HomeMy WebLinkAboutWQ0004268_Renewal (Application)_20221028Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
Yes No
Permit Number (IR) * WQ0004268
Applicant/Permittee Murphy -Brown LLC
Applicant/Permittee Address P.O. Box 856 Warsaw, Nc 28398
Is the owner in BIMS? Yes No Is the facility in BIMS?
Owner Type Organization
Facility Name Murphy -Brown WWIS
County
Fee Category Minor
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
llr�ore
Fee Amount $0
Complete App Date 10/28/2022
Below list any additional email address that need notification about a new project.
... ... ..
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO
Comments for Reviewer
Comments for Applicant
Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Kevin Weston
Email Address*
kweston@smithfield.com
Project Information
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
910-293-5363
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
hftps://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type: * Wastewater Irrigation
Other Wastewater
Closed -Loop Recycle
Single -Family Residence Wastewater
Irrigation
Permit Number: * WQ0004268
Has Current Existing permit number
Applicant/Permittee* Murphy -Brown LLC
Applicant/Permittee Address* P.O. Box 856 Warsaw, Nc 28398
Facility Name* Murphy -Brown WWIS
Please provide comments/notes on your current submittal below.
Attached is the renewal application for the Murphy -Brown WWIS, WQ0004268 along with
supporting documentation and a copy of a letter of request for permit extension.
High -Rate Infiltration
Reclaimed Water
Residuals
Other
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at nathaniel.thornburg@ncdenr.gov.
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
W00004268 MB WWIS RenewalApp WWIS-R-02-21
1.08MB
102822. pdf
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality (NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 10/28/2022
FORM: WWIS-R 02-21
Pursuant to l A i t; fit: 02"1" wt111Du 1 , if the application does not include all required information and the necessary supporting
documentation, the application shall be returned. The application and attachments shall be prepared in accordance with )
t"M021,.,6100, 15A IM'A.0 021�.0150 'W, and ) iv iisi�,�ig Policies. For more information, visit the Water Quality Permitting
Section's Non -Discharge Branch �w�kiMte". The Applicant shall submit an electronic copy of the application and attachments
uploaded as a single Portable Document Format (PDF) file to�t3/��,ii�:ctsx���m�ltncic7i��i:c:�Iu�c�i�:➢I-
p or r w V:vi°2, or emailed to c31��, iu� g� qy if less than 20 megabytes (MB).
1. Physical address: 5900 Turkey Hwy
City: Turkey
2. Treatment facility coordinates to the sixth decimal degree:
Latitude: 34.9824880 Longitude:-78.227995'
1. Billing address: P.O. Box 856
County: Sampson
State: NC
Method: Select
SECTION III — FLOW INFORMATION
Parcel No.: 18053760004
Zip:28393-9030
City: Warsaw State: NC Zip: 28398-
2. Verify the Applicant does not have any overdue annual fees:
.......... e :a ����r� �� �� �u;�m'
Pursuant to 15 " 1 t A,, " 0 i .0 2(kej, permits for renewing facilities shall not be granted if the Applicant or any affiliation has
an unpaid annual fee.
FORM: WWIS-R 02-21 Page 1 of 6
SECTION V — OPERATOR IN RESPONSIBLE CHARGE (ORC) INFORMATION
1. ORC: James Derek Brown
Grade: SI Certification No.: 27678
Mailing address: P.O. Box 856
City: Warsaw
State: NC Zip: 28398-
Phone number: (910) 271-0917 Cell
Email: debrown@smithfield.com
, ....------- ....
..m _.......m..........................m......................... .,... .-
12. Back -Up ORC: Michael Leon Norris
........... �... � .......
Grade: Sl Certification No.. 23931
Mailing address: P.O. Box 856
City: Warsaw
State: NC Zip: 28398-
Phone number: (910) 284-0435 Cell
Email: mnorris@smithfield.com
SECTION VI — OPEN -ATMOSPHERE STRUCTURES
1. List all open -atmosphere treatment and storage structures associated
with the renewing permit. Attach additional sheets if
necessary.
�.. Type
Parcel No.
.„
Volume (gal)
.... ................
