WQ0030998_Modification_20221209

Initial Review
Reviewer Thornburg, Nathaniel D
Is this submittal an application? (Excluding additional information.)*
Yes No
Permit Number (IR) * WQ0030998
Applicant/Permittee Triple S Farms and Cleaning, Inc
Applicant/Permittee Address PO Box 709 Beulaville, NC 28518
Is the owner in BIMS? Yes No Is the facility in BIMS? Yes No
Owner Type
Facility Name
County
Fee Category Minor
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Organization
Triple S Farms and Cleaning Class B Residuals Program
Duplin
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
Fee Amount $245
Complete App Date 12/09/2022
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* Robert T. Branch
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*
3363129007
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: *
WQ0030998
Has Current Existing permit number
Applicant/Permittee*
Triple S Farms and Cleaning, Inc.
Applicant/Permittee Address*
PO Box 709 Beulaville, NC 28518
Facility Name*
Triple S Farms and Cleaning Class B Residuals Program
Please provide comments/notes on your current submittal below.
Land only minor modification. Check will be sent separately
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.)
2022 Land only Triple S.pdf 13.46MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order and
made payable to the North Carolina Department of Environmental Quality (NCDEQ).
I also confirm that the uploaded document is a single PDF with all parts of the
application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signaturej•

Submission Date 12/8/2022

APPLICATION FOR PERMIT MODIFICATION
PERMIT NO WQ0030998
TRIPLE S FARMS & CLEANING
BEULAVILLE, NORTH CAROLINA
Prepared For:
Triple S Farms & Cleaning, Inc.
PO Box 709
Beulaville, NC 28518
Prepared By:
Branch Residuals & Soils, LLC
1735 Heckle Blvd. Suite 103-291
Rock Hill, SC 29732
December 2022

BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd, Suite 103-291, Rock Hill, SC 29732
PHONE [phone] CELL [phone]
December 7, 2022
NCDENR -Division of Water Resources
Permitting Section— Land Application Unit
Mail Service Center 1617
Raleigh, North Carolina 27699-1617
Attention: Mr. Nathaniel Thornburg
Reference: MODIFICATION OF PERMIT NO. WQ0030998
Triple S Farms Land Application Program
Beulaville, North Carolina
BR&S Job No. 2007-71
Dear Mr. Thornburg:
Branch Residuals & Soils, LLC is under contract with the Triple S Farms to provide assistance in the
preparation of a permit modification for the above referenced facility. For a complete listing of
enclosures with this request, please see the attached Table of Contents. This modification will cover
only the land addition since the source addition was approved earlier this year.
Your attention in the review of this application would be greatly appreciated. Please contact me
immediately if you require additional information or have questions in the review of the permit
application. A minor permit modification fee is enclosed.
Sincerely,
Robert T. Branch, L. S. S.
Project Manager
cc: Mr. Eric Smith — Triple S Farms

FResiduals & SoilsLLC
kle Blvd, STE 103-291
SC 29732
PAYTO THE NCDEQ
ORDER OF
:Two hundred forty-five and 00/100
First Citizens Bank &
Trust Company
Memo I Permit Fee 2007-71 TSF-Permit
FILE COPY III
°°�418 111 ':
Check Details
Check issued: 12/08/2022
Check number: ECK4418
From: Branch Residuals & Soils LLC
Amount: $245.00
Payable to: NCDEQ
Delivered to: None
Memo: Permit Fee 2007-71 TSF-Permit
Activity
This �s a Delu heck The PAY
HE
ORDER OF designates the P. e For
questions I Deluxe Paym chance
Notes
ECK4418
Date 1 12/08/2022
Void after 90 days
$245.00
Dollars
■
VxnN Gwc n1 hltrs tU— cortVvwnN
' FILE COPY
ACTIVITY TYPE
TIME
DATE
Dixie Branch signed check ECK4418 from FC Reg Bus Ck
14:11 PM EST
12/08/2022
Dixie Branch printed check ECK4418
14 11 PM EST
12/08/2022
Dixie Branch printed check ECK4418
14 11 PM EST
12/08/2022
Page 1 of 2

TABLE OF CONTENTS
Section No. Title
RESIDUALS LAND APPLICATION PROGRAM — RLAP 06-16
Copy of Existing Permit
Operations and Maintenance Plan
II Residuals Source Facility Summary
III LAND APPLICATION SITE CERTIFICATION — LASC — 06-16
County Board Notification — CBN-06-16
IV Jonathan Smith Farm
Landowner Agreement Form
Agronomist and Soils Report
Updated Maps
Site Vicinity Map
Buffer Map
V Lonnie Thigpen Farm
Landowner Agreement Form
Agronomist and Soils Report
Updated Maps
Site Vicinity Map
Buffer Map
VI Scott Thigpen Farm
Landowner Agreement Form
Agronomist and Soils Report
Updated Maps
Site Vicinity Map
Buffer Map
VII Mike Williams Farm
Landowner Agreement Form
Agronomist and Soils Report

RESIDUALS LAND APPLICATION PROGRAM - RLAP 06-16

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 FVater Quality Permtitting Section's Non -Discharge Permitting 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 .0106(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 (Maybe Required— See 15A NCAC IC .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 15A NCAC 02T .1110 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 (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I V 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

J.
IN
L.
up
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.
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: htti)://www.ncwater.org/Rules Policies and Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
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.
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.or /g Rules Policies and Regulations/.
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

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
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Triple S Farms & Cleaning, Inc.
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Eric Smith Title: Owner
Applicant's mailing address: Post Office Box 709
City: Beulaville State: NC Zip: 28518-_
Telephone number: [phone] Email Address: trip lesfarms n,yahoo.com
2. Consultant's name: Robert T. Branch License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: Branch Residuals & Soils. LLC.)
Consultant's mailing address: 1735 Heckle Blvd. Suite 103-291
City: Rock Hill State: SC Zip: 29732-
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: Robert T. Branch License Number:
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Branch Residuals & Soils, LLC)
Agronomist's mailing address: Same As Above
City: State: Zip: ---
Telephone number: (_) = Email Address:
4. Soil Scientist's name: Robert T. Branch License Number: 1180
Affiliation: ❑ N/A ❑ On Staff ® Retained (Firm: Branch Residuals & Soils, LLC.)
Soil Scientist's mailing address: Same As Above
City: State: Zip: -_
Telephone number: (_) = Email Address:
5. Fee submitted: $245.00 (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: W00030998
Date of most -recently issued permit: May 3, 2021
Date of most -recently certified Attachment A (if different than the permit): November 3, 20,Y2
Date of most -recently certified Attachment B (if different than the permit): April 18, 2022
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 3770 Highway 24 East
City: Beulaville State: NC Zip: 28518-,
Coordinates: Latitude: 34" 55' 00" N Longitude: 77° 44' 03" W
Datum: NAD 1983 UTM Level of accuracy: F
Method of measurement: Map
2. County where residuals land application program is headquartered: Johnston
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
Land Applier / Triple S
ORC
Eric Smith
Farms
23352
Back -Up ORC
Bob Branch
Branch Residuals & Soils
15676
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 Nitrogen Summary: 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:
b.Maximum amount of residuals to be certified: 1,154 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
25.53
29.85
1 29,456.91
34,447.01
Five -Year Maximum Adjusted
36.63
39.16
1 42,268.92
45,194.33
c. Land Application Site Use Summary: 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
7.5
Row Crops
0
Hay
190.01
Pasture
0
Total:
297.76
Methods
Surface
7.5
Incorporation or Injection
290.01
Row Crop and bermudagrass can be injected
Total:
297.76
FORM: RLAP 06-16 Page 2 of 5

d. Residuals Land Application Summary: 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
Acres Required Using
Acres Required Using
Application Rate
First -Year PAN Concentrations
Five -Year Maximum Adjusted PAN
(Ibs PANIac yr)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
50
589.14
688.94
845.38
903.89
100
294.57
344.47
422.69
451.94
150
196.38
229.65
281.79
301.30
200
147.28
172.24
211.34
225.97
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.):
7. Specify type of residuals program (See Instruction F): ® 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 site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
ty i
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.
E!]�
Land Application Siite
Certification. 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
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(u) 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
in/ r)
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
ftZ)
Number of
Nozzles
Maximum Application
Rate allons/hr)
Design Annual Loading
Rate allons/ r)
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Pa a Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft'-
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authorit% must be in compliance mNith 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 inhere 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;
Owner
(Signature Authority's Name — PLEASE PRINT) (Title)
atte,t that this application for Triple S Farms & Clcaning..lnc. _
(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. I will make no ciainm ag=ainst time Division of Water
Resources should a condition of this permit be violated. I also understand that if all 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 § 143-215.6.A 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 S 10,000 as well as civil penalties up to $25,000 per violation.
Signature:
Date: ---t U�Gc7�.12i—
FORAM: RLAP 06-16 Pa,,e 5 of 5

Triple S Farms Source Compilation
PAN Surface
,,.,,nr., w_
Total PAN For All Sources
Hill
38
9,088
345,354.64
2.3enansville
10
10,045
100,447.20
0.68
allace
330
6,167
2,035,096,80
13.82
Plantation
5
24,050
120,251.00
0.82
[Townse
aulaville
30
24,421
732,628.98
4.97
arsaw
75
13,821
1,036,545.45
7.04
d eton5
15,272
76,361.80
0.52
a sville
15
21,190
317,844.75
2.16
w TW
63
1,867
117,605.25
0.80
MB Rainbow TW
25
8,0211
1 200,534.50
1.36
MB Re Ister TW
63
1,454
91,580.58
0.62
CI a ton
300
20,562
6.168,600.00
41.88
Onwasa Summerhous
35a26
618,467.50
4.20
Onwasa Swansboro
110Onwasa
NW Regin
50
Totals 1154
n.,, .., r;:.,. v,..�
2,207,524.00
14.49
Weighted Aver
559,610.50
3.80
mg/Kg #/I
14,728,452.95
12,762.96
PAN Surface
nmT
TownolRose Hill
38
14,235
540,918.42
2.56
Town of Kenansville
10
16,024
160,237.16
0.76
Town of Wallace
330
8,630
2,847,981.73
13.48
Southwest Plantation
5
37,217
186,085.83
Ult
Town of Beaulaville
30
34,439
1,033,170.82
4.89
Townof Warsaw
75
20,974
1,573,039.91
7.44
Town of Bridgeton
5
24,227
121,134.53
0.57
Town of Maysville
15
32,695
490,428.05
2.32
MB Warsaw TW
63
2,647
166,761.08
0.79
MB Rainbow TW
25
11,160
279,010.12
1.32
MB Re *stet TW
63
2,158
135,979.76
0.64
Cla mn
3W
29,464
8,839,113.78
60.01
Onwasa Summerhou
35
27,814
973,481.85
6.61
Onwasa Swansboro
110
26,449
Onwasa NW Region
50
17,555
NDRLAP Section III 7a. Pagc 4 of 6
PAN
First - Year
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface on
Surface
Injection
25.53 29.85or
29,456.91
34,447.01
Five Year Maximum Adjusted
36.63 1 39.16
42,268.92
1 45,194.33
Application Rate
(Ibs PAN/nc-vr)
First -Year PAN Concentration
Five -Year Maximum Adjust PAN
Concentrations
Surface
ncorporad
on or
Injection
Surface
Incorporation or
injection
tge
50
599.14
688.94
845.38
903.89
IT
100
294.57
344.47
422.69
451.94
'.5.53
150
196.38
229.65
281.79
301.30
200
147.28
172.24
1 211.34
225.97
Most Restrictine
PAN
2,909,368.18 19.7i Weighted Average
877,747.62 5.96 mg/Kg #tDT
21,134,458.85 18,314.09 36A
PAN Injection
Hi
Town of Rose Hill
38
9,608
..........� 365,I I4.64
2.12
Town of Kenansville
10
10,055
I00,545.20
0.58
Townof Wallace
330
8,232
2,716,546.80
15.77
Southwest Plantation
5
26,115
130,576.00
0.76
Town of Beaulaville
30
24,423
732,701.43
4.25
Townof Warsaw
75
13,822
1,036,659.08
6.02
Town of Bridgeton
5
15,306
76.528.80
0.44
Townof Ma sville
15
23,215
348,219.75
2.02
MB Warsaw TW
1 63
2,432
153,200.25
0.89
MB Rainbow TW
25
10,811
270,284.50
1.57
MB Re aster TW
63
1,733
109,189.08
0.63
Clayton 1
300
25,662
7,698,600.00
44.70
Onwasa Summations
35
18,426
644,892.50
3,74
Onwasa Swansboro
Ito
20,464
2,251,084.00
13.07
Onwasa NW Regiona
50
11,787
589,360.50
3.42
Totals
Facility
Weighted Average
mg/Kg #/DT
Acreage Calculation Based On RYE
Field
Acres
RYE
Pounds PAN Per Field
First Crop
Second Cro
First Crop
Second Crop
1
36
299
50
10764
1800
2
12.6
276
50
3477.6
630
3A
14
276
50
3864
700
345
19.6
184
3606.4
0
6
17.3
299
50
5172.7
865
7
11.5
184
2116
0
8
1.5
60
450
0
9
I6.I
299
50
4813.9
805
10
12.8
299
50
38L
640
0
0
Field
Acres
RYE
Pounds PAN Per Field
First Crop
Second Crop
First Crop
Second Crop
LT-1
21.58
293
50
6321.84
1078.81
ST-1
14.05
276
50
3878.79
702.68
ST,
20.30
293
50
5946.77
1014.81
MW-I
10.88
276
50
3003.01
544.02
MW-2A
5.93
293
50
1736.38
296.31
MW-2B
14.47
276
50
3992.70
723.32
MW-3
&91
276
50
1907.81
345.62
MW-4
3.98
276
50
1097.46
198.82
MW-5
1.90
299
50
569.49
95.23
MW-6
6.21
270
50
1675.55
310.29
MW-7
5.36
293
50
1570.49
268.00
Mw-9
9.99
270
50
2698.59
499.74
MW-8
4.72
299
50
1411.07
235.96
1S-t
4.39
276
50
1910.96
219.38
15 ,
3.76
194
50
729.44
188.00
JS4
7.27
194
50
1409.47
363.27
JS-3
8.66
132
50
1143.58
433.18
1154 17,223,502.53 14,925.05 29.85
Addition 150.35
PAN Injection Total 297.75
_.. ..... ...._ __IV_iUnT
Townof Rose Hill
� 38
14,7551
............56O 678.42
2.48
Town of Kenansville
10
16,0341
160,335.16
0.71
Town of Wallace
Southwest Plantation
330
5
10,6951
39,2821
3,529,431.73
196,410.83
15.62
0.87
Town of Beaulaville
30
301
900.00
0.00
Town of Warsaw
75
20,9751
1,573,153,54
6.96
Town of Bridgeton
5
24,260
121,301.53
0.54
Town of Maysville
15
34,720
520,803.05
2.30
MB Warsaw TW
1 63
3.212
202,356.08
0.90
MB Rainbow TW
25
13,950
348,760.12
1.54
MB Register TW
63
2,438
153,588.26
0.68
CIa ton 1
300
34,564
10,369,113.78
45.89
Onwasa Staninerbous
35
28,569
999,906,85
4.42
Onwasa Swansboru
110
26,845
2,952,928.18
13.07
Onwasa NW Region
50
18,150
907,497.62
4.02
Totals 1IM
Weighted Average
mg/Kg #/DT
19,581.60 39.16
78,395.21 12,957.43
116,487.01 18,397.43

