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HomeMy WebLinkAboutWI0300470_Permit (Issuance)_20220121North Carolina Department of Environmental Quality — Division of Water Resources 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. This form shall be submitted at least 2 WEEKS 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. 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 are 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. Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete. DATE: January 10, 2022 PERMIT NO. A. WELL TYPE TO BE CONSTRUCTED OR OPERATED (to be filled in by DWR) (1) Air Injection Well ....Complete sections B through F, K, N (2) Aquifer Test Well Complete sections B through F, K, N (3) Passive Injection System Complete sections B through F, H-N (4) X Small -Scale Injection Operation Complete sections B through N (5) Pilot Test Complete sections B through N (6) Tracer Injection Well Complete sections B through N B. STATUS OF WELL OWNER: Business/Organization 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: Company Name Speedway LLC Delegated Signatory Authority: Mr. Charles Chiara, Environmental Representative Mailing Address: 500 Speedway Drive City: Enon State: OH Zip Code: Day Tele No.: 919-516-8069 EMAIL Address: cachiara@speedway.com Deemed Permitted GW Remediation NOI Rev. 3-1-2016 45323 County: Clark Cell No.: 937-591-1283 Fax No.: 419-420-1495 Page 1 D. PROPERTY OWNER(S) (if different than well owner) Company Name Same as Well Owner Mailing Address: City: State: Zip Code: County: Day Tele No.: Cell No.: EMAIL Address: Fax No.: E. PROJECT CONTACT (Typically Environmental Engineering Firm) Name and Title: James L. Young, PG, STS, Senior Geologist Company Name Mid -Atlantic Associates, Inc. Mailing Address: 409 Rogers View Court City: Raleigh State: NC Zip Code: 27610 County: Wake Day Tele No.: (919) 250-9918 Cell No.: (919) 809-4577 EMAIL Address: jyoung@maaonline.com Fax No.: (919) 250-9950 F. PHYSICAL LOCATION OF WELL SITE (1) Facility Name & Address: Speedway 7976 1006 Charlotte Hwy City: Troutman County: Iredell Zip Code: 28166 (2) Geographic Coordinates: Latitude**: 35° 40' 16.94" Longitude**: 80 ° 51' 21.83" Method of Collection: Google Earth Pro Software **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 Note: There have been two previous releases at the site, with the source areas identified in the vicinity of monitoring wells MW-1 (gasoline release) and MW-7 (diesel fuel release). The site is currently regulated by the North Carolina Depaittnent of Environmental Quality (NCDEQ), Division of Waste Management (DWM), Underground Storage Tank (UST) Section. The site is ranked intermediate risk and, therefore, the current groundwater cleanup goals are the North Carolina Gross Contamination Levels (GCLs) and removal of free product. Free product remains present on the water table at well MW-5 and MW-20. The "area of the contaminant plume" indicated below refers to the approximate area of the entire dissolved phase plume exceeding NCAC 2L standards (see attached Drawing 3). Land surface area of contaminant plume: 53,000 square feet Land surface area of inj. well network: 2,500 square feet (< 10,000 ft2 for small-scale injections) Percent of contaminant plume area to be treated: 4.7% (must be < 5% of plume for pilot test injections) Deemed Permitted GW Remediation NOI Rev. 3-1-2016 Page 2 H. INJECTION ZONE MAPS — Attach the following to the notification. Provided in Attachment A (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. DESCRIPTION OF PROPOSED INJECTION ACTIVITIES — Provide a brief narrative regarding the purpose, scope, and goals of the proposed injection activity. This should include the rate, volume, and duration of injection over time. Residual free product remains present on the water table at the site at wells MW-5 (0.04 ft thickness) and MW- 20 (0.12 ft thickness). Until recently, free product has also been present in well MW-3. Mid -Atlantic proposes to inject BioSolve® PinkWaterTM at the site to enhance free product recovery and stimulate bioremediation at wells MW-3, MW-5, and MW-20. BioSolve® is a common cleanup/mitigation agent that can be applied as both an emulsifying agent for free product recovery and biosurfactant for dissolved -phase groundwater remediation. It is estimated that up to 200 gallons of a 4% solution of BioSolve® will be gravity -injected into the above - referenced wells over an estimated period of up to 8 hours on -site. A 96-hour MMPE event will then