WQ0035595_More Information (Received)_20220208

SOIL PLUS
February 8, 2022
NCDEQ-DWR
Non -Discharge Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Mr. Erick Saunders
Reference: Additional Information Request Dated January 3, 2022
Granville Farms, Inc. RLAP (WQ0035595)
Mr. Saunders:
Soil Plus, LLC (Soil Plus) received an Additional Information Request dated January 3,
2022, regarding the permit renewal application submitted on behalf of Granville Farms,
Inc. Soil Plus is providing responses to the requested information in the order in which it
was received below:
C.1. The RSC forms for the Duke Energy Shearon Harris WWTP (Permit No.
NC0039586) and the Pope Industrial Park WWTP (Permit No. NC0060526) are missing
the hazardous waste determination in Section II.3. There is an exemption to provide this
information for facilities that are less than 0.5 MGD in design flow and treat 100% non -
municipal domestic wastewater only. Please clarify whether the above facilities meet the
exemption by verifying that they treat 100%non-municipal domestic wastewater. If they do
not, Section II.3. shall be completed and the associated laboratory data shall be submitted.
Please note that the Permit No. NCO039586 covers multiple different waste treatment
systems at the Harris Nuclear Plant, including some radwaste treatment systems. In your
response to the above, please also clarify which treatment system in this permit is the
source of the residuals for this application.
• The Duke Energy Shearon Harris WWTP (Permit No. NC0039586) and the Pope
Industrial Park WWTP (Permit No. NC0060526) are less than 0.5 MGD in design
flow and treat 100% non -municipal domestic wastewater only, therefore exempt
from non -hazardous testing requirements. The treatment source of the residuals
for this application from the Duke Energy Shearon Harris WWTP (Permit No.
NC0039586) is the 0.065 MGD extended aeration WWTP described under the 2"d
bullet point on page 2 of Permit No. NC0039586. A copy of the permit has been
included in Attachment 1 for reference. Granville Farms, Inc. does not haul
radwaste.
P.O. Box 1396 D.1. According to the Bertie County GIS website, there is a parcel with a place of assembly
Oxford, NC 27565
under separate ownership located between field CB-2 on parcel 5828039455 that is not
t [phone] depicted on the buffer map. The property record card indicates that this is a home lot with
f [phone] a home site located on the parcel. The setbacks for a place of public assembly under
separate ownership shall be shown on the resubmitted site map for this field, and any

SOILPLUS
Meeting Your Nutrient Management Needs
acreage change shall be included in an updated LASC form. Alternatively, a setback waiver
may be executed in accordance with 15A NCAC 02T .1108(e) to reduce a setback. Setback
waivers shall be written, notarized, signed by all parties involved, and recorded with the
Berrie County Register of Deeds.
• The home on Parcel No. 5828039455 is collapsed and uninhabitable and has been
for several years. The referenced property card lists the building value as "0" and
the building condition as "unsound". The property card has been included in
Attachment 2 for reference.
E.1. The LOAs submitted for fields CB-1 & 2, RL-1, and TW-1 & 2 were all signed in
April 2020 as a part of the December 3, 2020 Attachment A and B Certification issuance.
However, there is a clause on Page 1 of 3 of the LOA form which states:
"This Agreement shall remain in effect for the length of the Division's permit for
the residuals land application program and shall be renewed each time this permit is
renewed."
This application is for the renewal of this permit, and as such this LOA shall be re -
executed in order to be considered renewed.
• Newly executed LOA's for Sites CB, RL, and TW have been included in
Attachment 3.
E.2. Section III of the LOA submitted for the JBS Group fields does not specify whether a
re -defined compliance boundary is required for these fields due to a water supply well
inside the compliance boundary as per 15A NCAC 02L .0107(d). Please mark this section
to indicate whether a re -defined compliance boundary is needed for every site covered in
the LOA. If so, the affected fields shall be noted in this section in accordance with 15A
NCAC 02T .0105(h) with the rationale for the requested re -location of the compliance
boundary.
Please note that there appear to be wells within the compliance boundary of fields JBS-12
and JBS-21. If these wells are not water supply wells, then please reply that these wells
would not need to meet 15A NCAC 02L .0107(d).
• The LOA for JBS has been revised to indicate the need for a re -defined compliance
boundary for fields JBS-12 and JBS-21. A re -defined compliance boundary is
requested for JBS-12 and JBS-21. The LOA has been included in Attachment 3.
Soil Plus is responsible for completing this permit renewal/additional information request
for Granville Farms, Inc. If after reviewing the enclosed information you have any
questions or require further information, please do not hesitate to contact me.
Respectfully,
-Reo NU1� z
Drew Matthews, Soil Plus
cc: Jason Smith, Granville Farms

ATTACHMENT 1
PERMIT NO. NC0039586
DUKE ENERGY SHEARON HARRIS WWTP

NPDES Permit NCO039586
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Duke Energy Progress, LLC
is hereby authorized to discharge wastewater from a facility located at
Harris Nuclear Plant and Harris Energy and Environmental Center
5413 Shearon Harris Road
New Hill
Wake County
to receiving waters designated as Harris Reservoir in the Cape Fear River Basin in accordance with effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, and V hereof.
The permit shall become effective September 30, 2021.
This permit and the authorization to discharge shall expire at midnight on August 31, 2026.
Signed this day September 2, 2021.
I by:
P61
forS. Daniel Smith
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 16

