20201744 Ver 1_ePCN Application_20201215

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20201744 1
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received IT $240.00
r Fee needed - send electronic notification r $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776- Select Project Reviewer*
9800 Sue Homewood:eads\slhomewood
Information for Initial Review
1a. Name of project:
Wayne Farms WW Effluent Line Replacement
1a. Who is the Primary Contact?*
Jonathan Green
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/15/2020
Nearest Body of Water
Fisher River
Basin
Yadkin -Pee Dee
Water Classification
C
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude:
Longitude:
36.410265
-80.690738
A. Processing Information
County (or Counties) where the project is located:
Surry
Is this a NCDMS Project
r Yes IT No
Is this project a public transportation project?*
r Yes IT No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r- Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*

r Yes
r No
Please provide the date of the previous submission.*
11/10/2020
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
W Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - E)iress
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
(- Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Willis Edward and Mary Kathryn Branch Trustee
2b. Deed book and page no.:
01571,0148
2c. Responsible party:
Perpetual Easement with Surry Parks and Recreation Department
2d.Address
Street Address
3318 Old Hwy 601
Address tine 2
City
State / Province / FRogion
Mount Airy
NC
Postal / Zip Code
Country
27030
United States
r Yes r No
r Yes r No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Jonathan Green
3b. Business Name:
Wayne Farms, LLC
3c.Address
Street Address
802 East Atkins Street
Address tine 2
aty
Dobson
Postal / Zip Code
27017
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if
4a. Name:
Kevin Heath, P.E.
4b. Business Name:
The Lane Group, Inc.
4c.Address
Street Address
119 North Main Street
Address Line 2
city
Galax
Postal / Zip Code
24333
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
WF - Lane Agent Agreement.pdf
2f. Fax Number:
State / Rmwe / lagion
NC
Country
United States
3e. Fax Number:
State / Rovince / Ibgion
VA
Country
United States
4e. Fax Number:
[phone]
2.34MB
C. Project Information and Prior Project History C"U
1. Project Information
1b. Subdivision name:
(ff appropriate)
1c. Nearest municipality/ town:
Town of Dobson
2. Project Identification
2a. Property Identification Number: 2b. Property size:
590700220888 19.84
2c. Project Address

Street Address
3318 Old Hwy 601
Address tine 2
City
Mount Airy
Postal / Zip Code
27030
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Fisher River
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401010704
4. Project Description and History
State / Rwince / Rion
NC
Country
United States
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Existing permitted WWTP outfall was damaged by flood (see photos). Propose to replace the former at -bank
discharge with a submerged effluent diffuser pipe in streambed to protect the outfall and promote mixing. However,
NCDEQ and USAGE have been notified (see attachment).
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
F Yes G No F Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Stream Location Map.pdf 4.98MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Soil Map.pdf 242.63KB
4f. List the total estimated acreage of all existing wetlands on the property:
WA
4g. List the total estimated linear feet of all existing streams on the property:
50
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is the existing bank-outfall was torn out by flood damage and is to be replaced
with a newsubmerged diffuser discharge. The existing ouffall pipe serves as the discharge point for treated effluent
from the Wayne Farms processing plant's WWTP.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project is proposed to include construction to install a submerged effluent discharge assembly in the Fisher
River instead of an at -the -bank discharge. The pipe material will be ductile iron installed below streambed level with
multiple duckbill diffusers installed at the streambed level. The pipe trench will be excavated with an excavator and
backfilled with excavated streambed material.
4j. Please upload project drawings for the proposed project.
WayneFarmsEffluentForceMainC109 Stream Plan Sheet.pdf 2.46MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes G No !' Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
F Preliminary r Approved r Not Verified F Unknown F N/A
Corps AID Number:
5c. If Sa is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:

Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are anyother NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed projector related activity?
It is believed that the proposed installation may be authorized under either NWP3 or NWP12.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
F Wetlands W Streams -tributaries F Buffers
r Open Waters r Pond Construction
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type ofwidth * 3h. Impact
(?) Jurisdiction* length*
f i1
Excavation Tem orar Bank Stabilization isher River ff�]
Both 50 25 P Y Averalge (feet) (lines fea)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
25
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
31. Total temporary stream impacts:
25
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
This application is for replacement of an existing outfall that was damaged by flooding. The
proposed submerged diffuser is believed to be better protected from potential future flooding
events.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The proposed installation would be completed during a low -flow period. The excavated area
would be restored with original excavated material.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The proposed installation involves repairs/replacement of a previously existing outfall that was damaged by a flood.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
The proposed installation is located at the site of the original outfall location belowthe NCDOT bridge. The
previously existing streambank was washed away by the flood event - removing any/all previously existing buffer
trees.

2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The epsting outfall discharge serves the Wayne Farms Poultry Plant Facility WWTP and has
done so for over 40 years. The outfall is not known to have any effect on current or future
development of this area.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes
r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
U.S Fish & Wildlife Service IPaC - Results Printout Attached
Consultation Documentation Upload
IPAC species list.pdf 360.92KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*

r Yes C No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Web Page for Essential Fish Habitat Mapper - Results Printout Attached
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC Dept. of Cultural Resources website. Results Printout Attached.
7c. Historic or Prehistoric Information Upload
NC Historic Resources Register Map.pdf 344.45KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The proposed installation is located at the site of the original outfall location belowthe
NCDOT bridge. The previously existing streambank was washed away by the flood event.
The proposed installation involves repairs/replacement of the existing damaged outfall.
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM mapping for Surry County
Miscellaneous
Comments
See attached photographs of the location following storm damage. See also previous correspondence with USACE
and NCDWQ.
Miscellaneous attachments not previously requested.
NC NOAA Fish mapper map data.pdf 236.21 KB
FEMA FM3710590600J.pdf 6.42MB
Photos.pdf 784.19KB
Signature
*
W By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Kevin Heath, P.E.
Signature
Date
12115/2020
6

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April 12 20i9
Mr. Jonathan Green, P.E.
Corporate Environmental Engineering and Compliance Manager
Wayne Farms, LLC
4110 Continental Drive
Oakwood, Georgia 30566
Re: Proposal for Professional Engineering Services
WWTP Effluent Force Main Replacement
Dobson, North Carolina
Dear Mr. Green;
The Lane Group, lnc. (TLG) is pleased to submit this proposal to Wayne Farms, LLC (Owner) for professional engineering
services related to replacement of the existing WWTP effluent force main at the Dobson, NC chicken processing plant. This
Proposal is presented in followup to discussions and correspondence between Kevin Heath, F.E. of this office and yourself.
A detailed description of the project and the proposed scope of services follow:
DESCRIPTIC?N OF TIIE PROJECT
Wayne Farms, LLC owns and operates a chicken processing plant in Dobson, NC. The facility includes a 0.7 MGD
wastewater treatment plant with effluent discharge to the Fisher River. Treated effluent is pumped #o the discharge location
through a 6" force main located within NCDOT highway right-of-ways. The existing 6" force main is approximately 45 +/-
years old and the pipe's size is restricting the amount of flow that can be discharged from the WWTP. Accordingly, Wayne
Farms desires to replace the existing effluent force main with a larger pipe in order to improve operations at the existing
WWTP and enable the processing facility to expand capacity.
In 2018, Wayne Farms initiated discussions with NCDOT regarding replacement of the force main and learned that Route
601 is a controlled access roadway, that NCDOT is in the planning phase of a project to widen the roadway to 4-lanes, and
that NCDOT's preference would be for Wayne Farms to relocate the force main off of NCDOT right -of --way entirely.
Accordingly, Wayne Farms began contacting adjacent private landowners to inquire about easements but was unable to
secure the easements that would be needed to relocate the force main off of NCDOT right-of=way.
Wayne Farms subsequently met with NCDOT again on March 5 and March 19, 2019 and Iearned that NCDOT is now
willing to issue Wayne Farms an Encroachment Agreement to replace the existing force main within NCDOT right -of. way,
provided that the force main location and construction are compatible with NCDOT's Route 601 widening plans.
The proposed effluent force main replacement project would include approximately 12,800 LF of 12" force main and
related improvements from the Wayne Farms WWTP to the existing permitted discharge location at the Fisher River.
Construction is desired to be completed in 2019.
Wayne Farms, LLC has requested a proposal for engineering services related to the project from TLG.
l 19 North Main Street •Galax, Virginia 24333
p:276.236.4588 • f: 276.236.0458

