WI0700209_GEO THERMAL_20121018 (2)

Ro g ers, Michael
From:
Sent:
To:
Subject:
Hi Michael,
Tammy Schilling [[e-mail]]
Thursday, October 18, 2012 3:15 PM
Rogers, Michael
WI0700209
I wanted to let you know that we would be getting ready to start the Seymour Johnson Air Force Base Project
(WI0700209). We will start getting the well locations marked, supplies organized on the site, etc. on Monday 10/22/12
and then start drilling later in the week. If you have any questions please give me a call. Have a great day!
/
'I;1mmy Scfulfing
Jf.ppCi,ed 'Rgsource 5Wanagement
(9.10)270-2919
1
NCDENR
North Carolina Department -of -Environment -and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakiid, P. E. Dee Freeman
Governor Director Secretary
May23,2012
Seymour Johnson AFB
1095 Peterson Avenue
Building 3300
Seymour Johnson AFB, NC 27531
Subject: Notification of Rule Revisions Affecting
Closed -Loop Geothermal Injection Well Permit Holders
Permit Number: WM700209
To Whom it May Concern:
Our records indicate that you currently hold a permit for a closed -loop geothermal injection well
system. This letter is to inform you that on May 1, 2012, the North Carolina Administrative
Code Title 15A Section 2C .0200 entitled "We1l Construction Standards — Criteria and
Standards Applicable Injection Wells" were revised. These revisions affect all permits issued
for injection wells including geothermal wells.
This letter is also to inform you that your closed -loop geothermal injection well(s) have become
"permitted by rule." Therefore, you are no longer required to renew your current permit
and the permit will be valid indefinitely as long as the wells are active and are operated in
accordance with the revised rules referenced above. Please keep in mind that if you abandon
the wells, a record of abandonment must be submitted to the Division of Water Quality. You
may view the revised rules on our website at htip:/inortal.ncdenr.ordweb/wglaps.
If you have any questions regarding your current permit or the rule revisions, please feel free to
contact our underground injection control staff at [phone].
Sincerely,
Eric G. Smith, P.G.
Hydrogeologist
cc: [JIC Permit File
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699.1636
Location: 512 N. Sali5hury SS., Raleigh, North Carolina 27604
Phone; 919-807-6464 \ FAX: [phone]
Internet: www-ncwateroualitvorq
Ar Equal Opporionily i Afmoative Action Employer
NorthCarolina
Nate/Tally

Permit Number· WI0700209
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (SQM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facil i
Facility Name
Seymour Johnson AFB RAPCON Facility
Location Address
Humphreys St Jabara Ave
Goldsboro NC 27531
Owner
Owner Name
Seymour Johnson AFB
Scheduled
Orig Issue
02/15/11
App Received Draft Initiated Issuance
02/09/12
Regulated Activities
Heat Pump Injection
Outfall NULL
Central Files : APS_ SWP _
_ ,02/22/12
Permit Tracking Slip
Project Type Status
Active Major modification
Version
1.10
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Washington
County
Wayne
Facility Contact Affiliation
Owner Type
Government -Federal
Owner Affiliation
1095 Peterson Ave
Seymour Johnson AFB NC
Public Notice Issue
02/20/12
Effective
02/20/12
Re q uested/Received Events
RO staff report requested
RO staff report received
27531
Expiration
01/31/17
02/14/12
02/15/12
Waterbody Name Stream Index Number Current Class Subbasin
Permit Number WI0700209
Central Files: APS SWP
02/15/12
Permit Tracking Slip
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (SQM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facili?
Status Project Type
In review Major modification
Version
Permit Classification
Individual
Permit Contact Affiliation
Facility Name
Seymour Johnson AFB RAPCON Facility
Location Address
Humphreys St Jabara Ave
Goldsboro NC 27531
Owner
MajorlMinor
Minor
Region
Washington
County
Wayne
Facility Contact Affiliation
Owner Name
Seymour Johnson AFB
Dates/Events
Owner Type
Government - Federal
Owner Affiliation
1095 Peterson Ave
Seymour Johnson AFB NC 27531
Orig Issue
02/15/11
App Received
02/09/12
Regulated Activities
Draft Initiated
Scheduled
issuance
Heat Pump Injection
Outfatl NULL
Public Notice lisue „ Effective
Re ,uested/Received Events
RO staff report requested
RO staff report received
rttrin-i
02/14/12
02/15/12
Waterbody Name Stream Index Number Current Class Subbasin

