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HomeMy WebLinkAboutWI0500158_GEOTHERMAL_20120523Beverly Eaves Perdue Governor 4.~A ~--~~ ;;--;;-,.1 '-~111!1"'1' NCDENR =- North Carolina -Department of Environment and Natural Resources Division of Water Quality Charles Wakild , P; E. Director May 23, 2012 Keith and Carmen Reeve ----- 3613 Clifton Court Raleigh, NC 27604 Subject: Notification of Rule Revisions Affecting Closed-Loop Geothermal Injection Well Permit Holders Permit Number: WI0500158 Dear Mr. and Mrs. Reeve: Dee Freeman Secretary Our records indicate that you currently hold a permit for a closed-loop geothermal injection well system. This letter is to inform you that on May 1, 2012, the North Carolina Administrative Code Title 15A Section 2C .0200 entitled "Well Construction Standards -Criteria and Standards Applicable Injection Wells" were revised. These revisions affect all permits issued for injection wells including geothermal wells. This letter is also to inform you that your closed-loop geothermal injection well(s) have become "permitted by rule." Therefore, you are no longer required to renew your current permit and the permit will be valid indefmitely as long as the wells are active and are operated in accordance with the revised rules referenced above. Please keep in mind that if you abandon the wells, a record of abandonment must be submitted to the Division of Water Quality. You may view the revised rules on our website at htt p://portal.ncdenr.om /web/wg /aps. If you have any-questions regarding your current permit-or the · rule revisions, please feel . free to contact our underground injection control staff at (919) 807-6464 . Sincerely, Eric G. Smith, P .G. Hydrogeologist cc: UIC Permit File AQUIFER PROTECTION SECTION 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Location: 512 N. Salisbury St., Raleigh, North Carolina 27604 Phone: 919 -807 -6464 I FAX: 919-807-6496 Internet: www .ncwate rquality.org An Equa l Oppo rt uni ty \ Af.i rm alive Action Empl oyer N<tfrth Carolina ;Vat11rnll!f Rogers, Michael 6-PAI From: Rogers, Michael Sent: Tuesday, December 06, 2011 12:28 PM To; 'Keith and Carmen Reeve' Subject: RE: Permit number VV10500158 Okay, thank you for letting us know that you do not have information. I'll put this e-mail in the file. Michael Rogers, P.G. (NC & FL) Environmental Specialist NC Div of water Quality- Aquifer Protection Section (APS) 1636 Mail Service Center Raleigh, NC 27699-1636 Direct Line (919) 715-6166; Fax 715-6048 (put to my attn on cover letter) http:flPortal.ncdenr.or ;web,w apse pro,'permit- ariplications#ReothermAnrs E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties -----original Message ----- From: Keith and Carmen Reeve Imailto:ckreevef0mac.cami Sent: Wednesday, November 23, 2011 11:50 AID To: Rogers, Michael Cc: Carmen Reeve Subject: Permit number W10500158 Dear Mr. Rogers: We are sorry not to have given you all the necessary information regarding our thermal energy system. We have copies of various forms in our files * relating to this installation several of which appear to have been submitted to your office by Home Energy (of Wendel). unfortunately this company is no longer in business so we cannot turn your request over to them. I d❑ not know what "GW-1" entails nor can I vouch for any "Triangulation❑ata" or "Mechanical Integrity Pressure testing data". I recall that an "inspector" (maybe from your office?) came by to examine the installation before the holes were filled in. we are old people who believed at the time that we were doing our best to install what we understood was a "green" advance on our original heat -pump. Nobody ever explained to us about getting involved in all these technical details. *These are the papers in our files and we will be glad to make copies of any of them that you need: 1. Home Energy inc. System Sizing Data Sheet dated 01/08/2007 2. Earthtinked (Fla) Manufacturer's Certificate statement (November6, 2006) 3. A 5 page document from Home Energy inc. which includes a listing of the work they proposed and a breakdown 1 of all the components and costs involved in the project along with a Total Package Price ($17,800.00) and payment schedule. The warranty limits are also included. This quote was prepared in detail by Monte Jefferson on 1/20/07. 4. APPLICATION FOR PERMIT TO CONSTRUCT etc., (Type 5A7 and SQM Wells) dated 2/9/2007 5. Acknowledgement of Application etc. from DWQ dated February 23, 2007. 6. Issuance of Injection Well Permit (letter) -Permit No. WI0500158 (from your desk) dated April 3, 2007. Yours sincerely, Keith J. Reeve. 2 Permit Number Wl0500158 Program Category Ground Water Permit Type .,. Injection Mixed Fluid GSHP Well System (SQM) Primary Reviewer michael.rogers Coastal SW Rule Permitted Flow Facili Facility Name Keith and Carmen Reeve SFR Location Address 3613 Clifton Ct Raleigh Owner Owner Name Keith Dates/Events NC 27604 Reeve Scheduled Orig Issue 04/03/07 App Received Draft Initiated Issuance 11/04/11 1 Central Flies: APS_ SWP_ 11/21/11 Permit Tracking Slip Status Active Version 2.00 Project Type Renewal Permit Classification Individual Permit Contact Affiliation Major/Minor Minor Region Raleigh County Wake Facility Contact Affiliation Owner Type Individual Owner Affiliation Keith Reeve Owner 3613 Clifton Ct Raleigh NC 27604 Public Notice Issue 11/18/11 Effective 11/18/11 Expiration 10/31/16 Regulated Activities Re quested/Received Events --=----------------------- Heat Pump Injection RO staff report requested RO staff report received Outfall NULL Waterbody Name Stream Index Number Current Class 11/14/11 11/15/11 Subbasin Pe r mit Number WI0500158 Program Category Ground Water Permit Type Injection Mixed Fluid GSHP Well System (5QM) Primary Reviewer m ichael.rogers Coastal SW Rule Permitted Flow Facilit Facility Name Keith and Carmen Reeve SFR Location Address 3613 Clifton Ct Raleigh Owner Owner Name Keith Dates/Events NC 27604 Reeve Scheduled Orig Issue 04/03/07 App Received Draft Initiated Issuance 11/04/11 Regulated Activities Heat Pum p Injection Outfall NULL Central Files : APS_ SWP_ 11/15/11 Permit Tracking Slip Status In review Project Type Renewal Version Permit Classification Individual Permit Contact Affiliation Major/Minor Minor Region -Raleigh County Wake Facility Contact Affiliation Owner Type Individual Owner Affiliation Keith Reeve Owner 3613 Clifton Ct Raleigh NC Public Notice Issue Effective ReQuested/Received Events RO sta ff report requested RO staff report received 27604 Expiration 11/14/11 11/15/11 Waterbody Name Stream Index Number Current Class Subbasin .A~A .aj;_,1.