WI0500013_GEOTHERMAL_20130116

Pat McCrory
Governor
AVA __
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E.
·Director
January 16, 20l 3
CERTIFIED MAIL # 7008 1300 0000 1106 6892
RETURN ~CEIPT REQUESTED
Jeffrey Gray or Diana McElroy
1111 Monterey Valley Drive
Chapel Hill, NC 27516
Subject: Notice of Expiration (NOE)
5A7 Geothermal Injection Well
Permit No. WI0500013
Orange County
Dear Mr. Gray or Ms. McElroy:
John E. Skvarla, Ill
Secretary
The Underground Injection Control (UIC) Program of the North Carolina Division of Water
Quality (DWQ) 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 permit was issued to
Jeffrey and Joy Frelinger on May 23, 2008, and expires on April 30, 2013.
This permit was issued for the operation of a 5A7 (Heating/Cooling Water Return) Geothermal
Injection Well on your property located at 1111 Monterey Valley Drive in Chapel Hill, North
Carolina. As the new property owners, you are responsible for maintaining . this permit.
Therefore, it is important that you submit a Change of Ownership form within thirty (30) days
of receipt of~is letter. ·
Since the permit is set to expire shortly and in order to comply with the regulatory requirements
listed under North Carolina Administrative Code (NCAC) Title 15A, Subchapter 2C, Section
.0211, you must also submit one of the following forms:
A. Application for Permit (Renewal) to Construct and/or Use a Well(s) for Injection
with Geothermal Heat Pump System for Type 5A 7Well(s) if the injection well
system on your property is ·still active.
---~--------------
-OR-.
B. Status of Injection Well System if the injection well system is inactive or has been
temporarily or permanently abandoned.
AQUIFER PROTECTION SECTION
1636 Mail Service Center •. Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone]
Internet: wv,w.ncwaterquality.org
An Equal Opportunity\ Affirmative Action Employer
NirthCarolina
/vaturatlu
Please submit the forms to:
Aquifer Protection Section
Groundwater Protection Unit
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Failure to submit these forms in a timely manner may result in the assessment of civil penalties
in accordance with North Carolina General Statute 87-94. For your convenience, a Change of
Ownership farm, a renewal application, and a UIC Well System Status form are attached along
with a self-addressed envelope. The above referenced forms are also available on-line at the
DWp website at http://portal.nedenr.orgJweb/wq/at)s/gwi2rolpermit-applications#geothermAnps.
Thank you in advance for your cooperation and timely response. If you have any questions,
please contact me by phone at [phone] or by email at eric�.smithgncdenr.gov.
Sincerely,
Eric G. Smith, P.G.
Hydrogeologist
Enclosures
cc: Raleigh. Regional Office - APS w/o enclosures
APS Central. Files - Permit No. W10500013 w/o enclosures
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cc Jeffrey Gray or Diana McElroy
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C3 1111 Monterey Valley Dr.
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■ Complete items 1, 2, and 3. Also complete
item 4 'rf Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mallplece,
or on the front if spare permits.
1. Artlola Addressed to:
Jeffrey Gray or Diana McElroy
11.11 Monterey Valley Dr.
Chapel Hill, NC 27516
A. Signature
x r, W Awt
❑ Addresses
E. Rae wa(Printed Name) C. Date of Delivery
D. Is deiivery address dif errt from Item 17 ❑ Yes
If YES, eater delivery address below: 0 No
3. Service Type
0 CartlW 100 ❑ Epress Wall
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.C.D.
4. Restricted Delivery? (Fxtra Fee) ❑ yes
2. Aniole Number
(rmrWer from semIcs fabeg 7008 1300 [100G. 'b 1116 _ 6892
P5 Form 3811, February 2004 Domeatic Return Receipt 10095-02-5.1540

A.,.
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
November 29, 2012
Jeffrey & Joy Frelinger
1111 Monterey Valley Drive
Chapel Hill, NC 27516
Subject: Notice of Expiration (NOE)
5A7 Geothermal Injection Well
Permit No. W10500013
Orange County
Dear Mr. and Mrs_ Frelinger:
Natural Resources
Dee Freeman
Secretary
The Underground Injection Control (UIC) Program of the North Carolina Division of Water
Quality (DWQ) 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 underground injection well system located on your property at I I11 Monterey Valley Drive
in Chapel Hill, NC, which was issued to you on May 23, 2008, and expires on April 30, 2013, is
soon due for renewal. If you wish to keep this permit and operate the injection well system, the
permit must be renewed and issued in your name.
If Your injection Well is Currently Inactive:
If the injection well system 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 .0214. When each well is plugged and abandoned, the 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, an Injection Well Permit
Name/Ownership Change Form must also be submitted. The G W-30 and Name/Ownership
Change forms can be found at htip://portal.nedenr.orv-/iN,eb/tip laps/gwpro/reporting-forms.
If Your Injection Well is Currently Active:
If the injection well system is still active and you wish to renew your permit, the renewal
application must be submitted within 120 calendar days of the expiration of your permit.
According to our records, you must submit your permit renewal by December 31, 2012.
AQUIFER PRCTECTtad SECTfoN
163E Mall Service Center, Raleigh, Forth Carolina 27699-1636 one
tocat!vn, 512 N. Salisbury St., Raleigh, North Carolina 276Q4 NorthCarolf na
PhoIrate e:9i9$ rimale l FAX: 919$07 649E a �a ����
intemet: mww.ncwaferaualitv.orti ��1
Ao Equal Opportunity l Af6rmaUve AMn.EmplaW

In order to comply with the regulatory requirements listed under North Carolina Administrative
Code (NCAC) Title 15A, Subchapter 2C, Section .0211, you must submit one of the following
enclosed forms:
A. Application for Permit (Renewal) to Construct and/or Use a Well(s) for Injection with
Geothermal Heat Pump System for Type 5A7 Well(s) if the injection well system on your
property is still active.
-OR-
B. Status of Injection Well System if the injection well system is inactive or has been
temporarily or permanently abandoned.
Please submit the appropriate forms to:
Aquifer Protection Section
Groundwater Protection Unit
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Failure to submit these forms in a timely manner may result in the assessment of civil penalties
in accordance with North Carolina General Statute 87-94. For your convenience, a renewal
application and a UIC well system status form are attached along with a self-addressed envelope.
The above referenced forms are also available on-line at the DWQ website at
h ttp ://p ortal.ncdenr.org/web/wq/aps/ gwp ro/perm.it-app lications#geotherm.App s.
Thank you in advance for your cooperation and timely response. If you have any questions,
please contact me by phone at [phone] or by email at [e-mail].
Sincerely,
Eric G. Smith, P .G.
Hydrogeologist
Enclosures
cc: Raleigh Regional Office -APS w/o enclosures
APS Central Files -Permit No. WI0500013 w/o enclosures
2
Permit Number WI0500013
Program Category
Ground Water
Permit Type
Injection Heating/Cooling Water Return Well
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facility
Faclllty Name
Jeffrey Gray and Diana McElroy SFR
Location Address
1111 Monterey Vly Dr
Chapel Hill
Owner
Owner Name
Jeffrey
Dates/Events
NC 27516
Gray
Scheduled
Orig Issue
04/03/92
App Received Draft Initiated Issuance
02/12/13
Regulated Activities
Heat Pump Injection
Outfall NULL
Central Files: APS_ SWP_
03/15/13
Permit Tracking Slip
Status
Active
Project Type
Renewal
Version
3.00
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Raleigh
County
Orange
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Jeffrey Gray
Owner
1111 Monterey Valley Dr
Chapel Hill NC
Public Notice Issue
03/15/13
Effective
03/15/13
Requested/Received Events
RO staff report requested
RO staff report received
27516
Expiration
02/28/18
02/15/13
03/08/13
Waterbody Name Stream Index Number Current Class Subbasln
Permit Number WI0500013
Program Category
Ground Water
Permit Type
Injection Heating/Cooling Water Return Well
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facility
Facility Name
Jeffrey Gray and Diana McElroy SFR
Location Address
1111 Monterey Vly Dr
Chapel Hill
Owner
Owner Name
Jeffrey
Dates/Events
NC 27516
Gray
Scheduled
Orig Issue
04/03/92
App Received Draft Initiated Issuance
02/12/13
Re g ulated Activities
Heat Pump Injection
Outfall NULL
Central Files: APS_ SWP_
03/11/13
Permit Tracking Slip
Status
In review
Project Type
Renewal
Version Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Raleigh
County
Orange
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Jeffrey Gray
Owner
1111 Monterey Valley Dr
Chapel Hill NC
Public Notice Issue Effective
Re guested/Received Events
RO staff report requested
RO staff report received
27516
Expiration
02/15/13
03/08/13
Waterbody Name Stream Index Number Current Class Subbasin
ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Jeffrey Gray and Diana McElroy
1111 Monterey Valley Dr.
Chapel Hil_l, NC 27516
Division of Water Quality
Charles Wakild, P. E.
Director
March 15, 2013
Re: Issuance of Injection Well Permit
Permit No. WI0500013
Issued to Jeffrey Gray and Diana McEiroy
Orange County
Dear Mr. Gray and Ms. McElroy:
John E. Skvarla, Ill
Secretary
In accordance with your application received February 12, 2013, I am forwarding Permit No. WI0500013
for the operation of geothermal heating/cooling water return well(s) located at the above referenced
address. This permit shall be effective from the date of issuance until February 28, 2018, and shall be
subject to the conditions and limitations stated therein.
The Raleigh Regional Office inspected your geothermal system·on March 5, 2013, and collected water
samples. The Raleigh-Regio~al Office will forward a copy of the laboratocy analytical results to you
when they become available.
Also, during inspection it was observed that there is no well tag present. Per ISA NCAC .01070) and
permit condition Part I. 7, a Well Contractor Identification Plate must be installed on the wellhead
indicating the well contractor who installed the well, total depth of the well, casing depth, screen and
packing interval (if present), yield, static water level, date of well completion, and permit number. The
Raleigh Regional Office will be following up with you to bring the geothermal return well into
compliance.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit 120 days prior to its expiration date. As indicated in the permit, this
permit is not transferable to any person without prior notice to, and approval by, the Director of the
Division of Water Quality. If you have any questions regarding your permit or the Underground Injection
Control Program please call me at [phone].
1636 Mail Service Center, Raleigh, North.Carolina 27699-1636
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone]\FAX: [phone]
Internet: www.ncwaterguality.org
An Equal Opportunity\ Affirmative Action Employer
One • NorthCarohna
/vaturall!f
Gray and Mc.Elroy
Page 2 of2
Best Regards,
~14,~.
Michael Rogers, P.G. (NC & FL)
Hydrogeologist
cc: Rick Bolich, Raleigh Regional Office
Central Office File, WI0500013
Orange County Environmental Health Department
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COIVIIVIISSION
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
Jeffrey Gray and Diana McElroy
FOR THE OPERATION OF ONE (1) GEOTHERMAL HEATING/COOLING WATER RETURN WELL(S),
defined in Title I SA North Carolina Administrative Code 2C .0224, which will be used for the injection of heat
pump effluent. This injection well is located at 1111 Monterey Valley Dr., Chapel Hill, Orange County, NC
27516, and will be operated in accordance with the application received February 12, 2013, 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 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 February 28, 2018, and shall be
subject to the specified conditions and limitations set forth in Parts I through VIII hereof.
Permit issued this the �� day of V�Gu4� , 2013
tisles Wakild, P.E., Director
ion of Water Quality
By Authority of the Environmental Management Commission.
Permit 4WI0500013 UICIReturn Well - RENEWAL Page I of 5
ver. 01 /2013

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 sealed with a watertight cap or well seal, as defined in G.S. 87-85(16).
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
.01070).
8. Copies of the Well Construction Records 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.
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 ST AND ARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is no
contamination of groundwater which will render it unsatisfactory for normal use. In the event that the
Permit #WI0500013 UIC/Retum Well-RENEWAL
ver. 01/2013
Page 2 of 5
facility fails to perform . satisfactorily, including the creation of nuisance conditions or failure of the
injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective
actions including those actions that may be required by the Division of Water Quality such as the repair,
modification, or abandonment of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even if compliance
requires a reduction ·or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface or
groundwater resulting from the operation of this facility.
PART IV -OPERATION AND MAINTENANCE REQUIREMENTS
I. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must ~otify the Division and receive prior written approval from the Director of any
planned physical alterations or additions in the permitted facility or activity not specifically authorized by
the permit.
PART V -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Dhision 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.
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 Raleigh Regional Office, telephone number 919-791-4200, 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;
Permit #WI0500013 UIC/Retum Well -RENEWAL
ver. 01/2013
Page 3 of 5
3. Where the Permittee becomes aware of an omission of any relevant facts in a permit application, or of any
incorrect information submitted in said application or in any report to the Director, the relevant and
correct facts or information shall be promptly submitted to the Director by the Permittee.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take such
immediate action as may be required by the Director.
PART VII -PERMIT RENEW AL
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 I SA NCAC 2C .0240,
Abandonment and Change-of-Status of Wells.
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 ISA NCAC 2C
.0240, including but not limited to the following:
(A) All casing and materials may be removed prior to initiation of abandonment procedures if
the Director finds such removal will not be responsible for, or contribute to, the
contamination of an underground source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
( C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that
failure to do so could lead to the contamination of an underground source of drinking
water.
(D) Each well shall be completely filled with cement grout, which shall be introduced into the
well through a pipe which extends to the bottom of the well and is raised as the well is
filled.
(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 mariner 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 .0224(f)(4) within 30 days of completion of abandonment.
Permit #WI0500013 VIC/Return Well-RENEWAL
ver. 01/2013
Page 4 of 5
3. The written documentation required in Part VIII (1) and (2) (G) shall be submitted to:
Permit #WI0500013
Aquifer Protection Section-UIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
UIC/Retum Well-RENEWAL
ver. 01/2013
Page 5 of 5
(ze'l 'Q ZJSJ1f
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E John E. Skvarla, Ill
Governor Director Secretary
March 5, 2013
MEMORANDUM
To: Michael Rogers, The Central Office, APS
Through: Rick Bolick 6
From: Lin McCartney
Subject: Staff Report- W10500013, Gray/McElroy, Geothermal
Heating/Cooling Water Return Well Renewal Application
Orange County
Aquifer Protectioh Section
1628 Mail Service Center, Raleigh, North Carolina 27699-1628
Location: 3800 Barrett Dr., Raleigh, North Carolina 27609
Phone: [phone] FAX [phone]
Internet: www.ncwaierqualit}.ors
An Equal opportunity 1 Affirmative Action Employer
One
No thCarolina
Adurldy

AQUIFER PROTECTION REGIONAL STAFF REPORT
ti,.
Date: March 6, 2013
To: Aquifer Protection Central Office
Central Office Reviewer: Michael Rogers
Regional Login No: __ _
County: Orange
Permittee: Gray/McElroy
Project Name: Geothermal Heating/Cooling
Water Return Well
Application No.: WI0500013
L GENERAL INFORMATION
1. This application is (check all that apply): D New ~ Renewal
D Minor Modification D Major Modification
D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon
D Land Application of Residuals
D Distribution of Residuals
D Attachment B included
D Surface Disposal
D 503 regulated D 503 exempt
D Closed-loop Groundwater Remediation ~ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ~ Yes or D No.
a. Date of site visit: 03-05-2013
b. Person contacted and contact information: Gray/McElroy, 919-929-3930, 781-883-4220
c. Site visit conducted by: Lin .McCartney
d. Inspection Report Attached: ~ Yes or D No.
2. Is the followin$ information entered into the BIMS record for this application correct?
~ Yes or D No. Ifno, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location:
b. Driving Directions: __
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: __
e. Regulated Activities/ Type of Wastes (e.g., subdivision, food processing, municipal wastewater):__ i
For Disposal and Iniection Sites:
{If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Location(s):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
IL NEW AND MAJOR MODIFICATION APPLICATIONS (this section not needed for .renewals or minor
modifications. skip to next section)
Description OfWaste(S) And Facilities
1. Please attach completed rating sheet. Facility Classification: __
2. Are the new treatment facilities adequate for the type of waste and disposal system?
FORM: Gray and McElroy-two
AQUIFER PROTECTION REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description OfWell(S) And Facilities -New, Renewal, And Modification
1. Type of injection system:
~ Heating/cooling water return flow (5A7)
D Closed-loop heat pump system (5QM/5QW)
D In situ remediation ( 51)
D Closed-loop groundwater remediation effluent injection (5L/''Non-Discharge")
D Other (Specify: )
2. Does system use same well for water source and injection? ~ Yes D No
3. Are there any potential pollution sources that may affect injection?~ Yes D No
What is/are the pollution source(s)? The septic system is approximately750 feet from the well.
4. What is the minimum distance of proposed injection wells from the property boundary? 1500lt_
5. Quality of drainage at site: ~ Good D Adequate D Poor
6. Flooding potential of site: ~ Low D Moderate D High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? D Yes D No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: N/ A
8. Does the map presented represent the actual site (property lines, wells, surface drainage)?~ Yes or D No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow.
Injection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there· any abnormalities in heat pump or injection well operation ( e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
D Yes ~ No. If yes. explain:
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? D Yes D No. If yes, explain:
3. For renewal or modification of groundwater remediation permits ( of any type). will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? D Yes D No. If yes. explain:
4. Drilling contractor: Name: ACME Well Drilling, David Hutson
FORM: Gray and McElroy-two 4
AQUIFER PROTECTION REGIONAL STAFF REPORT
Address: 7990 NC Highway 751
Durham, NC 27713
Certification number: 2132 A
5. Complete and attach Well Construction Data Sheet.
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application.:
2. Attach Well Construction Data Sheet -if needed information is available
3. Do you foresee any problems with issuance/renewal of this permit? D Yes [81 No. If yes, please explain
briefly. __ .
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
FORM: Gray and McElroy-two 5
AQUIFER PROTECTION REGIONAL STAFF REPORT
7. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information;
Issue; ❑ Deny. If deny, please state reasons:
8. Signature of report preparer(s):
Signature of APS regional super
Date:
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
This permit renewal inspection and the well water sampling were conducted on March 5, 2013,
1. The description of the well by visual inspection (see attached photos)
• The well head was 3 inches above the concrete base. It appeared that the concrete base
covered part of the well head.
■ The well tag was covered by concrete base; therefore, the well tag information is not
available.
• A sampling tap for feeding line and a sampling tap for returning line were operable
2. The location of the well
• There is a septic system or potential sources of groundwater contamination. This septic
system is about 750 feet from the location of the well.
• The minimum distance of the well from the building is about 91 feet.
• The minimum distance of well from the property boundary is about 1500 feet
3. The construction data needed to be on the well tag.
• Well Driller and Certification No.: ACME Well Drilling, David W. Hutson, 2132 A
• Well Construction Completed Date: July 26,1991
• Well Depth: 345 feet
• Casing: 40 feet
• Casing Diameter: 6.25 inches
• Grout: 20 feet
• Static Water Level: 24 feet
■ Yield: 22 gpm
FORM: Gray and McElroy -two 6

AQUIFER PROTECTION REGIONAL STAFF REPORT
The well tag is covered by the concrete base; nevertheless, we recommend that the Central Office
issue the permittee a new permit with the condition that the permittee make a new well tag with the
well construction data which we have provided. Also, we are awaiting the lab results of the well
water to complete this application process.
FORM: Gray and McElroy-two 7
Permit: WI0500013
SOC:
County: Orange
Region: Raleigh
Compliance Inspection Report
Effective: 05/23/08 Expiration: 04/30/13 Owner: Jeffrey Frelinger
Effective: Expiration: Facility: Jeffrey and Joy Frelinger -SFR
1111 Monterey Valley Dr
Chapel Hill NC 27516
Contact Person: Jeffrey Frelinger Title: Phone: [phone]
Directions to Facility:
FRom Carrboro go south appx 2 miles on Smith Level. Bear R on Damascus Church Rd and go appx 1 mile. Turn R on Monterey
Valley Drive. ~rpoertY is on L.
System class1f1cat1ons:
Primary ORC:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 03/05/2013
Primary Inspector: Lin McCartney
Secondary lnspector(s):
Certification:
Entry Time: 10:00 AM Exit Time: 11 :30 AM
Phone:
Phone: [phone]
Ext.4243
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Injection Heating/Cooling Water Return Well
Facility Status: D Compliant ■ Not Compliant
Question Areas:
■Wells· ■ System Operations
(See attachment summary)
Page: 1
Permit: WI0500013
Inspection Date: 03/05/2013
Inspection Summary:
Owner -Facility: Jeffrey Frelinger
Inspection Type: Compliance Evaluation Reason for Visit: Routine
This permit renewal inspection and the well water sampling were conducted on March 5, 2013.
1. The description of the well by visual inspection (see attached photos)
The well head was 3 inches above the concrete base. It appeared that the concrete base covered part of the well head.
· The well tag was covered by concrete base; therefore, the well tag information is not available.
· A sampling tap for feeding line and a sampling tap for returning line were operable
2. The location of the well
· There is a septic system or potential sources of groundwater contamination. This septic system is about 750 feet from
the location of the well.
· The minimum distance of the well from the building is about 91 feet.
· The minimum distance of well from the property boundary is about 1500 feet
3. The construction data needed to be on_ the well tag.
Well Driller and Certification No.: ACME Well Drilling, David W. Hutson, 2132 A
Well Construction Completed Date: July 26, 1991
Well Depth: 345 feet
Casing: 40 feet
Casing Diameter: 6.25 inches
Grout: 20 feet
Static Water Level: 24 feet
Yield: 22 gpm
This well is not in compliance with North Carolina Well Construction Standards, well tag is covered by the concrete base.
Also, we are awaiting the lab results of the well water to complete this application process.
However, we recommend that the Central Office issue the permittee a new permit with the condition that the permittee
make a new well tag with the well construction data which we have provided.
Page: 2
Permit: WI0500013
Inspection Date: 03/05/2013
Owner -Facility: Jeffrey Frelinger
Inspection Type: Compliance Evaluation Reason for Visit: Routine
System Operation
Is same well used as source well and injection well?
Is injection well capable of assimilating injected fluid?
Injection flow rate at time of inspection (gpm)
Has system owner/operator noticed any abnormalities (turbidity, air in system, poor heating/cooling, etc) in
system operation?
Comment on system operation
Is system operation and construction consistent with that described in application?
Describe inconsistencies between application and observed operation/construction
The well tag is covered by the concrete base.
Comment:
Yes No NA NE
•□□□
■ODD
□□•□
•□□□
□•□□
Page: 3
WI050001 3 , Gray/McElroy , Inspection Date: 03 -05 -2013
A QUIFER PROTECTION SECTION
APPLICATION REVIEW RE QUEST FORM
Date: February 15 , 2013
To: □ Landon Davidson, ARO-APS
□ ArtBarnhardt, FRO-APS
□ Andrew Pitner, MRO-APS
~ Rick Bolich, RRO-APS
□ David May, WaRO-APS
□ Morella Sanchez King, WiRO-APS
□ Sherri Knight, W-SRO-APS
From: Michael Rogers Groundwater Protection Unit
Telephone: [phone] Fax: [phone]
E-Mail: Michael.Ro gers (a),ncdenr.gov
A. Permit Number: WI 0500013
B. Owner: Gray/McEiroy
_c'._ . FaeiliijiO.perafion: ~
D Proposed ~ Existing D Facility D Operation
D. Application:
1. :f1riri!ft1;yp(#_: D Animal D SFR-Surface Irrigation □ Reuse D H-R Infiltration
D Recycle D I/E Lagoon D GW Remediation (ND)
~ UIC -Geothermal Heatin~/Cooling W~ter :Return ··wen
For Residuals: D Land App. D D&M D Surface Disposal
D 503 D 503 Exempt D Animai
2. P,(}jeciTyp~: □ New O Major Mod. 0 Minor Mod. ~ Renewal O Renewal w/ Mod.
E. Comments/Other Information:
NOTE: Please record all information on the well tag, if present, and put on staff report. Thanks.
~ Return .a completed APSARR after the site inspection. At a later date, after sampling & the lab
results are received, please send us a copy of the letter you send to the Permittee containing
laboratory analytical results.
D Attach Well Construction Data Sheet.
D Attach Attachment B for Certification by the LAPCU.
D Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: _________________ _ Date: ____ _
FORM: AP SARR 07 /06 Page I of I
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
February 14, 2013
Jeffrey Gray
Diana McElroy
1111 Monterey Valley Dr.
Chapel Mll, NC 27516
Dear Mr, Gray-,
John E. Rvarla, III
Secretary
Subject: Acknowledgement of
Application No. W10500013
Jeffrey and .Toy Fretinger . SFR
Injection Heating/Cooling
Water Return Well System
Orange County
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on 02/12/2013. Your application pack -age has been assigned the number listed
above, and the primary reviewer is Michael Rogers.
Central and Raleigh 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 Aquifer Protection. Section 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 {919} R97 fi406 or [e-mail].
s cerety, �
{
far Debra tts
Ground ater Protection Unit Supervisor
cc: Raleigh Regional Office, Aquifer Protection Section
Permit File WI0500013
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh. North Carolina 27699-1636
Location: 512 N. Salisbury St„ Raleigh, North Carolina 27604 One
Phone: 9IM07.64641 FAX: 919-W.6496 N Carolina
Intemet www.nmatermal .ora Q f1L■ QIIlyI
Art Equal OpportuMy l Affirmative Aclian Employe `" �" ` r- - " "iI

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 .0200
OPEN -LOOP GEOTHERMAL INJECTION WELLS
These wells discharge groundwater directly into the subsurface as part of a geothermal heating and coolimg system
(check one) New Application Renewal* Modification
* For renewals complete Parts A-C and the signature page.
Print or Type Information and Mail to the address on the Last Page. Illegible Applications Will Be Returned As Incomplete.
DATE: ;� / /4 . 20
PERNUT NO. W-TOSO0013 (leave blank if New Application)
A. STATUS OF APPLICANT (choose one)
Nan -Government: Individual Residence HusinesslOrgania_ation
Government: State Municipal County Federal
S. PERMIT APPLICANT — For individual residences, list each owner on property deed. For all others,
state name of entity and name of person delegated authority to sign on behalf of the business or agency:
014N.4 LCi2y ' I
Mailing
�Address. �I I � N
City: C AIApe-L- P"4-L State: Zip Code: 6 County: 04±± V
Day Tele No.: 91 �� 39.E Cell No..
EMAIL Address: . [ e ns �}� r17� .Corte Fax No.:
C. LOCATION OF WELL SITE — Where the injection wells are physically located:
(1) Parcel Identification Number (PIN) of well site: 'U ' a2 County: 0-4�
(2) Physical Address (if different than mailing address):
City: State: NC Zip Code:
Well Drilling Contractor's Name:
RECEIVEDIDENRIM
FEB 12 2013
NC Well Drilling Contractor Certification No.: _ ►A flubr %leab Sedon
Company Name:
Contact Person:
Address:
City:
Office Tele No.;
raT1VI I
zip Code: State: County:
Cell No.:
Fax No.
GPUIUIC 5A7 Permit Application (Revised 3/1&7011) Page 1

