WQ0033677_More Information (Received)_20200518

Case Farms Morganton Hatchery
Irrigation System Expansion
Burke County, North Carolina
Irrigation System
Application Package for Case Farms
Project No.: A65502.00
Submittal Date: May 14, 2020
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Prepared By:
MacConnell & Associates, P.C.
501 Cascade Pointe Lane, Suite 103 P.O. Box 129
Cary, NC 27513 Morrisville, NC 27560
Phone: [phone] Fax: [phone]

P.O. Box 129
Morrisville, NC 27560
[phone]
MacCONNELL & Associates, P.C.
"Engineering Today For Tomorrow's Future"
Date: 5/14/2020
Mr. Nathaniel Thornburg, Branch Chief
NC DEQ/Division of Water Resources
Non -Discharge Branch
512 N. Salisbury St
Raleigh, North Carolina 27604
Re: Case Farms — Irrigation System Expansion Response to Comments
MacConnell & Associates Project Number: A65502.00
Dear Mr. Thornburg:
501 Cascade Pointe Lane
Suite 103
Cary, NC 27513
www.macconnellandassoc.com
On behalf of Case Farms Morganton Hatchery, please find an electronic copy of the following
for the above referenced project:
➢ Updated technical drawings to match what is stated in the application form.
➢ Statement to avoid submittal of a Hydrogeologic Report.
➢ Up -To -Date full copy of the entire application package, including all updates requested
from prior comments.
Thank you for your consideration. If you have any questions or require additional information,
please contact me at [phone].
Sincerely,
Gary S. MacConnell, PE
President
Enclosures
cc: William Pate — Project Contact
Paul Taylor — Case Farms Project Manager

Response to Comments for WQ0033677
Additional Information Request
Case Farms — Morganton Hatchery
Wastewater Irrigation
Burke County
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Comment C. 1. Some information listed in the application does not match the Engineering
materials provided such as differences in proposed irrigation area. Please provide one up-to-date
full copy (electronic) of the entire application package (A through P) and make sure all
information is consistent throughout the package and includes all requested revisions.
Response: Attached is the entire updated package, with updated sections from previous rounds of
comments. Additionally, a separate package is being submitted with just the altered portions from
this round of comments.
Comment G. 1. A hydrogeologic report shall be prepared by a Licensed Geologist, Licensed Soil
Scientist, or Professional Engineer and shall be provided to the Division by the applicant.for
systems treating industrial waste. This report shall include items listed in the WWIS 06-16
application, at a minimum. [15A NCAC 02T .0504E]
Note: Industrial fncilities with a design flora less than 25,000 gallons per day of wastewmter that
demonstrate that the effluent will be of quality similar to domestic wastewater, including effluent
requirements established in 15A NCAC 02T .0505(b)(1), shall, upon request, provide this effluent
data. The effluent data provided on April 15, 2020 did not comply with this exemption because
effluent standards were much higher than domestic wastewater standards listed in 15A NCAC 02T
.0505(b)(1).
Response: Based on rules listed in 15A NCAC 02T .0105(n), the following are reasons that will
be presented to the Director as alternative Design Criteria and Application Submittal requirements.
(1) Equal or better treatment of the waste.
The wastewater treatment system will remain the same with no increase in flow or concentration.
Treatment level will not change. Although the strength of the effluent from the facility is above
the average strength of domestic waste, the wastewater will be distributed over more spray heads
than previously, resulting in the same amount of wastewater being distributed over a larger area
than before. This will result in the soils having to treat less wastewater than previously, and allow
for a decrease in hydraulic and organic loading across the site.
Shown on C-101 and C-102, there are 66 existing sprinklers for the hatchery. Following removal
of sprinklers that are not in compliance with setback requirements, there will be 52 sprinklers.

Once the new zones are added, there will be 80 sprinklers for the facility. The irrigated area will
increase from 5.27 acres to 6.76 acres.
(2) Equal or better protection of the waters of the state.
With distribution of the effluent wastewater now going to more sprinklers over a larger area, uptake
of water from vegetation will be increased, and infiltration of effluent into groundwater aquifers
will be greatly reduced. The additional irrigation area also helps reduce the potential for runoff.
(3) No increased potential for nuisance conditions from noise, odor or vermin.
Even though more sprinklers will be introduced to the system, the sprinklers produce very little
noise. The new sprinklers are in a wooded area which will dampen any noise. This will help
reduce any noise pollution outside of the property. Additionally, the hatchery is located in a very
sparsely populated area of North Carolina, with very few homes located in close proximity to the
hatchery property.
The same level of treatment will be maintained in the lagoon. Odors are not a problem as all
setbacks are maintained. Spraying over a greater area will also reduce the potential for ponding
and anaerobic conditions, which could generate odors.
Vermin have not presented any issue previously for the hatchery, and are not anticipated to be an
issue with the expansion of the sprinkler system.
Overall, the expansion of the sprinkler system for the hatchery will help to spread out the effluent
and increase evapotranspiration and reduce infiltration. This will help protect the waters of the
state, protect adjacent properties from nuisances that could be caused by the hatchery, and ensure
the hatchery has an up-to-date sprinkler system.

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
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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
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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

State of North Carolina
Department of Environmental Quality
D%fR Division of Water Resources
15A NCAC 02T .0500 — WASTEWATER IRRIGATION SYSTEMS
Division of Water Resources INSTRUCTIONS FOR FORM: WWIS 06-16 & SUPPORTING DOCUMENTATION
Plans, specifications and supporting documents shall be prepared in accordance with 15A NCAC 02H .0400 (if necessary), 15A
NCAC 02L .0100, 15A NCAC 02T .0100. 15A NCAC 02T .0700. Division Policies and good engineering practices. Failure to
d items will necessitate additional processing and review time.
submit all require
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
General — When submitting an application to the Water Quality Permitting Section's Non -Discharge Permitting Unit, 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 requested additional information.
Unless otherwise noted the Applicant shall submit one original and two copies of the anplication and supporting documentation.
A. Cover Letter (All Application Packages):
® List all items included in the application package, as well as a brief description of the requested permitting action.
B. Application Fee (All 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). The appropriate fee amount for new and major modification applications may be found at: Standard Review
Project Fees-
C. Wastewater Irrigation Systems (FORM: WWIS 06-16) Application (All Application Packages):
® Submit the completed and appropriately executed Wastewater Irrigation Systems (FORM: WWIS 06-16) application. Any
unauthorized content changes to this form shall result in the application package being returned. 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.
® If the Applicant Type in Item I.2. is a corporation or company, provide documentation it is registered for business with the
North Carolina Secretary of State.
❑ If the Applicant Type in Item L2. is a partnership or d/b/a, enclose a copy of the certificate filed with the Register of Deeds in
the county of business.
® The facility name in Item II.1. shall be consistent with the facility name on the plans, specifications, agreements, etc.
® The Professional Engineer's Certification on Page 12 of the application shall be signed, sealed and dated by a North Carolina
licensed Professional Engineer_
® The Applicant's Certification on Page 12 of the application shall be signed in accordance with 15A NCAC 02T .0106(b)_ Per
15A NCAC 02T .0106(c), an alternate person may be designated as the signing official if a delegation letter is provided from
a person who meets the criteria in 15A NCAC 02T .0106
❑ If this project is for a renewal without modification, use the Non -Discharge System Renewal (FORM: NDSR} application.
D. Property Ownership Documentation (AIl Application Packages):
➢ Per 15A NCAC 02T .0504(f). the Applicant shall demonstrate they are the owner of all property containing the wastewater
treatment, storage and irrigation facilities:
® 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
❑ Written notarized lease agreement that specifically indicates the intended use of the property and has been signed by both
parties, as well as a plat or survey map. Lease agreements shall adhere to the requirements of 15A NCAC 02L .0107.
® Provide all agreements, easements, setback waivers, etc. that have a direct impact on the wastewater treatment, conveyance,
storage and irrigation facilities.
INSTRUCTIONS FOR FORM: WWIS 06-16 & SUPPORTING DOCUMENTATION Page 1 of

