WI0600227_Geothermal Injection Test Wells_20201125

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
November 25, 2020
Dr. Aaron Fleming, Superintendent
Harnett County Schools
1008 South 1 lth Street
Lillington, North Carolina 27546
Subject: Acknowledgement of Intent to Construct Geothermal Injection Test Wells
Permit No. WI0600227: Harnett County School site - 2 test wells
736 Rollins Road, Fuquay-Varina NC (Harnett County — P.I.N. # 0645-78-2045.000)
Dr. Fleming:
On 18 November 2020 the Division of Water Resources — Water Quality Programs section in the
Fayetteville Regional Office received notification of your intent to construct closed -loop water -
only geothermal injection test wells (2 well) for the future operation of a ground -source heat
pump system for a proposed new school located at 736 Rollins road as 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 per 15A NCAC 2C .0222;
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 these conditions constitutes a violation of the North Carolina Well
Construction Act and North Carolina Administrative Code Title 15A Section 2C Subchapter
.0211(u)(2). Additionally, you should contact the Harnett 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 Jim Barber at 910-433-3340 or email at [e-mail] if you have any
questions or need additional assistance.
Sincerely,
r DocuSigneddby:
nn nn _
DT,449s Regional Supervisor
Division of Water Resources — Water Quality Programs
cc: Fayetteville Regional Office — APS Harnett County Health Department
Harnett County School Maintenance Earth Comfort, LLC
North Carolina Department of Environmental Quality I Division of Water Resources
Fayetteville Regional Office 1225 Green Street, Suite 714 I Fayetteville, North Carolina 28301
910.433.3300
NOR1H GAROLINA
Department 01 Environmental QWtit'1'

NORTH-1 CAROI.INA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOU
NOTIFICATION TO CONSTRUCT THERMAL CONDUCTIVITY TEST
Thermal conductivity test wells are used to determine the amount of heat that the subsurfacemc a
tr���zsmit in a given depth inlet-val, four the purpose of designing geothermal heating and cooling systems.
WQROS
Pursuant to 15,1 AT( 'AC 02C . 0230, thermal conductivity test wells l"C � ,_ shall be subjei l IREGio
requirements to geothermal aqueous or direct expansion closed -loop wells designed to serve
single, family residences.
These wells are "permitted by rule -
and do not require an individual permit when constructed in
accordance with the rules of 1 JA NCAC 02C .0200.
This notice niirst be submitted at least two (2) business days prior to construction.
Print Clearly or Tape Information. Illegible Submittals Will Be Returned As Incomplete.
D ✓ completed DATE: d/ /2 SJO Zv - y�PERMIT LRMI I' NO. YV�0 �P O �� (to be comp by DWR)
A. TYPE OF THERMAL CONDUCTIVITY TEST WELL TO BE CONSTRUCTED
(1)
(2) Direct Expansion (as per 1 5A NCAC 02C .0223)
Aqueous (as per 15A NCAC02C.0222): X
B. STATUS OF WELL. OWNER (choose one)
(I )
(2)
(3)
Single Family Residence
Business/Organization
Government: State
Municipal
C. WELL OWNER -- For single family residences
business, organization, or government agency �---
and
Harnett County Schools
Steve N'lathe\\ s
Number of wells: X Z
Number of wells:
County X Federal
20
AL OFFICE
list the property owner(s). For all others, list name of the
person delegated signature authority:
1-larnett County Schools Maintenance
Meiling Address: 1008 South l 1'1' St
City: .. Lillington
Day Tele No.: 910 8 )3 4808
State: NC__
Ext No.:
EMAIL. Address: stnat1aews()harnett.k12.nc.us
D. PHYSICAL, LOCATION OF WELL.. SITE
( I )
Zip Code: 27546
County: Harnett
(5TThES e f4424)FrT k 12.. NC, 0 5�
Parcel Identification Number (PIN) of well site:___
County: Harnett
(2) Physical Address (if different than mailing address):
o(.0 - 7& - Z o'-/ 5 000
736 Rollins Rd
City: I_uquav-Varina State: NC Zip Code: 27526
UIC/'rhermal C'onducti it' I e'st N tilicatIon (Revised K/R/201 3)
Page 1

