WI0700412_DEEMED FILES_20150825

Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0700412
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
michael.rogers
Coastal SWRule
Permitted Flow
Facility
Facility Name
Site SS-35
Location Address
Kc-135 Ramp Area And Transient Ramp Tr Area
Goldsboro NC 27531
Owner
Owner Name
USAF-Seymour Johnson Air Force Base
Dates/Events
Orig Issue
8/25/2015
App Received
8/25/2015
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
8/25/2015
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 -Federal
Owner Affiliation
Dennis G. Goodman
PE
. 1095 Peterson Ave
Seymour Johnson AFB
Region
Washington
County
Wayne
NC
Issue
8/25/2015
Effective
8/25/2015
27531
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
Ro gers, Michael
From: Rogers, Michael
Sent:
To:
Cc:
Tuesday, August 25, 2015 3:39 PM
John Olson ([e-mail])
May, David; Tankard, Robert
Subject: FW: Injection notice KC135 and Transient Ramp SJAFB NOi Wl0700412
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOi) for the SJAFB located at
Transient Ramp and KC-135 Ramp, SJAFB, Goldsboro, NC. The Central Office of the WQROS received your complete
NOi electronically on August 25, 2015.
Please note the following:
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please provide copies of
the GW-ls and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct push
or Geoprobe wells are considered wells and require construction (GW-1) and abandonment forms (GW-30). If well
construction/abandonment information is the same for the wells, only one form needs to be completed-just
indicate total number of injection points in the Comments/Remarks section of form. These forms can be found on
our website at http://portal.ncdenr.org/web/wq/aps/gwpro/reporting-forms.
2) Injection Event Records (IER). All injections, including air and passive systems require an IER. The IER can be
modified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.).
Also, Please let me know a few days in advance of the injection as I may want to come out and observe.
You can scan and send these forms directly to me at michael.rogers @ncdenr.gov, send by fax to my attention at 919-
807-6406, or via regular mail to address below. When submitting the above forms, you will need to enter the nine-digit
alpha-numeric number on the form (i.e., WI0XXXXXX) that has been assigned to the injection activity at this site. This
notification has been given the deemed permit number Wl0700412. This number is also referenced in the subject line of
this email. You may if you wish, scan and send back as attachments in re p ly to this email, as it will already have the
assigned deemed permit number in the subject line.
Thank you for your cooperation
From: Rogers, Michael
Sent: Tuesday, August 25, 2015 1:40 PM
To: 'John Olson'
Subject: RE: Injection notice KC135 and Transient Ramp SJAFB
OK, got it. The figures in the hard copy I received did not have the text balloons showing the location of the proposed
wells. Thanks.
From: John Olson [mailto:j ohno @BAYWEST.com]
Sent: Tuesday, August 25, 2015 1:36 PM
To: Rogers, Michael
Subject: Injection notice KC135 and Transient Ramp SJAFB
1
Michael
The attached file is what was supposed to have been sent to you. This file should have 20 pages. Figure 18-1 has the
injection location for the KC-135 ramp and Figure 18-2 has the injection location for the Transient Ramp.
Please let me know if you received all the pages. Also contact me if you have any questions.
Thanks
John Olson, PG
Hydrogeologist/Project Manager
direct: 651-291-3445 · cell: 651-231-9081 [e-mail]
Bay West LLC
Customer-Focused Environmental & Industrial Solutions
5 Empire Drive, St. Paul, MN 55103
24-hrs: 1-800-279-0456
www.baywest.com
2
Ro gers, Michael
From: Rogers, Michael
Sent:
To:
Tuesday, August 25, 2015 3: 11 PM
May, David; Tankard, Robert
Subject:
Attachments:
FW: Injection notice KC135 and Transient Ramp SJAFB NOi WI0700412
In Situ Remediation Notification-SS35-TR 082015.pdf
Please find attached a NOi.
From: John Olson [mailto:i ohno @BAYWEST.com]
Sent: Tuesday, August 25, 2015 1:36 PM
To: Rogers, Michael
Subject: Injection notice KC135 and Transient Ramp SJAFB
Michael
The attached file is what was supposed to have been sent to you. This file should have 20 pages. Figure 18-1 has the
injection location for the KC-135 ramp and Figure 18-2 has the injection location for the Transient Ramp.
Please let me know if you received all the pages. Also contact me if you have any questions.
Thanks
John Olson, PG
Hydrogeologist/Project Manager
direct: 651-291-3445 · cell: 651-231-9081 johno @ba ywest.com
Bay West LLC
Customer-Focused Environmental & Industrial Solutions
5 Empire Drive, St. Paul, MN 55103
24-hrs: 1-800-279-0456
www.ba ywest.com
1
Ro gers, Michael
From:
Sent:
To:
Subject:
Attachments:
Michael
John Olson <[e-mail]>
Tuesday, August 25, 2015 1 :36 PM
Rogers , Michael
Injection notice KC135 and Transient Ramp SJAFB
In Situ Remediation Notification-SS35-TR 082015.pdf
The attached file is what was supposed to have been sent to you. This file should have 20 pages. Figure 18-1 has the
injection location for the KC-135 ramp and Figure 18-2 has the injection location for the Transient Ramp.