E. Soil Evaluation (All Application Packages that include new irrigation sites):
❑ Per 1 5A NCAC 02T .0504(b) and the Soil Scientist Evaluation Eglicy, submit a detailed soil evaluation that has been signed,
sealed and dated by a North Carolina Licensed Soil Scientist and includes at a minimum:
® The report shall identify all the sites/fields with project name, location, and include a statement that the sites/fields were
recommended for the proposed land application activity.
® Field delineated detailed soils map meeting all of the requirements of the Soil Scientist Evaluation Policy.
® Soil profile descriptions meeting all of the requirements of the Soil Scientist Evaluation Policy,
® Provide all soil boring logs performed at the site.
® Standard soil fertility analysis conducted no more than one year prior to permit application for each map unit in the soil
map legend for the following parameters:
® Acidity ® Exchangeable sodium percentage (by calculation) ® Phosphorus
® Base saturation (by calculation) ® Magnesium ® Potassium
® Calcium M Manganese ® Sodium
® Cation exchange capacity ® Percent humic matter ® Zinc
M Copper ® pH
➢ Saturated hydraulic conductivity (KsAT) data that shall include at a minimum:
® A minimum of three KsAT tests shall be conducted in the most restrictive horizon for each soil series in the soil map.
® All KsAT tests shall be conducted in areas representative of the site.
® All KsAT tests shall be run until steady-state equilibrium has been achieved.
® All collected KSAT data shall be submitted, including copies of field worksheets showing all collected readings.
® Submit a soil profile description for each KsAT data point that shall extend at least one foot below the tested horizon.
➢ Soil evaluation recommendations shall include at a minimum:
® A brief summary of each map unit and its composition and identification of minor contrasting soils.
® Maximum irrigation precipitation rate (in/yr) for each soil/map unit within the proposed irrigation areas.
® Seasonal irrigation restrictions, if appropriate.
® Identification of areas not suitable for wastewater irrigation.
® Recommended geometric mean KsAT rate to be used in the water balance for each soil/map unit based upon in -situ
measurement of the saturated hydraulic conductivity from the most restrictive horizon.
® Recommended drainage coefficient to be used in the water balance based upon comprehensive site evaluation, review
of collected onsite data, minor amounts of contrasting soils and the nature of the wastewater to be applied.
® Recommended annual hydraulic loading rate (in/yr) for each soil/map unit within the proposed irrigation areas based
upon in -situ KsAT measurements form the most restrictive soil horizon.
NOTE — If the soil evaluation was performed more than one year prior to the submittal of this application package, a statement shall
be included indicating that the site has not changed since the original investigation.
F Agronomist Evaluation (All Application Packages that include new irrigation sites or new crops for existing irrigation sites):
® Per 15A NCAC 02T .0504(i), submit an agronomist evaluation that has been signed, sealed and dated by a qualified professional
and includes at a minimum:
® Proposed nutrient uptake values for each cover crop based upon each field's dominant soil series and percent slope.
® Plant available nitrogen calculations for each cover crop using the designed effluent concentrations in Application Item
V.I . and proposed mineralization and volatilization rates.
® Historical site consideration, soil binding and plant uptake of phosphorus.
® Seasonal irrigation restrictions, if appropriate.
® A clear and reproducible map showing all areas investigated and their relation to proposed fields and crops.
® Maintenance and management plan for all specified crops.
INSTRUCTIONS FOR FORM: WWIS 06-16 & SUPPORTING DOCUMENTATION Page 2 of 6

