WI0100155_GEO THERMAL_20120518

AW'A--
RcbE~R---.... -·~·
North Carolina Depa[tmeotof.Emdro.omenland.Natu-ral-ResGurces--
Dlvision of Water Quality
Beverly Eaves Perdue
Governor
Glen Bass
45 Wendover Road
Asheville, NC 28806
Charles Wakild; P.E-
Director
May 18, 2012
Subject: Notification of Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
PennitNumber: WI0100155
Dear Mr. Bass:
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 clos.ed-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 indef"mitely 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 must be submitted to the Division of Water Quality. You
may view the revised rules on our website at http://portal.ncdenr.org/web/wg/aps.
If you have any questions regarding your current-permit or the rule revisions, please feel free fo
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
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone]
Internet: www.ncwaterouali1y.org
An Equal Opportunity\ Affirmative Action Employer
N°~i..c · 1· 01u1 aroma
Naturall!I
RESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resourc~s-Division of Water Qualify
WELL CONTRACTOR CERTIFICATION #_~3~5~C-~-----
1, WELL CONTRACTOR: _/ ~ ~ 5"'-~~~
Well Contractor (Individual) Name
AWD Services. Inc.
Well Contractor Company Name
258 North Turkev Crk Rd .
Street Address
Leicester
City or Town
828 1 683-9223
Area code Phone number
2. WELL INFORMATION:
NC 28748
State Zip Code
WELL CONSTRUCTION PERMIT# WT.O I C)C \:) s
OTHER ASSOCIATED PERMIT#(ff applicable) _______ _
SITE WELL ID #(if applicable) __________ _
3, WELL USE (Check Applicable Box): Residential Water Supply rlf
DATE DRILLED GJ -;2 . i I
TIME COMPLETED ______ _ AMO PM □
4. WELL LOCATION:
CITY· ~h.eu, 'Lt, COUNTY rs~nc.o rt\lS<[.,
SA'N\~
(Slnlet Name, Number'$, Community, Subdl\/ision, Lol No., Parcel, Zip Code)
TOPOGRAPHIC/ LAND SETTING: (C/\ecl( appropriate box) 1
iii'Siope □Valley □Flat □Ridge □other elev. ;2 ~ ( q
LATITUDE ~-31-· :). "DMS OR 3x.xxxxxxxxxoo
LONGITUDE ~·.1i.: .s~ 'OMS OR 7x.xxxxxxxxx DD
Latitude/longitude source: t;Zf;ps Ofopographic map
(location of wall must be shown on s USGS topo map andattached to
this form If not using GPS)
S. WELL OWNER
Gt(cnn SA-~
StreeJ Address
A:sV\tvi lie,
'city or Town
( >----------Area code Phone number
6. WELL DETAlLS:~0/~
a. TOTAL DEPTH: ~3001
b, DOES WELL REPLACE EXISTING WELL?
Stale Zip Code
YESO NO~
e, WATER LEVEL Below Top of Casing: ______ FT.
(Use•+• if Above Top of Casing)
d. TOP OF CASlNG,n-FT. Above Land Surface•
"Top of casing terminated avor below land surface may require
a varlanoe in accordanoe with 15A NCAC 2C .0118.
e. YIELD (gpm): ----METHOI) OF TESftlal. COi I tail
f. DISINFECTION: Type tablets -AiiiOUiil-2~-----
g. WATER ZONES (depth}:
Top ___ Bottom __ _ Top ____ Bottom __ _
Top Bottom __ _ Top Bottom __ _
Top Bottom __ _ Top Bottom. __ _
7. CASING: Depth Diameter
Top O Bottom ___ Ft~
Top ___ Bottom ___ Ft. __ _
Top ___ Bottom ___ Ft.. __ _
8 , GROUT: Depth Material
1 op O BottoTTT"Z8-Ft. Gorterete
ThicknNs/
Weight Materlal
SDRZ--PVG--
Metl\od
---Pot:K-
Top ___ Bottom ___ Ft ____ _
Top ___ Bottom ___ Ft ____ _
9. SCREEN: Depth Diameter Slot Size Material
Top ___ Bottom ___ Ft __ ln. In. ____ _
Top ___ Bottom ___ Ft __ ln. in. ____ _
Top ___ Bottom ___ Ft __ ln. in. ____ _
10, SANOIGRAVEL PACK:
Depth Siza Material
Top ___ Bottom ___ Ft.. __________ _
Top Bottom ___ Ft. __________ _
Top Bottom ___ Ft.. __________ _
11 . DRILLING LOG
Top Bottom
---~----
----'----I --------____ / ___ _ __ _,/ ___ _ __ _,/ ___ _ ____ / ___ _
__ _,! ___ _ ___ ./ ___ _
I -----------'----___ / ___ _ __ _,/ ___ _
12. REMARKS: ,.
Formation Description
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
ACCORDANCE WITH 15A NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDED TO THE WELL OWNER.
