WI0700192_GEO THERMAL_20101008

Pe r mit Number
Program Category
Ground Water
Permit Type
t
WI0700192 /
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
The North Carolina Aquarium Pier at Nags Head
Location Address
7223 S Virginia Dare Tri
Nags Head NC 27959
Owner
Owner Name
North Carolina Aquarium Division
Dates/Events
Orig Issue
10/08/10
App Received Draft Initiated
09/28/10
Reaulated Activities
Commercial or industrial , other
Heat Pump Injection
Outfall NJ L:.
Scheduled
Issuance
Central Files : APS_ SWP_
10/08/10
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Charles Norris Dozier 11
PO Box 306
Toano VA
Major/Minor
Minor
Region
Washington
County
Dare
Facility Contact Affiliation
Owner Type
Government -State
Owner Affiliation
James C. Ivers
3125 Poplarwood Ct
Raleigh NC
Public Notice Issue
10/08/10
Effective
10/08/10
23168
27604
Expiration
Waterbody Name Stream Index Number Current Class Subbasin
.E:A .,-,.-.,, __ _
~CDEMR
North Carolin a Department of Environmen t and Na tural Resources
Divisio n of Wa ter Quality
Beveriy Eaves Perdue
Governor
James C. Ivers -Project Manager
North Carolina Aquarium Division
3125 Poplarwood Ct., Suite 160
Raleigh, NC 27604
Col een H. Sull ins
Director
10/08/2010
Subject: Acknowledgement oflntent to Construct Type 5QW Injection Well System
Permit No. WI0700192
7223 S . Virginia Dare Trail
Nags Head, NC 27959
Dear Mr. Ivers:
De e Freema n
Secretary
On 09/28 /2010, the Aquifer Protection Section (APS) received notification of your intent to construct a closed-loop water-on h
geothermal injection well system for the operation of a ground-source heat pump located at the address referenced above. An
individual pennit is not required for the construction and operation of this type of geothermal injection well system as Jong as the
following conditions are met:
1. The injection well system contains only potable water,
2. The injection well system is constructed in accordance with well construction standards specified in North
Carolina Administrative Code Title 15A Section 2C Subchapter .0213 , and
3. The required notification form and associated maps have been completely and accurately submitted.
Failure to comply with all of these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina
Administrative Code Title 15A Section 2C Subchapter .021 l(u)(2). Additionally, you should contact the Dare County Health
Department as they may have additional requirements fo r this type of system. Noncompliance with applicable state , county, or
municipal rules and regulations may result in the assessment of civil penalties.
Please contact Mike Rogers at [phone] or Michael.Ro [e-mail] if you have any questions .
SincO.ty, LY ,1 -'°'· .7tAfl W;✓-0YL'i1v ~ fm Debrn't.
cc: Washington Regional Office -APS
.-\PS C~nt ra l F il ~. -Pe m1 i1. (1. WI07001 2
Dare County Health Dept.
Supervisor
Charles N . Dozier, Il (Toano Well and Pump Service, Inc ., P.O . Box 306 , Toano , VA 23168)
Brian Bunce (Warwick Plumbing & Heating Corp., 1104 8 Warwick Boulevard, Newport News, VA 23601)
AQUIFER PROTECTION S=.CTION
1636 Mail Service Center, Ra leigh , North Carol ina 27699-1636
Locaiion: 2728 Capital Boulevard , Raleigh. North Carolina 2760 4
Phone: [phone] I FAX 1: 919-715-0588; FAX 2: 919-715-6048 \ Custome r Service: 1-877-623-6748
Internet: www.ncwaterqu ality.org
An Equal Opportunitt \ Affirmative Action Employei
N~rth Carolina
,,7\7aturall!f
Irl
NORTH CAROLWA
DEPARTN= OF ENVIRON1t+IhN T AND NATUi(AL RESOURCES
NpTI ICATION OF INTENT TO CONSTRUCT' A CLO�gED-LOOP GEOTHERMAL
WATER -ONLY INJECTION WELL SYSTEM
TYPE 50VV BELUE
In Accordance With the Provisions ofINICAC Title 15A D2.C.02;)O
PrlrrV Or type the required irrfDMadon and M19Yl toaddress nn the bark page
DATE: 55eptember 21 2010
A.
WeU Type C:onfumsrlrbn: Does the proposed system circutate potable water: only (ne additives) in
continuous piping that completely isolates the fluid from the cavironmefnt (Le.
closed-loap)?
Yes X Continue cornpledng tbi s form.
No DR Not compl(te this form. Complete other UIC application forms for installing
either a 5A7 well (open -loop well in—_iggri potable water into the aquifer) or a 5QM well (cioscd-
lovp well containing additives such as R-22, ethanol, or other antifreeze or corrosion inhibitors),
PROPERTY OWNER(S)IAPPLIC:ANT(S)
List each Property Owner listed on property dead (if owned by a business or government agency, stale name of
entity and a representative wlaudwnty for signature): H d trlS�o�
(1) Mailing Address::�,� lL�
city: f� stare: &L Zip Code:. 0q - CGUUY. Wgfe e
Home/O$ce Tele No.: _9117_' B 7 -4'�00 Ceti -in.: �1'�h�l� ALM
Email Address;_CAn,RAc Websire:
AC'uAacw4ASs Cerra
(z) Physical Address of WuR Site (if diffm=ft that, above)- a,�Lk6 WI a
Cih+� k�#� State: !'p Code:Y---County: bARC
$vtnclOffccTeleNo.: Ccf1Nc_: V-_1V/07zk1 A
AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applieam tines net owu the subject pmper=y,
artsch a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name:
Contact Person: E% ATt_ Address:
F['fi
City: State: —Zip Code:
Office Tole No.: Cell 1%
Website Address of Company, if any.
CrPUADC 5Qw Neufi=on of fa=a Farm (Rmsod a mom)
3125 Poplarvvaoa Ct,Ste 166
Raleigh, NC 27604
tel; (414)87i-5500
Fcrx: (910) 93.1-5224
E-Mail: Chis,tversorcrnail.net
CHRIS IVE IRS
Prolecr Mamc,ger ~
t
DRASR Tiv1CM OF LitiHlgipNtV ENT AN> NaruPAL WIMPUL

