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HomeMy WebLinkAboutWI0500180_GEOTHERMAL_20130415North Carolina Department of Environment and Natural Resources Pat McCrory Governor Division of Water Quality Charles Wakild, P. E Director April 15, 2013 MEMORANDUM To: Michael Rogers, The Central Office, APS Through: Rick Bolich ~~ From: Lin McCartney John E. Skvarla, III Secretary RECEIVED/OENR/DWQ APR I 6 20t3 Aquifer Protection Section Subject: Analytical Results Report-WI0500180, Greenfire Development Geothermal Heating/Cooling Return Water Well Renewal Application Durham County Aquifer Protection Section 1628 Mail Service Center, Raleigh, North Carolina 27699-1628 Location: 3800 Barrett Dr., Raleigh, North Carolina 27609 Phone: 919-791-4200 \FAX: 919-571-4718 Internet: www.ncwaterguality.org An Equal Opportunity\ Affirmative Action Employer Nirth Carolina Naturally 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 April 15, 2013 Joe Lemanski Greenfire Development 200 N Mangum St. Durham, NC 27701 Subject: Analytical Results of Well Water Permit No. WI 0500180 Geothermal Heating/Cooling Water Return Well Durham County Dear Mr. Lemanski, Enclosed please find the analytical results of the subject well water which was sampled on March 7, 2013. There were three standing column geothermal wells (WI, W2, and W3). These three geothermal wells serve three independent heat exchange systems. Therefore, the three influent samples (groundwater entering the heat pumps) and the three effluents samples (groundwater being injected into the wells) of the geothermal well system were collected and analyzed. W1 All the parameters which were analyzed were in compliance with the 2L Groundwater Quality Standards except iron. The iron concentrations were 420 micro grams per liter (ugll) for the influent sample and 460 ug/i for the effluent sample. W2 All the parameters which were analyzed were in compliance with the 2L Groundwater Quality Standards except iron. The iron concentrations were 430 micro grams per liter (ug/1) for the influent sample and 400 ugll for the effluent sample. W3 All the parameters which were analyzed were in compliance with the 21, Groundwater Quality Standards except iron and Manganese. The iron concentrations were 12,000 ugll for the influent sample and 13,000 ugll for the effluent sample. The manganese concentrations were 240 ugll for the influent sample and 260 ugll for the effluent sample. Aquita Protection Section 1629 Mail Service Center, Raleigh. North Carolina 27699-1628 Location: 3800 Barrett fir._ Raleigh. Wcuth Carolina 27609 Pholm 919-79142001 FAX:919-371-4118 loterrlet: 1w1Y3 gcsVatc_r aiitVV An Equal Opportunity 1 AlTrmsfive Action Employer NothCarolina Naturally Greenfire Development April 15, 2013 Page 2 of2 These results indicate that the iron concentrations and the manganese concentrations were elevated above to the 2L Groundwater Quality Standards of 0.3 ppm (300 ug/1) for iron and 50 ug/1 for manganese. Iron and manganese can be naturally occurring metals that do not necessarily constitute a ground water violation if they occur above their standards as a result of naturally occurring geologic conditions. If you have any questions, please contact me at (919) 791-4243. Cc: RRO-APS Files The Central Office-APS Files Sincerely, .rJ',~~ M c&r~ Lin McCartney Environmental Senior Tech North Camiina GROUNDWATER FIELDILAB FORM Department ofEnvftmant and 144„ral Resovre OMSION OF WATER QUALITY-GROUNtiN1ATER SEMOiR Location code `� PV i 1 (:;Men Fs County D V r h d rm Quad No §81APLE DLP 5A__MPyP_RIQEU iA Water @f Routine Loh Number El Sol . ❑ Emergency t Date ReoeNe ❑ Other Reed By: From:Bus.; Coo nd Del.. ❑ Chain of Custody► Other. Report To: ARO, FRO. MRO,KR WaRO;"1 0. Data Entry By: Ck; WSRO, Kinston FO, Fed. Trust, Cer" Off, Other. � A f � .y � Date Reported: Shipped byr. Bus; Cowrie, Other. PIt e: "V Collector(* L ri n e owea, -- i Timed Baseline. ComplaiST. Pesticide Study, Federal Trust, Other. EIELU ANALYSES -Owner C trees+ : re Dtv a tr "'°� pH . P Spec. Coed.J at 250C Location or Site i"t + V *+► Temp.eo °C -Odac Description of sampling paint Appearance G Sampling Method Field Analysis By-.L M l Remarks LA130RATORY ANALYSES I (PUMWA v we. a* www. ■bt Serial No. Long._ 800 310 war X DIS& Sonde 70300 Wort. COti High Sao "WL Fluoride 251 not COO Lbr►335 not 14mrow Toil $00 " L C;*v m: MF:Fearl31e16 no" Narflrreaa'fr+er►Carb] Sax rrglL '( C0ftWcMFTvW3iW4 1104rn1 PhOWS32730 W4 TM 860 : r ff4k SPedit Cend: 95 vMhosrdn TurEid•+yr 75 . KM sulfsfe M Mq& RMIdue, Tore+ SuMended $30 "9& Saefde 746 wgfL On and Crease WgrL PH 403 voila ^*afi * lv pH 4.5 410 Work. ► r armily lv pH e.3 415 rngrk. Carbonate 445 - ffwL NN as H 010 MO& 9426orrate 440 mg& T" as N 6x5 Trrgii Carbon diordde 405 mq& Wh + NO,, aS N 630 M9A- ,!( Chlaride.94a mglL P: Tftl as P AW5 mylrL Chw"kmrc Nee 1G3x uplL NiRala M%n Ni M r ryigrL C01W.. Tme.80 Cu Nmft (NOS as N) GIs ngrL Cywme-rn -41L Lab Comments _ GWS4 FtEv. M6 For DiS3~1 Anary MrMImrR "eyed sampte and write 'DIS' in block A¢ShW 4VM UYL A4#Rrrrrlrlunr 4057 ASAraenlo 48551 ga_esrran 4L1556. uga Ca-Calekarr 4B552 .off-Ce"AM 4e550• U91— Drfi1rorrrW40550 s f+1FCof+per4656x F84M 4i1553 H§4AwcwV T1W a[ K4Vau unr 46553 glum "554 Mft4l rgW*ee 46M Lok �f Na.Sedhm 4855e x +1 7R Pb-Lead 455a4 Wk SaSllertiurn �( In -Zinc 46M uyr! Sample Interval Peadddea NRroxn Peaikldee _ .�._ Se"Mie ft 1PH-Mere) 1 I AS USE�NLY I Temperature on arrival rC): '] County DIJRHAM WATER Sample ID: AB93043 River Basin 4F Pa Number # 13GO167 �-Z� C. Report To RROAP cq P Date Received: 0310V2013 Collector: L MCCARTNEY 7 !r + c r Time Received: 14:30 Labworks LoginlD CGREEN Region: RRt7 Final Report Date: 4131i3 Sample Matrix: GROUNDWATER Final Report Repoli Print Date: 04109120]3 Loc" Type: MonitoringWell Emergency Yes/No VisitlD COC Yes/No Lac. Descr.: GREENFIRE DEVELOPMENT Location ID 5P032GfREENFIRE_WI_IN I Collect Date. 0310712013 Collect Time: 13:00 Sample Depth If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes. Result/ Method Analysis CAS # Analvte Name POL Units Qualifier Reference Validated nr Date LAB Sample temperature at receipt by lab 2.8 °C 317/13 RBYRa MIC Coliform, MF Fecal in liquid 1 1 B2 CFU1106rnl APHA92220-20th 317112 ESTAFFORDI CDliform, MF Total in liquid 1 1 B2 CFU1100ml APHA9222B-2Dth 317113 ESTAFFORD1 WET Ion Chromatography _TITLE_ mg1L EPA 300"0 3113113 CGREEN Chloride 0.5 29 mg/L EPA 300"0 3/13113 CGREEN Fluoride 0.2 0.6 mg/L EPA 300"0 3113113 CGREEN Sulfate 1.0 8.4 mg/L EPA 300.0 3113113 CGREEN Total Dissolved Solids in liquid 12 182 mg1L APHA2540C-18TH 318113 CGREEN NUT NO2+NO3 as N in liquid 0.02 0.02 U mg1L as N Lac90-107-04-1-c 3111112l CGREEN MET 7440-47-3 Cr- Dissolved Chromium by ICPMS 10 IOU ug/L EPA 200.8 3115113 ESTAFFORDI 7429-90-5 Al by 1CP 50 50 U ug]L EPA 200.7 3115113 ESTAFFORDI 7440-70-2 Ca by ICP 010 3.7 mg/L EPA 200.7 3/14/13 ESTAFFORDI 7440-60.S Cu by ICPMS 2.0 17 ug1L EPA 200"8 3115/13 ESTAFFORD1 7439-89-5 Fe by ICP 50 420 ug/L EPA 2007 3/15113 ESTAFFORDI 744D-09-7 K by 1CP 0"10 0.15 mg/L EPA200.7 3114113 ESTAFFORDI 7439-95-4 Mg by ICP 0.10 010 U mg/L EPA200.7 3/14113 ESTAFFORDI 7439-96-5 Mn by ICP 10 IOU ugIL EPA 200.7 3115/13 ESTAFFORDI 7440-23-5 Na by ICP 0.10 80 mg/L EPA 200.7 3114113 ESTAFFORD1 7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 2D0.8 3115/13 ESTAFFORDI 7439-92-1 Pb by ICPMS 2.0 5.2 ug/L EPA 200.8 3115113 ESTAFFORDI 7440-86-6 Zn by ICPMS 10 IOU ugIL EPA200"8 3/15/13 ESTAFFORDI Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699.1623 (919) 733-3908 For a d s i a i Iao de ser:pti an of tr.e qua':!Lar canes raIor 10 hu,Q: ❑rta Lhedenr"or wek w ah fo tfo ttc has_s p�ara 4ualil�er Codes chn�•J�pprtal.nr:denr.nrel weblw411a:��y "nlollechasstst� Page 1ofI C)7 &)6F North Carolina GROUNDWATER F1 ELDILAB FORM Department of EwAronmerd and NaWml Rescnreft DWI$" OF WATER OUALiTY-GROUNDWATER SEC-noN Location soda 3 feekl �tre gA� TYPE ..... ; .: PEE PRIORITY County_ b [x r _ C1 �'+'+ �' RQUUM Lab Number CI ❑ say: ❑,,,an► Quad No Serial -No. Date Received Let. Lang. Reed Br Fram:Bus, Court and Lies D.GAain of Custody Other: ReportTo: ARO, FRO, MRO.�RO WWO. WrTRO, �.LA -�— Data Entry By: Ck: WSRO, KInstm FO; Fed. Trust, Central OR.. Other: ! !'' Date Reported: Shipped by Bus. CoudeL Other. Purpose- Copedor(s): L . AA r � Date —.1 Tints Saseiina. Cvmpiahrt i15 f. Pesticide Study, Federal Trust, Other. F1EL'O ANALYSES �, Owner, G veer► ire berms a "r, eti PH 4W Spec. Cond.M r M 250C Location or Site PI 0-ri to w► Temp-ift °C Odor 19 ; ' ' Description of sampling point l AppearanoaL I Sampling Method Sample interval Field Analysts By: ar h a Remarks' LABORATORY ANALYSES •$oa-34. r COb High 340 Wx�IL COU LOW 375 mgiL X Cogronn_-MF FeC031615 1100nd �( Gotirarm: W Tdtat 31504 A00rnt TMWO m TtRbi" 78 NT1l Realdrre. TOW Svepended S30 sn9fl pH 403 Wt! Anmlir 111 1b pN 4.5 410 n.OL Aft0A*r1apNa.3415 mgA_ Coronae 445 WWL SiCatti0 *1e 440 KWL CarboW CQ**4g5 ► V& �( pltorlde 940 NNA Ctoomtm— ►ten 1032 VA Calm-Trae" CU Cranlde 720 "oft Lab it Dim M9& Fl mkie 951 WOOL Hardness TaW 9W Hardness 4non.carby 602 mglL Mani* 32M U9A SpKftCond. 93 off"Iay. soh to 945 ftv& S040 74S WgIL Od and Grease mprL Nf1� sa H 616 RIpt1 iKH as H en rrgiL . r %+tuhMHWo "M& P: Total is P 685 WgIL Hgrate 114%as N) a", +� r4 W% (NOtm 1r) 615 'QFL GW54 REV, dMG Far l)wdHed Ann"M-Submit McMd sample and wIM MIT in black. Ag-SiN r 465M A6AkM*x1 n 4655i M44wft 46551 Ba84+krm 465Sa Ca:Calaan 49552 C&Cadmim 46559 Cr-0! �011*Xn 46559 CaFCopper48562 Fe -MA Mn KN HpAenwly 71900 j[ K-POUMOM 455% IAg 1Jtagn�esfum 495% klrFlAsrgsnlse 46565 �! Ns 9odhxn 46558 x Hpranj yt PbAmd48"4 29 Seselenime x inikrc 46567 Yr-DWO Lafioraton,Section County. DURHAM WAjFR Sample 10i: A693044 River Basin dF QG PO Number # 13GO168 Report To RROAP D�'��ti Oj Date Received- 0310712013 zi Time Received: 14:30 Collector: L MCCARTNEY A '� Region. RRO Labworks LoginlD CGREEN Final Report Date: 413113 Sample Matrix: GROUNDWATER Loc. Type' Monitoring Well Final Repo rt Report Print Date. 04/09/2013 Emergency Yes/No VisitlD CDC Yes/No Loc. Descr.: GREENFIRE DEVELOPMENT Location ID. SP032GREENFIRE Wi OUT Collect Late: 03/07/2013 Collect Time: 13:00 Sample Depth Jf this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes. r A � A. -I.,►AI 0r-,I Result/ , ,„:,.. Method Analysis , ,0 4 , , " , " Qualifier "" Reference Date -- -- -- - LAB Sample temperature at receipt by lab 2.8 °C 317113 RSYRD MIC Coliform, MF Fecal in liquid 1 1 B2 CFU1100ml APHA92220-20th 317112 ESTAFFDRDI Coliform, MF Total In liquid 1 1 B2 CFU1100ml APHA92226-20th 317113 ESTAFFDRD1 WET Ion Chromatography _TITLE- mg1L EPA 300.0 3113113 CGREEN Chloride 0.5 45 mg/L EPA 300.0 3113113 CGREEN Fluoride 0.2 018 mg/L EPA 300.0 3113/13 CGREEN Sulfate 1.0 14 mg/L EPA300.0 3113113 CGREEN Total Dissolved Solids in liquid 12 206 mg/L APHA2540C-18TH 318113 CGREEN NUT NO2+NQ3 as N in liquid 0.02 0.02 U mg1L as N LaC10-107-04-1-c 3111113 CGREEN MET 744047-3 Cr- Dissolved Chromium by ICPMS 10 IOU ug/L EPA200.8 3115113 ESTAFFDRDI 7429-90-5 Al by ICP 50 59 ug/L EPA 200.7 3/15113 ESTAFFDRM 7440-70-2 Ca by ICP 0,10 3.6 mg1L EPA200.7 3114/13 ESTAFFORDI 7440-50-8 Cu by ICPMS 2.0 18 uglL EPA200.8 3115/13 ESTAFFDRD1 7439-89-6 Fe by ICP 50 460 uglL EPA200.7 3115113 ESTAFFDRDI 7440-09-7 K by ICP 0,10 0.16 mg1L EPA 200.7 3114113 ESTAFFDRDI 7439-95-4 Mg by ICP 0.10 0.10 U rng1L EPA200.7 3114113 ESTAFFDRDI 7439-96-5 Mn by ICP 10 IOU ug1L EPA200.7 3/15/13 ESTAFFDRDI 7440-23-5 Na by ICP 0,10 79 mg1L EPA 200.7 3114/13 ESTAFFDRD1 7440-02-0 Ni by ICPMS 2.0 2.0 U ug1L EPA200.6 3115.