~ -NC---b~EN~R North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Keith and Carmen Reeve 3613 Clifton Court Raleigh, NC 27604 Division of Water Quality Coleen H. Sullins Director November 18, 2011 Ref: Issuance of Injection Well Permit WI0500158 Issued to Keith and Carmen Reeve Raleigh, Wake County Dear Mr. and Mrs. Reeve: Dee Freeman Secretary In accordance with the application received on November 4, 2011, I am forwarding permit number WI0500158 for the continued operation of a vertical closed-loop geothermal mixed-fluid heat pump injection well system located at the above referenced address. This permit shall be effective from the date of issuance until October 31, 2016, and shall be subject to the conditions and limitations stated therein. NOTE: During the renewal process for this permit, it was noted that the following records were not submitted when the geothermal wells were originally installed. • Well Construction Record (GW-1) • Triangulation Data • Mechanical Integrity Pressure testing data (if available) After installation, these records were required to be submitted according to requirements of 15A NCAC 2C .0213(g) 30 days after your permit was originally issued April 3, 2007. Please submit these documents within 30 days ofreceipt ofthis permit renewal. If you are not able to provide us with the information, please submit to us a written justification for the missing information. Also, please pay special attention to Part V.2. The Permittee shall retain all records of repairs, pressure tests, maintenance, and other activities needed to maintain normal operating conditions. In order to continue uninterrupted legal use of the injection facility for the stated purpose, you must submit an application to renew the permit 120 days prior to its expiration date. This permit is not transferable to any person without prior notice to and approval by the Director of the Division of Water Quality. AQUIFER PROTECTION SECTION 1636 Mail Seivice Center, Raleigh, North Carolina 27699-1636 Location: 2728 Capital Boulevard, Raleigh. North Carolina 27604 Phone: 919-733-3221 \ FAX 1: 919-715-0588; FAX 2: 919-715-6048 \ Customer Service: 1-B77-623-6748 Internet: www.ncwaterauality.org An Equal Opportuniiy \ Aff1rmaiive Ac,;on Employe r .None. C .. .ortn arollna "7vaturall!f Please contact me at (919) 715-6166 or michael.roeersca.ncdenr.aov if you have any questions about your permit. Best Regards, Michael Rogers, P.G. (NC & FL) cc: day Zimmerman. Raleigh Regional Office WI0300158 Permit File Wake County Environmental Health Dept, NORTH ·CAROLINA ENVIRONMENT AL 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 2-1, Chapter 143, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO Keith and Carmen Reeve FOR THE CONTINUED OPERATION OF TYPE SQM INJECTION WELL(S), defined in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of operating a vertical closed-loop geothermal-mixed-fluid heat pump system. This system is located at 3613 Clifton Court, Raleigh, Wake County, NC 27604, and will be constructed and operated in accordance with the application received November 4, 2011, and in conformity with the specifications and supporting data submitted, all of which are filed with the Department of Environment and Natural Resources and are considered a part of this permit. This permit is for operation of an injection well and 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 October 31, 2016, and shall be subject to the specified conditions and limitations set forth in Parts I through VII hereof. Permit issued this the 18 th day of November 2011. ~Coleen H. Sullins, Director ~ Division of Water Quality By Authority of the Environmental Management Commission. WI0500158 UIC/5QM-M.F. Renewal Version 1/2010 Page 1 of4 PART I -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 maybe 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. In the event that there are multiple wells with separate clusters, one well identification tag per 'cluster' of wells shall be permanently affixed to the heating and cooling unit or other nearby permanently fixed location in a clearly visible location according to 2C .0213(g). PART II-PERFORMANCE STANDARDS 1. The injection facility shall be effectively maintained and operated at all times so that there is no contamination of groundwater that will render it unsatisfactory for normal use. In the event that the facility fails to perform satisfactorily, including the creation of nuisance conditions or failure of the injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective actions including those actions that may be .required by the Division of Water Quality such as the repair, modification, or abandonment of the injection facility. 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 III-OPERATIONS AND MAINTENANCE REQUIREMENTS 1. The injection facility shall be properly maintained and operated at all times. 2. The Permittee must notify the Division and receive prior written approval from the Director of any planned physical alterations or additions in the permitted facility or activity not specifically authorized by the permit. WI050015R UIC/5QM-M.F. Renewal · Version 1/2010 Page 2 of 4 PART IV -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. 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 retain all records of repairs, pressure tests, maintenance, and other activities needed to maintain normal operating conditions. 3. 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; 4. 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. 5. 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 RENEWAL The Permittee shall, at least 120 days prior to the expiration of this permit, request an extension. WI0500 158 UIC/5QM-M .F. Renewal Version 1/2010 Page 3 of 4 PART VII-CHANGE OF WELL STATUS 1. The Pennittee 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 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) All casing and materials may be removed prior to initiation of abandonment procedures if the Director finds such removal will not be responsible for, or contribute to, the contamination of an underground source of drinking water. (B) The entire depth of each well shall be sounded before it is sealed to insure freedom from obstructions that may interfere with sealing operations. (C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that failure to do so could lead to the contamination of an underground source of drinking water. (D) Each well shall be completely filled with cement grout, which shall be introduced into the well through a pipe which extends to the bottom of the well and is raised as the well is filled. (E) In the case of gravel-packed wells in which the casing and screens have not been removed, the casing shall be perforated opposite the gravel pack, at intervals not exceeding 10 feet, and grout injected through the perforations. (F) In those cases when, as a result of the injection operations, a subsurface cavity has been created, each well shall be abandoned in such a manner that will prevent the movement of fluids into or between underground sources of drinking water and in accordance with the terms and conditions of the permit. (G) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in 15A NCAC 2C .02 l 3(h)( 1) within 30 days of completion of abandonment. 