WQ0001863_FP Att B_20180402

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Water Resources
ENVIRONMENTAL DUALITY
April 2, 2018
DAVID E. JOHNSON—UTILITIES DIRECTOR
CITY OF MOUNT HOLLY
POST OFFICE BOX 406
MOUNT HOLLY, NORTH CAROLINA 28120
Dear Mr. Johnson:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Attachment B Certification
Permit No. W00001863
City of Mount Holly RLAP
Gaston County
In accordance with your permit modification request received January 30, 2018, and subsequent
additional information received March 18, 2018, March 22, 2018, and March 26, 2018, we are forwarding
herewith a modified Attachment B certified April 2, 2018, to the City of Mount Holly for the subject
residuals program.
This certification is being issued to modify Attachment B by
1. Addition of three fields in Cleveland County totaling 89.43 acres, those fields being NC -CL -
11 -01, NC -CL -11-02 and NC -Cl -12-01.
2. Addition of two fields in Lincoln County totaling 30.66 acres, those fields being NC -LT -44-01
and NC -LT -45-01.
3. Removal of four fields in Lincoln County totaling 46.6 acres, those fields being NC -LT -43-01
to -04.
In the past, field NC -LT -44-01 has received both turkey and chicken litter on the field. It is
imperative to stress that all nutrient sources shall be accounted for in the annual report, not only for this
field but for all fields.
This modified Attachment B shall be effective from the date of certification until November 30,
2019 (i.e., expiration date of the current permit), shall void Attachment B of Permit No. W00001863 issued
December 1, 2014, and shall be subject to the conditions and limitations as specified therein, as well as
those specified in the above -referenced permit. Please replace the Attachment B of Permit No. WQ0001863
that was issued December 1, 2014 with this modified Attachment B.
Please note that the maps for both the land application sites in the December 1, 2014 permit and
the new land application sites are attached to this letter. In addition, the setback waivers contained in the
December 1, 2014 are contained in this permit attachment revision. Any old maps should be removed from
the December 1, 2014 permit and replaced with the maps provided.
<5''—Nothing Compares..
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. David E. Johnson
April 2, 2018
Page 2 of 2
If any parts, requirements, and/or limitations contained in this certification or modified Attachment
B are unacceptable, you have the right to request an adjudicatory hearing upon written request within 30
days following receipt of the certification. This request shall be in the form of a written petition, conforming
to Chapter 150B ofthe North Carolina General Statutes and filed with the Office of Administrative Hearings
at 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demands are made, this
permit shall be final and binding.
If you need any additional information concerning this matter, please contact Troy Doby at (919)
807-6336 or troy.doby�@ncdenr.gov.
Sincerely,
�� Esc✓(
Linda Culpepper, Interim Director
Division of Water Resources
cc: Gaston County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Adam Brigman — Synagro (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

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APPLICATION MAP
I ccckin
cl
�
APPLICATION AREA
F71
UNSUITABLEAREA
— ——n—n—�—
PRIVATE ROAD
O
WATER
STREAM
®
ONSITE HOUSE
DRAIN
.
OFFSITE HOUSE
x 3c—
FENCE
❑
OUTBUILDING
PROPERTY LINE
�(
WELL
n
SOIL DESCRIPTION
X�
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660, 0 660'
Figure 1
NC -CL -11
Fields 1-2

k
I
I

Application Area N
ry.
Legend
— — Drain ■ OnSiteHouse OnSiteWell
x —x - Fence ■ OffSiteHouse a OffSiteWell
= Propertyl-ine Church ® Unsuitable
ApplicationArea Outbuilding
Site; NC -GA -44 Figure 4
i-
i inch = 660 feet
(all locations approximate)
The compliance boundary is established at
either 250 feetfrom the residuals application
area or 50 feet within the property boundary,
whichever Is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Feet
0 160320 640 960 1,280

n
Area
Legend
1 inch = 660 feet
(all locations approximate)
--- Stream ■ OnSiteHouse
'�k OnSiteWell
The compliance boundary Is established at
either 250 feet from the residuals application
x — x - Fence ■ OffSiteHouse
OffSiteWell
wim vefeetwithi oiheaper boundary,
Pro ert Line ■ OffSiteHouse SWAA ® Unsuitable
P Y � �
The review boundary Is established midway
between the boundary
compliance and the
ApplicationArea Outbuilding
perimeter of the residuals application area.
Figure 5
Feet
Site: NC -GA -45
0 160320 640 960 1,280

Application Area Map
Legend
1 inch = 660 feet
(all locations approximate)
-^- - Stream
PropertyLine K)� OffSlteWell
The compliance boundary is established at
— — Drain
■
OffSiteHouse ® Unsuitable
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
x — x - Fence
Outbuilding
The review boundary is established midway
between the compliance boundary and the
�--%ApplicationArea
'Q,OnSiteWell
perimeter of the residuals application area.
Feet
Site: NC -LT -43
Figure 6 0
230 460 920 1,380 1,840

APPLICATION MAP
LEGEND
U:1 I n 1
APPLICATION AREA
UNSUITABLEAREA
--�----
PRIVATE ROAD
�
WATER
— — — —
STREAM
.
ONSITE HOUSE
— — —
DRAIN
■
OFFSffE HOUSE
FENCE
OUTBUILDING
PROPERTY LINE
�(
WELL
n
SOIL DESCRIPTION
J�
The compliance boundary is established either 250 It from the residuals application area or 50 feet within
In the property boundary, whichever Is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
V = 660'
660' 0 660'
Figure 7
NC -LT -44
Field 1

a
z
APPLICATION MAP
LEGEND
I. a APPLICATION AREA
UNSUITABLEAREA
--�—n—n—�- PRIVATE ROAD
WATER
GRAPHIC SCALE
— - - -- STREAM
■
ONSITE HOUSE
V = 660'
- — DRAIN
■6001
OFFSITE HOUSE
D 680,
X * X FENCE ❑ OUTBUILDING
PROPERTY LINE 0 WELL
Q SOIL DESCRIPTION
, rhe compliance boundary Is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever Is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approArnste.
Figure S
NC -LT -45
Field 1