Please let me know if you received all the pages. Also contact me if you have any questions.
Thanks
John Olson, PG
Hydrogeologist/Project Manager
direct: 651-291-3445 · cell : 651-231-9081 johno @ba ywest .corn
Bay West LLC
Customer-Focused Environmental & Industrial Solutions
5 Empire Drive, St . Paul, MN 55103
24-h~s : 1-800-279-0456
www.ba ywest.com
1
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 form shall be submitted at least 2 weeks prior to ini ection.
AQUIFER TEST WELLS (I SA NCAC 02c .0220 )
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (15A NCAC 02c .0225 ! or TRACER WELLS (15A NCAC 02c .0229):
1) Passive In jection Sy 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 Injection O perations -Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding 10,000 square feet.
3) Pilot Tests -Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells are located within an area that does not exceed five percent of the land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any separate groundwater contaminant plume.
4) Air Injection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwater.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: 8/19/15, 2015 __ PERMIT NO. ir.J1"° u r()V L-f / 2.-(to be filled in by DWR)
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
___ Small-Scale Injection Operation ...................... Complete sections B-N
X __ Pilot Test ........ : ........................................ Complete sections B-N
___ Tracer Injection Well.. ................................. Complete sections B-N
B. STATUS OF WELL OWNER: Federal Government
C. WELL OWNER -State name of entity and name of person delegated authority to sign on behalf of the
business or agency:
Name: -----'U=-=S=A-=aFa......... ____________________________ _
Mailing Address: ---=S=-=e'--'y_,_,n""'10=-=ur=-:.J-=-ohn=s=o=n=-=A=F=-'B=-----------------------
City: Goldsboro State: Zip Code: ,2-?<;?/ ----~--~----------J
County: __ _
Day Tele No.: ____________ _ Cell No.: __________ _
UIC/In Situ Remed. Notification (Revised 3/2/2015) Page I
EMAIL Address: Fax No.:
D. PROPERTY OWNER (if different than well owner)
Name: Same
Mailing Address: _
City: State: _NC_ Zip Code:
Day Tele No.: CellNo.:
EMAIL Address: Fax No.:
E. PROJECT CONTACT - Person who can answer technical questions about the proposed injection project.
Name: John Olson ! Bar West LLC
Mailing Address: 5 Empire Dr
City; St Paul
State: MN_ Zip Code:55103 County: Ramsey
Day Tele No.: 651-291-3445 Ce11 No..
EMAIL Address: iohnoia bay w est.com
F. PHYSICAL LOCATION OF WELL SITE
Fax No.:
(1) Physical Address: KC-135 Ramp and Transient Ramp !rr SJAFB ,.?`
=t S. -- 1 - CI- County: 49,
City: State: NC Zip Code:
(2) Geographic Coordinates: 35 IW01 (proposed)
N: 583,294 Ft NC SP NAD 1983 FIPS 3200
E: 2,313,420 Ft NC SP NAD 1983 FIPS 3200
TR-IW01 (proposed)
N: 581,196 NC SP NAD 1983 FIPS 3200
E: 2,309,372 NC SP NAD 1983 FIPS 3200
G. TREATMENT AREA
Land surface area of contaminant plume: 700.000 square feet
Land surface area of inj. well network: 600 square Feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 0.09% (must be < 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS —Attach the following to the notification.
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
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.
Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus
existing and proposed wells.
UICIIn Situ Remed. Notification (Revised 3/2/2015) Page 2

I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES -Provide a brief narrative regarding the
purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and
duration of injection over time.
In ject 1.400 e al of a 3% solution of Biosolve and 500 m g/L sodium chloride (tracer) into two wells each.
After a 48 hr sit time 3x the in jected volume will be extracted via a vac truck. The pumose of the pilot test is
to evaluate surfactant washing as a method of removing free phase jet fuel from the £!.roundwater. The actions
will be com pleted under the direction of the NCDENR superfund section.
J. INJECTANTS-Provide a MSDS and the following for each injectant. Attach additional sheets ifnecessary.
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: Biosolve
Volume ofinjectant: 45 gal per well x 2 wells
Concentration at point of injection: ----=2=.5'-'-o/c""""o ___________________ _
Percent if in a mixture with other injectants: as ab pve
Injectant: Sodium Chloride C aC l)
Volume of injectant: 9.5 lbs/ well x 2 wells
Concentration at point of injection: 500 m g/L
Percent if in a mixture with other injectants: NA
Injectant: ----------------------------------
Volume of injectant: _____________________________ _
Concentration at point of injection:
Percent if in a mixture with other injectants:
K. WELL CONSTRUCTION DATA
(l) Number of injection wells: ___ 2 ___ Proposed ______ 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
DIC/In Situ Remed. Notification (Revised 3/2/2015) Page 3
L. SCHEDULES — Briefly describe the schedule for well construction and injection activities_
8:29115- 9/1 l r1 S Well installation and injection
9? 11: 15-9/ 11 16 Performance monitoring
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.