' . , •·
Sep 16 1D 03:44p Clancy & Theys -NC Pier 252-480-0427 p,2
C. WELL DRll...LER INFORMATION
Company Name: Toano We U and Pump Service. lnc.
Well Driller Contractor's Name: ~C~'b,2!ar,.ules:'2..!..:N1.:... !=!.D~ozi~·~er-'-'. ll~(Bo=.i.) ______________ _
NC Comracl0r Certification No.: ..:.;408=&-~A-=----------------
Contact Person: Charles N . Dozier. II (Bo)
Address: PO BOX 306
EMAIL Address: toanowelland pum p@ aol.com
City: Toano Zip Code : ... 23 .... 1=68=----County: __ ,..,Jam=e=s -=CC!.eity"-=Co=unty='""'•--'V...,ir..,wma=· =· :....--
Office Tde No.: ---'7=5 ... 7 __ 566.a::.:...0=:;'""7..;..7 _______ Cell No.: 757 784 4941
D. HEAT PUMP CONTRACTOR INFORMATION (if different tllan driller)
Company Name: Warwick Plumbin g & Heatin g Cor p.
Contact Person.~: B_n_·a_n_B_u_n_c_e ________ __,ffi=MAIL:::,.,=..:Ad=dre=s=s:._..;.;;b.;;;.b=un;..;.;c;;_;:e""@"""w"'"p""'h.a.ac""'o.;..r p--.c.;_o __ m""--_
Address: 11048 Warwick Boulevard
City: Newport News Zip Code: 23601 County: ___________ _
Office Tele No.:[phone] Cell No.: [phone]
E. STATUS OF APPLICANT
F.
G.
Private: Fcxietal:
State:_x_ Municipal: __
Commercial: ..1L.
Native American Lands:
INJECTION PROCEDURE (briefly describe how the injection wcll(s) will be used)
Closed-Loop Geothermal
WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: _9_1_2 _01_1_0 ____ Number ofborings: ---=-go=----
Approximate depth of each boring (fcet): ____ 3 ___ 00 _____ _
(2) Type of tubing to be used (copper, PVC. etc}: ----=H=O=PEa.=.. __________ _
(3} Well casing. ls thewell(s) cased? (check either (a.) Yes !L (b.) No below)
(a) ·yes ___ if yes, then provide casing information below
Type: ~ steel __ black steel __plastic __ other (specify)
Casing depth: From ___ to ___ feet (reference to land surface)
Casing extends to above grolDld ___ incbes
(b) No x
( 4) Grout lnfo (material sumrunding well casing and/or piping):
(a) Grout type: Neat Cement__ Bcntonitc _1L_ Othe. (specify} _____ _
(b) Grout placement: Pumping__ Pressure_x_ Other __
(c) Grout depth of tubing (referance to land surface): from 0 to 300 (feet)
If well has casing. indicate grout depth: fr0m ___ to ____ (feet)
GPU/UIC SQW Noti&alicm oflnteDI Form (ReviRd 8/2008) Pagc2
Sep 16'10 63:4tp Clancy & Theys - NC Pier 252-450-0427 P.3
& 1NRCi<lON-RELATED EQ U PME?U
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
pipinSAubin& anociated wiffn the mjc rim operation. The granufiner's brochure may provide suppiementmy
inhnnatien.
1. LOCATION OF WEL14S)
Attach two copies of maps showing the following mformatim.
(1) ]include a Site Map (can be drawn) showing: buildings, propcity lines, surface water bodies, potential
sm3rces of grotmdwaW contamination and the orientation of and distances betwvm the proposed wells) 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 "can. Label all Features clearly and iml a .north arrow.
(2) The Site Map must show the subject property in relation to the numunding area by raging at least two fixed
refa== points such as roach, streams, and/or highwsy iritetsections.
J. CERT WICATfi ON
]note: This Permit Application must l?e signed by each pe+san appearing an the
recorded legal property dt:ed.
"T hereby certify, under penalty of law, that I have personally examined and am familiar with the infornsation
submitted in this 6Y=enl and all attachments thereto aod that based on my inquiry of those individuals
immediately responsible for obtaining said infomtaticn, I believe that tho information is true, accurate and complete.
I am aware that them are sigaiftrant penalties, including the possibility of fines and irr�5onmeat, for submitting
false inf matim I agree to construct, operate, matntam, repair, and if' applicable, abandons the injection well and
all related appwtmumom in accordance With the approved specifications and conditions of the Per=jt."
ignah=�Ifpll�pelty1pliant 1
lies e. 7-ve," .S OIv ecr ��A --
Priot or Type Full Nme and tat] e
Signab= of Property Qvtner/Agplicant
Primt or Type Full Name ead tide
Sig " of Authnrhmd Agent, if any
Print or Type Full Name and title
Plt&se return two copies of the completed Application package to:
North Carolina DENR-DW Q
Aquifer Protection Section-UIC Program
1636 Mail Service Ceater
Raleigh, NC 27699-1636
Telepbone�(90) 733-3221
t'iPU UIC 5QW Nctif alien cf moat T-mm (Royutd-U2009) Fags 3

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Flying "W" Plastics, Inc.
F,
P.D. Box 759 ..
4r87 Vanhorn Drive
Glenvelle, WV 26351
(304)-462.-5779
-Sales: (800)-327-4735
Fax: [phone]

0
Flying "W ► Plastics, Inc.
-EARTH SOURCE GEOTHERMAL PIPE-
PE360/PE3408
■ NSF-GEO certification for Flying "W" Plastics' "Earth Source
Geothermal" pipe helps us to meet the highest standard for
polyethylene geothermal piping.
■ With the implementation of geothermal systems, the cost of
heating and cooling a home or business has drastically decreased.
The use of a geothermal system results in more cost savings than
the most efficient conventional forced air system.
• Because geothermal systems recycles renewable energy to
sustain itself fossil fuels are not used to produce heat.
• Geothermal systems are much more environmentally friendly
verses traditional heating/cooling systems.
• Geothermal is becoming the heating and cooling method of choice
for residential and commercial buildings across the country.
The geothermal product line is currently having great impact on
the polyethylene market, with usage greatly increasing.

Plying "W" Plastics" Inc.
-EARTH SOURCE GEO T HIERMAL PIPE-
PE3608/PE3408
-Genera! Product Informatio€ -
3/4" — 6" is available in coils or reels.
3/4" — 14" is available in straight length
The piping is available in SDR7 to SDR35 depending on size.
3/4", 1" & 1 1/4" SDR 11 and SR❑ 9 piping is available in Earth Source troops with
U-bends which are pressurized and the ends crimped. All resin used is HDPE-
PE3608/PE3408 resin listed in PPI TR4 with a Cell Classification per ASTM D 3350
of 345464C. The material has a Hydrostatic Design Basis of 1600 psi @ 73.4
degrees F. All Flying "W" Plastics` Earth Source products meet or exceed the
specifications set forth by IGSHPA, and is tested and certified by NSF under their
NSF Geothermal prograj:a.. All piping is made to ASTM D3035 or ASTM F714
r
depending on size..
Flying "W" Plastics recommends joinin_g Earth Source geothermal pipe by heE
fusion. Using fusion procedures published by PPI in TN 13-2001 or
Flying "W" Plastics, Flying "W" Plastics recommends inspecting all piping and
fittings for damage prior to installation and hydrostatic of the completed
installation prior to placing in service.