Liner Type
Freeboard (ft)
Latitude
Longitude
Treatment
18053760004
........................
...
Unknown
2
------ ------------ ,m
34.9825080
.,..._ ., . ,....,.
-78.2279640
Storage
18053760004
Unknown
2
34,9796060
-78.2287860
Select
Select
0-
°
S11 e11 lect Select
- °
SECTION VII — RELATED PERMITS
1. List all wastewater permits (i.e., sewer, collection system, NPDES, residuals) that have interactions with the renewing permit.
Attach additional sheets if necessary.
Permit Type
Permit No.
Relationship Type
Select
— ........................
...
Select
...... .... .....------.. ,,. ------ ............ .____ .......... _............. —.......--------- ---..
Select
...
Select
Select
..
Select
. my
Select
Select
SECTION VIII — MONITORING WELLS
i
1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary.
Well Name
Parcel No
Status
Gradient
Location
_ --
Latitude
-
Longitude
................. --
MW-1
-------- ........w. ._ ....
18053760004
. .............
Active
..........................
Select
......................................
............ .._
Inside Review Boundary
34.9814050
-78.226537°
MW-2
18053760004
Active
Select
Between CB and RB
34.979636 °
- 4885°
78.22 _
....
MW 3
18038504504
Active
Select
- --
On Review Boundary
34.9759870
78 220606°
R-1
15029369001
Active
Select
Inside Review Boundary
34.9720270
-78.2359200
R-2A
15029369001
Active
Select
On Review Boundary
34.9707890
-78.2338270
... ._...... ._ __..____...__ .._.��
..__._.
R-3
15029369001
Active
Select
Inside Review Boundary
34.9694580
78.2321220
R 4
15029369001
Active
Select
Review Boundary
34.9666500
-78.2339710
R---5A
15029369001
Active
Select
mInside
^
Between CB and RB
34.967678°
.... . ___
-78.239556°
�
29369001
Active
Select
On Review Boundary...
34.968103°
3
78 243190°�
m. 01
m .R-7 150293690.
Active
-----------.......----
Select
Inside Review Boundary
-
...
f 8.244747°
R-8 15029369001
Active
Select
Inside Review Bound
Boundary
34.973427°
1__.__—
-78.2-78.234.9700760_
43981°
a
FORM: WWIS-R 02-21
Page 2 of 6
SECTION V - OPERATOR IN RESPONSIBLECHARGE (ORC) INFORMATION
1. ORC:
Grade: Certification No.:
Mailing address:
City:
State: Zip: -
Phone number ( ) -
Select Email:
— — ......... ...... ...
2. Back -Up ORC:
..................................................................�..�
Grade: Certification No.:
Mailing address:
City:
State: Zip: -
Phone number: ( ) -
Select Email:
SECTION VI - OPEN -ATMOSPHERE STRUCTURES
1. List all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if
necessary.
Type
Parcel No.
Volume (gal)
-
Liner Type
--
Freeboard (ft)
.......... ....
Latitude
...
Longitude
... _
Select
Select
0°
_.....
Select
......... .......
Select
.......
......,,,..
0-
Select
Select
0-
°
Select
Select - °
SECTION� ��
TION VII —RELATED PERMITS
1. List all wastewater permits (i.e.,
sewer, collection system, NPDES, residuals) that have interactions with the renewing permit.
Attach additional sheets if necessary.
Permit Type
Permit No.
Relationship Type
Select
Select
Select
-- ..... .............. .
Select
... ............................._.......................................
_
Select
..................
Select
Select
Select
SECTION VIII - MONITORING WELLS
I. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary.
Well Name
Parcel No.
Status
Gradient
Location
Latitude
Longitude
R-9
15029369001
Active
Select
Inside Review Boundary
34.9725880
-78.2386120
................................ ...... _ _
.
Select_...
Select
Select
°
Select
Select
Select
°
- °
mm...m
Select
Select
------- _..... -- --------
Select
°
- °
............... .... a
......................
........
.
Select
.. _... _
Select
Select
.........
°
- °
Select
Select
Select
0-
°
Select
Select
Select
°
- 1 °
Select
Select
Select
°
- °
Select
Select
Select
°
- °
Select
Select
.........
