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Home My WebLink AboutWI0800188_GEO THERMAL_20100412·4~Jt .a.•;..tl.. n . +'ff.---. NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Bever ly Eaves Perdue Governor Mike Runge Laura Runge 108 Skimmer Court Apt South Supply, NC 2846'.2 Coleen H. Suliins Director 4/12/2010 8 Dee Freeman Secretary Subject: Corrected Facility Site Address Acknowledgement of Intent to Construct Type SQW Injection Well System Permit No. WI0800188 '.?-126 Lands End Way Supply, NC 28462 Dear Mr. & Mrs. Runge : In accordance with the application submitted to the Underground Injection Control (UIC) Program that was received or: 3 /31/2010, the Aquifer Protection Section (APS) acknowledges your intent to construct a closed-loop geothennal water- only injection well system for the operation of a ground-source heat pump located at 2126 Lands End Way SW, Ocean Isle Beach, Brunswick County, NC 28469. This system is deemed permitted by rule (North Carolina Administrative Code Title 15A, Subchapter 2C, Section .021 l(u)(2)). However, it is recommended that you contact the Brunswick County Health Departmertt, as they may have additional construction or pennitting requirements for this type of system. If you modify your system at any time, including the addition of antifreeze, corrosion inhibitors, or any other substances to the circulating fluid, you must contact the APS to verify compliance with applicable rules. Thank you for submitting this notification. If you have any questions please call me at (919) 715-6166. Sincerely,....__ ,/~~/~~ Michael Rogers / cc : Wilmington Regional Office -APS APS Central Files -Permit N o . WI0 800 188 Brunsw ick County Health D ept. Environmental Specialist GPU-Aq uifer Protection Section Jim Co rnette (Applied Resource Mgmt. PC) PO Box 882. Hampstead . NC 28443 .Justin Fulford (Al Fulford Heating and Air) 3461 Holden Beach Rd S\V , Supply. NC 28462 /\.0:.JIFER PROTECT!Of J SECTI OI•: 1636 tv;3il Setvice Center. Ka:eigr,. tJorth Caroline: 27699-1636 Locatio ::: 2720 Capital Boulevard . Raleip~. Nortl1 Carolina 27604 Phone: 9"19-733-322'1 \ FAY 1: 9tS~715 -0 58 3; FA >~ 2: 91£1-715-6048 \ Customer Service: 1-877-323-67 48 Internet: www.ncwaterau aliiv .or. .:..n Eaual Oppc:tc :.:ty, Aff1rm,:Uvr; Ac: . .1n Emplov e: I linel C ,. \I ort 1 • arouna 1f"' ~ If ; ,1lltlll'llttff * ..r::wl..r.�s� NCDEN R North Carolina Department of Environment and Natural Resources Division of 1Nater Quality Beverly Eaves Perdue �oleen H. Sullins Govemor director /31/2010 Mike Runge Laura Runge 1 OS Skim.nwr C:oun Apt South Suppi-v, NC 2P,46'' Subject: Acknowledgement of Intent to Construct Type SQW Injection Well System Permit No. W10800198 2126 Lands End Way Oce m Isle Beach. NC 29466 Dear Mr. S Mrs. Runge: ''':iMr'w Dee Freeman Secretary In accordance with the application submitted to the Underground Injection Control (MC) Program that was received on 3: 3112010, the Aquifer Protection Section (APS) acknowledges your intent to construct a closed -loop geothermal water- 0n1 injection well system for the operation of a ground -source heat pump located at 2126 Lands End Way SW, Ocean Isle Beach, Brunswick County, NC 28469. This system is deemed permitted by rule (North Carolina Administrative Code Title ISA, Subchapter 2C, Section .0211(u)(2)). However, it is recommended that you contact the Brunswick County Health Department, as they may have additional construction or permitting requirements for this type of