WI0500954_DEEMED FILES_20170130

Permit Number W10500954
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
Former Variety Pie-Up #2
Location Address
2300 Trawick Rd
Raleigh
Owner
Owner Name
NC
City of Raleigh Public Work Dept
Dates/Events
Orig Issue
1/30/2017
· App Received
1/26/2017
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
27604
Draft Initiated
Scheduled
Issuance Public Notice
Central Files : APS SWP
1/30/2017
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Chris Johnson
PO Box590
Raleigh NC 27602
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Government -Municipal
Owner Affiliation
Chris Stanley
222 Hargett St
Raleigh
Region
Raleigh
County
Wake
NC
Issue
1/30/2017
Effective
1/30/2017
27602
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasln
Shrestha, Shristi R
From: Shrestha, Shristi R
Sent: Monday, January 30, 2017 2:53 PM
To: 'chris [e-mail]`; '[e-mail]`
Cc: Bolich, Rick; Robertson, Laura R., Smith, Danny
Subject WI0500954 NCI Former Variety Pic -up
Thank you for submitting the Notice of Intent to Construct or Operate injection Wells (Nal) for the above referenced
site.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of
the GW-1s and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct
push or Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-
30). If well construction/abandonment information is the same for the wells, only one form needs to be
completed- just indicate total number of injection points in the Comments/Remarks section of form. These forms
can be found on our website at
htt:::_ deg.nc.Rov/aboutidivisionsrwater-resources. water-resources-permitsfwastewater-branchiRround-water-
urotection/ground-water-reporting,-forms
2) Injection Event Records (IER). All injections, including air and passive systems require an IER. The IER can be
modified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to me at 5hristi.shresthac incdenr.gov or via regular mail to address
below. When submitting the above forms, you will need to enter the nine -digit alpha -numeric number on the form
(i.e., WIOXXXXXX) that has been assigned to the injection activity at this site. This notification has been given the
deemed permit number WI0500954. This number is also referenced in the subject line of this email. You may if you
wish, scan and send back as attachments in reply to this email, as it will already have the assigned deemed permit
number in the subject line.
Thank you for your cooperation.
Sh risti
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi.shresthaLaincdenr.gov
512N, Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to 'how part'es-

5hrestha, Shristi R
From:
Sent:
To:
Subject
Attachments:
Please find the attached NOI.
Shristi
Shrestha, Shristi R
Monday, January 30, 2017 2:54 PM
Bolich, Rick; Robertson, Laura R.; Smith, Danny
WI0500954 NOI Former Variety Pic -up
Former Variety Pickup Site_UIC Notication Permit_2017.01.20.pdf
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
sh risti_shresthactI ncdenr. aov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
" Noth• Corr,.]
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and maybe disclosed io third parties

10 WithersRaven&
11///11011 liar i%r ,fllr
115 MacKenan Drive
Cary, North Carolina 27511
t: 919.469.3340 j f: 919.467.6008
TO: NCDEQ - DWR -UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
Attached
❑ Prints
❑ Change order
Letter of Transmittal
Former Variety Pickup Site
2300 Trawick Road
Raleigh, Wake County, NC
Groundwater Incident Number_ 17928
❑ Under separate cover via
the following
items:
❑ Plans ❑ Samples ❑ Specifications
❑ Diskette
COP
r'
DESCR1 P11 ON
v
�
1
01/24/17
1
UIC Permit Application
THESE ARE TRANSMITTED as checked below:
❑ For approval
['For your use
As requested
❑ For review and comment
❑ FOR BIDS DUE
REMARKS:
❑ Approved as submitted
❑ Approved as noted
❑ Returned for corrections
❑ Resubmit
❑ Submit
❑ Return
copies for approval
copies for distribution
corrected prints
20 ❑ PRINTS RETURNED AFTER LOAN TO US
RECEIVED/NODE/MR
JAN 26 2-Of7
eter tvatity Regronal
0c erations Section
COPY TO: File, City of Raleigh
SIGNED:
G. Matthew James, P.G.
If enclosures we not as noted, kindly notify us at once.

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT 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. This fo rm shall be submitted at least 2 weeks prior to in iection.
AQUIFER TEST WELLS (l5A NCAC 02c .0220 )
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION C1 5A NCAC 02C .0225 ) or TRACER WELLS 11 5A NCAC 02C .0229):
1) Passive In jection S v stems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods.
2) Small-Scale In jection O perations -Injection wells located within a land surface area not to exceed I 0,000
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 In jection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: Januarv 20. 2017 PERMIT NO. V\.[J OS 00 q5 'f (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
B.
(I)
(2)
(3)
(4)
(5)
(6)
___ Air Injection Well ...................................... Complete sections B-F, K, N
___ Aquifer Test Well ....................................... Complete sections B-F, K, N
___ Passive Injection System ............................... Complete sections B-F, H-N
X Small-Scale Injection Operation ...................... Complete sections B-N
___ Pilot Test ................................................. Complete sections B-N
__ Tracer Injection Well .............................. ~;~l}/~Q{NCQ;hW WR
JAN 2 6 2017
STATUS OF WELL OWNER: State Government
Water Quality Regional
C. . Operations Section . WELL OWNER -State name of entity and name of person delegated autn onfy to sign on behalf of the
business or agency:
Name: City of Raleigh : Attn: Chris Johnson. Rod way Design / Construction Manager
Mailing Address: _PO~B_o_x_5~9_0 ________________________ _
City: Ralei gh State: NC Zip Code:_27_6_0_2 ____ County:-'W'-'-=ak=e'-----
Day Tele No.: 919-996-4112 Cell No.: 919-616-5607
EMAIL Address: chris.johnston(@ralei clmc.g,ov Fax No.: ___________ _
UIC/Jn Situ Remed. Notification (Revised 11/19/2013) Page I
UIC/In Situ Remed. Notification (Revised 11/19/2013) Page 1
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.

DATE: January 20, 2017 PERMIT NO. (to be filled in by DWR)

A. WELL TYPE TO BE CONSTRUCTED OR OPERATED

(1) Air Injection Well……………………………..…Complete sections B-F, K, N
(2) Aquifer Test Well……………………….………..Complete sections B-F, K, N
(3) Passive Injection System…………………..……..Complete sections B-F, H-N
(4) ___X Small-Scale Injection Operation………………….Complete sections B-N
(5) Pilot Test………………………………………….Complete sections B-N
(6) Tracer Injection Well………………………….….Complete sections B-N

B. STATUS OF WELL OWNER: State Government

C. WELL OWNER – State name of entity and name of person delegated authority to sign on behalf of the
business or agency:

Name: City of Raleigh; Attn: Chris Johnson, Rodway Design / Construction Manager
Mailing Address: PO Box 590
City: Raleigh State: _NC_ Zip Code: 27602 County: Wake
Day Tele No.: 919-996-4112 Cell No.: 919-616-5607
EMAIL Address: [e-mail] Fax No.:
NOTIFICATION OF INTENT 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. This form shall be submitted at least 2 weeks prior to injection.

AQUIFER TEST WELLS (15A NCAC 02C .0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.

IN SITU REMEDIATION (15A NCAC 02C .0225) or TRACER WELLS (15A NCAC 02C .0229):
1) Passive Injection Systems - In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods.

2) Small-Scale Injection Operations – 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.

UIC/In Situ Remed. Notification (Revised 11/19/2013) Page 2
D. PROPERTY OWNER (if different than well owner)
Name: NCDOT – See Attached Encroachment Agreement & City of Raleigh (info above)
Mailing Address: 4009 District Drive / 1575 Mail Service Center
City: Raleigh State: _NC_ Zip Code: 277699-1575 County: Wake
Day Tele No.: 919-733-3213 Cell No.:
EMAIL Address: [e-mail] (Raymond Hayes) Fax No.: 919-715-5778

E. PROJECT CONTACT - Person who can answer technical questions about the proposed injection project.

Name: Matt James, P.G. (WithersRavenel)
Mailing Address: 115 MacKenan Drive
City: Cary State: _NC_ Zip Code: 27511 County: Wake
Day Tele No.: [phone] Cell No.:
EMAIL Address: [e-mail] Fax No.: [phone]

F. PHYSICAL LOCATION OF WELL SITE

(1) Physical Address: 2300 Trawick Road
City: Raleigh State: _NC_ Zip Code: 27604 County: Wake
(2) Geographic Coordinates: Latitude**: o ′ ″ or 35 o. 810774
Longitude**: o ′ ″ or -78 o. 577231
Reference Datum: NAD83 Accuracy: Sub-meter
Method of Collection: Google Maps
**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: ~152,000 square feet
Land surface area of inj. well network: ~3,500 square feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 2.3% (must be < 5% of plume for pilot test injections)

H. INJECTION ZONE MAPS – Attach the following to the notification.

(1) Contaminant plume map(s) 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

(2) 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 lithology, existing and
proposed monitoring wells, and existing and proposed injection wells.

UIC/In Situ Remed. Notification (Revised 11/19/2013) Page 3
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES – Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity.
The subject property is currently a vacant and undeveloped parcel once occupied by a retail gasoline and
convenience store located at 2300 Trawick Road in Raleigh, Wake County, North Carolina. The proposed
injection area formerly contained underground storage tanks (USTs) that included two 2,000-gallon gasoline
USTs, one 2,000-gallon diesel UST, and one 280-gallon kerosene UST that were removed in 1999. A portion
of this area is located within the DOT Right-of-Way. An approved DOT Encroachment Agreement is
including as Appendix A. This former tank bed acts as a source area of petroleum groundwater contamination
with free product observed in the vicinity of the former tank bed. WR submitted a Corrective Action Plan
Report dated June 2, 2014 recommending the injection of a surfactant (EnviroClean) into a grid network of 10
wells across the source area followed by a surfactant enhanced recovery event. The purpose of the injection
and recovery activities is to reduce source area contamination through removal of free-phase and dissolved-
phase petroleum contamination with the aid of surfactants.

J. INJECTANTS – Provide a MSDS and the following for each injectant. Attach additional sheets if necessary.

NOTE: Approved injectants (tracers and remediation additives) can be found online at
http://portal.ncdenr.org/web/wq/aps/gwpro. All other substances must be reviewed by the Division of Public
Health, Department of Health and Human Services. Contact the UIC Program for more info (919-807-6496).

