WI0700343_Staff Report_20130910

• AQUIFER PROTECTI6iii SECTION - GROUNDWATilk 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
1. Type of injection system:
E Heating/cooling water return flow (5A7)
fl Closed -loop heat pump system (5QM/5QW)
E In situ remediation (50
fl Closed -loop groundwater remediation effluent injection (5LP'Non-Discharge")
E Other (Specify:
2. Does system use same well for water source and injection? E Yes Z No
3. Are there any potential pollution sources that may affect injection? E Yes Z No
What is/are the pollution source(s)? N/A. What is the distance of the injection well(s) from the pollution
source(s)? N/A ft.
4. What is the minimum distance of proposed injection wells from the property boundary? Approx.. 10 ft.
5. Quality of drainage at site: EJ Good Z Adequate fl Poor
6. Flooding potential of site: El Low Z Moderate 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? El Yes fl No. Attach
map of existing monitoring well network if applicable. If No, explain and recommend any changes to the
groundwater monitoring program: N/A
8. Does the map presented represent the actual site (property lines, wells, surface drainage)? Z Yes or E 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 injecied fluid, poor heating/cooling)?
El Yes E No. If ves, explain: N/A
2. For closed -loop heat pump systems, has system lost pressure or required make-up fluid since permit issuance
or last inspection? El Yes El No. If yes, explain: N/A
3. For renewal or modification of groundwater remediation permits (of any type), will
continued/additional/modified injections have an adverse impact on migration of the plume or management of
the contamination incident? I:1 Yes fl No. If yes, explain: N/A
APS-GPU Regional Staff Report (Sept 09) Page 2 of 4 Pages

4.
North Ca Department of Environment ani tural Resources
Division of Water Quality — Aquifer Protection Section
INJECTION FACILITY INSPECTION REPORT
PERMIT NO. WI0700343
DATE OF INSPECTION: 9/4/13
INSPECTOR: R. Sipe
NAME OF PERMITTEE(S) George & Kathleen Giffin
MAILING ADDRESS OF PER1VIITTEE 821 Pelican Drive, New Bern, NC 28560
PHYSICAL ADDRESS OF STYE (if different than above) Same as above
PERSON MET WITH ON -SITE George Giffin ; TELE NO.[phone]
WELIS) STATUS:
Existing and operating Class V Well
Existing well proposed to be converted to Class V well
X Proposed/not constructed
LAT/LONG OF WELL(S) 35.081230N, 76.973538W
Appx. distance of well to property boundaries: Approx. 10 feet
Appx. distance of' well from foundation of house/structure: Approx. 50 feet
Appx. distance of well from septic tank/field (if present): No septic onsite, Sewer line in street
Appx. distance of well to other well(s) (if present): Approx. 70 feet from supply well
Appx. distance to other sources of pollution: No other pollution sources observed
Flooding Potential of Site: high X moderate low
Comments: The information provided by Jim Cornette in his 9/9/13 email is consistent with what was observed
during the site visit on 9/4/13. The existing well currently supplies a pump and dump geothermal system that,
according to Mr. Giffin, was installed in approx. 1983. He indicated that it was approx. 10 feet east of the house and
is finished subgrade. It is only used for the geothermal system and to irrigate the lawn and garden. The well pump is
located underneath the house in the crawl space. The site is served by sewer and water service along the street.
Based on a review of the application, the additional information provided by Jim Cornette in his 9/9/13 email, and
observations made during the site visit, this office has no issues with the proposed injection well.
Injection Facility Insp. Report (Rev. Sept 2009) 1 Page 1 of 4 Pages

Site Map provided by Jim Cornette on 9/9/13 accurately depicts site conditions.
DRAW SKETCH OF SITE ABOVE (Show property boundaries, buildings, other wells, septic tanks/drain fields, other
potential pollution sources, roads, approximate scale, and NORTH arrow)
See well construction on application
Draw Schematic of well above showing TD, casing depth, grout, etc.
Injection Facility Insp. Report (Rev. Sept 2009) Page 3 of 4 Pages

