WI0800206_Staff Report_20130726

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AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: July 26, 2013
To: ❑ Landon Davidson, ARO-APS ❑ David May, WaRO-APS
❑ Art Barnhardt, FRO-APS ® Morella Sanchez King, WiRO-APS
❑ Andrew Pitner, MRO-APS ❑ Sherri Knight, W-SRO-APS
❑ Rick Bolich, RRO-APS
From: Michael Rogers Groundwater Protection Unit
Telephone: [phone]
E-Mail: [e-mail]
Fax: [phone]
A. Permit Number: WI0800206
B. Owner: Phillipis 66
C. Facility/Operation:
❑ Proposed ® Existing
El Facility ❑ Operation
D. Application:
1. Permit Type: El Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration
El Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
• UIC —Groundwater Remediation Well
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ❑ Renewal ® Renewal w/ Mod.
E. Comments/Other Information: ❑
NOTE:
Attached, you will find all information submitted in support of the above -referenced application for your
review, comment, and/or action. Please take the following actions:
❑ Return a Completed APSARR Form.
❑ Attach Well Construction Data Sheet.
n Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person
listed above.
RO-APS Reviewer:
FORM: APSARR 07/06 Page 1 of 1
Date:

Godwin, Tonya
From: Godwin, Tonya
Sent: Thursday, July 25, 2013 9:27 AM
To: Slusser, Thomas
Cc: Prather, Karen; Watts, Debra; Rogers, Michael
Subject: RE: WI0800206 - Renewal w/Modification - Former Conoco Store # 33051
Good morning Thomas.
Thank you for making the change in BIMS.
am aware of the "Renewal w/Major Mod" option. However, the assignment slip did not specify if application was for a
minor or major modification. It is only marked "Renewal w/Modification". Currently, there is not a "Renewal w/Minor
Mod" option in BIMS. Therefore, I have to know whether this application is a minor or major mod because that will
determine how it is entered into BIMS. If it is a major mod, then I can use the "Renewal w/Major Mod" option. But, if it
is a minor modification, then I have to enter 2 separate applications, 1st -Minor Mod and 2"d-Renewal. The Minor Mod
has to be issued & completed in BIMS 1st before BIMS will allow me to enter the Renewal for this particular application.
Also, I have had other "Renewal w/Modification" packages in the past that were Minor Modifications.
Note: In the future during your review process, on "Renewal w/Modification" application packages, please make sure
to specify whether it is a minor or major modification. This determines how the
application is entered into BIMS.
Thank you
Tonya Godwin
NC Department of Environment and Natural Resources
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
919-807-6301 (Office)
919-807-6496 (Fax)
919-807-6464 (Main)
[e-mail]
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
From: Slusser, Thomas
Sent: Thursday, July 25, 2013 7:02 AM
To: Godwin, Tonya; Rogers, Michael
Subject: RE: WI0800206 - Renewal w/Modification - Former Conoco Store # 33051
Hi Tonya,
This is a renewal with major modification. I have edited the application in BIMS to reflect this status by going to the
Details 1 tab and, from the Project Type dropdown box on the right, selecting the "Renewal with major mod" option.
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This can also be done at the beginning by going to Tasks->Applications->Renew/Mbdify Application. From there just
select the "Renewal with major mod" option and enter the permit number
Thanks, and let me know if you have any questions.
Thomas.
ph# 91.9-807-6412 I fax# [phone]
Mailing Address: 1636 Mail Service Center, Raleigh, NC 27699-1.636
Physical .Address::Room. 640M:, Archdale Building, 512 N. Salisbury St., Raleigh, NC 27604.
Internet Address: http://portal.ncdenr.org/web/wq/aps/gwpro
F-mail correspondence to and from this address may he suhjjct to the North !,'arc//na !labile Records law end may hs diswIre. to third parties unless the content is
exempt by statute or other regu/attcn.
From: Godwin, Tonya
Sent: Wednesday, July 24, 2013 3:54 PM
To: Rogers, Michael
Cc: Slusser, Thomas
Subject: WI0800206 - Renewal w/Modification - Former Conoco Store # 33051
Importance: High
Mike,
I am returning this package to you before processing.
I need to know if this is a Major or Minor modification so it is entered correctly into BIMS.
I will also have to enter 2 separate applications: 1st — Major/Minor Modification
2nd — Renewal
Note: Cannot enter the Renewal application until the Modification application has been completed in BIMS.
Let me know if you have any questions.
Thank you
Tonya Godwin
NC Department of Environment and Natural Resources
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
919-807-6301 (Office)
919-807-6496 (Fax)
919-807-6464 (Main)
[e-mail]
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and
may be disclosed to third parties.
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Rogers, Michael
From:
Sent:
To:
Subject:
Gabe Araos [[e-mail]]
Wednesday, May 01, 2013 10:31 AM
Rogers, Michael
RE: Former Conoco Store #33051 (RM #6265)
Yes, if this all we need then we will proceed with the drilling. I'll notify you via email when the drilling is scheduled and
we'll submit the GW-1s once the drilling is completed. Thanks for your assistance with this project.
Gabriel Araos, P.E. 'Senior Project Manager' ATC Associates of North Carolina, P.C.
[phone] direct [phone] mobile
2725 E. Millbrook Road 1 Suite 121 1 Raleigh, North Carolina 27604
[phone] tel [phone] fax 1 www.atcassociates.com
Please Note: This message, including any attachments, may include privileged, confidential and/or inside information. Any
distribution or use of this communication by anyone other than the intended recipient is strictly prohibited and may be
unlawful. If you are not the intended recipient, please notify the sender by replying to this message and then delete it from
your computer.
Please consider the environment before printing this e-mail
From: Rogers, Michael [mailto:michael.rogers(ncdenr.nov]
Sent: Monday, April 29, 2013 10:36 AM
To: gabriel.araostOcardno.com
Subject: RE: Former Conoco Store #33051 (RM #6265)
Will this email suffice?
From: Gabe Araos J mailto:[e-mail]
Sent: Monday, April 29, 2013 10:08 AM
To: Rogers, Michael
Subject: RE: Former Conoco Store #33051 (RM #6265)
Michael,
Will you be issuing a letter regarding the approval?
Thanks
Gabriel Araos, P.E. 'Senior Project Manager' ATC Associates of North Carolina, P.C.
[phone] direct 1 [phone] mobile
2725 E. Millbrook Road 1 Suite 121 I Raleigh, North Carolina 27604
[phone] tel [phone] fax 1 www.atcassociates.com
Please Note: This message, including any attachments, may include privileged, confidential and/or inside information. Any
distribution or use of this communication by anyone other than the intended recipient is strictly prohibited and may be
unlawful. If you are not the intended recipient, please notify the sender by replying to this message and then delete it from
your computer.
Please consider the environment before printing this e-mail
1

