WQ0000455_Modification_20220715

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
Yes No
Permit Number (IR) * WQ0000455
Applicant/Permittee Lewis Farms and Liquid Waste, Inc.
Applicant/Permittee Address 8155 Malpass Corner Road, Currie, NC 28435
Is the owner in BIMS? Yes No Is the facility in BIMS? Yes No
Owner Type
Facility Name
County
Fee Category
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Organization
Lewis Farms and Liquid Waste Class B Residuals Program
Fender
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
Fee Amount $395
Complete App Date 07/15/2022
Below list any additional email address that need notification about a new project.
... ... ..
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Name* Martin Mabe
Email Address*
[e-mail]
Project Information
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
3363121396
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
hftps://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Perm it Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number: *
WQ0000455
Has Current Existing permit number
Applicant/Permittee*
Lewis Farms and Liquid Waste, Inc.
Applicant/Permittee Address*
8155 Malpass Corner Road, Currie, NC 28435
Facility Name*
Lewis Farms and Liquid Waste Class B Residuals Program
Please provide comments/notes on your current submittal below.
Permit Modification request to add one (1) additional source: Prestage Farms - Ingold Truck
Wash Lagoon (200 DT's/annually). Check for major modification fee will be mailed today.
Please contact Martin Mabe with any questions regarding the permit modification request.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
WQ0000455 Permit Modification. pdf 7.32MB
Upload only 1 PDF document (less than 250 Me). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality (NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617

Signature
Submission Date 7/12/2022

APPLICATION FOR
PERMIT MODIFICATION
NON -DISCHARGE PERMIT
WQ0000455
Prepared for:
Lewis Farms and Liquid Waste, Inc.
8155 Malpass Corner
Currie, North Carolina 28435
Prepared by:
Willcox & Mabe Soil Solutions, PLLC
7231B Summerfield Road
Summerfield, North Carolina 27358
willcox&mabe
SOIL SOLUTIONS
July - 2022

Willcox&mabe
SOIL SOLUTIONS
July 11, 2022
NCDEQ/DWR
Water Quality Permitting Section
Non -Discharge Branch
512 N. Salisbury Street, 9`h Floor, Office #942X
Raleigh, North Carolina 27604
Attention: Non -Discharge Permitting Unit
Reference: Application For Permit Modification
Permit No. WQ0000455
WMSS Job No. 15-20 Ph: 01
Non -Discharge Permitting Unit:
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting this Permit Modification application
on behalf of Lewis Farms and Liquid Waste, Inc. (Lewis Farms). Lewis Farms is requesting to add
the following source: Prestage Farms — Ingold Track Wash Lagoon - 200 Dry Tons annually. No
further modifications are being requested at this time. Analytical used for this application was
collected in the 2020 calendar year. WMSS assumes that the current analytical would be similar
since there has been no operational changes at the facility. Prior to any land application activities
being performed in the future, new analytical will be collected and verified that it meets all
regulations. It should also be noted that no changes have been made to the existing Operations and
Maintenance Plan, therefore it has not been included in this application.
If there is any further information required or questions regarding this application please do not
hesitate to contact WMSS, Mr. Martin Mabe at 336-312-1396 for further assistance.
Sincerely,
WMSS, PLLC
Martin Mabe
Partner
cc: Lewis Farms
SharedlWMSS Projects12015115-20 Lewis Farms12022 Permit Modifcation`Prestage Farms - Ingold Truck Wash LagooM2022
Permit Mod Pkg.doc
Willcox & Mahe Soil Solutions, PLLC / 7231 B Summerfield Road / Summerfield, NC 27358 I Rob 336.339.9128 or
Martin 336.312.13961 www.willcoxmabesoil.com

TABLE OF CONTENTS
APPENDIX: TITLE
RLAP - APPLICATION FORM
II RSC - SOURCE ADDITION

APPENDIX I - RLAP - APPLICATION FORM

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittiniz Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T . 1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 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.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .010G b . An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
® If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
® Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification'
Major (land are permitted for > 300 acres) $1,310 $395
Minor (land are permitted for < 300 acres) $810 $245
' - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit-
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC I C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Pagel of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
® For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with I5A NCAC 02T .I 110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring,
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102{ 12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (Ail New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of 11 " by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://www.ncwater.org/Ruies Policies and Re ulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .I 104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: http://www.ncwater.org/Rules Policies and_ Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
BY-U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