Injectant: Enviroclean Surfactant
Volume of injectant: 1,125 gallons (22.5 gallons of Enviroclean diluted with water to 2% solution)
Concentration at point of injection: 2% mixture with potable water
Percent if in a mixture with other injectants: 2% mixture with potable water

Injectant:
Volume of injectant:
Concentration at point of injection:
Percent if in a mixture with other injectants:

K. WELL CONSTRUCTION DATA

(1) Number of injection wells: 7 Proposed 0 Existing
(2) 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:
(a) well type as permanent, direct-push, or subsurface distribution system (infiltration gallery)
(b) depth below land surface of grout, screen, and casing intervals
(c) well contractor name and certification number
See NCDOT Encroachment Agreement
L. SCHEDULES -Briefly describe the schedule for well construction and injection activities.
Day 1: Gauge product in injection/ recovery wells and MW -18, then complete pre-injection AFVR event for same wells.
Day 2-3: Inject surfactant solution (I, 125 gallons) into 7 injection/ recovery wells.
Week 2: Complete surfactant enhanced MMPE event.
Week 5: Collect site groundwater samples and measure site wells for free phase product.
This is currently the only phase of work approved by NCDEQ.
Additional injection events must be approved by the UST Section prior to taking place.
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 Subchapter 02L result from the injection activity.
Three weeks following completion of injection and recovery activities, injection / recove1y and monitoring
wells in the injection area will be gauged for the presence of free product and sampled for laboratory analysis
ofVOCs and smfactants.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "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 inquily of those individuals immediately
responsible for obtaining said information, I believe that the iriformation is true, accurate and complete. I am
mvare that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false iriformation. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well
and all related.aplJ" · na ces in accordance with the /SA NCAC 02C 0200 Rules."
/\. ,, I
I \.' ~1 M y-, '::. "'ti 11 .So,_
Signature of Applicant/ Print or Type Full Name
11/
PROPERTY OWNER /if the property is not owned by the permit 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 injection wel/(s) conform to the Well Construction
Standards (15A 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.
Signature* of Property Owner (if different from applicant) Print or Type Full Name
* An access agreement between the applicant and property owner may be submil!ed in lieu of a signature on this form.
Submit one copy of the completed notification package to:
UIC/Jn Situ Remed. Notification (Revised 11/19/2013)
DWR -UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Page 4

ATTACHMENTS

APPENDIX A

DOT ENCROACHMENT AGREEMENT

Transportation
December 08, 2016
County: Wake
21374is. PAT IOC RORY
L:;rnor
co et) NICHOLAS J. TENNYSON
t iv,',' sv,14 O .Sr unary
01
.-. i`r y
N r �1 hf
'Y,
vivt�
ena
Subject: Encroachment Contract
SR 2286
E51-40-16-0139
City of Raleigh
222 W. Hargett St, Suite 400
Raleigh, NC 27601
Dear Sir or Madam
Attached for your files is a copy of Right of Way Encroachment Agreement, which has been properly
executed. This contract covers the following:
Monitoring Well Network
A $5,000.00 PERFORMANCE AND INDEMNITY BOND IS REQUIRED AND SHALL BE
POSTED WITH THE DISTRICT ENGINEERS OFFICE PRIOR TO THE START OF ANY
WORK.
This encroachment is approved subject to the Standard and Special Provisions which are attached to
and made a part of the Encroachment Contract.
Sincerely,
T. R. Elmore
for J. R. Hopkins, PE, Division Engineerv'
JRH/TRE/rjh
cc: Mr. T. R. Elmore (w/ orig)
Raleigh
Attachment
``� Nothing Compares": -State of North Carolina 1 Department of Transportation j Division 5 District 1
4009 District Drive ; 1575 Mail Service Center j Raleigh, North Carolina 27699-1575
919-733-3213 Telephone [phone] Fax

