NC0004987_Change of Backup ORC_20180629

La Sala, Joseph Scott
From: La Sala, Joseph Scott RECEIVEDINCDENR/DWR
Sent: Friday, June 29, 2018 9:57 AM
To: [e-mail]' JUL 2 [U18
Subject: Marshall Steam Station - Change in Backup ORCs
Attachments: Marshall_Steam_PCl_ChangeInBackupORC.pdf, Marshall S mm�Ww R05
_ChangeinBackupORC.pdf
rottll�ts I EGIONAL OFFICE
Jenee,
Please find attached the operator designation forms for change of backup ORC at Marshall Steam Station (NPDES WW
permit NC0004987). Effective July 1, 2018, Marshall requests the following changes be made to the ORC/Backup ORC
for PC1 and WW1 at the facility:
Gregory Paul Phillips— Keep as CIRC (WW/PC)
Joseph Scott La Sala — Keep as backup ORC (WW/PC)
Donald Scruggs— Remove as backup ORC (WW/PC)
Steve Hodges—Add as backup ORC (WW/PC)
Please let me know if you have any questions or concerns regarding this request of change for operator designation.
Thanks!
Scott
/1aae 4 l eat Da#/
J, scnl/U A fatal N
Sr. EHS Professional Marshall Steam Station
Office 828.478.7820 Mobile [phone]
8320 East NC HWY 150
Terrell, NC 28682
ioseoh.lasala @duke-energy.com
S ENERGY.
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WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Press TAB to enter information
Permittee Owner/Officer Name: DUKE ENERGY CAROLINAS, LLC
Mailing Address: 8320 E NC HWY 150
City: TERRELL
Email Address: [e-mail]
Signature:
Facility Name: DUKE ENERGY -MARSHALL STEAM STATION
County: CATAWBA
State: NC
Phone: [phone]
Zip: 28682
Permit # NC0004987
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type: PC
L II
RECEIVEDINCDENRIDWR
JUL 2 [018
Facility Grade: WQROS
MOORESVILLE REGIONAL OFFICE
OPERATOR IN RESPONSIBLE CHARGE (ORC)
Print Full Name: Gregory P. Phillips Work Phone: [phone]
Certificate Type: PC Certificate Grade: I Certificate #: 28197
Email Address: [e-mail]
Signature: P�_ Effective Date: W'7&8
"/certify that/ agree to my designation as the Operator in Responsible Charge for the facility noted. /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."
BACKUP ORC
Print Full Name: Joseph Scott La Sala Work Phone: [phone]
Certificate Type: PC Certificate Grade: I Certificate #: 1002443
Email Address: [e-mail]
Signature: �� Effective Date: 6 /
"/certify that I agree to my designation as a B49 --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 WPCSOCC, 1618 Mail Service Center, Fax: [phone] Email: [e-mail]
ORIGINAL to: Raleigh, NC 27699-1618
Mail or Fax Asheville Fayetteville Mooresville Raleigh
a COPY to: 2090 US Hwy 70 225 Green St., Suite 714 610 E. Center Ave., Suite 301 3800 Barrett Dr.
Swannanoa, NC 28778 Fayetteville, NC 28301-5043 Mooresville, NC 28115 Raleigh, NC 27609
Fax: [phone] Fax:[phone] Fax: [phone] Fax: [phone]
Phone: [phone] Phone, 910-433-3300 Phone: [phone] Phone: [phone]
Washington Wilmington Winston-Salem
943 Washington Sq. Mall 127 Cardinal Dr. 45 W. Hanes Mall Rd.
Washington, NC 27889 Wilmington, NC 28405-2845 Winston-Salem, NC 27105
Fax: [phone] Fax:[phone] Fax: [phone]
Phone: [phone] Phone: [phone] Phone: [phone]
Revised 412016

WPCSOCC Operator Designation Form (continued)
Facility Name: DUKE ENERGY - MARSHALL STEAM STATION Permit #:
NC0004987
BACKUP CIRC
Print Full Name: Steve D. Hodges Work Phone: [phone]
Certificate Type: PC
Certificate Grade: I
Email Address: [e-mail]
Certificate #: 28173
Page 2
Signature: Effective Date:
"I 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."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Signature:
Certificate Grade: Select Certificate #:
Effective Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. /understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC os 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
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Signature:
Certificate Grade: Select Certificate #:
Effective Date:
"/certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. /understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC os 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
Print Full Name: Work Phone:
Certificate Type: Select
Email Address:
Signature:
Certificate Grade: Select Certificate #:
Effective Date:
"/certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. /understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC asset 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."
Revised 412016

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Press TAB to enter information
Permittee Owner/Officer Name: DUKE ENERGY CAROLINAS, LLC
Mailing Address: 8320 E NC HWY 150
City: TERRELL
Email Address: [e-mail]
Signature:
Facility Name: DUKE ENERGY -MARSHALL STEAM STATION
County: CATAWBA
State: NC
Phone: [phone]
Zip: 28682
Date: Q 6 /z:a91 C$
Permit # NC0004987
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type: 1WW
Facility Grade: 11
OPERATOR IN RESPONSIBLE CHARGE (ORC)
Print Full Name: Gregory P. Phillips Work Phone: [phone]
Certificate Type: WW Certificate Grade: I Certificate #: 13347
Email Address: [e-mail]
Signature: d2z� �y� / Effective Date: 4/7k
"/certify that I 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 asset 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
Print Full Name: Joseph Scott La Sala Work Phone: [phone]
Certificate Type: WW Certificate Grade: I Certificate #: 1005114
Email Address: [e-mail]/
Signature:///lam/ �Gf Effective Date:
"I certify that/ agree fob 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 asset 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 WPCSOCC, 1618 Mail Service Center, Fax: [phone]
ORIGINAL to: Raleigh, NC 27699-1618
Mail or Fax Asheville
a COPY to: 2090 US Hwy 70
Swannanoa, NC 28778
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St., Suite 714
Fayetteville, NC 28301-5043
Fax: [phone]
Phone: [phone]
Email: [e-mail]
Mooresville
610 E. Center Ave., Suite 301
Mooresville, NC 28115
Fax: [phone]
Phone: [phone]
Washington Wilmington Winston-Salem
943 Washington Sq. Mall 127 Cardinal Dr. 45 W. Hanes Mall Rd.
Washington, NC 27889 Wilmington, NC 28405-2845 Winston-Salem, NC 27105
Fax: [phone] Fax: [phone] Fax: [phone]
Phone: [phone] Phone: [phone] Phone: [phone]
Raleigh
3800 Barrett Dr.
Raleigh, NC 27609
Fax: [phone]
Phone: [phone]
Revised 412016

WPCSOCC Operator Designation Form (continued)
Facility Name: DUKE ENERGY - MARSHALL STEAM STATION Permit #:
NC0004987
BACKUP ORC
Print Full Name: Steve D. Hodges Work Phone: [phone]
Certificate Type: WW
Certificate Grade: II
Email Address: [e-mail]
Certificate #: 26786
Page 2
Signature: h�;C%�-� Effective Date: •511 sa aeyo
a l
"I certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. /understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC asset 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
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"I certify that / agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. /understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC asset 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
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"I certify that/ 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 asset 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
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"/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."
Revised 412016