Flying "W" Plastics, Inc.
-EARTH SOURCE GEOTHERMAL PIPE-
-PE3608/PE3408-Dual trapped Coils-
■ The fastest growing segment of
Flying "W" Plastics' geothermal
sales is for prefabricated dual
wrapped coils with a preinstalled
u-bend, We fabricate the coils on
site using a SDR 9/11 molded u-
fitting allowing only two butt fuses
per coil. The coils are furnished
pressurized with crimped ends to
give assurance that there are no
leaks in the fabrication.
• We use the same high quality
PE3508/PE3408 NSF-Geo certified
pipe as in the rest of our
geothermal product line.
■ The coils are available to ASTM
D3035 Specifications in 3/4",1", &
11/4", with SR❑ 11 and SDR 9
piping.
• We stock SDR 11 dual wrapped
coils in many sizes and lengths.
Coils using SDR 9 piping and
custom lengths normally have fast
turn around on special orders.
-Applications-
Commercial, institutional, and residential wells and other installations
where a complete loop with a u-bend is needed.

Flying "W" Plastics, Inc,
--Formally Stocked Coils-
Flying "W" Plastics normally
stocks both single wrapped
coils and double wrapped coils
of our SDR 11 Earth Source
Geothermal Pipe in a variety of
sizes and lengths.
The single wrapped coils are
capped and banded to skids
and shrink wrapped.
3/4" though 11/4" can be
furnished with crimped ends
and pressurized on request.
• The double wrapped coils are
fitted with a one piece molded
SDR 9/ SDR 11 U-Bend and
crimped and pressurized. They
are banded to pallets ,and
shrink wrapped.
-Single Wrapped Coils -
Size
Lengths Available
3/4" IPS
300',400',50v',6UU',8OO'
try IPS
300',500'
11/4" IPS
150',300',SOO'
z" IPS T300'1500'
-Double Wrapped Coils With U-Bends-
Size
Total coil Lengths
Available
3/4" IPS
310',410'
1" IPS
310',410',614'
11/4" IPS
610',810'

0
-r 1
Flying "W" Plastics. Inc.
-Earth Source Geothermal Pipe
PE3608/PE34D8 -`
SDR 9 boo Pam)=`
IPS PIPE
SIZE
Nominal
OD
MIN
INALL
AVG ID
(IN)
WEIGHT
L BS/ i
3/4"
1.050
.117
.816
.15
1"
1.315
.146
1.023
.23
11/4
1.660
.184
1.292
.37
11/2
1.900
.211
1.478
.49
2"
2.375
.264
1.847
.76
3"
3.500
.398
2.722
1.66
4"
4.500
.500
3.500
2.74
6"
6.625
.736
5.153
5.93
8"
8.625
.958
6.709
10.05
10"
10.750
1.194
8.362
15.62
12"
12.750
1.417
9.916
21.97
14"
14.00
1.556
10.70
26.49

Flying "W" Plastics, Inc,
-30 Year Limited arrantY_
Flying "W" Plastics warrants its EARTH SOURCE GEOTHERMAL pipe against
rot, rust, material flaws, structural weaknesses and electrolytic corrosion and
warrants it to be free from defect in materials and workmanship for a period
of fifty (50) years from date of purchase by and to the original installer only.
Flying "W" Plastics expressly limits its responsibility under this Limited
Warranty to the following:
1. Flying "W" Plastics Inc., will provide an equivalent amount of plastic pipe
of like size and grade to that amount which it acknowledges to be defective,
to the original installer only.
2. Flying "W" Plastics, Inc., will pay up to one dollar ($1..00) per lineal foot
for labor charges actually incurred by the original installer in replacement of
pipe warranted hereby, which pipe is acknowledged to be defective within five
(5) years of the date of purchase by the original installer only, with a pro rasa
reduction of said amount thereafter for the remaining fifty (50) years of this
Limited Warranty.
A sample measuring a minimum of twenty-four inches (24"} in length, bearing
the Flying "W" Plastics trademark, for any segment of pipe alleged by the
original purchaser only to be defective, must be submitted to Flying "W"
Plastics for inspection and testing, Any plastic pipe of Flying "W" Plastics
thereafter acknowledged to be defective shall be exchanged as aforesaid, and
Flying "W" Plastics shall assume the reasonable costs of transportation thereof
to the point of the original delivery,
Purchaser assumes all risk and liability for loss, damages or injury to persons
or property of buyer or other parties arising out of use or possession of
materials and products of Flying "W" Plastics, Inc. There are no warranties
which extend beyond the description on the face thereof.

Flying "W" Plastics. Inc.
P.O. Box 759
Glenvllled WV 26351 -
Sales. ($00)_327-4733
Fax: (304)_ 2-76.57
A -
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tls5tf fsl:ar
hyiene Gas Pipe
Conduit
F.V,,C. Sewar & Drain Pipe -PVC Conduit

