WI0100041_GEO THERMAL_20120518

F15Vdj a,
North Carolina Department of Environment and Natural Resources
Division of Water -Quality —
Beverly Eaves Perdue Charles Wakild, P. E-. �-- —
Governor Director
May 18, 2012
Haywood County Board of Education
1230 North Main Street
Waynesville, NC 28786
Subject: Notification of Rule Revisions Affecting
Closed -Loop Geothermal Injection Well Permit Holders
Permit Number: W10100041
To Whom it May Concern:
Dee Freeman
Secretary
Our records indicate that you currently hold a permit for a closed -loop geothermal injection well
system. This letter is to inform you that on May 1, 2012, the North Carolina Administrative
Code Title 1 SA Section 2C .0200 entitled "Well Construction Standards — Criteria and
Standards Applicable Injection Wells" were revised. These revisions affect all permits issued
for injection wells including geothermal wells.
This letter is also to inform you that your closed -loop geothermal injection well(s) have become
"Permitted by rule." Therefore, you are no longer required to renew your current permit
and the permit will be valid indefinitely as long as the wells are active and are operated in
accordance with the revised rules referenced above. Please keep in mind that if you abandon
the wells, a record of abandonment must be submitted to the Division of Water Quality. You
may view the revised rules on our website at http_//l)ortal.ncdenr.or-/web/wqlaps.
If you have any questions regarding your current permit or the rule revisions, please feel free to
contact our underground injection control staff at [phone].
Sincerely,
Eric G. Smith, P.G.
Hydrogeologist
cc: UIC Permit File
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636 One
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604 NorthCarolina
Phone: 91M07.154WFAX: 91M67-6496 ]�� �/��
Internet: www.nmterauality.org �/ y
An Equal Opporlunity 1 Affirmative Aclian Employer

Central Files. AP5 SWP
01 /31111
Permit Number W10100041
Permit Tracking Slip
Program Category
Status
Project Type
Ground Water
Active
Renewal
Permit Type
Injection Mixed Fluid CSHP Well System (5CM)
Version
2.00
Permit Classification
Individual
Primary Reviewer
john.mccray
Coastal SW Rule
Permitted Flow
Permit Contact Affiliation
Facilit,
Facility Name Major/Minor Region
Bethel Elementary School (new location) Minor Asheville
Location Address County
4700 Old River Rd Haywood
Canton NC 28716 Facility Contact Affiliation
Dale Burris
Manager Project
1230NMain St.
Waynesville NC 28786
Owner Name
Haywood County Board of Education
Scheduled
Orig issue App Received draft Initiated Issuance
03/21/06 12/21/10
Re❑ulated Activities
Heat Pump injection
❑utfal l N I J I L
Owner Type
Government - County
Owner Affiliation
John McCracken
1230 N Main St
Waynesville
NC 28786
Public Notice Issue Effective Expiration
01 /28/11 01 /28/ 11 12/31115
RanuestedlReceived Events
RO staff report requested 01/12/11
RO staff report received 01/20111
Waterbody Name Stream Index Number Current Class 5ubbasin

MCDEMR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Haywood Counry Board of Education
Attu: Tracy Hargrove
401 Farmview Dr.
Waynesville, NC 28786
Division of Water Quality
Coleen H. Sullins
Director
January 28, 2011
Ref: Issuance of Injection Well Permit WIO1011 41
Issued to Haywood County Board of Education
Waynesville, Haywood County, North Carolina
Dear Mr. Harurove:
Dee Freeman
Secretary
In accordance with the application received on December 21, 2010,1 am forwarding permit number WIG100041for
the construction and operation of a vertical closed -loop geothermal mixed -fluid heat pump injection well system.
This permit shall be effective from the date of issuance until December 31, 2015, and shall be subject to the
conditions and limitations stated therein, including the requirement to install well identification togs as
specified in Part 113 and to submit well construction records as specified in PartVIL2. 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 unintempted legal use of the in facility for the stated purpose. you must
submit an application to renew the permit 120 clays 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 john.mecray crr cdenT.gov if you have any questions about your permit.
Cc! Landon Davidson. Asheville Regional Office
W10100041 Pernnit File
Haywood County Environmental Health Dept.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Ralegh, North Carolina 27699-1636
Location: 272B Capital Boulevard, Raleigh Nordi Carolina 27604
Phone: [phone] FAX 1: 919-715-0588: FAX 2; 919-715$048 l Customer Service: 1-677-6234748
rntemet www.ncwatercuallrv.oM
Best Regards,
John McCray
Environmental Svecialist
ne
IN orthCarolina
A r i Equal OAoonunirr ) Af<irrnmi, Amp Fmpioye

NORT11 CAROLINA
ENVIRONMENTAL MANAGEMENT COMMMSSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
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
Haywood County Board of Education
FOR THE OPERATION OF 128 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 4700 Old River Rd., Canton, Haywood Counry, and will be
constructed and operated in accordance with the application received December 21, 2010, and in conformity
with the specifications and supporting data submitted, all of which are filed with the Department of
Environment and Natural Resources and are considered a part of this permit,
This permit is for Construction and Operation of an injection well and shall be in compliance with Title 1 SA of
the Norte 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 revoked, from the date of its issuance until December 31, 2015, and shall
be subject to the specified conditions and limitations set forth in Parts I through IX hereof.
Permit issued this the 28th day of January, 2010.
oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #WI0100041 UICJ5QM Page 1 of 5
ver. 03/201,0

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 Injection Wells (] 5A NCAC ?C .0200). Any noncompiiance with
conditions of this permit constitutes a j•iolation of the North Carolina Well Construction Act and is
grounds for enforcement action as provided for in N.C.G.S. 87-t14.
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 generallN
subject to flooding include those with concave slope. alluvial or colruvial soils, gullies, depressions. and
drainage ways.
�. Each injection well shall be afl•orded reasonable protection against damage during construction and use.
PART 11—WELL CONSTRUCTION SPECI.kL CONDITIONS
At least forty-eight (48) hours prior to constructing system, the Perrittee shah notify the Aquifer
Protection Section's Underground Injection Control iliIC1 Program Central Office staff. telephone
number- (QI 4 i 7 l �-i;l f ` , and the .AsiiuN ilir Regional Office Aquifer- Protection Section Staff telephone
number (82 ') 2Qf,-. 50(;,
r 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 ►��ells shall lie permanently affixed to the heating
and coolin4a unit or tither nearby permanent]y fixed legation in accordance witb 15A NCAC ?C .0213(g).
PART III -- OPERATION AND USE GENERAL CONOTT1ONS
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.
�. This permit is not transferable without prior- notice to. and aptiroval b, . the Director of the Division of
Water Quality (Director). In the event there is a desire for the Facility to change ownership. or t11,-re is a
name change of the Permittee, a formal permit amendment request must be submitted t.) the Director.
including any supportins., materials as may be appropriate. at ]east 30 days prior to the date of the t:sange.
The issuance of this perniit shall not rei1eve the Permitter of the responsibiIit, of comtilying with an), and
all statutes, rules, regulations; or ordinances, which may be imposed by other local, state, and federal
a2uncies. which have jurisdiction. Furthermore, the issuance of this permit does not imply tha! all
regulatory requirements have, been met.
Permit #W10100041 UIC/5QM Page 2 of 5
per. 03/2010

