WI0600060_Correspondence_20190329

6f. Inner casing/tubing length (if known): 1 0
6g. Screen length (if known): 5
Form GW-30
q LL ABANDONMENT ,CORD
, form can be used for single or multiple wells
,. Well Contractor Information:
Lawrence D. Opper
Well Contractor Name (or well owner personally abandoning well on his/her property)
NC 3322-A
NC Well Contractor Certification Number
Regional Probing Services
Company Natm
2. Well Construction Permit #: WQ0035089
List all applicable well construction permits (i.e. County, State, Variance, etc.) if known
3. Well use (check well use):
Water Supply Well:
❑Agricultural
❑Geothermal (Heating/Cooling Supply)
❑ Industrial/Commercial
❑irrigation
Non -Water Supply Well:
iMonitoring
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technology
❑Geothermal (Closed Loop)
❑Geothermal (Heating/Cooling Return)
❑Municipal/Public
❑Residential Water Supply (single)
OResidential Water Supply (shared)
❑Recovery
0Groundwater Remediation
❑Salinity Barrier
❑ Stomhwater Drainage
❑ Subsidence Control
❑Tracer
❑Other (explain under 7g)
4. Date well(s) abandoned: 3/27/2019-3/28/2019
5a. Well location:
CSX Transportation, Inc.
Facility/Owner Name Facility IDl (if applicable)
Rosindale Derailment Site, Rosindale, NC 284
Physical Address, City, and Zip
Bladen
County
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one Iat/long is sufficient)
34.434780 N 78.504932
CONSTRUCTION DETAILS OF WELL(S) BEING ABANDONED
Attach well construction record(s) if available. For multiple injection or non -water supply
wells ONLY with the same construction/abandonment, you can submit one form.
shallow Injection Wells
6a. Well ID#:
6b. Total well depth: 15
(ft.)
6c. Borehole diameter: well dia: 2 on.)
6d. Water level below ground surface: approx 2 (ft)
6e. Outer casing length (if known): (ft.)
(ft.)
(ft)
0 Neat Cement Grout
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
For It:JMIANLYpv c 00 3 i5
WELL ABANDONMENT DETAILS G $ 7( /j vj44
� f
7a. Number of wells being abandoned: /`15 5 5/ &Al
For mulnple injection or non -water supply wells ONLY with the same
construction/abandonment, you can submit one form.$3,41 O /6A. /VA/ e f
7b. Approximate volume of water remaining in well(s): (gal.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that apply):
O Bentonite Chips or Pellets
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
7f. For each material selected above, provide amount of materials used:
Grout: 2.6 gallons/ well
7g. Provide a brief description of the abandonment procedure:
Tremie filled from bottom -up. Excavated and removed at least 2 ft of well casing
below land surface at each well.
8. Certification:
Lawrence Opper
Signature of Certified Well Contractor or Well Owner
3/29/2019
Date
By signing this form, ! hereby certibl that the well(s) was (were) abandoned in
Parcel Identification No. (PIN) accordance with 15A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Iniection Wells: In addition to sending the form to the address in 10a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
10c. For Water Sum* & lniection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
completion of well abandonment to the county health department of the county
where abandoned.
North Carolina Department of Environment and Natural Resources - Division of Water Quality Revised March 2013

