WI0100173_GEO THERMAL_20111005

PermitNumber WIOI OO173
Program Category
Ground Water
Permit Type
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facility
Central Files: APS SWP
10/05/11
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Josh Hubbard
2244 Harper Ave
Lenoir NC 28645
Facility Name Major/Minor Region
Joe & Deborah Mirco SFR Minor Asheville
Location Address County
0 Coves At Round Mtn Caldwell
Lenoir NC 28645 Facility Contact Affiliation
Owner Name Owner Type
Individual
Joe Mirco Owner Affiliation
Joe Mirco
355 E Carpenter Dr
Palatine IL 60067
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
10/05/11 09/29/11 10/05/11 10/05/11
Regulated Activities
Heat Pump Injection
Outfall I-:. IJ
Waterbody Name Stream Index Number Current Class Subbasin

xxl
A&7
;'A
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beveriy Eaves Perdue Coleen H. Sullins
Govemor Director
l0/5/2011
Joe & Deborah Mirco
335 East Carpenter Drive
Palatine, IL 60067
Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System
Permit No. W70100173
0 Coves at Round Mountain, Lenoir, NC 28645
Dear Mr. & Mrs. Mirco:
Dee Freeman
Secretary
On September 21. 2011, the Aquifer Protection Section (APS) received notification of your intent to construct a closed -loop water-
gUll + 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 ere 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 Caldwell 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 [phone] or Michael.RoQers &ncdenr.!ov if you have any questions.
Since
rely,
ktcav
fir Debra Watts
Supen'isor
cc: Asheville Regional office - APS
APS Central Files - Permit No. W1D100173
Caldwell County Health Dept.
H & G Construction (Josh Hubbard)
Clearwater Well drilling, luc- [Jeff Moore]
Gentry Heaiing (Duane Gentry)
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27629-1636
Location 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] FAX 1:9IS- 715.0598. FAX 2: 919-715-E6481 Customer Service: 1-877-623-6748
Into met: www nmaterouality-org
rsio6 Carolina
P..n EgLFEI Gpprratrmv; AMrmaiiwe,'MOO �MPlaver

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP GEOTHERMAL
A�F , INJECTION WELL SYSTEM
TYPE 5QW WELLS)
In Accordance With the Provisions of NCAC Title 1 SA 02C.0200
Print or type the required information and marl to address on the back page.
DATE: �'` , 20� 0100 k-S
A.
IL
Weu Type Conjirmadon: Does the proposed system circulate potable water only (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
��closed400p}7
Yee VContinue completing this form.
No Do Not complete this form. Complete other UIC application forms for installing
either a 5A7 well (gam -loop well in'ectin 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).
PROPERTY OWNER(S)1APPLICANT(S)
List Ih Property Owner listed on property deed (if owned by a
entity and a representative wlauthority for signature):
7 <r1 /' /—,r "' P ill fA
4 �-/Q O"#
or government agency, state name of
(1) Mailing Address:
f
City:
_ _ _ State: Zip Code:
_County:_
Home/Office Tele No.:
*11 No.:
Email Address:
Website:
(2) Physical Address of Well Site (if different than above):
6OV6-:� --{ A CI`i'Q
(]T/
City:
State: Zip Code:
j
S (0 +i` county 'CL :Eck- i t1 t 6 9)
Home/Office Tele No.:
Cell No.:
AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does nvt awn the subject property,
attach a letter from the
Company Name:
Contact Person-
Address: .V P yv
City: _ �C- •1
Office Tele No.:
owner authorizing
ii Agent to install and operate UIC well)
State: Zip Code: 2 A b -lf� _Cauniy. G ic,& t
Cell No.: e�'2x Ky �? 3 6 ,r
Website Address of Company, if any:_
REGe o r DEHR I TWO
AQUIFFP,PRnxF:CT1nN SFCT10N
GPUMC SQW Notification of haem Form (Revised 8/2008) Page 1