PART I' — PERFORMANCE STANDARDS
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
facility fails to perform satisfactorily, including the creation of nuisance conditions or failure of the
injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective
actions including those actions that may be required by the Division of Water Quality such as the repair,
modification, or abandonment of the injection facility.
?. The Perraittee 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
The injection facility shall be properly maintained and operated at all nmes.
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 (UlC)
Program Central Office staff, telephone number t 91 Q f71 -6 s 68. Nonfication 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
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 perrnit, and may obtain
samples of groundwater. surface water, or injection fluids.
'?_ 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 #W10100041 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
DENR - Division of Water Quality Regional Office
1636 Mail Service Center and ,W-)r 1.•.". '11 �iLrs» a
Raleigh. NC 27699-1636
Phi 919-71 -5-3221
1 A completed Well Construction Record {Form CiW-]) for each inlection well must be submitted to the
Aquifer Protection Section Central Office and the _ ,r,i . ,ill; Regional Office within 30 days of completioi)
of well construction. Copies of the GW-1 fornt(s) shall also be given to the Pernuttee 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? of this permit shall be
submitted to the Aquifer- Protection Section Central Office and the Lsrt ill: R.egrional Offcc within _'O
days of completion of well constmcnon.
4. Any monitoring (including groundwater. surface water. or soii sampling) deemed necessary by the
Division of Water Quality to insure surface and ground eater protection will be established and au
acceptable sampling reporting, schedule shall be foliowecl.
5_ The Permittee shall report by telephone, within 4$ hours of the occurrence or first imowledge of the
occurrence, to the A;zl,,�%ili, Regional Office, telephone number + any of the following:
(AY 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 systeni, regardless of the origrirt of the Inns;
(DI Anv recharging of the refrigerant s,. stem.
o. Where the Pennittee becomes aware of an omission of any relevant facts in a permit application, or of any
incorrect information submitted In said application} or Ili and' report to the Director. the reln,ant and
correct facts or information, shall be promptly submitted to the Director by the Pennittee.
7. In the event that the permitted facility fails to perfoni7 satisfactorily, the Pennittee shall taki t: such
immediate. action as may be required by the Director.
PART VIII - PERMIT RENE1VAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the Pcrmittee sliall
submit an application to renew the permit 120 day s prior to its expiration datc.
Permit #W10100041 UIC/5QM Page 4 of 5
per. 03/2010

PART A — 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 out of service temporarily, the Permittee must install a sanitary seal. If a well is not to be used
for any purpose, then that well must be permanently abandoned according to 15A NCAC 2C .0213(t)(1).
Notification shall be submitted to the addresses given in Part VII.1 of this permit.
When operations have ceased at the facility and a well will no longer he 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 he removed prior to initiation of abandonment procedures if the
Director finds such removal will not he responsible for, or contribute to, the contamination of an
underground source of dri ing water.
(B) The entire depth of sach well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations,
(C) Each well shall he thoroughly disinfected, prior to sealing, if the Director determines that failure
to do so could lead to the contamination of an underground source of drinkincr water.
(D) Each well shall be completely filled with cement grout, which shall he 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 manner that will prevent the movement of fluids into or
between underground sources of drinldng water and in accordance with the terms and conditions
of the permit.
(G) The Permittee shall submit a copy of the Well Abandonment 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 V11.1 of this permit.
Permit #W10100041 ulc/5QM Page 5 of 5
ver. 03/2010

Permit number W10100041
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
john.mccray
Coastal SW Rule
Permitted Flow
Central Files: APS_ SWP-
01/24/11
Permit Tracking Slip
Status Project Type
In review Renewal
Version Permit Classification
Individual
Permit Contact Affiliation
Fac liti,
Facility Name MajorlMinor Region
Bethel Elementary School (new location) Minor Asheville
Location Address County
4700 Old River Rd Haywood
Canton NC 28716 Facility Contact Affiliation
Dale Burris
Manager Project
1230 N Main St
Waynesville NC 28786
Owner Name Owner Type
Haywood County Board of Education Government - County
Owner Affiliation
John McCracken
1230 N Main St
�ate$IF� nnt� Waynesville NC 2878E
Scheduled
Orig Issue Apn Received Draft initiated Issuance Public Notice Issue Effective Expiration
0 3/21 /06 12/21 / 10
Requlated prtivtties Aeouust(,dlke--eived want-.
Heat Pump Injection RO staff report received
RO staff report requested 01 /12/11
Waterbody Name Stream Index Number Current Class Subbasin

i
OF WA
State of Nnr#li Carolina
Department of Environment and Natural Resources
� Division of Water Quality
Aquifer Protection Section
Regional Staff Report
To: Aquifer Protection Section Central Office
Attn: John McCray
From: Jonathan Stet
Application No.: W10100041
Regional Login No.: ARO
Choose an iteir. Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or ❑ No
e. Date of site visit: 01/20 2011
b. Site visit conducted by: Jonathan Stem)
c. Inspection report attached? ® Yes or ❑ No
d. Person contacted: Tracy Hargrove and their contact information: K8,} 45_ 6- ;AQ2 ext_
e. Driving directions: See Attached
II. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
_?':.11�'t� 1••l� :;'�i�J •s��'i�-s: _���'a'l�':" , .;li:�� �.'.'?;jL^:�C{l �iSi'!�� $ilt�::'''?`- �:I,; A:,..^�"l'i �': i=tia!l!atl �s�r�1lY^,1
.- ia'i. Ic'.•:. -4'r;:''_ +I +1i.1�'3�s', i3:le�ali':fi: :::I•;}{ .:'ir,• '1 :!'35;'" r.�lc1 {�t`,fii' ��� -.. ``•1' r.r' ly�� .'�^; .,71- � ���'�'
e ,-i:�S-': [i°l: .".: j -`,i`,•�'�' i :� •:� . . '.: " -. .,fit f' :� � 11�i`� ` � i _ F .
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? Yes ❑ No ❑ NIA
If no, please explain:
Y�:
:.i4'I;'•_5 « .sf *x��?_,s �9nEi+;ells:. rS it c �•_ �l:°.i: '::e. ti.t.1 j� ` 't
.: �r i:�•Cc^ !Yf! - ..-'_�':.''- :T!1H: `t e�{!i i4.��r�l „��.'- .i:+ 'S`4'--:%: .'+. .. i.. I 1 !� r i , �
._'�4' iii'r•�j• ,'i';:!'� i1r t'.:'.F''.. � �i •dill{}3Y'',•I.� . Il'--' S'4 ai!i i!li%i :`sGit;: ' I•'i i n i r�. , i ... � 4 , i'-
r • _ri .�}l!lil' {.:ci i�'::i:. =1t:fi[E iiiitl 0:i:13 il mates i'- fw,`.il i't'!i
`;.- .'.il{3, s3. •i4 �' ..-- a .:'=1:. - :i .. 3 1'L:: tii1':1 }':'L�tES � } .'� 5•r� . _ E ...��F ,��
i' :°P.ti.. :�:•'.r'..� �� ! •;1� ,�fL':+�5'1{-�. I'f':;fi"It'�Si: ^ri fi',C'i'� .,.'�t';111 l3�
FORM: APSRSR 04-10
Pap 1' of 3

M. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
• - }, a ;rYir�,:li i� ,!1;1! �t l:l: . r., i, :I:' 'S'1^. i�; �:,': ,:t :i�r4l , llci:�'
] i •31:• �: (`.r�4. ',�l?�'.'x-•• ;ii. r i t •,}.L r'1 !f' le 'ii i'1, 5 r I'I;::'� •.Y[I �i: r:f, iV .I,'3•'r , r• 1:, } :.I
:it..iiifr�i 'J" [SI . ��'.I :I:r`• `I � k', i)1 I ~ I �•�C! :
4. Has the site changed in any way that may affect the permit (e.g„ drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ❑ No
If yes, please explain:
�.'i '..I: lF' r •I� :I� rr e, �l- , •�V 3fLeli �i t• ft�t''-y:l.i:•',= e` �]! k � •[•.
ii:r' 2"UU0 !f,l -���!�il?ti::li riii: _ 'j , + LLYtI .1 i=. '�E '•; �'-' -1 wr Y
' .! {t'.r,. LI_•l�l"etl�si - [ 'i]l l �!1 af' G�tiiG11 �,_I � i � \:l
i r .ti.;'.tiE:ri+' c�'•' Tll:i s„ :I: �, I rl' Sll l::lf!li` ?y!'��rrr'}�4 Stlk':I.: iite'} 1 � ': •."S �� 1�!} � I�f .
} :;71l1Pii'S iIwl1 ftit'i! .ill'Irhi -11AN J.S ,,_:!-i.',4 f:I Ulc tea'1;7-7[1110f117!.$
h I '1 �'I' .tFl� :;r; I'LIiIC•: :rlFitit';;' ?]I ill ? "?ice tit"il i!It'4}. tiC11i = +.' [1ILI t''•11';,]n7S4l1 ,3t�`,,. IJ YC, kv � �»l 1,lo
[A4I3'r.;-I:7i1"il': ti"'�!il'i;V •'•;}i: i=:.
9. Is the description of the facilities as written in the existing permit correct? [Yes or ❑ No
If no, please explain: ff
f r, ,:iF• � ,•r;.,l'+e: � •! ,; .r ,�'fl:',c � r j•-..,' �__i �'•i'' �_.S
=1[i.'-12'[rjifir„`t1i.-�1 1'r'�'.. I�'.1: '•fit
r'V :i:c1!"+• i' i'•I' iii;ilii':`'' • 1'eiLI�V Ili.,, f•! l•,i' �+ i'{:', ::'17•'
:3!•' !!' I:'Cil' .- 7-iti:EI�vs IJc ,- J1 HCiJi'.._{:. LA: sF'- il(i:+• j,'li !,_`,'. I I :,• 7
r r .ill �'li: e . •i:i'.
�!I` y4" L 11''; f II!ir''!"3t_IC
if1 }7i litT�i'` `_f' }{. 1 111'I''"I'I'YV�1L117t1'"r" i wt,It:+T'i11,
- ..1i:?:il} !i,-i r .�1-.1"l F.'r' f.i.J'.'' rl tilflf Ii;?; • L�c'I(7 (. r:11'iY�, IIS'-
r•
+`J4 d,•.J r`-°''•
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes Q,No ❑ MIA
If yes, please explain;
FORM; APSRSR 04-10
Pag+w 2_of 3

