WI0300162_GEO THERMAL_20160114

Permit Number WI0300162
Program Category
Ground Water
Permit Type
Injection Heating/Cooling Water Return Well
Primary Reviewer
michael.rogers
Coastal SWRule
P.ermitted Flow
Facility
Facility Name
John and Virginia Barile SFR
Location Address
200 Countryside Rd
Harmony
Owner
Owner Name
John
Dates/Events
NC
Orig Issue
12/9/2010
App Received
11/23/2015
Regulated Activities
Heat Pump Injection
Outfall
Waterbody Name
28634
Barile
Draft Initiated
Scheduled
Issuance Public Notice
Central Files : APS SWP __
1/14/2016
Permit Tracking Slip
Status
In review
Version
Project Type
Renewal
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
John Barile
200 Countryside Rd
Harmony
Region
Mooresville
County
Iredell
NC
Issue Effective
28634
Expiration
Re quested /Received Events
RO staff report requested
RO staff report received
Streamlndex Number Current Class
12/2/15
1/11/16
Subbasin
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Water Resources
ENVIRONMENT AL QUALITY
January 15, 2016
John D. and Virginia M. Barile
200 Countryside Road
Harmony; NC 28634
Re: Issuance of Injection Well Permit
Permit No. WI0300162
G~othermal Heating/Cooling Water Return Well
Iredell County
Dear Mr. and Mrs. Barile:
Secretary
S. JAY ZIMMERMAN
Director
In accordance with your permit renewal application received November 23, 2015, I am forwarding
Permit No. WI0300162 for the continued operation of geothermal heating/cooling water return
well( s) located at the above referenced address. This permit shall be effective from date of issuance,
until December 31, 2020, and shall be subject to the conditions and limitations stated therein.
Please Note:
• Samples from the influent and effluent sampling ports of your geothermal well system
·were collected by the Mooresville Regional Office on December 15, 2015. Laboratory
_.analytical results were sent to you on January 5, 2016.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
applicationto 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 Resources. If you have any questions regarding your permit or the Underground
Injection Control Program please call me at [phone].
Best Regards, ,,,
/~~✓
Michael Rogers, P.G. (NC & FL)
Underground Injection Control (UIC) Manager -Hydrogeologist
Division of Water Resources, NCDEQ
Water Quality Regional Operations Section
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh, North Carolina 27699-161 l
919707 9000
cc: Andrew Pitner & Ed Watson, Mooresville Regional Office
Central Office File, WI0300162
Iredell County Environmental Health Department
Page 2 of 2
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH, NORTH CAROLINA
PERMIT FOR THE USE 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
John D. and Virginia M. Barile
FOR THE CONTINUED OPERATION OF ONE (1) GEOTHERMAL HEATING/COOLING WATER
RETURN WELLS), defined in Title 15A North Carolina. Administrative Code 02C- .0224(a), which will be used
for the injection of heat pump effluent. The injection well(s) located at 200 Countryside Road, Harmony, IredeIl
County, NC 28634 will be operated in accordance with the application submitted November 23, 2015, and
conformity with the specifications and supporting data, all of which are filed with the Department of
Environmental Quality and are considered a part of this permit.
This permit is for continued operation of an injection well shall be in compliance with Title 15A North Carolina
Administrative Code 2C .0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well
construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until December 31, 2020, and shall be
subject to the specified conditions and limitations set forth in this permit.
Permit issued this the 15th day of January 2016.
S. day Zimmerman, P-G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission_
Permit # WF0300162 U IC15A7 Page i of 5
ver. 1 1 /1512015

PART I -PERMIT GENERAL CONDITIONS
1. The Permittee shall comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (1 SA NCAC 2C .0200). 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 is effective only with respect to the nature, volume of materials and rate of injection, as
described in the application and other supporting data [lSA NCAC 02C .021 l(a)].
3. 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 [lSA NCAC 02C .0211(1)].
4. This permit is not transferable without prior notice and approval. 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 submitted, including any supporting materials as may be appropriate, at least 30 days prior to the date of
the change [15A NCAC 02C .021 l(q)].
5. 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 [15A NCAC 02C .0203].
PART II -WELL CONSTRUCTION GENERAL CONDITIONS
1. The well supplying water for the geothermal heating and cooling system shall be constructed in accordance
with the requirements of rule 15A NCAC 02C .0107 except as required in Item #2 below.
2. Any injection well shall be constructed in accordance with the requirements of rule 15A NCAC 02C .0107
except that the entire length of the casing shall be grouted in such a way that there · is no interconnection of
aquifers or zones having differences in water quality that would result in degradation of any aquifer or zone.
For screened wells, grout shall be emplaced from the top of the gravel pack to the land surface. For open-
end wells, the casing shall be grouted from the bottom of the casing to the land surface [15A NCAC 02C
.0224(d)(2),(3)].
3. Bentonite grout shall not be used to seal any water-bearing zone with a chloride concentration equal to or
greater than 1,500 milligrams per liter. In areas where elevated chloride levels are known to exist or are
probable, such as coastal areas, chloride levels shall be verified in the field to determine existing conditions.
[15A NCAC .0225(g)(8)].
4. The injection well system shall be constructed such that a sampling tap or other collection equipment
approved by the Director provides a functional source of water when the system is operational. Such
equipment shall provide the means to collect a water sample immediately after emerging from the water
supply well and immediately prior to injection into the return well [15A NCAC 02C .0224( d)( 4)].
5. Each well shall be secured to reasonably insure against unauthorized access and use and shall be sealed
with a watertight cap or we11 seal as defined in G.S. 87-85(16).
6. Each well shall have permanently affixed an identification plate [15A NCAC 02C .0107G)(2)].
Pennit #Wl0300162 UlC/5A7
ver. 11/15/2015
Page 2 of 5
o/. ~ completed Well Construction Record (Honn GW-1) shall be submitted as described in Part V.5 of this
permit.
PART III -OPERATION AND USE CONDITIONS
1. The Permi~ee shall comply with the conditions of this permit and properly operate and maintain the
injection facility in compliance with ·the conditions of this permit and the rules of 15A NCAC 02C .0200,
even if compliance requires a reduction or elimination of the permitted activity [15A NCAC 02C .021 lG)].
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface water
or groundwater resulting from the· operation of this facility. 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 that may be required,
such as the repair, modification, or abandonment of the injection facility [15ANCAC 02C .0206].
PART ,v -INSPECTIONS [15A NCAC 02C .021 l(k)]
1. Any duly authorized officer, employee, or representative of the Division of Water Resources (D WR) 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 this permit, and may
obtain samples of groundwater, surface water, or injection fluids;
2. DWR representatives shall have reasonable access for purposes of inspection, observation, and sampling
associated with injection and any related faciJities as provided for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting·any necessary samples of the inj"ection facility's activities.
PART V ...:. MONITORING AND REPORTING REQUIREMENTS
1. Records of well construction, repair, or abandonment shall be submitted within 30 days of completion of
such activities. Copies of such records shall be retained on-site and available for inspection [15A NCAC
02C .0224(f)(2), (4)).
2. Monitoring of any well may be required to ensure protection of the groundwater resources. of the State and
compliance with the groundwater quality standards specified in 15A NCAC 02L [15A NCAC 02C
.0224(f)(l )]..
3. The Permittee shall report any monitoring or other information that indicates noncompliance with a specific
permit condition, that a contaminant may cause a violation of applicable groundwater quality standards, or
that a malfunction of the injection system may cause the injected fluids to migrate outside the approved
injection zone or area. As specified in rule 15A NCAC 02C .021 l(r), noncompliance notification shall be
as follows:
(A) Oral notification shall be given. within 24 hours of the occurrence, or first knowledge of the
occurrence, to the Mooresville Regional Office, telephone number 704-663-1699.
(B) Written notification shall be made within five·days of the occurrence and submitted to the addresses
in Item #5 below .
.Permit #Wl0300162 · UIC/5A7 ·
ver. 11/15/2015
Page 3 of 5
(C) The written notification shall contain a description of the noncompliance and its cause; the period of
noncompliance, including dates and times; if the noncompliance has not been corrected, the
anticipated time it is expected to continue; and any steps taken or planned to reduce, eliminate, and
prevent reoccurrence of the noncompliance.
4. The Permittee shall record the number and location of the wells with the register of deeds in the county in
which the facility is located. [15A NCAC 02C .0224(f)(3)].
5. All forms, reports, or monitoring results required by this permit shall be submitted to:
UIC Program Staff
Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
and
Water Quality Regional Operations Section
D WR Mooresville Regional Office
610 East Center Ave.
Mooresville, NC 28115
PART VI -PERMIT RENEWAL [15A NCAC 02C .0224(c)]
As required by rule an application for permit renewal shall be made at least 120 days prior to the expiration
date of the permit. This permit condition does not apply if the Permittee chooses to discontinue operation
of the well for injection of effluent from the geothermal heating and cooling system associated with this
permit.
Permit #Wl0300162 UlC/5A7
ver. J J /l 5/2015
Page 4 of5
~p AR'Jl-VII -CHANGE OF WELL STATUS ~ISA NCAC 02C .0240]
1. Procedures for temporarily or permanently abandoning a well are the same as those specified in rule 15A
NCAC 02C .0113. While some of those criteria are given below, the Permittee bears the responsibility of
complying with all applicable regulatory requirements.
2. If a well will no longer be used for any purpose, then it should be permanently abandoned according to rule
15A NCAC 02C .0l 13(b) in order to prevent the well from deteriorating and acting ~s a source or conduit
of contamination, which is prohibited by General Statute 87-88(c).
3. If a well is taken completely out of service temporarily, the Permittee shall install a water-tight cap or well
seal that cannot be removed without the use of hand or power tools.
4. When injection operations have ceased at the facility and a well will no longer be used for any purpose, the
Pennittee shall permanently abandon that injection well in accordance with the procedures specified in 15A
NCAC 02C .0l 13(b ), which include, but are not limited to, the following:
(A) Afl casing and materials may be removed prior to initiation of abandonment procedures if
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 in accordance with rule 15A
NCAC 02C .011 l(b)(l)(A),(B), and (C).
(D) Each well shall be completely filled with cement grout, which shall be introduced into the
well through a pipe which extends to the bottom of the well and is raised as the well is
filled.
(E) In those cases when a subsurface cavity has been created as a result of the injection
operations, each well shall be abandoned in such a manner .that will prevent the movement
of fluids into or between underground sources of drinking water.
(F) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0224(f)(4) within 30 days of completion of abandonment.
5. The written documentation required in Part VII (4)(F) shall be submitted to the addresses specified in Part
V.5 above.
Permit # WIOJ0O 162 UIC/5A7
ver. 11/15/2015
Page 5 of5
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Permit No.WI0300162
Date: 1/5/2016
To: Mike Rodgers
Central Office Reviewer
County: Iredell
Permittee/ Applicant: Barile Residence
Facility Name: John and Virginia Barile
L GENERAL INFORMATION
1. This application is (check all that apply): D New ~ Renewal
D Minor Modification D Major Modification
a. Date of Inspection: 12/15/2015
b. Person.contacted and contact information: John Barile
c. Site visit conducted by: Edward Watson and Maria Schutte
d. Inspection Report Printed from BIMS attached: ~ Yes D No.
RECEIVED/NCDEQIDWR
JAN 112016
Water Quality
Regional Operations Section
e. Physical Address of Site including zip code: 200 Countryside Road, Harmony. Iredell County
f. Driving Directions if rural site and/or no physical address: Latitude:35.989504 Longitude:
80.769271 __
Source of Lat/Long & accuracy (i.e., Google Earth, OPS, etc.): Google Earth
II. DESCRIPTION OF INJECTION WELL(S) AND FACILITY
1. Type·of injection system:
~ Geothermal Heating/Cooling Water Return
D In situ Groundwater Remediation
D Non-Discharge Groundwater Remediation
D Other (Specify:
2. For Geothermal Water Return Well(s) only
a. For existing geothermal system:
Were samples collected-from Influent/Effluent sampling ports? ~ Yes D No.
Provide well construction information from well tag:
b. Does existing or proposed system use same well for water source and injection? ~ Yes D No
'IfNQ, please provide source/supply well construction info (i.e., depth, date drilled, well contractor,
etc.) and attached map and sketch location of supply well in relation to injection well and any other
features in Section IV of this Staff Report.
3. Are there any potential pollution sources that may affect injection? D Yes ~ No
What is/are the pollution source(s)? ________________________ _
What is the distance of the injection well(s) from the pollution source(s)? south of the northern property
boundary.
4. Quality of drainage at site: ~ Good
5. Flooding potential of site: ~ Low
Rev. 6/1/2015
D Adequate D Poor
D Moderate D High
Page 1
WQROSREGIONALSTAFFREPORTFOR
UIC Program Support
6. For Groundwater Remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? D Yes D No. If No,
attach map of existing monitoring well network if applicable and recommend any changes to the groundwater-
monitoring program. NI A
7. Does the map included in the Application reasonably represent the actual site (property lines, wells, surface
drainage)?~ Yes D No. If No, or no map, please attach a sketch of the site. Show property boundaries,
buildings, wells, potential pollution sources, roads, approximate scale, and north arrow.
8. For Non-Discharge groundwater remediation systems only:
a. Are the treatment facilities adequate for the type ofwaste and disposal system? D Yes D No ~ N/A.
If no, please explain: __
b. Are the site conditions (soils, topography, depth to water table, etc.) consistent with what was reported by
the soil scientist and/or Professional Engineer? ~ Yes D No D N/A. Ifno, please explain: __
III. EVALUATION AND RECOMMENDATIONS
I. Do you foresee any problems with issuance/renewal of this permit? D Yes ~ No. If yes, explain. __
2. List any items that you would like WQROS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
3. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
4. Recommendation
D Deny. If Deny, please state reasons: __
D Hold pending receipt and review of additional information by regional office
D Issue upon receipt of needed additional information
~ Issue
5. Signature of report preparer(s): Edward M. Watson'---------------------
Digitally llgned by Andrew H. Pitner
Signature of WQROS Regional Supervisor: _A_n_d_r_e_w_H_._P_it_n_e_r,_..·,;,.-;J=~!f-....... ,~ ...... ~; ..... ~; .... :~: .... 7:-.._. :_.~-~~-usr+-___ _
Date: ____ _
Rev. 6/1/2015 Page2
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS @ Needed)
Water samples were collected form Influent and Effluent well ports and submitted to DWQ laboratory for analysis.
Water samples was tested for IDS, Nitrite as N, and Total Nitrate as (NO3 + NO2 -N), Chloride, Fluoride & Sulfate,
Hardness, Metals, Total and Fecal Coliform bacteria.
Laboratory analysis reports groundwater chemistry are within acceptable limits for both influent and effluents ports.
Lab results are attached.
Recommend permit renewal.
