WI0700511_DEEMED FILES_20210219

Permit Number WI0700511
Program Category
Deemed Ground Water
Permit Type
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Building Site 133 Cross Site
Location Address
Bldg 133 Frc E Complex A
Cherry Point NC 28533
Owner
Owner Name
US MCAS Cherry Point
Dates/Events
Scheduled
Orig Issue
11/10/2020
App Received Draft Initiated Issuance
10/30/2020
Re g ulated Activities
Groundwater remediation
Outfall
Central Files: APS SWP
Permit Tracking Slip
Status
Active
Project Type
New Project
2/19/2021
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Washington
County
Craven
Facility Contact Affiliation
Owner Type
Government -Federal
Owner Affiliation
George W. Radford
Affairs Environmental Officer
4223 Access Rd
Cherry Point NC 2853300I
Public Notice Issue
11/10/2020
Re quested /Received Events
Effective
11/10/2020
Expiration
Waterbody Name Streamlndex Number Current Class Subbasin
TO: Shristi R. Shrestha
512 N Salisbu ry St.
1636 Mail Service Center
Ralei g h, NC 27699 1636
TRANSMITTAL
DATE: 10/28/2020
RE: Cherry Point MCAS
Site 133 -NOi
CATLIN Project No. _2_2_0_0 _01 __ _
We Are Transmitting Herewith The Following:
ITEM ACTION TRANSMITTED BY
Drawings 1. For Your Use X US Mail
Specifications 2. For Review Messenger
Shop Drawings 3. Please Comment Next Day Service
Contract Documents 4. Reply ASAP Other
X Correspondence 5. Urgent
Reports 6. Returned
NO. OF COPIES DESCRIPTION ACTION
CODE
1 NOi for Site 133, Cherry Point MCAS 2
COMMENTS:
COPY TO:
eC~ ! SIGNE'D: ocr ao 2020 -,---------
NcoeQ/o
CentrfitJ,CJt//:
-------
NC Department of Environmental Quality-Division of Water Resources (DWR)
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 ofl5A NCAC 02C .0200 (NOTE: This form must be received at least 14 DAYS p rior to in jection}
AQUIFER TEST WELLS ISA NCAC 02 220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION OSA NCAC 02c .0225 l or TRACER WELLS OSA NCAC 02C ,0229):
l) Passive In jection S vstems -In-well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
2) Small-Scale In jection 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 is 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.
5) In-Situ Thermal Wells (IST I -Used to 'heat' contaminated groundwater to enhance remediation.
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
DATE: October 8 ,20~ PERMIT NO. ________ (to be filled in by DWR)
NOTE-If this NOI is being submitted as notification of a modification of a previously issued NOi for this site ( e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
Permit No. WI ______________ Issued Date: _________ _
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) ___ Air Injection Well ....................................... Complete sections B throughF, J, M
(2) ___ Aquifer Test Well ....................................... Complete sections B through F, J, M
(3) ___ Passive Injection System ............................... Complete sections B through F, H-M
(4) ___ .Small-Scale Injection Operation .... , ................. Complete sections B through M
(5) X __ Pilot Test ................................................. Complete sections B through M
(6) ___ Tracer Injection Well ................................... Complete sections B through M
(7) ___ In.-Situ Thermal (1ST) Well ........................... Complete sections B through M
B. STATUS OF WELL OWNER: Federal Government
Deemed Permitted OW Remediation NOi Rev. 2-17-2020 Page I
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): Geor!,!e Radford. Environmental Affairs Officer
Mailing Address: PSC Box 8006 Marine Corn s Air Station
City: Chem Point State: ..1K;_ Zip Code:_,,2=8=5=33=-___ County:...,C=r=av"""en,=-. __ _
Day Tele No.: !252 1466-4562 Cell No.: --=N~/A~------
EMAIL Address: elizabeth.harrisonr dusmc .mil Fax No.: __ ...._(2=5=2""") -'-46=6~-=20~0~0 __ _
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: Same as Well Owner
Company Name -----------
Mailing Address:--------------------------------
City: ____________ State: __ Zip Code: ___ _ __County: _____ _
Day Tele No.: ____________ Cell No.: __________ _
EMAIL Address:_____________ Fax No.:
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title: Shane Chasteen. COO
Company Name ___ C=A..,,_,,,TL=IN,__,____,,E=ne:a.i!=in=e=er,.,s'--"a=n=d--"S=c=ie=n=ti=sts=----------------~~~
Mailing Address: --~2=2~0 ~O~l=d =D~a~i.r_,~R=d=·--------
City: Wihnin!!ton State: NC Zip Code: 28405 County: New Hanover
Day Tele No.: {910 } 452-5861 Cell No.: ________ _
EMAIL Address: shane.chasteenW •catlinusa.com Fax No.:
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Bid!!. 133 , FRC East Comd ex. A Street. !See attached site mar s 1
City: --~M=C=A~S~C=h=e~rn.c..-..=P~o=in=t~----County: C=-ra=-v'-"'e=n ______ Zip Code: --~2=8=53=3~
(2) Geographic Coordinates: Latitude**: ___ 0 --__ " or a
Longitude**: 0 __ "or 0
Reference Datum: _______ ~Accuracy: _____ _
Method of Collection:
**FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACJLITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: 400 square feet
Land surface area of inj. well network: 16 square feet(::: 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: <4% (must be~ 5% of plume for pilot test injections)
Deemed Pennittcd GW Remediation NOi Rev. 2-17-2020 Pagc2
H. INJECTION ZONE MAPS -Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical
extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed
monitoring wells, and existing and proposed injection wells.
