WI0800161_GEO THERMAL_20120517

Beverly Eaves Perdue-
Governor
Frank Sain
ErA -_ =--.1 --·~··
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild ;-P:-E:c--. ~~
Director
May 17, 2012
901 Courtland Street
Greensboro, NC 27401
Subject:
Dear Mr. Sain:
Notification of Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit Nwnber: WI0800161
Dee Freeman
Secretary
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 "Well 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 http://portal.ncdenr.org/web/wq/ap s.
If you have any questions regarding your current permit or the·rute revisions, please feel free to
contact our underground injection control staff at [phone].
Sincerely,
Eric G. Smith, P.G.
Hydro geologist
cc : UICPermit File
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location : 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone : [phone] \ FAX: [phone]
Internet: www .ncwaterquality.org
An Equ al Opport unity I Affirmative Action Employer
One
North Carolina
l\Jnfttrnll!f
Mechanical Integrity Test Record M�
(For -5QM Geothermal Heat Pump Injecdon Well System)
ChwnerfPeini.ttee biome: Fftt. '76 Pearmit Number: KQtW
Facility Address: R (0Q SrW OU4 All BW,.,.d-P0 4„
Home Phone: Cell Phone-
Heat Pump Contxacwr Nave: Hi7ir71 rLC -
Office Phone:
Tester blame:
lMe ai Test: r , L.-3 ,
Loop Initial Pressure (psi) Final pressure (psi) Duration I Pass (Yes or ISO)
( minutes)
1 2'-, p1 i i L L � U rF S
2
3
4
5
6
7
8
Li
14
<
<
11
j
12
13
14
1S
I
Any additional loop testing add to back of this form
Omer Test Methods and Results:
This form must he filled out and siared by the tester. The record must be received by Aquifer protection Section 24
hours prior to the initiation of the operation of the facility_ you can send the form by mail: L1C Program. Mai]
Service Center 1636, Raleigh, NC 27699 or by fax: [phone]$_
RECEIVED 1 DENR I DVVQ
Agt1ifPr Prnl ,0inn SPr:tiorl
Parmit No. WIOSOO161 MAY f 5 2009 Page 9
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Permit Number WI0800161
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Permitted Flow
Facilit
Facility Name
Frank Sain SFR
Location Address
160 Sandy Rd
Beaufort
Owner
Owner Name
Frank
Dates/Events
NC 28516
Sain
Orig Issue
01/15/09
App Received Draft Initiated
12/11/08
Scheduled
Issuance
Central Files : APS_ SWP_
01/15/09
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor
Minor
Region
Wilmington
County
Carteret
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Frank Sain, Owner
901 Courtland St
Greensboro
Public Notice Issue
01/15/09
NC
Effective
01/15/09
27401
Expiration
12/31/13
_R_e~g~u_la_t_e_d_A_c_ti_v_it_ie_s ________________ -'-'R=e=g=u=e=s=te=d=/.:..;R=e=c=e.a..;iv,....,e'""d=--=Ec=.v=e.,.,n=ts"-------------
Heat Pump Injection Region comments on draft requested
Outfall NULL
Waterbody Name
Additional information requested
Additional information received
Region comments on draft received
Stream Index Number Current Class
12/19/08
12/19/08
12/22/08
01/07/09
Subbasin
ti
P Mit Number W10800161
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Permitted Flow
q
Central Files. AP5 SWP
01 /08/09
Permit Tracking Slip
Status Project Type
In review New Project
Version Permit Classification
Individual
Permit Contact Affiliation
Facility Name MajorlMinor Region
Frank Sain SFR Minor Wilmington
Location Address County
160 Sandy Rd Carteret
Beaufort NC 28516
Facility Contact Affiliation
Owner Name Owner Type
Individual
Frank Sain Owner Affiliation
Frank Sain, Owner
901 Courtland St
Greensboro NC 27401
Scheduled
orig Issue App Received Draft Initiated Issuance public Notice Effective Exp-raU
12/11/08 /1�f Q9 iggl l3
eulated Activities fie{ ! PSt d_1_I�PC ! rrssl vp ns
Heat Pump Inyecoon Reglnn comments on draft requested 12119/08
Additional information requested 12119/08
Additional information received 12/22/08
Region comments on draft received 01107109
it NLiI...L
Waterbody Marne Stream Index [Number current Class 5ubbawn

- ��- Michael F. Easley, Governor
• -7r— William G. Ross It,. S=t4ary
} North Carolina Department of Environment and Natural Reourcm
❑ Coleen JR. Sullins, Director
Division of water Quality
January 15, 2009
Frank Sain
901 Courtland Street
Greensboro. NC 27401
Re: Issuance of Injection Well Permit
Permit No. W10800161
Issued to Frank Sain
Dear Mr. Sain:
In accordance with your application received December 11, 2008, I am forwarding Permit No.
