WI0600182_DEEMED FILES_20170331

Permit Nu m ber
Program Category
Deemed Ground Water
Permit Type
WI0600182
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Fairview Farms
Location Address
NC 73 And Sr 1111
Mount Gilead
Owner
Owner Name
W Horace
Dates/Events
NC
Orig Issue
3/31/2017
App Received
3/28/2017
Re g ulated Activ!ties
Groundwater remediation
Outfall
Waterbody Name
27306
Lowder
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
3/31/2017
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
W Horace Lowder
PO Box 100
Albemarle
Region
Fayetteville
County
Montgomery
NC
Issue
3/31/2017
Effective
3/31/2017
28002
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
Shrestha, Shristi R
From: Shrestha, Shristi R
Sent: Friday, March 31, 2017 3:22 PM
To: 'Kevin Stachura'; '[e-mail]'
Cc: Allen, Trent; Barber, Jim
Subject: WI0600182 NOI RE: Incident #90010 Fairview Farms
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOI) for the above referenced
site.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of
the GW-ls and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct
push or Geoprobe wells are considered wells and require construction (GW-1) and abandonment farms (GW-
30). If well construction/abandonment information is the same for the wells, only one form needs to be
completed- just indicate total number of injection points in the Comments/Remarks section of form. These forms
can be found on our website at
httn:/!deo nc.gov/about,'divisionswater-resourceslwater-resources-permits/wastewater-branch!eround-water-
irotection;'around-water-reporting-forms
2) Injection Event Records (1ER). All injections, including air and passive systems require an /Eft. The IER can be
modified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.).
You can scan and send these forms directly to me at Shristi.shresthailirfncdenr.ov or via regular mail to address
below. When submitting the above forms, you will need to enter the nine -digit alpha -numeric number on the farm
(i.e., WIOXXXXXX) that has been assigned to the injection activity at this site. This notification has been given the
deemed permit number WI0600182. This number is also referenced in the subject line of this email. You may if you
wish, scan and send back as attachments in reply to this email, as it will already have the assigned deemed permit
number in the subject tine.
Thank you for your cooperation,
Shristi
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
sh risti.shresthara�ncdenr.a ov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
l N rig Con .pare
Email correspondence to and from this address rs subject to the
Alnrth F%rrhlir F?ornrri.e rli.cr,ln.eiari ►n fh/ rsarrif2c

From: Kevin Stachura [mailto:[e-mail]]
Sent: Wednesday, March 29, 2017 2:18 PM
To: Shrestha, Shristi R <[e-mail]>
Subject: Incident #90010 Fairview Farms
Hi Shrestha,
Please find attached a signed NOi for the installation of ORC-SOX's™. If there are any questions please contact me.
Thank you,
Kevin Stachura
Staff Geologist
SHIELD ENGINEERING, INC.
4301 Taggart Creek Road
Charlotte, NC 28208
[phone] -cell
kstachura @shielden gineerin g.com
Shrestha, Shristi R
From: Shrestha, Shristi R
Sent: Friday, March 37., 2017 3:22 PM
To: Allen, Trent; Barber, Jim
Subject: WI0600182 NOI Fairview farms
Attachments: NOI.pdf
Please find the attached N01.
Shristi
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi.shrestha (a: ncdenr.gov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
rig Cempar
Email corresp . nd n&e to and from this addrL ss i. ubjecl to the
North Carolina Pubic Records Lat./ and may be disclosed to third parties.

North Carolina Department of Environmental Quality -Division of Water Resources
. NOTIFICATION OF INTENT (Non 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 01C .0200. This form shall be submitted at least 2 WEEKS prior to inlection.
AQUIFER TEST .WELLS llSA NCAC 02C .0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (ISA NCAC 02C .022S) or TRACER WELLS {lSA 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 pWJ)OSC 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 -Prelimidary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells are located within an area that does not exceed five percent of the land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any separate groundwater contaminant plume.
4) Air Injection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: __ 03=J=02 _____ _, 2017 PERMIT NO. WJ:0 b 00 (8 2-(tobe filledinbyDWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
B.
