WI0300475_Final Permit_20220618

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Michael and Julie Jetzer
5415 Little Parkway
Sherrills Ford, NC 28673
NORTH CAROLINA
Environmental Quality
June 17, 2022
Re: Issuance of Injection Well Permit
Permit No. WI0300475
Geothermal Heating/Cooling Water Return Injection Well
Catawba County
Dear Mr. and Mrs. Jetzer:
In accordance with your permit renewal application received May 12, 2022, I am forwarding Permit
No. WI0300475 for the construction of one (1) geothermal heating/cooling water return well(s) located
at the above referenced address. Please note that this permit shall become effective date of issuance
until May 31, 2027, and shall be subject to the conditions and limitations stated therein.
Please Note Per Part III-
• At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall notify
the Underground Injection Control (UIC) Central Office staff, telephone number 919-707-9000
and the Mooresville Regional Office Staff, telephone number 704-663-1699.
• Within 30 days of injection well completion and operation, the Permittee shall contact the
Mooresville Regional Office Staff in order to have samples collected at the source well (influent)
and injection return well (effluent).
In 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,
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Michael Rogers, P.G. FL & NC (inactive)
Underground Injection Control (UIC) Program Manager - Hydrogeologist
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North Carolina Deparhnent of Environmental Quality - Division of Water Resources
Mailing address: 1636 MSC, Raleigh NC 27699-1636
Physical address: 512 North Salisbury Street, Raleigh NC 27604
919.707.9000

Division of Water Resources, NCDEQ
Groundwater Resources Section
cc: Catawba County Environmental Health Department
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North Carolina Department of Environmental Quality - Division of Water Resources
Mailing address: 1636 MSC, Raleigh NC 27699-1636
Physical address: 512 North Salisbury Street, Raleigh NC 27604
919.707.9000

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
Michael and Julie Jetzer
Catawba County
WI0300475
FOR THE CONSTRUCTION OF ONE (1) GEOTHERMAL HEATING/COOLING WATER RETURN
INJECTION 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 5415 Little Parkway, Sherrills Ford, NC
28673, and will be constructed in accordance with the application received May 12, 2022, and conformity with
the specifications and supporting data, all of which are filed with the Department of Environmental Quality.
This permit is for construction 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 the date of issuance until May 31, 2027, and shall be subject
to the specified conditions and limitations stated therein.
Permit issued this the 17th day of June 2022.
QJ
for Richard Rogers
Director, Division of Water Resources
Permit WI0700451
By Authority of the Environmental Management Commission.
Permit #WI0300475
Geothermal Heating/Cooling Water Return Well Page 1 of 5
ver. 3-24-2020

PART I — PERMIT GENERAL CONDITIONS
1. The Permittee must comply with all conditions of this permit and with the standards and criteria specified
in Criteria and Standards Applicable to Injection Wells (15A NCAC 2C .0200). Any noncompliance with
conditions of this permit constitutes a violation of the North Carolina Well Construction Act and is grounds
for enforcement action as provided for in N.C.G.S. 87-94.
2. This permit is effective only with respect to the nature. volume of materials and rate of injection, as
described in the application and other supporting data [15A NCAC 02C .0224(b)].
3. This permit shall become voidable unless the facility is constructed in accordance with the conditions of
this permit, the approved plans and specifications, and other supporting data [15A NCAC 02C .0211(e)].
4. This permit is not transferable without prior notice to, and approval. In the event there is a desire for the
facility to change ownership, or there is a name change of the Permittee, a formal permit amendment request
must be submitted, including any supporting materials as may be appropriate, at least 30 days prior to the
date of the change [15A NCAC 02C .0211(o)].
5. The issuance of this permit shall not relieve the Permittee of the responsibility of complying with any and
all statutes, rules, regulations, or ordinances, which may be imposed by other local, state, and federal
agencies, which have jurisdiction. Furthermore, the issuance of this permit does not imply that all
regulatory requirements have been met [15A NCAC 02C .0203].
PART II — WELL CONSTRUCTION GENERAL CONDITIONS
1. The well supplying water for the geothermal heating and cooling system shall be constructed in accordance
with requirements of rule 15A NCAC 02C .0107.
2. Any injection well shall be constructed in accordance with requirements of rule 15A NCAC 02C .0107
except that the entire length of the casing shall be grouted in such a way that there is no interconnection of
aquifers or zones having differences in water quality that would result in degradation of any aquifer or zone.
For screened wells, grout shall be emplaced from the top of the gravel pack to the land surface. For open-
end wells, the casing shall be grouted from the bottom of the casing to the land surface [15A NCAC 02C
.0224(d)(2), (3)].
3. Bentonite grout shall not be used to seal any water -bearing zone with a chloride concentration equal to or
greater than 1,500 milligrams per liter. In areas where elevated chloride levels are known to exist or are
probable, such as coastal areas, chloride levels shall be verified in the field to determine existing conditions
if bentonite is to be used [15A NCAC 02C .0225(h)(8)].
4. The injection well system shall be constructed such that a sampling tap or other collection equipment
approved by the Director provides a functional source of water when the system is operational. Such
equipment shall provide the means to collect a water sample immediately after emerging from the water
supply well and immediately prior to injection into the return well [15A NCAC 02C .0224(d)(4)].
5. Each injection well shall be secured to reasonably insure against unauthorized access and use and shall be
sealed with a watertight cap or well seal, as defined in G.S. 87-85(16).
6. Each geothermal injection well shall have permanently affixed an identification plate according to [15A
NCAC 02C .0107(j)(2)].
Permit #WI0300475
Geothermal Heating/Cooling Water Return Well Page 2 of 5
ver. 3-24-2020