G. Hydrogeologic Report (All Application Packages treating industrial waste or having a design flow over 25,000 GPD):
® Per 15A NCAC 02T .0504 e , the Hydrogeologic Investigation and Reporting Policy, the Groundwater Modeling Policy and
the Performance and Analysis of Aquifer Slug Tests and PMpin& Tests Policy, submit a detailed hydrogeologic description
that has been signed, sealed and dated by a qualified professional and includes at a minimum:
® A hydrogeologic description to a depth of 20 feet below land surface or bedrock, whichever is less. A greater depth of
investigation is required if the respective depth is used in predictive calculations.
® Representative borings within the irrigation areas and all proposed earthen impoundments.
® A description of the regional and local geology and hydrogeology.
® A description, based on field observations of the site, ofthe site topographic setting, streams, springs and other groundwater
discharge features, drainage features, existing and abandoned wells, rock outcrops, and other features that may affect the
movement of the contaminant plume and treated wastewater.
® Changes in lithology underlying the site.
® Depth to bedrock and occurrence of any rock outcrops.
® The hydraulic conductivity and transmissivity of the affected aquifer(s).
® Depth to the seasonal high water table (SHWT).
® A discussion of the relationship between the affected aquifers of the site to local and regional geologic and hydrogeologic
features.
® A discussion of the groundwater flow regime of the site prior to operation of the proposed facility and post operation of
the proposed facility focusing on the relationship of the system to groundwater receptors, groundwater discharge features,
and groundwater flow media.
❑ If the SHWT is within six feet of the surface, a mounding analysis to predict the level of the SHWT after wastewater
application.
H. Water Balance (All Application Packages that include new or modified irrigation sites, changes in flow or changes in storage):
® Per 15A NCAC 02T .0504(k) and the Water Balance Calculation Policv. submit a water balance that has been signed, sealed
and dated by a qualified professional and includes at a minimum:
❑ At least a two-year iteration of data computation that considers precipitation into and evaporation from all open atmosphere
storage impoundments, and uses a variable number of days per month.
® Precipitation based on the 801 percentile and a minimum of 30 years of observed data.
® Potential Evapotranspiration (PET) using the Thomthwaite method, or another approved methodology, using a minimum
of 30 years of observed temperature data.
® Soil drainage based on the geometric mean ofthe in -situ KSAT tests in the most restrictive horizon and a drainage coefficient
ranging from 4 to 10% (unless otherwise technically documented).
➢ Other factors that may restrict the hydraulic loading rate when determining a water balance include:
® Depth to the SHWT and groundwater lateral movement that may result in groundwater mounding.
® Nutrient limitations and seasonal application times to ensure wastewater irrigation does not exceed agronomic rates.
® Crop management activities resulting in cessation of irrigation for crop removal.
NOTE -- Wastewater Irrigation Systems serving residential facilities shall have a minimum of 14 days of wet weather storage.
[. Engineering Plans (All Application Packages):
® Per 15A NCAC 02T .0504(c)(1), submit standard size and I I x 17-inch plan sets that have been signed, sealed and dated by a
North Carolina licensed Professional Engineer, and shall include at a minimum.
® Table of contents with each sheet numbered.
® A general location map with at least two geographic references and a vicinity map.
® A process and instrumentation diagram showing all flow, recycle/return, aeration, chemical, electrical and wasting paths.
® Plan and profile views of all treatment and storage units, including their piping, valves, and equipment (i.e., pumps,
blowers, mixers, diffusers, flow meters, etc.), as well as their dimensions and elevations.
® Details of all piping, valves, pumps, blowers, mixers, diffusers, recording devices, fencing, auxiliary power, etc.
® A hydraulic profile from the treatment plant headworks to the highest irrigation point.
® The irrigation area with an overlay of the suitable irrigation areas depicted in the Soil Evaluation.
® Each nozzle/emitter and their wetted area influence, and each irrigation zone labeled as it wiII be operated.
® Locations within the irrigation system of air releases, drains, control valves, highest irrigation nozzle/emitter, etc.
❑ For automated irrigation systems, provide the location and details of the precipitation/soil moisture sensor.
® Plans shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT
FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the plans may be
labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
INSTRUCTIONS FOR FORM: WWIS 06-16 & SUPPORTING DOCUMENTATION Page 3 of 6

J. Specifications (All Application Packages):
® Per 15A NCAC 02T .0504(c)(2), submit specifications that have been signed, sealed and dated by a North Carolina licensed
Professional Engineer, and shall include at a minimum:
® Table of contents with each section/page numbered.
® Detailed specifications for each treatment/storage/irrigation unit, as well as all piping, valves, equipment (i.e., pumps,
blowers, mixers, diffusers, flow meters, etc.), nozzleslemitters, precipitation/soil moisture sensor (if applicable),
audible/visual high water alarms, liner material, etc.
® Site Work (i.e., earthwork, clearing, grubbing, excavation, trenching, backfilling, compacting, fencing, seeding, etc.)
® Materials (i.e., concrete, masonry, steel, painting, method of construction, etc.)
® Electrical (i.e., control panels, transfer switches, automatically activated standby power source, etc.)
® Means for ensuring quality and integrity of the finished product, including leakage, pressure and liner testing.
® Specifications shall represent a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY,
NOT FOR CONSTRUCTION, etc.) that indicate they are anything other than final specifications. However, the
specifications may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION.
K. Engineering Calculations (All Application Packages):
® Per 15A NCAC 02T .0504(c)(3), submit engineering calculations that have been signed, sealed and dated by a North Carolina
licensed Professional Engineer, and shall include at a minimum:
❑ Hydraulic and pollutant loading calculations for each treatment unit demonstrating how the designed effluent
concentrations in Application Item V.I. were determined.
® Sizing criteria for each treatment unit and associated equipment (i.e., blowers, mixers, flow meters, pumps, etc.).
❑ Total and effective storage calculations for each storage unit.
® Friction/total dynamic head calculations and system curve analysis for each pump used.
® Manufacturer's information for all treatment units, pumps, blowers, mixers, diffusers, flow meters, irrigation system,, etc.
❑ Flotation calculations for all treatment and storage units constructed partially or entirely below grade.
® A demonstration that the designed maximum precipitation and annual loading rates do not exceed the recommended rates.
❑ A demonstration that the specified auxiliary power source is capable of powering all essential treatment units.
L. Site Map (All Application Packages):
® Per 15A NCAC 02T .0504(d), submit standard size and 1 I x 17-inch site maps that have been signed, sealed and dated by a
North Carolina licensed Professional Engineer and/or Professional Land Surve or and shall include at a minimum:
® A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and
showing all facility -related structures and fences within the wastewater treatment, storage and irrigation areas.
® Soil mapping units shown on all irrigation sites.
® 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 all wastewater treatment, storage
and irrigation sites.
® Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108, and 15A NCAC 02T .0506 c
if applicable.
® Setbacks as required by 15A NCAC 02T .0506.
® Site property boundaries within 500 feet of all wastewater treatment, storage and irrigation sites.
® All habitable residences or places of public assembly within 500 feet of all treatment, storage and irrigation sites.
NOTE — For clarity, multiple site maps of the facility with cut sheet annotations may be submitted.
M. Power Reliability Plan (All Application Packages):
® Per 15A NCAC 02T .0505(1), submit documentation of power reliability that shall consist of at a minimum:
❑ An automatically activated standby power supply onsite that is capable of powering all essential treatment units under
design conditions, OR
➢ Approval from the Director that the facility:
❑ Serves a private water distribution system that has automatic shut-off during power failures and has no elevated water
storage tanks,
❑ Has sufficient storage capacity that no potential for overflow exists, and
❑ Can tolerate septic wastewater due to prolonged detention.
INSTRUCTIONS FOR FORM: WWIS 06-16 & SUPPORTING DOCUMENTATION Page 4 of 6