(1)
(2)
(3)
(4)
(5)
(6)
___ Air Injection Well ........................ ,. ............ Complete sections B through F, K, N
___ .Aquifer Test Well ....................................... Complete sections B through F, K, N
=X~ __ .Passive Injection System ..........•.... , ............... Complete sections B through F, H-N
___ S.mall-Scale Injection Operation ....................... Complete sections .B through N
___ P.ilot Test.. ................................... , .•..... , ... Complete sections B through N
___ Tracer Injection Well .•.•. , ...................... , ....... Complete sections B thr-~D/NCDEQIDWR
STATUS OF WELL OWNER: Single Family Residence MAR 2 8 2017
C. WELL OWNER(S) -State name of Business/Agency, and Name and Title of person delegate~III~
sign on behalf of the business or agency: Regional Operations Section
Name(s), W. Horace Lowder
Mailing Address: :_P:.;:,.O::.:.•z.B:.:::o~x-..a.10:c..:0"--------------------------
City: Albemarle State: NC Zip Code: =28=00=2 ____ County: Montgomery
DayTeleNo.: Q_Ml.331-7400 Cell No.: _________ _
EMAIL Address: Fax No.: __________ ..,..
Deemed Pennitted GW Remediation NOi Rev. 3-1-2016 Page I
D. PROPERTY OWNER(S) (if different than well owner)
Name and Title: (Same as Well owner)
Company Name:-------------------------------
Mailing Address :. ______________________________ _
City: _______________ State:_ Zip Cod e : ____ County:. _____ _
DayTeleNo.: ___________ _ Cell No.: _________ _
EMAIL Address: _____________ _ Fax No.: __________ _
E. PROJECT CONT ACT (Typically Environmental Engineering Finn)
Name and Title: Thomas W . Witner. P.G. Environmental Group Leader
Company Name Shield Engineering. Inc .
Mailing Address: 4301 Taggart Creek Road. _____________________ _
City: Charlotte State: NC Zip Code: 28208 County: Mecklenburg
Day Tele No.: (...,_7""'04_._.)"""3=9 ..... 4-_,.6=9 =13...._ __________ _
EMAIL Address: twitner@shieldengine erin g.com
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: NC 73 and SR 111 l (Fairview Fanns Road)
City: Mount Gilead
(2) Geographic Coordinates: Latitude**:
Longitude**:
Cowity: Montgomery
_.......,3 .... 5° ~' ~" or
----"8~1 ° __ 2' ~" or
Cell No.: (704 } 576-5889
Fax.No.:
Zip Code: 213 Ob
0
0
Reference Datum:~------"""'Accuracy: _______ _
Method of Collection: Google Earth
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY : A FACILITY srrE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: ______ square feet
Land surface area of inj. well network: square feet(::: 10,000 tt2 for sma11-scale ittjections)
Percent of contaminant plume area to be treated: (must be~ 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS -Attach the following to the notification. (Figures 1, 2, 3, 4, and 5)
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and
vertical extent of the contaminant plume in soil and groundwater, changes in lithology, existing and
proposed monitoring wells, and existing and proposed injection wells.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus
existing and proposed wells.
Deemed Permitted GW Remediation NOi Rev. 3-1-20 16 Page2
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding lhe
pwpose, scope, and goals of lhe proposed injection activity. This should include lhe rate, volume, and
duration of injection over time.
There was a po ssible release from a UST s ystem consistin ~ of one 550-gallon gasoline and one 550:::g allon
diesel USTs, The quantity .of fuel release is unknown. Dfasolved phase petroleum constituent compgunds in
th e groundwater from the sam ple area . are detectt!d in concentra tions above the ISA NCAC 2L .0202
.· groundwater: quality standards in n1011ilor well PD'.3 ,-E and -vertical . extent monitoring \veU VE-1. The use of
EHc~o 0-OX™ Calcium in well PD3--F is lanned to enhance tlte de ra dation of
petroleum contaminantJevels in lhe gro undwater.
J. APPROVED INJECTANTS -Provide a MSDS for each injectant. Attach additional sheets if necessary.
NOTE: Only injectants approved by the NC Division of Public Health, Department of Health and Human
Services can be injected. Approved injectants can be found online at http://deg.nc.gov/about/divisions/water-
t~sottrcesfw'lit~r-resoµr~£l!-l'!_g!'.!IDJilil!l.!,'i.~\:!'.a~t!r-hr»nelt/gt,1und :'!'aJ,;:r-p_totectiQ!llgrnµ1Jd•water-approved-injectants.
All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info
(919-807-6496).