Mr. Jonathan Green, P.E.
Page 2
SCOPE OF SERVICES
The Lane Group, Inc. proposes to provide the following professional engineering services to Wayne Farms, LLC for the
proposed project:
Task 1: PROJECT DEVELOPMENT/COORDINATION MEETINGS: The Lane Group, Inc. will attend meetings as
required and necessary to complete the project. It is anticipated that meeting(s) could be required with Wayne
Farms, NCDOT, and potentially others.
Task 2: BASE MAPPING: Base mapping of the project area will be prepared. A new 2019 flight aerial survey will be
completed for the corridor and then supplemented with a field ground survey. Preliminary Route 601 widening
plans provided by NCDOT will be imported into the drawing. The aerial survey, the field survey data, and
NCDOT plan information will be combined into a single completed base map. The completed base mapping will
then be used for subsequent design purposes.
Task 3: PRELIIvIII�TARY DESIGN: A draft set of plans, specifications, and contracfi documents will be prepared for review
by Wayne Farms and NCDOT. The preliminary design information is to be reviewed by representatives from both
parties prior to regulatory permit submittal. All plan sheets will be prepared using AUTOCAD. The contract
documents will be prepared using EJCDC format. The Preliminary Design submission will be provided with a
project development cost estimate.
Task 4: REGULATORY PERMITS: Following receipt of any Preliminary Design review comments, TLG will revise the
plans as needed and prepare the permit application forms for those permits necessary to complete construction. It
is anticipated that permits may be required from NCDEQ Division of Water Resources (Authorization to
Construct), NCDEQ Land Quality Section (Erosion Control Permit), US Army Corps of Engineers (Any in -stream
work), and the North Carolina Department of Transportation (Encroachment Agreement).
The appropriate permit forms will be prepared and provided to Wayne Farms for signatures. The regulatory
permitting packages will be submitted to the respective agencies for review and approval. Any regulatory agency
permit issuance/review fees charged by the respective agencies are to be paid by Wayne Farms. Any review
comments received from the respective agencies will be addressed by TLG until the permits are issued. This Task
shall be considered to be complete when all of the necessary regulatory permits are issued.
Task 5: PROJECT BIDDING ASSISTANCE: TLG will assist Wayne Farms in procuring a contractor to complete
construction. Project bidding assistance includes development of a Iist of contractors to invite to bid, preparation
and distribution of bid sets, answering Contractors' questions and issuing Addendums (if required), attending the
Bid Opening, tabulating the bid results, evaluating the bids, and making a recommendation of award to Wayne
Farms.
Task 6: CONSTRUCTION ADMINISTRATION: Construction Administration services to be provided include
preparation and review of construction contract documents (Notice of Award, Agreement forms, bonds,
certificates of insurance), conducting a preconstruction conference, review and approval of shop drawings,
interpretation of plans and specifications during the construction period, attend monthly progress meetings to
review the work progress made, review/approve Contractor pay requests, and prepare any necessary Contract
Change Order forms for approval. This task also includes preparation of As -Built Record Drawings using field
sketches and/or markups completed by the RPR and/or the Contractor.
Task 7: RESIDENT PROJECT REPRESENTATIVE SERVICES: During the construction period, TLG will provide full-
time project representative (RPR) services. The RPR assigned to the project will monitor construction at time
intervals and frequencies determined to be necessary to reasonably assure Contractor compliance with the plans,
specifications, and permit requirements. Following completion of construction, a final inspection will be held with
representatives of Wayne Farms, NCDOT, The Lane Group, Inc., the Contractor, and other agencies as
appropriate. A statement of Substantial Completion will be issued to Wayne Farms once all work is completed in
conformance with the plans and specifications. For budgeting purposes, a total time allocation of twenty-six 40-
hour work weeks (1,040 man-hours total) has been estimated for construction inspections, corresponding to an
estimated 6-month construction period.

Mr. Jonathan Green, P.E.
Page 3
ITEMS TO BEUURNISHED/OBTAINED BY OTHERS
In order to complete the indicated Scope of Services, the following items are requested to be furnished to TLG:
1. Any Standard General Conditions, Contract Provisions, and/or special reporting requirements that are
required by Wayne Farms to be incorporated into the Construction Contract Documents.
2. Obtaining/negotiating for any necessary right -of --way easements required to construct the work is to be
completed by others. It is recognized that it will be Wayne Farms' preference to maintain the construction
within NCDOT r/w to the extent possible.
3. Payment of any necessary permit issuance and/or plan review fees charged by the respective regulatory
agencies is to be made by Wayne Farms.
4. Copy of current NPDES discharge permit for the existing Fisher River discharge.
5. WWTP effluent discharge flow records for the most recent twelve consecutive months as well as
information pertaining to the anticipated future discharge rate.
SCHEDULE OF COMPLETION
The Lane Group, Inc. will begin work immediately upon written acceptance of this Proposal and receipt of those items to
be provided by others. It is anticipated that Work Tasks 1-3 (Preliminary Design) will be completed within one hundred
twenty (120) calendar days following receipt of written acceptance of this Proposal. The amount of time required for Work
Task 4 (Regulatory Approval and Permit Issuance) is beyond the control of The Lane Group, Inc. as this is dependent upon
outside regulatory agencies. Work Task 5 (Bidding Assistance) will be initiated upon request by Wayne Farms.
It is understood that Wayne Farms reserves the right to delay authorization of Work Tasks 6 and 7 until after bidding is
completed and construction is authorized. Work Task 6 -- Construction Administration will be provided following receipt of
bids and during the construction period. The timetable for completion of Work Task 7 — RPR Services is dependent upon
the construction completion schedule.
The Lane Group, Inc. will endeavor to perform the indicated Scope of Services within the given Schedule of Completion
for the amounts as indicated below. Some items are indicated to be Lump Sum whereas others are indicated to be Hourly -
Not -To -Exceed (IINTE). Invoices will be rendered in accordance with the following schedule and are due and payable
within 30 days after receipt:
Complete Task 2 (Base Mapping) —Lump Sum............................................................................ $20,000
Complete Task 3 (Submittal of Preliminary Design to Wayne Farms) — Lump Sum ...................... 30,000
Complete Task 4 (Secure all regulatory approvals and permits) —Lump Sum ................................ 20,000
Complete Task 5 (Bidding Assistance) —Lump Sum........................................................................ 4,600
Complete Task 6 (Construction Administration) —Lump Sum ........................................................ 25,000
Complete Task 7 {Resident Inspection) —Hourly Not To Exceed ................................................ 62,400
Maximum Total Combined Fee $I62,000
Note -Invoices for Task 6 -.. Construction Administration will be pro -rated monthly based upon the
percentage of construction completion.