S~ efc~ WELL CONTRACTOR «{(,/('It
CJ-I cisi 5 l(i?RE+t-:
PRINTEONAME OF PERSON CONSTRUCTING THE WELL
Subo'.iit within 38 days of completion to: D ivision of Water Quality • lnfonnatlon Processing,
1 611 Mall Service Center, Raleigh, NC 27699-161, Phone : [phone]
Form GW-1a
Rev. 2/09
RESIDWTIAL WELL CONSTRUCTION R~CORJ)
North Carolina Deplrlinent of Environment and NatUral R.eso11tces-Division of Water Quat'J[q~:~::: ~~
WELL CONTRACTOR CER.TIFICAflON # 26()3 JAN 18 ~t~
1. WliLL CCNTMCTOR:
,Lany Wells
Wall Coritractor (Individual) Name
AWD services , lnc.
Weu ContnlatorCompany Name
258 North Turkev Creek Rd.
Stnlet Aad~
_ Lei cester NC 28748
City or Towri stai. Zip Code
L828 > 683-9223
Area code Pl'!On• 11umber
2. WBLL INFORMATION:
WELL CONSTRUCTION PERMIT#c.:.W..._l....,O::..1,_,,0..,,Q,_,1""5""'5 ____ _
On-lER ASSOCIATED PERMITl(ihpplgble), ______ _
81TEW£;LL 1D,(lf~icable-,_ ________ _
a. WELL UBB (Oneok Appflcabla Bax); Rasldontlal Wa(Br Supply □
DATE ORILLE0..;:.6.:.::/2/=-1.,...1.._ __ _
TIME COMPLETED. ______ AM □ PM rf
4. WILL LOCATION:
Cl'TV: Ash evilJe couNTY Buncombe
We ndover o d
fteet Name, NUlllbffl. Community, S11bdi111110n. LOI No,, ParQII, p COCle)
TOPOGRAPHIC I LANO 8En1NG : (~odc appn,Plfale l,IOlCJ
r;t8Iope ov11Ihsy 1:11:111 o~ge oocner Eley. 2219
I.ATITUOE ~• 34 • 2 .0000 "OMS OR ____ DD
LONGITUDE~•_!._' 52,0000 • OMS OR ____ oo
LatitudeAongitude &aurce: lif3PS Dr opogl"lphic map
(/o(;atlofl Of wet( must 011 shown on IJ uses topo map andettoched to
thfs fc,m ff not usiflg GPS)
S. WELL OWNER
Glen n Bass
OwnerNllm•
45 Wendover Road
SnetAddreaa
Ashevme NC 28806
City or Town State Zip Code
t828 l
Area code PhOne number
G, WELL DEiAlLS! .., ( 2) Geothermal Bores
•• TOTAi. DIPTH,,_3,._0z;0:..'----
b . DOES WELL REPLACE &Xl8TING V4LL? YES □ NO 1:1
'
. .
·:
. .
.
'
g. WATER ZONU (depth):
Top Bottom Top BOIIOffl
Top. Bollom Top Bonam
Top ~m Top Bottom
Thfakn...,
7, CASINO: Depth OIIIM18r W.tollt ... ,..,
Top_Botwm_Ft.
Top_Botfom_Ft. -Top_ Bottom_ Ft. -
8, GROUT: Oep,n Material
Top..Q__ Bottoni.2Q:.__ Ft. Beptonlte Pour
Top.il:__ ao11o111 300' Ft. Pea Gravel Pour
9, SCIU!IN : DepUI Diameter Slot Sim M■terlll
Top_8ottom_Ft._1n. _in. ___ _
Top __ eottom,,__ Ft. __ in. __ In. ___ _
Top_ Botto!Tl_ l"t._in. in. ___ _
10. $AND/GRAVII. PACK!