system. If you modify your system at any time. including the addition of antifreeze, corrosion inhibitors, or any other substances to the circulating fluid, you must contact the APS to verify compliance with applicable rules. Thank you for submitting this notification. If you have any questions please call me at (919) 715-6166. Sincerely, 0 O[jj . J41.1:\.11nL:J ltl+mow } Environmental Specialist GPU-AquiferProtection Sectirnl cc: W i lmittgton Regional Office - APS APS Central Files - Pennit No. W l08001 U. Brunswick County Health Dept. Fitts Cornette (Applied Resource Memt. PC) PO Box 982. Namt+stead- NC 28443 ]uslin Fuliford (A] Fulfard Heating and Airs 3461 Holden Beaclt Rd SW. Supply. NC 23462 AWIFER RRCYTECTION SECTION 1636 !+hall Smite Center, Ratpztli, North C amljna 27699-1636 Lca:atior- 2728 Capital Boulvnrd. Raleigh, NoMi Carolina 27604 �) Phone' 919-735 M1 I FAX 1. 919-715-0588: FAX 2'.919.735-6048 i Customer ServftQ --871-623-54M Internal' www.rtGwatErpua�lty.orq "` "-" An Fneal:iappenUn.� :.fiffirma:ire.ccwn.t=mr+layr- �Rf �� Permit Number WI0800188 Program Category Ground Water Permit Type Injection Water Only GSHP Well System (5QW) Primary Reviewer michael. rogers Coastal SW Rule Permitted Flow Facilitv Facility Name Mike and Laura Runge SFR Location Address 2126 Lands End Way Sw Ocean Isle Beach NC Owner Owner Name Mike Dates/Events 28469 Runge Orig Issue 03/31/10 App Received Draft Initiated 03/31/10 Re g ulated Activities · Heat Pump Injection Outfall , ::J '. 1 Scheduled Issuance Central Files: APS_ SWP_ 03/31/10 Permit Tracking Slip Status Active Project Type New Project Version 1.00 Permit Classification Individual Permit Contact Affiliation Jim Cornette PO Box 882 Hampstead Major/Minor Minor NC Region Wilmington County Brunswick Facility Contact Affiliation Owner Type Individual Owner Affiliation Mike Runge 108 Skimmer Ct Apt S Supply Public Notice Issue 03/31/10 NC Effective 03/31/10 28443 28462 Expiration Waterbody Name Stream Index Number Current Class Subbasin r VV 001 SV 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 of NCAC Title 15A: 02C.0200, please complete this notification and mail to address on the back page (please Print or Tyne information), DATE: March 30.2010 Well Type Confirmation: Does the proposed system circulate potable water onlN (no additives) in continuous piping that completely isolates the fluid from the environment (i.e. closed -loop )? 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 in'e1 cting 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 wlauthority for signature): Laura and Mike Runce (1) Mailing Address: 108 Skimmer Court Apt. South City: Supply State: NC Zip Code; 28462 County: Brunswick Horne/Office Tele No.: 910-846-2485 Cell No.: 651-500-1531 Email Address: Runixt-A+t aol.com Website: (2) Physical Addresygf Well Site (if different than above): 2126 Lands End Wa% SW City:dC - '• >�slt?-13�ach State: NC Zip Code: 28462 County: Brunswick Home/Office Tele No.: 910-846-2485 Cell No.: B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property, attach a letter from the property owner authorizing Agent to install and operate UIC well) Company Name: Contact Person: EMAIL Address: Address: City: Office Tele No.: State: Zip Code: County: Website Address of Company, if any: Cell No.: OPUMC 5gW Notification of Intent Form (Revised 8/2008) Page I C. WELL DRILLER INFORMATION Company Name: A pplied Resource Manag ement. P.C. Well Driller Contractor's Name: --'H""'-'-'. M=ic=h=a=e"-'l S=a""'g,.,,e'---------------------- NC Contractor Certification No.: -----=2=5=3-"-1--"-A"---------------------- Contact Person;.._: --=-J=im=---=cC=o=rn=e=tt=e __________ =E=MA=I=L"-'A:....:..