A
rvA
ter..
NCDiNR
North Carolina Department of Environment and Natural Resources -
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
February 20, 20I2
Dennis Goodman, P,E.
Seymour Johnson AFB
1095 Peterson Avenue
Building 3300
Goldsboro, NC 27531
Ref: Issuance of'Injection Well Permits. W10700209
issued to Seymour Johnson AFB
Goldsboro, Wayne County, North Carolina
Dear Mr. Goodman:
In accordance with the application received on February 9, 2012, I am forwarding permit number W10700209 for the
construction and operation of a vertical closed -loop geothermal mixed -fluid heat pump injection well system to be located at
Seymour Johnson AFB, RAPCON Facility, Humphreys Street and Jabara Avenue, Goldsboro, Wayne County, NC 27531. This
permit shall be effective from the date of issuance until January 31, 2017, and shall be subject to the conditions and limitations
stated therein, including the requirement to install well identification tags as specified in Part II. Be sure to read the entire
permit to ensure that you are aware of ail compliance requirements of the permit.
You will need to notify this office at least 48 hours prior to beginning construction and operation of the injection well system.
In order to continue uninterrupted legal use of the injection facility for the stated purpose, you must subrnit an application to
renew the permit 120 days prior to its expiration date. This permit is not transferable to any person without prior notice to and
approval by the Director of the Division of Water Quality.
Please contact Michael Rogers at [phone] or [e-mail] ifyou have any questions about your permit.
Best Regards,
Eric G. Smith, P.G.
cc: David May, Washington Regional Office
va0R002o9 Pcrtnit File
Wayne County Environmental Health Department
H. Michael Sage, ARM's WaterWorks, P.O. Box 882, Hampstead, NC 28443
AQUIFER PROTECTION SECTION
1636 Mali Service Center, Raleigh, North Carolina 27699-1635
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604
Phone: 919 8Q7.64S4 t FAX [phone]
Internet: www,ncwaterana ity.arq
An Equal Opportunity 1 Affirmative Action Employer
One
Non tCarolina
Naturally

NORTH CAROLINA,
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143; and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Seymour Johnson AFB, Dennis Goodman, P.E.
FOR THE CONSTRUCTION AND OPERATION OF 15 (Fifteen) TYPE 5QM INJECTION WELL(S),
defined in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of operating a
vertical closed loop geothermal mixed fluid heat pump system. This system is located at Seymour Johnson
AFB, RAPCON Facility, Humphreys Street and Jabara Avenue, Goldsboro, Wayne County, NC 27531, and
will be constructed and operated in accordance with the application received February 9, 2012, and in
conformity with the specifications and supporting data submitted, all of which are fled with the Department of
Environment and Natural Resources and are considered a part of this permit.
This permit is for Construction and Operation of an injection well and shall be in compliance with Title 15A of
the North Carolina Administrative Code 2C .0100 and .0200 plus any other applicable Laws, Rules, and
Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, from the date of its issuance until January 31, 2017, and shall be
w''1' ec1. to ihr' 4fl Ciferi conditinns aidiirnitatinns set forth in Parts I throtath TX hereof:
Permit issued this the 20th day of February, 2012.
harles Walcil.d, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #W10700209
U IC/50M
ver. 03/2010
Page 1 of 5

