WI0400184_GEO THERMAL_20120518

RA -
MCDEMR
North Carolina Department of_ Environmenta □d Natural Resources
Division of W~te[Qualify __ :_
Beverly Eaves Perdue
Governor
Charles Wakild;P: E. Dee Freeman .
J runes Vannoy
Post Office Box 635
Jefferson, NC 28640
Director
May 18, 2012
Subject: Notification of Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit Number: WI0400184
Dear Mr. Vannoy:
Our records indicate that you currently hold a permit for a closed-loop geothermal injection well
system. This letter is to· inform you that on May 1, 2012, the North Carolina Administrative
Code Title 15A Section 2C .0200 entitled "Well Construction Standards -Criteria and
Standards Applicable Injection Wells" were revised. These revisions affect all permits issued
for injection wells including geothermal wells.
This letter is also to inform you that your closed-loop geothermal injection well(s) have become
"permitted by rule." Therefore, you are no longer required to renew your current permit
and the permit will be valid indefinitely as long as the wells are active and are operated in
accordance with the revised rules referenced above. Please keep in mfod that if you abandon
the wells, a record of abandonment must be submitted to the Division of Water Quality. You
may view the revised rules on our website at http ://portal.ncdenr.org/web/wq/aps.
If you have any questions regarding your current pennit or the rule revisions, please feel free to
contact our underground injection control staff at [phone].
Sincerely,
Eric G. Smith, P.G.
Hydro geologist
cc: UIC Permit File
AQUIFER PROTECTION SECTION
Secretary
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone] NOnehC 1· art. aro .1.na
Internet: www.ncwaterguality.org
An Equal Opportunity\ Affirmative Action Employer /Vaturnlllf
GEO-THERMAL WELL CONSTRUCTION- RECORD
r NOil REmEnTArAL NvFLL C0NSTRVCT10H rLC()RD
4 Noah Carolina Department of EavlranmenI andNitunIResuorces• vislo FWa er t7( n b t gualily
1VELL CONTRACTOR CERTIFtICATION H 3 ��
t. WELL CONTRACTO r
j/4
Well Coniraolar (Inamdualj Warne
-kin 4qell ggULMnInc.
Well ConIIactar Company Name
STREET ADDRESS _ 19Q8 Hamntonville Rd.
TTamni-0nv:111e N.C. 2702O
Areal:Wa- Pllgoanumber
2. WELL INFORMATION'
SME WELL Iflff(IIappvcbbfe) ►• Z
STATE WELL PEFtihM(K agpCres)o
MVQ er OTHER PERMT 1(tf applkab?o) W l d t oo t V1
WELL USE (ChcckApplfcabTs Sax) lAankileg ❑ F,iurliclp0pubko
fndusNaVCwmercrall2 Agricuslu_++af❑ Reeoveryl❑ In]eclbrr E)�
fedgallano otberg(Itsl140 C1,
DATE DRiLLEQ w ?A j
TIME COMPLETED AMCJ Mir
S, WELL 1. CATIO 4:
CITY.. e n COUNTY Asks
(Sfrc*1Il•aMe, Members, Cofnrnumlty, 5ubdMitoa.tot Nu., Patcel,Zip Coda)
TOPOGRAPHIC! LAND SETTING:
gSlopa 17Vatlay ❑Flat ORIdge L] Other
(eheol opplfopriatoebuxj '
LATITUDE rat 1] rY� t7L"+ ��sf �Va t3y'b�a5fnsrcands�or
LONGITUDE 6 .L�. ►'+ p r Ina dzcimzt fauna!
Latitudellongltude soarcm ep8 OTopagraphio map
(WaIlorr ofwagmustbe shavn an USGS top* map and
afleched la lMt (arm if naf using CPS)
v FACILITY. 4vonar.,sdg4tutrrwssvAtialhr+nsattW:tlhi.
FACILITY IDi1(If applit:abla)
NAVE!�T^r
STREET ADDRESS
TA
City rrTdrrra Siafa
Zip Cade
I
CONTACT PERSAH Dflig I TIA A
aW
MAILIN ADDRE S
A. t N 3 f" cl
Clay ofTown State
Lip Cade
']
L3.. ��'E.i 2— 701 Q
AT92 code • Phone number
5, WELL, DETAILS:
a. TOTAL DEPT14.--
5, DOES WELL REPLACE EXISYMG WELL? YES R NOX
a. WATER LEVEE. Belnif Tap of Casing: _ -,- FT.
(lls a'+' If Above Top at Casfng)
d. TOP OF CASING IS /'- FT. Abvme tand Surface,
'Top of caelrtg terminated aVor beiarrlaW stlrfa;e may requh
a variance fn o ccordan ce vAn i 6A NOAC 2c ,4 t is.
r. YIELD (gpm); .) U _ IdETHOD OF TEST at f-
f. DISINFECTIOM Type ! Amounl ,(
g, WATER 4 II19S {d pih : !
from•��Tai& Fran To
Flan Tc Frain Te
Fran Tc From Ta
5. CASING: Thttknessl
>aeplil Dfarnstar Vlerght Material
Fran Ta FL
fraTL To FI.
From Td FI.
I. GROUT, ❑opfh
� Matodal
lMelhod
From "
Fr"_Tv
Ft. __
Fran To
Ff.
a, SCREEN, Depth
Dfamelyd slot SEza Matwal
Fnx Ta
FE�fn,
la.
Fran TO
Ft+ + In.
In.
Fro l To—
Fl. In,
in,
SANOFORAVE1. PACK:
Depth • . Size 6laiedal
Fwn To FL ,
frcrn i o Ft� _
Fran To Ft. ._
0. DRILLING LOG
Fa T F0rmalio0 1)0s iptioa
..tt—_
Mrr _ T�h f
19. h1 ELKS: ,
S DOliFrt E GY CE RnFY TNATWJS 5'PEt L 1YAS COi75IAVCTEO V I AC MAOAtitE W iz
15AW-M 2C, WELL CWtSTRVCRQN STAROAAC3. AND TKLYA 00PY OF Uten
RECOSLOW98E Pa d nTOT7iHVr6LLaWK
SIGNAT RE OF RTIFIED WELL CO`TRACTOR DATE
PAINT T �NAIRE F� PERSON CONST RUCTIN13 THE WELL
i 4
Submit the or glrtal flo tits lvislon of Water Quality with(rl 30 days. Attu: Information Mat,, FoimGYf•fb
1617 ?dali Serilee Csnter--Raieigh, HC 27699-16iT Phone Rio:1919)733.7015 ex! 568. Rev,7105
Datla Site ViSi ted: by ►ri�L� -Permit required: �e No
a��uwb
ILA
J. Y•0eoVty h6(i�

