WI0800073_GEO THERMAL_20040324

MEMORANDUM
DIVISION OF WATER QUALITY
GROUNDWATER SECTION
March 24, 2004
To: Charles Stehman, P.G., Regional Groundwater Supervisor
Groundwater Section
Wilmington Regional Office
From: Thomas Slusser·J:]s
Central Office
Re: Receipt of Notification for a Closed-Loop Geothermal Water-Only Injection Well
System. (Type 5QW.):
Mr. Frank Duch has filed a Notification of intent to construct and operate a closed-loop, water
only injection well system for a geothermal heat pump (Type 5QW injection well) in
Wilmin gt on, North Carolina. A copy of the notification is included with this memo. The
Notification did not include an engineering plan of the design of piping and other equipment
associated with the injection well system, which we have requested. This injection well system
is deemed permitted by rule (15A NCAC 2C.021 l(u)(2)) and no further regulatory action should
be necessary. If you have any questions about this notification, please contact me at (919) 715-
6166 or Evan Kane at [phone].
cc: CO-UIC Files
Enclosures
Michael F. Easley, Governor
Wiltiam G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P. E. Director
Division of Water Quality
Colcen H. Sullins, Deputy Director
Division of Water Quality
March 24, 2004
Frank Duch
7617 Masonboro Sound Loop Road
Wilmington, NC 28409
RE: Notification of intent to construct Type 5QW injection wells
Dear Mr. Duch:
In accordance with the notification you submitted to the UIC Program date March 18, 2004, the
Groundwater Section acknowledges your intent to construct 12 closed -loon geothermal water -only
injection wells for the operation of a ground -source heat pump. However, your notification did not
include an engineering layout of the piping and equipment associated with the injection system as
specified in Item (G) of the notification. Please submit this necessary documentation to the address
at the bottom of this letterhead within 10 business days of receiving this letter.
The system as described in your notification is deemed permitted by the following rule: North
Carolina Administrative Code Title 15A: 2C.0211(u)(2). An injection well permit is not required
from the state, but you should check with your county health department prior to constructing the
system because they may have additional construction or permitting requirements for this type of
system. If you modify your system at any time, including the addition of antifreeze, corrosion
inhibitors, or any other substances to the circulating fluid, you must contact the Groundwater Section
to verify compliance with applicable rules.
Thank you for submitting this notification. If you have any questions regarding heat pump injection
wells or injection well rules please contact me at [phone] or Evart Kane at [phone].
Best regards, f]
Thomas Slusser
Hydrogeological Technician E
UIC Program
cc: Timmy Williams, O'Brian Service Co., Inc.
Wilmington Regional Office
UIC-CO files
AWA
NMENR
N. C. Division of Water Quality 1 Groundwater Section
1636 Meil Service Center Raleigh, N.C. 27699-1636 Cusramer Service
Phone: [phone] Fax: [phone] Internet. http:llgw.ehnr.state.nc.us 1-877�23fi748

Michael F. EBslay, Governor
Wiitiam G. Ross Jr., Secretary
North Carolina D partment of Environment and Natural Resourow
Alan W. Klimek, P. E, Dirsetor
Division of Water Quality
Colcen i3. Sullins, Deputy Director
Division of Water Quality
March 24, 2004
Jimmy Williams
O'Brian Service Co., Inc.
3308 Enterprise Drive
Wilmington, NC 28445
Ref.: Notice of Regulatory Requirement
North Carolina Administrative Code
Well Construction Standards
Applicable to Injection Wells
Dear Mr. Williams:
The Underground Injection Control (UIC) Program of the North Carolina Division of Water Quality
is responsible for the regulation of injection well construction and operation activities within the
state ofNorth Carolina. The purpose of this letter is to inform you of two recurring issues pertaining
to closed -loop water -only injection well systems associated with ground -source heat pumps.
First, closed -loop water -only injection wells (Type 5QW) are permitted by rule in the North Carolina
Administrative Code, Title 15A, Subchapter 2C, Section .4211(u)(2). This provision requires that
the person responsible for the construction of the injection well system submit notification prior to
construction. We understand this to mean that we receive notification before construction begins.
