WI0800269_GEO THERMAL_20120523

Beverly Eaves Perdue
Governor
A.TA ... _
MCDEMR
North Carolina Department otEnvironment and Natural Resources
Division of Water: Quality ___ _
Charles Wakild, P. E.
Director
May 23, 2012
Deputy Director Public Works
Commanding Officer US Marine Corps -Camp Lejeune
PSC Box 20005
Camp Lejeune, NC 28542
Subject: Notification of Rule Revisions Affecting _____ _
Closed-Loop Geothermal Injection Well Permit Holders
Permit Number: WI0800269
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 mle." 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 htt p://portal.ncdenr.om/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,
Eric G. Smith, P.G.
Hydrogeologist
cc: urc Pennit 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 .ncwaterguality.org
An Equal Opportunity\ Aff,rmalive Action Employer
NirthCarolina
;Vaturall!I
Permit Number WI0800269
Central Files: APS SWP
02/15/12
Permit Tracking Slip
Program Category
Ground Water
Status Project Type
In review Major modification
Permit Type Version Permit Classification
Injection Mixed Fluid GSHP Weft System (5QM) Individual
Primary Reviewer Permit Contact Affiliation
michaei.rogers
Coastal SW Rule
Permitted Flow
Facility
Facility Name
USMC Camp Lejeune - French Creek Mess Hall
Location Address
Gonzalez Blvd Anderson St
Camp Lejeune NC 28547
Owner
Major/Minor Region
Minor Wilmington
County
Onslow
Facility Contact Affiliation
Owner Name Owner Type
United States Marine Corp
Dates/Events
Government - Federal
Owner Affiliation
Carl H. Baker Jr.
Deputy Director Public Works of
Psc Box 20005
Camp Lejeune NC 28542
Orig Issue App Received Draft Initiated
11/23/11 01/05/12
Regulated Activities
Heat Pump fnjeclian
Outfall NULL
Scheduled
Issuance
Public Notice Issue Effective E on
�i
Re nested/Receiv6ira '
d Events 1
RO staff report requested 01/18/12
RO staff report received 02/14/12
Waterbody Name
Stream Index Number Current Class Subbasin

-...-..���
NCDEF R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
February 16, 2012
Carl H. Baker, Deputy Director of Public Works
USMC Camp Lejeune
PSC Box 20005
Camp Lejeune, NC 28542
Ref: Issuance of Injection Well Permit WI0800269
Issued to LTSMC Catnp Lejeune
Camp Lejeune, Onslow County
Dear Mr. Baker:
In accordance with the application received on January 5, 2012, I am forwarding permit number WI0800269 for the
operation of a vertical closed -loop geothermal mixed -fluid heat pump injection well system located at the French Creek
Mess Hall, Gonzalez Blvd. and Andersen Street, Camp Lejeune, Onslow County, NC 28547. This permit shall be
effective from the date of issuance until January 31, 2017, and shall be subject to the conditions and limitations stated
therein, including the requirement to install well identification tags as specified in Part I, Be sure to read the entire
permit to ensure that you arc aware of all compliance requirements of the permit.
Also, please pay special attention to Part V.2. The Permittee shall retain all records of repairs, pressure tests,
maintenance, and other activities needed to maintain normal operating conditions.
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.rogers(cnedenr.gov if you have any questions about your permit,
cc: Morelia Sanchez King, Wilmington Regional Office
WI0800269 Permit File
Oaslow County Environmental Health Dept.
1636 Mail Service Center, Raleigh, North Carallna 27699-1636
Location: 512 N. Salisbury St, Raleigh, North Carotins 27604
Phone: [phone] FAX [phone]
ntemet mos.ncwateruyalittorq
An Equar Opportunity I AfCirrnalive Acdors Employer
Best Regards,
{Cl
Michael Rogers, P.G. (NC & FL)
One
Carolina
turaIIy.

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH, NORTH CAROLINA
PERMIT FOR THE 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 OPERATION OF 71 (SEVENTY ONE) TYPE SQM 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 the French Creek Mess Hall, Gonzalez
Blvd. and Anderson St., USMC Camp Lejeune, Onslow County, NC 28547, and will be constructed and
operated in accordance with the application received January 5, 2012, 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 operation of an injection well and shall be in compliance with Title l 5ANorth Carolina
Administrative Code 2C .0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well
construction and use.
This p~rmit ·shall be effective, unless revoked, froni the date of its issuance until January 31,2017, and shall be
subject to the specified conditions and limitations set forth in Parts I through VII hereof.·
Permit issued this the 16th day of February 2012.
j(\Charles Wakild, P.E., Director
\ Division of Water Quality
By Authority of the Environmental Management Commission.
