20230503_CCPCUA

APPLICATION FOR WATER USE PERMIT IN THE http:Ilw)t,w.itcwatei-.oigICCPCUA North Carolina Environmental Management Commission
CEN'i'RAL COASTAL PLAIN CAPACITY USE AREA Department of Environmental Quality,Division of Water Resources
1611 Mail Service Center,Raleigh,NC 27699-1 G 1 1,phone: [phone]
Lol'New Application DApplication for Permit Renewal ❑Permit Amendment ❑Temporary Permit Permit#
1. Applicant Information.
(a) Applicant:. T'l%ae?ows%a 'RDA'o ;5ANo MtNC } SVN t- �0 5AN0 A si0 C-TL1tvSL + 1 PJ
(Name of Person,Company,or Corporation)
(b)Mailing Address: ?0 10)c, ISd 5 City:. SwAti,513070 State:IQ Zip Code:���
(c)Facility Address: '31-7 1:;t'ze-cowM ' t 1cow-A"V3 County: 0/y54DC^j
(d) Authorized Contact Person: `9\G12- Vet k%_L.jF0PJ-> Z.5Z-39 3 - Z SO H
(Name) (Title) (Phone Number)
�11.�tFoRr���G►t � yA�oo, cA� .
(Email Address) (Fax Number)
II. Purposes) for which water is to be used(check all that apply):
(a) Public Water Supply System (PWSID#.
(b) Livestock Supply,describe briefly
(c). Agricultural Irrigation,describe briefly
(d) Aquaculture,describe briefly
(e), t/Mining,describe briefly. MIN ?IT
(f)_ Industrial,describe briefly
(g) Other,describe briefly
''-.If(a)above is checked and applicant is a unit of local government, then applicant must have an adopted Local Water-Supply Plan{G.S. 143-355(l.)and(m)}.
Ill. Source(s)of Ground Water(attach extra sheets if necessary): (a) frill in table below. Depths: feet below land surface. [..and surface elevation: feet above mean sea level.
WCIV Latitude Longitude Date Diam- Well Depth to Depth to Depth to Pump Pump type Depth Land Existing Maximum #of
Sump (decinial (decimal constructed eter Depth top of bottom of pump capacity (submersible, to surface (I:)or number of Hours
ID degrees degrees (inches) or screen or screed or inlalce (gallons (urbine,...) top of elevation Proposed gallons to be to be
ex.34.264567) ex.77.263546) max pit open hole open hole (feet) /minute) gravel (feel. (P)or wilhdrawn pumped
depth (feet) (feet) pact: {1MS1.) Abandon daily daily
feet feet A
t 34 .SO4 b —78c $5(o9 25 26 2a l�"G� rrrt� 25 P 300 evo $
DWR CCPCUA? Revised September 30,2015
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(b) Totaled daily witlidrawals front ground water= 3004000 gallons.
If(h)above exceeds 100,000 gallons,a Central Coastal Plain Capacity Use Area permit satisfies the requirement for a water►vithdratival registration{G.S. 143-215.22(H)}.
Items IV through XII hill require nwre space for completion than provided,please attach additional sheets as necessary.
IV. Doeument additional mining;Kermit application requirements as listed in 15A NCAC 02E .0502(d)(4) or reference materials submitted under G.S.74-47.
Mining permit# Maximum pit depth(ft): 2 5 11 of excavated acres: 2-13
V. Document additional Aquifer Storage and Recovery program (ASR)permit application requirements as listed in 15A NCAC 02E .0502(d)(6).
Vl. Locate sources of withdrawal (attach the relevant portion[s] of a map indicating roads and road names and note the following information--you may access
maps online at http:l/www.ncwater.org/CCPCUA and follow the link to the Ground Water Data Mapserver):
(a) county(ies) in which withdrawal sources are located
(b) labeled positions of all wells and sumps listed in section III.(a)
(c) locations of all existing water supply wells within 1500 feet of the wells listed in section III.(a)
(d) locations of all discharge points for water withdrawals covered under this application
VI1. Document conservation measures by user type:
(a) public water systems (15A NCAC 02E .0502(d)(5)(A))
i. Do you have a water conservation-based rate structure (ex.Flat rates,increasing block rates,seasonal rates or quantity based surcharges)?
ii. Do you have a water loss reduction program(ex.annual water audits,in-field leak detection, leak repair)`.'
iii.Do you have a water conservation ordinance for irrigation'?
iv.Do you offer a retrofit program (c:x.Low flow shower heads,toilet flappers,faucet aerators)'?
v. Do you have a public education program'?
vi.Evaluation of feasibility of water reuse'?