THERM -EX GROUT"' HSF
um -or o�
NSPANSi 6L
THERM -EX GROUT'"' is an engineered system for use as backfill material in earth -coupled heat pump systems.
Its elevated thermal conductivity and low permeability allow for excellent heat exchange while protecting
groundwater supplies. THERM -EX GROUT should be pumped using a positive displacement pump capable of
generating pressures in excess of 300 psi. Developed using high swelling Wyoming Bentonite, this new
generation of grouting material offers efficient installation of closed -loop geothermal heat pump systems.
MATERIAL SPECIFICATIONS:
Thermal Conductivity: .93 Btulhr-ft-°F 1.05 Btulhr-ft-OF
Permeability:
2 x 10.
6 x 10
Solid Content:
64 %
67 %
Slurry Weight:
13.6 lbslgal
14.4 lbslgal
Slurry Volume/Batch:
29 gals
36 gals
Thermal Conductivity:
1.13 Btulhr-ft-°F
1.2 Btulhr-ft-OF
Permeability:
6 x 10
6 x 10
Solid Content:
69 %
71 %
Slurry Weight:
15.1 lbslgal
15.2 lbs/gal
Slurry Volume/Batch:
41 gals
41.5 gals
APPROBATE VOLUMES
FOR GROUT
Drilled
Hole
Dia.
Loop
Inside
Dia.
Anlr.
Vol.
cu.ft.lft.)
Anlr.
Vol.
alJft.)
4
Y4"
0.08
0.57
4.5
1"
0.09
1 0.70
S
1"
0.12
0.89
5.5
1"
0.15
1.10
6
l"
0.18
1.33
5
1 114"
0.11
0.84
5.5
1 114"
0.14
1.05
6
1 114"
0.17
1.29
APPLICATION RATE:
The combination of fresh water, THERM -EX GROUT and silica sand constitute "the system" for backfilling
geothermal loops. Use locally available dry silica sand. For best results, use sand ranging in size from 30 mesh to 70
mesh (AFS GFN particle size classification 38 to 50).
Mix as follows:
..93 Btulhr-€t-°F
1.05 Btulfir-ft "F
1.13 Btulhr-it "F
1.2 Btulhr-ft-"F
Water 17 gal
2.0 gal
1 21 gal
22 gal
THERM -EX GROUT' 1- 50 lb bag
1- 50 lb bag
1- 50 lb bag
1 - 50 lb bag
Silica Sand 200 lb
300 lb
350 lb
400lb
Add the THERM -EX GROUT" to the water while agitating. Mix for approximately one minute, then add the
sand, Agitate until the sand is uniformly dispersed and pump into place using a tremie line. For best results,
place the tremie line near the bottom of the loop and pump into place. Providing local regulations allow, slowly
extracting the tremie line as you come up the hole reduces pump pressure, aids the grout in setting quicker, and
reduces the opportunity for formation damage.
To increase work time for deep sets. you may add THINZ-17I'0�' to the make-up water. Addition rates may vary.
but generally 2 ounces to make-up water yields the desired results.
THERM -EX GROUTr" is packaged in 50 pound bags.
W1 O-REIN, LNU. P.O. Box 1.979 Billings, Montana-7.93.03
lniernet., Wwvi :Eti Y0he x.c am enrai[*lwyoberi.roa3 8110 54S-74* 5 or (4416 ) 6 52-6351

Toano Well & Pump Service, Inc
POBOX306
Class A WWP# 2705-078654A
Family operated for over 20 years
March 12, 2010
NASA-Administrative Office Building One
Langley Research Center
Hampton, Virginia
Subcontract Number: 12325-137
Toano, VA 23168
Phone: [phone]
Fax: [phone]
Re: Subcontractor Prequalification Statement 12.0-Major Construction Projects
50 hole geothermal project for York County Boys & Girls Club
300 LF bore holes using 1" unicoil
General Contractor: Art Newsome, Inc.
80 hole geothermal project for Little Creek Amphibious Base Chapel
360 LF bore holes using 11/4" unicoil
General Contractor: Hampton Roads Mechanical Incorporated
520 hole geothermal project for James City County Williamsburg Public Schools @
4th middle school and 9th elementary school
200 LF bore holes using 1" unicoil
General Contractor: Oyster Point Construction
150 hole geothermal project for Virginia Beach Public Schools @ Providence Elementary School
300 LF bore holes using 1" unicoil
General Contractor: NORESCO
63 hole geothermal project for York County Public Schools @ Queens Lake Middle School
300 LF bore holes using 1" unicoil
General Contractor: Oyster Point Construction
Mechanical Contractor: Bayside Contracting
90 Hole geothermal project for York County@ Historic River Walk .Landing
200 LF bore holes using 3/4" unicoils
General Contractor: W.M. Jordan
Mechanical Contractor: Warwick Air Conditioning
144 Hole geothermal project for the Department of Energy @ Jefferson Labs Cebaf Research center
245 LF bore hole using 1" loops
General Contractor: MEB Construction Company
Mechanical Contractor: Hampton Roads Mechanical Corp.
360 Hole geothermal project for York County Public Schools @ York High School
300 LF bore hole using 1" loops
General Contractor: Oyster Point Construction
Mechanical Contractor: Warwick Plumbing and Heating -
12 hole Geothermal Project for the Hi;toric Jamestown Transportation Center
200 LF bore using 3/4" loops
General Contractor: THC corporation
Mechanical Contractor: Cox Powell Corporation.
28 Hole Geothermal Project for the 1-64 West bound Rest area
400 LF bore using 11/4" loops
General Contractor: David A Nice Builders
240 Hole geothermal project for York County Public Schools@ York Middle School
300 LF bore using 1" loops
General Contractor: Oyster Point Construction
Mechanical Contractor: Warwick Plumbing and Heating
520 Hole Geothermal Project for Virginia Beach Public Schools @ The Renaissance Academy
400 LF using 1" loops
General Contractor: W.M. Jordan
Mechanical contractor: Warwick Plumbing and Heating
Please see the attached insurance certificate. If you have any questions please feel free to call me at
757-784-4940.
Best regards,
Ben Dozier
President
Toano Well and Pump Service, Inc.
�`•,� - Y .T•.�-- 3:C �. � ',4 x�"-.•," _ '" -•' Sl t .. r-''r.�.Y•r.- _ ..n.�-}? _
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'Heat
u;
Pump As iodation
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This is to cef fy that
Re
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_Olen.Dozier
'Aw
'is a7nernb r i gtrad standing ofthe
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Pump Asswi� wfign..
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GIRIFIT CA
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t."t AUTH60ITY IN UNDE'G DIi pI®UIRi ENT 1IiI11HINU
l�Fifi{!E5 Skk�S `&Fp.1fIG� �8klilJti�i
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In. rer-ognition Qf
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Ben,Iaazler
who has, attended tho
Sic contacthouris agcrpoltgd course in
Confined Space Training
29 CFR 1.910.146
Class TvPC
March 13, 2008
Date
v
Bub Godsey
Insrruc(or
�f z�
Presider; [

CAT�
•i*
TNE. 11 I ORRY IN UNOEGGROUNU FUUIPMENT TRAINING
I H O5 • SAILS tiIRVIGk - WHAWN6
f k
tl re, copitiori Of
zi
Six coritoct hours jqcpredi�A4.,.cOurse in
Trench and Excavation
Competent Person Training
2.9CFR 1925 Subpart P Standard Bub Godsey
Class ape
March 13, 2008
Date
Instructor
President

