WQ0006101_Permit Renewal_20200316

r
SYNAGR*
March 16th, 2020
N.C. Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section Class B Residuals Permit (DEDICATED)
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Mr. Nathaniel Thornburg
REFERENCE: APPLICATION FOR MAJOR MODIFICATION
CITY OF-DUNN RLAP WQ0006101
HARNETT COUNTY
Dear Mr. Thornburg:
On behalf of the City of Dunn, Synagro is submitting this application to modify the
referenced residuals land application permit.
It is requested that.2 sites totaling'123 acres be added to the referenced permit. The new
sites are as follows:
HA-307 Fields 4,5,6,7A.
SA-19 Fields 1 and 2
Enclosed is a check for $395.00 to cover the.fee associated with a major permit modification.
This application package should contain all information necessary to complete the requested
modification of the City of Dunn's permit. However, if you require additional information or
have further questions, please contact me at (919)-799-0766 or'[e-mail].
Thank you in advance for the timely and efficient review' of this renewal .application.
Sincerely,
James M. Goad
I
284 Boger Road, Mocksville, NC 27028 Phone: [phone] • Fax: [phone]
i

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Dlvislon of Water Resources 15A NCAC 02T .11.00 —RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 0646 & 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 conies of the application and
supportinLr documentation
For more information; visit the Water Quality Permitting Section's -Non -Discharge Permitting_Un
General —This application is for treatment, storage, transport, andlor 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 .1106,
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and suppoitmg,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 thesection and item to which they
refer.
j The Applicant's Certification on Page-5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b1. 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 fonn 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'
CMajor (land are permitted for >: 300 acres) I - $1,310 $395`
I Minor (land are permitted for < 300 acres) F $810 F $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 pennit.
C. Cover Letter (All Application Packages)
0 List all items'included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC I C .0300)
Submit a copy of the Findings of No Significant Impact (:FONSI) or Environmental impact Statement (EIS). Also,.include
information on any mitigatuig factor(s) fi•om 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 oF3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
d 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 0271' . 1110 and include at a minimum:
El 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.
0 Spill response plan; including control, containment, remediation, emergency contact information, etc.
0 Inspection plan including the following information; ,
0 Names and titles of personnel responsible for conducting the inspections.
[f Frequency, and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection fi-equency 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 [o 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
0 Dedicated' residuals land application programs are ones in which land application sites meet the criteria in ISA NCAC 021'
.110202). 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.
0 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.
0 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.
0 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
0 Provide an explanation of why a dedicatedsystem is required instead of a conventional .non -dedicated system.
0 Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
Q 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.
0 Plans must include the following- ininimum items:
F1 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).
0 Delineation of the review and compliance boundaries
0 Setbacks as required by 15A NCAC 02T .1109
R Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
0 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. 1-lowever, 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.
J.
K.
L.
M.
Project Evaluation and Receiver Site Management Plan (Al1New 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: http:l.'4vww.iucwater.orr/Rules Policies and. Regulations/. The document shalt 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)
Q 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 .1 SA NCAC 02T. I 104(d)(2). For Modifications, submit an updated site map
specific to the, modi fication(s) only.
[� The design documents must include the following minimuin items:
d 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;
R Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
[j 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.nctivater.orr/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:
0 Legal documentation of ownership (i.e.,. G1S, deed or article of incorporation); or
0 Written notarized intent to purchase agreement signed. by both parties with'a plat or survey map, or
F1 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
n A written notarized lease agreement signed by both patties, 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
DW�
Department of Environmental Quality
Division of Water Resources
"blvlsion of Water Resources 15A NCAC 02T .1100 —RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: City oQuD nn.,-LAP
Applicant type: Individual Ej Corporation.- [] General Partnership Privately -Owned Public Utility
El Federal D State M Municipal " El County
Signature authority's name per 15A NCAC 02T .0106: Heather Adams: Title: Public Utilities Director
Applicant's mailing address: 235 Governor Centre Drive`
City: Wilmington State: NC - Zip: 28403-
Telephone.number: [phone] Email Address: IlAdams (Ddumr-nc.or
2. Consultant's name: Melvin Goad License Number (for P.E.):
Affiliation: 0 On Staff M Retained (Firm: Svnaiiro LLC )
Consultant's mailing address: 28 B6 eg r Rd
CityMocksuil le State NC Zip: 27028
Telephone number: 919) 799-0766 Email Address moitd a Ynagro con
3. Agronomist's name License Number
Affiliation: 0 N/A E On Staff Retained,(firm )
Agronomist's mailing address:
City: State: Zip:'!.'
Telephone number:)_' Email Address: 1
4. Soil Scientist's name: Christopher Murray License.Number: 1284
Affiliation: ❑ N/A ❑ On. Staff ® Retained (Finn: N
Soil•SclentiWs.nnailing address: 5401 Thacker Dairy Rd
City: Greensboro State: NC Zip: -27406
Telephone number: ( 336-215-8820 Email Address: chris rr piedmontsoil.coni
5. Fee submitted: $395.00 (See Instruction B)
IL PERMIT INFORMATION:
1. Application is for (check all that apply): 0 new, 0 modified, E. renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00006106
Date of most -recently issued permit: 10113/2016
Date of most -recently certified. Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the. permit):
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
L , Residuals Processing Facility''s physical address: IVIultiple'sources Both WWTP and WTP
'City: Dunn State NEB Zip
Coordinates: Latitude i_"' Longitude i° i`-�
Datum: NA I bt4 Level of accuracy Second;
Method of measurement: 1VlAI?
2. County where residuals.landapplication program is headquartered: Haiaet
3'. List the Operator In Responsible Charge (ORC) and all. Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
RobertN. Roth.
Synagro
1.00.1672
Back -Up. ORC
lames M. Goad ,
Synagro
1008533
Additional -Back -Up
ORCs
if applicable)
ff 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: W
4. Complete the following tables regarding management• of the residuals land application program:
a. Pleud Available Nitrogen Summon?: Determine the maximum plant available nitrogen (.PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results: in the
following table:
Maximum amount of residuals to be certified: 650 dry tons per year.
PAN
Pounds of PAN per Dry Ton
Pound_ s of PAN per Year
ffYeighted Average)
Surface
Incorporation.
Surface
Incorporation
or Injection
or Injection
First -Year
20.19
23.46
13,114
15,246
Five -Year Maximum Adjusted
31.15
34.43
20,248
22,380
b.LandAuplicatlotrSrte Use Srurrxlnry: 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
0
,Row Crops
152.6
Hay
105.5
Pasture
68.3
Total:
326.4
Methods
Surface
326.4
Incorporation or Injection
0
Total:
326.4
FORM: RLAP 06-16 Page 2 of 5

