HomeMy WebLinkAboutWI0100050_GEO THERMAL_20070717•
Permit Number W10100050
Program Category
Ground Water
Permit Type
Injection Water Only GSHP Well System (50W)
Primary Reviewer
jesse.wiseman
Permitted Flow
Faciiit
Central Files- APS SWP
07/17/07
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
William Lovins
PO Box S370
Mars Hill NC 28754
Facility Name Major/Minor Region
Mars Hill College 5QW Minor Asheville
Location Address County
100 Athletic St Madison
Mars Hill NC 28754 Facility Contact Affiliation
Owner Name Owner Type
Mars Hill College Non -Government
Owner Affiliation
.James Roberts
P o 398
Mars Hill NC 28754
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
07/17/07 07/09/07 07/17/07 07/17/07
Regulated Activities
Heat Pump Injection
School
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
W Art
Q
Michael FEasley, Governor
William G. Ross Jr., Secnstary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins Director
Division of Water Quality
July 17, 2007
William Lovins
Mars Hill College
P.O. Box 370
Mars Hill, NC 28754
Subject_ Acknowledgement of Intent to Construct Type SQW Injection Well System
Permit No. WIO 100050
Mars Hill College 5QW System
Madison County
Dear Mr. Lovins:
In accordance with the application submitted to the Underground Injection Control (UIC) Program that
was received on July 9, 2007, the Aquifer Protection Section (APS) acknowledges your intent to construct
a closed -loop geothermal water -only injection well system for the operation of a ground -source heat
pump. This system is located at Mars Hill College in Mars Hill, North Carolina.
This system is deemed permitted by rule (North Carolina Administrative Code Title 15A, Subchapter 2C,
Section .021 l(u)(2)), However, it is recommended that you contact the Madison County Health
Department, as they may have additional construction or permitting requirements for this type of systern.
If you modify your system at any time, including the addition of antifreeze, corrosion inhibitors, or any
other substances to the circulating fluid, you must contact the APS to verify compliance with applicable
rules.
Thank you for submitting this notification. Please ;.all Qu Qi at (919) 715-6935, or email him at
gu. i ancmail,net if you have any questions regarding geothcrmal heating or injection well rules and
regulations.
Sincerely,
Jesse Wiseman
Aquifer Protection Section
Enclosures
cc: Asheville Regional office - APS
APS Central Files - Permit No, W10100050
Aquifer Protection section I636 Mail Service Cenrer
Internet: www.ncwaterclualiq ors Location: 2729 Capital Boulevard
An Equal opportunhylAffim2llve Adlon Employer- 50% Recydedll D% Post Consumer Paper
l�s` C
am inaa
Raleigh, NC 27699-1636 Telephone: (919) 733-3221
%deigh, NC 27604 Fax 1: (919) 715.0588
Fax 2: (9l9) 715-6048
Customer Service: (877) 623-6748
06-06--' 07 15:59 FROM-NCDENR 828-299-7043 T-158 P002/005 F-170
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP
GE01110UMAi WATER -ONLY INJECTION WELL SYSTEM
(GROUM COUPLED MEAT PUMP) -
Type 5QW wens
In Aoaordsnoc with the provisions of NCAC INtle 15A: 92C.0200
Cothplepe application and maii to address on the back page.
Tbis is xos the proper forces to be used for injection wells. in an oven -loon geothermtal system.
Do a9ime this form for systems that t[rculate any subaftaces other than water.
TO: DIRECTOR, NORTH CAROLrNA DIVISION OF WATER QUALITY
DATE: -A u rtr 'I . 24 D r
A_ SYSTEM CLASSIFICATION Dons the proposed system circulate potable water in continuous
piping that completely isolates the fluid ftm the environment?
YES --� If yes, then continue completing tWa form.
NO If no, do not compiete this form. Forth GW-57 R11, Application For
Farmtt To Co rsrrucr And/Dr Use A Well(s) For [Nectton With A Heat
PwV Sysrem, should be completed.
tfverbe inttoducvd to the system's oiroulating heat transfer
fluid? This includes, but is not limited to corrosion inhibitors and/or antifteoxes.
YES If yea, do not complete this farm Form OW-57 HP, Application For
Permit To Cows ct AndlOr Uses! Well(a) For I'njecrion Wirh A Neat
Pump S�urem, should be cample:ted.
NO If no, these continue oompieting this form.