rid' Construction Information
•
Date Constructed: Proposed
Well Contracting Company: Applied Resource Management
Well Driller Name: Christopher Blackmon
NC Well Cert. No.: 4145-A
Address: PO Box 882, Hampstead, NC 28443
Telephone No.: [phone] ; Cell No.:
Email Address: jim arna,bellsouth.net
Proposed Depth of Well(s): 58 feet
Total Depth: N/A Total Depth of Source Well, if present: 58 feet
Casing:
Depth: N/A ; Diameter: N/A ; Type (gay. steel, PVC, etc.): N/A ; Stick Up: N/A ft
Grout:
Depth: N/A ; Type (cement, bentonite, etc.): N/A ; Placement (pumping, press. etc.): N/A
Well ID Plate Present (Y or N): N/A ; Heat Pump ID plate present (Y or N): N/A
Influent spigot (Y or N): N/A ; Effluent spigot (Y or N): N/A
Well Sampled? (Y or N): N/A ; If Yes, Lab Sample ID numbers:
N/A
Static Water Levelf—N/A
Injection Information (if applicable):
Injection Rate: 12 GPM
Injection Pressure: <30 PSI
Injection Volume: 8500 GPI)
Temperature- Summer: 70 F°
Temperature- Winter: 58 F°
Comments/Notes
Injection Facility Insp. Report (Rev. Sept 2009) Page 4 of 4 Pages

Rogers, Michael
To: Sipe, Randy
Cc: May, David
Subject: RE: Staff Report and Inspection Report for Giffin open loop geothermal injection - WI0700343
OK, thanks.
From: Sipe, Randy
Sent: Monday, September 16, 2013 4:17 PM
To: Rogers, Michael
Cc: May, David
Subject: RE: Staff Report and Inspection Report for Giffin open loop geothermal injection - WI0700343
Michael,
There is a spigot on the outside of the house that is connected to the exiting well pump where we plan to collect a
sample.
Randy Sipe, P.G.
Hydrogeologist
Division of Water Resources
Water Quality Section
Washington Regional Office
[phone]
Note: All e-mail sent to and from this account are subject to the North Carolina Public Records Law and may be disclosed
to third parties
From: Rogers, Michael
Sent: Monday, September 16, 2013 2:50 PM
To: Sipe, Randy
Cc: May, David
Subject: RE: Staff Report and Inspection Report for Giffin open loop geothermal injection - INI0700343
Randy -
The injection well needs to be sampled after the well becomes operational. Does the well
head for the supply well need an influent sampling port when the well is sampled? If so, then
the well needs to repaired w/in 30 days not during the next permitting term as indicated in the
SR. This is unless the new well have both influent and effluent ports when constructed.
Please advise as I need to add this to the permit.
Thanks
From: Sipe, Randy
Sent: Thursday, September 12, 2013 3:34 PM
To: Rogers, Michael
Subject: Staff Report and Inspection Report for Giffin open loop geothermal injection - WI0700343

Rogers, Michael
From: Rogers, Michael
Sent: Tuesday, September 10, 2013 10:12 AM
To: Sipe, Randy; May, David; Watts, Debra
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Randy- Would you please provide a Staff Report for this project. You guys already have all the
documentation, so I won't send a package like I usually do.
Thanks
From: Sipe, Randy
Sent: Monday, September 09, 2013 4:18 PM
To: Rogers, Michael; May, David; Watts, Debra
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Michael, David, & Debra,
This information is consistent with what I observed when I visited the site last Wed. (9/4). The existing well currently
supplies a pump and dump geothermal system that, according to Mr. Giffin, was installed in approx. 1983. He indicated
that it was approx. 10 feet from the house and it is finished subgrade. The well pump is located underneath the house in
the crawl space. I saw no issues with the proposed injection well location.
Ra ndy Sipe, P.G.
Hydrogeologist
Division of Water Resources
Aquifer Protection Section
Washington Regional Office
[phone]
Note: All e-mail sent to and from this account are subject to the North Carolina Public Records Law and may be disclosed
to third parties
From: Jim Cornette [mailto:jim arm©bellsouth.net]
Sent: Monday, September 09, 2013 12:36 PM
To: Rogers, Michael; May, David; Watts, Debra
Cc: Sipe, Randy; 'Patrick McKee'; 'Karen Corbett'
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Howdy Randy,
Attached are two documents that address your questions.
Figure 1 has been modified to reflect the supply well location. It is a 2" well drilled in the early 1980s. Well driller or actual
construction details are unknown. According to Mr. Giffin, it is approximately 58' deep, and is located approximately 10'
from the house's SE corner..
The second is a modified Well Construction Diagram. The well depth has been modified to mimic Mr. Giffin's current well
depth. It is proposed at 58' deep, with 20' of pumped bentonite grout, over 5' of bentonite chips seal. The well will have
30' of screen with approximately 3' of sand over the screen. It will be terminated at least 1' above grade, and will be fitted
with a sample tap, well bent, and sanitary well seal.

