NC0004979_Other Agency Documents_20220707

DUKE
N.
July 7, 2022
wPCsocC
1618 Mail Service Center
Raleigh, North Carolina 27699-1618
Dear Madani/Sir:
RiECEIVED/NCDE©/©WR
JUL 0 8 2022
WQROS
jVIQORESVILLE REGIONAL OFFICE
Allen Steam Station
253 Plant Allen Rd.
Belmont, NC 28012
704 829-2587
Please find enclosed the original Water Pollution Control System Operator Designation Forms for Duke Energy Carolinas, LLC,
Plant Allen Steam Station, 253 Plant Allen Rd., Belmont, N.C. 28012. Permit number is NC0004979. This establishes the request
to add Joshua Larne Calhoun as a Backup ORC for Allen Steam Station. The current site ORC and Backup ORCs remain the
same.
Should you have any questions regarding this submittal, please contact Michael R. Gantt at 704-829-2587.
Sincerely,
Michael R. Gantt
Lead Environmental Professional
Duke Energy Carolinas, LLC
Plant Allen Steam Station
253 Plant Allen Rd.
Belmont, N.C. 28012
704-829-2587
UPS Tracking:
Raleigh: 1Z X67 601 24 9051 5654
Mooresville: IZ X67 601 42 9644 3375

FIECEIVED/NCDEQ/DWR
WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORIVIJuL 0 8 2022
NCAC 15A 8G .0201
TAB to Navigate Form
Facility Name: Allen Steam Station
Permit #
MOORESVILLE REGIONAL OFFICE
NC0004979
Facility Type: PC Ej Facility Grade: II 0 SUBMIT A SEPARATE FORM FOR EACH CLASSIFICATION
Permittee Owner/Officer Name: Duke Energy Carolinas LLC/ Jeffrey Flanagan
Email Address:
[e-mail]
Permittee Signature:
Date:
Full Name:
Email Address•
Certificate Type• Select
Signature:
Full Name:
ORC
Operator in Responsible Charge
Work Phone:
/
/7/
Certificate Grade: Select
Certificate #:
Effective Date:
"1 certify that 1 agree to my designation as the 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."
Joshua Layne Calhoun
Certificate Type: PC El
Signature:
Full Name:
Backup ORC
Certificate Grade: I
Work Phone: [phone]
Certificate #: 993369
j`,
.s h e. 6 9e-`. Effective Date: 7- )-c,_ .
"1 cer ify that I agree to y desi nation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will
obit 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
Certificate Type: Select Certificate Grade: Select
Work Phone:
Certificate #:
Signature: 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."
Mail, fax or email ORIGINAL to: WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 I FAX: [phone] I [e-mail]
Mail or fax a COPY to: Mooresville-610 E. Center Ave., Suite 301, Mooresville, NC 28115 I FAX: [phone] I PH: 704-663-1699 Li
Revised 3/2019

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION F
IVED/NCDEQ/DWR
NCAC 15A 8G .0201
TAB to Navigate Form
Facility Name: Allen Steam Station
Permit #
J U L. !" 8 '20;.:::2
®� WQROS
MO ILLE REGIONAL OFFICE
C000497
Facility Type: El Facility Grade: II J SUBMIT A SEPARATE FORM FOR EACH CLASSIFICATION
Permittee Owner/Officer Name: Duke Energy Carolinas LLC/ Jeffrey Flanagan
Email Address: [e-mail]
Permittee Signature:
Date:
Full Name:
Email Address.
Certificate Type: Select
Signature:
Full Name:
ORC
Operator in Responsible Charge
Work Phone:
Certificate Grade: Select
Certificate #:
Effective Date:
"I certify that I 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 O8G .0204 and
failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Joshua Layne Calhoun
Certificate Type: WW
Signature:
Full Name:
Backup ORC
Certificate Grade: II
Work Phone: [phone]
Certificate #:_ 991323
i 1 Effective Date:
"i Se tify that I agree to my de gnation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will
a e 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
Certificate Type: Select
Certificate Grade: Select
Work Phone:
Certificate #:
Signature: Effective Date:
'1 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.'
Mail, fax or email ORIGINAL to: WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 1 FAX: [phone] [e-mail]
Mail or fax a COPY to: Mooresville-610 E. Center Ave., Suite 301, Mooresville, NC 28115 I FAX: [phone] I PH: 704-663-1699 El
Revised 3/2019