WI0100119_GEO THERMAL_20120518

rw.r�umM��w
NCDENR
North Carol ina=Department-of_Environment and Natural Resources
Division -of -Vllafer-Quality
Beverly Eaves Perdue Charles Wakild,.P...E.
Governor Director
May 18, 2012
Chris Hedden.-
10305 Bryson City Road
Franklin, NC 28734
Subject: Notification of Rule Revisions Affecting
Closed -Loop Geo6le-1111al Injection Well Permit Holders
Permit Number: WI0100119
Dear Mr. Hedden:
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 15A 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 roust be submitted to the Division of Water Quality. You
may view the revised rules on our website at http://por-tal.ncde-nr.org/web/wL
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:[phone]
ter FAX:919807{496 Naturally
iri���
Internet: www.nL,nraterauali[y,org ��/ 6dS
An Equal Opportunity %-Affirmative Action Employer

N• sStnATlra }
r F
t. WELL CONTRACTOR:
Christopher D Hedderl
Well Contractor (individual) Name
e den Brothers e l Dri '. n
Well Contractor Company Name
73 Holly Hills Vista RD
Street Address
Franklin NC 28734
City or Town State Zip Code
(828 ) 369-9591
Area code Phone number
2. WELL INFORMATION: �r
WELL CONSTRUCTION PERMIT# IN.LO1 ,) I tj
OTHERASSOCIATED PERMIT#!ifapplicable)
SITE WELL ID #(if appllcabre)
3. WELL USE (Check One Box) Monitoring ❑ MunicipailPublic ❑
IridustriallCvrnmercial ED Agriculturel C Recovery ❑ Injection t(
Irrigation❑ other C (list use) Geothermal Heating
DATE DRILLED Feb 4, 2011
h. WELL LOCATION:
14345 Bryson_C_ity RD--1N'eil.# l
(Street Name, Numbers, Community Subdivision, IL No.. Pefoel, Zip Coda)
CiTy. Franklin COUNTY Macon
TOPC) GRAP HIC 1 LAND SETTING' (check appropriate boxy
❑ Slope ❑ Val ley ❑ Flat ❑ R1dge 2 Other
LATITUDE 35 " OMS OR 3x.xxxxxxxxx DD
LONGITUDE 63 �' " OMS OR 7x.XXXXXXXXX DD
I-atltudellongitude source: L)GPS Qropographic map
floCAflen of Weil rnust bQ shown on a Lis GS ro13o map andattached to
this form if not using GPS}
5. FACILITY (Name of the business where the well Is located.)
Facility Name Facility ID# (if applicable)
Street Address
City or Town State Zip Code
t .hristnnh¢r n Hptirian _ _ _--
Contact Name
1030.9 Rrv-gQn City R❑
Mailing Address
Franklin N 28714
City or Town State Zip Code
(_8?8 524-0531 _
Area code Phone number
6. WELL DETAILS:
a, TOTAL DEPTH-.L�t1r
b, DOES WELL REPLACE EXISTING WELL? YES C NOW
NONRESIDENTIAL ONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resourees- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2044 A
d. TOP OF CASING IS _ _ FT. Above Land Surface'
"Top of casing terminated at/or below land surface may require
a variance In accordance with 15A NCAC 2C .d11 &
a. YIELD (gpmj:
METHOD OF TEST
C DISINFECTION; Type
Amount
g. WATER ZONES (depth):
Top Bottom
Top
Bottom
Top Bottom
Top
Bottom
'fop Bottom
Tap
Bottom
Thlcknessf
7. CASING: Depth
Diameter
Weight Material
Tap Bottom
Ft.
Top Bottom
Ft.
Tap Botterr
Ft.
S GROUT. Depth
Material
Ntettiod
Top Bottom
Ft
Top Battam
Ft._
_
Tap Bottom-
Ft,T
S. SCREEN: Depth
Diameter
Slot Slze Materlei
Top Bottom
Ft.
in
in
Top Bottom
Ft
in,
In.
Top Bottom
Ft.
In.
In.
10. SANDIGRAVEL PACK:
Depth
8Ize
Material
Tap Bottom
Ft.
Top Bottom
Fl.
Tap Bottom
Ft.
11. DRILLING LOG
Top Bottom Formation Descrlptlon
!
I TO HERESY RTIFY THAT THIS WELL WAS CONSTRLICTEDIN ACCORDANCE WITH
1SA NCAC 2 ELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
R= _ D H SE PROVIDED TO THE WELL OWNER.
SIGNATURE Or CERTIFIED WELL CONTRACT AT
c. WATER LEVEL Below Tap of Casing: FT.
(Use "+" if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
�orrSubmit within 30 days of com letlon'to: Division,of Water Quality Informatlon Processing, Rev, Gw 1t
Y p tY ' 9 Rev, 2109
1817 Mall Service Center, Raleigh, NC 27$99A61;,Ph ane :'[phone]
-- 0 yr,, k.1. A'v P 4-0 6 46 in