From: Rogers, Michael[mailto:michael.rogers,6.ncdenr.gov]
Sent: Monday, April 29, 2013 10:00 AM
To: young45atc-enviro.com
Cc: 'Gabe Araos'
Subject: RE: Former Conoco Store #33051 (RM #6265)
The proposed modification to the permit dated April 4, 2013, is approved. Please provide GW-ls w/in 30 days of the
well construction modifications.
Thanks
From: Chris Young jmallto:young45(aatc-enviro.com]
Sent: Monday, August 27, 2012 10:35 AM
To: Rogers, Michael
Subject: Former Conoco Store #33051 (RM #6265) - Permit Ownership Change Letter
Mr. Rogers:
Per our phone conversation today, I am mailing you a copy of the permit ownership change letter for Former Conoco
Store #33051 (RM #6265) in Wilmington, NC. The letter is in reference to Injection Permit # WI0800206.
Please let me know if the letter does not arrive in the next week or so, or if you have any questions. Thanks!
Christopher R. Young 1 Staff Scientist I ATC Group Services Inc. Raleigh, NC
2725 E. Millbrook Road I Suite 121 I Raleigh, North Carolina 27604
[phone] I [phone] direct I [phone] cell I www.atcassociates.com
ATC is a leader in developing innovative Environmental, Geotechnical/CMT/Special Inspections and Health & Safety solutions.
PLEASE NOTE: This message, including any attachments, may include privileged, confidential and/or inside information. Any
distribution or use of this communication by anyone other than the intended recipient is strictly prohibited and may be unlawful. If
you are not the intended recipient, please notify the sender by replying to this message and then delete it from your computer
2

