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Home My WebLink AboutWI0300424_DEEMED FILES_20191121Permit Number Wl0300424 Program Category Deemed Ground Water Permit Type Injection Deemed In-situ Groundwater Remediation Well Primary Reviewer shristi.shrestha Coastal SWRule Permitted Flow Facility Facility Name R.S.Braswell Location Address 531 S Cannon Blvd Kannapolis Owner Owner Name Ncdeq State -Lead Program Dates/Events NC Orig Issue 11/20/2019 App Received 11/13/2019 Regulated Activities Groundwater remediation Outfall Waterbody Name 28083 Draft Initiated Scheduled -Issuance Public Notice Central Files: APS SWP 11/21/2019 Permit Tracking Slip. Status Active Project Type New Project Version 1.00 Permit Classification Individual Permit Contact Affiliation Major/Minor Minor Facility Contact Affiliation Owner Type Government -State Owner Affiliation Scott Ryals 1646 Mail Serivce Ctr Raleigh Region Mooresville County Cabarrus NC Issue 11/20/2019 Effective 11/20/2019 27699164 Expiration Requested /Received Events Streamlndex Number Current Class Subbasin North Carolina Department of Environmental Quality-Division of Water Resources NOTIFICATION OF INTENT (NOi) TO CONSTRUCT OR OPERATE INJECTION WELLS The following are "permitted by rule" and do not require an individual permit when constructed in accordance with the rules of 15A NCAC 02C .0200 (NOTE: This form must be received at least 14 DAYS prior to injection) AQUIFER TEST WELLS (15ANCAC 02c .0220) These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics. IN SITU REMEDIATION O 5A NCAC 02C .022 5) or TRACER WELLS O 5A NCAC 02C .0229): 1) Passive Injection S v stems -In-well delivery systems to diffuse injectants into the subsurface. Examples include ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be submitted for replacement of each sock used in ORC systems). 2) Small-Scale Injection O p erations -Injection wells located within a land surface area not to exceed 10,000 square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required for test or treatment areas exceeding 10,000 square feet. 3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a remediation strategy in order to develop a full scale remediation plan for future implementation, and where the surface area of the injection zone wells are located within an area that does not exceed five percent of the land surface above the known extent of groundwater contamination. An individual permit shall be required to conduct more than one pilot test on any separate groundwater contaminant plume. 4) Air Injection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater. Print Clearly or Type Information. Illegi,ble Submittals Will Be Returned As Incomplete. DATE: November 4, 2019_ PERMIT NO. v" J,,o ~ 0 O '1 L f (to be filled NO¥' ll'l~019 A. WELL TYPE TO BE CONSTRUCTED OR OPERATED WaterQ~lity illfgrmlOperationsSectfon (1) ___ Air Injection Well ...................................... Complete sections B through F, K, N (2) ----'Aquifer Test Well ....................................... Complete sections B through F, K, N (3) X __ Passive Injection System ............................... Complete sections B through F, H-N (4) ___ Small-Scale Injection Operation ...................... Complete sections B through N (5) ___ Pilot Test. ................................................ Complete sections B through N (6) ___ Tracer Injection Well ................................... Complete sections B through N B. STATUS OF WELL OWNER: Business/Organization C. WELL OWNER(S)-State name of Business/Agency, and Name and Title of person delegated authority to sign on behalf of the business or agency: Name(s): North Carolina Department of Environmental Quality/Scott R y als Mailing Address: 1646 Mail Service Center City: ---=R=a=le=i=gh"'----------State: NC Zip Code: 27699-1646 County: _____ _ Day Tele No.: 919-707-8168 Cell No.: _________ _ EMAIL Address: scott.ryals @ncdenr.gov Fax No.: __________ _ Deemed Pennitted GW Remediation NOi Rev. 3-21-2018 Page 1 D. PROPERTY OWNER(S) (if different than well owner/applicant) Name and Title: Cla\ Neal. Vice President Company Name IRN. Inc.. a Tennessee Cor_poratian Mailing Address: 209 W 7th St. City: Columba State: TN Zip Code: 38401 County: Day Tele No.: 931-490-4795 Ce11 No.: EMAIL Address: Fax No.: E. PROJECT CONTACT (Typically Environmental Engineering Firm) Name and Title: Flora D'Souza / Senior Scientist Company Name: Terracon Mailing Address: 2701 Westport Road City: Charlotte State: NC Zip Code: 28208 County: Mecklenburg Day Tele No.: 704-509-1777 Cell No.: 704-517-3035 EMAIL Address: flora.dsouza a terracon.com Fax No.: 704-509-1888 F. PHYSICAL LOCATION OF WELL SITE (1) Facility Name & Address: R.S. Braswell 531 South Cannon Boulevard City: Kannapolis County: Cabarrus Zip Code: 28083 (2) Geographic Coordinates: Latitude**: 35 ° 29 ' 13.848" or °. Longitude**: 80 ° 36 ' 0.844 " or °. Reference Datum: Accuracy: _ NOV jf Method of Collection: **FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES. G. TREATMENT AREA Land surface area of contaminant plume: square feet Land surface area of inj_ well net -work: square feet (i10,000 ft2 for small-scale injections) Percent of contaminant plume area to be treated: must be < 5% of plume for pilot test injections} H. INJECTION ZONE MAPS - Attach the following to the notification. Contaminant plume maps) with isoconcentration lines that show the horizontal extent of the contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and proposed injection wells; and Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical extent of the contaminant plume in soil and groundwater, changes in Ethology, existing and proposed monitoring wells, and existing and proposed injection wells. Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing and proposed wells. Deemed Permitted GW Remediation NOI Rev. 3-2]-2018 Page 2 I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the purpose, scope, and goals of the proposed injection activity. Tiris should include the rate, volume, and duration of injection over time. Terracon pro poses to place a sleeve ofRemRx CRP into well MW-IR. J. APPROVED INJECTANTS-Provide a MSDS for each injectant (attach additional sheets if necessary). NOTE: Only injectants approved by the NC Division of Public Health, Department of Health and Human Services can be injected. Approved injectants can be found online at h ttp ://deq.nc.gov/about/divisions/water- resources/water-resources-permits/wastewater-branch/gr ound-water-protection/eround-water-aporoved-in jectants. All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info (919- 807-6496). Injectant: =R=emRx=~------------------- Volume ofinjectant: 10 pounds ofCRP Persulfate Concentration at point of injection: 100% -One a pproximate 1.8 inch b y 7-foot sleeve Percent if in a mixture with other injectants: NIA Injectant: ______________________ _ Volume of inj ectant: Concentration at point of injection: ___________________ _ Percent ifin a mixture with other injectants: ___________________ _ Injectant: ____________________________ _ Volume ofinjectant: ___________________________ _ Concentration at point of injection: ___________________ _ Percent ifin a mixture with other injectants: _____________ _ K. WELL CONSTRUCTION DATA (1) Number of injection wells: NIA Proposed ______ Existing (provide GW-ls) (2) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each injection well in a diagram or table format. A single diagram or line in a table can be used for multiple wells with the same construction details. Well construction details shall include the following (indicate if construction is proposed or as-built): (a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery (b) Depth below land surface of casing, each grout type and depth, screen, and sand pack ( c) Well contractor name and certification number Deemed Permitted GW Remediation NOi Rev. 3-21-2018 Page 3 L. SCHEDULES -Briefly describe the schedule for well construction and injection activities. Terracon prop oses to insert the RemRx sleeve during the week of November 18 . 2019. M. MONITORING PLAN -Describe below or in separate attachment a monitoring plan to be used to determine if violations of groundwater quality standards specified in Subcha pter 02L result from the injection activity. Groundwater samples will be collected from the on-site monitoring well approximately 6 months after injection activities are complete. N. SIGNATURE OF APPLICANT AND PROPERTY OWNER Well Owner/ A pplicant: "I hereby certify, under penalty of law, that I am familiar with the information submitted in this document and all attachments thereto 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 significant penalties, including the possibility of fines and imprisonment, for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the irifection well and all related appurtenances in accordance with the 15A NCAC 02C 0200 Rules." .._,_j{(il \il ffi :~ ,:,.__ fl om J)'S::.u,:z.a{ S..,r,o c &,,,J;st Signature of Applican~ Print or 'l!ype Full Name and Title Property Owner (if the prop erty is not owned b y the Well Owner/Applicant): "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 irifection well(s) conform to the Well Construction Standards (J 5A NCAC 02C .0200)." "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. *See Attached Access A gr eement Signature* of Property Owner (if different from applicant) Print or Type Full Name and Title * An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form. Please send 1 (one) hard color copy of this NOi along with a copy on an attached CD or Flash Drive at least two (2) weeks prior to injection to: DWR -UIC Program 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: (919) 807-6464 Deemed Permitted GW Remediation NOI Rev. 3-21-2018 Page4 NCDEQ State Lead Program Access Agreement June 9, 2017 Mr. Scott Ryals Environmental Engineer DWM UST Section 1637 Mail Service Center Raleigh, NC 27699-1637 RE: State-Lead Acceptance Former RS Braswell 531 South Cannon Boulevard Kannapolis, Cabarrus County, North Carolina Incident Number 15855 Dear Mr. Ryals I am/We are the owner(s) of a parcel of property, located at or near the incident in question, and hereby permit the Department of Environment and Natural Resources (Department) or its contractor to enter upon said property for the purpose of conducting monitoring and/or remediation of the groundwater related to the monitoring well on the southeast comer of the site under the authority of G.S. 143-215.940 (the "Work"). I am/We are granting permission with the understanding that: 1. The Work shall be conducted by the UST Section of the Department's Division of Waste Management or its contractor. 