HomeMy WebLinkAboutWI0400035_Permit_20131121DIVISION OF WATER QUALIT-i
AQUIFER PROTECTION SECTION
November 21, 2013
MEMORANDUM
TO: Debra Watts
FROM: Michael Rogers M
RE: Renewal of Permit to Inject 3DMe (Permit #W10400035)
Ares Capital Corp.
I recommend that Permit Number W10400035 be re -issued to the above applicant to inject 3DMe to remediate
groundwater (GW) contaminated with VOCs. This permit was issued on May 3, 2012, and will expire on April 30, 2014.
Following the review of the performance monitoring data collected after the injection events, the Permittee has requested
the permit be modified and renewed to include up to an additional injection event. Previous injection events have resulted
in some decrease of COCs. The Permittee submitted a revised application reflecting a modified injection
zone/monitoring plan to be more in compliance with 2C .0225.
Since the permit for this injection activity has previously been approved, and information contained therein is essentially
the same, I am attaching this modified memo reflecting those proposed changes from the previous permit. Please refer to
the previous permit issuance memorandum for more information on this site.
PROPOSED INJECTION: Approximately 3695 gallons of 3DMe and blended potable water will be injected via 5
permanent injection wells from 15-33 BLS (average of 739 gal/well). These wells are located at different locations on the
subject property. Please refer to Figure 3 in the application package for the location of the injection wells (highlighted in
yellow).
MONITORING: Monitoring will be completed semi-annually. Please refer to revised Figure 3 in the application package
for more information of the location of the monitoring wells (highlighted in pink).
REGIONAL OFFICE COMMENTS: Each of the RO comments/recommendations are discussed below (RO's
comments/recommendations are underlined).
Shuying Wang requested that BW-22 be added to the MP to monitor for COCs in the deeper aquifer. This was requested
and this well was added to the revised MP.
Shuying Wang and Sherri Knight with the Winston-Salem RO recommends re -issuance of this permit.
Central Files: APS SWP
11 /22/13
Permit Number W10400035 Permit Tracking Slip
Program Category
Ground Water
Permit Type
Injection In situ Groundwater Remediation Well
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Status Project Type
In review Renewal with major mod
Version Permit Classification
Individual
Permit Contact Affiliation
Christopher Hay
Environmental Manager Program
313 Gallimore Dairy Rd
Greensboro NC 274099724
Facility
Facility Name Major/Minor Region
Fairchild Industrial Products Company Minor Winston-Salem
Location Address County
3920 Westpoint Blvd Forsyth
Winston Salem NC 27103 Facility Contact Affiliation
Owner
Owner Name Owner Type
Ares Capital Corporation Non -Government
Owner Affiliation
Joshua Bloomstein
& Counsel Gen'I Pres Vice
2200 Pennsylvania Ave Nw Ste 600-W
Dates/Events Washington DC 20037
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/01 /03 10/08/ 13
Regulated Activities Requested/Received Events
Groundwater monitoring RO staff report requested 10/15/13
Groundwater remediation RO staff report received 10/29/13
Additional information requested 11/12/13
Additional information received 11/19/13
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Ares Capital Corporation
FOR THE CONSTRUCTION AND/OR OPERATION OF 5 (FIVE) IN SITU
REMEDIATION/TRACER INJECTION WELLS, defined in Title 15A North Carolina
Administrative Code 2C .0209(5)(b)(viii), to inject 3DMe, for the reductive dechlorination of
volatile organic compounds (VOCs) These injection wells/points will be located at Fairchild
Industrial Products Company, 3920 Westpoint Blvd., Winston-Salem, Forsyth County, NC
27103, and will be operated in accordance with the application submitted October 8, 2013, and in
conformity with the specifications and supporting data submitted November 19, 2013, all of
which are filed with the Department of Environment and Natural Resources and are considered a
part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until April 30, 2019,
and shall be subject to the specified conditions and limitations set forth in Parts I through XI
hereof.
Permit issued this the 22nd day of November 2013
�'j
Thomas A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission.
Permit No. W10400035 PAGE 1 OF 7
ver. 11 / 14/2013 UIC-5I/5T
PART III - OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials, rate of injection,
and number of injection wells as described in the application and other supporting data.
2. This permit is not transferable without prior notice and approval. In the event there is a
desire for the facility to change ownership, or there is a name change of the Permittee, a
formal permit amendment request and any supporting materials must be submitted at least 30
days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying
with any and all statutes, rules, regulations, or ordinances that may be imposed by other
local, state, and federal agencies having jurisdiction. Furthermore, the issuance of this permit
does not imply that all regulatory requirements have been met.
PART IV - PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwater which will render it unsatisfactory for normal use.
2. In the event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required, such as the repair, modification, or abandonment of the injection facility.
3. The Permittee shall be required to comply with the terms and conditions of this permit even
if compliance requires a reduction or elimination of the permitted activity.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART V - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify WQROS staff and receive prior approval of any planned
alterations or additions in the permitted facility or activity not specifically authorized by the
permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for
injection, the Permittee must notify by telephone the WQROS Central Office staff, telephone
number 919-807-919-807-6406, and the WQROS Winston-Salem Regional Office staff,
telephone number 336-771-5000. Notification is required so that staff can inspect or
otherwise review the injection facility and determine if it is in compliance with permit
conditions.
Permit No. WI0400035 PAGE 3 OF 7
ver. 11 / 14/2013 UIC-5I/5 T
6. All monitoring results, forms, and reports required in this Part shall be submitted to:
UIC Program Staff DWR - WQROS
DWR — WQROS and Winston-Salem Regional Office
1636 Mail Service Center 585 Waughtown Street
Raleigh, NC 27699-1636 Winston-Salem, NC 27107
7. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge
of the occurrence, to the Winston-Salem Regional Office, telephone number 336-771-5000,
any of the following:
(A) Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
8. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to the
Director by the Permittee.
9. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take
such immediate action as may be required by the Director.
PART VIII - CORRECTIVE ACTION
1. Any injection well not constructed or operated in accordance with this permit, or the criteria
and standards specified in 15A NCAC 02C .0200, shall be subject to corrective action as
provided under rule 15A NCAC 02C .0206.
2. The following corrective actions shall apply to elevated concentrations of injectants or
reaction byproducts resulting from the permitted injection activity:
(A) Continued monitoring until concentrations return to pre -injection values or meet the
standards specified in 15A NCAC 02L .0202, whichever are greater. The frequency,
duration, and location of monitoring shall be appropriate for site specific conditions and
potential receptors.
(B) Groundwater quality parameters that do not attenuate as described in 2(A) above may
warrant a corrective action plan as provided under rule 15A NCAC 02C .0206,
depending on the type, concentration, and distribution of the groundwater quality
standards being exceeded.
PART IX - PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee must submit an application to renew the permit 120 days prior to its expiration date.
