WI0800453_DEEMED FILES_20160601

INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Resources
Permit Number WI0800453
1. Permit Information
MCB Cam p Le jeune
Permittee
Gottschalk Marina
Facility Name
728 Cross St. Camp Lejeune
Facility Address
2. Injection Contractor Information
Rhea Engineers and Consultants Inc.
Injection Contractor I Company Name
Street Address 314 N. Green Meadows
Dr. StelO0
Wilmington NC 28405
City State Zip Code
(21Q__)350-3156
Area code -Phone number
3. Well Information
Number of wells used for injection -=2,....._ __ _
Well names UST3 l-MWOI and MW02
Were any new wells installed during this injection
event?
D Yes ~ No
If yes, please provide the following information:
Number of Monitoring.Wells -------
Number of Injection Wells _______ _
Type of Well Installed (Check applicable type):
D Bored D Drilled D Direct-Push
D Hand-Augured D Other (specify) __ _
Please include a copy of the GW-1 form for each
well installed.
Were any wells abandoned during this injection
event?
D Yes [ii 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
Ozone gas
Injectant Type
Concentration: 100% ------------
If the injectant is diluted please indicate the source
dilution fluid. Not a pp licable
Total Volume Injected 960 cubic feet (0.4 cfm)
Volume Injected per well 480 cubic feet (0.4 cfm)
5. Injection History
Injection date(s) 5/23/16 -5/25/16
Injection number (e.g. 3 of 5)"""1'-o=f=-1=-------
Is this the last injection at this site?
~ Yes D No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAID OUT IN THE PERMIT .
~ SIGNATUREOFINJE ~ CONTRACTOR
6/1/16
DATE
Ben Grosser
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form IBC-IER
Rev. 8/5/2013
INJECTION EVENT RECORD
North Carolina Department of Environment and Natural Resources -Division of Water Resources
Permit Number WI0800453
1. Permit Information
MCB Cam p le jeune
Permittee
Gottschalk Marina
Facility Name
728 Cross St. Camp Lejeune
Facility Address
2. Injection Contractor Information
Rhea Engineers and Consultants Inc.
Injection Contractor I Company Name
Street Address 314 N. Green Meadows
Dr. StelO0
Wilmington NC 28405
City State Zip Code
(910 )350-3156
Area code -Phone number
3 . Well Information
Number of wells used for injection -=2'------
Well names UST31-MWOI and MW02
Were any new wells installed during this injection
event?
D Yes ~ No
If yes, please provide the following information:
Number of Monitoring Wells ______ _
Number of Injection Wells _______ _
Type of Well Installed (Check applicable type):
D Bored D Drilled D Direct-Push
D Hand-Augured D Other (specify) __ _
Please include a copy of the GW-1 form for each
well installed.
Were any wells abandoned during this injection
event?
D Yes [ii 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
Ozo ne gas
Inj ectant Type
Concentration: 6-8% ozone . 92-94% ox ygen
If the inj ectant is diluted please indicate the source
dilution fluid. Not applicable
Total Volume Injected 960 cubic feet (0.4 cfm)
Volume Injected per well 480 cubic feet (0.4 cfm}
5. Injection History
Injection date(s) 5/23/16 -5/25/16
Injection number (e.g. 3 of 5)""'1'-o=f"---"'---1 ____ _
Is this the last injection at this site?
~ Yes D No
I DO HEREBY CERTIFY THAT ALL THE
INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
INJECTION WAS PERFORMED WITHIN THE
STANDARDS LAID OUT IN THE PERMIT.
~ SIGNA~ ON CONTRACTOR
6 /14/16
DATE
Ben Grosser
PRINT NAME OF PERSON PERFORMING THE INJECTION
Submit the original of this form to the Division of Water Resources within 30 days of injection.