=dd=r=e=ss:.:..: __,J=im=---A=-=-RM==-=b=e=lls=o"-"u=th=·=ne=t'------_ Address: __ __,,_P=.O=''--"B=o=x"-'8=8=2'--------------------------------- City: Ham pstead Zip Code: 28443 County: ----=-P--=e=nd=e=r ________ _ Office Tele No.: 910-270-2919 Cell No.: 910-512-4890 D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller) Company Name: Al Fulford Heating and Air Contact Person: Justin Fulford EMAIL Address: Justin@ alfulfordheatingandair.com Address: -------"'3_,_46,,_l~H""o.!ce:ld~e~n-=BC-'=e""ac""'h"'--R=oa=d~SW-'-'----____________________ _ City: Supply Zip Code: 28462 County: __ ___,,B=r=u=ns=w=i=ck=--------- Office Tele No.: -~9--=-1~0-~8~4~26~5~8~9 _____ Cell No.: _________ _ E. STATUS OF APPLICANT Private: _X_ State: Federal: Municipal: __ Commercial: Native American Lands: F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used) Closed Loo p geothermal system. Water onl . Grouted along the loo p's entiret . G. WELL CONSTRUCTION DATA (1) Proposed date to be constructed: _~4~/5~/2~0~1-=-0 _____ Number ofborings: __ 8 __ _ Approximate depth of each boring (feet): ___ 2_00_' ______ _ (2) Type of tubing to be used (copper, PVC, etc): ___ H_D_P_E ___________ _ (3) Well casing. Is the well(s) cased? (check either (a.) Yes m: (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) (b) (c) Grout type: Neat Cement __ Bentonite Other (specify) _T=h=e=rm=e=x __ Grout placement: Pumping__ Pressure Other Grout depth of tubing (reference to land surface): from O to 200 (feet) If well has casing, indicate grout depth: from ____ to ____ (feet) GPU/UIC 5QW Notification of Intent Fonn (Revised 8/2008) Page2 EL INJECTION -RELATED EQUU%tENT Attach a diagram showing the engiineermg layout or proposed modification of the injection equipment and exterior papingftuhing associated with the injection operation, The manufacturer's brochure may provide supplementary Information L LOCATION OF WELLS) Attach two. copies of maps showing the fallowing 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 welh(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 pomp 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 referesnce points such as roads, streams, and/or highway i sectimrs. J. CERTIFICATION Nate: Tbis Permit Application must be signed by oaeh person appearing on the recorded legal property deed. "I hereby certfy, und" penalty of law, that I have personally examined and am familiar with the information subKwtted m this document and all attachments hereto and that, based on my inquiry of those individuals immediately responsible for obtaining said mformation, I believe that the information is true, accurate and complete. I am aware that these are significant penalties, including the possibdity of fines and imprisonment; for submitting false izformeftem i agree to construct, operate, maitaina repair, and if applicable, abandon the mjectim well and all related appmten"AS in accardanoe whit the approved spree oar and conditions of the Permit," L t� Signature of Property iApplicaot &C-HA&, t., &� Print or Type Fll Name and title .ax� 4cc� Signiftue of Property ficnd 1A5-A"- .4, &V-gi Print or Type Full Name and title - NA S*natury of Authariaed Agent, if any Print or Type Full Name and title Please return two copies of the completed Apphcatiim package to: North Carolina