(3) Potentiometric surface map{ s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE -Provide a brief narrative
regarding the cause of the contamination, and puipose, scope, goals of the proposed injection activity:
Previously it was discussed that remaining product mil!ht be onh residual that is tra pp ed in the sand pack and
soil around the wells. If true . a potential remed \ could be to introduce a small amount of surfactant with
vi!wrous sun zin!!. followed b" a gk!ressive fluid recoyen• <i.e. vacuum the well dr,•J. CATLIN and GES personnel
identified N2RW12 as a candidate well for testinl! this o ption. CATLIN recommends introducili u a small
amount of surfactant mixed with deionized water into this well followed b , the surgin!! the well several times
over a 2-day period. After surninl!. an a ugressive fluid recoverv event should remove a pn roximateh 10 times
the volume of fluid introduced into the well. This action should be followed b \ daih l!augin g of free-r hase
product to determine the efficac \ of this o ption.
J. WELL CONSTRUCTION DATA
(1) No. of injection wells: ------~Proposed __ ~l~ __ Existing (provide NC Well
Construction Record (GW-1) for each well)
(2) Appx. injection depths (BLS):_10-15 feet
(3) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple -~ells 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
K. INJECTION SUMMARY
NOTE: On fr in iectants ac r roved b : the e1 idemiolo gr section o f the NC Division oJ Public Health Dec artment
o Health and Human Services can be i ·ected. A t1 r ve in ·ectan an be ound on line at
htt1 ://deLJ .nC.l?.l•v/about/divisions/water-res ,urces/water-resources-permits/wastewater-branch/l'r uund-water-
r rotection/ •round-water-a 1 roved-ink:ctants . All other substances must be reviewed bv the DHHS 11rior to use .
Contact the VIC Pro gram for more in fo if vou wish to wet arm roval {or a di!Te rent additive. However. nlease
note it ma11 take 3 months or lon ger. If no in jectants are·to be used use NIA.
Injectant~: __ _.E=T...,E=C=---=P-=e=tr=o=S=ol'""v ___ Total Amt. to be injected (gal)/event.~: --------=-l .a-0 -=l!=a=llo=n=s~--
Injectant""": ___________ Total Amt. to be injected (gal)/event,_; _________ _
Injectant~: ___________ Total Amt. to be injected (gal)/event.,_: _________ _
Injectant,_: ___________ Total Amt. to be injected (gal)/event.,_; __________ _
Deemed Permitted GW Remediation NOi Rev . 2-17-2020 Page3
lnjectant: Total Amt. to be Injected (gal)levent:
Total Amt. to be injected (gal/event): 10 gallons
No. of separate injection events: 1 Total Anti. to be injected (gal): 10 ;lotions