Mr. Jonathan Green, P.E.
Page 4
ADDITIONAI. SERVICES
additional�arms. The fee and work task for any additional services would be negotiated on a case�by-case basis. Prior to proceeding
vith any of the ... so in writing.
14 ;TANDARD CONTRACT TERMS AND CONDITIONS
•� , .
„.aa�rt
AUTHORIZATION TO PROCEED
In order to signify acceptance of this proposal and authorization to proceed with the work place a check mark below for
each Work Task that is authorized, complete the acceptance block, and return one copy to our office. It is understood that
Wayne Farms reserves the right to delay authorization of some individual Work Tasks based upon the Company's project
implementation schedule. We appreciate having been given the opportunity to submit this proposal and look forward to
your response.
Very Truly Yours,
THE LANE GROUP, IIVC.
Kevin Heath, P.E.
Vice President
WORK TASK AUTHORIZATION
The following Work Tasks are Authorized (Check All Work Task that are Authorized to be Completed)
Work Task Description Fee
Work Task 2 —Base Mapping $20,000
Wark Task 3 —Preliminary Design 30,000
Work Task 4 — Regulatory Permitting 207000
Work Task 5 — Bidding Assistance 4,600
Work Task 6 — Construction Admin. 252000
Work Task 7 — Resident Inspection 62,400
OWNER ACCEPTANCE
The foregoing proposal of The Lane Group, Inc. is accepted:
(Type) Individual, Firm, or Corporate
of Authorized Representative
Print {Type)
and
Title
Authorized?
{Check if Yes)
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STANDARD AIE B[LL[NG RATES
(Effective May 1, 2014)
Principal/Senior Engineer $145.00/hour
Sr. Project EngineerlSr. Architect/Sr. Project Manager_ $120.00/hour
Project Engineer 11/Architect IIIProject Manager I1 $100.00/hour
Project Engineer [/Architect I/Project Manager I $90.00Ihour
Project Engineer/Archifect(Env. Specialist/PLS $80.00/hour
EngineerlSurveyor-in-TraininglCADD Tech Ill $70,Q0/hour
Resident Project Representative III $65.QQ/hour
CADD Technician IIIField Technician I1/RPR 11 $60.00/hour
CADD Tech 11Field Tech I/RPR I $55.00/hour
Administrative Support I1 $60.00Ihour
Administrative Support I $40,00/hour
GPS Unif $25,OOIhour
Subconsultant Cost plus
15.00%
Mileage Prevailing US
Govt. Rate
814" x 11" Black & Vlihite Copies $0,50/sheet
Reproducible Copies (Paper) $0.50/sq. ft.
8'/2" x 11" Color Copies $0.75/sheet
Reproducible Copies (Mylar) $0.751sq. ft.
THE LANE GROUP
316
East Fifth Street, Soath, P. O. Box 452, Big Stone Gap, VA 2427 9 • PH 276-523-3777 •FAX [phone]
310 West Valley Street, Abingdon, VA 24270 • PH 276-206-8571
119 No Maln Street, Galan, VA 24333 • PH 276-236-4588 •FAX [phone]

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STAI\TDARD CONTRACT TERMS AND CONDITIONS
EFFECTIVE DATE — JANUARY 1, 2013
1—DEFINITIONS
1.1 The Lane Crroup7 Inc., hereafter referred to as the
"Engineer", agrees to provide Professional Services, as
delivered in the attached Proposal. Engineer means The
Lane Group company, the company's employees, and the
company's subcontractors.
1.2 The "Client" is the other party to this Agreement.
1.3 The "Project' is the collective sum of all services and
deliverables for which the Client has commissioned the
Engineer to complete.
2 --SCOPE OF SERVICES
2.1 The Agreement between the Engineer and the Client
consists of the Proposal, these Standard Contract Terms
and Conditions, and any other Exhibits or Attachments
referenced in and included with the Proposal.
2.2 Together these elements constitute the Agreement in its
entirety. The Agreement shall not be considered binding
unless and until executed by both parties.
2.3 The executed Agreement supersedes all prior written or
oral correspondence, statements, representations, and/or
agreements.
2.4 The executed Agreement establishes the scope of
services to be provided by the Engineer, anticipated
schedule, deliverables, compensation, items to be provided
by others, and other information relevant to the Project.
Any changes to the Agreement must be mutually
acknowledged, in uniting, by both parties.
3 --STANDARD OF CARE
3.1 The ENGINEER will strive to perform the services
under this Agreement in a manner consistent with the level
of care and skill ordinarily exercised by members of the
same profession currently practicing in the same locality as
the
Project under similar conditions during the same time
period.
3.2 No other representation and no warranty or guarantee,
either expressed or implied, is included or intended by this
Agreement.
4--DISCLOSURES
4.1 The provisions ofthe Agreement have been established
based upon information known or assumed by both parties
prior to execution of said Agreement.
4.2 Both the Engineer and the Client shall £ally disclose to
each other, prior to executing the Agreement, all
information pertinent to completion of the Project.
4.3 Both the Engineer and the Client agree to disclose to
each other, any information relevant to completion of the
Project, which becomes known during the course of the
work and could have a potential impact upon the provisions
ofthe Agreement.
5 —INFORMATION PROVIDED BY OTHERS
5.1 The Agreement between the Engineer and the Client
identifies those items which are to be provided to the
Engineer by other parties, outside of the Engineer's control,
if any, and incorporated into the Engineer's work.
S.2 Client agrees to waive any claim of liability against the
Engineer resulting in errors, omissions, or inaccuracies due
to defects and/or deficiencies in the information that is
provided to the Engineer by .atl ,and outside of the
Engineer's control_
6 — OWNERSHIP OF DOCUMENTS
5.1 The Agreement between the Engineer and the Client
identifies those documents and/or deliverables which the
Engineer is to provide to the Client, if any, upon
completion of the Project.
6.2 The Engineer shall retain ownership and properly
interests of all deliverable documents and other relevant
preparatory information developed by the Engineer in
completion of the Project. Relevant preparatory
information includes those items generated by the Engineer
in the course of completing the project; and could include
calculations, worksheets, field measurements, survey data,
photographs, product brochures, financial records, and
other related items which are not customarily included in
the deliverable documents provided to the Client.
6.3 The Engineer shall furnish the Client with the number
and format of deliverable documents as designated in the
Agreement. The Client may retain the deliverable
documents and make copies of them for the CIient's sole
use in relation to the Project. It is understood that the Client
shalI not sell or otherwise convey the deliverable
documents to any other party for any other purpose without
first obtaining written authorization from the Engineer.
6.4 The Engineer shall retain exclusive ownership of all
other relevant preparatory information generated in the
course of completing the Project and shall not provide these
materials to any party unless specifically designated
otherwise in the Agreement and/or without written
authorization from the Engineer.

