WI0500030_Staff Report_20210223

DocuSign Envelope ID: DD95F48E-E786-42E4-9989-489057AB2E8A
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Permit No. WI0500030
Date: 07/10/2020 County: Wake
To: Shristi Shrestha Permittee/Applicant: Howard Moody
Regional Office Reviewer: Brion N. Byers Facility Name: WI0500030 Geothermal Return Well
L GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ❑ Renewal
❑ Minor Modification ® Major Modification
a. Date of Inspection: 07/10/2020
b. Person contacted and contact information: Howard Moody
c. Site visit conducted by: Brion N. Byers, Physical site visit not completed due to Covid-19
d. Inspection Report Printed from BIMS attached: ❑ Yes ® No
e. Physical Address of Site including zip code: 115 Carpathian Way, Raleigh, NC 27615
f. Driving Directions if rural site and/or no physical address:
g. Latitude: 39.7867° Longitude: -78.6386°
Source of Lat/Long & accuracy (i.e., Google Earth, GPS, etc.): File
IL DESCRIPTION OF INJECTION WELL(S) AND FACILITY
1. Type of injection system:
® Geothermal Heating/Cooling Water Return
❑ In situ Groundwater Remediation
❑ Non -Discharge Groundwater Remediation
❑ Other (Specify:
2. For Geothermal Water Return Well(s) only
a. For existing geothermal system: Samples not collected due to Covid-19 stay at home orders.
Were samples collected from Influent/Effluent sampling ports? n Yes ® No.
Provide well construction information from well tag:
b. Does existing or proposed system use same well for water source and injection? n Yes ® No
If No, 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? ❑ Yes ❑ No
What is/are the pollution source(s)?
4. What is the distance of the injection well(s) from the pollution source(s)?
5. What is the minimum distance of proposed injection wells from the property boundary?
6. Quality of drainage at site: n Good ❑ Adequate ❑ Poor
7. Flooding potential of site: n Low ❑ Moderate ❑ High
Rev. 6/1/2015 Page 1

DocuSign Envelope ID: DD95F48E-E786-42E4-9989-489057AB2E8A
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
8. For Groundwater Remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? n Yes n No. If No,
attach map of existing monitoring well network if applicable and recommend any changes to the groundwater -
monitoring program.
9. Does the map included in the Application reasonably represent the actual site (property lines, wells, surface
drainage)? n Yes n 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.
10. For Non -Discharge groundwater remediation systems only:
a. Are the treatment facilities adequate for the type of waste and disposal system? n Yes n No n 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? n Yes n No n N/A. If no, please explain:
IIL EVALUATION AND RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ 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
n Deny. If Deny, please state reasons:
n Hold pending receipt and review of additional information by regional office
n Issue upon receipt of needed additional information
ZIssue DocuSigne�d¢by:
5. Signature of report preparer(s): a Date: 02/23/2021
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DocuSigned by:
Signature of WQROS Regional Supervisor: S Date: 02/23/2021
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Rev. 6/1/2015 Page 2

DocuSign Envelope ID: DD95F48E-E786-42E4-9989-489057AB2E8A
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS (If Needed)=
• Owner (Howard Moody) has requested rescission of the geothermal permit (WI0500030). The geothermal
well system reportedly consists of a water -supply and two injection wells, property owner wants to rescind
the Geothermal permit and use the well for irrigation purposes only.
• The RRO approves of the rescission of Geothermal Permit (WI0500030).
Rev. 6/1/2015 Page 3