1 ■ ONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Depamnent of Environmcni- and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 2044-A
1. WELL CONTRACTOR:
Christooher ❑ Hedden _
Well Contractor (individual) Name
Hedden Brothers Well arillina. Inc.
Well Contractor Company Name
Street Address
- Franklin - NC _?.$734
Clty or Town State Zip Code
Sr 28 ) 369-9591
Area code Phone number
2. WELL INFORMATION;
WELL CONSTRUCTION PERMIT# WzoiDal [9
OTHER ASSOCIATED PERM ITrr(ifappllcable)
SITE WELL ID #(If BP01 Axle)
3. WELL USE (Check One Box) Monitoring L—I Muniripal/Public ❑
Industrial/Commerclal ❑ Agricultural ❑ Recovery ❑ Inlection S(
IrrigabonC other C {list use) Geothermal Heating
DATE DRILLED Feb 5, 2011
4. WELL LOCATION:
10305 Brvson City R❑-_Welf1#2
(Street Name, Numbers, Community, Subdiv'slon. Lot No., Parcel, Tip Code)
CITY. Franklin COUNTY Macon
TOPOGRAPHIC I LAND SETTING' (check appropriate box)
❑ Slope Dvaliay Ci Fiat ❑ Ridge ❑dther
LATITUDE 35 " DMS OR 3x.xxxxxxxxx DID
LONGITUDE 83 " OMS OR 7x.xxxxxxxxx DD
I.alitude/longitude source; E)GPS ❑Topographic map
(location of well must he shown on a USGS top map andaffachad to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
Facility Name Facility 1D# (it applicable)
Street Address
City or Town State Zip Code
Chr'-gMnher Q _Harlden
Contact Name
10305 }3ry�nn CitV Ein
Mailing Address
Franklin _ , Nr- 28Z14
City or Town State Zip Code
( 828524-0537
Area code Phone number
6. WELL DETAILS;
a. TOTAL DEPTH:
b, DOES WELL REPLACE EXISTING WELL? YES Q NO
d, TOP OF CASING IS FT. Above Land Surface"
'Top of casing terminated atlor below Sand surface may require
a variance in accordance with 15A NCAC 2C .0118.
e, YIELD (gpm)
METHOD OF TEST
f. DISINFECTION: Type
Amount
g. WATER ZONES (depth):
Top Bottom
Top
Bottom
Tap Bottom
Top
Bottom
Top Bottom
Top
Bottom
Thlcknessl
7, CASING: Depth
Diameter
Weight
Material
Top 8❑ltom
Ft,
Tap Bottom
Ft
Top Bottom
Ft.
8. GROUT; Depth
Material
Method
ToR Bottom
Ft,
Top Bottom
Ft,
Top Bottom _-___
Ft.
9. SCREEN: Depth
Diameter
Slot Size
Material
Top Bottom
Ft.
In.
In.
Top Bottom
Ft.
In,
in.
Top Bottom
Ft.
In.
In.
10. SANDfGRAVEL PACK:
Depth
Site
Materiai
Top Bottom
Ft.
Top Bottom
Ft.
Top Bottom
Ft.
11. DRILLING LOG
Top Bottom Formation Description
I
1
1
1
r
1
I
�FMvau z
r
I DO HEREBY CEPTiFy THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
I5A NCAC 2G LL GON STR UCTI❑N STANDARDS, ANC THAT A COPY CF THIS
REC--. H EEN PROVIDED TO THE WELL OWNER
SIGNATURE OF CERTIFIED VVEL1 CONTRACTOR A E
c, WATER LEVEL Below Top of Casing: FT.
(Use "+" if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GW-1b
Submit within 30 days of comFletion to. DivisiDn of Water.Quality. - Infoirination Processing, Rev, 2/08
1617 Ma]I.Service Center, Raleigh, NC 2"09A'6! 0.hb66 : t410) 0143DO