be conducted at the site approximately one- to two weeks following completion of the surfactant injection event, with post-MMPE free product gauging and well sampling activities conducted approximately two to four weeks following completion of the MMPE event. J. APPROVED INJECTANTS — Provide a MSDS for each injectant. Attach additional sheets if necessary. Provided in Attachment B NOTE: Only injectants approved by 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-inj ectants. All other substances must be reviewed by the DHHSprior to use. Contact the UIC Program for more info (919- 807-6496). Injectant: BioSolve® PinkWaterTM (info at https://www.biosolve.com/products/pinkwater/) Volume of injectant: 200 Gallons Concentration at point of injection: 4% Percent if in a mixture with other injectants: K. WELL CONSTRUCTION DATA Available Well Construction Information Provided in Attachment C. Please note that GW-ls are not available for these wells. (1) Number of injection wells: 0 Proposed 3 Existing (provide GW-1s) (2) For Proposed wells or Existing wells not having GW-ls, 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 Deemed Permitted GW Remediation NOI Rev. 3-1-2016 Page 3 L. SCHEDULES — Briefly describe the schedule for well construction and injection activities. Only existing wells will be used (none are proposed). The injection event is currently scheduled for Tuesday, January 18, 2022 and the MMPE is scheduled to be start on Monday, January 31, 2022. The surfactant injection will take approximately 8 tours for completion and the MMPE is expected to run for approximately 96 hours. Post-MMPE free product gauging will be conducted approximately two to four weeks following completion of the MMPE event M. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine if violations of grotmdwater quality standards %verified in Subchapter 02L result from the injection activity. The site is currently regulated by the NCDEO DWM UST Section. Sampling of selected site monitoring wells (MW- 1. MW-2, MW-3, MW-5, MW-9, MW-10D, MW-11, MW 13. MW-17, MW-20, MW-22. MW-24, MWG- 25, and MW-26) are performed on a 9-month schedule with results reported to the UST Section. Please note that Biosolver4 is a proprietary blend of water -based, biodegradable surfactants that was specifically engineered as a cleanuplmitigntion agent and vapor suppressant for use on a wide range of hydrocarbon products. Biosolve®, in and of itself, does not cause or catalyze specific chemical reactions, nor does it contain any bacteria cultures. The basic principle of Biosolvec is to emulsify and encapsulate hydrocarbon particles. As such. the injection activity is not anticipated to result in violations of the NCGQS for additional compounds other than those already noted from the previous gasoline and diesel fuel releases releases. N. SIGNATURE OF APPLICANT AND PROPERTY OWNER APPLICANT: "1 hereby certify, 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 truce, accurate and complete_ 1 am aware that there are significant penalties, inch, -rig the possibility of fines and imprisonment~, for submittifalse 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. Signarole of Applicant John M. He, , _es of Environmental Remediation Print or Type Full MUM and Title PROPERTY OWNER (if the property is not owned by the permit applicant): "As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent to allow the a, Ileum' 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 (15A 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 *_en access agreement between en the applicant and property (Amer maw„ be stthtnitted in then ,rr/`a signature on this. perm,. Submit the completed notification package to: DWR — UIC Program 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: (919) 807-6464 Deemed Permitted GW Remediation NOI Rev. 3-1-2016 Page 4 WATArUGA WILKES YADKIN 1CALDW EL i ALEXANDER DAVIE \\— `/ I IREDELL \_ DAVIDSON /// BURKE' CATAWBA , ROWAN _ i \\ LINCOLN + MONTGO; ERY AREA SHOWN GWITHIN NORTH CAROLINA LEGEND SUBJECTSITE REFERENCES: 1. SHEPHERDS, NC DIGITAL RASTER GRAPHIC FILE, US GEOLOGICAL SURVEY. SCANNED FROM 1:24,000-SCALE USGS TOPOGRAPHIC MAP: SHEPHERDS, NC, 1969. 