IV. REGIONAL OFFICE RECOMNVI NDATIONS
1- Do you faresee any problems with issuancce+/renowal of this permit? ❑ Yes or ;ONO
If yes, Please explain
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
❑ Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
Vrassue
❑ Deny (Please state reasons: )
6. Signature of report prepares: �-
Signature of APS regional46parvisor: -
Date: Di — r " - L-s I
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APSRSR 04-10
Page 3 of 3

A61 =- WA
NCDE
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Govemor Director
January 4, 2011
Tracy Hargrove
Haywood County Board of Education
401 Farmview Chive
Waynesville, NC 28786
Subject: Acknowledgement of Application No. W10100041
Bethel Elementary School (new location)
Injection Mixed Fluid GSHP Well System (5QM)
Haywood
Dear Tracy:
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on December 21, 2010. This application package has been assigned the number listed above and will be reviewed
by John McCray.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure the
maximum efficiency in processing permit applications, the Division requests yogr assistance in providing a timely and complete
response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final action by the
Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete
application.
If you have any questions, please contact John McCray at 919-715-6168, or via e-mail at [e-mail]. 1f the reviewer is
unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MA.IICINGINQUIRtES ON THIS PROJECT.
Sincerely,
for Debra J. Watts
Supervisor
cc; Asheville Regional Office, Aquifer Protection Section
Permit Application File WI0100041
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Localon. 2728 Capita l3oulevard, Raleigh. North Carolina 27604
Phone? 919-733-3221 1 FAX [phone], FAX [phone] l Customer 5erme 1--7-623-VO
Internet www.nMJaMLia1ity.oM
An tquar Opparlumty + Affirmabve 4cmr, Emplove.-
NOne th G aFolina
,,llatu al4i�

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR)
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELLS) FOR
INJECTION WITH A GEOTHERN AL HEAT PUMP SYSTEM FOR:
E 50M WELDS)
New Permit Application OR _yx_____Remewal (cheep one)
DATE: fa -I i , 24L
PERMIT NO. C) ID DIAk _(cave blank if NEW permit application)
A. PROPERTY OWNER(S)IAPPLICANT(S)
List each Property Owner listed on property deed (if owned by a business or government agency, stare name of
entity and a representative wlauthority for signature): l n fi i - o : • 4 ; t o�
(1) Mailing Address: -
City: u J'C v It Slate:NC_ Zip Codc: c'�02Q Counry. A�., 6d0[)
Rome/Office Tele No.: +5t: , ` o -�� Cell No.:
EMAIL Address: -'Aar., rove-,--, ha,, wD D d • kl Q oC U 5
(2) Physical Address of Site (if different than above): VC
t=
City. I ti 1 LY State: Zip Code Couarx ' c + ac D
Home/Office Tele No.: �� �a�_r � �'� - `�' f g Cell No.:
EMAIL Address:
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does no own the subject property,
attach a letter from theff property arazter authorizing Agent to install and operate UIC well)
Company Name: �1 a' r . - fld (_���' l� i �.� �Q t�>R -�'i v ► 1
Contact Person: L �+_ f C ! VO LI i - Ehf A I L Address: - S .[ - t •r L' Ye
Address: 1—[ ► y L_ _ T 4 r 4 t
City: -I �_f_` , V l i Stater
❑fTtce Tele No.:
Zip Code: a 2p � f C I County: � � L•7 t7Q
Cell No.: [ r._}���_Q) — ;_;
Website Address of Company, if any. L&20W ,tea 400d • lC lzZ- OC . uS
C. STATUS OF APPLICANT
Private; Federal: _
State: - Municipal:
Commercial:
Native American I =&- �-
RECEIVED DENR I Wo
AAUIFrP PRnTFr,Tirw
DEC 212010
OPUNIC 50M Well Permit Application (Reviled 71`M) ftp I

D. WELL DRILLER INFORMATION
Company Name: j) 4, riye-r- Li c{ cp'n rf YV ICE i
Well Drilling Contractor's Name:
NC Contractor Certification No.:
Contact Persorp: EMAIL Address:
Address:
City-, Zip Code: County:
Office Te le Nob: Cell No.:
E. HEAT PUMP CONTRACTOR INFORMATION M different than driller)
Contact Person: 1 ' r4'�L-lt EMAIL Ad
Address; cl a`" FroY-eSk DV'e
City. Nzy- mNr —m LailtJ Zip Code• 3 County: k LI
Office Tale No.: (� 0 ,� ;L 7 ~ 4a 0'9 Cell Nm:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
oat
G. WELL CONSTRUCTION DATA {Skin to Seedon H N thil is a Permit RENEWAL]
(1) Proposed date to be constructed: Number of borings:
Apprwdmate depth of each boring (feed):__
(2) Chemical aMitim to be used in closed -loop system (only those chemicals indicated have been approved):
It 22 vropyle ne glycol ethanol other (other additives will
and prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc):
(4) Well casing. is the Wells) cased? (check either (a.) YES g[ (b.) NO below)
(a) YES if yes, then provide casing information such as toe (steel, PVC, plastic, Cie.), dtarnNrx
d0h, and a= of casing appearing above 1 :
(b) NO
(s) Grout (material summding well casing and/or piping):
(a) Grout type: Cement Hentonitc Other (specify)
(b) Grout depth of tubing (reference to land surface): from to (feet)
If well has casing. indicate groat depth: from to [feet)
H. INJECTION -RELATED EQUIPMENT -
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
GPUAJIC SQM Well Pam t Apphathm (Revised 7 MS) Page 2

LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
(1) Include a site map (can be drawn) showing: buildings, property lines. surface water bodies, potential sources
of groundwater contamination and the orientation of and distances between the proposed wcll(s) and any
existing well(&) or waste disposal facilities such as septic tanks or drain fields located within 1 ODO feet of the
geothermal heat pump well system. Label all features clearly and include it north attar%:,
(2) Include a topographic map of the area extending one mile from the property boundaries and
indicate the facility's location and the map name-
J. POTABLE WATER WELL(S)
Are there any potable water well(s) on the subject property or adjacent properties?C Y85 NO
If Yes, than indicate location an attached map(s),
K. CERTIFICATION
Note: This Permit Application most be signed by SU& person appearing an the recorded iepl propert} deed.
"I hereby certify, under penalty of law, that. 1 have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based our my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is tree. accurate and complete.
I am aware that them are significant penalties, including the possibility of fines and imprisonment, for submining
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the iniection well and
all related appurtenances in accordance with the approved specifications and conditions of the Permit."
�r
Signature Property Own /Applicant
a - V
Print or T� Full Namk
Signature of Property OwnedApplicant
or Type Full Name
Signature of Authorized Agent, if any
Print or Type Full Name
Please return two copies of the completed Application package to:
North Carollna DENR DWQ
Aquifer Protection Section
UIC Program
1636 Meg Service Center
Raleigh, NC 27699-1636
Telephone [phone]
RECE,,VED r ot- NR i DWO
AM F s? Am']�r7�►nq pFr
DEC P 12010
OPUMIC SOM Well Permit AppuratIM tRev+sea 7r_aost Pale 3

