NC0022406_GW-22W_WellConstructionApplication_20170823

�� ENERGY.
August 21, 2017
State of North Carolina Department of Environmental Quality
Division of Water Resources
Winston Salem Regional Office
Attn: Shuying Wang, P.G., Hydrogeologist
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Subject:: Interim Action Plan Remediation System Well Construction Permit
Duke Energy - Belews Creek Steam Station
Belews Creek, NC 27009
Dear Ms. Wang:
3191 Pine Hall Road
Walnut Cove, NC 27052
336-445-0610
Attached you will the permit application form and associated drawings for the remediation system that
will be installed as a part of the Interim Action Plan for the Belews Creek Steam Station. In accordance
with 15A NCAC 2C Section .0105(b)(1), this application is being submitted to satisfy permit
requirements for construction of a water supply well or system with a design capacity of 100,000 gallons
per day or greater.
If you have any questions on the enclosed information, please contact me at [phone] or
[e-mail].
Respectfully submitted,
Melonie Martin
Lead Environmental Specialist
Waste and Groundwater Programs
Attachment: Duke Energy Belews Creek Well Permit Application
Duke Energy Belews Creek Well Installation Figures
cc (via email) : Steve Lanter (NCDEQ)
Sherri Knight (NCDEQ)
Jeremy Pruett (Duke)
Ed Sullivan (Duke)
Kevin Kirkley (Duke)
Craig Eady (SynTerra)
Page 1 of 1

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: 8/21/17
2. County: Stokes
FOR OFFICE USE ONLY
PERMIT NO. ISSUED DATE:
3. Applicant Duke Energy - Belews Creek Steam Station Telephone:
4.
5.
6.
7.
8.
Applicant's Mailing Address: 3195 Pine Hall Road Belews Creek, NC 27009
Applicant's Email Address (if available):
Contact Person (if different than Applicant):
Melonie Martin Telephone: [phone]
Contact Person's Mailing Address: 3191 Pine Hall Road Walnut Cove, NC 27052
Contac Person's Email Address (if available):
Melonie.Martin(@-duke-energy.com
Property Owner (if different than Applicant):
Same as Above Telephone: Same as Above
Owner's Mailing Address: Same as Above
Owner's Email Address (if available):
Same as Above
Property Physical Address (including PIN Number): 3195 Pine Hall Road
City: Belews Creek
County: Stokes Zip Code:27009
Intended use of Well or Well System: Groundwater Accelerated Remediation 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? 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): 115
10. If adding a well to an existing system, list the existing water supply wells in the existing system and their respective yields:
N/A
11. Is this a public well or well system? No If yes, give Public Water ID Number: N/A
If yes, give Project Engineer and contact information: N/A
12. Well Contractor: Cascade Drilling, LP Well Contractor Certification No.: 2992
Well Contractor Address: 825 South Main Street New Ellington, SC 29809
PROPOSED WELL CONSTRUCTION INFORMATION
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: 2
3. No. of wells to be constructed in bedrock: 10
4. Total No. of wells to be constructed: 12
(add answers from 2 and 3)
5. Estimated beginning construction date: 9/25/2017
6. Estimated construction completion date: 10/27/2017
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
Melonie Martin
Printed name of Applicant or *Agent
Lead Environmental Specialist
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).
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]

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BELEWS CREEK STEAM STATION
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DUKE ENERGY CAROLINAS
BELEWS CREEK STEAM STATION
3195 PINE HILL RD
BELEWS CREEK, NORTH CAROLINA
BELEWS LAKE NC QUADRANGLE
IG70N DRAWN BY: JOHN CHASTAIN DATE: 11/28/2016
GRAPHIC SCALE
PROJECT MANAGER: BILL MILLER CONTOUR INTERVAL: 20 FEET 1000 O 1000 ZOOO
LAYOUT: USGS TOPO MAP DATE: 2013
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NOTES:
1. THE DUKE ENERGY CAROLINAS PROPERTY LINE, COMPLIANCE BOUNDARY AND WASTE BOUNDARY
SHOWN ARE FROM THE HDR SCSA SUPPLEMENT 2. DUKE IS ANTICIPATING COMMENTS FROM DEQ
\\ CONCERNING THE COMPLIANCE BOUNDARY.
2. PARCEL A (2.23 ACRES) PROPERTY LINE IS BASED ON A PLAT PREPARED BY LDSI TITLED "EXHIBIT MAP
\\ / FOR DUKE ENERGY CORPORATION", DATED 09-28-2016, PROJECT NUMBER 4115187, FILE NAME
4115198.DWG.
3. SITE FEATURES AND TOPOGRAPHY OBTAINED FROM MAP PREPARED BY WSP TITLED "MONITORING WELL
/ LOCATION SURVEY BELEWS CREEK STEAM STATION', JOB NUMBER 1188313A, DATED JULY 22, 2015,
FILE NAME "BELEWS GWA FINAL 07-22-15.DWG".
\ 4. THE COMPLIANCE BOUNDARY, WASTE BOUNDARY, DUKE ENERGY CAROLINAS PROPERTY LINE,
\\ ,' TEMPORARY WELLS, SOIL BORINGS, AND AOW LOCATIONS ARE APPROXIMATE.
\ MIDDLETON GRAPH IC SCALE
LOOP ROAD 100 0 100 200 FIGURE 1-2
IN FEET SITE LAYOUT
148 RIVER STREET, SUITE 220 DUKE ENERGY CAROLINAS
GREEN/ PHONE [phone]LLE, SOUTH CAROLINA 29601 BELEWS CREEK STEAM STATION
/ PHONE [phone]
www.synte"aco'p.com 3195 PINE HALL RD
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PROJECT
MANAGIGLER*
DATE: PRINTED*
BELEWS CREEK, NORTH CAROLINA
O F PROJECT MANAGER: E LADY DATE PRINTED:
/ CHECKED BY: B. MILLER 12/27/2016 2:14 PM
P:\Duke Energy Progress.1026\20. BELEWS CREEK\04. CCP Accelerated Rem, Interim Action Plan - Design & Dev\30 PERCENT DESIGN\dwg\DE BELEWS CK FIG 1.2 SITE LAYOUT.dwg