2. INSET MAP DIGITAL DATA FROM 2002 NATIONAL TRANSPORTATION ATLAS, BUREAU OF TRANSPORTATION STATISTICS, WASHINGTON, D.C. SCALE: 1:12,000 mimm=iimiimiNFeet 0 500 1,000 2,000 SEngineering & Environmental Solutions Mid Atlantic TOPOGRAPHIC SITE MAP WILCO TRUCK PLAZA #357 TROUTMAN, NORTH CAROLINA DRAWN BY: DATE: DRAFT CHECK: JOB NO: 000R1167.39 ENG. CHECK: GIS NO: 03G-R1167.39-1 APPROVAL: DWG NO: 1 LEGEND e MW-1 MW-10d -xxx- TRUCK PARKING MONITORING WELL LOCATION DEEP MONITORING WELL LOCATION FENCE SUBJECT SITE PROPERTY BOUNDARY BUILDING e MW-23 TRUCK PARKING (ASPHALT) —x CURB x—x • MW-8 CANOPY DIESEL FUEL DISPENSER ISLAND OIL/WATER SEPARATOR e MW-24 •MW-18 ASPHALT MW-21 e e MW-14 EDGE OF CONCRETE PAD e MW-9 • MW-17 VENT PIPE e MW-4 e MW-3 • MW-22 GRASS 0 0 L—J e MW-12 I 0 1 1 01 L�J fa MW-1 MW-2 MW-13. • MW-20 MW-10 e MW-10d e MW-19 DIESEL FUEL USTs MW-6 ---x x �x — GASOLINE USTs COOLER MW-15 ASPHALT GASOLINE DISPENSER ISLAND I OI J CANOPY • MW-16 PROPANE TANK 1-\ I I1 I I ENTRANCE • MW-25 • MW-26 GRAVEL PARKING LOT 0 50' SCALE: 1 "= 50' DATE: SEPTEMBER 2021 000R1167.39 0 0 CAD # 01 -1 1 6701-39 z r CO U CC U w 0 0 z oco U w 2 U CC w z c� .. wm J 0 0 .. Qm .i • C REFERENCE: MID -ATLANTIC FIELD NOTES. LEGEND • MW-1 MW-10d x—x—x ug/L (NS) (7.59) (ND) / TRUCK PARKING MONITORING WELL LOCATION DEEP MONITORING WELL LOCATION FENCE SUBJECT SITE PROPERTY BOUNDARY MICROGRAMS PER LITER BUILDING • MW-23 (NS) TRUCK PARKING (ASPHALT) NOT SAMPLED BENZENE CONCENTRATION AT LOCATION (ug/L) NOT DETECTED ESTIMATED BENZENE ISOCONCENTRATION CONTOUR FOR THE N.C. GROUNDWATER QUALITY STANDARD (ug/L) 10 ESTIMATED BENZENE ISOCONCENTRATION CONTOUR (ug/L) x _x x—x ma Elm. •MW-18 (NS) mim • MW-8 CURB (NS) ASPHALT 0 MW-4 (NS) / • / / MW-1 MW-21 1 / (2.78) 1// • MW-3 / MW-13 DIESEL FUEL (NS) (8.10) MVV_2 e / ( e DISPENSER (7.69) / CANOPY ISLAND MW-14 MW-20 / — (NS)— — (NS) 10 D 0 0 0 0 I // R 0/ I_ / / (6.00) / / / ( / / / /' 10I J //// - J I / CANOPY I GRASS •MW-19 (NS) PROPANE TANK VENT PIPE • MW-12 (NS) MW-7 1C 10 (NS) r _.�x---- x X x x x MW-5 I II I I \I� (NS) I I I I I I L JL_J L-J\ OIL/WATER SEPARATOR • MW-24 (ND) CURB EDGE OF CONCRETE PAD 41 MW-9 / (2.05) MW-17 I (5.00) / 1 JJ 01. 1 01 10 1 0i 1 o L s/J L—J >Cf1ESEL FUEL_., \ USTs / MW-6 1,000 // (246 10 / /� / / / / SPEEDWAY 7976 GASOLINE USTs MW-11 (3,920) COOLER MW-15 (NS) ASPHALT GASOLINE DISPENSER ISLAND / (NS) vD M(NS)6 / ® MW-10d ENTRANCE • MW-25 (7.59) / MW-26 (4.87) GRAVEL PARKING LOT 0 50' SCALE: 1"= 50' DATE: SEPTEMBER 2021 000R1167.39 01-1 16702-39 0 U r0 O z 0 U U w 0 0 z ctr om ESTIMATED ISOCONCENTRATION IN SHALLOW GROUNDWATER w z W z LLI CO N LO z N0 go' N O O N cv E- Q cCt 0ct CD • LLI O Q0_JQ Ct w O Ct 0 L.� REFERENCE: MID -ATLANTIC FIELD NOTES. TABLE 3 SUMMARY OF WELL CONSTRUCTION INFORMATION SPEEDWAY #7976 (FORMER WILCOHESS 357) 1006 CHARLOTTE HIGHWAY TROUTMAN, NORTH CAROLINA Well ID Date Installed Well Casing Depth (ft. BLS) Screened Interval (x to y ft. BLS) Bottom of Well (ft. BLS) MW-1 2/27/2002 15 15 - 30 30 MW-2 4/18/2002 20 20 - 30 30 MW-3 4/18/2002 20 20 - 30 30 MW-4 4/18/2002 20 20 - 30 30 MW-5 4/18/2002 20 20 - 30 30 MW-6 9/23/2002 23 23 - 33 33 MW-7 9/23/2002 23 23 - 33 33 MW-8 9/25/2002 24 24 - 34 34 MW-9 9/24/2002 23 23 - 33 33 MW-10 9/25/2002 25 25 - 35 35 MW-10D 11/21/2002 45/50 50 - 55 55 MW-11 9/24/2002 23 23 - 33 33 MW-12 11/21/2002 18 18 - 33 33 MW-13 11/21/2002 18 18 - 33 33 MW-14 11/21/2002 18 18 - 33 33 MW-15 3/23/2004 20 20-30 30 MW-16 3/23/2004 20 20-30 30 MW-17 3/23/2004 18 18-28 28 MW-18 3/24/2004 18 18-28 28 MW-19 3/24/2004 15 15-25 25 MW-20 3/24/2004 18 18-28 28 M W -21 3/25/2004 18 18-28 28 MW-22 3/25/2004 18 18-28 28 MW-23 1/19/2012 20 20-30 30 MW-24 1/19/2012 20 20-30 30 MW-25 1/20/2012 20 20-30 30 MW-26 9/8/2014 19 19-29 29 Notes: ft. BLS - Feet below land surface NC - Not Calculated FROM : ESE CFRCL]NRS PHCNF No. 7©4 E52 aS7Q .jut. 11 P3 Nunn Caroline - Deperlmenl of Environment find NalurM Roaaurese DIvklorl or Witter gook • Oroundwafer section 103a Mall Service Center • Pelcieh, NC 2? 99-1530 Phone (919)733-3221 WELL. CONSTRUCTION RECORD well lderrdRca LlanMW4 WELL COMMUTER: Rjahpid 51mm01i Ddlllns,f. Nfl WELL CONTRACTOR CERTIFICATI©Nu+, STATE WELL CONSTUCTION PERMIT VA.' 1. WELL LOCATION (ShoWskalch of the location below) Neatest Town; Xroulmap CnunQ: Iradell DEPTH DRILLING LOG Hwy 21 Hod 1177 ql exit A2 Prom TO Formation Ifuxdplim head, Gattwltr,cra,a-0 h6n antalryell 2. OWNER: ADP ESS: Troutman NC , nhy et Yaw) alai fag aarn 3. DATE DRILLED: 9MtR(Qie 4, TOTAL DEPTH: 30' 5. GUTTING POLLK' :TEO: Yea IS DOES WELL REPLACE EXISTING WELL? 7, STATIC WATER LGVEL Deana •Tap of Casing! !Lion ,P a Waenrepor cw,d) B. TOP OF CASING IS 0 FT. Aba+e Land Eurfa¢e' taro parlirorra vaor6,tr:u.aeulroanni4aeeae1.44}4.1z I,na4InMmNmm.4htnatIC'4 aGislln Ntl 9, YIELD town): METHOD OFTESTI 10, WATER ZONES(depth)' 11. CHLORINATION Type: tka Amaunh Ir adahbnal aggro la minCtyl uaa back at firm 12, CASING: Fran From PrOnl 13, GM/UT: Wall Thldnesa Depth Diameter ❑r WelghVF1. Material To 20 rt.auan'h 4t PVC TO FL 17cllrlh Muriel From n To 10 Ft. CemenUSantepl(e From 1e To 1B FL Lhentudle Chlus 14, SCREEN: Depth From 2O To Fruu To From To 15, SAND/GRAVEL PACK: Depth From 10 To Prins To 10, REMARKS: FL FL LOCATION SKETCH (ehoworally° mid Jtatnren ban at Want hem roam RoedL or ctheramp lerd,c,p.c WM.