WQ0038087_More Information Received_20210128

Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application what is the submittal type?*
Permit Number (IR)*
Applicant/Permittee
Email Notifications
Does this need review by the hydrogeologist?*
Regional Office
CO Reviewer
Admin Reviewer
Annual Report
Residual Annual Report
r Additional Information
r Other
WQ0038087
Terra Renewal Services, Inc.
r Yes r No

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by NI3 Staff regarding electronic receipt, another correspondence. ittal, confirmation of iptd othd
.......................................................... ronc su_ -
Name * David C. Coyle
Email Address*
david.coyle@terrarenewa I. com
Project Information
........ ......... ...............................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
c Additional Information
r Other
Phone Number*
479-747-8192
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
r Wastewater Irrigation
r High -Rate Infiltration
r Other Wastewater
r Reclaimed Water
r Closed -Loop Recycle
r Residuals
r Single -Family Residence Wastewater
r Other
Irrigation
Permit Number:*
W00038087
Fbs Current Existing pernit number
Applicant/Permittee Address*
P.O. Box 1746 Watkinsville, GA 30677
Facility Name *
Terra Renewal Services RLAP
Please provide comments/notes on your current submittal below.
This is additional information requested by Erick Saunders (DWR) pertaining to eAsting
application for modification and renewal or RLAP permit # WQ0038087 based in Wilkes
County. If there are any questions or complications, please contact David Coyle at 479-747-
8192 or [e-mail]. Thank you.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Fora} Engineering Rans, Specifications, Calculations, Rc.)
NC_WQ0038087_TRS_AIR Response_1-28-21.PDF 14.59MB
Upload only 1 RDFdocurrent (less than 250 kB). NLRiple documents rust be combined into one FDFfile unless file is larger than
upload lint.
* V By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature

Submission Date 1/28/2021

TERRA
renewal
January 28, 2021
Erick Saunders
Division of Water Resources
North Carolina Department of Environmental Quality
512 N. Salisbury Street
1617 Mail Service Center
East Region Environmental Office
P.O. Box 1746
Watkinsville, GA 30677
phone [phone]
Raleigh, NC 27699-1617
RE: Response to Additional Information Request for Renewal & Modification of
Permit # WQ0038087 (A.I.R. sent via email dated January 15, 2021)
Dear Mr. Saunders,
In response to your request for additional information, received via email on January 15, 2021, related to
the application for renewal and modification of Permit # WQ0038087, Terra Renewal is providing the
following information with corresponding attachments:
1) The 2021 annual fee for permit WQ0038087 has been paid. A payment confirmation is attached
for your reference.
2) An Easement Agreement has been created, executed, and recorded with the Wilkes County
Register of Deeds that meets the requirements of the Division for providing access, usage, and
inspection through the life of the storage facility. A copy of the agreement is attached.
3) Field NC-WK-YK-YF-05 is to be created by combining fields NC-YK-YF-05A & NC-WK-YF-05B with
the most limiting (in respect to PAN application rate) soil series to be used for the combined
field. In your email, you stated that soil series FcB2 (Fairview 2-8% slopes) would be the most
limiting. Based on our evaluation, soil series FcC2 (Fairview 8-15% slopes) would be the most
limiting. These soil series have a RYE PAN application rate of 207 lb PAN/ac and 174 lb PAN/ac
respectively. The Agronomy Report and Land Application Site Certification (LASC 06-16) lists field
NC-WK-YK-YF-05 with the predominant soil series as FcC2 in the permit application. Based on
this arrangement, we feel that this is correct series to use for the combined field.
4) A Landowner Agreement Form (Form LAO 06-16) and Setback Waiver Form (Form NDRMPW-LAS
11-18) is provided for the property owned by James Roberts (Parcel ID 0100737) that is
contained with the application boundary of field NC-WK-MF-11.
5) Additional Setback Waiver Forms (Form NDRMPW-LAS 11-18) relative to fields NC-WK-MF-11,
NC-WK-MF-15, and NC-WK-MF-23 are provided for parcel #'s 0100732, 0100991; 0100317;
0100266; 0100148; & 0100149.
If you have any questions regarding this response or require additional information, please contact me at
[e-mail] or 479-747-8192. Thank you very much for your cooperation and
assistance.
Sincerely,
c e 57-15�1
David C. Coyle
Environmental Manager

