WI0300045_Regional Office Historical File Pre 2018

si
A.77
C ES
North Carolina Department of Environment and Natural Resources
• Pat McCrory
Governor
July 7, 2015
Mr. Bill Kluttz
Catawba College
2300 W. Ines St.
Salisbury, NC 28144
Re: Issuance of Injection Well Permit
Permit No. WI0300045
Geothermal Heating/Cooling Water Return Well
Rowan County
Dear Mr. Kluttz:
Donald R. van der Vaart
Secretary
In accordance with your permit renewal application received May 11, 2015, I am forwarding Permit
No. WI0300045 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
July 31, 2020, and shall be subject to the conditions and limitations stated therein.
Please Note:
Per Part V.1 in the permit, the Pernrnittee shall collect influent and effluent samples from each
of the geothermal loops/nodes by a NC certified laboratory for the following water quality
parameters:
pH
Temperature
Copper
Lead
Nickel
Zinc
Total Dissolved Solids
Nitrate plus Nitrite
Total and Fecal Coliform Bacteria
Results of the laboratory analysis shall be submitted to the Central and Mooresville Regional
Offices within 30 days of receipt at the addresses referenced in part V.6 below. If results meet
groundwater quality standards per 15A NCAC 02L .0202, then sampling will not be necessary
again until the permit is renewed in five (5) years (2020).
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet: http:llwww.ncwater.org
An Equal opportunity \Affirmative Action Employer— Made in part by recycled paper

Catawba College Page 2 of 2
Also, when submitting the laboratory analytical results, please provide an updated facility
map of Catawba College showing the locations of the geothermal wells.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit 120 days prior to its expiration date. As indicated in the permit, this
permit is not transferable to any person without prior notice to, and approval by, the Director of the
Division of Water 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)
Hydro geologist
Division of Water Resources, NCDENR
Water Quality Regional Operations Section
cc: Michael Parker and Andrew Pitner, Mooresville Regional Office
Central Office File, WI0300045
Rowan County Environmental Health Department

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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
Catawba College
FOR THE CONTINUED OPERATION OF 16 (SIXTEEN) GEOTHERMAL
HEATING/COOLING WATER RETURN WELL(S), 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 2300 W. Ines Street, Salisbury, Rowan County, NC 28144 will
be operated in accordance with the application submitted May 11, 2015, and conformity with the
specifications and supporting data, all of which are filed with the Department of Environment
and Natural Resources and are considered a part of this permit.
This permit is for 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 July 31, 2020,
and shall be subject to the specified conditions and limitations set forth in this permit.
Permit issued this the 21 st day of August 2015.
002,
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission.
7

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 (15A 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 [15A NCAC 02C
.0211(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
[15A 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
.0211(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 zoneshaving 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 well seal as defined in G.S. 87-85(16).
6. Each well shall have permanently affixed an identification plate [15A NCAC 02C
.0107(j)(2)].
7. A completed Well Construction Record (Form GW-1) shall be submitted as described in
Part V.5 of this permit.
PART III — OPERATION AND USE CONDITIONS
1. The Permittee 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 .0211(j)].
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 [15A NCAC 02C .0206].
PART IV — INSPECTIONS [15A NCAC 02C .0211(k)]
1. Any duly authorized officer,. employee, or representative of the Division of Water
Resources (DWR) 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 facilities as provided for in
N.C.G.S.87-90.
3. Provisions shall be made for collecting any necessary samples of the injection facility's
activities.

PART V — MONITORING AND REPORTING REQUIREMENTS
1. (A.) The Permittee shall collect influent and effluent samples from each of the geothermal
loops/nodes by a North Carolina laboratory certified by the North Carolina Department of
Health and Human Services for the following water quality parameters:
pH
Temperature
Copper
Lead
Nickel
Zinc
Total Dissolved Solids
Nitrate plus Nitrite
Total and Fecal Coliform Bacteria
Results of the laboratory analysis shall be submitted to the Central and Mooresville
Regional Offices within 30 days of receipt at the addresses •referenced in Part V.6 below.
If results meet groundwater quality standards per 15A NCAC 02L .0202, then sampling
will not be necessary again until the permit is renewed in five (5) years (2020).
(B.) Since there has been new construction at Catawba College since the permit was last
issued in 2010, the Permittee shall provide an updated facility map of Catawba College
showing the locations of the geothermal wells and sampling locations when submitting the
laboratory analytical results.

2. 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)].
3. 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)(1)].
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 .0211(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.
(C) The written notification shall contain a description of the noncompliance and its cause; the period
. of noncompliance, including dates and tunes; 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.
5. 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)].
6. 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
DWR 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.
PART VII — CHANGE OF WELL STATUS [15A NCAC 02C .0240]
1. Procedures for temporarily or permanently abandoning a well are the same as those specified in rule 15A
NCAC 02C .01 13. While some of those criteria are given below, the Pennittee bears the responsibility of
complying with all applicable regulatory requirements.
Permit #W10300045
UIC/5A7
ver. 04/15/2015
Page 1 of6

2. If a well will no longer be used for any purpose, then it should be permanently abandoned according to
rule 15A NCAC 02C .0113(b) in order to prevent the well from deteriorating and acting as 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 thatcannot 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 Permittee shall permanently abandon that injection well in accordance with the procedures specified in
15A.NCAC 02C .0113(b), which include, but are not limited to, the following:
(A) All 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 .0111(b)(1)(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)
(F)
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.
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 #WI0300045
UIC/5A7
ver. 04/15/2015
Page2of6

ATA
NCDENR,
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
'Governor
RECEIVED)WR
May 13, 2015
Bill Kluttz
Catawba College
2300 W. hues Street
Salisbury, NC 28144
RE: Acknowledgement of Application No. W10300045
Geothermal Heating/Cooling Water Return Well
Rowan County
Dear Mr. Kluttz:
MAY 1 5 2015
WQROS
MOORESVILLE REGIONAL OFFICE
The Water Quality Regional Operations Section (WQROS) acknowledges receipt of your
permit application and supporting documentation received on May 11, 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 providing a timely and complete response to any
additional information 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].
Sincerely,
•
X 1 UY Debra J. Watts, Supervisor
(VVJ Animal Feeding Operations & Groundwater
Protection Branch
Division of Water Resources
cc: Mooresville Regional Office, WQROS
Permit File WI0300045
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet: http://www.ncwater.org
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

t
Telephone: [phone]
C. PROPERTY OWNER (if different from applicant)
Name: Catawba College
Address: 2300 West Innes Street
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A
WELL(S) FOR INJECTION WITH A HEAT PUMP SYSTEM
Type 5A7 and 5QM Wells
In Accordance with the provisions ofNCAC Title 15A: 02C.0200
Complete application and mail to address on the back page.
TO: DIRECTOR, NORTH CAROLINA DIVISION OF WATER QUALITY
DATE: July 10, 1998.
A. SYSTEM CLASSIFICATION Please check column which matches proposed system.
(1) X Type 5A7 wells inject water used to provide heating or cooling for structures.
(2) _ Type 5QM wells contain a subsurface system of continuous piping, that is
isolated from the environment and circulates a fluid other than potable water.
This includes systems that circulate additives such as antifreezes and/or corrosion
inhibitors.
(3)
Type 5QW wells contain a subsurface system of continuous piping, that is
isolated from the environment and only circulates potable water. If you selected
this well type, then complete form GW-57 CL, Notification Of Intent To
Construct A Closed -Loop Geotlnernzal-Water Only Injection Well System.
B. PERMIT APPLICANT
Name: McCall Brothers, Inc.
Address: PO Box 668710
City: Charlotte State: NC Zip Code: 28266— County: Mecklenburg
8710
City: Salisbury
Telephone: _(704) 637-4446
D. STATUS OF APPLICANT
Private: X
State:
Sate: NC Zip Code: RAP— County: Rowan
Federal: Commercial:
Municipal: Native American Lands:
GW-57 HP (May 1998) Page 1 of 4

E. FACILITY (SITE) DATA
(Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial).
Name of Business or Facility: Catawba College
Address: 2300 West Innes Street
City: Salisbury
Zip Code:28144-2488 County: Rowan
Telephone: [phone] Contact Person: Dr. Ken Clapp
F. HEAT PUMP CONTRACTOR DATA
Name: Climate Conditioning
Address: 927 Pressley Road
City: Charlotte Zip Code: 28203 County: Mecklenburg
Telephone: [phone] Contact Person: Tom Warren
G. INJECTION PROCEDURE (Briefly describe how the injection well(s) will be used.)
Water from supply wells will be circulated to a heat exchanger
unit and then reinjected into the return wells
H. WELL USE Will the injection well(s) also be used as the supply well(s) for the following?
(1) The injection operation? YES
(2) Personal consumption? YES
NO X
NO x
CONSTRUCTION DATA (check one)
EXISTING WELL 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 Form GW-
1 (Well Construction Record) if available.
X PROPOSED WELL to be constructed for use as an injection well. Provide the
data in (1) through (7) below as PROPOSED construction specifications. Submit
Form GW-1 after construction.
(1) Well Drilling Contractor's Name: McCall Brothers, Inc.
NC Driller Registration number: 003
(2) Date to be constructed: Constructed Number of borings: 8
Approximate depth of each boring (feet): 525' — 550'
(3) Well casing: Is the well(s) cased?
(a) YES x If yes, then provide the casing information below.
Type: Galvanized steel x Black steel Plastic Other (specify)
Casing depth: From 0 to 60 ft. (reference to land surface) see well record's • attached
Casing extends above ground
(b) NO
—12 inches (Below ground installations approved
by NCDEHNR previously)
GW-57 HP (May 1993) Page 2 of 4

(4) Grout (material surrounding well casing and/or piping):
(5)
(a) Grout type: Cement X Bentonite Other (specify)
(b) Grouted surface and grout depth (reference to land surface):
around closed loop piping; from to (feet).
x around well casing; from —2' to (feet). total depth of casing
Screens (for Type 5A7 wells) No screens — open borehole construction
(a) Depth: From to feet below ground surface. see GW-1 Records
(6) N.C. State Regulations (Title 15A NCAC 2C .0200) require the permittee to make provisions
for monitoring wellhead processes. A faucet on both influent (fluid entering heat pump) and
effluent (fluid being injected into the well) lines is required. Will there be a faucet on:
(7)
(a) the influent line? yes X no
(b) the effluent line? yes X no
SOURCE WELL CONSTRUCTION INFORMATION (if different from injection well).
Attach a copy of Form GW-1 (Well Construction Record). If Form GW-1 is not available,
provide the data in part K (1) of this application form to the best of your knowledge. Attached
NOTE: THE WELL DRILLING CONTRACTOR CAN SUPPLY THE DATA FOR EITHER EXISTING OR
PROPOSED WELLS IF THIS INFORMATION IS UNAVAILABLE BY OTHER MEANS.
J. PROPOSED OPERATING DATA (for Type 5A7 wells) EACH OF EIGHT INJECTION WELLS
(1) Injection rate: Average (daily) :20 gallons per minute (gpm).
(2) Injection Volume: Average (daily) 28 ,000gallons per day (gpd).
(3) Injection Pressure: Average (daily) 20 pounds/square inch (psi).
(4) Injection Temperature: Average (January) 50 ° F, Average (July) 85 ° F.
K. INJECTION FLUID DATA FROM EACH OF FOUR SUPPLY WELLS
(1) Fluid source (for Type 5A7 wells) If underground, from what depth, formation and type of
rock/sediment unit will the fluid be drawn (e.g., granite, limestone, sand, etc.).
Depth: 200' — 500' Formation:*See Below Rock/sedimentunit: Granites & Tuffs
*Cambrian age metavolcanic rock mostly
(2) Chemical Analysis of Source Fluid (for Type 5QM wells)
Provide a complete listing of all chemicals added to the circulating heat transfer fluid:
none — pure groundwater
L. INJECTION -RELATED EQUIPMENT
Attach a diagram showing the engineering layout of the injection equipment and exterior piping/tubing
associated with the injection operation. The manufacturer's brochure may provide supplementary
information. complete set of drawings are attached
GW-57 HP (May 1998) Page 3 of 4

M. LOCATION OF WELL(S) Attach two maps.
(1) Include a site map (can be drawn) showing: buildings, property lines, surface water bodies,
potential sources of groundwater contamination and the orientation of and distances between
the proposed well(s) and any existing well(s) or waste disposal facilities such as septic tanks or
drain fields located within 1000 feet of the geothermal heat pump well system. Label all
features clearly and include a north arrow.
(2) Include a topographic map of the area extending one mile from the property boundaries and
indicate the facility's location and the map name.
N. PERMIT LIST: Attach a list of all permits or construction approvals that are related to the site.
Examples include:
(1) Hazardous Waste Management program permits under RCRA
(2) NC Division of Water Quality Non -Discharge permits
(3) Sewage Treatment and Disposal Permits
O. CERTIFICATION
"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."
c
(Signature of Well ,Vfiier or Authorized Agent)
If authorized agent is acting on behalf of the well owner,
please supply a letter signed by the owner authorizing the above agent.
P. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other property
rights in the well being constructed. A well is real property and its construction on land rests
ownership in the landowner in the absence of contrary agreement in writing.)
If the property is owned by someone other than the applicant, the property owner hereby consents to
allow the applicant to construct each injection well as outlined in this application and that it shall be
the responsibility of the applicant to ensure that the injection well(s) conforms to the Well
Construction Standards (Title 15A NCAC 2C .0200)
(Signature Of Prope
Dr. Ken Clapp
Please return two copies of the completed Application package to:
UIC Program
Groundwater Section
North Carolina DENR-DWQ
P.O. Box 29578
Raleigh, NC 27626-0578
'61
Telephone [phone]
GW-57 HP (May 1998)
wner If Different From Applicant)
Page 4 of 4

I 1�r I•~- 1 1
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor Director, Division of Water Quality
Catawba College
2300 W. Innes Street
Salisbury, NC 28144
Attention: Eric Nianouris
Dear Mr. Nianouris:
Coleen H. Sullins
Dee Freeman
Secretary
June 16, 2010
RE: UIC Sampling Results
WI0300045 Catawba College 5A7 UIC
Iredell County
On May 13, 2010, staff from the Mooresville Regional Office (MRO) of the Aquifer Protection Section (APS)
sampled the influent and effluent lines of your geothermal underground injection well heat pump systems. The
samples were analyzed by, the Division of Water Quality (DWQ) lab for metals, nitrates and other inorganic
constituents. The results show the presence of Total Coliform in all Influent and Effluent samples. A complete
copy of the DWQ lab results is enclosed for your review.
The MRO will forward the lab results to the central office in Raleigh and recommend system evaluation,
chlorination in accordance with NCAC 15A 2C .0111 and subsequent retesting by Catawba College as part of
your permit #WI0300045 renewal. Should you have any questions, please feel free to contact me at (704)
663-1699 ext. 2184 or by email at Maria.Schuttencdenr.qov.
Maria Schutte
APS Environmental Senior Technician
Enclosures: 05-13-10 sample results, definitions of laboratory symbols
Cc: Michael Rogers, APS-GPU-UIC, Raleigh (by email)
Division of Water Quality/Aquifer Protection Section / Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone]\ FAX: [phone] Customer Service 1-877-623-67481 Internet: www.ncwaterquality.orq
Nor thCarolina
VaturaUj
An Equal opportunity \ Affirmative Action Ernployer — 50% Recycled \ 10% Post Consumer Paper

