WI0700481_DEEMED FILES_20190129

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North Carolina Department of Environmental Quality-Division of Water Resources
INJECTION EVENT RECORD (IER )
Permit Number WI0700481
1. Permit Information
North East Oil Company, Inc.
Pennittee
Former Eastern Car Care
Facility Name
703 East Main Street, Murfreesboro, Hertford County
Facility Address (include County)
2. Injection Contractor Information
Geological Resources, Inc.
Injection Contractor/ Company Name
Street Address 3502 Hayes Road
Monroe NC
City State
~ 845-4010
Area code -Phone number
Zip 1a?icoEQlo
JAN 2 92019
1?f Watero .
3. Well Information IQ/on,., Operat1:8/:s~
ectlon
Number of wells used for injection 3
Well IDs MW-1, MW-2, RW-lA
Were any new wells installed during this injection
event? J
D Yes ~ No
If yes, please provide the following information:
Number of Monitoring Wells _N_A ____ _
Number of Injection Wells NA -------
Type of Well Installed (Check applicable type): D Bored D Drilled D Direct-ush 0 Hand-Augured O Other (specify) _N_A __
Please include a copy of the GW-1 form Jo each
well installed.
Were any wells abandoned during this injection
event? _/
D Yes ~ No
If yes, please provide the following infonnation:
NA Number of Monitoring Wells ------
NA Number of Injection Wells -------
Please include a copy oft e GW-30 for each well
abandoned.
4. Injectant Information
ORC-A socks
Injectant(s) Type (can use separate additional sheets
if necessary
ConcentrationMW-1 -