°
- °
Select
Select
Select
0°
FORM: WWIS-R 02-21
Page 2 of 6
SECTION IX — IRRIGATION FIELDS
FORM: WWIS-R 02-21 Page 3 of 6
Was the facility originally permitted or had a major modification issued after September 1, 2006?
Yes —Pursuant to 1 1,;C,,%C 02T 0105(iIj, submit a site map pursuant to the requirements in 1 `dA N ,� CI 02 � 0"��„04(i ); These
requirements are:
❑ A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing
all facility -related structures and fences within the wastewater treatment, storage, and irrigation areas.
❑ Soil mapping units shown on all irrigation sites.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage,
and irrigation sites.
P P 0 .0 ., and 1 ; 1a A.°;._02 O�N.�1ts�c ❑ Delineation o the compliance and review boundaries per 1 a _1'^1 p 1p1 4V:1,V 1 an u 11D
if applicable.
❑ Setbacks as required by 15 A J1IQ, AQ 1521'0506,.
❑ Site property boundaries within 500 feet of all wastewater treatment, storage, and irrigation sites.
❑ All habitable residences or places of public assembly within 500 feet of all treatment, storage, and irrigation sites.
® No — Skip Attachment A.
Does the signature authority in Section I, Item 3 meet the requirements pursuant to 15A N ' Q1 Q;9,,06(� ,u')?
® Yes — Skip Attachment B.
No — Submit a r � qa J,oap,j,1^ft r pursuant to 15 � . � 1V„� 1 .1.1 � 1u�pi:� authorizing the signature authority to sign.
Does the existing permit include an approved flow reduction?
❑ Yes — Submit a copy of the flow reduction approval letter, as well as the measured monthly average amount of wastewater flow
contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved
flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in � 5A
]ha1CAC—Q 1 _11 .:1, •
® No — Skip Attachment C.
Is the Applicant a Privately -Owned Public Utility?
❑ Yes —Pursuant to 1 1', 1,4CAC 11 a 1 M Q ➢ Lf 1p, submit the Certificate of Public Convenience and Necessity from the 1r.uu �l,i
Car aa11a a demonstrating the Applicant is authorized to hold the utility franchise.
® No — Skip Attachment D.
Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold?
❑ Yes (Home/Property Owners' Association) — Pursuant to 15A 1'1 02T.0 p �1 � , submit an executed ,bla�sail ioimu Agri mti iiig
tFOR k' 1K)Aj. Pursuant to 15A 1 CAC 02T 011 "rtc; , if the applicant is a legally formed Homeowners' or Property Owner's
Association, submit a copy of the Articles of Incorporation, Declarations, and By-laws.
❑ Yes (Developer of Lots to be Sold) — Pursuant to ..1.1� 14CAC 0211` ,111 �5[,aj�?_), submit an executed 01,jpraluaraaal, 111µa°cenicral
11 Pursuant to 15A, 1,4CAC 021 0,11,15111)i, if the applicant is a developer of lots to be sold, submit a copy of the
Articles of Incorporation, Declarations, and By-laws.
® No — Skip Attachment E.
FORM: WWIS-R 02-21 Page 4 of 6
ATTACHMENT F — DEMONSTRATION OF FUTURE WASTEWATER
TREATMENT CAPACITIES
Is the applicant a municipality, county, sanitary district, or public utility?
❑ Yes — Proceed to the next question.
® No — Skip Attachment F.
Does the hydraulic capacity in Section III, Item 4 exceed 70%?
❑ Yes (the hydraulic capacity is greater than 70%, but less than 80%) — Pursuant to ;u;';mr _N :;, �D_ T tD q 1 (9,i, prior to exceeding
80 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee
shall submit an engineering evaluation of their future wastewater treatment, utilization, and disposal needs. This evaluation shall
outline plans for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the existing system,
elimination or reduction of extraneous flows, or water conservation and shall include the source of funding for the improvements.
If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be
met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other
measures to achieve waste flow reductions.
❑ Yes (the hydraulic capacity greater than 80%) — Proceed to the next question.