4
NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300045 Loop 1 (Hurley Hall)
PERMITTEE(S): Catawba College
SAMPLE COLLECTION DATE: 0511312010
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU/100m1
mglL
mg/L
mg/L
mg/L
NC MCL and/or EPA Standard
NC MCL = < 1
NC MCL = 1
NC MCL = 500
NC MCL = 250
NC MCL = 2
NC MCL = 250
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
< 1
67
272
11
< 0.4
27
Effluent Sample Results
< 1
10
276
11
< 0.4
27
Parameter
Nitrate
Nitrite
Nitrate + Nitrite
Silver, Ag
Aluminum, Al
Arsenic, As
units
mg/L as N
mg/L as N
mg/L as N
pglL
pg/L
pglL
NC MCL and/or EPA Standard
NC MCL = 10
NC MCL = 1
NC MCL = 11
NC MCL = 20
NS
NC MCL = 10
EPA PDWS = 10
EPA PDWS = 1
EPA PDWS = 11
EPA SDWS = 100
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
0.97
0.03
1
< 5.0
< 50
< 2.0
Effluent Sample Results
1
< 0.01
1 .
< 5.0
< 50
< 2.0
Parameter
Barium, Ba
Calcium, Ca
Cadmium, Cd
Chromium, Cr
Copper, Cu
Iron, Fe
units
pglL
mg/L
pglL
pglL
pg/L
pg/L
NC MCL and/or EPA Standard
NC MCL = 700
NS
NC MCL = 2
NC MCL = 10
NC MCL = 1000
NC MCL = 300
EPA PDWS = 2000
EPA PDWS = 5
EPA PDWS = 100
EPA SDWS = 1000; PDWS = 1300
EPA SDWS = 300
Influent Sample Results
32
52
< 1.0
< 10
< 2.0
< 50
Effluent Sample Results
32
52
< 1.0
< 10
< 2.0
< 50
Parameter
Potassium, K
Magnesium, Mg
Manganese, Mn
Sodium, Na
Nickel, Ni
Lead, Pb
units
mg/L
mg/L
pg/L
mg/L
pglL
pg/L
NC MCL and/or EPA Standard
NS
NS
NC MCL = 50
NS
NC MCL = 100
NC MCL = 15
EPA SDWS = 50
EPA PDWS = 15
Influent Sample Results
2.3
19
< 10
13
< 10
< 10
Effluent Sample Results
2.3
19
< 10
13
< 10
< 10
Parameter
Selenium, Se
Zinc, Zn
pH (field)
units
pg/L
pglL
units
•
NC MCL and/or EPA Standard
NC MCL = 20
NC MCL = 1000
NC MCL = 6.5-8.5
EPA PDWS = 50
EPA SDWS = 5000
EPA SDWS = 6.5 to 8.5
Influent Sample Results
< 5.0
< 10
6.56 @23.2C
Effluent Sample Results
< 5.0
< 10
6.62 @25.1C
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No standard

NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300045 Loop 2 (Woodson Hall)
PERMITTEE(S): Catawba College
SAMPLE COLLECTION DATE: 05/13/2010
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU/100m1
mglL
mg/L
mglL
mg/L
NC MCL and/or EPA Standard
NC MCL = 1
NC MCL = 1
NC MCL = 500
NC MCL = 250
NC MCL = 2.0
NC MCL = 250.0
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
< 1
2300
538
20
< 0.4
200
Effluent Sample Results
< 1
8
532
20
< 0.4
210
Parameter
Nitrate
Nitrite
Nitrate + Nitrite
Silver, Ag
Aluminum, Al
Arsenic, As
units
mg/L as N
mg/L as N
mg/L as N
pglL
pglL
pg/L
NC MCL and/or EPA Standard
NC MCL = 10
NC MCL = 1
NC MCL = 11
NC MCL = 20
NS
NC MCL = 10
EPA PDWS = 10
EPA PDWS = 1
EPA PDWS = 11
EPA SDWS = 100
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
< 0.02
< 0.01
< 0.02
< 5.0
61
< 2.0
Effluent Sample Results
< 0.02
< 0.01
< 0.02
< 5.0
59
< 2.0
Parameter
Barium, Ba
Calcium, Ca
Cadmium, Cd
Chromium, Cr
Copper, Cu
Iron, Fe
units
pg/L
mg/L
pg/L
pg/L
pgIL
pglL
NC MCL and/or EPA Standard
NC MCL = 700
NS
NC MCL = 2
NC MCL = 10
NC MCL = 1000
NC MCL = 300
EPA PDWS = 2000
EPA PDWS = 5
EPA PDWS = 100
EPA SDWS = 1000; PDWS = 1300
EPA SDWS = 300
Influent Sample Results
37
120
< 1.0
< 10
5.1
180
Effluent Sample Results
37
120
< 1.0
< 10
2.8
270
Parameter
Potassium, K
Magnesium, Mg
Manganese, Mn
Sodium, Na
Nickel, Ni
Lead, Pb
units
mg/L
mg/L
pglL
mg/L
pglL
pgIL
NC MCL and/or EPA Standard
NS
NS
NC MCL = 50
NS
NC MCL = 100
NC MCL = 15
EPA SDWS = 50
EPA PDWS = 15
Influent Sample Results
4
19
< 10
24
< 10
< 10
Effluent Sample Results
4
19
< 10
23
11
< 10
Parameter
Selenium, Se
Zinc, Zn
pH (field)
units
pglL
pglL
units
NC MCL and/or EPA Standard
NC MCL = 20
NC MCL = 1000
NC MCL = 6.5-8.5
EPA PDWS = 50
EPA SDWS = 5000
EPA SDWS = 6.5 to 8.5
Influent Sample Results
< 5.0
29
7.03 @18.8C
Effluent Sample Results
< 5.0
17
6.91 @22.2C
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No standard

NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300045 Loop 3 (Pine Knot Hall)
PERMITTEE(S): Catawba College
SAMPLE COLLECTION DATE: 05/13/2010
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU/100m1
mg/L
mg/L
mg/L
mg/L
NC MCL and/or EPA Standard
NC MCL = < 1
NC MCL = 1
NC MCL = 500
NC MCL = 250
NC MCL = 2
NC MCL = 250
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
< 1
1100
292
14
< 0.4
50
Effluent Sample Results
< 1
3
294
15
< 0.4
_ 50
Parameter
Nitrate
Nitrite
Nitrate + Nitrite
Silver, Ag
Aluminum, Al
Arsenic,. As
units
mg/L as N
mg/L as N
mg/L as N
pg/L
pg/L
pg/L
NC MCL and/or EPA Standard
NC MCL = 10
NC MCL = 1
NC MCL = 11
NC MCL = 20
NS
NC MCL = 10
EPA PDWS = 10
EPA PDWS = 1
EPA PDWS = 11
EPA SDWS = 100
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
0.66
< 0.01
0.66
< 5.0
< 50
< 2.0 _
Effluent Sample Results
0.66
< 0.01
0.66
< 5.0
< 50
< 2.0
Parameter
Barium, Ba
Calcium, Ca
Cadmium, Cd
Chromium, Cr
Copper, Cu
Iron, Fe
units
pg/L
mg/L
pg/L
pg/L
pg/L
pg/L
NC MCL and/or EPA Standard
NC MCL = 700
NS
NC MCL = 2
NC MCL = 10
NC MCL = 1000
NC MCL = 300
EPA PDWS = 2000
EPA PDWS = 5
EPA PDWS = 100
EPA SDWS = 1000; PDWS = 1300
EPA SDWS = 300
Influent Sample Results
37
61
< 1.0 '
< 10
< 2.0
< 50
Effluent Sample Results
36
58
< 1.0
< 10
< 2.0
< 50
Parameter
Potassium, K
Magnesium, Mg
Manganese, Mn
Sodium, Na
Nickel, Ni
Lead, Pb
units
mg/L
mg/L
pg/L
mg/L
pg/L
pg/L
NC MCL and/or EPA Standard
NS
NS
NC MCL = 50
NS
NC MCL = 100
NC MCL = 15
EPA SDWS = 50
EPA PDWS = 15
Influent Sample Results
3.1
17
< 10
14
< 10
< 10
Effluent Sample Results
3.1
17
< 10
14
< 10
< 10
Parameter
Selenium, Se
Zinc, Zn
pH (field)
units
pg/L
pg/L
units
NC MCL and/or EPA Standard
NC MCL = 20
NC MCL = 1000
NC MCL = 6.5-8.5
EPA PDWS = 50
EPA SDWS = 5000
EPA SDWS = 6.5 to 8.5,
Influent Sample Results
< 5.0
< 10
6.42 @22.8C
Effluent Sample Results
< 5.0
< 10
6.80 @29.5C
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No standard

County: ROWAN
River Basin
Report To MROAP
Collector: M SCHUTTE
Region: MRO
Sample Matrix: GROUNDWATER
Loc. Type: MONITORING WELL
Emergency Yes/No
COC Yes/No
a6oratory SectionResuTts
-
I
nd\ --
.. :IA: t:
.. k o
Tilt O
t
8i4
� ��'t� VisitlD
'Loc. Descr.:ATAWBA
Sample ID: AB58284
PO Number # 10G0277
Date Received: 05/14/2010
Time Received: 08:30
Labworks Login ID SMATHIS
Report Generated: 6/7/10
Date Reported: 06/07/2010
Location ID: WI0300045-IN-LOOP1
Collect Date: •05/1312010
Collect Time: 12:40
Sample Depth
CAS # Analyte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
1.2 °C
Units
Method
Analysis Validated by
Reference Date
5/14/10 SMATHIS
MIC
Coliform, MF Fecal in liquid
1 1 B2Q1
CFU/100ml APHA9222D-20th 5/14/10 CGREEN
Coliform, MF Total in liquid
1 67 B1Q1
CFU/100m1 APHA9222B-20th 5/14/10 CGREEN
WET
Ion Chromatography _TITLE_
mg/L
EPA 300.0 5/24/10 MOVERMAN
Chloride 1 11 mg/L
EPA 300.0 5/24/10 MOVERMAN
Fluoride
0.4 0.4 U
mg/L
EPA 300.0 5/24/10 MOVERMAN
Sulfate
2 27
mg/L
EPA 300.0 5/24/10 MOVER MAN
Total Dissolved Solids in liquid
12 272
mg/L APHA2540C-18TH 5/20/10 MOVERMAN
NUT
NO2+NO3 as N in liquid
0.02 1.0
mg/L as N Lac10-107-04-1-c 5/19/10 CGREEN
Nitrate as N in liquid
0.02 0.97
mg/L as N Lachat107-04-1-c 5/24/10 CGREEN
Nitrite as N in liquid
'0.01 0.03
mg/L as N .Lachat107-04-1-c 5/14/10 CGREEN
MET
7440-22-4 Ag by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7429-90-5 Al by ICP 50 50 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-38-2 As by ICPMS
2
2.0 U ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-38-3 Ba by ICP 10 32
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-70-2 Ca by ICP
0.1 52 mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-43-9 Cd by ICPMS
1
1.0 U ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-47-3 Cr by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-50-8 Cu by ICPMS 2 2.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7439-89-6 Fe by ICP 50 50 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-09-7 K by ICP
0.1 2.3
mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7439-95-4 Mg by ICP
0.1 19 mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7439-96-5 Mn by ICP
10 10 U ug/L
EPA 200.7 5/27/10 ESTAFFORDI
7440-23-5 Na by ICP
0.1 13 mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-02-0 Ni by ICPMS
10 10 U ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7439-92-1
Pb by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7782-40-2 Se by ICPMS
5
5.0 U ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-66-6 Zn by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to http1rportaLnulenco nveb/vq,ahrstafrinfplechp_gsiss�aa (,qualifier Cedes :hftp:riipurtatnrdencorrUwehrwgfiah,'staff•.nfortechassist>
Page 1 of 1

GROUNDWATER FIELD/LAB FORM
Location code WI0300045-IN i
County Rowan
Quad No Serial No. •
Lat. Long.
SAMPLE TYPE
Water
❑ Soil
❑ Other
❑ Chain of Custody
SAMPLE PRIORITY
$ Routine
❑ Emergency
Report To: ARO, FRO(MR RRO, WaRO, WiRO,
WSRO, Kinston FO, F_ed� Trust, Central Off., Other:
Shipped by: Bus Courier Hand Del., Other: '5.
Collector(s): Ma c utte / Andrew Pitner Date.
FIELD ANALYSES
pH 400 cpcCP Spec. Cond.94 t
Temp.lo '7 3. °C Odor Q . c•Ap
Appearance c-•(t . ((,:, r (.Q.
Field Analysis By: Maria Schutte
ABORATORY ANALYSES
`
BOD 310
mg/L
COD High 340
mg/L
COD Low 335
mg/L
Coliform: MF Fecal 31616
/100m1
X
X
Coliform: MF Total 31504
/100m1
TOC 680
mg1L
Turbidity 76
NTU
Residue, Total Suspended 530
mg/L
pH 403
units
Alkalinity to pH 4.5 410
mg/L
Alkalinity to pH 8.3 415
mg/L
Carbonate 445
mg/L
Bicarbonate 440
mg/L
Carbon dioxide 405
mg/L
Chloride 940
mg/L
X
Chromium: Hex 1032
ug/L
Color: True 80
CU
Cyanide 720
mg/L %
Lab Comments
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
Purpose: UIC System Inspection
13/2010 Time (Zc r/4,1 Baseline, Complaint, Compliance,(LrUST, Pesticide Study, Federal Trust, Other:
Owner: Catawba College
r) at 25°C Location or Site: 2300 W. Innes Street, Salisburi
Description of sampling point: Influent —
Sampling Method: Pump
!DO -
Lab Number
u
Date Received 5`tV- (D Time: 3 0
Rec'd By: From:Bus, ' ourier Hand Del.,
Other: tA
Data Entry By:
Date Reported:
Ck:
Remarks
(Pumo, bailer. etc.
Sample Interval
X
Diss. Solids 70300
mg/L
X
Fluoride 951
mg/L
Hardness: Total 900
mg/L
Hardness (non-carb) 902
Phenols 32730
mg/L
ug/I
(Pumping time, air temp., etc.)
Ag-Silver 46566
ug/L
Al -Aluminum 46557
As -Arsenic 46551
Ba-Barium 46558
Ca -Calcium 46552
ug/L
ug/L
ug/L
mg/L
Organochlorine Pesticides
Organophosphorus Pesticides
Nitrogen Pesticides
Acid Herbicides
PCBs
Specific Cond. 95
pMhos/cm
Sulfate 945
mglL
Sulfide 745
Oil and Grease
NH3 as N 610
TKN as N 625
NO2 + NO3 as N 630
mg/L
mg/L
mg/L
mg/L
mg/L
P: Total as P 665
Nitrate (NO3as N) 620
mg/L
mg/L
Nitrite (NO2 as N) 615
mg/L
X
X
Cd-Cadmium 46559
Cr-Chromium 46559
Cu-Copper 46562
Fe -Iron 46563
Hg-Mercury 71900
K-Potassium 46555
Mg -Magnesium 46554
Mn-Manganese 46565
Na-Sodium 46556
Ni-Nickel
Pb-Lead 46564
Se -Selenium
Zn-Zinc 46567
ug/L
ug/L
ug/L
ug/L
ug/L
mg/L
mg/L
ug/L
mg/L
ug/L
ug/L
ug/L
ug/L
Semivolatile Organics
TPH-Diesel Range
Volatile Organics (VOA bottle)
TPH-Gasoline Range
TPH-BTEX Gasoline Range
LAB USE ONLY
Temperature on arrival °C):
GW-54 REV. 7/03
For Dissolved Analysis -submit filtered sample and write "DIS" in block.

