WI0400176_Permit (Issuance)_20180713

Permit Number WI0400176
Program Category
Ground Water
Permit Type
Injection to situ Groundwater Remediation Well
Primary Reviewer
shnsti.shrestha
Coastal SVVRute
Permitted Flow
Faacility
Facility Name
Surry County Closed C&D and MSW Landfill- ML Airy
Location Address
237 Landfill Rd
Mount Airy NC 27030
Owner
Owner Name
Surry County Public Works
Dates/Events
Central Files: APS — SWP _
7/13/2018
Permit Tracking Slip
Status
Project Type
Active
Renewal
Version
Permit Classification
100
Individual
Permit Contact Affiliation
Jonathan Pfohl
GL
PO Box 97
Garner
NC 275290097
MajorlMinor Region
Minor Winston-Salem
County
Surry
Facility Contact Affiliation
Owner Type
Government - County
Owner Affiliation
Dennis Bledsoe
PO Box 342
Dobson
NC 27017
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/6/2011 7/9/2018 7/912018 6/30/2023
Regulated Activities Requested (Received Events
Groundwater remediation Administrative amendment request received 5118118
RC staff report requested
Ra staff report received 6/29118
Cutfall
Waterbody Name Streamindex Number Current Glass 5ubbasin

Central Files: APS _ SWP
7/3/2018
Permit Number W10400176 Permit Tracking Slip
Program Category
Status
Project Type
Ground Water
In review
Renewal
Permit Type
Version
Permit Classification
Injection In situ Groundwater Remediation Well
Individual
Primary Reviewer
Permit Contact Affiliation
shristi,shrestha
Jonathan Pfohl
GL
Coastal SWRuIe
PO Box 97
Gamer
NC 275290091
Permitted Flow
Facility
Facility Name MajorlMinor Region
Surry County Closed C&D and MSW Landfill- Mt. Airy Minor Winston-Salem
Location Address County
237 Landfill Rd Surry
Mount Airy TIC 27030
Dwner
Owner Name
Surry County Public Works
DateslEvents
facility Contact Affiliation
Owner Type
Govemment - County
Owner Affiliation
Dennis Bledsoe
PO Box 342
Dobson
NC 27017
Scheduled
Crig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
5/612011
Regulated Activities Requested (Received Events
Groundwater remediation Administrative amendment request received 5118118
RO staff report requested
RO staff report received 6129118
Cutfall
Waterbody Name Streamindex Number Current Class Subbasin

❑IVISION OF WATER RESOUkLr.S
WQROS
July 3, 2018
MEMORANDUM
TO: FILE 1 Debra Watts
FROM: Shristi Shrestha
RE: Issuance of permit to inject (Permit #W I0400176)
Surry County Closed C&D and MSW Landfill
Surry County
I recommend that Permit Number W10400176 be issued to the above facility. This renewal is for continued monitoring and
there are no current plans to inject right now. Please refer to the attached memo from Michael Rogers from April I0, 2013
for details about Site description, Hydrogeologic description and proposed injection.
MONITORING: The latest monitoring report was received on May 11. 2018. The report recommends continuing monitoring
of the site.
REGIONAL OFFICE COMMENTS: There was no comments from Winston-Salem Regional office and they recommend
issuing the permit.

DIVISION OF WATER QUALM i x
AQUIFER PROTECTION SECTION
April 10, 2013
11 i :: ►r Ifri 17,.
TO: Debra Watts
FROM: Michael Rogers I'
RE: Issuance of Permit to Inject EOS Pro, 13-12, and sodium bromide (Permit #W10400176)
Surry County Public Works
1 recommend that Pen -nit Number W10400176 be re -issued to Surry County Public Works to inject EOS Pro, B-12, and
sodium bromide tracer to remediate groundwater (GW) contaminated with chlorinated hydrocarbons at the Surry County
Closed Landfill, 237 Landfill Rd., Mt. Airy, Surry County, NC 27030. A permit was issued to this Applicant on May 6,
2011, and expires April 30.. 2013. The submittal of this application is for permit renewal for three injections of the
previously mentioned compounds.
All of the proposed injection activity is essentially the same as the previous injection activities except for the following:
■ They are using EOS Pro instead of EOS 598B42. EOS Pro has neutral pH, whereas 598B42 is acidic.
• They are using vitamin 13-12, and not using BAC-9.
■ The monitoring interval is being changed to semiannually to conform to the requirements of the DWM Solid
Waste Division requirements.
■ I am requesting a 30 day notice prior to installing the proposed injection well IW-7 (if it is ever constructed).
This well is located up gradient of a water supply well used by the scale house. According to Mark Durway, this
well is used for washing trucks and has a sign posted that it is not for potable use. He said it will probably be
abandoned prior to any injection north of the scale house_ Three additional monitoring wells will be installed if
the injection well is installed (see injection Plan Table in the addendum that has a Post -it sticky). Also, he
confirmed that the injection well, if needed, will be installed within the property boundary.
Refer to previous memo for more detailed info on this site.
REGIONAL OFFICE COMMENTS: Each of the RO comments/recommendations are discussed below (RO's
comments/recommendations are underlined).
The Winston-Salem Regional Office did not have any comments and recommends permit issuance.