--<f-" ,,
PART I -WELL CONSTRUCTION GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any noncompliance with.
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and _is
grounds for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit shall become voidable unless the facility is constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
3. Each injection well shall not hydraulically connect separate aquifers.
4_ Each injection well shall not be located in an area generally subject to flooding. Areas that are generally
subject to flooding include those with concave slope, alluvial or colluvial soils, gullies, depressions, and
drainage ways.
5. Each injection well shall be afforded reasonable protection against damage during construction and use.
6. The well field shall be clearly marked to prevent possible damage to the wells from future construction.
PART II -WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least· forty-eight ( 48) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Underground Injection Control (VIC) Program Central Office staff, telephone
number 919-807-6406 and the Washington Regional Office Aquifer Protection Section Staff, telephone
number 252-946-6481.
2. The location of each of the system manifolds shall be recorded by triangulation from three permanent
features on the site (e.g., building foundation comers) and shown on an updated Site Map. The Permittee
shall retain a copy of this record on site.
3. One. well identific:ition tflrr pc.r grouping or 'r-lustPr' of ,vells shnll he nermanently affixed to the he8tinr
arn.i ...,;uo1mg wm Ul° ociw1 u~a.ruy JJe1maJ.11.,11tly Hi>.1.::u 1ucaL.i.u11 iu u01.,u11.ia11c1;; \,\•1J1 1j1:...1~LAL :.c_(_, .U,c'.,l.)(g;.
PART III-OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume of materials and rate of injection, as
described in the application and other supporting data.
2. This pcnnjt is not transferable ,vithout prior Ho(ic..e to, m1d approval by, the Director of the Division of
Water Quality (Director). In the event there is a desire for the facility to change ownership, or there is a
name change of the Permittee, a formal permit amendment request must be submitted to the Director,
including any supporting materials as may be appropriate, at least 30 days prior to the date of the change.
3. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with any and
--
regulatory requirements have been met.
Permit #WI0700209 UIC/SQM Page 2of5
ver. 03/2010
. ,,·
'-.'·'.-':'.-PART IV ..::_PERFORMANCE STANDARDS
,·
1. The injection facility shall be effectively maintained · and operated at all times so that there is no
contamination of · groundwater that will render it unsatisfactory for normal use. In the everit that the
facility fails to perform satisfactorily, 4lcluding the creation of nuisance conditions or failure of the
injection zone to adequately assimilate the injected fluid, the Permittee shall take immediate corrective
actions including those actions that may be required by the Division of Water Quality such as the repair,
modification, or abandonment of the injection facility.
2. The Permittee shall be required to comply with the terms and -conditions of this permit even if compliance
requires a reduction or elimination of the permitted activity.
3. The issuance of this permit shall not relieve the Pemlittee of the responsibility for damages to surface or
ground water resulting from the operation of this facility.
PART V -OPERATION AND MAINTENANCE REQUIREMENTS
1. The injection facility shall be properly maintained and operated at all times.
2. The Permittee must notify the Division and receive prior written approval from the Director of any
. planned physical alterations or additions in the permitted facility or activity not specifically authorized by
the permit.
3. At least forty-eight ( 48) hours prior to the initiation of the operation of the facility for injection, the
Permittee must notify by telephone the Aquifer Protection Section's Underground Injection Control (UIC)
Program Central Office staff, telephone number 252-946-6481. Notification is required so that Division
staff can inspect or otherwise review the injection facility and:determine if it is in compliance with permit
conditions. ··
PART VI -INSPE CTIONS
1. Any <.iuly aUlhonzed offi(;er, employee, or 1e_µrcsc1ualive uf u1i;; Diviswa of Wa.Lc1 ()_uailly 111a.y, upon
presentation of credentials, enter -and inspect any property, premises, or place on or related to the injection
facility at any reasonable time for the purpose of determining _compliance with this permit, may inspect or
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwater, surface water, or injection fluids .
2. Division representatives shall have reasonable access for purposes of inspection, observation, and
sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-90 .
3. Provisions shall be made for' collecting any necessary and appropriate samples associated with the
injection facility activities. ·
Permit #WI0700209 UIC/SQM
ver. 03/2010
Page 3 of 5
·;·PART. VII -MONITORING AND REPORTING REQUIREMENTS
• 4 •.. ,:
1. All required documentation shall be submitted to:
Aquifer Protection Section -UIC Program
DENR-Division of Water Quality
1636 Mail Service Center and
Raleigh, NC 27699-1636
Ph# 919-715-3221
Aquifer Protection Section
Washµigton Regional Office
943 Washington Square Mall
Washington, NC 27889
Ph# 252-946-6481
2. A completed Well Construction Record (Form GW-1) for each injection well must be submitted to the
Aquifer Protection Section Central Office and the "'ashington Regional Office ,vithin 30 days of
completion of well construction. Copies of the GW-1 form(s) shall also be given to the Permittee and
retained on site to be made available for inspection.
3. A copy of the site map updated with manifold locations required in Part II.2 of this permit shall be
submitted to the Aquifer Protection Section Central Office and the Washington Regional Office within 30
days of completion of well construction.
4. Any monitoring (including groundwater, surface water, or soil sampling) deemed necessary by the
Division of Water Quality to insure surface and ground water protection will be established and an
acceptable sampling reporting schedule shall be followed.
5. The Permittee shall report by telephone, within 48 hours of the occurrence or first knowledge of the
occurrence, to the Washington Regional Office, telephone number 252-946-6481, any of the following:
(A) Any occurrence at the injection facility that results in any unusual operating circumstances;
(B) Any failure due to known or unknown reasons that renders the facility incapable of proper
injection operations, such as mechanical or electrical failures;
(C) Any loss of refrigerant in the system, regardless of the origin of the loss;
(D) Any recharging of the refrigerant system.
' f' ·I
any inconect information submitted in said application or in any report to the Director, the relevant and
correct facts or information shall be promptly submitted to the Director by the Permittee.
7 . In the event that the permitted facility fails to perfom1 satisfactorily, the Permittee shall take such
immediate action as may be required by the Director.
PA R T V III ·-· PERMTT RENF.,V AL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the Permittee shall
submit an application to renew the permit 120 days prior to its expiration date.
Permit #WI0700209 UIC/SQM
ver. 03/2010
Page4of s
-~~ ,•, .·-:."'--· ,. ~
,,, :PARTIX~CHANGEOFWFiLLSTATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an injection
well. · Such a change would include the discontinued use of a well for injection: If a well is taken
completely out of service temporarily, the Permittee must install a sanitary seal. If a well is not to be used
for any purpose, then that well must be permanently abandoned according to 15A NCAC 2C .0213(h)(l).
Notification shall be submitted to the addresses given in Part VIl.l of this permit.
2. When operations have ceased at the facility and a well will no longer be used for any purpose, the
Permittee shall abandon that injection well in accordance with the procedures specified in ISA NCAC 2C
.0214, including but not limited to, the following:
(A) All casing and materials may be removed prior to initiation of abandonment procedures if the
Director finds such removal will not be responsible for, or contribute to, the contamination of an
underground source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that failure
to do so could lead to the contamination of an underground source of drinking water.
(D) Each well shall be completely filled with cement grout, which shall be introduced into the well
through a pipe that extends to the bottom of the well and is raised as the well is filled.
(E) In the case of gravel-packed wells in which the casing and screens have not been removed, the
casing shall be perforated opposite the gravel pack, at intervals no_t exceeding 10 feet, and grout
injected through the perforations.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been created,
each well shall be abandoned in such a manner that will prevent the movement of fluids into · or
between underground sources of drinking water and in accordance with the terms and conditions
of the pe1mit
(G) ThePermittee shall submit a copy of the Well Abandonment Record (Form GW-30) as specified
in ISA NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. Copies shall be
submitted to the addresses given in Part VII. I of this permit.
Permit #WI0700209 UIC/SQM
ver. 03/2010
Page 5 ofS
Smith, Eric
From: Clark, Allen
Sent:
To:
Monday, February 20, 2012 4:12 PM
Smith, Eric
Cc: May, David
Subject: 5QM Permit WI0700209
Hey Eric,
Forget the setback statement. We (WaRO) may just convey this idea during either a future site visit or telephone call
with Seymour Johnson pe rsonnel.
Thanks,
Allen
Allen Clark
NC Division of Water Quality
Aquifer Protection Section
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone [phone]
FAX [phone] (attn: Allen Clark)
*E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Smith, Eric
Sent.: Monday, February 20, 2012 8:59 AM
To: Clark, Allen
Subject: SQM Permit WI0700209
Allen:
Please refer to the 2/15/12 email you sent to Mike Rogers regarding the 3 additional WaRO requirements. I have added
your condition (2} to the permit language. I did not add condition (3) as it is nlrearly addressed in Part VII. As Debra
pointed out, for condition (1), the current rule does not support any setbacks. Is there any way to state this or apply
what you want here within the 2C .0200 rules?
-Eric G. Smith
t 1yu1 vi,t:U1U5,::r l
NCDENR
Aquifer Protection Section
1
Groundwater Protection Unit
1635 Mail Service Center
Raleigh, NC 27699-1636
919-807-6407
919-807-6496 Fax
http://po rta I . n cde n r. o rg/we b/waa ps
DISCLAIMER: Per Executive Order No. 150, all e-mails sent to and from this account are subject to the North Carolina
Public Records Law and may be disclosed to third parties.
z