C.
WELL DRILLER INFORMATION
Company Name:
Well Driller Contractor's Name: } x�
NC Contractor Certification No.: _
Contact Person:.���� � 11(; Ar =� -� / : MW-iMA1L Address: _ ��1 ! L �'���" �` iz -IL fr�`�t
.� 4
J
Address:
City: Zip Code: (1 County:
Office Te to No.:,�• 7�� _ Cell No.:�
D. HEAT PUMP CONTRACTOR INFORMATION
(if different than driller)
Company Name: -
Contact Person: EMAIL r EMAIL Address.
Address'-'—.
:---
7�" f
City. crl'-_�c Zip Coder County:
Office Tele No.:� �j ' Cell No.:
E. STATUS OF APPLICANT
Private: L---' Federal: Commercial:
State: Municipal: Native American Lands:
F. INJECTION PROCEDL,s V (briefly describe how the injection well(s) will be used)
Cet l Ir j j
G. WELL CONSTRUCTION DATA j
(} (1) Proposed date to be constructed: ~ I — Number of borings:
Approximate depth of each boring (feet): C7{
(2) Type of tubing to be used (copper, PVC, etc):
(3) Well casing. Is the well(s) cased? (check either (a.) Yea or (b.) No below)
(a) Yes if yes, then provide casing information below
Type: Jgelvanized steel black steel plastic other (specify)
Casing depth: From to feet (reference to land surface)
Casing extends to above ground inches
(b) No I l-----
(4) Grout Info (material surrounding well casing and/or piping):
(a) Grout type: Neat Cement Bentonite V other (specify)
(b) Grout placement: Pumping --Pressure L— other.
(c) Grout depth of tubing (reference to land surface): from to (feet)
If well has casing, indicate grout depth: from to {feet}
�1) 116 - Co I+J
GPUfU]C 5QW Notificatim of lntem Form (Revised MOO) Page 2

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.
L 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 well(s) and
any existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 200 feet of
the geothermal treat pump well system. Label all features clearly and include a north arrow.
(2) The Site Map must show the subject property in relation to the surrounding area by using at least two fixed
reference points such as roads, streams, and/or highway intersections.
J. 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, maintain, repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with the approved specifications and conditions of the Permit."'
Signature of Properly Owner/Applicant
Print or Type Full Name and title
Signature of Property Owner/AppUra nt
Print or Type Full Name and title
Sigritu re of Authorized Agent, if any
Print or Type Full Name and title
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]
Gp1SMC SQW Notification of intent Form (Revised AIMB) page 3

FW; Authorization for Mirco
Page 1 of l
From: Karen Meade <[e-mail]>
To: jmdrwater7O <[e-mail]>
Subject: FW: Authorization for Nino
Data: Thu, Sep 15, 2011 11:52 am
Here you go.-_
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
100 Buckeye Access Road
Swannanoa, North Carolina 28778
Office - 828-274-2520
Cell - 828-707-2582
Fax [phone]
[e-mail]
From: briosccil2aol,com (mailt.o:[e-mail]
ante ThUreriay. C.^ iy�w how 15� 2ni 1 10:57 AM
To: krneade@Qentrvheatinainc,eom
Cc: [e-mail]
Suhiar_if• Arithnri7atinn
Hello Karen. Please accept this e-mail authorizing Josh Hubbard, my general contractor, as my agent in
regards to the well digging on my property at The Coves. Thank you, Joe Mirco
http:l/mail.aol.com/34122-111/aol-6/en-us/maillPrinth4essage.aspx 9/15/2011

I
T

Rogers, Michael
From: Jeff Moore Umclrwater70Qaol.com]
Sent: Thursday, September 29, 2011 6:24 PM
To: Rogers, Michael
Subject: Fwd-. Mirco information
Mike this is a forward from my hvac installer conceaming Joe Mirco,this is both of his addresses.Thanks an sorry for the
mistake
Jeff Moore Clearwater Well Drilling [phone]
—Original Message --
From: Karen Meade <[e-mail]>
To: jmclrwater70 <[e-mail]>
Sent: Tue, Sep 27, 2011 9:05 am
Subject: Mirco Information
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
100 Buckeye Access Road
Swannanoa, North Carolina 28778
office - a28-274-2520
Cell - 82S-707-2592
Fax [phone]
kmeadeg)q entryheat i n n inc.corn
From: briosccil(waol.com [mailto:brioscd1CcLaol-com]
Sent: Tuesday, September 27, 2011 9:04 AM
To: kmeadeim ent heatin inc.com
Subject: Re: Hello
Hello Karen, Josh told me he is taking some vacation so that may be why you have not been able to reach him.
My current address is: Joseph Mirco
355 E. Carpenter drive
Palatine, IL 60067
phone [phone]
The only address I have for the new house is:
Lot #67
Round Mountain Pkwy
Lenoir, NC 28645
Please confirm these are ❑K. I look forward to meeting you Monday. Thank you, Joe
----Original Message
From: Karen Meade <kmeade(a�aentr heatinainc.com>
To: briosccl1 <brioscci1 Ca)aol.com>
Sent: Tue, Sep 27, 2011 7:05 am
Subject: RE: Hello
Joe:

My well driller has been in contact with Josh and we have gotten no response. I need your physical and mailing address
as well as the physical address for the new home that we are doing. 1 a4so need a home phone number for you.
Thanks for your help and have a great day!
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
100 Buckeye Access Road
Swannanoa, North Carolina 28778
Office - 828-274-2520
Cell - 828-707-2592
Fax [phone]
[e-mail]
From: briosccilid aol.com [mailto:briosccil(m-aol.com]
Seat: Monday, September 26, 2011 4:53 PM
To: kmeadeagentryheatinginc.com
Subject: Re: Hello
Karen, Please mail me a copy of the paid invoice, Thanks, Joe
----Original Message —
From: Karen Meade <kmeaaeggentryneating inc ,corn >
To: brlosccl1 <briosccl1 fd)aol.conl7
Sent: Mon, Sep 25, 2011 5:55 am
Subject: RE: Hello
Yes that would be fine with us. Would you like for us to put it on the same card that you used to purchase the equipment
with and if so when would you like for me to run it?
On another note 1 finally got a call back from Rod -- from Honeywell and he e-mailed me some information late Friday
afternoon regarding the humidification monitoring. After ! get the crews out and we have our morning meeting I am going
to look into it and will either Gall you to discuss or e-mail you some information to look at.
Have a great Monday!
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
100 Buckeye Access Road
Swannanoa, North Carolina 28778
Office - 828-274-2520
Cell - 828-707-2592
Fax [phone]
kmeadeagent!y_ h eat i n9 i n c.com
From; brioscdlZiaol.com [mailto:brioscci1(daol.comj
Sent: Friday, September 23, 2011 2:35 PM
To: kmeade{agentryheatinginc.com
Subject: Re: Hello

Karen, I received the invoice for work completed on our HVAC system. Would it be acceptable to Gentry to put the
charges on my AMEX card? Thank you, Joe Mirco
-----Original Message ---
From; Karen Meade <[e-mail]>
To; briosccil <brioscc11 Kaol.com>
Sent; Tue, Sep 20, 2011 2:20 pm
Subject: RE: Hello
No problem..... that's what I dol Can you give me a call on my cell when you have a few minutes to chat? 707-2592
Thaanks
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
100 Buckeye Access Road
Swannanon, North Carolina 28778
Office - 828-274-2520
Cell - 828-707-2592
Fax 828.68E-6574
kmead ent hoatin inc.corn
From: brloscciiialaol.com [malito:briowd1(&aol.com�
Sent: Tuesday, September 20, 2011 2:52 PM
To: kmeade E5gentryheatinginc.com
Subject: Re: Hello
Thanks for checking in on my new house and thanks for checking this Honeywell info, out. Joe
--Original Message —
From, kmeade <kmeadeEcD centryheatinginc.com>
To. briosccil <briosccil waol.com>
Sent: Tue, Sep 20, 2011 12:50 pm
Subject; Re: Hello
Hi Joe... I am headed back to the office from your new house.... The well drillers are hard at it and my crew is doing a
beautiful job. I will take a look at this when I get back to the office and let you know.
Sent via BlackBerry from Deltacom
From: briosccil aQaol.com_
Date: Tue, 20 Sep 2011 13:46:33 -0400 (EDT)
To: <kmeade mentryheatinginc.com>
Subject: Fie: Hello
Hello Karen, i hope you are having a good week. I continue to research wireless humidity monitoring> I came up with this
infprmation about Honeywell. I seem to remember you told me you use only Honeywell products. I would appreciate if you
would read this over and ask your rep about It before I buy another system. Thank you, Joe Mirco
www.forwardthinking.honeywell.comiproducts/wireless/Wreless oroducts.h_tmi
----Original Message ---
From: Karen Meade 4meade"aaentryheatinainc,com>

