NC0086665_ORC Designation Form_20240804

(� DUKE
ENERGY
Aug 4, 2024
Water Pollution Control Systems
Operator Certification Commission
State of North Carolina
1618 Mail Service Center
Raleigh, NC 27699-1618
Subject: Duke Energy Carolinas, LLC
Rockingham Combustion Turbine - NPDES Permit # NC0086665
Water Pollution Control Systems Designation (ORC) addition
Dan River Combined Cycle Station
864 S Edgewood Rd
Eden, NC 27288
Attached is the completed revised operator designation form for Rockingham Combustion Turbine.
Please note that there has been the addition of one site ORC Backup designees, David Lawson.
Should you have any questions regarding this form, please contact Billy Milam at 336-635-3023 or email
william.milam(a�duke-a)
Sincerely,
li�4
Douglas Julian
General Manager ll- Dan River Combined Cycle/Rockingham CT
cc: Winston Salem Regional Office — NCDEQ DW

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Permittee Owner/Officer Name:
Press TAB to enter information
Douglas Julian
Mailing Address: 240 Ernest Dr.
City: Reidsville
Phone: [phone]
State: NC Zip: 27320
Email Address: [e-mail]
Signature:
Facility Name: Rockingham Combustion T-brbine
County:
Rockingham
Date: 9 ?
Permit # NCO086665
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type: PC
Facility Grade: I
` = OPERATOR IN RESPONSIBLE CH�4RGE (ORC),._
Print Full Name: Brent Davis Work Phone: [phone]
Certificate Type: PC
Email Address: brent.dav
Signature:
Certificate Grade: 1
Certificate #: 985423
Effective Date:
"I certify that/ agree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: William Milam Work Phone: [phone]
Certificate Type: PC Certificate Grade: I
Email Address: william.nr [e-mail] 1
Certificate #: 28546
Signature: �f����� �! �!s;',i/.. �� Effective Date: Z
"9 certify that I agree to my designation as a Back-up Operator in ReVdnsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the OPX as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email WPCSOCC, 1618 Mail Service Center, Fax: [phone] Email: [e-mail]
ORIGINAL to: Raleigh, NC 27699-1618
Mail or Fax Asheville Fayetteville Mooresville Raleigh
a COPY to: 2090 US Hwy 70 225 Green St., Suite 714 610 E. Center Ave., Suite 301 3800 Barrett Dr.
Swannanoa, NC 28778 Fayetteville, NC 28301-5043 Mooresville, NC 28115 Raleigh, NC 27609
Fax:[phone] Fax:[phone] Fax:[phone] Fax:[phone]
Phone:[phone] Phone:[phone] Phone:[phone] Phone:[phone]C
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax: [phone]
Phone: [phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Winston-Salem
45 W. Hanes Mall Rd.
Winston-Salem, NC 27105
Fax: [phone]
Phone: [phone]
Revised 412016

WPCSOCC Operator Designation Form (continued)
Facility Name: Rockingham Combustine Turbine Permit #:
NCO086665
BACKUP ORC
Print Full Name: Dana Newcomb Work Phone: [phone]
Certificate Type: PC
Certificate Grade: I
Email Address: [e-mail]
Certificate #: 989611
Page 2
Signature: ba, � � Effective Date: VA9 lAtI
"/ certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I un erstan and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Mattthew Sumner Work Phone: [phone]
Certificate Type: PC
Certificate Grade
Email Address: [e-mail]
Certificate #:1009074
Signature:
/e Effective Date: �`\
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: David Lawson Work Phone: [phone]
Certificate Type: PC
Email Address: aIP
Signature:
Certificate Grade: I
duke-energy.com
Certificate #:1015301
Effective Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Signature:
Certificate Grade: Select Certificate #:
Effective Date:
"I certify that / agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Revised 412016