e. Resitltt(ils Laiid Application Stut1/HarV: 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
flbs PAN1ac yt)
Concentrations
Surface
Incorporation or
Surface
Incorporation or
Injection
Injection
5.0
262.3
304.0
405.0
447.6
100
131.1
152.5
1202.5
223.8
150
87.4
101.6
135.0
149.2
200
65.6
76.2
101.2
111.9
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.):1 -
7. Specify type of residuals program (See instruction F): [D Non -dedicated El Dedicated
If Dedicated, specify the fallowing (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;,
El Residuals program contains any land application site(s) that.receiyes 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 as documentation.
H
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 Certiftoation and all associated documentation.
H.
7
�j i:;Y
Land Application SHte
Certification. doc
FORM: RLAP06-16 Page 3 of 5

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

Applicant's Certification (signing authority must lie in compliance with 15.A NCAC 02T .0.106):
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 .010S.
Z Yes d No, Explain;;.`, E
I, Heather Adams Public _Utilities Director
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for City of Dunn RLAP
(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 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: III accordance with North Carolina General Statutes §143-215.6A and y 143-21.5.6B, any Berson who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor; which may include a fine not to
exceed $10,000 as. well as civil penalties up to $25,000 per violation.
"Signature: Date: c3 i IZ�
FORM: RLAP 06-16
Page 5 of.5
_r

PWR
Division of Water Resources
State of North Carolina
Department of Ei nvironmental 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
I,or more h formativrr, visit the Water Quality Pe•ntifti+ag Section's .A,att-Disclitir�Lc, Pel-ndi ing Unit
General —'Phis 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 16A NCAC 02T . 1100. Do not submitthis 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 Applicatibn Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. .Please
do not matte 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 arc 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.
i` 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): 4 Renewed (R) ♦ Modified (M) 4 Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status Code
Requited Item
N
R
T
M
County Hoard
Notification. doc
Land Owner
Agreement
(If applicable)
(its
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
F,valuation Policy"
INSTRUCTIONS. FOR FORM: LASC 06-16 -Page I of 3

An updated accounting of the land application site's cumulative
pollutant loading rates CPLRs
Required Item
Status Code
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 re uirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer fi•om 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 Bode "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 -snapping 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 pennitted for use, but do not have an established soil mapping unit (the snapping 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 (EX I)
• 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 Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
Z 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: lrttpatdeq.sic.aov/about'divisionslwater-
resourcestplars n in �Jclassi licatian-standards/class i Cications
® Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
® A list of the Division's regional offices, then- county coverage, and their contact information may be downloaded at:
http:/t�leq.nc.�ovicontaet'reJional-of(ic�s
® General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers andestablished classifications.
1. Identify the project area on a 7.5 minute USGS topographical snap (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:fideq.ne.govabout/divisions/water-resourees/planitisla/classitication-staiidards/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 fi•om 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 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (aom 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 (niost;upstreain point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the pfoject.
® KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county fi-om 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 Click -able 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 team
"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 f SA. NCAC 02B .03010).
® 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) afterNovember 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 Termesse 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 Riven Basin
Streams entering the State of Tennessee are classified "C."
Broad River Bashi
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 cant' 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 06-16 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 203.4 net acres and Total to be certified: 326.4 net acres.
h LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code n
Site/Field
ID
Landowner(s)
Lessee(s) or Operators)
Net Acres
County
Crops)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope'
N
HA-307-4
KING ROBEWrS FARMS INC
Same
13.0
Harnett
Hay
Wickham
WkB
N
HA-307-5
KING ROBERTS FARMS INC
Same
9.3
Harnett
Hay
Wickham
WkB
N
HA-307-6
KING ROBERTS FARMS'INC
Same
41.5
Harnett
Hay
Wickham
Wk-B
N
HA-307-7A
K.ing Roberts Jr.
Same
10.0
Harnett
Hay
Augusta
Au
MICHAEL L. GODWIN PROPERTIES,
Same
28.1
Sampson
Row Crop
Goldsboro
GOA
N
SA-19-02
MICHAEL L. GODWcIN PROPERTIES.
Lt
Same
21.1
Sampson
Row Crop
Goldsboro
GOA
7_
' Status Code for land application sites are: + N (New) ♦ R (Renewed) ♦ M (Modified) ♦ 'I' (IYansterred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8°/n slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
SitelField ID
Latitude
Longitude
Location
patum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index Na.
Current and Proposed
Class
HA-307-4
350 19' 58.4"
78 ° 43' 18"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-5
350 20' 8.2"
780 48' 18.1"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-6
350 20' 14.6"
78° 42' 57.4"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-7A
350 20' 22.2"
780 43' 23.5"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
SA-19-01
350 12' 52.5"
780 30' 25.6"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;Sw
C;Sw
SA-19-02
350 12' 5.2.2"
780 30' 34.4"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-.17
C;Sw
C;Sw
o'F .I
L �.
NAD 83
ADD
Nearest Second
°
i
NAD 83
ADD
Nearest Second
Note: Please keep the site information ([.) and waterbody information (IL) of the same field on the same page.
Pa
FORM: LASC 06-16 ge 1