C. PROPERTY OWNER
Nam: IN Xc%,e % K,
Address: d . a ntic 3
City: MA rc al Ij
County: mBAL k rt
State: NC- Zip Code:
Telephone: A Z 8 - G $9rt
D. STATUS OF PROPERTY OWNER
Prfvete: Faders!:
Slate• Municipal.•
Cmarnercial:
Native American Lands:
94vlsod 7106 GWIUIC-57 CL Page 1 of 4
06-06-' 07 15 ; 59 FROM-NCDENR
828-299-7043 T-15R P003/005 F-170
E. FACHM (SnrE) DATA
(Fill ota ONLY If the Status of Owner is Federal, State, Municipal or Commercial).
Name of1lusiness or Facility:
A4dnu:
City, State; 73p Code: County:
TelaPb=m ' Contact Person:
Standard Induabial Code(s), SIC, which describes oommercial fheiiity:
F. HEAT PUMP CONTRACTOR DATA
Name: Esr -40, G rat !C a n.! r it' -A 10 R r Z ne
Addrm 1 D - So -
city: Stab -VA zip Coda: Z4ZA� County:
Tolephone: 3 Contact Parson:
0. CONSTRUCTION DATA (check one)
FXIST1NG WBU(S) being pmposod for use as a ground-ooupled heat pump
weU(s). Provide the Inforoution in (1) through (3) below to the beet of your
knowledge. Attach a copy of Form GW-I (Well Construction Record) if
in►silable.
— _ PROPOSED WiEIL(S) to be constmated fbr use as a ground -coupled heat pump
well(s). Provide the irrfowmtion in (1) through (3) below as PROPOSED
construction spwHicatiionys. Submit Form OW-1 aftor oonstruotion.
(1) Well Dr+ilYir+g cont aator's Name: 11 e-CLS W Q ( ( i..SQ l r
NC cow Certification number. 211,11
� to be adnt[rumd: m&Ap v -- Number of borings:
ApprwdmWe depth of each boring (feat): 3 C9
(a) Well casing: Is tiro walks) cased?
(a) YES If yes, then provide the oesing information below.
Type: Galvaelaed steel Black steel Plastic Other (specify)
Casing depth: From to ft, (reference to laid suriieca)
Casing mdands above ground inriws
(b) NO ` Gant%-k"'aWN Cattry-ke Crtrnaye.� w e•tss�l
(3) Graut (grout the vertical length of the borehole to a minimum depth of 20 feet bla,):
(a) (trout type: Cement seritonho 1� Other (specify)
(b) Orouted sw tm and grout depth (refenco to land sur&ce):
around Closed loppiping;nb� SCr sand (1 �
P from to (feet). W i-L k bQ n { ■ n r� r n `�' P
around well casing; ftm to Net). Zac
N'0' ' THE WELL n UNG L'C'INT AClC2 CAN 9Ui'i'[.Y THE DATA FOR. Mn= siasrrxa OR
ftOPOM wEL.e EF Tras WotbrATtoN Is UKAVArraat.s BY OTiiR WMANs.
Revised 71D6 GWMIG37 CL Page 2 of 4
06-06-' 07 15:59 FFOM-NGDENR 828-299-7043 T-158 P004/005 F-170
H. INJECTION -RELATED EQUIPMENT
Attach a diWarn snowing the e4nearin4 layout of the Waction equipment and Exterior pipirwwbing
associated with the looaction operation. The manufbdurar's brochure may provide supplementary
Information.
LOCATION OF WELL(S) Attach two maps.
(1) IncIude a site map (on be drawn) showing: bulldings, property lines surface water bodies,
potential source of groundwater corttaminaeon and the orientation of and distances between
the proposed well(s) and any eadsting well(s) or waste dieposal facilities such as septic tanks
or drain Holds located vrldit 2100 That of the ground -coupled heat pump well system. Label all
feats clearly and Include a north arrow.
(2) location map referencing the site to two nearby parmanent refereaoe points (such as roads,
streams and highway intermwtions). - -
PERMIT LIST: Attach a list of all permits or construction approvals that at related to the site.
Examples include:
(1) Harardous Waste Managernmzt program parmlts under RCRA
(2) NC Division of Weser Quality Non-Disobarge perni to
(3) Sewage Treatment and Disposal Permits
IC. CERTIFICATION
"I hereby ee tify, under penalty of law, that I have personally examined and am familiar with the
information submitted in this docusncnt and all attachments thereto and that, based on my inquiry of
those individuals immediately responsible tor obtaining Wckinfounation, I believe that the information
Is true, aoourate and complete. I era aware that there are significant penalties, including the possibility
of f:nca and imprisonment, for submitting false information. I agree to construct, operate, maintain,
repair, and if applicable, abandon the ground sour o host; pump syst m and all related appartanames in
accordance with tiro approved specifications and conditions fuze Permit."