Source of Water (if applicable): MCAS Che , Point Potable Water S. stem
L. MONITORING PLAN —Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in result from the injection activity.
N2RW12 will be :an_ ed week] to determine &when free-k•hase product returns in this well after L ilot test.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/Applicant: "I hereby certlf 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. I am aware that there are signif cant penalties, including the possibility offines and imprisonment
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well a .._ II rtle,fe,' appurtenances in accordance with the Rules." eAl , 1 q4q
Signature ;.c Apptteani Print or Type F,111 Name and Title
Pro_rl_ Owner 'if t ; ro erlr is not awned Jar the Well owner/Arllicantt;
`:4s 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 infection 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 Me Well Construction Standards
(
"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 Full Name and Title
*An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Please send 1(one) hard color copy of this NOI along with a copy on an attached CD or Flash Drive at least
two (2) weeks prior to injection to:
DWR — IJ1C Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Parmitted OW Rnrnndiation t401 Rev. 2-17-2020 Page 4

AECEtVED
0C1 21 2DMB
KG DECIPWR
Cep Office
TRANSMITTAL
TO: Shristi R_Shrestha
512 N Salisbury St.
1636 Mail Service Center
Raleigh, NC 27699 1636
We Are Transmitting Herewith The Following:
ITEM
Drawings
Specifications
Shop Drawings
Contract Documents
X Correspondence
Reports
ACTION
DATE: 10/19/2020
RE: Cherry Point MCAS
Site 133 - NCI
CATLIN Project No, 220001
1. For Your Use
2. For Review
3. Please Comment
4. Reply ASAP
5. Urgent
6. Returned
TRANSMITTED BY
X US Mail
Messenger
Next Day Service
Other
NO. OF COPIES
1
DESCRIPTION
ACTION
CODE
NOI for Site 133, Cherry Point MCAS
2
COMMENTS:
COPY TO:

NC Department of Environmental Quality —Division of Water Resources (DWR)
NOTIFICATION OF INTENT (NOT) 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 _tI ALA( 112C.04:fr , (NOTE: This form must he received at feast 14 DAYS tirior to injection}
AQUIFER TEST WELLS f , (Pr -
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics
INSITU REMEDIATION t or TRACER WELLS i l:
1) Passive In ection 5_ sterns - In -well delivery systems to diffuse injcctants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each suck used in ORC systems).
2) Small -Scale In ection O1 aerations — 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 ofevaluating the technical feasibility of a
remediation strategy in order to develop a bill scale remediation plan for future implementation, and where the
surface area of the injection zone wells is 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 ttn'ection Wells - Used to inject ambient air to enhance in -situ treatment of soil or groundwater,
5) In -Situ Thermal Wells 1ST' - Used to `heat' contaminated groundwater to enhance remediation.
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
DATE: October 8 , 2020 PERMIT NO. (to be filled in by DWR)
NOTE- If this NOI is being submitted as notification of a modification of a previously issued NOI for this site (e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
Permit No. WI Issued Date:
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(I) Air Infection Well Complete sections B through F, J. M
(2) Aquifer Test Well Complete sections B through F, J, M
(3) Passive Injection System Complete sections B through F, H-M
(4) Small -Scale Injection Operation Complete sections B through M
(5) X Pilot Test Complete sections B through M
(6) Tracer Injection Well Complete sections B through M
(7) In -Situ Thermal (IST) Well Complete sections B through M
RECEIVED
B. STATUS OF WELL OWNER: Federal Government
Deemed Permitted GW Remediatirm NOI Rev. 2-1/-2020
OCT 2 7 2020
NC DEQ/DWR
Central Office
Page I

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): Geor.;,e Radford Environmental Affairs Officer
Mailing Address: PSC Box 8006 Marine~C=o .... rr~s~A=ir~S=ta=ti=o=n ______________ _
City: Che rn Point State: __NL Zip Code: 28533 County: Craven
Day Tele No.: 1252 l 466-4562 Cell No.: __ _,_N=/A:..:._ _____ _
EMAIL Address: elizabeth.harrison 1t:usmc.mil Fax No.: --~'2=5=2~1~46=6~-=20~0=0 __ _
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: Same as Well Owner _____________________ _
Company Name -----------,----------------------------
Mailing Address: ___________ _
City: _ State: __ Zip Code: _County: _____ _
Day Tele No.: ____________ Cell No .. __________ _
EMAILAddress: ____________ FaxNo.: __ _
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title: --~S=h=an=e~C=h=as=te=e=n~·~C~O~O~---------------------
Company Name ___ C=A=-=-TL=lN'-'--"'E=n=l.!=in=e=er=s--=a=n=d--=S=c=ie=n=ti=sts~---------------
