WI0300180_Regional Office Historical File Pre 2018

NCDENR
arohna D oat rlent of Environr ent and N
r Alater l tat
Director
December 19, 2011
Mr, Henry Carter
Patterson Property, L;LC
P.0, Boy 2439
Charlotte, NC 281(1.6
Ref: Issuance of.Injectictn Permit'wV1103001.80
Patterson Property, LLC
Charlotte, Mecklenburg Count, North Carolina.
Dear Mr. Carter
tl
In accordance with the application received an September 1, ` d 11, and additional information received September 20,
2011, we are forwarding permit :number \\ I03001'S0. This permit is to inject Adventus 0-SOX to renaediate groundwater
contaminated with petroleum products at the forcer Edwards Lumber Facility located at 8800 Monroe Road, Charlotte,
Mecklenburg County, NC 28212. This permit shall he 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 V11I.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-SO.X to confirm, groundwater quality meets standards according to ISA NCAC 2.L:. )200.
You will need to notify this office and the Mooresville Regional Office by teiepltone 48 hours prior tit irt.ittation eti
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 919-715-6166
or Michael.Ro ers iiinctlenr,cd?r if you have, any questions about your permit.
Michael Rogers, P.V. (`NC
En ironrnental Specialist
1 ndlerground Injection. Control Program
cc: Andrew Ptiner, tc rare Mlle 1 egiontl C)tfi
Randall Srnithw I..,C a, AWARE nmental, Inc.. 85 14 cAlpine Park 1;.)r., Suite. I(itt. C'ltaa°i
Mecklenburg County Ens ironmental Health Department
'%1'.'I03001801='ernrit 1� "sIe

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue teen H.H SURnS Dee Freeman
Governor Director Secretary
Daniel Bowser. DWM-UST SecLim Mooresville Regional Office
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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
Patterson Property, LLC
FOR THE CONSTRUCTION AND/OR OPERATION OF 2 TYPE 5I INJECTION WELLS,
defined in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(C), to inject Adventus
0-Sox for the enhanced rernediation of petroleum products. These injection weIls/points will be
located at the former Edwards Lumber Facility, 8800 Monroe Road, Charlotte, Mecklenburg
County, NC 28212, and will be operated in accordance with the application submitted September
1, 2011, and in conformity with the specifications and supporting data submitted September 20,
2011, 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 1SA 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 Ndvember 30,
2013, and shall be subject to the specified conditions and limitations set forth in Parts I through
X hereof.
Permit issued this the 19th day ofDecember, 2011.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WIO .3001 RO
ver. June 2411 UIC-51I5T
PAGE 1 OF 6

PART I - WELL CONSTRUCTION GENERAL CONDITIONS.
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.
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 he
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 he 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 duri
construction and use.
. Each injection well shall have permanently affixed an id
ficaton plate.
PART - WELL CONSTRUCTION SPECIAL CONDITIONS
. At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall
notifY the Aquifer Protection Section -Underground Injection Control (U1C) Central Office
staff, telephone number 919-715-6166 and the Mooresville Regional Office Aquifer
Protection Section Staff, telephone number 704-663-1699.
2. Bentonite grout shall not be used to seal any water -bearing zone with a chloride
concentration equal to or greater than -1,500 milligrams per liter, In areas where elevated
chloride levels are known to exist or are probable, such as coastal areas, chloride levels shall
be verified in the field to determine existing conditions,
Penmt NNICYJ;,*:.): P.ACIE 2. CIF 6
ver.. June 2011 1.31C-.51 T.' .

(
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 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 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.
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 Quality 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 V - 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 Aquifer Protection Section-UIC, Central
Office staff, telephone number 919-715-6166. 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. WI0300 ]•R0 PAGE 3 OF 6
ver. June 2011 UIC-51/5T

