WI0300180_Injection Event Record_20120507

irwiw AN% rw®
ENVIRONMENTAL
J' w / L I..
VIA US MAIL
May 7, 2012
Mr. Michael Rogers, P.G.
UIC Program
Aquifer Protection Section
North Carolina DENR - DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Re: Injection Event Record
Patterson Property, LLC
8800 Monroe Road
Charlotte, North Carolina 28211
IP: W10300180
AEI Project No. N205-14
Dear Mr. Rogers:
In accordance with Injection Permit WI0300180, Adventus O-SOX were placed in one (1) well at
the subject site on May 1, 2012. Attached is the Injection Event Record for this O-SOX
placement.
If you have any questions please do not hesitate to call me at [phone].
Sincerely,
AWARE Environmental® Inc.
Randy Smith, L.G.
Senior Project Geologist
Attachments
cc: File
H. Carter, Patterson Property, LLC
M. Smith, AEI
205141013
RE r.EI'JEDInE NRlDWQ
Cd`1V 0 b i
Aquifer Protection Section
P.O. BOX 2669
MATTHEWS, NC 28106-2669
MAIN: 704-845-1697 • FAX: [phone]
8514 McALPINE PARK DR.
SUITE 100
CHARLOTTE, NC 28211

RECEIVED/DENOW
INJECTION EVENT RECORD MAY ® 8 2012
North Carolina Department of Environment and Natural Resources — Division of WAPOK&Ptection Section
Permit Number WI 0 3 0 018 0
I. Permit Information
Patterson Property, LLC
Permittee
Patterson Property, LLC
Facility Name
8800 Monroe -Road Charlotte, NC
Facility Address
2. Injection Contractor Information
AWARE Environmental Inc.
Inj ection Contractor / Company Name Ste 100
Street Address 8514 McAlpine Park Dr
Charlotte NC 28211
City State Zip Code
7( 04) 845-1697
Area code — Phone number
3. Well Information
Number of wells used for injection 1
Well names MW- 2
Were any new wells installed during this injection
event?
❑ Yes ® No
If yes, please provide the following information:
Number of Monitoring Wells NA
Number of Injection Wells
NA'
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include two copies ofform GW-lb for each
well installed.
Were any wells abandoned during this injection
event?
❑ Yes No
If yes, please provide the following information:
Number of Monitoring Wells NA
Number of Injection Wells NA
Please include two copies of the GW-30 for each
well abandoned.
4. Injectant Information
Adventus O-SOX
Injectant Type
Concentration 10 0 o Dry
If the injectant is diluted please indicate the source
dilution fluid. NA
Total Volume Injected 3 Dry Socks
Volume Injected per well 3 socks
5. Injection History
Injection date(s) May 1, 2012
Injection number (e.g. 3 of 5) 1 of 1
Is this the last injection at this site?
❑ Yes ® No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAID O TINT E PERMIT.
SIGNATURE'OF INJECTION CONTRACTOR. DATE
_ a madl y h(IC 6;� v
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Quality within 30 days of injection. Form UIC-IER
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-733-3221 Rev. 07/09

State of North Carolina �-
_ xNR r owa
Department of Environment and Natural Resources ja1F'.R-PROM -1104 SECTION
Division of Water Quality �S p' Q' Nil
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR INJECTION
Type 5I Wells — In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
• Do not use this form for remediation systems that extract contaminated groundwater, treat it,,,and reinject the treated groundwater
• Submit TWO copies of the completed application and all attachments to the address on the last page of this form.
• Any changes made to this form will result in the application package being returned.
Application Number (to be completed by DWQ): \,
I. GENERAL INFORMATION:
1. Applicant's Name (generally the responsible party): Patterson Property, LLC
2. Signing Official's Name*: Mr. Henry E. Carter Title: Construction Manaizer
* Signing Official must be in accordance with instructions in part VI on page 7.
3. Mailing address of applicant: P.O. Box 2439
City: Charlotte State: NC Zip: 28106
Telephone number: [phone] Fax number: [phone]
4. Property Owner's Name (if different from Applicant):_ Same as applicant
5. Property Owner's mailing address:
City:
State: Zip:
6. Name and address of contact person who can answer.questions about the proposed injection project:
Name: Randall A. Smith, L.G. Title: Senior Project Geologist
Company: AWARE Environmental Inc.
Address: 8514 McAlpine Park Drive, Suite 100
City: Charlotte State: NC Zip: 28211
Telephone number: [phone] Fax number: [phone]
Email Address: [e-mail]
II. PERMIT INFORMATION:
1. Project is: (X-) New ( ) Modification of existing permit ( ) Renewal of existing permit without modification
( ) Renewal of existing permit with modification
2. If this application is being submitted for renewal or modification to an existing permit, provide:
existing permit number and the issuance date
For renewal without modifications, fill out sections I & II only, sign the certification on the last page of this
form, and obtain the property owner's signature to indicate consent (if the applicant is not the owner).
For all renewals, submit a status report including monitoring -results of all injection activities to date.
Revised 6/09 UIC-5I/5T Page 1 of 9

APPLICATION FOR PKI'u:�IT TO CONSTRUCT AND/OR USE A :.�;LL(S) FOR INJECTION
Type 5I Wells — In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
M. INCIDENT & FACILITY DATA
A. FACILITY INFORMATION
1. Facility name: Former Edwards Lumber
2. Complete physical address of the facility: 8800 Monroe Road
City: Charlotte County: Mecklenburg State: NC Zip: 28212
B. INCIDENT DESCRIPTION
1. Describe the source of the contamination: Petroleum release from previous facility operator identified at 2
former UST basins at the site, one diesel fuel and one gasoline. Petroleum impacted soils were remediated by
excavation to below their respective soil -to -groundwater screening levels in February and March 2011. Residual
petroleum compounds remain in shallow groundwater in both former UST basins Compounds above 2L
Groundwater Standards include benzene at 78.9 µ 1 and naphthalene at 11.7 µg/1
2. List all contaminants present in soils or groundwater at the site (contaminants may be listed in groups, e.g.,
gasoline, diesel, jet fuel, fuel oil, chlorinated ethenes, chlorinated ethanes, metals, pesticides/herbicides, etc):
Groundwater impacted with diesel fuel and gasoline compounds
3. Has LNAPL or DNAPL ever been observed at the site'(even if outside the injection zone)?
( )Yes If yes, list maximum measured separate phase thickness
M No If no, list maximum concentration of total VOCs observed at site:
ppb
4. Agency managing the contamination incident:
(X-) UST Section ( ) Superfund Section (including REC Program and DSCA sites)
( ) DWQ Aquifer Protection Section ( ) Solid Waste Section
( ) Hazardous Waste Section ( )Other:
5. Incident managers name: Mr. Daniel Bowser and phone number: [phone]
6. Incident number or other site number assigned by the agency managing the contamination incident:
C. PERMITS
List all permits or construction approvals that have been issued for the facility or incident, including those not
directly related to the proposed injection operation:
1. Hazardous Waste Management program permits under RCRA: None
2. DWQ Non -Discharge or NPDES permits: None
3. County or DEH subsurface wastewater disposal permits: None
4. Other environmental permits required by state or federal law: None
Revised 6/09 UIC-5I/5T Page 2 of 9

APPLICATION FOR PE ixlT TO CONSTRUCT AND/OR USE A �:' +.'LL(S) FOR INJECTION
-Type 5I Wells—In.Situ Groundwater Remediation /. Type.5T Wells — Tracer Injection
IV. INJECTION DATA
A. INJECTION FLUID DATA
1. .List all proposed injectants.
NOTE: Any substance to .be injected as a. tracer or to promote in situ remediation must be ,reviewed by the
Occupational and Environmental Epidemiology Section (GEES) .of the Division of Public Health, Department of
Health:and Human Services. Review the list of approved injectants or contact the UIC Program to determine if
the injectants you areproposing have been reviewed by OEES.
Injectant:: Adventus O=SOXTm (oxylzen-release.filter socks)
Concentration at point' of injection: 100%
Percent -if in a mixture with other injectants:
Concentration at point of injection: .
Percent if in a, mixture with other injectants:.
Inj ectant:
Concentration at point of injection:
Percent. if in a mixture with other injectants:
Injectant:
Concentration at point of injection:
Percent if in a mixture with other injectants:
2. Source of fluids used to dilute or chase the injectants listed above:
(X) None. .
( ) Municipal water supply
( ) Groundwater from private well or any well -within 1/4 mile of injection site
( )Air,
.
(..) Other:
3. If any well within '/a mile of injection site, a private well, or surface water is to be:used as the fluid source, supply
the following information:
A. Location/ID number of source: Not Applicable (NA)
b.. Depth of source: NA
c. Formation: NA
d.: Rock/Sediment type: NA
e. In Attachment C, provide a current, complete chemical analysis of the water from the source well, including
analyses for all contaminants' suspected or historically recognized in soil or groundwater on the site.
NOTE. If contaminated groundwater is to be used as the dilution or chase fluid, this is not the proper.permit
application form. You must apply for a closed -loop groundwater remediation permit using application form
GWRS.
Revised 6/09 UIC-SUST Page 3 of 9