r),OA 1nil.t.�e5
9
LCI 0`1'-,q
6p1 f, o."L
r �+1A sot f to
.S --�`��
k

G EO-THERMAL WELL CONSTRUCTION RECORD
NoN1?ErS1D.EN ,4L �Vaij[ CpHS7'i ugn.N REC4F;D
Norlh Carolina Departmw of Environment and'Oatum] Rtsourtes• Division of Water Quailly
WELL CONTRACTOR c-RTiFICATtON 0 .35 W -4
1. WELL CONTTtA TOR- _
W-4 Contractor {lnd[vi I 1 rdama
Yadkin Well Comrkinyf. Inc.
Well ucnlracict Gomparry Noma
STREET ADCRInSR 19Q8 Hampi onville Rd.
N.C. 27020
336-468-4490
Areacoda- Phenanumber
2_ WI=LL INFQRIAATiDN: sky 7 7
RTv'N S6lL rD �'(lrspp[IeableY 7
STME WELL PEMAITkr{if a ftntabla) +
MQ of OTHER PERMIT N(If apprrcebla)_�-
1tf!Lt. USF (Cbenck Appl+sa5!e BOX) tAWiloring 0 Muaklpeypuhlk D
indusErtat+Cnmrne+claM Aarlcvtiuraif] Rceovety01njecl"0
kfiantlono Other �tIf t use} Cl�aiel{� ..ors ¢Ee n
'. �8
GATE DRILLED ---���.�
TIME COMPLi:TED C. r� AAi b FMY,�
3, WCLL LOCAT O T:
CITY: S4- do , COE3Nii}_
�.�AI,- R-
(Streel Nerve, numbers, CoramuNty. SvbdNIslon, Lot No., Parcel71p Coin)
TOPOGRAPM I LA14D SETVN0-
&Sloa [}Va'.lay [IFtat MRld90 0 Other
fchta apprriprrnte bok) `
LAMUDI: j 1Zf.6qo May bsin&aroati
mTn�leess�� sccands or
LOArG1TUOC ILL Ina Crcirnai farmer
tat;tudcliar►glrudn sotsrec: eg 0TOp6d aphis: map
(k,calba of woFfn0S1 ba ahOM on a VS6616PO map and
attachedtothfsform #norvsttlp4 PS)
C. FRCTLI M 1; ve n t rf# e1 rta W ilmi % pt ua lu Yrtl is Y t:l Ed,
FACILITY 1D 4(1f applicab1g)—
WiN
STREET A[/DDDRESS O _l//,v 2-It
se
Cihj of Tura Stale
2ip CodD-'
/
CONTACT PMSON ❑ant A, TcLy�a
� cl
MAILIN ADDRE S- St
Coryorlorurr Stale
Zip Code
J _ "
Area code - Phone number
6. WELL DETAILS:
a. TOTAL OEM:
b. DOES WELL REPLACE EXiSTM YrELL? YES 0 Nox
c, WATER LEVEL 8e}uk Top of CBstn�: FT.
tuas ••• it Above Top o4 Caslr+gy
d, TOP OF CASINO 18 i Fr. Land Suffaea'
'Top of caalna terrnlr18(cd stlor tWow land surface may rect4e
avatianeaFri aCcw4lraeWth ISA NCAC 2C .0118.
e. YIELD (yprn): I - METHOD OF TEST r
r. DiSINF9CT10Fr: Typo ?� Amount r
g. WATER ZONES (dap ft
Frorr>_To Frail_ To
Flom TorFrom To
Fron —To Ffcm To
0. CASING: Thickness!
Deptfl DISMAor Wepol Materiel
Fran To PINY
Frern To� Ft.
Fran To FL
7. GROUT:h Depth I 1rMataAai I�othoi
Fran-4 To J f1 rI. 17
Frain To FI,
Fran Tot FI.
8. SCREEN: ElepEh MamMer S101 $tta malwal
Frun To Ft, rn. In.
From Ta FL� tn. In.
t'rerr>_ �_ To FI. In, in.
8, SARD)ORAVEL PACK:
. Depth • • -- Slre I.Ialadat
Fran To Fl.
Prom_- _„Tn Fi.
Fran Fo F1, _ _
10. DRILL1110 LOG
Ft Tq• Formation Description
Cl Cj �a
r
I 1. Uhl kRKS,
r DO HERESY C ER TIFY THXY THIS W ELL WAS C014 SMIME0 H ACCOMIAMCE W RI I
I$A HCAC 20,YIELi CONSMCIDOH VAM)ARP3. AND rA;TA COPY W M3
MosopmMUMDEDITWELL0 '
SIGNATIf E 9F� R111PEOViELL
LCCONTRACTOR t]ATE
PRINTED "AE OF PERSON CCNSTRUCTENG THE WELL
I, GYr I C4,v4c
SLrbrrlit tho orIgfnai to the ❑ivislon of Water Quallty v+lthin 30 days, Aunt Informatron rrsgt., FamGVMb
1617 r4ail Service Center- Ralelghr NC 2786U-1617 Ph8ft0 No; (9i9)73s•7016 ext 558, Rerr, 7105
Date site Visited: �y Permit required: Oee No

