WI0400061_GEO THERMAL_20000728

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
July 28, 2000
MEMORANDUM
To: Sherri Knight, E.I.T.
Groundwater Section
Winston-Salem Regional Office
From: Mark Pritzl · (W,.e [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 Type 5QW.
Notification to construct and operate 30 injection wells for a geothermal heat pump system has
been filed by Watauga County in the City of Boone, North Carolina and a ·copy of the
Notification is enclosed for your files. The 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 (9.19) 715-6166 or Amy Axon at [phone].
cc: UIC Files
Enclosures
ATA
NCDENR
JAMES B. Huwr JR.
GOVERNOR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
July 28, 2000
BILLHOLMAN
SECRETARY Robert E. Nelson, Jr.
KERR T. STEVENS
DIRECTOR
Watauga County
Office of the County Manager
Courthouse, Suite 1
'842 West King Street
Boone, NC 28607
Dear Mr. Nelson:
DIVISION OF WATER QUALITY
In accordance with the notification submitted on your behalf by Cove Creek
Preservation & Development, dated July 19, 2000; the Groundwater Section
acknowledges your intention to construct a closes -loop geothermal water -only
injection wells 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.0211(u)(2)).
:y 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].
1CC:
Sincerely,
Ma*
Mark Pritzl
Hydrogeological Technician II
Underground Injection Control Program
CO-UIC Files
WSRO-UIC Files
FIIZsr
GROUNDWATER SECTION
1636 MAIL SERVICE CENTtR, RALEION, NC 27699•1636 - 2728 CAPITAL, BLVD.. RALEIGH, NC 27604
PrrON E o 1 9.733-3221 FAX P 1#-718•0388
AN EOvAL OPPORTUNITY 1 AFFIRMATIVE ACTION EMPLOYER - S0% RECYCLED1109E POST-CONSUHEN PAPER

July 19, 2000
Ms. Amy Axon
UIC Program
Groundwater Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, N. C. 27699-1636
Cove Creek Preservation & Development
PO Box 344 • Sugar Grove, NC 28679
Phone: [phone] • Fax: [phone]
www.covecreek.net
cn
Subject: Geothermal project at Historic Cove Creek High School Building, 207 Dale Adams
Road, Sugar Grove, N. C. 28679. (N. C. State CIearinghouse Application No. 00-C-0000-0538)
Dear Ms Axon:
Enclosed is the form GW-57 filled out as I indicated we would do. Also enclosed is a copy of a
site map locating the well field relative to the adjacent buildings and sewage disposal plant, a copy
of a topographical map of the area, a tax map of the parcels involved, and a diagram of the
injection system.
After discussion with Earth Energy, the Engineering firm we expect to do the well field, we
decided to go with potable water without the anti -freeze solution. The reason for this decision
was because the pipe will be buried a minimum of 3 feet on the outside and because we are going
to provide a Red Cross Disaster Emergency Center in the building, a 15kw generator will be
located at the building. This generator will keep the water circulating in the event of a power
outage for an extended period of time and freezing should not be an issue.
I am also enclosing a letter from the Watauga County Manager. As I discussed with you,
Watauga County, N. C. owns the building and Cove Creek Preservation and Development, Inc.
teases from the County as a Non Profit Community Organization. The letter indicates that
Watauga County is aware of the project and expects no difficulty in getting the appropriate
signature on the application OW-57 as property owner, but must go through the formality of
voting on the issue at the next County Commissioner's meeting 8/7/00. At that time we will
provide a properly signed application form.
I trust this will satisfy all your requirements for us to proceed with the project. If not, please
advise me what else you need at your earliest convenience.

Sincerely,
{lj{f!,~L ~
~R.Simpson
Board Member CCP&D
WATAUGA COUNTY o MANAGER
Courthouse, Suite 1- 842 West King Street - Boone, NC 28607 - [phone]
TDD 1-800-735-2962 - Voice 1-800-735-8262
July 24, 2000
Ms. Amy Axon
UIC Program
Groundwater Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Dear Ms. Axon:
Watauga County owns the property known as the old Cove Creek School that is leased to the
Cove Creek Preservation & Development. The County is aware of the project to drill numerous
wells for geothermal storage. The County is supportive of this project, and I am of the opinion
that the Board of Commissioners will confirm this by official action at their August 7, 2000
meeting.
The County will forward the appropriate documentation after endorsement.
Sincerely,
Robert E. Nelson, Jr.
County Manager
RENjrlehl

