WI0400059_GEO THERMAL_20000314

NOR'TH ·'c:AROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
;.:,:' ·,.'
· .. JAME~~' HU,!'i ,~~)?1
GOVERNOR
en:.L' HOLMAN
S .£CRETARY
Kf!RR T.. STEVENS
DIRE'CTOR
March 14, 2000
Rob McNiece
United States Post Office
' 1030 South Church Street
Asheboro, NC 27203
Dear Mr. McNiece:
In accordance with the notification submitted on your behalf by PI Mechanical Inc.,
dated February 24, 2000; the Groundwater Section acknowledges your intention to
construct a closed-loop geothermal water-onl y injection well for the operation of a
ground-source heat pump. The system as described in your notification will not
require an injection well permit and is deemed permitted by rule (North Carolina
Administrative Code Title 15A: 2C.021 l(u)(2)). The Underground Injection Control
. Group has added your site to our inventory. If you modify your· system, please
:\,, -contact the Groundwater Section to verify compliance. Thank you for submitting this
· · notification.
If you have any questions regarding geothermal heat pump wells please feel free to
contact me at [phone] or Amy Axon at [phone].
Sincerely,
Mark Pritzl
Hydrogeological Technician II
Underground Injection Control Program
~ cc: CO-UIC Files
WSRO-UIC Files
. : ii
GROUNDWATER SECTION
I 636 MAIL SERVICE CENTER, RALEIGH, NC 27699• f 636 • 2728 CAPITAL, BLVD,, RALEIGH, NC 27604
PHONE 9 '19-733-3221 FAX 919·715·0588
AN EC:)UAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER • 50% RECYCLED/10% POST-CONSUMER PAPER
DIVISION OF WATER QUALITY
GROUNDWATER -SECTION
March 14, 2000
MEM ORANDUM
To: Sherri Knight, E.I.T.
Groundwater Section
Winston-Salem Regional Office
From: Mark Pritzl /II.()• [e-mail]
Hydrogeological Technician II
UIC Group
Groundwater Section
Raleigh Central Office
Re: Receipt of Notification for a Closed-Loop Geothermal Water-Only Injection Well
System.
Notification to construct and operate 42 injection wells for a geothermal heat pump system has
been filed by the United States Postal Services in Asheboro, North Carolina a~d a copy ·of the
Notification is enclosed for your files. This injection well system is deemed permitted by rule
(NCAC T15A: 2C.21 l(u)2) and no regulatory action is necessary. If you have any questions,
please contact me at [phone] or Amy Axon at [phone].
cc: UIC Files
Enclosures
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP
GEOTHERMAL WATER -ONLY INJECTION WELL SYSTEM
(GROUND COUPLED HEAT PUMP)
c5
1
Type 5QW Wells I. s
In Accordance with the provisions ofNCAC Title 15A: 02C.0200
Complete application and mail to address on the back page.
0
c rf
This is not the proper farm to be used for injection wells in an open -loon geothermal system.
Do not use this form for systems that circulate anv substances other than water.
TO: DIRECTOR, NORTH CAROLINA DIVISION OF WATER QUALITY
DATE: 2 f 1l , 20 OD
A. SYSTEM CLASSIFICATION Does the proposed system circulate potable water in continuous
piping that completely isolates the fluid from the environment?
YES X If yes, then continue completing this form.
NO
If no, do not complete this form. Form GW-57 HP, Application For
Permit To Construct And/Or Use A Wells) For Injection With A Heat
Pump System, should be completed.
B. SYSTEM FLUID Will any additives be introduced to the system's circulating heat transfer
fluid? This includes, but is not limited to corrosion inhibitors and/or antifreezes.
YES
NO
If yes, do not complete this form. Form GW-57 HP, Application For
Permit To ConstructAnd/Or Use A Well(s) For Injection With A Heat
Pump System, should be completed.
If no, then continue completing this form.
C. PROPERTY OWNER l{
Name: Ur11�e� Spares cjto• l ' err1lce
Address: P. O . 15 b z 21 Cr[
City: Cvrekta5V3oro State: NC. Zip Code: ii 46i 6
County: C,£on). Telephone: 33 {a - i4 5 - 2 $
D. STATUS OF PROPERTY OWNER
Private: Federal: XL Commercial:
State: Municipal: Native American Lands:
GW-57 CL (Jan, 2000) Page 1 of 4

E. FACILITY (SITE) DATA
(Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial).
Name of Business or Facility: U 01- ST TF PO57 c EPIC E
Address: e3D 50J-k-i ' Ch arc,1-\ S 4 .
City: As lioor•a State: i4C Zip Code: '2123 County:
Telephone: '5', - Cktis • AVE:. Contact Person: 12olo 11/4-r—Q tee_.
Standard Industrial Code(s), SIC, which describes commercial facility:
F. HEAT PUMP CONTRACTOR DATA
Name: A.KS t,cAL („!G
Address: Po 13e>4•• 2�-n SAY
City: GRE056c . o State: /JC Zip Code: 214 7-0 County: eL f kro(
Telephone: 33(2 - 2- -- 153) Contact Person: "SoL,n $ isio p
G. CONSTRUCTION DATA (check one)
(1)
(2)
(3)
►jfr
EXISTING WELL(S) being proposed for use as a ground -coupled heat pump
well(s). Provide the information in (1) through (4) below to the best of your
knowledge. Attach a copy of Form GW-1 (Well Construction Record) if available.