NPDES Permit NC0039586
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of this permit
issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive authority to operate
and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included herein.
Duke Energy Progress, LLC
is hereby authorized to:
1. Continue to discharge cooling tower blowdown through internal outfall 001; and
2. Continue to operate a 0.065 MGD extended aeration wastewater treatment plant consisting of dual package plants with the
following components:
■ T-Max Units
■ Ax-Max Units
■ UV disinfection
Backup system:
■ Primary treatment tank
■ equalization basin
■ aeration basin
■ sludge holding tanks
■ clarifiers
■ chlorine contact tanks
■ recirculating bed filters
■ sand filter
discharging through internal outfall 002; and
3. Continue to operate a metal cleaning waste treatment system consisting of dual neutralization basins discharging through
internal outfall 003; and
4. Continue to operate a low volume waste treatment system consisting of
■ Waste neutralization basin (also used for metal cleaning waste treatment, outfall 003)
■ Settling basin
discharging through internal outfall 004; and
5. Continue to operate a radwaste treatment system consisting of a Modular Fluidized Transfer Demineralization System
discharging through internal outfall 005; and
6. Discharge wastewater from outfalls 001 through outfall 005 through the combined outfall 006 located at the Harris
Nuclear Power Plant, 5413 Shearon Harris Road, New Hill, Wake County; and
7. Continue to operate a 0.02 MGD wastewater treatment facility consisting of
■ bar screen
■ influent pump station
■ aerated pond
■ stabilization pond
■ polishing pond
■ sand filter,
■ UV disinfection
■ Backup chlorination and dechlorination
discharging through outfall 007 located at the Harris Energy and Environmental Center, 3932 New Hill/Holleman Road,
New Hill, Wake County; and
8. Discharge from said treatment works and stormwater outfalls into Harris Reservoir, a Class WS-V water in the Cape Fear
River Basin, at the locations specified on the attached maps.
Page 2 of 16

NPDES Permit NC0039586
PART
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 001)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge cooling
tower blowdown from internal outfall 001. Such discharges shall be limited and monitored' by the Permittee as specified
below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Daily Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Flow' (MGD)
Continuous
Recorder
Effluent
Free Available Chlorine'
0.2 mg/L
0.5 mg/L
Weekly
See Note 4
See Note 4
Total Residual Chlorine' (µg/1)
Weekly
See Note 4
See Note 4
Time of TRC' (min/day/unit)
120.0 min
Weekly
Calculations
Effluent
Total Chromium
0.2 mg/L
0.2 mg/L
Weekly
Grab
Effluent
Total Zinc
1.0 mg/L
1.0 mg/L
Weekly
Grab
Effluent
pH
6 to 9 S.U.
Weekly
Grab
Effluent
The 126 Priority Pollutants'
Annually
Grab
Effluent
Notes:
1. Effluent prior to mixing with any other waste stream.
2. Discharge of blowdown from the cooling system shall be limited to the minimum discharge of recirculating water
necessary for the purpose of discharging materials contained in the water, the further built-up of which would cause
concentrations in amounts exceeding limitations established by best engineering practices. The permittee may discharge
cooling water to the auxiliary reservoir in compliance with condition A. (20) of this permit.
3. Neither free available chlorine nor total residual chlorine may be discharged from any unit for more than two hours in any
one day and not more than one unit in any plant may discharge free available or total residual chlorine at any one time
unless the utility can demonstrate to the Director that the units in question cannot operate at or below this level of
chlorination. The permittee shall record and report times of release as part of the monthly monitor report. Free available
chlorine shall be a daily average and daily maximum.
4. Samples shall be multiple grabs at the tower which shall consists of grab samples collected at the approximate beginning
of the total residual chlorine discharge and once every 15 minutes thereafter until the end of the total residual chlorine
discharge. For the purpose of this permit, daily average (as it relates to the chlorination period) shall mean the average
over any total residual chlorine discharge period. Monitoring only applicable if the facility adds chlorine to water that is
eventually discharged.
5. These limitations and monitoring requirements apply only if these materials are added for cooling tower maintenance by
the permittee. There shall be no discharge of detectable amounts of the 126 priority pollutants (40 CFR 423 Appendix A)
contained in chemicals added for cooling tower maintenance except for Total Chromium and Total Zinc. Compliance with
the limitations for the 126 pollutants may be determined by engineering calculations which demonstrate that the regulated
pollutants are not detectable in the discharge by the analytical methods in 40 CFR 136.
6. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A. (19).
Page 3 of 16

NPDES Permit NCO039586
A. (2) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 002)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated
wastewater from internal outfall 002, Sanitary Waste Treatment Plant. Such discharges shall be limited and monitored' by
the Permittee as specified below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Flow
0.065 MGD
Continuous
Recording'
I or E
BOD, 5 day, 20°C
30.0 mg/L
45.0 mg/L
Weekly
Composite
E
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
E
NH3 as N (mg/1)
Monthly
Composite
E
Fecal Coliform (geometric mean)
200/100 mL
400/100 mL
Weekly
Grab
E
Total Residual Chlorine (µg/1)4
Weekly
Grab
E
Notes:
1. Sample locations: E- Effluent prior to mixing with any other waste stream; I -Influent
2. Flow may be measured by pump logs.
3. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A (19).
4. Monitoring only applicable if the facility adds chlorine to water that is eventually discharged.
See Special Condition A. (18) Wastewater Management Domestic Treatment Systems.
A. (3) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 003)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated
wastewater from internal outfall 003, Metal Cleaning Wastes'. Such discharges shall be limited and monitored by the
Permittee as specified below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Daily Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Flow'
0.05 MGD
See Note 3
See Note 3
Effluent
Total Copper
1.0 mg/L
1.0 mg/L
Daily4
Grab
Effluent
Total Iron
1.0 mg/L
1.0 mg/L
Daily4
Grab
Effluent
pH
6 to 9 SU
Daily4
Grab
Effluent
Notes:
1. Metal cleaning waste sources as defined in 40 CFR 423.11 (d).
2. Effluent prior to mixing with any other waste stream.
3. Discharge from outfall 003 must continue to be routed to outfall 004 before final discharge. Flow shall be measured during
discharge using pump logs.
4. Daily during metal cleaning waste discharge events only.
Page 4 of 16

