WI0100161_GEO THERMAL_20120523

Beverly Eaves Perdue
Governor
AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E.
Director
May 23, 2012
Michael and Elizabeth White
201 Ridge Street
Black Mountain, NC 28711
Subject: Notification of Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit N wnber: WIO 100161
Dear Mr. and Mrs. White:
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 must be submitted to the Division of Water Quality. You
may view the revised rules on our website at http://portal.ncdenr.org/web/wq/aps.
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 Cenler, Raleigh, North Carolina 2i'699-i636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] \ FAX: 919-807.(l496
Internet: www.ncwaterguaHtv.org
An Equal Opportunity\ Affirmative Action Employer
N0i~1..c ·1· . orui aro 1na
Natura/Iv
R ESIDENTIAL WELL CONSTRUCTION RECORD
North Carolina D epartment of Environment and Natural R esources-Division of Water Quality
WEL L CONTRACTOR C ERTIFIC ATION # _=3~5=--0____c;O ____ _
Well Contractor (Individual) Name'
AWD Services. Inc.
Well Contractor Company Name
258 North Turkev Crk Rd.
Street Address
Leicester NC 28748
City or Town State Zip Code
828 > 683-9223
Area code Phone number
2, WELL INFORMATION:
1
/
WELL CONSTRUCTION PERMIT# v'lI O I 6D I CJ> {
OTHER ASSOCIATED PERMIT#(if applicable) _______ _
SITE WELL ID #(If applicable) __________ _
3, WELL USE (Check Applicable Box): Residential Waler Supply ~
DATE DRILLED CP/30 I I I
TIME COMPLETED _______ AMO PM □
,. WELL LOCATION:
CITY: lf\C -~
bers, Community, Subdll,tslon, Lot No., Parcel, Zip Code)
T~GRAPHIC / LAND SETTING: (check appropriate bo><) 1
m5fope □Valley □Flllt □Ridge OOtherel ev.ol,-6~8'
LATITUDE ~-8' · 5<f "DMS OR 3x.xxxxxxxxx DD
LONGITUDE ~·l!i: JS "OMS OR 7x.xxxxxxxxx DD
Latitude/longitude source: ~PS Dropographlc map
(location of well must be shown on a USGS topo map andattached to
this form If not using GPSJ
5. WELL OWNER 1 /
mt.ha.el -+ E;7;zt:15€:fh vifntfl
°?er Name
0AOJ<Z
Street Address
NC
City or Town State Zip Code
( ) _________ _
Area code Phone number
,. WELL DETAILS: (Jf;offiermPI y
a. TOTAL DEPTH: !pro 1
1 v,85
b. DOES WELL REPLACE EXISTING WELL? YES D NO rs/
c. WATER LEVEL Below Top of Casing: ______ FT.
(Use·+• If Above Top of Casing)
d. TOP OF CASING IS -1-FT. Above Land Surface•
'Top of casing terminated at/or below land surface may require
a variance In accordance with 15A NCAC 2C .0118.
e. YIELD (gpml: ____ METHOD OF TESNl81. Conte ii
f. DISINFECTION: Type tablets Amounr-2---=----
g . WATER ZONES (depth):
Top ___ Bottom __ _ Top ____ Bottom __ _
Top ___ Bottom __ _ Top Bottom __ _
Top ___ Bottom __ _ Top Bottom __ _
7. CASING: Depth Diameter
Toi) 0 Bottom ___ r-t 61 /411
Top ___ Bottom ___ Ft __ _
Top ___ Bottom ___ Ft, __ _
a. GROUT: Depth Malarial
Toµit° Bottom 20 Ft. GeAerete
Thickness/
Weight Material
-soru · ~
Method
1'mJr
Top ___ Bottom ___ Ft. ____ _
Top ___ Bottom ___ Ft ____ _
9. SCREEN: Depth Diameter Slot Size Material
Top ___ Bollom ___ Ft __ in, in. ____ _
Top ___ Bottom ___ Ft. __ in, in. ___ _
Top ___ Bottom ___ Ft. __ in. In, ____ _
10. SANO/GRAVEL PACK:
Depth Size Material
Top ___ Botlom ___ Ft. __ _
Top Bottom ___ Ft. __________ _
Top Bottom ___ Ft. __________ _
11, DRILLING LOG
Top Bottom Formation Description
----''----/ --------'--------'--------''--------''----__ ....,/ ___ _ __ ....,, ___ _
---''----__ ....,, ___ _
__ _,! ___ _
---''---------'--------'----
12. REMARKS:
Sol
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.