3. The written documentation required in Part VII (1) and (2) (G) shall be submitted to: WI050015 S Aquifer Protection Section-DIC Program DENR-Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 UIC/5 QM-M.F . Renewal Version 1/2010 Page 4 of 4 Ro gers, Michael From: Zimmerman, Jay Sent: To: Tuesday, November 15, 2011 8:00 AM Rogers, Michael Cc: Watts, Debra Subject: RE: WI 0500158 Reeve SQM renewal Not at this point. Go ahead and renew permit. Thx From: Rogers, Michael Sent: Monday, November 14, 2011 5:11 PM To: Zimmerman, Jay Subject: WI 0500158 Reeve SQM renewal Jay- Attached is a SQM renewal application. Please let me know if you wish to conduct a pre-permitting inspection or not. Thanks Michael Rogers, P.G. (NC & FL) Environmental Specialist NC Div of Water Quality-Aquifer Protection Section (APS) 1636 Mail Service Center Raleigh, NC 27699-1636 Direct Line (919) 715-6166; Fax 715-6048 (put to my attn on cover letter) http://portal.ncdenr.org/web/wq/aps/qwpro/permit-applications#geothermApps E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties 1 . AL17 `� � CDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Keith J. Reeve Carmen G. Reeve 3613 Clifton Ct, Raleigh, NC 27604 Dear Mr. Reeve: Division of VVater Quality Coleen H. Sullins Director November 10, 2011 Dee Freeman Secretary Subject: Acknowledgement of Application No. W10500158 Keith and Carmen Reeve SFR Injection Mixed Fluid GSHP Well System {5QM} Wake County The Aquifer Protection Section acknowledges receipt of your permit application and supporting documentation received on 11/04/2011. Your application package 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 away 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- 715-6166 or michael.rogers@ncdenr-gov. ncerely, I ,far Debra Watt Grourier Protection Unit Supervisor cc: Raleigh Regional Office, Aquifer Protection Section Permit File ZCIO?00158 AQUIFER PROTECTION SECTION 1636 Mail Service Cenw, Raleigh, North Carollna 27699-1636 Lomiim, 2728 Caoital Boulevard, Ralevgh, North Carolina 27604 Phone: 918733-3221 I FAX': 919-7154-15581- FAX 2: 919-71 -5-6048 ! Customer Service: 1377-623E748 Insemet: www.raranvate ualih. One NorthCaTohw Air Equal Uaoarhimy + AidrmadVe Aclzn EmNoyac 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 CLOSER -LOOP NUXED-FLUM GEOTHERMAL INJECTION WELLS These wells circulate fluids other than potable water as pa71DIf geothermal heating and cooling system (check one) New Application enewal* Modification Pr. ate. DATE: 20 Y./ RECENED! QE.RI 31N4 PERNII'T NO. (leave blank if New Application) p0lj11:9R-PRnTFf:T10H !Fr.T10N A. STATUS OF APPLICANT (choose one) Nov 04 2011 Nan -Government: Individual Residence Business/Organization Goverment: State Municipal County Federal B. PERMIT APPLICANT - For individual residences, list each owner on property deed. For all others. state name f entity and name of person delegated authority to sign on behalf of the business or agency: Mailing Address: r [ r� City l 4�,1 Stater_.Zip Code:1County: Day Tele No.: q, ' - ? �� Cell No.: EMAIL Address: k R _f- CQ Wi 4kCC - ('Q W`t Fax No.: C. LOCATION OF WELL SITE - Where the injection wells are physica}ly located: Sj (1) Parcel Identification Number (PIN) of well site_ �" "0'�4)�County UCk (2) Physical Address (if different than mailing address): �} 410 � S Co e City State: NC Zip Corte: WELL DRILLER INFORMATION Well Drilling Contractor's Name: NC Well Drilling Contractor Certification No.: Company Name: Contact Person: Address: City: Office Tele No.: Zip Code: State: County: Cell No.. Fax No. Page t GPUIMC 5QM Pemit Application (Revised 1124/2011) E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller) Company Name: __________________________________ _ Contact Person"--: -----------------=E=MA"-=-=I=L--=A-=-d=dr=e=ss'"'": ___________ _ Address: __________________________________ _ City: Zip Code: _____ State: __ County: Office Tele No.: Cell No.: Fax No.: -------------------~~~~------- F. WELL CONSTRUCTION DATA (1) Number of borings to be constructed*: _____ Depth of each boring (feet): ________ _ * If existing water supply wells will be used then provide the information in item ( 4) below. Ethanol (2) Chemical additives to be used: R-22 ---Propylene glycol __ _ --- Other _________ ( other additives will need prior approval by NCDENR before use) (3) Type of tubing to be used (copper, PVC, etc): (4) Well casing. If the well(s) will use casing then provide the~ (steel, PVC, plastic, etc.), diameter, depth, and extent of casing appearing above ground: __________________ _ (5) Grout (material surrounding well casing and/or piping): (a) Grout type: Cement__ Bentonite** Other (specify) _______ _ ** By selecting bentonite grout, a variance is hereby requested to ISA NCAC 2C .0213(d)(l)(A), which requires a cement type grout. (b) Grout depth of tubing (reference to land surface): from ___ to ___ (feet) If well has casing, indicate grout depth: from to (feet) --------- G. 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 groundwater 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 photograph of the property parcel showing property lines and structures can be obtained and downloaded from the applicable county GIS website. Typically, the property can be searched by owner name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or elevation data. GPU/UIC 5QM Permit Application (Revised 1/24/2011) Page 2 H. CERTIFICATION (to be signed as required below or by that person's authorized agent) 15A 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; 3. for a municipality or a state, federal, or other public agency: by either a principal executive officer or ranking publicly elected official; 4. for all others: by the well owner (which means all persons listed on the propert. 