Sep 1'6 10 03:44p Clancy & Theys • NC Pier 252-480-0427
NORIB CAROLINA
DEPARTMENT OF ENVIRONMEI'ff AND NA TUR.AL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED-LOOP GEOTHERMAL
WATER•ONLY INJECTION WELL SYSTEM
TYPE SOW WELUS)
In Accordance With the Provisions ofNCAC Title ISA 02C.Q200
Print or type the required infvm,ation and mail to address on /he back page.
DATE: §ept~b_e~r ~2.;..1 __ __, 2010
p.1
Well Type Coefmnatwn: Does the proposed system circulate potable water: only (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
closed-loo~?
Yes -1L Contin_ue completing this form .
No ___ Do Not complc:te this form. Complete other UIC application forms for installing
either a 5A7 well (open-101:,p weJI injecting 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 OWNER(S)/APPUCANT(S'J
List w Property Owner listed on property deed (if owned by a business or government agency, state name of .
entity arul a.representative w/authoril),· for signature): N~BrH Ca@l11JA IJ9uA14'v,n ---0,vJf,/(),:J
(Snrre AGt.iz-):)c_~ ·
{1) MailingAdrlress : 31 :lS PoLJ I.A'< wo,,c, CovtkT , S",-le /l,O •
City: 7?a 1£, hH State: ~ Zip Code : a rG:> ot.J County: WA ff e.
Home/Office Tele No.: 9JtJ -Jl't'/: -55t>D Cell~o.: 919 -1-/1<> -&,4J
EmailAddrcss: CM/4 ,J,,,e.L$@Oe Website:
~~l~h'S ' C4fl"-
(2) Physical Address ofWeJl S:ite (if diffenmt then above): 't '1~1, S • VLt4,'-Lr-'t R: ])N..e, ftAJ
City: )/At..S J/t.4Q State: f.l-'.._Zip Code : °2 '1-~q County: J>BIU ..
Bomc/OfficeTclcNo.: Cj f tf-S?~-f".S--00 CeUNo .: 919·/.//0-/(,,,'/3
a AUmORIZED AGENT OF OWNER, lJi' ANY (if the Permit Applicant does notown the subject property,
attach a. letter from the property owner authorizing Agent to install and operate UIC well)
CompaayName:. ______________ _
Contact Pecson . .._: __________ ...,,,E,<!!MAIL=~A..,,ddrcss==...:....a-~-~-.____.,,;,~--=·--~-r""'"''-' --~...-.....;....
Address:
City: ________ State: _Zip Code: ___ County: ______ _
Office Tele No.: Ci:11 No.:
Website Address of Company, if any:. ____ .,__ ________ _
GPU/UIC SQW Notification ofintcnt Fonn (Ri:viscd 812008) Page I
Sep 16 10 03:44p Clancy & Theys -NC Pier 252-480-0427 p.2
C. WELL D~LER INFORMATION
Company Name: Toan o Well an d Pump Service, Ioc.
Well Driller Contractor's Name: ~Char:-~les~N!.:... a!:,:'.D~ozi~·e:r~. II~{Bo:::.!.J..) ______________ _
NC Contractor Ccrlification No.: 4-'-'0=8=8-...:.A~------------
Contact Person: Charles N . Dozier, II (Bo )
Address: PO BOX 306
EMAIL Address : toanowelland pum p@ aol.com
City: Toano Zip Code : =23::....:.1=68:;.___ County: ----'J"'-"am=e,,__s C:e::ci~tvc...;Co=ua""'-'-"ty~, V-'-'1,...· rg,,..irua..,.·=--
Office Tele No.: ____..7 ___ 5~7 ~566"--'-0 __ :3_7 _7 _______ Cell No.: 757 784 494 1
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: Warwick Plumbing & Heating Corp .
ContactPerson:Brian Bunce EMAlL Address: bbunce@ wphcorp.com
Address: 11048 Warwick Boulevard
City: Newport News Zip Code: 23601 County: ___________ _
Office Tele No.:[phone] Cell No .: [phone]
E. STATUS OF APPLICANT
Priva~: Fcxleral:
State:_x_ Municipal.: __
Commercial: .2L
Native American Lands:
F. INJECTION PROCEDURE (briefly describe how the injec.tion wcll(s) will be used)
Closed-Loop Geothermal
G. WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: _9_1_20_I _10 ____ Number ofborings: _____ go __ _
. Approximate depth of each boring (feet): _ ___;.3..;...0o ____ _
(2) Typeofrubingto be used (copper, PVC. etc): ___ H=D=P~E~----~-----
(3) Well casing. Is thewell{s) cased? (checlc either (a.) Yes ru:_ (b.) No below)
(a) ·yes ___ if yes, then provide casing information below
Type: __Jalvani7.ed steel __ black steel__plastic __ othc:r (specify)
Casing depth: From ___ to ___ f.eet (reference to land surface)
Casing extends to above ground ___ .inches
(b) No x
( 4) Grout Info (matc:rial. :11.urounding weU casing aru5/crr piping):
(a) Orouttype: NeatCcmcnt__ Bentonite-2t_ Other(specify) _____ _
(b) Grout placement: Pumping__ Pressure_x_ ~--
(c) Groutdepthoftubing(referencetolandsurface): from O to 300 {feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
GPU/UlC 5QW Noti:&aticm of'Inteot Form {Revis= 8/.2008) Page2
Sep 1o 10 03 :45p Clancy & Theys • NC Pier 252-480-0427 p.3
B. INJECTION-RELATED :EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubIJ18-associated with the mjection opciration. The maruifacturc:r's brochure may provide supplementary
icfomtation.
I. LOCATION OF WELL(S)
Attach two copies of maps showing the following information :
(l) 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
1he geothennal heat pump well system. Lahc::I all featnrc:i clearly and include a north art'QW.
(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 road.1, streams, and/or highway in1erseetions.
J. CERTIFICATION
Note: This Permit Application 111111st be signed by ~ person appearing on the
recorded legal property d1:ed.
"I hereby certify, under pczialty of law, that I ha-ve personally e>Wilined and am familiar wi1h the information
submitted in this document and all attaclnnents thereto and that, based on my inquiry of those individuals
immediately responSJble for ob1aining said infonnation, I believe that the infonnation is true, accuraw and complete.
I am aware that there are significant penalties, incl.udm.g the possibility of fines and imprisonment, for submitting
false information . I agree to construct, operate, maintain. repair, and if applicable, abandon 1h.e injection well and
all.related appurtenances in accordance with 'the approved specifications and conditions of the Penn.it."
AlhutJ e . ..J~ /JI!~ lk-, {'.)sf"~of Property ~ pplicant
.. ?Am es C-IvetU: J4,,.eo-@AeA-~,e__.
Print or Type Full Name and title "
Signature of Property Owner/ Applicant
Print or Type Full Name and title
Signature of Authorized Agent, if any
Print or Type Full Name and title
Please return two copies of the completed Application padcage to:
North Carolina DENR-DWQ
Aquifer Protection Section-UIC Program
1636 Mail Service Center
Raleigh. NC 27699-1636
Telephone, [phone]
GPU/UIC SQWNotifialtion of Intent Form (R~cd 3/2008) Page3
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23 71 �3 ;. Z.
Flying "W" Plastics, Inc.
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Y
7/0. Box 759 _J
�87 Vanhorn Drive "
'i'llenvxlle. WV 26351
304)-462-57.79
sales: (800)-327-47.3 '
ax: (.504)-462-7657