E. MAPS, PLANS, AND SPECIFICATIONS
Maps must he scaled or otherwise accurately indicate distances and orientations of features located
ithin 250 feet of the injection well(s). Label all features clearly and include a north arrow. Attach a
site -spec: i l is nap showing the locations of the fol lowing:
• Proposed injection well locations
• Buildings
• Property boundaries
• Surface water bodies
• Water supply vvyells
• Septic systems and associated spray irrigation sites,
drain fields, or repair areas
• Existing or potential sources of groundwater
contamination
(2) Plans and specifications of the surface and subsurface construction details of the well system.
F. TYPES AND CONCENTRATIONS OF ADDITIVES — List any additives that will be used and their
concentrations. Only additives that the Department of Health and Human Services' Division of Public Health
determines do not adversely affect human health shall be used. A list of approved additives can be found online
at 'lttp: poi. .i.:;(•(le! r.ot \\;,,1)vv(1apsil. w p)-o. All other additives require approval prior to use.
None
G. A\DI-21I.1,ER INFORMATION (if known)
\\ ell Drillin:�_ Contraetor s Name: Derr 1_.. Huneycutt
NC Well Drilling Contractor Certification No.: 2663-A
Company Name: Dcrr_'s Well Drilling. Inc Contact Person: Derry L. Huneycutt
City: Albemarle State: __NC Zip Code: 28001 County: Stanly_
Dav I ere No.: 701.982. 3070 Cell No.: 701.985.613.5
I,NIA II. Addres,: derryti`'vahoo.coni Fax No.:
H. HEAT PIiMI' CONTRACTOR INFORMATION
( ompany Name: N/A
Contact Person: EMAIL Address:
;Address:
City: tip Code: State: County:
()nice I ele No.: Cell No.:
Fax No.:
tII( � I hcrnn.il v il> I Nutilik:',ition (R v i,r(l 5;5 2Ul3)
Page

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op»,,e(1 Cl)1111.l1Ct11)11 pr()%C1I//lOr better protection 01 the grotIncl\vater.
suhini:tal o1 this n()tilicati()il to expo:lite evaluation old -lc request.
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tik)h:bO0C00r01 partner or the proprietor, respectively:
) icdelid. or other public agency: hiv either a principal executive
i)! elected
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lo[ persnn lo .,tct 011 hcnails oi 111c applicant: (iocumentation shall he
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Tax Parcel / GIS Viewer
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Tax Parcel
PEN 0645-78-2045.000
PD. 080645 0004
Owner
HARNETT COUNTY BOARD OF
EDUCATION
Mailing Address POBOX 4C29 LILL \ GTONI, \C
27540-0300
Account Number - 404636000
€ 27
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sir 883 Address
736 ROLLINS RD FLIQUAY-VARINA, NC
27526
Address Type - Other Build' rig
Address Use -
Development -
Township - view reference Layer - Boundaries >
Townships
roperty
Description 39.00ACS
Government Owned Property -
Deed Date - 8/2020
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1091111t iVO.Wta 411IN 1. eine Saiiiiirda
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Harnett County Parcel Report
Page 1 of 1
Print this page
Harnett
COUNTY
PID: 080645 0004
PIN: 0645-78-2045.000
REID: 0001423
Subdivision:
Taxable Acreage: 39.000 AC ac
Caclulated Acreage: 40.05 ac
Account Number: 404636000
Owners: HARNETT COUNTY BOARD OF EDU
Owner Address : PO BOX 1029 LILLINGTON.
Property Address: 736 ROLLINS RD FUQUAY
City, State, Zip: FUQUAY-VARINA, NC, 27526
Building Count: 0
Township Code: 08
Fire Tax District: Northwest Harnett
Parcel Building Value: $0
Parcel Outbuilding Value : $0
Parcel Land Value : $220030
Parcel Special Land Value : $0
Total Value : $220030
Parcel Deferred Value : $0
Total Assessed Value : $220030
Property Description:
39 00ACS
Harnett County GIS
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ScflovCs, 1>Z, AAR.ao
Kke-Act,us-
4/30/a6
Prior Building Value: $0
Prior Outbuilding Value : $0
Prior Land Value : $260680
Prior Special Land Value : $19980
Prior Deferred Value : $240700
Prior Assessed Value : $260680
http://gis.harnett.org/E911 App/Parcels/ParcelReport.aspx?pin=0645-78-2045.000 11/19/2020

Harnett County Schoo
Rollins Rd. site: V1f10600227
(2) geothermal test wells
-37 = 35.559444 & -73.8436

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11/25/2020

RECtIvEU
DEQIDWR
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES N U U 2O2J
NOTIFICATION TO CONSTRUCT THERMAL CONDUCTIVITY TEST WELLS..
QPOS
Thermal conductivity test wells are used to determine the amount of heat that the su KTAVE RFG!ONAI OFFICE
transmit in a given depth interval for the purpose of designing geothermal heating and cooling systems.
Pursuant to 15A NCAC 02C .0230, thermal conductivity test wells shall be subject to the regulatory
requirements applicable to geothermal aqueous or direct expansion closed -loop wells designed to serve
single family residences.
These wells are `permitted by rule" and do not require an individual permit when constructed in
accordance with the rules of 15A NCAC 02C .0200.
This notice must be submitted at least two (2) business days prior to construction.
Print Clearly or Type Information. Illegible Submittals Will Be Returned As Incomplete.
DATE: , 20 PERMIT NO. (to be completed by DWR)
A. TYPE OF THERMAL CONDUCTIVITY TEST WELL TO BE CONSTRUCTED
(1) Aqueous (as per 15A NCAC 02C .0222): X Number of wells: 1
(2) Direct Expansion (as per 15A NCAC 02C .0223) Number of wells:
B. STATUS OF WELL OWNER (choose one)
(1) Single Family Residence
(2) Business/Organization
(3) Government: State Municipal County X_ Federal
C. WELL OWNER — For single family residences list the property owner(s). For all others, list name of the
business, organization, or government agency and person delegated signature authority:
Harnett County Schools
Steve Mathews
Harnett County Schools Maintenance
Mailing Address: 1008 South 11'h St
City: Lillington State: NC Zip Code: 27546 County: Harnett
Day Tele No.: 910 893 4808 Ext No.:
EMAIL Address: smathewsAharnett.k12.nc.us
D. PHYSICAL LOCATION OF WELL SITE
(1) Parcel Identification Number (PIN) of well site: 5566438
County: Harnett
(2) Physical Address (if different than mailing address): 736 Rollins Rd
City: Fuquay-Varina State: NC Zip Code: 27526
UIC/Thermal Conductivity Test Notification (Revised 8/8/2013) Page 1