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6.5 The Client agrees to indemnify and hold harmless the
Engineer from any claims, damages, and/or liabilities
arising from any unauthorized use, re -use, or modifications
of the deliverable documents made by any party.
7 ASSIGNMENT OF AGREEMENT
7.1 Neither the Engineer nor the Client may delegate,
transfer, or otherwise reassign this Agreement to any other
party without the written consent of the other party.
7.2 The Engineer may subcontract portions of the Project
work tasks at the Engineer's sole discretion.
ARTICLE 8—TERAI%NATION OR SUSPENSION
$.1 Either the Engineer or the Client may terminate or
suspend the Agreement for material breach or convenience.
The party effecting the termination or suspension shall so
notify the other party in writing and said termination or
suspension shall become effective seven (7) calendar days
following receipt of notice.
8.2 Iri the event of Agreement termination or suspension,
the Engineer shall furnish the Client with those portions of
the Project which have been completed and the Client shall
compensate the Engineer for those services which have
been performed in accordance with the provisions of the
Agreement.
ARTICLE 9—LINIITATION OF LIABILITY
Engineer's total cumulative liability
arising the Engineer's acts, erg emissions in
connection wi serv_jC performed under the
Agreement shall not. xcee tat_ compensation
received by tbrrwE'.iigmeer under theeIIeev
whiclkevet' zs less. 'R
9.2 CuMiti, ve liability isdefined,-as costs resulting
from a Claim an ' _on and includes, but is not
limited tq,, ;ike�iis'such as dama ses, expenses,
airy fees, injuries, and the like.
ARTICLE 10--INDEMNIFICATION
10.1 The Engineer agrees to indemnify and hold harmless
the Client from and against damages arising from the
Engineer's negligent performance of its services under the
Agreement, to the extent that said damages are caused by
the Engineers negligent actions.
eering
fectVre
10.2 re Client agrees to indemnify and hold harmless the
inc r from and against damages arising from the
Client's egligent actions, to the extent that said damages
are caused by the Client's negligent actions.
10.3ressly understood and agreed thaLia no -east
snail the Engmeer``t5e1eged, cumulative amount
of damages diSpmI I;a"f~to the Engme sty or
any char a�riy amount levied to realize more than actual
omit damages.
ARTICLE 11—DISPUTE RESOLUTION
11.1 If either the Engineer or the Client believes that the
other party has materially breached this Agreement, written
notification shall be delivered to the offending party within
five (5) business days identifying such cause. Both parties
shall then bargain promptly and in good faith to cure such
cause.
1F.2 All claims, disputes, or controversies between
Engineer and Client caused by or in any way related to the
Agreement and which cannot be remedied by good faith
negotiation between the parties, shall be submitted to non-
binding mediation as a condition precedent to litigation.
The mediator may be selected by either party but shall be
acceptable to both parties. The mediator's costs shall be
borne equally by each party and each party shall bear all of
its own other costs related to mediation.
11.3 Should good faith negotiation and mediation fail to
resolve any dispute related to this Agreement, the Engineer
and the Client agree that litigation may be brought by either
Ply
11.4 Unless prohibited by law and notwithstanding any
statute that may provide additional protection, both the
Engineer and the Client agree that any claim by either party
arising out of the Agreement shall be initiated not more
than eighteen (18) months from the date that the party
knew, or should have known, of the condition giving rise to
the claim -a X der nopp,circumstance shall any claim be
made ovc �€donths following the date that the
Engineer's services are substantially complete under the
Agreement.
ARTICLE 12—GOVERNING LAW
12.F Both the Engineer and the Client agree that the
governing taws of the locality in which the project is
located shall prevail in all matters related to the
performance and/or dispute remediation related to the
Agreement.

Wayne Farms LLC — Master Service Agreement
This Master Agreement is made and entered into this 3rd day of APlll 20 19
between Wayne Farms LLC, a Delaware limited liability corporation, including all locations, affiliates and
operations (hereinafter "Wayne Farms") and Lane Engineering, Inc. (hereinafter
"Contractor").
WITNESSETH:
In consideration of the promises and mutual agreements hereinafter contained, the parties hereby agree
to the terms set forth below and in any attachments now or hereafter made a part of this Master Agreement.
1. MASTER AGREEMENT —This Master Agreement, the terms of which shall apply to work, if any,
undertaken by the Contractor pursuant to any purchase orders issued by Wayne Farms hereunder
(collectively, "Purchase Orders"), schedule or schedules of work (collectively, "Schedule A") executed by
Wayne Farms and the Contractor. Execution of this Master Agreement creates no obligation on either party
unless and until a Purchase Order or Schedule A has been fully executed by both parties hereto. This Master
Agreement and Purchase Order or Schedule A are hereinafter collectively referred to as the "Agreement'
unless otherwise indicated.
2. SCOPE OF WORK— The Contractor shall furnish all the equipment, labor, material and work necessary to
fully assemble, install, maintain, repair and deliver to Wayne Farms the work or equipment as more fully
described in Schedule A, attached hereto, or included in each Purchase Order issued by Wayne Farms
hereunder. The time for performance of any work shall be set forth in this Agreement and Schedule A or in
Purchase Orders. In addition, the Contractor shall provide to Wayne Farms all associated manuals,
procedures, instructions and other data required for the operation and repair of the equipment.
3. AUTHORIZATION OF PURCHASE ORDERS —Purchases under this Agreement shall be made only
w th Purchase Orders issued by Wayne Farms. Contractor agrees that Wayne Farms has made no guarantee
or commitment that Wayne Farms will purchase any minimum quantity of equipment or work under this
Agreement, and it is understood that the quantities of individual work and equipment may vary.
4. CHANGE ORDERS —In the event Wayne Farms requests any changes in the scope of work, Wayne
Farms shall provide Contractor a written not fication of such requested change. Within five (5) business
days, Contractor shall provide Wayne Farms, a written change order detailing the scope of the change, an
estimate of the effect, if any, on the completion date and the cost of such change order ("Change Order").
The form to be used for the Change Order is attached as Exhibit 1. Upon written acceptance of such Change
Order by Wayne Farms, this Agreement shall be amended accordingly. Unless Wayne Farms accepts such
Change Order in writing, no change in the scope of work shall result in an increase in the cost of the work
beyond the price specified in this Agreement.
5. BUYER RESPONSIBILITY —Wayne Farms will not be responsible for equipment delivered or work
rendered without a valid Purchase Order or Schedule A. No substitution of the work and/or equipment from
those specified will be accepted without the prior written consent of a revised Purchase Order, Schedule A
or Change Order.
6. TIME FOR PERFORMANCE —This Agreement shall extend for three (3) years from the date first above
written. The time for performance of any work shall be as set forth in a valid Purchase Order and/or
Schedule A.
7. CONTRACT PRICE — In consideration of the completion of the work described herein, and the fulfillment
of all stipulations of this Agreement including compliance with paragraph 18 herein to the satisfaction and
Page 1 of 10
:2Ai[�xgF.Ui(7

Wayne Farms LLC — Master Service Agreement
acceptance
of Wayne Farms. Wayne Farms shall
pay, or cause to
be
paid, to Contractor the amount due to
Contractor
as set forth in a valid Purchase Order
and/or Schedule
A.
8. TERMS OF EMPLOYMENT — Wayne Farms reserves no control whatsoever over the employment,
discharge, compensation of or work rendered by Contractor's employees, and it is the intention of the
parties to this Agreement that Contractor shall be and remain an independent contractor, and that nothing in
this Agreement shall be construed as inconsistent with that status. Contractor agrees to pay the contributions
measured by the wages of its employees required to be made under the Unemployment Compensation
Insurance, Social Security and Retirement Laws or similar laws, State and Federal, applicable to the work
hereunder performed by Contractor, and to accept exclusive liability for said contributions; Contractor
further promises and agrees to indemnify and hold harmless Wayne Farms, its successors and assigns,
subsidiaries and related companies from any and all liability arising therefrom.
9. PERMITS AND INSURANCE — Before doing any work under this Agreement, Contractor at its own
expense shall secure and keep in effect, until the entire work is completed and accepted, the following items:
A. All permits, licenses, authorizations of a temporary nature, fees, charges, assessments, taxes and
inspections required by federal, state, county or municipal authorities including payment of salaries and
expenses of any public inspectors, policemen or officers which may be required in connection
therewith;
B. Statutory Worker's Compensation Insurance (statutory limits);
C. Commercial General Liability Insurance (including Contractual Insurance) of $3,000,000.00 combined
single limit per occurrence for bodily injury and property damage to include completed operations; and
D. Automobile Insurance of $3,000,000.00 combined single limit per occurrence for bodily injury and
property damage.
Contractor shall submit to Wayne Farms, prior to the commencement of work, certificates evidencing
insurance in form and with companies reasonably satisfactory to Wayne Farms, in the amounts and for the
coverage as above stated. With respect to the insurance specified in paragraph 9C and 9D hereof, Wayne
Farms shall be named as an additional insured on each policy. The insurance provided for herein shall not
be in derogation or limitation of the liability assumed by Contractor under the terms of this Agreement.
10. DEFECTIVE WORK OR MATERIAL — All work and material shall at all times be open to the
inspection, acceptance or rejection of Wayne Farms or its authorized representative. Wayne Farms shall
have power to reject or condemn all work or material, which does not conform to this Agreement and any
omissions or failure on the part of Wayne Farms to disapprove or reject any defective work or material shall
not be construed to be an acceptance thereof.
11. FAILURE OF PERFORMANCE BY CONTRACTOR:
A. If Wayne Farms shall at any time be of the opinion that Contractor is neglecting to remedy any
imperfection in the work or is not progressing with the work as fast as necessary to insure its
completion within the time and as required by this Agreement, or is otherwise violating any of the
provisions of this Agreement, Wayne Farms shall have the power to notify Contractor in writing to
remedy such imperfections, proceed more rapidly with said work, or otherwise comply with the
provisions of this Agreement.
B. If on the expiration of ten (10) days after the serving of such written notice upon Contractor, Contractor
shall continue to neglect the work and shall fail to satisfy Wayne Farms of its efforts, ability and
intentions, to remedy the specified deficiencies, Wayne Farms may terminate the employment of
Contractor and may take possession of the work and of all materials, tools and appliances thereon, and
employ such means as may be, in Wayne Farms' judgment, necessary to finish the work. In such case,
Contractor shall receive no further payment until the work shall be finished, when, if the unpaid
balance that would be due under this Agreement exceeds the cost to Wayne Farms of finishing the
Page 2 of 10
Rev. 10.31.2016

