WI0500293_PERMIT_20131216

NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Orange County Solid Waste Management
FOR THE CONSTRUCTION AND OPERATION OF 4 IN SITU REMEDIATION INJECTION
WELLS, defined in Title 15A North Carolina Administrative Code 2C .0209(5)(b)(viii), to inject
Potassium Permanganate, for the chemical oxidation of chlorinated solvents. These injection
wells/points will be located at the Orange County Landfill — North Facility, located at 1514
Eubanks Road in Chapel Hill, Orange County, North Carolina, and will be operated in
accordance with the application submitted August 7, 2013, and in conformity with the
specifications and supporting data submitted between August 14, 2013 and December 4, 2013,
all of which are filed with the Department of Environment and Natural Resources and are
considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until November 30,
2018, and shall be subject to the specified conditions and limitations set forth in Parts 1 through
X hereof.
Permit issued this the 16th day of December, 2013.
dov \QA
Thomas A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission.
Permit No. W10500293 PAGE 1 OF 7
ver. 10/16/2013 UIC-51/5T

•
PART I - WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and
criteria specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C
.0200). Any noncompliance with conditions of this permit constitutes a violation of the
North Carolina Well Construction Act and is grounds for enforcement action as provided for
in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit is valid only for construction of the number of injection wells described in the
application and other supporting data. Construction of additional injection wells must be
approved in advance by the Water Quality Regional Operations Section.
4. Each injection well shall not hydraulically connect separate aquifers.
5. Each injection well shall be constructed in such a manner that water from land surface cannot
Migrate into the gravel pack or well screen.
6. Each injection well shall be secured to reasonably insure against unauthorized access and
use. Each well shall be permanently labeled with a warning that it is for injection purposes
and the entrance to each well must be secured with a locking cap.
7. Each injection well shall be afforded reasonable protection against damage during
construction and use.
8. Each injection well shall have permanently affixed an identification plate.
PART II - OPERATION AND USE GENERAL CONDITIONS
1. Prior to performing injection activity, a minimum of two semi-annual groundwater sampling
events shall be performed at the site for the parameters listed in Permit Condition VI.1., and
the results and concentration trends documented in the form of a short report summarizing
the results and trends. The first of these pre -injection sampling events will be performed six
(6) months after the permit is issued. The report shall be submitted to the Central Office and
the Raleigh Regional Office of the Water Quality Regional Operations Section to determine
if injection activity can be authorized.
2. This permit is effective only with respect to the nature, volume of materials, rate of injection,
and number of injection wells as described in the application and other supporting data.
3. This permit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Resources (Director). In the event there is a desire for the facility to
change ownership, or there is a name change of the Permittee, a formal permit amendment
request must be submitted to the Director, including any supporting materials as may be
appropriate, at least 30 days prior to the date of the change.
Permit No. W10500293 PAGE 2 OF 7
ver. 10/16/2013 UIC-51/5 T

r -
4. The issuance of this permit shall not relieve the Permittee of the responsibility of complying
with any and all statutes, rules, regulations, or ordinances that may be imposed by other
local, state, and federal agencies having jurisdiction. Furthermore, the issuance of this permit
does not imply that all regulatory requirements have been met.
PART III - PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwater which will render it unsatisfactory for normal use.
2. In the event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Resources such as the repair, modification, or
abandonment of the injection facility.
3. The Permittee shall be required to comply with the terms and conditions of this permit even
if compliance requires a reduction or elimination of the permitted activity.
4. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART IV - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director
of any planned alterations or additions in the permitted facility or activity not specifically
authorized by the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for
injection, the Permittee must notify by telephone the Water Quality Regional Operations
Section-UIC, Central Office staff, telephone number 919-807-6352. Notification is required
so that Division staff can inspect or otherwise review the injection facility and determine if it
is in compliance with permit conditions.
PART V - INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Resources
may, upon presentation of credentials, enter and inspect any property, premises, or place on
or related to the injection facility at any reasonable time for the purpose of determining
compliance with this permit, may inspect or copy any records that must be maintained under
the terms and conditions of this permit, and may obtain samples of groundwater, surface
water, or injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection,
observation, and sampling associated with injection and any related facilities as provided for
in N.C.G.S. 87-90.
Permit No. WI0500293 PAGE 3 OF 7
ver. 10/16/2013 UIC -5U5T