APPLICATION FOR PE.&.I..IT TO CONSTRUCT AND/OR USE A wELL(S) FOR INJECTION
Type 5I Wells — In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
B. PROPOSED OPERATING PARAMETERS
1. Duration of Injection: Filter Socks in well for 3 to 6 months
a. Maximum number of separate injection events: Not Applicable (NA) RECEIVED I MW I DWQ
b. Expected duration of each injection event: NA XUVF1
R-pR0TPCTI0t4 SECTION
c. Expected duration between events (if more than one event): NA 'SEP 0 1 L011
2. Injection rate per well: NA gallons per minute (gpm)
3. Total Injection volume: NA gallons per day (gpd); NA gallons per event (if separate events)
4. Injection pressure: NA pounds/square inch (psi)
5. Temperature at point of injection: Ambient OF
6. Briefly describe how the above parameters will be measured and controlled:
Not Applicable
7. Estimated hydraulic capacity of the well: Not Known gpm
C. INJECTION WELL CONSTRUCTION DATA
1. Injection will be via:
(X-) Existing well(s) proposed for use as an injection well. Provide the data in (2) through (6) below to the
best of your knowledge.
() Proposed well(s) to be constructed for use as an injection well. Provide the data in (2) through (6) below as
proposed construction specifications.
2. Well Drilling Contractor's Name: Mr. William Kicker, Jr., Mad Dawg, Inc.
NC Well Contractor Certification number: 4108-B
3. Date to be constructed: 3/30/11 Number of borings: 2
Approximate depth of each boring (feet): 32 feet
4. Screened interval/Injection interval of injection wells:
Depth: 17 to 32 feet below ground surface (if multiple intervals, indicate shallowest and deepest depth).
5. Well casing (N/A if injection is through direct push rods):
Type: (X-) PVC ( ) Stainless steel () Other:
Casing depth: 0 to 17 ft.
6. Grout (N/A if injection is through direct push rods):
Type: (X-) Cement ( ) Bentonite ( ) Other:
Grout depth: 0 to 13 ft.
Revised 6/09 UIC-5I/5T Page 4 of 9

APPLICATION FOR PEA.. —IT TO CONSTRUCT AND/OR USE A Yv JZLL(S) FOR INJECTION
Type 5I Wells — In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
V ATTACHMENTS
A SITE HISTORY
The site is a commercial property surrounded by commercial and residential areas (Figure 1). Site
improvements include an office building with attached warehouse, a former service garage, a separate standing
warehouse and several open air covered storage areas. Most of the site is covered in concrete, asphalt or gravel.
The site has been operated as a commercial lumberyard starting in the I970s to 2010. The site is currently
operated as a storage warehouse. Two (2) USTs were originally installed in two separate basins at the site
(Figure 2). A 9,000 gallon gasoline tank (Tank 1) reportedly installed on May 5, 1973 and a 10,000 gallon
diesel fuel tank (Tank 2), reportedly installed on March 30, 1980. These tanks were reportedly removed on
October 30, 1989 and October 31, 1989, respectively. The most recent 10,000 gallon diesel UST was placed in
the same tank basin where the previous diesel UST was located. The diesel UST installed in 1989 was a single
walled, fiberglass 10,000 gallon tank reportedly installed on October 30, 1989.
During limited Phase II site assessment activities conducted by AWARE Environmental® Inc. (AEI) in
December 2010 as part of a potential property transaction, a petroleum release was identified at both of the UST
basins at the site. Between February 23 and March 9, 2011 the existing 10,000 gallon diesel UST was removed
and petroleum impacted soils at this diesel UST basin and the former gasoline basin were remediated by
excavation. Soils were transported from the site for off -site treatment/disposal. Soils sampling results
confirmed the removal of the petroleum impacted soils at both UST basins to below soil -to -groundwater
screening concentrations and residential maximum soil contaminant concentrations.
Following soil remedial activities, a limited site assessment (LSA) was conducted at the site and groundwater
impacted with low levels of benzene was identified at both UST basins. After review by the NCDENR UST
Section, the NCDENR considered the site as low risk and issued a No Further Action letter for the site,
contingent upon filing a Notice of Residual Petroleum with the Register of Deeds in Mecklenburg County.
B HYDROGELOGIC DESCRIPTION
The site is located within the Charlotte Belt of the Piedmont Physiographic Province. The province is
characterized by gently rolling topography and deeply weathered bedrock. The Charlotte Belt is described as a
metamorphosed diorite, granodiorite and tonalite intruded by gabbro, granite, diabase, syenite and quartz
batholiths, dikes and sills (North Carolina Geologic Map, NCGS, 1991). In -place chemical and physical
Revised 6/09 UIC-51/5T Page 5 of 9

APPLICATION FOR PEA SIT TO CONSTRUCT AND/OR USE A' . '�ELL(S) FOR INJECTION
Type 5I Wells —In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
weathering of parent rocks typically form residual soils (saprolite) in the Charlotte Belt. The typical weathering
profile consists of clay -rich unconsolidated materials, transitioning to sandy silts and silty sands that become
denser with depth. The transition zone between deeply weathered soil materials and unweathered rock is
termed "partially weathered rock" (PWR). Site soils are silty clays with silt and sand content increasing with
depth. Partially weathered rock or bedrock was not encountered during site investigations.
Based on available site geologic and hydrogeologic information obtained during field investigations, the
shallow aquifer underlying the site is predominantly unconfined and the local water table occurs within
saprolite between 20 and 25 feet below grade. Shallow groundwater based on site topography is expected to
flow generally to the south to southwest toward McAlpine Creek, located approximately 530 feet from the
closest release area (Tank 2). Mecklenburg County Utilities provide drinking water in the area. No water
supply wells are present on the property.
C INJECTION FLUID COMPOSITION
Proposed injection material is an oxygen release compound (ORC) made of calcium oxyhydroxide. When
placed in water this material will hydrate, releasing oxygen and forming calcium hydroxide and water. The
ORC material will be introduced into the aquifer by using filter socks filled with ORC material and suspended
in the existing monitoring wells. The filter sock will be periodically replaced when the ORC material is
exhausted. A Material Safety Data Sheet (MSDS) for this material is attached.
D INJECTION RATIONALE
The petroleum impacted groundwater at the former UST basins are believed to be of limited extent and with the
contaminated soils removed, it is believed the groundwater impacts will eventually attenuate with time. The
measured dissolved oxygen level in site wells (MW-1 and MW-2) varied between 1.2 mg/l and 1.7 mg/l.
Dissolved oxygen levels of at least 2.0 mg/l are needed to sustain aerobic biodegradation to effectively reduce
petroleum compound concentrations in site groundwater. To expedit_eAho-attenuativngaMA maining
petroleum compounds in the shallow groundwater at the site, ORC filter socks will be placed in the two (2) site
groundwater monitoring wells to increase dissolved oxygen level in the UST basin areas to promote
biodegradation.
The goal is to reduce the remaining petroleum groundwater impacts to below NCDENR 2L Groundwater
Standards, so the site can be closed without placing a Notice of Residual Petroleum on the property deed.
Revised 6/09 UIC-51/5T Page 6 of 9

APPLICATION FOR MuvAT TO CONSTRUCT AND/OR USE A vvj+ LL(S) FOR INJECTION
Type 5I Wells — In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
E INJECTION PROCEDURE AND EOUIPMENT
To place the ORC material in the shallow aquifer, filter socks will be used and suspended using nylon twine in
the two (2) existing monitoring wells at the site (MW-1 and MW-2). When the ORC in the socks have been
exhausted (3 to 9 months), the ORC filter socks will be replaced with new ones. Up to three (3), three (3) foot
long filter socks will be placed in site wells MW-1 and MW-2.
F MONITORING PLAN
The site currently has two (2) shallow groundwater monitoring wells MW-1 and MW-2. One well is located in
the former diesel fuel UST basin and one in the former gasoline UST basin. The ORC filter socks will be
placed in both of these wells. This passive method of introducing the ORC material into the aquifer will likely
have a zone of influence of 2 to 4 feet around each well and possibly 5 to 10 feet in a downgradient direction
from each well. This passive method of ORC placement will have a limited area of influence and additional
groundwater monitoring wells are not recommended for injection monitoring.
To monitor the effectiveness of the ORC material, water samples from the treatment wells will be monitored
quarterly for dissolved oxygen, pH and conductivity. When dissolved oxygen level drop back to levels prior to
initiating ORC treatment (1.2 mg/1 to 1.7 mg/1), the filter socks will be removed. Approximately one month
(thirty days) after filter sock removal, groundwater samples will be collected from each well for laboratory
analyses to evaluate effectiveness of the ORC treatment. The groundwater sample from well MW-1 (diesel
UST basin) will be analyzed for VOCs by EPA Method 602 and the sample from well MW-2 (gasoline UST
basin) for VOCs by Method 6200B.
If groundwater concentrations remain above NCDENR 21, Groundwater Standards, new ORC filter socks will
be placed back into the wells and the above cycle repeated. Once all compounds are remediated to below 21,
Standards, the site wells will be monitored quarterly for one year to confirm that 21, Standards have been
achieved. If at anytime 2L Standards are exceeded during this monitoring interval, additional ORC treatment
may be again initiated.
Revised 6/09 UIC-5I/5T Page 7 of 9