W10800161. for the operation of a vertical closed -loop geothermal mixed -fluid heat pump
injection well system to be located 160 Sandy Road, Beaufort. NC 28516. This permit shall be
effective from the date of issuance until December 31, 2013, and shall be subject to the
conditions and limitations stated therein.
Please pay special attention to the bolded language in the permit. In addition, please
submit copies of the Well Construction Completion form (GW-1) and site map after
construction as required in Part I paragraphs S and 9.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit
an application to renew the permit three rinonths prior to its expiration date. As indicated in the
permit, this permit is not transferable to any person without prior notice to, and approval by, the
Director of the Division of Water Quality. if you have any questions regarding your permit or
the Underground Injection Control Program please call me at [phone].
Best Regards,
Michael Rogers, Environmental Specialist
cc: Charlie Stebman - Wilmirlgtion Regional Office
Central Office File -- WI0800161
Anna Jefferys - Honie Energy, Inc. (via. faa and ASPS)
Attachment(s)
naturally
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Trlephane: [phone]
intemet: lttio:NWWW'ncwatergt1alitV.arg 2728 Capital Boulevard Releigh, NC27644 Fax 1: [phone]
Fax 2: [phone]
An Equal OpporhmitylAlfm We Action Employer-5014 Recycledll0%Post Consumer Paper Customer Service: (877y 623 -6 749

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 97; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Frank Sain
FOR THE CONSTRUCTION AND OPERATION OF 9 TYPE 5QM INJECTION WELLS,
defined in Title 15A North Carolina Administrative Code 2C .0209(e)[3)(F), for the purpose of
Operating a "direct expansion" type vertical closed -loop geothermal -mixed -fluid heat pump
system. This system is located at 160 Sandy Road, Beaufort, Carteret County, NC 28516, and
will be constructed and operated in accordance with the application received December 11, 2008,
and in conformity with the specifications and supporting data submitted, all of which are filed
with the Department of Environment and Natural Resources and are considered a part of this
permit.
This permit is for Construction and Operation only and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
.0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction: and
use.
This permit shall be effective, unless revoked, from the date of its issuance until December "a 1.
2013 and shall be subject to the specified conditions and limitations set forth in Parts I through
IX hereof.
Permit issued this the day of 12009
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. WI0900161 Page 2

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 (ISA 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 secured to reasonably insure against unauthorized access and
use. Each well shall be permanently labeled with a warning that it is for injection purposes
and the entrance to each well must be secured with a locking cap.
6. Each injection well shall be afforded reasonable protection against damage during
construction and use.
7. Each geothermal well injection system shall have permanently affixed an
identification plate according to 2C .0213(g).
8. A completed Well Construction Record (Form GW-1) must be submitted for each injection
well to:
Aquifer Protection Section-UIC Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
and
Aquifer Protection Section -Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
GW-ls must be submitted within 30 days of completion of well construction. Copies of
the GW-1 form(s) shall be retained on-site and available for inspection.
9. Well construction records must also be submitted for the existing water supply wells on-
site as well as a site map showing any water supply wells on adjacent properties as
specified in NCAC .021 l(d)(l)(D).
PermitNo. WI0800161 Page 3
PART II -WELL CONSTRUCTION SPECIAL CONDITIONS
1. Prior to constructing the injection well system, the Permittee or his agent shall test the pH of
the soil at a depth of three feet at th~ planned well location. If the resulting soil pH is less
than 6 standard units or greater than 11 standard units, the well system shall be equipped with
a compatible cathodic protection system. All testing results shall be kept on site available
for inspection.
2. At least forty-eight (48) hours prior to constructing system, the Permittee shall notify the
Aquifer Protection Section's Underground Injection Control (UIC) Program Central Office
staff, telephone number [phone] and the Wilmington Regional Office Aquifer
Protection Section Staff, telephone number [phone].
3. All underground tubing shall be refrigeration grade copper tubing.
4. Prior to installation, all tubing to be placed in boreholes ("loops") shall be checked for leaks
by pressurizing the loop to a gage pressure of at least 350 pounds per square inch (psig),
immersing the loop in water and examining it for leaks. Loops with leaks shall not be
installed.