Mailing Address: ----"'2"'"20"'"""'O"""ld=D"'ac::.ir ..... v--=R;,,d:::..·------------------------
City: Wilming!pn ------State: NC Zip Code: 28405 County: New Hanover
Day Tele No.: (910 1452-5861 Cell No.: __ _
EMAIL Address: shane.chasteencdcatlinusa.c<mL_ Fax.No.:
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Bid!!. 133 FRC East Comr lex. A Street. 1See attached site ma=r~s~> ___ _
City: --~M=C=-=A=S~C=h=e~ri~·\~P~o=in=t~---County: C~r=av~e=n~ _____ Zip Code: 2_8533
(2) Geographic Coordinates: Latitude**: ___ 0 --__ " or 0
Longitude**: __ "or 0
Reference Datum: Accuracy : _______ _
Method of Collection:
**FOR AIR. INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: 400 square feet
Land surface area of inj. well network: 16 square feet~ 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: <4% (must be~ 5% of plume for pilot test injections)
Deemed Permitted GW Remediation NOi Rev. 2-17-2020 Page2
H. INJECTION ZONE MAPS -Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical
extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed
monitoring wells, and existing and proposed injection wells.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
I. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE -Provide a brief narrative
regarding the cause of the contamination, and purpose, scope, goals of the proposed injection activity:
Previoush it was discu sed r main' , roduct mi •ht be onh residual that is tra ed in the sand ack and
soil around the wells. If true. a potential remedv could be to introduce a small amount of surfactant with
vi l!Orous surgin1.t . followed b ,· a gt!ressive fluid recoverv ( i.e. vacuum the well drv J. CATLIN and GES personnel
identified N2RW12 as a candidate well for testing this o ption. CATLIN recommends introducing a small
amount of surfactant mixed with deionized water into this well followed b \. the sur1dng the well several times
over a 2-dav neriod. After surl!inl!. an a ggressive fluid recover'\ event should remove a pC1 roximateh 10 times
the volume of fluid introduced into the well. This action should be followed bv dai h 6au gin g of free-phase
product to determine the efficac, of this o ption.
J. WELL CONSTRUCTION DATA
(I) No. of injection wells: _______ Proposed __ ~l~ __ Existing (provide NC Well
Construction Record (GW-1) for each well)
(2) Appx. injection depths (BLS):_10-15 feet
(3) For Proposed wells or Existing wells not having GW-ls, provide well construction details for each
injection well in a diagram or table format. A single diagram or line in a table can be used for
multiple··wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as-built):
(a) 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
K. INJECTION SUMMARY
NOTE: On/,· in iectants a f>1 iroved b r thee, idemiolo ,:1 · section ot the NC Division of Public Health Department
o( Health and Human Services can be in iected. A ('r>roved iniectants can be found online at
ht 1 ://deq.nc.l!ov/ab ut/divisions/water-resou :/ ~l~ -resources-Penmts/wus ~wace -b ·anch/ .round-water-
protection/ground-water-approved~-injectan . All other substances must be reviewed b11 the DHHS prior to use.
Contact the UIC Program for more in fo i ( vou wish to get accroval {or a di l/erent additive. However //lease
note it mai• take 3 months or lon ger. Ifno in jectants are·to be used use N/A.
Injectant"'": ---=E=T=E=C,_-~P=etr=oS=-o=l,..,_v ___ Total Amt. to be injected (gal)/event,_: ----~l~O~e='a=ll~o=n~s __
Injectant,_: ___________ Total Amt. to be injected (gal)/event,_: _________ _
Injectant . .,_: ___________ Total Amt. to be injected (gal)/event,_: _________ _
Injectant . .,_: ___________ Total Amt. to be injected (gal)/event,_: _________ _
Deemed Permitted GW Remediation NOi Rev. 2-17-2020 Page 3
Injectant: Total Amt. to be injected (gal)/event . .,_: _________ _
Total Amt. to be injected (gal/event): 10 e allons
No. of separate injection events .... : ......,l __ Total Amt. to be injected (gal): ______ ... 1'-"0_,c..,,a:::ll,,,o.:,:ns,,__ __
Source of Water (if applicable): MCAS Chern Point Potable Water S \ stem
L. 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.
N2RW12 will be gau ged weekh to determine if/when free-phase product returns in this well after pilot test.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/App licant: "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. I am aware that there are significant penalties, including the possibility of fines and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection w'!ll a~?!yjj'/1 appurtenances in accordance with the Rules. f:1\/ v ,4,C::-~JfoS
C~ry 3/~_ G lJ h~D,'."QKJJ. ' (f) FFi ~ f"~
Signature ¢ App (can ( Print or Type Fln Name and Title
Pro pert \ Owner {ift pro pertv is not owned bv the Well Owner/A pp licant ):
"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 iryection 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
( ) ...
