WI0100094_GEO THERMAL_20100510

Beverly Eaves Perdue
Governor
Lawrence Dimmitt
178 Brushy Face Road
Highlands, NC 28741
g 14..
if.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water. Quality
Coleen H. Sullins Dee Freeman
Director Secretary
5/10/2010
Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System
Permit No. W10100094
178 Brushy Face Road. I�iiahlands, NC 28741
Dear Mr. Ditntnitt:
On 5/3/2010, the Aquifer Protection Section (APS) received notification of your intent to construct a closed -loop water -only
geothermal injection well system for the operation of a ground -source heat pump located at the address referenced above. An
individual permit is not required for the construction and operation of this type of geothermal injection well system as long as the
following conditions are met:
1. The injection well system contains only potable water,
2. The injection well system is constructed in accordance with well construction standards specified in North
Carolina Administrative Code Title 15A Section 2C Subchapter .0213, and
3. The required notification form and associated maps have been completely and accurately submitted.
Failure to comply with all of these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina
Administrative Code Title 15A Section 2C Subchapter .0211.(u)(2). Additionally, you should contact the Macon County Health
Department as they may have additional requirements for this type of system. Noncompliance with applicable state, county, or
municipal rules and regulations may result in the assessment of civil penalties.
Please contact Mike Rogers at (919) 715-.6166 or Michael.Ro ,ersL&,ncdenr.,ov if you have any questions.
Sincerely,
for Debra W atts
Supervisor
cc: A heN ille Regional Office - APS
APS Central Files - Permit No. W10l00094
Macon County Health Dept.
George Hair (Deno Air Conditioning & Heating — PO .Box 576, Sylva, NC 28779)
AQUIFER PROTECTION SECTION
1636 i iail Service. Center, Raleigh, North Carolina 27699-1636
Location; 2728 Capital Boulevard; Raleigh, North Carolina 27604
Phone: 919-73M221 l FAX 1; 919-715-0588; FAX 2: 919-715-6048 I Customer Servi6e:1-877-623-6748
Intembt: www,nmatergualitv.ora
An Equal Qpporlun}ty I Affirmative Adon Employar
Nine hCarol.ina
;Vat m-rall

Central Files: APS SWP
05/10/10
Permit Number WIOI00094
Program Category
Ground Water
Permit Type
Injection Water Only GSHP Well System (5QW )
Primary Reviewer
michael.rogers
Coastal 5W Rule
Permitted Flow
Facilitk
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
George Hair
PO Box 576
Sylva NC 28779
Facility Name Major/Minor Region
Lawrence Dimmitt SFR Minor Asheville
Location Address County
178 Brushy Face Rd Macon
Highlands NC 28741 Facility Contact Affiliation
Owner Name Owner Type
Individual
Lawrence Dimmitt Owner Affiliation
Lawrence Dimmitt
178 Brushy Face Rd
Hghlands NC 28741
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
05/10/10 05/03/10 05/10110 05/10/10
Regulated Activities
Heat Pump injection
Outfall NULL
Waterbody Name Stream Index Number Current Close 5ubbasin

To
A.
10
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATUR.ALI RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP
GEOTHERMAL WATER —ONLY INJECTION WELL SYSTEM
I(GROUND COUPLED HEAT PUMP)
Type 5QW Wells
In Accordance with the provisions of NCAC Title 15A: 0k.0200
complete application and mail to address on the hack page.
This is not the proper form to be used for injection wells in an ogg&loon,geotherinal system.
Do -not use this form for systems that circulate any substances other _than _water.
DIRECTOR, NO> TH CAROLINA DIVISION OF WATER QUALM
DATE: yr l I 3 C , 20 I�
SYSTEM CLASSIFICATION Does the proposed system circulat6 potable water in rantinuous
piping that compl6ly isolates the fluid from the environment?
PC
Q
YES _AeL*" If yes, then continue completing this form.;
NO If no, do not complete this form. Form G W -57 HP, Applicati n For
Permit To Construct AndlOr Use A Wells) For Injection Wit A Heat
Primp ,System, should be completed.
SYSTEM FLUID Will any additives be introduced to the sys�m's circulating hfat transfer
fluid? This includes, but is not limited to corrosion inhibitors andvJr antifreezes.
I
YES If yes, do not complete this form. Form G'k-57 HP, Apphcah % ur
Permit To Construct An&Or Use A We11('s},, For Injection Wit A Heat
Pump System, should be completed. ;
NO If no, then continue completing this form. ' d
PROPERTY OW10R
Name:
STATUS OF PROPERTY OWNER
PTSYate: 1�r CdF:If11: Commercial:
I
State: Municipal: Native American ds:
RECENEJ / 0ENR t awry
AW66t P(p}srftn Sec:tlon
Revised 5105 GWA)TC-57 CL MAY P 3 z01aPage 1 L`4