boratory . section Results
County: ROWAN 1
River Basin - t✓ NIAJFRQ
Report To MROAP Q ) 7
"P r--)\
? ',a
yr,
0\ Visit'D
L;Dc. escr.: C L GE
Collector.
Region:
Sample Matrix:
Loc. Type:
Emergency Yes/No
COC Yes/No
M SCHUTTE
MRO
GROUNDWATER
MONITORING WELL
Location ID: WI0300045-EFF-LOOP1
Collect Date:
05/13/2010
Sample ID:
PO Number #
Date Received:
Time Received:
Labwprks LoginlD
Report Generated:
Date Reported:
Collect Time: 12:30
AB58285
10G0278
05/14/2010
08:30
SMATHIS
6/7/10
06/07/2010
Sample Depth
CAS # Analyte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
1.2
'C
Units
Method Analysis Validated by
Reference Date
5/14/10 SMATHIS
MIC
Coliform, MF Fecal in liquid
1 1 B2Q1
CFU/100m1 APHA9222D-20th 5/14/10 CGREEN
Coliform, MF Total in liquid
1 10 Q1
CFU/100m1 APHA9222B-20th 5/14/10 CGREEN
WET
Ion Chromatography
_TITLE_ mg/L EPA 300.0 5/24/10 MOVERMAN
Chloride 1 11 mg/L EPA 300.0 5/24/10 MOVER MAN
Fluoride 0.4 0.4 U mg/L EPA 300.0 5/24/10 MOVERMAN
Sulfate 2 27 mg/L
EPA 300.0 5/24/10 MOVERMAN
Total Dissolved Solids in liquid
12 276
mg/L APHA2540C-18TH 5/20/10 MOVERMAN
NUT
NO2+NO3 as N in liquid
0.02 1.0
mg/L as N Lac10-107-04-1-c 5/19/10 CGREEN
Nitrate as N in liquid
0.02 1.0
mg/L as N Lachat107-04-1-c 5/24/10 CGREEN
Nitrite as N in liquid
0.01 0.01 U
mg/L as N Lachat107-04-1-c 5/14/10 CGREEN
MET
7440-22-4
Ag by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7429-90-5 Al by ICP 50 50 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-38-2 As by ICPMS
2 2.0 U ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-38-3 Ba by ICP 10 32
ug/L
EPA200.7 5/27/10 ESTAFFORDI
7440-70-2 Ca by ICP
0.1 52
mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-43-9 Cd by ICPMS
1 1.O U
ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-47-3 Cr by ICPMS
10 10 U ug/L EPA 200.8 5/18/10 ESTAFFORD1
7440-50-8
Cu by ICPMS
2 2.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7439-89-6
Fe by ICP
50 50 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-09-7
K by ICP
0.1 2.3
mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7439-95-4
Mg by ICP
0.1 19 mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7439-96-5
Mn by ICP
10 10 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-23-5 Na by ICP
0.1 13
mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-02-0 Ni by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7439-92-1
Pb by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7782-49-2 Se by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-66-6 Zn by ICPMS
10 - 10 U ug/L EPA 200.8 5/18/10 ESTAFFORD1
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to http!/portal.ncdenr.oroAveh.Migdabistaf inf ftechassist#Data Qualifier Codes <http: /p aLncdenr.ortliwebAvq^ab/staffinfor echassial>
Page 1 of 1

G.OUNDWATER FIELD/LAB FORM
Location code WI0300045-EFF
County Rowan
Quad No Serial No.
Lat. Long.
Report To: ARO, FROSUZIV RRO, WaRO, WiRO,
WSRO, Kinston FO, Fed. Trust, Central Off., Other:
Shipped by: Bus,C, bi1n l) Hand Del., Other: S 6
Collector(s): Maria Schutte / Andrew Pitner Date:13/2010
FIELD ANALYSES
pH 400 t,c,2 Spec. Cond.94
Temp.io 9... co I °C Odor Nd.!
Appearance G t,2 r R
Field Analysis By: Maria Schutte
SAMPLE TYPE
[g Water
❑ Soil
❑ Other
El Chain of Custody
SAMPLE PRIORITY
XRoutine
El Emergency
g
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
io(-oz1-H
Lab Number
Date Received '_!t't° Tim
Rec'd By: ,. From:Bus
Other:
Data Entry By:
Date Reported:
Ck:
Purpose: UIC System Inspection
Time f 2 3O 'F1I Baseline, Complaint, Compliance, LUST, Pesticide Study, Federal Trust, Other:
ne)
Owner: Catawba College
at 25°C Location or Site: 2300 W. Innes Street, Salisbury
Description of sampling point: Effluent — [_O Q ( —
Sampling Method: Pump
Remarks
(Puma baiter. etc.
l- - LEY }.{4 [IL p4 r (d
Sample Interval
(Pumping time, air temp., etc.)
LABUKA I UKY ANAL JCJ
X
Ag-Silver 46566
ug/L
BOD 310
mg/L
X
piss. Solids 70300
mg/L
X
AI -Aluminum 46557
uglL
COD High 340
mg/L
X
Fluoride 951
mg/L
X
As -Arsenic 46551
ug/L
COD Low 335
mg/L
X
Hardness: Total 900
mg/L
X
Ba-Barium 46558
ug/L
Coliform: MF Fecal 31616
/100m1
Hardness (non-carb) 902
mg/L
X
X
Coliform: MF Total 31504
/100m1
Phenols 32730
ug/I
X
Ca -Calcium 46552
mg/L
Specific Cond. 95
pMhos/cm
X
Cd-Cadmium 46559
ug/L
TOC 680
mg/L
Turbidity 76
NTU
X
Sulfate 945
mg/L
X
Cr-Chromium 46559
u./L
Residue, Total Suspended 530
mg/L
Sulfide 745
mg/L
X
Cu-Copper 46562
u./L
X
Fe -Iron 46563
ug/L
Oil and Grease
mg/L
Hg-Mercury 71900
ug/L
403
units
X
K-Potassium 46555
mg/L
pH
Alkalinity to 4.5 410
mg/L
X
Mg -Magnesium 46554
m./L
pH
Alkalinity to pH 8.3 415
mg/L
X
Mn-Manganese 46565
u./L
NH3 as N 610
mg/L
X
Na-Sodium 46556
mg/L
Carbonate 445
mg/L
Bicarbonate 440
mg/L
TKN as N 625
mg/L
X
Ni-Nickel
ug/L
Carbon dioxide 405
mg/L
)4
NO2 + NO3 as N 630
mg/L
X
Pb-Lead 46564
ug/L
P: Total as P 665
mg/L
X
Se -Selenium
ug/L
Chloride 940
mg/L
X
Chromium: Hex 1032
ug/L
X
Nitrate (NO3 as N) 620
mg/L
X
Zn-Zinc 46567
ug/L
Color: True 80
CU
X
Nitrite (NO2 as N) 615
mg/L
Cyanide 720
mglL
)
/
, .1, r. S.,1 _
../-,
,(s, _ ,c r ^ tn\ (`
0
Lab Comments
Organochlorine Pesticides
Organophosphorus Pesticides
Nitrogen Pesticides
Acid Herbicides
PCBs
Semivolatile Organics
TPH-Diesel Range
Volatile Organics (VOA bottle)
TPH-Gasoline Range
TPH-BTEX Gasoline Range
LAB USE ONLY
Temperature on arrival.
0
GW-54 REV. 7/03 For Dissolved Analysis -submit filtered sample and write "DIS" in block.

County: ROWAN
River Basin
Report To MROAP
Collector. M SCHUTTE
Region: MRO
Sample Matrix: GROUNDWATER
Loc. Type: MONITORING WELL
Emergency Yes/No
COC Yes/No
WATER
escr.: CATAWBA COLLEGE
Sample ID: AB58286
PO Number # 10G0279
Date Received: 05/14/2010 I
Time Received: 08:30 !r�i l`!i�` I /0
Labworks LoginlD SMATHIS
Report Generated: 6/8/10
Date Reported: 06/08/2010
Location ID:
W10300045-IN-LOOP2
Collect Dater 05/13/2010
Collect Time: 11:50
Sample Depth
CAS # Analyte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
1.2
°C
Units
Method
AnaIVSIS Validated by
Reference Date
5/14/10 SMATHIS
MIC
Coliform, MF Fecal in liquid
1 B2Q1
CFU/100m1 APHA9222D-20th 5/14/10 CGREEN
Coliform, MF Total in liquid
1 2300 Q1
CFU/100m1 APHA9222B-20th 5/14/10 CGREEN
WET
Ion Chromatography
_TITLE_ mg/L EPA 300.0 5/24/10 MOVERMAN
Chloride
1 20
mg/L
EPA 300.0 5/24/10 MOVERMAN
Fluoride 0.4 0.4 U mg/L
EPA 300.0 5/24/10 MOVERMAN
Sulfate 2 200 mg/L
EPA 300.0 5/24/10 MOVERMAN
Total Dissolved Solids in liquid
12 538
mg/L APHA2540C-18TH 5/20/10 MOVERMAN
NUT
NO2+NO3 as N in liquid
0.02 0.02 U
mg/L as N Lac10-107-04-1-c 5/19/10 CGREEN
Nitrate as N in liquid
0.02 0.02 U
mg/L as N Lachat107-04-1-c 5/24/10 CGREEN
Nitrite as N in liquid
0.01 0.01 U
mg/L as N Lachat107-04-1-c 5/14/10 CGREEN
MET
7440-22-4
Ag by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7429-90-5 Al by ICP 50 61
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-38-2 As by ICPMS
2 2.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-38-3 Ba by ICP 10 37
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-70-2 Ca by ICP
0.1 120 mg/L EPA 200.7 5/27/10 ESTAFFORD1
7440-43-9 Cd by ICPMS
1 1.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-47-3 Cr by ICPMS
10 10 U ug/L EPA200.8 5/18/10 ESTAFFORD1
7440-50-8 Cu by ICPMS 2 5.1 ug/L EPA200.8 5/18/10 ESTAFFORD1
7439-89-6 Fe by ICP 50 180
ug/L
EPA 200.7 5/27/10 ESTAFFORDI
7440-09-7 K by ICP
0.1 4.0 mg/L
EPA200.7 5/27/10 ESTAFFORD1
7439-95-4 Mg by ICP
0.1 19
mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7439-96-5 Mn by ICP 10 10 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-23-5 Na by ICP
0.1 24
mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-02-0 Ni by ICPMS
10 10 U ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7439-92-1 Pb by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7782-49-2 Se by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-66-6 Zn by ICPMS
10 29
ug/L
EPA 200.8 5/18/10 ESTAFFORDI
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to http:dportal.ncdemtorphvebAvailabista r_Ottechassist#Data Qualifier Codes<httn:/lrynal.natencoigN+ebhveriantstaffnfoitechessict.
Page 1 of 1

GROUNDWATER FIELD/LAB FORM
Location code W10300045-IN L
County Rowan
Quad No Serial No. •
Lat. Long.
Report To: ARO, FRO,CMRO�' RRO, WaRO, WiRO,
WSRO, Kinston FO, Fe, . rust, Central Off., Other:
Shipped by: Bus ourier Hand Del., Other:
Collector(s): Ma c utte / Andrew Pither Date:13/2010
FIELD ANALYSES
pH 400 7 o D Spec. Cond.94 3- at 25°C
Temp.lo 18.ei °C Odor nCs,c.�sz'�
Appearance GV v" CtAv N
Field Analysis By: Maria Schutte
SAMPLE TYPE
Water
❑ Soil
O Other
❑ Chain of Custody
SAMPLE PRIORITY
0 Routine
❑ Emergency
5-
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
(r 0271
Lab Number
Date Received 5'1 '`.' (o Time:
Rec'd By: From:Bus
Other:
Data Entry By:
Date Reported:
16
ourier,
and Del.,.
Ck:
Purpose: UIC System Inspection
Time i0,-114.4,t Baseline, Complaint, Compliance, LUST, Pesticide Study, Federal Trust, Other:
(circle one)
Owner: Catawba College
Location or Site: 2300 W. Innes Street, Salisbury
Description of sampling point: Influent — L o0P 2 - /�00 mS Or-) 4.4 L L foreT q,, c.Jtq: c -
Sampling Method: Pump Sample Interval
Remarks
(Pumping time, air temp., etc.)
(Pun). bailer. etc.)
Li-\L)Vr\f\
1 VI\ 1 ll1Y/1L 1 V_v
BOD 310
mg/L
x
Diss. Solids 70300
mg/L
X
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 Low 335
mg/L
X
Hardness: Total 900
mg/L
X
As -Arsenic 46551
ug/L
Nitrogen Pesticides
X
Coliform: MF Fecal 31616
/100m1
Hardness (non-carb) 902
mg/L
X
Ba-Barium 46558
ug/L
Acid Herbicides
X
Coliform: MF Total 31504
/100m1
Phenols 32730
ug/I
X
Ca -Calcium 46552
mg/L
PCBs
TOC 680
mg/L
Specific Cond. 95
(Mhos/cm
x
Cd-Cadmium 46559
ug/L
Turbidity 76
NTU
X
Sulfate 945
mg/L
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
ug/L
Semivolatile Organics
Oil and Grease
mg/L
Hg-Mercury 71900
ug/L
T
TPH-Diesel 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
ug/L
Volatile Organics (VOA 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
ug/L
T
TPH-BTEX Gasoline Range
Carbon dioxide 405
mg/L
`$
NO2 + NO3 as N 630
mg/L
X
Pb-Lead 46564
ug/L
X
Chloride 940
mg/L
P: Total as P 665
mg/L
X
Se -Selenium
ug/L
Chromium: Hex 1032
ug/L
X
Nitrate (NO3as N) 620
mg/L
'X
Zn-Zinc 46567
ug/L
Color: True 80
CU
X
Nitrite (NO2 as N) 615
mg/L
LAB USE ONLY
Temperature on arrival (°C):
71
Cyanide 720
mg/L
_
r , _ , _ %',, ._ i
�
n .r/r-1
—... ..- „j /AlA I A . ' l .. 1
(
4-7-
/-
Lab Comments .VG SQ
GW-54 REV. 7/03 For Dissolved Analysis -submit filtered sample and write "DIS" in block.

oratory
oratory Section Results
County: ROWAN
River Basin
Report To MROAP
Collector: M SCHUTTE
Region: MRO •
Sample Matrix: GROUNDWATER
Loc. Type: MONITORING WELL
Emergency Yes/No
COC Yes/No
�s Ark -
D01 �G
CD
of
p P ' .
CO �i O
o VisitlD
Loc. Desc .. C) LLEGE
1
Sample ID: AB58287
PO Number # 10G0280
Date Received: 05/14/2010 114
Time Received: 08:30 /p
Labworks Login ID SMATHISr
Report Generated: 6/8/10
Date Reported: 06/08/2010
0
Location ID: W10300045-EFF-LOOP2
Collect Date: 05/13/2010
Collect Time: 11:40
Sample Depth
CAS # Analyte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
1.2 °C
Units
Method Analysis Validated by
Reference Date
5/14/10 SMATHIS
MIC
Coliform, MF Fecal in liquid
1 1 B2Q1
CFU/100m1 APHA9222D-20th 5/14/10 CGREEN
Coliform, MF Total in liquid
1 8 Q1
CFU/100m1 APHA9222B-20th 5/14/10 CGREEN
WET
Ion Chromatography _TITLE_
mg/L EPA 300.0 5/24/10 MOVERMAN
Chloride
1 20
mg/L
EPA 300.0 5/24/10 MOVERMAN
Fluoride 0.4 0.4 U mg/L EPA 300.0 5/24/10 MOVERMAN
Sulfate 2 210 mg/L EPA 300.0 5/24/10 MOVERMAN
Total Dissolved Solids in liquid
12 532
mg/L APHA2540C-18TH 5/20/10 MOVERMAN
NUT
NO2+NO3 as N in liquid
0.02 0.02 U
mg/L as N Lac10-107-04-1-c 5/19/10 CGREEN
Nitrate as N in liquid
0.02 0.02 U
mg/L as N Lachat107-04-1-c 5/24/10 CGREEN
Nitrite as N in liquid
0.01 0.01 U
mg/L as N Lachat107-04-1-c 5/14/10 CGREEN
MET
7440-22-4 Ag by ICPMS 5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7429-90-5 Al by ICP 50 59
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-38-2
As by ICPMS
2
2.0 U ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-38-3
Ba by ICP
10 37
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-70-2 Ca by ICP
0.1 120 mg/L EPA 200.7 5/27/10 ESTAFFORDI
7440-43-9
Cd by ICPMS
1 1.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-47-3
Cr by ICPMS
10 10 U ug/L EPA 200.8 5/18/10 ESTAFFORD1
7440-50-8
Cu by ICPMS
2 2.8
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7439-89-6 Fe by ICP
50 270 ug/L EPA 200.7 5/27/10 ESTAFFORDI
7440-09-7 K by ICP
0.1 4.0 mg/L EPA 200.7 5/27/10 ESTAFFORD1
7439-95-4 Mg by ICP
0.1 19 mg/L EPA200.7 5/27/10 ESTAFFORD1
7439-96-5 Mn by ICP
10 10 U ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-23-5 Na by ICP
0.1 23 mg/L
EPA 200.7 5/27/10 ESTAFFORDI
7440-02-0 Ni by ICPMS
10 11 ug/L EPA 200.8 5/18/10 ESTAFFORD1
7439-92-1
Pb•by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7782-49-2 Se by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7440-66-6 Zn by ICPMS
10 17 ug/L. EPA 200.8 5/18/10 ESTAFFORD1
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to http //pertal.nc 1enr.orrAveb.Min/lab!staff nfortechnssisM/Deti.guali i9r codes <thpfmortal. nrdenromerrebAvryRabrstafinfo/techassisb
Page 1 of 1

