WI0500991_DEEMED FILES_20180803

Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0500991
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Fonner Mitchell Property (Vacant Lot)
Location Address
326 S Main St
Fuquay Varina
Owner
Owner Name
Jmm Farms LLC
Dates/Events
Orig Issue
8/2/2018
NC
App Received
7/26/2018
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
27526
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
8/3/2018
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Non-Government
Owner Affiliation
Charles V. Newman
809 Canyoncreek Ln
Fuquay Varina
Region
Raleigh
County
Wake
NC
Issue
8/2/2018
Effective
8/2/2018
27526
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
110 WithersRaven&
. r our Peo; IE+. YOuT �iirteSi
115 MacKenan Drive
Cary, North Carolina 27511
t: 919.469.3340 1 f: 919.467.6008
NCDEQ - Water Quality Regional Operations &
TO: Groundwater Protection Branch
1636 Mail Service Center
Raleigh, NC 27699-1636
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
® Attached
❑ Prints
❑ Change order
Letter ofTransmittal
07/20/2018
1 02020270_10
Shristi Shrestha
Mitchell Property
302 South Main Street
Fuquay-Varina, Wake County, NC
Incident # 26126
❑ Under separate cover via
❑ Plans
❑ Diskette
❑ Samples
the following
items:
0 Specifications
1
07/20/18
1
"DEEMED AS PERMITTED" APPLICATION FOR SURFACTANT INJECTION
TH ESE 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
❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO: Newman Family, File
SIGNED: Matthew James, PG
If enciasures are not as noted, kindly notrfy a al once.
n r

North Carolina Department of Environmental Quality — Division of Water Resources
NOTIFICATION OF INTENT (NO1) 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 ONC.02011(NOTE: This form must be received at least 14 DAYS prior to injection)
AQUIFER TEST WELLS t 15A NCAC U2C.0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (ISA NCAC tt2C _0225) or TRACER WELLS (ISA 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 (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
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 sail or groundwater.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: , 20
PERMIT NO. w IBC O 0 q (to be filled in by DWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(I) Air Injection Well Complete sections B through F, K, N
(2) Aquifer Test Well Complete sections B through F, K, N
(3) Passive Injection System Complete sections B through F, I-i-N
(4) XXXX Small -Scale Injection Operation Complete sections B through N
(5) Pilot Test Complete sections B through N
(6) Tracer Injection Well.. Complete sections B through N
B. STATUS OF WELL OWNER: Business/Organization
C. WELL OWNER(S) — State name of Business/Agency, and Name and Title of person delegated authority to
sign an behalf of the business or agency:
Narne(s): JMM Farms. LLC. c/o Charles V. Newman. Manager
Mailing Address: 809 Can oncreek Lane
City: Fuqua\ -Varin a State: NC Zip Code: 27526 County: WAKE
Day Tele No.: _ 9I9-577-9790 Cell No.: Unknown
EMAIL Address: Unknown Fax No.: Unknown
Deemed Permitted GW Remedialion NO1 Rev, 3-21-2018 Page 1