GEO-THERMAL WELL CONSTRUCTION RECORD
rf ;,
`
.L 1'_ON RESMEN_TIAL WELL CONSTRUCTLON
RECORD
NnrTh Carolloafhpadineni oFERviron mon] andNat on$Resoutee stpiYjsian oF%Vster Qsality
WELL CONTaACTOR CrRTIFI&TION It
L LWELLCONT CTO
W6II Conlratior (InclMdusi) Name
ar3 sin well Cawany, Inc.
Well Conlr:cW Company Name
STREET ADDRESS 1908 Hamptcnyille Rd.
Ham_t", V� le N.C. 2702a
eAW IX I aNn Slake Zip Coda
43GMa.i-4490 Area cede- Phona number
2. WELL INFORMATION:
StTF-WELLIUtI(Irappllcabls)_�
STATEVJELL PERMITtltilo¢pileabis] i
DLVQ or 07HER PERhIIT 4 iI applcablaj
SlELL U9E (CheckApplicahie Bolt) 146niiaring ❑ MunlclpalllFubllnq
FnduslriaVF-MmercTai p Agdtollur�e%ji Recovery 0 injecllon Cl
Irrigatlonp 01he1 �{(Ilst uN
DATE DRILLEDTIMECOMPI-5 ED AM PA4�r
3. WELL LOCAT D f:
CITY: x 1 vjjl � _ COLIN
[5 veal Name, Itumbtrs, CufnmunliA SvbdMsloo. Lai No., Parcel, ZIP Gaiej
TOPOGRAPHIC I LAND SETTING.'
Slop? pVallay DFlat gHldga 0 Olhaf
(c h t ck 41 PPFSR dF 19 be,) '
LATITUDE 3 •v 2..L �� May belndegre>�,
Syr J minut ts%smonds or
LONGITUDE � -L Z. D ! in dxlrnd formal
Latitudetlungitude source: �0PS aTopi aphla map
fbca(nn of we# must ba sholvn on a USG fopo map and
affecha d fe Ihts Corm If 1101 u$Fnq CPS)
d• FACIL I TY. It Ito r. a n I el da Lu rt�+r i %hv & to a R H [I Wi I *d,
FACILITY I #(11 applic2bla)
NAY,E mow. a QQ 6
Vf1l,in
STREET ADDRESS �y a Zi
Ai . - -� —
�i
City or TYAT% Stale
ZIP Coda
coNTACT PERSON Mani p_I r ! acfA AjLeGfG�i'� 4
MAIL] Nqq A DORCP S
«J tb ri Oro
City ar Tvrrn Stele
Zip Coda
t1.7r e 6 )-
Afeacode - Phonanumbar
5, VIELL DETAILS: q,�
a. TOTAL DEPTH: 7z 1
b, DOES VK-LL REPLACE 9XISTRIO VaLL7 YES{} NO4V
o. WATEFt LF-VEL BeioHTop of Casing:,__F-r
(Us a'+' 1t Abova Top of Cnsing)
d, TOP OF CASINO 18 - _FT. ASara land Svdace-
`rep ai casing terminated Wor beiavlarld svrfaca mayfequ&e
a valFanea 1A aecord3gcetx'!h 15A t`1CAC 2C.Oi18.
o. YIELD (gpm):
1, DI 5 1 N FECT ION- Typ OHM-_ _Amount
g, WATER J1:3 (depth):
Fra1rL,�To—EL FrmrL_To
Ftom Ta From To
Fram Ta From Tu
6. CASING: Thickness!
�pill Oiameler we:Ght Matedal
Fr To Fi,
m FroTo Fl.
From To Ft.
7. GROUT;Depth matodal 14010d
-
FTa-n Ti Pl,_--
8. SCREEN: Depth Diameter Slot Sirs Malfeal
Flom To Ft. in, In.
Fran To Ft� ' _ Fn, in.
Frwn^__ To Fi. 1n. In.
S. SAt: DIG RAVEL PACK:
, Oep1h Size 1Aaledal
From To FI.
Frcm T'e Fi. _
Frcm To FI.
i0. DRiLL1110 LAG
F►alnn TO-) Fonalian Dascciptfdn
v
100 N ERE BY C ERMY MT TM WE LL WAS MISMUCTEP VI ACZO KPANCE WM4
55ANCAO 2C, WELL 0ONSTRUCWH STANOMaS, Mo TNATA COPY OF 'DOS
REL:4R0 PA C Tb7N8Vf1`E�YNcJi /
SIOVA71JR 0 AEr'i IF1EDW.QLLCi N1RACCTOR DATE
e 1. L
PRINTED NAIAE OF PERSON CONSTRUCTING THE WELL
GVL1l� .G•I/•L ,
SLrbmil the" g1na1 to the -a IYlslon of Water quality %vilhjn 30 days. Attn: Information Mgt., 1 am GWtb
1617 Mail Sefvtce Center-- Raleigh, NO 27699.1617 Phons No. (919)733.701A oxt568. Rao, tfb5
laatCe site �isiteL3: � bY�SL��-Pexmii required: �P NO
o•>,��kb