Im State of North Carolina
DW
Department of Environmental Quality KDivision of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Lewis Farms and Liquid Waste, Inc.
Applicant type: ❑ IndividuaI ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Wesley Wooten Title: President
Applicant's mailing address: 8155 Malpass Corner Road
City: Currie State: NC Zip: 28435-
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Martin Mabe License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: WMSS, PLLC)
Consultant's mailing address: 7231B Summerfield Road
City: Summerfield State. NC Zip: 27358-
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name. Martin Mabe License Number:
Affiliation: ❑ NIA ❑ On Staff ® Retained (Firm: WMSS. PLLC)
Agronomist's mailing address: 7231 B Summerfield Road
City: Summerfield State: NC Zip. 27358-
Telephone number: [phone] Email Address: [e-mail]
4. Soil Scientist's name: Rob Willcox License Number: 1098
Affiliation: ❑ NIA ❑ On Staff ® Retained (Firm: WMSS. PLLC)
Soil Scientist's mailing address: 7231 B Summerfield Road
City: Summerfield State: NC Zip: 27358-
Telephone number: (36) 339-9128 Email Address: [e-mail]
5. Fee submitted: $395.00 (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ® modified, ❑ renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00000455
Date of most -recently issued permit: March 15 2018
Date of most -recently certified Attachment A (if different than the permit): July 2, 2021
Date of most -recently certified Attachment B (if different than the permit): March 15, 2018
FORM: RLAP 06-16 Page L of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 8155 Malpass Corner Road
City: Currie State: NC Zip: 28435-,
Coordinates: Latitude: 38°28' 29" Longitude: 78105' 47"
Datum: NAD83
Method of measurement. MAP
Level of accuracy: Nearest second
2. County where residuals land application program is headquartered: Pender
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Wesley Wooten
Coastal Farms
993105
Back -Up ORC
Martin Mabe
WMSS, PLLC
22753
Additional Back -Up
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrozen Summa : Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 2,517 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
36.45
43,01
84,995
100,304
Five -Year Maximum Adjusted
55.73
62.29
129,954
145,263
b. Land Application Site Use Sranmary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or .Plantation
Row Crops
385.6
Corn, Soybean, Small Grain
Hay
57.2
Bermuda
Pasture
Total:
442.8
Methods
Surface
442.8
Incorporation or Injection
442.8
Total:
442.8
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application Summarp: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(Ibs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
1,700
2,006
2,599
2,905
100
850
1,003
1,300
1,453
150
567
669
866
968
200
425
502
650
726
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.): NIA
7. Specify type of residuals program (See Instruction 0: ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application sites) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
1V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
�l�y,
Land Application Site
Certificadon.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM (N/A)
1. The irrigation system is: ❑ Spray ❑ Drip
2, Disposal system is: ❑ existing ❑ proposed,
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation;
Soil Series
Fields within Soil Area
Recommended
Loading Rate
(in/hr)
Recommended
Loading Rate
6_ Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
(ft2)
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate ( allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
fe
Nozzle capacity
gpm
Nozzle manufacturer / model
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes ❑ No, Explain;
I, Wesley Wooten President
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Lewis Farms and Liquid Wastes. Inc.
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if a[] required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: 7/ 11 /2022
FORM: RLAP 06-16 Page 5 of 5

APPENDIX II - RSC - APPLICATION FORM

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the later Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals duality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 1I-15) 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.
❑ For new or renewed permits, submit a separate certification for each source facility.
® For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "14ai) Guidance [or
Residuals Land A a plication Permits
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