During inicccion groundwater SC and visual samalq for kiosolve will be monitored from three piezometers
located 3-7 ft from the z?oint of injection.
During extraction the removed fluid will be monitored for SC & color, extraction will continue until SC and
color re}rn to baseline.
Gauging for LNAPL will be performed in the Injection well and !Ammeters on a quarterly basis for gm -year
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "1 hereby certify, under penalty of law, that 1 am familiar with the information submitted in
this document and all attachments thereto and that, based on my inquiry of !hose individuals immediately
responsible for obtaining said information, 1 believe that the information is true, accurate and complete. 1 am
aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. 1 agree to construct, operate, maintain, repair, and if applicable, abandon the injection well
and all related app games in accordance with the IA +VCAC 02C 0200 Rules. "
Signature of Appll at
John Olson Ba W- t ontract+ i to USAF& DLA
Print or Type Full Nome
PROPERTY OWNER (if the.roperty is not owned by the taermit applicant):
"As owner of the property on which the injection well(s) are to be constructed and operated, 1 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 enure that the injection well(s) conform to the 1.Ve11 Construcrinn
Standards (ISA NCAC 02C.i2n0}, "
"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
tt absence oflcontrary agreement in writing.
C &A 4.Cox A C CZac 53�F5
. gnature* a Property Owner if different from applicant) Print o Type Full Name
An access agreement between the applicant and property owner may be submitted in lieu of a signature an this farm
Submit the completed notification package to:
❑WR - U1C Program
1636 Mali Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
U1C'In Sint Rented- Notification (Revised 3I2/20I5)

K Well Construction Data
Construction ·schematics for proposed 12-IWOl and TR-IWOl
Parratt Wolff (cert #3544A)
Installed via HAS-rig
Depth ft BGS
Oto 1
1 to 2
2 to 3 2-in Sch 40 PVC riser pipe
3 to 4
4 to 5
5 to 6
6 to 7
7 to 8 2-in Sch 40 PVC 20-slot
8 to 9 screen
9 to 10
10 to 11
8in at grade vault and concrete pad
i::::==:::::::i:===i===::::::::::::i
Hydrated bentonite seal
Anticipated Static Water Level
=
= 10/20 sand pack
=
=
Total depth 5 ft below GW
This page intentionally left blank
Ii injection Lone maps
Y:1Cliahts1US_ARMY CORP_OF ENGINEERS_OMAHA1Seymour Johnson AFBLBasewide1MapDocs1J140487 FIG 10-1 Site Location Map.mxd
Seymour Johnson
Air Force Base, NC
FIGURE 10-1
Site Location Map
Seymour Johnson AFB i
W
NORTH CAROLINA
Data is projected to the State Plane Coordinate System:
NAD 83 North Carolina, Pips 3200, Units in Feet.
0 1,000 2,000
Feet
Meters
0 300 600
Site Boundary
)Bai Wesi
Costcmer-FactnedEnvkanmenefalndast atSchtsnr
Drawn By: S.G.
Date DrewrJRevised: 5/8/2015 Project No_ J140467

H Injection Lone Maps
12-IWO1 and 3
piezometers will be
installed near 12-
MWO1
Seymour Johnson
Air Force Base, NC
FIGURE 18-1
SS035 ►4F! Sample Locations
Seymour Johnson AFB•
NORTH CAROLINA
0
w
Data Is protected to the State Plano. Coordinate System:
NAD 83 North Carolina, Fips 3200, Units In Feet.
100
0
30
200
Feet
Meters
60
Existing Monitoring Wells
to be Sampled
New Monitoring Well
New Temporary Well
Existing MWs & EWs for
LNAPL Gauging
Fuel Hydrant System Pipeline
Restricted Area
Storm Sewer Line
Probable Areas of LNAPL
Probable Areas of Petroleum
Contaminated Soils
NOTE.- 'The two TWs In the KC135 ramp where the LNAPL is thickest
will be converted to 35-MWO1 and 35-MW04. Ifno LNAPL is detected,
35-TW709 will be 35-MWO1 and 35-TW710 will be 35-MWO4
O
Bair West F
Cestemer-Fbco rd dkidustifeil SoWens
Drawn By: 5,G.