Injectant: Calcium Peroxide in solid fo nn,,by sock of chemical in mo nito.r wells. for oxvg en ,
Volume of injectant: Varies b diffusion. l. 74 lb. EHC-0™ or 0.261 lb weIJ
Concentration at point of injection: ... 10,._-4-'=0 .:am=0 .... IL=-------------------
Percent if in a mixture wilh olher injectants: Calcium peroxide 45-70%, Calcium Hydroxide 10-20%,
Sodium CalciumAluminosilicate. Hvd at 20 -30%.
Injectant: -------------------------------
Volume ofinjectant: -----------------------------
Concentration at point of injection: _____________________ _
Percent if in a mixture wilh olher injectants: ~. __________________ _
Injectant: -------------------------------
Volume of injectant:
Concentration at point of injection: _____________________ _
Percent ifin a mixture with olher injectants: __________________ _
K. WELL CONSTRUCTION DATA
(1) Number of injection wells: _____ Proposed X (1) Existing (provide GW-1s) (A
(2) For Proposed wells or Existing wells not having GW-1s, provide well construction details for each
injection well in a diagram or table fonnat. A single diagram or line in a table can be used for
multiple wells with lhe same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Well type as permanen:t, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page3
(c) Well contractor name and certification number
We11
Type
Grout
(ft-his)
Screen
(ft-his)
Casing-
Length
(ft-bls)
PD3-F
Monitoring
Well
0-4ft
Concrete
4-6ft
Bentonite
3035ft
2in PVC
0-6R
L. SCHEDULES — Briefly describe the schedule for wen construction and injection activities.
Passive ox_yggn releasing O-SOXsul will be placed into the existing well PD3-F folkowine, receipt of (F e
notification pemut number from NCDEO to promote efforts in elevating DO levels.
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 S t! behnpter 02L result from the injection activity.
The injection of oxygen is not expected to result in violations of the 2L Standards. The monitor wells will be
sampled on a regular basis. This will be followed by post reinediation sunnplital without oxygen infusion to
check for rebound of contaminant levels.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby certify, under penalty of law, that 1 am familiar with the information submitted in
this document and all attachments thereto and that based an 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 signlfrcant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct. operate, maintain, repair, and ifapplicable, abandon the injection well
and all related appurtenances in accordance with the I SA MAC 02C 0200 Rules."
Alf IP t M4 dot_ 4 t'
diift44-1.1.0si)t AIAl`
u a of Applies nr( ' ' Print or Type Full Tame and Title
PROPERTY OWNER [if the property is not owned by thepermit applicant):
"As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent
to allow the applicant to construct each injection well as outlined in this application and agree that it shall be
the responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction
Standards (I SA NCAC 02C . 02001. "
"Owner" means any person who holds the fee or other property rights in the well being constructed. A
well is real property and its construction on land shall be deemed to vest ownership in the land owner, in
the absence of contrary agreement in writing.
Signature"' of Property Owner (if different from applicant) Print or Type Fun Name end Title
*An access agreement between the applicant arid property owner may he submitted in lieu of a signature on this form.
Submit the completed notification package to:
DWR — UIC Program
1636 Mall Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted Caw Remediation NO1 Rev. 3-1-2016 Pege4

AD VEN TU S
REMEDIATION TECHNOLOGIES
MATERIAL SAFETY DATA SHEET:
Hazardous Decomposition Products
• Oxygen which supports combustion
11. TOXICOLOGICAL INFORMATION
• LDS0 Oral: Min.2000 mg/kg, rat
• LDS0 Dermal: Min. 2000mg/kg, rat
• LDS0 Inhalation: Min. 4580 mg/kg, rat
12. ECOLOGICAL INFORMATION
Ecotoxicological Information
Safety Data
EHC-0™ Page: 5 of5
• Hazards for the environment is limited due 10 the product properties of no bioaccumulation, weak
solubility and precipitation in aquatic environment.
Chemical Fate Information
• As indicated by chemical properties oxygen is released into the environment.
13. DISPOSAL CONSIDERATIONS
Waste Treatment
• Dispose of in an approved waste facility operated by an authorized contractor in compliance with
local regulations.
Package Treatment
• The empty and clean containers are to be recycled or disposed of in conformity with local
regulations.