9
FACILITY (SITE) DATA
(Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial).
Name of Business or Facility:
Address:
City: State: Zip Code: # County:
Telephone: Contact Person:
Standard Industrial Code(s), SIC, which describes commercial facility:
F. HEAT PUNT CONTRACTOR DATA
Name: n Y 4n -
Address. i l' k " I ci l,j ,
City: State: _t C Zip Code: �� .l �# { i County:
TelephQneJ% `-?Sir. tvt4�1 Contact Person:
G. CONSTRUCTION DATA (check one) j
E)GSTING WELL(S) being proposed for use as a ground -coupled heat pump
well(s). Provide the information in (1) through (3) below to the best of your
knowledge. Attach a copy of Form GW' l (Well Construction Record) if
available.
i
PROPOSED WELL(S) to be constructed for use as a ground -coupled float pump
well(s). Provide the information in (1) tbrougli (3) -below as PROPOSED
construction specifications_ Submit Form GW �;l after construction.
(1) Well Drilling Contractor's Name: G'e"6Y1 1 ' '�1A
# --
NC Contractor Certification number: -7
Date to he constructed- '� Number of borings: � ]
Approximate depth of each boring (feet):-
(2) Well casing: Is the well(s) eased?
(a) YES If yes, then provide the casing information below.
Type: Galvanized steel Black steel Plastic I Other (specify)1
Casing depth: From to ft. (reference to laud surface)
Casing extends above ground inches
ib) NO I
h
(3) Grout (grout the vertical length of the borehole to a minimLIVu depth of 20 feet bJ.s.): +
(a) Grout type: Cement Bcntonite Other (specify) D �C RTi V e1 �G�17aRi� �,
(b) Grouted surface and grout depth (reference to land surface): i
X around closed loop piping; from n to 300 (feet).
around well casing; from to (feet),
NOTE: THE WELL DRILLINO CONTRACTOR CAN SUPPLY THE DA'rA FoK EIT11IER EMS TfNG OR
PROPOSED 4RLLS IF n-BS INFORMATION IS UNAVAILABLE BY OTIIEi MEANS,
Revised 5105 GWUC-57 CL Page 2 9f4

H. INJECTION -RELATED EQUIPMENT
i
Attach a diagram showing the engineering layout of tyre injection equipment and exterior piping/tubing
assoQiated with the injection operation. The manufacturer's brochure may provide supplementary
inforlImation.
1. LOCATION OF WELL(S) Attach two maps.
(1) Include a site map (car] be drawn) showing: buildings, property lines sul-face water bodies,
potential sources of groundwater contamination and thei orientation of and distances between
the proposed wells) and any existing well(s) or waste disposal facilities such as septic tanks
or drain fields located within 200 feet of the ground -coupled heat pump well system. Label all
features clearly and include a north arrow.
(2) location map referencing the site to two nearby permanent reference points (such as roads,
streams and highway intersections).
I
J. PERMIT LIST,: Attach a list of all permits or construction approvals that are related to the site.
Exat�ples include:
i
(1) Hazardous Waste Management program permits under RCFZA
(2) NC Division of Water Quality Non -Discharge permits
(3) Sewage Treatment and Disposal Permits
i
IC. CERrt'1FICATION
"I hereby certify, under penalty of law, that I have personatly e�arruned and am familiar with the
info' tion submitted in this document and all attachments the�eto and that, based on my inquiry of
tbose individuals immediately responsible for obtaining said information, I believe that the
information is true, accurate and complete. I am aware that there are significant penalties, including
the ppssibility of fines and imprisonment, for submitting false information. I agree to construct,
operate, maintain, repair, and if applicable, abandon theannd source treat pump system and all
related appurtenances in accordance with the approved specifications and conditions of the Permit_"
i
(Signature of GVell! owner or Authorized Agent)
If authorfaed agent is acting on beha f o� f'the well owner,
please supply al letter signed by the owner
authorizi)7g the above agent.
Rl~t N'Z-1J I DIIrNR 1 OV40
Aquifer RMOffiN S-ediOn
MAY 4 3 2010
Revised 5105 GWIU C_57 CL Page 3 of4