GEO-THERMAL WELL CONSTRUCTION RECORD
NON ON.d. ESIDENT,14L WELL CONSTRUCTION RECORD
' Norfh Carolina
.fie.. Deporljricnto(Envircnmcrlk and NaluraI Resourecs• pvls[on or%Vater Q uals't
Y
1VELL CONTRACTOR CCRT(FICXT10N (!
LVFLt. CONTRACTOR.
lb-? 1 c4r4--
W.I+Coniractar lindMdual)14ame
_ jaf&i z well ggg)any► Inc.
Walf Contractor Company Marne
STPEZT ADDRCC55 _ 3 908 HamptonviIle Rd.
L.l ty or i Dim bale Gip i.'wa
Areaeode- Phot, a number
2. WELL IN FOR PAAT toff:
SITE WELTkDlftllappAgbl.] +
STATE WELL PERMITA(if ooplicable)
DWO or OTHER PERMIT:f(if applicable) fits/ T a�L gh
WELL US E (Check Applicable L3ov) wri'doring R Mvnkip*Publlo O
{nduslriaVCrrrrme+cial{] AprlcvlturalD Revvery0lnfeclWD
lydgaliwJ3 01her�tlist Use) t: y t
DATEDRILLS❑ _ 6 ir>� s
TIME COMPLETED `i _ �f% AMD F1+'l�
3. MLL LOCAT p 1s A
CITY. Dar. j_ COUNT Agk—
{streetfaera e,tlumhis. Cpinmcnitp,SubdhtVon. Le}No..Pared,ZIP Caul
T0P0GRAPH1C I LA14D SETYIN0-
�Sfopa CIVailay ❑Flat 0Ridga CI Other
febi 6t apprcpdi1a bokk)
LATITUDE .� �j. . �--r• u o May""deg{ces.
t�iisly yeess,� SiCOnitS dr
LQtaGiTLiOE Z L a ina MrDal formal
I.. diudellong0ode sources. ePS nTopographla mip
(" a Ilan oltisl must ba shtnvn on a USGS iepo map and
anoched io this lane 1l nol+.s7rg GPSj
K. FACILITY. tithe nimtoliTaburrrursuhrr+tiasrllt, lcrilS
FACILITY ID01epptfcabl9)
NAME �#'V�sb S � .j
STREET ADDRESS j Q� 22 ')
- - :Per u►� }jam �a O
CiftjcTTwin Stale T 21PC4do
MAILI NQ ADORE SS
City or Tom Slafe Zip rodo
Area code • Phnaa number
5. WELL DETAILS:
a. TOTAL OEPTH:—Z-2iQL:—_—
b, DOES WELL REPLACE EXISTING VIELL? YES 0 NOX
a. WATER LEVE L below Tap of Casing: _FT,
(tree'+' IfAbova Top of CasIn9)
d. TOP uF CASiNG IS FT. AWm [and Surfaca,
'Top of tasing terminates alloy t erNland surface rneyfegvlre
a varianea in sccosdtpee ► ith 16A NCAC 20At 18. 1
n. Vri2 t51-0 {gpm)r /- . METHOV OF TEST C i r
I. MSlNFECT1Q1l: TVp0.1� Arnoulit�
g. 1VA7ER 2O>;i?s �daplhy:
From,16L! TO-14L Fran To
From To From To
From To Frtrrl Tc
6. CAStNG:
ThIcknassl
❑epilr
Diomafer
Wdghl
t,tatedal
Frrm
To
Fr,
_
Flrxk_Z—
Frcnt .
To
To
Fly
Fi.
7. MuLfT.
Depth
lualodal
1A00
From d
To J�
Ft.h
`rr"'F •�'�� t
Fr�_Ta
Fi.
Fraro
To
FL
__
3. SCREEN:
Depth
OlameNr
S101 Site
Lir3teear
Front
Ta
Fj.
n,
in.
From
To
Ft,�P.
In,
From
Tc
Ft,
fn.
In,
9. SAflOIGRAVEt. PACK:
, ❑epih • • • Sire matedat
Fran To Fl.
F'rc�Tn Fr.
FrcwL _,TQL ^FL _
10. DIRMLINGLOG
Fio iq Fotmallbn Description
r rGy.
L CO M R r aY CERTIFY TMT DUB ►V e L L ►VAS CONSTWIE e! I ACCORt1A#Cf WMA
I&A KAC 10, V46M C0HS1 RUCV11 SlARDARDS, r tnVAWACOPY bf Tres
REfARa itAe a Elr PR �-- EY.1L— _ [ VZ&
SIGNATUREOrCER7FIEDWELL CONTRACTOR DATE,,
PRIHIEQ�E OF PERSON CONSTRUCTING THE WELT.
submit tha original to the 010slon of Water Quality ►vlth(n 30 days. At1n:Informallon Mat., FixmGVMb
1617 Mall Service Canter— Raleigh, NO 27899•1617 Phone Ho,'t919j733.74i6 sx! 568. Rw.7ffiS
torte site visited: by rPermit required; NO
044,04