❑ No — Skip Attachment F.
If answered Yes above, does the hydraulic capacity in Section III, Item 4 exceed 80%?
❑ Yes (the hydraulic capacity is greater than 80%) — Pursuant to 15 �\111I' a' IAIC,,, uU 1OI_ q rid 2), prior to exceeding 90 percent of the
system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall obtain all
permits needed for the expansion of the wastewater treatment, utilization, or disposal system and, if construction is needed,
submit final plans and specifications for expansion, including a construction schedule. If expansion is not proposed or is proposed
for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future
growth projections, and as appropriate, shall include conservation plans or other specific measures to achieve waste flow
reductions.
❑ No — Skip Attachment F.
Does the Permittee own all of the land associated with the wastewater collection, treatment, conveyance, and irrigation system?
® Yes — Skip Attachment G.
❑ No — Pursuant to 15A,..14t,AC...02' 0116(c), provide a copy of all easements, lease agreements, and encroachment agreements
allowing the Permittee to operate and maintain the wastewater collection, treatment, conveyance, and irrigation system on
property not owned by the Permittee.
Are the Permittee's affiliations of record correct? 0eck af-'Nations.
❑ Yes — Skip Attachment H.
® No — Provide the corrected affiliations and their contact information.
Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit)
® Yes — Submit documentation that the compliance schedules have been met.
❑ No — Skip Attachment I.
Does the Permittee have any existing civil penalties or outstanding violations?
❑ Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request.
❑ Yes (violations) — Submit a copy of your response to the Notice of Violation.
® No — Skip Attachment J.
FORM: WWIS-R 02-21 Page 5 of 6
Does the wastewater composition in Section III, Item 5 include any industrial wastewater?
❑ Yes — Proceed to the next question.
® No — Skip Attachment K.
Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of
new materials or chemicals, etc.)?
❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in V, -A N ,k ¢� ° IJ,_,0 04� _iii,;,�. Provide an
overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process;
and an overview of the cleaning and treatment methodology.
❑ No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the
manufacturing process; and an overview of the cleaning and treatment methodology.
Does the existing permit include setback waivers?
❑ Yes — Pursuant to ll 5 A N CAC 0 r 0ri0u: d, provide setbacks waivers that have been written, notarized, signed by all parties
involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance
with II.;5A NCA Q 021..., ...d) Ili 0 7.
® No — Skip Attachment L.
1, _Jafl fLGeNT ......... ......._ attest that this application
(Signature authority's name as noted in Section I, Item 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application package are not completed, and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete. I further certify pursuant to '1 A i CA( 2, QM)11[,,w), that the applicant, or any
parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned
a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance
schedule in a permit, settlement agreement, or order; not paid an annual fee.
Note: The Applicant's Certification shall be signed pursuant to I,5A NCA q1 e111 An alternate person may be delegated as
the signing :ial if a letter is provided pursuant to i 5 A 1 C AC' 021' .0 I'O f $'(g) Pursuant to § Il �� t , � �� and § 'l A� � � fit , any
person who I io � y m ' es any false statement, representation, or certification in any application package shall be guilty of a Class
2 misdemeano w c mad �clude a fine not to exceed $10,000 as well as civil penalties up to 1$25,00Q0 per violation.
Signature: _..... 0
..................a,..�.W, �.,,,.��... ...... ....
— -- ...... Date:.....