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Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I . Facility Name: Prestage Farms — Inaold Truck Wash Lagoon
2. Facility permit holder is: ❑ Federal, ❑ State, ❑ Local Government, or ® Private.
Facility permit issued by: ® Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Randall N. Barefoot, Director. Land & Nutrient Management
Complete mailing address: Post Office Box 438
City: Clinton State: NC Zip: 28329-
Telephone number: (9I0) 596-5812 E-mail address: ratic] ybarefooL@12restaQel'arius.coin
4. Facility physical address: 4661 Edmond Mathis Road
City: Inaold State: NC Zip: 28446-
Coordinates: Latitude: 341149' 23" Longitude: 78' 19' 27"
Datum: NAD83 Level of accuracy: nearest second
Method of measurement: MAP
5. Purpose of the facility:
❑ treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
® other (explain: truck wash for poultry transport vehicles ).
6. Does the facility have an approved pretreatment program: ❑ Yes ® No
7. Facility permitted/design flow: 0.016 MOD and facility average daily flow: NIA MGD
8. Average amount of residuals being generated at this facility < 50 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 286.923 ft' lagoon
Type and volume of residuals storage (i.e., outside of residuals treatment units): 286,923 ft' lagoon same as treatment
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
❑ 40 CFR Part 503 or ® 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Pagel of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CPR §261.21-
261.24: ❑ yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Environmental Chemists. Inc. and Date of analysis: 12/2120
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >200 OF (> 140°F)
Passed reactivity test: ® yes ❑no. HCN: 2_0 mg/kg (<250) & H2S: 9_2 mg/kg (<500)
TCLP Parameter
Limit
(n79/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
<1.0
HexachIorobenzene
0.13
<0.050
Barium
100.0
<1.0
Hexachloro-1,3-Butadiene
0.5
<0.050
Benzene
0.5
<0.01
Hexachloroethane
3.0
<0.050
Cadmium
1.0
<1.0
Lead
5.0
<1.0
Carbon Tetrachloride
0.5
<0.01
Lindane
0.4
<0.0005
Chlordane
0.03
<0.02
Mercury
0.2
<0.0002
Chlorobenzene
100.0
<0.01
Methoxychlor
10.0
<0.0005
Chloroform
6.0
<0.0I
Methyl Ethyl Ketone
200.0
<0.05
Chromium
5.0
<1.0
Nitrobenzene
2.0
<0.050
m-Cresol
200.0
<0.050
Pentachlorophenol
100.0
<0.250
o-Cresol
200.0
<0.050
Pyridine
5.0
<0.050
p-Cresol
200.0
<0.050
Selenium
1.0
<1.0
Cresol
200.0
<0.050
Silver
5.0
<1.0
2,4-D
10.0
<0.0003
Tetrachloroethylene
0.7
<0.01
1,4-Dichlorobenzene
7.5
<0.050
Toxaphene
0.5
<0.05
1,2-Dichloroethane
0.5
<0.01
Trichloroethylene
0.5
<0.01
I,1-Dichloroethylene
0.7
<0.01
2,4,5-Trichlorophenol
400.0
<0.050
2,4-Dinitrotoluene
0.13
<0.050
2,4,6-Trichlorophenol
2.0
<0.050
Endrin
0.02
<0.0005
2,4,5-TP (Silvex)
1.0
<0.0003
Heptachlor and its Hydroxide
0.008
<0.0005
Vinyl Chloride
0.2
<0.01
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For DistributionlLand Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Environmental Chemists. Inc. and Date of analysis: 7/13/20
Parameter
Ceiling
Concentration Limits
(ClassA c& ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(m91k9)
Result
(mg/kg)
Arsenic
75
41
<65.5
Cadmium
85
39
<65.5
Copper
4,300
I,500
1,280
Lead
840
300
<65.5
Mercury
57
17
<4.11
Molybdenum
75
n/a
<65.5
Nickel
420
420
<65.5
Selenium
100
100
<65.5
Zinc
7,500
2,800
3,210
b. For Surface Disposal Unit land rll : Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(niglkg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ ? 125
62
450
420
Result (mglkg)
FORM: RSC 06-16 Page 3 of 5

5. NutrientlMicronutrient Determination: Complete the following:
a. Total solids: 0.38 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Environmental Chemists. Inc. and Date of analysis: 7/13120
Parameter
Result
(inglkg)
Aluminum
4,710
Ammonia -Nitrogen
17,900
Calcium
33,200
Magnesium
13,000
Nitrate -Nitrite Nitrogen
20.7
pH (Standard Unit)
7.38
Phosphorus
63,200
Potassium
16,600
Sodium
13,500
Total Kjeldahl Nitrogen
51,600
c. Using the results listed in Item II, 5b. above, calculate the sodium adsorption ration (SAR): 0.977
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 20 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: NIA
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table.
Application Method
First 0") Year PAN
Five -Year
Maximum Adjusted PAN
(mg1kg)
(nig/kg)
Surface
15,711
20,897
Injection/Incorporation
24,661
29,847
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: NIA
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative I [I5A NCAC 02T.I106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T. 1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T. 1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
❑ Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration.
® Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ® lime stabilization.
c. For Sur ace Disposal.
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above,
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item I1. 7b. above.
❑ Exempt- If Daily Cover Alternative is chosen in Item II.8. below [ 15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Vector Attraction Reduction (VAR): Per I5A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [I5A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T. 1 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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PROCESS FLOW NARRATIVE
Prestage Farms, Inc. — Ingold Truck Wash Lagoon
Non -Discharge Permit — Residuals Land Application Program
LAND APPLICATION OF CLASS B RESIDUALS
Wastewater Process
The Ingold Truck Wash consists of a 16,000 gallon per day (GPD) wastewater treatment and
irrigation facility consisting of a one foot deep concrete trench; four settling tanks; a pump
station with two 170 gallon per minute (gpm) pumps; a 286,923 cubic foot (ft3) storage lagoon
with 60 millimeter (nun) synthetic liner; a 9.69 acre solid set sprinkler system; and all associated
piping, valves, controls and appurtenances.