Copy of Existing Permit

ROY COOPER
COrern(H
DIONNE DELLFGATTI
Se:returr
S. DANIEL SMITH
Director
ERIC R. SMITH — PRESIDENT
TRIPLE S FARMS AND CLEANING, INC.
POST OFFICE BOX 709
BEULAViLLE, NORTH CAROLINA 28518
Dear Mr. Smith:
ii• F�=r1�
Mangy
NORTH CAROLINA
Environmental Quality
May 3, 2021
Subject: Permit No. WQ0030998
Triple S Famms and Cleaning RLAP
Land Application of
Class B Residuals
Duplin County
In accordance with your permit renewal with major modification request received February 11,
2021, we are forwarding herewith Permit No. WQ0030998 dated May 3, 2021, to Triple S Farms and
Cleaning, Inc. for the continued operation of the subject residuals management program.
Modifications to the subject permit are as follows:
♦ Splitting of Field 3 into Fields 3A and 3B, managed with different cover crops.
♦ The total permitted dry tonnage for the program has been increased to 939 dry tons per
(DT yr) based on changes to the following facilities:
year
Increase of dry tonnage from the Warsaw WWTP (Permit No. NCO021903) in Duplin
County from 38 to 75 DT/yr.
Increase of dry tonnage from the Town of Clayton's Little Creek WRF (Permit No.
NCO025453) in Johnston County from 80 to 300 DT/yr.
i- Reduction of dry tonnage from the Beulaville WWTP (Permit No. N00026018) in Duplin
County frorn 38 to 30 DT/yr.
Reduction of dry tonnage from the Kenansville WWTP (Permit No. NCO036668) in Duplin
County from 38 to 10 DT/yr.
Reduction of dry tonnage from the Murphy -Brown LLC's Rainbow Trailer Wash Facility
(Permit No. WQ0013921) in Duplin County from 40 to 25 DT/yr
Increase of dry tonnage from the Murphy -Brown LLC's Register Trailer Wash Facility
(Permit No. W00014247) in Duplin County from 50 to 63 DT/yr.
Increase of dry tonnage from the Murphy -Brown LLC's Warsaw Sanitation Trailer Wash
Facility (Permit No. WQ0023310) in Duplin County from 50 to 63 DT/yr.
North Carolina Department of Environmental Quality I Division of Water Resources
�_��Um��
912 North Salishury Slreel 1t,17 Niail Service Center I Ralelgh, North Carolina27b99 Ihl7
eQ0 07.9o00

Mr. Eric R. Smith
May 3, 2021
Page 2 or3
This permit shall be effective from the date of issuance through June 30, 2027, shall void Permit
No. WQ0030998 issued March 9, 2016, and shall be subject to the conditions and limitations as specified
therein. The Permittee shall suhmita renewal application no later than January 1, 2027.
Please pay particular attention to the monitoring requirements listed in Attachment A for they may
differ froth the previous permit issuance. Failure to establish an adequate system for collecting and
maintaining the required operational information shall result in future compliance problems.
Please note that on September 1, 2018, North Carolina Administrative Code Title 15A Subchapter
02T — Waste not Discharged to Surface Waters was readopted. Accordingly, this permit incorporates the
requirements of these rules, therefore, please take the time to review this permit thoroughly.
The Division has removed the following permit conditions since the last permit issuance dated
March 9, 2016:
i Old Condition I.2. — This condition has been removed.
i Old Condition 1.3. — This condition has been removed.
Old Condition I1.8. — This condition has been removed because there are not treatment or
storage units permitted in this permit.
Old Condition 111.10. — This condition has been removed because it is covered by the new
1I1.10. h.
Old Condition TIT. 11.h. — Soil pH requirements for land application have been removed.
> Old Condition III.13. — This condition has been removed.
Condition VI.2. — This condition has been removed because this permit is not voidable.
The following permit conditions are new since the last permit issuance dated March 9, 2016:
Condition 11I.1 U.I. — Residual land application may not occur if the land application sites are
located within a WS-1 watershed pursuant to 15A NCAC 0213.0212 or within the Critical Area
of a WS-II, WS-III, or WS-IV watershed.
Condition Ill.I I.e. — Dedicated land sites are to have public access restricted continuously
while the land is under permit and for one year afterward. Note, there are no dedicated land
sites in the current permit.
`r Condition VI.8. — This permit shall not be renewed if the Penmittee or any affiliation has not
paid the required annual fee

Mr. Eric R. Smith
May 3, 2021
Page 3 of 3
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Otherwise, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Erick Saunders at (919)
707-3659 or erickson.saundersr:;ttcdenr.vov.
Sincerely,
-.S. Daniel Smith, Director 1t
Division of Water Resources
M Dttplin County Health Department (Electronic Copy)
Jones County Health Department (Electronic Copy)
Onslow County Health Department (Electronic Copy)
Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Bob Branch, LSS — Branch Residuals & Soils, LLC (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Pen -nit Archive (Electronic Copy)

THIS PAGE BLANK

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
LAND APPLICATION OF CLASS B RESIDUALS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Triple S Farms and Cleaning, Inc.
Duplin County
FOR THE
continued operation of a residuals management program for Triple S Farms and Cleaning, Inc. and
consisting of the land application of Class B residuals generated by the approved facilities listed in
Attachment A to the approved fields listed in Attachment B, with no discharge of wastes to surface waters,
pursuant to the application received February 11, 2021, and in conformity with other supporting data
subsequently filed and approved by the Department of Environmental Quality and considered a part of this
permit. The disposal of residuals is regulated under Title 40 Code of Federal Regulations Part 503. This
permit does not exempt the Pennittee from complying with Federal Regulation 40 CFR Part 503.
This permit shall be effective from the date of issuance through June 30, 2027, shall void Permit No.
WQ0030998 issued March 9, 2016, and shall be subject to the following conditions and limitations:
1. SCHEDULES
1. The Pennittee shall request renewal of this permit on Division -approved forms no later than January 1,
2027. [15A NCAC 02T .0105(b), 02T .0109]
IL PERFORMANCE STANDARDS
I. The Pcnnittee shall maintain and operate the subject residuals management program so there is no
discharge to surface waters, nor any contravention of groundwater or surface water standards. In the
event the residuals management program fails to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, the Pcnnittee shall immediately cease
land applying residuals, take immediate corrective actions, and contact the Wilmington Regional Office
supervisor. [ 15A NCAC 02T .0108(b)(1)(A)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this residuals management program. [15A NCAC 02T
.0108(b)(1)(A)]
3. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit. [15A NCAC 02T . t 101]
WQ0030998 Vcrsion 3.0 Shell Version 200201 Page I of 12

4. Only the fields listed in Attachment B arc approved for residuals land application. [G.S. t43-
215. 1 (a)(9)]
5. Pollutant concentrations in residuals land applied to the sites listed in Attachment B shall not exceed
the following Ceiling Concentrations or Cumulative Pollutant Loading Rates (CPLRs), on a dry
weight basis:
Parameter
Ceiling
Concentration
Cumulative Pollutant Loading Rates
(mglkg)
(kg/lra)
(1 bs/ac)
Arsenic
75
41
36
Cadmium
85
39
34
Copper
4,300
1,500
1,338
Lead
840
300
267
Mercury
57
17
15
Molybdenum
75
N/A
N/A
Nickel
420
420
374
Selenium
100
100
89
Zinc
1 7,500
1 2,800
2,498
The Permittee shall determine compliance with the CPLRs using one of the following methods:
a. By calculating the existing cumulative level of pollutants using actual analytical data from all
historical land application events of residuals, or
b. For land where residuals application has not occurred or for which the required data is incomplete,
by determining background concentrations through representative soil sampling.
(I 5A NCAC 02T. 1105(a), 02T. I 105(b)]
6. Class B biological residuals shall meet the pathogen reduction requirements in 15A NCAC 02T. 1106
(b). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T. 1106(b),
02T . 1106(d)]
7. Class B biological residuals shall meet one of the vector attraction reduction altematives in 15A NCAC
02T .1107(a). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T
.1107(a), 02T . l 107(c)]
WQ0030998 Version 3.0 Shell Version 200201 Page 2 of 12

R. The facilities and sites herein were permitted per the following setbacks:
a. Setbacks for Class B land application sites are as follows (all distances in feet):
Surface
Irrigation
Injection
Application
Surface
Incorporation
by Vehicle
Application
i. Each habitable residence or place of assembly
400
400
200
under separate ownership:
ii. Each habitable residence or places of assembly
owned by the Pennittee, the owner of the land,
0
200
0
or the lessee or operator of the land:
iii. Each property line:
50
150
50'
iv. Public right of way:
50
50
50
v. Each private or public water supply source:
100
100
100
vi. Surface waters such as intermittent and
perennial streams, perennial waterbodies, and
32.8
32.8
32.8
wetlands:
vii. Surface water diversions such as ephemeral
25
25
25
streams, waterways, and ditches:
viii.Groundwater lowering ditches where the
25
]00
25
bottom of the ditch intersects the SHWT:
ix. Subsurface groundwater lowering systems:
0
100
0
x. Each well with exception of monitoring wells:
100
100
100
xi. Bedrock outcrops:
25
25
25
xii. Top of slope of embankments or cuts of two
15
15
15
feet or more in vertical height:
xiii.Each building foundation or basement:
0
15
0
xiv. Each water line:
0
10
0
xv. Nitrification Field:
0
20
0
Setbacks to property lines are not applicable when the Pennittee,
or the entity from which the
Permittee is teasing, owns both parcels separated by the property
line.
[15A NCAC 02T .1 108(c)]
9. Class B land application areas shall be clearly marked on each site prior to and during any residuals
application event. [15A NCAC 02T .0110(g)]
WQ0030998 Version 3.0 Shell Version 200201 Page 3 of 12

10. Residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance of
agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements
based on the determined Realistic Yield Expectations (RYE) using any of the following methods:
a. Division's pre -approved site specific historical data for specific crop or soil types by calculating
the mean of the best three yields of the last five consecutive crop harvests for each field.
b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State
University Department of Soil Science (litt2://nutrients.soil.ncsu.cdu/yields/index.phl2). A copy
shall be kept on file and reprinted every five years in accordance with Condition IV.6.
c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE
and appropriate nutrient application rates reported in any of the following documents:
i. Crop management plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance
Document: Chapter I
(httu://www.ncaer.sov/SWC/tech/documents/9th Guidance Doc 100109.pdf).
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards(ftp://ftp-fC.sc.e,ov.usda.govfNHQlpractice-standards/standardst'590.pdf).
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
[ 15A NCAC 02T A 109(a)(1)(K)]
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25%. [15A NCAC 02T .0108(b)(1)(A)]
12. If residuals land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the
summer and rye grass in the winter with both crops to receive residuals),, then the second crop can
receive an application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This
practice may be allowed as long as the second crop is to be harvested or grazed. If die second crop is
to be planted for erosion control only and is to be tilled into the soil, then no additional PAN shall be
applied. [15A NCAC 02T .0108(b)(1)(A)]
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Permittee shall obtain and implement recommendations from at least one of the following: 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. 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. The Permittce shall
maintain written records of these recommendations and details of their implementation. [15A NCAC
02T .0108(b)(1)(A)]
14. Residuals land application fields permitted on or after December 30, 1983 have a compliance boundary
that is either 250 feet from the residual land application area, or 50 feet within the property boundary,
whichever is closest to the residual land application area. Any exceedance of groundwater standards
at or beyond the compliance boundary shall require corrective action. Division -approved relocation of
the compliance boundary shall be noted in Attachment B. Multiple contiguous properties under
common ownership and permitted for use as a disposal system shall be treated as a single property with
regard to determination of a compliance boundary. [15A NCAC 02L .0106(d)(2). 02L .0107(b), 02T
.0105(h), G.S. 143-215. l(i), G.S. 143-215.l(k)]
WQ0030993 Version 3.0 Shell Version 200201 Page 4 of 12

