WI0700166_GEO THERMAL_20100611

AWA
NCDEMR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. James L. Cornette, PG, CWD
ARM' s Waterworks
Post Office Box 882
Hampstead, North Carolina 28443
RE: Zimmer and Collins Residence
UIC Permit WI0700166
Coleen H. Sullins
· Director
June 11, 2010
Dee Freeman
Secretary
Closed-Loop Geothermal Water-Only Injection Well System (Type 5QW)
2182 B Stokes Road
Greenville, Pitt County, NC
Dear Mr. Cornette:
The Washington Regional Office appreciates your response to our letter dated March 29, 2010,
and, we appreciate your concern for the state's groundwater resources. The details of the
geothermal loop installation activities demonstrate that precautions were taken to avoid any
potential problems. We also share your concern for the lack of buffers/setbacks within the UIC
rules. As you may or may not be aware, the Aquifer Protection Section is in the process of
revising the UIC rules and will be conducting stakeholders' meetings on June 16 and June 23
(the first meeting was held Wednesday, June 9). The Section would appreciate hearing your
concerns regarding the impending changes and how they might affect the industry. Please feel
free to contact me for stakeholder meeting details; or for contact information for Central Office
staff if you are unable to attend and would still like to provide comment.
The homeowner(s) may wish to retain a copy of the final site map showing the location of the
well points, for future reference. The Pitt County Health Department may also be interested in
a copy of the final drawing for their records. The Aquifer Protection Section will consider this
North Carolina Divis ion of Water Quality
943 Washington Square Mall
Washington, NC 27889
Internet: www.ncwaterguali rv.orn
Phone: [phone]
FAX [phone]
An Equal Opportunity/Affirmative Action Employer -50% Recycled/10% Post Consumer Paper
NirthCarolina
lVatural/11 RecE1vEo, oENR, owa
Aquifer Protection Section
JUN 16 2010
Mr. James L. Cornette
WI0700166
June 11, 2010
Page 2
matter closed, and will not request any further information. Thank you again for your concern,
and your cooperation. Please do not hesitate to contact me at 252-948-3911 if I may be of
assistance.
Will Hart, Hydrogeologist
Aquifer Protection Section
Washington Regional Office
cc: Mr. Brent Zimmer and Ms. Sharon Collins 2182 B Stokes Rd., Greenville, NC 27858
Mr. Mark Phelps -Pitt County Health Department
Mr. Michael Rogers. PG -Aquifer Protection Central Office
NON RLSIDENTML WELL CONSTRUCTION RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality RECEIVED 1 DEN / DWO
WELL CONTRACTOR CERTIFICATION # 2531-A Aquj* Protection Sftton
1. WELL CONTRACTOR:
h. Michael Sage _
Well Contractor (Individual) Name
Apiked Resource Management P.C.
Weil Contractor Company Name
257 Transfer Station Rd.
Street Address
Hamcstead NC 28443
T City or Town State Zip Code
9r 10 i 270-2919
Area code Phone number
2. WELL INFORMATION: r
WELL CONSTRUCTION PERMIT# W1 6 i 60
OTHER ASSOCIATED PERMIT#(il applicable)
SITE WELL ID *(If appllcable)G - _ _ _
3. WELL USE (Check One Box) Monitoring ❑ Municipal/Public 0
IndustriallCommercial ❑ Agricultural ❑ Recovery 0 Injection 0
irrigation❑ Other doisl use) Geothermai loon
DATE DRILLED 3I3I10
4. WELL LOCATION:
2182 B. Stakes Road
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Code)
CITY: Greenville COUNTY Pitt
TOPOGRAPHIC I LAND SETTING: {check appropriate box}
[]Slope []Valley ❑Flat ❑ Ridge ❑ Other
LATITUDE 35 ° 32 as•oaoa " DMS OR DD
LONGITUDE 77 ° 18 49.E]OOa " DMS OR DD
LatiludellDrtgitude source: gt3PS ❑Topographic rnap
(location of well most be shown on a USGS fopo map andattached to
this form if not using GPS)
S. FACILITY (flame of the business where the well is located.)
Facility flame Facility ID# (if applicable)
Street Address
City or Town State Zip Code
-grant 7ijaimer
Contact Name
2182 g_ Stokes Road
Mailing Address
Grap.13y lle NC 27858
City or Town Slate Zip Code
252 636-5841
Area code Phone number
S. WELL DETAILS:
a. TOTAL. DEPTH: '
b. DOES WELL REPLACE EXISTING WELL? YES ❑ NO
c. WATER LEVEL Below Top of Casing, NIA FT.
(Use "+" If Above Top of Casing)
d. TOP OF CASING IS NIA FT. Above Land Surface'
`Top of casing terminated allor below land surface may require
a variance in accordance with 1SA NCAC 2C .0118.
e. YIELD (gpm): _ NIA METHOD OF TEST N/A
f. DISINFECTION: Type NIA Amount _ NlA_
g. WATER ZONES (depth);
Top Bottom Top_ Bottom
Top_ _ Bottom Top Bottom
Top Bottom Top Bottom
Thickness!
: 7. CASING: Depth Diameter Weight Material
Top NIA — Bottom Ft.
