WI0800248_Staff Report_20220215

DocuSign Envelope ID: 3545A7F3-96B6-492C-A86E-CE339B576DA2
North Carolina Department of Environmental Quality - Division of Water Resources
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
Permit No. WI0800248
Date: 2/15/2022 County: Carteret
To: Shristi Shrestha Permittee/Applicant: Scott & Sheila Schultz
Central Office Reviewer Facility Name:
I. GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ® Renewal
❑ Minor Modification ❑ Major Modification
a. Date of Inspection: 1/19/2022
b. Person contacted and contact information: Sheila Schultz sheilaschultz53@,gmail.com
c. Site visit conducted by: Geoff Kegley
d. Inspection Report Printed from BIMS attached: n Yes ® No.
e. Physical Address of Site including zip code: 113 Golf Terrace Dr, Hampstead, NC 28443
f. Driving Directions if rural site and/or no physical address:
g. Latitude: 34 23 08.18 N Longitude: 77 40 44.24 W
Source of Lat/Long & Accuracy (i.e., Google Earth, GPS, etc.):_ Google Earth
IL DESCRIPTION OF INJECTION WELL(S) AND FACILITY
1. Type of injection system:
® Geothermal Heating/Cooling Water Return
n In situ Groundwater Remediation
n Non -Discharge Groundwater Remediation
❑ Other (Specify: )
2. For Geothermal Water Return Well(s) only
a. For existing geothermal system only:
Were samples collected from Influent/Effluent sampling ports? ® Yes ❑ No.
Provide well construction information from well tag:
b. Does existing or proposed system use same well for water source and injection? ❑ Yes ® No
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? n 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
6. Flooding potential of site: ® Low ❑ Moderate ❑ High
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DocuSign Envelope ID: 3545A7F3-96B6-492C-A86E-CE339B576DA2
7. For Groundwater Remediation Injection Systems only, 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.
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 (i.e., permits with WQ prefix):
a. Are the treatment facilities adequate for the type of waste and disposal system? ❑ Yes ❑ No ❑ N/A.
If No, please explain:
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:
IIL 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 for each 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
n Issue upon receipt of needed additional information
® Issue
5. Signature of Report Preparer(s):
DocuSigned by:
LI
2/15/2022
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C017E2515D3B417... -DocuSigned by:
Signature of WQROS Regional Supervisor: Tug THE n i; oti
Date:
2/15/2022-7F141E73B6F3456...
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DocuSign Envelope ID: 3545A7F3-96B6-492C-A86E-CE339B576DA2
IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS (Optional /If Needed)
This review was conducted for a permit ownership name change and permit renewal request for a
geothermal injection well heat pump system for the Schultz residence. On 1/19/2022, staff visited
the home to inspect the well system. System operation has been normal. Source well water and
water prior to re -injection were sampled for Metals, Total and Fecal Coliform, Nitrates, Chloride,
Sulfate and Total Dissolved Solids. At the time of this staff report, the results have not been
received from the laboratory. Sampling results will be forwarded to the Central Office and owner
when received.
Notes to assist future inspectors:
The system (with blue handled spigots and sampling ports) is located in the garage, to avoid flooding
their garage bring a hose to assist in purging system and a shallow tray to collect water at the lower
sampling spigot. Pliers may be necessary to remove labeled spigot caps.
Below are pictures of the system and the influent and effluent sampling locations:
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DocuSign Envelope ID: 3545A7F3-96B6-492C-A86E-CE339B576DA2
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DocuSign Envelope ID: 3545A7F3-96B6-492C-A86E-CE339B576DA2
Influent tap from source well:
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DocuSign Envelope ID: 3545A7F3-96B6-492C-A86E-CE339B576DA2
Effluent tap prior to injection:
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