Rev. 6/1/2015 Page3
M4 W
�— rj .—
HCURR
North Carolina Department of Environment and Natural Resources
Pat McCrary
Governor
January 05, 2016
John and Virginia Barile
200 Countryside Road
Harmony, NC 28634
Subject: Sampling Results
200 Countryside Road, Harmony
W103000162 Barile Geothermal UIC
Iredell County
Dear Mr. and Mrs. Barile,
Donald van der Vaart
Secretary
The Mooresville Regional Office (MRO), Water Quality Regional Office Section is presenting the
results of the ground water sampling of your geothermal underground injection well heat pump
system. The samples were collected from both the influent and effluent sample ports and were
analyzed by the Division of Water Resources (DWR) lab for metals, nitrates, and other inorganic
constituents. The results meet the North Carolina groundwater quality standards. The results are
in conjunction with the recent sampling event on December 15, 2015, for permit W103000162 and
permit renewal.
The renewal of your permit is currently in progress and you will receive separate correspondence
form our central office upon completion.
Please contact Edward Watson, Hyd rogeolog ist at the Mooresville Regional office should you have
questions regarding the results. I may be reached by phone at 704-235-2198 or email
(edwa [e-mail]).
REC%lVESincerely,
JAN 1 x
ra Edward Watson
VftHydrogeolog;st
�S�
�01� Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources
Enclosure: 12-15-2015 sample results and explanation of the results,
Cc. Michael Rogers, APS-GPU-UIC, Raleigh (by email)
Brady Freeman, Iredell County Environmental Health, Statesville (by email)
Mooresville Regional Office
616 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone]/ Fax: [phone]/ CustomerSeMoe: I-B77-623.6748
Internet: www. n C den?, gov
An Epuni Oppartunity Alfifinemve ArIlop Employes - Made In part byracyslad Pjlper

t' C_b3 �4
North Carolina Division of Water Resources
YY�
AIRI18fCBit?al
=VisttlD:,::
7"
orb LISP
f
�►7!< '"
Cessdral Laboratory (Water Sciences Section)
Water SamplejO
Form
~j
'
teboratoryr
�.
sa pm6er
�_
Lo��v'ttfnnDO- i_ _ o"n":
Jahn and Virginia SariEe, 200
Countryside Rgad, o
loma".Lade:]WID34U01fi2-EFF
_ .,..
�
• .rrsl
'� Rem
� 2 • i � • IS
IX,AJvteir..N.,
�u
.'F ' •_' •�.�= ,
'.""t
E Watson/ Mn Schuttc
� �.
ilIredel! t
l.u..tn�G
_
+- °".�•„�t'-'
ortsvL>tra►>I� '
_ �T,�:• • '
J�'rhne
Reccisvdd: j
,'4?�.i ;
�..�.�� , ,.-r
. ; r ;'�'' .: - iri '•�'•
•Lake
OWIRyRpyiO ri
MRO
>R�' (��
,,��-- M
❑ Ambient
❑RiverJStream
,uncn!!Rn'}
;{a�ggrMynOmej,
❑ Routine
❑Surface
❑Estuary QCanBt
❑stormwater
-�%RFver,�csln:T.;
Yadkin -Pee Dee
max;. -
�-
12/15J2015
❑Compliance
❑r Ground
❑Monitoring Well
❑Water Supply
" "
'� "' '"'R
�
State ourisr
Notes.` UIC System inspection
. lime:-- _
AM
DeAvriyMetAp�L
�]Hantf F]elhrery
,:� ..,,....._
❑ CDC
❑ Emergency
❑OA
❑ Waste
❑ Blank
❑Solution
❑tfNuent
❑Field Blank
❑Filter Runk
bather:
❑Influent
❑Trip Blank
Efluent Port
;,,ri,;�; � _
❑Other
❑ Chlorinated []De -chlorinated in Field
•So►npRng
-- ' r�
�MeHiad:
nGrab
�i
J
Composite
Other. Rump
_ • q+
"
Otasoived analysts: @Hier "i7I5'
❑ Filtered in Field
'-:
;Sarriplrt7epHli
In check -boxes for parameters'
;.. ii11
ColleiorsC ntinerits:.•
Lat._35.9893T1 t_ang._80.789242 "Analyze Bacteria samples regardless of holdtime."
+ ;:hA' iQkrgjl,Paranietees: :;
WAS (surfactants)
mg/L
• tigegls:Parannebei3:r ** •_
-; ! i4i
Tin (Sn) I.gIL
Acidity, as CaCO3, to pH 4.518.3 Met.
Oil and Grease, HEM, Total Recoverable
mg /L
X
Aluminum (Al)
11g/L
Titanium (TO µfill
Alkalinity, as CaCO3, to pH 4.518+3 mg/L
Phenols, Total Recoverable
pg/L
Antimony (Sb)
119/1.
Vanadium (V) ue1L
BOO: Biochemical Oxygen Demand, 5-day mel.
Residue: Total (Total Solids I
mg/L
X
Arsenic (As)
peL
X
2ine (Zn) pg/L
*BOO. Carbonaceous BOO, 5-day mg/L
Residue: Volatile/Fixed, Total
rneL
X
Barium (Oa)
liet
x
Coifform- Fecal MF /loom[
Residue. Suspended (Suspended Solids)
mg/L
Beryllium (Be)
Pei,
Boron (B), Total l ell
x
CcAfaem: total MF /100ml
Residue: Volatile/Fixed, Suspended
mg/L
x
Cadmium (Cd)
Vs/L
Mercury 1632, low-level net
Cvlifarm: Tube Fecal /SDDml
x
TOS - Total Dissvived Solids
mg/L
X
Calcium (Ca)
m
Coliform: Tube Total /100MI
Silica
mglL
X
Chromium (Cr), Total
pg/L
ftrj ­jOrj4ni6;•pararri;p . � • _ 7 :Fuu -
SpecificCanductance, at 25'C umhavem
Sulfide.
reef
Cobalt too)
pg/L
Acid Herbicides
TOC - Total Organic Carbon mg/L
Tannin & Ugnin
met
X
Copper (Cu)
WeL.
Organochlorine Pesticides
Turbidity NTu
x
Iron (fe)
Pet
Organonitragen Pesticides
•F'a a tetcis; w "� �c .;,- . ,r
X
Lead (Pb)
pg/L
Organophosphorus Pesticides
Wet?Chemistry�Pararrietess:. " ' .�--
pH
S.U.
Lithium (Li)
Wg/L
PCBs (polychlorinated biphenyls)
Bromide mg/L
X
Hardness, Total as CaCO3- by titration
Mel.
X
Magnesium (Mg)
mg1L
x
Chloride MeL
X
Manganese (Mn)
sizA
Semi-VolatileOrgan'rrs (BNAs)
X
Fluoride meL
Mercury (Hg)
µfill
TPH Diesel Range
X Sulfate mg/L
ts Rarainefiers: T
Molybdenum (Mo)
Pet
Chlorophyll a I1811.
Ammonia as N (NH3-N)
mg/L X
Nkkel (Ni)
}1glL
volatil (VOA)
Color: ADMI C.U.
x Nitrate-Nirsite as N (NO3+NO2-N)
mg/L X
Potassium (K)
MGVL
Canbrr
Color. platinum Cobalt C.U.
Total Kfeidahi Nitrogen as N (TKN)
mg/L x
Selenium (Se)
Pet
TPH r 1:3 Inge �Ui1fd1115
COD: Chemical Dxygan Demand' mel.
Total Phosphorus as P (TP)
mg/L X
Silver (Ag)
pall
SUliur�C Acid 1:1
Cyanide, Tots! mg/L
X Nltrite as N [NO2-N)
rng/t x
Sodium (Nat
mgllt. r':
HivIQ- SA _ill Hitt(s lit ld.
Formaldehyde Met.
x Nitrate as N (NO3-N calculated)
meL
Strontium (50
yg%L
Phil Fx�. � -_y" ae HA=5DA91�0
Hexavalent Chromium (Cr6t) mg/L
Orthophosphate as P (PO4)
Met.
Thallium F"j
Pet-
1+ 'E ' EXP: I}21181]�
r+lfq�!
LAB C0 4Mt M :
iNamingl
i See MSDS
See �S
—7 ,ved.
P.eber5(npdni�al; 8?
�QmContluit (Nmfiosl�.):
salini1•
. .:�41,Fat
.;_tii
Revision:'2/06/2015

n OWX' twSCfCi wa Swfia � Lai6rB t o" viCts
Cvilnty.
bdell
Sample ID: AC26206
mw 8"k1
Yadklri. Pea Qee
-
PO Numbw # ISGO314
ftewrtTo
pm
Date Rteoelved- 4311WY"a
DWR
Thne Rteeeived: 6"
GiolEeGlar:
E WATSON
t�b� oft 1�inIA VSwwT
Re91en'
II Of Water i�ds41i1 C4i
1''uial Rgpvs{ Date! 11511a
Sample Mahix:
G�d!lHQWATER
�� Print C1aie' 4itQ5ii►ft6
Final Report
WC. Tye;
EAvrgerwy YeviNn
v+staD
COG YeslNe
I:pe:ihnof„- JiiNH AHQ WlRC3l1JA �L,�;. ZGO COIJ!IJTY$3QlE FAQ. iIARI�OHY.IJG
14"lon Itt
WR.3OW#2-vf
O lw Oaw =1512016
t ollect Time: 'I1316 Sample Uep1h NA
J fh& ►port le laboWpMmijjoary.report, tfra ms.aalts have nothaen "iidated. Do not use for Regulatory pwposas.
$V
melhod
Analysis
CAS #
AnalWte Name
Qwflifl
Flow-ehor9,
Dille
Slelidafed et
LAB
S"le teol"rAtU.r9 at receipt by lab
1.7
°C:
1"15
MSwlr r
NO
Cd r. MF Focal In Ciquid.
1
R'!'
*W
► PK49t?-2ft
12i4 tS:
FSTAFFORD1
"ftm MF-rowl [RlI
1
.B R4.
MO»941sri1
APHA9222S-2ft
W10116
OTAFFOR01
llt1E'iT-
Ion Chmmoogm^
_TITLE
WWL
EPA 30(LG rev2.1
121ams.
10GREEN
Ruaritiz ---.-- --- -- -- --
0.$
C6$
MWL
EPA=Ureal
12MW15
CGREEN
Cttloriite
1.0
1.1
mA
.EPA 300.0 rsv2.1
12h.015-
CGREEN.
Bromme
OA
0.4U
Ta6I»
EPA3W:Drev2.1
1witwiS
FEN
Sulfate
2.0
10
MWL
01A$N,0 retr7-1
12h&15-
CGREEN
Total Dissaivad Sol t;.in liquid
V
lilt
UWL
Sid 2wC-4991
12MOV16
CGRMN
NUT
NO2+NO3 as N (n liquid
0.02
U.02 U
mwjL au
EPA M2 REVZ
1=1115
CGREEN
Nftmte as N in Ilquid
0.02
11102 U
mglLae-N
EPA SS8.2'REV 2
It2m5.
CGREEN
Nitrite -as- N in liquid
13.01 U
mWL as N
EPAW3.2 REV 2
tMiR.
CGREEN
MST
7440-22-
Ag t)Y1CPMS
1.0
1.0.0
pt}IL
1~PA20 6
ESTAFFORDI
742MG•5
Al by ICP
W.
so
UgA.
EPA200J
1�itrg
MAFFORDi
7440-39-2
A& J>y ICPMS
2A)
2.0 U
u9&
oi0.ma:
426tW%
rATAT-FORD1
7440-W
Be fay ICP
10
IOU
voiL
PA200-T
1211e11l1•
FAVWFORDI
M4G-?G-2
ca by le-P
d
6.3
-
E7 4 19.9
-
izFtatls.
WA 1
"
CO by ICPMs
0.%
040 to
EPA 2MO
+ 81.#6_ ..-WAFFOADI
7404 -B
Cr by ICPMS
- -
--- 640
-
AROOL
- - -
SPALOU
K2' IN14
ESTAFFOf0l.
74004
Cu by'IC.PMS
U
Aj
UwL
EPA2W.9
12R7 R*
ESTAFFOR'M
71-
Fe by ICP
tit
fidl _
tW- T
'EPA2W.7 _..
-t=ln
FS'rAFF.OM
hm*m5s by Caleufa w
f le
w
mgR
SM340BEPA 200.7
delis
ESTAFFOR01
744049-7'
K by tCP
011a
am
EFA20.7
12dWS
ESUfFOIRDI
7439-N 4. M.9 by mp OJO 1.1 mg1L EPA 2DD.7 1WBMS Z=MTAF-KROI
743""
Mn. by 1CP
1Q
In U
Ua
SPA 20D.7
171 ArS
EVAFFOMI
71446.23-5
.Ng by
z j4
r=6rAFRA1
7440.02-0
W1 b)t ICPMS
2-ID
La U
use
EPAtWh
1w."S.
EsTAFposo
WSS Chemlet v LAbaretnry+*a M3 MaR Seivioe Center, ftkWh, 00 M024 .7 PIS)
Pm a uoulW Awroibr ufQ)G o iOw oo0m rebrSa _R�:'t7i4�t$I.TIC�CQi.i Ve {7�f<�DS�lACLIIO '8I �i�
PRO 102

wc oulk La6nraioq swnbn vndts
LecaoM 10: WON00162 EFF sorm9a 10, AC25UO CQlfect ❑ate: 12110015 coiled Time:: 1Z;44
Awr
AnatYte Ntirr3e
IP&L
wi
Method
Pna .ls by
VlII�
Reference
mats
7094Ri
Pb by [CPMS
-2A
2.01u. OWL
FPA2W:&
lZlV15► ESTRFFO7R1
"AW4"
Beby.kGPM
1:lu
IA U tw-
F.PA200.8
IMOV16 fib AFPORDI
7440'
Zir by iCPMS
I
IOU lo-k
EPA 200.9
1,7h1WAS ESTAFFORD1
M& Cha lslry Labe►Mtorf7 AM UO Servlea rAnter. Ra[algh, KC .2768 IR23 (919) T31` M
F0( a dowed aanp*x, a ma "ww mdea serer w <htM://aortal.ncdenr,ore,'weh/wa/crDs/metho&-and-oulz>

North Carolina DMsfon of Water Resources
Central Laboratory (water Sciences Se 1251kater Sample Collection & Submittal
t7r ►
Form
t 7m�
(nptiorim
5vrnple•
�r
n: John and Virginia, , ide Road, Harmony, NC
[i0
[acaort E
l z"
W103000162-INF
•
-.
"DptRpCEive d'.
•• : e w�
f� • 1 1
Iredell
W-60WIt;Regron: =•~
MRO
L�muMy]
o! lest>� N M. Schlette
Watson/
OWR-Qfjiie:`
MRO
f>gen.41
❑Ambient
[]Routine
Compliance
❑r~mergency
❑aA
T❑ Surface
OGround
❑ Waste
❑ Blanic
❑ Solution
❑River/5tream Lake
❑Estuary ❑Canal
❑Starmwater
❑Monitoring Well ❑Water supply
❑Effluent ❑Influent
❑Field Blank
❑rr:p Slank�w-
❑Filter Blank
❑Other: Influent Porti►:f
Ff i
-
yY:�
Racer N!