14. TRANSPORT INFORMATION
• Proper Shipping Name: EHC-O
• Hazard Class: 5.1
• Labels: 5.1 (Oxidizer)
• Packing Group: II
15. REGULA TORY INFORMATION
16.
,. SARASection ........................... --. ........ Yes
• SARA (313) Chemicals .............................. No
• EPA TSCA Inventory ................................ Appears
• Canadian WHMIS Classification ................ C, D2B
• Canadian DSL..... . ....... · ······-·····-···· ...... Appears
• EINECS. Inventory ..............................••.... Appears
PREPARATION INFORMATION
Prepared By: Geoff Bell
Adventus Remediation Technologies Inc.
1345 Fewster Drive
Mississauga, Ontario
UW2A5
Date Prep./Rev:
Print Date:
Phone:
Fax:
2/24/06
2/24/06
905-273-5374
905-273-4367
ADVENTUS Safety Data
REMEDIATION TECHNOLOGIES
MATERIAL SAFETY DATA SHEET: EHC-0™ Page: 4of5
9, EXPOSURECONTROLS/PERSONALPROTECl10N
Engineering Controls
• General room ventilation is required. Local exhaust ventilation, process enclosures or other
engineers controls may be needed to maintain airborne levels below recommended exposure limits.
Avoid creating dust or mist. Maintain adequate ventilation. Do not use in closed or confined
spaces. Keep levels below exposure limits. To determine exposure limits, monitoring should be
performed regularly.
Respiratory Protection
• For many condition, no respiratory protection may be needed; however, in dusty or unknown
atmospheres or when exposures exceed limit values, wear a NIOSH approved respirator.
Eye/Face Protection
• Wear chemical safety goggles and a full face shield while handling this product.
Skin Protection
• Prevent contact with this product. Wear gloves and protective clothing depending on condition of
use. Protective gloves: Chemical-resistant (Recommended materials: PVC, neoprene or rubber)
Other Protective Equipment
• Eye-wash station
• Safety shower
• Impervious clothing
• Rubber boots
General Hygiene Considerations
• Wash with soap and water before meal times and at the end of each work shift. Good
manufacturing practices require gross amounts of any chemical removed from skin as soon as
practical, especially before eating or smoking.
10. STABILITY AND REACTIVITY
Stability
• Stable under normal conditions
Condition to A void
• Water
• Acids
• Bases
• Salts of heavy metals
• Reducing agents
• Organic materials
• Flammable substances
ADVENTUS Safety Data
REMEDIATION TECHNOLOGIES
MATERIAL SAFETY DATA SHEET: EHC-0™ Page: 3of5
Fire Hazards
• Oxidizer. · Storage vessels involved in a fire may vent gas or rupture due to internal pressure.
Damp material may decompose exothermically and ignite combustibles. Oxygen release due to
exothennic decomposition may support combustion. May ignite other combustible materials.
Avoid contact with incompatible materials such as heavy metals, reducing agents, acids, bases,
combustible (wood, papers, cloths etc.) Thermal decomposition releases oxygen and heat.
Pressure bursts may occur due to gas evolution. Pressurization if confined when heated or
decomposing. Containers may burst violently.
Fire Fighting Measures
• Evacuate all non-essential personnel
• Wear protective clothing and self-contained breathing apparatus.
• Remain upwind of tire to avoid hazardous vapors and decomposition products.
• Use water spray to cool fire-exposed containers.
7. ACCIDENTAL RELEASE MEASURES
Spill Clean-up Procedure
• Oxidizer. Eliminate all sources <;>f ignition. Evacuate unprotected personnel from equipment
recommendations found in Section 9. Never exceed any occupational exposure limit.
• Shovel or sweep material into plastic bags or vented containers for disposal. Do not return spilled
or contaminated material to inventory. Avoid making dust.
• Flush remaining area with water to remove trace residue and dispose of properly. Avoid direct
discharge to sewers and surface waters. Notify authorities if entry occurs.
• Do not touch or walk through spilled material. Keep away from combustibles (wood, paper, oils,
etc.). Do not return product to container because of risk of contamination.
8. HANDLJNG AND STORAGE
Storage
• Oxidizer. Store in a cool, well-ventilated area away from all source of ignition and out of direct
sunlight. Store in a dry location away from heat.
• Keep away from incompatible materials. Keep containers tightly closed. Do not store in
unlabeled or mislabeled containers.