L. COI�TSE�iT OF PROPERTY OWNER (Owner means any person who holds the fee or other property
righis in the well being; constructed, A well is real property and its construction on land rests
ownership in the landowner in the absence of contrary agreement in writing)
If the property is ownq by someone other than the applicant, the property owner hereby consents to
allow the applicant to construct each injection well as outlined in this application and that it shall be
the responsibility of the applicant to ensure that the ground -source heat pump system's well(s)
conforms to the Well Constriction Standards (Title 15A NCAC 2C .0200)
(SUl Iatur Oe Property Ownei, if Different From Applicant)
Please reftirn two copies of the completed Application package to:
i
UIC Program
Aquifer Protection Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
RECEIVED 1 DEHR 1 DM
Aquilet Pr+ Mjan Section
MAY 0 3 2010
Revised 5/05 i GWIUIC-57 CL Pagr, 4 of

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NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL: RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP
GEOTHERI�'IAL WATER -ONLY INJECTION WELL SYSTEM
(GROUND COUPLED HEAT PUMP)
Type 5QW Wells
In A4cordance with the provisions of NCAC Title 15A: 02C-0200
Complete application and mail to address on the back page.
This is not the proper form to be used for injection wells in an o e_�n-ioo_p geothermal isystem.
Do not use this form for systems that circulate any substances other than water.
I
TO: DIRECTOR,
N��OkTHCAROLINA DIVISION OF WATER QUALITY
DATE: 0i >' 3 C 20 /0
A SYSTEM CLASSIFICATION Does the proposed system circulate notable water in continuous
piping that completely isolates the fluid from the environment?
YES _ If yes, then continue completing this forma
NO If no, do not complete this form. Form G1 1-57 HP, Application For
Permit To Construct And/Or Use A We11(s) Far Injection With A Heat
Pump System, should be completed.
B. SYSTEM FLUID Will any additives be introduced to the system's circulating heat transfer
fluid? This includes, but is not limited to corrosion inhibitors and/or antifreezes.
YES If yes, do not complete this form. Form OW-57 HP, Application Por
Permit To Construct AndlOr Use We11(s) For Injection Wit/ A Heat
Pump System, should be completed.
NO If no, then continue completing this form.
PC
PROPERTY O"ER 11
Name: Lcm
Address: I V VC) %k , 1.
City: i� t�1� l C,,i. (� State: 2io code::
County: �`-V,. ' : k-1 Telephone:
D. STATUS OF PROPERTY OWNER
Private. & l Federal: Commercial: I
State: Municipal: Native American lands: ECEIVED 1 DENR I f]i11IC]Aquifer Protpetion Sadion
MAY o s 2010
Revised 5105 GWIUIC-57 CL Page 1 f4

/1 FACILITY (SITE) DATA
LL.J� (Fill out ONLY i� the Status of Owner is Federal, State, Municipal at Commercial).
Name of Business or Facility:
Address:
City: State: Zip Code: County: - --
Ttlephone: _ Contact Person:
Standard IndustriO Code(s), SIC, which describes commercial facility:
F. BEAT PUMP CONTRACTOR DATA
Name; { t1t� A;Y st1 _ 131i1 E �ro, �+nC
Address'—
Ciry: State: N�_ Zip Code: _ L`6 I -l' i County: 00
hon C'
Tele T p � - ��� �r��_t71 _ nntact Person: �^
G. CONSTRUCTION DATA (check one)
{ I
EMSTING WELL(S) being proposed for use as a ground -co pled heat pump
well(s). Provide the information in (1) through (3) below to the best of your
lnowledge. Attach a copy of Form GWti l (Well Constriction Record) if
available,
PROPOSED WELL(S) to be constructed for i se as a ground -coupled heat pump
well(s). Provide the information in (1) through (3) below i as PROPOSED
construction specifications. Submit Form GW fl after cansuuctiori.
(1) WeIl Drilling Contractor's Name: tT n t 1�Yi+ '0.4.11 NA�
NC Contavctor Certification number:
(2)
NOTE
Revised 5I.05
Date to bo constructed. .J l 7 f 0
Approximate depth of each boring (feet):
Well. casing: Is the well(s) cascd7
Number of borings: --
1
(a) I'ES If yes, then provide the casing information below,
Type: GaNanized steel Black steel Plastic Other (specify)
Casing depth: From to ft. (reference tQ land surface)
Casing extends above ground inches
(b) NO
Grout (grout the vertical length of the borehole to a minirnwn depth of 20 fee$ b.l.s.).
(a) Grout type: Cement Belatonite, Other (specify) at 1 ravel j3erJ.,4C
(b) Grouted surface and gout depth (reference to land surface);
X� around closed loop piping; from _Q to (feet).
I
rl around well casing; from. to (feet),I
THE WELL i]RILLL;IG CONTRACTOR CAN SUPPLYTHE DATA FOR E 1TbF_R EXISTING Olt
PROPOSED V+ELLS IF TWS INFORMATION IS UNAVAILABLE BY OTHER MEANS.
GWIUIC-57 CL Page 2 of 4