NONRESIDENTIAL WELL CONSTRUCTION RECORD
t @ North Carolina Department of Envirotunent and Natural Resources • Division of Water Quality
- 'y WELL CONTRACTOR CERTIFICATION # 2044-A
..5 Vhwl
1. WELL CONTRACTOR:
Christofaher D Hedden
Well Contractor (Individual) Name
He I Ddling. log.
Well Contractor Company Name
73 Hoily Hills Vista RD
Street Address
Franklin _ _._ _NC 287�4
City or Town state ZIP Code
(.828 ) 369-9591
Area code Phone number
2. WELL INFORMATION:
d. TOP OF CASING is FT. Above Land Surface'
'Tap of Casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
e. YIELD (gpm): METHOD OF TEST
f. DISINFECTION: Type Amount
U. WATER ZONES (depth):
Top Bottom
Top Bottom
Top Bottom
Top
Bottom
Top
Bottom
Top
Bottom
Thicknessf
7, CASING. Depth Diameter Weight Material
WELL CONSTRUCTION PERMITF Vy1l) 106 i 9
Top
Bottom
Ft. i
OTHER ASSOCIATED PERM ITa(irapplicable)
Top
Bottom
Ft. y
SITE WELL ID 0(ir appl]cable)
Tap
Bottom
Ft.
3. WELL USE (Check One Box) Monitoring ❑ Municipal/Public E)
8. GROUT:
Depth
Material
tndusinai/Commercial ❑ Agricultural ❑ Recovery ❑ Injection N(
Top
Bottom
Ft._
Irrigation❑ other ❑ (Ilst use) Geothermal Heatin❑
Top
Bottom
Ft.
DATE 0RILLEOFeb 5,_2011
Top
Bottom
Ft.
a. WELL LOCATION:
10305 Belson City RD--Well
(Street Name, Numbers, Community, Subdivialon. Lot No., Parcel, Zip Code)
ciTy: Franklin
COUNTY Macon
TOPOGRAPHIC 1 LAND SETTING-
(check appropriate box)
❑ Slope ❑ Valley [:]Flat ❑ Ridge
❑ Other
LATITUDE 35
" OMS OR SX.XXXXXXXXX OD
LONGITUDE S3
" DMS OR 79.XXX&KXXX) DO
Latitude/longitude source: BPS
❑Topographic map
{locat)on ❑f well must be shown on a
U S G S top map ancis rtacheof to
MIS farm ifnot using GP5)
5. FACILITY (Name of the business where the well is located.)
Facility Name Facility 10# (if appllcabiej
Street Address
City or Town State ZIP Code
ChrisInnbeE 17 Heriden
Contact Name
10305 Rrvsnn _City R❑
Malling Address
Franklin NC 28734
City or Town State Zip Code
L 828524-05a7 Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: �l�1
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO V
S. SCREEN: Depth Diameter
Top Bottom Ft, In.
Top Bottom Ft. In.
Top Bottom Ft. In,
10. SANDIGRAVEL PACK,.
Depth Size
Top Bottom Ft.
Top 8ogom Ft.
Top Bottom Ft.
11. DRILLiNG LOG
Top Bottom
Method
Slot size Material
In.
In.
Material
Formation Description
1 DQ AFrR E BY CF RT I FY THAT TH:s WELL WAS CONSTRICTED IN ACCORDANCE WM-
I 5A NC' C. WELL CONSTRUCTION STANDARDS, AND THAT ACOPY OF THIS
j•`j AS BEEN ARpVIDED TO THE WELL OWNER
SIGNATURE OF CERT(FIED-VVtLL CONTRACT— D E
c. WATER LEVEL Below Top of Casing; FT Christopher ❑ Ejedden
(Use " 4 " If Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to. -Division of Water -Duality - information Processln , Form GW-1b
y P Rev.2/09
1.13.17 Mall Sarvice.Cen'ter, Rateigh, NC 2769.9m181; Phone : [phone]