E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
F.
Company Name: ________________________________ _
Contact Person . .:...: ---------------=E=MA~I=L~A~d~dr~e=s~s: ___________ _
Address: __________________________________ _
City: _________ Zip Code: ____ State: __ County: _________ _
Office Tele No.: Cell No.: Fax No.: ---------------------
WELL USE Will the injection well(s) also be used as the supply well(s) for the following?
(1)
(2)
The injection operation?
Personal consumption?
YES __ _ NO ___ _
YES ___ _ NO ___ _
G. WELL CONSTRUCTION DATA
(1)
____ PROPOSED Well(s) to be constructed for use as an injection well. Provide the data in (1) through
(6) 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 (6)
below to the best of your knowledge. Attach a copy of the Well Construction Record (Form
GW-1) ifavailable.
Well Construction Date: ________ Number of borings: ___ _
Depth of each boring (feet): _______ _
(2) Well casing type: Galvanized steel __ Black steel __ Plastic __ Other (specify) _____ _
Casing thickness (in.): __ Diameter (in.): __ _
Well depth: from: ___ to: ___ feet below land surface
Casing extends above ground ____ inches
(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)(l)(A), which requires a cement type grout.
(b) Depth of grout around well casing (relative to land surface): from ___ to ___ feet
(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 prov1s10ns 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. Is there 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.
GPU/UIC 5A 7 Permit Application (Revised 3/18/2011) Page2
H. OPERATING DATA
(1) Injection Rate: Average ( daily) gallons per minute (gpm).
(2) Injection Volume: Average ( daily) gallons per day (gpd).
(3) Injection Pressure: Average ( qaily) pounds/square inch (psi).
(4) Injection Temperature: Average (January) ° F, Average (July) __ ° F.
L WELL LOCATIONS -Maps must be scaled or otherwise accurately indicate distances and orientations of
features located within 1000 feet of the injection well(s). Label all features clearly and include a north arrow. . . .
(1) Attach a site-specific map showing the locations of the following:
* Proposed injection wells * Buildings * Property boundaries
* Surface water bodies * Water supply wells
* Septic tanks and associated spray irrigation sites, drain fields, or repair areas
* Existing or ·potential sources of groimdwater contamination
(2) Attach a topographic map of the area extending 1/4 mile from the injection well site that indicates the
facility's location and the map name.
NOTE: In most cases, an aerial photograpl, of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable county GIS website. Typically, the property can be searched by
owner name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other
wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or
elevation data.
GPU/UIC 5A7 Permit Application (Revised 3/18/2011) Page3
J. CERTIFICATION (to be signed as required below or by that person's authorized agent)
1 SA NCAC 02C _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;
I 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 (which means all persons 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 Dwner ppi' ant
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 copies of the completed application package to:
DWQ - Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPUIUIC 5A7 Permit Application (Revised 3/18/2011) Page 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
PERMIT NAME/OWNERSHIP CHANGE
Any changes made to this form will result in the application being returned.
(THIS FORM M.4 Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
L REOUiRED nIM5
1. Submit one original of the completed and appropriately executed Permit Name/Ownership Change Form.
For a change of ownership, the certification must be signed by both the current permit holder and the new
applicant. For a name change only, the certification must be signed by the applicant.
2. Provide legal documentation of the transfer of ownership (such as a contract, deed, article of incorporation,
etc.) for ownership changes.
3. Change of Ownership Applications for Homeowners Associations (HOAs) shall include the HOAs bylaws,
covenants, etc. (I5A 02T .01 I5(c)]
4. Submit a properly executed Operation and Maintenance Agreement for all Single Family Residence Surface
Irrigation permits requesting a change of ownership.
Q. CURRENT PERMIT INFORMATION
1. Permit number: 1-03 000 J
2. Permit holder's name: ���a Y ,¢-�+7 J� rfee-Ll �6& e-ic
3. Permit's signing official's name and title: -
(Person legally responsible for permit)
(title)
4. Mailing address:
City: - _ — — State: -- Zip: _
Telephone number: {_� Facsimile number: L�
III. NEW OWNER/NAME ]INFORMATION
I. This request for a permit change is a result of
_1 ♦ a. Change in ownership of property/company
b. Name change only
c. Other (please explain): —
FORM: PNOC 12/30/2009 Page 1 of 2
RFCFJVEDIDENRIDWQ
FIR 12 2013
Aquifer ProteG6on Section

2. New owner's name (name to be used in permit): __ :.;,_~_~_r,_-,c;_t2_€___,'-Y_c __ t2_A_Y ________ _
,) 1 4 "'A r 111c 6-Z.12, 7
3 . New owner's or signing official's name and title: ___________________ _
4. Mailing address: / / / / /J1u117<::7ZE"t
City: C-1A:ee:, /./J LL. State:
Telephone number: @f1.J 9J '1 SC/ 5 0
IV. CERTIFICATION
1. Current Permittee's Certification:
(Person legally responsible for permit)
(title)
l/4;L-L€Y DR
/VL Zip: __ ~__,_7_~...::;...___,;/ b=-----
Facsimile number: L_} ______ _
I, -----------~ attest that this application for name/ownership change has been
reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete. I understand I will continue to be
responsible for compliance with the current permit until a new permit is issued.
Signature: _____________________ Date: _________ _
2. Applican 's Certification:
I, ' e. fv-l '" , attest that this application for name/ownership change has been
reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting information and attachments are not
included, this application package will be returned as incomplete. . I further certify that the applicant or any
affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or
abandoned, are compliant with any active compliance schedule, and do not have any overdue annual fees
~der Rule 2T .0105. _ .~ _
Signature: ~ ~ Date: 2-/; Cl/ f _5"
C . 0
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
Via U.S. Postal Service
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
Via Courier / Special Delivery:
2728 CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] RECEIVED/DENR/DWQ
FEB 1 2 2013
FORM: PNOC 12/30/2009 Page 2 of2
Aquifer Protection Section
Grange County Interactive GIS
Page 1 of I
GIS Data Currency Dates Help County Home Page IT/GIS Home Page
Orange County NC Interactive GIS
Print Buffer Export Results scale L. 1 inch = 1000 feet +
Search Results Maur Layers
- r Search Results (1)
- E j Parcel Search - [PIN = '9767M582'] - 1 parcels Foul
r 9767848582 (GRAY)
Select this Parcel Only
PIN
9767848582
PINSTATUS
ACTIVE
OWNER TYPE
INTEREST OWNERS
YES
OWNER1
GRAY JEFFREY
OWNER2
MCELROY DIANA
ADDRESSI
1111 MONTEREY
VALLEY DR
ADDRESS2
CITY
CHAPEL HILL
STATE NC
ZIPCODE 27516
TOWNSHIP 7
TOWNSHIP_NAME CHAPEL HILL
4
si
http://server2.co.orange.nc.us/OrangeNCGIS/default.aspx 2/I5/2013

AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
17
rr
Date: 04/02/2008 County: Orange C.
To: Aquifer Protection Section Central Office Permittee: Jeff FreliAM �
Central Office Reviewer: Michael Rogers Project Name: UIC- (5A7) Open Loop a
Regional Login No: 05 AppIication No.: WI0500013 U
I. GLJVERAL INFORMATION
cm W
1. This application is (check all that apply): ❑ New ® Renewal
❑ Minor Modification ❑ Major Modification
❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals ❑ Attachment B included ❑ 543 regulated ❑ 503 exempt
❑ Distribution of Residuals ❑ Surface Disposal
❑ Closed -bop Groundwater Remediation ® Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 04/02/2008
b. Person contacted and contact information: Joy Frelinger, Phone## [phone]
c. Site visit conducted. by: Ed Owen
d. Inspection Report Attached: ® Yes or ❑ No.
2. Is the following information entered into the BMIS record for this application correct?
® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location:
b. Driving Directions:
c, USGS Quadrangle Map name and number:
d. Latitude: Longitude:
e. Regulated Activities 1 Type of Wastes (e.g., subdivision, food processing, municipal wastewater):
For Disposal and Injection Sites:
(If multiple sites either_ indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a. Locations):
b. Driving Directions:
c. USGS Quadrangle Map name and number:
d. Latitude: Longitude:
H. NEWAND _MAJOR MODIFICATIONAPPLICATIONS (this section nor needed for renewals or minor
modifications, skip to next section} _. _ . _ ....
Description Of Waste S And Facilities
1. Please attach completed rating sheet. Facility Classification:
Z. Are the new treatment facilities adequate for the type of waste and disposal system?
FORM: Frelinger staff report.doc I

AQUIFER PROTECTION SECTION REGIONAL STAFF REP ORT
4. Has the site changed in any way that may affect permit ( drainage added, new wells inside the compliance
boundary, new development, etc.)? If yes, please explain: __
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
0 Yes or D No. Ifno, please explain: __
6. Are the existing application rates (hydraulic or nutrient) still acceptable? D Yes or D No. If no, please
ex.plain: __
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? D Yes D No D N/A. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program: __
8. Will seasonal or other restrictions be required for added sites? D Yes D No D N/A If yes, attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? D Yes or D No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit: __
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct? D
Yes or D No. If no, please explain: ____ _
11. Were monitoring wells properly constructed and located? D Yes or D No D N/ A. If no, please explain:
12. Has a review of all self-monitoring data been conducted (GW, NDMR, and NDAR as applicable)? D Yes or
D No D N/ A. Please summarize any findings resulting from this review: __ _
13. Check all that apply: D No compliance issues; D Notice(s) of violation within the last permit cycle; D
Current enforcement action(s) D Currently under SOC; D Currently under JOC; D Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments (such as NOV, NOD etc): ____ _
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? D Yes
D No D Not Determined D N/ A.. If no, please explain: __
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? D
Yes orD No D N/A. Ifyes, please explain: __
FORM: Frelinger staff report.doc 3
A QUIFER PROTECTION SECTION REGIONAL STAFF REP O RT
Address: 7990 Ne Hi ghway 751
Durham, NC 27713
Certification number: __
5. Complete and attach Well Construction Data Sheet.
FORM: Frelinger staff report.doc 5
Compliance Inspection Report
Permit: WI0500013
SOC:
Effective: 06/19/03 Expiration: 06/30/08 Owner: Jeff Frelinger
Effective: Expiration: Facility: Jeff & Joy Frelinger -SFR
County: Orange
Region: Raleigh
Contact Person: Jeff Frelinger
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 04/03/2008
Primary Inspector: Ed Owen
Secondary lnspector(s):
Michael Rogers
1111 Monterey Valley Dr
Chapel Hill NC 27516
Title: Phone: [phone]
Certification: Phone:
Entry Time: 10:00 AM Exit Time: 11 :30 AM
Phone:
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Injection Heating/Cooling Water Return Well (5A7)
Facility Status: ■ Compliant O Not Compliant
Question Areas:
■Wells
(See attachment summary)
Page: 1
North Carolina
Department of Environment and Natural Resources
Division of Water Duality
Groundwater Section
Wei l Location: 1 1 N r� tt VA e- Date
(Town, Community, Subdlvislon and Lot No.) WELL TYPE h {
County Cyr & -L
owner: t �F fiz Roadn-greet J
Add ress: 1� f Quad No.
lT i [ Serial No.
Lat, Lon
W II C t otl
a ns ru on �
Well Contractor fil t �el� u �o,i 4 IV(- t1. "75 1 706, �,,f,,t
Name Address �2 -2
Contractor Certl}ical �
�plkffiY !
Perr'nll Required ? Nj
• D s n r .„............„
Water Tight Sewagetwaste collection . .
Waste disposal (septic tank drain field)
Other Poll. Source {
Check Items
Wasured
Meats Min. Standards
Yes ❑
Remarks
(Permit No. 1
i.................
I/
rO� ethy „er Poll. Source { }
�yii�
Type ..,,.,, .......................... ,,,,,,,.,,,.,,,,,,..
Depth....................................................
Weight1thlcknass..................................
Height (A.L.S.) .................,,,...,,,,,,,,,......
Other ( ) .
Drillino Fluids/Addltives
Type,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Grout -
Type,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Thickness,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Depth....................................................
Other ( .
Screens
Screened interval .................................
Other ( 1.
De►►elopment,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Total Suspended solids ........................
Turbidity ...............................................
Settleable Solids ...................................
I.D. Plate
Well Contractor,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Abandonment — ..,,,,,,,,,,
Temporary .,.......... .................................
Permanent ............................................
{C.i7 a
Rastic Csrbon Iv. Stain. � St. Other
aw!
6 rr
• —
fin►,%
eR ,
✓
G eA Z
v•
v , c 1 �•
f sr f
GW-36 Rev. V2000
Applies to wells constructed after December 1, 1992
fr,nnt n n RAVArsAl

Check items I Meets Min. Standards I $ems
WellJos ..............................................
Duration................................................
Frequency/Accuracy of measurements
Other ( ) .
DislI�..........................................
Chlorination ,.... .....................................
Other ( .
Cuttings.................................................
Reports ................................................
Construction (G W-1 ) — ........................
Abandonment (GW-30) ........................
Well xeadCOMWidion
Accessport ...........................................
Hosebib ...............................................
Pitless Adaptor ....... ,.............................
Pitless Adaptor Unit ..............................
Suction line................................4..........
Tee{jet} ...............................................
Valved flow ...........................................
Vent....................................................
Water tight pipe entry ...........................
Wellentry .............................................
iA
Appiles to wells constructed after December 1, 1992
Date Well Constructed UlN Can r,, r,.1 p r p
DiJ4f i�l]�{Ti
Pump installation
¢o
Pump Installation Contractor t'`kNaL.,- �0) bb Z K 7
Name Address Reg. is
PUMP CONTRACTOR I.D. PLATE PRESENT ? (Y6 -- Date Pump Installed
Violations noted attributable to the pump installation contractor are as follows:
(3)
INSPECTOR _ "Gt — - 0—
Name Office
Witness[esl
(If Available)
Name
Name
Address
Address
Type
Type

M OM Laboratory Section Wesults
County.
ORANGE
Sample ID:
AB28444
River Basin
0� VIA7pq
PO Number 0
bG0350
Report To
RR AP
-�rti ��G
Date Received:
0410712008
4)
5
Tsme Received:
14:45
Collector
E OWEN
i
a Y
Labworks LoginlB
MMATHiS
Region-
RRp
Sample Matrix:
GROUNr]WATEFt
—
Data Reported
$/26ID6
Loc. Type:
Ihfluent
Repast Generated:
06126r2ov6
Emergency YeslNo
Vlsitl❑
COG Yes/No
LoC. Oescr,; 1111 MONTEREY VALLEY OR CHAPEL HILL WELL. HEAP WELL TAP
Location ID:
RROAPNLC
Collect Date: 04102=101 Collect Time:: 10:45
Sample Depth
Sampee Qualifiers and Comments
A.
Routine Qualifiers
REVISED
REPORT
DAT�;?Er RALS.
For a more detailed description of these qualifier codes refer to www_dwgtab.org under Staff Access
A -Value reported is the average of two or more determinations
$1-Countable membranes with <20 colonies; Estimated
B2- Counts 1rnm all filters were zero.
133- Countable membranes with more than 60 or 80 colonies; Estimated
134-Filler have counts of both >60 or 80 and c 20; Estimated
05-Too many snbnies were present; too numerous to count (TNTC)
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated
JB-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1-The component has been tentatively identified based on mass spectral library search and has an estimated value
LAB
N3-Estimated concentration is a PQL and >MOL
NE -No eslabtished PQL
P-Elevated PO due to matrix interference and/or sample dilution
QI•Hofding time exceeded prior to receipt at lab,
Q2- Holding time exceeded following receipt by lab
PQL- Practical QuantitaGan Limit -subject to chaNe due to instrument sensitivity
U- Samples analyzed for this compound but not detected
X1- Sample not analyzed fox this compound
Laboratory Section>i 1623 Mall service Center, Raleigh, NC 27699-1523 (919) 73]•]9a8
Page 1 of 3

¾C ©'WQ La6oratory Section CR.gsu[ts Sample ID AB28444
'.ocation ID: RROAPNLC Collect Date: 04/02/2008
Loe. Descr.: 1111 MONTEREY VALLEY DR CHAPEL HILL WELL HEAD WELL TAP Collect Time:: 10:45
Visit ID
CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By /Date
Sample tempera1ure at receipt by lab 2.7 ·c DSAUNDERS MMATHIS
Method Reference 4/2/08 4/2/08
MIC
Coliform, MF Fecal In liquid B2 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222D-20th 412/08 4fl/08
Coliform, MF Total In liquid B2 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222B-20th 4/2/08 4fll08
Alkalinity to pH 4.5 of liquid .,.. _TITLE_ mg/Las CaC03 ADESAI MOVERMAN
Method Reference APHA23208-20th 4/3/08 4/10/08
Alkallnfly4.5 75 . mg/Las CaC03 ADESAI MOVERMAN
Method Reference APHA23208-20th -~ 4/3/08 4/10/08
Alkallnlty8.3 u mg/Las CaCO3 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
Bicarbonate 75 mg/Las CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
Carbonate u mg/Las CaCO3 ADESAI MOVERMAN
,~
Method Reference APHA2320B-20th 4/3/08 4/10/08
pH_Alkallnfly 6.7 mg/las CaCO3 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
WET .I ,.
Ion Chromatography _TITLE_ mg/L MIBRAHIM MOVERMAN
Method Reference EPA 300.0 4/4/08 4/10/08
Total (?lssolved Solids In liquid 12 144 mg/L AWILLIAMS MOVERMAN
Method Reference APHA2540C-18TH 4n/08 4/10/08
Chloride 1.0 4.7 mg/L MIBRAHIM MOVERMAN
\ Method Reference EPA300.0 4/4/08 4/10/08
Fluoride 0.4 0 .4 u rng/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4/10/08
Sulfate 2.0 2 .0 u rng/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4/10/08
NUT
NH3 as N In liquid 0.02 0.02 u mg/LasN MOVERMAN CGREEN
Method Reference Lac10-107-06-1-J 4/2/08 4/15/08
Total K)eldahl N as N In liquid 0.2 0.20 U,J2 mg/Las N MOVERMAN CGREEN
Method Reference lachat107-06-2-H 4/8/08 4/15/08
NO2+NO3 as N In liquid 0.02 0.34 mg/LasN MOVERMAN CGREEN
Method Reference Lacl0-107-04-1-c 4/2/08 4/15/08
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of3
WC ©WQ £a6oratory Section ~sults Sample ID AB28444
Location ID: RROAPNLC Collect Date: 04/02/2008
Loe. Descr.: 1111 MONTEREY VALLEY DR CHAPEL HILL WELL HEAD WELL TAP Collect Time:: 10:45
Visit ID
CAS# Analyte Name PQL Res ult Qualifier Units Analyst/Date Approved By /Date
Phosphorus_total as P In llqud 0.02 0 .04 mgllasP MAJAYI CGREEN
Method Reference Lac10-115-01-1EF 4'7/08 4/15/08
Nitrate as N In llquld 0.02 0.34 mg.ll.asN MOVERMAN CGREEN
Method Reference Lachat107-04-1-c 4/14/08 "4/15/08
Nitrite as N In llquld 0.01 0.01 u r mgllasN MAJAYI CGREEN
Method Reference Lachat107-04-1-c 4/3/08 4115/08
MET
7429-90-5 MbylCP 'I\• 50 50 u uglL BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7440-70-2 CabylCP 0.10 20 mglL BSKINNER ESTAFFORO
Method Reference EPA200.7 -~ 4/16/08 5/1/08
7440-43-9 CdbylCPMS 1.0 1.0 u ug/L SGOSS ESTAFFORO
Method Reference EPA200.8 4/11/08 5/1/08
7440-47-3 CrbylCPMS 10 10 u uglL SGOSS ESTAFFORO
Method Reference EPA200.8 4/11/08 5/1/08
7440-50-8 CUbylCPMS 2.0 9.1 ug/L SGOSS EST AFFORD
,_.,,
Method Reference EPA200.8 4/11/08 5/1/08
7440-48-4 FebylCP 50 50 u ug/L BSKINNER ESTAFFORO
Method Reference EPA200.7 4/16/08 5/1/08
7439-95-4 MgbylCP 0.10 6.9 mg/I.. BSKINNER EST AFFORD I
•
Method Reference EPA200.7 4/16/08 5/1/08
7439-96-5 MnbylCPMS 10 10 u uglL BSKINNER EST AFFORD
Method Reference EPA200.8 4/16/08 5/1/08
7440-23-4 NabylCP 0.10 9.5 mg/L BSKINNER ESTAFFORD
Method Reference EPA200.7 4/16/08 511/08
7440-02-0 NlbylCPMS 10 10 u uglL SGOSS ESTAFFORD
Method Reference EPA200.8 4/11/08 511108
744,0~6~ ZnbylCPMS 10 10 u ug/L BSKINNER EST AFFORD
Method Reference EPA200.8 4/16/08 5/11'08
,;
Laboratory Section» 1623 Mall Service Center, Raleigh, NC 27699-1623 [phone] Page3of3
GROUNDWATER FIELD/LAB FORM
Location code
County- -Q rgN}L
OSCL�G
SAMPLE TYPE SAMPLE PRIORITY
Water ❑ Routine
❑5I ❑
Quad No Serial No. al Emergency
Lat. Lang. ❑ Other
❑ Chain of Custody
Report To: ARO, FRO, MRO, RO aRO. WiRO,
WSRO, Kinston FO, Fed. Trukentral Off., Other:
Shipped by: Bus Cowrie , afid De , Other Purpose:
Collectogs): ��1w f r� Date - 0 Time 10',L Arid Baseline Complair
FIELD ANALYSES Owner
pH 40Q Spec. Ctand.�4 r at 255C Location or Site 1
Temp.to eC Odor 3 l2lescriptian of sampling point_
Appearance / . I eA 1Z Sampling Method
Field Analysis By: F TI D Lu 11 Remarks
LABORATORY ANALYSES
SOD 310 mg/L
COO High 340 mg1L
COO Law 335 mgtL
Coliform MF Fecal 31616 1100MI
Caliform: MF Total 31504 11o0m1
TOC $80 mg1L
Turbidity 76 NTU
Residue, Totat Suspended 530 mglL
pH 403 units
Alkalinity to pH 4.5 41C mglL
Alkalinity to pH 0.3 415 rntyL
Carbonate 445 mg1L
Bicarbonate 440 mglL
Ca on diorade 405 mglL
Chloride 940 mg1L
Chromium: Hex 1032 uglL
Color: True 80 CLl
Cyanide 720 mglL
a ss- Solids 70300
mglt
Fluoride 951
mgfL
Hardness: Total 900
mglL
x
Hardness (non-carb1 902
mg1L
Phenols 32736
ugA
Specific Cond. 9S
pMhoslcm
Sullale 945
mglL
Sulfide 745
mglL
Oil and Grease
mg+L
NHj as N 610
mgll.
TKN as N 625
mglL
NO= + Ni7, as N 630
mg1L
P. Total as A 665
mg1L
Nitrate (NO, as N)620
mglL
Nitrite (NOS as N) 615
mglL
North Carolina
❑epartmenI of Environment and Natural Resaurces
DIVISION OF WATER QUALITY -GROUNDWATER SECTION
4�
Lab Number 9444
IT Date Received `f-j-0' , Time:
Rec'd By: From: Bus, Courie ,Hand el.,
Other. _ _ _
Data Entry By: Ck:
Date Reported:
Compliance, LUST, Pesticide Study, Federal Trust, Other: U� L �� �L�►}
r naaQ l6rcla-1
Ag-Silver 46566 99fL
Al -Aluminum 46557 IL
As-A(senic 46551 L
Ba-eadum 46558 tux
Ca-Caldum 46552
Cd-Cadmium 46559 U91L
Cr-Chromium 46559
Cu-Copper 46552 ucYL
X
Fe -Iron 46663 L
H¢Mercury 71900 LKJIL
K-Potassium 46555 m n-
Mg-Magnesiurn 46554
Mn- Manganese 46565
No -Sodium 46556 mWL
Nit -Nickel VqfL
Pb-Lead 46564 U91L
Se -Selenium uq1L
ZrrZinc 46557 L
Sample Interval,
air tamp., etc-)
Or anoch}orirx Pesticides
Of9amphosphorus Pesllddes
Nii n Pesticides
Acid Herbicides
PCBs
Sernhoialile Organics
TPH-Diesel Range
Volatile Organics VOA bottle
TPH-Gasoline Range
TPH-BTF-X Gasoline Range
Temperatureore on arrival (IC):
Temperature
I�

Reportto:_RROAP _____ _
Lab Number: ~ L;;1;~?
.. tation Location: 1111 MorMer)'
Valley
Sample Type: Groundwater
Date collected: _4...,;,/..:....;2/...,;,0-=-8 _____ _
.. .. " ...
NC DENR/DWQ Laboratory
Sample Anomaly Report (SAR)
Sample ID:
.County: Orange Region: RRO
Priority: Routine Collector: E.Owen
Date received: 4/2/08 Date analyzed: '4/08/2008
Affe~ted Parameter(s): _T_KN __________________________________ _
Analytical Area (check one):
OWCH
181NUT
□METALS
□MICRO
The following anomalies occurred ( check all that apply):
□Samples
□Improper container used
□VOA vials with headspace
□Sulfide samples with headspace
□Samples not received, but listed on fieldsheet
□Samples received, but not listed on fieldsheet
□Mislabeled as to tests, preservatives, etc.
□Holding time expired
□Prior to receipt in lab
□After receipt in lab
□Insufficient quantity for analysis
□Sample exhibits gross non-homogeneity
□Sample not chemically preserved properly
OpH out of range (record pH):
□Improper che~ical
□Residual chlorine present in sample
□Color interference
□Heavy emulsion formed during extraction
□Sample bottle broken in lab -no reportable results
□VOA
□PEST
181Quality Control
OWARO
OSVOA
□Instrument failure -110 reportable results
□Analyst error -no reportable results
□Surrogates
□None added
□Recovery outside acceptance limits
□Spike recovery
□None added
□Recovery outside acceptance limits
□Failed to meet criteria for precision
□Internal standards
□Blank contamination
~QC data 'ieported outside of controls (e.g., QCS, LCS)
□Incorrect procedure used
□SOP intentionally modified with QA and Branch Head
approval
□Invalid instrument calibration
□Elevated detection limits due to:
□Insufficient sample volume
C8:IOther (specify):The LFB digested with the sample had recovery of 111 %, which is outside of the acceptance limits of90 to
110%. The other QC results for the sample digestion and analysis were acceptable. ~-
Comments: The sample result will be qualified with ]2 .due to the LFB being outside of acceptance limits.
Corrective Action:None.
□Samples were rejected by DWQ Lab. Authorized by: Date:
□Accepted and analyzed after notifying the collector or contact person and determining that another sample could not be secured.
0Sample(s) on hold until:
~Sample reported with qualification. Data qualification code used~J2 /
OOther ( explain):
Notification Required? D Yes D No
Person Contacted: Date:
Form completed by: __._M_ax_O_,_'erma __ @,____~-++----------· _ Date: 4/8/2008
Lead Chemist Review (initial}:
[iJ.BIOCHEM J!:::!2..._
□METALS
□PEST □VOA--
Branch Head Review (initi~~O'{-ct f -I f: CA/QC Review (initi~.S 'f./t. of I> "t
. QA \Forms\Laboraaory\SAR
...
;f
OSV0A __
Logged into database by (initial): ___ _
10123/0ldbl
NC (DVQ Ga6orator Section ( esuCts
County:
ORANGE
Sample ID:
AB28445
River Basin
RROAP
F wA a R
�G
PO Number
8G0351
Report To
-��
Date Received:
04102J2008
vy 7'
r—
�
Time Received:
12:45
CaRertor.
E OWE
—+
a Y
Labworks Loginl❑
MM ATHIS
Region
RR❑
Sample Malnx:
GROUNDWATER
Date Reported.
6126M
Loc- Type:
Effluent
Report Generated:
0612 0008
Emergency YeslNo
Vpsitl❑
COC Yes/No
LcC. De5cr_: JIM MONTEREY VALLEY DR CHAPEL HILL
tocation to,
RROAPNLC
Collect Date: 0410212008 Collect Time:: tGA5
Sample Depth
Sample Qualifiers and Comments
REPORT 10
DATE:
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglat).org under Staff Access
A-Vatue reported is the average of two or more determinations
H1-Countable membranes with 40 colonies; Estimated
i�
82- Counts .m all filters were zero.
133- Courtlabte membranes udlh more than 60 or Bo colonies; Estimated
134-FilteVave counts of both DSO or 80 and r 20; Estimated
B5-Toa many colonies were present; too numerous to count (TNTC)
J2- Reported value failed to meet OC criteria tof either precision or accuracy; Estimated
J3-The sample matrix inlerfered with the ability to make any accurate determination; Estimated
JS-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
NI -The Component has been tentatively identified based on mass spectral library search and has an estimated value
LAB
N3-Estimated concentration is t POL and 7MDL
NE -No established POL
P•Elevated PQL due to matrix interference andfor sample dilution
Q1-Holding time exceeded pnor to receipt at lab-
02- bolding time exceeded following receipt by lab
POL- Practical Quantitation Limit -subject to change due to instrument sensitivity
U- Samples analyzed for th;s compound but not detected
X 1 - Sample not analyzed fnr this compound
r.
Laboratory Sectlon7] 1623 Mail Service Center, Raleigh, NC x7649-1623 [phone]
Page S of 3