D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: ---------------------------------
Company Name ---------------------------------
Mailing Address:---------------------------------
City: __________ _ State: __ Zip Code:. _______ County:. _____ _
Day Tele No.: ____________ _ Cell No.: _________ _
EMAIL Address:. _____________ _ Fax No.: ___________ _
E. PROJECT CONTACT (Typically Environmental Engineering Firm)
Name and Title: ___ G=:.... M=a=tt=h=ew~J"'a~m~e""s,,_,P,_,.-'=G:.:.:••c.,Ps..:r..:a:o...,je:..:::c-=-t ""'M:a.:a~n=a"'-ge=r ______________ _
Company Name ___ _,_W-'-'i=th=e=r=sR=a=v~e~n~el=In=c=·-----------------------
Mailing Address: __ ___,ls..:1""'5_.M=ac=K=e=n~a=n'-'D~r:..:.iv..:...;e:::,.._ __________________ _
City: Ca1v State: _1:K2_ Zip Code:.=2-'-'75"'"'1,..,1'--___ County: WAKE
Day Tele No.: ----'9'-'1=9_,-2=3=8-'-0=3=3=5 ___ _ Cell No.:. __________ _
EMAIL Address: m james [e-mail] Fax No.: ------=-9-=-l 9a....-....:.4.::..67.:....-=60=0=8'---
F. PHYSICAL LOCATION OF WELL SITE
(I) Facility Name & Address: Former Mitchell Propertv (Vacant Lot)-326 S. Main Street
City: Fuguav -Varina County: WAKE Zip Code: ---=2"'-7=52""6"'--
(2) Geographic Coordinates: Latitude**: ___ 0 --__ " or 0
Longitude**: 0 "or 0
Reference Datum: _______ ~Accuracy: ________ _
Method of Collection: __________________ _
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume:._4""0"-. 7:....:a5""'0'--___ square feet
Land surface area ofinj. well network: ~1.200 square feet~ 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: <5 (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.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
Deemed Pennitted OW Remediation NOi Rev. 3-21-2018 Page2
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and duration
of injection over time .
Purp ose: Elimination of free-phase petroleum product on groundwater surface at location
Scope: In jection ofEnviroClean surfactant into ten GeoProbe points followed b y the performance of a surfactant
enhanced recoverv event (A geressive Fluid/Vapor Recovery).
Goals: Reduction of source area contamination throu gh removal of free-phase and dissolved-phase petroleum
contamination with the aid of surfactants.
J. APPROVED INJECT ANTS -Provide a MSDS for each injectant (attach additional sheets if necessary).
NOTE: Only injectants approved by the NC Division of Public Health, Department of Health and Human
Services can be injected Approved injectants can be found online at http ://deq .nc.gov/about/divisions/water-
resources/water-resources-pennits/wastewater-branch/ground-water-protection/gr ound-water-a pp roved-in jectants.
All other substances must be reviewed by the DHHS prior to use. Contact the VIC Program for more irifo (919-
80 7-6496).
Injectant: --~E=n=v~i=ro~C~le~a=n~S=u=r=fa=c~tan~t ______________________ _
Volume of injectant: 518 Gallons ( 10 gallons EnviroClean diluted with water to 2% solution)
Concentration at point of injection: ___ 2~¾~o~M~ix=tur~e~w~ith~po~t~ab~l~e_w~a=t~er~----------
Percent if in a mixture with other injectants : --~2=o/c~o~E=n~v~ir=o~C=l~ean~-~9~8~o/c~o.._p~o~ta=b~le~w~a~te~r _____ _
Injectant: ----------------------------------
Volume ofinjectant: ____________________________ _
Concentration at point of injection : _______________________ _
Percent if in a mixture with other injectants: ____________________ _
Injectant: ----------------------------------
Volume ofinjectant: _____________________________ _
Concentration at point of injection: _______________________ _
Percent if in a mixture with other injectants: ____________________ _
K. WELL CONSTRUCTION DATA
(I) Number of injection wells: ___ l_O __ Proposed'---_____ Existing (provide GW-1 s)
(2) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Proposed injection points to be installed with Geoprobe/DPT.
(b) Each point to be installed to 15 ft beneath grade and abandoned following injection.
(c) Well contractor name: Ouantex , Inc., Certification number: 3106A
Deemed Permitted OW Remediation NOi Rev. 3-21-2018 Page 3
L. SCHEDULES —Briefly describe the schedule for well construction and injection activities.
1) Following oauvine of free product in wells MW-6 and MW-7. complete infection ofEnviroClean Surfactant
into ten GeoProbe points extendinu to 15 ft beneath oracle, followed b• abandonment of each Joint
2) Anoroxirnatek 1-week followinL injection activities.jerform surfactant enhanced AFVR event swells
MW-6 and MW-7 to be used as extraction locations durinc AFVR)
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 O21result from the injection activity.
1) Gauge for free product in MW-6 and MW-7 one month followinu completion of injectionlAFVR event
2) Gauze for free product in MW-6 and MW-7 semi-annuall\ thereafter.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/Applicant: "I hereby certiO, under penalty of law, that I am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information 1 believe that the information is true, accurate and
complete_ 1 am aware that there are significant penalties, including the possibility of fuses and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well and all related appurtenances in accordance with the I 2:4 AIC:AC 02C 0200 Rules."
G.Matthew James, PG, Project Manager, WithersRavenel
On behalf of JMM Farms, LLC
Signature of Applicant Print or Type Full Name and Title
Property Owner of the propene is not owned b‘ the Well Owner/Applicants:
"As owner of the property an which the injection wells) are to be constructed and operated, I hereby consent to
allow the applicant to construct each injection well as outlined in this application and agree that it shall be the
responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction Standards
(I SA rVC'CO2C .0290)."
"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.
e4444- Alecoht.adly, Q.. Charles Newman. Manager
Signatures of Property Owner (if-fferent from applicant) Print or Type Full Name and Title
*An access agreement between the applicant and properly owner may be submitted in lieu of a signature on this form.
Please send 1 (one) hard color copy of his NO1 along with a copy on an attached CD or Flash Drive at feast
two (2) weeks prior to injection to:
DWR -- UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Rcmediation NOI Rev. 3-21-2018
Page 4

