WI0700108_GEO THERMAL_20120514

Beverly Eaves Perdue
Governor
NA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E.
Director
May 14, 2012
Millard Banker
200 Castle Ridge Road
New Bern, NC 28562
Subject: Notification of Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit Number: WI0700108
Dear Mr. Banker:
Dee Freeman
Secretary
Our records indicate that you currently hold a permit for a closed-loop geothermal injection well
system. This letter is to inform you that on May 1, 2012, the North Carolina Administrative
Code Title 15A Section 2C .0200 entitled "Well Construction Standards -Criteria and
Standards Applicable Injection Wells" were revised. These revisions affect all permits issued
for injection wells including geothermal wells.
This letter is also to inform you that your closed-loop geothermal injection well(s} have become
"permitted by rule." Therefore, you are no longer required to renew your current permit
and the permit will be valid indefinitely as long as the wells are active and are operated in
accordance with the revised rules referenced above.· Please keep in mind that if you abandon
the wells, a record of abandonment must be submitted to the Division of Water Quality. You
may view the revised rules on our website at http://portal.ncdem.org/web/wg/aps.
If you have any questions regarding your current permit or the rule revisions, please feel free to
contact our underground injection control staff at (919). 807-6300.
Eric G. Smith, P.G.
Hydro geologist
cc: UICJ:>.enn it-I,ile"
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] I FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity\ Affirmative Action Employer
N?Jrth Carolina
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Michael F. Easley, Governor
William G. Ross Jr.. Secretary -
North Carolina Department of Environment and Natural Resources
CoIeen 1%. Sullins, Director
Division of Water Quality
November 14, 2007
Millard Banker
200 Castle Ridge Road
New Bern, NC 28562
Re: Issuance of Injection. Well Permit
Permit No. WI0700108
Issued to Millard Banker
Dear Mr, Banker:
In accordance with your application received October 9, 2007, I am forwarding Permit No.
WI0700108 for the operation of a vertical closed -loop geothermal mixed -fluid beat pump
injection well system to be located at 200 Castle Ridge Road, New Bern, NC 28562. This permit
shall be effective from the date of issuance until October 31, 2012, and shall be subject to the
conditions and limitations stated therein.
Please pay special attention to the bolded language in permit conditions in Part I,
paragraphs 7 and 8, and Part II, paragraphs 1, 10, and 11 concerning your new system.
Copies of the GW-1 forms will be retained on -site for inspection along with all geothermal
system pressure testing results. Also, a well ID plate must be affixed to the geothermal
system. Your heat pump and well contractors should provide this information. Please
retain these records so that in the event your property is sold or transferred, the new
Permittee will have this information.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit
an application to renew the permit three months prior to its expiration date. As indicated in the
permit, this permit is not transferable to any person without prior 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 Mr. Qu Qi at [phone] or me at
[phone].
Best Regards,
Michael Rogers
Environmental Specialist
cc: David May — Washington Regional Office
Central Office File — WI0700108
Monte Jefferson — Home Energy. Inc.
Attachment(s)
Aquifer Protection Section 1636 Mail Service Center
Ra1c gh. NC 27699-1636
Internet. http'.'Jwww.ncwaterqualiry.ore 2728 Capital Boulevard Raleigh, NC 27604
An Equal Opportunity/Affirmative Action Employer- 50% Recycled?10% Post Consumer Paper
N9"ithCarolina
Naturally
Telephone: [phone]
Fax 1: [phone]
Fax 2: (919) 7I5-6048
Customer Service: [phone]

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR LNJECTION
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
MILLARD BANKER
FOR THE CONSTRUCTION AND OPERATION OF 24 TYPE 5QM INJECTION WELLS,
defined in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of
operating a "direct expansion" type vertical closed -loop geothermal -mixed -fluid heat, pump
system. This system is located at 200 Castle Ridge Road, New Bern, Craven County, North
Carolina, and will be constructed and operated in accordance with the application received
October 9, 2007, and in conformity with the specifications and supporting data submitted, all of
which are filed with the Department of Environment and Natural Resources and are considered a
part of this permit.
This permit is for Construction and Operation only and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 1 SA North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until October 31,
2012 and shall be subject to the specified conditions and limitations set forth in Parts I through
IX hereof.
Permit issued this the 14 day of r,--k.e , 2007.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0700108 Page 2

PART I -WELL CONSTRUCTION GENERAL CONDITIONS
1. The Perinittee 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 pl,ans and specifications, and other supporting data.
3. Each injection well shall not hydraulically connect separate aquifers.
4. Each injection well shall not be located in an area generally subject to flooding. Areas that
are generally subject to flooding include those with concave slope, alluvial or colluvial
soils, gullies, depressions, and drainage ways.