VICINITY MAP
i•Yt iL :,:,& �-$ � a ;, b� � •� �\�v s�fq % ;f ems.
al
1i�8
'�- �, '?� y"• � � *s a �" � � � �.' � mot. f -'t � ,..
GRAPHIC SCALE
1 ° = 4,000'
:;eca a a,oca
The compliance boundary Is established either 250 it from the residuals application area or 50 feet Wthin NC-HA-307
In the property boundary, whlchever Is doses( to the application area. ,The review boundary Is established
mid -nay between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate, Fields 4-7A

APPLICATION MAP
z�
M_
15►
EGEND
A LICATION AREA UNSUITABLE AREA
RATE ROAD WATER
GRAPHIC SCALE
—.
STREAM. �j liR� ONSITEHOUSE".=
66Q`
e4W:
OFFSITE HOUSE' tr=
a. .
-�r- x--i6—
FENCE OUTBUILDING
PROPERTY LINE ELL
The comp►larmtiounderylsestablshedeUher250ItItem tlieresldualsopprtcallomarea or50feet WIhln
NC-HA-3O7
In the property tmundary, +4hlchever Is closesl to the appllcallon area. -The boundary Is established
midway between the compliance boundary and the perimeter of the residuals appllcation area, All
Iocatlons-areapproktmate.
Fields 4-7A

TOPOGRAPHIC' MAP
• �d »_il� ` lk", ,S �lr��•Sk ;�, 4 v" ApA4y s
%
I ,c . _ _ UP It I
7 t
....t,_. la' "Y.�" z� i�i'$ fa ,�; ,i ,. i�'�e+� � �- .jj// t�J� r • y�y.
GRAPHIC SCALE .•
1° = 1,000'
.oay. o
The,complaace boundary Is WONshed ehher 250 it from the residuals appacauon area or 66 feet hill IVC=HA�3�7'
In the property boundary, wirlchever Is dosed to the appfcation area. The review boundary Is established
midway between the compliance, boundary and die pedmeterof the residuals a.p0lcaadon area. All -
loeadonsareappglmate, Fields 4-7A

I
TOPOGRAPHIC MAP
l
Y' � fit:. / ��l •�'�''� S ` `4 ;.4 �.
f .,
>o-64 c X AA L
p
A .141, N,, V1
" ,... -�rtP `k�a'Ki:{CA�'�'V� y1 `ram! ✓�'�
A�hQ'VIA
pPe?
t
s
Vc ,
x ,
GRAPHIC SCALE
1°=1,000'
raoa r,a�a
The compliance boundary Is established either 250 H from the -residuals application area Of 50 feel ►tilhin
In the property boundary, whichever -is closest to the app5cation area. The review boundary Is established
midway between the compliance boundary and the perirnetor of Ilia residuals application area. All
locations are approximate.
NC-HA-307
Fields 4-7A

F
/O Y
• ■
R 4
r • ` ww�
it
b
• R "�$ � Rr'n n
Mo
- ch
wa
a
�. "4."�'"+�
i �, m
, � • v
t r 9 �Y (yZfS 3^.!� 4 �� � Y t.
E
,, e
StA
W
r,
Will
'
.�
¢ r
�" � �. � .hr ' '
�•. a 2L � •
r
te y.
�� �R ,.
� � � �' � Mr �[ s g��, •� °fir; �, .� k �
� . �� �` �'�eF
5Y� �";�°'e•&
.��� ,f-aPh tYi y VW
tl Y
.•1

SOIL SURVEY
Y k
�s
i
E �y
r,
C �. .d�T m4ni M1i
GRAPHIC SCALE
1" = 660'
aKs o srY�r
w w
The compliance Wundary Is established elther 260 If from the resldvals application area of 80 feet WHO N C-HA-3 V7
In the property boundary, whichever Is closest to the applicaton area. The re -view boundary Is established
mid -Nay between the compliance boundary and the perimeter of the residuals application area, All
locations are approximate, Fields 5-7A

