WI0501074_Injection Event Record_20220112

RECEIVED
MAR 2 4 2022
North Carolina Department of Environmental Quality — Division of Water Resources
INJECTION EVENT RECORD (IERR NC DEg1DW►i
Central Office
Permit Number W10501074
. Permit Information
Schlage Lock Company LLC
Permittee
Former Schlage Lock Plant
Facility Name
213 Red Iron Rd., Rock), Mount. NC. 27804, Nash
County
Facility Address (include County)
Injection Contractor Information
Michael Gerber/ Cascade
Injection Contractor / Company Name
Street Address: 3020 Avondale Mill Rd.
Macon
City
GA
State
31216
Zip Code
(_951)743-5497
Area code — Phone number
. Well Information
Number of wells used for injection 102 DPT
Temporary Injection Points — No well casing
installed
Well IDs: See Table 1
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 102 DPT Temporary
Injection Points — No well casing installed
Type of Well Installed (Check applicable type):
❑ Bored ❑ Drilled ® Direct -Push
❑ Hand -Augured ❑ Other (specify)
4.
5.
Please include a copy of the GW-I 1 orm for each
well installed
Were any wells abandoned during this injection
event?
/ 1 Yes ❑ No
If yes, please provide the following information:
Number of Monitoring Wells 0
Number of injection Wells 102 DPT Temporary
Injection Points — No well casing: installed
Please include a copy of the GW-30 for each well
abandoned
Injectant Information
ABC. ABC+ KB-1 Plus, Magnesium Hydroxide,
Sodium Bicarbonate, Sodium Sulfite, KB-1
Primer. Amounts summarized in Table 2
Injectant(s) Type (can use separate additional sheets
if necessary
Concentration Products received and batched to
final concentrations described in Table 3
If the injectant is diluted please indicate the source
dilution fluid Potable Water — Cis), of Rock), Mount
Total Volume Injected (gal) 307,382
Volume Injected per well (gal) See Table 1
Injection History
Injection date(s)_ 1 / 12/20221 to 2/26/2022
Injection number (e.g. 3 of 5) 1 (No follow up
injections planned at this time: post injection
monitoring results will be used to determine if future
injections are required)
Is this the last injection at this site?
► , Yes ❑ No
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

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
STANDARDS LAID OUT IN THE PERMIT.
3/21/2022
SIGNATURE OF INJECTION CONTRACTOR DATE
Michael Gerber
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

Table 1 - Well IDs and Volumes
Former Schlage Lock Company
Rocky Mount, North Carolina
CHA8509
Geosyntec Consultants
ABC
Aquifer
Injection
Area
Well ID
(DPT Injection Location)
Minimum Total Volume
Injected per DPT Injection
Location
1 gals)
Maximum Total Volume
Injected per DPT Injection
Location
(gals)
Middle
HC1
HC1-01, HC1-02, HC1-03, HC1-04,
HC1-05, HC1-06
T
2,338
5,108
HC2
HC2-12, HC2-14, HC2-15, HC2-16,
HC2-17, HC2-18, HC2-19, HC2-20,
HC2-21, HC2-22, HC2-23, HC2-25,
HC2-30
2,359
3,696
HC3
HC3-05, HC3-06, HC3-07, HC3-08
HC3-09, HC3-10, HC3-11, HC3-12,
HC3-13, HC3-14, HC3-15
2,305
3,227
DG1
DG1-01, DG1-02, DG1-03, DG1-04,
DG1-05, DG1-06, DG1-07, DG1-08,
DG1-09, DG1-10, DGI-11, DGI-12,
DG1-13, DG1-14
1,696
3.150
Lower
HC1
HC1-01, HC1-02, HC1-03, HC1-04,
HC1-05, HC1-06
2,305
2,766
HC2
HC2-03, HC2-04, HC2-05, HC2-06,
HC2-11
1,296
3,948
HC3
HC3-01, HC3-02, HC3-08 HC3-09,
HC3-10
3,688
3,688
HC4
HC4-01, HC4-02, HC4-03
3,786
4,205
DGl
DGI-06, DG1-07, DG1-08, DGI-09
4,200
4,244
DG2
DG2-01, DG2-02, DG2-03, DG2-04
2,613
2,615
DG3
DG3-01, DG3-02, DG3-03, DG3-04,
DG3-05, DG3-06, DG3-07, DG3-08,
DG3-09, DG3-10, DG3-11, DG3-12
2,610
3,152
ABC+
Aquifer
Injection
Area
Well ID
(DPT Injection Location)
Minimum Total Volume
Injected per DPT Injection
Location
i uals l
Maximum Total Volume
Injected per DPT Injection
Location
E gals;
Middle
HC2
HC2-01, HC2-02, HC2-03, HC2-04,
HC2-05, HC2-06. HC2-07. HC2-08.
HC2-09, HC2-10, HC2-11
2,384
3,136
HC3
HC3-01, HC3-02, HC3-03, HC3-04
1,490
2,060
Lower
HC3
HC3-03, HC3-04, HC3-07
2,376
_
3,144
Notes:
1. gals indicates gallons.
2. DPT indicates direct push technology.
3. DG indicates downgradient injection areas.
4. HC indicates high concentration injection areas
5. Total volume is the summation of the volume of diluted carbon amendment and chase water injected at each injection location.
1 of 1