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. "l 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 accordaKce witlythe appT specifications and conditions of the Permit," Sigridiure ofPr-opmy Owner/Applicant f ►-I G !2— Print or Type Full Name Signature of Properly Owner/Appli nt rme-�i 6, �Ree-tje- 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 Centex Raleigh, NC 27699-1636 Telephone (919) 733-3221 RECEIVED i �E►� i} NOV 04 )oil GPU/UIC 5QM Permit Application (Revised 1/24/201 t) Page 3 irCRERR North Carolina Department of Environment and Natura Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director November 1, 2011 Keith Reeves 3613 Clifton Court Raleigh, NC 27604 Subject: Notice of Expiration (NOE) 5QM Geothermal Injection Well Permit No. WI0500158 Wake County Dear Mr. Reeves: 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 3613 Clifton Court, in Raleigh, NC, which was issued to you on April 3, 2007, and expires on March 31, 2012, 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 Iniection Well is CurrentI■v 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 GW-30 and Name/Ownership Change forms can be found at hgp:llportal.nedenr.org/web/wglaps/gwpro/rMorting-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 2.2011. AQUIFER PROTECTION SECTION 1636 Mail Sarvlce Center, Rabaigh, Narth Carolina 27699-1636 Location: 2728 Capita{ Beulevani, Raleigh, North Camista 27604 One phone: 919-733.3221 i FAY T: 919-7!M58E; FAX1, 919.715-5048 k Customer Service: 1-877�23.6748 � .t� al,al�la Internet www.nmateroualit(.om i n Equal OppoMmints y Wmaave Autnn lupbpr i/}�3 ii �ll 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 SQM 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 http ://nortal.ncdenr.om:/web/w g/ap s/gwp ro /n ermit-applications#geothermApp s. Thank you in advance for your cooperation and timely response. If you have any questions, please contact me by phone at (919) 715-6196 or by email at eric.J!.smith@.ncdenr.gov. Sincerely, L2~ /) Jyruil Eric G. Smith, P.G. Hydrogeologist Enclosures cc: Raleigh Regional Office -APS w/o enclosures APS Central Files -Permit No. WI0500158 w/o enclosures 2 Central Flies: AP5 5WP 04/03/07 Permit Number W10500158 Permit Tracking Slip Program Category Status Project Type Ground Water In review New Project Permit Type Version Permit Classification Injection Heating/Gooiing Water Return Well (5A7) Individual Primary Reviewer michael.rogers Permitted Flow Facilit; Facility Name Keith and Carmen Reeves SFR Location Address 3613 Clifton Ct Raleigh NC 27604 Owner Permit Contact Affiliation Carmen Reeves 3613 Clifton Ct Raleigh NC 27604 Major/Minor Region Minor Raleigh County Wake Facility Contact Affiliation Owner Name Owner Type Individual Keith Reeves Owner Affiliation Keith Reeves 3613 Clifton Ct Raleigh NC 27604 Dates/Events Scheduled arig Issue App Received Draft Initiated Issuance 02/22/07 Requlated Activities Heat Pump Injection Public {Notice Issue Effeclive 7 Renuested/Recei►red Yvents RO staff report requested RO staff report received Additional information requested Additional information received Expiration 02/26/07 03113/0 7 03/26/07 03/29/07 Outfall !•l 1!.i Waterbody dame Stream Index Number Current Class Subbasin 7 a Michael F. Easley, Governor William G. Ross Jr.. Secreiary North Carolina Department of Envimnutmt and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality April 3, 2007 Keith and Carmen Reeves 3613 Clifton Court Raleigh, NC 27604 Re: Issuance of Injection Well Permit Permit No. WI0500I58 Issued to Keith and Carmen Reeves 10=9ano 613M In accordance with your application received February 22, 2007, 1 am forwarding Permit No, WI0500158 for the operation of a vertical closed -loop geothermal mixed -fluid Beat pump injection well system to be located at 3613 Clifton Court, Raleigh, Wake County, North Carolina 27604. This permit shall be effective fi-o1n the date of issuance until March 31, 2012, and shall be subject to the conditions and limitations stated therein. Pay special attention to the well construction standards in Parts II and V of your permit. You must notify this office (Raleigh Central Office) and the Raleigh Regional Office at least forty-eight (48) hours prior to constructing the system, and forty-eight (48) hours prior to initiation of the operation of the system. 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. As -indicated in the permit, this permit is not transferable to any person without prior notices 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 Mr. Qu Qi at (919) 715-6935 or me at (919) 715-6166, Best Regards, Michael Rogers Environmental Specialist H cc: day Zimmerman. - Raleigh Regional Office Central Office File - W10500158 Monte Jefferson - Home Energy, Inc. Attachment(s) No ` Carolina Nturallrl Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone: (919) 733-3221 Internet: h":/1www.nmaterquaA13r_nre 2728 Capital Boulevard Raleigh. NC 27604 Fax i s (919) 715-0598 Fax 2: (919) 715-6048 An Equal QpportunkfAff rmadve Action 2mployer- 56 h Reeyeled(l0% Post Consumer Paper Customer Service: (SM 623-6748 NORTH CAROLINA ENVIRONMENT AL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH, NORTH CAROLINA PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO KEITH AND CARMEN REEVES FOR THE CONSTRUCTION AND OPERATION OF 15 TYPE SQM INJECTION WELLS, defined in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of operating a "direct expansion" type vertical closed-loop geothermal-mixed-fluid heat pump system. This system is located at 3613 Clifton Court in Raleigh, .Wake County, North Carolina, and will be constructed and operated in accordance with the application received February 22, 2007, 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 Construction and 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 March 31, 2012 and shall be subject to the specified conditions and limitations set forth in Parts I through IX hereof. ~ Permit issued this the I u day of ~: \ '~~-~ ft!'-Alan W. Klimek, Director ~ Division of Water Quality By Authority of the Environmental Management Commission. Pennit No. WI0500158 , 2007. Page2 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 Applicab~e 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 not be located in an area generally subject to flooding. Areas that are generally subject to flooding include those with concave slope, alluvial or colluvial soils, gullies, depressions, and drainage ways. 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 injection well shall have permanently affixed an identification plate. 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. PART II -WELL CONSTRUCTION SPECIAL CONDITIONS 1. Prior to constructing the injection well system, the Permittee or his agent shall test the pH of the soil at a depth of three feet at the planned well location. If the resulting soil pH is less than 6 standard units or greater than 11 standard units, the well system shall be equipped with a compatible cathodic protection system. All testing results shall be kept on site available for . inspection. 