WQ0006101_Modification_20200408

Initial Review
INITIAL REVIEW
Reviewer
Thornburg, Nathaniel
Is this submittal an application?
(Excluding additional information.)*
r Yes r No
Is this a complete
application?*
Complete App Date
r Yes r No
04/15/2020
Project Number*
WQ0006101
Applicant/Permittee
City of Dunn
Applicant/Permittee
401 E Broad St. Dunn, NC 28335
Address
Is the owner in BIMS?
r Yes r No
Owner Type
Facility Name
County
Fee Category
Major
Signature Authority
Municipal
City of Dunn RLAP
Harnett
Signature Authority Title
Signature Authority Email
Document Type (if
non -application)
Email Notifications
Does this need review by the hydrogeologist?*
r Yes r No
Regional Office Fayetteville
CO Reviewer Ranveer Katyal: eads\rkatyal
Is the facility in BIMS?
r Yes r No
Fee Amount
395

Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notification
Comments for Kendall
Comments for RO
Comments for Reviewer
Comments for Applicant

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
........................................................................................................................................................................................................................................................................................................................................................................
Name * Robert Roth
Email Address*
[e-mail]
Project Information
Submittal Type* r New Permit Application
r Renewal
r Annual Report
r Other
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?
r Yes r Nor N/A
Permit Number WQ0006101
currently has project
Applicant\Permittee * City of Dunn
Applicant/Permittee 401 E Broad St. Dunn, NC 28335
Address*
Facility Name * City of Dunn RLAP
Phone Number*
3364034324
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Major modification to add 2 new sites to the City of Dunn's RLAP. WQ0006101
Please attach all information required or requested for this submittal to be review here.
Application Foral Engineering Rans, Specifications, Calculations, Etc.)
City of Dunn RLAP WQ0006101 Mod.pdf 14.24MB
upload only 1 RJF docurrent. Miltiple docurrents rust be corrbined into one RJF file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper --polka*-ion is required,
be advised, applications accepted' far pre -review until both the paper and eIect-c-,i_ co1)ies nave been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (calcs, soils report, specs, etc.)
o One full-size engineering plan set
o One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
MallinE address:
❑iuision of Water Resources1 Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
1617 Mail Service Center 1 Aft: Nathaniel Thornburg, 91° Floor, Cfice #942W
----------------------------------------------------------- -----------------------------------------
Raleih, NC 27699-1617 512 N. Salisbury St.
Far questions or problems contact Tessa Monday [e-mail] or 919.707.3560.
* W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. 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).
Signature
Submission Date 4/8/2020

SYNAGRO
March 161h, 2020
N.C. Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section —Class B Residuals Permit (DEDICATED)
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: APPLICATION FOR MAJOR MODIFICATION
CITY OF DUNN RLAP WQ0006101
HARNETT COUNTY
Dear Mr. Thornburg:
On behalf of the City of Dunn, Synagro is submitting this application to modify the
referenced residuals land application permit.
It is requested that 2 sites totaling 123 acres be added to the referenced permit. The new
sites are as follows:
HA-307 Fields 4,5,6,7A
SA-19 Fields 1 and 2
Enclosed is a check for $395.00 to cover the fee associated with a major permit modification.
This application package should contain all information necessary to complete the requested
modification of the City of Dunn's permit. However, if you require additional information or
have further questions, please contact me at (919)-799-0766 or [e-mail].
Thank you in advance for the timely and efficient review of this renewal application.
Sincerely,
wcv� M-bv-a
James M. Goad
284 Boger Road, Mocksville, NC 27028 • Phone: [phone] • Fax: [phone]

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 -- RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR NORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
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 quicher 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
supporting_ documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge PermittingUntt
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) 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 Iong as the attachments are numbered to correspond to the section and item to which they
refer.
The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(bl. An alternate
person may be designated as the signing official if a delegation letter is provided fi•om a person who meets the criteria in 15A
NCAC 02T .0I06(bl.
® If this project is for a modification of an existing permit, submit one copy of the existing permit.
Please submit this application fonn at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
® Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification
Major (land are permitted for > 300 acres) $1,310 $395
Minor (land are permitted for < 300 acres) F_ $810 $245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
0 List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (Maybe Required See 15A NCAC 1C .0300)
® Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Pagel of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with 15A NCAC 02T. 1110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding I0 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ 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 the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06- 16 Page 2 of 3

J.
K.
L.
M.
Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
Hydrogeologie Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104 d 4 and current Division Policy
available at: htt://www.ncwater.or /Rules Policies and Regulations . The document shall be signed, sealed and dated by a
qualified professional.
Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .l 104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(51 and current Division Policy
available at: http://www.ncwater.org/Rules Policies and Regulations/.
Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An casement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE 014-IGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

D wR
Division of Water Resources 15A NCAC 02T .1100 —
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: City of Dunn RLAP
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State 0 Municipal
❑ County
Signature authority's name per 15A NCAC 02T .0106: Heather Adams
Title: Public Utilities Director
Applicant's mailing address: 235 Governor Centre Drive
City: Wilmington. State: NC Zip: 28403-
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Melvin Goad License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: S na ro LLC
Consultant's mailing address: 284 Boger Rd
City: Mocksville State: NO Zip: 27028-,
[e-mail]
Telephone number: 919 799-0766 Email Address: mg
3. Agronomist's name: License Number:
Affiliation: ❑ NIA ❑ On Staff ❑ Retained (Firm: )
Agronomist's mailing address:
City:' State: Zip: -
Telephone number: (_) _' Email Address:
4. Soil Scientist's name: Christopher Murray License Number: 1284
Affiliation: ❑ NIA ❑ On Staff ® Retained (Film: NIA)
Soil Scientist's mailing address: 5401 Thacker Dairy Rd
City: Greensboro State: NC Zip: -27406
Telephone number: ( 336-215-8820 Email Address: chi•[e-mail]
5. Fee submitted: $395.00 (See Instruction B)
H. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
2. if this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0006106
Date of most -recently issued permit: 10/13/2046
Date of most -recently certified Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 06-16 Page 1 of 5

HI. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: Multiple sources, Both W W'IP and WTP
City: Dunn
Coordinates: Latitude:
Datum: NAD 84
Method of measurement: MAP
State: N.C. Zip.l
Longitude: i °
Level of accuracy: Second;
2. County where residuals land application program is headquartered: Harnett
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Robert N, Roth
Synagro
1001672
Back -Up ORC
James M. Goad
Synagro
1008533
Additional Back -Up
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test: I
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Sujminarr Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 650 dry tons per year.
PAN
Pounds of PAN per Dry Ton
Pounds of PAN per Year
(Weighted Average)
Surface
Incorporation
Surface
Incorporation
or Injection
or Injection
First -Year
20.18
23.46
13,114
15,246
Five -Year Maximum Adjusted
31.15
34.43
20,248
22,380
b. Land Application Site Use Sunnnary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
152.6
Hay
105.5
Pasture
68.3
Total:
326.4
Methods
Surface
326.4
Incorporation or Injection
0
Total:
326.4
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Laud Applicatimi Sttuuuar: Detennine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
(Ibs PAN/ac y,)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
50
262.3
304.9
405.0
447.6
100
131.1
152.5
202.5
223.8
150
87.4
101.6
135.0
149.2
200
65.6
76.2
101.2
111.9
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough Iand, vector reduction
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): [D Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
❑ Residuals program contains any land application sites) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
u'A
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
EM
Land Application Siite
Certification. doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
l . The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
inlhr
Recommended
Loading Rate
inl r
I
i
.J
'
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
El Yes or ❑ No if No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field 1 Zane
Design Area
(ft2)
Number of
Nozzles
Maximum Application
Rate allons/hr)
Design Annual Loading
Rate allonsl r)
Ij
I
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
$z
Nozzle capacity
gpm
Nozzle manufacturer / model
1
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with I5A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes 0 No, Explain;
I, Heather Adams Public Utilities Director
(Signature Authority's Name PLEASE PRINT) (Title)
attest that this application for City of Dunn RLAP
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the pen -nit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also 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
incomplete.
Note: In accordance with North Carolina General Statutes § 143-2I5.6A and §143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
e4--Signature: Date: _ 3 -1 s,- IZQ
FORM: RLAP 06-16 Page 5 of 5

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
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
supportinz documentation
For more information, visit the Water Quality Permitting Section's Nan -Discharge Permitting Unit
General This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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.
® For new or renewed permits, submit the requested information for all land application sites.
® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table 1. The
status categories and their corresponding codes are as follows:
♦ New (N) 4 Renewed (R) ♦ Modified (M) ♦ Transferred (l) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
H
County Board
✓
Notification. doc
Land Owner
Agreement
(If applicable)
w]
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation Policy"
✓
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3

An updated accounting of the land application site's cumulative
✓
pollutant loading rates CPLRs)
Status Code
Requited Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Polic "
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
® New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
® Surface water body classifications information may be found at: hitp:Hdeq.ne.gov/about/divisions/water-
resou rces/planninglclassifteation-standards/classifications
® Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hqp://deg.nc.r~ov/contact/regional-offices
® General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http://deq.nc.gov/about/divisions/water-resources/planninOclassi fication-standardslclass ifications.
® Stream Classification Process: One of the options below may be used depending on the known initial project information.
® KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
® KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER 1S LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple Iistings of the same waterbody name in the report, select and verify the location description. The team
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream index Numbers and Classifications applicable to the project.
® UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the CIickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
® Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301 i .
® Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted,
® The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John R. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC,"
Pas uotank River Basin
All draina a canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 203.4 net acres and Total to be certified: 326.4 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code"
Site(Field
ID
Landowners
O
Lessees or Operator(s)
(}
Net Acres
County
Crop(s) s
pO
Predominant Soil
Series Name'
Mapping Unit
or Rep. Slope°
N
HA-307-4
KING ROBERTS FARMS INC
Same
13.0
Harnett
Hay
Wickham
WkB
N
HA-307-5
KING ROBERTS FARMS INC
Same
9.3
Harnett
Hay
Wickham.
WkB
N
HA-307-6
KING ROBERTS FARMS INC
Same
41.5
Harnett
Hay
Wickham
WkB
N
HA-307-7A
King Roberts Jr.
Same
10.0
Harnett
Hay
Augusta
Au
N
SA-19-01
MICHAELL. GODWIN PROPERTIES.
LLC
Same
28.1
Sampson
Row Crop
Goldsboro
GoA
N
SA-19-02
riCHAEI.L, GODWIN PROPERTIES.
LLC
Same
21.1
Sampson
Row Crop
Goldsboro
GoA
N
-
--
-- -
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) t T (Transferred) ♦ D (Deleted)
b SoiI Series Name (i.e. Appling, Cecil, etc.)
`Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
HA-307-4
350 19' HA"
78 ° 43' 18"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-5
35" 20' 82"
78" 48' 18.1"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-6
350 20' 14.6"
78" 42' 57.4"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-7A
35" 20' 22.2"
780 43' 23.5"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
SA-19-01
350 12' 52.5"
780 30' 25.6"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;Sw
C;Sw
SA-19-02
350 12' 52.2"
780 30' 34.4"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;Sw
C;Sw
--, iI ++
O + _ '„
NAD 83
ADD
Nearest Second
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 06-16 Page 1

�y VICINITY MAP
`r-
Ln
I ,
�]v _ T
40d
.I
r 1[�
GRAPHIC SCALE
1" ;-- 4,000'
4,pE0' a 4.DX
,
The compliance boundary is established either 250 it from the ►esiduals application area Of 50 feet within N C-HA-307
In the property boundary, whichever Is closest to the application area- The review boundary Is established
midway between the complianoe boundary and the perimeter of the residuals application area. All
locations are approximate, Fields 4-7A

APPLICATION MAP
Ln
A ,
f `
*TTIF
� r'b
�. O
z1
W
LEGEND
® APPLICATION AREA UNSUITABLE AREA
— — — - PRIVATE ROAD � WATER GRAPHIC SCALE
- - STREAM ONSITE HOUSE 9 M = 660'
Elio' 0 r£(r
- - -- DRAIN . OFFSITE HOUSE
FENCE OUTBUILDING
- — PROPERTY LINE 0 WELL
The compliance boundary Is established either 250 It from the residuals application area or 50 feet v ithin N C-HA-307
In the property boundary, whichever is closest to the application area- The review boundary is estabbstied
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate, Fields 4-7A

TOPOGRAPHIC MAP
Ap�4
Vd
�l 1
A
IL N
X
GRAPHIC SCALE
1`=1,000'
1.000, a +,eoo.
The compliance boundary Is established either 250 ft from the residuals application area or 50 feet tirllhln
In the property boundary, whichever Is closest to the application area- The review boundaryIs established
midway between the compliance boundary and Use perimeter of the residuals application area. All
locations are approximate,
NC-HA-307
Fields 4-7A

SO/I�L� SURVEY
V A
V O
4
I
GRAPHIC SCALE
V = 660'
FSO' D 6W
The compliance boundary Is established either 250 It from the residuals application area or 50 feel Wihin NC-HA-307
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 I
locations are approximate. Fields 4-6

SOIL SURVEY
4,
"y
1
( +
Ajs-11
GRAPHIC SCALE
1" = 660'
ssa a 660
The compliance boundary Is established elthor 250 fl from the residuals application area or 54 feet WOO
N C`HA-301
In the property boundary, whichever Is closest to the application area. The revlew boundary Is ostablshed
midway between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate.
Fields 5-7A

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
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 a Applicant shall_ submit one original and_ two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting,Section's Nola -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .I IOU. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) 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 set of land application sites that are owned or operated by an entity other than the
Applicant.
�A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: I l t ])u vA —
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
pp g
Intended Use of Crops
Residuals Source
a tional
(optional)
Special note
(no-tilltover-seed/
pasture)
fly C7 -
�d°�
1
I7
AM m A
p
N
RMW 1A
mm Al c
307T A
N
r6SC iA f 14AY
AM)lA1 H,60
--J
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
"his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

L ' STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR DWR, Non -Discharge Permitting Unit, 1617
Mail Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
S. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that trust be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil,
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
IRALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly-cstablished compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
$,A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: _ is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreements he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
hPrQin
Landowner name:
rvrL -A,vqt
Address: Iq 0
77,Jr nd '-e PJ
City: G hSti� i n ^ State: 1j , C. Zip: Q 'R 3 3Cl
Phone: E-mail address: )'C r e r o k -4, t- $ � �� __AV � Mat
Signature: 4 ✓ P Date: 77 —
NORT14 CAROLINA, VI��`� COUNTY
I, the undersigned Notary Public do hereby certify that iltrya�s �[;
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the C �"
day of
Signature and seal: /yd? J
My commission expires: 1) Cr . q
Lessee's/Operator's Certification:
,20
ROBERT N. ROTH
GUILFORD COUNTY
STATE OF NORTH CAROLINA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
I certify that I have read this
Signing official name:
Signature:
State:
E-mail address:
Date:
Zip:
and dohereby agree tq abide by the stipulations and restrictions as specified herein.
Date:
FORM: LOA 0646 Page 3 of 3

SYNAGRO, KING ROBERTS FARM CLASS B. PERMIT
WQ 0006101
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites for the King Roberts Farm project by Piedmont Environmental Associates, P.A. on
behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher Murray, L.S.S.
No. 1284
Synagro, King Roberts Farm Project, Various Fields

Soil Profile Descriptions in Field Locations
Project: King Roberts Farm (WQ 0006101) % Slope: 3%
Site: King Roberts Farm Crop: Forage/Pasture
Field: Field 4 Conducted By: GC Murray
Coordinates: 35°33'21 "N Date: 9/10/2019
-78°72'25"W Soil Series: Wickham
.O
O
O
U
O
O
U
U
O
X
W
N y
y
O as
^C
O
m
a�
�
0
Z
U
�
N_
O
Q U3
U
w
a
0
d
PIEDMONT
ENVIRONMENTAL
ASSOCIATES, P. A.
uu
N
uJ c
{9 C!)
y
r r
N Q7
N
r Uj
C
45 O IA
w
O aU�+
.Lw
Ap
0-4
1 DYR 313
-
moist
fsl
mod
med
gr
fr
ns
np
E
4-9
1DYR 316
-
-
-
-
moist
$l
mod
med
gr
fr
ns
np
Bt
9-34
7.5YR 518
-
-
-
-
moist
scl
mod
med
sbk
fi
s
p
BC
34-41
7.5YR 516
1OYR 518, 7.5YR 613
few
med.
C&D
moist
scl
wk
med
sbk
fr
s
p
C
41-48
7.5YR 516
10YR 518, 7.5YR 613
com.
med.
C&D
moist
sl
mod
med
gr
fr
ns
np
Legend:
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sid
silty clay loam
Structure Grade
Structure Type
wk weak
gr
granular
m moderate
pl
platy
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
sg
single grained
ma
massive
Structure Size
f fine
med medium
Moist Consistencv
fr friable
vFr very friable
fi firm
vfi very firm
Seasonal High Water Table:
Depth (") Type (apparent/perched)
39 perched

Soil Profile Descriptions in Field Locations
Project: King Roberts Farm (WQ 0006101) % Slope: 3%
Site: King Roberts Farm Crop: Forage/Pasture
Field: Field 5 Conducted By: GC Murray
Coordinates: 35°33'57.4"N Date: 9/10/2019
-78°72'20.5"W Soil Series: Wickham
N
�
O O
v
O O
o
x
.O
d
C
m
U
m
N
O
N
Q cn
U
m m
x
oa
x
C M=
N
C
P
PIEDMONT
ENVIRONMENTAL
ASSOCIATES. P.A.
LLI
ap » v
0. N CL
0 4
G� QY d O N
c �
U V U N Y
L L inn .O U {C
sn �n In A A
0-4
7.5YR 413
-
moist
fsl
mod
med
gr
fr
ns
np
4-10
7.5YR 3/4
-
-
-
-
moist
sl
mod
reed
gr
fr
ns
np
10-36
7.5YR 4/6
-
-
-
-
moist
scl
mod
med
sbk
fi
s
p
VBt
36-44
7.5YR 4/6
-
-
-
-
moist
scl
wk
med
sbk
fi
s
p
44-48
7.5YR 5/6
-
-
-
-
moist
scl
wk
med
abk
fi
s
p
Legend:
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sicl
silty clay loam
Structure Grade
Structure Type
Structure Size
wk weak
gr
granular
f fine
m moderate
pl
platy
med medium
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
Moist Consistency
sg
single grained
fr friable
ma
massive
vfr very friable
fi firm
vfi very firm
Seasonal High Water Table:
Depth (") Type (apparent/perched)
39 perched

Soil Profile Descriptions in Field Locations
Project: King Roberts Farm (WQ 0006101) % Slope: 3%
Site: King Roberts Farm Crop: Forage/Pasture
Field: Field 6 Conducted By: GC Murray
Coordinates: 35°33'76"N Date: 9/10/2019
-78071'89"W Soil Series: Wickham
N
N
L
L
t
o
a
u
0
0
O
O O
c
O
r�
m
U
ca
a�
0
�
�
Q
as
O
C
N
En
as
O
C
U
O
U
x
O
N
co
N
O
L'
m
RIED14ONT
ENVIRONMENTAL
ASSOCIATES. P.A.
LU c
N y
U Cn F— T
� e N
C �
d L L O y =
� U y
L L L Q
Ap
1 0-5
7.5YR 414
-
-
-
moist
sl
mod
med
gr
fr
ns
np
E
5-11
7.5YR 3/4
-
-
-
-
moist
sl
mod
med
gr
fir
ns
np
Btl
11-37
7.5YR 416
-
-
-
-
moist
scl
mod
med
sbk
fi
s
p
Bt2
37-48
7.5YR 416
-
-
-
-
moist
scl
wk
med
sbk
fi
s
p
Legend.
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sid
silty clay loam
Structure Grade
_Structure Type
wk weak
gr
granular
m moderate
pl
platy
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
sg
single grained
ma
massive
Seasonal High Water Table:
Structure Size
Depth (") Type (apparentlperched)
f fine
39 perched
med medium
�p SOIL S��
v 5iO¢ H R
Moist Consistency
x
fr friable
.'-
vfr very friable
fi firm
$� 1304
vfi very firm;

Soil Profile Descriptions in Field Locations
Project: King Roberts Farm (WQ 0006101) % Slope: 3%
Site: King Roberts Farm Crop: Forage/Pasture
Field: Field 7A Conducted By: GC Murray
Coordinates: 35°34'1.9" N Date: 9/10/2019
-78°72'29.6"W Soil Series: Augusta
N
N
C
O
O
U
O
O
o
x
a,
O Qs
•►
C
O
C
m
U
O
a
as
S
N
�n
m
w
S
O
0
x
O
N
�
°'
N
S
+�
x
a)
PIEDMONT
ENVIRONMENTAL
ASSOCIATES, P.A.
ul
p uJ U
N
U H N
r (A
O h
Q� N U7 O N
U Cam] U N � 'N
0 U i4
rn rn �n S n A
Ap
0-4
10YR 3/3
-
-
-
-
moist
sl
mod
med
gr
fr
ns
np
E
4-10
1 OYR 3/4
-
-
-
-
moist
sl
mod
med
gr
fr
ns
np
Bt1
10-37
10YR 4/6
10YR 518, 7.5YR 613
few
med.
C&D
moist
scl
mod
med
sbk
fi
s
p
Bt2
37-48
10YR 4/6
1OYR 518, 7.5YR 612
Com.
med.
C&D
moist
scl
wk
med
sbk
fi
s
p
Legend:
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sicl
silty clay loam
Structure Grade
Structure Type
wk weak
gr
granular
m moderate
pl
platy
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
sg
single grained
ma
massive
Structure Size
f fine
med medium
Moist Consistencv
fr friable
vfr veryfriable
fi firm
vfi very firm
Seasonal High Water Table:
Depth (") Type (apparent/perched)
2s 1 perched

NCDA&CS Agronomic Division Phone: [phone] Website: www.neagr.gov/agronomcl Report No. FY20-SL003587
rGR,GUIZURE.. Heavy Metals Client: Helen 1 King Jr Roberts Advisor: Melvin Goad
W `�y 4045 Titan Roberts Rd. Synagro
a Soil Report Mehlich-3Extraction Erwin, NC28339 284Boger Rd
Mocksville, NC 27028
il� sad
Links to Helpful Information Sampled: Not Provided Sampled County : Harnett
Received: 08/3012019
Farm: HA-307 Completed: 09/04/2019 Client ID: 144021 Advisor ID: 404711
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a soil test
extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr)- 0.2 ppm, lead (Pb)-
4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and
note where elevated above background levels. Note any lime and fertilizer recommendations. Tissue testing is suggested where soil pH is high and is of concern as in samples found here.
Ja athi Kamalakanthan 9/4/2019
Sample 1D: H307C4
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1-FescuelOGrass/Tim, M 0.0 120-200 100 90 0 0 pH$ 0 0 0
Note: 12 Note:
2 - C.0
Test Results [units -WN in glcrrr3; CEC and Na in meg1100 crnZ; NO3-N in mgldrr$j: Soil Class: Mineral
HM% WN CEC BS% AG pH P-1 K-1 Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu4 Na ESP SS-1 NO3-N
0.27 1.12 10.5 98 0.2 7.2 18 24 86 11 36 793 474 87 87 87 C.1 1
Heavy Metals (parts per million): Arsenic, CA Cadmium, 0.1 Nickel, 0.6 Chromium, 0.3 Lead, 3.9 Selenium, 0.2
Sample ID: H30705
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1-FescuelOGrasslTim, M 0.0 120-200 0 120 0 0 pH$ 0 0 0
Note: 12 Note:
2 - 0.0
Test Results [units - WN in glerrrP, CEC and Na in meg1100 cm3; NO3-N in mg/dnr]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-Al Cu-I Na ESP SS -I NO3-N
0.32 1.19 9.3 96 0.4 7.0 71 13 84 11 30 921 554 128 128 147 0.1 1
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1 Nickel, 0.7 Chromium, 0.2 Lead, 4.2 Selenium, C.0
North Carolina
Tobacco Trust Fund Commission
Reprogramming of the laboratory -information -management system that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Sieve Troxier, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.neagr.gov/agronomi/
Report No. FY20-SL003687
Helen 1 King Jr Roberts
Page 2 of 3
Sample ID: H30706
Recommendations: Lime
Nutrients (Ib/acre)
More
Crop (tonstacre) N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M 0.0 120-200 0
100
0 0
pH$
0
0 0
Note: 12 Note:
2- 0.0
Test Results [units - WIV in glcrrr ; CEC and Na in meg/100 cm3; NO3-N in mgldrrr j:
Soil Class:
Mineral
HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2
Zn-I
Zn-Al
Cu-I Na ESP
SS-1 NO3-N
0.32 1.14 11.2 98 0.2 7.2 98 20 82 15
31 1001
600
156
166
162 0.1 1
Heavy Metals (parts per million): Arsenic, 0-1 Cadmium, 0.1
Nickel, 1.0
Chromium, 0.2
Lead,
4.0 Selenium,
0-2
Sample 1D: H30707
Recommendations: Lime
Nutrients (lblacre)
More
Crop (tonslacre) N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 0
90
0 0
0
0
0 0
Note: 12
2- 0.0
Test Results [units - WN in glcnr3; CEC and Na in megl100 crrr; NO3-N in mgldrrr]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-1 Na ESP
SS-1 NO3-N
0.56 1.05 12.1 92 0.9 6.4 64 24 76 15
35 585
362
112
112
283 0.2 2
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1
Nickel, 0.6
Chromium, 0.2
Lead,
4.5 Selenium,
0.2

NCDA&CS Agronomic Division Phone: [phone] Website: www.neagr.gov/agronomil Report No. FY20-SL003587
Helen i King Jr Roberts Page 3 of 3
Understanding the Soil Report. explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib11000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 lb11000 sq ft) at on
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-1
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
Nacre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
Mn-All
manganese
Mn-availability index for crop 1
only on reports for greenhouse soil or problem samples.
Mn-Al2
Mn-availability index for crop 2
Mn-1
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-
mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.govlagronomilpubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncaar.00vlaaronomiloboart4.htn sfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
WN
weight per volume
The first seven values [soil class, HM%, WA/, CEC, BS%, Ac and pHj describe the soil and its degree of acidity. The
Zn-AI
Zn-I
zinc availability index
zinc index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-Ali, Mn-Al2, Zn4, Zn-Al, Cu-I, S-1, SS-1, Na, ESP, SS -I, NO3-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagrgovlagronomiluyrst.htm

VICINITY MAP
GRAPHIC SCALE
1 ° = 4,000'
4,OCO' 0 OW
—
The compliance boundary Is established either 250 It from the resldeats applicator area or 50 legit Athin N C-SA-19
In the property boundary, whichever Is closest to the application area_ The review boundary is ostablished
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

APPLICATION MAP
Q
Z '
■
i
I
I
LEGEND
I, APPLICATION AREA UNSUITABLE AREA
�— — PRIVATE ROAD WATER GRAPHIC SCALE
STREAM . ONSITE HOUSE 1" = 660'
0 6W
— - --- DRAIN . OFFSITE HOUSE
FENCE OUTBUILDING
-- -- PROPERTY LINE 0 WELL
The compliance boundary Is established either 250 fl from the resldools applica0on area or 50 feel %ithin NC-SA-1 9
In the property boundary, whichever Is closest to the appllcallon area_ The review boundary Is established
midway between the compliance boundary and the perimeter of the residuals application area. All
Iocalionsare approximate. Fields 1-2

TOPOGRAPHIC MAP
14K
GRAPHIC SCALE.
1 " = 800'
Boa 1; e.A'
The compliance boundary Is ostabllshed either 250 It from the residuals application area or 50 feet within C-SA-19
In the property boundary, whichever Is closest to the application area_ The review boundary Is established I v
midway between the compliance boundary and the perimeter of the residuals application area. AM
locations are approximate. Fields 1-2

0 SOIL SURVEY
cu
i
GRAPHIC SCALE
1" = 800`
Boo oo
The compliance boundary Is eslalahshed either 250 it front the residuals apphca�on area of 50 feet %ithin NC-SA-19
In the property boundary, whichever Is closest to the application area_ The review boundary Is established
midway between the compliance boundary and Ilia perimeter of the residuals application area. All
locations are approximate. Fields 1-2

- gr Ulm
Divislon of Water Resources
Departttle>It of ate of North Carolilia
nvirontnent and Natural Resources
Department of Environment and Naii'al Resources
Division of Water kowW
15A NCAC 02T .1100 -- LAND OWNER AGR>5FMEM
FORM: LOA 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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit we site at.
ht :// o'tal.ncdenr.or /web/w /a s/1au
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 11-13).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 11-13):
EK Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 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 set of land application sites that are owned or operated by an entity other than the
Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: C--, 'yy ofr , vti
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
-.19— alIV
13A, 19 - 92
1qr
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 11-13 Page 1 of 3

1. �1be landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entjty for the site(s) specified by this Agreement.
et}i Qf. srte($i $pe<,iiiialr$y t1Fl '1 t riS Sl no- ntherwkn nermit the use of the land application sites) to a third party, the landowner shall
2. Should the landowner or his representative lease or otherwise ermit the use of the land application sites) to a thud party, the landowner shall
b�Pt,lgiRi�sihle,to erlaure tltdY �%i'r' "a --
,l'- - -
be responsible to ensure that t tb�r l%i a crdlil li w t4 tt8# and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions 6i`Mis Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
.7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of time shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
_soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals Iand
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application sites) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions ofthe permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and I2 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. -
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the'surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
HLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105 h allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the fallowing;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
J A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA It - 13 Page 2 of 3

t r r
Landowner's Certifcation: �
I certify that I am a deeded Iandowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
r
• Landowner na�pm^e:l ff n � e 1
Address: 4 I Q %r
City: N Al r State: Al CZ zip:. 4R"_ !y
Phone: E-mail address:Ay- F1
ry
Signature: ` Date:
NORTH CAROLINA, 'qd\ C
O
UNTY
I, the undersigned Notary Public do hereby certify that f� " l r 6 A e-
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of A n nk _ , 20 l `f
Signature and seal:
My commission expires:
20 4 ROBERT N. ROTH
NUIAFIY PUBLIC
GUILF'ORD COUNTY
Lessee' slOperator's Certification: STATE OF NORTH CAROLINA
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
Date: 3�/[{'�2D
FORM: LOA 11-13 Page 3 of 3

SYNAGRO, DUNN CLASS B PERMIT
WQ 0006101
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites for the Dunn project by Piedmont Environmental Associates, P.A. on behalf of
Synagro Central, LLC. The evaluations consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher Murray, L.S.S.
No. 1284
Synagro, Dunn \NV\fTP Project, Various Fields

Soil Profile Descriptions in Field Locations
Project: Synagro Dunn WVVTP (WQ 0006101)
% Slope: 3%
Site: Mike Godwin
Crop: Row Crops (soybean)
Field: SA-19-01
Conducted
By: GC Murray
Coordinates: 35 ° 12'46"
Date: 1/10/2020
-78°30'22"
Soil Series: Goldsboro
m
U
m
c
ci
U
O
0
p
O
N
O
aco
of
,�
+'
x
v
m
m
o
a�
y
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w
0
M
m
AX
@
PIEDMONT
ENVIRONMENTAL
ASSOCIATES. P.A.
W
N
�r cr)
m G)
W
N
V
T
N
G
Q+
N
.`+
Ap
0-7
10YR 5/2
-
-
-
-
moist
sl
wk
med
gr
fr
ns
np
E
7-11
10YR 613
-
-
-
-
moist
Is
mod
med
gr
fr
ns
np
Bt1
11-36
10YR 5/6
1 OYR 511. 10YR 5/6
com
med
C&D
moist
scl
mod
fine
sbk
fr
ss
sp
Bt2
36-48
10YR 5/6
1 OYR 5/ 1. 19YR 5/7
com
med
C&D
moist
scl
wk
fine
sbk
fr
ss
sp
Legend:
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
Sid
silty clay loam
Structure Grade
Structure Type
wk weak
gr
granular
m moderate
pl
platy
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
sg
single grained
ma
massive
Structure Size
f fine
med medium
Moist Consistencv
fr friable
vfr very friable
fi firm
vfi very firm
Seasonal High Water Table_
Depth (") Type (apparent/pemc ed)
36 apparent

Soil Profile Descriptions in Field Locations
Project: Synagro Dunn WWTP (WQ 0006101)
% Slope: 3%
Site: Mike Godwin
Crop: Row Crops (soybean)
PIEDMONT
Field: SA-19-02
Conducted
By: GC Murray
Coordinates: 35'12'47"
Date: 1 /10/2020
ENVIRONMENTAL
-78°30'31"
Soil Series: Goldsboro
ASS O c, ATE S. P. A.
LLI
U
LL]
i
ai
rj ro
Ur
N
ui
I— T
.0 O
O
O
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91 C
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y y
;v O N+
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cA
O
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c
O
e
O
C
a) y
� rV
+�+
�n
+`
rn
« p rU—+
rn S rn n
Ap
0-3
1 CYR 5/2
-
-
moist
sl
wk
I med
gr
fr
ns
np
E
3-10
1 CYR 6/3
-
-
-
-
moist
Is
mod
med
gr
fr
ns
no
Bt1
10-36
1 CYR 5/6
1CYR 511. 10YR 5/6
com
med
C&D
moist
scl
mod
fine
sbk
fr
ss
sp
Bt2
36-48
1 CYR 5/6
1CYR 511. 10YR 517
com
med
C&D
moist
scl
mod
fine
sbk
fr
ss
sp
Legend:
Texture
s
sand
I
loam
si
silt
A
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sicl
silty clay loam
Seasonal High Water Table:
Structure Grade Structure Type Structure Size Depth (") Type (apparent/perched)
wk weak gr granular f fine 36 apparent
m moderate pl platy med medium
str strong pr
prismatic
cpr
columnar
able
angular blocky
sbk
subangular blocky
Moist Consistenc
sg
single grained
fr friable
ma
massive
vfr very friable
fi firm
vfi very firm

NCDA&CS Agronomic Division Phone: [phone] Website: www,nc.gr.gov/agronomcl Report No. FY20-:, 019875
�Ftu .,}
Heavy Metals
as
+'a a
Soil Report Mehlich-3 Extraction
Client: Mike Godwin Advisor. Synagro
Godwin Produce Co Synagro
5904 Timothy Rd 284 Boger Rd.
Dunn, NC 28334 Mocksville, NC 27028
�x'�'��F•5'4' Links to Helpful information
Sampled County : Sampson
Client ID: 121915 Advisor ID: 503079
Sampled: Received: 12/19/2019 Completed: 01/06/2020 Farm: SA-19
Agronomist's Comments.
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated lead in both the samples. Although the above metals here
are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer
recommendations. Where soil test phosphorus (P) is very high (P-I > 100), crops will not respond
to additional P applied. Tissue testing is advised where soil pH is high as
in sample found here. Jagathi Kamalakanthan 1/3/2020
Sample ID: SA1901
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre) N P205
K20 Mg S Mn Zn Cu B
Information
Lime History:
1-Soybean 0.0 0 0
0 0 0 pH$ 0 0 0
Note: 3 Note:
2 - 0.0
Test Results [units - WV in g1cm3; CEC and Na in megi100 cm3; NO3-N in mgldm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N
0.86 1.20 9.9 97 0.3 6.8 328 88 84 8
29 119 69 299 299 264 0.1 1
Heavy Metals (parts per million): Arsenic, 0.3 Cadmium, 0.1
Nickel, 0.3 Chromium, 0.3 Lead, 6.6 Selenium, 0.0
Sample 1D: SA1902
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre) N P205
K20 Mg S Mn Zn Cu B
Information
Lime History:
1-Soybean 1.1 0 30
20 0 0 0 0 0 0
Note: 3
2 - 0.0
Test Results [units - WIV in g1cm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%
S-1 Mn-I Mn-Ali Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N
1.94 1.09 7.5 71 2.2 5A 49 64 43 23
69 27 26 181 181 58 0.1 1
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1
Nickel, 0.4 Chromium, 0.2 Lead, 8.2 Selenium, 0.0
North Carolina
� "7
Ta Wero Truss F iind CcgnatissIon
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner ofAciriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov1agronomi1 Report No. FY20-ou019875
Mike Godwin Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
ton/acre or lb/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (501b/1000 sq ft) at
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full i
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Fertilizer
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
only on reports for greenhouse soil or problem samples.
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
notations appear on the soil report, refer to Note: Secondary Nutrients and Micronutrients In general, homeowners do not
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
ncagr.goWagronomj/pubs.htm.
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft. If you cannot find
the exact fertilizer grade recommended on the report, visit www.ncacrr.gov/aaronomi/obpart4.htmind information that
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilize+
Test Results
The first seven values [soil class, HM%, WIV, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine]
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncapr.povwapronomi/uyrsthtm
Report Abbreviations
Ac
exchangeable acidity
B
boron
BS%
% CEC occupied by basic cations
Ca%
% CEC occupied by calcium
CEC
cation exchange capacity
Cu-I
copper index
ESP
exchangeable sodium percent
HM%
percent humic matter
K-1
potassium index
K20
potash
Mg%
% CEC occupied by magnesium
MIN
mineral soil class
Mn
manganese
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Mn-1
manganese index
M-0
mineral -organic soil class
N
nitrogen
Na
sodium
NO3-N
nitrate nitrogen
ORG
organic soil class
pH
current soil pH
P-1
phosphorus index
P205
phosphate
S-1
sulfur index
SS-1
soluble salt index
WN
weight per volume
Zn-AI
zinc availability index
Zn-I
zinc index

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 06-16
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
supporting documentation
For mare information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General -- This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to continent on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. County Board Notification (FORM: CBN 11-15):
® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-15). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate County Board Notification (FORM: CBN I 1-15) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
® Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas,
® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
ligpsJ/dq.nc.eovlabout/divis ions/,Lvater-resources/water-resources-rut esfwater-supply-watershed-protection-program
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
® The most current publication of the Director of State_ and County Officials may be downloaded at:
ht!ps:/lwww.sosnc_govlpubl icatioasldirect.aspxx
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http:lldeu.tic.aovlcontactlreRiobal-offices.
® The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required).
® The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 06-16 Pagc 1 of I

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
Date: 3/11/2020
`1<'o: Name of Chairman to the Board of County Commissioners: Howard L, Penny
Complete mailing address: PO Box 759
City: Lillin on State: NC Zip: 275461-1
County where land application sites are located: Harnett
From: Applicant's name: City_of Dunn (on behalf of the Division of Water Resources in accordance with Session Law
2013-340)
Contact person and title: Melvin Goad
Complete mailing address: 284 Boger
City: Mocksville State: NC Zip: 27028-IL J
Telephone number: [phone] E-mail address: [e-mail]
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Fayetteville Regional Office
Complete trailing address: 225 Green St, Suite 714
City: Fayetteville
State: NC Zip: 2830I
Telephone number: [phone]
Expected date of application submission: 3/20/20
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
Nan -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Phone: 91U07-6464l Internet: httn:!/Portal.nc(fenr,orQtweblwn
An Equal Opporlunity 4 Affirmative Action Employer— Made in part with recycled paper
FORM: CBN 06-1 6

RESIDUALS SOURCE FACILrrY SUMMARY
Applicant's name: Qjjy of Dunn
Status
Code,,
Facility permit $oIdQr
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current
Proposed
R
City of Dunn
City of Dunn WTP
Harnett
03-43-010
350
350
R
City of Dunn
City ofDwm WWTP
Harnett
NCO043176
300
300
i
'Status Code for source facility are: +K (New) + R (Renewed) ♦ M (Modified) + D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13 Page I

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 203.4 net acres and Total to be certified: TBD net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction E):
Status
Code
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Name b
Mapping Unit
or Rep. Slope'
N
HA-307-4
KING ROBERTS FARMS INC:
Sarre
13.0
Harnett
Flay
Wickham
WkB
N
HA-307-5
KING ROBERTS FARMS INC
Same
93
Harnett
Hay
Wickham
WkB
N
HA-307-6
KING ROBERTS FARMS INC
Same
41.5
Harnett
Hay
Wickham
WkB
N
HA-307-7A
King Roberts Jr.
Same
10.01
Harnett
Hay
Augusta
Au
N
SA-19-01
MICHAEL L. GODWIN PROPERTIES,
LLc
Same
28.1
Sampson
Row Crop
Goldsboro
GoA
N
SA-19-02
MICHAEL L. GODWIN PROPERTIES.
LLC
Same
21.1
Sampson
Row Crop
Goldsboro
GoA
N
—
^
s Status Code for land application sites are: + N (New) + R (Renewed) + M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. AppIing, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
CIass
I-IA-307-4
350 19' 58 4"
78 ° 43' 18"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;SW
C;SW
HA-3 07-5
350 20' 8 2"
780 48' 18 I"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;SW
C;SW
HA-307-6
350 20' 14.6"
780 42' 5T4"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;SW
C;SW
HA-307-7A
35" 20' 22 2"
780 43' 23.5"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;SW
C;SW
SA-19-01
350 12' 52.5"
780 30' 25.6"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-I-17
C;SW
C;SW
SA-19-02
350 12' 522"
780 30' 34.4"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;SW
C;SW
NAD 83
ADD
Nearest Second
7'21
°
NAD 83
ADD
Nearest Second
Note: Please keep the site information (1.) and waterbody information (II.) of the same field on the same page_
FORM: LASC 06-16 Page 1

VICINITY MAP
• '•- - sue. �,-�. :,-_ �� , $ +: •,� av
1 i� 1 S - 1 tl�1•{ iY I
1 (-..
GRAPHIC SCALE
1" = 4,000'
a,0co' o a.oto'
Tire compllance boundary Is aslaWshed either 250 It from the residuals application area or 50 feel "illiln N V-HA-307
in the property boundary, whichever Is closest to Ilia applIcation area_ The review boundary Is established
midway betv,een the compliance boundary and Ilia podirialer of the residuals application area. All
locations are approximate. Flelds 4-7A

Nate Roth
From: UPS Quantum View <[e-mail]>
Sent: Wednesday, April 8, 2020 12:03 PM
To: Nate Roth
Subject: UPS Delivery Notification, Tracking Number 1Z51F78W0108962881
Your package has been delivered.
Delivery Date: Wednesday, 04/08/2020
Delivery Time: 11:37 AM
At the request of SYNAGRO - MOCKSVILLE this notice alerts you that the status of the shipment listed
below has changed.
Shipment Detail
Tracking Number:
1ZSIF78WO108962881
HOWARD PERRY
HOWARD PERRY
Ship To:
420 MCKINNEY PKWY
LILLINGTON, NC 27546
us
UPS Service:
UPS NEXT DAY AIR
Number of Packages:
1
Weight:
1.0 LBS
Delivery Location:
OFFICE
FUSA
Reference Number 1:
20-2360-30-60-4310 50-0055
0 Download the UPS mobile app
1

D..
0�
Dlvlslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 06-16
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
supporting documentation
For more information, visit the Water Quality Permitting Section's Nan -Discharge Permilthzg Unit
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1 M. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below,
A. County Board Notification (FORM: CBN 11-15):
® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-IS), Please do not make any
unauthorized content changes to this form. if necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
® Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
Mips:/Ideq.nc. goy/about/d ivisions/water-resources/water-resources-roleshvater-supply-Watershed-protection-program
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
® The most current publication of the Directory of State and County Officials may be downloaded at:
httM:/1www.sosnc.gov/publications/di rect.aWx�
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
htlp:/Ideq.iic.gov/cbntact/regional-offices.
® The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required),
® The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
® Attach an 8.5 by I 1-inch copy of the return receipt to the back of this attachment prior, to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 06-16 Page 1 of 1

North Carolina Department of Environmental {duality
Pat McCrory Donald R. van der Vaart
Governor Secretary
Date: 3/11/2020
To: Name of Chairman to the Board of County Commissioners: Clark Wooten
Complete mailing address: 406 County Complex Rd.
City: Clinton
State: NC Zip: 28328
County where Iand application sites are located: Harnett
From: Applicant's name: City of Dunn (on behalf of the Division of Water Resources in accordance with Session Law
2013-340)
Contact person and title: Melvin Goad
Complete mailing address: 284 -BoMr r Rd.
City: Mocksville State: NC Zip: 27028-Lj
Telephone number: [phone] E-mail address: [e-mail]
synagro.com
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -
generating sources and locations of the proposed land application sites, Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Fayetteville Regional Office
Complete mailing address: 225 Green St. Suite 714
City: Fayetteville State: NC Zip: 28301-E
Telephone number: [phone]
Expected date of application submission: 3/20120
Should you desire to comment on this application, please do so no later than 30 calendar days following the
expected application submission date. If you have any questions or comments about this notification, or if you would like
more information, please contact the appropriate regional office at the telephone number provided above. Thank you in
advance for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
Non -Discharge Pemtilting Unit
1617 Mail Service Center, Raleigh, North Carolina 276991617
Phone: [phone] Internet: bitoilloortal.nodeflcorghyeW
An Equal Opportunity 1 fli mauve Aclion Employer- Made in part with recycled paper FO1tK C13N 06-16

RESIDUALS SOURCE FACILITY SU EVLARY
Applicant's name: City of Dunn
States
Code-,
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current'
Proposed
R
City of Dunn
City of Dunn WTP
Harnett
03-43-010
350
350
R
City of Dunn
City of Dunn WWTP
Harnett
NCO043176
300
300
I
3
' Status Code for source facility are: + N (New) + It (Renewed) + M (Modified) + D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13 Page 1

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 203.4 net acres and Total to be certified: TBD net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Name a
Mapping Unit
or Rep. Slope°
N
HA-307-4
KING ROBERTS FARMS INC
Same
13.0
Harnett
Hay
Wickham
WkB
N
HA-307-5
KING ROBERTS FARMS INC
Same
9.3
Harnett
Hay
Wickham
WkB
N
HA-307-6
KING ROBERTS FARMS INC
Same
41.5
Harnett
Hay
Wickham
WkB
Ni
HA-307-7A
King Roberts Jr.
Same
10.01
Harnett
Hay
Augusta
Au
N
SA-19-0 ]
MICHAEL L. GODWIN PROPERTIES.
Same
25.1
Sampson
Row Crop
Goldsboro
GoA
N
SA-19-02
MICHAEL L. GODWIN PROPERTIL•S,
LLC
Same
21.1
Sampson
Row Crop
Goldsboro
GoA
N
Status Code for land application sites are. + N (New) + R (Renewed) + M (Modified) + T (Transferred) + D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i_e_ for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
Ii. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
IA-307-4
350 19' 58.4"
78 ° 43' 18"
NAD 83
ADD
Nearest Second
Upper Little River, I8-20-(24.5)
C;Sw
C;Sw
HA-307-5
350 20' 8 2"
7$0 48' 1$ 1"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-6
350 20' 14.6"
780 42' 57.4"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-7A
35° 20' 22.2"
780 43' 23.5"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
SA-19-01
350 12' 52.5"
78" 30' 25.6"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;Sw
C;Sw
SA-19-02
35° 12' 52.2"
780 30' 34.4"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;Sw
C;Sw
NAD 83
ADD
Nearest Second
F
-°
u
o —'' �"
NAD 83
ADD
Nearest Second
Note: Please keep the site information (L) and Waterbody information (II.) of the same field on the same page.
FORM: LASC 06-16 Page 1

VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
qcv a 4.00Q
The compliance boundary Is established either 250 fl from the residuals application area or 50 feel Wthhi N C-SA-19
to the property boundary, whichever Is closest to the application area_ Tho review boundary Is established
midway between the compliance boundary and the perimeter of the residuals application
locations are approximate, on area. All
Fields 1-2

3/25/2020
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