~~LL CONTRACTOR
1/L.~11
wk/iltAitlf-lifJ,~ttNSTRUCTING THE WELL
$ubmlt Within 30 days of complet.ion to: Division of Water Quality -lnfonnatlon Processing,
1617 Mall Service Center, Raleigh , NC 27899-161, Phone: [phone]
Fonn GW-1a
Rev. 2/09
0t.0/0t0d 5'9d Hl'EO :JN: -Ol 8026£89828 -WOH:i Sf!: 80 Zt,,-81 -t0 03i\I3~3H
~orrected Form-Orginal Form ReceiYed July l~, 2011.
'
RESIDENTIAL WELL CONSTRUCTION RECOR.l>
Nonh Carolina OepantnCTlt ofEnvilonmcn! and 'Nat11ral R.esour~• Division of Water Qllfli9ce1veo / DENR / DIM)
WELL CONTRACfOR CERTIFICATION # 2603 Aquifer Proredlon s«tlon
4. WI!"-~ONTMOTOR:
Larrv wens
. Well Contraotor (Individual) Name
AWP se rvices, inc.
Well Contractor Cornpal'ly Nam111
2 58 North Tu'rkev Creek Rd .
· Straet l\ddreas
LejC8ster
CltyorTown
< 828 > 683·9223
Area cocle PIion• number
2. WILL INFOAMATION;
N C 28748
State ZioCodo
WELL CONSTRUCTION PE~lrt...,.W...,l'""'Q'-'1=0=0-'-16=-1...__ ___ _
OTHER ASSOCIATED PERMIT'(!! IIIJ)lable,._ _____ _
81T8WELL IO#(ifapii!k:abll) _________ _
3. WELL USE (Ch~ AppficaDle 8~; Residential Waler Supply □
DATE DRILLED-=6...,./3=O=/ .... 1 ..... 1 ___ _
TI.ME COMPI.ETED ______ AMO PM fY'
4, W!LL LOCATIOtil:.
c1TY: Bl ack Mountain COUNTY Buncombe
:~ »~~!~~!lunllY. SubdMllan, I.at No .. PIIOtl, Zip Code)
TOPOGRAPt:flC / I.AND SETTING: (check 1pprcp~n boll)
'1'Slopo ove11ey 0F111t QRirJge OO!her Elev. 252 8
LATITUOE ~•2: ... .' -59,0000 • OMS OR ____ DD
LONGITUDE 82 • 11 • 35.0000 "OMS OR ____ DO
\atituelallong~rca: lif;PS qropographlc map
(/or:atioll of•' must be 8/lown on· a USGS topo map anr:latteehed to
ltlla form if not u'1ng CiiPS)
S, WELL OWNER
Michae l & Eli zabeth White
Owner Name
123 Browning Road
Street Addreu .
Black Mountain NC ~7..1.1
City o::'('own
l.828 I _______ _
Area code Phone number
6.W&LLDETAILS: (2) Geochermal Bores
•• TOTM. DE~: 1/285' 1/300'
b. DOES WELL Al!Pl.AC li EXISTING WliLL? YES □ NO Cl
c .. WATiR ~V!L Betow Top of C8Slng: N/ A FT,
(Use ••• if Above Top of Ces!ng)
d. TOP OF CASING IS N/A FT, Above Land Surtaai-
-Top of 0eol119 ttrmin1\ed 1t1or below lano surface may require
a 11arianae in accord,n_i:e wittl HIA NCAC 2C .0118.