•
• .-WELL ABANDONMENT `CORD
This form can be used for single or multiple wells
For internal Use ONLY:
1. Well Contractor Information:
_ Lawrence D. Opper
Well Contractor Name (or well owner personally abandoning well on his/her property)
NC 3322-A
NC Well Contractor Certification Number
Regional Probing Services
Company Name
2. Well Construction Permit I): WQ0035089
List all applicable well construction permits 6.e. County, State, Variance, etc.) if known
3. Well use (check well use):
Water Supply Well:
DAgricultural
OGeothermal (Heating/Cooling Supply)
❑ In dustrial/Commercial
❑Irrigation
Non -Water Supply Well:
Monitoring
OMunicipallPublic
OResidential Water Supply (single)
OResidential Water Supply (shared)
ORecovery
Injection Well:
❑Aquifer Recharge
❑Aquifer Storage and Recovery
OAquifer Test
OExperimental Technology
❑Geothermal (Closed Loop)
OGeothennal (Heating/Cooling Return)
°Groundwater Remediation
OSalinity Barrier
❑Stormwater Drainage
❑Subsidence Control
❑Tracer
OOther (explain under 7g)
4. Date well(s) abandoned: 3/27/2019-3/28/2019
5a. Well location:
CSX Transportation, Inc.
Facility/Owner Name Facility 11311 (if applicable)
Rosindale Derailment Site, Rosindale, NC 284
Physical Address, City, and Zip
Bladen
County Parcel identification No. (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field, one lat/long is sufficient)
34.434780 . N 78.504932
W
CONSTRUCTION DETAILS OF WELLS) BEING ABANDONED
Attach well construction record(s) if available. For multiple injection or non -enter supply
wells ONLY with the same construction/abandonment, you can submit one form.
6a. Well l)go Deep,Injection Wells
6b. Total well depth: 25
6c. Borehole diameter: well dia: 2
(ft.)
6d. Water level below ground surface: approx 2 (ft)
6e. Outer easing length (if known): (ft)
6E Inner casing/tubing length (if known): 15 (ft.)
6g. Screen length (if known): 10 (ft.)
WELL ABANDONMENT DETAILS
7a. Number of wells being abandoned:. 43
For multiple injection or non -water supply wells
construction/abandonment, you can submit one form.
7b. Approximate volume of water remaining in well(s): 0
ONLY with the same\
(gal.) \
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing materials used (check all that apply):
❑ Bentonite Chips or Pellets
❑ Dry Clay
❑ Drill Cuttings
❑ Gravel
❑ Other (explain under 7g)
a Neat Cement Grout
❑ Sand Cement Grout
❑ Concrete Grout
❑ Specialty Grout
❑ Bentonite Slurry
7f. For each material selected above, provide amount of materials used:
Grout: 4.5 gallons/ well
7g. Provide a brief description of the abandonment procedure:
Tremie fulled from bottom -up. Excavated and removed at least 2 ft of well casing
below land surface at each well.
8. Certification:
Lawrence Opper,,. -,:5^ -r-- 3/29/2019
Signature ofCenified Well Contractor or Well Owner Date
By signing this form, I hereby cert(jy that the well(s) was (were) abandoned in
accordance with I5A NCAC 02C .0100 or 2C .0200 Well Construction Standards
and that a copy of this record has been provided to the well owner.
9. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
10a. For All Wells: Submit this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Information Processing Unit,
1617 Mail Service Center, Raleigh, NC 27699-1617
10b. For Infection Wells: In addition to sending the form to the address in l0a
above, also submit one copy of this form within 30 days of completion of well
abandonment to the following:
Division of Water Quality, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 27699-1636
10e. For Water Suaply & Iniection Wells: In addition to sending the form to
the address(es) above, also submit one copy of this form within 30 days of
completion of well abandonment to the county health department of the county
where abandoned.
Form GW-30
North Carolina Department of Environment and Natural Resources —Division of Water Quality Revised March 2013

r
HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Govemor Director Secretary
September 30, 2010
Matt Adkins, Environmental Remediation Manager
CSX Transportation, Inc.
351 Thornton Road, Suite 123
Lithia Springs, GA 30122
Ref: Issuance of Injection Permit WI0600060
CSX Transportation, Inc.
Dear Mr. Adkins:
In accordance with the application received on June 17, 2010, we are forwarding permit number WI0600060. This permit
is to inject emulsified edible oil substrate (EOS) and sodium lactate at the CSX Transportation, Inc. derailment spill site
located approximately 830 feet northwest of the intersection of North Carolina Hwy. 211 and Microwave Tower Rd.,
Council, Bladen County, NC 28434. This permit shall be effective from the date of issuance until August 31, 2013, and
shall be subject to the conditions and limitations stated therein, including the requirement to submit a final project
evaluation as stated in PART VII — MONITORING AND REPORTING REQUIREMENTS. Please read the entire
permit to ensure that you are aware of all compliance requirements of the permit.
Please pay special attention to the following Parts in the Permit:
Part VHS- Within 60 days of completion of the injection event, an `as -built' survey of the location of injection
wells shall be submitted to the Aquifer Protection Section -Underground Injection Control (UIC) Central Office
and the Fayetteville Regional Office Aquifer Protection Section.
Part VH.2- The proposed monitoring plan included in the application shall be followed; except that monitoring
shall occur for at least two quarters after laboratory analytical results indicate the contaminants of concern
(COCs) are below 15A NCAC 2L .0200. This is in order to confirm that the-remediation is permanent as the
effectiveness of this form of proposed treatment for elevated metals is related to natural pH and redox conditions.
You will need to notify this office and the. Fayetteville Regional Office by telephone 48 hours prior to initiation of
operation of the facility. In order to continue uninterrupted legal use of the injection facility for the stated purpose, you
must submit an application to renew the permit 120 days prior to its expiration date. Please contact me at 919-715-6166
or Michael.Rogers(a ncdenr.gov if you have any questions about your permit.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1: 919-715-0588; FAX 2:919-715-6048 \ Customer Service:1-87Pfi23.6748
Internet www.ncwateroualitv.orq
An Equal Opportunity 1 Affirmative Acton Employer
One
NorthCarolina
A2atundIZJ

