WS0500167_Well Permit Application_20241101

November 1, 2024 Mr. Andrew Moore Public Service Company of North Carolina 800 Gaston Road Gastonia, NC 28056 Sent Via Email Subject: Water Supply Well Construction Permit # WS0500167 Moriah Energy Center 6105 Helena Moriah Road Rougemont, NC 27583 – Person County Mr. Moore: In accordance with your application received October 8, 2024, and additional information received November 1, 2024, we are forwarding herewith Well Construction Permit No. WS0500167, dated November 1, 2024, issued to the Public Service Company of North Carolina for the construction of a water supply well system consisting of two wells. Please be aware that some counties have well construction programs, and you may be required to obtain a well construction permit before installation.

This Permit will be effective from the date of its issuance until November 1, 2025 and shall be subject to
the conditions and limitations as specified therein. If any parts, requirements, or limitations contained in
this Permit are unacceptable to you, you have the right to an adjudicatory hearing before a hearing officer
upon written demand to the Director within 30 days following receipt of this Permit, identifying the
specified issues to be contended. Unless such demand is made, this Permit shall be final and binding.

In an effort to protect and conserve the groundwater resources, the Division encourages water users to
develop and implement a water conservation and management plan. If you have any questions about this
permit, please contact Michael Hall at [phone] or via email at [e-mail]. Sincerely,
Michael Hall, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ Enclosure -Permit -Application Package Ec: Alex Cheek, HDR Tresha Price, Raleigh Regional Office, DWR Public Water Supply Section Laserfiche
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES PERMIT FOR THE CONSTRUCTION OF A WATER SUPPLY WELL OR SYSTEM
In accordance with the provisions of Article 7, Chapter 87, North Carolina General Statutes, and other applicable Laws,
Rules and Regulations.
PERMISSION IS HEREBY GRANTED TO The Public Service Company of North Carolina FOR THE CONSTRUCTION OF A WATER SUPPLY WELL SYSTEM consisting of two water supply wells owned by The Public Service Company of North Carolina, at mailing address 800 Gaston Road, Gastonia, NC 28056. The wells will be located on the Moriah Energy Center, at 6105 Helena Moriah Road, Mt. Tirzah, NC 27583. This Permit is issued in accordance with the application received on October 8, 2024, and additional information received on November 1, 2024, in conformity with specifications and supporting data, all of which are filed with the Department of Environmental Quality and are considered integral parts of this Permit.
This Permit is for well construction only and does not waive any provision or requirement or any other applicable law or
regulation. Construction of any well under this Permit shall be in strict compliance with the North Carolina Well
Construction Regulations and Standards (15A NCAC 02C .0100), and other State and Local Laws and regulations pertaining
to water supply well construction.

If any requirements or limitations specified in this Permit are unacceptable, you have a right to an adjudicatory hearing
upon written request within 30 days of receipt of this Permit. The request must be in the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes and filed with the Office of Administrative Hearings,
6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such a demand is made, this Permit is final and
binding.

This Permit will be effective for one year from the date of its issuance and shall be subject to other specified conditions,
limitations, or exceptions as follows:

1. Issuance of this Permit does not supersede any other agreement, permit, or requirement issued
by another agency.
2. The well(s) shall be located and constructed as shown on the attachments submitted as part of
the Permit application.
3. The well(s) shall have a Well Contractor Identification Plate and a Pump Installation Information
Plate in accordance with 15A NCAC 02C .0107(j)(2) and (3).
4. Well construction record (GW-1) for the well shall be submitted to the Division of Water
Resources’ Information Processing Unit and CCPCUA Program, 1611 Mail Service Center, Raleigh,
NC 27699-1611 within 30 days of the well completion.

5. When the wells are discontinued or abandoned, they shall be abandoned in accordance with 15A
NCAC 02C .0113 and a well abandonment record (GW-30) shall be submitted to the Division of
Water Resources’ Information Processing Unit within 30 days of the well abandonment.