+; �
rVEr BG Yadkin -Pee pee
UlC System Inspection
ate,; ' 12/15/2015
�'
mr.f l AM❑COC
�' r'a
Depyery
fy ^
d ElStat Courier
Hand Delivery
❑Other:
❑ Chlorinated ❑Qe-chiorinafed in Field
rr Grab Composite
erh HO[her: Pump
t 'Oemtt+re.1,C)
.• pan Arrival
'
Dissolved analysis: Enter "DI5"
❑ Filtered in Field In check boxes for parameters
le Oepiw
Cal r_sGammen Lat._36.989371 Long._80.7692D2 "Analyze Bacteria samples regardless of hold time."
_ i4i 0c 41oiogy]Rarimeters:. _
M&4S (surfactants) mg/L
"NletalgPari
Tin (Sn) µg�C
Acidity, as CaCO3, to pH 45/9.3 mg/L
Oil and Grease, HEM, Total Recoverable mg/L
li
Aluminum (Alj� µg(L
Titanium (Ti) µg/L
Vanadium (V) pg/L
Alkalinity, as CaCO3, to pH 4.5/&a mg/L
Phenols, Total Recoverable ve/L
Antimony (Sb) pg/L
Arsenic (As) Contains pg/L
Sarlum (Ba) j yg1L
Beryllium (8e) }tt4fiE �Add pg/L
Cadmium {Cd} sh—SQUO µgA
Calcium (Ca) 1$ mg/L
Chromium (Cr), Total 1 µg/L
Cobalt (Co] waif}71Q pg/L
Copper (Cu)88�14�'a$ µe/L
Iron (Fe) µB/L
BOD: 8whemicalOxyeen Demand, 5-day mg/L
Residue: Total (TotbiSolids) mg/L
X
X
Zinc (2n) µg/L
cBOD: Carbonaceous HOD, S-day mg/L
Residue: Volatile/Fixed, Total melt
X
x
Cdliform: Fecal MF /100mi
Residue.- Suspended (Suspended Solids) mg/L
Romn (B), Total µR/L
x
Ccllfarm! Total MF /100ml
Residue: Volatile/Fixed, Suspended mg/L
X
Mercury 1631, low-level ng/L
Coliferm: Tube Fecal /100mi
X
TOS - Tot -at Dissolved Solids mg/L
X
CoKorm: Tube Total /100ml
silica mg/L
x
Organics_• Poi rfe►+ars„"� ,;
Specific Conductance, at 25 vC umhoslem
Sulfide mg/L
Acid Herbicides
TOC-Total Organic Carbon mg/L
Tannin & Lignin mg/L
x
Organochlorine Pesticides
Turbidity _NTU
X
Organondrogen Pesticides
Other parome`t is
J(
Lea
rganophosphcrus Pesticides
R' W _ [heiiit`stryjRarsir�reter' f�! "ti R
PH S.U.
Lithium (U) pg/L
PCBs {polychlorinated Nphenyls)
Bromide mg/L
]t
Hardness, Total as CaCO3 - by titration mg/L
X
Magneslum (Mg) mg/L
x
Chloride mg/L
X
Manganese {Mn) lig/L
Mercury (Hgj _ /tl�+- T µg(L
to
Molybdenum (Mo) 1� Ng/L
Nickel {Nil 4 tt µg/L
Semi-Volatite Organics (BNAs)
x
Fluoride mg/L
TPH Diesel Range
X
Sulfate mg/L
I�ufiien1Param �,i
Chlorophyll a µg/L
Ammonia as N (NH3-N) mg/L
X
Volatile Organics (VOA)
Color: ADMI C.U.
X
Nitrate -Nitrite as N (NO3+1102-N) mg/L
X
Potassium (K) 1.
mg/L
Color: Platinum Cohan C.U.
Total Igaldahl Nitrogen as N {TlCNI mpJl
](
5M1
Selenium (5e] '" j6� pg/L
TPH Gasoline Range
COD: Chemical Oxygen Demand mg/L
Total Phosphorus as P (TP) mg/L
X
Silver (AgJ p(P: µg/L
Sodium (Na) lafnill�t' mg/L
Strontium (Sr) 54$ pg/L
Thallium (TI) µg/L
Cyanide, Total mg/l.
x
Nitrite as N NO2-N mg/L
X
olagicalS� ,>".,
Formaldehyde mg/L
X
Nitrate as N (NO" calculated) mg/L
I
Phyla plankton /Algae
Hexavalent Chromium (Cr6+) mg/L
Orthophosphate as P (PO4) mg/L
W B COMMENTS :
�L.82- 1ME!u ii g. LDS

AC25207
OUkWaUrScriraces Section-CheidstrY La&w&tMRauis
County:
Lil
saftpis In:.
AC25207
Ruler Blain
Yadkin. Pea nee
PO Mffrbarg
"GO,315
Report Td
OWN1DWR
OaW Received.
121iOMOIS
Time Rest 1"d:
08:30
CoileWr.
E WATSON
LabWorks LagWO
MENIFT
Region:
MRO
Oh"" Of water Ite0ow"
FbW .Report Date:
115116
Sample Matrix:
QAQWYWATER
Final Rio k
Report PDate:
ili}rint
DM..16
L=- Type:
ueinflnt Pok
Err Mancy VimlNe
VWdo
COG Ye�slNo
Loa. Lleser.: JOKN AND HIRISINA t3ARILE. 200
COUNTYWO ROAD, HARMONY -NC
Lmatiolt.ILL,
*0.3000142 iHF
Collect data: 120I6l200
C0€0417ala: ".90
56mpie Depth NA.
If this roped is Mated AMUM nacyreffart, the tresulliz-hm wth ate vaNktaid. ft notxaw &r A%UW@fct►p,pHlrrpaaias
CAS'
LAB.
Ana Name.
Sample temperature at receipt by tab
EqL-
ResulV
QualMsr
t.7
gab
'C:
Whod
Reference
Anaty.4ai:a
DAM
12JIW15
mac
MSWIFT
MIC
Qolffd.rm.,, MF Fegal In gpid
i
1 132QI
GFU1100ml
AP.KM=a at►:,
12116116
ESTRFFplD1
collik rl..li F Total to i1quid
1
1 02ig1.
CFli I*Or 1
AMOEMP-Ah
12J16f1 B
ESTAFFQRDI
WIET
kwChromakVBphy
TITLE -
MWL
EPA 300.0MV2.1
1211OMS
CGReM
-PWoOde
OA
cc
mWL
EK30d,0 rer2.t
t IWI5.
CGREEN
Chloride
C-0
1.0
VOIL
EPA 3o0.a rw2J
titans
CaMEN
Bromide
0.4
lbat U
m9k
EPA.3.0uO: nwZt
12J am 5r
CGREEN
Sutfate
.A
20
Mwk
e%3f F)O"w2r1
12M-wis-
WREEN
Total C issotyed SplideAd liquid
11
M
mWL
s l 2540 C-1997
iz► os
OAE�N
NtJT
NO2+NO3 as M. In liquid:
C.02
U2 U
fft9L sa N
EPA 363.2 REV 9
t2211t5.
COREEN
Nkmte as N in liquid
{j 2.
W32 4
mgftas N
EPAW32REVY
1212811S
CGREEN
NWft as .N M "d
0,II'I
0.01 LI
m�OL as N
EPA353.3 RE'2.
121.11J15
CGREEN
T1-iii
Y44 4
pQ by MPMS
1.0
1-gyp AI
ug1L
EI 209,6
12h ifts-
MTAFFORD1
74 5
#I by IGP
50
500.
L gL 1
EPA 200tr
'1221tft
WAFFOR01
749W
AS by ipC IMS
2.0
2.1 U
u91L
MZAB
U16116-
F.STAFFOR01
� -
Be by ICP
10
W U
Ug&
F.PA 2OM7
j2XV18
ESTAFFORDI
7 ?0-2
09 hy[.IP
t.10
U
M-.
-ETA2D0.7
Vi.WtS
ESWFQRCI
740 4M -
'Cd by HCPMS
- - Off:
430 111
--- k1wr
- ;PI&M.>! --
MUMS
"TAFFORd1
744W-3
Cy by (CPUS
-- -
& Q
---
-- - W -
VOL
--AIL
EPAZDOA
t7,l Wt$.
ESTAFFORD1
7440-ZZ-
1tbyJCPMS
za
42
EPA2000A
1'1IMS
ESTAFFORDi
14-44"
- Fli by_�p`- T T
w
86
_AwL-
EPA-2M:7
't-41A .
ESTAFFORbl
Hm,dmss by Calculation
14
25
MI&
SM234913EPA200.7
116114B
ESTAFFORDI
7440�WT
K by ICP
0.'10
&W
0191l.
EPA 2001
12MW18.
MAMM1
7439w95-i
Mg by.
JDA C
1,1.
MV
EPA 200.7
117M6115
ESTAFFORIM
7439,Wj
MA by ICIP
1G
'ip �{.
j,'L
1EPA200;7
1:2121n6
EST ORD.t
7440.2"
14S by I.CP
610
MW4
EPA..20(U
12i' &I$
ESTAMM1
74404.32.0
NJ by 1CPMS
ID
uj[L
EM200.8
MIMS
WTAFFDfi[7.
WSS Chdmt ly lahorakwf.-es 1E23 Will Service COSW, "h, NC VW9.1623 [phone]
�o.�da�:eedddnsOattonatMa QunOw 006M term{htto://vortal.nedeu.oro*ebi wc/ayslme bo&-snd-ooL,--
Paye 1 9f 2

Loopum 10, W{03000182i1lF AC20V Dm: 12l45l2015 C0190 T)m: 11:30
MET
CAS #
Anahrba Nameram=
�j
&Kit)
gnmReference
MethodAnal
Sls
Validated 6v
Dua[fier
safe
7+i "Z t
F% by 1GPMS
ZA
24 U
► O&
EPA 20OX
171t$118.
ESTAFFORE31
7X98 d9-2
PMS
to
14 u
�
EPA 244.9
[2110115
6STARPC3ii[�1
74404"
Zfk by 110PMS
V
OWL
EPA 200A
171611-5
aSWFORDi
WM ChoWshy Labdhdm -%& 1823 Will Sdrvl" Contra ; Raloob; EEG VG99r1623 {9191733,9Q8
Fed VMW2,aF.,9<httn:llnortal.nodenr.om/web6walga$lmetho&-and-nol.a
Page 2 of 2

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: December 2, 2015
To: Andrew Pitner
From: Michael Rogers, WQROS -Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
A. Permit Number: WI0300162
B. Applicant: Barile
C. Facilitv Name:
D. A pp lication:
Permit Type: Geothermal Heating/Cooling Water Return Well
Project Type: Renewal
E. Comments/Other Information:
D I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within 30 calendar days, please return a com pleted W OROS Staff
Report.
When you receive this request fonn, please write your name and dates in the spaces below, make a copy of
this sheet, and return it to the appropriate Central Office Groundwater Protection Branch contact person
listed above.
RO-WOROS Reviewer: Date: ------------------------
COMMENTS:
NOTES:
FORM: WQROS-ARR ver. 092614 Page 1. of 1
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
December 2, 2015
John and V~rginia. Barile
200 Countryside Road
Harmony, NC 28634
RE: Acknowledgement of Application No. WI0300162
Geothennal Heating/Cooling Water Return Well
Iredell County
Dear Mr. and Mrs. Bai·ile:
The Water Quality Regional Operations Section (WQROS}acknowledges receipt of your
permit application and supporting documentation received on Novembet 23, 2015. Your
application package has been assigned the number listed above, and the primary reviewer is
Michael Rogers;
Central. and Mooresville Regional Office staff will perform a ·detailed review of the
provided application, and may contact you ·with a request for additional information. To ensure
maximum efficiency in processing permit applications, the · Water Quality Regional Operations
Section (WQROS) requests your assistance in providilig a timely and complete response to any
· additional infonnatioil requests.
Please note that processing standard review permit applications may take as long as 60 to
90 days after receipt of a complete application; If you have any questions, please contact
Michael Rogers at [phone] or [e-mail].
cc: Mooresville Regional Office, WQROS
Permit File WI0300162
Sincerely,
~~~ {o,r Debra J. Watts, Supervisor
Animal Feeding· Operations & Groundwater
Protection Branch
Division· of Water Resources
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Cente.r I Raleigh, North Carolina 27699-1611
919 707 9000
Director
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR A PERMIT TO CONSTRUCT OR OPERATE INJECTION WELLS
In Accordance With the Provisions of 15A NCAC 02C .0224
GEOTHERMAL HEATING/COOLING WATER RETURN WELLS
These wells inject groundwater directly into the subsurface as part of.a geothermal heating and cooling system
(check one) __ New Application · ~ewal* • __ Modification
* For renewals complete ~~s A-D and I, the signature page.
Print or Typl e{Jnforl·m=on and Mail to the{ASddress on the Last Page. Illegible Applications RECBVEO/DENR/DWlt
DATE: -a , 20_-
PERMIT NO. tv102 0o' &,?_, (leave blank if New Application) NOV 2 .S 2015
water Quality Realonal
Operationa .. Seclfon A. STATUS OF APPLICANT (choose one) _ _,,..,.
Individual Residence V Non-Government: Business/Organization __
Government: State Municipal __ County ,,,,,.,.--Federal
B. WELL OWNER/PERMIT APPLICANT-For individual residences, list owner(s) on property deed. For all
others~ ~~ame of e~!ity and name of person delegated authori~ to sign on br tlf of the business or agency: _
=-s ..., 1--i ---, 't-v I ~5 , ... , "'-.. ;tit . ris .:::l.r i -c..
Mailing Address: 2. 0 0 C.oc.J JJ \ (L I S ( CJ~-~-D
City: H It~ v·"Y\. <.J /V 'I State: /VC. Zip Code: 2 <f(, 3 '/ County: Tre .. J .f. (/
Day Tele No.: 70 4-s''-+ t: -t 9 o O Cell No.: '71 ?j -LI <;;'v -<fer 'f 0
EMAIL Address: j J bo..r·,-\c.. ,:Jl j ,._,4 i \. cu "' Fax No.:
C. WELL OPERATOR (if different from well owner) -For individual residences, list owner(s) on property
deed. For all others, list name of entity and name of person delegated authority to sign on behalf of the
business or agency: _____________________________ _
Mailing Address: _____________________________ _
City: ____________ State: __ Zip Code: ______ County: _____ _
Day Tele No.: Cell No.:
EMAIL Address: Fax No.:
D. LOCATION OF WELL SITE -Where the injection wells are physica11y located:
(1) Parcel Identification Number (PIN) ofweJl site: t:4B71 'Al~~ (., ()Ou County~CC d e ( {
(2) Physical Address (if different than mailing address): _______________ _
City: _______________ State: NC Zip Code: ________ _
GPU/lJ.IC 5A 7 Permit Application (Revised 5/23/2014) Page 1
E. WELL DRILLER INFORMATION
Well Drilling Contractor's Name: __________________________ _
NC Well Drilling Contractor Certification No.: ______________________ _
Company Name: _________________________________ _
Contact Person_: ________________ EMAIL Address: ___________ _
Address:------------------------------------
City: __________ Zip Code: _____ State: __ County: _________ _
Office Tele No.: ________ Cell No.: Fax No.: ________ _
F. HV AC CONTRACTOR INFORMATION (if different than driller)
HVAC Contractor's Name:
G.