N. Operation and Maintenance Plan (All Application Packages):
® Per 15A NCAC 02T .0507, submit an operation and maintenance (O&M) plan encompassing all wastewater treatment, storage
and irrigation systems that shall include at a minimum a description of:
® Operation of the wastewater treatment, storage and irrigation systems in sufficient detail to show what operations are
necessary for the system to function and by whom the functions are to be conducted.
® Anticipated maintenance of the wastewater treatment, storage and irrigation systems.
® Safety measures, including restriction of access to the site and equipment.
® Spill prevention provisions such as response to upsets and bypasses, including how to control, contain and remediate.
® Contact information for plant personnel, emergency responders and regulatory agencies.
NOTE — A final O&M Plan shall be submitted with the partial and/or final Engineering Certification required under 15A NCAC
02T .01 I6, however, a preliminary O&M Plan shall be submitted with each application package.
O. Residuals Management Plan (All Application Packages with new, expanding or replacement wastewater treatment systems):
❑ Per 15A NCAC 02T .0504(i) and .0508, submit a Residuals Management Plan that shall include at a minimum:
❑ A detailed explanation ofhow generated residuals (including trash, sediment and grit) will be collected, handled, processed,
stored, treated, and disposed.
❑ An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals
production rate and ability to remove residuals.
❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved
residuals disposallutilization program that has adequate permitted capacity to accept the residuals or has submitted a
residuals/utilization program application.
❑ If oil/grease removal and collection are a designed unit process, submit an oil/grease disposal plan detailing how the
oil/grease will be collected, handled, processed, stored and disposed.
NOTE — Per 15A NCAC 02T ,0505(o). a minimum of 30 days of residual storage shall be provided.
NOTE — Per 15A NCAC 02T .0504(i), a written commitment to the Applicant from a Permittee of a Department approved residuals
disposal/utilization program is not required at the time of this application, however, it shall be provided prior to operation of any
permitted facilities herein.
NOTE — If an on -site restaurant or other business with food preparation is contributing wastewater to this system, an oil/grease
disposal plan shall be submitted.
P Additional Documentation:
➢ Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
❑ Per 15A NCAC 02T .0I 15(a)(1) and .0504(a), provide the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be
served by the wastewater treatment and irrigation system, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area or that
franchise approval is expected.
➢ Existing Permit (All Modification Packages):
® Submit the most recently issued existing permit.
❑ Provide a list of any items within the permit the Applicant would like the Division to address during the permit modification
(i.e., compliance schedules, permit description, monitoring, permit conditions, etc.).
Final Environmental Document (All Application Packages using public monies or lands subject to the North Carolina
Environmental Policy Act under 15A NCAC 01 C .0I00 to .0400):
❑ Per 15A NCAC 02T .0105(c)(4), submit one copy of the environmental assessment and three copies of the final
environmental document (Le., Finding of No Significant Impact or Record of Decision).
❑ Include information on any mitigating factors from the Environmental Assessment that impact the design and/or
construction of the wastewater treatment and irrigation system.
➢ Floodway Regulation Compliance (All Application Packages where any portion of the wastewater treatment, storage and
irrigation system is located within the 100-year floodplain):
❑ Per 15A NCAC 02T .0105(c)(8), provide written documentation from all local governing entities that the facility is in
compliance with all local ordinances regarding construction or operation of wastewater treatment and/or disposal facilities
within the floodplain.
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P. Additional Documentation (continued):
➢ Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be
sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 0-2, T .0115(c), submit the properly executed Operational Agreement (FORM: HOA)
❑ Per 15A NCAC, 02T .0115(c), submit the proposed or approved Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (FORM: DEV)
➢ Threatened or Endangered Aquatic Species Documentation (All Application Packages):
® Per 15A NCAC 02T .0105 c 10 submit documentation from the Department's Natural Heritage Program demonstrating
the presence or absence of threatened or endangered aquatic species within the boundary of the wastewater treatment,
storage and irrigation facilities.
❑ If the facility directly impacts such species, this documentation shall provide information on the need for permit conditions
pursuant to 15A NCAC 02B .0110.
Wastewater Chemical Analysis (All Application Packages treating Industrial Waste):
® Per 15A NCAC 02T .0504 h provide a complete Division certified laboratory chemical analysis of the effluent to be
irrigated for the following parameters (For new facilities, an analysis from a similar facility's effluent is acceptable):
® Ammonia Nitrogen (N113-N) ® Nitrate Nitrogen (NO3-N) ® Total Organic Carbon
® Calcium ® pH ® Total Phosphorus
® Chemical Oxygen Demand (COD) ® Phenol ® Total Trihalomethanes
® Chloride ® Sodium ® Total Volatile Organic Compounds
® Fecal Coliform ® Sodium Adsorption Ratio (SAR) ® Toxicity Test Parameters
® 5-day Biochemical Oxygen Demand (BOD5) ® Total Dissolved Solids
® Magnesium ® Total Kjeldahl Nitrogen (TKN)
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: WWIS 06-16 & SUPPORTING DOCUMENTATION Page 6 of 6

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DT%N
" 15A NCAC 02T .0500 — WASTEWATER IRRIGATION SYSTEMS
Division of Water Resources FORM: WWIS 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Case Farms LLC
2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
3. Signature authority's name: Kevin PhilliDs per 15A NCAC 02T .0106(b) Title: Hatchery Manager
4. Applicant's mailing address: 5067 Foreman Street
City: Morganton State: North Carolina Zip: 28655-
5. Applicant's contact information:
Phone number, (Kgj 438-6900 Email Address: [e-mail]
IL FACILITY INFORMATION:
I . Facility name: Case Farms Morganton Hatchery
2. Facility status: Existing
3. Facility type: Minor (< 10,000 GPD or < 300 disposal acres)
4. Facility's physical address: 5067 Foreman Street
City: Morganton State: North Carolina Zip: 28655- County. Burke
5. Wastewater Treatment Facility Coordinates (Decimal Degrees): Latitude: 35.6741670 Longitude:-81.771111 °
Datum: Unknown Level of accuracy: Nearest second Method of measurement: Mgp in retation by extraction
6. USGS Map Name: NIA
III. CONSULTANT INFORMATION:
1. Professional Engineer: Gary S. MacConnell License Number: 17069 Firm: MacConnell &
Associates, P.C.
Mailing address: P.O. Box 129
City: Morrisville State: North Carolina Zip: 27560-
Phone number: 919 467-1239 Email Address: gsmmacassoc(a},beilsouth.net
2. Soil Scientist: Donald Louis Wells License Number: 1099 Firm: Soil & Environmental Consultants P.A.
Mailing address: 8412 Falls of Neuse Road
City: Raleigh State: North Carolina Zip: 27615-
Phone number: 919 846-5900 Email Address: [e-mail]
3. Geologist: NIA License Number: NIA Firm: NIA
Mailing address: N/A
City: N/A State: N/A Zip: NIA -N/A
Phone number: (NUA NIA -NIA Email Address: NIA
4. Agronomist: Richard A. Pontello Firm: Soil & Environmental Consultants P.A.
Mailing address: 8412 Falls of Neuse Road
City: Raleid State: North Carolina Zip: 27615-
Phone number: 919 846-5900 Email Address: [e-mail]
FORM: WWIS 06-16 Page 1 of 12

