WI0300409_Injection Event Record_20240209

North Carolina Department of Environmental Quality—Division of Water Resources
INJECTION EVENT RECORD (IER)
Permit Number WI0300409
Were any wells abandoned during this injection
1. Permit Information event?
❑ Yes ® No
Marathon Petroleum Company, LP
Permittee If yes,please provide the following information:
Marathon Charlotte East Terminal Number of Monitoring Wells
Facility Name
Number of Injection Wells
7401 Old Mount Holly Rd, Charlotte, Mecklenburg
Facility Address(include County) Please include a copy of the GW-30 for each well
abandoned
2. Injection Contractor Information
4. Injectant Information
Eastern Solutions
Injection Contractor/Company Name RegenOX Part A and Part B
Injectant(s)Type(can use separate additional sheets
Street Address: 10909 Rozzelles Ferry Rd if necessary
Charlotte NC 28214 Concentration: 3%
City State Zip Code
If the injectant is diluted please indicate the source
(803 746-5180 dilution fluid. Charlotte Water(Mecklenburg
Area code—Phone number County,) -Hydrant
3. Well Information Total Volume Injected(gal) 1,160
MW-0I —689 (Part A)
Number of wells used for injection: 3 Volume Injected per well(gal) MW-01— 110(Part B)
MW-47— 171 (Part A)
Well IDs: MW-21,MW-47, MW-48 5. Injection History MW-48— 190 (Part A)
Were any new wells installed during this injection Injection date(s) 1/29—2/9/2024
event?
❑ Yes ® No Injection number(e.g. 3 of 5) 2A of 3
If yes,please provide the following information: Is this the last injection at this site?
❑ Yes ® No
Number of Monitoring Wells
I DO HEREBY CERTIFY THAT ALL THE
Number of Injection Wells INFORMATION ON THIS FORM IS CORRECT TO
THE BEST OF MY KNOWLEDGE AND THAT THE
Type of Well Installed(Check applicable type): INJECTION WAS PERFORMED WITHIN THE
❑ Bored ❑ Drilled ❑ Direct-Push STANDARDS LA THE PERMIT.
❑ Hand-Augured ❑ Other(specify) .46/03/2024
Please include a copy of the GW-1 form for each SIGNATURE OF IMJE N CO RACTOR DATE
well installed. Derek RothaiMt
PRINT NAME OF PERSON PERFORMING THE INJECTION
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