Top Battain Ft.
Top Bottom FL
B. GROUT Depth Material Method
Top 0 Bottom 207 R. Thermex Tremmie
Top Bottom Ft.
To¢ Bottom Ft.
9. SCREEN: Depth Diameter Slot Siva Material
Top Bottom Ft. in. in.
Top Bottom Ft, in. in.
Top Bottom Ft. in. in.
: 10. SANDIGRAVEL PACK:
Depth Size fiilatertal
Top Bottom N.—
Top—­—Bottom Ft.
Top Bottom Ft,
11. DRILLING LOG
Top Bottom Formation Description
0I Whitish gray clay_
22' 169 Gray tight day
0' 1 12! Gray claywith S
112' 1162' Gray tight clay w/ cemented sand
1 �2' ! 207' Green marine clay with shell
I
1
r
1
1
12. REMARKS:
I DO HERESY CERTI FY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
15A 14CA0 2C, WELL CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS
REC R�HAS BEEN PR I�HELLOWNER.
Z
S Gh AATU tE OF CERTIFIED WELL CONTRACTOR DATE
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Form GW-1b
Submit within 30 days of completion to: Division of Water Quality - Information Processing, Rev, 2109
1617 Mail Service Center, Raleigh, NC 27699-161, Phone : [phone]

. ~·'"'-,=~ "St'·•·--:.-.,,i ... \1
,-:~ \ (lt,,,~ NON RESIDENTIAL WELL CONSTRUCTION RECORD
-~v.::VED I DENR I LJWQ
Aquifer Protection Section
North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR CERTIFICATION# 2531-A
JUN lo 2010
1. WELL CONTRACTOR:
H. Michael Sa ge
Well Contractor (Individual) Name
A pp lied Resource Mana gement, P.C.
Well Contractor Company Name
257 Transfer Station Rd.
Street Address
Ham pstead
City or Town
(910 ) 270-2919
Area code Phone number
2. WELL INFORMATION:
NC 28443
State Zip Code
WELL CONSTRUCTION PERMIT# WI 6 7 00 / {p El
OTHER ASSOCIATED PERMIT#(if applicable) ________ _
SITE WELL ID #(if applicable),...;G=---2=----------
3. WELL USE (Check One Box) Monitoring O Municipal/Public O
Industrial/Commercial □ Agricultural □ Recovery □ Injection □
Irrigation□ Other ii'cnst use) Geothermal Looo
DATE DRILLED 3/4/10 -=:,....:.,_.,a..: ____ _
4. WELL LOCATION:
2182 B. Stokes Road
(Street Name, Numbers, Community, Subdivision, Loi No ., Parcel, Zip Code)
c1TY: Greenville COUNTY Pitt -'--'-=-----
TOPOGRAPHIC / LAND SETTING : (check appropriate box)
□Slope □Valley □Flat □Ridge □Other _______ _
LATITUDE ~, 32 '45.0000 "DMS OR _____ DD
LONGITUDE 7!__0 18 ' 49.oooo " DMS OR DD
Latitude/longitude source: i;ZJ3PS Dropographic map
(location of well must be shown on a USGS topo map andattached to
this form if not using GPS)
5. FACILITY (Name of the business where the well is located.)
Facility Name
Street Address
City or Town
Brent Zimmer
Contact Name
2182 B Stokes Road
Mailing Address
Greenville
City or Town
< 252 ) 636-5841
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH:_2..._0,.,_,_7_' ____ _
Facility ID# (if applicable)
State Zip Code
NC 27858
State Zip Code
b. DOES WELL REPLACE EXISTING WELL? YES O NO ~
"· WATER LEVEL Beiow Top of Casing : N/A FT.
(Use"+" if Above Top of Casing)
------------
: d. TOP OF CASING IS N/A FT. Above Land Surface*
· *Top of casing terminated aUor below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
: e. YIELD (gpm): N/A METHOD OF TEST_,_,Nw/AL.l,_ __ _
: f. DISINFECTION: Type N/A Amount ...JN'-"'-'/A._.__ __
: g. WATER ZONES (depth):
: Top ____ Bottom ___ _ Top ____ Bottom. ___ _
: Top ____ Bottom ___ _ Top ____ Bottom. ___ _
: Top Bottom. ___ _ Top Bottom ___ _
Thickness/
: 7. CASING: Depth Diameter Weight Material
: Top_N[A_ Bottom ___ Ft. __ _
: Top ___ Bottom ___ Ft. __ _
: Top ___ Bottom ___ Ft. __ _
: 8. GROUT: Depth Material
: Top_O __ Bottom-2QL Ft. Thermex
Method
Tremmie
: Top ___ Bottom ___ Ft. _____ _
: Top ___ Bottom ___ Ft. _____ _
: 9. SCREEN: Depth Diameter Slot Size Material
: Top ___ Bottom ___ Ft. __ in. in. ____ _
: Top ___ Bottom ___ Ft. __ in. in. ____ _
: Top ___ Bottom ___ Ft. __ in. in. ____ _
: 10. SAND/GRAVEL PACK:
: Depth
: Top Bottom ---
: Top Bottom ___
: Top Bottom ___
: 11 . DRILLING LOG
Top Bottom
....;0,._'_--'/~2=2=-'---
22' I 60'
60' I 11 2 '
112' I 162'
162' I 207'
----''---------''---------'' ,------------''--------'----
: 12. REMARKS:
Ft.