Wayne Farms LLC — Master Service Agreement
work, such excess shall be paid to Contractor; but if such cost exceeds such unpaid balance, Contractor
shall pay the difference to Wayne Farms.
C. Upon failure of Contractor to comply with any notice given in accordance with the provisions herein,
Wayne Farms shall have the alternative right, instead of assuming charge of the entire work, to place
additional forces, tools, equipment and materials on parts of the work for the purpose of carrying on
such parts of the work. Contractor shall only be entitled to the Agreement price less the cost of placing
such additional forces, tools, equipment and material on parts of the work, with five (5) percent added,
which amount shall be retained by Wayne Farms,
12. NOTICE —HOW SERVED —All notices to Contractor shall be deemed given if the same is in writing and
if delivered to the office used by Contractor or deposited in the post office, postage prepaid, addressed to
Contractor at its last known place of business. Any notice to be given to Wayne Farms shall be in writing
and must be delivered or deposited in the post office or overnight mail, postage prepaid, addressed to the
Project Manager (what dept will this go to), Wayne Farms LLC, 4110 Continental Drive, Oakwood, GA
30566, phone # needed for overnight delivery.
13. COMPLIANCE AND SAFETY RULES —Contractor, for itself, all employees, subcontractors and any
others under Contractor's authority, acknowledges receipt and understanding of plant safety rules and
procedures, and agrees to fully comply with such rules and procedures; including where applicable,
emergency evacuation procedures, welding or cutting procedures, confined space entry, hazard
communication, electrical lockout, and all safe practices necessary to avoid hazards such as grain dust
explosions, and ammonia leaks or releases.
14. SAFETY CONTACT —Contractor shall designate a primary contact person ("PCP") on site at each Wayne
Farms location where work is being performed. Said PCP shall coordinate with Wayne Farms' Project
Manager to ensure that all required safety training is performed, and that all of Contractor's sub -contractors
are approved in advance. Contractor will be expected to review, complete, and execute such documents as
may be requested, evidencing review, receipt, and acknowledgement of Wayne Farms' Contractor Safety
Program, as will any approved subcontractors.
15. FEDERAL CONTRACTOR COMPLIANCE — If at any time Wayne Farms becomes a Federal
Contractor it may require Contractor abide by the following: Contractor represents and warrants to Wayne
Farms, its customers and assigns, and agrees, that as of the date of the Agreement that Contractor is and
shall continue to be in compliance with all equal employment and affirmative action provisions of Executive
Order 11246, the Vietnam Era Veterans' Readjustment Assistance Act ("VEVRAA"), Section 503 of the
Rehabilitation Act of 1973, as amended, Executive Order 12138, Section 8 of the Small Business Act, as
amended (15 USC § 637), and all implementing regulations under those Orders, VEVRAA and those
sections. If Wayne Farms will use the equipment or work in connection with a contract with the United
States or other government, then all terms and conditions that the government contract or any law or
regulation requires to be included in any contract formed pursuant to the order ("Government Terms") are
incorporated in the order by reference. If any provision of the order is inconsistent with any Government
Terms, then the Government Terms shall control. Upon Wayne Farms' request, Contractor shall execute a
Certificate of Compliance evidencing compliance with this paragraph.
16. SPECLAI, PERMISSION —Contractor agrees that specific consent of Wayne Farms is required where
work includes gas and electric arc welding, cutting or other spark producing activities covered by Wayne
Farms hot work policy, confined space entry, de -energizing equipment or systems to facilitate sale,
inspection repair or replacement, or hazardous materials. In an emergency affecting safety of persons or
property, Contractor shall act, at Contractor's discretion, to prevent threatened damage, injury or loss.
Page 3 of 10
Rev. t0.31.2016