Ro gers, Michael
From:
Sent:
To:
Watts, Debra
Tuesday, May-31, 2011 9:45 AM
Rogers, Michael
Cc:
Subject:
Knight, Sherri
RE: Vannoy 5QM applicat~ Q l( t) <) /BI{
Mike
Got a call from Sherri on Friday-she has no problem with the permit and will follow it up later. djw
From: Rogers, Michael
Sent: Thursday, May 26, 2011 4:31 PM
To: Knight, Sherri
Cc: Watts, Debra; Mccray, John
Subject: FW: Vannoy SQM application
Sherri-
Since I am going to be out in the office for the next 4 days, I forwarded the permit to Debra. Please notify her ASAP if
you have any objections to permit issuance.
Thanks
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality• Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh. NC 27699-1636
Direct Line [phone]; Fax [phone] (put to my attn on cover letter)
http ://portal.ncdenr.org /web/wq /aps/qw pro/permit-app lications#q eothermApps
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties
From: Rogers, Michael
Sent: Tuesday, May 24, 2011 3:33 PM
To: Knight, Sherri
Cc: Mccray, John
Subject: FW: Vannoy SQM application
Sherri-·
Just a reminder-after reviewing the application, you can elect not to do a pre-permitting inspection if you deem it not
necessary. Just let ·me know as soon as possible.
Thanks
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality-Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh, NC 27699-1636
Direct Line {919) 715~6166; Fax [phone] (put tomy attn on cover letter)
http ://portal.ncdenr.org /web/wq/a os/gw pro/permit-app lications#q eothermApp s
1
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties
From: Mccray, John
Sent: Tuesday, May 24, 2011 11:54 AM
To: Knight, Sherri
Cc: Rogers, Michael
Subject: Vannoy SQM application
Sherri,
Attached you will find a copy of the Vannoy SQM application for the facility in Ashe County. Mike Rogers will be
reviewing this application and will be getting this in this next day or so.
Best Regards,
John McCray
2
Permit Number WI0400184
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Faci litv
Facility Name
James Vannoy SFR
Location Address
309 Riverside Park Tri
Jefferson
Owner
Owner Name
James
Dates/Event
NC 28640
Will Vannoy
Scheduled
Orig Issue
05/26/11
App Received Draft Initiated Issuance
04/29/11
Ret1 ulated Activities
Heat Pump Injection
Outfall kU!..L
Central Files: APS_ SWP_
05/26/11
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
David J. Brown
1908 Hamptonville
Hamptonville NC
Major/Minor
Minor
Region
Winston-Salem
County
Ashe
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
James Will Vannoy
1608 Hwy 221 N
Jefferson NC
Public Notice Issue
05/31/11
Effective
05/31/11
Rea uested/Received Events
RO staff report received
RO staff report requested
27020
28640
Expiration
04/30/16
05/24/11
Waterbody Name Stream Index Number Current Class Subbasin
i
Permit Number W10400184
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facility Name
James Vannoy SFR
Location Address
309 Riverside Park Tri
Jefferson NC 28640
Central Files: AP5 SWP
05/26/11
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliatior
David J. Brown
1908 Hamptonville
Hamptonvilie
MajorlMinor Region
Minor Winston-Salem
County
Ashe
Facility Contact Affiliation
uwn e r
Owner Name
Owner Type
Individual
James Will Vannoy
Owner Affiliation
James Will Vannoy
1608 Hwy 221 N
Jefferson NC
28640
uatasrEvents.
Scheduled
Orlg Issue App Received Draft Initiated Issuance
04/2911 i
public Notice I ue Effective
En
Lf
Re:. ulated Activities
n-P_ies`edlReceived Events
Heat Pump Injection
RO staff report received
RO staff report requested
05/24/11
Ouelall
Waterbody Name Stream Index Number Current Class Subbasin

AVA
MCDEMR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
May 31, 2011
James Will Vannoy
1608 Highway 221 N
Jefferson, NC 28640 ·
Ref: Issuance of Injection Well Permit WI0400184
Issued to James Will Vannoy
Jefferson, Ashe County, North Carolina
Dear Mr. Vannoy:
Dee Freeman
Secretary
In accordance with the application received on April 29, 2011, I am forwarding permit number WI0400184 for the
construction and operation of a vertical closed-loop geothermal mixed-fluid heat pump injection well system to be
located at 309 Riverside Park Trail, Jefferson, Ashe County, NC 28640. This permit shall be effective from the
date of issuance until April 30, 2016, and shall be subject to the conditions and limitations stated therein,including
the requirement to install well identification tags as specified in Part Il.3 and to submit well construction
records as specified in Part VII.2. Be sure to read the entire permit to ensure that you are aware of all compliance
requirements of the permit.
You will need to notify this office at least 48 hours prior to beginning construction .and operation of the injection
well system. In order to continue uninterrupted legal use of the injection facility for the stated purpose, you·must
submit an application to renew the permit 120 days prior to its expiration date. This permit is not transferable to
any person without prior notice to and approval by the Director of the Division of Water Quality.
Please contact me at [phone] or michael.roErers(a),ncdenr.gov if you have any questions about your permit.
cc: Sherri Knight, Winston-Salem Regional Office
WI0400184 Permit File
Ashe County Environmental Health Dept.
,,.
Best R~g8:ds, ~
~/,) ~
Michael Rogers, P.G. (NC & FL)
David Brown, Yadkin Well Company, Inc., 1908 Hamptonville Road, Hamptonville, NC 27020
(sent via e-mail)
AQUIFER PROTECTION SECTION
163G Mail SeNice Center, Raleigh, North Camiina 27699-1636
Location: 2728 Capital Bou!evard, Raleigh. North Carolina 27604
Phone: [phone] \ FAX 1: 919-715-0583; FAX 2: 919-715-6048 \ Customer Service: 1-877-623-674£
Internet: www.ncwaterauali .oro
An Equa! Opportunity\ Afftrmativs Aciion Employer
NOnehC 1· . ort · .· aro. ma
J\Jnturall!f
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
James Will Vannoy
FOR THE CONSTRUCTION AND OPERATION OF 4 TYPE 5QM INJECTION WELL(S), defined in Title
15A North. Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of operating a vertical closed loop
geothermal mixed fluid heat pump system. This system is located at 309 Riverside Park Trail, Jefferson, Ashe
County, NC 28640, and will be constructed and operated in accordance with the application received April 29,
2011, and in conformity with the specifications and supporting data submitted, all of which are filed with the
Department of Environment and Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation of an injection well and shall be in compliance with Title 15A of
the North Carolina Administrative Code 2C .0100 and .0200 plus any other applicable Laws, Rules, and
Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until April 30, 2016, and shall be
subject to the specified conditions and limitations set forth in Parts I through IX hereof.
Permit issued this the 31 st day of May, 2011.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #W10400184 UIC/5QM Page 1 of 5
ver. 03/2010