NC HVf1.~ Contractor License No.: __________________________ _
. ~r Company Name: _________________________________ _
Contact Person_: ________________ EMAIL Address: ___________ _
Address:------------------------------------
City: _________ Zip Code: _____ State: __ County: _________ _
Office Tele No.: Cell No.: __________ Fax No.: ______ _
WELL USE Will the injection well(s) also be used as the supply well(s) for the following?
(1)
(2)
The injection operation?
Personal consumption?
YES ___ _
YES ___ _
NO ___ _
NO ___ _
H. WELL CONSTRUCTION REQUIREMENTS -As specified in 1 SA NCAC 02C .0224 (d ):
(1) The water supply well shall be constructed in accordance with the water supply well requirements of
15A NCAC 02C .0107.
(2) If a separate well is used to inject the heat pump effluent, then the injection well shall be constructed
in accordance with the water supply well requirements of 15A NCAC 02C .0107, except that:
(a) For screen and gravel-packed wells, the entire length of casing shall be grouted from the top
of the gravel pack to land surface;
(b) For open-end wells without screen, the casing shall be grouted from the bottom of the casing
to land surface.
(3) A sampling tap or other approved collection equipment shall provide a functional source of water
during system operation for the collection of water samples immediately after water emerges from the
supply well and immediately prior to injection.
GPU/OJC 5A7 Pen11it Application (Revised 5/23/2014) Page 2
I. WELL CONSTRUCTION SPECIFICATIONS
J.
(1) Specify the number and type of wells to be used for the geothermal heating/cooling system:
_____ *EXISTING WELLS _____ PROPOSED WELLS
*For existing wells, please attach a copy of the Well Construction Record (Form GW-1) if available.
(2) Attach a schematic diagram of each water supply.and injection well serving the geothermal
heating/cooling system. A single diagram can be used for wells having the same construction
specifications as long as the diagram clearly identifies or distinguishes each well from one another.
Each diagram shall demonstrate compliance with the well construction requirements specified in Part
H above and shall include, at a minimum, the following well construction specifications:
( a) Depth of each boring below land surface
(b) Well casing and screen type, thickness, and diameter
( c) Casing depth below land surface
( d) Casing height "stickup" above land surface
(e) Grout material(s) surrounding casing and depth below land surface
Note: bentonite grouts are prohibited for sealing water-bearing zones with 1500
mg/L chloride or greater per 15A NCAC 02C .0107(0(8)
(f) Length of well screen or open borehole and depth below land surface
(g) Length of sand or gravel packing around well screen and depth below land surface
OPERATING DATA
(1) Injection Rate: Average (daily) 0 gallons per minute (gpm).
(2) Injection Volume: Average ( daily) gallons per day (gpd).
(3) Injection Pressure: Average (daily) pounds/square inch (psi).
(4) Injection Temperature: Average (January) ° F, Average (July) __ o F.
K. SITE MAP-As specified in ISA NCAC 02C .0224(b)(4), attach a site-specific map that is scaled or otherwise
accurately indicates distances and orientations of the specified features from the injection well(s). The site map
shall include the following:
(1) All water supply wells, surface water bodies, and septic systems including drainfield, waste
application area, and repair area located within 250 feet of the injection well(s).
(2) Any other potential sources of contamination listed in 1.5A NCAC 02C .0107(a)(2J located within 250
feet of the proposed injection well(s).
(3) Property boundaries located within 250 feet of the parcel on which the proposed injection well(s) are
to be 1 ocated.
(4) An arrow orienting the site to one of the cardinal directions (north, south, west, or east)
NOTE: In most cases an aerial photograpl, of the property parcel showing property Lines and structures can be
obtained and downloaded from the applicable county GIS website. Typically, the property can be searched by
owner name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other
wells, etc. can. then be drawn in by hand. Also, a 'layer' ca,z be selected showing topographic contours or
elevation data.
GPU/UIC 5A 7 Pem1it Application (Revised 5/23/2014) Page 3
L. CERTMCA'li ION (to be signed as required below or by that person's authorized agent)
15A NCAC 02C .02 t 1 l e l requires that all permit applications shall be signed as follows:
I. for a corporation: by a responsible corporate officer;
22. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other public agency: by either a principal executive
officer or ranking publicly elected official;
4. for all others: by the well owner (person(s) listed on the property deed).
If an authorized agent is signing on behalf of the applicant, then supply a letter signed by the
applicant that names and authorizes their agent to sign this application on their behalf.
"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 in.fonnation, I believe that the information is true, accurate and
complete. I am aware that there are significant penalties; including the possibility of fines and iimprisonment,
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."
r7�
S ture of Property Owner/Applicant
,L LAS �5 r�tc-1
Print or Type Full Name ff
1
Signature Property Owner/Applicant
Print or Type Full Name
Signature of Authorized Agent, if any
Print or Type Ful l Name
Submit two copies of the completed application package to:
Underground Injection Control Program
NC Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
CPPLY111C. 5A7 Pemiil Application (Revised 512?12014) Page 4

Permit Number WI03001 fit
Program Category
Ground Water
Permit Type
Injection Heating/Cooling Water Return Well [5A7)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Central Files APS SWP
1210211 Q
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Fnc'ii-v
Facility Name Ma}orfMlnor Region
John and Virginia Barile SRR Minor Mooresville
Location Address County
200 Countryside Rd Iredell
Harmony NC 28634 FacIIlty Contact Affiliation
Owner Name
Owner Type
Individual
John Barile
Owner Affiliation
John Barile
200 Countryside Rd
Harmony NIC
28634
Da e=Qci,:c
L
Scheduled
Orlg Issue App Received Draft Initiated Issuance
Public Notice Issie Effective
ll
E iratlan
t � 3611C
l-�
Reg
Regulated Activities
Remi-s--tefed Erie- -
dlRec
It
Heal Pump Injection
RO staff report requested
11/08/10
RO staff report received
11 /17110
Outfall E !
Waterbody Name Stream Index Number Current Class Subbasin

r-A ~!;~~ AcbENR
North Carolina Department of Environment and Natural Resources
Division .of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
John and Virginia Barile
200 Countryside Rd.
Harmony; NC 28634
Re: Issuance of Injection Wen Permit
Permit No. WI0300162
Issued to John and Virginia Barile
Iredell County
Dear Mr. and Mrs. Barile:
December 9, 2010
Dee Freeman
Secretary
In accordance with_your application received October 29, 2010, I am forwarding Permit No. WI0300162 for
the operation of a SA 7 geothermal underground injection control (UIC) well he_at pump system located at the
above referenced address; This permit shall be effective from the date of issuance until November 30, 2015,
arid shall be subject to the conditions and limitations stated therein.
Water sampl~s were collected from the influent and effluent sampling ports _ during the inspection by the
Mooresville Regional Office on November 16, 2010. The laboratory analytical results will be forwarded to
you after they are received from the lab .. Unless you have had the well previously sampled and tested by the
Iredell County Env.ironment.al Health Department, we recommend not using water from this well for drinking
purposes until the Regional Office receive the results from the lab.
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 transfer"ble to any person without prior notice to, and approval by, the Director of the Division of Water ,
Quality. If you hav~ any questions regarding your permit or the Underground Injection Control Program
please call me at [phone].
Best Regards,
' .~•f22~
Michael Rogers, P.G. (N C & FL)
Environmental Specialist
cc: Andrew Pitner-· Mooresville Regional Office
Central Office File -WI0300162
Iredell County Environmental Health Dept.
AQUIC:ER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Camlina 27604
Phone: 919~733-3221 \ FAX 1: 919--715-0588; FAX 2: 919-715-6048 \ Customer Service: 1-877-623-6748
internet: www.ncwaterquality.org
An Eou,.i Opporiunity .\ Affirmativ(.,-Action Employer
NOner c· ,. ........ ' ........ " ''I ,.
.i ot t ., .,a1 c, 1..t.na
~
I .• ff · . .,;...1",_. -, .. I
{I a:,,ura~t'1
"
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CA.ROLPtiA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
Its 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
John and Virginia Barite
FOR THE OPERATION OF A TYPE 5A7 INJECTION WELL, defined in Title I5A North Carolina
Administrative Code 2C .0209(e)(3){A), which will be used for the injection of heat pump effluent. This
injection well is located at 200 Countryside Rd., Harmony, Iredell County, NC 28634, and will be constructed
and operated in accordance with the application October 29, 2009, 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 operation of an injection well shall be in compliance with Title 15A North Carolina
Administrative Code 2C .0100 and .0200, and any other Laws. Rules, and Regulations pertaining to well
construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until November 30, 2015, and shall
be subject to the specified conditions and limitations set forth in Parts I through VIII hereof.
nd
Permit issued this the day of ❑A�-r CE1t?l5i�2 P-, 2010.
oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #WI0300152 WC/W Page 1 of 5
per. 03/2010

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 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 be constructed in such a manner that water from land surface cannot migrate into
the gravel pack or well screen.
5. Each injection well shall be secured to reasonably insure against unauthorized access and use. Each well
shall be permanently labeled with a warning that it is for injection purposes and the entrance to each well
must be secured with a locking cap.
6. Each injection well shall be afforded reasonable protection against damage during construction and use.
7. Each geothermal injection well shall have permanently affixed an identification plate according to 2C
.0213(g).
PART II -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.
,.., .. • ~-t1f·1
2. This permit is not transferabl~·~wim'oli'f,},tior -.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 Permittet;, ~Jon.nal pe~t ~~ndment request must be submitted to the Director,
including any supporting matenars as may be apprtlpthtie, at least 30 days prior to the date of the change.
"t•·•, ''·•
3. The issuance of this permit shall riot relieve the Permittee of tlie.\!espon~ibility 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. Furthem10re, the issuance of this pemiit does not imply that all
regulatory requirements have been met.
4. Continued operation of the injection system will be contingent upon the effluent not impacting
groundwater quality. The water quality of the effluent cannot be that of a lower quality than the influent,
which results in a degrading of water quality of the aquifer.
Permit #WI0300162 UIC/SA7 Page 2 of 5
ver . 03/2010
PART III-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 condition_s or failure of the
injection zone to adequately assimilate the injected fluid, the Pennittee 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 Permitte_e of the responsibility for damages to surface or
groundwater resulting from the operation of this facility.
PART IV -OPERATIONS 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.
PART V -INSPECTlONS
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 ~nspect or
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwate!, surface water, or injection fluids. .
2. Department · representatives shall have reasonable acc.ess for purposes of inspection, o~servation, and
sampling a~sociated 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.
PART VI -MONITORING AND REPORTING REQUIREMENTS
1. 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. ·
Permit #WI0300162 UIC/SA7 Page 3 of 5
ver. 03/2010
2. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge of the
occurrence, to the Mooresville 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 known or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures;
3. 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 Permittee.
4. 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 VII-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 permit 120 days prior to its expiration date.
PART VIII-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 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 that well must be permanently abandoned according to 15A NCAC 2C .0213(h)(l), Well
Construction Standards.
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 which extends to the bottom of the well and is raised as the well is
filled.
Permit #WI0300162 UIC/SA7 Page 4 of 5
ver. 03/2010
(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, anci 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
tem1.s and conditions of the permit.
(G) The Pennittee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment.
3. The written documentation required in Part VIII (1) and (2) (G) shall be submitted to:
Permit #WI0300162
Aquifer Protection Section-DIC Program
DENR-Division of Water Quality
·1636 Mail Service Center
Raleigh, NC 27699-1636
UIC/SA7
ver. 03/2010
Page 5 of 5
Rogers, Michael
From: Schutte, Maria
Sent: Thursday, December 02, 2010 4:06 PM
To: Rogers, Michael
Cc: jdbarile@gmail,com; Pitner, Andrew
Subject: FW: Well Pump Installer Info, for W10300162.
Attachments: W M0300162 009.jpg
Michael,
I have attached a photo of the Pump Tag and Mr. Barile sent the contact info rrrnation (Thank YOU John! )
Maria
From: John D. Barile maRto:idbarileralamail.com-i
Sent: Thursday, December 02, 2010 3:55 PM
To: Schutte, Maria
Subject: Re: Well Pump Installer info. for W10300162.
Hey Maria
Here is the address for Air Drilling
JL-
My contact there was a gentleman named Neil, and I'm sorry out i can't remember his last name.
Hope you have a good rest of your slay.
take care.
John
Air Drilling
176 Commerce Boulevard
Statesville NC 28625
[phone]
Sent from my iPhone
On Dec 2, 2010, at 15:44, "Schutte, Maria" <maria.schutte,o ncdenr.,ov> wrote:
Hello John.
Per our phone conversation, Air Drilling installed the well pump. And you were going to send
their contact information.
Thank You!

Maria
Maria Schutte, Environmental Senior Technician -Maria.Schutte(amcdenr.gov
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]
MRO Fax: [phone]
APS website: http ://h2o.enr.state.nc.us/agw.html
NOTICE: Emails sent to and from this account are subject to the Public Records Law and may
be disclosed to third parties.
2
North Carolina Secretary of State
Page 1 of 2
�* •`�"' ��.., North Carolina
a y+
Elaine F. Marshal! D =�A-� .�ME N r OFTHE
�E
s Secretary Er RE TA RY OF ST 1-
PG Box 2QU2 Raleigh, NC 2762fi G22 (9x919Ct-2130 !