+13 ESTAFFDRDI 7439-92-1 Pb by ICPMS 2.0 5.2 ug/L EPA 200.8 3115113 ESTAFFDRDI 7440.66-6 Zn by ICPMS 10 i 0 U ug/L EPA 200.8 3115113 ESTAFFORI71 Laboratory Section-> 1623 limit Service Center, Raleigh, NC 27699-1623 (919) 733-3908 For a detailed desuiation of the quauher Codes refer to hrp.pegr%I'cleor.nrelwchlwu/iablgaffinf-Ite Ch. ssi5;WDAta_QValif+_0F [ode: <hr=y.LlportaLncdenr.or weblriallabLstalfiniallecha5y5.- Page 1 of 1 Q13(s166 North Carolina GROUNDWATER. FIELDILAB FORM Department of EWronment and Natural Resources __ _T " _ __ DMSION OF WATER QUALWY-GROUNDWATER SECTtr)N Location rode 5L- O �j.1 Cjree 7 _ � re —LUX s SAA4PLE TYPE SAMPLE PRIORfTY county D u r7 d m CA water Routine Lab Number,' 0Sv+l I� Emergency � Quad No Serial -No. Dale ReceNed Time: .'a, Lat. Long. ❑ other fZec'd Sr: From BUs, C-oufieQ2EKFD ❑ Chain of Custody Other Report To: ARO, FRG. MRO, RO WsRO, WRO, — Data Entry By: Ck: WSRO, Kinston FO, Fed. Trust, Central Off., Other, s W r Date Reported - Shipped by-- Bus. Courie� Other. urp Gafleotor(s): li'1 +'r 8 Date s Time_ aseflne, Camplamt, LUST, Pesticide Study, Federal Trust, Other: FIELD ANALYSES Owner G ree++ i If �4*�e o rr• °"") pH a0b 'A 1) Spec Cond-ow at 25°C Location or Site 0 Mt a>r~ to "% Temp_1a 2 °C Odor f'! Description of sampling point vle 1 Appearance -ems Sampling Method Field Analysis By: 4a' h CY Remarks (Pki 0 9 toms, air w"w. ottl — _ 800 310 — - - mgfl f]lsa. Salida 70MO mQA Aa-S r 46Se Af AhnrA m 46W COOS H4yh 340 ffvk Fluoride 951 mgfL COD Lew 335 mgfL Hatdrmlwti: Total 900 mgiL AsAnwnk 45551 x Ls Iarrn: tIAF FeCaf 31858 Me" HwdroM {nO Kwb) 902 mgtL 9e-Baftm 4GS58 UWL jr CoRrorm: IIAF Tvtar 31504 1t00mF Phenols 3" ugn Ca4afeillm 40M mVL TOC Old wok SpeeRfe Cand. 95 yMf+oefan Cd-CftW mr40559 UA TUAMRy 78 WrU SuRme w M9& JC Cry 485rr9 Residue. Total Suspended 05 mgfL Suflfde T45 mgfL Cr-Copper 48i62 fL Fe -trap 46563 M and Grease mglL Ng-Menwrf 7190Q Lsk ¢H 4a Imits x K4Nftnktm 48555 mok A1k0g*fto pH 4.5 410 m9rL Mg-M"neslum 4155S4 mqk Afkarmif7 to pH 0.3 415 trtgfL Mrl-MaNwea a 4E585 Carboriete 445 mglL N% as N B10 mgfl ]f No-9odhan 46535 Skarbonele 444 mwL TM es N 625 m9k x wNtdtet Cwbm dioxide 4115 "VIL f9h + NO, as N am "YL yr. Pb-Coed 46%4 �( ChkwW 940 ffVx P. Total as P 665 mgfL SeSdenlom Chmff�um: Htx Itm u91L Nfdate (NO3 as Ni on, mgA- 1{ Itt-Iim 48567 vgn Color True 66 Cu fVPlrlfe (Nc, a'J N) IMS rngfL Cyodde 720 rrr9fl Lab Comments Internal OrWoMprhe Pe"ddes - - Pestiddes N11roe1�. n Add Herbiddes PC% i 5emAro- --e Oar anla TPH-DleW ftaro r Vatel9ie��WA tiotBe 1'PF!-[�atseline -R a rye TPH-OTEX GasalkteRRai LA9 VSE ONLY Temperature on arrivat MY �� r REV- 46r, For Dis"Wed Analysis-skMrrK Altered sample and writ DIS' It+ Mork- k County:. DURHAM Sample 1D: River Basin OFq��$ •9G PO Number# �� Report To RROAP 3 + i 1 Date Received: Collector: L MCCARTNEY p Time Received: Labworks Login3D Region: RR❑ Final Report Date: Sample Matrix: GROUNDWATER Loc. Type: Monitori:na Well final Report Report Print fate: Emergency YeslNo VisitlD COC Yes/No A893042 13G0166 0310712013 14:30 CGREEN 413113 04/09/2013 Loa. Descr.: GREENFIRE DEVELOPMENT Location ID: 5P032GREENFIRE-W2 IN Collect Date: 03107l2013 Collect Time: 10:00 Sample Depth If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes. Result/ Method Analysis CAS # Analvte Name PCL Qualifier Units Reference Date Validated b LAB Sample temperature at receipt by lab 2.8 "C 317113 RBYRD MIC Coliform, MF Fecal in liquid 1 1 B2 CFU1100ml APHA9222D-20th 317112 ESTAFFORD1 Conform, MF Total in liquid 1 1 B2 CFUI100mI APHA9222B-20th 3I7113 ESTAFFORDI WET Ian Chromatography _TITLE_ mglL EPA 300.0 3113113 CGREEN Chloride 0.5 45 mg/L EPA 3D0.0 3/13/13 CGREEN Fluoride 4.2 0.8 mg/L EPA 300.0 3/13113 CGREEN SU[fete 1.0 14 m91L EPA 300.0 3/13/13 CGREEN Total Dissolved Sofids in liquid 12 197 mglL APHA2.54OC-18TH 318113 CGREEN NUT NO2+NO3 as N in liquid 0.02 0.D2 U mglL as N Lac70-107-04-1-c 3111/13 CGREEN MET 744047-3 Cr- Dissolved Chromium by ICPMS 10 IOU uglL EPA200.8 3/15/13 ESTAFFORDI 7429-90-5 Ai by ICP 50 60 U uglL EPA 2001 3/15/13 ESTAFFORDI 7440-70-2 Cary ICP 0.10 3.6 mg1L EPA 200.7 3/14/13 ESTAFFORDI 7440-54-B Cu by ICPMS 2.0 18 ugIL EPA 200.8 3/15/13 ESTAFFORDI 7439.89-6 Fe by ICP 50 430 ug/L EPA 200.7 3115113 ESTAFFORDI 7440-09-7 K by ICP 0.10 0.16 mg/L EPA 200.7 3114/13 ESTAFFORDI 7439-95-4 Mg by ICP 0.10 010 U mglL EPA 200.7 3/14/13 ESTAFFORDI 7439-96-5 Mn by ICP 10 IOU uglL EPA 200.7 3116113 ESTAFFORDI 7440-23-5 Na by fCP 0.10 80 rnglL EPA 200.7 3/14/13 ESTAFFOROI 7440-02-0 Ni by ICPMS 2.0 2.0 U ug/L EPA 200.8 3/15113 ESTAFFORDI 7439-92-1 Pb by ICPMS 2.0 4.9 ug/L EPA 200.8 3115113 ESTAFFORDI 7440-66-6 Zn by ICPMS 10 IOU uglL EPA 200-8 3115113 ESTAFFORD1 Laboratory Section» 1623 Mail Service Center, Raleigh, NC 27699-1623 (919) 733-3908 For a detaleo Ceser ipS on of the quallAen cones reter to http. fjporht. ncoon:QNSi•SWDI ii_ Qu of Me r_Code i thtt p'f/p0r;a h and v n r. org/wAiwa/la bjs aff nfO ref. haslr Page 1 of 1 0 13G�5 North Catalina . GROUNDWATER F{ELDILAB FORM Department of Environment and Natural Resources . _fS[VISlrSr� OF WlATFR 011Ai rTY-rU I iiJr�n AMT4 cZKrrinu w e� toeatlan code S U CTreen i >r�. >R1 - r County b U r d m - --- SAAAP TYPE . .. I� water: 58MpL 1PR ORfTY Lab N . V .. �f �tautl Qtaad NoSena} iJo_ Lot, Long, ❑ 5p11 •::: 0 Other ` 0. Emerpenry : ... r Date Rtxefmd Ttr?tp!- Redd By: cnrrt:Btts Couii and t]e. Report To: ARa FRO, MRO, tRO WaRO, VI RO, Chain of Custody L 0 CA ,, Other_ Data Entry. WSRO, Kinston FO. Fed. Trust, Central Off., Other. W �: :Gk;' Data Repwted: Shipped cy:. Bus, Couriep Other O GolleCtvr(s): L 1ri r n e Y Date Purpose: - — 15 Time BaseCne, Complairn, ; `LUST�yPesticide Study, Federal Tnist, Other. FIELD ANALYSES . Owner C reer% : }re- D4ev& D tr++� , PH 4en 7-0- -Spec. Corld.s4 :53 at 25°C Location -or. Site A. 12 e JV M "4 La trr► 7 Odor 02 0sn -a Description of sampling point =0.Y SampGng,Method ' QLyA hz Sample }nteival &{ Vs a Remarks I= 310. r1+Alt Coo -High 340 mg& coo law ass. m9& ]� Cotifotrrt: MF.Fecat 31678 1100m1 x .Cditm- MF Total315N 1100mr TUC 960. = not Turbi ty76" KftJ Residue, Total Suspended 530 rnot PH.403 units Alkak tty to pH 4.5 410 "S& AketRrity to pH 8.3 415 mg/L Carbonate A45 rngfL Rknrbonate 410 ffvk Chloride 940 r"k Chromium; Hex 1032 uwL C-CAW. True eo cu 7( t11sa. Sdids 703M mot. F'kXXWe 951 2 nrgrL hard nvw Tow 900. mgrL Hardness (rw0% Brb) 90Y mgrL Phersois 32M upA Spedk Cond. 95 irluth-trn Sulfate 945 nv& SUlfide 745 "91 01 and Grease mgfL NH3, ps N 610 MOIL iKN as N 625 mgfL ND, + K03AS N 630 MQ& P: Tolai as P W5 k No& Witt [NCh as;N} WN.. mglL Nitrite (No. as N) 616 rngrL Lab Commerits GW 54 REV 41a6 For eisso►ved Analysis -submit f ttered sampre and write'DIS' in bkx�L Ag+SiiIW 46Na . anoehloum Pestiodes At-Afir mt n 46557 nos Pestiddes As,ArWnt4e5S1 Rg ILLtaitr Pe><4ddes Sa-62HUm 46559 I CW HaMiCidit C+-Gakim 46552 MWI.PC6a Cd-Cadmhmr4GS59 Cr ChromIrxn 46559 Cu Coppee 4ASS2 Fe4ron 46M3 Sentirvtatile Q Hies HgA%troufy 71M uwITPH•DWW Ran X K-Potassium 46555 M Magness m 46554 Mn-MwVvrme 46555 Volatile gmsfks batdr Jt: Na um 46555 ftv&rp"iGasow0lame j( Hi NldcCl..u2fLTPWIITF E GaWine Range �! Pb-Lead .46584 SeSei km UAL LAB USE ONLY Temperature on arrival ("C): r" County: D_ 11RHAM OF WA Sample ED; AB93041 River Basin 0 PG PO Number # 13GO165 Report To RROAP vs r Date Received: 03/0712013 Collector: L MCCARTNEY Time Received: 14:30 Labworks LoginlD CGREEN Region, RRO Final Report Date. 413113 Sample Matrix: GROUNDWATER Final Report Report Print Date: 04/09/2013 Loc. Type: Monitoring Well Emergency YeslNo VisitlD COC YeslNo Loc, Descr.: GREENFIRE DEVELOPMENT Location ID: SP032GREENFIRE W2 OUT Collect Date. 03/0712013 Collect Time: 10:00 Sample Depth If this report is labeled preliminary report, the results have not been validated Do not use for Regulatory purposes. Result/ Method A_ _nalysfs CAS # Analyte Name PQi Qualifier Units Reference Date Validated by LAB Sample temperature at receipt by lab 2.8 T 317113 RBYRD M1C Coliform, MF Fecal in liquid 1 1 B2 CFU1100ml APHA9222D-20th 317112 ESTAFFORD1 Coliform, MF Total in liquid 1 1 B2 CFU1100ml APHA922213-20th 317113 ESTAFFORDI WET Ion Chromatography _TITLE_ mg1L EPA 300.0 3113/13 CGREEN Chloride 0.5 47 mglL EPA 300.0 3113/13 CGREEN Fluoride 0.2 1,0 mglL EPA300.0 3/13/13 CGREEN Sulfate 1.0 14 mglL EPA300.0 3113113 CGREEN Total Dissolved Solids in liquid 12 202 mglL APHA254OC-18TH 318113 CGREEN NUT NO2+NO3 as N in liquid 0,02 0.02 U mg1L as N Lacl 0-107-04-1 -c 3111113 CGREEN MET 7440-47-3 Cr- Dissolved Chromium by ICPMS 10 IOU uglL EPA 200.8 3115113 ESTAFFORDI 7429-90-5 Al by ICP 50 50 U uglL EPA 2001 3/15/13 ESTAFFORD1 7440-70-2 Ca by ICP 0.10 3.5 mg/L EPA 2017 3114/13 ESTAFFORD1 7440-50-B Cu by ICPMS 2.a 18 ug1L EPA 200.8 3/15/13 ESTAFFORDI 7439-89-6 Fe by ICP 50 400 ug1L EPA200.7 3/15113 ESTAFFORDI 7440.09-7 K by ICP 0+10 0.15 mg/L EPA200.7 3/14113 ESTAFFORD1 7439.95-4 Mg by ICP 0.10 0.10 U mglL EPA 200.7 3/14/13 ESTAFFORDI 7439.96-5 Mn by ICP 10 IOU ug/L EPA 200.7 3115113 ESTAFFORDI 7440-23-5 Na by ICP 0.10 80 m91L EPA 200.7 3114/13 ESTAFFORDI 7440-02-0 Ni by ICPMS 2.0 2.0 U uglL EPA 200.8 3/15113 ESTAFFORDI 7439.92-1 Pb by ICPMS 2.0 4-8 ugIL EPA200,8 3116113 ESTAFFORDI 7440.66-6 zn by ICPMS 10 IOU ug/L EPA 200.8 3/15113 ESTAFFORD1 Laboratory Section» 1623 Mall Service Center, Raleigh, NC 27699-1623 (919) 733-3908 For a detailed dasuipW of he quallflor nodes refor to hnnJlgonalnC4enf.LrWweh%wQI1a41st4kfh nfoltec hassiai; Pl a ta-qua Ufier Cad as a httg: Oporta I -ncdc nr.cMj�b w lablstaftinfu Whassrst, Page 1 of 1 a )1& )0 North Carolina `GROUNOW, ATER FI ELDILAB FERN! DePartme tal EmOonmenl'and Natural Resources DIVISION OF WATER Qt1ALUY-GROUNDWATER SECTION Location code 1 reeni ire - SAMPLE TYPF. ..:MMPLIE PRIORS CoLmty D to r h d rr, water !