•· Yl!LD (gpm): NIA METHOD o, T18T_Nl~A ___ _
· f, DISINFECTION: Type NIA Amount ..... N...,/A.....,_ __
g, WATER ZONl!S (depth);
JAN 18 ~
Toi, ___ Bottom ____ _ Top ___ eottom,_ __ _
Top Bottam. __ _ Top eottom ___ _
To·p Bonom __ _ Top Bottom __ _
Thlcknesll
7. CASINO: Depth
Top_Bottom_Ft. __ _
'rop_Bott.om~Ft. __ _
Top_Bottom_ Ft."----
e. -GROUT: Daptl'I Material
Top.Q___ eottorn~ Ft. Bentonl te
Toplf__ Bottom~ Ft. Pea Gravel
Topl.1'.__ BottomlQQ:._ Ft Pee Gravel
'
W.lght
Pour ·
Pour
9, SCREIN: Depth · Diame1er Slot Size Material '
Top_BoUom_Ft._ill., -In.----
Top_B9ttom_r:t._1n. _in. ___ _
Top_Botto"1_Ft. __ 1n. _. __ ·In, ___ _
10, SAND/QAAVEL PACK:
Dt,U. Siu "'ablrial
Top ___ Bottom_Ft:·---_______ _
• Top. _ _,,,_Bottom._ __ Ft,, ___ -------=-----
.
Top, ___ eottom_ Ft..'-. ________ _
11, DRIL
Top
I
I __ ..,, ___ _ ___ , ___ _
I
---~----
--..:'--------'------..... '----__ _,, ___ _
I
12. REMARKS:
soa : Clay. Rocle
Fonnation Deserlptloo
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTeD IN
ACCORDANCE WITH 15A NCAC 2C, WEt.L CONS~UCTION
S'rANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN
PROVIDEO • THE WE • .'NER. .
NTRACTOI\
7/12/11
DATE
Larry Walls
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
. ~~"1-"wlthin ·~ days of completion to: Division of Water Quality • lnfonnati,on Processing,
. 1517.=Malt s·ervic1,Center, Raleigh. NC 27899•161, Phone : [phone]
FonnGW-11
Rev,2/09
Permit Number Wl0100161
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
P rimary, Reviewer
rn ichael. rogers
Coastal SW Rule
Permitted Flow
Fac·n
Faclllty Name
Michael and Elizabeth White SFR
Location Address
201 Ridge St
Black Mtn
n er
Owner Name
Michael
Dates/Eve nt!=
NC
Orig Issue App Received
06/22/11
Reo ulated Activities
Heat Pump lnjecti1m
Outfall 1•1U!..L
28711
White
Draft Initiated
Scheduled
Issuance
Central Flies; APS_ SWP_
07/06/11
Permit Tracking Slip
Status
In review
Project Type
New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Asheville
County
Buncombe
Facility Contact Affiliation
Owner'Type
Individual
Owner Affiliation
Michael White
Owner
123 Browning Rd
Black Mtn
Public Notice 7 \\3\ I '
NC
Effective
Re o uested/Received Events
RO staff report requested
RO staff report rece ived
28711
Expiration
4f?D/t(o
07/05/11
07/06/11
Waterbody Name Stream Index Number CurTent C lass Subbasln
. A~A .,_,.,. ..
MCD~EM~R
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
July 13, 2011
Michael and Elizabeth White
123 Browning· Road
Black Mountain, NC 28711
Ref: Issuance of Injection Well Permits WI0100161
Issued to Michael and Elizabeth White
Black Mountain, Buncombe County, North Carolina
Dear Mr. and Mrs. White:
Dee Freeman
Secretary
In accordance with the application received on June 22, 2011, I am forwarding permit number WI0100161 for the
construction and operation of a vertical closed-loop geothermal mixed-fluid heat pump injection well system to be
located at 201 Ridge St., Black Mountain, Buncombe County, NC 28711 . This permit shall be effective from the
date of issuance until June 30, 2016, and shall be subject to the conditions and limitations stated therein, including
the requirement to install well identific-.tion tags as specified in Part Il.5 and to submit well construction
records as specified in Part Vll.2. Be sure to read the entire permit to ensure that you are aware of all compliance
requirements of the permit.