42*
GROUNDWATER FIELD/LAB FORM
Location code WI0300045-EFF LOe
2-
County Rowan
Quad No Serial No.
Lat. Long.
Report To: ARO, FRO, RQ? RRO, WaRO, WiRO,
WSRO, Kinston FO, Fed. Trust, Central Off., Other:
Shipped by: Bus,("Oouriel) Hand Del., Other:
Collector(s): Maria Schutte / Andrew Pitner Date:,13/2010
FIELD ANALYSES
pH 400 CQ a Spec. Cond.94
Temp.lo Z.i-.0 °C Odor roc -
Appearance S/r)i(' " 4)
Field Analysis By: Maria Schutte
SAMPLE TYPE
( Water
❑ Soil
❑ Other
❑ Chain of Custody
SAMPLE PRIORITY
Pr Routine
❑ Emergency
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
1DG-' V2�O
Lab Number
Af),4A1
Date Received 3 -) t ! Time: 3�
Rec'd By: From:Bus, urier, and Del.,
Other:
Data Entry By: Ck:
Date Reported:
5t Purpose: UIC System Inspection
Time 0/0 fjyZ4 Baseline, Complaint, Compliance, LUST, Pesticide Study, Federal Trust, Other:
Owner: Catawba College ✓ (circle one)
D at 25°C Location or Site: 2300 W. Innes Street, Salisbury
Description of sampling point: Effluent2—
S 4:)(' Sampling Method: Pump
—1, Remarks
(Pump. bailer. etc.(
Sample Interval
(Pumping time, air temp., etc.)
L/AtSVKH I Ur( T HIVHL T JCJ
Organochlorine Pesticides
BOD 310
mg/L
X
Diss. Solids 70300
mg/L
X
Ag-Silver 46566
ug/L
. X
Al -Aluminum 46557
ug/L
Organophosphorus Pesticides
COD High 340
mglL
X
Fluoride 951
mg/L
Nitrogen Pesticides
COD Low 335
mg/L
X
Hardness: Total 900
mg/L
X
As -Arsenic 46551
ug/L
Acid Herbicides
Coliform: MF Fecal 31616
/100m1
Hardness (non-carb) 902
mg/L
X
Ba-Barium 46558
ug/L
X
X
Coliform: MF Total 31504
/100m1
Phenols 32730
ug/I
X
Ca -Calcium 46552
mg/L
PCBs
TOC 680
mglL
Specific Cond. 95
pMhos/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
ug/L
S
Semivolatile Organics
Oil and Grease
mg/L
Hg-Mercury 71900
ug/L
T
TPH-Diesel 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
ug/L
Volatile Organics (VOA bottle)
X
Na-Sodium 46556
mg/L
TPH-Gasoline Range
Carbonate 445
mglL
NH3 as N 610
mg/L
X
Ni-Nickel
ug/L
TPH-BTEX Gasoline Range
Bicarbonate 440
mg/L
TKN as N 625
mg/L
y
NO2 + NO3 as N 630
mg/L
X
Pb-Lead 46564
ug/L
Carbon dioxide 405
mglL
P: Total as P 665
mg/L
X
Se -Selenium
ug/L
•
X
Chloride 940
mg/L
Chromium: Hex 1032
ug/L
X
Nitrate (NO3as N) 620
mg/L
X
Zn-Zinc 46567
ug/L
LAB USE ONLY
1, 2'
Color: True 80
CU
X
Nitrite (NO2 as N) 615
mg/L
Tempe
ure on arrival (°C):
Cyanide 720
mglL
/� /}
-
Lab
Comments
Q
�''"--
C��
�
="fit$ ' 1 o c5 -"- A l t1
Lc... ;,
GW-54 REV. 7/03 For Dissolved Analysis -submit filtered sample and write "DIS" in block.

County: ROWAN
River Basin
Report To MROAP
Collector:
Region:
Sample Matrix:
Loc. Type:
Emergency Yes/No
COC Yes/No
M SCHUTTE
MRO
GROUNDWATER
MONITORING WELL
d�
Q 01
c
4t o
C� VisitlD
\!s--099 1,®
t-Loc. Descr.: All ALLEGE
a6oratory
F WA46.
r�R
7 r
-1
Section ResuTts
Sample ID:
PO Number #
Date Received:
Time Received:
Labworks Login ID
Report Generated:
Date Reported:
AB58282
10G0275
05/14/2010
08:30
SMATHIS
6/7/10
06/07/2010
Location ID: WI0300045-IN-LOOP3
Collect Date: 05/13/2010
Collect Time: 11:05
Sample Depth
CAS # Analyte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
0.8
°C
Units
Method Analysis Validated by
Reference Date
5/14/10 SMATHIS
MIC
Coliform, MF Fecal in liquid
1
1 B2Q1
CFU/100m1 APHA9222D-20th 5/14/10 CGREEN
Coliform, MF Total in liquid
1
1100 Q1
CFU/100m1 APHA9222B-20th 5/14/10 CGREEN
WET
Ion Chromatography
_TITLE_
mg/L EPA 300.0
5/24/10 MOVERMAN
Chloride
1
14 mg/L EPA 300.0
5/24/10 MOVERMAN
Fluoride
0.4
0.4 U
mg/L EPA 300.0
5/24/10 MOVERMAN
Sulfate
2
50 mg/L EPA 300.0
5/24/10 MOVERMAN
Total Dissolved Solids in liquid
12 292 mg/L APHA2540C-18TH 5/20/10 MOVERMAN
NUT
NO2+NO3 as N in liquid
0.02 0.66 mg/L as N Lac10-107-04-1-c 5/19/10 CGREEN
Nitrate as N in liquid
0.02 0.66 mg/L as N Lechat107-04-1-c 5/24/10 CGREEN
Nitrite as N in liquid
0.01 0.01 U mg/L as N Lachat107-04-1-c 5/14/10
CGREEN
MET
7440-22-4
Ag by ICPMS
5
5.0 U
ug/L EPA 200.8
5/18/10 ESTAFFORD1
7429-90-5 Al by ICP
50 50 U ug/L EPA 200.7
5/27/10 ESTAFFORD1
7440-38-2 As by ICPMS
2
2.0 U
ug/L EPA 200.8
5/18/10 ESTAFFORD1
7440-38-3 Ba by ICP
10 37 ug/L EPA 200.7
5/27/10 ESTAFFORD1
7440-70-2 Ca by ICP
0.1 61 mg/L EPA 200.7
5/27/10 ESTAFFORDi
7440-43-9 Cd by ICPMS
1
1.0 U
ug/L EPA 200.8
5/18/10 ESTAFFORDI
7440-47-3 Cr by ICPMS
10 10 U ug/L EPA 200.8
5/18/10 ESTAFFORDI
7440-50-8 Cu by ICPMS
2
2.0 U
ug/L EPA 200.8
5/18/10 ESTAFFORDI
7439-89-6 Fe by ICP
50 50 U ug/L EPA 200.7
5/27/10 ESTAFFORDI
7440-09-7 K by ICP
0.1 3.1 mg/L EPA 200.7
5/27/10 ESTAFFORD1
7439-95-4 Mg by ICP
0.1 17 mg/L EPA 200.7
5/27/10 ESTAFFORD1
7439-96-5 Mn by ICP
10 10 U ug/L EPA 200.7
5/27/10 ESTAFFORD1
7440-23-5 Na by ICP
0.1 14 mg/L EPA 200.7
5/27/10 ESTAFFORD1
7440-02-0 Ni by ICPMS
10 10 U ug/L EPA 200.8
5/18/10 ESTAFFORD1
7439-92-1
Pb by ICPMS
10
10 U ug/L EPA 200.8
5/18/10 ESTAFFORD1
7782-49-2 Se by ICPMS
5
5.0 U
ug/L EPA 200.8
5/18/10 ESTAFFORD1
7440-66-6 Zn by ICPMS
10
10 U
ug/L EPA 200.8
5/18/10 ESTAFFORD1
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to httrOnodal.ncdenrom.•WebNigAaLVstarfnto/techassistrrData Quallfier Codes naI ocdenr.onrMehAvoiabistaffnfoitechassists
Page 1 of 1

GROUNDWATER FIELD/LAB FORM
Location code WI0300045-IN LO P�
( Ah% 1f-No-e)
County Rowan
Quad No Serial No. •
Lat. Long.
Report To: ARO, FRO MR RRO, WaRO, WiRO,
WSRO, Kinston FO, Fe rust, Central Off., Other:
Shipped by: Bus owner Hand Del., Other:
Collector(s): Ma c utte / Andrew Pitner
FIELD ANALYSES pH 400 � • 4'L t� Spec. Cond.94 �t?J-7 •
Temp.io 22.£~: °C Odor
Appearance C,\ — -c' u&3
Field Analysis By: Maria Schutte
LABORATORY ANALYSES
SAMPLE TYPE
rg Water
El Soil
❑ Other
❑ Chain of Custody
SAMPLE PRIORITY
Routine
❑ Emergency
BOD 310 mg/L
COD High 340 mg/L
COD Low 335 mg/L
Coliform: MF Fecal 31616 /100m1
Coliform: MF Total 31504 /10om1
TOC 680 mg/L
Date:
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
I ()D7;-
Lab Number
Date Received 5 j 1 !0 Time:
Rec'd By:From:Bus,
�
Other: (\l.
Data Entry By:
Date Reported:
C k:
and Del.,
Purpose: UIC System Inspection
Time 1 ( S 4 Baseline, Complaint, mplianc LUST, Pesticide Study, Federal Trust, Other:
Owner: Catawba College (circle one)
at 25°C Location or Site: 2300 W. Innes Street, Salisbury . — tN' Kr T (A-('N—= -A)4 i-`t 9f2 ` L`3 V 3
Description of sampling point: Influent LL C P (?OTT6c4t e)oc b U3 r /{ 1(�
Sampling Method: Pump Sample Interval
(l'umobailer. etc.)
Remarks
X piss. Solids 70300 mg/L
X
Fluoride 951 mg/L
Hardness: Total 900 mg/L
Hardness (non-carb) 902 mg/L
Phenols 32730 ug/I
Specific Cond. 95 pMhos/cm
Turbidity 76 NTU
Sulfate 945 mg/L
Residue, Total Suspended 530 mg/L
Sulfide 745 mg/L
pH 403
Oil and Grease mglL
units
Alkalinity to pH 4.5 410
mg/L
Alkalinity to pH 8.3 415
mg/L
Carbonate 445
Bicarbonate 440
Carbon dioxide 405
mg/L
mg/L
mg/L
NH3 as N 610
TKN as N 625
NO2 + NO3 as N 630
mg/L
mg/L
mg/L
Chloride 940
mg/L
P: Total as P 665
mg/L
Chromium: Hex 1032
ug/L
Nitrate (NO3 as N) 620
mg/L
Color: True 80
CU
Cyanide 720
Lab Comments
Nitrite (NO2 as N) 615
mg/L
mg/L P l4 4 rc�t l
ar 4e ��. -CAS Ca cL
�
(Pumping time, air temp., etc.)
X
Ag-Silver 46566
ug/L
X
Al -Aluminum 46557
ug/L
X
As -Arsenic 46551
ug/L
X
Ba-Barium 46558
ug/L
X
Ca -Calcium 46552
mg/L
X
Cd-Cadmium 46559
ug/L
X
Cr-Chromium 46559
uglL
X
Cu-Copper 46562
uglL
X
Fe -Iron 46563
ug/L
Hg-Mercury 71900
ug/L
X
K-Potassium 46555
mg/L
X
Mg -Magnesium 46554
mg/L
X
Mn-Manganese 46565
ug/L
X
Na-Sodium 46556
mg/L
X
Ni-Nickel
ug/L
X
Pb-Lead 46564
ug/L
X
Se -Selenium
uglL
X
Zn-Zinc 46567
ug/L
Organochlorine Pesticides
Organophosphorus Pesticides
Nitrogen Pesticides
Acid Herbicides
PCBs
Semivolatile Organics
TPH-Diesel Range
Volatile Organics (VOA bottle)
TPH-Gasoline Range
TPH-BTEX Gasoline Range
LAB USE ONLY
Temperature on arrival (°C):
0A
GW-54 REV. 7/03
For Dissolved Analysis -submit filtered sample and write "DIS" in block.

County: ROWAN Sample ID: AB58283
River Basin s �F N1AiEq PO Number# 10G0276
Report To MROAP t CA b� Q� Date Received: 05/14/2010
a> r Time Received: 08:30
Collector. M SCHUTTE C Ct -I
p -( Labworks Login ID SMATHIS
Region: MRO C0i 7 ,
Report Generated: 6/7/10
Sample Matrix: GROUNDWATER v`.g, O
O . Date Reported: 06/07/2010
Loc. Type: MONITORING WELL 5:3 �Jq)
Co� o T \/
Emergency Yes/No VisitlD 1%�jQ
COC Yes/No
Loc. D serr COLLEGE ,„da
ILocation ID: W10300045-EFF-LOOP3
Collect Date: 05/13/2010
Collect Time: 10:55
Sample Depth
CAS # Analyte Name
LAB
Sample temperature at receipt by lab
PQL
Result/
Qualifier
0.8 °C
Units
Method Analysis Validated by
Reference Date
5/14/10 SMATHIS
MIC
Coliform, MF Fecal in liquid 1 1 B2Q1 CFU/100m1 APHA9222D-20th 5/14/10 CGREEN
Coliform, MF Total in liquid
1 3 Q1
CFU/100m1 APHA9222B-20th 5/14/10 CGREEN
WET
Ion Chromatography
_TITLE_ mg/L
EPA 300.0 5/24/10 MOVERMAN
Chloride 1
15 mg/L EPA 300.0 5/24/10 MOVERMAN
Fluoride 0.4 0.4 U mg/L
EPA 300.0 5/24/10 MOVERMAN
Sulfate
2 50
mg/L
EPA 300.0 5/24/10 MOVERMAN
Total Dissolved Solids in liquid
12 294
mg/L APHA2540C-18TH 5/20/10 MOVER MAN
NUT
NO2+NO3 as N in liquid
0.02 0.66
mg/L as N Lac10-107-04-1-c 5/19/10 CGREEN
Nitrate as N in liquid
0.02 0.66
mg/L as N Lachat107-04-1-c 5/24/10 CGREEN
Nitrite as N in liquid
0.01 0.01 U mg/L as N Lachat107-04-1-c 5/14/10 CGREEN
MET
7440-22-4 Ag by ICPMS
5 5.0 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7429-90-5 Al by ICP
50 ,
50 U ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-38-2 As by ICPMS
2 2.0 U
ug/L EPA 200.8 5/18/10 ESTAFFORD1
7440-38-3
Ba by ICP
10 36
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-70-2 Ca by ICP
0.1
58 mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-43-9 Cd by ICPMS
1
1.0 U ug/L EPA 200.8 5/18/10 ESTAFFORD1
7440-47-3
Cr by ICPMS
10 10 U ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-50-8 Cu by ICPMS
2 2.0 U
ug/L
EPA200.8 5/18/10 ESTAFFORD1
7439-89-6 Fe by ICP
50 50 U ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-09-7 K by ICP
0.1 3.1 mg/L
EPA 200.7 5/27/10 ESTAFFORD1
7439-95-4 Mg by ICP 0.1 17 mg/L EPA 200.7 5/27/10 ESTAFFORD1
7439-96-5 Mn by ICP 10 10 U
ug/L
EPA 200.7 5/27/10 ESTAFFORD1
7440-23-5 Na by ICP
0.1 14 mg/L EPA 200.7 5/27/10 ESTAFFORD1
7440-02-0 Ni by ICPMS
10 10 U ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7439-92-1
Pb by ICPMS
10 10 U
ug/L
EPA 200.8 5/18/10 ESTAFFORD1
7782-49-2 Se by ICPMS 5 5.0 U ug/L
EPA 200.8 5/18/10 ESTAFFORDI
7440-66-6 Zn by ICPMS
10 10 U ug/L EPA200.8 5/18/10 ESTAFFORD1
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
Fora detailed description of the qualifier codes refer to hjtp7/ponal.nrdenr.om WebAvgAab!staftinfafechasaistriData Qualifier Codes <hllpliportalncdenimrIl veh••Vatlabrslaflinfortechessist>
Page 1 of 1

