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Home My WebLink AboutWI0700343_Staff Report_20190123DocuSign Envelope ID. 0C976D86-CCF5-4122-A23B-A8117026EA70 WQROS REGIONAL STAFF REPORT FOR UIC Program Support Permit No. W10700343 Date: 1/23/19 County: Craven To: Shristi Shrestha Permittee/Applicant: Timothy & Shirley Baldwin, and Kathryn Baldwin - Ashmore Central Office Reviewer Facility Name: Baldwin Geothermal Return Well I. GENERAL INFORMATION 1. This application is (check all that apply): ❑ New ® Renewal ❑ Minor Modification ❑ Major Modification a. Date of Inspection: 1/23/19 b. Person contacted and contact information: Timothy Baldwin (919)215-8801 c. Site visit conducted by: R. Sine d. Inspection Report Printed from BIMS attached: ® Yes ❑ No. e. Physical Address of Site including zip code: 821 Pelican Dr., New Bern, NC 28560 f. Driving Directions if rural site and/or no physical address: no change since permit was issued g. Latitude: 35.081230 Longitude: 76.973538 Source of Lat/Long & accuracy (i.e., Google Earth, GPS, etc.): Google Earth II, DESCRIPTION OF INJECTION WELL(S) AND FACILITY 1. Type of injection system: Geothermal Heating/Cooling Water Return ❑ In situ Groundwater Remediation ❑ Non -Discharge Groundwater Remediation ❑ Other (Specify: 2. For Geothermal Water Return Well(s) only a. For existing geothermal system: Were samples collected from Influent/Effluent sampling ports? ® Yes ❑ No. Provide well construction information from well tag: See attached GW-1 b. Does existing or proposed system use same well for water source and injection? ❑ Yes ® No As described in the 2013 staff report for the original permit application, source well was reportedly installed in early 1980s. Estimated depth is 58 feet. Other well data not available. If No, please provide source/supply well construction info (i.e., depth, date drilled, well contractor, etc.) and attached map and sketch location of supply well in relation to injection well and any other features in Section IV of this Staff Report. 3. Are there any potential pollution sources that may affect injection? ❑ Yes ® No What is/are the pollution source(s)? What is the distance of the injection well(s) from the pollution source(s)? 4. What is the minimum distance of proposed injection wells from the property boundary? 5. Quality of drainage at site: ❑ Good ® Adequate ❑ Poor RECENED/NCDEQ/DyyR JAN 232019 Water quality Regional Operations Section Rev. 6/1/2015 Page I DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 WQROS REGIONAL STAFF REPORT FOR UIC Program Support 6. Flooding potential of site: ❑ Low ® 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? ❑ Yes ❑ No. If No, attach map of existing monitoring well network if applicable and recommend any changes to the groundwater - monitoring program. N/A 8. Does the map included in the Application reasonably represent the actual site (property lines, wells, surface drainage)? ® Yes ❑ 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. 9. For Non -Discharge groundwater remediation systems only: a. Are the treatment facilities adequate for the type of waste and disposal system? ❑ Yes ❑ No ❑ N/A. If no, please explain: N/A b. Are the site conditions (soils, topography, depth to water table, etc.) consistent with what was reported by the soil scientist and/or Professional Engineer? ❑ Yes ❑ No ❑ N/A. If no, please explain: N/A III. EVALUATION AND RECOMMENDATIONS 1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ❑ No. If yes, explain. 2. List any items that you would like WQROS Central Office to obtain through an additional information request. Make sure that you provide a reason;foreach item: Item Reason 3. 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 4. Recommendation ❑ Deny. If Deny, please state reasons: ❑ Hold pending receipt and review of additional information by regional office ❑ Issue upon receipt of needed additional information Z Issue Rev. 6/1/2015 Page 2 DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-AB117026EA70 WQROS REGIONAL STAFF REPORT FOR UIC Program Support 5. Signature of report preparer(s): EtIwziti Rasa, S;}e 3ASADD4BODD54F2... Signature of WQROS Regional Supervisor: 2o644Tss.kani Date: 1/24/2019 IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS (If Needed) As described in the 2013 staff report for the original permit application, source well was reportedly installed in early 1980s. Estimated depth is 58 feet. Other well data not available Rev. 6/1/2015 Page 3 DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A6117026EA70 North Carolina Department of Environment and Natural Resources Division of Water Quality — Aquifer Protection Section INJECTION FACILITY INSPECTION REPORT PERMIT NO. WI0700343 DATE OF INSPECTION: 1/23/19 INSPECTOR: R. Sipe NAME OF PERMITTEE(S) Timothy & Shirley Baldwin and Kathryn Baldwin -Ashmore MAILING ADDRESS OF PERMITTEE 719 Black Swan Rd., New Bern, NC 28560 PHYSICAL ADDRESS OF SITE (if different than above) 821 Pelican Drive, New Bern, NC 28560 PERSON MET WITH ON -SITE None ; TELE NO. WELL(S) STATUS: X Existing and operating Class V Well Existing well proposed to be converted to Class V well 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 geothermal return well appeared to be in good condition at the time of the inspection. The residence was significantly damaged during hurricane Florence in Sept. 2018. It is still under repair and not currently occupied; however, contractors are working on the house and were present during the inspection. According to the owner, the HVAC system was only repaired and became operational again approx. a week before the inspection. Injection Facility Insp. Report (Rev. Sept 2009) Page 1 of 3 Pages DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 See attached Site Map. 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 attached GW-1 Draw Schematic of well above showing TD, casing depth, grout, etc. Injection Facility Insp. Report (Rev. Sept 2009) Page 2 of 3 Pages DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 Well Construction Information Date Constructed: 9/30/13 Well Contracting Company: Applied Resource Management Well Driller Name: Donald Cummings NC Well Cert. No.: 2412-A Address: PO Box 882, Hampstead, NC 28443 Telephone No.: (910)270-2919 ; Cell No.: Email Address: jim arm4 bellsouth.net Proposed Depth of Well(s): 58 feet Total Depth: 58 Total Depth of Source Well, if present: est. 58 feet Casing: Depth: 25 ft ; Diameter: 4" ; Type (gay. steel, PVC, etc.): PVC Stick Up: >12" ft Grout: Depth: 20 ft : Type (cement, bentonite, etc.):_bentonite_; Placement (pumping, press. etc.): pour_ Well ID Plate Present (Y or N): Y; Heat Pump ID plate present (Y or N): N/A Influent spigot (Y or N): Y ; Effluent spigot (Y or N): Y Well Sampled? (Y or N): Y ; If Yes, Lab Sample ID numbers: Influent (supply well), Effluent (iniection well) Static_Water Level. NLA Injection Information (if applicable): Injection Rate: NM GPM Injection Pressure: NM PSI Injection Volume: NM GPD Temperature- Summer: NM F° Temperature- Winter: NM F° Comments/Notes: Iniection well appeared to be in good condition during inspection and operating adequately. Injection Facility Insp. Report (Rev. Sept 2009) - Page 3 of 3 Pages DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 Compliance Inspection Report Permit: WI0700343 Effective: 09/20/13 Expiration: 08/31/18 Owner: Timothy J Baldwin SOC: Effective: Expiration: Facility: Timothy J Baldwin SFR 821 Pelican Dr County: Craven Region: Washington Contact Person: Jim Comette Directions to Facility: System Classifications: New Bern NC 28560 Title: Phone: 910-270-2919 Primary ORC: Certification: Phone: Secondary ORC(s): OnSlte Representative(s): Related Permits: Inspection Date: 01/23/2019 Primary Inspector: Dwight R Sipe Secondary Inspector(s): Entry Time: 10:00AM Exit Time: 10:30AM Phone: Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Injection Heating/Cooling Water Return Well Facility Status: • Compliant ❑ Not Compliant Question Areas: II Wells System Operations (See attachment summary) Page: 1 DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026FA70 permit: W10700343 Inspection Date: 01/23/2019 Owner-Facility:Timothy J Baldwin Inspection Type : Compliance Evaluation Reason for Visit: Routine Inspection Summary: • An inspection of the geothermal open loop injection system covered under Permit # W10700343 was performed on 1/23/2019 by R. Sipe w/ WaRO - WQROS as part of the review of a permit renewal application. The residence was significantly damaged during hurricane Florence in Sept. 2018 and is currently unoccupied and still under repair. According to the Timothy Baldwin the current owner, the HVAC system was just repaired and brought back into operation approx. a week before the inspection. At the time of the inspection, the system was observed to be in good condition and operating adequately. Samples of the system influent and effluent were collected for lab analyses and the results will be provided to the Central Office and the system owners. The system is considered in compliance with Permit # W10700343. Page: 2 DocuSign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 Permit W0700343 Inspection Date: 01/23/2019 Owner - Facility: Timothy J Baldwin Inspection Type: Compliance Evaluation Reason for Malt: Routine System Operation Is same well used as source well and injection well? Is injection well capable of assimilating injected fluid? Injection flow rate at time of inspection (gpm) Has system owner/operator noticed any abnormalities (turbidity, air in system, poor heating/cooling, etc) in system operation? Comment on system operation Is system operation and