Also, please pay special attention to the Well Construction Special Conditions Pa.rt Il.1 and Il.2. During
drilling of the borings and installation of the wells, certain conditious to be met.
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 of Water Quality.
Please contact me at [phone] or michael.rot!erstm ncdenr.Qov if you have any questions about your permit.
cc: Landon Davidson, Asheville Regional Office
WI0100161 Permit File
Buncombe County Environmental Health Dept.
p-:_p fl.;JA ..,____
Michael Rogers, P.G. (NC & FL)
Larry Wells, A WD Services Inc., P.O. Box 125 , Leicester, NC 28748
AQUl!rER PROTECTION SECTION
1636 Mail Service Center, Ralegh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh. North Carolina 27604
Phone: [phone] I FA X 1: 919-715-0588: FAX 2: 919-715-6048 I Customer Service; 1-877-623-6748
Internet: www.ncwaterouality.org
An Equa, Opoortuntiy I Affirmawe /.,ct.on Empioyfli
~rthCarolina
;vaturalf!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
Michael and Elizabeth White
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 201 Ridge St., Black Mountain, Buncombe
County, NC 28711, and will be constructed and operated in accordance with the application received June 22,
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 15A 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 June 30, 2016, and shall be
subject to the specified conditions and limitations set forth in Parts I through IX hereof.
Permit issued this the 13th day of July, 2011.
l(f Coleen H. Sullins, Director ~ Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #WI010016 1 UIC/SQM
ver. 03/2010
Page 1 of 5
PART I -WELL CONSTRUCTION GENERAL CONDITIONS
1. The Pennittee 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 pr9vided for in N.C.G.S. 87-94.
2. 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 s ubject to floodin g. Areas that are generally
subject to flooding include those with concave slope, alluvial or colluv ial soils, gullies, depressions, and
drainage ways.
5. Each injection well shall be afforded reasonable protection against damage during construction and u se.
PART II-WELL CONSTRUCTION SPECIAL CONDITIONS
1. During installation of the wells, all drilling fluids and/or production water shall be retained on site and not
be allowed to flow off-site onto adjoining properties and any surface water bodies.
2. During installation of the wells, the borings/wells will not be allowed to r emain open and unprotected
from contamination of any storm.water.
3. At least forty-eight (48) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Und erground Injection Control (UIC) Program Central Office staff, telephone
number [phone] and the Asheville Regional Office Aquifer Protection Section Staff, telephone
number [phone].
4 . The location of each of the system manifolds shall be recorded b y triangulation from three permanent
features on the site (e .g., b ui lding foundation comers) and shown on an updated Site Map. The Permittee
shall retain a copy of this record on s ite.
5. 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 l ocation in accordance with 15A NCAC 2C .0213(g).
PART ID-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 Pennittee, a fonnal pennit 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.
Permit #WI0100161 UIC/SQM
ver. 03/2010
Page 2 ofS
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
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 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
ground water resulting from the operation of this facility.
PART V -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2 . The Pennittee 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 determ.ine if it is in compliance with permit
conditions.
PART VI -INSPECTIONS
1. 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 pennit, may inspect 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 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.