5. Prior to installation, each loop shall be visually inspected for damage such as kinks, dents,
and scrapes. Each loop shall be checked to verify that the nitrogen charge applied to the loop
by the manufacturer before shipping is still present at a pressure of at least 300 psig. The
loop manufacturer shall be notified in the event of damage or pressure loss, and the
manufacturer's instructions shall then be followed. The nitrogen charge may be released
only when the loop is installed and ready to be connected to the manifold.
6. Boreholes shall be large enough to allow insertion of the loop plus a tremie pipe for grouting.
7. After insertion of the tubing into the boreholes, an approved grout (as defined in Title 15A
North Carolina Administrative Code 2C .0100) shall be pumped via tremie pipe into the
annular space of each borehole so as to completely fill it from bottom to top.
8. All tubing junctions shall be brazed using lead-free brazing material. The brazing material
shall have a galvanic potential as close as practicable to that of the tubing material.
9. Dry nitrogen shall be circulated through the tubing during brazing to prevent oxidation.
10. After installation and prior to operation of the system, a mechanical integrity test shall be
conducted by pressurizing the injection well system to 400 psig with dry nitrogen and
monitoring for leaks using an ultrasonic or other leak detector of equal sensitivity and
monitoring pressure in the system for at least 2 hours. Alternatively, an equivalent vacuum
test is acceptable. Any pressure fluctuation other than that due to thermal expansion and
contraction of the testing medium shall be considered a failed mechanical integrity test. Any
leaks shall be located and repaired prior to charging the system with refrigerant. This testing
data shall be recorded on the attached Mechanical Integrity Test Record Form and
submitted to the Aquifer Protection Section at least 24 (twenty-four) hours prior to the
Permit No. WI0800161 Page 4
initiation of the operation of the facility for injection. A copy of this form shall also be
retained on-site for inspection.
11. The location of each of the system manifolds shall be recorded by triangulation from two
permanent features on the site (e.g., building foundation comers). The Permittee shallretain a
copy of the triangulation records. The Permittee shall also submit a copy of the
triangulation records to the Aquifer Protection Section within 30 days of completion of
well construction.
12. The written documentation required in Part IL p ara gr aphs (10 ) and (11 ) shall be submitted to:
Aquifer Protection Section-UIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
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 permit is not transferable without prior notice to, and 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 all statutes, rules, regulations, or ordinances, which may be
imposed by other local, state, and federal agencies, which have jurisdiction. Furthermore,
the issuance of this permit does not imply that all regulatory requirements have been met.
PARTIV-PERFORMANCESTANDARDS
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
event that the facility fails to perform satisfactorily, including 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.
Permit No . WI0800161 Page 5
3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages
. to surface or groundwater 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
[phone]. 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 -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality
may, 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. Department 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.
PART VII -MONITORING AND REPORTING REQUIREMENTS
1. 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.
2. The Permittee shall report by telephone, within 48 hours of the occurrence or first
knowledge of the occurrence, to the Wilmington Regional Office, telephone number (910)
796-7269, any of the following:
(A) Any occurrence at the injection facility that results m any unusual operating
circumstances;
PermitNo. WI0800161 Page6
(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 ofrefrigerant in the system, regardless of the origin of the loss;
(D) Any recharging of the refrigerant system.
3. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect 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.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall
take such immediate action as may be required by the Director.
PART VIll -PERMIT RENEW AL
The Permittee shall, at least 90 days prior to_ the expiration of this permit, request an
extension.
PART IX -CHANGE OF WELL STATUS
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 that well must be
permanently abandoned according to 15A NCAC 2C .0213(h)(l), Well Construction
Standards.
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 15A 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.
Permit No. WI0800161 Page 7
(D) Each well shall be completely filled with cement grout, which shall be
introduced into the well through a pipe which 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 not 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 permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30)
as specified in 15A NCAC 2C .0213(h)(l) within 30 days of completion
of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Permit No. WI0800161
Aquifer Protection Section-DIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Page 8
Mechanical Integrity Test Record
(For SQM Geothermal Heat Pump Injection Well System)
Owner/Pennittee Name: Permit Number: WI
-----------· --'-'-=...------
Facility Address: ____________________________ _
Home Phone: Cell Phone:
Heat Pump Contractor Name: ________________________ _
Office Phone: Cell Phone: -------------------------------
Tester Name: _______________ Signature; ____________ _
Date of Test: --------
Loop Initial Pressure (psi) Final Pressure (psi) Duration
(minutes)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Any additional loop testing add to back of this form
Comments:
Pass (Yes or No)
--------------------------------
Other Test Methods and Results:
This form must be filled out and signed by the tester. The record must be received by Aquifer Protection Section 24
hours prior to the initiation of the operation of the facility. You can send the form by mail: UIC Program, Mail
Service Center 1636 , Raleigh, NC 27699 or by fax: [phone].