' :�, SrA'Ig4- a
R v6,NKp
k ; NONRESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Depananent of Environment and Natural Resources- Division of Water Quality
I
WELL CONTRACTOR CERTIFICATION # 1044-A
1. WELL CONTRACTOR:
Christopher D Hedd!�n _
Well Contractor (Individual) Name
hed den ([others Well 0d1ra. lnc.
Well Contractor Company Name
73 [jolly Hi i i R
Street Address
Franklin NC 28734
City or Town State Zip Code
(.828 ) 369-9591
Area code Phone number
2. WELL MFORMATION:
d, TOP OF CA$fNG IS FT. Above Land Surface'
'Top of Casing terminated allor below land surface may reoulre
a variance In accordance with 15A NCAC 2C 01 18.
e. YIELD (gpm): METHOD OF TEST_
f, DISINFECTION: Type Amount
g. WATER ZONES (depth):
Top Bottom
Top Bottom
Top 9cttom
Top
Bottom
Top
Bottom
Top
Bottom
Thickness!
7. CASING: Depth Diameter Weight Material
WELL CONSTRUCTION PERMIT# N ZI)1001 is
Top
Bottom
Ft.
OTHER ASSOCIATED PERMIT#(irappllcable)
Top
Bottom
Ft,
SITE WELL ld #(If applicable)
ToP
Bottom
Ft.
3, WELL USE (Check One Box) Monitoring ❑ MunleipallPublle❑
$. GROUT,
Depth
Material
Indusvial/Commercial ❑ Agriculturat ❑ Recovery ❑ Injection d
Top
Bottom
Ft.
Irrigation❑ other ❑ (list use) GeathIsrmat Heat! no
Tor
Bottom
Ft.
DATE DRILLED Feb 10. 2011
Tap
Bottom
Ft.
4. WELL LOCATION:
10305 Brvson ON RID —WO
(Strael Name. Numbers, Community, Subdivision. Lot No„ Parcel, Zip Code)
CITY Franklin COUNTY Macon
TOPOGRAPHIC / LAUD SETTING: (Check appropriate box)
Slepa ❑ Valley ❑ Ftai ❑ Ridge ❑ Other
LATITUDE 35 " OMS OR 3x,XxxxxXXxx D❑
LONGITUDE B3 " OMS OR 7x.xxxxxxxxx D➢
Latltudellongltude source: []GPS [:Topographic map
(location of well must be shown en a USGS lope map andattached to
this corm isnot using GPS)
S. FACILITY ;Name of the business where the well is located ]
Facility Name Facillty IO# (if applicable)
Street Address
City or Town State -Zip Code
Christnnher ❑ Hedden
Contact Name
Mailing Address
City or Town State Zip Ceda
Area eacoddee Phone number
S. WELL flETAtl.s: ��V+ 1
a. TOTAL DEPTH:
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO V
Method
9. SCREEN: Depth Diameter Slot size Material
Tap Bottom R. in. In.
Top Bottom Ft. in In.
Top Bottom Ft.In. In.
10. SANDiGRAVEL PACK:
Depth Size
Top Bottom Ft.
Top Bcttom Ft.
Tflp Bcttom Ft.
11. DRILLING LOG
Top Bottom
1
r
1
I
I
1
1
I
U%R E
Material
Fermetien Description
1 DO HEREBY ERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
1 SA NCAC ELLCONSTRICTION STANDARDS. AND THAT A COPY OF THIS
3frrRD '� BEEN PROVIOEO7 THE WE OWNER.
NATURE OF CERTIFIED �N _L CONTRAC-fO-R IDATEI
c. WATER LEVEL Below Top of Casing: FT
(Use'+' if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: DIvIsign' of Water Quality - Inforrhation Processing, Form GW-lb
Rev, 2109
1617 Mall Service Center, Raleigh, NC •27698a161, Phone : (94,9).867-6300