3. Provisions shall be made for collecting any necessary and appropriate samples associated
with the injection facility activities.
PART VI - MONITORING AND REPORTING REQUIREMENTS
I. The proposed monitoring plan, revised and submitted on December 16, 2010 for the original
application, shall be followed. This consists of monitoring wells MW-15, MW-16, MW-17,
MW-20, MW-21d, MW-21s, MW-22, MW-23, and MW-24 for Volatile Organic
Compounds, Carbon Dioxide, Chloride, Chromium, Mercury, Manganese, Potassium, pH,
temperature, specific conductance, Dissolved Oxygen, Turbidity, and ORP on a quarterly
(4x/year) schedule. The quarterly sampling schedule will begin after the two semiannual
sampling events required under Permit Condition II.1 have been performed, and after the
injection activities begin. Any additional monitoring, including groundwater, surface water,
or soil sampling, deemed necessary by the Division of Water Resources to ensure surface
water and groundwater protection may be established and an acceptable sampling reporting
schedule shall be followed.
2. All sample results shall be submitted to the Water Quality Regional Operations Section's
Raleigh. Regional Office and the Raleigh Central Office quarterly. Monitoring reports shall
include, at a minimum, analytical 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 surveyor's base map.
3. Within 30 days of completion of well construction, a complete Well Construction Record
(Form GW-1) shall be submitted to the addresses specified in Part VII.6 below.
4. The Permittee shall submit an Injection Event Record within 30 days of completing each
inj ection.
5. The Permittee shall submit a final project evaluation 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 02C .0202, whichever is greater, in order for this permit to be closed. Otherwise,
corrective action as described Part IX may be required.
6. All monitoring results, forms, and reports required in this Part shall be submitted to:
UIC Program Staff
DWR — WQROS
1636 Mail Service Center
Raleigh, NC 27699-1636
and
DWR - WQROS
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
Permit No. WI0500293
per. 10/16/2013 U1C-51/5T
PAGE 4 OF 7

7. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge
of the occurrence, to the Raleigh Regional Office, telephone number [phone], any of
the following:
(A)Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
8. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to the
Director by the Permittee.
9. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take
such immediate action as may be required by the Director.
PART VII - PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee must submit an application to renew the permit 120 days prior to its expiration
date.
PART VIII - CORRECTIVE ACTION
1. Any injection well not constructed or operated in accordance with this permit, or the criteria
and standards specified in 15A NCAC 02C .0200, shall be subject to corrective action as
provided for in rule 15A NCAC 02C .0206.
2. The following corrective actions shall apply to elevated concentrations of injectants or
reaction byproducts resulting from the permitted injection activity:
a. Continued monitoring until concentrations return to pre -injection values or meet the
standards specified in 15A NCAC 02L .0202, whichever are greater. The frequency,
duration, and location of monitoring shall be appropriate for site specific conditions
and potential receptors.
b. Groundwater quality parameters that do not attenuate as described in 2a above may
warrant a corrective action plan as provided for in rule 15A NCAC 02C .0206,
depending on the type, concentration, ,and distribution of the groundwater quality
standards being exceeded.
Permit No. WI0500293 PAGE 5 OF 7
ver. 10/16/2013 UIC-5115T