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464
Form UIC-IER
Rev. 8/5/2013
Permit Number
Program Category
Deemed Ground Water
Permit Type
WI0800453
Injection Deemed In-situ Groundwater Remediation Well
Primary Reviewer
shristi.shrestha
Coastal SWRule
Permitted Flow
Facility
Facility Name
Gottschalk Marina
Location Address
Near Intersection Of Cross St And Julian C Smith St
Camp Lejeune
Owner
Owner Name
John
Dates/Events
Orig Issue
3/7/2016
NC
R
App Received
2/26/2015
Regulated Activities
Groundwater remediation
Outfall
Waterbody Name
28542
Townson
Draft Initiated
Scheduled
Issuance Public Notice
Central Files: APS SWP
3/7/2016
Permit Tracking Slip
Status
Active
Version
1.00
Project Type
New Project
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
John R. Townson
USMC Camp Lejeune
Camp Lejeune
Region
Wilmington
County
Onslow
NC
Issue
3/7/2016
Effective
3/7/2016
28542
Expiration
Requested /Received Events
Streamlndex Number Current Class Subbasin
Shrestha, Shristi R
From:
Sent:
To:
Cc:
Subject:
Shrestha, Shristi R
Monday, March 07, 2016 1:13 PM
Rogers, Michael; Hall CTR Nicole L
Reed CIV Jenni P; Hunter CIV Bradley W; Ben Grosser; '[e-mail]'; Gregson, Jim;
King, Morella s
WI0800453 NOI RE: USMC Camp Lejeune Notification of Intent to Operate an
Injection Well Gottschalk Marina Site
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOi) for the above referenced site.
Please remember to submit the following regarding this injection activity:
1) Well Construction Records (GW-1) and Abandonment Records {GW-30) when completed. Please provide copies of the
GW-ls and GW-30s if not already submitted (originals go the address printed on the form). NOTE: Direct push or
Geoprobe wells are considered wells and require construction (GW-1) and abandonment 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 irijection points in the Comments/Remarks section of form. These forms can be found on our website
at http:ljportal.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.).
You can scan and send these forms directly to me at Shristi.shrestha @ncdenr.gov 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
perm it number WI0800453. 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.
Please submit hard co p ies of the site ma p and well construction record.
Thank you for your cooperation.
Shristi
Shristi R. Shrestha
Hydrogeologist
Water Quality Regional Operations Section
Animal Feeding Operations & Groundwater Protection Branch
North Carolina Department of Environmental Quality
919 807-6406 office
shristi.shrestha@ ncdenr.g ov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
1
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
-----Original Message-----
From : Rogers, Michael
Sent: Tuesday, March 01, 2016 9:17 AM
To: Hall CTR Nicole L <[e-mail]>
Cc: Reed CIV Jenni P <[e-mail]>; Hunter CIV Bradley W <[e-mail]>; Ben Grosser
<[e-mail]>; '[e-mail]' <[e-mail]>; Shrestha, Shristi R <[e-mail]>
Subject: RE: USMC Camp Lejeune Notification of Intent to Operate an Injection Well Gottschalk Marina Site
Thank you. However, moving forward, please send these to Shristi Shrestha as she will be handling these NOls plus IERs,
GW-1/30s, etc. Please notify the rest of your staff. Thanks.
-----Origi na I Message-----
F rom : Hall CTR Nicole L [mailto:nicole [e-mail]]
Sent: Friday, February 26, 2016 4:15 PM
To: Rogers, Michael <[e-mail]>
Cc: Reed CIV Jenni P <[e-mail]>; Hunter CIV Bradley W <[e-mail]>; Ben Grosser
<[e-mail]>; '[e-mail]' <[e-mail]>
Subject: USMC Camp Lejeune Notification of Intent to Operate an Injection Well Gottschalk Marina Site
Hi Mr. Rogers! I am forwarding the attached for our petroleum remediation site at Gottschalk Marina 31/S-715, NCDEQ
Incident# 32309 . This is for a pilot test we would like to conduct at the site using ozone injections at two monitoring
wells .
Please let me or Jenni Reed, cc'd, know if you need any additional information or if you would like us to submit via regular
mail.
Thank you and have a good weekend-
Nikki Hall
Nicole L. Hall, P.E.