Encroachment Special Provisions
1. NCDOT WORK ZONE TRAFFIC CONTROL QUALIFICATIONS AND TRAINING PROGRAM:
A. Effective July 1, 2010, all flagging operations within NCDOT Right of Way require qualified and trained
Work Zone Flaggers.
B. Effective July 1, 2011, qualified and trained Work Zone Traffic Control Supervisors will be required on
Significant Projects.
C. Training for this certification is provided by NCDOT approved training sources and by private entities that
haYe been pre-approved to train themselves. If you have questions, contact our web site at
http://www.ncdot.org/doh/preconstruct/wztc/WZTCT rainingProgram/ default.html, or contact Stuart B oume,
P.E. with NCDOT Work Zone Traffic Control Unit at [phone] or [e-mail].
2. A $5,000.00 Performance and Indemnity Bond shall be executed and posted with the District Office at 4009
District Drive, Raleigh, North Carolina 27607, prior to beginning any work on the Right of Way. When the
project has been completed for a period of one year, upon written request by the Encroacher to the District
Office, a final inspection and reYiew will be conducted by NCDOT, and if all work is found satisfactory, the
bond will be released.
3. This encroachment agreement only covers work within NCDOT Right-of-Way as shown on the attached plans
received in District Office on November 30, 2016.
4. Any personnel or equipment working within five feet of a travel lane shall require a full lane closure. No lane
of traffic shall be closed or restricted between the hours of 6:00 AM to 9:00 AM and 4:00 PM to 7:00 PM
Monday thru Friday, during any time of inclement weather, or upon District Engineers' directive. Traffic shall
be maintained at all times. Any violation of these hours will result in termination of the Driveway Pennit and
liquidated damages in the amount of$2,000.00 per hour or any portion thereof will be assessed by the District
Engineers Office.
5. Notify the City of Raleigh before starting work.
ES 1-40-1 6-0 13 9 Page 2 of 8
6. This encroachment only covers the monitoring wells shown on the attached plan. Any additional wells within
NCDOT right of way at this location shall require an encroachment revision.
The proposed wells shall be placed as shown on the attached plans. Monitoring wells shall be flush mounted
with the ground/pavement surface in areas within the clear recovery area and the routin~ mowing boundaries
and shall not be placed in the ditch line, side slopes of the ditches or in the pavement.
All costs for adjustments at the proposed monitoring wells due to relocation. resurfacing, highway construction
or other improvements shall be the responsibility of the encroaching party.
Any contaminated soils encountered in construction as spoil from the well installation shall be removed from
the Right of Way prior to completion of the wells.
After any monitoring well has served its intended purpose, the encroaching party shall fill the well in a manner
approved by the Division of Environmental Management. Any above ground obstructions shall also be
removed from the right of way.
NCDOT accepts no responsibility for proposed monitoring wells. All costs and/or maintenance of proposed
borings shall be the responsibility of the encroaching party.
Any equipment used for groundwater/free product recovery shall be located outside ofNCDOT right-of-way.
E5 1-40-1 6-0 I 3 9 Page 3 o f 8
Encroachment Standard Provisions
1. An executed copy of this encroachment agreement will be present at the construction site at all times during
construction. NCDOT reserves the right to stop all work unless evidence of approval can be shown.
2. NCDOT reserves the right to revise, restrict, suspend and.or void this encroachment agreement if the execution
and/or operation of said permit is found to be a hazard to the traveling public.
3. This encroachment agreement only covers work within NCDOT Right-of-Way. The encroacher is responsible
for verifying all right of way. NCDOT does not guarantee the right of way on this road. If the right of way was
not obtained by the fee simple method, it is the responsibility of the encroacher to obtain permission from the
underlying property owner/owners.
Encroacher shall be responsible for obtaining all necessary permanent and/or temporary construction, drainage,
utility and/or sight distance easements. All Right of Way and easements necessary for construction and
maintenance shall be dedicated to NCDOT with proof of dedication furnished to the District Engineer prior to
beginning work.
4. The encroacher is responsible for any claim for damages brought by any property owner by reason of the
installation.
5. Notify the District Engineer's Office at [phone] or at 4009 District Drive, Raleigh, NC 27607, prior to
beginning and after completion of work.
6. The Encroacher shall notify the public, including all adjacent property owners and businesses, a minimum of 2
weeks prior to beginning work.
7. Any and all changes noted in red on the plans shall be incorporated into and made part of the approved permit.
8. The encroaching party shall comply with all applicable local, state and federal environmental regulations, and
shall obtain all necessary state and federal environmental permits, including but not limited to, those related to
sediment control, storm water, wetland, streams, endangered species, and historical sites.
9. All materials and construction shall be in accordance with NCDOT standards and specifications, including but
not limited to, the NCDOT Standard Specifications for Roads and Structures 2012, the NCDOT Roadway
Standards Drawings, and NCDOT Policies and Procedures for Accommodating Utilities on Highway Rights of
Way.
10. The encroacher shall provide traffic control devices, lane closures, road closures, positive protection and/or any
other warning or positive protection devices necessary for the safety of road users during construction and any
subsequent maintenance. This shall be performed in conformance with the latest NCDOT Roadway Standard
Drawings and Standard Specifications for Roads and Structures and Amendments or Supplements thereto.
When there is no guidance provided in the Roadway Standard Drawings or Specifications, comply with the
Manual on Uniform Traffic Control Devices for Streets and High\11.ays and Amendments or Supplements
thereto. No work shall be performed in the Right of Way unless this requirement is satisfied. NCDOT reserves
the right to require a written traffic control plan for encroachment operations.
Sidewalk closures shall be installed as necessary. Pedestrian traffic shall be detoured around these closures and
shall be signed appropriately and in accordance with The American with Disabilities Act Accessibility
Guidelines.
ES 1-40-16-013 9 Page 4 of8
11. No parking or material storage shall be allowed along the shoulders of any NCDOT roadways.
12. Two-way traffic shall be maintained at all times.
13. No lane closures shall be permitted between the hours of6:00 AM to 9:00 AM and 4:00 PM to 7:00 PM,
Monday through Friday unless otherwise specified in the Special Provisions of this encroachment agreement.
14. At the end of each working day, equipment shall be parked outside of the clear recovery zone in order to avoid
any obstruction to the travelling public. This clear recovery zone is measure from the edge of the nearest travel
lane.
15. Work shall not be performed on both sides of the road simultaneously within the same area.
16. Ingress and egress shall be maintained to all businesses and dwellings at all times.
17. The paving of this roadway shall be in accordance with the revised NCDOT 2012 Standard Specifications,
Sections 610, 1012 and 1020. The Contractor shall follow all procedures of the attached Quality Management
System (QMS) for asphalt pavement-Maintenance Version. The Contractor must adhere to all testing
requirements and quality control requirements specified. The Contractor shall contact the NCDOT Division 5
QA Supervisor at [phone] prior to producing plant mix and make the Supervisor aware that the mix is
being produced for a future NCDOT road. Only NCDOT approved mix designs will be acceptable. A quality
control plan shall be submitted to the District Engineer's Office prior to asphalt production. Use form QMS-
MVl for the Quality Control Plan submittal. Failing mixes and/or densities are subject to penalties including
monetary payments or removal and replacement.
18. Roadway certification reports sealed by a Professional Engineer shall be submitted to the North Carolina
Department of Transportation at 4009 District Drive, Raleigh, North Carolina, indicating the following:
,:, Pavement thickness by type
··· Pavement density, core and/or test locations
• Base thickness
• Base density
Subgrade density
Test frequency and method shall be in conformance with the NCDOT "Materials and Tests" Manual. Test
must be performed by a Certified Technician including name and Certification number on report.
19. Any existing driveways, pavement, sidewalk, curb and gutter or drainage structures that are damaged during
construction shall be repaired to their original condition.
20. When surface area in excess of one acre will be disturbed, the Encroacher shall submit a Sediment and Erosion
Control Plan which has been approved by the appropriate regulatory agency or authority prior to beginning any
work on the Right of Way. Failure to provide this information shall be grounds for suspension of operations.
ES 1-40-1 6-0 13 9 Page 5 of8
21. All erosion control devices and measures shall be constructed, installed, maintained, and removed by the
Encroacher in accordance with all applicable Federal, State, and Local laws, regulations, ordinances, and
policies. All earth areas shall be regraded and seeded in accordance with NCDOT Standards Specifications for
Roads and Structures 1995. Seeding rates per acre shall be the following:
* Year Round Mixture: 50# Pensacola Bahia Grass; 50# KY 31 Tall Fescue; 5# Centipede; 500# 10-20-20
Fertilizer; 4000# Limestone;
* 2:1 Slopes Standard Mix: Use Year Round Mixture (Delete Centipede); Add 25# Service Lespedeza;
* If Using Crown Vetch on 2: l Slope (September-May): Use Year Round Mixture; Add Crown Vetch 15
lbs.I Ac.; (Delete Centipede and Bahia)
22. The applicant is responsible for identifying project impacts to waters of the United States (wetlands,
intermittent streams, perennial streams and ponds) located within the NCDOT right-of-way. The discharge of
dredged or fill material into waters of the United States requires authorization from the United States Army
Corps of Engineers (USACE) and certification from the North Carolina Division of Water Quality (NCDWQ).
The applicant is required to obtain pertinent permits or certification from these regulatory agencies if
construction of the project impacts waters of the United States within the NCDOT right-of-way. Additional
information can be obtained by contacting the USACE or NCDWQ.
23. The applicant is responsible for complying with the Neuse and Tar-Pamlico Riparian Buffer Rule as regulated
by the NCDWQ. The Rule regulates activity within a 50-foot buffer along perennial streams, intermittent
streams and ponds. Additional information can be obtained by contacting the NCDWQ.
24. Existing drainage patterns shall be maintained at all times throughout the proposed construction. The
encroacher shall keep the roadway clean of dirt and debris at all times throughout the duration of the project.
25. All proposed landscaping and plantings located within the NCDOT right of way shall be approved by the
Division Roadside Environmental Unit. Contact Corey Sudderth at [phone].
In the event these plants require relocation or removal for highway construction, reconstruction, or
maintenance of safety, such removal or relocation will be done immediately by the permittee upon notification
by the NCDOT entirely at the expense of the permittee.
26. The Division Traffic Engineer, shall be notified at [phone] prior to any excavation within 500 feet of a
signalized intersection or if there are existing NCDOT signs in or near the proposed work zone. All traffic
signal or detection cables must be located prior to excavation. All signal work and traffic signs shall be
coordinated with the Division Traffic Engineer. Costs to relocate, replace, or repair NCDOT signs, signals, or
associated equipment shall be the responsibility of the Encroacher.
27. All temporary and final pavement markings , reflective pavement markings and signage are the responsibility of
the Encroacher. All final pavement markings shall be thermoplastic. Any pavement markings that are
damaged or obliterated shall be restored at no expense to NCDOT.
28. All Traffic signs moved shall be reinstalled as soon as possible to meet NCDOT specifications.
29. Strict compliance with the Policies and Proce dures for Accommodating Utilities on Highway Right of Way
manual shall be required.
ES I -40-16-0 l 3 9 Page 6 of 8
3 0. It shall be the responsibility of the Encroacher to detennine the location of other utilities within the
encroachment area. The Encroacher shall be responsible for notifying other utility owners and providing
protection and safeguards to prevent damage or interruption to existing facilities and to maintain accessibility
to existing utilities.
31. All earth areas disturbed shall be regraded and reseeded in accordance with Division of Highways Standards
and Specifications.
32. The Encroacher shall remove all trees, stumps and vegetative material from the right of way and dispose of in a
licensed landfill or disposal site.
33. Excavated material shall not be placed on the roadway at any time.
34. Trenching, bore pits and/or other excavations shall not be left open or unsafe overnight. The Contractor shall
comply with all OSHA requirements and provide a competent person on site to supervise excavation at all times.
35. All excavations inside the theoretical 1: 1 slope from the existing edge of pavement to the bottom of the nearest
excavation wall should be made in accordance with the following conditions. Traffic should be moved to a
travel lane outside the limits of a theoretical one-to-one slope from the bottom of the nearest trench wall to the
pavement surface. Active excavation shoring, such as sheet piling, shall be installed. The design of the shoring
shall include the effects of traffic loads. The shoring system shall be designed and sealed by an engineer
registered in North Carolina. Trench boxes shall not be accepted as shoring. The trench backfill material
should meet the Statewide Borrow Criteria.
36. Excavated areas adjacent to pavement having more than a 2 inch drop shall be made safe with a 6: 1 or flatter
slope and shall be designated by appropriate delineation during periods of construction inactivity, including,
but not limited to, night and weekend hours.
3 7. Backfill material is to be placed at a maximum of 6 inch loose layers and each layer thoroughly compacted. All
embankment backfill shall be compacted to 95% density and all subgrade to 100% density in accordance with
AASHTO T-99 as modified by NCDOT. They shall be signed by a Professional Engineer and sent to the
District Engineers Office at 4009 District Drive, Raleigh, NC 27607.
38. No commercial ad,·ertising shall be allowed within NCDOT Right of Way.
39. Guardrail shall be installed where warranted and in accordance with the guidelines shown in the 2012 Highway
Design Branch Roadway Standard Drawings.
Guardrail removed or damaged during construction shall be replaced or repaired to their original condition.
ES I -40-I 6-0 I 3 9 Page 7 of 8
40. Poles shall be located/relocated at or as near as possible to the right-of-way line, shall be set outside the Clear
Recovery Area as outlined by AASHTO and outside sight distance triangles.
Poles located within guardrail sections shall be installed a minimum of 5 feet behind any guardrail. When
applicable, poles shall be placed behind sidewalk.
Any associated guy wires to ground anchors and stub poles shall not be placed between a pole and the travel
way and should be located outside the clear recovery area.
Minimum vertical clearance shall be 18' for aerial crossings over NCDOT roadways and 15'-6" for installations
parallel to the roadway.
41. Fire Hydrants shall be of the break-away type. Hydrants shall be placed a maximum of one foot inside the right
of way in ditch sections or a minimum of 6 feet behind the curb in curb and gutter sections.
42. Retaining walls or other vertical structures shall not be permitted inside NCDOT right of way.
E51-40-16-0139 Page 8 of8
e'er
ROUTE SR-2-284
OF NORTH CAROLINA
PROJECT Variety Pic Up #2 / COUNTY OF Wake
Perry Property
DEPARTMENT OF TRANSPORTAtIQ
t1! P
NOV 302016
-AND-
City of Raleigh, NC
222 W. Hargett Street, Suite
Raleigh, NC 27601
00 Fp•. •-ion of Highrda
mist 1 - Ilia 5
F WAY ENCROACHMENT AGREEMENT
N-UTILITY ENCROACHMENTS ON
AND SECONDARY HIGHWAYS
THIS AGREEMENT, made and entered into this the — -day of % ' , 20 / , by and between the Department
of Transportation, parity of the first part; and The City of Raleigh, North Carolina
(Former Variety Pic -Up # 2, NCDEQ TF# 17928) party of the second part,
WITNESSETH
THAT Wi {EREAS, the party of the second part desires to encroach on the right of way of the public road designated as
Route(s) SR-B4ycrest Drive) , located Approximately 65 feet east-northeast of centerline
Intersection of SR-2264 (Skycrest Drive) and SR-2205 (Trawick Road) in Raleigh, Wake County, NC.
with the construction and/or erection of: A monitoring well network (5 to 7 wells) to facilitate remediation of groundwater
contamination through surfactant injection. Wells to be located as shown on attached map. Locations subject to change within
Encroachment area based on field conditions at time of installations.
WHEREAS, it is to the material advantage of the party of the second part to effect this encroachment, and
the party of the first part in the exercise of authority conferred upon it by statute, is willing to permit the
encroachment within the limits of the right of way as indicated, subject to the conditions of this agreement;
NOW, THEREFORE, IT IS AGREED that the party of the first part hereby grants to the party of the second
part the right and privilege to make this encroachment as shown on attached plan sheet(s), specifications and
special provisions which are made a part hereof upon the following conditions, to wit:
That the said party of the second part binds and obligates himself to install and maintain the encroaching facility in such safe
and proper condition that it will not interfere with or endanger travel upon said highway, nor obstruct nor interfere with the proper
maintenance thereof, to reimburse the party of the first part for the cost incurred for any repairs or maintenance to its roadways
and structures necessary due to the installation and existence of the facilities of the party of the second part, and if at any time
the party of the first part shall require the removal of or changes in the location of the said facilities, that the said party of the
second part binds himself, his successors and assigns, to promptly remove or alter the said facilities, in order to conform to the
said requirement, without any cost to the party of the first part.
That the party of the second part agrees to provide during construction and any subsequent maintenance proper signs, signal
lights, flagmen and other warning devices for the protection of traffic in conformance with the latest Manual on Uniform Traffic
Control Devices for Streets and Highways and Amendments or Supplements thereto. information as to the above rules and
regulations may be obtained from the Division Engineer of the party of the first part.
That the party of the second part hereby agrees to indemnify and save harmless the party of the first part from all damages
and claims for damage that may arise by reason of the installation and maintenance of this encroachment.
It is clearly understood by the party of the second part that the party of the first part will assume no responsibility for any
damage that may be caused to such facilities, within the highway rights of way limits, in carrying out its construction and
maintenance operations.
That the party of the second part agrees to restore all areas disturbed during installation and maintenance to the satisfaction
of the Division Engineer of the party of the first part. The party of the second part agrees to exercise every reasonable
precaution during construction and maintenance to prevent eroding of soil; silting or pollution of rivers, streams, lakes, reservoirs,
other water impoundments, ground surfaces or other property; or pollution of the air. There shall be compliance with applicable
rules and regulations of the North Carolina Division of Environmental Management, North Carolina Sedimentation Control
Commission, and with ordinances and regulations of various counties, municipalities and other official agencies relating to
pollution prevention and control. When any installation or maintenance operation disturbs the ground surface and existing
ground cover, the party of the second part agrees to remove and replace the sod or otherwise reestablish the grass cover to
meet the satisfaction of the Division Engineer of the party of the first part.
That the party of the second part agrees to assume the actual cost of any inspection of the work considered to be necessary
by the Division Engineer of the party of the first part.
That the party of the second part agrees to have available at the encroaching site, at all times during construction, a copy of
this agreement showing evidence of approval by the party of the first part. The party of the first part reserves the right to stop all
work unless evidence of approval can be shown.
Provided the work contained in this agreement is being performed on a completed highway open to traffic; the party of the
second part agrees to give written notice to the Division Engineer of the party of the first part when all work contained herein has
been completed. Unless specifically requested by the party of the first part, written notice of completion of work on highway
projects under construction will not be required.
That in the case of noncompliance with the terms of this agreement by the party of the second part, the party of the first part
reserves the right to stop all work until the facility has been brought into compliance or removed from the right of way at no cost
to the party of the first part.
That it is agreed by both parties that this agreement shall become void if actual construction of the work contemplated herein
is not begun within one (1) year from the date of authorization by the party of the first part unless written waiver is secured by the
party of the second part from the party of the first part.
FORM RIW 16.1A (January, 1981)

