WI0300161_GEO THERMAL_20120518

Beverly Eaves Pe_rdue
Governor
Ef'A -~--_ _c::=_ -_.J,...,.~ =--~--:::_ RcbERR~ ~---~ --
North Carolina-DepartmentofEnvirorimenr ano NatufrdResources
Division of Water Quality----
Charles Wakild, R..-E~-------
Director
May 18, 2012
City of Charlotte
600 East 4th Street
Charlotte, NC 28202
Subject: Notification of Rule Revisions·Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit Number: WI0300161
To Whom it May Concern:
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 Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] I FAX: [phone]
Internet: www.ncwaterguality.org
Aa Equal Oppo,lunily \ Affirmative Action Employer
N°~i.c 1· 01.u.1 aro 1na
)Vatura!l11
Rogers, Michael
From: Pitner, Andrew
Sent:
To:
Subject:
Monday, November 22, 2010 3 :47 PM
Schutte, Maria: Rogers , Michael
WI0300 161 CL T PD notification
ln•compliance with their permit, Karen with Mid-South Geothermal called to notify us that they intend to start
construction at the subject site on Monday 11/29.
Andrew
Andrew Pitner, P.G [e-mail].
Division of Water Quality -Aquifer Protection Section
Mooresvllle Regional Office (MRO)
North Carolina Department of Environment & Natural Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
MRO Main Phone: [phone]
Direct Office Phone : [phone]
MRO Fax: [phone]
DWQ website: www.ncwaterq uality.org
NOTICE: Ema i ls sent to and from this account are subject to the Public Records Law and may be disclosed to third
parties.
1
Permit Number· WI0300161
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well.System (5QM)
Primary Reviewer
michael .rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Charlotte Mecklenburg Police Station
Location Address
3725 Ellington St
Charlotte
Owner
Owner Name
City of Charlotte
Dates/Events
NC 28202
Orig Issue
10/20/10
App Received Draft Initiated
09/23/10
Scheduled
Issuance
•
Central Files; APS_ SWP_
10/28/10
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Afflllatlon
Janice Scott
8275 Tournament Dr
Memphis TN
Major/Minor
Minor
Region
Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Type
Govemmef!t -Municipal
Owner'Afflllatlon
Michelle Haas
600 E 4th St
Charlotte
Publlc Notice Issue
10/20/10
NC
Effective
10/20/10
381250851
28202
Expiration
09/30/15
"""R=e"""g.c;;u.;.;;la;:.;;.te~d~A""c.;;;;;ti-'-vi;.;;;tl;_.:;e.::;_s _______________ Requested/Received Events
Heat Pump Injection Addltlonal information received
Outfall NULL
Waterbody Name
RO staff report requested
RO staff report received
Addltional information requested
Stream Index Number Current Class
10/07/10
10/13/10
10/14/10
S1,.1bbasin
Rogers , Michael
From:
Sent:
Janice Scott [[e-mail]]
Thursday, October 14, 2010 4:07 PM
To : Rogers, Michael
Cc: Janice Scott
Su bject:
Attachments:
Charlotte Mecklenburg Police Station geothermal permit 10/14
image001 .gif
Michael,
I just verified that we plan to use Eklund Pump & Well on that project. Would you be
able to email/fax me a copy of the permit once it's issued?
Sorry I had to leave that spot blank. Drillers are subject to change depending on the
time frame of permits and unforeseen problems. ©
Thank you ,
Janice E. Scott
Office Manager
M idSouth Geot hermal , LLC
8275 Tourn ament Dr. Ste. 185
Mem phis, TN 38125-0 85 1
Office (901) 7 48-9095
F ax (90 1)748-9097
jscott@ m id southgeot hennal.com
www.midsouthqeothe rmal.com
M dSouth
From: Rogers, Michael [mailto: michael.rog [e-mail]]
Sent: Thursday, October 14, 2010 -1:30 PM
To: Janice Scott
Subject: Charlotte Mecklenburg Police Station geothermal permit
Janice-
1
I am working on the permit for the above. I need a North Carolina certified driller number to put on the application and
in our database. ~
Thanks
Michael Rogers. P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality. Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh, NC 27699--1636
Direct line {9 19) 715-6166; Fax [phone] (put to my attn on cover letter)
http://p ortal .ncdenr.org/we b/wq/aps/gwpro/perm it•applic atlons
E-mail correspondence to and from this address may be subject to the North Carolina Pub/Jc R ec ords Law and may be disclosed lo third parties
2
AVA
. MCDEMR
North Ca roli na Department of Environmen t and Na tural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Michelle Haas
C ity of Charlotte
600 E . 4th St,
Charlotte, NC 28202
Dear Ms. Haas:
Colleen H, Sullins
Director
October 20, 20 I 0
Subject: Issuance of Injection Well Permit
Permit No. Wl0300161
Issued to Cjty of C harlotte
.Meeklenburg County
In accordance with your application received September 23, 2010, I am forwarding P ermit No.