Roge rs, Michael
From: Clark, Allen
Sent:
To:
Wednesday, February 15, 2012 7:40 AM
Rogers, Michael
Cc: May, David
Subject: updated WI0700209 pre-permitting comments
Good Morning Michael,
Listed below are WaRO's pre-permitting comments of conditions that WaRO feels
should be added to the Seymour Johnson AFB Permit WQ0700209.
1. Require a minimum 15 foot setback from all present and future buildings from
all wells.
2. Require that the well field be visible marked to prevent possible damage to
the wells from future construction.
3. Require that an updated, as constructed, map of the site be sent to DWQ after
the construction of the geothermal well system has been completed.
Let me know if you need further.
Thanks, Allen
-----Original Message-----
From~ Rogers, Michael
Sent: Tuesday, February 14, 2012 2:46 PM
To: May, David; Clark, Allen
Subject: FW: WI070020~Seymour Johnson AFB
Hi guys-
Attached is a SQM application, where they are converting from SQW to SQM. Please .. ,:.:1~r m~.know 'ASAP if you __ Wis,~. to conduct a pre-permitting inspection or not. I
··\..;ill :be:-leaving for. Arkansas ·rhursday because of my father's declining heal th .
. · And_ :w¢. had .a pre.:s2h~duled vacation from February 23 to March 2. If possible,
plei:is~:cte:Lme know .t:Ji}s afternoon or tomorrow morning so I can get permit out
'ff9efqr.~:.-;J ·leave._<_::·:_/_): .
S.~t1+ /~t :;; .
¥:\~0:fl:_:'i ·9n Jamiary,~th;_· :the ·_Aquifer Protection Section (APS) is scheduled to move
\;t~:;tt!(e-·,6th floor :O:~/t}:te !\rc:;htlale Building located at 512 N. Salisbury Street in
!; ~~Jte;i:gh> -Our maJT:i.•Qg: .a9drrss will remain the same (1636 Mail Service Center,
t-~~1_.e:j}gh:· ,NC 27699 .. lfi3q} .. -.if you need to visit APS staff or review files, please
-~ c,afl(-o;r · email in ·adianc_e. fo~ ensure availability. Please check the APS website
f, i9·r)~pdates on offic~:~f1.Umbbr_s" arid phone .numbers as they become available.
! • . . ~ · .. --. -. -~.. .
if-,·.
1
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality-Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh, NC 27699-1636
Direct Line 919-807-6406
htt p ://portal.ncdenr.org/web /wg/a ps /gwpro /p ermit-a pp lications#geothermA pp s
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties
-----Original Message-----
From: Heather Jennings (mailto:heather.b.j ennings @ncdenr.gov ]
Sent: Sunday, June 03, 2001 5:11 AM
To: Jennings, Heather; Rogers, Michael
Subject:
This E-mail was sent from "RNPAC7DD0" (Aficio 2075).
Scan Date: 06.03.2001 05:10:32 (-0400)
Queries to: robin.markha m@ ncdenr.gov
2
Ro gers, Michael
From: Clark, Allen
Sent:
To:
Tuesday, February 14, 2012 3:01 PM
Rogers, Michael
Cc: May, David
Subject: RE: WI0700209 Seymour Johnson AFB
Michael,
WaRO does not feel a pre-permitting inspection is needed for this site. Thanks.
We wish you and your family the best during this difficult time with your father.
Allen
-----Original Message-----
From: Rogers, Michael
Sent: Tuesday, February 14, 2012 2:46 PM
To: May, David; Clark, Allen
Subject: FW: WI0700209 Seymour Johnson AFB
Hi guys-
Attached is a SQM application, where they are converting from SQW to SQM. Please
let me know ASAP if you wish to conduct a pre-permitting inspection or not. I
will be leaving for Arkansas Thursday because. of my father's declining health.
And we had a pre-scheduled vacation from February 23 to March 2. If possible,
please let me know this afternoon or tomorrow morning so I can get permit out
before I leave.
Thanks
NOTE: On January 6th, the Aquifer Protection Section (APS) is scheduled to move
to the 6th floor of the Archdale Building located at 512 N. Salisbury Street in
Raleigh. Our mailing address will remain the same (1636 Mail Service Center,
Raleigh, NC 27699-1636). If you need to visit APS staff or review files, please
call or email in advance to ensure availability. Please check the APS website
for.upd~tes on offic~ numb~rs and phone numbers as they become available.
Mich~el.Rogefs, P.G. (NC & FL)
Environme~tal.Specialist
NC Div of~-Wi:iter ·.•Quality-Aquifer Protection Section (APS)
1636 Maii':se.rvi·c~ Center
Raleigh, lJC 27q99-1636
• ..<; . Direct Ll>.tle 919;-807-6406
~ .-. ;,.,•. ~
htt p : //pd,rt~f. n'cdenr. org/web /wg/a ps /gwpro /p ermi t-a pp lications#geothermA pp s
1
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties
-----Original Message-----
From: Heather Jennings [mailto:heather.b.j ennin gs @ncdenr.gov ]
Sent: Sunday, June 03, 2001 5:11 AM
To: Jennings, Heather; Rogers, Michael
Subject:
This E-mail was sent from "RNPAC7DD0" (Aficio 2075).
Scan Date: 06.03.2001 05:10:32 (-0400)
Queries to: robin.markha m@ ncdenr.gov
2
474
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles WakiId, P.E. Dee Freeman
Governor Director Secretary
February 9, 2012
Dennis Goodman, PE — Deputy Base Civil Engineer
Seymour Johnson A_FB
1095 Peterson Ave
Goldsboro, NC 27531
Subject Acknowledgement of
Application No. WI0700209
RAPCON Cornplex -
I turrrnphr•eys Street
Injection Mixed Fluid GSIIP
Well System
Wayne County
Dear Mr. Goodman:
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on February 9, 2012. Your application package has been assigned the number
listed above, and the primary reviewer is Michael Rogers.
Central and Washington Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Aquifer Protection Section requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Michael Rogers at [phone] or [e-mail].
Sincerely,
3901/11
for Debra J. Watt
Groundwater Protection Unit Supervisor
cc; Washington Regional Office, Aquifer Protection Section
Permit File WI0700209
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raielgh, North Carolina 27604
Phone: 9 t 9.807-6464 I FAX: [phone]
Internet www.ncwatercualitv.orq
An Equ©I Oppu:lunIty I AMPrrnanve Acfion En p`ayeF
One
Nord Carolina
Naturally

NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR A PERMIT TO CONSTRUCT OR OPERATE INJECTION WELLS
In Accordance With the Provisions of 15A NCAC 02C .0200
CLOSED -LOOP MIXED -FLUID GEOTHERMAL INJECTION WELLS
These wells circulate fluids other than potable water as part of a geothermal heating and cooling system
(check one) New Application
Renewal* x Modification
* For renewals complete Parts A-C and the signature page.
Fr Hi or Type ',formation and Mail to the Address on the Last Page. Illegible Applications Wilt 19e Returned As incomplete.
DATE: December 22 , 20 11
PERMIT NO.Wl-O7OO2O (leave blank iMNew Application)
A. STATUS Ok APPLICANT (choose one)
Non -Government: Individual Residence Business/Organization
Government: State Municipal County Federal X
113. PERMIT APPLICANT — For individual residences, list each owner on property deed, For all ethers,
state name of entity and name of person delegated authority to sign on behalf of the business or agency:
Seymour Johnson AFB, Mr. Dennis Goodman, PE, Deputy Base Civil Engineer
Mailing Address: 1085 Peterson Ave, Bldg. 3340
City; Goldsboro
Day Tele No.: 919-722-51 42
State: NC Zip Code: 27531
Cell No.:
County: Wayne
EMAIL Address: [e-mail] Fax No.:
C. LOCATION OF WELL SITE — Where the injection wells are physically located:
(I) Parcel identification Number (PIN) of well site: N/A County: Wayne
(2) Physical Address (if different than mailing address):
Humphreys Street & Jabara Ave
City: Goldsboro
State: rC Zip Code: 27531
D. WELL DRILLER INFORMATION
Well Drilling Contractor's Name: H. Michael Sage
NC Well Drilling Contractor Certification No.: 2531A
Company Name: ARM's Waterworks
Contact Person: Dana Hellas
Address: PO Box 882
EMAIL Address: [e-mail]
City: Hampstead Zip Code: 28443 Stale: NC County: Pender
Office Tele No,: 910-270-2919
Cell No.: Fax No.: 914-270-2988
DPLINIC 5QM Permit Application (Revised 1(24/201 1 } Page I

