WI0100200_Regional Office Physical File Scan Up To 9/23/2022

4 n. s
NCDEN
North Carolina Department of Environment and Natural
Division of Water Quality
rive;i; Eaves Perdue
Charles OjaiC� d F.
March 22, 2012
George and Sally Bauernfeind
1005 Devon Court
Goshen, KY 40026
Ref: Issuance of Injection Well Permits WIOIO0200
Issued to George and Sally Bauernfeind
Arden, Buncombe County, North Carolina
Dear Mr. and Mrs. Bauernfeind:
esourc %lg 2 - � '� �'.
A.S loville Regional office
t Q i6fyemai
In accordance with the application received on March 7,. 2012, I am forwarding permit. number WI0100200 for- the
construction and operation of a vertical closed -loop geothermal mixed -fluid heat pump injection well system to be located
at 334 Stone Ledge Trail, Arden, Buncombe County, NC 28704. This permit shall be effective from the date of issuance
until February 28, 2017, and shall be subject to the conditions and limitations stated therein, including the requirement
to install well identification tags as specified in Part II. 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 [e-mail] if you have any questions about your permit.
Best Regards,
Michael Rogers, P.G. (N & FL)
cc: Landon Dav ddson;Ashevifle;Reg>oial Office�
WI0100200 Permit File
Buncombe County Environmental Health Department
Larry Wells, AWD Services, Inc., 256 N. Turkey Creek Rd., Leicester, NC 28748
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] NorthCarolina
Internet: www.ncwatemualiiy.org
An Equal Opportunity 1 Affirmative Action Employer

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COA/LVIISSION
�r +.p E,R'Iwlr NC,1;N-,»RO r1fE h4TT 7'UR L ?IOTI Ct+'S
; Flam`ail f'F1 C:� 1-01, .{ 'U,
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
George and Sally Bauernfeind
FOR THE CONSTRUCTION AND OPERATION OF 3 (THREE) 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 334 Stone Ledge Trail,
Arden, Buncombe County, NC 28704, and will be constructed and operated in accordance .with theapplication
received March 7, 2012, and inconformity with the specifications and supporting data submitted, all of which
are filed with the Department of Environment and Natural Resources and *are considered apart 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 revolted; from the date of its issuance until February 28, 2017, and shall be
subject to the specified conditions. and limitations set forth in Parts I through IX hereof.
Permit issued this the 22nd day of March, 2012.
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #W10100200 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 In Wells (15A NCAC 2C .0200). Any noncompliance with
corldillon's o! thisp1n,11 l constitutes a violatiori of the tVordi ('alohna. 'Xeii Consurucaon Aut and is
Cy ollf or C.IIfJI."cc- lCot actin n as provIcIo.d .fol- ii' 14.C.G. �7-9z1.
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 919-807-6406 and the Asheville Regional Office. Aquifer Protection Section Staff, telephone
number 828-296-4500.
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 corners) 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 #W10100200 UIC/5QM Page 2 of 5
ver. 03/2010

PART IV — PERFORMANCE STANDARDS '
I. 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
fa r'!i ?r fgil,g {n ,�r, fnl hl e^jjerg.^tnrilV ;p liirlip cr ilw- creatioll of 1111IS�Ilr.e. C.nildiiinnc Or falllire, of the
Jil)ection Zone to adequetei;' assindlate tilt 111iected fluid, the I'er1111tice shad tri1Ce I rl7cdlate cUi'I"cctlVc
c�i'1(1 i7 �. .{,� tli,, ,��. �' ..t• .l `� ,,1 , '-t,� .% �i•,1 �.. "t 1s"o`1 ��l
-
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
Permittee must notify by telephone the Aquifer Protection Section's Underground Injection Control (UIC)
Program Central Office staff, telephone number 919-807-6406. 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 4WI0100200 UIC/5QM Page 3 of 5
ver. 03/2010