R/W (161A) : Party of the Second Part certifies that this agreement is true and accurate copy of the form
R/VV (161A) incorporating all revisions to date.
IN WITNESS WHEREOF, each of the parties to this agreement has caused the same to be executed the clay and
year first above written.
ATTEST QR WITNESS'
Ruffin Hal
222 W. Hargett Street
Raleigh, NC 27602
City Manager
DEPARTMENT OF TRANSPORTATION
BY: / 111 AL-)
Vnr Asst. Manager of Righ
Gail Clerk
222 W. Hargett Street
Raleigh, NC 27602
f Way
City Clerk
aeCondnl.AP: ..: 4
INSTRUCTIONS
When the applicant is a corporation or a municipality, this agreement must have the corporate seal and
be attested by the corporation secretary or by the empowered city official, unless a waiver of corporate
seal and attestation by the secretary or by the empowered City official is on file in the Raleigh office of
the Manager of Right of Way. in the space provided in this agreement for execution, the name of the
corporation or municipality shall be typed above the name, and title of all persons signing the agreement
should be typed directly below their signature.
When the applicant is not a corporation, then his signature must be witnessed by one person. The
address should be included in this agreement and the names of all persons signing the agreement
should be typed directly below their signature.
This agreement must be accompanied, in the form of an attachment, by plans or drawings showing the
following applicable information:
1. All roadways and ramps-
2. Right of way lines and where applicable, the control of access lines.
3. Location of the proposed encroachment.
4. Length and type of encroachment.
5. Location by highway survey station number. If station number cannot be obtained, location
should be shown by distance from some identifiable point, such as a bridge, road,
intersection, etc. (To assist in preparation of the encroachment plan, the Department's
roadway plans may be seen at the various Highway Division Offices, or at the Raleigh
office.)
6. Drainage structures or bridges if affected by encroachment.
7. Typical section indicating the pavement design and width, and the slopes, widths and
details for either a curb and gutter or a shoulder and ditch section, whichever is applicable.
8. Horizontal alignment indicating general curve data, where applicable.
9. Vertical alignment indicated by percent grade, P.I. station and vertical curve length, where
applicable.
10. Amount of material to be removed and/or placed on NCDOT right of way, if applicable.
11. Cross -sections of all grading operations, indicating slope ratio and reference by station
where applicable.
12. All pertinent drainage structures proposed. Include all hydraulic data, pipe sizes, structure
details and other related information.
13. Erosion and sediment control.
14, Any special provisions or specifications as to the performance of the work or the method of
construction that may be required by the Department must be shown on a separate sheet
attached to encroachment agreement provided that such information cannot be shown on
plans or drawings.
15. The Department's Division Engineer should be given notice by the applicant prior to actual
starting of installation included in this agreement.
16, Method of handling traffic during construction where applicable.
17. Scale of plans, north arrow, etc.

PROPOSED LOCATION
-tea OF ENCROA MENT•
r
IR
7GRAPHtFSffttt-----
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•
A
ell OPP
VJp t A I rs f \ a V r. F r
Ergir,E;s ( !+::::;: a 5i•r•e::c:
TRt.I•.I'LK' C'E.dFt S:;Y'.REST'DRIVE
KBE
.." 5rj'
�.
R ,!=;G'-I. "VAi:E (: GU i :T`.. K
.......
a1.1
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c
0' 0w—:?.0
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si "C! ($'.E: 21hLR.T LOCATION!
&NNWuAaru4n-+6VRLN7 M . Gve.wx.e.g- MawdDr, ,.

4A.
LEGEND
QD PROPOSED TYPE II MONITORING WELL LOCATION
NOTES:
1.) 2013 AERIAL OBTAINED FROM THE WAKE COUNTY GIS DEPARTMENT.
;17.7:28,Xf
17-
- —J I •
15\r—
Nriv 3 0
La
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:J.
2
ME

TYPE II WELL CONSTRUCTION
(TYPICAL)
LOCKING WELL CAP
GROUND SURFACE
8" DIA. STEEL SKIRT
TOP BENTONITE 16'
TOP SAND 18'
TOP SCREEN 20'
BOTTOM SCREEN 35'
FLUSH MOUNT
BOLT DOWN COVER
NATIVE
SOILS
NEAT CEMENT GROUT
2—INCH DIAMETER PVC CASING
—.au—PELLETIZED BENTONITE
(2' MIN.)
CLEAN FILTER "TORPEDO" SAND
2—INCH DIAMETER PVC SCREEN
(0.01' SLOT)
PVC BOTTOM CAP
DIAMETER OF BORING VARIES
l it ersRavenet^ FORiViEl, AR!ETV P/C UU#, .._� NIA :.
T:?,-` ht...:!: RO D:. 1. ''"CLESi D.:1 Ir I eGo
pri ,..-.Ar _�ers 15E. ry - _r
1111
PROPC5':1) YPE iI V"laL; IDI/ C R f_i Knr 1Df'.1i• I-,2=k'J .i- :7:
1Ci•..P.o..�e".., ,,,....._;. R. A.?"-. A.. C". ...,....• rr4 - ',.5.... s. 2":, • 11.4.':..z'IL►.

National Pollutant Elimination System (NPDES)
Stormwater Permit Compliance Certification
I R.S. Lawter, PE, Agent for The City of Raleigh, NC , a duly authorized representative of
The City of Raleigh, NC (Variety Pie-Up# 2, TF#17928) , an industrial/commercial/residential
facility requesting attachment to a North Carolina Department of Transportation 2~~ i!ZOS highway drainage system at SR~(Skycrest Drive) & SR-ieeS-in
Raleigh, Wake County, do hereby certify the following:
Check appropriate box and circle type of facility
I ✓ I The Industrial / Commercial I Residential facility does not require an
NPDES stormwater permit.
D The Industrial/ Commercial/ Residential facility does require an NPDES
stormwater permit. The permit has been obtained and a Stormwater
Pollution Prevention Plan (SPPP) is in place. Appropriate structural
stormwater best management practices (BMP) are designed and installed as
required by the Department of Environment and Natural Resources (DENR)
and/or the local governing agency. All structural stormwater BMP's are
located outside of NCDOT right -of-way.
I understand if the Department of Transportation determines the facility is not in
compliance with NPDES stormwater requirements, the Department will report the
noncompliance to the DENR Division of Water Quality. I also understand that
falsification of this certification may result in penalty of law against the facility
and me as prescribed in the North Carolina General Statutes.
Signature: ~ {$j
Date: ~U, t=lh _____ _
Note: If the applicant has a question as to whether an NPDES stormwater permit is
required, he or she may contact the N.C. Division of Water Quality in Raleigh at
[phone] (ask for Stormwater and General Permits Unit).
Form NPDES-1
May 22, 2006
VERIFICATION OF COMPLIANCE WITH
ENVIRONMENTAL REGULATIONS
(Check Appropriate Box)
riPermits from the N.C. Department of Environment and Natural Resources and the
U.S. Army Corp of Engineers are not required for this project. However, all applicable
federal and state regulations have been followed.
The required permits from the N.C. Department of Environment and Natural Resources
and the U.S. Army Corp of Engineers have been obtained for this project. Copies of
permits and Completion Certificates are attached.
riAll applicable NPDES Stormwater Permit requirements have been met for this project.
(The applicant should contact the N.C. Division of Water Quality in Raleigh to determine
if a stormwater permit is required.)
r---]The project is in compliance with all applicable sedimentation and erosion control laws
and regulations.
Project Name:
Township:
Project Engineer:
Project Contact:
Variety Pic -Up # 2
Raleigh
R.S. Lawter, PE, Agent
Kevin Buchanan
Applicant's Name: City of Raleigh, NC
Date Submitted:
Form VCER-1
June 1, 2006
�1I26117
County: Wake
Phone No.: 919-469-3340

APPENDIX B

MSDS SHEET

EnviroClean 1 of 6
S A F E T Y D A T A S H E E T

SECTION 1 MATERIAL IDENTIFICATION

PRODUCT NAME / DESCRIPTION: EnviroClean

DISTRIBUTED / MANUFACTURED BY:
ENVIRO CLEAN SERVICES, L.L.C. DATE: 09/24/2013
PO BOX 721090 PHONE: [phone]
OKLAHOMA CITY, OK 73172 EMERGENCY PHONE: [phone]

FUNCTION: Industrial Cleaner and Remediation Agent

SECTION 2 HAZARD IDENTIFICATION

CLASSIFICATION:
Acute Toxicity- Oral Category 4
Skin Corrosion/Irritation Category 3
Eye Damage/Irritation Category 2B
Target Organ Specific Toxicity: Single Category 3
Target Organ Specific Toxicity: Chronic Category 2

SIGNAL WORD:
WARNING!

HAZARD STATEMENTS:
Harmful if swallowed
Causes mild skin irritation
Causes eye irritation
May cause respiratory irritation
May cause damage to organs through prolonged or repeated exposure

PRECAUTIONARY STATEMENTS:
Obtain special instructions before use
Do not handle until all safety precautions have been read and understood
Use personal protective equipment as required
Avoid breathing dust/fume/gas/mist/vapors/spray
Use only outdoors or in a well ventilated area
Wash all exposed skin thoroughly after handling
Avoid release to the environment
Store in a well ventilated place
EnviroClean 2 of 6

TOXICITY INFO:
See Section 11.

SECTION 3 HEALTH HAZARDS

CHEMICAL NAME %W/W CAS NUMBER
___________________________ ________ ______________

(Proprietary Formula)

Proprietary Blend of Ethoxylated Octylphenolic Surfactants
Non-ionic water based liquid blend, concentrate

This product does not contain any hazardous ingredients as defined by CERCLA and California’s Prop. 65.

SECTION 4 FIRST AID

Potential acute health effects:
Eyes: May cause irritation with redness and pain.
Skin: May cause irritation with redness and pain.
Inhalation: Inhalation may cause irritation.
Ingestion: Ingestion may cause severe irritation, corrosion/ulceration, nausea, and vomiting.

Medical Conditions Aggravated by Exposure:
None known.

Eye Contact: In case of contact, immediately flush eyes with cool running water. Lift and
separate eyelids while flushing with plenty of water for at least 15 minutes. Get
medical attention.
Skin Contact: Wash with soap and water. Get medical attention if irritation occurs. Wash
clothing before reuse. Destroy contaminated shoes.
Inhalation: Remove victim to fresh air and keep at rest in a position confortable for breathing.
If not breathing, give artificial respiration. If breathing is difficult, give oxygen.
Seek medical attention if symptoms develop.
Ingestion: Do NOT induce vomiting unless directed to do so by medical personnel. Never
give anything by mouth to an unconscious person. If large quantities of this
material are swallowed, call a physician immediately. Give plenty of water.

SECTION 5 FIRE FIGHTING MEASURES

Fire Hazard Classification (OSHA/NFPA): 0
Extinguishing Media: As required for fire being fought.
Special Fire Fighting Procedures: Use self-contained breathing apparatus.
Hazardous combustion products: No known.

EnviroClean 3 of 6
SECTION 6 ACCIDENTAL RELEASE MEASURES

Personal Precautions, PPE, and Emergency Procedures:
Wear protective clothing as described in Section 8 of this safety data sheet.

Containment Procedures: Stop the flow of material, if this is without risk. Wear appropriate protective
equipment and clothing during clean-up. Do not allow the spilled product to enter
public drainage system or open water courses.

Clean-Up Procedures: Sweep up or gather material and place in appropriate container for disposal.
Wash spill area thoroughly. Wear appropriate protective equipment during
cleanup. Dispose of collected material according to regulations.

