HomeMy WebLinkAboutWI0400543_Compliance_20200518AECOM
AECOM 919.461.1100 tel
1600 Perimeter Park Drive, Suite 400 919.461.1415 fax
Morrisville. NC 27560
Letter of Transmittal
UIC Program
1636 Mail Service Center
Attention: Raleiqh, NC 27699-1636
Number of copies: Description:
Injection Event Record
1 Hard copy Former Chemcraft International, Inc. Facility
3950 New Walkertown Road
Winston-Salem, North Carolina
as . Marr, P.G.
FtECENED
SAY 2 2 2020
D
aQ�W
Ce e
Date: May 18, 2020
North Carolina Department of Environmental Quality — Division of Water ReAWOWEI3
INJECTION EVENT RECORD (IER)
1, Permit Information
Permit Number wit
_Akzo Nobel Coatings, Inc._____
Perm ittee
Former Chemcraft
Facility Name
3950 New Walkertown Rd, Winston-Salem, Forsyth
County, NC
Facility Address (include County)
2. Injection Contractor Information
_Redox Tech, LLC_
Injection Contractor I Company Name
Street Address 200 Quade Dr.
_Cary NC 2751
City State Zip Code
(919_) _678-0140
Area code — Phone number
3. Well information
Number of wells used for injection _22
Well 1Ds
I through 22
Were any new wells installed during this injection
event?
❑ Yes ® No
If yes, please provide the following information:
Number of Monitoring Wells _ 0
Number of Injection Wells 22 __ ----
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ® Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW-1 aril for each
well installed.
MAY 2 2 2020
1400543
NIL; UhQ7DWK
Central Office
Were any wells abandoned during this injection
event?
® lees ❑ No
If yes, please provide the following information:
Number of Monitoring Wells _0
Number of Injection Wells 22
Please inchule it copy of the GW-30for each well
abandoned.
4. Injectant Information
Calcium Peroxide—__
Injectant(s) Type (can use separate additional sheets
if necessary
Concentration
If the Injectant is diluted please indicate the source
dilution fluid.
Total Volume Injected (gal)_4,500,
Volume Injected per well (gal) varied, see attached
summa sheet
5. Injection History
Injection date(s)_March 11-13 & April 8-10
Injection number (e.g. 3 of
Is this the last injection at this site?
® Yes ❑ No
I DO HEREBY CERTIFY THATALL THE INFORMATION ON
'THIS FORM IS CORRECT" 1.O THE BEST OF MY KNOWLEDGE
AND THAT THE INJECTION' WAS PERFORMED WITHIN THE
STA D DS LAII UT IN THE PERMIT. %
0'2 J
NATURE OF INJECTION CONTRACTOR DATE
�� 0.-J-1 0 6k
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection. Form UIC-IER
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464 Rev. 3-1-2016
n
(
(
`
C
`A
/'2
X
�
q\
3
�
¢(24�*2°S�80mw
G2§
\
W.
&
},_�=�=a
�§§§kkkk66�Akkkkkk
%
\
&
� &
\
\�
-
1
/
\
|I
1
�
§
�
�
m£
i
Z 7
!
k
/ k
L� )
z� §
(§ S
LU0 (\
§§ LU
Ir
0§
®I§ /CL
zw
®
8
�
}
}
o
�
»
�
�
�
2 Cl
�—�ƒ
�.
{:
! ,
( ?
I
-1
IIN22
�2/
m
z ' z / g .
00
�
,
<Do.
�
/
,
t
■ �
LL
N
N
N
T 0 T
(D r
r
N
00 ► N
a o
w N
> �`' 7@ /
� oul -Nor /
CC
Z o T /
n
ai
ai
cto
II
Former Chemcraft, 3950 New Walkertown Rd, Winston-Salem, NC
Injection
Point
Depth Interval
(ft bgs)
Injection
Amount (Ibs)
Slurry
(gallons)
1
16-10
150
180
216-8
300
360
3
16-8
160
192
4
16-10
130
156
5
8-6
20
24
616-8
190
228
7
16-10
180
216
813-6
250
300
916-6
250
300
1014-6
250
300
1116-6
250
300
1216-6
250
300
1316-10
170
204
14
16-10
180
216
15
16-12
1001
120
1616-8
200
240
1716-14
185
222
1814-12
80
96
1916-14
50
60
20
13-9
160
192
21
15-9
100
120
22
16-10 1
130
156
RECEIVED
MAY 2 2 ZOZO
NC DEQIDWR
Central OffiCe