5

2" socks; MW-2 -

3

2" socks; RW-lA -10 3" sock
If the injectant is diluted please indicate the source
dilution fluid. NA -----------
Total Volume Injected (gal)_N_A _____ _
Volume Injected per well (gal)_N_A ____ _
5. Injection History
Injection date(s) 01/28/19 ------------
Injection number (e.g. 3 of 5) 1 or 1
-------
Is this the last injecti~t this site?
D 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 PERF RMED WITHIN THE
S~SLAID THE PERMIT.
~-V''--01/28/19
RACTOR DATE
William Regenthal
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. 919-807-6464
Fonn UIC-IER
Rev. 3-1-2016
Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0700481
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Former Eastern Car Care
Location Address
703 E Main St
Murfreesboro
Owner
Owner Name
North East Oil Company Inc
Dates/Events
NC
Orig Issue
1/4/2019
App Received
1/4/2019
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
27855
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS _ SWP
1/15/2019
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
Non-Government
Owner Affiliation
C Wood Beasley Ill
President
PO Box 1386
Ahoskie
Region
Washington
County
Hertford
NC
Issue
1/4/2019
Effective
1/4/2019
27910138
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasln
North Carolina Department of Environmental Quality-Division of Water Resources
NOTIFICATION OF INTENT (NOi) 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 ISA NCAC 02C .0200. This fo rm shall be submitted at least 2 WEEKS p rior to in iection.
AQUIFER TEST WELLS (1 5A NCAC 02C .0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION O SANCAC 02C .0225 ) or TRACER WELLS (1 5A 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.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: December 19
byDWR)
, 20 18 P ~~10tuilatj!ll"l·~,--------(to be filled in
ifJ11e,-. o 1euo1Bel:I
A.
··v .teleM
WELL TYPE TO BE CONSTRUCTED OR OPERAf!qf f (} Nttr
(1)
(2)
(3)
(4)
(5)
(6)
___ Air Injection Well ..................... ~~~~~~!!-1~e sections B through F, K, N
___ Aquifer Test Well ....................................... Complete sections B through F, K, N
=Xa.,.._ __ Passive Injection System ............................... Complete sections B through F, H-N
___ Small-Scale Injection Operation ...................... Complete sections B through N
___ .Pilot Test ................................................. Complete sections B through N
___ Tracer Injection Well ................................... Complete sections B through N
B. STATUS OF WELL OWNER: Business/Organization
C. WELL OWNER(S)-State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name(s): North East Oil Company, Inc.
Mailing Address: Post Office Box 1386
City: Ahoskie State: NC Zip Code:27910 County:Hertford
Day Tele No.: 252-862-0236 Cell No.: NA
Deemed Permitted GW Remediation NOi Rev. 3-1-2016 Page I
EMAIL Address:NA Fax No.: NA
D. PROPERTY OWNER(S) (if different than well owner)
Name and Title: Mashalla. LLC
Company Name NA
Mailing Address: 601 East Main Street
City: Murfreesboro State: NC Zip Code: 27855 County: Hertford
Day Tele No.: ____________ _ Cell No.: _________ _
EMAIL Address: _____________ _ FaxNo.: ___________ _
E. PROJECT CONTACT (Typically Environmental Engineering Firm)
Name and Title: William Regenthal, P. G.
Company Name Geolo gical Resources, Inc.
Mailing Address: 3502 Haves Road
City: Monroe State: NC_ Zip Code: 28110 County: Union
DayTeleNo.: 704-698-1253 CellNo.: __________ _
EMAIL Address: wlr@ geolo gicalresourcesinc.com Fax No.: 252-321-6094
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: ~F~o=rm=er~E=as~te=m~C=a=r~C=a=r~e ______________ _
703 East Main Street
City: Murfree sb oro County: Hertford Zip Code: 27855
(2) Geographic Coordinates: Latitude**: ___ 0 __ __" or __J_Q0 .4426388
Longitude**: 0 11 or ____TI0 .0934166
Reference Datum: ________ Accuracy: ________ _
Method of Collection: Topographic Map
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COO RD INA TES.
G. TREATMENT AREA
Land surface area of contaminant plume: _______ square feet
Land surface area ofinj. well network: square feet (S 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: (must bes 5% of plume for pilot test injections)
H. INJECTION ZONE MAPS -Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical
extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed
monitoring wells, and existing and proposed injection wells.
Deemed Permitted OW Remediation NOi Rev. 3-1-2016 Page2
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
Deemed Permitted GW Remediation NOI Rev. 3-1-2016 Page 3
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.
Oxygen Release Comp ound Treated socks will be placed in MW-1, MW-2 and RW-lA in January 2019. A
gr ound water sampling event will be conducted on the a pp licable monitorin g wells in July 2019 in order to
determine the effectiveness of the ORC socks. Based on the results of the Jul y 2019 samplinR event a
determination will be made whether the a pplication of ORC will continue.
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 ht tp ://deg.nc.gov/about/divisions/water-
resources/water-resources-permits/wastewater-branch/ground-water-protection/eround-water-approved-in jectants.
All other substances must be reviewed by the DHHS prior to use. Contact the UIC Program for more info (919-
807-6496).
lnjectant: ORC-Advanced -See Attached Product S pecification Sheets
Volume of inj ectant: 12oz/foot
Concentration at point of injection: ~36oz
Percent if in a mixture with other injectants: NA
Injectant: ----------------------------------
Volume ofinjectant: _____________________________ _
Concentration at point of injection: _______________________ _
Percent if in a mixture with other injectants :
lnjectant: ----------------------------------
Volume ofinjectant: _____________________________ _
Concentration at point of injection: _______________________ _
Percent if in a mixture with other injectants:
K. WELL CONSTRUCTION DAT A
(1) Number of injection wells: ----~ProposedJ_Existing (provide GW-ls)
(2) For Proposed wells or Existing wells not having GW-1 s, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
(c) Well contractor name and certification number
Deemed Permitted GW Remediation NOI Re v. 3-1-2016 Page4
L. SCHEDULES — Briefly describe the schedule for well construction and injection activities.
The ORC treated socks are scheduled to be installed in January 2019. The socks will be removed in July 2019
to allow for the completion of the semi-annual sampline event. Based on the results of the samplins event. a
determination will be made whether or not to continue the use of the ORC socks.
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.
The socks will he removed in July 2019 prior to the sanrplinQ event. Following the completion of the sampIine
event, additional socks man be installed. dependine on the effectiveness of the socks.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby certify, under penalty of law, that I am familiar with the information submitted in this
document and all attachments thereto and that, based on my inquiry of those individuals immediately responsible
for obtaining said information, I 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. I agree to construct, operate, maintain, repair. and if applicable, abandon the injection well and
all relatgl appurtenances in tt4v orcj nee with the I5A NCAC 02C 0200 Rules."
Signature of Applicant
Print or Type Full Name an Title
PROPERTY OWNERlf the property is not owned by the permit applicant):
"As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent to
allow the applicant to construct each injection well as outlined in this application and agree that it shall be the
responsibility of the applicant to ensure that the injection well(s) conform to the Well Construction Standards
(15ANCAC 02C.0200). "
"Owner" means any person who holds the fee or other property rights in the well being constructed. A well
is real property and its construction on land shall be deemed to vest ownership in the land owner, in the
absence of contrary agreement in writing.
/t�,1}ul kr
Signature* of Property Owner (if different from applicant) Print or Type Full Naine and Title
*An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Submit the completed notification package to:
DWR— UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Remediation NO1 Rev, i-]-2016 Page 5