%) MShod Waal*77 Edt 42 POO1. Dar Wilm Diameter" Slot Size" FIillmial 2" .01O PVC Srzn MILDAl 9F{ Sand tuck B7op 1 t8'raspy oancat TWAT WeaLV/As coth1pu4"Yan 11 gad:memo 0YANMRaa,ANgTHATA r o0Y OYTnNI Pi C4NR N,F nepn pppwaan 1.Lax 'kjdl`�t'itSNEYi Q8NrraAUR 0 Stft tlavovrtiKirola rAtianot amIro "n'm,nl+,l etd... I IA NiMamtwa.trJannn'itucrim awns oVhz0tr 4.31007. PATE DEPTH (FEET) DESCRIPTION 3.0 — 5.0 Red silty micaceous clay 8.0 - 10.0 Red micaceous clayey SILT 13.0 — 15.0 Red micaceous clayey SILT 18.0 —20.0 Red micaceous clayey SILT 23.0 — 25.0 Red micaceous clayey SILT 28.0 — 30.0 Red micaceous clayey SILT Boring terminated at 30 feet REMARKS: Boring advanced using hollow stem augers. Type II Monitoring Well Installed Upon Boring Completion. See Well Construction Record for Details. TEST BORING LOG BORING NUMBER: MW-5 DATE DRILLED: 04/18/02 PROJECT NUMBER: 000R1167.01 PROJECT: WILCO TRUCK PLAZA #357 PAGE 1 OF 1 MID -ATLANTIC ASSOCIATES, P.A. The Environmental Solutions People WELL CONSTRUCTION RECORD North Carolina - Department of Environment and Natural Resources- Dtvtsion of Wales Quality - Groundwater Sectlan WELL CONTRACTOR (INDIVIDUAL)MME Tom iryhuba CERTIFICATION # 9955 WELL CONTRACTOR COMPANY NAME Rlohmd Simmons Wiling PHONED I704)-078.9945 ETATEWELL CONSTRUCTION PERMIT! ASSOCIATED WC PERMITV (If epplioelet (P epp (cable) 1. WELL USE (Check Applicable aP4 Reeldential_ MunlclpsWuhlle IniluauielAptlmjRMml,,,_,,, Monitoring _X„ lioaavory_ Hoot Pump Water Ideation QMar bather llal nue 2. WELL LOCATION: (Shaw sketch of the loceltan below) NEereat Town: Trnutmen County: Irsdall TcpopmphicaliLend soWnp moos Conlin* MaliJPAaal par Lc( 1101,1 ,,,Ridge _ slope Valley „Plat 3, OWNERI Lalliludeflorpltuue ADDRESS: e%li 42 off 1-77 ISIISS Or Rane No.l LMlt arVILda dwva:_,Gfra,AMugNno stills, Troutman NO DEPTH Frl4I-LINGLoa aly wtawn q°In AI aaia From TO Formation Lleaalptfon 0 15 Dark brwm•redla eI k0°Cot • Ormenlrrter 10 20 lighter um silty sand 4. DATE DRILLED: • 3/24/2004 5• TOTAL DEPTH: 28' 7. DOES WELL REF LACE EXISTING WELL? Na 8, STATIC WATER LEVEL 8elaw-Top of Coolnp; FL Inua'rnAbave Tgrnl EKON) p, TOP OF CASING I$ 1 FT. Abeye Lend Surface' ' WIN Terttdnetea dor bolowt4 suicide Islkoa/ union varlopr.zis II ij d Inuwminrlce with 1M UCAC 2C.mlo 10. YIELD Wpm): METHOD OF TEST' 11, WATER 20NES (depth): 12, CHLORINATION Typal Amount: 13, CASING: Wall Thickness Depth piarnoter or WwIghUFI, Weller From 0 To 1a FL 2" qah 010 PVC 1.00ATQt1 SI<E7CH From To Ft, (show direction end diatonne Pram et least two state Pram TO FL Roads, or other map reference Dolma) If odd earm! space Is needed use back of form VI. QROUT: From From 15. SCREEN' 0 Depth Materiel Ta T4 F1, Bentonite70ement TA 18 Fi. Bentonite Depth From 18 ,To From To Pram 7o 15, SAND/GRAVEL PACK: Depth From 15 To From To 10. REMARKS: MW20 Method trernmle trernmle Diameter" Slot Size" Material 23 Fl, 2" .010 PVC `r- Pl, Size Material 2E1 Ft, 1/2 Sand Ft. I • 77 Wilco Hurry -Tnlac Slap AI 42 I DDI'IER8UY CERTIFY 1 tw'i WELL WAS Cgly$t'RUCTEC IN ACCORDANCE WITH 19A NCAC 2C, WELL CON8'rpTUCTICN sTANOAROS, ANO tpAT A COP boRa HAS 8ES1•1 PROVIDED To THE WELL OWNER 04/07104 SI(rrJATURE OF PERSON CONSTRUCTING THE WELL GATE A. 100'- 80'— 80' DISPENSER AREA 'MW-10d 'MW-10'. 1 1 MW-2 A t C MW-1 MW-7 MW-12 L C 40 -- 20' — LEGEND I+---SCRFETIED INTERVAL ♦ WATER TABLE ESTIMATED EXTENT OF BENZENE IMPACTED GROUNDWATER FREE PRODUCT ESTIMATED EXTENT OF PETROLEUM -IMPACTED SOIL (>SOIL -TO -GROUNDWATER MSCCS), A= RED -BROWN MICACEOUS CLAYEY SILT B= IRED SILTY MICACEOUS CLAY C= TAN GRAY SILTY SAND D= IRED-BROWN MICACEOUS CLAYEY SILT WITH FINE TO COARSE GRAINED SAND 0 K FIELD AREA B _ 0 D OF TANK -- B c s A 0 -> — 100' — 80' — 20' 20' SCALE: A'= 20' JANUARY 2003 0001167.01 CAD # 01-116724-01 N U) O Z 3 0 gm U 5 0 Z 3' r REFERENCE: LEGEND B 100' - 85' — 70' 55' — 40' 25' — SCREENED INTERVAL MW-8 MW-14 MW-10d C 0 A • WATER TABLE ESTIMATE) EXTENT OF BENZENE IMPACTED GROUNDWATER A= RED -BROWN MICACEOUS CLAYEY SILT B= RED SILTY MICACEOUS CLAY C= TAN GRAY SILTY SAND B A 0 r I I