State of Nortb Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATUS OF I NJECPIDN WELL SYSTEM
Permit Number OC -\
PermitteeName:_
'A��AL,'UCLA C +_klr
taCA-4
^OYl
addrsxs:D ►
�7-o r +rY�y� �� L� Y�_,-
-- - -
�-sc
- --
Please check the selection which most closely describes the current status of your injection well syment:
1) )( Well(s) still used for injection activities, or may be in the fumum.
2) ❑ Well(a) not used for injection but is/are used for water supply or other purposes,
3) 2 Injection discontinued and: a) ❑ Well(s) temporarily abandoned
b) ❑ Well(s) permanently abandoned
c) ❑ Well(s) not abandoned
4) = Injection wells) newer constructed
Current LOW of Well
If you checked (2), describe the well use (potable water supply, irrigation, monitoring, etc). including pumping rate and other
relevant information.
FWLA andonmsnt
If you checked (3a) or (3b), describe the method used to abandon the injection well. (Mule a description ojhaw the well
was sealed and the type ojwalerial used to fill the well if petnranenlly abandoned:
Permit Reserssion:
Ifyou checked (2) (3j or (4) and will not use a well for injection on this site in the Future. you should request rescission of the
permit. Do you Trish to rescind the permit?
❑ Yes ❑ No
90ification•
"l hereby certify, under penalty of law, that I have personally examined and am (iianiliar with the information submitted
in this document, and that to the best of any knowledge flu information is true, accurate, and complete."
Signature 101F Date
RGMNW 5► B DWAAC-M
RECEIVE)1 DEM? ► C-;�O
►�}Ut�AR��ir-�1�� �tC�I�N

12/13/2010 22:03 919--7_115-0588
O/A INTAKE LOUVER
{ MOUNTED ABDYE DOOR ,
� � f
tT M
TO FAN # 10 {
R L S PumP VARmE
EOUENCY DRKS - --
�� ELEC 102131
MAIN WAC CONMLS `
1
AR SPAiRATOR
TLT
lG207BI
NCDE&NRIWATER DUAL PAGE 06
1►�lUr HEATER JUH- 1 FAN # 10
� I
III
LARGE SCALE Ai
�,. SCALE: 1/4" = 1'-0" II
- -r
—J i
�11�1
8" SUPPLY HEM
8' REIURN HEW
I
3- SUPPLY/R
TO WELL FTa
Aran G-2.
GSW EXPA?
s WATER SETME
(BY P.q.)
AND STANDW GEC
4,
CHANICAI. ROOM PLr
- -i

12/13/2010 22:[33 919-715-0589 NCDEBNRIWATER DUAL PAGE 87
041E OR MnERFT_Y
VALVE
FOUR PM HYDRUNC
1RT ME WM
PRESM & YAc11<4
G4EIGE (� owt
MCATOR)
}/R" 0.13 L�w
ZURK MF4CJIL)
SUCTIOT\tiff�/H�y
N
1/4� COCK
TRIPLE ON VALVE Dili C]IiUN
SUITR POM AND YEIiQR1' STOIC -SET
TO B gM;ED PMM (NUN--" GUX,
EGILA U YAM 5Mff- fF MYE)
3" CONCRM BASE WITH .A LAYER OF
WELDED VARE FABRIC (6x6 W1.4 x WI.4)
BY THIS MNTRACTOR. CONSTRUCT 8ASE
MVM DIVENSi(71dS GA►EN ON APPROVED
SHOP DRAWING& PAD TO EnEND
UNDER PUMP PACKAGE (IF' PACKAGE
FURNISHED)
f&71-17f-I A T R A Q-" -R rnTTATrl I " nTT-1 rr-% „%-w-„-, ■ TT

12/13/2010 22:03 919-715--0598
NODE&NRIWATER QUAD
s— Y
PAGE 08
5"BORE HOLE
(APPROX.)
3w
3"
3"
3"
1' LNE INTO AND
OUI OF BOREHW
(IViCAL)
2.
L7-
2*
1y;'7.
I
r GWTIiMWL LIT]
—TO MECliA WAl. ROOM
z WELLFIELD PIPING DETAII
NOT To SCALE
( - w- L- or, S ci r 5

12/13/2010 22:03 919-715-0588 NGDE&NRIWATER DUAL
EARTH WmrtL MM 1 w-s wm Fi o MAJOR
TO Ot WCATm � PIAYM FEM — y JO�lIS
PSR WOMMO
i' Sw3pLr LINE
MK 61W W N 4' {TYPICAL}
TNERmuy D*ANM CRW (TE IMI �^
(FuLL,r Lo&,I i of oom mxQ
MW ABOVE AKQ eaDw THS LEVEL
TNERKALLY DWMCm MMff (M a.m).
(nUY U)CM OF BORE NOW
e DiAlEM OM WPR0)L)
11 RETURN UK
-- Rm CLAY
9FA M sw
MMON SLATE
GRWE
SMZ (1/2 TO 1 tM TPA UO
�� GRA11Rf
727,-:
T � ftE'F'6R ---!
rmrnrn It Ir v vnmT,J'R"kL A T WFT ,T. BORING DETA
PAGE 89

919-715-058e
12/13/2oia
:Sft-r--tor,, M - LOQ,47-:E&� ioF
NCDE&NRNATER DUAL
�o
3.
p
L
j
ul b
I X-46
X
Lt
7-
71-
JA t
j
p�2
L
klili , E
kL
vr ?-
L7
k%ft sci CA 71-1
wCXE4M1 CAD:
Wa-ch 2005 11 L 16.�
Bethel-SLM BUNKLL-LAMONS FNONEMINI'.. INQ,
PAGE 10
WERENCE.
UeLorme Strm( Atim USA 2005
FIGURE
SITE LOCATION MAP
NEW, BETHEL ELELIFHTARY SCHOOL
HAYMXX) 03LNTY- NORTH CAROLINA

12/13/2010 22:03 919-715-0588 NCDE&NR/WATER QUAL PAGE 11
LLJ
1(7
Nv
� a � � + 1 'i►� } j I �.
fJ
lip
CY
r��
„__ �....
j as
Im I
t 10
��� AL

[DEW
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Gcvemor Director
November 17, 2010
Haywood County Board of Education
1230 North Main Street
Waynesville, NC 28786
Subject: Notice of Expiration (NOE)
S QM Geothermal Injection Well
Permit No. W IOI O0041
Haywood County
Dear Haywood County Board of Education:
Dee Freeman
Secretary
The Underground Injection Control (UIC) Program of the North Carolina Division of Water
Quality (DWQ) is entrusted to protect the groundwater quality and resources of the State of
North Carolina, and is responsible for the regulation of injection well construction and operation
activities within the state. Our records indicate that the above -referenced operating permit for
the underground injection well system, which was issued to you on March 1.1, 2006, and expires
on March 31, 2011, has not been renewed, If you wish to [seep this permit and operate the
injection well system, the permit must be renewed and issued in your name,
If Your Injection Well is CurrentlN Inactive.
If the injection well system is no longer being used for any purpose. it must be permanently
abandoned according to the regulatory requirements listed under NCAC Title 1 SA, Suhchapter
2C, Section .0214. When each well is plugged and abandoned, the well abandonment record
(Form GW-30) must be submitted to our office to certify that the abandonment was properly
conducted.
If there has been a change of ownership of the property. an Infection Well Permit
Name/Ownership Change Form must also be submitted. The GW-30 and Name/Ownership
Change forms can be found at htil-)://l ortal.ncd_enr.or� /web/wq/aps/L,\vPro/reportinv-forms.
If Your Injection Well is Currently, Active:
If the injection well system is still active and you wish to renew your permit, the renewal
application must be submitted within 9 calendar days of the expiration of your permit.
According to our records, you must submit your permit renewal by December 31, 2010.
AQUIFER PROTECTION SECTON
1636 Mall Service Center, Raleigh, North Carokna 27699-1636
Location; 2728 Capital Boulevard, Rale gh. North Carolina 276D4 One
Phone: [phone] l FAX 1: 919-715-0588; FAX 2: 919-715-69481 Customer Service: 1-877-623.6748 NorthCarolina
Internet: www.ncwateroualitv.om
An Equal Opportunity � Alfirmalive Action Emptoyor NaturallY