Payment Confirmation for 2021 Annual Fee — WQ0038087

David Coyle
From: [e-mail]
Sent: Thursday, January 28, 2021 10:10 AM
To: David Coyle
Subject: [EXT]Payment Confirmation
Thank you for your recent payment to NC DEQ Water Quality Permitting.
Payment Application: NC DEQ Water Quality ePayment Payment Status: Payment completed successfully.
Confirmation Number: 21012825702310
Payment Date: 01/28/2021
Billing Address: Denali Water Solutions LLC
P O Box 3036
Russellville, AR 72811
4794980500
Card Type: MC
Card Number: x3199
Payment Amount: 1310.00 USD
Convenience Fee: 34.72 USD
Total Amount: 1344.72 USD
Reference Information: 2021PR000695,WQ0038087,Terra Renewal RLAP,Terra Renewal Services Inc,$1310.00
DO NOT REPLY DIRECTLY TO THIS EMAIL.
[EXTERNAL EMAIL] This email is not from a Denali Water employee using an @denaliwater.com email address. DO NOT
CLICK links or open attachments unless you recognize the sender and email address and know the content is safe.
1

EASEMENT AGREEMENT
for Mathis-1 Storage Facility

FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED Jan 27., 2021
AT 11:41:02 am
BOOK 01322
PAGE 0186
INSTRUMENT # 00671
EXCISE TAX (None)
EASEPu MENT AGREEMENT
Cod -e
C D�Q t
RLAP Permit #: WQ0038087
Landowner (Grantor): Mathis Properties, LLC
615 Mathis Farm Road
Roaring River, NC 28669
Permittee (Grantee): Terra Renewal Services, Inc
3308 Bernice Avenue
Russellville, AR 72802
Agency (Grantee): NC DEQ DWR
(North Carolina Department of Environmental Quality; Division of Water Resources)
512 N. Salisbury Street
Raleigh, NC 27699
919-707-9000
Parcel ID: 0100811
Purpose: Access to Residuals Land Application Program (RLAP) Storage Facility
Per the conditions of NC DEQ RLAP permit number WQ0038087 and NC Rule 15A NCAC 02L, Mathis Properties,
LLC and its assigned agents hereby grant an easement to the property with Parcel ID # 0100811 located at
Mathis Mill Rd in Roaring River, NC 28669 (end of Dr Beale Farm Rd) for the purpose of installation, operation,
maintenance, repair, inspection, and replacement or removal of above ground tanks and appurtenances for
storage of residuals intended for land application under the above referenced permit (hereafter referred to as
"the storage facility"). This easement shall grant access for all purposes necessary for its function in the permit
for the lifetime of the storage facility and any following post -closure or monitoring activities which may result.
In addition, Mathis Properties, LLC shall grant access to both the permittee and any duly authorized NC DEQ
DWR representative who may, upon presentation of credentials, enter and inspect the storage facility and
property within the Compliance Boundary at any reasonable time for the purpose of determining compliance
with the permit, collect surface water or residuals samples, or perform groundwater monitoring or
remediation activities within the Compliance Boundary.
This easement shall be conveyed to any successors or entities which may assume control and responsibility of
the storage facility or permit through transfer, name change, or acquisition, thereby associating these access
rights with the operation, maintenance, monitoring, and closure of the facility for the life of the permit and
not exclusive to the current permittee. Likewise, the undersigned agent of Mathis Properties, LLC shall make
/� Page 1 of 1
I REPA2E D (�`!: �C �►vv�KoNhE/JTA� PAReEL ID
OIOOTiI ?NRcX-L 0wNE1l: IhA1141i ?jk0pE2t►ES, L,L-C-