"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 Full Name and Title
* An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Please send 1 (one) hard color copy of this NOi along with a copy on an attached CD or Flash Drive at least
two (2) weeks prior to injection to:
RECEIVED
OCT 2 7· 2020
DWR-UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Remediation NOi Rev. 2-17-2020
NCDEQ/DWR Cenlralca»
Page4
N2GW 53
WARNING:
This document is "FOR OFFICIAL USE ONLY" and
It Contains info that may be exempt From public release under the
FOE Act (5 U.S.C. 552). Et is to be handled IAW DoD policy and
is not to be released to the public or personnel who do not have
a valid "need -to -know" without pilaf approval of an authorized
DoD off is ial,
.e
"b.
N 2UKW7
133-TWO8
24/4
133-TWO9
TAL
4piet- re)
N2GWis
133=TW06
133 • N2GW59
•
M2GW55A •
133-TW02
•
133-TW01
70 35 0 70
Feet
SCALE
SITES 130, 133, AND 137
SITE ASSESSMENT REPORT
MARINE CORPS AIR STATION
CHERRY POINT, NC
LEGEND
Free -Phase Product Plume (as of August 2017)
Former USTs
N2 UST Area
N3 UST Area
N4 UST Area
Temporary Monitoring Well
Measurable Product
• No Measurable Product
Existing Wells by Type
Zee
RVV (No Measurable Product)
T-I (No Measurable Product)
T-II (No Measurable Product)
T-III (No Measurable Product)
RW (Measurable Product)
T-II (Measurable Product)
NOTES
1. Free -phase product plumes are based on gauging
data collected between April through August 2017.
2. Gauging data for existing permanent wells were
collected by GES in August 2017
0 DAVENPORT
CATLIN
Engineers and Scientists
BUILDING 133 SITE CROSS
SECTION - PLAN VIEW
)b No-:
14-809 2.4
Date Drawn:
MAR 2018
Scale:
AS SHOWN
Drawn By
KLP
FIGURE
5A

A
A'
28
26
24
22
20
18
16
14
a
❑
w
12
12
10
8
6
4
133-TWOS
TAN, SILTY
F. SAND TO F.
SAND.
133-TWO7
TAN, SILTY, --
F.SANDTOF.
_ ^ _ _SAND.
GRAY, CLAYEY,
F. SAND TO
F. SAND.
133-TWOSS
APPROXIMATE
LAND SURFACE
N2GW59
CONCRETE
---------------------
TAN TO OROWN, SILTY TO CLAYEY SAND.
TANTO GRAY,
CLAY TO SANDY CLAY —7
TAN TO LIGHT GRAY, SILTY,
V.F. TO F. SAND TO MED, SAND.
N2GW55A
133-TWO2 133-TWO3
133-TWO4
TAN TO BROWN, F. TO CSE-
SAND WISOME GRAVEL.
TO SILTY, V.F. SAND,
---------------
DARK GRAY TO TAN, SILT TO SANDY CLA
GRADING LATERALLY INTO CLAYEY
TO SILTY SAND.
TAN TO YELLOW ORANGE.
V.F. SAND TO SILTY/CLAYEY,
V.F. SAND.
0
SOILS LEGEND
FA
(CH) High Nast. CLAY
(CL) Low/med. Plant.
CLAY
(SC) Clayey SAND
Till (SM) Silty SAND
100
(SW) Well -graded SAND
(SP) Poorly -graded
SAND
(CL-CH) Low to High
Plast. CLAY
(SC-CL) Clayey SAND to
Sandy CLAY
t
(CH/SP) Layers at High
Plast. CLAY and SAND
Coastal Plain
Sedimentary Rock
Asphalt
Fill
200
300
INFERRED PERMEABILITY
Very Low
Low
Moderate
High
Very High
400
Distance Along Baseline (ft)
