940001_Application Attachment_20220801

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Animal Feeding Operations Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
State Digester General Permit — Farm Digester System
1. GENERAL INFORMATION:
L.I Facility name: Somerset Farm
1.2 Print Owner's name: J.C.T. LLC
1.3 Mailing address: PO Box 856
City, State: Warsaw NC Zip: 28398
Telephone (include area code): (910) 293 - 3434 Fax ( 910 ) 293 - 3 138
Email: [e-mail]
1 4 Physical address: 1855-A Northline Rd
City, State: Roper NC Zip: 27970
Telephone number (include area code): (910 ) 293 - 3434
Latitude 35. 887581 ° Longitude -76. _533015_° (Decimal Degrees from Google Earth)
1.5 County where facility is located: Washington
1.6 Facility location (directions from nearest major highway, using SR numbers for state roads): From Plymouth, NC take US
Hwy 64 East for 12.2 miles to exit 548 (Hwy 27 Hwy32, Edenton) Turn right and site will be on left 0.35mi and on right
0.79 mi
1.7 Farm Manager's name (if different from Landowner): William Van Staalduinen
1.8 Lessee's / Integrator's name (if applicable; circle which type is listed): Smithfield Foods Hog Production Division
1.9 Facility's original start-up date: 1963 Date(s) of facility expansion(s) (if applicable):
1.10 Design Contact name: Kendal Williams Phone (_910) _293-_3434Email: [e-mail]
2. OPERATION INFORMATION:
2.1 Facility number: 94-001
2.2 Operation Description:
Please enter the Design Capacity of the system. The "No. of Animals" should be the maximum number for which the
current swine waste management system is permitted.
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Wean to Feeder ❑ Layer ❑ Beef Brood Cow
❑ Feeder to Finish ❑ Non -Layer ❑ Beef Feeder
❑ Farrow to Wean (# sow) ❑ turkey ❑ Beef Stocker Calf
❑ Farrow to Feeder (# sow) Elurkey Poults ❑ Dairy Calf
❑ Farrow to Finish (# sow) ❑ Dairy Heifer
❑ Wean to Finish 69 260 ❑ Dry Cow
❑ Gilts ❑ Milk Cow
❑ Boar'Stud
❑ Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 1 of 6

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 1902.72 Acres
Required Acreage (as listed in the CAWMP): 1902.72 Acres
Existing Application Area (pre -construction): 1902.72 Acres
Proposed Application Area (post -construction): 1902.72 Acres
Is there a change to the existing WUP? YES or NO (circle one)
Is the Existing WUP attached? YES or NO (circle one)
Is the New (if applicable) WUP attached? YES or NO (circle one)
2.4 List and Describe all Storage/Treatment Structures Below:
a. DIGESTER or other PRIMARY TREATMENT: (double click on "Select" for drop down menu box)
Treatment
Unit Type
Existing?
(Y/N)
Name of
Treatment
Unit
Type of
Liner
Material
Surface
Area
Type of
Cover
Material
Ttl Capacity
(eu. Ft.)
Req'd Capacity
(cu.ft.)
Digester
N
North A
Synthetic
80,000
Synthetic (
609,200
521,472
Digester
N
North B
Synthetic
80,000
Synthetic (
609,200
521,472
Digester
N
Central
Synthetic
180,000
Synthetic (
1,364,752
1,173,312
a 1 Are engineering designs, drawings, specifications, and details attached?
YES or NO (circle one
b SECONDARY TREATMENT/STORAGE: (double click on "Select" for drop -down menu box)
Name of Storage
Unit
Existing?
(Y�
Type of Liner
Material
Surface Area
Ttl Capacity
(cu. Ft.)
Req'd Capacity
(cu.ft.)
North Storage
Y
Soil in situ
168,370
904,755
671,270
Central Storage
Y
Soil in situ
440,838
3,592,194
1,599,136
West Storage
Y
Soil in situ
405,607
2,892,424
1,894,980
Select
2.5 Are KNOWN subsurface drains present within 100' of any application fields?
2.6 Are KNOWN subsurface drains in the vicinity or under the waste management system?
2.7 Does this facility meet all applicable siting requirements?
YES
YES
YES
2.8 Describe Water Movement between Barns, Digesters, and Storage Ponds (double click on "Select'
box)
or NO (circle one)
or NO (circle one)
or NO (circle one)
' for drop -down menu
Location
Pump Station or
Gravity
Pipe Size
Minimum Pump
Capacity
Plan Sheet
Reference
GPM
TDH
Barns to Digester
Pump Station
6"
540
15
Barns to Digester
Pump Station
6"
540
15
Barns to Digester
Pump Station
6"
540
18
Digester to Secondary
Gravity
12
Digester to Secondary
Gravity
12
Digester to Secondary
Pump Station
6"
800
32
Secondary to Tertiary
Pump Station
12"
1000
50
Select
FORM: AWO-STATE-G-DIGESTER-7/07/2022
Page 2 of 6