SECTION 7 HANDLING AND STORAGE

Handling: Avoid contact with eyes, skin and clothing. Do not take internally. For industrial
use only. Wash after handling. Don’t breathe dust, vapor, or gas. Keep this and
all chemicals out of reach of children.
Storage: Keep away from heat, sparks, and open flames. Prevent spills. Keep container
tightly closed and in a cool, well-ventilated place away from incompatible
materials. Empty product containers may contain product residue, do not reuse.

SECTION 8 PERSONAL PROTECTION / EXPOSURE CONTROLS

Ventilation System: Always keep exposure below permissible exposure limits. In general, dilution
ventilation is a satisfactory health hazard control for this substance. However, if
conditions of use create discomfort to the worker, a local exhaust system should
be considered.
Airborne Exposure Limits: None Established.
Personal Protection: As prescribed in the OSHA Standard for Personal Protective Equipment (29 CFR
1920.132), employers must perform a Hazard Assessment of all workplaces to
determine the need for, and selection of, proper protective equipment for each
task performed.
Eyes: Wear face shield, safety glasses, or chemical goggles.
Hands & Skin: For prolonged or repeated handling, use impervious gloves. Gloves should be
tested to determine suitability for prolonged contact. Use of impervious apron
and boots are recommended.
Respiratory: If ventilation is not sufficient appropriate NIOSH/MSHA respiratory protection
must be provided.
Work Practices: Eye wash fountain and emergency showers are recommended.

SECTION 9 TYPICAL PHYSICAL AND CHEMICAL PROPERTIES

Physical Form: Liquid
Color: Red
Odor: Wintergreen
Odor Threshold: NE
EnviroClean 4 of 6
pH: 8.5+/-0.5
Boiling Point: NE
Melting Point: N/A
Flash Point: >200 deg F
Evaporation Rate (Butylacetate = 1) NE
Flammability: Non-Flammable
UEL: NE
LEL: NE
Vapor Pressure: NE
Vapor Density: NE
Specific Gravity (Water = 1): 1.03 +/- .05
Solubility Water: Complete
Partition Coefficient: NE
Auto-ignition Temperature: NE
Decomposition Temperature: NE
Viscosity (CPS): NE

SECTION 10 STABILITY AND REACTIVITY

Stability: This product is stable under normal temperatures and pressures.
Incompatibility: Strong Oxidizers and strong acids.
Decomposition Products: No Known hazardous products.
Conditions to Avoid: Sparks/flames/high heat.

SECTION 11 TOXICOLOGICAL PROPERTIES

Raw Material Test Result Route Species
N/A

See Section 4 for symptoms.

CARCINOGENICITY:
No known carcinogens, mutagens, or reproductively toxic ingredients

SECTION 12 ECOLOGICAL INFORMATION

Raw Material Test Result Time Species
N/A

PERSISTENCE & DEGRADABILITY:
NE

BIOACCUMULATION:
NE

EnviroClean 5 of 6
MOBILITY
NE

SECTION 13 DISPOSAL CONSIDERATIONS

Whatever cannot be saved for recovery or recycling should be managed in an appropriate and approved
waste disposal facility. Processing, use, or contamination of this product may change the waste
management options. State and local disposal regulations may differ from federal disposal regulations.
Dispose container and unused contents in accordance with federal, state, and local requirements.

SECTION 14 TRANSPORT INFORMATION

Not Regulated

SECTION 15 REGULATORY INFORMATION

US FEDERAL REGULATIONS

SARA (SUPERFUND AMENDMENTS AND REAUTHORIZATION ACT):

SARA 302 EXTREMELY HAZARDOUS SUBSTANCES LIST: NA

SARA 312 HAZARD CATEGORY: NA

SARA 313 TOXIC CHEMICALS LIST: NA

CERCLA (COMPREHENSIVE ENVIRONMENTAL RESPONSE. COMPENSATION AND
LIABILITY ACT): NA

RCRA (RESOURCE CONSERVATION AND RECOVERY ACT) LISTED HAZARDOUS WASTES:
NA

CWA (CLEAN WATER ACT) LISTED SUBSTANCES: NA

FDA (FOOD AND DRUG ADMINISTRATION): NA

TOXIC SUBSTANCES CONTROL ACT (TSCA): NA

NFPA HAZARD INFORMATION SIGN

[0] HEALTH HAZARD (BLUE DIAMOND) [0] REACTIVITY HAZARD (YELLOW DIAMOND)
4 – DEADLY 4 – MAY DETONATE
3 – EXTREME DANGER 3 – SHOCK AND HEAT MAY DETONATE
2 – HAZARDOUS 2 – VIOLENT CHEMICAL CHANGE
1 – SLIGHTLY HAZARDOUS 1 – UNSTABLE IF HEATED
EnviroClean 6 of 6
0 – NORMAL MATERIAL 0 – STABLE

[0] FIRE HAZARD (RED DIAMOND) [] SPECIFIC HAZARD (WHITE DIAMOND)
FLASH POINTS: OXY OXIDIZER
4 – BELOW 73 F ACID ACID
3 – BELOW 100 F ALK ALKALI
2 – BELOW 200 F COR CORROSIVE
1 – ABOVE 200 F W USE NO WATER
0 – WILL NOT BURN

SECTION 16 OTHER INFORMATION

THIS INFORMATION IS OFFERED IN GOOD FAITH AS TYPICAL VALUES AND NOT AS A
PRODUCT SPECIFICATION. NO WARRANTY, EXPRESSED OR IMPLIED, IS HEREBY MADE. THE
RECOMMENDED INDUSTRIAL HYGIENE AND SAFE HANDLING PROCEDURES ARE BELIEVED
TO BE GENERALLY APPLICABLE. HOWEVER, EACH USER SHOULD REVIEW THESE
RECOMMENDATIONS IN THE SPECIFIC CONTEXT OF THE INTENDED USE AND DETERMINE
WHETHER THEY ARE APPROPRIATE.