NPDES Permit NCO039586
5. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A (19).
The discharge shall comply with the limitations specified for metal cleaning waste prior to mixing with other waste streams.
A. (4) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 004)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated
wastewater from internal outfall 004, Low Volume Wastes' (including membrane backwash water). Such discharges shall be
limited and monitored4 by the Permittee as specified below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Daily Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Flow
1.5 MGD
Weekly
Estimate
Effluent
Total Suspended Solids
30.0 mg/L
100.0 mg/L
2/Month
Grab
Effluent
Oil and Grease
15.0 mg/L
20.0 mg/L
Weekly
Grab
Effluent
Notes:
1. Low volume waste sources as defined in 40 CFR 423.11 (b).
2. Effluent prior to mixing with any other waste stream.
3. The volume of wastewater discharged from the facility shall be monitored. If continuous flow monitoring is not feasible,
flow may be estimated.
4. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A. (19).
A. (5) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 005)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated
wastewater from internal outfall 005, Radwaste System. Such discharges shall be limited and monitored' by the Permittee as
specified below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Daily Maximum
Measurement
Frequency
Sample Type
Sample
Location'
-
Flow (MGD)
Monthly
Estimate'
Effluent
Total Suspended Solids
30.0 mg/L
100.0 mg/L
Monthly
Grab
Effluent
Oil and Grease
15.0 mg/L
20.0 mg/L
Monthly
Grab
Effluent
Notes:
1. Effluent prior to mixing with any other waste stream.
2. Flow shall be estimated during discharge.
3. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A. (19).
Page 5 of 16

NPDES Permit NCO039586
A. (6) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 006)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated
wastewater from outfall 006, combined outfalls 001 through 005. Such discharges shall be limited and monitored' by the
Permittee as specified below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Flow (MGD)
Weekly
Estimate'
Effluent
Hydrazine'
60.0 µg/L
Weekly
Grab
Effluent
Temperature (April 1 —
October 3l)4 (°C)
Weekly
Grab
Effluent
Temperature (November 1
—March 31) (°C)
Weekly
Grab
Effluent
Acute Toxicity'
Quarterly
Composite,
Effluent
pH
6.0 to 9.0 S.U.
Weekly
Grab
Effluent
Total Copper'
Quarterly
Composite,
Effluent
Total Selenium, µg/L
Quarterly
Composite,
Effluent
Total Arsenic, µg/L
Quarterly
Composite,
Effluent
NH3 as N (mg/L)
Monthly
Composite,
Effluent
Total Suspended Solids
(mg/L)
Monthly
Composite,
Effluent
Total Nitrogen (mg/L)
Monthly
Composite,
Effluent
Total Phosphorus (mg/L)
Monthly
Composite,
Effluent
Notes:
1. Effluent after combination of all waste streams from outfalls 001 through 005 and prior to discharge into Harris Reservoir.
2. The volume of wastewater discharged from the facility shall be monitored. If continuous flow monitoring is not feasible,
flow may be estimated.
3. The hydrazine limit of 60 µg/L shall apply at all times except during the periods following wet lay-up of equipment during
an extended outage when a hydrazine limit of 2.0 mg/L shall apply for a total period of no more than 48 hours.
Alternately, the permittee may elect to meet these limits at outfall 004, in which case sampling for hydrazine at outfall 006
is not required.
4. The discharge shall not result in the violation of the temperature or chlorine water quality standards outside of a mixing
zone of 200 acres around the point of discharge. The facility is located in the Lower Piedmont area of the state; the
applicable state water quality temperature standard is 32 °C (89.6 °F) and the total residual chlorine standard is 17 µg/l.
The temperature within the mixing zone shall not: (1) prevent free passage of fish around or cause fish mortality within the
mixing zone, (2) result in offensive conditions, (3) produce undesirable aquatic life or result in a dominance of nuisance
species outside of the zone, or (4) endanger the public health or welfare. Temperature and total residual chlorine data
collected according to the Monitoring Plan for Harris Reservoir should be summarized in the Annual Environmental
Monitoring Report for Harris Reservoir.
5. Acute toxicity (Pimephales) P/F at 90%: February, May, August, and November, See Special Condition A (8).
6. A composite sample consisting of 24 or more grab samples of equal volumes taken at equal intervals over a 24 hour
period.
7. See Special Condition A. (9) Schedule of Compliance for Hardness Dependent Metals.
8. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A. (19).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 6 of 16