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 0646
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 additiunal.processing and review time for the
permit application. Unless otherwise noted, the. Applicant shall submit one original and two copies of the application and
supportingdocumentation
For more information, vtsitthe Water Quality Permitting Section's Non -Discharge Permirthla, 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 . L L00. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-I6).
Unless otherwise noted, the Applicant shall submit one original and two copies ofthe application and supporting documentation Iisted
below.
A. Land Owner. Agreement (FORM: LOA 06-16):
KSubmit the completed and appropriately executed Land Application Site Certification (FORM: LASC 0646) 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 lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: 1 ra�_ , Lrvty\
hereinafter referred to as the Permittee, to land apply residual's 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
note-till/over-seed/
(no
pasture)
14 1k o -
tM t4 k HA f
IV O
HA -FO-S
N
F655kEgAYAM
o
N
f s W-HAY
ret to
PA -36 7- A
N
#,t A / FC160
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.
fhis 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 oir cancels this. Agreement.
FORM: LOA 06-16 Page 1 of 3

sr. ',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 shalt 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, 1.617
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. Ili 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 pi -I 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 andlhe 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 sites) 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 sites) -by the Permittee, the landowner, or
Ills 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:
L 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'30Aay period following aresiduals land application event
4. Food crops with harvested parts that touch the residualsisoil mixture and are totally above the land surface shall,,not beharvested 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 ofthe new program)
FORM: LOA 06-16 Page 2 of 3

Laadowner'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 sites) 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 natne:
M
r
Address: /- �Q y _S— d
r�--��
City: C n! i /L State: . C Zip:N 'R
�1 )
Phone: d� � �k0 E-mail address: 1-0 6-91175 Le- 1,40
c1G � J
Signature: ` �. P . Dater(' j l
NORTH CAROLINA, COUNTY
I, the undersigned Notary Public do hereby certify that f11'n� V.
Nj
personally appeared before me this day and acknowledged the due, execution of the forgoing instrument.
WITNESS my hand and official seal this the 1 ' t l'
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
,20 161
ROBERT N. ROTH
GUILFORD COUNTY
STATE OF NORTH CAROLING
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:
I certify that I have read this
Signing offciai name: P
Signature:
State:
E-mail address:
Date:
Zip:
and do hereby agree to abide by the stipulations and restrictions as specified herein.
Date: 3 - % 8' -,ao
FORM: LOA 0646 Page 3 of 3

�+ SYNAGRO, KING ROBERTS FARM CLASS B PERMIT
WQ 0006101
SOIL SCIENTIST CERTIFICATION
I
This is to certify that soil profile evaluations were conducted on the, proposed application
sites for the King Roberts Farm project by Piedmont Environmental Associates, P.A. on
behalf of Synagro Central, LLC. The evaluations: consisted of hand auger borings and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G. Christopher Murray, L.S.S.
No. 1284
Synagro,, King Roberts Farm Project, Various Fields +

Soil Profile Descriptions in Field Locations
_
Project: King Roberts Farm (WQ 0006101)
% Slope: 3% .
Site: King Roberts Farm
Crop: Forage/Pasture
p1 ,• DM'I NT
Field: Field 4 Conducted
Coordinates: 35°33'21"N
By: GC Murray
_ Date: 9/10/2019
a
-
Z_131 V0Mo MRUEATA l_
ASSOCw r ■ ■ , P.A.
-78'72'25"W
Soil Series: Wickham
c
m w
0 w
w
Q
w
N
a m
N
m a.. C
O O
ci V
W C co
v`
i
Ui
N y
C N
p p C
N O N
a�
of L x d
c
0 U
n m cC O O
D d O d
••
+=
r
I
=
Ap
Ll
1 0-4
z I
10YR 3/3
-
-
-
-
moist
.
fsl
--
mod
--
med
-
gr
—
fr
ns
np
E
4-9
10YR 3/6
-
-
-
-
moist
sl
mod
med
gr
fr
ns
np
Bt
9-34
7.5YR 518
-
-
-
-
moist
scl
mod
med
sbk
fi
s
p
BC
3441
7.5YR 5/6
1oYR 5/6, 7.5YR 6/3
few
med.
C&D
moist
scl
wk
med
sbk
fr
s
p
C
4148
17.5YR 516
10YR 51B, 7.5YR 6/ 31
com,
med.
C&D
moist
sl
mod
med
I gr
fr
ns
n
Legend.,
Texture
Structure Grade
Structure Type
Structure Size
s sand
wk weak
gr
granular
f fine
I loam
m moderate
pl
platy
med medium
si silt
str strong
pr
prismatic '
sil silt loam
cpr
columnar
c clay
abk
angular blocky
cl clay loam
sbk
subangular blocky
Moist Consistency
scl sandy clay loam
sg
. single grained
fr friable
sl sandy loam
ma
massive
vfr very friable
Sid silty clay loam
fi firm
vfi very firm
Seasonal High Water Table:
Depth ("} Type (apparent/perched)
39 perched

Soil Profile Descriptions in Field Locations
- Project: King Roberts Farm (WQ 0006101)
% Slope: 3%
Site: King Roberts Farm
Field: Field 5
Crop: Forage/Pasture
Conducted By: GC Murray
:
PIEDMONT
Coordinates: 35°33'57.4"N
Date: 9/10/201.9
lEWPUA O 100 HIM i HIML
-78072'20.5"W
Soil Series: Wickham
A a s a c I x r■:, P.A.
dw
w
U
a.
t O
C y
N
N
~ C
O
U C
U U
,p
Q
aT
N O
U! U �. W
a1
d
y
N O en
7 0
C
O X U
R
d X +O+ 7
7
U
7
U
C v
U
p a} C6
.2
� O
n S n n
y
Ap
u
D-4
7.5YR 4/3
-
-
-
-
moist
fsl
mod
med
--
gr
fr
ns
np
E
4-10
7.5YR 3/4
-
-
-
-
moist
sl
mod
med
gr
fr
ns
np
Bt1
10-36
7.5YR 4/6
-
-
-
moist
scl
- mod
med
sbk
fi
s
p
Bt2
36=44
7.5YR 4/6
-
-
-
-
moist
scl
wk
med
sbk
fi
s
p
BC
44-48
7.5YR 5/6
-
-
-
-
moist
-scl
wk
med
abk
fi
s
p
Legend.
Texture
s
sand
I
loam
si
silt
sil
silt loam
c '
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sicl
silty clay loam
Seasonal High Water Table:
Structure Grade Structure Type Structure Size Depth (") Type, (apparent/perched)
wk weak gr granular f fine 39 perched
m mnrlarmta nl nlaty med medium
str strong pr prismatic
cpr columnar
abk angular blocky
sbk subangular blocky Moist Consistency
sg single grained fr friable
ma .massive vfr veryfriable
fi firm
vfi very firm

