WI0501020_DEEMED FILES_20190717

ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES • MATERIALS TESTING
July 12, 2019
Ms. Shristi Shrestha
D~
North Carolina Department of Environmental Quality
wJ.tJS or o 2-0
725 East Millbrook Road
Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www .atcassociates.com
N.C. Engineering License No. C-1598
Division of Water Quality-Aquifer Protection Section, UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Reference: Injection Event Record -WI0501020
Tate Property
7601 Louisburg Road
Raleigh, Wake County, North Carolina
NCDEQincidentNo. 21716
Dear Ms. Shrestha:
RECEIVE:D/NCDEQIOWR
•
1.ll 1 7 2019
Water Quality
Regional Opemtions Section
ATC Associates of North Carolina, P.C. (ATC) is submitting an Injection Event Record for the above
referenced site under contract to the North Carolina State-Lead Program. During the event, 21 injection
points were advanced between June 10 and June 13, 2019. The event consisted of injection of sodium
persulfate, potassium persulfate, and ferric oxide. Attachment 1 contains the Injection Event Record
form and Attachment 2 contains the Field Summary Report prepared by Innovative Environmental
Technologies, Inc. (IET), the injection contractor for this project. Attachments 3 and 4 contain the
injection well construction and abandonment records for the injection points.
If you have questions or require additional information, please do not hesitate to contact Ashley
Winkelman at [phone].
Sincerely,
ATC Associates of North Carolina, P.C.
Ashley M. Winkelman, P.G.
Senior Project Manager
cc: Mr. Mark Petermann-NCDEQ State-Lead Program
Attachments:
Attachment 1 -Injection Event Record
Attachment 2 -Field Summary Report
Attachment 3 -Well Construction Records
Attachment 4 -Well Abandonment Records
ATTACHMENT 1
INJECTION EVENT RECORD
RECEIV!:D/t.J.COEQIOWR
.JUL 11 2019
WaierQua!ity
ReQlonal Operallons Saction
North Carolina Department of Environmental Quality — Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number WI0501020
. Permit Information
Mark Petermann. NCDEQ
Pero ittee
_Tate Property
Facility Narne
7601 Louisbur&Road. Ralci2h. NC 27616
Facility Address (include County)
Injection Contractor Information
ATC Associates of North Carolina P.C.
Injection Contractor / Company Name
Street Address 2725 E. Millbrook Rd. Ste 121
Raleigh NC 27604
City State Zip Code
t919) 871-0999
Area code — Phone number
. Weil Information
Number of wells used for injection 21
Well IDs: A-1 throusah A-9 and PRB-1 through
PRB-12
Were any new wells installed during this injection
event?
® Yes ❑ No
Tf yes, please provide the following information:
Number of Monitoring Wells N/A
Number of Injection Wells 21
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ® Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW-1 form for each
well installed.
Were any wells abandoned during this injection
event?
® Yes ❑ No
If yes, please provide the following information:
Number of Monitoring Wells N/A
Number of Injection Wells 21
Please include a copy of the GW-30 for each well
abandoned.
4. Injectant Information
Sodium persulfate. potassium persulfate. and ferric
oxide
Injectant(s) Type (can use separate additional sheets
if necessary
Concentration 24%
If the injectant is diluted please indicate the source
dilution fluid_ Raleith Municipal Water Supph _
Total Volume Injected (gal) 6.975
Volume Injected per well (gal) 300-375_
5. Injection History
Injection date(s) 6/10/19 — 6/13/19
Injection number (e.g. 3 of 5) 1 of 1
Is this the last injection at this site?
® Yes ❑ No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAID OUT IN THE PERMIT_
/ 4zJ1'i
SIGNATURE OF 1NJECTION CONTRACTOR DATE
ashy .y,I1 itr \
OF PERSON PERFORMINQ THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-8O7-6464
Form UIC-IER
Rev. 3-1-2016

ATTACHMENT 2
FIELD SUMMARY REPORT
Innovative Environmental 1echnobgies, Inc.
Technology Discussion and Field Report
To
ATC Group Services, LLC
For
The Application Of
"Activated Persulfate Technology"
At
Tate Property
7601 Louisburg Road
Raleigh, North Carolina
June 2019
Innovative Environmental Technologies, Inc.
6071 Easton Road
Pipersville, PA 18947
[phone]
www.iet-inc.net
Pipersville, PA • Columbus. OH • Concord, NC

GET
Contents
Executive Summary 2
Introduction 3
Remediation Implementation 3
Injection Procedures 3
Direct -Push -Driven Perforated Rod Placement 3
Activated persulfate technology 4
Liquid Rinse 4
Post Injection Line Purge. 4
Site Map 5
Conclusion 5
Appendix A - injection Logs 6
11Page
ATC - Tate Property

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Executive Summary
On behalf of ATC Group Services, LLC, Innovative Environmental Technologies, Inc. (IET) has prepared the
following injection report. This report has been prepared to document remediation activities conducted
at the site.
The injection program was implemented from June 11th to June 13th, 2019. The remedial approach
employed the injection of both sodium and potassium persulfate activated by ferric iron oxide. The unique
ISCO process was implemented in order to directly oxidize the contaminants of concern and stimulate a
long lasting in -situ bioremediation process.
The amendment introduced to the targeted treatment areas included 5,000 pounds of sodium persulfate,
3,500 pounds of potassium persulfate, and 2,160 pounds of ferric oxide. Although slight daylighting of
injectate was encountered at several locations, all remedial materials were emplaced according to the
original design. The point by point dosages, field notes and instances of surfacing are provided in the
attached field logs.
2{Page
ATC — Tate Property

Introduction
The Tate Property located at 7601 Louisburg Road, Raleigh, North Carolina, was identified as having soils
and groundwater impacted by the historical release of petroleum hydrocarbons. The primary compound
of concern at the site was Benzene, Toluene, Ethylbenzene, xylene (BTEX) and Napthalene. An injection
program was proposed and executed by JET for the remediation of hydrocarbon impacts in both soil and
groundwater throughout the designated area utilizing advanced oxidation technologies.
Relmediation Implementation
Injection Procedures
IET completed the twenty one injection locations throughout the treatment area. Details regarding each
injection attempt are provided in the attached field logs.
FIGURE 1: AMS DIRECT PUSH RIG
Direct -Push -Driven Perforated Rod Placement
An AMS track DPT unit comparable to the one pictured in
Figure 1, was utilized to drive the injection screen (as seen
in Figure 2) to depths ranging from 18 to 36 feet below
ground surface (bgs). It is at these depths, that the
likelihood exists of being in close proximity to the targeted
waters in the more permeable layers that were identified
during characterization of the site. These more permeable
layers are those believed to have historically provided the
preferential pathways taken by the dissolved -phase
CVOCs.
Subsurface Pathway Development
Compressed air was used to propel all injectants into
the subsurface. Compressed air was first injected into
the subsurface at approximately 75-150 pounds per
square inch (psi) until a significant pressure drop was
observed at the injection pressure vessel. This process
is referred to as pathway development. The intent of
this step is to open pathways in the subsurface for the
injectants to follow. These pathways are believed to be
those more permeable pathways along which CVOCs
are more likely to have migrated, both in the vadose
and saturated zones. Liquid and liquid -entrained
injectants are then delivered with pressurized gas to the
development step.
ATC — Tate Property
FIGURE 2: RETRACTABLE INJECTION SCREEN
pathways that were produced
during the

PET
Activated persulfate technology
A colloidal suspension of sodium persulfate, potassium persulfate, and ferric -based catalyst was
immediately injected into the subsurface fractures and voids that were developed during the
compressed air injection step.
Liquid Rinse
A small amount of water was injected to clear the injection lines of the injectant and promotes
mounding of groundwater into the vadase zone.
Post Injection Line Purge
Compressed air was injected to clear the lines of all material and to force the remedial components
further into the formation before moving to the next injection location.
41Page
ATC -Tate Property

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Site Map
1
LEGENa
[ -- CMEIWEAC_ECWITC L9+E
PO PO Welt POLE
▪ rrolrrtmiic xu1. frme iu
t &grim is WELL [Tree uccE:Pi
POfr2LL situ_ (DC*Ioo
• RCE.P4WOKC A eltiRR10 11AL
f— OISsoLYip eirapq rimreiCeNTMI121
CarnoJa NqA)
(4R4
VI OL Em+iow OOv1GWP0-.RC+ (1.4/14
D ELM DE3EGTDX LI T [uq�
Area A corxiA LET
wcmoefa
1,0O0 sf % wit
6' ROI
9 pts
PRB
1,200 sf
6' ROI
pt
GW 26-36
18-36' .?11
Conclusion
'-`I!
41
4.1HF7
Em1
—ti
110-1R 1 OF. r Ttr—S
1 if ttr/. f
1 rr�' maze
PORCH �r r,,f �.»
sr
SCe
FIGURE 3: GENERAL INJECTION IMPLEMENTATION — INJECTION LOCATIONS
1 5
The injection program at the subject site was implemented based on the proposed design with slight field
modifications. 5,000 pounds of sodium persulfate, 3,600 pounds of potassium persulfate, and 2,160
pounds of ferric oxide were introduced at the targeted depths of 18-36' bgs throughout the treatment
area. It is expected that the injection event will yield positive results in the area and IET looks forward the
assessing the data following future sampling events.
5{ Page
ATC —Tate Property

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Appendix A - Injection Logs
SIPage
ATC --Tate Property

OET
INNOVATIVE. ENVIRONMENTAL TECHNOLOGIES, INC.
loh Name: 'kit - Tate Property - Raleigh, NC 261i9 Injections
Area A
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of injection: 6/12/2019 Time of Injection:
Grid Point: A-1 12:27 PM 12:15 PM 12:04 PM 11:52 AM 11:4D AM
12:34 PM 12:25 PM 12:13 PM 12:02 PM 11:50 AM
A-1
Summary
Injection Point Summary
Actual
Proposed
Actual
Proposed
Actual
Froposcd
Actual
Proposed
Actual
Proposed
Actual
Proposed
TargetTnjection Vane
18-20T
lS-2.6'
22-24'
21-24'
26-28'
26-28'
30-32'
30-32'
34-16'
33-36'
18-36'
18-36`
Duration of Fracture (seconds):
;
3
3
3
3
3
3
3
3
3
Pressure of Pre -injection pathway de■•elopmeni
150
150
150
150
} 50
1 it
150
156
150
150
Estimated Radius of Influence
6
6
6
6
6
6
6
6
6
6
Pounds of Sodium Persulfate
89
89
89
89
89
89
89
89
89
89
444
444
Pounds of Potassium Persulfate
33
33
33
33
33
33
33
33
33
33
167
167
Pounds oft erne Oxide
31
i i
31
31
31
31
31
31
3-1
31
153
153
Gallons of Solution
75
75
75
75
'73
75
75
75
75
75
375
375
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
56
50
50
50
Odors:
Field
Observations: Bottom -up 40 psi

innowTheSzninarreal.7Tfollfelegfixtre
INNOVATIVE ENVIRONMENTAL TECHNOLOBIES, iNC.
Job Name:
Date of Injection:
A-2
ATC - I ate Property - Raleigh, NC :0I 4 I electrons
:err:+A
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
6/12/2019 Time of Injection:
Grid Point: A-2 10:30 AM 10:20 AM 10:10 AM 9:59 AM 9:46 AM
10:38AM 10:28AM 10:18AM 10:06AM 9:55AM
Injection Point Summary
Target Injection Tone
Duration of fracture (seconds):
Actual
I8-�fl'
3
Proposed' Actu1
18-2 P
Pressure of Pre -injection pathway development
150
j
15(1
i-241
3
t3o
Proposed
22-24'
3
1111
Actual
26-28'
3
Proposed r- Actual
26-28'
150
3
f5o
511:33'
3
Proposed
30 l2'
3
Actual
3-4 6r
3
Proposed
Summary
Actual
18-36'
Proposed
18-36'
150
150
150
150
Estimated Radius of influence
6
6
6
6
6
6
6
6
6
6
Pounds of Sodium Persulfate
89
89
89
89
89
89
89
89
89
89
Pounds of Potassium Persulfate
33
33
33
33
33
33
33
33
33
33
444
444
167
167
Pounds of Ferric Oxide
Gallons of Solution
Pressure of Post -injection pathway dev.
Odors:
Field
Observations: Bottom -up
31
75
�T1
31
75
50
31
5(1
31
50
31
75
51-
31
75
50
31
-7a
31
75
50 L 50
31
75
50
3T
75
50
153
375
46 psi
153
375

VAT
fneucl[x Fm{�ox�bl lkTnd!(!�luc
INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
]oh Name:
.t rC - Tare Property - Raleigh, NC
`,reu
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of lnjection: 6111/2019-6/12/2019 Time of Injection:
6/12/19 6/12119 6/12J19 6/12119 6/11/2019
Grid Point: A-3 2:35 PM 2:26 PM 2:11 PM 1:47 PM 11:35 AM
2:44 PM 2:33 PM 2:22 PM 2:02 PM 11:50 AM
2014 Injections
A-3 Summary
Injection Point Summary
Target Injection Zane
nitration of Fracture (seconds):
Pressure of Pre Injection pathway developrncn(
Actual Proposed
18-20'
150
127).
150
Actual
22-24'
3
150
Proposed
22-24'
150
Actual
Proposed
7264111
150
-Proposed
26-28'
150
Actual
30-32'
150
Proposed
30-32'
3-
150
ctual
34-361
26-n'
150
Proposed
34716'
3
150
Actual
18-:t6'
Proposed
18-36'
Estimated Radius of Influence
6
6
6
6
6
6
6
6
6
6
Pounds of Sodium Persulfate
89
89
89
89
89
89
89
89
89
89
444
444
Pounds of Potassium Persulfate
33
33
33
33
33
33
33
33
33
33
167
167
Pounds of Ferric Oxide
31
31
31
31
31
31
31
31
31
Gallons of Solution
Pressure of Post -injection pathway dev.
a
75
50
7'
50
7,
50
73-
50
75
50
50
75
50
75
75
51r
75
56
153
375
153
375
Odors:
Field
Observations: Bottom -up 40psi
Slight surfacing from around the rods on 6111 pulled rods and redrilled 6112 to finish Injections

GET
l�vn.mmer,.��ls.
INNOVATIVE ENVIRONMENTAL T£CIINOLOfilES, INC.
Job Name: .A rC - Tate Property - Raleigh, NC 2019 lnJeri ions
Area A
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of Injection: 6/11/2019 Time of Injection:
Grid Point: A-4 12:54 PM 12:44 PM 12:28 PM 12:15 PM 12:03 PM
1:01 PM 12:50 PM 12:40 PM 12:25 PM 12:10 PM
A-4
Summary
Injection Point Summary
Actual
—Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Target Injection Zone
18-20'
18-20'
18-20'
-3
18-20'
26-28'
26-28'.
34-'1�'
3ii-
34-36'
34-36'
18-36'
18-36'
Duration of Fracture (seconds):
3
3
3
)
3
3
3
3
Pressure of Pre -injection pathway development
150
150
150
150
150
150
150-
ISO
150
f5f!
Estimated Radius of Influence
6
6
6
6
6
6
6
6
6
6
Pounds of Sodium Persalfate
89
89
89
89
89
89
89
89
89
89
444
444
Pounds of Potassium Persulfate
33
33
33
33
33
33
33
33
33
33
167
167
'Pounds of Ferric Oxide
31
31
31
)1
3i
31
A
31
31
31
153
153
Cations of Solution
75
75
75
75
75
75
75
75
75
75
375
375
Pressure of Post -injection pathway dev.
50
50
50
54
50
50
50
50
50
50
Odors:
Field
Observations: Bottom -up 40psi

1%,
%SET
raw., F.eArtarnanatlbdixiodes,rm.
INNOVATIVE ENVIRONMENTAL TECHNULoeIl♦5, INC.
Job Name:
tTf - Tate Property - Raleigh, NC'
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of Injection: 6/11/2019
Grid Point: A-5
A-5
Injection Point Summary
Target Injection Zone
Actual
11:10 AM
11:16 AM
Proposed
18-20'
Actual
11:01 AM
11:06 AM
Proposed
n-24►
Time of Injection:
Actual
26-28'
10:33 AM
10:53 AM
Proposed
26-28'
Actual
30-32'
10:10 AM
10:28 AM
Proposed—Actuar
30-32T 34-36'
20PrInjections
9:56 AiVI
10:06 AM
Proposeff
3 i-36'
Summary
Actual
1&16'
Proposed
18-36'
Duration of Fracture (seconds):
-Pressure ofPre-injection pathway dcvclopmenf
3
150
3
130
3
150
3
150
3
150
1
3
Pd
3 3
f5o 150
150
Estimated Radius of Influence
6
6
6
6
6
6
6
6 6
6
Pounds of Sodium Persulfate
89
89
89
89
89
89
89
89 89
89
444
444
Pounds oaPotassium Persulfate
33
33
33
33
33
33
33
33 33
33
167
167
Pounds of Ferric Oxide
Gallons of Solution
31
75
31
73
31
73
31
15
31
,5
31
75
31
75
-31 31
75 ,5
31
75
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
50
56 50
50
153
375
153
375
Odors:
Field
Observations: Bottom -up 40psi

QET
INNOVATIVE. ENVIRONMENTAL TECHNOLOGIES, INC.
Job Name: ATC - Tate 1 roperty - ECaTeigh.'Nt 21flTTnjections
Area
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of Injection: 6/11/2419 Time of Injection:
Grid Point: A-6 5:51 PM 5:36 PM 5:83 PM 4:48 PM 4:21 PM
5:57 PM 5:48 PM 5:30 PM 4:59 PM 4:43 PM
A-6
Summary
Injection Point Summary
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
-Proposed
Actual
Proposed
Target Injection Zone
18-I0'
1-8-20'
21-2r
l-23'
26-28r
26-28'
30-32'
30-32'
34-36'
34.36'
18-36'
1$-36'
Duration of Fracture (seconds):
3
S
S
3
3
3
3
3
3
3
Pressure of Pre -injection pathway developmen(
150
150
150
150
150
150
150
150
150
150
Estimated Radius of influence
6
6
6
6
6
6
6
6
6
6
Pounds of Sodium Persnlfate
18
89
89
89
131
89
47
89
89
89
374
444
Pounds of Potassium Persulfate
7
33
33
33
51
33
18
33
33
33
141
167
Pounds of Ferric Oxide
6
31
31
31
45
31
17
3 #
Al
31
130
153
Gallons of Solution
15
'75-
775"
75
110
75
40
75
75
IC
315
375
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
50
50
50
50
Odors:
Field
Observations: Bottom -up 30p51
Shallow injection surfaced slightly after 15 gallons. Put remaining solution into A-7's 18-20' interval
Slight surfacing at 30-32' after 40 gallons. Pulled up and put remaining solution into 26-28' interval

44tI!
ET
lmodran Em4mmen. Terhnoioff lx
INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
Joh 'dame:
Date of injection:
A-7
1 i ( - Fate Property - italcigl , St -2019 injections
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
6/11/2019 Time of Injection:
Grid Point: A-7 3:18 PM 3:08 PM 2:56 PM 2:47 PM 2:32 PM
Injection Point Summary Actual
TargetTnjecfion Zone 18-20'
Duration 0/Fracture (seconds): 3
Pressure of Pre -injection pathway developascal 33U
Estimated Radius of Influence 6
3:25 PM 3:15 PM 3:04 PM 2:54 PM 2:41 PM
Proposed 1 Actual
18-20'
3
22-24'
3
Proposed
22-24'
3
Actual
26-28'
3
Proposed
26-28'
Actual
3
Proposed
31M-32'
3
Actual
34-36'
3
Proposed
34-36'
3
Summary
Actual
18-36'
Proposed
150
6
150
6
150
6
150
6
150
6
150
6
150
6
150
6
15i1
6
Pounds of Sodium Persulfate 160
89
89
89
89
89
89
89
89
89
516
444
Pounds of Potassium Persulfate 63
33
33
33
33
33
33
33
33
33
195
167
56
Gallons of Solution 135
Pounds of Ferric Oxide
31
75
31
75
31
-75
31
75
31
75
11
75
1f
75
31
75
31
'i5
Pressure of Post -injection pathway dev. 50
50
50
11- r+ii 50
50
50
50
511
180
435
153
375
Odors:
Field
Observations: Bottom -up 30psi
A-6's 18-20' surfaced so remaining 60 gallons was added to A-7's 18-20'