Date DrawrdRevised: 5/8/2015 Prajert No. J140467

H Injection Zone Maps
c
4
12
16
0 4
D
(!) See gdea
E
8
12
16
40
g
16
0
West
/16
0
4
100
R Groundwater Flow
200
300
�1►
400
ra
Z% 500
600
700
5
f
5
3 SB
1 SE
16 SBt2
S
5639
-Two
- SB37
r4ezd
.0
.S:
• 3
100
200
300
400
500
600
SBSZ
Tw1
•
SBA
_ ` :�
5694
5803
.
r!!%
5847
,�+' l•
TSB47
5810
SE[61
5807
08 S8_ 5844 3846
-
��rr��ff%
r� f1-
�ff�ff%�,lf�fllf�l.�flf�ff a
,l�I�ilr.ff�efe✓f� ff,fiff
., 17 �� f :0,����%��•����,{�i#-_
.--zz4
74
�
,
_
ffJ!
/
/ f/
AeOfee
100
200
5831 � _SE•30�
100
100
300
5849
200 300
400
CAL09
200 304 400
Horizontal Distance (feet)
500
500
500
800
SB7 2
600
S8 1
600
700
700
c5
'0'
F
V4
700
East r►
A'
B'
Explanation
E] Clay to clayey silt
I-1 Sandy silt to silty sand
C Sand to gravelly sand
— Soil with observed or
potential mobile LNAPL (1)
® Fuel impacted soils ('2)
— Static water level Sept 2010
Static water level Nov 2010
5851
Soil boring location
Intersection with N-S Cross
Sections
Hydrant line location (.3)
Notes:
See Figure 4-2 far doss sectkon locations. Dotted blue
Line show projection of North -South cross sections
1) Measured LNAPL in wells or sail zones with LIP
response >60%
'2) Soils with HD haadspace a10,000 ppmv or
LIF response 10%
'3) Hydrant line depth assumed to be 8 feet-
LIF:Laserinduced fluorescence
FID: Florae ionizing detector
perm,. parts per million by volume
ENGRG ,j.D, DATE
DRAWN J.0 12r24110
REV, 01
PRO.IEGTNMLE
litY t
SS-35, SEYMOUR JOHNSON AFB
TTTLE EAST -WEST CROSS SECTIONS
PROJECT NO. J050006 SE� H:1:710 FIGURE 4-3
v:7.7x

H Injection Zone Maps
34
m 8
,12
16
0
f North
4
T 1
West 3 $
00
0
en
12
16
2 4
5934 ? SBSS
SB53
S1348
SB18
S817 '5B16 SB15 5B14
5803
4r1f ►r��erv�ruw�i.W.erdWdr l�Iif�ld ��J1Xfir �-"Y" Af/ A Pf
0
16
0
100
S830
200
300
400
.............................................
........rrrf yi srsr�ilird ....... ""zrf/f!///
-
100
200
300
400
500
500
600
Explanation
- Clay to clayey silt
Sandy silt to silty sand
Sand to gravelly sand
Sail with observed or
potential mobile LNAPL (`1)
® Fuel impacted soils (`2)
— Static water level Sept 2010
Static water level Nov 2010
Motes:
f 1
%f�.crz ►.rFY.!J/-e
700
SO rt
Soil boring location
Intersection with N-S cross
Sections
Hydrant line location
(.3)
See Figure 4-2 for crass section locations
—1) Measured LNAPL or soil zones with LIF
response .g095
'2) Soils with FID headspace >10,000 ppmV or
LIF response 10%
'SI Hydrant rine depth assumed to be J3 feet
UP. Laser induced fluorescence
F!©: Flame lcnizing detector
ppm>- parts per r liian by volume
800
aB42 5B55
Si141
-- _
SBO9
SB KCAL
6
SB32
-- SB70. . _
_
oB27 SB6VZ4M222°
e
/0//e
#r ,,,,;.-- - - _
r ..„ MA
-
r
er-
/dr
100
200 300 400
Horizontal Distance (feet)
500
600
TOO
S00
South
3'
ENORO
DRAWN IQ
REV, 01
DATE
12/24/10
►:yWest
PROJECT NAME
SS-35, SEYMOUR JOHNSON AFB
T NORTH -SOUTH CROSS SECTIONS
PROJECT NO.
J0500013
Neal 1-11110
V.7.7X FIGURE 4-4

MATERIAL SAFETY DATA SHEET
THE BIOSOLVE® COMPANY Ref. No.: 2001
329 Massachusetts Avenue Date: 7/26/2010
Lexington, Massachusetts 02420 USA
Phone: [phone] Fax: [phone]
Emergency Phone-24 Hours: + 1 [phone]
E-Mail: [e-mail]
Web Site: www.biosolve.com
Name:
CAS#:
Formula:
Chemical Family:
HMIS Code:
SECTION I -IDENTITY
BioSolve®
138757-63-8
Proprietary
Water Based, Biodegradable, Wetting Agents & Surfactants
Health 1, Fire 0, Reactivity 0
HMISKey: 4 = Extreme, 3 = High, 2 = Moderate, 1 = Slight, 0 = Insignificant
SECTION II -HAZARDOUS INGREDIENTS
Massachusetts Right to Know Law or 29 C.F.R. (Code of Federal Regulations) 1910.1000 require listing
of hazardous ingredients.