NPDES Permit NCO039586
A. (7) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (OUTFALL 007)
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated
wastewater from Outfall 007, Harris Energy & Environmental Center. Such discharges shall be limited and monitored by
the Permittee as specified below:
Effluent Characteristics
Effluent Limitations
Monitoring Requirements
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample
Location'
Flow
0.02 MGD
Weekly
Instantaneous
I or E
BOD, 5 day, 20°C (April 1 — October
31)
15.0 mg/L
22.5 mg/L
Weekly
Grab
Effluent
BOD, 5 day, 20°C (November 1 —
March 31)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N (April 1 — October 31)
4.0 mg/L
20.0 mg/L
Weekly
Grab
Effluent
NH3 as N (November 1 — March 31)
8.0 mg/L
35.0 mg/L
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
200 /100 mL
400/100 mL
Weekly
Grab
Effluent
Total Residual Chlorine
28 µg/L
2/Week
Grab
Effluent
PH
Weekly
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
TKN (mg/L)
Monitor and report
Quarterly
Grab
Effluent
NO2-N + NO3-N (mg/L)
Monitor and report
Quarterly
Grab
Effluent
Total Nitrogen (mg/L)
Quarterly
Grab
Effluent
Total Phosphorus (mg/L)
Quarterly
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Acute Toxicity4
Quarterly
Composite
Effluent
Notes:
1. Sample locations: E- Effluent, I- Influent
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
3. The daily average dissolved oxygen effluent concentration shall not be less than 5 mg/L.
4. Acute Toxicity (Pimephales) P/F at 90%: August, November, February and May. See Special condition A. (8).
5. By December 21, 2016, begin submitting Discharge Monitoring Reports electronically using NC DWR's eDMR
application system. See Special Condition A (19).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (8) ACUTE TOXICITY PASS/FAIL PERMIT LIMIT (QUARTERLY) OUTFALLS 006 AND 007
[15A NCAC 02B .0200 et seq.]
The permittee shall conduct acute toxicity tests on aquarter lX basis using protocols defined in the North Carolina Procedure
Document entitled "Pass/Fail Methodology For Determining Acute Toxicity In A Single Effluent Concentration" (Revised
December 2010 or subsequent versions). The monitoring shall be performed as a Fathead Minnow (Pimephales promelas) 24
hour static test. The effluent concentration at which there may be at no time significant acute mortality is 90% (defined as
treatment two in the procedure document). The tests will be performed during the months of February, May, August, and
November. These months signify the first month of each three month toxicity testing quarter assigned to the facility.
Effluent sampling for this testing must be obtained during representative effluent discharge and shall be performed at the
NPDES permitted final effluent discharge below all treatment processes.
Page 7 of 16

NPDES Permit NCO039586
Should any single quarterly monitoring indicate a failure to meet specified limits, then monthly monitoring will begin
immediately until such time that a single test is passed. Upon passing, this monthly test requirement will revert to
quarterly in the months specified above.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring Form
(MR-1) for the month in which it was performed, using the parameter code TGE6C. Additionally, DWR Form AT-2 (original)
is to be sent to the following address:
Attention: North Carolina Division of Water Resources
Water Sciences Section/Aquatic Toxicology Branch
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Or, results can be sent to the email: ATForms.ATBna ncdenr.gov
Completed Aquatic Toxicity Test Forms shall be filed with the Water Sciences Section no later than 30 days after the end of
the reporting period for which the report is made.
Test data shall be complete and accurate and include all supporting chemical/physical measurements performed in association
with the toxicity tests, as well as all dose/response data. Total residual chlorine of the effluent toxicity sample must be
measured and reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the permittee
will complete the information located at the top of the aquatic toxicity (AT) test form indicating the facility name, permit
number, pipe number, county, and the month/year of the report with the notation of "No Flow" in the comment area of the
form. The report shall be submitted to the Water Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, then monthly monitoring will
begin immediately until such time that a single test is passed. Upon passing, this monthly test requirement will revert to
quarterly in the months specified above. Assessment of toxicity compliance is based on the toxicity testing quarter, which is the
three month time interval that begins on the first day of the month in which toxicity testing is required by this permit and
continues until the final day of the third month.
Should any test data from either these monitoring requirements or tests performed by the North Carolina Division of Water
Resources indicate potential impacts to the receiving stream, this permit may be re -opened and modified to include alternate
monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism survival and
appropriate environmental controls, shall constitute an invalid test and will require immediate follow-up testing to be
completed no later than the last day of the month following the month of the initial monitoring.
A. (9) COPPER LIMITS EVALUATION (OUTFALL 006) [G.S. 143-215.1(b)]
The Total Copper limits have been eliminated for this permit term only. If the facility desires to extend WER based copper
limits elimination for the next permit term, the facility shall conduct a new WER study. The new WER study shall be
conducted per EPA guidance for WER evaluations in lakes, to do a mixing zone analysis (MZA) in conjunction with WER
study, which incorporates effluent mixed with site water at a ratio to be determined by the near -field dilution from the mixing
zone in order to derive a WER that reflects mixing of the effluent with the receiving water. This would factor in all the
variables beyond hardness that affect copper toxicity (e.g. dissolved organic carbon, pH, cations/anions that form copper
complexes, etc.) inherent in the combined effluent and receiving water.
A. (10) BIOCIDES [G.S. 143-215, 143-215.1]
The permittee shall not use any biocides except those approved in conjunction with the permit application. The permittee shall
notify the Director in writing not later than ninety (90) days prior to instituting use of any additional biocide used in cooling
systems which may be toxic to aquatic life other than those previously reported to the Division of Water Resources. Such
notification shall include completion of Biocide Worksheet Form 101 and a map locating the discharge point and receiving
Page 8 of 16