EnviroClean
Degassing/Hydrocarbon Removal/Remediation Chemistry
Page 1 of 5
Contents Page
SUMMARY 1
FLUID DESIGN 1
FIELD MIXING PROCEDURES 2
Mixing Concentrates 2
Quality Control Testing 2
MATERIAL REQUIREMENTS 2
Equipment Cleaning & Parts Washing 2
Soil Remediation 2
Emergency Response & Spill Cleanup 3
Degassing & Cleaning of Tanks &
Equipment 3
Tank Bed Remediation 4
Chemical Pipeline Pigging 4
VOC Vapor Mitigation & Odor Control 4
Hard Surface Cleaning &
Decontamination 4
Insitu Free Product Recovery
Enhancement 4
Soil Flushing & Recovery 5
Surface Washing & Shoreline Cleanup 5
Fire Fighting for Class A & B Fires 5
Contaminated Soil Excavation 5
PHYSICAL PROPERTIES
Product Name EnviroClean
Physical Form Clear Liquid
Color Colorless unless dyed
Specific Gravity (Water = 1) 1.028 +/- .01
Solubility in Water 100%
Freezing/Melting Point NE
Flash Point (0F)>2000 F
pH 8.5 +/- .25
Reportable Quantity (RQ)None
Complete information on health hazards, protective
equipment, handling precautions, environmental
hazards and disposal is listed in the current
EnviroClean Material Safety Data Sheet (MSDS) for
this product.
SUMMARY
EnviroClean is a non-flammable, non-toxic,
water-based, proprietary blend of non-ionic
ethoxylated octylphenolic surfactants that has
been specifically engineered as a
cleanup/mitigation agent for a wide range of
hydrocarbon products. EnviroClean has been
shown to be effective for quickly and effectively
suppressing or completely eliminating VOCs,
LEL’s, benzene and low levels of H 2S and
mercaptans in open or confined spaces.
EnviroClean has been used for cleanup of
hydrocarbon spills and soil remediation. In these
applications, EnviroClean effectively conditions
(physically) the hydrocarbon such that the
microbes that naturally occur can more readily
consume it. It turns hydrocarbons into a nutrient
source for the microbes. When sufficiently mixed
with hydrocarbon and water, the EnviroClean
forms a homogeneous solution of hydrocarbon,
EnviroClean and water, which is very stable.
EnviroClean is a concentrated product that
readily biodegrades.
EnviroClean is commercially available in 5-gallon
units, 55-gallon drums, 275 and 330-gallon totes
and bulk from Oklahoma City, Oklahoma,
Wappingers Falls, New York, and Houston,
Texas.
FLUID DESIGN
EnviroClean is a proprietary blend of surfactants
that needs to be diluted to be effective and it is
very safe to workers and the environment.
EnviroClean does not contain caustic, therefore
does not have the common harmful side effects
associated with caustic based products. The
product is designed for use as a degassing agent
and a cleaner/degreaser for remediation. The
product does not contain any enzymes or
biomass itself. It works by conditioning the
hydrocarbon so that the naturally occurring
microbes (bacteria) are able to readily consume
it. Through the application of the appropriate
dilution and mixing, the EnviroClean will capture
the hydrocarbon and tie it up in a solution that is
very stable. The formation of this solution results
in extremely small particles that will not
recoalesce. It is important to note that if
EnviroClean reaches its saturation point the
oversaturated hydrocarbon will breakout of
solution very quickly. This will allow for easy
removal or reclamation of any hydrocarbon that is
not preconditioned for remediation.
Page 2 of 5
In addition to tying up the hydrocarbon in
solution, the product is very effective when
contacted with hydrocarbon vapors at
suppressing volatile organic vapors, gases, and
odors. Once combustible and flammable
hydrocarbon vapors are tied up in the resultant
solution, the solution will be very difficult to ignite.
It also accelerates the biodegradation process of
the hydrocarbon, thereby enhancing recycling or
reclamation of water.
EnviroClean has been demonstrated to be
effective on gas, oil, lube oil, hydraulic oil, most
petroleum-based products, animal and vegetable
oils, fats, and tallow oils. EnviroClean cleans the
heavy tar build-up, asphaltenes or oily residue
from inside of tanks and vessels. Furthermore,
once a surface has been cleaned with
EnviroClean, the cleaned surface will resist the
deposition of oily materials.
EnviroClean can be used to cleanup oil spills
whether in/on soil or hard surfaces. The first step
in this process is to remove as much of the free
oil as possible. This step is followed by
contacting the contaminated surface
appropriately with the proper dilution of
EnviroClean and water. The treatment solution
will contact the hydrocarbon molecules and
change their behavior such that they are now
essentially water soluble. The large increase in
interfacial surface area creates conditions that
are favorable to degradation and consumption by
bacteria and microbes. The product converts
hydrocarbons into a very good nutrient source for
bacteria and microbes.
EnviroClean is typically fed at concentrations
between 1% and 6%, depending on the nature of
the hydrocarbon contamination problem. It can
be diluted with most types of water –hard, soft or
brackish water. The product has an unlimited
shelf life when unopened. EnviroClean is
effective at ambient temperatures. However, the
effectiveness will increase as the temperature
of the application is increased. EnviroClean
does not require the use of steam, but has been
shown to be very effective when injected into the
steam (vapor) phase.
FIELD MIXING PROCEDURES
Mixing Concentrates
EnviroClean is usually delivered as a concentrate
and must be diluted with water to work properly.
Cleaning solutions can be formulated by
premixing or eduction. It is not necessary to
provide high shear agitation when preparing a
batch of cleaning solution since EnviroClean is
100% soluble in water. It is recommended that
when preparing the cleaning solution you first
add the water into the mix container and then
follow by the addition of EnviroClean. This will
minimize foaming as the EnviroClean and water
form a homogeneous solution.
For premixing, the following procedure may be
used:
1. Add the correct amount of water to the
container.
2. Depending on the desired strength, add
the correct amount of EnviroClean to the
container.
3. If the final solution is not a consistent
pink color, mild agitation may be
required until a consistent pink color is
achieved.
Quality Control Testing
There is no easy field testing procedure to
monitor the concentration of active ingredients in
the EnviroClean formulation. Visually the color
changes from rose color to lighter pink as the
product is further diluted. Effectiveness can also
be predicted by quantifying the amount of
hydrocarbon that is to be picked up. By
observing the effluent from the use of
EnviroClean, an adjustment in the cleaning
solution concentration can be made. If it is
observed that free oil is floating on the effluent
solution, then the concentration should be
increased.
MATERIAL REQUIREMENTS
For specific protocols and application rates,
please refer to the available Product Usage
Guide, product label, or consult with the
manufacturer or authorized distributor for
additional guidance.
Equipment Cleaning & Parts
Washing
EnviroClean is very effective for equipment
cleaning applications. EnviroClean is used at
light dilutions and has a significant “life of batch”
as well as low foaming tendencies. The
surfactants in EnviroClean desorb and micro-
emulsify grease and oil contamination and
separate it from solids (metal shavings, grit, etc.)
allowing them to settle without accumulating oily
sludges. These factors make EnviroClean ideal
for spray wash systems as well as dip/agitating
equipment. Some agitation or circulation of the
fluid is required for thorough cleaning. For
Page 3 of 5
equipment cleaning applications, EnviroClean is
normally diluted to a 3% - 6% solution with water.
Soil Remediation
Calculate the volume of hydrocarbon contained in
the contaminated area. It is important to
determine accurately the depth of oil penetration
into the soil. It will be important to agitate the soil
to just below the depth of penetration. Once the
estimate of hydrocarbon is known, the amount of
the normal dilution of EnviroClean for soil
remediation is 32 parts water to 1 part
EnviroClean (3% solution). The EnviroClean
solution will use the naturally occurring bacteria
in the soil and begin to consume the
hydrocarbon, which has been put into a form that
can be quickly consumed. The remediation
process normally occurs over 4 to 12 weeks.
The following step-by-step procedure can be
used for soil remediation using EnviroClean:
1. If contaminated soil is deeper than 12”,
excavate the soil and spread at the surface
to a depth of 10” – 12”and then proceed with
this protocol. If contaminated soil is 12”in
depth or less, thoroughly mix and aerate the
soil in place utilizing a roto-tiller or similar
equipment. If soil is extremely oily or
gummy, mix clean soil with oily soil to
expedite clean up and to make it easier to
work with.
2. Utilizing local soil or rock, build a small berm
surrounding the treatment area to prevent
rain water run off from the site.
3. To determine treatment volumes of
EnviroClean, measure the square footage
area of the treatment cell and divide that
number by 27 to find cubic yards per foot of
depth (i.e.treatment area is 100’ x 50’: 100 x
50 27 = 185). Multiply that number x .06 to
determine the amount of EnviroClean to
utilize in the treatment (i.e. 185 x .06 = 11
gallons EnviroClean). Dilute the
EnviroClean to approximately a 3% solution
(32 to 1 or 352 gallons water to 11 gallons
EnviroClean). Spray the 3% EnviroClean
solution over the entire treatment cell.
4. If, after a week, little to no rainfall has fallen,
water the site thoroughly.
5. Wait another week and repeat steps 1 and 3,
if needed.
6. Monitor and continue the treatment protocol
until desired clean up levels are reached.
Samples can be taken and analyzed for Total
Petroleum Hydrocarbons (TPH) to track the
progress of the remediation. If the TPH were to
appear to stabilize and not continue to decline, a
second application of EnviroClean may be
required.
Note:It can be helpful, but not required, to add a
highly soluble, high nitrogen fertilizer such as
Miracle Grow or Sam’s Choice to the first 3%
EnviroClean solution.
The addition of bacteria is not typically required.
The EnviroClean solution will stimulate the
activity level of the naturally occurring bacteria.
In the fall and winter, it helps to expedite the job if
the treatment cell is covered with plastic between
treatments. This tends to hold in heat and
generate additional moisture.
Keeping the soil moist is an integral part of the
clean up.
Emergency Response & Spill
Cleanup
Small Spill Cleanup: Dilute EnviroClean to a
10% solution. On small spills apply with 2 ½
gallon pressure sprayer or similar device. Cover
the entire spill working in a circular motion from
outside perimeter toward the center of the spill.
After application of EnviroClean has been
completed, agitate spill area with forcible stream
of water or broom and rinse thoroughly.
EnviroClean helps to reduce or eliminate any
VOC concerns associated with the cleanup by
micro-emulsifying the hydrocarbon on contact
drastically reducing the LEL levels in a very short
time frame. EnviroClean also eliminates sheens.
On Roadways & Pavement: EnviroClean can
be applied with a pressure sprayer or applied
through a foam eductor at a 6% setting.
EnviroClean will instantly stop the deterioration of
asphalt by diesel or gas and eliminate slippery
conditions. Dispose in accordance with local
rules and regulations.
Note:For use with absorbents, EnviroClean will
increase effectiveness by allowing the
contaminate to more easily penetrate into the
absorbent.
Degassing & Cleaning of Tanks &
Equipment
EnviroClean is effective for the degassing and
cleaning of all types of petroleum storage tanks.
For small tanks of less than 50,000 gallons,
Page 4 of 5
EnviroClean should be utilized through a power
washer at dilutions between 2% and 6%
depending on the type of product within the
vessel and the degree of contamination. Typically
for flammables, a 6% solution is utilized to
completely agitate the tank residue and to scour
the wall of the vessel prior to and during pump
out. Lower dilutions may be utilized for products
not representing a vapor hazard. EnviroClean is
also effective for reducing H2S, Benzene and
other VOC’s.
Tank Bed Remediation
A common and effective means of mitigating the
vapor hazard and remediating the tank bedding is
to utilize a “flushing and recovery” technique with
a diluted solution of EnviroClean. Typically a 3%
to 6% solution of EnviroClean and water is
utilized in a batch process to treat the impacted
portions of the tank floor area. Simply perforating
the affected area with a “buster” or hole saw a nd
allowing the EnviroClean solution to flood the
affected bedding will eliminate immediate, and
future, recurrences of vapor generation. The
process also serves to remediate the
contamination by flushing entrained hydrocarbon
out of the bedding for recovery and disposal, or
re-processing. If necessary, the entire sub-floor
area may be treated by saturating the zone of
contamination and flushing the fluid to the sump,
or other collection point, and recovering the
rinsate for disposal. Depending upon the severity
of the leak, and the resultant degree of subfloor
contamination, the EnviroClean solution can be
applied so as to simply saturate the bedding
material, or it can be injected so as to flush and
recover gross quantities of hydrocarbon.
Chemical Pipeline Pigging
As a general guideline, pump a slug of 3% to 6%
solution and chase with water.
VOC Vapor Mitigation & Odor
Control
EnviroClean is typically applied at a
concentration of 3 –6% for vapor and/or odor
control. Circulate the solution through a manway
cannon or other device in order to provide
sufficient saturation of the vapor space of the
vessel that is being degassed. Check the vapor
level of the tank before circulation begins.
Circulate for about 2 hours and let the tank settle
for about 2 hours. Check the vapor level in the
tank. More than one circulation may be required
for complete vapor suppression. The holding
capacity of EnviroClean may require sweetening
or circulation with a fresh batch of product,
depending on the amount of hydrocarbon vapors
originally contained in the vessel.
Dilute EnviroClean to a 3% to 6% solution.
Coverage is normally at 3 to 4 square yards of
surface area per gallon. Heavy contamination or
mercaptan type odors may require a stronger
solution of EnviroClean.
Typically, 1 gallon of EnviroClean concentrate
diluted to a 3% to 6% solution will render up to 6
gallons of petroleum product nonflammable when
properly applied.
Hard Surface Cleaning &
Decontamination
For heavy soiled oil and grease on hard
surfaces: Mix a 6% solution of concentrate with
clean water in quantity sufficient to cover
contaminated area. Apply generous amounts
with spray applicator, or equivalent and allow
reasonable time for the surfactants in
EnviroClean to penetrate and break down the
hydrocarbon and grime. Once applied, solution
may be scrubbed or brushed in for stubborn
soiling. Next, apply EnviroClean at a 1% - 2%
solution through a power washer (heated power
wash system will expedite the process). Flush
residue to containment and dispose of as local
rules apply.
For lightly soiled or freshly oiled surfaces:
EnviroClean may be used through any power
washer or steam jenny currently available.
Operating temperatures of 140 degrees F. will
maximize effectiveness. Solution strengths of 1 –
2% may be used for lighter decontamination
duties. For small applications, a 5% solution (16
oz. EnviroClean concentrate to 2.5 gallons water)
may be applied with a small pump sprayer and
scrubbed or brushed into surface.
Insitu Free Product Recovery
Enhancement
EnviroClean is effective for the insitu
solubilization and recovery enhancement of
entrained Free Product Hydrocarbon in the
subsurface to facilitate recovery or
biodegradation. Dilutions of 2% v/v are typical for
light ends (i.e. gasoline) while concentrations of
3% to 6% are effective for Diesel Range Organic
(DRO’s) and heavier oils. Applications vary,
however the EnviroClean solution is injected into
the contaminated zone followed typically by a
recovery event.
Page 5 of 5
Soil Flushing and Recovery
EnviroClean is effective for the insitu
solubilization and recovery enhancement of
entrained Free Product Hydrocarbon in surface
and sub-surface soil to facilitate recovery or
biodegradation. Dilutions of 2% v/v are typical for
light ends (i.e. gasoline) while concentrations of
3% to 6% are effective for Diesel Range Organic
(DRO’s) and heavier oils. Applications vary,
however the EnviroClean solution is injected into
or flushed through the contaminated zone.
Surface Washing & Shoreline
Cleanup
Dilute EnviroClean to a 2% solution. On small
spills apply with 2.5 gallon pressure sprayer or
similar device. Cover entire spill, working in a
circular motion, from outside perimeter toward
the center of the spill. After application of
EnviroClean has been completed, agitate spill
area with forcible stream of water or broom and
rinse thoroughly.
On larger spills, specific applications and
protocols should be developed taking into
account local risks and considerations.
Note:EnviroClean is listed on the U.S. E.P.A.
NCP Product Schedule as a Surface Washing
Agent (listed SW #31). This listing does not
mean that U.S. E.P.A. approves, licenses,
certifies, or authorizes the use of EnviroClean on
an oil discharge. This listing means only that data
have been submitted to EPA as required by
subpart J of the National Contingency Plan §
300.915.
Fire Fighting for Class A & B Fires
Proportioning Rate: 6%
GPM Flow Rate: 95 –110
PSI at Eductor:200 or MFG’s
recommendations
Hose Length:As per MFG’s suggestion
Nozzle Type: Standard adjustable or
automatic
Coverage:0.2 gpm per square foot
Nozzle Pattern: Hard cone to coarse
stream
Application: Starting from the outside
perimeter, using a stirring,
mixing action.
Contaminated Soil Excavation
In most cases a 3% solution of EnviroClean will
be adequate to keep vapor emissions within
acceptable limits. Dilute EnviroClean concentrate
with water at a ratio of 1 part EnviroClean to 32
parts water to make a 3% solution. The
EnviroClean solution should be applied evenly to
the soil surface in sufficient quantity to dampen
the surface well. As a general rule, 1 gallon of
solution will cover approximately 4 sq. yd. of soil
surface area.