Permit No. WI0800161 Page 9
Loop Initial Pressure (osi) Final Pressure (o si) Duration (minutes) Pass (Yes or No)
Pennit No. WI0800161 Page 10
Re: WI0400099
1 of 1
Subject: Re: WI0400099
From: Charles Stehman <[e-mail]>
Date: Wed, 07 Jan 2009 16:41:31 -0500
To: Michael Rogers <[e-mail]>
Go ahead and issue the permit. We cannot get up there this week. Rebecca will
inspect the installation after it is complete.
Charlie Stehman
Michael Rogers wrote:
Charlie-
Per our 5QM permitting process, we give the RO 5 working
days of receipt of the App to decide if you want to conduct a
pre-permitting approval field inspection (the inspection does
not have to be done in 5 days-just the decision whether to
schedule an inspection or not). If you elect not to conduct a
pre-permitting inspection,let us know and we will go ahead
and issue permit. Since these 5QM wells are closed-loop, some
of the ROs believe a pre-permitting inspection is unnecessary if
they don't see any potential problems in the App.
Any questions? Just ask.
Thanks
Charles F. Stehman <charles.stehman @ncmail.net>
Environmental Program Supervisor III
Division of Water Quality
NC Department of Environment and Natural Resources
1/8/2009 1:24 PM
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Facsimile Transmittal
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Ama Jeffreys
919-366-0261
[e-mail]
HOMEelftle�gyn c o r p o r a t e

'State'of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr_, Secretary
Coleen H. Sullins, Director
0� W A
a �p
fl �
Division of Water Quality
Aquifer Protection Section
Location: 2728 Capital Blvd.
Raleigh, NC 27604
Mailing Address: 1636 Mail Service Center
Raleigh, N.C. 27699-1636
FAX: [phone]
[phone]
Date: 1 g'I 110 >�
FAX TO: FAX NUMBER:
FROM: /M , u `
PHONE:
NO. OF PAGES INCLUDING THIS SHEET: -S
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Frank Sain SQM geothermal permit (WI0800161)
l of 1
Subject: Frank Sain 5QM geothermal permit (WI0800161)
From: Michael Rogers <[e-mail]>
Date: Fri, 19 Dec 2008 15:43:30 -0500
To: Anna Jeffreys <[e-mail]>
CC: [e-mail], Brad Scheel <[e-mail]>, CHARLES
STERMAN <[e-mail]>
Anna-
We received the permit app for the above. However, I did not see on the site plan
where the proposed geothermal wells are to be installed. There is one well south
of the house next to the driveway, but I assume this is the potable well indicated
on the App. Please provide a modified map with the geothermal wells. Provide
me a copy and forward a complete App package to Charlie Stehman at the
Wilmington RO .
Thanks
1/8/2009 4:23 PM
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carollna Department of Environment and Natural Resources
Coleen H. Sullins Director
Division of Water Quality
December 19. 2008
Frank Sain
901 Courtland St., CEP 880-19I 1
Greensboro, NC 27401
Subject: Acknowledgement of Application No. WI0800161
Sandy Road GSI-IP Well System (5QM)
Injection Mixed Fluid GSHP Well System (5QM)
Carteret
Dear Mr. Sain:
The Aquifer Protection Section of the Division of Water Quality (Division) acknowledges receipt of your permit
application and supporting materials on December 11, 2009. This application package has been assigned the number
listed above and will be reviewed by Michael Rogers.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary.
To ensure the maximum efficiency in processing permit applications, the Division requests your assistance in
providing a timely and complete response to any additional information requests.
Please be aware that the Division's Regional Office, copied below, must provide recommendations prior to final
action by the Division. Please also note at this time, processing permit applications can take as long as 60 - 90 days
after receipt of a complete application.