Deptti Sia Top ___ e.ottom_Ft. __________ _
Top ___ Bottom_Ft. __________ _
Top. ___ . Bottorn_r:L._ _________ _
11. DRILLING LOC3
Top Bottof'tl · Formatlon oe~c;Mptlon
----' ___ ,----
----'.--------'--------'.-------''----___ , ___ _
I --... '~---' ----,,,.....---__ _,, __ _
---'----
12, -REMARl<S:
Soil: Clay, Rock
I 00 HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN
c. WATER LEVEL Below'Top ofCesint: N/A FT. ACOO~DANCE WITH 1SA. NCAC 2C, WELL CONSTRUCTION
(Us e '+' if Above Top of Caslng) S'rANDAROS, ANO THAT A COPY OF THIS RECORD HAS BEEN
l"ROVIDED TO THE WELL OWNEft .
d. TOPOFCASlNG IS 'N /A FT,AboveLandSurfaca.. ; ~
"Top of casing lllrmlnated 111/or below land surface may reQ1,1lre : ~ 8/22111
a v■rtanoe lnaccomance.wfth 15A IIICAC2C .011&. j ~o~~OR DATE
•· YIELD (9pm): N/A METHOD OF TEST NIA : Laryy Wells
f. DIBINFIOTION: ~ N/A Amount NIA ~PR==l~NT==ED=""NAM....,..,=e=o=i: "'"PE~RS=o,.,.N"""co..,,..,..NS-=-m~u=CTI=N,..,..G"'"T""'H ... e'""w"""a~L--
.. .,,.
~-~~~~•~ln:_~·.d• of ,c;:ompletlqn to: Dlvlelon of Water Quality• tnfonnatlen Praceealng, Form aw-1a
:··~i11':Mi.W8ervlce ~nbirl Mlelgh, NC 271599•161 , Phone: [phone] Rev. 2/09
• l ~ •
Permit Number WI0100155
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
aci ih
Facility Name
Glenn Bass SFR
Location Address
45 Wendover Rd
Asheville
Owner Name
Glenn
NC 28806
A Bass
Scheduled
Orig Issue App Received Draft Initiated Issuance
05/09/11
ReQulated Activities
Heat Pump Injection
Outfall l·'UL!...
Central Files: APS_ SWP_
05/24/11
Permit Tracking Slip
Status
In review
Project Type
New Project
Version Permit Classiflcatlon
Individual
Permit Contact Affiliation
Larry Wells
PO Box 125
Leicester
Major/Minor
Minor
NC
Region
Asheville
County
Buncombe
Faclllty Contact Afflllatlon
Owner Type
Individual
Owner Affiliation
Glenn A. Bass
45 Wendover Rd
Asheville NC
Effective Public Notice ~;u\ \ \
Reouested/Received Events
RO staff report requested
RO staff report received
28748
28806
Expiration
t.t\~\ IL()
05/20/11
06/24/11
Waterbody Name Stream Index Number Current Class Subbasl n
AVA
MCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
May 31, 2011
Glenn Bass
45 Wendover Rd.
Asheville, NC 28806
Ref: Issuance of Injection Well Permit WI0100155
Issued to Glenn A. Bass
Asheville, Buncombe County, North Carolina
Dear Mr. Bass:
Dee Freeman
Secretary
In accordance with the application received on May 9, 2011, I am forwarding permit number WI0100155 for the
construction and operation of a vertical closed-loop geothermal mixed-fluid heat pump injection well system to be
located at 45 Wendover Rd., Asheville, Buncombe County, NC 28806. This permit shall be effective from the date
of issuance until April 30, 2016, and shall be subject to the conditions and limitations stated therein, including the
requirement to install well identification tags as specified in Part Il.3 and to submit well construction records
as specified in Part VIl.2. Be sure to read the entire -permit to ensure that you are aware of all compliance
requirements of the permit.
You will need to notify this office at least 48 hours prior to beginning construction and operation of the injection
well system. In order to continue uninterrupted legal use of the injection facility for the stated purpose, you must
submit an application to renew the permit 120 days prior to its expiration date . This permit is not transferable to
any person without prior notice to and approval by the Director of the Division ofW.ater Quality.
Please contact me at [phone] or inichael.ro!!ersi<Uncdenr.2ov if you have any questions about your permit.
cc: Landon Davidson, Asheville Regional Office
WI0100155 Permit File
Buncombe County Environmental Health Dept.