Permit #WI 0100161 UIC/SQM
ver. 03/2010
Page 3 of S
PART VII-MONITORING AND REPORTING REQUIREMENTS
1. All required documentation shall be submitted to:
Aquifer Protection Section -UlC Program
DENR-Division of Water Quality
1636 Mail Service Center and
Raleigh, NC 27699-1636
Ph# 919-715-3221
Aquifer Protection Section
Asheville Regional Office
2090 US Highway 70
Swannanoa, NC 28778
[phone]
2. A completed Well Construction Record (Form GW-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-1 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 Il.2 of this pennit 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 Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge of the
occurrence, to the Asheville Regional Office, telephone number [phone], any of the following:
(A) Any occurrence at the injection facility that results in any unusual operating circumstances;
(B) Any failure due to lmown or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures;
(C) Any loss ofrefrigerant in the system, regardless of the origin o f 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 i nformation 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 b y the Permittee.
7. 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 VIII -PERMIT RENEW AL
In order to continue uninterrupted legal u se 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 #WI0100161 UIC/SQM
ver. 03/201 0
Page 4 of 5
PART IX-CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an injection
well. Such a change would include the discontinu ed 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 to 15A NCAC 2C .0213(h)(l).
Notification shall be submitted to the addresses given in Part VII. I of this 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 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 that extends to the bottom ofthe 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 \l!lderground 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 15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. Copies shall be
submitted to the addresses given in Part VIL 1 of this permit.
Permit #WI0100161 UIC/SQM
ver. 03/2010
Page S of S
WAT.
ciS 7 -r > -.--.....,----i
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality Cl~====~"(' Aquifer Protection Section
Regional StaffReport
07/06/2011
To: Aquifer Protection Section Central Office
Attn: Michael Rogers
Application No.: WI0100161
Regional Login No;: __
From: Jonathan Stepp
Choose an item. Regional Office
L GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? D Yes or 181 No
a. Date of site visit:
b. Site visit conducted by:
c. Inspection report attached? 181 Yes or D No
d. Person.contacted: Lany Wells and their contact information : [phone] ext_
e. Driving directions:
Il. PROPOSED FACILITIES FOR NEW ,AND MODIFICATION APPUCATIONS
l . Facility Classification:__ (Ple.ase attach completed raring sheet to be attached to issued permit)
2. Are tl1e new treatment facilities adeqt1a.te for the type of waste and disposal system? D Yes or D No
lf'no, explain: _._
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted repotts? D Yes D No D NIA
If no, please explain: _ .. __
4. Do the plans and site map represent the actual site (property lines. wells, etc.)? D Yes 181 No D N/A
If no, please ex.plain: The dimensions on the site lllllP are inconeot. I spoke witli Lany Wells (certified driller)
md conformed the actual dimensions of the property as well as the location ofthe_geo wells. These dimensions
are included on an attached map.
5. ls the proposed residuals management plan adequate? D Yes D No D N/ A
lfno, plea~e explain: __
6. Are the proposed application rates (e.g., hydraul ic, nutJient) acceptable? D Yes O No ON/A
lfno, please explai n: __
7. Are there any setback conflicts for proposed treatment,, storage and disposal sites? D Yes or D No
If yes, attach a .map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? D Yes O No ON/A
lfno, explain and recommend any changes to the groundwater monitoring program: __
9. For residual s, will seasonal or otl1er restrict ions be required? D Yes O No ON/A
If yes, attac11 list of sites with restrictions (Certi ficati on B)
FORM: APSRSR 04~10 Page 1 of3
ID. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
l. Ate there appropriateJy certified Operators in Cllarge (0RCs) for the facility? D Yes D No D N/A
ORC: Certificate#:__ Backup ORC; __ Certificate#: __
2. A.re the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? 0 Yes or D No
1f no, please explain: __
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequatel y
assimilating the waste? D Yes or D No
If no, please explain: __
4. Has tbe site changed i.11 any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? D Yes or D No
lf yes, please explain: __
5. Js the residuals management plan adequate? D Yes or D No
lf no, please explain: __
6 . Are the existing application. rates (e.g., hydraulic, nutrient) still acceptable? 0 Yes or D No
lf 110, please explain: __
7. .Is the existing groundwater monitoring program adequate? D Yes ONo D NIA
)fno, ext,lain !11'.ld recommend any changes to the groundwater monitoring program: __
8. Are then:: any setback conflicts for existing treatment, storage and disposal sites? 0 Yes or D No
If yes, attach a map showing conflict areas.
