WI0800248_Permit (Issuance)_20220218

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Scott & Sheila Schultz
113 Golf Terrace Drive
Hampstead, NC 28443
NORTH CAROLINA
Environmental Quality
February 18, 2022
Re: Issuance of Injection Well Permit
Permit No. WI0800248
Geothermal Heating/Cooling Water Return Well
Pender County
Dear Mr. & Mrs. Schultz:
In accordance with your permit renewal application received November 22, 2021, I am forwarding
Permit No. WI0800248 for the continued operation of geothermal heating/cooling water return well(s)
located at the above referenced address. Please note that this renewed permit shall become effective
on February 18, 2022 until January 31, 2027, and shall be subject to the conditions and limitations
stated therein.
hi order to continue uninterrupted legal use of this well for the stated purpose, you should submit an
application to renew the permit 120 days prior to its expiration date. As indicated in the permit, this
permit is not transferable to any person without prior notice to, and approval by, the Director of the
Division of Water Resources. If you have any questions regarding your permit or the Underground
Injection Control Program, please call me at [phone].
Best Regards,
Shristi Shrestha
Underground Injection Control (UIC)- Hydrogeologist
Division of Water Resources, NCDEQ
Groundwater Resources Section
cc: Pender County Environmental Health Department
NORTH auaaI^w
Earkvaterattl V
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1636 Mail Service Center I Raleigh, North Carolina 27699-1636
919.707.9129

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH, NORTH CAROLINA
PERMIT FOR THE USE OF A WELL FOR INJECTION
In accordance with the provisions of Article 7, Chapter 87; Article 21, Chapter 143, and other applicable
Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Scott & Sheila Schultz
Pender County
FOR THE CONTINUED OPERATION OF ONE (1) GEOTHERMAL HEATING/COOLING WATER
RETURN WELL(S), defined in Title 15A North Carolina Administrative Code 2C .0224, which will be used for
the injection of heat pump effluent. This injection well is located at 113 Golf Terrace Drive, Hampstead NC
28443 and will be operated in accordance with the application received November 22, 2021, and conformity with
the specifications and supporting data, all of which are filed with the Department of Environmental Quality.
This permit is for continued operation of an injection well and shall be in compliance with Title 15A North
Carolina Administrative Code 2C .0100 and .0200, and any other Laws, Rules, and Regulations pertaining to well
construction and use.
This permit shall be effective, unless revoked, from February 18, 2022, until January 31, 2027, and shall be subject
to the specified conditions and limitations stated therein.
Permit issued this the 18th day of February 2022.
�, Gr�•�ri
For S. Daniel Smith
Director, Division of Water Resources
Permit WI0800248
By Authority of the Environmental Management Commission.
Permit #WI0800248
Geothermal Heating/Cooling Water Return Well Page 1 of 5
ver. 3-24-2020

7. A copy of the Well Construction Record (Form GW-1) shall be submitted as described in Part V.5 of this
permit within 30 days after completion.
PART III — OPERATION AND USE CONDITIONS
1. The Permittee shall comply with the conditions of this permit and properly operate and maintain the
injection facility in compliance with the conditions of this permit and rules of 15A NCAC 02C .0200, even
if compliance requires a reduction or elimination of the permitted activity [15A NCAC 02C .0211(i)].
2. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface water
or groundwater resulting from the operation of this facility. In the event that the facility fails to perform
satisfactorily, including the creation of nuisance conditions or failure of the injection zone to adequately
assimilate the injected fluid, the Permittee shall take immediate corrective actions including those actions
that may be required, such as the repair, modification, or abandonment of the injection facility [15A NCAC
02C .0206].
PART IV — INSPECTIONS [15A NCAC 02C .0211(j)]
1. Any duly authorized officer, employee, or representative of the Division of Water Resources (DWR) may,
upon presentation of credentials, enter and inspect any property, premises, or place on or related to the
injection facility at any reasonable time for the purpose of determining compliance with this permit, may
inspect or copy any records that must be maintained under the terms and conditions of this permit, and may
obtain samples of groundwater, surface water, or injection fluids.
2. DWR representatives shall have reasonable access for purposes of inspection, observation, and sampling
associated with injection and any related facilities as provided for in N.C.G.S. 87-90.
3. Provisions shall be made for collecting any necessary and appropriate samples associated with the injection
facility's activities.
PART V — MONITORING AND REPORTING REQUIREMENTS
1. Records of well construction, repair, or abandonment shall be submitted within 30 days of completion of
such activities. Copies of such records shall be retained on -site and available for inspection [15A NCAC
02C .0224(f)(2), (4)].
2. Monitoring of any well may be required to ensure protection of the groundwater resources of the State and
compliance with the groundwater quality standards specified in 15A NCAC 02L [15A NCAC 02C
.02240)(1)].
3. The Permittee shall report any report any monitoring or other information that indicates noncompliance
with a specific permit condition, that a contaminant may cause the injected fluids to migrate outside the
approved injection zone or area. As specified in rule 15A NCAC 02C .0211(p), noncompliance notification
shall be as follows:
(A) Oral notification shall be given within 24 hours of the occurrence, or first knowledge of the
occurrence, to the Wilmington Regional Office, telephone number 910-796-7215.
Permit #WI0800248
Geothermal Heating/Cooling Water Return Well Page 3 of 5
ver. 3-24-2020

(C) Each well shall be thoroughly disinfected, prior to sealing, in accordance with rule 15A NCAC
02C .0111(b)(1)(A), (B), and (C).
(D) Each well shall be completely filled with cement grout, which shall be introduced into the well
through a pipe which extends to the bottom of the well and is raised as the well is filled.
(E) In those cases when a subsurface cavity has been created as a result of the injection operations,
each well shall be abandoned in such a manner that will prevent the movement of fluids into or
between underground sources of drinking water.
(F) The Permittee shall submit a Well Abandonment Record (Form GW-30) as specified in 15A
NCAC 2C .0224(0(4) within 30 days of completion of abandonment to the addresses specified
in Part V.5 above.
Permit #WI0800248
Geothermal Heating/Cooling Water Return Well Page 5 of 5
ver. 3-24-2020