NPDES Permit NC0039586
stream. Completion of Biocide Worksheet Form 101 is not necessary for those outfalls containing toxicity testing. Division
approval is not necessary for the introduction of new biocides into outfalls currently tested for whole effluent toxicity.
A. (11) CHEMICAL METAL CLEANING WASTES [G.S. 143-215, 143-215.1]
The term "chemical metal cleaning waste" means any wastewater resulting from the cleaning of any metal process equipment
with chemical compounds including, but not limited to, boiler tube cleaning.
A. (12) COMBINED WASTE STREAMS [G.S. 143-215, 143-215.1]
In the event that waste streams from various sources are combined for treatment or discharge, the quantity of each pollutant or
pollutant property attributable to each controlled waste source shall not exceed the specified limitation for that waste source.
A. (13) FEDERAL INSECTICIDE, FUNGICIDE, AND RODENTICIDE ACT [G.S. 143-215, 143-215.1]
Discharge of any product registered under the Federal Insecticide, Fungicide, and Rodenticide Act to any waste stream which
may ultimately be released to lakes, rivers, streams, or other wasters of the United States is prohibited unless specifically
authorized elsewhere in this permit. This requirement is not applicable to products used for lawn and agricultural purposes.
Discharge of chlorine from the use of chlorine gas, sodium hypochlorite, or other similar chlorination compounds for
disinfection in plant potable and service water systems and in sewage treatment is authorized.
A. (14) POLYCHLORINATED BIPHENYL COMPOUNDS [G.S.143-215,143-215.1]
There shall be no discharge of polychlorinated biphenyl compounds such as those commonly used for transformer fluid.
A. (15) RADIOACTIVE MATERIAL [G.S. 143-215, 143-215.1]
Releases of radioactive material shall be monitored and conducted in accordance with all conditions and limitations required by
the Nuclear Regulatory Commission (NRC) and as specified in the Final Safety Analysis Report, Technical Specifications, and
Environmental Statement for the Shearon Harris Nuclear Plant.
A. (16) TOXICITY REOPENER [G.S. 143-215, 143-215.1]
This permit shall be modified, or revoked and reissued to incorporate toxicity limitations and monitoring requirements in the
event toxicity testing or other studies conducted on the effluent or receiving stream indicate that detrimental effects may be
expected in the receiving stream as a result of this discharge.
A. (17) CLEAN WATER ACT SECTION 316 (b) [G.S. 143-215, 143-215.1]
The permittee shall comply with the Cooling Water Intake Structure Rule per 40 CFR 125.95. Pursuant to the Rule and after
review of the required submitted information, the Director has determined that operating and maintaining the existing closed -
cycle recirculating system meets the impingement and entrainment requirements for BTA.
Unless otherwise authorized, nothing in this permit authorizes take for the purposes of a facility's compliance with the
Endangered Species Act 40 CFR 125.98 (b)(1).
A. (18) WASTEWATER MANAGEMENT DOMESTIC TREATMENT SYSTEMS (OUTFALLS 002 AND 007)
[G.S. 143-215, 143-215.1]
The permittee shall at all times properly operate and maintain the domestic wastewater treatment plants to meet secondary
treatment standards. The permittee can operate the two domestic treatment plants to treat wastewaters from either facility as
described in the permit application and authorized in this permit in Special Conditions A. (2) and A. (7).
A. (19) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS [G.S. 143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and program reports and specify
that, if a state does not establish a system to receive such submittals, then permittees must submit monitoring data and reports
Page 9 of 16

NPDES Permit NC0039586
electronically to the Environmental Protection Agency (EPA). The final NPDES Electronic Reporting Rule was adopted and
became effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit (Standard
Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)l
Effective December 21, 2016, the permittee shall report discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit DMRs
electronically using the internet. Until such time that the state's eDMR application is compliant with EPA's Cross -Media
Electronic Reporting Regulation (CROMERR), permittees will be required to submit all discharge monitoring data to the
state electronically using eDMR and will be required to complete the eDMR submission by printing, signing, and
submitting one signed original and a copy of the computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being physically
located in an area where less than 10 percent of the households have broadband access, then a temporary waiver from the
NPDES electronic reporting requirements may be granted and discharge monitoring data may be submitted on paper DMR
forms (MR 1, 1. 1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the
mailing address above. See "How to Request a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month following the issuance of the
permit or in the case of a new facility, on the last day of the month following the commencement of discharge.
Starting on December 21, 2025, the permittee must electronically report the following compliance monitoring data and
reports, when applicable:
Sewer Overflow/Bypass Event Reports;
Pretreatment Program Annual Reports; and
Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a Waiver from Electronic
Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the time of each electronic
submission. The permittee should use the EPA's website resources to identify the initial recipient for the electronic
submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity (EPA or the state
authorized by EPA to implement the NPDES program) that is the designated entity for receiving electronic NPDES data
[see 40 CFR 127.2(b)].
Page 10 of 16

NPDES Permit NCO039586
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for each type of electronic
submission and for each state. Instructions on how to access and use the appropriate electronic reporting tool will be
available as well. Information on EPA's NPDES Electronic Reporting Rule is found at:
http://www2.epa. gov/compliance/final-national-pollutant-discharge-elimination-system-npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic reporting
waiver, a permittee must first submit an electronic reporting waiver request to the Division. Requests for temporary
electronic reporting waivers must be submitted in writing to the Division for written approval at least sixty (60) days prior
to the date the facility would be required under this permit to begin submitting monitoring data and reports. The duration
of a temporary waiver shall not exceed 5 years and shall thereupon expire. At such time, monitoring data and reports shall
be submitted electronically to the Division unless the permittee re -applies for and is granted a new temporary electronic
reporting waiver by the Division. Approved electronic reporting waivers are not transferrable. Only permittees with an
approved reporting waiver request may submit monitoring data and reports on paper to the Division for the period that the
approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the following web
page:
http://deq.nc. gov/about/divisions/water-resources/edmr
4. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B. (11.) (d)l
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B. (I 1.)(a) or
by a duly authorized representative of that person as described in Part 11, Section B. (I 1)(b). A person, and not a position,
must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and login
credentials to access the eDMR system. For more information on North Carolina's eDMR system, registering for eDMR
and obtaining an eDMR user account, please visit the following web page:
httn:Hdea.nc. izov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted 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. "
5. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These records or
copies shall be maintained for a period of at least 3 years from the date of the report. This period may be extended by
request of the Director at any time [40 CFR 122.41 ].
A. (20) AUXILIARY RESERVOIR [G.S. 143-215, 143-215.1]
In order to ensure that the auxiliary reservoir is available for its designated use at all times, the permittee may circulate heated
water through the auxiliary reservoir to prevent ice formation at any time that the surface water temperature is below 35' F
provided that the surface water temperature in the auxiliary reservoir is not raised more than 5° F above ambient temperature
and in no case is raised to more than 40' F. Emergency Service Water may be discharged to the auxiliary reservoir as required
for operation of nuclear safety systems and testing.
Page 11 of 16

