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HomeMy WebLinkAboutWI0600061_GEO THERMAL_20100623Permit Number WI0600061 Program Category Ground Water Permit Type Injection Water Only GSHP Well System (5QW) Primary Reviewer michael.rogers Coastal SW Rule Permitted Flow Facilit Facility Name Fort Bragg -Strategic Assembly Complex Location Address A5254 Deglopper St Fort Bragg Owner Owner Name Gregory Dates/Events NC 28310 G Bean Central Files: APS_ SWP_ 06/23/10 Permit Tracking Slip Status Active Project Type New Project Version 1.00 Permit Classification Individual Permit Contact Affiliation Gregory G. Bean Dir Public Works of 2175 Reilly Rd Stop A Fort Bragg NC Major/Minor Minor Region Fayetteville County . Cumberland Facility Contact Affiliation Owner Type Individual Owner Affiliation Gregory G. Bean Dir Public Works of 2175 Reilly Rd Stop A Fort Bragg NC 28310 28310 Orig Issue 06/23/10 App Received Draft Initiated Scheduled Issuance Public Notice Issue Effective 06/23/10 Expiration 06/08/10 06/23/10 Re Qulated Activities Heat Pump Injection Outfall NULL Waterbody Name Stream Index Number Current Class Subbasin ~A ;;-;;-;,"-~~11111111" NCDEMR North Carolin a Department of Environmen t and Natural Resources Divis ion of Wate r Qua li ty Beverly Eaves Perdue Governor Gregory G. Bean Director of Public Works 2175 Reilly Rd., Stop A Fort Bragg, NC 28310 Coleen H. Sulli ns Directo r 6/23/2010 Subject: Acknowledgement oflntent to Construct Type 5QW Injection Well System Permit No . WI0600061 Adjacent to BIDG A5254 Deglopper Street Fort Bragg, NC 28310 Dear Mr. Bean: Dee Freeman Secretary On 06/08/2010 , the Aquifer Protection Section (APS) received notification of your intent to construct a closed-loop water-onl v geothermal injection well system for the operation of a ground-source heat pump located at the address referenced above. An individual permit is not required for the construction and operation of this type of geothermal injection well system as long as the following conditions are met: 1. The injection well system contains only potable water, 2. The injection well system is constructed in accordance with well construction standards specified in North Carolina Administrative Code Title 15A Section 2C Subchapter .0213 , and 3 . The required notification form and associated maps have been completely and accurately submitted. Failure to comply with all of these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina Administrative Code Title 15A Section 2C Subchapter .021 l(u)(2). Additionally, you should contact the Cumberland County Health Department a s they may have additional requirements for this type of system. Noncompliance with applicable state, county, or municipal rules and regulations may result in the assessment of civil penalties. Please contact Mike Rogers at (919) 715-6166 or Michael.Ro eers@ncdenr.!:w v if you have any questions . ::;!db. ~40 fo,Debra~ Supervisor cc: Fayetteville Regional Office -APS Af>ST emra l files -Pennii ·o . W!060QQ6-- Cumberland County Health Dept. Mike Hadley (Coastal Geothermal, 102 Middle St., Jacksonville , NC 28546) AQUIFER PROTECTION SECTION 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Location : 2728 Capital Boulevard, Raleigh. North Caroiina 27604 Phone: 919-733-3221 I FAX 1: 919-715-0588; FAX 2: 919-715-6048 \ Customer Service 1-877-623 -6748 Interne t: ·www .ncwatergual ity.org An Equal Opportun:ty .\ Affirmaiive Action Employer One . . North Carolina ;Natura/Ill DEPARTMENT OF THE ARMY US ARMY INSTALLATION MANAGEMENT COMMAND HEADQUARTERS, UNITED STATES ARMY GARRISON, FT BRAGG 2175 REILLY ROAD, STOP A REPLYTO FORT BRAGG NORTH CAROLINA 28310-5000 ATTENTION OF June 4, 2010 Directorate of Public Works Mr. Thomas Slusser North Carolina Department of Environment and Natural Resources Underground Injection Control Program Aquifer Protection Section, NCDENR-DWQ 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Dear Mr. Slusser: Attached are two copies of a Type 5-QW injection well permit application form related to a proposed Geothermal Well System installation on Fort Bragg for a new central load-out facility~ This application is for a test well to gather necessary information for design. The test well will eventually be utilized as a part of the system. As instructed on the application, two copies of the form are being submitted, including two copies of all attachments and supporting information. If you have any questions concerning this matter, please contact Mrs. Suzanne Rohr~ at 910-432-8470. Since.r;e-fy ,/,/ ~ Gregory G. Bean Director of Public Works Enclosure r REC_EIVED! DENR I DWQ AOt1iR=R-PRnTF"T , · · · · · ( .. 10Af!H::cnoN JUN 08 2010 ~(JJ\ --------NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR) NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED-LOOP GEOTHERMAL WATER-ONLY INJECTION WELL SYSTEM: TYPE 5-0 W WELL(S) In Accordance with the provisions ofNCAC Title 15A: 02C.0200, please complete this notification and mail to address on the back page (please Print or~ information). DATE: 6/3/2010 Well Type Confirmation: Does the proposed system circulate potable water only (no additives) in continuous piping that completely isolates the fluid from the environment (i.e. closed-loo p)? Yes_ x_ Continue completing this forin. No ___ Do Not complete this form. Complete other UIC application forms for installing either a SA 7 well ( open-loop well injecting potable water into the aquifer) or a SQM well ( closed- loop well containing additives such as R-22, ethanol, or other antifreeze or corrosion inhibitors). A. PROPERTY OWNER(S)/APPLICANT(S) List each Property Owner listed on property deed (if owned by a business or government agency, state name of entity and a representative w/authority for signatures; Gre go rv G. Bean, Director of Public Works (1) Mailing Address: 2175 Reilly Road. Sto p A City: Fort Bragg State: NC Zip Code: 28310 County: Cumberland Home/Office Tele No.: _(=9-=-l -=-0),_4-=3=2'-'-8=-4'-'-7-=0 ______ -=C-=el=-l -=-N=o=. : _______ _ Email Address: Suzanne.Rohrsral us.armv .mil Website: (2) Physical Address of Well Site (if different than above): Ad jacent to BLDG A5254 Deglopp er Street City: Fort Bragg State: NC Zip Code: 28310 County: _C_um __ be_r_lan_d _____ _ Home/Office Tele No.: _______ C=el~l ~N=o-'-'.: __________ _ B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property, attach a letter from the property owner authorizing Agent to install and operate UIC well) Company Name: ___________________ _ ContactPerson"--: ___________ ~E=MA~=IL~A=d=dr=e=s=s: ___________ _ Address: ___________________ _ City: _________ State: ___ Zip Code: _____ County: _______ _ Office Tele No.: Cell No.: Website Address of Company, if any: ______________ _ RECEIVED I DENR / DWQ AQIJJF.F.RP.ROTF.r:r,nN SF.CT/ON GPU/UIC 5QW Notification of Intent Form (Revised 7/2008) JUN (f 8 20U)_ Page 1 C. WELL DRILLER INFORMATION Company Name: Coastal Geothermal Well Driller Contractor's Name: Sanford Sweeting NC Contractor Certification No.: NC 2082 Contact Person: Mike Hadley EMAIL Address: mhadle y@ bizec.rr.com Address: 102 Middle St. City: Jacksonville Zip Code: 28546 County: Onslow Office Tele No.: 910-353-0926 Cell No.: 910-376-1100 D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller) Company: _NIA _______________________ _ Contact Person: EMAIL Address: -------------------------- Address:------------------ City: _________ S~t=a=te~: __ Zip Code: _____ County: ______ _ Office Tele No.: Cell No.: E. STATUS OF APPLICANT Private: State: Federal:_K___ Municipal: __ ------------- Commercial: Native American Lands: F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used) Closed Loo p Geothermal Heat Transfer Svstems Test Borehole G. WELL CONSTRUCTION DATA (1) Proposed date to be constructed: _---"-Jun=e~2=0~1~0 ________ Number of borings: __ 1 __ _ Approximate depth of each boring (feet): __ 2~5~0 _____ _ (2) Type of tubing to be used (copper, PVC, etc): Hi!!h Densitv Polvethvlene (3) Well casing. Is the well(s) cased? (check either (a.) Yes or (b.) No below) (a) Yes ___ if yes, then provide casing information below Type: _galvanized steel __ black steel__plastic __ other (specify) Casing depth: From ___ to ___ feet (reference to land surface) Casing extends to above ground ___ inches (b) No -----'"X-=-- ( 4) Grout Info (material surrounding well casing and/or piping): (a) Grout type: Neat Cement__ Bentonite x Other (specify) ______ _ (b) Grout placement: Pumping X Pressure Other (c) Grout depth of tubing (reference to land surface): from O to 250 (feet) If well has casing, indicate grout depth: from ___ to ____ (feet) GPU/UIC 5QW Notification of Intent Form (Revised 7/2008) Page2 H. INJECTION-RELATED EQUIPMENT Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary information. I. LOCATION OF WELL(S) Attach two copies of maps showing the following information: (1) Include a Site Map (can be drawn) showing: buildings, property lines, surface water bodies, potential sources of groundwater contamination and the orientation of and distances between the proposed well( s) and any existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 200.feet of the geothermal heat pump well system. Label all features clearly and include a north arrow. (2) The Site Map must show the subject property in relation to the surrounding area by using at least two fixed reference points such as roads, streams, and/or highway intersections. J. CERTIFICATION Note: This Permit Application must be signed by each person appearing on the recorded legal property deed. "I hereby certify, under penalty of law, that I have personally examined and am familiar with the information submitted in this document and all attachments thereto and that, based on my inquiry of those individuals immediately responsible for obtaining said information, I b~~v~t the information is true, accurate and complete. I am aware that there are significant penalties, including_iffe p~~bility of fines and imprisonment, for submitting false information. I agree to construct, operate, ma!P"tti'n, r~!.1°' and if applicable, abandon the injection well and all related appurtenances in accordance with the a pproved pecifi tions and conditions of the Permit." /C~, - Signature of Property Owner/Applicant Gre gorv G. Bean. Director of Public Works Print or Type Full Name and title Signature of Property Owner/Applicant Print or Type Full Name and title Signature of Authorized Agent, if any Print or Type Full Name and title Please return two copies of the completed Application package to: North Carolina DENR-DWQ Aquifer Protection Section-UIC Program 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone (919) 715-6935 RECEIVED J DENR lDWQ AQU/l=l=R "PRnri=r.r1nN l'r-c · ,..,r: TION JUN 08 2010 GPU/UIC 5QW Notification of Intent Form (Revised 7/2008) Page 3 a c s °DWAILh7R .1ECrthrftbAl CA.PimA eauar e�LYm Loop 6 .. COMM PON GED.Th EIV LFIaOPtAN Tz KEYNOTES. A: . Two C�IGp R 11a FOX�P[imllnlA Ne n TraMiZT.` rWr' 10 11V 1 PIATIC EME KIVU Is+aa g�f EP= 1517651' -rts-c c\c\g f, /T. r JGEOTHERMAL FIELD PLAN. L.5it crc%ozL.,q- RINIMMOIN tirsta. KEYNOTES: '1V44§A34S71.1a:E"` "VI MIIMPKIM1112 aNg&AraglailAtVA.,,"71Twe.. MAIIMMINISIMMEINWP" gmr""cw.9171;"..4.17=tr.r..1MX 1 1•ua4i le 1 RATE MASER WOO' DIXF IM Of rir J C Ste. V;fr". Frk MOM lefft pia o afratAMENNO °A$9 '" 1 `GEOTHERMAL FIELD PLAN K J1flTFR EMESSEELVENfietwo 0 WAriktitlavg COPIalpi st 8c I Li 1140 MAR REPRIEXCE M-100 5+-efl1*OF an k* _ $FI1H1F1p1N1111 fnNNir_iMf1 fl1 11ar14 Legend Groundwater Monitoring Wells Status unknown �-� Removed [ z Installed Wash Racks [Old] OiL(Water Separators ■ Grrt Chambers USTs In Place StatusDOM Closed in Place Currently In Use I�A inactive (Out of Service) USTs Removed (Contaminated) NCDENR • Status '^ Ins ® Archeological Survey Areas Further Action Required unknown PN 5.7836 CLACC N 510,711.20 E 1,992,266.56 A .394r.39 s Ix • , ■• • 'moda •.' r 4,. • avimam& A" N _ Feet 0 80160 320 480 640 PN: 57836 Prepared By: Suzanne Rohrs Prepared Date: 14 May 2010 Legend Groundwater Monitoring Wells Status Unknown • Removed 0 Installed t! Vltash Racks(04d) • CiV ater Separators Grit Chambers USTs In Place StatusDOM • CIased In place Currently In Use • Inactive (Out of Service) USTs Removed (Contaminated) NCDENR Further Action Required 7 Unknown Status Ins Archeological Survey Areas PN 57836 CLACC N 510,711.20 E 1,992,266.56 -i' - Amp(i13941 A536r 1A 2 Feet 0 80160 320 480 640 PN: 57836 Prepared By: Suzanne Rohrs Prepared Date: 14 May 2010