PART VI - INSPECTIONS
Any duly authorized officer, employee, or representative of' the Division of Water Qualuv
may, upon presentation of credentials, enter and inspect any property, premises, or place on
or related to the injection fa,cility 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 pemiit, 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
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
1,636 Mail Service Center
Raleigh, NC 27699-1636
The proposed monitoring plan, received included in the application shall be followed except
that ORP and calcium shall be added to the monitoring plan. Additionally, samples shall be
collected each quarter for 4 quarters after the 'final injection to confirm groundwater quality
meets standards according to 15A NCAC 2L. 0200.
3. All sample results shall be submitted to the Aquifer Protection Section's Mooresville
Regional Office and the Raleigh Central Office. Any monitoring (including groundwater,
surface water, or soil sampling) deemed necessary by the Division of Water Quality to ensure
surface and ground water protection, will be established and an acceptable sampling
reporting schedule shall be followed.
4. The Perrnittee shall submit an Injection Event Record within 30 days of completing each
injection,
5. The Pemlittee shall produce a final project evaluation within 9 months after co „ pieting 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.
6. The:monitoring results and the final project evaluation shall be submitted to:
Permit No. W10:".,;';V: PAGE 4 OF 6
ver, junt 201.1 1:1C-53

UIC Program Staff
DWQ — Aquifer Protection Section and
1636 Mail Service Center
Raleigh, NC 27699-1636
DWQ - Aquifer Protection Section
Mooresville Regional Office
610 E. Center Ave.
Mooresville, NC 28115
6. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge
of the occurrence, to the Mooresville Regional Office, telephone number 704-663-1699, 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.
7. 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.
8. 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 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.
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)A11 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
Permit No. WI03001 80 PAGE 5 OF 6
ver. June 2011 U1C-5I/5T

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 bottenn 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 easing 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 .0.713(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-LTIC PTO2TaM
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART X — WORKER PRECAUTIONS DURING APPLICATION
Some effects reported to be associated with the product proposed to be used are as follows:
eye, skin. nose, throat, and lung irritation, lf 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 he used. The
application process should be reviewed by an industrial hygienist to ensure that the most
appropriate personal protective equipment is used.
2. Persons working, with these products should wear goggles or a face shield, gloves, and
protective clothing. Face and body protection should be used for anticipated splashes or
sprays.
3. Eating, drinking, smoking. handling contact lenses, and applying cosmetics should not be
permitted in the application area during or immediately following application,
4. Safety controls should be in place to ensure that the check valve and the pressure de ivery
systems are working properly.
5, The Material Safety Data Sheets should he
reactions and injuries.
red to prevent incompatible or adverse
PtLf-miI *No. PAGE. 6 OF 6
ver. lune. 2011
U1C-51:5T

POLARIS - Version 3.1
Page 1 of 1 N`
Parcel Information
Return to Search Results Listing
Print Ownership and GIS Summary
Parc+ l Ownership Sumrnary
Parcel lD#: 1892'1.10 1 GIS ID#:
18921'10'1
Owner
Name:
Special
District:
Account
Type:
Mu nicipal ity:1-CI-IARLOTTE
Property WAREHOUSE
Use:
Deed Reference(s) and Sales
Price
26271-599 (2/3/20111
PATTERSON
PROPERTY LLC
AND C/O LEVINE
PROPERTIES INC
Mailing PO BOX 2439
Address: MATTHEWS, NC 2810(
Property Characteristics
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Desc.:
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Fire District:00-CITY OF
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9/6/2011

Date:
AQUIFER PRoTECTLON SECTION
APPLICATION :REVIEW REQUEST FORM.
andon L.)avidson, AR.O-APS.
Art Barnhardt, FRO-APS
Andrew Pitner, MRO-APS
Jay Zimmerman, RRO-APS
P David May, WaRO-APS
Q Charlie Stehman, WiRO-APS
0 Sherri Knight, W-SRO-APS
Fro wn¢°: t?,ichael Rogers Groundwater Protection Unit
Telephone: [phone] Fax: f9.19) 715-05S8
F-Mail: Michael..Rogers4ncmai4.net
A. Permit Number: WI
B. Owner: Patterson Prope
C. Facility/Operation:
Proposed
D. Application:
1. Permit Type:
For Resiela
2. Project Type: ® New
Animal © SFR-Surface L t at:ion
Recycle [ LIE Lagoon
UIC -- 5I Groundwater Remediation W
and App. Q D&M
503 0 503 Exempt
Major Mod. Minor Mod. [
F. Comments/Other Information:
Facility Operation
Reuse 0 II-R Lnfiltratio
W Remediation (ND)
Surface Disposal
Animal
Renewal fl Renewal Mod.
NOTE;
Attached, you will find all information submitted in support of the above -referenced application. trrr your
review, comment, andiorr action. Within, please take the following actions:
Return a Completed APSARR Form and attach laboratory analytical
El Attach Well Construction Data Sheet,
Attach Attachment B for Certification by the LA.PCU.
esu;
if applicable.
0 Issue an Attachment :B Certification frorn the RO.*
* Remember that you will be responsible for coordinating„ site visitors and revie s, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certifrcation. Refer to the RPP SOP for additional detail.
When you receive this request firm, 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 Rev1e
Date:
FORrYt APSARR 07'06