2. At least forty-eight ( 48) hours prior to constructing system, the Permittee shall notify the Aquifer Protection Section's Underground Injection Control (UIC) Program Central Office staff, telephone number (919) 715-6166 and the Raleigh Regional Office Aquifer Protection Section Staff, telephone number (919) 791-4200. 3. All underground tubing shall be refrigeration grade copper tubing. Permit No. WI0500158 Page3 4 . Prior to installation, all tubing to be placed in boreholes ("loops") shall be checked for leaks by pressurizing the loop to a gage pressure of at least 350 pounds per square inch (psig), immersing the loop in water and examining it for leaks. Loops with leaks shall not be installed. 5. Prior to installation, each loop shall be visually inspected for damage such as kinks, dents, and scrapes. Each loop shall be checked to verify that the nitrogen charge applied to the loop by the manufacturer before shipping is still present at a pressure of at least 300 psig. The loop manufacturer shall be notified in the event of damage or pressure loss, and the manufacturer's instructions shall then be followed. The nitrogen charge may be released only when the loop is installed and ready to be connected to the manifold. 6. Boreholes shall be large enough to allow insertion of the loop plus a tremie pipe for grouting. 7. After insertion of the tubing into the boreholes, an approved grout (as defined in Title 15A North Carolina Administrative Code 2C .0100) shall be pumped via tremie pipe into the annular space of each borehole so as to completely fill it from bottom to top. 8. All tubing junctions shall be brazed using lead-free brazing material. The brazing material shall have a galvanic potential as close as practicable to that of the tubing material. 9. Dry nitrogen shall be circulated through the tubing during brazing to prevent oxidation. 10. After installation and prior to operation of the system, a mechanical integrity test shall be conducted by pressurizing the injection well system to 400 psig with dry nitrogen and monitoring for leaks using an ultrasonic or other leak detector of equal sensitivity and monitoring pressure in the system for at least 2 hours. Alternatively, an equivalent vacuum test is acceptable. Any pressure fluctuation other than that due to thermal expansion and contraction of the testing medium shall be considered a failed mechanical integrity test. Any leaks shall be located and repaired prior to charging the system with refrigerant. A copy of the post-installation pressure or vacuum test record (initial pressure readin g, final pressure readin g, and the duration of the test) shall be submitted to the Aquifer Protection Section. The test records must be received by the Aquifer Protection Section at least twentv-four (24) hours prior to the initiation of the op eration of the facility for in jection. 11. The location of each of the system manifolds shall be recorded by triangulation from two permanent features on the site (e.g., building foundation comers). The Permittee shall retain a copy of the triangulation records. The Permittee shall also submit a copy of the triangulation records to the Aquifer Protection Section within 30 days of completion of well construction. 12. The written documentation required in Part IL p ara gr aphs (1 0) and (1 1) shall be submitted to: Permit No. WI0500158 Aquifer Protection Section-UIC Staff DENR-Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 Page4 PART III -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. PART IV-PERFORMANCE STANDARDS 1. The injection facility shall be effectively maintained and operated ·at all times so that there is no contamination of groundwater that will render it unsatisfactory for normal use. In the event that the facility fails to perform satisfactorily, including the creation of nuisance conditions or failure of the injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective actions including those actions that may be required by the Division of Water Quality such as the repair, modification, or abandonment of the injection facility. 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 V -OPERATION AND MAINTENANCE REQUIREMENTS 1. The injection facility shall be properly maintained and operated at all times. 2. The Permittee must notify the Division and receive prior written approval from the Director of any planned physical alterations or additions in the permitted facility or activity not specifically authorized by the. permit. 3. At least forty-eight (24) hours prior to the initiation of the operation of the facility for injection, the Permittee must notify by telephone the Aquifer Protection Section's Underground Injection Control (UIC) Program Central Office staff, telephone number (919) 715-6166. Notification is required so that Division staff can inspect or otherwise review the injection facility and determine if it is in compliance with permit conditions. Permit No. WI0500158 Page 5 PART VI -INSPECTIONS 1. Any duly authorized officer, employee, or representative of the Division of Water Quality may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the injection facility at any reasonable time for the purpose of determining compliance with this permit, may inspect or copy any records that must be maintained under the terms and conditions of 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 VII -MONITORING AND REPORTING REQUIREMENTS 1. Any monitoring (includi:og 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; (C) Any loss of refrigerant in the system, regardless of the origin of the loss; (D) Any recharging of the refrigerant system. 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. PermitNo. WI0500158 Page 6 PART VIII -PERMIT RENEW AL The Permittee shall, at least 120 days prior to the expiration of this permit, request an extension. PARTIX-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 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. (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. Permit No. WI0500158 Page 7 (G) The Pennittee shall submit a Well Abandonment Record (Form GW-30) as specified iri 15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. 3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to: Permit No. WI0500158 Aquifer Protection Section-DIC Program DENR-Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 Page 8 4/3/07 Debra/QQ: Attached is the draft permit for WI 050015&. I cannot enter the EPA or NC well code in Q L the 'Injector Permit' tab in BIMS for a 5QM well. It will only allow the selection of 5A7. j-eJ e-rrJ {'(c,,(4.