HomeMy WebLinkAboutWI0600166_Permit (Issuance)_20240524ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARI) E. ROGERS, JR.
Director
Christopher & Jennifer Cole
11320 Loch Lomond Drive
Laurinburg, NC 28352
NORTH CAROLINA
Environmental Quality
May 24, 2024
Re: Issuance of Injection Well Permit
Permit No. WI0600166
Geothermal Heating/Cooling Water Return Well
Scotland County
Dear Christopher Scott & Jennifer Cole,
In accordance with your permit renewal application received January 23, 2024, I am forwarding Permit No.
WI0600166 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 date of issuance until April 30,
2029, and shall be subject to the conditions and limitations stated therein.
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 email to
blake.butcher@deq.nc.gov.
Best Regards,
Pi�
Blake Butcher
Underground Injection Control (UIC) — Geologist/Hydrogeologist
Division of Water Resources, NCDEQ
Groundwater Resources Branch
North Carolina Department of Environmental Quality - Division of Water Resources
Mailing address: 1636 MSC, Raleigh NC 27699-1636
NOM cnaouninD_E l Physical address: 512 North Salisbury Street, Raleigh NC 27604
V 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
Christopher Scott &Jennifer S. Cole
Scotland County
WI0600166
FOR THE CONTINUED OPERATION OF One (1) GEOTHERMAL HEATING/COOLING WATER
RETURN WELL(S), defined in Title 15A NCAC 02C .0224, which will be used for the injection of heat pump
effluent. The injection well is located at 11320 Loch Lomond Drive, Laurinburg, NC 28352, and will be operated
in accordance with the application received January 23, 2024, 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 02C .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 April 30, 2029, and shall be subject
to the specified conditions and limitations stated therein.
Permit issued this the 24a' day of May 2024.
&a4-� -W44�7�
6161
Karen Higgins
Water Planning Section Chief
Division of Water Resources
Department of Environmental Quality
Permit WI0600166
By Authority of the Environmental Management Commission.
Permit #WI0600166 Geothermal Heating/Cooling Water Return Well Page 1 of 5
ver. 05/22/2024
PART I — PERMIT GENERAL CONDITIONS
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)].
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).
Permit #WI0600166 Geothermal Heating/Cooling Water Return Well Page 2 of 5
ver. 05/22/2024
6. Each geothermal injection well shall have permanently affixed an identification plate according to [15A
NCAC 02C .0107(j)(2)].
7. If not already provided, a copy of the Well Construction Record (Form GW-I) shall be submitted as
described in Part V.5 of this permit within 30 days after completion [15A NCAC 02C 0224(f)].
PART III — OPERATION AND USE CONDITIONS
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 .021 l(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
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 [15A NCAC 02C .0211(j)].
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 [15A NCAC 02C
.02110)].
Provisions shall be made for collecting any necessary and appropriate samples associated with the injection
facility's activities [15A NCAC 02C .0211(j)].
PART V — MONITORING AND REPORTING REQUIREMENTS
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
.0224(f)(1)].
Permit #WI0600166 Geothermal Heating/Cooling Water Return Well Page 3 of 5
ver. 05/22/2024
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 Fayetteville Regional Office, telephone number (910)-433-3300.
(B) Written notification shall be made within 5 (five) days of the occurrence and submitted to the
addresses in Item 95 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)].
All forms, reports, or monitoring results required by this permit shall be submitted to [15A NCAC 02C
.0211(f)] :
UIC Program Staff
Division of Water Resources
1636 Mail Service Center
Raleigh, NC 27699-1636
PART VI — PERMIT RENEWAL
Water Quality Regional Operations Section
And DWR Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
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
[15A NCAC 02C .0224(c)].
PART VII — CHANGE OF WELL STATUS
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 [15A NCAC 02C .0240].
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) [15A NCAC 02C .0240].
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 [15A NCAC 02C .0240].
Permit #WI0600166 Geothermal Heating/Cooling Water Return Well Page 4 of 5
ver. 05/22/2024
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 02C
.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 [15A NCAC 02C .0240].
(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 [15A NCAC 02C .0240].
(C) Each well shall be thoroughly disinfected, prior to sealing, in accordance with rule 15A NCAC
02C .0111(b)(1)(A), (B), and (Q.
(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 [15A
NCAC 02C .0240].
(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 [15A NCAC 02C .0240].
(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 [15A NCAC 02C .0240].