Geological Resources, Inc.
October 3, 2018
Mashalla, LLC
601 East Main Street
Murfreesboro, North Carolina 27855
RE: Oxygen Release Compound Application -Second Attempt
Former Eastern Car Care
703 East Main Street
Murfreesboro, Hertford County
Incident No. 6629
GRI Project No. 2634
To Whom It May Concern:
Geological Resources, Inc. (GRI) is conducting ground water assessment and remediation activities on
behalf of North East Oil Company to mitigate the effects of a petroleum release from underground
storage tanks (USTs) at the Former Eastern Car Care site, located on 703 East Main Street in
Murfreesboro, Hertford County, North Carolina. As part of the assessment, GRI proposes to install socks
treated with Oxygen Release Compound (ORC), in order to facilitate the bioremediation of the
remaining petroleum contaminants at the site.
It is GRl's understanding that you are the owner of Parcel No. 5968-15-0660 in Hertford County. GRI
requests permission to install the treated socks in monitoring wells MW-1, MW-2, and RW-lA at the site
(a site map is attached). The application of the ORC will be monitored for a period of four months,
initially. Upon the completion of the initial ground water monitoring activities, GRI will determine the
long-term clean up goals for the site. There will be no cost to you for the installation of the treated
socks. The Division of Water Quality branch of NCDEQ requires property owner consent before this
method of remediation is performed. Please indicate in the spaces provided below if you will allow GRI
to use the ORC treated socks at this site. We would greatly appreciate a response, even if you choose
not to allow us to install the treated socks at this time. However, if you do not wish for GRI to install
the socks, please call me so I can explain the process further.
Your cooperation in this matter will be greatly appreciated. If you have any questions, please feel free
to contact the NCDEQ incident manager, Jeff Welti at [phone] or me at [phone].
3502 Hayes Road • Monroe, North Carolina 28110
Phone [phone] • [phone] • Fax [phone]
Oxygen Releasing Compound Application
Former Eastern Car Care
Murfreesboro, Hertford County, North Carolina
Page 2 of 3
Sincerely,
Geological Resources, Inc.
t/J.:_,J)
William Regenthal, P. G.
Project Manager
cc: file
3502 Hayes Road • Monroe, North Carolina 28110
Phone [phone] • [phone] • Fax [phone]
Oxygen Releasing Compound Application
Former Eastern Car Care
Murfreesboro, Hertford County, North Carolina
Page 3 of 3
T7 Yes, I agree to allow ORC socks to be installed at the Former Eastern Car Care Site at no cost to
me.
El No, I will not allow ORC socks to be installed at the Former Eastern Car Care Site.
nature
For Parcel No. 5968-15-0659}
7- ASV - 3 `'C
Phone Number
ai/1/-(4/ 1r04-/ 5
siAss
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3502 Hayes Road • Monroe, North Carolina 28110
Phone [phone] • [phone] • Fax [phone]

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$TANOAROS, ANO THAT A COPY OF T141$ REOORQ ! U1 MOWED TO TM WELL OWNER.
Airilf
SJGMT'URE O ONTRACTOR OR ACENT CATE
Submit original to Diririon of EnvironenantaI Msnaprrrent and copy to won owner.