Water Resources
Environmental Quality
July 9, 2018
Dennis Bledsoe
Surry County Public Works
PO Box 342
Dobson, NC 27017
Re: Issuance of Injection Permit W10400176
Surry County Closed C&D and MSW Landfill
Surry County, NC
Dear Mr. Bledsoe:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
In accordance with the permit renewal application received on May 18, 2018, we are forwarding permit
number WI0400176. This permit is to continue groundwater monitoring at the above -referenced site
located at 237 Landfill Rd., Mount Airy, NC 27030. This permit shall be effective from July 9, 2018
until June 30, 2023, 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. Please read the entire permit to ensure that you are aware of all
compliance requirements of the permit.
Please note the following:
• This permit is for continued monitoring only. in the future, if you wish to inject you will
need to submit a permit modification indicating types and amount of additives, number of
injection wells, etc.
• Per permit condition VI.2, sample results shall be submitted to the WQROS Central
Office and Mooresville Regional Office annually. Monitoring reports shall include, a
summary of injection activities and monitoring results, historical analytical data
presented in a tabular/spreadsheet format distinguishing between pre -injection and post
injection data, and an update on the status and location of monitoring and injection wells;
Per permit condition Part VI.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;
- 7�-Nothing Compares
5tase of North Carolina j Environmental [duality { Division or Water Resource.*
Water Quality Regional Operations Seetion
1636 Mail Service Center I Raleigh, North Carolina 27699-1636
919-707-9129

This permit is for continued groundwater monitoring only. In future, if you wish to inject you will need
to submit a permit modification indicating types of and amount additives, number of injection wells etc.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit 120 days prior to its expiration date. As indicated in the permit, this
permit is not transferable to any person without prior notice to, and approval by, the Director of the
Division of Water Resources.
If you have any questions regarding your permit or the Underground Injection Control Program please
call me at [phone].
Best Regards,
J. Vlir,�Y/a
Shristi Shrestha
Underground Injection Control (UIC) - Hydrogeologist
Division of Water Resources
Water Quality Regional Operations Section
cc: Sherri Knight, WQROS — Winston Salem Regional Office
Central Office File, W I0400176
Jonathan Pfohl, Municipal Engineering Services CO, PO Box 97, Garner, NC 27529

IsL1] i l l�l:� "1111110
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH, NORTH CAROLINA
PERMIT FOR THE USE 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
Surry County Closed C&D and MSW Landfill
For continued groundwater monitoring of the Surry County Closed C&D and MSW Landfill site
Iocated Et 237 Landfill Rd., Mount Airy, Surry County, NC 27030 in accordance with the renewal
application submitted May 18, 2018, and in conformity with the specifications and supporting
data, all of which are filed with the Department of Environmental Quality and are considered a
part of this permit.
This permit is for continued monitoring only, and does not waive any provisions of the Water Use
Act or any other applicable Laws, Rules, or Regulations.
This permit shall be effective, unless revoked, from the date of its issuance, until June 34, 2023
and shall be subject to the specified conditions and limitations set forth in this permit.
Permit issued this the 91' day of July 2018.
a
Linda Culpepper, Interim Director
Division of Water Resources
By Authority of the Environmental Management Commission.
Permit No. W14400176 PAGE 1 OF 7
ver. 2-25-2016 UIC-51/5T