Fl. INJ�CTION RELATED EQUIPMENT
I
Attach a diagram showing the engineering layout of the injectiob equipment and exterior piping/tubing
associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
f
I_ LOCATION OF WELL(S) Attach two maps.
(I) Include a site map (can be drawn) showing: buildings, property Ines surface water bodies,
potential sources of groundwater contamination and the! orientation of and distances between
the proposed well(s) and any existing well(s) or waste disposal facilities such as septic tanks
or drain fields located within 200 feet of the ground-cotipled heat pump well system. Label all
features clearly and include a north arrow.
(2) location map referencing the site to two nearby permanent reference points (such as roads,
streams and highway intersections).
3. PE lT LIST: Attach a list of all permits or construction approvals that are related to the site.
Examples include:
(1) Hazardous Waste Management program permits under RCRA
(2) NC Did ision of Water Quality Non -Discharge permits
(3) Sewage Treatment and Disposal Permits
I{. CERTIFICATION
"I heieby certify, under penalty of law, that I have personally Mamined and am familiar with the
information submitted in this document and al! attachments thereto and that, based on my ingwry of
those individuals immediately responsible for obtaining said information, I believe that the
information is true, accurate and complete. I am aware that than are significant penalties, including
tlme possibility of fines and imprisonment, for submitting false information. I agree to construct,
oper6, maintain, repair, and if applicable, abandon the groundisource heat pump system and alI
relat�d appurtenances in accordance with the approved specifications and conditions of the Permit."
i
(signature of Welt Owner or Authorized Agent)
ff authorized agent is acting on behalf o f'the well owner,
please supply a letter signed by the owner
authorize g the above agent.
RFCCIVED / DENR
Rt DyyQ
gtrlfer pro.a001on S�clion
MAY 0 3 20 Io
Revised 5/05 GWlUIC-57 CL Page 3 of

I
L. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other property
rights in the well being; constructed. A well is real property and its constiuction on land rests
ownership in the landowner in the absence of contrary agreement in writing.)
i
if they property is owned by someone other than the applicant, the property owner hereby consents to
allow the applicant to coristrtict each injection well as outlined in this application and that it shall be
the responsibility of the applicant to ensure that the ground -source heat pump system's well(s)
conforms to the Well Construction Standards (Title 15A NCAC 2C .0200)
r
(S4111a,6 re Of Property Owner. If Different From Applicant)
Please return two copies of the completed Application papltage to•
UIC Program
Aquifer Protection Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1.636
Telephone [phone]
Revised 5105 GWI 11C-57 CL Page 4 of

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NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR)
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP GEOTHERMAL
WATER -ONLY INJECTION WELL SYSTEM:
TYPE 5- W WELL(S)
In Accordance with the provisions of NCAC Title 15A: 02C.0200, please
complete this notification and mail to address on the back page (please Print or T_�Re information).
DATE: April 28,201 Q
Well Type Confrnration: Does the proposed system circulate potable water only (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
closed -loop)?
Yes —X__-_ Continue completing this form.
No Do Not complete this form. Complete other UIC application forms for installing
either a 5A7 well a n-loop well infecting potable water into the aquifer) or a 5QM well (closed -
loop well containing additives such as R-22, ethanol, or Other antifreeze or corrosion inhibitors).
A. PROPERTY OWNF.R(S)IAPPLICANT(S)
List each ,Property Owner listed on property deed (if owned by a business or goverrunent agency, stale name of
entity and a representative w1authority for signature); Peter and Lisa Carey
(I) Mailing Address: ` 109 Coquina Drive _
City; We State: __NC _ Zip Code: 28594 _ Cotutty: Carteret
Home/Office Tele No.: _ 252-354-1139 Cell Nn,: _
Email Address; Website:
(2) Physical Address of Well Site (if different than above):
City: State: Zip Code: County:
Home/Office Tale No.: Cell No.;
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant do= not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name: _
Contact Person; _ _ EMAIL, Address: _
Address:
City: State: Zip Code: County:
Office Tele No,: Cell No.:
Website Address of Company, if any: RECEIVED r DENR r ❑VVQ
Aquifer Protection Section
GPUNIC 5QW Notirication of intent Form (Revind 8120t38) MAY 0 4 20 }'r 1