APPLICATION FOR PE ii ilT TO CONSTRUCT AND/OR USE A w'`ELL(S) FOR INJECTION
Type 5I Wells —In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
G WELL DATA
On -Site Wells
Well ID
Well
Depth
Screen
Interval
Sand
Bentonite
Grout
Use
MW-1
32 ft
17'-32'
15'-32'
12.5'-15'
0'-12.5'
Monitoring/
Proposed ORC
Sock Well
MW-2
32 ft
17'-32'
15'-32'
13%15'
0'-13'
Monitoring/
Proposed ORC
Sock Well
Well construction records for wells MW-1 and MW-2 are attached.
Off -Site Wells
Property
Number
Well
Screen
USE
Status
Location
of Wells
Depth
Interval
8601 Monroe Rd
1
NA
NA
Irrigation
Active
8711 Monroe Rd
3
NA
NA
Groundwater
Active
Monitoring wells,
inactive landfill
9024 Monroe Rd
NA
NA
NA
Groundwater
Possibly
Monitoring wells,
active
petroleum UST release
9100 Monroe Rd
NA
NA
NA
Groundwater
Abandoned
Monitoring wells,
petroleum UST release
NA — Not available.
See Figure 3 for the property locations with the above wells.
H MAPS AND ATTACHMENTS
Figure 1. Site Location Map
Figure 2. Site Map
Figure 3. Well Location Map
Attachment: Adventus O-SOX - Material Safety Data Sheet
Attachment: Well Construction Records (MW-1 and MW-2)
Revised 6/09 UIC-5I/5T Page 8 of 9

APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR INJECTION.
Type 51 Wells — In Situ Groundwater Remediation / Type 5T Wells —.Tracer Injection '
V. CERTIFICATION (to be signed as required below or by that person's authorized agent)
NCAC 15A 2C..0211(b) requires that all permit applications shall be signed as follows:
l . for a corporation: by a responsible corporate officer .
2. for a. partnership or sole proprietorship; by a general partner or the proprietor, respectively
3. for a municipality or a state, federal, or other public agency: by either a principal executive officer or
ranking publicly elected official
4. for all others: by the well owner.
If an authorized agent is signing on behalf of the applicant, then supply a letter signed by the applicant that
names and authorizes -their agent.
I hereby certify under penalty of law that I have personally examined and am familiar with the information
submitted in . this . document and all attachments therein, and that, based on my . inquiry of those individuals
immediately responsible for obtaining said information, I believe. that the information is true, accurate, and
complete. I am aware that there are penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct; operate, maintain, repair, and if applicable, abandon the injection well(s)
and all related appuitenances in accordance with the approved specifications and conditions of the Permit.
Printed Name' and Title: '. /� T t yL _ /, RT:S %1J G%�/ d i'd .. Y1n i. i�.
Signature: Ci Date:
VI.. CONSENT OF PROPERTY OWNER (if the property is not owned by the applicant)
("Owner" means any person who holds the fee or other property rights in the well being constructed..A well is
real property and its construction on land shall be deemed to vest ownership in theland owner, in the absence of
.contrary agreement in. writing-.).
As owner of the property on which the injection. well(s) are to be constructed and operated, I hereby consent to
allow .the applicant to construct each injection.well as outlined in this application and agree that it shall be the
responsibility of the applicant to ensure that the injection well(s) conform to:the Well Construction Standards
(Title 15A NCAC 2C .0200).
Printed Name and Title:
Signature: Date:
Submit TWO copies of the completed application package, including all attachments, to:
UIC Program
Aquifer Protection Section
North Carolina DENR-DWQ .
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone].
Revised 6/09 UIC-5I/5T Page 9 of 9.

NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION R 4108-B
1. WELL CONTRACTOR:
SlUilliam Ki -ker Jr
Well contractor (Individual) Name
Mad Dawa I
Wren Contra cODr Company Name —
Box 398
Street Address
— Iron Stafion N 280A0
Ill or Town State Zip Code
7c 04 ) _732-0213
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT/i
OTHER ASSOCIATED PERMITS(if oppiirable) N/A
SITE WELL ID P(d epl ii je) M W-1
3. WELL USE (Check One Box) Monitoring iill Municipal/Public ❑
IndustriaUCommercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Inigation❑ Other ❑ (list use)
DATE DRILLEDQ3/3Q/2Q1 1
4. WELL LOCATION:
8800 Monroe Road
(Street Name. Numbers, Community, Subdivision, Lot No.. Parcel. Zip Code)
CITY: Charlotte COUNTYJIAecklenburo
TOPOGRAPHIC / LAND SETTING: (&led Bppropriele box)
❑ Slope ❑ Valley li ❑ Ridge ❑ Other
LATITUDE 35 -9 ' 6.4700 ^ DMS OR 3x.XX%X xxxx DD
LONGITUDE 80 ° 44 ' 50.73M - DMS OR 7L-&9 YYYYY DD
Latkude/longitude source: IMPS Cropographic map
(location of *011 must be shown on a USGS logo map andattaehed to
this farm If not using GPS)
E. FACILITY (Name of the business where the well is located.)
Facility Name Facility IDA (if applicable)
Street Address
or
NC- 7R911
City or Town State Zip Code
_Bandy Smith
ConlaCtName
Mailing Address
Charlotte Nt^ 7R711
City or Town State Zip. Code
(704B $15-1670
Area Code Phone number
9. WELL DETAILS:
a. TOTAL DEPTH:_32'
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO q/
C. WATER LEVEL Below Top of Casing: 25' FT.
(Use's' if Above Top of Casing)
d. TOP OF CASING IS - _ FT. Above Land Surface,
'Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): -N/A_ METHOD OF TEST N/A
f. DISINFECTION: Type,S/A Amount,_
9. WATER ZONES (depth):
TOP -WA— Bottom ToP Bottom
Top1V/A Bottom Top Bottom
Top N/A _ Bottom Top Bottom
Thlcknesel
T. CASING: Do;ft Diameter Weight Material
Top-Q_ Bottom 17' Ft. sch 4 PVC
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material Method
Topes_ gottOm- 13, Ft. Portland, _idil ie
Top Bottom Ft.
ToP Bottom Ft.
'. SCREEN: Depth Diameter Slot Size Material
TOPl Bottom 32 Ft. in. 010 in. _PVC
Top Bottom Ft. in. in.
Top Bottom Ft. In. in.
: 10. SAND/GRAVEL PACK:
Depth Ske Material
TOP 15_Bottom 32' FLU_ _Silica
Top Bottom Ft.
Top Bottom Ft.
: 11. DRILLING LOG
Top Bottom Formation Description
0 _/ 25_ Reddish Fill
5 / 32 Brown Sandy Silty Glav
12. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CONSTRUC ST DS, AND THAT A COPY OF THIS
RECORD HAS BEEN PROVI D THE E OWNER.
�� 03/30/11
SIGN R OF CERTIFIED LL CONTRAG R DATE
Wiliam Kicker Jr
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit Within 30 days of completion to: Division of Water Quality - Information Processing, Form GW-1b
Rev. 210g
1617 Mail Service Center, Raleigh, NC 27699-161, Phone: [phone] __