• Protect from moisture. Do not store near combustible materials. Keep containers well sealed.
Ensure pressure relief and adequate ventilation.
• Store separately from organics and reducing materials. Avoid contamination that may lead to
decomposition.
Handling
• Avoid contact with eyes, skin, and clothing. Use with adequate ventilation.
• Do not swallow. Avoid breathing vapors, mists, or dust. Do not eat, drink, or smoke in work
area.
• Prevent contact with combustible or organic materials.
• Label containers and keep them tightly closed when not in use.
• Wash thoroughly after handling.
ADVENTUS Safety Data
REMEDIATION TECHNOLOGIES
MATERIAL SAFETY DATA SHEET: EHC-0™ Page: 2of5
Potential Health Effects:
• General .........•.........•... Irritating to mucous membrane and eyes.
• Inhalation .••..•.......•........ Irritating to respiratory tract. Long term inhalation of elevated levels
may cause lung disease (silicosis).
• Eye contact ···••·········------May cause irritation to the eyes; Risks of serious or permanent eye
lesions.
• Skin contact ................... May cause skin irritation.
• Ingestion ....................... Irritation of the mouth and throat with nausea and vomiting.
5. FIRST AID MEASURES
• Inhalation ...•.••.......•.•.••.. Remove affected person to fresh air. Seek medical attention if effects
persist.
• Eye contact ................... Flush eyes with running water for at least 15 minutes with eyelids
held open. Seek specialist advice.
• Skin contact ••....•...••.•..... Wash affected skin with soap and mild detergent and large amounts of
water.
• Ingestion ..................... Jf the person is conscious and not convulsing, give 2-4 cupfuls of
water to dilute the chemical and seek medical attention immediately.
Do not induce vomiting.
6. FIRE FIGHTING MEASURE
Flash Point
• Not applicable
Flammability
• Not applicable
Ignition Temperature
• Not a~plicable
Danger of Explosion
• Non-explosive
Extinguishing Media
• Water
ADVENTUS
REMEDIATION TECHNOLOGIES
Safety
Data
MATERIAL SAFETY DATA SHEET:
nice"
Page: 1 of 5
L PRODUCT IDENTIFICATION:
PRODUCT USE:
MANUFACTC]RER:
Adventus Remediation Technologies Inc.
1345 Fewster Drive
Mississauga, Ontario
LAW 2A5
EHC-0r"'
Soil and water treatment.
EMERGENCY PHONE:
Office Hours: 905-273-5374
After Hours: 4 l 6-457-9491
TRANSPORTATION OF DANGEROUS GOOD CLASSIFICATION:
Oxidizing Solid, n.o.s. (Calcium Peroxide), Class 5.1, PG IL UN1479
WHMIS CLASSIFICATION:
Oxidizer
2. COMPOSITIONIINFORMATION ON INGREDIENTS
Ingredients
Calcium Peroxide
Calcium Hydroxide
Sodium, Calcium Aluminosilicate.
Hydrated
3. PHYSICAL DATA
Chemical Formula
Clot
Caa(OH)2
Caz(Na.K)2Al,Si28O 24H20
CAS No. Percentage
1305-79-9 45%-70%
1305-62-0 10%-20%
12172-10-3 20%-30%
Appearance._-•- White
Physical state �...................._ Solid
Odor threshold None
Bulk Density 500-650g/L
Solubility in Water Insoluble
PH.._ . -11
Appearance White
Decomposition Temperature Self -accelerating decomposition with oxygen release starting from 275
degrees Celsius
4. HAZARDS IDENTIFICATION
Emergency overview
Oxidizing agent. contact with other material may cause fire. Under fire conditions this material may
decompose and release oxygen that intensifies fire. This product also contains crystalline silica. Long tern
exposure to hazardous levels of' silica dusts can cause lung disease (silicosis). The World Health
Organization had indicated that there is limited evidence that crystalline silica is carcinogenic to humans,
but the NTP and OSHA have not classified this ingredient as carcinogenic.