any transfer of property title, deed, or ownership contingent upon extension of these access rights to the
permittee and the NC DEQ DWR for life of the permit and any post -closure or monitoring activities.
Mathis Properties, LLC, through this agreement, recognizes the limits of the Compliance Boundary associated
with the storage facility and will prohibit the construction and operation of water supply wells within said
boundary during such time that the storage facility is operational or until adequate closure has been achieved
per the requirements of the NC DEQ DWR.
This easement may be terminated by the Director of the NC DEQ DWR when its purpose has been fulfilled or
the need for the easement no longer exists. Under those conditions, the Director shall, upon request, file a
document terminating the easement with the Wilkes County Register of Deeds. This easement will remain in
effect during the life of the permit and as long as required by the permittee to operate the storage facility
and for any closure or post -closure monitoring activities as required by the NC DEQ DWR and the permit.
Certification:
I, Lett A100%if , certify that I represent Mathis Properties, LLC, which is the deeded
owner of the property located at Mathis Mill Rd, Roaring River NC 28669 in Wilkes County; parcel ID
number 0100811. Furthermore, I certify that I am authorized to make decisions regarding this property, and I
do hereby grant access to the permittee of Permit # WQ0038087 and the NC DEQ DWR to the area within the
Compliance Boundary based on the purposes and conditions described above.
Signature of Authorized Agent Date
"kt Al I
Printed Name of Authorized Agent
NORTH CAROLINA, L&)'MeS County
1, t� . PW%At1SCn ,, a Notary Public for k0k\VA9.S County, North Carolina
do hereby certify that L_k&V12. M ck�-ts personally appeared before me on this day and
acknowledged the due execution of the foregoing instrument.
Witness myhan¢%bMdj,°p�r�vJ,s ;al, this thep�� day of , 2021.
�iR'/Wj,/O��s'
Seal: si• O
e� NOTARY ZeZ
�L :Z pUBLIG
`'rr'rrrrur uNHU��
Attachments:
Map showing Compliance Boundary
Cover Page of Permit
Signature of NotaVy Public
My commission expires S
Page 2 of 2
tPAac.Ec- iu: 'Dic03i1 01WEL' MA-1-HIS Peof. Lac.

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NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
LAND APPLICATION OF CLASS B RESIDUALS PERMIT (NON -DEDICATED)
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Terra Renewal Services, Inc.
Wilkes County
operation of a residuals management program for Terra Renewal Services, Inc. and consisting of the land
application of Class B residuals generated by the approved facilities listed in Attachment A to the approved
sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the application
received October 14. 2015, and subsequent additional information received by the Division of Water
Resources, and in conformity with other supporting data subsequently filed and approved by the
Department of Environmental Quality and considered a part of this pen -nit. The use and disposal of residuals
are regulated under Title 40 Code of Federal Regulations Pall 257. This permit does not exempt the
Permittee from complying with the federal regulations.
This permit shall be effective from the date of issuance until January 31, 2021, and shall be subject to the
following specified conditions and limitations:
I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the,
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T.01 05(d) requires an updated site map to be submitted with the permit renewal application.
[ I 5A NCAC 02T .01 08(b)(2), 02'1..0 105(d), 02T .01091
2, The Permittee shall be in full compliance with the regional office notification requirentents, established
in Condition 111.3. within 90 days of the effe�tive date of this permit. [15ANCAC 02T.0108(b)(2)]
3. The Permittee shall be in full compliance with the signage requirements established in Condition M. 13.
within 180 days of the effective date of this permit. LI 5A N CAC 02T .0108(b)(2)]
WQ0038087 Version 1.0 Shell Version 151201
pS.q F,sfr%E,,r Ar-xcer%F-hiT-- FAP-C-EL it'' 0100T11 tIAI-14111 fitoll. LLc-

Form LOA-06-16 & NDRMPW-LAS 11-18
for Parcel ID 0100732 owned by James Roberts
(Field # NC-WK-MF-11)

AV
DWI%,
Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .I100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
[Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
[j""A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
/
Applicant's name: E90-A 1`eNEI-JA-1 5161LI .1.F-sz
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
AIC- lik - nF-It
�ou C/toP
AMI%Al Vtr bl FIoe2,
-JAA.! CoNJar%evmN
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the Iength of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner.or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; col y any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed
compliance boundary to the application package)
E(A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other perrnitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Pennittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: James F. Roberts
Address:, �'%� `� ?•� i I'lTr, cr) 4)
City: i-Cl/AIz„V i.nsr�L State: 1v Zip:
;) F ,� e.-q
Phone: E-mail address:
Signature: Date:
NORTH CAROLINA, [COUNTY L
I, the undersigned Notary Public do hereby certify that Y)( 1�.$ C 1`�Db��' \J
personally appeared before me this day and acknowledged the due execution of the forgoing instrument. Y M
�' �CF': ommiss�oy''Y�F°''o
WITNESS my hand and official seal this the p n X
day of �(t.lc�.fv� aQa't�pZI
Signature and seal:
My commission exp
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operatorf-name: �1 `� nkr S ^' 76k "I,,j , LL r,
Address: D ��JC$M KCk
City r'1 ox-, ��V�Q,/�� State: 1.�_ y Zip:
Phone: p E-mail address: �yN_NC> '�"Z� J l) �Q,�D�k l -COK-1
Signature: Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:/A���
e• eoY�E
(E+���eo. MANh4E/Lg /E22A
Signature:
Date:
l �26/2o i I
FORM: LOA 06-16 Page 3 of 3

