WI0500406_Staff Report_20211001

WATER QUALITY OPERATIONS REGIONAL STAFF REPORT
Date: October 1, 2021
To: WQ Regional Operations CO
CO Reviewer: Shristi Shrestha
Regional Office Inspector: Eric Rice
L GENERAL INFORMATION
1. This application is (check ail that apply): ❑ New ® Renewal
❑ Minor Modification 0 Major Modification
County: Wake
Permittee: David Vallenga
Project Name: David & Anne Vallenga SFR
Permit # WI0500406
❑ Surface Irrigation ❑ Reuse ❑ Recycle ❑ High Rate Infiltration ❑ Evaporation/Infiltration Lagoon
❑ Land Application of Residuals
❑ Distribution of Residuals
❑ Attachment B included
❑ Surface Disposal
❑ 503 regulated 0 503 exempt
❑ Closed-Ioop Groundwater Remediation ® Geothermal Water Return
Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: September 29, 2021
b. Person contacted and contact information: David Vallenga
c. Site visit conducted by: E. Rice
d. Inspection Report Attached: ® Yes or ❑ No.
2. Is the following information entered into the BIMS record for this application correct?
® Yes or ❑ No. If no, please complete the following or indicate that it is correct on the current application.
For Disposal and Injection Sites:
(If multiple sites either indicate which sites the information applies to, copy and paste a new section into the
document for each site, or attach additional pages for each site)
a.
b.
c.
d.
Location(s):
Driving Directions:
USGS Quadrangle Map name and number:
Latitude: Longitude:
IV. INJECTION WELL PERMIT APPLICATIONS (Complete these two sections for all systems that use injection
wells, including closed-Ioop 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:
Z Heating/cooling water return flow
0 Closed -loop heat pump system
0 In situ remediation (51)

WATER QUALITY OPERATIONS REGIONAL STAFF REPORT
❑ Closed -loop groundwater remediation effluent injection (5L/"Non-Discharge")
❑ Other (Specify: __.)
2. Does system use same well for water source and injection? ® Yes 0 No
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. QuaIity of drainage at site: ® Good ❑ Adequate 0 Poor
5. Flooding potential of site: ® Low ❑ Moderate ❑ High
V. EVALUATION AND RECOMMENDATIONS
1. Provide any additional narrative regarding your review of the application: System consist of a single well. An
influent and effluent sample were collected for chloride, metals, and nutrients. Well tag present. System has a
sediment filter installed. Influent sample was prior to sediment filter. WeII operation appears to be normal.
2. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes ® No. If yes, please explain
briefly.
3. List any items that you would like Central Office to obtain through an additional information request. Make
sure that you provide a reason for each item:
Item
Reason
4. 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
5. 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

10/1/2021
Compliance Inspection Report
Permit: WI0500406 Effective: 09/01/16 Expiration: 08/31/21 Owner : David Vellenga
SOC: Effective: Expiration: Facility: David & Anne Vellenga SFR
County: Vance 46 Pollyanna Rd
Region: Raleigh
Contact Person: Bill Evangelist
Directions to Facility:
Henderson NC 27537
Title: Heat Pump Contractor Phone: [phone]
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 09/29/2021
Primary Inspector: Eric S Rice
Secondary Inspector(s):
Entry Time 12:OOPM Exit Time: 01 45PM
Phone: [phone]
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Injection Heating/Cooling Water Retum Well
Facility Status: • Compliant ❑ Not Compliant
Question Areas:
Wells System Operations
(See attachment summary)
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Permit: WI0500406 owner - Facility: David Vellenga
Inspection Date: 09/29/2021 Inspection Type : Compliance Evaluation
Reason for Visit: Routine
Inspection Summary:
Well operation appears to be compliant with the permit
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Penult: WI0500400 Owner - Facility: David Vellenga
Inspection Date: 08/29/2021 Inspection Type : Compliance Evaluation
Reason for Visit: 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
Comment: System appears to be operating normally
Yes No NA NE
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