3. REQUIRED ITEMS CHECKLIST:
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
Applicant's Initials
3.1 One completed and signed original of the application for Digester Animal Waste Management
System Application Form. KW
3.2 A general location map indicating the location of the animal waste facilities and field locations
where animal waste is land applied and a county road map with the location of the facility
indicated.
KW
3.3 Documentation that new digester structure(s) meets the Swine Farm Siting Act, for swine
operations. KW
3.3.1 Site Map. The scale of this map shall not exceed 1 inch = 400 feet.
3.3.2 All proposed digesters to occupied residences > 1500 feet OR no closer than existing setback.
Existing setback = 450 feet
3.3.3 All proposed digesters to schools, hospitals, churches, outdoor recreational facilities, national parks, state
parks, historic properties, or childcare centers > 2500 feet OR no closer than existing setback.
Existing setback = feet
3.3.4 All proposed digesters to property boundaries > 500 feet OR no closer than existing setback.
Existing setback = 70 feet
3.3.5 All proposed digesters to Public Water supply wells > 500 feet.
3.3.6 The map shall show the location of any property boundaries and perennial streams, or rivers located
within 75 feet of waste application areas.
3.4 One copy of all engineering documents, including, but not limited to, calculations,
equipment specifications, plan and profile drawings to scale, construction materials,
supporting equations or justifications.
KW see previous_
3.5 A detailed narrative of the Farm Digester Animal Waste Management System. KW see previous_
3.6 A copy of the CAWMP which must include the following components. Some of these
components may not have been required at the time the facility was initially certified but must
be added to the CAWMP for permitting purposes:
KW see previous_
3.6.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (PAN)
produced and utilized by the facility
3.6.2 The method by which waste is applied to the disposal fields (e.g., irrigation, injection, etc.)
3.6.3 A map of every field used for land application
3.6.4 The soil series present on every land application field
3.6.5 The crops grown on every land application field
3.6.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP
3.6.7 The PAN applied to every application field
3.6.8 The waste application windows for every crop utilized in the WUP
3.6.9 The required NRCS Standard Specifications
3.6.10 A site schematic
3.6.11 Emergency Action Plan
3.6.12 Insect Control Checklist with chosen best management practices noted
3.6.13 Odor Control Checklist with chosen best management practices noted
3.6.14 Mortality Control Checklist with the selected method noted
3.6.15 Lagoon/storage pond capacity documentation (design, calculations, etc.); please be sure to include any
site evaluations, wetland determinations, or hazard classifications that may be applicable to your
facility
3.6.16 Site Specific Operation and Maintenance Plan
If your CAWMP includes any components not shown on this list, please include the additional components with your
submittal. (Composting, waste transfers, etc.)
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 3 of 6

4. ENGINEER'S CERTIFICATION:
I,
David S. Elkin (P.E. representing Owner's name listed in question 1.2), attest that
this application for Somerset Farms (Facility name listed in question LI) 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 are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as inc,.gmp�let/e///�
Signature
Engineer's Seal
5. FARM OWNER/PERMITTEE CERTIFICATION:
1, Craig Richardson
application for Somerset Farm
and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned as
incomplete.
+ryy1 rr
Date 7/15/22
(Owner/Permittee name listed in question 1.2), attest that this
Signature
Date 7/15/22
6. MANAGER S CERTIFICATION: (complete only if different from the Farm Owner)
I, (Manager's name listed in question 1.7), attest that this
(Facility name listed in question 1.1) 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 are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
application for
(Facility name listed in question 1.1) has been reviewed by me
Signature Dale
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
ANIMAL FEEDING OPERATIONS PROGRAM
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
ELECTRONIC SUBMISSION IS ENCOURAGED. EMAIL TO: [e-mail]
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 4 of 6