This product does not contain any hazardous ingredients as defined by CERCLA, Massachusetts Right to
Know Law and California's Prop. 65.
DOT Class: Not Regulated/Non Hazardous
SECTION III -PHYSICAL -CHEMICAL CHARACTERISTICS
Boiline. Point : 265°F S pecific Gravi ty
Meltin g Point : 32°F Vapor Pressure mm/Hg
Surface Tension-6% : 29.1 Dyne/cm at 25°C Vapor Density Air = 1
Solution
Reactivity with Water :No Viscosity -Concentrate
Evaporation Rate : > 1 as com pared to Water Viscosi ty -6% Solution
A pp earance : Clear Li quid unless D ved Solubility in Water
Odor : Pleasant Frai:trance pH
Pounds per Gallon : 8.38
SECTION IV -FIRE AND EXPLOSION DATA
Special Fire Fighting Procedures
Unusual Fire and Explosion Hazards
Solvent for Clean-Up
Flash Point
:None
:None
: Water
:None
Flammable Limit
Auto Ignite Temperature
Fire Extinguisher Media
: 1.00 +/-.01
: Not A pp licable
: Not Applicable
: 490 Centipoise
15 Centi poise
: Com plete
: 9. I +/-.3
: None
: None
: Not Applicable
PAGEl OF2
Date:7/1/2010 MSDS Ref. No. 2001 BioSolve®
SECTION V -SPECIAL PRECAUTIONS AND SPILL/LEAK PROCEDURES
Precautions to be taken in Handling and Storage: Use good normal hygiene.
Precautions to be taken in case of Spill or Leak -
Small spills, in an undiluted form, contain. Soak up with absorbent materials.
Large spills, in an undiluted form, dike and contain. Remove with vacuum truck or pump to
storage/salvage vessel. Soak up residue with absorbent materials.
Waste Disposal Procedures -
Dispose in an approved disposal area or in a manner which complies with all local,
provincial, and federal regulations.
SECTION VI -HEALTH HAZARDS
Threshold Limit Values: Not applicable
Signs and Symptoms of Over Exposure-
Acute : Moderate eye irritation. Skin: Causes redness, edema, drying of skin.
Chronic: Pre-existing skin and eye disorders may be aggravated by contact with this product.
Medical Conditions Generally Aggravated by Exposure: Unknown
Carcinogen: No
Emergency First Aid Procedures -
Eyes: Flush thoroughly with water for 15 minutes. Get medical attention.
Skin: Remove contaminated clothing. Wash exposed areas with soap and water.
Wash clothing before reuse. Get medical attention if irritation develops.
Ingestion: Get medical attention.
Inhalation: None considered necessary.
SECTION VII-SPECIAL PROTECTION INFORMATION
Respiratory Protection : Not necessary Local Exhaust Required : No, except in confined space as
required.
Ventilation
Required
: Nonna] Protective Clothing : Neoprene or other chemical
resistant gloves, safety goggles
or chemical face shield.
Wash clothing before reuse.
WHEN U71LJZED IN CONFINED SPACE OPERATIONS. ADDITIONAL PPE MAY BE REQUIRED AS PER OSHA GUIDELINES
Stability : Stable
SECTION VIII -PHYSICAL HAZARDS
Incompatible Substances
Hazardous Decomposition Products Polymerization : No
DOT Class
Freeze Temperature
Freeze Harm
SECTION IX -TRANSPORT & STORAGE
: Not Regulated/Non Hazardous
: 28oF
: None (thaw & stir)
Storage
Shelf Life
SECTION X -REGULATORY INFORMATION
: None Known
: None Known
: 35°F-120°F
: Unlimited Unopened
The Information on this Material Safety Data Sheet reflects the latest information and data that we have
on hazards, properties, and handling of this product under the recommended conditions of use. Any use
of this product or method of application, which is not described on the Product label or in this Material
Safety Data Sheet, is the sole responsibility ofihe user. This Material Safety Data Sheet was prepared to
comply with the OSHA Hazardous Communication Regulation and Massachusetts Right to Know Law.
