WI0800197_GEO THERMAL_20120523

Beverly Eaves Perdue
Governor
AWA~-
McDEMR
North Carolina Departmentof:Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E.-
Director
May 23, 2012
Deputy Director Public Works----
Commanding Officer Marine Corps -Camp Lejeune
PSC Box 20005
Camp Lej~une, NC 28542
Subject: Notification of-Rule Revisions Affecting
Closed-Loop Geothermal Injection Well Permit Holders
Permit Number: WI0800197
To Whom it May Concern:
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.orn/web/wq/aps.
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,
&~ j;JM/~
Eric G. Smith, P.G.
Hydro geologist
cc: UIC Permit 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.ncwatergualitv.org
An Equal Opporlunily \ Afim,ative Action Employer
One
North Carolina
}Vafttra/ly
Jan 31 12 02:39p Had
9103531060 p.3
NONRESIDEIVTM wELL coNs wcnoNT RECORD
North Carolina Department of Environment and Natural Resoureel;�- Division of Water Quality
WELL CONURACTO R CERTI FICATIO ti f€ 2092
f, WELL CONTRACTOR:
Sanford Swe tin
Wet! Conlracto►#ndivldual) Name
CQastal GeothermA
Well Contractor Company Name
102 Middle St.
Street Address
Ja;ksonville NC 28645
City or Town Stale Ap Code
9c 10 y 353-0926
Area coda Phone number
2 WELL INFORMATION:
WELL CONSTRUCTI ON PERMIT# W1080019i
OTHER ASSOGATEC PERMIT#(ifapp+cafiIw_
SITE 11 FLLIDXdapoicabiei
3. WELL USE (Check One Ecx) Monitorrcng © MuniclpsllPublie 0
1noustris1)Cammerdat ❑ AgricUlurat C3 Recovery Q Inject.on a
Prigatlono Other d¢ist use) Geothermal Loan
DATE DRI LLED 10f 12111 to 1I1
4. WELL LOCATION- 1113117---
29 Parachute Tower Rd.
(Street Name. numbers, Cemmimitp, Subdivision, Lot No., Parrd, zip Code)
CITY: CaMD Leieune COUNTYGInslow
TOPOGRAPMC 1 LAND SETTING: (theck appropriaw box)
0sope ovalley WfRat I_Ridge ❑Other
LATITUDE 3B " OMS OR 3x.XXXXXXXXx 00
LONGIFt10E 75 °— " Dtlil.5 OR 73c.xxxlaaoaot ar)
Latpude1long;lude source: MPS Cropographiernap
(localion of Nwff must be shovm on a USGS rope map a►+datrac►+ed to
this forte if nor using GPSj
a FACIUTY (Name of the business where the well Is tocated)
Wallace Creek Phase II
Fact ity Name Facl ity I D* (If appl ieable)
_29_Parac ute Power Rd
Street Address
City or Town State tip Cade
_Cal.) H_ Baker
Contact tame
Kirin 1005 Mirhael Rd_
Mailing Address
Caron I_Ri_Ailne NC 2&S47
City or Town Slate Zip Cade
(910 451-2213
Area code Phone number
C WELL DETAILS:
a. TOTAL. 13$PT14: 256'
tL DOES WELL REPLACE E)GSTING WELL? YESCI NOV
d. TOP OF CASING 13 nla FT, Aboue Land Surface'
'Top of casing terminated allortmlov►land surface may require
a variance in acCordance with 15A NCAC 2C _0118,
EL KELD (8pm): 131A METHOD OF TEST _
f OI9NFECTlON: Tjtpe jL3_ _ _ Arnouni
g. WATER ZONES (depth):
: Tope Bottom_ Tap Bottom_
Tap BDtlom_ Tap Bottom
Top Bottom Top Bottom
Thitkne"I
.7. CASING: Depth Diameter t+ qht mate riot
Top- ntgl Bottom Ft
Tap Bnttom Pt
—
Top. Bottom FL
8. GROUT: Depth Material Method
Top O Bottom ;255' Ft.. Ben LoDite _Pumr)
TOP. NDUOm Ft
Top Bottom Ft
t SCREEN: Depth Diameter Slot Size Material
Top n,Lj-L Bottom Ft im irL
Top Bottom Ft lrt in.
Top Bottom FL in irL .
1Q SANDIGRAVEL PACK:
Depth Size
= Top nla Bottom Ft
Top Bottorn Ft
Top Bottom FL
11. DRILLING LOG
Top Bottom
Q 130
_ 30 . _ 1 75
15D 1 225
_225- 1255
Material
Formation Deseription
Cla isprill
Silly -Sam
�„irr lQue wigs Silt Laywm
Limas tan e
1Z REMARKS:
i7 -• i ■ i► -=Luigi OR
1 00 HEREBY CERTI FY 71-KT TH5 WELL WAS CONSTRUCTED IN ACCORDAVCE W TH
15AN RC, WS.LCOHS _RUC'PON STANDARDS, Anil7"Alr A CQFY 0Fn4Z
0R 7��oDEcr -fl THE wEU OWNER,
I
G U R E OF C ERTIFIED WELL COfdTRACT R OATE
c WATERLVVEL BdowTop of Cesing: nla _FT, Sanford Sweetina -
(Use "*' if Above Top of Casing) : PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit within 30 days of completion to: Division of Water Quill Information Process( Form CM
_ Y P Quality ' �r Rev. 2109
'6) ET�]ED tat-3�-' 1 �4 : 20 F130M- 910353� 060 Tfl- NC DENS P&5 P003/003

AM
4
HCUM
Noah Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September S, 2011
MT. Carl Baker, Deputy Public Works Officer
1005 Michael Rd.
Camp Lejetme, NC 28547
Ref: Issuance of Injection Well Permits WIO800197
Issued to USMC Camp L.ejeune
Camp Lejeunc, Onslow County, North Carolina
Dear Mr. Baker.
Dee Freeman
Secretary
in accordance with the application received on August 19, 2011, I am forwarding permit number WI0840197 for
the constriction and operation of a vertical ciosed400p geothermal mixed -fluid heat pump injection well system to
bc located at the Wallace Creek Regimental Complex Phase 11, 29 Parachute Tower Rd., Camp Lejeone, Onslow
County, NC 28547. This pernut shall be cffeetive from the date of issuance until August 31, 2016, and shall be
subject to the conditions and limitations stated therein, Including the requirement to install well identification
tags as speeilied in part Ii.3 And to submit well construction records as specified in Part VII.2. Be sure to
read the entire permit to ensure that you are aware of all 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
submit an application to renew the permit 124 days prior to its expiration date. This permit is not transferable to
any person witbeut prior notice to and approval by the Director of the Division of Water Quality.
Please Contact me at [phone] or rnichael,rogersl@.ncdenr,Zov if you have any questions about yotu permit.
Best Regards,
s
Michael Rogers, P.G. (NO & FL)
cc: Charles Stehman, Wilmington Regional Office
WI0800197 Permit bile
Onslow County Environmental Health DepartinmA
1vlichaeI Hadley, Coastal Geothermal, 142 Middle St., Jacksonville, NC 29546
RDUIFER MoTEOTION seCTON
f a3B M A Sew,e Cmiv, RaL-Oh, Nor h iaralna � � 1niv
Lmal;om Ma Cop at Bari yod. Ralo gfi. Wmi farfta 27604
Phorr: D*-M-3M %FAX is 915.715-05ft: FAX'' 2:919-715-6048 %CunwierService: "l,-u23.6748
Intemet vrvrw rim emua rr,om
One
Igorthi aroZiina
3h -ocx O pejrA. i M*mr�w A�r ,A cockeye

U 0 l qJ
Co -TRACTOR'S SUBMITTAL. TRANSMITTAL Contract Dumber Transmittal Plumber Date
LANT❑IV NORFOLK 4-4355I3 (Rev. 11-99) N-444$5-10 C-53112 323 03-Oet•12
From Contractor
The Whiting -Turner Contracting Company
'
Project Title and Location
Regimental Complex - Wallace Creek II
Camp L.ejeune, NC
N-40085-10 C-5312
id Carver, NAVFAC-OICC East
CONTRACTOR USE ONLY
REVIEWER USE ONLY
'List only one specipcaflon divislon perform.
List only offs ofthe following categories on each trarv&W11e1
tom?, and Ind/cafe which Is being submitted.
Contractor Approved OGovernrnent Approved ❑Variation for Government Approval
"ACTION CODES
A -Approved
D - Disapproved
AN -Approved as noted
RA - Recerpf acknowledged
C - Comments
R - Resubmll
E
Proj. Spec. Sect. &
Para, and/or Pro).
Dwg. No.
Item identification
)Type, size, model no., Mfg. Name, dwg, or
brochure number)
o
d •—
Action
Codes
Reviewer
Initials
Code Date
1
2381 47
C4C5 Geothermal Well Test Reports
1
Contractor's Comments
Dan Loeffler, CQC Manager
Copy of transmittal and submittals to ROICC
Gene Casey, IVAVFAC-DICC East
Cant ct r Representative (Signature)
L°ulfie�
Date Received by Reviewer
From (Reviewer)
To
❑Submittals are returned wlth action indicated. Approval or an Item does not Include approval of any variation from The contract requlrements
unless the contractor cabs attention to and supports the variation.
Submittals are forwarded to ROICC with A-E recommendations Indicated In REVIEWER USE ONLY soell an and In cements below on ONE
COPY of the transmittal farm,
Reviewer's Comments
To:
Date
ROICC (2)
LANTOW (1)
AX M

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALRIGg, NORTH CAROLINA
PERMIT FOR THE CONSTRUCTION AND OPERATION OF A WELL FOR INJECTION
In accordance with the provisions of Artieie 7. Chapter 57; Article 21, Chapter 143; and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
USN4C Camp Lejeune
FOR THE CONSTRUCTION AND OPERATION OF 320 TYPE 5QM INJECTION WELL(S), defined in
Title ISA North Carolina Administrative Code 2C .0209(e)(3)(F), for the puiposc of operating a vertical closed
loop geothermal mixed fluid heat pump system. This system is located at USMC Camp Lejeune Wallace Creek
Regimental Complex Phase 11, 29 Parachute Tower Rd,, Camp Lejeune, NC 28547 and will be constructed and
operated in accordance with the application received August 19, 2011, 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 of an injection well and shall be in compliance with Title I5A of
the North Carolina Administrative Code 2C .0100 and .0200 plus any other applioable Laws, Rules, and
Regulations pertaining to well construction and use.
This permit shall be effective, unless revoked, froin the dato of its issuance until August 31, 2016, and shall be
subject to tits specified conditions and limitations sat forth in Parts I through IX hereof
Permit issued this the 8th day of September, 2411.
P--
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit 6WI0800197 t1v5QM Rage 1 of 5
per. 03/2010

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 (lSA 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 voida'ble unless the facility is constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data.
3. Each inje~tion well shall not hydraulically conneot 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.
s. Each injectiorrwell slia.11 be afforded reasonable protection against damage during construction and use.
PART Il-WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty•eight ( 4S) hours prior to constructing system, the Permittee shall notify the Aquifer
Protection Section's Underground Injection Control (UIC) Program Central Office sta~ telephone
number 919 715-6166 and the Wilmington Regional Office Aquifer Protection Section Staff, telephone
number 910-796-7215.
2. Tlie location of each of the system manifolds shall be recorded by triangulation from three permanent
features on the site (e.g., building fo\lildation comers) and shown on an updated Site Map. The Permittee
shall retain a copy of this record on site,
3. One well identification tag per grouping or 'cluster' of wells shall be permanently af&.ed to the heating
and cooling unit or other nearby pennanently fixed location in accordance with 15A NCAC 2C .0213(g), ·
PART III-OPERATION AND USE GENERAL CONDlTIONS
1. This permit is -effective oniy with respect to the. na~e, volume of materials and rate of injection, as
described in the application and other supporting data.
2. This perm.it 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 Pennittee, 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 tho 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. Furthel'more, t!ie issuance of this permit does not imply that all
regulatory requirements have been met.
· Permft #W10800197 .. UIC/50.M
ver. 03/2010
Page 2 of S
(
PART IV-PERFORMANCE STANDARDS
The injection facility shall be effectively maintained and operated at all times so that there is no
contamination of groWldwater that will render it unsatisfactory for nonnal use, In the event that the
facility fails to perfonn satisfactorily, including the creation of nuisance conditions or failure of the
injection zone to adequately assimilate the injected flui~ the Pennittee 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 'ofthe injection facility.
2. The Permittee shall be required to comply with the tenns and conditions of this permit even if compliance
requires a. reduction or elimination of the pennitted activity.
3. The issuance of this pennit shall not relieve the Pennittee 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 Pennittee 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 speciµcally 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 1s Underground Injection Control (UIC)
Program Central Office staff, telephone number 919· 715-6166. Notification is required so that Division
staff can inspect or otherwise review the iajection facility and detennine if it is in compliance with perm.it
conditions.
PART VI-INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality may, upon
presentation of crooentials. 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 maintainecl under the tenns and conditions of this pennit, and may obtain
samples of groundwater, surface water, or iaj~ction 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 #Wl0800l97 UIC/SQM
ver. 03/2010
Page 3_of 5
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PAR'!: VII-MONITORING AND . REPORTING REQUIREMENTS
1. All required documentation shall be submitted to:
Aquifer Protection Section -UIC Program
DENR.-Division of Water Quality
1636 M.ail Service Center and
Raleigh, NC 27699-1636
Ph# 919" 715-3221
Aquifer Protection Section
. Wilmington Regional Office
127 Cardinal Dr. Extension
Wilmington, NC 28405
910-796-7215
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 Wilmington Regional Office within 30 days of
completion of well construction. Copies of the GW-1 form(~) shall also be given to the Permittee and
retained on site to be made available fur 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 Proteetion Section Central Office and the Wilmington Regional Office ~ithin 30
-~ · -days of completion of"Weffoonstrtiction: .. . . . . · -r :-• . . . • .
4. Any moni~oring (including groundwater, surface water, or soil sampling) deemed necessary by the
Divi~ion 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 holll:'s of the occurrence or first knowledge of the
occurrence, to the WilmingtQn Regional Office, telephone number 910-796-7215, any of the following:
(A) Any occurrence at tho injection faci_lity that results in any unusual operaf4ig circumstances;
(B) Ally failure due to lcnown 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 rechar~g of the refrigerant system.
6. 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 re~evant and
correct facts or information shall be promptly submitted to the Director by the Pennittee.
7.. In the .. event that the -permitted facility f~ls -to · perform. satisfactorily, ·the Pennittee shall·take such
immediate action as may be require<;{ by the Director.
PART VIll..:.. PERMIT RENEW AL
In order to continue uninterrupted legal use of the injection facility for the stated purpose, the Pennittee shall
submit an application to renew the permit 120 days prior to its expiration date.
Permit #WI0800197 UIC/SQM ••
ver. 03{2010
Page 4 ofS
PART IX-CHANGE OF WELL STATUS
1. The Petmittee shall provide written notification wiThin 15 days of any change of status of an injection
well. Such a change would include the dis.continued 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 pennanently abandoned according to 15A NCAC 2C .0213(h)(l).
Notification shall be submitted to the addresses given in Part VI[.l of this permit.
(
2. When operations have ceased at the facility and a well will no longer be used for any purpose, the
Pennittee shall 1'bandon 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 iD;sure freedom from
obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director detennines 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 not exceeding l O fee~ 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 pennit.
(G) The Pennittee shall submit a copy of the Well Abandonment Record (Fom1 GW-30) as specified
in 15A 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 pennit.
Permit #WI0800197 UIC/SQM
ver. 03/2010
Pages of 5 .
Coastal Geothermal
102 Middle Street
lacksonville, NC 28546
[phone]
JOB NAME:
JOB ADDRESS:
Type of Test Loop system pressure and Dow test
Date of Test
Start time of Test
End time of test
Loop Circuit ID
Trace Wire
Test Description:
45 minute 100 psi pressure Test
3gaVmin/vertical loop flow test
Test Duration/Results:
' ( lusted Header. Fresmrimd to WPM; Allowed gre kh far 30-minuWs, Fres�t�rixed to 125pst: ALlowed
trekh_f_ora - wed to 125psi: flow W stretch for 30-minutes Final nresstdwtion to. 1250,
Iteleased_prmur-e.too -I4Opsi &cQ do ude 45-minute test.
111 stretch 125 psi Time psi
2" stretch 125psi Time psi
31d stretch 125psi Time psi
45-minute test 100psi Time psi
Print Name
Person Performing Test
Coastal Ceo Witness,
Signature
Date
other witness