Rogers, Michael
From: King, Morella s
Sent: Wednesday, September 04, 2013 4:53 PM
To: Rogers, Michael
Subject: Staff Report- CONOCO well injection application (WI0800206)- Our conversation on
09/04/2013
Attachments: UIC Staff Report WI0800206.pdf; Map- WI0800206.pdf
Michael,
This is a follow up on our conversation regarding the sampling frequency of the target contaminant (sulfate) for the
subject permit. The amount of injectant fluid (magnesium sulfate) will increase from 800 gallons to 6,000 gallons;
therefore, the amount of sulfate will increase proportionally. The Regional Office does not have concerns keeping the
previous sampling frequency as long as the sulfate concentrations remain below the 2L standard of 250 mg/I.
Thank you,
Morella
Morella Sanchez King
910 796 7218
From: King, Morella s
Sent: Friday, August 16, 2013 10:20 AM
To: Rogers, Michael
Subject: Staff Report- CONOCO well injection application (WI0800206)
Michael:
Please find enclosed the staff report/map for the subject review. Please let me know if you want me to mail you the
signed original.
Thank you,
Morella
Morella Sanchez King, PhD, PE.
NCDENR Division of Water Resources
Aquifer Protection Section, Regional Supervisor
Wilmington Regional Office
127 Cardinal Drive Extension; Wilmington, NC 28405
[e-mail]; (P)910 796 7218 - (F) 910 350 2004
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AQUIFER PROTECTION SECTION - GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
Date: 08/15/2013 Permittee(s): Phillips 66 Company
Permit No.: WI0800206
To: APS Central Office County: New Hanover
Central Office Reviewer: Michael Rogers
Project Name: Former Conoco store #33051
Regional Office Reviewer: Morella Sanchez King
I. GENERAL INFORMATION quiferPr
1. This application is (check all that apply): ❑ SFR Waste Irrigation System ❑ UIC Well(s) Protection Section
❑ New ® Renewal
® Minor Modification ['Major Modification
❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals
❑ Distribution of Residuals
❑ Attachment B included
❑ Surface Disposal
❑ 503 regulated ❑ 503 exempt
❑ Closed -loop Groundwater Remediation ® Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ❑ Yes or ® No.
a. Date of site visit: N/A
b. Person contacted and contact information: N/A
c. Site visit conducted by: N/A
d. Inspection Report Attached: ❑ Yes or ❑ No. N/A
2. Is the following information entered into the BIMS record for this application correct?
['Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application.
For SFR Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude: Method Used (GPS, GoogleTM, etc.);
e. Regulated Activities / Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For UIC Injection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s): Former Conoco Store #33051 (RM#6265)
b. Driving Directions: 2636 Castle Hayne Rd. Wilmington. NC
c. USGS Quadrangle Map name and number:
d. 1W-1 thru IW-6
Latitude: Refer to BIMS Longitude: Refer to BIMS Method Used (GPS, GoogleTM, etc.);
APS-GPU Regional Staff Report (Sept 09) Page 1 of 4 Pages

AQUIFER PROTECTION SECTION - GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed -loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description of Well(s) and Facilities — New, Renewal, and Modification
1. Type of injection system:
❑ Heating/cooling water return flow (5A7)
❑ Closed -loop heat pump system (5QM/5QW)
® In situ remediation (5I)
❑ Closed -loop groundwater remediation effluent injection (5L/"Non-Discharge")
❑ Other (Specify: )
2. Does system use same well for water source and injection? ❑ Yes ® No
3. Are there any potential pollution sources that may affect injection? ❑ Yes ® No
What is/are the pollution source(s)? What is the distance of the injection well(s) from the pollution source(s)?
—30 ft.
4. What is the minimum distance of proposed injection wells from the property boundary? 65 ft.
5. Quality of drainage at site: ❑ Good
6. Flooding potential of site: ® Low
® Adequate
❑ Moderate
❑ Poor
❑ High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? ® Yes n No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: N/A
8. Does the map presented represent the actual site (property lines, wells, surface drainage)? ❑ Yes or ® No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow. A map of the site showing the property lines is included
(Ref: New Hanover County GIS system)
Injection Well Permit Renewal and Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
n Yes n No. If yes. explain: N/A
2. For closed -loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? ❑ Yes n No. If \ es. explain: N/A
3. For renewal or modification of groundwater remediation permits (of any type), will
continued/additional/modified injections have an adverse impact on miuration of the plume or manau.ement of
the contamination incident? n Yes r No. If yes. explain:
APS-GPU Regional Staff Report (Sept 09) Page 2 of 4 Pages

AQUIFER PROTECTION SECTION - GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
4. Drilling Contractor: Name: Mark Geuys
Address: Geologic Exploration, INC
101 Verna Ln, Statesville. NC 28625
NC Certification number: A-2345
5. Complete and attach NEW Injection Facility Inspection Report, if applicable
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the Application:
2. Attach new Injection Facility Inspection Form, if applicable
3. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If yes, please explain
briefly. There should be no problems with issuing this permit. Regarding groundwater monitoring, Applicant
is proposing to analyze for benzene, MTBE, naphthalene, and sulfate, DO, ORP, pH, temperature, and
specific conductance. The RO recommendation would be to review on current monitoring/sampling frequency
since the dosage of magnesium sulfate @20% has increased from 800 gallons in the 2010 permit application to
6,000 gallons per injection (1,000 gallons/well) in the current application. The target (introduced) contaminant
to be checked is sulfate.
4 List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item: The information provided is complete and adequate.
Item
Reason
5 List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition
Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
APS-GPU Regional Staff Report (Sept 09) Page 3 of 4 Pages