$i Routine tab Number — Quad No Serial -No. ❑ soil ❑ Emergency ❑ Dlher Bate Received Tate: LaL tong. Rec'd By. C46 From.8us, Couri an Chain of Custody Other To ARO, FRO, MRO,�RO Wand; VITRO. - Data Entry By: M WSRO, Kinston FO, Fed. Trust, Central Oft. Other. Il�f 3 — Date Reported: Stripped by. Bus, C Other Purpose• Covecter(sj_ L m��e Y _ _ Date 3 1 Tirne I DI? %seiine, Compli t, LUST. Pesticide Study, Federal Trust, Other. FIELD ANALYSES `` Owner C reen► ► re ►�. pig °"°3 PH am Spec. Cgnd.n� $ > b at 25°C Location or Site 0 Aor M 0," Ira "I Te1np.ia 3 'C Odor Description of sampling point Appearance Sampling Method Field Analysis By: Ca -ir rti if f Remarks LABORATORY ANALYSES COD Hign 340 myl. COD LCw W5 . ngR x CoSrmm MF Feear 31616 r100rrd c moan: MF Tnta131504 n00m1. TOC a60 mgit Tufl7ldirr 76 SIM Residue..Tbral Suspended 530 "VOL PH 403 units Altali t to 9H 4.5 410 m9A. AlkaHnih 10 pH 6.3 415 "q& r arbensle 445 rrok 8ke.wiste 440 nwL Cwbon dlaodde A05 "qk Chiande 940 UVL Chrdnium: Hex 1032 WL Crier. True e0 Cu cyanide 7zn ff9k Lab Comments 7[ Dias. Saris 70300 Rq& FkKx"e 051 rtrgrL Hardness: Tarot tr00 Hardrrea! tnwmr«ei M "vk Phenols 32730 upA sperms eons: e5 ywhWan . Sulrale 945 not Sx4lida 745 "WIL 04 and Grease M9& MHz as N 610 Mok TKN as N e25 mprL Ng + N%is N 630 ffsk P ToW as P e6.i' "V& t Wnft {Nn,n N: B201 "*& :fitrlle INar ss k! 615 MIS& GW54 REV- 4MS For Dissohred Analysrs-submll Meted sempre and wri4 01S' in bkxJL Sample Interval. [A•rcKo �... �..� 1 . AV-$%lrer 45M Al hIUn* lm 45557 As•Arserrc 40551 as-asnum 465% Ca4a►e8m 46552 Cd-Cadn*n 455% WA Crd:hm wn, 45M Capper 465e2 HpAkmn 71900 K-Po s lurn 46555- "a9rxsium 44554 Nlr-Ml gw"e 4M5 qi jr Nam 46556 x N"kW j[ Pb-Lead 40srA QwL S4-� X Ir► Zft 4s557 r r 1 J1f : 1 ) 1 Results County: rJIJRHAM Sample ID: A893039 River Basin PO Number# 13GO163 Report To RROAP G to Date Received. 03/0712013 Collector- L MCCARTNEY `i a ' Y Time Received: 14-30 Labworks LoginlD CGREEN Region: RRO Final Report Date: 413113 Sample Matrix: GROUNDWATER Loc. Type: Monitoring Well Final Report Report Print Date: 0410912013 Emergency YeslNo Visit[o CDC YeslNo Loc. Descr--. GREENFIRE DEVELOPMENT Location ID: 5P032GREENFIRE_W3_!N Collect Date: 03I0712013 Collect Time: 11:00 Sample Depth if this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes. CAS # LAB Analyte Name Sample temperature at receipt by lab PQL Result/ Qualifier 2.8 Units °C Method Reference Anal,Isis Date 317113 Validated by RBYRD M1C Coliform, MF Fecal in liquid 1 1 B2 CFU1100ml APHA9222D-20th 3I7112 ESTAFFORD1 Coliform, MF Total in liquid 1 1 B2 OFU1100mi APHA9222B-20th 3/7113 ESTAFFORDI WET Residue_Suspended In liquid 6.2 92 mg]L APHA2540D-20th 3112113 CGREEN Ion Chromatography _TITLE_ mg1L EPA 300.0 3/13/13 CGREEN Chloride 0.5 68 mglL EPA 300,0 3113113 CGREEN Fluoride 0.2 0.4 mglL EPA 300-0 3113113 CGREEN Sulfate 1.0 16 mg1L EPA 300.0 3/13113 CGREEN Total Dissolved Solids in liquid 12 308 mglL APHA254OC-18TH 318113 CGREEN NUT NO2*NO3 as N in liquid 0.02 0.36 mglL as N LacID-107-04-1-c 3/11/13 CGREEN MET 7429-90-5 Al by ICP 50 2200 uglL EPA 200.7 3115113 ESTAFFORDI 7440-70-2 Ca by ICP 0.10 36 mglL EPA 200.7 3114113 ESTAFFORDI 7440-47-3 Cr by ICPMS 10 10 uglL EPA200.8 3115/13 ESTAFFORDI 7440-50-8 Cu by ICPMS 2.0 190 uglL EPA200.8 3/15/13 ESTAFFORDI 7439-89-6 Fe by ICP 50 12000 ug1L EPA200.7 3115/13 ESTAFFORDI 7440-09-7 K by ICP 0.10 1.1 mglL EPA 2001 3114/13 ESTAFFORDI 7439-95-4 Mg by ICP 0.10 5.0 mg1L EPA 200.7 3114113 ESTAFFORDI 7439.96-5 Mn by tCP 10 240 uglL EPA 200.7 3115113 ESTAFFORDI 7440-23-5 Na by ICP 0.10 81 mg1L EPA 200.7 3114113 ESTAFFORDI 7444-02-D till by ICPMS 2.0 5.5 uglL FPA 200.8 3115/13 ESTAFFORDI 7439-92-1 Pb by (CPMS 2.0 12 uglL EPA200.5 3115113 ESTAFFORDI 7440-66-6 Zn by ICPMS 10 43 ug1L EPA200.8 3115/13 ESTAFFORDI Laboratory Section» 1623 Mall Service Center, Raleigh, INC 27699.1623 (919) 733-3938 For a aelatled dpsmpt on of the qu Tifrar Codes rsfer iP i5ml) a[a Q.aI fie, Gwen <h.:t orta l.ncd�°nr or wrb w 1rb s[afisM uChassrsca Page 1 of 1 a136;-�4- North Carolina GROUNDWATER FIELD/LAB FOR Departmeril of Emdromnent and NMural Resources DIVISION OF WATER QUALITY -GROUNDWATER SECTION Location code p 3 greerif,-,re - MPL rrPt -- - ~LE PRIOR Comity- b tp r d rv, it Water Routine Lab Number ❑ Sail ❑ Emergency a �l W No Serial No. bate Receive Tmre� LA Long. ❑Other Ree'd By: �. Frorrr:Bus, Cou �Iand ❑ Chain d Custody Other. Report To-. ARO. FRO, MRO. RO WaRO. W+IiRO, - - "�" Entry By,. Ck: tCr VMRO, rlston FO. Fed. Trust. Central Off., Other (� [ Data E r Date Reported: Shipper! by:.Bus, Courfee Purpow Coltector(s):_ L 1]'1 _ e Other. Y Date-3- 1Tmte 00 Ywhvaer'ine, Compleint, LUST, PesWde Study, Federal Trust, Other: IFIELD ANALYSES Owner G lrt*er► ire DtY� .o trr• -- pH ,ao Spec. Gonda. f7 at 25°C Loudon or Site V M 4#1 i s rrta Terripm 'C or J" P kJL- description of sampling point Appearance f s. Sampling Method Sample Interval Field Analysis By- Y Remarks LABORATORY ANALYSES laNgr rri.rrp..t ROD 310 COD NO 344 COI] Low 33.1' Cor miff. MF Fecal 31616 COriforu[ MF TQW 31594 TOC no Turt0ft 76 Residue, ToW suspended 530 PH 463 A1kal$rft to pH 4.S 419 Ar"Tinity fa VW 0.3 415 Carbonate 445 WCO M18te 440 Carbon dbri$e A05 Cfrl d* 94D Chmm6ren: }tax 1032 Corer true 60 Cyanide 720 Lab Comments MWL "WL Mok nomd 110orni w9t r4Tu orrRs mgM1. nMyi n CU m9� Dlsa. Shcds 783fl[r nrglL Fhrvrlde 951 MWL Hardness: Tnbu 9lie "WL Hardneror tnvrE-csrhl 9dEt rtglL Pherrets 37730 ugll apm"e'Cand.95 piNlxr k- su"M 945 M9& Sunide 745 MA Orl and Grease M9& HN= ari x 616 M9k TK1t ss x 625 "WL ND+ • Ild, K N 630 RgR. P. -row 4a P e65 ffWL Nitrate IN%ars N] 62e+. rook ri bM (NDr as ff] 615 WG& GW-54 REV. 4MG For Dissolved Analysis-suWft Mered sample and write'Dis' In bbc*- Aq-&W 46566 UgA M AIIMni M 46M LVL As-� 45551 ­.n Cs-C MM 46552 CdJCadrrrlrse 4105M Cr-Cfw MUM4M5s CoCopper 46562 FR-WM 40963 )[ I IGPatssak- 466SS y� AAg l rum 45564 Ubt9 dkirn 465% M- ftel pb4md46564 ZDZK46W Pesticides` orga. p noes paddles N Pesticides Acid Herbicides PCs& Sewinatslpe Orovolm TPHOMsel Range voram D A botite TPHAGasaw" ftree 71PH-9TEx Gavoll" Range L B USE ONLY Temperalure an arrival ('C)- r f La6maton)-Yection 7r ufts County:* lJp RHAM � \A, e'9 Sample ID: AB93O40 River Basin p Pa Number # 13G0164 Report To RROAP , Date Received: 03/0712013 Time Received: 14:30 Collector: L MCCARTNEY Labworks LoginiD CGREEN Region: RRO Fina4 Report Date: 413113 Sample Matrix: GROUNDWATER Final Report Report Print Date: 04109l2{3t3 Loc. Type: Monitoring Well Emergency YeslN❑ VisitiD COC Yes/No Loc. Descr.: GREENFIRE DEVELOPMENT Location ID: 5P032GREENFIRE_W3 CUT Collect Date: 6310712013 Collect Time: 11:00 Sample Depth If this report is labeled preliminary report, the results have not been validated. Do not use for Regulatory purposes. CAS # Analvie Name POL Result/ Units Metnod Analysis yaldated nv Qualifier Reference Date LAB Sample temperature at receipt by lab 2.8 °C 3r7113 RBYRD MIC Coliform, MF Fecal in liquid 'I 1 g2 CFU1100ml APHA9222D-20th 317112 ESTAFFORD1 Coilform, MF Total in liquid 1 1 B2 CFW100ml APHA9222B-20th 3r1113 ESTAFFORD1 Ion Chromatography -TITLE- mgJL EPA 300.0 3113l13 CGREEN Chloride 0.5 72 m9 L EPA300.0 3113113 CGREEN Fluoride 0.2 0,3 mg/L EPA 300-0 3113113 CGREEN Sulfate 1.0 16 mg/L EPA300.0 3/13113 CGREEN Total Dissolved Solids in liquid 12 311 mglL APHA2540C-18TH 318113 CGREEN NUT NO2+NO3 as N in liquid 0.02 0.37 mg/L as N LaclO-107-04-1-c 3111l13 CGREEN MET 7429-90-5 Al by ICP 50 2800 ug/L EPA 209.7 3115113 ESTAFFORDI 7440-7D-2 Ca by ICP 0,10 37 mg1L EPA 200.7 3114113 ESTAFFORDI 7440-47-3 Cr by ICPMS 10 10 uglL EPA 200.8 3l15113 ESTAFFORDI 7440-61]-8 Cu by ICPMS 2.0 190 ug/L EPA 200.8 3115113 ESTAFFORD1 7439-89-6 Fe by ICP 50 13000 ug1L EPA 2007 3/15113 ESTAFFORD1 7440-09-7 K by iCP 0.10 1.2 mg/L EPA 200.7 3114/13 ESTAFFORDI 7439-95.4 Mg by ICP 0.10 5.3 mglL EPA 200.7 3114113 ESTAFFORDI 7439-96-5 Mn by ICP 10 260 ug/L EPA 200.7 3115/13 ESTAFFORDI 7440-23-5 Na by ICP 0,10 83 mg1L EPA200.7 3/14/13 ESTAFFOR01 7440-02-0 Ni by ICPMS 2.0 5.8 ug1L EPA 200.8 3115/13 ESTAFFORDI 7439.92-1 Pb by ICPMS 2.0 11 ug1L EPA 200.8 3/16/13 ESTAFFORDI 7440.66-6 Zn by ICPMS 10 40 uglL EPA 200.8 3115113 ESTAFFORD1 Laboratory section» 1623 Mai! Service Center, Raleigh, NC 27699.1623 (919) 733-3908 FCr a tlota-led Ei@wiption O'tho qua Uf fir Cedes rater to httP1L3on&1.ncuenr nrela'eh�wulta GlS; aifl nfPii9i ha 5'ISti tJ atl iLualihef Cedes shl3p:I/DoAaf.nWynr,or)t/weLlwgjhhJstaCint �le�hxss�s[� Page 1 of 1 Permit Number WI0500180 Program Category Ground Water PennitType Injection Heating/Cooling Water Return Well Primary Reviewer michael.rogers Coastal SW Rule Permitted Flow Facili t Facility Name Rogers Alley LLC Location Address 200 N Magnum St Durham Owner Owner Name Paul Dates/Events NC 27701 Smith Scheduled Orig Issue 03/28/08 App Received Draft Initiated Issuance 10/17/12 Regulated Activities Heat Pump Injection Outfall NULL Central Files: APS_ SWP_ 01/28/13 Permit Tracking Slip Status Active Project Type Renewal Version 2.00 Pennit Classification Individual Permit Contact Affiliation Major/Minor Minor Region Raleigh County Durham Facility Contact Affiliation Owner Type Individual Owner Affiliation Paul Smith Managing Partner Rogers Alley LLC Durham NC Public Notice Issue 01/23/13 Effective 01/23/13 Re q uested/Received Events Additional information received Additional information requested RO staff report requested RO staff report received 27702 Expiration 12/31/17 10/24/12 12/12/12 11/14/13 Waterbody Name Stream Index Number Current Class Subbasin Central Piles' APS S W P 01/16/13 Permit Number WIDSOO180 Permit Tracking Slip Program Category Status Project Type Ground Water in review Renewal Permit Type Version Permit Ciassification Injection Heating/Cooling Water Return Well Individual Primary Reviewer Permit Contact Affiliation michael.ragers Coastal SW Rule c� Permitted Flow Facility / . -7 Facility !Name MajorlMinor xevl— Rogers Alley LLC Minor Raleigh Location Address County 200 N Magnum St Durham Durham NC 27701 Facility Contact Affiliation Owner Owner Name Owner Type Individual Raul Smith Owner Affiliation Paul Smith Managing Partner Rogers Alley LLC Durham NC 27702 DateslEyents Scheduled Ong issue App Received Draft Initiated Issuance Public Notice Effective Ex r ioj ,— 03/28/08 10/17/12 If M �) fc j � Regulated Activities Renuested/Received Events Heal Pump injection Additional infarmation received Additional informatlan requested 10/24/12 Ra staff report requested 12/12/12 RD staff report received 1 1 /14113 Clutfall NULL Waterbody Name Stream Index Number Current Class Subbasin Central Flies: APS 5WP 01116/13 Permit Number W10500180 Permit Tracking Slip Program Category Status Project Type Ground Wafer In review Renewal Permit Type Version Permit Classification