5. Each injection well shall be secured to reasonably insure against unauthorized access and
use. Each well shall be permanently labeled with a warning that it is for injection purposes
and the ep.trance to each well must be secured with a locking cap.
6. Each injection well shall be afforded reasonable protection against dam.age during
construction and use.
7. Each geothermal well injection system shall have permanently affixed an
identification plate according to 2C .0213(g).
8. A copy of completed Well Construction Record (Form GW-1) must be submitted for each
injection well to: DENR-Division of Water Quality, Aquifer Protection Section UIC-Staff,
1636 Mail Service Center, Raleigh, NC 27699-1636, within 30 days of completion of well
construction. Per the requirements of 2C .0213(h), the original form must be submitted to
the address shown on the form. Copies of the GW-1 forms will be retained on-site and
available for inspection.
PART II -WELL CONSTRUCTION SPECIAL CONDITIONS
1. Prior to constructing the injection well system, the Pennittee or his agent shall test the pH of
the soil at a depth of three feet at the planned well location. If the resulting soil pH is less
than 6 standard units or greater than 11 standard units, the well system shall l?e equipped with
a compatible cathodic protection system. All testing results shall be kept on-site available
for inspection.
2. At least forty-eight ( 48) hours prior to constructing system, the Permittee shall notify the
Aquifer Protection Section's Underground Injection Control (UIC) Program Central Office
staff, telephone number [phone] and the Washington Regional Office Aquifer
Protection Section Staff, telephone number [phone].
Permit No. WI0700108 Page3
3. All underground tubing shall be refrigeration grade copper tubing.
4. Prior to installation, all tubing to be placed in boreholes ("loops") shall be checked for leaks
by pressurizing the loop to a gage pressure of at least 350 pounds per square inch (psig),
immersing the loop in water and examining it for leaks. Loops with leaks shall not be
installed.
5. Prior to installation, each loop shall be visually inspected for damage such as kinks, dents,
and scrapes. Each loop shall be checked to verify that the nitrogen charge applied to the loop
by the manufacturer before shipping is still present at a pressure of at least 300 psig. The
loop manufacturer shall be notified in the event of damage or pressure loss, and tp.e
manufacturer's instructions shall then be followed. The nitrogen charge may be released
only when the loop is installed and ready to be connected to the manifold.
6. Boreholes shall be large enough to allow insertion of the loop plus a tremie pipe for grouting.
7. After insertion of the tubing into the boreholes, an approved grout (as defined in Title 15A
North Carolina Administrative Code 2C .0100) shall be pumped via tremie pipe into the
annular space of each borehole so as to completely fill it from bottom to top.
8. All tubing junctions shall be brazed using lead-free brazing material. The brazing material
shall have a galvanic potential as close as practicable to that of the tubing material.
9. Dry nitrogen shall be circulated through the tubing during brazing to prevent oxidation.
10. After installation and prior to operation of the system, a mechanical integrity test shall be
conducted by pressurizing the injection well system to 400 psig with dry nitrogen and
monitoring for leaks using an ultrasonic or other leak detector of equal sensitivity and
monitoring pressure in the system for at least 2 hours. Alternatively, an equivalent vacuum
test is acceptable. Any pressure fluctuation other than that due to thermal expansion and
contraction of the testing medium shall be considered a failed mechanical integrity test. Any
leaks shall be located and repaired prior to charging the system with refrigerant. This testing
data will be recorded on the attached Mechanical Integrity Test Record Form and
submitted to the Aquifer Protection Section at least 24 (twenty.;four) hours prior to the
initiation of the operation of the facility for injection. A copy of this form will also be
retained on-site for inspection.
11. The location of each of the system manifolds shall be recorded by triangulation from two
permanent features on the site (e.g., building foundation comers). The Permittee shall retain a
copy of the triangulation records. The Permittee shall also submit a copy of the
triangulation records to the Aquifer Protection Section within 30 days of completion of
well construction.
Permit No. WI0700108 Page4
12. The written documentation re quired in Part II , p aragraphs (l O) and (11) shall be submitted to:
,Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Fax Number [phone]
PART III -OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials and rate of
injection, as described in the application and other supporting data.
2. This permit is not transferable without prior notice to, and approval by, the Director of the
Division of Water Quality (Director). In the event there is a desire for the facility to
change ownership, or there .is a name change of the Permittee, a formal permit amendment
request must be submitted to the Director, including any supporting materials as may be
appropriate, at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Pennittee of the responsibility of
complying with any and all statutes, rules, regulations, or ordinances , which may be
imposed by other local, state, and federal agencies, which have jurisdiction. Furthermore,
the issuance of this permit does not imply that all regulatory requirements have been met.