15. The review boundary is midway bct%vecn the compliance boundary and the residual land application
area. Any exceedance of groundwater standards at or beyond the review boundary shall require
preventative action. [15A NCAC 02L .0106(d)(1), 02L .0108]
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The Permittee shall operate and maintain the residuals management program as a non -discharge system.
[ 15A NCAC 02T .1100]
2. The Permittee shall notify the Wilmington Regional Office, telephone number [phone], and the
appropriate local government official (i.e., county manager, city manager, or health director) at least
two business days in advance of a site's initial residuals land application event. [15A NCAC 02T
.0108(b)(1)(A)]
3. The Permittee shall notify the Wilmington Regional Office, telephone number [phone], at least
one business day in advance of conducting any land application activity. Notification shall include the
anticipated application date, time, and field name as listed in Attachment B. Exceptions to this
requirement shall be approved by the Wilmington Regional Office. [15A NCAC 02T .0108(b)(1)(A)]
4. The Permittee shall maintain a Division -approved Operation and Maintenance Plan that shall include:
a. Description of the program, and associated facilities and equipment. in sufficient detail to show
what operations are necessary for the program to function and by whom the functions are to be
conducted;
b. Description of anticipated maintenance of facilities and equipment associated with the program;
c. Include provisions for safety measures, including restriction of access to sites and equipment;
d. Spill control provisions:
i. Response to upsets and bypasses including control, containment, and remediation; and
ii. Contact information for plant personnel, emergency responders, and regulatory agencies;
e. Detailed inspection procedures:
i. Names or titles of personnel responsible for conducting inspections;
ii. Frequency and location of inspections, and procedures to assure that the selected locations and
inspection frequency are representative of the residuals management program; and
iii. Description of record keeping and actions to be taken by the inspector in the event that
noncompliance is observed;
f Detailed sampling and monitoring procedures:
i. Names or titles of personnel responsible for conducting sampling and monitoring;
ii. Description of monitoring procedures including parameters to be monitored; and
iii. Sampling frequency and procedures to assure that representative samples are 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.
[15A NCAC 02T .1 110(a)]
5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the residuals management program, the Permittee shall designate and employ a
certified operator in responsible charge (ORC), and one or more certified operators as back-up ORCs.
The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G 0204 and shall
comply with all other requirement in 15A NCAC 08G 0204. [15A NCAC 02T .0117, 08G .0204]
WQ0030998 Version 3.0 Shcll Version 200201 Page 5 of 12

6. The Permittee shall ensure that a copy of this permit and the Division -approved Operation and
Maintenance Plan is available when land applying residuals. [15A NCAC 02T .1110(b)]
7. The Permittee shall ensure that spill control provisions are available when transporting or land applying
residuals. [15A NCAC 02T .l I I0(a)(4)]
8. Class B residuals shall not be stored or staged at any land application site without prior written approval
from the Division. Class B residuals approved for storage shall be stored or staged in a manner to
prevent runoff of leachate and other wastewaters generated. [15A NCAC 02T . t 110(c), 02T .1110(e)J
9. Adequate measures shall be taken to prevent wind erosion and runoff from the land application sites
listed in Attachment B. [15A NCAC 02T.0108(b)(1)(A)]
10. Class B residuals shall not be land applied under the following conditions:
a. If the residuals are likely to adversely affect a threatened or endangered species listed under section
4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface
water or groundwater standards;
d. If the land is flooded, frozen, or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the residuals are injected or incorporated within a 24-
hour period following a residuals land application event;
f. During precipitation events, or within 24 hours following a rainfall event of 0.5 inches or greater
in a 24-hour period;
g. If the slope of the land is greater than 10° o when liquid residuals are surface applied, or if the slope
of the land is greater than 18% when liquid residuals are injected or incorporated;
h. If the land does not have an established vegetative cover crop unless the land is a Division -approved
no -till site, or the residuals are injected, or incorporated within a 24-hour period following the
application of residuals;
i. If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot;
J. If the vertical separation of the depth to bedrock and the depth of residuals application is less than
one foot;
k. If the application exceeds agronomic rates; or
1. If the land application sites are located within a WS-1 watershed pursuant to 15A NCAC 02B .0212
or within the Critical Area of a WS-II pursuant to Sub -Item (4)(g) of Rule 15A NCAC 02B .0212,
or within the Critical Area of a WS-III or WS-IV watershed pursuant to Sub -Item (4)(h) of Rules
15A NCAC 02B .0215, and .0216.
[15A NCAC 02T.I 109(a)(1)]
11. Class B land application sites shall have the following public access restrictions:
a. Public access to public contact sites shall be restricted for one calendar year after a residuals land
application event;
b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land
application event;
c. Public access to land associated with a dedicated land application site shall be restricted
continuously while the land is permitted for active use, and for one calendar year after the final
land application of residuals.
WQ0030998 Version 3.0 Shell Version 200201 Page 6 of 12

[ 15A NCAC 02T . 1109(a)(2)]
12. Class B land application sites shall have the following harvesting and grazing restrictions:
a. Animals shall not be allowed to graze on land for 30 calendar days after any land application of
residuals;
b. Food crops, feed crops, and fiber crops shall not be harvested for 30 calendar days after any land
application of residuals;
c. Food crops with harvested parts that touch the mixture of residuals and soil and are totally above
the land surface shall not be harvested for 14 months after any land application of residuals;
d. Food crops with harvested parts below the land surface shall not be harvested for 20 months after
any land application of residuals if the residuals remain on the land surface for four months or
longer prior to incorporation into the soil;
e. Food crops with harvested parts below the land surface shall not be harvested for 38 months after
any land application ofresiduals if the residuals remain on the land surface for less than fourmonths
prior to incorporation into the soil; and
f. Turf grown on land where residuals are applied shall not be harvested for one calendar year after
any land application of residuals.
[15A NCAC 02T .I 109(a)(3)]
13. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume
of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that
have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those
operations where a NIMP is required by the US Department of Agriculture — National Resources
Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable nutrient
loading rates based on the provided information and use appropriate reductions.
For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan
(WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient
Management Plan. [15A NCAC 02T .0108(b)(1)(A), 02T .1104(c)(3)]
14. Class B residuals shall not be land applied to the fields listed in Attachment B unless the Landowner
Agreement between the Permittee and the respective field owners or lessees/operators of the land
application site is valid. The Landowner Agreements shall expire concurrent with the permit expiration
date of June 30, 2027. [15A NCAC 02T . 1104(c)(4)]
WQ0030998 Vcrsion 3.0 Shell Version 200201 Pagc 7 of 12

IV. MONITORING AND REPORTING REQUIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
program's impact on groundwater and surface water. [ 15A NCAC 02T .0108(c)]
2. The residuals from each source generating facility shall be analyzed to demonstrate they are non-
hazardous under the Resource Conservation and Recovery Act (RCRA). Residuals that test or are
classified as a hazardous or toxic waste under40 CFR Part 261 shall not be land applied. The analyses
(i.e., corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)) shall be
performed at the frequency specified in Attachment A, and the Pennittec shall maintain these results
for five years. Any exemptions from the requirements in this condition shall be specified in Attachment
A. The TCLP analysis shall include the following parameters, and the Federal regulatory level (mg/L)
is in parentheses:
Arsenic (5.0)
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethatie (0.5)
Pentachlorophenot (100.0)
Benzene (0.5)
1,l-Dichlorcethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Heptachlor (and its epoxide)
(0.008)
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Hexachlorobenzene (0.13)
Toxaphene (0.5)
Chloroform (6.0)
Hexachlorobutadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0)
2,4,5-Trichloroplienol (400,0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl chloride (0,2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
[15A NCAC 13A .0102(b), 02T.1101, 02T.1105]
3. The residuals from each source generating facility shall be analyzed at the frequency specified in
Attachment A, and the Permitter shall maintain the results for a minimum of five years. Each analysis
shall include the following parameters:
Aluminum
Mercury
Potassium
Ammonia -Nitrogen
Molybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
(SAR)
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
Magnesium
Plant Available Nitrogen
(by calculation)
[15A NCAC 02T .1101]
WQ0030998 Version 3.0 Shell Version 200201 Page 8 of 12

4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A. The monitoring results shall specify the
stabilization process utilized, and demonstrate compliance with the Class B pathogen reduction
requirements in 15A NCAC 02T .l 106(b), and one vector attraction reduction requirement in 15A
NCAC 02T .1107(a) shall be met. Any exemptions from the requirements in this condition shall be
specified in Attachment A. [ 15A NCAC 02T .1106(b), 02T .11 U7(a), 02T .1111(c)j
5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B that received residuals during the calendar year. This
analysis shall be in accordance with the soil sampling guidance located in the Sampling Instructions
section of the NC Department of Agriculture & Consumer Services' "cbsite
(littp:Hw,.Niv.ncagr.gox,/agronomi/pubs.htm). The Penmittee shall maintain these results for a period of
no less than five years, and these results shall be made available to the Division upon request. Each
Standard Soil Fertility Analysis shall include the following parameters:
Acidity
Exchangeable Sodium Percentage
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc
Copper
pH
[15A NCAC 02T .0108(c), 15A NCAC 02T. I I I I (d)]
6. Representative samples of residuals that are prepared for land application shall be collected and
analyzed. [15A NCAC 02T .11 11(a)]
7. The Permittee shall maintain records for all residual land application events. These records shall
include the following:
a. Residuals source (as listed in Attachment A),-
b. Date of application;
c. Location of land application (field name as listed in Attachment B);
d. Approximate acreage applied;
e. Method of application;
f. Weather conditions;
g. Dominant soil series;
h. Soil conditions;
i. Proposed crop;
j. Nitrogen Application Rate based on RYES;
k. Volume of residuals applied per acre in gallons, cubic yards, dry tons, or wet tons;
1. Volume of animal waste or other nutrient source applied per acre in gallons, cubic yards, dry tons,
or wet tons;
m. Volume of soil amendments applied per acre in gallons, cubic yards, dry tons, or wet tons; and
n. Annual and cumulative totals applied to each field for the following:
i. Class A and Class B residuals (dry tons per acre);
ii. Animal waste and other sources of nutrients (dry tons per acre);
iii. Heavy metals as specified in Condition I1.5. (pounds per acre);
iv. Plant available nitrogen (pounds per acre); and
v. Phosphorus (pounds per acre).
[I 5A NCAC 02T .0108(c)]
WQ0030998 Version 3.0 Shell Version 200201 Page 9 or 12

8. One hard copy and one electronic copy of an annual report shall be submitted on or before March 1".
The annual report shall meet the requirements described in the Instructions for Residuals Application
Annual Reporting Fonns. Instructions for reporting and annual report forms are available at
littp://den nc eov-'about/divisionshvater-resources/water-resources-permits/wastewater-branch/non-
discharee-permittine-tmit/reporting-fomns, or can be obtained by contacting the Non -Discharge Branch
directly. The annual report shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[ 15A NCAC 02T . I l l I (d)]
9. Noncompliance Notification
The Pennittee shall report to the Wilmington Regional Office, telephone number [phone],
within 24 hours of first knowledge of the:
a. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of
adequate residual treatment.
b. Any failure resulting in a discharge to surface waters.
c. Any time self -monitoring indicates the program has gone out of compliance with its permit
limitations.
d. Land application of residuals abnonnal in quantity or characteristic.
e. Any discharge from a vehicle or piping system transporting residuals.
Emergencies requiring reporting outside normal business hours shall call the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. All
noncompliance notifications shall file a written report to the Wilmington Regional Office within five
days of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to
ensure the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)]
V. INSPECTIONS
1. The Pennittee shall perform inspections and maintenance to ensure proper operation of the Permittee*s
storage, distribution, and application facilities. [15A NCAC 02T.1110(f)]
The Pcrmittee shall inspect the Penmittcc's residuals processing, storage, transport, and application
facilities to prevent malfimctions, facility deterioration, and operator errors that may result in discharges
of wastes to the environment, threats to human health, or public nuisances. The Pennittee shall maintain
an inspection log that includes the date and time of inspection, observations made, and maintenance,
repairs, or corrective actions taken. The Pennittee shall maintain this inspection log for a period of five
years from the date of inspection, and this log shall be made available to the Division upon request.
[15A NCAC 02T .0108(b)(1)(A), 02T A 110(f)]
3. Division authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the land application sites or facilities permitted herein at any
reasonable time for determining compliance with this permit. Division authorized representatives may
inspect or copy records maintained under the terms and conditions of this permit, and may collect
groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)]
WQ0030998 Version 3.0 Shell Version 200201 Page 10 of 12

VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.6B, 143-215.6C]
2. This pen -nit is effective only with respect to the nature and volume of wastes described in the permit
application, and Division -approved plans and specifications. [G.S. 143-215.1(d)]
3. Unless specifically requested and approved in this permit, there are no variances to administrative codes
or general statutes governing the construction or operation of the facilities permitted herein. [15A
NCAC 02T .0105(n)]
4. The issuance of this pen -nit does not exempt the Permittee from complying with all statutes, rules,
regulations, or ordinances that other jurisdictional government agencies (e.g„ local, state, and federal)
may require. [15A NCAC 02T .0105(c)(6)]
5. If the permitted residuals program change ownership, or the Pennittec changes their name, the
Pennittee shall submit a pen -nit modification request on Division -approved forms. The Permittee shalt
comply with all terms and conditions of this permit until the permit is transferred to the successor -
owner. [G.S.143-215.1(d3)]
6. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in
whole or part for:
a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter
02T;
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials:
i. to enter the Permittee's premises where a system is located or where any records are required
to be kept;
ii. to have access to any permit required documents and records;
iii. to inspect any monitoring equipment or method as required in this permit; or
iv. to sample any pollutants;
d. the Penmittee's failure to pay the annual fee for administering and compliance monitoring; or
e. a Division determination that the conditions of this permit are in conflict with North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T .0110]
WQ0030998 Version3.0 Shell Version 200201 Page I I of 12

7. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not
occur if any of the following apply:
a. The Permittee or any parent, subsidiary, or other affiliate of the Pennittee has been convicted of
environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be
prosecuted under G.S. 143-215.66, and all appeals of this conviction have been abandoned or
exhausted-
b. The Pennittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned
a wastewater treatment facility without property closing the facility.
c. The Pennittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil
penalty, and all appeals of this penalty have been abandoned or exhausted.
d. The Permittee or any parent, subsidiary, or other affiliate of the Pennittee is currently not compliant
with any compliance schedule in a permit, settlement agreement, or order.
e. The Pennittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual
fee.
[15A NCAC 02T .0120(b), 02T .0120(d)]
8. This permit shall not be reneued if the Pennittee or any affiliation has not paid the required annual fee.
[I 5A NCAC 02T .0120(c)]
Permit issued this the Yd day of May 2021
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
S. Daniel Smith, Director
Division of Water Resources
By Authority of the Em ironmental Management Commission
Permit Number WQ0030998
W Q0030998 Version 3.0 Shell Version 200201 Page 12 or 12