Date: 12/212010
Click here to:
View Document Filings 1 Sign Up for E-Notifications i
% Print apre-populated Annual Report Form I Annual Report Count 1 Fife an
Annual Report i
Corporation Names
Name Name Type
NC AIR DRILLING, INC- LEGAL
Business Corporation Information
SOSID:
0849836
Status:
Current -Active
Effective Date:
6/6/2006
Dissolution Date:
Annual Report Due Date:
Citizenship:
DOMESTIC
State of Inc.:
NC
Duration:
PERPETUAL
Registered Agent
Agent Name:
PARDUE, NEILL
Office Address:
176 COMMERCE BOULEVARD
STATESVILLE NC 28625
Mailing Address: 176 COMMERCE BOULEVARD
STATESVILLE NC 28625
Principal Office
Office Address:
Mailing Address:
Officers
176 COMMERCE BOULEVARD
STATESVILLE NC 28625
176 COMMERCE BOULEVARD
STATESVILLE NC 28625
Title: PRESIDENT
Name: NEILL PARDUE
Business Address: 176 COMMERCE BOULEVARD
STATESVILLE NC 28625
http://www.secretary.state.nr..us/corporations/Corp.aspx?PitemId=7986203 12/2/2010

North Carolina Secretary of State
Title:
Name:
Business Address:
Stock
Class
COMMON
Shares
100000
SECRETARY
STEVE TAYLOR
176 COMMERCE BOULEVARD
STATESVILLE NC 28625
No Par Value
YES
Par Value
N/A
Page 2 of2
This website is provided to the public as a part of the Secretary of State Knowledge Base (SOSKB) system. Version:
2514
http://www.secretary.state.nc.us/corporations/Corp.aspx?Pitemid=7986203 12/2/2010
Rogers, Michael
From: Schutte, Maria
Sent:
To:
Thursday, December 02, 2010 2:50 PM
Pitner, Andrew; Rogers,· Michael
Subject: RE: WI0300162 Barile 5A7
Hello Michael and Andrew,
I just got off the phone with Mr. Barile. He said he spoke with John McCray about this. Parks Quality Air installed the
HVAC unit and Air Ducts, sounds like there was some disagreement about how payment was to be handled, so Parks
Quality Air was let go. The only part of the system they did not install was the 10 feet of plumbing and electrlc from the
pump to the unit. According to Mr. Barile the remainder of the work was done by certified contractors (plumber/
electrician). Mr. Barile says his building/ construction permits have Parks Quality Air written on them. I said I would call
back if we need written proof. Please let me know it this phone conversation will suffice?
Maria
From: Pitner, Andrew
Sent: Thursday, December 02, 2010 2:20 PM
To: Schutte, Maria
Subject: FW: WI0300162 Barile SA7
Here it is ...
' From: Rogers, Michael
Sent: Thursday, December 02, 2010 1:57 PM
To: Pitner, Andrew
Subject: RE: WI0300162 Barile SA7
Andrew-
We received a letter from Parks Quality Air indicating that they were not the heat pump contractor for Barile and had no
affiliation with project. Do you know who the heat pump contractor Is and have the contact info?
Thanks
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality-Aquifer Protection Section (APS)
163f> Mail Service Center
Raleigh, NC 27699-1636
Direct line [phone]; Fax [phone] (put to my attn on cover.letter
http://p ortal.ncdenr.or.g/web/wq/aps/qw p ro/permit-applications#qeothermAop s
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties
From: Pitner, Andrew
Sent: Wednesday, November 17, 2010 2:06 PM
To: Rogers, Michael
Cc: Schutte, Maria
Subject: WI0300162 Barile SA7
1
I Hi Mike, 1
The staff report for this one should be attached. We've got a bit of concern about the.grout job on thi~ one, but are
awaiting GW-1 info from Iredell Co HD, who signed off on the grout. We'll sort it out with them and/or driller, but we're
ok with this one going ahead. If you have questions, let us know.
Andrew
Andrew Pitner, P.G. -Andrew.Pitner @ncdenr.gov
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]
MRO Fax: [phone]
DWQ website: www.ncwaterq uality .org
NOTICE: Emails sent to and from this account are subject to the Public Records Law and may be disclosed to third
parties.
2
{ !'
f
1
Rogers, Mich ~el
From: Pitner, Andrew
Sent:.
To:
Wednesday, Noven,ber 17, 2010 2:06 PM
Rogers, Michael
Cc: Schutte, Maria
Subject: WI0300162 Barile 5A7
Attachments: APRSR040929-W I0300162-Barile-SA 7-Nov 201 0ahp•signed .pdf
Hi Mike,
The staff report for this one should be attached. We've got a bit of concern about the grout job on this one, but are
awaiting GW-1 info from. Iredell Co HD, who signed off on the grout. We'll sort it out with them and/or driller, but we're
ok with this one going ahead. If you have questions, let us know. ·
Andrew
Andrew Pitner, P.G. -Andrew.Pitner @ncdenr.gov
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]
MRO Fax: [phone]
DWQ website: www.ncwaterquality.org
NOTICE: Emails sent to and from this account are subject to the Public Records Law and may be disclosed to third
parties.
1
AQUIFER PROTECTION REGIONAL STAFF RE-PORT
Date: 11/16/10
To: A quifer Protection Central ·office
Central Office Reviewer: Michael Ro gers
Regional Login No: __ _
i. GENERAL INFORMATION
County: Iredell
Perniittee: John and Virginia Barile
Project Name:
Application No.: WI0300162
1. This application is (check all that apply): [81 New D Renewal
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 Attaclunent B included D 503 regulated D 503 exempt
D Distribution of Residuals D Surface Disposal
D Closed-loop Groundwater Remediation . [81 UIC Injection Wells (SA 7) Geo Thermal
Was a site visit conducted in order to prepare this report? [81 Yes or D No.
a. Date of site visit: 11/16/2010
b. Person contacted and contact information: John Barile 704-546-7900 or 919-656-8890 (cell)
c. Site visit conducted by: Maria Schutte
d. Inspection Report Attached: D Yes or [81 No.
2. Is the following information entered into the BIMS record for this application correct?
~ Yes or D No. Ifno, please complete the following ot indicate that it is correct on the current application.
For Treatment Facilities:
a. Location: BIMS info u pdated-b y MRO: sin gle well for extraction and injection
b. Driving Directions: __
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: __
e. Regulated Activities/ Type of Wastes (e.g., subdivision, food processing, municipal wastewater): __
IL NEW AND MAJOR MODIFICATION APPLICATIONS (this section not needed for renewals or ininor
modifications, skip to next section )
Description Of Waste(S) And Facilities
1. Please attach completed rating sheet. Facili_ty Classification: n/a
2. Are the new treatment facilities adequate for the type of waste and disposal system?
D Yes D No [81 NIA. 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 [81 NIA. Ifno, please explain: __
FORM: APRSR040929-WI0300162-Barile-5A7-Nov 2010
AQUIFER PROTECTION REGIONAL STAFF REPORT.
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? IZ!
Yes D No D N/A. If no, please explain: Map lacks surface drainage and scale, but sufficiently locates wells
and septic.
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. 0Yes0No!ZI
NI A. If no, please explain: __
6. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
D Yes D No IZ! NIA. Ifno, please explain: __
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
D Yes D No IZ! NIA. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part IV: __
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? D Yes or IZ! No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to be
incorporated into the permit: __
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? D Yes IZ! No D N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
' changes to the groundwater monitoring program: No info on the monitoring plan was provided.
10. For residuals, will seasonal or other restrictions be required? D Yes D No IZ! N/ A If yes, attach list of sites
with restrictions (Certification B?)
IIL RENEWAL AND MODIFICATION APPLICATIONS (use previous section for new or maior modification
systems)
Description Of Waste(S) And Facilities
Nia this facility
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description OfWell(S) And Facilities-New, Renewal, And Modification
1. Type of injection system:
IZ! Heating/cooling water return flow (SA 7)
D 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: __J
FORM: APRSR040929-WI0300162-Barile-5A7-Nov 2010 2
AQUIFER PROTECTION REGIONAL STAFF REPORT
2. Does system use same well for water source and injection? ~ Yes D No
3. Are there any potential pollution sources that may affect injection? D Yes [8J No
What is/are the pollution source(s)? ·
4. What is the minimum distance of proposed injection wells from the property boundary? ~51 ft.
5. Quality of drainage at site: ~ Good D Adequate D Poor
6. Flooding potential of site: [8J Low D Moderate D High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters,-etc.) adequate? D Yes [gl No. Attach
map of existingmonitonng well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: No monitoring program has been established for system. The MRO suggests
a recommended annual sampling schedule for coliform and metals be arranged through Iredell Environmental
Health (not a permit requirement though);
8. Doe_s the map presented represent the actual site (property lines, wells, surface drainage)? [gl Yes or D No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, _approximate scale, and north arrow. Google aerial and site map do not show drainage, but do an
ok job of representing the site. Not clear that the area of review is properly represented. Assume that
neighbors~750' and more away are also using groundwater for drinking water supply.
Injection Well Permit Renewal And Modification Onlv:
1. _For heat pump systems, are there any abnormalities in heat pump or injection well operation ( e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
D Yes D No. If yes, explain:
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
orlast inspection? D Yes . D No. If yes, explain:
3. For renewal or modification of groundwater remediation permits (of at_lV type). will
continued/additional/modified injections have an adverse impact on migration of the pluine or management of
the contamination incident? D Yes D No. If yes. explain: ~
4. Drilling contractor: Name: Taylorsville Well Drilling (Mr. Russell) _,,, (Lu Y4L. D. (< v\. S ~C'LL--·
Address: 2992 Vashti Rd.
Taylorsville, NC 28681
828-632-8377
Certification number: 2232
5. Complete and attach Well Construction Data Sheet.
FORM: APRSR040929-WI0300162-Barile-5A7-Nov 2010 3
AQUIFER PROTECTION REGIONAL STAFF REPORT
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application: Well will serve as drinkin g water
source and geothermal injection well. This well was constructed on June 18 , 2010 . per well ta g. Section "H"
in app lication says casin g was grouted from 0-30 feet. But site insp ection revealed about 2 feet of casin g .
-below the foot stick-up that is not grouted. MRO asked homeowner ifthere was additional gradin g around well
after construction, but homeowner said no. MRO has p assed this information onto Iredell County
Environmental Health (ICEH), as they had si gn ed off on the grout ins pection. Tim Hi g2:ins with ICEH said he
would request well lo g from driller , as it is a re quirement of their permit. and email to MRO. The HVAC
system is installed and op erational. The system is currently confi gured as a pum p and dump s vstem, so the
MRO was able to collect Influent and Effluent samples. The MRO recommends issuin g the in jection permit
and will follow-u p with County and Driller as needed to insure gr out is in accordance with 2C.
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 l:8J No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
7. Recommendation: D Hold, pending receipt and review of additional information by regional office; D Hold,
pending review of draft permit by regional office; D Issue upon receipt of needed additional information;
1:8'.1 Issue; D Deny. If deny, please state reasons:
8. Signature ofreport preparer( s ): ----=-M=a=n=· a:;:_. =S=ch=u=t=te=-------------------------
Digitallysigll~byAridrewPitner
Signature of APS regional supervisor: ______ A_n_d_r_e_w_P_it_n_e_r _E;_T~_~_,.::_~;:_:·,~_-;;~_,9
;_··'~-~----------
FORM: APRSR040929-WI0300162-Barile-5A7-Nov 2010 4
AQUIFER PROTECTION REGIONAL STAFF REPORT
Date: __ 1=1.a....=./1 -=-6/.;=...:20'-=-10-"---__ _
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
FORM: APRSR040929-WI0300162-Barile-5A7-Nov 4010 5
Heat -Cooling -Indoor Air Quality
®
Turn to the Expertf
249 Beech Brook Lane• Statesville, North Carolina 28625 • 704-873-0080 • [e-mail]
11-12-10
Debra J Watts
Supervisor
NCDENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Subject: Application No. WI0300162
John and Virginia Barile
Injection Heating/Cooling Water Return Well (SA7)
Ms. Watts
This letter is to inform your Department that our Company should not have been named on the
Barile Injection Water Return Well application. My Company has no association with Mr. Barile
or any connection with the Injection Water Return Well.
I would ask that you remove Parks Quality Air, Inc. from the application, plus any other
materials associated with this individual.
Respectfully submitted,
Sam Parks
President
Parks Quality Air, Inc.
Statesville, NC
cc: John Barile
200 Countryside Road
Harmony, NC 28634
NOV 15 2010
A O IDFER PROTECTION SECTION
APPLICATION REVIEW RE QUEST FORM
Date: November 8, 2010
To: □ Landon Davidson, ARO-APS
□ Art Barnhardt, FRO-APS
~ Andrew Pitner, MRO-APS
D Jay Zimmerman, RRO-APS
0 David May, WaRO-APS
□ Charlie Stehman, WiRO-APS
□ Sherri Knight, W-SRO-APS
From: Michael Ro gers Groundwater Protection Unit
Telepho-ne: (919} 715-6166 Fax: (919} 715-0588
E-Mail: Michael.Ro [e-mail]
A. Permit Number: WI 0300162
B. Owner: JQhn, and Virginia Barile
C. Facility/Operation:____:;.
D Proposed ~ Existing D Facility D Operation
D. Application:
1. Permit Type: D Animal D SFR-Surface Irrigation□ Reuse D H-R Infiltration
D Recycle D 1/E Lagoon D GW Remediation (ND)
~ UIC ----5~\ 7 Weµ
For Residuals: D Land App.
□ 503
□D&M
D 503 Exempt
D Surface Disposal
D Animal
2. Project Type: ~ New· D Major Mod. D Minor Mod. D Renewal D Renewal w/ Mod.
E. Comments/Other Information: D I would like to accompany you on a site visit.
NOTE:
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within, please take the following actions:
~ Return a Completed APSARR Form and attach laboratory analytical results, if applicable.
D Attach Well Construction Data Sheet.
D Attach Attachment B for Certification by the LAPCU.
D Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete _Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: ------------------Date: _____ _
FORM: APSARR 07 /06 Page 1 of 1
��4
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
November S. 2010
John Barite
Virginia Barite
200 Countryside Road
Harmony, NC 28634
Subject: Acknowledgement of Application No. WI0300162
John and Virginia Barite
Injection Heating/Cooling Water Return Welt (5A7)
Iredell
Dear Mr. & Mrs. Bartle:
Natural Resources
Dee Freeman
Secretary
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials an October 29, 2010. 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 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 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 at michael_ro¢ers aincdenr.gov. If the
reviewer is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NITNI BER WHEN MAKING INQUMMS ON THIS PROJECT,
Sincerely,
Q)a-_k�
for Debra J. Watts
Supervisor
cc: Mooresville Regional Office, Aquifer Protection Section
Parks Quality Air - 249 Beach Brook Lane. Statesville, NC 28625
Permit Application File WI0300162
AQUIFER PROTECTION' SECTION`
1636 Mail Service Center, Ralegh, Norih Carolina 27699.1636
Location: 2728 Capita! 800evaM, Ralelah. North Carolina 27604
Phone! 919-733-3221 I FAX 1: 919-715-a588; FAY 2: 919.715.K481 Customer Smica. "77.613.6748
Internet. www.ncwalerqualitv.0
A,n F-gual opportUnny � Afirwwt . don FmD bye'
N) rth Carolina
Naturally

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL FOR INJECTION
WITH A GEOTHERMAL HEAT PUMP SYSTEM
TYPE 5A 7 "OPEN LOOP" INJECTION WELL(S)
( check one) _X_._New Permit Application · Renewal Modification -----
DA TE: October 29 , 2010
PERMIT NO.: WI ¢ Q:v / 1. '2..--(leave blank if NEW permit application)
A. PROPERTY OWNER/PERMIT APPLICANT
Name of each owner listed on property deed. For a business or government agency, state name of entity and
name of person delegated authority to sign application on behalf of the business/agency: ______ _
John D. & Virg inia M. Barile
(1) Mailing Address: 200 Country side Rd
City: Harmony State: _NC_ Zip Code: 28634 County: Iredell __ _
Home/Office Tele No.: ___.(.__7_04_)_5_4_6 _-7-'-9--'--00-"---_____ C_e'"-ll_N ...... o ____ .: __ ___.("-'-9_19-"--") ...... 5'---"6--"-5 ...... -8'----8_9_0 __
Fax No. ___________ Email Address: idbarile@g mail.com
(2) Physical Address of Well Site (if different than above): ______________ _
City: _________ State: __ Zip Code: ______ County: ____ _
Home/Office Tele No.: -----------~C~e~ll~N~o~·~: __________ _
Fax No. ___________ Email Address: ______________ _
B. PROPERTY OWNERSHIP DOCUMENTATION
Provide legal documentation of property ownership, such as a contract, deed, article of incorporation, etc. and
a PLAT map showing the property. This information may be obtained from county Register of Deeds or GIS
website.