(ftmturc of Well Owner or Authorized Agent) 47
V atrthorlaed went Is acting on behalf of the well owner,
please .supply a lacier signed by the owner
authorizing the above agent.
Revised 7106 OW/UIC-57 CL Pape 3 of
Wb-bb-' b7 1b ; WW rhUM-1VCDENH T-15b FM/may r-270
L. CONSENT OF PROPERTY OWNER (Owner mesas any person who holds the fee or other property
rights In ft well being om atrueted.-A well is reel property and eta eonatruadon on lend rests
Ownership in the landuwner in the shame of contrary agreement in writing.)
IftM prnpcdy is owned by somec a other than the applicant, the property owner hereby consents to
allow the applicant to ronstnre:t each lnjecidon well as outlined In this applioation aril that it shall be
the nopcwUn'lity of the applicant to moure that the grouted -source host pwnp system's Weil(s)
coafbm to the Well Coasttuction Standards (Title 15A NCAC 2C .0200)
(Signature Of Property Owner If Different From Applicant)
Please rchp two copies ofthe completed Application package To:
UIC Program , -
Aquifer Protection Section
North Carolina DENY-DWQ
16336 Mail Service Center
Raleigh, NC 27699-1636
Telephone (919) 715-6935
R&hW 7106 OW/WC-57 CL Page 4 of 4
CERTIFICATE OF PLAN APPROVAL
The pasting of this certificate certifies that an erasion and sedimentation control plan
has been approved for this project by the North Carolina Department of Environment
and Natural Resources in accordance with_ North Carolina General Statute 113A - 57 (4) and
113A - 54. (d) (4) and North Carolina Administrative Cade, Title 15A, Chapter 4B.0107 (c).
This certificate must be pasted at the primary entrance of the job site before construction
begins and until establishment of permanent groundcover as rewired by North Carolina
Administrative Cade, Title 15A, Chapter 4B.0127 (b).
MACC,7 141 WLo-LCQC
In- -DGO -.f;xMwG"
Project Name and Location MAP1CJP11Z00G-M10Z3
614 1 Dr S .
Date of Plan Approval Regional Engineer
NDENR
1
❑Ivisiorl of
avlronmenud Health
DARHYL BOONE
Town Of Mars Hill
28 N. Maim St P O Box 368
Mars Hill, NC 28754
Dear Applicant.
Division of Environmental Health
Terry L. Pierce, Director
Public Water Supply Section
Jessica G. Miles, Section Chief
June 26, 2096
Re: Authorization to Construct
MARS HILL COLLEGE
MARS HILL, TOWN OF
MADISON County 0158010
State or North cafalina
Michael F Easley, Governor
Departmant of Envlrcnmeat and
Natural Rescutcas
WIIIlam G. Roos, Secretary
This letter is to confirm that a complete Engineer's Report and a Water System Management Plan have been
received, and that engirt Bring plans and specifications have been approved by the Department for MARS HILL
COLLEGE, ❑EH Serial No. 0600657.
The Authorization to Construct is valid for 24 months from the date of this letter, Authorization to Construct
maybe extended if the Rules Governing Public Water Supplies and site conditions have not changed. The
Authorization to Construqt and the engineering plans and specifications approval letter, shall be posted at the
primary entrance of the job site before and during construction.
Approval must be secured from the Department before any construction or installation if:
• Deviation from the approved engineering plans and specifications is necessary; or
There are changes in site conditions affecting capacity, Hydraulic conditions, operating Units, the function
of water treatmdnt processes, the quality of water to be delivered, or conditions imposed by the
Department in ahy approval letters.
Upon completion of the construction or modification and in accordance with Rule .0303, the applicant shall
submit a certification statement directly to Siraj M. Chohan of this office. This statement must be signed and
sealed by a registered professional engineer stating that construction was completed in accordance with approved
engineering plans and specifications, including any provisions stipulated in the Department's engineering plan and
specification approval letter. Prior to Final Approval, the applicant shall submit a signed certification stating that
the requirements in 15A NCAC 18C .0307 (d) and (e) have been satisfied and if applicable, a compieted
application for an Operating Permit and fee, Once the certification statements and operating permit application
and fee, if applicable, are ireceived and determined adequate, the Department will grant Final Approval in
accordance with Rule .0309 (a). Therefore, no construction, alteration, or expansion of a water system shall be
placed into service until Final Approval -has peen issued by the Department.