WI0800269 UIC/5QM Conversion
Version 12/2011
Page 1 of4
PART I-OPERATION AND USE GENERAL CONDITIONS
1. This permit is effective only with respect to the nature, volume o{ 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.
5. In the event that there are multiple wells with separate clusters, one well identification tag per 'cluster' of
wells shall be permanently affixed to the heating and cooling unit or other nearby permanently fixed
location in a clearly visible location according to 2C .0213(g).
PART II-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 damages to surface or
· groundwater resulting from the operation of this facility .
PART III -OPERATIONS 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.
WI0800269 UIC/SQM Conversion
Version 12/2011
Page 2 of4
PART IV -INSPECTIONS
1. Any duly authorized officer, employee, or representative of the Division of Water Quality may, upon
presentation of credentials, enter and inspect any property, premises, or ·place on or related to the injection .
facility at any reasonable time for the purpose of determining compliance with this permit, may inspect or
copy any records that must be maintained under the terms and conditions of this permit, and may obtain
samples of groundwater, surface water, or injection fluids.
2. Department representatives shall have reasonable access for purposes of inspection, observation, and
sampling associated with injection and any related facilities as provided for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with the
injection facility activities.
PART V -MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including groundwater, surface water, or soil sampling) deemed necessary by the
Division of Wat~r Quality to insure surface and ground water protection, will be established and an
acceptable sampling reporting schedule shall be followed.
2. The Permittee shall retain all records of repairs, pressure tests, maintenance, and other activities
needed to maintain normal operating conditions.
. . . .
3. 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;
4. .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.
5, In the everit that the permitted facility fails to perform satisfactorily, the Permittee shall take such
· immediate action as may be required by the Director;·
PART VI -PERMIT RENEWAL
The Permittee shall, at least 120 days prior to the expiration of this permit, request an extension.
WI0800269 UIC/5QM Conversion
Version 12/2011
Page 3 of4
PART VII-CHANGE OF WELL STATUS
1. The Permittee shall provide written notification within 15 days of any change of status of an injection
well. Such a change would include the discontinued use of a well for injection.· If a well is taken
completely out of service temporarily, the Permittee must install a sanitary seal. If a well is not to be used
for any purpose that well must be permanently abandoned according to 15A NCAC 2C .0213(h)(l), Well
Construction Standards.
2. When operations have ceased at the facility and a well will no longer be used for any purpose, the
Permittee shall abandon that injection well in accordance with the procedures specified in 15A NCAC 2C
.0214, including but not limited to the following:
(A) All casing and materials may be removed prior to initiation of abandonment procedures if
the Director finds such removal will not be responsible for, or contribute to, the
contamination of an underground source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to insure freedom from
obstructions that may interfere with sealing operations.
(C) Each well shall be thoroughly disinfected, prior to sealing, if the Director determines that
failure to do so could lead to the contamination of an underground source of drinking
water.
(D) Each well shall be completely filled with cement grout, which shall be introduced into the
well through a pipe which extends to . the bottom of the well and is raised as the well is
filled.
(E) In the case of gravel-packed wells in which the casing and screens have not been
removed, the casing shall be perforated opposite the gravel pack, at intervals not
exceeding 10 feet, and_ grout injected through the perforations.
(F) In those cases when, as a result of the injection operations, a subsurface cavity has been
created, each well shall be abandoned in such a manner that will prevent the movement of
fluids into or between underground sources of drinking water and in accordance with the
terms and conditions of the permit.
(G) The PermiUee shall submit a Well Abandonment Record (Form GW-30) as specified in
15A NCAC 2C .0213(h)(l) within 30 days of completion of abandonment.
3. The written documentation required in Part VII (1) and (2) (G) shall be submitted to:
WI0800269
Aquifer Protection Section-DIC Program
DENR-Division of Water Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
UIC/5QM Conversion
Version 12/2011
Page 4 of4
AQUIFER PROTECTION SECTION -GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
Date: 2/10/2012 Permittee(s): US Marine Corp.
Permit No.: WI0800269
To: APS Central Office County: Onslow
Central Office Reviewer: Michael Ro gcrsProject Name: Cam p Lejune-Gonzalez Blvd
Regional Login No: Geoff Ke gley
L GENERAL INFORMATION
1. This application is (check all that apply): D SFR Waste Irrigation System ~ UIC Well(s)
D New D Renewal .
D Minor Modification D Major Modification
D Surface Irrigation D Reuse D Recycle D High Rate Infiltration D Evaporation/Infiltration Lagoon
D Land Application of Residuals
D Distribution of Residuals
D Attachment B included
D Surface Disposal
D 503 regulated D 503 exempt
D Closed-loop Groundwater Remediation ~ Other Injection Wells (including in situ remediation)
Was a site visit conducted in order to prepare this report? ~ Yes or D No.
a. Date of site visit: 2/9/2012
b. Person contacted and contact information: Carl Baker (910 ) 451-2213
c. Site visit conducted by: Geoff Kegley
d. Inspection Report Attached:~ Yes or D No .
