WI0100006_Staff Report_20120313

4
R� AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM PAR 12 2012
Date: March 8, 2012 � ' o 's0
To: ® Landon Davidson,ARO-APS ❑ David May, WaRO-APS
❑ Art Barnhardt, FRO-APS ❑ Morella Sanchez King, WiRO-APS
❑ Andrew Pitner,MRO-APS ❑ Sherri Knight, W-SRO-APS
❑ Jay Zimmerman,RRO-APS
From: Michael Rogers Groundwater Protection Unit
Telephone: [phone] Fax: [phone]
E-Mail Michael.Rogersnancdenr.gov
A. Permit Number: WI OI00006
B. Owner: Rainfall Mountains,Inc.
C. Facility/Operation:
❑ Proposed ® Existing ❑ Facility ❑ Operation
D. Application:
1 Permit Type: ❑ Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation(ND)
® UIC 5A7 Open`Lo'op Geothermal Well
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑,503 ❑ 503 Exempt ❑ Animal
2. Ar ct;Type: ❑ New ❑ Major Mod. ❑ Minor Mod. ® Renewal ❑ Renewal w/Mod.
E. Comments/Other Information: ❑
1�OTEl'
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within,please take the following actions:
® Return a Completed APSARR Form and attach laboratory analytical results,if applicable.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: z Date:
FORM:APSARR 07/0 Page 1 of 1 '.
Jottk'>-kah �l°P

AQUIFER PROTECTION SECTION- GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
Date: 04/26/2012 Permittee(s):_ Rainfall Mountains,Inc. Co Suzanne Mckav
Permit No.: WI0100006
To: APS Central Office County: Rutherford
Central Office Reviewer: Jonathan Stepp Project Name:
Regional Login No:
L GENERAL INFORMATION
1. This application is(check all that apply): ❑ SFR Waste Irrigation System ®UIC We]l(s)
❑New ® Renewal
❑ Minor Modification❑ Major Modification
❑ Surface Irrigation❑ Reuse ❑ Recycle❑ High Rate Infiltration❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed-loop Groundwater Remediation ❑ Other Injection Wells(including in situ remediation)
Was a site visit conducted in order to prepare this report? ®Yes or❑No.
a. Date of site visit: 04/26/2012
b. Person contacted and contact information: Suzanne McKay
c. Site visit conducted by: Jonathan Stepp
d. Inspection Report Attached: ® Yes or❑No.
2. Is the following information entered into the BIMS record for this application correct?
® Yes or❑No. If no, please complete the following or indicate that it is correct on the current application.
For SFR Treatment Facilities:
a. Location:
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude: Method Used(GPS,GoogleTm, etc.);
e. Regulated Activities/Type of Wastes(e.g., subdivision, food processing, municipal wastewater):
For UIC Injection Sites:
(If multiple sites either indicate which sites the information applies to copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions: US64E to Lake Lure: left on Bills Creek: left on Buffalo Creek: right on Winesap
Blvd.: left on rourtland Court to 141 on left
c. USGS Quadrangle Map name and number:
d. Latitude: 35°27'46.33"N Longitude: 82°10'20.63"W Method Used (GPS, GoogleTM, etc.);
Google Earth
APS•GPU Regional Staff Report(Sept 09) Page I of 8 Pages

AQUIFER PROTECTION SECTION- GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
IL NEWAND MAJOR MODIFICATIONAPPLICATIONS(this section not needed for renewals or minor
modifications, skip to next section)
Description of Waste System and Facilities
I. Please attach completed rating sheet. Facility Classification:
2. Are the new treatment facilities adequate for the type of waste and disposal system?
❑ Yes ❑No ❑N/A. If no, please explain:
3. Are the new site conditions (soils, topography, depth to water table, etc) consistent with what was reported by
the soil scientist and/or Professional Engineer? ❑ Yes ❑No ❑N/A. If no, please explain:
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? ❑
Yes ❑No ❑N/A. If no, please explain:
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. ❑ Yes ❑No ❑
N/A. If no, please explain:
6. Are the proposed application rates for new sites(hydraulic or nutrient)acceptable?
❑ Yes ❑No ❑N/A. If no, please explain:
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
❑ Yes ❑ No ❑ N/A. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part IV:
8. Are there any buffer conflicts(new treatment facilities or new disposal sites)? ❑ Yes or❑No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to be
incorporated into the permit:
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
changes to the groundwater monitoring program:
10. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ N/A If yes, attach list of sites
with restrictions(Certification B?)
III. RENEWAL AND MODIFICATIONAPPLICATIONS(use previous section for new or miior modification
systems)
Description of Waste System and Facilities
1. Are there appropriately certified ORCs for the facilities? ❑ Yes or❑No.
Operator in Charge: Certificate#:
Backup-Operator in Charge: Certificate#:
APS-GPU Regional Staff Report(Sept 09) Page 2 of 8 Pages