PART I — PERMIT GENERAL CONDITIONS
1. The Permittee shall 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).
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 [ 15A
NCAC 02C .0211(1)].
3. This permit is valid only for construction or operation 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 Division of Water Resources (DWR) [I 5A NCAC
.0211(a)].
4. 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 [ 15A NCAC 02C .0211(q)].
5. 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 he 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 [I 5A NCAC 02C .0203].
PART II - WELL CONSTRUCTION GENERAL CONDITIONS
Each injection well shall not hydraulically connect separate aquifers [ 15A NCAC 02C
.0211(c)].
2. Multi -screened wells shall not hydraulically connect different aquifers or zones having
differences in water quality that would result in a degradation of any aquifer or zone (I 5A
NCAC 02C .0225(g)(I7)].
3. Each injection well shall be constructed in such a manner that water from land surface cannot
migrate into the gravel pack or well screen [ 15A NCAC 02C .0225(g)(4)].
4. Bentonite grout shall not be used to seal any water -bearing zone with a chloride concentration
equal to or greater than ) ,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. [I 5A NCAC .0225(g)(8)].
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 shall be secured with a locking cap as defined in G.S. 87-85(I 6) [15A
NCAC 02C .0225(g)(23)].
Permit No. WI0400176 PAGE 2 OF 7
ver. 2-25-2016 UIC-5115T

6. Each injection well shall be afforded reasonable protection against damage during construction
and use [I 5A NCAC 02C .0225(i)(3)].
Each permanent injection well shall have a permanently affixed identification plate [ 15A
NCAC .0225(g)(20)].
8. A copy of the completed Well Construction Record (Form GW-1) shall be submitted as
described in Part VI.3 of this permit (the original document goes to the address indicated on
the form).
PART III - WELL CONSTRICTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing or operating each injection well, the
Permittee shall notify the Underground Injection Control (UIC) Central Office staff, telephone
number 919-807-6406, and the Winston-Salem Regional Office staff, telephone number 336-
776-9800 [15A NCAC 02C .0211(k)].
PART IV - OPERATION AND USE CONDITIONS
1. 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 [ 15A NCAC 02C
.02I 16)].
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages
to surface water or groundwater resulting from the operation of this facility [ 15A NCAC 02C
.0206].
3. The injection facility shall be properly maintained and operated at all times to achieve
compliance with the conditions of this permit and the rules of 1 SA NCAC 02C .0200, even
if compliance requires a reduction or elimination of the permitted activity [I 5A NCAC 02C
.0211(jj].
4. 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 that may be required, such as the repair,
modification, or abandonment of the injection facility [15A NCAC 02C .0206].
Permit No. W10400176 PAGE 3 OF 7
ver. 2-25-2016 UIC-5I15T

PART V - INSPECTIONS [ 15A NCAC 02C .0211(k)]
1. Any duly authorized officer, employee, or representative of the Division of Water Resources
(DWR) 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. DWR 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 VI - MONITORING AND REPORTING REQUIREMENTS
1. Since this permit renewal is for monitoring only, the monitoring plan included in the
application for previous permit issued on May 6, 2011 shall be followed. Any additional
monitoring, including groundwater, surface water, or soil sampling, deemed necessary to
ensure surface water and groundwater protection may be established and an acceptable
sampling reporting schedule shall be followed (I 5A NCAC 02C .02250)].
2. An Annual Report with all historical monitoring results shall be submitted in bound hard copy
format with attached CD or flash drive to the WQROS Central Office, and Winston-Salem
Regional Office starting from date permit is issued. Monitoring reports shall include, a
summary of injection activities and monitoring results, analytical data presented in a
spreadsheet distinguishing between pre -injection and post injection data, and an update on the
status and location of monitoring and injection wells. Well locations may be given in a table
with the name and geographic coordinates or shown on an updated version of the site map
[ 15A NCAC 02C .0225(k)(2)].
3. Records of well construction, repair, or abandonment shall be submitted within 30 days of
completion of such activities [15A NCAC 02C .0225(k)(1)(A)].
4. An Injection Event Record shall be submitted within 30 days of each injection event [I 5A
NCAC 02C .0225(k)(1)(B)].
5. The Permittee shall submit a Final Project Evaluation (FPE) within 9 months after completing
all injection -related activity associated with this permit or produce an interim evaluation to be
submitted with a renewal application for this permit. Both the final project evaluation and
interim evaluation shall contain historical monitoring data and updated contaminant plume and
potentiometric surface maps. PLEASE NOTE: Injectants and related reaction byproducts must
attenuate to pre -injection concentrations or groundwater standards specified in rule 15A NCAC
02L .0202, whichever is greater, in order for this permit to be closed. Otherwise, corrective
action as described in Part VI may be rgquired [ 15A NCAC 02C .0225(k)(2)].
Permit No. WI0400176 PAGE 4 OF 7
ver. 2-25-2016 UIC-5115T