Best Regards,
~
Michael Rogers, P.G. (NC & FL)
Larry Wells, AWD Services, Inc., P.O. Box 125 , Leicester, NC 28748
AQUIFER PROTE:TION SECT ION
1636 Mail Service Cente r, Ralegh, North Carolina 27699-163f,
Loeat1on: 2728 Capital Boulevard , Ra la:g h, Nonh Carolina 27604
Phone! 919-733-3221 ~FAX 1: 919-715--0588' F~ 2. 91 9-715-6048 1 Cus1omcr Ser111<:E:. l-877-£23-6748
Internet: www .ncwateroualitv.oro
A,, Equal Opporrunh:· I Affirmaltye Action Employfc
Nir1rthcarolina
Jvatura!f!I
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
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
Glenn Bass
FOR THE CONSTRUCTION AND OPERATION OF 2 TYPE SQM INJECTION WELL(S), 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 45 Wendover Rd., Asheville, Buncombe
County, NC 28806, and will be constructed and operated in accordance with the application received March 9,
2011,_ 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 of an injection well and shall be in compliance with Title ISA of
the North Carolina Administrative Code 2C .0100 and .0200 plus any other applicable Laws, Rules, and
Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked., from the date of its issuance until April 30, 201(>, and shall be
subject to the specified conditions and limitations set forth in Parts I through IX hereof.
-Permit issued this the 31st day of May, 2011.
c-,M"f:oleen H. Sullins, Director t Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #WI 0100155 UIC/SQM
ver. 03/2010
Page 1 of 5
PART I -WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any noncompliance with
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is
grounds for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in acc-0rdance with the conditions of
this pennit, 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 reasonab1e protection against damage during construction and use.
PART II-WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Underground Injection Control (UIC) Program Central Office staff, telephone
number (9 19) 715-6166 and the Asheville Regional Office Aquifer Protection Section Staff, telephone
number [phone].
2. The location of each of the system manifolds shall be recorded by triangulation from three permanent
features on the site (e.g., building foundation comers) and shown on an updated Site Map. The Pennittee
shall retain a copy of this record on site.
3. One well identification .tag per grouping or 'cluster' of wells shall be permanently affixed to the heating
and cooling unit or other nearby permanently fixed location in accordance with 15A NCAC 2C .0213(g).
PART Ill -OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature. volume of materials and rate of injection, as
described in the application and other supporting data.
2. 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 submitte<l 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 thi s permit shall not relieve the Pennittee 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.
Permit #WI0100!55 UIC/SQM
ver. 03/2010
Page 2 of S
PART IV-PERFORMANCE STANDARDS ~· ..
1. The injection facility shall be effectively maintained and operated at all times so 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 actio ns 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 th.e Pennittee of the responsibility for damages to surface or
ground water resulting from the operation of this facility.
P;\.RT V -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee 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 injectio~ the
Permittee must notify by telephone the Aquifer Protection Section 's Underground Injection Control (UIC)
Program Central Office staff, telephone number (919) 7 15-6166 . Notification is required so that Division
staff can ins pect or otherwise review the injection facility and determine if it is in compliance with permit
conditions.
PART VI~ INSPECTIONS
1. Any dul y 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 o f determining compliance with this permit, may i,nspect or
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwater, surface water, or injection fluids.
2. Division representativ es 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 necess ary and appropriate s amples associated with the
injection facility activities.
Permit #W\01001.5 S UIC/SQM
ver . 03/2010
Page 3 of 5
PART VII -MONITORING AND REPORTING REQUIREMENTS
1. All required documentation shall be submitted to:
Aquifer Protection Section -UIC Program
DENR-Division ofWater Quality
1636 Mail Service Center and
Raleigh, NC 27699-1636
Pb# 919-715•3221
Aquifer Protection Section
Asheville Regional Office
585 Waughtown Street
Asheville, NC 27107
[phone]
2. A completed Well Construction Record (Form QW.1) for each injection well must be submitted to the
Aquifer Protection Section Central Office and the Asheville Regional Office within 30 days of completion
of well construction. Copies of the GW • l form(s) shall also be given to the Permittee and retained on site
to be made available for inspection.
3. A copy of the site map updated with manifold locations required in Part 11.2 of this permit shall be
submitted to the Aquifer Protection Section Central Office and the Asheville Regional Office within 30
days of completion of well construction.
4. 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.