2. Is the following information entered into the BIMS record for this application correct?
D Yes or D No. If no, please complete the following or indicate that it is correct on the current application.
For SFR Treatment Facilities:
a. Location:
b. Driving Directions: __
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: __ Method Used (GPS, Google™, etc.); __
e. Regulated Activities/ Type of Wastes (e.g., subdivision, food processing, municipal wastewater): __
For UIC Injection Sites:
(If multi ple sites either indicate which sites the information a pp lies to . co py and paste a new section into the
document for each site , or attach additional pages for each site )
a. Location(s): Gonzalez Blvd., Jacksonville , NC
b. Driving Directions: From Wilmin gt on take H wy 17 North to Hwy 210 to h wy 172/Sneads Fe rrv Road ,
enter Marine Co rp Base , follow Sneads Fe rry Road to Gonzalez Blvd. French Creek Mess Hall
c. USGS Quadrangle Map name and number: __
d. Latitude: Longitude: __ Method Used (GPS, Google™, etc.);
APS-GPU Regional Staff Report (Sept 09) Page I of 6 Pages
AQUIFER PROTECTION SECTION -GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-loop groundwater remediation effluent injection wells, in situ remediation injection wells , and heat
pump injection wells.)
Description of Well(s) and Facilities -New, Renewal, and Modification
I . Type of injection system :
D Heating/cooling water return flow (SA 7)
r8J Closed-loop heat pump system (5QM/5QW)
D In situ remediation (51)
D Closed-loop groundwater remediation effluent injection (5L/"Non-Discharge")
D Other (Specify: )
2. Does system use same well for water source and injection? D Yes r8J No
3. Are there any potential pollution sources that may affect injection? D Yes r8J No
What is/are the pollution source(s)? . What is the distance of the injection well{s) from the pollution
source{s)? ft.
4. What is the minimum distance of proposed injection wells from the property boundary? >500' ft.
5. Quality of drainage at site: r8J Good D Adequate D Poor
6. Flooding potential of site: r8J Low D Moderate D High
7. For groundwater remediation systems, is the proposed and/or existing groundwater monitoring program
(number of wells, frequency of monitoring, monitoring parameters, etc.) adequate? D Yes D No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: __
8. Does the map presented represent the actual site (property lines, wells, surface drainage)? r8J Yes or D No. If
no or no map, please attach a sketch of the site. Show property boundaries, buildings, wells, potential pollution
sources, roads, approximate scale, and north arrow.
Injection Well Permit Renewal and Modification Only:
1. For heat pump systems, are there any abnormalities in heat pump or injection well operation (e.g. turbid water,
failure to assimilate injected fluid, poor heating/cooling)?
D Yes D No. If yes , explain:
2. For closed-loop beat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? D Yes D No. If yes , explain:
3. For renewal or modification of groundwater remediation permits ( of an y tvp e ), will
continued/additional/modified injections have an adverse im pact on mi gration of the plume or management of
the contamination incident? D Yes D No. If yes, ex plain:
APS-GPU Regional Staff Report (Sept 09) Page 4 of 6 Pages
AQUIFER PROTECTION SECTION -GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
4. Drilling Contractor: Name: __
Address:
NC Certification number: __
5. Complete and attach NEW Injection Facility Inspection Report, if applicable
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the Application:
Site visit for pre-construction of SQM geothermal mixed fluid injection well system to serve
Camp Lejune. System will consist of 71 wells. Depth of boreholes are planned for 305
feet. Potassium polyphosphate is the additive to be used in the closed loop system.
"Therm-X" grout to be used (thermically conductive bentonite grout).
Area is served by public drinking water & sewer systems. No water supply wells were
observed. No septic systems or other potential pollution sources were noted. No buffer
setback issues were apparent. Drainage was adequate and flooding potential was low.
The WiRO recommends issuance of the permit.
2. Attach new Injection Facility Inspection Form, if applicable
3. Do you foresee any problems with issuance/renewal of this permit? D Yes 1Z1 No. If yes, please explain
briefly. __ .