To: briosccil Cbriosccil [a)aol.com>
Sent: Mon, Sep 19, 2011 12:20 pm
Subject: RE: Hello
I think that the one for the high accuracy is prob the better one. You are more than welcome to send it to me, at my
attention to the address below and I will take care of the installation for you.
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
100 Buckeye Access Road
S►nrannanoa, North Carolina 28778
Office - 678-274-2520
Cell - 828-707-2592
Fax [phone]
krneade,Algentryheat i ng i nc.com
From; brioscciloaol.com [mailto:brioscd1(d)aol.com]
Sent: Monday, September 19, 2011 12:58 PM
To: kmeadeCa�aentryheatinoinc.com
Subject: Re: Hello
Hi, I did notice they have 2, 1 am not sure which fits our purpose best. I would defer to you and the experts, I can order if
you tell me which model is best. I will have it shipped to you for installation. Thanks, Joe
-----Original Message ---
From: Karen Meade <kmeade Q oentryheatinainc.com>
To: briosccil <briosccil rowaol.com>
Sent: Mon, Sep 19, 2011 11:37 am
Subject: RE: Hello
Hi Joe..... whatever you think is fine with me_ i do think that this is a good price. ❑o you want to order and just have us
install? Also did you notice that they have 2 that monitor humidity? Let me know.
Thanks
Karen M. Meade
Residential Construction Manager
Gentry Heating Inc.
1100 Buckeye Access Road
S►nrannanoa, North Carolina 28778
Office - 828-274-2520
Cell - 828-707-2592
Fax [phone]
kmea deflgentryheat inginc. com
From: briosccilid%aol.com [maiito:brioscd1faaol.com]
Sent: Friday, September 16, 2011 3:05 PM
To: kmeadeldgentryheatinginc.com
Subject: Re: Hello
Karen, Check out this link. I think it is what we are looking for. There is a place to order on line.
htt ://www.monnit.coml roducts/wireless-sensorslhumidit -HA. h Prices seem reasonable if this is what we need.
Thanks, Joe

---Original Message ----
From: Karen Meade <kmeade Q�aentrvheatin❑inc.com>
To: briosccil <brioscci1 ra,aol.com>
Sent: Fri, Sep 16, 2011 12:22 pm
Subject: RE: Hello
Hi Joel
Yes this is all good news! We don't need to hit water for the geothermal wells because we put it in the system which is
closed loop, but we don't care if we do hit it. I would think that would be good news though for your water well.
As for the wireless monitor for the dehumidifier, I did call my vendor and he is an idiot! I need to call the Honeywell rep
and check into this. ❑o you know the brand of the product that he is talking about? That sounds like a really good price
and if you do I can see if I can get it for you. In the meantime I will keep looking.
Let me know if you have any info on this. Have a great weekend and I will be in touch soon.
Karen M. Meade
Residential Construction Manager
Gentry Meeting Inc.
100 Buckeye Access Road
Swannanoa, North Carolina 28778
Office - 828-274-2520
Cell - 828-707-2592
Fax [phone]
kmeade(d�)-gentryheatin-ginc.com
From: briosocilidiaol.com fmai1to:briosccl1i&aol.com]
Sent: Friday, September 16, 2011 12:36 PM
To: kmeadeldigentryheatinginc.com
Subject: Hello
Hello Karen. Happy Friday to you.
heard from Josh this AM. He tells me they hit water @ 305 feet. I guess that's good? I know it is not necessary for the
geothermal but it can't hurt, right? He also said your crew should be finished mid week next. That is good news.
I wanted to follow up with you regarding the dehumidifier. I mentioned to you that a friend of mine told me there is a
monitor that is wireless with a digital display. It can be placed anywhere in the house. He said it is around $100.00. You
said you would check into it. Did you have any luck? If not what do you suggest?
Have a great weekend. Joe Mirco