DISPENSER AREA B' — 100' B A - _. - A -- — B- 5' AW C - �a c _ a ? --V — 7- 0' 5- 5' _ — 40 — 2- 5' 0 30' SCALE: 1 s= 30' JANUARY 2003 0001167.01 O Z 0 -3 CAD # 01-116725-01 O Z 0 0 L REFERENCE: bias WATER -BASED HYDROCARBON MITIGATION AGENTS TM » Reduces Volatility » Increases Solubility » Accelerates Biodegradation The leading specialty surfactant formulation used by professionals to mitigate contamination from oil, fuel and other hydrocarbons Used Worldwide by Environmental & Industrial Contractors, Utilities & Municipalities Tank Cleaning & Degassing 111 c I a • 133 • Authorized BioSolve Distributor biasolve8°6 PI NKWATE R HYDROCARBON MITIGATION AGENT- CLEAR® HYDROCARBON MITIGATION AGENT'" uioso lire' ACTIVATOR SOIL REMEOIATION AGENT'" bioso I ire • FOGWASH REMOVES FATS, OILS & GREASE BioSolve products sold in: BioSolve PINKWATER, brand leader and industry workhorse for over 30 years. Formulated with our signature magenta dye for traceability. Sold only as a concentrate. BioSolve CLEAR, same concentration and performance as Pinkwater, without traceable magenta dye. NEW BioSolve Activator, formulated as a high performance emulsification surfactant for improved soil remediation. Meets EPA's Safer Choice Standard as well as OECD standard for Ready Biodegradability. BioSolve FOGwash, same concentration and performance as Pinkwater, with no fragrance and less color. FOGwash is formulated for professional use in both commercial & industrial kitchens. (Sold only in cases/gallons.) Liters Pallet Tote 275 1,041 1 unit Drum 55 208 4 units Pail 5 19 24 units Case 4 x 1 G 4 x 3.8L 27 units D TO ORDER CALL 800 225-3909 B THE Soly TM COMPANY The BioSolve Company Lexington, MA 02420 USA 781 482-7900 info@biosolve.com APPLICATIONS d Vapor Suppression & Odor Control » PINKWATER • ACTIVATOR Diluted in large mixing tanks, Pinkwater and Activator are used at major remediation and construction work -sites where excavation of contaminated soils may release noxious organic odors or hazardous VOCs. The dilute solution is sprayed directly onto newly exposed soil surfaces or stockpiles of contaminated material where volatilization is taking place. Used as an alternative to foam, our products create a barrier that keeps vapors in the soil, allowing work to continue safely without disruption to workers or neighbors. Soil Remediation » ACTIVATOR • PINKWATER In -situ, a dilute solution is injected into contaminated subsurface zones to mobilize and solubilize NAPL trapped in the soil. The effluent is then extracted under careful hydraulic control and treated prior to discharge. For ex -situ remediation or soil washing, Pinkwater and Activator are used as washing agents to remove hydrocarbons. Following the wash, soil is rinsed, dried and returned to grade. On bioremediation or and farming projects, the ability to micro -emulsify hydrocarbons results in enhanced bioavailability for naturally occurring hydrocarbon degrader bacteria. This dramatically accelerates the biodegradation process. Tank Cleaning & Degassing » PINKWATER Pinkwater is a standard component in cleaning/degassing protocols for oil and fuel tanks of all sizes. High pressure spray application of Pinkwater solution to tank walls and internal structures rapidly reduces LEL (Lower Explosive Limits) readings, improves worker safety and sharply reduces project turnaround time. Pinkwater solution is also sprayed/mixed into sludge to knock down vapor levels and convert sludge into a pumpable aqueous solution. Emergency Spill Response » PINKWATER BioSolve Pinkwater eliminates fire and explosion hazard when sprayed directly onto a fuel/oU spill. Aggressive agitation reduces volatilization and causes LEL readings to immediately decline, possibly registering "0." Application of Pinkwater also facilitates roadway cleanup and elimination of hazardous oil sheen. Equipment Decontamination » PINKWATER • CLEAR Used for cleaning/decontaminating tools and equipment at remediation sites, in refineries, on drilling rigs, following spill cleanup, and in industrial maintenance operations. Generally applied with standard pressure washing equipment, most oil and tar build-up can be washed away on contact. For more severe contamination, a hot water spray system may be required. D HOW DO BIOSOLVE PRODUCTS WORK? BioSolve products are water -based surfactant formulations engineered to aggressively "grab" hydrocarbon molecules and hold them in an aqueous solution, called an emulsion. When applied as a dilute solution and agitated, the formulation first