The URL can be used to link to this page

Home My WebLink AboutWI0500442_GEO THERMAL_20111027Permit Number Program Category Ground Water Permit Type W10500442 / Injection Water Only GSHP Well System (5QW) Primary Reviewer eric.g.smith Coastal SW Rule Permitted Flow Facility Facility Name John Monroe SFR Location Address 7149 Old Oxford Rd Bahama Owner Owner Name John Dates/Events NC 27503 Monroe Scheduled Orig Issue App Received Draft Initiated Issuance 10/27/11 10/25/11 Regulated Activities Heat Pump Injection Private residence, single family Outfall NULL Central Files: APS_ SWP_ 10/27/11 Permit Tracking Slip Status Active Project Type New Project Version 1.00 Permit Classification Individual Permit Contact Affiliation Harry Lechworth Driller Well 3500 Rolesville Rd Wendell Major/Minor Minor Region Raleigh NC County Durham Facility Contact Affiliation Owner Type Individual Owner Affiliation John Monroe Owner 6404 Amen Rd Bahama Public Notice Issue 10/27/11 NC Effective 10/27/11 27591 27503 Expiration Waterbody Name Stream Index Number Current Class Subbasin ATA NCDENR North Carolina department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary 10/27/2011 John Monroe 6404 Amen Rd. Bahama, NC 27503 Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System Permit No. WI0500442 7149 Old Oxford Rd. Bahama, NC 27503 Dear Mr. Monroe: On 10/25/2011, the Aquifer Protection Section (APS) received notification of your intent to construct a closed -loop water-onh 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 Durham 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 (919) 715-6166 or Michael.Ronersta<ncdenr.€2ov if you have any questions. cc: Raleigh Regional Office - APS APS Central Files - Permit No. WI0500442 Durham County Health Dept. Harry Lechworth (N.W. Poole Well & Pump Co., 3500 RolesviIle Rd., Wendell, NC 27591) Steve Bowman (Bowman Mechanical Services Inc., 145 Technical Ct., Garner, NC 27529) AQUIFER PROTECTION SECTION 1636 MaII 5en4oe Center, Raleigh, North Carolina 27699-1536 Location. 2728 Capital Boulevard.. Raleigh. North Carolina 27504 Phone*. 919-733-3221 i FAX 7: 919-715-058E; FAX 2: 919-715-6048 Customer Service:1-877-623-6748 Internet: vnew.ncwvateroualhorK 7. Eou 1 Opportuniry { Afnrmelive Action Employer One NorthCdrollila Naturally NORTH CAROL1NA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS In Accordance With the Provisions of 1 5A NCAC 02C .0200 CLOSED -LOOP WATER -ONLY GEOTHERMAL INJECTION WELLS These wells circulate potable water only as part of a geothermal heating and cooling system. These wells are "permitted by rule" and do not require an individual permit when they are constructed in accordance with the rules of 15A NCAC 02C .0200 and this Notice is submitted prior to construction. Print or Type Information and Mail to the .address on the Last Page. DATE: d — . 20J1 PERMIT NO. (to be filled in by DWQ) A. STATUS OF WELL OWNER (choose one) Non -Government: Individual Residence _X_ Business/Organization Government: State _ _ Municipal Count Feder;t i 8. WELL OWNER — For individual residences. list each owner on property deed. For all others. state name of entity end name of person delegated authority' to sign on behalf ofthc business or agency: G s_, /410r1,0 Mailing Address: (Q4 O i A- vvi a City: A-44 fi-evt1r Stale: its dip Code: 7---/ S 43 County: (A* Da! Tele No.: ` On 1 5 — Cell No` EMA11. Address: C210-Ck4 eel [d oa�` Lfn� Fax har� C. LOCATION OF WELL SITE — Where the injection wells are physically located: 1� „ (1) Parcel Identification Number (PIN) of well site: ) — / ' Cuurnry: 4' M (2) Physical Address (if different than mailing address): `71 I-11 at)c' -f rf Cite: `{`)PrA State: NC Zip Code: 2-776-02) D. WELL DRILLER INFORMATION Well Drilling Contractor's Name: N.W. Poole Well & Pump Co NC Well Drilling Contractor Certification No.: 2833A or 251-M Company Name: N.W. Ponle Well &. Pump Co Contact Person:_ Harrv_Lechwarth EMAIL Address: LecitwortheN`Jk`Poolewell.cnm Address:00 Rolesville Rd City: Wendell Zip Code: 27591 State: NC County: Wake Office Teie No.: 191 W66-9223 Cell No.: Fax No.: r919) 266-7507 +JPU/UIC SLAW Notification I ftr► iiec! .