WI0500462_GEO THERMAL_20120126

Permit Number
Program Category
Ground Water
Permit Type
WI0500462
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
eric.g.smith
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Cliff & Beverly Mitchell SFR
Location Address
3004 Buckingham Way
Apex NC 27502
Owner
Owner Name
Edmond Clifton Mitchell
Dates/Events
Scheduled
Orig Issue
01/26/12
App Received Draft Initiated Issuance
11/17/11
Regulated Activities
Heat Pump Injection
Outfall NULL
Central Files: APS_ SWP_
01/26/12
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
County
Wake
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
NC
Edmond Clifton Mitchell Jr.
3004 Buckingham Way
Apex NC
Public Notice Issue
01/26/12
Effective
01/26/12
27591
27502
Expiration
Waterbody Name Stream Index Number Current Class Subbasln
Beverly Eaves Perdue
Governor
Cliff Mitchell
Beverly Mitchell
3004 Buckingham Way
Apex, NC 27502
. •~A
B.i'.,.,.--~-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P.E.
Director
1/26/2012
Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System
PennitNo. WI0500462
3004 Buckingham Way, Apex, NC 27502
Dear Mr. & Mrs. Mitchell:
Dee Freeman
Secretary
On l 1/17/2012, 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 ~d North Carolina
Administrative Code Title 15A Section 2C Subchapter .02ll(u)(2). Additionally, you should contact the Wake 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 [e-mail] if you have any questions ..
cc: Asheville Regional Office -APS
APS Central Files -Permit No. WI0500462
Wake County Health Dept.
N.W. Poole Well & Pump , Co. (Harry Lechworth)
AQUIFER PROTECTION SECTION
1636 Mall Service Centl)r, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh , North Carolina 27604
Phone: [phone] I FAX: [phone]
Internet: www.ncwaterguality.org
An Equal Opportunity \Affirmative Action Erlployer
Socq•IY. I\•~
forD~atts
Supervisor
One ... NorthCarolina Natura/lg
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCE$
NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS
In Accordance With the Provisions of 15A 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.
DATE:
Print or Type Information and Mail to the Address on the Last Page.
, 20 1/ PERMIT NO. �0090-1 (to be filled in by DWQ)
A. STATUS OF WELL OWNER (choose one)
Non -Government: Individual Residence X_ Business/Organization
Government:
State Municipal
County Federal
B. WELL OWNER — For individual residences, list each owner on property deed, For all others, state name of
entity and name of person delegated authority to sign on behalf of the business or agency:
$erred /''V.J-G4 l
Mailing Address: -V00 y Br.c.44., f 1i 4 'r, A}:
City: Af Stare: C Zip Code: Z-17 Z County k.t'
Day Tele No.: 36 2-53 / Cell No.:
EMAIL Address: e Ct1r _I f /1 ? NC:, (R. FCax No.:
C. LOCATION OF WELL SITE — Where the injection wells are physically located:
(1) Parcel Identification Number (PIN) of well site: 0 75 Z AS-519 County:
(2) Physical Address (if different than mailing address):
vakf
City: State: NC Zip Code:
D. WELL DRILLER INFORMATION
Well Drilling Contractor's Name: N.W. Poole Well & Pump Co
NC Well Drilling Contractor Certification No.: 2833A or 25.14A
Company Name: N.W. Poole Well & Pump Co
Contact Person: Hain Lechworth EMAIL Address: Lechworthva NWPoolewell.corn
Address: 3500 Rolesville Rd
City: Wendell Zip Code: 27591 State: NC County: Wake
Office Tele No.: t919j 266-9223 Cell No.: Fax No.: [phone]
GPUIJIC 5QW Notification (Revised 3/18/2011)
Page I

E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name:-=~=~===ic=a=l~S=e~rv.,.-=i~ce=s~I=n=c.
Contact Person . .!...: ------='-L-'---'-"''-+----'""--''---o.r_f __ ____,,E ... MA-'-"'-'~IL=--=-A~d~dr=es,,,,s'-'---: _,b'""o'-'-wm=a,,,,nm=><,ec2h.,,an=ic,,.a,.,.l =b""el""ls,,__,o"-"u""th...,.c!!ne,,,_,_t
Address: 145 Technical Court
City: Garner Zip Code: 27529 State: NC County: Wake
Office Tele No.: [phone] Cell No.: ________ Fax No.: [phone]
F. WELL CONSTRUCTION DATA
3 3STJ/ (1) Number of borings to be constructed*: _____ Depth of each boring (feet): ________ _
* If existing water supply wells will be used then provide the information in item (4) below .
(2) Type of tubing to be used (steel, PVC, etc): HDPE
(3) Well casing. If the well(s) will use casing then provide the~ (steel, PVC, etc.), diameter, depth,
and extent of casing appearing above ground: _________________ _
(4) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite** X. Other (specify)____,-,----,--------
** By selecting bentonite grout, a variance is hereby requested to 15A NCAC 2C .0213(d)(l)(A), which requires a cement type grout.
(b) Grout depth of tubing (reference to land surface): from Sfc to 3.5"0 (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 clearl y and include a north arrow.
(1) Attach a site-specific map showing the locations of the following:
* Proposed injection wells * Buildings * Property boundaries
* Surface water bodies * Water supply wells
* 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 1/4 mile from the injection well site that indicates the
facility's location and the map name.
NOTE: In most cases, an aerial photograph of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable county GJS website. Typically, the property can be searched by
owner name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other
wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or
elevation data.
GPU/UIC 5QW Notification (Revised 3/18/2011) Page2
H. CERTIFICATION (to be signed as required below or by that person's authorized agent)
l5A NCAC 02C .021 l (b) requires that all permit applications shall be signed as follows:
1. for a corporation: by a responsible corporate officer;
2. for a 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 owner (which means all 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.
"1 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. I 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
injection well and all related appurtenances in accordance with the approved specifications and conditions of
the Permit,"
'i
NOV 1i2011
Submit the complete application package to:
Signature of Property
7 Owner/Appiican
Print or Type Full Name
M1
4
Signature of Pro erty Owner/Applleant
Print or Type Full - me
Signature of Authorized Agent, if any
Print or Type Full Name
DWQ - Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]

075,21272240113025
0752114916 0113420
0 50 100 200 Feet
Field
I Valor
PIN
0752115529
Real Estate ID
0113414
Map Name
075217
Owner
MITCHELL.
EDMON❑CJR&
BEVERLY F
Mailing Address"!
3004 BUCKINGHAM
WAY
Mailing Address 2
APEX NC
27502-8909
Mailing Address 3
Deed Book
02815
Deed Page
0191
Deed Date
12r3211979
Deeded Acreage
2.57
Assessed Building
$275,558.00
Value
Assessed Land Value
5132,000.00
Total Assessed Value
$407,558.00
Billing Class
iNDNIDUAL
Property Description
L023 BUCKINGHAM
SUB PHTWO
Heated Area
3797
Site Address
3004 BUCKINGHAM
WAY
City
Aoex
Township
WHITE OAK
Year Built
1992
Total Sale Price
$0.00
Sale Date
Type and Use
Single Family
Design Style
Conventional
Land Class
RESIDENCE-‹ 10
ACRES -HOME SITE
Old Parcel Number
624-00000-0058
WAKE
COUNTY
NUR]{1 iA RULINA

+a
AKE COUNTY HEALTH DEPARTMENT WELL AND SEWAGE SITE, LOCATION PERMITema�:
ALL PERMITS VA, 60 MONTHS F * DATE OF ISSUANCE
Tax Map No. 6 2 V Parcel No. $r
Zoning . A P y
Township WVOAK—,
ntractv?: C. r FT- ►t"t -TCif L
Location/Address: t. 6 wh s t f 7. (AVM i>sini u+iU
SubdVisiorr Name: ?Li s`, 64A r it Lot No. 113
Sewage System Specifications
Repair [ ] Original Permit No.
Garbage Disposal Unit Yes [ ] No
House Y '1 Mobile Home [ ] Business [ ]
No. of Bedrooms Lot Area 1 7/ Acres
Size of Tank 1 Z or, x :
Comments: fix
l3at, p r
4:5 4 Ai)eA
Improvement Permit
Well Permit No. Ci 1.3247
Operation Permit
Date: 1 r— 7._1 r
R4L 4 f 044) R L o I'i TS
S.R. # 5fz3, /.f,Z 1
I
Section or Block No.
• • 4 r• -
w•-F
t
•
•
✓
Nitrification Line / Zob 3 [3 `y 133 ,) sq. ft.
Depth of Stone: 12"1(1 Max Depth of Trenches: /f'a
Riser and Baffle Required IlJ Pump Required
lgu Permit void it not in cdmpliance with zoning regulations
m` Permits may ids if site ' red or intended use changed
gal. Layout by: . ..c r ?#
SrlaIvN r / t, dtv.4."ih., I' V - efo fob.
Date: / — — t-f 3 Installed By: GL.huA
Individual [ ]
New[ 1
Fee Paid: Yes ( ]
Construction Compliance
Site Approved
Well Head Approved
Grouting Approved
Well System
Semi -Public ( .1 - Public
Replacement [ 1 - : • : lr
No (] Yesa
[I [I
f I
] [1
Cate Inspected Sanitarian
rllclegicaI Results
Initial Sample: Dale:
Re -Sample #1
• Re•Sample
Date:
Date:
▪ Re -chlorin • •n as required I ] Yes [ ] No
Fees for all resampees
All checks payable to: Wake County Health Department
Approved By:
Final Inspection
Required Slab
Chlorinated
Required Certificate
Variance (Explain)
WCHD I.D. Affixed
Sample Collected
Comments:
i
in. tr'
//, ram. /-ies
Well In : ed By:
Date System Finalized Sanitarian
L r
[' --This report is based in part on Information provided by the homeowner or hisltrer representative in the application submitted for this
I[ permit. The sanitarian Is not responsble for false or misleading information contained in the application. The sanitarian is also not
��'']] responsible for concealed conditions on the property or for statements in this rapport that may have resulted from false or misleading
statements provided to him in the application. Neither Wake Comfy nor the sanitarian warrants that the septic lank system will continue to ,
function satisfactorily in the future or that the water supply will remain potable.
COPY TO HEALTH DEPARTMENT
ISOK2.010—111740

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WAKE
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Nl]G71f CAROL/NA

TRANSMISSION REPORT
T3773YOU232 F562-A14
TIME :04-19-'12 12:08
FAX N0,1 :9197150684
NAME :NC AMR P&S
NO. FILE NO. ➢ATE TIME DURATION PGS TO
622 454 04.15 12:06 00:28 3 99197799294
DEPT MODE STATUS
EC 602 OK

GoOL
o 0D1(42■ OW ittA
=MB= 1Vlechanlca!
• Services, Inc
RECEIVED/DEN/DM
® APR 17 2012
HEATING & MR CDNOITION1NG CONTRACTORS
Aquifer Protection Section
145 Technical Court • Garner, NC 27529 • [phone] • Fax [phone]
FAX COVER SHEET � g-'S old Ltwevn:6
SEND TO
Attention
Officeovation.
Frcm rz
Date
Office (ovation
Fax number
Phone number
El Urgent [E Reply ASAP
Total pages, including cover.
14
Please comment I ` Please review n For your information
COMMENTS
_.... H .:.:::

/1 rro-/J
RECEIVEDIDENRIDWQ Safi
An 1.7 202 /7-70-11
ORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES / A)IS Flay
AQ
!ter PrNe t N OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS
In Accordance With the Provisions of 15A 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: / // , 20/1_ PERMIT NO.\NTI)G cog' in it, (to be filled in by DWQ)
A. STATUS OF WELL OWNER (choose one)
Non -Government. Individual Residence `X Business/Organization
Government: State Municipal County Federal
B. WELL OWNER — For individual residences, list each owner on property deed. For all others, state name of
entity and name of person delegated authority to sign on behalf of the business or agency:
CLf' ,e//
Beverly /40 .4 e/i
Mailing Address: _ 3o0 / 811c,4, ) a rrt l'wy
City: Ap4-k rState:NC Zip Code: I � Z County: 44-,r'
Day Tele No.: 362-5 T� Cell No.:
EMAIL Address: e Cf' a Gx'
C. LOCATION OF WELL SITE — Where the injection wells are physically located:
(1) Parcel Identification Number (PIN) of well site: d 75- Z. /1 z 9 County:
(2) Physical Address (if different than mailing address):
eke
City: State: NC Zip Code:
D. WELL DRILLER INFORMATION
Well Drilling Contractor's Name: N.W. Poole Well & Pump Co
NC Well Drilling Contractor Certification No.: 2833A or 2514A
Company Name: N.W. Poole Well & Pump Co
Contact Person: Barry Lechworth EMAIL Address: LechworthsaNWPoolewell.com
Address: 3500 Rolesvilte Rd
City: Wendell Zip Code: 27591 State: NC County: Wake
Office Tele No.: 19191266-9223 Cell No.: Fax No.: [phone]
GPUIUIC 5QW Notification (Revised 3/18l201 l)
Page 1

E.
F.
HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: Bowman Mechanical Services Tnc.
RECEIVED/DENR/OWQ
APR 1 "i zu·,i.
Aquifer Protection Sect,on
Contact Person: /9 f\d V 5 /"I· a.r
• I
EMAIL Address: bowmanmechanical@ bellsouth.net
Address: 145 Technical Court
City: Gamer Zip Code: 27529 State: NC County: Wake
Office Tele No.: [phone] Cell No.: Fax No.: [phone] ----------
WELL CONSTRUCTION DATA
3 33-0 / (1) Number of borings to be constructed*: _____ Depth of each boring (feet): ________ _
* If existing water supply wells will be used then provide the information in item (4) below.
(2) Type of tubing to be used (steel, PVC, etc): HDPE
(3) Well casing. If the well(s) will use casing then provide the~ (steel, PVC, etc.), diameter, depth,
and extent of casing appearing above ground: _________________ _
(4) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite** X Other (specify) ** By selecting bentonite grout, a variance is hereby requested to ISA NCAC 2C .0213(d)(l)(A)-, w-h-ic-h-re-q-ui-re_s _a _ce_m_en_t _typ_e grout.
(b) Grout depth of tubing (reference to land surface): from Sfc to 35V (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 clearl v and include a north arrow .
(I) Attach a site-specific map showing the locations of the following:
* Proposed injection wells * Buildings * Property boundaries
* Surface water bodies * Water supply wells
* 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 1/4 mile from the injection well site that indicates the
facility's location and the map name.
NOTE: In most cases, an aerial photograph of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable county GIS website. Typically, the property can be searched by
owner name or address. The location of the wells in relation to property boundaries, houses, septic ta11ks, other
wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or
elevation data.
GPU/UIC 5QW Notification (Revised 3/18/2011) Page 2
H. CERTIFICATION (to be signed as required below or by that person's authorized agent)
15A NCAC 02C .0211(b) requires that all permit applications shall be signed as fotlows:
1. for a corporation: by a responsible corporate officer;
2. for a 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 owner (which means all persons listed on the protreriv 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.
hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and ail 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. I 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
injection well and all related appurtenances in accordance with the approved specifications and conditions of
the Permit"
RECEIVEDIDENRIDWQ
APR 1 7 2012
Aquifer Protection Section
Submit the complete application package to:
Signature of Property (?wner!Applicant
Print or Type Full Name
Signature of Pro
e j [. ¥, 1 111! d - L I
Print or Type Full me
erty OwnedApplicant
Signature of Authorized Agent, if any
Print or Type Full Name
DWQ - Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]

0 50 100
200 Feel
PIN
0752115529
Real Estate ID
0113414
Map Name
075217
Owner
MITCHELL,
EDMOND C JR &
BEVERLY F
Mailing Address 1
3004 BUCKINGHAM
WAY
Mailing Address 2
APEX NC
27502-8909
Mailing Address 3
Deed Book
02815
Deed Page
0191
Deed Date
12132/1979
Deeded Acreage
2.57
Assessed Building
$275,558.00
Value
Assessed Land Value
$132,000.00
Total Assessed Value
$407,558.0D
Billing Class
INDIVIDUAL
Property Description
L023 BUCKINGHAM
SUB PHTWO
Heated Area
3797
Site Address
3004 BUCKINGHAM
WAY
City
Apex
Township
WHITE OAK
Year Built
1992
Total Sale Price
$0.00
Sale Date
Type and Use
Single Family
Design Style
Conventional
Land Class
RESIDENCE-c 10
ACRES -HOME SITE
Old Parcel Number
624-00000-0D59
RECEIVED/DENRIDWQ
APR 1 7 20t2
Aquifer Protection Section
WAKE
COUNTY

I
; AKE COUNTY HEALTH DEPARTMENT WELL AND SEWAGE SITE, LOCATION PERMIT r� 9
Art Pr:nMrrs Yo+tA 60 Mor rms FeoN DArr OF IssuaNlrcE '!
Tax Map No.
Parcel No.
Zoning APr V- Township {jt4 ONG,
cntradaf: _ I Fi
Location/Address:
Subdivision Name: 2L L1 AAivt
01,4r1-4-I�tt.
IJ
improvement Permit
Well Permit No. C 13247
Operation Permit
Date:
rL a�17
Preliminary Layout
Lot No. It 3
Final Layout
'rr ' -Y
a`r� _ / _ ,t '+AuxkA
i •.
.4
tad[ I
v 1
■ �.
3
S.R. a 152zir/y �s
Section or Block No.
3
}
-i
■
t
• r
t
Sewage System Specifications Nitrification Line 1 ZO 0 3 (3 `Y 13 3 `) sq. ft.
Repair [ ) Original Permit No. Depth of Stone: 12"i ] Max Depth of Trenches: Ai, in.
Garbage Disposal Unit Yes! I No j'$j Riser and Baffle Required Pump Required
House [/(] Mobile Home [ ] Business""[ 1 +r Permit void if not in cdmpiiance with zoning regulations
No. of Bedrooms y Lot Area _ 1. 7/ Ades or Permits may idle if site red or intended use changed
Size of Tank i Z oil •s : i 12 na P r gal. ! Layout by: d 5
Comments: per", •z &1.5Lr 11P&A _SHWA/ -- I(e.g, r44 A-0 o ~ .
Date: I—""' f 3 Installed By:
Well System
Individual [ l Semi -Public [ .1 ,
New [ 1 Replacement [ l
Fee Paid: Yes f 1 No [ l
Construction Compliance
Site Approved
Well Head Approved
Grouting Approved
Date Inspected
Ba
initial Sample:
t . Re•Sample 01 Date:.
t ' Re -Sample Date:
a k ' Re -chlorin - n as required [ I Yes [ ) No
Fees for all resamples
oAff checks payable to: Wake County Health Department .
s t_c 2— Approved By: /J f V
Public
Revir
Sanitarian
riological Results
Data:
Final Inspection
Required Slab
Chlorinated
Required Certificate
Variance (Explain)
WCHD l.D• Affixed
Sample Collected
Comments: -
i
lECE[VEDIDENRIDWQ
l Ask 1 7 2012
1
uu fer Protection Sailor;
•
Well Inlled By:
Dale System Finalized Sanitarian
—.This report is based in part on information provided by the homeowner or his/her representative in the application submitted for this
permit. The sanitarian is not responsible for false or misteading information contained in the application. The sanitarian is also not
responsible for concealed conditions on the property or for statements in this report that may have resulted from false or misleading
statements provided to him in the application_ Neither Wake Openly nor the sanitarian warrants that the septic tank system will continue to
function satisfactorily in the future or that the water supply will remain potable.
COPY TO HEALTH DEPARTMENT

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Apchp .
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