Best Regards, -
Michael Rogers, P.G. (NC . FL)
Environmental Specialist
Underground Injection Control Program
cc: Art Barnhardt - Fayetteville Regional Office
Kathleen Roush — AMEC Earth & Environmental, Inc.
WI0600060 Permit File
Keith Rodgers - Division of Waste Management

ATti
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director
Secretary
June 22,2010
Matt Adkins - Environmental Remediation Manager
CSX Transportation
351 Thornton Road
Suite 123
Lithia Springs, GA 30122
Subject: Acknowledgement of Application No. WI0600060
Microwave Tower Rd
Injection In situ Groundwater Remediation Well
Bladen
Dear Mr. Adkins:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on June 17, 2010. This application package has been assigned the number listed above and will be reviewed by
Michael Rogers.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the
maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and complete
response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the
Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete
application.
If you have any questions, please contact Michael Rogers at 919-715-6166, or via e-mail at [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division has reorganized. To
review our new organizational chart, go to http://h2o.enr.state.nc.us/documents/dwc orochart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
U k
for Debra J. Watts
Supervisor
cc: Fayetteville Regional Office, Aquifer Protection Section
Kathleen Roush, LG., RSM (AMEC - 2200 Gateway Centre Blvd, Suite 205. Morrisville, NC 27560)
Permit Application File WI0600060
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX [phone]: FAX 2: 919-715-6048 , Customer Service: 1-877-623-6748
Internet www.ncwaterquality.orq
An Equal Opportunity Affirmative Action Employer
One
North Carolina
72'aturaIiq

amecs
June 16, 2010
Ms. Debra Watts
UIC Program — Aquifer Protection Section
North Carolina DENR - DWQ
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Subject: Underground Injection Control Permit Application
Former CSXT-Rosindale Derailment Site
Rosindale, Bladen County, North Carolina
Dear Ms. Watts:
On behalf of CSX Transportation, AMEC Earth & Environmental, Inc. (AMEC) is pleased to
provide the following permit application to treat hexavalent chromium in groundwater at the
railroad derailment site located in Rosindale, North Carolina. If you have any questions
regarding the proposed activities, please contact me at [phone].
Respectfully Submitted,
AMEC Earth & Environmental, Inc.
l
Kathleen A. Roush, L.G.
Senior Project Manager
Attachments
CC: Matt Adkins — CSX Transportation
AMEC Earth & Environmental, Inc.
2200 Gateway Centre Boulevard, Suite 205
Morrisville, NC 27560
www.amec.com
RECEIVED / DENR / DWQ
Aquifer Protection Section
JUN 1.7 2010
Tel — [phone]
Fax — [phone]

ame9
UNDERGROUND INJECTION CONTROL PERMIT APPLICATION
FORMER CSXT-ROSINDALE DERAILMENT SITE
ROSINDALE, BLADEN COUNTY, NORTH CAROLINA
Site ID No.: NONCD 0002776
Latitude and Longitude: 34.43503°, 78.504337°
Registered Environmental Consultant:
AMEC Earth & Environmental, Inc.
2200 Gateway Centre Blvd, Suite 205
Morrisville, North Carolina 27560
Harold Thurston, PG
Senior Project Manager
AMEC Earth & Environmental, Inc.
2200 Gateway Centre Blvd, Suite 205
Morrisville, NC 27560
June 16, 2010
RECEIVED / DENR / DWQ
Aquifer Protection Section
www.amec.com
JUN 1.7 2010
Kathleen A. Roush, L.G., R
Senior Project Manages
i TA
V,Ariv pt.
Tel — [phone]
Fax — [phone]