QUANTITATIVE JUSTIFICATION
Prestage Farms, Inc. — Ingold Truck Wash Lagoon
Non -Discharge Permit— Residuals Land Application Program
Requested Maximum Dry Tons per Year — 200
LAND APPLICATION OF CLASS B BIOSOLIDS
• Sludge survey by sonar indicated approximately 990,000 gallons of sludge in the storage lagoon
• Assume 1,000,000 gallons at 2% Solids = 83.4 Dry Tons
• Conservative estimate of total Dry Tons for permitting = 200 Dry Tons

SAMPLING AND MONITORING PLAN
Prestage Farms, Inc. — Ingold Truck Wash Lagoon
Non -Discharge Permit — Residuals Land Application Program
LAND APPLICATION OF CLASS B RESIDUALS
The Ingold Truck Wash Lagoon Class B Residuals will be monitored to confirm compliance
with conditions within the Permit, to include:
• Toxicity Characteristics Leaching Procedure (TCLP),
• Reactivity, Ignitability and Corrosivity,
• 15A NCAC 02T .1105 Pollutant Limits and nutrient analysis,
• Pathogen and Vector Attraction Reduction Monitoring (when applicable),
• Representative Soil Analysis of each field which receives land application during each
respective year,
• Any other applicable Permit conditions.
Names and/or titles of personnel responsible for conducting the sampling and monitoring:
• Randy Barefoot — Director, Land & Nutrient Management
Nutrient and metal concentrations (15A NCAC 02T .1105 Pollutant Limits and nutrient
analysis), in the Ingold Truck Wash Class B Residuals shall not exceed the following Ceiling
Concentrations (i.e., dry weight basis) or Cumulative Pollutant Loading Rates (CPLRs) and will
be obtained in accordance with permit monitoring frequencies based upon annual dry tons land
applied:
Parameter
Ceiling Concentration
CPLR
(milligrams per kilogram)
(pounds per acre)
Arsenic
75
36
Cadmium
85
34
Copper
4,300
1,338
Lead
840
267
Mercury
57
15
Molybdenum
75
n/a
Nickel
420
374
Selenium
100
89
Zinc
7,500
2,498
The Ingold Truck Wash Class B ResiduaIs shall be analyzed to demonstrate it is non -hazardous
under the Resource Conservation and Recovery Act (RCRA). The analyses [corrosivity,
ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)] shall be
performed once per permit cycle.
1

TCLP shall include the following parameters (the regulatory level in milligrams per liter is in
parentheses):
An analysis shall be conducted for the Ingold Truck Wash Lagoon Class B Residuals based on
conditions (monitoring frequencies) set forth in the Permit. The analysis shall include the
following parameters:
Aluminum Magnesium Potassium
Ammonia -Nitrogen Nickel Sodium
Cadmium Nitrate -Nitrite Nitrogen, Total Kjeldahl Nitrogen (TKN)
Calcium Percent Total Solids Zinc
Copper H Plant Available Nitrogen
pP p (by calculation)
Lead Phosphorus Sodium Adsorption Ratio
(SAR)
Pathogen Reduction Monitoring will be conducted to demonstrate compliance with lime
stabilization where sufficient lime/alkali will be added to raise the pH to 12 after two hours of
contact, a Process to Significantly Reduce Pathogens (PSRP) for Class B Residuals - Alternative
2 [15A NCAC 02T .1106(c)(2)]
Vector Attraction Reduction Monitoring will be conducted to demonstrate compliance with
lime stabilization where the residuals will be raised to a pH of 12 or higher by lime/alkali
addition and, without the addition of more lime/alkali, shall remain at 12 or higher for two hours
and then at 11.5 or higher for an additional 22 hours - Alternative 6 [15A NCAC 02T
1107(a)(6)]

ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax
info@e nvironmcntalchenlists. cam
Prestage Farms
Date of Report: Jan 08, 2021
P. O, Box 438
Customer PO #:
Clinton NC 28328
Customer ID: 09010051
Attention:
Report #: 2020-20484
Project ID: Ingold Truck Wash
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-52171 Site: lagoon
12/2/2020
1:20 PM Solid/Sludge jcblenvirochem
Test
Method
Results
Date Analyzed
Chlordane (TCLP)
SW 846 Method 80818l3510
<0.02 mg/L
12/08/2020
Endrin (TCLP)
SW 846 Method 8081B13510
<0.0005 mg/L
12/08/2020
Heptachlor (TCLP)
SW 046 Method 808113/3510
<0.0005 mg/L
12/08/2020
Heptachlor epoxide (TCLP)
SW 846 Melhod 8001/313510
<0.0005 mg/L
12/08/2020
Lindane (TCLP)
SW 846 Method 8081813510
<0.0005 mg/L
12/08/2020
Methoxychlor (TCLP)
SW 846 Method 8081B13510
<0.0005 mg/L
12/08/2020
Toxaphene (TCLP)
SW 846 Method 8081 B13510
<0.05 mg/L
12/08/2020
1,4-Dichlorobenzene (TCLP)
SW 846 method 827013510
<0.050 mg/L
12/08/2020
2,4,5-Trichlorophenol (TCLP)
SW 846 method 827013510
<0.050 mg/L
12108/2020
2,4,6-Trichlorophenol (TCLP)
SW 846 method 827013510
<0.050 mglL
12/08/2020
2,4-Dinitrotoluene (TCLP)
SW 846 method 8270/3510
<0.050 mg/L
12/08/2020
Cresol (TCLP)
SW 846 method 827013510
<0.050 mg/L
12/08/2020
Hexachloro-1,3-butadiene (TCLP)
SW 84B method 827013510
<0.050 mg/L
12/08/2020
Hexachlorobenzene (TCLP)
SW 846 method 8270/3510
<0.050 mg/L
12/0812020
Hexachloroethane (TCLP)
SW 846 method a27013510
<0.050 mg/L
12/08/2020
m + p-Cresol (TCLP)
SW 846 method 8270/3510
<0.050 mg1L
12/08/2020
Nitrobenzene (TCLP)
SW 846 method 8270/3510
<0,050 mg/L
12/08/2020
o-Cresol (TCLP)
SW 846 method 827013510
<0.050 mg/L
12/08/2020
Pentachlorophenol (TCLP)
SW 846 method 8270/3510
<0.250 mg/L
12108/2020
Pyridine (TCLP)
SW 64e method 8270/3510
<0.050 mg/L
12/08/2020
2,4,5-TP (TCLP)
SW845 Method 8151A
<0.0003 mg/L
12/09/2020
2,4-D (TCLP)
SW846 Method 8151A
<0.0003 mg/L
12/09/2020
1,1-Dichloraethylene (TCLP)
SW846 Method 8260/5030
<0.01 mg/L
12/08/2020
1,2-Dichloroethane (TCLP)
SW646 Method 8260/5030
<0,01 mg/L
12/08/2020
Benzene (TCLP)
SW846 Method 826015030
<0.01 mg/L
12/08/2020
Carbon Tetrachloride (TCLP)
SW046 Method 8260/5030
<0.01 mg/L
12/08/2020
Report il:: 2020-20484
Page 1 at 3