.,.
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)
Type SQW Wells
In Accordance with the provisions of NCAC Title I SA: 02C.0200
Complete application and mail to address on the back page.
This is not the proper form to be used for injection wells in an open-loop geothermal system.
Do not use this form for systems that circulate an y substances other than water.
TO: DIRECTOR, NORTH CAROLINA. DIVISION OF WATER QUALITY
DA TE: , L1 /v , 20 tJ fl t
A. SYSTEM CLASSIFICATION Does the proposed system circulate potable water in continuous
piping that completely isolates the fluid from the environment?
YES ~ If yes, then continue completing this form.
NO Ifno, do not complete this form. Form GW-57 HP, Application For
Permit To Construct And/Or Use A Wel/(s) 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 If yes, do not complete this fonn. Form GW-57 HP, Application For
Permit To Construct And/Or Use A Well(s) For Injection With A Heat
Pump System, should be completed.
NO ✓-If no, then continue completing this form.
C. PROPERTY OWNER
Name: W0: f?: v 9 "-· ~-ov,->f., .f z
Address: 8 4-,2 W · 'k', 'n 1: 5 M ,:?r
City: n ct G:2:'.:!d, / State: /l. t.., Zip Code: _,&.,.2-L,,<J?.:....,:C~o_? ______ _
County:~fc, f~.ve:'i: Telephone: --'-2?~6:.1..tf'----------------. I
D. ST A TUS OF PROPERTY OWNER
Private: Federal: Commercial:
State: Municipal: (.../"'"~··· Native American Lands:
GW-57 CL (Jan, 2000) Page J of 4
E. f' ACILITY (SITE) DATA
(Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial).
Name of Business or Facility: r,)/ C c v -< (.,...-e. c Jc )--h ~ 1 J'~ /,p"" J p,, 1 )~/ \~ £
Address: 2 o z 12 q. I~ tf a!~ 4t. > /(()"'-✓ 7
>
City: .!, v/· ",.--f.ro v-.: State: /f.r, l. Zip Code: 2.. c?t: 2 f County: j(,,. ,i f t:t ,
7
... t ~,
Telephone: 1,2?-.,Z f ?-,ZU. o Contact Person: .J a. c /c .S>·~§/ ~cn-z o -J fMJflf)' H"-.1 ),..s~
Standard Industrial Code(s), SIC, which describes commercial facility: ________ _
F. HEAT PUMP CONTRACTOR DATA
Name: N07 a.v ,:J~b/-c.. -JB,d. /J y<ci ~c:..S> p .JJ .:.c..ftJ co--1 )-(_f~ . .b 7 ZH))t,O
Address: r '
City: _________ State: __ Zip Code: _____ County: ____ _
Telephone: _________ Contact Person: ____________ _
G. CONSTRUCTION DATA (check one)
(1)
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: _J ...... (""""'e_V_J_, ~----.9---c_f ___ , ___ , .s __ · --<'-~ ....... 1_-)_( ..... o_i.v.aa......o...z ......... k--;i~ ..... ' __ _
~
NC Contractor Certification number: __ 2_ _______ f_Q: ___ j ____________ _
Date to be constructed: e; f 3 II l o(, Number of borings: 3 Q c:, ~-
1 --=----"------
Approximate depth of each boring (feet): ______ 3...........,;:o;.......=..o ___________ _
(2) Well casing: Is the well(s) cased? Nr,
(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 ~
(3) Grout (grout the vertical length of the borehole to a minimum depth of 20 feet b .1.s.):
NOTE:
(a) Grout type: Cement__ Bentonite ~ Other (specify) ______ _
(b) Grouted surface and grout depth (reference to land surface):
__ around closed loop piping; from O to 1 () (feet).
__ around well casing; from __ to __ (feet).
THE WELL ORILLING CONTRACTOR CAN SUPPLY THE DA TA 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.
(I) 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 well(s) and any existing well(s) 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)
(2)
(3)
Hazardous Waste Management program permits under RCRA
NC Division of Water Quality Non -Discharge permits
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 all 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. ] 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 pump system and all related appurtenances in
accordance with the approved specifications and conditions of the Permit."
Itgnature of Well Owner oT Authprized Agent)
60- rt e_ C_C��D
If authorized agent is acting on behalf of the well owner,
please supply a letter signed by the owner
authorizing the above agent.
G W-57 CL (Jan, 244O) Pagr 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 ISA 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:
UIC Program
Groundwater Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
Page 4 of 4
I c (

ICIFIELO 1506x40.
IMTH 3 ROWS OF 10 EA.
VERTICAL WELLS ON 2T
CENTER GRID
CAFETERIA BLDG.
SEE ENLARGED
MECH. ROOM
COW CREEK FfGH SCHOOL
UEDIA
CENTER
L
250'
R
J
SEE DETAIL "B'
7d d»W dt9=tO 00-6t-Lnr