Rogers, Michael
w.
From: Rogers, Michael
Sent: Monday, September 26, 2011 12:44 PM
To: 'kmeade@gentryheatinginc,com'; 'brioscci1 @aol.com'
Cc: ')[e-mail]'
Subject: Mirco 50W geothermal permit
We received the e-mail from Joe Mirco authorizing Josh Hubbard to act as agent. We also need the information that goes
in Section A. -
Mailing address and phone number for Mirco.
Physical address of the well site if different than mailing address.
We need this information to continue to process the permit.
Thanks
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Duality- Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh, NC 276W1636
Direct Line [phone]; Fax [phone] (put to my ann on cover letter)
htto://oo rta I. nedenr. orQ/weblwa/apstgwpro/perrn i t-ap pl i catiQns#oeothermApps
E-mail correspondence to and from this eddress may be subject to the North Carollne Public Retards Law and may be disclosed to third parries

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7 his map is prepared for the inventory ofrcal property Found within this jurisdiction, and is compiled i'rorn recorded deeds, plats, and other public records and data" Lfsers of this map are hereby notified that the
aforementioned public primary information sources should be consulted for ❑crification of the information contained on this map. Caldwell County and its mapping and sol1warc contractors assume no legal responsibility
for Lhe information containul on this rnap or in this website- This map and infonnation are NOT of land survey quality and are N0 f suitable for such use.
http:llgis.caldwellcountync.org/maps/layout.aspx 101412011

Appraisal Caro
Page 1 of 1
CALDWELL COUNTY. MC
101412011 16124123 AM
RCO 1OSIPM A R DEROEAM 6 i COTRUSTIE5 OF TMI MIRCO TRUST 04- 7 - 1- 67
EVES AT ROUND Mt PH 1 LT 67 UNIQ 10 224336
141630 ID NO: 2719.00 60 5M2
COUNTY ,RESCUE READ7,0AMEWELL CARD NO. 1 of I
ral Ymr- 2005 Tax Ya4r: 2012 BK 1750 PG 1226 YK 10 ST 0.00 10S0 AC SRC-
L.raNed br 02 on 04 22 2006 00028 NEIGHBORHOOD Tw-06 C- EX- AT- LAST ACTION 2011942E
COX DEION TAIL
DETAIL
MARKET VALUE
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BASE
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EUILOING VALUE - CARD
TOTAL ADIUSTMENT
ACTOR
TYPE: SINGLE FAMILY RESIDENTIAL D1
MARKET
PR, 09/XF VALUE - CARP
LAND VALUE - CARD 54,900
TOTAL QUALM INDEX
STORIES: TOTAL
MARKET YAW I -CARD 84.900
APPRA781D VALUE • CARD 44,900
TOTAL
YOTAL
APPRAWAD VALUE . PARCEL $4 900
PRES[NNT USE VALUE - PARCEL
TOTAL
TOTAL
VALUE DIPIRRED - PARCEL
TOTAL
TAXABLE VALUE - PARCEL E4 900
PRIOR
UILDING VALUE
"It VALUE
NO VALUE
ESl°PIT USE VALUE 11
EFERRED VALUE
GTAL VALUE 0
PERM=
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NOTES
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NOTES
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http:llgis.caldwellcountyne.orgfITSNet/AppraisalCard.aspx?parcel=04 7 167 10/4/2011

Printing: Layout Page Page 1 of 1
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Owner Account Info
MIRCO JOSEPH A & DEBORAH G NCPIN: 2719605442
COTRUSTEES OF THE MIRCO TRUST
355 EAST CARPENTER DR Account#: 141630
PALATINE, IL 60067 Parcel -id: 047167
Property Info
Acreage: 2.98996102
Land Units: 3,05 (AC)
Legal: BK 1750 PG 1226 YR 10 ST 0.00
Total Value: 84900
Property Address: 0 COVES AT ROUND MT PH i LT 67
This map is prepared for the inventory of real property found within This junsdicsion, and is compiled from recorded deeds, plats, and other public records and data.
Users of this map are hereby notified that the aforetnentioned public primary information sources should be consulted for verification of the information contained
on this map. Caldwell County and its mapping and software contractors assume no legal responsibility for the information contained on this map or in this website.
'Ibis map and information are NOT of land survey quality and are NOT suitable for such use.
http:llgis.caldwellcountync.org/maps/layout.aspx 101412011