PART IX - CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an
injection well. Such a change would include the discontinued use of a well for injection. If a
well is taken completely out of service temporarily, the Permittee must install a sanitary seal.
If a well is not to be used for any purpose that well must be permanently abandoned
according to 15A NCAC 2C .0240, Well Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Permittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .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 sealed to insure freedom
from obstructions that may interfere with sealing operations.
(C) The well shall be thoroughly disinfected, prior to sealing, if the Director determines
that failure to do so could lead to the contamination of an underground source of
drinking water.
(D) Drilled wells shall be completely filled with cement grout 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 .0225(k)(1)(A) within 30 days of completion of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Water Quality Regional Operation Section-UIC Program
DENR-Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
Permit No. W10500293 PAGE 6 OF 7
ver. 10/16/2013 UIC-51/5T

PART X — WORKER PRECAUTIONS DURING APPLICATION
1. Some effects reported to be associated with the product proposed to be used are as follows:
eye, skin, nose, throat, and lung irritation. If the product is released into the environment in a
way that could result in a suspension of fine solid or liquid particles (e.g., grinding, blending,
vigorous shaking or mixing), then proper personal protective equipment should be used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and
protective clothing. Face and body protection should be used for anticipated splashes or
sprays.
3. Eating, drinking, smoking, handling contact lenses, and 'applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Safety controls should be in place to ensure that the check valve and the pressure delivery
systems are working properly.
5. The Material Safety Data Sheets should be followed to prevent incompatible or adverse
reactions and injuries.
Permit No. WI0500293 PAGE 7 OF 7
ver. 10/16/2013 UTC-5I/5T

EXECUTIVE SUMMARY SHEET
FOR THE ORANGE COUNTY LANDFILL INJECTION PERMIT IN ORANGE COUNTY
Renewal of Existing Injection Permit W10500293
The permittee wishes to renew an existing injection permit. The existing injection permit, issued
on December 23, 2010, allowed for the construction and operation of four injection wells to
inject potassium permanganate into the Orange County Landfill - North to remediate high levels
of chlorinated solvents and other Volatile Organic Compounds (VOCs) in the ground water. Two
of the four permitted permanent injection wells were constructed in March of 2011 and four
injection events (of the eight which were permitted) have been performed on these wells. The
applicant wished to have more time to complete the injection activities, as the existing permit
was scheduled to expire on November 30, 2013.
Post -injection monitoring of wells in the monitoring program has indicated elevated
concentrations of Manganese, and possibly Mercury, in several of the wells relative to the pre -
injection "baseline" concentrations of these metals. The apparent relationship between the
injections and the elevated metals' concentration led to the Raleigh Regional Office
recommending that the renewal of the permit be denied, as we cannot endorse actions that
encourage or cause groundwater contamination to take place.
A meeting was proposed between our agency and the consultants, however, telephone
conversations and email correspondences enabled us to work out an acceptable plan of action.
It was decided that the intended future injection activities would be postponed until some time
had passed to see if the metals' concentrations declined. The resulting permit requires that, six
months after the permit is issued, two semi-annual sampling events take place prior to any
future injection activities so that the agency can examine the data and verify that the metals'
concentrations are decreasing, and that those concentrations are returning to the pre -injection
("original") baseline concentrations prior to any more injections taking place. A quarterly post -
injection sampling program will take place after injections begin. The permit also includes a
"Corrective Action" section that was recently created to address those situations where
corrective action is needed as a result of injection activities.
tom& Jefj