Jul-19-00 03:50P MECA PC P.02
5
,
U
r.._.� S
N
r
1
5
R
DETAIL "B"
SCALCs NOT TO SCALE
R
I

3"
TYP
TO PUMPS T-2
P-1 & P-2 G-1 0"100C
4" BUTTERFLY VALVE , Di i
SUPPLY I I fl
HEADER
i` DRAIN PT
{TYP.) (TM)
FROM Ka TO WELL
FIELD FIELD
3"
TYP.
7-1 FROM PUMPS
G-1 0- 100T P-1 & F-2
N
0000 6"
BALL VALVE
(TP)
NOTES:
COMBINE SUPPLY & RETURN PIPING
TO SAME TRENCH OUTSIDE BUILDING.
PROVIDE WALL CLAMPS AS NECESSARY
TO SUPPORT PIPE.
1 ` DRAIN
(•)
- ----4" BUTTERFLY VALVE
• 11111
RETURN
HEADER
-SCH. 40 STEEL-PIPr
FLOOR
SUPPLY & RETURN HEADER DETAIL
NOT TO SCALE -
0

TO GEOTHERMAL
WELL FIELD
FROM GEOTHERMAL
WELL FIELD
PRESSURE
GAUGE
(TYP)
-00
v.5
4 N.O.
V- 4
N.C.
Ji
V- 6
N.O.
TEMPERATURE SENSOR
TT-T-T TRANSMITTER
(TYP)
MAKE-UP
WATER
AIR
SEPARATOR
V-3
N.C.
N.O.
V- 2
4" FROM
BUILDING
i
4" TO
BUILDING
V-1
N.Q.
(PRESSO
TYPE DIN.)
TRIFLE DUTY
VAI VE (TYP.)
WATER SOURCE HEAT PUMP
CLOSED LOOP PIPING SCHEMATIC
NO1 TO SCALE
VALVE POSITIONS SHOWN
NORMAL OPERATIONS:
LDG CIRc. ONLY
V-1 - OPEN
V-2 - OPEN
V-3 - CLOSED
V-4 - OPEN
V-5 - CLOSED
V-6 - CLOSED
WELL FIELD GRC. C LY
V-1 - CLOSED
V- 2 - CLOSED
V-3 - OPEN
V--4 - CLOSED
V-5 - OPEN
V-6 - OPEN
"1rf H7g1.&I

NOTE':
PIPES SHOW SIPARALLD F IN
CLARITY TO BE STACKED
3" PIPi
(2 TO +U+ELL FIELD
2 FROM WELL. FIELD)
4" CONCRETE PAD —'
FOR PUMPS
HAKE -UP WATER
SEE RASING PLAN
TEIPERATURE
SENSOR
TRANSMITTER
ET.I
4-4"
4"
V-6 -
(N.O.)
{IH VERT.]I1
TRANSMITTER SWITCH
6 45" CONTROL
SUPPLY HEADER T
RUN PIPES AS HIGH - RETURN HEXER
AS POSSIBLE
PANEL
FLOW METER
TRANSMITTER
.1- T 3N
VARIABLE SPEED I�BTEr
DRIVE CONTROL ` ALL PIPING TO BE INSULATED
SEE SPEC. 15180
PHL. "Ens
V-2 (N.O.)
BUTTERFLYI
VALVE (TIP.)
V-5
(NA.)
(IN VERT.)
Enlarged Mechanical Room - Level One
SCAL.e: 1/41.'1'-QII
PNL. "HA
-
PN •

AIR VENT
L
FROM
BUILDING
rSYSTEM
AIR SEPARATOR
(SEE SCHEDULE)
EXPANSION TANK
(SEE SCHEDULE)
FLOOR --�
PRESSURE REDUCING VALVE
RVICF VALVE
PBP j-t
COLO WATER \-PRESSURE REDUCING
MAKE-UP BACKFLOW PREVENTER
SEE PLUMBING DRAWINGS
PRESSURE AIR VENT
GAUGE
DRAIN
TRIPLE
DUTY
VALVE
r
rTO BUILDING SYSTEM
L
SYSTEM PUMP
(SEE PUMP DETAIL)
ti
SUCTION
DIFFUSER
EXPANSION TANK/AIR SEPARATOR
PIPING DETAIL
NOT TO SCALE

► 7•
•

NPS Form 10-900
(Oct. 1990)
tJnited states Department of the Interior
Rational .Park Service
0MB NO. 10024-0018
Hatioraa1 Register 0£ Historic P1aces
Continuation Sheet
Section 10 Page!
Cove Creek High School, Sugar Grove
Watauga County, NC
Verbal Boundar y Descrip tion
Watauga County Tax Map.
Parcel Numbers: 1972-86-8255-85-8876-6892-95-0919
Boundary j ustification
The nominated property includes the entire parcel of ten and one-half acres
historically associated with the Cove Creek High School at 240 Dale Adams
Road, Sugar Grove, North Carolina, excluding the three buildings added in
1952, 1956, and 1981.
8
N 926,000
7
6
N 926,000

,. .. 2?71
Heavy-duty • ·
Medium-duty
I
·\.
•,•~,lat.ill.~,::: '... \"
,.,, \
L \
\.
\
'
... ,.
I •
"""' . '·
Mr