1;
envirochem'
y r
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
710 Sowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
235-A Wilmington Highway, Jacksonville, NC 28540 + 910.347,5843 Lab/Fax
infoCenvironmen talchemists.com
Prestage Farms
Date of Report: Jan 08, 2021
P. O. Box 438
Customer PO #:
Clinton NC
28328
Customer ID: 09010051
Attention:
Report #: 2020-20484
Project ID: Ingold Truck Wash
Chlorobenzene (TCLP)
SW846 Method826015030
<0.01 mg/L
12/08/2020
Chloroform (TCLP)
SW846 Method 0260/5030
<0.01 mg/L
12/08/2020
Methyl ethyl ketone (TCLP)
SW846 Method 8260/5030
<0.05 mg/L
12/0812020
Tetrachloroethylene (TCLP)
SW846 Method 0260/5030
<0.01 mg/L
12108/2020
Trichloroethylene (TCLP)
SW846 Method 0280/5030
<0.01 mg/L
12/08/2020
Vinyl Chloride (TCLP)
SW846 Method 826015030
<0.01 mg1L
12/08/2020
RCI
Cyanide
SM 4500 cN D
2.00 mg/kg
12/07/2020
Sulfide
SM 4500 S o
9.20 mg/kg
12107/2020
Ignitability
SW 846 method 1010
>200 °F
12/11/2020
Sludge Residuals
Aluminum
EPA 200.7
96.5 mg/kg
12/08/2020
Calcium
EPA 200.7
421 mg/kg
12/08/2020
Chromium
EPA 200.7
0.507mg/kg
12/08/2020
Copper
EPA 200.7
27.0 mglkg
12/08/2020
Lead
EPA 200.7
<0.485 mg/kg
12/08/2020
Magnesium
EPA 200.7
102 mg/kg
12/08/2020
Nickel
EPA 200-7
0.509 mg/kg
12/08/2020
Potassium
EPA 200.7
88.9 mg/kg
12/08/2020
Sodium
EPA 200.7
58.2 mg/kg
12/14/2020
Zinc
EPA 200.7
81.2mg/kg
12/15/2020
Nitrate+Nitrite-Nitrogen
EPA 353.2
0.17 mg/kg
12/10/2020
Total Solids {%)
SM 2540 B
0.13 %
12/04/2020
pH
SM 4500 H B
7.10 units
12/09/2020
Ammonia Nitrogen
SM 450D NH3 C
48.1 mg/kg
12/06/2020
Total Kjeldahl Nitrogen (TKN)
SM 4500 Org B
172 mg/kg
12/06/2020
Total Phosphorus
SM 4500 P F
175 mg/kg
12/11/2020
Mercury
SW8467471B
<0.0167mglkg
12/10/2020
TCLP Metals
Arsenic
EPA 200.7
<1.0 mg/L
12/11/2020
Repart #.: 2020-20484
Page 2 of 3

Environmental Chemists Inc.
�t
6602 Windmill Way, Wilmington, NC 28405 • 910.392.0223 Lab • 910.392.4424 Fax
sM
710 Bowsertown Road, Manteo, NC 27954 ' 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347,5843 Lab/Fax
ANALYTICAL & CONSULTING CHEMISTS
[e-mail]
Prestage Farms
Date of Report: Jan 08, 2021
P. O. Box 438
Customer PO #:
Clinton NC 28328
Customer ID: 09010051
Attention:
Report #: 2020-20484
Project ID: Ingold Truck Wash
Barium
EPA 200.7
- .—... <1.0 mg/L _- 12/11/2020
Cadmium
EPA 200.7
<1.0 mg/L 12/11/2020
Chromium
EPA 200.7
<1.0 mg/L 12/11/2020
Lead
EPA 200.7
<1.0 mg/L 12111 /2020
Selenium
EPA 200.7
<1.0 mg/L 12/11/2020
Silver
EPA 200.7
<1.0 mg1L 12/15/2020
Mercury
EPA 245.1
<0.0002 mg/L 12/10/2020
Lab ID Sample ID:
Collect Date/Time Matrix Sampled by
20-52171A Site: lagoon
12/2/2020 1:20 PM Solid/Sludge jcblenvirochem
Test
Method Results Date Analyzed
Arsenic
EPA 200.7
163 mg/kg 01/06/2021
Cadmium
EPA 200.7
<46.2 mglkg 01/06/2021
Molybdenum
EPA 200.7
70.0 mg/kg 01/06/2021
Selenium
EPA 200.7
<46.2mg/kg 01/06/2021
Comment: Sludge residuals, except pH, reported on a dry weight basis. pH reported on an as received basis
Reviewed by: �.
Report #:: 2020-20484 •.—.--• - "—_'• Page 3 of 3