Legend
- - - Stream V% ApplicationArea '0, OnSiteWell
SurfaceWater ■ OnSitel-louse O SoilDescription
x - x - Fence ■ OffSiteHouse ® Unsuitable
O PropertyLine = Outbuilding
Site: NC -LT -46; Fields 1, 3, 8 Figure 9 0 230
0
1 inch = 660 feet
(all locations approximate)
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Feet
460 920 1,380 1,840

Legend 91nch s 660 feet
(ail locations approximate)
Stre.m OnSll<HO= I -p -I Oalteweu The compliance boundary la established at
Q Sud.mwat<r 001teHouse SoilD"cdption either 250 feet from the residuals application
area or 50 feet within the property boundary,
X — X - FeKe O Outbvildiv$ ® Unsuitable whichever Is closest to the application area.
The review boundary Is established midway
PmpertyLiu< OvSlt<wa Figure 10 between the compliance boundary and the
perimeter of the residuals application area.
Appbati..Alw Feet
Site: NC -LT -46; Fields 21 4-5/ 9 0 225 450 900 1,350 1,800

Legend
- - - Stream
ApplicationArea
�'G,
OnSiteWell
SurfaceWater
■ OnSiteHouse
O
SoilDescription
x — x - Fence ■ OffSiteHouse ® Unsuitable
® Properly0ne = Outbuilding
Site: NC -LT -46; Field 6 Figure 11 0
I inch = 660 feet
(all locations approximate)
The compliance boundary is established at
either 250 feet from the residuals application
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Feet
460 920 1,380 1,840

Legend
--- Drain
- - - Stream
ApplicationArea
■ OnSiteHouse
= SurfaceWater ■ OffSiteHouse
1 inch = 660 feet
O SoilDescription (all locations approximate)
® Unsuitable The compliance boundary is established at
either 250 feet from the residuals application
x — x - Fence I Outbuilding
= PropertyLine �Q, OnSiteWell Figure 12
Site: NC -LT -46; Field 7
area or 50 feet within the property boundary,
whichever is closest to the application area.
The review boundary is established midway
between the compliance boundary and the
perimeter of the residuals application area.
Feet
0 230 460 920 1,380 1,840

I
DWR State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one orieinal and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at. "
ht P _ASL oHal. ncdenr, org/w eb/wc laps/l au
General — This document is an agreement between the Applicant and the owner(s) of the property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A'_NCAC 02T .1108tb1(2)jfor habitable residences or place of public
assembly only). Do not submit this agreement for review without a corresponding application form (FORM: RLAP I1-13).
A. Setback Waiver Agreement:
❑ Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each property from which a waiver is being sought.
❑ Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement.
❑ A copy of the completed and executed agreement must be provided to the property owner.
' AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T.1108(b)(2)(habitable residences)
Fhe undersigned property owner hereby permits:
Applicant's name:
olG Mt- �/Vl (1
Applicable Field ID: - /(/C - G A - iii iii f'Us 6 10
W -
hereinafter referred to as the Permittee, to land apply residuals within /00 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: / G� i-k3f' C4-� Wl4 live -
city: _ f 1/4 State: /Ue --- zip: -- /Xa _.
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
days in advance, modifies or cancels this Agreement.
EiI certify that i am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner
Signature:
Date:
FORM: SWA 11-13 Page l of 1

1�
DWR State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
Dlvlslon of Water Resources SETBACK WAIVER AGREEMENT (FOR RESIDUALS PROGRAM)
FORM: SWA 11-13
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supportine documentation
For more information, visit the Water Quality Permitting Section's Non-Discharge Permitting Unit website at:
hilp. /Mortal.ncdenr.ore,w&jvrt/ans/lau
General — This document is an agreement between the Applicant and the owner(s) of thg property adjacent to the land application
site(s) to allow setback reduction for habitable residences or place of public assembly not owned by the permittee or not to be
maintained as part of project site(s) in accordance with 15A NCAC 02T_.I l08 bl(2yfor habitable residences or place of public
assembly only]. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
A. Setback Waiver Agreement:
Qj Submit the completed and appropriately executed Setback Waiver Agreement (FORM: SWA 11-13) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
®' Prepare a separate agreement for each property from which a waiver is being sought.
M Any other setbacks required by 15A NCAC 02T .1108, other than those referenced above, cannot be waived through
execution of this agreement.
L� A copy of the completed and executed agreement must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 02T.1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: I "h a- W.
Applicable Field ID: )•/e (f R-
hereinafter referred to as the Permittee, to land apply residuals within _ 100 feet (i.e., cannot be less than 100 feet) of
the residence or place of public assembly located at the following:
Location address of property: r2YW
City: f3t�5uur C; _ state: _ AlG _ zip:
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for the residuals
land application program and shall be renewed each time this permit is renewed. In addition, this Agreement shall only
remain in effect for as long as the undersigned property owner owns the property described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification, given 30 calendar
7day in advance, modifies or cancels this Agreement.
I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions regarding this
property on behalf of other deeded property owners. Furthermore, I certify that I have read and understand this Agreement and do
hereby grant permission to the Permittee to land apply residuals to land application site(s) as specified herein.
Property owner name: 1.7C1i� d_
Signature: i 44-4 _ Date:
FORM: SWA 11-13
Page 1 of I