SLAS6705_APPLICATION_RENEWAL_2024

APPLICATION FOR A PERMIT TO OPERATE A SEPTAGE LAND APPLICATION SITE
1. Site and Operator Infoi
1. Applicant
Address
Phone
S
2. Contact person
for
Title or position
Address
f
3. Landowner
Address
4. Site Location: (
Directions to site:
North Carolina Department of Environmental Quality
Division of Waste Management — Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
i P1a S,- ��n� rv�ce Sn L
operation (if different from applicant): l
Phone
.1 951-11c--
5. Indicate whether request is: new
u
renewal i/ modification
e-(v,11
%— VV
For a permit renewal or modification, provide the following information:
Existing site permit number: �Z p permit expiration date: a
6. Number of acres meeting the requirements of the N.C. Septage Management Rules: 413 acres.
7. Substances other than septage or grease trap pumpings previously disposed of on the site:
(a) None ✓ , or (b) Attach a list indicating other substances, the amounts discharged,
and the dates of discharge.
8. Attach written, notarized landowner authorization to operate a septage disposal site signed by the
landowner (if the permit applicant does not own the property). !f a corporation owns the land
use a corporate landowner authorization form. If Limited Liability Company owns the land,
use a limited liability company landowner authorization form.
9. Attach site evaluation report, including aerial photograph and soil analysis with metals results,
unless the Division prepared the report.
10. Attach a vicinity map (county road map showing site location).
(over) 6—r 3;�' �-e'

Site Management Information:
1. The following information shall be included with the application form:
A-WNutrient Management Plan
, (W Soil Erosion and Runoff Control Plan
2. Alternative plan for disposal (detention vloc",
ty permit number or wastewater treatment plant
�authorization): +' a:: "
3. Types of septage proposed to be discharged at the site (cV;kall that apply):
(a) Domestic septage pumped fr eptic tanks
(b) Grease trap pumpings
(c) Portable toilet waste
(d) Commercial / Industrial septage
4. Proposed treatment method of each type of septage to be land applied (use addi Tonal pap r to
ex laain if necessary): ck man k�_ rnt� ��-- I Its
5. Proposed method of applying septage to land, including septage distribution plan if require * (use
additional paper to explain if necessary): SUIVXC-C-tI—.- (`
r- .0 "Anc- -A-t�-►P1L5 ah
Demonstration from the appropriate state or federal government agency that the land application
site complies with the Endangered Species Law ** or if any part of the site specified is not
agricultural land (use additional paper toexplainif necessary): L.- --V-s d S I ( 5
A l 1t '� cam. �-� ��, Ut-a l �..h h.-�/k
A AY\— _ 1 `r m Fc L . rv, �e _ 4—r, e4�Ar,,c; .
Certification
I hereby certify that:
1. The information provided on this application is true, complete, and correct to the best of my
knowledge.
2 1 have read and understand the N.C. Septage Management Rules, and
3. 1 am aware of the potential consequences, including penalties and permit revocation, for failing
to follow all applicable rules and the conditions of a Septage Land Application Site permit.
Signature (Signature of company official required) Date
,tt t i 0 3 _
Print name Title
Note: This application will not be reviewed until all parts of the application are complete.
Refer to Section .0837(e) of the N.C. Septage Management Rules.
** Refer to Section .0837(g) of the N.C. Septage Management Rules.
S:Solid Waste\cla\septage\forms\SLAS-Application & Authorization\SLAS Permit Application -Jan 2016.docx
Rev 01-07-16
les
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Addendum
"Application for a Permit to Operate a Septage Land
Application Site"
Question 11.4.
Hydrated lime will be added to domestic septage to raise it to a pH of 12 or
higher for 30 minutes prior to land application. For any septage containing
a mixture of grease trap pumpings, the septage will be raised to a pH of 12
or higher for 2 hours prior to land application. Septage to be at a pH of 12
or higher when applied.
Question 11.5.
Septage will be land applied by pump truck evenly across the field as to
leave no ponding or surface disturbance.
Question 11.6.
Site is agriculture land.
"Signature Date
RECENED
APR 2 9 2024
SOUD WASTE SECT10N