Permit Number WI0500293
Central Files: APS SWP
12/05/13
Permit Tracking Slip
Program Category
Ground Water
Permit Type
injection In situ Groundwater Remediation Well
Primary Reviewer
david.goodrich
Coastal SW Rule
Permitted Flow
Facility
Facility Name
Orange County Landfill North Facility
Location Address
1514 Eubanks Rd
Chapel Hill
Owner
NC 27516
Status
in review
Project Type
Renewal
Version Permit Classification
Individual
Permit Contact Affiliation
Gayle Wilson
PO Box 17177
Chapel Hill
Major/Minor
Minor
Region
Raleigh
County
Orange
Facility Contact Affiliation
NC 27516
Owner Name
Orange County Solid Waste Management
Dates/Events
Owner Type
Government - County
Owner Affiliation
Gayle Wilson
PO Box 17177
Chapel Hill
NC 27516
Orig Issue App Received
12/20/10 08/07/13
Regulated Activities
Draft Initiated
Scheduled
Issuance
Public Notice Issue Effective
Requested/Received Events
Expiration
Groundwater remediation
RO staff report requested
Additional information requested
Additional information received
RO staff report received
Additional information requested
Additional information received
Additional information requested
Additional information received
Additional information requested
Region comments on draft requested
Region comments on draft received
08/09/13
08/13/13
08/14/13
08/27/13
08/29/13
09/24/13
10/23/13
10/23/13
10/25/13
10/25/13
10/30/13

Additional information received
Additional information requested
Additional information received
Additional information received
Additional information received
Additional information requested
Additional information received
Outfall NULL
Central Files: APS SWP
12/05/13
10/30/13
11/21/13
11/21/13
11/21/13
11/22/13
11/26/13
12/04/13
Waterbody Name
Stream Index Number Current Class
Subbasin

Reviewer:
iatrt.o.„•,
F.xistine Permit No.: (10 5au
Assiened Date:
Date to Processing:
Owner: xisting Owner Type: ❑ Non -Government --.p ❑ Individual ❑ Organization
❑ Unknown [kGovernment -Y♦ ❑ Municipal 0 Federal Q.Ceounty ❑ State
Facitit ❑ Pr_o_posed Facility Type: ❑ Facility Facility Regulated Activities:
ritrfxisting EQperation
Permit Type: Deemed
❑ Aquifer Test Wells
❑ Geothermal Aqueous Closed Loop Wells
❑ Geothermal Direct Expansion Closed Loop Wells
❑ In Situ Groundwater Remediation Wells circle one:
( air sparge, passive, small scale, pilot test )
❑ Stormwater Drainage Wells
❑ Tracer Wells
❑ Other Wells
Individual
❑ Aquifer Storage and Recovery Wells
❑ Geothermal Heating & Cooling Water Return Wells
KI"In Situ Groundwater Remediation Wells
❑ Experimental Technology Wells
El Tracer Wells
❑ Aquifer Recharge Wells
❑ Subsidence Control Wells
❑ Salinity Barrier Wells
Application Type: ❑ New
Notes:
❑ Major Modification
❑ Ownership Change g Renewal
❑ Minor Modification ❑ Name Change
❑ Renewal w/ Modification ❑ Rescission
UIC BIMS Entry Form April 11, 2013