Permit #WI0600166 Geothermal Heating/Cooling Water Return Well Page 5 of 5
ver. 05/22/2024
North Carolina Department of Environmental Quality - Division of Water Resources
WQROS REGIONAL STAFF REPORT FOR
UIC Program Support
PERNUT NO. gab 0014
Date: S /� Z County:
To: &o+J< -' Bi! re.Hg Permittee/Applicant:
Central Office Reviewer Facility Name:
I. GENERAL INFORMATION
1. This application is (check all that apply): ❑ New KRenewal
❑ Minor Modification ❑ Major Modification
a. Date of Inspection: 19A+y 241,41
b. Person contacted and contact inform�a`tio�n:
-►+
c. Site visit conducted by: �'�VT vV HI re
d. Inspection Report Printed from BIMS attached: ❑ Yes XNo.
e. Physical Address of Site including zip codellUP t--OCH 401"414l7
Z I3SZ
f. Driving Directions if rural site and/or no physical address:
g. Latitude:3 .1081r_.9' Longitude: Z. �-1 4
Source of Lat/Long & Accuracy (i.e., Google Earth, GPS, etc.):TH
II. DESCRIPTION OF INJECTION WELL AND FACILITY
1. Type of injection system:
Geothermal Heating/Cooling Water Return
❑ In situ Groundwater (GW) Remediation
❑ Non -Discharge GW Remediation-> now called Closed -Loop GW Remediation Injection System
❑ 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 X No. t l' C.,44 A1476�
Provide well construction information from well tag: ,ii /3 k4K P/ C'
b. Does existing or proposed system use same well for water source and injection? ❑ Yes XNo
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? ❑ Yes X 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: .91-ow ❑ Moderate ❑ High
WQROS Staff Report Rev. 10/12/2022
Page 1
7. For In -situ GW 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 Nio, 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 Closed -Loop GW Remediation Injection Systems only:
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 ❑ NIA. If no, please explain:
III. E VA L UA TION AND RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes XNo. 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
❑ Issue upon receipt of needed additional information
Xssue
Signature of Report Preparer(s): _ [`#� W
Signature of WQROS Regional Supervisor:
Date:
WQROS Staff Report Rev. 10/12/2022 Page 2
IV. ADDITIONAL REGIONAL STAFF REVIEW COMMENTS/ATTACHMENTS (Optional /&Needed)
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WQROS Staff Report Rev. 1
Page 3
North Carolina Department of Environmental Quality — Division of Water Resnureec
APPLICATION FOR A PERMIT TO CONSTRUCT OR OPERATE INJECTION WELL(S)
In Accordance With the Provisions of 15A NCAC 02C .0224
I GEOTHERMAL HEATING/COOLING WATER RETURN WELL(S) I
I These well(s) inject groundwater directly into the subsurface as part of a geothermal heating and cooling system I
CHECK ONE OF THE FOLLOWING:
New Application ✓ Renewal* Modification Permit Rescission Request*
*For Permit Renewals or Rescission Request, complete Sections A thru E. and M (signature page) only
Print or Type Information and Mail to the Address on the Last Page. Illegible Applications Will Be Returned As Incomplete.
DATE: 20 PERMIT NO. W10600166 (leave blank if New Application)
A. CURRENT WELL USE & OWNERSHIP STATUS (Leave Blank if New Well/Permit Application)
1. Current Use of Well
a. I wish to continue to use the well as [Geothermal Well ❑ Drinking Water Supply Well
❑ Other Water Supply Use- Indicate use (i.e., irrigation, etc.)
b. Terminate Use: If the well is no longer being used as a geothermal injection well and you wish to
rescind the permit, check the box below. If abandoned, attach a copy of the Well Abandonment
Record (GW-30).
❑ Yes, I wish to rescind the permit
2. Current Ownership Status
Has there been a change of ownership since permit last issued? ❑ YES Ejr<O
If yes, indicate New Owner's contact information:
Name(s)
Mailing Address:
Cit<,:
State: Zip Code:
Day Tele No.: Email Address.:
Countv:
B. STATUS OF APPLICANT (choose one)
Non -Government: Individual Residence Business/Organization
Government: State Municipal County Federal
C. WELL OWNER(S)/PERMIT APPLICANT — For single family residences, list all persons listed on the
property deed. For all others, list name of business/agency and name of person and title with delegated authority
to sign: Cff 1Z 1 L 7bP Nti12-- Smarr d TCx�
Mailing Address: l/ 3 .`ZO L o C ff C- o NCI o "-T> 7 "IZ
City: L Ay �L�� Na u ►Z State: tt% E Zip Code: r� d S �— County: sCo?"LAif1�
Day Tele No.: // U U — �/7 / q % Cell No •
EMAIL Address: fo%%eoL E [ �'5#,gAe • Cd/Vtax No • /(/,,/A4
Geothermal Water Return Well Permit Application Rev. 4-9-2019 Page 1
D. WELL OPERATOR (if different from well owner) - For single family residences, list all persons listed on
the property deed. For all others, list name business/agency and name of person and title with delegated authority
to sign: AS J-A.) A)
Mailing Address:
City: State: Zip Code: County:
Day Tele No.: Email Address.:
E. PHYSICAL LOCATION OF WELL(S) SITE
(1) Parcel Identification Number (PIN) of well site: <� G County: �GaTGA�u�
(2) Physical Address (if different than mailing address): f:;-L
F
G.
City:
WELL DRILLER INFORMATION
Well Drilling Contractor's Name:
NC Well Drilling Contractor Certification No.:
Company Name:
Contact Person:
A aa«
County
City: Zip Code:
Office Tele No.: Cell No.:
EMAIL Address:
State: County:
HVAC CONTRACTOR INFORMATION (if different than driller)
HVAC Contractor's Name:
NC HVAC Contractor License No.:
1-
Zip Code:
Fax No.:
,.,,r-..,, .. �....