This is important for reviewing the proposed well construction plan and observing construction if
necessary. Our records indicate that in recent months at least one system for which you were the
heat pump contractor was constructed prior to receipt of the notification, thereby violating the
condition of the rule referenced above.
Second, the required pre -construction form "NOTIFICATION OF TNTENTTO CONSTRUCT A CLOSED -LOOP
GEOTHERMAL WATER -ONLY INJECTION WELL SYSTEM" is frequently submitted without the required
engineering design plan of the piping and other equipment associated with the proposed injection
well system. This is a necessary piece of documentation that must accompany every Notification of
Intent to Construct.
N. C. Division of Water Quality 1 Groundwater Section
1636 Mail Service Censer Raleigh, N.C. 27699.1636 Customer Service
Phone: [phone],21 Fax: [phone] Internet: http:/1gw.ehnr.state.ne.us 1-877-623.6748

Mr. Williams
March 24, 2004
Page 2 of 2.
Immediate implementation of these important aspects of constructing closed-loop water-only
injection well systems will be greatly appreciated and is required for compliance with well
construction regulations. If you have any questions regarding injection wells or their rules and
regulations please contact Thomas Slusser at [phone] or me at [phone].
Sincerely,
Evan 0. Kane, L.G.
Underground Injection Control Program Manager
Cc: Groundwater Section Wilmington Regional Office
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED -LOOP
GEOTHERMAL WATER -ONLY INJECTION WELL SYSTEM
(GROUND COUPLED BEAT PUMP)
Type 5QW Wells
In Accordance with the provisions of NCAC Title 15A: 02C.0200
Complete application and mail to address on ibe back page.
This is not the proper form to be used for injection wetla in an open-IgL) g,eotbermal system.
Do not use this form for systems that circulate ant suhstances other than water_
TO: DIRECTOR, NORTH CAROLINA DIVISION OF WATER QUALITY
DATE: _ _ —3 - -- . 20OLf
A_ SYSTEM CLASSIFICATION Dues the proposed system circulate potable water in continuous
piping that completely isolates the fluid from the envirroument?
ACES If yes, then continue completing this form.
NO If no, do not complete this form. Form GW-57 HP, Application For
Permit To Construct AndlOr Use A We 11(s) For Injection With A Heat
Pump System, should be completed.
S. SYSTEM FLUID Will any additives be introduced to the system's circulating heat transfer
fluid? This includes, but is not limited to corrosion inhibitors and/or antifreezes.
YES If yes, do not complete this form. Form GW-57 HP, Applica ion For
Perinir To Construct AndlOr Use r1 Well(s) For Injection With A Heat
Pump System, should be completed.
NO X If no, then continue completing this form.
C. PROPERTY OWNER (�
Nance; Fr -ma h 6-Cc k _
Address: 1 & 1 id crra�
City: nJ,i .►J Slate: AFc- Zip Code.
County: A,li.: W4&-iVew— _Telephone:
D. STATUS OF PROPERTY OWINTER
Private: Federal: Commercial:
State: Municipal; Native American Lands:
Ver.3/01 GWMC-57 CL
C
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ry
r
Page 1 of 4 a7

E.
F .
FACILITY (SITE) DATA /\f /,tr
(Fill out ONLY if the Status of Owner is Federal, State, Municipal or Commercial).
Name of Business or Facility: ______________________ _
Address: _____________________________ _
City: _________ State: __ Zip Code: ____ County :
Telephone: __________ Contact Person: ____________ _
Standard Industrial Code(s), SIC, which describes commercial facility: ______ _
HEAT PUMP CONTRACTOR DATA
Name:~, o BriA:JJ S.e.ri1~ C/J. I»c---
Addres~ 3 3 Oef'/~-n,,,, Dd i:-t:. l)r ·
City: t ;z"'4 i"/J,, fg_.,J I State: Al c.--Zip Code: 2-8"'4-D s County: !,.IA)} ff,t AlovtZ-./
Telephone: 1, Pr fi q,.. /e ~ / I Contact Person: _-.,,_I_r'~i.,t.,\..-'-~'--"-J--f,J..;__~ _If_,,·~'----.,,..$ ___ _
G. CONSTRUCTION DATA ( check one)
(l)
EXISTING WELL(S) being proposed for use as a ground-coupled heat pump
well(s). Provide the information in (1) through (3) below to the best of your
knowledge. Attach a copy of Form GW-1 (Well Construction Record) if
available. X PROPOSED WELL(S) to be constructed for use as a ground-coupled heat pump
well(s). Provide the information in (1) through (3) below as PROPOSED
construction specifications. Submit Form GW-1 after construction.