INNOVATIVE ENVIRONMENTAL TECHNOLOa WE, INC.
Job Name: AT"' - Tate l'ropert- Raleigh, NC 2014 Injections
Arca ,1
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Uatc of Injection: 6/12/2019 Time of Injection:
Grid Point: A-8 9:23 AM 8:32 AM 8:20 AM 8:10 AM 7:56 AM
9:29 AM 8:51 AM 8:28 AM 8:17 AM 8:06 AM
A-8
Summary
Injection -Point Summary
Act-mi.—Proposed—
gctua1
Proposed
Actual
lsroposea
Aetuif
Proposed"
Actual
Proposed
Actual
Proposed 1
Target Injection Zone
18-20'
iS 20'
22-24'
22-24'
26-28'
26-28'
30-32'
30-32'
34-36'
34-36'
18-36
18-36'
?Duration of Fracture (seconds,:
3
3
3
3
3
3
3
3
3
3
I
Pressure of Pre -injection pathway develapmenl
f50
150"
150
151F
150
in
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
6
6
6
6
Pounds of Sodium Persulfate
267
89
154
89
24
89
89
89
89
89
623
444
Pounds of Potassium Persulfate
99
33
-)
57
33
9
33
33
33
33
33
231
167
Pounds of Ferric Oxide
43
I
33
31
8
31
31
31
31
31
217
153
Gallons of Solution
225
75
130
75
211
75
75
75
75
525
375
Pressure of Post -injection pathway dev.
511
Sit
So
51)
50
50
511
11
50
50
Odors:
Field
Observations: Bottom -up 40p51
26-28' surfaced slightly after 20 gallons, pulled to next interval 22-24' and injected remaining solution
Added top two intervals from A-9 into shallow interval at A-8

VI!ET
INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
.J o li Name:
C -'l ate Property -Raleigh, NC 2919 1njeetinns
Area A
in -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of Injection: 6/11/2019-6/1212019 Time of Injection:
6/12119 6/11/19 6111119
Grid Point: A-9 12:44 PM 9:26 AM 9:15 AM
12:54 PM
9:34 AM 9:23 AM
A-9 Summary
proposed Actual
TL)6'
injection Point Summary
Target Injection Zone
Duration of Fracture (seconds):
Pressure of Pre -injection pathway deveiopntenl
Actual
18-20'
0
Proposed
18-20'
3
Actual
22-24'
r Proposed
22-24'
Actual-
26-.28'
Proposed
26-28'
3
Actual
30-32'
'Proposed
30-32'
etua[
34-36'
3
3
Proposed
18-36'
0
150
0
150
150
150
150
150
150
150
Estimated Radius of Influence
0
6
0
6
6
6
6
6
6
6
Pounds of Sodium Persulfate
0
89
0
89
89
89
89
89
89
89
267
444
Pounds of Potassium Persulfate
0
33
0
33
33
33
33
33
33
33
100
167
Pounds of Ferric Oiide
0
31
0
31
31
31
31
31
:l1
92
153
Gallons of Solution
Pressure ofPost injection pathway dev.
0
0
75
50
0
0
75
50
75
50
7L
511
75
50
75
50
75
50
75
50
225
375
Odors:
Field
Observations: Bottom -up 30psl
6111119- surfaced 5' away from point. Pulled point and rcdrilled on 6/12/19 and completed 26-28' interval.
Surfaced from same hole again at the two shallow intervals. Put remaining solution for both in shallow Interval at A-8

I'ET
1NNOVATWf ENVIRONMENTAL TECHNOLOGIES. INC.
In
.lob Name: A aC. -'i ate Property - Rakigh,
Area A - 9 Inj. Pts
-Situ Chemical Oxidation using Ferric
Date of Injections:
NC 2019 Tnjections
Oxide Activated Persulfate
Area A Sumrnary
Summary
Actual
Proposed
'target Injection Zone
1$-36T
i 8-36r
Pounds of Sodium Persulfate
4002
4000
Pounds ofPotassium Persulfate
1f0l
150
Pounds of Ferric Oxide
1386
1380
Gallons of Solution
3375
3375
Field
Observations:

0E1'
"annalist F]srimnmtsml T6thnnlugiea, lnc
INNOVATIVE ENVIRONMENTAL TECHNOLO ZIES, INC.
.loh 'dame: All - Tate Property - Raleigh,
PRB
In -Situ Chemical
Date of Injection: 6/13/2019
ti(•
Oxidation
using
3:27 PM
Ferric
Oxide Activated
Time of Injection:
3:12 PM
Persulfate
3:00 PM
2019 Injections
Grid Point: PRB-1
PRB-1
3:36 PM
3:22 PM
3:10 PM
Summary
Injection Point Summary
actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Target injection Zone
26-28'
26-281
30-32`
30-32'
34-36'
34-36'
26-36'
26-36'
Duration of Fracture (seconds):
3
3
3
3
3
3
Pressure of Pre -injection pathway development
150
150
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds of Ferric Oxide
22
22
22
22
22
22
65
65
Gallons of Solution
100
100
100
100
100
100
300
300
iressure of Post -injection pathway dev.
50
5l1
50
50
50
SO
Odors:
40 psi
Field
Observations: Bottom Up

INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
Joh Name: ATC - Tate -Property - Raleigh, NC
PRB
2019 Injections
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of Injection: 6/13/2019
Grid Point: PRB-2
PRB-2
12:06 PM
12:14 PM
Time of Injection:
11:51 AM
12:00 PM
Injection Point Summary Actual
Target Injection Zone 26-28'
Iiuration of Fracture (seconds): 3
Pressure ofPre-injection pathway developmen 150
Estimated Radius of Influence
Pounds of Sodium Persulfate
Pounds of Potassium Persulfate
oun ' s o errtc xi+ e
6
28
58
22
Gallons of Solution 100
Pressure of Post -injection pathway dev. 50
Odors:
Field
Observations: Bottom up
Proposed
26-28'
3
150
6
28
58
22
100
50
Actual
Ij32'
3
6
58
22
100
50
Proposed
SO-32'
3
150
28
58
100
50
Actual
3
150
6
28
58
22
100
50
11:38 AM
11:49 AM
Proposed
34-36'
3
6
28
58
22
100
50
Summary
Actual
26-36'
83
175
65
300
40 psi
1sroposed
26-nr
83
175
65
300

llarralice Fininnamentrd Thintiogivi, be.
INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
-
Job Name: A 1 C' - late Property - Raleigh,
PRB
In -Situ Chemical
Date of Injection: 6/13/2019
7.'
Oxidation
using
11:11 AM
Ferric
Oxide Activated
Time of Injection:
10:56 AM
Persulfate
10:49 AM
2019 lnjections
Grid Point: PRB-3
PRB-3
11:22AM
11:06AM
10:55AM
Summary
injection Point Summary
Actual
Proposed
:%ctual
Proposed
:Actual
Proposed
Actual
Proposed
Target Injection Zone
26-28'
26-28'
30-32'
30-32'
34-36'
34-36'
26-36'
26-36'
Duration of Fracture (seconds):
3
3
3
3
3
3
Pressure of Pre -injection pathway development
150
150
150
150
150
1:10
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds of ferric Oxide
22
22
22
22
22
f2
65
65
Gallons of Solution
-0O
1310
100
MT
100
100
300
300
Pressure of Post -injection pathway dev.
50
5'11
50
50
50
50
Odors:
40 psi
Field
Observations: Bottom up

insa nt'RdofticryIna
INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
Job Name: ATC - 7 ate Property - Raleigh, NC
PRB
Date of Injection:
Grid Point:
PRB-4
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
6/13/2019 Time of Injection:
PRB-4 9:32 AM 9:24 AM 9:13 AM
9:37 AM
9:30 AM 9:18 AM
2019- Injections
Summary
Injection Point Summary
Actual -
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Target Injection Zone
26-28'
26-28'
30-32'
30-32'
34-36'
34-36'
26-36'
26-36'
Duration of Fracture (seconds):
Pressure of Pre -injection pathway development
3
150
3
150
3
150
3
150
3
150
3
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds of Ferric Oxide
22
22
Gallons of Solution
Pressure of -Post -injection pathway dev.
100
50
100
50
22
100
50
22
1011
56
22
100
50
22
100
50
65
300
65
300
Odors:
Field
Observations: Bottom up 40 psi

INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
Job Name: ATC - Tate —Property - Raleigh, NC 2019 Injections
PRB
Date of injection:
Grid Point:
PRB-5
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
6/12/2019 Time of Injection:
PRB-5 5:16 PM 5:04 PM 4:54 PM
5:25 PM
5:13 PM 5:02 PM
Summary
Injection Point Summary
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Target Injection Zone
26-28'
Duration of Fracture (seconds):
3
26-28'
30-32'
30-32'
34-36'
34-36'
26-36'
26-36'
3
3
3
3
3
Pressure of Pre -injection pathway development
150
150
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds of Ferric Oxide
22
22
22
22
22
22
65
65
Gallons of Solution
100
100
100
100
100
100
300
300
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
Odors:
Field
Observations: Bottom up 40 psi

Vi'ET
Tanerratior ErrirpruirraiR11111rolusOrs, Inc
INNO%PA1 II[E ENVIRONMENTAL TECHNOLOGIES, ENC.
Job Name: A I't' - Tate Property - Raleigh,
PRB
In -Situ Chemical
Date of Injection: 6/12/2019
NC
Oxidation
using
4:38 PM
Ferric
Oxide Activated
Time of Injection:
4:26 PM
Persulfate
4:14 PM
2019 Injections
Grid Point: PRB-6
PRB-5
4:45 PM
4:33 PM
4:24 PM
Summary
injection Point Summary
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Target Injection Zone
26-28'
26-28'
30-32`
30-32'
34-36'
34-36'
26-36'
26-36'
Duration of Fracture (seconds):
`Pressure
3
3
3
3
3
3
of Pre -injection pathway de► elopment
150
150
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds of Ferric Oxide
22
22
22
22
22
22
65
65
Gallons of Solution
100
100
100
100
I011
100
300
300
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
Odors:
40 psi
Field
Observations: Bottom up

IPET
]mavuvr FmirenrwaTienOingiec Inc
INNOVATIVEENVIRONMENTAL AL TECHNOLOGIES, INC.
JobName: C C - Tate Property - Raleigh,
PRB
In -Situ Chemical
Date of Injection: 6/12/2019
NZ
Oxidation
using
3:57 PM
Ferric
Oxide Activated
Time of Injection:
3:44 PM
Persulfate
3:35 PM
2019 Injections
Grid Point: PRB-7
PRB-7
4:05 PM
3:55 PM
3:43 PM
Summary
Injection Point Summary
Actual
Proposed
Actual
Proposed
Actual
Proposed
:Actual
26736'
Proposed
26-16'
Target injection Zone
EQ8'
26-2fi'
30-32'
30-32'
34-36'
34-36'
Duration of Fracture tseconds):
3
3
3
3
3
3
Pressure of Pre -injection pathway development
I_0
15(i
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds Of Ferric Oxide
22
2f
22
22
22
22
65
65
Gallons of Solution
100
100
1011
1T1O
IMF
100
300
300
Pressure of Post -injection pathway dev.
50
56
5i)
56
_ 5
36
Odors:
40 psi
Field
Observations: Bottom up

GWI
INNOVATIVE ENVIRONMENTAL TECHNOLCWES, INC.
Job Name: ATC - Tate Property - Raleigh,
PRR
In -Situ Chemical
Date of Injection: 6/12/2019
NC
Oxidation
using
6:03 PM
Ferric
Oxide Activated
Time of Injection;
5:52 PM
Persulfate
5:44 PM
2019 Injections
Grid Point: PRB-8
PRB-8
6:16 PM
5:57 PM
5:51 PM
Summary
Fnjection Point Summary
Actual
Proposed
1ctual
Proposed
Actual
Proposed
actual
Proposed
Target Injection Zone
26-28`
26-28'
30-32'
30-32'
34-36'
34-36'
26-M'
26_36'
Duration of Fracture (seconds):
)
3
S
3
3
3
Pressure of'Pre-injection pathway development
150
150
150
fS0
I;0
1;0
Estimated Radius of Influence i
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
_ 58
58
175
175
Pounds of Ferric Oxide
22
22
22
22
22
22
65
65
Gallons of Solution
i0-0
V00
100
100
100
100
300
300
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
Odors:
40 psi
Field
Observations: Bottom up

INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
Joh Name: A'i - Tate Property - Raleigh, NC
PRB
Date of Injection:
Grid Point:
PRB-9
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
6/13/2019 Time of Injection:
PRB-9 10:29 AM 10:10 AM 9:59 AM
10:43 AM 10:23 AM 10:08 AM
sof0 injections
Injection Point Summary
Target Injection Zone
'Duration of Fracture (seconds):
Actual
26-28'
Pressure of Pre -injection pathway development
3
150
Proposed
26-28'
3
150
Actual
30-32'
g-
Proposed
30-32'
3
Actual
34-36'
3
Proposed
34-36'
3
Summary
Actual —
26-36'
Propose
2 -36'
150
150
Igo
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
Pounds of Ferric Oxide
tallons of Solution
58
58
58
58
58
58
175
175
Pressure of Post -injection pathway dev.
22
100
50
22
100
50
22
100
50
22
100
22
100
50 50
22
166
56
65
300
6S
300
Odors:
Field
Observations: Bottom up 40 psi

lnmmlhr Farvironmmnlnl'Rc13 m6lJe; I oc
INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
,16 Same: ATC - late Property - Raleigh,
PRB
In -Situ Chemical
Date of injection: 6/13/2019
NC
Oxidation
using
2:39 PM
Ferric
Oxide Activated
Time of Injection:
2:26 PM
Persulfate
2:16 PM
2019 Injections
Grid Point: PRB-10
PRB-10
2:56 PM
2:33 PM
2:25 PM
Summary
Injection -Point Summary
Actual
Proposed
Actual
Proposed
Actual
Proposed
Actual
Proposed
Target injection Zone
26-28'
26-28T
30-32'
30-32'
34-36'
34-36'
26-36'
26-36'
Duration of Fracture (seconds):
3
3
3
3
3
3
Pressure oT Pre -injection pathway de elopment
150
150
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
28
28
28
28
28
28
83
83
Pounds of Potassium Persulfate
58
58
58
58
58
58
175
175
Pounds of Ferric Oxide
22
22
22
2 S
22
22
65
65
Gallons of Solution
100
IOU
i00
100
I00
100
300
300
Pressure of Post -injection pathway dev.
50
50
50
50
50
50
Odors:
40 psi
Field
Observations: Bottom up

INNOVATIVE ENVIRONMENTAL TECHNOLOGIES, INC.
Job Name: ATZ - Tate Property - Raleigh, NU 2019lnjections
PRB
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
Date of injection: 6/13/2019 Time of Injection:
Grid Point: PRB-11 4:46 PM 4:35 PM 4:22 PM
PRB-11
Injection Poini Summary
Target Injection Zone
5:02PM
Duration of Fracture (seconds):
Pressure of Pre -injection pathway development
Actual
26-28'
3
156
15roposea
31C28'
1S6"
4:42 PM 4:33 PM
Summary
Actual
-30-32'
3
150
Proposed
30-32'
3
Actual
34-36'
3
Proposed Actual
34 -A'346i'
3
Proposed
26-36'
150
150
150
Estimated Radius of Influence
6
6
0
6
6
6
Pounds of Sodium Persulfate
28
28
0
28
28
28 56
83
Pounds of Potassium Persulfate
58
58
0
58
58
Pounds of Ferric Oxide
Gallons of Solution
Pressure of Post -injection pathway dev.
22
100
50
22
100
50
0
0
50
22
100
50
22
58 117
175
100
22
I06
50 .4
43
200
65
300
Odors:
Field
Observations: Bottom up 40 psi
26'-28' surfaced immediately. Added material from 26'-28' interval into PRB -12 at 26'-28'.

weemeuueimmviosra
INNOVATIVE ENVIRONMENTAL TEEHNOL46IES, INC.
Job Name:
Date of injection:
Grid Point:
PRB-12
A7'C - Tate Property - Raleigh, NC 2019 injections
PRB
In -Situ Chemical Oxidation using Ferric Oxide Activated Persulfate
6/13/2019 Time of Injection:
PRB-12 4:05 PM 3:53 PM 3:43 PM
4:15 PM
4:00 PM 3:52 PM
Injection Point Summary
Actual
Proposed
Actual
Proposed
Actual
Proposed
Summary
Actual
Proposed
Target Injection Zone
Duration of Fracture (seconds):
26-28'
3
26-28'
3
30-32'
3
30-32'
3
34-36'
3
34-36'
3
26-36'
26-36'
Pressure of Pre -injection pathway development
150
150
150
150
150
150
Estimated Radius of Influence
6
6
6
6
6
6
Pounds of Sodium Persulfate
56
28
28
28
28
28
111
83
Pounds of Potassium Persulfate
116
58
Pounds of Ferric Oxide
44
2Z
58
32
58
58
58
238
175
22
22
Gallons ofSoiution
Pressure of Post -injection pathway dev.
200
50
100
50
106
run
ib6
50 30 50
100
50
87
65
400
300
Odors:
Field
Observations: Bottom up 40 psi
Added 26'-28' interval from PRB-11 into 26'-28' PRB-12 due to immediate surfacing on PRB-11 interval 26'-28'

Las.+adre norimitai Thludadm, I
INNOVATIVE I IRONMEN'i AL TECHNOLOGIES, INC.
In
Jnli Name: A IC - Tate Property - Raleigh,
PRB - 12 Inj. Pts
-Situ Chemical Oxidation using Ferric
Date of Injections:
NC 2019 injections
Oxide Activated Persulfate
PRB Summary
Summary
,Actual
Proposed
Target Injection Zone
26-36'
26-36'
Iiunds of Sodium Persulfate
1006
1000
Pounds of Potassium Persulfate
2105
2100
Pounds of Ferric Oxide
781
780
Gallons of Solution
3600
3600
Field
Observations:

T
hum the EmlranmmYi Tibmnioglcs Inc
INNOVATIVE ENVIRONMENTAL TFCIINOLOaIES, INC.
In
Joh ;dame: Air -Tate Property - Raleigh,
-Situ Chemical Oxidation using Ferric
Date of Injections:
NC 2019 Injections
Oxide Activated Persulfate
Summary
Summary
Actual
Proposed
Target Injection Zone
18-36'
18-36'
Pounds of sodium Persulfate
5002
5000
Pounds of Potassium Persulfate
360-5
1600
Pounds of Ferric Oxide
2166
2160
Gallons of Solution
6975
6975
Field
Observations:

ATTACHMENT3
WELL CONSTRUCTION RECORDS
Print Form
WELL CONSTRUCTION RECORD (GW-lj
1. Well Contactor Informatioe:
Matt Edmund
Welt Canttactor Name
4451-6
NC Wdt Contractor Certification Number
IET
CamparyNamc
2. Weft Construction Permit It:
,text all applicable welt crmrrry hzm prrmNs (tn. UTC;. Camay, Slate, gamma, err..)
3. Well Use (check well use):
1Water Supply Well:
Agricultural
Geothermal (Healing/Cooling Supply)
Industrisl/Commcicial
Irr .ratiwi
Nom-WuuerSupply Well:
Monitoring
injection Well:
Aqu;fcr Recharge
Aquifer Storage and RecoveryAquifer Test
E:rper imenhrt Technology
Gem:hamxar {Closed Loop)
jGeothermsl (Heating/Cooling Return)
® Municipal/Public
QResideniia3 Water Supply (single)
�Residenriai Water Supply (shy)
D ccovery
®CrroundWater Remediation
IDSatinity Barrier
�Stormuraler Drainage
DSobsidcncc Control
Tracer
ni'hl,a(©Iplain under421 Remelts)
9. Date WelKs)Complain:6110-13119 wrlifn4A1-9, PRB1-12
Se,. Well t,ocatioa:
Tate Property
Facility/0%year Name Foci I ay ;Oil {f appliprblel
7601 Louisburg Rd, Raleigh
Physical Address, City, and Zip
Wake
Cony Parcel fdenrifcatinn Ito. (PIN)
5b. Latitude and lot gitude iu degresslmiootos/Secowls or decimal degrees:
(if well field, one IAtllong issufficient/
35 52 38.18 r.i 78 32 21.03
W
6. Is(are) the well(II1'ermanent or Ec Temporary
7. Is this a repair to an existing well: QYes ar ONa
if thin Is n rapier, fell ow 'mown well comon lion inlforaraolun and explore, O mnaIute ofrhe
repair render f21 remarks secyton or no the Lack of thin farm.
1. For GeoprobefDPT or Closed -Loop Geothermal Welts having the same
construction, only l OW-1 is needed. Indicate TOTAL. NUMBER of welts
drilled:21
9. Total well depth blow land surface:36 (ft)
For with k wells Iirt el depths iifdlffereaf (example- 3t200"and ki1.1017)
10_ Stade water level below top of casing; -18 (ft)
lfwarer level tv above casting, rise "+"
11. Borehole diameter: 2.25
12. Well construction method: DPT
sager. rotary, cabin, d%rect pusb, act-)
FOR Wk'CIER SUPPLY WELLS ONLY:
13a. Mid (gpm)
13b. Disiofection type:
Method of test:
Amount:
For Internal Use Only:
14.wATICRzo ms
111024
TO
DES4 RR7ION
18 a.
36 t
silty sand
fs_
f
15. OMPl lk CASING (for
mu15-Owed Wilk) OR LAVER-{dwq lbw
FROM
TO
PlAMnraa Tmc cN MAY IAr.
MANNER
CASING OR )1J81NC
fgeothcrninl nosed-iumii
mom
TO
DL4MBTFR
TSIC@ti$g _
AWJ rods
MATERIAL
0 ft.
34
2.25 I"'
Steel
ft.
ft.
is
-17..SCiRIEN
PROM
TO
DIAMETER
SLOT SIZE
TUR Y
MAndlint..
34 ft•
36 n.
1 I"
Steel
it
ft
IS_ GROUT
)ROM
"r'O
MAIWAL
6AirIACEMP.err MlirttWD a M.IOIJNT
ft.
ft
ft.
fit
ft.
ft.
,_ 19.SANDIGRA
YEL PACK
ref applicable'
FP.11/4
TO
MATERIAL
EMPL.ACFMW24TMETrion
- -
R
R_
F:R BRUt.ING LOG (attach addignoz1sheets A'tixxsprr)
FROM
TO
DE3 RIP ION (core ,Larderay a.dltrack t.f=, ktaiaaa0. call
ft.
It_
I
ft.
ft.
fL
fI.
ft,
ft.
R.
ft.
ft
ft
21_ RLMARKS
4fljeetiewtee ifRg—frem-48`
o-3G
22. Certification:
7/3/19
Date
By signing this farm, 1 iwrrcl y certify that the wrll(twas (wore) camstrmied ire ucrardaner
with 15.4 NC.,de 02C -0106 nr LTA NCAC 02C -0300 Well Cansnucrian Standards and that a
copy of this record has been provided ro rite well owner.
23, Site diagram Dr additional well details:
You nay use the back of this page to provide additional well site details or welt
construction details. You may also attach additional pages .if necessary.
StIBMITTAL INSTRUCTIONS
24a. for All Wells: Submit this form within 30 days of completion of well
construction to the following.
13ivisiou of Water Resources, In formatiwu Processing twit
1617 Mail Service Center. Raleigh, NC 27699-1617
24b. For InIectxiu Wells: In addition to sending the form to the address in 2da
above, also submit one copy of this firm within 30 days of completion of well
construction to the following-
Division of Water Resources, lJadergrouutl Injection Control Program.
1636 Mail Service Center, Rat eigh, NC Z7699-1636
24c. For Water $nnply & Inieetion Wells: In addition to sending the form to
the addressics) above, also submit one copy of this form within 30 days of
completion of well eaustruction to the county health department of the county
where construeted.
Form GW-J
Monti Caroiirw Dcpartmcst of Environmental Quality - Division of Wafer Resaurc+sa R vi 2-22 2016

PriratFotm
WELL CONSTRUCTION RECORD (GW-1)
1. WdICoo tractor 1nfunn tioa:
Matt Edmund
Well Contractor Name
4451-B
NC Welt Contractor CertificeMon Number
IET
Company Name
2_ WeII Construction Permit 1k:
Liar all applicable welt canattitcxionpermllr (l v. UIC, Coney, Stale, Valiance, ere,
3_ Well Use (cheek well use):
Water Supply Well:
Agricultural
Geothermal (Heating/Cooling Supply)
Industrial/Commercial
Irrigation
Non Water Supply Well:
]Monitoring
Injection Welt:
�Aquii'er Recharge
Aquifer Storage and Recovery
Aquifer Test
Experimental Technology
Geothermal (Closed Lamp)
]Geothermal (ye:ming/Coolin
Municipal/Fuhlic
© Residential Water Supply (single)
DResidenlial Water Supply (shy)
© Recovery
©x GroundwaterRemediation
Salinity Barrier
[3Stormwater Drainage
Subsidence Control
(Tracer
Return) ❑ Other (explain udder 1121 RernerksL
4.Date Woks) Completed: 6/10-13/19 WeIII1A1-9, PRB1-12
Sa Wrtl Loesiio is
Tate Property
FsciMy/Owner Naar
Facility tog (if applicable)
7601 Louisburg Rd, Raleigh
Physical Address, City, and Zip
Wake
Courtly Pared identification No. {PrN
5b. Latitude and longitude in degrecs/minsterdseconds or decimal degrees:
(if well ,Sold, one latllong is sutherenf
35 52 38.18 N 78 32 21.03
6. ls(are) the well(H).0Perntsoent or EilTcesporary
W
7. Is this a repair to an existing well: DYe/4 or El No
?mu is a weenie, fill opt known ur1t cQIMalretian irfarrrrdian a7ri erp/ain the mafnre ofrhe
repair water 521 remark -erection or on Ihr burl a fMiriam.
8. For GcoproboMPT or Closed-I.onp Geothermal Welts having the same
construction, only I GW-1 is needed, Indicate TOTAL NUMBER of wells
drilled: 21
9.Total well depth below land sueiace:
Fbr 4,104914 wells an milIlex& ijdt erem (example- 44200'sad 2@x I405
36
(f-)
111Static water level below top of cueing: —18. (fit)
II water las+al Os above caring rare ,.4,,.
11. Borehole diameter: 2.25
12. WRM ronstrtfction method: DPT
(1.e, sneer, rosary. cable. direct gush. obi.)
FOR WATER SUPPLY WELLS R ONLY:
134. Yield (gem). Method of test:
13b. Disinfection type: Amount
For interval Use Only:
�d WATER ZONES
PROM
TO
mextur HDN
18 '
36 R'
silty sand
ft.
ft.
1S. OUTER. CASING (for irnl6 e+rmdw.eHHfj OR LiNlrl'ij+tappficabttrl
FROM
TOft.p DL M TER MATERIAL
ft.
11—THICKNESS
16.1NNER
CASING OR TUBIItrG tgeolhermal Closed-leapI
FROM
TOr
DIAMETER
THICKNESS
MATERIAL
0 a'
34 R'
2.25 `"
AWJ rods
Steel
f.
ft.
in
.19.,SCREEN
PROM
10
DIAMETER
SEOTRIZEI
THICKNIORS
MATERIAL
34 ft.
36 R
1 im
Steel
ft.
I.
in.
LS. GROUT
,PROM
TO
MATERIAL
EMPLACEMENT METHOD & AMOUNT
ft.
t}.
e.
R.
R
IA SAND/GItAVEL
PACK{1f
appliceinel
Most
TO
MATERIAL
BMPLACEME1NT METHOD
R.
ft.
ft.
R.
21L DRILLING
LOG (much additional sheets ifneces+wr}I .
nom
ftft_
TO
DESCRIPTION l reler,hn� area.oil+ruck ryfe,lento aiea etc.4
1
it_
iL
ft
1L
f
IL
ft.
ft.
it.
ft
'!t.
R.
21. REMARK,S
x 2,6!--
e
2t Certification:
7/3/19
By signing this form, I hereby ma* the the well& .vas (ware) eamttrtteted ip accordance
kWh' 15.4 NCAC aiC' 0100 nr ISA NCAC WC.0700 Weft C-'uerlrr/cttan Ctanelarrds and that a
coAe of this rererd has been provided ro the well owner,
23. Site diagram or additional well detsila:
YOU may use the back of this page to provide additional well site details or well
construction details, You May also attach additional pages i$aecessary,
$L`$ 11'1 -AL 1NSfItv_rtQNS
24s. For All Writs: Subunit this form within 30 days of completion of well
construction to the following:
Division of Water Resources, Informed -ion Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Infection Wel s In addition m sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
1 OflStruction to the following-
Division of Water Resources, Underground Igjeirrion Control Program.
1636 Mail Service Center, Raleigh, NC 21699-1636
24e:. Fur Water Su opt, & 3niecliue Wells: in addition to sending the forte to
the addreas(cs) shove also submit one copy of this form within 14 days of
ooraptctioa of well construction to the county health department of the county
where constructed-
Fere; GV -h
Nellie Carotin 1)cpartrnsot of Environmental Qas1 icy - Oivisiae of Water Resaewea
Revised 4 22 201 G

ATTACHMENT 4
WELL ABANDONMENT RECORDS
WELL ABANDONMENT RECORD
1. Well Contractor Information:
Matt Edmund
Well CankacW Him (or wail owner patsonaliy ebaodaniug wail an his/her property)
4451-B
NC Well Contractor Cartificalimo Number
IET
Company Name
2. Well Construction Permit q:
Ihl cal applicable well twee ion ponuir (1,e. [NC. Cruse)+. Stu e,, Marlow. err) 1,4raurr
3. Well use (check well nee):
Water Supply Weil:
C3Agriculturai
❑Geothermal (iieating/Covling Supply)
Dlndusirial/Coon ercial
❑lrri: ton
Non -Water Supply Well:.
D Monitoring
injection Well:
❑Aquifer Recharge
DAguifer Storage and Recovery
DAquifer- Test
❑Experimental Technology
DGeotherrnal (Closed Loop)
❑Genthermal (Heating/Cooling Return)
❑MunieipalIPublin
0Residentiei Water Supply (single)
[]Residential Water Supply (shared)
❑Recovery
*Groundwater Remediation
c3Sa3inity Barrier
CiStosmwatcr Drainage
❑Subsuiencc Conuvl
crrracer
Bother (napiain under 7g)
4, Date weil(s) abandoned: 6/10-13/19
54. Well location:
Tate Property
FstaiityR3wacr Nana
7601 Louisburg Rd, Raleigh
Pfiysical Adams, City, and Zip
Wake
Cates
Parcel Identification No. (PINT
56. Latitude and longitude in degrceslminutealsecontis or decimal degrees:
(if well fled, one tatitong is ,uthcient)
35 52 38.18 l� 78 32 21.03 �r
COINSTR1J TTON DF1 .0 S OF WELLS) BEING ABANDONED
Arwchwclfcmcsrruclmnreco-rd(s)2Triv labfr,. For msdrtpkinfection ornon-wrrrersupp1ywelr
ONLY with the same cansusicnonrabmadonniene, you ran sudmir our font
6a.Well no: A1-9, PRB1-12
6b. Total tuck] depth: 36
(R .)
6c. Be.rehole dianictcr: 2-25 (i,r_j
6d. Water itvcl below ground surface: —18 (ft I
6e. Outer easiog length (if known): {it)
6E inner coxing/tubing length (if known)_ 225 (it.)
6g. Streets length (irhoowo): 2 (IL)
II For treeing Dee ONLY:
WELL ABANDONMENT DETAILS
71t, For Geoprobe/DPT or Closed -Loop Geothermal Wens haying the same
well construction/depth, only 1 OW-30 is needed. 1ndiCatt~ TOTAL NUMBER of
wells abandoned r
7b. Approxinlate volume shyster remaining in well(s):.�3 (gal.)
FoR W ATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check lift that apply):
l Nat Cement ilrostt
❑ Sand Cement Grout
❑ Concrete Groot
0 Specialty Grout
0 Bentonite Slurry
• Bentonite Chips arc PeRela
❑ Dry Clay
0 Drill Cuttings
0 Gravel
0 Other (explain undo- 7g)
7E For each material selected above, provide amtrmt of materials used:
70 Ibs bentonite/boring
7g. Provide a brief description of the abandonment procedurc:
Pulled all injection tooling, filled borehole with
bentonite (Hole Plug)
7/3119
Date
13y signing this form, I hereby really that the well(s) wax (were) abandoned in
accordance with 1 SA NCAC 01C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided 0 the wen Miner,
9. Site diagram or additional well debrila:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages ifnccessary.
SUl3M1TTAL INSTRUCTIONS
10A. €ar Wells; Submit this form within: 30 days of completion of well
abevidonment to the following.
Division of Water Resanrees, Iaforntatlon Processing Unit,
1617 Mail Service Center, Raleigh. NC 2769R-1617
10b, For Injectiop Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Resources, Underground Injection Control Program,
1636 Matt Service Crater, Raleigh. NC 27699-1636
to. For Water Supply & lnieetion Welds: In addition to sending the form to the
addrcss(rs) above, also submit one copy of this form within 30 days of completion
of well abandonment to the county health department of the county where
abandoned.
Farm OW-30
North C>a-nlina Depat>mart of Enrimnmenml Quality - Division of Wmer tiesources Re rind Z-224016

WELL ABANDONMENT RECORD
t. Well Contractor Information:
Matt Edmund
Well Co,,tnictor Name (or well ownerJ)Cisonally abandoning well on his/hor property)
4451-B
NC Well Contractor Certification Nwnbcr
IET
Company Name
2. Well Construction PerD1it #: _____________ ___,,---
1,;.,, all applicable well co11,in,ction permits {i.e. UJC, C<1urr/y, StaJe, Var/a,ice , etc.) if la,awn
3. Well 11se (check well use):
Water Supply Well:
□Agriculturdl □Municipal/Public
□Geothermal {Heating/Cooling Supply) □Residential Water Supply {single)
□Industrial/Commercial □Residential Water Supply (shared)
□ lrri i:ation
Nou-Water Supply Well:
□Monitoring □Recovery
Injection Well:
D Aquifer Recharge !!!!Groundwater Remediation
□Aguifor Storage and Recovecy □Salinity Barrier
□Aquifer Test □ Storm water Drainage
□Experimental Technology D Subsidence Control
□Geothermal (Closed Loop) □Tracer
□Geothennal (Heating/Cooling Return) 0 Other { explain under 7 g)
4. Date well(s) abandoaed: 611 0-13119
5a. Wellloc11tioo:
Tate Property
Facility/Ownc:r Name Facility ID# (if applicable)
7601 Louisburg Rd, Raleigh
Physical Address, City, and Zip
Wake
County Parcel Jdcntificalion No. (Pm)
Sb. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well fu:ld. one lat1ong is sufficient)
35 52 38.18 N 78 32 21.03 -----------
CONSTRUCTION DETAIU, OF WELL{ ·1 BEING ABANDONED
w
Attach well cQtrsrnu,llon record(s) if available. For mu/np/e tnjecr/on or non-water supply wells
ONLY ><1th rhe same con.orructlantahandomnenr, you can .,ubmir one form.
6._ Well ID#: A1-9, PRB1-12
6b. Total well depth: _3_6 _____ (ft.)
6c. Borehole diameter: _2_-_2_5 ____ .(in.)
~18 6d. Water level below ground surface; _______ .(ft.)
6e. Ooter essillg length (if known): _________ (ft.)
6f. Inner easing/tllbing kngth (if k.llown): _2_._2_5 ___ -'(ft.)
6g. Screen length (if known): _2 __________ (ft)
I For Internal Use ONLY:
WELL ABANDONMENT DETAJLS
7a. For Geoprobe/DPT or CIDMd-Loop Geothermal Wells having the same
well construction/depth. only 1 GW-30 is needed. Indicate TOTAL NUMBER of
wells abandoned:_2_1 ______________ _
l
7b. Approximate volume of water remaining in well(s): _~_3 _____ (gal.}
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used: ______________ _
7d. Amount of disinfectant used: _____________ _
7e, Sealing materials used (check all that apply):
D Neat Cement Grout l!!!I Bcrrtonite Chips or Pellets
D Sand Cement Grout D Dry Clay
O Concrete Grout D Drill Cuttings
□ Specialty Grout D Gravel
□ Bentonite Sluny □ Other (explain under 7g)
7r. For uc:b material selected above, provide amount of matuials used;
70 lbs bentonite/boring
7g. Provide a brief description of the aban'1onment procedure:
Pulled all injection tooling, filled borehole with
bentonite (Hole Plug)
8. Certification: ~~~ 7/3/19
By signing this form, l hereby certify that the wel/(s) was (were) aharuic11ed in
accordance with ISA NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided lo the well awner.
9. site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INST RUCTIONS
I0a. For All Wells: Submit this form wilhin 30 days of completion of well
abandonment to the following:
Division onVater Resources, Information Processing Unit,
1617 Mail Service Center, Raleigh,NC :27699-1617
10b. For Injection Wells: In addition to sending the fonn to the address in IOa
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
.Di.,ision of Water Resources, Undergrotind Injection Control Program,
1636 Mall Servke Center, Raleigh, NC 27699-1636
10c. For Wattr Supply & Injedion WeUs: In addition to sending thefurm to the
address(es) above, also submit one copy of this form within 30 days of completion
of well abandonment to the county health department of the county where
.abandoned.
FormGW-30 North Carolina Deparnoent ofEnvironmental Quality • Division of Water Resources Revised 2-22-2016
Permit Number WI0501020
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
Tate Property lncident#21716
Location Address
7601 Louisburg Rd
Raleigh
Owner
Owner Name
Ncdeq State -Lead Program
Dates/Events
NC
Orig Issue
5/23/2019
App Received
5/13/2019
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
27616
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
5/24/2019
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Government -State
Owner Affiliation
Hassan Osman
1646 Mail Service Ctr
Raleigh
Region
Raleigh
County
Wake
NC
Issue
5/23/2019
Effective
5/23/2019
27699
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
ATC
ENVIRONMENTAL • GEOTECHHICAL
BUILDING SCIENCES • MATERIALS TESTING
2725 East Millbrook Road
Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www. atcg ro u pservices. ca m
N,C. EnWirci913 40eiiss3 -1598
May 7,2019
MAY 13 Zfl1
Wysr0++e1ity
segloniACIpmeMoneescion
Ms. Shristi Shrestha
North Carolina Department of Environmental Quality
Division of Water Quality - Aquifer Protection Section, UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Reference: Notice of Intent to Construct or Operate Injection Wells
Tate Property
7601 Louisburg Road
Raleigh, Wake County, North Carolina
NCDENR Incident No. 21716
Dear Ms. Shrestha:
ATC Associates of North Carolina, P.C. (ATC) has prepared the enclosed Notice of Intent to
Construct or Operate Injection Wells on behalf of the North Carolina Department of
Environmental Quality (NCDEQ) State -Lead Program. The permit application covers injection
of chemicals via a process designed by Innovative Environmental Technologies, Inc. for
remediation of petroleum impacted soil and groundwater at the above referenced site.
If you have questions or require additional information, please contact our office at [phone]_
Sincerely,
ATC Associates of North Carolina, P.C.
Jeremy J. Robbins, P.G. Ashley M. Winkelman, P.G.
Staff' Geologist
Senior Project Manager
Attachments: Notice of Intent Form, Tables 1 through 4, Figures 1 through 13, Appendices A
through C
cc: Mr. Mark Petermann — NCDE,Q State -Lead Program

Notice of intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina
NOTICE OF INTENT FORM
RECE6 %CEO
AY 13 2019
Water Ouaiity
Aegiuna! [Vacations Sect1Qn
ATC
VN!IC HY EMIAL • Hat LEIINI
111:lIIll SCAMS • 117E111LS TES:JIIY

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 construction.
AQUIFER TEST WELLS (15A NCAC 02C .0227)
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 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 p erations -Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding 10,000 square feet.
3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells are located within an area that does not exceed five percent of the land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any separate groundwater contaminant plume.
4) Air In jection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. lllegible Submittals Will Be Returned As Incomplete.
DATE: May 7, 2012. PERMIT NO. V\) :]..() 5 0 tfiJ., 0 (to be filled in by DWQ)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1)
(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 ................................... 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: NCDEO State-Lead Program -Mark Petermann
Mailing Address: --~1~64~6~M=a=il~S~e~rv~i=ce~C~en=t=er~-------------------
City: Ralei rili. State: NC Zip Code: 27699-1646 County: ___ W~ak_e ___ _
Day Tele No.: [phone] Cell No.: Not Available --------------
EMAIL Address: [e-mail] Fax No.: --"""'N'-=-ot~A'---"-'-v=ai=la=b=le"--------
DWQ/UIC/In Situ Remed. Notification (Revised 7/9/2012) Page 1
2725 East Millbrook Road
Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www.atcgroupservices.com
N.C. Engineering License No. C-1598

May 7, 2019

Ms. Shristi Shrestha
North Carolina Department of Environmental Quality
Division of Water Quality - Aquifer Protection Section, UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636

Reference: Notice of Intent to Construct or Operate Injection Wells
Tate Property
7601 Louisburg Road
Raleigh, Wake County, North Carolina
NCDENR Incident No. 21716

Dear Ms. Shrestha:

ATC Associates of North Carolina, P.C. (ATC) has prepared the enclosed Notice of Intent to
Construct or Operate Injection Wells on behalf of the North Carolina Department of
Environmental Quality (NCDEQ) State-Lead Program. The permit application covers injection
of chemicals via a process designed by Innovative Environmental Technologies, Inc. for
remediation of petroleum impacted soil and groundwater at the above referenced site.