Ft.
Ft.
Size Material
Formation Description
Whitish gra y clay
Gray tight clay
Gray clay with shell hash
Gra y tight cla y w/ cemented sand
Green marin e cl ay wjth shell
: I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
• 15 L ARDS , AND THAT A COPY OF THIS
:~ ffi
: -
: =i:'--c=~-=--=-:===-:-:-'=--~~ _ 3/4/1 O : sr RACTOR DATE
: H Michael Saoe
: PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit Witli .in 30 days oftQtnpletion tei; Division of Water o ... ality • ·_ ,oformati6h ~r~cessi1\9,
1$17 illlaii ~ervice Center; ~~ieigll;NC 27699-161, Phone: [phone]
Form GW-1b
Rev. 2/09
May 12, 2010
NCDENR,APS
Attn.: Mr. Will Hart
Post Office Box 882 Hampstead, NC 28443
[phone] Fax (91 OJ 270-2988
943 Washington Square Mall
Washington, North Carolina 27889
Re.: Zimmer and Collins Residence
Closed-Loop Geothermal
Water-Only Injection Well System
Permit No. WI0700166
Mr. Hart,
-
This correspondence is in response to your March 29, 2010 letter of concern. Attached .
for review are the~orth Carolina Well Construction Records for this project. When we
initially mobilized to the site, we found that the area proposed for drilling could not be
accessed due to heavy vegetation overgrowth. Also, we were informed of a 25' drainage
easement along the back of the property. The homeowner was not sure of its location.
We did have knowledge that the septic system was in the home's back yard. We inquired
as to its location, and the homeowner believed that the system was on the left hand side
of the back yard. We did use a steel probe, but were unable to feel evidence of a septic
system in the area drilled. As such, we made a field adjustment to the loop locations. Both
loops were drilled to 207' deep. Note that both loops were tremmie grouted from the
bottom until the grout flowed from the drilling T, using a Thermex bentonite grout. The next
day, both loops were checked for grout level and topped off as needed. At no time was
septic water or effluent identified during the installation of the loops. After the loops were
installed, excavation for the manifold identified the chamber septic system. We found that
the front right loop was constructed approximately four feet from the closest chamber. The
rear loop was constructed approximately six feet from its closest chamber. It was found
that the system apparently extended under the concrete driveway. Due to the presence
of the chamber system, the manifold was required to be across its top. Both loops were
excavated to approximately two feet deep, then were fusion welded to the manifold. At no
time was any fluid or groundwater present within the excavation. As such, none was
allowed into the closed loop system.
1
Clean Water. It's What We Do Best!
RECEIVED / DENR / DWQ
AQUIFJ:RPROTFr.TION SF.CTION
MAY 17 2010
May 12, 2010
So in summary:
1. The two closed loops are constructed close to the chamber system. However,
neither is through the system itself.
2. Both loops are tremmie grouted with a bentonite grout from their bottoms to
approximately two to three feet deep, where they are connected to the manifold.
Due to their watertight materials, and well ·grouted construction, neither will allow
for migration of contamination down or into the groundwater beneath the site.
3. The manifold system is above the chamber system and will not act as a preferential
pathway for water migration.
4. No water supply wells were identified within 100' of the loop system.
The wells are throughly sealed using HDPE piping and fusion, and grouted with a
malleable bentonite grout. Abandoning these wells would serve no purpose. Based on
the lack of impact pathways and lack of sensitive receptors, we respectfully request that
no further action be conducted.
We have always been concerned about the lack of setback requirements for Type 5-QW
wells as outlined in NCAC T:15 02C . We have had several conversations about the lack
of these set-backs with WiRO APS staff. We too were concerned about this construction.
As such, the following internal protocols have been implemented to assure that we can and
do maintain some type of set-back from a potential contaminant source, and prevent this
situation in the future:
1. Identify the potential contaminant source prior to mobilizing to the site. If the source
is buried or hidden, such as a heating oil UST or septic system, its location should
be made clear, by staking or flagging, for inclusion on the Notification of Intent to
Construct (NOi).
2. If the source cannot be readily identified, a site specific investigation be conducted
to flag the septic system, UST, etc., prior to actually submitting the NOi. Our
internal work orders will reflect the potential contaminant source so that any field
adjustments can and will take it into consideration by the site driller-in-charge.
3. Any significant adjustment to well locations will be supplied to the NCDENR for
attachment to the site specific well permit.
2
May 12, 2010
We understand and agree with the State's concern, especially with the lack of buffers and
set-backs within the rules. While we believe that this site's construction poses no threat
to human health or the environment, we also understand and strongly believe that
geothermal construction is a rapidly growing market, and has a need for continuing
improvement. We believe that we have learned from this situation, and will be able to
avoid it in the future.
If you have questions or require further information, please do not hesitate to call.
Sincerely, ----f -~-----__. \;l ~J
.. James L. Cornette, P.G., C.W.~
Project Manager
t ~:1w.~ev--
Drilling Manager
cc. Mr. Brent Zimmer and Ms. Sharon Collins
Mr. Patrick McKee
Mr. Mark Phelps
Mr. Michael Rogers, P.G.
