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Home My WebLink AboutWI0100203_GEO THERMAL_20120410Permit Number W10100203,K Program Category Ground Water Permit Type Injection Water Only GSHP Well System (5QW) Primary Reviewer eric.g.smith Coastal SW Rule Permitted Flow Facilit Facility Name David & Patricia Wyche SFR Location Address 33 Bear Flower Trl Arden NC 28704 Central Files: APS SWP 04/10/12 Permit Tracking Slip Status Project Type Active New Project Version Permit Classification 1.00 Individual Permit Contact Affiliation Bret Hartzog 132-B Third Ave E Hendersonvlle NC 28792 Major/Minor Region Minor Asheville County Buncombe Facility Contact Affiliation Owner Name Owner Type Individual David Wyche Owner Affiliation David Wyche 15 River View Ln Marion Scheduled Orig Issue App Received Draft Initiated Issuance 04/1'0/12 04/03/12 "{ Regulated Activities ` Heat Pump Injection ' Outfau, NULL Public Notice Issue 04/10/12 MA 02738 Effective Expiration 04/10/12 Waterbody Name ;;£ ._ ,. Stream Index Number Current Class Subbasin 7 w�..w��. NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakiild, P.E. Govemor Director April 11, 2012 David Wyche Patrick Wyche 15 River View Lane Marion, MA 02738 Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System Permit No. W10100203 33 Bear Flower Trail, Arden, NC 28704 Dear Mr. & Mrs. Wyche: Dee Freeman Secretary On April 3, 2012, the Aquifer Protection Section (APS) received notification of your intent to construct a closed -loop water-onl_y 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 constriction 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 Buncombe County Health Department as they may have additional requirements for this type of system. Noncompliance with applicable state, eourity, or municipal rules and regulations may result in the assessment of civil penalties. Please contact Mike Rogers at (919) 807-6406 or Micbael.Ro--,gn(arncdenr.aov if you have any questions. Sincerely, or Debranra Supervisor cc: Asheville Regional Office - APS APS Central Files - Permit No. WI0100203 Buncombe County health Dept. Glennwood Custom Builders (Bret Harlxog) Clearwater Well Drilling (Jeff Moore) Air Excellence„ Inc (Darrell Bedweil) AQUIFER PROTECTION SECTION 1636 Mail Service Center, Ralegh, Nonh Carolina 27699.1636 tora[ion: 512*L&aWbnySt, Raleigh, North Carolina 77604 Phone: 91"07-64641 FAQ{: 91"07-6496 Inlemet www.ncwateMua%.om An Equal Opponunily l AMrroalrye Acton Ernpioret Noo�AhCarolina AL?tlmally NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP GEOTHERMAL WATER -ONLY INJECTION WELL SYSTEM TYPE 5QW WELD In Accordance With the Provisions ofNCAC Tide 15A 02C.0200 Print or type the required information and mail to address on the back page. APR 0 3 2012 BATE: --_` 20 q%E ,qC)3 $gin WeU Type Confirmation: Does the proposed system circulate potable water only (no additives) in continuous piping that completely isolates the fluid from the environment (i.e. closed -looms)? Yea Continue completing this form. No D❑ Not complete this form. Complete other UIC application forms for installing either a 5A7 well ❑ en -loop well iniectW( , 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 O W NER(S)IAPPLICANT(S) List each Property Owner listed on property deed (if owned by a business or government agency, state mine of entity and a representative wlauthority for signature): e. ;t. (1) Mailing Address:_ _ ! S— -- f ---� �-�Mi City: ;rl_ 5tate:l► +&Lip Code: County: Home/Office Tele No.: _.� Cell No.: Email Address: Website: (2) Physical Address of Well Site (if different than above): 33 g"�L D�Wt City: -- — �.•; State: it., Zip Code: � T County:- Ho'rnOMce Tele No.: Cell No.: A. 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: _1.,,d& 3e L ~ u -- Contact Person;_ EMAIL Address: Address: l3-.tM�w -- --- — City: <.t�� ,.v; - - -- — State: AL(— Zip Code:Z:f�TiS—q County: Office Tele No.: Cell No.: Website. Address of Company, if any: GPUII7IC 5QW Notification of Intent Farm (Revised 8/2008) Page I C. WELL DRILLER V4112 13 NA A VTnV Company Name:t# Well Driller Contractor's Name: NC Contractor Certification No,: _ Contact Perso Address: City: Zip Code: County: Office Tele No.: &• 2A t Cell No.: ,co", n. HEAT PUMP CONTRACTOR INFORMATION (if different than driller) Company Niune:�:nac , -- Contact Person., Jwc-LL— --EMAIL Address: i ,, ZL� �.