9. Js the description of the facilities as written in the existing permit correct? D Yes or O No
lf no, please explain: __ _
10. Were monitor,ingwells properly constructed and located? 0 Yes D No O 'N I A
Tf 110, please explain: __
11. Are the monitoring well coordinates correct in BIMS? D Yes D No ON/A
lf no. please complete the following ( expand table if necessary):
Monitoring WeD Latitude Longitude
<· ' ,, -0 , II
,, , " -u ' ,,
" ' ,, -C-' ,,
0 , II C r " -
Cl , ,, -0 ' "
12 . Has a re,,jew of all self-monitoring data heen conducted (e.g., NDMR, NDAR, GW)? D Yes or D No
Please summarize any findings resulting from this review: __
·13. Are there any permit changes needed in order to add1-ess ongoing BIMS violations? D Yes or D No
If yes, please explain: __
·14 , Check all that apply:
D Currently under J OC D No compliance issues
D Notice(s) of violation
D CwTent enforcement action(s)
D Currently under SOC D Currently under moratoriuni
Please explain and attach any docun1ents that may help clarify answer/comments (i.e., NOY , NOD, etc.)
l5. Have all compliance dates/conditions in the existing permit been satisfied? 0 Yes D No D NIA
If no , please explain: __
l6. Are there any issue-s related to compliance/enforcement that should be reso1ved before issuing this permit'?
OYes □No O NIA
lfyes, please explain: __
FORM: APSRS~ 04-10 Page2 of3
IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do yon foresee any problems with issuance/renewal of this permit? 0 Yes or 181 No
If yes, please explain: __
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
3. L-ist specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
-
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
Retain drilling fluids and water created during the To ensure that any discharge water from the drilling drilling process for a sufficient titne to allow solids to
settle out. process is in compliance with surface water stmtdards.
. Well head shall b~ protected thr.oughout the drilling
and construction process. If temporary casing is left
in the borehole for.a portion of the To ensure protection of the aquifer during the drilling/construction process it shall be covered with a drilling/construction phase of the geothermal well secure water tight cap; ·the temporary casing shall
terminate no less than 12 inches above grade. Open/ field.
un-grouted bore holes shall be protected throughout
the drillin g/construction process.
5. Recommendation: D Hold, pending receipt and review of additional information by regional office
D Hold, pending review of draft pennit by regional office
D Issue upon receipt of needed additional information
18J Issue
D Deny (Please state reasons: _)
6. Signarureofrcportpreparer: ~
Si~ature of APS region~ --=-
Date: f ,le · N
V. ADDTI10NAL REGIONAL STAFF REVIEW ITEMS
I spoke with _ Larry Wells about the emplacement of grout and Mr. Wells indicated that the well would be grouted
form 0' to -20' with bentonite and -20 ' to -300 ' with pea gravel.
FORM: APSRSR 04-10 Page3 of 3
37.5 75 150
tsuncomb~ county Map
225
Feet
300
N
J
The informaUon provided is bas&d on the beat available data at the tlme of currency for an da1Bse1ll. It ls the requestor'll responsiblli!y to vertfy any information derived from 1he GtS data
before making arff decisions or taking any actions based on .Iha lnf0rmaHon. Buncombe County s~an not be held Dable for any errors In the GIS dala. This include$ errors of omission ,
commission. errors concerning the con~nt of the deb!, and rela1ive and pDl>itionel accuracy of the data. ·
Rog ers , Michael
F rom:
Sent:
To:
Subject:
Attachments:
Michael,
Stepp, Jonathan
Wednesday, July 06, 2011 1 :05 PM
Rogers, Michael; Davidson, Landon
wi0100161
wi0100161 .pdf
My recommendation is to proceed with permitting. Plea se find the staff report attached ... ! did make some clarificatlons
t o the application, these are addressed in the report.