Engineering Support for MCB Camp Lejuene G-F/EMD/EQB CATLIN Engineers and Scientists Cell 540-604-0929
Privacy Act -1974 As amended applies, this E-Mail may contain informati9n which must be protected IAW DoD 5400.llR,
and is For Official Use Only (FOUO). This email and any files transmitted with it are intended solely for the use of the
individual or agency to which they are addressed. If you have received this email in error, please notify me immediately.
For Official Use Only-Privacy Sensitive: Any misuse or unauthorized disclosure may result in both civil and criminal
penalt ies .
2
Shrestha, Shristi R
From:
Sent:
To:
Cc:
Subject:
Attachments:
Please find the attached NOi.
Shristi
Sh risti R. Shrestha
Hydrogeologist
Shrestha, Shristi R
Monday, March 07, 2016 1:07 PM
Gregson, Jim; King, Morella s
Rogers, Michael
WI0800453 NOi FW: USMC Camp Lejeune Notification of Intent to Operate an
Injection Well Gottschalk Marina Site
Gottschalk Marina UST Site Notice of Intent to Construct or Operate Injection Wells.pdf
Water Quality Regional Operations Section Animal Feeding Operations & Groundwater Protection Branch North Carolina
Department of Environmental Quality
919 807-6406 office
sh risti [e-mail]
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
-----Original Message-----
From: Rogers, Michael
Sent: Tuesday, March 01, 2016 9:18 AM
To: Shrestha, Shristi R <[e-mail]>
Subject: FW: USMC Camp Lejeune Notification of Intent to Operate an Injection Well Gottschalk Marina Site
-----Original Message-----
From: Hall CTR Nicole L [mailto:[e-mail]]
Sent: Friday, February 26, 2016 4:15 PM
To: Rogers, Michael <[e-mail]>
Cc: Reed CIV Jenni P <[e-mail]>; Hunter CIV Bradley W <[e-mail]>; Ben Grosser
<[e-mail]>; '[e-mail]' <[e-mail]>
Subject: USMC Camp Lejeune Notification of Intent to Operate an Injection Well Gottschalk Marina Site
1
Hi Mr. Rogers! I am forwarding the attached for our petroleum remediation site at Gottschalk Marina 31/S-715, NCDEQ
Incident# 32309. This is for a pilot test we would like to conduct at the site using ozone injections at two monitoring
wells.
Please let me or Jenni Reed, cc'd, know if you need any additional information or if you would like us to submit via regular
mail.
Thank you and have a good weekend-
Nikki Hall
Nicole L. Hall, P.E.
Engineering Support for MCB Camp Lejuene G-F/EMD/EQB CATLIN Engineers and Scientists Cell 540-604-0929
Privacy Act -1974 As amended applies, this E-Mail may contain information which must be protected IAW DoD 5400.llR,
and is For Official Use Only (FOUO). This email and any files transmitted with it are intended solely for the use of the
individual or agency to which they are addressed. If you have received this email in error, please notify me immediately.
For Official Use Only -Privacy Sensitive: Any misuse or unauthorized disclosure may result in both civil and criminal
penalties.
2
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS
Tllefol/owl11g art ''permitted by r11le" and do 1101 require a11 i11dlvi1lm1l peri11it 111l1e.11 co11slr11cted111 accor<la11ce
wtt/1 Ille mies of ISA NCAC 02C .0200. This ftmn sllal/ be .ntbmitted at le11st 2 weeks prior lo il1i ectio11.
AQUIFER TEST WELLS (15A NCAC 02c .0220)
These wells are used to inject uncon~aminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (15A NCAC 02c ,Q22S) or TRACER WELLS OSA NCAC QJC .0229):
I) Passive Inje.ction Systems -Jn~well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOCsystem~, and other gas infusion methods.
2) Small~Scale In jection O perations -Injection wells located withill a land surface area. not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individtuJl permit shall be requii'ed
for test 01· treatment areas exceeding 10.000 square feet.
3) Pilot Tests .. Preliminary studies conducted for the purpose of evaluating the technical feasibility ofa
remediation strategy in order to develop a full scal.e 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 ofthe land
surface above the known extent of groundwater contamination. An individual permit shall be required to conduct
more than one pilot test on any se11a1·nte groundwate1· contami11aut plume.
