WI0400551_Application_20210709

526 South Church St
Mail Code EC13K
Charlotte, NC 28202

July 9, 2021
Mr. Michael Rogers
N.C. Department of Environmental Quality
Division of Water Resources, UIC Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636

Subject: Underground Injection Permit Modification – WI0400551
Duke Energy Carolinas, LLC
Belews Creek Steam Station
Belews Creek, NC 27009

Mr. Michael Rogers,

Duke Energy Carolinas, LLC (Duke Energy) is submitting the attached Application for a Permit
to Construct or Operate Injection Wells – Injection Well Type “Other” (UIC Permit) in order to
modify the existing UIC Permit (WI0400551) for the Duke Energy Belews Creek Steam Station.
Duke Energy respectfully requests that Part VI.4 of the permit be modified to submit the Injection
Event Report annually in lieu of 30 days after each injection.
We appreciate the NCDEQ’s review of this submittal package as we proactively implement the
groundwater remediation strategy for this Site. Please contact me at 980.373.6563 or via email
at [e-mail] with any questions or concerns regarding this application.

Sincerely,

Scott E. Davies, P.G.
Project Director

cc: Rick Bolich, NCDEQ
Eric Smith, NCDEQ
Ed Sullivan, Duke Energy
John Toepfer, Duke Energy
Melonie Martin, Duke Energy

Attachment – UIC Permit Application (Injection Well Type “Other”)
Page 1
NC DEPARTMENT OF ENVIRONMENTAL QUALITY – DIVISION OF WATER QUALITY

Print or Type Information and Mail to the Address on the Last Page . Illegible Applications Will Be Returned As Incomplete.

DATE: July 9, 2021 ___

PERMIT NO. WI0400551 (leave blank if New Application)

A. STATUS OF APPLICANT (choose one)
Non-Government: Individual Residence ____ Business/Organization _X___
Government: State ____ Municipal ____ County ____ Federal ____

B. WELL OWNER/PERMIT APPLICANT – For individual residences, list owner(s) on property deed. For all
others, list name of entity/corporation, name of person delegated authority to sign on behalf of the business or
agency, and the title of the individual: Duke Energy Carolinas, LLC
James Wells, Vice President EHS Programs & Environmental Services

Mailing Address: 526 South Church Street, Mail Code EC12J
City: Charlotte State: _NC___ Zip Code: 28202-1803 County: Mecklenburg
Day Tele No.: 980-373-6800 Cell No.:
EMAIL Address: [e-mail] Fax No.:

C. WELL OPERATOR (if different from well owner) – For individual residences, list owner(s) on property
deed. For all others, list name of entity/corporation, name of person delegated authority to sign on behalf of the
business or agency, and the title of the individual:

Mailing Address:
City: State: ____ Zip Code: County:
Day Tele No.: Cell No.:
EMAIL Address: Fax No.:

APPLICATION FOR A PERMIT TO CONSTRUCT OR OPERATE INJECTION WELL(S)

INJECTION WELL TYPE “OTHER”
The proposed UIC well(s) may be permitted per 15A NCAC 02C .0240

(check one) _____New Application ______Renewal * __X___Modification

* For renewals complete Parts A-C and I, the signature page.
Page 2

D. LOCATION OF WELL SITE – Where the injection wells are physically located:
(1) Parcel Identification Number (PIN) of well site: County:
(2) Physical Address (if different than mailing address):

City: State: NC Zip Code:

E. WELL DRILLER INFORMATION (if known)
Well Drilling Contractor’s Name:
NC Well Drilling Contractor Certification No.:
Company Name:
Contact Person: EMAIL Address:
Address:
City: Zip Code: State: County:
Office Tele No.: ____________________ Cell No.: ___________________ Fax No.:

F. WELL CONSTRUCTION SPECIFICATIONS

(1) Specify the number and type of wells to be used for the 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 injection well serving the 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.

Well construction for Injection Well Type “Other” most closely resembles construction in 15A NCAC
02C .0224 for injecting water only. The proposed construction shall include, but not be limited to, the
following:
(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
(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

Page 3
G. OPERATING DESIGN

At a minimum include as attachments engineering plans for the entire system, showing treatment of the water
(if any), details of recovery, injection, monitoring wells and infiltration galleries, operating schedule including
any periodic shut-down times, and provisions to ensure the system will continue to function if the system fails,
such as standby power capability, complete system-off status, or duplicity of system components. Also, provide
any other relevant information on the proposed system including the following:

(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.

H. SITE MAP – 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, monitoring 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 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).
(5) Hydrogeologic Conditions including contours of existing groundwater elevations, predicted
groundwater elevations resulting from the proposed injection, and predicted flow paths in the
horizontal and vertical planes. This information must be sealed by a North Carolina licensed engineer
or geologist.

I. CERTIFICATION (to be signed as required below or by that person’s authorized agent)

Per 15A NCAC 02C .0211 all permit applications shall be signed as follows:
1. 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 the well owner (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.”

_________________________________________________
Signature of Property Owner/Applicant

_________________________________________________
Print or Type Full Name and Title

James R. Wells, Vice President EHS Programs and Environmental Sciences
Page 4
Submit two copies of the completed application with attachments to:

Division of Water Resources – UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636