1 Y QNRESIDBNTM WXLL C1)N3TRU lIQ RIPCORD
f North Camiina Dgwt mnt of'Env1mnmeatand Nadsral Besourcm Division of Waler Qimik
WILL COMRAC€OR CFERT ![CATION # 2082
t WELL0ONTRACTOR:
Weil Coint►aalor (krdlwddual) Name
GDastel eottlerrrmal
Wee Contrawor CompernyName
102 feF.
SUeatAddress
i!
City or Town State Bp Coda
Ares code Phone number
2, WELLINFORMAMONt
WELL CONMRUC1tON PERMIMMU09197
OTHER ASSOCIATED PtRIi T0(Yappkatie)
SI'M WELL ID4K9apgitool
3. WELL USE (Check One Bo)] Monitoring CT MuniodlPuHls t7
Indu301111CarnmerdalD Agrt"WAI Q ReCovery0 Injecllon t3
irNariont3 other s(4ist Dse)_Geo_thermal Loac- -
0ATEO1VLLmjDd2/11 to'1113i -
4. WELLLOQA'RON 114117,-
29 Psrachuie_Tower Rd.
(slre.tweuna. Nurne.ra, Cannlunity, SaOdLtswn, Lot Rn, �areei, 2!p cage]
ciTW_Qarn>,1.d=& couNTYQIislow
TOP013RAPHO r LANO SIETTINO: (cheek approprlatowx)
ot7ope ❑Valley WHO ORidga ❑Other
LATITUDE 38 " Oms OR ax•LTD
LONaTUDE 75 • • ORS OR TX2ZAnQM DD
LaflWeAoMIIude source [BPS Clrapographlemap
&"Harr afv ellmosI he aWwrn an a 11SQS lops ►rep sodaf sChad to
this fomr drat using GPS)
G FACILITY (Near of fha business vyfiero the wdl Is laealod.)
Weller-: Grank Ehase 11 -- --
�FarlltirhName Fael"IDO (iI applicable)
Sbaot Address
Camp I aianrm -- --bin 28547
Cry or Town State zip Code
Contact Name
Melling Address
rarno I AiPtinf4 _ NC 28547
�CityorTawn State Zip Code
s 91Q� d5d-22�3
Ares code iottarie rna+�ber
& WVJLDSTAILS.
tx DOES WELL REPLACE EXISTING WELL7 YEGO Naga
a WATER LEVEL Mow Top of Coatng: _11J8 ----FT.
(Use t If AbaveTop of Cas{ng}
a TOP or CAsiHa is _ nLa Fr, Above Land surface`
'Tors of Casing fermtroted allor belowiand surfeDe rney regtke
a varfRrKe In ac4mWawo with i6A NCAC 2C.011a
: e. YI Flo (9pm): am _ METHOD OF MT
t DISINFECROHrType. n1a� Amount
a WATER ZONES (depth}:
Top-n/a 9ouam Top— ,•_ Bottom
rota aonam Top.9ottorss
Top Bottom Tort- ebtlmn_,
Thlaknanal
7. CASING: Depth Diameter Weight mateltal
Top n sr i3onorri— FL _,
Ton Balton FL
Tom_ Batta_ Ft
—
a GROUT_ Depth Material Melhod
TOR 0 wtwfq 25Z Ft, BeofoniLe -Pump _
Ton _ Bolior -T Ft--.
Tap Batlorn Ft
a SCRREN: Depth Diameter Slot Stza Malarial
70 50 t M- - Fly In in
Tam_ Ba4urrL� Ft In in
TeFt BatTam Fl In in
1R SANDIQRAVEL PACK:
Oepth slza' >V 819dst
Top-DJIL—Sodom_ Ft
Top
Tog, BotlarM _ . Ft
11. DR LL1NQ LOG
Top BOIJIM Formation DescdpWn
0 130
30 75T •211tV sand
a i ifin Llrnestnne with Slit Layers
160 1225 Slit -_
.22f; Im LimpatooR
l
1
iZ t;<EiIRARi(ti:
r 00 HEREBY CUM FY"''r Tr+3 WaL WAS IX#Pa'r(1UMfM I H ACtWMHCEWTH
MkrlCJ. MYOUC8tr9RRVt ONSTAMARD%ANO7'MTAGOWOFTHG
• Bi�R7MoW737Mw8.%QWKW
RE OF C r-IED WELL CONTRA i� OAIE
s9ofard 5`WpHtinrl
t PRINTED NAME OF PERSON CUNSTRUUC7li+IG THE WELL
Form GW-1b
submitwitrin 30 slays of completion to: Divislon of Water Quality - Information Procaisaing, Ray.20og
1617 Mail Servica Center, RaieIgh, NC 27609 461, Phone : [phone]
t

(
I
(
Project:
\Vallace creek Regimental Complex Phase II
Parachute Tower Road
Camp Lejeune, NC
General Contractor:
❖ The Wh(t[ng Turner contracting co,
900 Ridgefield Dr. Suite 130
Raleigh, NC 27609
Ph.: [phone]
Attn: Nancy E. Loeffler, Project Manager
Andrew Ferguson, Project Engineer
Geothermal Contractor:
❖ The Whiting Turner Contracting Co.
102 Middle Street
Jacksonville, NC 28546
Ph.: {910) 353·0926
Contact: Michael 8. Hadley, President, CGD
❖ subject work: Vertical Geothermal Loop system
Bldg.: C-4 & C-5
Description:
•!•
.. :.
♦:•
•:•
•!•
320 • 250 • x l" vertical loops
4 circuits with 80 -vertical loops each
Each circuit has 10 circuits with 8 -loops each
Each circuit has one underground valve vaults with 6" mains & 10 • 2." circuits
Valve vaults and respective circuits & vertical loops are identified as
C·4A (West)
C-48 (East)
C·5A (West)
C-58 (East)
formula for flow Test
2"
I1'
GPM
24
3
PSI Drop/ 100'
.46
.23
14 Header Fittings 1.00
Example:
❖ 200' of 2" Supply@ 24gpm .92
❖ 200, of 211 Return@ 24gpm .92
❖ 500' of l" loop@ 3gpm {5x.23) = 1.15
❖ 14-Header fittings L_Q_Q
3.99 psi
Field Quality Reports
(
System: c~ 4B (East)
1.. Thermal Grout Thermal Conductivity Analysis Report
Circuit Date Result ---,-----------.--.-----~ 1. 4 B-8 12-29-2011 1.068 1--+----------·------------+-----------r
2. 4 B-7 01·04·2012 1.075 ·--------·--------.. -·-·-·-----····---·~----~---------···-----·--3. 4 B-2 ____ · 01-13-2012 1.080
--------------See attached GeoPro, Inc. Reports ~.
2. 2" Circuit x 8 loop (250' x 1) Flow Test
-····-·-TraceWfre Projected Pressure
Color/ Stripe Circuit Date GPM 2" ptpe@ 100' Drop PSI
Brown 4 B-1 11-10-2011 24 8 6 ---·-Grey 4 B-2 01-23-2012 24 4 4
~ ... -...-.-.----~---·-··--·-·--Green 4 B-3 01-25-2012 24 2 3 --·----------~
( Pink 4 B·4 01-20-2012 24 3.5 4 ------Orange 4 8-5 01-20-2012 24 4 4
Black 4 B-6 01-26-2012 24 2.5 3.5 ------~-----•-..--...... ---·
Blue 4 B-7 01-20-2012 24 5 4.5 ~----Yellow 4 B-8 01~05-2012 24 6 : 5 ,_._ ________ .,,. ____ ---------··--··
____ ,, ___ --·---··-----· ---~~-r---~----··---~~--~--.. ·--~ ---. .
Purple 4 B-9 01-05-2012 24 4 i 4 -·· --·----~--· ·--!---·
White 4 B-10 10-17-2011 24 7 I 5.5 ·-·--·-··-----
see attached Field Test Reports ,, 2 11 Pipe length for testing approximately 400'
4
AS -BUILT.
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January10, 2012
Coastal Geothermal
Attn: Mika Hadley
102 Middle St
Jacksonville, NO 28546
Phone: [phone]
Pax: 910.353.1050
RE: Thermal Grout Thermal Conductivity Analysis Report
_ PO Box 13611vrklon. SO 57026
Phvne:877,580.0348 t Fax:877.E60.9371
Thank you for participating in this "field quality control" program for the various Thermal Grout products. The
objective of this andysls is to offer an unbiased verification of the thermal conductivity of the fielq mixed
material. This analysis Is intended to help ensure proper performance of the grouting material and that proper
mixing procedures are consistently being Followed throughout the project. It is recommended that, at a
minimurn, three separate analyses be performed on each commercial project.
Based on Information supplied on the "Test information Form" that accompanied the Sample container, the
tested specimen was collected on Ilia following date from the fotlowing project:
Sample Received by Lab:
Sample Collection fate:
Project Name:
City, State:
January 6, 2012
December 28, 2011, 11.00 a.m-
Wallace Creek Phase li (48-6)
Camp Le Joune, NC
GeoPro, Inc. tests In accordance to ASTM f-5334 to determine thermal conductivity of futly hydrated grout
specimens. Our analysis indicated that the thermal conductivity value of the specimen supplied from the
project referenced above was as folows:
Thermal Conductivity: 1.088 Buhr--ft,*F - 1.849 Wlm-OK
If this value is lower than expected, please contactOaoPro, Inc. irnmedlately al [phone] to
discuss possIbIa reasons For a discrepancy and possible remedies.
We at GeoPro, Inc. believe that our combined efforts to provide this project with a high quality, high
performance grouting material helps to build confidence In ground -source heal pump applications. We
belleve that Increased confidence by all parties involved will help this Industry achieve its objective of
becoming a "main -stream" technology. Again, thank you for your participation in this program.
If you have any questions regarding this analysis, please contact me at (677) 5M9348 axt 106.
Sincerely,
Tyler Harbeck
GeoPro, Inc
vwm.geoprainc.eom

PO Box 13301 LAW11, 30 5T026
Phone: a77.580.9348 I Fax. 077.580,93T1
January 13, 2012
Coastal Geothermal
Alin: Mike Hadley
102 Middle St.
Jacksonville, IBC 28546
Phone: [phone]
Pax: 910-353.1060
RP: Thermal Grout Thermal Conductivity Analysis Report
Thank you for participating in this "field quality control" program for the various Thermal Grout products. The
ob]eclive of this analysis is to offer an unbiased verification of the thermal conductivity of the flei d mixed
material. This analysis is intended to help ensure proper performance of the grouting material and That proper
mixing procedures are consistently being followed throughout the project It is recommended that, at a
minimum, threw separate analyses be performed on each ccmmerciol project
Based on information supplied on the "Test Information Form" that accompanied the sample container, the
tested specirnan was collected on the followitig date from the following project:
Sample Received by Lab: January 11, 2012
Sample Collection Crate: January 4, 2012, 1:30 p,m.
Project Name: Wallace Creek Phase I (C44B-7)
City, State: Camp Le Jeune, NC
Gen Pro, Inc. tests in accordance to ASTM D-5334 to datermine thermal conductivity of fully hydrated grout
specimens. Our analysis indicated lhed the thermal conductivity value of the specimen supplied from the
project referenced above was as follows:
Thermal Conductivity: 1.075 Btulhr-ft-QF - 1.860 Wln- Oil{
If this valuo Is Iower than expected, please contact GeoPro, Inc, immediately at [phone] to
discuss possible reasons for a discrepancy and possible remedles.
We at GeoPro, Inc, believe that our combined efforts to provide this project with a high quality, high
performance grouting material helps to build confidence in ground -source heat pump applicalions. We
bel love that increased confidence by all parties involved writ help Ihfis industry achieve its objective of
becoming a "main -stream" technology. Again, thank you tar your participation in this program.
If you have any questions regarding this analysis, please contact ma at (877) $8a9348 ext 106.
Sincerely,
Tyler Narbeck
GeoPfo. Inc
www,ueoprolnc.com

f � �
January 24, 2012
Coastal Geothermal
Attn: Mike Hadley
102 Middla St
Jacksonvale. NC 2854E
Phone- 910-353-0925
Fax: 91 a353-1060
RE: Thermal Grout Thermal Conductivity Analysis Report
F0 Box 136 I !!Wen, SD 67026
Phone: [phone] Fax, 877.580,0371
Thank you for participating In this "field quality control" progfarn for the various Thermal Grout products The
objectiva of this analysis Is to offer an unbiased verification of the thermal conductivity of the Hold mixed
material. This analysis is intended to help ensure proper performance of the grouting material and that proper
mixing procedures are Gonslstently being followed throughout the project It Is recommended that, at a
minimum, three separate analyses be performed on each commercial project
Based on information supplied on the "Test I nformat€on Form" that a=mpanled the sarnpie container, tha
tests specimen was collected on the following date from the following project:
Sample Received by Lab:
Sample Collection Date:
Project Name'
City, State:
January 20, 2012
January 13, 2012, 9:00 a rn.
Wal€ace Creek Phase 11 (48-2)
Camp Le Jenne, NC
GeoPro, Inc. fasts in accordance to ASTM 0-5334 to determine thermal conductivity of fully hydrated grout
specimens. Our analysis indicated that the thermal conductivity value of the specimen supplied from the
project referenced above was as folows:
Thermal Conductivity: 1_080 Btulhr-€t-OF _ 1.870 Wlm-1K
If this value, Is lower than axpeated, pieace Contact GeoPro, Inc. lmmeWWI y at [phone] to
discuss possible reasons for a discrepancy and possihla remedies.
We at GeoPro, Inc. believe that our combined efforts to provide this project with a high quality, high
performance grouting material helps to build confidence in ground -source heat pump app€€cation& We
be€€eve that increased confidence by all parties Involved will he]p this industry achleve its objective of
becoming a "main -stream" technology. Again, thank you for your participation in this program.
If you have any questions regarding this analysis, please contact me at (877) SM9348 ext 108.
Sincerely,
� .44z
r�
Tyler Harbeck
GeoPro, Inc
vn nv.gaoproft-com

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
JOB NAME: vr.
JOB ADDRESS: LL CAMP LE'E VA"�9..�
Type of Test Loop system pressure and flow test
Date of Test 4 -z ca ,I
Start time of Test lo., Y0 ,,-
Grid tfine of test _ z
Loop Circuit ID Ig L rj
Trace Wire /a0 W ry
Test Description:
45 minute 100 psi pressure Test:
3gal/min/VerticaI loop flow test
��Psi
Test Duration/Results,
flushed ��nln�tes...Pxe�ut�xe�tQ7�.ps"n Alls�wed
stet Pw5urized to 125psi:Al[�jv�i t�b_f9� trifi.�IlaLpre itC€ C1ti4tl t0 ��5I�
Rele�sed.pre5sure foo iDO��C�l�1t�'ted 45�rnfinute test
11, stretch 125 psi Time ' 3o ry psi
2"d stretch 125psi Time?: �0,4,4 -- lD�adp.? psi_ 9 5-�
Yd stretch 125psi Tfine/q dv Ia:3Qm psi /a 6'
45-minute test1000 Time10"04a- psi z I
Print Dame
Person Performing Test
Coastal Gen Witness:
other witness .1-69
Date
/0 /L10
10— /, I / -6€

Coastal Geothermal
102 Middle Street
Jacksonville, KC 28546
[phone]
JOB NAME: Tl=y4 71��Lee�L-Z-z
JOB ADDRESS; C ,04AIi'
Type of Test Loop system pressure and flow test
Date of Test 20 z
Start time of Test _ _ _ �`'V oy• _
End time of test 1-1
Loop Circuit 10 13 e-
Trace Wire __ �► - -- _ -
Test Description:
45 minute 100 psi pressure Test
3gallmin/vertical loop flow test
Test Duration/Resu[ts:
EI shedIIo&r;-au tUed to U5p-s(; iu es,-2-wssDriUAIDLMpsi; Allo-w-ei
statch for 30 Inutes.. Prgssurkzed to 125jisi: Allowed mtcb orII-m s Lpressr�ri s� n 25
lekmd prQ.S�re too 10Qnc�' & COnd�scted 45-mttiL#estf
V stretch 125 psi Time z�3' ,a.+, 3.'�a�,,y psi r�
end stretch 125psi Time2.'gYjQj, psi
3� stretch 125p51 Times; 30,�r��psi 106,
45-minute test 100psf Time y,'Gdr�,r� psi ZQ_/ _
Person Perfomling Test
Coastal Geo Witness:
other Witness
Print Name
t•e& o m
r
rem
1 ,TA
s•
Date
^ ! . 1-0 (1/
1-y- 1. AN 1. 1-L

Coastai Geothermal
102 middle street
Jacksonville, NC 28546
[phone]
JOB NAME: ull-I i T r NCt -rz�RNe-IZ
JOB ADDRESS:
"type of Test Loop systems pressure and flow test
Date of Test Z„ir ,� Zo i z
Start time of Test
End time of test
Loop Circuit 11) fSe-DG C - 'a
Trace Wire
Test Description.
45 minute 100 psi pressure Test
3gaVinhiNertical loop flaw test
rest Duratlon/ResLilts:
Flush c r d to iz si;� f mjmA ._.�ri �r iz� � bak A1oad
fetch for 30-minutes.Pres,S maize to ulpsii:AUmsi,�treticiLfat3"- Im tes, final nr-essuriz4tWaIo- 5ptL
Released essu��Q4p�1���-minute test
tat stretch 125 psi Time; J�� �t-'_0o p ,41 psi 7�
2"d stretch x25psi Vme / o�.�r - , " sca pM psi
31d stretch 1250 Time 1 ! 36,0.41 - Z : ON PM psi
45-minute test 100psi Time ��,�`~J�� Iasi f 0-
Print dame
Person Performing Test
Coastal Geo Witness;
Other Witness
Signature
r
Date
z�� zo,,,z-
_(7,

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
108 NAME. W � r "i j., v N�'A
JOB ADDRESS: Uj 6 tL c�a CISv
Type of Test Loop system pressure and flaw test
Date of Test Za zC, I �.
Start time of Test aA,�
End time of test
Loop Circuit IDQ�_
Trace Wire
Test Description:
45 minute 100 psi pressure Test
3gallminlvertical loop flow best
Test Duratiogjltesults:
FC,oW 9 zV5!
LIA PS
Z14 P51
Flushed Kea&r. Pres�t[x#xetl to ;� pS1: All e��t #or 3o-WMUttes..Pr_es�s AQ ? ��e
stretch for 34fminutes, Pressurized t4.7 i AllQ e r-t�ttes. i f _press 2 PA
��5ed.�r�s�[te too 1�O�i�.o�[[�te�.�Jnfnut�_le�tr
V' stretch 125 psi Time:= ?'004 •, — P� so 4,1, psi zz
2"d stretch 125pst Time ?-.Y0,4h — 4100A,� PSI 9
3'd stretch 1250 Time Ira0AA : Vg n p51�
45-tn#nute test 100psi Time � r 7yQ., .-101 is A-11 psi I 0 -Z
Print Name
Person Performing Test
Coastal Geo Witness;
other Witness
?ate
2d IAV_l 001 2