i
r'
•0�5TAgo ..
NONREs IDENT
North Carolina Department of Enviromn
WELL CONTRACTOR CERTIF
1. WELL CONTRACTOR:
Walliam Kicker Jr
Well Contractor (Individual) Name
_MAd Dawa Inc
Well Contractor Company Name
PO Box 39R
Street Address
__ Iron Station N Rnan
City or Town State Zip Code
7t 04 1 732-0213
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# NIA
OTHER ASSOCIATED PERMITN(itepoicable) N/A
SITE WELL 10 00 applicable) M W-2
S. WELL USE (Check One Box) Monitoring p{ Municipal/Public ❑
IndusbiaVCommercial ❑ Agricultural ❑ Recovery ❑ Injection ❑
Irigation❑ Other ❑ (list use)
DATE DRILLEQ03t'30MJ 1
4. WELL LOCATION:
8800 Monroe Roa
(Street Namm
e, Numbers. Community. SURE, - Lot No., Penal, Lp Cade)
CITY. Charlotte COUNTY Mecklenbum
TOPOGRAPHIC / LAND SETTING: (dw-k appropriate box)
❑ Slope ❑ Valley Flat ❑ Ridge []Other
LATITUDE 35 •9-2.4500 " DMS OR 3X.XXXXXXXXX DD.XXXXXIU
LONGITUDE 80 " 'u ' 50.2300 " DMS OR 7XU(X DD
LatitudeAongitude source: Qj`aPS Qropographic map
(location of well must be shown on a USGS topo map andattached to
this them it not using GPS)
5. FACILITY (Name of the business where the well Is located.)
et
Facility Name Facility ID# (if applicable)
RR00 Mnnrna Road
Street Address
Chadnttr_ Nt^ 2R211
City or Town State Zip Code
_Bandy Smith
Contact Name
AS Mr-Alnine Park nrivp- Suite 100
Mailing Address
CharinttP NC PR211
City or Town - State Zip Code
( 704815-IS70
Area code Phone number
S. WELL DETAILS:
a. TOTAL DEPTH: 32'
b. DOES WELL REPLACE EXISTING WELL? YES Cl NO G/
IA
L WELL CONSTRUCTION RECORD
t and Natural Resources- Division of water Quality
ICATION # 4108-B
d. TOP OF CASING IS J FT. Above Land Surface -
'Top of casing terminated aVor below land surface may require
a variance In accordance with 15A NCAC 2C .01IS.
e. YIELD (gpm): JNA_ METHOD OF TEST_ WA
f. DISINFECTION: Type_ N/A Amount N/A
9. WATER ZONES (depth):
Top N/A Bottom ToP Bottom
Top N/A _ Bottom , Top Bottom
ToP_N/A _ Bottom Top Bottom
Thickness/
7. CASING:. Dep
th Diameter Weight Mat"lal
TOP- U— Bottom 17' Ft. sch 40
Top Bottom Ft.
Top Bottom Ft.
B. GROUT: Depth Material Method
ToP_Q_ Bottom 13, Ft. Portland Trimmie
Top Bottom Ft.
Top Bottom Ft._
: 9. SCREEN: Depth
Diameter
Slot Site Material
TOP 17' — Bottom 32'
Ft. in.
_010 In. PVC
Top Bottom
Ft. in.
in.
Top Bottom
Ft. In.
in.
10. SANDIGRAVEL PACK:
Depth
Size
Material
:Top I Bottom 32`
Ft. #2
Silica
Top Bottom
Ft.
Top Bottom
Ft.
11. DRILLING LOG
Top Bottom Formation Description
0 !/ 25
25 / 32
/
1
12. REMARKS:
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CO STRU I STAND, RDS, AND THAT A COPY OF THIS
RECORD HAS e5EN PR IDE O7E WE OVA ER.
^. �� 03/30/11
SIGNATURE OF CERTIFIED WEL CONTRA DATE
c. WATER LEVEL Below Top of Casing: 25' Fr. : William Kicker Ir
L+ (Use'+' if Above Top of Casing) : PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - Information Processing, Form 1617 Mall Service Center, Raleigh, NC 27699-161, Phone: [phone] Rev. 2/09
09

RECEIVED I DENR I DWQ
AQUIFFR PROTFf inN WMN
Sip 2 0 2011
TABLE 1
SUMMARY OF HISTORICAL GROUNDWATER ANALYTICAL RESULTS
FORMER EDWARDS LUMBER
CHARLOTTE, NORTH CAROLINA
NCDENR 2L
Groundwater
Standards
Gross
Contamination
Levels for
Groundwater
Sam le ID
Former Diesel UST Basin
Former Gasoline UST Basin
MW-1
MW-2
Sample Date
4/4/11
7/14/11
4/4/11
7/14/11
MADEP (Ng/1)
VPH C5-C8 AIi hatics
420
Not Specified
<100
NA
<100
NA
VPH/EPH C9-C18 Ali hatics
4,200
Not Specified
<31.1
NA
O
NA
VPH/EPH C9-C22 Aromatics
210
Not Specified
<188
NA
<100
NA
EPH (C19-C36) Aliphatics
42,000
Not Specified
<41.1
NA
NA
NA
Volatile Organic Compounds (VOCs)
Methods (Ng/1)
602
602
6200B
6200E
Benzene
1
5,000
17.5
10.0
2.12
78.8
Eth (benzene
600
84,500
<1.0
15.1
<0.5
<2.5
Iso ro (benzene cumene
70
25,000
NA
NA
<0.5
2.7
Naphthalene
6
6,000
NA
NA
<0.5
11.7
Methyl tert-but I ether MTBE
20
20,000
<2.0
<2.0
<0.5
<2.5
Toluene
600
260,000
2.73
2.78
<0.5
<2.5
1,2,4-Trimeth (benzene
400
28,500
NA
NA
2.81
61.5
1,3,5-Trimeth (benzene
400
25,000
NA
NA
<0.5
7.75
m-, -X lene
500
85,500
13.6
48.7
10.4
92.0
o-Xylene
500
85,500
17.2
14.6
4.5
113
Semi -Volatile Organic Compounds
(SVOCs) Method 625 (Ng/1)
Naphthalene
6
6,000
<5.25
NA
NA
NA
SVOC Tentatively Identified Compounds
(TICs) (Ng/1)
Unknown Ketone
Not Specified
Not Specified
4.01
NA
NA
NA
Unknown Ketone
Not Specified
Not Specified
3.99
NA
NA
NA
Ethylene Dibromide (EDB) Method 504.1
(Ng/1)
0.02
50
NA
NA
<0.0155
NA
Lead - Method 6020A/3030C (Ng/I) 1
15
15,000
NA
NA
<5.0
NA
Notes
Sample collected by AWARE Environmental® Inc. personnel on dates indicated.
Bold font indicates compound detected above laboratory method reporting limit.
NA - Not analyzed or reported by method.
File: GW TABLE 9-11
AEI Project No. N205-14

`�dADVENTUS
Proven Soil, Sediment, and Groundwater
Remediation Technologies
1.
2.
3.
Safety Data
MATERIAL SAFETY DATA SHEET: O-SOXTM Page: 1 of 5
PRODUCT IDENTIFICATION:
PRODUCT USE:
MANUFACTURER:
Adventus Americas Inc.
2871 W. Forest Rd., Suite 2
Freeport, IL
61032
O-SOXTM
Soil and water treatment.
EMERGENCY PHONE:
USA: 1-800-424-9300 (CHEMTREC®)
Canada: 1-613-996-6666 (CANUTEC)
TRANSPORTATION OF DANGEROUS GOOD CLASSIFICATION:
Oxidizing Solid, n.o.s. (Calcium Peroxide), Class 5.1, PG 11, UN1479
WHMIS CLASSIFICATION:
Oxidizer
COMPOSITIONANFORMATION ON INGREDIENTS
Ingredients Chemical Formula CAS No. Percentage
Calcium Peroxide Ca02 1305-79-9 45%-70%
Calcium Hydroxide Ca(OH)2 1305-62-0 10%-20%
PHYSICAL DATA
Appearance ................................. White & brown granules
Physical state ............................... Solid
Odor threshold None
Bulk Density ------------------------------- 500-650g/L
Solubility in Water_______________________ Insoluble
pH-------------------------------------------- -11
Decomposition Temperature ........... Self -accelerating decomposition with oxygen release starting from 275
degrees Celsius
4. HAZARDS IDENTIFICATION
Emergency overview
Oxidizing agent, contact with other material may cause fire. Under fire conditions this material may
decompose and release oxygen that intensifies fire. This product contains <1 % non -respirable crystalline
silica. The NTP and OSHA have not classified non -respirable crystalline silica as carcinogenic. Long term
exposure to hazardous levels of respirable silica dusts can cause lung disease (silicosis). EHC-O does not
contain respirable crystalline silica.
Potential Health Effects:
0 General_________________________ Irritating to mucous membrane and eyes.