4. List any items that you would like APS Central Office to obtain through an additional information request.
Make sure that you provide a reason for each item:
Item Reason
5. List specific Permit conditions that you recommend to be removed from the permit when issued. Make sure
that you provide a reason for each condition:
Condition Reason
APS-GPU Regional Staff Report (Sept 09) Page 5 of 6 Pages
AQUIFER PROTECTION SECTION -GROUNDWATER PROTECTION UNIT
REGIONAL STAFF REPORT
6. List specific special conditions or compliance schedules that you recommend to be included in the permit when
issued. Make sure that you provide a reason for each special condition:
Condition Reason
7. Recommendation: D Hold, pending receipt and review of additional information by regional office; D Hold,
pending review of draft permit by regional office; D Issue upon receipt of needed additional information ; [8J
Issue; D Deny. If deny, please state reasons: __
8. SignatureofreportPreparer(s): /2 ~ b: /f:/h;, z/10/tz...
Signature of APS regional supervisor: <2f:!j 'f ·
Date: c:i,/ /o{ t).Of/b ·
VL ADDITIONAL INFORMATION AND SITE MAP (Sketch o f site showin g house and waste irrigation
s ystem, spra y or drip fi eld, location o f well(s), and/or other relevant information-SHOW NORTH ARROW)
APS -GPU R egion al Staff R eport (S ept 09 ) P age 6 of 6 Pages
Compliance Inspection Report ..
Permit: WI0800269
SOC:
County: Onslow
Region: Wilmington
Effective: 11/23/11 Expiration:
Effective: Expiration:
Contact Person: Diana Helias
Directions to Facility:
Title:
System Classifications:
Primary ORC: Certification:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Owner: United States Marine Corp
Facility: Camp Lejeune -Gonzalez Blvd
Gonzalez Blvd
Camp Lejeune NC 28547
Phone: [phone]
Phone:
Inspection Date: 02/09/2012
Primary Inspector: Geoff Kegley
Secondary lnspector(s):
Entry Time: 10:00 AM Exit Time: 11:00 AM
Phone:
Reason for Inspection: Routine Inspection Type: Reconnaissance
Permit Inspection Type: Injection Water Only GSHP Well System (5QW)
Facility Status: 0 Compliant O Not Compliant
Question Areas:
■Wells
{See attachment summary)
Page : 1
Permit: WI0800269
Inspection Date: 02/09/2012
Inspection Summary:
Owner• Facility: United States Marine Corp
Inspection Type: Reconnaissance Reason for Visit: Routine
Site visit for pre-construction of 5QM geothermal mixed fluid injection well system to servethe French Creek Mess Hall at
Camp Lejune. System will consist of 71 wells. Depth of boreholes are planned for 305 feet. Potassium polyphosphate is
the additive to be used in the closed loop system. "Therm-X" grout to be used (thermically conductive bentonite grout).
Area is served by public drinking water & sewer systems. No water supply wells were observed. No septic systems or
other potential pollution sources were noted. No buffer setback issues were apparent.
Drainage was adequate and flooding potential was low.
The WiRO recommends issuance of the permit.
BIMS021242
Location Yes No NA NE
Distance from septic tank & drainfield (feet)
Distance from other waste disposal/collection (feet)
Comment
Distance from other pollution source (feet)
Comment
Is well location subject to flooding?
Minimum distance to property boundary (ft)
Comment:
□•□□
Page: 2
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Ro gers Michael
From: Rogers, Michael
Sent:
To:
Tuesday, February 07, 2012 9:53 AM
Kegley, Geoff
Cc: King, Morella s
Subject: FW: WI0800269 USMC-Gonzalez Blvd.
Hey Geoff-
Just curious on the status of your inspection and staff report for this project.
Thanks
NOTE: On January 6th, the Aquifer Protection Section (APS) is scheduled to move
to the 6th floor of the Archdale Building located at 512 N. Salisbury Street in
Raleigh. Our mailing address will remain the same (1636 Mail Service Center,
Raleigh, NC 27699-1636). If you need to visit APS staff or review files, please
call or email in advance to ensure availability. Please check the APS website
for updates on office numbers and phone numbers as they become available.
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality-Aquifer Protection. Section (APS)
1636 Mail Service Center
Raleigh, NC 27699-1636
Direct Line 919-807-6406
htt p ://portal.ncdenr.org/web /wq/a ps /gwp ro /p ermit-a pp lications#geothermA pp s
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties
-----Original Message-----
From: Kegley, Geoff
Sent: Friday, January 20, 2012 2:33 PM
To: Rogers, Michael
Subject: RE: WI0800269 USMC-Gonzalez Blvd.
Hey Michael,
I will try to schedule a site visit for this one soon.
-Geoff
Geoff Kegley
Hydrogeologist
1
North Carolina Department of Environment & Natural Resources Division of Water
Quality, Aquifer Protection Section Wilmington Regional Office
htt p ://www.ncwater qualit y .org/
127 Cardinal Drive Extension
Wilmington, NC 28405
Phone: [phone]; Fax: [phone] Geoff.Ke gley@ ncdenr.gov
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties unless the content is
exempt by statute or other regulation.