3
RECEIVED / OENR / owa
AQUIFFRPROTFr.TlnN ~FCTION
MAY 17 2010
a ;o srtirF�
NUNRES'IDENTM WELL CONSTRUcrioN REc
_ North Carolina Depmtment of Environment and i latural Resources- Division of Water
` y WELL CONTRACTOR CERTIFICATION # 2531 A
1. WELL CONTRACTOR:
H. Michael Sage
Well Contractor {Individual} Name
Applied Resource Manacieement,_P.C.
Well Contractor Company Name
257 Transfer Station Rd. _
Street Address
_Hampstead _ NC 28443
City or Town State Zip Cade
ss 10 } 270-2919
Area code Phone number
2. WELL INFORMATION.,
WELL CONSTRUCTION PERMITN WI 0 -760 1 && —
OTHER ASSOCIATED PERMIT*(ir applicable) _
SITE WELL ID #(N appiieabiey_G -• 1
3. WELL USE (Check One Box) Monitoring E] Munktpal/Publie ❑
IndustriallCommercial [] Agricultural ❑ Recovery ❑ Injection ❑
Irrigation[] other s6ist use) Geothermal Low
DATE DRILL1ED 313110
4. WELL LOCATION:
2182 B. Stokes Road
(Street Name, Numbers, Community, SubdMalon, Lat No.. Parcel, Zip Code)
CITY: Greenville COUNTY Pitt
TOPOGRAPHIC I LAND SETTING: {check eplpmprbafa dwt)
❑Slope L]Valley ❑Feat ❑Ridge ❑other
LATITUDE 35 " 32 ' 4&0UDU " DMS OR DD
LONGITUDE 77 ' to • 49.d00o M DMS OR DID
t-alitudeilongitude source: 6113PS E7ropographic map
pacation of well most be shown an a USGS Papa map andattached to
this farm if not using GFS)
5. FACILITY (Name of the business where the well is located.)
Facility Name Facility ID# (if applicable)
Street Address
Cityor Town State Zip Code
Brent Zimmer _
Contact Name
Mailing Address
Greenville _ NC 27858
City or Town State Zip Code
2r 52 636-5841 Area code Phone number
G. WELL DETAILS:
a. TOTAL_ DEPTH: 207'
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO Eyf
'EIVED I UENR I DVVQ
oRnirrrrlN SRCT10N
d. TOP OF CASING is _NIA FT. Above Land Surface*
'Top of casing tamtinated allar below land surface may require
a variance in accordance With 15A NCAC 2C .11118.
e. YIELD (gpm): N[A METHOD OF TEST _N A _
f. DISINFECTION: Type NZA Amount. NIA
g. WATER ZONES (depth):
Top _ Bottom- Top Bottom_
Top Bottom Top _ Bottom
Top_ Bottom_z Top _ _ Bottom -
Thickness/
7. CASING: Depth Diameter Weight Matefiai
Top N1A Bottom Ft
Top Bottom Ft.
Top Bottom Ft.
6. GROUT:
Depth
Material Method
Top 0
Bottom 207
Ft Thermex Tremmie
Top
Bottom
Ft
Top
Bottom
Ft
9. SCREEN:
Depth
Diameter Siot Size Material
: Top
Bottom
Ft.
In. in.
Top
Bottom
Ft.
in_ in.
Top
Bottom
Ft.
in. in.
10. SANDIGRAVEL PACK:
Depth
srze Material
Top
Bottom
Ft.
TDp
Bottom
Ft.
top
Bottom
Ft.
11. DRILLING LOG
Top Bottom
01 22'
r _ / 60'
60'1112'
q1 �1 r2�'111662'
162r 1 ! R7r
1
1
1
1
1
12. REMARKS:
Formation Description
t •17,
In- EVE
i �- i• l
It i • . a
-1 li •, 1- 1 i
I DO HEREBY CERTIFY THAT THIS WELL. WAS CONSTRUGTED IN ACCORDANCE YViTH
ISA NCAC 2C, WELL CONSTRUCT [ON STANDARDS, AND THAT A COPY OF THIS
RE v HAS BEEN PR p/�ECt T 1 iFL OWNER.
S A-C
NATURE OF CERTIFIED WELL ONTR- R �^
C. WATER LEVEL Below Top of Casing: _NIA FT.
H- MIchaa jSIe
{Use "+" if Above Top of Casing} ;
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quality Information Processing, Form OW-lb09
Y E3 Y " 9 Rev- 2109
1617 Mail Service Center, Raleigh, NIC 27699-161, Phone : [phone]

NONRESIDENTIAL
► �
i {. ► 1►f ON_ RESIDENTIAL WELL CONSTRU FION RECORD
North Carolina Department of Environment and Natural ReSDurces- Division of Water Quality
t Vr WELL CONTRACTOR CERTIFICATION # 2531 A
1. WELL CONTRACTOR:
H. Michael Sage
Well Contractor [individual} Name
Al�lbed Resource Management, P.C.