I . 'NC (J)WQ La6oratory Section CR.§su{ts Sample ID AB28445
Location ID: RROAPNLC Collect Date: 04/02/2008
Loe. Descr.: 1111 MONTEREY VALLEY OR CHAPEL HILL Collect Time:: 10:45
Visit ID
CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By /Date
Sample temperature at receipt by lab 3.1 ·c DSAUNDERS CGREEN
Method Reference 4/2/08 4/2108
MIC
Coltfonn, MF Fecal In liquid B2 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222D-20th 4/2/08 4nt08
Collfonn, MF Total In liquid B2 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222B-20th 412/08 4n108
Alkalinity to pH 4.5 of liquid _TITLE_ mg/Las CeC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
Alkallnlty4.5 72 . mg/Las CeC03 AOESAI MOVERMAN
Method Reference APHA2320B-20th .A» 4/3/08 4/10/08
Alkallnlty8.3 u mg/Las CeC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
Bicarbonate 72 mg/Las CeC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
carbonate u mg/Las CeC03 ADESAI MOVERMAN ,.~
Method Reference APHA2320B-20th 4/3/08 4/10/08
pH_Alkallnlty 6.6 mg/Las CeC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
WET / • Ion Chromatography _TITLE_ mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4/10/08
Total Dissolved Sollds In liquid 12 143 mg/L AWILLIAMS MOVERMAN
Method Reference APHA2540C-18TH 4ll/08 4/10/08
Chloride 1.0 4.7 mg/l. MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4/10/08
Fluoride 0.4 0.4 u mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4110/08
Sulfate 2.0 2.0 u mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4/10/08
NUT
NH3 as N In liquid 0.02 0.02 u mg/LasN MOVERMAN CGREEN
Method Reference Lac10-107-06-1-J 412/08 4/15/08
Total tqeldahl N as N In liquid 0.2 0.20 U,J2 mg/LasN MOVERMAN CGREEN
Method Reference Lachat107-06-2-H 418/08 4/15/08
N02+N03 as N In liquid 0.02 0.36 mg/LasN MOVERMAN CGREEN
Method Reference Lac10-107-04-1-c 4/2/08 4/15/08
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of3
WC (D(PVQ Ga6oratory Section Results Sample ID A828"S
Location ID: RROAPNLC Collect Date: 04102UN8
Loc. Descr.: 1111 MONTEREY VALLEY DR CHAPEL HILL Coiled Time : 10:45
Visit ID
I CAS # Aoatyte Name POL Result OU4119W Unite AnatystUate Approved By (Data
spfIo= taint as P In liquid 0.02 0.04 MG& as P MAJAYI CGREEN
Method Reference La00-115.01-1EF 417108 4115M
Nitrate as N in llquld 0,02 0.36 mg& as N MOVERMAN CGREEN
Method Reference 1actwi107-041c 4114= 4115109
Nllift as N In kod 0-01 0.01 U mpll as N AAAJAYI CGREEN
Method Reference Lachat107-04.1c 413108 4115108
MET
7429.90-5
A] hylCP
51)
50 U
LOYL
BSKINNER
ESTAFFORD
Method Reference
EPA20D.7
411fi=
Vim
7440-70-2
Ca by ICP
0.10
19
rnwL
BSKINNER
ESTAFFORD
Method Reference
EPA 2D0.7
4116MO
511108
7440-43-9
Cd by ICPMS
1.0
1.0 U
UWL
SGOSS
ESTAFFORD
Method Reference
EPA 200.9
Ut 1108
511108
7440-47-3
Cr by ICPMS
10
10 U
UWL
SGOSS
ESTAFFORD
McMad Reference
EPA200-9
4111MO
511I08
7440-50-8
C U by IC PMS
2.0
25
upfL
SGOSS
ESTAFFORD
Method Reference
EPA 200,8
4111/08
slim
7440-08-4
Fe by ICP
50
50
U
QWL
BSKINNER
ESTAFFORD
Method Reference
EPA200-7
4116M
511108
743E-95-4
M0 ty iCP
0.10
6.6
Mwt
BSKINNER
ESTAFFORD
Method Reference
EPA 200,7
411fi108
511"
7439-96-5
Mn by tCPMS
10
10
U
U90L
BSKINNER
ESTAFFORD
Method Reference
EPA 200.8
4116M
5AM
7440-23-4
Na f y ICP
0.10
92
mgli.
BSKINNER
ESTAFFORD
Method Reference
EPA200.7
4f16011
5mm
7440-02-0
NI by IC PMS
t 0
10
U
UpfL
SGOSS
ESTAFFORD
Method Reference
EPA 200.8
411110f3
511A78
74*0-68-6
2ft by ICPMS
10
10
U
uglL
BSKINNER
ESTAFFORD
Method Referee a
EPA 200.8
41161V8
511=
f�
Laboratory Sectiom� 1623 Mail Service Center, Ralt:4gfi, NC 27699.1623 1919) 733-3908 Page 3 of 3

GROUNDWATER FIELDILAB FORM
Location Code 5 V 0 (L R W i 0 S &CC) t 3 SAMPLETYPE
County 0 Water
Quad No Serial No. ❑ Soil
Lat. Long. ❑ Other
❑ Chain of Custody
Report To: ARO, FRO, MR RR , WaRO, WiRO,
WSRO, Kinston FO, Fed. T ntral OFF., Other:
Shipped by: Bus, C uder and DeI�, Other.
Collector(s): G- t] w Date - a Tim
FIELD ANALYSES }
pH 400 l i Spec. Cond.i at 25eC
Temp.,n_ � i� °C Odor n]n "z
Appearance C
Field Analysis By: �i � _
LA130RATORY ANALYSES
900310
mplL
COD High 340
mgk
COD Low 335
ml#L
Cohkxm: MF Focal 31616
floomt
]C
Colifvrm: MF Total 31504
1100m1
TOC $00
M911-
Turbidity 76
NTU
Residue, Total Suspended 530
mg/L
pH 403
units
][
Alkalinity to pH 4.5 410
mg1L
X
Alkalinity to pH 6.3 415
mglL
Ca to 445
M91L
�(
Bicarbonate 440
rng/L
CaiLbw dioxide 405
mg1L
Chiaride a to
mg1L
Chrom]um: Hex 1032
uglL
Color: True 80
Cu
Cyanide 720
mglL
SAMPLE PRIORITY
❑ Routine
❑ Emergency
Location or Site t
ascription of sampling
Sampling Method
Rem arks
%[
Diss. Solids 70300 mg1L
Fluoride 95f mglL
Hardness; Talal 900 m9tL
Hardness (noncwb) 002 mglL
Phenols 32730 ugA
Specific Cond. 95 pMhoslsm
$utfale 945 mg1L
Sulfide 745 rnglL
Oil and Grease mglL
NH3 as N 610 mglL
TKN as N 625 mglL
NO2 + Nd, as N 630 m911.
P: Total as P 665 mgfL
�[
Nilrale (NOi as N) 620 mg1L
Write (NO2 as N) a15 mg1L
North Carolina
Department of Environment and Natural Resources
DMSION OF WATER QUALITY -GROUNDWATER SECT10N
� 3� --
Lab Number
Date Received _j_-2 -U Time:
Reed By: From:Bus, Courier, an Del.,
Other;
Data Entry By: Ck;
Date Reported:
Compliance, LUST, Pesticide Study, Federal Trust, Other fiFFLM
t 1. _ .. (drds 0ne)
Ag•Silver46566
A]-Aluminvn 46557
As-Araerrc 46557 L
9a-Barium 46556 L
Ce-Calcium 46552
A
Cd-Cadmium 46559
Cr-Chrorri=46558
Cu-Copper46562 29L
Fe -Iron 46563 L
Hg-Mercury 71900 L
K•Potassium 46555 m
Mg -Magnesium 46554
Mn-Manganese 46565 mq�L
T.,
Ns -Sodium 46556 M911-
X-
Ni-Mickel
Pb-Lead 46564 L
Se -Selenium 4VL
ZrrZinc 46557
Organochlodne Pesticides
09,01cThosphorus Pesticides
hfitrogen Pesticides
Aeld Herbicides
Pces
Se nWatile Or anus
TPH-Diesel Ra
Volafik 29&rk3(VOA boWe
TPKGasdine Ran
TPFFBTFaf Gasoline Ra
LAB USE ONLY
Temperature on arrival (°C):
r
f,

Report to: :....RROAP _____ _
Lab Number: AB28444,
cxs2s445)
.. .-:.=-'tation Location: 1111 Montefy
NC DENR/DWQ Laboratory
Sample Anomaly Report (SAR)
County: Orange .,
Sample ID:
Region:
:(.¥"... _V_al_le ..... Y ____ _
-. Sample Type: Groundwater Priority: Routine Collector:
Date collected: 4/2/08 Date received: _4_/_2_/0_8____ Date analyzed:
RRO
E.Owen
4/08/2008
Affected Parameter:(s): ---=T..::.KN=-.:.... _________________________________ _
Analytical Area (check one):
□WCH □METALS
□MICRO 181NUT
The following anomalies occurred ( check all that apply):
□Samples
□Improper container used
□VOA vials with headspace
□Sulfide samples with headspace
□Samples not received, but listed on fieldsheet
□Samples received, but not listed on fieldsheet
OMi_s_labeled as to tests, preservatives, etc.
□Holding time expired
□Prior to receipt in lab
□After receipt in lab
□Insufficient quantity for analysis
□Sample exhibits gross non-homogeneity
□Sample not chemica11y preserved properly
OpH out of range (record pH):
□Improper chemical
□Residual chlorine present in sample
□Color interference
□Heavy emulsion formed during extraction
□Sample bqttle broken in lab -no reportable results
□VOA
□PEST
181Quality Control
OWARO
OSV0A
□Instrument failure-:-no reportable results
□Analyst error -no reportable results
D Surrogates
□None added
□Recovery outside acceptance limits
□Spike recovery
ONoneadded
□Recovery outside acceptance -limits
□Failed to meet criteria for precision
□Internal standards
□Blank contamination
181QC data ref;orted outside of controls (e.g., QCS, LCS)
□Incorrect procedure used
□SOP intentionally modified with QA and Branch Head
approval
□Invalid instrument calibration
□Elevated detection limits due to: · □Insufficient sample volume
~Other (specify):The LFB digested with the sample had recovery of 111%, which is outside of the acceptance limits of90 to
110%. The other QC results for the sample digestion and analysis were acceptable.
Comments: The sample result will be qualified with J2 due to the LFB being outside of acceptance limits.
Corrective Action:N one.
□Samples were rejected by DWQ Lab. Authorized by: Date:
□Accepted and analyzed after notifying the collector or contact person and determining that another sample could not be secured.
0Saniple(s) on hold until:
181Sample reported with qualification. Data qualification code used:n /
□Other ( explain):
Notification Required? D Yes O No
Person Contacted: Date:
Form completed by: !rv1ax Overma~
Lead Chemist Review (initial):
l!JBIOCHEM .J!::fL
□METALS __
e.+ O.X----Date: 4/8/2008
□PEST □VOA~
.
rr:··.· _Branch Hea~ Review (~n~~~~'/-o f., 'f
~A/QC Review (1n1ti~5 'f./t o{ 0 "'t
QA \Forms\Labol'1lt0r)'\SAR
OSV0A __
_ logged into database by (initial): ___ _
10/23/0ldbll
Michael F. Fasiey, Govenior
Wiiham G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resaumes
Coleen H. Sullins, Director
Division of Water Quality
March 3, 2008
Jeff and Joy Frelinger
1 I I I Monterey Valley Drive
Chapel Hill, NC 275165
Ca)of:�1111all 30111 E1110
RETURN RECEIPT REQUESTED
7006 21.50 0003 5466 5680
Subject: Notice of Expiration (NOE)
5 A7 Geothermal Injection Well
Permit No. W10500013
Frelinger SFR
I 1 I 1 Monterey Valley Drive, Chapel Hill, NC
Orange County
Dear Mr. and Mrs. Frelinger:
The Underground Injection Control (UIC) Program of the North Carolina Division of Water
Quality (DWQ) 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 }underground injection well system, which was issued on June 19, 2003, and expires on June
30, 2008, has not been renewed. In addition, our records do not indicate that the well system has
been plugged and abandoned.
In order to comply with the regulatory requirements listed under North Carolina Administrative
Code (NCAC) Title 15A, Subchapter 2C, Section .0211, you must submit one of the following
forms:
A. Application for Permit (Renewal) to Construct and/or Use a Well(s) for Injection with
Geothermal Heat Pump System for Type 5A7 Well(s) if the injection well system on your
property is still active.
C90*
B. Status of Injection Well System if the injection well system is inactive or has been
temporarily or permanently abandoned.
Aquifer Protection Section 1636 Mail Service Center
Internet www.ncwaterqualitv.org Location: 2729 Capital Boulevard
An Equal ❑pportunttylAfGrmattve Acton Employer- 50% Recycledll0% Post Consumer Paper
JhCaro� i� a
. mr, llY
RRIeigh, NC 27699-1636 Tclephon:- [phone]
Raieigh, NC 27604 Fax I; [phone]
Fax 2: [phone]
Customer Service: [phone]

If there has been a change of ownership of the property, an Injection Well Permit
Naine/Ownership Change Form must also be submitted.
If the injection well system 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 .0214. When each well is plugged and abandoned, the well abandonment record
(Form GW-30) must be submitted to our office to certify that the abandonment was properly
conducted. If the injection well system is still active and you wish to renew your permit, the
renewal application must be submitted within 30 calendar days of the receipt of this letter to:
Aquifer Protection Section
Groundwater Protection Unit
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Failure to submit these forms in a timely manner may result in the assessment of civil penalties
in accordance with North Carolina General Statute 87-94. For your convenience, a renewal
application and a UIC well system status form are attached along with a self-addressed envelope.
The above referenced forms are also available on-line at theDWQ website at
http://h2o.enr.state.nc.us/aps/gpu/forms.htm.
Thank you in advance for your cooperation and timely response. If you have any questions,
please call me at [phone]
Attachments
Sincerely,
~ ;,l,,
/ ~v~
Michael Rogers
Environmental Specialist
cc: Raleigh Regional Office -APS w/o enclosures
APS Central Files -Permit No. WI0500013 w/o enclosures
Page 2
❑ e W A rE9 G Michael F. Easley, Governor
William G, Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
Q Coieen H. Sullins, Director
Division of Water Quality
March 19, 2008
Jeffrey and Joy Frelinger
l 111 Monterey Valley Drive
Chapel Hill, NC 27516
Subject: Permit No. W10500013
5A7 Geothermal Injection Well
Orange County
Dear Mr. and Mrs. Frelinger,
We received your application package for the renewal of the above referenced permit to operate a 5A7
Geothermal Injection well. on March 17, 2008. The renewal application you completed and submitted is being
returned because it only had the signature of Mr. Frelinger. According to the Grange County GIS, the co-owner is
Joy Frelinger. All property owners must sign the application.
Therefore, please re -submit the application with the signature of both property owners within 30 days of
receipt of this letter, Please find attached a self-addressed envelope for your convenience.
If you need additional information concerning this matter, please contact me at [phone]. Thank you
for your cooperation.
Sincerely,
Michael Rogers
Environmental Specialist
GPU-LIC
Attachment(s)
cc: Raleigh Regional Office — Jay Zimmerman
APS Central Files
I?o rhCamlina
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699.1636 Phone (9I91733-3221 Customer Service
Internet: http:llh2o.enr.state,nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone].623.6748
Fax [phone]
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Permit Number WI0500013
Program Category
Ground Water
Permit Type
Injection Heating/Cooling Water Return Well (5A7)
Primary R.eviewer
michael.rogers
Permitted Flow
Facmtv
Facility Name
Jeffrey and Joy Frelinger -SFR
Location Address
1111 Monterey Valley Dr
Chapel Hill NC
Owner
Owner Name
Jeffrey
Dates/Events
Orig Issue
04/03/92
App Received
03/17/08
R.eaulated Activities
Heat Pump Injection
Outfall NULL
27516
Frelinger
Scheduled
Draft Initiated Issuance
Central Files: APS_ SWP_
05/27/08
Permit Tracking Slip
Status
In review
Project Type
Renewal
Version Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Raleigh
County
Orange
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Jeffrey Frelinger
1111 Monterey Valley Dr
Chapel Hill NC
Public Notice Issue Effective
a;/aB(oi
Reguested/Receiw~d Events
RO staff report requested
Additional information requested
Additional information received
RO staff report received
Additional information received
27516
Expiration 4/~1~13
03/18/08
03/19/08
03/24/08
04/08/08
05/21/08
Waterbody Name Stream Index Number Current Class Subbasin
Michael F. Easley, Governor
William G. Ross Jr., secretary
North Carolina Department of Environment and Natural Resources
Coieen H. Sullins, Director
Division of Water Quality
May 27, 2008
Jeffrey and Jay Frelinger
l l l l Monterey Valley DriVe
Chapel Hill, NC 27516
Re: Issuance of Injection Well Permit
Permit No. W10500013
Issued to Jeffrey and Joy Frelinger
Dear Mr. and Mrs. Frelinger:
In accordance with your signed and completed application received March 24, 20ft 1 am
forwarding Permit No. WI0500013 for the operation of a SA7 geothermal underground injection
well (UIC) heat pump system located at II I Monterey Valley Drive, Chapel Hill, Orange
County, North Carolina. This permit shall be effective from the date of issuance until April 30,
2013, and shall be subject to the conditions and limitations stated therein.
Please pay special attention to the bolded language in permit conditions in Part 1,
paragraphs 7 and S. Copies of the GW-1 well completion form(s) shall be retained on -site
for inspection. Also, a well ID plate must be affixed to the geothermal system. Your heat
pump and well contractors should provide this information. Please retain these records so
that in the event your property is sold or transferred, the new Perndttee will have this
information.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit
an application to renew the permit four (4) months prior to its expiration date. As indicated zn
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.
Also attached is a summary of the laboratory sampling results from water samples collected from
your geothermal well on April 2, 2008.
If you have any questions regarding your permit or the Underground Injection Control (UIC)
Program please call Mr. Qu Qi at (91.9) 715-6935 or me at [phone].
Aquifer Protection section I636 Mail Service Center Raleigh, NC 27699-1636
Internet: http: /www,ncwaterpualitv,2M Capital Boulevard Raleigh, NC 27604
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N2n�` Carolina
NatrrrallY
Telephone: [phone]
Fax is [phone]
Fax 2: (919) 715-04a
Customer Service: (.877) 623-6748

Best Regards,
Michael Rogers
Environmental Specialist
GPU -UIC Control Program
cc: Jay Zimmerman -Raleigh Regional Office
Central Office File -WI0500013
Orange County Health Department
Attachment( s)
WI0500013 Page2
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT CONBUSSION
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 kl, Chapter 143, and other
applicable Laws.. Rules, and Regulations
= ;iTKIVIrepeI& OW110 Kel:19M.1 k "ram CI N7
JEFFREY AND JOY FRELINGER
FOR THE OPERATION OF A TYPE 5A7 INJECTION WELL, 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 II 11 Monterey Valley Drive, Chapel Hill.
Orange County, North Carolina, and will be operated in accordance with the application received
March 24, 2008, and in conformity with the specifications and supporting data submitted, all of
which are filed with the Department of Environment and Natural Resources and are considered a
part of this permit.
This permit is for Operation only, and does not waive any provisions of the Water Use Act or
any other applicable Laws, Rules, or Regulations. Operation and use 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 April 30, 2013,
and shall be subject to the specified conditions and limitations set forth in Parts I through VIII
hereof.
-dr—
Permit issued this the �— day of i�`e Y , 2008.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
WI0500013 Page 3

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
C .
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 well injection system 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, DENR-Division of Water Quality, Aquifer Protection Section UIC-Staff, 1636
Mail Service Center, Raleigh, NC 27699-1636, within 30 days of completion of well
construction. Copies of the GW-1 well completion 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.
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
WI0500013 Page4
imposed by other local, state, and federal agencies, which have jurisdiction. Furthermore,
the issuance of this permit does not imply that all regulatory requirements have been met.
PART III -PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained atid operated at all times so that there
is no contamination of groundwater, which will render it unsatisfactory for normal use. In
the event that the faciiity fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Pennittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality such as the repair, modification, or abandonment
of the injection facility.
2. The Pennittee 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 -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be prop~rly maintained and operated at all times.
2. The Pennittee must notify the Division and receive prior written approval from the
Director of any planned physical alterations or additions in the permitted facility or activity
not specifically authorized by the permit.
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.
WI0500013 Page5
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 Raleigh Regional Office, telephone number (919) 791-
4200, any of the following: .,
(A) Any occurrence at the injection facility, which results in any unusual
operating circumstances;
(B) Any failure due to known or unknown reasons, that renders the facility
incapable of proper injection operations, such as mechanical or electrical
failures.
3. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to
the Director by the Permittee.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall
take such immediate action as may be required by the Director.
PART VII-PERMIT RENEWAL
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 discontinuation of use of a well for
injection. If a well is taken completely out of service temporarily, the Permittee must
install a sanitary seal. If a well is not to be used for any purpose that well must be
permanently abandoned according to 15A NCAC 2C .0213(h)(l), Well Construction
Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Pennittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .0214, including but not limited to the following:
(A)
WI0500013
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.
Page 6
(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)(l) within 30 days of completion
of abandonment.
3. The written documentation required in Part VIII (1) and (2) (G) shall be submitted to:
WI0500013
Aquifer Protection Section-DIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Page 7
w/o /4);'/~
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Date: 04/02/2008
To: Aquifer Protection Section Central Office
Central Office Reviewer: Michael Rogers
Regional Lo_gin No: 05
County: Orange
Permittee: Jeff Frelinger
Project Name: UIC-(5A7) Open Loop
Application No.: WI0500013
L GENERAL INFORMATION
1. This application is (check all that apply): D New ~ Renewal
D Minor Modification D Major Modification
D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon
D Land Application of Residuals
D Distribution of Residuals
D Attachment B included
D Surface Disposal
D 503 regulated D ,503 exempt
D Closed-loop Groundwater Remediation ~ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ~ Yes or D No.
a. Date of site visit: 04/02/2008
b.. Person contacted and contact information: Joy Frelinger, Phone# [phone]
c. Site visit conducted by: Ed Owen
d. Inspection Report Attached:~ Yes or D No.
2. Is the following information entered into the BIMS record for this application correct?
RECEMD/DENR/0\\Q
Aquifer Protection Section
APR O 8 200S
~ Yes or D No. Ifno, please complete the following or indicate that it is correct on the current application.
For Treatment Facilities:
a. Location:
b: · Driving Directions: __
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: ___ _
e. Regulated Activities/ Type of Wastes (e.g., subdivision, food processing, municipal wastewater): __
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a ilew section into the
document for each site, or attach additional pages for each site)
a. Location(s): __
b. Driving Directions: __
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: __
IL NEWAND MAJOR MODIFICATION APPLICATIONS (this section not needed fo r renewals or minor
modifi cations, skip to next section )
Description OfWaste{S) And Facilities
1. Please attach completed rating sheet. Facility Classification: __
2. Are the new treatment facilities adequate for the type of waste and disposal system?,
FORM: Frelinger staff report.doc 1
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
D Yes D No D N/A. Ifno, please explain: __
3. Are the new site conditions (soils, topography, depth to water table, etc) consistent with what was reported by
the soil scientist and/or Professional Engineer? D Yes D No D N/A. Ifno, please explain: __
4. Does the application (maps, plans, etc.) represent the actual site (property lines, wells, surface drainage)? D
Yes D No D N/A. Ifno, please explain: __
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. 0Yes0No0
NI A. If no, please explain: · __
6. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
D Yes D No D N/A. Ifno, please explain: __
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
D Yes D No D N/ A. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part IV: __
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? D Yes or D No. If yes, please
attach a map showing conflict areas or attach any new maps you have received from the applicant to be
incorporated into the permit: __
9. Is proposed and/or existing groundwater monitoring program (number of wells, frequency of monitoring,
monitoring parameters, etc.) adequate? D Yes D No D N/A. Attach map of existing monitoring well
network if applicable. Indicate the review and compliance boundaries. If No, explain and recommend any
changes to the groundwater monitoring program: __
10. For residuals, will seasonal or other restrictions be required? D Yes D No D N/A If yes, attach list of sites
with restrictions (Certification B?)
IIL RENEWAL AND MODIFICATION APPLICATIONS (use previous section for new or maior modification
systems)
Description Of Waste(S) And Facilities
1. Are there appropriately certified ORCs for the facilities? D Yes or D No.
Operator in Charge: __ Certificate #: __
Backup-Operator in Charge: __ Certificate #:_· _
2. Is the design, maintenance and operation ( e.g. adequate aeration, sludge wasting, sludge storage, effluent
storage, etc) of the treatment facilities adequate for the type of waste and disposal system? D Yes or D No.
If no, please explain: __
3. Are the site conditions (soils, topography, depth to water table, etc) maintained.appropriately and adequately
assirp.ilating the waste? D Yes or D No. Ifno, please explain: __
FORM: Frelinger staff report.doc 2
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
4. Has the site changed in any way that may affect permit ( drainage added, new wells inside the compliance
boundary, new development, etc.)? If yes, please explain: __
5. Is the residuals management plan for the facility adequate and/or acceptable to the Division?
D Yes or D No. Ifno, please explain: __
6. Are the existing application rates (hydraulic or nutrient) still acceptable? D Yes or D No. If no, please
explain: __
7. Is the existing groundwater monitoring program (number of wells, frequency of monitoring, monitoring
parameters, etc.) adequate? D Yes D No D NIA. Attach map of existing monitoring well network if
applicable. Indicate the review and compliance boundaries. If No, explain and recommend any changes to the
groundwater monitoring program: __
8. Will seasonal or other restrictions be required for added sites? D Yes D No D N/A If yes, attach list of sites
with restrictions (Certification B?)
9. Are there any buffer conflicts (treatment facilities or disposal sites)? D Yes or D No. If yes, please attach a
map showing conflict areas or attach any new maps you have received from the applicant to be incorporated
into the permit: __
10. Is the description of the facilities, type and/or volume of waste(s) as written in the existing permit correct? D
Yes or D No. Ifno, please explain: ____ _
11. Were monitoring wells properly constructed and located? D Yes or D No D NI A. If no, please explain:
12. Has a review of all self-monitoring data been conducted (GW, NDMR, and NDAR as applicable)? D Yes or
D No D N/ A. Please summarize any findings resulting from this review: __ _
13. Check all that apply: D No compliance issues; D Notice(s) of violation within the last permit cycle; D
Current enforcement action(s) D Currently under SOC; D Currently under JOC; D Currently under
moratorium. If any items checked, please explain and attach any documents that may help clarify
answer/comments (such as NOV, NOD etc): ____ _
14. Have all compliance dates/conditions in the existing permit, (SOC, JOC, etc.) been complied with? D Yes
D No D Not Determined D NIA .. Ifno, please explain: __
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? D
Yes or D No D NIA. If yes, please explain: __
FORM: Frelinger staff report.doc 3
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description Of Well{S) And Facilities -New, Renewal, And Modification
1. Type of injection system:
~ Heating/cooling water return flow (5A7)
D Closed-loop heat pump system (5QM/5QW)
D In situ remediation ( 51)
D Clos~d-loop groundwater remediation effluent injection (5L/''Non-Discharge")
D Other (Specify: )
2. Does system use same well for water source and injection? ~ Yes D No
3. Are there any potential pollution sources that may affect injection? D Yes ~ No
What is/are the pollution source(s)? . What is the distance of the injection well{s) from the pollution
source(s)? ft.
4. What is the minimum distance of proposed injection wells fromthe property boundary? +100 ft.
5. Quality of drainage at site: ~ Good D Adequate D Poor
6. Flooding potential of site: ~ Low D Moderate D High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? D Yes D No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: __
8. Does the map presented represent the actual site (property lines, wells, surface drainage)?~ Yes or D No. If
no or no map, please attach a sketch of the site. Show. property boundaries, buildings, wells, potential pollution
sources, roads, approximate sca~e, and north arrow.
Iniection Well Permit Renewal And Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
0 Yes ~ No. Ifyes, explain:
2. For closed-loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? D Yes ~ No. If yes. explain:
3. For renewal or modification of groundwater remediation permits (of any type), will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? D Yes D No. If yes, explain: N/ A
4. Drilling contractor: Name: Acme Well
FORM: Frelinger staff report.doc 4
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Address: 7990 Ne Hi ghway 751
Durham, NC 27713
Certification number: __
5. Complete and attach Well Construction Data Sheet.
FORM: Frelinger staff report.doc 5
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
K Ea:4LUATIONANDRECOMMEATATIONS
1. Provide any additional narrative regarding your review of the application.:
2. Attach Well Construction Data Sheet - if needed information is available
3. Do you foresee any problems with issuanceirenewal of this permit? ❑ Yes 0 No. If yes, please explain
briefly.
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
7, Recommendation: ❑ Hold, pending receipt and review of additional information by regional office; ❑ Hold,
pending review of draft permit by regional office; ❑ Issue upon receipt of needed additional information;
Issue; ❑ Deny. If deny, please state reasons:
S. Signature of report preparers);
Signature of APS regional supervisor:
Date: h6$
ADDITIONAL REGIONAL STAFF RE VIEWITEMS
Sys n is runnixa food. no problems
FORM. Frelinger staff report.doc 6