WIO 300161 for the construction and operation of a vertical closed-loop geothermal mixed-fluid heat
pump injection well system to be located at the Charl otte Mecklenburg P oli ce Station (Providence
Division), 3725 Ellington St., Charlotte, NC 28202. This permit shall be effective from the date o f
issuance until September 30 . 2015, and shall be subject to the conditions and limitations stated therein.
Please pay special attention to the following sections in Part ll of the permit:
Dee Freeman
Secretary
Part Il.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,
telepbone number [phone]J and the Mooresville Regional Office Aquifer Protection Section
Staff, telephone number [phone].
Part VIl.2-Submit copies of the Well Construction Completion form (GW-1) within 30 calendar
days of completion of installation of geothermal well(s).
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit 120 days prior to its expiration date. As indicated in the permit, this
permit is not transferable to any person without prior notice to, and approval by, the Director of the
Division of Water Quality. If you have any questions regarding your permit or the Underground Injection
Control Program please call me at [phone] ,
AQU IFER PROTECTION SECTION
1636 Mail Service Center, RalelQh, North Caro1Jna27699-1636
Location: 2728 Capital Boulevard, Ralelgh. Nortti carolina 27604
Phone : [phone] I FAX 1: 919-715-0588; FAX 2: 919•715-6048 I Customer Ser.ice: 1-877-623-6748
lnlernet: \IIWW.ncwaterguality,org
An Equal Opportuniry I A/li,mahve Ac~on Ernployer
N_p~Carolina
;vat11rall11
cc: Andrew Pitn er -Mooresville Regional Office
Central Office File -WI0300161
Mecklenburg County En vironmenral Health Dept.
., Sincerely, ~~~,--
Micbae.J Rogers, P .G . (NC & FL)
Environmental Specialist
Ja ni ce Scott -M idsoutb Geotherm al, LLC. (Sent via e-mail)
Attachment ( s)
1
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; Artic1e 21, Chapter 143; and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
City of C harlotte
FOR THE CONSTRUCTI ON AND OPERATION OF 44 TYPE SQM INJECTION WELL{S), defined in Title
ISA 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 Charlotte Mecklenburg Police Starion
(Providence Division), 3725 Ellington St., Charlotte, Mecklenbutg Co11nty, NC 28202, and will be constructed
and o p erated in accordance with the a p plication r eceived September 23, 2010, and in conformity with the
specifications and supporting data, 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 1 SA of
the North Carolina Administrative Code 2C .0100 and .0200 plu s any other applicable Laws. Rules, and
Regulations pertaining to well construction and use.
This permit shall be effective, unless revoke d, from the date of its issuance until S eptember 30, 201 5, and shall
be subject to the specified conditions and limitations set forth in Parts I through IX hereof.
Permit issued this the 20th day of O ctob er 2010.
_1i Col~en H . Sullins, Director
\ 'Division of Water Quality
By Authority of the Environmental Management Commission.
Permit WI0300 161 UIC/SQM
ver. 03/2010
Pagel of 5
PART I -WELL CONSTRUCTION GENERAL CONDITIONS
I. The Permittee must comply with all conditions of this pennit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (lSA 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 accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
3. Eachfajection 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 gen erally
subject to flooding include those w ith concave slope, alluvial or colluvial soils, gullies, depressions , and
drainage ways.
5. Each injection well shall be afforded reasonable protection against damage during construction and use.
PART II -WELL CONSTRUCTION SPECIAL CONDITIONS
I . 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 l 9) 715-6166, and the Mo oTesville Regional Office Aquifer Protection Section St aff, telephone
number (7()4) 66;-1699.