If you have questions or require additional information, please contact our office at [phone].

Sincerely,
ATC Associates of North Carolina, P.C.

Jeremy J. Robbins, P.G. Ashley M. Winkelman, P.G.
Staff Geologist Senior Project Manager

Attachments: Notice of Intent Form, Tables 1 through 4, Figures 1 through 13, Appendices A
through C

cc: Mr. Mark Petermann – NCDEQ State-Lead Program

i.\TC
ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES· MATERIALS TESTING
Notice of Intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina

NOTICE OF INTENT FORM
/.\TC
llillltllllll!M.•-
81llllilllffllllll, --
DWQ/UIC/In Situ Remed. Notification (Revised 7/9/2012) Page 1
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES

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

DATE: May 7, 2019 PERMIT NO. (to be filled in by DWQ)

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: NCDEQ State-Lead Program – Mark Petermann
Mailing Address: 1646 Mail Service Center
City: Raleigh State: NC Zip Code: 27699-1646 County: Wake
Day Tele No.: [phone] Cell No.: Not Available
EMAIL Address: [e-mail] Fax No.: Not Available
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 construction.

AQUIFER TEST WELLS (15A NCAC 02C .0227)
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.

DWQ/UIC/In Situ Remed. Notification (Revised 7/9/2012) Page 2

D. PROPERTY OWNER (if different than well owner)
Name: AAFA Properties, LLC c/o Eddie Allie
Mailing Address: 5012 Will-O-Dean Road
City: Raleigh State: NC Zip Code: 27616-5445 County: Wake
Day Tele No.: [phone] Cell No.: Not Available
EMAIL Address: [e-mail] Fax No.: Not Available

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

Name: Ashley Winkelman, P.G., ATC Associates of North Carolina, P.C.
Mailing Address: 2725 E. Millbrook Road, Suite 121
City: Raleigh State: NC Zip Code: 27604 County: Wake
Day Tele No.: [phone] Cell No.: [phone]
EMAIL Address: [e-mail] Fax No.: [phone]

F. PHYSICAL LOCATION OF WELL SITE

(1) Physical Address: 7601 Louisburg Road County: Wake
City: Raleigh State: NC Zip Code: 27616
(2) Geographic Coordinates: Latitude**: 35o 52′ 38″ or o.
Longitude**: 78o 32′ 21″ or o.
Reference Datum: WGS84 Accuracy: 10-meter
Method of Collection: DOQ – Acme Mapper 2.1
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.

See Figure 1 for topographic map, Figure 2 for site map, and Figure 3 for potential receptor map. Table 1 includes
water supply well information for properties within 1,000 feet of the site and Table 2 includes the well construction and
groundwater elevation data.

G. TREATMENT AREA

Land surface area of contaminant plume: 7,700 square feet
Land surface area of inj. well network: 2,200 square feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 29% (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

DWQ/UIC/In Situ Remed. Notification (Revised 7/9/2012) Page 3
Figure 4 presents a benzene isoconcentration contour map; Figure 5 presents a naphthalene isoconcentration contour
map; and Figure 6 presents the most recent groundwater analytical map. Note that there are no longer any permanent
wells associated with this site. Soil impacts are shown on Figure 7.

(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.

Figures 8 through 11 presents the geological cross-sections with historical data. Tables 3 through 4 presents the soil
and groundwater analytical results.

I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES – Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity.
ATC proposes to remediate impacted soil and groundwater via chemical injection. The products to be
injected are ferric oxide, potassium persulfate, and sodium persulfate. Innovative Environmental
Technologies, Inc. will perform the injection activities, with supervision by ATC. Injection will be
performed in the area as shown on Figure 12 using direct-push technology. Area A will be comprised of
nine direct-push injection points advanced in a general grid pattern with five injection intervals ranging
from 18 to 36 feet below ground surface. Area PRB will be comprised of 12 injection points with three
injection intervals ranging from 26 to 36 feet below ground surface.

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: Ferric Oxide
Volume of injectant: 50.4 gallons
Concentration at point of injection: 2.4 gallons Ferric Oxide/ 50 gallons of water
Percent if in a mixture with other injectants: 4.8%

Injectant: Potassium Persulfate
Volume of injectant: 87.15 gallons
Concentration at point of injection: 4.15 gallons Potassium Persulfate/ 50 gallons of water
Percent if in a mixture with other injectants: 8.3%

Injectant: Sodium Persulfate
Volume of injectant: 112.35 gallons
Concentration at point of injection: 5.35 gallons Sodium Persulfate/ 50 gallons of water
Percent if in a mixture with other injectants: 10.7%

MSDS Forms are included as Appendix A.

DWQ/UIC/In Situ Remed. Notification (Revised 7/9/2012) Page 4
K. WELL CONSTRUCTION DATA

(1) Number of injection wells: 21 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
Well construction details are included as Figure 13.

L. SCHEDULES – Briefly describe the schedule for well construction and injection activities.

Direct-push borings and injection activities are scheduled to begin June 3, 2019, and are expected to last for
three days.

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.

Approximately 6 and 18 months following the injection event, ATC will install and sample eight temporary
monitoring wells. Samples will be laboratory analyzed for volatile organic compounds by EPA Method 6200B
and sulfate by ASTM D516. Measurements of temperature, dissolved oxygen, conductivity, oxidation/reduction
potential, and pH will be collected using a water quality meter. Ferrous iron concentrations will be analyzed in
the field using Hach kits.

N. CERTIFICATION (to be signed as required below or by that person’s authorized agent)

15A NCAC 02C .0211(e) requires that all permit applications shall be signed as follows:
1. for a corporation: by a responsible corporate officer;
2. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other public agency: by either a principal executive officer or
ranking publicly elected official;
4. for all others: by the well owner;
5. for any other person authorized to act on behalf of the applicant: documentation shall be submitted with
the notification that clearly identifies the person, grants them signature authority, and is signed and dated
by the applicant.

“I hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and
complete. I am aware that there are significant penalties, including the possibility of fines and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well and all related appurtenances in accordance with the 15A NCAC 02C 0200 Rules.”

Documentation authorizing ATC to sign as agent for the NCDEQ State -Lead Program is included in Appendix B.
Signature of Applicant
Documentation of property owner consent is included in Appendix C.
Signature of Property Owner (if different from applicant)
Signature of Authorized Agent, if any
Submit one copy of the completed notification package to:
DWQ - Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone] I Fax: [phone]
Print or Type Full Name
Print or Type Full Name
Pintr Type Full Name
DWQ/UIC/In Situ Remed. Notification (Revised 7/9/2012) Page 5

Notice of Intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina

TABLES
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TABLE 1
WATER-SUPPLY WELL INFORMATION
Tate Property
7601 Louisburg Road
Raleigh, North Carolina
Incident #21716
WELL ID WELL OWNER/USER PROPERTY
ADDRESS MAILING ADDRESS WELL USE
CONNECTED
TO MUNICIPAL
WATER
WELL DEPTH
WELL
SCREEN
INTERVAL
DISTANCE
FROM SOURCE
AREA
UP OR
DOWNGRADIENT
WSW-1 Abandoned No Unknown Unknown 60 feet N Downgradient
WSW-2 Abandoned No 33 feet Unknown 60 feet N Downgradient
WSW-3 Doris Poole Averett
919.876.6769 7615 Louisburg Road Same as property address Potable - Drilled No 100 feet 80-100 feet 350 feet NE Downgradient
WSW-4 Harold & Liffie Chamblee
919.876.5589 7705 Louisburg Road Same as property address Potable - Drilled No estimated 145 feet Unknown 650 feet NE Downgradient
WSW-5 New Breed Community Church
919.878.8388 7715 Louisburg Road Same as property address Abandoned No 128 feet Unknown 925 feet NE Downgradient
WSW-6 Ronnie Stell
919.876.5174 7008 Perry Creek Road Same as property address Potable - Drilled No 301 feet Unknown 600 feet SW Upgradient
WSW-7*Elise Wright
919.872.5396 7100 Perry Creek Road Same as property address Potable - Drilled No 108 feet Unknown 830 feet SW Upgradient
WSW-8 Walter Burnett
919.876.6282 7114 Perry Creek Road Same as property address Potable -Bored No 165 feet Unknown 975 feet S Upgradient
WSW-9 Russell & Anna Weir
919.737.5905; 919.815.2802 7110 Perry Creek Road Same as property address Potable - Drilled No 148 feet Unknown 830 feet NW Upgradient
Notes:
Address locations in Raleigh, North Carolina 27616 unless otherwise specified
* = Well may also supply water to properties located at 7102, 7104, and 7106 Perry Creek Road
Louies, Menal AAFA Properties,
LLC 7601 Louisburg Road 5012 Will O Dean
Raleigh NC 27616-5445
TABLE 2
WELL CONSTRUCTION AND
GROUNDWATER ELEVATION DATA
TATE PROPERTY
7601 LOUISBURG ROAD
RALEIGH, WAKE COUNTY, NORTH CAROLINA
INCIDNET #21716
DW-1 4/12/2004 0-67 67-72 72 96.20 4/21/2004 26.36 ----69.84
6/7/2004 26.96 ----69.24
8/10/2004 27.33 ----68.87
101.59 7/1/2014 29.52 ----72.07
2/25/2016 28.58 ----73.01
9/26/2016 29.59 ----72.00
3/1/2017 29.71 ----71.88
9/19/2017 31.05 ----70.54
MW-1 4/7/2004 0-20 20-40 40 96.80 4/21/2004 26.73 ----70.07
6/7/2004 27.33 ----69.47
8/10/2004 27.70 ----69.10
102.20 7/1/2014 29.99 ----72.21
2/25/2016 29.09 ----73.11
9/26/2016 29.98 ----72.22
3/1/2017 30.16 ----72.04
9/19/2017 31.49 ----70.71
MW-2 4/7/2004 0-20 20-40 40 96.87 4/21/2004 27.40 ----69.47
6/7/2004 28.03 ----68.84
8/10/2004 28.45 ----68.42
102.27 7/1/2014 30.61 ----71.66
2/25/2016 29.55 ----72.72
9/26/2016 30.77 ----71.50
3/1/2017 30.80 ----71.47
9/19/2017 32.22 ----70.05
MW-3 4/7/2004 0-20 20-40 40 94.66 4/21/2004 25.42 ----69.24
6/7/2004 26.09 ----68.57
8/10/2004 26.45 ----68.21
100.00 7/1/2014 28.57 ----71.43
2/25/2016 27.53 ----72.47
9/26/2016 28.84 ----71.16
3/1/2017 28.87 ----71.13
9/19/2017 30.24 ----69.76
MW-4 4/8/2004 0-10 10-30 30 88.36 4/21/2004 19.83 ----68.53
6/7/2004 20.91 ----67.45
8/10/2004 21.02 ----67.34
93.81 7/1/2014 22.93 ----70.88
2/25/2016 21.58 ----72.23
9/26/2016 23.32 ----70.49
3/1/2017 23.15 ----70.66
9/19/2017 24.71 ----69.10
MW-5 4/8/2004 0-20 20-40 40 96.27 4/21/2004 26.25 ----70.02
6/7/2004 26.81 ----69.46
8/10/2004 27.15 ----69.12
101.64 7/1/2014 29.45 ----72.19
2/25/2016 28.53 28.50 0.03 73.13
9/26/2016 29.58 29.51 0.07 72.11
3/1/2017 29.75 29.60 0.15 72.00
6/27/17 (Pre-AFVR) 29.49 ----72.15
9/19/2017 30.96 ----70.68
Notes:
Groundwater elevation = TOC Elevation - Depth to Water + (0.76 * Free Product Thickness)
4. For monitoring wells with free product: groundwater elevation is determined by the following formula:
Abandoned 11/28/17
Abandoned 11/28/17
1. TOC = Top of casing
2. TOC Elevations were re-surveyed on 07/01/14 by ATC for wells which existed at the time. Monitoring well MW-3 is the site benchmark at 100.00 feet.
3. MW-7R TOC elevation was surveyed on 11/12/14 by ATC. Monitoring well MW-8 is the site benchmark at 100.00 feet.
Bottom
of Well
(feet)
Date
Measured
Depth to
Water
(feet)
Top of Casing
Elevation (feet)
Groundwater
Elevation
(feet)
Well ID Date
Installed
Well Casing
Depth (feet)
Screened
Interval
(feet)
Depth to
Free Product
(feet)
Free Product
Thickness
(feet)
Abandoned 11/28/17
Abandoned 11/28/17
Abandoned 11/28/17
Abandoned 11/28/17
TABLE 2
WELL CONSTRUCTION AND
GROUNDWATER ELEVATION DATA
TATE PROPERTY
7601 LOUISBURG ROAD
RALEIGH, WAKE COUNTY, NORTH CAROLINA
INCIDNET #21716
Bottom
of Well
(feet)
Date
Measured
Depth to
Water
(feet)
Top of Casing
Elevation (feet)
Groundwater
Elevation
(feet)
Well ID Date
Installed
Well Casing
Depth (feet)
Screened
Interval
(feet)
Depth to
Free Product
(feet)
Free Product
Thickness
(feet)
MW-6 4/8/2004 0-20 20-40 40 97.55 4/21/2004 27.93 ----69.62
6/7/2004 28.58 ----68.97
8/10/2004 29.00 ----68.55
102.92 7/1/2014 31.18 ----71.74
2/25/2016 30.14 ----72.78
9/26/2016 31.30 ----71.62
3/1/2017 31.36 ----71.56
9/19/2017 DRY ----DRY
MW-7 4/20/2014 0-12 12-22 22 86.67 4/21/2004 23.40 ----63.27
6/7/2004 24.11 ----62.56
8/10/2004 24.50 ----62.17
95.73 7/1/2014 DRY ----DRY
MW-7R 11/6/2014 0-20 20-40 40 99.45 11/12/2014 28.12 ----71.33
2/25/2016 26.90 ----72.55
9/26/2016 28.30 ----71.15
3/1/2017 28.27 ----67.46
9/19/2017 29.73 ----69.72
MW-8 7/21/2004 0-20 20-40 40 91.51 7/21/2004 23.92 ----67.59
8/10/2004 23.92 ----67.59
96.90 7/1/2014 25.91 ----70.99
2/25/2016 24.73 ----72.17
9/26/2016 26.30 ----70.60
3/1/2017 26.22 ----70.68
9/19/2017 27.88 ----69.02
Notes:
Groundwater elevation = TOC Elevation - Depth to Water + (0.76 * Free Product Thickness)
Abandoned 11/28/17
Abandoned 11/28/17
Abandoned 11/28/17
Abandoned 11/28/17
4. For monitoring wells with free product: groundwater elevation is determined by the following formula:
1. TOC = Top of casing
2. TOC Elevations were re-surveyed on 07/01/14 by ATC for wells which existed at the time. Monitoring well MW-3 is the site benchmark at 100.00 feet.
3. MW-7R TOC elevation was surveyed on 11/12/14 by ATC. Monitoring well MW-8 is the site benchmark at 100.00 feet.
TABLE 3
HISTORICAL GROUNDWATER ANALYTICAL RESULTS
Tate Property: Incident #21716
7601 Louisburg Road, Raleigh, North Carolina

504.1 or
6200B 3030C
1 600 600 500 20 0.02 70 6 70 25 70 400 400 15 400 700 200
5,000 260,000 84,500 85,500 20,000 50 70,000 6,000 25,000 11,700 30,000 28,500 25,000 15,000 NE NE NE
4/21/2004 15 1,100D 430D 2,700D -1.2 -330D 42D 23 84D 640D 240D 3.5 2,800 8,800 2,600
8/10/2004 ND 27 120 790 - - -49 23 ND 34 390 180 - - - -
7/1/2014 <0.079 <0.09 <0.092 <0.11 <0.09 <0.089 <0.18 0.14J <0.11 <0.12 <0.094 <0.18 0.36J NA NA NA NA
2/25/2016 <0.12 <0.17 <0.13 <0.25 <0.09 <0.12 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
9/26/2016 <0.12 <0.17 <0.13 <0.26 <0.09 <0.15 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
3/1/2017 <0.5 <0.5 <0.5 <1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 NA NA NA NA
9/19/2017 <0.50 <0.50 <0.50 <1.5 <0.50 <0.50 <0.50 <1.0 <0.50 <0.50 <0.50 <0.50 <0.50 NA NA NA NA
4/21/2004 ND ND ND ND - ND - 0.55 ND ND ND ND ND ND ND ND ND
8/10/2004 ND ND ND ND - - - ND ND ND ND ND ND - - - -
7/1/2014 <0.079 <0.09 <0.092 <0.11 <0.09 <0.089 <0.18 <0.12 <0.11 <0.12 <0.094 <0.18 <0.1 NA NA NA NA
2/25/2016 <0.12 <0.17 <0.13 <0.25 <0.09 <0.12 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
9/26/2016 <0.12 <0.17 <0.13 <0.26 <0.09 <0.15 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
3/1/2017 <0.5 <0.5 <0.5 <1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 NA NA NA NA
9/19/2017 <0.50 <0.50 <0.50 <1.5 <0.50 <0.50 <0.50 <1.0 <0.50 <0.50 <0.50 <0.50 <0.50 NA NA NA NA
4/21/2004 360 10,000 1,900 11,000 -90 -840 ND ND ND 1,400 480 10.1 22,000 28,000 6,100
8/10/2004 420 12,000 1,600 14,000 - - - ND ND ND ND 980 ND - - - -
7/1/2014 9.7 490 1,000 5,800 <0.9 9.6 <1.8 640 58 11 88 1,100 360 NA NA NA NA
2/25/2016 <4.8 690 1,500 8,200 <3.6 <4.8 <7.2 430 88 18J 140 1,400 440 NA NA NA NA
9/26/2016 <6 550 1,500 8,900 <4.5 <7.4 <9 380 210 22J 150 1,400 460 NA NA NA NA
3/1/2017 5.2J 420 1,800 9,100 <12 <12 <12 460 110 18 180 1,400 520 NA NA NA NA
9/19/2017 <5.0 19 120 620 <5.0 <5.0 <5.0 84 16 5.3 14 230 80 NA NA NA NA
TW-2 11/8/2018 49.4 85.0 138 293 <2.5 10 <2.5 54.6 7.4 <2.5 9.9 72.5 25.5 NA NA NA NA
Notes:
1. MTBE = Methyl Tertiary Butyl Ether.
2. IPE = Isopropyl Ether.
3. "<" or ND = Not detected at or above the laboratory reporting and/or detection limit.
4. Concentrations are reported in micrograms per liter (ug/l) = parts per billion (ppb).
5. Concentrations in bold equal or exceed the corresponding NCDEQ Groundwater Quality 2L Standard (2L Standard) updated April 2013.
6. GCL = Gross Contamination Limit.
7. J = Indicates constituent was detected above laboratory detection limit but below laboratory reporting limit
8. D = denotes Diluted Concentration
9. - = Not reported in historical tables
10. NA = Not Analyzed
11. E = denotes Estimated Concentration
12. NE = Not established n-PropylbenzeneDate Collected
8260 or 6200B MADEP VPH
1,2,4-TrimethylbenzeneUnadjusted C9-C12 Aliphatics1,3,5-TrimethylbenzeneEthylbenzene8260 or 6200B
Total LeadUnadjusted C5-C8 AliphaticsIsopropyl Etherp-IsopropyltolueneMTBE1,2-Dibromoethane (EDB)Analytical Method
GCL (ug/l)
WELL ID
BenzeneToluene2L Standard (ug/l)Total XylenesC9-C-10 AromaticsNaphthaleneIsopropylbenzeneDW-1
MW-1
MW-2
TABLE 3
HISTORICAL GROUNDWATER ANALYTICAL RESULTS
Tate Property: Incident #21716
7601 Louisburg Road, Raleigh, North Carolina