Wayne Farms LLC — Master Service Agreement
17. HAZARDOUS WASTE — Contractor represents that no toxic or hazardous waste material as defined by
any local, state or federal law shall be used in the performance of this Agreement without written notice to
Wayne Farms that such material is toxic or hazardous and without Wayne Farms written consent to such
use. Should Wayne Farms consent to Contractor's use of such material, Contractor agrees to handle, store,
treat, use and dispose of all such material in full accordance with all local, state, and federal laws to include
the furnishing of material safety data sheets and other available hazard information.
18. INDEMNTTY —Contractor hereby agrees to protect, ndemnify and hold Wayne Farms harmless against
and from any and all liability of any and every kind, nature or description for injury to or death of any
person or persons whomsoever and for loss or damage to any property whatsoever, together with all costs
and expenses incident thereto arising in any manner, directly or indirectly, out of or in connection with the
performance of this Agreement, provided such indemnification shall not extend to injury, death, loss or
damage caused by the gross negligence or willful misconduct of Wayne Farms or its employees.
19. LIENS — Upon the request of Wayne Farms and upon any payment excluding any down payments being
made to Contractor, Contractor shall furnish Wayne Farms with (a) waivers and releases of all liens, claims,
potential claims or rights of the Contractor or subcontractors on or against Wayne Farms property for all
work and material rendered in connection with any improvements of Wayne Farms property on or before
the date of such waiver, and (b) an affidavit of an authorized officer of Contractor to the effect that all
accounts for work and material have been satisfied in full. Such affidavit shall also state that as of such
date, there are no existing change orders related to the work that have not been submitted in writing to
Wayne Farms and signed by Wayne Farms and that the Contractor shall not submit any additional change
orders for work performed or materials furnished through and including the date hereof.
If at any time there shall be evidence of any lien or claim for which Wayne Farms might become liable and
which is chargeable to Contractor, Wayne Farms shall have the right to retain, out of any payment then due
or thereafter becoming due, an amount sufficient to completely indemnify Wayne Farms against such lien or
claim, and if such lien or claim be valid, Wayne Farms may pay and discharge the same, and deduct the
amount so paid from any amounts which may be due or become due and payable to Contractor.
20. APPLICABLE LAW — This Agreement is deemed to be made under and shall be construed according with
the laws of the State of Georgia
21. DISPUTES —Contractor agrees that any disputes arising out of this Agreement shall be litigated in the state
or federal courts located in Hall County, Georgia. Contractor specifically submits to the jurisdiction of said
court for the purpose of such litigation. The parties hereby waive any challenges based upon venue or lack
ofjurisdiction.
22. ACCEPTANCE —The work shall be inspected for acceptance by Wayne Farms promptly upon receipt of
notice in writing from Contractor that the work is ready for such inspection.
23. GUARANTEE — From the commencement of the work, Contractor guarantees that materials and other
work supplied or performed hereunder shall be: new, of a kind and quality consistent with modern
manufacturing, engineering and construction practices, free from defects in workmanship and materials, and
shall be suitable for the use intended. Said guarantee shall be in full force and effect for twelve (12) months
from the date the work is accepted by Wayne Farms. If, during said guarantee period, any of the work shall
not be as guaranteed, Contractor shall remedy at no cost to Wayne Farms, by repair or as otherwise required,
any failure of the work to meet said guarantee.
Page 4
of
10
Rev.
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Wayne Farms LLC — Master Service Agreement
14, DISCRIMINATION — Contractor shall not discriminate in selection of employees because of race, creed,
color, sex, nationality, religious adherence or political affiliation. Contractor further agrees to comply with
all federal, state and local laws regarding equal opportunity or affirmative action. The following federal
regulations are specifically incorporated by reference:
A. Unless this Agreement is exempted by rules and regulations of the Secretary of Labor, pursuant to
Section 204 of Executive order 11246, Section 202 of Executive order 11246;
B. Unless this Agreement is exempted by the regulations set forth in 41 CFR 60-250, Section 60-250.4 of
41 CFR 60-250; and
C. Unless this Agreement is exempted by the regulations set forth in 41 CFR 60-741, Section 60-741.4 of
41 CFR 60-741,
25. OSHA CERTIFICATION —Contractor certifies that all work performed under this Agreement shall be in
full compliance with the rules and regulations promulgated under the Occupational Safety and Health Act
which are in effect at the time the work is performed.
26. ASSIGNMENT —This Agreement is not assignable by either party except with the written consent of the
other party. With the prior written consent of Wayne Farms, Contractor may sub -contract any part of the
work, but such sub -contractor shall not relieve Contractor from any liability or obligation under this
Agreement. Contractor shall be responsible for the acts and omissions of any sub -contractor, supplier, agent
or employee as if they were the acts and omissions of Contractor. Sub -Contractors must abide by the
terms of the required Sub -Contractors Provisions as attached in Exhibit 2.
27. ENTIRE AGREEMENT —This Agreement, it attachments, schedules and exhibits, in combination with
any Purchase Orders or Change Orders issued pursuant hereto, constitutes the entire agreement between the
parties, and supersedes all prior or contemporaneous agreements, written or oral, between the parties
regarding the subject of this Agreement. Any addition to or modification of this Agreement shall not be
binding unless in writing signed by an authorized representative of both parties. In the event of any conflict
among the various contract documents, the following order of priority shall apply: This Agreement;
attached Exhibits and Schedule A; Purchase Order terms. WAYNE FARMS EXPRESSLY REJECTS ANY
ADDITIONAL TERMS THAT MAY BE CONTAINED IN ANY OF CONTRACTOR'S
PROMOTIONAL MATERIALS, QUOTATIONS, ORDER CONFIRMATIONS, OR OTHERWISE,
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first above
written.
Contra{/cntory��,L,�hah ane Enlrineerin�, Inc
By: Wt4[n/17
�N
Its:
Vice President
Page 5 of 10
Rev. 70.312076
Wayne F ms LLC
Kevin mcnaniet
Its: Vice President & General Manager
Fresh Business Unit

The Lane Group
WW Effluent Line Replacement
119412
1
07/21/2020
4
Add the following:
Work Task 6 -
Work Task 7 -
$25,000
$62,400
TLG proposal dated 04/01/2019
74,600
0
87,400
162,000
None
None
None
Wayne Farms LLC — Master Service Agreement
2. Payment in Full: Accord and Satisfaction. Notwithstanding anything in the Agreement to the
contrary, when and to the extent paid by Wayne Farms the Adjusted Price constitutes full and final payment of
both time and money for completed work hereunder and for any delay, acceleration, disruption, inconvenience,
loss of efficiency, cost or expense arising out of, or incidental to, such work
3. Choice of Law. This Change Order is governed by, and construed in accordance with,
the laws of the State of Georgia, without regard to the conflict of laws provisions of such State to the
extent such principles or rules would require or permit the application of the laws of any jurisdiction
other than those of the State of Georgia. This is already in the MSA 20 & 21.
4. Successors and Assigns. This Change Order shall inure to the benefit of and be binding on each
of the parties and each of their respective permitted successors and permitted assigns.
5. Counterparts. This Change Order may be executed in counterparts, each of which is deemed an
original, but all of which constitute one and the same agreement. Delivery of an executed counterpart of this
Change Order electronically or by facsimile shall be as effective as delivery of an original signed counterpart of
this Change Order.
that:
Representations and Warranties. Each party hereby represents and warrants to the other party
(a) It has the full right, corporate power and authority to enter into this Change Order and
to perform its obligations hereunder and under the Agreement as amended by this Change Order.
(b) The execution of this Change Order by the individual whose signature is set forth at the
end of this Change Order on behalf of such party, and the delivery of this Change Order by such party,
have been duly authorized by all necessary corporate action on the part of such party.
7. Limited Effect. Except as modified by this and any previously fully executed Change Order, all
other terms and conditions of the Agreement remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Change Order as of the date first above written.
Contractor: THE LANE CiMOP
By: ► lYJll Yet �1 UCJ11 l
Title: VICENESID.6AT
Wayne Farms LLC
By:
Title: VP/GM of Fresh Operations
Page 7 of 10
Rev. 10.31.2016

Wayne Farms LLC — Master Service Agreement
Exhibit I
Change Order Form
Contractor Name: The Lane Group
Project Name and CAR/MARNumber: WW Effluent Line Replacement
Original PO #: 119412
Change Order Number: 2
Change Order Effective Date: 10/22/2020
Capitalized terms used but not defined herein have the meanings assigned to them under the Agreement.
1. Mutual Chance Order. In accordance with Section(s) 4 of the Agreement, the
Parties agree to make the following additions or modifications to, or deductions from, the work as follows:
Explanation of Change(s):
Attachment(s):
Change the following:
Work Task 7 - Reduce to $57,400
Work Task 8 - $5,000
TLG email dated 10/06/2020
Original Price: $ 74,600
Net Price change by all previously authorized Change Orders: $ 0
Price [increase/decrease] under this Change Order:
Price as of this Change Order (the "Adjusted Price"):
Completion Date adjustments:
Acceptance Criteria adjustments:
Other change -related adjustments:
$ 0
$ 162,000
None
None
Addition of Task 8*
*Work Task 8 - USACE and NCDEQ Permitting as described on the attached email dated 10/06.
Page 6 of 10
Rev. 10.31.2016

Wayne Farms LLC — Master Service Agreement
2. Payment in Full: Accord and Satisfaction. Notwithstanding anything in the Agreement to the
contrary, when and to the extent paid by Wayne Farms the Adjusted Price constitutes full and final payment of
both time and money for completed work hereunder and for any delay, acceleration, disruption, inconvenience,
loss of efficiency, cost or expense arising out of, or incidental to, such work.
3. Choice of Law. This Change Order is governed by, and construed in accordance with,
the laws of the State of Georgia, without regard to the conflict of laws provisions of such State to the
extent such principles or rules would require or permit the application of the laws of any jurisdiction
other than those of the State of Georgia. This is already in the MSA 20 & 21.
4. Successors and Assigns. This Change Order shall inure to the benefit of and be binding on each
of the parties and each of their respective permitted successors and permitted assigns.
5. Counterparts. This Change Order may be executed in counterparts, each of which is deemed an
original, but all of which constitute one and the same agreement. Delivery of an executed counterpart of this
Change Order electronically or by facsimile shall be as effective as delivery of an original signed counterpart of
this Change Order.
that.
6. Representations and Warranties. Each party hereby represents and warrants to the other party
(a) It has the full right, corporate power and authority to enter into this Change Order and
to perform its obligations hereunder and under the Agreement as amended by this Change Order.
(b) The execution of this Change Order by the individual whose signature is set forth at the
end of this Change Order on behalf of such party, and the delivery of this Change Order by such party,
have been duly authorized by all necessary corporate action on the part of such party.
7. Limited Effect. Except as modified by this and any previously fully executed Change Order, all
other terms and conditions of the Agreement remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Change Order as of the date first above written.
Contractor: THE LANE GRop Wayn79VX-�&--
s LLC
By: By:
Title: VICE PREoENI Title: Sr. Mgr. Environmental Compliance
& Sustainability
Page 7 of 10
Rev. 10.31.2016