SLAS-67-05, Field 1
Landowner's Authorization to Operate a Septage Land Application Site
John Melville
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
(name of site owner) hereby certify that I am the owner of
24.4 acres of land located 4 miles SE of Belgrade behind 2018 Belgrade-Swansboro Road and
identified by Book 60801 Page 0235
Tax ID # 1143-17.3
(book and page of recorded deed or tax map
parcel) and that I agree to allow Atlantic All Pro Septic Tank Service Inc.
septage land application for a period of C�G�\- \ _ a
(site operator name) to use said land for
(length of time), beginning &fS (give
date) and that I have read the North Carolina Septage Management Rules *, and I understand and agree to
maintain the restrictions on land use after septage land application ends **. I further understand that no septage
may be land applied until the Division of Waste Management has issued a permit for a septage land application
site. The above described property is owned solely by me or jointly with _ none
(names of all co -owners, or state none).
2
Signature of landowner U Date
Signature of landowner Date
Sworn to and subscribed before me this day of 120
a✓IAC)-Cz too
(Notary Public)
My Commission expires:
* 1-5A N.G. Admin. Code 13B Section .0800
** As required by Rule .0843
N4 I ' EAi_)
0►s2�y
APR �,9 24�4
10 WASH S�MQN
Rev. 01-07-16

SLAS-67-05, Fields 2 and 3
Landowner's Authorization to Operate a Septage Land Application Site
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
4 hn f ge-,lV' I I e— . (name of site owner) hereby certify that I am the owner of
42.1 acres of land located 4 miles SE of Belgrade behind 2018 Belgrade-Swansboro Road
and
identified b Book 4495 / Page 546 Tax ID # 1143-17.1
y (book and page of recorded deed or tax map
parcel) and that I agree to allow
Atlantic All Pro Septic Tank Service Inc.
(site operator name) to use said land for
septage land application for a period of o�a� i ' a � (length of time), beginning -OWS (give
date) and that I have read the North Carolina Septage Management Rules *, and I understand and agree to
maintain the restrictions on land use after septage land application ends **. I further understand that no septage
may be land applied until the Division of Waste Management has issued a permit for a septage land application
site. The above described property is owned solely by me or jointly with
none
(names of all co -owners, or state none).
Signature of landowner Date ff
Sworn to and subscribed before me this _ day of L4V VI 1 , 20_ �.
(Notary Public)
My Commission expires:
* 15A N.C. Admin. Code 13B Section .0800
** As required by Rule .0843
(OFFICIAL SEAL)
MELISSA JACOBS
NOTARY PUBLIC
Onslow County
North Carolina
My Commission Expires June 10, 2027
R
An
SOup WASTE SECTION
Rev. 01-07-16

SLAS-67-05, Field 4
Landowner's Authorization to Operate a Septage Land Application Site
John Melville
North Carolina Department of Environmental Quality
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
(name of site owner) hereby certify that I am the owner of
•4 acres of land located 4 miles SE of Belgrade behind 2018 Belgrade-Swansboro Road and
identified by Book 4701 / Page 74 Tax ID # 1143-17 _ (book and page of recorded deed or tax map
parcel) and that I agree to allow Atlantic All Pro Septic Tank Service Inc.
(site operator name) to use said land for
septage land application for a period of �� c- aV} (length of time), beginning -.A W1- I "_ai (give
date) and that I have read the North Carolina Septage Management Rules *, and I understand and agree to
maintain the restrictions on land use after septage land application ends **. I further understand that no septage
may be land applied until the Division of Waste Management has issued a permit for a septage land application
site. The above described property is owned solely by me or jointly with none
(names of all co -owners, or state none).
zLI l 2y
Signature of landowner _ _ Date _
Sicnature of landowner Date
ss�� ,
Sworn to and subscribed before me this o� day of 1 , 20
1VED
h
ct� Ct APR 2 9 2024
(Notary Public)
(OFFICIAL SEAL) SOLID WASTE SECTION
My Commission expires:
MELISSA JACOF3S
NOTARY PUBLIC
* 15A N.C. Admin. Code 13B Section .0800 onsloww county
** As required I] Rule .0843 North Carolina
Q i My Commission E:xI:.Ires June 10, 2027
Rev. 01-07-16