Flying ""W" Plastics, Inc.
�lW`�Ya='a] Y`�I:iI..V_<4;"5-.'�i0�,:r�r.-da�q
AWEARTH SOURCE GEOTHERMAL PIPE-
PE3608/PE3408
• N5F-GED certification for Fl1. ying Plastics"'Earth SourceP.
Geothermal" pipe helps us to meet the highest standard for
polyethylene geothermal piping.
With the implementation of geothermal systems, the cost of
heating and cooling a home or business has drastically decreased.
The use of a geothermal system results in more cost savings than
the most efficient conventional forced air system.
Because geothermal systems recycles renewable energy to
sustain itself fossil fuels are not used to produce heat.
Geothermal systems are much more environmentally friendly
verses traditional heating/cooling systems.
V7q,y•
■ -'i _ rr
• Geothermal is becoming the heating and cooling method of choice
for residential and commercial buildings across the country.
• The geothermal product fine is currently having great impact on
the polyethylene market, with usage greatly increasing.

Flying "W" Plastics. Inc.
`-44
"EARTH SOURCE GEOTHERMAL PIPE-�
PE3608/Pc34o8
-General Product InformatEon-
Lk
3/4" — 6" is available in coils Miie
3J4" — 14" is available i i-straaON
M;
The piping, s .v Ja in DR7 R3 even:
p P i s �i blg S tip 5D ��l d°
_ _
F' 3J4", 1" & 11/44" SDR 11 and SRD 9 piping is �a .aliable.... I i Fri~e hoops with
eTx
U-bends which are pressurized and the ends ct+mpe��--.�#II r- i s'HDPE
PE3608JPE3448 resin listed in PPI TR4 with a Cell Classification per ASTM D 3350
of 345464C. The material has a Hydrostatic Design Basis of 1600 psi [a 73.4
degrees F, All Flying "W" Plastics' Earth Source products meet or exceed the.
specifications set forth by IGSHPA, and is tested and certified by NSF under.their
NSF Geothermal program. All piping is made to ASTM D3035 or ASTM F714
depending on size.
K
r _ �Uf- .
C
Flying "W" Plastics recommdn sjo►n Earth Source geothermal pipe by heat
fusion. Using fusion procedgres, pgbl.ishd by PPIin TN 13-20Q. pr -
Flying `'1!U" Plastics. l"I�iing "HIV" plastics re%rmi��ds itseelE�gIai:prc� and
fittings for.darna a prior to installation andrastatic n
9 9 P �e.p:fed
installation prior to placing in service.Y�j �: ,

Flying ` W" Plastics, Inc.
�iMv�:�.'SL.sx . ��-'7aL.:�w¢'ara•�--�,•�_�7r.�i��izc': ��l:Y.�s,.�'ei�7�.,w'i� -
r� .
-EARTH SOURCE GEOTHERMAL PIPE-
I _PE3608/PE3408-Dual Wrapped coils-
r
N
r..
■ The fastest growing segment of
Flying 11W" Plastics' geothermal
sales is for prefabricated dual
wrapped coils with a preinstalled
u-bend. We fabricate the coils an
site using a SDR 9/11 molded u-
fitting allowing only two butt fuses
per coil. The coils are furnished
pressurized with crimped ends to
give assurance that there are no
leaks in the fabrication.
We use the same high quality
PE3508/PE3408 NSF-Geo certified
pipe as in the rest of our
geothermal product line,
• The coils are available to ASTM
D3035 Specifications in 314"J", &
11/4", with SRD 11 and SDR 9
piping.
We stock SDR 11 dual wrapped
coils in many sizes and lengths.
Coils using SDR 9 piping and
custom lengths normally have fast
turn around on special orders.
-Applications-
Commercial, institutional, and residential wells and Other installations
.where a complete loop with a u-bend is needed.

Flying "W" Plastics, Inc:
-Normally Stocked Coils-
Flying "W" Plastics normally
stocks both single wrapped
coils and double wrapped coils
of our SOR 11 Earth Source
Geothermal Pipe in a variety of
sizes and lengths.
The single wrapped coils are
€ capped and banded to skids
and shrink wrapped.
r 3/4" though 11/4" can be
furnished with crimped ends
and pressurized on request.
The double wrapped coils are
i fitted with a one piece molded
SCR 9j SCR 11 U-Bend and
l crimped and pressurized. They
are banded to pallets and
shrink wrapped.
-Single Wrapped Coils -
Size
Lengths Available
V4" IPS
300',400',SOO'1600',800'
1" IP5
300'1500'
11/4" IPS
150'f300',500'
2" IPS
300',500'
-Double Wrapped Coils With U-Sends-
Size
Tatai f_o�! Lengths
Available
3/4" IPS
31011410'
1" IP5
310',410',610'
11/4" IP5
610'1810'
N
N

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Flying "W" Plastics, Inc.
-Earth Source Geothermal Fop._"p
PE3608/PE3408
5DR 9 f-A
IPS PIPE
SIZE
Nominal
OD
MIN
WALL
AVG ID
(IN)
WEIGHT
LBS/FT
3/4'r
1.050
.117
.816
.15
1"
1.315
.146
1.023
.23
11/4"
1.660
.184
1.292
.37
11/2"
1.900
.211
1.478
.49
2"
2.375
.264
1.847
.76
3"
3.500
.398
2.722
1.66
4"
4.500
.500
3.500
2.74
6"
6.625
.736
5.153
5.93
8"
8.625
.958
6.709
10.05
10"
10.750
1.194
8.362
15.62
12"
12.750
j 1.417
j 9.916
21.97
14"
14.00
1 1.556
1 10.70
26.49
P,