If you have any questions, please contact Michael Rogers at 919-715-6166, or via e-mail at
[e-mail]. If the reviewer is unavailable, you may leave a message, and they will respond
promptly. Also note that the Division has reorganized. To review our new organizational chart, go to
htip://Uo.enr..stae.nc.u&/documents/dwg orgchart. df.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS
PROJECT,
Since ly,
for Debra J. f�tts
Supervisor
cc: Wilmington Regional Office, Aquifer Protection Section
Home Energy Inc. (David Boyd, P.O. Sox 238, Wendell, NC 27591)
Permit Application File WID800161
Aquifer Protection Section 1636 Mall Service Center
Internet www.ncwaterqualilv.oro Location: 2728 Capital Boulevard
An Equal ppportunq Affirmative Action Employer- 50% RMdedll0% Post Consumer Paper
,�m
Raleigh, NC 27899-1636 Telephone: [phone]
Raleigh, NC 276G4 Fax 1: [phone]
Fax 2: [phone]
Customer Service: [phone]

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR)
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR
INJECTION WITH A GEOTHERMAL HEAT PUMP SYSTEM FOR:
/ TYPE SOM WELL(S}
;/ New Permit Application OR ____ Renewal (check one)
DATE: Dec , 2o_fil2_
PERMIT NO. (leave blank if NEW permit application) --------
A. PROPERTY OWNER(S)/APPLICANT(S)
List each Pr operty Owner listed on property deed (if owned by a business or government agency, state name of
entity and a representative w/authority for signature): J-rtL,n..1~ Vl,,fY\...
(1)
CJ /'t , !l ~--
Mailing A9Q[ess: ---'-;_o__,__/ __ _..,.( _,,,_, --"' __.1'---=t '--'-.i ---"-I...L1_,;/_ll~?~''------J-I_· -'----,,,-,-...... i --,+'1.,... j/
City: { "'-., 7. /.,./.,,7 · 6 r,, '/ 7 :, State:/? ( Zip Code: 7 '--1 G1 / County: I -v , / f l\,. ·l --~~-,-
Home/Office Tele No.; -----------=C=el"--1 N:....:.=o.'-'-: _-_<____._?=t.J_·-_L..__(=-.S---'-7 _-_S"'_·_,_1
/_.=;&___.' c/
EMAIL Address:_,_f_'~_s""-L..,,-,L--'--'i ,c.:,(,_' ~--1._-..... (___.l fl~• .... J,-'-·)_,_, -'i_·c..._, _i'l-'. '·.....;tc....''.._t. "-'--' !, /
(2) Peysical A,d~ss off''." ~f Wffe<ent than ab~ve) / I, C' n s"7 111,{ ji'. j'. h ~ . ...£
City: JS t .-, I <J fr~ /'-State// l -Zip Code: ~ C -'l/ ,· ✓ County: L-1-1;2 /c. ~, i •"-./
Home/Office Tele No.:.., Cell No.: "3 :-··[,, Vs ·)-S 'f ( 1 /
EMAIL Address: · t 1
".I( 1
1 IV 1 ,, 7:Z i AiL , ? ;t. t ~-!It
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property,
attach a letter from the property owner 1mthorizing Agent to install and operate UIC well)
. ----
C.
Company Name: ---~-\..--~·-----~=~....,.,._, J.--=-'f"--
Contact Person~: -------------~E=MAIL===A=d=clr=e=ss~: __________ _
Address: _______________________________ _
City: _________ State: __ Zip Code: ______ County: _______ _
Office Tele No.: Cell No.:
Website Address of Company, ifany: ______________ _
STATUS OFpPLICANT
Private: .LL_ Federal: __
State: Municipal: __
Commercial:
Native American Lands:
R ECEIVED/ OENR / owa
Aquifer Protection Section
GPU/UIC 5QM Well Permit Application (Revised 7/2008) OEC 1 J 2008 Page I
D. WELL DRILLER INFORMATION
Company Name: �4
Well Drilling Contractor's Name: �
a
NC Contractor Certification No.: _ _ '�f �, L_
Contact Person: M Ur C x.., EMAIL Address: 1 tl1 ]ys y��l ► r� J ,
Address: n S — 1t'I '.tr i_�' F'r7 B ,, 'z3 J f`
City: ; ,A f J ),� Zip Code: - - �� County_ UUCt "
Office Tele No.: I � _&&mt a&_ Cell No.: I-S I
E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name. --
Contact Person: EMAIL Address:
Address:
City: Zip Code: County.