Soil Profile Descriptions in Field Locations.
Project' King Roberts Farm (WO 0006101), % Slope: 3%
Site: King Roberts Farm Crop: Forage/Pasture
Field: Field 6 Conducted By: GC .Murray
Coordinates: 35°33'76"N Date: 9/10/2019.
-78071'89"W Soil Series: Wickham
d w
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PIEDI4ONT
ASSOCIATES. V.A.
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-
-
-
—
moist
sl
-
mod
--
med
gr
fr
ns
np
E
5-11
7.5YR 314
-
-
-
-
moist
sl
mod
med
gr
fr
ns
np
Btl
11-37
7.5YR 416
-
-=
-
-
moist ,
-scl
mod
med
sbk
fi
s
Bt2
.37-48
7.5YR 4/6
-
-
-
-
moist
scl
wk
med
sbk
fi
s
p
Legend:
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sicl
silty clay loam
Seasonal High Water Table:
Structure Grade Structure Type Structure Size Depth (") Type (apparent/perched)
wk weak gr granular -f fine 39 perched
m moderate pl platy med mediurri
str strong pr
prismatic
cpr
columnar
ebk
angular blocky
sbk
subangular blocky
Moist Consistency
sg
single grained
fr friable
ma
massive
vfr very friable
fi firm
ufi very firm

Soil Profrle Descriptions in Field Locations
Project: King Roberts Farm (WQ 0006101)
% Slope: 3%
Site: King Roberts Farm
Crop: Forage/Pasture
PIEDMONT
Field: Field 7A
Conducted By: GC Murray
Coordinates: 35034'1.9"N
Date: 9/10/2019
-78°7T29.6"W
Soil Series: Augusta
y
w s,s o c ty r e s. .A.
CDC
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L 0 w+
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w
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Ap
01
0-4
z"
10YR 3/3
Z
-
Z
-
z 1
-
LLI
-
=1
moist
r-1
sl
w
mod
Wil
med
W
gr
e
fr
w
ns
np
E
4-10
10YR 3/4
-
-
-
-
moist
sl
mod
med
gr
fr
ns
np
Btl
10-37
10YR 4/6
10YR 5/8, 7.5YR 6/3
few
med.
C&D
moist
scl
'mod
med
sbk
fi
s
p
Bt2
37-48
10YR 4/6
1OYR 518, 7.5YR 6/2
cam,
med.
C&D
, moist
scl
wk
med
sbk
fi
s
p
Legend:
Texture
s
sand
I
loam
si
silt
s_ it
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
si
sandy loam
sicl
silty clay loam
Seasonal Hicih Water Table:
Structure Grade Structure Type Structure Size Depth (") Type (apparerit/perched)
wk weak gr granular f fine- 28 perched
m moderate pl platy med medium
str strong pr prismatic.
cpr columnar
abk angular blocky
'sbk subangular blocky Moist Consistency
sg single grained fr friable
ma massive vfr very friable
fi firm
A very firm