504.1 or
6200B 3030C
1 600 600 500 20 0.02 70 6 70 25 70 400 400 15 400 700 200
5,000 260,000 84,500 85,500 20,000 50 70,000 6,000 25,000 11,700 30,000 28,500 25,000 15,000 NE NE NEn-PropylbenzeneDate Collected
8260 or 6200B MADEP VPH
1,2,4-TrimethylbenzeneUnadjusted C9-C12 Aliphatics1,3,5-TrimethylbenzeneEthylbenzene8260 or 6200B
Total LeadUnadjusted C5-C8 AliphaticsIsopropyl Etherp-IsopropyltolueneMTBE1,2-Dibromoethane (EDB)Analytical Method
GCL (ug/l)
WELL ID
BenzeneToluene2L Standard (ug/l)Total XylenesC9-C-10 AromaticsNaphthaleneIsopropylbenzene4/21/2004 ND ND ND ND -ND - ND ND ND ND ND ND ND ND ND ND
8/10/2004 ND 0.55 ND ND -- - ND ND ND ND ND ND - - - -
7/1/2014 <0.079 <0.09 <0.092 <0.11 <0.09 <0.089 <0.18 <0.12 <0.11 <0.12 <0.094 <0.18 <0.1 NA NA NA NA
2/25/2016 <0.12 <0.17 <0.13 <0.25 <0.09 <0.12 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
9/26/2016 <0.12 <0.17 <0.13 <0.26 <0.09 <0.15 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
3/1/2017 <0.5 <0.5 <0.5 <1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 NA NA NA NA
9/19/2017 <0.50 <0.50 <0.50 <1.5 <0.50 <0.50 <0.50 <1.0 <0.50 <0.50 <0.50 <0.50 <0.50 NA NA NA NA
4/21/2004 ND 3.1 4.8 80 -ND -31 3.1 ND ND 6.1 11 ND 64 210 78
8/10/2004 ND ND 2.1 58 -- -13 3.7 ND ND 2.6 13 - - - -
7/1/2014 <0.079 <0.09 <0.092 <0.11 <0.09 <0.089 <0.18 <0.12 <0.11 <0.12 <0.094 <0.18 <0.1 NA NA NA NA
2/25/2016 <0.12 <0.17 <0.13 <0.25 <0.09 <0.12 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
9/26/2016 <0.12 <0.17 <0.13 <0.26 <0.09 <0.15 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
3/1/2017 <0.5 <0.5 <0.5 <1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 NA NA NA NA
9/19/2017 <1.0 <1.0 <1.0 <3.0 <1.0 <1.0 <1.0 <2.0 <1.0 <1.0 <1.0 <1.0 <1.0 NA NA NA NA
4/21/2004 66E 5,100D 1,500D 9,800D - 140 -780D 78E 64E 100E 1,500D 530D 3.2 13,000 29,000 7,100
8/10/2004 ND 820 3,600 31,000 -- -970 670 ND 1,600 13,000 5,000 - - - -
7/1/2014 <16 3,700 1,700 14,500 <18 120 <36 1,400 130 <25 220 2,200 740 NA NA NA NA
2/25/2016
9/26/2016
3/1/2017
9/19/2017 <50 890 680 8,400 <50 <50 <50 300 58 15J 82 1,300 470 NA NA NA NA
TW-1 11/8/2018 <10 314 307 2,100 <10 <10 <10 164 42.2 <10 66.2 574 223 NA NA NA NA
Notes:
1. MTBE = Methyl Tertiary Butyl Ether.
2. IPE = Isopropyl Ether.
3. "<" or ND = Not detected at or above the laboratory reporting and/or detection limit.
4. Concentrations are reported in micrograms per liter (ug/l) = parts per billion (ppb).
5. Concentrations in bold equal or exceed the corresponding NCDEQ Groundwater Quality 2L Standard (2L Standard) updated April 2013.
6. GCL = Gross Contamination Limit.
7. J = Indicates constituent was detected above laboratory detection limit but below laboratory reporting limit
8. D = denotes Diluted Concentration
9. - = Not reported in historical tables
10. NA = Not Analyzed
11. E = denotes Estimated Concentration
12. NE = Not established
Not Sampled / 0.15' of Free Product
MW-3
MW-4
MW-5
Not Sampled / 0.07' of Free Product
Not Sampled / 0.03' of Free Product
TABLE 3
HISTORICAL GROUNDWATER ANALYTICAL RESULTS
Tate Property: Incident #21716
7601 Louisburg Road, Raleigh, North Carolina

504.1 or
6200B 3030C
1 600 600 500 20 0.02 70 6 70 25 70 400 400 15 400 700 200
5,000 260,000 84,500 85,500 20,000 50 70,000 6,000 25,000 11,700 30,000 28,500 25,000 15,000 NE NE NEn-PropylbenzeneDate Collected
8260 or 6200B MADEP VPH
1,2,4-TrimethylbenzeneUnadjusted C9-C12 Aliphatics1,3,5-TrimethylbenzeneEthylbenzene8260 or 6200B
Total LeadUnadjusted C5-C8 AliphaticsIsopropyl Etherp-IsopropyltolueneMTBE1,2-Dibromoethane (EDB)Analytical Method
GCL (ug/l)
WELL ID
BenzeneToluene2L Standard (ug/l)Total XylenesC9-C-10 AromaticsNaphthaleneIsopropylbenzene4/21/2004 ND ND ND ND -ND - ND ND ND ND 0.52 ND 50.5 66 ND ND
8/10/2004 ND ND ND ND -- - ND ND 1.3 ND ND ND - - - -
7/1/2014 <0.16 <0.18 <0.18 <0.22 <0.18 <0.18 <0.36 <0.24 <0.23 <0.25 <0.19 <0.36 <0.20 NA NA NA NA
2/25/2016 <0.12 <0.17 <0.13 <0.25 <0.09 <0.12 <0.18 <0.12 <0.12 <0.15 <0.13 0.44J <0.13 NA NA NA NA
9/26/2016 <0.12 0.33J <0.13 <0.26 <0.09 <0.15 <0.18 <0.12 <0.12 <0.15 <0.13 0.24J 0.13J NA NA NA NA
3/1/2017 <0.5 <0.5 <0.5 <1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 0.19J <0.5 NA NA NA NA
9/19/2017
4/21/2004 ND ND ND ND -ND - ND ND ND ND ND ND 19.9 ND ND ND
8/10/2004 ND ND ND ND -- - ND ND ND ND ND ND - - - -
7/1/2014
11/12/2014 0.95 1.6 18 52.7 <0.09 <0.089 <0.18 9.5 3.1 0.53 1.4 23 10 NA NA NA NA
2/25/2016 2.2 9.7 140 580 <0.36 <0.48 <0.72 85 12 2 10 150 51 NA NA NA NA
9/26/2016 <6 44 960 4,800 <4.5 <7.4 <9 220 180 10J 78 680 250 NA NA NA NA
3/1/2017 2J 22 280 1,390 <2.5 <2.5 <2.5 100 16 2.8 21 200 68 NA NA NA NA
9/19/2017 0.96J 6.5 170 630 <1.0 <1.0 <1.0 83 13 2.2 14 140 50 NA NA NA NA
TW-3 11/9/2018 2.5 1.2 169 80.5 <0.50 <0.50 <0.50 83.1 14.1 1.8 12.9 82.4 47.8 NA NA NA NA
8/10/2004 ND ND ND ND -- - ND ND ND ND ND ND - - - -
7/1/2014 <0.079 <0.09 <0.092 <0.11 <0.09 <0.089 <0.18 <0.12 <0.11 <0.12 <0.094 <0.18 <0.1 NA NA NA NA
2/25/2016 <0.12 <0.17 <0.13 <0.25 <0.09 <0.12 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
9/26/2016 <0.12 <0.17 <0.13 <0.26 <0.09 <0.15 <0.18 <0.12 <0.12 <0.15 <0.13 <0.18 <0.13 NA NA NA NA
3/1/2017 <0.5 <0.5 <0.5 <1 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 <0.5 NA NA NA NA
9/19/2017 <0.50 <0.50 <0.50 <1.5 <0.50 <0.50 <0.50 <1.0 <0.50 <0.50 <0.50 <0.50 <0.50 NA NA NA NA
TW-4 11/9/2018 <0.50 0.52 <0.50 0.67 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 NA NA NA NA
TW-5 11/9/2018 <2.5 7.4 78.6 633 <2.5 <2.5 <2.5 74.3 16.7 <2.5 21.0 141 63.1 NA NA NA NA
TW-6 11/8/2018 1.8 1.5 13.9 117 <0.50 <0.50 <0.50 68.4 13.1 1.9 4.1 87.1 49.6 NA NA NA NA
TW-7 11/8/2018 17 9.0 63 142 <0.50 <0.50 <0.50 60.6 8.2 1.2 5.9 94.4 34.7 NA NA NA NA
TW-8 11/8/2018 <0.50 <0.50 <0.50 1.2 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 <0.50 NA NA NA NA
Notes:
1. MTBE = Methyl Tertiary Butyl Ether.
2. IPE = Isopropyl Ether.
3. "<" or ND = Not detected at or above the laboratory reporting and/or detection limit.
4. Concentrations are reported in micrograms per liter (ug/l) = parts per billion (ppb).
5. Concentrations in bold equal or exceed the corresponding NCDEQ Groundwater Quality 2L Standard (2L Standard) updated April 2013.
6. GCL = Gross Contamination Limit.
7. J = Indicates constituent was detected above laboratory detection limit but below laboratory reporting limit
8. D = denotes Diluted Concentration
9. - = Not reported in historical tables
10. NA = Not Analyzed
11. E = denotes Estimated Concentration
12. NE = Not established
MW-8
Well Not Sampled/Dry
MW-7
MW-6
MW-7R
Well Not Sampled/Dry
TABLE 4
SOIL ANALYTICAL RESULTS
Tate Property
7601 Louisburg Road
Raleigh, North Carolina
Incident #21716
CS-1 20 03/16/00 --ND 9.2 20 140 --36 --4.7 ND 12 ND --15 100 45 1,100 1,600 880
GP-1 24 08/07/01 --ND 45 54 220 --48 --12 ND 20 6.1 --28 87 81 1,200 3,800 1,300
B-201 17 04/12/04 --ND ND 2.6 25 --25 -- 1.2 4.5 3.2 1.3 --3 36 15 57 360 180
B-201 24 04/12/04 --ND 0.017 0.048 0.41 --0.18 -- 0.014 0.026 0.015 0.012 -- 0.026 0.22 0.09 51 160 52
B-202 17 04/12/04 --ND 0.41 0.91 10 --1.8 -- ND ND 0.75 ND -- 0.89 10 5.5 230 770 280
B-202 24 04/12/04 --ND 11 17 120 --16 --5.1 8.3 5.5 ND --12 76 36 600 1,200 390
B-203 12 04/12/04 --ND 5.7 14 160 --37 --4.7 14 10 4.3 --12 140 66 280 1,200 480
B-203 20 04/12/04 --ND 33 47 320 --34 --10 14 12 ND --25 170 73 1,100 3,000 950
B-204 20 07/21/04 --ND 7.6 13 110 --16 --4 ND ND ND --8.6 65 30 350 1,100 460
B-205 10 07/21/04 --ND ND ND ND -- ND -- ND ND ND ND -- ND ND ND ND ND ND
B-205 20 07/21/04 --ND ND ND ND -- ND -- ND ND ND ND -- ND ND ND ND ND ND
B-206 10 07/21/04 --ND ND ND ND -- ND -- ND ND ND ND -- ND ND ND ND ND ND
B-206 20 07/21/04 --ND 0.29 0.41 3.6 --1.2 -- ND ND 0.69 ND -- 0.37 3.5 1.8 61 290 130
B-207 10 07/21/04 --ND ND ND ND -- ND -- ND ND ND ND -- ND ND ND ND ND ND
B-207 20 07/21/04 --ND ND ND ND -- ND -- ND ND ND ND -- ND ND ND ND 1.5 1.1
SB-1 20 11/06/14 1361 <0.04 <0.032 0.98 11 <0.04 26 4.5 JB 1.3 1.9 9.1 1.7 0.39J 3.6 42 20 380 760 690
SB-1 25 11/06/14 1724 <0.036 0.19J 4.5 46 <0.036 26 4.1 JB 3.6 2.4 11 2.5 0.5J 9.4 73 32 620 760 670
SB-2 10 11/06/14 1.5 <0.0014 <0.0016 <0.0016 <0.0034 <0.0018 <0.0014 <0.047 <0.0014 <0.0016 <0.0014 <0.002 <0.0018 <0.0014 <0.0016 <0.0012 <18 <18 <18
SB-2 15 11/06/14 14.9
<0.00093 <0.0011 <0.0011 <0.0023 <0.0012 <0.00093 <0.031 <0.00093 <0.0011 <0.00093 <0.0013 <0.0012 <0.00093 <0.0011 <0.0008 <16 <16 <16
SB-3 20 11/06/14 0.1 <0.001 <0.0012 <0.0012 0.0025J <0.0013 0.0092 <0.034 <0.001 <0.0012 <0.001 <0.0015 <0.0013 <0.001 0.0043 0.0014J <16 <16 <16
SB-3 25 11/06/14 0.1 <0.0011 <0.0013 <0.0013 <0.0027 <0.0014 0.007 <0.037 <0.0011 <0.0013 <0.0011 <0.0016 <0.0014 <0.0011 <0.0013 <0.00094 <17 <17 <17
SB-4 20 11/06/14 1738 <0.041 0.4J 5.9 60 <0.041 23 4.8 JB 4.1 2.5 11 2.7 0.57J 10 77 36 930 840 830
SB-4 25 11/06/14 1281
<0.04 0.87 15 142 <0.04 40 4.5 JB 8.8 4.4 19 4.3 0.85 22 140 64 1,400 1,200 1,100
SB-5 20 11/06/14 0.6 <0.001 <0.0012 <0.0012 0.006J <0.0013 0.013 <0.035 <0.001 <0.0012 <0.001 <0.0015 <0.0013 <0.001 0.0044 0.0014J <17 <17 <17
SB-5 25 11/06/14 184 <0.00081 <0.00093 <0.00093 0.0076J <0.001 0.027 0.028J <0.00081 <0.00093 0.0022J <0.0012 <0.001 <0.00081 0.013 0.0042 <16 25 <16
SB-6 20 11/06/14 385 <0.007 <0.0056 0.12J 1.2 <0.007 1.2 0.83JB 0.095J 0.1J 0.58 0.081J 0.028J 0.21 2 1.1 <17 56 84
SB-6 25 11/06/14 455
<0.00095 <0.0011 <0.0011 0.0016J <0.0012 0.0079 0.033J <0.00095 <0.0011 <0.00095 <0.0014 <0.0012 <0.00095 0.003 0.00093J <18 <18 <18
SB-7 10-15 09/22/15 0.2 <0.00082 <0.00094 <0.00094 <0.002 <0.0011 <0.00082 0.037J <0.00082 <0.00094 <0.00082 <0.0012 <0.0011 <0.00082 <0.00094 <0.00071 NA NA NA
SB-7 15-20 09/22/15 0.2 <0.00087 <0.001 <0.001 <0.0021 <0.0011 <0.00087 <0.029 <0.00087 <0.001 <0.00087 <0.0012 <0.0011 <0.00087 <0.001 <0.00075 NA NA NA
SB-8 10-15 09/22/15 0.2 <0.00083 <0.00095 <0.00095 <0.0002 <0.0011 <0.00083 <0.028 <0.00083 <0.00095 <0.00083 <0.0012 <0.0011 <0.00083 <0.00095 <0.00071 NA NA NA
SB-8 15-20 09/22/15 0.2 <0.00091 <0.001 <0.001 <0.0022 <0.0012 <0.00091 <0.031 <0.00091 <0.001 <0.00091 <0.0013 <0.0012 <0.00091 <0.001 <0.00078 NA NA NA
SB-9 10-15 09/22/15 0.0 <0.00085 <0.0024 <0.00097 <0.0021 <0.0011 <0.00085 <0.028 <0.00085 <0.00097 <0.00085 <0.0012 <0.0011 <0.00085 <0.00097 <0.00073 NA NA NA
SB-9 20-25 09/22/15 0.9 <0.00083 <0.00095 <0.00095 <0.002 <0.001 <0.00083 <0.028 <0.00083 <0.00095 <0.00083 <0.0012 <0.0011 <0.00083 0.0014J 0.003 NA NA NA
SB-10 0-5 09/22/15 2.1 <0.00095 <0.0011 <0.0011 <0.0023 <0.0012 <0.00095 <0.032 <0.00095 <0.0011 <0.00095 <0.0014 <0.0012 <0.00095 <0.0011 <0.00081 NA NA NA
SB-10 15-20 09/22/15 0.0 <0.00082 <0.00094 <0.00094 <0.002 <0.0011 <0.00082 0.03J <0.00082 <0.00094 <0.00082 <0.0012 <0.0011 <0.00082 <0.00094 <0.00071 NA NA NA
SB-1A 20 08/02/16 899 <0.072 0.20J 3 32.6 <0.054 9 <2.9 3 2.7 10 2.5 0.58J 6.7 72 34 <220 <220 510
SB-1A 25 08/02/16 347 <0.072 0.13J 1.8 17.3 <0.054 10 <2.9 1.5 0.89 3.6 0.94 0.20J 3.2 30 13 <480 <480 980
SB-4A 20 08/02/16 1684 <0.35 0.98J 10 128 <0.26 39 <14 6.6 4.3 15 3.5 0.95J 12 140 64 800 1,100 2,100
SB-4A 25 08/02/16 1791
<0.37 4.5 37 330 <0.28 54 <15 16 6.1 24 6.1 1.3J 30 220 95 1,900 1,900 2,000
SB-6A 20 08/02/16 3.3 <0.00073 <0.00084 <0.00084 0.0046J <0.00094 0.01 <0.024 <0.00073 <0.00084 <0.00073 <0.01 <0.00094 <0.00073 0.0036 0.0014J <12 <12 <12
0.0056 4.3 4.9 4.6 0.091 0.16 24 1.7 0.12 4.3 3.3 3.4 1.7 8.5 8.3 68 540 31
18 1,200 1,560 3,129 350 313 14,000 1,564 100 626 626 626 626 782 782 939 1,500 469
164 32,000 40,000 81,760 3,100 8,176 360,000 40,880 4,000 16,350 16,350 16,350 16,350 20,440 20,440 24,528 40,000 12,264
Notes:
1. Concentrations reported in milligrams per kilogram (mg/kg).
2. "<" = not detected at or above the laboratory detection limit.
3. Bold indicates concentrations above NCDEQ Action Level.
4. Final C9-C18 Aliphatics values are equal to C9-C12 Aliphatics as reported in the laboratory report.
5. Final C9-C22 Aromatics are equal to C9-C10 Aromatics as reported in the laboratory analytical report.
6. J = Detected but below the reporting limit (lowest calibration standard); therefore, result is an estimated concentration.
7. B = Analyte is found in the associated blank as well as in the sample.
8. -- = Not reported in historical reports.
9. For samples collected on 08/02/16, "<" = not detected at or above the laboratory reporting limit for MADEP VPH method only.
EPA Method:MADEP VPH
Sample Depth (feet)PID (ppm) Benzene Toluene Ethylbenzene
Total
XylenesDate Sampled
1,3,5-
Trimethyl-
benzene
C5-C8
AliphaticsMTBE Naphthalene Acetone
Isopropyl-
benzene
p-Isopropyl-
toluene
n-Butyl-
benzene
Industrial/Commerical MSCC
8260B
C9-C18
Aliphatics
C9-C22
Aromatics
Soil-to-Groundwater MSCC
Residential MSCC
sec-Butyl-
benzene
tert-Butyl-
benzene
n-Propyl-
benzene
1,2,4-
Trimethyl-
benzene
Notice of Intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina

FIGURES

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[phone]
PROJECT NO: SLP2171608
DATE: 8/2018 REVIEWED BY: GA
Tate Property – Incident #21716
7601 Louisburg Road
Raleigh, Wake County, North Carolina
SOURCE: MyTopoMap.com
SCALE: 1” = 1,350’
FIGURE 1: SITE TOPOGRAPHIC MAP
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[phone]
PROJECT NO: SLP2171608
DATE: 8/2018 REVIEWED BY: GA
Tate Property – Incident #21716
7601 Louisburg Road
Raleigh, Wake County, North Carolina
SOURCE: Johnston County GIS
SCALE: 1” = 350’
FIGURE 3: POTENTIAL RECEPTOR MAP
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LEGEND
--E -
PP(@)
~
q-
®
{t}
\
\
OVERHEAD ELECTRIC LINE
POWER POLE
MONITORING WELL (TYPE II)
MONITORING WELL (TYPE lll)(DEEP)
POTABLE WELL LOCATION
TEMPORARY
\
\
\
-
MONITORING WELL --------
TW-5
TOTAL XYLENES
GROUNDWATER TW-3 ug/L 11/09/2018
1,2,3-TRICHLOROPROPANE 2,3
ug/L GROUND WATER
11/09/2018
633
-q} TW-4
MW-6
(ABANDONED),~~'---MW-2 A
(ABANDONED) V
~~[r=~E=p===~T / GROUNDWATER TW-2 TW-2 ug L 11/08/2018
1,2-DIBROMOETHANE 1 0 CONCRETE
\
\
\
FORMER UST
LOCATIONS
s~A
\ MW-1
(ABANDONED)
ii ~
I I
L J L _J ~ DW-1 / / > (ABANDONED)
< / MW-5 ~ T
V / (ABANDONED)
\
---------
~MW-7
-q}TW-8
--
TW-6 -q}
('
\
\
7
~ MW-4
(ABANDONED)
\
\
\
\
\
\
\ MW-8
'ABANDONED)
\
\
~(' \
~~,~c \
~(' \ ~ MW-3 ~
(ABANDONED) ~
(' ('
TW-1 ug/L
pp E ~pp C E---E---E---E---E---E---E---E--~ 1~,
"::::,,.,,,,,,,-...,,._-_-j_~ __ -_-__ ------=------==--i - -- -~
GROUNDWATER / _
11/08/2018
TOTAL XYLEN ES 2, 1 00
1,2,4-TRIMETHYLBENZENE 574
0
I I
0 0
LOUISBURG ROAD
11
11
II
I ( U.S. HIGHWAY
I
401 )
0 20' 40'
0
I SCALE IN FEET
~ i(
z
0
0 w
f-u w
_J
_J
0 u
U) w
_J
Q_
2
<t
U) CIJ
u" 0
WN
~~ 3o
01 z OJ
:::i 0
0'--._
u' -
(_') -
l/l
0
O:'
<t
0 z
~
l/l
_J
N
(_')
z
0 w ts w
CJ C§
(_')
l/l LL
0 zz
:::io
0
o_ z
2 3
00 u:r:
l/l >-_J w
z u'
0 <t
N
CD
0
lO
~ r---.
N
Q_
_J
(/)
CD
0
N
I
-.;I-
I
N
CJ
N
3
<(
Q_ u
l'.)
3
0
N n
0
-.;I-
LO
N
LEGEND
OVERHEAD ELECTRIC LINE
POWER POLE
MONITORING WELL (TYPE II)
MONITORING WELL (TYPE III)(DEEP)
POTABLE WELL LOCATION
SOIL BORING LOCATION
]EP Trr t 0 1.
TOTAL XYLENES mg/kg
25
Ltiw �,,..S.':.:,
NAPI-M-LALENE mg/kg
25
0.18
p--601V0PYLTOLUENE mg/kg
4.5
.l"L=W v;;.''.,
n-PROPYL8ENZENE mg/kg
3
.eti.-
1.2.4-TRIMETHYLBEIQENE mg/kg
36
• ---:'. �•:."_:
1,3.5--11 MET in ENZENE mg/kq
15
- .. • ,..
el -cm mCkunCS nq/kg
180
52
CONCENTRATIONS BELOW SOIL -
BENZENE mg/kg
<0.04
<0.035
TOTAL XYLENES mg/kg
11
46
NAPHTHALENE mg/kg
26
28
IS0PROPYLBENZENE mg/kg
[•-_u'r. sh!::.-.
3.6
p-ISOPROPYLTOWENE mg/kg
1.9
2.4
n-BI TYLBENZENE mg/kg
9.1
11
n-FRCPYL6ENZENE mg/kg
3.6
9.4
1,2,4-TRWETHY.BQHZEIE mg/kg
42
73
1.3.3-111IMEIHY ZE71E mg/kg
20
32
CD -Ca ALJPHATICS mg/kg
380
820
Cs -Cie AUPHATICS mg/log
760
760
Cg-Cky AROMATICS mg/kg
690
670
s,TRATIGNS PE•OW =CAI-rO-yRCUN DATER MSCC.:
TOLUENE mg/kg
7.6
ETHYLBENZENE mg/kg
TOTAL XYLENES mg/kg
NAPHTHALENE mg/kg
ISOPROPYI_BENZENE
n-PROPYLBENZENE mg/kg
1,2.4-1RIMEtHYLBEHME mg/kg
1,3,5-TRIYETHYLFHIFNE mg/kq
Ca -Ca ALIPHATIC! mg/kg
Ca -CID AJPHATICS
Ca-C2 AROMATICS
TOLUENE mg/kg
ETHYLBENZENE mg/kg
TOTAL XYLENES mg/kg
NAPHTHALENE mg/kg
n-BLWE11.8ENZENE mg/kg
n-PROP1.72ENE mg/leg
1.2.4-TPoMETM++»KaDIE mg/kg
1.3.6-TRINE ^""--
Ca-C1 ALPHA1ICS mg/kg
Ca -Cos AIJPHATI S mg/kg
CS -Cu FANATICS
mg/ 1.Y
1.8
13 LAW VSCCs
Re LOW ILSCC
I1 L0W 105CCc
NE LC14 p,SCC:
10
1 OW' V
230
770
280
16
5.5
12
76
38
600
1200
390
0
10'
20'
8-205
SOIL
❑7/21/D
SCALE IN FEET
EXTENT OF SOIL IMPACTED ABOVE SOIL -TO -GROUNDWATER
MSCCs (DASHED WHERE INFERRED)
ID
CONCE4FTRAT10'IS BEJOW SOH -TO-Ok0- •D WATER M`C
' MW-6
B-205 SOIL DEP.
07/2,04 20'
CONCENTRATIONS i LOW 5(1IL-TO-GROUNDWATER MSC.:•.
SE3- . Qn•
d1/Q4/14
CONCE-FITRATIONS BELSOW SOn-T0-0ROUNOWATER MSCCs
ROUNDWATER MSCCs
5B-3
-� -GP-1
201
SB-2 I
I
aidar
+f B-zoo
MW-5 C5-1
B-202
MW-1
- J SOIL DEPTH
09l22/, ; 10'-15'
•.:ONC EN TRATIONS BELOW SOrL-T0-GROUNDWATER MSCC
SOIL
09/22/15
DEPTH
15'- 20'
CONCENTRATIONS BELOW SOIL-T7--6ROUNOWATER MSCC
CONCENTRATIONS 0ELav4
SB-8
B-207
SOIL
07/21/04
DEPTH
20'
CONCENTRATIONS BELOW SOIL-10-GROUNDWATER MSCCs
B-207
SB-6
CONCRETE
SLAB
B-203
SB- 4
B-206
DW-1
(SITE)
FORM
1-S
BLOC.
SS-7
UILDING
SHED
73-1.D
SOIL
09/22/15
DEPTH
0' S.
'JNCEMETRATlONS BLOW. SCrL-ro-GROUNDWATER MSC.Cs
DEP
t 5'- 20
+'FORS BELOW Wit -TO -GROON9WATER MSCCs
WSW-2
(BORED WELL)
WSW-1
(DRI
SR-9
GP - 1 Siyl_ r_F
•!6/07/01
TOLUENE mg/kg
45
ETHYLBENZENE mg/kg
54
TOTAL XYLENES mg/kg
220
NAPHTHALENE mg/kg
48
ISOPROPYLBENZENE mg/kg
12
n-9UTYLBENIENE mg/leg
20
lost-6trr&BD ZENE mg/kg
6.1
n-PRCPYLBENIENE mg/kg
28
1.2.4-GENE mg/kg
87
1,3,5-111141EIHNIBEN2DOE mg/kg
B1
Ca -Ca AUPHA11CS mg/kg
1200
C4--CIa NJPHATICS mg/kg
3800
C4-caEAROkNT1C5 mg/kg
1300
S01L
09/22/15
DEPTH
ONCENTPAI0.NS 13E0-OW `a'OIL -TQ- GROUNDWATER MSCC=.
S Q - 9
G9/22/15
17ePTH
20' -25'
r1•w0EN7RATI0N5 BELOW SOIL -TQ-GROUNDWATER MSCCs
-`�0� 56DEPTH
10'
°T/21/OA1E
ONCENTRAT1DR5 BEt0W SOIL- D-GROONCWATER MSCC-
e!....V
CENTRATIONS BELOW SOIL -TO -GROUNDWATER MSCCs
cC ..,
TOLUENE mg/kg
9.2
ETHYLBENZENE mg/kg
20
TOTAL XYLENES mg/kg
140
NAPHTHALENE mg/kg
36
ISOPR0FYLBE ENE mg/kg
4.7
n-BUIYLBEN ENE mg/kg
12
n-PRCP{I.8E7¢ENE mg/kg
15
1.2.4-1RIMENMBEICCDE mg/kg
100
1.3,5-16M€TIiY1.BENIEHE mg/kg
45
Cs -Ca AJPHATICB mg/kg
1100
C. -Cm Ak1PHATICS mg/kg
1600
c1-Cn AROMATICS mg/kg
880
DEPTH
❑1 °-15
CONCENTRATION! DELO* SOIL -TO -GROUNDWATER MSCGS
L I 03/22f }5 SB-7 s2 oE2
` 15' -2G'
CONCENTRATIONS BELOW SOIL-TO-GR0UNOWATES MSCCs
S. B - U SU,1_ DEPTH
111/06/14 20'
DEPTH
25'
NAPHTHALENE mg/kg
1.2
CE!]OW MSCCR
Ca -Co AROMATICS mg/kg
84
er aW MSCCe
:3-,n 1F SOIL DL�•i1'
NAPHTHALENE mg/kg
1.2
Cs-Csa AROMATICS mg/Itg
130
11/06/14
CONCEkTRATIONS BELOW SOIL-TO-GRDIJNDWATER MSCCs
Cs
SOIL JL'PTl, DEP.
GA/17/04 12' 20'
TOLUENE mg/kg
5.7
33
ETHYLBENZENE mg/kg
14
47
TOTAL XYLENES mg/kg
180
320
NAPHTHALENEmg/kg
37
34
ISOPROPYLBENZENE mg/kg
4.7
10
p-IS0PROPYLTOLUENE mg/kg
14
14R1'L
n-BLBEN2ENE mg/kg
10
12
x lo-BLRYLBEHZENE mg/kg
4.3
s- t:v. ,- _
n-PROPYLBENZENE mg/kg
12
25
t.2.4-data mg/kg
140
170
1.3.5-TRNETHfl.B HZENE mg/kg
66
73
Ca -Ca ALIPHATICS mg/kg
280
1100
Cg-Cie AUPHmg/kg
mg
1200
1200
3000
Cy- MATI AROCS mg/kg
480
950
ETHYLBENZENE mg/kg
ISCPROPYLBEN201E mg/kg
p-lSCPROPYLTCLUENE mg/kg
n-BUIYLB'EHIENE
mg/kg
sec-BUEYI9ENZEN nig/kg
n-PROPYEEWZENE mg/kg
1.2.4-TAI T+'L ENE mg/kg
.3.5-THIWETINLSA IEIE
Ca -Ca ALIPHATIC!
mg/kg
'oYI "Y
Ce-Cie AUPHAT) S mg/kg
C1-C� ARomac5 mg/kg
4.1
2.5
11
5E'-^14 v -.Cf.
10
77
38
930
840
830
DEPTH
25'
8.8
4.4
19
4.3
22
140
64
1400
1200
1100
[phone] FAX [phone]
Raleigh, North Carolina 27604
10-27-2015
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0
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TYPE CODE
1254032.DWG

03/11/2016 2122pm stNompsan — H:\125 — ATC\„,1254032_p1-03-11-16.dwo
LEGEND
OVERHEAD ELECTRIC LINE
PP ® POWER POLE
MONITORING WELL (TYPE II)
ce MONITORING WELL (TYPE III)(DEEP)
e POTABLE WELL LOCATION
1
1
r
1
r
FORMER UST
LOCATIONS
A
r
MW-
SB-8
MW-6
r
r
r
GROUNDWATER IMPACTED
ABOVE 2L STANDARDS
MW-2
CO BETE
SLAB
8-207
B 206
B-203
• .SB-7
1 �
LOUISBURG ROAD
0-
CC
N
r
r
MW-7
7
WSW-1
(DRILLED WELL)
SHED 1-ST
HS.
PORCH
WSW-2
(BORED WELL)
r
SE
EXTENT OF IMPACTED SOIL ABOVE
SOIL -TO -GROUNDWATER MSCCs '' MW-3
PP
I�
DECK
N,
E
c1
MW-4
1
MW-8
1
1
i
( U.S. HIGHWAY 401 )
0
20' 4a'
f
SCALE IN FEET
-400
%,„,„
03-09-2016
Cej
Lu
0
<
.0 LX�1-11
1-1
# y
m �
Q
2f `T
CD
1-1
A
1254032.DWG

C32 :si-o3-as
N
03/11j2015 3149pm
100.00'
90.00'
80.00'
70.00' —
60.00'
50.00'
40.00'
30.00' —
20.00' —
A
SAMPLING DEPTH (ft.)
MW-1
(102.20')
53-2
B-202 CS-1 B-203
MW-5 DW-1
6-204 (101.64') (101.59') 6-206 58-5
10'
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCs
SB-2
mg/kg
11/36/14
4t14001044,
�' -Wiz.:"`�4.:+•:.:►+~ 1 , 11 1
1 1 \ 1 1 1�- \
1 1 1\ 1 1 1 1 1 1 1\
1\ 1 1 1 1 1\ 1\ 1 1 1 1 1 1 1` 1
1 1 1 1 1 1 1 N. 1 1 , 1, 1 \ 1 1'1� 1 1 1 1
1 \ 1 \ 1 1 1
1\ 1 1 1 \ \ \ N.
\\,\\ 1 1 1'
111\111\\111 \1\1\I\11\1\1\
1 1\\ 1 1\ 1\ N. \ \ \\\ 1
� 1 1 \ \\ 1 't A\ 1\ 1\' 1 1 1 \I I\ 1
1 1 1 1\, 1 1 1 1 1 1 \ 1
1 1 1 1 1 1 1 1 1\;\ 1 1 1 1 1
1 1, 1 1 1 1 1 1 1 1 1 1 1\ ,\ 1
1 1 \ 1 1\ 1 1\\ 1 \ 1 \ \ 1
1\ - \ \ 1\ 1 1\ 1 1\ 1
1 1 1\ 1\ 1 1\ 1 11 \ 'Ns,
1\ 1 1 1
\ 1 \ \ 1 \ \ 1 1 \ 1 \
1\ x \ 1 \ 1 1 1 1 1 1 1 \
1 = 1 1 1 1 1 \ 1 1 \ 1 / 1 1
1 1 '� _\ \ \ 1 1\ 1 1 1 1\ 1
\ 1\\ 1 1 1 1 1 1 \ 1 1 1
N.
- \ 1 \ \ 1 ; \ 1 1 \ \ \ 'N 1
�\\ 1 1 \ 1 \ 1 1 1 1
r'�-il•„ ] - (ft.) 1 15'
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCs
MW-1
02/25/16
NO COMPOUNDS DETECTED
ABOVE 2L STANDARD
B-204 rn9/k9 SOIL
07/21/0.1
SAMPLING DEPTH (fi.)
20'
TOLUENE
7.6
ETHYLBENZENE
13
TOTAL XYLENES
110
NAPHTHALENE
16
ISOPROPYLBENZENE
4
n-PROPYLBENZENE
6.6
1 ,2,4-TRIMETHYLBENZENE
65
1,3,5-TRIMETHYLOEN2ENE
30
C5-CS ALIPHATICS
350
C9-018 ALIPHATICS
1100
C9-022 AROMATICS
460
\ \
\ \ , 1 \
\ \ 1 \ 1
CLAY
Silty Sand/
Clayey Sand/
Saprolite
y
B-202 mg/k9 soll-
04/12/04
SAMPLING DEPTH {ft }
17'
TOTAL XYLENES
10
NAPHTHALENE
1.8
1 ,2,4-TRIMETHYLBENZENE
10
C5-C8 AUPHATICS
230
C9-C1B ALIPHATICS
770
C9-C22 AROMATICS
260
B-202 mg/"
SAMPLING [DEPTH (ft,)
TOLUENE
.1
ETHYLBENZENE
17
TOTAL XYLENES
120
NAPHTHALENE
16
ISOPROPYLBENZENE
5.1
p-ISOPROPYLTOLUENE
8.3
n-BUTYLBEN2ENE
5.5
n-PROPYLBENZENE
12
1,2,4 -TRIMETHYLBENZ ENE
76
1,3,5-TRIMETHYLBENZENL
36
C5-C8 ALIPHATICS
600
C9-C18 ALIPHATICS
1200
C9-022 AROMATICS
390
WATER TABLE
MW-5 WELL IDENTIFICATION
(101.64'�
TOP OF CASING
WELL CASING
WELL SCREEN!
-,
\ 1 1 \ 1
•
1 1 1, 1 1 1; 1 1 1 1\ 1\; 1 1
1 1 1 1 1 \ 1 1 \ 1\
- \ 1 1\ 1 1 1 1\ 1 1
1-1�\ 1 1
1 1 \ 1 1 1 1 1 1 1 1 1\ 1 1\\
1 1`, 1 1 1 1 1 1 N.
1 1\\ \
1 \
\ \ 1 1 1 \ 1 1 1\ 1
1 \ 1 \ \ 1 \ \ 1 1 \ \ \ \ \ \ti
1 1 1 1 1 1 1 1 1 1 1 1 1
1 \ 1 1 \ 1
\ 1 1 1 1 \ 1 1 1 1 1 1 1 1 1 \ 1\
1 1 1\ 1 1 1 1 \ 1 \ 1 1 1 1\ 1
1 1 \ 1 1 \ 1 1 1 1
1\ 1 \ 1 1 1 1 \ 1 1 1 1 1 1 1
1 \ \ 1 1 \ I, 1\ \ \ \ 1 1 1 \ 1
1 1 1 1\, \\ 1 \\ \•1 1 1 1I\ 1
N. \ \ \ 1 1N. \ \ 1 1
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1\
1 \ ... 1\ 1 - 1 N.
1 1 N. 1 1; 1 1 1 '1 1, \ 1 1` 1 1 1
1 \
\ 1 1 1 1 ` N.
1 \ 1 \ 1 \ 1 \ \ \ \ \ \
1 \ \ \ \ 1\ 1 \ 1 1 1\
1 N.
1 \ 1 1 1 1 \ 1 \ \`1 \1\ \\\ 1 \ \
1\ \ 1 1 1 1 1\\\ \ 1 1 \\ 1\ 1 ;
1\ 1 1\ \ 1 .1 1\ 1 1 1\ \ 1, 1 \
1 1
1 1
1 1 1 1 1 r \; 1` 1;\;, 1\ 1;
\ 1 \ \ \ \ \ 1 \ \ 1 1 1
\ 1 \ \ \ \ N. \ 1 1 \ N. \
1 1 1 1 \\ 1 \ 1 \
\ 1 11 11 \ \ 1 \ 1-
1. 1 \ \ , \ \�i
1 �_ 1r
\ }l \ 1 ; 1 \ ;
1 \
1\\;, 1\ 1 1 1 1
1 1 1 1; 1 \ 1 1\
\ ; 1 ; \ \ 1 , 1
1 \ \ \ \
1 1 1 N.
' 1 1 1
1 \
1 1 1 1
\ 1 \
MW-55 ug/L 02/25/16 1 1 \ 1
1 1 1
1
1
NOT SAMPLED/0.03' OF FREE PRODUCT
DW-1
u9/L 02/1�,.: •
NO COMPOUNDS DETECTED
ABOVE 2L STANDARD
1
1
1
1
1 1
1
\
\
1 ' 1
1
A'
B — 20 6 m9/k9 07/21/04
SAMPLING DEPTH (ft.)
10
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCs
6-206 mg/kg SOIL
07/21/b.
SAMPUNC ❑EPTHJfL]
20'
NAPHTHALENE
1.2
C9-C22 AROMATICS
130
EXTENT OF IMPACTED SOIL ABOVE
SOIL -TO -GROUNDWATER MSCCs
S B — 5 rng/k9 i1/06/14
CS-1 rrr4/x9 so,
SAMPLING DEPTH (ft,)
20'
TOLUENE
9.2
ETHYLBENZENE
20
TOTAL XYLENES
140
NAPHTHALENE
36
ISOPROPYLBENZENE
4.7
n-BTTYLBENZENE
17_
n PROPYLSENZENE
,5
1,2,4-TRIMETHYLBENZENE
100
1,3, 5 -T R I M ETHYLBENZ ENE
4 3,
C5-C8 ALIPHATICS
1100
C9-C16 ALIPHATICS
I5QQ
C9-C22 AROMATICS
880
NOTE: PREVIOUS EXCAVATION ACTIVITIES AND
SOIL ASSESSMENTS INDICATE SOIL IMPACTS
ARE ENCOUNTERED APPROXIMATELY 12' BELOW
GROUND SURFACE AND EXTEND TO WATER TABLE.
:'AMPLING DEPTH (ft.) 1 20
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCE
SB-5
mg/kg
11/06/14
SAMPLING DEPTH (ft.S 1 25'
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCs
ROUNDWATER IMPACTED
A:IIVE 2L STANDARDS
20 -
10 -
0
B — 2 0 3 •rig/kg 64soiL
% 2/04
SAMPLING DEPTH (ft.)
'2'
TOLUENE
5-7
ETHYLBENZENE
14
TOTAL XYLENES
160
NAPHTHALENE
37
ISOPROPYLBENZENE
4.7
p-ISOPROPYLTOLUENE
14
n-BUTYLBENZENE
10
sec-BDTYLBENZENE
4.3
n-PROPYLBENZENE
12
1,2,4-TRIMETHYLBENZENE
:40
1,3,5-TRIMETHYLBENZENE
66
C5-C8 ALIPHATICS
280
C9-018 AUPHATICS
1200
Cg-022 AROMATICS
ABO
6-203 rn9/kg SOIL
04/12/o4
SAMPLING DEPTH (ft.)
70'
TOLUENE
-`•3
ETHYLBENZENE
TOTAL XYLENES
.570
NAPHTHALENE
34
ISOPROPYLBENZENE
•D
p-lSOPROPYLTOLUENE
1L
n-BUTYLBENZENE
2
n-PROPYLBEN7ENE
25
1,2.4-TRIMETHYL@ENZENE
170
',3,5-TRIMETHYLBENZENE
73
C5-C8 ALIPHATICS
1100
C9-C18 AL.IPHATIC5
3000
C9-C22 AROMATICS
950
SCALE IN FEET
0
I I
5 10
03-09-2016
ZE
I m �
Qi— u�iQ
Z tT a
Z O
_
U r--IQ� O
L.LJ O Q 0
a I —CC IOC
O
OD 0:W U 0 Z
(__) O O
CC17
Li.. =1
Iu O i— CD _J f
Cr CO
P ID ac 6
1254032.DWG
FEBRUARY 2016 DATA FOR
z
0