In order to comply with the regulatory requirements listed under North Carolina Administrative
Code (NCAC) Title 15A, Subchapter 2C, Section .0211, you must submit one of the following
enclosed forms:
A. .4pplication. for Permit (Renewal) to Construer andlor Use a Well(s)for Injection 11 th
Geothermal Heat Pump Svstern for Type 5QM Well(s) if the injection well system on
your property is still active.
B. Status of Injection Well System if the injection well system is inactive or has been
temporarily or permanently abandoned.
Please submit the appropriate forms to:
Aquifer Protection Section
Groundwater Protection Unit
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Failure to submit these farms in a timely manner may result in the assessment of civil penalties
in accordance with North Carolina General Statute 87-94. For your convenience, a renewal
application 'and a UIC well system status form are attached along with a self-addressed envelope.
The above referenced forms are also available on-line at the DWQ website at
bttn://h2o.enr.state_nc_u5laps/L!pulforms.htui.
Thank you in advance for your cooperation and timely response. If you have any questions,
please contact me by phone at [phone] or by email at eric.g.smithkiincdenr.gov.
Sincerely,
�� 0. )21VV11V
Eric G. Smith, P.G.
Hydrogeologist
Enclosures
cc: Asheville Regional Office - APS w/o enclosures
AP Central Files - Permit Iva, W10100041 wio enclosures
2

{ 8►1�
Ck Wei)
'f.7 -� kz
6c,6-- 6 2JVO
6>-7 1
v
r�l' l�.
�b fir''L
- L
-%-��^
` �� W a��
ykj", ,raj ,'
5v� l ��
��• �L Pwe-Q •
-- — - - --- V� � ��6'rS_ �✓ ...'CrJ ��- - � �"
��� _ � ��-��'
� .� i?� Ltrawa
� T'llAY.e�
�ft id4
d a
"��
�` 4N . s /a C"
C1
' - 7. Jam" _ ,�,�r.
�'�► ��`�---• 4.f�� .�
�'� �� .
_ .. -.,���
41' /Vo o tDT?.1-rov, <-tilnp-n
{
� � r r , � •.

.60 Start address: Raleigh, NC
End address: Old Rivet' Rd Canton NC 28715
qMn
Distance: 271 mi (about 5 hours 39 mins)
}F r i1 Lynchburg Virginia Ri
ssa 9
far-
Blacksi3►lro
r _
MorraCown T Stokesdale
r rha Rocky Mount �40
Knoxville 0,
I.tcrgant�r+ North Ga � me
AkooA 15t1 � ,�. V�[iiaan
TtT 121 7�0 Greenville
�1 isT
Lake LL m Concord • Goldsboro
}
Charlotte L = New gem
9parranburg Rods Hi:l
l�nionwalle F�ralte►rilla``i
Jsckscnv'rils
Ga"nesvills
1
Jor%run �� Soilirrp�
�— T6 South Springy Latex
Roswell Athens NI
ktlanta �� Carding Myrtle Beach
�..,. , .-�. �__� Arinireaa Q2006 Googly - Map daft d2Do611AVTEQ*' - r•r.-
1. Head east from E South St - go 0.1 mi
2.: Turn right at S Blount St - go 0.6 mi
3. Continue on Hammond Rd - go 0.4 mi
4. Take the 1-440 ramp to Cary/Durham - go 0.4 mi
5. Merge into 1-40 W/1-440 W - go 5.4 mi
6. Continue on 1-40 W - go 255 mi
7.. Take exit 37 to East Canton - go 0.2 mi
8. • Turn left at Wiggins Rd - go 0.1 mi
9. Turn right at US-191US-23 - go 4.9 mi
10. Bear right at W Park St - go 0.4 mi
11. Turn left at N Penland St - go 0.1 mi
12. Bear left at S Penland St - go 0.8 mi
q*

9
I
9
9

State of North Carolina
Department of Environri it
and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
Goleen Sullins, Director
4
Division of Water Quality
Aquifer Protection Section
Location: 2728 Capital Bird.
Raleigh, NC 27604
Mailing Address: 1636 Mail Service Center
Raleigh, N.C. 27699-1636
FAX: [phone]
[phone]
Date: 1 / o
NUMBER:
FROM:
PHONE:
NO. OF PAGES INCLUDING THIS SHEET:
If you receive this fax by mistake call: Aquifer Protection Section @ 919-733-3221

TRANSMISSION VERIFICATION REPORT
TIME 12/13A2L'(10-02,
NAME NCDES R.4� FAX [phone] `
TEL 91.9-793"1 31
DATE, TIME 12113 02: 51 s'•'.' �"
FAX NO. /NAME 918284562452
DURATION 0 0: 0 2 :15
PAGE(S) 07
RESULT ❑K r
MODE STANDARD
ECM �•
k

o�0F N A r�RQt:
March 231, 2006
Ms. Anne Garrett
Haywood County Board of Education
1230 North Main Street
Waynesville, NC 28786
Ref: Issuance of Injection Permit WIOI0004I
Bethel Elementary School Heat Pump System
Dear Ms. Garrett:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Envirvamen wW Natural Resources
Alan W. Klimek, P.E. Director
Liivisionaf Water QUIlty
In accordance with the Haywood County Hoard of Education's permit application submitted on
February 17, 2006, we are forwarding permit number WI0I00041 for the construction and
operation of a closed -loop mixed -fluid geothermal heat pump injection. -Well system at the new
Bethel Elementary School in Haywood County, North Carolina. I have already faxed a copy of
this permit to Scott Triplett of Mid -South Geothermal.
This permit shall be effective from the date of issuance until March 30, 2011, and shall be
subject to the conditions and limitations stated therein. Please read the entire permit to ensure
that you are aware of all compliance requirements of the permit. You will need to notify this
office by telephone 48 hours prior to initiation of operation of the facility. In order to continue
uninterrupted lecal use of the iniection facility for the stated nurpose, you must submit an
application to renew the pem-dt 120 days prior to its expiration date.
Please contact Thomas Slusser at 919-715-6166 if you have any questions regarding this
transmittal or the UIC Program.
Sincerely,
10 L 115�
Evan D. Kane, P.G.
Underground Injection Control Program Manager
Enclosure
cc (wl enclosure): CD-UIC files
DWQ Asheville Regional Office
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636
Internet httpWh2o.enr,sta1e-ne.us 2729 Capital Boulevard Raleigh, NC 27604
An Equal DpportunVAfrtrmaM Arilon Employer— 60% Regcledli D% Post Consumer Paper
Telephone:
[phone]
Fax 1:
[phone]
Fax 2:
[phone]
Customer Service:
[phone]

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
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
HAYWOOD COUNTY BOARD OF EDUCATION
FOR THE CONSTRUCTION AND OPERATION OF 128 TYPE 5 QM INJECTION WELLS,
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
4700 Old River Road in Canton, Haywood County, North Carolina, and will be constructed and
operated in accordance with the application submitted February 17, 2006, and in conformity with the
specifications and supporting data submitted March 21, 2006, all of which are filed with the
Department of Environment and Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation only and does not waive any provisions of the Water
Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an injection well
shall be in compliance with Title 15A North Carolina Administrative Code 2C .0100 and .0200, and
any other Laws, Rules, and Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, from the date ofits issuance until March 31, 2011 and
shall be subject to the specified conditions and limitations set forth in Parts I through IX hereof.
Permit issued this the _)L day of �� , 2006.
IrAlan W. Klimek, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0100041 PAGE 1 GF 5
GWIUIC-5 ver. 11104