(6,,)ADVENTUS
Proven Soil Sediment and Groundwater
Remediation Technologies
Safety Data
MATERIAL SAFETY DATA SHEET: O-SOXTM Page: 2 of 5
• Inhalation-_____________________ Irritating to respiratory tract. Long term inhalation of elevated levels
may cause lung disease (silicosis).
• Eye contact,___________________ May cause irritation to the eyes; Risks of serious or permanent eye
lesions.
• Skin contact__________________ May cause skin irritation.
• Ingestion ........................ Irritation of the mouth and throat with nausea and vomiting.
5. FIRST AID MEASURES
• Inhalation______________________ Remove affected person to fresh air. Seek medical attention if effects
persist.
• Eye contact,___________________ Flush eyes with running water for at least 15 minutes with eyelids
held open. Seek specialist advice.
• Skin contact -------------------- Wash affected skin with soap and mild detergent and large amounts of
water.
• Ingestion ....................... If the person is conscious and not convulsing, give 2-4 cupfuls of
water to dilute the chemical and seek medical attention immediately.
Do not induce vomiting.
6. FIRE FIGHTING MEASURE
Flash Point
• Not applicable
Flammability
• Not applicable
Ignition Temperature
• Not applicable
Danger of Explosion
• Non -explosive
Extinguishing Media
• Water
Fire Hazards
• Oxidizer. Storage vessels involved in a fire may vent gas or rupture due to internal pressure.
Damp material may decompose exothermically and ignite combustibles. Oxygen release due to
exothermic decomposition may support combustion. May ignite other combustible materials.
Avoid contact with incompatible materials such as heavy metals, reducing agents, acids, bases,

(6)ADVENTUS �Proven it Sediment � , 4 and Groundwater
Remediation Technologies
7.
8.
Safety Data
MATERIAL SAFETY DATA SHEET: O-SOXTM Page: 3 of 5
combustible (wood, papers, cloths etc.) Thermal decomposition releases oxygen and heat.
Pressure bursts may occur due to gas evolution. Pressurization if confined when heated or
decomposing. Containers may burst violently.
Fire Fighting Measures
• Evacuate all non -essential personnel
• Wear protective clothing and self-contained breathing apparatus.
• Remain upwind of fire to avoid hazardous vapors and decomposition products.
• Use water spray to cool fire- exposed containers.
ACCIDENTAL RELEASE MEASURES
Spill Clean-up Procedure
• Oxidizer. Eliminate all sources of ignition. Evacuate unprotected personnel from equipment
recommendations found in Section 9. Never exceed any occupational exposure limit.
• Shovel or sweep material into plastic bags or vented containers for disposal. Do not return spilled
or contaminated material to inventory. Avoid making dust.
• Flush remaining area with water to remove trace residue and dispose of properly. Avoid direct
discharge to sewers and surface waters. Notify authorities if entry occurs.
• Do not touch or walk through spilled material. Keep away from combustibles (wood, paper, oils,
etc.). Do not return product to container because of risk of contamination.
HANDLING AND STORAGE
Storage
• Oxidizer. Store in a cool, well -ventilated area away from all source of ignition and out of direct
sunlight. Store in a dry location away from heat.
• Keep away from incompatible materials. Keep containers tightly closed. Do not store in
unlabeled or mislabeled containers.
• Protect from moisture. Do not store near combustible materials. Keep containers well sealed.
Ensure pressure relief and adequate ventilation.
• Store separately from organics and reducing materials. Avoid contamination that may lead to
decomposition.
Handling
• Avoid contact with eyes, skin, and clothing. Use with adequate ventilation.
• Do not swallow. Avoid breathing vapors, mists, or dust. Do not eat, drink, or smoke in work
area.
Prevent contact with combustible or organic materials.
Label containers and keep them tightly closed when not in use.
Wash thoroughly after handling.

(6��ADVENTUS
Proven Soil, Sediment, and Groundwater
Remediation Technologies
Safety Data
MATERIAL SAFETY DATA SHEET: O-SOXTM Page: 4 of 5
9. EXPOSURE CONTROLS/PERSONAL PROTECTION
Engineering Controls
• General room ventilation is required. Local exhaust ventilation, process enclosures or other
engineers controls may be needed to maintain airborne levels below recommended exposure limits.
Avoid creating dust or mist. Maintain adequate ventilation. Do not use in closed or confined
spaces. Keep levels below exposure limits. To determine exposure limits, monitoring should be
performed regularly.
Respiratory Protection
• For many condition, no respiratory protection may be needed; however, in dusty or unknown
atmospheres or when exposures exceed limit values, wear a NIOSH approved respirator.
Eye/Face Protection
• Wear chemical safety goggles and a full face shield while handling this product.
Sldn Protection
• Prevent contact with this product. Wear gloves and protective clothing depending on condition of
use. Protective gloves: Chemical -resistant (Recommended materials: PVC, neoprene or rubber)
Other Protective Equipment
• Eye -wash station
• Safety shower
• Impervious clothing
• Rubber boots
General Hygiene Considerations
• Wash with soap and water before meal times and at the end of each work shift. Good
manufacturing practices require gross amounts of any chemical removed from skin as soon as
practical, especially before eating or smoking.
10. STABILITY AND REACTIVITY
Stability
Stable under normal conditions
Condition to Avoid
• Water
• Acids
• Bases
• Salts of heavy metals
• Reducing agents
• Organic materials
• Flammable substances
Hazardous Decomposition Products
0 Oxygen which supports combustion

(6� ,,) ADVENTUS
pf"I Soil, Sedknent and Groundvvater
Remediatlon Technologies
Safety JkData
'W�jk
MATERIAL SAFETY DATA SHEET: O-SOXTM Page: 5 of 5
11. TOXICOLOGICAL INFORMATION
• LD50 Oral: Min.2000 mg/kg, rat
• LD50 Dermal: Min. 2000mg/kg, rat
• LD50 Inhalation: Min. 4580 mg/kg, rat
12. ECOLOGICAL INFORMATION
Ecotoxicological Information
• Hazards for the environment is limited due to the product properties of no bioaccumulation, weak
solubility and precipitation in aquatic environment.
Chemical Fate Information
• As indicated by chemical properties oxygen is released into the environment.
13. DISPOSAL CONSIDERATIONS
Waste Treatment
• Dispose of in an approved waste facility operated by an authorized contractor in compliance with
local regulations.
Package Treatment
• The empty and clean containers are to be recycled or disposed of in conformity with local
regulations.
14. TRANSPORT INFORMATION
• Proper Shipping Name: EHC-O
• Hazard Class: 5.1
• Labels: 5.1 (Oxidizer)
• Packing Group: H
15. REGULATORY INFORMATION
• SARA Section ------------------------------------------
Yes
• SARA (313) Chemicals-----------------------------
No
• EPA TSCA Inventory_______________________________
Appears
• Canadian WHMIS Classification
C, D2B
• Canadian DSL------------------------------------------
Appears
• EINECS Inventory___________________________________
Appears
16. PREPARATION INFORMATION
Prepared By: Kerry Bolanos-Shaw Date Prep./Rev: 9/12/07
Adventus Remediation Technologies Print Date: 9/12/07
1345 Fewster Drive Phone: [phone]
Mississauga, Ontario Fax: [phone]
LAW 2A5

80046'00" W 60045'00" W WGS84 80044'00" W
t t fi r� �4. �,''aaf ; \' �� YI. tit a •f.�"C.� :r• i�
51
CD
Ln
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.ys
Y a•
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f
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`''
ID
'✓ +i tip-- ...1 •t' . .c: I
Lx
,ti �.: •: '. '-fir
14
SCALE: 1: 24000
1 1/2 0 1 MILE
1000 0 2000 4000 6000 8000 FEET
FORMER EDWARDS LUMBER FIGURE 1
N 8800 MONROE ROAD SITE LOCATION MAP
CHARLOTTE, NORTH CAROLINA
REFERENCE: Allmwwm
ONMENTAL® INC
BASE MAPS TAKEN FROM NATIONAL GEOGRAPHIC TOPO 8 L am
SOFTWARE. SOFTWARE DATED 2001. AEI PROJECT No. N205-14

,- 1\,T -i
LEGEND
—x—x—x— FENCE
OVERHEAD POWERLINE
000� G� Ii Cp R£0 SP \ \ Fo Ilk— %1 /���''
�. �F ~�~I ~' �� ~�~' IFH+ RAILROAD TRACKS
PROPERTY
/ lip GRAEAL usp oRgcF \ ���'�.� ��'"`�'�}irrvit- If-- if iris �~�r _ _ TREELIKE LINE
•,����I t
LIMITS OF SOIL SD`_, STORBASIN
CMWATER CATCH
EXCAVATION o/vC, C I
' l MW-1 MONITORING WELL
C O�RF� STO \�v / LOCATION
MW-1 _,\ DISPENSER f Rq�� \ k
/c ESTIMATED SHALLOW
Ff x�x� �• �k GROUNDWATER FLOW
FORMER ASPHALT
x /,}k DIRECTION
10,000 gal. FORMER �f
DIESEL UST `� �G 1 ' 9,000 gal.
#Al AND �,�P(� MW-2GASOLINE ASPHALT
AREA #2 BASIN �P vPQ` UST #1 +
G
G� s>o�O�BASIN
WAREHOUSE
)NC. �'�`& OFFICES
ASPHALT
AREA
i
CONC.
REFERENCE NOTE:
GRASS
GRASS ��\ / MAP DETAILS TAKEN FROM AERIAL PHOTOGRAPH
GRASS/x�-x-- x----x--- x- �'��`, ' OBTAINED FROM MECKLENBURG COUNTY, NORTH
CAROLINA POLARIS GIS SYSTEM ON DECEMBER 6,
---
2010.
- GRASS GRASS ��_/ APPROXIMATE SCALE
-----_,Z--- `po--- k- ---
9n _��` , / 100 50 0 100 200 300
x�c
Z
l
i
August 17. 2011 11:46:14 a.m.
Drawing: 20514S03.D WG