•a
NVIRONM ENVIRONMENTAL °
01■ t`
Transmittal
VIA US MAIL
September 16, 2011
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:
M Attached ❑ Under a separate cover via
❑ Plans
El Reports
RECEIVED / DENR 10WQ
AOi1IFFR'PRI1TFf:TIt7IV 8ECTIO €
lEP 2 0 2011
El 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 n 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
H. Carter, Patterson Property
M. Smith, AEI
Signed:
Randall A. Smith. L.G.
Senior Project Geologist
P.O. BOX 2669
MATTHEWS, NC 28106-2669
MAIN: 704-845-1697 • FAX: [phone]
8514 MCALPINE PARK DR.
SUITE 100
CHARLOTTE, NC 28211

AI
A A Am% INN
ENVIRONMENTAL
VKI ■ I
VIA FEDEX
September 16, 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:
RECEIVED 1 DENR / DWQ
AQUIFER PRnTFCT10N SECTION
SEP 2 0 2011
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.
Randall A. Smith, L.G.
Senior Project Geologist
Attachments
cc: File
H. Carter, Patterson Property, LLC
M. Smith, AEI
105141012
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P.O. BOX 2669 .
MATTHEWS, NC 28106-2669
MAIN: 704-845-1697 • FAX: [phone]
8514 McALPINE PARK DR.
SUITE 100
CHARLOTTE, NC 28211

RECEIVED 1 DEW ! DWQ
AQUIFFR'PROTF(T1CIW! SECT1O
• Stp20Nil •
TABLE 1
SUMMARY OF HISTORICAL GROUNDWATER ANALYTICAL RESULTS
FORMER EDWARDS LUMBER
CHARLOTTE, NORTH CAROLINA
NCDENR 2L
Groundwater
Standards
Gross
Contamination
Levels for
Groundwater
Sample ID
Former Diesel UST Basin
Former Gasoline UST Basin
MW-1
MW-2
Sample Date
414/11
7/14111
4/4111
7/14/11
_ MADEP (µgll)
VPH (C5-C8) Aliphatics
420
Not Specified
<100
NA
<100
NA
VPH/EPH (C9-C18) Aliphatics
4,200
Not Specified
<31.1
NA
0
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 (mil)
602
602
6200B
6200B
Benzene
1
5,000
17.5
10.0
2.12
78.8
Ethylbenzene
600
84,500
<1.0
15.1
<0.5
<2.5
Isopropylbenzene(cumene)
70
25,000
NA
NA
<0.5
2.7
Naphthalene
6
6,000
NA
NA
<0.5
11.7
Methyl tent -butyl 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-Trimethylbenzene
400
28,500
NA
NA
2.81
61.5
1,3.5-Trimethylbenzene
400
25.000
NA
NA
<0.5
_
7.75
m-, p-Xylene
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 (nil)
Naphthalene
6
6,000
<5.25
NA
NA
NA
SVOC Tentatively Identified Compounds
(TICS) (µfill)
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
(µfill)
0.02
50
NA
NA
<0.0155
NA
Lead - Method 6020A13030C (mil)
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

NCDENR
North Carolina Department of Environment and Natural esources
Division of Water Quality,
Beverly " es Perdue : oieen H, Sullins Dee reemar
Governor Director tar
Henry E. Carter — Cons:
Patterson Property, LLC
PO FBox.2439
Charlotte, NC 28106
Dear Mr. Carter:
anager
September 6, 2011.
Subject Acknowledgement of
Application No, W10.3001. 80
Former Edwards Lumber
Injection In situ Groundwater
Rernediation Well (:1I) System
Mecklenburg County
The Aquifer Protection Section aclatow ledges .receipt of your permit application and supporting
d.ocument.ation 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 fin
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications take as long as 60 to 9.0 days
after receipt of a complete application, Lf you have any questions, please contact
Michael Rogers at [phone] or rmchael.rogers( ncdenr.gov.
Sincerely
of .Debra J. Wa
Ciroundwat,cr Protection Unit Supervisor
cc: Mooresville Regional Ctffrce, Aquifer Protection Section
Randall A. Snuth, AWAk C l near mental, tnt - MSI4 McAlpine Park Drive Suite )00„ C";harrlotte.,' C 28s 19
Permit File W103001 S0
1834 !its i' Sema L,. nt .a Rat. @ta North
phone 9 .. M. 3" _ - `' : ,. E - . " M Co
interact VIWN nawater :ra[i a. ra