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
JOB NAMES G
JOB ADDRESS: W AL-t- G g-
Type of Test Loop system pressure and flow test
Date of Test 'Z.a - -A t, 'gyp'
Start time of Test
End time of test
Loop Circuit ID L a G- c- / P5w 4/13f
Trace Wire O/z ,u rE
Test Description:
45 minute 100 pst pressure Test
3gai/minlverticai loop flow test
rest Duration/Resuits:
F1. a w T65r @ -, y v",
q;� Pv
y0,5 /
t~luged_ Deader: PressurfxeAto-M : o-wed-stretctfor-34-minutes. Press Allowed
retch 4-minutePressurized tQ Wpsh Allow d stmtch foL Ffnjal pressurization o-125pA.
Releasepressure too
p L oar �ro�s
1st stretch 125 psi Time 1T"00A,, - 79 340AM psi
21,11 stretch 125psi Time ' legam � �; Er) a4i PSI_
314 stretch 125pst Time- ',o a fi psi
45-minute test 140pst Time! g r 309M / 0:16 p" psi ,>"a Z
Person performing Pest
Coastal Geo Witness:
other Witness
Print Name
Win- :�►����y�
Signature
Date
zorz—

aa0 NAME:
IOB ADDRESS;
Type of Test
Dare of Test
start time of Test
End time of test
Loop Circuit ID
Trace Wire
Test Description:
Coastal Geothermal
102 middle Street
Jacksonville, NC 28546
[phone]
�4/ / 11 T I V.G rIIj?A-I Cljti
tv 'L e-e clg L ClAt"
ioop system pressure and flow tes
op g
iL -I
45 minute 100 psi pressure Test
3gaumin/vertical I00p flow test
�� ° t-" 7-C- T ZVCP1,1
rest Duration/Results:
• nri&d-tQ-7Z5p-". 30=minutes. PrQULW 12,5psi; AHOWe-d
et ax 30-min�rtes, pro € edxo 125 st. Allawedstretch for 30-minutes. Fin Lpmm a
�ReLm-edl_re�L&��}nducfed-45-minute test.
'111 stretch 125 psi Time 11 111m -�I'`I f psi Y0
1114 stretch 125psf Time 11 6 M � I z: lsr,,,�, psi j
'310 stretch 125ps€ Time jSj, , Z: ypsi :'00
45-minute test 100ps€ 3 irne 1 �� `1 ���� psi /f C7
Person Performing Test
Coastal Oeo witness,
Other Witness
Print Name
Rom.
Signature
0
Date
z, C�,1__i-_ 1. ��

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
010} 353-0926
JOB NAME: /Fx
] OB ADDRIESS: U' A e-c-
,,•� ti.,•
Type of Test Loop system pressure and flow test
Date of Test Z,o ix,— -7,01 z
Start time of Test 3 ; Zo ,+i
End time of test YL ,f242
Loop Circuit ID o
Trace Wire
Test Description:
45 minute 100 psi pressure Test
3gal/min/vertical loop flow test
Test Duration/Resuits:
Flushed Heade"iemmizod_.W12 ni: At v tr tip r 3U-mfnutes..�'xesstii des? �4il���d
match for 30-minutes._Pressur1zed 2 pst �wec� tel< r 4:m(t�ut t. F BI press��rix tip i,
Released- psi & conducted 5-- llmte_ est.
11, stretch 125 psi Time: 42G-,-,2 -Z. Paz" psi
20 Stretch 125psi Time '8 psi
ire stretch 125psi Time 3 :ay�,/,, - rb per psi 0 z
45-minute test 100psi Time:M -S ,'! 6-1�R" 7 psi /0 -.
Print Name
Person performing Test
Coastal Geo witness:
Other WftneSs
Date
' � �at"jf".zor-0
tO W,4N 1 Zo!- -

Coastal Geothermal
142 diddle street
Jacksonville, NC 28546
[phone]
JOB NAME: G 1-ORPVi2
JOB ADDRESS: c
Type of Test Loop systetp pressure and flow test
Date of Test �� ;:r-,A Z,0 : Z.
Start time of Test
End time of test )
Loop Circuit ID _oi-Dc, cy pap Y.L�9- -
Trace Wire
,K-c. o w 7r-f r (P ova—Al-7
Test Description:
45 minute 100 psi pressure Test
3galfmin/verftal loop flow test
Test Duration/Results.
Flushed Neddu.,PVssur Rd -to 17.Usf. Allowed stretch for 34-minutes. _F_xe4wttnAlo-Mpli., Allowed
,vetch for r�fnu#es. Pressuriz!to -to_1251251; Altowed s retctzf - i 3Mp9.
Released pre&mmtoo—U-QpsL&-cQndUckd_45-minute-test.
ls' stretch 125 psi Tfine IN Sp", - Z;psi
2 stretch 1250 Time r ��•a Y? _ �1,!p�► psis'
31d stretch 125psi Time ? M?Js_p�+� :� ��, psi /01
45-minute test 140psf Time 3.' iS]2 A psi C�
Person Perform€ng hest
Coastal Geo Witness:
Other Witness
PrintiName
__L:e,L, 9,v�-65o6
Signature
ME x
...
Date
S�/ EAA4 , zs+l �.

Coastal Geothermal
102 Middle street
Jacksonville, NC 28546
(91.0) 353-0926
JOB NAME-, w pliI Tw& r0/Zn1!rg
JOB ADDRESS- W A L (-1 6 C r~ C Ii 'Er r l'JR
Type of Test Loop system pressure and flow test
Date of Test S'r Z-6 ) Z.
Start time of Test > i
End time of test � . ; c� 0 P.--) _
Leap Circuit ID P, c.aC� [' .-(Y,!> _ q 3
Trace wire
Test Description;
45 minute 1.00 psi pressure Test
3cgaI/mfnJvertical loop flow test
Test Duration/Results:
J�-'eO Cd-''t-f r 0 --� yC'pm
3 51:1s!
Y
Fli:shed HeaderL ess-dzkd ta1_z5Dsi; AlLwkcLgrdch fat-10--mlauta—Tressu [zed to I25piLA& Yed
e h ai min s psL Allowed stretch Q 3Qv���F1Ral_t}ressurization to 125psf.
Released pLeme1AQQ-M125L&-C=dtxcted 45-mjl.Llte test,
1'' stretch 1.25 psi Time! �� ;�o F��1- 1n: {�i�tt�i psis
2i11 stretch 125psi Time)0U 60,1 _ - )0 : " 0 A,41
314 stretch 1.25psi Time I . -5 ng psi I t 6
45-minute test 100psi Tim0t.,)V�m r 1Z'.0op"M Psis?, R .
Print! Name Signature
Person per Forming TestLkleve(I.r
Coastal Geo Witness,�1 -
other witness
Date
61" iSdA-V/V')'L-
d- f j'nry I *LO; I&
-Z-11-f ,M f -LCo s'I.

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28540
[phone]
JOB NAND: WLI I 7D.Iver V AI'F
JOB ADDRESS- kl_fj 4u LAC, -_ Cle9F A.
Type of Test Loop system pressure and flow test
Date of Test i ocT :201,1
Start time of Test,
End time of test 3 ► ^I
Loop Circuit ID 6� C r!- - ��o �� 3 -- 10 �
Trace Wire Lo �l -
Test Description:
45 minute 100 psi pressure Test
3gaumin/vertical loop flow test
i
Test Duration/Results;
FWshed HQadeL-Pms,urIzed t41Z5p�&gllowed stretch f"-ini[wtp-s.YlugfiiT3diQJ2-5RsLAI1M-d
sftRtdLtw 10--nil �ss�rlre�t412� Si;�li t �LStr Final; surf ativn to 5psl.
Re�e� 4��.sL�s��d.45�miaus�
111 stretch 125 psi Time ;I�em, psi
2'"' stretch 125p31 Time J a psi &r
31d stretch 125Psl Time 'L : I b p - ZI-r L'p'� psi— 16 r
45-minute test 1000 Time S: YZ--� doeli psi 7
PrInt Name
Person PETforining Test
Coastal Geo LVitness;
other Witness
Date
/�_>:J2-C2/ter/

!
(
I ••
(
Wallace Creek Regimental Complex, Phase II
MCB Camp Lejeune, North Carolina
N40085-10-C-5312
Rev. Date: 04/08/11
FORM 1
GROUND HEAT EXCHANGER (GHX) INSPECTION AND TEST REPORT
NOTE: Use separate form for each GHX loop system.
Building: ___ C_4-'--------Inspection Date: __ V,~~--'-~-l_f_? _____ _
Ground Heat Exchanger No. or Description:_C_4-=--A __ l _-~1~1) _________ _
Does the ground heat exchanger have a Well Construction Permit?~ Permit
No .? \~10500\'11
Does the ground heat exchanger have an approved well permit? Permit No.
List the WSHP Unit No.•s served by this GHX:
Ground Heat Exchanger Design Water Flow -___ gpm
Calculated purging flow and press to achieve 2 feet/sec
Purging: Flow 4-gpm Head \00 psi, Duration of test
Hydrostatic test pressure J.QQ_ psi; Duration _kJ2_ min .
Did the system pass the pressure test? '(G?
\'lo min.
Is antifreeze required in system?_t_ If yes, was antifreeze measured?_jfjA
Has a dimensioned drawing been prepared, com~letely and accurately showing .~
the layout of the ground heat exchanger? 5'-lSfS:M A~--0<JU..Jf 6€1 ,Jy pc,c.UM$07'G Y 4. f.~.
Does the
If so is
Depth of
Depth of
layout differ substantially from the contract documents? '((;$
the deviation approved? -~---7~-----
installed vertical loops is "l')<J feet. (Design is 250 feet.)
horizontal piping is /p..,-1 G-ieet. (Design is __ feet. )
Are the trenches clear of sharp bends, rocks, or other sharp objects that
could restrict flow? ___ ~~e-~:Z _____ _
t•
Are all joints heat fused (butt-, socket-, m: saddle-fusion)? !Jo~~r 4t'.),O~Slo F
Do the joints have the proper amount of roll-out? __ 'Yi......,,£c...-7 ________ _
Has the piping material been cut-out and properly removed from
saddle-fusion tees? '{~?
Grout Mawf3pturer? ~LX,\l-\\1 \l ~ ; Percent of solids used in
grout? -(d;J_ l!!._ Grout Type? 14 t..1,6 Grout Thermal conductivity, k? (give
units) ,9ft---),Ot,
Was the system backfilled properly with good clean backfill material? -(c;.S
Attach the soil boring and water well log sheet for the bore hole? For
each well submit a Well Construction Log Record ~ A'(f~~D-
SECTION 23 81 47 Page 39
(
Project:
Wallace creek Regimental complex Phase 11
Parachute Tower Road
camp Lejeune, NC
General Contractor:
❖ The Whiting Turner Contractfng co.
900 Ridgefield Dr. Suite 130
Raleigh, NC 27609
Ph.: [phone]
Attn: Nancy E. Loeffler, Project Manager
Andrew Ferguson, Project Engineer
Geothermal Contractor:
❖ The Whiting Turner Contracting co.
102 Middle Street
Jacksonvllle, NC 28546
Ph.: [phone]
contact: Michael B, Hadley, President, CGD
❖ subject Work: vertical Geothermal Loop system
Bldg.= C-4 & C-5
Description:
•!•
•:•
•!•
•:•
•:•
320 -250' x 1 11 vertiec1l loops
4 circuits with 80 -vertical loops each
Each clrcult has 10 drcutts with 8 -loops each
Each circuit has one underground valve vaults wfth 6" mains & 10 • 2" circuits
Valve vaults and respective circuits & vertical loops are Identified as
C-4A (West).
C-48 (East}
C·5A (West)
C-58 (East}
Formula for flow Te5t;
~ PSI Drop/ 100'
.46 24
3 .23
14 Header fittings 1.00
Example:
❖ 200' of 2" Supply@ 24gpm .92
❖ 200' of 211 Return @ 24gpm .92
❖ 500' of 1" Loop@ 3gpm (Sx.23) = 1.15
❖ 14-Hender fittings LOO
3.99 psi
Field Quality Reports
System; C- 4A (West)
I. Therniat Grout Thermal Conductivity Analysis Reporl
Circuit Date Result
1.
4 A-3 �.
10-20-2011 1.006 BTU/hr-ft-°F
2,
4 A-9
10.26.2011 .889 BTU/hr-ft-ar
3•
- _ 4 A_g41-13-2012u
_ y- 32 BTU/hr-ft-OF
See attached Geoft, Inc Reports
2. 2" Circuit x 8 Loop (250' x 1) Flow Test
Trace Wire 'Projected Pressure
Color / Strfpe Circuit _ Date GPM 2"p1�e @ 100 Drop PSI_�
Greett/Yellow _4 A-1. ] u-20-2D11 24 4_ 7 5.5
- arart a _4 A-Z 10-22-201124 -_. -^ _4_.� _4. 4
_Brown 4 A-3 10-26-2011 1 24 4 4
Yellow4 A-4 10-26-2011 24 ' 4 4 -- --
White 4 A-5 10-28-2011 24 - --- 3 � 3.5 _
YeIlnw._.._ 4 A-G 11-08-2011 24 — —_ 3 5
Blue ^4 A-7 11-07-2011 t�24 µ 3 3.5
Orange 4 A-8 11-07-2011. ` 24 _ � _4_ 4 —�--
Pr _ 4 A-9 11-01-2011 24 - G 5_._
Green 4 A-10 I1-01-2011 24 _ _9 -- 6.5 _
See ditaChed F!e!d Text ReporU - 2" Pfpe length for testing appraxfmately 4M'

AS-B UILT
Wt=.:::>T
[!) KEYN
- - — - Fa Box 136 I Eldon, 8D 57026
Prone: 677,584,9348 i Fat; 877.68e.9371
dctobe+ 31, 2011
Coastal Geothermal
Attn: Mike Hadey
102 Mlddle St
Jacksonville, NG 28545
Phone: 9i0-353-0926
Fax: [phone]
RP: Thermal Grout Thermal Conductivity Analysis Report
Thank you For participating In this "field quality control" program For the various Thermal Grout products. The
objective of this analysls is to offer an unhlased verification of the thermal conductivity of the Ileld mixed
materld. This analysis Is intended to help ensure proper performance of the grouting material and that proper
mixing procedures are consistently being followed throughout the project It is recommended that, at a
minimum, three separate analyses be performed on each commercial project.
Based on Information supplied on the "Test Information Form" that accompanied the sample contalner, the
tesled 5pec1nten was collected on the IdIowl ng date franc the fdIowl ng protect:
Sample 9ecelved by 1-ab: October 28, 2011
Sarnpta Collection Bate: October 20, 2011, 1:30 Am.
Project Name, Wallace Creek Phase It C4 (4A-3)
City, State: Camp Le Jeuna, NC
GeoPro, Inc. uses a thermal needle method of analysis to determine thermal conductivity of fully hydrated
grout specimens. Our analysis Indicated that the thermal conductivity value of the specimen supplied from
the protect referenced above was as fellows:
Thermal Conductivity: 1.006 Stulhr--ft•OF 1.742 W!m•OK
If this value Is lower then expected, please contact GeoPro, Ina immediately at [phone] to
discuss }possible reasons for a discrepancy and posslisla remedle&
We at GeoPro, Inc, bal love that our combined efforts to provide this project with a Mph quality, high
performance grouting material helps to build confidence In ground -sou roe heat pump applloations. We
believe that Increased cent Idenco by all parties involved will help this Industry achleve its objective of
becoming a "main -stream" technology. Again, thank you for your participation in this program.
If you have any questions regarding this analysis, please contact me at [phone] axt fps.
Sincerely, ,� f
�- ,�
Tyler Harbeck
GeoPro, Inc
www.geoproinc.coni

PO Bow 136 1 Ukton, S1J57p26
- Pitons:877.580.9843 I Fax: e77,580-9371
November 4, 2011
Coastal Geothermal
Attn: Mike Had ay
102 Middle St
Jacksonville, NO 28546
Phone: 910�353-4925
Fax: [phone]
RE: Thermal Grout Thermal Conductivity Analysls Report
Thank you for participating in this "field quality control" program for the various Therms] Grout products. The
objective of this analysts Is to offer an unbiased verification of the thermal conductivity of the field mixed
material. This analysis Is intended to help ensure proper performance of the grouting material and that proper
mixing procedures are consistently being followed throughout the project It is recommended that, at a
rnfnlmum, three separate analyses be performed on each commercial project.
Based on Information suppi led on the "Test Information Form" that accompanied the sample contafnar, the
tested specimen was collected on the following dates from the following project:
Sample Received by Lab: Gotober 28, 2011
Sample Collection Date; October 26, 2011, 1:00 p.m.
Project Name: Wallace Creek Phase 11 C-4 (4A-9)
City, State: Camp Le Jeune, NC
Geof ro, Inc. uses a thermal neede method of analysis to determine thermal conductivity of trfly hydrated
grout specimens. Our analysis indicated that the thermal conductivity value of the specimen supplied from
the project referenced above was as follows:
Thermal Conductivity: .889 Btulhr--ft-or _ 1.539 Wlm•°K
If this value Is louver than expected, please contact Goo Pro, In4N Irnmedlately at [phone] to
discuss possible reasons for a discrepancy and possible remedles.
We at GeoPro, Inc. believe thatour combined efforts to provide this project with a high quality, high
performance grouting material helps to build confidence In ground -source heat pomp appficaflons. We
believe that increased confidence by all parties Involved will help this industry achieve its objective of
becoming a "main -stream" techndogy. Again, thank you for your participation In this program.
It you have any questlons regarding this analysis, please contact me at [phone] ext 106.
Sincerely,
Tyler Harbeck
Geopro, Inc
ww�r�.geapraina.cam

