the
I. To not compromise the intcgtity of the existing bniMloB, pavement structure,
MY)"'+ •y � -" 'g ARS'' AtOasa\L. visual clarsifkation of the EPA site supervisor. Approximately 100 cy'of se-lets sire abowtdere,and cmbenkemet dopes,open cuts shall not exited HI ft in depth err
AP 1ri I.kIC.4TtDW Of
encroach w1t61a x distance of 10 R to the witting building tourdauoos.
'` soils elan be tegregsted and stockpiled for urn a Ana!impervious ca4'Dr rot thet $
NCDOT Rf9i,30 FT.FROM it,
DISPOSE OF CLEAN EXCAVATED at IN SOILS OLD Iafiltratioe gallery,
f
III PT Ir It Pr BETWEEN EL 98 FT,AND EL 96 FT.CONTOURS, ,r ""_,._. � 2. Escavationaoo or adjacent on she rises-of-way which maybe Weardoos to crankshaft
TInCEAS SHOWN. COMPACT IN 10-12 TNCH LOOSE LIFTS
TEEE •Th -"`_,,,` not 6a left open,unprotected,or otherwise allowed to remain estate or notblelded
SLAB(TOP OF SLAB AT EL 9Y1 FT s - CLEAR A UNDER hl
T'O 4S%STANDARD PROCfGR 1tAX1MUM DRY DBN5f1Y. ) ATION overnlgAL
ROASIC
CONTRACTOR TO REMOVE AND DISPOSE OF EXISTING (SEE SHEET T•1 FOR CONSTRUCTION DETAILS OF MATTER AND PROOFROLL SUBGRADE AS PER DIRECTION
TREES AND VEGETATION OFTSI'TE PRIOR TO PLACING CONCRETE PAD AND PROTECTIVE FENCE) OF EPA FIELD REPRESENTATIVE PRIOR TO PLACEMENT 2. All aasvatfom and tempera y bracing of eanealioaa shall ronfrdm to OSHA safety
BACKS-I_ ONSTI1I BURNING OF DEBRIS WILL NOT 'ry a_u__mraarae B,+,,Ittftor; ORAVBY,EINIIIASS GESTALT. Bokkyoas.
rob ALLOWED. GRADING
E
4 Proper temporary trod pero oocaat mooner asatrel eceaac rca shall be used ID prevent
siltation of stream's and adjacent prepare)Ia aeroedance with the current cditioa of
RI a TO *
. shY NKkYP ,:..;- rf ?•', -.or+d atl7moai,Sro40.and
a('°aa r+IN FEET Federal regulations, Siltation basins,silt fence,end seeding and mulnblog shill be
SEE AEPx.,a-1-:.E.F[1R used,es requited and where appropriate,
TYRICALVAULT!ION. `11Of1 S61'IHQR EUIOTROL Novi, 2, AB aurae execrated matarirf shay he removed and disposed is noted area,
a 3 . 'r'°' , „,w outside!bc bete of the righboEsray In such a manner as cot to erotic yule t'lor to
�p, I IN.crytttrg"n]N, +, r interfere with the drainage of highways et adjueet properties
to rfad bt q'ASECIID mum NKIr1 I.EYFd.
•::a .•.n t* ACrE'MC frRAr5�C2}Vkk /
RL^••,a
tA 6. Any*entente structure Waterbed or damaged by ibe wort shall be reatercd to its
FINAL.(MOUND EI'R! •.t•----'!'t 6t191 SLOPE TO ExerraMO ONTf.-ii f wooB �'` � original candidate as directed Eel,the Eogiaecr.
4 IN,SCH 40 PVC MONITORDIG .,.�..,.�
3A.4S Pt.I--- ,,V, -a+.� . -_ r —EL 100 Fri \ ,EAVE�SCREEN o, ._ ITE 7. Al he end of coastructine,permanent grass cover shall bo established on the.
x 12.1IENTC}N
l ENT FROM 1 'a r y iNETU7TRA7Mki*loamy y n � SEAL impervious soil cover of else infiltration salsa),all cut/corm trenches,all disturbed
1111114714000 EMILIE 74±J,2, b~ s*v i • ', TO ttr P R\, 2 UM*1D14/11°"E"' FOR DETAILS 4 SPECIFICATIONS O 1 areas,and all deposal areas in auardaate with the'Spec;flcatioas for Seeding.
na
EL 93 FT,± - - -•p—EL 93 FT.± SOLID WERE 10
(SEEDETAIL THIS SHEET) OR EIIOH LEVEL SENSOR SEE :a c s d FT,SLOTTED PVC
LT IN. I �g7TM7y SKEE'F'Ti`-f -�, SCREEN(IS 170 IN.)
ISIE:MC73402VC LINE „tot 40 PVC DistasDLCEtOJt MANSPOL.S Rl.4At 4FT ♦ W/ENDCAP
FROM TREATMENT SYSTEM/SOLID RJSER # i , WET.* NO.6I
MANIPOLD C)AND DD OF SLOTTED TO 11MSitiECGD ANO / WASHED BTI Mr...,..AND Tor TO PESTS ISL TTESE MANIPOIJO - r
PIPE(.02D IN.}AND SOLID TEES CAPPER AT GROUND / A' • f SASE SHEET G-1 FOR GENERAL NOTES
OUAPACE Pot LATE! J ae m `. N
S l 11CiN,A•il :loam,Toe rvuorr €/
I.UIE FROM rtINATMKIr .:t. klatrl fiArrf7tGitVAT1(:1N:{t!'
Q I0 f ,r.� INFILTRATION GALLERY
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,
a ,,a r, £tea
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te Z PERVIOUS
►tf31w ItTt34RNO7a w} ` adds :r
MOLAR Itp N No,i,WABIaf•� t'PERVIOUS COVER;WI GRASS COVER ,s j
HLTE71 -ANREC r-E r•7ILAL g1tOiMeD611RPWf I t Et BCE 40 PVC OtfiCIlARGti PIPE 4 1 C
W CUTICOVER TRENCH,MIN.2 FT. y '
EI.�3 ± 1Oi" n•P DEPTH OF BURIAL,1%MIN.SLOPE \ FINAL DESIGN y, t
���F' Salligia7�R*•+t r•. _ g TO 114FILT/ATION GALLERY FOR 1 MGfr} rl ff`
tY 41`., 4:iE e•.- j DRAINAGE(FOR DETAILS OF ///``` 1hi�1TMM •a
e.a satAatAta EI.93J FT.± CONSTRUCTION SEE SHEET 0.1jfornt 4
EL 925 FT,±-1 r , LONG BILL STORB
'•') 12 IN. fir.
UNCAPPED END(S) fJtaof7Rfuf1PILOT MOUNTAIN,NORTH CAROLINA
0
I lN. *arm sour)i / `4 TREATMENT SYSTEM w NOT APPROVED FOR CONSTRUCTION'tN.sex 40 PVC S!-O'PraD(.ow ua.}
TO HORIZONTAL MANIFOLD / 1 "t
@tE'ttgBt)1T[1Ri PIPING �'y 7� r�
SLOPS WISE DALLERY/DIBTRIBICTION sYrtlkgt 1)1 A Environmental Engineer ng, Inc.
PIPING®Il+W TO NORTHWEST r�
rut r t 94
UCciluturWPTIIINr INFILThATvCit/gAld Y acn tale A 11CAIi inefaue:wlt; PLAN AND SECTIONS-
5 • Jo Nt 10 * '° #00 VII INFILTRATION GALLERY
*eras In tea. a sous.111.t8rt ailatlrSNA
COORDINATE
111M[R; S}IEET 0-2
�

GW-59A COMPLIANCE REPORT FORM Perm' # WQ 011443
(Submit egg each monitoring period with G W-59 forms.)
Enter date monitoring results were due.(4/30/2015 ) Will this monitoring report(GW-59 and GW-59A) YES CO
be submitted after the established due date?
2 Was any required information missing on the GW-59 report forms? YES NO
IF the answer to question 1 or 2 is"YES",list in the space provided below the well identification number(s)and
explain the problems encountered in obtaining the required information.
3 Are any of the monitor wells in need of repair or maintenance(damaged casing,unlocked or missing cap,missing YES NO
identification plate,area overgrown,etc.)?if the answer is "Yes", contact the Regional Office for guidance.
4 Are any monitored constituents equal to or above the established standards? YES NO
If the answer to question 4 is"NO",skip to section 8.
If the answer to question 4 is"YES"list the affected wells individually with constituent(s)and concentration(s)
exceeding standards in the space provided below:
5 For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO
same constituent(s)in the same well(s)in the last two years(?)
0
if the answer to question 5 is"NO",skip to section 8.
If the answer to question 5 is"YES",list in the space prove below, each well with constituent(s)exceeding
standards, concentration(s)reported, and sample collection d for each occurrence(for the last two years).
6 Are the monitoring wells listed in section 5 located at or beyond the review boundary? YES NO
If the answer is"YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL
OFFICE IMMEDIATELY FOR GUIDANCE.If the answer is "NO",monitoring wells maybe improperly
located;contact the Regional Office.
7 Is the permittee implementing previously approved actions required by the Division involving this YES NO
groundwater quality problem?
If the answer to question 7 is"YES", describe those actions in the space provided below.
If the answer to question 7 is "NO", contact the Regional Office within 90 days;an evaluation may be
required to determine the impact the waste disposal system is having at the review and compliance
boundaries surrounding this facility. Failure to do so may subject the permittee to a Notice of Violation,
fines, and/or penalties.
8 The person completing this portion(GW-59A)of the monitoring report should sign below and submit this
form with GW-59 forms for required wells to the address provided at the top of the current GW-59 form.
I hereby acknowledge that the above information was evaluated and the information submitted in this
report(Compliance Report GW-59A)is true and complete to the best of my knowledge.
Signature of Permittee(or Authorized Agent) Date
4
GW-59A 12/8/21)03

' SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and 1 copy t0 DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/1/2019
Facility Name: Long Hill Store-Capital Bank,N.A. Non-Discharge W00011443 UIC
Permit Name(if different): Capital Bank,N.A. NPDES Other
Facility Address: 2482 Old US 52 S TYPE OF PERMITTED OPERATION BEING MONITORED
Pilot Mountain NC 27041 County Surry ❑ Lagoon ❑■ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Mika Trifunovic-Pyramid Environmental&Engineering Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: MW-10 No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑ Other: i
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-10 Date sample collected: 3/24/2015 FIELD ANALYSES: WAS
Well Depth: 50.2 ft. Well Diameter: 2 in. pH o0400: 7.5 units Temp.o0010: 14.15 °C DRY at
Mhos time of
Depth to Water Level azsas:40.95 ft.below measuring point Screened Interval: 35 ft. to 50 ft. Spec. Cond.00094: µ sampling,
Measuring Point is 2.2 ft.above land surface Relative M.P.Elevation: 100.23 ft. Odor 00085: None check
Volume of water pumped/bailed before sampling: 5 gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ®YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed:4/1/2615 and 4/3/2015 Laboratory Name: Con-test Analytical Laboratory Certification No. 652
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 61051 Not Detected ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 0062o mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P oo665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L No VOC detected
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 mg/L Cd-Cadmium 01027 ug/L
Arsenic o1002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑■ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , method# SM 6200E
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L Lead __, method# EPA 6020
(Ammonia Nitrogen,NH3 as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L , method#
TKN as N o0625 mg/L Ni-Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Mika Trifunovic Project Manager /`?//Y / 4/16/2015
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