INJECTION POINT CONSTRUCTION
(TYPICAL)
GROUND SURFACE
i/relwwr -wfl.•/4r/rl'/.wwi .6'r // Ii % li�fO/rlr�Irwp.4w /4w/wflwe.wf!WF47
NATIVE
SOILS
1.5" DIAMETER BOREHOLE
(BACK F-ILLEO UPON
INJECTION COMPLETION)
GEOPROBE DPT RODS
(HOLLOW STEM)
G£OPROBE INJECTION TOOLING
BOTTOM DEPTH
15`
■■ WithersRavenel
-Nip- Engineers j Ptanners j Surveyors
0 Pit71r 1y[MT
FORMER MIrCHELL PROPERTY
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4
PROPOSED GEOPROOE INJECTION PRINT
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02v2O270-10
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EnviroCiean
Degassing/Hydrocarbon Removal/Remediation Chemistry
PHYSICAL PROPERTIES
Product Name
Physical Form
Color
EnviroClean
Clear Liquid
Colorless unless dyed
Specific Gravity (Water = 1)
Solubility in Water
Freezing/Melting Point
Flash Point (°F)
pH
Reportable Quantity (RQ)
1.028 +/-.01
100%
NE
>200° F
8.5 +/-.25
None
Complete information on health hazards, protective
equipment, handling precautions, environmental
hazards and disposal is listed in the current
EnviroClean Safety Data Sheet (SDS) for this product.
SUMMARY
EnviroClean is a non-flammable non-toxic
water-based, proprietary blend ~f non-ioni~
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 voes,
LEL's, benzene and low levels of H2S 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 and
Houston , Texas.
Page 1 of 2
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.
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 tern rature
of the a pp lication 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
Page 2 of 2
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.
SECTION 1
ENVIROtbLEAN
SAFETY DATA SKEET
MATERIAL IDENTIFICATION
PRODUCT NAME / DESCRIPTION: EnviroClean
DISTRIBUTED / MANUFACTURED BY:
ENVIRO CLEAN PRODUCTS & SERVICES
PO I3OX 721090
OKLAHOMA CITY, OK 73172
DATE: 05/18/2015
PHONE: [phone]
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

ENV1ROCL EAi
Store in a well ventilated place
TOXICITY INFO:
See Section 11.
SECTION 3 HEALTH HAZARDS
CHEMICAL NAME %WIW 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:
Skin Contact:
Inhalation:
Ingestion:
SECTION 5
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.
Wash with soap and water. Get medical attention if irritation occurs. Wash
clothing before reuse. Destroy contaminated shoes.
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.
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.
FIRE FIGHTING MEASURES
Fire Hazard Classification (OSHAINFPA):
Extinguishing Media:
Special Fire Fighting Procedures:
Hazardous combustion products:
0
As required for fire being fought.
Use self-contained breathing apparatus.
No known.