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 Permittee
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 ISA 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 n ot 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 formal permit 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.
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, wh ich may be imposed by other local, state, and federal
agencies, which have jurisdiction.. Furthermore, the issuance of this permit does not impl y that all
regulatory requirements have been met.
Permit WI0.3001f•:t UIC/SQM
ver. 03/2910
Page 2 of 5
PART IV-PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times s o that there is no
contamination of groundwater that will render it unsatis factory for normal use. In the ev ent 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 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 injection, the
Permittee must notify by telephone the Aquifer Protection Section's Und~ground Injection Control (UIC)
Program Central Office staff, telephone number (919) 715-6 166 . Notification i s required so that Division
staff can inspect or otherwise review the injection facility and determine 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 permit, may inspect or
copy any. records that must be maintained under the terms and conditions of thi s 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 WI0300161 UIC/SQM
ver. 03/2010
Page 3 of 5
PART VD -MONITORING AND REPORTING REQUIREMENTS
1 . All required documentation shall be submjtted to: ,
Aquifer Protection Section -UIC Program
DENR -Division of Water Quality
1636 Mail Service Center and
Raleigh , NC 27699-1636
Ph# 919-715-3221
Aquifer Protection Section
Mc,oresville F...egiunai Office
61 (J Eas1 C ~ntc!" A venue
Mooresville. NC 2 8 l 15
(704 J t, 1:,-1 r .. ,09
2. A completed Well Construction Record (Form GW-1) for each injection well must be submitted t o the
Aquifer Protection Section Central Office and the Mo0re!;\•i11 e Regiona: Office within 30 days of
completion o f well construction. Copies of the GW-1 form(s)' shall also be given to the Permittee an c
r etained on site to be made available for inspection.
3. A copy of the site map updated with manifold locations requir ed in Part 11.2 of this permit shall be
submitted to the Aquifer Protection Section Central Office and the Moores vii le 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 MooresV11le R egional Office, telephone number (704) 663 -1699 any of the following:
(A)
(B)
(C)
(D)
Any occurrence at the injection facility that results in any unusual operating circumstances;
Any failure due to known or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures ;
Any loss of refrigerant in the system, regardl ess of the origin of the loss;
Any rechargjog of the refrigerant system.
6. Where the Permittee becomes aware of an omission of any relevant facts in a permit application, or of an y
incorrect infonnation 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.
P ART VIII -PERMIT RENEWAL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the Permittee shall
submit an application to renew the pennit 120 days prior to its expiration date.
Permit WI OJO Ot i::;. UIC/SQM
ver. 03/2010
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 d i scontinued 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. l of this permit.
2. When operations have ceased at the facility and a well will n o longer be u sed for any purpose, the
Permittee shall abandon that injection well in accordance with the procedures specified in 1 SA 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 i s raised as the well is filled.
(E) In the case of gravel-packed wells µi 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 15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. Copies shall be
submitted to the addresses given in Part Vll. l of this permit.
Permit WI030016l UIC/SQM
ver. 03/2010
Page S ofS
AQUIFER PROTECTION,REGIONAL STAFF REPORT
Date: 10/13/10
To: Aquifer Protection Central Office
Central Office Reviewer: Michael Rogers
Regional Login No: __ _
1. GENERAL INFORMATION
1. This application is (check all that apply}: [8J New D Renewal
County: Mecklenburg
Permittee: Citv of Charlotte
Project Name:
Application No.: WI0300161
D Minor Modification D Major Modification
D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon
D Land Application of Residuals D Attachment B included D 503 regulated D 503 exempt
D Distribution of Residuals D Surface Disposal
0 Closed-loop Groundwater Remediation [81 UIC Injection Wells (SQM) GeoThermal
Was a site visit conducted in order to prepare this report? ~ Yes or O No.
a. Date of site visit: l 0/13/2010
b. Person contacted and contact information: Michele Haas (704 l 336-3654 or
mhaas(/L)ci.cbarlotte.nc. us( email)
c. Site visit conducted by: Maria Schutte
d. Inspection Report Attached: D Yes or [8J No.