� R
1I1I I con- tst® '42
'I ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]`TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C1051
Date Received: 3/25/2015 I
Field Sample#: MW-10 Sampled: 3/24/2015 11:45
Sample ID: 15C1051-01
Sample Matrix: Ground Water
Volatile Organic Compounds by GC/MS
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Acetone ND 50 4.7 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Benzene ND 0.50 0.079 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Bromobenzene ND 0.50 0.044 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Bromochloromethane ND 2.0 0.22 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Bromodichloromethane ND 0.50 0.088 µg/L I SM21-226200E 3/31/15 4/1/15 7:44 EEH
Bromoform ND 0.50 0.21 µg/L I SM21-22 62008 3/31/15 4/1/15 7:44 EEH
Bromomethane ND 1.0 0.94 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
2-Butanone(MEK) ND 5.0 2.4 µg/L I SM2I-226200B 3/31/15 4/1/15 7:44 EEH
n-Butylbenzene ND 0.50 0.054 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
sec-Butylbenzene ND 0.50 0.084 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:44 EEH
tert-Butylbenzene ND 0.50 0.096 µg/L I SM2I-226200B 3/31/15 4/1/15 7:44 EEH
Carbon Tetrachloride ND 1.0 0.10 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Chlorobenzene ND 0.50 0.12 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Ethanol ND 50 28 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Chlorodibromomethane ND 2.0 0.054 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Chloroethane ND 0.50 0.16 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Chloroform ND 0.50 0.14 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Chloromethane ND 0.50 0.32 µg/L 1 R-05 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
2-Chlorotoluene ND 0.50 0.070 µg/1. I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
4-Chlorotoluene ND 0.50 0.074 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,2-Dibromoethane(EDB) ND 2.0 0.089 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,2-Dichlorobenzene ND 0.50 0.076 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,3-Dichlorobenzene ND 0.50 0.079 µg/L I SM21-22 6200B 3/31/15 4/I/15 7:44 EEH
1,4-Dichlorobenzene ND 0.50 0.046 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Dichlorodifluoromethane(Freon 12) ND 0.50 0.12 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,1-Dichloroethane ND 0.50 0.16 µg/L I SM2I-226200B 3/31/15 4/1/15 7:44 EEH
1,2-Dichloroethane ND 1.0 0.19 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
I,1-Dichloroethylene ND 0.50 0.21 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
cis-1,2-Dichloroethylene ND 0.50 0.15 µg/L, 1 SM21-22 6200B 3/31/15 4/I/15 7:44 EEH
trans-1,2-Dichloroethylene ND 0.50 0.15 µg/l- I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,2-Dichloropropane ND 0.50 0.11 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,3-Dichloropropane ND 0.50 0.099 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
2,2-Dichloropropane ND 1.0 0.072 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,1-Dichloropropene ND 0.50 0.13 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
cis-1,3-Dichloropropene ND 0.50 0.062 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
trans-1,3-Dichloropropene ND 0.50 0.056 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Diisopropyl Ether(DIPE) ND 0.50 0.18 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Ethylbenzene ND 0.50 0.092 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
2-Hexanone(MBK) ND 5.0 1.5 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Isopropylbenzene(Cumene) ND 0.50 0.11 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
p-Isopropyholuene(p-Cymene) ND 0.50 0.12 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:44 EEH
Methyl tert-Butyl Ether(MTBE) ND 0.50 0.090 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Methylene Chloride ND 5.0 3.2 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:44 EEH
4-Methyl-2-pentanone(MIBK) ND 5.0 1.5 µg/L I SM2I-22 6200B 3/31/15 4/I/15 7:44 EEH
Page 5 of 26 15C1051_1 Contest_Final 04 06 15 0504

CPCOrl-tESt°
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C 105 I
Date Received: 3/25/2015
Field Sample#: MW-10 Sampled: 3/24/2015 11:45
Sample ID: 15C1051-01
Sample Matrix: Ground Water
Volatile Organic Compounds by GC/MS
Date Date/Time
Analyte Results RL Dl, Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Naphthalene ND 0.50 0.12 µg/L I SM21-226200B 3/31/15 4/1/15 7:44 EEH
n-Propylbenzene ND 0.50 0.094 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
Styrene ND 0.50 0.12 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
1,1,2,2-Tetrachloroethane ND 0.50 0.12 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
Tetrachloroethylene ND 0.50 0.080 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
Toluene ND 0.50 0.090 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
1,2,3-Trichlorobenzene ND 0.50 0.14 µg/i, 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,2,4-Trichlorobenzene ND 0.50 0.12 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,1,1-Trichloroethane ND 0.50 0.094 µg/L I SM2I-226200B 3/31/15 4/1/15 7:44 EEH
1,1,2-Trichloroethane ND 0.50 0.12 µg/L I SM21-226200B 3/31/15 4/1/15 7:44 EEH
Trichloroethylene ND 0.50 0.077 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Trichlorofluoromethane(Freon 11) ND 0.50 0.15 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
1,2,3-Trichloropropane ND 0.50 0.12 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
1,2,4-Trimethylbenzene ND 0.50 0.18 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
1,3,5-Trimethylbenzene ND 0.50 0.10 µg/L I SM21-226200B 3/31/15 4/1/15 7:44 EEH
Vinyl Acetate ND 5.0 1.3 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Vinyl Chloride ND 0.50 0.13 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
m+pXylene ND 1.0 0.18 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:44 EEH
o-Xylene ND 0.50 0.11 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:44 EEH
Surrogates %Recovery Recovery Limits Flag/Qual
1,2-Dichloroethane-d4 93.2 70-130 4/1/15 7:44
Toluene-d8 96.9 70-130 4/1/15 7:44
4-Bromofluorobenzene 97.8 70-130 4/1/15 7:44
Page 6 of 26 15C1051_1 Contest_Final 04 06 15 0504

IC) '..;`..:'t if'''07'.C..e;/*?;';::42::'..:
con-tEst®
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C1051
Date Received: 3/25/2015
Field Sample#: MW-10 Sampled: 3/24/2015 11:45
Sample ID: 15C1051-01
Samnle Matrix: Ground Water
Metals Analyses(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Lead ND 2.0 0.22 µg/L 2 SW-8466020A 3/31/15 4/3/15 10:56 KSH
Page 7 of 26 15C1051_1 Contest_Final 04 06 15 0504

' SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and I copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/1/2019
Facility Name: Long Hill Store-Capital Bank,N.A. Non-Discharge W00011443 UIC
Permit Name(if different): Capital Bank,N.A. NPDES Other
Facility Address: 2482 Old US 52 S TYPE OF PERMITTED OPERATION BEING MONITORED
Pilot Mountain NC 27041 County Surry ❑ Lagoon ❑■ Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Mika Trifunovic-Pyramid Environmental&Engineering Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Influent No. of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION 'If WELL
WELL ID NUMBER(from Permit): Influent Date sample collected: 3/24/2015 FIELD ANALYSES: WAS
Well Depth: ft. Well Diameter: in. pH o0400: 7.0 units Temp.00o10: 15.5 °C DRY at
Mhos time of
Depth to Water Level 82546: ft. below measuring point Screened Interval: ft. to _ft. Spec.Cond.00094: µ sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: Petroleum Odor check
Volume of water pumped/bailed before sampling: gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:4/1//2015 and 4/3/2015 Laboratory Name: Con-Test Analytical Laboratory Certification No. 652
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 62 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P o0665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
dissolved Solids:Total 70300 mg/L Al-Aluminum o1105 mg/L Acetone-470;Benzene-500;Ethylbenzene-340;
pH(Lab)00403 units Ba-Barium 01007 ug/L Cumene-9.5;MTBE-19;Naphthalene-250;n-Propylbenzene-26;
TOC 00680 mg/L Ca-Calcium 00916 mg/L Styrene-16;Toluene-5300; 1,2,4-Trimethylbenzene-380;
Chloride 00940 mg/L Cd-Cadmium 01027 ug/L 1,3,5-Trimethylbenzene-92;Total Xylenes-2420.
Arsenic 01002 ug/L Chromium:Total 01034 ug/L All concentrations are shown in parts per billion[ppb]
Grease and Oils 00552 mg/L Cu-Copper o1042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? • Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , method# SM 6200B
Total Ammonia oos10 mg/L Mg-Magnesium 00927 mg/L Lead ,method# EPA 6020
(Ammonia Nitrogen;NH3as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L , method#
TKN as N o0625 mg/L Ni-Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: 9.823 mg/L Effluent Total VOCs: 0 mg/L VOC Removal% 100%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
OWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
Mika Trifunovic-Project Manager /10 4/16/2015
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

41.1) Call"tESt® - ,,,,'Zk ';;2".4:.',1mi,.;:l:-,: ..
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C1051
Date Received: 3/25/2015
Field Sample#: INF Sampled: 3/24/2015 12:00
Sample ID: 15C1051-02
Sample Matrix: Ground Water
Sample Flags:RL-11 Volatile Organic Compounds by GC/MS
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Acetone 470 2500 230 µg/L 50 J SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Benzene 500 25 4.0 µg/L 50 SM2I-226200B 3/31/15 4/1/15 9:27 EEH
Bromobenzene ND 25 2.2 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Bromochloromethane ND 100 11 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Bromodichloromethane ND 25 4.4 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Bromoform ND 25 10 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Bromomethane ND 50 47 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
2-Butanone(MEK) ND 250 120 µg/L 50 SM2I-22 6200B 3/31/15 4/1/15 9:27 EEH
n-Butylbenzene ND 25 2.7 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
sec-Butylbenzene ND 25 4.2 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
tert-Butylbenzene ND 25 4.8 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
Carbon Tetrachloride ND 50 5.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Chlorobenzene ND 25 6.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Ethanol ND 2500 1400 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Chlorodibromomethane ND 100 2.7 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Chloroethane ND 25 8.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Chloroform ND 25 7.2 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Chloromethane ND 25 16 µg/L 50 R-05 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
2-Chlorotoluene ND 25 3.5 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
4-Chlorotoluene ND 25 3.7 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
l,2-Dibromoethane(EDB) ND 100 4.4 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2-Dichlorobenzene ND 25 3.8 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,3-Dichlorobenzene ND 25 4.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,4-Dichlorobenzene ND 25 2.3 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Dichlorodifluoromethane(Freon 12) ND 25 6.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,1-Dichloroethane ND 25 7.9 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2-Dichloroethane ND 50 9.7 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
1,1-Dichloroethylene ND 25 10 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
cis-1,2-Dichloroethylene ND 25 7.4 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
trans-1,2-Dichloroethylene ND 25 7.5 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2-Dichloropropane ND 25 5.6 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,3-Dichloropropane ND 25 5.0 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
2,2-Dichloropropane ND 50 3.6 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,1-Dichloropropene ND 25 6.4 µg/L 50 SM2I-22 6200B 3/31/15 4/1/15 9:27 EEH
cis-1,3-Dichloropropene ND 25 3.1 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
trans-1,3-Dichloropropene ND 25 2.8 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
Diisopropyl Ether(DIPE) ND 25 9.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Ethylbenzene 340 25 4.6 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
2-Hexanone(MBK) ND 250 76 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Isopropylbenzene(Cumene) 9.5 25 5.6 µg/L 50 J SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
p-Isopropyltoluene(p-Cymene) ND 25 6.2 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Methyl tert-Butyl Ether(MTBE) 19 25 4.5 µg/L 50 J SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Methylene Chloride ND 250 160 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
' 4-Methyl-2-pentanone(MIBK) ND 250 73 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
Page 8 of 26 15C1051_1 Contest_Final 04 06 15 0504

CI-) con-test® . ..,,,..„,,,„.,...,,,,,.;,,„.. ,
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]'TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C 1051
Date Received: 3/25/2015
Field Sample#: INF Sampled: 3/24/2015 12:00
Sample ID: 15C1051-02
Sample Matrix: Ground Water
Sample Flags:RL-11 Volatile Organic Compounds by GC/MS
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Naphthalene 250 25 6.0 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
n-Propylbenzene 26 25 4.7 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Styrene 16 25 6.0 µg/L 50 J SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,1,2,2-Tetrachloroethane ND 25 6.2 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Tetrachloroethylene ND 25 4.0 µg/L 50 SM2I-22 6200B 3/31/15 4/1/15 9:27 EEH
Toluene 5300 25 4.5 µg/I. 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2,3-Trichlorobenzene ND 25 7.0 µg/I. 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2,4-Trichlorobenzene ND 25 5.9 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,1,1-Trichloroethane ND 25 4.7 WI- 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
1,1,2-Trichloroethane ND 25 5.8 µg/L 50 SM21-226200B 3/31/15 4/1/15 9:27 EEH
Trichloroethylene ND 25 3.8 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Trichlorofluoromethane(Freon 11) ND 25 7.4 µg/L 50 SM2I-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2,3-Trichloropropane ND 25 6.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,2,4-Trimethylbenzene 380 25 9.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
1,3,5-Trimethylbenzene 92 25 5.0 µg/I. 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Vinyl Acetate ND 250 67 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Vinyl Chloride ND 25 6.6 µg/L 50 SM2I-22 6200B 3/31/15 4/1/15 9:27 EEH
m+p Xylene 1500 50 9.0 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
o-Xylene 920 25 5.5 µg/L 50 SM21-22 6200B 3/31/15 4/1/15 9:27 EEH
Surrogates %Recovery Recovery Limits Flag/Qual
1,2-Dichloroethane-d4 95.2 70-130 4/1/15 9:27
Toluene-d8 96.1 70-130 4/1/15 9:27
4-Bromofluorobenzene 98.8 70-130 4/1/15 9:27
Page 9 of 26 15C1051_1 Contest_Final 04 06 15 0504