E. MAPS, PLANS, AND SPECIFICATIONS
(1) Maps must be scaled or otherwise accurately indicate distances and orientations of features located
within 250 feet of the injection well(s). Label all features clearly and include a north arrow. Attach a
site -specific map showing the locations of the following:
•
• Proposed injection well locations
• Buildings
• Property boundaries
• Surface water bodies
• Water supply wells
• Septic systems and associated spray irrigation
sites, drain fields, or repair areas
• Existing or potential sources of groundwater
contamination
(2) Plans and specifications of the surface and subsurface construction details of the well system.
F. TYPES AND CONCENTRATIONS OF ADDITIVES — List any additives that will be used and their
concentrations. Only additives that the Depaitciient of Health and Human Services' Division of Public Health
determines do not adversely affect human health shall be used. A list of approved additives can be found
online at http://portal.ncdenr.org/web/wq/aps/gwpro. All other additives require approval prior to use.
None
G. WELL DRILLER INFORMATION (if known)
Well Drilling Contractor's Name: Derry L. Huneycutt
NC Well Drilling Contractor Certification No.: 2663-A
Company Name: Derry's Well Drilling, Inc Contact Person: Derry L. Huneycutt
City: Albemarle State: NC Zip Code: 28001 County: Stanly
Day Tele No.: 704.982.3070 Cell No.: 704.985.6135
EMAIL Address: derryswelldrilling(a,yahoo.com Fax No.:
H. HEAT PUMP CONTRACTOR INFORMATION
Company Name: N/A
Contact Person: EMAIL Address:
Address:
City: Zip Code: State: County:
Office Tele No.: Cell No.: Fax No.:
UIC/Thermal Conductivity Test Notification (Revised 8/8/2013) Page 2

I. PROTECTION — Provide a brief description of how (1) water supply wells; (2) surface water bodies; and (3)
septic systems and associated spray irrigation sites, drain fields, or repair areas within 250 feet of the proposed
injection wells will be protected during construction of the wells:
Test Well to be constructed in newly purchased agricultural field
No source of contamination within 300 ft
J. VARIANCE — Pursuant to 15A NCAC 02C .0241 the Director of the Division of Water Resources may grant
a variance from applicable well construction or operation standards provided that:
(1) use of the well(s) will not endanger human health and welfare or the groundwater; and
(2) that construction or operation in accordance with the standards is not technically feasible or the
proposed construction provides equal or better protection of the groundwater.
Any variance request should accompany submittal of this notification to expedite evaluation of the request.
The variance request form can be accessed online at http://portal.ncdenr.org/web/wq/aps/gwpro/permit-
applications
K. SIGNATURES — The following section is to be completed as required below or by that person's authorized
agent. 15A NCAC 02C .0211(e) requires signatures as follows:
(a) for a corporation: by a responsible corporate officer;
(b) for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
(c) for a municipality or a state, federal, or other public agency: by either a principal executive
officer or ranking publicly elected official;
(d) for all others: by the well owner;
(e) for any other person authorized to act on behalf of the applicant: documentation shall be
submitted with the notification that clearly identifies the person, grants them signature
authority, and is signed and dated by the applicant.
"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, operate, maintain, repair, and if applicable, abandon
the injection well and all related appurtenances in accordance with the 15A NCAC 02C 0200 Rules."
Signature of Property Owner/Applicant
Signature of Authorized Agent, if any
Steve Mathews
Print or Type Full Name
UIC/Thermal Conductivity Test Notification (Revised 8/8/2013) Page 3

L. SUBMITTAL INSTRUCTIONS — Submit one copy of the completed notification package to the each of the
following:
(1)
The Division of Water Resources Regional Office serving the area in which the injection well facility
will be located:
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, NC 28778
Telephone: [phone]
Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5043
Telephone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Telephone: [phone]
Fax: [phone]
Raleigh Regional Office
1628 Mail Service Center
Raleigh, NC 27699-1628
Telephone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Telephone: [phone]
Fax: [phone]
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
Telephone: [phone]
Fax: [phone]
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
Phone: [phone]
Fax: [phone]
UIC/Thermal Conductivity Test Notification (Revised 8/8/2013)
Page 4

(2) County Health Department in which the injection well facility will be located. A list of county health
departments can be found online at http://www.ncalhd.org/county.htm.
UIC/Thermal Conductivity Test Notification (Revised 8/8/2013) Page 5