Green, Jonathan
From: Kevin Heath <[e-mail]>
Sent: Tuesday, October 6, 2020 5:55 PM
To: Green, Jonathan
Subject: [EXTERNAL:] - Dobson - Effluent Force Main
[THIS EMAIL HAS BEEN RECEIVED FROM AN EXTERNAL SENDER]
Jonathan:
In followup to our call today on the effluent force main, we discussed completing additional work in order to secure
permitting from the US Army Corps of Engineers in order to install a submerged effluent discharge assembly in the
Fisher River instead of an at -the -bank discharge. A Pre -Construction Notification (PCN) Form will need to be prepared
and submitted to the USACE and NCDEQ for review and approval. Preliminary discussions have been initiated with both
agencies.
Our current Agreement and Purchase Order with Wayne Farms includes a number of individual Work Tasks with
corresponding fee amounts. Work Task 7 — Resident Inspection has an hourly -not -to -exceed budgeted dollar amount
of $62,400. This amount was based upon the assumption of an Inspector assigned to the project for 40 hours/week for
the duration of an allotted 6-month construction period. Based upon the discussions held with the selected Contractor,
it is anticipated that this full amount may not be required.
The amount of time/expense anticipated to be incurred to secure USACE approval is not known, but I would anticipate it
being under $5,000 unless something unforeseen is encountered. Accordingly, I am fine to proceed with the USACE
permitting if agreeable for us to charge our time/expenses to the HNTE Work Task 7 budget line item, if that is agreeable
to Wayne Farms. Or, if preferred, we could offer to complete this task as a Change Order to our current
Agreement. I'm fine with whichever way works best with your accounting folks.
Let me know if you have any questions or need anything additional. Thanks.
Kevin Heath, PE I Vice President
276.236.4588 - Galax Office 1 27&206.8571 - Abingdon Office
276.233.7167 - Mobile
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THE LANE GROUP INC. © 2014
Drawn By:
Rev.1
Rev.2
Rev.3
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LANE
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engineering
architecture
environmental
WAYNE FARMS WWTP
EFFLUENT FORCE MAIN
SURRY COUNTY, NC
STREAM
LOCATION MAP SCT
10/23/2020 1
1924
SUBMERGED EFFLUENT
DISCHARGE ASSEMBLY
SITE
9
Custom Soil Resource Report
Soil Map
4029440402945040294604029470402948040294904029500402951040294404029450402946040294704029480402949040295004029510527660 527670 527680 527690 527700 527710 527720 527730 527740 527750 527760 527770
527660 527670 527680 527690 527700 527710 527720 527730 527740 527750 527760 527770
36° 24' 37'' N 80° 41' 29'' W36° 24' 37'' N80° 41' 24'' W36° 24' 34'' N
80° 41' 29'' W36° 24' 34'' N
80° 41' 24'' WN
Map projection: Web Mercator Corner coordinates: WGS84 Edge tics: UTM Zone 17N WGS84
0 25 50 100 150
Feet
0 5 10 20 30
Meters
Map Scale: 1:543 if printed on A landscape (11" x 8.5") sheet.
Soil Map may not be valid at this scale.
MAP LEGEND MAP INFORMATION
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Soil Map Unit Polygons
Soil Map Unit Lines
Soil Map Unit Points
Special Point Features
Blowout
Borrow Pit
Clay Spot
Closed Depression
Gravel Pit
Gravelly Spot
Landfill
Lava Flow
Marsh or swamp
Mine or Quarry
Miscellaneous Water
Perennial Water
Rock Outcrop
Saline Spot
Sandy Spot
Severely Eroded Spot
Sinkhole
Slide or Slip
Sodic Spot
Spoil Area
Stony Spot
Very Stony Spot
Wet Spot
Other
Special Line Features
Water Features
Streams and Canals
Transportation
Rails
Interstate Highways
US Routes
Major Roads
Local Roads
Background
Aerial Photography
The soil surveys that comprise your AOI were mapped at
1:24,000.
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of
contrasting soils that could have been shown at a more detailed
scale.
Please rely on the bar scale on each map sheet for map
measurements.
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Coordinate System: Web Mercator (EPSG:3857)
Maps from the Web Soil Survey are based on the Web Mercator
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Surry County, North Carolina
Survey Area Data: Version 24, Jun 3, 2020
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: May 18, 2019—May
21, 2019
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
Custom Soil Resource Report
10
Map Unit Legend
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
CsA Colvard and Suches soils, 0 to
3 percent slopes,
occasionally flooded
0.1 22.7%
W Water 0.5 77.3%
Totals for Area of Interest 0.7 100.0%
Map Unit Descriptions
The map units delineated on the detailed soil maps in a soil survey represent the
soils or miscellaneous areas in the survey area. The map unit descriptions, along
with the maps, can be used to determine the composition and properties of a unit.
A map unit delineation on a soil map represents an area dominated by one or more
major kinds of soil or miscellaneous areas. A map unit is identified and named
according to the taxonomic classification of the dominant soils. Within a taxonomic
class there are precisely defined limits for the properties of the soils. On the
landscape, however, the soils are natural phenomena, and they have the
characteristic variability of all natural phenomena. Thus, the range of some
observed properties may extend beyond the limits defined for a taxonomic class.
Areas of soils of a single taxonomic class rarely, if ever, can be mapped without
including areas of other taxonomic classes. Consequently, every map unit is made
up of the soils or miscellaneous areas for which it is named and some minor
components that belong to taxonomic classes other than those of the major soils.
Most minor soils have properties similar to those of the dominant soil or soils in the
map unit, and thus they do not affect use and management. These are called
noncontrasting, or similar, components. They may or may not be mentioned in a
particular map unit description. Other minor components, however, have properties
and behavioral characteristics divergent enough to affect use or to require different
management. These are called contrasting, or dissimilar, components. They
generally are in small areas and could not be mapped separately because of the
scale used. Some small areas of strongly contrasting soils or miscellaneous areas
are identified by a special symbol on the maps. If included in the database for a
given area, the contrasting minor components are identified in the map unit
descriptions along with some characteristics of each. A few areas of minor
components may not have been observed, and consequently they are not
mentioned in the descriptions, especially where the pattern was so complex that it
was impractical to make enough observations to identify all the soils and
miscellaneous areas on the landscape.
The presence of minor components in a map unit in no way diminishes the
usefulness or accuracy of the data. The objective of mapping is not to delineate
pure taxonomic classes but rather to separate the landscape into landforms or
landform segments that have similar use and management requirements. The
delineation of such segments on the map provides sufficient information for the
development of resource plans. If intensive use of small areas is planned, however,
Custom Soil Resource Report
11
onsite investigation is needed to define and locate the soils and miscellaneous
areas.
An identifying symbol precedes the map unit name in the map unit descriptions.
Each description includes general facts about the unit and gives important soil
properties and qualities.
Soils that have profiles that are almost alike make up a soil series. Except for
differences in texture of the surface layer, all the soils of a series have major
horizons that are similar in composition, thickness, and arrangement.
Soils of one series can differ in texture of the surface layer, slope, stoniness,
salinity, degree of erosion, and other characteristics that affect their use. On the
basis of such differences, a soil series is divided into soil phases. Most of the areas
shown on the detailed soil maps are phases of soil series. The name of a soil phase
commonly indicates a feature that affects use or management. For example, Alpha
silt loam, 0 to 2 percent slopes, is a phase of the Alpha series.
Some map units are made up of two or more major soils or miscellaneous areas.
These map units are complexes, associations, or undifferentiated groups.
A complex consists of two or more soils or miscellaneous areas in such an intricate
pattern or in such small areas that they cannot be shown separately on the maps.
The pattern and proportion of the soils or miscellaneous areas are somewhat similar
in all areas. Alpha-Beta complex, 0 to 6 percent slopes, is an example.
An association is made up of two or more geographically associated soils or
miscellaneous areas that are shown as one unit on the maps. Because of present
or anticipated uses of the map units in the survey area, it was not considered
practical or necessary to map the soils or miscellaneous areas separately. The
pattern and relative proportion of the soils or miscellaneous areas are somewhat
similar. Alpha-Beta association, 0 to 2 percent slopes, is an example.
An undifferentiated group is made up of two or more soils or miscellaneous areas
that could be mapped individually but are mapped as one unit because similar
interpretations can be made for use and management. The pattern and proportion
of the soils or miscellaneous areas in a mapped area are not uniform. An area can
be made up of only one of the major soils or miscellaneous areas, or it can be made
up of all of them. Alpha and Beta soils, 0 to 2 percent slopes, is an example.
Some surveys include miscellaneous areas. Such areas have little or no soil
material and support little or no vegetation. Rock outcrop is an example.
Custom Soil Resource Report
12
Surry County, North Carolina
CsA—Colvard and Suches soils, 0 to 3 percent slopes, occasionally
flooded
Map Unit Setting
National map unit symbol: 1jxj3
Elevation: 1,200 to 2,000 feet
Mean annual precipitation: 45 to 70 inches
Mean annual air temperature: 46 to 57 degrees F
Frost-free period: 120 to 170 days
Farmland classification: All areas are prime farmland
Map Unit Composition
Colvard and similar soils:49 percent
Suches and similar soils:39 percent
Estimates are based on observations, descriptions, and transects of the mapunit.
Description of Colvard
Setting
Landform:Natural levees on flood plains
Down-slope shape:Linear
Across-slope shape:Linear
Parent material:Sandy and loamy alluvium derived from igneous and
metamorphic rock
Typical profile
Ap - 0 to 10 inches: fine sandy loam
C1 - 10 to 50 inches: fine sandy loam
C2 - 50 to 80 inches: gravelly loamy fine sand
Properties and qualities
Slope:0 to 3 percent
Depth to restrictive feature:More than 80 inches
Drainage class:Well drained
Runoff class: Very low
Capacity of the most limiting layer to transmit water (Ksat):High (1.98 to 5.95
in/hr)
Depth to water table:About 48 to 72 inches
Frequency of flooding:OccasionalNone
Frequency of ponding:None
Available water capacity:Moderate (about 8.3 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 2w
Hydrologic Soil Group: A
Hydric soil rating: No
Description of Suches
Setting
Landform:Flood plains
Down-slope shape:Linear
Across-slope shape:Linear
Custom Soil Resource Report
13
Parent material:Sandy and loamy alluvium derived from igneous and
metamorphic rock
Typical profile
Ap - 0 to 12 inches: loam
Bw - 12 to 54 inches: clay loam
C - 54 to 80 inches: loam
Properties and qualities
Slope:0 to 3 percent
Depth to restrictive feature:More than 80 inches
Drainage class:Well drained
Runoff class: Low
Capacity of the most limiting layer to transmit water (Ksat):Moderately high to high
(0.57 to 1.98 in/hr)
Depth to water table:About 30 to 48 inches
Frequency of flooding:OccasionalNone
Frequency of ponding:None
Available water capacity:High (about 10.4 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 2w
Hydrologic Soil Group: C
Hydric soil rating: No
W—Water
Map Unit Composition
Water:100 percent
Estimates are based on observations, descriptions, and transects of the mapunit.
Description of Water
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 8w
Hydric soil rating: No
Custom Soil Resource Report
14
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10/22/2020 Event Code: 04EN1000-2021-E-00127
Project Summary
Consultation Code: 04EN1000-2021-SLI-0055
Event Code: 04EN1000-2021-E-00127
Project Name: Wayne Farms WW Effluent Line Replacement
Project Type: WASTEWATER PIPELINE
Project Description: Existing bank-outfall torn out by flood damage and is being replace with a
new submerged diffuser discharge.
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www.google.com/maps/place/36.41013509102197N80.69057813178284W
Counties: Surry, NC
2