C. WELL DRILLER INFORMATION
Company Name: Applied Resource Management, P.C.
Well Driller Contractor's Name: H. Michael Sage
NC Contractor Certification No.: 2531-A
Contact Person: Jim Corvette EMAIL Address: Jim_ ARMbellsoul .net
Address: P_ . Box JU
City: Hampstead Zip Code; 28443 County: Pender
Offce 'fele No.: 910-270-2919 Cell No.: 910-512-4890
D. HEAT P[1W CONTRACTOR 114FORMATION (if different than driller)
Company Name_ Airtech Mechanical Se
Contact Person: Patrick McKee EMAIL Address:
Address_ 153 Two Lakes Trail
City: New Bern Zip Cods: 28560 County: Craven
Office Tele No.: 252-636-5841 Cell No.:
E.
F.
STATUS OF APPLICANT
Private; Jf f=ederal: Commercial:
State: Municipal: Native American Lands:
INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
Closed loop' geothermal system. Water only, grouted along the loop's entirety.
G. WELL CONSTRICTION DATA
(1) Prop ased date to be constructed: 5117J10 Number of borings: 3
Approximate depth of each boring (feet), — 200'
(2) Type of tubing to be used (copper, PVC, etc):HDPE
(3) Well casing. Is the well(s) cased? (check either (a,) Yes or (b.) No below]
(a) Yes if yes, then provide casing information below
Type: galvanized steel black steel plastic other (specify)
Casing depth: From to feet (reference to land surface)
Casing extends to above ground inches
(b) No X
(4) Grout Info (material surrounding well casing and/or piping):
(a) Grout type: Neat Cement Bentonite
(b) Grout placement: Pumping Pressure—X—
(c) Grout depth of tubing (reference to land surface): from
If well has casing, indicate grout depth: from
Other (specify) Thermex
Other
0 to 200 (feet)
to (Feet)
GPUIUIC 5 Q W Notification of intent rarm (Revisod 812008) Page 2

FROM : DELLRPE
PFUE NO. : 410 667019E APR, 22 2010 06:05FM P3
EL INJEC71ON-RELATED &QiTlpMNT
Attu a diagram mowing the engia+axistg layout or proposed modificadon of the injection equipment and a debar
papin&binB associated wrth the injection operation. The nWufaoMe5 braahtue may provide aupplemeatary
iafmmatioa
L LOCATION OF WICLUS)
Attach two, copies of mtzps showing flue Mowing infocma#ion:
(1) IwkW e a Site Map (can be drawn) ahnwing: b 0disW, prupcM lines. avrfecd water bodie.% potential
sotuvea of growdwetcr contamination and dh: Orientation of and distanow between the proposed well(s) and
my existing wall(s) or wash disposal facilities such as septic tracks or drain fieWs located within 200 feet of
the goothmmal heat pump wall syMm. Label all featurm Clearly and inchide a aorta+ arnow.
(2) The Site Map must show The subject pxcpetty in relation to the eutmw,ding area by using at It s% two weed
refermeepoints such aar+oade. atreams, mWor Highway intersedws,
J, CERTWKCAnON
F%W= This Pamir App>seadatt nrttat be signed by each person appearing on the
r wded legid property deed.
"I hereby oeriify, under penalty of low, that I have persondly admined and am famlHar with the information
submitted in this doommut and all atfachmcors thereto and that. based on my utgairy of dram mdividush
iemtrdistely responsible for otrtainmg said inforniadm I bediam that the irtfortnati n is true. nom arc and eampleiam
i am aware titat there arse significant penalties, including the possibility of firm and iCVTiWnm rA, for submitting
false infoanatioa I "to cat, upwate, maintain, repair, and if applioabde, abandon ft injection well and
ali relaxed appudmiances is ao=dance wkhthe approved speoifioatioos and conditions of the Permit,+'
P
SigoaturcOfFrapeany O ter1A zcrmt
- -fA . &&t
Print or Type Full Name srtd title F
Signanue Of ]Taper. Qwrter[App t
Print or Type Full Name and title
signature of A►Wvrizadd Agora, if any
Print ore and title
Flaw return nvo O*esofthe uompieUd Applic4on package to:
North Car eltan DTNR-UWQ
AgWlkr Protection Secdon�UFC Program
1636 MWI Service Center
Raleigh, NC 27699-t636 RECEIVED I DENR 1 DM
Telephoee C119) 7154 YM Aquifer Protection Section
OPUAnC 3QW NoWuutoa of Imam Pam (Rawiod er QM MAY 0 4 2010 hP s