NPDES Permit NC0039586
A. (21) STORMWATER MONITORING REQUIREMENTS [G.S. 143-215.1(a) et seq., 15A NCAC 02h .0126 et seq.]
Stormwater conditions under this section will expire on the effective date when an individual stormwater permit is issued to the
facility by the Division of Energy, Mineral and Land Resources.
1. Qualitative Monitoring
Qualitative monitoring requires a qualitative inspection of each stormwater outfall, regardless of representative outfall status,
for the purpose of evaluating the effectiveness of the Stormwater Pollution Prevention Plan (SPPP) and assessing new sources
of stormwater pollution. No analytical tests are required. Qualitative monitoring of stormwater outfalls does not need to be
performed during a representative storm event.
Stormwater Discharge Characteristics
Monitoring Frequency'
Sample
Location2
Color
Semi -Annual
SDO
Odor
Semi -Annual
SDO
Clarity
Semi -Annual
SDO
Floating Solids
Semi -Annual
SDO
Suspended Solids
Semi -Annual
SDO
Foam
Semi -Annual
SDO
Oil Sheen
Semi -Annual
SDO
Other obvious indicators of stormwater pollution
Semi -Annual
SDO
Notes:
1. Qualitative monitoring will be performed twice per year, once in the spring (April -June) and once in the fall (September -
November).
2. Sample location: SDO — Stormwater Discharge Outfall.
2. Stormwater Pollution Prevention Plan
The permittee shall develop a Stormwater Pollution Prevention Plan, herein after referred to as the Plan. The Plan shall be
considered public information in accordance with Part VI, Section E.10 of this permit. The Permittee is not required to submit a
copy of the Plan to the Division. The Plan shall be available at the permitted facility for Division staff or public review upon
request. The Plan shall include, at a minimum, the following items:
a. Site Plan: The site plan shall provide a description of the physical facility and the potential pollutant sources which
may be expected to contribute to contamination of regulated stormwater discharges. The site plan shall contain the
following:
(1) A general location map (USGS quadrangle map, or appropriately drafted equivalent map), showing the
facility's location in relation to transportation routes and surface waters, and the name of the receiving water(s)
to which the stormwater outfall(s) discharges. If the discharge is to a municipal separate storm sewer system,
the name of the municipality and the ultimate receiving waters, and accurate latitude and longitude of the
point(s) of discharge must be shown.
(2) A narrative description of storage practices, loading and unloading activities, outdoor process areas, dust or
particulate generating or control processes, and waste disposal practices.
(3) A site map (or series of maps) drawn to scale with the distance legend indicating location of industrial activities
(including storage of materials, disposal areas, process areas, and loading and unloading areas), drainage
structures, drainage areas for each outfall and activities occurring in the drainage area, building locations and
impervious surfaces, the percentage of each drainage area that is impervious. For each outfall, a narrative
Page 12 of 16

NPDES Permit NCO039586
description of the potential pollutants which could be expected to be present in the regulated stormwater
discharge.
(4) A list of significant spills or leaks of pollutants that have occurred at the facility during the 3 previous years
and any corrective actions taken to mitigate spill impacts.
(5) Certification that the stormwater outfalls have been evaluated for the presence of non-stormwater discharges.
The certification statement will be signed in accordance with the requirements found in Part VI, Section B.11.
Stormwater Management Plan: The stormwater management plan shall contain a narrative description of the materials
management practices employed which control or minimize the exposure of significant materials to stormwater,
including structural and non-structural measures. The stormwater management plan, at a minimum, shall incorporate
the following:
(1) A study addressing the technical and economic feasibility of changing the methods of operations and/or storage
practices to eliminate or reduce exposure of materials and processes to stormwater. Wherever practicable the
permittee should consider covering storage areas, material handling operations, manufacturing or fueling
operations to prevent materials exposure to stormwater. In areas where elimination of exposure is not
practicable, the stormwater management plan shall document the feasibility of diverting the stormwater runoff
away from areas of potential contamination.
(2) A schedule to provide secondary containment for bulk storage of liquid materials, storage of Section 313 of
Title III of the Superfund Amendments and Reauthorization Act (SARA) water priority chemicals, or storage
of hazardous materials to prevent leaks and spills from contaminating stormwater runoff. If the secondary
containment devices are connected directly to stormwater conveyance systems, the connection shall be
controlled by manually activated valves or other similar devices [which shall be secured with a locking
mechanism] and any stormwater that accumulates in the containment area shall be at a minimum visually
observed prior to release of the accumulated stormwater. Accumulated stormwater shall be released if found
to be uncontaminated. Records documenting the individual making the observation, the description of the
accumulated stormwater and the date and time of the release shall be kept for a period of five years.
(3) A narrative description of Best Management Practices (BMPs) to be considered such as, but not limited to, oil
and grease separation, debris control, vegetative filter strips, infiltration and stormwater detention or retention,
where necessary. The need for structural BMPs shall be based on the assessment of potential of sources
contributing significant quantities of pollutants to stormwater discharges and data collected through monitoring
of stormwater discharges.
(4) Inspection schedules of stormwater conveyances and controls and measures to be taken to limit or prevent
erosion associated with the stormwater systems.
C. Spill Prevention and Response Plan: The Spill Prevention and Response Plan shall incorporate a risk assessment of
potential pollutant sources based on a materials inventory of the facility. Facility personnel (or team) responsible for
implementing the plan shall be identified in the plan. A responsible person shall be on -site at all times during facility
operations that have the potential to contaminate stormwater runoff through spills or exposure of materials associated
with the facility operations.
d. Preventative Maintenance and Good Housekeeping Program: A preventative maintenance program shall be
developed. The program shall document schedules of inspections and maintenance activities of stormwater control
systems, plant equipment and systems. Inspection of material handling areas and regular cleaning schedules of these
areas shall be incorporated into the program.
e. Training schedules shall be developed and training provided at a minimum on an annual basis on proper spill response
and cleanup procedures and preventative maintenance activities for all personnel involved in any of the facility's
operations that have the potential to contaminate stormwater runoff. Facility personnel (or team) responsible for
implementing the training shall be identified in the plan.
f. The Stormwater Pollution Prevention Plan shall identify a specific position(s) responsible for the overall coordination,
development, implementation, and revision to the Plan. Responsibilities for all components of the Plan shall be
documented and position(s) assignments provided.
Page 13 of 16

