WQ0006018_More Information (Requested)_20210421

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
S. DANIEL SMITH
Director
DANIEL WILLIAMS — UTILITY DIRECTOR
TOWN OF MOREHEAD CITY
706 ARENDALE STREET
MOREHEAD CITY, NORTH CAROLINA 28557
Dear Mr. Williams:
NORTH CAROLINA
Environmental Quality
April 21, 2021
Subject: Application No. WQ0006018
Additional Information Request
Town of Morehead City WWTP
Land Application of
Class B Residuals
Carteret County
Division of Water Resources' Central and Regional staff has reviewed the application package
received February 26, 2021. However, additional information is required before the review may be
completed. Please address the items on the attached pages no later than the close of business on May 21,
2021.
Please be aware that you are responsible for meeting all requirements set forth in North Carolina
rules and regulations. Any oversights that occurred in the review of the subject application package are
still the Applicant's responsibility. In addition, any omissions made in responding to the outstanding items
in Sections A through G, or failure to provide the additional information on or before the above requested
date may result in your application being returned as incomplete.
Please reference the subject application number when providing the requested information.
All revised and/or additional documentation shall be signed, sealed and dated (where needed), with one
electronic copy submitted to my attention at the address below.
If you have any questions regarding this request, please do not hesitate to contact me at (919) 322-
9624 or [e-mail]. Thank you for your cooperation.
Sincerely,
Poonam Giri
Division of Water Resources
cc: Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Christopher Wynne — Synagro (Electronic Copy)
Permit Application File WQ0006018
D E Q✓� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORM CAROLINA� U,���B.W—� � /�� 919.707.9000

Mr. Daniel Williams
April 21, 2021
Page 2 of 2
A. Cover Letter:
1. No comments.
B. Application Fee:
1. No fee is necessary as no modification has been requested.
C. Application:
1. No comments.
D. Property Ownership Documentation:
1. The Landowner Agreement Forms (LOA 06-16) have not signed by the Permittee. These forms
will need to be properly executed and resubmitted. Please have both the designated signature
authority for the Town of Morehead City and the landowner/lessee sign the Landowner
Agreements. Once notarized, please resubmit new notarized copies to the Division.
E. Site Map:
1. No comments.
F. Operation & Maintenance Plan:
1. No comments.
G. Residuals Management Plan:
1. No comments.

Landowner's Certification:
I certify that 1 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 sites) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that 1 have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
held transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Pu Lc r+ r1-4. 12t � J S
Address: �{ a
City: State: + lip:
Phone: 2528i Z 7579 E-mail address:
r
Signature: Date: 11 2-0 Z1
NORTH CAROLINA, ^ baw COUNTY
I, the undersigned Notary Public do hereby certify that e t' [ - i S
Personally appeared before me this day and acknowledged the due execution of t€te forgoing instrument.
WITNESS my hand and official seal this the
day of JDiK"
Signature and sea[: Z;4
My commission expires:
Lessee's/Operator's Certification:
1 certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name-
Address -
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
1 certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
Date:
FORM: LOA 06-16 Page 3 of

Landowner's Certification:
1 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 on behalf of other deeded landowners 0R that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site{s] on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that l Rave 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 Pertmittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
C 1 _
Address:
City: r
State: dip:
Phone: 'J _ E-mail
Signature: " Y� �. i pate:
NORTH CAROLINA, Craw,i
1, the undersigned Notary Public do hereby certify that
COUNTY
bra -To
"� fq
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seat this the _+
day of Q'aK-u
Signature and seal: �.
T_ _
My comet ission expires: _ D 20 / 10
Lessee's/Operator's Certification:
Christopher ^
WARY
Wake Cc t vyx.
MY Commission Expires Al:gL St 30,
1 certify that I have read this lA�greement and do hereby agree to abide by the stipulations and restrictions as specified
Lessee/operator name: 1 a 61-4" �4 - P c � 9 f
Address- _
City: —
Phone:
Signature:
q f3 Wbeh,
54et (a
Permittee's Certification:
St
State.,i1V Zip:
_-- E-mail address:
Date:
n.
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name.
Signature:
Date:
FORM: LOA 06-16 Page 3 of

Landowner's Certification-
1 certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:�� �,[f C2LG yC
Address: :CN rXR A
City: S_L' Aa _ State: zip- q,?)0!Sc3
Phone: %() '{.AA E-mail address: C-
,�i Signature: Elate:
NORTH CAROLINA,
(,ravgm
1, the undersigned Notary Public do hereby certify that
COUNTY
6 6rq L. Wi4e v
CS11
Iit 11
V
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the Al
day of DtK L 20 �*
Signature and seal: �-
My commission expires: 24 2.5 Citrl5topher
r•i t,t. 4
Waite County, NC
Lessee's/Operator's Certification: Mjl COITiftsiof1 i X086 f UgLiSt 30, 2025
l certify that I have read this Agreement and do hereby agree to abide by the: stipulations and restrictions as specified herein.
Lessee/operator name: pD 6e Vi. r']_ r
- 1 r LJ _ r
Address:
K
V �
City: s4e II f State: Zip:
Phone:�`_ E-mail address:
Signature: _ Date:
Perrnittee'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:
Signature:
Date:
FORM: LOA 06-1 fr Page 3 of 3