PART I - WELL CONSTRUCTION GENERAL CONDITIONS
The Permittee must comply with all conditions of this permit and with the standards and
criteria specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C
.0200). Any noncompliance with conditions of this permit constitutes a violation of the North
Carolina Well Construction Act and is grounds for enforcement action as provided for in
N.C.G.S. 87-94.
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 be constructed in such a manner that water from land surface cannot
migrate into the gravel pack or well screen.
Each injection well shall be secured to reasonably insure against unauthorized access and use.
Each well shall be permanently labeled with a warning that it is for injection purposes and the
entrance to each well must be secured with a tacking cap_
6. Each injection well shall be afforded reasonable protection against damage during
construction and use.
Each injection well shall have permanently affixed an identification plate.
8. A completed Well Construction Record (Form GW-1) must be submitted for each injection
well to, DENR-Division of Water Quality, Aquifer Protection Section UIC-Staff, 1636 Mail
Service Center, Raleigh, NC 27699-1636, within 30 days of completion of well construction.
PART II - WELL CONSTRUCTION SPECIAL CONDITIONS
At least forty-eight (48) hours prior to constructing each injection well the Permittee shall
notify the Aquifer Protection Section -Underground Injection Control (UiC), Central Office
staff, telephone number [phone] and the Asheville Regional Office Aquifer Protection
Section Staff, telephone number [phone].
PART III - OPERATION AND USE GENERAL CONDITIONS
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
Permit No. WI0100041 PAGE 2 OF 5
GWIMC-5 ver. 11104

.must be submitted to the Director, including any supporting materials as maybe appropriate, at
least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Penxnittee 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.
PART IV - PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwater which will render it unsatisfactory for normal use. In the
event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that maybe required
by the Division of Water Quality such as the repair, 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 groundwater 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 -Underground
Injection Control (UIC), Central Office staff, telephone number [phone]. Notification
is required .so that Division staff can inspect or otherwise Ieview 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
Permit No. WIO100041 PAGE 3 GF 5
GWIMC-5 ver. 11/04

compliance with this permit, may inspect or copy any records that must be maintained under
the terms and conditions of this permit, and mayobtain samples of groundwater, surface water,
or injection fluids.
2. Department 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.
PART VII - MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, or soil sampling) deemed necessary by
the Division of Water Quality to insure surface and ground water protection, will be
established and an acceptable sampling reporting schedule shall be followed.
2. 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 [phone], any of
the following:
(A) Any occurrence at the in ection facility which 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.
3. 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.
4. 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.
17:►_114r'I i Ia 1.311,11311a11130Al:►ip
The Permittee shall, at least three (3) months prior to the expiration of this permit,
request an extension.
Pemiit No. WI0100041 PAGE 4 CF 5
GWIWC-5 ver. 11I04

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 out of service temporarily, the Permittee must install a sanitary seal.
If a well is not to be used for any purpose that well must be permanently abandoned according
to 15A NCAC 2C .4213(h)(1), Well Construction Standards.
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 .4214, 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 which 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 manner 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 Well Abandonment Record (Form GW-30) as
specified in 15A NCAC 2C .0213(h)(1) within 30 days of completion of
abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shalt be submitted to:
Aquifer Protection Section-UIC Staff
DENR Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Permit No. WIo100041 PAGE 5 DF 5
GWMC-5 ver. 11104

,-?7/ -474�� y?
LJ.� 00013�
1C2
y

DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
March 21, 2006
MEMORANDUM
TO: Debra Watts
L�
THROUGH: Evan Kane �I
FROM: Thomas Slusser- T
RE: Injection Permit WI0100041
Haywood County Board of Education
I recommend that the attached injection permit be issued to the Haywood County Board of Education
for the construction and operation of 128 closed loop mixed fluid injection wells associated with a
proposed geothermal heating and cooling system at a new elementary school in Haywood County. Ted
Minnick of the Asheville Regional Office conducted a pre -construction site visit on March 2, 2006 and
he considers the site to be appropriately located to proceed with construction of these inj ection wells.
Ted Minnick recommended postponing permit issuance until the proposed driller's certification could
be verified, The UIC Program received this information on March 21, 2005. Please let me know if
you have any questions or reservations about issuing this permit_
Attachment

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Alan W. Klimek P.E., Director
FAX TO:
Division of Water Qualify
Aquifer Protection Secfion
Location: 2728 Capital Blvd_ .
Raleigh. NC 27604 , ,
Mailing Address: 1636 Mail Service -Center
Raleigh, N.C. 27699-1636
FAX: [phone]
[phone]
-Date:_ 2- 66
M
A T45�,
I
r
FAX NUMBER: a�
FROM:
l
.1
PHONE: 9 �y
�JS - ���"�
, - &7---
IyO. OF PAGES INCLUDING THIS SHEET: v/
If yvu re(�elve this fax by'mistake ball: Aquifer Protection Section'@ 919-733-3221

03-21—'86 08A6 FROM—NMENR A5HEVILLE RO 8282997043
T-781 P81/03 U-413
TELEPHONE NUMBER
[phone]
(828) 2964681 Direct
Miohael P. Easley, Crovunor
William G. Roia Jr., Sc ctery
North Colo] na Dopament of k:nviroomml and Natural Rmounn
AQUIFER PROTECTION SECTION
FACSIMILE
Alan W. Klimek, P.E. Director
Diviaian of Water Quality
FAX NUMBER
[phone]
TO: Jf1>i►N�[7L
FAX NO:
FROM: H.E. (TED) MINNICK, JR., DWQ, AQUIFER PROTECTION SECTION
DATE: 2006 493 �I
NUMBER OF PAGES, INCL COVER PAGE: 3 r
COMMENTS:
Yej Mm) ArqNn6 4as4i�r 0
tak"Idr
North Carolina Division ofW%tar ¢uility — Aehevliie Regioiil Office 7W (13, Highway 70 5wannrut %N.C, 28778 Phone [phone]
FAX {678) 299.7043
Customer Service 1-877-V2 -6748
Internet! h2o.enr.staWxc ua
An Eq4 Opp4rlunitylA}finnative Action Employer - 50% Recyciadrl0% Poet Coneunier Paper

03-2� 06 08:36 FHOM-NCDENR ASHEVILLE RO 8282997043 T-781 P02/03 U-413
03/20/2006 15' 013 301-751-0302
To
Company!
Fax Nmber:
IoJDSWTFi eEOTW-RMAL
Milt -SOUTH GEOTHERMAL, LLC
Specidlay GeoMenwir Weu Add 3rrviedu
LEAD ET
Mr. Ted. M'imick
Psi (IwAud , w) ;
PAGE 01102
RECEIVED
MAR 2 0 2006
Aahevilis Regional Office
�quNer Protection
N.C. Dept of Environment and Natwal Resaumes
[phone]
2
Date: March 20, 2006
From: Scott Tnplen a
HE: Type 5QM P=nit Applicstian
Dear Ted.:
I am forwarcUog the Drsilee s Cartif cation Letter aDd Number to be included
wi& our application dated Febresry 6, 2006.
Please forward to the appropriate party and advise as to when the permit
will be issued
Thank you for you assize and aaoperatim and plw a don't hesitate to
call me @ [phone] shoWd you have any questions or comments.
Best Regards,
Scait W_ Triplett
President
P.D. eox 38593 - Mtmphls, TN 38139-OM - 4ffl" (901) 751-65M p- FAX [phone]