1�R�fARe� �Y: /�R�q 'I�EuE✓Ac J&ltcfS� _7rfe
PA2L�� %t 010073-7
?42c-C-L owtvafL: - Arles i�eoER.Ts
NON-STANDARD
FEE APPLIED
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED Jan 27., 2021
AT 11:40.55 am
BOOK 01322
PAGE 0179
INSTRUMENT # 00664
EXCISE TAX (None)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS B RESIDUALS
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
y� 15A NCAC 02T .1108(c)
, certify that I am a deeded owner of the property located at:
Address: 464 Jarvis Mountain Rd Parcel No.: 0100737
City: Roaring River State: NC Zip Code: 28669 County: Wilkes
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.
10 /For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
For the parcel identified above, I consent to a reduced setback from feet to _ feet,
thereby allowing the application of Class B residuals as near as feet from my residence.
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Signature: `/' Date:
FORM: NDRMPW-LAS 11-18
t-IE,b #tIVC.-wbc-1"�F-Ll
Page 1 of 2

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.:
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA, i lk l \�� COUNTY
�h&USOrl a Notary Public for County, North Carolina,
do hereby certify that7]m.QS personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the U day of ` 1UinuCkf►1 �(
SEAL °��C�,•�'ttiiss/��F,p'��
:IL �'i, ;
�.10TgRy ; Z
ber 16 .
Signature of Notary Public
My commission expires_Q --
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: NDRMPW-LAS 11-18 Page 2 of 2
`AILCEL. ia: 01007/7
f;,'..L # , NC-Wt<_ MF-11

Form NDRMPW-LAS 11-18
For Parcel ID's:
0100991
0100317
0100266
0100148
0100149
(Field Ws: NC-WK-MF-11, NC-WK-MF-15, NC-WK-MF-23)

NON-STANDARD
PEE ,APPUEZ)
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED
Jan 27., 2021
AT
11:40:56 am
BOOK
01322
PAGE
0180
INSTRUMENT # 00665
EXCISE TAX (None)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS B RESIDUALS
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T .1108(c)
[ certify that I represent A-1G is A�Inc e"h oj, Lu
which is the deeded owner of the property located at: Address: A&-tf PA+" 9-0th
City: ' KoA2w& iZ��k,� State: N(- Zi Code: ZT66�
p County: _(,,1Ic.u.E5
Parcel No.: D400 -7-3 2-
Furthennore, 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/Pennittee listed on the following
page.
X For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
❑ For the parcel identified above, I consent to a reduced setback from _ feet to _ feet, thereby
allowing the application of Class B residuals as near as _ feet from my residence
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Signature:
FORM: NDRMPW-LAS 11-18 17JEEPAt.fA BY I RRA
RI&CEL IN 0100%iZ
DUNf2' 1]att/%S �icoFf#tnEi, LLC.
Page 1 of 2

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.: WO0038087
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA,,�a COUNTY
.i;)a Notary Public for County, North Carolina,
do hereby certify that L��ihe 1�ti`�V `a t personally appeared before me this day
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this the, ± I day of 'Ta kcL i U , '
SEAL
....
••�'epl69r 16•" ' • - -•
•��
Signature of Notary Public
My commission expires (�
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded waiver
shall be sent to the following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDRMPW-LAS 11-18 Page 2 of 2
QC.EL 10 : 0100'732
G,-Ld. tt- : N G- W4- M F- "

NON-STANDARD
FEE APPLIED
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED Jan 27., 2021
AT 11:40:57 am
BOOK 01322
PAGE 0181
INSTRUMENT # 00666
EXCISE TAX (None)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS RAESIDUALS
(lx C.OM
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T .I108(c)
certify that I represent &&S
which is the deeded owner of the property located at: Address:
City: (?0A R%u G State: tit(- Zip Code
Parcel No.: 010099
/ ? a-rH t s FA tL^ 52 a
17649 County: L✓M -KEJ
Furthennore, 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/Pennittee listed on the following
page.
X For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
❑ For the parcel identified above, I consent to a reduced setback from _ feet to _ feet, thereby
allowing the application of Class B residuals as near as _ feet from my residence
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Signature:
Date:
FORM: NDRMPW-LAS 11-18 (?,t0Ae.ED 6y .' %CatA ,C4,A,,-
�PAa.t.Ec It 010-'01
pwNta.: IvIAM-f I'1t0P6'R77ES,
r11^G00, AIC CvK.-MF- IS
Page I of 2