Centmal Filec APS SWP
10/28/10
Permit Number W10100119
Permit Tracking Slip
Program Category
Status
Project Type
Ground Water
Active
New Project
Permit Type
Version
Permit Classification
Injection Mixed Fluid GSHP Well System (5QM)
1.00
Individual
Primary Reviewer
john.mccray
Coastal SW Rule
Permitted Flow
Facility Name
Chris D Hedden SFR 50M
Permit Contact Affiliation
Chris D. Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 287"
MajorlMinor Region
Minor Asheville
Location Address County
10305 Bryson City Rd Macon
Franklin NC 28734 Facility Contact Affiliation
Chris D. Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 28744
Owner
Owner Name Owner Type
Individual
Chris D Hedden Owner Affiliation
Chris D. Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 28744
Scheduled
Orig Issue App Received Draft Initiated issuance
10/14/10 09/09/10
Regulated Activities_
Heat Pump injection
Private residence, single family
Outfall N"Ji ti
Public Notice Issue Effective Expiration
10M 4110 10/14/10 09/30/15
Reauested/Received Events
Reg ton comments on d raft f eq ues ted 10/11/10
Region comments on draft received 10114/10
Waterbedy Name Stream Index Number Current Ctass Subbasin

Permit Number W10100119
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System [50M]
Primary Reviewer
john.mccray
Coastal SW Rule
Permitted Flow
Central Files: AP3 SWP
10/14/10
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Aiflllation
Chris D. Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 28744
Facility Name
Major/Minor Region
Chris D Hedden SFR 50M
Minor Asheville
Location Address
County
10305 Bryson City Rd
Macon
Franklin NC 28734
Facility Contact Affiliation
Chris D, Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 28744
D'xnwr
Owner Name
Owner Type
Individual
Chris D Hedden
Owner Afflllation
Chris D. Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 28744
rl �iac'C ram„+c
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
09/09/10
Retiulated Activities ;,r—aested/Received i\—Tits
Region cum msnIs on draft requested 10/11/10
Region comments on draft. received 10/14/1 D
Outfall NULL
Waterbody Name
Stream Index Number Current Class 9ubbasin

A;7441
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. SuHins
Governor Director
October 14, 2010
Chris Hedden
73 Holly Frill Vista Rd
Franklin, NC 28734
Dee Freeman
Secretary
Subject: Issuance of Injection We11 Permit
Permit No, W10100119
Issued to Chris D. Hedden
Macon County
Dear Mr. Hedden:
1n accordance with your application received September 9, 2010, I am forwarding Permit No. W10100119
for the construction and operation of a vertical closed -loop geothermal mixed -fluid heat pump injection
well system located at 10305 Bryson City Rd., Franklin, Macon County, NC, 28734. This permit sball be
effective from the date of issuance until September 30, 2015, and shall be subject to the conditions and
limitations stated therein.
Please pay special attention to Part 1.7 of the permit and submit copies of the Well Construction
Completion form (GW-1) after construction. Please submit all data within 30 calendar days of receipt of
this letter to the address below:
Aquifer Protection Section (APS)
Underground Injection Control (UIC) Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
Additionally, your U1C system is subject to inspection by the APS and at the time of the inspection muse
display a permanently affixed identification plate in accordance with requirements of 2C .0213(g). Please
insure this is completed in accordance with permit condition Part 1.6 of this permit issued October 1,
2010.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit three months prior to its expiration date. As indicated in the permit, this
permit is not transferable to any person without prior notice to, and approval by, the Director of the
Division of Water Quality. If you have any questions regarding your permit or the Underground Injection
Control Program please call me at [phone],
Sincerely,
' John Mccray,
Environmental Specialist

cc: Landon Davidson - Asheville Regional Office
Central Office File - WI0100119
Macon County Environmental Health Dept.
Corbin and McMahan
Euc: Permit WIO100119

anal] I'll M : 07:3 :Zi] 41041
31i►i11:1401►1uIDiaNEI413"MM4FluIN1 v 91814u113I1;I9CORI
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
Chris D. Hedden
FOR THE CONSTRUCTION AND OPERATION OF 4 TYPE 5QM INJECTION WELL, 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 10305 Bryson City Rd., Franklin, Macon
County, NC 28734, and will be constructed and operated in accordance with the application received September
9, 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 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 of its issuance until September 30, 2015, and shall
be subject to the specified conditions and limitations set forth in Parts I through IX hereof.
V_
Permit issued this the %� k day of 0&&V-r— , 2010,
'W' '�' vlp_�
r�-Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.