iT rr
►��sSITE
I�
LEGEND
• PROPERTY WITH WELLS
MONITORING WELL
LOCATION
August 17, 2011 12:00:20 p.m.
Drawing: 20514 WELL LOCATION MAP.DWG
IRRIGATION WELL
8711 MONROE RD
3 ACTIVE GROUNDWATER
MONITORING WELLS
INACTIVE LANDFILL
POND•
9024 MONROE RD
POSSIBLE GROUNDWATER
MONITORING WELLS
L PETROLEUM UST RELEASE
1 ,
4
9100 MONROE RD
ABONDONED GROUNDWATER
MONITORING WELLS
PETROLEUM UST RELEASE
WELL LOCATION MAP
FORMER EDWARDS LUMBER
8800 MONROE ROAD
CHARLOTTE, NC 28211
SCALE AS NOTED APPROVED BY DRAWN BY: J.K.S.
DATE AUGUST 2011
DESIGNED BY REVISED
PROJECT NUMBER III /7C -o DRAWING NO.
N205-14 8514 McAlpine ParFIGURE 3
k Dr. Chotte, NC 28211

s 6q _
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Henry Carter
Patterson Property, LLC
P.O. Box 2439
Charlotte, NC 28106
Division of Water Quality
Coleen H. Sullins
Director
December 19, 2011
Ref: Issuance of Injection Permit W10300180
Patterson Property, LLC
Charlotte, Mecklenburg County, North Carolina
Dear Mr. Carter:
Dee Freeman
Secretary
In accordance with the application received on September 1, 2011, and additional information received September 20,
2011, we are forwarding permit number WI0300180. This permit is to inject Adventus O-SOX to remediate groundwater
contaminated with petroleum .products at the former Edwards Lumber Facility located at 8800 Monroe Road, Charlotte,
Mecklenburg County, NC 28212. This permit shall be effective from the date of issuance until November 30, 2013, and
shall be subject to the conditions and limitations stated therein, including the requirement to submit a final project
evaluation 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.
Also, please pay attention to Part VII.2: The parameters ORP and calcium shall be added to the monitoring plan.
Additionally, as stated in the monitoring plan, samples shall be collected each quarter for 4 quarters after the final
injection of the O-SOX to confirm groundwater quality meets standards according to 15A NCAC 2L .0200.
You will need to notify this office and the Mooresville Regional Office by telephone 48 hours prior to initiation of
operation of the facility. In order to continue uninterrupted legal use of the injection facility for the stated purpose, you
must submit an application to renew the permit 120 days prior to its expiration date. Please contact me at 919-71 5-6166
or Michael.Rogers(&ncdenr.gov if you have any questions about your permit.
Best Regards,
1
Michael Rogers, P.G. INC & FL)
Environmental Specialist
Underground Injection Control Program
cc: Andrew Pitner, Mooresville Regional Office
Randall Smith, L.G., AWARE Environmental, Inc., 8514 MacAlpine Park Dr., Suite 100, Charlotte, NC 28211
Mecklenburg County Environmental Health Department
W10300180 Permit File
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FA; 1: 919-715-0588; FAX 2: 919-715-6048 i Customer Service: 877-623-6748 011c
.".l� `�,�1 coli1:,a
Internet: www.ncwatergualitv.org No,z
f
an Equal Opportunity \ Affirmative.Action �mnI04P.r o . f

HCDEHR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
Daniel Bowser, DWM-UST Section, Mooresville Regional Office
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina_ 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-6748 Tti T '
Internet: www.ncwaterauality.org 1 �0` tO.D.e�
An Equal Opportunity \ Affirmative Action Employer 4 .

/A / A /1 P= ®
ENVIRONMENTAL
i'7 I RAW
RECEIVED 1 DENR I DWQ
VIA FEDEX AQUIFFP PPCTFrTInN SFCT10N
September 16, 2011 S E P 2 0 2011
UIC Program
Att. Mr. Michael Rogers
Aquifer Protection Section
North Carolina DENR - DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Re: Application For Permit to Inject Oxygen Release Material
Petroleum UST Site, Facility ID 0-013407
Former Edwards Lumber
8800 Monroe Road
Charlotte, North Carolina 28211
Application No. WI0300180
AEI Project No. N205-14
Dear Mr. Rogers:
Attached is a completed application to use oxygen release material at the former Edwards Lumber site
located at 8800 Monroe Road, Charlotte, North Carolina to facilitate bioremediation of petroleum
compounds identified in site groundwater. Petroleum impacted soils have been remediated to below
NCDENR soil cleanup levels at two (2) former UST basins at the site. The NCDENR — UST Section has
classified the site as low risk and NCDENR issued a No Further Action letter for the site, contingent
upon filing a Notice of Residual Petroleum with the Register of Deeds in Mecklenburg County. To avoid
placing a Notice of Residual Petroleum on the property Deed, Patterson Property, LLC, current owner of
the property, has elected to voluntarily remediate the remaining groundwater impacts to below 2L
Groundwater Standards by the use of an oxygen release material to expedite bioremediation of the
remaining petroleum compounds. The oxygen release material will be placed in the aquifer by using
filter socks in the two (2) existing monitoring wells at the site.
If you have any questions please do not hesitate to call me at [phone].
Sincerely,
AWARE Environmental® Inc.
2Radall A. mith, L.G.
Senior Project Geologist
Attachments
cc: File
H. Carter, Patterson Property, LLC
M. Smith, AEI
205141012
P.O. BOX 2669 8514 MCALPINE PARK DR.
MATTHEWS, NC 28106-2669 SUITE 100
MAIN: 704-845-1697 • FAX: [phone] CHARLOTTE, NC 28211

-A1A/A A J�o
ENVIRONMENTAL
1F A / [ AM
Transmittal
VIA US MAIL RECEIVED / DENR i 0WQ
+�QUIFFR PRnTFrTION SECTIOR
September 16, 2011 4EP 2 0 2 a 11
To: Mr. Michael Rogers
Aquifer Protection Section
North Carolina DENR - DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Re: Application For Permit to Inject Oxygen Release Material
Petroleum UST Site; Facility ID 0-013407
Former Edwards Lumber.
8800 Monroe Road, Charlotte, NC 28211, Mecklenburg County
Application No. WI0300180
AEI Project No. N205-14
We are sending you the following:
® Attached ❑ Under a separate cover via
❑ Plans ❑ Reports ❑ Specifications ® Other
No. of Copies
Date
Description
1
9/11
Revised Cover Letter for the Injection Permit Application
1
9/11
Table Summarizing Historical Groundwater Analytical Data
Former Edwards Lumber, 8800 Monroe Road, Charlotte, NC
28211
The above items are transmitted...
❑ For approval ® For your use ❑ For corrections ❑ For review/comment
❑ Other (specify)
Remarks:
As requested, attached is a revised cover letter for the Injection Permit Application previously
submitted to the NCDENR and a Table summarizing historical groundwater analytical data from
the existing groundwater monitoring wells at the subject site. If you have any further questions
or require addition information, please do not hesitate to call me at [phone]
cc: File Signed:
H. Carter, Patterson Property RandalfA. Smith. L.G.
M. Smith, AEI Senior Project Geologist
P.O. BOX 2669 8514 MCALPINE PARK DR.
MATTHEWS, NC 28106-2669 SUITE 100
MAIN: 704-845-1697 • FAX: [phone] CHARLOTTE, NC 28211

CDG�
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Henry E. Carter — Construction Manager
Patterson Property, LLC
PO Box 2439
Charlotte, NC 28106
Dear Mr. Carter:
Division of Water Quality
Coleen H. Sullins
Director
September 6, 2011
Dee Freeman
Secretary
Subject: Acknowledgement of
Application No. WI0300180
Former Edwards Lumber
Injection In situ Groundwater
Remediation Well (5I) System
Mecklenburg County
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on September 1, 2011. Your application package has been assigned the number
listed above, and the primary reviewer is Michael Rogers.
Central and Mooresville Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Aquifer Protection Section requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Michael Rogers at [phone] or [e-mail].
Sincerely,
CA
k .
for Deb s
Groundwater Protection Unit Supervisor
cc: Mooresville Regional Office, Aquifer Protection Section
Randall A. Smith, L.G. — AWARE Environmental, Inc - 8514 McAlpine Park Drive, Suite 100, Charlotte, NC 28211
Permit File WI0300180
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh. North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588: FAX 2: 919-715-60481 Customer Service: 1-877-623-6748
Internet www,ncwatemuality.org
Na rth ,Carolina
An Equal Opportunity Afirmative.Action Empiover