-r ¼ BIMS still shows David Boyd (Cenification No. 2106) as owning his oWn drilling company -Boyd Well and Pump Company. However, he is now a full time employee and manager of drilling services of Home Energy, Inc. MikeR. -f \ ,>c -}t ~ ; '. ..f ,f'. l6 \ ~/q I ;1 Re, Reeves Geothermal WI0500158 l of 1 Subject: Re: Reeves Geothermal WI0500158 From: "christy@ruwarm.com" <christy@ruwarm.com> Date: Thu, 29 Mar 2007 20: 13 :21 -0400 To: Michael.Rogers@ncmail.net Mr. Rogers Per your earlier email request regarding this application: Number of borings: 10 to 15 Date to be constructed: April 17, 2007 Approximate depth of each boring: 50 ft NC Contractor: NC 2106 (David T. Boyd) Please let me know if additional information is needed .. Thank You Christy West Home Energy Inc (919) 366-0261 4/2/2007 3:47 PM Reeves Geothermal WI0500158 Subject: Reeves Geothermal WI0500158 From: Michael Rogers <Michael.Rogers@ncmail.net> Date: Mon, 26 Mar 2007 13:38:36 -0500 To: Monte@ruwarm.com Monte- the application for the above was incomplete. We need the number of borings for the system, Drillers Certification number, date to be constructed, and appx depth of each boring. Provide this info via email and I don't think we will need to send back. Thanks l f ' I of 1 3/27/2007 9:14 AM jJ \ ':01 -.:::::, y ~ V' S--:::::, ...... ~ C) ~ c:..., ~J- ' b ) ? vlu-' J. W' 116 ?' AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT Date: 03/06/2007 To: Aquifer Protection Section Central Office Central Office Reviewer: Micheal Rogers Regional Login No: 05 County: Wake Permittee: Keith & Carmen Reeves Project Name: 5 M SFR-Close Loo Application No.: WIO 00158 I. GENERAL INFORMATION 1. This application is (check all that apply): IZ! New D Renewal D Minor Modification D Major Modification D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon D Land Application of Residuals D Distribution of Residuals D Attachment B included D Surface Disposal D 503 regulated D 503 exempt 1Z! Closed-loop Groundwater Remediation D Other Injection Wells (including in situ remediation) Was a site visit conducted in order to prepare this report? IZ! Yes or D No. a. Date of site visit: 03/06/2007 b. Person contacted and contact information: Keith & Carmen Reeves c. Site visit conducted by: JGreer, RRO-APS d. Inspection Report Attached: IZ! Yes or D No. 2. Is the following information entered into the BIMS record for this application correct? 1Z! Yes or D No. If no, please complete the following or indicate that it is correct on the current application. For Treatment Facilities: a. Location: 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): NIA For Disposal and Injection Sites: (If multip le sites either indicate which sites the information a pplies to , co py and paste a new section into the document for each site , or attach additional pa ges for each site) a. Location(s): 3613 Clifton Court, Ralei gh NC 27604 b. Driving Directions: See Map Quest . c. USGS Quadrangle Map name and number: Ralei gh East-D24SE d. Latitude: 35.49.34 Longitude: 78.33.lA(p lfW"- 1 II. NEW AND MAJOR MODIFICATION APPLICATIONS (this section not needed for renewals or minor modifications, skip to next section) Description Of Waste(S) And Facilities 1. Please attach completed rating sheet. Facility Classification: _ FORM: WI05000158.KR AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT 2. Are the new treatment facilities adequate for the type of waste and disposal system? D Yes D No D N/ A. If no, 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 Profession~! Engineer? D Yes D No D N/ A. If no, 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. D YesONo D NIA. Ifno, 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 N: __ 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?) /IL RENEWAL AND MODIFICATION APPLICATIONS (use previous section for new or major modifi cation systems) Descri ption 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 assimilating the waste? D Yes or D No. If no, please explain: FORM: WI05000158.KR 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. I.f 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 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 IZ:I N/ A. If no, please explain: 12. Has a review of all self-monitoring data been condu~ted (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 or D No D N/A. If yes, please explain: __ FORM: WI05000158.KR 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: D Heating/cooling water return flow (5A7) C8J Closed-loop heat pump system (5QM/5QW) D In situ remediation (SI) D Closed-loop groundwater remediation effluent injection (SL/''Non-Discharge") D Other (Specify: ) 2. Does system use same well for water source and injection? D Yes IZI No 3. Are there any potential pollution sources that may affect injection? D Yes IZI No What is/are the pollution source(s)? . What is the distance of the in jection well(s ) from the pollution source (s)? ft. 4. What is the minimum distance of proposed injection wells from the property boundary? 80 ft. 5. Quality of drainage at site: IZI Good D Adequate D Poor 6. Flooding potential of site: D Low IZI 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 [gj 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)? IZI 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 D No. If yes . ex plain: 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 ves . explain: 3 . For renewal or modification of groundwater remediation permits (of any typ e}. will continued/additional/modified in jections have an adverse impact on mi gr ation of the plume or mana eement of the contamination incident? D Yes D No. If yes . explain: 4. Drilling contractor: Name: FORM: WI05000158.KR 4 AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT Address: Certification number: 5. Complete and attach Well Construction Data Sheet. FORM: WI05000158.KR 5 AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT V EVALUATIONAND 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? ❑ Yes ® 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: 7. Recommendation: ❑ HoId, 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, pleasee reasons: 8. Signature of report Signature of APS regionals• Isom s -�Z� _ _ Date: r ADDITIONAL .REGIONAL STAFF AEKEW ITEMS Injection wells * are twenty feet from wet lands area. l 1 pp'} feet from creek. FORM: WI05000158.KR 6 Pennit: WI0500158 SOC: County: Wake Region: Raleigh Effective: Effective: Contact Person: Cannen Reeves Directions to Facility: Primary ORC: Secondary ORC(s): On-Site Representative(s); Related Pennits: Inspection Datf): 03/06/2007 Primary Inspector: Jimmie W Greer Secondary lnspector(s): Reason for Inspection: Routine Compliance Inspection