Compliance Inspection Report
Permit: WI0500013
SOC:
Effective: 06/19/03 Expiration: 06/30/08 Owner: Jeff Frelinger
Effective: Expiration: Facility: Jeff & Joy Frelinger -SFR
County: Orange
Region: Raleigh
Contact Person: Jeff Frelinger
Directions to Facility:
System Classifications:
· Primary ORC: .
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 04/03/2008
Primary Inspector: Ed Owen
Secondary lnspector(s):
Michael Rogers
Reason for Inspection: Routine
Title:
Entry Time: 10:00 AM
1111 Monterey Valley Dr
Chapel Hill NC 27516
Phone: [phone]
Certification: Phone:
Exit Time: 11 :30 AM
Phone:
Phone:
Inspection Type: Compliance Evaluation
Permit Inspection Type: Injection Heating/Cooling Water Return Well (5A7)
Facility Status: ■ Compliant O Not Compliant
Question Areas:
■Wells
(See attachment summary)
Page: 1
Permit: WI0500013
Inspection Date: 04/03/2008
Inspection Summary:
Owner • Faclllty: Jeff Frelinger
Inspection Type: Compliance Evaluation Reason for Visit: Routine
WI0500013 Heat Exchange System working good, No problems. Effluent temperature was 11.6 degrees C and Influent
temperature was 13.7 degrees C.
Influent & Effluent Water Samples taken on 4-2-08
Lab Codes:
8G0350
8G0351
AB28444 INFLU
AB28445 EFFLU
Page: 2
North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Groundwater Section
Vat—
Well Location: ' f* eta TV t lUV c L -4 Nl✓ Date 1
(Town, Community, SubdMslon and Lot No.) WELL TYPE �ia.
County 6, Y4-t-
Owner. f �` `n @ Road/Street
Address: In �� �=� l L �f. Quad No.
7 L 2-76 Serial No.
Lat. '_— Lon
W II C t ct'
n�
{�
IV C
Dame
Contractor GertifiC3l4"
Lk0A j"(
Permit Required ?�( Nj
Location - Distance From: ...................
Water Tight Sewage/waste collection . .
Waste disposal (septic tank drain field)
Other Poll. Source ! }
Address
Check Items
Measured
Meets Min. Standards
Yes No
Remarks
(Permit No. - _4 ��_�
I .................
_:
~
Other Poll. Source
Cae2ilg
Type
Depth....,,,,,,,,,,,,,,,,,,,,,,..........................
Weight/thickness ............... ....... ........ ,.
Height (A.L.S.).....................................
Other ( ) .
Drilling Fluids/Additives
Type.... ... .... .. ..................... ... .......
Grout
Type......................... .........
Thickness .............................................
Depth... ,,..,,..........................,........ ,,,,
Other ( f .
Screens
Screened interval
Other { 1.
Development .,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Totai Suspended solids
Turbidity ..............................................
Settleable Solids-- ............ ................
I.D. Plate
Well Contractor
Abandonment ......................... ... ..
Temporary ............... —. ---- .,,,,.,,
Permanent ........ . ... .. ,,,....,.,.,,
Plastic Carbon I4. Stain. , St. Other
r
iJ�r•�
iAwk
'-'
✓
ew n
C eA Z
'_
GW-36 Rev, 1 /2000
4
Applies to wells constructed after December 11, 1992
1r,nnt n n RAVA(gA)

WellTest ...............................................
Duration................................................
Frequency/Accuracy of measurements
Other ( ) .
Dismnf4=!Qn...........................................
Chlorination .,,,,...,.,
Other (
Cuttings.................................................
Reports..................................................
Construction (GW-1) ....,....... --...........
Abandonment (GW-30) ........................
bell_ Head Completiort
Access port ...........................................
Hose bib ................
Pitless Adaptor .....................................
Pitless Adaptor Unit ..............................
Suction line ...........................................
Tee(jet)............................. ........... ........
Valved Flow ...........................................
Vent......................................................
Water tight pipe entry ...........................
Well entry ..............
Pump Installation Contractor 1AW
Name
Check items
Measured •
Meets Min. Standards
Yes N❑
��[}
L
Applies to wells constructed after December 1, 1992
Pumn Installation
Address
rj.t4� ! k Mp
-DL)k5 44
De- 50X (0�9
pGkbQru PVC
Reg. #
PUMP CONTRACTDR I.D. PLATE PRESENT _?_ (Y6 Date PumpI lied
Violations noted attributable to the pump installation contractor are as follows:
(2) N� C:r,�,n+�Zi
(3)
INSPECTOR
Witness -(es)
(If Available)
Name Office
Name
!Name
Address
Address
Type
Type

"ul r-r utmaivri section
MAY 21 2008
GROUNDWATER FIELD/LAB FORM
Locadon code 5 V L) L $ sAq a 5000 Z 3 SAMPLE TYPE , AMP PRIORITY
Countyi-A N 6 Z' —
Water
❑ Routine
Quad No Serial No.
❑ soil
❑ Emergency
Lat. Long.
e'er
❑ Ghain
of Cuslady
Report To: ARO, FRO, MR 0'&, WaRO, WIRO,
WSRO, Kinston FO, Fed. TMental Off., Other
Shipped by: Bus, CRurier Hand Do!, Other.
Colle�ctor(s): � cl' D w Date— —:,
Pur off:
- d ` Time 1' '. nY+}Ba ine, Comp ail
Iirei
FIELD ANALYSES , 2
C_ G 13
Owner Tt
pH 4o0 . Spec. Cond.w !
at 25°C
Location or Site _ _ I
Temp.ju I , _ "C Odor_ n�..'��
Description of sampling point_
Appearance Cbs Z
Sampling Method
Field Analysis By: L.rL r\
Remarks
LABORATORY ANALYSES
80D 310
mg1L
COD High 340
MA
COD LDw 335
M91L
Colirorm: MF Fecal3is16
1100m1
K
Coliform: MF Tab d 315M
flooml
TOC 680
mgfL
Turbidity 76
NT U
Residue, Total Suaperded 530
mglL
pH 403
units
Alkali nhyto pH 4.5410
MOIL
K
Alkalinity to pH 8.3 415
myL
Carbonate 445
mglL
x
Bicarbonate 440
mgfL
Carbon diobde 405
mgfL
Chloride 940
VAGI L.
Chromium Hex 1032
uglL
Color True 80
CU
Cyanide 720
mgrL
Lab
Department of Environment and Natural Resources
Lab Number +"[
Date Received _p X Time: 5
-Redd By: From:Bus, Courier, &Del.,
Other.
Data Entry By: Ck:
Date Reported:
Compliance, LUST, Pesticide Study, Federal Trust, Other�F�-�
I % _ y � (arde out)
Wr ramp.,
Dias. SoLds 70300 M91
Au Silver 465M
Fluoride 951 mg1L
AI-Alunvnum 46557
Hardness: Total 900 mg1L
As -Arsenic 46551
Hardness (nonrsarb) 902 myL
Ba-Barium 49558
Phanda 32M ugA
C WAIcivn 46552
Spedfic Coed. 95 pMhosfSrrl
A
Cd-Cadmium 46559
Srirate 945 mgfL
Cr-Chromium 46559
sulfide 745 m91L
Cu-Capper46562
Fo-lron 46M
Oil and Grftw mgfL
Hg-Mertury 71900
K-Potassium 4M55
Magnesium 465-%4
Sample
NH, as N 610 mg1L
-Fj
Na$adrum 46556 mWL
TPH-Gasoline Range
TKN as N 626 mgfL
it
Ni-t&w LWL
Tpi- -BTEX Gasoline
NO2 + NO, as N 630 mglL
Pb-Lead 46564
P: Total as P 685 mg1L
Se-Uerrium
t"e (NO3 as N) 620 mg1L
To-Tnnr 46567 4L
Nitrile (NO2 as N) B15 'WL
I LAILUSE
ONLY
sample and write'DV in block
Temperature on arrival (°C):

:}.[C (l)WQ £a6oratory Section ~su[ts Sample ID AB28445
Location ID: RROAPNLC Collect Date: 04/02/2008
Loe. Descr.: 1111 MONTEREY VALLEY DR CHAPEL HILL Collect Time:: 10:45
Visit ID
CAS# Analyte Name PQL Result Qualifier Units AnalysUDate Approved By /Date
Phosphorus_total as P In llquld 0.02 0.04 mg/LasP MAJAYI CGREEN
Method Reference lac10-115-01-1EF 4nt08 4/15/08
Nitrate as N In liquid 0.02 0.36 mgfLas N MOVERMAN CGREEN
Method Reference Lachat107-04-1-c 4/14/08 4/15/08
Nitrite as N In liquid 0.01 0.01 u mg/Las N MAJAYI CGREEN
Method Reference Lachat107-04-1-c 4/3/08 4/15/08
MET
7429-90-5 Al bylCP 50 50 u ug/L BSKINNER ESTAFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7440-70-2 CabylCP 0.10 19 mg/L BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7440-43-9 CdbylCPMS 1.0 1.0 u ug/L SGOSS EST AFFORD
Method Reference EPA200 .8 4/11/08 5/1/08
7440-47-3 CrbylCPMS 10 10 u ug/L SGOSS EST AFFORD
Method Reference EPA200.8 4/11/08 5/1/08
7440-50-8 CubylCPMS 2.0 25 ug/L SGOSS EST AFFORD
Method Reference EPA200.8 4/11/08 5/1/08
7440-48-4 FebylCP 50 50 u ug/L BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7439-95-4 MgbylCP 0.10 6.6 rng/L BSKINNER ESTAFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7439-96-5 MnbylCPMS 10 10 u ug/L BSKINNER EST AFFORD
Method Reference EPA200.8 4/16/08 5/1/08
7440-23-4 NabylCP 0.10 9.2 mg/L BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 511/08
7440-02-0 NlbylCPMS 10 10 u ug/L SGOSS EST AFFORD
Method Reference EPA200.8 4/11/08 5/1/08
7440-66-6 ZnbylCPMS 10 10 u ug/L BSKINNER EST AFFORD
Method Reference EPA200.8 4/16/08 5/1/08
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 3 of3
Report to: _RROAP _____ _
Lab Number: AB28444,
.:;~Alff844~)
'""-tation Location: 1111 Montery
Valley
Sample Type: Groundwater
Date collected: 4/2/08 ----------
NC DENR/DWQ Laboratory
Sample Anomaly Report (SAR)
Sample ID:
County: Orange Region:
Priority: Routine Collector:
Date received: _4_/_2/_0_8 ____ Date analyzed:
RRO
E. Owen
4/08/2008
Affected Parameter(s): TKN ---------------------------------------
Analytical Area ( check one):
OWCH
i81NUT
□METALS
□MICRO
The following anomalies occurred ( check all that apply):
□samples
□Improper container used
□VOA vials with headspace
□Sulfide samples with headspace
□Samples not received, but listed on fieldsheet
□Samples received, but not listed on fieldsheet
□Mislabeled as to tests, preservatives, etc.
□Holding time expired
□Prior to receipt in lab
□After receipt in lab
□Insufficient quantity for analysis
□Sample exhibits gross non-homogeneity
□Sample not chemically preserved properly
OpH out ofrange (record pH):
□Improper chemical
□Residual chlorine present in sample
□Color interference
□Heavy emulsion formed during extraction
□Sample bottle broken in lab -no reportable results
□VOA
□PEST
181Quality Control
0WARO
0SVOA
□Instrument failure'.'"" no reportable results
□Analyst error -no reportable results
□Surrogates
-□None added
□Recovery outside acceptance limits
□Spike recovery
□None added
□Recovery outside acceptance limits
□Failed to meet criteria for precision
□Internal standards
□Blank contamination
181QC data reported outside of controls (e.g., QCS, LCS)
□Incorrect procedure used
□SOP intentionally modified with QA and Branch Head
approval
□Invalid instrument calibration
□Elevated detection limits due to:
□Insufficient sample volume
~Other (specify):The LFB digested with the sample had recovery of 111 %, which is outside of the acceptance limits of90 to
110%. The other QC results for the sample digestion and analysis were accq,table.
Comments: The sample result will be qualified with J2 due to the LFB being outside of acceptance limits.
Corrective Action:None.
□Samples were rejected by DWQ Lab. Authorized by: Date:
□Accepted and analyzed after notifying the collector or contact person and determining that another sample could not be secured.
0Sample(s) on hold until:
~Sample reported with qualification. Data qualification co~e used:J2 /
□Other (explain)=
Notification Required? D Yes D No
Person Contacted: Date:
Form completed by: !Max Overmag
Lead Chemist Review (initial):
[E.BI0CHEM J:!::!L
□METALS __
M.f ~ Date: 4/8/2008
□PEST □VOA==
Branch Head Review (initi~~'(-t, (-1 r
1A/QCReview (initi~5 .'i(t.o{IJ~
QA\Fonns\Laboratory\SAR
OSV0A __
Logged into database by (initial): ___ _
I 0/23/01 dbs
:NC ©'WQ La6oratory Section <.Rssults Sample ID AB28445
Location ID: RROAPNLC Collect Date: 04/02/2008
~ 1111 MONTEREY VALLEY DR CHAPEL HILL -Loe. Descr.: Collect Time:: 10:45
Visit ID
CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By /Date
Sample 1Bmperatura at receipt by lab 3.1 ·c DSAUNDERS CGREEN
Method Reference 412108 4/2J08
MIC
Collfonn, MF Fecal In llquld 82 CFU/100ml ADESAI MOVERMAN
Method Reference APHA92220-201h 4/2/08 417/08
Collfonn, MF Total In llquld 1 B2 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222B-20th ~ 411108
Alkallnlty ID pH 4.5 of llquld _TITLE_ mglL as CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
AlkaDnlly4.5 72 mg1L as cacoo ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
Alkallnlly8.3 1 u mglL as CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
. Bicarbonate 72 mg/Las CaC03 ADESAI .MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
C8rbonate u mg/Las CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/~0/08
pH_Alkallnlty 6,6 mglL as CaC03 ADESAI MOVERMAN
' Method Reference APHA2320B-20th 4/3/08 4/10/08
WET
Ion OVomalography _TITLE_ mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 414/08 4110/08
Total Dlssolved Solids In liquid 12 143 mglL AWILLIAMS MOVERMAN
Method Reference APHA2540C-18TH 417/08 4/10/08
Ollorlde 1.0 4.7 mglL MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4108 4/10/08
Auortde 0.4 OA u mgll. MIBRAHIM MOVERMAN
Method Reference EPA300.0 414/08 4/10/08
Sulfate 2.0 2.0 u mglL MIBRAHIM MOVERMAN
Method Reference EPA300.0 414/08 4/10/08
NUT
NH3 as N In llquld 0.02 0.02 u mgll.asN MOVERMAN CGREEN
Method Reference Lac10-107-06-1.J 4/2/08 4/15/08
TOlal l<jeldahl N as N In liquid 0.2 0.20 U.J.2 mgllasN MOVERMAN CGREEN
Method Reference Lachat107-06-2-H 4/8/08 4/15/08
N02+N03 as N In llquld 0.02 0.38 mgllasN MOVERMAN CGREEN
Method Reference Lac10-107-04-1-c 4/2/08 4/15/08
Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of 3
JV L' (V'UU t L,aboratM Section_Wesu[ts
County: d. RANGE Sample 1D:
River Basin d�- WA � PO Number#
Report To RROAp Q� QG� Date Received:
� r
Collector E MEN Y -- Zi Time Received:
Labworks LoginiD
Region: RRO
r l r _ -- `�• % Date Reported:
Sample Matrix: GROUNDWATER �' F r 1 J �1
Loc. Type: Effluent + i 1 111� Report Generated:
U[J Emergency YestNo r
COC YeslNo _ — f Visit/❑
1111 MONTEREY VALLEY DR CHAPEL HILL
Location ID: RROAPrVLC Collect Date: 04/0212008 Collect Time-: 10'45 Sample Depth
Sample Qualifiers and Comments
MOM oi
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Valve reported is the average of two or more determinations
81-Countable membranes with <20 colonies; Estimated
B2- Counts from all filters were zero-
83 Countable membranes with more than 60 or 80 colonies; Estimated
B4-Filters have counts of both DSO or 80 and a 20. Estimated
85-Too many colonies were present: too numerous to count (TNTC)
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1-The component has been tentatively identified based on mass spectral library search and has an estimated value
LAB
AB29"S
BG0351
OV0212008
12:45
MMATHIS
511108
051011200E
N3-Esti mate d Concentration is < PQL and >MOL
NE•No established PQL
P-Elevated PQL due to matrix inlerference and/or sample dilution
❑1-Holding time exceeded prior to receipt at lab.
02- Holding time exceeded following receipt by lab
PQL- Practical Quentitation Limit -subject to Change due to instrument sensitivity
U- Samples analyzed for this compound but not detected
XI- Sample not analyzed for this compound
Laboratory Sectionaa 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone] Page 1 of 3

:NC ©WQ La6oratory Section ~sults Sample ID AB28444
Location ID: RROAPNLC Collect Date: 04102/2008
Loe. Desler.: 1111 MONTEREY VALLEY DR CHAPEL HILL WELL HEAD WELL TAP Collect Time:: 10:45
Visit ID
CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By /Date
Sample temperature at receipt by lab 2.7 ·c DSAUNDERS MMATHIS
Method Reference 412108 412108
MIC
Collform, MF Fecal In lkpd 1 82 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222D-20th 412108 4f7/08
Collfonil, MF TOlal In lcpd 82 CFU/100ml ADESAI MOVERMAN
Method Reference APHA9222B-20th 4/2/08 4f7/08
Alkalnlly to pH 4.5 of liquid _TlltE_ mg/Las C8003 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4110/08
Allcallnlly4.5 75 mg/Las C8C03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
Alkallnlty8.3 u mglL as C8003 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4110/08
Blcarbonale 76 mg/Las CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4110/08
Carbonate u mglL as CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4110/08
pH_Alkallnlly 6.7 mg/Las CaC03 ADESAI MOVERMAN
Method Reference APHA2320B-20th 4/3/08 4/10/08
WET
Ion Chrol1181ography _TITLE_ mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 414/08 4/10108
TOIBI Dlssolved Solids In lqukl 12 144 mglL AWILLIAMS MOVERMAN
Method Reference APHA2540C-18TH 4(1/08 4/10108
Qilortde 1.0 u mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 414/08 4110/08
Fluoride 0.4 OA u mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 414/08 · 4/10108
Sulfate 2.0 2.0 u mg/L MIBRAHIM MOVERMAN
Method Reference EPA300.0 4/4/08 4110/08
-NUT
NH3 as N In llquld 0.02 0.02 u mg/LasN MOVERMAN CGREEN
Method Reference Lac1~ 107-06-1-J 4/2/08 4/15108
Total l<)eldahl N as N In llquld 0.2 0.20 U,J2 mg/LasN MOVERMAN CGREEN
Method Reference Lachat107-06-2-H 4/8/08 4115/08
N02+N03 as N In llqukl 0.02 0.34 rng/LasN MOVERMAN CGREEN
Method Reference Lac1~107-04-1-c 4/2/08 4115/08
Laboratoiy Section» 1623 Mall Service Center, Raleigh, NC 27699-1623 [phone] Page 2 of3
v �v,vv) Laoorata 'ection (esutts
County: ORANGE Sample ID: AB28441
River Basin �• 04 WAr9O PO Number# 8G0350
Report To RROAP I Date Received: OWO2/20O8
rf�t j j r Time Receivers: 12 45
Collector. E CVVEN 1 n p
Region: RRO Labworks Loginl❑ MMATHIS
Sample Matrix- GROLINOWATER Date Reported: 511108
Loc. Type: Snfl, uent Report Generated: 05/01/2008
Emergency Yes/No VrsiliO
COG YeslNo
Lac. Descr.: 1111 MONTEREY VALLEY DR CHAPEL HILL VVELL HEAD WELL TAP
Location ID: RROAPNLC Collect Date: 04107J2008 Collect Time-: 10:45 Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
Fof a more detailed description of these qualifier codes refer to www.dwglab.org under Staff Access
A -Value reported is the average or two or more determinations
N3-Estimated concentration is < PQL and >MOL
t31-Go untable membranes with <20 colonies; Estimated
NE -No established POL
82- Counts from all fillers were zero.
P-Elevated POL due to matrix interference andfor sample dilution
t33- Countable membranes with more than &D or 80 r-alvnies; Estimated
84-Filters have taunts of bath >50 or 80 and < 20; Estimated Q1-Holdirig time exceeded prior to receipt at lab.
85-Too many colonies were present: too numerous to count (TNTC) 02• Holding time exceeded following receipt by lab
J2- Reported value faded to meet ❑C criteria for either precision or accuracy: Estimated PQL- Practical Quantitation Limit -subject to change due to instrument sensitivity
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated L!- Samples analyzed for this compound but not detected
JE-The lab analysis was from an unpraserved or improperly chemically preserved Sample; Estimated x1- Sample not analyzed far this compound
N7-the Cam ponent has been tentatively identified based on mass spectral library search and has an estimated value
LAB
Laboratory Seetlonaa 1623 Malt Service Center, Raleigh, NC 27699-1623 [919} 733-3908 Page 1 of 3

l NC ©WQ £a6oratory Section <R.§sults SamplelD AB28444
I Location ID: RROAPNLC Coiled Date: 04/02/2008
,. Loc.'Deocr.: 1111 MONTEREY VALLEY DR CHAPEL HILL WELL HEAD WELL TAP Coiled Time:: 10:45
Visit ID
CAS# Analyte Name PQL Result Qualifier Units Analyst/Date Approved By IDate
Phosphorus_tolal as p In liquid 0.02 0.04 mg/LasP MAJAYI CGREEN
Method Reference Lac10-115-01-1EF 417/08 4/15/08
Nitrate as N In llquld 0.02 0.34 rnwL-asN MOVERMAN CGREEN
Method Reference Lachat107-04-1-c 4114/08 4/15/08
Nltrfle as N In llquld 0.01 0.01 u mgll.asN MAJAYI CGREEN
Method Reference Lachat107-04-1-c 4/3/08 4115/08
MET
7429-90-5 MbylCP 50 50 u uglL BSKINNER EST AFFORD
Method Reference EPA200.7 4116/08 511/08
7440-70-2 CabylCP 0.10 20 mglL BSKINNER ESTAFFORD
Method Reference EPA200.7 4116/08 5/1/08
7440-43-9 CdbylCPMS 1.0 1.0 u uglL SGOSS EST AFFORD
Method Reference EPA200.8 4111/08 511/08
7440-47-3 0-bylCPMS 10 10 u ug/L SGOSS EST AFFORD
Method Reference EPA200.8 4111/08 5/1/08
7440-50-8 CUbylCPMS 2.0 9.1 uglL SGOSS EST AFFORD
Method Reference EPA200.8 4111/08 5/1/08
7440-48-4 FebylCP 50 50 u uglL BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 511/08
7439-95-4 MgbylCP 0.10 6.9 mgll. BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7439-96-5 MnbylCPMS 10 10 u uglL BSKINNE.R EST AFFORD
Method Reference EPA200.8 4/16/08 5/1/08
7440-23-4 NabylCP 0 .10 9.5 mglL BSKINNER EST AFFORD
Method Reference EPA200.7 4/16/08 5/1/08
7440-02-0 NlbylCPMS 10 10 u uglL SGOSS ESTAFFORD
Method Reference EPA200.8 4111/08 511/08
7440-66-6 ZnbylCPMS 10 10 u ug/L BSKINNER ESTAFFORD
Method Reference EPA200.8 4/16/08 511/08
Laboratory Section» 1623 Mall Service Center, Raleigh, NC 27699-1623 [phone] Page 3 of 3
GROUNDWATER FIELDAAB FORM
Location code VV l 05 0 C R
5AMPLE TYPE SAMPLE P_ IORIT
VY
County- rA ty } c Water ❑ Routine
Quad No Serial No. Soll Emergency
Lat. Long. ❑ Other
❑ Chain of Cu5[ody
Report To: ARO, FRO, MRO RO aRO, WIRO, -
WSRO, Kinston FO, Fed. Truk entral Off„ Other:
Shipped by, Bus Courie �@Wd'-&7e, Other. _ P
Collector s): ae z� B w r,-. Date Time D'+� ose: Baseline Complaii
FIELD ANALYSES r, Owner ze
pH 40" "7 , 4' Spec. Cond.ea at 25"C Location or Site
Temp.10T_ "C Odor N -, rJ Description of sampling point
Appearance Sampling Method
Field Analysis By: Ed ❑ wt � Remarks
LABORATORY ANALYSES
BOD 310 MOIL
COD Hgh 340 mg1L
COD Low 335 mglL
Coliform' MF Fecal 31616 11o0m1
Coliform: W Total 31$04 1100mt
TOG 680 mglL
Turbidity 76 NTU
Residue, Total Suspended 530 mgfl-
pH 403 units
Alkali nilylo pH 4,5410 mg1L
Alkalinity to pH 13.3 415 myL
Carbonate 445 mg1L
Bicarbonate 440 mglL
Carbon dioxide 405 m911-
Chloride 940 mg/L
Chromium: Hex 1032 ug1L
Color., True 00 ICU
Cyanide 720 mglL
i[
Dim. Solids 70300
mglL
Fluoride 951
mg1L
Hardness: Total 900
mglL
Hardness (nontrarb) 902
mglL
Phenols 32730
ugA
Specific Cond, 95
NMhoslem
Sutrale B45
Mg1L
Sulfide 745
rnglL
Oil and Grease
mg1L
NH3 as N 610
mg1L
A
TKN as N 625
mg1L
NOz + NO) as N 630
mglL
%[
P: Total as P 665
rngiL
Nitrate (NO, as N) 620
mglL
Nllrile (NO2 as N) 616
mg1L
North Carolina
Department of Environment and Natural Resources
25U o o
Lab Number
Date Received - Time:
Rec'd By: 7 I From:Bus, Courie
Other: �1
Data Entry By: Ck:
Date Reported:
Compliance, LUST, Pesticide Study, Federal Trust, Other: LAB C
0. C _ — „ n (circle arty
Ag-Situer 46566
4L
Al -Aluminum 46557
ugIL
As -Arsenic 46551
u L
Ba-Barium 46558
u gA-
Ca-Calclum 45552
m L
Cd-Cadmium 46559
aWL
a�
Cr-Chromium 46569
u
Cu-Copper 46562
WL
Fe -Iran 46563
4WL
Hg-Marcury 71900
u
K•Potassium 46555
mg1l.
Mg Magnesium 46554
L
Mn-Manganese 46565
UqtL
Na-Sodium 46566
m
Ni-Nickel
Pb-Lead 46564
uglL
Se-Selenlum
qq�L
7_rt_TM 46567
u LL
Sample
Itima, air lamp., elc]
Organochlorine Pesticides
Organoph=pharu3 Pesticides
Nitrogen Pesticides
Acid Herbicides
PCBs
Semlwlalile Organics
TPH-Diesel Ran
Volatiie Organics NOA Wile
TPH-Gasdine Range
TPH-BTF_X Gasoline Ran22
LAB USE ONLY ►}
Temperature on arrival (°G): p{ r

