WI0400213_GEO THERMAL_20110831

Permit Number
Program Category
Ground Water
Permit Type
WI0400213 /
Injection Water Only GSHP Well System (5QW) .-.,
Primary Reviewer
michael. rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Danny & Diane Bradford SFR
Location Address
321 Tonya Dr
Thomasville
Owner
Owner Name
Danny
Dates/Events
NC 27360
Bradford
Orig Issue
08/31/11
App Received Draft Initiated
08/29/11
Re gulated Activities
Heat Pump Injection
Outfall NU!..!
Scheduled
Issuance
Central Files: APS_ SWP_
08/31/11
Permit Tracking.Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Afflllation
David J. Brown
1908 Hamptonville
Hamptonville
Major/Minor
Minor
NC
Region
Winston-Salem
County
Davidson
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Danny Bradford
321 Tonya Dr
Thomasville
Public Notice Issue
08/31/11
NC
Effective
08/31/11
27020
27360
Expiration
Waterbody Name Stream Index Number Current Class Subbasin
NA
·NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Danny Bradford
Diane Bradford
3 21 Tonya Drive
Thomasville, NC 27360
Coleen H. Sullins
Director
8/31/2011
Subject: Acknowledgement oflntent to Construct Type SQW Injection Well System
Permit No. WI0400213
321 Tonya Drive, Thomasville, NC 27360
Dear Mr. & Mrs. Branford:
Dee Freeman
Secretary
On August 29, 2011, the Aquifer Protection Section (APS) received notification of your intent to construct a closed-loop water-on}
geothermal injection well system for the operation of a ground-source beat pump located at the address referenced above. An
individu0;l 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 Davidson 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.
Plea:se contact Mike Rogers at [phone] or Michael.Ro~ers(h mcdenr.gov if you have any questions.
cc: Winston-Salem Regional Office -APS
APS Central Files -Pennit No. Wl0400213
Davidson County Health Dept.
Yadkin Well Co., Inc. (David Brown)
Logan Heating & Air Conditioning (Mark Hollingsworth)
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location : 2728 Capital Boulevard, Raleigh, North Carolina 27604
Sincerely,
for2~A · ~Qr"\.e
Supervisor
Phone: [phone] \ FAX 1; 919-715-0588; FAX 2: 919-715-6048 \ Customer Service: ·1-877-623-6748
Internet: www.ncwateraualitv.o m
An Equal Opportunii~ \ Affirmative Action Employer
None~ C 1. ortn aro. .ma
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•FOR ALL YOUR WA'rMR NEEDS`
JLYADKIIN, WELLCQ., INC.
1908HAMPTONVIL1.£ ROADKAMPTQNVILLE. NC 27020
AVIC) J. 9PtoWN. VICE Pi4Es,
TOLL RREE (ma) 2A&9�JS5
QPFICE (336) a68-"40
FAX (aw 4"40"
RES (SW G"
^dolt Fawn Amom}r;1 • 000 LAVES Wxr
PLEASE [HF'iQRM US WMEDUMY IFVOU DO NOT RECEIVE FAGSWU iN nu