4) Air In jection Wells -Used to inject ambient air to enhance in-situ treatment of soil or groundwa~r.
Pri11t Clearly or Type I11/ormatio11, lllec.ible S11bmittals Will Be Ret11r11ed As I11co111plete.
DATE: February 22, 2016_ PERMITNO. WJ.0 3 00 l!-fJcto be filled in byOWR)
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) __ __,Air Injection Well. ..................................... Complete sections B-F, K, N
(2) ___ .Aquifer Test Well ....................................... Complete sections B-F, K, N
(3) __ __,Passive Injection System ..... ; ......... ; ................ Co1nplete sections B-F, H-N
(4) ___ .Small-Scale Injection Operation ...................... Con~plete sections B-N
(5) X =-=---P.Uot Test .................................................. Complete sections 8-N
(6) ___ TracerJnjection 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; MCIEAST-MCB Ca1ri p Le jeune, Attn: Jenni Reed . Environmental Mana ge ment Division
Mailing Address: 12 Pos t Lane
City: MCB Cam p Le ieune State: _NC_ Zip Code: 28542 Cout1ty:._,O=.n=s=lo'--'-w,.__. __ _
DayTele No.: 910-451-9017 Cell No.: _________ _
EMAIL Address: jennLreed @ usmc.niil Fax No.: __________ _
UIC/111 Situ Remed. Notification (Revised J/2/2015) Page I
D. PROPERTY OWNER (if different than well owner)
Name: Same as above
Mailing Address: ______________________________ _
City: ____________ State: __ Zip Code: _______ County: _____ _
Day Tele No.: ___________ _ Cell No.: __________ _
EMAIL Address: ____________ _ Fax No.: __________ _
E. PROJECT CONTACT-Person who can answer technical questions about the proposed injection project.
Name: Ben Grosser . Rhea Engineers and Consultants , Inc.
Mailing Address: --~3_,_l_,_4 _,_N..,..~G=r~ee=n~M=e=ad=o~'~"s~D~r=i~ve=•~S=te~IO~0"-----------------
City: Wilmin gton
Day Tele No.: 9 I0-350-3156
State: _NC_ Zip Code: 28405 County: New Hannover
Cell No.: 9 t0-650-9677
EMAfL Address: ben @rhea.us Fax No.: __________ _
F. PHYSICAL LOCATION OF WELL SITE
(1) Physical Address: ___ G=o=tt=s=c=ha=l=k...,M=a=ri=n=a • ....,U""'S"'"'T"-----=si=te'--'3'-'I.:....:/S,._-_._7=15=,.;Ir=1c=id=e=n,._t =32=3=0=9 ______ _
__________________________ County:~O=n=sl=o~w __ _
City: --'M=C=B=---C=a=m-=-=-p =L=-e i=e=un=e"-----------State: NC Zip Code: --=2=85,._4=2'-----
(2) Geographic Coordinates: Latitude**: ~34 __ 0 1Q.._' 36.10 " or
Longitude**: ~77'--_0 2.L_' 43.63 " or
0
0
Reference Datum: ________ Accuracy: _______ _
Method of Collection: _________________ _
•*FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FACILITY SITE MAP WITH PROPERTY
BOUNDARIES MAY DE SUBMITTED lN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: a pp roximateh• 784 square feet
Land surface area of inj. well network: approximately 784 square feet~ I 0,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: 2 monitoring wells . unknown radius of influence (must
be_::;: 5% of plume fOl' 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.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus
existing and proposed wells.
UIC/Jn Si/11 Remed. Notification (Revised 3/2/2015) Pagc2
I. DESCRIPTION OF PROPOSED INJEC1'10N ACTIVITIES -Provide a brief narrative regarding the
p1irpose, scope, and goals of the pl'oposed injection activity. This should include the rate, volume, and
duration of ittjection over time.