Report to: _RROAP _____ _
Lab Number: . (AB~
~
..,tation Location: 1111 Montery
Valley
' ...
NC DENR/DWQ Laboratory
Sample Anomaly Report (SAR)
Sample ID:
J~ounty: Orange Region:
Sample Type: Groundwater Priority: . Routine Collector:
Date collected: 4/2/08 Date received: 4/2/08 Date analyzed: ------------------
RRO
E.Owen
4/08/2008
Affected Parameter(s): _T_KN __________________________________ _
Analytical Area (check one):
OWCH
18iNUT
□METALS
□MICRO
The following anomalies occurred ( check all that apply):
□Samples
D Improper container used
□VOA vials with headspace
□Sulfide samples with headspace
□Samples not received, but listed on fieldsheet
□Samples received, but not listed on fieldsheet
□Mislabeled as to tests, preservatives, etc.
□Holding time expired
□Prior to receipt in lab
□After receipt in lab
□Insufficient quantity for analysis
□Sample exhibits gross non-homogeneity
□Sample not chemically preserved properly
OpH out ofrange (record pH):
□Improper chemical
□Residual chlorine present in sample
□Color interference
□Heavy emulsion formed during extraction
□Sample bottle broken in lab -no reportable results
□VOA
□PEST
181Quality Control
OWARO
OSVOA
□Instrument failure -no reportable results
□Analyst error -no reportable results
□Surrogates
□None added
□Recovery outside acceptance limits
□Spike recovery
□None added
□Recovery outside acceptance limits
□Failed to meet criteria for precision
□Internal standards
□Blank contamination
181QC data reported outside of controls (e.g., QCS, LCS)
□Incorrect procedure used
OS0P intentionally modified with QA and Branch Head
approval
□Invalid instrument calibration
□Elevated detection limits due to:
□Insufficient sample volume
~Other (specify):The LFB digested with the sample had recovery of 111 %, which is outside of the acceptance limits of90 to
110%. The other QC results for the sample digestion and analysis were acceptable.
{,
Comments: The· sample result will be qualified with J2 due to the LFB being outside of acceptance limits.
Corrective Action:None.
□Samples were rejected by DWQ Lab. Authorized by: Date:
□Accepted and analyzed after notifying the collector or contact person and detennining that another sample could not be secured.
OSample(s) on hold until:
~Sample reported with qualification. Data qualification code used:J2 /
OOther ( explain):
Notification Required? D Yes D No
Person Contacted: Date:
Form completed by: _.._M_a_x_O_v_e_rm_a_~..._-~_f ___ ()x_------______ Date: 4/8/2008
Lead Chemist Review (initial):
-~BIOCHEM_.e!L
□METALS __
□PEST □VOA~
Branch Head Review (initi~~'{-tt f -, r.
'")_A/QC Review (initi~S 'f /t. o//J ~
QA\Forms\Laboratory\SAR.
0SVOA __
Logged into database by (initial): ___ _
10/23/0ldbs
LABORATORY ANALYTICAL RESULTS
5A7 GEOTHERMAL UNDERGROUND INJECTION CONTROL (UIC) WELL
PERMIT NO.: WI 0500013
PERMITTEE: Jeffery and Joy Frelinger
SAMPLE COLLECTED DATE: 4/2/2008
Coliform. total Coliform. fecal pH
1 CFU/100ml 1 CFU/100ml units
MCL=1 MCL=1 MCL = 6.5-8.5
Influent 1 1 6.7
Effluent 1 1 6.6
NO2-+ NO3-as N Phosphorus Nitrate
mg/L mg/L mg/L
MCL= 10 MCL=nss MCL=10
Influent 0.34 0.04 0.34
Effluent 0.36 0.04 0.36
Calcium.Ca Cadmium.Cd Chromium, Cr
mg/L µg/L ua/L
MCL=nss MCL= 1.75 MCL=50
Influent 20 <1 <10
Effluent 19 <1 <10
Manganese. Mn Sodium. Na Nickel, Ni
ua/L mg/L µg/L
MCL=50 MCL = nss MCL= 100
Influent <10 9.5 <10
Effluent <10 9.2 <10
MCL = Maximum Contamination Level per NCAC 2L .0200 (GA Standards)
nss = no state standard
na = not analyzed
Total Dissolved Solids
mg/L
MCL=500
144
143
Nitrite
mg/L
MCL=1
<.01
<.01
Coooer, Cu
UQ/L
MCL= 1000
9.1
25
Lead, Pb
µg/L
MCL= 15
n/a
n/a
"The laboratory sample matrix interfered with the ability to to make any accurate determination; Estimated
Chloride, Cl
mg/L
MCL=250
4.7
4.7
Silver.Ag
µg/L
MCL= 17.5
na
na
Iron, Fe
ua/L
MCL=300
<50
<50
Selenium. Se
µg/L
MCL=50
na
na
Flouride
mg/L
MCL=2
<:.4
<.4
Aluminum, Al
µg/L
MCL= nss
<50
· <50
Mercury, Hg
µg/L
MCL= 1.05
na
na
Zinc.Zn
µg/L
MCL=1050
<10
<10
Sulfate Ammonia. NH3 TKN *
mg/L mg/L mg/L
MCL=250 MCL=nss MCL=nss
<2 <.02 <.2
<2 <.02 <.2
Arsenic.As Barium. Ba
IJA/L ua/L
MCL=S0 MCL=2000
na na
na na
Potassium, K Magnesium, Mg
mg/L mg/L
MCL=nss MCL=nss
na 6.9
na 6.6
b
�� W A PE�QG Michael F. Easley, Governor
William G. Ross Jr„ Secretary
u a.
North Carolina Department of Environment and Natural Resources
7 i
Q -tCulecri
Divisi H. Sullins, Director
Division of Wster Quality
March 19, 2008
Jeffrey and Joy Frelinger
I I I I Monterey Valley Drive
Chapel Hill, NC 27516
Subject: Permit No. W10500013
5A7 Geothermai Infection Well
Orange County
Dear Mr. and Mrs. Frelinger:
We received your application package for the renewal of the above referenced permit to operate a 5A7
Geothermal Injection well on March 17, 2008. The renewal application you completed and submitted is being
returned because it only had the signature of Mr. Frelinger. According to the Orange County GIS, the co-owner is
Jay Frelinger. All property owners must sign the application.
Therefore, please re -submit the application with the signature of both property owners within 30 days of
receipt of this letter. Please find attached a self-addressed envelope for your convenience.
if you need additional information concerning this inatter, please contact me at [phone]. Thank you
for your cooperation.
Sincerely,
Michael Rogers
Environmental Specialist
GPU-UIC
Attachment(s)
cc: Raleigh Regional Office -- Jay Zimmerman
APS Central Files
141114hCary inn
Iatyrally
,aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699.1636 Phone [phone] Customer Service
Intemet: hUp1lh2o.enr.statc.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Far [phone] 1-977.623-6749
Fax [phone]
An Equal Opportune y/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: March 18 , 2008
To: D Landon Davidson, ARO-APS
□ Art Barnhardt, FRO-APS
0 Andrew Pitner, MRO-APS
~ Jay Zimmerman,-RRO-APS
From: Michael Ro gers Groundwater Protection Unit
Telephone: [phone]
E-Mail: Michael.Ro [e-mail]
A. Permit Number: WI 0500013
B. Owner: Jeff and Joy Frelinger
C. Facility/Operation: __
D Proposed ~ Existing
D. Application:
0 David May, WaRO-APS
0 Charlie Stehmari, WiRO-APS
0 Sherri Knight, W-SRO-APS
Fax: [phone]
D Facility D Operation
1. Permit Type: D Animal D SFR-Surface Irrigation □ Reuse D H-R Infiltration
D Recycle D 1/E Lagoon D GW Remediation (ND)
l2sl UIC -(5A7) open loop geothermal __
For Residuals: D Land App. D D&M .
D 503 D 503 Exempt
D Surface Disposal
D Animal
2. Project Type: ~ New D Major Mod. D Minor Mod. D Renewal D Renewal w/ Mod.
E. Comments/Other Information: D I would like to accompany you on a site visit.
NOTE: I would like to go on-site when you inspect and take some
pictures.
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within 14 calendar days, please take the following actions:
[gj Return a Completed APSARR Form.
D Attach Well Construction Data Sheet.
D Attach Attachment B for Certification by the LAPCU.
D Issue an Attachment B Certification from the RO.*
* Remember that you· will be responsible for coordinating site visits and reviews, as well as . additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact pers_on
listed above.
RO-APS Reviewer: ------------------Date: ____ _
FORM: APSARR 07/06 Page 1 of 1
w ATEyG
Michael F. Easley, Governor
co r
William G. Ross Jr„ Secretary
North Carolina Department of Environment and Natural Resources
Q ►�
Goleen H, Sullins Director
Division of Water Quality
March 17, 2008
Jeffrey Frelinger
1 111 Monterey Valley Drive
Chapel Hill, NC 27516
Subject: Acknowledgement of Application No. WIOSOOO13
Jeff & Joy Frelinger SFR
Injection Heating/Cooling Water return Weli (5A7)
Orange
Dear Mr, Frelinger:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit
application and supporting materials on March 17, 2008. This application package has been assigned the number
listed above and will be reviewed by Michael Rogers.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.
To ensure the maximum efficiency in processing permit applications, the Division requests your assistance in
providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final
action by the Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days
after receipt of a complete application,
If you have any questions, please contact Michael Rogers at 919-715-6166, or via e-mail at
michael,rogers@ncmail,net. 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:llh2o.enr,state.nc.us/documents/dwq or;chart,pdf,
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT,
Since�ely,
h
c
for ebr J.. US
Supervisor
cc: Raleigh Regional Office, Aquifer Protection Section
Permit Application File W105000I3
Aqulfer Protection Section 1636 Mall Service Center Raleigh, NC 27699-1636
Internet; www.ncwaterrtualitv•org Location: 2728 Capital Boulevard Raleigh, INC 27604
An Equal Opportunity/AffirmMve Action Employer— 50% Recycled110% Post Consumer Paper
lahltucur*y
na
Telephone: [phone]
Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

0
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR)
APPLICATION FOR PERMIT TO CONSTRUCT ANDIOR USE A WELL(S) FOR
INJECTION WITH A GEOTHERMAL HEAT PUMP SYSTEM FOR:
TYPE 5-A7 WELL{S) MAR
New Permit Application OR �-� Renewal (check one)
DATE: 13 20 L)
PERMIT NO. W17 0 S ©4n 13 (leave blank: if NEW permit application)
42008
A. PROPERTY OWNER(S)IAPPLICANT(S)
List each Property Owner listed on property deed (if owned by a business or government agency, state name of
entity and a representative wlauthority for signature): _ `1 r E i r9 �r �� C, Y _J Dom__ Fre ! i A+ e.y
(1)
(2)
Mailing Address: L O� Y� • �a �e
City: a(X - I i ►0 Statel\ L Zip Code 7,S
Home/Office Tele No.: �� ° � 4 '�� 9 /Cell No.
EMAIL Address: 0, vv be l 5 ❑u 7k . v1-�4
Physical Address of Site (if different than above):
City: State: Zip Code:
Home/Office Tele No.:
EMAIL Address:
O=
-Pr
4I4 A-401y3p3 L
County:
R. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name:
Contact Person: EMAIL Address:
Address:
City: State: Zip Code: County:
Office Tele No.: Cell No.:
Website Address of Company, if any:
MAX 5A7 Well FerrrritApplica&n (Revised 9=07) Page 1

C. WELLDRILLERINF~RMATION .
Company,Name: tt C. )Y) L WJLU
Well Drilling Contractor's Name: --~-----'~5 __ H_u_+_· ®-'-~----------------
NC Contractor Certification No.: LA. VtkVtow_v\ -------"-------------------
Contact Person"-: ______________ E=M=A=IL=-"-A=d=d=re=s=s: __________ _
Address:---------------------------------
City: _________ Zip Code: ____ County: ____________ _
Office Tele No.: Cell No.: ----------
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
CompanyName: 1)~u s. ¼~iff
Contact Person: EMAIL Address:
Address.:..fo So ?','; ( 03 2..
C > I
City: 'Ko)( r.o vo ZipCode: 27 S-=/3 County: __________ _
Office Tele No.:q{q -~'11 ... f''f !'-/ Cell No.: ----------
E. STATUS .OF APPLICANT
F.
G.
H.
Private: JL..
State:
Federal:
Municipal: __
Commercial:
Native American Lands:
INJECTION PROCEDURE (briefly describe how the injection well(s) wilJ be used)
WELL USE Will the injection well(s) also be used as the supply well(s) for the following?
(1)
(2)
The injection operation?.
Personal consumption? ·
YES V NO __ _
YES ~ NO __ _
WELL CONSTRUCTION DATA (Ski p to Section I if this is a Permit RENEW AL} ,
(1)
(2)
·PROPOSED Well(s) to be constructed for use as an injection well. Provide the data in (1)
through (7) below as PROPOSED construction specifications. Submit Form GW-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 Form GW-1 (Well Construction
Record) if available.
Date to be constructed: -"--------Number of borings: ___ _
Approximate depth of each boring (feet): _______ _
Well casing. Is the well(s) cased? (check either (a.) YES m: (b.) NO below)
(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 ___ ft. (reference to land surface)
Casing extends above ground ____ inches
GPU/UIC 5A7 Well Permit Application (Revised 9/2007) Page 2
I.
(b) NO
(3) Grout (material surrounding well casing and/or piping):
(4)
(5)
(6)
(a) Grout tn>e: Cement__ Bentonite Othet (specify) ______ _
(b) Grouted surface and grout depth (reference to land surface):
___ Around closed-loop piping; from ___ to ___ (feet).
___ Around well casing; from ___ to (feet).
Well( s) ·screen Information
Depth of Screen: From ____ to ___ feet below land surface
N.C. State Regulations (Title 1 SA NCAC 2C .0200) require the Permittee to make provisions for
monitoring wellhead water quality and processes. A faucet on both Influent (groundwater entering heat
pump) and Effluent (water beirig injected back into the well) lines is required .. Will there be a faucet on:
(a) Influentline? Yes __ No__ (b) Effluentlitie? Yes __ No __
Source Well Construction Information (if the water source well is a different well than the injection well)
Attach a copy-of Form GW-1 (Well Construction Record). If Form GW-1 is not available, provide the
following data:
Groundwater Source. 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 CONTRACTOR CAN SUPPLY THE DATA FOR EITHER EXISTING OR PROPOSED WELLS IF
THIS INFORMATION IS UNAVAILABLE BY OTHER MEANS.
OPERATING DATA
(1) Injection rate: G,<tJptv"
(2) Injection Volume:
(3) Injection Pressure:
(4) Injection Temperature:
" . , ---L, S-PM
Average (daily) ~llons per minute (gpm).
Average ( daily) I ~ 6 O gallons per day (gpd).
Average (daily)~/6b pounds/square inch (psi).
Average (January) 5 .$ ° F, Average (July)~° F.
J. INJECTION-RELATED EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary
information. /\J'I) <2.M«~_
K. LOCATION OF WELL(S)
Attach two copies of maps showing the following info.rmat1on: .. :··:.: .• ··:. '\ ., · .. ' . ; ·.,..: ..
(I) Include a site map ( can b.e: ~~}~b;g~a;(~i\q~g~f r,,f,ii~rt{lin~s~_ s·ti~a-~,e\v~t_ej-bodies~ potential. s.o~rces
of groundwater contaminatfo~/"art:d,.:tJi~-::~tli:ntatioii'. p(Iii.i<f :djs~ce·s.-b¢~~ep the :propose<i' ~eU(s) an"d arty .
existing well(s) or waste dispos:a:} takiJitl;~-~~sitcj:iis'::s;¢pti.b'iart.ks· ~r-dr~~fi.~lds fo:cated within: 1 OOQ feet·ot.ihe-,
geothermal heat pump well sysierii:° ta:b~falf.featur~_s>cie·~r:if ~a-irtclude·:a :north. :arr6w .. · · · ·
0 ~•. •• 0 0 0 0 , • ••."" • 0 0 • • > : h > • • -; .. ~ > > •. • • • > •
--• • .I, ~ • • • ~.
(2) Include a topographic map of the area extending. o~i'rtiile from' th'eprop~rty._b~undari~s and
indicate the facility's location and the map name. · ·· · · · · · ·
/J O ('._ Cut11fB
GPU/UIC SA 7 Well Pennit Application (Revised 9/2007) Page 3
L. CERTIFICATION
Note: This Permit Application must be signed by each person appearing on the
recorded legal property deed.
"I hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining 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
ail related appurtenances in accordance with the approved specifications rid conditions of the Permit."
L
t tat&6 ofProperty Owner/Applicant
/A
Print or Type FulllName
SI Cry
Signat of Pr erty Owner/Applicant
Print or T pe Full Name
Signature of Authorized Agent, if any
Print or Type Full Name
Please return two copies of the completed Application package to:
North Carolina DENR DWQ
Aquifer Protection Section
UIC. Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPUIUIC 5A7 Well Permit Application tRe ised 9/2007) Page 4

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
STATUS OF INJECTION WELL SYSTEM
Permit Number: -' -000 13
Permittee Name: e't�t t' `i i} . � (+ r1 r4 -C tr
Address' 0 M -fe � V-11 I ti: ��Y . Ct 1<� r+.-- [ � 1 ►�� 1� ���t �
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) ❑ Weli(s) not used for injection but is/are used for water supply or other purposes.
3) ❑ Injection discontinued and: a) ❑ Well(s) temporarily abandoned
b) ❑ Well(s) permanently abandoned
c) ❑ Well(s) not abandoned
4) n 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.
Well Abandonment
if you checked (3)(a) or (3)(b), describe the method used to abandon the injection well. (Include a description of haw the well
was sealed and the type ofmaterial used to fill the well ifpermanently abandoned):
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
permit. Do you wish to rescind the permit?
❑ Yes J 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 stay knowledge the information is true, accurate, and complete."
3/I Y d r
sigt LULLr Dale
Revised 5l05 GWIUiC-68

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aF W ATEq Michael F. Easley, Governor
William G. Ross h., Secretary
North Carolina Department of Environment and Natural Resources
❑ -� Coleen H. Sullins, Director
Division of Water Quality
March 19, 2008
Jeffrey and Joy Frelinger
11 I I Monterey Valley Drive
Chapel Hill, NC 27516
MAR $ 4 2009
Subject: Permit No. W10500013
5A7 Geothermal Injection Well
Orange County
Dear Mr. and Mrs. Frelinger:
We received your application package for the renewal of the above referenced permit to operate a 5A7
Geothermal Injection well on March 17, 2008. The renewal application you completed and submitted is being
returned because it: only had the signature of Mr. Frelinger. According to the Orange County GIS, the co-owner is
Joy Frelinger. All property owners roust sign the application.
Therefore, please re -submit the application with the signature of both property owners within 30 days of
receipt of this letter. Please find attached a self-addressed envelope for your convenience.
If you need additional information concerning this matter, please contact me at [phone]. Thank you
for your cooperation.
Sincerely,
Michael Rogers
Environmental Specialist
GPU-UIC
Attachment(s)
ce: Raleigh Regional Office — Jay Zimmerman
APS Central Files
N� �` 'Carolina
d 1'wliraffil
Aquifer Protection section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Cusmmer Service
tntemct. hap Wh2o. enr. state. nc. us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone]
Fax [phone]
An Equal Qpportunhy/AtTimtetive Action Employer - 50% Recyc[010% Post Consumer Paper

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
DivisiOn of Water Quality
March 3, 2008
Jeff and Joy Frei inger
1111 Monterey Valley Drive
Chapel Hill, NC 275165
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7006 2150 0003 5466 5680
Subject: Notice of Expiration (NOE)
5A7 Geothermal Injection Well.
Permit No. W10500013
Frelinger SFR
I l I 1 Monterey Valley Drive, Chapel Hill, NC
Orange County
Dear Mr. and Mrs. Frelinger:
The Underground Injection Control (UIC) Program of the North Carolina Division of Water
Quality (DWQ) 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 underground injection well system, which was issued on June 19, 2003, and expires on June
30, 2008, has not been renewed. In addition, our records do not indicate that the well system has
been plugged and abandoned.
In order to comply with the regulatory requirements listed under North Carolina Administrative
Code (NCAC) Title 15A, Subchapter 2C, Section .0211, you roust submit one of the following
forms:
A. Application for Permit (Renewal) to Construct and/or Use a Well(s) for Injection with
Geothenmal Heat Pump System for Type 5A7 Well(s) if the injection well system on your
property is still active.
B. Status of Injection Well System if the injection well system is inactive or has been
temporarily or permanently abandoned.
Aquifer Protection Section 1636 Mail 5emee Center
Internet: ME1 .jNwater.luality� Location: 2728 Capital Boulevard
An Equal Oppo rtu nitylAffindye Action Employer 50% Recycled110% Post Consumer Paper
N nc Carolina
Raleigh, NC 27699-1636 Telephone: [phone]
Raleigh, NC 27604 Fax 1: [phone]
Fax 2: [phone]
Customer smicc: [phone]

If there has been a change of ownership of the property, an Injection Well Permit
Name/Ownership Change Form must also be submitted.
If the injection well system is no longer being tised for any purpose, it must be permanently
abandoned according-to the regulatory requirements listed under NCAC Title· lSA, ·Subchapter
2C, Section .0214. When each well is plugged and abandoned, the well abandonment record
(Form GW-30)must be submitted to our office to certify that the abandonment was properly
conducted. If the injection well system is still active and you wish to renew your permit, the
renewal application must be submitted within 30 calendar days of the receipt of this letter to:
Aquifer Protection Section
Groundwater Protection Unit
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Failure to submit these forms in a timely manner may result in the assessment of civil penalties
in accordance with North Carolina General Statute 87-94. For your convenience, a renewal
application and a UIC well system status form are attached along with a self-addressed envelope.
The above referenced forms are also available on-line at the DWQ website at
http://h2o.enr.state.nc.us/aps/gpu/forms.htm.
Thank you in advance for your cooperation and timely response. If.you have any questions,
please call me at [phone]
Sincerely, /~o;___
Attachments
cc: Raleigh Regional Office .:. APS w/o enclosures
Michael Rogers
Environmental Specialist
APS Central Files-~ Permit No. WI0500013 w/o enclosures
Page 2
Permit Number W10500013
Program Category
Ground Water
Permit Type
Injection treating/Cooling Water Return Well (5A7)
Primary Reviewer
evan.kane
Permitted Flow
acilit
Facility Name
Frelinger, Jeff & Joy - SFR
Location Address
111 Montery Vly Dr
Chapel Hill NO 27514
Central Files: APS SWP
02/29/08
Permit Tracking Slip
Status
Project Type
Active
Renewal
Version
Permit Classification
1,00
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Raleigh
County
Orange
Facility Contact Affiliation
�,'Vz7 0/
y
Owner
Owner Name Owner Type
Individual
Jeff Frelinger Owner Affiliation
Jeff Frelinger
111 Montery Vly Dr
Chapel Hill NIC 27514
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
04/03/92 02/20/03 06/19/03 06/19/03 06/30/08
Regulated Activities
Meat Pump injection
Outfall NUI-L
Waterbody Name Stream Index Number Current Class Subbasin

Page t of 1
O �A,0Ut t
R to GE CO U NT
Research A Different Parcel
Orange County Land Records Data
Summary Information Page
summary j Gx5 Map Buildings j Documents I Property
Addresses
I Prior Owners
PIN#: 9767848582
TMBL#: 7.119..21
TRACT#: 739534
Property Owner:
Owner's Mailing Address:
Legal Description:
FRELINGER JEFFREY
1111 MONTEREY
#1 MONTEREY VALLEY
A
VALLEY DR
P5218
& A JOY
CHAPEL HILL
P56/124
NC, 27516
Administrative
Tax Account#: 166657
PIN Status: A
Assessors Status: A
Rate Code: 04
Rate Code Information
(Revenue Dept.)
Descendants
Ancestors
Assessed Values Miscellaneous Information
Assessed Land Size: A10.68 Buildings Assessed:1
Land Value: $268835
Total Use Value: $0
Buildings Value: $406962
Total Valuation: $675797
http://gis.co.orange.ne.us/land/queTies/account.asp?PfN=9767848582 3/3/2008

Name Date T rmit/Comments
/ Heat Reinediation Other
Mark Pritzl
L;rt S Heat Pump Remediation Other
Amy A—me&��ta� .�

o 0 WaTE9�c
p Y
Mr, & Mrs, Frelinger
1111 Monterey Valley Drive
Chapel Hill, NC 27516
Dew- Mr. & Mrs. Frelinger:
Michael F. Easley, Governor
William G. Ross Ir„ Secretary
North Carolina Department of Environment and Natural Resources
June 19, 2003
Alan W. Klimek, P. E. Director
Division of Water Quaiity
Coleen H. Sullins, Deputy Director
Division of Water Quaiity
In accordance with your renewal application received on February 20, 2003, we are forwarding
Pen -nit No. WI0500013 for the operation of geothermal heat pump injection well at 1111
Monterey Valley Drive, Chapel Hill, NC, in Orange. A copy of the laboratory test results of
water samples collected on April 30, 2003 is also enclosed.
This permit shall be effective from the date of issuance until June 30, 2008, and shall be subject
to the conditions and limitations stated therein. In order to continue uninterrupted legal use of
this well for the stated purpose, you should submit an application to renew the permit three
months prior to its expiration date.
If you have any questions regarding your permit please contact me at (919) 715-6I66 or Evan
Dane at [phone]-
cc: CO-UIC Files
RRd-UIC files
Enclosures
Sincerely,
Mark Pritzl
Hydrogeological Technician
Underground Injection Control Program
NPA
D[N=Ft
N. C. Division of Water Quality 1 Groundwater Section
1636 Mail Service Centcr Raleigh, N.C. 27699-1636 Customer Service
Phone: {919J 733-3221 Far: (919) 71 S•05S8 tniernel: ht1p:1/gw.ehnr.sfate.nc.us 1-877-623-6748

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
June 19, 2003
MEMORANDUM
To: Jay Zimmerman, P.G., Regional Groundwater Supervisor
Groundwater Section
Raleigh Regional Office
From: re Mark Pritz! [e-mail]
Hydrogeological Technician Il
UI~Group
Groundwater Section
Raleigh Central Office
Re: Issuance of a Open-Loop Geothermal Injection Well System (Type 5A 7.):
Permit Number WI0500013 to operate a well for the injection of an open-loop
ground-source heat pump system has been issued to Mr. & Mrs. Frelinger, in Chapel Hill, North
Carolina. This is a renewal permit and the Underground Injection Control Group
appreciates Mr. Greer's assistance with the inspection and review tasks. Please retain the
application and paper work for the RRO-UIC files. If you have any questions regarding this
permit or the UIC program, please contact me at [phone].
cc: CO-UIC Files
Enclosures
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE 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
Mr. & Mrs. JeffreyFrelinger
FOR THE OPERATION OF A 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 system is located at 1111 Monterey Valley Drive, Chapel Hill, in Orange
County, North Carolina, and will be operated in accordance with the application received on
February 20, 2003, and in conformity with the specifications and supporting data submitted, all
of which are filed with the Department of Environment and Natural Resources and are
considered a part of this permit
This permit is for Operation only, and does not waive any provisions of the Water Use Act or any
other applicable Laws, Rules, or Regulations. Operation and use 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 June 30, 2008,
and shall be subject to the specified conditions and limitations set forth in Parts I through IX ·
hereof.
. (Z,~ \. A.. Permit issued this the \ -\ day of ....J\.).1~ , 2003.
~j.W~
~ Ted L. Bush, Jr., Assistant Chief
\) Groundwater Section
Division of Water Quality
By Authority of the Environmental Management Commission.
PermitNo. WI0500013
ver.3/01 GW/UIC-5
Page 1 of 5
MEMORANDUM June 17, 2003
To: Mr. & Mrs. Frelinger
From: ~P. Mark Pritzl tel.·[phone]
Re: Groundwater Sampling Results from April 30, 2003
Influent Water Sample Effluent Water Sample
Coliform, total <1/100 ml Coliform, total ·<1/1.00 ml
Coliform, fecal <1/100 ml Coliform, fecal <1/100 ml
pH 7.l pH 6.9
Chloride, Cl <5 mg/L Chloride, Cl <5 mg/L
Dissolved Solids 100 mg/L Dissolved Solids 110 mg/L
NO2-+ NO3-as N 0.33 mg/L NO2· + NO3-as N 0.34 mg/L
NH3 asN <0.02 mg/L NH3 asN <0.02 mg/L
Cadmium, Cd <2.0 ug/L Cadmium, Cd <2.0 ug/L
Calcium, ·ca 13 mg/L Calcium, Ca 12 mg/L
Chromium, Cr <25 ug/L Chromium, Cr <25 ug/L
Copper, Cu 13 ug/L Copper, Cu 120 ug/L
Iron,Fe <50 ug/L Iron,Fe <50 ug/L
Mercury, Hg ns Mercury, Hg ns
Potassium, K ns Potassium, K ns
Magnesium, Mg 5.0 mg/L Magnesium, Mg 5.0 mg/L
Manganese,Mn <10 ug/L Manganese,Mn <10 ug/L
Sodium, Na 7.8 mg/L Sodium, Na 7.9 mg/L
Nickel, Ni <10 ug/L Nickel, Ni 18 ug/L
Lead, Pb <10 ug/L Lead, Pb <10 ug/L
Selenium, Se ns Selenium, Se ns
Zinc, Zn 16 ug/L Zinc, Zn 29 ug/L
State Groundwater Quality Standards:
Classifications and Water Quality Standards Applicable To The Groundwater's of North Carolina
(North Carolina Administrative Code Title 15A: 02L.200)
Coliform, total <1/100 ml
Coliform, fecal <1/100 ml
Chloride <250 mg/L
Total Dissolved Solids <500 mg/L
N02· + N03~ as N <10 mg/L_
Cadmium <5.0 ug/L
Chromium, Cr <50 ug/L
Copper, Cu <1;000 ug/L
Iron,Fe <300 ug/L
Manganese,Mn <50 ug/L
Nickel, Ni <100 ug/L
Lead, Pb <15 ug/L
Zinc, Zn <2,100 ug/L
Arsenic, As <50 ug/L
Mercury~Hg <1.lug/L
Barium, Ba <2,000 ug/L
Zinc, Zn <2, 100 ug/L ·
mg/L = milligrams per liter = parts per million
ug/L = micrograms per liter = parts per billion
1,000 ug/L = 1 mg/L
ns = not sampled
➔
➔
( 1 gram/1,000grams )/1,000grams
( 1 gram/1,000,000~ams )/1,000grams
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 pennit shall become voidable unless the facility is constructed in accordance with the
conditions of this permit, the approved plans and spe~ifications, 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 rea·sonabie protection against damage during
construction and use.
7. Each injection well shall have permanently affixed an identification plate.
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 naine change of the Permittee, a fonrtal permit amendment
request must be submitted to the Director, including any supporting materials as may be
appropriate, at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of
complying with any and all statutes, rules, regulations, or ordinances 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.
Permit No. WI0500013
ver.3/01 GW/UIC-5
Page 2 of 5
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 which will render it unsatisfactory for normal use. In'
the event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality such as the repair, modification, or abandonment
of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit
· even if compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages
to surface or groundwater resulting from the operation of this facility.
PART IV -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the
Director of any planned physical alterations or additions in the permitted facility or activity
not specifically authorized by the permit.·
PART V-INSPECTIONS
1. Any duly authorized officer, employee,-or representative of the Division of Water Quality
may, upon pres~ntation 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.
PennitNo. WI0500013
ver.3/01 GW/UIC-5
Page 3 of 5
PART \ll -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 Raleigh Regional Office, telephone number (919) 571 -
4 700, any of the following:
(A) Any occurrence at the injection facility which results in any unusual
operating circumstances;
(B) Any failure· due to known or unknown reasons, that renders the facility
incapable of proper injection operations, such as mechanical or electrical
failures.
3. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to
the Director by the Permittee.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall
take such immediate action as may be required by the Director.
PART VII -PERMIT RENEW AL
The Permittee shall, at least three (3) months 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)(l), Well Construction
Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Permittee shall abandon that injection well in accordance with the procedures
specified in 15A NCAC 2C .0214, including but not limited to the following:
PennitNo. WI0500013
ver.3/01 GW/UIC-5
Page 4 of 5
(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 weil shall be sounded before it is sealed to insure
freedom from obstructions that may interfere with sealing operations:
(C) The 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) Drilled wells 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, neat-cement shall be injected into the well completely
filling it from the bottom of the casing to the top.
(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 .02 l 3(h)(l) within 30 days of completion of
abandonment.
3. The written documentation required in Part Vill (1) and (2) (G) shall be submitted to:
Groundwater Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
PART IX-OPERATION AND USE SPECIAL CONDITIONS
None
Permit No. WI0500013
ver.3/01 GW/UIC-5
Page 5 of 5
North CarolL.. Department of Environment and Nk._,Aral Resources
Division of Water Quality - Groundwater Section
INJECTION FACILITY INSPECTION REPORT - FORM B
INJECTION WELL PERMIT NO. OT DSO Dflo I DATE `4 5 a -- 03
NAME OF OWNER %r"12 .�xL�_ r� d `��� T�� l •r��r
ADDRESS OF OWNER
U
(Streetl road or lot and subdivision, county, town)
LOCATION OF INJECTION WELL (and source well(s), if applicable)
(Streetl road or lot and subdivision, county, town, if dierent than owner's address, plus description of location on site)
Potential pollution source Q ' Distance from well �v_
Potential pollution source 5� ► �, Distance from well ? So'
Potential pollution source
r Distance from well
Minimum distance of well from property boundary -t 15'tav
Quality of drainage at site
ood dequate, poor)
GPS Data:
Latitude:
Flooding potential of site
(high,moderate,IED
Longitude:
'MV r;
�C �T'"
crss
M=
to
x
DRAW SKETCH OF SITE (Show property boundaries, buildings, wells, potential pollution sources, roads, approximate scale, a
north arrow.)
M
l�
rp )>4�) p z .
DESCRIBE INJECTION SYSTEM (vertical closed loop, encased borehole or cased water well; separate source well and
injection well; combination source and injection well; or other description as applicable)
Ver.3101 GWI[JIC-2