Environmental Chemist, Inc., Wilmington, NC Lab #94
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
910.392.0223
Client: —42� Date: Z Report Number: )-V ! z VDU
Receipt of sample: E HEM Pickup K Client Delivery ❑
JUPS ❑ FeclEx ❑ Other ❑
❑ YES
I0 NO N/A
If. Were custody seals present on the cooler?
❑ YES
10 NO N/A 12.
If custody seals were present, were they intact/unbroken?
Original temperature upon receipt °C Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank Jq Against Bottles
IR Gun ID: Thomas Traceable S/N 192511657 IR Gun Correction Factor °C: 0.0
vrr I r-1
u
L4%A
J. 11 cr11,FJcrdw1e ui ccumer exceeoeu n l., was vroject mgr.tQA notifieof
YES
❑
NO
4. Were proper custody procedures (relinquished/received) followed?
YES
❑
NO
5. Were sample ID's listed on the COC?
YES
❑
NO
6. Were samples ID's listed on sample containers?
YES
❑
NO
7. Were collection date and time listed on the COC?
YES
❑
NO
8. Were tests to be performed listed on the COC?
YES
❑
NO
9. Did samples arrive in proper containers for each test?
YES
❑
NO
10. Did samples arrive in good condition for each test?
YES
❑
NO
111. Was adequate sample volume available?'
YES
❑
NO
12. Were samples received within proper holding time for requested tests?
❑
YES
❑
NO
13. Were acid preserved samples received at a pH of <2?
❑
YES
❑
NO
14. Were cyanide samples received at a pH >12?
❑
YES
❑
NO
15. Were sulfide samples received at a pH >9?
❑
YES
❑
NO
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L? **
❑
YES
❑
NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
❑
YES
❑
NO 118.
Were orthophosphate samples filtered in the field within 15 minutes?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
** Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet.
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): H2SO4 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples, Obtain a new sample or
notify the state lab if directed to analyzed by the customer. who was notified, date and time:
Volatiles Sample(s) were received with headspace
COMMENTS:
DOC. QA.002 Rev 1

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LEWIS FARMS
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: July 13, 2020
Prestage Farms - Ingold Truck Wash Lagoon Permit No. WQ0000455
0.38 % Solids
7.38 pH
Parameter
I %
JMg/KgDryWeigJ
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg(Mg/Kg x 0.002)
Nitrogen (TKN)
5.160
51,600.000
103.200
Phosphorus
6.320
63,200.000
126A00
Potassium
1.660
16,600.000
33.200
PAN (injected)*
2.466
24,660.700
49.321
PAN (surface)*
1.571
15,710.700
31.421
Ammonia Nitrogen
1.790
17,900.000
35.800
Calcium
3.320
33,200.000
66,400
Calcium Carbonate E .
---
---
Magnesium
---
I3,000.000
26.000
Sodium
---
13,500.000
27,000
Sulfur
___
---
Nitrate N / Nitrite N
---
20.700
0.041
Barium
---
---
SAR
0.98
Chloride
---
---
---
Iron
---
---
---
Ceiling Concen.
(Mg/Kg)
Aluminum
---
4,710.00
9.420
Arsenic
---
65.50
0.131
75
Cadmium
---
65.50
0.131
85
Chromium
---
65.500
---
--
Copper
---
1,280.00
2.560
4,300
Lead
---
65.50
0.131
840
Mercury
---
4.11
0.008
57
Molybdenum
---
65.50
0.131
75
Nickel
---
65.50
0.131
420
Selenium
---
65.50
0.131
100
Zinc
---
3,210.00
6.420
7,500
6nvironmentatl Chemists, Inc. # 2020-1 1531
*Determination of Plant Available Nitrogen (PAN).
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection Iimits are listed as detection limits
for calculation purposes.