-----Original Message-----
From: Bushardt, Jim
Sent: Thursday, January 19, 2012 8:15 AM
To: Kegley, Geoff
Subject: FW: WI0800269 USMC-Gonzalez Blvd.
Geoff, art asked me to pass this one to you to process .. jb
-----Original Message-----
From: Rogers, Michael
Sent: Wednesday, January 18, 2012 4:08 PM
To: Stehman, Charles
Cc: Bushardt, Jim
Subject: FW: WI0800269 USMC-Gonzalez Blvd.
Attached is a SQM modification (SQW to SQM). Please let me know you wish to
conduct a pre-permitting inspection or not.
Thanks
NOTE: On January 6th, the Aquifer Protection Section (APS) is scheduled to move
to the 6th floor of the Archdale Building located at 512 N. Salisbury Street in
Raleigh. Our mailing address will remain the same (1636 Mail Service Center,
Raleigh, NC 27699-1636). If you need to visit APS staff or review files, please
call or email in advance to ensure availability. Please check the APS website
for updates on office numbers and phone numbers as they become available.
Michael Rogers, P.G. (NC & FL)
Environmental Specialist
NC Div of Water Quality-Aquifer Protection Section (APS)
1636 Mail Service Center
Raleigh, NC 27699-1636
Direct Line 919-807-6406
htt p ://portal.ncdenr.org/web /wq/a ps /gwpro /p ermit-a pp lications#geothermA pp s
2
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties
-----Original Message-----
From: Heather Jennings (mailto:heather.b.j ennin gs @ncdenr.gov ]
Sent: Monday, May 07, 2001 6:31 AM
To: Rogers, Michael
Subject:
This E-mail was sent from "RNPAC7DD0'' (Aficio 2075).
Scan Date: 05.07.2001 06:31:17 (-0400)
Queries to: [e-mail]
3
Beverly Eaves Perdue
Governor
NA NCDEMR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P.E.
Director
January 13, 2012
Carl H. Baker -Deputy Director of Public Works
US Marine Corps
PSCBox20005
Camp Lejeune, NC 28542
Dee Freeman
Secretary
Subject: Acknowledgement of
Application No. WI0800269
Camp Lejeune -Gonzalez Blvd
Injection Mixed Fluid GSHP
Well (SQM) System
Onslow County
Dear Mr. Baker:
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on 01/05/2012. Your application package has been assigned the number listed
above, and the primary reviewer is Michael Rogers.
Central and Wilmington Regional Office staff will perform a detailed review of the provided
application, and may contact you with -a request for additional information. To ensure maximum
efficiency in processing permit applications, the Aquifer Protection Section requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Michael Rogers at [phone] or [e-mail].
,ncerely, . Q 1 .,
;:J)x ~ 11x(iJcr-:~
for Debr(Jw atts
Groundwater Protection Unit Supervisor
cc: Wilmington Regional Office, Aquifer Protection Section
Diana Helias -ARM's Waterworks, P.O. Box 882, Hampstead, NC 28443
Permit File WI0800269
AQUIFER PROTECTION SECTION
1636 Mall Service Center, Raleigh, North Carolina 27699 -1636
Location : 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] I FAX: [phone] I Customer Service: 1-877-623-6748
Internet: www.ncwaterguallty .org
An Equal Opportunity\ Affirmalivo Action Employer
Ni~thCarolina
JVatural/11
N)z-c
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
APPLICATION FOR A PERMIT TO CONSTRUCT OR OPERATE INJECTION WELLS
In Accordance With the Provisions of 15A NCAC 02C .0200
CLOSED -LOOP MIXED -FLUID GEOTHERMAL INJECTION WELLS
These wells circulate fluids other than potable water as part of a geothcrmaI heating and cooling system
(check one) New Application Renewal* x Modification
* For renewals complete Parts A-C and the signature page.
Print or Type Information and Mail to the Address on the Last Page. Illegible Applications Will Be Returned As Incomplete.
DATE: December 20
20 11
PERMIT NO. WI-o$Qo2S9 (leave blank if New Application)
A. STATUS OF APPLICANT (choose one)
Non -Government: Individual Residence Business/Organization
Government:
State Municipal County Federal X
B. PERMIT APPLICANT — For individual residences, list each owner on property deed. For all others,
state name of entity and name of person delegated authority to sign on behalf of the business or agency:
US Marine Corps - Carl H. Baker, Deputy Director of Public Works
Mailing Address: PSC Box 20005
City: Cmp Lejeune
Day Tele No.: 910-451-2213
EMAIL Address: carl.h.bakerOusmc.mii
State: NC Zip Code: 28542
Cell No.:
Fax No.: 910-451-2927
County: Onlsow
C. LOCATION OF WELL SITE — Where the injection wells are physically located:
(1) Parcel Identification Number (PIN) of well site: N/A
County: Onslow
(2) Physical Address (if different than mailing address):
Gonzalez Blvd.