7. If not already provided, 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 — WELL CONSTRUCTION SPECIAL CONDITIONS
1. At least forty-eight (48) hours prior to constructing each injection well, the Permittee shall notify the
Underground Injection Control (UIC) Central Office staff, telephone number 919-707-9000 and the
Mooresville Regional Office Staff, telephone number 704-663-1699. [15A NCAC 02C .0211(j)].
2. Within 30 days of injection well completion and operation, the Permittee shall contact the Mooresville
Regional Office Staff in order to have samples collected at the source well (influent) and injection return
well (effluent). [15A NCAC 02C .0211(j)]
PART IV — 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 V — 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 VI — 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(0(2), (4)].
Permit #WI0300475
Geothermal Heating/Cooling Water Return Well Page 3 of 5
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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
.0224(0(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 Mooresville Regional Office, telephone number 704-663-1699.
(B) Written notification shall be made within 5 (five) days of the occurrence and submitted to the
addresses in Item #5 below.
(C) The written notification shall contain a description of the noncompliance and its cause; the period
of noncompliance, including dates and times; if the noncompliance has not been corrected, the
anticipated time it is expected to continue; and any steps taken or planned to reduce, eliminate, and
prevent reoccurrence of the noncompliance.
4. The Permittee shall record the number and location of the wells with the register of deeds in the county in
the facility is located [15A NCAC 02C .0224(f)(3)].
5. All forms, reports, or monitoring results required by this permit shall be submitted to:
UIC Program Staff
Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
Water Quality Regional Operations Section
And DWR Mooresville Regional Office
610 East Center Ave.
Mooresville, NC 28115
PART VII — PERMIT RENEWAL [15A NCAC 02C .0224(c)].
As required by rule, and application for permit renewal shall be made at least 120 days prior to the expiration of
this permit. This permit condition does not apply if the Permittee chooses to discontinue operation of the well
for injection of effluent from the geothermal heating and cooling system associated with this permit.
PART VIII — CHANGE OF WELL STATUS [15A NCAC 02C .0240].
1. Procedures for temporarily or permanently abandoning a well are the same as those specified in rule 15A
NCAC 02C .0113. While some of those criteria are given below, the Permittee bears the responsibility of
complying with all applicable regulatory requirements.
2. If a well will no longer be used for any purpose, then it should be permanently abandoned according to rule
15A NCAC 02C .0113(b) in order to prevent the well from deteriorating and acting as a source or conduit
of contamination, which is prohibited by General Statute 87-88(c).
3. If a well is taken completely out of service temporarily, the Permittee shall install a water -tight cap or well
seal that cannot be removed without the use of hand or power tools.
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Geothermal Heating/Cooling Water Return Well Page 4 of 5
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4. When injection operations have ceased at the facility and a well will no longer be used for any purpose, the
Permittee shall abandon that injection well in accordance with the procedures specified in 15A NCAC 2C
.0113(b), which include, but are not limited to, the following:
(A) All casing and materials may be removed prior to initiation of abandonment procedures if any
such removal will not be responsible for, or contribute to, the contamination of an underground
source of drinking water.
(B) The entire depth of each well shall be sounded before it is sealed to ensure freedom from
obstructions that may interfere with sealing operations.
(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(f)(4) within 30 days of completion of abandonment to the addresses specified
in Part V.5 above.
Permit #WI0300475
Geothermal Heating/Cooling Water Return Well Page 5 of 5
ver. 3-24-2020