2. Is the following information entered into the BIMS record for this application correct?
[8J Yes or D No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location: BIMS info on facility updated b v MRO:
b. Driving Directions: __
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: __
e. Regulated Activities /Type o f Wastes (e.g., subdivision, food processing, municipal wastewater): __
IL NEW AND MAJOR MODIFICATION APPLICATIONS (this section not needed for renewals or minor
modifications, skip to next section)
Description OfWaste(S) And Facilities
1. Please attach completed rating sheet. Facility Classification:
2. Are the new treatment facilities adequate for the type of waste and disposal system?
D Yes D No~ N/A. Ifno, 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? D Yes D No [8J NIA. Ifno, please explain: __
FORM: APRSR040929-WI0300161 Charlotte Police Ellington Rd-SQM
A QUIFER PROTECTIO N R EG I ON A L STAFF REPORT
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? D
Yes IZJ No D N /A. ff no, please explain: Application shows construction site. but lacks information on
surrounding area and surface drainaee. MRO vi ewed site via Mecklenbur2 Countv GIS to obtain the missing
information.
5. Is the proposed residuals management plan adequate and/or acceptable to the Division? OYesONo IZJ
N/A. Ifno, please explain: __
6. Are the proposed application rates for n ew sites (hydraulic or nutrient) acceptable?
D Yes D No~ N /A. lfn o, please explain: __
7. Are the new treahnent facilities or any new disposal sites located in a 100-yeadloodplain?
D Yes D No IZJ 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 N: __
8. Axe there any buffer conflicts (n ew treatm ent facilities or new disposal s ites)? D Yes or IZJ 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. ls proposed and/or existing groundwater monitoring program (number of wells, frequen cy of monitoring,
monitoring parameters, etc.) adequate? D Yes D No ~ N/A. Attach map of existing moni toring well
network if applicable. Indicate the review and compliance boundaries. Jf No, explain and recommend any
changes to th.e groundwater monitoring program:
I 0. For residuals, will seasonal or other restrictions be required? 0 Yes O No !8] N/A. If yes attach list of sites
with restrictions (Certification B?)
m RENEW AL AND M ODIFICA TION APP LI CA TIO NS (use previous section fo r new or maio r mod;fication
system s)
D escriptio n Of Waste(S) And F acilities
Not applicable for this facility.
IV. INJECTION WELL P ERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation eftluent injection wells, in situ r emediation injection wells, and heat
pump injection wells.)
Description Of Well(S) And F acilities -New. Renewal And Modification
1. Type of injection system:
D Heating/cooling water ret urn flow (5A 7)
IZJ Closed-loop heat pump system (5QM/5QW)
D In situ remediation (51)
D Closed-loop groundwater remediation effluent injection (5L/"Non-Discharge")
D Other (Specify: __}
FORM: APRSR040929-WI0300161 Charlotte Police Ellington Rd-SQM 2
A Q UIFER P ROTECTIQN .. REGIONAL STAFF REPORT
2. Does system use same well for water source and injection? D Yes IZI No
3. Are there any potential pollution sources that may affect injection? D Yes IZI No
What is/are the pollution source(s)? There is a pollution site about 300 ft NW. but topo gra phv via Meck. Co.
GIS indicates ttroundwater movement is to the Southwest. away from iniection area.
What i s the distance of the injection welhsl from the pollution source(s)? About 300ft
4. What is the minimum distance of proposed injection wells from the property boundary? ~25..it
5. Quality of drainage at site: 1:8:1 Good D Adequate D Poor
6 . Flooding potential of site: ~ Low D Moderate D High
7. For groundwater r emediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring para.meters, etc.) adequate? Dyes D No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
ground water monitoring program: NIA .
8. Does the map pr esented represent the actual site (property lines, wells, surface drainage)? 0 Yes or f&l 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 n orth arrow. Prope rty map is a decent rep resentation of proposed well
locations. There is no 1000' radius map to provide information on surrounding. properties and no topographic
map. The MRO conducted a search via Mecklenburg County's Well Infonnation Svstem which did not show
water supply wells in the area. The closest surface water bodv <Briar Creek) is South about 300 feet, but this is
a hiehlv developed area and the greater imp act p otential is to the citv's streets & sewer s ystem.