mobilizes hydrocarbons, pulling them away from hard surfaces (e.g., metal, concrete, asphalt) or releasing them from soil, and then solubilizes hydrocarbons in an emulsion that can be removed with water. The emulsion is non-volatile and readily degraded. This functionality enables BioSolve products to be effective across a wide range of applications where increased solubility, reduced volatility and/or accelerated biodegradation is required for removing or remediating oil and fuel contamination. Pinkwater, Activator and Clear are typically applied as a 1% to 8% solution. Agitation may be provided by a pressure washer, pump, brush, water hose, jet sprayer or mixer. "Shell is purchasing BioSolve Pinkwater for only one reason, because it works" Pat Agbo Head of Oil Spill Response Shell Oil Upstream International Port Harcourt, Nigeria "Your product performed exactly as advertised" David Turner Colonial Pipeline Alpharetta, Georgia "The loading dock was caked with hydraulic oil and had a grotesque odor. The Pinkwater worked brilliantly. When those guys were finished, it literally smelled clean." Mike Dimino The Seneca Companies Denver Colorado "BioSolve Pinkwater helped mitigate a big VOC emission issue, assisting in eliminating citizen complaints and keeping the project on schedule." Shouvik Gangopadhyay ECC Senior Project Manager Nordlys Environmental, LP Sydney Tar Ponds Project COMMON USES Suppression of Volatile Organic Vapors In-Situ/Ex-Situ Remediation of Contaminated Soil Bioremediation of Contaminated Soil Hazardous Spill Containment & Cleanup Solubilization of Sludge & Grease Oil/Fuel Storage Tank Cleaning & Degassing Equipment & Hard Surface Decontamination Paraffin Control in Oil Wells meigency_ Response BioSolve products contain no caustic, d-limonene or hydrocarbon solvents. Products do not contain any hazardous ingredients as defined by CERCLA, OSHA (29 CFR 1910.1200), Massachusetts Right to Know Law, and California Proposition 65. Products are rated by DOT as Class 55, non -hazardous. BioSolve Pinkwater is on the U.S. Environmental Protection Agency's NCP Product Schedule. This listing does NOT mean that EPA approves, recommends, licenses, certifies, or authorizes the use of BioSolve Pinkwater on an oil discharge. This listing means only that data have been submitted to EPA as required by Subpart J of the National Contingency Plan, 40 CFR Section 300.915. Pinkwater and Activator are not listed as bioremediation agents on the EPA National Contingency Plan and therefore are not to be used for bioremediation purposes on or near the shorelines of navigable waters within the US. This material is made available for use by professionals or persons having the proper technical skills. The statements made herein are guidelines only and may require modification to accommodate site specific conditions. Nothing contained herein is a warranty or is to be taken as a license to use without proper instruction and supervision. BioSolve products should always be used in accordance with applicable federal, state and local rules and regulations Case Studies, Information Sheets, Application Protocols & SDS are available on request "I am very impressed with your product's ability to clean everything from invert and gel drilling mud to hydraulic oil." Colby Simpson Hot Flash Oil Field Services Alberta Canada "BioSolve clearly outperformed everything else we have tried. I'm a real believer in the product." Lane Altenbaumer Specialized Maintenance Services, Carylon Corporation Pasadena, TX Used by 'Fire Department of New York' Hazmat Units (for emergency response) and 'New York City Transit' (for parts cleaning) for over ten years. IN1 1NTERNATTONAL MARITIME ORGANIZATION BioSolve.com Iva • BioSolve Safety Data Sheet PINK WATER HYDROCARBON MITIGATION AGENT Page 1 of 6 Section 1 — Chemical Products and Company Identification Product Names: BioSolve® Pinkwater® Product Uses: Remediation of hydrocarbon (oil, fuel, petrochemical) contamination, including: impacted soils, suppression of VOCs, surface cleaning of equipment and protective clothing. Manufacturer: The BioSolve Company 329 Massachusetts Avenue Lexington, MA 02420 USA Contact Information: +1 (800) 225-3909 US, Canada, Mexico and Puerto Rico +1 (781) 482-7900 All other locations Section 2 — Hazards Identification Health Hazards: Eye Contact: Causes transient eye irritation Skin Contact: May cause mild, transient irritation Ingestion: May be harmful if swallowed; can cause gastrointestinal irritation, nausea, vomiting and/or