WI0300470_Injection Event Record_20220613

North Carolina Department of Environmental Quality — Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number WI0300470
Permit Information
Speedway LLC
Permittee
Speedway 7976
Facility Name
1006 Charlotte Hw_y, Troutman, Iredell Count , NC
28166
Facility Address (include County)
Injection Contractor Information
Mid -Atlantic Associates. Inc.
Injection Contractor / Company Name
Street Address 409 Rogers View Court
Raleigh. NC 27610
City State Zip Code
[phone]
Area code — Phone number
. Well Information
Number of wells used for injection 3
Well IDs MW-3, MW-5 & MW-20
Were any new wells installed during this injection
event?
❑ Yes ®No
If yes, please provide the following information:
Number of Monitoring Wells
Number of Injection Wells
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
Biosolve®
Injectant(s) Type (can use separate additional sheets
if necessary
Concentration 4%
If the injectant is diluted please indicate the source
dilution fluid._Onsite potable water
Total Volume Injected (gal) 250-.gal
Volume Injected per well (gal) —70-90 gals
5. Injection History
Injection date(s) 1/26/2022
Injection number (e.g. 3 of 5) 1
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
STANDARDS LAID OUT IN THE PERMIT.
SIGNATURE OF INJECTION CONTRACTOR DATE
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

Rogers, Michael
From: Jim Young <[e-mail]>
Sent: Monday, June 13, 2022 2:52 PM
To: Rogers, Michael
Subject: Fwd: RE: [External] Re: WI0300470 - NOI - Speedway 7976 - Troutman NC
Attachments: 2022-06-13_SW7976-40_I ER.pdf
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Hi Michael, see attached.
Thanks!
Jim
1111 Mia Atlantic
James Young, P.G.
Senior Geologist
MID -ATLANTIC ASSOCIATES, INC.
409 Rogers View Court I Raleigh, NC 27610
919-250-9918 1919-250-9950 (Facsimile) 1919-809-4577 (Mobile)
www.MAAONLINE.com I Outstanding Service Since 1993
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Forwarded message
From: "Rogers, Michael" <[e-mail]>
Date: Monday, June 13 2022 at 1:15 PM EDT
Subject: RE: [External] Re: WI0300470 - NOI - Speedway 7976 - Troutman NC
To: Jim Young <[e-mail]>
Email me the IER.
From: Jim Young [mailto:[e-mail]]
Sent: Monday, June 13, 2022 9:33 AM
1

To: Shrestha, Shristi R <shristi.shrestha@nc wr.gov>
Cc: Basinger, Corey <[e-mail]>; Pitner, Andrew <[e-mail]>; Watson, Edward M
<[e-mail]>; Rogers, Michael <[e-mail]>
Subject: RE: [External] Re: WI0300470 - NOI - Speedway 7976 - Troutman NC
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ok. Thank you
MirAtlantic
James Young, P.G.
Senior Geologist
MID -ATLANTIC ASSOCIATES, INC.
409 Rogers View Court I Raleigh, NC 27610
919-250-9918 1919-250-9950 (Facsimile) 1919-809-4577 (Mobile)
www.MAAONLINE.com I Outstanding Service Since 1993
Confidentiality Notice: The information contained in this e-mail is intended only for the individual or entity to whom it is addressed.lts
contents (including any attachments) may contain confidential and/or privileged information. If you are not an intended recipient you
must not use, disclose, disseminate, copy or print its contents. If you receive this e-mail in error, please notify the sender by reply e-mail
and delete and destroy the message.
On Mon, Jun 13, 2022 at 9:29 AM, Shrestha, Shristi R <shristi.shrestha(uncdenr.gov> wrote:
Please send future messages to Michael.rogers6incdenr.go` . I have moved from this position.
Thanks,
Shristi
Shristi Shrestha
2