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS. JR.
Ditt'ctor
ERIC R. SMITH —PRESIDENT
TRIPLE S FARMS AND CLEANING, INC.
POST OFFICE BOX 709
BEULAVILLE, NORTH CAROLINA 28518
Dear Mr. Smith:
� •4 a rt►. �
�GWnvF�'
NORrH CAROLINA
Environmental Quality
November 3, 2022
Subject: Permit No. WQ0030998
Triple S Farms and Cleaning
Class B Residuals Program
Attachment A Certification
Duplin County
In accordance with your permit major modification request received October 28, 2022, we are
forwarding herewith a modified Attachment A certified November 3, 2022, to Triple S Farms and Cleaning,
Inc. for the subject residuals management program.
Modifications to the subject Attachment are as follows:
➢ Addition of Onslow County Water and Sewer's (ONWASA) Swansboro WWTP (Permit No.
WQ0023261) as an approved residuals source with an approved annual dry tonnage rate of 110
dry tons per year (DT/yr).
➢ Addition of ONWASA's Summerhouse Wastewater Reclamation WWTP (Permit No.
WQ0029945) as an approved residuals source with an approved annual dry tonnage rate of 35
DT/yr.
➢ Addition of ONWASA's Northwest Regional WWTP (Permit No. WQ0034367) as an
approved residuals source with an approved annual dry tonnage rate of 50 DT/yr.
The modified Attachment A shall be effective from the date of certification until June 30, 2027
(i.e., expiration date of the current permit), shall replace Attachment A of Permit No. WQ0030998 issued
May 3, 2021 that was previously certified on April 18, 2022, and shall be subject to the conditions and
limitations as specified therein, as well as those specified in the above -referenced permit. Please replace
Attachment A of Permit No. WQ0030998 that was certified on April 18, 2022 with the modified
Attachment A. Please note that the Permittee shall submit a renewal application no later than January
1, 2027.
If any parts, requirements, or limitations contained in this certification are unacceptable, the
Permittee has the right to request an adjudicatory hearing upon written request within 30 days following
receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B
of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Otherwise, this certification shall be final and binding.
P
North Carolina Department of Environmental Quality I DivisionofWaterResources
.�D ESr2 North Salisbury Street ! 107 Mail Service Center I Raleigh. North Carolina 27699 I6I7
n� �r>A'Y„.Uwc••m.nac�:.a�,w+ia:+�m919.707.9000

Mr. Eric R. Smith
November 3, 2022
Page 2 of 2
If you need any additional information concerning this matter, please contact Erick Saunders at
[phone] or erickson.saunders(a,ncdenr.gov.
Sincerely,
a Richard E. Rogers, Jr., Director $
Division of Water Resources
cc: Duplin County Health Department (Electronic Copy)
Onslow County Health Department (Electronic Copy)
Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Robert T. Branch, LSS — Branch Residuals & Soils, LLC (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)

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ROY COOPER
Governor
ELIZABETH S. BISER
Secrerurr
RICHARD E. ROGERS, JR.
Direclor
ERIC R. SMITH — PRESIDENT
TRIPLE S FARMS AND CLEANING, INC.
POST OFFICE BOX 709
BEULAVILLE, NORTH CAROLINA 28518
Dear Mr. Smith:
yF rT 4
3 � n
� QYurYP�
NORTH CAROLINA
Environmental Quality
April 18, 2022
Subject: Permit No. WQ0030998
Triple S Fars and Cleaning
Class B Residuals Program
Attachments A and B
Certification
Duplin County
In accordance with your pennit major modification request received January 6, 2022, and
subsequent additional information received April 1, 2022, we are forwarding herewith modified
Attachments A and B certified April 18, 2022, to Triple S Farnis and Cleaning, Inc. for the subject residuals
management program.
Modifications to the subject Attachments are as follows:
Addition of the Town of Maysville WWTP (Permit No. NC0021482) in Jones County as an
approved residuals source, with an approved permitted annual dry tonnage of 15 dry tons per
year (DT/yr).
i Addition of the Town of Bridgeton WWTP (Permit No. NC0074837) in Craven County as an
approved residuals source, with an approved permitted annual dry tonnage of 5 DT/yr.
> Reorganization of fields in the permit with subsequent acreage changes, including the
combination of aspects of previously permitted Fields 3, 4 and 5 into Field 345.
`r Addition of Field 10 in Duplin County, adding an additional 12.8 acres to the program
The modified Attachments A and B shall be effective from the date of certification until June 30,
2027 (i.e., expiration date of the current permit), shall void Attachments A and B of Permit No. WQ0030998
issued May 3, 2021, and shall be subject to the conditions and limitations as specified therein, as well as
those specified in the above -referenced permit. Please replace Attachments A and B of Permit No.
WQ0030998 that was issued May 3, 2021 with the modified Attachments A and B. Please note that the
Permittee shall submit a renewal application no later than January 1, 2027.
Please note that only the maps for new land application sites are attached to this letter. It is the
Permittee's responsibility to ensure that a complete permit is created by inserting these documents into the
previously issued permit.
North Carolina Department cl 6leironmcrtal Quality Division of tiatcr Resources
1,12 Nlm th Salishury Street V I7' Mall Servive Center ReleiUh North Carolina 17h90 161T
919 (079000

Mr. Eric R. Smith
April 18. 2022
Page 2 of 2
If any parts, requirements or limitations contained in this certification are unacceptable, the
Permittee has the right to request an adjudicatory hearing upon written request within 30 days following
receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B
of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Otherwise, this certification shall be final and binding.
If you need any additional information concerning this matter, please contact Erick Saunders at
[phone] or erickson.saunders(it ncdenr.aov.
Sincerely,
F
wJ4 Richard E. Rogers, Jr., Director
Division of Water Resources
cc: Craven County Health Department (Electronic Copy)
Duplin County Health Department (Electronic Copy)
Jones County Health Department (Electronic Copy)
Washington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Bob Branch, LSS - Branch Residuals & Soils, LLC (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)

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Operation and Maintenance Plan

Operation & Maintenance Plan
Onslow County
The WWTP ORC (or Backup ORC if ORC is unavailable) shall be in charge of the following
items as it relates to the current land application program:
• Collection of WWTP Samples
o TCLP Samples
o Pathogen reduction samples
o Vector attraction reduction samples
o Nutrient and Metals analyses
o Lime Stabilization (if applicable) — collecting pH measurements:
■ Initial pH
■ Raising the pH to 12
■ Monitoring the pH to see that it stays at 12 for 2 hours, and
■ Making sure it doesn't drop below 11.5 for the next 22 hours.
• As Preparer for this facility under 40 CFR Part 503
o Being the individual that is familiar with the routine operation of this facility with
includes:
■ Insuring solids are ready for land application
■ Insuring solids have undergone proper treatment
■ Proper operation of treatment units
■ Proper operation of sludge holding units
■ Proper maintenance of treatment and storage units
■ Notification of state and land appliers of abnormal conditions
The Land Applier shall be in charge of:
• Buffering Land Application Fields
• Spreading Materials at Rates Given for Field, Crop & Soil.
• Calibrating Spreader
• Inspections and Inspection log
• Record keeping regarding disbursement & location of material spread.
• Spill Response
• Signage
Both the WWTP ORC and Land Appliers will complete the aforementioned responsibilities before
the commencement of each land applying event. In the event that an area of noncompliance is
observed, the NCDEQ office will be contacted as well as Bob Branch. Inspections should be
performed in the field at the beginning of every land application event, with every change in
loading rate, and post application event for run off. An additional inspection will be performed if
rain occurs after the application event and before the residuals have had time to desiccate (typically
3 - 5 days). Each field will be inspected pre and post with each application event. The frequency
of inspections will depend on the frequency of application events.
Please see form RSC for a copy of the Sampling and Monitoring Plan.

Operation and Maintenance Plan
Onslow County
Title
Name
Office Phone
Cell Phone
WWTP ORC
As noted in RSCA
As noted in RSCA
WTPORC Back
As noted in RSCA
As noted in RSCA
Land Applier
Eric Smith
910.298-3991
910.934-7670
Backup Applierl
Bob Branch
1 336.510-0340
1 336.312-9007
Last Date Modified Name Signoture
8-Dec-22 Robert T. Branch

WWTP SAMPLING PLAN — SWANSBORO WWTP
Annually, multiple grab residual solid samples are collected from the sludge holding tank. These
samples are composited for nutrient and metal analyses. The composited sample is mixed to keep the
solids suspended and containers filled for this analysis. Lime stabilization occurs when the sludge
holding tank reaches capacity. Lime is added to reach proper stabilization requirements for vector
attraction and pathogen reduction. Field measurements of pH and temperature are collected for each
stabilization event to insure pH requirements are met. pH values are later temperature corrected.
Annually, or when the residual solids are to be land applied if application occurs less than annually,
a composite residual solid sample will be analyzed for: Arsenic, Cadmium, Copper, Lead, Mercury,
Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia — Nitrogen, Calcium, Nitrate -Nitrite,
Nitrogen, Magnesium, % Total Solids, pH, Phosphorus, Potassium, TKN, and Sodium. From this
information, the Plant Available Nitrogen (PAN) will be calculated. Once a permit cycle, a composite
TCLP sample will be collected to include:
Arsenic
Hexachlorobenzene
ph for Corrosivity
Barium
Hexachloro-1,3-Butadiene
Benzene
Hexachloro ethane
Flash point for ignitability
Cadmium
Lead
Carbon Tetrachloride
Lindane
Sulfides and Cyanides for reactivity
Chlordane
Mercury
1,2-Dichloroethane
Chlorobenzene
Methoxychlor
1,1-Dichloroethylene
Chloroform
Methyl Ethyl Ketone
2,4-Dinitrotoluene
Chromium
Nitrobenzene
Endrin
m-Cresol
Pentachlorophenol
Heptachlor and its Hydroxide
o-Cresol
Pyridine
Trichloroethylene
p-Cresol
Selenium
2,4,5-Trichlorophenol
Cresol
Silver
2,4,6-Trichlorophenol
2,4-D
Tetrachloroethylene
2,4,5-TP (Silvex)
1,4-Dichlorobenzene
Toxaphene
Vinyl Chloride

WRF SAMPLING PLAN — SUMMERHOUSE WRF
Annually, multiple grab residual solid samples are collected from the sludge holding tank. These
samples are composited for nutrient and metal analyses. The composited sample is mixed to keep the
solids suspended and containers filled for this analysis. Lime stabilization occurs when the MBR
basins reaches capacity. Lime is added to reach proper stabilization requirements for vector attraction
and pathogen reduction. Field measurements of pH and temperature are collected for each
stabilization event to insure pH requirements are met. pH values are later temperature corrected.
Annually, or when the residual solids are to be land applied if application occurs less than annually,
a composite residual solid sample will be analyzed for: Arsenic, Cadmium, Copper, Lead, Mercury,
Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia — Nitrogen, Calcium, Nitrate -Nitrite,
Nitrogen, Magnesium, % Total Solids, pH, Phosphorus, Potassium, TKN, and Sodium. From this
information, the Plant Available Nitrogen (PAN) will be calculated. Once a permit cycle, a composite
TCLP sample will be collected to include:
Arsenic
Hexachlorobenzene
ph for Corrosivity
Barium
Hexachloro-1,3-Butadiene
Benzene
Hexachloroethane
Flash point for ignitability
Cadmium
Lead
Carbon Tetrachloride
Lindane
Sulfides and Cyanides for reactivity
Chlordane
Mercury
1,2-Dichloroethane
Chlorobenzene
Methoxychlor
1, 1 -Dichloroethylene
Chloroform
Methyl Ethyl Ketone
2,4-Dinitrotoluene
Chromium
Nitrobenzene
Endrin
m-Cresol
Pentachlorophenol
Heptachlor and its Hydroxide
o-Cresol
Pyridine
Trichloroethylene
p-Cresol
Selenium
2,4,5-Trichlorophenol
Cresol
Silver
2,4,6-Trichlorophenol
2,4-D
T etrachloro ethylene
2,4,5-TP (Silvex)
1,4-Dichlorobenzene
Toxaphene
Vinyl Chloride

WWTP SAMPLING PLAN — NORTHWEST REGIONAL ONWASA WRF
Annually, multiple grab residual solid samples are collected from the sludge holding tank. These
samples are composited for nutrient and metal analyses. The composited sample is mixed to keep the
solids suspended and containers filled for this analysis. Lime stabilization occurs when the sludge
holding tank reaches capacity. Lime is added to reach proper stabilization requirements for vector
attraction and pathogen reduction. Field measurements of pH and temperature are collected for each
stabilization event to insure pH requirements are met. pH values are later temperature corrected.
Annually, or when the residual solids are to be land applied if application occurs less than annually,
a composite residual solid sample will be analyzed for: Arsenic, Cadmium, Copper, Lead, Mercury,
Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia — Nitrogen, Calcium, Nitrate -Nitrite,
Nitrogen, Magnesium, % Total Solids, pH, Phosphorus, Potassium, TKN, and Sodium. From this
information, the Plant Available Nitrogen (PAN) will be calculated. Annually, a composite TCLP
sample will be collected to include:
Arsenic
Hexachlorobenzene
ph for Corrosivity
Barium
Hexachloro-1,3-Butadiene
Benzene
Hexachloroethane
Flash point for ignitability
Cadmium
Lead
Carbon Tetrachloride
Lindane
Sulfides and Cyanides for reactivity
Chlordane
Mercury
1,2-Dichloroethane
Chlorobenzene
Methoxychlor
1, 1 -Dichloro ethylene
Chloroform
Methyl Ethyl Ketone
2,4-Dinitrotoluene
Chromium
Nitrobenzene
Endrin
m-Cresol
Pentachlorophenol
Heptachlor and its Hydroxide
o-Cresol
Pyridine
Trichloroethylene
p-Cresol
Selenium
2,4,5-Trichlorophenol
Cresol
Silver
2,4,6-Trichlorophenol
2,4-D
Tetrachloroethylene
2,4,5-TP (Silvex)
1,4-Dichlorobenzene
Toxaphene
Vinyl Chloride

RESIDUALS SOURCE FACILITY SUMMARY

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LAND APPLICATION SITE CERTIFICATION ATTACHMENT
LASC 06-16

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 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 »tore information, visit the 6Vater Quality Permitting Section's Non -Discharge Perntittine Unit
General — This certification provides detailed information of 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 certification for review without
a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 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.
® For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed
modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
"
County Board
Notification.doc
Land Owner
Agreement
(If applicable)
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "tilap Guidance
✓
✓
for Residuals Land Application Permits"
✓
A soils and agronomic evaluation in accordance with the "Soil Scicnti t
✓
r.aluation Policv"
INSTRUCTIONS FOR FORM: LASC 06-16Page 1 of