5. The Pennittee shall report by telephone, within 48 hours of the occurrence or first knowledge of the
occurrence, to the Asheville Regional Office, telephone number (828) 296~4500, 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 ;
(C) Any loss of refrigerant in the system, regardless of the origin of the loss ;
(D) Any recharging of the refrigerant system.
6. 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 Pennittee.
7. In the event that the permitted facility fails to perform satisfactoril y, the Permittee shall take such
immediate action as may be required by the Director.
PART VIIl-PERMIT RENEW AL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the Permittee shall
submit an application to renew the permit 120 days prior to its expiration date.
Permit #WI01001S$ UlC/SQM
ver. 03/2010
Page 4 of 5
,.
PART IX-CHANGE OF WELL STATUS
1. The Pemrittee shall provide written notification within 15 days ofany 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 Permittee must install a sanitary seal. If a well is not to be used
for any purpose, then that well must be permanently abandoned according t o 15A NCAC 2C .0213(h)(l).
Notification shall be submitted to the addresses given in Part VII.1 ofthis permit.
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 ISA 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 that 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 drinking water and in accordance with the terms and conditions
of the permit.
(G) The Permittee shall submit a copy of the Well Abandonment Record (Form GW-30) as specified
in 1 SA NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. Copies shall be
submitted to the addresses given in Part VII.l of this permit.
Permit #WI01D015S UIC/SQM
ver. 03/2010
Page 5 of S
Roge rs , Michael
F rom: D avidson , L andon
Sent:
To :
T uesday, May 2 4 , 2011 8:29 AM
R ogers, Michael
Subj ect: R E: W I 0 10 0155 Bass
Please proceed with permit issuance as we have performed a cursory r eview and found no potential issues.
L
G. La ndon Oavitison. P.G.
11.C.DEl'tA tliv i>iJn ot ~-... t ~, Clli;, fit-,
' .. ' :~::.iutt:1 rniLt tfo n !;;iiJn e
P. ..c:i.:,n :I M'S ~u p~•1.t • .,, ,
.',>h.,.,ill,. P..::i.>nd Otti,:
2.~~ U.!. HM ?:'.I
~,-,:11 11:-n.1~. F\.C . ETTS
ph.: n s 2?& -!:o3
t: .: 62.S !:\9,7:V.3 -=----.... -----
web page: http://h2o.enr.state.nc.usl agw.html
This e-mail contains a pub/le record which Is subject ta disclosure to third
parties and the pub/le pursuant North Carolina's Public Records Low. N.C.
Gen, Stat. §132·1, et seq. This e-mail may contain materials prepared
during or In anticipation of a legal proceeding os port of preparation for that
legal proceeding, In which case third party or public access to It Is subject to
N.C. Gen. Stat. §132-1.9 and maybe denied until the conclusion of the legal
proceeding, Including the completion of all appeals and post-Judgment
proceedings, or, In the case where no legal proceeding has been commenced,
upon the expiration of all opp/lcable statutes of /imitations and periods of
repose.
From : Rogers, Michae l
Sent: Frid ay, May 20, 2011 3:35 PM
To: Davi dson, Landon
Subject: WI 010 0155 Bass
La ndon-
Please find attached a SQM permit application. Please let me know If you wish to cond uct a pre-penn ltting inspection or
not.
Thanks
Michael Rogers, P.G . (NC & FL)
Environm ental Specialist
NC Div of Water Quality,-Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh, NC 27699-1636
D irect Line [phone]; Fax [phone] (put to my attn on cover letter)
http://portal.ncdenr.org/web/wq/aps/qwpro/permit-applications#geothermApps
E-mail correspondence to and from this address may be subject to the North Caro/Ina Public Records Law and may be disclosed to third parties
