WQ0011244_Field Transfer Notification_20221212

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGEM, JR.
Director
Amy L. RATLIFF — CITY ENGINEER
CITY OF OXFORD
300 WILLIAMSBORO STREET
OXFORD, NORTH CAROLINA 27565
Dear Ms. Ratliff:
NORTH CAROLINA
Environmental Quality
December 12, 2022
Subject: Notice of Field Transfer
Permit No. WQ0011244
City of Oxford Class B
Residuals Program
Residuals Management System
Granville County
The Division of Water Resources has received and approved a request to transfer the field listed
below from the subject permit to Permit No. WQ0003504. Attached
is a copy of the Land Owner Agreement authorizing this transfer.
Land Owner
Field / Site
County
Acres
Thorp, Henry N, Jr.; Thorp, Mary Ellen
NC-GR-01-01
Granville
46.1
Please be advised that as of December 12, 2022, the City of Oxford shall not land apply
residuals to the field listed above. Doing so shall be a violation of G.S. 143-215.11 and may subject
you to appropriate enforcement actions pursuant to G.S. 143-215.6A., 6B., and 6C. Civil penalties of
up to $25,000 per day per violation may be assessed.
Since the subject field is no longer part of Permit No. WQ0011244, you may submit a permit
modification request to modify the Attachment B, or you may elect to modify the Attachment B during the
permit renewal process.
If you need additional information regarding this notice, please contact Zachary Mega at (919) 707-
3658 or zachM.megakncdenr.gov.
Sincerely,
Nathaniel D. Thornburg, Branch Ch f
Division of Water Resources
cc: Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Laserfiche File (Electronic Copy)
D � North Carolina Department of Environmental Quality i Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
NORTH CAROLINA
©0w0_0
or 919,707.9000

State of North Carolina
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 Waler Quality Permilling Ve.Pe . fl —. .. — -L,�,-l"�.,����L U Unif
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 G ' 5,A 'N� 0 - 2T -, I - 100. 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 (F(iRM: LOA 06-16):
Submit the completed and appropriately executed Land Application Site Certification (FORM: LASE 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,
F1 A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
The undersigned landowner or his representative hereby permits:
Applicant's name-. — Cijy of Durham
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)
NC-GR-0 1 -0 1
No
flay/Pasture
Feed
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 residual&
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 ablde with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement,
FORM: LOA 06-16 Page 1 of 3

1. 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 has representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be respoirsible 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 NCDFNR-DW[t, Non -Discharge Permitting.. Unit, lF 17 Mail
Service Center, Raleigh, NC 27499-161T
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).
b. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents ofthe 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 pl-I of the land application sitc(s) is not maintained at 6.0 or greater, sufficient amounts of time shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating [fiat the pH of the soil, residuals and time 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.
I0. "Elie 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 sitc(s).
l I. 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 sitc(s) by the Permittee, the landowner, or
has representative prior to and during a residuals land application event.
11 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 sitc(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.
I . 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 al. the land application sitc(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 alter 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 pans 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.
IILALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15ANC:AC 02L .01.07(d) prohibits water supply wells within the compliance boundary. However, j +A t� A( 02 k_,010.5O 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: NC-GR-01-01
(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.
I"V.ACIC.NCIW1.11! DGEMENT OF FIELDTRANSFER: (if needed)
Z The land application field(s) 1D: NC-GR-01-01 I is currently permitted under another residuals
land application program; Permit Number WQ: 0011244 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
._._.__.�...LfI)�rrham .w_._.._......__�
(Name of the new program)
FORM: LOA 06-1.6 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 pen-nission to the Pennittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: 5676 Old Roxboro Rd
city: Oxford State: NC Zip: 27565
Phone: [phone] E-mail address:
Signature: Date: 'R/;, 3/22.
NORTH CAROLINA, COUNTY
1, the undersigned Notary Public do hereby certify that e n[Aga-t R e—
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ;3,01
day of Ajg 4-
Signature and seal: �,
My commission expires: 31,701
Lessee's/Operator's Certification:
1. certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature: Date:
FORM: LOA (16-16 Page 3 of 3