Injection Heating/Cooling Water Return Well Individual Primary Reviewer michael.rogers Coastal SW Rule Permitted Flow 16111 y Facility Name Rogers Alley LLC Location Address 200 N Magnum St Durham Owner Name Paul DateslEvents NC 27701 Permit Contact Affiliation Major)MInor Region Minor Raleigh County Durham Facility Contact Affiliation Owner Type Individual Smith Owner Affiliation Paul Smiths Managing Partner Rogers Alley LLC Durham NC 27702 Scheduled Orig issue App Received Draft initiated Issuance Public Notices Effective i Ir i, 03/28/08 10/17/12 Regulated Activities Re uestedlReceived Events Heat Pump Injection Additional information received Additional hformalion requested 10/24/12 R0 staff report requested 12/12/12 Ra staff report .received 1 '1114113 ❑utfall NULL Waterbody Name Stream Index Number Current Class 5ubbasin NCDENR North Carolina Department of Environment and Natura Division of Water Quality Rat McCrory Charles Wakild, P. E. Governor Director January 23, 2013 Paul Smith Rogers Alley, LLC P.Q. Box 3658 Durham, NC 27702 Re: Issuance of Injection Well Permit Permit No. WI0500180 Issued to Rogers Ailey, LLC Durham County Dear Mr. Smith: Resources John E. Skvarla, III Secretary In accordance with your application received October 17, 2012, I am forwarding Permit No. WI0500180 for the operation of geothermal heating/cooling water return well(s) located at 200 N. Mangum St., Durham, Durham County, NC 27701. This permit shall be effective from the date of issuance until December 31, 2017, and shall be subject to the conditions and limitations stated therein. The Raleigh Regional Office inspected your geothermal system on January 10, 2013. Results of the inspection indicated that the influent and effluent sampling ports were missing and/or inoperable. Also, there were no well identification plates. The Raleigh Regional Office will be following up with you to correct these well construction violations in order to be in compliance. Please Notre: Within 30 days of the influent and effluent sampling ports being repaired and/or added to the injection wells, Permittee shall contact the Raleigh, Regional Office APS Staff (telephone 919-791-4200) to have influent and effluent samples collected 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 (919) 807-6406. Best Regards, Michael Rogers, P.G. { , & l~L) Hydrogeologist 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Location: 512 N. Salisbury St Ralegh, North Carolina 27604 Phone: 91M07-6464 [FAX: 91SU 64 TAK 919-807-6496 inlemet XM-r u6.o Noir��thCarolina An Equal 4mWity i AifrrmaGve AcWn Employer NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH, NORTH CAROLINA PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO Rogers Alley, LLC FOR THE OPERATION OF Three (3) GEOTHERMAL HEATING/COOLING WATER RETURN WELL(S), defined in Title ISA North Carolina Administrative Code 2C .0224, which will be used for the injection of heat pump effluent. This injection well is located at 200 N. Mangum St., Durham, Durham County, NC 27701, and will be operated in accordance with the application received October 17, 2012, 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 December 31, 2017, and shall be subject to the specified conditions and limitatiµr set forth in Parts I through VIII hereof. Permit issued this the '[3 day of ~ , 2013 Q{J:h,,-J.Wjt::> Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission. Pennit #WIOS00 180 UIC/Retum Well -RENEWAL ver. 0l/2013 Page 1 of5 • PARTIIl-PERFORMANCESTANDARDS 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 Perrnittee 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 tem1s 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 resp·onsibility for damages to surface or groundwater resulting from the operation ofthis facility. PART IV -OPERATION AND MAINTENANCE REQUIREMENTS 1. Within 30 days of the influent and effluent sampling ports being repaired and/or added to the injection wells, Permittee shall contact the Raleigh Regional Office APS Staff (telephone 919-791- 4200) to have influent and effluent samples collected. 2. The injection facility shall be properly maintained and operated at all times. 3. 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. 2 . 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. 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 --~inj.e_ction£acil~ctirities.. PART VI -MONITORING AND REPORTING REQUIREMENTS 1. Any ,monitoring (including groundwater, surface water, or soil sampling) deemed necessary by the Division of Water Quality to insure surface and ground water protection, will be established and an acceptable sampling reporting schedule shall be followed. Permit #W10500180 UIC/Retum Well-RENEWAL ver. 01/2013 Page 3 of5 (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 Perrnittee 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. 3. The written documentation required in Part VIII (1) and (2) (G) shall be submitted to: Pennit #WI0500 t 80 Aquifer Protection Section-DIC Program DENR-Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 VIC/Return Well -RENEWAL ver. 01/2013 Page 5 of5 AVA NC.DENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Division of Water Quality Charles Wakild, P. E. Director January 11, 2013 MEMORANDUM To: Michael Rogers, The Central Office, APS , DWQ Through: From: Jay Zimmerman ~~ SJZ- Lin McCartney John E. Skvarla, Ill Secretary RECENEDIDENRJDWQ JAN 14 2013 Aqu\ferProtection Section Subject: Staff Report-WI0500180, Greenfire Development , Open- Loop Geothermal Injection Well, Renewal Application Durham County 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-6300 \ FAX: 919-807-6492 Internet: www.ncwaterguality.org An Equal Opportunity I Affirmative Action Employer Nirthcarolina /Vatural/lf AQUIFER PROTECTION REGIONAL STAFF REPORT mate: January 11, 2013 'To: Aquifer Protection Central Office <Central Office Reviewer: Michael Rogers Regional Login No: __ _ County: Durham Permittee: Greenfire Development Project Name: Open-Loop Geothermal Injection Well Application No.: WI0500180 L GENERAL INFORMATION 1. This application is (check an that apply): D New [8J 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 [8J Other Injection Wells (including in situ remediation) Was a site visit conducted in order to prepare this report? [8] Yes or D No. a. Dateofsitevisit: 01-10-2013 b. Person contacted and contact information: Joe Lemanski c. Site visit conducted by: Lin McCartnev d. Inspection Report Attached: [8J Yes or D No. RECENEOIDEMRfDWO JAN 14 20'3 Aqu\{ef Protect\on Section 2. Is the following information entered into the BIMS record for this application correct? [8J 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): __ For Disposal and Injection Sites: (If multiple sites either indicate which sites the information applies to. cop y 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: C27SE-Drake d. Latitude: Longitude: IL 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: Greenfire 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.) Descri ption Of Well (S) And Facilities -New, Renewal, And Modification 1. Type of injection system: ~ Heating/cooling water return flow (SA 7) D Closed-loop heat pump system (5QM/5QW) D In situ remediation (51) D Closed-loop groundwater remediation effluent injection (5Lf'Non-Discharge") D Other (Specify: ) 2. Does system use same well for water source and injection? D Yes ~ No 3. Are there any potential pollution sources that may affect injection? D Yes ~ No What is/are the pollution source(s)? 4. What is the minimum distance of proposed injection wells from the property boundary? 30J1. 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: NI 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. In jection Well Permit Renewal And Modification Onlv: 1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water, failure to assimilate injected fluid, poor heating/cooling)? D Yes ~ 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 g roundwater remediation permits (of an v typ e). will continued/additional/modified in jections have an adverse im pact on migration of the plume or management of the contaminationincident? D Yes D No. If v es . explain: 4. Drilling contractor: Name: Dragin Geothermal Inc., David Quagliaroli FORM: Greenfire 4 AQUIFER PROTECTION REGIONAL STAFF REPORT Address. 2.696 Cranberry Highway. Wavham, MA Certification number: 3542 Complete and attach Well Construction Data Sheet. V. EVALUATION AND RECONM ENDATIONS 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: Condition Reason v+e1He� �a+ ►,l Y` � k - Er+s �. cd J a +.. i� �. io-% -� ar fV1 4 Vt 02e- e - r� ,J "'r 3 FORM: Greenfire 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: S, Signature of report preparer(s): CL1- rX { Signature of AP5 regional supervisor: Date: to ADDITIONAL REGIONAL STAFF REVIEW ITEMS The well inspection was conducted on January 10, 2013. There were three standing column geothermal wells. These three geothermal wells serve three independent heat exchange systems. The well heads of these three geothermal wells had influent sampling taps but do not have effluent sampling taps. During the inspection, it was noted that all the influent sampling taps were not functional. As a result, well sampling could not be conducted. All these three well heads appeared that they did not have well ID plates. FORM: Greenfire Compliance Inspection Report Permit: WI0S00180 SOC: Effective: 03/28/08 Expiration: 02/28/13 Owner: Greenfire Development Effective: Expiration: Facility: Greenfire Development County: Durham Region: Raleigh 200 N Mangum St Durham NC 27701 Contact Person: Joe Lemanski Title: Directions to Facility: Site is at the corner of Mangum and Holloway Streets at City Hall Plaza in downtown Durham. System Classifications: Primary ORC: Secondary ORC(s): On-Site Representative(s): Related Permits: Inspection Date: 01/10/2013 Primary Inspector: Lin McCartney Secondary lnspector(s): Certification: Entry Time: 10:00 AM Exit Time: 12:30 PM Phone: 919-667-9770 Ext.104 Phone: Phone: 919-791-4200 Ext.4243 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Injection Heating/Cooling Water Return Well Facility Status: 0 Compliant ■ Not Compliant Question Areas: ■Wells ■ System Operations (See attachment summary) Page: 1 Permit: WI0500180 Inspection Date: 01/10/2013 Owner• Facility: Greenfire Development Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: The well inspection was conducted on January 10, 2013. There were three standing column geothermal wells. These three geothermal wells serve three independent heat exchange systems. The well heads of these three geothermal wells had influent sampling taps but do not have effluent sampling taps. During the inspection, it was noted that the all influent sampling taps were not functional. As a result, sampling could not be conducted . All these three well heads appeared that they did not have well ID plates. 