WI0600072_GEO THERMAL_20110321

Permit Number
Program Category
Ground Water
Permit Type
WI0600072 /
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilit 1
Facility Name
Ernest & Krista Duncan
Location Address
85 Harlow Rd
Pinehurst
Owner
Owner Name
Ernest
Dates/Events
NC 28374
Duncan
Orig Issue
03/21/11
App Received Draft Initiated
03/15/11
Regulated Activities
Heat Pump Injection
Outfall , :Ji .I
Scheduled
Issuance
Central Files: APS_ SWP_
03/21/11
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Randall Cutter
6105 Rest Home Rd
Claremont NC
Major/Minor
Minor
Region
Fayetteville
County
Moore
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Ernest Duncan Sr.
85 Harlow Rd
Pinehurst NC
Public Notice Issue
03/21/11
Effective
03/21/11
28610
28374
Expiration
Waterbody Name Stream Index Number Current Class Subbasin
J.-47**A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
3/23 2011
Ernest Duncan.. Sr_
Krim Duncan
85 Harlow Road
Pinehurst_ NC 286 7 4
Subject: Acknowledgement of intent to Construct Type 5QW Injection Well System
Permit No. W10600072
85 Harlow Road. Pinehurst, NC 28374
Dear Mr. & Mrs. Duncan:
On 3115/2011, the Aquifer Protection Section (APS) received notification of your intent to construct a closed -loop water -
only geothermal injection well system for the operation of a ground -source heat pump located at the address referenced
above, An individual pernnit 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 .0211(u)(2). Additionally, you should contact the
Moore County Health Department as 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 [phone] or Michael.Rouers(aancdenr.v.ov if you have any questions.
Sincerely,
for Debra Wans
Supervisor
CC; Fayetteville Regional Office - APS
APS Central Files - Permit No. W106(10072
Ni port! County Health Dept_
Cit.?? Green Driller . 1n::, (I -km -Oaf I Cutter. b f IS Rest Horst. Rou.i, Chiremont. N,C 216111
AQU!FE.R PROTECTION SE :T:O):
1E36 Mail ?;'ervres Center. Raleigh, North Garo!rna 2769e•1S;i
Location: 2728 Capital Boulevard Ralaigt: Hortt Cam-i,na 2780r
panne: 919-733.32211 F.A.x +,: 9'19-7'I5-aa5L: FA:; ?: 91'~•715-V.1.4E'• Gealarrer Ser,ice71-877• 3-n74L
Internet! www.newaterauafrN.arp
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Aquifer Protection Section
MAR -15 2011

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RECEIVED / QENR 1 DWQ
Aquifer Protection Section
MAR 15 MI

H. 1.=JE(.' !O\-RELATEI EQ1.:1P1WNT
diagram showing the cogiliee'nn: ::i!'tltii [7+ prorns,:rl m[kliliG'ati:1:1 ❑1 i.:e injection cguirrn.'rrt into C.!erlir
p:p:^_ tsrbin . asti.x:iri:et: with 1n:: injection olt-rstictti. 'rite manufacturer' brtchur: m y prQ%'iuc supplemental-,
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LOCATION OF W€:k,t.(S)
.1\Ilac: r iwo c it,it : t'Ti i11311s::11ti,t'iniz the I[?illtw'lig hilbrin'titsn;
; lo,:u:ic r. Site A1ap /call tv drawn) enson iz• ' h:1111i1Fi��S. pri+oen nays- sur;ite: water 't•.adic-<.
.11'i.nrunciwat.r etrnlamirailion unc1 the of n t. distance:, nctlt'tCr the proposed v-:'tt.
rillt• e•.... v+.:ill or taste "cpcsal Iatnili:iec soon or d^.ii field, irca:cd '_!t . �C.i- r1
lr:e tier/therm:li heat purl: F sit s�rstern. L.i.li~'I all f;:utures cle.iriy7.41u incltlt?e north arm'.
t 1 Che ilc itirl{1 ttiu l tiiu+ti ,I1uprt.�='t! trl (l:};tiion in lht surroirodinn arca
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Note: This Perini, ,i_pplscuinisl itch.. be signed by eat person appearing an .ze
rtcordeu k„al prupe -r% dcesi.
--1 r > i atialt; tit' law. ti,itt 1 per:.n:sall> -2S;lntine. runic an iLi1:1i[i tl titil rt..: information
submitted in [his docurnenl and ail atl,rchtt1mnts 1111:reiu and that_ batted tin -1tv inquiry of incise inLIl 1Uu k
itttlnCtiis;rl: I �p +:mil le for obtaininc said 7n,armation. ! that tine iniOrmutii,li i- true, aecuraie are' complex.
I r:m aware fast then, are signifc:int pert.tltie:s. incltudinn the ros ibiii.\ t+:' titles anci imprisonment. icr sithinirtin .
ls[ it inrorma:teat i agree tel cort:irtint. operate. ni+ititatli. rq-inir. and irapplicahit:. abandon the in}ccir*ii u:lr _nr
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5 2011

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