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
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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