4111-1) con-test®
ANALYTICAL LABORATORY
39 Spruce Street'East Longmeadow,MA 01028*FAX [phone]•TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C1051
Date Received: 3/25/2015
Field Sample#: INF Sampled: 3/24/2015 12:00
Sample ID: 15C1051-02
Sample Matrix: Ground Water
Metals Analyses(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Lead 62 2.0 0.22 µg/L 2 SW-846 6020A 3/30/15 4/3/15 9:57 KSH
Page 10 of 26 15C1051_1 Contest_Final 04 06 15 0504

SUBMIT FORM ON YELLOW PAPER ONLY
Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
GROUNDWATER QUALITY MONITORING: and I copy t0: DIVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: Expiration Date: 9/1/2019
Facility Name: Long Hill Store-Capital Bank,N.A. Non-Discharge WQ0011443 UIC
Permit Name(if different): Capital Bank,N.A. NPDES Other
Facility Address: 2482 Old US 52 S TYPE OF PERMITTED OPERATION BEING MONITORED
Pilot Mountain NC 27041 County Surry ❑ Lagoon 0 Remediation: Infiltration Gallery
❑ Spray Field ❑ Remediation:
Contact Person: Mika Trifunovic-Pyramid Environmental&Engineering Telephone#: [phone] ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: Effluent _ No.of wells to be sampled: 1 ❑ Water Source Heat Pump ❑Other:
(from Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): Effluent Date sample collected: 3/24/2015 FIELD ANALYSES: WAS
Well Depth: ft. Well Diameter: in. pH 00400: 6.7 units Temp.00010: 19.6 °C DRY at
Mhos time of
Depth to Water Level azsas: ft. below measuring point Screened Interval: ft. to ft. Spec. Cond.000sa: µ sampling,
Measuring Point is ft.above land surface Relative M.P. Elevation: ft. Odor 00085: No Odor check
Volume of water pumped/bailed before sampling: 150 gallons Appearance Clear here:❑
Samples for metals were collected unfiltered: 0 YES ❑ NO and field acidified: ®YES ❑NO
LABORATORY INFORMATION
Date sample analyzed:4/1/2015&4/3/2015 Laboratory Name: Con-test Analytical Laboratory Certification No. 652
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb-Lead 01051 1.3 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 0062o mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus:Total as P 00665 mg/L
(Note: Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al Aluminum 01105 mg/L No VOC detected
pH(Lab)00403 units Ba-Barium 01007 ug/L
TOC 00680 mg/L Ca-Calcium 00916 mg/L
Chloride 00940 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium:Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe-Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? ❑■ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K-Potassium 00937 mg/L VOC 78732: , method# SM 6200E
Total Ammonia 00610 mg/L Mg-Magnesium 00927 mg/L Lead , method# EPA 6010
(Ammonia Nitrogen;NH,as N;Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L _ , method#
TKN as N 00625 mg/L Ni-Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: 9.823 mg/L Effluent Total VOCs: 0 mg/L VOC Removal% 100%
I certify that,to the best of my knowledge and belief,the information submitted in this report is true,accurate,and complete,and that the laboratory analytical data was produced using approved methods of analysis by a
DWQ-certified laboratory. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations.
,jam
Mika Trifunovic-Project Manager /y /1//< 'c' 4/16/2015
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

con-0 Est`
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: I5C 1051
Date Received: 3/25/2015
Field Sample#: EFF Sampled: 3/24/2015 12:15
Sample ID: 15CI051-03
Sample Matrix: Ground Water
Volatile Organic Compounds by GC/MS
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Acetone ND 50 4.7 µg/L 1 SM21-22 6200B 3i31/15 4/1/I5 7:18 EEH
Benzene ND 0.50 0.079 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Bromobenzene ND 0.50 0.044 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Bromochloromethane ND 2.0 0.22 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Bromodichloromethane ND 0.50 0.088 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Bromoform ND 0.50 0.21 µg/L 1 SM21-22 62008 3/31/15 4/1/15 7:18 EEH
Bromomethane ND 1.0 0.94 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:18 EEH
2-Butanone(MEK) ND 5.0 2.4 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
n-Butylbenzene ND 0.50 0.054 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:18 EEH
sec-Butylbenzene ND 0.50 0.084 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
tert-Butylbenzene ND 0.50 0.096 µg/L 1 SM21-226200E 3/31/15 4/1/15 7:18 EEH
Carbon Tetrachloride ND 1.0 0.10 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Chlorobenzene ND 0.50 0.12 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Ethanol ND 50 28 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Chlorodibromomethane ND 2.0 0.054 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Chloroethane ND 0.50 0.16 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Chloroform ND 0.50 0.14 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Chloromethane ND 0.50 0.32 µg/L 1 R-05 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
2-Chlorotoluene ND 0.50 0.070 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:18 EEH
4-Chlorotoluene ND 0.50 0.074 µg/L I SM21-226200B 3/31/15 4/1/15 7:18 EEH
1,2-Dibromoethane(EDB) ND 2.0 0.089 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2-Dichlorobenzene ND 0.50 0.076 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,3-Dichlorobenzene ND 0.50 0.079 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,4-Dichlorobenzene ND 0.50 0.046 µg/L 1 SM21-22 62008 3/31/15 4/1/15 7:18 EEH
Dichlorodifluoromethane(Freon 12) ND 0.50 0.12 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,1-Dichloroethane ND 0.50 0.16 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2-Dichloroethane ND 1.0 0.19 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,1-Dichloroethylene ND 0.50 0.21 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
cis-1,2-Dichloroethylene ND 0.50 0.15 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
trans-1,2-Dichloroethylene ND 0.50 0.15 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2-Dichloropropane ND 0.50 0.11 µg/L I SM2I-226200B 3/31/15 4/1/15 7:18 EEH
1,3-Dichloropropane ND 0.50 0.099 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
2,2-Dichloropropane ND 1.0 0.072 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,1-Dichloropropene ND 0.50 0.13 µg/L I SM2I-226200B 3/31/15 4/1/15 7:18 EEH
cis-1.3-Dichloropropene ND 0.50 0.062 µg/L I SM2I-22 6200E 3/31/15 4/1/15 7:18 EEH
trans-1,3-Dichloropropene ND 0.50 0.056 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Diisopropyl Ether(DIPE) ND 0.50 0.18 µg/L I SM2I-22 6200B 3/31/15 4/1/15 7:18 EEH
Ethylbenzene ND 0.50 0.092 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
2-Hexanone(MBK) ND 5.0 1.5 µg/L I SM2I-22 6200B 3/31/15 4/1/15 7:18 EEH
Isopropylbenzene(Cumene) ND 0.50 0.11 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
p-lsopropyltoluene(p-Cymene) ND 0.50 0.12 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Methyl tert-Butyl Ether(MTBE) ND 0.50 0.090 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Methylene Chloride ND 5.0 3.2 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:18 EEH
• 4-Methyl-2-pentanone(MIBK) ND 5.0 1.5 µg/L 1 SM2I-22 6200B 3/31/15 4/1/15 7:18 EEH
Page 11 of 26 15C1051_1 Contest_Final 04 06 15 0504

(0 on ist(..0
ANALYTICAL LABORATORY
39 Spruce Street"East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15C1051
Date Received: 3/25/2015
Field Sample#: EFF Sampled: 3/24/2015 12:15
Sammie ID: 15C1051-03
Sample Matrix: Ground Water
Volatile Organic Compounds by GC/MS
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Naphthalene ND 0.50 0.12 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
n-Propylbenzene ND 0.50 0.094 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Styrene ND 0.50 0.12 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,1,2,2-Tetrachloroethane ND 0.50 0.12 Re/1, I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Tetrachloroethylene ND 0.50 0.080 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Toluene ND 0.50 0.090 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2,3-Trichlorobenzene ND 0.50 0.14 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2,4-Trichlorobenzene ND 0.50 0.12 11g/1. I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,1,1-Trichloroethane ND 0.50 0.094 14/1- 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,1,2-Trichloroethane ND 0.50 0.12 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:18 EEH
Trichloroethylene ND 0.50 0.077 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Trichlorofluoromethane(Freon 11) ND 0.50 0.15 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2,3-Trichloropropane ND 0.50 0.12 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
1,2,4-Trimethylbenzene ND 0.50 0.18 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:18 EEH
1,3,5-Trimethylbenzene ND 0.50 0.10 µg/L 1 SM21-226200B 3/31/15 4/1/15 7:18 EEH
Vinyl Acetate ND 5.0 1.3 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Vinyl Chloride ND 0.50 0.13 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
m+p Xylene ND 1.0 0.18 µg/L 1 SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
o-Xylene ND 0.50 0.11 µg/L I SM21-22 6200B 3/31/15 4/1/15 7:18 EEH
Surrogates %Recovery Recovery Limits Flag/Qual
1,2-Dichloroethane-d4 95.0 70-130 4/1/15 7:18
Toluene-d8 98.4 70-130 4/1/15 7:18
4-Bromofluorobenzene 99.2 70-130 4/1/15 7:18
Page 12 of 26 15C1051_1 Contest_Final 04 06 15 0504

i
1s ® . . ,.-.1,:..., ._,..:_.. „.,,,,i$,„,.„-,_,.,
. contt®It
ANALYTICAL LABORATORY
39 Spruce Street*East Longmeadow,MA 01028*FAX [phone]*TEL.[phone]
Project Location: Long Hill Sample Description: Work Order: 15CI051
Date Received: 3/25/2015
Field Sample#: EFF Sampled: 3/24/2015 12:15
Sample ID: 15C1051-03
Sample Matrix: Ground Water
Metals Analyses(Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Lead 1.3 2.0 0.22 µg/L 2 J SW-846 6020A 3/30/15 4/3/15 10:02 KSH
Page 13 of 26 15C1051_1 Contest Final 04 06 15 0504

•
Rogers, Michael
From: Berger, Herb
Sent: Thursday; August 18, 2016 9:29 AM
To: Rogers. Michael
Cc: Jackson, Vance: Wang. Shuying
Subject: RE Groundwater remediation system closure at Lang Hill Store, W00011443 Long Hill Store
Hi Michael,
The State Lead program of the North Carolina UST Section authorized ECS Carolinas to prepare a system closure plan,
and the plan is due on August 30, 2016.
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.gov
1646 Mail Service Center
Raleigh. NC 27699-1646
217 West Jones Street. Office 2430V
Raleigh. NC 27602
-`''Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third part es
From: Rogers, Michael
Sent:Thursday, August 18, 2016 9:21 AM
To: Wang, Shuying <[e-mail]>; Berger, Herb <[e-mail]>; Jackson, Vance
<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Gents-
Just curious where you are at in submitting a closure plan for the above site? I have folder for this project in my current
active file that i was going thru.
Thanks.
1

From:Wang, Shuying
Sent:Tuesday, August 16, 2016 5:35 PM
To: Rogers, Michael <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
No, I did not.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
yY
y -""''Nothing Compares
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Tuesday, August 16, 2016 4:25 PM
To: Wang, Shuying<[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Did you ever get a proposed closure plan for this site? I didn't.
From: Rogers, Michael
Sent:Thursday, June 23, 2016 10:12 AM
To: Berger, Herb <[e-mail]>
Cc: Watts, Debra <[e-mail]>;Jackson, Vance<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
I checked our BIMS database. This site is a `no fee'. Therefore, no fees are due.
From: Berger, Herb
Sent:Thursday, June 23, 2016 10:07 AM
To: Rogers, Michael<[e-mail]>
Cc: Watts, Debra <[e-mail]>; Jackson, Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, W00011443 Long Hill Store
2