NPDES Permit NCO039586
g. Plan Amendment: The permittee shall amend the Plan whenever there is a change in design, construction, operation,
or maintenance which has a significant effect on the potential for the discharge of pollutants via a point source to
surface waters. The Stormwater Pollution Prevention Plan shall be reviewed and updated on an annual basis.
The director may notify the permittee when the Plan does not meet one or more of the minimum requirements of the
permit. Within 30 days of such notice, the permittee shall submit a time schedule to the Director for modifying the Plan
to meet minimum requirements. The permittee shall provide certification in writing (in accordance with Part VI, Section
B.11.) to the Director that the changes have been made.
h. Facility Inspections: Inspections of the facility and all stormwater systems shall occur at a minimum on a semiannual
schedule, once in the fall (September - November) and once during the spring (April - June). The inspection and any
subsequent maintenance activities performed shall be documented, recording date and time of inspection, individual(s)
making the inspection and a narrative description of the facility's stormwater control systems, plant equipment and
systems. Records of these inspections shall be incorporated into the Stormwater Pollution Prevention Plan.
Visual monitoring as required in Part I, Section A(8) Stormwater Monitoring Requirements/Qualitative Monitoring shall
be performed in addition to facility inspections.
Implementation: Implementation of the Plan shall include documentation of all monitoring, measurements, inspections,
maintenance activities and training provided to employees, including the log of the sampling data. Activities taken to
implement BMPs associated with the industrial activities, including vehicle maintenance activities, must also be
recorded. All required documentation shall be kept on -site for a period of five years and made available to the Director
or his authorized representative immediately upon request.
3. Stormwater Minimum Monitoring and Reporting Requirements
Minimum monitoring and reporting requirements are as follows unless otherwise approved in writing by the Director:
a. If a facility has multiple discharge locations with substantially identical stormwater discharges that are required to be
sampled, the permittee may petition the Director for representative outfall status. If it is established that the stormwater
discharges are substantially identical and the permittee is granted representative outfall status, then sampling
requirements may be performed at a reduced number of outfalls.
Qualitative monitoring for color, odor, solids, foam, outfall staining, visible sheens and dry weather flow shall be
performed at all stormwater discharge outfall locations. All qualitative monitoring shall be documented and records
maintained with the Stormwater Pollution Prevention Plan. The initial qualitative monitoring event shall be performed
simultaneously with the first analytical monitoring event and documentation of only this initial qualitative monitoring
event shall be submitted along with the required analytical monitoring submittal.
C. If the stormwater runoff is controlled by a detention pond, the following sampling requirements shall apply:
(1) If the detention pond detains the runoff generated by one inch of rainfall for 24 hours, visual observations for
color, foam, outfall staining, visible sheens and dry weather flow are required, but analytical sampling shall
not be required.
(2) If the detention pond discharges only in response to a storm event exceeding a 25-year, 24-hour storm, the
pond shall be considered a non -discharging stormwater control system and not subject to NPDES requirements,
unless the discharge causes a violation of water quality standards.
d. Samples analyzed in accordance with the terms of this permit shall be submitted on forms approved by the Director no
later than January 31 for the previous year in which sampling was required to be performed.
e. Analytical results from sampling during the final year of the permit term shall be submitted with the permit renewal
application.
f. This permit regulates stormwater discharges associated with industrial activity. Non-stormwater discharges which shall
be allowed in the stormwater conveyance system are:
Page 14 of 16

NPDES Permit NCO039586
(1) All other discharges that are authorized by an NPDES permit.
(2) Foundation drains, air -conditioner condensate without added chemicals, springs, waterline and fire hydrant
flushing, water from footing drains, flows from riparian habitats and wetlands, fire -fighting training and fire
system testing.
(3) Discharges resulting from fire -fighting and uncontaminated discharges resulting from fire -fighting training and
associate fire system testing.
g. If the storm event monitored and reported in accordance with this permit coincides with a non-stormwater discharge,
the permittee shall separately monitor and report all parameters as required under the non-stormwater portion of this
permit and provide this information with the stormwater discharge monitoring report.
Page 15 of 16

NPDES Permit NC0039586
71
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-4i
Harris Nuclear Plant Facility Location (not to scale)
Wake County x
Receiving Stream: Harris Reservoir Stream Class: WS-V
H U C: 03030004 Sub -Basin: 03-06-07
Drainage Basin: Cape Fear River Basin State Grid: Cokesbury N
Outfall 006: Latitude 35' 34' 47" Longitude 78' 58' 07" NPDES Permit NC0O39586
Outfall 007: Latitude 35' 38' 05" Longitude 78' 55' 05"
Page 16 of 16