9LNgA
November 4, 2011
Coastal Geothermal
Atln, Mike Hadey
102 Mtddl o SL
Jacksonvillo, NG 28646
Phone: [phone]
Fear: 910-350-1060
RE: Thermal Grout Thermal Conductivity Analysis Report
PO Box 1351 Elkton, SD 57028
Phone:677.580,9346 1 F=877,68D.9371
Thank you for participating In this "field quality contrd" program for the various Thermal Grout products. The
objective of this analysis Is to offer an unbiased verification of the thermal conductivity of the field mixed
material. This analysis is intended to help ensure proper performance of the grouting material and that proper
mixing procedures are consistently being followed throughout the project It Is recommended that, at a
minimum, three separate analyses be performed on each commercial project.
Based on information supplied on the `Test Infomiation Form" that accompanled the sample container, the
tested specimen was collected on the following date from the [oil owl ng project:
Sample Received by Lab:
Sample Cdiectlon pate:
Project Name:
city, Stale:
November 8, 2011
November 1, 2011. 10:00 am.
Wall ace Creek Phase 11 (4A-8)
Camp € oJeuno, NC
GeoPro. Inc. uses a thermal needle method of analysis to determine thermal conductivity of filly hydrated
grout specimens, dur analysis Indfcatad that the thermal conductivity value of the specimen supplied from
the project referenced above was as IdIows:
Thermal Conductivity. 1.032 5tv1hr4VF m 1.786 Wim-OK
If this value Is lower than expected, please contact GeoPro, Ine. Immodlately at [phone] to
dlscuss possible reasons for a discrepancy and possible remedies.
We at GeoPro, Ino believe that our combined efforts to provide this project with a high quality, high
performance grouting material helps to build confidence in ground -source heat pump applications. We
believe that Increased confidence by Al parties involved will help this industry achieve Its objective of
becoming a "maln-stroam" technology. Again, thank you for your parlicipatlon In this program.
If you have any questions regardng this analysis, please contact me at [phone] ext 106.
Sincerely,
Tyler Harbeck
GeoPro. Inc
►v�uw, g aapro f izc,com

JOB NAME:
JOB ADDRESS:
Type of Test
Date of Test
Start time of Test
End time of test
Loop Circuit ID
Trace Wire
Coastal Geothermal
102 Middle street
Jacksonville, NC 28546
[phone]
LQ) f-I r-r-1 /6 C." -rplemw
Loop system pressure and flow test
'7.Cj n c •r- zo
Test Description: 7- -r 6 7,11 r,.PP,4
45 minute 100 psi press4e Test
3gallmin/vertfcal loop flaw test
` Test Duration/Results:
` Fl_ I�ed�ieader. X45,SIitI P to 125ps_i: AI[oWe� styet�ilf�r_3tZr11i11[L ..I Cr[zed to 125�si: Allowed
lr3iT- CQrlless_P_, es _urlciQ12.5p]Ile d stretc_for3k-mjautes. j6aaj-p reaa_r lion to 125psj.
RakMd.pre1Sur?—t0-Q-2Q4 Time '30Aci 45-mittsUte test,
I" stretch 125 psi i M 10: pa R/" psl 9'
end stretch z25psi Time ?D Gc+ Asti_ l_� 30.4,4•1 pst_ . .
3111 stretch 125psi Tune/a; 30jq/r --111 v&At" psi /6 5' .
45-minute test 100psf Time//� oLA.s, psi ) ^0 OL
i
i
t
j Print Name
Person performing Test
Coastal Geo Witness: Tr►AA/� ►�,
Other Witness
Signature
Date
��'/
L-(Lj-0�k

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
- [phone]
JOB NAME: ! A) U�iU
JOB ADDRESS: � (�� L.L AC& cd k- + _ _r__CA.sS•P
Type of Test Loop system pressure and flow test
Date of Test 2-L OCT -4,01� _
Start time of Test
End time of test 3 are
Loop Circuit l❑ q - pA Lp� Z
Trace Wire 1a6 C�
Test Description:
45 minute 100 psi pressu(e Test
3gailmin/vertical loop flow test
�4 est Duratlon/Results:
Y() ps I
` V,- R:r I
: Allowed stmtchJbL3i-min es. Pressc�rt�e QI25 w�
p-s . JLQwed_str�ch r 0-tninutes.FiC1�iI.pressufiza o 125 psi.
V stretch 125 psi Time I I,', f -,v.qTPAj psi P
2°d stretch 125ps1 Time J2.; = I S" /li psi
31' stretch 125psf i Time j: I ��r� psi
45-minute test iQopsi Time : f►s'. -: ICI p psi- /)D
Person Performing Test
Coastal Geo Witness:
Other lVftness
Print Name
I
RA(
Signature
Date
z 2.1. ®� J
94 /,Ow / taw

Coastal Geothermal
102 Middle street
Jacksonville, NC 28546
[phone]
JOB NAME: W N '`! V '-u
Job ADDRESS:
Type of Test Loop system pressure and flow test
Date of Test QC 1
Start time of Test C�_, p•i
End time of test 0 a
Loop Circuit ID � 1_ �. „30,b
Trace Wire
Test Description:
45 minute IUD psi pressure Test
3gallminfvertical loop flow test
rest Duration/Results,
Flushed r: PressurLa 19-WpsUAflowed str edto J.25,psi: Allowed
stretch for 30-mlaute-s, P-ressurixe to 125psi: Alllmnd stretch fQr30-minutes. Final nressurizatton to-Wpit
Seieand-pressx—elg9 10PAI &conducted 45-minute-t_ L
y
V stretch 125 psi Time; 51
2,11" stretch 125psi Time; % �5 P ;� �" •►7 psl.
31d stretch 1?,5psi Time;, ; qrb a, T, Y if"011 psi
45-minute test 140ps! Time Ej ; / V- y it> P/j, psi �p
Print dame
Person Performing zest
Coastal Gen W(tness:
other Wftness
Signature
J=
f
Date
f �/

Coastal Geothermal
102 Diddle Street
Jacksonville, NC 28546
[phone]
JOB NAME: [.ems 1 -r-IAv.4
.10B ADDRESS, Gv/A G L. e n--14
Type of Test Loop system pressure and flaw test
Date of Test 'Z.D 11
Start time of Test I"J �►
End time of test o a
Loop Circuit ID 12 C_ -1 Pap -'Y►4- Y _
Trace Wire 'J
Test Descriptiom
45 minute 140 psi pressure Test
3gailminNertical loop flow test
r40W IIWsY- qV zyC.AQ11
I
'70 RT/
Test Duration/Results.
F1 u she.d Header;P ry s u r zed-tQJ2Ap9; Alia-wPAstre_tchfdr-30-rites—Pmmurized-to-Y25psk Allowed
s;tMtdI for 3D-minutes,_T9 to 3 W Ailimmmd stretch for 30-minutes. Final psi.
$e]�sg�p�essure #on.�QO�i�_�o3lsiucted 4�-miIl.i;te test
111 stretch 125 psi Time ���1 'i��r :►s Pam. psf �?
21d stretch 125psi Time; psi 26
3111 stretch 125psi Time; : i g — rf rl ap�i psi / 0 o
45-minute test 00psi lime r�: !;,",00pm psi_ �4
Print game
Person Performing Test
Coastal Geo Witness;
outer witness
Signature
Aw-
r
Date
tc_I aC y f ;�61e�'

Coastal Geothermal
102 Middle street
Jacksonviile. NC 28546
[phone]
JOB NAME. NG ryR.,vr-s
JOB ADDRESS: A 1- c C c A l-i P m
Type of Test Loop system pressure and flow test
Date of Test ,Z 4 cr zo / 1
Start time of Test i 1 : 90.4m - - -----
End time of test /7-11.�
Loop Circuit ID
Trace r�: {� GPI •fl�-.S^ _ -
Trace Wire
Test Description:
45 m[nute 100 psf pressure Test
3galtminNertical loop flow test
Test Duratfort/Results:
FGej� TZs -r o ?-Yc;?.
31 Pr/
3rpst
Flr�s HeaPmssuiyRA-toMpsi: Allnwe€i,sImtch for-39.7imiWe"mmdn I-tQ-125ps ..At[owed
b�minute e, 5� to 125prk.Allgwed st dd tor30-minutes..linaLpm uuizW1on to 125wL
Released gmme-tan 14�p5f & tondo e
V stretch 125 psi Time �(� :vs�r��r ��'.�►�� psi 20 _
2"d stretch 125psi Time /0:30,qm-- psi q'Ir
3"d stretch 125psi Time i1-, ot,tam -;¢ Am ps[ r6 5,
45-minute test 100psi Time 1/: 3oa.% - 7 : is' psi /41 /
Print Name
Person PertonningTest
Coastal Geo Witness:
Other witness
Slanature
Date
c>cr lI
4A 1. 1�?1 lI

JOB NAME:
J013 ADDRESS:
Type of Test
Date of Test
Start time of Test
Coastal Geothermal
102 Middle Street
.Jacksonville, NC 28546
[phone]
Loop system pressure and flow test
End time of test 'g"PI _
Loop Circuit ID AZ jL,0 0
YA — +6
Trace Wire —C c. t~t] w
Test Description.
45 minute 100 psi pressure Test
3gaiOnfvertical loop 'flow test
'Y I psi
{ Test Duration/Results;
t:iushed eadet: Are w&ed-to-=K, A I I o res su r Ize4 to 125nst: Allowed
;ArathhL4-minutes. Pressurized to 125K.Allowed stmkhjQL34-minutes. Final pressurization to M .
ftleds ressune too 100psi & conduct d 4 -minute test.
11, stretch 125 psi Time /G ' � A ,, // 'l� ��,► psi
2nd stretch 12,5psi Time//- lei9 aj IIt'IG� ,as, psi ICJ
31¢ stretch 125psi Time:/IIpsi 100
45-minute test 100psi Timel �; f �, �r u 1' ; ao psi _ o
1>rint Name
Person Performing 'Test
Coastal Geo %Vftness;
Other Witness
Signature
Date

Coastal Geothermal
102 Middle street
lacksonvHle, NC 29546
(91.0) 353-0926
1D8 NAME -
JOB ADDRESS: t. AoAC41,c AS—
Type of Test Loop system pressure and flow test
Date of Test /1-0 L./ zj�qj 1
Start time of Test irQ r '
End time of test ;' 30 _!M
Loop Circuit 10 p 4 C
Trace Wire
Test Description- XZ `� `� 2a � �02 '
45 minute 100 psi pressure Test
3gal/mhVvertical loop flow test
3
rest ❑uration/Results:
Flushed Header: Pressurized a ] Sf A��e tre ch for 30�mfnute , riressurized to 125r�sii AlIawed
stretch far L0-M s. Pressurize tsi_ o-125igt-UQwed stret-ch for 30-minutes._ Final, preuudz��UA
RsTe_a, d iessnrQ too Dsl & conduct"- .tut
1s1 stretch 125 psi Time 3Y6�j6--, psi
2rtid stretch 125p9i Time , ' Y psi
3`d stretch 125psi Time4/26 a - �' '/ l psi
45-minute test 100psi Time f; 6r 5 B psi_ /dz
Print Name
Person Performing Test
Coastal Geo Witness:
Other Witness
Signature
1 {
10,
Date
7 I.A vv 1-0e

!0B NAME:
103 ADDRESS:
Type of Test
Date of Test
Start time of Test
CaastaI Geothermal
. 102 Middle Street
J,achsonville, NC 28546
[phone]
TJ A)&
Loop system pressure and flow test
End time of test All
A
Loop Circuit ID ZR4bfi .. C -1 pop, q,4 --
Trace Wire l '4--j 770 &W e,"T
Test Description:
45 minute 100 psi pressure Test C2 pS f
3gal/minJvertical loop flow test
Test Duration/Results.
Flus —Milder: Aressuriadb-l25p5i,--AU wed stretch for 3U-mi lutes.pressuribed tip�i .Allow
stretch for 3U-minufe Pxe_SMiUd. o 1.25.
Messed presairQWo 100pslkzonductesli0-mtvule.test
131 stretch 1.25 psi Time 'Z(a c , w P-r � ps[ %
210 stretch 1.25psi Time "2 - 's", psf C3
31" stretch 125pSi Time:31 l :3 ., pay psi fQ C2
45-minute test 1.00psi Time 3. 1 psi
Person P e r form I ng Test
constol Geo Witness:
Other Witness
Paint Name
K& is, 1,
Fe 0
Signature
Date
l•�o Lj/.
____ 1'ta -er/

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
JOB NAME:
UM i. tiara I/
F
YU8 ADDRESS:
A L A [..& _ C 9,,p
G 0 ­L
Type of Test
Loop system, pressure and flow test
Date of Test
1 ry G a ``z 0 j 1-
Start time of Test
2.: V ti '0-,±I
End time of test
5 ' 3'7 am - -
-
Loop Circuit ID
12 6- - C 14 l�r>,�
LIA 5 - f
Trace Wire
Test' Description:
t.d 7rv��' 7- op
45 minute 100 psi pressure Testy
d' 1
3ga11min/vertical Ioop
flow test
!� s
Test Duration/Results:
Fleshed He
p_slr�ly stretch f4.'1`�S1�t��?C��S[iz� to 12�nsf. Allowed
smtch for 34-minufes.
Presst�rl R 125psft Allowed stretch
for 30-minutes, Final ,nressurizatiott t 7 5p a,
Released_lsv[reaQps1
& s.d�teted 45-mtnnte felt,
V stretch 125 psi
Time I=i �, T : 4 5�P M
psi
2na stretch 125ps[
Time �p_r�
.--
pst -
3111 stretch 125psi
Time +V 1 �' a�v►;� - ' 4 a h
psi Q I
45-minute test 100psi
Time 2:. &!5 -- 0prh
psi , U
Print Name
Signature Date
Person Performing Tess
-15
Coastal Geo Witness:
Other Witness'

JOB NAME:
JOB ADDRESS;
Type of Test
Date of Test
Start time of Test
End time of test
t,aop Circuit ID
Trace Wire
Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
(1910 353-O9Z6
i
C 04 M_f � . /14,-4)�r
Loop system pressure and flow test
4112 LI - '2, v I J
134- r) fir— 4:; e-1 p040 qA /0
c.
Test Description:
4.5 minute 100 psi pressure Test
3gallmfnlvertfcal loop flaw test
' Test Duratfon/Results.
1~i[zs1le� Header�Pies tlzixed_tQ.7 % 1I1�W sfretcbJQrM--MftMLeSP-[e&Wdzed to 125PSEAUQY&d
stretelLfor 30-miautu. Pressurized t-125psj -Allowed stretch—f LAQ-minutes. Final pmmrization to 125ns1.
Released .p mu too1Q0M & 1ond d 45-rnlrGte-1-Ut,
ill stretch 125 psi Timpsi 2,
2n11 stretch 125psi Time 3 : 3 rtlY "I psf_ loow
3'd stretch 125psi Time r p"- !t: 3 p/h psi_ 4
45-minute test 100pst Tlme -- Syr a * peh psi (�
Print Name
Person Performing Test
Coastal Geo witness:
other witness
Date
.tr_ °!Jr ZG! 1
Zeya V / Zpd1

(
(
Wallace Creek Regimental Complex, Phase II
MCB Camp Lejeune, North Carolina
FORM l
N40085-10-C-5312
Rev. Date: 04/08/11
GROUND HEAT EXCHANGER (GHX) INSPECTION AND TEST REPORT
Use separate form for each GHX loop system.
Inspection Date: __ Vi~A.__'4----'--'~'--':7 _____ _
NOTE:
Building: ____ C'--4+-------
Ground Heat Exchanger No. or Description: C.4 B I-ID ---~------------
Does the ground heat exchanger have a Well Construction Permit?Y Permit
No.? \,JI. 08 00\ q /
Does the ground heat exchanger have an approved well permit? Permit No.
List the WSHP Unit No,•s served by this GHX:
Ground Heat Exchanger Design Water Flow -gpm
Calculated purging flow and press to achieve 2 feet/sec
Purging: ~low a gpm Head loo psi, Duration of test IW min.
Hydrostatic test pressure j'QQ_ psi; Duration .{pQ_ min.
Did the system pass the pressure test? {€$
Is antifreeze required in syatem?L If yes, was antifreeze measured?~
Has a dimensioned drawing been prepared, completely and accurately showing, 1 the layout of the ground heat exchanger? ~EM 6.5 &.lu .. 1 6i~\w1 ()DC(}~ &11 ~ --
Does the layout differ substantiall1! from the contract documents? '-/.e:2
If so is the deviation approved? _4_.,f ......... 'J ___ _
Depth of installed vertical loops is 'l:50 feet. (Design is ~ feet.)
Depth of horizontal piping is V/lt\t~feet. (Design is feet.)
Are the trenches clear of0h~rp bends, rocks, or other sharp objects that
could restrict flow? 'e,7 ---~~---~
Are all joints heat fused (butt-, socket-, or saddle-fusion)? 5~f
Do the joints have the proper amount of roll-out? ____ 'f~E,~5 ______ _
Has the piping materia~ ,ge_£n cut-out and properly removed from
saddle-fusion tees? Tl7 --~-----
Grout Manuf1)cturer? · pAtJt.(k1(() ; Percent of solids used in
grout? {pS l, Grout Type? 14 y-,2 Grout Thermal conductivity, k? (give
units) ,tlf1,. l,<J~
Was the system backfilled properly with good clean backfill material?~e,,
Attach the soil boring and water well log sheet for the bore hole? For
each well submit a Well Construction Log Record ?e£ A17AClW0
SECTION 23 81 47 Page 39
4.f.S.
Wallace Creek Regimental Complex, Phase 2I
MCB Camp Lejeune, North Carolina
Comments;
Inspected and approved this '� date by
Title; ('0 ('- "41J w" r'
N40085-10-C-5312
Rev. Date: 04/08/11
SECTION 23 81 47 Page 40