ENV1ROtCLEAN
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 Iimits. 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 NIOSHIMSHA 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:
Odor Threshold:
p11:
Boiling Point:
Melting Point:
Flash Point:
Evaporation Rate (Butylacetate = 1)
Flammability:
UEL:
LEL:
Vapor Pressure:
Vapor Density:
Specific Gravity (Water = 1):
Solubility Water:
Partition Coefficient:
Auto -ignition Temperature:
Decomposition Temperature:
Viscosity (CPS):
SECTION 10
Wintergreen
NE
8.5+1-D.5
NE
N/A
>200 deg F
NE
Non -Flammable
NE
NE
NE
NE
I.03+/-.05
Complete
NE
NE
NE
NE
STABILITY AND REACTIVITY
Stability:
Incompatibility:
Decomposition Products:
Conditions to Avoid:
SECTION 11
This product is stable under normal temperatures and pressures.
Strong Oxidizers and strong acids.
No Known hazardous products.
Sparks/flames/high heat.
TOXICOLOGICAL PROPERTIES
Raw Material
Test
Result Route
Species
NIA
See Section 4 for symptoms.
CARCINOGENICITY:
No known carcinogens, mutagens, or reproductively toxic ingredients
SECTION 12
ECOLOGICAL INFORMATION
Raw Material
N/A
Test
Result
Time
Species
PERSISTENCE & DEGRADABILITY:
NE

ENVIR~~~
BIOACCUMULATION :
NE
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 by DOT or IATA.
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
CW A (CLEAN WATER ACT) LISTED SUBSTANCES: NA
FDA (FOOD AND DRUG ADMINISTRATION): NA
TOXIC SUBSTANCES CONTROL ACT (TSCA): NA
IATA:NA
ENVIROftLEAN
NFPA HAZARD INFORMATION SIGN
101
101
4 -DEADLY
3 - EXTREME DANGER
2 - HAZARDOUS
I - SLIGHTLY HAZARDOUS
0 - NORMAL MATERIAL
FLASH POINTS:
4 -BELOW 73 F
3-BELOW 100F
2 - BELOW 200 F
I - ABOVE 200 F
0--WILL NOT BURN
[0] REACTIVITY HAZARD (YELLOW DIAMOND)
4 - MAY DETONATE
3 - SHOCK AND HEAT MAY DETONATE
2 - VIOLENT CHEMICAL CHANGE
1 - UNSTABLE IF HEATED
0 - STABLE
[] SPECIFIC HAZARD (WHITE DIAMOND)
OXY OXIDIZER
ACID ACID
ALK ALKALI
COR CORROSIVE
W USE NO WATER
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.

WithersRavenet
Engineers 1 Planners i Surveyors
u,. 7?311 +54 •+w 374t1.4..15141.• 7L61:1
SOUTH MAIN STREET r111111111.
FORMER i 17C.-1 LL PROP7RTY
v: v:ir_,.. :...r ;;•. , i:c
t326 5. MAIN STREET)
FilQUAY-MARINA, WAKE, COUPiTY. N:
PROPOSED
INJECTION POINT
LOCATIONS
aruwfir
rc8B
r.1,,g.7vr rt n*
--20 ' 1
n111C+ : 1111
07/16/16 U2tti . Q7O.10
nw+�vu�.rna..r. wwrY rrf {m F11A 4-i37:�• — T7. 7fsl - Rr}Irr. ill

LEGEND
4} TYPE II MONITORING WELL LOCATION
(1270) BENZENE CONCENTRATION (igll). MAY 201E
NOTES:
ESTIMATED EXTENT OF BENZENE AT CONCENTRATIONS
EXCEEDING 2L STANDARD {DASHED WHERE INFERRED)
2013 AERIAL OBTAINED FROM THE LOCAL COUNTY GtS DEPARTMENT.
2. 13p1 OENQ I ES 19 EH£AT H LABORATORY DETECPOH LIMIT(S1
NS DENOTES'NOT SARIPLEOr
ra WithersRavenet
Engineers I Planners 15urveyors
:r.rm775::IrR .6 fliJ /.ate• Cra!L.'I
WEST VANCE STREET
(2,73)
µW-17
(DESTROYED)
FORMER MITCHELL. PROPERTY
W. VtNCt & S. MAIN STREETS
t326 5. MAIN STRE ETA
r LJQUAY-VARINA WAKE. COUNTY, NC
ESTIMATED EXTENT OF
BENZENE CONTAMINATION
GRA HIC SCALE
15
1.=11
KBB
�h•30f.
{PALE
1"=30
D7.` 17/18
rILLN'+r _LO
2
02020270.10
n'1R+f�vp>1a+�� '�� aPrwvWa .w wn.m J4 aT, n 1S - .a...i. �v/