I realize that Mr. Giffin's irrigation well does not meet current standards and hope that simply due to the fact that it has
been in use for the past 30 years, its current location will not cause a problem.
Let me know if you have questions or require additional information.
Jim
James L. Cornette, PG, CWD
Applied Resource Management, PC
ARM - Well Drilling
ARM - Geothermal
P.O. Box 882
257 Transfer Station Road
Hampstead, NC 28443
910.270.2919
910.512.4890 (Cell)
910.270.2988 (Fax)
From: Rogers, Michael [mailto:[e-mail]
Sent: Thursday, September 05, 2013 2:20 PM
To: May, David; Watts, Debra; jim [e-mail]
Cc: Sipe, Randy
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Jim-
1 have a couple of questions concerning the geothermal well application for Mr. Giffin-
• On the well schematic it is not clear if there is a bentonite seal, and the depth of
screen/sand pack. There is just '5 feet' on the line for top of sand pack. Please
clarify.
• Is the return well also the supply well for the geothermal system? If there is a
different well for the supply, please provide well location and depth.
Thanks
From: May, David
Sent: Wednesday, August 28, 2013 4:49 PM
To: Watts, Debra
Cc: Rogers, Michael; Sipe, Randy
Subject: Geothermal System Return Well Application
Debra,
2

Rogers, Michael
From: Sipe, Randy
Sent: Monday, September 09, 2013 4:18 PM
To: Rogers, Michael; May, David; Watts, Debra
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Michael, David, & Debra,
This information is consistent with what I observed when I visited the site last Wed. (9/4). The existing well currently
supplies a pump and dump geothermal system that, according to Mr. Giffin, was installed in approx. 1983. He indicated
that it was approx. 10 feet from the house and it is finished subgrade. The well pump is located underneath the housle in
the crawl space. I saw no issues with the proposed injection well location.
Randy Sipe, P.G.
Hydrogeologist
Division of Water Resources
Aquifer Protection Section
Washington Regional Office
[phone]
Note: All e-mail sent to and from this account are subject to the North Carolina Public Records Law and may be disclosed
to third parties
From: Jim Cornette [mailto:jim arm©bellsouth.net]
Sent: Monday, September 09, 2013 12:36 PM
To: Rogers, Michael; May, David; Watts, Debra
Cc: Sipe, Randy; 'Patrick McKee'; 'Karen Corbett'
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Howdy Randy,
Attached are two documents that address your questions.
Figure 1 has been modified to reflect the supply well location. It is a 2" well drilled in the early 1980s. Well driller or actual
construction details are unknown. According to Mr. Giffin, it is approximately 58' deep, and is located approximately 10'
from the house's SE corner..
The second is a modified Well Construction Diagram. The well depth has been modified to mimic Mr. Giffin's current well
depth. It is proposed at 58' deep, with 20' of pumped bentonite grout, over 5' of bentonite chips seal. The well will have
30' of screen with approximately 3' of sand over the screen. It will be terminated at least 1' above grade, and will be fitted
with a sample tap, well bent, and sanitary well seal.
I realize that Mr. Giffin's irrigation well does not meet current standards and hope that simply due to the fact that it has
been in use for the past 30 years, it's current location will not cause a problem.
Let me know if you have questions or require additional information.
Jim
James L. Cornette, PG, CWD
Applied Resource Management, PC
ARM - Well Drilling
ARM - Geothermal

Rogers, Michael
From: Jim Comette [e-mail]]
Sent: Monday, September 09, 2013 12:36 PM
To: Rogers, Michael; May, David; Watts, Debra
Cc: Sipe, Randy; 'Patrick McKee'; 'Karen Corbett'
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Attachments: Fig1Modified.pdf; WellConstruction.pdf
Howdy Randy,
Attached are two documents that address your questions.
Figure 1 has been modified to reflect the supply well location. It is a 2" well drilled in the early 1980s. Well driller or actual
construction details are unknown. According to Mr. Giffin, it is approximately 58' deep, and is located approximately 10'
from the house's SE corner..
The second is a modified Well Construction Diagram. The well depth has been modified to mimic Mr. Giffin's current well
depth. It is proposed at 58' deep, with 20' of pumped bentonite grout, over 5' of bentonite chips seal. The well will have
30' of screen with approximately 3' of sand over the screen. It will be terminated at least 1' above grade, and will be fitted
with a sample tap, well bent, and sanitary well seal.
I realize that Mr. Giffin's irrigation well does not meet current standards and hope that simply due to the fact that it has
been in use for the past 30 years, it's current location will not cause a problem.
Let me know if you have questions or require additional information.
Jim
James L. Cornette, PG, CWD
Applied Resource Management, PC
ARM - WeILIDrilfin
ARM - Geothermal
P.O. Box 882
257 Transfer Station Road
Hampstead, NC 28443
910.270.2919
910.512.4890 (Cell)
910.270.2988 (Fax)
From: Rogers, Michael [mailto:michaelrogersPncdenr.ciov]
Sent: Thursday, September 05, 2013 2:20 PM
To: May, David; Watts, Debra; iim arm©bellsouth.net
Cc: Sipe, Randy
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Jim-
1 have a couple of questions concerning the geothermal well application for Mr. Giffin-