•19
'f
�
� 7f if eK,'
A7
�i
ANALYTICAL & CONSULTING CHEMISTS
Environmental Chemists, Inc.
6602 Windmill Way, Wilmington, NC 28405 - 910.392.0223 tab a 910-392,4424 Fax
710 Bowsertown Road, Manteo, NC 27954 0 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 a 910.347.5843 Lab/Fax
info;Q environrrten talchernists,com
Prestage Farms
Revised Report: Sep 09, 2020
P. 0, Box 438
Original Report Date: Jul 30, 2020
Clinton NC
28328
Report #r: 2020-11531
Attention: Randy Barefoot
Customer ID: 09010051
Project 1D: ingold Truck Wash
Lab ID Sample ID:
Collect DatelTime Matrix Sampled by
20-28946 Site: Ingold Trailer WashlVVWTF PPI
7/13/2020 2:10 PM Solid/Sludge jcblenvirochem
001
Test
Method
Results
Data Analyzed
PAN
Catculatlon
19100 mglkg
09/09/2020
Sludge Residuals
Aluminum
EPA 200.7
4710mglkg
07/25/2020
Arsenic
EPA 200.7
<65.5 mglkg
07/25/2020
Cadmium
EPA 200.7
<66.5 mglkg
07/25/2020
Calcium
EPA 200.7
33200mglkg
07/25/2020
Chromium
EPA2001
<65.5 mglkg
07/2512020
Copper
EPA 200.7
1280 mglkg
07/25/2020
Lead
EPA 200.7
<65.5 mglkg
07/25/2020
Magnesium
EPA 200.7
13000 mglkg
07/25/2020
Molybdenum
EPA2-00.7
<65.5mglkg
07/25/2020
Nickel
EPA 200.7
<65.5 mg/kg
07/2512020
Potassium
EPA 200.7
16600mglkg
07/25/2020
Selenium
EPA200.7
<65.6 mg/kg
07/25/2020
Sodium
EPA 200.7
13500mglkg
07/25/2020
Zinc
EPA 200.7
3210 mglkg
07/2512020
Nitrate+Nitrite-Nitrogen
EPA 3$3.2
20.7 mglkg
07/24/2020
Total Solids (%)
SM 2540 B
0.38 %
07/1412020
pH
SM 4500 H B
7.38 units
0711612020
Ammonia Nitrogen
SM 4$00 tarts c
17900 mglkg
07/14/2020
Total Kjeldahl Nitrogen (TKN)
SM 4500 Org B
51600 mg/kg
07/14/2020
Total Phosphorus
SM 4500 P F
63200 mglkg
07/17/2020
Mercury
SW846 74718
<4.11 mglkg
07/14/2020
Total Nitrogen (calc)
Total Nitrogen
Total Nltragen
51600 mglkg
09/09/2020
Oe—H it.. nnnn 4 4 q 14

Willcox & Mahe Soil Solutions, PLLC
RESIDUAL PAN CALCULATION
Presta a Farms - In old Truck Wash Lagoon
TKN= 51,600 mg/kg
NH3= 17,900 mg/kg
NO3-NO2-N= 20.7 mglkg
Min Rate= 0.20
PAN= Jmin.rate (TKN - NH3) + 0.5 (NH3) + NO3-NO21
0.20 33,700 8,950 20.70
PAN= 15710.70 mg/lcg
Calculate residual nitrogen for years 2,3,4 and 5 following the initial application to determine
the amount of PAN/DT remaining.
2ND YEAR RESIDUAL PAN
PAN= [min.rate (1st year org. - N 2nd year min. - NJ
0.10 33,700 6,740
PAN= 2696.00 mg/kg remaining from 1 st year application
3RD YEAR RESIDUAL PAN
PAN= [min.rate (2nd year org. - N 3rd year min. - NJ
0.05 26,960 2,696
PAN= 1294.08 mg/lcg remaining from 1st year application
4TH YEAR RESIDUAL PAN
PAN= [min.rate Ord year org. - N 4th year min. - NJ
0.03 24,264 1,294
PAN= 765.66 mg/kg remaining from Ist year application
5TH YEAR RESIDUAL PAN
PAN= [min.rate (4th year org. - N 5th year min. - NJ
0.02 22,970 766
PAN= 430.32 mg/kg remaining from I st year application
Residual PAN from years 2 thru 5 after the initial application = 5186.06 mg/kg
Application
Five Year Maximum
Method
First Year PAN
Adjusted PAN
(mg/kg)
(mg/kg)
Surface
15,711
20,897
Incorporation
24,661
29,847
Application
Five Year Maximum
Method
First Year PAN
Adjusted PAN
(Ibs/DT)
(Ibs/DT)
Surface
31.42
41.79
Incorporation
49.32
59.69

SAR
Na mgll
Ca mgll
Mg mgll
51.3
126.16
49.4
Na mil eq
Ca mil eq
Mg mil eq
2.230
6.308
4.117
Enter .% TS
0.38
Na mglkg
13500
Ca mg/kg
33200
Mg mg/kg
13000
Truck
Wash lagoon
Page 1