Contact Person: EMAIL Address:
AAA
City: Zip Code: State: _
Office Tele No.: Cell No.:
County:
Fax No.:
H. WELL USE Will the injection well(s) also be used as the supply well(s) for the following?
(1) The injection operation? YES NO
(2) Personal consumption? YES NO
I. WELL CONSTRUCTION REQUIREMENTS - As specified in 15A NCAC 02C .0224(d):
(1) The water supply well shall be constructed in accordance with the water supply well requirements of
15A NCAC 02C .0107.
(2) If a separate well is used to inject the heat pump effluent, then the injection well shall be constructed
in accordance with the water supply well requirements of 15A NCAC 02C .0107, except that:
Geothermal Water Return Well Permit Application Rev. 4-9-2019 Page 2
(a) For screen and gravel -packed wells, the entire length of casing shall be grouted from the top
of the gravel pack to land surface;
(b) For open-end wells without screen, the casing shall be grouted from the bottom of the casing
to land surface.
(3) A sampling tap or other approved collection equipment shall provide a functional source of water
during system operation for the collection of water samples immediately after water emerges from the
supply well and immediately prior to injection.
J. WELL CONSTRUCTION SPECIFICATIONS
(1) Specify the number and type of wells to be used for the geothermal heating/cooling system:
*EXISTING WELLS PROPOSED WELLS
*For existing wells, please attach a copy of the Well Construction Record (Form GW-1) if available.
(2) Attach a schematic diagram of each water supply and injection well serving the geothermal
heating/cooling system. A single diagram can be used for wells having the same construction
specifications as long as the diagram clearly identifies or distinguishes each well from one another.
Each diagram shall demonstrate compliance with the well construction requirements specified in Part
H above and shall include, at a minimum, the following well construction specifications:
(a) Depth of each boring below land surface
(b) Well casing and screen type, thickness, and diameter
(c) Casing depth below land surface
(d) Casing height "stickup" above land surface
(e) Grout material(s) surrounding casing and depth below land surface
Note: bentonite grouts are prohibited for sealing water -bearing zones with 1500
mg/L chloride or greater per 15A NCAC 02C. 01076(8)
(f) Length of well screen or open borehole and depth below land surface
(g) Length of sand or gravel packing around well screen and depth below land surface
K. OPERATING DATA
(1) Injection Rate: Average (daily) gallons per minute (gpm).
(2) Injection Volume: Average (daily) gallons per day (gpd).
(3) Injection Pressure: Average (daily) pounds/square inch (psi).
(4) Injection Temperature: Average (January) ° F, Average (July) ° F.
L. SITE MAP — As specified in 15A NCAC 02C .0224(b)(4), attach a site -specific map that is scaled or otherwise
accurately indicates distances and orientations of the specified features from the injection well(s). The site map shall
include the following:
\ (1) All water supply wells, surface water bodies, and septic systems including drainfield, waste
application area, and repair area located within 250 feet of the injection well(s).
(2) Any other potential sources of contamination listed in 15A NCAC 02C .0107(a)(2) located within 250
feet of the proposed injection well(s).
(3) Property boundaries located within 250 feet of the parcel on which the proposed injection well(s) are
to be located.
(4) An arrow orienting the site to one of the cardinal directions (north, south, west, or east)
Geothermal Water Return Well Permit Application Rev. 4-9-2019 Page 3
NOTE: In most cases an aerial photograph of the property parcel showing property lines and structures can be
obtained and downloaded from the applicable county GIS website. Typically, the property can be searched by
owner name or address. The location of the wells in relation to property boundaries, houses, septic tanks, other
wells, etc. can then be drawn in by hand. Also, a `layer' can be selected showing topographic contours or elevation
data
M. CERTIFICATION (to be signed as required below or by that person's authorized agent)
15A NCAC 02C .0211(e) requires that all permit applications shall be signed as follows:
l . for a corporation: by a responsible corporate officer;
2. for a partnership or sole proprietorship: by a general partner or the proprietor, respectively;
3. for a municipality or a state, federal, or other public agency: by either a principal executive officer
or ranking publicly elected official;
4. for all others: by all the person(s) listed on the property deed.
If an authorized agent is signing on behalf of the applicant, then supply a letter signed by the
applicant that names and authorizes their agent to sign this application on their behalf.
"I 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 approved specifications and conditions of the
Permit." �4
Signature of Property Owner/Applicant
SGd TT a
Sign re of Prope�Owner/Applicant
=NN y �'tL t'LLEizs Ic �wAJ VIZ
Print or Type Full Name and Title
Signature of Authorized Agent, if any
Print or Type Full Name and Title
Submit two copies of the completed application package to the address below (also attach an electronic
version on CD or USB Flash Drive):
Division of Water Resources
UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone (919) 707-9000
Page 4
Geothermal Water Return Well Permit Application Rev. 4-9-2019