J'AGE20F2
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Science Lbcurn
Chemicals & Laboratory Equipment
Material Safety Data Sheet
Sodium chloride MSDS
Health 1
Fire l)
Reactivity 0
Personal E
Protection
Section 1: Chemical Product and Company Identification
Product Name: Sodium chloride
Catalog Codes: SLS3262, SLS1045, SLS3889, SLS1669,
SLS3091
CAS#: 7647-14-5
RTECS: VZ4725000
TSCA: TSCA 8(b) inventory: Sodium chloride
CI#: Not applicable_
Synonym: Salt; Sea Salt
Chemical Name: Sodium chloride
Chemical Formula: NaC1
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
Sodium chloride
CAS #
7647-14-5
% by Weight
100
Toxicological Data on Ingredients: Sodium chloride: ORAL (La50): Acute: 3000 mg/kg [Rat.]. 4000 mg/kg [Mouse].
DERMAL (LD50): Acute: &gt;10000 mg/kg [Rabbit]. DUST (LC50): Acute: &gt,42000 mg/m 1 hours [Rat].
Section 3: Hazards identification
Potential Acute Health Effects: Slightly hazardous in case of skin contact (irritant), of eye contact (irritant), of ingestion, of
inhalation.
Potential Chronic Health Effects:
CARCINOGENIC EFFECTS: Not available, MUTAGENIC EFFECTS: Mutagenic for mammalian somatic cells. Mutagenic for
bacteria and/or yeast. TERATOGENIC EFFECTS: Not available. DEVELOPMENTAL TOXICITY: Not available. Repeated or
prolonged exposure is not known to aggravate medical condition.
1
}
Section 4: First Aid Measures
Eye Contact:
1
p. 1

Check for and remove any contact lenses. In case of contact, immediately flush eyes with plenty of water for at least 15
minutes . Cold water may be used . Get medical attention .
Skin Contact:
Wash with soap and water. Cover the irritated skin with an emollient. Get medical attention if irritation develops. Cold water
may be used .
Serious Skin Contact: Not available .
Inhalation:
If inhaled, remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get medical
attention if symptoms appear.
Serious Inhalation: Not available .
Ingestion:
Do NOT induce vomiting unless directed to do so by medical personnel. Never give anything by mouth to an unconscious
person . Loosen tight clothing such as a collar, tie, belt or waistband . Get medical attention if symptoms appear.
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: When heated to decomposition it emits toxic fumes .
Special Remarks on Explosion Hazards:
Electrolysis of sodium chloride in presence of nitrogenous compounds to produce chlorine may lead to formation of explosive
nitrogen trichloride. Potentially explosive reaction with dichloromaleic anhydride+ urea.
Section 6: Accidental Release Measures
Small Spill:
Use appropriate tools to put the spilled solid in a convenient waste disposal container. Finish cleaning by spreading water on
the contaminated surface and dispose of according to local and regional authority requirements.
Large Spill:
Use a shovel to put the material into a convenient waste disposal container. Finish cleaning by spreading water on the
contaminated surface and allow to evacuate through the sanitary system.
Section 7: Handling and Storage
Precautions:
Keep locked up .. Do not ingest. Do not breathe dust. Avoid contact with eyes Wear suitable protective clothing. If ingested,
seek medical advice immediately and show the container or the label. Keep away from incompatibles such as oxidizing
agents, acids.
p. 2
Storage: Keep container tightly closed . Keep container in a cool, well-ventilated area. Hygroscopic
Se.ction 8: Exposure Controls/Personal Protectio.n
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: Slight.
Taste: Saline.
Molecular Weight: 58.44 g/mole
Color: White.
pH (1% soln/water): 7 [Neutral.]
Boiling Point: 1413°C (2575.4°F)
Melting Point: 801°C (1473.8°F)
Critical Temperature: Not available .
Specific Gravity: 2.165 (Water= 1)
Vapor Pressure: Not applicable .
Vapor Density: Not available .
Volatility : Not available .
Odor Threshold: Not available .
Water/Oil Dist. Coeff.: Not available .
lonicity (in Water): Not available .
Dispersion Properties: See solubility in water.
Solubility:
Easily soluble in cold water, hot water. Soluble in glycerol, and ammonia . Very slightly soluble in alcohol. Insoluble in
Hydrochloric Acid .
Section 10: Stability and Reactivity Data
Stability: The product is stable .
p. 3
Instability Temperature: Not available.
Conditions of Instability: Incompatible materials, high temperatures.
Incompatibility with various substances: Reactive with oxidizing agents, metals, acids .
Corrosivity: Not considered to be corrosive for metals and glass.
Special Remarks on Reactivity:
Hygroscopic. Reacts with most nonnoble metals such as iron or steel, building materials (such as cement) Sodium chloride is
rapidly attacked by bromine trifluoride . Violent reaction with lithium .
Special Remarks on Corrosivity: Not available.
Polymerization: Will not occur.
Routes of Entry: Inhalation. Ingestion .
Toxicity to Animals:
Section 11: Toxicological Information
WARNING : THE LC50 VALUES HEREUNDER ARE ESTIMATED ON THE BASIS OF A 4-HOUR EXPOSURE . Acute ora l
toxicity (LD50): 3000 mg/kg [Rat.). Acute dermal toxicity (LD50): >10000 mg/kg [Rabbit]. Acute toxicity of the dust (LC50):
>42000 mg/m3 1 hours [Rat].
