NC0004774_Buck Water Supply Well Permit App_20171201

DUKE
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December 1, 2017
Mr. Edward Watson
NC DEQ Division of Water Resources
610 East Center Avenue Suite 301
Mooresville, NC 28115
Re: Application for Permit to Construct a Groundwater
Extraction Well
Buck Steam Station
Rowan County, North Carolina
Dear Mr. Watson:
526 South Church Street
Charlotte, NC 28202
Mailing Address:
PO Box 1006
Mail Code EC13K
Charlotte, NC 28201-1006
980 373 2779
704 382 6240 fax
Duke Energy Carolinas, LLC. (DEC) plans to install two groundwater extraction wells on the
property of our Buck Steam Station in February 2018. DEC will utilize these wells to supply
potable and process water to Buck's Beneficial Ash Unit which will begin construction in April
2018. This beneficiation unit will be constructed to comply with the 2016 Drinking Water and Coal
Ash Cleanup Act where three Duke Energy sites were selected for coal ash recycling.
If you have any questions feel free to contact me at Bristol.Grohol(aDduke-energy.com or call 980-
373-2693.
Respectfully submitted,
Bristol Grohol
Engineer I
ecc: Brandy Costner, NC DEQ
Sean DeNeale, Duke Energy
Zabin Mansoor, Duke Energy
Attachments: Application for Permit to Construct a Water Supply Well or Well System
Figure 1: Existing Well Map
Figure 2: Proposed Water Supply Well Location Map
Figure 3: Bedrock Well Diagram

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY — DIVISION OF WATER RESOURCES
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.
1. Date: 11/29/17
2. County: Rowan
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE:
3. Applicant Duke Energy Carolinas, LLC Telephone: [phone]
4.
5.
6.
7.
8.
Applicant's Mailing Address: 526 South Church Street, Mail Code EC -13K, Charlotte, NC 28202
Applicant's Email Address (if available): Bristol.Grohol(a)duke-energy.com
Contact Person (if different than Applicant):
Contact Person's Mailing Address:
Contac Person's Email Address (if available):
Telephone:
Property Owner (if different than Applicant): Duke Energy Carolinas, LLC Telephone:
Owner's Mailing Address: 550 S Tryon St, Charlotte, NC 28202
Owner's Email Address (if available): --
Property Physical Address (including PIN Number): 1555 Dukeville Road, North Carolina
City: Salisbury County: Rowan Zip Code: 28146
Intended use of Well or Well System: _
(examples: irrigation, consumption, etc.)
Will the proposed water supply well or well system replace or be added to an existing well or well system?
(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): 432
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
11
12
Is this a public well or well system? no If yes, give Public Water ID Number:
If yes, give Project Engineer and contact information: N/A
Well Contractor: Gary Sherrill — McCall Brothers, Inc. Well Contractor Certification No.: 2222-A
Well Contractor Address: 6740 Brookshire Boulevard, Charlotte, NC 28216
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C .0105(f)(7), attach a well
construction diagram of each well showing the following:
a. Borehole and well diameter
b. Estimated well depth
C. Screen intervals
d. Sand/gravel pack intervals
e. Type of casing material and thickness
f. Grout horizons
g. Well Head completion details
2. No. of wells to be constructed in unconsolidated
material: 0
3. No. of wells to be constructed in bedrock: 2
4. Total No. of wells to be constructed: 2
(add answers from 2 and 3)
5. Estimated beginning construction date: 02/2018
6. Estimated construction completion date: 03/2018
Continued on Reverse

ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C .0105(f)(5), 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 feet 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
Signature of Applicant or *Agent
Bristol Grohol
Printed name of Applicant or *Agent
Title of Applicant or *Agent
* If signing as Agent, attach authorization agreement stating
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).
N/A N/A
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 Raleigh Regional Office Wilmington Regional Office
2090 U.S. Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh, NC 27609 Wilmington, NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301-5094
Phone: [phone]
Fax: [phone]
Mooresville Regional Office
610 East Center Avenue
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
Fax: [phone]
Winston-Salem Regional Office
450 W. Hanes Mill Road
Suite 300
Winston-Salem, NC 27105
Phone: [phone]
Fax: [phone]
GW -22W Rev. 3-1-2016

LEGEND
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SAMPLE LOCATION
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DUKE ENERGY BUCK PLANT
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Legend
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