Well Contractor Company Name
257 Transfer Station Rd.
Street Address
_ Hampstead NC 28443
City orTown State Zip Code
[ ] 270-2919
Area code Phone number
2. WELL INFORMATION: ,�
WELL CONSTRUCTION PERMIT# W1 �� t7Pi ir o 6
OTHER ASSOCIATED PERMIT#(ii applicable)
SITE WELL ID #(sf applicable) G — 2
AQUIFM FRr'%TFf'Trr N gpcT* 1
d. TOP OF CASING IS _N/A - FT. Above Land Surface*
'Top of casing terminated atlor below land surface may require
a variance in accordance with 15A NCAC 20.0118.
e. YIELD (gpm): NIA METHOD OF TEST_ NIA
f. DISINFECTION: Typo NIA Amount NIA
g. WATER ZONES (depth):
Tap _ Bottom_ Top_ _ _ _ Bottom
Top Bottom _ _ Top _ _ Bottom
Top Bottom_ Top _ Bottom _
Thicknessl
7. CASING: Depth Diameter Weight Material
Top NIA Bottom Ft.
Top Battom Ft.
Top Bottom Ft.
S, WELL USE (Check One Box) Monitoring 0 Munielpal/Public ❑ ' 8. GROUT,- Depth Material Method
IndustriallOommercial ❑ Agricultural ❑ Recovery ❑ Injection ❑ : Topes_ Bottom 207 Ft. Thermex Tremmie
Irrigation[] Other s list use) Geothermal Loon Top Bottom Ft.
DATE DRILLED 3/4/1 D :Top Bottom Ft.
4. WELL LOCATION:
2182 B. Stokes Road
(Street Name, Numbers, Community, Subdivision, cat No., Parcel, Zip Cade)
CITY: Greenville COUNTY Pitt
TOPOGRAPHIC I LAND SETTING: (obedc appropriate box)
❑Slope ❑ Valley ❑ Flat C] Ridge [:)Other
LATITUDE 35 a 32 45.0000 DMS OR ❑❑
LONGITUDE77 ' 19 ' 49.o°ao "aMS OR DD
Latitudeilongltude source: W3PS []topographic map
(location of well must be shown on a t1SGS topo map andattached to
this form ff not using GPS)
5. FACILITY (Name of the business where the well is located)
Facility Name Facility ID# (t applicable)
street Address
City or Town State Zip Code
Brent AmmL-r
Contact Name
2182 R_ Stakins Read _
Mailing Address
Greenville NC 27858
City or Town Stale Zip Code
2t 52 S 636-5841
Area code Phone number
9. SCREEN: Depth Diameter Slot Size Material
Top Bottom Fi. fn. In.
Top Bottum Ft. in. in_
Top Bottom Ft, in. in.
10. SANDIGRAVEL PACK:
Depth Size
Tap Bottom Ft.
Top Bottom Ft.
Top Bottom Ft.
11. DRILLING LOG
Material
: Top Bottom Formation Desciption
0' —122'
22I6Q1
N1 1'12'
112' 1 162'
162' 1.207'
1
1
1
1
1
12. REMARKS:
Whitish gray clay
Cray tight clay - -
Gray clay with shall hash
.Bray titrit clay wl cemented sand
_Green marine clay with shell
6. WELL DETAILS: : I DO HEREGY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
16A NCAt;&C, WELL CONSTRUCTION ST NbARDS. AND THAT A COPY OF THIS
RE LdIFiAS BEEN PROM TO THE E nER.
a. TOTAL >QEPTH;�Q7 el ,_�.
r•
4. DOES WELL REPLACE EXISTING UItEL L7 YES ❑ Na ql : SIG, ATURE OF CERTIFIED WELL COP RACTOR `DATE
c, WATER LEVEL Below Top of Casing: FT. H. Michael c;aqp
{Use "+^ if AbovB Top of Casing} : PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days Of completion to; Division of Water Quality - Information Processing, Form GW 1b
Rev. 2Itl9
1617 Mail Service Center, Raleigh, NIC 27699-161, Phone : t919) 807-6300

NCDENR
North Carolina Department of Environment and Naturai Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Govemor Director
3/10/2010
Brent. Zimmer
Sharon CoIiins
182 13. Stoke. Rd
Careem ,ine. NC 278,58
Subject, Acknowledgement of Intent to Construct Type 5QW Injection Well System
Permit No. WI0700166
2182 B. Stokes Road
Greenville, TIC 27858
Dear Brent & Sharon:
Dee Freeman
Secretary
In accordance with the application submitted to the Underground Injection Control (LUC) Program that was received on.
2/25/2010, 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 2182 B. Stokes Road, Green.-viHe,
Pitt County, NC 27958, This system is deemed permitted by rule (North Carolina Administrative Code Title 15A,
Subchapter 2C, Section .0211(u)(2))
However, it is recommended that you contact the Pitt 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 [phone].
Sincerely,
0� A
N11C173et Rovers
Environmental Specialist
GPU-Aquifer Protection Section
cc: Washington Regional Office - APS
APS Central Files - Permit No- W107t10166
Pitt County Health Dept.