Injection WeU Permit Renewal And Modification Onh•:
l . For beat 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)?
D Yes D No. If yes. explain:
For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? 0 Yes D No. If ves. explain:
2. For renewal or modification of groundwater remediation permits (of anv type I. will
continued/additional/modified injections have an adverse impact on mi\!ration of the plume or management of
the contamination incident? D Yes D No. Ifv es. exp lain:
3 . Drilling contractor : Name: MidSouth Geothermal LLC (sp ecific driller to be determined)
Address: 8275 Tournament Drive Ste 185. Memphis. TN 38125
Certification number: Contact name is Janice Scott at 901-748-9095
4 . Complete and attach Well Construction Data Sheet.
FORM: APRSR040929-WI0300161 Charlotte Police Ellington Rd-SQM 3
AQUIFER PROTECTION REGIONAL STAFF REl'GR T
V. EVALUATION AND RECOMMENDATIONS
l. Provide any additiona1 narrative regarding your review of the application: The application proposes 45 (300 ft)
wells under the parkine: lot of a new Charlotte Police Dept. building. The wells will use 10% E thanol in the
'·!! .:.~~~.! i,,1.,,.,. ,..,,',J ,-•y U vu,u "". _,,_ ____ ._1i ___ m11rl_desi!m chan e:es occur and a copv of the s ystem testing
data u pon comp letion. MRO recommends a pproval.
2. Attach Well Construction Data Sheet -if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? D Yes [8l No. Jfyes, please explain
briefly. __ .
4. List any items that you woul d like APS Central Office to obtain through an additional information request.
Make sure that y ou 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
6. List specific special conditions or compliance s ched ules t hat you recommend to be included in the pennit when
i ssued. Make sure that you provide a reason for each special condition:
Condition Reason
7. Recommendation: 0 fl old, pending receipt and review of additional information by regional office; 0 Hold,
pending review of draft permit by regional office; D Issue upon receipt of needed additional information;
C8J Is sue; 0 Deny. If deny, pleas e s tate reasons: __
8. Signature ofreport preparer(s): Maria Schutte
Signature of APS regional supervisor: ________ A_n_d_r_e_w_P_i_tn_e_r _ __,.:~.~="':"'"-:r...,=-=··-'""'-~""----=::~.:_-__
Date : __ O~ct_ob~e_r_1~3~, _20~1~0 __ _
FORM: APRSR040929 -WI0300161 Charlotte Police Ellington Rd-5QM 4
AQUIFER PROTECTION-REGIONAL STAFF REPORT
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APRSR040929-WI0300161 Charlotte Police Ellington Rd-SQM 5
Pennlt: WI0300161
SOC:
County: Mecklenburg
Region: Mooresville
Effective:
Effective:
Contact Person: Janice Scott
Directions to Facility:
System Classlflcatlons:
Primary ORC:
Secondary O~C(s):
On•Slte Representatlve(s):
Related Permits:
Inspection Date: ~0/13/2010
Primary Inspector: Maria Schutte
Secondary lnspector(s):
Reason for I nspection: Other
Compli~nce lnspection Report
Expiration:
Expiration:
Title:
Owner: City of Charlotte
Faclllty: Ctty of Charlotte -SQM
3725 Ellington
Charlotte NC 28202
Phone: 901-748·9095
Certification: Phone:
Entry Time: 06;34 AM Exlt Time: 09:20 AM
Phone: [phone]
Inspection Type: Recohnaissanoe
Permit Inspection Type: Injection Mixed Fluid GSHP Well System (SQM)
Fac lllty Status: 0 Compliant O Not Compliant
Question Are~
■Wells
(See attachment summary)
Page: 1
Permit: WI0300161
Inspection Date: 10/13/2010
Inspection Summary:
Owner• Facility: City of Charlotte •
Inspection Type: Reconnaissance Reason for Visit: Other
Met with Michele Haas (City of Charlotte) and her General1 Contractor to view site and discuss project. Do not suspect
any qroundwater issues, the biggest concern is keeping all drilling cuttings, fluids (frorn 45 wells) on-site and out of
sewers. General contractor said this was covered in his site plan.