I
Are any annual fees due? Funding on projects accepted into the State Lead program are extremely limited. Is it
possible that the fees could be waived for the Division of Waste Management?
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street, Office 2430V
Raleigh, NC 27602
---,'Nothing Compares..�.>
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Rogers, Michael
Sent:Thursday, June 23, 2016 9:52 AM
To: Wang, Shuying<[e-mail]>;1Stewart1Pecslimited.com
Cc: Watts, Debra <[e-mail]>; Knight,Sherri<[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Also, before closing out the permit all annual fees need to be paid if any are due.
From: Rogers, Michael
Sent: Wednesday, June 22, 2016 1:13 PM
To:Wang, Shuying<[e-mail]>; [e-mail]
Cc:Watts, Debra <[e-mail]>; Knight,Sherri<[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Thanks.
From: Wang, Shuying
Sent:Wednesday,June 22, 2016 10:03 AM
To:[e-mail]
Cc: Rogers, Michael<[e-mail]>; Watts, Debra <[e-mail]>; Knight, Sherri
<[e-mail]>; Berger, Herb<[e-mail]>;Smith, George<[e-mail]>
Subject: Groundwater remediation system closure at Lang Hill Store, WQ001443
3

Hi John,
It was nice to talk to you!
As we just discussed on the phone, please refer 2T .1608 for groundwater remediation system closure and provide a
closure plan as described in the rule to both the CO (Mike Rogers) and WSRO. As you are requesting the permit be
rescinded, please include the request in the package.
A infiltration gallery closure plan should adequately addresses the piping and also consider the potential for the
permeable fill portion of the infiltration gallery would retain the ability to be used for infiltration.
Please note, 15A NCAC 02T.1602(3) defines "infiltration gallery" as a subsurface ground absorption system expressly
designed for the introduction of wastewater into the subsurface environment. Normally the piping is placed in
permeable material in an excavation cut into the subsurface in order to facilitate infiltration of the wastewater. Because
the permeable material surrounding the piping could still be used for infiltration, if not addressed, and serve as a source
of contamination to the extent that contaminants remain present in the permeable material or surrounding soil, 15A
NCAC 02T .1608(b)(2) requires that "infiltration galleries shall be closed such that the infiltration gallery will be rendered
permanently unusable for the disposal or infiltration of fluids and will not serve as a source or channel of
contamination." The requirements of .1608(b)(2) can be met by excavating subsurface permeable materials or by
covering them with uncontaminated low-permeability material.
If you have any further questions, please let me know. Thanks for contacting us!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
lax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
'w oth ng Compares -,--
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Low and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
4

Rogers, Michael
From: Berger, Herb
Sent: Thursday. August 18, 2016 9:29 AM
To: Rogers, Michael
Cc: Jackson. Vance: Wang, Shuying
Subject: RE: Groundwater remediation system closure at Lang Hill Store; W00011443 Long Hill Store
Hi Michael,
The State Lead program of the North Carolina UST Section authorized ECS Carolinas to prepare a system closure plan,
and the plan is due on August 30, 2016.
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Bergerncdenr.gov
1646 Mail Service Center
Raleigh, NC 27699-1646
217 West Jones Street. Office 2430V
Raleigh. NC 27602
Oit
Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Rogers, Michael
Sent:Thursday, August 18, 2016 9:21 AM
To: Wang, Shuying<[e-mail]>; Berger, Herb <[e-mail]>; Jackson, Vance
<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Gents-
Just curious where you are at in submitting a closure plan for the above site? I have folder for this project in my current
active file that i was going thru.
Thanks.
1

From:Wang, Shuying
Sent:Tuesday, August 16, 2016 5:35 PM
To: Rogers, Michael <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
No, I did not.
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
"- - c ti it c Compares ,-,
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
From: Rogers, Michael
Sent:Tuesday, August 16, 2016 4:25 PM
To: Wang, Shuying <[e-mail]>
Subject: FW: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Did you ever get a proposed closure plan for this site? I didn't.
From: Rogers, Michael
Sent:Thursday, June 23, 2016 10:12 AM
To: Berger, Herb<[e-mail]>
Cc: Watts, Debra <[e-mail]>;Jackson, Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
I checked our BIMS database. This site is a 'no fee'. Therefore, no fees are due.
From: Berger, Herb
Sent: Thursday, June 23, 2016 10:07 AM
To: Rogers, Michael<[e-mail]>
Cc: Watts, Debra <[e-mail]>; Jackson, Vance <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
2

•
Are any annual fees due? Funding on projects accepted into the State Lead program are extremely limited. Is it
possible that the fees could be waived for the Division of Waste Management?
Thanks
Herbert E. Berger, Jr., LG
Hydrogeologist
Underground Storage Tank Section
Department of Environmental Quality
919-707-8170 office
Herbert.Berger(a�ncdenr.gov
1646 Mail Service Center
Raleigh. NC 27699-1646
217 West Jones Street. Office 2430V
Raleigh. NC 27602
i
-- ''Noting Compares-..-,,,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Fro
m: Rogers, Michael
Sent:Thursday, June 23, 2016 9:52 AM
To: Wang, Shuying<[e-mail]>;[e-mail]
Cc:Watts, Debra <[e-mail]>; Knight, Sherri <[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George <[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Also, before closing out the permit all annual fees need to be paid if any are due.
From: Rogers, Michael
Sent: Wednesday,June 22, 2016 1:13 PM
To: Wang, Shuying<[e-mail]>;[e-mail]
Cc: Watts, Debra <[e-mail]>; Knight,Sherri <[e-mail]>; Berger, Herb
<[e-mail]>; Smith, George<[e-mail]>
Subject: RE: Groundwater remediation system closure at Lang Hill Store, WQ0011443 Long Hill Store
Thanks.
From: Wang, Shuying
Sent: Wednesday, June 22, 2016 10:03 AM
To:[e-mail]
Cc: Rogers, Michael <[e-mail]>; Watts, Debra <[e-mail]>; Knight, Sherri
<[e-mail]>; Berger, Herb<[e-mail]>; Smith, George<[e-mail]>
Subject: Groundwater remediation system closure at Lang Hill Store, WQ001443
3

•
Hi John,
It was nice to talk to you!
As we just discussed on the phone, please refer 2T.1608 for groundwater remediation system closure and provide a
closure plan as described in the rule to both the CO (Mike Rogers) and WSRO. As you are requesting the permit be
rescinded, please include the request in the package.
A infiltration gallery closure plan should adequately addresses the piping and also consider the potential for the
permeable fill portion of the infiltration gallery would retain the ability to be used for infiltration.
Please note, 15A NCAC 02T .1602(3) defines "infiltration gallery" as a subsurface ground absorption system expressly
designed for the introduction of wastewater into the subsurface environment. Normally the piping is placed in
permeable material in an excavation cut into the subsurface in order to facilitate infiltration of the wastewater. Because
the permeable material surrounding the piping could still be used for infiltration, if not addressed, and serve as a source
of contamination to the extent that contaminants remain present in the permeable material or surrounding soil, 15A
NCAC 02T.1608(b)(2) requires that "infiltration galleries shall be closed such that the infiltration gallery will be rendered
permanently unusable for the disposal or infiltration of fluids and will not serve as a source or channel of
contamination." The requirements of.1608(b)(2) can be met by excavating subsurface permeable materials or by
covering them with uncontaminated low-permeability material.
If you have any further questions, please let me know.Thanks for contacting us!
Shuying Wang, P.G.
Hydrogeologist
Division of Water Resources
NC Department of Environmental Quality
Winston-Salem Regional Office
Phone: [phone]
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
450 W Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
http://portal.ncdenr.org/web/wq
Nothinc Compares. .e�
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
4

CA/A1 0-0 II ti�3
Rogers, Michael
From: Rogers, Michael
Sent: Thursday, June 16, 2016 9:52 AM
To: Berger, Herb
Subject: FW: Closure Info Long Hill Store
Attachments: 20160616085933807.pdf; 2T .1608 Closure Requirements.pdf
Hey Herb-
I left you a VM. We would like to get a proposed closure plan before actual steps are taken. It is forwarded to the RO
for their review for approval. They may make arrangements for a site inspection pre and/or post closure. Also, all
annual fees need to paid if overdue.
Original Message
From: Michael Rogers [mailto:[e-mail]]
Sent: Thursday,June 16, 2016 9:00 AM
To: Rogers, Michael<[e-mail]>
Subject:
This E-mail was sent from "RNPAC7DDO" (Aficio 2075).
Scan Date: 06.16.2016 08:59:33 (-0400)
Queries to: [e-mail]
1

Central Files: APS _ SWP
3/10/2014
Permit Number WQ0011443 Permit Tracking Slip
Program Category Status Project Type
Non-discharge In review Renewal
Permit Type Version Permit Classification
Groundwater Remediation A Individual
Primary Reviewer Permit Contact Affiliation
thomas.slusser Mika Trifunovic
Coastal SWRule PO Box 16265
Greensboro NC 27416
Permitted Flow
Facility
Facility Name Major/Minor Region
Long Hill Store Minor Winston-Salem
Location Address County
2482 Old US 52 Surry
Pilot Mountain NC 27041 Facility Contact Affiliation
Mona King
Facilities Mgr President Vice
465 Shepherd St
Owner Winston Salem NC 27103
Owner Name Owner Type
Capital Bank N A Non-Government
Owner Affiliation
Mona King
Facilities Mgr President Vice
465 Shepherd St
Dates/Events Winston Salem NC 27103
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/2/1995 2/28/2014
Regulated Activities Requested/Received Events
Groundwater remediation RO staff report received
RO staff report requested
Additional information requested
Additional information received
Outfa I l
Waterbody Name StreamIndex Number Current Class Subbasin

ArreverA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 3, 2014
Mona King, Vice President, Corporate Facilities Manager
Capital Bank, N.A.
465 Shepherd Street
Winston-Salem, NC 27103
Ref: Issuance of Non-Discharge Groundwater Remediation Permit WQ0011443
Long Hill Store, Pilot Mountain,Surry County
Dear Ms. King:
In accordance with your request for renewal of the subject permit received on February 28,
2014, and documentation of the permit change of ownership received June 2, 2014, the
Division of Water Resources is forwarding permit WQ0011443 dated September 1, 2014, to
Capital Bank, N.A., for the groundwater remediation facility referenced above. Please
note, this permit shall be effective from September 1, 2014, which is the day after the
expiration date of the existing permit, until September 1, 2019, and shall void permit
WQ0011443 issued August 17, 2005.
Please pay particular attention to the monitoring requirements in this permit. Failure to
establish an adequate system for collecting and maintaining the required operational
information may result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you
have the right to request an adjudicatory hearing upon written request within thirty (30)
days following receipt of this permit. This 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 NC 27699-
6714. Otherwise, this permit shall be final and binding.
1636 Mail Service Center,Raleigh,North Carolina 27699-1636
Phone:[phone]\Internet:www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer—Made in part by recycled paper

1
WQ0011443 Permit Issuance
June 3,2014
Page 2 of 2.
Please contact Thomas Slusser at [e-mail] or 919-807-6412 if you have
any questions or need additional information.
/'$ U*
omas A. Reeder, Director
i ivision of Water Resources, NCDENR
cc: Surry County Health Department
Winston-Salem Regional Office,Water Quality Regional Operations Section
Mika Trifunovic,Pyramid Environmental&Engineering,P.O.Box 16265,Greensboro,NC 27416
Technical Assistance and Certification Unit
WQ0011443 Permit File
WQ0011443 Notebook File