(b)other users besides agricultural irrigators 05A NCAC 02E .0502(d)(5)(13))
i. Do you audit your water use by type of activity? (for example process make-up water,non-contact cooling water)
ii. Implementation schedule for feasible measures identified in the above item for conservation or reuse of water at the facility.
(c) agricultural irrigators(l 5A NCAC 02E .0502(d)(5)(C))
Total acres to be irrigated:..----_!_____ Irrigation Method: __ .. . Crops: _.-------._-_-- --___-
Vlll. Substantiation for the amount of withdrawal requested: Submit documentation that justif ies the total withdrawal requested. Documentation could include
design plans, development plans,planning studies, operation reports, past pumping records,etc. if withdrawals are to be seasonal or vary significantly from
month-to-month throughout the year, describe the reasons for the variations and specify those variations. Fill in table below.
Average Daily Water Use from Previous Calendar Year(gallons per day)
January February March April May June July August September October November December
Daily Use
it of days
IX. Disposal of water: Describe how the water will be disposed of after it has been used. NPD[;S permit 11_ Piriv0fAfG
DW R CCI1CUA-2 Revised September 30.2015
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X. Document plans to retrofit wells as described in 15A NCAC 02E .05020): Describe the methods and proposed schedule to retrofit wells which currently have
pump intakes deeper than the top of the uppermost confined aquifer that yields water to the well.
X1. Document intermittent user status as described in 15A NCAC 02E .0507(13):
(a)persons who withdraw ground water less than 60 days per calendar year;or
(b)persons who withdraw less than 15 million gallons of ground water in a calendar year,or
(c)aquacultural operations licensed under G.S. 106-761 using;ground water for the initial filling;of ponds or refilling of ponds no more frequently than
every Eve years.
X1I. Document Cretaceous Aquifer Reduction rapircments:
(a)Identify Cretaceous Aquifer Zone wells and associated percent reduction requirements using the CCPCUA Cretaceous Aquifcr Zones map available
from the Division of Water Resources ¢include documentation for wells to be excluded from reduction requirements due to 15A NCAC 02E .0503(8)
or 15A NCAC 021E .0503(9)}-
(b)Document Aquifer Storage and Recovery program (ASR)total net withdrawals.
(c)Approved Base Rate Calculation for Cretaceous Aquifer Zone wells as described in 15A NCAC 021E .0507(1); choose the larger of i., ii. or iii.:
i. total calendar year 1997 water use in gallons by well;
ii. total August 1, 1999 through July 31, 2000 water use in gallons by well; or
iii. an adjusted water use rate calculation based on the larger of i. or ii. and the following:
A.documentation of water use reductions made since January 1, 1992;
B. actual or estimated water use from wells approved by the Division of Environmental Health by August 1, 2002;
C. percent of plant nursery operation using low volume micro-irrigation; or
D.documentation of other relevant information
(d) Plans for Reduction (use attached worksheet):
i. calculate difference between estimated water demand and approved base rate minus Cretaceous Aquifer reductions at year 2008, 2013 and 2018
ii. identify new water sources and probable yields
XII1. Temporary Permit for Cretaceous Aquifer Reduction Wells:
(a) Document static water Ievel trends to be level or upward trending after January 1, 2012 or over the previous year from present day (This may involve
construction and measurement of monitoring wells by permit holders);and
(b)Document pump intakes to be above the top of the shallowest Cretaceous aquifer screened by the well. Pump installation records are required. In
addition, geophysical logs may be submitted for validation of the top of the aquifer, and
(c) Document present day pumping water levels to be above the top of the shallowest Cretaceous aquifer screened by the well; and
(d) If applicable,document chloride concentrations obtained from monitoring wells or unused production wells screened and gravel packed in one
Cretaceous aquifer to be fresh(<250 nigil) for 3 previous years from present day and do not trend toward higher concentrations or other site specific
data which will allow determination of susceptibility to salt water encroachment.
X1V. Certification: I certi&under penalty of law that 1 have personal1v examined and crrn finniliar ivith the infnrination submitted in this and till attached
documents, and that based on m Y inquh-v of those individuals inrmediateh?t esponsible, bi-obtaininkg the in1a7nalion, 1 believe the submitted hilbriaation is
true, accurate, and complete.
(Signature) (Name) (Official Title) (Date)
DWR CCPCiJA-2 Revised September 30,2015