PART I - WELL CONSTRUCTION GENERAL CONDIT 0NS
1. The Permtttee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells ( I5A NCAC 2C .0200). Any noncompliance with
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is
Wounds for enforcement action as provided for in N.C.G.S. 87-94.
?. This permit shall become voidable unless the facility is constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
3. Each injection well shall not hydraulically connect separate aquifers.
4. Each injection well shall not be located in an area generally subject to flooding, Areas that are generally
subject to flooding include those with concave slope, alluvial or colluvial soils, gullies, depressions, and
drainage ways.
5. Each injection well shall be afforded reasonable protection against damage during construction and use.
6. Each geothennal injection well system shall have permanently affixed an identification plate on a nearby
building or other permanently fixed structure indicating the location and presence of underground UIC
wells according to 2C .0213(g).
7. A completed Well Construction Record (Form GW-1 ) must be submitted for each injection well to:
Aquifer Protection Section --- UIC Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
�I
Aquifer Protection Section — Asheville Regional Office
2090 U.S. 70 I-Iighway
Swannanoa, NC 28778
[phone]
GWA s must be submitted within 30 days of completion of well construction. Copies of the G W-1
form (s) shall be retained on -site and available for inspection.
Well construction records must also be submitted for the existing water supply wells on -site as well as a
site map showing any water supply wells on adjacent properties as specified in NCAC .021 1 (d)(I )(D).
PART I1--- WELL CONSTRUCTION SPECIAL CONDITIONS
At least forty-eight (48) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Underground injection Control (U1C) Program Central Office staff; telephone
number [phone] and the v shcv lie ReLnonal Office Aquifer Protection Section Staff, telephone
number (828) 21W-. 4,00.
W1a100119

1 Sorehoies shall not connect separate aquifers which have differences in water quality (e.g., shallow
surficial aquifers, saprolite, fractured bedfock, etc.) as specified in 15A NCAC 2C .0213(d)(8)(C) and
shall be filled with bentonite grout from the lowermost water bearing zone to land surface as specified in
the permit application,
PART III — OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of matcrials and rate of injection. as
described in the application and other supporting data.
?. This permit is not transferable without prior notice to, and approval by, the Director of the Division of
Water Quality (Director). In the event there is a desire for the facility to change ownership, or there is a
name change of the Permittee, a formal permit amendment request must be submitted to the Director,
including any supporting materials as may be appropriate, at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with any and
all statutes, rules, regulations, or ordinances, which may be imposed by other local, state, and federal
agencies, which have jurisdiction. Furthermore, the issuance of this permit does not imply that all
regulatory requirements have been met.
PART IV — PERFORMANCE STANDARDS
The injection facility shall be effectively maintained and operated at all times s❑ 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.
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 X' — OPERATIONS AND MAINTENANCE REQUIREMENTS
The injection facility shall be properly maintained and operated at all times.
2. The Pernittee must notify the Division and receive prior written approval from the Director of any
planned physical alterations or additions in the permitted facility or activity not specifically authorized by
the permit.
3. At least forty-eight (48) hours prior to the initiation of the operation of the facility for injection, the
Permittee must notify by telephone the Aquifer Protection Section's Underground Injection Control (UIC)
Program Central Office staff, telephone number [phone]. Notification is required so that Division
staff can inspect or otherwise review the injection facility and determine if it is in compliance with permit
conditions.
W10100119 3

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 he maintained under the terms and conditions of this permit, and may obtain
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.
?. 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 t8281296-4500, any of the following:
(A) Any occurrence at the injection facility that results in any unusual operating circumstances;
(B) Any failure due to known or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures;
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 Pen ittee.
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.
PART VIH — PERMIT RENEWAL
The Permittee shall, at least 120 da q prior to the expiration of this permit. request an extension.
PART LY — CHANGE OF WELL STATUS
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 Permitter must install a sanitary seal. If a well is not to be used
for any purpose that well must he permanently abandoned according to I5A NCAC 2C .0213(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
.0214, including but not limited to the following:
(A) All casing and materials may be removed prior to initiation of abandonment procedures if
the Director finds such removal will not be responsible for, or contribute to, the
contamination of an underground source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that
failure to do so could lead to the contamination of an underground source of drinking
water,
(D) Each well shall be completely filled with cement grout, which shall be introduced into the
well through a pipe 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 drinldng 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 rX (1) and (2) (G) shall be submitted to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
WIOIOOI19