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.: WO0038087
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA, � t -1;L COUNTY
tYYla Notary Public for County, North Carolina,
do hereby certify that \ x �A)C�ll',`� 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 In `Z-t -C lA
M�
SEAL ,.��Q•:ic►issio4 F'QS%
A0 140TA/2y Z
`Z'.2 pUBL1C+
s
S•
Signature of Notary Public
My commission expires
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded waiver
shall be sent to the following address:
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
FORM: NDRMPW-LAS 11-18 ?A a c'¢ t_ ' b ' c `� o T4 Page 2 of 2
FElD#:

NON-STANDARD
FEE APPUEZ)
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED Jan 27., 2021
AT 11:41:01 am
BOOK 01322
PAGE 0185
INSTRUMENT # 00670
EXCISE TAX (None)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS BRESIDUALS
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T .1108(c)
I, Fl t iL kAe S certify that I represent W&AIIs
which is the deeded owner of the property located at: Address: 11'74W'S 11�2/l z
City: g0A21 iv wC2 State: N c- Zip Code: 27_46 4 County: W -­K g"
Parcel No.: Q(001y9
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/Pennittee listed on the following
page.
X For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
❑ For the parcel identified above, I consent to a reduced setback from, _ feet to _ feet, thereby
allowing the application of Class B residuals as near as _ feet from my residence
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Signature:
ate: 1-,"7 --)L-
FORM: NDRMPW-LAS 11-18 f&0A 0b ay: ej;f;�tzcg �Ew�wa� �wi cEf
V44-t-EL 19 0/ 001 N q
owm /'i4'KIf l"2cP�a S u.0
IwL,9 me-WK-I)r-1,3
Page 1 of 2

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.: W00038087
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA,U (\ 1142 L COUNTY
fla Notary Public for k)kW)4�_3 County, North Carolina,
do hereby certify that �\:�t'��' �C'J�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 (~ u v (�
SEAL : ��C :;�Otssio�
e� NOTARY a.
s!Z'2 pUBL1G,�y, .Cj
a
COON
Signature of Notary Public
My commission expires `1 _k� "3_5
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: NDRMPW-LAS 11-18 Page 2 of 2
t�Attc C� tO : otoo t-1R
N t,- ✓bc-�1F.Z9

NON-STANDARD
FEE APPLIED
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED
Jan 27., 2021
AT
11:41:00 am
BOOK
01322
PAGE
0184
INSTRUMENT # 00669
EXCISE TAX (None)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS B RESIDUALS
W-n)'MgR-e�
AGREEMENT TO WAIVE SETBACKS PURSUANT; TO
15A NCAC 02T .1108(c)
VV(' 4Ir certify that I represent it'At l vY e1, LLC_
which is the deeded owner of the property located at: Address: P7Am�
1 j fz&^
City: 1 RoAa1 w&. 2.vEo— State: ►JL ZipCode: Z I
o4-& County: 4Ji (- a"
Parcel No.: 01 oco 147
Furthennore, 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.
X For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
❑ For the parcel identified above, I consent to a reduced setback from _ feet to _ feet, thereby
allowing the application of Class B residuals as near as _ feet from my residence
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Si
FORM: NDRMPW-LAS 11-18 ` kfFA"0 0q.' / t" 6�(,j(,AVL f t,�,C-El Page 1 of 2
'(ARLCL. Olno / `l7T
0(n+r+E2 M AIWIJ pa -045 tVrl OF f L (.0
Fuld #, f4c- wk- Mr-L1

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.: WQ0038087
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA,� Ab �_-� COUNTY
a Notary Public for County, North Carolina,
personally appeared before me this day
do hereby certify that_C P Y PP
and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal, this ther�day of
SEAL ����� : Go�tn►ssioq�Qt1���';
PUBLIC
16, ?.`�
Co..."
UN
1� SRAM
Signature of Notary Public
My commission expires L 1 —1 �- C�)S
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: NDRMPW-LAS 11-18 Page 2 of 2
?jArt.c-C` %D. Otool'tT-
1 iw44 st:

NON-STANDARD
FEE APPLIED
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED Jan 27., 2021
AT 11:40:59 am
BOOK 01322
PAGE 0183
INSTRUMENT # 00668
EXCISE TAX (None)
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS B RESIDUALS
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T .I108(c)
certify that I represent _4�L(cf�,',it (_L(( _
which is the deeded owner of the property located at: Address: 04rot S .cry iZD
City: qo Aaiti(, 12,✓fr,- State: N C Zip Code: 27-66'q County: Vic-Cf
Parcel No.: D ioo'L66
Furthermore, I certify that I air 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.
X For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
❑ For the parcel identified above, I consent to a reduced setback from _ feet to _ feet, thereby
allowing the application of Class B residuals as near as _ feet from my residence
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Si
,4 t
FORM: NDRMPW-LAS 11-18 (?ItPage 1 of 2
0.4 2fD 0 y : I YI�k I�Njrkj f �,•� u�S
?4R1Ec4ft;r O/oo244
O w^'E2: NIAix#3 ��o��2flEf Lc
r
j (EtD IV t4( - Vk - P1 F- Z3

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.: W00038087
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA, ' COUNTY
a Notary Public for \% 1\' S County, North Carolina,
do hereby certify that \ 1YW�� IGY11� personally appeared before me this day
and acknowledged the due execution of the foregoing instrument. ��',�� __,,
Witness my hand and official seal, this then day of t,i ' s a�`I
SEAL°��•.Go�tcilsslonF�Q�,,
7700
.� NOTARY �►:Z
pveuc
•bw Is,
COUP"
"'„uuIIIWO
Signature of Notary Public
My commission expires 1— 1 " r4`J
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: NDRMPW-LAS 11-18 Page 2 of 2
Lk N�_��,<

NONSTANDARD
FEE APPLIED
State of North Carolina
Department of Environmental Quality
Division of Water Resources
FILED
WILKES COUNTY
MISTY M. SMITHEY
REGISTER OF DEEDS
FILED Jan 27., 2021
AT 11:40:58 am
BOOK 01322
PAGE 0182
INSTRUMENT # 00667
EXCISE TAX (None)
NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER
FOR THE APPLICATION OF CLASS B RESIDUALS
CA
AGREEMENT TO WAIVE SETBACKS PURSUANT TO
15A NCAC 02T .1108(c)
kL 44i�;,
certify that I represent��//�iGjut✓i 6Tf7/' (LL
which is the deeded owner of the property located at: Address: 61xt! ):;V" p
City: R-A&406 1 "OL State: IIIC_ Zip Code:2T66f County: CJic uEs
Parcel No.: 0100,317
Furthennore, 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/Pennittee listed on the following
page.
X For the parcel identified above, I consent to a reduced setback from 50 feet to 0 feet, thereby
allowing the application of Class B residuals as near as 0 feet from my propertyline.
❑ For the parcel identified above, I consent to a reduced setback from _ feet to _ feet, thereby
allowing the application of Class B residuals as near as _ feet from my residence
"THIS WAIVER SHALL BE TERMINATED UPON CHANGE OF OWNERSHIP OF ANY PARTIES INVOLVED"
Signature:
Date:
FORM: NDRMPW-LAS 11-18 `t94,CfA42ED I y: -rCrjg,+ e4,EwA,' j6_jLvjjE'F
AA.r-eL 10: 910e31?
0WJC&: 114-rWS ?itmP4rafrf! LLL
I'' &O $F : n/G t✓k - M F- 23
Pagel of 2

Permittee: Terra Renewal Services Inc.
Address: Post Office Box 1746 Permit No.: W00038087
City: Watkinsville State: GA Zip Code: 30677 County: N/A
NORTH CAROLINA,�� %'►�V1,.,� COUNTY
I tt, `h�y �dEtSUi�,la Notary Public for Jt��l� County, North Carolina,
do hereby certify that L.t1C' 0_)C41k� _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 Lr_S ,
1111111111111/)1j�
SEAL
;•ram
NOTAt? y Z a
:2 PUBLIC+ 3
v
,�'`',I,�111J1tCO1u1j1..,```,`�
Signature of Notary Public
My commission expires
Once notarized, this form shall be recorded at the Register of Deeds in the county or
counties in which the described properties are located. A copy of the recorded waiver
shall be sent to the following address:
FORM: NDRMPW-LAS 11-18
Division of Water Resources
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
F1,'l.J_ 4- 1. NC_- I.J" - n F -2-3
Page 2 of 2