IV. GENERAL REQUIREMENTS — 15A NCAC 02T .0100:
L Application type: ❑ New ® Major Modification ❑ Minor Modification
If a modification, provide the existing permit number: WQ0033677 and most recent issuance date: September 22 2016
2. Application fee: 395 - Standard - Major Facility -Major Mod
3. Does this project utilize public monies or lands? ❑ Yes or ® No
If yes, was an Environmental Assessment required under 15A NCAC 01 C? ❑ Yes or ❑ No
If yes, which final environmental document is submitted? ❑ Finding of No Significant Impact or ❑ Record of Decision
Briefly describe any mitigating factors from the Environmental Assessment that may impact this facility:
4. What is the status of the following permits/certifications applicable to the subject facility?
Permit/Certification
Date
Submitted
Date
Approved
Permit/Certification
Number
Agency Reviewer
Collection System (Q > 200,000 GPD)
N/A
N/A
Dam Safety
N/A
N/A
Erosion & Sedimentation Control Plan
N/A
N/A
Nationwide 12 / Section 404
N/A
N/A
Pretreatment
N/A
N/A
Sewer System
N/A
N/A
Stormwater Management Plan
N/A
N/A
Wetlands 401
N/A
N/A
Other: N/A
N/A
N/A
5. What is the wastewater type? ❑ Domestic or Industrial (See 15A NCAC 02T .0103(LOD
Is there a Pretreatment Program in effect? ® Yes or ❑ No
Has a wastewater chemical analysis been submitted? ® Yes or ❑ No
6. Wastewater flow: 8,000 GPD
Limited by: ❑ Treatment, ❑ Storage, ❑ Field Hydraulics, ® Field Agronomics or ❑ Groundwater Mounding
7. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or ® Representative Data
Hasa flow reduction been approved under 15A NCAC 02T .0114(f) ❑ Yes or ®No
Establishment Type
Daily Design Flow
No. of Units
Flow
Chicken Hatchery
8,000 gaVFacility
1
8,000 GPD
gall
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gall
GPD
Total-7
GPD
See I5A NCAC 02T .0I I4(b), (d), (ee)(1) and e)(2), for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A4).
FORM: WWIS 06-16 Page 2 of 12

IV. GENERAL REQUIREMENTS —15A NCAC 02T .0100 (continued):
8. What is the nearest 100-year flood elevation to the facility? 1.091 feet mean sea level. Source: FEMA FIRM Mays
Are any treatment, storage or irrigation facilities located within the 100-year flood plain? ❑ Yes or ® No
If yes, which facilities are affected and what measures are being taken to protect them against flooding?
If yes, has the Applicant submitted written documentation of compliance with § I43 Article 21 Part 6? ❑ Yes or ❑ No
9. Has the Applicant provided documentation of the presence or absence of threatened or endangered aquatic species utilizing
information provided by the Department's Natural Heritage Program? ® Yes or ❑ No
10. Does the facility have a proposed or existing groundwater monitoring well network? ® Yes or ❑ No
If no, provide an explanation as to why a groundwater monitoring well network is not proposed: NIA
If yes, complete the following table (NOTE — This table may be expanded for additional wells):
Well Name
Status
Latitude'
Longitude'
Gradient
Location
Monitoring
Well #3
Active
35.6660040
-81.7775710
Up Gradient
Inside Field
Monitoring
Well #4
Active
35.6663420
-81.7798570
Down Gradient
Inside Field
Monitoring
Well #5
Active
35.666087"
-81.7796700
Down Gradient
Inside Field
NIA
Select
NIA°
- NIA°
Select
Select
NIA
Select
.NIA°
- NIA°
Select
Select
NIA
Select
.NIA°
- N/A°
Select
Select
NIA
Select
N/A"
- N/A"
Select
Select
NIA
Select
NIA°
- .NIA°
Select
Select
NIA
Select
NIA°
- NIA°
Select
Select
NIA
Select
N/A"
- NIA°
Select
Select
` Provide the following latitude and longitude coordinate determination information:
Datum: UnknownLevel of accuracy: Nearest second Method of measurement:
Navigation quality GPS
11. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been submitted?
❑ Yes, []No or ®N/A
12. If the Applicant is a Developer of lots to be sold, has a Developer's Qgerational Agreement(FORM: DEV been submitted?
❑ Yes, ❑No or ®NIA
13. If the Applicant is a Home/Property Owners' Association, has an Association Operational Agreement (FORM: HOA) been
submitted? ❑ Yes, ❑No or ®N/A
14. Demonstration of historical consideration for permit approval — 15A NCAC 02T .0 120;
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? [—]Yes or ® No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
FORM: WWIS 06-16 Page 3 of 12

V. WASTEWATER TREATMENT FACILITY DESIGN CRITERIA —.1 5A NCAC 02T .0505:
1. For the following parameters, provide the estimated influent concentrations and designed effluent concentrations as
determined in the Engineering Calculations, and utilized in the Agronomic Evaluation and Groundwater Modeling (if
applicable):
Parameter
Estimated Influent Concentration
Designed Effluent Concentration
(monthly average)
Ammonia Nitrogen (NH3-N)
18 mg/L
<1 mg/L
Biochemical Oxygen Demand (BOD5)
291 mg/L
30 mg/L
Fecal Coliforms
NIA per 100 mL
Nitrate Nitrogen (NO3-N)
1 mg/L
1 mg/L,
Nitrite Nitrogen (NO2-N)
1 mg/L
1 mg/L
Total Kjeldahl Nitrogen
<10 mg/L
Total Nitrogen
68 mg/L
<10 mg/L
Total Phosphorus
7 mg/L
2 mg/L
Total Suspended Solids (TSS)
287 mg/L
90 mg/L
2. Is flow equalization of at least 25% of the average daily flow provided? ❑ Yes or ® No
3. Does the treatment facility include any bypass or overflow lines? ❑ Yes or ® No
If yes, describe what treatment units are bypassed, why this is necessary, and where the bypass discharges:
4. Are multiple pumps provided wherever pumps are used? ® Yes or ❑ No
If no, how does the Applicant intend on complying with 15A NCAC 02T .0505(k)?
5. Check the appropriate box describing how power reliability will be provided in accordance with 15A NCAC 02T .0505(l):
Automatically activated standby power supply onsite capable of powering all essential treatment units; or
❑ Approval from the Director that the facility:
➢ Has a private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks;
➢ Has sufficient storage capacity that no potential for overflow exists; and
➢ Can tolerate septic wastewater due to prolonged detention.
6. If the wastewater treatment system is located within the 100-year flood plain, are there water -tight seals on all treatment units
or a minimum of two feet protection from the I00-year flood plain elevation? ❑ Yes, ❑ No or ® N/A
7. In accordance with 15A NCAC 02T .0505(0), how many days of residuals storage are provided? Greater than 1
8. How does the Applicant propose to prohibit public access to the wastewater treatment and storage facilities? All effluent
trumps are located in an enclosed vumv house. The existing laeoon is fenced. The irriaation water is pathogen free.
9. If an influent pump station is part of the proposed facility (i.e., within the wastewater treatment plant boundary), does the
influent pump station meet the design criteria in 15A NCAC 02T .0305(h)? ❑ Yes, ❑ No, ❑ N/A — To be permitted
separately, or ® N/A — Gravity fed
10. If septic tanks are part of the wastewater treatment facility, do the septic tanks adhere to the standards in 15A NCAC 18A
.1900? ❑ Yes, ❑ No or ® N/A
FORM: WWIS 06-16 Page 4 of 12