Based on the groundwater monitoring events conducted at the site during 2014 and 2015, only three
constituents. ethylbenzene. 1-methvlnaphthalene. and naphthale11e ·exceed the site cleanup levels of the North
Carolina Administrative Code 2B Surface Water Quality Standards. An ozone sparging pilot test is proposed
to dete1mine if these contaminants can be effectively reduced at the site. For this pilot test, monitoring wells
USTil-MW0l and MW02 will receive ozone injections over a. period of four days. two days per well. 10
hours per day. Before, during, and after the ozone injection. the site groundwater levels, dissolved oxygen.
oxidation-reduction potential, specific conductivity, pH, and temperature will be monitored. Note that the
rate of injection and the total volume of ozone to be injected are currently unknown and will be determined
prior to the injection based on a review of the Januarv2016 groundwater analytical data.
J, INJECT ANTS -Provide a MSDS and the following for each injectant. Attach additional sheets if necessa1y.
NOTE: Approved injectants (tracers and remediatfon additives) can be found onliue
at hllp:/lportal,ncdenr.org/weh/wglapslgwpm. All other substances must be reviewed by the Division of
Public Health, Departme11tofHea/tl, and Human Services. Contact the UIC Progr(Jmfor more info (919-8()7-
6496).
lnjeotant: Ozone ____________________________ _
Volumeofinjectant: TBD _________________________ _
Concentration !lt point of injection: :..=IA'-"-----------------------
Percent ifin a mixture with other injectants: N~/A~------------------
K. WELL CONSTRUCTION DATA
(1) Nt1mber of injection wells: --=O ___ Proposed. __ --=2.___ __ Existing
(2) Provide well construction details for each injection well fo 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) weU type as permanent, direct-push, or subsurface distributio1\ system (infiltration gallery)
(b) depth below land surface of grout, screen, and casing intervals
(c) well contractOI' name and ce1tification numbe:r
UICll,1 Sffu Rented. Notification (Revised 3/2/2015)
L. SCHEDULES — Briefly describe the schedule for well construction and injection activities.
Injection activities are proiected to begin in March 2016, and be completed within 4 days with
subseuuent tnonitoring and groundwater sample collection three days after completion of the infection to
track contaminant levels.
M. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in Subchapter 021, result from the injection activity.
Groundwater sarnplini; at the_ proposed infection wells IUST31-MWD1 and MW021 for VOCs 'Istria United
States Environmental Protection Agency (USEPA) Method 62001_602 list). Massachusetts Department of
Environmental Protection (MADE)') Extractable Petroleum Hydrocarbons (EPH) and Volatile Petroleum
Hydrocarbon (VPHk and PolvCYclic Aromatic Hydrocarbons lJ'AHs) by 610_625 list) will be completed
approxitnately three days after the iniection event to tt'ackpslot test performance and .veri j that no NCAC 21,
GWQS were violated d►triny the pilot test. An additional sarnnling event for the above mentioned anailles
will be performed on all site monitoring svells in July 2016 to further track groundwater contaminant levels.
N. SIGNATURE OF APPLICANT AND PROPERTY OWNER
APPLICANT: "I hereby cer9& under penalty of law, that 1 am: familiar with the it fo nation submitted in
this document and all attachments thereto and that, based on my inattiry of those individuals immediately
responsible for obtainlmg said information, I believe that the irormatiom is true, accurate and complete. I am
aware that Mere are significant penalties, ittehrding the possibility of fates and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well
and all related apptrtemanes i-accordance with the 1.521 NCAC 02C 0200
Ruleesss.. "
er
Print or Tyne Full Name
Signature
pliant
PROPERTY OWNER (if the property is not owned by the permit appal#cant]:
"As owner of the property on which Nye injection wells) 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 drat it shall be
the responsibility of the applicant to ensure ibat the injection well(s) conform to the Well Construction
Standards (15A NYCAC 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.
Signature* of Property Owner (if different from applicant) Print orTypeFull Nnnie
'` An access agreement between the applrcaml and property owner may be submitted in hen of a sign ahn a on this form
Submit the completed notification package to:
DWR—UJC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
I)ICIIn Soo Reined. Noiifnaliou (Revised 3/220)5) Page 4

Soil Boring Logs and Monitoring Well
Completion Records
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