ATTACHMENT 2
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ATTACHMENT 3
UPDATED LOA'S

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
DIvision of Water Resources 15A NCAC 02T .1100 — 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting
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 .1100. 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 Land Application Site 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.
❑ 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: Granville Farms Inc.
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)
CB 1 & 2
No
Row Crop/Small Grains
Animal Consumption
No -Till
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 length 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 Page 1 of 3

L 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, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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; copy 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.
H. 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.
HL ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I07(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)
® A re -defined compliance boundary is not needed for this site.
1V. 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. 1 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. °+ 2 /�
Landowner name: �``�f 4r, E+�%� / N k'C �0
Address: X'001 Pt kqr. W-0
��� P� City: �iI7� State: %t t � t Zip:
IV
Phone: " E-mail address:
Signature: 4pr Date:
NORTH CAROLINA, G rakl V ► -11 COUNTY
1, the undersigned Notary Public do hereby certify that Cu r � is L° 8 ro w n
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the /
day of &b rucc r`U • 20
Signature and seal:
i
My commission expires: 0 LI-0S--90,2I
Lessee's/Operator's Certification:
►'�sea�e�<.
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: OgA7'Ct� i A 6&A./
Address: /'ldi OX Ocab[ l * CD �n p.
City: �e rState: �C t Zip: ! O & 7
Phone: a7l �� !A 1 E-mail address: o
Signature: �jrli�+ Date: as
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
Signature:
Date: a2 — 7'020aoZ--
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
DIvision of Water Resources 15A NCAC 02T .1100 — 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting
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 .1100. 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 Land Application Site 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.
❑ 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: Granville Farms Inc.
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)
RL 1
Yes
Row Crop/Small Grains
Animal Consumption
No -Till
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 length 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 Page 1 of 3

L 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, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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; copy 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.
H. 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.
HL ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I07(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)
® A re -defined compliance boundary is not needed for this site.
1V. 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 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:
Address: 1 \ `-I,' `> Cam. C c t, C>
City: _ "14e_ State: NAn, Zip:
Phone: 3 �j`�--5�7 i E-mail address: UD keW G C P^(3�jP`m'�""'`�' C"`
Signature: Date: q]a / a-x
� �er
NORTH CAROLINA, R COUNTY
1, the undersigned Notary Public do hereby certify that Y V I Ob I ff 14ais
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 31-0(
day of Z
Signature and seal:
My commission expires:
Lessee's/Operator's Certificatior
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:lE1,14 ? S � h 6 k%'J
Address: 0Cgq/—i��IC N W dn4( U 1
City: �l�e joi-cl State: �� �� Zip: X?O V
Phone: ,5��� 3 E-mail address: • c�
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:
Signature:
Date: 02��3 &2, 02 02-
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
DIvision of Water Resources 15A NCAC 02T .1100 — 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting
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 .1100. 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 Land Application Site 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.
❑ 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: Granville Farms Inc.
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)
TW 1 & 2
Yes
Row Crop/Small Grains
Animal Consumption
No -Till
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 length 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 Page 1 of 3

L 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, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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; copy 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.
H. 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.
HL ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0I07(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)
® A re -defined compliance boundary is not needed for this site.
1V. 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. 1 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. f
Landowner name: t\ e_ Gi ]Alav l�
Address: D •a - �C �Ci, 7
City: Ll!�_ c�e,State: �'�� C Zip;
Phone: 12So2 ag-:�-' :-17 p E-mail address:
qq /�
Signature: J4 Date: I - 7 —
NORTH CAROLINA, Gir4n VI'/ COUNTY
I, the undersigned Notary Public do hereby certify that %`t e,/ma, 4)u,/ Aaig
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of 1r,6L) r,(t) 120
- Signature -and seal:__Y�C�+4
My commission expires: Uy -os- :2oa.1
Lessee's/Operator's Certification:
I certify that I have read this Agreement and
,d�ohere
Lessee/operator name:
Address: U raj
0
agree to abide by the stipulations and restrictions as specified herein.
City: 0&141—CV4y Stater" e Zip:
Phone: r E-mail address:
Signature: ze Date: e2
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
Signature:
Date: 1; —1)
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 —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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting
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 .1100. 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 Land Application Site 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.
❑ 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: Granville Farms Inc.
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)
JBS 1-4/6-10/12-14
Yes
Row Crop/Small Grains
Animal Consumption
No -Till
16/26
JBS 11/15/17-19
Yes
Bermuda Hay
Animal Consumption
JBS 20-22/32
Yes
Fescue Hay
Animal Consumption
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 length 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 Page 1 of 3

L 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, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
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; copy 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.
H. 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.
HLALTERNATIVES 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: JBS 12 and JBS 21
(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)
❑ 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 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.
Landownername: JBS Group, LLC
Address: PO Box 1396
City: Oxford
State: NC
Zip: 27565
Phone: [phone] E-mail address:
Signature: Date:
NORTH CAROLINA, arc,,yLv ,- l l e_ COUNTY
I, the undersigned Notary Public do hereby certify that To —don frin A-1%
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of F} t/�g t w 2
Signature and seal: cwta
My commission expires: G V —or-
y
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/operator name:
Granville Farms Inc.
Address: PO Box 1396
City: Oxford
State: NC
Zip: 27565
Phone: [phone] E-rnAl address:
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: Jason Smyth,, Vice
Signature:
Date: ellal,;Za 02
FORM: LOA 06-16 Page 3 of 3