wiw AM% BM I
ENVIRONMENTAL c
I rE / IFAm
VIA FEDEX RECEIVED / DENR / DWQ
AQUIFFR PROTFrTION SECTION
August 30, 20l 1 $EP 01 2011
U1C Program
Aquifer Protection Section
North Carolina DENR - DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Re: Application For Permit to Inject Oxygen Release Material
Petroleum UST Site
Former Edwards Lumber
8800 Monroe Road
Charlotte, North Carolina 28211
Facility ID 0-013407
AEI Project No. N205-14
Dear Sir/Madam:
Attached is a completed application to use oxygen release material at the former Edwards Lumber site
located at 8800 Monroe Road, Charlotte, North Carolina to facilitate bioremediation of petroleum
compounds *identified in site groundwater. Petroleum impacted soils have been remediated to below
NCDENR soiteleanup levels at two (2) former UST basins at the site. The NCDENR — UST Section has
classified the site as low risk and NCDENR issued a No Further Action letter for the site, contingent
upon filing a Notice of Residual Petroleum with the Register of Deeds in Mecklenburg County. To avoid
placing a Notice of Residual Petroleum on the property Deed, Patterson Property, LLC, current owner of
the property, has elected to voluntarily remediate the remaining groundwater impacts to below 2L
Groundwater Standards by the use of an oxygen release material to expedite bioremediation of the
remaining petroleum compounds. The oxygen release material will be placed in the aquifer by using
filter socks in the two (2) existing monitoring wells at the site.
If you have any questions please do not hesitate to call me at [phone].
Sincerely,
AWARE Environmen
tal® Inc.
�G
Randy Smith, L.G.
Senior Project Geologist
Attachments
cc: File
H. Carter, Patterson Property, LLC
M. Smith, AEI
P.O. BOX 2669 8514 MCALPINE PARK DR.
MATTHEWS, NC 28106-2669 SUITE 100
MAIN: 704-845-1697 • FAX: [phone] CHARLOTTE, NC 28211

AQUIFER Pf ,_,_)`TECTION REGIONAL S'xAFF REPORT
Date: November 22, 2011
To: Aquifer Protection Central Office
Central Office Reviewer: Michael Rogers
Regional Login No:
County: Mecklenburg
Permittee:_ Patterson Property, LLC
Project Name: Former Edwards Lumber
Application No.: WI0300180
L GENERAL INFORMATION
1. This application is (check all that apply): ® New ❑ Renewal
❑ Minor Modification ❑ Major Modification
❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -loop Groundwater Remediation ® Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ❑ Yes or ® No.
b a. Date of site visit: 11/21/11
e:b. Site visit conducted by: Maria Schutte met with Randall Smith (Aware Environmental) 704-815-1670.
d-.c. Inspection Report Attached: ❑ Yes or ® No'.
2. Is the following information entered into the BIMS record for this application correct?
® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal and Iniection Sites:
(If multiple sites either indicate which sites the information applies to, copv and haste a new section into the
document for each site, or attach additional pages for each site
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
II. & III, -deleted
IV. INJECTION WELL PERMITAPPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed -loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description Of Well(S) And Facilities — New, Renewal, And Modification
1. Type of injection system:
FORM: WI0300180 staff report Nov 23 2011.docl 1

I
AQUIFER Pl�,�)�)TECTION REGIONAL S,r'FF REPORT
❑ Heating/cooling water return flow (5A7)
❑ Closed -loop heat pump system (5QM/5QW)
® In situ remediation (51)
❑ Closed -loop groundwater remediation effluent injection (5L/"Non-Discharge")
❑ Other (Specify:
2. Does system use same well for water source and injection? ❑ Yes ® No
3. Are there any potential pollution sources that may affect injection? ® Yes ❑ No
What is/are the pollution source(s)? Former Diesel and Gasoline USTs. What is the distance of the injection
well(s) from the pollution source(s)? —0 ft. Within the Plume of contamination.
4. What is the minimum distance of proposed injection wells from the property boundary? —200 ft.
5. Quality of drainage at site: N Good ❑ Adequate ❑ Poor
6. Flooding potential of site: N Low ❑ Moderate ❑ High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? ❑ Yes ® No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: The MRO also recommends adding ORP to the Field Measurements and
Calcium to the analytical, as it is a component of the injectant.
8. Does the map presented represent the actual site (property lines, wells, surface drainage)? ❑ Yes or ® No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow. The site map lacks contours, but uses an arrow for general
direction of GW flow toward McAlpine Creek.
Iniection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
❑ Yes ❑ No. If explain:
2. For closed -loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? ❑ Yes ❑ No. If yes, explain:
3. For renewal or modification of groundwater remediation permits (of any type) will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? ❑ Yes ❑ No. If explain:
4. Drilling contractor: Name: Current MWs installed by: William Kicker Jr., Mad Dawg Inc.
Address:
Certification number: 4108-B
FORM: WI0300180 staff report Nov 23 2011.doel 2

AQUIFER PI TECTION REGIONAL S'.tOFF REPORT
5. Complete and attach Well Construction Data Sheet.
V. EVALUATIONAND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application:
This proposal is for the placement of oxygen release filter socks to treat Diesel and Gasoline constituents released
from the former USTs. There are only two MWs on -site: MW-1 is the most down -gradient near the former
10, 000gal Diesel UST and MW-2 is located near the former 9, 000gal Gasoline UST. A filter sock will be placed in
each of the two wells for approx. 3 — 6 months and replaced as necessary. Make-up or chase water will not be
required. The quarter mile survey shows several MWs in the area and an active irrigation well about 500 feet
North, up -gradient from the site. The McAlpine creek is approx. 500 ft South/Southeast, down -gradient from MW-1
and has most likely been impacted by sources other than this site; therefore, the MRO does not see the injection as
an issue. The proposed monitoringplan only calls for sampling these two wells. The information submitted
suggested a limited area of contamination mostly based on the soil remediation not GW monitoring, although the
consultant said they used GW results from temporary push points to determine where to install the current
monitoring wells. Per discussion with the consultant, vertical extent of contamination has not been determined.
This site has been assessed as low risk by the UST group, with no further action required. For this reason the
MRO is inclined to allow the proposed monitoring plan, without additional down -gradient wells, but would like to
add ORP and Calcium as parameters to monitor the injectant. The proposal also states and the MRO recommends
it be emphasized in the cover letter that 4 quarterly sampling events will be required for a full year, following the
final ORC treatment. MRO recommends approval ofpermit, with sampling additions as noted.
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
FORM: WI0300180 staff report Nov 23 2011.docl 3

I
AQUIFER P1 TECTION REGIONAL S x AFF REPORT
6. 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
Add to sampling schedule: ORP to field
parameters and Calcium to analyses to track
injected material(s).
Basic requirement of UIC permit
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information;
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s): Maria Schulte
Signature of APS regional supervisor: Andrew Pitner (please accept this as my signature
since I'm working from home today and can't readily pdf-sign)
Date: November 22, 2011
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: WI0300180 staff report Nov 23 2011.doc1 4

Rogers, Michael
From:
Pitner, Andrew
Sent:
Wednesday, November 23, 2011 10:41 AM
To:
Rogers, Michael
Cc:
Schutte, Maria
Subject:
staff report W 10300180
Attachments:
W 10300180 staff report Nov 23 2011.doc
Hi Michael,
Here's the MRO report on the former Edwards Lumber site. let- Maria of I know of any questions.
Andrew
Andrew Pitner, P.G. - Andrew. PitnerOncdenr.gov
Division of Water Quality - Aquifer Protection Section
Mooresville Regional Office (MRO)
North Carolina Department of Environment & Natural Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
MRO Main Phone: [phone]
Direct Office Phone: [phone]
MRO Fax: '[phone]
DWQ website:.www.ncwaterguality.org
NOTICE: Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: October 29, 2011
To: ❑
Landon Davidson, ARO-APS
❑
Art Barnhardt, FRO-APS
®
Andrew Pitner, MRO-APS
❑
Jay Zimmerman, RRO-APS
From: Michael Rogers Groundwater Protection Unit
Telephone: [phone]
E Mail. Michael.Rogers(a-ncmail.net
A. Permit Number: WI 0300I80
B. Owner: Patterson Property, LLC
D. Application:
❑ David May, WaRO-APS
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight;. W-SRO-APS
Fax: [phone]
❑ Proposed ® Existing ❑ Facility I - ❑ Operation
1 Pernaf3 ❑ . Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
® UIC — SI Groundwafer Remediahoa i RU
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2 Project hype: ® New El Major Mod. ❑Minor Mod. El Renewal ❑Renewal w/ Mod.
.E. Comments/Other Information: ❑
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Within, please take the following actions:
® Return a Completed APSARR Form and attach laboratory analytical results, if applicable.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certificationfrom the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below; make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer:
Date:
FORM: APSARR 07/06 Page 1 of 1

