WQ0040524_Residual Annual Report 2021_20220301

Initial Review
Reviewer
Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Annual Report Year* 2021
Permit Number (IR) * WQ0040524
ApplicantlPermittee Terra Renewal Services, Inc
Email Notifications
Does this need review by the hydrogeologist?* Yes • No
Regional Office Fayetteville
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Terra Renewal Services, Inc
Email Address*
[e-mail]
Project Information
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
479-747-8192
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
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.
hftps://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Perm it Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number: *
WQ0040524
Has Current Existing permit number
Applicant/Permittee Address*
PO Box 1746 Watkinsville, GA 30677
Facility Name*
Terra Renewal Services - Prestage Foods Class B Residuals Program
Please provide comments/notes on your current submittal below.
This is the 2021 annual report for RLAP permit # WQ0040524 for land sites in Robeson
County. The residuals generating source is Prestage Farms -St. Pauls. The permittee is Terra
Renewal Services, Inc. There was no land app associated with this permit in 2021. If there are
questions, complications, or requests for additional information, please contact David Coyle @
479-747-8192 or [e-mail].
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 Form, Engineering Plans, Specifications, Calculations, Etc.)
NC—WQ0040524—Terra Renewal 2021 Ann Report —No
299.39KB
App.pdf
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* 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
O &. 6
Submission Date 3/1/2022

County: Year:
Land Application Operator: Phone:
Land application of residuals as allowed by the permit occurred during the past calendar year?
No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. Yes No
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
11)
12)
13)
Part C - Certification:
Permittee Name and Title (type or print) Signature of Permittee
Signature of Preparer* Signature of Land Applier
(if different from Permittee) (if different from Permittee and Preparer)
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#:WQ0040524 Robeson 2021
All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
Total number of application fields in the permit: 6
Total number of fields utilized for land application during the year:
479-747-8192
0
Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
3/1/2022
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
Date
Yes
Facility Name (as shown on permit):Terra Renewal Services, Inc
Terra Renewal Services, Inc
David C. Coyle; Environmental Manager
Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
All buffer requirements as specified on the permit were maintained during each application of residuals.
0
0
Total amount of dry tons applied during the year for all application sites:
All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
Date
Only residuals approved for this permit were applied to the permitted sites.
Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
Total number of acres utilizes for land application during the year:
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26)
The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
Date
DENR FORM ACF (12/2006)