� ,;�Yl�[1t. N� C'�i►S Address: _ _aa i�_rA►tojII dec.- City: t + ✓ Y Zip Code: 8� I1'S _ County: —SV JCQnw Office Tele No.: } } — (ale— VqJ Cell No.: 2 - Y7 q 3 E. STATUS OF APPLICANT Private: Federal: State: F. INJECTION Municipal: RE (briefly Commercial: Native American Lands: how the injection well(s) will be used) G. WELL CONSTRUCTION DATA (1) Proposed date to be constructed: _ L! ,� ` ! Number of borings: Approximate depth of each boring (feet);- _ rl;_ of tubing to be used (copper, PVC, etc): (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 ll (4) Grout Info (material surrounding well casing and/or piping): r (a) Grout type: Neat Cement Hentonite L----Other (specify) (b) Grout placement: PumpingJ.,f::""�' Pressure try Other (c) Grout depth of tubing (reference to land surface): from 0 to _IM_ (feet) If well has casing, indicate grout depth: front to (feet) GPUMC 3QW Notification of Intent Form (Revised 8/2008) Page 2 A, 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. 1. LOCATION OF W ELL(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 welt(s) and any existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 200 feet of the geothermal meat 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 hnprisonnient, 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." k-p-- Signalare of Property er/Applicant Print or Type Ful l Name and title r f Signaturc of Property Owner/Applicant or Type Full Name and title -~ AA Gignahrre of AWhn --ed gent, ifany Print or Type Full Name ar itle Please return two copies of the completed Application package to: North Carolina DENR-DWQ Aquifer Protection Section -[TIC Program REGEIVEDMENWQ 1636 Mail Service Center Raleigh, NC 27699-1636 ►QPP 0 3 202 Telephone (919) 733-3221 Aquifer Protection Section GPU/UIC 5QW Notification of Intent Porm (Revised 8/2008) Page 3 SeP i3a•3U,12U.1 b%J0 [-ciaV'V:;ho (508� 143-1 b83 A ' Bret Hartzog Project Manager Giennwaod Custom 3uilder!- 132.p Third Avenue East Hendersonville NC 28192 828 692 8191 phone 829 692 0052 fax L!r ,@.rxlennwoo6.ret email June 261 2011. Attn: Pei mit Center Re, Awhrarized Agent -etter "n Whom ;t May Concern: q&P GLENNWCDD C'uftolfs Buildoru tiVith his letter, 1, Tricia Wyche. authorize you to recoRnire Bret Hartzog with Glennwood Cistorr. Buitders as rYy Agent, anc -sting to my behalf may sign for permits for consruction at 33 hear Flower Trail, Arden, NC 29,704. Signature r A� f �1 ui F •' G:�� Name Date REMVEMENR/Dwo APR 0 3 ?air AqU4er Protection Sectfmrr Buncombe County Tax Lookup - Property Card Page i of 1 COUNTY OF BUNCOMBE, NORTH CAROLINA Web Property Record Cara la 9623-69-3o77-o0000 Owner Information C DAVID WYCHE PATRICIA L WYCHE 15 RIVER VIEW IN MARION MA 2738 Property Location:333 BEAR FLOWER TR Taxing Districts County: Buncombe County City: SKYLAND FIRE Parcel Information itatus: kccount: Seed Date: Seed Book/Page: 31at Book/Page: jegal Reference: location: :lass: Jeighborhood: subdivision: sub Lot: 'nning: Date Printed: 4/10/2012 Total Property Value: &S,000 Active 8251418 9/29/201-1 4918 / 0884 0102 / ❑197 WARRANTY" OR SPL/COMP TRANSFER 33 BEAR FLOWER TRL RES BUILDING LOT WALNUT COVE THE CLIFFS AT WALNUT COVE 11 tion/Easement:N Ownership History Price Price Deed Qualified Vacant When Account Seller Names Date Reference ence Book/Page Sold WARRANTY CLEAR 09/29/11 $230,000 OR SPL/COMP 4918 / 0884 Yes Yes 8213154 DEVELOPMENT TRANSFER INC WARRANTY THE CLIFFS AT 07/28/06 $625,000 OR SPL/COMP 4260 / 1523 Yes Yes 8166269 WALNUT COVE TRANSFER LLC Assessment History Year Account Acres Land Bldgs Other Assessed Desc Exemptions Deferred Taxable 2012 8251418 1.28 2011 8213154 1.28 2010 8213154 1.28 2009 8213154 1.28 2008 8213154 1.28 2007 82131M 1.28 land Data 618,000 o 0 618,000 618,000 T 0 a 618,000 &8,000 0 0 618,000 618,000 0 0 o &8,00❑ 618,000 0 618,000 618,000 0 0 618,000 Land Value: 618,00o other Value: 0 Improvements Segment# Units Description 1 1.28 Acres LOT Total Building Value: o htrp:/hwvw.buncembetax.org/PropertyCard.aspx 4/10/2012