Hydrogeologist
Division of Waste Management — Brownfields Program
NC Department of Environmental Quality
919.707.8381 direct line
shristi. shrestha@ ncdenr. gov
217 W. Jones Street
1646 Mail Service Center
Raleigh, NC 27699-1646
From: Jim Young <[e-mail]>
Sent: Monday, June 13, 2022 8:52 AM
To: Shrestha, Shristi R <shristi.shrestha ncdenr.gov> •
Cc: Basinger, Corey <corev.basingera 'ncdenr.gov>; Pitner, Andrew <andrew.pitner@ncdenr.g_ov>; Watson,
Edward M <[e-mail]>
Subject: [External] Re: WI0300470 - NOI - Speedway 7976 - Troutman NC
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Hi, please see attached Injection Event Record for permit #W10300470
Thank you very much!
Jim
3

'lie Atlantic
James Young, P.G.
Senior Geologist
MID -ATLANTIC ASSOCIATES, INC.
409 Rogers View Court I Raleigh, NC 27610
919-250-9918 1919-250-9950 (Facsimile) 1919-809-4577 (Mobile)
www.MAAONLINE.com l Outstanding Service Since 1993
Confidentiality Notice: The information contained in this e-mail is intended only for the individual or entity to whom it is addressed.lts
contents (including any attachments) may contain confidential and/or privileged information. If you are not an intended recipient you
must not use, disclose, disseminate, copy or print its contents. If you receive this e-mail in error, please notify the sender by reply e-
mail and delete and destroy the message.
On Fri, Jan 21, 2022 at 12:35 PM, Shrestha, Shristi R <shristi.shresthagncdenr.gov> wrote:
Thank you for submitting the Notice of Intent to Construct or Operate Injection Wells (NOI) for the above
referenced site.
Please remember to submit the following regarding this injection activity:
1) 1. Injection Event Records (IER). All injections, including air and passive systems require an IER. The
IER can be modified for air sparge wells (e.g., air flow `continuous' for date or rate of injection, etc.). The
forms can be found under the following link https://deq.nc.gov/about/divisions/water-resources/groundwater-
resources/forms-permit-application-tracking
When submitting the above forms, you will need to enter the nine -digit alpha -numeric number on the form
(i.e., WIOXXXXXX) that has been assigned to the injection activity at this site. This notification has been
given the deemed permit number WI0300470. This number is also referenced in the subject line of this
email. You may if you wish, scan and send back as attachments in reply to this email, as it will already have
the assigned deemed permit number in the subject line.
Thank you,
Shristi
Shristi R. Shrestha
Hydrogeologist, Ground•Water Resources Section
NCDEQ Division of Water Resources
919-707-3662 office
4

[shristi.shresthafdrncdenr.gov]shristi.shrestha a[�.ncdenr.gov
512N. Salisbury Street
1636 Mail Service Center
Raleigh, NC 27699 1636
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Jim Young <Jyoung;@maaonline.com>
Sent: Tuesday, January 11, 2022 11:25 AM
To: Shrestha, Shristi R<[e-mail]>
Subject: [External] For Review - NOI - Speedway 7976 - Troutman NC
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Report Spam.
Hi Shrestha, Happy New Year! Hope this email finds you well.
Please find attached a notice of intent for injection for the following:
• Site: Speedway 7976
• Address: 1006 Charlotte Hwy, Troutman NC
• Incident: 24101
• TF Task #: 40
• MAA #: R1167.40
• Scope: Notice of Intent to Operate an Injection Well
• Schedule: Our field tech is scheduled to do this work Tuesday next week, with MMPE to start Jan 31
(MMPE contractor is very hard to reschedule)
Apologies for the late submittal on this...the holidays, covid, and other tasks impacted completion of this
notice.
Best!
Jim
M i - Atlantic
James Young, P.G.
5

Senior Geologist
MID -ATLANTIC ASSOCIATES, INC.
409 Rogers View Court I Raleigh, NC 27610
919-250-9918 1919-250-9950 (Facsimile) 1919-809-4577 (Mobile)
www.MAAONLINE.com I Outstanding Service Since 1993
Confidentiality Notice: The information contained in this e-mail is intended only for the individual or entity to whom it is addressed.lts
contents (including any attachments) may contain confidential and/or privileged information. If you are not an intended recipient you
must not use, disclose, disseminate, copy or print its contents. If you receive this e-mail in error, please notify the sender by reply e-
mail and delete and destroy the message.
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