Central Files: APS SWP
091200
Permit Number WIOIOO119 Permit Tracking Slip
Program Category status Project Type
Ground Water In review New Project
Permit Typs Version Permit Classification
Injection Mixed Fluid GSHP Well System (5OM) Individual
Primary Reviewer
john.mccray
Cosstat SW Rule
Permitted Flow
Facility Name
Chris ❑ Hedden SFR
Location Address
10305 Bryson City Rd
Franklin
NC 28734
Permit Contact Affiliation
Chris D. Hedden
Owner
73 Holly HIII Vista Rd
Franklin NC 28734
Major/Minor Region
Minor Asheville
County
Macon
Facility Contact Affiliation
Owner Name Owner Type
Individual
Chris ❑ Hedden Owner Affiliation
Chris ❑. Hedden
Owner
73 Holly Hill Vista Rd
Franklin NC 28734
Dates/Events
Scheduled
Drle Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
09/09/10
Rea ulated Activities
OutfalI NY, I
Waterbody Name Stream Index Number Current Close Subbasin

Mccray, John
From:
Davidson,, Landon
Sent:
Thursday, October 14, 2010 10:26 AM
To:
Mccray, John
Cc:
Stepp, Jonathan
Subject:
RE: W10100119
Agreed
G. Landon Davidson, P.G.
NCDENR - ftklon of W atar Qua fity
Aquifer PKAMtloa Se" on z
Regmnal APS 5upervIsor F
r
f �
Ash evil6 Regional Optics
2090 US. Hwy. 70
Sw�mnaaw, N.C.28771a
ph.: M- 29rs-L4
(ax' 828.2"99-7 �
web page: http.//h2aenr.stote.4ic.us/aaw.hdn
This e-mail contains a pudic record which is subject to disclosure to third
parties and the public pursuant North Carolina's public Records law. N. C
Gen. Stat 3132.1, et seq. This e-mail may contain materials prepared
during or in anticipation of a legal proceeding as part of preparation for that
legal proceeding, in which case third party or public access to it is subject to
N.G Gen. 5tat. §132-1.9 and moy be denied until the conclusion of the legal
proceeding, including the completion of all appeals and post Judgment
proceedings, or in the rase where no legal proceeding has been commenced,
upon the expiration of all applicable statutes of llmitoNons and periods of
repose.
From: Stepp, Jonathan
Sent: Thursday, October 14, 2010 10:09 AM
To: Davidson, Landon
Cc: Mccray, John
Subject: W10100119
I recommend that we proceed with permitting. I talked with Chris about the location of his repair area and it is located
on an adjacent lot that he owns to the east of the lot that the geo wells will be located on. I have also checked the
county web page to confirm that Chris owns the lot.
Thanks,
Jonathan
Jonathan Stepp- Jonathan.Steppl)ncdenr.&ov
North Carolina Dept. of Environment and Natural Resources
Asheville Regiona I Office
Division of Water Quality -Aquifer Protection Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]

Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins
Governor Director
September 21, 2010
Chris D Hedden
73 Holly Full Vista Rd.
Franklin, NC 28734
Subject: Acknowledgement of Application No-W10100119
Chris D Hedden SFR
Injection Mixed Fluid GSHP Well System (5QM)
Macon
Dear Mr. Hedden:
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on September 9, 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 your assistance in providing a timely and complete
response to any additional information requests.
Please be aware that the Division's Regional Dfftce, 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 atjohn.=[e-mail]. If the reviewer is
unavailable, you may Ieave a message, and they will respond promptly. Also note that the Division has reorganized. To review our
new organizational chart, go to h_ttp://h2o.enr.state.ne.us/documents/dw�orichart.ndf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKLKG INQUIII` ES ON THIS PROJECT.
Sinc y,
far Debra J. a s
Supervisor
cc: Asheville Regional Office, Aquifer Protection Section
Corbin & McMahan (7355 Sylva Rd., Franklin, NC 28734)
Permit Application File W101001 19
AOt1IFER PROTECTION SECTION
1636 Mail Smice Center. Raleigh, North Carolina 276994636
Location, 2728 Capital Einulavard, Ra"h, North CarDiina276134
Phone; 919-733-3221 %FAX 1: 919.715-05ft FAX 2: 919.715-BW8 i Customer Service: 1-877-623-6746
Internet; www.ncwe1qMuAliN.gra
An Equal 6pportunlly + AfrRmeNe Arian Employer
NocorthCarolina
Naturally