Permit No. WI0400035 PAGE 5 OF 7
ver. 11 / 14/2013 UIC-51/5T
PART XI — WORKER PRECAUTIONS DURING APPLICATION
1. Some effects reported to be associated with the product proposed to be used are as follows:
eye, skin, nose, throat, and lung irritation. If the product is released into the environment in a
way that could result in a suspension of fine solid or liquid particles (e.g., grinding, blending,
vigorous shaking or mixing), then proper personal protective equipment should be used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and
protective clothing. Face and body protection should be used for anticipated splashes or
sprays.
3. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Safety controls should be in place to ensure that the check valve ,and the pressure delivery
systems are working properly.
5. The Material Safety Data Sheets should be followed to prevent incompatible or adverse
reactions and injuries.
Permit No. WI0400035 PAGE 7 OF 7
ver. 1 1 / 14/2013 UIC-51/5T
A�ja
NCDENR
North Carolina Department of Environment and Natural
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
November 22, 2013
Mr. Joshua Bloomstein, Vice President & General Counsel
Ares Capital Corporation
2200 Pennsylvania Ave., Suite 600-W
Washington, NC 20037
Ref: Issuance of Injection Permit WI0400035
Ares Capital Corporation
Forysth County, North Carolina
Dear Mr. Ares:
Resources
John E. Skvarla, III
Secretary
In accordance with the application received on October 8, 2013, and additional information received
November 19, 2013, we are forwarding permit number WI0400035. This permit is to inject 3DMe for the
remediation of volatile organic compounds (VOCs). These injection wells/points will be located at the
Fairchild Industrial Products Company Facility, 3920 Westpoint, Blvd., Winston-Salem, Forysth County,
North Carolina 27103. This permit shall be effective from May 1, 2014, (i.e., the day after the expiration
date of the existing permit), which may differ from the date of this letter, until April 30, 2019, and shall
be subject to the conditions and limitations stated therein, including the requirement to submit a Final
Project Evaluation (FPE) as stated in PART VII — MONITORING AND REPORTING
REQUIREMENTS. PIease read the entire permit to ensure that you are aware of all compliance
requirements of the permit.
Please note the following:
• Per permit condition Part VII.5, prior to closing this permit, the Permittee must meet
groundwater quality standards or pre -injection levels, whichever concentration is higher,
for all of the injection constituents; otherwise, continued monitoring as approved in the
monitoring plan will be required until such levels can be established;
Per permit conditions Part VII.3 &4, and IX.2(G), within 30 days after each injection event,
please provide the well construction (if not previously submitted) and injection information
on the applicable forms listed below. Note: if well construction/abandonment information
is essentially the same (e.g., direct push points or geo-probes), then only one GW-I or GW-
30 form is needed. Just indicate in the comments section on the form the total number of
well points. These forms are available on the Division of Water Resources's website at
httpJ/portal.ncdenr.ore/web/wg/aps/mpro/reportiniz-forms
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919-807-64641 FAX: 91 M07-6496
Internet www.ncwaterguality.org
An Equal Opportunity 1 Affirmative Action Employer
Central Files: APS SWP
11/25/13
Permit Number W10400035 Permit Tracking Slip
Program Category
Ground Water
Permit Type
Injection In situ Groundwater Remediation Well
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Status Project Type
Issued Renewal with major mod
Version Permit Classification
Individual
Permit Contact Affiliation
Christopher Hay
Environmental Manager Program
313 Gallimore Dairy Rd
Greensboro NC 274099724
Facility
Facility Name Major/Minor Region
Fairchild Industrial Products Company Minor Winston-Salem
Location Address
3920 Westpoint Blvd
Winston Salem
Owner
Owner Name
Ares Capital Corporation
NC 27103
County
Forsyth
Facility Contact Affiliation
Owner Type
Non -Government
Owner Affiliation
Joshua Bloomstein
& Counsel Gen'I Pres Vice
2200 Pennsylvania Ave Nw Ste 600-W
Dates/Events Washington DC 20037
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/01/03 10/08/13 11/22/13 05/01/14 04/30/19
Regulated Activities Requested/Received Events
Groundwater monitoring RO staff report requested 10/15/13
Groundwater remediation RO staff report received 10/29/13
Additional information requested 11/12/13
Additional information received 11/19/13
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
April 26, 2012
PERMIT ISSUANCE MEMO
TO: Debra Watts
THROUGH: Thomas Slusser
FROM: David Goodrich
RE: Permit To Renew Injection Permit 3DMe and Regenesis Bio-Dechlor Inoculum
Fairchild Industrial Products Company Site in Winston-Salem
I recommend that Permit Number WI0400035 be renewed and issued to Ares Capital Corporation to inject
3DMe and Regenesis Bio-Dechlor Inoculum to remediate soils and groundwater contaminated with PCE and
TCE.
The injection activities associated with this permit have been completed, and post -injection groundwater
monitoring is the only activity planned for the immediate future. A Final Project Evaluation has yet to be
submitted, and is due within nine months after completing all injection -related activity (i.e., post -injection
groundwater monitoring).
The Winston-Salem Regional Office, in their permit review, recommended the installation of a deep monitoring
well to evaluate the impact of future injections on the deeper groundwater environment. If further injections are
intended, the modified permit will include a requirement for the installation (and monitoring) of a deep
monitoring well.
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Ares Capital Corporation
FOR THE OPERATION OF 15 TYPE 5I INJECTION WELLS, defined in Title 15A North
Carolina Administrative Code 2C .0209(e)(3)(C), to inject 3D Microemulsion and BDI plus
solution, for the enhancement of bioremediation of chlorinated solvents. These injection wells
will be located at the Fairchild Industrial Products Company Site, 3920 Westpoint Boulevard,
Winston-Salem, Forsyth County, North Carolina, and will be operated in accordance with the
renewal application submitted March 29, 2012, and in conformity with the specifications and
supporting data submitted April 4, 2012 and April 24, 2012, all of which are filed with the
Department of Environment and Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until April 30, 2014,
and shall be subject to the specified conditions and limitations set forth in Parts I through X
hereof.
Permit issued this the 3rd day of May, 2012.
for Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0400035 PAGE 1 OF 6
ver. June 2011 UIC-5I/5T
PART I - WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and
criteria specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C
.0200). Any noncompliance with conditions of this permit constitutes a violation of the
North Carolina Well Construction Act and is grounds for enforcement action as provided for
in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit is valid only for construction of the number of injection wells described in the
application and other supporting data. Construction of additional injection wells must be
approved in advance by the Aquifer Protection Section.
4. Each injection well shall not hydraulically connect separate aquifers.
5. Each injection well shall be constructed in such a manner that water from land surface cannot
migrate into the gravel pack or well screen.
6. Each injection well shall be secured to reasonably insure against unauthorized access and
use. Each well shall be permanently labeled with a warning that it is for injection purposes
and the entrance to each well must be secured with a locking cap.