V. WASTEWATER TREATMENT FACILITY DESIGN CRITERIA —15A NCAC 02T .0505 (continued):
11. Provide the requested treatment unit and mechanical equipment information:
a. PRELIMINARY / PRIMARY TREATMENT (i.e., physical removal operations and flow equalization):
Treatment Unit
No. of
Units
Manufacturer or
Material
Dimensions (ft)1
S acin s in)(gallons)
Volume
Plan Sheet
Reference
Specification
Reference
Select
Select
Select
Select
Select
b. SECONDARY / TERTIARY TREATMENT (i.e., biological and chemical processes to remove organics and nutrients)
Treatment Unit
No. of
Units
Manufacturer or
Material
Dimensions (ft)
Volume
(gallons)
Plan Sheet
Reference
Specification
Reference
Aeration Basin
1
Earthen
Approx. 250' x 150'
2,864,074
C-101
Existing
Select
Select
Select
Select
Select
Select
Select
c. DISINFECTION
No. of
Manufacturer or
Volume
Plan Sheet
Specification
Treatment Unit
Dimensions (ft)
Units
Material
(gallons)
Reference
Reference
Select
Select
➢ If chlorination is the proposed method of disinfection, specify detention time provided: N/A minutes (NOTE — 30
minutes minimum required), and indicate what treatment unit chlorine contact occurs: NIA
➢ If ultraviolet (UV) light is the proposed method of disinfection, specify the number of banks: NIA, number of lamps per
bank: NIA and maximum disinfection capacity: NIA GPM.
d. RESIDUAL TREATMENT
Treatment Unit
No. of
Manufacturer or
Dimensions (ft)
Volume
Plan Sheet
Specification
Units
Material
(gallons)Reference
Reference
Select
Select
FORM: WWIS 06-16 Page 5 of 12

V. WASTEWATER TREATMENT FACILITY DESIGN CRITERIA —15A NCAC 02T .0505 (continued):
e. PUMPS
Location
No. of
Pumps
Purpose
Manufacturer /
a
Capacity
Plan Sheet
Reference
Specification
Reference
GPM
TDH
Lagoon
I
Irrigation
Crane fps &
Systems
160
190
D-104
511909
f BLOWERS
Location
No. of
Blowers
Units Served
Manufacturer /
Type
Capacity
(CFM)
Plan Sheet
Reference
Specification
Reference
g. MIXERS
Location
No. of
Mixers
Units Served
Manufacturer /
Type
Power
h
Plan Sheet
Reference
Specification
Reference
Aerated Lagoon
3
Aerated Lagoon
Existing (Unknown)
25
C-102
Existing
h. RECORDING DEVICES & RELIABILITY
Device
No. of
Units
Location
Manufacturer
Maximum
Capacity
Plan Sheet
Reference
Specification
Reference
Effluent Flow Measuring Device
1
Pump House
Master Meter
1,000 gpm
D-104
Existing
Select
Select
Select
i. EFFLUENT PUMP / FIELD DOSING TANK (IF APPLICABLE):
FORM: WWIS 06-16 Page 6 of 12

Plan Sheet
Reference
Specification
Reference
Internal dimensions (L x W x H or (p x H)
NIA ft
I NIA ft
NIA ft
N/A
NIA
Total volume
NIA ft
N/A gallons
N/A
NIA
Dosing volume
N/A ft
NIA gallons
N/A
N/A
Audible & visual alarms
N/A
NIA
Equipment to prevent irrigation during rain
events
N/A
NIA
FORM: WWIS 06-16 Page 7 of 12

VI.
EARTHEN IMPOUNDMENT DESIGN CRITERIA —15A NCAC 02T .0505:
IF MORE THAN ONE IMPOUNDMENT PROVIDE ADDITIONAL COPIES OF THIS PAGE AS NECESSARY.
1. What is the earthen impoundment type? Aerobic Lagoon
2. Storage Impoundment Coordinates (Decimal Degrees): Latitude: 35.666273' Longitude:-81.780493'
Datum: Unknown Level of accuracy: Nearest second Method of measurement: M9R inte relation by extraction
3. Do any impoundments include a discharge point (pipe, spillway, etc)? ® Yes or ❑ No
4. Are subsurface drains present beneath or around the impoundment to control groundwater elevation? ❑ Yes or ® No
5. Is the impoundment designed to receive surface runoM. ❑ Yes or ® No
If yes, what is the drainage area? fl , and was this runoff incorporated into the water balance? ❑ Yes or ❑ No
6. If a liner is present, how will it be protected from wind driven wave action?: Lagoon is not large enough to be affected b
wave action.
7. Will the earthen impoundment water be placed directly into or in contact with GA classified groundwater? ❑ Yes or ® No
If yes, has the Applicant provided predictive calculations or modeling demonstrating that such placement will not result in a
contravention of GA groundwater standards? ❑ Yes or ❑ No
8. What is the depth to bedrock from the earthen impoundment bottom elevation? N/A ft
If the depth to bedrock is less than four feet, has the Applicant provided a liner with a hydraulic conductivity no greater than
1 x 10-' cm/s? ❑ Yes, or ® NIA
Has the Applicant provided predictive calculations or modeling demonstrating that surface
water or groundwater standards will not be contravened? ❑ Yes or ❑ No
If the earthen impoundment is excavated into bedrock, has the Applicant provided predictive calculations or modeling
demonstrating that surface water or groundwater standards will not be contravened? ❑ Yes, ❑ No or ❑ NIA
9. If the earthen impoundment is lined and the mean seasonal high water table is higher than the impoundment bottom
elevation, how will the liner be protected (e.g., bubbling, groundwater infiltration, etc.)? N/A
10. If applicable, provide the specification page references for the liner installation and testing requirements: N/A
11. If the earthen impoundment is located within the 100-year flood plain, has a minimum of two feet of protection (i.e., top of
embankment elevation to 100-year flood plain elevation) been provided? ❑ Yes or ❑ No
12. Provide the requested earthen impoundment design elements and dimensions:
Earthen Impoundment Design Elements
Earthen Impoundment Dimensions
Liner type:
❑ Clay
Synthetic
Top of embankment elevation:
1,244.5 ft
❑ Other
❑ Unlined
Liner hydraulic conductivity:
Existing x Lagoon - cm/s
Freeboard elevation:
1,242.5 ft
Hazard class:
Select
Toe of slope elevation:
1,230.5 ft
Designed freeboard:
2 ft
Impoundment bottom elevation:
1,220.5 ft
Total volume:
382,872 ft'
2,8a 4,,0074
ons
Mean seasonal high water table depth:
Existing Lagoon ft
Effective volume:
311,024 ft'
2,326,615
gallons
Embankment slope:
2: 1
Effective storage time:
290 days
Top of dam water surface area:
37,500 ft
Plan Sheet Reference:
C-101
Freeboard elevation water surface area:
37,500 ftz
Specification Section:
Existing Lagoon
Bottom of impoundment surface area:
9,375 f 2
NOTE — The effective volume shall be the volume between the two foot freeboard elevation and the: (1) pump intake pipe
elevation; (2) impoundment bottom elevation or (3) mean seasonal high water table, whichever is closest to the two foot
freeboard elevation.
FORM: WWIS 06-16 Page 8 of 12