/1
/1
An updated accounting of the land application site's cumulative pollutant
loading rates CPLRs
Status Code
Required Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
✓
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist E.aluatiun POlicv"
Acknowledgement of field transfer from Land Owner (Fields may not be
permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
Crop Type should include the most likely crop types for the life of the permit (five years).
Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name
of the soil series as provided by the licensed soil scientist.
Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site
must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note
that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping
unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Merc (UTM)
• Map Interpretation by Digital or Manual Extraction (MAP)
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals
program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion
must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://deq.nc.gov/about/divisions/water-
resources/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http : //deg .nc.gov/contac Ure gional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x I1-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT
to stream name" as the waterbody name.
3. Open the link htto'//deq nc R-ov/about/divisions/water-resources/planninplclassification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The tern
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The tern
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301M.
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir
and the North Carolina portion of streams tributary thereto not otherwise named or described
shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina
portion of streams tributary thereto not otherwise named or described shall carry the classification
"C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16Page 3 of

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COUNTY BOARD NOTIFICATION FORM

BRANCH RESIDUALS & SOILS, LLC
Phone [phone] • Cell [phone]
November 30, 2022
Mr. Davis H. Brinson
224 Seminary Street
Kenansville, NC 28349
REFERENCE: County Manager Notification Form for the Triple S Farms
Dear Mr. Brinson,
Branch Residuals & Soils is under contract with the Triple S Farms and Cleaning concerning the
modification of their land application permit. Please find attached the Residuals Land
Application Program Notification, Source Facility Summary, Land Application Site Certification
and Topographic Map for the Triple S Farms Land Application Pen -nit. There are several new
farms in the Beulaville area and will still include the land previously permitted and currently
owned by Triple S Farms.
This notification is required by the North Carolina Department of Environment and Natural
Resources — Division of Water Quality and will allow the continued operation of this permit.
If you have any questions regarding this submittal please call Eric Smith with Triple S Farms at
[phone] or myself at [phone].
Sincerely,
r
r
Robert T. Branch, L.L.S
Project Manager/ Soil Scientist

Proof of Delivery
Dear Customer,
This notice serves as proof of delivery for the shipment listed below.
Tracking Number
1ZY9884Y0391950073
Weight
1.00 LBS
Service
UPS Ground
Shipped / Billed On
12/05/2022
Delivered On
12/07/2022 11:57 A.M.
Delivered To
224 SEMINARY ST
KENANSVILLE, NC, 28349, US
Received By
MCGEE
Reference Number(s)
2007-71
Thank you for giving us this opportunity to serve you. Details are only available for shipments delivered within
the last 120 days. Please print for your records if you require this information after 120 days.
Sincerely,
UPS
Tracking results provided by UPS: 12/07/2022 1:03 P.M. EST

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields
deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review without a
corresponding residuals program application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. County Board Notification (FORM: CBN 11-15):
® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-15). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may be
made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
® Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
https://deq. nc. gov/about/d ivisions/water-resources/water-resources-rules/water-supp ly-watershed-protection-program
❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to the
appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the notification
package also be sent to the County Manager.
❑ The most current publication of the Directory of State and County Officials may be downloaded at:
https://www.sosnc.gov/publications/direct.asi)x
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
htti):Hdeg.nc.gov/contact/regional-offices.
® The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage (i.e.,
a copy of "Residuals Source Facility Summary" is adequate but not required).
® The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 06-16 Page 1 of 1

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
Date: 11/30/22
To: Name of Chairman to the Board of County Commissioners: Mr. Davis H. Brinson
Complete mailing address: PO Box 910
City: Kenansville
State: NC Zip: 28349-
County where land application sites are located: Duplin
From: Applicant's name: Triple S Farms & Cleaning (on behalf of the Division of Water Resources in accordance with
Session Law 2013-340)
Contact person and title: Mr. Eric Smith
Complete mailing address: PO Box 709
City: Beulaville
Telephone number: (910 934-7670
State: NC Zip: 28518-
E-mail address: triplesfarms(a-)yahoo.com
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division will
ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -generating
sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the
appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department)
if applicable.
More information of the land application sites included in this application will be available at the following Division
of Water Resources Regional Office:
Name of appropriate regional office: Wilmington Regional Office NCDE
Complete mailing address: 127 Cardinal Drive Ext.
City: Wilmington State: NC Zip: 28405
Telephone number: [phone]
Expected date of application submission: 11/30/22
Should you desire to comment on this application, please do so no later than 30 calendar days following the expected
application submission date. If you have any questions or comments about this notification, or if you would like more
information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance
for your attention to this matter.
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
Non -Discharge Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: htta:l/portal.ncdenr.org/webtwq
An Equal Opportunity t Affirmative Action Employer — Made in part with recycled paper FORM: CBN 06-16

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 Permitting 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 .0106(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 r
Major (land are permitted for 1 300 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 1C .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 Page 1 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 15A NCAC 02T .1110 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 (All 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)
J.
K.
L.
M.
❑ 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.
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: htip://www.ncwater.oEg/Rules Policies and Regulations. The document shall be signed, sealed and dated by a
qualified professional.
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 .1104(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.
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: ht ://www.ncwater.o /Rules Policies and Re ulationsl.
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

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
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Triple S Farms & Cleaning Inc.
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Eric Smith Title: Owner
Applicant's mailing address: Post Office Box 709
City: Beulaville State: NC Zip: 28518-_
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Robert T. Branch License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: Branch Residuals & Soils, LLC.)
Consultant's mailing address: 1735 Heckle Blvd. Suite 103-291
City: Rock Hill State: SC Zip: 29732-_
Telephone number: (336 510-0340 Email Address: bbranchna,branchrs.com
3. Agronomist's name: Robert T. Branch License Number:
Affiliation: ❑ NIA ❑ On Staff ® Retained (Firm: Branch Residuals & Soils, LLC)
Agronomist's mailing address: Same As Above
City: State: Zip: ---
Telephone number: (___) _ _ Email Address:
4. Soil Scientist's name: Robert T. Branch License Number: 1180
Affiliation: ❑ MA ❑ On Staff ® Retained (Firm: Branch Residuals & Soils, LLC.)
Soil Scientist's mailing address: Same As Above
City: State: Zip: -_
Telephone number: (_) = Email Address:
5. Fee submitted: $245.00 (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: W00030998
Date of most -recently issued permit: May 3, 2021
Date of most -recently certified Attachment A (if different than the permit): November 3, 2022
Date of most -recently certified Attachment B (if different than the permit): April 18, 2022
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 3770 Highway 24 East
City: Beulaville
Coordinates: Latitude: 34' 55' 00" N
Datum: NAD 1983 UTM
Method of measurement: Map
State: NC Zip: 28518-,
Longitude: 77" 44' 03" W
Level of accuracy: 1'
2. County where residuals land application program is headquartered: Johnston
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
Land Applier / Triple S
ORC
Eric Smith
23352
Farms
Back -Up ORC
Bob Branch
Branch Residuals & Soils
15676
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 Nitrosen Summary: 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:
b.Maximum amount of residuals to be certified: 1, 554 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
25.53
29.85
1 29,456.91
34,447.01
Five -Year Maximum Adjusted
1 36.63
39.16
1 42,268.92
45,194.33
c. Land Application Site Use Summary: 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
7.5
Row Crops
0
Hay
190.01
Pasture
0
Total:
297.76
Methods
Surface
7.5
Incorporation or Injection
290.01
Row Crop and bennudagrass can be injected
Total:
i 297.76
FORM: RLAP 06-16 Page 2 of 5

d. Residuals Land Application Summary: 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
(lbs 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
589.14
688.94
845.38
903.89
100
294.57
344.47
422.69
451.94
150
196.38
229.65
281.79
301.30
200
147.28
172.24
211.34
225.97
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.):
7. Specify type of residuals program (See Instruction F): ® 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 site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
IM
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.
Will
Land Application Siite
Certification. 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
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(n) 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
in/ r
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
ft')
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
ft'-
Nozzle capacity
gpm
Nozzle manufacturer / model
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authorio, must be in compliance %tiith 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;
1, Eric Smith Owner
(Signature Authority's Name — PLFASE PRINT) (Title)
attest that this application for Triple S Farms & Cleanina,,lne.
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowled.-e. 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 pemmit. 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. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all 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 § 143-215.6.A 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: (/ t! Date: —_� �1 d / ZA -
FORM: RLAP 06-16 Page 5 of 5

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LWI

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of 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 certification for review without
a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 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.
® For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed
modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table 1. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
Notification.doc
in•
Land Owner
Agreement
(If applicable)
,t
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
["aluation Policy"
✓
INSTRUCTIONS FOR FORM: LASC 06-16Page 1 of

An updated accounting of the land application site's cumulative pollutant
loading rates CPLRs
Status Code
Required Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not be
permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name
of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site
must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note
that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping
unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals
program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion
must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://deq.nc.gov/about/divisions/water-
resources/planning/classificati on-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http://deq.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT
to stream name" as the waterbody name.
3. Open the link http://deg.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .03016).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir
and the North Carolina portion of streams tributary thereto not otherwise named or described
shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina
portion of streams tributary thereto not otherwise named or described shall carry the classification
"C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16Page 3 of

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1.

JONATHAN SMITH FARM

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
4-11 c .1011 al0rol1nKiel1XIMA100i:W.T-019%oldIDial
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
supportine documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .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: Triple S Farms
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)
J S ~
�o�
► ��Q
hie tie
I 5- z
40
6-3
S 5 `/
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 Pagel of 3

I. STIPULATIONS:
I. 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.
IL 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:
(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. j
Landowner name: J i :r\.t ,n C.�'�1 h v.1 P\ : 's
Address:
City:C State: t V Zip:
Phone: — I/?. 11 •' D E-mail address:
Signature: %' Date: i b `+
NORTH CAROLINA, I COUNTY
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the I 7 - '
day of __ . , 0 (:&& , 20
Signature and
My commission expires:
NOTARY PUBLIIC
Lessee's/Operator's Certification: DUPUN COU�13 -
My Gpmmisaton Expires 1
I certify that I have read this Agreement and do hereby agree to abide b V , rpu atrons and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail 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"tie: Elf' - Z. S VV . i T k p
Signature: Q:F9.JDate:
FORM: LOA 06-16 Page 3 of

JONATHAN SMITH
SOILS AND AGRONOMY REPORT
This farm is located approximately o.8 miles north to the west of Miller Road, approximately 2.25
miles west of Beulaville, NC. This farm is surrounded by several swine farms typical for the area.
Four fields are proposed (JS-1, JS-2, JS-3, and JS-4). Two of these fields (JS-3 and JS-4 will be
converted from row crop production to bennudagrass. Fields JS-1 and JS-2 are already in permanent
cover. These fields are owned and operated by Mr. Jonathan Smith. This field is nearly level to gently
sloping and should provide an excellent receiver sites for the Triple S Farms & Cleaning land
application program.
Field investigations performed by a BR&S soil scientist did not completely agree with the mapping
available from Natural Resource Conservation Service' Soil Survey. These fields were on the wetter
side with Fields 2, 3, and 4 relying on drainage to improve soil conditions for these fields to be usable.
Fields 3 and 4 will be converted to bermudagrass from row crops. Predominant soil series for the
three fields are as shown in the table below. While these fields are wetter, they should be able to be
used for receiver sites with the proper management.
..........
..........
..........
..........
...........
..........
.....
..........
.:.....:.:.:..:.:.:.:.:......:..........
.....................................
..........................................
.........................................
::Ae.....
.......................P.................................................................................
:....fYro .:::::::::
::: o><:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:....:.:::::::::.:..::.::.:
...
::Uu .....::....:::....:Pred4:riii
................................................................
.................................................................
................................................................
......Soil::Series...........
:::....... .
JS-1
4.39
bermudagrass
FoA
Foreston loamy fine sand, 0 - 2 % slopes
276/50
JS-2
3.76
bermudagrass
WoA
Woodin ton loamy fine samd, 0 - 1 % slopes
194/50
JS-4
7.27
bermudagrass
LnA
Leon sand, 0 - 2 % slopes
132/50
JS-3
8.66
bermudagrass
WoA
Woodington loamy fine samd, 0 - 1 % slopes
194/50
Soil samples indicate slight lime additions which will be possible with lime stabilized biosolids.
Application of potassium will be necessary for good bermudagrass growth. All other soil parameters
are within normal range.