City: Jacksonville - Camp Lejeune
D. WELL DRILLER INFORMATION
Well Drilling Contractor's Name: H. Michael Sage
NC Well Drilling Contractor Certification No.: 2531A
Company Name: ARM's WaterWorks
Contact Person: Dana Hellas
Address: PO Box 882
State: NC Zip Code: 28547
EMAIL Address: dana©waterworksdrilling.com
City: Hampstead
Office Tele No.: 910-270-2919
Zip Code: 28443
State: NC County: Pender
Ce11 No.: Fax No.: 910-270-2988
GPUIUIC 5QM Permit Application (Revised 1l2412011)
Page 1

E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name:_T_B_D _______________________________ _
Contact Person.~: ---------------~E=M=A=I=L~A~d=dr~e~s=s:~------------
Address:-------------------------------------
City: __________ Zip Code: _____ State: __ County: __________ _
Office Tele No.: Cell No.: __________ =-F=ax=-=-N"""o""'."-: _______ _
F. WELL CONSTRUCTION DATA
(1) Number of borings to be constructed*: 71 Depth of each boring (feet):_3_D_S_' ______ _
* If existing water supply wells will be used then provide the information in item (4) below.
(2) Chemical additives to be used: R-22 __ _ Propylene glycol __ _ Ethanol
Other Potassium Pol yphos phate (other additives will need prior approval by NCDENR before use)
(3) Type of tubing to be used (copper, PVC, etc): _H_D_P_E _____________ _
(4) Well casing. If the well(s) will use casing then provide the~ (steel, PVC, plastic, etc.), diameter, depth,
and extent of casing appearing above ground: __________________ _
(5) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite** Other (specify) _T_h_e_rm_-e_x ____ _
** By selecting bentonite grout, a variance is hereby requested to lSA NCAC 2C .0213(d)(l)(A), which requires a cement type grout.
(b) Grout depth of tubing (reference to land surface): from _O ___ to 305 (feet)
If well has casing, indicate grout depth: from ____ to _____ (feet)
G. WELL LOCATIONS -Maps must be scaled or otherwise accurately indicate distances and orientations of
features located within 1000 feet of the injection well(s). Label all features clearl y and include a north arrow .
(1) Attach a site-specific map showing the locations of the following:
* Proposed injection wells * Buildings * Property boundaries
* Surface water bodies * Water supply wells
* Septic tanks and associated spray irrigation sites, drain fields, or repair areas
* Existing or potential sources of groundwater contamination
(2) Attach a topographic map of the area extending 1/4 mile from the injection well site that indicates the
facility's location and the map name.
NOTE: In most cases, an aerial photograph of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable county GIS website. Typically, the property can be searched by
owner name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other
wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or
elevation data.
GPU/UIC SQM Permit Application (Revised 1/24/2011) Page2
H. CERTIFICATION (to be signed as required below or by that person's authorized agent)
I5A NCAC 02C .0211(b) requires that all permit applications shall be signed as follows:
1. for a corporation: by a responsible corporate officer;
2. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other pubic agency: by either a principal executive
officer or ranking publicly elected official:
4. for all others: by the well owner (which means all persons listed on the propert.• deed).
If an authorized agent is signing on behalf of the applicant, then supply a letter signed by the
applicant that names and authorizes their agent to sign this application on their behalf.
"I hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and al] 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. operate, maintain, repair, and if applicable, abandon the
injection well and all related appurtenances in accordance with the appr ved specifications and conditions of
the Permit."