Page : 2
Rogers, Michael
From: Pitner, Andrew
Sent:
To:
Wednesday, October 13, 2010 4 :45 PM
Rogers, Michael
Cc: Schutte, Maria
WI0300161 Charlotte PD Subject:
Attachments: APRSR040929-WJ030016'1 Charlotte Police Ellington Rd-5QMahpslgned.pdf; WI0300161
BIMS Inspection report 101'310.pdf
Hi Mike,
Staff report for this one should be attached as well as a SIMS inspection. Please highlight in the cover letter the
importance of keeping cuttings on site as anything that escapes will quickly be in a storm sewer and folks in
M ecklenburg are touchy about that. Let us know of any questions.
Andrew
Andrew Pitner, [e-mail]
Division of Water Quality -Aquifer Protection Section
Mooresville Regional Office (MRO)
North Carolina Department of Environment & Natural Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
MRO Main Phone: [phone]
Direct Office Phone: [phone]
MROFax: [phone]
DWQ website: www.ncwaterq ualit y.org
NOTICE: Emails sent to and from this account are subject to the Public Records Law and may be disclosed to third
parties.
1
RA 'NCDENR
North Carolina Department of Environm ent and Natural Resou r~es
Division of Water Quality
Beverly Eaves Perdue
Governor
Coleen H. Sullins
Director
October 5, 2010
Miche11e Haas
City of Charlotte
600 E. Fourth Street
Charlotte, NC 28202
Subject: Acknowledgement of Application No. WI0300161
City of Charlotte SQM
Injection Mixed Fluid GSHP Well System
MeckJenburg
Dear Ms. Haas:
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on September 23, 2010. This application package has been assigned the number listed above and will be
reviewed by Michael Rogers.
The reviewer will perfonn a detailed review and contact you with a request for .i.dditional information if necessary. To ensure 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 talce as long as 60 • 90 days afte~ receipt of a complete
application.
If you have any questions, please contact Michael Rogers at 919-715-6166, or via e-mail at [e-mail]. lftbe
reviewer is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT,
Sincerely,
O~N.~
for Debra J. Watts
Supervisor
cc: Mooresville Regional Office, Aquifer Protection Section
MidSouth Geothermal LLC (Janice Sc ott) 8275 Tournament Drive, Ste 185, Memphis, TN 38125
Permit Application F i le WI0300161
AQUIFER PROTECTION SECTION
1536 Mail SerVice Center, Raleigh, North Carolina 27699-1636
Loca~on: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone · 919-733-3221 I FAX t : 919-715-0588; FAX 2: 919-715-6048 I Customer Service· 1-877-623-6748
Internet www.ncwaterguality.org
Aro Equal Opl)Ortunity \ Affirmative Ac.lion Employer
None C lin orth aro a
JVaturall!f
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURcES (NCDENR)
APPLICATION FOR PERMIT TO CONS'l'RUCT AND/OR USE A WELL(S) FOR
INJECTION WITH A GEOTHERMAL HEAT PUMP SYSTEM FOR:
TYPE SQM WELL(S)
xn New Permit Application OR ____ Renewal (check one)
DATE: __ _.9_,_,/1=3 ___ _, 2010
PERMIT NO. \NI 0300 l lD I (leave blank if NEW pennit 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): ________________ _
City of Charlotte
(1) Mailing Address: 600 East Fourth Street
City: Charlotte State: ~ Zip Code:--'2=8=20=2~ __ County: Mecklenburg
Home/Office Tele No.: 704-336-36S4 {Michelle Hw) Cell No.:
EMAIL Address:· [e-mail]
(2) Physical Address of Site (if different than above): _,3~7~2~5 =Elli='=ngt=o=n"----c,.,.....:(".__ _______ _
City: Charlotte State: _..NQ_ Zip Code: =28=2-0=2 ___ County: Mecklenburg
Home/Office Tele No.: ---=n/=a _______ C=e=U~N~o=·=--~n/=a _____ _
EMAll.. Address:. ______________ _
B. AUTHORIZED AGENT. OF OWNE~ 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 U!C well)
Company Name: __________________________ _
Contact Person.~: -------------=E=MA=ll..==-a.A=d=d=-=ress"""""': _________ _
Address: ____________________________ _
City: ________ State: __ ZipCode: _____ County: ______ _
Office Tele No.: Cell No.:
Website Address of Company, if any: _____________ _
C. STATUS OF APPLICANT
Private: Federal:
State: Municipal: _.xx=--
GPU/UJC SQM Well Permit Application (Revised 7/2008)
Commercial:
Native American Lwids:
RECEIVED I OENR / O\i\\'J
Aquifer Pmieclion Sealon
SEP 2 8 2010
Pagel
D. WELL Dlm...LER INFORMATION
Company Name: __ _,Mi="d.,.S""'outh=_,Geo=""'th.,,,enn=al,,,.._,.L=LC:=---_______________ _
Well Drilling Contractor's Name: ,,1 r .
