WI0400148_GEO THERMAL_20100728

Permit Number WI0400148
Program Category
Ground Water
Permit Type
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
michael. rogers
Coastal SW Rule
Permitted Flow
Facilitv
Facility Name
518 Rocky Springs
Location Address
518 Rocky Springs
Todd
Owner
Owner Name
Steve
Dates/Events
NC 28684
Wylie
Orig Issue
07/28/10
App Received Draft Initiated
07/28/10
Re qulated Activities
Heat Pump Injection
Outfan 1"
Scheduled
Issuance
Central Files: APS_ SWP_ 3
07/28/10
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
David-J. Brown
1908 Hamptonville
Hamptonville
Major/Minor
Minor
NC
Region
Winston-Salem
County
Ashe
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Steve Wylie
805 Blackbum Ct
Charlotte
Public Notice Issue
07/28/10
NC
Effective
07/28/10
27020
28209
Expiration
Water body Name Stream Index Number Current Class Subbasin
Beverly Eaves Perdue
Governor
Steve:~ Wyl1e
805 Blackburn Court
Charlotte., NC 28209
:,AVA
NCDEMR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
7/28/201()
.Subject: ·Acknowledgement of Intent to Construct Type 5QW Injection Well System
Permit No. WI0400148
518 Rocky Springs Road. Todd, NC 28684
Dear Mr. Wylie:
Dee Freeman
Secretary
On 7/28/2010, the Aquifer Protection Section (APS) received notification of your -intent to construct a closed-loop water-onl y
geothermal injection well system for the operation of a ground-source heat pump located at the address referenced above. An
individual permit is not required for the construction and operation of this type of geothermal injection well system as long as the
following conditions are met:
1. The injection well system contains only potable water,
2. The injection well system is constructed in accordance with well construction standards specified in North
Carolina Administrative Code Title 15A Section 2C Subchapter .. 0213, and
3. The required notification form and associated maps have been completely and accurately submitted.
Failure to comply with all of these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina
Administrative Code Title 15A Section 2C Subchapter .0211(u)(2). Additionally, you should contact the Ashe County Health
Department as they may have additional requirements for this type of system. Noncompliance with applicable state, county, or
municipal rules and regulations may result in the assessment of civil penalties.
Please contact Mike Rogers at [phone] or Michael.Ro 2ers(ii~ncdenr.gov if you have any questions.
Sincerely,
O~A-~
for Debra Watts
cc: Winston-Salem Regional Office -APS
APS Central Files -Permit No. WI0400148
Ashe County Health Dept.
Supervisor
David Brown -'Yadkin Well Co.1 1908 Hamptonville Rd, Hamptonville, NC 27020
Randall Scott-Scott Brothers Heating & Air, 1870 Liberty Grove Church Rd, Fleetwood, NC 28626
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] \ FAX 1: 919-715-0588; FAX 2: 919-715-6048 \ Customer Service: 1-877-623-6748
Internet: www.ncvvaterguality.org
An Equal Opportunity I Affirmative Action Employer
One North Carolina
/Vaturall!f
JUL/15/2010/THU 02:01 PM Scott; Brothers PAX No,335 877 2358
P. 002
NORTH CAR ZU
DEPARiAaN7 OP M-NM aNMOT AND NATMIAL RESOMCES (MCDEM9
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WAM4-- NLY INJECTIONVY-UL SYSTM,
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In Aoapvlanae of k3— Tide Ia.A.; 02CA200, phase
compkn: t &.mtiftcatiaa a:d =sax to addmw on & ba& pw (piem PAnt os kmin&madoa).
10AIi .. 72 " �2- -?
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oaatlatmm piping that comRlddy is alatw the fluid from fYie a nvironmat (Le,
cla, •ad loop)?
Y(w X. Coal iru�6 car[xpldring i� form.
Na . Do Notcomplete his&= Complm other TiDC appHeatict trm for filling
ei&w a 5A? w ctl (2pen-loop well inJectingpotable wags into the aquifer) or a 5QM well (clasad-
lvop well containing addhives.unh as R 32, afanol, or vffier mad&eeze ar com3ion iabl hors).
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Yadkin Well
From: "Stephen Wylie" <stavewylie(gbellsouth,net>
To: [e-mail]5
rAmt: Friday, July 23, 2010 5:41 PM
Subject Geothermal Wells
This email is to authorize Yadkin Well to act as our authorized agent for applying for state permits and
approvals for digging wells fbr a geothermal HVAC system at our home currently under construction and
located at 518 Ro*Springs Road, Todd, Ashe County, North Carolina, 28694.
Steve Wylie
805 Blackburn Ct.
Charlotte, NC 28209
[e-mail]
704.525.3543 - home
704.641.7410 - mobile
7/26/20 I a
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DAVID J. BROWN, VICE FIRES.
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