Patrick McKee (Airtech Mechanical Servicesy 1.33 Two L ihes Trail, New Bern, NC 28560
AQUIFER "ROT=_CTION SrUM
1535 Mail Service Center, Raleigh, North Carolina 27699-1535
Location; 2728 Capital Boulevard. Raleigh, North Carolina 27504 One
Phone. [phone] I FAX 1:918.715 0588, FAX 2: 91;_715-60481 GUsiomer Service. 1-57 7-M-6748 t]i-Crl�cLi'D liici
Internet: www.nc�yaterqua8v.o� I71■ft f�p+ry■l■d
An Qum (Ananuriq � AFirmanve Action Employer (f V I �U 1111

Central Files: APS SWP
0311 Of 10
Permit Number WI0700166
Permit Tracking Slip
Program Category
Status Project Type
Ground Water
Active New Project
Permit Type
Version Permit Classification
Injection Water Only GSHP Well System (5QW)
1.00 Individual
Primary Reviewer
Permit Contact Affiliation
michael.ragers
Coastal SW Rule
Permitted Flow
Facility
Facility Name
Brent Zimmer and Sharon Collins SFR
Location Address
2182 B Stokes Rd
Greenville NC 27858
Owner
Owner Name
Brent
Zimmer
Dates/Events
Scheduled
trig Issue App Received Draft Initiated Issuance
03/10/10 02/25/10
Reoulated Activities
Heat Pump Injection
Outfall
Major/Minor Region
Minor Washington
County
Pitt
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Brent Zimmer
2182 B Stokes Rd
Greenville
NC 27858
Public Notice Issue Effective Expiration
03/10/10 03/10/10
Waterbody Name Stream Index Number
Current Class
Subbasm

RECEIVED/ OENR / DWQ
AOUIFl=R'PROWr.TION SECTION
NORTH CAROLINA FEB J 8 2010
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: February 16 . 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-loo p)?
Yes _X_ Continue completing this form.
No ___ Do Not complete this form. Complete other UIC application forms for installing
either a 5A7 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 signature): ---=B=r=en=t=-=Z=i=m=m=e=r--=an=d-=S=h=ar=-=o=n'--'C=oa:.al=lin=s=----------
(1) Mailing Address: ___ 2_18~2_B~. ~St~o_k_es~R~oa=d~------------------
City: Greenville State: NC Zip Code: __ ....;2=-7:....:a8=5-=-8 ____ County:-=-P...:.itt=-----
Home/Office Tele No.: 252-215-3016 Cell No.:
Email Address: Website :
(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.:...: ----------------=E=MA=..:=IL"""A::...:.;:::d=dr=-=e=ss""'": __________ _
Address: _________________________________ _
City: _________ State: __ Zip Code: ______ County: _______ _
Office Tele No.: Cell No.:
Website Address of Company, if any: _______________ _
GPU/UIC 5QW Notification of Intent Form (Re vised 8/2 008) Page I
C. WELL DRILLER INFORMATION
Company Name: A pp lied Resource Management. P .C .
Well Driller Contractor's Name: -'H=-.c. M=ic=h=a=el:....;S=a=::g=e ________________ _
NC Contractor Certification No.: ----=2=5=-3--"---1-_c_A.c.___ ___________________ _
Contact Person-=-: -=--J =im~C=o=rn=e=tt=e __________ =E=MA-=-:aIL~A:..::..::add=r'--"'e=ss=:-=J=im=-Aa.=.RM=@""'e, =b=e=ll=soa.=u=th=·=ne=t'---_
Address: P.O. Box 882
City: Hampstead Zip Code: 28443 County: ---=P-=e=n=de=r~--------
Office Tele No.: 910-270-2919 Cell No.: 910-512-4890
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: Airtech Mechanical Services
Contact Person: Patrick McKee EMAIL Address:
Address: 153 Two Lakes Trail
City: New Bern Zip Code: 28560 County: ---=C=r=av.:...:e=n,_____ _______ _
Office Tele No.: 252-636-5841 Cell No.:
E. STATUS OF APPLICANT
Private: X
State:
Federal:
Municipal: __
--------
Commercial:
Native American Lands:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
Closed loo p geothermal sy stem. Water only. grouted along the loo p 's entire ly .
G. WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: 3/1/09 Number of borings: __ 2 __
Approximate depth of each boring (feet):_200' ______ _
(2) Type of tubing to be used (copper, PVC, etc): _HDPE ____________ _
(3) Well casing. Is the well(s) cased? (check either (a.) Yes Q! (b.) No below)
(a) Yes ___ ifyes, 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)
(b)
(c)
Grout type: Neat Cement __ Bentonite Other (specify) _Thermex __ _
Grout placement: Pumping__ Pressure_X _ Other
Grout depth of tubing (reference to land surface): from O to 200 (feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
GPU/UIC 5QW Notification oflntent Form (Revised 8/2008) Page2
U. INJECTION RELATED EQUITA NT
Attach a diagram showing the enginearmi; layout or proposed moditicatwo td the injection equipment and crterlor
piping/tubing associated with the injmtior) operation. ilsc manutueturrr's brouhuee may provide suppirmenta
information:
I, LOCATION OF W'ELL4S)
Attach rem copies of maps showlag the following inforrmnion.