(
:,,
t
l
Project:
Wallace Creek: Regimental complex Phase n
Parachute Tower Road
camp Lejeune, NC
General Contractor:
❖ The Whiting Turner Contracting Co.
900 Ridgefield Dr. Suite 130
Raleigh, NC 27609
Ph.: [phone]
Attn: Nancy E. Loeffler, Project Manager
Andrew Ferguson, Project Engineer
Geothermal Contractor:
❖ The Whiting Turner Contracting Co.
102 Middle Street
Jacksonville, NC 28546
Ph.: (910) 353-0.926
contact: Michael B. Hadley, President, CGD
❖ Subject Work: verticnl Geothermal Loop System
Bldg.: C-4 & C-5
Description:
•!•
+:•
•!•
•!•
-.:•
320 • 250' x l"vertical loops
4 circuits with 80 -vertical loops each
Each circuit has 10 drcuits with 8 -loops each
Each circuit has one underground valve vaults with 6'' mains & 10 -2" circuits
Valve vaults and respective circuits & vertical loops are identified as
C-4A {West)
C~4B (East)
C-5A (West)
C-58 (East)
Formula for Flow Test:
GP!Y1
24
3
PSI Drop / 100'
.46
.23
14 Header Fittings 1.00
Example:
❖ 200' of 211 Supply@ 24gpm .92
❖ 200' of 211 Return @ 24gpm .92
❖ soo' of 1" Loop@ 3gpm (5x.23) = 1.15
❖ 14-Header Fittings l,_O_Q
3.99 psi
Field Quality Reports
(
System: c--5 B (East}
1. Thennal Grout Thennal Conductivity Analysis Report
Circuit . Date Result
,--LE-: t-----_ --~=:=:~=--===-·· ________ i~~~~~~~i~ ____________ --J _________ ~~~~-~-=i
See attached GeoPro, Inc. Reports
2. 2" Circuit x 8 Loop (250' x 1) Flow Test
~--------·---·-·•--·· --· -Projectecfi>ressure Trace Wire
Color/ Strl pe Circuit Date GPM 2" _ipe@l00' Dro p PSI -----
Orang~~ 5 B-1 11-17-2011 24 8 6
f--· ----~------.......... _____ .... ---·----Yellow 5 B-2 11-16-2011 24 8 6 ~-i--------·-·····---··--·-·-· ----· .. ·----·-----~-·--··------··---· White 5 B-3 11-17-2011 24 7 5.5 . ··-Green 5 B-4 11-17-2011 24 7 5.5 -----· Pink 5 B-5 12-07-2011 24 2 3
Purple 5 6 -6 12-07-2011 24 3 3.5 .
Black 5 B-7 12-07-2011 24 3 3.5
t---... ·-
Brown 5 B-8 12-12-2011 24 5 4.5
··• --------·--------·• --Red 5 B-9 12-12-2011 24 8 6 .
I -·· ·--~-·-6==i Blue 5 B-10 12-13-2011 24 8 _____ .,.
see attached Field Test Reports -2" Pipe le11gth for testing approximately 400'
AS -BUILT

N - J
November 18, 2011
Coastal Geothermal
Attn: Mike Hadley
102 Middle St
Jacksonville, NO 28546
Phone: [phone]
Fax: 91 a-353-1060
HE Therms Grout Thermal Conductivity Analysis Report
Pt} Box 1361 £Ik1on, SD 57_026
Phone-.877.580.9348 1 F=077.580.9371
Thank you for particlpating In this "field quality control" program for the various Thermal Grout products, The
objective of this analysis Is to offer an unbiased verification of the thermal conductivity of the flei d mixed
material. This analysis is Intended to help ensure proper performance of the grouting material and that proper
mixing procedures are consistently being followed throughout the project. It Is recommended that, at a
minimum, three separate analyses be performed on each commercial project,
Based on information supplied on the ""feat Information Form" that accompanied the sample container, the
tested specimen was collected on the fdIowing date from the following project:
Sample Received by Lab:
Sample Cdlaalion Date:
Project Name:
City, Stale;
November 16, 2011
November 9, 2011, 1:00 p.m.
Wallace Creek Phase It (5B-2)
Camp Le Jeune, NG
GeoPro, Inc, uses a thermal needle method of analysis to determine lherm^J conductivity of fully hydrated
grout specimens. Our analysls Indicated that the thermal conductivity value of 1i10spfloimon supplied from
the project referenced above was as follows:
Thermal Conductivity: 1.088 BlAr•fl-°F _ 1.884 W/m-°K
If this value Is lower than expected, please contact GeoPro, Inc. Immediately at [phone] to
discuss posslbie reasons for a discrepancy and pnsslble remedies
We at GeoPro, Ina believe that our corn bined efforts to provide this project with a high quaiity, high
performance grouting nmate0ai helps to Build confidence in ground -source heat pumpappllcations We
believe that increased confidence by all parties invcived will help this industry achieve Its objective of
becoming a "mainstream" technology. Again, lhanit you for your participation in this program,
If you have any questions regarding this analysis, please contact Me at [phone] ext 100.
Sincerely,
Tyler Harbeck
GeoPro, Inc
wmv.geoproicc.com

r PO Box 138 1 Elktun, 305702.6
Phona:877.500,0348 1 Fax:[phone]
Denamber 13, 2011
Coastal Geothermal
Attn: Mike Hadley
102 Middle St.
Jacksonv4le, NC 28546
Phone: [phone]
Fax: [phone]
RE: Thermal Grout Thermal Conductivity Analysis Report
Thank you for participating in this "Field quality control" program for the various Thermal Grout products. The
objective of this analysis is to offer an unbiased verification of the thermal conductivity of the field mixed
material. This analysis Is intended to help ensure propel performance of the grouting material and that proper
mixing procedures are consistently being followed throughout the project. !t is recommended that, al a
minimum, three separate analyses be performed on each commerclai project.
Based on information supplied on the "Test information Form" that accompanied the sampla container, the
tested specimen was collected on the Following data from the following project:
Sample Received by Lab:
Sample Collection Date;
Project Name:
City, State:
December 9, 2011
December 2, 2011, 2:00 p.m.
Wallace Creek Phase Il (5&-9)
Camp Le Jeune, NC
GeoPro, Inc. tests In accordance toASTM D-5334 to determine thermal conductivity of Fully hydrated grout
specimens, Our analysis indicated that the thermal conductivity value of the specimen supplied from the
pr eject referenced above was as follows:
i
Thermal Conductivity: 1.206 Btulhr-it-OF - Z088 Wlm-OK
If this value Is lowor than axpected, please contact GeoPro, Inc, immediately at [phone] to
dill euss possihie reasons far a discrepancy and possible remedies.
Wd at GeoPro, Inc, believe that our combined efforts to provide this project with a high quail, high
peaiformance grouting material helps to bufci confidence In ground -source heat pump applications. We
believe that increased confidence by an parties involved will help this industry achieve its objective of
b4orning a "main -stream" technology, Again, thank you for your participation in this program,
If Vou have any questions regarding this analysis, please contact me M [phone] ext 106.
Y.
Tylbr Harback
609 Pro, Inc
wwnr.99oproinc,com

Coastal Geothermal
162 Middle Street
+' Jacksonville, NC 28546
(910) 353•0926
JOB ADDRESS: C i A a E Qr�F - GOQ1 ' `[)Ntf
Type of Test Loop system pressure and flow test Y
Date of Test C) t y
Start time of Test ;
End time of test
Loop Circuit CD 04at) I �-
Trace Wire 01z41,,1re
Test Description:
45 minute 100 psi pressure Test
3gai/minfvertical loop flow test
I Test Duraffon/Results:
3 9 P51/
CIS —es /
15t stretch 125 psi Time Woe) fib," psi.
2nd stretch 125psi Time to R; je)•s psi s�
3'd stretch 125psf Time P'.sGAAs psi
45-minute test 100psi Time/Oia�,4^ - / d : � '��� Psi /��
Person Performing Test
Coastal Geo Witness:
other Witness
1
Print Name
i
Date
K LLzj. - -

Coastal Geothermal
142 Middle Street
Jacksonville, NC 28546
[phone]
JOB NAME:
(jj4!r[)J6 TWNkIC
JOB ADDRESS.
Q U Ar- , C f
Type of Test
Loop system pressure and flow test
Date of Test
1�, �0IJ 'Z-0I�
Start time of Test
q:4popn
End time of test
/ ,^ y; �:'�.�
Loop Circuit ID
C,i.)r, C r pot,>."'S w 2
Trace Wire
vee.(w 4k)
Test Description.
45 minute 100 psl pressure Test
3gaVmin/verticai Coop flow test
Test Duration/Results.
Flushed Header: Pressurized to lalp-si*myed sfretch.lotiD-minute-s.ressorized to 125w1; AbRed
s ' t� `auesu�ado 12 P-IL
Released nressure_too-IUpsi cnndu . ` d 45-minute test,
V stretch 125 psi Time Z.: 3 l,,s, _ :Wx 3/1 psi F?.
2°° stretch 125psi psi• "
Yd stretch 125psi Time 3�, W. -A :f,)ti P"It psi
45-minute test 100psi 'rime?,A, psi 1 4
i
Print Nate
Person Performing Test mb/�;-
Coastal Geo Witness: + '-r i ,41C k—
Other Witness
Signature
Lao N r c ffe
Date
/K /. . dell
-16 PIL
t I /, k; /.- 11—

Coastal Geothermal
102 Middle Street
]acksonVlile, NC 28546
[phone]
JOB NAME,
W Li _ T-I MC-
-rv1Z A--,6:lZ_--
JOB ADDRESS:
4(C-C-1-
- C �4MP e„7�yby-"
Type of Vest
Loop system pressure and flow test
Date of Test
/I o v
-LO H
Start time of Test
-
End time of test
;_ a0
L17
Loop CireUlt ID
LT? - C �f _ �d
3
Trace Wire
i S
Test Description;
4.5 minute 100 psi pressure Test
3gallminNertical loop flow test
31 P51,
,Vq pj-1
_,
Test Duration/Results:
FluLs H oler: Aressurized to 125p .ALowed stretO L-3k 8 v ,_Plrgssurized to 17�5p : Allaw
=cU1fL10--minutes. PPressurfP-d--WA, �11�d 51-letrh t`ar 3D-minute ,-EiUL 7r=rizaffon-tO 125P it
Released pressure too lOQpsi & 2duded -L-min .tetest
VI stretch 125 psi Time /(1: 41i� - !�: ! C'►�r� psi
21111 stretch I25p5i Timef/,ra-�11"41, an psi_
31d stretch 125p5i lime 1I,"YrA6 -• / L; I5'0�i psii, ZD
45-minute test 100psi Time / i. I�2m / rary"� j psi 101
Person Performing Test
coastal Geo Witness:
other Witness
Print Name
Irfz:—j ('40)\
Crr.�4`�
Signature
.rI
Date

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
(910) 353•0926
JOB NAME: ' I r, u/zP9-/Z
JOB ADDRESS t-C. C. L' U GAl,) P
Type of Test LOOP system pressure and flow test
Date of Test fro v -&e,,
Start time of Test a
End time of test : Ya �
Loop Circuit 10 RLr- e,. C ,5' ,C' I> , ry —4
Trace Wire'% .
Test Description:
45 minute 160 psi pressure Test
3gatlmin/verflcal loop flow test
I Test Duration/Results:
Fl[ix_k Header, Pressurizg-d-to _
stretch for 3D--in es,.. ELesiwl
[1��LLjllCAauLLUV 1u�GZZ+li UL l.ui{Uull�`}��11111UL� lG.
V stretch 125 psi Time Iz-? , A - 1, opeto
2°° stretch 125psi Time/:
311' stretch 125psi Time
45-minute test 140psi Time,
r,
Print Name
Person Performing Testfarl��.�7
Coastal Geo Witness: ,,_�7� Y■�!i`�
other Witness
i
,_ Pres5iirtzed t41.�5p��IL�y�r
ninuto, F�ttaLp��tl�tLto� "�sL
psi
psi_
19
psi
ids,
psi
f 01
Signature
y %
Date
0..12 - I I
—L(—J—tLJ —LL

Coastal Geothermal
102 Middle Street
JSCkSonViIle, NC 28546
[phone]
JOB NAME:
JOB ADDRESS:
Type of Test Loop system pressure and flow test
Date of Test I:.'',f� 1 it
Start time of Test ?r� , •-,
End time of test
Loop Circuit ID
Trace Wire
Test Description:
45 minute 100 psi pressure Test
3gaVmir)1Vertical loop flow test
t Ist Duration/Results:
Flu sap—d-Headers rgssud
stretchf0L3inmfnt W.--PI
Released re3mm-D.a1DD
llowetl stre[�ti f rQssurix�d �5psi:All�d
15t stretch 1.25 psi Thne
2nd stretch 125ps1 Time)-L �,Oi).o I o /I
316 stretch 125psi Tiine ll- Mvl / ;p r~ I
45-minute test 1000 Timell��s '�uv
i
psi ref
psi
psi
psi 10 f
PrintrName Signature Date
}
Person PerFarmfng Test �=t; AA
Coastal Geo Witness: L9-mkA k�TjIII
other Witness jam , nv i f
fR

JOB NAME:
JOB ADDRESS:
Type of Test
Date of Test
Start time of Test
End time of test
Loop Circuit III
Trace Wire
Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
,
Loop system pressure and flow test
Test Descrlinffon-
45 minute 100 psi pressure Test t
3galtminfvertical loop flow test
Test Duration/Results,
Flushed-HeAda. re—m
1s, stretch 125 psi
2111' stretch 125PSI
311' stretch 125psi
45-minute test 100psi
Time 1l:1'r�syr��
rimy
Time 1 3c;A _ �•L(t L>41
i
i
to P5, i
30-minptes—P-rg55urfz-eg1n-1Z5pMLAIW-Wed
psi I 0
psi r .�
PSI
PSI_ I --
Pri�t Name Signature
f�
Person Performing Test y /- f1 L {N
Coastal Geo Witness., � s� V1 G
other Witness
Date
� G'•P�

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
100 NAME:
JUt3 AI3DRi;55; tv n 1... L_
Type of Test Loop system pressure and flow test
Date of Test 'I
Start time of Test ` �' •�'�-� -- _ _ _
End time of test
Loop Circuit ID -
Trace Wire
Test Description:
45 minute 100 psi pressure Test
3gaVrnin/vertical loop flow test
Test Duration/Results:
�r%.cvsl
FlushW—He-a Allowed 5tretch for 30,miressurized-a125mi; Allowed
stretch__far 3D� 1#n t�s. F_ressuri�� 51 i;�lFvayed 5tr ch oC 3 mi�ta i a ri&�Mpsi.
Re��d_p.�tire tv�QOR�� � d_[[�i�s��FS-minute test.
V stretch 125 psi Time,— psi 90
2nd stretch 125psi Tim `�'�� _ 'Ii -�19,47 psi 9 -
Yd stretch 125psi psi i 6'r
45-minute test 100psi Timev L11-!:1�, ';� t r� .A� psi C' I
i
isrf I t Name Signature We
}
Person Performing Test �/ Y f; -: 'f L■ rf' �� ":.I rf'i
Coastal Ge• Witness:
other Witness

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
108 NAME: A C ' .
JOB ADDRESS: ' d1. 1-: C r C
Type of Test Loop system pressure and flow te5
Date of Test / Z. r, I'I ._ .
Start time of Test
End time of test
Loop Circuit ID _'PC I-)
Trace Wire 6'j /4
C
Test Description:
45 minute 100 psi pressure Test
3gal/minlvertical loop flow test
25t Duration/Results:
f u��d4 : Pre. �rl�ed to 125 AIlQi S.r&t l� ' Atiowed
9mtchfff-10j-ma=s,_Pxes&trIzed to 125psi: Allowed. r tch for 30-m!final nressur} s�tionto 12 psi.
Released UM too 10-0 sn [ & cQndudeci 5--mI etes.L
V stretch 125 psi Time /?--I :' psi Y151,
2"" stretch 1.250 Time/z; .�Q?.-Yr ' _4'0d .-, psi (�0
31d stretch 1250 TimeI•' 4) psi
45-minute test 100psi Time
Print Name
Person Performing Test
Coastal Geo Witness:
Other witness
Signature
Date
a! er- ! Zt)Ii