E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name:_T_B_o_· ____________________________ _
Contact Person,_: ______________ _,,E=Ma.,.· "-'A""'IL"'-"-'A,,,d,.,di""'-e°"s=s:._ __________ _
Address:------------------------------------
City: __________ Zip Code: _____ State: __ County: _________ _
Office Tele No.: Cell No.: _________ F_a-x-N=o ___ .: ______ _
F. WELL CONSTRUCTION DATA
(1) Number of borings to be constructed*: 15 Depth of each boring (feet):_2_3_5_' ______ _
* If existing water supply wells will be used then provide the iriformation in item (4) below.
(2) Chemical additives to be used: R-22 ___ Propylene glycol___ Ethanol
Other Potassium Polyphosphate ( other additives will need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc): _H_D_P_E _____________ _
(4) Well casing. If the well(s) will use casing then provide the~ (steel, PVC, plastic, etc.), diameter, depth,
and~ of casing appearing above ground:
(5) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite** __ Other (specify) _T....,h,..,.e_rm_-e_x ___ _
*' By selecting bentonite grout, a variance is hereby requested to !SA NCAC 2C .0213(d){l ){A), which requires a cement type grout.
(b) Grout depth of tubing (reference to land surface): from O to 235 (feet)
If well has casing, indicate grout depth: from ____ to ____ (feet)
G. WELL LOCATIONS -Maps must be scaled or otherwise accurately indicate distances and orientations of
features located within 1000 feet of the injection well(s). Label all features clearly and include a north arrow.
(1) Attach a site-specific map showing the locations of the following:
* Proposed injection wells * Buildings * Property boundaries
* Surface water bodies * Water supply wells
* Septic tanks and associated spray irrigation sites, drain fields, or repair areas
* Existing or potential sources of groundwater contamination
(2) Attach a topographic map of the area extending 1/4 mile from the injection well site that indicates the
facility's location and the map name.
NOTE: In most cases, an aerial photograph of the property parcel showing property lines wid structures can be
obtained and downloaded from the applicable county GIS website. Typically, the property can be searclred by
owner name or address. The location of tire wells in relation to property boundaries, houses, septic tanks, other
wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or
elevation data.
GPU/UIC 5QM Pem1it Application (Revised 1124/2011) Page 2
H. CERTIFICATION (to be signed as required below or by that person's authorized agent)
15A N'CAC 02C .021 1(b) requires that all permit applications shall be signed as follows:
1. for a corporation: by a responsible corporate officer;
2. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other public agency: by either a principal executive
officer or ranking publicly elected official;
4_ for all others: by the well owners which means all persons listed on the property deed).
If an authorized agent is signing on behalf of the applicant, then supply a letter signed by the
applicant that names and authorizes their agent to sigu this application on their behalf.
"I hereby certify, under penalty of law, that l 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, 1 believe that the information is true, accurate and
complete. I am aware that there are significant penalties, including the possibility of fines and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well and all related appurtenances in accordance with the approved specifications and conditions of
the Permit"
x LL
Signature of Property Owner/Applicant
enr Qtr_JA
Print or Type Full Name
Signature of Property Owner/Applicant
Print or Type Pull Name
Signature of Authorized Agent, if any
Print or Type Full Name
Submit two copies of the completed application package to:
DWQ - Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone (919)-214,3221
�'i99t7�
GPU/UIC 50M Permit Application (Revised l/ 4/201 1) 4'ave 3

N
Adapted from USGS Topographic
"S. East Goldsboro, N.C.," 1982
Contour Interval = 5 Feet
-4%4441\
-44.444141,
Applied Resource
Management, P C.
Hatrp d. NC V144,3
TITLE
SITE VICINITY MAP
RAPCON FACILITY SJAFB
JOB: SCALE: DATE: DRAWN BY:
1 "=2,000' 12/23/11 KLC
FIGURE:
1

! age
Googly
Ge•logical
N
Notes:
1. Loop Field will consist of 16 total Closed Loops (including of test loop)
2. Subject property and surrounding area are serviced by public sewer and water services.
Adapted from Googte Earth and Wayne County GIS Map, December 2011.
761c.
,r:lied Resource Mana: ement PC
P.Q. Box 882, Hampstead, NC 28443
91o) 270-2919 FAX [phone]
TITLE: SITE MAP
HUMPHREYS STREET
SCALE: DATE: DRAWN BY'
II SJAFB As Shown 12/22/11 DNH
FIGURE:
2

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ter ms
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not
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NEW RAPCON
SITE PLAN
RNPIIR
i • t
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GRAPI-9C SCALES
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Er
InoIn4Re-ATICN
M-0i