SV �A
North Carolina Department of Health and Human Services
Division of Public Health o Epidemiology Section
191.2 1NIail Seri%ice Cetiter v Raleigh, Notth Carolina 27/699-1912
Tel [phone] v Fax [phone]
Michael V. Fvw;lcy, Govcrnor
Carmcn 1-fooker Odom, Seuctary
September 5, 2007
MEMORANDUM
To: Qu.0i
[Jnderground Injection Control Program CIO
Aquifer Protection Section
FROM: Luanne K. Williams, Phaini.D., Toxicologist
Medical Evaluation and Risk Assessment Unit �W
Occupational and Environmental Epidemiology Branch -'
North Carolina. Department of Health and Human Services co r
SUBJECT: Use of Non -Biological: Products EHC-Or'and O-SOX'Iv1 to Enhance
Biodegradation of Contaminated Groundwater
I am writuig in response to a request for a health risk evaluation regarding the use of non. -
biological products EHC-OT"4 and O-SOX i,1 to enhance biodegradation of groundwater
Contaminated with inorganic and organic contaminants. Based upon my review of the
information submitted, I offer the following health risk evaluation:
Exposure can cause severe skin, eye, nose, and tlu•oat irritation and possibly burns. The
third ingredient listed has been reported to react violently with a broad range of materials
including air and water. Measures should be taken to prevent hazardous reactions from
occurring (Micromedex. TOMEs Plus System CD-ROM Database, Volume 73, 2007)
2. If the products are 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.
Persons working with this product should at least wear goggles or a face shield, gloves,
quid protective clothing. Face and body protection should be used for anticipated splashes
or sprays.
4. Eating, drinking, smoking, handluag contact lenses, and applying cosmetics should never
be permitted in the application area during or immediately following application. 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 preventadverse reactions and
injuries.
Locatonl 5505 Six, arks Road, 2041 Vloor,l.Zoom ill e Rodei�;h, N.C. 2?609 An L*.-d Opportunity 1710'lployer

6. Access to the area. of application should be limited to the workers applying the product.
In order to minimize exposure to unprotected individuals, measures should be taken to
prevent access to the area of application.
7. Efforts should be made to prevent contamination of existing or future wells and surface
waters that may be located near the application area.
Please do not hesitate to call me if you have any questions at [phone].
cc: Peter Pozzo
Aquifer Protection Section
Adventus Americas Inc.
2871 W. Forest Road; Suite P12
Freeport, IL 61032 .

09-m-t.
0
ram.
North Carolina Department of Health and Human Services
Division of Public Health *Epidemiology Section -o
1912 Mail Service Center • Raleigh, North Carolina 27699-1912 r c
Te1919-733-3410 • Fax [phone] r,
Michael F. Easley, Governor Carmen Hooker 147
August 7, 2003
MEMORANDUM
TO: Mark Pritzl
Groundwater Section
FROM: Luanne K. Williams, Pharm.D., Toxicologist l'
Medical Evaluation and Risk Assessment Unit
Occupational and Environmental Epidemiology Branch
North Carolina Department of Health and Human Services
SUBJECT: Precautions to Follow While Using the Oxygen Release Compound to Enhance
Biodegradation of Contaminated Groundwater at Coats American Sylvan Plant in
Rosman, North Carolina
I am writing in response to the enclosed July 8, 2003 letter received from Mr. Scott -
Wilson, the president of the company that manufactures the Oxygen Release Compound. In this
letter, Mr. Wilson has provided comments to the enclosed July 1, 2003 health evaluation of the
Oxygen Release Compound completed by the Occupational and Environmental Epidemiology
Branch. Mr. Wilson states that precaution number one is not warranted because the product is not
an oxidizer. According to the company's MSDS sheet, the product contains 25-35% Magnesium
Peroxide which is an oxidizing agent and may ignite combustibles and react violently with
reducing agents, hydrocarbons such as fuels, and strong acids which can lead to a fire hazard.
See enclosed reference Hazardous Substance Fact Sheet for Magnesium Peroxide New Jersey
Department of Health and Senior Services, December 2000. Therefore, because of this potential
hazard during transport, storage, and injection; the precautions listed in the previous
memorandum should be followed to minimize risk. Mr. Wilson also states that precaution 9 and
10 are unwarranted which recommends that efforts be made to prevent contamination of existing
or future wells, and nearby waterbodies. As for all products that are injected into the
groundwater, precautions should always be taken to prevent contamination of nearby wells and
waterbodies.
Please do not hesitate to contact me if you have any questions at 919-715-6429.
LW:pw
cc: - Mr. Mike Bell, Coats North America, P.O. Box 670, Toccoa, GA 30577
- J. Alan Pinnix, L.G. and Michelle R. Pahr, P.E., ARCADIS G&M of North Carolina,
Inc., 801 Corporate Center Drive, Suite 300, Raleigh, NC 27607
- Mr. Scott Wilson, REGENESIS Bioremediation Products, 1011 Calle Sombra, San
Clemente, CA 92672
® Location: 2728 Capital Boulevard • Parker Lincoln Building • Raleigh, N.C. 27604 An Equal Opportunity Employer

r�to
North Carolina Department of Health and Human Services
Division of Public Health • Epidemiology Section
1912 Mail Service Center a Raleigh, North Carolina 27699-1912
Tel [phone] Fax [phone]
Michael F. Easley, Governor
July 1, 2003
MEMORANDUM
TO: Mark Pritzl
Groundwater Section
FROM: Luanne K. Williams, Pharm.D., Toxicologist vYr
Medical Evaluation and Risk Assessment Unit
Occupational and Environmental Epidemiology Branch
North Carolina Department of Health and Human Services
Carmen Hooker Odom, Secretary
SUBJECT: _Use, of Oxygen Release Compound to Enhance Biodegradation of
Contaminated Groundwater at Coats American Sylvan Plant in Rosman,
North Carolina
I am writing in response to a request for a health risk evaluation regarding the use
of Oxygen Release Compound to enhance biodegradation of contaminated groundwater
at Coats American Sylvan Plant in Rosman, North Carolina. Based upon my review of
the information submitted, I offer the following health risk evaluation:
PRECAUTIONS
1. Exposure can cause irritation of skin, eyes, nose and throat (Micromedex TOMES
Plus System CD-ROM Database, Volume 57, 2003; New Jersey Department of
Health and Senior Services Hazardous Substance Fact Sheet).
2. Contents within the product proposed for use may ignite combustibles (wood, paper
and oil). In addition, contents within the product react violently with reducing
agents, hydrocarbons such'as fuels, and strong acids which can lead to a fire hazard.
3. If the products are 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 it is imperative that proper personal.protective equipment be used.
The application process should be reviewed by an industrial hygienist to ensure that
the most appropriate personal protective equipment is used.
® Location: 2728 Capital Boulevard • Parker Lincoln Building • Raleigh, N.C. 27604 An Equal Opportunity Employer

4. Persons working with this product should at least wear goggles or a face shield,
gloves, and protective clothing. Face and body protection should be used for
anticipated splashes or sprays. Again, consult with an industrial hygienist to ensure
proper protection.
5. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should
never be permitted in the application area during or immediately following
application.
6. Safety controls should be in place to ensure that the check valve and the pressure
delivery systems are working properly.
7. The Material Safety Data Sheets should be followed to prevent adverse reactions and
injuries.
8. Access to the area of application should be limited to the workers applying the
product. In order to minimize exposure to unprotected individuals, measures should
be taken to prevent access to the area of application.
9. According to the -information submitted, Coats production wells.are located 440 feet
downgradient from the application area. There are several private water supply wells
located 1,500 feet upgradient of the treatment area. It is not known if the area is
served by a public water supply. Because of the potential risks associated with the
use of this product, efforts should be made to prevent contamination of existing or
future wells that may be located near the application area.
10. According to the information submitted, Galloway Creek crosses the site and
discharges to the French Broad River which is located approximately 2,000 feet from
the contaminated GM-4 well. Because of the proximity to these waterbodies and the
potential risks associated with this product, it is recommended that you consult with
the Water Quality Section to determine if this product could impact this surface water
body.
Please do not hesitate to call me if you have any questions at [phone].
cc: Mr. Mike Bell, Coats North America, P.O. Box 670, Toccoa, GA 30577
J. Alan Pinnix, L.G. and Michelle R. Pahr, P.E., ARCADIS G&M of North
Carolina, Inc., 801 Corporate Center Drive, Suite 300, Raleigh, NC 27607
REGENESIS Bioremediation Products, 1011 Calle Sombra,
San Clemente, CA 92672
2

�-ZT
Rogers, Michael
From:
Randy Smith ([e-mail]]
Sent:
Friday, April 27, 2012 10:13 AM
To:
Rogers, Michael
Cc:
Pitner, Andrew
Subject:
Injection Permit W10300180
Mike
In accordance with Injection Permit W10300180, AWARE on the behalf of Patterson Properties, is going to install
Adventus O-Sox in one well at their property located at 8800 Monroe Road, Charlotte, NC
The Injection Permit requires a 48 hour notice before the installation of the O-SOX material.
Installation date is planned for Tuesday May 1, 2012 at approximately 9:00 am.
If you have any question, please contact me.
Thanks
Randy
Randy A. Smith, L.G.
Senior Project Geologist
AWARE Environmental® Inc.
Mail: PO Box 2669 1 Matthews, NC 28106-2669
Office: 8514 McAlpine Park Drive, Suite 100 Charlotte, NC 28211
[phone] direct 1 [phone] main [phone] fax