VII. IRRIGATION SYSTEM DESIGN CRITERIA —15A NCAC 02T .0505.
1. Provide the minimum depth to the seasonal high water table within the irrigation area: 12-inches
NOTE — The vertical separation between the seasonal high water table and the ground surface shall be at least one foot.
2. Are there any artificial drainage or water movement structures (e.g., surface water or groundwater) within 200 feet of the
irrigation area? ® Yes or ❑ No
If yes, were these structures addressed in the Soil Evaluation and/or Hydrogeologic Report, and are these structures to be
maintained or modified? No
3. Soil Evaluation recommended loading rates (NOTE — This table may be expanded for additional soil series):
Fields within
Recommended
Recommended
I Annual /Seasonal
If Seasonal, list
Soil Series
Soil Series
Loading Rate
Loading Rate
Loading
appropriate
in/hr
in/ r
months
Fairview
I Field (4
0.30
29.18
Annual
N/A
Zones)
Fairview
I Field (2
0.2-0.3
17.92
Annual
N/A
Zones
Select
Select
Select
Select
4. Are the designed loading rates less than or equal to Soil Evaluation recommended loading rates? ® Yes or ❑ No
If no, how does the Applicant intend on complying with 15A NCAC 02T .0505(n)?
5. How does the Applicant propose to prohibit public access to the irrigation system? The existing lagoon is fenced. The
irrigation water is patho eg n free.
6. Has the irrigation system been equipped with a flow meter to accurately determine the volume of effluent applied to each
field as listed in VII.8.? ® Yes or ❑ No
If no, how does the Applicant intend on complying with 15A NCAC 02T .0505(t)?
7. Provide the required cover crop information and demonstrate the effluent will be applied at or below agronomic rates:
Cover Crop
Soil Series
% Slope
Nitrogen Uptake Rate
bs/ac• r
Phosphorus Uptake
Rate lbs/ac• r
Tall Fescue
Fairview
3-8%
194
69
Mixed Pine &
Hardwood Trees
Fairview
10-12%
85
29
a. Specify where the nitrogen and phosphorus uptake rates for each cover crop were obtained: Soil & Environmental
Consultants, P.A. Agronomist Report
b. Proposed nitrogen mineralization rate: 0_2
c. Proposed nitrogen volatilization rate: 0.65
d. Minimum irrigation area from the Agronomist Evaluation's nitrogen balance: 147,233 ftz
e. Minimum irrigation area from the Agronomist Evaluation's phosphorus balance: 172,030 ft2
f Minimum irrigation area from the water balance: 335,215 ftz
FORM: WWIS 06-16 Page 9 of 12

FORM: WWIS 06-16 Page 10 of 12

VII. IRRIGATION SYSTEM DESIGN CRITERIA —15A NCAC 02T .0505 (continued):
8. Field Information (NOTE — This table may be expanded for additional fields):
Field
Area
(acres)
Dominant
Soil Series
Designed
Loading
Rate
in/hr
Designed
Loading
Rate
in/ r
I
Latitude
I
Longitude a
Waterbody
Stream Index Classification
No. n
1
1.433
Fairview
0.23
29.18
35.666670
-81.7797220
N/A N/A
2
0.72
Fairview
0.27
29.18
35.666390
-81.779444"
N/A N/A
3
0.83
Fairview
0.24
29.18
35.666110
-81.7791670
N/A NIA
4
1.06
Fairview
0.20
29.18
35.665830
-81.7788890
N/A N/A
5
1.107
Fairview
0.20
17.92
35.666560
-81.7773440
N/A N/A
6
1.615
Fairview
0.20
17.92
35.667590
-81,778410"
N/A NIA
O
0
0
°
0
0
0
0
0
O
0
0
0
0
0
0
O
°
O
O
0
0
O
0
°
o
0
0
Total
6.76
a Provide the following latitude and longitude coordinate determination information:
Datum: NAD83 Level of accuracy: Nearest second Method of measurement:
Map interpretation byextraction
b For assistance determining the waterbody stream index number and its associated classification, instructions may be
downloaded at: http.//deg.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications
FORM: WWIS 06-16 Page 11 of 12