+11I I RECEIVED / DENR 1 DWQ Aquifer Protection Section OCT 25 201! Page 1 E. HEAT PUMP CONTRACTOR INFOR!\.'IA TION (if different than driller) F. Company Name:Bowman Mechanical ScrvicesJnc_._ Contact Person: E'.VIAIL Address: bowmanmechanical@bellsouth.net Address: 145 Technical Court City: Garner Zip Code: 27529 State: L ou1'l\ _ Wake Office Tele No.: 919j 77'2-2759 Cell No.: _(919) Fax No.: J19 i 779-9294 WELL CONSTRUCTION DATA / (I) Number of borings to be constructed*: / Depth of each boring(feet):. __ 6._:__-~------ * If existing water supply wells wi/1}.e usec~hen provide the il1fon11atio11 in item (I) below. (2) Type of tubing to be used (steel, PVC. etc): ___ 'OPE ___ _ (3) Well casing. If the well(s) will use casing then provide the tvpe (steel. PVC, etc.), f!iameter, depth, and extent of casing appearing above ground: ____ _ we,_// Q/,,-e,q~'/ e, / I 5 ,.! 5 0,-, ,P r~p~_,.,/4,/ ----=------,--~~=-,.-<----='-'_:_=-------'--'--r, l , ;:-vrA /o-y s .,, ., ,, .-..•~·-'>, (4) Grout (material surrounding well casing and/or piping):. / 1 il /1-r/ 1 -./ ,--t:6-} (a) Grout type: Cement__ Bentonite** __ Other (specify) -----'---- •• By selecting bcntonitc grout. a variance 1, hcreb} rcqu~st.:-d to 15/\ 1'CAC 2C .0213(d)( l J(A), \\hich require~~-cement type grout (b) Grout depth of tubing (reference to land surface): from O to G,. S-t> (feet) If well has casing. indicate grout depth: from ~---to (feet) G. WELL LOCATIONS -Maps must be scaled or otherwise accurately indicate distances and orientations of features located within 1000 feet of the injection well(s). Label all features clcarlv and include a north arrow. (1) Attach a site-specitic map showing the locations of the fol!o,\ing.: • Proposed injection wells .. Surface water bodies * Buildings * Water supply wells * Property boundaries Septic tanks and associated spray irrigation sites. drain fields, or repair areas " Existing or potential sources of groundwater contamination (2) Attach a topographic map of the area extending 1/..J. mile from the injection well site that indicates the facility"s location and the map name. NOTE: /11 most cases, £111 aerial photograph t1f the prt1pertj, ptlrce/ showing property lines a11d structllres ca11 be obtai11eil lll1il downloaded from the applicable co1111(1' GJS website. Typically, tlte proper(!' Ctlll be .searched by owner ,wme or address. The locatio11 of tire wells i11 relatio11 to property bo1111duries, /1011ses, septic tanks, otl1er wells, etc. cm, then be tlra"'" in by /umtl. Also, a 'layer' ca11 he .~electe,/ showing topogrqphic co11to11rs or elevation data. I 11'1 I 5Q\\' !\otilication l ' I cJ IX 111 EI. CERTIFICATION (to be signed as required below or by that persons authorized agent) 15A NCAC 02C .021 I (b) requires that all permit applications shall be signed as follows I. for a corporation: by a responsible corporate officer: '. Fora partnership or sole proprietorship: by a general partner or the proprietor. respectively: 3, for a municipality or a state, federal. or other public agency: by either a principal executive officer or ranking publicly elected official: 4. for all others: by the well ow net (which means al! persons listed on the property deed), if an authorized agent is signing on behalf of the applicant, then supply a letter signed by the applicant that names and authorizes their agent to sign this application on their behalf. "f hereby cenit.. under penalty of law. that i have personally examined and asn 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. f believe that the information is true. accurate and complete. I am aware that there are significant penalties. including the possibility of times and irnprisonnncnt. for submitting false information. 