1 :1ProjectSS2O141114OZ12-01 Fairview Farm\Deemed Permitted GW Rem. NOI ZO171Figures1SITEMAP.dwg
r._._x_=
i
GRAVEL IDIRT ADN
rt
GATE AP F5•F
I (72.66)
+�•--.Y -f
NC 5R•1111 (FAIRVIEW FARMS ROAD)
SHED
"IA 4 PD4-F
(74.54)
PD3-F
VE-1 (77.14)
WNM)
TIN
BARN
WOOD
BARN
1
1
�.-.J
GRAVEL/DIRT ROAD GATE
-k -T
UST EXCAVATION BOUNDARY
(APPROXIMATELY 20' X 20' X 12' DEEP)
REMEDIAL SYSTEM COMPOUND
NC HIGHWAY 73
GRAPHIC SCALE
50E:1in.aKilt
LEGEND
Po3-F
SW-1
VE-T
MONiTi7RING WELL LOCATION - - � GROUNDWATER ELEVATION ISOCONCENTRATION LINE(ft)
SUPPLY WELL
VERTICAL EXTENT MONITORING WELL
FENCE
UST EXCAVATION BOUNDARY
FEET
GROUNDWATER ELVATION Ift)
4
(NM)
GENERALIZED GROUNDWATER FLOW DIRECTION
NOT MEASURED
NOTES:
1, ALL LOCATIONS ARE APPROXIMATE.
2. DEPTHS TO GROUNDWATER MEASURED ON 06/27/16.
3. CONTOUR INTERVAL =1'.
SHIELD
ENGINEERING, INC.
a771 TAGGART D2EEX MAU
CHARLOTTE. NC MOS
TW2 4W12
/2,2944222
GROUNDWATER ELEVATION
CONTOUR MAP
FAIRVIEW FARMS
MOUNT GILEAD NORTH CAROLINA
SHIELD * f l4a212-01
DATE: 07/25/16
DRAWN BY : RBS
SCALE : AS SHOWN
FIGURE : 5

H:1Projetul2{J1411140212•D1 Fairview Farin1Dremed PernItttd GW Rem. NOI 20171iffyureASITE MAP.dwg
GRAVEL/DIRT ROAD
GATE
PDF5-F
(ND)
NC SR-1111 (FAIRVIEW FARMS ROAD)
-a -r -Y -1
SHED
® PD4-F
(ND)
.....0 ��10
frt. 1
1 ( @ PD3-F
VE-1 113•A1l
OM
—
TJN
BARN
WOOD
BARN
GRAVEL/DIRT ROAD GATE
UST EXCAVATION BOUNDARY
(APPROXIMATELY 20' X 20' X 12' DEEP)
NC HIGHWAY 73
REMEDIAL SYSTEM COMPOUND G11AaHIC SCAit
Q 1Q 2Q 3D
SLUE: 1 in..301t.
LEGEND
P03-F MONITORING WELL LOCATION — — — DiCHLOROETNANE ISOCONCENTRATION LINE(ig/L}
SW-1 SUPPLY WELL
VE-1 VERTICAL EXTENT MONITc ING WELL
— + -■ - FENCE
f _ j LIST EXCAVATION BOUNDARY
RA- MICROGRAMS PER LITER
(10.6} OICHLOROETHANE CONCENTRATION In/LI
gNQI
OS)
NOT DETECTED AT OR ABOVE LA9ORATDRY
M£TTiOD DETECTION LIMITS
NOT SAMPLED
NOTES:
1. ALL LOCATIONS ARE APPROXIMATE.
2. GROUNDWATER SAMPLES am i PCTEJ3 ON 06/27116,
3. CONTOUR INTERVAL = A5 SHOWN.
gilt ENGINEERrNG, INC.
SHIELD
Jan' t TAIms arty cam AcAo
CHARLOTTE. NC MOE
AR t+aseex:
1, 2-D I CHLOROETHANE
ISOCONCENTRATION MAP
FAIRVIEW FARMS
MOUNT GILEAD, NORTH CCAROLINA
SHIELD # 1140212-0r
DATE: 07/25/16
SCALE : AS SHOWN
DRAWN BY : RBS
FIGURE : 4

H:1ProJect5q014\1140212-01 Fairview Farm\Deem.nd ROM itted GW Rem. NO 2D171FigweaITE MAP.dwg
GRAVEL/DIRT ROAD
GATE r�
PDF5-F
(ND)
LEGEND
NC SR-1111 (FAIRVIEW FARMS ROAD)
SHED
A PD4-F
(ND)
7
+ PD3-F
vE-1 tea?y
•.i, '
- .