100.00'
90.00' —
80.00 —
70.00'
60.00' —
50.00' —
40.00'
30.00'
20.00'
B-205
rrrg/kg
O7/z,/a4
SAMPLING DEPTH
(t'-)
o'
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCC5
B —20 5 mg/kg 77/21/04
SAMPLING DEPTH {ft.) 1 20'
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCs
SB-3 rn9/kg 11/06/14
SAMPUNG DEPTH (IL) 1 20'
NO COMPOUNDS ABOVE SOIL - TO
GROUNDWATER MSCCs
SB-3 m9/k9 1
/as/r
SAMPLING DEPTH {fr.) 25
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCC5
B-201 mg/o 04/12/04
SAMPLING DEPTH (Ft-)
r7'
*DIAL KYLENES
25
NAPHTHALENE
25
o-ISOPROPYLTOLUENE
4.5
ri-PROPYLBENZENE
3
1 ,2,4-TRIMETHYLBENZENE
36
1,3,5- TRIMETHYLBENZENE
15
C9-C22 AROMATICS
180
B —2 0 1 m9/k9 -A:ft
SAMPLING DEPTH if1.)
?a
NAPHTHALENE
0.1 Fi
C9-C22 AROMATICS
52
MW-5
ug/L
02/25/16
NOT SAMPLED/0.03' OF FREE PRODUCT
SB-3
B-205
NOTE: PREVIOUS EXCAVATION ACTIVITIES AND
SOIL ASSESSMENTS INDICATE SOIL IMPACTS
ARE ENCOUNTERED APPROXIMATELY 12' BELOW
GROUND SURFACE AND EXTEND TO WATER TABLE.
1 r .
1 r
N 1 .
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Silty Sand/
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Saprolite
1
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r
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WELL SCREEN
r
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1
1
1
1
1
1
1
1
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Vi L•NG DEPTH
GTA� rIENES
NAPHTHALENE
p-ISOPRDPYLTOLUENE
n-BUTYLBENZENE
rs-PRDPYLBENZENE
1 ,2,4-TRIMETHYLBENZENE
1,3,5-TRIMETHYLBENZENE
CS-C8 ALIPHATICS
C9-C18 ALIPHATECS.
C9-C77 AROMATICS
CS-1 SB-4
r
1
1
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r
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380
760
690
S B — 1 mg/k9
SOIL
'1/05/14
SAMPLING DEPTH
( -)
TOTAL XYLENES
NAPHTHALENE
26
ISOPR0PYLBENZENE
3,6
❑- [SOP ROPYLTOLUENE
2.4
-BUTYLBENZENE
1• t
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9,4
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7
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32
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620
C9-C18 ALIPHATICS
760
119-C22 AROMATICS
670
1
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1
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TOLUENE
9.2
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20
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140
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35
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4,7
12
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15
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100
t,3,5-TRIMETHYLBENZENE
45
C5-C8 ALIPHAT1CS
i 100
C9-C18 ALIPHATICS
160D
C9-C22 AROMATICS
880
GP-1 Mg /kg SOIL
06/07/01
TOLUENE
45
TOTAL XYLENES
220
NAPH1HAL ENE
EXTENT OF IMPACTED SOIL ABOVE
SOIL —TO —GROUNDWATER MSCCs
10 —
5
11/06/14
SAMPLING DEPTH cp.)
i
20.
NAPHTHALENE
1.2
11/06/14
25'
NO COMPOUNDS ABOVE SOIL -TO
GROUNDWATER MSCCS
GROUNDWATER IMPACTED
ABOVE 2L STANDARDS
SAMPUNG DEPTH 00
NAPHTHALENE
_,
ISOFROPYLBENZENE
1,3,5-TRIMF1 HYLBENZE NE
36
C9-C22 AROMATICS
SB-4 ma/kg SOIL
11/06/14
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25'
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15
NAPHTHALENE
40
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690
ETHYLBENZENE
1500
TOTAL XYLENES
8200
NAPHTHALENE
430
ISOPROPYLBENZENE
88
n-PROPYLBENZENE
140
1,2,4-TRIMETHYLBENZENE
1400
1,3,5-TRIMETHYLBENZENE
440
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NOT SAMPLED/0.03' OF FREE PRODUCT
02/28/18
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Silty Sand/
Clayey Sand/
Saprolite
WATER TABLE
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NAPHTHALENE
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GROUNDWATER IMPACTED
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NOTE: PREVIOUS EXCAVATION ACTIVITIES AND
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ARE ENCOUNTERED APPROXIMATELY 12' BELOW
GROUND SURFACE AND EXTEND TO WATER TABLE.
SCALE IN FEET

CAD FILEPREP. BYTYPE CODEREV. BYSCALEPROJECT NO.DATENOTES: GEOTECHNICALENVIRONMENTAL MATERIALS TESTINGBUILDING SCIENCESRaleigh, North Carolina 27604(919) 871-0999 FAX [phone]I
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2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
18 feet
FIGURE 13A
Injection Well Construction
Diagram
Tate Property
7601 Louisburg Road
Raleigh, North Carolina
36 feet
18 feet
2 inch diameter direct-push boring
Injection to be performed through direct-push
rods at depths ranging from 18 to 36 feet below
ground surface.
Injection Point Well Type Depth (feet) Screen Interval
(feet)
Well Contractor
Name and
Certification
Number
Area A:
1 through 9
Direct-Push 18 18-20 Innovative
Environmental
Technologies,
Certification
#2725-A
22 22-24
26 26-28
30 30-32
34 34-36
•
,
ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES • MATERIALS TESTING
M
' .
'
,
2725 E. Millbrook Road, Suite 121
Raleigh, NC 27604
[phone]
26 feet
FIGURE 13B
Injection Well Construction
Diagram
Tate Property
7601 Louisburg Road
Raleigh, North Carolina
36 feet
10 feet
2 inch diameter direct-push boring
Injection to be performed through direct-push
rods at depths ranging from 26 to 36 feet below
ground surface.
Injection Point Well Type Depth (feet) Screen Interval
(feet)
Well Contractor
Name and
Certification
Number
Area PRB:
10 through 21
Direct-Push 26 26-28 Innovative
Environmental
Technologies,
Certification
#2725-A
30 30-32
34 34-36
•
•
ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES • MATERIALS TESTING
M
•
'. ' .
•
Notice of Intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina

APPENDIX A

MSDS FORMS

/.\TC
llillltllllll!M.•-
81llllilllffllllll, --
CDH
cdhfinechemical.com
Ferric Oxide Red
CAS No 1309-37-1
MATERIAL SAFETY DATA SHEET
SDS/MSDS
SECTION 1: Identification of the substance/mixture and of the company/undertaking
1.1 Product identifiers
Product name
Ferric Oxide Red
CAS -No. : 1309-37-1
1.2 Relevant identified uses of the substance or mixture and uses advised against
Identified uses : Laboratory chemicals, Industrial & for professional use only.
1.3 Details of the supplier of the safety data sheet
Company : Central Drug House (P) Ltd
7/28 Vardaan House
New Delhi-10002
INDIA
Telephone : [phone]
Email : [e-mail]
1.4 Emergency telephone number
Emergency Phone # : [phone] (9:00am - 6:00 pm) [Office hours]
SECTION 2: Hazards identification
2.1 Classification of the substance or mixture
Not a hazardous substance or mixture according to Regulation (EC) No. 1272/2008.
2.2 Label elements
2.3 Other hazards
This substance/mixture contains no components considered to be either persistent, bioaccumulative and
toxic (PBT), or very persistent and very bioaccumulative (vPvB) at levels of 0.1% or higher.
SECTION 3: Composition/information on ingredients
3.1 Substances
Synonyms Ferric oxide
Formula Fe2103
Molecular weight : 159,69 g/mol
CAS -No. : 1309-37-1
Page 1 of 6