wiw r
ENVIRONMENTAL
IA ■ t`
VIA FEDEX
August 30, 2011
UIC Program
Aquifer Protection Section
North Carolina DENR - DWQ
1636 Mail Service Center
Raleigh, NC 27699-I636
Re: Application For Permit to inject Oxygen Release Material
Petroleum UST Site
Former Edwards Lumber
8800 Monroe Road
Charlotte, North Carolina 28211
Facility ID 0-0I3407
AEI Project No. N205-14
Dear Sir/Madam:
DWQ
AQURF R' ROV .TIONECEIVED / DENRIS CTKIN
,SEP o x 2011
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 Residua! 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.
!f 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
20514E111
P.O. BOX 2669
MATTHEWS, NC 28106-2669
MAIN: 704-845-1697 • FAX: [phone]
8514 McALPINE PARK DR.
SUITE 100
CHARLOTTE, NC 28211

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
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
• 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): f,J ?/.1 lo 9r / B
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 Manager
* 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: 282I1
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 I of 9

APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR INFECTION
Type 5I Wells —In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
III. INCIDENT & FACILITY DATA
A. FACILITY INFORMATION
1. FaciIity 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
I . 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 pg/I and naphthalene at 11.7 ug/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 feet
(X) No If no, list maximum concentration of total VOCs observed at site: 370 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:
36920
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 PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR INJECTION
Type 5I Wells — In Situ Groundwater Remediation / Type 5T Wells — Tracer Injection
IV. INJECTION DATA
A. INJECTION FLUID DATA
I. 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 (DEES) of the Division of Public Health, Department of
Health and Human Services. Review the list of approved iniectants or contact the UIC Program to determine if
the injectants you are proposing have been reviewed by OEES.
Injectant: Adventus O-SOXT'"' (oxygen release filter socks)
Concentration at point of injection: 100%
Percent if in a mixture with other injectants:
Injectant:
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 'A mile of injection site
( ) Air
( ) Other:
3. If any well within I/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-5I/5T Page 3 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
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)
b. Expected duration of each injection event: NA
c. Expected duration between events (if more than one event): NA
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 °F
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 weIl(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 PERMIT TO CONSTRUCT AND/OR USE A WELL(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 lumber yard starting in the I 970s 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-5I/5T Page 5 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
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, Iocated 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/1 and 1.7 mg/1.
Dissolved oxygen levels of at least 2.0 mg/1 are needed to sustain aerobic biodegradation to effectively reduce
petroleum compound concentrations in site groundwater. To expedite the attenuation of the remaining
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-5I15T Page 6 of 9

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
E INJECTION PROCEDURE AND EQUIPMENT
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 Ievels 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 2L 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 2L
Standards, the site wells will be monitored quarterly for one year to confirm that 2L 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 PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR INJECTION
Type 51 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
Location
Number
of Wells
Well
Depth
Screen
Interval
USE
Status
8601 Monroe Rd
1
NA
NA
Irrigation
Active
8711 Monroe Rd
3
NA
NA
Groundwater
Monitoring wells,
inactive landfill
Active
9024 Monroe Rd
NA
NA
NA
Groundwater
Monitoring wells,
petroleum UST release
Possibly
active
9100 Monroe Rd
NA
NA
NA
Groundwater
Monitoring wells,
petroleum UST release
Abandoned
NA — Not available.
See Figure 3 for the property locations with the above wells.
H MAPS AND ATTACHMENTS
Figure 1.
Figure 2.
Figure 3.
Attachment:
Attachment:
Site Location Map
Site Map
Well Location Map
Adventus 0-SOX - Material Safety Data Sheet
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 5I 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:
1. 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. 1 agree to construct, operate, maintain, repair, and if applicable, abandon the injection well(s)
and all related appurtenances in accordance with the approved specifications and conditions of the Permit.
Printed Name and Title: /-(e l? V c i eL lJ 5 /d Cl I
Signature:
'd 6'
Date: • - A G •- )
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 the land 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