F
Y
I
Flying "W" Plastics, Inc.
-Earth Source Geothermal.
=`=
A.
PE3608/PE3408
SDR 11 (1050 PSI.
ZPS
PIPE
SIZE
NOMINAL
OD
MIN
WALL
AVG
ID(IN)
WEIGHT
LHS/FT
3/4"
1.050
.095
.860
.12
1'=
1.315
.120
1.075
.20
1 'I4"
1.660
.151
1.358
.31
1 '12
1.900
.173
1.554
.41
21=
2.375
.216
1.943
.64
3"
3.500
.318
2.864
1.39
4"
4.500
.409
3.682
2.29
6"
6.625
.602
5.421
4.97
8"
8.625
.784
7,057
8.43
10"
10.750
.977
8.796
13.09
12"
12.750
1.159
10.432
18.41
14"
14.00
1.273
11.30
22.20
F
k
I

Flying `"W" Plastics, Inc.
-Earth Source Gec h�f al
/PE3408
IPS
PIPE
SIZES
Nominal
OD
MIN Wall
AVG
ID (IN)
WEIGHT
LBS/FT
3/4"
1.050
.068
.914
.092
1"
1.315
.085
1.145
.145
11/4
1.660
.107
1.4446
.23
11/2"
1.900
.123
1.654
.30
2"
2.375
.153
2.069
.47
3"
3.500
.226
3.048
1.02
4"
4.500
.290
3.920
1.68
6"
6.625
.472
5.771
3.64
8"
8.625
.556
7.513
6.17
10"
10.750
.694
9.362
9.58
12"
12.750
.823
11.104
13.47
14"
14.00
.903
12.20
16.24

9
Flying "W" Plastics, Inc.
-Product Specification -
Flying "W" Plastics certifies its EARTH SOURCE GEOTHERMAL_ Pipe to be manufactured
from select PE3608 (PE3408) high density polyethylene copolymers (see typical properties
below) and meet specifications set forth in ASTM D-3035, ASTM D-3350, and ASTM F-714.
This material meets all of the requirements of ASTM 1248-81A for type PE34 Class C
Product. It has outstanding properties of a high hoop stress and a high level of
environmental stress crack resistance.
TYPICAL PROPERTIE—V English Values S1 Values AS -TX Fietnod
Density (Black)
-
0.955 g/cc
D 4883
Melt Index?
-
8.75 9/cc
❑ 1238
Tensile Strength
@ Yield (2 in/min)
@ Break (2 in/min)
3300 psi
4500 psi
22.8 MPa
31.0 Mpa
D 638
D 638
Elongation @ Break (2 in/min)
>800%
>800%
D 638
Flexural Modulus3
120,000 psi
827 MPa
D 790
Notched Izod Impact Strength
6 ft-Ibf/in
0.32 kj/m
❑ 256
Hardness (Shore ❑)
66
66
D 2240
V#rat Softening Point
259 'F
126 'C
D 1525
Brittleness Temperature
<-180 `F
<-118 `C
D 746
Hydrostatic Design Basis
@ 23 `C
@ 60 `C
1600 psi
800 psi
11.0 MPa
5.5 MPa
D 2637
D 2837
Minimum Required Strength
-
8.0 MPa
ISO 9080
Environmental Stress Crack Resistance4
>2000 hrs
>2000 hrs
D 1693
Environmental Stress Crack Resistance=
>5000 hrs
>5000 hrs
D 1693
Pipe ring ESCR6
>5000 hrs
>5000 hrs
F 1248
Notch Tensile (PENT)
> 100 hrs
> 100 hrs
F 1473
Carbon Black Concentration
2.3%
2.3%
❑ 1603
Cell Classification
315464C
345464C
D 3350
1Typicai properties will vary within specification limits ;Condition B, 10%.
2190 degrees C/21,1009 5Condidan C
32% Secant -Method 1 $Two inch, SIDR 19

Flying "W" Plastics, Inc,
-+�-:'a .:r��as �-,�sr�-�.,rssraw,. �=YC--�"C.�"...'>n...... �..m:=. :^'aBr=L.:�"---`-'":�•L".s�-..:r
` --50 Year Limited Warranty -
Flying "W" Plastics warrants its EARTH SOURCE GEOTHERMAL pipe against
rot, rust, material flaws, structural weaknesses and electrolytic corrosion and
warrants it to be free from defect in materials and workmanship for a period
of fifty (50) years from date of purchase by and to the original installer only.
Flying "W" Plastics expressly limits its responsibility under this Limited
Warranty to the following:
' 1. Flying "W" Plastics Inc., will provide an equivalent amount of plastic pipe
of like size and grade to that amount which it acknowledges to be defective,
to the original installer only.
Z. Flying "W" Plastics, Inc., will pay up to one dollar ($1.00) per lineal foot
for labor charges actually incurred by the original installer in replacement of
pipe warranted hereby, which pipe is acknowledged to be defective within five
(5) years of the date of purchase by the original installer only, with a pro rats
reduction of said amount thereafter for the remaining fifty (50) years of this
Limited Warranty.
A sample measuring a minimum of twenty-four inches (24") in length, bearing
the Flying "W" Plastics trademark, for any segment of pipe alleged by the
original purchaser only to be defective, must be submitted to Flying "W"
Plastics for inspection and testing. Any plastic pipe of Flying "W" Plastics
thereafter acknowledged to be defective shall- be exchanged as aforesaid, and
Flying "W" Plastics shall assume the reasonable costs'of transportation thereof
to the point of the original delivery.
` Purchaser assumes all risk and liability for loss, damages or injury to persons
or property of buyer or other parties arising out of use or possession of
materials and products of Flying "W" Plastics, Inc. There are no warranties
which extend beyond the description on the face thereof.

Flying "W" Plastics, Inc.
P.O. Box 759
Glenville, WAT 26351
(304)-462-3779
Saies: (800)-327-4735
Pam (304)-462-7637
_Aq
i v
RQQUCTS-
�\al PiD-.n_-Po1yE_,thY1ene Gas 'Pi. Polyeth e-, w
ol-
F fiylcR� Water Pipe yet
Polyethylene UtHO.Pipe and Conduit
P.V.C. Sewer & Drain Pipe -PVC Conduit