PART VII — MONITORING AND REPORTING REQUIREMENTS
1. All required documentation shall be submitted to:
Aquifer Protection Section — UIC Program Aquifer Protection Section
Illl?i\f1� — DIV1JlUn of eater ( luahty Asheville kcz iuliai OtIlve
1636 i'�all �,Gi"','i e �,:1ite1 eii{s i0o l ( 1li':1�1t Z• -j O
Raleigh, NC 27699-1636 - Swannanoa, NC 28778
Ph# 919-807-6464 828-296-4500
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 Asheville 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 Protection Section Central Office and the Asheville 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 ofWater 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 Asheville Regional. Office, telephone number 828-296-4500, 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 of refrigerant 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.
191U-SiVAI I In WAI 7u l N Z- 01cVVI"Wo
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 #W10100200 UIC/5QM Page 4 of 5
ver. 03/2010

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 mit of service temy,nrarily, the Peririttee must install a sanitary seal. If a well is not to be used
for any purpose, then that well n.usl be pernianently abandol:)ed according to 15A NCAC 2C .0213(h)(1).
No'l.1FI— ilon Sr.,a11 be s'Jh!nittCC! to ii_'" (-iddlr tiS Lr!\JC:; i?? Part trll.! ;)f thlti l?r� Il_It.
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 15A NCAC 2C
.0214, including but not limited 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 nlartner 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. Abandornnent Record (Form GW-30) as -specified
in 15A NCAC 2C .0213(h)(1) within 30 days of completion. of abandonment. Copies shall be
submitted to the addresses given in Part VII.1 of this permit. -
Permit #W10100200 UIC/5QM Page 5 of 5
ver. 03/2010

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.
C E v E n Dee Freeman
Governor Director
Secretary
March 7, 2012
MIAR 12
George Bauernfeind
Asheville ReDiOnai office
1005 Devon Court
A -o Lifer Protection
Goshen, KY 40026
Subject: Acknowledgement of
Application No. WI0100200
George Bauernfeind SFR
Injection Mixed Fluid GSHP
Well (5QM) System
Buncombe County
Dear Mr. Bauernfeind:
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on 03/07/2012. Your application package has been assigned the number listed
above, and the primary reviewer is Michael Rogers.
Central and Asheville Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit. applications, the Aquifer Protection Section requests your assistance in .
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Michael Rogers at [phone] or [e-mail].
incerely,
for Debr Watts
Groundwater Protection Unit Supervisor
cc: Asheville Regional Office, —Aquifer Protection Section}
_
Larry Wells — AWD Services, Inc., 256-N. Turkey Creek Rd., Leicester, NC .28748
Brad Stickels — Stickels Service Co., 32 Pine Hill Rd., Fairview, NC 28730
Permit File WI0100200
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
One .
Phone: 91 U07-64641 FAX: [phone] NOTt}1Car..011l1a.
Internet: www.ncwaterguaIIt .org
An Equal Opportunity 1 Affirmative Action Employer

stavcl.es service..gompany, ::.: _.:......
EmENTUL WELL CONSTRUCTION RECO1fIb
North Carolina Department of Environment and Natural.Resources- Division of Water Qu CEIVEDIDENR/M
WELL CiDNUACTOP. CERT MICRT']ION # 3500 MAR 2 7 2012
I.WELL CONTRACTOR: .
Cad aurr _
Well Contractor (Individual) Name
AWD Services: Inc.
well Contractor Company Name
258North Turkev Creek Rd.
Street Address
—j„ icestee NC 28748
City or Town State ZIP Code
828 683-9223
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# WIO 1 O 2OQ
OTHER ASSOCIATED PERMITS(I applicable)
SITE WELL ID #(if applicable)
3. WELL USE (Check Applicable Bo)o: Residential Water Supply p
DATE DRILLED 3/26112
TIME COMPLETED AM p PM 0(
4. WELL LOCATION:
CITY: Arden COUNTY Buncombe
334 Stone. Ledge Trail
Wreet Name, Numbzrs, Community, SubdMalon, Lot No., Parcel, Zip Code)
TOPOGRAPHIC I LAND SETTING: (check spptopriefe box)
IFSlope Ovalley 0Rat' 0Ridge ❑ Other Eley.2407'
LATITUDE 35 26 - 59.000 " DMS OR DO
LONGITUDE 82 0.34 59•0000 ' DMS OR DD
Lati(udeAongitude source; . MPs Qlbpographlc map
(focarrom of wan must be -shown on a USGS topo map andattached to
this tbmt if not using CPS)
G. WELL OWNER
George & Sally Bauernfeind
Owner Name
334 Stone Ledge Trail
Street Address
Arden NC 287Q4
City or Town state Zip Code
(828
Area Code Phone number
6. WELL DETAILS: (3) Geothermal Borers
e. TOTAL DEPTH: 325'
b. DOES WELL REPLACE PMSTING' WELL? YES ❑ NO tf
c. WATER LEVEL Below Top of Casing: N/A FT.
(Use "*" If Above Top of Casing)
d. TOP OF CASING IS N/A FT. Above Land Surface
'Top of casing terminated atior below land surface may require
a variance In accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): N/A METHOD OF TEST N/A
ff DISINFECTION: Type N/A Amount N/A
g. WATER ZONES (depth): Aquifer Protection Section
Top_„ Bottom Top Bottom-
Top—, Bottom Top Bottom
Top Bottom . Top Bottom
Thickness)
7. CASING: Depth Diameter Weight Material
Top Bottom Ft —
Top Bottom Ft._
Top Boaom Ft,
6. GROUT: Depth Material Method
TopA_ eottor 20' Ft_ Bent_onite Pour
Top 21' Bottom 325' R Pea Gravel Pour
Top Bottom FL
9_ SCREEN: Depth Diameter Slot Size Materia(
Top Bottom Ft in. in.
TOP BOQOm Ft* in, in.
Top Bottom Ft,,, in, in.
10. SANDIGRAVEL PACK:
Depth Size Material
Top Bottam Ft
Top Barwm Ft. _
ToD Bottom Rt
11. DRILLING LOG
Top Boaom Formation Description
/
l
12. REMARKS:
100 HEREBY CERTIFY THAT THIS.WELL WAS CONSTRUCTED IN
: ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
: STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
3127/12
= SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
Chad Surrett
v,u t'.s�ciFi tit tiif reiF NLi e.:4GIt11tJii,6tjlf �V1. u+rrf lm rt,ir{ UY Oii°°6`ii.{ ;�s;i8
161- 7-MeifBen►ite Center, Ralelgh, AI'C''27699.161;.Phone : (94)-807
4.
?.A - -Ac1H.4 ONI S30IA83S GMV
PRINTED NAME OF PERSON CONSF I G iz t"'..
r�i; - {riitai'riidflali f°toCt;3�1ny, i�VA�( m GW-1a
•6300 "t".2109
Information Processino Unle.
£0Z66898Z8 80:60 ZTBZ/LZ/E0

> (D
i` CD CD
NORTH CAROLTNA DBPARTMENT OF ENVIROMENT AND NATURAL RESOURCES
Ai'PLYCATION NOR APEli1VM TO C019M UCT OR OPERATEIlEC'i'ION WELL A. �'
CD
• In Acoordanc WMihe Provisions of ISANCAC 02C.0200 CD
CLOND: LOOP NOD FLUM GEOTBWjMA,L YNJECiTON VAffiLS _
These wells &culata fluids other*zurpotable water uspart ofa geoffia mel heudmg and cooling system
(check one) New Application Renewal* Modification
Forsenewais complete Patty A-C and the signature page.
Pant orType Ir wwadon and Mail to the A&b-cn on dwlwt Page BegibleAppliratfons Wiff BeRehanedAs Incomplete.
DATZ: "_a�Z . 20�
PERMIT N¢'r�Y �I.�id al6f� (leave blank if Ncw Application)
{ A. STATUS OF.APPLICANT (chum one)
' Non -Government:. IndividudReddence_)L BusinesdOrg nhm ion
Government: State Municipal_ CountyFedetai
A PF.d M[r :APPLICANT — For individual residences, list each owner.on property deed. For all others,
state lmme of entity mmd name ofpmmm deleg&d authority to sign an behalf ofibe business or agency:
Mailing Address• ((raju�te.I-
aty: bSlago State: Zip Code: t7�2fo County:
DayTeleNo.:
EMAILA.ddress: FexNa-
C LOCATION OF VV 2m S>TE— Where the injection wells are physically located:
(i) Parcel IdentiIlcatioaNutnber(Plrl}ofwellsite: - Idla -County: Jnto.+rl�cr
.. (� Physreal Address (if dwereutthanmmTmgaddress): `i' -5. L
_ State. NC Zip code: ;2 R ? O
D. 'V E LLIMILLERi0V1zORMA.TION .
Well Dn'11ingContradDesName: t BUY rnreq-ct
f NC WcUDn-gMgContractor CerdficadonNo.: 263
ComPanyName: AWD Services Inc.
CoNactPerson l �•m t tat(S' MdAMAddress:IA(e_{
net
Address: 256 North Turkey greek Rg�� -
• city: I elcas+t" AD Code: —?g248 state: �O County: Buncombe
officeweNo.: [phone] Caul= (82=15 933 Pw&No.: 9-8168q-9 n'A
GPUj IC5QMftmllAppl'1mdm( W*%d10 011) Pagel
RECEIVEDIDENRIDWQ
ek:;+
Aquifer Protection Section

14
HC&T PDMP CONTRACTOR Il►TROBMATION (iidiffEaent than duller}
City: �G:, r u i Lw1 Zip Code: Q-? G Stale:gComatY: -
OfficeTeleXh.: g65ZCell No.:Q,)-% ��ie-r1�Z{ FaxNa: 11 63A j 7Z
F. ' WELL CONSTRUCTION DATA
(1) - Number of bodrigs to be com*acWd*: �j Depth of each boring (feet): 3 a5
* ff gwaiersupplywells will be used fimprovide the Wormadon in item (4) below.
(2) Chemical additives to be used: R 22 Propy]ene glycol Ethanol
other. (other additives will need prior approval byNCDENizbefore use)
(3) 1-ype of inbingto be used (copper, PVC. etc): _
(4) Wellcasing If Ella weIl(s) will use casing then provide the iyp_e (steel, PVC, Plastic, ebe.); diaineter. ddb,
and odm tofcasingappearingabove gromtd:
�zti, C{ Cc�v'.at
(5) Groat (material surrounding well casing and/or piping): u -fy wr`'
(a) Grouttype: Cement Beutonite**� ) Other(sp Vy btf"l
**ftselecftbmWm'Ie�avmiowbbcmbY tol5A CCA.C2CAZ13(d)[1M.Tgicbnquimsammatypag�aa�
(b) Grout deptl► oiiub'tng (t+eferenee to land surface): from to cZD (%et)
If well has casing, indices grout depth: from to (feet)
Q WELL LOCATIONS —Maps must be scaled or atlierwlm accurately indicaba disc mm and odentations Of
features Iocated withk 1000 Beet of die insertion well(s). L.abel__all features clearly and include anorth arrow.
(L} Attach aAwqmdific map showingthe locations ofthefull I wing:
* Proposed injection wells * Bapings * Property boundaries ,
Surface water bodies * Water supplY wells
* Septic tanks and associated spray irrigation sites, � fields, or repair areas
* Existing or potmlial sources ofgroundwater °dam ' 'nation
I • (2) Attach a topograpbic map of the area extending 114 mile from the injection well site that indicates the
facility's location and the map nmme.
NOTE- In iytost case, an aerial photogtnph of thepropgrty parcel showing pmpedy lines mul slrueturA corn be
i obtained mrrd downloaded frost the applicable county GIS retells Zjrpicalh the property can be sewched by
owner a4mw or addr am The kcadon of the wells la rekmit to properly boundaries, houses, sirde rwr§s� other
weak eta cm ilten be drawn in by leant: Also, it `Wee m bE selected shatvtag mprgrdphic contours or .
elevation dada.
Q'U/(IIC5Q�2PemritA�plication(Rasised'U24PTA11) _ - Pege2