0 4t 1 8Q°45°t 4 0°44'O0"
SCALE:
1/2
24000
1 MtlLE
= =I MIN MI
1000
2000
0
EORMER EDWARDS LUMBER
8800 MONROE ROAD
C,{ARLOTTE, NORTH CAROLINA
REFERENCE. A 'ENVIRONMENTAL®INC
BASE MAPS 'TAKEN FROM NATIONAL GEOGRAPHIC TOPO V I ■ km
SOFTWARE. SOFTWARE DATED 2001,
6000
8000 FEET
STE
IcUR I 1
CATIO\ AA
AEI PROJECT' No. N205-1 4-
D

11 1 -.' 41
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1
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ek
GRAVEL u▪ SD DRACF `'. /���''c▪ �'`/�4
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AREA �el.
GRAVEL
AREA
MW-1
FORMER
10.000 gal.
DIESEL UST
#A1 AND
#2 BASIN
MONROE ROAD
•
GRASS
LIMITS OF SOIL
EXCAVATION
/7
GRASS
x---x--x� x�
,
-ftP0
FORMER
9,000 gal.
GASOLINE
UST #1
BASIN
/ /44
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-
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LEGEND
--x—x—x— FENCE
—//--//—//— OVERHEAD POWERLINE
I I I 111 I I I f I I I 1 RAILROAD TRACKS
PROPERTY LINE
TREELINE
STORMWATER CATCH
BASIN
MONITORING WELL
LOCATION
SDr-�
L—J
MW-1*
4
ESTIMATED SHALLOW
GROUNDWATER FLOW
DIRECTION
BEFERE,NCE NOTE;
MAP DETAILS TAKEN FROM AERIAL PHOTOGRAPH
OBTAINED FROM MECKLENBURG COUNTY, NORTH
CAROLINA POLARIS GIS SYSTEM ON DECEMBER 6,
2010.
50 0
APPROXIMATE SCALE
100
200
300
SITE MAP
FORMER EDWARDS LUMBER
8800 MONROE ROAD
CHARLOTTE, NORTH CAROUNA
SCALE AS NOTED
DATE AUGUST 2011
APPROVED BY :
DESRCNED BY :
DRAWN BY: J.K.S.
REVISED
August 17, 2011 11:46:14 a.m.
Drawing: 20514S03.OWG
PROJECT NUMBER
N205-14
Amor •
8514 Me-Afpina Pork Dr. Charlotte, NC 28211
DRAWING NO.
FIGURE 2

LEGEND
PROPERTY WITH WELLS
MONITORING WELL
LOOATON
August 17, 2011 12: 00: 28 p,rn.
Drawing, 20514 WELL LOCATION MAD.DW0
SITE
•
mv,E,
MONIP,Ajt:
• c:
RR T,Tnt —
8711 MONROE RD
MC.31"-4 DDRiNG V,,EDDS
NE LAND
POND .*
I 9024 F\,10.,NOE. RD
T,00NITORING WELLS
PE TROLEUM UST RELr,ASE1
ELL _OCA ION MAR
FORMER EDWARDS LUMBER
SCALE AS NOTED
°Alt AUGUST 2011
PROJECT NUMBER
N205-14
8800 MONROE ROAD
CHARLOTTE, NC 282:1
APPROVED i3Y
DESIGNED BY
A
8514 1.4AlpInoP1rk Dr, Charcatim NC 2.8211 FIGURE 3
REVISED
DRAWING NO,