C. AUTHORIZED AGENT, IF ANY
If the property owner/permit applicant wants to authorize someone else to sign the permit on their behalf, then
attach a signed letter from the property owner/perinit applicant specifying and authorizing their .. _agent (~ell
driller, heat pump contractor, or other type of contractor/agent) to sign this application on their befl~lf. · ;...,:·~:
C N ..,.,n, ompany ame: "7·-.1-:-.i
C '
Contact Person . .:,_: --------------=E=m=a.1=·1-=-A=d=dr=e=s=s==----------w ~., __ ;;,_1
_S:_· n ..... .
Address: -----------------------------r: ...... =---_:.::_t .... _:_
City: _________ State: __ Zip Code: ______ County: ___ .......... ___ _
_1'.P:.,_,
Office Tele No.: Fax No. Cell No.:
Website Address of Company, if any: _______________________ _
Type 5A 7 Injection Well Permit Application (Rev. August 2009) Page 1 of 4
a
WELL DRILL�ORMATION
Company Name: Ta lorsville Well Drilling inc
Well Drilling Corit4to-e flame: ' Mr. Russell
NC Contractor Certification No.: 2232 Contact Person: Mr. Russell
Company Website: WWW. Email Address:
Address: 2992 Vashti Rd
City: Taylorsyiile State: NC Zip Code: 28681 County: Alexander
Office Tele No.:_(828) 632-8377 Fax No.:
HEAT PUMP CONTRACTOR INFORMATION (if different than Driller)
Company Name -.Parks Quail Air Contact Person:
ryr�v } 'Company Website: www.parksgualitvair.com Email Address:
Address: 249 Beach Brook Ln
City: Statesville State:NC Zi Cade: 28625 County: � ri � Iredell
+, Office Tele No.:_(704) 873-0080 Fax No._(704) 872-0562_ Cell No.
Q
= Q , F. The well will be used to supply an openloop groundsource heat pump and serve as the
primary HVAC system for the home
G. WELL USE Will the injection well(s) also be used as the supply wells) for the following?
(1) The injection operation? YES X NO
(2) Personal consumption? YES X NO
H. WELL CONSTRUCTION DATA
PROPOSED Well(s) to be constructed for use as an injection well. Provide the data in (1) through
(7) below as PROPOSED construction specifications. Submit Form GW-I after construction.
X EXISTING Well(s) being proposed for use as an injection well. Provide the data in (1) through (7)
below to the best of your knowledge. Attach a copy of the Well Construction Record (Form
GW-1) if available.
(l } Well Construction Date. _June 17, 2010 Number of borings: 1
Depth of each boring (feet): 645 _
(2) Well casing. Is the well(s) cased.?
(a) YES If yes, then provide the casing information below.
Type: Galvanized steel Black steel Plastic Other (specify} SBR21
Casing thickness: _.25 diameter (inches): T6—depth: from Owl 10_ feet (relative to land surface)
Casing extends above ground _12 inches
(b) NO
(3) Grout material surrounding well casing:
(a) Grout type: Cement_X_ Bentonite* Other (specify)
'By selecting bentonite grout a variance is hereby requested to 15A NCAC 2C .02t3(d)(1)(A), which requires a cement type grout.
(b) Depth of grout around well casing (relative to land surface): from 0
to 30 feet
Type 5A7 Injection Well Permit Application (Rev, August 2009) Page 2 of

(4) Well Screen or Open Borehole depth (relative to land surface): from ____ to ____ feet
(5) N.C. State Regulations (Title 15A NCAC 2C .0200) require the Permittee to make prov1s1ons for
monitoring wellhead processes. A faucet on both Influent (groundwater entering heat pump) and Effluent
(water being injected back into the well) lines is required .. Will there be a faucet on:
(a) lnfluentline? Yes_X_No__ (b) Effluentline? Yes_X_No __
(6). Source Well Construction Information. If the water source well is a different well than · the injection
well, attach a copy of the well construction record (Form GW-1). If Form GW-1 is not available, provide
the following data:
From what depth, formation, and type of rock/sediment units will the groundwater be withdrawn? ( e.g.
granite, limestone, sand, etc.)
Depth: _______ Formation: ______ Rock/sediment unit: _______ _
NOTE: THE WELL DRILLING OR HEAT PUMP CONTRACTOR CAN HELP SUPPLY THE DATA IF THIS
INFORMATION IS OTHERWISE UNAVAILABLE.
I. OPERATING DATA
(1)
(2)
(3)
(4)
Injection Rate:
Injection Volume:
Injection Pressure:
Injection Temperature:
J. INJECTION-RELATED EQUIPMENT
Average (daily) _&___gallons per minute (gpm).
Average (daily) __ gallons per day (gpd).
Average (daily) ___ pounds/square inch (psi).
Average (January) ° F, Average (July) __ ° F.
Attach a schematic diagram or cross-section of the well construction that shows the total depth, length of casing,
extent of grout, stickup, location of influent/effluent sampling ports, etc. If this is a modification, show 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 if needed.
K. LOCATION OF WELL(S)
(1) Attach a site map (can be drawn) showing: houses and other structures, property lines, surface water bodies,
potential sources of groundwater contamination, and the orientation of and distances between the proposed
injection well(s) and any other existing well(s) or waste disposal facilities such as septic tanks or drain fields
located within 1000 feet of the geothermal heat pump well system. Label all features clearly and include a
north arrow.
(2) Attach a scaled topographic map of the area extending 1/4 mile from the property boundary that indicates
the facility's location, a north arrow, and the map name.
NOTE: In most cases, an aerial photograph of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable county GJS website. Typically, the property can be searched by owner
name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other wells, etc.
can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or elevation data.
Type 5A7 Injection Well Permit Application (Rev. August 2009) Page 3 of 4
L. CERTIFICATION (to be signed as required below or by that person's authorized agent)
NCAC 15A 2C .0211(b) requires that all permit applications shall be signed as follows:
1. for a corporation: by a responsible corporate officer;
2. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other public agency: by either a principal executive
officer or ranking publicly elected official;
4. for all others: by the well owner.
If an authorized agent is signing on behalf of the applicant, then submit a letter signed by the
applicant that names and authorizes their agent as specified in Part C of this permit application.
"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."
5igp4ture )f Property Owner/Applicant
_John D. Barile
Print or Type Full Name
ILI
Signature rif Property Owner/Applicant
Virginia M. Barile
Print or Type Full Name
Signature of Authorized Agent, if any
Print or Type Full Name
Submit TWO signed copies of the completed application package and all attachments to:
UIC Program
Aquifer Protection Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
'type 5A7 Injcction Well Permit Application (Rev. August 2009) Page 4 of

Appraisal card
BARILE JOHN D & VIRGINIA M
200 COUNTRYSIDE RD
000077436706
WED, AUG 4, 2010, 1:16 PM
4871 69 7641. 000
**IREDELL COUNTY 2007 REVAL** C. FR04 SW(l)
SR 1839
MAP BL PIN COND CCL H
ID NO: 0617FOOOOOA036
CARD NO. 1 OF 1
2.00AC 2.000AC
APPRAISED BY 37 ON 01/01/2007 06000 EAGLE MILLS SOUTH TW-06 C-EX-AT-LAST ACTION 20100521
1919 AP
5 FOUND* 3 CONT FOOTING*
SUBFLR* 4 PLYWOOD *
EX WLl* 05 ASBTS-FIBER S*
RF STR* 03 GABLE *
RF CVR* 03 COMP SHINGLE*
INT Wl* 5 DRYWALL/SHEET*
FLOORl* 05 ASPHALT TILE*
FLOOR2* 12 HARDWOOD *
FUEL * 02 OIL/WOOD/COAL*
HEAT * 04 AIR-DUCTED *
80101 1,740 87 60.90 108,21659594800000032 2000
MARKET
2i,640
520
23,320
45,480
27SINGLE FAMILY RESIDENTIAL -SFR CONSTRUCTION
7SCALE 1/202 STORIES 01 1.0 STORIES 3 .
AC * 01 NONE *·
BEDRMS* BAS-2FUS-OLL-0 *
BATHS* BAS~lFUS-OLL-0 *
QUAL DESIGN*QUAL*SIZE *
AVERAGE 1.00 1.00 .98=*
TOTAL QUALITY INDEX *
20
8
4
7
89
.98
87
TYP
BAS
FSP
FOP
GS AREA PCT
1,618 100
220 040
96 035
RPL CS
98,536
5,359
2,071
FIREPL 3 1 STY SINGL $2250
1,934 108,216
02GARAGE 20 14 28000
RURAL AC 0120RA 191
+-----22-----+
IFSP I
1 1
0 0
I I
+-------28-------+-----22-----+---16---+
IBAS I
I I
I I
I 1
I 8
2 I
8 I
I +-----23------+
I I
I 1
I 0
I I
+---17----+--12--+--14---+
IFOP I
8 8
I I
+--12--+
HTD AREA 1618
600100L748403 031 521
45,480
45,480
PRIOR
22,200
24,630
46,830
PERMIT INFO
160820011204CV* QI
1131034703990T XV
44,000
SPLIT'05 HSE FROM 4871-6
9-9499
BAS=Wl6FSP=N10W22Sl0E22$W50S28El7FOP=S8El2N8W
12$E26Nl0E23Nl8$.
521
RF AC LC TO OTT
20604103+08+00+00+00-05RP 5,50000
LAND NOTES
2000AC212 11,66000 23,320
2000 23320
http://www.co.ireclell.nc.us/apprcard/apprcard.asp?Parcel=4871697641.000&.card=001 (1 of 3) [10/29/2010 11:54:38 AM]
Appraisal card
I . . . . I . . .
·············"f···············
.1
CONSTRUCTION DETAIL MARKET VALUE
U M EFF AR IN EFF B RE,PL CST E A NRM E F
· ··r···r···· 1
I
% CD CP .. EDE~ICF, TO
DEPR BLDG VALUE
DEPR OBX.F VALUE
.LAND VAL -MKT
MKT VAL -CARD
REGR VAL -CARD
INC VAL -CARD
APPR VAL -CARD
APPR VAL -PARCEL
http://www.co.iredell.nc.us/apprcard/apprcard.asp?Parcel=4871697641.000&card=001 (2 of 3) [10/29/2010 11:54:38 AM]
Appraisal card
CD DESC LN WO UiUTS UNIT
PRICE
TOTAL OB/XF VALUE
'~ L A E AN Z: OBXf'
0 BY Y DP C DEPR VAL
SALES DATA
DEED DT TYP Q SALE
BK PG MY V PRICE
NO'I'ES
BUILDING DIMENSIONS
LAND USE UCD LOCAL FRNT DEP SZ L CF OTHER ADJUST I.ND UNIT TOT LAND U TL A.D,JU~:;T LAND
VALUE ZONE M PRICE UNITS TAD PRICE
TOTAL LAND DATA
http://www.co.iredell.nc.us/apprcard/apprcard.asp?Parcel=4871697641.000&card=001 (3 of 3) [10/29/2010 11:54:38 AM]
1�
'Goo
25, 2005 35`5V P.67' N 60`46'09 2, - - _ire ait 2

3
n �
3
41; -
o x NO 9k\
r
LA
D
`• nol
r
t �
� o
6
�n
-{
.rn ea !•�mun i9DM[G1rrd� OMMMUMON Y78
an1a. .m.4nw JOHN 4TcmmLY.AR= — !YE►Y �1GmO7CIf �ffiYO►'AIfGl1 — r�� 1//� �N
HAAMONY,NC
IWplr��k. tia
1i19) 63&BB9v

A
WDEMR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
John and Virginia Barile
200 Countryside Road
Harmony, NC 28634
Dear Mr. And Mrs. Barile;
Coleen Fi, Sullins
Director, Division of Water Quality
RE: UIG Sampling Results
W10300162 Barile 5A7 UIC
Iredell County
Dee Freeman
Secretary
December 29, 2010
On November 16, 2010, staff from the Mooresville Regional Office (MRQ) of the Aquifer Protection Section
{APS} sampled the influent and effluent lines of your geothermal underground injection well heat pump system.