BRING LOG
NAME / * _ A3 ' k 6441r 0-772, GEOLOGIST 1-40e0 4N4I DATE I/.• '
AUG 1 ,Hk12 , DRILLING CONTRACTOR shi•2irr2C REGISTRATION NO.
DRILLING METHOD h+S1
SAMPLE METHOD 5,5
1" •. AX.4
SAMPLE
#
DEPTH
BLOW
COUNT
%
RECOVERY
DESCRIPTION
OVA
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ir
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convralm pnd ,
ground iuriAce
grout Darman'
bentanlie teal
sand filler pink
Typlc
Recovery We 1 I
11 Construction Details .
\r-
r
mxnhola cover
looking will cAp
4 inoh dlxm6ler-
s oliadul■ (0 PVC casing
Please note, well construction information for
RW i is not available. RW-1 is a 4" recovery
well constructed to 73.0 feet. Depth to water ii
RW-k is approximately 40' below grade at this
site and it is estimated that the screened interva
for this well is similar to wells constructed
•
around it. 1.
0.010 inch Rlrrch dixmalar
tal1edula 40 pVc roman
73`4'
end oxlr
(

LEGEy0
TYPE 11 MONITORING WELL
DESTROYED TYPE 11 MONITORING WELL
TYPE 111 MONITORING WELL
O SEWER MANHOLE
WA TER METER
WA TER VALVE
- DITCH
PROPERTY LINE
0-- FENCE
• --- • 5j, Q Q Q • --- • INFERRED BENZENE
ISOCONCENIRA 770N CONTOUR
(15.300) CONCENTRA 770N (ftg/)
(<0.17)
LESS 17-IAN THE METHOD DETEC77ON
LIMIT SPECIFIED IN THE LASORA TORY
REPORT
ESTIMATED VALUE
(FP) FREE PRODUCT-
(NS) NOT SAMPLED
• BROAD STREET
MW 15
()
8 NS)7
e w—
MW--27R
W (NS)
LI
t f b MW-6 Mt' 7 28)
8
M (NS) • 3 b �7 {4B7} (27) 2�8) ` MW-12
l •
I
• f� �oJ �,
i' M 2 .• r ;
{15, J) •, MW-9 4-. MW-26
RW-1A M$O-13 D 4 G
(FP.) a (<z 17) •<613) f :. (<0.17)
MW-22 1 MW- MW-38
`— MW-33 �FP 15,200) t5' MW-1B
(910) O: 99J ' p (78. 0 GO(785) MW-4 4,f _3 W-10
051 (322} (p') . — ' d (20.8) I.
0 • [.5` MAIN STREET r-c`
M( �2 —,QQ1, D
M 17 F
MW. 79 \ (6 200)
D `�
(2050) '��
MW7B
$ILLIAAIS ST/EEEL
MW-32
3
(NS)
1i
chi
MW-25
(NS)
MWO24 mp
{N5)
0
MW-27 MW 20
(NSJ
(Ns)
FIRST STREET
MW-
(� 17)1,64W
ARl
01 MW 14A 'a4iW--39
( <0.1T) (r0.17)
MW-31
3
(<7 17)
�W-40
(215)
1IW 340 VANCE STREET
3
(NS)
i1
kW-JO
Go
(2 1)
MW--J6
(2 T)
f
F
Q
Geological Resource% Inc.
0 75 150 300
(IN FEET)
1 inch = 150 ft
BENZENE ISOCONCENTRA 170+V MAP (08/24/15)
Former Eastern Car Care 7C.3' East Main Street
Murfreesboro, Hertford County, NC Incident f 6829
Dote.: 09/09/15
Drawn by EC1 ! Figure:

CEG'END
TYPE 11 MOMTORING WELL
DESTROYED TYPE 11 MONITORING (YELL
TYPE III MONITORING WELL
O SEDER MANHOLE
WA TER METER
WATER VALVE
DITCH
PROPERTY LINE
FENCE
— 70 — —WATER TABLE SURFACE CONTOUR
(75,98)
(NM)
GROUND WA 1ER ELEVA 17ON (FT)
NO r MEASURED
M(W-}a
WILLIAMS STREET
MW-23
(NM)
MW-22
(NM)
MWW-W42—
(NM)
MW-25
(14)
Mai'- velt32 \
(NM) "' \ 1 I�
W-4 q
•
BROAD STREET
M► -15
OH)
58
59 I
i
1(56.56)
<MW-40
�� cN)
a
MW-12 -
(57.29)
■
MW 3 ' 14� ID
� (61.23) (60.56) 5g (NM)
k
r-
r
-<\Ar-26
MiF'-78
(NM)• 94
MAIN STREET 58
MV --17
MW-191 (60.87)
(61.96) 61 60
n"(NM)21 MW 0
W
(NMCC
MW- jos_ DANCE STREET
(H11)
+r1
MW-31
39
MW-35
(NM)
Lei E7ERY
MW 30
I, (NM)
//
MW-43
(NM)
WOODED AREA
MW-36
(aA)
MEI-ERRIN RIIER—
C�
Geological Resources, Inc.
0 75
150
30'0
(INFEET )
finch= 150ft
WATER TABLE SURFACE MAP (11/0647)
Fortner Eastern Car Care
Incident No. 6629
CRI Project No. 2634
703 East Main Street
Murfreesbonz Hertford Countx
NC
Dote:
12/19/17
Drawn by.
❑TH
figure 3

1EGEND
0 TYPE 11 MONITORING HELL
DESTROYED TYPE 11 MONITORING WELL
8 TYPE 111 MONITORING WELL
O SEWER MANHOLE
WATER METER
® WATER VALVE
—..— -DITCH
PROPERTY LINE
G G a a FENCE
ELECTRIC LINE
RIGHT OF WAY
SANITARY SEWER LINE
TELEPHONE LINE
Note:
T. This Site Map is based on a Professional Survey
dated March 24 2012 that was prepared by
Roanoke Land Surveying.
2 Additions have been made to Site Map based on
fled observations made by GRI Personnel.
ir-27
IFS MW--27R
MW-28
_'(/)
WILLIAMS STREET .�
�Z
}MW 23 4 2
0 ,
}
-i
MW 22
0
MW42 -..
MWW25
_G
MW 6M a7
MWo,2
BROAD STREET -
MW-15 0 MW-1S1L
I�.
rUi/
4W
Q
4 MW=14A �041 -.39
- .^
dr' 8
QIIW-2
RW-/A MHO]-13 M9 0
1 MW-/ MW-38
MW-39 p 46»D-5
c W-4 M�.3
i0I
MW-19
4
MAIN STREET
1
0MW-17 1
MW -21 _ MW-200 1
MW-12
*NW 40
0
c1
oa'
-\--C MW 26
MW-16 s-.
0 dtri
I/
/1
f1
1/
VANCE STREET
'%
AIW-35
0
CRY
r '
�!f
MW-43
ift202E0 ARV
///
MW-36
• f.4
•
Mf 37
0
7/
MEHERRIN /VIER—
G�
Geological Resources inc.
0 75 150
300
(INFEST)
finch = 150 ft
S'TE MAP
Former Eastern Car Care
Incident No. 6629
GM Project No. 25.34
703 East Main Street
Murfreesboro, Hertford County,
NC
Date
034'5/17
Drawn by.
ECH
Figure: 2