Coastal Geothermal
102 Middle SITeet
Jacksonville, NC 28546
[phone]
JOB NAME;
JOB ADDRESS: � :J � Al -
Type of Test Loop system ressure and flow test
Date of Test c' -AD
Stark time of Test
End time of test CJt! _P,I'l _
Loop Circuit ID
Trace Wire:
Test Description;
45 minute 100 psi pressure Test
3gal/min/vertical loop flow test
est Duration/Results,
Aretc i UJ Q m[nutes�s3IiT�dxo 1 �All4tYgd 5 tc[L�Q i inu es:_ Fin(i ttri�at 4n psJ
Release ressum too- Io4psi&cQnduUdAL-mi_rtutertest
V, stretch 125 psi Time psi
end stretch 125psi Time ? i ,.1 psf f D`
31d stretch 125psl Time �:'�/s" f� • : �s` : =r psi• -- �-_
45-minute test 144psi -rime,y'. is ,;-sr_ : �;,f,. -� psi IQ
'Person Performing Test
Coastal Geo Witness:
Print Name
i 'L�• er"c.t
Signature
� y, +
Other Witness i E _ �., � ss, 14�
Date
I E / ge-c-1 R 11

Coastal Geothermal
102 Middle street
Jacksonville, NC 28546
[phone]
JOB NAME;
JOB ADDRESS: t�l�l�� �i�G� L'�'��•��, C.1��—'�f� �.r�:l�(��� —
Type of Test coop system pressure and flowst
Date of Test . zc)
Start time of Test /C) r c't�
End time of test /C}.' Y --- l M _
Loop Circuit IU Aglbr C: 5�'
Trace Wire 4 41,ZP
Test Description:
45 minute 100 psi pressure Test
3gaVinin/vertical loop flow test
Test Duration/Resuits:
11:10 iU �- el 6-P,' ;'
33 Phi
ql,esi
Flushed leader: Fresstretch far 30-minutes. Pr 25s9ll�i
skretciIam miixw� U&edb-IZ5psi, AlLQW-e.don 12SP-Si.
Mkmelpressure too loonnrite-test,
I" stretch 125 psi Time psi 4?5
2nd stretch 125psi Time psi_ - /0 0 -
YJ stretch 125psi Time psi 0'S" -
45-minute test 100psi Time /r► ?ram_ - &I •' �� f •' 1 psi f n -L
Print Name
Person Performing Test
Coastal Geo Witness:
Other Witness
Signature
Date

(
(
Wallace Creek Regimental Complex, Phase II
MCB Camp Lejeune, North Carolina
FORM 1
N40085-10-C-5312
Rev. Date: 04/08/11
GROUND HEAT EXCHANGER (GHX) INSPECTION AND TEST REPORT
NOTE: Use separate form for each GHX loop system.
Building: C 5 Inspection Date: tz.. ..-\'.3 .-\ \
Grourid Heat Exchanger No. or Description: C,. 5 B 1-10
Does
No.?
the ground heat exchanger have a Well Construction Permit?'( Permit
WI,ofDO\t\f
Does the ground heat exchanger have an approved well permit? Permit No.
List the WSHP Unit No.'s served by this GHX:
Ground Heat Exchanger Design Water Flow -gpm
Calculated purging flow and press to achieve 2 feet/sec
Purging: Flow -11._ gpm Head l00 psi, Duration of test l'tC> min.
Hydrostatic test pressure~ psi; Duration iQ_ min.
Did the system pass the pressure test?
Is antifreeze required in system?L If yes, was antifreeze measured? 'f.J{A
Has a dimensioned drawing been prepared, completely and accurately showin~ 1 the layout of the ground heat exchanger? -:5'h1t;:M A-S•-(}.},'-'-r 6E;mJC, b.x.v .«C'-'(. \,(,;,,.
Does the layout differ substantial!¥: from the contract documents? Y~ .S
If so is the deviation approved? __ _r_~~7 ____ _
Depth of installed vertical loops is '2 . .t:,O feet. (Design is "l>--0 feet.)
Depth of horizontal piping is V'M-l€7 feet. (Design is __ feet.)
Are the trenches clear o~ sharp bends, rocks, or other sharp objects that
could restrict flow? 'fc7 -----'--_._ _____ _
Are all joints heat fused (butt-, socket-, or saddle-fusion)? .$~ell€ 1"
Do the joints have the proper amount of roll-out? Ye?
Has the piping material:?een cut-out and properly removed from
saddle-fusion tees? Je 7
Grout Manufacturer? ~lAet:-"h1...1.,, :>
grout? '2fio/o Grout Type? T~ t..1:r«2
units) \.08':t'L; \.,1J>
; Percent of solids used in
Grout Thermal conductivity, k? (give
Was the system backfilled properly with good clean backfill material? \'£7
Attach the soil boring and water well log sheet for the bore hole? For
each well submit a Well Construction Log Record ~ Af(A~~
SECTION 23 81 47 Page 39
6L..S
Wallace Creek Regimental Complex, Phase II N40485-10-C-5312
MCB Camp Lejeune, North Carolina Rev. Date: 04/08/11
Comments:
Inapeoted and approved this date by
Title:
SECTION 23 81 47 Page 40

(
(
Project:
Wallace Creek Regimental complex Phase ti
Parachute Tower Road
camp Lejeune, NC
General contractor:
❖ The Whltlng Turner contracting co.
900 Ridgefield or. suite 130
Raleigh, NC 27609
Ph.: (910) 450·7417
Attn: Nancy E. Loeffler, Project Manager
Andrew Ferguson, Project Engineer
Geothermal Contractor:
❖ The Whiting Turner Contracting Co.
102 Middle Street
JacksonvUle, NC 28546
Ph.: [phone]
Contact: Michael B. Hadley, President, CGD
❖ Subject Work: Vertical Geothermal Loop system
Bldg.: C-4 & C-5
Description:
•!• 320 -250' x l" vertical loops
•!• 4 circuits with 80 -vertical loops each
•:• Each circuit has 10 circuits with 8 -loops each
•: ..
•!•
Each circuit has one underground valve vaults with 611 mains & 10 -2" circuits
Valve vaults and respective circuits & vertical loops are identified as
C-4A (West)
C-48 (East)
C·5A (West)
C-58 (East)
Formula for Flow Test:
G.eM
211 24
1" 3
PSI Drop/ 100'
.46
.23
14 Header Fittings 1.00
Example:
❖ 200' of 211 Supply@ 24gpm
❖ 200' of 211 Return @ 24gpm
❖ 500' of l" Loop@ 3gpm {Sx.23)
❖ 14-Header Fittings
.92
.92
= 1.15
J.,00
3.99 psi
Field Qual(ty Reports
System: C- 5A (West)
1. Thormal Grout Thermal Conductivity Analysis Report
Circuit Date Result
1 1.
5 A.7
�� 12-12-2011 1.070
2.
5 A-5
1.2-1.5_-2011 1.063
See attached GeoPro, Mc. Reports
2. 2" Circuit x 8 Loop (250' x 1) Flaw Test
Trace Wire
Colgr L Stripe
Green
Black
Circuit
5 A-1
5 A-2 _
Date
GPM
2" pipe G 100'
Projected Pressure
Drop PSI
5
4.5
11-11-2011
_11-11-2011
24 6
24 5
Red
5 A-3
12-29-2011
24 2
3
Blue
5 A-4
12-29-2011
24
i 3
3.5
orange
White
5 A-5
5 A-6
5 A-7
12-29-2011
12-29-2011
24
24
24
_
3 µ
_ 2
4
3.5
3
4
_Pink
Yellow
_,-•12-29-2011
5 A-8 112-16-2011
24
—� 9
6.5
Purple
5 A-9
24--.-
- - 10
12
7
_
Gre
5 A-10
_12-15-2011
12-15-2011
24�
� 8
See attached Field rest Reports - 2" Pipe length for testing approximetely 400 "

ASmf3U I LT
IMAM
IF
j
Fl k"
Ef
r7.
El KE

Pa Sox 135 1 Elkton. Sa57D26
Phone:877.580,9348 1 Fax:077.680,9371
December 24. 2011
Coastal Geothermal
Alin: Mike Hadley
102 Middle 5t
Jacksonville, NC 28546
Phone: 91&353-0926
Fax: [phone]
RE; Thermal Grout Thermal Conductivity Analysis Report
Thank you for participating in this "field qualify control" program for the various Thermal Grout products, The
objective of this analysis is to offer an unbiased verlflcatlon of the thermal conductivity of the field mixed
materiel. This analysis is intended to help ensure proper performance of the grouting material and that proper
mtxing procedures are consistently being followed throughout the project H is recommended that, al a
minimum, three separate analyses be performed on each commercial project
Based on information supplied on the "Tact Information forms" that accompanied the sample container, She
tested specimen was cottected on the following date from the following project:
Sample Received by Lab:
Sample Collection Date:
Project blame:
City, Slate:
December 20, 2011
December 12, 2011. 10:00 a.m.
Wallace Creels Phase II (6A-7)
Camp Le Jeune, NC
Geo€'ro, Inc. tests In accordance to ASTM 13-5334 to determine thermal conductivity of fully hydrated grout
speclmena Our analysis indicated that the thermal conductivity value of the specimen supplied from the
project referenced above was as follows:
Thernral Conductivity: 1.070 Btufhr--ft-OF = 1,851 Wlm-%
If this valua Is lower than expected, please contact GaoPro, Inc. immodiately at [phone] to
discuss possible reasons for a discrepancy and possible remedies.
We at Geoft, Inc. relieve that our combined efforts to provide this project with a h1igl1 quality, high
performance grouting materlat helps to build confidence in ground -source heat pump applicattons, We
believe that increased confidence by all parties Involved will help this industry achieve its objective of
becoming a "malo-stream" technology, Again, thank you for your participation to this program,
If you have any questions regarding this analysis, please contact me at [phone] ext 106,
Sincerely,
Tyler Harbeck
GeoPro, Inc
www.geopraine,coin

&(A)0f ra� flo
January 5, 2012
Coastal Geothermal
Attn: Mike Hadley
102 Middle St.
Jacksonvtte, NC 28546
Phone: [phone]
Fax. [phone]
RE' Thermal Grout 'Thermal Conductivity Analysis Report
_ _PQ Box 1W 0kfon,_S0 57028
Phone! 877.540.9348 l Fax V7.580.8371
Thank you for participating In this "field quality conlrct" program for the various 'Thermal Grout products. The
objective of this analysis is to offer an unbiased verification of the thermal conductivity of the Field mixed
materfai. This analysis is intended to help ensure proper performance of the grouting material and that proper
mixing procedures are consistently being followed Ihroughout the project It is recommended that, at a
minimum, three separate anaiysas bs performed on each commercial project.
Based on informatlon supplied on the "To E;l Information forth" that accompan led the sample container, the
tested specimen was collected on the following date from the following project:
Sample Received by Lab:
Sample Collection Date:
Project game;
City, State;
January 2. 2012
December 16, 2011, 10:00 a.m.
Wallace Creek Phase 11 (5A-5)
Camp Le Jeuna, NC
GeoPro, I nc- tests in accordance to ASTM D-5334 to determine thermal conductivfly of fully hydrated grout
specimens. Our analysis Indicated that the thermal conductivity value of the specimen supplied from the
project referenced above was as follows:
Thermal Conductivity: C063 8tulhr-fVF = 1.840 wlrn-°K
If this value Is lower than expected, please contact GooPro, Inc, lmmodlatety at (6061 642-7391 to
discuss possible reasons for a discrepancy and possible romedles.
We at GevPro, Inc believe that our combined efforts to provide this project with a high quality, high
performance grouting material helps to build confidence in ground -source treat pump applications We
believe that increased confidence by all partles involved will help this industry achieve its objective of
becorning s "mainstream" technodogy. Again, thank you for your participailon In this program.
If you have any questions regarding this analysis, please confect me at (877) 58Q-9348 ext 106,
Sli)Carely,
Tyler Harbeck
Geopro, Inc
kWNI.g8UpfOiAC.0On1

Coastal Geothermal
102 Middie Street
Jacksonville, NC 28546
[phone]
JOB NAME: a i ! N G ��"I-,t-
JOB ADDRESS: Gu 4
Type of Test Loop system pressure and flow test
Date of Test 1 /L,0 v •z..a PI
Start time of Test 0 s 3C', /,-t
End time of test I
Loop Circuft i❑ 13t!]C. 'moo •��
Trace Wire,gg� /L/
Test Description:
45 minute 100 psi pressure Test
3gal/min/vertical loop flow test
Grp w T,�eq—&V��'P'!
Test Duration/Results:
��e adder Ar=1W td to L2-�-A 61 Westretcb for 30-tuIDUtes. Pre rss ized't0-25 5� . Al�Qud
Witch for 3�r�it�utes. �ress�ri�ecf to�ap�i: Allo-wed sire r�ifoirtuCe�._�ina�aressurLz�,'��
Released mess Le too-=4 & n&Kted 45-mir teteg
L
Vt stretch 125 psi Time 2:00A q a ?'gym
Z"d stretch 125psi Time 9+ �¢ 4,1 �a; �
3111 stretch 125psi Tfine:) 6-*0o1a M ) D: O AA,
45-minute test 100psi Time/0,_30 ►psi
Print Name
psi P17"
psi / IV e —
psi / D S.
psi /01
Signature
1
Person Perfonning Test1
coastal oeo Witness:__�—
Other Witness .1�� lam ° !V _ �y ILf ,
Date
/,/ /, Via! �,, &a
I I /. i?d ul ?-U.
jj—/-m ill II—

Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
JOB NAME: lH I 1 I ,06� 'G Pfl
JOB ADDRESS, {.,J a o- c 4 /�,L P i. &z r0AJle
Type of Test Loop system pressure and flaw test
Data of Test I o rJ ` ,O l 1
Start time of Test t1: 3o n/V\
End time of test ri
Loop Circuit ID i, C r _ vD Z.
Trace Wire
50�-r(a-)2
Test Description: el
45 minute 100 psi pressure Test
3gallminNertical loop flow test A
Test Duration/ResuIts:
Q }ed He dery PtP 513��7 iC 5 1l4W2d Stretch for 31.imt4.s,-Pr2 o 12 "kAlIowed
stretch €or 30-_mInutes._PressQrJm>kto 125.�Q��t_r.#1.iror 30•mi�E�n l_pressutlZat n to 125psl
&iWS,ed-Dre g ure lQcLlMpsL&-CQuducted 4S--m i twto .test,
ill stretch 125 psi Time 10-doa.n v 10:20Ate, psi
znd stretch U5ps1 �'ime/a��tl ra �? � A A�► psi
3`d stretch 125psi Time 1/: oro aon 1 I-110A,y psi O V�
45•minttte test I00p5t Time/ 12& QA- 9'pA, psi I 1 ^
Person verforn}ing -rest
Coastal Geo Witness:
other Witness
Print Name
t,6-t4l fit'at?s[rt1.T
Signature
Date
�1Lvjz11/
I

Coastal Geothermal
102 Middle Street
jacksottvilte, mf 2P q
[phone]
JOB NAME;
� 4, �i ►T1,Q&
JOB ADDRESS:
[� } eta c" :
% % � C►dr'7 P C-� '�`� �
Type of Test
Loop vstOi pressure and Flow test
Date of Test
C C
7,w1
start time of Test
7 ��-
End time of test
-
Loop Circuit ID
T'c ).;.-
Trace Wire}
Test Description:
45 minute 100 psi pressure Test
3gailmInNertical loop flow test
Test Duratlan/Resuits:
P� hed a�Lez Prime Rsi l v d _str i m1anfe5---PrgS5 ' 'z p"myed
��� f�.[�.Q.m4Ru�e�...Pre��esi:�[�f' d chf�r��iaufe�.PlrLai_pre���t�Qn��Rsi�
1" stretch 1z5 psi Time 1,� J�.9 7 PI--, psi ! ! 0
20' stretch 1250
ra Time �:1 I� - + `f PA'
3 StC2tC1lI2'SpSI �
45-min [te test 104ps1 Time ?,. a"u r�n7 ~ 3: s'� psi��
Print Name
person Performing TeSt ►u
Coastal. Gea Witness',
ether Witness
Signature
Date

Coastal Geothermal
102 Middle street
Jacksonville, NC 28546
(910) 353�0926
JOB NAME: Li 8 1 1 'V 6-- -
JOB ADDRESS: Gcl �
Type of Test Loop system pressure and flow test
Date of Test z ` bc-G ' I
Start time of Test j .? ,;-i ._
End time of test 9 : v Z./4
Loop Circuit ID G n c - C' 51�-) qi
Trace wire 13 1- ug:
Test Description:
45 minute 100 psi pressure Test
3gai]minlvertical loop flow test
Test DuratlonlResults.
1r�shed Headed Pressurized to 1250j: jiiowed stretch for 30-minutes. � �f o3Z5psLAf1Qw-e-d
stretch or 3Q-mjnuxes. Fressuriefio]25.P.3t. Rllowed stretCn f�r0-mta�tt�L1sLiati�l��tsl
g&as�MUre_tw IQLOpsi -& condudedAS--minute_test.
V stretch 125 psi Time l: q,,. Z J7s- PSI
2n6 stretch 125psf Time " `L : Y?!-M psi a 1 3
V stretch 1250 Time z.: nr '3:17.CM psi 112
45-minute test 1000 Time :3 " I .r/1)- L'; 0 L ,.1 psi.
Person Performing Test
Coastal Geo Witness
other Witness
Print Name
fiF.r�rJT�"I�f .:� �Sa►�
u'z= P46 c.'JN
Signature
Date
z2 lb�zpil
���Gl�vl1