Chronic Effects on Humans: MUTAGENIC EFFECTS : Mutagenic for mammalian somatic cells . Mutagenic for bacteria and/
or yeast.
other Toxic Effects on Humans: Slightly hazardous in case of skin contact (irritant), of ingestion, of inhalation.
Special Remarks on Toxicity to Animals: Lowest Published Lethal Dose (LDL) [Man] -Route : Oral; Dose: 1000 mg/kg
Special Remarks on Chronic Effects on Humans:
Causes adverse reproductive effects in humans (fetotoxicity, abortion , ) by intraplacental route . High intake of sodium chloride ,
whether from occupational exposure or in the diet, may increase risk of TOXEMIA OF PREGNANCY in susceptible women
(Bishop , 1978). Hypertonic sodium chloride solutions have been used to induce abortion in late pregnancy by direct infusion
into the uterus (Brown et al, 1972), but this route of administration is not relevant to occupational exposures. May cause
adverse reproductive effects and birth defects in animals, particularly rats and mice (fetotoxicity , abortion , musculoskeletal
abnormalities, and maternal effects (effects on ovaries , fallopian tubes) by oral, intraperitoneal , intraplacental, intrauterine,
parenteral , and subcutaneous routes . While sodium chloride has been used as a negative control n some reproductive
studies , it has also been used as an example that almost any chemical can cause birth defects in experimental animals
if studied under the right conditions (Nishimura & Miyamoto, 1969). In experimental animals , sodium chloride has caused
delayed effects on newborns , has been fetotoxic, and has caused birth defects and abortions in rats and mice (RTECS , 1997).
May affect genetic material (mutagenic)
Special Remarks on other Toxic Effects on Humans:
Acute Potential Health Effects : Sk in : May cause skin irritation. Eyes: Causes eye irritation . Ingestion : Ingestion of large
quantities can irritate the stomach (as in overuse of salt tablets) with nausea and vomiting . May affect behavior (muscle
spasic ity/contraction, somnolence), sense organs, metabolism , and cardiovascular system. Continued exposure may
produce dehydration , internal organ congestion, and coma . Inhalation : Material is irritating to mucous membranes and upper
respiratory tract.
Ecotoxicity: Not available .
B0D5 and COD: Not available.
Products of Biodegradation:
Section 12: Ecolog_ical Information
Possibly hazardous short term degradation products are not likely . However, long term degradation products may arise .
Toxicity of the Products of Biodegradation: The product itself and its products of degradation are not toxic.
p. 4
Special Remarks on the Products of Biodegradation: Not available.
Section 13: Disposal Considerations
Waste Disposal:
Waste must be disposed of in accordance with fedeml, state and local environmental control regulations.
Sectlon 14: Transport Information
DOT Classification: Not a DOT controlled material (United States).
Identification: Not applicable.
Special Provisions for Transport: Not applicable.
Section 15: Other Regulatory Information
Federal and State Regulations: TSCA 8(b) inventory: Sodium chloride
Other Regulations: EINECS: This product is on the European Inventory of Existing Commercial Chemical Substances.
Other Classifications:
WHMIS (Canada): Not controlled under WHMIS (Canada).
DSCL (EEC):
R40-Possible risks of irreversible effects. $24/25-Avoid contact with skin and eyes.
HMIS (U.S.A.):
Health Hazard: 1
Fire Hazard: O
Reactivity: 0
Personal Protection: E
National Fire Protection Association (U.S.A.):
Health: 1
Flammability: 0
Reactivity: 0
Specific hazard:
Protective Equipment:
Gloves. Lab coat. Dust respirator. Be sure to use an approved/certified respirator or equivalent. Splash goggles.
Section 16: Other Information
References:
-Hawley , G.G .. The Condensed Chemical Dictionary , 11e ed., New York N.Y , Van Nostrand Reinold , 1987. -SAX, N.I.
Dangerous Properties of lndutrial Materials. Toronto , Van Nostrand Reinold , 6e ed . 1984. -The Sigma-Aldrich Library of
Chemical Safety Data , Edition II.
Other Special Considerations: Not available.
Created : 10/11/2005 12:33 PM
p. 5
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.
p. 6
Ro gers, Michael
From:
Sent:
To:
John Olson <[e-mail]>
Thursday, September 03, 2015 3:59 PM
Rogers, Michael
Cc: May, David; Tankard, Robert
Subject:
Attachments:
RE: Injection notice KC135 and Transient Ramp SJAFB NOi WI0700412
IER SJAFB 090315.pdf
Michael
Attached please fine the IEW for our planned injections at SJAFB. We are working on restricted areas on the airfield and
so the only time to complete is on flightline closure periods. Therefore we are planning to complete injections on labor
day 7 Sept 2015. I w.ill forward you GW-l's when we receive them from the driller (wells just installed). I will also
forward you the final report when completed (likely later this fall or winter). Please let me know, if you need any
additional information or submittals.