PART I -WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any noncompliance with
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is
grounds for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
3. Each injection well shall not hydraulically connect separate aquifers.
4. Each injection well shall not be located in an area generally subject to flooding. Areas that are generally
subject to flooding include those with concave slope, alluvial or colluvial soils, gullies, depressions, and
drainage ways.
5. Each injection well shall be afforded reasonable protection against damage during construction and use.
PART II -WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight ( 48) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Underground Injection Control (UIC) Program Central Office staff, telephone
number [phone] and the Winston-Salem Regional Office Aquifer Protection Section Staff,
telephone number [phone].
2. The location of each . of the system manifolds shall be recorded by triangulation from three permanent
features on the site (e.g., building foundation comers) and shown on an updated Site Map. The Permittee
shall retain a copy of this record on site.
3. One well identification tag per grouping or 'cluster' of wells shall be permanently affixed to the heating
and cooling unit or other nearby permanently fixed location in accordance with 15A NCAC 2C .0213(g).
PART III-OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials and rate of injection, as
described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the Division of
Water Quality (Director). In the event there is a desire for the facility to change ownership, or there is a
name change of the Permittee, a formal permit amendment request must be submitted to the Director,
including any supporting materials as may be appropriate, at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with any and
all statutes, rules, regulations, or ordinances, which may be imposed by other local, state , and federal
agencies, which have jurisdiction. Furthermore, the issuance of this permit does not imply that all
regulatory requirements have been met.
Permit #WI 040018Ll UIC/SQM
ver. 03/2010
Page 2 of 5
PARTIV-fERFORMANCESTANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is no
contamination of groundwater that will render it unsatisfactory for normal use. In the event that the
facility fails to perform satisfactorily, including the creation of nuisance conditions or failure of the
injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective
actions including those actions that may be required by the Division of Water Quality such as the repair,
modification, or abandonment of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if compliance
requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
ground water resulting from the operation of this facility.
PART V -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director of any
planned physical alterations or additions in the permitted facility or activity not specifically authorized by
the permit.
3. At least forty-eight ( 48) hours prior to the initiation of the operation of the facility for injection, the
Pennittee must notify by telephone the Aquifer Protection Section's Underground Injection Control (UIC)
Program Central Office staff, telephone number [phone]. Notification is required so that Division
staff can inspect or otherwise review the injection facility and determine if it is in compliance with permit
conditions.
PART VI -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to the injection
facility at any reasonable time for the purpose of determining compliance with this permit, may inspect or
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwater, surface water, or injection fluids.
2. Division representatives shall have reasonable access for purposes of inspection, observation, and
sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with the
injection facility activities.
Permit #WI0400184 , UIC/SQM
ver. 03/2010
Page 3 of 5
PART VII -MONITORING AND REPORTING REQUIREMENTS
1. All required documentation shall be submitted to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
163 6 Mail Service Center and
Raleigh, NC 27699-1636
Ph# 919-715-3221
Aquifer Protection Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
2. A completed Well Construction Record (Form GW-1) for each injection well must be submitted to the
Aquifer Protection Section Central Office and the Winston-Salem Regional Office within 30 days of
completion of well construction. Copies of the GW-1 form(s) shall also be given to the Permittee and
retained on site to be made available for inspection.
3. A copy of the site map updated with manifold locations required in Part II.2 of this permit shall be
submitted to the Aquifer Prote~tion Section Central Office and the Winston-Salem Regional Office within
30 days of completion of well construction.
4. Any monitoring (including groundwater, surface water, or soil sampling) deemed necessary by the
Division of Water Quality to insure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
5. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge of the
occurrence, to the Winston-Salem Regional Office, telephone number [phone], any of the
following:
(A) Any occurrence at the injection facility that results in any unusual operating circumstances;
(B) Any failure due to known or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures;
(C) Any loss ofrefrigerant in the system, regardless of the origin of the loss;
(D) Any recharging of the refrigerant system.
6. Where the Permittee becomes aware of an omission of any relevant facts in a permit application, or of any
incorrect information submitted in said application or in any report to the Director, the relevant and
correct facts or information shall be promptly submitted to the Director by the Permittee.
7. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take such
immediate action as may be required by the Director.
PART VIII -PERMIT RENEW AL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the Permittee shall
submit an application to renew the permit 120 days prior to its expiration date.
Permit #WI0400 184 UIC/SQM
ver. 03/2010
Page 4 of 5
PART IX-CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an injection
well. Such a change would include the discontinued use of a well for injection. If a well is taken
completely out of service temporarily, the Permittee must install ~ sanitary seal. If a well is not to be used
for any purpose, then that well must be permanently abandoned according to ISA NCAC 2C .0213(h)(l).
Notification shall be submitted to the addresses given in Part VII.I of this permit.
2. When operations have ceased at the facility and. a well will no longer be used for any purpose, the
Permittee shall abandon that injection well in accordance with the procedures specified in 1 SA NCAC 2C
.0214, including but not limit~d to, the following:
(A) All casing and materials may be removed prior to initiation of abandonment procedures if the
Director finds such removal will not be responsible for, or contribute to, the contamination of an
underground source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that failure
to do so could lead to the contamination of an underground source of drinking water.
(D) Each well shall be completely filled with cement grout, which shall be introduced into the well
through a pipe that extends to the bottom of the well and is raised as the well is filled.
(E) In the case of gravel-packed wells in which the casing and screens have not been removed, the
casing shall be perforated opposite the gravel pack, at intervals not exceeding 10 feet, and grout
injected through the perforations.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been created,
each well shall be abandoned in such a manner that will prevent the movement of fluids into or
between underground sources of drinking water and in accordance with the terms and conditions
of the permit.
(G) The Permittee shall submit a copy of the Well Abandonment Record (Form GW-30) as specified
in 15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. Copies shall be
submitted to the addresses given in Part VII. I of this permit.
Permit #WI0400184 UIC/SQM
ver. 03/2010
Page 5 of 5
• Apt. 29. 2011 9 :16AM No. 0066 P. 1
FACNALE TRAMMON FORM
DATE: 2 .Z I 11 TIME: REF. NO. LOG NO.
TO: aj 6 10A.;­6 (q1q) 7(,r -,.g 60 log
COMPANY NAME I FAX NO, PLE4SE
Q� a� Q_ ✓1' i Mtm�
ATTENMN OF.P'L ❑
FROM: ��Ak in �2 e [ r C. r-iqc- (iIx )., Kk ' �0_ A
COMPANY NAK FAX NO. PLMR
Li M
INOMOUAL DWE
NUM DER OF PAGES.PLUM OFJOINATOI;S Alole
INCLUDING THIS SH>rET _ � RE'Pl]' BY SeGNA�lAE
MESSAGE:
JIA
024fd2 14?, .
r,A61 .
"FOR ALL YOUR WATER NEEDS'
YADKIN WELL CO., INC.
I" HAMPTONYILLE ROAD
HAMPTONVILLE. MC 27020
DAVI❑ J- BROWN, VICZ rRE9.
'POLL FREE 10001 "0"5$
OFFICE (336) 469a&"O
FAX c 3361 46640"
RES 13MI df"SW
-OWD NE" AMMICA . "0 I.4VC'J WM*
PLUM WFORM LI9 IMMEMff&Y IF YOU DO NUT FIECEIVE FAM" IN n a :