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 Comment: Yes No NA NE □•□□ •□□□ □□•□ □□•□ •□□□ Page: 2 Ro gers, Michael From: Rice, Eric Sent: To: Wednesday, January 16, 2013 11 :43 AM Mccartney, Lin; Rogers, Michael Subject: RE: WI0500180 Green Fire Development/Rogers Alley Lets hold off on the NOD. I gave them two weeks to address the deficient issues (starting January 15). Tha t is , if the new Supervisor is ok with that. ER Email correspondence to and from this address may be subje.ct to the North Caroh na Public Records law and may be disclosed to third parties From: Mccartney, Lin Sent: Wednesday, January 16, 2013 11:37 AM To: Rogers, Michael Cc: Rice, Eric Subject: RE: WI0500180 Green Fire Development/Rogers Alley Michael, I will issue a NOD notification based on the inspection conducted on January 10, 2013. I am aware that the subject facility had never been sampled. The time of issuance of permit and sampling was before I joined APS. I will address the deficiencies of missing returning sampling ports, inoperable feeding sampling ports, and missi ng well ID plates i n the NOD report. Thanks, Lin McCartney From: Rogers, Michael Sent: Wednesday, January 16, 2013 10 :42 AM To: Rice, Eric Cc: Mccartney, Lin Subject: WI0500180 Green Fire Development/Rogers Alley Eric- I discussed the issue with missing and/or inoperable sampling ports on the geothermal wells for this site with Jay. A couple of questions/comments: Do you have a copy of any previous sampling results in your file? I don't have any previous analytical. This site should of been sampled when it became operational in 2008. They should have notified the RRO when the geothermal system became operational to be sampled per the permit, and cover letter. Jay recommends a NOD be issued for the well construction violations, i.e. inoperable and/or missing sampling ports, and no well ID plate. Getting ID plates installed may be problematic as the well driller is out of business. However, a well contractor hired to put on the well sampling ports, could possibly sound the well and put a plate on with all available information. A NOD with a required completion date indicated will probably result in more quicker action. Eric and I searched the files in Informational Services for GW-ls but couldn't find any. Michael Rogers , P.G. (NC & FL) 1 Hydrogeologist NC Div of Water Quality-Aquifer Protection Section (APS) 1636 Mail Service Center Raleigh, NC 27699-1636 Direct Line 919-807-6406 http://portal.ncdenr.org/web/wq/aps/gwpro/permit-applications#qeothermApps 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 2 A QUIFER PROTECTION SECTION APPLICATION REVIEW RE QUEST FORM Date: December 12 , 2012 To: D Landon Davidson, ARO-APS 0 Art Barnhardt, FRO-APS 0 Andrew Pitner, MRO-APS IZI Jay Zimmerman, RRO-APS □ David May, WaRO-APS 0 Morella Sanchez King, WiRO-APS 0 Sherri Knight, W-SRO-APS From: Michael Rogers Groundwater Protection Unit Telephone: 919-807-6406 Fax: 919-807-6496 E-Mail: Michael.Ro gers@ncdenr.gov A. Permit Number: WI 0500180 B. Owner: Ro gers AJle y/Green Fire Develo pment C. Facility/Operation:-.. -.. -..... -. D Proposed IZI Existing D Facility D Operation D. Application: 1. Permit Type: D Animal D SFR-Surface Irrigation □ Reuse D H-R Infiltration D Recycle D 1/E Lagoon D GW Remediation (ND) IZI UIC -GeothermalHeating/Cooling Water Return Well For Residuals: D Land App. D D&M D Surface Disposal D 503 D 503 Exempt D Animal 2. Project Type: D New D Major Mod. D Minor Mod. [8J Renewal D Renewal w/ Mod. E. Comments/Other Information: RI NOTE: Please return a completed APSARR after completing the site inspection, and collecting water samples if system operational. At a later date, after the laboratory results are received by your office, send us a copy of the cover letter & laboratory analytical results, which you send to the Permittee. ALSO, please record all information on the well tag, if present, and put on staffreport. Thanks. Additionally, please obtain GW-1 durin2 site inspection. [8J 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: APSARR 07/06 Page 1 of 1 Ro g ers, Michael From: Rogers, Michael Sent: To: Wednesday, December 05, 2012 1 :54 PM 'Joe Lemanski' Subject: RE: WI0500180 Rogers Alley Geothermal permit renewal Joe- I have not rec'd the GW-1 well construction record yet. It can be scanned in and sent to me by email. Thanks Michael Rogers, P.G. (NC & FL) Hydrogeologist NC Div of Water Quality-Aquifer Protection Section (APS) 1636 Mail Service Center Raleigh, NC 27699-1636 Direct Line 919-807-6406 http://portal.ncdenr:org/web/wq/aps/gwpro/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 From: Joe Lemanski [mailto:JLemanski @g reenfiredevelopment.com] Sent: Wednesday, October 31, 2012 11:31 AM To: Rogers, Michael Subject: Re: WI0500180 Rogers. Alley Geothermal permit renewal Michael, The owners are the same. We just combined properties and changed the name for marketing purposes. I have sent the form to Dragin Geothermal to get the well information. I think they will send that directly to you. Thanks. Joe Lemanski, P.E. Property Manager Greenfire Development (919) 610-9290 Sent from my iPhone On Oct 31, 2012, at 11:19 AM, "Rogers, Michael" <michael.rogers @ncdenr.gov> wrote: Joe- For the file, would you please respond to this e-mail, and indicate like we discussed, that the owners are the same and there just has been a name change of the company. Thanks Michael Rogers, P.G. (NC & FL) Hydrogeologist NC Div of Water Quality-Aquifer Protection Section (APS) 1 1636 Mail Service Center Raleigh, NC 27699-1636 Direct Line 919-807-6406 http://portal.ncdenr.org/web/wq/aps/gwpro/permit-applications#qeothermApps E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties ------------------- From: Rogers, Michael Sent: Wednesday, October 24, 2012 1:06 PM To: 'jlemanski@greenfiredevelopment.com' Subject: WI0500180 Rogers Alley Geothermal permit renewal Joe- We are processing your geothermal renewal permit application for the above site .. A couple of questions/ comments: 1. The permit was previously issued to Greenfire Development. The renewal is to be issued to Rogers Alley, LLC. Has there been a change of ownership, or just a name change? I see where your e-mail is on the renewal and you were the contact when the permit was initially issued. 2. We never received the 'as built' well completion/construction records (GW-1) for the geothermal well(s). The only well construction information we have in the file is proposed. Therefore, please send copies of these well completion forms. You may, if you like, send back as attachment to this e-mail. Thank you for your cooperation. Regards Michael Rogers, P.G. (NC & FL) Hydrogeologist NC Div of Water Quality-Aquifer Protection Section (APS) 1636 Mail Service Center Raleigh, NC 27699-1636 Direct Line 919-807-6406 http://portal.ncdenr.org/web/wq/aps/gwpro/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 2 AVA ~CD ENR North Carolina Department of Environmenrand Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Charles Wakild, P.E. Dee Freeman Secretary Paul Smith Rogers Alley LLC PO Box3658 Durham , NC 27702 Dear Mr. Smith: Director October 18, 2012 Subject: Acknowledgement of Application No. WI0500180 Greenfire Development Injection Heating/Cooling Water Return :Well System Durham County The Aquifer Protection Section acknowledges receipt of your permit application and supporting documentation received on October 17, 2012. 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 permiLapplications, 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) 807-6406 or michael.rogers@ncdenr.gov. Sincerely, C~A-fxaw_ for DebraJ. Watts cc: Raleigh Regional Office, Aquifer Protection Section Permit File WI0500180 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 \ FAX: 919-807-6496 Internet: www.ncwaterguality.org · An Equal Opportunity I Affirmative Action Employer Groundwater Protection Unit Supervisor . One North Carolina :/Va.fl!ta.lfu NORTH CAROLINA DEPARTMENT OF EN VIRON MENTAND NATIJFAL IESUURt=L-S 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 geothermal heating and cooling 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 Refurned As Incomplete DATE: _ 1 a — L > , 201­Q­ ]PERMIT NO. 'y►'X-':' �501%D (leave blank if New Application) A. STATUS OF APPLICANT (choose one) Nan -Government: Individual Residence Business/Organization Government: State Municipal County Federal B. 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: Mailing Address; Po q>ax City: "7State: J� Zip Code:: ����7— County: rJs►tirrz Day Tele No.; On X-7 " `,�o Cell No � t$• i b L,> " 7,3.�a �►�,,�es r� EMAIL Address: � f P-41k4g\,ss 1 03 _: rt� tc-A 4�,o�51x'N1 C. LOCATION OF WELL SITE — Where the injection wells are physically located: (1) Parcel Identification Number (PIN) of well site: Zip �� �` �"6 3� County: (2) Physical Address (if different than mailing address): _ �a AJ � City: State: NC Zip Code: D. WELL DRILLER INFORMATION Well Drilling Contractor's Name: NC Well Drilling Contractor Certification No.: Company Name: Contact Person: EMAIL Address: Address: City: Zip Cade: State: County: Office Tele No.: Cell No.. Fax No.: GPUILIIC 5A7 Permit Application (Revised 3/ i 9/20l l) Page 1 E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller) F. Company Name: ________________________________ _ Contact Person"--: ----------------=E=MA'-=-'=IL=--a..A=d=d=re=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) if available. Well Construction Date: _______ Number of borings: Depth of each boring (feet): _______ _ (2) Well casing type: Galvanized steel __ Black steel __ Plastic __ Other (specify) _____ _ (3) (4) (5) (6) Casing thickness (in.): __ Diameter (in.): __ _ Well depth: from: ___ to: ___ feet below land surface Casing extends above ground ____ inches Grout material surrounding well casing: (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) Depth of grout around well casing (relative to land surface): from ___ to ___ feet Well Screen or Open Borehole depth (relative to land surface): from ____ to ____ feet 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 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 5A7 Permit Application (Revised 3/18/2011) Page 2 H. OPERATING DATA RECEIVEDIDENRJDWQ ocr 1 7 2012 Average (daily) __ ..=gallons per minut g)ID'.' ~ Protection Section (1) (2) (3) (4) Injection Rate: Injection Volume: Injection Pressure: Injection-Temperature: Average (daily) gallons per day (gpd).' ·Average·(daily) pounds/square inch (psi). Average (January) -° F, Average (July) _·-· _ 6 F'. I. 