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Home My WebLink AboutWI0700138_GEO THERMAL_20090518Permit Number WI0700138 1 Program Category Ground Water Permit Type Central Files: APS_ SWP_ 05/18/09 Permit Tracking Slip Status In review Version Project Type New Project Injection Water Only GSHP Well System (5QW) Permit Classification Individual Primary Reviewer michael.rogers Coastal SW Rule Permitted Flow Facilit Facility Name Linden Street Location Address 202 Linden St New Bern Owner Owner Name Bruce Dates/Events NC 28560 Edwar Carter d Orig Issue App Received Draft Initiated 05/18/09 Re g ulated Activities Outfall NULL Waterbody Name Permit Contact Affiliation Major/Minor Minor Region Washington County Craven Facility Contact Affiliation Owner Type Individual Owner Afflllatlon Bruce Edward Carter Owner 202 Linden St New Bern NC 28560 Scheduled Issuance Public Notice Issue Effective Expiration Stream Index Number Current Class Subbasin RA NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Mr. Bruce Carter Mrs. Junko Carter 202 Linden St. New Bern, NC 28560 Coleen H. Sullins Director 5/18/2009 Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System Permit No. WI0700138 202 Linden St. New Bern, NC 28560 Dear Mr. & Mrs. Carter: Dee Freeman Secretary In accordance with the application submitted to the Underground Injection Control (UIC) Program that was received on 05/18/2009, the Aquifer Protection Section (APS) acknowledges your intent to construct a closed-loop geothermal water- only injection well system for the operation of a ground-source heat pump located at 202 Linden St., New Bern, Craven County, NC 28560. This system is deemed permitted by rule (North Carolina Administrative Code Title 15A, Subchapter 2C, Section .021 l(u)(2)). However, it is recommended that you contact the Craven County Health Department, as they may have additional construction or permitting requirements for this type of system. If you modify your system at any time, including the addition of antifreeze, corrosion inhibitors, or any other substances to the circulating fluid, you must contact the APS to verify compliance with applicable rules. Thank you for submitting this notification. If you have any questions please call me at (919) 715-6166. ~· '~-~ .for Mic!ff Rogers Environmental Specialist GPU-Aquifer Protection Section cc: Washington Regional Office -APS Climate Control Heating & Cooling Co., Inc. (Mike Hadley, 102 Middle St., Jacksonville, NC 28546) APS Central Files -Permit No. WI0700138 Craven County Health Dept. AQUIFER PROTECTION SECTION 1636 Mai l Service Center, Raleigh, North Carolina 27699-1636 Location: 2728 Capital Boulevard, Raleigh, North Carol_ina 27604 Phone: 919-733-3221 \ FAX 1: 919-715-0588; FAX 2: 919-715-6048 \ Customer Service: 1-877-623-6748 Internet: www.ncwaterguality.org An Equal Opportunity I Affirmative Action Employer 0~1-.c 1· No1u1 aro 1na /vaturallff 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-OW WELL(S) In Accordance with the provisions of NCAC Title 15A: 02C.0200, please complete this notification and mail to address on the back page (please Print or Tyke information). DATE: MaL 12, 2009 Well Type Confirmation: Does the proposed system circulate potable water onl\ (no additives) in continuous piping that completely isolates the fluid from the environment (i.e. closed-loov)? Yes !x_ Continue completing this form. No Do Not complete this form. Complete other [TIC application forms for installing either a 5A7 well (open -loop well injectin potable water into the aquifer) or a 5QM well (closed - loop well containing additives such as R-22, ethanol, or other antifreeze or corrosion inhibitors). A. PROPERTY OWNERS)/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 wiauthority for signature): Mr. & Mrs. Bruce Carter (1) Mailing Address 202 Linden St, City: New Bern State: NC„ Zip Code: 28560 County: Craven Home/Office Tele No.: 252-635-1644 Cell No.: Email Address: (2) Physical Address of Well Site (if different than above): City: _ _ State: Zip Code: . —County- Home/Office Tele No.: Cell No.: 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: Contact Person: EMAIL Address: Address: City: State: Zip Code: County: Office Tele No.: Cell No.. Website Address of Company, if any-. AQ(j{F�R�R+1Tt".ifflt,+;"C'f' ON LOT MAY x B 2009 C. WELL DRILLER INFORMATION Company Name: Coastal Geothermal Well Driller Contractor's Name: Sanford Sweeting NC Contractor Certification No.: NC 2082 Contact Person: Mike Hadlev EMAIL Address: mhadley(a),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: _ Climate Control Heating & Cooling Co., Inc. Contact Person: Mike Hadley EMAIL Address: mhadley@ bizec.rr.com Address: 102 Middle St. City: Jacksonville State: NC Zip Code: _28546 __ County :...,Ons=l=ow.,__,__ __ Office Tele No.: __ 910-353-9040 __ Cell No.: _910-376-1100_ E. STATUS OF APPLICANT Private: _X_ Federal: Commercial: State: Municipal: __ Native American Lands: F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used) Closed Loop Geothermal Heat Transfer Systems G. WELL CONSTRUCTION DATA (1) Proposed date to be constructed: _May/June -2009 ___ Number of borings: _6 __ _ Approximate depth of each boring (feet): __ 250 _____ _ (2) Type of tubing to be used (copper, PVC, etc): _High Density Polyethylene_X (3) Well casing. Is the well(s) cased? (check either (a.) Yes m: (b .) No below) (a) Yes ___ if yes, then provide casing information below Type: ___galvanized steel __ black steel__plastic __ other (specify) Casing depth: From ___ to __ _,efeet (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) 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. 1. LOCATION QF 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 appear -big 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 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 condit� f the Permit.,, Si-9 ure of Property Owner/Applicant 01._L)0e_ OA--Y—tlL Print or Type Full Name and tide �— Signature of Property Owner/Applicant Print or Type Full Name and title Signature of Authorized Agent, if any Print or Type Full Nance 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 RECENEQ Telephone (919) 715-6935 A001Ft=�'e � � MAY 1 M 2009 Print - Maps Page I of I Live Search Maps 202Linden 5t, New Bern, NC 28560- 4927 My Notes FREE! Use LHre Search 411 to find movies, businesses & more: :ROD-CALL-411. Virtual Earth' {; •f n� 5% SS But 7C 771 : mr ` - tte'rres E:R tier V-l-tvai Earth - rill" i D �1iaSClii i�ipli FglkR A G lcw-t i , 'YI11R1r[ New Burn, rient Wrwxls Har�nu l D e ranihama _ oi'n�rrrQ�l�IpA ,t�uteq ii 620M Maytag Eg MUG Morowft http:llmap s.l ive. comlpri nt, aspx?mkt—en-u s&z =17& sue& cp--p-vj b918kdckj &poi --202°/a2OL... 5/ 15/2009 Prbp b-se-P F"- S j- k'- CA- (-A-t-e� .z L- t a e Aj L�se'a 5,11— CkIllip�..Geothermal Closed Loop Geothermal }feat Transfer Systems Mike Hadley, CGD Certified GwExdmW Designer IGSHPAAccredited trainer & imtaller 910-353-0926 102 Middle Street Fax: 910-353-1060 Jacksonville, NC 28546 mhadloy@bizec,rr.com