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR)
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR
INJECTION WITH A GEOTHERMAL HEAT PUMP SYSTEM -FOR:
TYPE 5QM WELLN
New Permit Application OR Renewal (check one)
DATE: Pin_ 30 20 JO
PERMIT NO. _ _(leave 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, state name of
entity and a representative wlauthority for signature): C�-R 1 S -D. H Dp t+J _
(1) Mailing Address: 073 (4a& i t ( Vi irx R'p
City: f-� I�Ci,J State: NC- Zip Code: a73N County: fK+4C41^J _
Home/Office Teie No.: 8 z8 . 3(pq - 9 S-9 r Cell No.:
EMAILAddress:
(2) Physical Address of Site (if different than above): tO 30S7
City: R+3 LC A) State: &C, Zip Code: County: A1,4c.a
Home/Off ce Tele No.: 1 - .S Z�_ (,� Cell No.: 01—
©3C
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name: 14}" rA -BRAT, [, eri t k upj c .
Contact Person: C,4ps- Hwy,- Address:
Address:
01- City: !q� I�.0 p __ _ State: IBC Zip Code: ? 3 County: /1 Gor•�
Office Tele No.: 8 7-6 • 3 Cy9 - 4 5 I / CeII No.:
Website Address of Company, if any:
C. STATUS OF APPLICANT
Private; V-14 Federal: Commercial:
State: Municipal: Native American Lands
RECEIVED / OENR i DVVQ
Aquifer Protection Section
SEP 9 9 2010
GPUfUIC SQM Well Permit Application (Revised 712008) Page 1

D. WELL DRILLERINFORMATION
Company Name: t-t �-Do l: meat• We'd
Well Drilling Contractor's Name: C14 2i 5 l ACFWIIJ
NC Contractor Certification No.: Z044 -
Contact Person: C-8 ice`s 0 "0 6- a_ EMAIL Address: �7n S �► f1 ti+* h
Address: 73 l W r3.
City: k Lim Zip Coder County: M 14CaPJ
Office Tele No.: - 3Lq ,901 Cell No.:
E. HEAT PUMP CONTRACTOR INFORMATION (lf different than driller)
Company Name:.CORBJA) i (K S MAN �..]
Contact Person, _ _ EMAIL Address:
Address: _ I.A.
City: rRAsl UW Zip Cade: ►J C County: %RAF s va
Office Tele No.: 826- 30 •8 7So Cell No.:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
G. WELL CONSTRUCTION DATA {Skip to Section H if this is a Permit RENEWAL]
(1) Proposed date to be constructed: �1" Zo 10 Number of borings:
Approximate depth of each boring (feet): 2,? O
(2) Chemical additives to a used in closed -loop system (only those chemicals indicated have been approved):
R-22 1, propylene glycol ethanol other (other additives will
need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc): PC'
(4) Well casing. Is the well(s) cased? (check either (a,) YES prr (b.) NO below)
(a) YES if yes, then provide casing information such as IM_ee (steel, PVC, plastic, etc.), diameter,
depth, and extent of casing appearing above ground:
(b) NO J,/
(5) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement Sentonite _V Other (specify) ' i C* S-oNp
(b) Grout depth of tubing (reference to land surface): from to =y , (feet)
If well has casing, indicate grout 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.
GPUtWC 5QM Well Permit Application (Revised 7/2008) Page 2

I. LOCATION OF WELL(S)
Attach two copies of snaps 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 well(s) and any
existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 1000 feet of the
geothermal heat pump well system. Label all features clearly and include a north arrow.
(2) Include a topographic map of the area extending one mule from the property boundaries and
indicate the facility's location and the map name.
J. POTABLE WATER WELL(S)
Are there any potable water weII(s) on the subject property or adjacent properties? /YES NO
If Yes, than indicate location on attached map(s).
K. CERTIFICATION
Note: This Permit Application must be signed by each person appearing on the recorded legal property deed.
"I hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and complete.
I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintai , repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with t11e-� ppr� specifications and conditions of the Permit."
Signature of Property Owner/Applicant
Ri5 'Z�W.'y /4 cw-6 1
Print or Type Full Name
Signature of Property Owner/Applicant
Print 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 Carolina DENR-DWQ
Aquifer Protection Section
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
RECEIVED 1 DENR / DWQ
aquifer protection Section
SEP 4 9 2010
GPUNIC 5QM well Permit Application (Reused 7/2009) Page 3

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