l
A:P.JfA
/if.'t_r,~·~~·~l\.~
MCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Coleen H. Sullins
Director
May 11, 2011
Glenn A. Bass
45 Windover Rd.
Asheville, NC 28806
Subject: Acknowledgement of Application No. WI0100155
Glenn Bass SFR
Injection Mixed Fluid GSHP Well System (SQM)
Buncombe
Dear Mr. Bass:
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on 05/09/2011 . This application package has been assigned the number listed above and will be reviewed by
Michael Rogers.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. to enstJ!l: 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 Office, 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 Michael Rogers at 919-715-6166, or via e-mail [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division has reorganized. To
review our new organizational chart, go to h np://h2o.enr.state.nc.us/documents/dwg ornchart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
_jly, M~~
WD~ sl~~:v~~
cc: Asheville Regional Office, Aquifer Protection Section
Larry Wells (A WD Services, Inc., P .O. Box 125, Leicester, NC 28748)
Brad Stickels (Stickels Service Co., 32 Pine Hill Rd., Fairview , NC 28730)
PermitAl)plication File W10 10015 5
AQUIFE.R PROTECTION SECTION
1636 Mall SeNlce Center. Raleigh, North Carolina 27699-1636
Location : 2728 Capital Boulevard , Raleigh . North Carolina 27604
Phone: [phone] I FAX 1: 919-715-0588 ; FAX 2: 919-715-6048 I Customer SeN1ce: 1-877-62.3-6743
Internet www.ncwatemuality.org
An EQual Opportunity I Affitma~ve f\c~on E.flipj(}yer
N(}ne, C .. ortn a!011na
Jvaturaliil
V
HE~~v~u,Oi;NR,o~....,
Aquffar ProteN,.,,, ~iron
NORTii CAROLINA MAY O 9 20ft
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 SOM WELL{S)
X New Permit Application OR ___ _;Ren';wal (check one)
DATE:_~S:.-<-_-_..2....==-_ _.,. 20__..H
PERMIT NO. _______ (leave blank if NEW permit application)
A. PROPERTY OWNER(S)/APPLICANT(S)
List each Property Owner listed on property deed (if owned by a business or government agency, state name of
entity and a representative w/a~ for signature):
GL. EivtY ~49'$ ,. ..,
(1) Mailing Address: 4S: ~Qlll/"l?. Ra,
C.ity: 4~h/Elf/U£ State;L\(CZip Code; ZS@<>'-ColllJty; ____ _
Home/Office Tele No.: (Ji.z.BJ -z 52-4r'i B z Cell No.:(8~-~S:o -Ce 3 ';6:3'
EMAIL Address: ______________ _
(2) Physical Address of Site (if di:fferent1ban above): ______________ _
City: ________ State: __ Zip Code: _____ County: ____ _
Home/Office Tele No.: __________ _,Ce=ll-=-N=o=.: _________ _
EMAIL Address: ______________ _
B. AUTHORIZED AGENT OF OWNER, IF ANY (if.the Permit Applicant does not own the subject property.
at.w:h a leUer .from the property owner autbQti.z.iog Agent to insfall and operate UJC weJJ)
Company Name: __________________________ _
Contact~~n==------------~EMAIL==~A=d=dres=s~: ________ _
Address: ____________________________ _
City: ________ State: __ Zip Code: _____ Coumy: ______ _
Office Tele No.: Cell No.:
Website Address of Company. if any: _____________ _
C. STATUS OF APPLICANT
Private: _x_
State:
Federal:
Municipal: __
GPU/UIC SQM Well Permit Application (Revised 7/2008)
CommerciaJ:
Native American Lands:
~agc-1
D.
E .
F.
G.
I OENRI uWU. RECE\VED ~11(':tion AQ.u\fer Protect1of\
WELL DRll..LER INFORMATION
Company Name: A WD Services, Inc.
Well Drilling Contpictor's Name : ~Larry~_W_e_ll_s ___ _
NC Contractor Certification No.: 2603
Contact Person_~: =L=arry"--'-W~el=ls~_~E=m=ail=· =A=d=dre=ss~:W~el=ls~75~0=5~49-@...,,.$~e=ll=so~u~th~.n~et
Website: www.appwellddlling.com
Address: PO Box 125
City: Leicester, NC Zip Code: 28748 County: Buncombe
Office Tele No.: 828~683-9223 Cell No.: 828~215-9334
HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: St~c,,4,..c,..\ s S,.,.u-►<--s c~.
\\A'< O 9 20\1
ContactPerson! ~cey) St\~L:> EMAIL Address: Si'ish, :bo@ t'\:,..J~~.<.,.~
Ad~ss: 3 l.. 2'•"'L \i\\ L\ Q.. ~ \ f "\' uc.<,..\..l bl.C.. d
City: E,~ ""'• <.lJ Zip Code: 2/1130 County: bv~ t..~ ""'l.1-
Office Tele No.: 9.).~ .. Co1..i .. '°""n Cell No.: <jl.i -JJl.o-',2. 'l.. l
INJECTION PROCEDURE (briefly descn'be how the injection well(s) will be used)
WELL CONSTRUCTION DATA (Skip to Section H if this 15 a Permit RENEW AL) ~
(1) Proposed date to be constructed: when permitted Number of borings: ).