Crop management guidelines that will be of importance for this site will be:
• Proper coordination with land applier to incorporate biosolids,
• Proper harvesting of cover crop,
• Matching of cover crop's growing season to application events,
• Overseeding if winter application is desired,
• Good communication with farmer, land applier, and WWTP ORC, and
• proper coordination between application events and crop harvesting and planting.
Robert T. Branch
Soil Scientist/ Agronomist

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
13
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Jonathan Smith Tract/Site JS
Operator Field 1
Slope 0-2 Sample No. JS-1 Crop Bermudagrass
Boring ID Landscape Position Backslope
.........
HoriZo
.
dpt eh
�'extur .
.. colair....�
trictire
..............................................
Gaiissfenc
1+e
i€1tiott s....... .
..O
Ap
0-6
Is
10 YR 3/3
wk med gr
v. fr
n/a
BI-
6-24
Is
10 YR 6/4
wk med sbk
v. fr
nla
Btl
24-35
fs1
10 YR 6/8
mo med sbk
fr
10 YR 6/2 -c
Bt2
35-48
fsl
10 YR 6/6
mo med sbk
fr
10 YR &2 -c
BE'
48-55
fls
10 YR 6/6
wk med sbk
v. fr
10 YR 7/1 -c 5YR 5/6-c
Eg'
55-62
s
10 YR 7/2
s1 Io
-
Btg'
62-84+
fsl
10 YR 6/ 1
mo med sbk
fr
10 YR 6/6
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 24"
Depth to Restrictive Horizon (in.) 24" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Aquic Paleudults
Most Closely Related Soil Series Foreston
Discussion of Site
After buffering field should be an exc
SOIL SC
Y
Described by: Ro
F ' GP
Signed OF NOR_VN Date 9/8/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
P
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Jonathan Smith Tract/Site JS
Operator Field 2
Slope 0 - 2 Sample No. JS-2 Crop Bermudagrass
Boring I❑ Landscape Position Backslope
�a
oriDe
:>th!
p.........................
Tezti r
... ar ::
Sitrii tune
Coi sisteric:
Mottles
::::::::::::::::::::::::::::::::
#s
Ap
0-6
Is
10 YR 3/3
wk med gr
v. fr
nla
BE
6-14
sl
10 YR 6/3
wk med sbk
v. fr
n1a
Btgl
14-24
s1
10 YR 6/2
mo med sbk
fr
10 YR 6/4 -c
Btg2
24-35
s1
10 YR 6/1
mo med sbk
fr
10 YR 6/4 -c, 7.5 YR 5/4 c
Btg3
35 54
sl
10 YR 6/1
wk med sbk
v. fr
10 YR 7/1-c 7.5YR 5/6-c
Cg
54- 84 •
10 YR 7/2
sl 10
7.5 YR 516
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 14"
Depth to Restrictive Horizon (in.) 14" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Typic Paleaquudults
Most Closely Related Soil Series Woodington variant
Discussion of Site
Soils a little wetter but drainage improves t
SOIL sc
Described by: Bert�Tan � $� p"
pQ-
MO RAN
Signed OF Date 9/8/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Jonathan Smith Tract/Site JS
Operator Field 3
Slope 0-2 Sample No. JS-3 Crop Bermudagrass
Boring ID Landscape Position Backslope
�
.000
De .4,
`I'extu .
:::::dolor :::
Structure
Ciui sisferic:
ottles
'tsl€I €
:::::::::::::::::::::::: a ninen . .
Ap
0-6
s
10 YR 3/2
sg to
v. fr
n'a
BI
6-14
s
10 YR 6/3
sg to
v. fr
n a
Bhl
14-20
Is
10 YR 4/3
mo med sbk
fi
10 YR 6 2 -c
Bw
20-30
Is
10 YR 3/3
wk med sbk
fr
i0 YR 4 4
E'g
30 - 42
s
10 YR 7/2
sg Io
v. fr
na
B'h
42- 84+
Is
10 YR 4/3
wk med sbk
fi
10 Y R 3'2 c
Additional Comments
Depth to Apparent Water Table (in.)
Depth to Restrictive Horizon (in.)
Classification
Most Closely Related Soil Series
Discussion of Site
Soils a little wetter but drainage imni
NE Depth to Seasonal Water Table (in. 14"
14" Type of Restrictive Horizon Seasonal High Water Table
Sandy, siliceous, semiactive, thermic Aeric Alaquods
Leon variant
SOI L SB RA
se. Perched water table.
Z h
101.
Described by: Robert G P BYanc I ,i �; QC
Op Signed N O RT
kA
Date 9/8/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Dame Triple S Farms & Cleaning Project Number 2007-71
Owner Jonathan Smith Tract/Site JS
Operator Field 4
Slope 0-2 Sample No.. JS-4 Crop Bermudagrass
Boring ID Landscape Position Backslope
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.....................................
on .:De
the
'''' '' `
Ap
0-6
Is
10 YR 3/3
wk med gr
v. fr
nla
BE
6-13
sl
10 YR 6/3
wk med sbk
v. fr
rda
Btgl
13-25
s1
10 YR 6/2
mo med sbk
fr
10 YR 6/4 -e
Btg2
25-35
sl
10 YR 6/1
mo med sbk
fr
10 YR 6/4 -c, 7.5 YR 5/4 c
Btg3
35 54
sl
10 YR 6/1
wk med sbk
v. fr
10 YR 7/1 -c 7.5YR 5/6-c
Cg
54- 84+
Is
10 YR 7/2
sl to
-
7.5 YR 5/6
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 13"
Depth to Restrictive Horizon (in.) 13" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Typic Paleaquudults
Most Closely Related Soil Series Woodington variant
Discussion of Site
Convert from row crop to bermudagrass. e^� ��}� }. Netter but drainage improves the field use.
J
Described by: bert T
r
Signed
S
F �11a0. PQ40
Date 9/8/2022

Soil Description Explanation
All depths are in inches. n/a means not encountered or not applicable.
Horizons are depicted in standard soil taxonomy.
Color and mottles refer to Soil Munsell Colors
Structure refers to the shape and size of the peds or individual soil units.
Consistency refers to the ease of which the soil can be crushed.
Mottles are colors in the soil different from the predominant color
Horizons
Color
A
Surface Horizon
10/YR 3/2
Very dark grayish brown
E
Zone of leaching
10 YR 3/3
Dark brown
B
Subsurface Horizon
10 YR 4/2
Dark grayish brown
C
Parent Material Horizon
10 YR 4/3
Brown
R
Rock
10 YR 5/4
Yellowish brown
AE, AB, BE
Transition Horizons
10 YR 5/6
Yellowish brown
BC, CR
Transition Horizons
10 YR 5/8
Yellowish brown
t
Zone of accumulation of clay
10 YR 6/1
Gray
g
gleyed soil
10 YR 6/2
Light brownish gray
h
spodic horizon
10 YR 6/3
Pale brown
10 YR 6/4
Light yellowish brown
Texture
10 YR 6/6
Brownish yellow
s
Sand
10 YR 6/8
Brownish yellow
Is
Loamy sand
10 YR 7/2
Light gray
sl
Sandy loam
7.5 YR 5-4
Brown
scl
Sandy clay loam
7.5 YR 5/6
Strong brown
cl
Clay
5 YR 5/6
Yellowish red
1
Loam
2.5 YR 5/6
Red
cl
Clay loam
si
Silt
Structure
sil
Silt loam
wk
weak
sicl
Silty clay loam
mo
moderate
sic
Silty clay
st
strong
hvy
Heavy texture modifier
f
fine
it
light texture modifier
med
medium
gr
granular
Consistency
sbk
subangular blocky
vfr
very friable
sl
structureless
fr
friable
ma
massive
fi
firm
to
loose
vfi
very firm

coZ
r•
CNO
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NRCan Esri Japan, METI, Esri China (Hong Kong), Esn Korea, Esn
(Thailand). Mapmylndia, NGCC, © OpenStreetMap contnbuto'�cs, and the
GIS User Community
SCALE: 1 "= 1,500 ft
Triple S Farms Site
CHECKED BY: RTB Land Application Program Vicinity
RRTB BRANCH Jonathan Smith Fields Man
DRAWN BY: ESIDU" S p
DATE: 12/2/2022 SOILS, LLC P.j., Nu. 2007-71

VV Fe A s A 1.
F

LONNIE THIGPEN FARM

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
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 copies of the application and
supporting documentation
For more information, visit the TVater Quality Permitting Section's Non -Discharge Permitting Unit.
General -- This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .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: Triple S Farms _
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)
`.
11 c7
�fl S'��
V
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 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) 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.
II. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0I05(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.
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.
Landowner name:
Address:
City: State:
"�L tom, ' e t`" /�� Zip:��
� � , ,p�, `
Phone: C ", / ` 13 (Q /f E-mail address:
Signature: Date:
i
NORTH CAROLINA, COUNTY D
I, the undersigned Not ry Public do hereby certify that — -ONAl / e, / l h i Qey-)
jr
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the / `1
day of
Signature and seeal: _(_) 0 j,Q�J,/
My commission ex es: a
Lessee's/Operator's Certification:
, 20 Q
DOREEN S SMITH
DUPLIN COUNTY, NC
My Commission Expires ID 1a3
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:
Address:
City: _,_ State:
Phone: _ T` E-mail address:
Signature: Date:
Permittee's Certification:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing officialpame:
Signature:r;
Date: le) "' —e;? ZZ
FORM: LOA 06-16 Page 3 of 3

LONNIE THIGPEN
SOILS AND AGRONOMY REPORT
This farm is located approximately 0.2 miles south of Highway 24, approximately 2.13 miles east of
Beulaville, NC. This farm is surrounded by several swine farms typical for the area. One field is
proposed (LT-1). This field is currently in permanent cover of bermudagrass. This field is owned and
operated by Mr. Lonnie Thigpen. This field is nearly level to gently sloping and should provide an
excellent receiver sites for the Triple S Farms & Cleaning land application program.
Field investigations performed by a BR&S soil scientist agreed with the mapping available from
Natural Resource Conservation Service' Soil Survey. These fields were very high and dry with
Noboco soils. Some wetter areas to the south were noted but were out of the application area. This
field will be an excellent receiver sites with the proper management.
Map
:
: RY'E
Fielld:
Acres
Crop
Unit
Predoininant Soil Series ::::::::::::::::'
Rate :::
LT-1
21.58
bermudagrass
NbB
Noboco loamy fine sand, 2 - 6 % slopes
29360
Soil samples indicate slight lime additions which will be possible with lime stabilized biosolids.
Application of potassium will be necessary for good bermudagrass growth. All other soil parameters
are within normal range.

Crop management guidelines that will be of importance for this site will be:
• Proper coordination with land applier to incorporate biosolids,
• Proper harvesting of cover crop,
• Matching of cover crop's growing season to application events,
• Overseeding if winter application is desired,
• Good communication with farmer, land applier, and WWTP ORC, and
• proper coordination between application events and crop harvesting and planting.
0--a
Robert T. Branch
Soil Scientist/ Ajzronoj
SOIL S
Cj�
Cam./
17
:n-
A� 118� O
P�
OF CIO RTH G

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name
Triple S Farms & Cleaning
Project Number
2007-71
Owner
Lonnie Thigpen
Tract/Site
LT
Operator
Lonnie Thigpen
Field
1
Slope 0-2
Sample N LT-1
Crop
Bermudagrass
Boring ID
Landscape Position
Backslope
��ori�za
:fie' tl
Teztir'
` -iC
ructue
Cans s e nc
'':' 1Vlottles''
Comments
Ap
0-6
Is
10 YR 3/2
wk med gr
v. fr
n/a
BE
6-16
Is
10 YR 6/6
wk med sbk
v. fr
n/a
Btl
16-30
sl
10 YR 6/6
mo med sbk
fr
n/a
Bt2
30 - 39
hvy A
10 YR 5/6
mo med sbk
fr
7.5YR 5.6 c , 10 YR 6/2 -c
B13
39 - 61
scl
10 YR 5/6
I mo med sbk
fi
7.5YR 5`6 c , 10 YR 612 -c
Bt4
1 61- 84+
scl
I 10 YR 6/4
I mo med sbk
fr
7.5YR 5/6 c, 2.5 YR 516 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 30"
Depth to Restrictive Horizon (in.) 30" Type of Restrictive Horizon Seasonal High Water Table
Classification Fine -loamy, siliceous, subactive thermic Oxyaquic Paleudults
Most Closely Related Soil Series Noboco
Discussion of Site
Good soil and site for year round a 1 I L
Field should be an excellent sit
1 ^
t
�
Described by,
0i NORSN�,o
Signed
Date 9/7/2022

Soil Description Explanation
All depths are in inches. n/a means not encountered or not applicable.
Horizons are depicted in standard soil taxonomy.
Color and mottles refer to Soil Munsell Colors
Structure refers to the shape and size of the peds or individual soil units.
Consistency refers to the ease of which the soil can be crushed.
Mottles are colors in the soil different from the predominant color
Horizons
Color
A
Surface Horizon
10/YR 3/2
Very dark grayish brown
E
Zone of leaching
10 YR 3/3
Dark brown
B
Subsurface Horizon
10 YR 4/2
Dark grayish brown
C
Parent Material Horizon
10 YR 4/3
Brown
R
Rock
10 YR 5/4
Yellowish brown
AE, AB, BE
Transition Horizons
10 YR 5/6
Yellowish brown
BC, CR
Transition Horizons
10 YR 5/8
Yellowish brown
t
Zone of accumulation of clay
10 YR 6/1
Gray
g
gleyed soil
10 YR 6/2
Light brownish gray
h
spodic horizon
10 YR 6/3
Pale brown
10 YR 6/4
Light yellowish brown
Texture
10 YR 6/6
Brownish yellow
s
Sand
10 YR 6/8
Brownish yellow
Is
Loamy sand
10 YR 7/2
Light gray
sl
Sandy loam
7.5 YR 5-4
Brown
scl
Sandy clay loam
7.5 YR 5/6
Strong brown
cl
Clay
5 YR 5/6
Yellowish red
1
Loam
2.5 YR 5/6
Red
cl
Clay loam
si
Silt
Structure
sil
Silt loam
wk
weak
sicl
Silty clay loam
mo
moderate
sic
Silty clay
st
strong
hvy
Heavy texture modifier
f
fine
It
light texture modifier
med
medium
gr
granular
Consistency
sbk
subangular blocky
vfr
very friable
sl
structureless
fr
friable
ma
massive
fi
firm
to
loose
vfi
very firm

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GIS4User Community 1;
SCALE: 1 1,500 ft Triple S Farms Site
RTB Land Application Program CHECKED BY: pp gr VifVln)ItV
DRAWN BY: RTB BRANCH Lonnie Thigpen Field Map J
RESIDUALS
DATE: 1212!2022 & SOILS, LLC PmjKl No. 2007-71

gx•Gy ..T b- -y
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A
IN

SCOTT THIGPEN FARM

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
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 copies of the application and
supporting documentation
For more information, visit the JFater Onality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .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:
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)
ST-2
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 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 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.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0I05(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)
I 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.
Landowner name: �'-r7
1
Address: s —7
City: ,f i �/ State A/CZip: 2i •G
Phone: �lp"- 6,V T / J E-mail address: ciV�1`�G+L 4 '�t/`� ' Z��(� 4��
SignaturL: Date: 101141,, af 7
NOR'G I CAROLINA, i COUNTY
I, the undersigned Notary Public hereby certify that 3 A
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 1q4N
day of_ t(ILC , 20 ,
Signature ands 1 _ _ _ .2& REEN S SM}�f-t
My commission expires: d ►-j0
Lessee's/Operator's Certification:
NOTARY PUBLIC
My Commission Expires . 0 _
I certify that 1 have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
I certify that I have read this Agreement and do hereby
Signing official me:
Signature:
Zip
Date:
to abide by the stipulations and restrictions as specified herein.
Date: it —/2-
FORM: LOA 06-16 Page 3 of 3

SCOTT THIGPEN
SOILS AND AGRONOMY REPORT
This farm is located approximately o.75 miles north and to the east of Penny Road, approximately
2.25 miles east of Beulaville, NC. This farm is surrounded by several farms that are typical of row
crop, hay and pasture land. Two fields are proposed (ST-1 and ST-2). Fields ST-1 and ST-2 are
already in permanent cover. These fields are owned and operated by Mr. Scott Thigpen. This field is
nearly level to gently sloping and should provide an excellent receiver sites for the Triple S Farms &
Cleaning land application program.
Field investigations performed by a BR&S soil scientist agreed mostly with the mapping available
from Natural Resource Conservation Service' Soil Survey. These fields had wetter areas that were
to the north and were not considered as part of the application area. Predominant soil series for the
three fields are as shown in the table below. These field are drier and should be excellent receiver
sites with the proper management.
.... .
..P..
. ::.:::.:::.:.:.:.::::::::::::::::.:.::.:.:.:::::.::::::.::R'E::.:
::: Field::::
.................................1�
......................................................................................................................
Acres ::::::::
Cry :::::::::[Jiiif
.......
......:::::::Pt
..........................................................................
,........ .:.;...... .. .
edori ►uan.. So�1.S..r es...............
...:
Rate:: :
ST-1
14.05
bermudagrass
FoA
Foreston loamy fine sand, 0 - 2 % slopes
276/50
ST-2
1 20.3
bermudagrass
NbB
Noboco loamy fine sand, 2 - 6 % slopes
293/50
Soil samples indicate slight lime additions which will be possible with lime stabilized biosolids.
Application of potassium will be necessary for good bermudagrass growth. All other soil parameters
are within normal range.