Than ks,
Jonathan
Jonathan Stepp [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality -Aqulfer Protection Section
2090 U.S . 70 Highway
Swannanoa,NC28778
Te l : 828-296-4500
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records La w and
therefore may be disclosed to third parties.
RA
HCDE NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Coleen H. Sullins
Director
June 23, 2011
Michael White
Elizabeth White
123 Browning Rd.
Black Mountain, NC 28711
Subject: Acknowledgement of Application No. Wl0l 0016 J
Michael White SFR
Injection Mixed Fluid GSHP Well System (SQM)
Buncombe
Dear Mr. White:
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality acknowledges receipt of your permit application and supporting
materials on 06/22/2011. This application package bas been assigned the number listed above and will be r eviewed by Michael
Rogers.
The reviewer will perform a detailed review and contact you with a request for additional infonnatlon if necessary. To ensure the
maxin:1um efficiency in processing permit applications, the Division requests your assistance in providing a time]y and complete
response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to fmal action by the
Division. Please also note at this time, processing permit applications can take as long as 60 -90 days after receipt ofa complete
application.
If you have any questions, please contact Michael Rogers at 919-715-6166. or via e-mail at [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 htto://h2o .enr.state.nc.us/documents/dwg onchart.pdf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER 'WHEN MAKING INQUIRIES ON THIS PROJECT .
cc: Asheville Regional Office, Aquifer Protection Section
Larry Well s (A WD Services, Inc., P.O. Box 125, Leicester, NC 28748)
Brad Stickels (Stickels Service Co., 32 Pine Hill Rd., Fairview, NC 28730)
Permit Application File WI0100161
AOUIFER PROTECTION SECTION
1636 Mail Service Center, Ralelgh . North Carolina 27699-1636
Location: 2728 Capltal Boulevard, Rakligh. North Carolina 27604
Phone : [phone] I FAX 1: 919-71~588: FAX 2: 919-7\5-6048 \ Customer Service: 1-877-623-6748
_Internet www.ncwatemual)ty.org
An Equal Oppomsnl1y I Affirmafive Acton Employer
Nirth Carolina /Vaturallu
-
I
NORTH CAROLINA JUN j I 2011
DEPARTMENf OF ENVIRONMENT AND NATURAL RESOURCES (NCDENll)
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR
INJECTION WITH A GEOTHERMAL BEAT PUMP SYSTEM FOR:
TYPE SQM WELL(S)
-!~· __ New Permit Application OR ____ Renewal (check one)
DATE: ______ __c,20_
PERMIT NO. w,f' f tf/1 ~ 1 (leav~ 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/authority for signature): _______________ _
(1 ) Mailing Address: , c-k_ &t.,e I hi +e..,
City: :Bkuk..&\:M -· ~~e:!i..C,,, Zip'Code:._~ ___ County:__..~=
Home/OfficeTeleNo.: '1:03 32-4 OJ~ CellNo.: 1503·';:,~'/ /'i02-
EMAIL Address: m iC.t,,,g~I wla ite. (2).e..mtt ,' ( .(!_o Vl-"1
(2) Physical Address of Site (if different than above): 2o\ :rz_; dje S-t:r.Q.e_..+-
City: $ (4.£1r,..,\/h+n. State:~ZipCode: 2.S-r l I County: BvV)Cof11 ~
Home/Office Tele No.: ~0 3 2 '2.,, lf () 1 -6 ~ Cell No.: ~Q 3 ~? L/ I ~ 0 2-
EMAIL Addre.s.s: {YI , c h P...L l Lu h ,-f e-c, .e.m aJ., f . um
& AUTHORIZED AGINT OF OWNER, IF ANY (if the Pennit Applicant does not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name: _________________________ _
ContactPerson-: -----------~E=MA.Il..=~A=ddre=s=s: ________ _
Address: ____________________________ .