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 5A 7 Permit Application (Revised 3/18/2011) Page 3 J. 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: I . 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 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 operty Owner/Applicant �AU L✓ � h ". }i%gwvjEDOWDW Print or Type Full Name �►�::i i '] 4f�12 ►� u� �l proloun Se,6011 Signature of Property Owner/Applicant Print ar 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 (919) 733-3221 GPUlUIC 5A7 Permit Application (Revised 3/1812011) Page 4 Durham County - Search Results Page 1 of I Tax Administration Record Search Account Buildings 1 Land I Deads I Sales Account Details for ROGERS ALLEY LLC Select Search: R I Pr Record Search Tax Bills Search Mobile Record Search Newl Advanced Reco Search Photos I Tax Bill j Map 11 New Search Property Owner ROGERS ALLEY LLC Owner's Mailing Address PO BOX 3658 DURHAM, NC 27702 Property Location Address 102 CITY HALL PLZ W-� Administrative Data Administrative Data Valuation information Parcel Ref No. 102950 P1N 0821-12-97-6353 Legal Desc DCBD/BLK4121LT#04-05- Assessed 3,632,727 06IR Value $ Account No. 8383991 OGERS ALLEY Tax District CNTY-DRHMICITY- Deed BkIPg 005888 / 000774 Assessed Value as of January 1, 2012 DRHMIBID Plat Bk[Pg 000181 1 000101 This ad valorem appraisal represents Land Use Cede 464 Sa3as Information assessors' opinion of market value, defined by NCGS 105-283, retrospective to Januarys, Land Use Desc COMI OFFICE BLDG Oniy Sales Data After January 1, 2006 2008, which is the effective date of the Is Displayed county's most current General' Reappraisal. Subdiv Cade 4316 Grantor Subdiv Desc DRHM CTRL BIDS DIST Sold Date 0--0 Neighborhood 500BA Sold 0 Amount $ � Back to Results '�: , Print This Property Record Card r � Create This Property Record Card as a POF New Search Data Disclaimer: All data shown here is from other primary data sources and is public information. users of this data are hereby notified that the afarementioned public information sources should be consulted for verification of the information contained on this website. While efforts have been made to use the most current and accurate data, Durham County, NC and Data Providers assume no legal responsibility for the use of the information contained herein. Please direct any questions or comments about the data displayed here to tax ass assorrardconc.pov This application was developed for Durham County by NexGen Digital Document Solutions f.i5'C • www.ustaxdata-com 1.+.1" httn://www.ustaxdata.corn/ncldurhar /account.cfm?ownerID-8383991 &ParceliD=102950 11211201:3 GWAPS - Durham County NC Public Access Page I of 1 Tool Bar - _ Spatial Data Explorer / GoMaps Durham, NC USA Id Layer: IParcels (Map Tips) r ma,' .t Zoom To View: F Ga � (2uick-Search. Jftr PIN, Parcel ID or Address Go nteractive Tools Map layers A ress/parcel Search Results iqr. 5 Map Help Smart Over FYd Cky of aGrhjm Durham - GIS Ganvert Parcel ID M40data Data Request Cpr)tac USTaxData Durham County 1) o asft http://gisweb.durhamnc.goy/GoMaps/map/Index.cfm?pareel_id=102950 1 /23/2013 8udv�Kara:r ` C"A"m CRY • y F.:Ct: hdNY{�rl.� -� w , i i' . 1 {� h J , , 'i.. �_ .:•in5 SAm It PA '� .ti � a ' � ruleY � � �tw1•I �.4tibp 1•�r�lT�� �,i' Yid fwYr •i. F� ah7[ � f • r rs . h ���:. R�f�fTl •m_ [ Greenfire Development ] About Us Page 1 of 1 Greenfire Developm e nt Why did we choose Greenfire Development as our name? Aldo Leopold was one of this country's leading conservationists. In his book "A Sand County Almanac," he recounts a story that changed his perspective on life and helped him see value where others did not. While hunting with friends as a young man, Leopold fired into a pack of wolves. He reached the mother wolf just "in time to watch a fierce green fire dying in her eyes." At that moment, he realized that the wolf and the mountain on which he was hunting were somehow connected. He finally understood that a natural community thrives because all its parts -even long-unappreciated ones - depend on one another. That spirit helped inspire a conservation movement. The same spirit drives us today. We believe we have an eye for value others can't see -and we respect the diversity and interdependence that make every community thrive. Our mission Greenfire Development's mission is to improve the overall quality of life in Durham by creating opportunities for people to live, work, play and invest in a vibrant downtown area. In addition to our own efforts, we support local organizations that share our dedication to both the physical and social revitalization of the city center. httn://www_oreenfireclevelonment_com/main/naoes/ahont 1/23/2013 A.VA MCDENR . North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Greenfire Development 101 West Main Street Durham, NC 27701 Charles Wakild, P. E. Director September 28, 2012 Subject: Notice of Expiration (NOE) 5A 7 Geothermal Injection Well Permit No. WI0500180 Durham County To Whom it May Concern: 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 200 North Mangum Street in Durham, NC, which was issued to you on March 28, 2008, and expires on February 28, 2013, is •. s9on due for renewal. If you wish to keep this permit .fill;d 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 GW-30 and Name/Ownership Change forms can be found at http://portal.ncdenr.org/web/wg/aps/gvv))ro/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 October 31 , 2012. AQUIFER PROTECTION SECTION 1·535 Mail Service Center, Raleigh, North Carolina 27699-1636 Location: 512 N. Salisbury St., Raleigh, North Carolina 27604 Phone: 919-807-6464 \ FAX: 919-807-6496 Internet www.ncwaterguality.org . An Equal Opportunity\ Affinnative Action Employer One ... NorthCarohna )Vaturaltu 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 andlor 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. 11171'a 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 online at the DWQ website at hitp://,Portal.ncdenT.orWweb/wA/aps/Mro/v-ermit-at)t)lications#geothermApps. Thank you in advance for your cooperation and timely response. If you have any questions, please contact me by phone at (919) 807-6407 or by email at eric.V..smithrajncdenr.gov.. Sincerely, Eric G. Smith, P.G. Hydrogeologist Enclosures CC'. Raleigh Regional Office - APS w/o enclosures APS Central Files - Permit No. W10500180 w/o enclosures Permit Number WI0500180 Program Category Ground Water Permit Type Injection Heating/Cooling Water Return Well (5A7) Primary Reviewer qu.qi Permitted Flow Facilit Facility Name Greenfire Development Location Address 200 N Mangum St Durham Owner Owner Name Greenfire Development Dates/Events NC 27701 Orig Issue App Received Draft Initiated 03/07/08 Scheduled Issuance Central Files: APS_ SWP_ 03/31/08 Permit Tracking Slip Status In review Project Type New Project Version Permit Classification Individual Permit Contact Affiliation Major/Minor Minor Region Raleigh County Durham Facility Contact Affiliation Owner Type Non-Government Owner Affiliation Joe Lemanski 101 W Main St Durham Public Notice ;;;/of NC Effective 27701 Expiration ~/.2clB Re gulated 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 03/07/08 03/26/08 Subbasin O O I Michael F. Easley, Governor CIS 7 William G. Ross Jr., Secretary r North Carolina Departmcm of Environment and Natural Resources --i p Coleen H. Sullins, Director Division of Warn Quality March 2$, 2008 Greenfire Development Attn: Mr. Joe Lemanski 101 West Main Street Durham, NC 27701 Re: Issuance of Injection Well Permit Permit No. W10500180 Issued to Greenfire Development Dear Mr. LemansId : In accordance with your signed application received March 7, 2009,1 am forwarding Permit No. W10500180 for the operation of a 5A7 geothennal underground injection well (UIC) heat pump system located at 200 North Mangum Street, Durham. NC 27701. This permit shall be effective from the date of issuance until February 28, 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 8. Copies of the GW-1 forms shall be retained on -site for inspection and a well ID plate must be affixed to the geothermal system. Your heat pump and well contractors should provide this information. Retain these records so that in the event your property is sold or transferred, the new Permittee will have this information. Finally, please notify the Raleigh Regional Office at (919) 791-4237 when the geothermal system is operational so that water samples can be collected from the influent/effluent spigots. 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 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 (UIC) Program please call Mr. Qu Qi at (919) 715-6935 or me at (919) 715-6166. Best Regards, Michael Rogers Envi romn ental Specialist cc: Jay Zimmem-tan - Raleigh Regional Office Central Office File Attachments) Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 lnIemet: Mtn.)/www.n ewatMttality.org 2728 Capital Boulevard Raleigh, NC 27604 An Equal DpportunitylAEfrmative Action Empioyer- 50% Rscydedll0% Post Consumer Paper Uri no tCaro ria Naturally Teiephone: (919) 733-32-11 Fax 1' (919) 715-0588 Fax 2: (919) 715-6048 Customer Service: (877) 623-6748 ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH, NORTH CAROLINA PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION In accordance with the provisions of Article 7. Chapter 87; Article 21, Chapter 143, and other applicable Laws, Rules, and Regulations PERMISSION IS HERESY GRANTED TO GREENFME DEVELOPMENT 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 200 North Mangum Street, Durham, Durham County NC 27701, and will be operated in accordance with the application received March 7, 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 February 28, 2013, and shall be subject to the specified conditions and limitations set forth in Parts I through VIII hereof. Permit issued this the 31 day of [ , 2008. t1Coleen H. Sullins, Director - Division of Water Quality By Authority of the Environmental Management Commission. W10500180 Page 2 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH, NORTH CAROLINA PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO GREENFIRE DEVELOPMENT FOR THE OPERATION OF A TYPE 5A7 INJECTION WELt, 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 200 North Mangum Street, Durham, Durham County NC 27701, and will be operated in accordance with the application received March 7, 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 .all 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, 2013, and shall be subject to the specified conditions and limitations set forth in Parts I through VIII hereof. ' ~ Permit issued this the 31 day of ~CJ,.r-..._ , 2008. _()kk ~. ~c5<>:;•f ~?'