WQ0036881_Injection Event Record_20230808

North Carolina Department of Environmental Quality — Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number WQ0036881
1. Permit Information
Northrop Grumman Guidance and Electronics Co., Inc.
Permittee
Former Clifton Precision Site
Facility Name
1995 NC Highway 141, Murphy, Cherokee County
Facility Address (include County)
2. Injection Contractor Information
Groundwater & Environmental Services, Inc.
Injection Contractor / Company Name
Street Address 310 Maxwell Road, Suite 600E
Alpharetta, GA, 30009
City State Zip Code
8( 66 ) 435-4424
Area code — Phone number
3. Well Information
Number of wells used for injection see attached
Well IDs see attached
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
see attached
lnjectant(s) Type (can use separate additional sheets
if necessary
Concentration see attached
If the injectant is diluted please indicate the source
dilution fluid. see attached
Total Volume Injected (gal) 136,678
Volume Injected per well (gal) see attached
5. Injection History
Injection date(s) see attached
Injection number (e.g. 3 of 5) 9 of 12
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.
n pq (� Digita l ly signed by Brian P McCann p/p/r�or�3
Brian r IV cCann Date: 2023.08.0814:06:45-04'00' V V L L
SIGNATURE; ON' INJECTION CONTRACTOR DATE
Brian P. McCann
Submit the original of this form to the Division of Water Resources within 30 days of injection. Form UIC-IER
Attn: UIC Program, 1636 Mail Service Center, Raleigh, NC 27699-1636, Phone No. 919-807-6464 Rev. 3-1-2016