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
GROUNDWATER REMEDIATION PERMIT
In accordance with the provisions of Article 21 of Chapter 143,General
pe 1 Statutes of North Carolina as amended,
and other applicable Laws,Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Capital Bank, N.A.
Surry County
FOR THE
continued operation of a 8,640 GPD groundwater remediation facility consisting of a recovery well, a 13 GPM
oil/water separator with coalescing media internal oil chamber and high level alarm, a 12 GPM iron removal
treatment unit, a 12 GPM three-tray shallow tray air stripper, dual 15 GPM granular activated carbon polishing
canisters piped in series, a totalizing flow meter, a 40-foot by 40-foot by 7-foot deep infiltration gallery with
gallery monitoring pipe, and all associated pumps, piping, valves, alarms, safety shutoffs, controls, and
appurtenances to remediate groundwater at the Long Hill Store in Pilot Mountain, Surry County, with no
discharge of wastes to the surface waters, pursuant to the application received February 28, 2014, the ownership
change form received June 2, 2014, and in conformity with the project plan, specifications, and other supporting
data subsequently filed and approved by the Division of Water Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until September 1, 2019, shall void Permit No.
WQ0011443 issued August 17, 2005,and shall be subject to the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The groundwater treatment system shall consistently achieve 15A NCAC 2L Section .0202(g) Class GA
Standards prior to discharge to the infiltration gallery. If the treatment system fails to consistently achieve
this standard, additional treatment units or changes in operational needs may be required.
2. This permit shall become voidable if the soils fail to adequately assimilate the remaining wastes and may
be rescinded unless the facilities are installed, maintained, and operated in a manner, which will protect
the assigned water quality standards of the surface and groundwaters.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwaters resulting from the operation of this facility.
4. Any residuals generated from these treatment facilities must be disposed in accordance with General
Statute 143-215.1 and in a manner approved by the Division.
5. Diversion or bypassing of the untreated groundwater from the treatment facilities is prohibited.
Page 1 of 5

•
H. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated as a non-discharge system to prevent the
discharge of any wastewater resulting from the operation of this facility. The groundwater recovery,
treatment and disposal system shall be inspected monthly. If it is determined that the system is
malfunctioning or leading to the release of wastes to the environment, a threat to human health, or a
nuisance, all repairs should be made as soon as possible and reported to the Winston-Salem Regional
Office (see Section V. NONCOMPLIANCE NOTIFICATION). All components of the groundwater
recovery, treatment, and disposal system shall be properly weatherproofed to prevent freezing and failure
of the system.
2. Upon classification of the wastewater treatment and remediation facilities by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Permittee shall designate and employ a
certified operator to be in responsible charge (ORC) and one or more certified operator(s) to be back-up
ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit the facilities in
accordance with 15A NCAC 8G .0204 or as specified in this permit and shall comply with all other
conditions specified in these rules.
3. The infiltration gallery shall be operated above the water table at all times.
4. If requested by the owner, the Division will consider remote monitoring in lieu of(frequency) physical
inspections, on a case-by-case basis, following at least two years of successful operation.
5. The Permittee shall maintain an inspection log or summary including at least the date and time of
inspection,observations made, and any maintenance,repairs, or corrective actions taken by the Permittee.
This log of inspections shall be maintained by the Permittee for a period of three years from the date of
the inspection and shall be made available to the Division or other permitting authority,upon request.
6. Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property,premises or place on or related to the disposal site or facility at
any reasonable time for the purpose of determining compliance with this permit, may inspect or copy any
records that must be maintained under the terms and conditions of this permit, and may obtain samples of
groundwater, surface water,or leachate.
III. MONITORING REQUIREMENTS
1. The effluent from the treatment system shall be sampled every March,June, September,and December
for the parameters specified below:
Benzene Ethylbenzene MTBE Toluene
pH Water Level Xylenes Naphthalene
EDB Lead IPE
2. Monitor well MW-10 shall be sampled every March,June, September, and December for the parameters
listed below:
Benzene Ethylbenzene MTBE Toluene
pH Water Level Xylenes Naphalene
EDB Lead [PE
3. Prior to sampling the parameters,the measurement of water levels must be taken. The depth•to water in
each well shall be measured from the surveyed point on the top of the casing. The measuring points(top
of well casing)of all monitoring wells shall be surveyed relative to a common datum.
Page 2 of 5

4. The water levels in MW-2,MW-10,and observation well P1 shall be monitored monthly along with the
water levels in all other non-pumping wells to indicate any trend line or tendency toward mounding and
induced radial gradients away from the gallery.
5. The samples for lead shall be prepared and analyzed in accordance with the policy Metals Determinations
Required by 15A NCAC 02L,dated May 13,2013,available online at
http://portal.ncdenr.org/web/wq/aps/gwpro/policy.
6. During the initial baseline analysis and the final site closure analysis,duplicate samples to confirm the
concentration of EDB in the wells shall also be analyzed by EPA Method 504.1.
7. For Volatile Organic Compounds(VOCs),use only one of the following methods:
a. Standard Method 6200B,Practical Quantitation Limit(PQL)at 0.5 ug/L or less
b. Standard Method 6200C,PQL at 0.5 ug/L or less
c. EPA Method 8021,Low Concentration,PQL at 0.5 ug/L or less
d. EPA Method 8260,Low Concentration,PQL at 0.5 ug/L or less
e. Another method with prior approval by the Division of Water Resources.
Any of the referenced methods used for VOCs must, at a minimum, include all the constituents
listed in Table VIII of Standard Method 6200B. Any method used must provide a PQL of 0.5 ug/L or
less, which must be supported by laboratory proficiency studies as required by the DWR Laboratory
Certification Unit. Any constituents detected above the Method Detection Limit (MDL) but below the
PQL of 0.5 ug/L must be qualified(estimated)and reported.
8. Any laboratory selected to analyze parameters must be Division of Water Resources certified for those
parameters required.
9. Any additional groundwater quality monitoring, as deemed necessary by the Division shall be provided.
IV. REPORTING REQUIREMENTS
1. Three(3)copies of the following forms shall be mailed to the address below:
a. GW-59 Groundwater Quality Monitoring: Compliance Report Form
b. GW-59A Compliance Report Form
Mail these documents to the following address: Division of Water Resources
1617 Mail Service Center
Information Processing Unit
Raleigh,NC 27699-1617
Updated blank forms(GW-59,GW-59A)may be downloaded from the Division of Water Resources
website at http://portal.ncdenr.org/web/wq/aps/gwpro/reporting-forms or•requested from the address
mentioned above.
2. The results of the sampling and analysis must be received on forms GW-59 and GW-59A on or before the
last working day of the month following the sampling month. The data of all groundwater sampling
analyses required by the permit conditions must be reported using the most recent GW-59 and GW-59A
forms along with attached copies of the laboratory analyses.
Page 3 of 5

3. The Permittee shall retain records of all monitoring information, including calibration and maintenance
records, continuous monitoring data and reports required by this permit, for at least 3 years from the date
of the sample measurement, report or application. Records of this monitoring information shall include,
but not be limited to,the following:
a. the,date,exact place,and time of sampling or measurements,
b. the individual who performed the sampling or measurements,
c. the date the analyses were performed,
d. the analytical techniques or methods used, and
e. the results of such sampling,measurements, and analyses.
4. The Permittee shall report to the Winston-Salem Regional Office (see Section V. NONCOMPLIANCE
NOTIFICATION)any monitoring or other information which indicates:
a. any contaminant may cause an endangerment to an underground source of drinking water,
b. any noncompliance with a permit condition due to a malfunction of the system, or
c. any cause of fluid migration outside the injection zone or area.
The written submission shall contain a description of the noncompliance and its cause, the period of
noncompliance, including exact dates and times. If the noncompliance is not corrected and is expected to
continue, steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance
shall be provided to the Regional Office in a timely manner.
6. The Permittee shall submit an annual report summarizing the volume of effluent discharged into the
infiltration gallery and the summary results of related groundwater, influent, and effluent monitoring.
Isoconcentrations (horizontal and vertical direction)and water level contour maps shall be prepared on an
annual basis and submitted with this report.If an annual report containing this information(e.g. corrective
action plan) is required by a regulatory agency, the Permittee may submit two (2) copies of that report in
lieu of the preceding information within thirty days of its publication. The Permittee shall submit this
report to the following address: DWR-Groundwater Protection Branch, 1636 Mail Service Center,
Raleigh,NC 27699-1636.
V. NONCOMPLIANCE NOTIFICATION
1. The Permittee shall report by telephone to the Winston-Salem Regional Office, telephone number 336-
771-5000, as soon as possible, but in no case more than 24 hours or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the groundwater remediation facility which results in the treatment of significant
amounts of contaminated groundwaters which are abnormal in quantity or characteristic, such as the
dumping of the contents of a basin or tank, the known passage of a slug of hazardous substance
through the facility, or any other unusual circumstances;
b. Any process unit failure, due to known or unknown reasons, that renders the groundwater treatment
and disposal system incapable of adequate treatment and disposal, such as mechanical or electrical
failures of pumps, aerators,compressors,etc.;
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility; or
d. Any time that self-monitoring information indicates that the groundwater treatment and disposal
system is not in compliance with any specified permit limitations.
2. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at telephone number(800)858-0368 or to the Emergency Management's switchboard at(919)
733-3300. Also,persons reporting such occurrences by telephone shall file a written report within five
(5)days following first knowledge of the occurrence. This report must outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
Page 4 of 5

,
VI. GENERAL CONDITIONS
1. Issuance of this permit does not constitute approval for reimbursement from the Leaking Petroleum
Underground Storage Tank Cleanup Fund (15A NCAC 2P) or any other fund. Additionally, the issuance
of this permit does not remove the Permittee's responsibility to comply with the corrective action
requirements of the Division of Waste Management. Furthermore, the Permittee should notify and report
all changes concerning the remedial system to the Division of Waste Management. It is the Permittee's
responsibility to comply with the requirements of all involved agencies.
2. This permit shall become voidable unless the facilities are constructed in accordance with the conditions
of this permit,the approved plans and specifications,and other supporting data.
3. This permit is effective only with respect to the nature and volume of wastes described in the application
and other supporting data.
4. This permit is not transferable. In the event there is a desire for the facilities to change ownership, or
there is a name change of the Permittee, a formal permit request must be submitted to the Division
accompanied by an application fee, documentation from the parties involved, and other supporting
materials as may be appropriate. The approval of this request will be considered on its merits and may or
may not be approved.
5. A set of approved plans and specifications for the subject project must be retained by the Permittee for the
life of this project.
6. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A
through 143-215.6C.
7. The annual administering and compliance fee must be paid by the Permittee within thirty (30) days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action
to revoke this permit as specified in 15A NCAC 02T .0105(e)(3).
8. The issuance of this permit does not preclude the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other government agencies (local, state, and
federal),which have jurisdiction.
9. The requirements for infiltration gallery closure specified in 15A NCAC 02T .1608 shall be followed in
order to process a request for rescission of this permit.
•
10. If the Permittee wants to continue operation of this system, at least six(6) months prior to the expiration
of this permit, the Permittee shall request its extension. Upon receipt of the request,the Commission will
review the adequacy of the facilities described therein, and if warranted, will extend the permit for such
period of time and under such conditions and limitations as it may deem appropriate.
Permit issued this the 1s`day of September,2014
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Thomas A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0011443
Page 5 of 5

State of North Carolina
Dw RDepartment of Environment and Natural Resources
Division of Water Resources
Division of Witter Resources Water Quality Regional Operations Section
Staff Report
To: Non-Discharge Permitting Unit Application No.: W00011443
Attn: Thomas Slusser Regional Login No.:
From: Shuying Wang
Winston-Salem Regional Office
- - RECEIVED,'.r.,t-( •r•;•' •i-i.JLt\i,S, v li't
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted?® Yes or❑No
a. Date of site visit: 03/21/2014 Water QuaCiy Reoiona!
b. Site visit conducted by: Shuying Wang Opert'fi-; c:,
c. Inspection report attached? ❑ Yes or®No
d. Person contacted: Mika Trifunovic and their contact information: (336)335 -3174 ext.
e. Driving directions:
II. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑ Yes or❑No
If no,explain:
3. Are site conditions(soils, depth to water table,etc)consistent with the submitted reports? ❑ Yes❑No❑N/A
If no,please explain:
4. Do the plans and site map represent the actual site(property lines,wells,etc.)?❑ Yes ❑No❑N/A
If no, please explain:
5. Is the proposed residuals management plan adequate? 0 Yes❑No❑N/A
If no,please explain:
6. Are the proposed application rates(e.g., hydraulic,nutrient)acceptable? 0 Yes ❑No❑N/A
If no,please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑ Yes or 0 No
If yes,attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑No ❑N/A
If no,explain and recommend any changes to the groundwater monitoring program:
9. For residuals,will seasonal or other restrictions be required? 0 Yes❑No❑N/A
If yes, attach list of sites with restrictions(Certification B)
FORM: WQROSSR 02-14 Page 1 of 3