Office Te)e No.: Cell No.:
F. INJECTION PROCEDURE (1)ri )y describe how the i*ction well(s) will be used)
' `',���r-i• il inn---
--
G. WELL CONSTRUCTION DATA {Skin to Section H if this is a Permit RENEWAL)
(1) Proposed date to be constructed: —' j_'9"-2 Number of borings:
Approximate depth of each boring (feet): 50f
(2) Chemical additves to be used in closed -loop system (only those chemicals indicated have been approved):
propylene glycol ethanol other (other additives will
need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc):t
(4) Well casing. Is the well(s) cased? (check either (a.) YES or (b.) NO below)
(a) YES if yes, then provide casing information such as tyne (steel, PVC, plastic, etc.), diameter,
dg th, and extent of casing appearing above ground:
(b) NO
(5) Grout (material surrounding well casing and/or piping). /
(a) Grout type: Cement— Rentonite ✓ Other (specify)
(b) Grout depth of tubing (reference to land surface): from _ Q to 60 (feet)
If well has casing, indicate grotit depth: from (feet)
H. INJECTION -RELATED EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
GPUMIC 5QM Wet] Permit Application (Revised 7/2008) Page 2

I. LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
(1) Include a site map (can be drawn) showing: buildings, property lines, surface water bodies, potential sources
of groundwater contamination and the orientation of and distances between the proposed wells) and any
existing wel(s) or waste disposal facilities such as septic tanks or drain fields located Within 1000 feet of the
geothermal beat pump well system. Label all features clearly and i-nclude a north arrow.
(2) include a topographic map of the area extending one mile from the property boundaries and
indicate the facility's location and the map name.
J. POTABLE WATER WELLS)
Are there any potable water well(s) on the subject property or adjacent properties? /YES NO
If Yes, than indicate location on attached map(s).
K. CERTIFICATION
Note, This Permit Application must he 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 infon-nation. I believe that the information is true, accurate and complete_
I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, #nd if applicable, abandon the injection well and
all related appurtenances in accordance with the approvji4` pe6f dtion�s wind conditions of the Permit."
� n
Signature of Prope 'Owner/Applicant
C !
> f i r l ��-'
Print or Type Full are i
Signature of Pr iOwner/Applicant
Print or Type Fuq N:xte
Signaturraf or Agent, if any
Print or Type Full Name
Please return two copies of the completed Application package to:
North Carolina DENR-DWQ
Aquifer Protection Section
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GIrU/UtC 5QM Wolf Permit Application (Revised 7/2008) pagc 3

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Y'ao ' ter Tit SM Mrs Sah.Grikwx
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Beaufort. NC 28516 C"emboro,
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A0.p eL TFIO802 Mft Mrs Sain, Green bor,- i.-
1:400 New House, 160 Sandy Road, 901 COUrdand 5tmeL—
BeaufbM NC 28516 NCre 2Z401rQ' 6110I08 r.c�

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2 of 2 12/8/2008 8:04 AM

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12/8/2008 8:19 AM
]Vlicbaei F. Easley. Governor
William G. Ross 3r.. Secretary
North Caraiina Dgmrtment of Fmvimnment and 3Natuml Resources
Colm H. Sullins, Director
Mvision of Water Quality
3anuan, 15, 2009
Frank Sain
901 Courtland Street
Greensboro, NC 27401
Re: Issuance of Injection Well Permit
Permit No. W10800161
Issued to Frank Sant
Dear Mr. Sain:
In accordance with your application received December 11, 2008, I am forwarding Permit No.
WI0800161 for the operation of a vertical closed -loop geothermal mixed -fluid heat pump
injection well system to be located 160 Sandy Road, Beaufort, NC 28516. This permit shall be
effective from the date of issuance until December 31. 2013, and shall be subject to the
conditions and limitations stated therein.
Please pay special attention to the bolded language in the permit. In addition, please
submit copies of the Well Construction Completion form (GW-1) and site map after
construction as required in Part I paragraphs 8 and 9.
In order to continue uninterrupted legal use of this well for the stated purpose, you should submit
an application to renew the permit three months prior to its expiration date. As indicated in the
permit, this permit is not transferable to any person without prior notice to, and approval by, the
Director of the Division of Water Quality. If you have any questions regarding your permit or
the Underground Injection Control Program please call me at [phone],
Best Regards,
Michael Rogers, Environmental Specialist
cc: Charlie Stehman — Wilmingtion Regional Office
Central Office File — W10800161
Anna Jeffery, s — Home Energy, Inc. (via,fim and USPS)
Attachment(s)
Aquifer Pmtection Section 1636 Mail Service Center Raleigh, NC 27699-1636
lntenet: htth: 'www.ncwat ual+t■.n 2728 Capital Boulevard Raleigh, NC 27604
An Equal Oppmstunit lAfirrnalive Action Employer- 5D% ftMcledllO% Post Consumer Paper
do%Carolinr
Xltura(k
Telephone: [phone]
Fax 1: [phone]
Fax 2; [phone]
Customer Smice- {8771623-6748

NORTH CAROLINA
Ma►►vi:walai;y1►f1inszl zx"*aswuIIsomaimnw
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 97; Article 21, Chapter 143, and other
applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Frank S ain
FOR THE CONSTRUCTION AND OPERATION OF 9 TYPE 5QM INJECTION WELLS,
defined in Title 15A North Carolina Administrative Code 2C .0209(e)(3)(F), for the purpose of
operating a "direct expansion" type vertical closed -loop geothermal -mixed -fluid heat pump
system, This system is located at 160 Sandy Road, Beaufort, Carteret County, NC 29516, and
will be constructed and operated in accordance with the application received December 11, 2008,
and in conformity with the specifications_ and supporting data submitted, all of which are filed
with the Department of Environment and Natural Resources and are considered a part of this
permit.