PART IV-PERFORMANCE STANDARDS
1. The injection facility shall be effectively maintained and operated at all times so that there
is no contamination of groundwater that will render it unsatisfactory for normal use. In the
event that the facility fails to perform satisfactorily, including the creation of nuisance
conditions or failure of the injection zone to adequately assimilate the injected fluid, the
Permittee shall take immediate corrective actions including those actions that may be
required by the Division of Water Quality such as the repair, modification, or abandonment
of the injection facility.
2. The Permittee shall be required to comply with the terms and conditions of this permit
even if compliance requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages
to surface or groundwater resulting from the operation of this facility.
PART V -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
PermitNo. WI0700108 Page 5
2. The Permittee must notify the Division and receive prior written approval from the
Director of any planned physical alterations or additions in the permitted facility or activity
not specifically authorized by the permit.
3 . At least forty-eight ( 48) hours prior to the initiation of the operation of the facility for
injection, the Permittee must notify by telephone the Aquifer Protection Section's
Underground Injection Control (UIC) Program Central Office staff, telephone number
[phone]. Notification is required so that Division staff can inspect or otherwise
review the injection facility and determine if it is in compliance with permit conditions.
PART VI -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality
may, upon presentation of credentials, enter and inspect any property, premises, or place
on or related to the injection facility at any reasonable time for the purpose of determining
compliance with this permit, may inspect or copy any records that must be maintained
under the terms and conditions of this permit, and may obtain samples of groundwater,
surface water, or injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection,
observation, and sampling associated with injection and any related facilities as provided
for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated
with the injection facility activities.
PART VII -MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (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 or first
knowledge of the occurrence, to the Washington Regional Office, telephone number (252)
948-3939, any of the following:
(A) Any occurrence at the injection facility that results in any unusual operating
circumstances;
(B) Any failure due to known or unknown reasons that renders the facility incapable of
proper injection operations, such as mechanical or electrical failures;
(C) Any loss ofrefrigerant in the system, regardless of the origin of the loss;
(D) Any recharging of the refrigerant system.
Permit No. WI0700108 Page 6
3. Where the Pennittee 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 Pennittee.
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 VIII -PERMIT RENEWAL
The Permittee shall, at least 90 days prior to the expiration of this permit, request an
?
extension.
PART IX -CHANGE OF WELL STATUS
1. The Pennittee shall provide written notification within 15 days of any change of status of
an injection well. Such a change would include the discontinued use of a well for
injection. If a well is taken completely out of service temporarily, the Permittee must
install a· sanitary seal. . If a well is not to be used for any purpose that well must be
permanently abandoned according to ISA NCAC 2C .0213(h)(l), Well Construction
Standards.
2. When operations have ceased at the facility and a well will no longer be used for any
purpose, the Pennittee shall abandon that injection well in accordance with the procedures
specified in ISA NCAC 2C .0214, including but not limited to the following:
(A) All casing and materials may be removed prior to initiation of
abandonment procedures if the Director finds such removal will not be
responsible for, or contribute to, the contamination of an underground
source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure
freedom from obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director
determines that failure to do so could lead to the contamination of an
underground source of drinking water.
(D) Each well shall be completely filled with cement grout, which shall be
introduced into the well through a pipe which extends to the bottom of the
well and is raised as the well is filled.
(E) In the case of gravel-packed wells in which the casing and screens have
not been removed, the casing shall be perforated opposite the gravel pack,
at intervals not exceeding 10 feet, and grout injected through the
perforations.
Permit No. WI0700108 Page 7
(F) In those cases when, as a result of the injection operations, a subsurface
cavity has been created, each well shall be abandoned in such a manner
that will prevent the movement of fluids into or between underground
sources of drinking water and in accordance with the terms and conditions
of the permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30)
as specified in 15A NCAC 2C .0213(h)(l) within 30 days of completion
of abandonment.
3. The written do9umentation required in Part IX (1) and (2) (G) shall be submitted to:
Permit No. WI0700108
Aquifer Protection Section-DIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Fax telephone number [phone]
Page 8
Mechanical Integrity Test Record
(For SQM Geothermal Heat Pump Injection Well System)
Owner/Permittee Name: Permit Number: WI ------------------------
Facility Address: _____________________________ _
Home Phone: Cell Phone:
Heat Pump Contractor Name: __________________________ _
Office Phone: Cell Phone: ------------------"-c..==...=-=='-'-------------
T ester Name: ______________ Signature: ______________ _
Date of Test: --------
Loo p Initial Pressure (p si) Final Pressure·(p si) Duration (minutes)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Any additional loop testing add to back of this form
Comments:
Pass (Y es or No )
---------------------------------
Other Test Methods and Results:
This form must be filled out and signed by the tester. The record must be received by Aquifer Protection Section 24 hours
prior to the initiation of the operation of the facility. You can send the form by mail: UIC Program, Mail Service Center 1636,
Raleigh, NC 27699 or by fax: [phone].