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report,No. FY20-SL003587
LrL"F Heavy Metals Client: Helen / King: Jr Roberts Advisor: Melvin Goad
,
��cos 4045 Titan Roberts Rd. Synagro .
Extraction Erwin, NC 28339 284 Boger Rd
Soil Report Mehlich-3
Mocksville, NC 27028
°;y Sampled County: Hamett
ant
Links to Helpful information_ _ Sampled: Not Provided
Received: 08/30/2019
Farm: HA-307 Completed: 09/04/2019 Client ID: 144021 Advisor ID: 404711
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a.section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a: soil test
extractant, background levels of these metals ypicallyseen in NC soils when analyzed are as follows: arsenic (As)-4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr)- 0.2 ppm, lead (Pb)-
4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and
note where elevated above background levels. Note any lime and fertilizer recommendations. Tissue testing is suggested where soil pH is high and is of concern as in samples found here.
Ja athi Kamalakanthan 9/4/2019_
Sample ID: H30704
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tons/acre) N P20s K20 Mg S Mn Zn Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M. 0.0 120-200 100 90 0 0 pH$ 0 ' 0 0
Note: 12 Note:
2 - 0.0
Test Results [units- WN in g/cO; CEC and Na in meq/1Q0 cO; NO3-N in mg/do]: Soil Class: Mineral
HM% WN CEC BS%n Ac pH P-i K-1 Ca% Mg%o S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-i Na ESP SS-1 NO3-N
0.27 1.12 10.5 98 0.2 7.2 18 24 86 11 - 36 793 474 87 87 87 0.1 1
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1 Nickel, 0.6 Chromium, 0.3 Lead, 3.9 Selenium, 0.2
Sample ID: H30705,
Recommendations: Lime Nutrients (Ib/acre)
More
Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 0 120 0 0 pH$ 0 0 0
Note: 12.Note:
2 - 0.0
Test Results [units - WN in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dO]: Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na. ESP SS-1 NO3-N
0.32 1.19 9.3 96 0.4 7.0 71 13 B4 � 11, 30 921 554 128. 128. 147 0.1 1
Heavy Metals (parts per million): Arsenic,. 0.1 Cadmium, 0.1 Nickel, 0.7 Chromium,. 0.2 Lead, 4..2 Selenium, 0.0
North Carolina
Tobacco Tivst Fund Commission
Reprogramming of the laboratory -information -management system'that makes this report possible is
being funded through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality..,
Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website:. www.ncagr.govlagronomi/
Report No. FY20-SL003687
Helen / King Jr Roberts
Page 2 of 3
Sample ID: - H30706
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre) N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Fescue/OGraWrim, M 0.0 120.200 0
100
0 0
pH$
0
0 0
Nate: 12 Note:8
2- 0.0
Test Results [units - WIV in g/crt�; CEC and Na in meq/100 crrrl; NO3-N in mg/drrr j:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K4 Ca% Mg%
S-1 Mn-I
Mn-All Mn-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.32 1.14 112 98 0.2 7.2 98 2G 82: 15
31 1001
600
156
156
162 0.1 1
Heavy Metals (parts per million): Arsenic, 0.1 Cadmium; 0.1
Nickel,. 1.0
Chromium; 0.2
Lead,
4.0 Selenium,0:2
Sample ID: ,H30707
Recommendations: Lime
Nutrients'(Iblacre)
More
Crop - (tons/acre) N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1-Fescue/OGrasslTim, M 0.0 120-200 0
90
0 0
0
0
0 0
Note: 12
2- 0.0
Test Results [units = WN in glcnr ; CEC and Na in meq/100 cm3; NO3-N in mg/do]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-I Ca% Mg%o
S-1 Mn4
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.56 1.05 12.1 92 0.9 6.4 64 24 76 15
35 585
362
112
112
283 0.2 2
Heavy Metals,(parts per million): Arsenic, 0.1 Cadmium, 0.1
Nickel, 0.6
Chromium, 02
Lead;
4.5 Selenium, 0:2

NCDABCS Agronomic Division Phone:. (919) 733=2655 Website: www.ncagr.govlagronomil
Report No.-FY20-SL003587
Helen / King Jr Roberts
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 lb/1000 sq ft) at ont
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
- cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
SP
ESP
copper index
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil -class
an excellent source; 175.to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS -I levels appear
Mn
Mn-All
manganese
Mn-availability index for crop 1
only on reports for greenhouse soil or problem samples.
Mn-Al2
Mn-availability index for crop 2
Mn-1
manganese index
Farmers and other commercial producers should pay special attention to micronutffebt levels. If-$, pH$, $pH, C or Z
M-O,
mineral -organic soil class
notations appear on the soil report, refer to.YNote: Secondary Nutrients and Micronutrients In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.govlagronomi/pubs.htm.
NO3-N
nitrate nitrogen
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of lb/1000 sq ft. If you cannot find
ORG
,pH
organic soil class
current soil pH
the exact fertilizer grade recommended on the report, visit rmvr. nogr.aovlaaronorniloboari4.htmf find information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guideto Fertilizer.
P206
phosphate
S-1
sulfur index
SS-1
soluble salt index
Test Results
WN
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index,
zinc index
remaining 16 [P-I, K-I, Ca%o, Mg%,. Mn4, Mn-All, Mn-Al2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinelyzn�
available)] indicate levels of plant nutrients or other fertility measurement. Visit+u`!^•<ncaor.gov/apronomUuyrst.htm

. •J��-.f �i. j
•w � i d � 1 t!Y�.�r% f +r
i� � �`-."y •1% aS�./. �., - is � 1 � �..
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�� r �!. .'� � ) wit;•' ��'; - /
io
r � � '• �.. -1 %tom �v � �x, �� • v `� ' .�,::
Y
NOW.
Insi
,�'
GRAPHIC SCALE. _
1° = 4,000' .
4.9C0 0 .4.00A . .
The compliance boundary Is estal:Nhed'elthev 250 It from the residuals application area or 60 feel WHO . N C-SA-19
in the property tmundary, whlchaver.Is closest to the app9catlon area_ The revlevr boundaryIs ostabushted
midway between the comptianee boundary and the perimeler. of 0ie.fasiduals application area'. All .
{, locationsareapprokiniate, FIeIdS .2

Q
Z
}
VICINITY MAP
GRAPHIC SCALE
1" = 4,000'
6
The compliance boundary Is established ellher 254 it (tom the residuals appGcaUon area or 50 feel within N C-SA-19
In the property boundary, whichever Is closest to die application area_ The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-2

t�
`• r
f--•`-`--�=�i.�!�,'_�••'.. � .��ii it ; . %/���%r /,
t'

TOPOGRAPHIC MAP
GRAPHIC SCALE
BOT
OW .0eav
The compliance boundary Is established either 250 It from the residuals application area or 50 feet Wthin
In the property boundary. whkhever Is dosed to Die application area. The review boundary Is established NC-SA-1.9
midway between the compliance boundary and the Perimeter.of Die residuals application arda. AD
location are approximate.
-2,
Fields t

TOPOGRAPHIC MAP
GRAPHIC SCALE
. 1 ° 8oa
eon a eca
The compliance boundary Is established either 250 It Irom the residuals application area or 50 feet within
In the property boundary, whichever I5.elosest.to the application.area_ The re -view boundaryls established
midway between the compliance boundary and the perimeter of the residuals application aiea. AB
locations are approximate.
NC-SA-1.9
Fields 1-2

S �
: OlL , SURUEY. . .
-
.',_
/ D T
• K
f �
GRAPHIC SCALE
1 800'
8W a FAB
The:compllance troundary Is eslabllshed either 250 0 from the-reslduats applcation area or 50 feet �%ilhtn N C'SA` 1
In the property boundary,,whkheyer Is dosest to the application area_ The review boundary Is established .
midway bet, "h the compliance boundary and the perimeter of the rusiduals application area. All
locationsaroapproximate, Fields. '-'2.