. J ~ Coleen H. Sullins, Director .. \v Division of Water Quality By Authority of the Environmental Management Commission. WI050018Q Page 2 I PART I --WELL CONSTRUCTION GENERAL CONDITIONS 1. The Permittee must comply with all conditions of this permit and with the standards and criteria specified in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any noncompliance with conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is grounds for enforcement action as provided for in N.C.G.S. 87-94. 2. This permit shall become voidable unless the facility is constructed in accordance with the conditions of this permit, the approved plans and specifications, and other supporting data. 3. Each injection well shall not hydraulically connect separate aquifers. 4. Each injection well shall be constructed in such a manner that water from land surface cannot migrate into the gravel pack or well screen. 5. Each injection well shall be secured to reasonably insure against unauthorized access and use. Each well shall be permanently labeled with a warning that it is for injection purposes and the entrance to each well must be secured with a locking cap. 6. Each injection well shall be afforded reasonable protection against damage during construction and use. 7. Each geothermal injection well shall have permanently affixed an identification plate according to 2C .0213(g). 8. A copy of completed Well Construction Record (Fo:rµi 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. Per the requirements of2C .O213(h), the original form must be submitted to the address shown on the form. Copies of the GW-1 forms shall be retained on-site and available for inspection. PART II-OPERATION AND USE GENERAL CONDITIONS 1. This permitis 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 penilit 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. WI0500180 Page3 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 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 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. WI0500180 Page4 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 ID-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 pl~ed 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. WI0500180 Page4 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 orJirst 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 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 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 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 WI0500180 Page 5 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 1 SA 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: WI0500180 Aquifer Protection Section-DIC Staff DENR-Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 Page6 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 Pennittee shall sµbmit 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: WI0500180 Aquifer Protection Section-DIC Staff DENR-Division of Water Quality 1636 Mail Service Center Raleigh, NC 27699-1636 Page6 AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT Date: 03/19/2008 To: Aquifer Protection Section Central Office Central Office Reviewer: Ou Oi Regional Login No: 05 County: Durham Permittee: Greenfire Development Project Name: UIC-5A7 Geothermal Application No.: W10500180 L GENERAL INFORMATION 1. This application is (check au awt apply); ® New ❑ Renewal ❑ Minor Modification❑ Major Modification ❑ Surface Irrigation Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporationflnfiltration Lagoon ❑ Land Application of Residuals ❑ Attachment B included ❑ 503 regulated ❑ 503 exempt ❑ Distribution of Residuals ❑ Surface Disposal ❑ Closed -loop Groundwater Remediation N 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: 03/18/2008 b. Person contacted and contact information: Joe L.ernansid. Phone# 919-610-9290 c. Site visit conducted by: Ed Owen d. Inspection Report Attached: ® Yes or ❑ No. 2. Is the following information entered into the RIMS 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: h. Driving Directions: c. USGS Quadrangle Map name and number: d. Latitude: Longitude: e. Regulated Activities l 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 anew section into the document for each site. or attach additional pages for each site a. Location(s): 200 N Magnum St. Durham. NC 27701 b. Driving Directions. Comer of Magnum Street and Holloway Street at Cite Hall Plaza. c. USGS Quadrangle Map name and number: Durham -SW d. Latitude: 35.59.45 Longitude: 79.53.59 £I. NEW AND MAJOR MODIFICATIONAPPLICATIONS (this section_ not neededor renewals or minor mo 2ications, skin to next section} - - Description Of Waste(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: Greenfire 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. If no, 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. If no, 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 OfWaste(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: Greenfire 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 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 ofwaste(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 or D No D N/A. If yes, please explain: __ FORM: Greenfire 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 OfWell(S) And Facilities-New. Renewal, And Modification 1. Type of injection system: !ZI Heatiog/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? !ZI Yes D No 3. Are there any potential pollution sources that may affect injection? !ZI Yes D No What is/are the pollution source(s)? roof and street water runoff. What is the distance of the in jection well(s) from the pollution source(s)? 25 ft. 4. What is the minimum distance of proposed injection wells from the property boundary? 30 ft. 5. Quality of drainage at site: !ZI Good D Adequate D Poor 6. Flooding potential of site: !ZI 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)? !ZI 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. Iniection Well Permit Renewal And Modification Onlv: 1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water, failure to assimilate injected fluid, poor heating/cooling)? D Yes D No. If yes. exp lain: 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 p ermits (of any typ e ). will continued/additional/modified in jections have an adverse impact on migration of the plume or management of the contamination incident? D Yes D No. If yes , exp lain: 4. Drilling contractor: Name: FORM: Greenfire staff report.doc 4 AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT Address: Certification number: __ 5. Complete and attach Well Construction Data Sheet. FORM: Greenfire staff report.doc 5 AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT V. F_ VAL UATIONAND 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? ❑Ices ® 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 preparer(s): Signature of APS regional supervisor: Date: ADDITIONAL REGIONAL STAFF REVIEW ITEMS avioe / 4;6 FORM: Greenfire staff report.doc 6 Permit: WI0500180 SOC: County: Durham Region: Raleigh Effective: Effective: Contact Person: Joe Lemanski Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On-Site Representative(s): Related Permits: Inspection Date: 03/18/2008 Primary Inspector: Ed Owen Secondary lnspector(s): Reason for Inspection: Routine Compliance Inspection Report Expiration: Expiration: Title: Owner: Green Fire Development Facility: Joe Lemanski 200 N Magnum St Durham NC 27701 Phone: 919-667-9770 Ext.104 Certification: Phone: Entry Time: 12:00 PM Exit Time: 01 :00 PM 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: WI0500180 Inspection Date: 03/18/2008 Inspection Summary: Owner • Facility: Green Fire Development Inspection Type: Compliance Evaluation Proposed UIC 5A7 Geothermal Well. Reason for Visit: Routine This lot is on a ridge in the city of Durham. The three well borings will be located in the two alleys behind the buildings that connect to Holloway Street and Magnum Street. City of Durham water and sewer. Page: 2 A QUIFER PROTECTION SECTION APPLICATION REVIEW REQUEST FORM Date: March 7. 2008 D Landon Davidson, ARO-APS 0 Art Barnhardt, FRO-APS D Andrew Pitner, MRO-APS !ZI Jay Zimmerman, RRO-APS From: Qy_Qi, Groundwater Protection Unit OZ-- Telephone: (919) 715-6935 E-Mail: qu.qi@ncmail.net A. PermitNumber: WI0500180 B. Owner: Greenfire_ Development C. Facility /Operation: !ZI Proposed D Existing D. Application: 0 DavidMay, WaRO-APS 0 Charlie Stehman, WiRO-APS 0 Sherri Knight, WSRO-APS Fax: (919 ) 715-0588 D Facility D Operation 1. Permit Type: D Animal O Surface Irrigation D Reuse D H-R Infiltration D Recycle D I/E Lagoon D GW Remediation (ND) !ZI UIC -(5A7) open loop geothermal __ For Residuals;' □ Land App. □ D&M D 503 D 503Exempt D Surface Disposal D Animal 2. Project Type: IZ! 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 30 calendar days, please take the following actions: !ZI Return a Completed Form APSSRR. 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, reviews, as well as additional information requests with other RO-APS representatives in order to prepare a complete Attachment B for certification. Refer to the RPP SOP for additional detail. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person listed above. RO-APS Reviewer: -------------------Date: _____ _ FORM: APSARR 02/06 Page 1 of 1 W ATE�P )�, Michael F. Easley, Governor William G, Ross Jr., Secretary UJ North Carolina Department of Environment and Natural Resources 0 Coleen H. Sullins Director Division or Water Quality March 7, 2008 JOE LEMANSKI GREEN FIRE DEVELOPMENT 101 W'MAIN ST DURHAM, NC 27701 Subject: Acknowledgement of Application No. W10500180 Joe Lemanski Injection Heating/Cooling Water Return Well (5A7) Durham County Dear MR LEMANSKI: The Aquifer Protection Section of the Division of Water Quality (the Division) acknowledges receipt of your permit application and supporting materials on March 7, 2008. This application package has been assigned the number listed above and will be reviewed by Qu Qi. 