( S Include a Site Map (can he drawn) showing' b)iildings,. property lints. �surfuee wntcr bodies, poTential
sources of gruundwatur contamination and the orientation of and distances bttwern the prop Qstd we11(s) Ud
any existing well(sl or waste disposal fa:ililies such as septic tanks or drairl fields heated Within 200 feel 01
the geothermal heat pump well system Label all features clearly and include a_uan s arrow.
i2:t Me Site Map must show the subiccr pioperly in mJation to ilia surrounding area by {sing at team lw'o fixed
reference points such as roads, gtrearwx, andlor htghwrty lntemcdons.
.1 CERTIFICATION
Dote_ This Permit Application most be signed by each person oppeaving 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 attuhments 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 we 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 appitnenances in accordance with[die approved specifications and conditions of the Pemmit."
Srgnatvre of g crty t]wnerlApplicarti '
Print or Type Full Name and title
-& roc
Stgnraatu 2o?rzoperty Owner/Applicant
Print or Type F uli Name and title
Signarure of Authorized Agent, if any
Print or'iype Full Name and title
Pleasc return two copies of the completed Application package to
North Carolfn$ DENR-DWQ
Aquifer Protection Section-iIIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
[7i't!l01C 5QW ,lwificationof sruent Form (Revised 1VI009) rage 1

'Map (hltput
Page 1 of 1
Pitt County Government
1
�raLn ro Greenville, North Carolina
A" ter, www.pittcountync.gov
&III MIA
j
62417, r� 53 92
/14
u
r
�w 1 i1
g. STOKES RD a, STOKE-S .Ru -
508 •
49179� 1
A i
ti
t
Parcel
049178
Physical Address
2182 B STOKES RD
OwnerName
ZIMMER BRENT L
OwnerAddresst
2182 B- STOKES RD
OwnerAddress2
Own erAdd ress3
City 1 State 1 Zip
GREENVILEL NC 27858
NC PIN
5605175755
Subdivision I Section f
Phase
Prior Legal Description
LOT 10 WOODMOOR,SEC-
1&2
Block Lot
Tract
Building Number! Unit
Acres
0,53
Current Owner
001085 00639
DeedlDocument
Map Book
38-195
DeedlDocument Date
1112000
DeedlDocument Sales
$22,000
Price
Building Type I Use
RR SFR CONST(SFR)
Number of Buildings
1
Year Built
2001
Heated Square Feet
2533
Building Value
$222,936
Extra Features Value
$0
Land Value
$35.000
Total Current Market Value $257,936
Total2007 Market Value
$230,680
Revaluation Year
2008
Municipality
Township
CHICOD
Fire Tax District
EASTERN PINES
Census Tract
10
Neighborhood
002115
Elementary School
CHICOD
Middle School
CHICOD
- High School D H CONLEY HIGH
491s'0
❑isclSinter: This tax record is prepared for the inventory of real property within Fitt
County and is compiled from recorded deeds, plats, tax maps, surveys, and other
public records. Users of this data are Hereby notified that the aforementioned PLEASE NOTE:
public primary information sources should be consulted for verification, Pitt County The parcel ownership information is updated
assumes no legal responsibility for the information contained herein- nightly and reflects Current property values-
Q 2010, Pitt County, North Carolina-
http://gis.pitteountyne. goy/servlet/com. esri.esrimap. Esrimap?ServiceNwne=opis_ov& Clie... 2/22/2 010

' 1
■
i
l
1 9178
i
T `
50844
. -s• f'
49179,
I.
Approximate Property Lines
Approximate Septic System Area
�y Approximate Closed Loop Locations
N
Notes:
1. Subject property and surrounding area are currently serviced by public water.
2. Geothermal well locations are approximate and will be a minimum of 20' apart, and 25' from the
existing structure.
Adapted from Pitt County GI5 Map, February 2010.
TITLE: SITE MAP FIGURE:
7 tied t2e5ource Management Fe
2182 B. STOKES ROAD
P Sox 82. Hampstead, 44:3 JOB: SCALE: ; DATE: DRAWN BY
[phone] FA}C 270.2988 Zimmer NTS 2/16/10 DNH

13. STOKES F
�0--j
0
•r
R
■
-- Approximate Property Lines
Approximate Septic System Area
Approximate Closed Loop Locations
t
Notes:
1. Subject property and surrounding area are currently serviced by public water.
2. Geothermal well locations are approximate and will be ❑ minimum of 20' apart, and 25' from the
existing structure.
Adapted from Pitt County GIs Map, February 2010.
TITLE: SITE MAP FIGURE:
lied Resource Mara ernent PC 2182 B. STOKES ROAD
x 882, Hamps eod, KC28443 JOB: SCALE: DATE: DRAWN BY:
7kt910] 270-2919 FAX [phone] Zimmer NTS 2/16/10 i DNH
I

TRANSMISSION VERIFICATION REPORT j
DATE,TIME
FAX NO./NAME
DURAT I nN
PAGE (S)
RESULT
MODE
03105 02:09
912529469215
00: 02:,57
06
OK
T 41DARD
TIME 03/05/2010 02:12
NAME NCDE&NR/WATER QUAL
FAX [phone]
TEL [phone]

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
Coleen Sullins, Director
of
Division of Water Quality
Aquifer Protection Section
Location: 2728 Capital Blvd.