____________________________________
Michael Hall, Regional Supervisor
Division of Water Resources, Raleigh Regional Office
By Authority of the Environmental Management Commission

Permit Number: WS0500167
Permit Issued: November 1, 2024

Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE:
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:
2. County:
3. Applicant Telephone:
Applicant’s Mailing Address:
Applicant’s Email Address (if available):
4. Contact Person (if different than Applicant):Telephone:
Contact Person’s Mailing Address:
Contac Person’s Email Address (if available):
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):
City:County: Zip Code:
7. Intended use of Well or Well System:
(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?
(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):
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?If yes, give Public Water ID Number:
If yes, give Project Engineer and contact information:
12. Well Contractor:Well Contractor Certification No.:
Well Contractor Address:
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
4. Total No. of wells to be constructed:
(add answers from 2 and 3)
5. Estimated beginning construction date:
6. Estimated construction completion date:
Continued on Reverse
October 29, 2024
Person County
Public Service Company of North Carolina, Inc
800 Gaston Road, Gastonia, NC 28056
Andrew Moore [phone]
800 Gaston Road, Gastonia, NC 28056
6105 Helena Moriah Rd., Rougemont, NC/ A98 198
Mt. Tirzah Person 27583
Fire suppression system and consumption
Yes
up to 648,000 gpd (based on well yield) intermittent use
WSW-1 - approximately 150 gallons per minute
No
Geologic Exploration, Inc.
material: 0
3. No. of wells to be constructed in bedrock:2
2
November 25, 2024
December 23, 2024
[phone]
800 Gaston Road, Gastonia, NC 28056
[e-mail]
2580-A
176 Commerce Boulevard, Statesville, NC 28625
Public Service Company of North Caroline, Inc,
Represented by Andrew Moore [phone]
[e-mail]
[e-mail]
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
Director of Engineering and Construction PSNC
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
Well ID: WSW-2
Above-grade Protective
Well Cover
[A]Ground Surface
[B]Top of Bedrock
Casing Dia.8"
[C]62' bgs
Boring Dia.6"
[D]500' bgs
KEY:NOTES:1. bgs = Below Ground Surface
A - Grade
B - Top of Bedrock
C - Bottom of Outer Casing 3. Top of bedrock estimated to be around 25' bgs based on wells in the area
D - Bottom of Borehole

4. Well completed with an abovegrade surface compleation and locking pvc cap.
Future well enclosure to be completed during facility construction.
PROPOSED WELL CONSTRUCTION DIAGRAM
BEDROCK WATER SUPPLY WELLS
* NOT TO SCALE
2. Open borehole well with 62' surface casing in accordance with Person County well regulations.
Casing constructed of 0.322" thick, 8" diameter galvanized steel.
Propoesed Well
Location (Lat/Long): 36.268001, -78.848722
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382
Well ID: WSW-3
Above-grade Protective
Well Cover
[A]Ground Surface
[B]Top of Bedrock
Casing Dia.8"
[C]62' bgs
Boring Dia.6"
[D]500' bgs
KEY:NOTES:1. bgs = Below Ground Surface
A - Grade
B - Top of Bedrock
C - Bottom of Outer Casing 3. Top of bedrock estimated to be around 25' bgs based on wells in the area
D - Bottom of Borehole

2. Open borehole well with 62' surface casing in accordance with Person County well regulations.
Casing constructed of 0.322" thick, 8" diameter galvanized steel.
4. Well completed with an abovegrade surface compleation and locking pvc cap.
Future well enclosure to be completed during facility construction.
PROPOSED WELL CONSTRUCTION DIAGRAM
BEDROCK WATER SUPPLY WELLS
Propoesed Well
Location (Lat/Long): 36.273111, -78.853413
* NOT TO SCALE
Docusign Envelope ID: FD2D212E-6D62-41EB-B47E-0CE3DA409382