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 Qu Qi by phone at (919) 715-6935 or by email at qu.gi a@ncmail.neL 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 httla,.Hh2o.enr.state,ne.us/documents/dwq orachart.pdf. PLEASE REFER TO T'HE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT. Sincerely, C� f For Debra J. Watts Supervisor cc: Raleigh Regional Office, Aquifer Protection Section Permit Application File WI0500190 Aquifer Protection Section 1636 Mail Service Center Internet. wow 0ewaterguality.o�r Location: 2729 Capital Boulevard An Equal Opporlun4 Affirmative Action Employer— 50% Recycledi10% Past Consumer paper Nam`rthCarohna ARIMM1111 Raleigh, NC 27699-1636 Telephone: (919j 733-3221 Raleigh, NC 27604 Fax 1: (919) 715.0588 Fax 2: (919) 715-6048 Customer Service: (877] 623-6748 ,green fire DEVELOPMENT March 28, 2008 Michael Rogers, Environmental Specialist NCDENR Aquifer Protection Section (APS) Groundwater Protection Unit 2728 Capital Boulevard Raleigh, NC 27604 RE. Rogers Alley — UIC Well Installation Dear Mr. Rogers, Let this letter represent author1 2ation fror<Rojers Alley, LLC, weer of 200 North Mangum, Durham, NC, to allow Crreenfre Development to insta e s on this property. We would appreciate youz help in processing this and please contact me with any questions and how I can help in any way. Sincerely, David Beidler David Beidler, Development Manager Agent of Rogers Alley, LLC P.Q. Box 3658 1 Durham, North Carolina 127702 j 919.667.9770 (p) 1919.667.9772 0 Rogers Alley - UIC Well Installation Subject: Rogers Alley - UIC Well Installation From: "David Beidler" <DBeidler@a greenfiredevelopment.com> Date: Fri, 28 Mar 2008 I7:09:46 -0400 To: <Michael.Rogers a,7ncmail.net> CC: "Joe Lemanski" <JLemanski a@greenfiredeveIopment.com>, <DBeidler a@greenfiredevelopment.com> Michael, "David Beidler" Per your request, I have attached a letter of authorization for Greenfire Development from Rogers Alley, LLC, to install UIC wells at 200 North Mangum in downtown Durham. Please review and contact me with any questions. Please also confirm if this is satisfactory. Thank you, David Beidler David Beidler Development Manager Greenfire Development office: 101 W. Main St. , Durham NC 27701 mail: PO Box 3658, Durham NC 27702 t; 919.667.9770 ext. 106 t: 919.667.9772 dbeidler(ii Lreenfiredevelol)ment.com greenfire Exchange Defender Message Security, Check Authenticin Rogers Alley - UIC Rogers Alley - UIC Well letter (3-28-08).pdf Content -Description: Well letter (3-28-08).pdf l of 2 3/31/2008 8:21 AM Rogers Alley -UIC Well Installation I j Content-Type: application/octet-stream I L _________________ c_on----'t=e=n=t-=E=n=c=o=d=i=n=g=: _b-=a=s_e_64_---=====--====i 2 of2 3/31/2008 8:21 AM NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR] APPLICA /`ION' FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR INJECTION WITH A GEOTHERMAL HEAT PUMP SYSTEM FOR TYPE 5-A7 WELL(S) New Permit Application OR Renewal (check one) DATE: _ , 20DE PERMIT NO. (leave blank if NEW permit application) A. PROPERTY OWNERS)/APPLICANT(S) List each Property Owner Iisted on property deed (if awned by a busyness or govemment agency, state name of entity and a representative Wautharity for signature): . � 1'"t r 4. _e I P t"- •_ (I) Mailing Address: _ JP )1 l o L- City: �' �' . ►^ A.� State.IJLZip Code: 7I � I County: Home/Office Tole -No.; qj r 4/Cell No.: 4 1 " EMAIL Address:Z i J i -S rf, 9r1-fj l'-t, 44, (2) Physical Address of Site (if different than above): �u,9& �±"-Je t City: ,fit," �t ->r Stater Zip Code: ,, '� + County: f .e RomefUffice Tele Na.: �'1 . � 4? f Cell No.: G (a , "►' EMAIL Address: B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject propert attach a letter from the property owner authorizing AgeTrt to install and operate UIC well) ConVan3' Nam' Contact Person: EMAIL Address: Address: Citv: State• Zip Code: County: Ofi~ice Tele No.: Cell No.: Websim Address of Company, if any: GPUIUIC 5A7 WcU Permit Application (Revised 912007) Pale I C. D. WELL DRILLER li ODRMATION Company Name: % k I4 Well Drilling Contractor's Name: -1 C NC Contractor Certification No.: ?'s �/ Z Contact Address city: XC Ia t a��, mil zip Code: 4 Ind • County: �Ta r'rt �-- t ❑ffiGe Tele No.:: ' _ _a � _ it ��GeI1 No.: _ _ dY9 - , i�,Z HEAT PUMP CONTRACTOR INFORALMON (indifferent than Company Name: eta- ' Y1�>!i Contact Person. i_,[ �.u� 'r��-t•_�� EMAIL Ac Address: _ ` ��' i n'Yr � sJ4-� C y' �—><�_ f _ City: ie I -A Zip Code: .-.4'!7 W County_ Office Tele No.: E'jl_Q•_ _ ?� Cell No.: E. STATUS OF AFPLICANT Tr.� ,.:.•rs Private: Federal: Commereiai: State: Municipal. � Native American Lands: F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used) G. WELL USE Will the injection well(s) also be used as the supply well(s) for the following? (1) The injection operation? YES (2) Personal consumption° YES NO NO 7� H. WELL CONSTRUCTION DATA (Ski s► to Seetion I if this is a Permit RENEWAL I PROPOSED Weil(s) to be constructed for use as an injection well. Provide the dater in 11) through (7) below as PROPOSED construction specifications. Submit Form GW-1 after construction. EXISTING WeII(s) being proposed for use as an injection well. Provide the data in (1) through (7) below to the nest of your knowledge. Attach a copy of Form OW-1 (Well Construction Record) if available. (1) Date to be cons nwte& - - IG - t, I Number ofborings: Approximate depth of each boring (feet): / ,� 2V ' Wel1 casing. Is the well(s) cased? {check either (a.) YES or (b.) i+i0 below} �If (a) YES - If yes, then provide the casing infOrnta#son below. Typv. Galvanized steel Black steel Y Plastic Other (specify) r I r Casing thickness: diameter {inches]: depth: from �` tn�_ ft. (re%rence to land surface) Casing extends above ground inches e G ✓r / 1'] fir . �Y IG /F' ✓i �' � G % 5 GPUIMC 5A7 Well Paxson Application (Rcviscd 9J2007) 44 � h �% m Page: L (3) (4) (5) (6) (b) NO Grout (material surrounding well casing and/or piping): (a) Grouttype: Cement~ Bentonite Other(specify) ______ _ (b) Grouted surface and grout depth (reference to land surfuce): __ Around closed-loop ,piping; from ___ to __ (feet). _jl_Aroundwellcasing;ftom i!) to~h;;f/o,i,1 t?) CcdJ 1tf Well(s) Screenlnformation , . Depth of Screen: From· /U/J4 · :to ____ feet below land surfuce • N.C. State · Regulations (Title 15A NCAC 2C .0200) require tl;ie Pennittee to make provisions for monitoring we:J}head water quality and processes. A fiwcet on both Influent (groundwater entering heat pump)·and Effluent (water being injected back into the well) lines· ts required.· Will there be a faucet on: (a) In:fluentline? . Yes__x_No__ (b) ~line? Yes __ No_· _ -f. 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 ConsttuctionRecord). IfF~ 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: 1 ,5() ' Formation: _____ Rock/sedimentunit ______ _ ·• NOTE: THE WELL DRILLING CONTRACTOR CAN SUPPL YTHBDATAFOREITHEREXISTlNG OR PROPOSED WELLS IF TIIlS INFORMATION ISUNAYAILABLEBY OTIIERMEANS. OPERATING DATA (1) Injection rare: (2) IajectionVolume: (3) InjectionPressure: (4) Injection Temperature: Average(daily) 1/Q gallonsperminute(gpm). Average (daily)/P-/3~aJlons per day (gpd). Average ( daily) -2._.pounds/square meh (psi). Average (January)~Avcrage (July) __ 0 ·F. .J. INJECTION-RELATED EQUIPMENT Attach a diagram showing the. engineering layout or proposed modification of the injection eqtiipment and exterior piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary information. K. LOCATIONOFWELL(S) Auach two copies of ~ps showing the following information: (i) Include a site map ( can be drawn) showing: buildings, propertylines, surfuce water bodies, potential sources of groundwater contamination and the orientation of and distances between the proposed well(s). and any existing well(s) or waste disposal facilities such as septic tariks or drain fields located within 1000 feet of the . geothermal heat pump well system.. Label all features clearly and include a north. arrow. · (2) Include a topographic map of the area extending oneinile from the property boundaries and indicate the facility's location and.the map name. GPU/UIC SA 7 Well Permit Application (Revised 9/2007) P81!e3 L. C"ERTIFICA TION Note: This Permit Appllqition must be signed by each person appearing on tbe 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 aJl attacbments thereto and that, based on my inquiry of those individuals immediately responsible for obtaining said iriformation,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 weli and all related . appurtenances :in accordance with the · approved specifications and conditions of the Permit." --1 ( 1 ' l.L1,,vzt:2,N\-J c L Signature of Pr perty Owner/ Applicant ,.-r . . :.Jc~€. (,;; -'t O d 4?,S L <..✓ Print or Type Full Name Signature of Property Owner/ Applicant Print or Type Fµll 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 UICProgram 1636 Mail Service Center Raleigh, NC 27699-J636 Telephone (919) 715~6935 GPU/UIC SA? WellPennitApplication (Revised9/2O07) Page4 ge Lend of Symbols Abbreviations r5+ Meek Me W. & Y.tE`rr.l4d pent >r rrsvwne Pa 4 Q W ow WI [H e. t,% M.tr . R• Mpc.f ® war 4W�eN q. Iklr YdN wu .hW mo- on Vide $-Kwt U— b^Aak Cfl (.a V.I. Q. Eton. S.— YvYwb rm Ulm.? ryle N Tame _ .� w r.ecr. 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'mom.. krrWbn �..me n earl. hr nwrreq uwt v,. hrr..err...x l•d Nrwq F�eHr..t i.m .sn nre..ww. was n -: u:twr.ue.er•arn�-�ppwl 4lrx■wr EA f Y4 ... ■ mmsJ�. rpiya �re. r..ppaaed h reerSene..N 0.5. 47-d0 w.nrrMte. arnwe eramlwr, rrO: Yaibn nrelr, e.d r.a IN. 7Yr .1 Ae...L Nn rrn PB 4 M. F.Ii. Aef.i>bee• ie.i 'ev.gv L=.eu rrrrrn. Ira SA d SEA'-' - ftw J� C :ry Ca.4d Mw„nd •7,r.ra0.rur+„'I LLi1n�H. CA GRAPHIC SCALE, RdeMnn S.D. Puckett &Assoc., WJ Boundary & Tapographleal Burycy for: 5R° 1ClI VIDUAI.PARMS rrnfessiurml Land staveyets Gree fire SH1S Finy.'P3, fiun. ]ot Pk 5e47719 f-Ncri iSmini NON. =Street fig. hm Sxpn.n n, Puckdt- recPL£E x9d YQ2 E. Perrlsl. SRcet m.rs�laytemtwtrv+>+ 102 City IfalIPk.za �rveyatl 8y Rn'rci0. i7mvrtl i�'j5M Sww�ry Pdr-SS-0rS rIm nets 1-70, Cnunl.ofUmhrr. n....Xr...t..... -. ... ..._ 200 N Mangum St, Durham NC 27701 - Google Maps Page 1 of 1 Address NO N Mangum St Get Google Maps on your phone Gotvie, Durham, NC 27701 TMtheword°UMN, 5°m456453 —f leti RrirteamcPai.Builks o . , f luorssrwna`u'cucl�: fiQ�DiBtIOR si O f r -- -�� WC, � '4 lip so c 0 E— i iF • -� Mow- 4/4 �Pr • http://maps.google.comimaps?f—�q&hl=en&geocode—&q=200�+h+Mangum+St,+Durham-N... 3/5MOS Reports Page I of 3 Parcel Report: Quick Information with 2005 Orthophoto PIN Number: 0821-12-97-6300 Acreage: 0.16700000 Deed Book: 005888 Plat Book: 000143 Subdivision: N/A - NO SUBDIVISION Owner Name: ROGERS ALLEY LLC Parcel ID: 102951 Land Use: COM/ OFFICE BLDG Deed Page: 000774 Plat Page: 000225 Site Address: 200 N MANGUM ST Owner Address: P ❑ BOX 3658 DURHAM, NC, 27702 http://gisweb.durhamnc.gov/GoMaps/reports/report.cfm?CFID=27606&CFTOKEN=9112 ... 3/28/2008 Reports Page 2 of 3 City of Durham. NC Tax Parcel Report Quick Information PIN Number: 0821-12-97-6300 Acreage: 0.16700000 Deed Book: 005868 Plat Book: 000143 Subdivision: N/A - NO SUBDIVISION Owner Name: ROGERS ALLEY LLC Parcel ID: 102951 Land Use: COM/ ❑FFICE BLDG Deed Page: 000774 Plat Page: 000225 Site Address: 200 N MANGUM ST Owner Address: P O BOX 3658 DURHAM, NC, 27702 http:llgisweb.durhamne.govIGoMapslreportslreport.ef n?CFID=27606&CFTOKEN=9112... 3/28/2008