DENR DWQ Aquifer Protections Section-UIC Program 1636 Mail Service Center Raleigh, NC 27699-1636 Telephone (919) 715-6935 OP UMC SQW Nouftcabm of lDftt Foam (Revised t r10D8) rage 3 Print Preview I Page 1 of 1 Brunswick County, NC Parcel Number 245CB010 Plat Date Land Value Building Value 1/21/2004 $150,000 $0 $0 Account Number 54376220 P1N 109618405056 RUNGE MICHAEL L ET LAURA A Owner Other Value OwnerAddress 9 Deferred Value 2707 NORCREST AVE N Total Taxable Value STILLWATER Heated Sq Ft MN Year Built 55082 - — Bedrooms $0 OwnerAddress 2 City State Zip $150,000 Legal Description L-10 PH -I LANDS END PL 291320 Full Baths Parcel Street Number 2126 Stories Parcel Street LANDS ENE) Ext. Wall 1 Street Type WAY SW LANDS END - — —; Ext. Wall 2 ! Neighborhood Street Dir 506E Subdivision Munkipality Deed Book Deed Page Deed Date Plat Book 1905 Fire Tax District 0375 Township �jLOCKWOOD 3/312004 Acreage 0029 ! Sale Price TRI-BEACH FOLLY $0 Plat Page 10320 Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not Map Scale guaranteed. This is not a legal document and should not be substituted for a title search, 1 Inch = 177 feet appraisal, survey, or for zoning verification. http://gis_brunsco.net/printPreview.aspx?PrintOptData--Brunswick County, NC10101truelfals... 3/30/2010 OJ�.-- , ��`,� a� -r•-A J r n •• OIL a � 3f 7 � � '=�S3 • Y Y . • * * •• 4* # * L - • - { IL 'f OF y.�"`r i z r P ■ ' TITLE: SITE ■■ 2126 LANDS END WAY Approximate Property Lines Notes: 1. Adapted from Google Earth and Brunswick County GIS Map, March 2010. TITLE: SITE OVERVIEW MAP FIGURE: c lied I�eSource Mana. emend f C 2126 LANDS END WAY SW P.O.Box Hampstead, as JOB: SCALE, DATE; DRAWN BY; 2 [410] 270-2919 FAX 270.2988 RUNGE 1 " = 145' 1 3/30/10 DNH Approximate Property Lines Approximate Building Perimeter Approximate Closed Loop Locations Notes: 1. Subject property serviced by private septic system ❑nd public water. 2. Well locations are approximate and will be a minimum of 20' apart and 25' from the building. 3. Adapted from Google Earth and Brunswick County GIS Map, March 2010. TITLE: SITE MAP FIGURE: 1.Iied Kesource Mana terr:ent Pl' 2126 LANDS END WAY SW Atp� . 8ox 82, HampsieW, NC 28443 JOB: SCALE: HATE; ❑RAWN BY: 1D] 27D-2939 FAX 270 2988 RUNGE 1 " ^ 90' 3/30/10 j ❑NN Ro gers, Michael From: Sent: Diana Helias [diana_arm@bellsouth.net] Friday, April 09, 2010 12:36 PM To: Cc: Subject: Slusser, Thomas; Rogers, Michael justin@alfulfordheatingandair.com Permit# WI 0800188 Thomas and Mike, Apparently there was a miscommunication on our end for information regarding permit# WI0800188, for Laura and Mike Runge . The street address is correct (2126 Lands End Way), but the town is actually Supply, NC 28462, not Ocean Isle Beach, NC 28466. Please update the permit to reflect the correct project address. Thank you, Diana Helias Project Coordinator Applied Resource Management, P .C. www.ARM-PC.com ARM's Waterworks www .WaterW orks Wells.com 910.270.2919 910.270.2988 Fax P.O. Box 882 Hampstead, North Carolina 28443 -----Original Message---- From: Slusser. Thomas To: Diana Helias Sent: Friday, April 09, 2010 7:58 AM Subject: Out of Office: Hamerski Permit# WI0800184 Greetings, I am out of the office April 9, 2010, and I will return to the office April 12th. Pkase contact Debra Watts at 919-715-6699 if you need immediate assistance with injection wells. Otherwise, I will respond to your message when I return. Best Regards, ~Thomas. 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. 1