Crop management guidelines that will be of importance for this site will be:
• Proper coordination with land applier to incorporate biosolids,
• Proper harvesting of cover crop,
• Matching of cover crop's growing season to application events,
• Overseeding if winter application is desired,
• Good communication with farmer, land applier, and WWTP ORC, and
• proper coordination between application events and crop harvesting and planting.

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Sled. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name
Triple S. Farms & Cleaning
Project Number
2007-71
Owner
Scott Thigpen
Tract/Site
ST
Operator
Scott Thigpen
Field
1
Slope 0-2
Sample No. ST-1
Crop
Bermudagrass
Boring ID
Landscape Position
Backslope
on o .:Depfh
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
:.::::..::::::::...:.:.:.:...:.:.:.:.....:.:.:.:...:.:.:.:::.:.:.:.:.:.:.:.:.:.............................:.:::::::.:.:.:.:.:.:.:............
Textur...:........................................'.......................
Ca1nr:::::Structure
CQnsistenc:
.............................................................
COMM*...s €"
. en ..........................
Ap
0-6
Is
10 YR 4/3
wk med gr
v. fr
o/a
BE
6-24
is
10 YR 6/4
wk med sbk
v. fr
nla
Btl
24-34
fsl
10 YR 6/8
mo med sbk
fr
10 YR 6/2 -c
Bt2
34-44
fsl
10 YR 6/6
mo med sbk
fr
10 YR 6/2 -c
BE'
44-51
tls
10 YR 6/6
wk med sbk
v. fr
10 YR 7/1 -c 5YR 5/6-c
Eg'
51-56
s
10 YR 7/2
sl Io
Btg'
56-84+
fsl
10 YR 6/1
mo med sbk
fr
10 YR 6/6
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 24"
Depth to Restrictive Horizon (in.) 24" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Aquic Paleudults
Most Closely Related Soil Series Foreston
Discussion of Site
After buffering field should be an exccl
J \ �• C7 ��=Jrl ✓ t
Described by: bert
GP
Signed �0 NOR'�N Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
►35 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
HONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Scott Thigpen Tract/Site ST
Operator Scott Thigpen Field 2
Slope 0-2 Sample No. ST-2 Crop Bermudagrass
Boring ID Landscape Position Backslope
)E�ori�a
14epth:
Textur
�alpr ..
tricfiui�
S..................
Caissteric
.........................
....�,.,.,.,.,.,.,...,.,.,..._.:.:...................................:...:.........................:...................
Ap
0-6
Is
10 YR 3/2
wk med gr
v. fr
n/a
BE
6-18
is
10 YR 6/6
wk med sbk
v. fr
n/a
Btl
18-30
scl
10 YR 6/6
mo med sbk
fr
n/a
Bt2
30 - 39
scl
10 YR 5/6
mo med sbk
fr
7.5YR 5/6 c
Bt3
39 - 64
scl
10 YR 5/6
mo med sbk
fi
7.5YR 5/6 c , 10 YR 6/2 -c
Bt4
64 - 84*
scl
10 YR 6/4
mo med sbk
fr
7.5YR 5/6 c , 2.5 YR 5/6 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 39"
Depth to Restrictive Horizon (in.) 39" Type of Restrictive Horizon Seasonal High Water Table
Classification Fine -loamy, siliceous, subactive thermic Oxyaquic Paleudults
Most Closely Related Soil Series Noboco
Discussion of Site
After buffering terraces and drainage, fieJdA&am1JJ�Q a good receiver site.
f rp/"�, .
Described by: ert
r OF
1180 GPQ—C�.d'
Signed TN Date 9/7/2022

Soil Description Explanation
All depths are in inches. n/a means not encountered or not applicable.
Horizons are depicted in standard soil taxonomy.
Color and mottles refer to Soil Munsell Colors
Structure refers to the shape and size of the peds or individual soil units.
Consistency refers to the ease of which the soil can be crushed.
Mottles are colors in the soil different from the predominant color
Horizons
Color
A
Surface Horizon
10/YR 3/2
Very dark grayish brown
E
Zone of leaching
10 YR 3/3
Dark brown
B
Subsurface Horizon
10 YR 4/2
Dark grayish brown
C
Parent Material Horizon
10 YR 4/3
Brown
R
Rock
10 YR 5/4
Yellowish brown
AE, AB, BE
Transition Horizons
10 YR 5/6
Yellowish brown
BC, CR
Transition Horizons
10 YR 5/8
Yellowish brown
t
Zone of accumulation of clay
10 YR 6/1
Gray
g
gleyed soil
10 YR 6/2
Light brownish gray
h
spodic horizon
10 YR 6/3
Pale brown
10 YR 6/4
Light yellowish brown
Texture
10 YR 6/6
Brownish yellow
s
Sand
10 YR 6/8
Brownish yellow
Is
Loamy sand
10 YR 7/2
Light gray
sl
Sandy loam
7.5 YR 5-4
Brown
scl
Sandy clay loam
7.5 YR 5/6
Strong brown
cl
Clay
5 YR 5/6
Yellowish red
1
Loam
2.5 YR 5/6
Red
cl
Clay loam
si
Silt
Structure
sil
Silt loam
wk
weak
sicl
Silty clay loam
mo
moderate
sic
Silty clay
st
strong
hvy
Heavy texture modifier
f
fine
it
light texture modifier
fined
medium
gr
granular
Consistency
sbk
subangular blocky
vfr
very friable
sl
structureless
fr
friable
ma
massive
fi
firm
to
loose
vfi
very firm

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DATE: 12/2/2022
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Triple S Farms
Site
Land Application Program
Vicinity
Scott Thigpen Fields
Map
Project No. 1
2007-7 1

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MIKE WILLIAMS FARM

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
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 A licant shall submit one original and two copies of the application and
suaaortine documentation
For more infornation, visit the Grater Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .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: Triple S Farms
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)
bN�
MO Aqt�
M &J-{ /1Aad -f
N t-v ( M to
/Q w)'- T, /q a)
`!
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 Pagel of 3

I. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 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.
11. RESTRICTIONS:
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
] 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:--Md LAI /QM-5
Address:
City: �pl. `—H t State: N Zip: �. j / of
Phone: i� i 6 - q E-mail address: N/
n n
Signature: �j� y �C�nX , MA-", r Date: l n —) 9 — Aa
NORTH CAROLINA, _1 COUNTY l /
I, the undersigned Notary Public do hereby certify that �l C hQ Q n / 74
personally appeared before me this day and acknowleopci the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ._
day of (V (,,,vUdUV
Signature and seal: � _
My commission expires: i'D
Lessee's/Operator's Certification:
,zoaa
NOTARY PUBLIC
My Commission Expires a 110 lo
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.
Address:
City:
Phone:
Signature: _
Permittee's Certification:
State:
E-mail
Date:
Zip:
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:
Date: /2 — / a
FORM: LOA 06-16 Page 3 of 3

MIKE WILLIAMS
SOILS AND AGRONOMY REPORT
This farm is located approximately 1.5 miles north with fields east and west of Wagon Trail Road
and to the east of Penny Road, approximately 3.4 miles east of Beulaville, NC. This farm is
surrounded by several farms that are typical of row crop, hay and pastureland. Ten fields are proposed
( MW-12A, 2B, 3-9). Most of these fields are in permanent cover but Fields 3 and 4 will be converted
from row crops to permanent grass. These fields are owned and operated by Mr. Mike Williams.
These fields are nearly level to gently sloping and should provide an excellent receiver site for the
Triple S Farms & Cleaning land application program.
Field investigations performed by a BR&S soil scientist agreed mostly with the mapping available
from Natural Resource Conservation Service' Soil Survey. These fields had wetter areas that were
not considered as part of the application area. Predominant soil series for the fields are as shown in
the table below. These fields should be excellent receiver sites with the proper management.
.......::
...........
.AcresGro
..........................................
:::::::::Yliiit
P.................
::: o; ::::
VIa ::
..:.:
::
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.....::::
1. 6 6 <
.—k% .S rr s...........
.................................................:.:.
.................................................................
:
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:: ........ ..: .
MW-1
10.88
bermudagrass
FoA
I Foreston loamy fine sand, 0 - 2 % slopes
276/50
MW-2A
5.93
bermudagrass
NbB
Noboco loamy fine sand, 2 - 6 % slopes
293/50
MW-2B
14.46
bermudagrass
FoA
Foreston loamy fine sand, 0 - 2 % slopes
276/50
MW-3
6.91
bermudagrass
FoA
Foreston loamy fine sand, 0 - 2 % slopes
276/50
MW-4
3.98
bermudagrass
FoA
Foreston loamy fine sand, 0 - 2 % slopes
276/50
MW-5
1.90
bermudagrass
GoA
I Goldsboro loamy fine sand, 0 - 2 % slopes
299/50
MW-6
6.21
bermudagrass
AuB
I Autryville loamy fine sand, 0 - 6 % sloe
270/50
MW-7
5.36
bermudagrass
NbB
Noboco loamy fine sand, 2 - 6 % slopes
293/50
MW-8
4.^2
bermudagrass
GoA
Goldsboro loamy fine sand, 0 - 2 % slopes
299/50
MW-9
lo.00
bermudagrass
AuB
Autryville loamy fine sand, 0 - 6 % slope
270/50
Soil samples indicate slight lime additions which will be possible with lime stabilized biosolids.
Application of potassium will be necessary for good bermudagrass growth. All other soil parameters
are within normal range.

Crop management guidelines that will be of importance for this site will be:
• Proper coordination with land applier to incorporate biosolids,
• Proper harvesting of cover crop,
• Matching of cover crop's growing season to application events,
• Overseeding if winter application is desired,
• Good communication with farmer, land applier, and WWTP ORC, and
• proper coordination between
Robert T. Branch 1
Soil Scientist/ Agronomist
and crop harvesting and planting.
SOIL S
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OF NO RTN GP

