WS0701182_Application_20230327

Alutrien-
Feeding the Future-
March 27, 2023
Attn: Dwight Randy Sipe
Division of Water Resources
943 Washington Square Mall
Washington, NC 27889-3314
Subject: Application For Permit To Construct
Temporary Water Supply Well
PCS Phosphate Company, Inca —Aurora Division
Beaufort County
Dear Mr. Sipe,
Please see the attached application for well construction of three (3) temporary water
supply wells in the active mining area at the Nutrien—Aurora facility.
Well construction is estimated to begin May 1, 2023
Please do not hesitate to contact me at [phone], if I can answer any questions or
provide any additional information concerning this application.
Ox
Brittany Curtis
Technical Services Specialist
Nutrien-Aurora
pc: 12-06-001-02 (w/attachment)
ec: Gabrielle Chianese (w/attachment)
David May (w/attachment)
Robert Tankard (w/attachment)
Tyler Cvetan (w/attachment)
Emma Shipley (w/attachment)
1530 NC Hwy 306 South,Aurora,NC USA 27806 nutnen.com
1 Effective January 1,2018,PCS Phosphate Company,Inc.is an indirect subsidiary of Nutrien Ltd.PCS Phosphate Company,Inc.
remains the legal operating entity and permittee.

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: March 2711, 2023 FOR OFFICE USE ONLY
2. County: Beaufort PERMIT NO. ISSUED DATE:
3. Applicant: PCS Phosphate Company Inc.(Nutrien) Telephone:[phone]
Applicant's Mailing Address: 1530 NC HWY 306 S Aurora, NC, 27806
Applicant's Email Address (if available): Brittany.curtis(a)nutrien.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
Contact Person's Email Address (if available): Brittany.curtis(o�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): 1530 NC HWY 306 S PIN #: 27806-9245
City: Aurora County: Beaufort Zip Code: 27806
7. Intended use of Well or Well System: Temporary Water Supply Well
(examples: irrigation, consumption,etc.)
8. Will the proposed water supply well or well system replace or be added to an existing well or well system? No
(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): 260,000
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
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: Roger Hudson Well Contractor Certification No.: 2399-A
Well Contractor Address: 2222 Swamp Road, Pantego, NC 27860
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: 3
C. Screen intervals 4. Total No. of wells to be constructed: 3
d. Sand/gravel pack intervals (add answers from 2 and 3)
e. Type of casing material and thickness 5. Estimated beginning construction date: 05/01/2023
f. Grout horizons 6. Estimated construction completion date: 12/31/2023
g. Well Head completion details
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
Technical Services Specialist
Signatur Applicant or*Agent Title of Applicant or*Agent
Brittany Curtis 'If 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 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 Washington Regional Office Winston-Salem Regional Office
225 Green Street, Suite 714 943 Washington Square Mall 450 W. Hanes Mill Road
Fayetteville, NC 28301-5094 Washington, NC 27889 Suite 300
Phone: [phone] Phone: [phone] Winston-Salem, NC 27105
Fax: [phone] Fax: [phone] Phone: [phone]
Fax: [phone]
Mooresville Regional Office 4%fro� —., `
610 East Center Avenue ` �Y
Mooresville, NC 28115
Phone: [phone]
Fax: [phone]
J—W ngton
GW-22W Rev.3-1-2016

NUTRIEN MAIN
PLANT ENTRANCE
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SOUTH OF t
_ Legend
�33 TRA� � r
NC PRIMARY ROADS
I 1 i 0 MINE PERMIT LIMFr
PLANNED TEMP SUPPLY
■, _ ® WELL
AURORA FACILITY
f lu
trien'" AURORA
NC NC, 7806
E_ AURORA NC,27806
RICHIAUU TOV%'I(SHIP B AUFORT COUNTY NORTH CAROLINA
E
OVERALL SITE MAP
' DATE D N REV
! 3/16/2023 1 0
Iw SCALE COORDINATE r M
3,000 0 3,000 1" = 6,000 MAD 1093 STATEPUNE NORTH CARO NA FPS=FEET
SIZE IFLE
US Feet ANSI A GROUNDWATER

STATE ROAD 1936 �� r
Aft i
v GLAND WATER WELL#2
E:2,648,926 ft �.
GLAND WATER WELL#5
E:2,640,86o ft
N: 578,282 ft
GLANDWATER WELL#4 .•'�
�4 ,:• E:2,644,010 ft
..: N: 577,585 ft
N
_ - Legend
-i Q MINE PERMIT LIMIT
• PLANNED TEMP SUPPLY
WELL
STATE ROADS
t� NC PRIMARY ROADS
AURORA FACILITY
1530 NC HWY 306S
ksl utrien AURORA NC,27806
RICHIAI JD 10WHSHIP BEAUFORT COUNTY NORTH CAROL114A
PLANNED TEMPORARY
SUPPLY WELL SITES
DATE FIG NO IREV
3/16/2023 1 0
r•,-`t� •Y• ? ( SCALE COORDINATE SYSTEM
1" 2,500' NAD 10a3 STATEPUNE NORTH CARO.INA FPS uoo FEET
1,250 0 1,250
US Feet SANSI AIFILE
GROUNDWATER

FIGURE 3 •
TYPICAL 4.5" TEMPORARY WATER SUPPLY WELL I'lutrlen-
CONSTRUCTION DIAGRAM Feeding the Future-
STEEL CAP
GROUND EL
0' TO -20'
BENTONITE
+2' TO -185'
0' TO -225' 4.5"SDR 17 PVC
8"BOREHOLE CASING
-20' TO -180'
DRILLCUTTINGS
-----------------
-----------------
-180' TO -225'
#3 GRAVEL PACK -185'TO-225'
.032 SLOT
SCREEN
r
NOTE: Drawing not to scale. Casing lengths are approximate. Final depths depend on surface elevation and
depth to Castle Hayne Aquifer.