03-21-' 06 08:37 PRC>r9-NCD ffl ASHEVILLE R4 8282997043
T-781 P03/03 U-413
83/�0���996 15:4l� 401-751 MII79 NH GEOTHMWI4L PAGE 67102
�r i.r swuv r. µ■ 4litfbylb5 AKMICAN SOUTH PbGr q :•
WELL Ci7NWMC' ORS CERTMCATx(3N CD11USSION
true. Floyd
Cira vnum
NORTH CA�ZDI.YNA
DEPARTMNT OF FNVIRON V ZNT VLft pd--%%
V4r. rxr�.�s
AND NATURAL RESDURC$S1
•� C�a t
• BdtAd. �srra+
B111 �r...d�s
h4'�cuaal �. Esyl�'. Q�urrupr g� ryt��
�'1f�G. Ragas 1r.. S+xtat�ri v-g
Mach yy't0m RECEIVED
KEVIN JV ARM SC ISMIKOWSK It
7600 FAILVIEW Y,AUEY ROAD
TRKNIDA D, CO 910ST MAR 2 0 2006
Svbjee.t: cenifac$txan * 2989 AsheAlle R691MW 01k
Rnwts of $xam , 6stfbn for Cerfiileasiap as a Wdl Coatramer &9r Pf Ol1
Dees Well Contractor,
On bebatf ofthe Well Comactara Cerhfication Oxcar"siont we would lib to take this
ppportututy to coragratulete you 4n having pawed the ovag cotltrwors me flaa icm mininadon, glvorr in
Rakish, an h+ umh l^, Z106, 'This later veil] aerie U official patfftaation JhK as a molt 044ming the
emminadon wjM a; gruk of 70'Yo or ptt:t, you met to regulatory mquimrnents for C.cteificatcm in
North Caroliaa U a Well Coarrecter as provided ii 13A NCAC 27.
Nr records indicam tit you have, aslraUly paid the Tegwmd f s for the rally 1.200S• rune 30,
2006 certification period. You will receive your Well CoUractor Ct tiftatc and wallet-sizrd eartificadon
card in the mall. This letter sbo%9d serve ra praaf of your ceMlIc ttion tmti? ft abvve relemnCed
materkla can be printed rmd mimed to you.
You aFC not required to obtaitz any continuing educetiozw credits by your $tst mutual dead4he.
HOwmr, you will have To =T� at lost 001 bourn of eontinuiva a ut adon► by the following renewal
deradlifte, June 30, 2007: When submitting non-spowc Coupes fac ereditr, please rmwmbcr to uac ibe
"Continu(na ►E&eatiem AFprovai FOM fo- Certified WeZ! r;oat arse"'++rl7irb is available or our website
ar �"_ ldriII g ,and has been inclWed with this !attar for y*u omwecieace.If you have aaly
quWlions please call Iaenne Rtokoffske at [phone] x521.
Sincerely,
WCCC Ciiairtr�
egeiosum
,� 3a:9Ie:t s^srrs;c Ce�lc-. Rs+k's�ly l�,G. 776f9-.'.aS7 ,, ,,�
M as sac i Oru ero.ar� r wmr�aru.� w p Rmogey�

Site visit --Bethel Elent School, HW County
Subject: Site visit --Bethel Elem School, HW County
I rom: Teti Minnick <Ted.Nlinnick@a ncmail .net>
Date: Thu, 02 Mar 2006 14:55.03 -0500
To: Thomas Slusser <[e-mail]>
CC: Landon Davidson <Laadon.Davidson(amcmail.net>
Thomas: today I conducted a
County (Lat 35 29 06.6, Long
Mid -South Geothermal LLC and
look good since they have not
for a certified driller. Scat
Denver Diggzn, Trinidad, CO,
Lest in the next week or so.
(WCC 42989) cut let it lapse.
need me to do anything else?
site visit at Bethel Elem school, Haywood
82 53 20.1). I met with Scott Triplett of
Hill Sutton, project engineer. All things
started yet. My only concern is the need
t told me that Kevin Schischikowsky of
is supposed to take the certification
He (Kev?n) had been certified at one time
Other than that, it looks Good. D❑ you
Just let me know---ted
Ted Minnick - Ted.Minnickvncmail.net
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Groundwater Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Ted Minnick <Ted.Nlinaick.i ncmail.net>
Division of Water Quality - Aquifer Protection Section
NC DFNR - Asheville Regional Office
1 of 1 3/21/2006 9:07 AM

0 Vw A QF;9
00*
DUJa.,-r
February 20, 2006
Anne Garrett
Haywood County Board of Education
1230 North Main Street
Waynesville, NC 28786
Ref: Receipt of injection Permit Application
Dear Dr. Garrett:
Michael F. Easiey, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, PZ Director
Division of Water Quality
Haywood County Board of Education's application for a permit to construct and use 128 closed -
loop, mixed -fluid injectiD11 wells for the operation of a geothermal heat pump system for the new
Bethel Elementary School has been received and is under review. A member of the Asheville
Regional Office staff will be contacting Dale BuiTis at 828-456-2400 x 103 to arrange an
inspection of the injection well site as part of the permit application review.
Please contact line at 9 t 9-715-6166 if you have any questions or need additional information.
Best Regards,
1
�A�-AUQ4.
Thomas S1l,lsser
Hydrogeologieal Technician I1
Underground Injection Control Program
cc: Landon Davidson, Asheville Regional Office
Scott Triplett, Mid -South Geothermal, LLC
CO-UTC Files
now
�yv;thC'ainl iron
,IVRtuPil��1j
Aquifer Protection Section t036 Mail Service Ccnter Raleigh. NC 27699-1636 Telephone- jn19) 733-3221
Internet: littp lllt2it.enr,stale.nC,us 2728 Capiinl BlritlCV I-0 Raleigh, NC 27604 1•11x 1: [phone]
Fax 2: [phone]
Ail Equal GpporturtitylAiflrmativa Action Employer- 50%Recyc1ed/I0%Post Consumer Paper Customer service: (877)623-670

09/19/2902 17:46 8:86926373 AMERICAN SOLrrH PAGE 03/06
FED-2--2MG i9: 23 - ,wwonn CTY SCHOOLS 8284562438 P, 02
REGENED I DENR j DWR
iniimp R aRojc(j )k SEPIDN
NI7M CAROLWA
DRAWnWaM OF EVVUWNNBNT AND NATURAL. RCS
Ain TiCIMM M FOR PEMMIT To CONSTRUCT AMR UM' A
Typ SA7 ,mod sQM[ wdb
In AetiopdaM cribs do ANIMM aMrAC 19d+e I u 02C.d W
Cawkae sivHcaoa utd nt U to ad&tas ao da b wk FaL
TO: DIMC[ & NOkM CAR[p[ NA tV4MON OF WAMM gUAldiY
DAM 116 2q$fo
A SYSTEM ON Plan che* wtum wbi& t>asa l ppupoeW trym m
(1) Type SAT walla Ix W wedermad to prarWe lu+mfmg a: aooit fw iwopil'm
(3) Type 3QM mHo =Wn a e7m6aa *m 17. tfootsan=w» dw i2
bobod Rome* wykammm.ond mac a awd agar am>pOW& waeet:
TMa iwudes 03M II* =who addhh" mch ae awdkom ww r oarxasieo
iolai *ml
(3) _.. Typo 3Qwwt44 a mbrzb= v yM of aoWimimpk tg dW is
i � � � �-vdy dreafexa pv�hie wt�r.13 �►
effmando A Cbw4.Zmp Wang On& A*Nhm wwasypam
z� Arai. m
Naoma:
$aywood County Boaxd of Education
_ ...�--
1230 Morrh Kaln Street
WsYDelsv"le Sm, NG Zi; Cade, ?-$786 COMIT Raywad
Taltrpl� 828-456-2400 Ext. 103
C. P OML-T rOW1+ M {Ifs Bade %Tfi *
NW&M
Ad&w. ~
Qtr. Sate: zip 00& try
Tdopbota
D. STAxtm of ApnicAM
Prime pomw OMMMEW51;
stab __ Mudgj L- Ndive Ammim i':mmds
a.wea m
rev sgrr4

09/19/2002 17: d6 8-,86926373 AMERKAN SOUTH PAGE e4/06
L FAMIiY (SrM DAIA
om G�II.YItsba' t� !s ga�1. VAM errcboMMd*
Mamay.' Sar jr __ Setbsl Elementary 5011091
AAdm. 470O Old River Road
City Z�p Ccdm 28716 - Cry
T ea; Roamod-
828-456-2400 exc. It6waasm Dale $urria/pre eat Honager
F. MAT 14" CONTRAMOR MA TA
Mir. _ — zip Co T49 coal►: ---f#c'AY
Telopwna oMftd pw=w �y-Tr- ��
Q. DQBCM N. PROCEMM Mdogy dnaft h7v ft iwocdam www) wM be UPed)
IL W�i.L. i]8µ3 WW �e irk web($j beusad as d� sq�xY �oatl(a) Locthe f+Q vial
(t} The hwecum ? VIS NO
(2) 4ia Fmmd Emig YES � NU
L Q0WTVXTr W DATA (alw* =4
Waffmo wEW-,6ag *a fw=o as =bloaw VOL Psuvw &"ha
(1) bm0i M bdgw to dw bud of ymmr 4tawbdW , AM& aeon ofF� OW
I(Wen coomodMIteeo OsfrMiumb.
PRCWO&W WM 490 be 9XX# GW far UM W M jofttiM nail, rMnift a*
dst ht (3) dvUgb M bdow w MPOM caotocOn qwMudwL iimk
Foam ow -I off den.
(i) 'iYsdi ]]eiiimg ctwMwx rdema 4EV- fl =G SEl�vxc# 5
14C OXdm for CardSradoo "Mab or_ Sr
(2) Data to bq mod: 3 (o — Naubw
j4pW&MBW doob oreschuw*
(3) I V*0 aae Is ma m+W¢) D4e0dY
YEIN. flan Pwift 60=8in b�isw.
Tgpa: Cued =*.-- ale& V* 'r Rest - - Ode 3
OWLw;dam ftM.0 10_-7-$ Zt(o amltmd )
tea; i 04uM& *MLL Iic 6b
(b) ?1d
IWARd s" QWA=M MY -viw 2 ai4