PROPOSED WELL(S) to be constructed for use as a ground -coupled heat pump
well(s) . Provide the information in (1) through (4) below as PROPOSED
construction specifications. Submit Form GW-1 after construction.
Well Drilling Contractor's Name: R BHA D S i ►rUl Nl c J S S L7,LI.JCI 6 o.
NC Contractor Certification number: 6$
Date to be constructed: '2-j 2S 10 G Number of borings: 4-2—
Approximate depth of each boring (feet): 3 35
WeEI casing: Is the well(s) cased?
(a) YES If yes, then provide the casing information below.
Type: Galvanized steel Black steel Plastic Other (specify)
Casing depth: From to ft. (reference to land surface)
Casing extends above ground inches
(b) NO )-
Grout (grout the vertical length of the borehole to a minimum depth of20 feet b.l.s.):
(a) Grout type: Cement Bentonite Other (specify)
(b) Grouted surface and grout depth (reference to land surface):
around closed loop piping; from to (feet).
around well casing from to (feet).
NOTE: THE WELL DRILLING CONTRACTOR CAN SUPPLY THE DATA FOR EITHER EXISTING OR
PROPOSED WELLS IF THIS INFORMATION IS UNAVAILABLE BY OTHER MEANS.
GW-57 CL (Jan, 2000) Page 2 of 4

H. INJECTION -RELATED EQUIPMENT
Attach a diagram showing the engineering layout of the injection equipment and exterior piping/tubing
associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
I. LOCATION OF WELL(S) Attach two maps.
(1) Include a site map (can be drawn) showing: buildings, property lines surface water bodies,
potential sources of groundwater contamination and the orientation of and distances between
the proposed wells) and any existing wells) or waste disposal facilities such as septic tanks
or drain fields located within 200 feet of the ground -coupled heat pump well system. Label all
features clearly and include a north arrow.
(2) location map referencing the site to two nearby permanent reference points (such as roads,
streams and highway intersections).
J. PERMIT LIST: Attach a list of all permits or construction approvals that are related to the site.
Examples include:
(1) Hazardous Waste Management program permits under RCRA
(2) NC Division of Water Quality Non -Discharge permits
(3) Sewage Treatment and Disposal Permits
K. CERTIFICATION
"I hereby certify, under penalty of law, that I have personally examined and am familiar with the
information submitted in this document and ail attachments thereto and that, based on my inquiry of
those individuals immediately responsible for obtaining said information, I believe that the information
is true, accurate and complete. I am aware that there are significant penalties, including the possibility
of fines and imprisonment, for submitting false information. I agree to construct, operate, maintain,
repair, and if applicable, abandon the ground -source heat pumps stem and all related appurtenances in
accordance with the approved specifications ands�oditions e Permit"
(Sign ure of Well Owner or Authorized Agent)
If authorized agent is acting on behalf of the well owner,
please supply a letter signed by the owner
authorizing the above agent.
GW-57 CL (Jan, 2000) Page 3 of 4

L. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other property
rights in the well being constructed. A well is real property and its construction on land rests
ownership in the landowner in the absence of contrary agreement in writing.)
If the property is owned by someone other than the applicant, the property owner hereby consents to
allow the applicant to construct each injection well as outlined in this application and that it shall be
the responsibility of the applicant to ensure that the -ground-source heat pump system's well(s)
conforms to the Well Construction Standards (Title 15A NCAC 2C .0200)
GW-57 CL (Jan, 2000)
(Signature Of Property Owner If Different From Applicant)
Please return two copies of the completed Application package to:
UICProgram
Groundwater Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
Page4 of4
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- WELL (TYP)
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GENERAL CONTRACTOR SHALL BE RESPONSIBLE FOR LOCATING UNDERGROUND PIPING AND CONDUIT.
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3' RETURN
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21/: CEOTHERNAAL WATER SUPPLY
2't' GEODERMAL WATER RETURN
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4.1:1
(1)
r reorHEwul WELL
TYPICAL OF 42. SEE BORE —1
DETAIL SI-EE T W4A2 ITYP j
Et.)
GEOTHERMAL WELLS
BELOW GRAVE CONCRETE V )LT
TYPICAL OF 6 (SEE ROTE 1}.2],
1 lieSEE DETAIL SHEET M4.03�
2'
,YPt(dA 0.11015I.P EDINA
SEE DEiAI'AEEt W.O1
22 CPE
GEOTHERMAL HEAT PUMP PIPING SCHEMATIC
NO so LE
L
CL - pXCUlf SETT
Doc'- BLL VALVE
W SU UED WI
- UNION
- ST104E01
- LUG TrP Et
Mofa 0-noo
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MEWL -DONS. RDOR SINK
RL-4 NEE SEPARATOR
DRAW - Ski VALVE
WRN HOSE ENO
B'/N'1 SLEEVE ONO SEAL AS
- MANUFACTURED BY ZINN-SEAL.