Thanks
John Olson, PG
Hydrogeologist/Project Manager
direct: 651-291-3445 · cell: 651-231-9081 [e-mail]
Bay West LLC
Customer-Focused Environmental & Industrial Solutions
5 Empire Drive, St. Paul, MN 55103
24-hrs: 1-800-279-0456
www .ba ywest.com
From: Rogers, Michael [mailto:michael.rogers @ncdenr.gov]
Sent: Tuesday, August 25, 2015 2:39 PM
To: John Olson
Cc: May, David; Tankard, Robert
Subject: FW: Injection notice KC135 and Transient Ramp SJAFB NOI WI0700412
Thank you for submitting the Notice oflntent to Construct or Operate Injection Wells (NOi) for the
SJAFB located at Transient Ramp and KC-135 Ramp, SJAFB, Goldsboro, NC. The Central Office of the
WQROS received your complete NOi electronically on August 25, 2015.
Please note the following:
Please remember to submit the following regarding this injection activity:
1
1) Well Construction Records (GW-1) and Abandonment Records (GW-30) when completed. Please
provide copies of the GW-ls and GW-30s if not already submitted (originals go the address printed on the
form). NOTE: Direct push or Geoprobe wells are considered wells and require construction (GW-1) and
abandonment forms (GW-30). If well construction/abandonment information is the same for the wells, only
one form needs to be completed-just indicate total number of injection points in the Comments/Remarks
section of form. These forms can be found on our website at
htt p://portal.ncdenr.org/web/wq/ a ps/ gwpro/rep orting-forms.
2) Injection Event Records (IER). All injections, including air and passive systems require an IER. The
IER can be modified for air sparge wells (e.g., air flow 'continuous' for date or rate of injection, etc.).
Also, Please let me know a few days in advance of the injection as I may want to come out and observe.
You can scan and send these forms directly to me at michael.ro gers @ncdenr.gov, send by fax to my attention at
919-807-6406, or via regular mail to address below. When submitting the above forms, you will need to enter
the nine-digit alpha-numeric number on the form (i.e., WIOXXXXXX) that has been assigned to the injection
activity at this site. This notification has been given the deemed permit number WI0700412. This number is
also referenced in the subject line of this email. You may if you wish, scan and send back as attachments in
re ply to this email, as it will already have the assigned deemed permit number in the subject line.
Thank you for your cooperation
From: Rogers, Michael
Sent: Tuesday, August 25, 2015 1:40 PM
To: 'John Olson'
Subject: RE: Injection notice KC135 and Transient Ramp SJ AFB
OK, got it. The figures in the hard copy I received did not have the text balloons showing the location of the
proposed wells. Thanks.
From: John Olson [mailto:johno @BA YWEST.com]
Sent: Tuesday, August 25, 2015 1:36 PM
2
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources — Division of Water Resources
Permit Number WI0700412
] . Permit Information
SJAFB
Petmittee
KC13S & Transient Ramp
Facility Name
SJAFB, Goldsboro NC
Facility Address
1 Injection Contractor Information
Bay West LLC
Injection Contractor / Company Name
Street Address 5 Empire Dr
St Paul MN 55103
City
State Zip Code
[phone]
Area code -- Phone number
3, Well Information
Number of wells used for injection 2
Welt names
12-IWO1, TR-IW01
Were any new wells installed during this injection
event'?
Yes No
If yes, please provide the following information'
Number of Monitoring Wells 6
Number of lnjection Wells 2
Type of Well Installed (Check applicable type):
[ Bored ❑ DriIled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW-I form for each
well installed.
To be provided with report.
Were any wells abandoned during this injection
event?
111 Yes g No
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
Please include a copy of the GW 30 for each well
abandoned_
4. Injectant Information
Biosolve & sodium chloride
Injectant Type
Concentration 3% biosolve —5a0 mgLL nac
If the injectant is diluted please indicate the source
dilution fluid, municipal water
Total Volume Injected 2,800 gal
Volume Injected per well 1, 400
5 Injection History
Injection date(s) None previous
Injection number (e. g. 3 of 5)
Is this the last injection at this sire?
Yes ❑ No
DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTIO WAS PERFORMED WITHIN THE
STAND S LAID 1L1UT IN THE PERMIT.
94 ES
DIKTE
9/3/1S
OF JECTION CONTRACTOR
John Olson
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection,
Atm: LIIC Program, 1636 Mail Service Center. Raleigh, NC 27699-1636, Phone No. 919-S07-6464
Form UIC-WR
Rev. 8/5/2013

s