Table 2 - Materials Injected
Former Schlage Lock Company
Rocky Mount, North Carolina
CHA8509
Geosyntec Consultants
Material Injected
Amount
Unit
ABC
94,054
lb
ABC+ (ABC and ZVI)
43,460
lb
Sodium Bicarbonate
46,950
lb
Magnesium hydroxide
4,500
lb
Sodium Sulfite
214
lb
KB-1 Primer
856
lb
KB-1 Plus
46.2
L
Notes:
1. lb indicates US pounds.
2. L indicates liters.
3. ABC+ is a 1 to 1 (by weight) mixture of ABC and zero-valent iron (ZVI).
1 of l

Table 3 - Summary of Injectant Concentrations
Former Schlage Lock Company
Rocky Mount, North Carolina
CHA8509
Geosyntec Consultants
Material: ABC
Injection Solution
Area
Aquifer
Concentration of ABC
(lb/gal)
Comment
ABC 1:20
HC and DG
Middle and Lower
0.41
ABC was diluted with potable water to the
concentrations shown.
ABC+ 1:10
HC
Middle and Lower
0.82
ABC+ 1:15
HC
Middle and Lower
0.55
Anaerobic Chase Water
No ABC Added to Anaerobic Chase Water
Material: Zero Valent Iron (ZVI)
Injection Solution
Area
Aquifer
Concentration of ZVI
(lb/gal)
Comment
ABC 1:20
No ZVI Added to ABC 1:20 injection Solution
ABC+ 1:10
HC
Middle and Lower
0.82
Concentration reduced partway through
injections
ABC+ 1:15
HC
Middle and Lower
0.55
Anaerobic Chase Water
No ZVI Added to Anaerobic Chase Water
Material: Magnesium Hydroxide
Injection Solution
Area
Aquifer
Concentration of
Magnesium Hydroxide
(lb/gal)
Comment
ABC 1:20
No Magnesium Hydroxide Added to ABC 1:20 Injection Solution
ABC+ 1:15
HC
Middle
0.131
Lower
0.021
ABC+ 1:10
HC
Middle
0.196
Lower
0.032
Anaerobic Chase Water
No Magnesium Hydroxide Added to Anaerobic Chase Water
Material. Sodium Bicarbonate
Injection Solution
Area
Aquifer
Concentration of Sodium
Bicarbonate
(lb/gal)
Comment
ABC 1:20
HC
Middle
0.274
Lower
0.082
DG
Middle
0.572
Lower
0.073
ABC+ 1:10
No Sodium Bicarbonate Added to ABC+ 1:10 Injection Solution.
ABC+ 1:15
No Sodium Bicarbonate Added to ABC+ 1:15 Injection Solution.
Anaerobic Chase Water
No Sodium Bicarbonate Added to Anaerobic Chase Water
Material: Sodium Sulfite
Injection Solution
Area
Aquifer
Concentration of Sodium
Sulfite
(lb/gal)
Comment
ABC 1:20
HC and DG
Middle and Lower
0.0012 to 0.0005
Concentration reduced partway through
injections
ABC+ 1:10
HC and DG
Middle and Lower .
0.0012 to 0.0005
ABC+ 1:15
HC and DG
Middle and Lower
0.0012 to 0.0005
Anaerobic Chase Water
No Sodium Sulfite Added to Anaerobic Chase Water
Material: KB-1 Primer
Injection Solution
Area
Aquifer
Concentration of KB-1
Primer
(lb/gal)
ABC 1:20
IIC and DG
Middle and Lower
0.00175
ABC+ 1:10
ITC and DG
Middle and Lower
0.00175
ABC+ 1:15
HC and DG
Middle and Lower
0.00175
Anaerobic Chase Water
11C and DG
Middle and Lowers 0.007
Material: KB-1 Plus
Injected Directly - No Dilution of TSB-1 Plus
Notes:
1. Four injection solutions were batched and injected. These included a diluted ABC solution, two diluted ABC+ solutions, and anaerobic chase water.
2. 1:10, 1:15, and 1:20 indicate the mixing ration of ABC to potable water that was used to batch the diluted ABC solutions used during injections.
3. Ib/gal indicates pound per gallon,
4. DG indicates downgradient injection areas.
5. HC indicates high concentration injection areas
1 of 1