III.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge(ORCs)for the facility? ® Yes El No El N/A
ORC: Pyramid Environmental& Engineering,P.C. Certificate#: Backup ORC: Certificate#:
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or El No
If no,please explain:
3. Are the site conditions(e.g., soils,topography,depth to water table, etc)maintained appropriately and adequately
assimilating the waste? ® Yes or El No
If no,please explain:
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development,etc.)? El Yes or®No
If yes,please explain:
5. Is the residuals management plan adequate? ® Yes or❑No
If no, please explain:
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable?® Yes or El No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ® Yes El No El N/A
If no,explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? El Yes or®No
If yes,attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or El No
If no,please explain:
10. Were monitoring wells properly constructed and located? ® Yes ❑No El N/A
If no,please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes®No El N/A
If no,please complete the following(expand table if necessary): Please see attached.
Monitoring Well Latitude Longitude
o , „ o , „
-
o , „ o ,
-
o , „ o ,
-
o , „ o ,
-
o , „ o ,
-
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR,GW)? ®Yes or El No
Please summarize any findings resulting from this review: In compliance and parameter and frequency are
adequate.
13. Are there any permit changes needed in order to address ongoing BIMS violations? El Yes or®No
If yes,please explain:
14. Check all that apply:
®No compliance issues El Current enforcement action(s) El Currently under JOC
El Notice(s)of violation ❑ Currently under SOC El Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD,etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ®Yes El No El N/A
If no,please explain:
FORM: WQROSSR 02-14 Page 2 of 3

16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes®No❑N/A
If yes,please explain:
IV.REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑Yes or®No
If yes,please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
The month for submitting the annual report each year should be the We can track if a report is due or
same,such as December,January,or July,whatever will be fine. needs to be requested.
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑ Hold,pending receipt and review of additional information by regional office
❑ Hold,pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
® Issue
❑ Deny(Ple state reasons:�)
6. Signature of report preparers `�
/ I
Signature of APS regional supervisor:
Date: 3/2 y J I `./
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: WQROSSR 02-14 Page 3 of 3

9 LEGEND R
MW-7
e t
N 36°24'56.41" A MDNrrORING WEu
W 80°30'57.18" MW-15 A O DEEP MONITORING WELL
N 36°24'56.25'" RECOVERY WELL
/ W 80°30"55-99""
J� — - ® INFILTRATION n�11 FRY MONITORING WELL
ST/J' \ INFILTRATION GALLERY
N 36°24'56.02"" \
W 80°30"56.94"" MW-10 N 36°24'55.90"" �— MPROX.EXCAVATION AREA
W 80°30"56.46""o R
Vitt/N 36°24"55.91"" \6 J/ W 80 30 56 86 cs McBRIDE
j V.,- SUPPLY WELL ® M
;-]'..-
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/ - ( ,6 \ N 36°24'S5.74"' o
N 36°24"55.71"" W 80°30"55.82""
:',
RW-2/ \ .. ..�: z
�:,: ✓ MW-t3 W 80°30"56.26""
\ ` , ' ;-;t.`\' N 36°24'55.57""" \ ce
W 80°30"56.53"' \ v
j \ FORMER • ` \ MWe14 _
/ `` LISTS \ '/ \ \ I-
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RW-5� \. - '\ \\\ N 36°24'55.47" \ c y
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`rN 36°24'54.93"" \ < p
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\.usr �CI®C
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- - ° a
_ _ _ _ PROPERTY LINE _ _ �`‘ 4'V/'/ Na'S' -Z
_ 2
MW-5 N 36°24'54.81" z
9 W 80°30'56.38" / 2 z
N 36°24'54.68" -' w
N 36°24'54.40" MW--4 "-BD a
N 36°24'54.55" � � %
W 80°30'56.78" W 80°30'56.44""
—-- --— LOCATED
AN SUPPLYP WELL S 0 O
-- --—-- UNCERTAIN PROPERTY LINE ASOUTH LLS
-- -- -- 186 FEET SOUTHWEST OF
UNCERTAIN PROPERLY LINE IL

North Carolina Department of Environment and Natural Resources
Division of Water Resources
PERMIT NAME/OWNERSHIP CHANGE APPLICATION FORM
I. INSTRUCTIONS J u N o
1. Complete this form in its entirety as follows:
(a) Change of Ownership—Provide the information in Parts II and III and sulit legal documentation of
the transfer of ownership such as a contract,deed,article of incorporation,e "The certifications in part
IV must be signed by both the current permit holder and the new applicant(s).
(b) Name Change Only—Provide the information in Parts II and III. Sign the certification for the new
applicant in part IV.2.
2. Submit the properly completed form to the address on bottom of Page 2.
II. CURRENT PERMIT INFORMATION
I. Permit number: WO0011443
2. Permit holder's name(s): Southern Community Bank&Trust
3. Permit signing official's name and title: Mona King
(Person legally responsible for permit)
Vice President/Corporate Facilities Manager
(Title)
4. Mailing address: 465 Shepherd Street
City: Winston-Salem State: NC Zip: 27103
Telephone number: [phone] Facsimile number:[phone]
III. NEW OWNER/NAME INFORMATION
1. This request for a permit change is a result of:
a. Change in ownership of property/company
b. Name change only
✓ c. Other(please explain): Merger of Capital Bank.NA and Southern Community Bank&Trust
FORM:GPU-PNOC 2/21/2014 Page 1 of 2

2. New owner's name(s)as listed on the property deed(Please Print/or Type):
Capital Bank.NA
3. New owner's or signing official's name and title: Mona King
(Person legally responsible for permit)
Vice President/Corporate Facilities Manager
(Title)
4. Mailing Address: 465 Shepherd Street
City: Winston-Salem State: NC Zip: 27103
Day/Cell Phone No.[phone] Fax number:[phone]
EMAIL Address: mona.kinguc canitalbank-us.com
IV. CERTIFICATION
1. Current Penn ittee's Certification:
I,Mona King ,attest that this application for name/ownership change has been reviewed and is accurate
and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not included,this application
package will be returned as incomplete. I understand 1 will continue to be responsible for compliance with
the current permit until a new permit is issued.
2. New Applicant(s)'s Certification:
I/We,Mona King , attest that this application for name/ownership change has
been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information and attachments
are not included,this ap ation package will be returned as incomplete. I further certify that I will operate
and maintain the pe facility in accordance with the permit and related regulatory requirements.
Signature: /7 £- Date: 6'712-0/
Signature: Date:
SUBMIT THE COMPLETE APPLICATION PACKAGE VIA ONE OF THE FOLLOWING METHODS:
U.S. Postal Service: Courier/Special Delivery/In Person:
WQROS-Groundwater Protection Branch WQROS-Groundwater Protection Branch
NC Division Of Water Resources NC Division Of Water Resources
1636 Mail Service Center 512 North Salisbury Street
Raleigh,NC 27699-1636 Raleigh,NC 27604
TELEPHONE NUMBER: [phone]
FORM:GPU-PNOC 2/21/2014 Page 2 of 2

SOSID:0000000
Date Filed: 12/11/2012 2:53:00 PM
Elaine F.Marshall
North Carolina Secretary of State
C201234000540
ARTICLES OF MERGER
OF
SOUTHERN COMMUNITY BANK AND TRUST
WITH AND INTO
CAPITAL BANK,NATIONAL ASSOCIATION
Capital Bank, National Association, does hereby submit the following Articles of Merger as
the surviving business entity in a merger of Southern Community Bank and Trust, a banking
corporation organized under the laws of the State of North Carolina,with and into Capital Bank,
National Association:
1. The name of the surviving entity is Capital Bank,National Association,a national bank organized
under the laws of the United States of America.
2. The address of the surviving entity is:
121 Alhambra Plaza, Suite 1601
Coral Gables, Florida 33134
The Surviving foreign business entity will file a statement of any subsequent change in its mailing
address with the North Carolina Secretary of State.
3. The name of the merging entity is Southern Community Bank and Trust,a banking corporation
organized under the laws of the State of North Carolina.
4. A Plan of Merger has been duly approved in the manner required by law by Southern Community
Bank and Trust and Capital Bank,National Association.
These articles will be effective upon filing
This the//th day of December,2012.
CAPITAL BANK,N TIONAL ASSOCIATION
By:
ames Hastings
Executive Vice President
I

C20123400054.0
C)
Comptroller of the Currency
Administrator of National Banks
Southern District Licensing
160D Lincoln Plaza
500 North Akard
Dallas, Texas 75201-3323
October 22, 2012
Mr. Richard K. Kim, Partner
Wachtell, Lipton, Rosen&Katz
51 West 52ntl Street
New York, New York 10019
Re: Certification for Southern Community Bank&Trust, Winston-Salem, North Carolina
to merge with and into Capital Bank, N.A., Miami, Florida, (12 U.S.C. 1828(c)).
CAIS Control Number: 2012-SO-02-0008
Dear Mr. Kim:
This letter is the official certification of the Comptroller of the Currency (OCC) to merge
Southern Community Bank&Trust, Winston-Salem, North Carolina with and into Capital
Bank, N.A., 9350 South Dixie Highway, Miami, Florida 33156, Charter Number 24976
effective as of October 11, 2012, The bank should change its legal lending limit calculation as
of October 11, 2012 to reflect the acquisition.
This is also the official authorization given to Capital Bank, N.A. to operate the branches of
the target institution and the main office of the target institution as a branch. A listing of each
newly authorized branch and its assigned OCC branch numbers are attached. If the
consummation does not occur as represented in your correspondence of October 11, 2012, this
certification must be returned to the OCC. All correspondence regarding this application
should reference the control number. If you have any questions, you may contact Ms. Karen
H. Bryant, Director for District Licensing, or me, at 214-720-7052.
Sincerely,
aLf ,
Abel Reyna, Jr.
Licensing Analyst '

' C201234000540
COCFD317 COMPTROLLER OF THE CURRENCY 10/03/2012 10:30
COCFM317 SELECT MERGING BRANCH
CONTROL #: 2012 SO 02 0008 FILING TYPE: MERGER
TRANS TYPE: CORP REORG (AFFIL MERGER) FORM: MERGER •
RESULTING BANK SHORT NAME: CAPITAL BANK, NA
BRANCH #: BRANCH COUNT: 22 •
SEL BRCH # LOCATION STREET CITY STATE
153771A 1751 HENDERSONVILLE ROAD ASHEVILLE NC
153772A 6290 TOWNCENTER DRIVE CLEMMONS NC
153773A 1207 SOUTH MAIN STREET KERNERSVILLE NC
153774A 500 SOUTH STRATFORD ROAD WINSTON-SALEM NC
153776X 225 HANES MILL ROAD WINSTON-SALEM NC
153777A 3151 PETERS CREEK PARKWAY WINSTON-SALEM NC
153778A 1505 HIGHWOODS BLVD. GREENSBORO NC
153779A 2541 EASTCHESTER DRIVE HIGH POINT NC'
153780A 210 KNOB HILL ROAD MOORESVILLE NC
C0000192 ENTER BRANCH # OR PLACE X TO SELECT A BRANCH. PRESS ENTER.
ENTER=PROCESS PFI=HELP PF3=RETURN PF7=BACKWARD PF8=FORWARD
PF10=MAIN MENU PF11=EXIT
•
•
•
•
•
it
it

C201234000540
•
COCFD317 COMPTROLLER OF THE CURRENCY 10/03/2012 10:30
COCFM317 SELECT MERGING BRANCH
CONTROL #: 2012 SO 02 0008 FILING TYPE: MERGER
TRANS TYPE: CORP REORG (AFFIL MERGER) FORM: MERGER
RESULTING HANK SHORT NAME: CAPITAL BANK, NA
BRANCH M: BRANCH COUNT: 22
SEL BRCH 9 LOCATION STREET CITY STATE
153787A 1439 WEST MEMORIAL HIGHWAY UNION GROVE NC
153788A 619 AYERSVILLE ROAD MADISON NC
153789A 105 POST OFFICE STREET KING NC
' 153790A 4928 HIGHWAY 704 WEST SANDY RIDGE NC
153791A 201 WEST KAPP STREET DOBSON NC •
153792A 2010 COMMUNITY DRIVE MOUNT AIRY NC
153793A 255 EAST INDEPENDENCE BLVD MOUNT AIRY NC
153794A 616 SOUTH KEY STREET PILOT MOUNTAIN NC
153795A 3100 EDWARDS MILL ROAD RALEIGH NC
C0000192 ,ENTER BRANCH I OR PLACE X TO SELECT A BRANCH. PRESS ENTER,
ENTER=PROCESS PP1=HELP PF3=RETURN PF7-BACKWARD PF8=FORWARD
PP10=MAIN MENU PF11=EXIT