ki„2
Signature of Property Owner/Applicant
enRI
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
Submit two copies of the completed application package to:
DWQ - Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPLI/UtC 5QM Permit Application (Revised 1/24/2O11) Page 3

LEGEND
• Proposed Test Loop
Water Supply Well
Note: Adapted from USGS Camp Lejeune, NC Topographic Quadrangle (2010)
Applied Resource
Management, P C,
Haampstcad. NC 2E3.443
TITLE:
FRENCH'S CREEK MESS HALL
,i r;, JOB: SCALE: IRATE: ❑RAWN BY:
_ FCMH 1 "=600' 11 /02/11 KLC
FIGURE:
1

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5
A

Central Files: APS SWP
11/23/11
Permit Number W10800269 Permit Tracking Slip
Program Category
Ground Water
Permit Type
Injection Water Only GSHP Weli System (5QW )
Status Project Type
Active New Project
Version Permit Classification
1.00 Individual
Primary Reviewer Permit Contact Affiliation
eric.g.smith Diana Helias
Coastal SW Rule
Permitted Flow
Eacilit
PO Box 882
Hampstead
NC 28443
Facility Name
Camp Lejeune - Gonzalez Blvd
Location Address
Gonzalez Blvd
Camp Lejeune NC 28547
Owner
Major/Minor Region
Minor Wilmington
County
Onslow
Facility Contact Affiliation
Owner Narne Owner Type
United States Marine Corp Government - Federal
Dates/Events
Orig Issue
11/23/11
App Received
11/08/11
Regulated Activities
Draft Initiated
Owner Affiliation
Carl H. Baker
Deputy Ofc Public Works
I'SC20005
Camp Lejeune NC 285420004
Scheduled
Issuance
Heat Pump injection
Outfall I•'is
Public Notice Issue Effective
11/23/11 11/23/11
Expiration
Waterbody Name Stream Index Number Current Class Subbasin

~A ;-;;-;,,, __ _
NCDE NR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
US Marine Corps
Carl Baker, Deputy Director of Public Works
PSC Box 20005
Camp Lejeune, NC 28542
Coleen H. Sullins
Director
11/23 /201 I
Subject: Acknowledgement of Intent to Construct Type 5QW Injection Well System
Permit No. WI0800269
Gonzalez Blvd, Jacksonville-Camp L~jeune, NC 28547
Dear Mr. Baker:
Dee Freeman
Secretary
On November 8, 2011, the Aquifer Protection Section (APS) received notification of your intent to construct a closed-loop water-onl y
geothermal injection well system for the operation of a ground-source heat pump located at the address referenced above . An
individual permit is not required for the construction and operation of this type of geothermal injection well system as long as the
following conditions are met:
1. The injection well system contains only potable water,
2. The injection well system is constructed in accordance with well construction standards specified in North
Carolina Administrative Code 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 Onslo w 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.Rogersr@ ncdenr.gov if you have any questions.
cc : Wilmington Regional Office -APS
APS Central Files -Permit No. WI0800269
Onslow County Health Dept.
Diana Helias (ARM's Waterworks)
AQU IFER PR OTECTION SECTION
1636 Ma il Se rv ice Ce nter. Raleigh, No rth Ca rolina 27699-1636
Location : 2728 Capita i Boulevard, Raleigh. North Carolina 27604
Sincerely,
()~A-~
for Debra Watts
Supervisor
Phone: [phone] \ FAX 1: 919-715-0588: FAX 2: 919-715-6043 I Customer Se rv ice: 1-877-623-67 48
Internet: www .ncwa terg uality.org ·
An Equal Opport~nity I Affirmaii ve Aciion Employer
r _On e hC r ~\J ort . aro1.ma
....... /'i' . 7\/4 ,· ~t
r/ 'tlflt.1-u l!f
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT OR OPERATE INJECTION WELLS
In Accordance With the Provisions of 15A NCAC 02C .0200
CLOSED -LOOP WATER -ONLY GEOTHERMAL INJECTION WELLS
These welts circulate potable water only as part of a geothermal heating and cooling system.
These wells are "permitted by rule" and do not require an individual permit when they are constructed in
accordance with the rules of 15A NCAC 02C .0200 and this Notice is submitted prior to construction.
Print or Type Information and Mail to the Address on the Last Page.
DATE October 5 20 11 PERMIT NO. S. f 0 (to be filled in by DWQ)
A. STATUS OF WELL OWNER (choose one)
Non -Government: Individual Residence Business/Organization _ _
Government: State Municipal County Federal X
B. WELL OWNER — For individual residences, list each owner on property deed_ For all others, state name of
entity and name of person delegated authority to sign on behalf of the business or agency:
US Marine Corps, Carl Baker, Deputy Director of Public Works
Mailing Address: PSC BOX 20005
City: Camp Lejeune
Day Tele No.: 910-451-2213
State: NC Zip Code: 28542
Cel I No.:
Ewa', Address: carl.h_baker(Jusmc.mil Fax No.: 910-451-2927
County: Onlsow
C. LOCATION OF WELL SITE — Where the injection wells are physically located:
(1) Parcel identification Number (PIN) of well site: NIA County: Onslow
(2) Physical Address (if different than mailing address): Gonzalez Blvd.