PRODUCT IDENTIFICATION:
PRODUCT USE:
MANU FA,CTURER:
Advcmu,s Annencas Inc.
2871 W, Forest Rd., Suite 2
Freeport, Tl..
61032
O-SOXTM
Soil and water treatment.
EMERGENCY PHONE:
USA: 1 •800-424-9300 (CH,EiMTRE C
Canada: 1-6I 3-996-6666 (CANUTEC)
TRANSPORTATION O DANGEROUS GOOD CLASSIER: AT
Oxidizing Solid, n os. (Calcium Peroxide). Class 5.1. PC; II, UN1479
WHMIS CLASSIFICATION:
Oxidizer
2. COMPOSITION:IINFOI
Ingre bents
Calcium Peroxide
Calcium Hydroxide.
PHYSICAL DATA
CaC) a
N ON INGREDIENTS
Chemical Formula
Ca(C)f
Appearance ,_.. White & brown granules
Physical state. Solid
Odor threshold __.....__.._,. m........_W.
None
Bulk Densityy„S00-650g/L
Solubility in Water___,Insoluble
,.._.. m.„ Wm Insoluble
Decomposition Temperatures , , _ Sclf-acceleratir
Ciegrees Celsius
4, HAZARILS.IDENTIFIC1
ON
Emcrgcracy c� °et view
Oxidizing agent, contact with other neater
PC..
N:
CAS No,
1305-79-9 45%=-7(
Under
decoApose and release oxygen that, intensities fire, T"his product contai
silica. The NIP and OSHA have not classified non -respirable erv',s
exposure to hazardous levels of respirable silica cltt is can cause
nialnwrespi.ral7la t:rr`st ins silica.
Potential Health. Effects:
4. General
g diseas.
g to mucous membrane and eyes.
Percentage
10%-20 %
from 275
this material nnay
espirable crystalline
enic. Long term
EHC-C') does not

ADVENTl1S
siamoe Riven Siaad, Sedirnsrir, and Groundwater
Rernectiaroonlec
Inhalatior
Skin contact
Ingestion _
FIRST AID MEASURES
+� Inhalatar?n
• Eye contact__�,.e.
• Skin contact
b. FIRE FIGHTING MEASURE
Flash Point
• Not applicable
Flammability
• Not applicable
Ignition Temperature
• Not applicable
Danger` of Explosion
• Non -explosive
Extinguishing Media
• Water
k ittsh ey<te:
held cttn,
respiratory tract. Long terra inhalation of elevated levels
lung ciisease
Risks of sertc?us or permanent eve
skin it
f the mouth and throat with nausea and vomit]
g
d person to fresh ai.r, Seek medical attention it
inning water for at least 15 minutes with eyelids
tecaa.list advice,
_Wash affected skin with soap and mild detergent and large anat?unts of
water,
It' 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 vornitin
Ilaards
• Oxidizer, Storage vessels involved in a tire 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,

ADVENTUS
.............................
ti.., tom, Sort Seri"iitner,t and Groundwater
Rernediatien Tectodogies
coraabustible (wood, papers, cloths etc.) Thermal decomposition releases oxygen and heat,
Pressure bursts may ocem 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 tire- exposed containers.
7. 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 hags or vented containers for disposal. Do not return spilled
or contaminated material to inventory. Avoid making dust.
• Flush retraining 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.
S. 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 n ateri.aks. 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 ve.rttil anon,
• Do not swallow,Avoid breathing vapors, mists, or dust, Do not eat, drink, or smoke in work
area.
• Prevent contact with combustible or of araac materials.
• Label containers and keep them tightly closed when not in use,
• Wash thoroughly after handling.

rhs, ADVENTUS
11111440011Prr Proven So i4 Sedirrwt end Groundwaw
Remediation red;
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 he needed; however, in dusty or unknown
atmospheres or when exposures exceed limit 'values, wear a NIOSI-I approved respirator.
Eye/Face Protection
• Wear che-mical safety goggles and a. full face shield while 'handling this produ.et.
Skin Protection
• Prevent contact with this product. Wear gloves and protective clothing depending on condition of
use, Protective gloves: Chemical-resisWt (Recommende.d 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
• Oxygen which supports combustion