7. Each injection well shall be afforded reasonable protection against damage during
construction and use.
8. Each injection well shall have permanently affixed an identification plate.
9. Within 30 days of completion of well construction, a completed Well Construction Record
(Form GWA) must be submitted for each injection well to:
Aquifer Protection Section — UIC Staff
DENR — Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART II - WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall
notify the Aquifer Protection Section -Underground Injection Control (UIC) Central Office
staff, telephone number 919-807-6352 and the Winston-Salem Regional Office Aquifer
Protection Section Staff, telephone number (336) 771-5000.
2. Bentonite grout shall not be used to seal any water -bearing zone with a chloride
concentration equal to or greater than 1,500 milligrams per liter. In areas where elevated
chloride levels are known to exist or are probable, such as coastal areas, chloride levels shall
be verified in the field to determine existing conditions.
Permit No. WI0400035 PAGE 2 OF 6
ver. June 2011 UIC-5I/5T
PART III - OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials, rate of injection,
and number of injection wells as described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Quality (Director). In the event there is a desire for the facility to change
ownership, or there is a name change of the Permittee, a formal permit amendment request
must be submitted to the Director, including any supporting materials as may be appropriate,
at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying
with any and all statutes, rules, regulations, or ordinances that may be imposed by other
local, state, and federal agencies having jurisdiction. Furthermore, the issuance of this permit
does not imply that all regulatory requirements have been met.
PART IV - PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwater which will render it unsatisfactory for normal use.
2. In the event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality such as the repair, modification, or abandonment
of the injection facility.
3. The Permittee shall be required to comply with the terms and conditions of this permit even
if compliance requires a reduction or elimination of the permitted activity.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART V - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director
of any planned alterations or additions in the permitted facility or activity not specifically
authorized by the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for
injection, the Permittee must notify by telephone the Aquifer Protection Section-UIC, Central
Office staff, telephone number 919-807-6352. Notification is required so that Division staff
can inspect or otherwise review the injection facility and determine if it is in compliance with
permit conditions.
Permit No. W10400035 PAGE 3 OF 6
ver. June 2011 UIC-51/5T
PART VI - INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality
may, upon presentation of credentials, enter and inspect any property, premises, or place on
or related to the injection 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 injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection,
observation, and sampling associated with injection and any related facilities as provided for
in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated
with the injection facility activities.
PART VII - MONITORING AND REPORTING REQUIREMENTS
Within 30 days of completion of well construction, a completed Well Construction Record
(Form GW-1) must be submitted for each injection well to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
2. The proposed monitoring plan included in the application shall be followed. All sample
results shall be submitted quarterly, semi-annually, or annually to the Aquifer Protection
Section's Winston-Salem Regional Office and the Raleigh Central Office. Any monitoring
(including groundwater, surface water, or soil sampling) deemed necessary by the Division
of Water Quality to ensure surface and ground water protection, will be established and an
acceptable sampling reporting schedule shall be followed.
3. The Permittee shall submit an Injection Event Record within 30 days of completing each
injection.
4. The Permittee shall produce a final project evaluation within 9 months after completing all
injection -related activity associated with this permit or produce a project interim evaluation
before submitting a renewal application for this permit. This document shall assess the
injection projects findings in a written summary. The final project evaluation shall also
contain monitoring well sampling data, contaminant plume maps and potentiometric surface
maps.
5. The monitoring results and the final project evaluation shall be submitted to:
UIC Program Staff
DWQ — Aquifer Protection Section and
1636 Mail Service Center
Raleigh, NC 27699-1636
DWQ - Aquifer Protection Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
Permit No. WI0400035 PAGE 4 OF 6
ver. June 2011 UIC-51/5T
6. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge
of the occurrence, to the Winston-Salem Regional Office, telephone number (336) 771-5000,
any of the following:
(A)Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
7. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to the
Director by the Permittee.
8. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take
such immediate action as may be required by the Director.
PART VIII - PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee must submit an application to renew the permit 120 days prior to its expiration date.
PART IX - CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an
injection well. Such a change would include the discontinued use of a well for injection. If a
well is taken completely out of service temporarily, the Permittee must install a sanitary seal.
If a well is not to be used for any purpose that well must be permanently abandoned
according to 15A NCAC 2C .0214, Well Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Permittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .0214, including but not limited to the following:
(A) All casing and screen materials may be removed prior to initiation of abandonment
procedures if such removal will not cause or contribute to contamination of the
groundwaters.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom
from obstructions that may interfere with sealing operations.
(C) The well shall be thoroughly disinfected, prior to sealing, if the Director determines
that failure to do so could lead to the contamination of an underground source of
drinking water.
Permit No. WI0400035 PAGE 5 OF 6
ver. June 2011 UIC-5I/5T
(D) Drilled wells shall be completely filled with cement grout or bentonite grout, which
shall be introduced into the well through a pipe which extends to the bottom of the
well and is raised as the well is filled.
(E) In the case of gravel -packed wells in which the casing and screens have not been
removed, neat -cement, or bentonite grout shall be injected into the well completely
filling it from the bottom of the casing to the top.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has
been created, each well shall be abandoned in such a manner that will prevent the
movement of fluids into or between underground sources of drinking water and in
accordance with the terms and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified
in 15A NCAC 2C .0213(h)(1) within 30 days of completion of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION
1. Some effects reported to be associated with the product proposed to be used are as follows:
eye, skin, nose, throat, and lung irritation. If the product is released into the environment in a
way that could result in a suspension of fine solid or liquid particles (e.g., grinding, blending,
vigorous shaking or mixing), then proper personal protective equipment should be used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and
protective clothing. Face and body protection should be used for anticipated splashes or
sprays.
3. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Safety controls should be in place to ensure that the check valve and the pressure delivery
systems are working properly.
5. The Material Safety Data Sheets should be followed to prevent incompatible or adverse
reactions and injuries.
Permit No. WI0400035 PAGE 6 OF 6
ver. June 2011 UIC-51/5T
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
June 13, 2011
Louis Schaab
Allied Capital Corporation
1919 Pennsylvania Avenue NW
Washington, DC 20006
Ref: Reduce Frequency of Required Reporting
Injection Well Permit # W10400035
Fairchild Industrial Products Company, Winston-Salem, Forsyth County, NC
Dear Mr. Schaab:
Dee Freeman
Secretary
Presently Allied Capital Corporation is required to submit quarterly reports regarding groundwater
remediation activities associated with the permit and facility referenced above. This letter authorizes
Allied Capital Corporation to submit the required monitoring results semi-annually or annually instead of
quarterly if it so chooses. This option for reduced reporting frequency in no way alters the analytical
parameters, wells, or monitoring frequency required in the permit referenced above. Additionally, this
option does not apply to any other reporting requirements required by any other permit or regulatory
agency. Please contact me by email at Thomas.Slusser@ncdenr.gov or telephone at 919-715-6164 if you
have any questions.