•
INJECTION1
'. .CILITY INSPECTION REPORT -FORM '~ . ..:ONTINUED)
~::r 0~~)3
W"ELL CONSTRUCTION
Date constructed :;;;,;;-!J ~ I i:_"i9 I
Drilling contractor: Name ~:::.. "}J De-)/ ]:) 12,,k, £!,
Address 7 9 ,'D ~-'!<':_a7 ~ /
bu r be>a? , ,.u b ~2713 e 4 J:>.,o~cl /..,;/ .. ).J~-f5;p#'
Certification num~r ,,;, 1 ?.;7 7
Total depth of well "'~ 4 5"" Total depth of source well SA,r-:,e
(if applicable;
Inspe~tion point
Casing
Grout
Depth
Diameter
Height (A.L.S.)
Depth
Screens
Depth(s)
Length(s)
I.D. Plate
Static water level
Well yield
Enclosure
Enclosure floor
(concrete)
Sampling port
(labeled)
Water tight pipe entry
Well enclosure entry
Vent
Measurement Meets minimum standards
Yes No
L/ol ✓
G,J&_' I,/
I ,.,,,.,,,
+-74;, I'
. ',,,/
Nl rl ✓
# /,,; t:7
I ~
:)L/ I ✓
~~ ,_/
✓
~
✓
V
a-,/
,/
cert
/kd
Functioning of heat pump system (Determine from the owner if heat pump functions properly.)
Comments
:!~
~ S/"'-e-
INSPECTOR ,11..eR&.. r2 Office _ ______;_../Z-_JZ_~_• _
7
_,_/..:.=.r:..""""'t2c::....__ ____ _
WITNESS Address --------------------------
WITNESS Address --------------------------
Ver.3/01 GW/UIC-2
J,,'-,4/ &.IC...S
ftE LEtiyED ! UIE NR
UVI O tsfif]L IONATER SECT lot,
43 111VISION OF 11•A i En QUA 1.11V
03 1F N i } AM 10, Cbrinlihy 1.11pnralvey RrPill l ICoou"d Iva IPr Q*P%illy
0141Y : ()RA14GF
I A U NO:
PORT IO - 11I10 Regional Office
ll.f.1 CFOR[Sj : 1 GREER
41lfL
rt!%�
fhVjH-c
U10RATURY ANALYSIS
BW 310 -
mg/L
COD I li h 340
m / L
LW Law 335
MPJL
Col [form MFFecal 31616
1tl
lOt7ml
Caliform MFTa1al31504
lU
/10om1
Tt7C
m l
Furbili!y
NTU
Residue.. Suspended 530
mg/L
Total5uspended solids
mg/L
Pit -- -
6.9
units
Alkallm-wity to pli 4.5
62
m L
AtkaLlnitX to pli 113
1 U
ffLOL
Cerbonmtc
lU
L
Ilkarbonale
62
TAJ L
Carbon dioxide
L
Chloride
5U
mg/L
Chromium Ilex 1032
u L
Color: Irue 00
r.u.
C ankle 720
m /L
I ax ai lun ar SI tv:
UrsrrlPlloil tof inrnpling 1•141:1
Samp inl, hirihod
Rcmorkr.
5AM14.E VRTOR11 Y
E]imufiN1? Cjrmutc;FNCY
U [ !LAIN Olt 1:1151UI1Y
iV 1;A6111J` IYlT
X
L1199.Salkls 70.'ilkl
110
nrr/l.
Fluoride 951
_
m /L
_
x
I [ariness: tn1a1900
51?
mp-/L
*
Ilardness rwntarb 902
lU
mrj L
Menols32730
u g /L
5pecific Cond. 95
wrdtas/cm2
_
X
Sulfate
5U
m L
Sulfide 745
m /L
_
MBAS
mg/L
Qll and Crease
mall.
_
S[Fkca
m L
Baron
Fcrmaldeh de
m / L
X
Nld3 as N 610
0.02U
imp.
X
TKN as N 675
010U
m L
X
NOZ 4NO3 as in 630
0.34
m L
%
P: Iota[ as P 665
0.05
L
POi
/ L
T
Al;-Sllyer 46566
ur/l.
AI -Aluminum 46557
U eI L
As-Areenlc 46551
u / L
Ba-Barium 4659
u L
•
Ca -Calcium 4655Z
12
m L
X
Cd-Cadium46559
2.OU
u /L
7[
Cr-Chmm1um46560
25U
u L
X
I Cu-Co r104x
l20
up /L
X
Fe- Imn 1045
50U
us/L
JIB- Mercury 719M
up/ L
K-Patasslum 46555
m L
X
Mg- Magnesium 927
5.0
m /L
X
Mn-6tanpanese 1055
_ IOU ug/L
X
No- Sodium 929
7.9
m / L
R
NI.Nkkel
i8
u L
%
Pb-Lead 46564
IOU
u L
Sr-Selentum
u /L
X
Zn_Zinc 46567
29 _ ug/L
bib Number 3GO483
Urie Received : 4/30/2003
1-inw Received : 10:40 AM
Received By j[]S
Ifjf0.3
AR
Rrlra�cl y
13me rernrled: 6/212903
_ Urganuchlorine tlest[rides
oryngplmsphoru5 Pesticides
Gusulirre
3gwa1

GROUNDWATER FIELDILAB FORM
County �•T-Q� - -- SAMPLE TYPE SAMPLE PnIORITY
Water Routine
Lat. No S riot No. - soil N Pmergency
Lat. _ Long. __�. ❑ Olher
Report To: ARO, FRO, MRCCE��aRO, WIRO, ❑ Chaln of Custody
WSAO, Kinston FO, Fed. Trust, Central Off., Other:
Stripped by: Bus, Courier, I and f)el Other�� Purpose:
Collectors : ` bate 27 V d3 Time � p
� f Baseline, i
FIELD ANALYSES Owner lf_
pH40o Spec. Cond.94 at 250 C Location or site
Temp.ro �z► _ oC Odor Description o1 sampling point
North Carolina
Department of Environment and Natural Resources
DIVISION OF WATER QUALITY - GROUNDWATER SECTION
�o
Lab Number _LJ
Date Received _
Rec'd by:���
Other:
Data Entry By:
Date Reported:
Y.
L
'Q-5_Time -
rom, Bus, Courier and Del.)
Ck: .
Pesticide Study, Federal Tr,tether;��
Appearance '' Sampling Method _ _ Sample Interval
Field Analysis By: t Rema►ks W,101 !�".—�
LABORATORY ANALY' S r_nFn_g 11me. Z lamp, ale.)
BOO 3 i o m A piss. Svlyds U300- -- _ 1110
COD High 340 mgll Floudde 951 mgA
COD Low 335 mg/1 AJdarne s: Tota4 jQ �q[�.
Colilorm: MF Fecal 31616 1100ml H_ asdness (non-carb) 902m_ _qA
C Ilt • MF T tat 3 504 lino I 77
Ag - Silver 45566 u
Al - Aluminum 48557 u
As - Arsenle 46551 u
Ba - Barlum 46558 u
0 orm. v i m
an�$Q_ __ t1dP 417Lq_fYIUIFI_NOa7{ ill_y11
_TOC 680 _ mg13 Sri ' .Co 95 Whos( 2 Cd - Cadmium 46559 omit
Turbidity 76 NTU � Sulfate 045 rrigfi Cr - Chromium 46560 ugll
_1 Residue., Suspended 530 mgA
II \tj pH 403 units]
Alkalinity to pH 4.5 410
Alkalinity to pH 8.3 415
Carbonate 445
Carbon dioxide 405
mgA
Chloride 940
mgA
Chromium: Hex 1032
urn_
Color: True Be
CU
Cyanide 720
mqA
Oil and Grease m91l
NHil as N 610 - rngli
1t_tl!Las N.�aS ___�.molJ
Nq + W. as N 630 rnJc Jt_
P: Total as P 665 mg/l
- Copper 46562 ugll
_Cu _
Fe - Iron 46563 ugli
Hg - MefWl y 71900 ugA
- Potassium 46555 myll
_K
Mg - Magneslurn 46554 T nlgl,
Mn - Manganese 46665 ugli
Na - Sodlum 46556 rTlgl
--
111— Nichet __ — - _. ___.rgll
Pb - Lead 46564 ugli
Se - Selenlum ugA
Zn - Zinc 46557 uoA
anochlorine Pesticides
anontiosphorus Pesticides
Nitre en Pesticides
Acid Herbicides
PC8's
Semivolatile Organics
TPH - Diesel !Flange
Volatile Organics (VOA bottle)
TPH - Gasoline Range
TPH - BTEX Gasollre flange
Lab Comments:
G+rv-sa RFV. ti21�� For Dissolved Analysts -submit filtered sample an3 rile "i715" In hr K7
o��!:� a .

w
1
raa
NTY : DRANCE -t
D N(>
)RT1O RRO IT R I Office
L1SCI+OK(S) : J GREER
C: 413y17003
IOD 310
m L
,OD High 340
L
=O0 Low 335
rn /L
-oliferm: MP Fecal31616
lU 100rid
-otrform:MFTotal31l504
I zlouw
OG
Mr/1
to PH 11.3 1U
MENTS :
DE
Uwo GROUNDWA ER SECTION
03 F� j�j F 1 DIVISION OF WM'Ut QUAL1 l-V
JUN 1 ! AN 19Ite4.& latroratery Report 1 CraLind Wxler Quaitly'
SAMPLE. PRIORITY
]ROU11Nr E]I-'M[.RGI-'.NCY
[] i:linrNarCUSIYlvY
F] SAKINS-TYPE I
owmn
Location or Site:
Description of sampling point
Sampling Me died:
RemarkS:
JLFF AND JOY FREUNGE.R
X
M.. Solids 70300
100
m L
Flumide951
m /L
X
Hardness: total90D
53
m •/L
X
Hardness:[non-carb]902
lu
m1;/L
Phenols32T30
u r/l.
S ,rcific Cond. 95
umlws cm2
X
Sulfate
5U
rrWl L
Sulfide 745
m •/L
MBAS
m /L
Oil and Grease
m •/ L
Silica
m • L
Boron
FormAdeh •de
m /L
x
NH3 as N 610
0.02U
m +/L
X
TKN as N 625
0.20U
m • L
*
NOz+NO3 as n 630
0.33
m • L
X
P: Total ac P 665
0.06
m • L
PO4
m •1 L
A Silver 46566
ur,11.
_
AI-Alurninuen 46557
u L
As -Arsenic 46551
u jL
Ba-Barlum 46558
u ;/L
X
Ca -Calcium 46552
13
mt jL
X
Cd-Cadium46559
2.01.11
u•/L
X
Cr•Chromium46560
25U
u./L
Co- Ca • r 1042
13
u + L
X
Fe- iron 1045
!)DU
a •/L
IX
H -Mercurv71900
u L
K•Potawiurn46555
m /L
X
M- 3 la ,rinlum 927
5.0
m L
X
Mre-Mdrn anese 1055
10U
a g/ I.
X
Nn-Sodium929
7.8
m L
X
NI -Nickel
IOU
u'/L
•
Pb•Lead 46564
10U
u IL
Se -Selenium
u+ L
X
Zn-ruw46567
16
u •/L
Cab Number 3GO482
Bate Received : 4/3=903
Time Received 10-.40 AM
Received By rp
�0 IJL
Released By AR
Vale reported: 612f2003
htorine Pesticides
hoaphorus Pesticides
Pesticides
I I Acid Herbicides I
3g0382

North Carolina
GROUNDWATER FIELD/LAB FORM Department of Environment and Natural Resources
DIVISION OF WATER QUALITY - GROUNDWATER SECTION
County
Quad No Serial No.
Lat.
Long
kTj114=2Iii_
►f Water
■ son
■ Other
Report To: ARO, FRO, MR RO WaRO, WiRO, I—
WSRO, Kinston FO, Fed. Trust, Central Olt., Other:
Shipped by: B s, Courie and De Other• _
Cnllector(s): �1 Date tl `f AV t, *­� Time
SAMPLE PRIORITY
I?I Routine
❑ Emergency
❑ Chain of Custody
0
Lab Number
Date Received _.0� m Tie ,1�0 :�
Reed by: �, From: Bu , and be.
Other: .
Data Entry By: Ck:
Date Reported:
Peslicide Study, Federal Tru.. Ote� �4—
IEL❑ A 8L.LOwner �rr o
pi iaaa , a Spec. Cond.aa % G . P at 250 C Location or site _ l� /f f"
fica
Temp.10 or,Odor, ��2
_ Description of sampling point 6- -
Appearance t Sampling Method Sample 1
Field Analysis By: , 101, Remarks t !"'T. b
Purpose:
Baseline, Complaint:
LABORATORY ANALYSES - T
ROD 310 m Il Diss. Solids 70300 ma/1 Ar - Silver 46566 UqA Or anvchivrine Pesticides
COD High 340 mgA
Floutide 951 m ll
Al - Aluminurn 46557 a 11
Organophosphorus Pesticides
COD Low 335 m I
Hardness: Total goo mg/l
As - Arsenic 4-6551 ttgll
Nitrogen Pesticides
Golifo►m: MF Fecal 31616 110om1
Hardness non-carb 902 m 1l
Ba - Barium 46558 u A
Acid Herbicides
Coliform: MF Total 31504 /1 t}Qml
Phenofp 32730I
Ca - Calcium 46552 m 11
PCB's
_
TOG 6eo m 11
Gpr_d. n5 - _ _ _ - uMli fez
Cd - Cadmium 46559 u A
Turbidity 76 NTl1
Sulfate 945 mtgA_
Gr - Chromium 46560 u II
Residue., Suspended 530 mgA
Sulfide 745 m A
Cu - Copper 46562 ugli
Fe - Iron 46563 - gh
_
Semivolatile Organics
Oil and Grease _ _ - _m_g11
H - Mercury 71900 u 11
TPH - Diesel Range
pH 403 unit
K - Potassium 46555 m 11
Alkalinity to pH 4.5 410 mg/I
M - Ma nesiun146554 m ll
Alkalinity to pH S.3 415 mg1l
Mn - Manganese 46565 ugll
Carbonate 445 mgll
NH, as N 610 mgll
Na - Sodium 46556 m It
Volatile Organics (VOA bottle)
Bicarbonate 440 mall
-aii-N 625 [Tinll
-
TPH - Gasoline Range
Carbon dioxide 405 mgA
NO,, + NO, as N 630 _ mg _
Pb - Lead 46564 u A
TPH -13TEX Gasoline flange
Chloride 940 mgA
P: Total as P 665 mqA
Se - Selenium u 11
Chromium: Hex 1032 u II
Zn - Zinc 46567 u n
Color. True 80 CU
_
Cyanide 720 mgll
Lab Comments: �'-
, , , L --
3W-54 REV.1219
For Dissolved Analy s - submit tittered sample and write "DI5" in lot

MEMORANDUM
-U1Yls10N OF WATER Qu~ITY
. GROUNDWATER SECTION
February 20, 2003
To: Jay Zimmerman, L.G., Regional Groundwater Supervisor
Groundwater Section
Raleigh Regional Office
From: 4 -Marlc Pritzl ,11U)f [e-mail]
Hydrogeological Technician II
Underground Injection Control (UIC) Group
Central Office (CO)
Re: Request for inspection and sample collection of Jeffrey~ Joy Frelinger's geothermal
injection well system. This system is located at 111 Monterey Valley Drive, in Chapel
Hill, NC.
1. Please inspect the injection wetl site.to verify that the location and construction plans
submitted in the application are accurate and the NCAC Title 1 SA 2C .0200 standards are
being complied with, using the enclosed Injection Facility Inspection Report (form B) as
appropriate.
2. Please collect samples from the influent and effluent sampling ports and submit the
results to the CO-UIC Group.
You are requested to return the completed Injection Facility Inspection Report (form B}to
the CO-UIC by March 15, 2003. If the inspection can not be accomplished by this date,
please inform the CO-UIC group. The UIC group greatly appreciates Jim Greer's
assistance with this review. If you have any questions·regarding this review or the UIC
program, please contact me at [phone] or Evan Kane (919) 715-61~5.
cc: UICFiles
Enclosure
RMichael F:
�� rr: "t'. . r �e ` y �., , .• . } i s { n, ;'- Wlllfam G. doss ar.,"Secretary.
.�."f'n Q �' • _,:F, `'}' - F,',' • `.'-.,,North Carol ra Oepartmersf aT Environment and Natural Reiouroes'
r; - '; ." •�•-: _`--A�anVY.irJlrirek,'P.E. plred6r '
3 ,,{' ,� VpY � .:, . i r. r ~:: -n �.: �` .i = - - `Dfnriaiiiri of Water Quali
February 20, 2003
Jeffrey & Joy Frelinger
1111 Montery Valley Drive
Chapel Hill, NC 27516
Dear Jeffrey 4 Joy:
Your renewal application for a permit to use a well for the injection of geothermal heat
pump effluent has been received and is under review. The Groundwater Section appreciates your
timely response to our written inquiry about the status of your geothermal heat pump system. A
member of the Groundwater Section's Raleigh Regional Office staff will be contacting you to
arrange an inspection of the injection well and collect water samples as part of the review.
If you have any questions regarding permit or injection well rules please contact me at
[phone] or Evan Kane at [phone].
cc:
AFA
FMNR
Customer Service
1 800 623-7748
CO-UIC Files
RRC-UIC Fifes
Mark Pritxl
Hydrogeological Technician Il
Underground Injection Control Program
Divislon of Water Quality 1 Groundwater Section
1636 Mail Service Center Raleigh, NC 27699-1636
Phone: [phone] Fax: [phone] Internet: http://gw.chnr.state.ne.us

CAD BULIDWA INo.
W CEDAR RIDGE BUKDEFW
FXKr E ONE, BOX 92-A
CEDAR GROVE. NC 27M
v It d 1t
�� C .
On
M.Q ,.J7E ?1-- ..Yezolry

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
APPLICATION FOR PERMIT RENEWAL TO USE A'WELL(S) FOR INJECTION WITH
A HEAT PUMP SYSTEM i
Type 5A7 and 5QM Wells v �;
w
In accordance with the provisions of NCAC Title 15A: 02C.0200
complete application and mail to address on the back page. co _
TO: DUUSCTOR, 7ORTI CAROLINA DIVISION OF WATER QUALITYDATE: �-r � 0 3 , 20 v
c.n .
A. SYSTEM CLASSIFICATION. Does the system re-eirculate only potable water without any additives such as
corrosion inhibitors or antifreezes in continuous piping which isolates the fluid from the environment?
YES If yes, do not complete this form. A form GW-57 CL, (Notification Of Intent To Construct A
Closed -Loop Geothermal Water -Only Injection Well System), should be completed.
NO ✓ If no, then continue completing this form.
B. PERMIT AP11PLICrrANT _ rr
Name: jr A Le -�_a_ _f 'Gi�
Address: �-A0 P4 eytq Q _ 64 Y
City: S1�+— ?,e f \4 l Stater Zip coder
County: n It A Al Ca 9 Telephone: �- �I � Z 4
C. PROPERTY OWNER (if different from applicant)
Name:
Address:
City: State: Zip code:
County: _ _ _ _ Telephone:
D. STATUS OF APPLICANT
Private: Federal: Commercial: State: Public:
Native American Lauds:
E. FACILITY (SITE) DATA (Fill out ONLY if the Status of Owner is Federal, State, Public or Commercial).
Name of Business or Facility: T
Address:
City: — — — State: Zip code:
County: _ Telephone: Contact Person.
Standard Industrial Code(s) which describe commercial facility:
ver.3101 OWIUIG57 BPR Page 1 of 1

F. INJECTION PROCEDURE (specify any modifications to the injection procedure since the issuance of the
previous injection permit)
No CAAQ.vi i e. $
G. WELL USE :Is(are) the injection well(s) also used a~ supply well(s) for either of the following?
(1) The injection operation? YES NO __ _
(2) Your personal consumption? YES~ NO __ _
H. CONSTRUCTION DATA
( 1) Specify any and all modifications to the well casing, grout or screens since the issuance of the previous
injection permit.
N& Ckcu~e ~
(2) NC. State Regulations (lSA NCAC, 2C, Section .0200) require the permittee to make provisions for
monitoring well head processes. A faucet on both influent (groundwater entering heat pump) and
effluent (water being injected into the well) lines is required. Is there a faucet on:
( a) the influent line? yes ✓no_·_
(b) on the effluent line? yes ✓ no __
I. CURRENT OPERATING DATA
(1)
(2)
(3)
(4)
Injection rate:
Injection volume:
Injection pressure:
Injection temperature:
Average ( daily) Co gallons per minute (gpm)
Average (daily) l 'f O0gallons per day (gpd)
Average (daily) 30/~'T)pounds per square inch (psi)
Annual Average "1 I degrees Fahrenheit(° F)
J. INJECTION-RELATED EQUIPMENT
Attach a diagram showing any modifications to injection equipment since the issuance of the previous injection
permit including the engineering layout of the (1) injection equipment, and (2) exterior piping/tubing associated
with the injection operation. The manufacturer's brochure, if detailed, should satisfy (1). fVO CtfAtJWJS .
K. LOCATION OF WELL(S) Attach a map
Include a site map (can be drawn) showing: the orientation of and distances between the injection well(s) and
any existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 1000 feet of the
ground-source heat pump well system; include buildings, property lines, surface water bodies, any other potential
sources of groundwater contamination. Label all features clearly and include a north arrow to indicate
orientation.
L. PERMIT LIST: Attach a list of all permits or construction approvals, received or applied for by the applicant
that are related to the site.
ver.3/01
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
GW/UIC-57 HPR Page 2 of2
M. OTHER MODIFICATIONS: Indicate any other modifications to the injection well system
( equipment, fluid, operation, etc.) that have occurred since the issuance of the
previous injection permit and have not been noted elsewhere on this application.
NON <:r
N. 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 infonnation. I agree to operate, maintain, repair, and if :.jJ!:Jtle, abandon the injection well
and all related appurtenances in accordance with the approved specificatio~onditions of the Permit."
(Si~MQ:/1::L ~ori~t)
If authorized agent is acting on behalf of the well owner,
please supply a letter signed by the owner
authorizing the above agent.
0. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other property rights in the
well(s). A well is real property and its construction on land rests ownership in the land owner in the absence of
contrary agreement in writing.)
ver.3/01
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the
applicant to operate an injection well(s) as outlined in this application and that it shall be the responsibility of the
applicant to ensure that the injection well(s) conform to the Well Construction Standards (Title 15A NCAC
Subchapter 2C .0200)
(Signature of Property Owner if Different From Applicant)
Please return the completed Application package to:
UICProgram
Groundwater Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
(Telephone: [phone])
GW/UIC-57 HPR Page 3 of3
Please initial and return
to Amy for processing.
TedBush a ,,,k4••17
BobCheek /l.."":Jt-11-l\tl'\1
Amy Axon * 11./,,/17
Marcus Geist /1 lrb l~/j','\
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolim. partment of Environment and Natural Resources
o�oF w a rERQ�
0
A `C
Jeffrey & Joy Frelinger, or Current Home Owner
1111 Montery Valley Drive
Chapel Hill, NC 27516
February 5, 2003
❑ear Mr. &. Mrs. Frelinger, or Current Home Owner:
Alan W. Klimek, P.E. Director
Division of Water Quality
Our records show that the operating permit for the injection well on your property did expire on
December 31, 20021. In addition, our records do not indicate that the well has been abandoned.
In order to comply with the regulatory requirements for perrnitted injection facilities (15A NCAC ?C
.0211), you must submit either 1) the enclosed Application.ror Permit Renewal to Use a Well(s)for
Injection with a Heat Pump Systeni (farm GW-57 HPR) if you are still using your injection well or
2) the enclosed Status oflr jeetion Well Systetn (form GW-68) that certifies that the injection well is
no longer in use.
if the well is no longer to be used for any purpose, it must be permanently abandoned according to
the regulatory requirements (15A NCAC 2C .0213), and you must submit the enclosed Well
Abandonment Record (form GW-30). The appropriate form(s) should be forwarded to us by
February 28, 2003.
If you have any questions regarding the permit and injection well rules or would like assistance
completing these forms please contact Mark Pritzl at [phone] or Evan Kane at (919) 715-
6165.
Sincerely,
Mark Pritzl
Hydrogeological Technician
UIC Program
cc: Ca-UIC Files
Enclosures
��ft
Customer Service Division of Water Quality 1 Groundwater Section
1 800 623-7748 1636 Mail service Center Raleigh, NC 27699-1635
Phone: (919y 733-3221 Fax: [phone] Internet: http:llgw.ehnr.state.nc.us