If we can be of further assistance, please call (919) 733-2321.
Sincerely,
Tony C. Chen, P.E,
Technical Services Branch
Public Water Supply Section
TCC:SMC
cc: JAMES P. ADAMS, Regional Engineer
Charles C Day, Pe
1634 Mail Service Center, Raleigh, North Carolina 27699-1634 �v°nehCarolina
Telephone 919-733-2321 .A Fax 919-715-4374 ■ Lab Form Fax 919-715-6637
http:lincdrinkingwater.state.ne.usl lVatimally
An Egjai Gpporlunlry 1 Affirmative Acilon Employer
tdCDENR
State of North Carolina
Department of Environment and Natural Resources
Division of Environmental Health
Public Water System Authorization to Construct
Public Water System Name
and PWSID No. (lf available):
Project Name:
Serial No.
Issue Date:
Expiration Date:
MARS HILL, TOWN OF
0158010
MARS HILL COLLEGE
r
0600657
24 months after Issue Date
In accordance with NCAC 1 BC .0305, this Authorization to Construct must be posted for inspection
at the primary entrance to the job site during construction.
North Carolina
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06-06-' 07 15:59 F134M-NCDENR 828-299-7043 T-158 P002/005 F-170
J
NORTH CAROLINA
DEPARThffXr OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP
GEOTHERMAL WATER -ONLY INJECTION WELL SYSTEM
'(GROtM COUPLED BEAT PY.]MP) ,
Type SQW Wells
In A000nknot with the pror Wons of NCAC Title I5A: 02C.0200
Complem applloatlan snd mail to address on the beck psgo.
This Is lot the proper Corm to hawed for tnjectlpa welb.in an gpaa-loop geothermal system.
Do iopt fir• this /farm i'br systems that a realate any substances other thae water,
TO: DIRECTOR. NORTH CAROLINA DrMION OF WATER QUALITY
DATE: .:I u r%,t I 200"1
A. SYSTEM C A.SSiFICATTON Does the proposed system circulate potable water in continuous
piping that ootmplawly isolates the fluid tiom the anvirotuaent7
YES '� If yea. then continue completing this form.
NO If no, do not complete. this form. Form aW-57 HP, Applkatlon For
PomIf ro Co Vmet A"iOr Use A We!r(s) For I►ijecrim Wfth A Neal
Pwnp 5jmm, should be oampiated.
ftbe IiAnkl load to the system's airoUlating heat transfer
tivid7 This includo% but is net limited to corrosion inhibitors and/or antifroores.
YES if yes, do not complete this form Form O W-57 HP, Application For
Pamit To Constant A dlor Usa A Widl(a) For Injection With A Heat
Pkmp S)9tsvn, should be completed
NO �If no, rhea onetime completing this form.
C. PROPERTY OWNER
Name: t d l
Addms: F. d & o.Yt 3 '1
City: U;sL,, i Stara: A1� Zip Coda: -3A-T
County: Ma' & 0 n _Telephone: R?- R- 6 a9. I"A!3
17. STATUS OF PROPERTY OWNER
Private: Fedwal: Carnrr:rrolal:
8tete: Municipal: Nativc American Lands:
Revised 7106 OWIUIC-57 CL Paget of4
06-06-' 07 15:59 FROM-NCDENB 828-299--7043 T-158 P003I005 F--170
B, FACil.1'I'Y (SM DATA
(Fall out ONLY if the Sum of Owner is Fladwal, Swte, Municipal or Commeralal).
Name of Bualness or Facility:
Address:
Ctq; Suft., Zip Code; County:
Teleph w C.aBtaot Person:
Swndatid IndmWei Code(a). SIC, which describes commercial ficift:
F. HEAT PUMP CONTRACTOR DATA
Name: i` 4P AA, t see P"v 6
P Zip Code: ?-4 13 Couanty:
Contort Person: . 1
Q, CONSTRUCTION DATA (alasok am)
LXIS '! G WEI.I.(S) being proposed for use ea a ground -coupled heat pump
well(a). Provide the intihrmation In (L) through (3) below to the beat of your
leeowledge. Attach ' a copy of Farm QW-1 ( Well Construction Record) if
J PItOPCSM WELL(S) to be cornsbuaWd for use as a ground -coupled heat pump
well(a). Pravlde the irlfbrmafm in (1) Through (3) below w PROPOSED
Iona ructhm specilladona. Submit Farnn OW-1 afto+r construction.
