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Technical and Regulatory Guidance for In Situ Chemical ... - ITRC

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groundwater quality criteria are set <strong>for</strong>th in Chapter 62-520,<br />

F.A.C.<br />

The remediation plan estimates that site remediation will take<br />

_________ months. We will notify you if there are any<br />

modifications to the remediation strategy which will affect the<br />

injection well design or the chemical composition <strong>and</strong> volume of<br />

the injected remediation product(s).<br />

The proposed remediation plan was approved on ___________ by a<br />

RAP approval memo (or other en<strong>for</strong>ceable document). A copy is<br />

attached. The remediation system installation is expected to<br />

commence within 60 days. Please call me at ___________ if you<br />

require additional in<strong>for</strong>mation.<br />

Note 1. If an injection well installation contractor has not<br />

yet been selected, then indicate the name <strong>and</strong> address of the<br />

project’s general remediation contractor/consultant.<br />

Note 2. Complete chemical analysis of injected fluid is<br />

required by Chapter 62-528, Florida Administrative Code.<br />

Proprietary <strong>for</strong>mulations shall make confidential disclosure.<br />

<strong>In</strong>jected fluids must meet drinking water st<strong>and</strong>ards of Chapter 62-<br />

550, F.A.C., unless an exemption or variance has been granted.<br />

Example 4 – Kansas<br />

CLASS V<br />

UNDERGROUND INJECTION CONTROL PERMIT APPLICATION FOR SUBSURFACE<br />

INJECTION OF FLUIDS IN CONJUNCTION WITH A GROUNDWATER REMEDIATION<br />

PROJECT<br />

<strong>In</strong> con<strong>for</strong>mity with K.S.A. 65-164, 65-165 <strong>and</strong> 65-171d, the undersigned representing (name of<br />

company, corporation or person applying) hereby makes application to the Kansas Department of<br />

Health <strong>and</strong> Environment (KDHE) <strong>for</strong> a permit to inject non-hazardous fluids into or above an<br />

underground source of fresh or usable water by means of an injection well(s) <strong>for</strong> the purpose of<br />

remediation of contamination. This application shall be signed by an executive officer of a level<br />

of at least Vice-President.<br />

1.The applicant shall provide documentation with this application that KDHE’s Bureau of<br />

Environmental Remediation has approved a remediation plan that includes the use of the<br />

proposed injection well(s). Describe the contamination problem proposed <strong>for</strong> remediation,<br />

including a discussion of the source of the contamination.<br />

2. Describe in detail the function of the well(s) within the scope of the remediation project.<br />

3. Describe the fluids to be injected. <strong>In</strong>clude predicted concentrations of the parameters of<br />

concern in the injection fluid. Provide in<strong>for</strong>mation <strong>for</strong> each unique injection material or additive<br />

including Material Safety Data Sheets. If materials or additives are mixed prior to injection,<br />

provide an analysis of the batch conditions. Otherwise provide an analysis <strong>for</strong> each material if<br />

materials are to be injected sequentially, or manifold mixed during injection. Additional testing<br />

of the fluid to be injected may be required after review of the application <strong>and</strong> pertinent<br />

in<strong>for</strong>mation. All analyses shall be conducted by a laboratory certified by the State of Kansas.<br />

A6

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