2. The costs of the Work and any associated construction and maintenance of the site and access shall be borne by the Department or its contractor in accordance with the acceptance of the site into the State-Lead Program. The Department or its contractor shall protect and prevent damage to the other portions of the site not associated with the Work and surrounding lands. Any damages to the site caused by the Work will be restored by the Department or its contractor to as close to the pre-Work condition as practicably possible. 3. Unless otherwise agreed, the Department or its contractor shall have access to the site by the shortest feasible route to the nearest public road. The conduct of the Work shall be accomplished in such manner so as to minimize business disruption. The Department or its contractor will notify the land owner or its designated representative 48 hours prior to entry and may enter upon the land at such times as agreed to by the land owners. Further the Department or its contractor will have access during the period of the investigation as reasonably needed to conduct the Work as long as such access does not create any business disruption. Such access does not include the conduct of any activities not within the scope of the Work as defined herein. 4. Any claims which may arise against the Department or its contractor shall be governed by Article 31 of Chapter 143 of the North Carolina General Statutes, Tort Claims Against State Departments and Agencies, and as otherwise provided by law. 5. This access is not construed as conveying any property rights and shall be construed only as a license for access to the site to conduct the Work. 6. This access is granted for the Work for the period of one year from the date of this letter and may be renewed by agreement of the land owner. 7. 1/W e agree not to interfere with, remove or any ways damage the Department's well(s) or its contractor's well(s) and equipment during the investigation. The information derived from the investigation shall be made available to the owner upon request and is a public record, in accordance with G.S. 132-1. RE: State-Lead Acceptance Former RS Braswell 531 South Cannon Boulevard Sincerely, JRN, Inc., a Tennessee corporation 209 W 7th St. Columba, TN 38401 931-490-4795 Kannapolis, Cabarrus County, North Carolina Incident Number 15855 2 �! .$ I 15 _ IIIAriIdpllYrj ! ..K i.ioi — I ;3 _91 it _-T. iY ` _= 1 j's s TF /r rii i �s eg I 1 -n.i. t - I i=xowl: ) pt i 1 ;f I x FL=: -- les i:f' I xs „laq# —t E : i E II E• —1 r k r I: .i S ii - is g Ia 1 T I I--1• Ip 1.1 zil f �-} i;5 - 3c7' £ .� : i s F ""ii °[+� lid r s i-ss _ •ill 'T -iy 4 _ i e ■1 1[ i III �t i -�{F ��jj F P s s. •J C, a 1 ] _.Il (--^`-'�+. `. f! Ergs r7 ±� if ] `� ] I.-itia ix 1 �7 �' r E is L "'Ai i •. :x t•ir tl t 1 nt 4]6•:r Ei=i yc;•a r -- III M4fi;l= . • - . , . • I._ 1 II 1 1 IIElillf 1,';:1 4 • } If _ is :<E a: cti•arrr's a:. ,ri11q:i i i7.; a:'- , }li `!! 4 i � [�]i[111r1=} is i�1 r !e 1d1l}`C e 1 ; [ • 1 I Fll=It�i l• lapl ieii:J ::. ..E; 1!!= ill is j, 111.fs iilrl. 1 t]j[ia l + it 11r " ds ie it ' 1!i itii • EI F! rE _glg71. i i E ?i iN f t Figures Q ! w ..J :::::, 0 m z 0 z ~ 0 :r: I-:::::, 0 Cl) FORMER UST BASINS as ~ < "8 ~ (.) 00 ] ...:I 00 00 as 0 ~~W-1R D 1 N ' ,r Asphalt parking lot J Kentucky Fried Chicken (KFC) Asphalt parking lot FAIRVIEW STREET DIAGRAM IS FOR GENERAL LOCATION ONLY, AND IS NOT INTENDED FOR CONSTRUCTION PURPOSES I groundwater monitoring well ProjectManager. ProjectNo. l rc SITE MAP I f;g1ure I 1-----=SA""'C"-! 1--.:....71:....:.1.:.:59=6=60""A"-I nrra can Drawnby: AEK Scale: NTS I;;;;;; RS BRASWELL {INCIDENT #15855) 1-C-he-ck-ed-b-y:~CL-C-t FileName~raswell 2701 Westport Road 531 South Cannon Boulevard 1-D-ate-:--'==""' Charlotte, NC Kannapolis, Cabarrus County, NC Approvedby: CLC ..,__M_a_,c_h_20_1a_L __________ ___.L ___________________ _ Well ID: MW-lR Project No. : 71159660A Site Location: 531 South Cannon Boulevard lrerracan Field Personnel: Date: Location: Drilling Method: Driller: CLC 9/26/2016 Hollow Stem Auger EDPS 2701 Westport Road Charlotte, NC 28208 704-509-1777 Monitoring Well Construction Diagram -Land Surface De pth Below Land Surface (feet ) Riser Pipe --------~ Diameter 2" ----- Length 20' Material PVC Bottom of Grout 20 1-1------------- Bottom of Bentonite Seal 23 Sand Pack ------------➔ ___________ Top of Screen 25 Well Screen -----➔ Diameter 2" Length 15' Bottom of Screen 40 ------------Slot Size 0.01 Bottom of Tail Pipe 40 ------------Material PVC Bottom of Borehole 40 --------- i< I 4.25 Borehole Diameter (inches) >: I I