Atlantic All Pro Septic Tank Service Inc.
Nutrient Management, Erosion and Runoff Plan
Amended and Revised Permit # 6705
December 1, 2023
Linda Melville
2032 Belgrade-Swansboro Road
Maysville, NC 28555
[phone]
Septage Application to Bermuda grass and Rye Grass
A. Best Management Practices
The undersigned parties agree to manage the septage disposal site that is located
in Onslow County, east of SR 1434 between the communities of Belgrade and
Silverdale, according to the following best management practices. This list of
practices has been specifically designed for land application of septage by
Atlantic All -Pro Septic Tank Service Inc.
1. The application fields contain approximately 47.3 acres of usable disposal
Area. Field #1 4.8 acres, Autryville loamy fine sand with
very little slope (less than 2%). Field 42 approximately 14 acres usable
disposal area. Autryville loamy fine sand with very little slope (less than
2%). Field #3 contains two application areas spilt by a field drain. One
area containing 4.8 acres and the other contains 1.8 acres; this field has a
50' buffer and roadway. This area has been seeded with a coastal
Bermuda grass variety and is ready for septage application. Field #4
contains 20.7 acres of application area, with a 250' buffer set back from
well.
2. Septage will not be applied where the site is untrafficable. Untrafficable is
defined as soil that will allow a loaded truck to leave a depression in sod
greater than 3 inches in depth.
3. Septage storage shall be provided to account for the average volume of
Septage pumped per week.

B. Crops to be Grown and Approximate Planting
Application fields including buffer zones, will be maintained in coastal
Bermuda Grass. Soil PH should be maintained between 5.0-5.5. Each
year thereafter, each field will be over seeded with annual ryegrass at the
rate of approximately 30 pounds/acre (broadcast) during the time frame of
Sept. 15 —Nov. 15.
2. During the winter and spring 2011, Bermuda Grass will be sprigged at the
rate of 12 bushels per acre or seeded as necessary-
C. Nitrogen needs for the Crops Grown:
R.Y.E. = Realistic Yield Expectations
N APP. Rate = Suggested N Application Rate Based on R.Y.E. for Soil Type.
Crop (Cut for Hay) R.Y.E. N App. Rate LBS N/AC
Coastal Bermuda Grass
6.0 Tons/Acre X 40 Lbs N/Dry Ton = 240.0
Annual Ryegrass
2.5 Tons/Acre X 25 Lbs N/Dry Ton =,5
Total Nitrogen/AC = 302.5

D. Relative Application Rate For Field:
Field #1 #1A #2 #2A #3 #4
Jan Low Low Low Low Low Low
Feb Low Low Low Low Low Low
March Low Low Low Low Low Low
April Medium Medium Medium Medium Medium Medium
May Medium Medium Medium Medium Medium Medium
June High High High High High High
July High High High High High High
August High High High High High High
SeptemberMedium Medium Medium Medium Medium Medium
October Medium Medium Medium Medium Medium Medium
November Low Low Low Low Low Low
December Low Low Low Low Low Low
Low =5,000 gallons: Medium=10,000 Gallons: High=15,000 gallons
Note: Cumulative Application Rate is not to exceed the permitted
Application Rate.
E. Application Method:
The preceding information is based on the septage being evenly applied over the
entire permitted site or fields.
F. Additional Fertility Requirements:
N-P-K will be added to the land application area to maintain fertility levels,
which will be based on the soil test results from NCDA.
G. Harvest of the Crop:
1. The Bermuda Grass will be cut as hay, baled, and removed whenever it
Reaches approximately 12 inches in height, or roughly every 4 to 6 weeks
beginning in June. Approximately three or four harvest can be expected.