City: Jacksonville - Camp Lejeune
State: YSZip Code: 28547
D. WELL DRILLER INFORMATION
Well Drilling Contractor's Name: H. Michael Sage
NC Well trilling Contractor Certification No.: 2531A
Company Narne: ARM's Waterworks
Contact Person: Diana Helias EMAIL Address: diana [e-mail]
Address: PO Box 882
City: Hampstead
Zip Code: 28443 State: NC County: Pender
Office Tele No.: 910-270-2919 Cell No.:
Fax No.: 910-270-2988
GPU/UIC 5QW Notification (Revised 31182MI 1) Page 1

E. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
CompanyName:_T_B_O ____________________________ _
Contact Person,.,_: --------------~E~MAIL~~A=dd,..re.=s,,,,s .... : __________ _
Address: _______________________________ _
City: _________ Zip Code: ____ State: __ County: ________ _
Office Tele No.: Cell No.: _________ .... F.=ax,:;.:;.:N...,o.:.:..: ______ _
F. WELL CONSTRUCTION DATA
(1) Number of borings to be constructed*: 1-test loop Depth of each boring (feet):_3_0_5_' ___ ---,------__
* If existing water supply wells will be used then provide the information in item (4) below.
(2) Type of tubing to be used (steel. PVC, etc): _H-'---O_P_E-'-------------
(3) Well casing. If the well(s) will use casing then provide the~ (steel, PVC, etc.), diameter,~
and extent of casing appearing above ground: _NI_A _______________ _
(4) Grout (material surrounding well casing and/or piping):
(a) Grout type: Cement__ Bentonite** __ Other (specify) _Th_e_nn_-e_x ___ _
.. By selecting bentonite grout, a variance is hereby requested to ISA NCAC 2C .0213(d)(I )(A), which requires a cement type grout.
(b) Grout depth of tubing (reference to land surface): from O to 305 (feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
G. WELL WCA TIO NS -Maps must be scaled or otherwise accurately indicate distances and orientations of
features located within 1000 feet of the injection well(s). Label all features clearly and include a north arrow.
(1) Attach a site-specific map showing the locations of the following:
* Proposed injection wells * Buildings * Property boundaries
* Surface water bodies * Water supply wells
* Septic tanks and associated spray irrigation sites, drain fields, or repair areas
• Existing or potential sources of groundwater contamination
(2) Attach a topographic map of the area extending 1/4 mile from the injection well site that indicates the
facility's location and the map name.
NOTE: In most cases, an aerial photograph of the property parcel showing property lines and structures can be
obtained and downwaded from the applicable county GIS website. Typically, the property can be searched by
owner name or address. The location of the wells in rela1ion to property boundaries, houses, septic tanks, other
wells, etc. can then be drawn in by hand. Also, a 'layer' can be selected showing topographic contours or
elevation data.
GPU/UIC SQW Notification (Revised 3/18/201 I) Page2
H. CERTIFICATION (to be signed as required below or by that person's authorized agent)
ISA NCAC 02C .021 l(b) requires that all permit applications shall be signed as follows:
1. for a corporation: by a responsible corporate officer;
2. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other public agency: by either a principal executive
officer or ranking publicly elected official;
4. for all others: by the well owner (which means all persons listed on the property deed).
If an authorized agent is signing on behalf of the applicant, then supply a letter signed by the
applicant that names and authorizes their agent to sign this application on their behalf.
"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 infonnation. I believe that the information is true, accurate and
complete. I am aware that there are significant penalties, including the possibility of fines and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well ,nd all related appo,-.ces ... """°""""' wnh i : specifioatioos ,nd conditions of
the Permn." · ~ ~ ; I I i
/ tiAl i-\ . ' A J
~ature of Property wn r/Applicant
(',.AQ[ t/. i)AKEK
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
Submit the complete application package to:
DWQ -Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone] RECEIVED I DENR I DW~
AQU\Ft:RPP0-rr.r.Tr~' ~•c, ION
NOV OS 2011
GPU/UIC 5QW Notification (Revised 3/18/2011) Pagc3
f
Note: Adapted from USGS Camp Lejeune, NC Topographic Quadrangle (1952).
76 v lied Resource Management PC
P.�,Box 882. Hampstead NC 28443
(91of 270-2919 FAX [phone]
TITLE: SITE VICINITY MAP
French Creek Mess Hall Camp Lejeune
JOB: SCALE: DATE: DRAWN BY:
MB Kahn 1 "=2,000' 10/17/11 KLC
FIGURE:
1

LEGEND
* Proposed Test Loop
Water Supply Well
Note: Adapted from USGS Camp Lejeune, NC Topographic Quadrangle (2010)
N
it
Applied Peoaurve
Management P. C.
hlampmlad, NC 2F 443
TITLE:
FRENCH CREEK MESS HALL
JOB: SCALE: DATE: DRAWN BY.
FCMH 1 1 "=600' 11/02/11 KLC
FIGURE:
1

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Test Loop Location
GENERAL NOTES
PFN3 I E. EN:t41,1.'09N0E LrE FOR WNW.
OPLYRETLF}I RPIE !WOLIN FRE91 CLOE IELDERSTO THE TOP OFEARi B{RE
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Note: Final Closed Loop Well Field
will be determined after Conductivity
Testing is completed, and a new
permit will be applied for.
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