(T(Prc4L)
NOTE
1. ALL PIPE PUIETIMTICISE THROUGH VAULT MILLS 9ULL BE
SLEDEV AIfO : FU FD ATM Ulm-SEx B1' nIVICCR IE
2 ALL WY1LT0 SRNL HALE MN EINE Er P.C. SEE Val Y4.03
AND P1A1.
GEOTHERMAL WATER PIPING SCHEMATIC
NO SCALE
4/K
VENT 1,4TH
HOSE CONNECTfON
((TYPICAL AT ALL
rRCN PDNrrs)
4.
ECY M.C.
t' SEPA55
t' SPENCE TYPE '034'
PRE,SSuRE REDUCING VALVE
SET AT 45 PSIG
BY P.G
now SNITT21
GEOTHERMAL PUMP I
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r
/
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SSEEEE PLLR NG PLANS
/14.6.R -. SEE PT01
FOR CONTINUATION
14' AR VENT WMTH
NOSE COM ECTON
(TYPIGL AT ALL
HIGH POINTS)
FM
REJJEF VALVE
SET 655raIL
FLDOR SINK
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APPROX.
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PR1CR 1D CA ISiRUCY17H.
5. ADD EDD TO ALL SP01 ELEVATIONS.
• 4.40 FERNANEICT S11:PE5 ARE ID PICEEQ 3 RORRC11f1AL TD I VERTIGIL (.. 1).
5- •NMire OAS iTV GONTRACTp2 SIIALL 11R0NDE CAS LACE OAR EST
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FOR AN CUTLET PRESSURE or 5 P5 AND A raiALL OF 537o et/K.
as
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,DEMOL1T1ON NOTES
r1THIM THE LIMITS OF GRADING OR PROPOSED RORK. DEMOLISH AND
ONE Me THE SAYE ALL ETDSTING TREES, BRUSH. PAYING, CLASS,
AcruSE. CJLVDTTS AND OTHER SFi0 IIAPRcVEMENTS NDT $PEOFICALLY
CONTIFIEO To REMAIN CIR TO 0E SALVAC0(0. REFER T11 SPECDFICAT0N
SEGTON INT SI}, E31NRONNEKTAL PROCEDURES, FOR RECYCLING
PEOUREJAENTS.
OTECT AND PRESERVE COSTING 1OUAGE LIONS CIUTSIOE OF THE
i5 OF ORADIMO PRIER ID DEPLANING CLEARING OR GRADIIH•
TONS, TREE PROTECTOR 'CHONG IS TO BE INSTALLED AROUND
ENTIRE ZONES IH ACCORDANCE 1I/nH TREE PROTECTION DETACEP SAFETY FENCING CLEAR IL
94EET C1.04. NO C0N51RUCTON 'EOCJIPAIENT OR STOCKPOJNIG
SAE: ALLOWED 0UT5IDE OF THE LAZES OF GRADING, UF4.E55 1T
TAW& SUOMIT DETAILED PUNS OF ALL. SUV-i PROPOSALS
REVIEW, AS FF IT WERE A 'RUDEST me SUBSii7U11Q*C
7+69.02
EROSION CON
5. ALL DENUOEJS AREAS ARE TO
1XTIIN IS DAYS OF O15RCJPTID
ACTINTY IS NOT BEING VNTAEF
UNFAVORABLE FOR SISDING 0
1AULC71 AND TALY. APPUCATCI
2. DEPENDING ON . ASONAL UM
sTASUZZD LC521G SEED LUXES,
AS SHDM11 ON THE LANE/SCAR
MANUAL THE RECOMMENDED !
IS MARCH TS TO JLME 1 AND
OTNERIIISE. THE SEEDED AREA
GROUND COVER AND CRHAP--
ALL0LAED). IF SEASONAL UMIJI
MIXTURES 940MN ON THE LAN
TEMPORARY SF DING S4
FOP
3. ALL EROSION CONTROL IMPRCW
AND KEPT WURKING UNTIL ACOS
UPON PtIC11dC
I! IETER 1100
FMB wry
P"OPOSE❑
OF CONSTR
1. 007AIN REQUIRED PFRM11
2. INSTALL TEMPORARY CON
3. CLEAR SITE ENOUGH TO
STORM DRAIN MIDI.
4. INSTALL SEDOAEN! AND I
STORM DRAg1AG£ STSItI
NOTE:
DURING OAS STEP, REM.
TO TEMPORARY SIDEMEN
VN0ISTIIRBED ONTL ERE
DRAINAGE SYSTEJI HAVE
SEDMCFNT TRAP A10. 1 I`.
AT WEST SIDE OF S11
TRAP ND. 1.
S. CLEAR AND GRADE SFTE.
4. PROTECT ALL DRAINAGE
7. MAINTAIN AND CLEAN 01
DURATION CF THE PRO)!
eL ST4011.170 AND SEED KJ
R. AFTER ALL DISTURBED
TEIAP0RAAr MOON CC
90.000
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