Spray Irrigation Design Elements
Drip Irrigation Design Elements
Nozzle wetted diameter:
99/90/88 ft
Emitter wetted area:
NIA ftz
Nozzle wetted area:
7,698/6,504/6,079 ftDistance
between laterals:
NIA ft
Nozzle capacity:
5.67/3.78/3.78 GPM
Distance between emitters:
NIA ft
Nozzle manufacturer/model:
Senninger / 4023-1 #11
(11/64") / 3023-1 #9 (9/64") /
3123PC #9 9/64"
Emitter capacity:
N/A GPH
EIevation of highest nozzle:
4 ft
Emitter manufacturer/model:
N/A / NIA
Specification Section:
S 11872
Elevation of highest emitter:
N/A ft
Specification Section:
NIA
VIU. SETBACKS —15A NCAC 02T .0506:
1. Does the project comply with all setbacks found in the river basin rules (15A NCAC 02B .0200)? ® Yes or ❑ No
If no, list non -compliant setbacks:
2. Have any setback waivers been obtained in order to comply with 15A NCAC 02T .506(a) and .0506 ? ❑X Yes or [71 No
If yes, have these waivers been written, notarized and signed by all parties involved and recorded with the County Register of
Deeds? ❑X Yes or ❑ No
3. Provide the minimum field observed distances (ft) for each setback parameter to the irrigation system and treatment/storage
units (NOTE — Distances greater than 500 feet may be marked N/A):
Setback Parameter
Irrigation
S stem
Treatment /
tore a Uni
Any habitable residence or place of assembly under separate ownership or not to be
maintained as part of the project site
Approx. 400
ft.
N/A
Any habitable residence or place of assembly owned by the Permittee to be maintained as
art of the project site
50 ft.
Any private or public water supply source
N/A
N/A
Surface waters (streams — intermittent and perennial, perennial waterbodies, and wetlands)
Approx. 200
ft.
Approx. 258
ft.
Groundwater lowering ditches (where the bottom of the ditch intersects the SHWT)
N/A
Subsurface groundwater lowering drainage systems
N/A
Surface water diversions (ephemeral streams, waterways, ditches)
25 ft.
Any well with exception of monitoring wells
N/A
(Abandoned)
NIA
(Abandoned
Any property line
150 ft.
229 ft.
Top of slope of embankments or cuts of two feet or more in vertical height
N/A
Any water line from a disposal system
Approx. 435
ft.
Any swimming pool
N/A
Public right of way
212 ft.
Nitrification field
369 ft.
Any building foundation or basement
169 ft.
Impounded public water supplies
N/A
Public shallow groundwater supply (less than 50 feet deep)
N/A
4. Does the Applicant intend on complying with 15A NCAC 02T .0506(c) in order to have reduced irrigation setbacks to
property lines? ® Yes or [ 1 No
FORM: WWIS 06-16 Page 12 of 12

If yes, complete the following table by providing the required concentrations as determined in the Engineering Calculations:
Estimated Influent
Designed Effluent
Designed Effluent
Parameter
Concentration
Concentration
Concentration
(monthly averse(daily
maximum
Ammonia Nitrogen (NH3-N)
N/A mg/L
N/A mg/L
N/A mg/L
Biochemical Oxygen Demand
N/A mg/L
N/A mg/L
N/A mg/L
BODs)
Fecal Coliforms
N/A per 100 mL
N/A per 100 mL
Total Suspended Solids (TSS)
NIA mg/L
N/A mg/L
N/A mg/L
Turbidity
N/A NTU
FORM: WWIS 06-16 Page 13 of I2

IX. COASTAL WASTE TREATMENT DISPOSAL REQUIREMENTS —15A NCAC 02H .0400:
1. Is this facility located in a Coastal Area as defined per 15A NCAC 02H .0403? ❑ Yes or ® No
For assistance determining if the facility is located within the Coastal Area, a reference map may be downloaded at: Coastal
Areas Boundary.
2. Is this an Interim Treatment and Disposal Facility per 15A NCAC 02H .0404(g)? ❑ Yes or ® No
NOTE — Interim facilities do not include County and Municipal area -wide collection and treatment systems.
IF ANSWERED YES TO ITEMS IX.1. AND IX.2., THEN COMPLETE ITEMS IX.3. THROUGH IX.17.
3. Is equalization of at least 25% of the average daily flow provided? ❑ Yes or ❑ No
4. How will noise and odor be controlled?
5. Is an automatically activated standby power source provided? ❑ Yes or ❑ No
6. Are all essential treatment units provided in duplicate? ❑ Yes or ❑ No
NOTE — Per 15A NCAC 02T .0103(16), essential treatment units are defined as any unit associated with the wastewater
treatment process whose loss would likely render the facility incapable of meeting the required performance criteria, including
aeration units or other main treatment units, clarification equipment, filters, disinfection equipment, pumps and blowers.
7. Are the disposal units (i.e., irrigation fields) provided in duplicate (e.g., more than one field)? ❑ Yes or ❑ No
8. is there an impounded public surface water supply within 500 feet of the wetted area? ❑ Yes or ❑ No
9. Is there a public shallow groundwater supply (less than 50 feet deep) within 500 feet of the wetted area? ❑ Yes or ❑ No
10. Is there a private groundwater supply within 100 feet of the wetted area? ❑ Yes or ❑ No
11. Are there any SA classified waters within 100 feet of the wetted area? ❑ Yes or ❑ No
12. Are there any non -SA classified waters within 50 feet of the wetted area? ❑ Yes or ❑ No
13. Are there any surface water diversions (i.e., drainage ditches) within 25 feet of the wetted area? ❑ Yes or ❑ No
14. Per the requirements in 15A NCAC 02H .0404 7 how much green area is provided? ft2
15. Is the green area clearly delineated on the plans? ❑ Yes or ❑ No
16. Is the spray irrigation tion welted area within 200 feet of any adjoining properties? ❑ Yes, ❑ No or ❑ NIA (i.e., drip irrigation)
17. Does the designed annual loading rate exceed 91 inches? ❑ Yes or ❑ No
FORM: WWIS 06-16 Page I4 of 12

Professional Engineer's
r . - I
Bngineer s name from 4plication item IIl.1.)
name frorfi Application item iI.1.)
that this application for
has been calculations, an abyme �a. d is accurSupporting
.te, complete and tMiste�nt with the infannation supplied in the plans, specifications, engineering
supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with this appkcation package and its h abuctions, as well as all applic
and statutes. Although other professionals may have developed certain portions of this submittal packageable regulations
, inclusion c these materials
under my signatume and seal 34911ifes that I have reviewed this material and have judged it to be consistent with the proposed design.
NOTE - In accordance with General statutes 111,11LM and 143215. % any pew who knowingly makes any false fit,
rewasentatlon, or certification in MW application package 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 violadoL
North Carolina Pmf donai Eugimeces seal, signature and date:
Applicant's Certitlmtion per
r'
L
17069
� M a i s o 1111 O/A
` V L m attest that this application for
tit title from Application Item I.3.)
(Facility name from Application Item ll.I.)
has been reviewed by me and is accurate and complete to the best of my knowledge_ I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
Penalties, injunctive relief, and/or crimipal ptetrtian. I will make no claim against the Division of Water Resources should a condition
of this permit be violated I also understand that ifall required parts ofthis application package are not completed and that ifall required
supporting information and attachments are not included, this application package will be returned to me as incomplete. I further oektify
that the Applicant or any affidiate has not bean convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, doesnot 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 per 1 SA NCLAC U2'1[_41 QS�,
NOTE - In accordance with General Statutes 15.6A and 143-215,60 any person who knowingly makes any false statement,
exceed
representation, a certification in any likation package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civ � $25,000 per violation.. 1 Signature Date.
FORM* WWIS 06-16
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