Loo p Initial Pressure ( p si) Final Pressure ( p si) Duration (minutes) Pass (Yes or No)
,.
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
Date: October 23 , 2007
To: Aq uifer Protection Section Central Office
Central Office Reviewer: Michael Rogers
Regional Login No: __ _
County: Craven
Permittee: Banker
Project Name: Millard F. Banker UIC
Application No.: WI0700108
L GENERAL INFORMATION
1. This application is (check all that apply): [ZJ New D Renewal
D Minor Modification O Major Modification
D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon
0 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 D Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? [ZJ Yes or D No.
a. Date of site visit: October 23 . 2007
b. Person contacted and contact information: Mr. Monte Jefferson (919.366.0261 )
RECEIVED/ DENR / owa .
AQUIFF.R.·PROTt=CTION ~F1CTION
c. Site visit conducted by: Allen H. Clark. OCT 3 0201m
d. Inspection Report Attached: [8J Yes or D No.
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 cun-ent application.
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: __
2. Are the new treatment facilities adequate for the type of waste and disposal system?
0 Yes D No [8J N/ A. If no, please explain: __
3. Are the new site conditions (soils , topography, depth to water table, etc) consistent with what was reported by
the soil scientist and/or 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 [8J No D NIA. Ifno, please explain: __
5. Is the proposed residuals management plan adequate and/or acceptable to the Division. D Yes D No [ZJ
NI A. If no, please explain: __
6. Are the proposed application rates for new sites (hydraulic or nutrient) acceptable?
D Yes D No [8J NI A. If no, please explain: __
7. Are the new treatment facilities or any new disposal sites located in a 100-year floodplain?
FORM: Banker UIC APS Staff Report
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
D Yes D No [gl NIA. If yes, please attach a map showing areas of 100-year floodplain and please explain
and recommend any mitigative measures/special conditions in Part N: __
8. Are there any buffer conflicts (new treatment facilities or new disposal sites)? D Yes or [gl 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 !ZI NIA. 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 [gl N/A If yes, attach list of sites
with restrictions (Certification B?)
III. RENEWAL AND MODIFICATION APPLICATIONS (use previous section for new or maior modification
s1 1stems ): NIA
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells, and heat
pump injection wells.)
Description Of Well(S) And Facilities -New, Renewal. And Modification
1. Type of injection system:
D Heating/cooling water return flow (5A7)
[gl Closed-loop heat pump system (5QM/5QW)
D In situ remediation (SI)
D Closed-loop groundwater remediation effluent injection (5L/"Non-Discharge")
D Other (Specify: )
2. Does system use same well for water source and injection? D Yes
3. Are there any potential pollution sources that may affect injection? D Yes
!ZI No
IZI No
4. What is the minimum distance of proposed injection wells from the property boundary? 5 ft.
5. Quality of drainage at site: !ZI Good D Adequate D Poor
6. Flooding potential of site: [gl 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)? [gl 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.
FORM: Banker UIC APS Staff Report 2
AQUIFER PROTECTION SECTION REGIONAL STAFF REPORT
V. EVALUATION AND 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? D Yes 1:8'.l 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: None
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: None
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
One well identification tag per "cluster" of wells In compliance with 15A NCAC 2C .02 l 3(g).
shall be permanently affixed to the heating and
cooling unit, in a clearly visible location.
Applicant must submit accurate site drawings Drawings may be required to locate well heads
showing the locations of wells, and other in the future.
pertinent site information, pending installation.
7 . Recommendation: D Hold, pending receipt and review of additional information by regional office; 1:8'.l Hold,
pending review of draft permit by regional office; D Issue upon receipt of needed additional information; D
Issue; D Deny. If deny, please state reasons: ~ afo..
8. Signature ofreport preparer(s): _____ pr ___________________ _
Signature of APS regional supervisor: ~C)~~i,-V\~~~J~~Cl\-d..,.---------------
Date: ( c:>-?---~ -0 'r
ADDITIONAL REGIONAL STAFF REVIEW ITEMS
It appears that the requirements of 15A NCAC 2C .0211 have not been satisfied, namel y 2C .021 l (d )(l)(D )(i ).
(E). and (G). However. it is this office's understanding that construction of the s ystem will follow standardized
construction practices and submittal of the referenced information is not required p rior to permit issuance.~ A
~~·~
FORM: Banker UIC APS Staff Report 3
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Permit: WI0700108
SOC:
County: Craven
Region: Washington
Effective:
Effective:
Contact Person: Millard F Banker
Directions to Facility:
Compliance Inspection Report
Expiration:
Expiration:
Title:
Owner: Millard F Banker
Facility: Millard Banker
200 Castle Ridge Rd
New Bern NC 28562
Phone:
From Intersection of Hwy 70 and Country Club Rd. Head south for 1 mile on Country Club Rd . Tum left onto Batts Hill Rd. Go approx .
