WI0600047_Injection Event Record_20190926

Groundwater Management Associates, Inc.
4300 Sapphire Court, Suite 100
Greenville, North Carolina 27834
Telephone: [phone]
www.gma-nc.com
September 26, 2019
Mr. D. Michael Rogers
NCDWQ, DWR, UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Re: UIC Permit (#WI0600047) — Injection Event Record No. 2
NCDOT Priority Site #32, (Johnson Brothers Utility & Paving Company)
1924 North Main Street, Lillington, Harnett County, North Carolina
Dear Mr. Rogers,
Groundwater Management Associates, Inc. (GMA) completed and attached two hard copies of
the second injection event record (an electronic copy was sent via email also). A table with an
updated injection schedule is attached. Please call me at [phone] or email me
([e-mail]) if you have any questions.
Sincerely,
Groundwater Management Associates, Inc.
Katie T. Hackney, PG
Senior Hydrogeologist
Enclosures: 1) In -Situ Groundwater Remediation Injection Event Record — sent via email:
9/26/2019 and mailed (2 hard copies); includes figures, and tables
cc: DWR, FRO, Water Quality Operations Section (hard copy)
Mr. John Wise, PE, GMA-Apex (email)
Mr. Jason Prosser, PG, NCDOT Roadside Environmental Unit (email)
Z:\GMA\1605xx-NCDOT\160502_Site#32_Lillington\UIC Injection\UIC Injection Event Records\2019 September 04_Record
2\UICIERCover_Site#32_Li ll ington_20190526.docx
The Groundwater Experts

North Carolina Department of Environmental Quality — Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number WI0600047
1. Permit Information
NCDOT Priority Site #32 Lillington
Permittee
Johnson Brothers Utility and Paving
Facility Name
1924 N. Main St, Lillington, NC 27546, Harnett Co.
Facility Address (include County)
2. Injection Contractor Information
Groundwater Management Associates, Inc. (GMA)
Injection Contractor / Company Name
Street Address_4300 Sapphire Court, Ste. 100
Greenville, NC 27834
City State Zip Code
( 252 ) 758-3310
Area code — Phone number
3. Well Information
Number of wells used for injection 5
Well IDs: 32-MW 1, 32-MW8, 32- MW 10, 32-
MW17, 32-MW18
Were any new wells installed during this injection
event?
❑ Yes ®No
If yes, please provide the following information:
Number of Monitoring Wells 0
Number of Injection Wells 0
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ❑ Direct -Push
❑ Hand -Augured ❑ Other (specify)
Please include a copy of the GW-1 form for each
well installed.
Were any wells abandoned during this injection
event?
❑ Yes ® 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
See Attached Table 1
Injectant(s) Type (can use separate additional sheets
if necessary
Concentration See Attached Table 1
If the injectant is diluted please indicate the source
dilution fluid.: Lillington Municipal Water System
Total Volume Injected (gal)See Attached Table 1
Volume Injected per well (gal)See Attached Table 1
5. Injection History
Injection date(s)_August 12-15, 2019
Injection number (e.g. 3 of 5) 2 of 20
Is this the last injection at this site?
❑ 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 PERFORMED WITHIN THE
STA DARDS LA OUT IN THE PERMIT.
ciloo
SIGNATURE OF INJEC ION CONTRACTOR DA E
Katie T. Hackney, PG, GMA
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. 3-1-2016

THIS MAP IS NOT A CERTIFIED SURVEY AND HAS NOT BEEN
REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE
WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS.
�• I n_
% THIS PRODUCT IS FOR REFERENCE AND ILLUSTRATION PURPOSES
ONLY AND IS ONLY AS ACCURATE AS THE SOURCE DATA FROM
WHICH IT WAS COMPILED.
i . � t • �
to
LEGEND
• SITE
File: DRAWINGS/160502/
TOPO
Project No. 160502
0
gr%
q4
r)
1000
2000 Feet
LILLINGTON QUADRANGLE
NORTH CAROLINA-HARNETT COUNTY
7.5 MINUTE SERIES (TOPOGRAPHIC)
CONTOUR INTERVAL = 10 FEET
MAP DATED 1997
TOPOGRAPHIC MAP
NCDOT PRIORITY SITE #32, LILLINGTON, HARNETT CO., NC
GMA
DATE: 5/11/2017
FIGURE 1

,THIS MAP IS NOTA CERTIFIED SURVEY AND HAS NOT BEEN •
REVIEWED BY A LOCAL GOVERNMENT AGENCY FOR COMPLIANCE
WITH ANY APPLICABLE LAND DEVELOPMENT REGULATIONS.
e 14 .. /
THIS PRODUCT IS FOR REFERENCE AND ILLUSTRATION PURPOSES
ONLY AND IS ONLY AS ACCURATE AS THE SOURCE DATA FROM
WHICH IT WAS COMPILED. ! ^II f
LEGEND
ROAD
BUILDING
MONITORING WELL
PARCEL BOUNDARY
SCALE IN FEET
0 80'
GMA
File: DRAWINGS/160502/
SITEMAP-2019
SITE MAP WITH AERIAL BASE
Project No. 160502
NCDOT PRIORITY SITE #32, LILLINGTON, HARNETT CO., NC
DATE: 5/21/2019
FIGURE 2
F-2

Table 1. Injectant Information for Injection Event Record
NCDOT Priority Site #32, Johnson Brothers Paving & Utility Co., Lillington, Harnett County, NC GMA Project #160502
Injectant Type
Total Per Injection Event
Volume Solution Injected Per Well (gallons)
Volume Potable H2O Injected Per Well (gallons)
Injection
Event ID
HFCS
(gallons)
NaHCO3
(pounds)
(NaP03)6
(pounds)
Potable
H2O
(gallons)
Total Volume
Soultion Injected
(gallons)
Volume Potable
H2O Flush
(gallons)
32-MW1
32-MW8
32-MW10
32-MW17
32-MW18
32-MW1
32-MW8
32-MW10
32-MW17
32-MW18
1
(5/14-20/19)I
637
1550
38
3240
3960
1545
585
820
1285
440
830
215
275
505
275
275
2
(8/12-15/19)
690
1200
0
3500
4050
1215
590
810
1040
850
760
155
270
345
223
222
3
4
I
5
HFCS = High Fructos Corn Syrup
NaHCO3 = Sodium Bicarbonate
(NaP03)6= Hexamataphosphaste
H2O = Water

Table 5. Anticipated Schedule of Injection Related Activities - Year One
NCDOT Priority Site #32, Johnson Brothers Paving & Utility Co., Lillington, Harnett County, NC GMA Project #160502
Activity
Anticipated Start Date (subject to future
modification)
Monitoring Well Installation
3/12-14/2019
Develop New monitoring Wells
3/14/2019
Antecedent (Pre -Injection) Sampling Event
5/2-3/2019
Initial Injection Event
5/14-20/2019
1st Quarterly Sampling Event
7/15-16/2019
Second Injection Event
8/12-15/2019
2nd Quarterly Sampling Event
9/23-24/2019 *
Third Injection Event
11/11/2019
3rd Quarterly Sampling Event
between 1/6/20 & 1/24/20
Forth Injection Event
2/10/2020
4th Quarterly Sampling Event
between 4/6/2020 & 4/24/2020
Report of Findings and Schedule of Additional Activities
5/11/2020
* moved up due to scheduling conflicts month of October