This permit is for Construction and Operation only and does not waive any provisions of the
Water Use Act or any other applicable Laws, Rules, or Regulations. Operation and use of an
injection well shall be in compliance with Title 15A North Carolina Administrative Code 2C
0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well construction and
use.
This permit shall be effective, unless revoked, from the date of its issuance until December 31 .
2013 and shall be subject to the specified conditions and limitations set forth in Parts I through
A hereof
Permit issued this the day of 2009
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit No. W10800161 Page 2

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 secured to reasonably insure against unauthorized access and
use. Each well shall be permanently labeled with a warning that it is for injection purposes
and the entrance to each well must be secured with a locking cap. ·
6. Each injection well shall be afforded reasonable protection against damage during
construction and use.
7. Each geothermal well injection system shall have permanently affixed an
identification plate according to 2C .0213(g).
8. A completed Well Construction Record (Form GW-1) must be submitted for each injection
well to:
Aquifer Protection Section-UIC Staff
1636 Mail Service Center
Raleigh, NC 27699-1636
and
Aquifer Protection Section -Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
GW-ls must be submitted within 30 days of completion of well construction. Copies of
the GW-1 form(s) shall be retained on-site and available for inspection.
9 . Well construction records must also be submitted for the existing water supply wells on-
site as well as a site map showing any water supply wells on adjacent properties as
specified in NCAC .021l(d)(l)(D).
PermitNo. WI0800161 Page 3
PART II -WELL CONSTRUCTION SPECIAL CONDITIONS
1. Prior to constructing the injection well system, the Permittee or his agent shall test the pH of
the soil at a depth of three feet at the planned well location. If the resulting soil pH is less
than 6 standard units or greater than 11 standard units, the well system shall be equipped with
a compatible cathodic protection system. All testing results shall be kept on site available
for inspection.
2. At least forty-eight ( 48) hours prior. to constructing system, the Permittee shall notify the
Aquifer Protection Section's Underground Injection Control (UIC) Program Central Office
staff, telephone number [phone] and the Wilmington Regional Office Aquifer
Protection Seption Staff, telephone number [phone].
3. All underground tubing shall be refrigeration grade copper tubing.
4. Prior to installation, all tubing to be placed in boreholes ("loops") shall be checked for leaks
by pressurizing the loop to a gage pressure of at least 350 pounds per square inch (psig),
immersing the loop in water and examining it for leaks. Loops with leaks shall not be
installed.
5. Prior to installation, each loop shall be visually inspected for damage such as kinks, dents,
and scrapes. Each loop shall be checked to verify that the nitrogen charge applied to the loop
by the manufacturer before shipping is still present .at a pressure of at least 300 psig. The
loop manufacturer shall be notified in the event of damage or pressure loss, and the
manufacturer's instructions shall then be followed. The nitrogen charge may be released
only when the loop is installed and ready to be connected to the manifold.
6. Boreholes shall be large enough to allow insertion of the loop plus a tremie pipe for grouting.
7. After insertion of the tubing into the boreholes, an approved grout (as defined in Title ISA
North Carolina Administrative Code 2C .0100) shall be pumped via tremie pipe into the
annular space of each borehole so as to completely fill it from bottom to top.
8. All tubing junctions shall be brazed using lead-free brazing material. The brazing material
shall have a galvanic potential as close as practicable to that of the tubing material.