THE COMPLETED .AP ;.,JCATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email: Laserfiche Upload:
:r�mr �t:�llNmr�� R�� m:��ts�tr twd�nu �imf ��m�a.0@��:ms�iunitmmwl�: l tt�as: a:I�:�s d
„�........ _�����_ . __�_ I _ � ��.� _���_.� � � �Su Ib infltt a � AMA oiu-mVe r°
FORM: WWIS-R 02-21 Page 6 of 6
North Carolina Department of Environmental Quality
Division of Water Resources
Permit Number: WQ0004268
Permit Type: Wastewater Irrigation
Facility Name: MurPhy Brown WWI$
Facility Addressl: 5900 Turkey HIM
Facility Address2:
City, State & Zip: Turkey, NC 28393
Owner information Details:
Owner Name: Murphy -Brown LLC
Owner Type: No,n Goye,rnment
(1114wPonsiblecorprH*te off
Owner Affiliation: John Sargent
Addressl: PO Box 856
Address2:
City, State & Zip: Warsaw. NC 28398-0856
Work Phone: 910-293-3434
Email Address: jsargent@smithfield.com
Owner Type Group: Organization
Title: Exe„,gti,VeV,icePresident
Fax: 910-293-3138
*** Permit Annual Fee i3illin ***
Billing Month: August
Invoice Number Invoice Date Invoice our. Date Invoice Amount Invoice Status
Owner Contact Person(s)
Contact Name Title Address Phone Fax Email
Kevin Weston Environmental PO Drawer 856, Warsaw, NC 28398 910-293-5363 910-293-3138 kweston@smithfield.com
Resource S cialist
IFac i Contact Person(s)
Contact Name Title Address Phone Fax ma'I
TUAM -om 1 22 T g.
t.° m See V'Iare 2 fa'quo,°rected Affffiaflorii corn
Nwnm t_Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Billing Contact Person(s)
Contact Name Me Address Phone Fax Email
Murphy -Brown PO Box 856, Warsaw, NC 28398-0856 910-293-3434 910-293-3138
Persons with Signa#ory Authority
Type Contgq N@me Title Address Phone Fax Email
Owner John Sargent PO Box 856, Warsaw, NC 910-293-3434 jsargent@smithfiled.com
28398-0856
10/28/2022 Page 1
Permit Number:
WQ0004268
Permit Type:
Wastewater Irrigation
Facility Name:
Murphy -Brown VVWIS
Facility Addressl:
5900 Turkey Hwy
Facility Address2:
City, State & Zip:
Turkey. NC 28393
Facilitv Classification: SI
Operator Name
Role
Cert Type
Cart Statu
Cert #
Effective Date
James Derek Brown
ORC
SI
Active
27678
5/1812018
Michael Leon Norris
Backup
SI
Active
23931
5/14/2018
ntai3 IICF eii°°son
Coirda(!I Nairie Tillie
DaAid VIlor&i �3r, Dhectoof Eiriv, Afl:alm
Address
Phone
1�3��iix 856 Wau saw,, NC 910-293,3434
28�398
10/28/2022 Page 2
idiir, ; iii I Cri'ipII'liiarice Sche( III'C III' �w)CU'ne;vtalIJiiiaii
VF, L ABANDON NT RECORD
North Carojba llapatl,tient of EAVirt1I1 wn1 and Nulurat tesonroes- MWon of Water Quality
WELL C4ONTRACTOR CERTIFICATION # }
1. WELL COMACrOR:
Wctl Conh=W (Individmat)Name
Well � p r Co'yNttme
STREETADDRP,Ss ! Z1 Fi, A �V�!
,l 1 A if 2
CkyorTown State ZpCc&
("�Ld�• .zY2y 3171C
Area codb- Phone btimber
2. W:�LL�If'D.��s4T10Y
SiTETTEL•t(Dif(itap[ihcable) %/hW_ n ...
STATEWPLL1'E21M V(11'a¢plicvBle,) —____
COUNTYWELL PERMIT# (ifapplicable)
WELLfft (Check applicable use);-[A6uitoring ❑ YR"Itlintial
0 AlualcipAVI'atiHe 0 TeduslrluMummoviai 0 Agritultund
Q Recovery, ❑ ,14jceHon ❑ Irrigation
[] Other (ust use)
3.lVELLLOCA71 N:
C0UNTYy:9U&At AQUADRANGL) NAME ____-,�---
NEAREST f0►N14: ( ,e
10ORrnE2 p LLC-
(sunattewda �, t.� ,cauamatty, Stitatvt�on tatrte., k,uml. v eo a
TOI,0dE APAtc /LAND 5Rl•rING: InfOnTaiOO
OSlope ❑Valley RV09 []Ridge00thw __ Cc4'
(ctteelt apgl 1 9 3 �
0 G May be m d. m=,
LATITUDE / (`J(�..f7 tuiuuteo� lefvnda, or im a
LONGITUDL'!F°Az Y- 7. Lt dacitasi lorarat
. xcs8�
Latitade7uug13da qurce S pTopographic ntap
(Local- ofwd( mtut be ahawn on a, USOS'lopo map and
ar -&d ro Mmf—1 091141119 GPS j
4a. FACILITY-11w.natm ctdw b,witum where dun well is beard L.amotte4a mMb.