NONRESIDENTIAL WELL CONSTRUCfON RECORD
North Carolina Department of Environment and Natural Resources- Division of Water Quality
WELL CONTRACTOR CERTIFICATION # 3253A
1. WELL CONTRACTOR:
Jamie L. Canter
Well Contractor (Individual) Name
Applied Resource Management P.C.
Well Contractor Company Name
257 Transfer Station Rd.
Street Address
Hampstead NC 28443
City or Town State Zip Code
{ 910 } 270-2919
Area code Phone number
2. WELL INFORMATION:
WELL CONSTRUCTION PERMIT# WI 0700209
OTHER ASSOCIATED PERMIT#(it applicable)
SITE WELL ID #{fir applicable) Test Loop
3. WELL USE (Check One Box) Monitoring 0 Municipal/Public Q
Industriat/Commercial0 Agricultural p Recovery 0 Injection 0
Irriigatianp Other rd(ilst use) Geothermal Test
DATE DRILLED 2/ 14I11
4. WELL LOCATION:
Humphreys Street. RAPCON Complex
(Street Name, Numbers. Community, Subdivision. Lot No., Parcel, Zip Code)
ctTY: Goldsboro couNTY Wayne
TOPOGRAPHIC / LAND SETTING: {check appropriate box}
oSlope ❑Valley VFlat (Ridge [Other
LATITUDE 35 °2 •40.S000 " DMS OR
❑❑
LONGITUDE 77 ° 57 • 50.01300 ti DMS OR DD
t.atitudellongitude source: csPS ['Topographic map
(location of well must be shown on a [JSGS topo map andattached to
this form If not using GPS)
5. FACILITY (Name of the business where the well Is located.)
Seymour ,Johnson AF Base •
Facility Name Facility !D# (If applicable)
Humnhrevs_ tteet
Street Address
Goldsboro NC 27531
City or Town State Zip Code
Dennis Goodson
Contact Name
109 Peterson, Avp. 131do 3300
Mailing Address
Goldsboro N.0 27531
City or Town State Zip Code
(919 ) 722-5142
Area code Phone number
6. WELL DETAILS:
a. TOTAL DEPTH: 310'
b. DOES WELL REPLACE EXISTING WELL? YES 0 NO IV
c. WATER LEVEL Below Top of Casing: N/A FT.
(Ilse "+' if Above Top of Casing)
d. TOP OF CASING IS N/A FT. Above Land Surface*
`Top of casing terminated at/or below land surface may require
a variance in accordance with 15A NCAC 2C .0118.
a. YIELD (gpm): NIA METHOD OF TEST N/A
f. DISINFECTION: Type NIA Amount N/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 Bottom Ft.
Top Bottom Ft.
Top Bottom Ft.
8. GROUT: Depth Material Method
Top_0_ Bottom 310 FL Thermex Tremmie
Top Bottom FL _
Top Bottom Ft.
9. SCREEN: Depth Diameter Slot Size Material
Top Bottom Ft. in. in.
Top Soltam Ft. in. in.
Top Bottom Ft. In. in.
18. SAND/GRAVEL PACK:
Depth
Top Bottom Ft.
Size Material
Top Bottom Ft.
Top Bottom R.
11. DRILLING LOG
Top Bottom
I
1
I
1
Formation Description
See attached
12. REMARKS:
1" HOPE Geothermal Loop Installed
l fo 208
der'"35
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCDRFVIII WI
15A CAC W CONSTRUCTION STA ' ROS. AND THAT A COPY DrTHIS
REG ENPROVID- - �' _LLOWNER-
=� 2/14/11
AT E OF CERTIFIED WELL CONTRACTOR DATE
Jamie L Canter
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
()hit
Subrelit.within. 30 days of completion to:'Divisinn Of Water quality - Information Processing,
107 Mall Service Certifier, Ffateign, NC. 27699-161, Phone : [phone]
Fort GW-1 b
Rev. 2/09

Permit Number
Program Category
Ground Water
Permit Type
WI0700209 /
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilit,
Facility Name
RAPCON Complex -Humphreys Street
Location Address
Rapcon Complex -Humphreys St
Goldsboro NC 27531
Owner
Owner Name
Seymour Johnson AFB
Dates/Events
Orig Issue
02/15/11
App Received Draft Initiated
02/08/11
Re g ulated Activities
Heat Pump Inj ection
Outfall ,,::; :
Scheduled
Issuance
Central Files : APS_ SWP_
02/15/11
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Jim Cornette
PO Box 882
Hampstead NC
Major/Minor
Minor
Region
Washington
County
Wayne
Facility Contact Affiliation
Owner Type
Government -Federal
Owner Affiliation
4 CES Cev 1095 Peterson Ave
Seymour Johnson AFB NC
Public Notice Issue
02/15/11
Effective
02/15/11
28443
27531
Expiration
Waterbody Name Stream Index Number Current Class Subbasin
KigrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
2/15/2011
L IS Air Force — Seymour Johnston Air Force Base
Mr_ Dennis Goodson, PE. Deputy Base Civil Engineer
1 095 Peterson. Ave. Bldg 3300
Goldsboro, NC 27531
Subject: Acknowledgement of Intent. to Construct Type 5QW Injection Well System
Permit No. W10700209
RAPCON Complex — Humprevs Street, Goldsboro. NC 27531
Dear Mr. Dennis Goodson:
On 2/8/2011, the Aquifer Protection Section (APS) received notification of your intent to construct a closed -loop water-onl:
geothermal injection well system for the operation of a ground -source heat pump located at the address referenced above. An
individual permit is not required for the construction and operation of this type of geothermal injection well system as long as the
following conditions are met:
1. The injection well system contains only potable water,
'2. The injection well system is constructed in accordance with well construction standards specified in North
Carolina Administrative Code Tide 15A Section 2C Subchapter .0213, and
3. The required notification form and associated maps have been completely and accurately submitted.
Failure to comply with allof these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina
Administrative Code Title 15A Section 2C Subchapter .0211(u)(2). Additionally, you should contact. the Wayne County Health
Department as they may have additional requirements for this type of system. Noncompliance with applicable state, county, or
municipal rules and regulations may result in the assessment of civil penalties.
Please contact Mike Rogers at [phone] or Michael.Roaers imcdenr. ffov if you have any questions.
Sincerely,
for Debra Watts
Supervisor
cc: Wasltington Regional Office - APS
APS Central Files - Permit No. WI0700209
Wayne County Health Dept.
Applied Ree.ource Management, P.C. (Jim Cornette PO 13nx 882, Hampstead, NC 28443
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699.1636
Location 2728 Capital Boulevard. Raleigh, North Carolina 27604
Phone: 91D-733.3221 1 FAX 1: 919.715-0588: FAX [phone] Customer Service: 1 7.82 -6745
Internet www.ncwateroualitv.om
11C
c�rth carol in a
k� �qua1 Opportum,yti Af5lrr,i ve A;.:xin em*yer