construction consistent with that described in application? Describe inconsistencies between application and observed operation/construction The residence was damaged during hurricane Florence and is still unoccupied and under repair. HVAC system just recently started operation again, but appeared to be operating adequately at the time of inspection. Comment: Yes No NA NE ❑ ❑ ❑ III ❑ ❑ ❑ ❑• ❑ ❑ • ❑ ❑ ❑ ▪ ❑ ❑ ❑ Page: 3 DocuSi. n Envelo. e ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 Inj. WeII Docu ign Envelope ID: 0C976D86-CCF5-4122-A23B-A8117026EA70 Fe luteinal Thin form on be used for ink ornmld,1c was 1. Well Contractor Information: Use ONLY: Donald H. Cummings iT7:WATERZONEs' .. FROM 10 DFSQW1'ION Weer ControotorName • ft R. 2412-A ft- R NC Well CwuectorCati6wtivaNumber ,]ii)11TLR CASINO rotnmM:o¢d'wdI4Olt LINER fife Me) ..- . . FROM TO 0/AMITER 711/00 LSe MATERIAL Applied Resource Management, p.c. 0 R 25 I< 4 kb- SCH40 PVC Company Namo 46.INNERCASING QRTIMING &co& tl died -leap) WI0700343 MOM TO DIAMETER TmOENrss MATERIALslr 2. wdl Conneion Permit#. R. . R is LW all applicable well eanstrucan pared rye. Cowtry, Stare, Variance, etc) 3. Wd1 Use well use): R R in. (check , Water Supply Welk °Agricultmal °Municipal/Public °Geothermal (Heating/Cooling Supply) °Residential Water Supply (single) D(ndustrial/Commercial ; °Residential Water Supply (shared) DImgation PROM TO' MAMMA A SLOT sac TRrCXNFSs MATERIAL 25 R• 58 R. 2 I°' .010 SCH40 PVC R- rt. m' ' tsoatRthrr To MATERIAL EMPLACEMENT ML•monaAMooNr 0 . s 20 R Bentonite Poured Non -Water Supply Well: DMonitming ' DRecmvy a R fi. R • Injection Well: °Aquifer Recharge °Groundwater Remediation • DAquifa Stooge and Recovery °Salinity Barrier inage ainage °Aquifer Test DDra DErpCljmetdal Technology °Subsidence Conitoi °Geothermal (Closed Loop) °Tracer I Efi thermal (Heating/Cooling Return) DOther (explain under#21 Remarks) 19. SAND/GRAVEL PACKjaappae.Ne) FROM TO nATERtAL EMPLACEMENT MEMO 22 ft. 58 R' Coarse Poured ft. R 20. DRILLING LOG Whoa Additional sheets Muttony) . .. PROM 10 DESCRIPTION (Sae, hvn% en, aWnckgra ersten, etc.) 0 R• 20 R Fine organic sands wen(s)Cempteted: 09/30/13 20. ft. 25 it Organic clays 4. Date WellMrN/A 25 R• 58 re• Fine to medium sands (1' clay tense every4' 5a. Well Location: R R George and Kathleen Giffin N/A ft ft FacfitylOwatrNone Faclly lD# (dopplicabie) 821 Pelican Drive, New Bern, NC 28560 R R R Physical Addr u. City, and Yip • . 21.11EMARRs Craven • 2-056-022 County Pared Idea1sfl 5n- nWo. (MIN) 5b. Latitude and Longitude in degrees/minntetfseconds or decimal degrees: (dwell field one ladleng is sufficient) 35 04 52.4 N 076 58 24.1 w 6. Is (are) the weli(s): (aPermanent or °Temporary 7. Ls this a repair to au existing well: L7Ycs or FINo ((Nis ft a repair, flll ant bp own well consaaction ofonnanan and explain the unary of the matt under 021 mmwAarection or an the back of this farm. S. Number of wells constructed: 1 Fornrah/ple inland ornonalwtersapplywells ONLFwah the same ronamtaion, you COD submit one form 9. Total well depth below land surface: 58 (ft) FormAdple yellsltd all depths lfdl*rent (example- 4200'ml2@I007 10. Stade water level below top of casing: 6 (R.) /fwaterlevel is above casing use -+" 11. Borehole diameter 7 7/8 • (tn.) 12. Well construction method: Mud Rotary (ie. anger. mmsy, cable, direct lush eta) 22. Certification: Io /13 Dam Sigaatne o'Ceatified dl Contractor By s/gnh,g the form, 1 hereby certjj• that the iw114) was Orem) constructed In accordance with 15A NCAC 01C.0100 or 15A NCACA2C .0200 Well Construction Standards and thoto copy ofthis- sward har beer presided ro Newell miner. 23. Site diagram or additional well debugs: You may use the back of this page to provide additional well she details or well constmction details. You may also RRavb additional pages if necessary. - SUBMITTAL INSTUCrIONS 24a. For All Wells: Submit this form within 30 days of completion of well construction to the following Division of Water Qoality, Information Processing Unit, 1617 Mali Service Center, Raleigh, NC 27699-1617 24k For Injection Wefts In addition to sending the form to the address in 24a above, ;also submit a copy of this fonts within 30 days of completion of well constmelion to the t'oUuwing Division of Watet;Qgbllty, Underground Injection Control Program, .1636 Malt Sep71ia Center, Raleigh, NC 27699-1636 24e. For Water Supali"Adt Injection Wells: in addition to sending the formto the address(es) above, alai submit one copy of this form within 30 days of completion of well ;constriction to the county health department of the county where constructed. FOR WATER SUPPLY WELLS ONLY: 13a. 17dd(gpm) S0 Method of tuft Air lift 136. Disinfection type: HTH Amour.3Q(t7710o/5,:•. Fenn GW-1 North Carolina Department ofEanvoamentandNatural Resoluta—Division ofWaterQmtiry Revised In 2013