(Ifa«sidentislvrcil. skip 4o:somitleleAQvucii^,arn�:)
FACII.fTXID#(ifapplirable) 4
NAME or PactI
T—"
STREET' ADDRESS 4% Co. w City ar Towa I Stmo zip Cndn-
4b. CONTACT PERSONA WJ L OWNER-
STRL•ETADDRESs .2 .4
6. WELL DETAIL
a: Total Depth: 3l✓,„,_ & Dr,.M er:
b. Water Levc1(Balow MrasuTinS Point): _ rL
iNeesaring poirttis _ Z R. above land surface,
6. CASMG: Length Diameter
a. Casing Depth (f inowa): _.. � it. is
baCasing Removed:
ft
7. VMMEChCOY: ,_ I OX a
(Amount of 65%75% calcium h)pochigrltp used)
& SEALING MTERIA.1:
NeAt coneup Smell, ilomem
CemL'nt '16. (;.•ement. lb.
Watts gar. - water gal.
__t1VI�L
Batttmita lb.
T21M[3Sltary ills wSEP 10 Uii� aXar .. PL
lLh�
Type tn:tterisl F-,�y �Q�io�
Amount tEREGJORJAJ FFICE
,fWltloD of EWLACENIENTIOF RATER Lt t
10.\YTsI'd.QfAGR4RiDrawgdetailcdalchQflliewellonUbb3cko£this
form *Aft toml dt:pth, depth mid diamoter bf screens (if any) minaining
lathe wall, gmvel.mwval, intcnnals or asiogperforations, and depths and
types oftill materhIsrsed.
11. DATI? 1VbLL ABAhTD[ 'q1) �.
1 DO HMMY CWTIFY'-MT THMt WELL WM.AQANDQIdm mt A('_CORDAMC;i
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SIGNATUltK OF P tYATE YVELL OWNERA DOIIrt�(Q 11rE V1B16 1�1TE
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PROMD NAME OFPERSON A$L107!)ONING Tilt; WELL
Sublrtit a copy to theownermid the origivai to the Dhisloti of Water Quality within 30 days. Form OW 3o
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1.735 Heckle Blvd, d, Suite 1.03-291., Rock Hill, SC 29732
1ION111F, (336) 51& 0340 I,1?aLL (336) 31.Z, 9007
October 27, 2022
N.C. Department of Environmental Quality
Division of Water Resources
512 North Salisbury Street
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: REQUEST FOR PERMIT EXTENSION WQ0004268
Murphy -Brown WWIS (Former Allen Canning)
Turkey, North Carolina
BR&S Job No. 2022-135
Dear Mr. Thornburg:
Murphy -Brown has retained Branch Residuals & Soils to assist in the closure of the lagoons at the former Allen Canning
facility now Murphy -Brown WWIS in Turkey, North Carolina. Murphy -Brown has been engaged in the closure of the
lagoons at the facility and the removal of solids. Due to several years of uncooperative weather, efforts have been
hampered. However, this year the weather has cooperated and significant progress is being made. Unfortunately the
permit is at an end and is slated to expire on April 30, 2023. Under ideal circumstances we would like to have the closure
completed by the end of permit expiration but we rather secure some extra time just in case ideal conditions are not
available.
Murphy- Brown would request that Permit WQ0004268 be extended an additional year and allowed to expire on April 30,
2025. Please review with NCDWQ Fayetteville Regional Office and consider our request. Please give me a call if you
have any questions or comments, (336) 312-9007,
Sincerely,
ram,.,
Robert T. Branch
Branch Residuals & Soils ,LLC
Cc: Mr. David Nordin — Smithfield
Mr. Dave Elkins — Smithfield
Mr. Trent Allen — NCDWQ FRO