APPENDIX C

WELL DIAGRAM

PERMANENT TYPE II INJECTION/SVE WELL CONSTRUCTION
(TYPICAL)
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RALEIGH, WAKE COUNTY, NC
1--------------t APPROVED BY: DAlE: JOB NO:
INJECT/ON/RECOVERY WELL DIAGRAM MJ 6/24/16 02020144.00

APPENDIX D

FIGURES

□
G
0
G
0 D
D(J D
□CJ
(<1.0} Q (<1.0)
1 DW-3A .-, MW-13A Mw·-120
Cl' MW-12 (<1.0) ~-----------(<1.0~
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MW-13
DW-3A .~ (DESTROYED) ---,.._ __ (DESTROYEDJ--
□
D
MW-7 $
(NS)
(NS)
MW-10 S
(NS)
FORMER GASOLINE/
DIESEL UST'S (T1)
/
FORMER
("'S) DISPENSER ,, ISLAND MW-
INSERT 1 ,
SCALE: 1 "=3 0
(NS)
S MW-2
EXCAVATION LIMITS
MW-11 MW-110
S cf 1.o)
--7
F
BUILDING
\ .---FORMER KEROSENE
~UST (T2)
LEGEND
G WELL LOCATION MONITORIN
TYPE Ill NG WELL LOCATION MONITOR! G=J [JJ Q ~ --, -
0 ( < 1.0} ( < 1.0_)
~(NS)~_ 13 _ GWS-~ 4
( ~MW-4 (<1.0) ~ ~ (<1.0)
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(<1.0) " (<1.0)
SKYCRE
BDL
NS
NAPL
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IS OCONCENTRATION BENZENE
BELOW DETECTION LIMIT
NOT SAMPLED
LINE
0 r-, o:T i D ---1
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(<1.0} ::,: L -L __ -L _____ i___--1. __ --L __ _,__ __ ~---( <1.0) o
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No. r
TY PIG UP FORMER VARI~KYCREST DR
TRAWICK RDNtRTH CARO UNA RALEIGH,
GWS-2
J
D
NON-AQUEOUS PHASE LIQUID
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a°F RALEIGH AND WA ONITORING WELLS
2.) /~~E ~~~LOS~~~E~;;ENM~~~~~l~it~~Jrn~o;:
AND TO GENERATE GROU MW-21 D, VEW-1,
USED 12D MW-16D, WS-3 GWS-4,
MW11D, MW-DW-3A, GWS-2, G 2 AND GWS-14. DW-2, DW-3, 9 GWS-10, GWS-1 , GWS-7, GWS-'
GRAPHIC SCALE
50 100
100.J 1--1 •• .-.-.--.=.=. ~--1 inch = 100 ft.
ROUND WATER BENZENECEI~T~ATION MAP JSOCON ~By Dole
CheckMJ 6/24/16 . AM POTE, AUSTIN 1,1
K:\02\02-140\02144\CAD\2013 BASE MAP.DWG 6/24/2016 8.42
□
G
0
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0 D
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1--_ ___,_ __ ....__ _____ (31 ) ~ (9.2) ________ MW-12 s-<0 (1.0)
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SKYCREST DRIVE
MW-13 -----20 - - -DW-3A ~ (DESTROYED) "'< =::---------__
(DESTROYED MW-8 □CJ
□
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MW-7 S
(NS)
INSERT 1 ,
SCALE: 1 "=3 0
MW-10 S
(NS) (NS)
S MW-2
FORMER GASOLINE
UST'S (T3 & T4)
/
_.----... ' EXCAVATION LIMITS
•w-20 X,
FORMER
(NS) DISPENSER
ISLAND MW-6
(DESTROYED) MW-11 MW-110
S cf1.o)
~
"
LEGEND
G WELL LOCATION MONITORIN
TYPE Ill NG WELL LOCATION MONITOR! G=J JJJ Q ~ ---
~(NS) ~-13 -GWS-14
( L MW-4 (<1.0)~~
SKYCRE
(14) MTBE CONCENTRATION (ug/L)
ISO CONCENTRATION LINE MTBE
0
/
/ □
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GW?-1 .~ S--j
,(DRY) 0
GWS-2 L_!/ /
I
(310)
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Revisions Description
No. r
ETY PIG UP FORMER VARISKYCREST DR
TRAWICK RDNcfRTH CAROLINA RALEIGH,
(14)
J
BDL
NS
NAPL
BELOW DETECTION LIMIT
NOT SAMPLED
ASE LIQUID NON-AQUEOUS PH
NOTE\ ) 2010 AERIAL PH~~oi~~NHT/~Jtps WEBSITE. INED FROM CITY
a°F RALEIGH AND WA ONITORING WELLS
2.) /~~E ~~~LOS~~~E~;;ENM~~~~~l~it~~Jrn~o;:
AND TO GENERATE GROU MW-21 D, VEW-1,
USED 12D MW-16D, WS-3 GWS-4,
MW11D, MW-DW-3A, GWS-2, G 2 AND GWS-14. DW-2, DW-3, 9 GWS-10, GWS-1 , GWS-7, GWS-'
GRAPHIC SCALE
D
50 100
100.J 1--1 •• .-.-.--.=.=. ~--
GROUNDWATER
MTBE INENTRATION MAP ISOCONC
1 inch = 100 ft.
1 inch = 20 ft.
20
GRAPHIC SCALE
0 10 20 40
FREE
2013
PHASE PRODUCT
SAMPLING EVENT~
MW-7 S
INJECTION /
RECOVERY WELL
LOCATIONS
INJECTION AREA
WITHERS tX' RAVENEL Revisions
No.I Deserio lion I Dote I Bv
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FORMER
DIESEL
MW-10 t9
FORMER GASOLINE
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MW-15
MW-3 S
MW-6
s
B4y 0
FORMER
DISPENSER
ISLAND
MW-2
/
EXCAVATION
MW-20
(~f ~OYED)
B
0
B3 B5
~--v
--
FORM
UST ,
LIMITS
MW-11 MW-11 D
s s
l
LEGEND
~ MONITORING WELL LOCATION
0 TYPE Ill MONITORING WELL LOCATION -
(25) MTBE CONCENTRATION (ug/L)
~o-J MTBE ISOCONCENTRATION LINE
BDL BELOW DETECTION LIMIT
NS NOT SAMPLED
NAPL NON-AQUEOUS PHASE LIQUID
NOTE:
1.) 2010 AERIAL PHOTOGRAPH OBTAINED FROM CITY
OF RALEIGH AND WAKE COUNTY IMAPS WEBSITE.
2.) THE FOLLOWING TYPE Ill MONITORING WELLS
AND/OR DEEP SCREENED MONITORING WELLS NOT
USED TO GENERATE GROUNDWATER MTBE CONTOUR:
MW11D, MW-12D, MW-16D, MW-21D, VEW-1,
DW-2, DW-3, DW-3A, GWS-2, GWS-3, GWS-4, -
GWS-7, GWS-9, GWS-10, GWS-12, AND GWS-14.
o,o.., By
TRAWICK RD & SKYCREST DR INJECTION WELL / MMPE WELL LAYOUT MAP ShHI ~ .. 3 · i 1'=20' MJ
Checked By Dole
FORMER VARIETY PIC UP [ .,,,. "o. 0202,.•o
RALEIGH, NORTH CAROUNA .
'---------'--------------K:\02\02 140\02144-\CAD\2013 BASE MAP.DWG 12/20/2016 3:59 PM JAMES, MATT 1:1
CB 11/2/16
WSW-2f/) --I I PERRY PROPERTY, VARIETY PIC-U L~--------~!J.~~'!~~~~~y':.~ No. Descrl tion Dote 8 RALEIGH, NORTH CAROLINA , 111 lld.tlm Dltl9 r.y, 1bt11 Q:nlha 21511 111,"""""""81 W:91 ........ fla::919-6J6-4545
WITHERS RAVENEL 111111111 I PLAINIII I IUIYIYOII 111-Ddo01y,No!Ul~2lll11-t,t 91--b: 91lh'!JIH545 A 315' (o ~ ~;jf IG ,------J ,------J ,------J ,------J ,------J 295' ,------J ,------J ,------J ,------J ,------J ,------J ,------J 275' 255' 235' 215' NOTE: MONITORING WELL MW-8 WERE DRY AT TIME OF 8/02 SAMPLING EVENT. CONCENTRATIONS PRESENTED FOR THESE WELLS ARE OF THE LATEST AVAILABLE DATA. Revisions No.I Description I Date I Bv PERRY PROPERTY, VARIETY PIC-UP #2 RALEIGH, NORTH CAROLINA LEGEND: 5l_ Groundwater Surface. r-~Oo-MTBE Isopleth at 2L Standard r-~o -Benzene Isopleth at 2L Standard 8 Benzene Concentration ( ug/L) C9-C22 Aromatics Concentration ( ug/L) ln.ol MTBE Concentration (ug/L) I m V-77] ~ Screened Interval Bedrock Silty, Clayey Sand C9-C22 Aromatics Isopleth at 2L Standard GEOLOGIC CROSS SECTION/VERTICAL GROUNDWATER ISOPLETHS, A -A' ll<awn By AP aiecked By MJ Scale VERT, 1'=20' IIIRIZ. 1'"100' Date 6/24/16 Job No. 2020144.00 Sheet No. 4A
WITHERBRAVENEL ■■•1■1111 I •LANIIII I IUIYIYOII 111 Mldlnan Drw Cely. Narth r.mlla 27511 ................. 111: a,-.-r.c 91Hl&-4645 B 315' 295' 275' 255' 235' 8 215' 111.81 ~ NOTE: MONITORING WELL MW-8 WAS DRY AT TIME OF 8/02 SAMPLING EVENT. CONCENTRATIONS PRESENTED FOR THESE WELLS ARE OF THE LATEST AVAILABLE DATA. Revisions No.I Description I Date I By PERRY PROPERTY, VARIETY PIC-UP #2 RALEIGH, NORTH CAROLINA LEGEND: 51_ Groundwater Surface. r ~Oo-MTBE Isopleth at 2L Standard 8 Benzene Concentration ( ug/L) A C9-C22 Aromatics Concentration ( ug/L) ln.ol MTBE Concentration ( ug/L) I Screened Interval EJ Bedrock . ~ Silty, Clayey Sand GEOLOGIC CROSS SECTION/VERTICAL GROUNDWATER ISOPLETHS, B -B' Drawn By AP Checked By MJ Scale VERT, l'=l!O' IIIRIZ. 1'•100' Dato 6/24/16 Job No. 2020144.00 Sheet No. 4B
FORMER GASOLINE
LIST'S
(T3 & T4)
B13
.... o ·-·-·, B 1 2 A ......... __ ..., \ 0
./ __ ..., ,--I\
B 11 ( \l39 \\B1 o,,_\ -----EXCAVATION LIMITS
\ \ I I O I\
\ \ 0\\ \\,
\ \ I I I .
\ \ \\ \ lo B14 FORMER BUILDING
\ I j L-----' I , L----I . l
) ... ,/ ·' .,,..-----·--_,/ ........ ,,,,. .....
FORMER
GASOLINE/DIESEL
LIST'S
(T1)
FORMER
DISPENSER
ISLAND
LEDGEND
i
I
i
\
' 0
o SOIL BORING LOCATION
KA' TRANSECT LOCATION
WITH ERB RAVENEL
IN81NIIRS I PLANNIRS I SURYIYORS
111 MacKenan Drive Cary, North Caralna 27511 nw.wilherlnMnel.com
181: 919-480-6006 fax: [phone]
FORMER
KEROSENE
UST
(T2)
DRA\ffi BY: SCALE:
SOIL BORING CROSS Sl:C'l'lON 2'RANSIC25' JIAP AP 1 "=20'
FIGURE NO.
5
PERRY PBOPERTY/ VARIITY PIC-UP ,a APPROVED BY: DAlE: I--JOB-N0:----1
RAIZIGH, NORffl CAROLINA
JlJ 6/24/16 02020144.00
A GROUND SURFACE 0 10 @ INDI ~ 20 @ IND! ~ FORMER UST, T-1 LEGEND: 5l_ Groundwater Surface. r C?s~ Napthalene Isopleth at Soil to Groundwater MSCC. /'J',r----C9-C22 Aromatics Isopleth 8 at Soil to Groundwater MSCC. C9-C22 Aromatics Concentration (mg/kg) in Soil £thy/benzene Concentration ( mg/kg) in Soil 30 _____i_ __ v:l!.._ _ ____J_JLL.-__ ____._.-L--_ Napthalene Concentration ( mg/kg) in Soil WITH ERB RAVENEL l■elNIIII I PLANNIII I IUIYIYOII 111 11Dc1Caa1 ~ Cay, Nmth Ccnh 21511 .... 'llillBnNnll.ca Ill: ,,....,.... flll: ,,~ Revisions No.I Descrlotlon APPROXIMATE GROUNDWATER SURFACE r C?,25<C----£thy/benzene Isopleth at Soil to Groundwater MSCC. I Date I Bv PERRY PROPERTY, VARIETY PIG-UP #21 SOIL BORING CROSS SECTION A -A' I RALEIGH. NORTH CAROLINA . . Drawn By Scale AP VERT, 1'•10' HDRIZ, 1'•20' Jab No. 202144.0 Sheet No. Checked By Dato MJ 6/24/16 5A
B FORMER UST, T-1 GROUND SURFACE 0 10 20 30 APPROXIMATE GROUNDWATER SURFACE LEGEND: '5]_ Groundwater Surface. r-qs<Sl.-Napthalene Isopleth at Soil to Groundwater MSCC. /" .J',r --C9-C22 Aromatics Isopleth at Soil to Groundwater MSCC. C9-C22 Aromatics Concentration ( mg/kg) in Soil Ethyl benzene Concentration ( mg/kg) in Soil Napthalene Concentration ( mg/kg) in Soil r-q<-;i.__ Ethyl benzene Isopleth at Soil to Groundwater MSCC. WITHERBRAVENEL l=N:i~vl~alon~s~Des~crl~tlon~~Do~tefB~ PERRY PROPERTY, VARIETY PIG-UP #2 [soJL BORING CROSS SECTION B -a· I ::.AM:y~Jy ~6~·/12·4½/::1k6D' l ____ 11_1·:....._···_;;;·:---·~----:::---:..._ .. ':is_\,•_.:.:......__IY_O .. _____ ..._1:::....._ ___ ......__ __ \... __ ___:.R~A..:.:L;;.:;E;;.:l..:;::G;.:..H.:.L.....;..N.;..;;O;;..;R....;..;...;TH....;........;;C..;...A.;.;..R..;...O_L_I_N_A ___ '-------------------· -""'91HeO-«IOII be t1HJH646 _ Job No. 20201+4-.00 Sheet No. 5B
Rogers, Michael
From: Rogers, Michaef
Sent: Thursday, March 09, 2017 10:19 AM
To: 'Jack Garrison; '[e-mail]'
Cc: Robertson, Laura R. (taura.rabertson@a ncdenogov)
Subject: W10500958 Jack's Best Buy -Surfactant Addition
Thank you for submitting the Notice of intent to Construct or Operate Injection Wells (NOI) for the above referenced
site.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of
the GW-ls and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct push
or Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-30). If well
construction/abandonment information is the same for the wells, only one form needs to be completed- just
indicate total number of injection points in the Comments/Remarks section of form These forms can be found on
our website at
http://c erl.nc.gov/abouti divisionsjwater-resources, water-resources-i,ermitswastewater-branch l,,round-water-
n rotectio nJ r;ro a n d-wate r-re n o rti nL=-forms
2) Injection Event Records (IER). All injections, including air and passive systems require an IER. The IER can be
rnodified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to 5hristi.shresthaf?ncdenr-rov or via regular mail to address below. When
submitting the above forms, you will need to enter the nine -digit alpha -numeric number on the form (i.e., WIOXXXXXX)
that has been assigned to the injection activity at this site. This notification has been given the deemed permit number
W10500958. This number is also referenced in the subject line of this email_ You may if you wish scan and send back as
attachments in reply to this email, as it will already have the assigned deemed permit number in the subject line.
Thank you for your cooperation.
From: Jack Garrison [mailto:[e-mail]]
Sent: Wednesday, March 08, 2017 3:09 PM
To: Rogers, Michael [e-mail]>
Subject: FW: Surfactant Addition
Mike,
Since she is out until March 20, can you look at this for us?
Jack H. Garrison, Jr,
Senior Environmental Consultant
Leaf Environmental & Engineering, PC
ackjleafenviro.com
Office: [phone]
Fax: [phone]
Mobile; [phone]
Leaf Environmen(al & Engineering, P.C.