AD if EN ! U 5
Proven Soil, Sediment. and Gmundwator
Remedr"d on Technologies
11. TOXICOLOGICAL INFORMATION
• LD50 Oral: Min.2000 rt'ig/kg, rat
• LD50 Dermal: Min, 2000mglkg, rat
• I.,D50 Inhalation: Min. 4580 mg/kg, rat
12. ECOLOGICAL LNFORMATION
Ecotoxicological Information
• Hazards for the environment is limited due t
solubility and precipitation in aquatic envirc
Chemical Fate Information
• As indicated by chemical properties oxyg
13. DISPOSAL CONSIDERATIONS
Waste Treatment
• Dispose of in an approved waste
local regulations.
Package Treatment
• The empty and clean contai
regulations.
14. TRANSPORT INFORMATION
• Proper Shipping Name: EHC-O
• Hazard Class: 5,1
• Labels:5,1 (Oxidizer)
• Packing Group: II
the product properties of no bioaccumulation, weak
sed into the environrnent
ii'ity operated by an authorized contractor in compliance with
e to be recycled or disposed of in conformity
REGULATORY INFORMATION
• SARA Section Yes
• SARA (313) C enucal's•-.u._.._�.................._-No
• EPA TSCA InventoryAppears
• Canadian WHMIS Classiticatic n C. D2B
• Canadian 1SLAppears
• EINECS inventory_ Appears
16. PREPARATION INFORMATION
Prepared By: Kerry Bolanos-Shaw
Adventus Remediation Technologies
1345 Fewster Drive
Mississauga, Ontario
L4W 2A5
Date Prep./Rev:
Print Date:
Phone:
Fax:
,ith local
9/12/07
9/12/07
905-273-5374
905-273-4367

NON RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 4I08-B
1. WELL CONTRACTOR:
William Kicker Jr.
Well Contractor (Individual) Name
Mad Dawci. Irtc.
Well Contractor Company Name
PO Box 398
Street Address
_ Iron Station NC 28080
City or Town State Zip Code
(704 ) 732-0213
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMITS N/A
OTHER ASSOCIATED PERMITTi(if eppricabie) N/A
SITE WELL ID kin appiiceble) MW-1
3. WELL USE (Check One Box) Monitoring (I/Municipal/Public 0
Industrial/Commercial 0 Agricultural O Recovery ❑ injection 0
Inigation0 Other 0 (list use)
DATE DRILLED 03/30/201 1
4. WELL LOCATION:
8800 Monroe Road
(Street Name. Numbers, Community, 5ubdil.i on, La No., Paroel. Zip Cede)
CITY: Charlotte couNTY_MecklQnburs
TOPOGRAPHIC f LAND SETTING: (cDeck appropriate box)
[Slaps ❑Valley kittat DRidge pother
LATITUDE 35 • B • 6.4700 • DMS OR 3x.xxxxxxxxx DO
LONGITUDE ea • as 50.7300 " DMS OR 7x.xXxxXxxx, DD
Latitude/longitude source: MPS :Topographic map
(location of wall most be shown Orr a USGS topo map andattached to
this form if not using GPS)
6. FACILITY (Name of the business where the well is located.)
Facility Name Facility !DO (if applicable)
RROI'i Monroe Rnari
Street Address
Charlotte NC 28711
City or Town State Zip Code
Randy Stith
Contact Name
8514 MnAlnine Park r]riyp Suite 1011
Mailing Address
Charlotte NC 211211
City or Town State Zip Code
( 704IJ 815-1870
Area code Phone number
i. WELL DETAILS:
o. TOTAL DEPTH: 32'
b. DOES WELL REPLACE EXISTING WELLT
c. WATER LEVEL Below Top of Casing: 25'
(Use'+- if Above Top of Casing)
YES0 NOG/
FT.
d. TOP OF CASING IS 0 FT. Above Land Surface'
'Top of casing terminated al/or below land surface may require
a variance In accordance with 15A NCAC 2C .0118.
a. YIELD (6pm): N/A METHOD OF TEST NIA
f. DISINFECTION: Typo N/A _ Amount N/A
g. WATER ZONES (depth):
Top N/A Bottom Top Bottom
Top N/A Bottom Top Bottom
Top N/A Bottom Top Bottom
Thickness/
7. CASING: Depth Diameter Weight Materiel
Top 0' Bottom 17' Ft. sch 4Q PVC
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material Method
Top 0 Bottom 13' FL Portland_ Tiimmie
Top Bottom FL
Top Bottom Ft.
9. SCREEN Depth Diameter Slot She Material
Top 17' _ Bottom 32' Ft in. .010 In. PVC
Top Bottom Ft in. in.
Top Bottom FL In. in.
10_ SAND/GRAVEL PACK:
Depth Size
Top 15' Bottom 32' FLAZ_
Top_ Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top Bottom
25 / 32 Brown Sandy Silty Clay
Material
silica
/
/
/
12. REMARKS:
Formation Description
Reddish Fill
1 DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
iSA NCAC 2C, WELL CONSTRU ST{N Ds, AND THAT A COPY OF THIS
RECORD IAS BEEN PROMDIDXd 7HF 4�EI p �R
+ 03/30/11
SIGN OF CERTIFIED WELL CONTRACTOR - DATE
William Kicker Jr.
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - Information Processing,
1617 Mail Service Center, Raleigh, NC 27699-161, Phone : [phone]
Form GW-lb
Rev. 2/09