diarrhea Hazard Mitigation: Wear protective gloves and eye/face protection Avoid prolonged breathing of spray Environmental Moderately toxic to aquatic life. Avoid discharge to storm drains and Hazards: waterways GHS Classification: Toxic to aquatic life, Acute Category 2 Section 3 — Composition/Information on Ingredients Proprietary formulation with nonionic surfactants (32% active ingredients in water) BioSolve products contain no caustic, d-limonene or hydrocarbon solvents. BioSolve products do not contain any hazardous ingredients as defined by CERCLA, Massachusetts Right to Know Law and California Prop 65. All ingredients are TSCA compliant. Iva • BioSolve Safety Data Sheet PINK WATER HYDROCARBON MITIGATION AGENT Page 2 of 6 Section 4 — First Aid Measures Eyes: Immediately flush eyes with water for at least 15 minutes. Hold eyelids apart while flushing to rinse entire surface of eye and lids with water. Seek medical attention for lasting irritation. Skin: Rinse exposed area and wash with mild soap and water for several minutes. Seek medical attention if irritation develops. Ingestion: Seek medical attention in the event of serious or persistent abdominal discomfort, nausea or diarrhea. Inhalation: Inhalation of concentrated vapors resulting from spraying or heating in confined or poorly ventilated areas may cause irritation of nose and throat. Remove person to fresh air and seek medical attention if irritation persists. Section 5 — Fire Fighting Measures Suitable Extinguishing Media: None required; BioSolve products are non-flammable Special Protective Equipment for Firefighters: None necessary Unusual Fire or Explosive Hazards: None Section 6 — Accidental Release Measures In case of accidental release, breakage or leakage: Eliminate or contain source with inert material, such as sand, earth, absorbent pads, etc. Transfer liquid to suitable containers for recovery, re -use or disposal. Wipe up or mop up using water. Hard surfaces (e.g., floors, driveways) may be slippery; use care to avoid falling. Rinse area with water. Avoid flow of run-off to surface waters. Always check with local regulations before discharging effluent to storm drains or sewers. Section 7 — Handling and Storage Handling: Precautions: Incompatibilities: Storage: Shelf Life: Minimize periods of exposure to extreme temperatures. Keep from freezing. If frozen, separation may occur; thaw and stir thoroughly prior to use. Freezing will not affect product performance. Chemical resistant gloves and eye protection are recommended while mixing and using. Avoid contact with strong acids or strong oxidants. Recommended storage temperature: 35° — 120° F (1° — 48° C). If unopened, more than 10 years. Iva • BuSoIvei Safety Data Sheet PINK WATER HYDROCARBON MITIGATION AGENT Page 3 of 6 Section 8 — Exposure Controls / Personal Protection Eyes Protection: Skin Protection: Respiratory Protection: Engineering Controls: Safety glasses; chemical goggles or face shield recommended when spraying to protect against backsplash and drift. Rubber or latex gloves recommended. None required, except if application results in significant misting of product. If so, use of an approved air purifying respirator is recommended. For indoor use or for use in a confined space, normal ventilation is generally satisfactory. Section 9 — Physical and Chemical Properties Appearance: Deep red Odor: Mild, pleasant sassafras fragrance Concentration: —32% active ingredients as sold Boiling Point 265°F/129°C Vapor Pressure mm/Hg Not available Melting/Freezing Point 28°F/-2°C Vapor Density (Air=1) Not available Flash Point Non-flammable Surface Tension* 29 Dyne/cm @25°C Flammability Limits Not applicable Viscosity (concentrate) 490 centipoise Reactivity with Water None Viscosity (6% solution) 1.5 centipoise Evaporation Rate Not determined Solubility in Water 100% Specific Gravity 1.01 gms/cc VOC Content Not determined 8.43 lbs/U.S. gal pH 9.1 +/- 0.3 *6% solution Section 10 — Stability and Reactivity Chemical Stability: Conditions to Avoid: Incompatible Materials: Hazardous Decomposition Products: Hazardous Polymerization: Stable; will not decompose if used according to manufacturer's directions. Prolonged exposure to heat may cause product degradation. Freezing should also be avoided as discussed in Section 7. Normally unreactive. Avoid strong alkalis, strong acids, strong oxidizing agents and materials with reactive hydroxyl compounds. These materials could damage the product and reduce its effectiveness during application. None are known. Will not occur. • e• Ie.