Notice of Confidentiality
The information contained in and transmitted with this electronic communication (including attachments) is subject to attorney and/or
client privileges or is otherwise confidential. It is intended solely for the addressee designated by the sender. If you are not the
intended addressee or receive this communication in error, any dissemination, distribution, copying, or other use or reliance on any
information contained or transmitted herein by or to anyone other than the addressee designated by the sender is unauthorized and
prohibited. If you receive it in error, please notify Leaf Environmental & Engineering PC., by return email or by telephone at (919)
484-8536.
From: Jack Garrison [mailto:[e-mail]]
Sent: Wednesday, March 08, 2017 2:47 PM
To: 'Rogers, Michael'
Cc: '[e-mail]'; 'Shrestha, Shristi R'; 'Steven Gerrald'
Subject: RE: Surfactant Addition
Hello Shristi,
Here is the NOi discussed below, I hope we did it correctly. Let me know if you have any questions, thanks,
Jack H. Garrison, Jr.
Senior Environmental Consultant
Leaf Environmental & Engineering, PC
[e-mail]
Office: [phone]
Fax: [phone]
Mobile: [phone]
Leaf Environmental & Engineering, P.C.
Notice of Confidentiality
The infonnation contained in and transmitted with this electronic communication (including attachments) is subject to attorney and/or
client privileges or is otherwise confidential. It is intended solely for the addressee designated by the sender. lfyou a,re not the
intended addressee or receive this communication in error, any dissemination, distribution, copying, or other use or reliance on any
information contained or transmitted herein by or to anyone other than the addressee designated by the sender is unauthorized and
prohibited. lf you receive it in error, please notify Leaf Environmental & Engineering PC., by return email or by telephone at (919)
484-8536.
From: Rogers, Michael [mailto:[e-mail]]
Sent: Thursday, March 02, 2017 9:30 AM
To: Jack Garrison
Cc: wes @leafenviro.com; Shrestha, Shristi R; 'Steven Gerrald'
Subject: RE: Surfactant Addition
The NOi is submitted at least 2 weeks prior to injection. She will send you an acknowledgement email if the NOi is
complete. A copy is forwarded to the regional office for their review. If you don't hear anything from DWR in a couple
of weeks you are good to go.
From: Jack Garrison fmailto:[e-mail] j
Sent: Wednesday, March 01, 2017 4:03 PM
To: Rogers, Michael <[e-mail]>
Cc: [e-mail]; Shrestha, Shristi R <[e-mail]>; 'Steven Gerrald' <[e-mail]>
Subject: RE: Surfactant Addition
Thanks Mike,
We will email the NOi to Construct to Shristi .
2
Did I understand that we can proceed without hearing back, or do we have to wait until we hear back from Shristi?
Jack H. Garrison, Jr.
Senior Environmental Consultant
Leaf Environmental & Engineering, PC
jack@ leafenviro.com
Office: [phone]
Fax: [phone]
Mobile: [phone]
Leaf Environmental & Engineering, P.C.
Notice of Confidentiality
The information contained in and transmitted with this electronic communication (including attachments) is subject to attorney and/or
client privileges or is otherwise confidential. It is intended solely for the addressee designated by the sender. If you are not the
intended addressee or receive this communication in error, any dissemination, distribution, copying, or other use or reliance on any
information contained or transmitted herein by or to anyone other than the addressee designated by the sender is unauthorized and
prohibited. If you receive it in error, please notify Leaf Environmental & Engineering PC., by return email or by telephone at (919)
484-8536 .
From: Rogers, Michael [mailto:michael.rogers @ncdenr.gov]
Sent: Wednesday, March 01, 2017 3:49 PM
To: Jack Garrison
Cc: [e-mail]; Shrestha, Shristi R
Subject: RE: Surfactant Addition
If it is a deemed site with a NOi email to Shristi. If it is an application for remediation permit, send or hand deliver 2 hard
color copies ..
From: Jack Garrison [mailto:jack @ leafenviro.com]
Sent: Wednesday, March 01, 2017 3:47 PM
To: Rogers, Michael <michael.rog ers @ ncdenr.gov>
Cc: wes @leafenviro.com
Subject: Surfactant Addition
Mike,
We are preparing an application to inject lveySol, one of the approved injectants, into the subsurface at a site in Butner.
Can we email the application or hand deliver it to someone rather than wait for it to go through the mail?
Jack H. Garrison, Jr.
Senior Environmental Consultant
Leaf Environmental & Engineering, PC
jack@ leafenviro .com
Office: [phone]
Fax: [phone]
Mobile: [phone]
Leaf Environmental & Engineering, P.C.
Notice of Confidentiality
The information contained in and transmitted with this electronic communication (including attachments) is subject to attorney and/or
client privileges or is otherwise confidential. It is intended solely for the addressee designated by the sender. If you are not the
intended addressee or receive this communication in error, any dissemination, distribution, copying, or other use or reliance on any
information contained or transmitted herein by or to anyone other than the addressee designated by the sender is unauthorized and
3
prohibited. If you receive it in error, please notify Leaf Environmental & Engineering PC., by return email or by telephone at (919)
484-8536.
4