State of North Carolirn
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P .E., Director
~~
DEHNR
GROUNDWATER SECTION
December 16, 1997
Mr. and Mrs. Jeffrey and Joy Frelinger
1111 Monterey Valley Drive
Chapel Hill, NC 27516
Dear Mr. and Mrs. Jeffi"ey and Joy Frelinger:
In accord~ce with your renewal application dated December 6, 1997, we are forwarding Permit
No. WI0500013 for the operation of a geothermal heat pump injection well at 1111 Monterey
Valley Drive, in Chapel Hill, NC, in Orange County. A copy of the laboratory test results of
water samples collected on March 10, 1997 is also enclosed.
This permit renewal shall be effective from the date of issuance until December 31, 2002, and
shall be subject to the conditions and limitations stated therein, including the requirement to notify
this office by telephone 48 hours prior to initiation of operation of the facility. In order to
continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit three months prior to its expiration date.
If you have any questions regarding your permit please contact me at (919) 715 -6166 or Amy
Axon at [phone].
cc: UICFiles
RROFiles
Enclosures
Groundwater Section
Sincerely,
~~a,~1:---
Marcus A. Geist
Underground Injection Control Program
P.O. Box 29578, Raleigh, North Carolina 27626-0578
2728 Capital Blvd., Raleigh, North Carolina 27604
Voice 919/733-3221 FAX [phone]
An Equal Opportunity/Affirmative Action Employer
50% recycled/ 10% post-consumer paper
!'
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE 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
Mr. and Mrs. Jeffrey and Joy Frelinger
FOR THE OPERATION OF AN INJECTION WELL for the purpose of injecting heat pump
effluent. This well is located at 1111 Monterey Valley Drive, Chapel Hill, North Carolina, in
Orange County, and will be operated in accordance with the application dated December 6, 1997,
and in conformity with the specifications and supporting data submitted, all of which are filed with
the Department of Environment and Natural Resources and are considered part of this permit.
This permit is for Operation only, and does not waive any provisions of the Water Use Act
or any other applicable Laws, Rules, or Regulations. Operation and use 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, No. WI0500013, is a renewal and re_numbering of Permit No. 67-0214-WO-
0093, which was issued on April 3, 1992, and shall be effective, unless revoked, from the date of
its issuance until December 31, 2002, and shall be subject to the conditions and limitations
specified in Parts I through VIII herein. This permit replaces and shall also supersede Permit No.
67-0214-WO-0093.
'd L. Bush, Jr., Assistant Chief
Groundwater Section
Division ofWater Quality
By Authority of the Environmental Management Commission.
Permit No. WI0S000 13
PAGE I OFS
PART I -GENERAL CONDfflONS
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 (ISA 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 is effective only with respect to the nature, volume of materials and rate of
injection, as described in the application and other supporting data.
3. 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.
4. The issuance of this permit shall not relieve the Permittee of the responsibility of complying
with any and all statutes, rules, regulations, or ordinances which may be imposed by other
local, state, and federal agencies which have jurisdiction. Furthermore, the issuance of this
permit does not imply that all regulatory requirements have been met.
PART TI -PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there is
no contamination of groundwaters which will render them 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 (Division) such as the repair, modification, or
abandonment of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit even
if compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages
to surface or groundwaters resulting from the operation of this facility.
PennitNo. WI0500013
PAGE2 OF 5
PART ID -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director
of any planned physical alterations or additions in the permitted facility or activity not
specifically authorized by the permit.
PART IV -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division ofWater 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.
PART V -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 Groundwater Section Staff, Raleigh Regional Office,
telephone number [phone], any of the following:
(A) Any occurrence at the injection facility which 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.
Permit No. WI0S000 13
PAGE3 OFS
3. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect information submitted in said application or in any report to
the Director, the relevant and correct facts or information shall be promptly submitted to
the Director by the Permittee.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall take
such immediate action as may be required by the Director.
PART VI -PERMIT RENEW AL
The Permittee shall, at least three (3) months prior to the expiration of this Permit,
request an extension.
PART VIl -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, 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 ISA NCAC 2C .0214, including but not limited to the following:
(A) All casing and materials may be removed prior to initiation of abandonment
procedures if the Director finds such removal will not be responsible for, or
contribute to, the contamination of an underground source of drinking
water.
(B) The entire depth of each well shall be sounded before it is sealed to insure
freedom from obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director
determines that failure to do so could lead to the contamination of an
underground source of drinking water.
(D) Each well shall be completely filled with cement grout, which shall be
introduced into the well through a pipe which extends to the bottom of the
well and is raised as the well is filled.
Permit No. WI0S000 13
PAGE4 OF 5
(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)(l) within 30 days of completion of
abandonment.
3. The written documentation required in Part VII (I) and (2) (G) shall be submitted to:
Groundwater Section-UIC Staff
DEHNR-Division of Water Quality
P.O. Box 29578
Raleigh, N.C. 27626-0578
PART VIll-SPECIAL CONDffiONS
NONE
Permit No. WI0S000 13
PAGES OF 5
MEMORANDUM
GROUNDWATER SECTION
December 17, 1997
To: Jay Zimmerman
Groundwater Section
Raleigh Regional Office
From: Marcus Geist MA b
UICGroup
Groundwater Section
Raleigh Central Office
Re: Issuance of injection well permit renewal.
Permit Number WI0500013 to use a well for the injection of ground-source heat pump effluent
has been issued to Mr. and Mrs. Jeff and Joy Frelinger of 1111 Monterey Valley Drive in Chapel
Hill. This is a permit renewal. The Underground Injection Control Group appreciates your staff's
assistance with well inspection and sampling tasks. If you have any questions regarding this permit
or the UIC program, please contact me at [phone] or Amy Axon at [phone].
cc: UICFiles
RROFiles
Enclosures
NORTH CAROLINA
ENVIRONME~T AL MA.t~AGENIENT COivilv1ISSION
DEPARTMENT OF ENVIRONrvlENT, HEALTH, AND NATURAL RESOURCES
APPLICATION FOR PERMIT RENEWAL TO USE A WELL(S) FOR
INJECTION WITH A HEAT PUMP SYSTEM
In accordance with the provisions of NCAC Title 15A: 02C.0200
complete application and mail to address on the back page.
Type 5A7/5QM Wells
ID DIRECT:, NORTH CAROLINA D1;f OF WATER QUALITY
DATE: .b.._ De eeM t., '½C , 19
Please type or print dearly.
A. SYSTEM CLASSIFICATION Does the system re-circulate only potable water w~thout
any additives such as corrosion inhibitors or antifreezes in continuous piping which
isolates the fluid from the environment?
YES _ ff yes, do not complete this form. A form GW-57 CL, (Notification
Of Intent To Construct A Closed-Loop Geothermal-Water-Only
Injectiqn Well System), should be completed.
m / ff no, then continue completing this form.
B. PERMIT APPLICANT
Name: Je+-k-.1 Fre~h~..-: --.bv he.t,.,,5er::.
Address: I 11/ JY{ovi +e~e.r Ua,,U~'( "OCI" r./
City:-L--~ f l-f-.lft Zip code: -~=---?,_.$j_1_'-____ _
County: <bva.(A j u Telephone: 9 l f/-9z, </-?2 1-<f
C PROPERTY O~R (if different from applicant)
Name: ________________________ _
Address: _______________________ _
City: __________ _ Zip code: _________ _
County: _______ _ Telephone: __________ _
D. STATUS OF APPLICANT
Private: ,/' Federal: Commercial: __ _
State: Public: __ Native American Lands: __ _
GW-57 HPR (April 1997) Page 1 of 4
E. FACILITY (SITE) DA IA
or Commercial).
Name of Business or Facility:
Address:
City:
County:
Contact Person:
Gill out ONLY if the Status of Owner is Federal, State, Public
Zip code:
Telephone:
Standard Industrial Code(s) which describe commercial facility:
F. INJECTION PROCEDURE (specify any modifications to the injection procedure since
the issuance of the previous injection permit)
IVO
�4t,
,.
G. WELL USE Is(are) the injection well(s) also used as the supply well(s) for
either of the following?
(a) The injection operation? YES NO
(b) Your personal consumption? YES NO
H. CONSTRUCITON DATA
I.
(1) Specify any and all modifications to the well casing, grout or screens since the
issuance of the previous injection permit.
(2) NC. State Regulations (15A NCAC, 2C, Section .0200) require the permittee to make
provisions for monitoring well head processes. A faucet on both influent
(groundwater entering heat pump) and effluent (water being injected into the
well) lines is required. Is there a faucet on:
(a) the influent Line?
CURRENT OPERATING DATA
(a) Injection rate:
(b) Injection volume:
(c) Injection pressure:
(d) Injection temperature:
yes'! no_ (b) on the effluent line? ye s—�no
Average (daily) gallons per minute (gpm)
Average (daily) ?'�' Q gallons per day (gpd)
Average (daily pounds per square inch. (psi)
Annual Average__Lg�__ degrees Fahrenheit (° F)
GW-57 HPR (April 1997) Page 2 of 4

J. INfECTIC]N-RELATED EQUIPMENT
Attach a dzagrarn showing any modifications to injection equipment since the
issuance of the previous injection permit including the engineering layout of
the (1) injection equipment, and (2) exterior piping/tubing associated with the
injection operation. The manufacturer's brochure, if detailed, should satisfy (1).
40 C-44',Ts
K. LOCATION OF WELL(S) Attach a map
Include a site map (can be drawn) showing: the orientation of and distances
between the injection well(s) and any existing well(s) or waste disposal facilities
such as septic tanks or drain fields located within 1000 feet of the ground -source
treat pump well system; include buildings, property lines, surface wasex bodies,
any other potential sources of groundwater contamination_ Label all features
clearly and include a north arrow to indicate orientation.
L. PERMIT LIST: Attach a list of all permits or construction approvals, received or
applied for by the applicant 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 Permit%
M. OTHER MODEF"ICATIONS: Indicate any other modifications to the injection well system
(equipment, fluid, operation, etc.) that have occurred since the issuance of the
previous injection permit and have not been noted elsewhere on this application.
4_ D IU r
N. 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 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."
(Sigh k of) 6 wiser ar i &onzed Agent)
1
Please supply a letter signed by the owner
authorizing the above agent, if authorized agent is signer.
GW-57 HPR (Apnl 1997) Page 3 of 4

0. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other
property rights in the well(s). A well is real property and its construction on land
rests ownership in the land owner 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 operate an injection well(s) as outlined
in this application and that it shall be the responsibility of the applicant to
ensure that the injection well(s) conform to the Well Construction Standards
(fitle 15A NCAC Subchapter 2C .0200)
GW-57 HPR (April 1997)
(Signature of Property Owner if Different From Applicant)
Please return the completed Application P':1~~age to:
Underground Injection Control Program
Gr~undwater Section
North Carolina DEHNR-DWQ
PO. Box 29578
Raleigh, NC 27 626-0578
(telephone: [phone])
Page 4of 4
State of North Carolin
Department of Enviroi anent,
Health and Natural Resources
Division of Water Quality
� T T
James B. Hunt, Jr., Governor
Wayne McDevitt, secretary E3 I
A. Preston Howard, Jr., P.E., L7irector
GROUNDWATER SECTION
December 1, 1997
Mr. Jeffrey A. Frelinger
Ms. A. Joy Frelinger
1111 Monterey Valley Drive
Chapel Hill, NC 27516
Dear Mr. & Ms. Frelinger:
On April 4, 1997, this office notified you that the operating permit for the heat pump injection well on
your property will expire on March 31, 1997, and requested that you submit the enclosed Application for
Permit Renewal to Use a Well for injection With a Heat Pump System (form GW-57 HPR). On Apri19,
1997, you called Marcus Geist of our Central Office Groundwater Section, and told him that the permit
renewal had been sent to the Raleigh Regional Office and that your well had already been sampled.
Unfortunately, the letter sent on February 27, 1997 to the Raleigh Regional Office is not an adequate
application for renewal.
You must submit a completed application for renewal before a new permit can be issued. A blank form
has been included. Please fill this out and submit it to my attention by December 15, 1997 at the
following address:
Division of Water Quality
Groundwater Section, U1C Program
P.O. Box 29578
Raleigh, NC, 27626-0578
If you have any questions regarding your permit or the enclosed form, please feel free to contact me at
[phone].
Sincerely,
Amy lon, Program Manager
Underground Injection Control
cc: RRO
Bob Cheek
Enclosures C.WyFilesTERMiTS1RENWNOT2.fre2.WPD
Groundwater Section Voice 9191733-3221 FAX [phone]
P.O. Box 29578, Raleigh, North Carolina 27626.0578 An Equal Opportunity/Affirmative Action Employer
2728 Capital Blvd., Raleigh, North Carolina 27604 50% recycled/ 10% post -consumer paper

COUNTY:
-
ORANGE
QUAD NO:
REPORT TO
RRO
COLLECTOR(S) :
GREER
DATE:
31 H 0797
TIME:
PURPOSE-
I Al 1161:711 II4] tA•/:h►1 W&I69
Regional 0fs
SOD 310
miVL
COD Hlgh 340
rnWL
COD Low 335
mglL
Coliform: MF Fecal 31616
A 001n1
X
Coliform: MFToW 31504
[ 10
11WMI
TOC
mglt
Twbility
NTU
Residue., Suspended 530
MVI
ToW Suspended solids
mglL
X
pH
6.6
oohs
X
Alkalinity to PH 43
76
mg/L
Alkalinity to pH 8-1
C 1
-EJL
Carbonate
C f
mglt.
Bicwbonale
93
mglL
Cuban dioxide
mglL
X
Cbtos;dc
2
my1L
Chromium: MtX 1032
ug1L
Caior Tare 90
c.u.
Cyanide 120
vn,VL
COMMENTS:
DIVISION OF ENVIRONMENTAL MANAGEMENT
Chemistry Laboratory Report 1 Ground ►Paler Qu slily
SAMPLE PlWRJ
KIROUTINE DEMERGFNCY
CHAIN OF CUSTODY ❑
a
l SAMPLE TYPE
Owner
Location or S i le-
f h3cripl.on of sampling point
Sampling Method:
Renwks:
Oise- Sohds 70300
mg/L
RZ ide 951
mo-
X
Hardness- (wal 9W
52'
mg/L
X
HArdneea: (00n-crb) W2
e 1
mglL
Pherials 32730
U91L
X
Specific Cond- 95
140
uMhoslcm2
Su1fa[e
mgl1.
Sum& 745
mWL
MBA$
mg1L
Oil and Grease
mg/L
Silica
mglL
Boron
Formaldehyde
mgll.
NH3 m N 610
0,03
alg!L
X
TKN as N 625
0,2
mg1L
NO2 4NO3 as n 6"
0.23
mWlL
P: Tow as? 60
mg/L
PO4
mg/L
ASSilver 46566
utyL
At -Aluminum 46557
UWL
As -Arsenic 46551
[ 10 uel-
Ba-Barium 465511
of l
Ca -Calcium 46552
mWL
7C
Cd-Cadium 46559
Q.0
uglL
X
Cr-Chromium 46560
<25
ug/L
X
Cu-Copper I¢42
33 uglL
Fc- Iron 1045
[ 50 ugli.
Hg- Mercury 71900
ug&
IX
K-Pouum am 46555
0.64 mWL
Mg- 6iagrimium 021
4.1 mWL
7i
Mn-Manganese i055
a 10 ug1L
Na- Sodium 929
7.8 mg/L
X
NvNickel
<10
ug&
X
Pb-Lead46564
r10
ug/L
Sc Selenium
uglL
X
Zn Zinc 46567
22 ug/L
Loh Number
7GO517
Dale Received -
3110/97
Time Received :
1 t-50 AM
Removed By _
HNIW
Reieused Sv : US
Owe rcpuncd : IV". 7
0xyano W-mc Pesticide I
Organvphosphums Pesieides
Nafogen Pesticides
I I Held Herbicides
Rmgc
Gawafime
ICM17JAW

GROUNDWATER FIELD/LAB FORM
County�tr
Quad No Serial No-
Lat.
Long
SAMEJ TYPE
D4
afar
❑ soil
❑ Other
SAMPLE PR CR T
ouline
❑ Emergency
North Carolina
Department of Environment, Health, and Natural Resources
DIVISION OF WATER QUALITY - GROUNDWATER SECTION
Lab Number ? l-0!5/
Date ReceiFqd Time -S�C�
Rec'd by:u From: Bus, Courie and De
Other:
Report To: ARO, FRO, MRO, RO aRO, WiRO, �II ❑ Chain of Custody �ll Data Entry By: Ck:
WSRO, Kinston FO, Fed. Trust. Central Off., Other: Date Reported:
Shipped by. Bus, Courier, Hand Del., 46L7;7
Purpose:
Collector(s): hated 7 — Time 1030 Baseline, Complaint, Compliance .LUST, Pesticide Study, Federal Tru
FIELD ANALYSES owner ��p`cLeaney
pH400 Spec_ Cond.94 at 250 C Location or site 11 Z
Temp.,,oC Odor Description of sampling point E. '
Appearance Sampling Method Sample Interval
Field Analysis By: Remarks
b���-e�`.}�.�
LABORATORY ANALYSES [Pumping time, air temp. slc.J
B00310 m /l
Diss. Solids 70300 m 11
A - Silver 465s6 u 11
Organochiorine Pesticides
COD High 340 mg/1
Flouride 951 m !i
Al - Aluminum 46557 u 11
Organophosphorus Pesticides
COD Low 335 m II
Hardness: Total go-0- rn P
As - Arsenic 46551 u 11
Nitrogen Pesticides
Coliform: MF Fecal 31616 1100m1
Hardness non-carb 902 m 1i
Be - Barium 46558 u /l
Acid Herbicides
Goliform: MF Total 31504 1100ml
Phenols 32730 u II
Ca - Calcium 46552 m ll
PCB's
TOC 680 mg1l
SP edfic-C-on-&uMh sl 2
Cd - Cadmium 46559 u 11
Turbidity 76 NTU
Sulfate 946 Mg 11
Cr - Chromium 46560 a/1
Residue., Suspended 530 mgA
Sulfide 745 mg/1
Cu - Copper 46562 u 11
ff
Fe - Iran 46563 u
•
Semivolatile Organics
Oil and Grease to 11
Hg - Mercury 71900 ugn
TPH - Diesel flange
PH 403 unit
K - Potassium 46555
&e4 r
Alkalinity to pH 4.5 410 mol
M - Magnesium 46554 m 11
Alkalinity to PH 8.3 415 mqA
7C
Mn - Manganese 46565 uqjl
Carbonate 445 rngll
NH as N 610 rn li
Na - Sodium 46556 m 11
Volatile Crganics (VOA bottle)
Bicarbonate 440 m R
;
- Uickpl uall
TPH - Gasoline Ran e
Carbon dioxide 405 mgA
NO. + NO as N 630 mqlj
X
Pb - Lead 46564 u 11
TPH - 13TEX Ga llre Range
Chloride 940 mgll
P: TOlal as P 665 mg/1
Se - Selenium u II
Chromium: Hex 1032 ugll
iG
Zn - Zinc 46567 u 11
Color: True 80 Cu
Cvanide 720 m4A
Lab Comments:
GW-54 REV. 7196 For Dissolved Analysis - submit filtered sample and write "DIS" in block.
L
7

i
REPORTED BY
CHECKED BY
REVIEWED BY
SAMPLE TYPE: WATER
EHNRIDEM LABORATORY
SEMI -VOLATILE ANALYTICAL REPORT
ANALYSIS RESULTS
LAB NO. 7GO517
SUPERVISOR
DATE 4_33
ra
ENTERED
DATE
;:;:> s: ss: s>:.. .. e
!.. \
w
,...:.,.. SEMIVOLATILE S TLtL O IECFLp » .....CASb SEMEVLiLA11LES i 1:-:....:....b 1^
�F. '^�J.... •...0 ..;:.�;�.::•::•:: ;ice:: : ::.., .. .... .
TARGET COMPOii TARGET COMPOLIAED £g E Keel
$2.63-3
ANILINE
10
U
806-20-2
2,6-DINITROTOLUENE
10 U
108-95-2
PHENOL
10
U
99.09.2
3-NITROANILINE
50 U
111-44-4
BIS(2-CHLOROETHYL) ETHER
10
U
83.32-9
ACENAPHTHENE
i0 U
95-57.8
2-CHLOROPHENOL
10
U
51-28-5
2,4-DINITRO PHENOL
50 U
541.73-1
1,3-DICHLOROBENZENE
10
U
100.02.7
4-NITRO PHENOL
50 U
108-46-7
1,4-DICHLOROBENZENE
10
U
132-W9
DIBENZOFURAN
10 U
100.61-5
SENZYLALCOHOL
20
U
121-14-2
2,4-D1NITHOTOLUENE
10 !i
95-50-1
1,2-DICHLOROBENZENE
10
U
84-66.2
DIETHYL PHTHALATE
10 U
95.48.7
2-METHYL PHENOL
10
U
7005-72-3
4-CHLOROPHENYL PHENYL ETHER
10 U
108.60-1
BIS(2-CHLOROISOPROPYL) ETHER
10
U
86-73.7
FLUORENE
10 U
106-44-5
4-METHYL PHENOL
10
U
100-01-6
4-NITHOANILINE
50 U
621.64-7
N-NfTROSO-DI-N-PROPYLAMINE
10
U
534-62.1
4,6-DINITRO.2-METHYL PHENOL
50 11
67-72-1
HEXACHLOROETHANE
l u
U
86-30-6
N-NITROSODIPHENYLAMINE
10 U
98-95.3
NITROBENZENE
$0
U
101-55-3
4-BROMOPHENYL PHENYL ETHER
10 U
78-59-1
ISOPHORONE
10
U
118-74-1
HEXACHLOR08ENZ£NE
10 u
88-75-5
2-NITRO PHENOL
10
U
87-86-5
PENTACHLORO PHENOL
50 U
106-67.9
2,4-DIMETHYL PHENOL
10
U
85-01.8
PHENANTHRENE
10 U
55-85-0
RENZOIC ACID
50
U
120-12.7
ANTHRACENE
10 U
111-91-1
BIS(2-CHLOROETHOXY) METHANE
10
U
84.74-2
DI-N-BUTYL PHTHALATE
10 U
120-83-2
2,4-DICHLORO PHENOL
10
U
206-44-0
FLUORANTHENE
10 U
120-62-1
1,2,4-TRICHLOR013ENZENE
10
U
129.00-0
PYRENE
10 LJ
91.20.3
NAPHTHALENE
10
U
86.68.7
BUTYLSENZYL PHTHALATE
10 U
106.47-8
4•CHLOROAHILINE
20
U
91.94-1
3,3'-DICHLOROBENZIDINE
20 U
87.68.3
HEXACHLOROBUTADIENE
10
U
56-65-3
SENZOWANTHRACENE
10 U
59-50-7
4-CHLORO.3-METHYL PHENOL
20
it
218-01.9
CHRYSENE
10 U
91-57-6
2-METHYL NAPHTHALENE
10
U
117.81.7
BIS(2-ETHYLHEXYL) PHTHALATE
10 U
77-47.4
HEXACHLOROCYCLOPENTADIEIIE
10
U
117-84-0
DI-N-OCTYL PHTHALATE
10 U
88-06.2
2,4,6-TRICHLOH0 PHENOL
10
U
205-99-2
8ENZO(81FLUORANTHENE
10 U
95-95-4
2,4,5-TRTCHLORO PHENOL
10
U
207.08.9
BENZOWIFLUORANTHENE
10 U
91-58-7
2-CHLORO NAPHTHALENE
10
U
50-32.8
SENZO(AIPYRENE
10 U
88-74.4
2-NITROANILINE
50
U
193.39-5
INDEN011,2.3-CD)PYRENE
10 U
131-11-3
OIWIETHYL PHTHALATE
10
U
53-70-3
DIBENZO(A,HIANTHRACENE
10 U
208-96-8
ACENAPHTHYLENE
10
U
191-24-2
8ENZO(G,H,RPERYLENE
10 U

SEMIVOLATILE ORGANICS REPORT - DEM LAB RAGE 2
NO BASEINEUTRAL OR ACID EXTRACATABLE ORGANICS
DETECTED BY GCIMS.
COMMENTS: NO ETHYLENE GLYCOL DETECTED BY GCIFID.
LAB NO. 7GO517
TQL- Target Ouantitation Limit- Subject to
change due to instrument sensitivity
T- Tentatively Identified, estimated concentration
E- Estimated Value
U- Samples analyzed for this compound but not detected
N- Sample not analyzed for this compound
D- Detected below quantitation limit
H- Holding time exceeded

1.0 J.
CRG BUILDERS, INC.
DIM CEDAR RIDGE BUILoERB
IFIOUTE ONE, BOX 192-A
CEDAR GROVE, NC 27231
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1•

Jeffrey A. Frclimper
A. Jlwy Frelimler
1111 Monterey Valleyv Drive
Cluelicl Hill, \C 2%SM400
24 February 1997
Regional Supervisor
Raleigh Regional Office
Division of Environmental Management
Department of Environment, Health and Natural Resources
512 North Salisbury Street
Raleigh NC 27694
UIC Permit
No. 67-0214-WO-0993
w
Subject:
Dear Sir:
I am writing to request renewal of permit 67-0214-WO-0093 to use a well for
injection for the operation of a heat pump and consumption at my private
residence. The current permit expires on 31 March 1997,
Thank you for your help.
Sincerely,
LL
Jeffrey A. Frelinger l�
07 73 �

i416� % t;o -rr4 .
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PFSTAT Ver
2.04
Copyright
(c) Trimble
Navigation,
Ltd, 1991,
1992. All rights reserved
R030817A.COR
Statistics Version 2.13
Recs
Mean
Std Dev
Minimum Maximum O
Latitude
185
35'652141.9841711N
6.68634
35%52141.19138"N 35%52142.39678"N
Longitude
185
79%06117.99433"W
2.12051
79%06118.21026"W 79MO6117.7508811W
Altitude
185
101.01572
12.47636
76.12929 122.08073
No velocity records in file.
No DOP records in file.
Start GPS Week #791 on 03/08/95 at 17:34:34
End GPS Week ##791 on 03/08/95 at 17:46:27
Datum : WGS-84
Coordinate System : Latitude/Longitude
Altitude Mode : Height Above Ellipsoid
Altitude/Distance Units : Meters
Velocity Units : Meters/Second

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CRC BUILDERS, INC.
DOA CEDAR RIDGE BU1l.DERB
ROUTE ONE, BOX 92-A
CEDAR GROVE, NC 27231
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R0 REST o " F x information Regarding 0Lur Products 4
STON E E t 1-800-777-MAP5
)iNCFif ..
r► FEAMINGTON