The samples were analyzed by, the Division of Water Quality (DWQ) lab for metals, nitrates and other
inorganic constituents. The results indicate, at the time of sampling, the parameters tested did not exceed
Drinking Water standards. Should you notice any change in your water quality, please contact your Iredell
County Environmental Health Department for assistance. A complete copy of the DWQ lab results is enclosed
for your review.
r
The MRO will forward the lab results to the central office in Raleigh. Should you have any questions, please
feel free to contact me at [phone] ext. 2184 or by emaii at Maria. Schutt ncdenr. gov,
Sincerely,
-141t� —
Maria Schutte
APS Environmental Senior Technician
Enclosures: 12-23-10 sample results, definitions of laboratory symbols
Cc: Michael Rogers, APS-GPU-L IC, Raleigh (email)
David Hinson & Tim Higgins, Iredell County Environmental Health, Statesville (email)
Dyision of Water Quality/ Aquifer Protection Section/ Mooresville Regional Office
610 East Center Avenue, Suife 301, Mooresville, North Carolina 28115
Phone; 704 -663-1699 1 FAX; 704-653-6D401 Customer Service 1-S 7-623-67481Intemet: www,nmate►quglity.ora
.One hCarolina
NatuAllim
An Equal DpXnunity %AS5rrr1&m AcWn Employer — 50% Recyeled 11M Post Consumer Peper

NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300162
PERMITTEE(S): John Barile
SAMPLE COLLECTION DATE: 11/16/2010
Paramatsr Fecal Colifonn Total Colifonn
units CFU/100ml CFU/100ml
NC MCL andlot EPA Standard NCMCL=<1 NCMCL=1
Influent Sample Results <1 < 1
Effluent Sample Results <1 < 1
Parameter Nltnta Nitrite
units mg/LasN mgJLas N
NC MCL and/or EPA Standard NC MCL=10 NCMCL=1
EPAPDWS= 10 EPAPDWS=1
Influent Sam ele Results <0.02 <0.01
Effluent Sample Results <0.02 < 0.01
Parameter Barium, Ba Calcium.ca
unib pgll mg/L
NC MCL and/or EPA Standard NC MCL=700 NS
EPA PDWS = 2000
Influent Samate Results <10 8.9
Effluent Sample Results < 10 7.1
Parameter Potassium, K Magnesium, Mg
units mgll mg/L
NC MCL and/or EPA St.andard NS NS
Influent Sample Reeults 1.1 1.2
Effluent Sample Results 0.57 0 .85
Parameter Selenium. Se Zinc.Zn
units pg/L pg/L
NC MCL and/or EPA Standard NCMCL=20 NCMCL•1000
EPAPDWS=SO EPA SOWS= 6000
Influent Sample R•ulta <5.0 < 10
Effluent Sample Results <5.0 < 10
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Envimnmental Protection Agency Primary Omking Water Standards
EPA sows= Environmental Protection Agency Secondary Drinking Water Standards
NS = No Standard
Total Dlasolved Solids Chloride, Cl
mglL mg/L
NCMCL=&OO NCMCL=260
EPA SOWS • &GO EPA SOWS= 250
120 1.1
118 1
Hardness as CaC03
Nitrate + Nitrite (by calculation)
mg/LaaN mgJL as CaC03
NCIICL= 11 NS
EPAPDWS=11
<0.02 27
<0.02 21
Cadmlum,Cd Chromium, Cr
pglL pgll
NCMCL=2 NCMCL= 10
EPAPDWS=S EPA PDWS = 100
< 1.0 < 10
< 1.0 < 10
Manganese, Mn Sodlum,Na
pglL mg/L
NC MCL=60 NS
EPASDWS=&O
<10 28
<10 32
pH (field)
units
NC MCL = 6.5-8.S
EPA SDWS = 6.8 to 8.5
7.98@16.6C
8.13@6.6C
Fluoride, FL
mglL
NCMCL=2
EPA PDWS = 4.0
0.7
0.8
Aluminum, Al
IIIIIL
NS
EPA SOWS= 60 to 200
<50
<50
Copper,Cu
pg/l
NCMCL=1000
EPA SOWS = 1000; PDWS = 1300
12
3.4
Nickel, NI
pg/L
NCMCL= 100
< 10
<10
Sulfata, S04
mgll.
NCMCL=260
EPA SOWS= 250
17
19
Arunic,As
pglL
NCIICL= 10
EPAPDWS=10
<2.0
<2.0
Iron, Fe
pgll
NCMCL= 300
EPA SOWS= 300
<50
< 50
Lead, Pb
pg/L
NCMCL=16
EPAPDWS=15
< 10
< 10
La6p'Qiory . iaction Wcs Ls
F
Coun R&DELL 5empie 1D:
�= I A866745
River Basin OF Wp%R� PC)Numbertf 10GO217
Report To MROA i pate Recelved: 1411772010
ti Time Received: 06:30
Colleclar: tdSCHI! I�3 - -I
� cis ':'� ❑ Y Labworks Lagini0 HPARKER
Region, MQ
3r. Reparl Genar2(ad : 12/20/10
SampleMalrix: GR N A j 1. >f}:' k
Lee. Type: WATER $UPPLY Cale Reported: 121i0f201U
Emergency YeslNv
COG. Yes/No L.'....:'
Location ID: WI0300162111Y I Cooed Date:
11t1612840
Collect Time:
11:06
I Sample Depth - f
CA5_#
LAB
AnalName
Sample temperature at receipt by lab
-i
,. P ,;
Resin
lJni
ualifier
2.1 'C
Method -
Reference
aI si '
Date
1111711❑
Vslldutecltar
SMATHIS
mic
Cotiform, MF Fecal in liquid
1
i bWl CFi1110Dm1
APHA9222D-20ih
11/17110
CGREEN
Conform, MF Total in liquid-
1
1 82Q1 CF1ltIODmi
APHA92229.20th
11/17110
CGREEN
WET
Ion Chromatography
+iWrf I E, mglL
EPA 300-0
11111VI0
CGREEN
Chloride
1
1.1 MD+L
EPA3DO.0
11/19/10
CGREEN
Fluoride
0.4
0.1 MWL
EPA300.0
11118(1D
CGREEN
Sulfate
2
17 m91L
EPA 30D.❑
1111811❑
CGREEN
Total Dissolved Solids in liquid
12
120. s mglL
APHA2S40C•18TH
11/19/10
CGREEN
NUT
NO2+NO3 as N in liquid
0.02
0.02 U mglr- as N
Lec1U-107.04-1•c
11/18/10
CGREEN
Nitrate as N in liquid
4.02 -
0.02 U man as N
LaWal107-04-1-c
t1/23110
CGREEN
Nitrite as N in liquid
0.01,-, ", -
0.01 U mgn as N
LacnatIO7.04.1-c
11117/10
CGREEN
MET
7429-W-5
At by ICP
50
so U uglL
EPA 200-7
1112WI0
ESTAFFORDI
7440-35-2
As by ICPMS
2
2,0 U ug&
EPA 200.8
11/23110
ESTAFFDRD1
74411.38-3
Ba by ICP
1 D
IOU u91L
EPA 200-7
1112311Q.
ESTAFFDRDI
7440.70-2
Ca by iCp
0-1
8.9 mgfL
EPA20.01
11023110
ESTAFFDRW
7440-43-9
Cd by ICPMS
1-
1.0 U tom-
EPA,700.8
1 V23110
ESTAFFDRDI
7440-4T--3
Cf by ICPMS
102 ;'
+t IOU UO&
EPA 200.8
11123/10
ESTAFFDRDI
7440-50.8
Cu by ]CPMS
2 ; -•;�r':
:' 12 ug/L
EPA 200.8
11/23/10
ESTAFFDRDI
7439-89-15
Fe by ICP
50
50 U u91L
EPA200.7
11/23110
ESTAFFDRDI
Hardness by Calculation r
1
27 rnGIL
SM2340BEPA200.7
12 I7110
ESTAFFDRDI
7440.09.7
K by ICP
0.1
r 1.1 m9n
EPA200.7
11/23/10
ESTAFFORD1
7439.85_4
Mg by ICP
0.1
1.2 m01L
EPA 200,7
I IM110
ESTAFFDRDI
7439-96-5
Mn by ICP
10
IOU uglL
EPA200.7
11/23110
ESTAFFDRDI
7448^x3-S
Na by ICP
0-1 .•
_ 28 mgn
EPA20D,7.
11/23/10
ESTAFFDRDI
7440-02-0
Ni by ICPMS
1 D
10 Uu9A
EPA 200.8
11123110
ESTAFFL]RQt
7439.92-1
Pb by ICPMS
10
IOU ug1L
EPA 20D.8
I11Z3110
FSTAFFORD7
77s2-9-2
Se by {CPMS
5
S.0 U can
EPA200.6
11/23/10
ESTAFFDRDI
7440-66-6
Zn by ICPMS
10
,,. 'f 0 U u0n
EPA 2D0.6
l i1Z3110
ESTAFFDRDI
Laboratory S"aw- 18Z3 Mall Service Canker, Ralalgh, HG 27509.1623 [phone]
For aaw&lo0 ih 5c4own 0 f 1 Ra qufLfm r cWtS ro forw hly:mwrl-1 n manrh mtwh p,.ynap�s�mnewir- qyl ommia Quaff pr-CQ¢���in i,tc w- r oro.we�y�naNskNwmFm ecnexip
4 .
i
Page 1 of 1

North Carolina
GROUNDWATER FIELD/LAB FORM Department of Environment and Natural Resources
DIVISION OF WATER QUALITY•GROUNDWATER SECTION
Location code WI0300162•IN SAMPLE TYPE SAMPLE PRIORITY /. . . ~· ;O(;CFJ/"y ~ ~
County_ Iredell 0 Water □ Routine ® Lab.Number . _{? Sl-L}S
Quad No Serial No. 0 Soil D Emergency Date Received J 1, 13 · Io -Time: f.Ik5o
Lat. Long. D Other Rec'd By: l±jl From:Bus, ~and Del.,
D Chain of Custody Other: t'::)
Re ort To: ARO FRO MRO RRO WaRO WiRO t B · : P Da a Entry y. ______ _ Ck ------WSRO, Kinston FO, Fed. Trust, Central Off., Other: Date Reported: ____________ _
Shipped by: Bus, Courier, Hand Del., Othe.r: Purpose: UIC System Inspection
Collector(s): Maria Schutte Date: 11/16/2010 Time 1/;, O"',-Baselin~,-omplaint, Compliance, ~UST, Pesticide Study, Federal Trust, Other:
· ' --~ I _ l :-..... 11• (circle.one) • ------FIELD ANALYSES 7 b _ Owner: Set-ewea Cd! J~ !i'r'-' \> ·;. s:-ifJ .
pH 400 1. <-t 1, -Spec. Cond.94 / '1-. , A.) at 25°C Location or Site: 200 Countryside Road, Harmony ____________________ _
Temp.10 / (, .-(c. °C Odor 5. ( l S -At -L..-~ C d>;:. t'... Description of sampling point: Influent ________________________ _
Appearance I c l~~,.... .J Ci,, ( i -;-/ .:.r-_> j Sampling Method: Pump _____ ........,..==-=---=c=-..-------
1 Pumo. barler. etc. I Field Analysis By: Maria Schutte Remarks ____________________________________ _
Sample Interval _______ _
LABORATORY ANALYSES (Pumping time, air temp., etc)
BOD 310 mg/L X Diss. Solids 70300 mg/L Ag-Silver 46566 UQ/l Organochlorine Pesticides
COD High 340 mg/l 'x._ Fluoride 951 mg/L X Al-Aluminum 46557 uoiL Organoohosphorus Pesticides
coo Low 335 fflg/L X Hardness: Total 900 mg/l X As-Arsenic 46551 Ug/L Nitrogen Pesticides ···-·
X Coliform: MF Fecal 31816 1100ml Hardness {non-carb) 902 mg/L X Ba-Barium 46558 ug/L Acid Herbicides -
X Coliform: MF Tot~I 31504 1100ml Phenol~ 32730 ug/1 X Ca-Calcium 46552 mg/L PCBs
TOC680 mg/L Specific Cond. 95 µMhos/cm X Cd-Cadmium 46559 ug/l
Turbidity 76 NTU X Sulfate 945 mg/l X Cr-Chromium 46559 uq/L .. ---
Residue, Total Suspended 530 mg/L -Sulfide 745 mgll X Cu-Copper 46562 ug/L
X Fe-Iron 46563 UQ/L Semivolatile OrQanics
011 and Grease mg!L Hg-Mercury 71900 ug/l TPH-Oiesel Range
pH 403 units X K-Potassium 46555 mg/L
Alkalinity to pH 4.5 410 mg/L X Mg-Magnesium 46554 mg/L
Alkalinity to pH 8.3 415 mg/L X Mn-Manganese 46565 uotL Volatile Orn anics N OA bottle)
Carbonate 445 mg/L NH, asN 610 mg/L x-Na-Sodium 46556 mall TPH-Gasoline Range
Bicarbonate 440 mg/L TKN as N 625 mg/L X Ni-Nickel uo/L TPH-BTEX Gasoline Ranoe
Carbon dioxide 405 mgfL X NO2 + NO3 as N 630 mg/L X Pb-Lead 46564 ua/L
X Chloride 940 mg/L P: Total as P 665 mg/l X Se-Selenium UQ/L
Chromium: Hex 1032 ug/L X Nitrate (NQ3 as N) 620 . mg/L X Zn-Zinc 46567 ua/L
Color: True BO cu
Cyanide 720 mg/L
X Nitrite (NOi as N) 615 mg/L LAB USE ONLY
Temper~ture on arrival (°C): l •l
Lab Comments __________________________________________________________ _
GW-54 REV. 7/03 For Dissolved Analysis-submit filtered sample and write "DIS" in block.
;4-(,u ~~'q__ ~/a_J ferrrd61.t" c-r ~!cl ~h¼{' (
County:
IREDELL
4.
Sample ID;
ABfi5T46
River 8aaln
t'; k.
+� �l OF WAT y
rM 4q
PO Number 4
1DG0213
Report To
MROAP
c �
Date Received:
1111712010
Collector.
M SCHUTTE
i'..`7� Y
Time Race Ned:
Labwa ks n10
LGg
08130
HPARtS£R
Region:
MRO
y
Report Generated:
102000
Sample Matrix'
PAQUNMATER
=
F ; ::`•,
't"
Date Reported:
IV2012013
Lac. Type:
WA EAR SUPPLY
;
p
Emergency Yes/No
4-
COC YO&NO
-4
,
iZ 'iif
L
Lot.yCFe F► "cAr,i►yy a -� 'f r
1
LocsWn ID.
VRO3001628FF
Ukd Date; 1111812010
1 Called Time: 11:32
Sample Dap(h
CA # Analyte Name
-
• " `•' Units
d;
Method
Analysis sis
--
Validated by
uatifier
Reference
Date
LAB
Sample temperature al -receipt by lab
2A 'C
11117110
SMATHIS
MIC
Colifornl, MF Fecal in liquid
1 1 8201 UUMO0rra1
APHA9222D-20th
11/17110
CGREEN
Conform, MF Total in liquid
1 1 B201 CFV/100m1
APHAS2225-20th
11117/10
CGREEN
WET
Ion Cllromatagraphy
r _
�„ ;' ' • ?mTiLE_
mg1L
EPA 300-0
1111aa/10
CGREEN
Chloride
1 ' '
1.0 -��
mg1L
EPA 300.0
11710/10
CGREEN
Fluoride
0.4
0.8
mgli-
EPA 300-0
11/18/10
CGREEN
Sulfate
2. •:- 19
mWL
EPA 300.0
1111811 D
CGREEN
Total Dissolved Solids, in liquid
12
11B "
ma2
APHA25417C-18TH
11119110
CGREEN
NUT
NO2+NO3 aS N In liquid
0,02
0.02 U
mgA-as N
Lac10-107-D4-1-c
Ivivf0
CGREEN
Nitrate a5 N to liquid
-� .� !•,, ! ..,1
0.02 U
mgIL as N
Lachat107-04.1•c
11/23/10
CGREEN
Nitrite as N in liquid
0.91 1 . 0.- -
0.01 U
mVL as N
La"t107-04.1-c
11/17110
CGREEN
MET
7429-90-5
Ai by tCP
5
Soo
ug&
EPA 200.7
11/23/10
ESTAFFCRD$
7440-35-2
As. by ICPMS
2 -
a 2.0 U
uy1L
EPA 200,8
11123)10
ESTAFFE)RD1
7440-38.3
Ba by' ICP •
10
IOU
uVIL
EPA ZOO. T
11123110.
ESTAFFORD1
7440-7D-2
Ca by ICP
0,1
7.1
rng1L
EPA 2DO.7
11/23/10
ESTAFFORDI
744043-9
Cd by ICPMS
1
1.0 U
ugA.
EPA 2D9.8
11/23/10
ESTAFFORDI
744047-3
Cr by ICPMS
10":
' IOU
u91L
EPA200-8
1112311D
ESTAFFORDI
744D-5D-8
Cu by ICPMS
21.
