WQ0004209_Staff Report_20230824

DocuSign Envelope ID: 198C846B-4280-46AF-8E69-A133AC291 F00
North Carolina Department of Environmental Quality - Division of Water Resources
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Permit No. WQ0004209
To: Michael Rogers Date: August 24, 2023
Permittee/Applicant: S.T. Wooten Corporation
Facility Name: Former Henderson Asphalt Plan
County: Vance
L GENERAL INFORMATION
1. This application is (check an that apply): ❑ New ® Renewal
❑ Minor Modification ❑ Major Modification
a. Date of Inspection: August 23, 2023
b. Person contacted and contact information: James Washburn/fames.washbum(c-r�,stwcorp.com/252-290-5912
c. Site visit conducted by: Michael Hall
d. Inspection Report Printed from BIMS attached: ❑ Yes ® No.
e. Physical Address of Site including zip code: 697 Greystone Road, Henderson, NC 27537
£ Driving Directions if rural site and/or no physical address:
g. Latitude: Longitude:
Source of Lat/Long & Accuracy (i.e., Google Earth, GPS, etc.):
II. DESCRIPTION OF INJECTION WELL AND FACILITY
1. Type of injection system:
❑ Geothermal Heating/Cooling Water Return
❑ In situ Groundwater Remediation
® Non -Discharge Groundwater Remediation
❑ Other (Specify:
2. For Geothermal Water Return Well(s) only
a. For existing geothermal system only:
Were samples collected from Influent/Effluent sampling ports? ❑ Yes ❑ No.
Provide well construction information from well tag:
b. Does existing or proposed system use same well for water source and injection? ❑ Yes ❑ No
If No, please provide source/supply well construction info (i.e., depth, date drilled, well contractor,
etc.) and attached map and sketch location of supply well in relation to injection well and any other
features in Section IV of this Staff Report.
3. Are there any potential pollution sources that may affect injection? ❑ Yes ❑ No
What is/are the pollution source(s)?
What is the distance of the injection well(s) from the pollution source(s)?
4. What is the minimum distance of proposed injection wells from the property boundary?
5. Quality of drainage at site: ® Good ❑ Adequate ❑ Poor
6. Flooding potential of site: ® Low ❑ Moderate ❑ High

DocuSign Envelope ID: 198C846B-4280-46AF-8E69-A133AC291 F00
North Carolina Department of Environmental Quality - Division of Water Resources
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
III. E VAL UA TION AND RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If Yes, explain.
2. List any items that you would like WQROS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
3. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition
Reason
The permittee should perform a thorough
During the site inspection, two unlabeled and
evaluation of the site to identify and abandon all
unmapped wells were identified. More wells
wells as part of site closure.
may be present at the site. All wells should be
properly abandoned as part of closure to
mitigate the potential for future impacts to
groundwater.
4. Recommendation
❑ Deny. If Deny, please state reasons:
❑ Hold pending receipt and review of additional information by Regional Office
❑ Issue upon receipt of needed additional information
® Issue DocuSigned by:
5. Signature of Report Preparer(s): M 0CU
372DCBCB61EE4f
Signature of WQROS Regional Supervisor:
Date: 8/28/2023
VaUn -SSA, f.
—B2916E6AB32144F...
8/24/2023

DocuSign Envelope ID: 198C846B-4280-46AF-8E69-A133AC291 F00
North Carolina Department of Environmental Quality - Division of Water Resources
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS (Optional/If Needed)
Duringthe hpection, we examined the 10 wells identified on the map included with the permit, as well as the
treatment system building (Fi..u�). In addition, two unlabeled wells were observed duringthe hpection.
The twelve wells observed were secure, locked, and had identification (ID) plates attached (Photo Lofz),
although a number of the ID plates were unlabeled, illegible, or included the incorrect well number. Wells
northwest of US Highway 1 were overgrown, and difficult to find.

DocuSign Envelope ID: 198C846B-4280-46AF-8E69-A133AC291 F00
Figure 1- Inspection Summary
Permit WQ0004209 Former H.T. Wooten Asphalt Plant
Henderson/Vance County
4
Approximate Location of
Treatment Building
MW-4
MW-12
MW-15 I
RW-2
Unknown'
Q RW-1 -
0 100 200 400 Feet %
Legend
O Approximate Well
Location
�oAr .77. , Q� N
Map provided by NCDEQ Division of Water
Resources.
Locations are approximate and are provided
for reference only.