2. The rye grass will be cut as hay and baled March and April from all
Applications fields.
3. A 30-day waiting period will be observed between the last application of
Septage and harvest Beginning about the first of March each year, septage
will be applied strictly to %2 of the acreage of applications area while 'h of
the rye is undisturbed for 30 days. After 30 days the rye fields receiving
no pass 30-day application of septage will be harvested and septage
application then switched to those fields. After an additional 30 days the
second half of the rye crop having no septage applied within past 30 days.
Late April/ early May, will be harvested. By early May, a rotation is
established which can cycle every 30 to 45 days between the Bermuda.
Grass harvest By the end of October, rye will have been planted and all
sites will be available for septage application until the end of February the
following year.
4. Hay will not be harvested with 30 days of septage application.
Soil Erosion and Runoff Control plan
Given that the slopes on these sites do not exceed three percent, on a group I & II
soil. A 10-foot grass buffer around the woods is to be provided on all fields and 25-foot
buffer on road paths. A 50-foot buffer is provided from property lines. These buffers will
be planted with Bermuda Grass/Rye Grass and should suffice to prevent septage from
migrating off the field. Also setback areas on wooded sides will remain forested litter
cover.
No septage will be applied within 50' of any ditch even with continuous grasses to
ditch. All setbacks from stream and wetlands will be according to 15 NCAC 13 B.
0821(4)(D). `
Submitted by: Linda Melville Date: 12/1/2023
Prepared by: Linda Melville Date: 12/1/2023
Address. 2032 Belgrade-Swansboro Road Maysville NC 28555
Phone: [phone]
APR 19 ZD24
SOUR WASTE SP-Mo14

SEPTAGE LAND APPLICATION LOG
CERTIFICATION
Site Operator: UA,.- ME IU
SLAS Permit #: SL P-S-- (o `7 6-S—
Site Location:
(street
Number of acres permitted:
come- -r Qi'c-ar)s ID VI a
for the site or latitude and longitude)
1
Permitted application rate: 161 NO n
& ' (gallonsJge perMe per year)
Ciro S^
Crop nitrogen requirement(s):
(pounds nitrogen per acre) ��
CERTIFICATION:
"I certify, under penalty of law, that the pathogen requirements in (insert either
503.32 (c)(1) or 503.32 (c)(2)) and the vector attraction reduction requirements in
(insert 503.33 (b)(9), 503.33 (b)(10) or 503.33 (b)(12)) have been met. This
determination has been made under my direction and supervision in accordance
with the system designed to ensure that qualified personnel properly gather and
evaluate the information used to determine that the pathogen requirements and
vector attraction reduction requirements have been met. I am aware that there
are significant penalties for false certification including the possibility of fine and
imprisonment."
iiWk t 11L') ) a-5
(signature) date)
S:1Solid WastelclalseptagelformslSLAS-Application & Authorization12011 SLAS Log.doc

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AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION
SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF
(This form is used by a land application site permit holder to indicate that permission has been
given to a permitted Septage Management Firm to land apply septage on the permit holders
land application site.)
(Site Operator)
(Operator Address)
do hereby authorize: A4 I I I . Pro s e Li Ja, IV,
(Owner of Septage Management irm)
'IqLIL Siu (P eo7 %
(Name of Septage Management Fir ) �hG
(Septage Management Firm Address)
SI-14S
to use septage disposal site # 17-70,5— for the disposal of'f_ !�V-1 gallons of septage* in 20-Q
Date: ( I o'Z� Signed
(Site Operator)
* As defined in G.S. 130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B
.0800 - Septage Management Rules
Return the properly completed form to:
North Carolina Department of Environmental Quality
Division of Waste Management
Solid Waste Section
1646 Mail Service Center
Raleigh, NC 27699-1646