COTlnectol s
Page I of t
Parcels {Updated 04/29/2010}
CAREY, PETER A ROUSE NUMBER (7
OWNER: ETUX LISA PIN35: 534420809t780UQDigit EX. 0000812); dD00#04
STREET NAME: COQUINA NEIGHBORHOOD 56004S STREET TYPE: DR
CODE:
MAILING ADDRESS
CITY: EMERALD;51LE ZIP: 28594 HOUSE NUMBER:
MAILING ADDRESS MAILING ADDRESS MAILING ADDRESS
DIRECTION: STREET: STREET TYPE_
MAILING ADDRESS EMERALD ISLE MAILING ADDRESS NC MAILING ADDRESS 28594
CITY: STATE: ZIP:
MAILING ADDRESS
PO 60X: PO BOX 4203 TOTAL ACRES: 0.258 DEED DATE OLD: 0
DEED SOCK: 0745 DEED PAGE: 00626 TOWNSHIP: WHITE OAK
BEDROOMS; 3 BATHROOMS: Z TOTAL SQUARE 1408
FEE-r:
YEAR BUILT: 1998 CITY LIMIT: EMERALD ISLE LEGAL DESCRIPTION; L14 BB SHELL
COVE
FIRE DISTRICT: RESCUE DISTRICT: MOTHER: 0
CONDO-; PDOT. 9178 STRUCTURE VALUE: 167544
LAND VALUE: 203686 TAX VALUE: 415204 OTHER VALUE: 43974
SALE PRICE; 0 BLT_COHDO: 0 PRID: 15033AO206
ROLL TYPE: R Nafse. Mum
Risk level:
1:332 feet
alb
littp: llcartei et. c onnectgi s. c o mI Ma pIP r i ii t W i nd o w.aspx?Map=h ttp :llcar tere t. c oiinec tg i s. coiiil, .. 5/4/2014

Approximate Property Lines
Approximate Structure Location
Approximate Septic System Area
* Approximate Closed Loop Locations
Notes:
1. Subject property and surrounding area are currently serviced by public water.
2. Geothermal well locations are approximate and will be a minimum of, 20' apart, 30' away from
the septic area and 25' from the existing structure.
Adapted from Carteret County GIS Map, April 2010.
TITLE: SITE MAP FIGURE:
A�P-
-lied }�ecource Mama ement>aC 109GC ulna Drive
q
O. Box 682, Hampstead, Nc 28443 JOB: SCALE: DATE: - — — DRAWN BY:
10)270.2919 FAX [phone] Carey NTS 4/28/10 i7NH

Approximate Property Lines
Approximate Structure Location
Approximate Septic System Area
N
Approximate Closed Loop Locations
Notes:
1. subject property and surrounding area are currently serviced by public water.
2. Geothermal well locations are approximate and will be a minimum of 20' apart, 30' away from
the septic area and 25' from the existing structure.
Adapted from Google Earth Map, April 2010.
TITLE: SITE MAP FIGURE:
2
At.
__Coquina D_ _tire
O. Box 8B2, Hampstead. NC 28443 JOB'SCALE: DATE: if]RAWN BY: 1
10j 270 29I9 FAX [phone] Car®y As Shown 4/28/1 Q DNH

Approximate Property Lines
Adapted from Carteret County GIs Map, April 2010.
TITLE; OVERALL SITE MAP FIGURE:
7 p.Iled Resource Management PC _ _1 a9 Coquina Drive
P 8M 882, Hc;rnWead, NC 2844JOB: SCALE: FDATE!DRAWN BY;
(91 a) 27a-2919 FAX [phone] Carey NTS 4/28/ t 0 DNH 3