09/19/2002 17:46 SASS25373 AMERICAN SOUTH PAGE 05106
FEB-02-2MS 10123 WOYWGW CT Y SCHULS 828435724-% V .04
(4) raa,n (metssialsry oaaing plodlce pg�:
a)Gv=rypa Cam*.. al Sit l7&er ( )
;b} Greed smiaos aid grout dv* (fie 0 its wb*
'ara4md vltd iooPpip�� fl ° b Bm {ta4
womtdweR amFm& ham to ( -
(3) Smem Ow Type SAI ettls)
(a) DapdjPm— to Sm* bdm Fcwdmfim
(6) N.C. SM Regigdvo (Tide 15A NCAC 2C 0 700) VK4fW is VW9dM W IWO
1rc modtarft woUbead pmolseae. A bmcmt cm bah [td aate m bud pmP) ad
afllLm (nWd WbV lgya=W ow dbe weli) Imm is opuL AM doa be a dbwK a&
(a) w mum 1iae9 yes ,% av (b) 69 dBaftl HW? Yas r no
a�oa or F Mc (was � m GW �lme,
VMVidm ma data is 1= K (1) of pia qV is d0Q f0W oa the beat ofym bao%dW
igarl : Ttm waLL umj p ccomrR& m cAw wwLY,nuDAT,%P R s+ilSi ummm+G aR
YROPDW V =3 SP rAS TAVWATM 4i UMVAitAW BYOOMMRAM-
7. P OMSED OPERA-MW DATA (fait Thm SA7 web)
(1) hoxfimpdw Avmp (&lly)_per pcF==Zb immol
M bdootim Vol mma: Ana w (dsQy) pB= per dW (gpd).
(3) bjwdmA (may) PMOWP"m iwb (a).
(4) 4act�m%m Awnp U Y) ° F, .kvmp 0*) �.' F.
K. II+iI$C'.e"M. nM I]AT A,
(I) MuW aoad m (for Ti aw- A7 wlb) IfwAws%mnd. upmu simt txmoim evc' We of
yo w tit vO to &vd'be 4osan (04, Wmitr. 6m . MA d}.
�bpNQ' eve: lcaakMrsbs.� � T ..
i2) a=icd AmiYm ctSmm FW d Uvr Tyie 9Q% Wdlo)
ftnidt a=We6c Iist4 ofaR ab=i=6 added to the cra�beg fiedd:
f o% e"i Att*W.L
1.. �c•nt�.�r� n�rrY'
ARM& a di*dW dKwing tlae mgmembg U"%a ordas cud Ppwgftwmz
mxx*ud w tix the iq;oo 48 opuldm Tbt tt t+oftaMtWt bTa;e aW pmvW opplamentmy
imlbm- e(G1.
AL LOCA17ON031WMLM Afteb twotom.
Rwvimd 5rQ3 GVYA71067 HP Puce 3 of4

f
9
;d
E
�;m
u
CD
am
co

C774,orl 1 lit t V� Pit z -
ova INTAKE LOUVER
kt0UNTED ABOVE DOOR
UNIT TER JUH-1 FAN 0
` -- ON W i
i
0
RLS
211
TO FAN 110
PUMP VARIAE E �
OUEHC,`Y ORIVE'S
ELEG
G213
MAIN WAC CONTROLS
AIR SEPARATOR
o
ln
ME
Wil
Lan'LaIlKi.
WATER
(BY P.
8" SUPPLY HEAD(
8" RETURN HEAD
Y SUPPLY/R
TO WELL FLEE
AND G--2.
GSHP EXP9
"N AND STANDBY GEO
9 LARGE SCALE MECHANICAL ROOM PL
SCALE: ,/a' = r-o•

ATE (It BIRiEIiFLY
VALVE
FMW FW HMRO iIC
1IBAFPET VALVE RM
PRESS ME & VAFtF
"a "Wac
Kea"
1/4" OJDL COM
TUBWP (IYP")
1/4' COCK
T E DW VALVE WFFH
MM PORF s MID Mil W SMP-5EF
TO BIIUI m POSIIFDI (NON -SLAM mm
BII AN E VALVE, SHUT-W W 10
r CONCIRM BASE WM i A LAYER OF
WELDED WIRE FABRIC (W W1.4 x W1.4)
BY THIS CONTRACT;OP. CONSTRUCT BASE
FROM DNEWSFONS GIVEN ON APPROVED
SHOP DRAWINGS. PAD TO DMD
KINDER PUMP PACKAGE (IF PAD AGE
FURNISHED)
YPTr.. e T . RAC'W kxrAlrT'KTmr. „ nrT'a KT Y+Trw* Is IrT

6" BORE HOLE
" ME INTO AND
Ur OF BOREHOLE
n(W-W
2"
20
2"
1-1/20
1-1/2"
1`
:L e WELLFIELD PIPING DETAII
NOT TO SCALE

EARTH aka(FILL OVER WELLS. WEU FIELD
TO BE LOCATED BELOW PLAYING FIELD.
per f" SUPPLY LINE
MIN. BUR 0EIMA 4' (TYP ��)
THERMALLY EiVFkOM GROUT 01E 1.00).
(FULLY LENM OF EWE HOLE) ;�
STATIC WATER LEVEL (100- APPRM DEPTH)
GRIXTT ABOVE AND BELOW TM LEVEL_
THEf"ALLY DOWt[.'FJ7 GROUT (TIE LOD).
(FULLY LENGTH OF BORE HOLE)
PPE LOCATOR
(HDRIIONTAL
F-- --}-
TAPE PER SPECWrAT1ONS
P1PiMG)
5' OWNETER BORE (APPROX.)
RETURN LINE
wr�L 1L� RED CLAY
'
r: x•F
i
— EIRiI#M SAM
r om sm
aw"m
- -- SUE (1/2 In I CPI 11IfiiT )
7�r
— GRANITE
POLYETIOLDIE F1fT NM WITH
HEAT iMaM CONiW". REFETi
TO SPECIFIT,AMG
mtmT!'I A T P-y.'nrPT-TlWPAA1A T WFT.T. BORING THETA
,6LL

ME Sa DAIE- Morch 2005 IRLIENC.
= = CAD: 9ethel—SLAT EUNNELL-LAMMONS ENGINEERING, IMC.
-.- -� i05 FAIRVIEW ROAD, S)J1TL R
REFERENCE:
DeLarme Street Atlas USA 2005
FIGURE
SITE LOCATION MAP
NEW BETHEL ELEMENTARY SCHOOL
HAYiDW COUNTY, NORTH CAR"A

r
r
u

{
Mr
rO►-� G[OTHVYAI. LLC
4m-wCr O-dmMur Wa l ik4 Crrk-
P.D. Box 33593
1N=phu, TN 3813"593
(901)751-650O phone
(pn1) 7Em
February 16, 2006
Mr. Evan Kane
DWQ - Aquifer Protection Program
2728 Capital. Boulevard.
Raleigh, NC 27604
RE: New Bethel Elementary School - Type 5QM Well Permit RACE}� � DENS SEC"
Dear Mr. Kane: FEB 1 7 ME
The enclosed package contains the following documents.
Type 5QM Well Permit Application - (2) Each
We have been given a notice to proceed date of March 6, 2006. Please advise if you need
additional information and an anticipated permit date.
Thank you for your assistance and I look forward to your reply.
Sincerely,
<�Sco�-Q - —f4—zv�-
Scott W. Triplett
President
Encl.