State of North Carolina
Department of Environment, Health, and Natural Resources
. Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor
William W. Cobey, Jr., Secretary
George T. Everett, Ph.D.
April 3, 1992
Mr. Jeff Frelinger
flll Montery Valley Drive
Chapel "ill, North Carolina 27514
Dear Mr Frelinger:
Subject: U!C Permit
No. 67-0214-WO-0093
Jeff Frelinger Residence
Orange County
Director
In accordance with your application dated February 25, 1992 w~
are forwarding herewith Permit No. 67-0214-WO-0093 for the Operation
and Use of a well, for the purpose of injecting heat pump effluent,
in Orange County.
This Permit shall be effective from the date of issuance until
March 31, 1997 and shall be·subject to the conditions and limitations
stated therein.
In order to continue uninterrupted legal use of this well for
the stated purpose, you should make application for permit renewal at
least 30 days prior to it expiration date.
If you have any questions on this matter please call me at
919-571-4700.
Attachment
cc: UIC Files
.-.(~~J .... ,. ,· ·I l,<.-
Sincerely,
~e~~
Regional Supervisor
Raleigh Regional Office
REGIONAL OFFICES
Asheville · Fayetteville Mooresville Raleigh Washington Wilmington Winston-Salem
704/251-6208 919/486-1541 704/663-1699 919/733-2314 919/946-6481 919/395-3900 919/896-7007
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27_626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE OPERATION/USE OF A WELL OR WELL SYSTEM FOR INJECTION
In · accordance with the provision of Article 7, Chapter 87;
Article 21, Chapter 143, and other · appli~able Laws, Rules and
Regulations
PERMISSION IS HEREBY GRANTED TO
Mr. Jeff Frelinger
Orange County
FOR THE OPERATION AND USE OF AN INJECTION WELL/WELL SYSTEM located at
111 Montery Valley Drive, Chapel Hill, North . Carolina in Orange
County, in accordance with the application dated February 25, 1992
and in conformity with the ~pecitications and supporting data
submitted, all of which are filed with the Department of Environment,
Health, and Natural Resources and are considered a part of this
permit.
This .Permit is for Operation and Use only, and does not waive
any provisions of the Water Use Act or any other Applicable Laws,
Rules . or Regulations. Operation and use of a ·well or well system
shall be in compliance with Title 15A North Carolina Administrative
Code 2C, and any other Laws, Rules and Regulations pertaining to well
construction and use.
This Permit shall be effective, unless revoked, from the date of
it issuance until March 31, 1997 and shall be subject to the
specified conditions and limitations set forth in Parts I and II
hereof.
April,
Permit No. 67-0214-WO-0093 issued this the 3rd day of
1992.
~'°""z~~ Arthur Mouberry, P.E./
Regional ~upervisor
Raleigh Regional Office
By Authority of the Environmental Management Commission
PERMIT NO. 67-0214-WO-0093
PART I
A. GENERAL CONDITIONS
1. The Permi ttee must comply with all condi tio.ns of this
Permit and with the standards and criteria ~pecified in 15 NCAC
2C .0200. Any Permit noncompliance constitutes a violation of
the appropriate Act and is grounds for entorcem~nt action; for
Permit termination, revocation and reissuance or modification;
or for denial of a Permit renewal application.
2. It shall not be a defense for a Permittee in an
enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance
with the donditions of this Permit.
3. The Per~ittee shall take all reasonable steps to
minimize or correct any adverse impact on the environment
resulting from noncompliance with this Permit.
4. ·The Permittee sha11· give advance notice to the Director
of any planned changes in the permitted facility or activity
which may result in noncompliance with the Permit.
5. The .Permittee shal~ report all instances of
noncompliance., not reported under condition 1. of this Part, at
the time monitor~ng reports are submitted.
6. Where the Permittee becomes aware of a failure to submit
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 .bY the Permittee.
7. Th.e Permittee shall give notice to the Director as soon
as possible of any planned physical alterations or additions to
the permitted facility.
8. In the event that the · permitted facilities fail to
perform satisfac_torily, the Permittee shall take such immediate
action as may be required by the Director.
9. The injection system shall b~ effectively maintained and
operated at all times so that there is no contamination of
groundwaters, -or other actions or occurrences which renders
them unsatisfactory for normal use. In the· event the
facilities fail to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take such
immediate corrective action as may be required by the Director.
PERMIT NO. 67-0214-WO-0093
PART 1 (continued}
·10. Department representatives shall have reasonable access
for purpose~ of inspection, observation and sampling associated
with injection and related facility. ·
11. This Permit is not transferable without prior notice to,
and appidval by, the Director.
12. An application for modifi~ationj renewal or transfer of
this Permit shall be files with the.Department at least 30 days
prior to the expiration date of this Permit.
13. Provisions shall be made for collecting samples of
facility effluent, both prior to its entrance to. treatment
devices an.d subsequent· to leaving the treatment devices but
before entering the injection well.
PART II
A. SPECIFIC CONDITIONS
1. The fluid used in the heat pump system shall be
comprised· of clean water or a mixture of clean water and
propylene glycol. The use of ethyene · glycol, alcohols or
other chemicals not specifically approved by the Director,
Division of Environmental Management, are expressly prohibited.
2. The Perm! ttee shall install, in a readily accessible
.location, a fau·cet or other device suitable for collecting a
water sample on the effluent (water into well) line of the heat
pump injection system.
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMNIISSION
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMEr*R
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USk.�A. W'ELLF� f
INJECTION l
CLASS 5 WELLS 1;
TO: DIRECTOR, NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANA � to 1g92
DATE: 0 2— 2 5 , 19 92 M"0ftT' =(W
In accordance with the provisions of Article 7, Chapter, 87; Article 21, Chapter 14PAMUT "bns
pursuant thereto, APPLICATION is hereby made for a PERMIT to construct and/or use a well or well system as
described below and in any accompanying data submitted as a part of this APPLICATION.
A. OWNER DATA: Name: _Jeff and .Toy Frelinger
Address: 111 Montery Valley Drive
City: Chapel Hill Zipcode: 2 7 514
County: O r a n g e Telephone: 919 — 9 2 9— 9 2 7 9
19
C
Ownership: Federal
Public
Other (Specify)
State Private x
Commercial
FACII.iTY DATA (Fill out ONLY if the injection well(s) is (are) for the purpose of serving a business or
industry):
Business/Corporate Name:
Address:
City:
County:
Zipcode:
Telephone:
HEATING CONTRACTOR DATA (For heat pump systems only. Please give information for the contractor
that installed or will install your system):
Name: Doug Whitt's Heating and Condition_
Address: P.O. Box 1032
City: Roxboro Zipcode: 27 573 Telephone: 91 9— 5 9 9— R 4 A 4
D. INJECTION PROCEDURE: Briefly describe how the injection well(s) will be used.
A 3/4 hp_.__Cdomestic water)
(for a water sour - Prima) submersible pump will be _
located in the same well with an injection return loop
of six gallons per minuite.
E. WELL USE: Will the injection well(s) also be used as the supply well(s) for either of the following?:
(a) The injection operation?
(b) Your personal consumption?
F. CONSTRUCTION DATA: (check one)
A EXISTING WELL being proposed for use as an
Construction Record) and furnish (7 & 8) below.
through (8) below to the best of your knowledge.
YES x NO
YES x_ NO
injection well. Attach a copy of Form GW-1 (Well
If Form GW-1 is not available, furnish the data in (1)
GW-57B May, 1989, Replaces GW-57A, and GW-573 (7/84)

PROPOSED WELL to be constructed for use as an injection well. Furnish the data in (1) through (8)
below as PROPOSED construction specifications.
NOTE: THE WELL DRil.,LING CONTRACTOR CAN SUPPLY THE DATA FOR EITHER EXISTING
OR PROPOSED WELLS IF THIS INFORMATION IS UNAVAILABLE BY OTHER MEANS.
(1) Well Drilling Contractor's Name: ____________________ _
(2) Date (to be) Constructed _________ ; Approximate Depth ___ ft.
(3) Well Casing:
(a) Type: Galvanized Steel __ Black Steel__ Plastic Other (Specify) __ _
(b) Inside Diameter: __ inches; Wall thickness (inches) __ or schedule# ___ _
(c) Casing Depth: From ___ to ___ ft. (referenced to land surface)
(4) Cement Grout:
(a) Around inner or "primary" casing: From __ to __ ft.
(b) Around outer (pit) casing, if present: From __ to __ ft.
(5) Screen(s): (if applicable)
(a) Type: _______ _,· Inner Diameter: ______ inches
(b) Depth: From ___ to ___ feet below land surface
(6) Gravel: (if applicable) From: ___ to ____ feet below land surface
(7) N.C. State Regulations (15, 2, 2C, Section .0200) require the permittee to make provisions for
monitoring well head processes. A faucet on both the influent (water from well) and effluent (water
into well) lines is required Is there a faucet on (a) the influent line YES __ NO __ , or (b)
the effluent line YES NO ?
(8) Attach a diagram showing the details of construction of the existing and/or proposed well(s).
G. PROPOSED OPERATING DATA: (The manufacturer's brochure should include this information.)
(a) Injection Rate:
(b) Injection Volume:
(c) Injection Pressure:
(d) Injection Temperature:
H. INJECTED FLUID DATA:
Average (Daily) 6 gallons per minute (gpm)
Average (Daily) 1 4 0 0 gallons per day (gpd)
Average (Daily) 3 0 / 5 9pounds/square inch (psi)
Winter Average (Daily) 5 3 degrees F
Summer Average (Daily) 6 9 degrees F
(1) Fluid Source (From what depth and what type of rock/sediment unit does the fluid to be injected
derive, i.e. granite, limestone, sand, etc.)
Depth: 8 g a 1 @ 7 5Rock/sediment unit: ___ ....c;g:i....:r:.....:a=n=i --=t --=e;..__ _________ _
22gal@ 325"
(2) Chemical Analysis of Source Water: The following chemical characteristics MUST accompany
this application;
pH ___ ; Total Hardness __ ppm (parts per million or mg/I); Iron ppm; __ _
Chloride __ ppm; Nitrate ___ ppm; Colifonn bacteria ____ counts/100 ml
* Chemical analysis will be performed by Orange County*
GW-57B May, 1989, Replaces GW-57A, and GW-57B (2/84)
NOTE: Assistance in obtaining these values may be facilitated by contacting (a) your local or county health
official, (b) a commercial water -testing laboratory, (c) your well drilling contractor, or (d) the Regional
Hydrogeologist, North Carolina Dept, of Natural Resources 8& Community Development
NOTE: If injection system is not for a heat pump, then a detailed analysis of both the source water and the
injection fluid may be required.
I. INJECTION -RELATED EQUIPMENT:
Attach a diagram showing the engineering layout of the (1) injection equipment, and (2) exterior
piping/tubing associated with the injection operation.
NOTE: The manufacturer's brochure, if detailed, should satisfy (1) above if the system is a heat pump.
J. LACATION OF WELL(S):
Attach a detailed map showing the orientation of and distances between the proposed well(s), any existing
well(s) that will in any way be involved in the injection opera-tion, and at least two (2) nearby reference
points such as roads, road intersections, streams, etc. The roads should be identified by U.S., N.C. or SR
(county secondary mad) numbers, and streams should be named. In addition, the diagram should show the
direction and approximate distance to any existing water -supply and/or injection wells within 1,000 feet of
the proposed injection well.
K. 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 a, cc to operate and use the injection well and all related
appurtenances in accordance with the approved sl if on conditions of the Permit-"
(Signature Ow er or Authorized Agent)
President & General Contractor
FOR OF'FTCE USE ONLY: CRC Builders, Inc.
1. Initial Application. Complete Incomplete
If INCOMPLETE, Date of Notification _ _ _ _ and Resubmittal
2. Standard Industrial Code(s) which best reflect the principal products or services provided by this
facility - if applicable.
(a) (b) (c) - — (d) - - —
3. APPLICATION NO.
GW-57B May, 1989. Replaces GW-57A, and GW-570 Q18Q

COUNTY flA N.C. DEPARTMENT OF NATURAL RESOURCES LAB NUMBER s _��J���J ���1����
QUAD NO. SEFOAL NO. & COMMUNITY DEVELOPMENT DATE RECE VED� /lime �CJ
LAT. LONG, DEM Reed by: � From: Bus -Courier
GROUNDWATER FIELD/LAB FORM Diller
Report to; APO, FRO, MRO, Rd, aRp, WiRO,
SAMPLE PRIORITY DATA ENTRY BY: L CK:
WSRO, Kinston FO Other ROUTINE
❑ EMERGENCY DATE REPORTED:-
Shipped by: Bus, 'ourierT Other M
COLLECTOR(5): DATE TIME PURPOSE: BASELINE. COMPLAINT,4"-LU4.L7LIANCE,LUST, OTHER
r [circle an
FIELD ANALYSES p ►�' �- ��"-e
p11400 Spec. Cond. 94 .
Temp.,n uC Odor —
oearance Tasle
rreid Anaiysis By:
LABORATORY ANALYSES
8005, 310 MQII
COD High 340 moll
CO❑ Low 335 mg11
Co}ilorm:MF Fecal 31616 I100ml
CoMorm:MF Tulal 315044.1 Ilooml
TOC 66a rrlgll
Turbldily 76 NTU
PO 403 units
Alkalinily to PH 4.5 4 TO mgll
Alkallnity to pH 1.:1 415 M,211
Colbonals 445 mglr
Blcarbonrsl9 440 moll
Arsanlc;Tolal 1002 ugll
Cattlon dioxide 405 moll
Chloride 940 moll
Chramlum:Hex 1(132 u911
COtor.True eo Pr-00
Cyanide 120 mg11
Lab Comments-
GW-54 Revised 7185
caner
r
at 250C Location or site
Description of sampling point
Sampling Melhotl Sample Interval
pp um, offer, etc,)
Remarks — — - _ / S' _
(pumping time, air temp, e1c.)
0iss. Solids 7o300 moll
Fluoride 951 rrroll
Hardness:Tolal 1300 moll
Hardness (non -carp) 9Q2,� moll
Phenols 32730 u911
Specific Cond. 95 f v umhoslcm7
Sultato 945 moll
Sulfide 745 mgll
NH3 as N 5 to ❑r moll
TKN as N 625 ].r .�9
NO2 t NO3 as N 630 ©r my/1
A:Total as P 665 mgll
l
J
Ag - SIIYer 1077 u011
Al - Aluminum 1 105 uglr
as - 6arlurn 1007 ugll
Ge Cal Glum 916 m911
Cd .- Cadmiurrr 1027 u911
ChFOmldm;Tgla1 $034 ug11
Cu Copper 1042 dolt
fe - Iran 1045, < ❑ ugll
HQ - Mercury 7 r900 doll
H polassium 937 moll
Mg Magnasium 927 mq/1
Mn - fdanganeso 1065 "oil
Na - 6ddlurfr 924 m911
NI Nlckei 1067 ugll
Pb Lead io51 uoli
Se Solonlum 1147 ug11
Zn Zinc 1o92 u011
For Dissolyed Analysis - submit filtered sample and write 'DIS' in block
White copy - Headquarters Pink copy - Region Yellow copy - Lab
Orgenachlorinp Pe511cldes
Drgonophpsphorus Pesllcloes
ACId Holdleldes
Base I Nauiral Extrucletrla organics
Acid Exlre•clable 0rgen1cs
Purgeable Organlcs [VOA bpltlel
1.2 - olbromoolharte (6013)
0L

EMIVOLATILE ORGANICS REPor . -DEM LAB
LAB NUMBER: 2Gl029
REPORTED B#= CHECKED BY
SUPERVISOR~ LAB #: 2G1029
-REVI E'WED BY
DATE : 1 z---
ENTERED BY~
CHECKED BY~
SAMPLE TYPE: WATER DILUTION FACTOR
CAS NUMBER
108-95-2
111-44-4
95.:..57_9
541-73-1
106-46-7
.100-51-6
95-50-1
95-48-7
108-60-1
106-44-5
621-64-7
67-72-1
98-95-3
78-59-1
88-75-5
105-67-9
65-85-0
111-91-1
120-83-2
120-82-1
91-20-3
106-47-8
87-68-3
59-50-7
91-57-6
77-47-4
88-06-2
95-95-4
91-58-7
88-74-4
131-11-3
208-96-8
606-20-2
99-09-2
83-32-9
51-28-5
100-02-7
132-64-9
121-14-2
84-66-2
7005-7·2-3
86-73-7
100-01-6
534-52-1
TQL ANALYTE NAME
X 1
10 PHENOL U
10 BIS(2-CHLOROETHYL) ETHER U
10 2-CHLOROPHENOL U
10 1,3-DICHLOROBENZENE U
10 1,4-DICHLOROBENZENE U
20 BENZYL ALCOHOL U
10 1,2-DICHLOROBENZENE U
10 2-METHYL PHENOL U
10 BIS(2-CHLOROISOPROPYL) ETHER U
10 4-METHYL PHENOL U
10 N-NITROSO-DI-N -PROPYLAMINE U
10 HEXACHLOROETHANE U
10 NITROBENZENE U
10 ISOPHORONE U
10 2-NITRO PHENOL U
10 2,4-DIMETHYL PHENOL U
50 BENZOIC ACID U
lb BIS(2-CHLOROETHOXY) METHANE U
10 2,4 -DICHLORO PHENOL U
10 1,2,4-TRICHLOROBENZENE U
10 NAPHTHALENE U
20 4-CHLOROANILINE U
10 HEXACHLOROBUTADIENE U
20 4-CHLOR0-3-METHYL PHENOL U
10 2-METHYL NAPHTHALENE U
10 HEXACHLOROCYCLOPENTADIENE U
10 2~4,6-TRICHLORO PHENOL U
10 2,4,5-TRICHLORO PHENOL U
10 2-CHLdRO NAPHTHALENE U
50 2-NITROANALINE U
10 DIMETHYL PHTHALATE U
10 ACENAPHTHYLENE U
10 2,6-DINITROTOLUENE U
50 3-NITROANALINE U
10 ACENAPHTHENE U
SO 2,4-DlNITRO PHENOL U
50 4-NITRO PHENOL U
10 DIBENZOFURAN U
10 2,4-DINITROTOLUENE U
10 DIETHYL PHTHALATE U
10 4-CHLOROPHENYL PHENYL ETHER U
10 FLUORENE U
50 4-NITROANALINE U
SO 4,6 -0INITR0-2-METHYL PHENOL U
CONC.
UG/L
SEMIVOLATI LE ORGANICS REP\...,~ -DEM LAB
86-30-6
101-55-3
118-74-1
87-86:-5
85-01-8
120-12-7
84-74-2
206-44-0
129-00-0
85-68-7
91-94-1
56-55-3
218-01-9
117-81-7
117-84-0
205-99~2
207-08-9
50-32-8
193-39-5
53-70 -3
191-24-2
10 N~NITROSODIPHENYLAMINE U
10 4 -BR0MOPHENYL PHENYL ETHER U
10 HEXACHL0R0BENZENE U
50 PENTACHLOR0 PHENOL U
10 PHENANTHRENE ~
10 ANTHRACENE U
10 DI-N-BUTYL PHTHALATE U
10 FLU0RANTHENE U
10 PYRENE U
10 BUTYLBENZYL PHTHALATE U
20 3;3 1 -DICHLOR0BENZIDINE U
10 BENZ0(A)ANTHRACENE U
10 CHRYSENE U
10 BIS(2-ETHYLHEXYL) PHTHALATE U
10 DI-N-OCTYL PHTHALATE U
10 BENZO(B)FLU0RANTHENE U
10 BENZ0(K)FLU0RANTHENE U
10 BENZ0(A)PYREN~ U
10 INDENO(l,2,3-CD)PYRENE U
10 DIBENZO(A,H)ANTHRACENE U
10 BENZO(G,H,I)PERYLENE U
OTHER SEMIVOLATILE ORGANICS FOR SAMPLE NUMBER
NO BASE/NEUTRAL OR ACID EXTRACTABLE ORGANICS
DETECTED BY GC/MS.
2Gl029
GC/FID ANALYSIS OF A DIRECT AQUEOUS INJECTION
INDICATES LESS THAN l0OMG/L OF ETHYLENE GLYCOL. -----
NOTE: SURROGATE STANDARD RECOVERIES DID NOT MEET ____ _
ESTABLISHED QA/QC LIMITS.
TQL= TARGET QUANTITATION LIMIT
T= TENTATIVELY IDENTIFIED ESTIMATED CONCENTRATION
E= ESTIMATED CONCENTRATION
U= COMPOUND ANALYZED FOR NOT DETECTED
N= COMPOUND NOT ANALYZED FOR
D= tiETECTED BELOW QUANTITATI0N LIMIT
H= HOLDING TIME EXCEEDED
TQL SUBJECT TO CHANGE DUE TO INSTRUMENT SENSITIVITY
ORANGE COUNTY HEALTH DEPARTMENT
FERENCE NUMBER
H1519OW WELL PERMIT
DATE PIN MAP REPERENCE
07. 26. 91 97E7--64-8582 7. 1 Ig.. E1
DUESTM OWNER
J KNOX TATE IV MONTEREY VALLEY INC
4003 HILLGRAND DR
DURHAM NC 27705 p 0 BOX 3193
fi --r gA7_mg?m CMnP&L HILL NC 27514
DRILL
H:AI viii / FAt ILL:1 l()Nu:
#1 MDNTEREY VALLEY
w
02 337S
I'LANNI it
Ale. 6e
OF�OWNER
nOR A/UTHORlZED ENT
YES
Na
TYPE �� SIZE DEPTH ¢ CASE. DEPTH _
GROUT 'YtzT-t. YIELD LEVEL 33 w_ WATER. ZONE � 2 � �3ZI5
CONTRACTOR: AI-) t"_L-r DRILLER: � b`� ..........
REMARKS:
Soy � kf'A�
DATE. 159 JE1) i l ! �- �) " + 1
DATE. APPROVED � f F-Z2 _12
SANITARIAN

/-/a o (S-
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ac 70
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i,il4 IMu -fMI► '

I.&J.
CRC BUILDERS, INC.
MA CEDAR RIDGE BUILDERS
ROUTE ONE, BOX 92 A
CEDAR GROVE, NC 27231
we.I
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�ra_� � � �f '► nu��
Pame )
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"it e"Ma uss ONLM
NORTH CAROLINA QWARTWNT of NA"AIAL AM � AM tiaf�w "TY GEVELOPMRrr
INVUMON OF fiNVIRON A NTAL IIMNAGEMEh. - GROUNDWATER NOTION
WELL CONSTRUCTION RECORD
�rw. N11. MrNr�f 1rr,
Let. Long.
Minor Basin
Basin Code
Header Ent, GW-1 Ent.
DRILLING CONTRACTOR 1 r;_ t C (. J e l f C n :;K--3C.
STATE WELL CONSTRUCTION
DRILLER REGISTRATION NUMBER 2. R - PERMIT NUMBER:
1. WELL LOCATION: (Show sketch of the location below)
Nearest Towq: 14111
Mead, aernmmity, or Subdi0slan and Let No.3
-
AUUHE SS k i l� V�d �l .Z_v_�
r (Street or Route No.
C OCi�rro�r 111 C Z -2 Z 3
City or Town State Zip Code
3, DATE DRILLED 1 � ?- - Z _ USE OF WELL. *c , , Gam_
4. TOTAL DEPTH _ ` ��%� CUTTINGS COLLECTED ❑ Yes gkro
S. DOES WELL REPLACE EXISTING WELL? ❑ Yes 11<0
6. STATIC WATER LEVEL: - FT. ❑ above TOP OF CASING,
t Mlow
TOP OF CASING IS � 2 � FT. ABd71ETAND SURFACE.
7. YIELD (gpm]: ,- METHOD OF TEST ,
B. WATER ZONES (depth): f }'
9. CHLORINATION: Type Amount
Po
County;
.Rlet -ina�tr+a I'r�sitir�s
From Tn f"rri Dessrlption
7 c ---)
I� r AV
10. CASING: Wall Thickness If additlohal space Is needed use back of form.
Depth Diameter or Welght/Ft. Material
r� p p LOCATION SKETCH
From _ [� _ To � FI. f� `/ (Show direction and distance from at least two State Roads,
From To Ft. or other map reference points)
From To Ft.
11. GROUT:
Depth Material Method
From ToAl.!>^Ft. ��Ir,c..Td�.-• Deg
From To Ft.
12, SCREEN:
Depth Diameter Slot Size Material
From To Ft, in. In,
From To Ft. In. In.
From To Ft. In. In.
13. GRAVEL PACK:
From
From
14. REMARKS:
Depth Size
_ . Tv Ft.
To Ft.
Material
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH. 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECCEnAS BEEN PR�6ED TO THE WEL OWNER.
SIGNATURE OF CONTRACTOR OR AGENT DATE
OW-1 Revised 11/64 Submit original to Division of Environmental Management and copy to well owner.

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Health
Fayetteville Regional Office a 225 Green Street, Suite 606 • Fayetteville, !`forth Carolina 28301-5095
James G. Martin, Governor
William W. Cohey, Jr., Secretary
March 30, 1992
Richard K. Rowe
Division Director
S
- �b
MEMORANDUM s
TO: Mr. Henry M. Kwiecinski 0
Permits and Compliance Unit���� ty,
Groundwater Section
Division of Environmental Management (p
FROM: Richard K. Rowe
SUBJECT: Application for Injection Well Permit
Jeff and Joy Frelinger
III Monterey Valley Drive
Chapel Hill, North Carolina
We have reviewed the material submitted to this office concerning the above -
referenced subject.
Considering the legal matter of endorsing this proposal, we believe we do not
have sufficient information to deny the request due to a threat to the groundwater
source or to the public health.
Our recommendation that an assessment be made of the effects these systems
might have on groundwater remains.
If we can be of further assistance, please let us know.
RKR/RWC/mhj
cc: Debra B. Benoy
Telephone [phone]
An Equal Opportunity Affirmative Action Employer

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor
William W. Cobey, Jr., Secretary March 24, 1992
George T Everett, Ph.D.
Director
Re;r::-nal Offices
Ashevihe
704/251-6208
Fayetteville
919/486-1541
Mooresville
704/663-1699
Raleigh
919,733-2314
Washington
919/946-6481
Wilmington
919/395-3900
Winston-Salem
919/896-7007
Mr. Richard K. Rowe
Public Water Supply Section
Division of Environmental Health
P.O. Box 29536
Raleigh, NC 27626-0536
Dear Mr. Rowe:
This office has received the applications for Permit to
Construct and/or Use a well or well system for injection, as
listed below. In accordance with Article 7, Chapter
87-BB(j), General Statutes of North Carolina, we submit the
following application ( s) , in addition to a draft copy of
each proposed Permit, to DHR for review and recommendation:
APPLICANT
Frelinger
Oper.
Permit
X
Renewal
Permit Injection Source
Heat Pump
Please note that each application complies with the
specified requirements as prescribed by 15 NCAC 2C .0200.
If we have not received any comments or recommendations
within ten (10) working days of the above date, we will
assume that DHR has no objection to the projects as
proposed. Please do not hesitate to contact me at 733 -3221
if you have any questions.
Enclosures
Sincerely yours,
Henry M. Kwiecinski
Permits and Compliance Unit
Groundwater Section
DIVISION OF ENVIRONMENTAL MANAGEMENT
GROUNDWATER SECTION
April 6, 1992
MEMORANDUM
TO: Jimmie Greer
FROM: Henry Kwiecinski
SUBJECT: UIC Permit Program Issuance -Jeff and Joy
Frelinger
The central office has completed its review of the UIC
permit application for the injection facility to be operated
by Jeff and Joy Frelinger of Orange County. Attached you
will find a copy of this application along with the draft
permit and transmittal letter for this facility.
Please make arrangements to sample the heat pump
effluent at this facility at your earliest convenience.
Subsequent to your review and approval of this application,
please complete the permit and transmittal letter and
forward them to the applicant. This will Require that you
obtain the Regional Supervisor's signature, date the
transmittal letter and fill in the expiration date of the
permit. Please remember to make copies of the completed
documents and send them to me.
If you have and questions concerning the permit
process, please give me a call.
Attachments
IMPORTANT
Time • ��
,2` WHILE Y WER; OUT
M
of
Phone
`3
ARLA COOK NUMBER EXTENWON
TELEPHONED
PLEASE CALL
CALLED TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
URGENT
RETURNED YOUR CALL
1
Signed
N.C. Dept. of Environment, Health, and Natural Resources
�VL(� PrInted on RoWded F%w

If~
Ji 1. .4il]r 3-. ~, i ~ ... _ I - · ->~
\~~{ ·t r;~, ,. ~ .. .,,, ~:
~~#
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor
William W Cobey, Jr., Secretary January 30, 1992
George T Everett, Ph.D.
Director
Regional Offices Mr. Peter Lynn
Cedar 'Nidge Bu~lders
Asheville
704/251-6208 Rt . 1 , Box 9 2A
Fayetteville
919/486-:1541
Mooresville
704/663-1699
Raleigh
919/733-2314
Washington
919/946-648{
Wilmington
919/395-'3900
Winston-Salem
919/896-7007
Cedar Grove, NC 27231
Dear Mr. Lynn:
It has come to the attention of North Carolina's
Division of Environmental Management (DEM) that you intend
to use a well for the disposal of discharge water from your
heat pump. Please be aware that it is not legal to use a
well for this purpose without a permit from DEM. Accordingly,
I have enclosed a blank application for a permit to construct
and/or use a well for injection, along with a pamphlet
entitled "Injection Wells -An Overview of Injection Well
Regulations and the Underground Injection Control Program in
North Carolina."
Please complete th~ enclosed application to the best of
your abilities and forward it to my attention at the address
indicated. above. Make sure to include sketches that
illustrate the layout of the injection well system and the
location of the injection well, heat pump, and any other
nearby wells in relation to at least two nearby roads.
Following receipt of a complete and approvable application,
DEM regional office personnel will make arrangements to
inspect your injection well and sample the water to be
injected to assure compliance with existing well construction
and groundwater quality regulations. There are no fees
associated with the permit process or water sampling.
Please note that the injection well regulations (15A NCAC
2C .0200) require that a sampling faucet be installed on both
the influent (water into the heat pump) and effluent (water
into the well) lines of the injection well system. In
addition, these sampling faucets and the well head of your
injection well must be easily accessible; permits may be
denied for systems that require DEM staff to enter confined
spaces in order to perform sampling and inspection duties.
Other system design and permitting requirements are detailed
on pages 5 -7 of the enclosed pamphlet.
Should you have any questions regarding this permit
process, please do not hesitate to contact me at (919)
733-3221. In addition, please let me know if you can identify
any other wells that are potentially being used for the
disposal of waste water. We appreciate your cooperation in
protecting our underground drinking water supplies.
Enclosures
Sincerely
~J~
Robert Turner
Permits & Compliance Unit
Groundwater Section