PERMIT ISSUANCE MEMO
TO:
FROM:
RE:
Debra Watts
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
December 20, 2010
&,‘,06
Thomas Slusser —733
Permit To Inject Potassium Permanganate
Orange County Solid Waste Management
I recommend that Permit Number WI0500293 be issued to Orange County Solid Waste Management to inject
Potassium Permanganate to remediate groundwater contaminated with chlorinated solvents.
SITE DESCRIPTION The injection facility is an inactive municipal solid waste (MSW) landfill in the northern
portion of an otherwise active landfill facility. The closed northern MSW landf li was constructed without a liner and
leachate collection system, and it operated from 1972 to 1995. The injection site is bound to the northeast by an
inactive construction and demolition (C&D) landfill and bound to the south-southwest by the active MSW and C&D
landfills.
HYDROGEOLOGIC DESCRIPTION The facility lies within the Carolina Slate Belt of the Piedmont
Physiographic Province. Depth of bedrock varies across the site, with a maximum depth of —30 feet. Bedrock
consists of metasedimentary and metavolcanic rocks that are highly fractured. Average depth to groundwater is —10
feet. The groundwater flow rate has a significant range of—120-600 ft/yr across the site, with a downward vertical
hydraulic gradient in the western portion of the site and an upward vertical hydraulic gradient in the vicinity of the
proposed injection wells.
EXTENT OF CONTAMINATION Groundwater contamination occurs on the southeast side of the closed
municipal solid waste landfill. The contaminant plume has a range of - 200-500 feet wide and—400-800 feet long
with a maximum depth of --60 feet below land surface. Contaminants primarily consist of chlorinated solvents, but
mercury has occasionally been detected above the 2L groundwater standard.
PROPOSED INJECTION Potassium Permanganate will be injected via 4 permanent injection wells located
along the southeastern side of the facility. near Old Field Creek. A maximum of 8 injection events will be conducted
over the course of 2 years, depending on results of the monitoring plan. Each event will consist of 305 gallons of
injectant, which has little to no chance of resulting in contaminant plume displacement into uncontaminated areas.
HOW IT WORKS Potassium Permanganate is a chemical oxidant that destroys target contaminants through
chemical reactions that result in the formation of permanganate ions, which are strong oxidizing agents. Primary
degradation and reaction by-products are manganese oxide and carbon dioxide.
MONITORING The revised proposed monitoring plan submitted on December 1 6, 2010, shall be followed.
EPIDEMIOLOGY The DHHS' Epidemiology Branch provided comments on Potassium Permanganate for
groundwater remediation, and did not present any information that would preclude the use of these products for
injection, but they did provide a health risk analysis and worker safety precautions, which are in Part X of the attached
permit.
REGIONAL OFFICE COMMENTS Jay Zimmerman and Eric Rice of the Raleigh Regional Office recommend
issuance of this permit. RRO comments have been addressed via additional information requests.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Orange County Solid Waste Management
FOR THE CONSTRUCTION AND OPERATION OF 4 TYPE 51 INJECTION WELLS. defined in
Title 15A North Carolina Administrative Code 2C .0209(e)(3)(C), to inject Potassium Permanganate
for the chemical oxidation of chlorinated solvents. These injection wells/points will be located at
Orange County Landfill — North facility, located at 1514 Eubanks Road in Chapel Hill, Orange
County, North Carolina, and will be operated in accordance with the application submitted
September 23, 2010, and in conformity with the specifications and supporting data submitted
December 14-16, 2010, all of which are filed with the Department of Environment and Natural
Resources and are considered a part of this permit.
This permit is for Construction and Operation only, and does not waive any provisions of the Water
Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an injection well
shall be in compliance with Title 15A North Carolina Administrative Code 2C .0100 and .0200, and
any other Laws, Rules, and Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until November 30.2013,
and shall be subject to the specified conditions and limitations set forth in Parts I through X hereof.
Permit issued this the 23"1 day of December, 2010.
wr{'�1�,
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0500293
ver. Oct.2010 AP/UIC-6
PAGE 1 OF 6

PART I - WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and criteria
specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any
noncompliance with conditions of this permit constitutes a violation of the North Carolina Well
Construction Act and is grounds for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
3. This permit is valid only for construction of the number of injection wells described in the
application and other supporting data. Construction of additional injection wells must be
approved in advance by the Aquifer Protection Section.
4. Each injection well shall not hydraulically connect separate aquifers.
5. Each injection well shall be constructed in such a manner that water from land surface cannot
migrate into the gravel pack or well screen.
6. Each injection well shall be secured to reasonably insure against unauthorized access and use.
Each well shall be permanently labeled with a warning that it is for injection purposes and the
entrance to each well must be secured with a locking cap.
7. Each injection well shall be afforded reasonable protection against damage during construction
and use.
8. Each injection well shall have permanently affixed an identification plate.
9. Within 30 days of completion of well construction, a completed Well Construction Record
(Form GW-1) must be submitted for each injection well to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART II - WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall
notify the Aquifer Protection Section -Underground Injection Control (UIC) Central Office
staff. telephone number [phone] and the Raleigh Regional Office Aquifer Protection
Section Staff, telephone number [phone].
2. The locations of proposed injection wells INJ-A and INJ-B shall relocated to higher ground or
otherwise constructed with sufficient stickup to elevate the wellhead above the estimated 100-
year flood elevation. Documentation of this requirement shall be reported in accordance with
Part VI1.2 of this permit.
Permit No. WI0500293 PAGE 2 OF 6
ver. Oct.2010 AP/UIC-6