• BioSolve Safety Data Sheet PINK WATER HYEIROGAREON MITIGATION AGENT Page 4 of 6 Section 11 — Toxicological Information Overview: Carcinogenicity: Specific Organ Toxicity: No adverse acute or chronic health effects expected if product used in accordance with manufacturer's directions. No ingredient has been shown to cause cancer in laboratory animals. None are known. Section 12 — Ecological Considerations Persistence and Degradability: Bioaccumulation Potential: Mobility: Aquatic Toxicity: The total of the organic components contained in this product is not classified as readily biodegradable (OECD-301 A-F). However, this product is inherently biodegradable with 60% degradation in 28 days (OECD-301B) and estimated >95% degradation in 120 days. The bioaccumulation factor in fish has been estimated to be low, ranging from 87 to 344. No data available LC50 of Concentrate (As shipped) Mysidopsis bahia Menidia beryllina LC50 of 3% Dilute Solution Mysidopsis bahia Menidia beryllina LC50 of 6% Dilute Solution Daphnia magna Pimephales promelas Onchorhynchus mykiss 48-hours 96-hours (As Used) 48-hours 96-hours (As Used) 48-hours 96-hours 96-hours 3.6 mg/L 6.4 mg/L 185 mg/L 247 mg/L 287 mg/L 124 mg/L 177 mg/L Section 13 - Disposal DO NOT DUMP INTO STORM DRAINS OR INTO ANY BODY OF WATER. All disposal practices must be in compliance with all Federal, State/Provincial and local laws and regulations. As manufactured, BioSolve products do not meet the definition of a hazardous waste. Small quantities of unused and uncontaminated product may be discharged to a qualified wastewater treatment facility. Always obtain approval from local and Federal regulatory agencies prior to discarding this product into public sewers. As your supplier, we have no control over your handling and use of this product. However, the intended use of this product as a remediation and/or surface washing agent may produce wastewater containing emulsified or dispersed hydrocarbons that may be classified as a hazardous waste and should be treated and disposed of accordingly. Iva BuSoIvei Safety Data Sheet PINK WATER HYDROCARBON MITIGATION AGENT Page 5 of 6 Section 14 — Transportation Information USDOT Freight Class 55 (Liquid Cleaning Compound, Non -Hazardous) This product is not regulated by USDOT or Canadian TDG when shipped domestically by land. North American Industry Classification System (NAICS) # 325613 U.S. ITC, Harmonized Tariff Schedule B Classification: 3402.90.30.00 Section 15 — Regulatory Information This product is considered non -hazardous as defined by CERCLA, according to OSHA, Massachusetts Right to Know Law and California Prop 65. Toxic Substances All components of this product are on the TSCA inventory or are Control Act: exempt from TSCA Inventory requirements under 40 CFR 720.30. CEPA — Domestic All substances contained in this product are listed on the Canadian Substances List: Canadian CPR Compliance: Domestic Substances List (DSL) or not required to be listed. This product has been classified in accordance with the hazard criteria of the Canadian Controlled Products Regulations (CPR) and the SDS contains all the information required by the CPR W H M IS D2B Eye or skin irritant Classification: Regulatory requirements are subject to change and may differ from one location to another; it is the buyer's responsibility to ensure that its activities comply with Federal, state or provincial and local laws. Iva • BioSolve Safety Data Sheet PINK WATER HYDROCARBON MITIGATION AGENT Page 6 of 6 Section 16 — Other Information HMIS Rating NFPA Rating Health Hazard: Fire Hazard: Reactivity: Personal Protective Equipment: Health: Flammability: Reactivity: Other Hazard: 1 (Eye/Skin Irritant) 0 0 Rubber gloves, safety glasses or face shield 1 (Eye/Skin Irritant) 0 0 None BioSolve Pinkwater is on the US Environmental Protection Agency's NCP Product Schedule. This listing does NOT mean that EPA approves, recommends, licenses, certifies or authorizes the use of BioSolve Pinkwater on an oil discharge. This listing means only that data have been submitted to EPA as required by Subpart J of the National Contingency Plan, 40 CFR Section 300.915. SDS Effective Date: May 12, 2016 The information contained herein is accurate to the best of our knowledge. The BioSolve Company makes no warranty of any kind, express or implied, concerning the safe use of this material in your process or application or in combination with other substances. For more information, visit: www.biosolve.com