WELL BACKFILL
Bentonite
Pellets
#2 Medium
Sand wfSeal
Native
Backf ll
r_
WATER TABLE ELEVATION
AS OF MAY 2017
500
600
700
0
w FREE PRODUCT ELEVATION
-- AS OFMAY 2017
50
100
FFFT
VE= le
28
26
24
22
20
18
16
14
12
10
8
6
4
���
�~' CATLIN
Engineers and Sclentisls
220 OW Cai 'II..
W 1,0100 on, NC 71406
Cal:orw Lkame .40 re, Er rwdnE UM,.. C44,41
PROJECT
BUILDING 133
MCAS, CHERRY POINT, NC
TITLE
BUILDING 133 SITE
CROSS SECTION
A - A' - LITHOLOGY
FIGURE
5 B 1
JOE NC, LATE:
216115 MAR 2018
S"ALE:
6AT1VN B�'. ,'HEC.✓. El] Ely
;5._5„C,,o,r. SVH _
SAC

A
A'
28'
26i
24
22
20
18
16
c
0
fi14
w
12
10
133-TWOS
133-TW07
312,6 PID READING IN PPM AND SAMPLE INTERVAL
HCO HYDROCARBON ODOR
133-TW05
APPROXIMATE
LAND SURFACE
N2GW59
N2GW55A
NO TO
SLIGHT HCO
POSSIBLE
PRODUCT ZONE
(STRONGEST HCO)
NO TO
SLIGHT HCO
.133-iWO2
133-TWO3
133-TWO4
0
SOILS LEGEND
(CH) High Rest. CLAY
p�]] (CL) Low/med. Plast-
l/��! CLAY
(SC) Clayey SAND
(SM) Silty SAND
100
(SW) Weil -graded SAND
(SP) Poorly -graded
SAND
(CL-CH) Low to High
Piast. CLAY
(SC-CL) Clayey SAND to
Sandy CLAY
(CH/SP) Layers of High
Plast. CLAY and SAND
Coastal Plain
Sedimentary Rack
Asphalt
Fill
200 300 400
Distance Along Baseline (ft)
INFERRED PERMEABILITY WELL BACKFILL T WATER TABLE ELEVATION
Bentonite AS OF MAY 2017
Very Low High
Low n Very High
Moderate
Pellets
#2 Medium
Sand w/Seal
Native
Back -fin
500
w FREE PRODUCT ELEVATION
AS OFMAY 2017
600
700
50
100
FEET
VE = 16-7
28
26
24
22
20
18
16
14
12
10
8
6
4
—_~` CATLIN
Engineers and Scientists
220 DU ❑riry ra id
WlIrrl ifcn, NC twos
ccgnrfl Li..... Ye. For Fwpu.ewi., s..,nc.. cane
PROJECT
BUILDING 133
MCAS, CHERRY POINT, NC
TITLE
BUILDING 133 SITE
CROSS SECTION
A - A' - CONTAMINATION
FIGURE
5B2
JDB NO.! GATE' MAR 201$
SCA1E;
DRAWN BY: CHECKED BY-;216115 AS SHOVE SVH
SAC

Bs
28
26
24
22
20
18
16
O
is14
a)
m
lJ1
12
10
133-TWO6
1w
133-TWd5,
APPROXIMATE
LAND SURFACE '
TAN TO BROWN, F. TO CSE..
SAND WISOME GRAVEL.
TO SILTY, V.F. SAND.
TAN TO BROWN, SILTY TO CLAYEY SAND.
DARK GRAY TO TAN, SILT TO SANDY CLAY
GRADING LATERALLY INTO CLAYEY
TO SILTY SAND. --
r
�j ..--
f
111
III
--�
= GRAY TO TAN, `—
-SILTY. F. SAND TO F. ---
11.:::[
SAND W/CLAY LAYERS.
G
111
a
TAN TO LIGHT GRAY. SILTY,
V.F. TO F. SAND TO MED. SAND.
133-TW1O
ti
ASPHALT
TAN, SANDY CLAY.
0
SOILS LEGEND
(CH) High Plast. CLAY
V�/J F7A (CLI Lowlmed. Plast.
CLAY
VA (SC) Clayey SAND
(SM) Silly SAND
50
[' I (SW) Well -graded SAND
► (SSP) Poorty-graded
SAND
%%
Oro
(CL-CH) Low to High
Plast. CLAY
(SC-CL) Clayey SAND to
Sandy CLAY
%m
KV
100
(CH/SP) Layers of High
Past. CLAY and SAND
Coastal Plain
Sedimentary Rode
Asphalt
Fil
150
INFERRED PERMEABILITY
Low L Very High
Very Low
Moderate
High
Distance Along Baseline (�jt50
WELL BACKFILL ir WATER TABLE ELEVATION
AS OF MAY 2017
L;:]
Bentonite
Pellets
#2 Medium
Sand w/Seal
Native
Backfill
300
350
400
39
60
rEET
■t' ' 1
28
26
24
22
20
18
16
14
12
1a
8
6
4
—.`CATLIN
Engineers and Scientism
22001n DDan.Roao
mirni y{on, NC RICIVR
i;..y,„w uc....w Hu ra e.a:ra.rn mow... Gaa4.