' C201234000540
C0CFD317 COMPTROLLER OF THE CURRENCY 10/03/2012 10:30
COCFM317 SELECT MERGING BRANCH
CONTROL 4: 2012 S0 02 0008 FILING TYPE: MERGER
TRANS TYPE: CORP REORG (AFFIL MERGER) FORM: MERGER
RESULTING BANK SHORT NAME: CAPITAL BANK, NA
BRANCH #: BRANCH COUNT: 22
SEL BRCH I LOCATION STREET CITY STATE
153796A 503 WINSTON ROAD JONESVILLE NC
153797A 532 EAST MAIN STREET YADKINVILLE NC
153798A 1072 NORTH MAIN STREET WALNUT COVE NC
153775A 4701 Country Club Road Winston-Salem NC
C0000192 ENTER BRANCH 9 OR PLACE X TO SELECT A BRANCH. PRESS ENTER.
ENTER=PROCESS PF1=HELP PF3=RETURN PF7=BACKWARD PF8=FORWARD •
PF10=MAIN MENU PF11=EXIT

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, Ill
Governor Director Secretary
February 10,2014
Ms.Mona King—Vice President Corp. Facilities Manager
Capital Bank NA
465 Shepherd Street
Winston-Salem,NC 27416
Subject: Acknowledgement of
Application No. WQ0011443
Long Hill Store
Groundwater Remediation
System
Surry County
Dear Ms. King:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on February 28, 2014. Your application package has been assigned
the number listed above,and the primary reviewer is Thomas Slusser.
Central and Winston-Salem Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Division of Water Resources requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Thomas Slusser at(919) 807-6412 or [e-mail].
Sincerely
for Jon Ris d
N ischarge Permitting Unit Supervisor
cc: Winston-Salem Regional Office
Mika Trifunovic—Pyramid Environmental&Engineering,PC :PO BOX 16265,Greensboro,NC 27416
Permit File WQ0011443
WATER QUALITY PERMITTING SECTION
1636 Mail Service Center,Raleigh,North Carolina 27699-1636
Location:512 N.Salisbury St.,Raleigh,North Carolina 27604
Phone:[phone] FAX:[phone]
Internet:http:llportal.ncdenr.orglweblwq
An Equal Opportunity\Affirmative Action Employer

PYRAMID
ENVIRONMENTAL& ENGINEERING, P.C.
February 25, 2014
NCDENR—Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Re: Renewal Application for Non-Discharge Permit No. WQ0011443
Long Hill Store,2482 Old US 52 S., Pilot Mountain, Surry Co.,NC 27041
Groundwater Remediation Facility
Capital Bank,N.A. (former Southern Community Bank& Trust)
To Whom It May Concern:
Enclosed are two copies of the non-discharge permit renewal without modification
application packages for the Long Hill Store groundwater remediation facility.
If you have any questions or need additional information, please contact Mike Jones or
me at 336-335-3174.
Respectfully,
lefC7-04eAtZecb'
Mika Trifunovic
Enclosures: Two(2)copies of Non-discharge Renewal Package
P.O.Box 16265•Greensboro,NC 27416
503 Industrial Ave•Greensboro,NC 27406
Phone[phone]•Fax[phone]•Toll Free(866)545-9507
Email: [e-mail]
www.pyramidenvironmental.com

State of North Carolina
Department of Environment and Natural Resources- Division of Water Resources
Non-Discharge Groundwater Remediation Permit Application Form
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED UNLESS ALL APPLICABLE ITEMS ARE INCLUDED DENRIDWR
APPLICATION INFORMATION ?0 14
Water Qu R_Pn a!
Ger,Inor� Scct.o1
Application Date: 2/24/2014
Application Type: Renewal
* New Projects — DWQ to assign application #
** Renewals/Modifications — Enter Permit # WQ0011443
Fee Submitted: (refer to fee schedule at Choose an item. There is no fee for a renewal
http://portal.ncdenr.org/web/wq/aps/lau/fees)
* For new projects: complete this page, signature page, and supply all attachments.
** For renewals: complete this page and signature page.
For modifications: complete this page, signature page, and supply relevant attachments.
Applicant's Name (specify the name of the Capital Bank, N.A. (former Southern Community
municipality, corporation, individual, etc.): Bank and Trust)
Mona King,
Owner or Signing Official's Name and Title Vice President, Corporate Facilities Manager
(person legally responsible for the facility
and its compliance):
Mailing Address: 465 Shepherd St., Winston-Salem, NC 27103
Telephone Number: [phone]
Email Address: [e-mail]
Facility Name (name of the project site; be Long Hill Store
consistent throughout application package):
Physical Address: 2482 Old US 52 S, Pilot Mountain, NC 27041
County: Surry County
Geographic Coordinates: Latitude:36.415338° Longitude:-80.515679°
Contact Person (who can answer Mika Trifunovic
questions about application): Pyramid Environmental & Engineering
Telephone Number: [phone]
Email Address: [e-mail]
Non-Discharge Groundwater Remediation Permit Application Revised August 7,2013
L

ATTACHMENTS
The following shall be included as separate attachments to this application form. Failure to
include the following information as part of the application package will result in the
application package being returned as incomplete.
A. Site Description and Incident Information. As specified in 15A NCAC 02T .1604(a), the
applicant must briefly describe the site, noting pertinent site information including:
(1) Contaminant(s) of concern,
(2) Source(s) and date(s) of the contaminant release,
(3) Remedial actions to date,
(4) Current land use,
(5) Potential receptors, and
(6) Incident number and name of oversight agency.
B. Soils Evaluation. As specified in 15A NCAC 02T .1604(b), for systems with proposed
discharge within seven feet of land surface and above the seasonal high water table, a soil
evaluation of the disposal site shall be provided to the Division by the applicant. If required by
G.S. 89F, a soil scientist shall submit this evaluation. This evaluation shall be presented in a
report that includes the following components:
(1) Field description of soil profile. Based on examinations of excavation pits or
auger borings, the following parameters shall be described by individual
diagnostic horizons to a depth of seven feet below land surface or to bedrock:
(A) Thickness of the horizon;
(B) Texture;
(C) Color and other diagnostic features;
(D) Structure;
(E) Internal drainage;
(F) Depth,thickness, and type of restrictive horizon(s);
(G) pH;
(H) Cation exchange capacity; and
(I) Presence or absence and depth of evidence of any seasonal high water
table.
(2) Recommendations concerning annual and instantaneous loading rates of
liquids, solids, other wastewater constituents and amendments. Annual
hydraulic loading rates shall be based on in-situ measurement of saturated
hydraulic conductivity in the most restrictive horizon.
Non-Discharge Groundwater Remediation Permit Application Revised August 7,2013

C. Hydrogeologic Evaluation. As specified in 15A NCAC 02T .1604(c), a hydrogeologic
evaluation of the disposal site shall be provided to the Division by the applicant. This
evaluation shall be conducted to a depth that includes the depth of existing contamination and
the total depth of the injection well(s) or infiltration gallery(ies). This evaluation shall be based
on borings for which the numbers, locations, and depths are sufficient to define the
components of the hydrogeologic evaluation. In addition to borings, other techniques may be
used to investigate the subsurface conditions at the site. These techniques may include
geophysical well logs, surface geophysical surveys, and tracer studies. This evaluation shall be
presented in a report that includes the following components:
(1) A description of the regional and local geology and hydrogeology;
(2) A description, based on field observations of the site, of the site topographic
setting, streams, springs and other groundwater discharge features, drainage
features, existing and abandoned wells, rock outcrops, and other features that
may affect the movement of the contaminant plume and treated wastewater;
(3) Changes in lithology underlying the site;
(4) Depth to bedrock and occurrence of any rock outcrops;
(5) The hydraulic conductivity,transmissivity, and storativity (specific yield if
unconfined aquifer) of the affected aquifer(s);
(6) Depth to the seasonal high water table;
(7) A discussion of the relationship between the affected aquifers of the site to
local and regional geologic and hydrogeologic features; and
(8) A discussion of the groundwater flow regime of the site focusing on the
relationship of the plume and remediation system to groundwater receptors,
groundwater discharge features, and groundwater flow media.
D. Demonstration of Hydraulic Control. As specified in 15A NCAC 02T .1604(d), computer
modeling or predictive calculations based on site-specific conditions shall be provided to the
Division by the applicant to demonstrate that operation of the system will not cause or
contribute to:
(1) The migration of contaminants into previously uncontaminated areas, and
(2) A violation of the groundwater standards specified in 15A NCAC 02L .0202 at
the compliance boundary as described in 15A NCAC 02L .0107.
Non-Discharge Groundwater Remediation Permit Application Revised August 7,2013

E. Maps and Cross-Sections. As specified in 15A NCAC 02T .1604(e), site plans or maps shall be
provided to the Division by the applicant depicting the location, orientation, and relationship of
facility components including:
(1) A scaled map of the site, with site-specific topographic contour intervals and
showing all facility-related structures and fences within the treatment, storage
and disposal areas;
(2) Locations of all test auger borings or inspection pits;
(3) The location of all wells (including usage and construction details if available),
designated wellhead protection areas, streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, other surface drainage features, and any other
site activities or features that may involve possible exposure to contamination
within 500 feet of all waste treatment, storage, and disposal sites;
(4) Setbacks specified in 15A NCAC 02T .1606;
(5) Delineation of property boundaries, review boundaries, and compliance
boundaryies;
(6) The horizontal and vertical extent of the contaminant plume for each of the
contaminants of concern, including isoconcentration lines and plume cross-
sections;
(7) Cross-sections depicting soil and rock layers and features to a depth including
the depth of existing contamination and the total depth of the injection wells or
infiltration galleries; and
(8) Hydrologic features such as potentiometric surface/water table contours and
the direction of groundwater flow.
F. Engineering Design Documents. As specified in 15A NCAC 02T .1604(f), the following
documents shall be provided to the Division by the applicant:
(1) Engineering plans for the entire system, including treatment, storage,
application, and disposal facilities and equipment except those previously
permitted unless they are directly tied into the new units or are critical to the
understanding of the complete process;
(2) Specifications describing materials to be used, methods of construction, and
means for ensuring quality and integrity of the finished product; and
(3) Plans that include construction details of recovery, injection, and monitoring
wells and infiltration galleries.
NOTE: Recovery and monitoring wells shall be constructed in accordance with
the requirements of 15A NCAC 02C .0108. Injection wells shall be constructed
in accordance with the requirements of 15A NCAC 02C .0225(g).
Non-Discharge Groundwater Remediation Permit Application Revised August 7,2013

•
G. Operating and Monitoring Plans. As specified in 15A NCAC 02T .1604(g), an operation and
monitoring plan shall be provided to the Division by the applicant. These documents shall be
specific to the site and include:
(1) The operating plan shall include:
(A) The operating schedule including any periodic shut-down times,
(B) Required maintenance activities for all structural and mechanical
elements,
(C) All consumable and waste materials with their intended source and
disposal locations,
(D) Restrictions on access to the site and equipment, and
(E) Provisions to ensure the quality of the treated effluent and hydraulic
control of the system at all times when any portion of the system ceases
to function.
(2) If injection wells are to be used then the operating plan shall also include:
(A) The proposed average and maximum daily rate and quantity of injectant;
(B) The average maximum injection pressure expressed in units of pounds per
square inch (psi); and
(C) The total or estimated total volume to be injected.
(3) The monitoring plan shall be prepared in accordance with 15A NCAC 02T .1607
and include:
(A) The monitoring well(s)that will be sampled,
(B) The constituent(s) for which those samples will be analyzed, and
(C) The schedule for sampling.
H. In Situ Remediation Additives. The following shall be provided to the Division by the
applicant if the remediation system includes additives to promote remediation in situ:
NOTE: Approved injectants can be found online at http://portal.ncdenr.orq/web/wq/aps/gwpro. All other
substances must be reviewed by the Division of Public Health, Department of Health and Human Services as
required by 15A NCAC 02C.0225(a). Contact the UIC Program for more information(Ph#919-807-6464).
(1) MSDS, concentration at the point of injection, and percentage if present in a mixture
with other injectants;
(2) A description of the rationale for selecting the injectants and concentrations proposed
for injection, including an explanation or calculations of how the proposed injectant
volumes and concentrations were determined;
(3) A description of the reactions between the injectants and the contaminants present
including specific breakdown products or intermediate compounds that may be formed
by the injection;
(4) A summary of results if modeling or testing was performed to investigate the injectant's
potential or susceptibility for biological, chemical, or physical change in the subsurface;
and
(5) An evaluation concerning the development of byproducts of the injection process,
including increases in the concentrations of naturally occurring substances. Such an
evaluation shall include the identification of the specific byproducts of the injection
process, projected concentrations of byproducts, and areas of migration as determined
through modeling or other predictive calculations.
Non-Discharge Groundwater Remediation Permit Application Revised August 7,2013

