WI0501085_Permit (Issuance)_20211013

ATC
ENVIRONMENTAL • GEOTECHNICAL
BUILDING SCIENCES • MATERIALS TESTING
2725 East Millbrook Road
Suite 121
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
www.atcgroupservices.com
N.C. Engineering License No. C-1598
October 5, 2021
Ms. Shristi Shrestha
North Carolina Department of Environmental Quality
Division of Water Quality - Aquifer Protection Section, UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Reference: Notice of Intent to Construct or Operate Injection Wells
Best Price Cleaners
6820 Davis Circle
Raleigh, Wake County, North Carolina
ID No. DC920062
Dear Ms. Shrestha:
ATC Associates of North Carolina, P.C. (ATC) has prepared the enclosed Notice of Intent to
Construct or Operate Injection Wells on behalf of the NCDEQ Dry -Cleaner Solvent Cleanup
(DSCA) Program. The permit application covers injection of air through a proposed air-sparge
injection well at Best Price Cleaners, and is located at 6820 Davis Circle, in Raleigh, North
Carolina. Initially, the well will be used to conduct a pilot test.
If you have questions or require additional information, please contact our office at [phone].
Sincerely,
ATC Associates of North Carolina, P.C.
Samadhi Lee
Staff Scientist
Attachments
/PI -9A-r-r--
Larry George, P.G.
Senior Project Manager

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 of 15A NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS prior to injection)
AQUIFER TEST WELLS (15A NCAC 02C .0220)
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (15A NCAC 02C .0225) or TRACER WELLS (15A NCAC 02C .0229):
1) Passive Injection Systems - 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 Injection Operations — 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) — Used to `heat' contaminated groundwater to enhance remediation
Print Clearly or Type Information. Illegible Submittals Will Be Returned as Incomplete.
DATE: October 5, 20 21
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:
A.
B.
Permit No. WI Issued Date:
WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) x Air Injection 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) Pilot Test Complete sections B through M
(6) In -Situ Thermal (IST) Well Complete all sections except K
STATUS OF WELL OWNER: Choose an item.
Deemed Permitted GW Remediation NOI Rev. 2-14-2020
Page 1

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): Petitioner for DSCA Site #DC920062
Mailing Address: DSCA Program, 1646 Mail Service Center
City: Raleigh
Day Tele No.: 877-623-6748
State: NC Zip Code: 27699 County: Wake
Cell No.: Not Available
EMAIL Address: Not Available
Fax No.: Not Available
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title: Pankaj Parmar - President
Company Name Ariana Corporation USA
Mailing Address: 101 Swift Wind Place
City: Apex State: NC Zip Code: 27539 County: Wake
Day Tele No.: 919-749-6660 Cell No.: Not Available
EMAIL Address: [e-mail] Fax No.: Not Available
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title: Larry George, P.G., Senior Project Manager
Company Name ATC Associates of North Carolina, P.C.
Mailing Address: 2725 East Millbrook Road, Suite 121
City: Raleigh State: NC Zip Code: 27604 County: Wake
Day Tele No.: [phone] Cell No.:
EMAIL Address:larry.george@a,oneatlas.com
Fax No.: [phone]
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: Best Price Cleaners
6820 Davis Circle
City: Raleigh
County: Wake
Zip Code: 27613
(2) Geographic Coordinates: Latitude**: " or 35.864561 °N
Longitude**: " or -78.710526 °W
Reference Datum: WGS84 Accuracy: +/- 10 feet
Method of Collection: Google Earth
**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: square feet
Land surface area of inj. well network: square feet (< 10,000 ft2 for small-scale injections)
Percent of contaminant plume area to be treated: (must be < 5% of plume for pilot test injections)
Deemed Permitted GW Remediation NOI Rev. 2-14-2020 Page 2