AQUIFER PROTECTION SECTION - GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
Condition
Reason
7 Recommendation: n Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review of draft permit by regional office;
n Issue upon receipt of needed additional information;
® Issue; Check on RO recommendation in Section V- (3)
n Deny. If deny, please state reasons:
8. Signature of report Preparer(s): Morella Sanchez King; signed (MSKJ
Signature of APS regional supervisor: Morella Sanchez Kin si. ned MS
Date: 08/15/2013
og/iI2l3
VI. ADDITIONAL INFORMATION AND SITE MAP (Sketch of site showing' house and waste irrigation
system, sprat, or drip field, location of well(s)! and/or other relevant information- SHOW NORTH ARROW)
Map is attached
APS-GPU Regional Staff Report (Sept 09) Page 4 of 4 Pages

North Carolina Department of Health and Human Services
Division of Public Health • Epidemiology Section
1912 Mail Service Center • Raleigh, North Carolina 27699-1912
Tel [phone] • Fax [phone]
Michael F Easley, Governor Carmen Hooker Odom, Secretary
November 13, 2006
MEMORANDUM
TO: Qu Qi
Underground Injection Control Program
Aquifer Protection Section
4
FROM: Luanne K. Williams, Phann.D., Toxicologist <
Medical Evaluation and Risk Assessment Unit
Occupational and Environmental Epidemiology Branch
North Carolina Department of Health and Human Services
SUBJECT: Use of Non -Biological Products Epsom Salt, Technical Grade (magnesium
sulfate, heptahydrate) and Iron Sulfate to Enhance Biodegradation of
Contaminated Groundwater
I am writing in response to a request for a health risk evaluation regarding the use of non -
biological products including epsom salt, technical grade (i.e., magnesium sulfate, heptahydrate)
and iron. sulfate to enhance biodegradation of contaminated groundwater. It is my understanding
from the information submitted by Delta Environmental Consultants, Inc., that if the dissolved
iron concentration significantly decreases, then the application wil.1 be modified from. magnesium
sulfate to iron sulfate. Based upon my review of the information submitted by Delta
Environmental Consultants, Inc., I offer the following health risk evaluation:
1. Some effects or hazards reported to be associated with the chemicals proposed for use are
as follows:
• Exposure can cause irritation of eyes, nose and throat; early flushing; nausea;
vomiting; hypotension; ECG changes (prolonged PR and QRS intervals); CNS
depression; respiratory depression; impairment of neuromuscular transmission
(hyporeflexia, paralysis); and gastrointestinal hemorrhaging (Micromedex TOMEs
Plus System CD-ROM Database, Volume 70, 2006)
2. If the products are released into the environment in a way that could result in a
suspension of fine solidor liquid particles (e.g., grinding, blending, vigorous shaking or
mixing), then proper personal protective equipment should be used. The application
process should be reviewed by an industrial hygienist to ensure that the most appropriate
personal protective equipment is used.
Location: 5505 Six Forks Road, 2nd Floor, Room D1 • Raleigh, N.C. 27609 An Equal Opportunity Employer

'1

3. Persons working with this product should at least wear goggles or a face shield, gloves,
and protective clothing. Face and body protection should be used for anticipated splashes
or sprays. Again, consult with an industrial. hygienist to ensure proper protection.
4. Eating, drinking, smoking, handling contact lenses, and applying cosmetics should never
be permitted in the application area during or immediately following application. Safety
controls should be in place to ensure that the -check valve and the pressure delivery
systems are working properly.
5. The Material Safety Data Sheets should be followed to prevent adverse reactions and
injuries.
6. Access to the area of application should be limited to the workers applying the product.
In order to minimize exposure to unprotected individuals, measures should be taken to
prevent access to the area of application.
7. According to the information submitted, the area is served by a public water supply.
There are no public water supply wells within 900 feet down gradient of the site. There
is one on -site non -potable well (used for washout and hydrostatic testing) 160 feet up
gradient from the proposed site of injection. The nearest surface water body is the Neuse
River which is approximately �/4 mile northwest of the site. Efforts should be made to
prevent contamination of existing or future wells and surface waters that may be located
bear the application area.
8. Based on the information submitted, iron sulfide and magnesitun. carbonate are typical
degradation products. An inorganic analysis including iron, sulfate, and total dissolved
so.li.ds should be done before and after the injection of the magnesium sulfate. This is
needed so that a comparison can be made between the naturally -occurring inorganics
prior to injection. and post injection and to ensure that the iron, sulfate, and total dissolved
levels do not exceed the groundwater quality standards of 0.3 mg/L, 250 mg/L, and 500
mg/L, respectively, as a result of the injection.
Please do not hesitate to call me if you have any questions at [phone]'.
d t
cc: -Mr. Rodney Vaughn, 4414 Buffalo Road (P.O. Box 338), Selma, NC 27576
- Ms. Nancy Forster, Delta Environmental Consultants, Inc., 5000 Peachtree Industrial
Boulevard, Suite 100, Norcross, GA 30071
- Mr. John G. Blumberg, PQ Corporation, P.O. Box 840, Valley Forge, PA 19482
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