GRAPHIC SCALE_
1" = 8OV,
sam o r�
The compliance boundary Is eslabtished either 250 it from the residuals application area of 50 feet within NC-SA-19
In the property boundary, whichever Is closest to the applical►on area. The review boundary Is established
midway between the complianceboundary and the perimeter of the residuals application area, All
lmgonsate approximate. Fields 1-2

Department of E nviro'3t:ate Of North Carolina.
uinent and Natural Resources
' Department of Environment and ]Qiifal Resources
> ,
- Division of ii'
"r 15A NCAC 0 2 T .1100 — LAND O WNER AGR9JE , 9f.
`DWlslon of Water Resources
FORM: LOA 11-13
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 we site at:
h .11 octal. cdem.:or AvebAv /a s/lau
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 11-13).
'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 I1-13):
Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) 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.
MA copy of the completed and appropriately, executed agreement must be provided to the landowner and the lesseeloperator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The. undersigned landowner or hi'representative hereby permits:
Applicant's name: �_ C,' - o- buvyy-*
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,Cro s
4
Residuals Source
(optional)
_
Special note
(no-till/over-seed/
pasture)
A-19- 01
N
SA, 19 -02
N
R v4-,/ C R d
iq (m A peg
E
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 11-13 Page 1 of 3

t. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entjty for the site(s) specified by this Agreement.
`4�)t)i•fQf 11he srto(8repecihi4i�bp llFi +1K j Crjg8151' nr nthrnvke nermir tile use of the hind application sitc(s) to a third party, the landowner shall
2. ,,Should -the landotvnei' or his representative lease or otherwise permit the u%e of the land application site(s) to a third party, the landowner shall
b � RlwPaisibla,toghwure-(liar
tRtc�Ili�l"` t , _..., _ ...
be re§ponsible to ensure that tlic tlhrr i �l � ei 31ii41&AS1�i1�L d�Nit A>g Wowand conditions of this Agreement.
3. The landowner or his representative shall adhere to the priiiris�o'ris ol"tliis r�gf�emettt titttil 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, 1636
i Mail Service Center, Raleigh, NC 27699-1636.
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
Iand 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).
I1. 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 of -hear 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, I5A 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 fteld(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 11-13 Page 2 of 3'

Landowner's Certification: J
Vicertify that 1.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: / ! t n 1 a (41'
Address: or'? C y' I`? © R 4%
City: N A/ JV P. State. Al S Zip:.
Phone: E-mail address:
Signature: Ole, Date:
NORTH CAROLINA, A gt j pw ow COUNTY
I, the undersigned Notary Public do hereby certify that U ' l iInC e-
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the S_-c13V
day of
Signature and seal:
My commission expires:
Less eel s/Operator's ,Certifies Lion:
,20 }q
ROBERT No ROTH
GUILFORD COUNTY
STATE OF NORTH CAROLINA
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 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: 3Zi M19-6
.FORM: LOA 11-13 Page 3 of 3

Y SYNAGRO, DUNN CLASS_B PERMIT
WQ 0006101
SOIL SCIENTIST CERTIFICATION
This is to certify that soil profile evaluations were conducted on the proposed application
sites -for -the Dunn project by Piedmont Environmental Associates, P.A. on behalf of
Synagro Central, LLC. The evaluations consisted of hand auger borings -and
descriptions of the soils on the application sites. All hand auger borings included in this
package were either performed by me or under my direct supervision. All other work
performed for this permit application was conducted by Synagro Central, LLC.
G: Christopher Murray, L.S.S.
No. 1284
L r
Synagro, Dunn \NVVTP Project, Various Fields

Soil Profile Descriptions in Field Locations
Project: Synagro Dunn WWTP (WQ 00061.01)
% Slope: 3%
Site: Mike Godwin
Crop: Row Crops (soybean)
PIEDMONT
Field: SA-19-01
Conducted
By: GC Murray
Coordinates:35'12'46"
Date:1110/2020
E VCIROMMENTA+'L
-78"30'22"
Soil.Series: Goldsboro
A s s O e I. A r e s. P. A.
.
CC��1�
d
w
,
c
>
N
t. O
�
O
�N
N
.0
C O
C U
U
'n
Q
N O d
0 U o
7
d
7
O ai
U C U
NI. L.
w.
}�'
w "o N - XI
N V N
O N
O
O
O Q1
n:
w
-F
Ap
u
0-7
c
10YR 5/2
-
—
-
-
-
--1
moist
6
sl
--
wk
-
med
-
gr
—
fr
ns
np
E
7-11
10YR 6/3
- '
-
-
-
moist
Is
mod
med
gr
fr
ns
np
Bt1
11-36
10YR 5/6
1 OYR 511. 1OYR 516
com
med
C&D
moist
scl
mod
fine
sbk
fr
ss
sp
Bt2
36-48
10YR 5/6
1 OYR 511.1OYR W
com`
med
C&D
moist
scl
wk
fine
sbk
fr
ss
sp
Legend:
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam.
sic[
silty clay loam
Structure Grade
Structure Two
Structure Size
wk weak
gr
granular
f fine
m moderate
pl
platy
med medium
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
Moist Consistency
sg
single grained
fr friable
ma
massive
vfr very friable
fi firm
vfi very firm
Seasonal High Water Table:
Depth (") Type (apparent/perched)
ss. apparent