TIN
BARN
WOOD
BARN
GRAVELIDtRT ROAD GATE
I
EXCAVATION BOUNDARY
(APPROXIMATELY 20' X 20' X 12' DEEP)
REMEDIAL SYSTEM COMPOUND
NC HIGHWAY 73
GRA%-iC SCALE
SCALE! 1 m. • 30 Fc
m PD]-F MONITORING WELL LOCATION .r — DiISOPROPYL EFITER ISDCONCEN-FRATION LINEijgiL)
(NO) NOT DETECTED AT oR ABOVE LABORATORY
0 SW-1 SUPPLY WELL METHOD DETECTION LIMITS
VE-1 VERTICAL EXTENT MONITORtNG WELL (NS) NOT SAMPLED
— I — . FENCE
r '-i
{ UST EXCAVATION BOUNDARY NOTES:1. ALL LDCATioNS ARE APPROXIMATE.
IAA_ MICROGRAMS PER LITER 2. GROUNDWATER SAMPLE5 COLLECTED ON 06127/16.
3. CONTOUR INTERVAL = AS SHOWN.
(702) 4115OPROPYL ETHER CONCENTRATION (I;g/L)
* SHIELD
ENGINEERING, INC.
dyes TAGGART (- REEK ROAD
CHARLOTTE. NC 2970%
TM.134.dWi1
1:4424451ee m�
DIISOPROPYL ETHER 1SOCONCENTRATION MAP
FAIRVIEW FARMS
MOUNT GILEAD, NORTH CAROLINA
SHIELO p 1 40212.01
DATE: 07/25/16
SCALE : AS SHOWN
DRAWN BY : RBS
7r
FIGURE : 3

N:1Pmjeetsl201411140212-01 Fairview FarrelDeemed Permitted GW Rem. NOI 20171FiguresLSITE MAP.dwp
r
GATE
—1
GRAVEL/DIRT ROAD
4 PDF5-F
(ND)
NC SR-1111 (FAIRVIEW FARMS ROAD)
SHED
PD4-F
(ND}
,e." 10
I f PD3-F
VE•1 (71.7)
IND)
TIN
BARN
WOOD
BARN
—x
©WF1
[N5}
I-
x
GRAVEL/DIRT ROAD l` GATE
UST EXCAVATION BOUNDARY
(APPROXIMATELY 20' X 20' X 12' DEEP)
REMEDIAL SYSTEM COMPOUND
NC HIGHWAY 73
GRAPHIC SCAM
0 10 20 3*J
SCALE: 5 in_ .3Dft.
LEGEND
1 r
MONITORING WELL LOCATION
SUPPLY WELL
VERTICAL EXTENT MONITORING WELL
FENCE
UST EXCAVATION BOUNDARY
MKROGRAMS PER LITER
BENZENE CONCENTRATION OB/L)
BENZENE LSOCONCENTRATION LINE(LIER/L)
(ND) NOT DETECTED AT OR ABOVE LABORATORY
METHOD DETECTION LIMITS
(N5j NCITSAMPLED
NtifES:
1. ALL LOCATIONS ARE APPROXIMATE.
2. GROUNDWATER SAMPLES COLLECTED ON 06/27/16.
3. CONTOUR INTERVAL = AS SI RYA N,
SHIELD
ENGINEERING, INC
&kl TAGGAA'PL:AWWM z0M
CAARCITTE IC woe
ret.zawl'5
BENZENE ISOCONCENTRATION MAP
FAIRVIEW FARMS
MOUNT GILEAD, NORTH CAROUNA
SIRfLD# 1140212-01
DATE: 07/25/16
DRAWN BY : RBS
SCALE : AS SHOWN[
FIGURE : 2

GRAPHIC SCALE
SCALE' 1 In.. 2,000 [(.
SOURCE: NATIONAL GEOGRAPHIC USGS TOPO, 7.5 MINUTE MAP
SERIES, MONTGOMERY COUNTY, NORTH CAROLINA
• ENGINERRiNG, iNC.
SITE LOCATION MAP
FAIRVIEW FARMS
MOUNT GILEAD, NORTH CAROLINA
SHIELD # 1140212-01
SHIELD
Apt TA5oART CFDEA
cIUu .ot7C. HC z8T0a
IWvM+1P
101-7/4v914
DATE : 07/25 / 16 DRAWN BY : RBS
SCALE : AS SHOWN FIGURE : 1