PROJECT
BUILDING 133
Havelock, NC
TITLE
BUILDING 133 SITE
CROSS SECTION
B - Br - LITHOLOGY
FIGURE
5C 1
JOB ND:
DATE
216115 MAR 2018
SCALE:
[DRAWN BY: SVH CHELKED BY:
As SHOWN
SAC

6
28 133-TW06
26
24
22
20
18
16
12
0
6
B'
133-TW05
APPROXIMATE
LAND SURFACE
NO TO
SLIGHT HCO
two
POSSIBLE,
PRODUCT ZONE
(STRONGEST HCO}
NO TO 1477
SLIGHT HCO'''
312.6 PID READING IN PPM AND SAMPLE INTERVAL
HCO HYDROCARBON ODOR
133-TW 10
SOILS LEGEND
(CH) High Pleat. CLAY
tCL) Low/med. Plast.
CLAY
(SC) Clayey SAND
(SM) Slily SAND
PTA
50
(SW) Well -graded SAND
(SP) Poorly -graded
SAND
(CL-CH) Low to High
Pfest. CLAY
(SC-CL) Clayey SAND to
Sandy CLAY
100
(CH/SP) Layers of High
Plant. CLAY and SAND
Coastal Plain
Sedimentary Rock
Asphalt
150
INFERRED PERMEABILITY
Very Low
Low
Moderate
High
Very High
L)istance Along Baseline (}t 60
WELL BACKFILL WATER TABLE ELEVATION
AS OFMAY 2017
p1
Bentonite
Pellets
#2 Medium
Sand wlSeal
Native
Backfill
300
350
400
28
26
24
22
20
18
16
14
12
10
8
6
4
� ��
1 - CATLJ
Engineers and Scientis%
726 Orr. llafry.+wN
t11+n++rgeon, Ira YSaps
`°.°""`"`°IF.02Too fornoqa«r:�..Casae
PRO'�T
BUILDING 133
Havelock, NC
"TLE
BUILDING 133 SITE
CROSS SECTION
B - B' - CONTAMINATION
FIGURE
5C2
JOB NO.:
`DATE.
216115 MAR 2018
SCALE:
DRAWN BY: CHECKED BYi
As $HcvvN SVH
SAC

N2GW.53{0
N2GW55A
WARNING:
This document is "FOR OFFICFAL USE ONLY" and
it contains info that may he exempt from public release under the
FOI Act (5 U.S.C. 552). It is to be handled IAW DoO policy and
Is not to be released to the puhlic or personnel who do riot have
a valid "need -to -know" without prior approval of an authorised
OoD official.
1.3.3 ED N2GW59
SCALE
N
SITES 130, 133, 137
SITE ASSESSMENT REPORT
MARINE CORPS AIR STATION
CHERRY POINT, NC
liNIMFAC
�':�►vrf' FEf Z]nyRX+f•y�%,C!-r�-rq:lQ
LEGEND
!s Temporary Monitoring Well
Groundwater Contour
Groundwater Flow Direction
Building
Former USTs
N2 UST Area
N3 UST Area
N4 UST Area
1
Existing Wells by Type
NOTES
1. Gauging data were collected on the following dates
from each well listed:
May 16, 2017: 133-TW01 through 133-TW09
August 30, 2017: 133-TW10
0 DAVENPORT
CATLIN
Englneers and Sciontists
BUILDING 133 SITE MAP WITH
WATER TABLE CONTOURS AND
GROUNDWATER FLOW DIRECTIONS
Job No.:
14-809 2.4
Date Drawn:
MAR 2018
Scale: Drawn Sy:
AS SHOWN I KLP
FIGURE
6
Checked By:
SAC

1667 133 133 N2RW12 N2RW0012 N2 27-Jul-06 MANN DRILLING CO. 21.44 FT 2629958.4 422777.3 NCSP NAD83 FT 25 6 5 25 20.8 RW -0.61