6. All monitoring results, forms, and reports required in this Park shall be submitted to:
UIC Program Water Quality Regional Operations Section
NC Division of Water Resources and DWR Winston-Salem Regional Office
1636 Mail Service Center 450 Hanes Mill Road, Suite 300
Raleigh, NC 27699-1636 Winston-Salem, NC 27105
7, The Permittee shall report any monitoring or other information that indicates noncompliance
with a specific permit condition, that a contaminant may cause a violation of applicable
groundwater quality standards, or that a malfunction of the injection system may cause the
injected fluids to migrate outside the approved injection zone or area. As specified in rule
15A NCAC 02C .0211(r), noncompliance notification shall be as follows:
(A) Oral notification shall be given within 24 hours of the occurrence, or first knowledge
of the occurrence, to the Winston-Salem Regional Office, telephone number 336-
776-9800.
(H) Written notification shall be made within five days of the occurrence and submitted
to the addresses in Item #6 above.
(C) The written notification shall contain a description of the noncompliance and its
cause; the period of noncompliance, including dates and times; if the noncompliance
has not been corrected, the anticipated time it is expected to continue; and any steps
taken or planned to reduce, eliminate, and prevent reoccurrence of the
noncompliance.
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 [ 15A NCAC 02C .0211(b)].
PART VII - CORRECTIVE ACTION [ 15A NCAC 02C .0206]
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.
(S) 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.
Permit No. WI0400176 PAGE 5 OF 7
ver. 2-25-2016 UIC-5115T

PART VIII - PERMIT RENEWAL [ 15A NCAC 02C .0211(b)]
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee should submit an application to renew the permit 120 days prior to its expiration date.
PART IX - CHANGE OF WELL STATUS [ 15A NCAC 02C .Q240]
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 .0244, Well Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any purpose,
the Pennittee shall abandon that injection well in accordance with the procedures specified in
15A NCAC 2C .0240, 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 scaled to insure freedom
from obstructions that may interfere with sealing operations.
(C) The well shall be thoroughly disinfected, prior to sealing, if WQROS staff 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 .Q225(k)(1)(A) within 30 days of completion of abandonment.
Permit No. W10400176 PAGE 6 GE 7
per, 2-25-2016 UIC-5115T

3. The written documentation required in Part IX (1) and (2)(G) shall be submitted to:
UIC Program
DEQ-Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION [ I5A NCAC 02C
.a225(a)]
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 shafting or mixing), then proper personal protective equipment should he 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_ W I0400176 PAGE 7 OF 7
per. 2-25-2016 UIC-5I157

DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
April 10, 20I3
MEMORANDUM
�` fJ
TO: Debra Watts
FROM: Michael Rogers
RE: Issuance of Permit to Inject EOS Pro, B-12, and sodium bromide (Permit #WI0400175)
Surry County Public Works
I recommend that Permit Number WI0400176 be re -issued to Suny County Public Works to inject EOS Pro, 13-12, and
sodium bromide tracer to remediate groundwater (GW) contaminated with chlorinated hydrocarbons at the Surry County
Closed Landfill, 237 Landfill Rd., Mt. Airy, Surry County, NC 27030. A permit was issued to this Applicant on May d,
2011, and expires April 30. 2013. The submittal of this application is for permit renewal for three injections of the
previously mentioned compounds.
All of the proposed injection activity is essentially the same as the previous injection activities except for the following:
• They are using EOS Pro instead of EOS 5981142. EOS Pro has neutral pH, whereas 5981342 is acidic.
• They are using vitamin 13-12, and not using BAC-9.
• The monitoring interval is being changed to semiannually to conform to the requirements of the DWM Solid
Waste Division requirements.
■ I am requesting a 30 day notice prior to installing the proposed injection well IW-7 (if it is ever constructed)_
This well is located up gradient of a water supply well used by the scale house. According to Mark Durway, this
well is used for washing trucks and has a sign posted that it is not for potable use_ He said it will probably be
abandoned prior to any injection north of the scale house. Three additional monitoring wells will be installed if
the injection well is installed (see Injection Plan Table in the addendum that has a Post -it sticky). Also, he
confirmed that the injection well, if needed, will be installed within the property boundary.
Refer to previous memo for more detailed info on this site.
REGIONAL OFFICE COMMENTS: Each of the RO comments/recommendations are discussed below (RO's
comments/recommendations are underlined).
The Winston-Salem Regional Office did not have any comments and recommends permit issuance.