WELL_ABANDONMENT RECORD
For humnal Use ONLY:
1. Wed Coatneeter IrMrmativa:
Daniel Carr Ferrell
Well Coawactar Nana (ar well owner persomily abandoning well on huller properly)
NCWC 3221-8
NC Well Contractor Certification Number
Cascade Environmental
Company Nemo
2. WeeComtrrettaa Permit# UIC IM0501074
Um all applicable well constructionpeiarih r e. UIC, Camay, Stare, variance, etc) if brown
3. Wee use (the&k well use):
Water Supply Wee:
❑Aglicuhural
❑Gwtl:amal (Heating/Cooling Supply)
❑haduslriaIJComme cial
❑ '_• - ion
Non -Water Supply Wen:
❑Monitoring
Injection Welt
❑Aquifer Recharge
['Aquifer Storage and Recovery
❑Aquifer Test
❑Experimental Technologyy,
❑ceothenal (Closed Loop)
❑Gcopbantal f[cdi Cmolin
QMunicipallPublic
❑Residential Water Supply (single)
['Residential Water Supply (slated)
❑Recovery
INGrouodwater Reurediation
❑Salinity Barrier
❑Stormwater Drainage
['Subsidence Control
❑Tracer
Return) ❑Other .. , ain under 7
4. Date *Otis) abandoned:2/2
5/2022
• Wen IIscadou:
Former Schlage Lock Plant
FacilitylOwniar Name Facility mY (ifapeieabk)
213 Red Iron Road, Rocky Mount, NC 27804
Physical Address, City, and Zip
Nash
County
019708, 034658
Panel idenalca ion No. IPiN)
Sb. Latitude and Iaoptade iia de lmineteafaeeoads or decimal degrees:
(ifweil 1ie1d on; Wong is wlFiciert)
N W
CONSTRUCTION IJ TAILS co -WELLIES) BEING ABANDONED
Admit well oawiwcsiarrecord()ifaauilable. For mwhi*i ectionornon-leateremppIywe$a
ONLY with Ube scope catrsmeraowa6dndonarear. yaw wit nitwit: deepen,.
6s Well um See Table 1
6b. Total well depth: 22 t0 550 .. -(ft)
6c. Borehole tearneter: 2 (ia.)
lid Water level below ground surface: 10 t0 15 _ Aft)
6e. Omer codas length (if Iowa):N/A
IA
6E inner as ltabiag length (if la•ow.) - -
6g. Screen length (if known): NIA
Form GW-30
__I MO
WELI1 ABANDONMENT DETAILS
7a. For Ceoprobe/DPT or Closed -Loop Geothermal Weis having the same
well construction/depth, only 1 OW-30 is nmdcd. Indicate TOTAL NUMBER of
wells abandoned: to2,eporaytgetJn taease,e
7b. Approximate volume of water remeiairg in 'milk): NIA
l2al.)
FOR WATER SUPPLY WELLS ONLY:
7c. Type of disinfectant used:
7d. Amount of disinfectant used:
7e. Sealing smu ri ills used (theekall that apply):
❑ Neat Cement Grout
❑ Sand Cement Giota
O Concrete crag
❑ Specialty Gran
❑ Bentonite Slurry
Pi BentoniteChips orPellets
❑ Thy Clay
❑ Drill Cuttings
0 Gravel
0 Other (explain wader 7g)
7E For each material selected above, provide amount of materials ased:
Approximately 2-3 bags
7g. Provide a brief description of the abandonment procedure
Baahmae chips WHO poured dewrt,ale. nPT'Leong was used to push chips to depth *ram rest.
Webs added to hydrate. Agohonel chips and water were added* allow chbe to seat to eutace.
B. Certification
SigtmttaeofCodified WdIC Owner
By signing Oats form, 1 hereby cerrlfy that the wells) was (were) abandoned in
accordance with 15.4 NCAC 02C .0100 or 2C _02110 Well Constrarchon Standards
and theta copy of this reared hal beenprovdded to the we9awner.
9. Site diagram oar additional well details:
You may use the bade of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
Ilia. For All Wells: Submit this form within 30 days of completion of well
abandonment to die following;
Division of W:ter Resources, Information Processing Unit,
1617 Mall Service Center, Raleigh, NC 27699-1617
19k For IaleetiprRWells: In addition to sending the farm to the address is IOa
above, also submit one copy of this farm within 30 days of completion of well
abandaunent to the following:
Division of Water Resources, Underground ligation Control Program,
1tt"i. 6 Mail Sender Center, Raleigh, NC 27699-1636
life For Water Suueiv & laiedioa Welk: 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.
RECEIVED
North Carolina Depantent ofEnvtmnrneatel Quality - Diviaioa of Wets Resources
MAR 2 4 2022
Revised 2-22-2016
Central Office