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.
See Figures 1 through 8 for site location, injection zone maps, and cross sections.
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:
J. WELL CONSTRUCTION DATA
(1) No. of injection wells: 1 Proposed 0 Existing (provide NC Well
Construction Record (GW-1) for each well) — See Appendix A
(2) Appx. injection depths (BLS): 30 feet
(3) For Proposed wells or Existing wells not having GW-1s, 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: Only injectants approved by the epidemiology section of the NC Division of Public Health, Department
of Health and Human Services can be injected. Approved injectants can be found online at
http://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/ground-water-
protection/ground-water-approved-injectants. All other substances must be reviewed by the DHHS prior to use.
Contact the UIC Program for more info if you wish to get approval for a different additive. However, please
note it may take 3 months or longer.
Injectant: Air Total Amt. to be injected (gal)/event:
Amt. Water to be injected (gal/event):
Total Amt. to be injected (gal/event):
Deemed Permitted GW Remediation NOI Rev. 2-14-2020
Page 3

No. of separate injection events: Est. Total Amt. to be injected (gal):
Source of Water (if applicable):
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.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/Applicant: "I hereby certf, 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 well and all related appurtenances in accordance with the 15A NCAC 02C 0200 Rules."
Signature of Applicant
Lawrence M. George, Agent for Petitioner for DSCA site # DC920062
Print or Type Full Name and Title
See attached access agreement and power of attorney
Property Owner (if the property is not owned by the Well Owner/Applicant):
"As 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 injection 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
(1 SA NCAC 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 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 — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Remediation NOI Rev. 2-14-2020 Page 4

LEGEND:
OW-1 PROPOSED OBSERVATION WELL
�— Well Identification
AS-1 PROPOSED AIR-SPARGE WELL
Well Identification
MW-1 MONITORING WELL
�— Well Identification
DIRECT -PUSH
B-1 GROUNDWATER BORING
Boring Identification
- G - G -
- T -T -
- E -E -
- V-V-
- SS- SS-
- ST- ST-
c5
U
W
c]
Z
J
0
0
U
H
tr
O
z
SOURCE PROPERTY BOUNDARY
STORMWATER DITCH
WAKE COUNTY PARCELS
GAS LINE
TELEPHONE LINE
ELECTRICAL UNDERGROUND
WATER LINE
CABLE TV UNDERGROUND
SANITARY SEWER
STORM SEWER
STORMWATER FLOW DIRECTION
MANHOLE
UTILITY POLE
CTV PEDESTAL
WATER METER PIT
SANITARY CLEANOUT
TELEPHONE PAD
PAD -MOUNTED TRANSFORMER
CATCH BASIN
RETAIL SIGN
AERIAL .08
RADIUS
25 50 75 100
SCALE: 1" = 100'
Date:
09/28/2021
Scale:
AS SHOWN
Figure:

PERMANENT AIR SPARGE WELLCONSTRUCTION DETAILS
FLUSH GRADE MANHOLE
CROSS SECTIONAL VIEW
NOT TO SCALE
LOCKABLE WELL CAP
L1
L4
L2
L3
L1 = 1 FT.
L2 = 25 FT.
L3 = 5 FT.
L4 = 30 FT.
TITLE Well Information
Best Price Cleaners
6820 Davis Circle
Raleigh, NC
4
PROTECTIVE CASING AND CONCRETE PAD
CASING MATERIAL
CASING DIAMETER
CASING LENGTH
PAD DIMENSIONS
HEIGHT ABOVE GROUND
WELL CASING
MATERIAL
DIAMETER
JOINT TYPE
LENGTH
BACKFILL AROUND CASING
MATERIAL
THICKNESS
SEAL
TYPE OF SEAL
THICKNESS
FILTER PACK
TYPE OF FILTER
DISTANCE ABOVE SCREEN
WELL SCREEN
SCREEN MATERIAL
DIAMETER
LENGTH
SLOT SIZE
DEPTH TO BOTTOM OF
MONITORING WELL
1- DEPTH TO BOTTOM OF
BOREHOLE
DIAMETER OF BOREHOLE
Steel
8 inches
12 inches
2 feet x 2 feet
flush mounted
sch 40 PVC
2 inches
flush threaded
25 feet
cement -sand grout
21 feet
bentonite
2'
#2 silica sand
2'
sch 40 PVC
2 inches
5 feet
0.010 inches
30.0 feet
30.0 feet
8.25 inches
DRILLING SUBCONTRACTOR:
DRILLER ADDRESS:
DRILLER CERTIFICATION #:
Geologic Exploration, Inc.
176 Commerce Blvd, Statesville, NC 28625
2581
2725 East Millbrook Road, Suite 121
Raleigh, North Carolina 27604
FILE
PREP. BY
SL
REV. BY
LG
DATE
9/30/2021
PROJECT NO.
DC9262SL07