1 agree to construct. operate, maintain, repair. and if applicable. abandon the infection well and all related appurtenances in accordance with the approved specifications and conditions of the Permit." Signature of Property Owner/Applicant 01,k A-! #oN o- Nirn of type t nf! \awe Signature of Property On ner/Applicant Print or Ty pe Full Name Signature of Authorized Agent. Wally Print or Type Full Name Submit the complete application package to: DWQ - Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-I 636 Telephone (919) 733-3221 [;I'KI,L'fi' 50W Notification t Rid 3'1 R 2011 } RECEIVED/ DENR / DWQ Aquifer Protection Section OCT 25 2011 Page 3 L. iJ C IA 5. V/I7/ 1 CP° CI ?t' �-t • • • • 4M .44,--uto • • ,yam "i.1:%4., +� ••tf 414. 211as141. • GoMAPS - Durham County NC Public Access lit I. s.. - k 4 i al- ' ;tit t• .41 , , i .z !` }, ti 1 O:n ❑.In+� R❑ - ,` - r_ �-- . R� Durham Cou ND Streams and ditches DITCH RIVER STREAM UNKNOWN Hiy1iways r...� Parce Es AlStreet_Csrterrincc l Topo 'LOFT - Surlace_Water_Paygona Mu nicipa I_Bou nda r les Crvy*l Hill Durham Filorrisviil� ® Raleigh Ortho_207O IThursdav, October 13 2011 :MARLINE 30 CENTENOO ON PER a. • • i xis4.4 Wtll 80BST R. CARDEN D.6.1844/650 P.8. 151 / 155 PIN: 0856-01.37-8716 PARCEL 10: 193050 504'51'57"E 424.69 - {� is 344 323 - t Ft 4: 324' ASL Caj •`` eCrCaP �_— 14 $r•Pry 371 ACE.- - _ �_ IP� f � _ iiri6EaandJ WRIER POW' — . - 1+lrrht7�t 0NR0E _�- _ - — - -H.8. 99'4 138'fi P.8.50/143 — PIM 0B5E-01-37-2045' • PARCEL ID: 193041 - AREA: 25• T 33-Yr 304 17r �.� rime o�sus+gT • 14'-O JACK R. MAYS D.B. 5723/635 P.B. 1 /225 PIN:0856-01-47-0416 PARCEL ID: 193038 L_, 1' Ppw 1.+�...r rr.* ^Rtwo grawA --- NOTE FINAL CONCRETE PANEL LAYOUT 6• CONTROL JOINTS 7O BE C0NF1RMEO 8Y ARCHITECT ONCE CONCRETE CONTRACTOR 6 SELECTED- 14'-0° 50'-0' sr and ti cn — - Si �. c `_2Sz • W� CL _-.�.L.s • _a. 1-t#ate _._ • WZ4 ~ 8Pot SEPTIC FIELO in.w rsry� er It H17'q 39 pr; 218.7Z E CLYDE R. BARBEE 0.8. 313/246 P.B. 155/135 PIN: 0856-01-37.0084 PARCEL ID: 193039 PER MC GRO MAO R7 ocr.-sa war, 0 GoMAPS - Durham County NC Public Access 34❑ 19304 i 706.4 N 113353 yelp 110�; 140 110 7 116.4 O -.a30 193039 Srnr 6 , 331' Uft `100 50 SS_'po� 11b 512,23 Durham,,CIKPD Stroams_and_Ditc hes DITCH RIVER STREAM UNKNOWN Highways Lot_N umbers Lot_Dime nsions Parcels Parcol_ID_Labels B uilding.Footprints_1994 Surface Water Polygons M un cipal_Bounda►ies Chapel Hilt Durham Morrisvtlla Raleigh Wednesday, October 12 2011 GoMAPS - Durham County NC Public Access 19 19- 19 2052 193041 193059 �1t5fl 19308 19305e 193044 t93t, 2 193104E 193047 193042 193034 / 1 193043 193037 • �193081 4 •.,193084 Durham_derre ND Streams and Ditchos OrrCH RIVER STREAM UNKNOWN H Ighways Parcels Parcol_ID_Labets B u Ild ing_ Footpri nts_19 94 5 u rtac o_ W a to r_Po ly g*ns Munic ipal_Bounderies Chapel Hill Durham M rrisMIIle Raleigh Wednesday, October 12 2011 GoMAPS - Durham County NC Public Access 40, iI Durham C "D Strea ms_,a nd_O ltc he s DITCH RIVER STREAM UNKNOWN Highways Parcels Surf ace _Water_Polygons Munk ipalBoundaries Chapel Hill Durham Morri av I I le Raleigh Wednesday, October 12 2011