DATE PRINTED: 08/17/2017 4:36 PM SYNTERRA FILE PATH: P.\Duke Energy Carolinas\20. BELEWS CREEK\04. CCP Accelerated Rem, Interim Action Plan - Design & Dey\100 PCT BOD\DWG\DE BELEWS CK (PLAN & PROFILE).dwg
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DUKEENERGY
BELEWS CREEK STEAM STATION
GREENVILLE, SOUTH CAROLINA 29601 BELEWS CREEK, NORTH CAROLINA
10 148 RIVER STREET, SUITE 220 3195 PINE HALL RD
PHONE [phone]
www.synte r rracor racorp.co m
DRAWING TITLE:
SHEET NO
Terra DRAWN BY JOHN CHASTAIN ENGINEER BILL LANTZ PLAN &PROFILE -HEADER PIPE
3 OF 8
- 17-07-25 JEC COE CDE REPOSITIONED DRAWING TO ADD CCR-2S & CCR-2D
PROJECT MANAGER: CRAIG EADY
DATE: 04/10/2017
DUKE DRAWING NUMBER:
X
REV NO
REV I
DATE I DR CK APP DESCRIPTION
LAYOUT: SH 3 PLAN & PROFILE
DATE PRINTED: 08/17/2017 4:36 PM SYNTERRA FILE PATH: P.\Duke Energy Carolinas\20. BELEWS CREEK\04. CCP Accelerated Rem, Interim Action Plan - Design & Dey\100 PCT BOD\DWG\DE BELEWS CK (PLAN & PROFILE).dwg

SEE SHEET 4 FOR
MORE DETAILS
VAULT LID
INSTRUMENTATION CONDUIT
(MINIMUM OF 2)
NATER TABLE
,e �li I Ili
II I
III �I
III YI
II'
I
I�
I I
I I
I
I I
I
II I
(MINIMUM OF
4" WELL CASING
TOP OF TRANSITION ZONE
APPROXIMATELY 45' BGS
HIGH LEVEL CONTROL SE` SOR ;�-
DISCHARGE PIPE
�� LOW LEVEL CONTROL
4" WELL
DEPTH TO TOP OF COMPETENT BEDROCK
APPROXIMATELY 55'-65' BGS
NTRANSITION ZONE -APPROXIMATELY 10'
L�
RE TRANSDUCER CABLE
OP POWER CABLE
WELL
EXTRACTION WELL
4" DIA STEEL PIPE BOLLARD
FILLED WITH CONCRETE
3MINIMUM DEPTH
ABOVE GROUND SURFACE
GROUND SURFACE 4 -
2' MINIMUM DEPTH
BELOW GROUND SURFACE
2' x2' CON( nrrr nn n
PROTECTIVE
CASING
COMPRESSION CAP
EN
O O
4" DIA STEEL PIPE BOLLARD
LOCATED AT EACH CORNER (TYP)
BOLLARD LOCATION
PLAN VIEW
OBSERVATION WELL
NOT TO SCALE
148 RIVER STREET, SUITE 220
GREENVILLE, SOUTH CAROLINA 29601
PHONE [phone]
www'synterraco rp.com
WnTerra PR
DATOJECT MANAGERDRAWN BY: JOHN HASTAIN CRAIG EADy ENGINEER: BILL LANTZ
LAYOUT: SH 6 WELL SCHEMATIC
mrP.�m a�..�o" ai"o - necicn R nP"�� nn "cT ann,nwr,�nF avi Fws cu Ean nFrnu s nwc
`—LOCK
1,1`1
PROTECTIVE CASING
:I
2' x2' CONCRETE PAD
(MINIMUM 6" THICK)
4" MINIMUM DE
EAT CEMENT GROUT TO
EAR GROUND SURFACE
BORE HOLE DIAMETER
2" PVC WELL CASING
(SCHEDULE 40)
SAPROLITE/TRANSTITION ZONF
v WATER TABLE ABOVE BEDROCK
BENTONITE PELLET SEAL
(2' MINIMUM THICKNESS)
SAND PACK - WASHED HIGH GRADE
NO. 1 OR 2 SILICA SAND
(MINIMUM 2- ABOVE TOP O
PRE PACKED WELL SCRE N)FTHE
PREPACKED WELL SCREEN
SCHEDULE 40
10' SCREEN SLOT SIZE 0.010"
APPROXIMATE DEPTH 55'
BELOW GROUND SURFACE
DUKE ENERGY
BELEWS CREEK STEAM STATION
3195 PINE HALL RD
BELEWS CREEK, NORTH CAROLINA
DRAWING TITLE: EXTRACTION WELL He SHEET NO
OBSERVATION WELL SCHEMATICS 6 OF 8
DUKE DRAWING NUMBER: REV NO
X _