Report Expiration: Expiration: Owner: Keith Reeves Facility: Keith Reeves SFR 3613 Clifton Ct Raleigh NC 27604 Phone: Certification: Phone: Entry nme: 09 :30 AM Exit Time: 09:45 AM Phone: 919-791-4200 Inspection Type: Compliance Evaluation Pennit Inspection Type: Injection Heating/Cooling Water Return Well (5A7) Facility Status: D Compliant D Not Compliant Question Areas: ■Other (See attachment $Ummary) Page : 1 Permit: WI0500158 Inspection Date: 03/06!2007 Inspection Summary: Other Comment: owner -Faclllty: Keith Reeves Inspection Type: Compliance Evaluation Reason for Visit: Routine Yes No NA NE Page: 2 Page I of 2 North Carolina Department of Environment and Natural Resources Division of Water Quality -Groundwater Section PRECONSTRUCTION INJECTION FACILITY INSPECTION REPORT -FORM A INJECTION WELL PERMIT NO. WI o �yvai5' DATE o 304, NAMEOF OWNER, ADDRESS OF OWNER (Straedroad or lot and suddivision, county. town) LOCATION OF PROPOSED INJECTION WELL ( ), if applicable) (Street/ road or lot and suddivishm , county, term, if doermt Aim ~w's addreu plus descrfpttwt of location on site) Potential pollution source-,,:, r Distance from well o Potential pollution source - Distance from well o ' Potential pollution source r it Distance from well I422 •r Minimum distance of proposed well from property boundary Quality of drainage at site Flooding potential of site adequsiepoor) {hr ,moderate, ) DRAB' SKETCH OF SITE ` (Shaw property boundaries, buildings, wells po 'alpollution sources, roads, approximate scale, and north arrow.) pl. -F) C"ai pia M=b 98 Page 2 of 2 PRECONSTRUCTION INJECTION FACILITY INSPECTION REPORT - FORM A (cons) r•r►s�r�►�+wrre Office WITNESS Address WITNESS Address March 98 Keith Reeves 3613 Clifton Ct Raleigh NC 27604 Closed Loop WI0500158 Wake County AQUIFER PROTECTION SECTION APPLICATION REVIEW REQUEST FORM Date: Februar3 26- 2007 To: ❑ Landon Davidson, ARO-APS ❑ David May, WaRO-APS ❑ Art Barnhardt, FRO-Aps ❑ Charlie Stehman, WiRO-APS ❑ Andrew Pitner, MRO-APS ❑ Sherri Knight, WSRO-APS ® Jay Zimmerman, RRO-APS Froth: Michael Rogers , Groundwater Protection Unit Telephone: 9� 19) 715-6150 Fax: (919) 715-0588 E-Mail: Michael.RoLers,ri'ncmail.net A. Permit Number: WI 0500158 B. Owner: Keith Reeves C. Faciliitr/0yeration: ® Proposed ❑ Existing ❑ Facility ❑ Operation D. Application: 1. Permit Type: ❑ Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration ❑ Recycle ❑ ilE Lagoon ❑ GW Reinediation (ND) ® UIC - (5QM ) closed loop mixed fluid geothermal For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal ❑ 503 ❑ 503 Exempt ❑ Animal 2: Projeet Type: ® New ❑ Major Mod. ❑ Minor Mod. ❑ Renewal ❑ Renewal w/ Mod. E. Comments/Other Information: ❑ I would like to accompany you on a site visit. Attached, you will find all information submitted in support of the above -referenced application for your review, continent, and/or action. Within 21 calendar days, please take the following actions: ® Return a Completed APSARR Form. ❑ Attach Well Construction Data Sheet. ❑ Attach Attachment B for Certification by the LAPCU. ❑ Issue an Attachment B Certification from the RO. " * Remember that you will be responsible for coordinating site visits and reviews, as well as additional information requests with other RO-APS representatives in order to prepare a complete Attachment B for certification. Refer to the RPP SOP for additional detail. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office -Aquifer Protection Section contact person listed above_ RQ-AP5 Reviewer: it d"^ I e- f e Date: -q s FORM: APSARR 07/06 Page I of 1 03/01/2007 13:03 9197887159 NCDWQRRO PAGE 92/92 AOUIFER PROTECTION SECIZON APPLICATION REVIEW REQUEST FORM Raste: Februa 26. 7oa7 Ta: ❑ Landon Davidson, ARQ-APS ❑ David May, WaRO-APS ❑ Art Barnhardt, FRO-APS ❑ Charlie Stehman, WiRG-APS ❑ Andrew Pitner, MRO-APS ❑ Sherri knight, WSRQ .APS ® Jay Zimmemm. RRO-APS Erom: Michael_Ro ers , Groundwater Protection unit Telephoner (919),715-61d4 L-Mai1; Mic hers mail.n t A. Permit ltium6er: R+i flSpflQli58 B. Qwner: Keith Reeves C. Farility!0perationr w ® Proposed [] Existing Fact: Q19) 715-0588 ❑ Facility ❑ Operation 1. Permit Type ❑ Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration ❑ Recycle ❑ YE Lagoon ❑ GW Remediation (ND) ® U1C - (SQM) closed loop mixed fluid geothermal For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal ❑ 503 ❑ 501 Exempt ❑ Animal 2 Project Type: ® New ❑ Major Mod. ❑ Minor Mod. ❑ Rcnewai ❑ Renewal wl Mod. E. Comments/Other Information- ❑ 1 would like to accon4my you on a site visit. Attached, you will find all information submitted in support of the above -referenced applications for your review, comment, and/or action. Within 21 calendar days, please take the Wowing actions: ® Return a Completed APSARR Form. ❑ Attach Weil Construction Data Sheet. ❑ Attach Attachment B for Certification by the LAPCi1. [j Issue an Attachment $ Certification from the RO.* * Remember that you will he 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 narne and dates in the spaces below, make a copy of this sheet, and =turn it to the appropriate Central Office -Aquifer Protection Section contact parson listed. above. RO- k.PS Reviewer: Date: 3 ll /0-7 FORM; APSARR 07/06 Page I of 1 A QIDFER PROTECTION SECTION APPLICATION REVIEW RE QUEST FORM Date: February 26 . 2007 D Landon Davidson, ARO-APS □ Art Barnhardt, FRO-APS □ Andrew Pitner, MRO-APS ~ Jay Zimmerman, RRO-APS From: Michael Ro gers , Groundwater Protection Unit Telephone: (919 ) 715-6160 E-Mail: Michael.Rogers@ncmail.net A. Permit Number: WI 0500158 B. Owner: Keith Reeves C. Facilit /O peration: ~ Proposed D Existing D. Application: 0 David May, WaRO-APS 0 Charlie Stehman, WiRO-APS □ Sherri Knight, WSRO-APS Fax: (919) 715-0588 D Facility D Operation 1. Permit Type: D Animal D SFR-Sur face Irrigation □ Reuse D H-R Infiltration D Recycle D 1'E Lagoon D GW Remediation (ND) ~ UIC -(5QM) closed loop mixed fluid geothermal __ For Residuals : D Land App. D D&M D Surface Disposal D 503 D 503 Exempt 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. Attached, you will find all information submitted in support of the above-referenced application for your review, comment, and/or action. Within 21 calendar days, please take the following actions: ~ 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 rev iews, 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: ------------------- FORM: AP SARR 07 /06 Page 1 of 1 ot< wArF,� Michael F. Easley, Governor q� Q William G. Ross Jr., Secretary j Forth Caroiina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality February 23, 2007 KEITH REEVES 3613 CLIFTON CT R.ALEIGH NC 27604 Subject- Acknowledgement of Application No. WI0500158 Keith Reeves SRF Injection Heating/Cooling Water Return Well (5A7) Wake County Dear Mr. Reeves: The Aquifer Protection Section of the Division of Water Quality (the Division) acknowledges receipt of your permit application and supporting materials on February 22, 2007. 