Best Regards,
Thomas Slusser, L.G.
Program Manager
Underground Injection Control Program
cc: W10400035 permit file
Aquifer Protection Section, Winston-Salem Regional Office
Chris Hay, Kleinfelder Southeast, Inc., 313 Gallimore Dairy Road, Greensboro, NC 27409
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: 919-733-3221 ; FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet: www.ncwaterauality.org
One
NorthCarolina
;Vaturallry
An Equal Oppoitunity, 1 Affirmative Action Employer
DOCUMENTS
FROM
EARLIER
PERMIT APPLICATIONS
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Allied Capital Corporation
FOR THE OPERATION OF 15 TYPE 5I INJECTION WELLS, defined in Title 15A North Carolina
Administrative Code 2C .0209(e)(3)(C), to inject 3D Microemulsion and BDI plus solution, for the
enhancement of bioremediation of chlorinated solvents. These injection wells will be located at the
Fairchild Industrial Products Company Site, 3920 Westpoint Boulevard, Winston-Salem, Forsyth
County, North Carolina, and will be operated in accordance with the permit modification submitted
February 9, 2010 and additional information submitted June 2, 2010, and in conformity with the
specifications and supporting data submitted, all of which are filed with the Department of
Environment and Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the Water
Use Actor any other applicable Laws, Rules, or Regulations. Operation and use of an injection well
shall be in compliance with Title 15A North Carolina Administrative Code 2C .0100 and .0200, and
any other Laws, Rules, and Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until May 31, 2012, and
shall be subject to the specified conditions and limitations set forth in Parts I through X hereof.
Permit issued this the fill- day of , 2010.
J, ('JA
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission,
Permit No. WI040003 PAGE 1 OF 6
ver.8/07 AP/UIG6
PART I - WELL CONSTRUCTION GENERAL CONDITIONS
The Permittee must comply with all conditions of this permit and with the standards and criteria
specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any
noncompliance with conditions of this permit constitutes a violation of the North Carolina Well
Construction Act and is grounds for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit is valid only for construction of the number of injection wells described in the
application and other supporting data. Construction of additional injection wells must be
approved in advance by the Aquifer Protection Section.
4. Each injection well shall not hydraulically connect separate aquifers.
5. Each injection well shall be constructed in such a manner that water from land surface cannot
migrate into the gravel pack or well screen.
6. Each injection well shall be secured to reasonably insure against unauthorized access and use.
Each well shall be permanently labeled with a warning that it is for injection purposes and the
entrance to each well must be secured with a locking cap.
7. Each injection well shall be afforded reasonable protection against damage during construction
and use.
8. Each injection well shall have permanently affixed an identification plate.
9. Within 30 days of completion of well construction, a completed Well Construction Record
(Form GW-1) must be submitted for each injection well to:
Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART II - WELL CONSTRUCTION SPECIAL CONDITIONS
At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall notify the
Aquifer Protection Section -Underground Injection Control (UIC) Central Office staff, telephone
number (919) 715-6168 and the Winston-Salem Regional Office Aquifer Protection Section Staff,
telephone number (336) 771-5000.
Permit No. WI011000'.4' PAGE 2 OF 6
ver.8/07 AP/UIC-6
PART III - OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials, rate of injection. and
number of injection wells as described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Quality (Director). In the event there is a desire for the facility to change
ownership, or there is a name change of the Permittee, a formal permit amendment request must
be submitted to the Director, including any supporting materials as may be appropriate, at least
30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with
any and all statutes, rules, regulations, or ordinances which may be imposed by other local, state,
and federal agencies which have jurisdiction. Furthermore, the issuance of this permit does not
imply that all regulatory requirements have been met.
PART IV - PERFORMANCE STANDARDS
The injection facility shall be effectively maintained and operated at all times so that there is no
contamination of groundwater which will render it unsatisfactory for normal use. In the event
that the facility fails to perform satisfactorily, including the creation of nuisance conditions or
failure of the injection zone to adequately assimilate the injected fluid, the Permittee shall take
immediate corrective actions including those actions that may be required by the Division of
Water Quality such as the repair, modification, or abandonment of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if
compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART V - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director of
any planned physical alterations or additions in the permitted facility or activity not specifically
authorized by the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for injection,
the Permittee must notify by telephone the Aquifer Protection Section-UIC, Central Office staff,
telephone number (919) 715-6168. Notification is required so that Division staff can inspect or
otherwise review the injection facility and determine if it is in compliance with permit
conditions.
Permit No. WI040o l PAGE 3 OF 6
ver.8/07 AP/UIC-6
PART VI - INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality may,
upon presentation of credentials, enter and inspect any property, premises, or place on or related
to the injection 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 injection
fluids.
2. Department representatives shall have reasonable access for purposes of inspection, observation,
and sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-
90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with
the injection facility activities.
PART VII - MONITORING AND REPORTING REQUIREMENTS
1. The proposed monitoring plan included in the application shall be followed. All sample results
shall be submitted to the Aquifer Protection Section's Winston-Salem Regional Office and the
Raleigh Central Office. Any monitoring (including groundwater, surface water, or soil sampling)
deemed necessary by the Division of Water Quality to insure surface and ground water
protection, will be established and an acceptable sampling reporting schedule shall be followed.
2. The Permittee shall submit an Injection Event Record within 30 days of completing each
injection.
3. The Permittee shall produce a final project evaluation within 9 months after completing all
injection -related activity associated with this permit or produce a project interim evaluation
before submitting a renewal application for this permit. This document shall assess the injection
projects findings in a written summary. The final project evaluation shall also contain
monitoring well sampling data, contaminant plume maps and potentiometric surface maps.
4. The monitoring results and the final project evaluation shall be submitted to:
and to:
Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Aquifer Protection Section
DENR-DWQ Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
Permit No. WI0400(.)? PAGE 4 OF 6
ver.8/07 AP/UIC-6
The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge of
the occurrence, to the Winston-Salem Regional Office, telephone number (336)771-5000 , any of
the following:
(A)Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
6. Where the Permittee becomes aware of an omission of any relevant facts in a permit application,
or of any incorrect information submitted in said application or in any report to the Director, the
relevant and correct facts or information shall be promptly submitted to the Director by the
Permittee.
7. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take such
immediate action as may be required by the Director.
PART VIII - PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee must submit an application to renew the permit 120 days prior to its expiration date.
PART IX - CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an
injection well. Such a change would include the discontinued use of a well for injection. If a
well is taken completely out of service temporarily, the Permittee must install a sanitary seal. If a
well is not to be used for any purpose that well must be permanently abandoned according to
15A NCAC 2C .0113, Well Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any purpose,
the Permittee shall abandon that injection well in accordance with the procedures specified in
15A NCAC 2C .0113(b), including but not limited to the following:
(A) All casing and screen materials may be removed prior to initiation of abandonment
procedures if such removal will not cause or contribute to contamination of the
groundwaters.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) The well shall be thoroughly disinfected, prior to sealing, if the Director determines that
failure to do so could lead to the contamination of an underground source of drinking
water.