(1) Wall Drilling C aw's Name: I l e Ck.s w 4L L 1, W4L L
NC C.anbcbar CmMumion.n unbar: ?�
to be oor Rvafdd: ■titer o `"('— Number of boritngs:
Appmr3mate depth of each baring (feat): 3 OD
(2) well casing: h dw well(s) caned?
(a) YES Ifyea, then provide the casing lrnfhrmstlon below.
Type: Oaivanlnod steel Black arm] Fludc Other (epoch]+)
codas 401h: From to A. (relbrenoe to land senrfaeo)
Cuff extends above ground moires
0) NO , CanVkrVCtWrV" 6'r, f tnlvuej w e•tcn6l
(3) Ormd (grout the vordW longth of the borehole to a minimum depth of 20 fast b1a.):
(a) orwat lype: COMBt Bargm" r Odw (speak F)
(b) Gwated sm&ce and grotot depth (mferenw to land surface):
around ckmad loop plping; from to (feet). w r{ k b¢ n{ ■ n�� t r A '� a P
wound well oaslav from to (feet). �+
NOTE: 'lam w= nuLlm owuc= cAW SIIIRt y mm DATA FOR mnm munma OR
PsdTt7W VIEM IF TM WFOMArAg 18 UKAVARAMa BY arMUL MRAW.
Rurlsed 71t16 OWMG47 CL Page 2 of 4
e6-06-'07 15,59 FROM-NCDENR 828-E59-7043 T-158 P0041005 F-170
H. INJECTION -RELATED EQUIPMENT
Artaoh a diagram showing the engineering layout of the irgection equipment and warrior piping/tubing
associated with the boactiot operation. The manufhcturar's brochure may provide supplementary
information.
LOCATION OF WELL(S) Attach two maps.
(1) Include a site reap (can be drawn) showing: buildings, property lines surface water bodies,
potetWeLl sources of groundwamr contarminauon end the orientation of and distanm bcrwcen
the proposad woii(s) and any existing well(s) or waste disposal f6cilitles such as septic tanks
or drain Salda located within 200 That of the ground-ooupled heat pump well system. Label all
features clearly and Include a north arrow.
(2) Iocation map refermaing the site to two -nearby permanent refeream points (such as roads.
streams and highway intersections).
PERMIT LIST. Attach it list of all permits or eonstructlon approvals that are related to the silo.
Exsmplea include:
(1) H&mrdous Waste Management program permits under RCRA
(2) NC Division of Weser Quality Non•Disobarge permits
(3) Sewage Treatrnent and Disposal Permits
K. CEkTIi7ICATION
kI hereby certify; under penalty of law, that I have personally examined and am Familiar with the
information submined in this document and all attaahrruenu thereto and than, based on my inquiry of
those individuals immediately responsible for obtaining saiid_infornmtion, I believe that the information
Is true, accurate and complete. I am aware that there arc slgnlf cant penalties, including the possibility
of flnea and Imprisonment, for submitting fhlse Information. I agree to construct, operate, maintain,
repair, and if applicable, abandon the ground -source heat pump systern and all related appurtenances in
accordance with the approved specifications and conditions of the Permit,"
zz.-�
(Signature of Well Owner or Authorized Agent)
Ijartthorked agent Is acting on behuljaf the well owner,
please =pply a kner signed by the owner
authorizing the above agent.
Revised 7/06 OV/"C-57 CI. paps 3 of 4
ab-bb-'WY lh: de HUM-NOD1.NH M-ny [- IMJ T-1bg rep b/Mb r-179
L COMENT OF PROPERTY OWNER (Owner means any parson who holds the flee or other property
rlSW in fba well being ooz%ructcd.•A well 1e real property and its cowauatlon on land rears
owamhip in the kndoww in the &be=* of conewy agreement in writing.)