Professional Engineer's Certification:
Name and Complete Address of Engineering Finn:
City: State: Zip:
Telephone Number:( ) Fax Number: ( )
I, 2 attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest
that to the best of my knowledge the proposed design has been prepared in accordance with the
applicable regulations. Although certain portions of this submittal package may have been developed
by other professionals, inclusion of these materials under my signature and seal signifies that I have
reviewed this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal,Signature,and Date:
Applicant's Certification(signing authority must be in compliance with 15A NCAC 2T.0106(b)
and(c)1:
I, Mona King ,attest that this application for
the renewal of the non-discharge permit#W0001 1443 for the Long Hill Store site
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that
if all required parts of this application are not completed and that if all required supporting information
and attachments are ncluded,this application package will be returned to me as incomplete.
Signature Date / /2-4/51
SEND TWO COPIES OF THE COMPLETE APPLICATION PACKAGE,INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS,TO THE FOLLOWING ADDRESS:
DWR-AQUIFER PROTECTION SECTION
1636 MAIL SERVICE CENTER
RALEIGH,NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
Non-Discharge Groundwater Remediation Permit Application Revised August 7,2013

Page 1 of 2
NC Department of Environment and Natural Resources
Water Quality - Fees
Aquifer Protection Land Application Unit :: Fees
• Animal Feeding Operations General Notes
• Groundwater Planning
• Groundwater Protection 1. Application fees are non-refundable.
• Land Application 2. Checks/Money Orders/Electronic Transfers shalt be made payable to the North Carolina Department of
Environment and Natural Resources(NCDENR).
• Application Forms 3. Changes of Ownership, Minor Modifications, Name Changes, Renewals with Minor Modifications and Renewals
• Facility Map without modification do not require an application fee.
• Fees 4. Annual and Standard Review fees are established in G.S. 143-215.3D -
• Permitting Programs htt //www.ncl net/EnactedLe islation/Statutes/HTML/B Lion/Cha ter_143/GS_143-215.3D.html)
( P� e3• 6� Y� • P
•
Policies&Memorandums 5. Annual fees for municipalities and industries may be paid using ePayment (http://portal.ncdenr.org/web/wq/hot-
• Reporting Forms
topics/epayment) .
• Rules and Statutes
• Staff Directory Annual Standard Review 1
• Submittal Meeting
Non-Discharge Activity Annual Fee
• Contacts
Closed-Loop Recycle $360
Non-Discharge Major $1,310
Non-Discharge Minor $810
Reclaimed Water Distribution Line N/A
Single-Family Residence $60
2/3/2014

Page 2 of 2
N.C. Department of Environment and Natural Resources
1601 Mail Service Center, Raleigh, NC 27699-1601
Headquarters(Environment and Natural Resources Building):217 W. Jones St. e�►n
Archdale Building: 512 N. Salisbury St. Mb541
Toll Free: [phone]
2/3/2014

ArrA
lir
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
January 24, 2014
CERTIFIED MAIL#7010 0780 0001 7057 3118
RETURN RECEIPT REOUESTED
Mona King
465 Shepard Street
Winston-Salem,NC 27103
Subject: Notice of Expiration
Non-Discharge Groundwater Remediation Permit
Permit No. WQ0011443
Long Hill Store
Surry County
Dear Ms. King:
Our records indicate that the above-referenced permit, which was issued on August 17, 2005, and expires on
August 31, 2014, is soon due for renewal. It is both a condition of your permit and required by 15A NCAC
2T .0109 to request a renewal of your permit at least 180 calendar days prior to its expiration date. Failure
to apply for permit renewal and continued operation of your facility without an active permit may result in an
enforcement action by the Division of Water Resources, in accordance with North Carolina General Statute
143-215.6A to 143-215.6C. Therefore, it is imperative that you submit a permit renewal application by
March 4,2014.
If your site has an underground storage tank (UST), the Division of Waste Management's UST Section may
have informed you that groundwater remediation is temporarily not being directed at your facility in
accordance with General Statute §143-215.94E(e4). However, you are still required to submit either a permit
rescission request or a permit renewal application to the Aquifer Protection Section (APS). To comply with
the permit requirements set forth in your permit and 2T .0109, the APS is making the following options
available to you:
1. Permit Renewal. When you apply for and receive a renewal, operation of the groundwater
remediation system will be permitted to continue. As such, annual fees, all requirements for sampling
and annual reports, and any operation and maintenance specified in your previous permit will be
required.
2. Apply for Permit Renewal with Suspended Actions. Under this option, you must still apply for a
permit renewal. However, you may indicate that operation of the remediation system has been
suspended, but that you desire to maintain the permit should the need arise to restart the system. As
such, operation of the remediation system will be prohibited until such time that a permit modification
1636 Mail Service Center,Raleigh,North Carolina 27699-1636
Location:512 N.Salisbury St.,Raleigh,North Carolina 27604
Phone:[phone] FAX:[phone]
Internet:www.ncwateroualitv.orq
An Equal Opportunity 1 Affirmative Action Employer

is obtained from the Division of Water Resources allowing operation of the system. Under the "Permit
Renewal with Suspended Actions" option, all monitoring and annual reports will be suspended until
otherwise notified. Infiltration galleries will be directed to be winterized as a permit condition, as well
as temporary abandonment of any monitoring wells in accordance with 15A NCAC 2C .0113(a).
Annual fees will still be required, but may be reimbursed under the NC State Trust Fund as a directed
cost. This option allows you to keep your system inactive until the UST Section once again directs
remediation. At that point, you will need to request a modification to your permit to activate your
system.
3. Permit Rescission. To apply for a rescission, you must request that your permit be rescinded in
writing. Upon receipt of your request, you will be directed to close your infiltration gallery in
accordance with the July 8, 2003 policy"Guidelines for Infiltration Gallery Closure and Injection Well
Abandonment at Groundwater Remediation Sites." This policy is available online at
http://portal.ncdenr.org/web/wq/aps/gwpro/policy. Abandonment of any monitoring wells must be in
accordance with 15A NCAC 2C.0113. If you choose to have your permit rescinded, then reactivation
of the subject remediation system will require a new permit.
Please respond to this notice within 30 calendar days of receipt by completing and submitting the enclosed
Non-Discharge Groundwater Remediation Permit Application Form. This form is also available online at
http://portal.ncdenr.org/web/wq/aps/gwpro/permit-applications. Be sure to properly address the applicable
items on Page 6 of the application. Please submit the permit application to the following address:
Water Quality Regional Operations Section
Groundwater Protection Branch
1636 Mail Service Center
Raleigh,NC 27699-1636
If the groundwater remediation system has reduced contaminant levels below the groundwater standards
defined in 15 NCAC 2L .0202 and/or is no longer active, the option to request permit rescission is available.
Written requests to have your permit rescinded can be submitted to the address above.
Please feel free to contact our staff at(919) 807-6464 if you have any questions.
Sincerely,
_..b.t6.64
Eric G. Smith,P.G.
Hydrogeologist
Enclosures
cc: Winston-Salem Regional Office—WQROS w/o enclosure
Central Files-Permit No. WQ0011443 w/o enclosure

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, Ill
Governor Director Secretary
January 24, 2014
CERTIFIED MAIL#7010 0780 0001 7057 3118
RETURN RECEIPT REQUESTED
Mona King
465 Shepard Street
Winston-Salem,NC 27103
Subject: Notice of Expiration
Non-Discharge Groundwater Remediation Permit
Permit No. WQ0011443
Long Hill Store
Surry County
Dear Ms.King:
Our records indicate that the above-referenced permit, which was issued on August 17, 2005, and expires on
August 31, 2014, is soon due for renewal. It is both a condition of your permit and required by 15A NCAC
2T .0109 to request a renewal of your permit at least 180 calendar days prior to its expiration date. Failure
to apply for permit renewal and continued operation of your facility without an active permit may result in an
enforcement action by the Division of Water Resources, in accordance with North Carolina General Statute
143-215.6A to 143-215.6C. Therefore, it is imperative thatyou submit
a permit renewal application by
March 4, 2014.
If your site has an underground storage tank(UST), the Division of Waste Management's UST Section may
have informed you that groundwater remediation is temporarily not being directed at your facility in
accordance with General Statute §143-215.94E(e4). However, you are still required to submit either a permit
rescission request or a permit renewal application to the Aquifer Protection Section (APS). To comply with
the permit requirements set forth in your permit and 2T .0109, the APS is making the following options
available to you:
1. Permit Renewal. When you apply for and receive a renewal, operation of the groundwater
remediation system will be permitted to continue. As such, annual fees, all requirements for sampling
and annual reports, and any operation and maintenance specified in your previous permit will be
required.
2. Apply for Permit Renewal with Suspended Actions. Under this option, you must still apply for a
permit renewal. However, you may indicate that operation of the remediation system has been
suspended, but that you desire to maintain the permit should the need arise to restart the system. As
such, operation of the remediation system will be prohibited until such time that a permit modification
1636 Mail Service Center,Raleigh,North Carolina 27699-1636
Location:512 N.Salisbury St.,Raleigh,North Carolina 27604
Phone:[phone] FAX:[phone]
Internet:www.ncwaterquality.orq
An Equal Opportunity\Affirmative Action Employer

is obtained from the Division of Water Resources allowing operation of the system. Under the "Permit
Renewal with Suspended Actions" option, all monitoring and annual reports will be suspended until
otherwise notified. Infiltration galleries will be directed to be winterized as a permit condition, as well
as temporary abandonment of any monitoring wells in accordance with 15A NCAC 2C .0113(a).
Annual fees will still be required, but maybe reimbursed under the
II q NC State Trust Fund as a directed
cost. This option allows you to keep your system inactive until the UST Section once again directs
remediation. At that point, you will need to request a modification to your permit to activate your
system.
3. Permit Rescission. To apply for a rescission, you must request that your permit be rescinded in
writing. Upon receipt of your request, you will be directed to close your infiltration gallery in
accordance with the July 8, 2003 policy"Guidelines for Infiltration Gallery Closure and Injection Well
Abandonment at Groundwater Remediation Sites." This policy is available online at
http://portal.ncdenr.org/web/wq/aps/gwpro/policy. Abandonment of any monitoring wells must be in
accordance with 15A NCAC 2C.0113. If you choose to have your permit rescinded, then reactivation
of the subject remediation system will require a new permit.
Please respond to this notice within 30 calendar days of receipt by completing and submitting the enclosed
Non-Discharge Groundwater Remediation Permit Application Form. This form is also available online at
http://portal.ncdenr.org/web/wq/aps/gwpro/permit-applications. Be sure to properly address the applicable
items on Page 6 of the application. Please submit the permit application to the following address:
Water Quality Regional Operations Section
Groundwater Protection Branch
1636 Mail Service Center
Raleigh,NC 27699-1636
If the groundwater remediation system has reduced contaminant levels below the groundwater standards
defined in 15 NCAC 2L .0202 and/or is no longer active, the option to request permit rescission is available.
Written requests to have your permit rescinded can be submitted to the address above.
Please feel free to contact our staff at(919) 807-6464 if you have any questions.
Sincerely,2)
41771A/644
Eric G. Smith, P.G.
Hydrogeologist
Enclosures
cc: Winston-Salem Regional Office—WQROS w/o enclosure
Central Files-Permit No. WQ0011443 w/o enclosure

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