Approximate depth of each boring (feet): __ 3_00 ____ _
(2) Chemical additives to be used in closed-loop system ( only those chemicals indicated have been approved)~
___ ~22 propylene glycol )( ethanol _______ other (other additives will
need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper~ PVC. etc); ....,, ...... ~-~-Lt:-ZbC~-,......._,+:~--A.--t-L--/2~'.P~~~~-
(4) Well casing. Is the well(s) cased? (check either (a.) YES m: (b.) NO below)
(a) YES ___ if yes, then provide casing information such as~ (steel, PVC, plastic, etc.), diameter,
~ and extent of casing appearing above ground: ______________ _
(b) NO X
(5) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite __:i:::. Other (specify) ______ _
(b) Grout depth of tubing (reference to land surface): :from O to~ (feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
H. INJECTION-RELATED EQUIPMENT
GPU/UIC SQM WeU Pennit Application (Revised 7/2008) Pagel
RECEIVED /1 ~1/Qi:\IA(Q
Aq\Jlfer Prct~snim~n
~•AY ~ a 2Q11
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
inf onnation.
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, swface 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 wnks or drain fields located within )000 feet of the
geothermal heat pump well system. Label all features clearly and include a north anow.
(2) Include a topographic map of the area tlxtending one mile from the property bourularie.s and
indicate the facility's location and the map name.
J. POTABLE WATER WELL(S)
Are there any potable water well(s) on the subject property or adjacent properties? __ YES .JL_NO
If Yes. than indicate location on attached map(s).
JC. CERTIFICATION
Note: This Permit Applicadon must be signed by ea.ch t)erson appearing on the recorded lega1 property deed.
.. I hereby certify. under penalty of law, that I have personally examined and am fimilliar 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 -eomplete.
I am aware that there are significant penalties, including the possibility of fines and imprisonment. for submitting
false infonnatio~ 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."
ft~~
~ture of Property Owner/Applicant
G 1~..,-n 11. Ba..s ::s
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 Car.olina DENR•DWQ
Aquifer Protection Section
UICProgram
1636 Mail Service Center
GPU/UIC SQM Well Permit Application (Revised 7n008) Page l
~
Map Output Page 1 of2
BUNCOMBE COUNTY, NORTH CAROLINA
9828502983
http://gis.buncombecounty.org/servlet/com.esri.esrimap.Esrimap?ServiceName=sid3&For... 5/12/201 1
Map Output
Legend
tUghJig!Ued_ Feature
Seleeted_Feature&
O ,. County Boundary
D P arcels
II" ~
.N
~
~
~
,IV"
N'
~
Parcel Dimensions
Sttaet CenteflllW&
Int--
tlSlhil.._f
ti::: Ugl\'Ml)I
Lo<:;:i/,,.n...-.al
H-.rn,..,th.ooo Cc,;ooc,a,
l.<11:al~tol
.,_ltomi:c
Wahm,9hl/,
Tram,pOrtation
(RightotWayal Easemerlts}
Otlglna1 Lot Unes
200& Aer'ial Imagery
Page2 of2
bttp://gis.buncombecounty.org/servlet/com.esri.esrimap.Esrimap?ServiceName=sid3&For... 5/12/2011
Buncombe County Tax Lookup -Property Card Page 1 of 4;
COUN1Y OF BUNCOMBE, NORTH
CAROLINA
Web Property Record Card
9628-50-2983-00000
Date Printed: 5/12/2011
Owner Information Parcel Information Total Property Value:
162,700
Owners:
ddress:
Property
Location:
Taxing Districts
County:
City:
Fire:
School:
GLENNA BASS
45 WENDOVER RD
ASH-EVILLE NC
28806
45 WENDOVER RD
Buncombe County
City of Asheville
ASHEVILLE SCH.
Status:
k\ccount:
Deed Date:
Deed Book/Page:
Plat Book/Page:
Legal Reference:
Location:
Class:
Neighborhood:
Subdivision:
Sub Lot:
Zoning:
Active
8244613
8/11/2010
4806 / 1880
0007 / 0070
QUITCLAIM DEED
45 WENDOVER RD
RESIDENTIAL
RES/GD/ASH-05
MAL VERN HILLS
20
Conservation/Easement:N
Flood:
Ownership History
http://www.buncombetax.org/PropertyCard.aspx 5/12/2011