7. SURFACE WATER CLASSIFICATION:
This form must be completed by the appropriate DWR regional office and included as a part of the
project submittal information.
INSTRUCTIONS TO NC PROFESSIONALS:
The classification of the downslope surface waters (the surface waters that any overflow from the facility would flow toward) in
which this animal waste management system will be operated must be determined by the appropriate DWR regional office.
Therefore, you are required, prior to submittal of the application package, to submit this form, with items 1 through 6
completed, to the appropriate Division of Water Resources Regional Operations Supervisor (see page 6 of 6). At a minimum,
you must include an 8.5" by 11" copy of the portion of a 7.5-minute USGS Topographic Map which shows the location of this
animal waste application system and the downslope surface waters in which they will be located. Identify the closest
downslope surface waters on the attached map copy. Once the regional office has completed the classification,
reincorporate this completed page and the topographic map into the complete application form and submit the
application package.
7.1 Facility Name & Number: Somerset Farm 94-001
7.2 Name & complete address of engineering firm: Smithfield Hog Production Division
Telephone:( 910 ) 293 -3434 Fax:( 910 ) 293 - 3138
Email: kwilliams(rismithfield.com
7.3 Name of closest downslope surface waters: Main Canal
7.4 County(ies) where the animal waste management system and surface waters are located Washington
7.5 Map name and date: Creswell 1981
7.6 NC Professional's Seal (If appropriate), Signature, and Date:

......
TO: REGIONAL OPERATIONS SUPERVISOR
Please provide me with the classification of the watershed where this animal waste management facility will be or has been
constructed or field located, as identified on the attached map segment(s):
Name of surface waters: Main Canal
Classification (as established by the Environmental Management Commission): C;Sw
Proposed classification, if applicable:
Signature of regional office personnel: Date:
(All attachments must be signed)
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 5 of 6

DIVISION OF WATER RESOURCES REGIONAL OFFICES (4/2020)
Asheville Regional WQROS Supervisor
2090 U.S. Highway 70
Swannanoa, NC 28778
[phone]
Fax [phone]
Avery Macon
Buncombe Madison
Burke McDowell
Caldwell Mitchell
Cherokee Polk
Clay Rutherford
Graham Swain
Haywood Transylvania
Henderson Yancey
Jackson
Washington Regional WQROS Supervisor
943 Washington Square Mall
Washington, NC 27889
[phone]
Fax [phone]
Beaufort Jones
Bertie Lenoir
Camden Martin
Chowan Pamlico
Craven Pasquotank
Currituck Perquimans
Dare Pitt
Gates Tyrell
Greene Washington
Hertford Wayne
Hyde
Fayetteville Regional WQROS SupervisorMooresville Regional WQROS Supervisor
225 Green Street, Suite 714 610 East Center Avenue
Fayetteville, NC 28301-5094
[phone]
Fax [phone]
Anson Moore
Bladen Richmond
Cumberland Robeson
Harnett Sampson
Hoke Scotland
Montgomery
Mooresville, NC 28115
[phone]
Fax [phone]
Alexander
Cabarrus
Catawba
Cleveland
Gaston
Iredell
Winston-Salem Regional WQROS Supervisor
450 Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Phone [phone]
Fax [phone]
Alamance
Alleghany
Ashe
Caswell
Davidson
Davie
Forsyth
Guilford
Rockingham
Randolph
Stokes
Surry
Watauga
Wilkes
Yadkin
Lincoln
Mecklenburg
Rowan
Stanly
Union
Raleigh Regional WQROS Supervisor
1628 Mail Service Center
Raleigh, NC 27699-1628
[phone]
Fax[phone]
Chatham Nash
Durham Northampton
Edgecombe Orange
Franklin Person
Granville Vance
Halifax Wake
Johnston Warren
Lee Wilson
Wilmington Region WQROS Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Brunswick
Carteret
Columbus
Duplin
New Hanover
Onslow
Fender
FORM: AWO-STATE-G-DIGESTER-7/07/2022
Page 6 of 6