EC-No . 215-168-2
No components need to be disclosed according to the applicable regulations .
SECTION 4: First aid measures
4.1 Description of first aid measures
If inhaled
If breathed in, move person into fresh air. If not breathing, give artificial respiration .
In case of skin contact
Wash off with soap and plenty of water.
In case of eye contact
Flush eyes with water as a precaution .
If swallowed
Never give anything by mouth to an unconscious person . Rinse mouth with water.
4.2 Most important symptoms and effects, both acute and delayed
The most important known symptoms and effects are described in the labelling (see section 2 .2) and/or in
section 11
4.3 Indication of any immediate medical attention and special treatment needed
No data available
SECTION 5: Firefighting measures
5.1 Extinguishing media
Suitable extinguishing media
Use water spray, alcohol-resistant foam, dry chemical or carbon dioxide.
5.2 Special hazards arising from the substance or mixture
Iron oxides
5.3 Advice for firefighters
Wear self-contained breathing apparatus for firefighting if necessary.
5.4 Further information
No data available
SECTION 6: Accidental release measures
6.1 Personal precautions, protective equipment and emergency procedures
Avoid dust formation . Avoid breathing vapours , mist or gas .
For personal protection see section 8.
6.2 Environmental precautions
No special environmental precautions required.
6.3 Methods and materials for containment and cleaning up
Sweep up and shovel. Keep in suitable , closed containers for disposal.
6.4 Reference to other sections
For disposal see section 13 .
SECTION 7: Handling and storage
7.1 Precautions for safe handling
Provide appropriate exhaust ventilation at places where dust is formed .
For precautions see section 2.2.
7.2 Conditions for safe storage, including any incompatibilities
Store in cool place . Keep container tightly closed in a dry and well-ventilated place .
Page 2 of 6
Storage class (TRGS 510): Non Combustible Solids
7.3 Specific end use(s)
Apart from the uses mentioned in section 1.2 no other specific uses are stipulated
SECTION 8: Exposure controls/personal protection
8.1 Control parameters
Components with workplace control parameters
8.2 Exposure controls
Appropriate engineering controls
General industrial hygiene practice .
Personal protective equipment
Eye/face protection
Use equipment for eye protection tested and approved under appropriate government standards
such as NIOSH (US) or EN 166(EU).
Skin protection
Handle with gloves . Gloves must be inspected prior to use . Use proper glove removal technique
(without touching glove's outer surface) to avoid skin contact with this product. Dispose of
contaminated gloves after use in accordance with applicable laws and good laboratory practices .
Wash and dry hands.
Body Protection
Choose body protection in relation to its type, to the concentration and amount of dangerous
substances, and to the specific work-place ., The type of protective equipment must be selected
according to the concentration and amount of the dangerous substance at the specific workplace .
Respiratory protection
Respiratory protection is not required . Where protection from nuisance levels of dusts are desired,
use type N95 (US) or type P1 (EN 143) dust masks . Use respirators and components tested and
approved under appropriate government standards such as NIOSH (US) or CEN (EU).
Control of environmental exposure
No special environmental precautions required .
SECTION 9: Physical and chemical properties
9.1 Information on basic physical and chemical properties
a) Appearance Form: powder
b) Odour No data available
c) Odour Threshold No data available
d) pH No data available
e) Melting poinVfreezing Melting poinVrange: 1.538 °C
point
f) Initial boiling point and No data available
boiling range
g) Flash point Not applicable
h) Evaporation rate No data available
i) Flammability (solid , gas) No data available
j) Upper/lower No data available
flammability or
explosive limits
k) Vapour pressure No data available
I) Vapour density No data available
m) Relative density 5,15 g/cm3
n) Water solubility insoluble
Page 3 of 6
o) Partition coefficient: n-
octanol/water
p) Auto-ignition
temperature
q) Decomposition
temperature
r) Viscosity
s) Explosive properties
t) Oxidizing properties
9.2 Other safety information
No data available
No data available
No data available
No data available
No data available
No data available
No data available
SECTION 10: Stability and reactivity
10.1 Reactivity
No data available
10.2 Chemical stability
Stable under recommended storage conditions .
10.3 Possibility of hazardous reactions
No data available
10.4 Conditions to avoid
No data available
10.5 Incompatible materials
Chloroformates, Peroxides, Strong acids
10.6 Hazardous decomposition products
Other decomposition products -No data available
In the event of fire: see section 5
SECTION 11: Toxicological information
11.1 Information on toxicological effects
Acute toxicity
LD50 Oral -Rat -> 10 .000 mg/kg
Skin corrosion/irritation
Skin -Rabbit
Result: No skin irritation
(OECD Test Guideline 404)
Serious eye damage/eye irritation
Eyes -Rabbit
Result: No eye irritation
(OECD Test Guideline 405)
Respiratory or skin sensitisation
No data available
Germ cell mutagenicity
No data available
Carcinogenicity
Carcinogenicity -Rat -Subcutaneous
Tumorigenic:Equivocal tumorigenic agent by RTECS criteria . Tumorigenic:Tumors at site or application.
This product is or contains a component that is not classifiable as to its carcinogenicity based on its IARC ,
ACGIH, NTP , or EPA classification .
IARC : 3 -Group 3: Not classifiable as to its carcinogenicity to humans (Diiron trioxide)
Reproductive toxicity
No data available
Page 4 of 6
Specific target organ toxicity -single exposure
No data available
Specific target organ toxicity -repeated exposure
No data available
Aspiration hazard
No data available
Additional Information
RTECS: NO7400000
Long term inhalation exposure to iron (oxide fume or dust) can cause siderosis. Siderosis is considered to be
a benign pneumoconiosis and does not normally cause significant physiologic impairment. Siderosis can be
observed on x-rays with the lungs having a mottled appearance ., To the best of our knowledge, the chemical,
physical, and toxicological properties have not been thoroughly investigated .
SECTION 12: Ecological information
12.1 Toxicity
No data available
12.2 Persistence and degradability
No data available
12.3 Bioaccumulative potential
No data available
12.4 Mobility in soil
No data available
12.5 Results of PBT and vPvB assessment
This substance/mixture contains no components considered to be either persistent, bioaccumulative and
toxic (PBT), or very persistent and very bioaccumulative (vPvB) at levels of 0.1 % or higher.
12.6 Other adverse effects
No data available
SECTION 13: Disposal considerations
13.1 Waste treatment methods
Product
Offer surplus and non-recyclable solutions to a licensed disposal company.
Contaminated packaging
Dispose of as unused product.
SECTION 14: Transport information
14.1 UN number
ADR/RID : -
14.2 UN proper shipping name
ADR/RID: Not dangerous goods
IMDG: Not dangerous goods
IAT A: Not dangerous goods
14.3 Transport hazard class(es)
ADR/RID : -
14.4 Packaging group
ADR/RID : -
14.5 Environmental hazards
ADR/RID: no
14.6 Special precautions for user
No data available
SECTION 15: Regulatory information
IMDG: -IATA: -
IMDG: -IATA: -
IMDG: -IATA: -
IMDG Marine pollutant: no IATA: no
Page 5 of 6
15.1 Safety, health and environmental regulations/legislation specific for the substance or mixture
This safety datasheet complies with the requirements of Regulation (EC) No . 1907/2006.
15.2 Chemical Safety Assessment
For this product a chemical safety assessment was not carried out
SECTION 16: Other information
Further information
The above information is believed to be correct but does not purport to be all inclusive and shall
be used only as a guide . The information in this document is based on the present state of our
knowledge and is applicable to the product with regard to appropriate safety precautions . It does
not represent any guarantee of the properties of the product. Central Drug House (P) Ltd and its
Affiliates shall not be held liable for any damage resulting from handling or from contact with the
above product. See www .cdhfinechemical.com for additional terms and conditions of sale .
Page 6 of 6
Material Safety Data Sheet
Potassium persulfate
ACC# 19540
Section 1 - Chemical Product and Company Identification
MSDS Name: Potassium persulfate
Catalog Numbers: AC202010000, AC202010010, AC202010250, AC202012500, AC202015000,
AC424180000, AC424180050, AC424185000, BP180-100, P281-500, P282-100, P282-500
Synonyms: Anthion; Peroxydisulfuric acid, dipotassium salt; Potassium peroxydisulfate;
Dipotassium peroxodisulfate.
Company Identification:
Fisher Scientific
1 Reagent Lane
Fair Lawn, NJ 07410
For information, call: 201-796-7100
Emergency Number: 201-796-7100
For CHEMTREC assistance, call: 800-424-9300
For International CHEMTREC assistance, call: 703-527-3887
Section 2 - Composition, Information on Ingredients
CAS#Chemical Name Percent EINECS/ELINCS
7727-21-1 Potassium peroxydisulfate 99+ 231-781-8
Section 3 - Hazards Identification
EMERGENCY OVERVIEW
Appearance: white crystalline powder.
Danger! Strong oxidizer. Contact with other material may cause a fire. Causes eye, skin, and
respiratory tract irritation. May cause allergic respiratory and skin reaction. Harmful if swallowed.
Hygroscopic (absorbs moisture from the air).
Target Organs: Respiratory system, gastrointestinal system, eyes, skin.
Potential Health Effects
Eye: Causes eye irritation.
Skin: Causes skin irritation. May cause skin sensitization, an allergic reaction, which becomes
evident upon re-exposure to this material. May be harmful if absorbed through the skin.
Ingestion: Harmful if swallowed. May cause gastrointestinal irritation with nausea, vomiting and
diarrhea.
Inhalation: Causes respiratory tract irritation. May cause allergic respiratory reaction. May be
harmful if inhaled.
Chronic: Repeated or prolonged exposure may cause allergic reactions in sensitive individuals.
Section 4 - First Aid Measures
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Eyes: Immediately flush eyes with plenty of water for at least 15 minutes, occasionally lifting
the upper and lower eyelids. Get medical aid.
Skin: Get medical aid. Immediately flush skin with plenty of water for at least 15 minutes while
removing contaminated clothing and shoes.
Ingestion: Do not induce vomiting. Get medical aid immediately. Call a poison control center.
Inhalation: Remove from exposure and move to fresh air immediately. If breathing is difficult,
give oxygen. Get medical aid. Do not use mouth-to-mouth resuscitation if victim ingested or
inhaled the substance; induce artificial respiration with the aid of a pocket mask equipped with a
one-way valve or other proper respiratory medical device.
Notes to Physician: Treat symptomatically and supportively.
Section 5 - Fire Fighting Measures
General Information: As in any fire, wear a self-contained breathing apparatus in pressure-
demand, MSHA/NIOSH (approved or equivalent), and full protective gear. Strong oxidizer.
Contact with other material may cause fire. This material in sufficient quantity and reduced
particle size is capable of creating a dust explosion.
Extinguishing Media: Use foam, dry chemical, or carbon dioxide.
Flash Point: Not available.
Autoignition Temperature: Not available.
Explosion Limits, Lower:Not available.
Upper: Not available.
NFPA Rating: (estimated) Health: 2; Flammability: 1; Instability: 3; Special Hazard: OX
Section 6 - Accidental Release Measures
General Information: Use proper personal protective equipment as indicated in Section 8.
Spills/Leaks: Vacuum or sweep up material and place into a suitable disposal container. Avoid
generating dusty conditions. Do not use combustible materials such as paper towels to clean up
spill. Keep combustibles (wood, paper, oil, etc.,) away from spilled material. Do not let this
chemical enter the environment.
Section 7 - Handling and Storage
Handling: Use with adequate ventilation. Minimize dust generation and accumulation. Do not
get in eyes, on skin, or on clothing. Do not ingest or inhale. Keep from contact with clothing and
other combustible materials.
Storage: Do not store near combustible materials. Store in a cool, dry place. Store in a tightly
closed container.
Section 8 - Exposure Controls, Personal Protection
Engineering Controls: Facilities storing or utilizing this material should be equipped with an
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eyewash facility and a safety shower. Use adequate ventilation to keep airborne concentrations
low.
Exposure Limits
Chemical Name ACGIH NIOSH OSHA - Final PELs
Potassium peroxydisulfate
0.1 mg/m3 TWA (as
Persulfate) (listed under
Persulfates, inorganic,
n.o.s.).
none listed none listed
OSHA Vacated PELs: Potassium peroxydisulfate: No OSHA Vacated PELs are listed for this
chemical.
Personal Protective Equipment
Eyes: Wear appropriate protective eyeglasses or chemical safety goggles as described by
OSHA's eye and face protection regulations in 29 CFR 1910.133 or European Standard EN166.
Skin: Wear appropriate protective gloves to prevent skin exposure.
Clothing: Wear appropriate protective clothing to prevent skin exposure.
Respirators: A respiratory protection program that meets OSHA's 29 CFR 1910.134 and ANSI
Z88.2 requirements or European Standard EN 149 must be followed whenever workplace
conditions warrant respirator use.
Section 9 - Physical and Chemical Properties
Physical State: Crystalline powder
Appearance: white
Odor: odorless
pH: 4-5 (50 g/L aq.sol.)
Vapor Pressure: Not available.
Vapor Density: Not available.
Evaporation Rate:Not available.
Viscosity: Not applicable.
Boiling Point: Not available.
Freezing/Melting Point:100 deg C
Decomposition Temperature:Not available.
Solubility: 5g/100ml (20°C)
Specific Gravity/Density:2.470
Molecular Formula:K2S2O8
Molecular Weight:270.3
Section 10 - Stability and Reactivity
Chemical Stability: Hygroscopic: absorbs moisture or water from the air.
Conditions to Avoid: Incompatible materials, dust generation, excess heat, combustible
materials, exposure to moist air or water.
Incompatibilities with Other Materials: Strong oxidizing agents, strong reducing agents,
strong bases, alcohols, finely powdered metals, organic materials.
Hazardous Decomposition Products: Oxygen, oxides of potassium, sulfur oxides (SOx),
including sulfur oxide and sulfur dioxide.
Hazardous Polymerization: Will not occur.
Section 11 - Toxicological Information
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RTECS#:
CAS# 7727-21-1: SE0400000
LD50/LC50:
CAS# 7727-21-1:
Oral, rat: LD50 = 802 mg/kg;
.
Carcinogenicity:
CAS# 7727-21-1: Not listed by ACGIH, IARC, NTP, or CA Prop 65.
Epidemiology: No information available.
Teratogenicity: No information found
Reproductive Effects: No information found
Mutagenicity: No information found
Neurotoxicity: No information found
Other Studies:
Section 12 - Ecological Information
Ecotoxicity: No data available. No information available.
Environmental: No information available.
Physical: No information available.
Other: Do not empty into drains.
Section 13 - Disposal Considerations
Chemical waste generators must determine whether a discarded chemical is classified as a
hazardous waste. US EPA guidelines for the classification determination are listed in 40 CFR Parts
261.3. Additionally, waste generators must consult state and local hazardous waste regulations
to ensure complete and accurate classification.
RCRA P-Series: None listed.
RCRA U-Series: None listed.
Section 14 - Transport Information
US DOT Canada TDG
Shipping Name:POTASSIUM PERSULFATE POTASSIUM PERSULFATE
Hazard Class:5.1 5.1
UN Number:UN1492 UN1492
Packing Group:III III
Section 15 - Regulatory Information
US FEDERAL
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TSCA
CAS# 7727-21-1 is listed on the TSCA inventory.
Health & Safety Reporting List
None of the chemicals are on the Health & Safety Reporting List.
Chemical Test Rules
None of the chemicals in this product are under a Chemical Test Rule.
Section 12b
None of the chemicals are listed under TSCA Section 12b.
TSCA Significant New Use Rule
None of the chemicals in this material have a SNUR under TSCA.
CERCLA Hazardous Substances and corresponding RQs
None of the chemicals in this material have an RQ.
SARA Section 302 Extremely Hazardous Substances
None of the chemicals in this product have a TPQ.
SARA Codes
CAS # 7727-21-1: immediate, fire.
Section 313 No chemicals are reportable under Section 313.
Clean Air Act:
This material does not contain any hazardous air pollutants.
This material does not contain any Class 1 Ozone depletors.
This material does not contain any Class 2 Ozone depletors.
Clean Water Act:
None of the chemicals in this product are listed as Hazardous Substances under the CWA.
None of the chemicals in this product are listed as Priority Pollutants under the CWA.
None of the chemicals in this product are listed as Toxic Pollutants under the CWA.
OSHA:
None of the chemicals in this product are considered highly hazardous by OSHA.
STATE
CAS# 7727-21-1 can be found on the following state right to know lists: New Jersey,
Pennsylvania, Massachusetts.
California Prop 65
California No Significant Risk Level: None of the chemicals in this product are listed.
European/International Regulations
European Labeling in Accordance with EC Directives
Hazard Symbols:
XN O
Risk Phrases:
R 22 Harmful if swallowed.
R 36/37/38 Irritating to eyes, respiratory system and skin.
R 42/43 May cause sensitization by inhalation and skin contact.
R 8 Contact with combustible material may cause fire.
Safety Phrases:
S 22 Do not breathe dust.
S 24 Avoid contact with skin.
S 26 In case of contact with eyes, rinse immediately with plenty of
water and seek medical advice.
S 37 Wear suitable gloves.
WGK (Water Danger/Protection)
CAS# 7727-21-1: 1
Canada - DSL/NDSL
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CAS# 7727-21-1 is listed on Canada's DSL List.
Canada - WHMIS
This product has a WHMIS classification of C, E.
This product has been classified in accordance with the hazard criteria of the Controlled Products
Regulations and the MSDS contains all of the information required by those regulations.
Canadian Ingredient Disclosure List
CAS# 7727-21-1 is not listed on the Canadian Ingredient Disclosure List.
Section 16 - Additional Information
MSDS Creation Date: 12/12/1997
Revision #14 Date: 3/31/2008
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we
assume no liability resulting from its use. Users should make their own investigations to determine the suitability of the
information for their particular purposes. In no event shall Fisher be liable for any claims, losses, or damages of any third party
or for lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if Fisher has
been advised of the possibility of such damages.
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p. 1
0
2 2
He alth
Fire
Re activity
Pe rs onal
Prote ction
2
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2
E
Material Safety Data Sheet
Sodium persulfate MSDS
Section 1: Chemical Product and Company Identification
Product Name: Sodium persulfate
Catalog Codes: SLS1333
CAS#: 7775-27-1
RTECS: SE0525000
TSCA: TSCA 8(b) inventory: Sodium persulfate
CI#: Not applicable.
Synonym: Peroxydisulfuric acid, disodium salt
Chemical Name: Sodium peroxydisulfate
Chemical Formula: Na2S2O8
Contact Information:
Sciencelab.com, Inc.
14025 Smith Rd.
Houston, Texas 77396
US Sales: 1-800-901-7247
International Sales: 1-281-441-4400
Order Online: ScienceLab.com
CHEMTREC (24HR Emergency Telephone), call:
1-800-424-9300
International CHEMTREC, call: 1-703-527-3887
For non-emergency assistance, call: 1-281-441-4400
Section 2: Composition and Information on Ingredients
Composition:
Name CAS #% by Weight
Sodium persulfate 7775-27-1 100
Toxicological Data on Ingredients: Sodium persulfate LD50: Not available. LC50: Not available.
Section 3: Hazards Identification
Potential Acute Health Effects:
Very hazardous in case of skin contact (irritant, sensitizer), of eye contact (irritant), of inhalation. Hazardous in case of
ingestion. Slightly hazardous in case of skin contact (permeator). Prolonged exposure may result in skin burns and ulcerations.
Over-exposure by inhalation may cause respiratory irritation. Inflammation of the eye is characterized by redness, watering,
and itching. Skin inflammation is characterized by itching, scaling, reddening, or, occasionally, blistering.
Potential Chronic Health Effects:
Very hazardous in case of skin contact (corrosive, irritant, sensitizer), of eye contact (irritant), of inhalation. Hazardous in case
of ingestion. Slightly hazardous in case of skin contact (permeator). CARCINOGENIC EFFECTS: Not available. MUTAGENIC
EFFECTS: Not available. TERATOGENIC EFFECTS: Not available. DEVELOPMENTAL TOXICITY: Not available. The
substance is toxic to blood, lungs. Repeated or prolonged exposure to the substance can produce target organs damage.
Repeated or prolonged inhalation of dust may lead to chronic respiratory irritation.
Section 4: First Aid Measures
Science Lab .com
Chemicals & Laboratory Equipment
p. 2
Eye Contact:
Check for and remove any contact lenses. Immediately flush eyes with running water for at least 15 minutes, keeping eyelids
open. Cold water may be used. Do not use an eye ointment. Seek medical attention.
Skin Contact:
After contact with skin, wash immediately with plenty of water. Gently and thoroughly wash the contaminated skin with running
water and non-abrasive soap. Be particularly careful to clean folds, crevices, creases and groin. Cold water may be used.
Cover the irritated skin with an emollient. If irritation persists, seek medical attention.
Serious Skin Contact:
Wash with a disinfectant soap and cover the contaminated skin with an anti-bacterial cream. Seek medical attention.
Inhalation: Allow the victim to rest in a well ventilated area. Seek immediate medical attention.
Serious Inhalation:
Evacuate the victim to a safe area as soon as possible. Loosen tight clothing such as a collar, tie, belt or waistband. If
breathing is difficult, administer oxygen. If the victim is not breathing, perform mouth-to-mouth resuscitation. Seek medical
attention.
Ingestion:
Do not induce vomiting. Loosen tight clothing such as a collar, tie, belt or waistband. If the victim is not breathing, perform
mouth-to-mouth resuscitation. Seek immediate medical attention.
Serious Ingestion: Not available.
Section 5: Fire and Explosion Data
Flammability of the Product: Non-flammable.
Auto-Ignition Temperature: Not applicable.
Flash Points: Not applicable.
Flammable Limits: Not applicable.
Products of Combustion: Not available.
Fire Hazards in Presence of Various Substances: Not applicable.
Explosion Hazards in Presence of Various Substances:
Risks of explosion of the product in presence of mechanical impact: Not available. Risks of explosion of the product in
presence of static discharge: Not available.
Fire Fighting Media and Instructions: Not applicable.
Special Remarks on Fire Hazards: Dangerous in contact with organic materials.
Special Remarks on Explosion Hazards: Not available.
Section 6: Accidental Release Measures
Small Spill: Use appropriate tools to put the spilled solid in a convenient waste disposal container.
Large Spill:
Oxidizing material. Stop leak if without risk. Avoid contact with a combustible material (wood, paper, oil, clothing...). Keep
substance damp using water spray. Do not touch spilled material. Prevent entry into sewers, basements or confined areas;
dike if needed. Call for assistance on disposal.
Section 7: Handling and Storage
Precautions:
p. 3
Keep away from heat. Keep away from sources of ignition. Keep away from combustible material Do not breathe dust. In case
of insufficient ventilation, wear suitable respiratory equipment If you feel unwell, seek medical attention and show the label
when possible. Avoid contact with skin and eyes Keep away from incompatibles such as reducing agents, organic materials,
metals, acids, moisture.
Storage: Oxidizing materials should be stored in a separate safety storage cabinet or room.
Section 8: Exposure Controls/Personal Protection
Engineering Controls:
Use process enclosures, local exhaust ventilation, or other engineering controls to keep airborne levels below recommended
exposure limits. If user operations generate dust, fume or mist, use ventilation to keep exposure to airborne contaminants
below the exposure limit.
Personal Protection:
Splash goggles. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Gloves.
Personal Protection in Case of a Large Spill:
Splash goggles. Full suit. Dust respirator. Boots. Gloves. A self contained breathing apparatus should be used to avoid
inhalation of the product. Suggested protective clothing might not be sufficient; consult a specialist BEFORE handling this
product.
Exposure Limits: Not available.
Section 9: Physical and Chemical Properties
Physical state and appearance: Solid. (Solid crystalline powder.)
Odor: Odorless.
Taste: Bitter. (Strong.)
Molecular Weight: 238.1 g/mole
Color: White.
pH (1% soln/water): 7 [Neutral.]
Boiling Point: Not available.
Melting Point: Decomposes.
Critical Temperature: Not available.
Specific Gravity: 2.6 (Water = 1)
Vapor Pressure: Not applicable.
Vapor Density: Not available.
Volatility: Not available.
Odor Threshold: Not available.
Water/Oil Dist. Coeff.: Not available.
Ionicity (in Water): Not available.
Dispersion Properties: See solubility in water.
Solubility:
Soluble in cold water, hot water. Insoluble in methanol, diethyl ether, n-octanol.
Section 10: Stability and Reactivity Data
p. 4
Stability: Unstable.
Instability Temperature: Not available.
Conditions of Instability: Not available.
Incompatibility with various substances:
Highly reactive with reducing agents, organic materials, moisture. Reactive with metals, acids. Slightly reactive to reactive with
alkalis.
Corrosivity:
Corrosive in presence of steel, of aluminum, of zinc, of copper. Non-corrosive in presence of glass.
Special Remarks on Reactivity: Incompatible with alcohols.
Special Remarks on Corrosivity: Not available.
Polymerization: No.
Section 11: Toxicological Information
Routes of Entry: Eye contact. Inhalation. Ingestion.
Toxicity to Animals:
LD50: Not available. LC50: Not available.
Chronic Effects on Humans: The substance is toxic to blood, lungs.
Other Toxic Effects on Humans:
Very hazardous in case of skin contact (irritant, sensitizer), of inhalation. Hazardous in case of ingestion. Slightly hazardous in
case of skin contact (permeator).
Special Remarks on Toxicity to Animals: Not available.
Special Remarks on Chronic Effects on Humans: May cause allergic skin reactions with repeated exposure.
Special Remarks on other Toxic Effects on Humans: CAUTION: Certain sensitive individuals may develop eczema and/or
asthma on exposure to this material.
Section 12: Ecological Information
Ecotoxicity: Not available.
BOD5 and COD: Not available.
Products of Biodegradation: Possibly hazardous short/long term degradation products are to be expected.
Toxicity of the Products of Biodegradation: The products of degradation are more toxic.
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Section 14: Transport Information
DOT Classification: CLASS 5.1: Oxidizing material.
Identification: : Sodium persulfate : UN1505 PG: III
p. 5
Special Provisions for Transport: Not available.
Section 15: Other Regulatory Information
Federal and State Regulations: TSCA 8(b) inventory: Sodium persulfate
Other Regulations: OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200).
Other Classifications:
WHMIS (Canada):
CLASS C: Oxidizing material. CLASS D-2A: Material causing other toxic effects (VERY TOXIC).
DSCL (EEC):
R38- Irritating to skin. R41- Risk of serious damage to eyes. R43- May cause sensitization by skin contact.
HMIS (U.S.A.):
Health Hazard: 2
Fire Hazard: 0
Reactivity: 2
Personal Protection: E
National Fire Protection Association (U.S.A.):
Health: 2
Flammability: 0
Reactivity: 2
Specific hazard:
Protective Equipment:
Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Wear appropriate respirator
when ventilation is inadequate. Splash goggles.
Section 16: Other Information
References:
-Hawley, G.G.. The Condensed Chemical Dictionary, 11e ed., New York N.Y., Van Nostrand Reinold, 1987. -The Sigma-
Aldrich Library of Chemical Safety Data, Edition II.
Other Special Considerations: Not available.
Created: 10/11/2005 12:36 PM
Last Updated: 05/21/2013 12:00 PM
The information above is believed to be accurate and represents the best information currently available to us. However, we
make no warranty of merchantability or any other warranty, express or implied, with respect to such information, and we assume
no liability resulting from its use. Users should make their own investigations to determine the suitability of the information for
their particular purposes. In no event shall ScienceLab.com be liable for any claims, losses, or damages of any third party or for
lost profits or any special, indirect, incidental, consequential or exemplary damages, howsoever arising, even if ScienceLab.com
has been advised of the possibility of such damages.
Notice of Intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina

APPENDIX B

DOCUMENTATION AUTHORIZING ATC AS NCDEQ STATE-LEAD AGENT

/.\TC
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81llllilllffllllll, --
1
Ashley Winkelman
From:Petermann, Mark <[e-mail]>
Sent:Wednesday, February 24, 2016 4:12 PM
To:Rogers, Michael
Cc:Gabe Araos; Ashley Winkelman
Subject:NCDEQ-UST Section-Trust Fund Branch-State Lead Program- Incident 21716- Tate
Property- 7601 Louisburg Road, Wake County - Injection Remediation Event
Michael,  
Based on emails with ATC Associates and your latest email to ATC, this email is provided to inform you that ATC has the 
authority, acting as the State Lead program’s agent, to sign the Notice of Intent as required by the UIC program. I am the 
project/incident manager for the Tate Property site property. 

If you should have any other questions please do not hesitate to get in touch with me. 

Regards, 
Mark 

Mark A. Petermann
Hydrogeologist II
Underground Storage Tank Section
Department of Environmental Quality

919-707-8169 office
[e-mail]

1646 Mail Service Center
Raleigh, NC 27699-1645

217 West Jones Street, Office 2430V 
Raleigh, NC 27602

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

~hlng Compam ..... ""'
Notice of Intent to Construct or Operate Injection Wells
Tate Property, Raleigh, North Carolina

APPENDIX C

ACCESS AGREEMENT FROM SITE PROPERTY OWNER

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81llllilllffllllll, --

August 16, 2018

Mr. Mark Petermann
Hydrogeologist
DWM UST Section
1646 Mail Service Center
Raleigh, NC 27699-1646

RE: Site Access Agreement
Former Tate Property
7601 Louisburg Road
Raleigh, Wake County - RRO
Incident Number 21716

Dear Mr. Petermann:

I am/We are the owner(s) of a parcel of property, located at or near the incident in question,
and hereby permit the Department of Environment and Natural Resources (Department) or its
contractor to enter upon said property for the purpose of conducting an assessment and/or
remediation of the groundwater and/or soils under the authority of G.S. 143-215.94G.

I am/We are granting permission with the understanding that:

1. The investigation shall be conducted by the UST Section of the Department’s Division of
Waste Management or its contractor.

2. The costs of construction and maintenance of the site and access shall be borne by the
Department or its contractor in accordance with the acceptance of the site into the State-Lead
Program. The Department or its contractor shall protect and prevent damage to the surrounding
lands. Any damages will be restored by the Department or its contractor to as close to the pre-
work condition as practicably possible.
dotloop signature verification: www.dotloop.com/my/verification/DL-380544578-2-J2B1
ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
MICHAEL SCOTT
Director
NORTH CAROLINA
Environmental Quality
Former Tate Property – Incident #21716

3. Unless otherwise agreed, the Department or its contractor shall have access to the site by the
shortest feasible route to the nearest public road. The Department or its contractor will notify
the land owners 48 hours prior to entry and may enter upon the land at reasonable times and
have full right of access during the period of the investigation.

4. Any claims which may arise against the Department or its contractor shall be governed by
Article 31 of Chapter 143 of the North Carolina General Statutes, Tort Claims Against State
Departments and Agencies, and as otherwise provided by law.

5. The information derived from the investigation shall be made available to the owner upon
request and is a public record, in accordance with G.S. 132-1.

6. The activities to be carried out by the Department or its contractor are for the primary benefit
of the Department and of the State of North Carolina. Any benefits accruing to the owner are
incidental. The Department or its contractor is not and shall not be construed to be an agent,
employee, or contractor of the landowner.

I/We agree not to interfere with, remove or any ways damage the Department’s well(s) or its
contractor’s well(s) and equipment during the investigation.

Sincerely,

_________________________________
Signature

_________________________________
Type/Print Name of Owner or Agent

__________________________________
Phone Number

_________________________________
Address

_________________________________
City/State/Zip Code

_________________________________
Date

dotloop verified
08/16/18 4:42PM EDT
PZTD-C9OI-MCYM-FBUOEddie Alie
Eddie Alie/ Manager of AAFA Properties LLC/ Owner 7601 Louisburg Rd
[phone]
5012 Will O Dean Rd
Raleigh, NC 27616
08/16/2018
dotloop signature verification: www.dotloop.com/my/verification/DL-380544578-2-J2B1
I I
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00