Well Drilling Contractor's Name: ~ f:'d'Yj ...SiA,J ~<.:/,-~
NC Contractor Certification number: .Ji/ C. · "2-d lf"e.--__________
Date to be constructed: 3 'f q _ l> if Number of borings:
Approximate depth of each boring (feet): ?--<lD --------------
(2) Well casing : Is the well(s) cased?
(a) YES If yes, then provide the casing information below.
Type : Galvanized steel __ Black steel __ Plastic __ Other (specify)
Casing depth: From __ ~to ___ ft. (reference to land surface)
inches ---Casing extends above ground
(b) NO $_
(3) Grout (grout the vertical length of the borehole to a minimum depth of20 feet b.Ls .):
(a) Grout type: Cement__ Bentonite __i__ Other (specify) ______ _
(b) Grouted surface and grout depth (reference to land surface):
~ around closed loop piping; from O to 'U>i) (feet).
__ around well casing; from __ to __ (feet).
NOTE: THE WELL DRILLING CONTRACTOR CAN SUPPLY THE DATA FOR EITHER EXISTING OR
PROPOSED WELLS IF THIS INFORMATION IS UNAV All.ABLE BY OTHER MEANS.
Ver.3/01 GW/UIC-57 CL Page 2 of4
G. INJECTION-RELATED EQUIPMENT
Attach a diagram showing the engineering layout of the injection equipment and exterior piping/tubing
associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
H. LOCATION OF WELL(S) Attach two maps .
(1) Include a site map (can be drawn) showing: buildings, property lines surface water bodies,
potential sources of groundwater contamination and the orientation of and distances between the
proposed well(s) and any existing well(s) or waste disposal facilities such as septic tanks or drain
fields located within 200 feet of the ground-coupled heat pump well system. Label all features
clearly and include a north arrow.
(2) location map referencing the site to two nearby permanent reference points (such as roads,
streams and highway intersections).
(3)
J. PERMIT LIST: Attach a list of all permits or construction approvals that are related to the site.
Examples include:
(1) Hazardous Waste Management program permits under RCRA
(2) NC Division of Water Quality Non-Discharge pennits
(3) Sewage Treatment and Disposal Permits
K. CERTIFICATION
Ver.3/01
'1 hereby certify, under penalty of law, that I have personally examined and am familiar with the
information submitted in this document and all attachments thereto and that, based on my inquiry of those
individuals immediately responsible for obtaining said information, I believe that the information is true,
accurate and complete. I am aware that there are significant penalties, including the possibility of fines
and imprisonment, for submitting false infonnation. I agree to construct, operate, maintain, repair, and if
applicable, abandon the ground-source heat pump system and all related appurtenances in accordance
with the approved specifications and conditions of the Pennit."
I
(Signature of ell Owner or Authorized Agent)
If authorized agent is acting on behalf of the well owner,
please supply a letter signed by the owner
authorizing the above agent.
GW/UIC-57CL Page 3 of 4
L. CONSENT OF PROPERTY OWNER (Owner means any person who holds the fee or other property
rights in the well being constructed. A well is real property and its construction on land rests
ownership in the landowner in the absence of contrary agreement in writing.)
If the property is owned by someone other than the applicant, the property owner hereby consents to
allow the applicant to construct each injection well as outlined in this application and that it shall be
the responsibility of the applicant to ensure that the ground-source heat pump system's well(s)
confonns to the Well Construction Standards (Title 15A NCAC 2C .0200)
Ver.3/01
(Signature Of Property Owner If Different From Applicant)
Please return two copies of the completed Application package to:
UIC Program
Groundwater Section
North Carolina DENR-DWQ
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GW /UIC-57 CL Page 4 of4
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