I
� C.F�.TII'�C�T[!DN(fufiesi�neaes�edlselaav�byti�atpeason'sava�}
15ANCAC 02C,0211(b)requaostiataU pmnitappllhsd ns shall bs signed as foilows: _
. ,1. �acosgoratiamc byaresp<nos<'6lscoipomhsa�c�; '
Z. for apaztueasbWarsolepmeprleborsbip: bya�neralpertoeaaortha. tespectivetp;
3. for a m=ldpality or a states fafteat or at1►er pn6lb agency: by eiliter a pfi nt ipd emmif ae
4 foraAathelm hpt6sweAowae�finesnssltpessamslisredaatla;psope�tyds�l}.
N as mahorrad agmd is as be' W of the apvHem , the► sapplg a letter dpW by the
ag�p�ithai�assnd aathoo�iluau-a�txosi�et3Lis oa t%ei�ctueTadS
`2lmiby caft under pm ttybflaw, tha I hairs pemonatty esardhad and an witf ft mSorm adau
sdmft ed iu tb dam sad A attaahmem fimm Q aad ME4 bawd on -my i 4phy of �bSe iadiivir]nais
rely Iosponml& for obtmg said �mformahOE6 I behave that the -damn w is UM4 acairai$ and
mmP • I am awam that these are sigaificautp . hwTucTmgtbo p��ft df w and hquboummt
tia gialsamfimmattoo..I agree to comsuvc� ap aosi�am, n and if applic dap abanduaft
in�ecGiao amiaII re]eded mac dmmm vgm Ste apparosea and aan0lams of
fi pamUt" T
SigmMmdfPropCrijr OWAMK13PUCUt
- PrmtorTypeFaAName .
• �g�ttuaofPmpertj[Owner/Applic�nt
-
Pddor'iypeFWW ma
afAuSWrh edAgm4tfmw
' PcmtorTjpaFaIINeme - -
3nbmuitiwucopissaFthecamunldea.applicx�iion�ckagat� - "
DWQ-Aquifer sSeUibn
w6MallSekoetenter
ig%NC27699-106
LCSQMPBt�LAppll�(Bev18ad7/3,4f2t}I� -
RECEIVEDIDENRIDWQ
MAR 0 7 2W - 3
Aquifer Protection Section
w

TREE PROTECTION FENCE (TYP.) /
- -SEE DETAIL
EGGR/---RREHADEG ASPHALT DRIVE TO BE REMOVED
7H OUTCROPPINGS ANDE�)i
0 - +a - �. ',!340 TOPSOIL SUITABLE SUITABLE FOR LANDSCAPE MA
PLANTINGS LOW
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PROPOSED SEPTIC SYSTEM
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HEALTH DEPT.-
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CDE '.
North Carolina Department of Environment and, Natural Resources
'Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
March 7, 2012
George Bauernfeind
1005 Devon Court
Goshen, ICY 40026
Dear Mr. Bauernfeind:
Dee Freeman
Secretary
Subject: Acknowledgement of
Application No. WI0100200
George-Bauernfeind SFR
Injection Mixed Fluid GSHP
Well.(5QM) System .
Buncombe County
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation'received on 03/07/2012. Your application package has been assigned the number listed
above, and the primary reviewer is Michael Rogers.
Central and Asheville. Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure - maximum
efficiency in processing permit applications, the Aquifer Protection Section requests your assistance iti
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. -If you have any questions, please contact
Michael Rogers at [phone] [e-mail].
incerely,
1Z)
for De
br ,Watts
Groundwater Protection Unit Supervisor
cc: Asheville Regional Office, Aquifer Protection Section
Larry Wells — AWD Services, Inc., 256 N. Turkey Creels Rd., Leicester, NC 28748
Brad Stickels — Stickels Service Co., 32 Pine Hill Rd., Fairview, XC 28730
Permit File WI0100200 '
AQUIFER PROTECTION SECTION
1636 Mall Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] nie 1Cif: • : • : • .
a
Internet: www.ncwatercivality.ora ....ff
An Equal 0PPortuni IAfirmativeAdonEmployer