APPENDIX A
ACCESS AGREEMENT A
(Petitioner is the Property Owner)
Best Price Cleaners
6820 Davis CIR
Raleigh
Wake County
DSCA Site ID No. DC920062
Name of Petitioner: Ariana Corporation
WHEREAS, the Petitioner is petitioning to the North Carolina Department of
Environmental Quality, Division of Waste Management (Division) for certification of the
Property into the Dry -Cleaning Solvent Cleanup Act Program (Program) pursuant to the
Dry -Cleaning Solvent Cleanup Act of 1997 as amended, Part 6, Article 21A, Chapter
143, N.C.G.S. § 143-215.104A et seq. (DSCA); and
WHEREAS, the Petitioner intends to enter into an Agreement for Assessment and
Remediation (ARA) with the Division concerning the Dry -Cleaning Solvent
contamination on the Property; and
WHEREAS, the Petitioner understands that the implementation of the ARA will require
that the Division and its independent contractors (contractors) have free and
unencumbered access to the Property for the purposes of investigating, assessing and
remediating Dry -Cleaning Solvent contamination on and around the Property; and
WHEREAS, the parties to this Access Agreement are the Division and the Petitioner;
NOW THEREFORE, in consideration of the terms and conditions contained in this
Access Agreement, and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. Grant of License and Permission. Petitioner hereby grants to (a) to the Division a
license to access the Property to monitor and enforce the ARA and (b) to the
Division's contractor(s) a license to access the Property to undertake all work to be
performed at the Property, including, but not limited to, the following purposes:
a) Inspecting, sketching and photographing the Property;
b) Taking such soil, water and air samples as may be necessary;
c) Taking other actions related to the investigation of surface or subsurface
conditions, such as installation of monitoring wells or excavation of
impacted soil;
d) Transportation of equipment onto and around the Property as necessary
to accomplish the investigation;
DSCA Petition October 2007 Page 6

e) Taking response actions necessary to mitigate any threat to human health
and the environment;
f) Remediating dry-cleaning solvent contamination at the Property as
needed; and
g) Undertaking such other activities as necessary to complete the work to be
performed as required or permitted under the ARA.
2. Conditions Precedent. The licenses created in Paragraph 1 shall take effect upon
the certification of the Property into the Program and shall remain in effect, unless
otherwise terminated pursuant to Paragraph 12 below, so long as the Property
remains certified under the Program.
3. Observation. Upon the Petitioner's reasonable notice and request, the Petitioner
and its consultants shall have the right to observe any activities performed by or on
behalf of the Division at the Property. Upon the Petitioner's reasonable notice and
request, the Division or its contractors shall allow the Petitioner to split samples of
any environmental samples obtained on behalf of the Division. All costs associated
with obtaining and analyzing the split samples shall be borne solely by the Petitioner.
4. Interference. The Division and its contractors shall endeavor to perform any
activities authorized hereunder at the Property in a manner that minimizes
interference with the use of the Property. The Division and its contractors will make
reasonable attempts to notify the Petitioner at least 48 hours prior to entering the
Property for the purposes stated in Paragraph 1.
5. Insurance. The Division's contractors have agreed to maintain the insurances as
defined in their agreement with the Division, provided however, that the Division
shall have no liability for its contractor's failure to maintain such insurance.
6. Site Repair. The Division or its contractors shall remove and shall have the right to
remove from the Property all equipment and other materials belonging to the
Division or its contractors within a reasonable period of time after the completion of
the activities at the Property authorized hereunder. To the extent practicable, the
Division's contractors shall restore the Property to the original condition it was in
prior to any activities authorized hereunder at the Property, and except as otherwise
agreed to by the parties, shall properly abandon any monitoring wells in accordance
with any applicable laws and regulations.
7. Protection of Wells and Equipment. The Petitioner shall not damage, remove, pave
over or cover any monitoring or remediation wells on the property. The Petitioner
also shall not tamper with or affect the operation of assessment or remediation
equipment installed on the property by the Division's contractors.
8. Notice. Any notices, reports, or other communications required or permitted under
this Access Agreement shall be addressed to the representative for each party as
set forth below:
DSCA Petition October 2007 Page 7