AQUIFER PROTECTION SECTION- GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
2. Is the design, maintenance and operation (e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? ❑ Yes or ❑ No.
If no,please explain:
3. Are the site conditions (soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste?❑ Yes or❑No. If no,please explain:
4. Has the site changed in any way that may affect permit (drainage added, new wells inside the compliance
boundary,new development, etc.)? If yes,please explain:
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
❑ Yes or❑No. If no, please explain:
6. Are the existing application rates (hydraulic or nutrient) still acceptable? ❑ Yes or ❑ No. If no, please
explain:
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? ❑ Yes ❑ No ❑ N/A. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Will seasonal or other restrictions be required for added sites? ❑ Yes❑No ❑N/A If yes,attach list of sites
with restrictions(Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? ❑ Yes or ❑ No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit:
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct? ❑
Yes or❑ No. If no, please explain:
11. Were monitoring wells properly constructed and located? ❑ Yes or ❑ No ❑ N/A. If no, please explain:
12. Has a review of all self-monitoring data been conducted (GW, NDMR, and NDAR as applicable)? ❑ Yes or
❑No ❑N/A. Please summarize any findings resulting from this review:
13. Check all that apply: ❑ No compliance issues; ❑ Notice(s) of violation within the last permit cycle; ❑
Current enforcement action(s) ❑ Currently under SOC; ❑ Currently under JOC; ❑ Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments(such as NOV,NOD etc):
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? ❑ Yes
❑No ❑Not Determined ❑N/A.. If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑
Yes or❑No❑N/A. If yes, please explain:
APS-GPU Regional Staff Report(Sept 09) Page 3 of 8 Pages

AQUIFER PROTECTION SECTION- GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
IV. INJECTION WELL PERMITAPPLICATIONS(Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells,in situ remediation injection wells,and heat
pump injection wells.)
Description of Well(s)and Facilities—New,Renewal,and Modification
1. Type of injection system:
® Heating/cooling water return flow(5A7)
❑ Closed-loop heat pump system (5QM/SQW)
❑In situ remediation (5I)
❑ Closed-loop groundwater remediation effluent injection(5U Non-Discharge")
❑ Other(Specify: )
2. Does system use same well for water source and injection? ® Yes ❑No
3. Are there any potential pollution sources that may affect injection?®Yes ❑No
What is/are the pollution source(s)?Rodent droppings. What is the distance of the injection well(s)from the
pollution source(s)?0 ft.
4. What is the minimum distance of proposed injection wells from the property boundary?—2 ft.
5. Quality of drainage at site: ❑ Good ® Adequate ❑Poor
6. Flooding potential of site: ® Low ❑ Moderate ❑ High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring,monitoring parameters,etc.)adequate? ❑ Yes ❑No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program:
8. Does the map presented represent the actual site(property lines,wells, surface drainage)?® Yes or❑No. If
no or no map, please attach a sketch of the site. Show property boundaries,buildings,wells, potential pollution
sources,roads, approximate scale, and north arrow.
Injection Well Permit Renewal and Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation(e.g.turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
❑ Yes ❑No. If yes. explain: N/A; Unable to sample the well because the owners are in Bermuda and
because the geothermal heating and cooling is currently non-operational. The house is being heated and cooled
using a conventional heat pump.
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? ❑ Yes ❑No. If yes explain:
APS-GPU Regional Staff Report(Sept 09) Page 4 of 8 Pages

AQUIFER PROTECTION SECTION- GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
3. For renewal or modification of groundwater remediation permits(of any type) will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident?❑ Yes ❑No. If yes,explain:
4. Drilling Contractor: Name: Green River Well and Pump Companv
Address:
NC Certification number: 576
5. Complete and attach NEW Injection Facility Inspection Report, if applicable
V. EVALUATIONAND RECOMMENDATIONS
l. Provide any additional narrative regarding your review of the Application: Please see the attached photos
2. Attach new Injection Facility Inspection Form, if applicable
3. Do you foresee any problems with issuance/renewal of this permit? ❑Yes ®No. If yes,please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
Well seal needs repair Area around electrical wires needs to be calked and the area around
the return pipe needs to be sealed to prevent contaminants from
entering the well.
Well should be sampled Rodent droppings were present on top of the well head in the
for bacteria insulation. There is potential for the droppings to enter the well
around electrical wires and the return pipe.
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition I Reason
The owner shall notify APS within 10 business Water samples were not collected at the time of
APS-GPU Regional Staff Report(Sept 09) Page 5 of 8 Pages

AQUIFER PROTECTION SECTION- GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
days if the geothermal heating/cooling system this inspection because the system is currently
is returned use. non-operational.
The return pipe shall remain capped/sealed The return pipe may become a direct conduit to
while the geothermal heating and cooling groundwater
system is non-operational.
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information;
® Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report Preparer(s): ze
Signature of APS regional supervisor. J
Date: cp`t' 2 1 7-
VI. ADDITIONAL INFORMATION AND SITE MAP(Sketch of site showing house and waste irrigation system spray
or drip field, location of well(s),and/or other relevant information-SHOW NORTH ARROW
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APS-GPU Regional Staff Report(Sept 09) Page 6 of 8 Pages