10/22/2020 Event Code: 04EN1000-2021-E-00127 3
Endangered Species Act Species
There is a total of 4 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesl, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Mammals
NAME STATUS
Gray Bat Myotis grisescens Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/6329
Northern Long-eared Bat Myotis septentrionalis Threatened
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9045
Reptiles
NAME STATUS
Bog Turtle Clemmys muhlenbergii Similarity of
Population: U.S.A. (GA, NC, SC, TN, VA) Appearance
No critical habitat has been designated for this species. (Threatened)
Species profile: https:Hecos.fws.gov/ecp/species/6962

10/22/2020 Event Code: 04EN1000-2021-E-00127 4
Flowering Plants
NAME
Schweinitz's Sunflower Helianthus schweinitzii
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
Critical habitats
STATUS
Endangered
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

NCHPO HPOWEB
Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan,
Local districts & boundaries
Local individual resources & centerpoints
Local Landmark
Local Landmark, Gone
Local HD Center Point
Surveyed Only individual resources & centerpoints
Surveyed Only
Surveyed in NRHD
10/22/2020, 10:21:37 AM 0 0.06 0.120.03 mi
0 0.1 0.20.05 km
1:4,514
North Carolina State Historic Preservation Office
State of North Carolina DOT, Esri, HERE, Garmin, INCREMENT P, NGA, USGS |
Zoom: Extent: Location Query: 10 Min sq.: Help:
Loading...
DDD: 36.453 lat, -80.770 long
Essential Fish Habitat Mapper
Activate Location Query
Print This Report
EFH Data Notice: Essential Fish Habitat (EFH) is defined by textual descriptions
contained in the fishery management plans developed by the regional Fishery
Management Councils. In most cases mapping data can not fully represent the
complexity of the habitats that make up EFH. This report should be used for general
interest queries only and should not be interpreted as a definitive evaluation of EFH at
this location. A location-specific evaluation of EFH for any official purposes must be
performed by a regional expert. Please refer to the following links for the appropriate
regional resources.
Query Results
Degrees, Minutes, Seconds: Latitude = , Longitude =
Decimal Degrees: Latitude = , Longitude =
The query location intersects with spatial data representing EFH and/or HAPCs for the
following species/management units.
HAPCs
No Habitat Areas of Particular Concern (HAPC) were identified at the report location.
EFH Areas Protected from Fishing
No EFH Areas Protected from Fishing (EFHA) were identified at the report location.
EFH View Tool Data Query Tool
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CONTAINS:
COMMUNITY CID No. PANEL SUFFIX
DOBSON, TOWN OF 370603 5906 J
SURRY COUNTY 370364 5906 J
qe�R Notice to User: The Map Number shown below should be used
��. when placing map orders; the Community Number shown above
should be used on insurance applications for the subject
community.
EFFECTIVE DATE MAP NUMBER
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Federal Emergency Management Agency
This is an official copy of a portion of the above referenced flood map. It
was extracted using F-MITOn-Line. This map does not reflect changes
or amendments which may have been made subsequent to the date on the
title block. For the latest product information about National Flood Insurance
Program flood maps check the FEMA Flood Map Store at www.msc.fema.gov