GROUNDWATER FIELD/LAB FORM
Location code WI0300045-EFF— L OW,')
(LINO- / 't)
County Rowan
Quad No Serial No.
Lat. Long.
Report To: ARO, FRO, ' • RRO, WaRO, WiRO,
SAMPLE TYPE
64
Water
❑ Soil
❑ Other
❑ Chain of Custody
SAMPLE PRIORITY
Routine
❑ Emergency
WSRO, Kinston FO, Fed. Trust, Central Off., Other:
Shipped by: Bus,(Courierb Hand Del., Other: 5
Collector(s): Maria Schutte / Andrew Pitner Date: X/13/2010 Time
FIELD ANALYSES
pH 400 `d0 Spec. Cond.94 f Zf2.3 ti l at 25°C
Temp.io 29 •S °C Odor YLc.V\Q
Appearance Q °U2.. k r , CM.p lst -
Field Analysis By: Maria Schutte
LABORATORY ANALYSES
BOD 310
mg/L
COD High 340
mg/L
COD Low 335
mg/L
X
Coliform: MF Fecal 31616
/100m1
X
Coliform: MF Total 31504
/100m1
TOC 680
mg/L
Turbidity 76
NTU
Residue, Total Suspended 530
mg/L
pH 403
units
Alkalinity to pH 4.5 410
mg/L
Alkalinity to pH 8.3 415
mg/L
Carbonate 445
mg/L
Bicarbonate 440
mg/L
Carbon dioxide 405
mg/L
X
Chloride 940
mg/L
Chromium: Hex 1032
ug/L
Color: True 80
CU
Cyanide 720
mg/L
Lab Comments
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
Purpose: UIC System Inspectio
Ief. A Baseline, Complaint,
Owner: Catawba College
Location or Site: 2300 W. Innes Street,
Description of sampling point: Effluent
Sampling Method: Pump
Remarks
`b(r 62
Lab Number
Date Received J ` g- ffl Time:
Rec'd By: From:Bus,
Other:
Data Entry By:
Date Reported:
52-`6)
Ck:
plianc , LUST, Pesticide Study, Federal Trust, Other:
(circle one)
Salisbury (- -
LcP
Sample Interval
(I- umo. bailer. etc.)
X
Diss. Solids 70300
mg/L
X
Fluoride 951
mg/L
X
Hardness: Total 900
mg/L
Hardness (non-carb) 902
mg/L
Phenols 32730
ug/I
Specific Cond. 95
pMhos/cm
X
Sulfate 945
mg/L
Sulfide 745
mg/L
Oil and Grease
mg/L
NH3 as N 610
mg/L
TKN as N 625
mg/L
lc
NO2 + NO3 as N 630
mg/L
P: Total as P 665
mg/L
X
Nitrate (NO3 as N) 620
mg/L
X
Nitrite (NO2 as N) 615
mg/L
(Pumping time, air temp., etc.)
Ag-Silver 46566
ug/L
Organochlorine Pesticides
Al -Aluminum 46557
ua/L
Organophosphorus Pesticides
As -Arsenic 46551
ug/L
Nitrogen Pesticides
Ba-Barium 46558
ug/L
Acid Herbicides
Ca -Calcium 46552
mg/L
PCBs
Cd-Cadmium 46559
ug/L
X
X
X
Cr-Chromium 46559
Cu-Copper 46562
Fe -Iron 46563
Hg-Mercury 71900
K-Potassium 46555
ug/L
ug/L
ug/L
ug/L
mg/L
Semivolatile Organics
TPH-Diesel Range
Mg -Magnesium 46554
mg/L
Mn-Manganese 46565
ug/L
Volatile Organics (VOA bottle)
Na-Sodium 46556
mg/L
TPH-Gasoline Range
Ni-Nickel
ug/L
TPH-BTEX Gasoline Range
Pb-Lead 46564
Se -Selenium
Zn-Zinc 46567
ug/L
ug/L
ug/L
LAB USE ONLY
Temperature on arrival (°C):
/
GW-54 REV. 7/03 For Dissolved Analysis -submit filtered sample and write "DIS" in block.

Symbol
Definition
A
Value reported is the mean (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 parameters is fundamental to those methods.
B
Results based upon colony counts outside the acceptable range and should be used with caution. This code applies to
microbiological tests and specifically to membrane filter (MF) colony counts. It is to be used if less than 100% sample was
analyzed and the colony count is generated from a plate in which the number of coliform colonies exceeds the ideal ranges
indicated by the method. These ideal ranges are defined in the method as:
Fecal coliform bacteria: 20-60 colonies Total coliform bacteria: 20-80 colonies
1. 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.
2. Counts from all filters were zero. The value reported is based on the number of colonies per 100 ml that would have
been reported if there had been one colony on the filter representing the largest filtration volume (reported as a less
than "<" value).
3. 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 ">" value.
4. 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.
5. Too many colonies were present; too numerous to count (TNTC). TNTC is generally defined as >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 100 and then divided by the smallest filtration volume analyzed. This number is reported as a
greater than value.
6. Estimated Value. Blank contamination evident.
7. Many non-coliform colonies or interfering non-coliform growth present. In this competitive situation, the reported
coliform value may under -represent actual coliform density.
Note: A "B" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., B1, B2, etc.).
C
Total residual chlorine was present in sample upon receipt in the laboratory; value is estimated. Generally applies to cyanide,
phenol, NH3, TKN, coliform, and organics.
G
A single 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 bacterial seed controls did not meet the requirement of a DO depletion of at least 2.0 mg/L and/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/L and/or a DO residual of at least 1.0
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 representing the maximum
loading potential and should be considered an estimated value.
5. The glucose/ glutamic acid standard exceeded the range of 198 ± 30.5 mg/L.
6. The calculated seed correction exceeded the range of 0.6 to 1.0 mg/L.
7. Less than 1 mg/L DO remained for all dilutions set. The reported value is an estimated 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 estimated 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 "G" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., Gl, G2, etc.).
J
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 determination.
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.).
5. Temperature limits exceeded (samples frozen or >6°C) during transport 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 analyte 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 estimation 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 acceptance criterion for field parameters.
Note: A "J" value shall be accompanied by justification for its use denoted by the numbers listed above (e.g., J1, J2, etc.). A "J"
value shall not be used if another code applies (e.g., 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 of material; 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 of analyte was not confirmed by alternate procedures).
3. This code shall be used if the level is too low to permit 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 permit 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.
5. 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 "U" 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. Sampled, but analysis lost or not performed -field error.
3. Sampled, but analysis lost or not performed -lab error.
Note: an "X" 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 analyte 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". 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 reliable".
5/5/2008

SECTION B — SPECIAL REQUIREMENTS /1 — AO
In1. July 2005, July 2007, and July 2009 the e _3
(supply) near Foil House, Well #5 (injection) neareAbelrna by Hall, collect tWel #2 (injection)
ier samples from Welln #6
Woodson Hall, and Well #1 (injection) near Stanback Hall and analyze the #2 for t ecnear
water quality parameters: Y m the following
pH Lead Nitrate plus Nitrite
Temperature Nickel Total Coliform Bacteria
Copper Zinc
Fecal Coliform Bacteria
Total Dissolved Solids
2. Any laboratory selected to analyze the required parameters must be certified
Water Quality (DWQ) for those parameters. ified by the Division of
3. Three copies of the results of the sampling and analysis must be
Report Form) and mailed within on Form GW-59
the sampling event to:
(Groundwater Quality Monitoring: Compliance Rewithin 30 days of
DENR-Division of Water Quality
Attention: Information Management
1617 Mail Service Center
Raleigh, NC 27699-1617
The data of all groundwater sampling
analyses required by the permit conditions must be reported
using the most recent GW-59 form along
59 (Groundwaterwith attached copies of the laboratory analyses. Form GW_
htt :// w.ehnr.state.c� .us Quality Monitoring: Compliance Report Form) is available online
at
PART VI - PERMIT RENEWAL
The Permitee shall request an extension at least three (3) months
prior to e
permit in order to continue uninterrupted legal use of the injection well s y s expiration of this
tem.
PART VII - CHANGE OF WELL STATUS
1. The Permitee shall provide written notification within 15 days of an
injection well. Such a change would include the discontinuation of use of a
If a well is taken completely out of service temporarily, Y change of status of an
seal. If a well is not to be used for any purpose it must bprarily, the Permittee must install a sanitary
Fell for�injection.
15A NCAC 2C .0213 ( )( h 1), Well Conse Permanentlyabandoned according to
Construction Standards.
2. When operations have ceased at the facility and a well will no longer bp used for any purpose,
the Permittee shall abandon that injection well in accordance with the ro
15A NCAC 2C .0214, including but not limited to the following: P cedures specified in
Permit No. WI0300045
G W/UIC-5
ver. 7/04
PAGE 4 OF 5

Re: Catawba College
Subject: Re: Catawba College
Date: Wed, 09 Jun 2004 14:35:04 -0400
From: Kevin Burbak <[e-mail]>
Organization: NC DENR - Mooresville Regional Office
To: Thomas Slusser <[e-mail]>,
ANDREW PITNER <[e-mail]>
Thomas sorry I have not returned your message but my supervisor has been out in meeting in Raleigh I
will let you know when we will be doing the sampling as soon as possible. thanks Kevin
Thomas Slusser wrote:
Greetings Kevin,
Sorry to have taken so long in getting back to you on the issue of sampling strategy for the college. It
seems like we came up with a compromise situation. We will do preliminary sampling on a few select
wells; if test results do not come out okay then they will have to address the problem and conduct
complete sampling and analysis themselves.
The following will make reference to site plans, so let me know if you do not have them to refer to and
we can find a way for you to get that information. I will refer to revised well IDs with the original IDs in
parenthesis.
Influent: We reviewed the well logs, heat pump system, and how the supply and return wells are
designed and connected. Based on this Supply Well #6 (WP-3), near the Foil House, ought to be
sufficient for a representative influent sample.
Effluent: Effluent samples are to be collected from return wells #1 (returnn well #1) near Stanback
building, #2 (return well #1) near on building, and any one of #3 (return well #8) Pine Knot
building 5 (return well #6) near Foil House or #12 (return well #7) near Abernathy Physical Education
Center.
I know this will probably sound confusing, so give me a call with any questions. We still want to
accompany you for sampling.
Thanks for your patience,
qe C 1 ziveR,)
-Thomas
%0-026a- �r�o
Kevin Bubak - [e-mail]
North Carolina Dept. of Environment & Natural Resources
Div. of Water Quality - Ground Water Section
919 N. Main St.
Mooresville, NC 28115
Ph: [phone] Fax: [phone]
1 ..f')
7/20/04 4:04 PM

Select Permit;
Permit
WI030O045
WI0300052°
' `d10300101
' krQ0030826
Facilil
Catawba College
Catawba College
Catawba College
Catawba College Dormitory
Cvwner
Catawba College
Catawba College
Catawba College
Catawba College
Status
Expired
Expired
Active
Active
Tye,
Injection Heetirig/Cooling *ate R,...
Injection Heating/Cooling Water R...
Injection Water Only GSHP' Ve11 S...
Gravity Sewer Extension, Pump St...

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: March 30, 2010.
To: ❑ Landon Davidson, ARO-APS
❑ Art Barnhardt, FRO-APS
Andrew Pitner, MRO-APS
❑ Jay Zimmerman, RRO-APS
From: Michael Rogers Groundwater Protection Unit
Telephone: [phone]
E-Mail: Michael.Rogers@ncmail.n
El David May, WaRO-APS
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight, W-SRO-APS
A. Permit Number: WI 0300045
B. Owner: Catawba College
C. Facility/Operation:
❑ Proposed
E ~"""Fri -0588
APR "12010 _,
`—NC DFNR MRO
DWQ - Aquifer Protection
® Existing
❑ Facility n Operation .,
D. Application:
1. PermitType: ❑ Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration
❑ Recycle ❑ I/E Lagoon ❑ GW Remediation (ND)
® UIC — 5A7 Geothermal well
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 ❑ 503 Exempt ❑ Animal
2. Project Type: ❑ New ❑ Major Mod. ❑ Minor Mod. Z Renewal ❑ Renewal w/ Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit.
NOTE: Also attached is a permit rescission memo for WI 0300052
Attached, you will fmd 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.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCU.
❑ 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

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL FOR
WITH A GEOTHERMAL HEAT PUMP SYSTEM
TYPE 5A7 "OPEN LOOP" INJECTION WELL(S)
(check one) New Permit Application e/ Renewal ,/ Modification
DATE: 20
PERMIT NO.: WI 03 &oDStS b; '(elv blank if NEW permit application),
P S'
C9 Wk-R- IA) °ice p-e , - � �oe7SazS f,tc�-rse % —
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:
CATAW 8P\ COLLf✓Ge
(1) Mailing Address: 2 300 bJ . JTv r 5 54,
City: S. 151Ou State: 1'3 CZip Code: 2$ I y 1-1 County: 'RoldA,J
Home/Office Tele No.:
70,4 - G y5 4/ 0 2- Cell No.: 7e`i -2 3? 1$1 S
Fax No. 70'-I - - 1-) + S 2- Email Address: b keel u
(2) Physical Address of Well Site (if different than above):
City: State: Zip Code: County:
Home/Office Tele No.: Cell No.:
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 the county 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/permit applicant specifying and authorizing their agent (well
driller, heat pump contractor, or other type of contractor/agent) to sign this application on their behalf.
Company Name:
Contact Person: Email Address:
Address:
City: State: Zip Code: County:
Office Tele No.: Fax No. Cell No.:
Website Address of Company, if any:
RECEIVED I DENR 1 DWQ
AQUIFFR'PRCTFCTION SECTION
FEB 112010
Type 5A7 Injection Well Permit Application (Rev. August 2009) Page 1 of 4

D. WELL DRILLER INFORMATION
Company Name:
Well Drilling Contractor's Name:
NC Contractor Certification No.: Contact Person:
Company Website: WWW. Email Address:
Address:
City: State: Zip Code: County:
Office Tele No.: Fax No.: Cell No.:
E. HEAT PUMP CONTRACTOR INFORMATION (if different than Driller)
Company Name: Contact Person:
Company Website: WWW. Email Address:
Address:
City: State: Zip Code: County:
Office Tele No.: Fax No. Cell No.
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
G. WELL USE Will the injection well(s) also be used as the supply well(s) for the following?
(1) The injection operation? YES '' NO
(2) Personal consumption? YES NO
H. WELL CONSTRUCTION DATA
PROPOSED We11(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-1 after construction.
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.
(1) Well Construction Date: Number of borings:
Depth of each boring (feet):
(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)
Casing thickness: diameter (inches): depth: from to feet (relative to land surface)
Casing extends above ground inches
(b) NO
(3) Grout material surrounding well casing:
(a) Grout type: Cement Bentonite* Other (specify)
*By selecting bentonite grout, a variance is hereby requested to 15A NCAC 2C .0213(d)(1)(A), which requires a cement type grout.
(b) Depth of grout around well casing. (relative to land surface): from to feet
Type 5A7 Injection Well Permit Application (Rev. August 2009) Page 2 of 4