n
Au.29, 2011 9:16AM
No, 0066 ~. 2
Vat.34, 2011 1:32PM YADKIN Wft1. No.7315 P. 2
MPA
,�e�aaaou�ex pro �cr� � w+�a�a�
v P $ems (owk Ole)
DATE. A p- r; / '.;, g -, 2a li REC * SVED I OFNF? I LWF'
Aquifer Protedon Sea,
nommrrq. r "p=64 APR 29 21,11
A. PRO OWXMWC p) i
%mot ragarty b is oie t;y de�d{�tr�dns3#� $bm vs's uar gt+ver+ nt y st�sa a Of
S. AU�� g�G'� �'�, II�A�iY �rf�e�nrit�.�dg� aarp�t�ta a�jeist pevpesfpF
3S � �iulf�.tlGtO propa�r DS�CCID�$ Ageuk�i iv�d19� 4p�s�+ae'itj
cbr,..__. cc—
C SrATUS A
Statec,� I+tl�irs,�st'�,�„ N,�lveP�orips�F,eads;_ 1

Ap,r. 23, -2011 9,16AM
No.0066 P, 3
lat.34. 2011 1:33PM YARIM WRL No. 7315 P. 3
71. WgLr, max7fi var �p�g�g�`!�'
CggI6 Y �
�II33�4I$0$ �'sN� �� frpvL�S�,„AdA'�'!'H�1N Btt►7ViM.1tiaILTON CAVE ....�.
1RC � Csu'ti�tiexalloa _ tAEUtLF6' �57aat i,g�,�},irsv� ae�a� .
t3aertxc�Pai� NAND J�BRWuN t2t9s,a] ,,, �i,Addr�ller P� xran ,pora
Ad&M M HaY11W78WLLE ROAD
0cm T'dc NO.: -t*qslww _ _ ... co Non,
E. ¢c4aUm4aft
r
.. .rl�:�?��lr� • • � h , �,.. °...ram
F. XQWM IPTtOM fuze diehvrthe [sjw ibe
G. w taDPbFZRXCMNDATA QjEhjikglaagRofta
n} dtobe ao�txted: �1Ae. �'� ���N►af�or 4t
Awe dam c�eack hcdttg �ef}� ��
i�J CEtemi�l add'td�ta be v�md ire �es�•lco�p aye {cdx 9� cam i�ps�tad � bra ��Spsrc*iad�:
"*"*c4__Xcth=t 0ter(go=areawl
>�d �� approval by �� �et�re use]
(3) Ine ofMag to be and (capped SIC, etc):
(4) won eases. &*tvveks) med7 (che&zer ($) M qQ�j No $ebb)
{a3 �s des, t6aa. pncnide � �� such � � �seaal, �S etn),
deft&ft mid 2= of spMM above< Vv=t
� �rarrt(�m� sang � a��piplag�je .tom
(� Gifu! dt�Ehoa {mac fa �� surcy fd�aa to {eQ
w lIsas ind c t5c $amp 14 1
A#4 a str %ft M6 w4t ores odma#BoW=of i ihwood= etquipmatImw *Pwdr
ywtvbslng gsgoaa sd troth the fwbc5on tpmwlm Tw ma's lmdm+s =Ly P046 OVOOM=q

Apr, 29. *2011 9:17AV No. 0066 P. 4
%r. 34. 2011 1:33?M YADKIN WELL 90.7315 P. 4
X. M)C,.ATIQN aV YMJ4! j r Om
t
Aft;b two C4VM of map$ShM* t6 fOliowittag M&=A=
(1) laciade a sate mp (wnbe drawee} s viag: km'�A propem li w, MuAw gates bodies Pmmw Soi3 =
Of gMU94watea 00UMaimhm and tlae W=Uft d and Wweem %v pmposq:a weu(s) and wV
MTEOg WdKS) or walk &sporW faQes Rich as seta M23M or &= Iocatsd wnbA 1= im of tho
gets MW heat pump WX "AM LaW aii fires eaarly and kolm a a � tf& wrow
C2) bdudtz topgVoiyc map ofthe area Wwfrwg Owxu9c txoaa ft property bo'andm and
utd,mto ft bodWs low*n and dtc neap
tamp -
I POTAMS WATER w>rJ45)
,P►ret cte atxyp�biow�r was} ano the sabjex preps ar ad�caoat ptaptatias? XY93 ---NO
IfYcs, thaw hfteta locam on mcbDd a) -
I. C RTNICATxM
Watm ThlSPff m'it Apphcwfiox m wt~ bG S4ud by each person appearig on tfse i=w&d Xepl pre" deM
"I baMby Oftdo, undw pmWW of law, tbat I hwe psms=Uy M=mWd tmd M farm r with *e Foxe
.5ubmftd to tt v 40MUnt and all =cbwo, >beM and that, based Oat MY iaa°!►*Y cf &M ft&v]daaS
Lw=dia* ale fcr cM&kbrg said i ation, I beiseva that it* 1ai*7rms6am is t cpea agate Dad *mq2wA.-
i am ame datAm are sWafficm pcadfies+ iadu&gg the pm=Wt&y of fEm ad hwdwmcat, for
ice. I agree to mwt ozr op mip, maintain, npw, and if apphcable, abn&m tha zaiechcd writ. and
c d a��s> ces iA accordsaoe wirh me apgrovM apdficasions and congdo s cd he Permit:'
&ire afPrv� OwxLWApXcW
�orrlppa PrliNeme
,.,
P totw3'd
Otonte OfAxdNdwdASe4 ifsa
base XMM two copies of tba completedAppticatioapacbge lW
Nor* Qratt D3M4DWQ
Aquifer Prot+ecdon Secdon
UJ.0 Piegram
169 MaO Sporsice Center
Rzda4h, NC 276WI636
Tftbam ('g]9)7"35