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] - CELL [phone]
Project Name Triple S Farms & Cleaning _ Project Number
Owner Mike Williams Tract/Site
Operator Field
Slope 0-2 Sample 1\o. MW-1 Crop
Boring ID Landscape Position
2007-71
MW
1
Bermudagrass
Backslope
::s:::::::::.......................:.:.:.:................:.:.:.:.:.:.:......
I�ori�o..Dep�ti'
Textur..........................................................................
::::.Calir€
Strictiir
Cionsisteic:
:::::€:€:€M©ttlies€€::€::::::::::::Coiinen.s
...................................................................
:.:.:.:::::::::::::
. .......................
Ap
0-6
Is
10 YR 4/3
wk med gr
v. fr
tva
BE
6-18
Is
10 YR 6/4
wk med sbk
v. fr
n/a
Btl
18-33
fs1
10 YR 6/8
mo med sbk
fr
10 YR 6/2 -c
Bt2
33-44
fs1
10 YR 6/6
mo med sbk
fr
10 YR 6f2 -c
BE'
44-50
fls
10 YR 6/6
wk med sbk
v. fr
10 YR 7 1-c 5YR 5 6-c
Eg'
50-56
s
10 YR 7/2
sl Io
Btg'
56-84+
&1
10 YR 6/1
mo med sbk
fr
10 YR 6 6
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 18"
Depth to Restrictive Horizon (in.) 18" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Aquic Paleudults
Most Closely Related Soil Series Foreston
Discussion of Site
After buffering field should be an excellent-s4ow—...-
SOIL S
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- 2!
Described by obe
Signed �� INY0 Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name
Triple S Farms & Cleaning
Project Number
2007-71
Owner
Scott Thigpen
Tract/Site
ST
Operator
Scott Thigpen
Field
2
Slope 0-2
Sample No. ST-2
Crop
Bermudagrass
Boring ID
Landscape Position
Backslope
Hor1Z0 ,
)tlepfi
1 ezti r
Color
Structure
Consistency
Mottles ''' "' '
Cammenlfs
Ap
0-8
is
10 YR 3/2
wk med gr
v. fr
n/a
BE
8-18
is
10 YR 6/6
wk med sbk
v. fr
n/a
Btl
18-28
scl
10 YR 6/6
mo med sbk
fr
n/a
Bt2
28 - 36
scl
10 YR 5/6
mo med sbk
fr
7.5YR 5/6 c
Bt3
36 - 61
scl
10 YR 5/6
mo med sbk
fi
7.5YR 516 c , 10 YR 6/2 -c
Bt4
61 - 84+
scl
10 YR 5/8
mo med sbk
fr
7.5YR 516 c, 2.5 YR 5/6 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 36"
Depth to Restrictive Horizon (in.) 36" Type of Restrictive Horizon Seasonal High Water Table
Classification Fine -loamy, siliceous, subactive thermic Oxyaquic Paleudults
Most Closely Related Soil Series Noboco
Discussion of Site
After buffering terraces and drainage, field should be a good receiver site.
J)
_q `
Described by: bert a 'ex OJ
11 a0
Signed Did Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Mike Williams Tract/Site MW
Operator Field 213
Slope 0-2 Sample No. MW-213 Crop Bermudagrass
Boring ID Landscape Position Backslope
or za
Vie' 'tl
p.....::...:...........:.....
Tezt r':':':':':
Calor..
Struct re
Co sltsten ....
.lY>l ttles:ii«mreri#s'
Ap
0-6
is
10 YR 4/3
wk med gr
v. fr
We
B1.
6-24
is
10 YR 6/4
wk med sbk
v. fr
nia
Btl
18-33
fsl
10 YR 6/8
mo med sbk
fr
10 YR 6/2 -c
Bt2
33-44
fsl
10 YR 6/6
mo med sbk
fr
10 Y R U2 -c
BF
44-50
fls
10 YR 6/6
wk med sbk
v. fr
10 YR 7/1-c 5YR 5/6-c
Fg'
50-56
s
10 YR 7/2
s1 to
Btg'
56-84+
&1
10 YR 6/1
mo med sbk
fr
10 YR 6/6
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 18"
Depth to Restrictive Horizon (in.) 18" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Aquic Paleudults
Most Closely Related Soil Series Foreston
Discussion of Site
After buffering field should be an excelle
S,QIL SSj
Described by: obert O ra
Signed F RIOR1\A Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
1)
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Mike Williams Tract(Site MW
Operator Field 3
Slope 0-2 Sample No. MW-3 Crop BermudaEass
Baring ID Landscape Position. Backslope
a
De Ali:
Teztur
Cv1 it
Structure
Coi sisteric:
ie '
€ € 1ti1©tt1 s........
"amien#slll€
........... .
Ap
0-6
Is
10 YR 4/3
wk med gr
v. fr
Wa
BE
6-20
Is
10 YR 6/4
wk med sbk
v. fr
n/a
Btl
20-32
fsl
10 YR 6/8
mo med sbk
fr
10 YR 6'2 -c
Bt2
32-44
fsl
10 YR 6/6
mo med sbk
fr
10 YR 6i2 -c
BE'
44-50
8s
10 YR 6/6
wk med sbk
v. fr
10 YR 7/1-c 5YR 5/6-c
Eg'
50-56
s
10 YR 7/2
sl to
Btg'
56-84+
fS1
10 YR 6/1
mo med sbk
fr
10 YR 6 6
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 20"
Depth to Restrictive Horizon (in.) 20" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Aquic Paleudults
Most Closely Related Soil Series Foreston
Discussion of Site
After buffering field should be an excellent site. Crop Land conversion to bermudagrass
—A
� < 1
Described oby:obert Branc 9A� T ao Pao
Signed Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Mike Williams Tract/Site MW
Operator Field 4
Slope 0-2 Sample No. MW-4 Crop Bermudagrass
Boring ID Landscape Position Backslope
ori tia
Dg Al
P
'ezl r'
.. Color
Strutture
Consistency
Mottles
'' # :
�o i nen s
Ap
0-6
Is
10 YR 4.- 3
wk med gr
v. fr
n/a
BE
6-25
Is
10 YR 6./4
wk med sbk
v. fr
n/a
Btl
25-34
fsl
10 YR 6`8
mo med sbk
fr
10 YR 612 -c
Bt2
34-45
fsl
10 YR 6/6
mo med sbk
fr
10 YR &2 -c
BE'
45-53
fls
10 YR 616
wk med sbk
v. fr
10 YR 7/ 1-c 5YR 5/6-c
Eg'
53-58
s
10 YR 7,12
A Io
Btg'
58-84+
fsl
10 YR & I
mo med sbk
fr
10 YR 616
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 25"
Depth to Restrictive Horizon (in.) 25" Type of Restrictive Horizon Seasonal High Water Table
Classification Coarse -loamy, siliceous, semiactive, thermic Aquic Paleudults
Most Closely Related Soil Series Foreston
Discussion of Site
After buffering field should be an excellent s' . version to bermudagrass
o SUIL SCNIN
U t `may J
N
Described by: Rob rt T. Branch
P
Signed OF NO RTNt G Date 9/7/2022

SOIL EVALUATION FORM
RANCH RESIDUALS & SOILS, LLC
35 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
[ONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning
Owner Mike Williams
Operator
Slope 0-2 Sample No.
Boring Id
MW-5
Project Number
2007-71
Tract/Site
MW
Field
5
Crop
Bermudagrass
Landscape Position
Backslope
:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.::.:.:.:.:.:.:.:.:.:...:.....:............:..................................................:...........................................:...:.:::...............................
.......
Hori�u
:::::::::::
::::::::::.::::::::::::::::::.::::::::::::::.::.:::::::.:.::::::::::::.::..::::.:.::::::::::::::::::.:.:.:.:.:.:.
Textur.
Color:::::5triittiir
Cainsisteic:
::::€:€:€:€Mottlies €€€
�' is
:::::::::::::oimen...................... .
Ap
0-6
Is
10 YR 4/2
wk med gr
v. fr
nla
BE
6-18
Is
10 YR 6/6
wk med sbk
v. fr
n!a
Btl
18-30
scl
7.5 YR 5/6
mo med sbk
fr
Wa
Bt2
30 - 39
scl
10 YR 6/4
mo med sbk
£r
10YR 6/2 c
Btg
39 - 64
scl
10 YR 6/2
mo med sbk
fi
10YR 5/6 c
BCg
64 - 84+
scl
10 YR 6/2
wk med sbk
fr
I OYR 5/6 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 30"
Depth to Restrictive Horizon (in.) 30" Type of Restrictive Horizon Seasonal High Water Table
Classification Fine -loamy, siliceous, subactive, thermic Aquic Paleudults
Most Closely Related Soil Series Goldsboro
Discussion of Site
After bufferiniz field should be an excellent sit • _ . ,
a ,T ;' 1Q
Described by: Rober " Branch Z
NO RINA
Signed Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
1)
Project Name Triple S Farms & Cleaning Project Number
Owner Mike Williams Tract/Site
Operator Field
2007-71
MW
I
Slope 0-2 Sample No. MW-6 Crop Bermudagrass
Boring ID Landscape Position Backslope
Ho tiu '
Depi l
Teztur
' .Color
Structure
Consistency
Mott 1es '''' '`'
'`':'Oam menu
Ap
0-6
Is
10 YR 3/2
wk med gr
v. fr
n/a
BE
6-18
is
10 YR 614
wk med sbk
v. fr
n/a
Btl
18-30
sl
10 YR 5/8
mo med sbk
fr
n/a
Bt2
30 - 39
sl
10 YR 6/4
mo med sbk
fr
10 YR 6./4 c
Bt3
39 - 64
sl
10 YR 6/4
mo med sbk
fi
7.5YR 5/6 c , 2.5 YR 5/6 c,
10 YR 6/2 c
BC
64 - 84+
s1
10 YR 6/4
wk med sbk
fr
7.5YR 5/6 c , 2.5 YR 5!6 c,
10 YR 612 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 39"
Depth to Restrictive Horizon (in.) 39" Type of Restrictive Horizon Seasonal High Water Table
Classification Loamy, siliceous, subactive, thermic Arenic Paleudults
Most Closely Related Soil Series Autryville variant
Discussion of Site
After buffering field should be an excellent i - _ . �
F
W i i
Described by: bert T Branch 118� Q-v
Q'
i 01c I O R7T G
Signed Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Ileckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Dame Triple S Farms & Cleaning Project Number 2007-71
Owner Mike Williams Tract/Site MW
Operator Field 7
Slope 0-2 Sample No. MW-7 Crop Bermudagrass
Boring ID Landscape Position Backslope
Horizo
:De th.
p.............................................
Teactur
:::::Co1Qrtrcture
........................
CQns1<sfenc
.
.. Mottles€€::Comrrcen.s
.......................
Ap
0-8
Is
10 YR 3/2
wk med gr
v. fr
n/a
E
8-18
Is
10 YR 6/6
wk med sbk
v. fr
n'a
BE
18-28
scl
10 YR 6/6
mo med sbk
fr
nla
Btl
28 - 35
scl
10 YR 5/6
mo med sbk
fr
7.5YR 5/6 c
Bt2
35- 66
scl
10 YR 5/6
mo med sbk
f,
7.5YR 5/6 c , 10 YR 6/2 -c
Bt3
66 - 84+
scl
10 YR 5/8
mo med sbk
fr
7.5YR 5/6 c, 2.5 YR 5/6 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 35"
Depth to Restrictive Horizon (in.) 35" Type of Restrictive Horizon Seasonal High Water Table
Classification Fine -loamy, siliceous, subactive thermic Oxyaquic Paleudults
Most Closely Related Soil Series Noboco
Discussion of Site
After buffering terraces and drainage, fields receiver site.
SO1 L SCr
S)
Described by: obert T. Bran
Gp-
Signed OP NORTN Date 9/7/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Mike Williams Tract/Site MW
Operator Field 8
Slope 0-2 Sample No. MW-8 Crop Bermudagrass
Boring ID Landscape Position Backslope
Norio :
begtli
:::::::::::::::::::::::::::::::::::::::
7extur
Calpr
structure
::::::::::::::::::::::::::::::::::::::::::::::::::::::1:::::::::::::::::::::::::::::::::::::::::::
Cons><sfenc
Mott es
O iiteits
a ...........:.:.:.:.:..........
Ar
0-6
is
10 YR 4/2
wk med gr
v. fr
Na
BI
6-18
Is
10 YR 6/6
wk med sbk
v. fr
n/a
Btl
Bt2
lA 26
26 - 39
scl
7.5 YR 5/6
mo med sbk
fr
n/a
scl
10 YR 6/4
mo med sbk
fr
I OYR 6/2 c
Btg
39 - 64
scl
10 YR 6/2
mo med sbk
fi
I OYR 5/6 c
BCg
64 - 84+
scl
10 YR 6/2
wk med sbk
fr
10YR 5/6 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. 26"
Depth to Restrictive Horizon (in.) 26" Type of Restrictive Horizon Seasonal High Water Table
Classification Fine -loamy, siliceous, subactive, thermic Aquic Paleudults
Most Closely Related Soil Series Goldsboro
Discussion of Site
After bufferine field should be an excellent s' _ . ,
<
Described by: Robert T. Branch 1184 Q-
P
OF NO RT'A G
Signed Date 9/8/2022

SOIL EVALUATION FORM
BRANCH RESIDUALS & SOILS, LLC
1735 Heckle Blvd. Suite 103-291, Rock Hill, SC 29732
PHONE [phone] — CELL [phone]
Project Name Triple S Farms & Cleaning Project Number 2007-71
Owner Mike Williams Tract/Site MW
Operator Field 9
Slope 0 - 2 Sample No. MW-9 Crop Bermudagrass
Boring ID Landscape Position Backslope
Horo
ptl'eztii:
Colairi....r
t ictui a
....................................
Conssteric
.. . M ones....
€ Comment
Ap
0-6
is
10 YR 3/2
wk med gr
v. fr
WEI
BE
6-18
Is
10 YR 6/4
wk med sbk
v. fr
We
Btl
18-30
sl
10 YR 5/8
mo med sbk
fr
Wa
Bt2
30 - 39
sl
10 YR 6/4
mo med sbk
fr
10 YR 6/4 c
BO
39 - 64
s1
10 YR 6/4
mo med sbk
fi
7.5YR 5/6 c, 2.5 YR 5/6 c
BC
64 - 84+
sl
10 YR 6/4
wk med sbk
fr
7.5YR 5/6 c , 2.5 YR 5/6 c
Additional Comments
Depth to Apparent Water Table (in.) NE Depth to Seasonal Water Table (in. NE
Depth to Restrictive Horizon (in.) NE Type of Restrictive Horizon none
Classification Loamy, siliceous, subactive, thermic Arenic Paleudults
Most Closely Related Soil Series Autryville
Discussion of Site
After buffering field should be an excellent si
SOIL Sc
�. BR,q�..
Described by: RVbert T. Br rich. -�
pF G
Signed NOR'�N Date 9/8/2022

Soil Description Explanation
All depths are in inches. n/a means not encountered or not applicable.
Horizons are depicted in standard soil taxonomy.
Color and mottles refer to Soil Munsell Colors
Structure refers to the shape and size of the peds or individual soil units.
Consistency refers to the ease of which the soil can be crushed.
Mottles are colors in the soil different from the predominant color
Horizons
Color
A
Surface Horizon
10/YR 3/2
Very dark grayish brown
E
Zone of leaching
10 YR 3/3
Dark brown
B
Subsurface Horizon
10 YR 4/2
Dark grayish brown
C
Parent Material Horizon
10 YR 4/3
Brown
R
Rock
10 YR 5/4
Yellowish brown
AE, AB, BE
Transition Horizons
10 YR 5/6
Yellowish brown
BC, CR
Transition Horizons
10 YR 5/8
Yellowish brown
t
Zone of accumulation of clay
10 YR 6/1
Gray
g
gleyed soil
10 YR 6/2
Light brownish gray
h
spodic horizon
10 YR 6/3
Pale brown
10 YR 6/4
Light yellowish brown
Texture
10 YR 6/6
Brownish yellow
s
Sand
10 YR 6/8
Brownish yellow
Is
Loamy sand
10 YR 7/2
Light gray
sl
Sandy loam
7.5 YR 5-4
Brown
scl
Sandy clay loam
7.5 YR 5/6
Strong brown
cl
Clay
5 YR 5/6
Yellowish red
1
Loam
2.5 YR 5/6
Red
cl
Clay loam
si
Silt
Structure
sil
Silt loam
wk
weak
sicl
Silty clay loam
mo
moderate
sic
Silty clay
st
strong
hvy
Heavy texture modifier
f
fine
it
light texture modifier
fined
medium
gr
granular
Consistency
sbk
subangular blocky
vfr
very friable
sl
structureless
fr
friable
ma
massive
fi
firm
to
loose
vfi
very firm

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