(84.27)
WEST VANCE STREET
(87.34)
•
(87,79)
(83.35)
e
MW-17
(DESTROYED
f ,.,.
(80.27)
LEGEND
TYPE Il MONITORING WELL LOCATION
GROUNDWATER ELEVATION (Ili. MAY 2018
IMPLIED GROUNDWATER ELEVATION
GROUNDWATER FLAW 09RECTIUN
NOTES:
1. 2313AERIAL OBTAINED FROM THE LOCAL cowry Grs DEPARTMENT.
T. NM DENOTES TOT MEASURED-.
FORMER MITCHEL.L PROPERTY
Vv. VANCE & 5. MAIN "STREETS
[3265. MAIN STREET}
FUQUAY-VARINA, WARE. COUNTY, NC
4f,71-I1 I •ta 40.7•1) • C /ICUI
(87.32)
40
030.93)
(86.43)
•
(64.71)
87
85
85
1�
80
GRA
15
*Po
H1C SCALE
1 ch-30 ft
07/17/18
CIr.l1RS '7.r
3
r`Nilir�.7 xO
42020270.10

)Q( MW-5
(-IRE HYDRANT
0
MW-12 )a(
MW-11 3R1
B o
Nit MW-1
A
MW-3
MW-4 )3(
MW-1©
MW—
MW-131d
MW-20D
MW-21
ERTY LINE
W-6
MW-14
MW-7
MW-8
)e( MW-16
)3(MW-18
)3( MW-19
MW-15
MW-17 I(
MW-22
MW-24
MW-26 SHOWN FOR REFERENCE
PURPOSES. WELL WAS PLACED
APPROXIMATELY 120 FEET SOUTH
OF THE REFERECNCED LOCATION.
■� WithersRavenel
Erigineer5 J Planners J Surveyors
140 FT
t )e( MW-26
MW-23/
LEGEND
WELL LOCATION
MITCHELL PROPERTY
W. VANCE STREET & S. MAIN STREET
FUQUAY-VARlNA, WAKE COUNTY, NC
CROSS SECTION
GRAPHIC SCALE
0 15 30 60
finch =30 ft.
DRAWN II, SCALE:
xxx
1- =30
FIGURE NO.:
1
APPROVED BV;
aal
PROJECT MO.:
115 Paacemmn Drive ! C. . NC 7751: r L siP7AGY-73.0 I weme A; C-0892I
Earn
xxx
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0
31V35 31HdVIID
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a
a.
r
rri
0
a
❑
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n
a
❑<1
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■■ WithersRavenef
pPi Engineers 1 P anners Surveyors
MITCHELL PROPERTY
W. VANCE ST'R£ET & 5, MAN STREET
FUQUAVA/ARJNA WAKE- COUNTY. NC
CROSS SECTION
AtoA'
DRAWN SY,
xxx
SCALE
1. =ia
F1CURF rib:
1
AFFI OWD BY
xxx
DATE
PRaNcT NO»
.IS wU[Kenun[Y ir; Cery. N[ 2751$ !: 4t 74#P_54[1. • ;-)$.17'
xx; xx/XX X)DCXXXX)C,Y.�i
r.,=. 0..crikt -tia-+ ._ _ Iiar4 M1242PACI6 NSA +4, It AMR - ._R. Mit

H
MW- 1
MW-10
MW-2 MW-20D
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;.;;�T..,..T.
., •.--.iiPll ••• Py.
MW-7
9.0
MW-9
MW-17
MW-22
NOTE: ESTIMATED DISTRI8I TION OF GROUNDWATER' CONTAMINANT" SHOWN.
,.—
8
MW-23
f
, � f f' / l ff ff ff j f, 1 ff fr ff j , e
LEGEND
Groundwater Surface
Benzene Isopleth at
2L Standard
Ethlybenzene Isopleth at
2L Standard
Toluene lsopleth at
2L Standard
Total Xylenes lsopleth at
2L Standard
0 Benzene Concentration
El Ethylbenzene Concentration
A
Toluene Concentration
Total Xylenes Concentration
r —
❑vv
❑v❑'S
Screened Interval
Silty Sand
Silty Sand, Clayey Silt
Silty Sand, Silty Clay
Weathered Bedrock
GRAPHIC SCALE
0 15 30 6o
finch -30 ft
M
-•
� �xx
3 X
c