3.4
091L
EPA 200.8
11123/10
ESTAFFORDI
7439-8"
Fe by ICP
50
50 U
ug1L
EPA 200.7
11/23/10
ESTAFFORDI
Hardness by Calculation
1
21
mg1L
SW340BEPA 20n.7
12717/10
ESTAFFORDI
7440.OD-7
K by ICP
0.1
0-I$7.
MD;L
EPA 2003
11123/10
ESTAFFORDI
7439.95-4
Mg by 1Cp
0.1
0-85
mplL
EPA 2007
11/23/10
£STAFFORD1
7439.98-5
Mn by ICP
10
1D U
ug7L
EPA 200.7
11/23/10
ESTAFFCRI71
7440.23-6
Na by ICP
0.11'
' i 32
mg1L
EPA 2OD"7
1112WI0
ESTAFFORDI
744042.0
Ni by ICPMS
iJa
r •... 1 IOU
ug&
EPA 2DO. 8
1i123110
ESTAFFORD1
743942-1
Pb by ICPMS
10
10 U
ug&
EPA 200.8
1IM110
ESTAFFQR01
7782-49.2
Se by JCPMS
5
5.0 U
ug1L
EPA 200"8
11r23110
ESTAFFORDt
7440- "
Zn by ICPMS
10
`. 10 U
ugIL
EPA 200.9
11/23/10
ESTAFFORDI
Laboratory Sacti6e>a 1623 Mao Service Canter, RAIa11gi1, NC 27699.1523 {1191733 3900
F0'aor Nf❑ywfdler OWLS MW I n}I,¢'+:Gpte171fCta amM6R'd➢IllN3��41L_+1i G1RS_ l�IJ�la-�r{jr a�9��IIII]9fDOrt�l fKxNrr.omwa Lrq Tn A"RIalFningxnnama!r
_ ,.page 1 of .1
x•

GROUNDWATER FIELD/LAB FORM
_ Location code __ WI0300162-EFF _________ ni SAMPLE TYPE
County_lredell ______________ _
Quad No _____ _ Serial No. ______ _
Lat. _______ _ Long. ________ _
D Water
0 Soil
D Other
D Chain of Custody
SAMPLE PRIORITY
D Routine
D . Emergency
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY-GROUNDWATER SECTION
®;-: ~-:-?7 /tJ~o~/3~15 if{ _
Lab Number 6\fJ \0 1' ,})
Date Received \\ · )1-· Jo Time: fl1:;0
Rec'd By: M{½ From:Bus, ~Hand Del.,
Other: ~
Report To: ARO, FRO, MRO, RRO, WaRO, WiRO, Data Entry By: _______ Ck: ____ _
WSRO, Kinston FO, Fed . Trust, Central Off., Other: Date Reported: ___________ _
Shipped by: Bus, Courier, Hand Del., Other: ____________ ~ Purpose: UIC System Inspection ·
Collector(s): Maria Schutte Date: 11/16/2010 Time /( ;-z...., Baseline, Cf..o~m_olaint, Compliance, L.UST, Pesticide Study, Federal Trust. Other: ____ _
FIELD A. NALYSES O ,..._ .. i.. e II ..,~>'., l ,. .r(.,:;,rc1e one) wner: \..,Cl.tavv-ueo eye: ··::l <J'I !'.J ,~.:•~ r , ti-'
pH 400 ~ t l., Spec. Cond.s4 ;<;} b. "'r'j at 25°C Location or Site: 200 Countryside Road, Harmony ___________________ _
Temp.10 • re,<;; °C Od9r )('! J__.._(~~, oJ;t..r-Descriptionofsamplingpoint: Effluent _______________________ _
Appearance · · c. G ~ { ,.J Cx. ~ .' © J 1' Sampling Method: Pump _____ ~,,..,......_..,,,......,,.. .......... -----
.i I Pumo. bailer. etc. I Field }\nalysis By: Maria Schutte Remarks. _________________________________ _
Sample Interval. ______ _
LABORATORY ANALYSES {Pumping time, air temp ., etc.)
--
BOD 310 mg/L X Diss. Solids 70300 mg!L Ag-Silver 46566 ug/L Organochlorine Pesticides
COD High 340 mg/L X Fluoride 951 mg/L X, Al-Aluminum 46557 ug/L Organophosphorus Pesticides ---
COD Low335 mg/L X Hardness: Total 900 . mg/L X As-Arsenic 46551 ugtl Nitrogen Pesticides
X Coliform: MF Fecal 31616 1100ml Hardness (non-carb) 902 mg/L X Ba-Barium 46558 ug/L Acid Herbicides
X Coliform: MF Total 31504 1100ml Phenols 32730 ugn X Ca-Calcium 46552 mg/L PCBs
"TOC 680 mg/L Specific Cond. 95 µMtios/cm X Cd-Cadmium 46559 ug/L
Turbidity 76 NTU X Sulfate 945 mgll X Cr-Chromium 46559 ug/L
Residue, Total Suspended 530 mg/L Sulfide 745 mg/L X Cu-Copper 46562 ug/L ·-
X Fe-Iron 46563 UQ/L Semivolatile Organics
Oil and Grease mg/L Hg-Mercury 71900 ua/L TPH-Diesel Range
pH 403 units X K-Potassium 46555 mgfl
All<alinity to pH 4.5 410 mg/L X Mg-Magnesium 46554 mgfl
I
---
Alkalinity to pH 8.3 415 mg/L X Mn-Manganese 46565 ua/L Volatile On:ianics NOA bottle)
Carbonate 445 mg/L NH3 as N 610 mg/l X Na-Sodium 46556 mg/L TPH-Gasoline Range
Bicarbonate 440 mg/L TKN as N 625 mg/L X Ni-Nickel UQ/L TPH-BTEX Gasoline RanQe ----
Carbon dioxide 405 mg/L X NO, + NO3 as N 630 mg/L X Pb-Lead 46564 ur:i/L
X Chloride 940 mgtL P: Total as P 665 mg/L X Se-Selenium ua/L
Chromium: Hex 1032 ug/L X Nitrate (NOaas N) 620 mg/L X Zn-Zinc 46567 ug/L
Color: True 80 cu X Nitrite {N02 as N) 615 mg/L LAB USE ONLY
Cyanide 720 mg/L Temperature on arrival (°C): d• (
Lab Comments. __ ___.;. _________________________________________________________ _
GW-54 REV. 7/03 For Dissolved Analysis-submi~filtered sample and wrlte "DIS" in block. . t l(cd . Jt-4,M --?,r M,,,~ J~~ .#e/'5ft'tidi & ~ ~~ ..
Sy mbol
A
B
C
G
J
Definition
Value reported is the mea11 "(average) of two or more determinations. This code is to be used if the results of two or more discrete
and separate samples are averaged. These samples shall have been processed and analyzed independently (e.g., field duplicates,
different dilutions of the same sample), This code is not required for BOD or coliform reporting since averaging multiple
dilutions for these param eters is fundamental to those methods.
Results based upon colony counts outside the acceptable range and should be used with caution. This cede applies to
microbiological tests and specifically to membrane filter (MF) colony counts. It is to be used ifless than 100% sample was
anal)'7,Cd and the colony count is generated from a plate in which the number of colifonn colonies exceeds the ideal ranges
indicated by the method. These ideal ranges are defmed in 1he method as:
l.
2.
3.
4.
s.
6.
7.
Fecal coliform bacteria: 20-60 colonies Total coliform bacteria: 20-80 colonies
Countable membranes with less than 20 colonies. Reported value is estimated or is a total· of the counts on all filters
reported per 100 ml ..
Counts from all filters were zero. The value reported is based .on the number of colonies per 100 ml that would have
been -reported ifthcre had been one colony on the filter representing the largest filtration volume (reported as a less
than "<llvalue). ·
Countable membranes with more than 60 or 80 colonies. The value reported is calculated using the count from the
smallest volume filtered and reported as a greater than ">11 value.
Filters have counts of both >60 or 80 and <20. Reported value is a total of the counts from all countable filters reported
per 100 ml. •
Too many colonies were present; too numerous to count (1NTC). TNTC is generally defined es >150 colonies. The
numeric value represents the maximum -number of counts typically accepted on .a filter membrane (60 for fecal and 80
for total), multiplied by 190 and then divided by the smallest filtration volume analyzed. This number is reported as a
greater than value.
Estimated Value. Blank contamination evident.
Many non-coliform colonies or interfering non-califonn growth pieSeDt. In this competitive situation, the reported
coliform value may under-represent actual coliform density.
Note: A "B 11 value shall be accom oanied by j ustification for its use denoted by the numbers listed above (e.~ .• Bl, B2, etc.).
Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated. Generally applies to cyanide,
phenol , NH3 , TKN, colifonn, and organics.
A~ quality control failure occurred during biochemical oxygen demand (BOD) analysis. The sample results should be
used with caution.
1. The dissolved oxygen (DO) depletion of the dilution water blank exceeded 0.2 mg/L.
2. The bacteria_l seed controls did not meet the requirement ofa DO depletion of at least 2.0 mg/Land/or a DO residual of
at least 1.0 mg/L.
3. No sample dilution met the requirement of a DO depletion of at least 2.0 mg/Land/or a DO residual of at least LO
mg/L.
4. Evidence of toxicity was present. This is generally characterized by a significant increase in the BOD value as the
sample concentration decreases. The reported value is calculated from the highest dilution repre~ting the maximum
loading potential and should be considered an estimated value.
5. The glucose/ glutamic acid standard exceeded the range of 198 ± 30.S mg/L.
6. The calculated seed correction exceeded the range of0.6 to 1.0 mg/L.
7. Less than l mg/L DO re~ed for all dilutions set The reported value is an utlmated greater than value and is
calculated for the dilution using the least amount of sample.
8. Oxygen usage is less than 2 mg/L for all dilutions set. The reported value is an e1timated less than value and is
calculated for the dilution using the most amount of sample.
9. the DO depletion of the dilution water blank produced a negative value.
Note: A 110 11 value shall be acco mpanied by j ustification for its use denoted bv the numbers listed above (e.g., 01, 02, etc.).
Estimated value; value may not be accurate. This code is to be used in the following instances:
1. Surrogate recovery limits have been exceeded.
2. The reported value failed to·meet the established quality control criteria for either precision or accuracy.
3. The sample matrix interfered with the ability to make any accurate detennination.
4. The data is questionable because of improper laboratory or field protocols (e.g., composite sample was collected
instead of grab, plastic instead of glass container, etc.).
S. Temperature limits exceeded (samples frozen or >6°C) during transpon or not verifiable (e.g., no temperature blank
provided): non-reportable for NPDES compliance monitoring.
6. The laboratory analysis was from an unpreserved or improperly chemically preserved sample. The data may not be
accurate.
7. This qualifier is used to identify enalyte concentration exceeding the upper calibration range of the analytical
instrument/method. The reported value should be considered estimated.
8. Temperature limits exceeded (samples frozen or >6°C) during storage, the data may not be accurate.
9. The reported value is determined by a one-point estimatjon rather than against a regression equation. The estimated
concentration is less than the laboratory practical quantitation limit and greater than the laboratory method detection
limit.
10. Unidentified peak; estimated value.
11. The reported value is determined by a one-point estimation rather than against a regression equation. The estimated
concentration is less than the laboratory practical quantitation limit and greater than the instrument noise level. This
code is used when an MDL has not been established for the analyte in question.
12. The calibration verification did not meet the calibration ac~ptance criterion for field parameters.
Note: A "J" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., Jl, J2, etc.). A "JI'
value shall not be used if another code applies ( e.2 .• N, V. M).
Symbol Definition
M Sample and duplicate results are "out of control". The sample is non-homogenous (e.g., VOA soil). The reported value is the
lower value of duplicate analyses of a sample.
N Presumptive evidence of presence ofmaterial; estimated value. This code is to be used if:
1. The component has been tentatively identified based on mass spectral library search.
2. There is an indication that the analyte is present, but quality control requirements for confirmation were not met (i.e.,
presence ofanalyte was not confinned by alternate procedures).
3. This code shall be used if the level is too low to pennit accurate quantification. but the estimated concentration is less
than the laboratory practical quantitation limit and greater than the laboratory method detection limit. This code is not
routinely used for most analyses.
4. This code shall be used if the level is too low to pennit accurate quantification, but the estimated concentration is less
than the laboratory practical quantitation limit and greater than the instrument noise level. This code is used when an
MDL has not been established for the analyte in question.
s. The component has been tentatively identified based on a retention time standard.
Q Holding time exceeded. These codes shall be used if the value is derived from a sample that was received, prepared and/or
analyzed after the approved holding time restrictions for sample preparation and analysis. The value does not meet NPDES
requirements.
1. Holding time exceeded prior to receipt by lab.
2. Holding time exceeded following receipt by lab.
p Elevated PQL • due to matrix interference and/or sample dilution.
s Not enough sample provided to prepare and/or analyze a method-required matrix spike (MS) and/or matrix spike duplicate
(MSD).
u Indicates that the analyte was analyzed for but not detected above the reported practical quantitation limit*. The number value
reported with the 11U" qualifier is equal to the laboratory's practical quantitation limit*.
X Sample not analyzed for this constituent. This code is to be used if:
1. Sample not screened for this compound.
2. Sample~ but analysis lost or not performed-field error.
3. Sampled, but analysis lost or not performed-lab error.
Note: an 11X11 value shall be accompanied by justification for its use by the numbers listed.
V Indicates the analyte was detected in both the sample and the associated method blank. Note: The value in the blank shall not be
subtracted from the associated samples.
y Elevated PQL • due to insufficient sample size.
z The sample analysis/results are not reported due to:
1. Inability to analyze the sample.
2. Questions concerning data reliability.
The presence or absence of the analvte cannot be verified.
*PQL The Practical Quantitation Limit (PQL) is defined and proposed as "the lowest level achievable among laboratories within
specified limits during routine laboratory operation 11. The PQL is about three to five times the calculated Method Detection Limit
(MDL) and represents a practical and routinely achievable detection limit with a relatively good certainty that any reported value
is reliable11
•
5/5/2008
Ro gers, Michael
From:
Sent:
To:
Cc:
Subject:
Attachments:
Michael,
Schutte, Maria
Monday, January 03, 2011 5:27 PM
Rogers, Michael
[e-mail]; [e-mail]; Pitner, Andrew
Barile well sample results for permit# WI0300162.
WI0300162 Cover & Sample Results.pdf
Attached are the sample results for the Barile SA7 Geothermal system.
Maria
Maria Schutte, Environmental Senior Technician -Maria.Schutte @ncdenr.gov
Division of Water Quality -Aquifer Protection Section
Mooresville RegionaJ 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]
M RO Fax: [phone]
APS website: http://h2o.enr.state.nc.us/ag w.htm1
NOTICE: Emails sent to and from this account are subject to the Public Records Law and may be disclosed to third
, parties.
1