• On the well schematic it is not clear if there is a bentonite seal, and the depth of
screen/sand pack. There is just 'S feet' on the line for top of sand pack. Please
clarify.
• Is the return well also the supply well for the geothermal system? If there is a
different well for the supply, please provide well location and depth.
Thanks
From: May, David
Sent: Wednesday, August 28, 2013 4:49 PM
To: Watts, Debra
Cc: Rogers, Michael; Sipe, Randy
Subject: Geothermal System Return Well Application
Debra,
FYI. Our office received the attached application for a permit to construct and operate a geothermal heating/cooling
water return well. Doesn't appear that a copy was sent to Raleigh.
Two locations are proposed for the return well. I figured after our office performs a site visit, we could better discuss
matters with the consultant and make recommendations back to your unit.
Anyway, let us know if the attached application will work for your shop to start the "permitting process" or if you need
us to forward you the original (submitted to our office) up to the Central Office.
Thanks
David
David May, Regional Aquifer Protection Supervisor
Division of Water Resources
Aquifer Protection Section
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
E-mail: david.may@ncdennqov
http://portal.ncdenr.org/web/wq/
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.
2

Rogers, Michael
From: Rogers, Michael
Sent: Thursday, September 05, 2013 2:20 PM
To: May, David; Watts, Debra; [e-mail]
Cc: Sipe, Randy
Subject: RE: Geothermal System Return Well Application WI0700343 Giffin
Jim-
1 have a couple of questions concerning the geothermal well application for Mr. Giffin-
• On the well schematic it is not clear if there is a bentonite seal, and the depth of
screen/sand pack. There is just 15 feet' on the line for top of sand pack. Please
clarify.
• Is the return well also the supply well for the geothermal system? If there is a
different well for the supply, please provide well location and depth.
Thanks
From: May, David
Sent: Wednesday, August 28, 2013 4:49 PM
To: Watts, Debra
c. wersitylichael;-SipeiRandy
Subject: Geothermal System Return Well Application
Debra,
FYI. Our office received the attached application for a permit to construct and operate a geothermal heating/cooling
water return well. Doesn't appear that a copy was sent to Raleigh.
Two locations are proposed for the return well. I figured after our office performs a site visit, we could better discuss
matters with the consultant and make recommendations back to your unit.
Anyway, let us know if the attached application will work for your shop to start the "permitting process" or if you need
us to forward you the original (submitted to our office) up to the Central Office.
Thanks
David
David May, Regional Aquifer Protection Supervisor
Division of Water Resources
Aquifer Protection Section
943 Washington Square Mall
Washington, NC 27889 ,

Phone: [phone]
Fax: [phone]
E-mail: david.mayPncdenr.qov
http://portal.ncdenr.org/web/wa/
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.
2

Watts, Debra
From: M
Sent: dnesday, Atigust 28. 2013 4:49 PM )
To: Vattb, WW1
—
Cc: Rogers, Michael; Sipe, Randy
Subject: Geothermal System Return Well Application
Attachments: George Griffin Residence.pdf
Debra,
-P h
FYI. Our office received the attached application for a permit to construct and operate a geothermal heating/cooling
water return well. Doesn't appear that a copy was sent to Raleigh.
Two locations are proposed for the return well. I figured after our office performs a site visit, we could better discuss
matters with the consultant and make recommendations back to your unit.
Anyway, let us know if the attached application will work for your shop to start the "permitting process" or if you need
us to forward you the original (submitted to our office) up to the Central Office.
Thanks
David
David May, Regional Aquifer Protection Supervisor
Division of Water Resources
Aquifer Protection Section
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
E-mail: david.mav@ncdenrgov
http://portal.ncdenr.ordwebbnni/
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.