(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 provisions 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) Influent line? Yes No (b) Effluent line? Yes 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
Injection Rate:
Injection Volume:
Injection Pressure:
Injection Temperature:
Average (daily) If) gallons per minute (gpm).
Average (daily) Zi COO gallons per day (gpd).
Average (daily) 5 l31 pounds/square inch (psi).
Average (January) (o 0 ° F, Average (July) (04 ° F.
J. INJECTION -RELATED EQUIPMENT
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 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' 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 aQd all related appurtenances in accordance with the approved
specifications and conditions of the Permit."
0,•)
Sig ature of Property wner/Applicant
s.
0. LVA 142.S 1: (Ist a litt,
Print or Type Full Name
Signature of Property Owner/Applicant
Print or Type Full Name
Signature of Authorized Agent, if any
Print or Type Full Name
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]
RECEIVED ! DENR / DWQ
AQUIFFR'PROTFCTION SECTION
FEB 11 2010
Type 5A7 Injection Well Permit Application (Rev. August 2009) Page 4 of 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATUS OF INJECTION WELL SYSTEM
Permit Number: 0 3 DoO_ 1_
Permittee Name: C A TA w 8 9 Call 6 6
Address: 2.b al,► btx.r i tS, C. Z�! td
Please check the selection which most closely describes the current status of your injection well system:
1) ❑ Well(s) still used for injection activities, or may be in the future.
2) ❑ Well(s) not used for injection but is/are used for water supply or other purposes.
3) YInjection discontinued and: a) ErWe11(s) temporarily abandoned
b) ❑ Well(s) permanently abandoned
c) II Well(s) not abandoned
4) ❑ Injection well(s) never constructed
Current Use of Well
If you checked (2), describe the well use (potable water supply, irrigation, monitoring, etc), including pumping rate and other
relevant information. ^
Cove, b1nGCi G,1; ,(—i i Zo3Oc I5 /
Well Abandonment
If you checked (3)(a) or (3)(b), describe the method used to abandon the injection well. (Include a description ofhow the well
was sealed and the type of material used to fill the well if permanently abandoned) e /(
6 Cyr.
Permit Rescission:
If you checked (2), (3), or (4) and will not use a well for injection on this site in the future, you should request rescission of the
pennit. Do you wish to rescind the permit?
Yes ❑ No
Certification:
"I hereby certify, under penalty of law that I have personally examined and am familiar with the information submitted
in this document, and that to the best of my knn wledge the jnnformation is true, accurate, and complete."
0.)1 - A (/
Signature Date
RECEIVED I DENR 1 DWQ
AQUIFFR•RROTRI1ON SECTION
FEB 1120t0
Revised 5/05 GW/UIC-68

Table 1: Catawba CoUexeGeothermal WeULocation and |dendf�at�n*unentvsPre Dec 2OD9)
-
as re erenced in
-80.483157341
'8048276358
-
-8048280274
-80.4824551
35.69OO5331WELL 1
35.5901833
3I690494243
��
35.69046Z2I^v � ~
,-0.48219179. 35.69286958
|
`
�
f80.48359585. 35.69328176
+80.48404429
'
'OO43473958
' -
-0.4839764Z
� �
'80.48354444
/
�
�
'
i
�
r
-80.48491805
'80.48479638
'80.48457965
'80.48484661
'80.48455405
'80.48453986
/
35.6933593115
�
�� '
3S.693Z3n=�,�'�`�v
35.692817113
35.6919136211
-
`
35.69143241Q10�
35.691056831,9,
35.69089804
35.69054787
35.6906I884
8
7
6
Data Needed
--
Data Needed
Data Needed
Data Needed
O9'Dec-]9
09'oec{e
U9'Ded-O9/
-
`
V�'I/ 09Dec-09
B4Return -W|O30O05Z
B1Supply -W|[BOOOSZ
82Supply 'VNO3O0O52
Well #1(also noted as . `
ReturnVVe|l#2)
VV03OOO45
VVeU#Z(u|sunotedos '~ -
O9'Deo-DecRetumVVe|�1)�VO3OUO45,
' / Well #7(also noted as
»,
Supply VVe|l#Z(VP' ))'
09'Dec-09 VV10300045:
Well #9(Supply VVe|l#1 (VP''
09'Dec-09 __ 1))'VV10300045.
Well #1O(also noted as�
09'Dec-09 Return VVe|l#4)-VV|O3OOO45:
�
�
w Well #8(also noted as.
09'Dec-09 ReturnVVe|#0)'VV|O3OOO45
' --
(also noted as'
09'Dec-09 Re urnVVe|��) VV03UOO4S|
- |
Well #6(also not edas,
v 3upp|yVVeU#3 (VVP-3))'�'
09'Dec-09 ' `VN0300045i
�
�
� nJ
� .
W�|#5�bun���
09'Dec-09 Return VVe|l#6)'VNO3OOO45 ,^
Well #12(also noted ao
09De,09 Re�umVVe|�7)'VV|O3O0O45
-' '
Well #4(also noted as
Supply VVe|l#4kWP'4)
O9'Den-� VV|O�OU045�
- -' ,
Well #3(also noted as�
09'Dec-09 RetumVYe|#0) VV0300045'
-
Well #1(Field House Node) 'i
\^ VV10300052
'
� well #Z(Field House Node)
' VV10300052
Well #3(Field House Node) -'
VV|03OOU52
Well #4(Field House Node)
'
VN030005Z!
Note: On Map Primary Well Supply Well; Secondary Well Return Well
�
`
�

CATAWBA
COLLEGE
ACADEMICS &
ADMINISTRATION
1. Florence-Busby-Corriher
Experimental Theatre
2. Robertson College -
Community Center
a. Hedrick Little Theatre
b. Peeler Crystal Lounge
c. Keppel Auditorium
3. Center for the Environment
4. Shuford Science Building
5. Omwake-Dearborn Chapel
6. Ecological Preserve
7. Corriher-Linn-Black Library
a. Palmer Archives
8. Heath Hill Lodge
9. Heath Hill House
10. Facilities
12. Jann House / Public Safety
13. Williams Music Building
20. Maintenance,
Housekeeping & Grounds
21. Cannon Student Center
a. Proctor Student
Health Center
b. Bookstore
c. Lerner Wellness Center
22. Hedrick Administration Building
24. Ketner Hall
25. Hoke Hall
29. President's House
30. Cloninger Guest House
34. Partners in Learning
ATHLETICS
17. Ruth -Richards Athletic House
18. Abernethy Physical
Education Center
31. Newman Park (baseball)
32. Shuford Stadium
(football, lacrosse)
33. Hayes Field House
35. Johnson Tennis Complex
36. Frock Athletic Complex
a. Lacrosse Practice Field
b. Whitley Softball Field
c. Soccer Field
d. Field Hockey Field
e. Practice Fields
RESIDENCE HALLS
11. Hurley Hall
14. Salisbury -Rowan Hall
15. Pine Knot Hall
16. Abernethy Village:
a. Goodman Hall West
b. Goodman Hall East
c. Graham Hall
d. Purcell Hall
e. Fuller Hall
19. Foil House Hall
23. Barger-Zartman Hall
26. Stanback Hall
27. Hollifield Hall
28. Woodson Hall

February 10; 2010
Thomas Slusser
Aquifer Protection Section
1636 Mail Service Center
Raleigh, :NC 27699-1636
Dear Mr. Slusser,
We are requesting merging injection well permits for WI0300045 and WI0300052,
renewing injection well permit WI0300045 and rescinding injection with permit
WI0300052.
Enclosed is the paper work for the above.
Sincerely,
'aZt-
Bill Kluttz
RECEIVED 1 DENR I DWQ
AQUIFFR'PRITIFCTION SECTION
FEB 1'12010
2300 West Innes Street, Salisbury, North Carolina 28144 • 1-800-CATAWBA
704-637-4111 • www.catawba.edu

Beverly Eaves Perdue
Governor
Charles F. Williams
Catawba College
2300 W. Innes Street
Salisbury, NC 28144
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen N. Sullins Dee Freeman
Director Secretary
March 5, 2010
Subject: Acknowledgement of Application No. WI0300045
Catawba College
Injection Heating/Cooling Water Return Well (5A7)
Rowan
Dear Mr. Williams:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials on February 11, 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 [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly. Also note that the Division has reorganized. To
review our new organizational chart, go to http://h2o.enr.state.nc.us/documents/dwq orgchart.ndf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
for Debra J. Watts
• Supervisor
cc: EMoofesvilleRegional Office; Aquifer Protection -Section
Permit Application File WI0300045
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604
Phone: [phone] \ FAX 1: 919-715-0588; FAX 2: 919-715-6048 \ Customer Service: 1-877-623-6748
Internet: www.ncwateraualitv.orq
One
North Carolina
An Equal opportunity \ Affirmative Action Employer

North Carolina - Department of Environment, Health, and Natural Resources
Division of Environmental Management - Groundwater Section
P.O. Box 29535 - Raleigh, NC 27626 -0535
Phone [phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: McCall Brothers, Inc.
DRILLER REGISTRATION NUMBER: 003
FOR OFFICE USE ONLY
QUAD. NO. SERIAL NO.
Lat. Long . RO
Minor Basin
Basin Code
Header Ent. GW-1 Ent.
STATE WELL CONSTRUCTION
PERMIT NUMBER: Not Applicable
1. WELL LOCATION: (Show sketch of the location below)
Nearest Town: Salisbury
West Innes Street
(Road, Community, or Subdivision and Lot No.)
2. OWNER Catawba College
ADDRESS 2300 West Innes Street
Sailsbury
City or Town
(Street or Route No.)
NG 28144-2488
State Zp Code
3. DATE DRILLED 4/29/98 .USE OF WELL Geothermal
4. TOTAL DEPTH 550' Re -injection
5. CUTTINGS COLLECTED YES ❑ NO DO
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
7. STATIC WATER LEVEL Below Top of Casing: 33.08 FT.
(Use of "+" if Above Top of Casing)
8. TOP OF CASING IS 2.0 FT. Above Land Surface'
'Casing Terminstod at/or below land surface is illegal unless a variance
is issued in accordance with 15A NCAC 2C .0118
9. YIELD (gpm): 30 METHOD OF TEST Blowing
10. WATER ZONES (depth) : 219', 360', 380'
f1
11. CHLORINATION: Type HTH Chlorine Amount 1/2 cup
12. CASING:
From
From
From
Depth
0 To 75
To
To
13. GROUT:
Wall Thickness
Diameter or Weight/Ft Material
Ft. 6 5/8" 0.188" Galvanized
Depth
To 30'
To
From 0
From
14. SCREEN:
Ft.
Ft.
Material Method
Ft. Portland Cement Tremied
Ft.
Depth Diameter Slot Size
From To Ft. in.
From To Ft. in.
From To Ft. in.
15. SAND/GRAVEL PACK:
From
From
Depth
To
To
Material
in.
in.
in.
Size Material
Ft.
Ft.
16. REMARKS: Well #2 - Water Re-iniection Well
County:
Rowan
0' 4 '
4'
59'
70'
75'
DEPTH
From To
59'
70'
75'
406'
406' 550'
DRILLING LOG
Formation Description
Soils and Fill
Brown. Sandy Clay
Broken. fracture! rock
Competent rock
Medium grey fine grained
Metavolcanic rock
Light colored, quartz, rich.
Granitic rick
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
\i'd00c 0 V)
I DO HEREBY CERTIFY THAT THIS WELL WAS C ISSTRUCTED WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A CO Y OF T R zORD HAS BEEN PROVIDED TO THE WELL OWNER.
SIGNATURE OF C N
rec
Nor -Pk f arK
u:\catawba2
O T TAGENT
Submit original to < i ion of vironmental Management and copy to well owner.
ATE
ATE

North Carolina - Department of Environment, Health, and Natural Resources
Division of Environmental Management - Groundwater Section
P.O. Box 29535 - Raleigh, NC 27626 -0535
Phone [phone]
WELL CONSTRUCTION RECORD
DRILLING CONTRACTOR: McCaII Brothers, Inc.
DRILLER REGISTRATION NUMBER: 003
1. SELL LOCATION: (Show
Nearest Town: Salisbury
West Innes Street
(Road, Community, or Subdivision and Lot No.)
2. OWNER Catawba College
ADDRESS 2300 West Innes Street
(Street or Route No.)
Salisbury NC 28144-2488
State Lp Code
City or Town
atio
3 DATE DRILLED 5/6/98 USE OF WELL Geothermal
4. TOTAL DEPTH 550' Re -injection
5. CUTTINGS COLLECTED YES ❑ NO ICI
6. DOES WELL REPLACE EXISTING WELL? YES ❑ NO 11
7. STATIC WATER LEVEL Below Top
ftCasing: 21.02 FT.
Above if Top of Casing)
8. TOP OF CASING IS 2.0 FT. Above Land Surface*
'Casing Terminated at/or below land surface is illegal unless a variance
In batted in accordance with 15A NCAC 2C A118
9. YIELD (gpm): 30 METHOD OF TEST Blowing
10. WATER ZONES (depth) :183', 367,
11. CHLORINATION: Type HTH Chlorine Amount 1/2 cup
12. CASING:
Wall Thickness
Depth Diameter or Weight/Ft
From 0 To 75 Ft. 6 5/8" 0.188"
From To Ft.
From To Ft.
13. GROUT:
Depth
From 0 To 32'
From To
14. SCREEN:
Material
Ft. Portland Cement
Ft.
Depth Diameter Slot Size
From To Ft. in. in.
From To Ft. in. in.
From To Ft. in. in.
Material
Galvanized
Method
Tremied
Material
15. SAND/GRAVEL PACK:
Depth Size Material
From To Ft.
From To Ft.
16. REMARKS: Well #3 - Water Re-iniection Well
FC7ft frls10 USE PN4.Y
QUAD. NO. SERIAL NO.
Lat. Long . RO
Minor Basin
Basin Code
Header Ent. GW-1 Ent.
STATE WELL CONSTRUCTION
PERMIT NUMBER: Not Applicable
County: Rowan
DEPTH
From To
0' 3 '
3' 64'
DRILLING LOG
Formation Description
Top Soil
Red silty days and partially
Weathered rock and saprolite
64' 550' Grev. fine grained
Metavolcanic rock
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, • other map reference points)
rah c r k
(,ne1!#
f �Ru4h
J
e Ko+
I DO HEREBY CERTIFY THAT THIS WELL WAS CO
CONSTRUCTION STANDARDS, AND THAT A CO
u:\catawba3.rec
STRUCTED WITH 15A NCAC 2C, WELL
F THJS RECORD AS BEEN PROVIDED TO THE WELL OWNER.
'VIA
SIGNATURE OF CONT T• AGENT
Submit original to div'. on of vi mental Management and copy to well owner.
DA

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
fora of Water Resorccs Water Quality Regional Operations Section
Staff Report
To: Geothermal Heating/Cooling Water Return Well Application No.: W1000045
Attn:
From: Mooresville Regional Office, MRO
Choose an item. Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ❑ Yes or ® No
a. Date of site visit:
b. Site visit conducted by:
c. Inspection report attached? ['Yes or ® No
d. Person contacted: Bill Kluttz and their contact information: (704) 645 -4502 ext.
e. Driving directions:
II. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
Regional Login No.:
1. Facility Classification: 57A Geo-Thermal /Cooling Return Well (Please attach completed rating sheet to be
attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑ Yes or ❑ No
If no, explain: N/A
3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? ® Yes ❑ No n N/A
If no, please explain:
4. Do the plans and site map represent the actual site (property lines, wells, etc.)? ® Yes n No n N/A
If no, please explain:
5. Is the proposed residuals management plan adequate? n Yes ❑ No ® N/A
If no, please explain:
6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? n Yes n No ® N/A
If no, please explain:
7. Are there any setback conflicts for proposed treatment, storage and disposal sites? n Yes or Z No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ® Yes n No n N/A
If no, explain and recommend any changes to the groundwater monitoring program: Grouindwater sampling is
recommended to remain the same as in the existing permit.
9. For residuals, will seasonal or other restrictions be required? n Yes n No ® N/A
If yes, attach list of sites with restrictions (Certification B)
FORM: WQROSSR 02-14 Page 1 of 3

M. EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ❑ No ® N/A
ORC: Certificate #: Backup ORC: Certificate #:
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑ Yes or ❑ No
If no, please explain: N/A
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? 1 Yes or n No
If no, please explain:
4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? n Yes or ® No
If yes, please explain: N/A
5. Is the residuals management plan adequate? n Yes or ❑ No
If no, please explain: N/A
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? n Yes or n No
If no, please explain: N/A
7. Is the existing groundwater monitoring program adequate? ® Yes n No n N/A
If no, explain and recommend any changes to the groundwater monitoring program: GW samples are to be
collected by Catawba College staff and submitted to a qualified laboratory for analytical analysis.
8. Are there any setback conflicts for existing treatment, storage and disposal sites? n Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or n No
If no, please explain:
10. Were monitoring wells properly constructed and located? ® Yes ❑ No ❑ N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ® Yes ❑ No n N/A
If no, please complete the followinn (expand table if necessary):
Monitoring Well
Latitude
Longitude
0 ,
„
0 , „
12. Has a review of all self -monitoring data been conducted (e.g., NDMR, NDAR, GW)? n Yes or ® No
Please summarize any findings resulting from this review:
13. Are there any permit changes needed in order to address ongoing BIMS violations? n Yes or ® No
If yes, please explain:
14. Check all that apply:
® No compliance issues n Current enforcement action(s) n Currently under JOC
n Notice(s) of violation ❑ Currently under SOC n Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ® Yes n No ❑ N/A
If no, please explain:
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No ❑ N/A
If yes, please explain: There is missing laboratory analytical data. No results have been received for Total
Coliform Bacteria that were previously in exceedance.
FORM: WQROSSR 02-14
Page 2 of 3

IV. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? n Yes or ® No
If yes, please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item
Reason
1
Laboratory Analysis from GW sampling events.
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition
Reason
1
2
3
4
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition
Reason
1
GW sampling is to be performed by the Catawba College staff and the sampling
results be submitted to the MRO and CO.
2
3
5. Recommendation: n Hold, pending receipt and review of additional information by regional office
n Hold, pending review of draft permit by regional office
n Issue upon receipt of needed additional information
® Issue
n Deny (Please state reasons:
6. Signature of report preparer: Edward Watson
Signature of APS regional supervisor: Andrew Pitner
Date: 07/28/2015
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
•7- 2. g -& /,5
FORM: WQROSSR 02-14 Page 3 of 3

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: May 11, 2015
To: MRO-WQROS: Michael Parker / Andrew Pitner
From: Michael Rogers, WQROS — Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
A. Permit Number: WI0300045
B. Applicant: Catawba College
C. Facility Name:
D. Application:
Permit Type: Geothermal Heating/Cooling Water Return Well
Project Type: Renewal
E. Comments/Other Information:
❑ 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 completed WOROS Staff
Report.
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 Groundwater Protection Branch contact
person listed above.
RO-WOROS Reviewer:
COMMENTS:
Date:
NOTES:
FORM: WQROS-ARR ver. 092614
Page 1 of 1

0'
1
' l
-

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: May 11, 2015
To: MRO-WQROS: Michael Parker / Andrew Pitner
From: Michael Rogers, WQROS — Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
A. Permit Number: WI0300045
B. Applicant: Catawba College
C. Facility Name:
D. Application:
Permit Type: Geothermal Heating/Cooling Water Return Well
Project Type: Renewal
E. Comments/Other Information:
❑ 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 completed WOROS Staff
Report.
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 Groundwater Protection Branch contact
person Iisted above.
RO-WOROS Reviewer:
COMMENTS:
Date:
NOTES:
FORM: WQROS-ARR ver. 092614
Page 1 of 1

Pat McCrory
Governor
747
NCDENR
North Carolina Department of Environment and Natural Resources
/
May 13, 2015
Bill Kluttz
Catawba College
2300 W. Innes Street
Salisbury, NC 28144
RE: Acknowledgement of Application No. WI0300045
Geothermal Heating/Cooling Water Return Well
Rowan County
Dear Mr. Kluttz:
Donald R. van der Vaart
Secretary
The Water Quality Regional Operations Section (WQROS) acknowledges receipt of your
permit application and supporting documentation received on May 11, 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 providing a timely and complete response to any
additional information 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].
Sincerely,
Gov" Debra J. Watts, Supervisor
Animal Feeding Operations & Groundwater
Protection Branch
Division of Water Resources
cc: Mooresville Regional Office, WQROS
Permit File WI0300045
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet: http://www.ncwater.org
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

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 WELL(S)
These well(s) inject groundwater directly into the subsurface as part of a geothermal heating and cooling system
CHECK ONE OF THE FOLLOWING:
New Application / RenewaI* Modification Permit Rescission Request*
*For Permit Renewals or Rescission Request, complete Pages 1 and 4 (signature page) only
Print or Type Information and Mail to the Address on the Last Page. Illegible Applications Will Be Returned As Incomplete.
DATE: /17A-1 5
,20 /6 PERMIT NO. 'y411:63606 ras (leave blank if New Application)
A. CURRENT WELL USE AND OWNERSHIP STATUS (leave Blank if New Application)
B.
1. Current Use of Weil
a. Continue to use as 1/ Geothermal Well Drinking Water Supply Other Water
Supply
b. Terminate Use: If the well is no longer being used as a geothermal injection well and y6Ziwish to
rescind the permit, check the box below. If abandoned, attach a copy of the Well AbancUment
Record (GW-30).
. ❑ Yes, I wish to rescind the permit
2. Current Ownership Status
Has there been a change of ownership since permit last issued? EYES ❑ NO
If yes, indicate new owner's contact information:
Name(s) 1Z—
Mailing Address: C471-'W8A COLLE.G�
Z 3to G=► 'Trines Si-
City: 61(5 u Fi • State: afC Zip Code: z81 County:�_�o 4 J
Day Tele No.: 7� t - fo (5 - L//O Z Email Address.: b k i �.'�z
STATUS OF APPLICANT (choose one)
Non -Government: Individual Residence Business/Organisation ✓
Government: State Municipal
County Federal
C. WELL OWNER(S)/PERMTT APPLICANT — For individual residences, list owner(s) on property deed. For
all others, list name of entity and name of person delegated authority to sign:
Cal -.wine, Cotlaae. B; i 1 \< Li z MAi d-jf1nC,E. 614,PEN150a
Mailing Address: 7.306 (,J Tares 5 f
City: SCc.115'���r State: JC- Zip Code: 221'! £ County: • Pot;,1aN
DayTeleNo.: `7t - (P45• 4-1602- CellNo.: •? LI -23`?- 03it>
EMAIL Address: L kit-4121S ce- . edw
Fax No.: '70 - (01 1- L44. 2
Geothermal Water Return Well Permit Application (Revised Jan 2015)
Page 1

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 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' can be selected showing topographic contours or
elevation data
M. CERTIFICATION (to be signed as required below or by that person's authorized agent)
15A NCAC 02C .0211(e) 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 all the 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 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."
Signature of Property Owner/Applicant
Print or Type Full Name
Signature of Property Owner/Applicant
Print or Type Full Name
/ t' bp1 4k1a4 -
Signature of Authorized Agent, if any
"8t Ire KLL L�Z
Print or Type Full Name
Submit two copies of the completed application package to:
Division of Water Resources
Water Quality Regional Operations Section (WQROS)
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
er iJIDC
Geothermal Water Return Well Permit Application (Revised Jan 2015) Page 4

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 30, 2010
Charles F. Williams
Catawba College
2300 W. Innes Street
Salisbury, NC 28144
Re: Issuance of Injection Well Permit Modification
Permit No. WI0300045
Issued to Catawba College
Rowan County
Dear Mr. Williams:
J U L 1 3 2010
NC C NR MRO
D 'JQ _ Acuifer Protection
In accordance with your permit renewal and modification request application received February 11, 2010, I am
forwarding Permit No. WI0300045 for the operation of a 5A7 geothermal underground injection control (UIC)
well heat pump system located at the above referenced address. This permit shall be effective from the date of
issuance until May 31, 2015, and shall be subject to the conditions and limitations stated therein. ,
Note: This permit includes the following modifications to the original permit:
1. Per Part IV.3, there are now 3 geothermal well loop systems associated with this permit. Loop #1,
which was previously associated with Permit No. 0300052 (rescinded June 7, 2010), is located near
Hurley Hall. Loop #2 is located near Woodson Hall. Loop #3 is located near Pine Knot Hall.
2. Per Part VI.5, groundwater samples for monitoring of groundwater quality for each of the 3 loops shall
be obtained from influent and effluent sampling ports located at each heat exchanger.
3. Per Part VI.6, well number identification system as presented in the renewal application shall be
followed.
4. Per Part VI.7, submit laboratory analytical results for the years 2007 and 2009 to the Aquifer Protection
Section Central Office and Mooresville Regional Office at the addresses indicated in Part I.8.
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Boulevard, Raleigh. North Carolina 27604
Phone: [phone] i FAX 1: 919-715-0588; FAX 2: 919-715-6048 t Customer Service: 1-877-623-6748
Internet: www.ncwaterauality.orq
An Equal Opportunity 1 Affirmative Acton Employer
One
North Carolina
Naturally

Also attached is a summary of the laboratory sampling results from water samples collected from your
geothermal well(s) on May 13, 2010. Laboratory analytical results of both the influent and effluent samples
indicate exceedances in the maximum contamination level (MCL) or elevated levels for the following
parameter(s) :
i ;GEOTHERMAL LOOP NO. 1 (Hurley Hall)
Parameter
Units
MCL
Results
Total Coliform
CFU/100m1
1
67 (influent)
10 (effluent)
GEOTHERMAL LOOP NO. 2 (Woodson Hall)
Parameter
Units
MCL
Results
Total Coliform
CFU/100m1
1
2300 (influent)
8 (effluent)
Total Dissolved
Solids
mg/L
500
538 (influent)
532 (effluent)
Aluminum
µg/L
50 to 200 (EPA)
61 (influent)
59 (effluent)
GEOTHERMAL LOOP NO. 3 (Pine Knot Hall)
Parameter
Units
MCL
Results
Total Coliform
CFU/100m1
1
1100 (influent)
3 (effluent)
pH
Units
6.5 to 8.5
6.42 (influent)
Due to elevated Total Coliform, it is recommended that the geothermal loops be chlorinated in accordance with
NCAC 15A 2C .0111, and have the wells re -sampled.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an application
to renew the permit four months prior to its expiration date. As indicated in the permit, this permit is not
transferable to any person without prior notice to, and approval by, the Director of the Division of Water
Quality. If you have any questions regarding your permit or the Underground Injection Control Program please
call me at [phone].
Best Regards,
Michael Rogers,P.G. (NC & FL)
Environmental Specialist
cc: �Andzew=Pitner�lUloor-esuille RegonaLOffice
Central Office File — WI0300045
Rowan County Environmental Health Dept.
Attachment(s)

NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300045 Loop 2 (Woodson Hall)
PERMITTEE(S): Catawba College
SAMPLE COLLECTION DATE: 05/13/2010
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU/100m1
mg/L
mglL
mglL
mg/L
NC MCL and/or EPA Standard
NC MCL = 1
NC MCL = 1
NC MCL = 500
NC MCL = 250
NC MCL = 2.0
NC MCL = 250.0
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
- < 1
2300
538
20
< 0.4
200
Effluent Sample Results
< 1
8
532
20
< 0.4
210
Parameter
Nitrate
Nitrite
Nitrate + Nitrite
Silver, Ag
Aluminum, Al
Arsenic, As
units
mglL as N
mglL as N
mglL as N
pglL
pglL
pglL
NC MCL and/or EPA Standard
NC MCL = 10
NC MCL =1
NC MCL = 11
NC MCL = 20
NS
NC MCL = 10
EPA PDWS = 10
EPA PDWS = 1
EPA PDWS = 11
EPA SDWS = 100
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
< 0.02
< 0.01
< 0.02
< 5.0
61
< 2.0
Effluent Sample Results
< 0.02
< 0.01
< 0.02
< 5.0
59
< 2.0
Parameter
Barium, Ba
Calcium, Ca
Cadmium, Cd
Chromium, Cr
Copper, Cu
Iron, Fe
units
pglL
mg/L
pg/L
pglL
pgIL
pglL
NC MCL and/or EPA Standard
NC MCL = 700
NS
NC MCL = 2
NC MCL = 10
NC MCL =1000
NC MCL = 300
EPA PDWS = 2000
EPA PDWS = 5
EPA PDWS = 100
EPA SOWS = 1000; PDWS = 1300
EPA SDWS = 300
Influent Sample Results
37
120
< 1.0
< 10
5.1
180
Effluent Sample Results
3`7
120
< 1.0
< 10
2.8
270
Parameter
Potassium, K
Magnesium, Mg
Manganese, Mn
Sodium, Na
Nickel, Ni
Lead, Pb
units
mg!L
mg/L
pg!L
mglL
pglL
pglL
NC MCL and/or EPA Standard
NS
NS
NC MCL = 50
NS
NC MCL = 100
NC MCL = 15
EPA SDWS = 50
EPA PDWS = 15
Influent Sample Results
4
19
< 10
24
< 10
< 10
Effluent Sample Results
4
19
< 10
23
11
< 10
Parameter
Selenium, Se
Zinc, Zn
pH (field)
units
pglL
pglL
units
NC MCL and/or EPA Standard
NC MCL = 20
NC MCL = 1000
NC MCL = 6.5-8.5
EPA PDWS = 50
EPA SDWS = 5000
EPA SDWS = 6.5 to 8.5
Influent Sample Results
< 5.0
29
7.03 @18.8C
Effluent Sample Results
< 5.0
17
6.91 @22.2C
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No standard

NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300045 Loop 1 (Hurley Hall)
PERMITTEE(S): Catawba College
SAMPLE COLLECTION DATE: 05/13/2010
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU/100m1
mg/L
mglL
mglL
mg/L
NC MCL and/or EPA Standard
NC MCL = < 1
NC MCL =1
NC MCL = 500
NC MCL = 250
NC MCL = 2
NC MCL = 250
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
< 1
67
272
11
< 0.4
27
Effluent Sample Results
< 1
10
276
11
< 0.4
27
Parameter
Nitrate
Nitrite
Nitrate + Nitrite
Silver, Ag
Aluminum, Al
Arsenic, As
units
mglL as N
mg/L as N
mg!L as N
pglL
pglL
pglL
NC MCL and/or EPA Standard
NC MCL = 10
NC MCL = 1
NC MCL = 11
NC MCL = 20
NS
NC MCL = 10
EPA PDWS =10
EPA PDWS = 1
EPA PDWS = 11
EPA SDWS = 100
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
0.97
0.03
1
< 5.0
< 50
< 2.0
Effluent Sample Results
1
< 0.01
1
< 5.0
< 50
< 2.0
Parameter
Barium, Ba
Calcium, Ca
Cadmium, Cd
Chromium, Cr
Copper, Cu
Iron, Fe
units
pglL
mglL
pg/L
pglL
pglL
pg/L
NC MCL and/or EPA Standard
NC MCL = 700
NS
NC MCL = 2
NC MCL = 10
NC MCL = 1000
NC MCL = 300
EPA PDWS = 2000
EPA PDWS = 5
EPA PDWS = 100
EPA SDWS = 1000; PDWS = 1300
EPA SDWS = 300
Influent Sample Results
32
52
< 1.0
< 10
< 2.0
< 50
Effluent Sample Results
32
52
< 1.0
< 10
< 2.0
< 50
Parameter
Potassium, K
Magnesium, Mg
Manganese, Mn
Sodium, Na
Nickel, Ni
Lead, Pb
units
mglL
mg/L
pg!L
mglL
pg/L
pglL
NC MCL and/or EPA Standard
NS
NS
NC MCL = 50
NS
NC MCL = 100
NC MCL = 15
EPA SDWS = 50
EPA PDWS = 15
Influent Sample Results
2.3
19
< 10
13
< 10
< 10
Effluent Sample Results
2.3
19
< 10
13
< 10
< 10
Parameter
Selenium, Se
Zinc, Zn
pH (field)
units
pglL
pglL
units
NC MCL and/or EPA Standard
NC MCL = 20
NC MCL = 1000
NC MCL = 6.5-8.5
1
EPA PDWS = 50
EPA SDWS = 5000
EPA SDWS = 6.5 to 8.5
Influent Sample Results
< 5.0
< 10
6.56 @23.2C
Effluent Sample Results
< 5.0
< 10
6.62 @25.1 C
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No standard