City: ________ State:_ Zip Code: _____ County: ______ _
Office Tele No.: Cell No.:
Websjte A ddre.ss ofCompany,jfaoy; ____________ _
C. STATUS OF APPLICANT
Private: -"'-
State:
Federal:
Municipal: _
GPU/UlC SQM Well Permit Application (Revised 7/2008)
Commercial:
Natite American Lands:
Page 1
D. WELL DRILLER INFORMATION
Company Name: A WD Services, Inc.
Well Drilling Contractor's Name: =La~rry........,_W~e=lls~---
NC Contractor Certification No.: 2603
Contact Person __ : -=Lar=--ry<-W.;c....=ell=s ____ -=E=m=ail=· ~A=<Uire==ss~:W~ell=s~75~0=5~49_@_!B=e=11=so~uth=.ne~t
Website: www.appwelldrilling.com
Address: PO Box 125
City: Leicester, NC Zip Code: 28748 County: Buncombe
Office Tele No.: 828-683-9223 Cell No.: 828-215-9334
E. BEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: S:\:, Lkl1 S C..V:ib:t-L C@ .
Contact Person: ~ rt, .. ) S::.4\, ~\ '> EMAIL Address:
Address: 3 7-~ ~ L-b\J\ S2..<l --.
City: £,\r \}t ~ ~ (_ Zip Code: <JJ{ 13 D County: '-l~~
Office Tele No.: ~~(J ("p).., ~ ~'t'b$2 Cell No.: '2 )_ ~ ) ) L. -9 '2, '2.. J
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used) a r-o --.) l Op V' :fo, €1 a ±l.ur ""'.'<\. \ ~* r ,l -p
G. WELL CONSTRUCTION DATA (Skip to Section H if this is a Permit RENEWAL)
(I) Proposed date to be constructed: when permitted Number of borings: Tt,.,:fO
Approximate depth of each boring. (feet):_~3.o~~O ___ _
(2) Chemical additives to be used in closed-loop system (only those chemicals indicated have been approved):
___ R-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): _____________ _
(4) Well casing. Is the well(s) cased? (check either (a.) YES fil'. (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 )(
(5) Grout (material SWJ'OJ.Ulding well casing and/or pjpi!lg):
(a) Grout type: Cement__ Bentonite ...,¼._ Other (specify) ______ _
(b) Grout depth of tubing (reference to land surface): from '{ff. to -2.!:1.._ (f~t) r;;;;/1-/
If well has casing, indicate grout depth! from ___ to ____ .(feet) ~
e. JNJECTION-RELATED EQUIPMENT f ..k. ~ ~ ~ J J.. J c')[J r
OPU/UIC SQM Well Permit Application {Revised 7/2008) f'k Sf1~ f1f'v~ Page2
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 wast.e disposal facilities such as septic tanks or drain fields located within 1.00.0 reet 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 mile from the property boundaries 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 ...A_NO
If Yes, -than indicate location on attached map(s).
K. CERTIFICATION
Note: This Permit Application must be signed by~ 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 8aid information, ( 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 relaled appuro:nances in accordance with the~::fioalions and condltioos of the Permit."
Xi ~ {_----
~
VE Signature of Property Owner/Applicant
JUN J2 ZOil fvl ,· e, 'vi cu?. \ W h ,' -f -€-
Print or 1'ype Full Name
Signatuf5'f'Property Owner/ Applicant
f: I i 2 a VJ.eA-{A uJ [ti r. f ..e-
Print or Type Full Name
Signature of Authoriud Aget1t, if any
Print or Type.Full Name
Please return two copies of the completed Application package to:
North Carolina DENR-DWQ
Aquifer Protection Section
UICProgram
1636 Mail Service Center
GPU/UIC SQM Well Permit Applicatioo (Revised 7/2008) Page 3
Raleigbt NC 17699-16~
Telephone [phone]
GPU/UIC 5QM Well Penni! Applitllllion (Revised 7/2008) Page4
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