PART III - OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials, rate of injection, and
number of injection wells as described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Quality (Director). In the event there is a desire for the facility to change
ownership, or there is a name change of the Permittee, a formal permit amendment request must
be submitted to the Director, including any supporting materials as may be appropriate, at least
30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with
any and all statutes, rules, regulations, or ordinances which maybe imposed by other local, state,
and federal agencies which have jurisdiction. Furthermore, the issuance of this permit does not
imply that all regulatory requirements have been met.
PART IV - PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is no
contamination of groundwater which will render it unsatisfactory for normal use. In the -event
that the facility fails to perform satisfactorily, including the creation of nuisance conditions or
failure of the injection zone to adequately assimilate the injected fluid, the Permittee shall take
immediate corrective actions including those actions that may be required by the Division of
Water Quality such as the repair, modification, or abandonment of the inj ection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if
compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface or groundwater resulting from the operation of this facility.
PART V - OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained arid' operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director of
any planned alterations or additions in the permitted facility or activity not specifically
authorized by the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for injection,
the Permittee must notify by telephone the Aquifer Protection Section-UIC, Central Office staff,
telephone number [phone]. Notification is required so that Division staff can inspect or
otherwise review the injection facility and determine if it is in compliance with permit
conditions.
Permit No. WI0500293
ver. Oct.2010 AP/UIC-6
PAGE 3 OF 6

t
PART VI - INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division ofWater Quality may,
upon presentation of credentials, enter and inspect any property, premises, or place on or related
to the injection facility at any reasonable time for the purpose of determining compliance with
this permit, may inspect or copy any records that must be maintained under the terms and
conditions of this permit, and may obtain samples of groundwater, surface water, or injection
fluids.
2. Department representatives shall have reasonable access for purposes of inspection, observation,
and sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-
90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with
the injection facility activities.
PART VII - MONITORING AND REPORTING REQUIREMENTS
1. The proposed monitoring plan included in the application, as modified on December 16, 2010,
shall be followed. All sample results shall be submitted to.the Aquifer Protection Section's
Raleigh Regional Office and the Raleigh Central Office. Any .monitoring (including
groundwater, surface water, or soil sampling) deemed necessary by the Division ofWater Quality
to ensure surface and ground water protection, will be established and an acceptable sampling
reporting schedule shall be followed.
2. The Permittee shall submit an Injection Event Record within 30 days of completing each
injection, which shall include a site map with as -built injection well locations.
3. The Permittee shall produce a final project evaluation within 9 months after completing all
injection -related activity associated with this permit or produce a project interim evaluation
before submitting a renewal application for this permit. This document shall assess the injection
projects findings in a written summary. The final project evaluation shall also contain
monitoring well sampling data, contaminant plume maps and potentiometric surface maps.
4. The monitoring results and the final project evaluationshall be submitted to:
and to:
Aquifer Protection Section-U1C Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Aquifer Protection Section
DENR-DWQ Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Permit No. WI0500293 PAGE 4 OF 6
ver. Oct.2010 AP/UIC-6

