WS0701191_Application Extension_20240916

Aiutrien,
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Attn: David May
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889-3314
Subject: Application For Permit To Construct
CCPCUA Permit No. CU1003 -Mine Depressurization Wells — Castile
Hayne Aquifer
PCS Phosphate Company, Inc." - Aurora Division
Beaufort County
Dear Mr. Tankard,
Please see the attached application for well construction associated with systems
regulated by Capacity Use Permit No. CU 1003 — Mine Depressurization Wells- Castle
Hayne Aquifer.
The application is for the addition of (7) Mine Depressurization Wells located south of
33. All wells will be located within the active mining area at the Nutrien — Aurora
facility.
Please do not hesitate to contact me at [phone], if I can answer any questions, or
provide any additional information concerning this application.
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i
Brittany Curtis
Specialist, Environmental Affairs and Technical Services
Nutrien-Aurora
pc: 12-06-001-02 (w/attachment)
cc: Gabrielle Chianese —DWR (w/attachment)
Robbie Bullock — DWR (w/attachment)
Tyler Cvetan (w/attachment)
Emma Shipley (w/attachment)
1530 NC Hwy" S , Aumra. NC USA 21g08 1mmn.. m
1 Effective January 1. 2028, PCs Phosphate Company, Inc. is an indirect sulasidlary of Nutrien Ltd. PCS Phosphate Company, Inc,
remalns the legal operating entity and permittee.

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY — DIVISION OF WATER p4S,OuRCES
APPLICATION FOR PERMIT TO CONSTRUCT A WATER SUPPLY WELL OR WELL SYSTEM
(Wells or Well Systems with a Design Capacity of 100,000 Gallons Per Day or Greater)
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7, Chapter 87, General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct water supply wells.
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1. Date:
2. County: Beaufort
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE:
3. Applicant: PCS Phosphate Company Inc Telephone: [phone]
Applicant's Mailing Address: 1530 NC HWY 306 S Aurora NC 27806
Applicant's Email Address (it available): Brittanv.Curtis(d-Mutrien com
4. Contact Person (if different than Applicant): Brittany Curtis Telephone: [phone] x8549
Contact Person's Mailing Address: 1530 NC HWY 306 S Aurora NC 27806
Contac Person's Email Address (if available): Brittanv.Curbs(a)nutrien com
5. Property Owner (if different than Applicant): Telephone: -
Owner's Mailing Address:
Owner's Email Address (if available):
6. Property Physical Address (including PIN Number): 1630 NC HWY 306 S PIN - 27806-9245
City: Aurora County: Beaufort Zip Code: 27806
7. Intended use of Well or Well System: Mine Depressurization Wells — Castle Havne Aquifer
(examples: irrigation, consumption, etc.)
8. Will the proposed water supply well or well system replace or be added to an existing well orwell system? Yes
(If yes, complete questions 7 and 8) (If no, complete question 7 and then skip to question 9)
9. Total design capacity of proposed well or well system in gallons per day (gpd): 78 000 000
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
These wells be regulated by CCPCUA Permit No. CU 1003
11. Is this a public well or well system? No If yes, give Public Water ID Number:
If yes, give Project Engineer and contact information:
12. Well Contractor: Joshua Respess Well Contractor Certification No.: 4181-A
Well Contractor Address: J.M. Hudson Drilling Co Inc 309 Teach's Cove Bath NC 27808
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(0(7), attach a well
construction diagram of each well showing the following: 2. No. of wells to be constructed in unconsolidated
a. Borehole and well diameter material: 0
b. Estimated well depth 3. No. of wells to be constructed in bedrock: 7
C. Screen intervals 4. Total No. of wells to be constructed: 7
d. Sand/gravel pack intervals (add answers from 2 and 3)
e. Type of casing material and thickness 5. Estimated beginning construction date: 1/1/2024
f. Grout horizons 6. Estimated construction completion date: 12/31/2024
g. Well Head completion details
Continued on Reverse

ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(fx5), attach a scaled map of the site showing the locations of the following:
a. All property boundaries, at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections, streams, or lakes within 500 feel of the proposed well or well system.
b. All existing wells, identified by type of use, within 500 feet of the proposed well or well system.
C. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination (such as septic tank systems, pesticide, chemical or fuel
storage areas, animal feedlots as defined in G.S. 143-215.10B(5), landfills, or other waste disposal areas) within 500 feet
of the proposed well or well system.
2. As required by 15A NCAC 02C .0105(g)(3), for wells screened in multiple zones or aquifers, provide representative data on the
static water level, pH, specific conductance, and concentrations of sodium, potassium, calcium, magnesium, sulfate, chloride,
and carbonates from each aquifer or zone from which water is proposed to be withdrawn.
3. Attach any water use permits (if required). [e.g. Central Coastal Plain Capacity Use Area Permit is required in 15 eastern NC
counties by NC Division of Water Resources, visit: http://www.ncwater.org]
SIGNATURES
The Applicant hereby agrees that the proposed well(s) will be constructed in accordance with approved specifications and conditions of
the Water Supply Well Construction Permit as regulated under the Well Construction Standards (Title 15A of the North Carolina
; /�Administrative Code, Subchapter 2C) and accepts full responsibility for compliance with these rules
,! 1 n /" Specialist. Environmental & Technical Services
Signature licant or *Agent Title of Applicant or *Agent
Brittany Curtis • ff signing as Agent, attach authorization agreement stating Printed name of
Applicant or 'Agent that you have the authority to act as the Agent.
If the property is owned by someone other than the applicant, the property owner hereby consents to allow the applicant to construct
water supply wells as outlined in this Water Supply Well Construction Permit application and that it shall be the responsibility of the
applicant to ensure that the water supply well(s) conform to the Well Construction Standards (Title 15A of the North Carolina
Administrative Code, Subchapter 2C).
Signature of Property Owner (if different than Applicant) Printed name of Property Owner (if different than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources' Regional Office
Asheville Regional Office
3800 Barrett Drive
Wilmington, NC 28405
2090 U.S. Highway 70
Raleigh, NC 27609
Phone: [phone]
Swannanoa, NC 28778
Phone: [phone]
Fax: [phone]
Phone: [phone]
Fax: [phone]
Fax: [phone]
Winston-Salem Regional Office
Washington Regional Office
450 W. Hanes Mill Road
Fayetteville Regional Office
943 Washington Square Mall
Suite 300
225 Green Street, Suite 714
Washington, NC 27889
Winston-Salem, NC 27105
Fayetteville, NC 28301-5094
Phone: [phone]
Phone: [phone]
Phone: [phone]
Fax: [phone]
Fax: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Wilmington Regional Office GW-22W Rev. 3-1-2016
Raleigh Regional Office 127 Cardinal Drive Extension

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FIGURE 3
TYPICAL 20" DEPRESSURIZATION WELL
CONSTRUCTION DIAGRAM
STEEL CAP
GROUND LEVEL
SURFACE
CASING
0' TO -34' - 60'
(TOPOFCLAV -
LAYER OR -
SHELL BED)
0' TO 180'
28" BOREHOLE
Alutrien-
Feeding the Future
+2' TO 0'
0' TO -20'
CEIVENTGROUT
-20' TO -160'
DRILL CUTTINGS
-160' TO -180'
CEMENT GROUT
-180' TO -260'
18" OPEN BOREHOLE
+2' TO -180'
20" x .375" WALL
STEEL CASING
NOTE: Drawing not to scale. Casing lengths are approximate. Steel casing to be set at least 10' into the tap of
the Castle Hayne Aquifer, which lies approximately 145'to 168' below land surface within the project area.
Surface casings typically extend about 34 to 60 feet deep.