9. Dry nitrogen shall be circulated through the tubing during brazing to prevent oxidation.
10. After installation and prior to operation of the system, a mechanical integrity test shall be
conducted by pressurizing the injection well system to 400 psig with dry nitrogen and
monitoring for leaks using an ultrasonic or other leak detector of equal sensitivity and
monitoring pressure in the system for at least 2 hours. Alternatively, an equivalent vacuum
test is acceptable. Any pressure fluctuation other than that due to thermal expansion and
contraction of the testing medium shall be considered a failed mechanical integrity test. Any
leaks shall be located and repaired prior to charging the syst~ with refrigerant. This testing
data shall be recorded on the attached Mechanical Integrity Test Record Form and
submitted to the Aquifer Protection Section at least 24 (twenty-four)· hours prior to the
Permit No. WI0800161 Page 4
initiation of the operation of the facility for injection. A copy of this form shall also be
retained on-site for inspection.
11. The location of each of the system manifolds shall be recorded by triangulation from two
permanent features on the site (e.g., building foundation comers). The Permittee shall retain a
copy .of the triangulation records. The Perniittee shall also submit a copy of the
triangulation records to the Aquifer Protection Section within 30 days of completion of
well construction.
12. The written documentation required in Part II. para gr aphs (1 0 ) and (11) shall be submitted to:
Aquifer Protection Section-DIC Staff
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
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 permit is not transferable without prior notice to, and 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 all statutes, rules, regulations, or ordinances, which may be
imposed by other local, state, and federal agencies, which have jurisdiction. Furthermore,
the issuance of this permit does not imply that all regulatory requirements have been met.
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
event that the facility fails to perform satisfactorily, including 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.
PennitNo. WI0800161 Page 5
3. The issuance of this permit shall·not relieve the Permittee of the responsibility for damages
to surface or groundwater resulting from the opera~ion 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
[phone]. 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-INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality
may, 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. Department 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.
PART VII -MONITORING AND REPORTING REQUIREMENTS
1. 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.
2. The Permittee shall report by telephone, within 48 hours of the occurrence or first
knowledge of the occurrence, to the Wilmington Regional Office, telephone number(910)
796-7269, any of the following:
(A) Any occurrence at the injection facility that results m any unusual operating
circumstances;
PermitNo. WI0800161 Page 6
(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.
3. Where the Permittee becomes aware of an omission of any relevant facts in a permit
application, or of any incorrect 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.
4. In the event that the permitted facility fails to perform satisfactorily, the Permittee shall
take such immediate action as may be required by the Director.
PART VIII -PERMIT RENEW AL
The Permittee shall, at least 90 days prior to_ the expiration of this permit, request an
extension.
PART IX-CHANGE OF WELL STATUS
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 that well must be
permanently abandoned according to 15A NCAC 2C .0213(h)(l), Well Construction
Standards.
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.
Permit No. WI0800161 Page 7
(D) Each well shall be completely filled with cement grout, which shall be
introduced into the well through a pipe which 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 not 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 permit.
(G) The Permittee shall submit a Well Abandonment Record (Form GW-30)
as specified in 15A NCAC 2C .0213(h)(l) within 30 days of completion
of abandonment.
3. The written documentation required in Part IX (1) and (2) (G) shall be submitted to:
Permit No. WI0800161
Aquifer Protection Section-DIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
Page 8
Mechanical Integrity Test Record
(For SQM Geothermal Heat Pump Injection Well System)
Owner/Permittee Name: Permit Number: WI -------------------
Facility Address: ____________________________ _
Home Phone: Cell Phone:
Heat Pump Contractor Name: ________________________ _
Office Phone: Cell Phone: -----------------=-=="'-=-=='------------
Tester Name: _______________ Signature: ____________ _
Date of Test: --------
Loop Initial Pressure (psi) Final Pressure (psi) Duration Pass (Yes or No)
(minutes)
1
2
3
4
5
6
7
8
9
10
11
12
13 I
14 I I
15
Any additional loop testing add to back of this form
Comments: ______________________________ _
Other Test Methods and Results:
This form must be filled out and signed by the tester. The record must be received by Aquifer Protection Section 24
hours prior to the initiation of the operation of the facility. You can send the form by mail: UIC Program, Mail
Service Center 1636 , Raleigh, NC 27699 or by fax: [phone].
Permit No. WI0800161 Page 9
Loop Initial Pressure (p si) Final Pressure (psi) Duration (minutes) Pass (Y es or No)
Permit No. WI080O161 Page 10
DATE,TIME
FAX NO. /NAME
DURATION
PAGE(S)
RESULT
MODE
TRANSMISSION VERIFICATION REPORT
01/15 12: 37
93650477
00:02:56
10
OK
STANDARD
ECM
TIME: 01/15/2009 12:40
NAME ·: NCDE&NR/WATER QLJAL
FAX [phone]
TEL [phone]