Permit No. WI04000' 5 PAGE 5 OF 6
ver.8/07 AMIC-6
(D) Drilled wells shall be completely filled with cement grout, or bentonite grout which shall
be introduced into the well through a pipe which extends to the bottom of the well and is
raised as the well is filled.
(E) In the case of gravel -packed wells in which the casing and screens have not been
removed, neat -cement, or bentonite grout shall be injected into the well completely filling
it from the bottom of the casing to the top.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been
created, each well shall be abandoned in such a manner that will prevent the movement
of fluids into or between underground sources of drinking water and in accordance with
the terms and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0213(h)(1) within 30 days of completion of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION
Some effects reported to be associated with the product proposed to be used are as follows: eye,
skin, nose, throat, lungs and gastrointestinal irritation or burns. If the product is released into the
environment in a way that could result in a suspension of fine solid or liquid particles (e.g.,
grinding, blending, vigorous shaking or mixing), then proper personal protective equipment
should be used. The application process should be reviewed by an industrial hygienist to ensure
that the most appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and protective
clothing. Face and body protection should be used for anticipated splashes or sprays.
3. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Site access should be limited to worker's involved in the injection of the solution. Safety
controls should be in place to ensure that the check valve and the pressure delivery systems are
working properly.
5. The Material Safety Data Sheets should be followed to prevent incompatible or adverse reactions
and injuries.
Permit No. WI0400 , PAGE 6 OF 6
ver.8/07 AP/MIC-6
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
June 7, 2010
PERMIT ISSUANCE MEMO
TO: Debra Watts cl l 1
0
THROUGH: Thomas Slusser — ��
�
FROM: John. McCray
RE: Permit To Inject 3DMe and Re,_,enesis Bio-Dechlor Inoculum
Fairchild Industrial Products Company
I recommend that Permit Number WI0400035 be issued to Fairchild Industrial Products to inject 3DMe and
Regenesis Bio-Dechlor 1110eUlum to remediate soils and groundwater contaminated with PCF. and TCf .
SITE DESCRIPTION The Fairchild Industrial Products Company site is a multi -use facility housing office space,
wareltousing, shipping, light manufacturing, and assembly operations. PCE contamination above 2L standards was
discovered and subsequent remedial activities have been conducted. Previous investigations identified spillage onto
the process room floor and the above ground storage tanks as the possible sources of contamination. Remedial
activities previously conducted consisted of injection of hydrogen Release Compound in order to facilitate anaerobic
dechIorinaLion.
HYDROGEOLOGIC DESCRIPTION The site is located in the Piedmont Physio<graphic Province and is underlain
by bedrock ofthe Carolina Slate Belt. Residual soils underlying the site consist of silty sand with some layers of sandy
silt and sandy clay and extend to depths greater than 43.5 feet below the ,round surface(bgs). Bedrock was not
penetrated by any of tlic wells and it was determined not to have been contaminated by the spill at the site. The
surficial aquifer was encountered at depths ranging from 10.6 to 24.2 feet (bgs) across the site and flows toward the
southeast under a hydraulic gradient of .02 foot per foot. The aquifer has an estimated effective porosity of 0.25 with
a hydraulic conductivity of1 2 feet per day allowing the water to flow at an estimated rate of 0.1 feet per day. ,
EXTENT OF CONTAMINATION Contamination underlying the site has been reduced into two separate
Plumes. The plumes are located under the western and southeastern portions of the property. The western plume.
underlying the building, is approximately 90ft. long by 70 ft. wide (according, to text) with the long axis extending
along a line defined by wells MvA'-] 0 and MW-9. The southeastern plume, underlying an area just to the southeast of
the building, is approximately 601E ]on,, by 45 fi. wide (according to text) with the long axis that is sub -parallel to the
larger plume. Plume locations are illustrated on FiLlure 7 in the permit application received February 9. 2010.
PROPOSED INJECTION The Applicant proposes to inject 3DMe and Bio-dechlor Inoculum (BDI) (if needed)
into the underlying aquifer through fifteen permanent injection wells at low (10 -15 psi) pressure in two injection
events. The total volume of the injectants is 6,000 gallons, of which 3,000 gallons are 3DMe solution and 3,000
gallons are BDI solution. The estimated percentage of pore volume displacement relative to the contaminant plume
volume is 0.1 %.
HOW IT WORKS The remedial process of 3D-Me is as a carbon energy source for naturally occurring
halorespirating bacteria to continue consumption and degredation of the contaminants. Bio-dechlor inoculum is a
proprietary blend of halorespirating bacteria, including dehalococcoides.
MONITORING Subsequent groundwater monitoring will be conducted utilizing the previously approved
plan. This plan consists of eight monitoring wells (MWs-1, 2, 5, 6, 7, 9, 10, and 13) for the following parameters:
VOCs, nitrite, nitrate, phosphate, sulfate, sulfide, iron, chloride, manganese, lactic acid, pyruvic acid, acetic acid, and
propionic acid. Field measurements will be made of alkalinity, total organic carbon, conductivity, dissolved oxygen,
oxidation-reduction potential, pH, and temperature.
EPIDEMIOLOGY On January 17. 2007, the DHHS' Epidemiology Branch provided comments on 31)Me for
groundwater remediation. Dr. Luanne Williams did not present any information that would preclude the use of these
products for injection but did provide a health risk analysis and worker safety precautions, which are in Part X of the
attached permit.
REGIONAL OFFICE COMMENTS Shnvin`, Wan- of the \Vinslon-Salem Regional Office recommends issuance of
this permit.
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and
other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Fairchild Industrial Products Company
FOR THE CONSTRUCTION AND OPERATION OF TYPE 5I INJECTION WELLS, defined
in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(C), for use to inject an HRCT"'
Slurry to enhance reductive dechlorination of the dissolved chlorinated hydrocarbon
contamination at this site. These injection wells/points will be located at 3920 Westpoint
Boulevard, Winston-Salem, North Carolina, and will be operated in accordance with the
application submitted November 17, 2006 and in conformity with the specifications and
supporting data submitted, all of which are filed with the Department of Environment and
Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until May 30, 2010,
and shall be subject to the specified conditions and limitations set forth in Parts I through X
hereof.
Permit issued this the Z� day of 2007.
,
Alan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0400035 PAGE 1 OF 6
vei .2/07 AP/TJIC-6
PART I - WELL CONSTRUCTION GENERAL CONDITIONS
The Permittee must comply with all conditions of this permit and with the standards and
criteria specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C
.0200). Any noncompliance with conditions of this permit constitutes a violation of the
North Carolina Well Construction Act and is grounds for enforcement action as provided for
in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
This permit is valid only for construction of the number of injection wells described in the
application and other supporting data. Construction of additional injection wells must be
approved in advance by the Aquifer Protection Section.
4. Each injection well shall not hydraulically connect separate aquifers.
Each injection well shall be constructed in such a manner that water from land surface cannot
migrate into the gravel pack or well screen.
6. Each injection well shall be secured to reasonably insure against unauthorized access and use.
Each well shall be permanently labeled with a warning that it is for injection purposes and the
entrance to each well must be secured with a locking cap.
7. Each injection well shall be afforded reasonable protection against damage during
construction and use.
8. Each injection well shall have permanently affixed an identification plate.
9. Within 30 days of completion of well construction, a completed Well Construction Record
(Form GW-1) must be submitted for each injection well to:
Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART II - WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall
notify the Aquifer Protection Section -Underground Injection Control (UIC) Central Office
staff, telephone number (919) 715-6164 and the Winston-Salem Regional Office Aquifer
Protection Section Staff, telephone number (336) 771-5000.
Permit No. WI0400035 PAGE 2 OF 6
ver.2l07 APIUIC-6
PART III - OPERATION AND USE GENERAL CONDITIONS
This permit is effective only with respect to the nature, volume of materials, rate of injection,
and number of injection wells as described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Quality (Director). In the event there is a desire for the facility to change
ownership, or there is a name change of the Permittee, a formal permit amendment request
must be submitted to the Director, including any supporting materials as may be appropriate,
at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying
with any and all statutes, rules, regulations, or ordinances which may be imposed by other
local, state, and federal agencies which have jurisdiction. Furthermore, the issuance of this
permit does not imply that all regulatory requirements have been met.
PART IV - PERFORMANCE STANDARDS
The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwater which will render it unsatisfactory for normal use. In the
event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality such as the repair, modification, or abandonment
of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if
compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART V - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director
of any planned physical alterations or additions in the permitted facility or activity not
specifically authorized by the permit.
At least forty-eight (48) hours prior to the initiation of the operation of the facility for
injection, the Permittee must notify by telephone the Aquifer Protection Section-UIC, Central
Office staff, telephone number (919) 715-6164. Notification is required so that Division staff
can inspect or otherwise review the injection facility and determine if it is in compliance with
permit conditions.
Permit No. WI0400035 PAGE 3 OF 6
vu.2/07 AP/UIC-6
PART VI - INSPECTIONS
Any duly authorized officer, employee, or representative of the Division of Water Quality
may, upon presentation of credentials, enter and inspect any property, premises, or place on
or related to the injection 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 injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection,
observation, and sampling associated with injection and any related facilities as provided for
in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated
with the injection facility activities.
PART VII - MONITORING AND REPORTING REQUIREMENTS
The proposed monitoring plan included in the application shall be followed. All sample
results shall be submitted to the Aquifer Protection Section's Winston-Salem Regional Office
and the Raleigh Central Office. Any monitoring (including groundwater, surface water, or
soil sampling) deemed necessary by the Division of Water Quality to insure surface and
ground water protection, will be established and an acceptable sampling reporting schedule
shall be followed.
2. The Permittee shall submit an Injection Event Record within 30 days of completing each
injection.
3. The Permittee shall produce a final project evaluation within 9 months after completing all
injection -related activity associated with the permit application. This document shall assess
the injection projects findings in a written summary. The final project evaluation shall also
contain monitoring well sampling data, contaminant plume maps and potentiometric surface
maps.
4. The monitoring results and the final project evaluation shall be submitted to:
Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
and to:
Permit No. WI0400035 PAGE 4 OF 6
ver.2/07 AP/UIC-6
Aquifer Protection Section
DENR-DWQ Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge
of the occurrence, to the Winston-Salem Regional Office, telephone number (336) 771-5000,
any of the following:
(A) Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
6. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to the
Director by the Permittee.
7. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take
such immediate action as may be required by the Director.
PART VIII - PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee must submit an application to renew the permit 120 days prior to its expiration date.
PART IX - CHANGE OF WELL STATUS
The Permittee shall provide written notification within 15 days of any change of status of an
injection well. Such a change would include the discontinued use of a well for injection. If a
well is taken completely out of service temporarily, the Permittee must install a sanitary seal.
If a well is not to be used for any purpose that well must be permanently abandoned
according to 15A NCAC 2C .0113, Well Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Permittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .0113(b), including but not limited to the following:
(A) All casing and screen materials may be removed prior to initiation of abandonment
procedures if such removal will not cause or contribute to contamination of the
groundwaters.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom
from obstructions that may interfere with sealing operations.
Pernut No. WI0400035 PAGE 5 OF 6
ver.2/07 AP/UIC-6
(C) The well shall be thoroughly disinfected, prior to sealing, if the Director determines
that failure to do so could lead to the contamination of an underground source of
drinking water.
(D) Drilled wells shall be completely filled with cement grout, or bentonite grout which
shall be introduced into the well through a pipe which extends to the bottom of the
well and is raised as the well is filled.
(E) In the case of gravel -packed wells in which the casing and screens have not been
removed, neat -cement, or bentonite grout shall be injected into the well completely
filling it from the bottom of the casing to the top.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has
been created, each well shall be abandoned in such a manner that will prevent the
movement of fluids into or between underground sources of drinking water and in
accordance with the terms and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified
in 15A NCAC 2C .0213(h)(1) within 30 days of completion of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Aquifer Protection Section-LUIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION
I . Some effects reported to be associated with the product proposed to be used are as follows:
eye, skin, nose, throat and lung irritation. If the product is released into the environment in a
way that could. result in a suspension of fine solid or liquid particles (e.g., grinding, blending,
vigorous shaking or mixing), then proper personal protective equipment should be used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and
protective clothing. Face and body protection should be used for anticipated splashes or
sprays.
3. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Safety controls should be in place to ensure that the check valve and the pressure delivery
systems are working properly.
5. The Material Safety Data Sheets should be followed to prevent incompatible or adverse
reactions and injuries.
Permit No. WI0400035 PAGE 6 OF 6
ver.2/07 AMIC-6
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
May 1, 2007
MEMORANDUM
TO:
THROUGH
FROM:
SUBJECT:
Debra Watts
Qu Qi
Peter Pozzo
Injection well permit No. WI0400035 modification and renewal for
Fairchild Industrial Products Company
The subject permit application has been reviewed with the following remarks:
1. Site Overview: This facility houses office space, warehousing, shipping, light
manufacturing, and assembly areas. An unknown quantity of perchloroethylene
(PCE) has contaminated the soil and groundwater to above 2L standards at this
site during multiple releases. Potential sources include spillage onto the process
room floor that has reached the subsurface and spillage/leakage from above
ground storage tanks. Two previous permits (WI0400021 and WI0400025) have
been issued for injection of Hydrogen Release Compound (HRCTM) at this site to
remediate this plume. The results of the full scale injection show decreases in the
target contaminants on the formation of their daughter products. Two additional
injection wells will be added and three additional injections events will be
performed.
2. Injection: The applicant proposes to inject 7 pounds (17.5 gallons total) of
HRCTM per vertical foot for the two new wells and 5 gallons each for 9 existing
wells from 20 to 35 feet below ground surface. HRCTM releases lactic acid in the
subsurface, where it is metabolized by anaerobic microbes producing dissolved
hydrogen. This hydrogen is used by other anaerobic microbes which remove
chlorine atoms from the solvent molecules.
3. Monitoring: The results of the HRCTM injection will be monitored at 8 monitoring
wells. The location and depth of the wells, and quarterly sampling suite is
sufficient to monitor the injection results. Sampling parameters include VOC's,
nitrite, nitrate, phosphate, sulfate, sulfide, iron, chloride, manganese, lactic acid,
pyruvic acid, acetic acid, propionic acid, alkalinity, TOC, conductivity, DO,
oxidation-reduction potential, pH, and temperature.
4. Epidemiology: Dr. Luanne Williams provided a risk evaluation of HRCTM on
August 1, 2000 and did not identify any concerns that would prohibit this
injection.
5. Regional Office: Sherri Knight conducted a review of the site and didn't find any
concerns that would prevent issuing the permit.
Based upon the remarks presented above, I recommend issuance of the permit. If you
have any questions, please let me know.
Central Files: APS SWP
12/04/06
i l i,lt tit W10400035 Permit Tracking Slip
Program Category Status Project Type
Ground Water In review Minor modification
Permit Type Version Permit Classification
Injection In situ Groundwater Remediation Well (51) Individual
Primary Reviewer
peter.pozzo
Permitted Flow
Permit Contact Affiliation
Christopher Hay, El
313 Gallimore Dairy Rd
Greensboro NC 27409
Facility Name Major/Minor Region
Fairchild Industrial Minor Winston-Salem
Location Address
3920 Westpoint Blvd
Winston-Salem NC 27103
County
Forsyth
Facility Contact Affiliation
Owner
Owner Name Owner Type
Fairchild Industrial Non -Government
Owner Affiliation
3920 Westpoint Blvd
Winston Salem NC 27103
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/01 /03 11 /17/06
PgUlatr=d Aa;tivities Rfef = ;t &Rec vivo(
Unknown 00 RO staff report requested
RO staff report received
Waterbody Name Stream Index Number Current Class Subbasin
DIVISION OF WATER QUALITY
GROUNDWATER SECTION
November 20, 2003
MEMORANDUM
TO: Ted Bush
THROUGH: Evan Kane
FROM: Mike Ranck��
SUBJECT: Injection well permit application for Fairchild Industrial Products
Company
The subject permit application has been reviewed with the following remarks:
Site Overview: This facility houses office space, warehousing, shipping, light
manufacturing, and assembly areas. An unknown quantity of perchloroethylene
(PCE) has contaminated the soil and groundwater to above 2L standards at this
site during multiple releases. Potential sources include spillage onto the process
room floor that has reached the subsurface and spillage/leakage from above
ground storage tanks. Two previous permits (WI0400021 and WI0400025) have
been issued for injection of Hydrogen Release Compound (HRCTM) at this site to
remediate this plume. The results of the pilot test (WI0400021) in 2000 indicated
that HRCTM injection would likely be an effective means of chlorinated
hydrocarbon remediation at this site. The second injection (WI0400025) was
performed in 2001. Sampling in November 2002 indicated that HRCTM was
continuing to reduce PCE levels at the monitor wells from this injection.
2. Injection: The applicant proposes to inject 7 pounds of HRCTM per vertical foot at
26 locations (6 existing, 20 proposed) from 20 to 35 feet below ground surface.
HRCTM releases lactic acid in the subsurface, where it is metabolized by anaerobic
microbes producing dissolved hydrogen. This hydrogen is used by other
anaerobic microbes which remove chlorine atoms from the solvent molecules.
3. Monitoring: The results of the HRCTM injection will be monitored at 8 monitoring
wells. The location and depth of the wells, and quarterly sampling suite is
sufficient to monitor the injection results. Sampling parameters include nitrite,
nitrate, phosphate, sulfate, sulfide, iron, chloride, manganese, lactic acid, pyruvic
acid, acetic acid, propionic acid, alkalinity, TOC, conductivity, DO, oxidation-
reduction potential, pH, and temperature.
4. Epidemiology: Dr. Luanne Williams provided a risk evaluation of HRCTM on
August 1, 2000 and did not identify any concerns that would prohibit this
injection.
5. Other concerns: Two water supply wells are located within 1500 feet of the site.
One well is actively used, the other is not (home is served by municipal water).
Based upon the remarks presented above, I recommend issuance of the permit. If you
have any questions, please let me know.
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF WELLS FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and
other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Fairchild Industrial Products Company
FOR THE CONSTRUCTION AND OPERATION OF TYPE 5I INJECTION WELLS, defined
in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(C), for use to inject an HRCT111
slurry to enhance reductive dechlorination of the dissolved chlorinated hydrocarbon
contamination at this site. These injection wells/points will be located at 3920 Westpoint
Boulevard, Winston-Salem, North Carolina, and will be operated in accordance with the
application submitted September 17, 2003 and in conformity with the specifications and
supporting data submitted, all of which are filed with the Department of Environment and
Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until November 30,
2006, and shall be subject to the specified conditions and limitations set forth in Parts I through
X hereof.
Permit issued this the I` -sr day of ��;� E,.,,��L�A 2003.
Ted L. Bush, Jr., Assistant Chief
Groundwater Section
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0400035 PAGE 1 OF 6
ver.3/01 G W/UIC-6
PART I - WELL CONSTRUCTION GENERAL CONDITIONS
The Permittee must comply with all conditions of this permit and with the standards and
criteria specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C
.0200). Any noncompliance with conditions of this permit constitutes a violation of the
North Carolina Well Construction Act and is grounds for enforcement action as provided for
in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. Each injection well shall not hydraulically connect separate aquifers.
4. Each injection well shall be constricted in such a manner that water from land surface cannot
migrate into the gravel pack or well screen.
5. Each injection well shall be secured to reasonably insure against unauthorized access and use.
Each well shall be permanently labeled with a warning that it is for injection purposes and
the entrance to each well must be secured with a locking cap.
6. Each injection well shall be afforded reasonable protection against damage during
construction and use.
7. Each injection well shall have permanently affixed an identification plate.
8. A completed Well Construction Record (Form GW-1) must be submitted for each injection
well to, DENR-Division of Water Quality, Groundwater Section UIC-Staff, 1636 Mail
Service Center, Raleigh, NC 27699-1636, within 30 days of completion of well construction.
PART II - WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall
notify the Groundwater Section -Underground Injection Control (UIC), Central Office staff,
telephone number (919) 715-6165.
PART III - OPERATION AND USE GENERAL CONDITIONS
This permit is effective only with respect to the nature, volume of materials and rate of
injection, as described in the application and other supporting data.
2. This pen -nit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Quality (Director). In the event there is a desire for the facility to change
ownership, or there is a name change of the Permittee, a formal permit amendment request
must be submitted to the Director, including any supporting materials as may be appropriate,
at least 30 days prior to the date of the change.
Permit No. W10400035 PAGE 2 OF 6
ver.3/01 GW/UIC-6
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying
with any and all statutes, rules, regulations, or ordinances which may be imposed by other
local, state, and federal agencies which have jurisdiction. Furthermore, the issuance of this
permit does not imply that all regulatory requirements have been met.
PART IV - PERFORMANCE STANDARDS
The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwater which will render it unsatisfactory for normal use. In the
event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality such as the repair, modification, or abandonment
of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if
compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART V - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director
of any planned physical alterations or additions in the permitted facility or activity not
specifically authorized by the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for
injection, the Permittee must notify by telephone the Groundwater Section -Underground
Injection Control (UIC), Central Office staff, telephone number (919) 715-6165. Notification
is required so that Division staff can inspect or otherwise review the injection facility and
determine if it is in compliance with permit conditions.
PART VI - INSPECTIONS
Any duly authorized officer, employee, or representative of the Division of Water Quality
may, upon presentation of credentials, enter and inspect any property, premises, or place on
or related to the injection 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 injection fluids.
Permit No. WI0400035 PAGE 3 OF 6
ver.3/01 GW/UIC-6
2. Department representatives shall have reasonable access for purposes of inspection,
observation, and sampling associated with injection and any related facilities as provided for
in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated
with the injection facility activities.
PART VII - MONITORING AND REPORTING REQUIREMENTS
The proposed monitor plan included in the application addendum received November 17,
2003 shall be followed. All sample results shall be submitted to the Groundwater Section's
Winston-Salem Regional Office and the Raleigh Central Office. Any monitoring (including
groundwater, surface water, or soil sampling) deemed necessary by the Division of Water
Quality to insure surface and ground water protection, will be established and an acceptable
sampling reporting schedule shall be followed.
2. The Permittee shall produce a final project evaluation within 9 months after completing all
injection -related activity associated with the permit application. This document shall assess
the injection projects findings in a written summary. The final project evaluation shall also
contain monitoring well sampling data, contaminant plume maps and potentiometric surface
maps.
3. The final project evaluation shall be submitted to the Underground Injection Control
Program, Groundwater Section, NC DENR-Division of Water Quality, 1636 Mail Service
Center, Raleigh, NC 27699-1636 and to the Groundwater Section, Winston-Salem Regional
Office, 585 Waughtown Street, Winston-Salem, NC 27107.
4. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge
of the occurrence, to the Winston-Salem Regional Office, telephone number (336) 771-4600,
any of the following:
(A) Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to the
Director by the Permittee.
6. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take
such immediate action as may be required by the Director.
Permit No. WI0400035 PAGE 4 OF 6
ver.3i01 GW/ JIC-6
PART VIII - PERMIT RENEWAL
The Permittee shall, at least three (3) months prior to the expiration of this permit,
request an extension.
PART 1X - CHANGE OF WELL STATUS
The Permittee shall provide written notification within 15 days of any change of status of an
injection well. Such a change would include the discontinued use of a well for injection. If a
well is taken completely out of service temporarily, the Permittee must install a sanitary seal.
If a well is not to be used for any purpose that well must be permanently abandoned
according to 15A NCAC 2C .0213(h)(1), Well Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Permittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .0214, including but not limited to the following:
(A) All casing and materials may be removed prior to initiation of abandonment
procedures if the Director finds such removal will not be responsible for, or contribute
to, the contamination of an underground source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom
from obstructions that may interfere with sealing operations.
(C) The well shall be thoroughly disinfected, prior to sealing, if the Director determines
that failure to do so could lead to the contamination of an underground source of
drinking water.
(D)Drilled wells shall be completely filled with cement grout, which shall be introduced
into the well through a pipe which extends to the bottom of the well and is raised as
the well is filled.
(E) In the case of gravel -packed wells in which the casing and screens have not been
removed, neat -cement shall be injected into the well completely filling it from the
bottom of the casing to the top.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has
been created, each well shall be abandoned in such a manner that will prevent the
movement of fluids into or between underground sources of drinking water and in
accordance with the temis and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified
in 15A NCAC 2C .0213(h)(1) within 30 days of completion of abandonment.
Permit No. WI0400035 PAGE 5 OF 6
ver.3- 01 GW/UIC-6
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Groundwater Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION
Some effects reported to be associated with the product proposed to be used are as follows:
eye, skin, nose, throat and lung irritation. If the product is released into the environment in a
way that could result in a suspension of fine solid or liquid particles (e.g., grinding, blending,
vigorous shaking or mixing), then proper personal protective equipment should be used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and
protective clothing. Face and body protection should be used for anticipated splashes or
sprays.
3. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Safety controls should be in place to ensure that the check valve and the pressure delivery
systems are working properly.
The Material Safety Data Sheets should be followed to prevent incompatible or adverse
reactions and injuries.
Permit No. WI0400035 PAGE 6 OF 6
ver.3/01 G W/UIC-6
Application Reviewer: _ � Qrw k,1
Pre -Review: Conducted? );es ❑ No
O.K. to Process? ETIYes ❑ No
If No, What Action Is Needed? ❑ Pre -Review Return
❑ Hold, Pending Receipt of Addinfo.:
Name/Affiliation of Person Contacted:
Date(s) of Contact:
Owner: �xisting ❑ Unknown Owner Type
Facility/Operation:, ❑ Proposed ❑txisting
Regulated Activities:
Application/Permit:
Permit Type:
❑ Injection Water Only GSHP Well System (SQW)
❑ Injection Mixed Fluid GSHP Well System (5QM)
❑ Injection Tracer Well (5T)
❑ Injection Experimental Technology (5X25)
Project Type: ❑ New ❑ Major Mod.
Notes:
❑ By Phone ❑ By E-Mail ❑ By Letter
on -Gov't (❑ Ind. or Ddrg) ❑ Gov. -Municipal
❑ Gov. -County ❑ Gov. -State ❑ Gov. -Federal
❑ Facility ❑ Operation
Injection In situ Groundwater Remediation Well (5I)
❑ Injection Heating/Cooling Water Return Well (5A7)
❑ injection Other Wells (5Z)
❑ Injection Aquifer Recharge (5R21)
❑ Minor Mod. Renewal ❑ Renewal w/ Mod.
FORM: BIMS 10/04/2007