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 by phone at (919) 715-6166 or by email at Michael, Rogers c@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 out new organizational chart. go to hLip://h2O.enT.state.iie.us/documents/dwki or�!chart.df. PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAIING INQUIRIES ON THIS PROJECT. Sincerely, f� . for Debra 1. Watts Supervisor cc: Raleigh Regional Office, Aquifer Protection Section Permit Application File WIOSOO158 Aquifer Protection Section 1636 Mail Service Center Internet: www.newateruuaft_om Location: 2726 Capital Boulevard An Equal opporlunityAllirmative Action Employer— 5D'Yo Recycled l0% Post Consumer Paper Wj1 rthCarolina Naiarra!!il Raleigh, NC 27699-1636 Telephone: 1919j 733-3221 Raleigh, NC 27604 Fax 1: (919) 715-0588 Fax 2: (919) 715-6048 Customer Service: (877) 623-6748 12,,Vr,:4Af� I� L " TO: 4 rg, -e� 6� ,. NORTH CAROLINA � f, DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES / APPLICATION FOR PERMIT To CONSTRUCT AND/OR USE A WELL(S) FOR INJECTION WITH A HEAT PUMP SYSTEM Type SA7 and 5QM Wells In Accordance with the provisions ofNCAC Title 15A: 02C.0200 Complete application and mail to address on the bark page. DIRECTO , N TH CAROLINA DIVISION OF WATER QUALITY DATE: - . 20D-j_ SYSTEM CLASSIFICATION Please check column which matches proposed system- (1) _ Type 5A7 wells inject water used to provide heating or tooting for structures. (2) Type 5QM wells contain a subsurface system of continuous piping, that is isolated from the environment and circulates a fluid other than potable water. This includes systems that circulate additives such as antifreezes and/or corrosion inhibitors. (3) Type 5QW wells contain a subsurface system of continuous piping, that is isolated from the enviroament and only circulates potable water. If you selected this well type, then complete fora► GW-57 CL, Nahfrcadon Oflntent To Construd A Closed -loop Gea&ermal-Water Only Injection Well System. B. PERMIT APPLE Name: 140 i C. Address: % City. . State: _[�&ip Code:,)jj,,,0j County: Telephone: �a — PROPERTY OWNER (if different from applican Name: 'z, — L� Address: City: sate zip Telephone: D. STATUS 0 PLICANT Private: Federal, State: Municipal: Revised 5/05 GWAAC-57 HP Mail Permit To: Home Energy Inc. P.O. Box 238 302 E. Third Street Wendell, NC 27591 Page 1 of E. F. A7 FACILITY (SITE) DATA (Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial). Name of Business or Fac' ' Address: 5.1 City: V YVCode: County: Telephone: Contact Person: HEAT PUMP CONTRACTOR DATA Name. Address: City: Teiephot INJECTION PROCEDU { B ie(ly describe how the injection well M Ir Used.) e c tDoO V 'V r_�, � s 1 - H. WELL USE Will the injection well(s) also be used as the supply well(s) for the following? (1) The injection operation? YES NO (2) Personal consumption? YES NO 1. CONSTRUCTION DATA (check one) EXISTING WELL being proposed for use as an infection 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. PROPOSED WELL to be constructed for use as an injection well. Provide the data in (1) through (7) below as PROPOSED construction specifications. Submit Form GW-I after construction. (1) Well Drilling Contractor's Name: NC Contractor Certification number: 0(. - (2) Date to be constructed: urnber of borings: Approximate depth of each boring {feet):_ 5-0 _ (3) Well casing: Is the well(s) cased? (a) YES If yes, then provide the casing information below. Type: Galvanized steel Black steel Plastic Other (specify) Casing depth: From to ft. (reference to land surface) Casing extends above ground inches (b) NO Revised 5105 GWIUWC-57 HP Page 2 of4 J K. L. (4) Grout (material surrounding well casing and/orF g): (a) Grout type: Cement 13entoniteOther (specify) ' (b) Grou surface and grout depth (reference to land surface): and closed loop piping from - to (feet). around well casing; from to (feet). (5) Screens (for Type 5A7 wells) (a) Depth: From to feet below ground surface. (6) N.C. State Re fati (Title 15A NCAC 2C .0200) require the penuittee to snake provisions for monitoring processes. A faucet on both influent (fluid entering heat pump) and effluent (tiui e# jectesi into the yell) lines is required- Will there be a faucet an: (a) the influent line? yes no_ (b) the effluent line? yes no (7) SOURCE WEL C TS' CTTDN INFORMATION (if different from injection well), Attach a cap GW-1 (Well Construction Record). If Farm GW-1 is not available, provide the da in , (1) of this application form to the best of your knowledge. NOTE: THE WELL DRn1JN0U0NTPACCOR CAN SUPPLY THE DATA FOR EITHER E?{IST' NGOR PROPOSED WELLS IF THIS INFORMATION IS UNAVA]LABLE BY OTHER MEANS. PROPOSED OPERATING DATA (for Type 5A7 wells) Average (daily) �gallans per minute (gpm). Average (daily) gallons per day (gpd). Average (daily) pounds/square inch (psi). Average (January) ° F, Average (July) ° F. INJECTION FLUID DATA (1) Fluid source: (for Type 5A7 wells) If underground, from what depth, formation and type of rock/sediment unit will the fluid be drawn (e.g., granite, limestone, sand, etc.). Depth: — Formation: _ _ RoWsedirnent unit- (2) Chemical Analysis of Source Fluid (for Type 5QM wells) Provide a complete listing of all chemicals added to the circulating heat transfer fluid: INJECTION -RELATED EQUIPMENT Attach a diagram showing the engineering layout of the injection equipment and exterior piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary information. M. LOCATION OF WELL(S) Attach two maps. Revised 5105 GWfUIC•57 HP Page 3 of 4 �■ r , r 00 •ref' -��-�� Ile .�� r/0"po- rr / / - _ir 1 00, � r r� LOCATION MAP I ■ oe eem c 7%w K ti Il�auiluw RdPir' 1. 3613 clillon court t. Yam. h nc'7604 —� V _0.....I m •t '*' '- "Goode Page 1 of 2 1 It t ff " 04"C: WAKL COUNTY AND YNIE CITY OF MALE#GH Reeves WAKE c:()tr.I1' Parcel dumber. REID: OWNER1: ADDR1: ADDR2: ADDR3: DEED BOOK: DEED PAGE: DEED DATE: DEED ACRES: BLDG VAL_ LAND VAL: BILLING CLAS' DESCRIPTION: MAP NAME: PIN NUM: PIN EXT: CITY: PLAN JURIS: TOWNSHIP: YEAR BUILT: SALEPRICE: SALEDATE: TYPE USE: DESIGN STYLE UNITS: LAND CLASS: OLD PARCEL NUMBER: RALEIGH SITE STREET NUM: STREET SUITE STREET DIR PI STREET NAME STREET TYPE: STREET DIR SI ADDRESS TYP ADDRESS STATUS CODE DESCR: Map created an 3/26/2007 2:12:35 PM. Copyright 2007. City of Raleigh. Wake County. D 352 ft http:lli=ps.cn_wake.ne.uslimapslprintmap.asp?pin=173 525093 6&pinext=&minX=213122... 3/26/2007