0
NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
4108-B
WELL CONTRACTOR CERTIFICATION ki
1. WELL CONTRACTOR:
William Kicker Jr.
Weil Contractor (Individual) Name
Mad Dam. Inc.
Wee Contractor Company Name
PO Box 398
Street Address
Iron Stajion NO 2$080
City or Town State Zip Code
(704 ) 732-0213
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMITS N/A
OTHER ASSOCIATED PERMITV epptinhme) N/A
SITE WELL ID *(if eppicatde) M W-Z
3. WELL USE (Check One Box) Monitoring (d MunicIpaVPubtic 0
induslrtal Commercial 0 Agdcwltural 0 Recovery ❑ Injection 0
lrrigat'lonc Other 0 (mist use)
DATE DRILLED 03/30/2011
4. WELL LOCATION:
8800 Monroe Road -
(Street Name, Nomtara. Community, SuAdiriaian Lot No., Pawl, zip Cade)
CITY: Charlotte couNTy Mecklenburg
TOPOGRAPHIC f LAND SETTING: (check ppropnate box)
❑Scope °Valley !F1a1 ❑Ridge ❑Other
LATITUDE 35 •9 '2.4500 • DMS OR 3x.xxxxxxxxx DD
LONGITUDE eO . ° 44 ' 502300 • DMS OR 7X.XXxxx ocxx DD
Latitude/longitude source: Q!3PS Qropographic map
(location of well must be shown on a USGS topo map andattached to
this tom? if not using GPS)
6. FACILITY (Name of the business where the well is located.)
Facility Name Facility ID. (if applicable)
RROD Mnnrne Roars
Street Address
Chartnttp NC 2821_1
City or Town State Zip Code
Randy Smith
Contact Name
R514 McAlnin. Park f]rivp Suitp 1011
Mailing Address
CharIntte !yC 7RR211
City or Town State Tip Code
( 704a _ 815-1670
Area code Phone number
9. WELL DETAILS:
I. TOTAL DEPTH: 32
b. DOES WELL REPLACE EXISTING WELL? YES 0
c. WATER LEVEL Below Top of Casing: 25'
(Use'+' it Above Top of Casing)
NOq(
FT.
d. TOP OF CASING IS Q FT. Above Land Surface'
'Top of casing terminated aVor 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 NIA Amount N/A _
9. WATER ZONES (depth):
Top NIA _ Bottom Top Bottom
Top N/A Bottom Top Bohm
Top N/A Bottom Top Bottom
Thickness/
7. CASING:. Depth Diameter Weight Mstertel
Top 0' Bottom 17' . Ft sch 4Q PVC
Top Bottom FI.
Top Bottom Ft.
B. GROUT: Depth Material Method
Top 0 Bottom_ 13' Ft. Portland _ Triairnie
Top Bottom Ft.
Top Bottom Ft.
9. SCREEN: Depth Diameter Srot3tre Mirrlai
Top.17' Bottom 32' Ft. in. .010 In. PVC
Top Bottom Ft. in. in
Top Bottom Ft. in. in.
10. SAND/GRAVEL PACK:
Depth Stu
Top 15' Bottom_32' Ft._e_
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Top . Bottom
0 /25
Material
silica
Formation Description
Reddish Fill
Brown Sari Silty Clay
/
12. REMARKS:
I DO HEREBY CERTIFY THAT TWS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A NCAC 2C, WELL CO 5TR "STAND RDS, AND THAT A COPY OF THIS
RECORD HAS BFrEN PR DE E WE OIIYNER.
// _ 171C
SiGNATUIIE OF CERTIFIED WEL CONTRAL fl DATTE� 1
William Kicker Jr
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality - information Processing,
131T Mall Service Center, Raleigh, NC 27699-181, Phone : [phone]
Form GW-lb
Rev. 2/00