To Petitioner:
PANKAJ PARMAR
101 SWIFT WIND PL
APEX NC 27539
To the Division:
North Carolina Division of Waste Management -DSCA Program
Attn: Al Chapman
1646 Mail Service Center
Raleigh, North Carolina 27699-1646
9. Limitations. All obligations of the Division pursuant to this Access Agreement shall
be contingent upon the availability of moneys in the North Carolina Dry -Cleaning
Solvent Act Fund.
10.Governinq Law. This Access Agreement shall be governed by and construed in
accordance with the laws of the State of North Carolina, without reference to choice
of laws principles.
11.Integration Clause. This Access Agreement represents the entire understanding
and agreement between the parties hereto and supersedes any and all prior
agreements, whether written or oral, that may exist between the parties regarding
same. No amendment or modification to this Access Agreement or any waiver of any
provisions hereof shall be effective unless in writing and signed by both parties.
12. Termination. The licenses created in Paragraph 1 may be terminated upon delivery
of reasonable written notice to the Division, which termination shall be effective upon
receipt of such notice. However, such termination will also terminate the ARA and
cause the forfeiture of liability protection under the DSCA. If no such notice is
served and subject to provisions of Paragraph 2 above, the licenses created herein
shall remain in effect until such time as all work or activities under the Program have
been completed at the Property. The right and obligation set out in the first sentence
of Paragraph 6 shall survive the termination of this license.
13. Modification. This Access Agreement may not be amended except in writing by the
parties to this Access Agreement.
The parties each represent and warrant that this Access Agreement is executed by their
duly authorized representatives as of the date accepted and agreed upon below.
Accepted and agreed, this l day of March , 2016 .
aft nn C -
(Signatu a of Petitioner or Signatory for Petitioner)
(Sigrture for the Division)
DSCA Petition October 2007
Page 8

AGREEMENT FOR ASSESSMENT AND REMEDIATION PURSUANT TO DSCA
ATTACHMENT 1
LIMITED POWER OF ATTORNEY
I, q r, k G) ( r rn co Y ("Petitioner"), do hereby
grant a limited power of attorney to the Division and to the Division's independent contractors,
as follows.
The Division and the Division's independent contractors shall have the limited power of attorney
for the preparation, signing, filing and delivery of any permit application, hazardous waste
manifest, non -hazardous waste manifest, National Pollution Discharge Elimination System
(NPDES) permit, for complying with any reporting requirements and for any administrative
activities that may be necessary in the course of assessment and remediation conducted pursuant
to the Agreement into which this Attachment 1 is incorporated.
This limited power of attorney shall terminate upon termination of the Agreement.
Dated Marl\ i1 2U (6
•
(Seal)
Signature of Petitioner
Are) 4A—
STATE OF k `if°`- COUNTY OF 1r -e-
On this If day of 111w Gt-' , 1c & , personally appeared before me, the said named
Pa.nka-A Pa�`r�-0-. to me known and known to me to be the person described
in and who executed the foregoing limited power of attorney and he (or she) acknowledged that
he (or she) executed the same and being duly sworn by me, made oath that the statements in the
foregoing limited power of attorney are true.
My Commission Expires
ay/75--/i9
Notary Public (Official Seal)
gnature of Notary Public)
JOSEPH L HANCOCK JR
Notary Public
Wake Co., North Carolina
tor rniseleti moires Aril 151 2019
DSCA ARAv0705
Attachment 1