Tw
-
w uc
E Of SPIONVAL W
muzm w :r
2.603 ACRES
aw r M.a +r.sa a..r.rJrr
L M
d 3
� 4
�9.
d:ii�R Ark+nsd � angac cy�y dla[
.�. rse pm�N/ hasi rR emr may w�i� m� or
iwdr cp �roi e�pndrLit aM � asree M w w�.e� ar mr
IId�fNlyr wld tMwdrpd0¢ W mBi d ww:i��s oaw4ML
w �8o�vi�ea�A asRrp�pr�ro►�uw�(,vw� �� onet
of r�i �rwrwr��e�'�nl firer d �nd�► r�.� d aye
Yfrws nr !md aid i/p/ 1MY its Clp tl
N � _
�,�7 i

Ashe County, NC GIS - print
Ashe Coup:,, - North Carolina
rf ': --IMIL
y 936213 r3-016.
D530.i'�+73-01fi `
' �---093b2�•�3-D3D �----�� ',
osiZU373-029
�B 302-07 A11
• Buildings
■ City Limits
■ F Farm Preservation
• Flood Way
• Flood Zone
r ..v Parcels
f%%/ Roads
■ /V Water
• ® County
Results
Buildings
Address: 309 RIVERSIDE PARK iR
W
A +
00.
3a
Page 1 of 1
y
0!13 33 3 338-045
4 '
�•U�333��:38��3v
•A9.:3R333-0�1�
Fire Zones
3EFFERSON FD
Parc
Owner: VANNOY, JAMS WILL Address: PO BOX 635 City: JEFFERSON State: NC Zip: 28640
Parcel ID: 09302-400 Size: 2.81200 acres Bldg Value: 150000.00000 Total Value:
325000.00000 Deed Book: 410 Deed Page: 1466 Plat Book: 7 Plat Page: 703 Gpin:
299727317437 Xfer Date:2010
Townshl"
JEFFERSON
Votin - stricts
3EFFERSON
http://ashegis. ashecountygov.com/webgis/print.php?txtExtent=1291204.25074°/o2C975718... 5/24/2011

Ashe County, NC GI5 - print
Page I of I
• Aerial Photography
■ Buildings
■ .''4 Parcels
■ IV Roads
* ® County
Ashe Counter North Carolina
moo`': : ram►=�,� ���'•_ a�os�o.oz
L Results — -- — -
Fire_Zones
JEFFERSON FD
Parcels
r 1 Owner: VANNOY, JAMES WILL Address: Pfl BOX 635 City: JEFFERSON State; NC Zip: 28640
Parcel ID: 09302-400 Size: 2.81200 acres Bldg Value: 150000.00000 Total Value:
325000.00000 Deed Book: 410 Deed Page: 1466 Plat Book: 7 Plat Page: 703 Gpin:
299727317437 xfer Orate: 2010
2 Owner: JL GOLF MANAGEMENT, LLC Address: PO 80X 635 City: JEFFERSON State: NC Zip:
28640 Parcel ID: 09302-600 Size: 214.60900 acres Bldg Value: 2959500.00000 Total Value:
4611900,00000 Deed Book: 410 Deed Page: 1468 Plat Book: <blank> Plat Page: <blank>
Gpin: 2987870940 xfer Date: 2010
Roads
RIVERSIDE PARK TRL
Townships
JEFFERSON
VVting. Districts
JEFFERSON
http:llashegis.asheeountygov.eomlwebgislprint.php?txtExtent=1291498.46733 °1e2C976923... 5/24/2011

Beverly Eaves Perdue
Governor
A~A
B_;;_~--~ ..
MCDEMR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
May 24, 2011
James Will Vannoy
1605 Hwy 221 North
Jefferson, NC 28640
Subject: Acknowledgement of Application No. WI0400184
James Vannoy SFR
Injection Mixed Fluid GSHP Well System (SQM)
Ashe
Dear Mr. Vannoy:
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on April 29, 2011. This application package has been assigned the number listed above and will be reviewed by
Michael Rogers. ·
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the
maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and complete
response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the
Division. Please also note at this time, processing permit applications can take as long as 60 -90 days after receipt of a complete
application.
If you have any questions, please contact Michael Rogers at 919-715-6166, or via e-mail at [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
forQ~~
Supervisor
cc: Winston-Salem Regional Office, Aquifer Protection Section
Yadkin Well Co. (David Brown)
Associated Heating & A/C, Inc. (Daniel Taylor)
Permit Application File WI0400184
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.ncwaterguality.org
An Equa: Opportunity \ Affirmative Action Employer
None},,.-..; .,. ort 1 L..arouna
,?vaturallf/
Godwin, Ton ya
From:
Sent:
To:
Cc:
Subject:
Attachments:
Mr. Brown,
Godwin, ·Tonya
Thursday,-May 26, 2011 5:42 PM
'[e-mail]'
Rogers, Michael; Watts, Debra
Copy of 5QM Permit# WI0400184 -James Vannoy SFR
WI0400184 (Vannoy 5QM).pdf
Attached is a copy of the permit for James Vannoy. You will also be receiving a hard copy in the mail.
Have a nice evening.
Thank you,
Tonya Godwin
NC Dept of Environment and Natural Resources
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
919-715-5348 (Office)
919-715-6048 (Fax)
[e-mail]
1