THERA I-E X GROUT""'
RO LJ T""'
Z
KSF
NSFIANSI.50
THERM -EX GROUT'' is an engineered system for use as backfill material in earth -coupled heat pump systems.
Its elevated thermal conductivity and low permeability allow for excellent heat exchange while protecting
groundwater supplies. THERM -EX GROr]r should be pumped using a positive displacement pump capable of
generating pressures in excess of 300 psi. Developed using high swelling Wyoming Bentonite, this new
generation of grouting material offers efficient installation of closed -loop geothermal heat pump systems.
MATERIAL SPECIFICATIONS:
Thermal Conductivity: .93 Btu/hr-ft-°F 1.05 Btulhr-ft-T
Permeability. 2 x 10 . 6 x 10`$
Solid Content. 64 % 67 °gyp
Slurry Weight: 13.6 lbslgal 14.4 lbslgal
Slurry Volume/Batch. 29 gals 36 gals
Thermal Conductivity
Permeability:
Solid Content:
Slurry Weight:
Slurry Volume/Batch:
--------------------
1.13 Btulhr-ft-°F
6 x 10"$
69 %
15.1 lbs/gal
41 gals
APPLICATION RATE:
1.2 Btu h -ft-6P
6 x 10-$
71 %
15.2 lbslgal
41,5 gals
APPROXIMATE VOLUMES
FOR GROUT
Drilled
Hole
Dia.
Loop
Inside
Dia.
Anlr.
Vol.
(cu.ft.lft.)
Anlr.
Vol.
�al.lft.
4
314"
0.08
0.57
4.5
1"
0.09
0.70
5
1"
0.12
0.89
5.5
1"
0.15
1.10
6
1"
0.18
1.33
5
1 114"
0.11
0.84
5,5
1 114"
0.14
1.05
6
1 114"
0.17
1.29
The combination of fresh water, THERM -EX GROUT'` and silica sand constitute "the system" for backfllling
geothermal loops. Use locally available dry silica sand. For best results, use sand ranging in size from 30 mesh to 70
mesh (AFS GFN particle size classification 38 to 50).
Mix as follows:
.93 BtWhr-ft "F
1.05 Btulhr-ft "F
1 1.13 Btu/hr-ft-"F
1.2 Btulhr-ft "F f
Water 17 gal
20 gal
21 gal
22 gal
THERM -EX GROUT' 1 - 50 lb bag
1 - 50 lb bag
1 - 50 lb bag
1 -- 50 lb bag f
Silica Sand f 200 lb
300 lb
350 lb
400 lb f
Add the THERM -EX GROUT"" to the water while: agitating. Mix for approximately one minute, then add the
sand. Agitate until the sand is uniformly dispersed and pump into place using a tremie line. For best results,
place the tremie line near the bottom of the loop and pump into place. Providing local regulations allow, slowly
extracting the tremie line as you come up the hole reduces pump pressure, aids the grout in setting quicker, and
reduces the opportunity for foiination damage.
To increase work time for deep sets, you may add THINZ-I 0 to the make-up water_ Addition rates may vary,
but generally 2 ounces to make-up water yields the desired results.
THERM -EX GROUT' is packaged in 50 pound bags.
R`'I U-REN, LNC_ P.O. B03.19?9 Rillitk*, Montana 59103
Internet.- ww .wyobe.n.eom email i wyaben.rom $U[ 4 48-70f-5 or (4416) 652-6351

'. '
' 1 •
t oano Well & Pump Service, Inc
POBOX306
Class A WWP# 2705-078654A
Family operated for over 20 years
March 12, 2010
NASA-Administrative Office Building One
Langley Research Center
Hampton, Virginia
Subcontract Number: 12325-137
Toano, VA 23168
Phone: [phone]
Fax: [phone]
Re: Subcontractor Prequalification Statement 12.0-Major Construction Projects
50 hole geothermal project for York County Boys & Girls Club
300 LF bore holes using 1" unicoil
General Contractor: Art Newsome, Inc.
80 hole geothermal project for Little Creek Amphibious Base Chapel
360 LF bore holes using 11/4" unicoil
General Contractor: Hampton Roads Mechanical Incorporated
520 hole geothermal project for James City County Williamsburg Public 'Schools@
4th middle school and 9th elementary school
200 LF bore holes using 1" unicoil
General Contractor: Oyster Point Construction
. '
150 hole geothermal project for Virginia Beach Public Schools @ Pr.ovidence Elementary School
300 LF bore holes using 1" unicoil
General Contractor: NORESCO
63 hole geothermal project for York County Public Schools @ Queens Lake Middle School
300 LF bore holes using 1" unicoil
General Contractor: Oyster Point Construction
Mechanical Contractor: Bayside Contracting
90 Hole geothermal project for York County@ Historic River Walk .Landing
200 LF bore holes using 3/4" unicoils
General Contractor: W.M. Jordan
Mechanical Contractor: Warwick Air Conditioning
144 Hole geothermal project for the Department of Energy@ Jefferson Labs Cebaf Research center
245 LF bore hole using 1" loops
General Contractor: MEB Construction Company
Mechanical Contractor: Hampton Roads Mechanical Corp.
360 Hole geothermal project for York County Public Schools @ York High School
300 LF bore hole using 1" loops
General Contractor: Oyster Point Construction
Mechanical Contractor: Warwick Plumbing and Heating
12 hole Geothermal Project for the Hi;toric Jamestown Transportation Center
200 LF bore using 3/4 "loops
General Contractor: THC corporation
Mechanical Contractor: Cox Powell Corporation.
28 Hole Geothermal Project for the 1-64 West bound Rest area
400 LF bore using 1.1/4" loops
General Contractor: David A Nice Builders
240 Hole geothermal project for York County Public Schools @ York Middle School
300 LF bore using 1" loops
General Contractor: Oyster Point Construction
Mechanical Contractor: Warwick Plumbing and Heating
520 Hole Geothermal Project for Virginia Beach Public Schools @ The Renaissance Academy
400 LF using 1" loops
General Contractor: W.M. Jordan
Mechanical contractor: Warwick Plumbing and Heating
Please see the attached insurance certificate. If you have any questions please feel free to call me at
757-784-4940.
Best regards,
Ben Dozier
President
Toano Well and Pump Service, Inc.
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THE AUTHORITY IN UNOERGROUHU FOI11PMENT TRAINING
HiNlAts - MES I sf�bin - TRAINI"t; .
..in recognition of
-Ben. Dozier
Who has at -Leaded the 1�=y
Six contact hours accredited purse in
Confined Space Trainiiib
29 CFlt 1910.146 `a Boib Codsey
Cla-ss 7yE,e
March 13, 2008
>♦ nate
Ir)S t ructor
Presided t

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THE AUTHORO 'I R.#
`s
Six cc
Treach anti Excavation
Cumpetent Person Training
29CFIZ 1926 Subpart P Standard
Class 73/pe
March 13, 2008
D aiv
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Bub Godsey
Instructor-
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Presidept
61

,..
3125 Poplarwood Ct,, Ste. 160
Raleigh, NC 27604
Tel: [phone]
Fax: [phone]
E-Mail: [e-mail]
CHRIS IVERS
Project Manager
NORTH• CAROLI NA
AQUARIDMS
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES