WQ0033677_More Information (Received)_20200228

FOR REGIS-RATION REGISTER of DEEDS
Stephanie A Norman
Burke County, NC
02/28/2020 at 09:27:21 AM
Book 2451 Page 497 (2)
FEE: $26 00
INSTRUMENT tt 2017037694
�I IIIII��IIIIIV�IIIINI�I
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE WASTEWATER SYSTEM WAIVER
AGREEMENT TO WAIVE SETBACKS AS REQUIRED BY
15A NCAC 02T .0506(a), .0506(b), .0606(a), .0706(a) AND .1006(a)
1, Paul Taylor (printed name), certify that I am a deeded owner or an
authorized agent of the property located at:
Address: 5067 Foreman St Parcel No.: 1770496061
City: Morganton State: NC Zip Code: 26655 County: Burke
Furthermore, I certify that I am authorized to make decisions regarding this property, and that I do hereby
agree that the setback distances cited below be granted to the Applicant/Permittee listed on the following
page.
I understand the setback requirements set forth in 15A NCAC 02T. For the parcel identified above,
I consent to the following reduced setbacks:
❑ Wastewater Irrization/Infiltration Setback to Property Lines
The required setback of feet is reduced to feet, thereby allowing wastewater effluent
irrigation or infiltration no closer than feet from my property line.
© Wastewater Irrigation/Infiltration Setback to Places of Assembly
The required setback of 200 feet is reduced to 50 feet, thereby allowing wastewater effluent
irrigation or infiltration no closer than 50 feet from my residences) or place(s) of assembly.
❑ Wastewater Treatment and Storage Unit Setback to Property Lines
The required setback of feet is reduced to feet, thereby allowing the construction of
wastewater treatment and storage units no closer than feet from my property line.
❑ Wastewater Treatment and Storage Unit Setback to Places of Assembly
The required setback of feet is reduced to feet, thereby allowing the construction of
wastewat tment and storage units noAdoser than feet from my residence or place of
assembly L,-,--o
Signature:<1, Date: Z
FORM: NDWSW 02-19 Page I of 2

Applicant/Permittee: Case Farms, Inc. Pen -nit No.: _WQ0033677
Address: 5067 Foreman St Parcel No.: 1770496061
City: Morganton State: NC Zip Code: 28655 County: Burke
NORTH CAROLINA, i J, rke COUNTY
I, v- WI&P a NotaryPublic for County, North Carolina,
do hereby certify that `al'Otu. 7 � personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the day of POD
11 u I i 1 j rry, ra
'� [4t�'EAL �..•
•r
I At)
�p
coull
,/�//11111111111111
My commission expires
Once notarized, this form shall be recorded at the Register of Deeds in the county or counties in
which the described properties are located. A copy of the recorded waiver shall be sent to the
following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDWSW 03-17 Page 2 of

IWRTKRJTLFCH LJVBZInc.
POST OFFICE BOX 1056 - #5 PINEWOOD PLAZA DR,
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Case Farms-Hatchery-MW#3
PERMIT #:
ADDRESS: Case Farms Hatchery
COLLECTION DATE:
1112612019
COLLECTION TIME:
11: 00
RECEIVED DATE.-
11/26/2019
RECEIVED TIME:
14'.50
REPORTED: 12/12/2019
LOG ID: 1911-423 REPORTED BY: NC CERTIFIED LAB # 50
fu� *
Tony Gragg, Lab Supervisor

URTERIJTCCH LRDSInc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Case Farms-Hatchery-MW#4 COLLECTION DATE:
11/26/2019
COLLECTION TIME:
12:00
PERMIT #:
ADDRESS: Case Farms Hatchery RECEIVED DATE:
11/26/2019
RECEIVED TIME:
14:50
REPORTED:
12/ 12/2019
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
46
mg/L
11/27/19
lag
TOC
<1.0
mg/L
11/27/19
NH3
<0.2
mg/L
12/3/19
Jrg
Chloride
15
mg/L
11/27/19
lag
Arsenic
<0.005
mg/L
1215/19
NO3-N
Vl' 1.20
mg/L
1216/19
Jdg
TKN
0.56
mg/L
12/5/19
Jdg
T. Nitrogen
1.76
mg/L
12/6/19
Jdg
T. Phosphorus
0.50
mg/L
12/2/19
Jdg
Zinc
0.010
mg/L
12/5/19
MBAS
<0.1
mg/L
11/27/19
Sodium
4.64
mg/L
12/5/19
Formaldehyde
<0.25
mg/L
12/2/19
Conductivity
76
umhos/cm
11/27/19
Jrg
Copper
<0.005
mg/L
12/5/19
Potassium
1.41
mg/L
1215/19
LOG ID: 1911-424 REPORTED BY: NC CERTIFIED LAB # 50
ff� *
Tony Gragg, Lab Supervisor

moms J J Lfiff0inc.
POST OFFICE BOX 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Case Farms-Hatchery-MW#5 COLLECTION DATE:
11/26/2019
PERMIT #: COLLECTION TIME:
11:30
ADDRESS: Case Farms Hatchery RECEIVED DATE:
11/26/2019
RECEIVED TIME:
14:50
REPORTED:
12/12/2019
ANALYSIS
ANALYSIS
RESULTS
UNITS
DATE
ANALYST
TDS
41
mg/L
11/27/19
lag
TOC
<1.0
mg/L
11/27/19
NH3
<0.2
mg/L
12/3/19
Jrg
Chloride
14.5
mg/L
11/27/19
lag
Arsenic
<0.005
mg/L
12/5/19
NO3-N
0.54
mg/L
12/6/19
Jdg
TKN
0.28
mg/L
12/5/19
Jdg
T. Nitrogen
0.82
mg/L
12/6/19
Jdg
T. Phosphorus
0.86
mg/L
12/2/19
Jdg
Zinc
0.020
mg/L
12/5/19
MBAS
<0.1
mg/L
11/27/19
Sodium
5.70
mg/L
12/5/19
Formaldehyde
<0.25
mg/L
12/2/19
Conductivity
66
umhos/cm
11/27/19
Jrg
Copper
<0.005
mg/L
12/5/19
Potassium
2.78
mg/L
12/5/19
LOG ID: 1911-425 REPORTED BY: NC CERTIFIED LAB # 50
ff� * .
Tony Gragg, Lab Supervisor

Client Sample ID:
Case Farms MW3
Lab Sample ID:
75311-01
Site:
Water Tech Labs
Collection Date:
11/26/2019 11:00
Method
Result
Units
Rep Limit Anal st Analysis Date/Time
Parameter
Arsenic, Total
EPA 200.7
<0.005
mg/L
0.005
EA 12/512019
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
EA 12/5/2019
Formaldehyde
In House
<0.25
mg/L
025
DW 12/2/2019
MBAS
SM 5540 C-2000
<0.1
mg/L
0.1
AW 11/27/2019 1400
otassium, Total
EPA 200.7
2.29
mg/L
0.5
EA 12/5/2019
Sodium, Total
EPA 200.7
7.98
mg/L
0.5
EA 12/5/2019
Total Organic Carbon SM 5310 B-2000
<1.0
mg/L
1
MG 11/27/2019
Zinc, Total
EPA 2003
0.016
mg/L
0.01
EA 12/5/2019
Client Sample ID:
Case Farms MW4
Lab Sample ID:
75311-02
Site:
Water Tech Labs
Collection Date:
11/26/2019 12:00
Method
Result
Units
Rep Limit Analyst Analysis DatelTime
Parameter
Arsenic, Total
EPA 200.7
<0.005
mg/L
0,005
EA 12/5/2019
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
EA 12/5/2019
Formaldehyde
In House
<0.25
mg/L
0.25
DW 12/2/2019
MBAS
SM 5540 C-2000
<0,1
mg/L
0.1
AW 11/27/2019 1400
Potassium, Total
EPA 200.7
1,41
mg/L
0.5
EA 12/5/2019
Sodium, Total
EPA 200.7
4.64
mg/L
0.5
EA 12/5/2019
al Organic Carbon
SM 5310 B-2000
<1.0
mg/L
1
MG 11/27/2019
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] wvrw.randalabs.com Page 1

P1
���E
�O
G, Total
P A = 7����O
- 0 1
Client Sample ID:
Case Farms MW5
Lab Sample ID:
75311-03
Site-:
Water Tech Labs
Collection Date:
11126/2019 11:30
Resul
--Un�i
2p Analyst
Pa
EEa-
_:a::me�ter����MLe�th
Arsenic, Total
EPA 200.7
<0.005
mg /L
0.005
EA 12/5/2019
Copper, Total
EPA2UUJ
<U05
mg/L
0.005
EA 12/5/2019
Formaldehyde
In House
<0,25
mg/L
0.25
DVV 1212/2019
K1BAS
SM 5540C-2000
<0.1
mg/L
0.1
AVV 11/27/2018 1420
Potassium, Total
EPA2OUJ
2.78
mg/L
0.5
EA 12X512019
liom.Totai
EPA2O07
570
mg/L
0.5
EA 12/50018
Total Organic Carbon SW1531OB'2OU0
`1.0
mg/L
1
MG 11/2712019
Zinc, Total
EPA2OO.7
0.020
mg/L
0.01
EA 12/5/2018
NA =not analyzed
P{}. Bnxa7J 105GUnrt Street Kamasv0e.North Carolina 27284 Td:330-99O-2o41 Fax: 33e-996-0326 vwmmmnnalabscom Page
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RESEARCh & ANA YTkAt
UbORATORIE5, INC.
AnC3WCal/Process Consultcftrks
wcal Analysis for Seleded Parameters and Water Sample Identified as Case Farms
A Water Tech Labs Inc Pro'ect collected 26 November 2019
6
,',��4anrup►►►N��J
L Volatile Organics
Quantitation
MWs
EPA Method 8260 B
LlIDit
MW3
MW4
S8Bf11
�bl
L22M
L"
Parameter
BQL
BQL
Acetone
25
100
BQL
BQL
BQL
Acrolein
Acrylorutrile
100
BQL
BQL
BQL
BQL
BQL
BQL
Bename
Bromobw=e
0.5
0'5
BQL
BQL
BQL
BQL
BQL
Bromochloremahme
0'S
BQL
BQL
BQL
Bromodichforornetlssne
1.0
1 0
BQL
BQL
Bromoform
1.0
BQy
BQL
BQL
BQL
sm Bromethana
BQy
BQL
BQL
2-Butanene
Carbon Disulfide
5
BQL
BQL
BQL
BQL
BQL
Carhen Tetrachloride
0.5
0-5
BQL
BQL
BQL
Chlorobmmw
Chloroethme
1.0
BQL
BQL
BQL
BQL
BQL
BQL
2 ChloroethYl vinyl ether
5 0
0'5
BQL
BQL
BQL
Chloroform
10
BQL
BQL
BQL
2 ChlomtChlorom alucr:e
0.5
BQL
BQL
BQL
BQL
4-Chlorotolame
0.5
0.5
BQy
BQL
BQL
Cis-i,2-Iyiehloroethate
0-5
BQL
BQL
BQL
Cis-1,3-Dichlompropene
5.0
BQL
BQL
BQL
l,2 Dihrom o-3-Chloropr0P�BCP)
BQL
BQL
BQL
1,2-Dibmmoethmc (FDB)
0.5
0.5
BQL
BQL
BQL
Dhrontochloromethaae
0'S
BQL
SQL
BQL
Dibrommet olume
1,2-Dichlorobmzme
0.5
BQy
BQL QL
BQL
BQL
BQL
BQL
1,3-Dichlorobmaeoe
0.5
0.5
BQL
0.50
1,4-Dichlarobcn:ene
5
BQL
BQL
BQL
l,l-Dlchloroethame
BQL
BQL
BQL
1,2-Dicblaroethme
0.5
BQL
BQL
BQL
1,1-Dirhloraetbme
0.5
BQL
BQL
BQL
Diddoro0etbam oureme
0.5
BQL
BQL
BQL
1,2-Diehloropropaoe
0.5
BQL
BQL
BQL
i-DicUoropropane
0.5
BQy
BQL
.-Dichloroptopme
0.5
BQL
BQL
BQL
1-Dichlorepropem
0.5
BQL
BQL
BQL
Edrji Bement
BQL
BQL
BQL
BQL
--Hemnoae
IPE
0.5
QS
BQL
BQL
0.5
5.0
BQL
HQL
BQL
4-Meths yl�2-P�entanone
1.0
BQL
BQL
BQL
Methyl Iodide
5.
BQL
BQL
BQL
Methylene Chloride
0.55
BQL
BQL
BQL
MTBE
Napbrhaleoc
0.5
BQL
BQL
L
BQL
BQL
BQL
N-Buty%==
0.5
a 5
BQL
BQL
BQL
N-Propylbcn= a
0.5
1
BQLP-1sopropyholu-
BQL
0.5
BQL
BQL
lbmzena
0.5
BQL
BQL
BQL
sweet
art B Wbcru=e
0.5
BQL
BQL
HQL
BQL
BQL
BQL
1,1,1,2-Tetrachloracthaae
0.5
BQL
BQL
BQL
1,t,2,2-,fdr&Wcroahaoe
0.5
BQL
BQL
BQL
Temichlaroetheoe
0.5
BQL
BQL
BQL
0.5
BQL
BQL
Tram 12-Ihchlarodhem
0.5
BQL
BQLBQL
BQL
Tram-1,3-Dichloropropme
5.0
BQL
BQL
BQL
Trams-1,4-Dichloro-24w me
0.5
BQL
BQL
BQL
12 3-Tricblambeazme
0 5
BQL
BQL
BQL
1,2,4-Trichlorobeaxrne
0.5
B
BQL
BQL
l,l, l-Trirblarocrbane
0.5
y
BQL
BQL
BQL
1,1,2-Triebloroethame
0.5
BQL
BQL
BQL
na Trirhloroethe
0.5
BQL
BQL
BQL
Tricb1orofiueromethane
0 5
BQL
SQL
BQL
1,2,3-TrieNcropropm¢
0.5
BQLBQL
BQL
BQL
IA4-Ttimedoibename
0.5
BQL
BQL
1,3,5-Trimethylbename
1.0
BQL
BQL
BQL
Vmyl Acetate
0.5
BQL
BQL
BQL
Vinyl Chloride
1.0
BQL
BQL
BQL
Total Xytmes
1
t
1
Dilution Fader
75311-01
75311-02
75311-03
Sample Plumber
11/26/19
11/26/19
11/26/19
Sample Date
1100
1200
1130
Sample Time (bra)
121715
12/03/19
12/03/19
'ate Analyzed
715
174b
1818
rme Analysed
Surrogate Recovery
Range
107%
104%
DBFM
(70-130%)
107%
103%
103%
Toluene-d8
(70-130%)
102%
100%
101%
4-BFB
(70-130%)
103%
11QL Below QamtiYtiOa l.imib
14b - part perbiltica

5 Pinewood Plaza Drive — P.O. Box 1056
Granite Falls, NC 28630
Phone [phone] — Fax [phone]
CLIENT: Case Farms Hatchery PHONE NUMBER: 828-438-6900 ext.6976
c/o Cindy McGinnis TYPE SAMPLE: n1a
Manager No. LOCATIONS: 4
SAMPLER NAME: -Jo-yk (3 1 B*-�
I qnmnip Collection Information I TYPE I CONTAINERS j I
Sample Location
Facility Name
DATE
TIME
TEMP. Grab/ No.
Composite
Plastic!
Glass
ANALYSIS REQUIRED
Effluent
Grab 8
Plastic
Fecal Coliform, Chloride, TDS
BOD-5, TSS, Conductivity
NO3-N,TKN, NH3.-N
-Monitoring Well--#: 3;--
Grab 12
Plastic/
Glass
TDS, Chloride, MBAS,
Formaldehyde, Conductivity
As, Cu, K, Zn, Na
NHS-N. NO3-N, T.P., TKN
TOC
VOC(Annual Nov. only)
Monitoring Well #4
Grab
12
Plastic/
Glass
Same As #3
Monitoring Well #5
30
Grab
12
Plastic/
G�
Same As #3
Relinquished By:
Date:
Time:
R ciev d
DatTime:
elinquished By:
Date:
Time: /Received
RY-Zr
Date: Time:
PRESERVATION:
,Cool 4 'C
XH2SO4
[]NaOH
WHNO3
[IDechlornating Agent
11 Other
SAMPLE TEMP. @ LAB PC
Chlorine Residual MgR
NC CERTIFIED LAB # 50

I-Abop-ATowEs, INC*
NC #34
Analytical/Process Consultations '• z
✓f tc •. �G"t . �. ♦"
1E`t1IAN1
`%� sie
November 18, 2019
Water Tech Labs, Inc.
P.O. Box 1056
Granite Falls, NC 28630
Attention: John Gragg
Chemical Analysis for Selected Parameters and Sampling Location Identified as Case Farms
(A Water Tech Labs, Inc. Project, collected 13 November 2019)
1. Miscellaneous
Zone #1
Zone #2
Zone #3
Zone #4
Parameters
Results
Results
Results
Results
m Jk
(mt?Ik,l
(m /kj
Calcium, Total
657
666
621
571
Copper, Total
11.7
21.4
19.6
14.7
Potassium, Total
1,240
1,200
1,180
1,010
Phosphorus, Total
1,280
1,400
1,440
1,860
Sodium, Total
448
411
468
363
Manganese, Total
120
130
133
99.4
Magnesium, "total
1,400
1,420
1,370
1,140
Zinc, Total
25.0
30.1
26.1
25.3
It. Miscellaneous
Zone #1
Zone #2
Zone #3
Zone #4
Parameters
Results
Results
Results
Results
°l /a
NO
Percent Humic Matter
74.8
73.8
72.8
74.8
Exchangeable Sodium
29.6
8.71
10.4
8.33
Percent Base Saturation
75.2
66.7
70.4
69.9
111. Miscellaneous
'Zone #1
Zone #2
Zone #3
Zone #4
Parameters
Results
Results
Results
Results
S1
pH
5.77
6.06
5.71
5.73
IV. Miscellaneous
Zone #1
Zone #2
"Zone #3
Zone #4
Parameters
Results
Results
Results
Results
Smeg/100 a}
(meg/100}
(meq/100 g)
(meq/100 g)
Cation Exchange Capacity
6.14
4.20
4.59
4.72
Acidity
1.52
1.40
1.36
1.42
Sample Number: 74872-01 74872-02 74872-03 74872-04
Sample Collected Date. 11/13119 11/13/19 11/13/19 11/13/19
Sample Collected Time: ----
megl100 g = miliequivalents per 100 grams ---- = Not Available
mg/kg = milligrams per kilogram = parts per million
% = Percent
Std. Units = Standard Units

LABS �� liic�ik'
ER
- 1
u. _ TECH.
5 Pinewood Plaza Drive - P.O. Box 1056
Granite Falls, NC 28630
Phone [phone] - Fax [phone]
CLIENT: Case Farms Hatchery PHONE NUMBER: 828-438-6900 ext.6975
c/o Cindy McGinnis TYPE SAMPLE: n/a
Manager No. LOCATIONS: 4
SAMPLER NAME: U7a�yo, Grut1G
Sample Collection Information
Sample Location
DATE TIME TEMP.
Facility Name
TYPE
Grab/
Composite
CONTAINERS
Plastic/ ANALYSIS REQUIRED
No. Glass
Effluent
I ( ItI111
13: (S
Grab
8
Plastic Fecal Coliform, Chloride, TDS
BOD-5, TSS, Conductivity
NO3-N,TKN, NH3-N
Monitoring Well #3
Grab
12
Plastic/ TDS, Chloride, MBAS,
Glass Formaldehyde, Conductivity
As, Cu, K, Zn, Na
NH3-N. NO3-N, T.P., TKN
5�;� � SgMe��-r
It�t3ltq
TOC
VOC(Annual Nov. only)
Monitoring Well #4
Grab
12
Plastic/ Same As #3
Glass
Monitoring Well #5
Grab
12
Plastic/ Same As #3
Glass
Relinquished By:
0*pt
Relinquished By:
Date: Time:
Date: Time:
ieve Date:
eceived By: Date:
Time:
Time:
PRESEKVAIIUN:
.:(Cool 4°C
)(H2SO4
j] NaOH
j] HNO3
j] Dechlornating Agent
j] Other
SAMPLE TEMP. @ LAB (°C) 0C 0
Chlorine Residual I I [1—mg/I
NC CERTIFIED LAB # 50

P.O. Box 129
Morrisville, NC 27560
919-467-1239
MACCONNELL
& ASSOCIATES, P.0
Technical Memorandum
To: NCDEQ
Client: Case Farms
Subject: Monitoring Well Analysis
1101 Nowell Road
Suite 118
Raleigh, NC 27607 Fax
919-319-6510
Date: November 19, 2019
From: Gary S. MacConnell, P.E.
Project no.: A65501.00
This technical memorandum is to analyze the installed monitoring wells in relation to the new
limits of the spray irrigation field and the associated piping and appurtenances. The gradient of
the groundwater beneath the new irrigation field is presented in Figure 1. Based upon Figure 1,
MW-3 is currently installed upgradient of the proposed spray irrigation field. The groundwater
flows west from this upward gradient across the spray irrigation field and is then captured by
monitoring wells MW-4 and MW-5. Based upon discussions with Mikal Willmer of NCDEQ
and the Asheville NCDEQ geologist during the site visit on 9/23/2019, it was verbally stated that
new wells did not need to be installed to capture the impacts of the expanded limits due to the
aquifer gradient under the new irrigation areas ultimately flowing towards the existing
monitoring wells MW-4 and MW-5.
We ask that you accept this analysis of the monitoring wells for the Case Farms spray irrigation
modification package.
Sincerely,
Gary MacConnell, P.E.
919-467-1239
1

f
P.O. BOX 129
Morrisville, NC 27560
(919) 467.-1239
MacCONNELL & Associates, P.C.
"Engineering "today For Tomorrow's Future"
February 28, 2020
Ms. Ashley Kabat, Environmental Specialist
NCDEQ/Division of Water Resources
Water Quality Regional Operations
512 N. Salisbury St.
Raleigh, North Carolina 27604
Re: Case Farms — Irrigation System Expansion
Response to Comments
MacConnell & Associates, P.C. Project No.: A65502.00
Dear Ms. Ashley Kabat:
501 Cascade Pointe Lane
Suite 103
Cary, NC 27513
www.maccomellandassoc.com
On behalf of Case Farms Morganton Hatchery, please find enclosed one (1) copy of the
following for the above referenced project:
➢A copy of the comments dated January 21, 2020.
➢The setback waiver that has been recorded with the Burke County Register of Deeds.
➢Water quality analysis of the effluent in order to comply with 15A NCAC 02T .0505(b)(1).
➢A copy of the Technical Memorandum dated November 19, 2019 that you stated will
satisfy comment G-2
Sincerely,
Gary S. MacConnell, P.E.
President
cc: William Pate, Case Farms, Project Contact
William J. McCarrick, E.I., MacConnell & Associates, P.C.