Coastal Geothetmal
102 Middle Street
Jacksonville, NC 28546
[phone]
JOB NAME: �✓ •,� . '�� tis
JOB ADDRF-Ss:
Type of Test tAop system pressure and flow test
Date of Test 2, bP 9 k. ZO 1 i
Start time of Test ;j S` 7/"
End time of test b .: J) rJ PA,
Loop Circuit ID 6 - C' 6- E04 .S74-- <
Trace Wire i'r-
Test Description:
45 minute 100 psi pressure Test
3gal/minNertical Coop flaw test
� Test Duration/Results-
Flushed liodeD Pressurized tQ "I-P-d_AllPnzmrind-t91Z5PALAb-w-ed
stretch-bLI 12 P,
R eased nre55ar(:IQ 34W & conduUedA5j-mlh
I51 stretch 125 psi Time 't `I_�r� i 5 P� psi 1 f
2rd stretch 125psi Time `i : i s'r)t4 3 : v s"p•�► psi
316 stretch 125psi Time ? : t � - ; i psi i f 7f 7
45-minute test 100psf Time Cj,` I Try - 5 1100PAI psi„ I o 6-."
Print Name
Person Performing Test
Coastal Geo Witness:
Other w Hess
Signature
Date
`"��1jr.( /WI

JOB NAME:
JOB ADDRESS:
Type of Test
Date of Test
Start time of Test
End time of test
Loop Circuit: ID
Trace Wire
Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
(91.0) 353.0926
G Any P 4- 4.1 ve-,
Loop system pressure and flow test
D fC All
Test Description:
45 minute 100 psi pressure Test
3gaVrnin/vertkal loop flow test
clzFI NFar-
Test Duration/Results:
Flus 3�d r�-Pressu d tQ125sp is 8LL weir te(ch_&43ISjjnu.tes, Pressudzed to 125pk-AHWe_4(
stretch for 33-minuieS�Piessur(zed fo 25p�j: A�(0-Wed sfret&far 3-U- A itm_1itaLpressuri2sf[� Psi
R��sed nr��,Ire_ts�1.40ps��v_R�rt�d 45-rnir�ut�.#�
V stretch 125 psi Time, ► ��pf • Z_:�1 'P �, psi
2ii° stretch 125psi Time psi _ 1
3`' stretch 1.25ps9 Time. 3 ;1: - 3 : �1a �,n, psi-
45-minute test 100psi Time 3 ; 5'C. - ti , 2.1 P e,7 psi 10 •
Person Performing Vest
coastal Geo witness,
other Witness
Print Narne
�' v P, u55yj
Signature
Date
2- 5' / i',o rl

JOB NAME:
JOB ADDRESS:
Type of Test.
Date of Test
Start time of Test
End time of test
Lapp Circuit [D
Trace Wire
Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
LU)
Loop systeip pressure and flaw test
Test Descf[ption:
45 minute 100 psi pressure Test
3gallminlvertical loop flow test
CC,a(. J
�7--
3��,t--s/
y z /Of /
Test Duratlon/Results;
Flushed_H�esiurL o-1Z5prsi-Akwe"trdch oL30wmhiute_s`_2-rQnuIzed. tQ-125p"Ja +"
5tretchbr mIuute�.Press[irized to IZ�-psi: Allowed stretch far 30-minuW—FinaLares urizafion to125}A
tgteased Ares-ure too 100,Rsi & conductei-45-!mtuukled:
V stretch 1.25 psi Time 14'147 psi— V 61
21d stretch I25psi Time psi
3t4 stretch 1250 Time F•'Y l: Est /06
45-minute test IOOpst Time z' �, .� 3. orb psi_z K,
Print Name
Person Performing Test I r- �.4I>Gd"�
CoastalGeaWitness:
Omer Witness 1-6-6 f.a l3 cs'DO
Signature
Date

Coastal Geothermal
102 Middle Street
xackSonville, KC 28546
[phone]
JOB NAME:
r_ r 114 r'J6
Job ADDRESS:
Type of Test
Loop system pressure and flow test
Date ofyTest
i 6r neo- zC ri
Start time of Test
16 6' • /11
End time of test
/ : - 4,-7
Loop Circuit ID
D (9 5—
Trace Wire
0 P , P.,-
Test Description:
45 minute 100 psi pressure Test
3gallminlvertical loop flaw test
"'est Duration/Results:
,J"� 6,
.3 4!� I, f' I
F1u,�E%dert_l �e,�suri�ed to 5 AlloNved stretch foLD.mtnutes. PLessurfred to 125nsf Allw-ed
stretch for 34-minutes.ssuzir to �25p `• b� Amin s�l<i�tal �essarf�s�t v la
111 stretch 125 psi Time q,'�sA , IrYs" � psi ,
21,d stretch 125psi Time-y5"A�+ - IC?,r3�.n psi_/0'.0
3`d stretch 125psi Time 10:fS'A,�i -IQ vs-,r,+, psl
45-minute test 1040 Time/O. Y,"4,4i - /I:J04-i psi_ 0/ _
Print dame
Person Performing Vest v
Crustal Geo Witness:
Other Witness .-LAG— (� c'66"70d
Signature
Date
C—I.L'Ec- j 20 .

JOB NAME:
JOB ADDRESS:
Type of Test
Date of Test
Start time of Test
End time of test
Loop Cfrcuit 1D
Trace Dire
Coastal Geothermal
102 Middle Street
Jacksonville, NC 28546
[phone]
LL1�► �'r'' i' ' -J
Loop system pressure and flow test
/1: '/ 5A,;,
136 P r- c: 6 -" JP<7n S-;4 .
Test Description-
0 minute 100 psi pressure Vest
3gaVm€nNertical loop flaw test
Test Duration/Results,
S 7'Ps/
Flushed Heider resstLr€z�dtszl7 pSlxA�� iNtich fir 3€Ltriinll- ElI .Ss�arized to 125p&AUovLed-
gjEXhb0_mMLt -Rms r�x�d� 5} si:�Il9 ed t[etshfnr 30-mom FinaLpres_surj aCton to �?
fleas prgssEe-t"LmL conducted 45-mi rn Te
V stretch 1.25 psi Time /0.' nr'a-' jo'w s Q� psi,
226 stretch 125psl Time 10 r"1s",i-,, /!'3 $-q,) psi CIA
314 stretch 125psi Time 11�'��-A^ - � ¢r, psi 1261 --
45-minute test 100psl Time 11: r+ a ;o.4, psi /112 z - -
Print game
Person Performing Teat -: -a
Coastal Gen witness: I!I-cd 3-0b 0—.Sd M�
Other Witness t-(-- G- Q10 LA OIN/
5fgnature
Date
LLJA&zJ � l
�/ &6 - Z;' -

Wallace Creek Regimental Complex, Phase II N40085-10-C-5312
MCS Camp Lejeune, North Carolina Rev. Date; 04/08/11
FORM I
GROUND (TEAT EXCHANGER (GHX) INSPECTION AND TEST REPORT
XOTR: Use separate form for each GHX loop system. �f
Building: C Inspection Date:_ 1� -->
Ground Heat Exchanger No. or Description:C-!5 `A I^ I o
Does the ground heat exchanger have a well Construction Permit? Y Permit
No.? j_ eCA8 bcl(�
Does the ground heat exchanger have an, approved well permit? Permit No.
List the WSHP unit No.'s served by this GHX:
Ground Heat Exchanger Design Water Flow - gpm
Calculated purging flow and press to achieve 2 feet/sec
Purging: Flow iA- gpm Head 0 psi, Duration of test t2[] min.
Hydrostatic test pressure Lsj�L- psi; Duration_ min.
Did the system pass the pressure test?
Is antifreeze required in system?-�- It yes, was antifreeze maasured?kb��
{ Has a dimensioned drawing been prepared, completely and accurately showing
the layout of the ground heat exchanger? !2�5aa!AA A5_ M t7
Does the layout differ substantially from the contract documents? �E 5
If so is the deviation approved? (_
Depth of installed vertical, loops is 100 feet. (Design is 1 Sy feet.)
Depth of horizontal piping is V-A—"Ofeet. (Design is feet.)
Are the trenches clear of sharp bends, rocks, or other sharp objects that
could restrict flow?_ je>
Are all joints heat fused (butt-, socket or saddle - fusion)?
Do the joints have the proper amount of roll -out? YE���
Has the piping material een cut-out and properly removed from
saddle -fusion tees? r
[grout Man yy cturer? P-Acy-"tLL- 5 Percent of. solids used in
grout? `7�n Grout Type?ZGGrout Thermmal, conductivity, k? (give
units)
Was the system backfilled properly with good clean backfi.11 material? 1
Attach the soil boring and water well log sheet for the bore hole? _For
each well. submit a Well Construction Log Record �� tk�7^c t k��
SECTION 23 81 47 Page 39

Wallace Creek Regimental Complex, Phase II
MCB Camp Lejeune, North Carolina
Comments:
Inspected and approved this
Title- 6� 6,
date by
SECTION 23 81 47 Page 40
N40085-10-C-5312
Rev. Date: 04/08/11

Permit Number WI0800197
Program Category
Ground Water
Permit Type
\
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael. rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Wallace Creek Regimental Complex Phase II
Location Address
29 Parachute Tower Rd
Camp Lejeune NC 28547
Owner
Owner Name
Carl H Baker
Dates/Events
Orig Issue
06/09/10
App Received Draft Initiated
08/19/11
Scheduled
Issuance
Central Files: APS_ SWP_
09/02/11
Permit Tracking Slip
Status
In review
Version
Project Type
Major modification
Permit Classification
Individual
Permit Contact Affiliation
Mike Hadley
Driller Well
102 Middle St
Jacksonville NC 28546
Major/Minor
Minor
Region
Wilmington
County
Onslow
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Carl H. Baker
Deputy Ofc Public Works
1005 Michael Rd
Camp Lejeune
Public Notice Issue
09/08/11
NC
Effective
09/08/11
285472521
Expiration
08/31/16
Re Aulated Activities Re a uested/Received Events -~---------------------
Heat Pump Injection RO staff report requested
RO staff report received
Outfall NULL
Waterbody Name Stream Index Number Current Class
08/30/11
09/01/11
Subbasin
Permit Number WI0800197
Program Category
Ground Water
Permit Type
Injection Mixed Fluid GSHP Well System (5QM)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilitv
Facility Name
Wallace Creek Regimental Complex Phase II
Location Address
29 Parachute Tower Rd
Camp Lejeune NC 28547
Owner
Owner Name
Carl H Baker
Dates/Events
Scheduled
Orig Issue
06/09/10
App Received Draft Initiated Issuance
08/19/11
Reaulated Activities
Heat Pump Injection
Outfall r-~u: .. L
Central Files: APS_ SWP_
09/01/11
Permit Tracking Slip
Status Project Type
In review Major modification
Version Permit Classification
Individual
Permit Contact Affiliation
Mike Hadley
Driller Well
102 Middle St
Jacksonville NC
Major/Minor
Minor
Region
Wilmington
County
Onslow
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Carl H. Baker
Deputy Ofc Public Works
1005 Michael Rd
Camp Lejeune NC
Public Notice Issue Effective
Reauested/Received Events
RO staff report requested
RO staff report received
28546
28547
Expiration
08/30/11
09/01/11
Waterbody Name Stream Index Number Current Class Subbasin
HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 8, 2011
Mr. Carl Baker, Deputy Public Works Officer
1005 Michael Rd,
Camp Lejeune, NC 28547
Ref: Issuance of Injection Well Permits W10800197
Issued to USMC Camp Lejeune
Camp Lejeune, Onslow County, North Carolina
Dear Mr. Baker.
Doe Freeman
Secretary
In accordance with the application received on August 19, 2011, I am forwarding permit number WI0800197 for
the construction and operation of a vertical closed -loop geothermal mixed -fluid heat pump injection well system to
be located at the Wallace Creek Regimental Complex Phase U, 29 Parachute Tower Rd., Camp Lejeune, Onslow
County, NC 28547. This permit shall be effective from the date of issuance until August 31, 2016, and shall be
subject to the conditions and limitations stated therein, including the requirement to install well identification
tags as specified in Part 11.3 and to submit well construction records as specified in Part VH.2. Be sure to
read the entire permit to ensure that you are aware of all 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 systems. In order to continue uninterrupted legal use of the injection facility for the stated purpose, you must
submit 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 me at [phone] or michael.rogema ncdenr.uov if you have any questions about your permit.
Best Regards,
A.e
Ile AU4�0'
Michael Rogers, P.G. (NC & FL)
M. Charles Stehman, Wilmington Regional Office
WI0800197 Permit File
Onslow County Environmental Health Department
Michael Hadley, Coastal Geothermal, 102 Middle St., Jacksonville, NC 28546
AQUIFER PROTECTION SECTION
1636 W1 SeMve Center, Rateigh, North Carolina 276%-1635
Lon-:3four 2728 Capital Boulevard, Ralaigh Norm Carolins27604
Phone: 91r-±3, I � FAxl t 919-715,08L- FAX ?.5t9 7155W1 Custam, Service. 1-6 ,-rr-3-G"748
latemn www.nmaterouslit+.Rm
An Em love,
Nur,711Y
rieCarohn.a

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
USMC Camp Lejeune
FOR THE CONSTRUCTION AND OPERATION OF 320 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 USMC Camp Lejeune Wallace Creels
Regimental Complex Phase 11, 29 Parachute Tower Rd., Camp Lejeune, NC 28547 and will he constructed and
operated in accordance with the application received August 19, 2011, 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 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 August 31, 2015, and shall be
subject to the specified conditions and limitations set forth in Parts I through IX hereof.
Permit issued this the 8th day of September, 2011,
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission.
Permit #W10800197 UICJSQM Page 1 of S
ver. 03/2010

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.
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 (UIC) Program Central Office staff, telephone
number 919 715-6166 and the Wilmington Regional Office Aquifer Protection Section Staff, telephone
number 910-796-7215.
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 corners) and shown on an updated Site Map. The Permittee
shall retain a copy of this record on site.
3. One well identification tag per grouping or 'cluster' of wells shall be permanently affixed to the heating
and cooling unit or other nearby permanently fixed location in accordance with 15A NCAC 2C .0213(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 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.
Permit #WI0800197 UIC/SQM
ver. 03/2010
Page 2 of 5
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.
3. The issuance of this permit shall not relieve the Permittee of the responsibility for darn.ages 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 919 715-6166. 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. 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 #Wl0800197 UIC/SQM
ver. 03/2010
Page 3 of 5
PART VII -MONITORING AND REPORTING REQUIREMENTS
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
Wilmington Regional Office
127 Cardinal Dr. Extension
Wilmington, NC 28405
910-796-7215
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 Wilmington Regional Office within 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 Wilmington 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 Wilmington Regional Office, telephone number 910-796-7215, 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 ofrefrigerant in the system, regardless of the origin of the loss;
(D) Any recharging of the refrigerant system.
6. 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.
7. 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
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 #WI0800197 UIC/SQM
ver. 03/2010
Page 4 of 5
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, 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 VII. I of this permit.
2. \Vhen 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 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 copy of the Well Abandonment Record (Form GW-30) as specified
in 15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment. Copies shall be
submitted to the addresses given in Part VII.1 of this permit.
Permit #WI0800197 UIC/SQM
ver. 03/2010
Page 5 of 5
Ro g ers, Michael
From: Smith, Eric
Sent:
To:
Thursday, September 01, 2011 12:09 PM
Rogers, Michael
Subject: FW: Permit WI0800197, Camp Lejeune Wallace Creek Complex
FYI
.Eric G. Smith, P.G.
Hydrogeologist
NCDENR
Aquifer Protection Section
Groundwater Protection Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
919-715-6196
919-715-6048 Fax
http://porta I. ncde n r .org/web/wq/ aps
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.
From: Stehman, Charles
Sent: Thursday, September 01, 201111:51 AM
To: Smith, Eric
Subject: Permit WI0800197, Camp Lejeune Wallace Creek Complex
Eric,
I am in receipt of the New Permit package which proposes install 320 SQM wells at Camp Lejeune's Wallace Creek
Complex. Looking at BIMS. it would appear that you permitted three SQW test wells in June of 2010. Presumably these
were used to facilitate the final design is presented in this application. At 255 feet of depth, these wells will penetrate
both the upper and lower zones of the Castle Hayne Aquifer. Brackish groundwater most likely will be encountered at a
depth of 200 feet.
I cannot see any problem with this system which is similar to others which have been constructed at Camp Lejeune and
recommend that you issue the permit for this design, as requested. I do not intend to send you an APSARR Form for this
application review.
Charles F. Stehman, Ph.D.,P.G.
Environmental Program Supervisor Ill
NC Division of Water Quality, Aquifer Protection Section
Wilmington Regional Office, 127 Cardinal Drive Extension
Wilmington,North Carolina 28405
phone: [phone], fax: [phone]
DISCLAIMER: Per Executive Order No. 150, all e-mails sent to and fro m this account are subject to the North Carolina
Public Records Law and may be disclosed to third parties.
1
A QUIFER PROTECTION SECTION
APPLICATION REVIEW RE QUEST FORM
Aut-vt1r
Date: ~r 30, 2011
To: □ Landon Davidson, ARO-APS
0 Art Barnhardt, FRO-APS
0 Andrew Pitner, MRO-APS
0 Jay Zimmerman, RRO-APS
0 David May, W aRO-APS
i:gj Charlie Stehman, WiRO-APS
□ Sherri Knight, W-SRO-APS
From: Michael Ro e:ers Groundwater Protection Unit
Telephone: [phone] Fax: {919) 715-0588
E-Mail: Michael.Ro!!ers@ ncmail.net
A. Permit Number: WI 0800197
B. Owner: Cam p Lej eune Wallace Creek Com plex
c; · Facility/Operation:·-····--
i:gj Proposed D Existing D Facility D Operation
D. Application:
1. Permit Type: D Animal D SFR-Surface Irrigation□ Reuse D H-R Infiltration
D Recycle D 1/E Lagoon D GW Remediation (ND)
i:gj UIC-SOMGroun.twaterGeothermal Well
For Residuals: □ Land App. 0 D&M
D 503 D 503 Exempt
D Surface Disposal
0 Animal
2. Project Type: i:gj New D Major Mod. D Minor Mod. D Renewal D Renewal w/ Mod.
E. Comments/Other Information: D
NOTE: This is a permit mod, where they are increasing the nutnber ofWells to be installed.
Attached, you will find all information submitted in support of the above-referenced application for your
review, comment, and/or action. Within, please take the following actions:
i:gj Return a Completed APSARR Form and attach laboratory analytical results, if applicable.
D Attach Well Construction Data Sheet.
D Attach Attachment B for Certification by the LAPCU.
D Issue an Attachment B Certification from the RO.*
* Remember that you will be responsible for coordinating site visits and reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form, please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewer: -------------------Date: _____ _
FORM: APSARR07/06 Page I of]
MCDENR
North Carolina Department of Environment and Natural Resources
Division of VVater Quality
Beverlv Eaves Pardue Coleen H. Sullins
Governor Director
August 29, 2011
Carl Baker — Deputy Public Works Officer
1005 Michael Rd.
Camp Lejeune, NC 28547
Subject: Acknowledgement of Application No. W10800197
Wallace Creek Regimental Complex Phase II - MCE
Injection Mixed Fluid GSHP Well System (5QM)
onsiow
Dear Mr. Baker:
Des Freeman
Secretary
The Aquifer Protection Section of the Division, of Water Quality (Division) acknowledges receipt of your permit application and
supporting materials. on OSJ19/201 L 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 fang 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 httn:llh2o.enr.state.nc.usldocumentsldwi: oTechart-ndf.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROTECT.
Since ly,pb *
�- 1
for Debra ,1, W_attzz
Supervise -
cc: WiimingtonRegional Office, Aquifer Protection Section
Michael Hadley (Coastal Geothermal,102 Middle St„ Jacksonville, NC 28546)
Nael Dahir (Humphrey Mechanical, Inc., 2421-A Marine Blvd., Jacksonville, NC 28546)
Purr. i• ?nr:;zaiic File WIi)S•, --
AQUI=ER PR07-710N EECTIQNr
1636 A.33 5arvics Cerne.. RaItWi, Nam Carolina 27W-1 o3r
Lo.:a pr' n, F C.anital ftilevard. Raleigh, Mom Carnfi,r3 278ia. r
Phone, 919-723-3221 UAr FAY, 2-. 1-877-�23-6731. +1R:
Intarnek' www. naNaterpualitu.o.^ ,
�rr� r.r•Jfr.�
A.� EgUa!RuV'm Fmmr� i:rrOwerr f ii. f• r-E 4Y '.