1fthe W+op aV Is owned by sonume other than the appliasa; the property owner hereby consents to
allow the applicant to eor twt esab injecdon well as outlined is this applioation and tha It aball be
the respooibi by of the appliond to ensure that tha $round -solace beat pump system's Well(a)
mft= to the Well C.oaabWion Steadards ('Tftle 15A NCAC ZC MM)
(Slgnstere OfProperty Owner If Different From Applicant)
Flom return two copies of am cmph tad Application pukage to:
UIC Program
Aquifer Protection Section
North Carolina DIM-DWQ
1636 Mail Service Center
Rol J&w NC 27699-1636
Telephone (919) 71"935
Revised 7106 GWNXC-57 CL Pago 4 of 4
CERTIFICATE OF PLAN APPROVAL
The posting of this certificate certifies that an erosion and sedimentation control plan
has been approved for this project by the North Carolina Department of Environment
and Natural Resources in -accordance with North Carolina General Statute 113A - 57 (4) and
113A - 54. (d) (4) and North Carolina Administrative Code, 'Tale 15A, Chapter 4B.0107 (c).
This certificate must be posted at the primary entrance of the job site before construction
beginis and until establishment of permanent groundcover a's r'egaired by North Carolina
Administrative Code, Title 15A, Chapter 4B.0127 (b).
WtL-CQE:MAC��111L_
Project Name and Location
Date of Plan Approval Regional Engineer
RCDENk
r0
171vlafon of
Etvunnr=W Health
DARHYLBOONE
Town Of Mars Hill
28 N. Main St P O Box 368
Mars HIII,NC 28754
Dear Applicant:
Divisiorr of Environmental Health
Ter L. Pierce, Director Stale afNorrh Carolina
ry Michael F. Easley, Govemor
Cepartment ofEnWronment and
Public Water Supply Section Natural ► osourWs
Jessica G. Miles, Section Chief William G. Rosa, Secretary
June 26, 2006
Re; Authorization to Construct
MARS HILL. COLLEGE
MARS HILL, TOWN OF
MADISON County 0158010
This letter is to confirm that a. complete Engineer's Repert and a Water System Management Plan have been
received, and that engin sting plans and specifications have been approved by the Department for MARS HILL
COLLEGE, DEH Serial to. 0600667.
The Authorization to Construct Is vaild for 24 months from the date of this letter. Authorization to Construct
may be extended if the Rules Governing Public Water Supplies and siteConditlons have not changed. The
Authorization to Construgt and the engineering plans and specifications approval letter, shall be posted at the
primary entrance of the jab site before and during construction.
Approval must be secured from the Department before any construction or installation if:
■ Deviation from.the approved engineering plans and specifications is necessary; or
• There are changes in site conditions affecting capacity, hydraulic conditions, operating units, the function
of water treatment processes, the quality of water to be delivered, or conditions imposed -by the
Department in any approval letters.
Upon completion of the construction or modification and in accordance with Rule .0303, the applicant shall
submit a certification stat�mentdfrectly to Siraj M. Chohan of this office. This statement must be signed and
sealed by a registered professional engineer stating that construction wag completed in accordance with approved
engineering plans and specifications, including any provisions stipulated in the Department's engineering plan and
specification approval sett' r. Prior to Final Approval, the applicant shall.submit a signed certification stating that
the requirements in 15A NCAC 18C .0307 (d) and (e) have been satisfied and if applicable, a completed
application for an Operati g Permit and fee. Once the certification statements and operating permit application
and fee, if applicable, are eceived and determined adequate, the Department will grant Final Approval in
accordance with Rule .03 9 (a). Therefore, no construction, alteration, or expansion of a water system shall be
placed into service until F al Approval .has been issued by the Department.
if we can be of further. assistance, please call (919) 733-2321.
Sincerely,
�V�
Tony C. Chen, P.E.
Technical Services Branch
Public Water Supply Section
TCC:SMC
cc: TAMES P. ADAMS, regional Engineer
Charles C Day, Pe
1634 Mail Service Center, Raleigh, North Carolina 27699-1634 � e Caz,O • 3
Telephone 919-733-2321 J Fax 919-7154374 J Lab Form Fax 919-715-6637
http:ilncdrinkingwater.state.nc.usl aturlal U
An Equal opponuntty 1 Aftlrmative Action Emclover
is f
State of North Carolina
Dspartment,of Environment and Natural Resources
Division of Environmental Health
Public Water Systems Authorization to Construct
Public Water System Name
and PWSID No. (if available):
Project Name:
Serial No.
Issue Date:
Expiration Date:
MARS HILL, TOWN OF
0158010
MARS HILL COLLEGE
r
0600657
Q6Q3/2DQ6
24 months after Issue Date
In accordance with NCAC 18C .03K this Authorization to Construct must be posted for inspection
at the primary entrance: to the jab site during construction.
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