NC Contractor Certification No.: _--"-......,;;;_~t-'--_________________ _
Contact Person: Janice Scott EMAIL Address: [e-mail]
Address: 8275 Tournament Dr. Ste 185
City: Memphis Zip Code: 38125 County: =Sh=e=lb=--y _________ _
Office Tele No.: _,9'-"0=l-_.7_,_4"'-8-"""90=9=5 ________ Cell No.: _ __,n/,=a=----------
E. HEAT PUMP CONTRACTOR INFORMATION flf di.fl'erent than drlller}
Company' Name: MidSouth Geothermal. LLC
Contact Person: Janice Scott EMAIL Address:[e-mail]
Address: 827S Tournament Dr. Ste 185
City: Mem phis Zip Code: 38125 County: =Sh=e=lb_y _________ _
Office Tele No.: _,9~0=1~•7..,.4-"-8-~9=09~5 ________ Cell No.: _-=o/;-a _______ _
~-INJECTION PROCEDURE {briefly describe how the injection well(s) will be used)
G. WELL CONSTRUCTION DATA (Skip to Section H if this is a Permit RENEW AL)
(1) Proposed date to be constructed: 10/15/10 Number of borings: __ 44..:...a,._ __ _
Approximate depth of each boring (fcet):._.;:.3=00,.__' _____ _
(2) Chemical additives to be used in closed-loop system (only those chemicals indicated have been approved):
___ R-22 propylene glycol xx (10%) ethanol ________ other (other additives
will need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc): ---=-1_" HD==PE="'-pl=as=ti=·c,.p-=,aip=e __________ _
(4) Well casing. Is the weU(s) cased? (check either (a.) YES ru: {b.) NO below)
(a) YES ___ ifyes, then provide casing information such as~ (steel, PVC, plastic, etc.), diameter.
depth, and extent of casing appearing above grolllld: ----------------
{b) NO X
(5) Grout (material sUITOunding well casijig and/or piping):
(a) Grout type: Cement__ Bentonite _L_ Other (specify) ______ _
(b) Grout dep~ of tubing (reference to land surface): from O to _,.;=3-=00.;_ __ (feet)
If well bas casing. indicate grout depth: from _0.,.__to 300 (feet)
H. INJECTION-RELATED EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brocbure may provide supplementary
information.
OPU/OIC SQM Well Permit Application (Revised 7/2008) Page2
L LOCATION OF WELL(S)
Attach two copies of maps showing the following infonnation:
(1) Include a site map (can be drawn) showing: buildings, property lines, surface water bodies, potential sources
of groundwater contamination .and the orientation of and distances between the proposed well(s) and any
existing well(s) or waste disposal facilities such as septic• tanks or drain fields located within 1000 feet of the
geothennai'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 .JL_NO
IfYes, than indicate location on attached map(s).
K. CERTIFICATION
Note: This Permit Application most be signed by each penon appearing on the recorded legal property deed.
"I hereby certify, under penalty of law, that I have personally examined and am familiar with the ·information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and complete .
I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with the approved specifications and conditions of the Permit"
" ) \ l. u~h, ta \j( l _ J., 1 1,, ( · t l1 ,t~J ~hOJllo'J.t
f"'-Signature of Property Owner/Applicant (j
" l\\,\f hQ l\c.e 1in1~ ~ Prim 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 Carolina DENR-DWQ
Aquifer Protection Section
UICProgram
RECEIVED J OENR I DWO
A~uiferF~fotacti, n 6!!.r.llon
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
OPU/UIC SQM Well Permit Applic:ation.(Rcviscd 7/lOOS)
SEP 2 S 2010
Page 3
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