Raleigh, NC 27604
Mailing Address: 1636 Mail Service Center
Raleigh, N.C. 27699-1636
FAX: [phone]
[phone]
VYA
4�
y
Date:
FAX TO: FAX NUMBER:
FROM: /A -0 &&13
I PHONE:
NO. OF PAGES INCLUDING THIS SHEET: ki
If you receive this fax by mistake call; Aquifer Protection Section @ 919-733-3221

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue
Governor
Coteen H. Sullins
Director
March 29, 2010
Mr. Brent Zimmer and Ms. Sharon Collins
2182 B Stokes Road
Greenville, North Carolina 27858
RECENEDMENRiM
�N
Natural Resources MAR g 1 NiO
Dee Freeman
Secretary
RE: Closed -Loup Geothermal Water -Only Injection Well System ('Type SQtiV)
2182 B Stokes Road
Greenville, Pitt County, NC
Dear Mr. Zimmer and Ms. Collins,
On March 5, 2010 the Washington Regional Office (WaRO) Aquifer Protection Section (APS)
received a report of a well being installed in the septic drainfield at the address referenced
above. Investigation of the report revealed the closed -loop geothermal water -only injection
wells (5QW) had been installed in the perimeter of the septic drainfield. North Carolina
Administrative Code Title 15A Subchapter 2C .0211 (u) (2) (A) states that 5QW wells are
deemed permitted when specific conditions are satisfied. One of these conditions requires that
"The construction of the system shall be completed in such a manner so as to preclude surficial
contaminants from entering the borehole." Additionally, 15A NCAC 2C .0213 (a) (5) specifies
that geothermal wells shall be located the distance necessary from septic drainfields to prevent
migration of contaminants or a violation of groundwater standards. It appears that the
drainfield has been in service for some time, and the WaRO APS is concerned that
contaminants from the drainfield may have been introduced to the subsurface during
construction of the system. We, therefore, request that a demonstration be made, to this office,
that construction of the system did not, or will not, have adverse impact on groundwater
beneath the property. You may utilize any calculations or groundwater modeling that may be
helpful in making this demonstration.
NCAC 15A 2C .0211 (u) (2) (B) states, "The person responsible for the construction of the
injection well system shall submit notification, prior to construction, of construction to the
Division on forms supplied by the Division." The notification requirement was completed;
however, the information submitted to the Division does not appear to be accurate. The system
was not constructed in the location approved by the Division, and this office is concerned. That
the proximity of the geothermal wells to your drainfield may jeopardize groundwater quality.
Please provide justification for the relocation of the system_ The justification should include a
demonstration that the geothermal wells are protective of groundwater quality. The requested
information should be submitted to our office within 45 days of receipt of this correspondence.
North Carolina Division of Water Quality Internet. www.newvatarqux}ity._orrg
943 Washington Square Mall Phone: [phone] One
Washington, NC 27889 FAX [phone] NorthCarolina
An Equal opportunitylAfflrmetive Action Employer — 50% RecycledflU% Past Consumer Paper Natunilly

Mr. Brent Zimmer and Ms. Sharon Collins
Permit No. WI0700166
March 29, 2010
Page 2 of 2
Please take note that corrective action may be required pending our evaluation of your
response. We appreciate your cooperation in this matter. Please feel free to call me at 252-
948-3911 if you have any questions.
~;J;i
Will Hart, Hydrogeologist
Aquifer Protection Section
cc: Mr. Jim Cornette, Applied Resource Management, PC PO Box 882, Hampstead, NC 28443
Mr. Patrick McKee, Airtech Mechanical Services 153 Two Lakes Trail, New Bern, NC 28560
Mr. Mark Phelps, Pitt County Environmental Health Division
Mr. Michael Rogers , PG -Groundwa er Protection Unit, APS Central Office
Approximate Properly Lines
Approximate Septic System Area
Approximate Closed loop Locations
Notes;
1. Subject property and surrounding area ❑re currently serviced by public water.
2. Geothermal well locations are approximate and will be a minimum of 20' apart, and 25' from the
existing structure.
Adapted from Pitt County GIS Map, February 2010.
TITLE: SITE MAP I FIGURE:
7t_ lied Kee>ource Mana.- ement PC ------- 8 B. STOKES ROAD
ox amps eW. -44 JOB; SCALE; DATE: JDRAWN BY:
{g101274 2919 FAX [phone] Zimmer NT5 2/16110 DNH 1

Rogers, Michael
From: Clark , Allen
Sent:
To:
Wednesday, March 31, 2010 4:29 PM
Rogers, Michael
Cc: May, David
Subject: WI0700168 permit info correction
Permit WI0700168, issued to East Carolina University on March 23, 2010, was originally entered as being located in Pitt
County. The well location is in Dare County, off of Skyco Road in Wanchese.
The coordinates for the well are:
Lat: 35 Degrees, 52 Minutes, 22 Seconds North
Long: -75 Degrees, 39 Minutes, 39 Seconds West
I have made as many changes in BIMS as I could from my computer. Some information in BIMS still needs updating.
The drilling of this well began today, March 31, 2010.
Allen Clark
WaRO
1