5. The Permittee shall report oy telephone, within 48 hours of the ou:....i. ence or first knowledge of
the occurrence, to the Raleigh Regional Office, telephone number [phone], any of the
following:
(A) Any occurrence at the injection facility which results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures.
6. Where the Permittee becomes aware of an omission of any relevant facts in a permit application,
or of any incorrect information submitted in said application or in any report to the Director, the
relevant and correct facts or information shall be promptly submitted to the Director by the
Permittee.
7. In the eventthat the permitted facility fails to perform satisfactorily, the Permittee shall take such
immediate action as may be required by the Director.
PART VIII - PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the
Permittee must submit an application to renew the permit 120 days prior to its expiration date.
PART IX - CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status- of an
injection well. Such a change would include the discontinued use of a well for injection. If a
well is taken completely out of service temporarily, the Permittee must install a sanitary seal. If a
well is not to be used for any purpose that well must be permanently abandoned according to
15A NCAC 2C .0214, Well Construction Standards. -
2. When operations have ceased at the facility and a well will no longer be used for any purpose,
the Permittee shall abandon that injection well in accordance with the procedures specified in
15A NCAC 2C .0214, including but not limited to the following:
(A) All casing and screen materials may be removed prior to initiation • of abandonment
procedures if such removal will not cause or contribute to contamination of the
groundwaters.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) The well shall be thoroughly disinfected, prior to sealing, if the Director determines that
failure to do so could lead to the contamination of an underground source of drinking
water.
Permit No. WI0500293
ver. Oct.2010 AP/U1C-6
PAGE 5 OF 6

(D) Drilled wells shall be completely filled with cement grout or bentonite grout, which shall
be introduced into the"well through a pipe which extends to the bottom of the well and is
raised as the well is filled.
(E) In the case of gravel -packed wells in which the casing and screens have not been
removed, neat -cement, or bentonite grout shall be injected into the well completely filling
it from the bottom of the casing to the top.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been
created, each well shall be abandoned in such a manner that will prevent the movement
of fluids into or between underground sources of drinking water and in accordance with
the terms and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0213(h)(1) within 30 days of completion of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION
1. Some effects reported to be associated with the product proposed to be used are as follows: eye,
skin, nose, throat, and lung irritation. If the product is released into the environment in a way
that could result in a suspension of fine solid or liquid particles (e.g., grinding, blending,
vigorous shaking or mixing); then proper personal protective equipment should be used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working with these products should wear goggles or a face shield, gloves, and protective
clothing. Face and body protection should be used for anticipated splashes or sprays.
3. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application.
4. Safety controls should be in place to ensure that the check valve and the pressure delivery
systems are working properly.
5. The Material Safety Data Sheets should be followed to prevent incompatible or adverse reactions
and injuries. _
Permit No. WI0500293 PAGE 6 OF 6
ver. Oct.2010 AP/UIC-6

Reviewer:
Pik
xisting Permit No.:
(,07L0 500 2c
Assigned Date:
Date to Processing:
Owner: xisting Owner Type: ❑ Non -Government —► D Individual ❑ Organization
❑ Unknown ❑'Government ❑ Municipal ❑ Federalounty ❑ State
Facility: Ea Pra sed Facility Type: 0 Facility
xisting 41�peration
Facility Regulated Activities:
Permit Type: Deemed
❑ Aquifer Test Wells
❑ Geothermal Aqueous Closed Loop Wells
❑ Geothermal Direct Expansion Closed Loop Wells
❑ In Situ Groundwater Remediation Wells circle one:
( air sparge, passive, small scale, pilot test )
❑ Stormwater Drainage Wells
❑ Tracer Wells
❑ Other Wells
Individual
❑ Aquifer Storage and Recovery Wells
❑ Geothermal Heating & Cooling Water Return Wells
Er In Situ Groundwater Remediation Wells
❑ Experimental Technology Wells
❑ Tracer Wells
❑ Aquifer Recharge Wells
❑ Subsidence Control Wells
❑ Salinity Barrier Wells
Application Type: ❑ New
❑ Ownership Change
Notes:
❑Major Modification ❑ Minor Modification ❑ Name Change
Renewal ❑ Renewal w/ Modification ❑ Rescission
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