...
RECEiVED / DENR / DWQ
Aquifer Protection Section
NORTH CAROLINA ,AUG 19 ,2011
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES (NCDENR)
APPLICATION FOR PERMIT TO CONSTRUCT AND/OR USE A WELL(S) FOR
INJECTION WIIB A GEOTHERMAL HEAT PUMP SYSTEM FOR:
TYPE SOM WELL(S)
__ x __ New Permit Application OR _____ Renewal ( check one)
DATE: August 17. 2011
PERMIT NO. WI0800197-fortest wells on same Qroperty ·
A. PROPERTY OWNER(S)/APPLICANT(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) Carl Baker. Deputy Public Works Officer
(1) Mailing Address: 1005 Michael Rd.
City: Camp Lejeune State: _ NC_ Zip Code:=28=5~4~7 ___ County: Onslow
Home/Office Tele No.: 910-451-2213 Cell No.:
EMAIL Address:[e-mail]
(2) Physical Address of Site (if different than above): 29 Parachute Rd.
City: Camp Lejeune State: _ NC_ Zip Code: 2854 7 County: Onslow
Home/Office Tele No.: Cell No.:
JOB NAME: Wallace Creek Regimental Complex Phase II
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"~: --------------=E=MA=IL~A=d=d=re=s=s~: __________ _
Address: ________________________________ _
City: _________ State: __ Zip Code: ______ County: _______ _
Office Tele No.: Cell No.:
Website Address of Company. if any: _______________ _
C. STATUS OF APPLICANT
Private:
State:
Federal: X
Municipal: __
GPU/UIC 5QM Well Permit Application (Revised 7 /2008)
Commercial:
Native American Lands:
Page I
'.
D. WELL DRILLER INFORMATION
Company Name: Coastal Geothermal Coastal Geothermal
Well Drilling Contractor's Name: --~S~an:fi~o~rd~S~w~ee~t=in=g
NC Contractor Certification No.: 2082 ------------
Contact Person: Michael Hadley EMAIL Address: mhadle y@ bizec.rr.com
Address: 102 Middle St.
City: Jacksonville. NC Zip Code: 28546 _____ County: -=O=n=sl=-ow-'-'----------
Office Tele No.: 910-353-0926 Cell No.: 910-376-1100 -----
E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: Humphrey Mechanical . Inc.
Contact Person_: _N_a_e_l D_ahi_._r __ E_MA __ IL_A_d_dr_es_s_: _n_d_ahir_· ..... @ ... lh_um_p_hr_e_y~m_ec~h_am_·_ca_l_.c_o_m ____ _
Address: 2421-A Marine Blvd
City: Jacksonville State: _ NC_Zip Code: 28546 County: Onslow
Office Tele No.: 910-455-1418 Cell No.:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
Closed Loo p Geothermal Heat Pum p Systems
G. WELL CONSTRUCTION DATA (Skip to Section H ifthis is a Permit RENEWAL)
(1) Proposed date to be constructed: _Nov/Dec/ 2011 to Jan-April /2012
(2) Number of borings: 320
Approximate depth of each boring (feet): 255'
(2) Chemical additives to be used in closed-loop system ropylene glycol
(3) Type of tubing to be used (copper, PVC, etc.): HDPE_X __
(4) Well casing. Is the well(s) cased? (check either (a.) YES!!! (b.) NO below)
(a) YES ___ if yes, then provide casing information such as~ (steel, PVC, plastic, etc.), diameter,
.illm!h, and extent of casing appearing above ground: ------------------
(b) NO X --
(5) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite X Other (specify) _______ _
(b) Grout depth of tubing (reference to land surface): from __ O __ to _255 _ (feet)
If well has casing, indicate grout depth: from ___ to ____ (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.
GPU/UIC 5QM Well Permit Application (Revised 7/2008) Page2
RECEIVED r DENR ► DM
A
1. LOCATION OF WELLS} QWfer Prolerbw Sedwn
Attach two copies of maps showing the following information: 'AUG 19 20i!
(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 wells) or waste disposal facilities such as septic tanks or drain fields located within 1000 feet of the
geothermal heat pump well system. Label all features clearly and include 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 WELL(S)
Are there any potable water wells) on the subject property or adjacent properties? NO
If Yes, than indicate location on attached rnap(s).
K CERTIFICATION
Note: This Permit Application must be sighted by each person appearing on the recorded legal property deed.
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 information. I agree to construct, opera4--piaintain, repair, and if applicable, abandon the injection weal and
all related appurtenances in accordance with lWe agproved spe iftcat and nditions of the Permit,"
1r ��
Signature of Property Owner/Applicant
3wL 14 - �l C L �
Print or Type Full Name
Signature of Property Owner/Applicant
Print or Type Full Name
Signature of Authorized 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
U1C Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPU/LFEC 5QM Wcll Pennit Application (Revised 7/2008) Page 3

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A: 102 Middle St, Jacksonville, NC 28546-6798 B: Camp Lejeune, NC
http://www.bing.com/maps/print.aspx?mkten-us&z--14&s=r&cp=34.679921,-77.345236&pt=pf&rq—pos.34.753744-77.384636_102%2OMiddle%2QSt°/a... 8/18/2011

Permit Number WI0800197
Program Category
Ground Water
Permit Type
Injection Water Only GSHP Well System (5QW)
Primary Reviewer
michael.rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Wallace Creek Regimental Complex Phase 11-
MCB
Location Address
29 Parachute Rd
Camp Lejeune
Owner
Owner Name
Carl
Dates/Events
NC 28547
H Baker
Central Files: APS_ SWP_
06/09/10
Permit Tracking Slip
Status
Active
Project Type
New Project
Version
1.00
Permit Classification
Individual
Permit Contact Affiliation
Carl H. Baker
Deputy Officer Public W arks
1005 Michael Rd
Camp Lejeune
Major/Minor
Minor
NC
Region
Wilmington
County
Onslow
Facility Contact Affiliation
Owner Type
Individual
Owner Affiliation
Carl H. Baker
Deputy Officer Public Works
1005 Michael Rd
Camp Lejeune NC
28547
28547
Orig Issue
06/09/10
App Received Draft Initiated
Scheduled
Issuance Public Notice Issue
06/09/10
Effective
06/09/10
Expiration
05/13/10
Re g ulated Activities
Heat Pump Injection
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin
AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Carl Baker -Deputy Public Works Officer
Marine Corps Base
1005 Michael Rd.
Camp Lejeune, NC 28547
Coleen H. Sullins
Director
6/9 /2010
Subject: Acknowledgement oflntent to Construct Type 5QW Injection Well System
Permit No . WI0800197
Wallace Creek Regimental Complex -Phase II -MCB
29 Parachute Rd.
MCB Camp Lejeune, NC 28547
Dear Mr. Baker:
Dee Freeman
Secretary
On 05/13/2010, the Aquifer Protection Section (APS) received notification of your intent to construct a closed-loop water-onl v
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 Adminis~tive Code Title 15A Section 2C Subchapter .0213, and
3. The required notification form and associated maps have been completely and accurately submitted.
Failure to comply with all of these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina
Administrative Code Title 15A Section 2C Subchapter .021 l(u)(2). Additionally, you should contact the Onslow 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.Ro [e-mail] if you have any questions .
J~ ~~
forDebra~
Supervisor
cc: Wilmington Regional Office -APS
APS Central Files -Permit No. WI0800197
Onslow County Health Dept.
Mike Hadley (Coastal Geothermal, 102 Middle St., Jacksonville, NC 28546
AQUIFER PROTECTION SECTION
1636 Mail Service Center, Raleigh , North Carolina 27699-1636
Location : 2728 Capital Boule vard , Raleigh, North Caroli na 27604
Phone : [phone] I FAX 1: 919-715-0588; FA X 2: 919-715-6048 I Customer Service : 1-877-623-6748
Internet: www.ncwaterguality .org
An Equal Opportunity I Affirmative Action Employer
Nirth Carolina /Vaturattu
WID<2ml91
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 15A: 02C.0200, please
complete this notification and mail to address on the back page (please Print or~ information).
DATE: May 10 . 2010
Well Type Confirmation: Does the proposed system circulate potable water onl v (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
closed-loo )?
Yes _x_ Continue completing this form.
No ___ Do Not complete this form. Complete other UIC application forms for installing
either a SA 7 well (open-loop well injecting potable water into the aquifer) or a SQM well (closed-
loop well containing additives such as R-22, ethanol, or other antifreeze or corrosion inhibitors).
A. PROPERTY OWNER(S)/APPLICANT(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 signatures; MCB Camp Lejeune ATTN: Carl H. Baker, Deputy
Public Works Officer
(1) Mailing Address: Building 1005 Michael Road __ _
City: MCB Camp Lejeune_ State: NC_ Zip Code:-=-28=5~4~7 ___ County: Onslow
Home/Office Tele No.: 910-451-2213 Cell No.:
Email Address: carl.h.baker@ usmc.mil Website:
(2) Physical Address of Well Site (if different than above): _29 parachute road
City: MCB Cam p Lejeune State: _NC_ Zip Code: 28547~ounty:
Onslow
Home/Office Tele No.: 910-451-2213
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 _: -----------~E=M~A~IL~A=d=d"'"'re=s=s:~-----------
Address: ___________________ _
City: __________ State: ___ Zip Code: _____ County: _______ _
Office Tele No.: Cell No.:
Website Address of Company, if any: _______________ _
GPU/UIC 5QW Notification of Intent Form (Revised 7/2008) Page I
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C. WELL DRILLER INFORMATION
Company Name: Coastal Geothermal
Well Driller Contractor 's Name: Sanford Sweetin g
NC Contractor Certification No.: NC 2082
Contact Person: Mike Hadle y EMAIL Address: mhadle y@ bizec.rr.com
Address: l 02 Middle St.
City : Jacksonville Zip Code: 28546 County: Onslow
Office Tele No.: __ 910-353-0926 Cell No.: 910-376-1100 _____ _
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company: _N/A -----------------------
Contact Person ~: ---------~E~M~A=IL~A=d=d~re=s=s:'------------
Address: ------------------
City: _________ S=t=a=te'-'---: __ 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 Heat Transfer Systems
For testin g pur poses
G. WELL CONSTRUCTION DATA
(I) Proposed date to be constructed: __ May/2010 ____ Number of borings: _3 __ _
Approximate depth of each boring (feet):_250' _____ _
(2) Type of tubing to be used (copper, PVC, etc): _High Density Polyethylene_X
(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 _x_ Other (specify) ______ _
(b) Grout placement: Pumping_X_ Pressure Other
(c) Grout depth of tubing (reference to land surface): from _O ___ to _250_ (feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
GPU/UIC 5QW Notification of Intent Form (Revised 7/2008) Page 2
H. INJECTION -RELATED EQUIPMEN
Attach a diagraln 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.
1. LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
( I } 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 Yeast 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.
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 ti pproved speci "c itions and conditions of the Permit."
Stg ature of Property O ner/Applicant
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Carl Baker, Deputy Public Works Officer
Print or Type Full Name and title
Signature of Property ❑wner/A pp I i cant
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
Aquifer Protection Section-UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPUIUIC 5QW Notification of intent Form (Revised 7/2008) Page 3

I
sin NOTES
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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 15A: 02C.0200, please
complete this notification and mail to address on the back page (please Print or~ information).
DATE: Ma\ 10 . 2010
Well Type Confirmation: Does the proposed system circulate potable water onl (no additives) in
c1;mtinuous piping that completely isolates the fluid from the environment (i.e.
closed-loo p)?
Yes _x_ Continue completing this form.
No ___ Do Not complete this form. Complete other UIC application forms for installing
either a SA 7 well (open-loop well injecting potable water into the aquifer) or a SQM well (closed-
loop well containing additives such as R-22, ethanol, or other antifreeze or corrosion inhibitors).
A. PROPERTY OWNER(S)/APPLICANT(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 signatures; MCB Camp Lejeune ATTN: Carl H. Baker, Deputy
Public Works Officer
(1) Mailing Address: Building I 005 Michael Road __ _
City: MCB Camp Lejeune_ State: NC_ Zip Code:-'2=8=5'-'4'-'-7 ___ County: Onslow
Home/Office Tele No.: 910-451-2213 Cell No.:
Email Address: carl.h.baker(a'usmc.mil Website:
(2) Physical Address of Well Site (if different than above): _29 parachute road
City: MCB Cam p Le jeune State: _NC_ Zip Code: 28547 ~ounty:
Onslow
Home/Office Tele No.: 910-451-2213
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"'-: -------------=E=M.:..:..:..:A=IL:=..,...A:..::d=d"-'re=s=s:'-----__________ _
Address: ___________________ _
City: _________ State: ___ Zip Code: _____ County : _______ _
Office Tele No.: Cell No.:
Website Address of Company, if any: _______________ _
GPU/UIC SQW Notification of Intent Fonn (Revised 7/2 008) Page I
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C. WELL DRILLER INFORMATION
Company Name: Coastal Geothermal
Well Driller Contractor's Name: Sanford Sweetin g
NC Contractor Certification No.: NC 2082
Contact Person: Mike Hadle EMAIL Address : mhadle y/a"')bizec.rr.com
Address: 102 Middle St.
City: Jacksonville Zip Code : 28546 County: Onslow
Office Tele No.: 910-353-0926 Cell No.: 910 -376-1100 _____ _
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company: _NIA ______________________ _
Contact Person.,_: ---------~E=M~A=IL~A~d=d-'--re=s=s:'------------
Address: _________________ _
City: _________ S~t~a_te_: __ ZipCode: _____ 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 Heat Transfer S ystems
For testin g pur poses
G. WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: __ May/2010 ____ Number of borings: _3 __ _
Approximate depth of each boring (feet): __ 250' _____ _
(2) Type of tubing to be used (copper, PVC, etc): _High Density Polyethylene_X
(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 _x_ Other (specify) ______ _
(b) Grout placement: Pumping_X_ Pressure Other
(c) Grout depth of tubing (reference to land surface): from _O ___ to _250_ (feet)
If well has casing, indicate grout depth: from ____ to ____ (feet)
GPU/Ul C 5QW Notification of Intent Fonn (Revised 7/2008) Page 2
H. INJECTION -RELATED EQUIPMEN
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.
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 we I(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 1 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 information. 1 agree to construct, operate tilintain, repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with tl apyroved specitij[,A�ions aN conditions of the Permit."
Signature of Property Owner/Applicant
—Carl Raker, Deputy Public Works Officer
Print or Type Full Name and title
LIENR 1 DM — — —
j, .inn Sed0n Signature of Property Owner/Applicant
S 20 1U_
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
Aquifer Protection Section-UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPUIUIC 5QW Notification of Inient form (Revised 7/2009) Page 3

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