GPUN!C 5QW Notification of intent Form (Revised 8/2008)
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-QW WELL(S)
In Accordance with the provisions ofNCAC Title 1 5A: 02C.0200, please
complete this notification and mail to address an the back page (please Print or Type information).
DATE: January 31. 2011 V\J 0—X)
Well Type Confirmation: Does the proposed system circulate potable water only (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
closed -loopy?
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 iniecting 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)IAPPLICANT(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): Seymour Johnson Air Force Base
US Air Force — Mr. Dennis Goodson. PE — Deputy Base Civil Engineer
(1) Mailing Address: 1095 Peterson Ave. Bldg 3300
City: Goldsboro State: NC Zip Code: 27531
Home/Office Tele No.: 919-722-5142 Cell No.:
County: Wayne
Email Address:_dennis.tgoodsonAsevmourjohnson,af.mil
(2) Physical Address of Well Site (if different than above): RAPCON Complex — Humphreys St.
City: Goldsboro
State: _NC Zip Code: 27531 County: Wayne
Home/Office Tele No.: Cell No.:
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not nwn 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.:
fEt 1R DV►Ti
Website Address of Company, if any: r+riier `rn est/71 Seri Dr]
FEB 08 2011
Pagel

C. WELL DRILLER INFORMATION
Company Name: A pp lied Resource Management. P.C.
Well Driller Contractor's Name: _,H'--"-'----'. M=ic=h=a=el'-'S=a=g=e ________________ _
NC Contractor Certification No.: -----=2=5=-3 =-1--=-A=----------------------
Contact Person"-: -=-J =im"'--"C=o=m=e=tt=e __________ =E=MA==I=L~A~dd=r~e=ss~: -'J=im==-"A~RM=®-----=-b-=-el=ls'-'o~u=th=.n=e~t __
Address: ------=-P"'"".O"'"'."""B"'"'o"""x"""8"'"'8""'2'----------------------------
City: Ham pstead Zip Code: 28443 County: ---=-P~en=d~e-=-r ________ _
Office Tele No.: 910-270-2919 Cell No.: 910-512-4890
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: NIA
Contact Person.~: _______________ E_MA __ IL_A~d~dr_e~ss~=-----------
Address: ----------------------------------
City: _______ Zip Code: ____ County: _____________ _
Office Tele No.: Cell No.: --------
E. STATUS OF APPLICANT
Private:
State:
Federal: _x_
Municipal: __
Commercial:
Native American Lands:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
Closed loo p geothermal s vstem. Water only, grouted along the loo p 's entire ty .
G. WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: __ 2_/_15_/_1 _l ______ Number of borings: ---=-1_-"""'T"""e=st'-'L""'o"""o""'p __ _
Approximate depth of each boring (feet): __ ---=-30=-0=-'------
(2) Type of tubing to be used (copper, PVC, etc): _ _,HD~P~E=-------------
(3) Well casing. Is the well(s) cased? (check either (a.) Yes or (b.) No below)
(a) Yes ___ if yes, 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) Grout type: Neat Cement __ Bentonite Other (specify) __ T_h_e_rm_ex __ _
(b) Grout placement: Pumping __ Pressure X Other --
(c) Grout depth of tubing (reference to land surface): from __ O __ to 300 (feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
GPU/UIC 5QW Notification oflntent Form (Revised 8/2008) Page 2
GPt1RJIC 5QW Nori tication or Went Form (Revised 8/200&)
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. N jk — VE r W %.4.L- co Lai
I. LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
(3)
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 appearing 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, 1 believe that the information is true, accurate and complete.
( am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with the approved specifications and conditions of the Permit."
Signature of Property Owner/Applicant
t��ii(UI'a Gr Gvo; S 13C.67
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 package to:
North Carolina DENR-DWQ _`r__
Aquifer Protection Section-UIC Program Cz) ft.4441
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone] RECEIVED DD, S d
AWN+
FEB i}B all
Page 3

Google
0 PC S
Approximate Closed Test Loop Location
Notes:
1. Subject property and surrounding area are serviced by public sewer and water services.
Adapted from Google Earth and Wayne County GIS Map, January 2011.
A(
arlied 1Re5ource Mana ement PC
PO. Box 882. Hampstead. NC 28443
910) 270-2919 FAX [phone]
TITLE:
JOB:
SJAFB
SITE MAP
HUMPHREYS STREET
SCALE: DATE: DRAWN BY:
As Shown 2/2/11 DNH
FIGURE:
1

Approximate Closed Test Loop Location
N
a
Notes:
1. Subject property and surrounding area are serviced by public sewer and water services.
Adapted from Goggle Earth and Wayne County GIS Map, January 2011.
76\--
lied Kesouree Manarement PC
lb. box 882, Hampstead NC 28443
[phone] FAX [phone]
TITLE:
JOB:
SJAFB
SITE MAP
HUMPHREYS STREET
SCALE: DATE: DRAWN BY:
As Shown 2/2/11 I DNH
F#GURE:
2

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NOTES:
R1•101.0.+3ru. WW2
i
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3. NI b 44,iskiii, welds
'sNiert.tv
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GRAPHIC SCAT -ES
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23
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C-1
RECEIVED l DENR 1 DWQ
Aquifer Prntertion Section
FEB 0 8 2011
2
13