. 5 mile, turn right onto River Lane and then right onto Castle Ridge Rd . Site is first house on the right.
System Classifications:
Primary ORC:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
I nspectlon Date: 10/23/2007
Primary Inspector: Allen Clark
Secondary lnspector(s):
Certification: Phone:
Entry Time: 02:15 PM Exit Time: 02:45 PM
Phone:
Reason for Inspection: Routine Inspection Type: IU Non-Sampling
Permit Inspection Type: Injection Mixed Fluid GSHP Well System (SQM)
Facility Status: ■ Compliant O Not Compliant
Question Areas:
■Wells
(See attachment summary)
Page : 1
Permit: WI0700108
Inspection Date: 10/23/2007
Inspection Summary:
Owner -Facility: Millard F Banker
Inspection Type: IU Non-Sampling
Inspection conducted as part of permit review. No problems observed.
Reason for Visit: Routine
Page: 2
Millard Banker UIC WI0700108
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NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A
WELL(S) FOR INJECTION WITH A HEAT PUMP SYSTEM
Type 5A7 and 5QM Wells
In Accordance with the provisions of NCAC Title 15A: 02C.0200
Complete application and mail to address on the back page.
TO: DIRECTOR, NORTH CAROLINA DIVISION OF WATER QUALITY
DATE: Sip` 7 , 2f] t 7
A. SYSTEM CLASSIFICATION Please check colutnn which matches proposed system.
(1)
(2)
(3)
Type SA7 wells inject water used to provide heating or cooling for structures.
Type 5QM wells contain a subsurface system of continuous piping, that is
isolated from the environment and circulates a fluid other than potable water.
This includes systems that circulate additives such as antifreezes and/or corrosion
inhibitors.
Type 5QW welts contain a subsurface system of continuous piping, that is
isolated from the environment and only circulates potable water. If you selected
this well type, then complete form GW-57 CL. Notification Of Intent To
Construct A Closed -Loop Geothermal -Water Only Injection Well System.
B. PERMIT APPLICANT !�
Name: — /Ii/// LPL] I emuk& -
Address: Ot›p FAST Cf, .. K 1i3q; (ref ]
City: 1 w t3 pJ State: jV C Zip Code: 285(a County: L ZA-Vt I
Telephone: _ )sa. - W53 "iilip9.0
C. PROPERTY OWNER (if different from applicant)
Name: A-4 r
Address:
City: Sate: Zip Code: County:
Telephone:
D. STATUS OF APPLICANT
Private: Irf Federal: Commercial:
State: Municipal: Native American Lands:
Revised 5/05
G W/UIC-57 HP Page 1 of 4

E. FACILITY (SITE) DATA
(Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial).
Name of Business or Facility:
Address:
City:
Telephone:
Contact Person:
F. HEAT PUMP CONTRACTOR DATA �y�
Address: )
City: t_t_rtj _ f . Zip Code: ? z 5- I County: L t30 -- -- ff
Telephone: g 161 - 5 h ' e' 1 Contact Person:
Name:
County:
G. lljf3ECTION PROCEDURE (Briefly describe how the injection wells) will be used.)
H.. WELL USE Will the injection wells' also be used as the supply well(s) for the following?
(1) The injection operation? A YES
(2) Personal consumption? YES
L CONSTRUCTION DATA (check one)
EXISTING WELL bein p . po ed for use as an injection well. Provide the data in
(1) through (7) belo ee)t of your knowledge. Attach a copy of Form GW-
1 (Well Construction ec ) available.
PROPOSED WELL to be constructed for use as an injection well. Provide the
data in (I) through (7) below as PROPOSED construction specifications. Submit
Form GW-1 after constructior.
NO
NO
(1) Well Drilling Contractor's Name:
NC Contractor Certification number.
(2) Date to be constructed: _ ? - C?Number of borings: .2 l
(3)
Approximate depth of each boring (feet):
Well casing: Is the well(s) cased?
(a) YES If yes, then provide the casing information below.
Type: Galvanized steel Black steel
Casing depth: From _ to
Casing extends above ground
(b) NO
inches
Revised 5/05 GW/UIC-57 HP
ther (specify)
e to land surface)
Page2of4

(4)
(5)
(6)
(7)
Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite ✓ Other (specify) ______ _
(b) Grouted surface and grout depth (reference to land surface): <f?.
()•'v1
__ around closed loop piping; from ___ to ___ (feet ....
_ around well casing; from _Q_ to 5 0 (feet). f~ ~ ,J {~
Screens (for Type SA 7 wells) j -(9n,~ ,~rii:; _ 1 -{)\
(a) Depth:From __ to-#/Awgroundsurface. {~I
N.C. State Regulations (Title 15A NCAC 2C ~0 00) require the permittee to make provisions
for monitoring wellhead processes. A ~~~~i°~-~ influent (fluid entering heat pump) and
effluent (fluid being injected into the we~"i J,r,uired. Will there be a faucet on:
(a) theinfluentline? yes __ no__ (b) theeftluentline? yes __ no __
Attach a copy of Form GW-1 (Well Co~· cord). If Form GW-1 is not available,
SOURCE WELL CONSTRUCTION INFO~~ (if different from injection well).
provide the data in part K (1) of this app]jl4{o, · to the best of your knowledge.
NOTE: THE WELL DRILLING CONTRACTOR CAN SUPPLY THE DATA FOR EITHER EXISTING OR
PROPOSED WELLS IF THIS INFORMATION IS UNAVAILABLE BY OTHER MEANS.
J. PROPOSED OPERATING DATA (for Type SA7 wells)
(1)
(2)
(3)
(4)
Injection rate:
Injection Volume:
Injection Pressure:
Average ( d;il ➔ gallons per minute (gpm).
Avera~(f "(yJL__ gallons per day (gpd).
AvetMd ·{yj. _ pounds/square inch (psi).
Injection Temperature: Average (January) ___ ° F, Average (July) __ ° F.
K. INJECTION FLUID DATA
(1) Fluid source (for Type SA7 wells) If underground, from what depth, formation and type of
rock/sediment unit will the fluid be drawn (e.g., granite, limestone, sand, etc.).
Depth: ______ Formation: _____ Rock/sediment unit: _____ _
(2) Chemical Analysis of Source Fluid (for Type SQM wells)
Provide a complete listing of all chemicals added to the circulating heat transfer fluid:
r,~2 ~ern-,·c.re..ctJ..-J · (2,4,½i
L. INJECTION-RELATED EQUIPMENT
Attach a diagram showing the engineering layout of the injection equipment and exterior piping/tubing
associated with the injection operation. The manufacturer's brochure may provide supplementary
infonnation.
M. LOCATION OF WELL(S) Attach two maps.
Revised 5/05 GW/UIC-57 HP Page 3 of4
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 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 one mile from the property boundaries and
indicate the facility's location and the map name.
N. PERMIT LIST: Attach a list of all permits or construction approvals that are related to the site.
Examples include:
(1) Hazardous Waste Management program permits under RCRA
(2) NC Division of Water Quality Non -Discharge permits
(3) Sewage Treatment and Disposal Permits
O. CERTIFICATION
"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."
If authorized agent is acting an behalf of the well owner,
please supply a letter signed by the owner authorizing the above agent.
P. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other property
rights in the well being constructed. A well is real property and its construction on land rests
ownership in the landowner in the absence of contrary agreement in writing.)
If the property is owned by someone other than the applicant, the property owner hereby consents to
allow the applicant to construct each injection well as outlined in this application and that it shall be
the responsibility of the applicant to ensure that the injection well(s) conforms to the Well
Construction Standards (Title 15A NCAC 2C .0200)
•
(Signature Of Property Owner If Different From Applicant)
Please return two copies of the completed Application package to:
UIC Program
Aquifer Protection Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
Revised 5/05 GWIUIC-57 HP Page 4 of 4

MapQuest: Maps, Addresses, Business Directory & Satellite Photos
Page 1 of 1
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New Bern NC
28562-7384 US
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Page 1 of 1
air
200 Castle Ridge Rd
New Bern NC
28562-7384 US
Notes:
Only text visible within note field will print.
All rights reserved. Use Subject to License/Copyright
This map is Informational only. No representation is made or warranty given as to its content. User assumes all
risk of use. MapQuest and its suppliers assume no responsibility for any foss or delay resulting from such use.
http.//www.mapquest.com/maps/print adp?mapd.ata=IgGhLx%252bMihDXszzdj Q5 SRq!R... 1411 /2007

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RE: W10500169 (Maloney) W10700108 (Banker)
Subject: RE: WI0500169 (Maloney) WI0700108 (Banker)
From: "Brad Scheel" <[e-mail]>
Date: Fri, 12 Oct 2007 13:54:48 -0400
To: "'Michael Rogers"' <[e-mail]>
Hey Mike,
Sorry about that. We will be grouting from the bottom to the top of all
boreholes. Please let me know if you have any other questions.
Thank You,
Saving The Planet One Horne At a Time
Bradley Scheel
Home Energy, Inc.
PO Box 238
Wendell, NC 27591
[phone]
[phone] (Fax)
bradEr ruwarm.com
DX Geothermal Heat Pumps
Custom Structures built with Structurally Insulated Panels (SIPS)
Solar Hot Water Solutions
Radiant Flooring
Spray Foam
Original Message
From: Michael Rogers [rnailto:Michael.Rogers(u ncmail.netj
Sent: Friday, October 12, 2007 1:31 PM
To: Brad(rr,RUWarm.corq Monteu'ruwarm.com
Subject: WI0500169 (Maloney) W1070QJOr2 Ma-WM
Brad -
You left off the applications for the above the depth of grout. Please
respond to this email with the grout info and we will attach to the
applications and continue to process.
Thanks
1 of 2 10/12/2007 1:55 PM

INFORMATION
PARCEL ID: 8-204-5 -135
Owner:
Mailing Address:
Address of Property:
Property Description:
BANKER, MILLARD F & LISA E
200 CASTLE RIDGE RD
NEW BERN NC 28562
200 CASTLE RIDGE RD
135 OLDE TOWNE BATS HILL SCT IV-A
Page 1 of 1
Assessed Acreage: 0.000 Calculated Acreage: 0.651
Deed Book Page: 1687 0558 Deed Recerding Date (m d y): 3 30 1999
Recorded Survey:
Estate File (Will) Year-E-Folder:
Total lmprovement(s) Value:
Number of Improvements:
City Name:
Drainage District:
Special District:
$327,500
3
New Bern
Life Estate Deed Book & Page:
Land Value:
Total Value:
Tax Exempt (YES/NO):
Fire Tax District:
Lot Description:
Land Use:
Craven County does NOT warrant the information shown on this page and
should be used ONLY for tax assessment purposes. October 12 , 2007 3:03 :35 PM
http://gismaps.cravencounty.com/maps/map _ cama.asp?pid=8-204-5 -135
$81,250
$408 ,750
NO
RESIDENTIAL -ONE FAMILY
UNIT
10/12/2007
MAPS
Page 1 of 1
4 1
2
fire 1
1
Pub,rc GIS webscte. Updated Tuesday 2, 2007
County Landuse Zoning ann Height Control adjacent to Craven Regional
Layers-Misc:ellwwogs
# 1 o 1- afi1 1 9
CITY -
PRINT LAYOUT:
, iJ9 !., 00411 TITLE:
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rp
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N.
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,a,eo 74175 79,arOs
MAP LEGEND:
y Roe � 2 �, ( YES r NO
they 8..,. 5k r
i� nr 62 -se LABEL PARCELS BY (optional):
f �
,i°� � c/..), 1
Nr
.r6, ry Preview Map
11,
SELECTED PARCEL a 8-204-5 -135
October 12, 2007 3:03:32 PM
Craven County does NOT warrant the
information shown on this page
and should be used ONLY for tax assessment
purposes.
0r i 18011
http://gismaps.cravencounty.comlmaps/map. asp?cmd=ZOOMPARCEL&msize=S&tool=... 10/12/2007

RE: WI e>700108 (Banker)
Subject: RE: WI 0700108 (Banker)
From: "Brad Scheel" <[e-mail]>
Date: Wed, 31 Oct 2007 10:48:21 -0400
To: "'Michael Rogers"' <[e-mail]>
Hey Mike,
Yeah I realized that after your last e-mail. There were four that I
submitted at the same time with the exact same mistake. I have corrected
that on the new submissions.
For Millard Banker please accept this as confirmation that we will be
grouting from 0-50 Ft.
Also, if possible, can you please keep a look out for the Well Permit on
Wilson Tech and let me know if anything needs to be done. This is a huge
project with tight tirnelines, and I would hate to hold it up because we have
not given you everything you need.
Thanks for looking out for us. Have a great day!
Saving The Planet One Horne At a Time
Bradley Scheel
Horne Energy, Inc.
POBox238
Wendell, NC 27591
[phone]
[phone] (Fax)
brad(m ruwann.corn
DX Geothermal Heat Pumps
Custom Structures built with Structurally Insulated Panels (SIPS)
Solar Hot Water Solutions
Radiant Flooring
Spray Foam
-----Original Message-----
F rom: Michael Rogers f rnailto:Michael.Ro gers (a),ncrnail.net]
Sent: Wednesday, October 31, 2007 10:38 AM
To: Brad Scheel; Monte @ruwarm.com
RE: WI 0s,700108,(Banker)
Subject: WI 0700108 (Banker)
You left off again the depth of the grout on the application. I know
it will probably be from 0 to TD, but we need that info to put on the
application for our records.
Please respond to this email to confirm extent of grout will be from 0
to 50 feet.
Thanks
AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM
Date: October 12.2007
To: ❑ Landon Davidson, ARO-APS
❑ Art Barnhardt, FRO-APS
El Andrew Pitner, MRO-APS
El Jay Zimmerman, RRO-APS
From: Michael Rogers Groundwater Protection Unit
Telephone: [phone]
E-Marl: Michael.Ro2ersccmail.net
David May, WaRO-APS
❑ Charlie Stehman, WiRO-APS
❑ Sherri Knight, W-SRO-APS
Fax: [phone]
A. Permit Number: WI 0700108
B. Owner: Millard Banker
C. Facility/Operation:
® Proposed El Existing
❑ Facility El Operation
D. Application:
1. Permit Type: El Animal ❑ SFR-Surface Irrigation❑ Reuse ❑ H-R Infiltration
El Recycle ❑ WE Lagoon ❑ GW Remediation (ND)
• UIC - (5QM) closed loop mixed fluid geothermal
For Residuals: ❑ Land App. ❑ D&M ❑ Surface Disposal
❑ 503 El 503 Exempt ❑ Animal
2. Project Type: ® New ❑ Major Mod. ❑ Minor Mod. El Renewal ❑ Renewal wl Mod.
E. Comments/Other Information: ❑ I would like to accompany you on a site visit
NOTE:
Attached, you will find all information submitted in support of the above -referenced. application for your
review, comment, and/or action. Within 14 calendar days, please take the following actions:
® Return a Completed APSARR Form.
❑ Attach Well Construction Data Sheet.
❑ Attach Attachment B for Certification by the LAPCIJ.
El 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 fur_•,
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.
J
RO-APS Reviewer: 1111 h )1, t't\ (ICr `_ , Date: /0
FORM: APSARR O7106 Page 1 of 1

A Q UIFER PROTECTION SECTION
APPLICATION REVIEW RE QUEST FORM
Date: October 12 . 2007
To: D Landon Davidson, ARO-APS
□ Art Barnhardt, FRO-APS
D Andrew Pitner, MRO-APS
0 Jay Zimmerman, RRO-APS
IZI David May, WaRO-APS
□ Charlie Stehman, WiRO-APS
□ Sherri Knight, W-SRO-APS
From: Michael Ro 2:ers Groundwater Protection Unit
Telephone: [phone] Fax: [phone]
E-Mail: Michael.Ro [e-mail]
A. Permit Number: WI 0700108
B. Owner: Millard Banker
C. Facility/Operation: __
IZI Proposed D Existing D Facility D Operation
D. Application:
I. Permit Type: D Animal D SFR-Surface Irrigation□ Reuse D Ha.R Infiltration
D Recycle D 1/E Lagoon D GW Remediation (ND)
iZI UIC-(5QM) closed loop mixed fluid geothermal __
For Residuals: D Land App. D D&M D Surface Disposal
D 503 D 503 Exempt D Animal
2. Project Type: IZI 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.
NOTE:
Attached, you will fmd all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within 14 calendar days, please take the following actions:
IZI Return a Completed APSARR Form.
D Attach Well Construction Data Sheet.
D Attach Attachment B for Certification by the LAPCU.
D Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and 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
Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins Director
Division of water Quality
October 12, 2007
MILLARD BANKER
200 CASTLE RIDGE ROAD
NEW BERN, NC 28562
Subject: Acknowledgement of Application No. WI0700108
Millard Banker
Injection Mixed Fluid GSHP Well System (5QM)
Washington County
Dear MR. BANKER.
The Aquifer Protection Section of the Division of Water Quality (the Division) acknowledges receipt of
your permit application and supporting materials on October 9, 2007. This application package has been
assigned the number listed above and will be reviewed by Michael Rogers.
The reviewer will perform a detailed review and contact you with a request foradditional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests
your assistance in providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior
to final action by the Division. Please also note at this time, processing permit applications can take as
long as 60 - 90 days after receipt of a complete application.
If you have any questions, please contact Michael Rogers by phone at [phone] or by email at
[e-mail]. 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 http://h2o.enr.state.nc.us/documentsldwu orachart.i df
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES
ON THIS PROJECT
Sincerely,
For Debra J. Watts
Supervisor
cc: Washington Regional Office, Aquifer Protection Section
Permit Application Pile WI0700108
Aquifer Protection Section 1636 Mail Service Center
internet: www.newatereualitv.ore Location: 2728 Capital Boulevard
An Equal Opportunity/Affirmative Action Employer— 5O% Recycled/10% Post Consumer Paper
NQvz
tliCarolina
atura!!i
Raleigh, NC 27699-1636 Telephone- [phone]
Raleigh, NC 27604 Fax 1: (919) 7 1 5-0588
Fax 2_ (DM 715-6048
Customer Service! [phone]