NC DIVISION OF WATER QUALITY
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI0300045 Loop 3 (Pine Knot Hall)
PERMITTEE(S): Catawba College
SAMPLE COLLECTION DATE: 05/13/2010
Parameter
Fecal Coliform
Total Coliform
Total Dissolved Solids
Chloride, CI
Fluoride, FL
Sulfate, SO4
units
CFU/100m1
CFU/100m1
mg/L
mg/L
mg!L
mg/L
NC MCL andlor EPA Standard
NC MCL = < 1
NC MCL = 1
NC MCL = 500
NC MCL = 250
NC MCL = 2
NC MCL = 250
EPA SDWS = 500
EPA SDWS = 250
EPA PDWS = 4.0
EPA SDWS = 250
Influent Sample Results
< 1
1100
292
14
< 0.4
50
Effluent Sample Results
< 1
3
294
15
< 0.4
50
Parameter
Nitrate
Nitrite
Nitrate + Nitrite
Silver, Ag
Aluminum, Al
Arsenic, As
units
mg/L as N
mg/L as N
mg/L as N
pg/L
pg/L
pg/L
NC MCL andlor EPA Standard
NC MCL = 10
NC MCL = 1
NC MCL = 11
NC MCL = 20
NS
NC MCL = 10
EPA PDWS = 10
EPA PDWS = 1
EPA PDWS = 11
EPA SDWS = 100
EPA SDWS = 50 to 200
EPA PDWS = 10
Influent Sample Results
0.66
< 0.01
0.66
< 5.0
< 50
< 2.0
Effluent Sample Results
0.66
< 0.01
0.66
< 5.0
< 50
< 2.0
Parameter
Barium, Ba
Calcium, Ca
Cadmium, Cd
Chromium, Cr
Copper, Cu
Iron, Fe
units
pg/L
mg/L
pg/L
pg/L
pg/L
pg/L
NC MCL andlor EPA Standard
NC MCL = 700
NS
NC MCL = 2
NC MCL = 10
NC MCL = 1000
NC MCL = 300
EPA PDWS = 2000
EPA PDWS = 5
EPA PDWS = 100
EPA SDWS = 1000; PDWS = 1300
EPA SDWS = 300
Influent Sample Results
37
61
< 1.0
< 10
< 2.0
< 50
Effluent Sample Results
36
58
< 1.0
< 10
< 2.0
< 50
Parameter
Potassium, K
Magnesium, Mg
Manganese, Mn
Sodium, Na
Nickel, Ni
Lead, Pb
units
mg/L
mg/L
pg!L
mg/L
pg/L
pg/L
NC MCL and/or EPA Standard
NS
NS
NC MCL = 50
NS
NC MCL = 100
NC MCL = 15
EPASDWS=50
EPAPDWS=15
Influent Sample Results
3.1
17
< 10
14
< 10
< 10
Effluent Sample Results
3.1
17
< 10
14
< 10
< 10
Parameter
Selenium, Se
Zinc, Zn
pH (field)
units
pg/L
pg/L
units
NC MCL andlor EPA Standard
NC MCL = 20
NC MCL = 1000
NC MCL = 6.5-8.5
EPA PDWS = 50
EPA SDWS = 5000
EPA SDWS = 6.5 to 8.5
Influent Sample Results
< 5.0
< 10
6.42 @22.8C
Effluent Sample Results
< 5.0
< 10
6.80 @29.5C
NC MCL = North Carolina Maximum Contamination Limits per 15A NCAC 2L .0200
EPA PDWS = Environmental Protection Agency Primary Drinking Water Standards
EPA SDWS = Environmental Protection Agency Secondary Drinking Water Standards
NS = No standard

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Catawba College
FOR THE OPERATION OF 16 TYPE 5A7 INJECTION WELL(S), defined in Title 15A 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 2300 W. Innes Street, Salisbury, Rowan County, NC 28144, and will be constructed
and operated in accordance with the application received February 11, 2010, and in conformity with the
specifications and supporting data, all of which are filed with the Depaitment 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 May 31, 2015, and shall be
subject to the specified conditions and limitations set forth in Parts I through VIII hereof.
Permit issued this the30t day of June 2010.
ort, uo-Rk
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
WI0300045 1

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).
8. A completed Well Construction Record (Form GW-1) must be'submitted for each injection well to:
Aquifer Protection Section — UIC Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
and
Aquifer Protection Section — Mooresville Regional Office
610 E. Center Ave., Suite 301
Mooresville, NC 28115
[phone]
GW-ls must be submitted within 30 days of completion of well construction. Copies of the GW-1
form(s) shall be retained on -site and available for inspection.
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.
2.
This permit is not transferable without prior notice to, and approval by, the Director of the Division of
Water Quality (Director). In the event there is a desire for the facility to change ownership, or there is a
name change of the Permittee, a formal permit amendment request must be submitted to the Director,
including any supporting materials as may be appropriate, at least 30 days prior to the date of the change.
WI0300045 2

3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with any and
all statutes, rules, regulations, or ordinances, which may be imposed by other local, state, and federal
agencies, which have jurisdiction. Furthermore, the issuance of this permit does not imply that all
regulatory requirements have been met.
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.
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 conditions or failure of the
injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective
actions including those actions that may be required by the Division of Water Quality such as the repair,
modification, or abandonment of the injection facility.
The Permittee shall be required to comply with the terms and conditions of this permit even if compliance
requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
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.
3. There are now 3 the geothermal well loop systems, associated with this permit. Loop #1, which was
previously associated with Permit No. 0300052 (rescinded June 7, 2010), is located near Hurley Hall.
Loop #2 is located near Woodson Hall. Loop #3 is located near Pine Knot Hall.
PART V - INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to the injection
facility at any reasonable time for the purpose of determining compliance with this permit, may inspect or
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwater, surface water, or injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection, observation, and
sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with the
injection facility activities.
WI0300045 3

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.
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.
5. Groundwater samples for monitoring of groundwater quality for each of the 3 loops shall be obtained
from influent and effluent sampling ports located at each heat exchanger.
6. Well number identification system as presented in the renewal application received February 11, 2010,
shall be followed.
7. Submit laboratory analytical results for the years 2007 and 2009 to the Aquifer Protection Section Central
Office and Mooresville Regional Office at the addresses indicated in Part I.8.
PART VII — PERMIT RENEWAL
The Permittee shall, at least 120 days prior to the expiration of this permit, request an extension.
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)(1), 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:
WI0300045 4

(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.
(E)
In the case of gravel -packed wells in which the casing and screens have not been
removed, the casing shall be perforated opposite the gravel pack, at intervals not
exceeding 10 feet, and grout injected through the perforations.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been
created, each well shall be abandoned in such a manner that will prevent the movement of
fluids into or between underground sources of drinking water and in accordance with the
terms and conditions of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0213(h)(1) within 30 days of completion of abandonment.
3. The written documentation required in Part VIII (1) and (2) (G) shall be submitted to:
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
WI0300045 5

RECEIVED
®� ® r✓;VISION O 1A/ATER QUAL! s `(
NCDEHR
North Carolina Department of Environment and Natural. Resources FEB 12 2015
Pat McCrory Moo:Donafd-R.wantdeA aartiCE
Governor Secretary
February 6, 2015
CERTIFIED MAIL # 7014 1200 0001 3432 8343
RETURN RECEIPT REQUESTED
Charles Williams
Catawba College
2300 Innes Street
Salisbury, NC 28144
Subject: Notice of Expiration (NOE)
Geothermal Water Return/Open-Loop Injection Well
Permit No. WI0300045
Rowan County
Dear Mr. Williams:
The Underground Injection Control (UIC) Program of the North Carolina Division of Water
Resources (DWR) is entrusted to protect the groundwater quality and resources of the State of
North Carolina, and is responsible for the regulation of injection well construction and operation
activities within the state. Our records indicate that the above -referenced operating permit for the
geothermal injection well system located on your property located at the above referenced address
was issued to you on June 30, 2010, and expires on May 31, 2015. Per permit conditions and
requirements per 15A NCAC 2C .0224(c), the renewal application must be submitted at least 120
calendar days prior to expiration of your permit if you wish to continue operating the injection well.
According to our records, your permit renewal application is now past due. Please submit your
application (attached) as soon as possible if you wish to continue using the well for injection.
If Your Geothermal Water Return Well is Still Currently Being Used for Injection:
In order to comply with the regulatory requirements listed under North Carolina Administrative
Code (NCAC) Title 15A, Subchapter 2C, Section .0211, you must submit the enclosed renewal
application (Application for a Permit to Construct or Operate Injection Wells — Geothermal
Heating/Cooling Water Return Wells). The form is also available on-line at our website
http://portal.ncdenr.org/web/wq/aps/gvvpro/permit-applications.
If Your Geothermal Water Return Well is NO LONGER Being Used for Injection:
If the well is no longer being used for injection, you do not have to renew your permit. Check the
box in Part A of the attached renewal application that you wish to rescind the permit and indicate
the current status of the well (i.e., used as water supply well, irrigation well, inactive, plugged and
abandoned, etc.). If it is no longer being used for any purpose, it must be permanently abandoned
according to the regulatory requirements listed under NCAC Title 15A, Subchapter 2C, Section
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

Catawba College Page 2
.0240. When the well is plugged and abandoned, a well abandonment record (Form GW-30) must
be submitted to our office to certify that the abandonment was properly conducted.
If There has been a Change of Ownership of the Property:
If there has been a change of ownership of the property, an "Injection Well Permit
Name/Ownership Change" Form must also be submitted in addition to the renewal application.
This form is not enclosed but can be found at the website listed above. Please submit the applicable
forms to:
Division of Water Resources
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Failure to submit the applicable forms in a timely manner may result in the assessment of civil
penalties in accordance with North Carolina General Statute 87-94. Thank you in advance for your
cooperation and timely response. If you have any questions, please contact me by phone at (919)
807-6406 or by email at [e-mail].
Regards,
64.4:40
Michael Rogers, P.G. (NC & FL)
Hydrogeologist
Division of Water Resources
Water Quality Regional Operations Section
Enclosures
cc: P✓foo e—§ il'le Regloria OT- ice. WQROS wLo enclosures;
Central Files - Permit No. WI0300045 w/o enclosures

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: May 11, 2015
To: MRO-WQROS: Michael Parker / Andrew Pitner
From: Michael Rogers, WQROS — Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax: [phone] E Mail: [e-mail]
A. Permit Number: WI0300045
B. - Applicant: Catawba College
C. Facility Name:
D. Application:
Perntit Type: Geothermal Heating/Cooling Water Return Well
Project Type: Renewal
E. Comments/Other Information:
El 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 completed WQROS Staff
Report.
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 Groundwater Protection Branch contact
person listed above.
RO-WOROS Reviewer:
COMMENTS:
Date:
NOTES:
RE
FORM: WQROS-ARR ver. 092614
IVEDIDENROW
MAY142015
tvg se
on
Page 1 of 1

WATER QUALITY REGIONAL OPERATIONS SECTION
APPLICATION REVIEW REQUEST FORM
Date: May 11, 2015
To: MRO-WQROS: Michael Parker / Andrew Pitner
From: Michael Rogers, WQROS — Animal Feeding Operations and Groundwater Protection Branch
Telephone: [phone] Fax: [phone] E-Mail: [e-mail]
A. Permit Number: WI0300045
B. Applicant: Catawba College
C. Facility Name:
D. Application:
Permit Type: Geothermal Heating/Cooling Water Return Well
Project Type: Renewal
E. Comments/Other Information:
❑ 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 completed WOROS Staff
Report.
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 Groundwater Protection Branch contact
person listed above.
RO-WOROS Reviewer:
COMMENTS:
Date:
NOTES:
FORM: WQROS-ARR ver. 092614
Page 1 of 1

Pat McCrory
Governor
ATA
C E R
North Carolina Department of Environment and Natural Resources
Donald R. van der Vaart
•
Bill Kluttz
Catawba College
2300 W. Ines Street
Salisbury, NC 28144
May 13, 2015
RE: Acknowledgement of Application No. WI0300045
Geothermal Heating/Cooling Water Return Well
Rowan County
Dear Mr. Kluttz:
Secretary
The Water Quality Regional Operations Section (WQROS) acknowledges receipt of your
permit application and supporting documentation received on May 11, 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 providing a timely and complete response to any
additional information 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].
Sincerely,
6oir Debra J. Watts, Supervisor
Animal Feeding Operations & Groundwater
Protection Branch
Division of Water Resources
cc: Mooresville Regional Office, WQROS
Permit File WI0300045
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Phone: [phone] Internet: http://www.ncwater.org
An Equal opportunity \ Affirmative Action Employer— Made in part by recycled paper

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/COOLESIG WATER RETZTRN VVELL(S)
These well(s) inject groundwater directly into the subsurface as part of a geothermal heating and cooling system
CHECK ONE OF THE FOLLOWING:
New Application / Renewal* Modification Permit Rescission Request
*For Permit Renewals or Rescission Request, complete Pages 1 and 4 (signature page) only
Prmt or Type Information and Mail to the Address on the Last Page. Illegible Applications Will Be Returned As Incomplete.
DATE: /A-i 5 ,20 /6
PERMIT NO. 'dr63W 4JS• (leave blank if New Application)
A. CURRENT WELL USE AND OWNERSHIP STATUS (leave Blank if New Application)
1. Current Use of Well
a. Continue to use as t/ Geothermal Well Drinking Water Supply Other Water
Supply
b. Terminate Use: If the well is no longer being used as a geothermal injection well and ywish to
rescind the permit, check the box below. If abandoned, attach a copy of the Well Abanment
Record (GW-30).
Lii
❑ Yes, I wish to rescind the permit ,�
1L�
2. Current Ownership Status 5.}
Has there been a change of ownership since permit last issued? []*YES ❑ NO
If yes, indicate new owner's contact information:al
Name(s) t 1 (4- t 1 Z—
Mailing Address: C4 hJ&A COL.LCG6
Z3Do G1 alnes6-f
r".1
r.
City: SDAtsic>uri • State: PL/C- Zip Code: Zgi q `7 County: 'Pow AJ
Day Tele No.: '76 4 - Co a (5 - ' / O Z Email Address.: b k L 41E
B. STATUS OF APPLICANT (choose one)
Non -Government: Individual Residence Business/Organi7ation ✓
Government:
State Municipal County Federal
C. WELL OWNER(S)/PERMIT APPLICANT — For individual residences, list owners) on property deed. For
all others, List name of entity and name of person delegated authority to sign:
Ca wing �l�ee Bit \ tt . T ‘4)„,-1-6,J6idc.6
Mailing Address: 7_306 Gv lyrre,; 5F
City: SGc.56Vr l State: Jd- Zip Code: 2214114 County: 'Poc��N
DayTeleNo.: '7I - (.4S• g662 CellNo.: 'Z641 —239- 031O
EMAIL Address: i ed v- Fax No.: 10cl r (01 1- 'Ng
Geothermal Water Return Well Permit Application (Revised Jan 2015) Page 1

NOTE: In most cases an aerial photograph of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable comity 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' can be selected showing topographic contours or
elevation data
M. CERTIFICATION (to be signed as required below or by that person's authorized agent)
15A NCAC 02C .0211(e) 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 all the 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 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."
Signature of Property Owner/Applicant
Print or Type Full Name
Signature of Property Owner/Applicant
Print or Type Full Name
mtn 4
Signature of Authorized Agent, if any
Bl t- L- f Z
Print or Type Full Name
Submit two copies of the completed application package to:
Division of Water Resources
Water Quality Regional Operations Section (WQROS)
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
ert/158�
Geothermal Water Return Well Permit Application (Revised Jan 2015) Page 4