Soil Profile Descriptions in Field Locations
Project: Synagro. Dunn WVVTP (WQ.D0061O1)
% Slope: 3%
Site: Mike Godwin
Crop: Row Crops (soybean)
PIEDMONT
Field: SA-19-02
- Conducted
By: GC Murray
k
�
Coordinates: 35°12'47"
Date: 1/10/2020
s d "
EMUORON( T L
-78°30'31"
Soil Series: Goldsboro
A 5 5 0 C I A T E 5 P. A.
a)U
W
V
G
a.
d
w
L1
c U
U
Q
fn U
p .,
N r+
w
d
`
m x
a N
3
.r
7 N V
O y
O
O
r
..'. S n n
Ap
0-3
10YR 5/2
-
-
-
-
moist
sl
wk
I med
gr
fr
ns
np
E
3-10
10YR 6/3
-
-
-
-
moist
Is
mod
med
gr
fr
ns
np
Bt1
10-36
10YR 5/6
1OYR.5/1. IOYR 5/6
corn
med
C&D
moist
scl
mod
fine
sbk
fr
ss
sp
Bt2
36-48
10YR 5/6
10YR W. 1OYR 5/7
com
med
C&D
- moist
scl
mod
fine
sbk
fr
ss
sp
Legend.,
Texture
s
sand
I
loam
si
silt
sil
silt loam
c
clay
cl
clay loam
scl
sandy clay loam
sl
sandy loam
sicl
silty clay loam
Structure Grade
Structure Type
Structure Size
wk weak
gr
granular
f fine
m moderate
pl
platy
med medium
str strong
pr
prismatic
cpr
columnar
abk
angular blocky
sbk
subangular blocky
Moist Consistency
sg
single grained
fr friable
ma
massive
vfr very friable
fi firm
vfi very firm
Seasonal High Water Table:
Depth (") Type (apparent/perched)
ssI apparent
0

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncdgr.gov/agronomU Report No. FY2U-oL019875
,,kjj Client: Mike Godwin Advisor:, Synagro
;'arvJr9 Heavy Metals Godwin Produce Co Synagro
5904 Timothy Rd 284 Boger Rd.
=1
Soil Report Mehfich-3 Extraction Dunn, NC 28334 Mocksville, NC 27028
.r .sroa� �� Links to Helpful Information Sampled County: Sampson
Client ID: 121915 Advisor ID: 503079
Sampled: Received: 12/19/2019 completed: 01/06/2020 Farm: SA-19
Agronomist's Comments:
This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a
soil test extractant, background levels of these metals typically seen in NC soils when analyzed. are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium
(Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated lead in both the samples; Although the above metals here
are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer
recommendations. Where soil test phosphorus (P) is very high (P-1 > 100), crops will not respond to additional P applied. Tissue testing is advised where soil pH is high as
in sample found here. Jagathi Kamalakanthen 1/3/2020
Sample ID: SA1901
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P205 K20 Mg S Mn Zri Cu B
Information
Lime History:
1-Soybean 0.0 0 0 0 0 0 pH$ 0 0 0
Note: 3 Note: 3
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/106 cm3; NO3-N in mg/dm3]:' Soil Class: - Mineral _
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS4 NO3-N
0.86 1.20 9.9 97 0.31 6.8 328 88 84 8 29 119 69 299 299 264 0.1 1
J •
Heavy Metals (parts per million): Arsenic, 0.3 Cadmium, 0.1 Nickel, 0.3 Chromium, 0.3 Lead, 6.6 Selenium, 0.0
Sample 1D: SA1902
Recommendations: Lime Nutrients (lb/acre)
More
Crop (tonslacre) N P20e K20 Mg S Mn Zn Cu B
Information
Lime History:
1-Soybean 1.1 0 30 20 0 0 0 0 0 0
Nate: 3
2 - 0.0
Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm): Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% • Mg% S-1 , Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI -Cu-1 Na ESP SS-1 NO3-N
1.94 1.09 7.5 71 2,2 5.4 49 64 43 23 69 27 26 181 181 58 0.1 1
FHeavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1 Nickel, 0.4 Chromium, 0.2 Lead, 8.2 Selenium, 0.0
North Carolina Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
�,:' ,.•44 Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
¢ - Steve Troxler, Commissioner ofA,griculture
Toluocco BuNt Nrd Ciasnicsi��losr

NCDA&CS Ayronomic Division Phone: [phone] Website: www.ne.gr.gov/agronomi/
Report No. FY20-o!_019875
Mike Godwin
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime -
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
Bs%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and -lime is needed, use dolomitric lime.
copper index
-
.ES
exchangeable sodium percent -
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
Iblacre unless otherwise specified). Recommendations for-N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg, is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN-
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs,.SS-1 levels appear
Mn
Mn-All
manganese
Mn-availability index for crop 1
only on reports for greenhouse soil, or problem samples.
Mn-Al2
Mn-availability index for crop 2
Mn-1
manganese'index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
M-0
mineral -organic soil class
notations appear on the soil report, referto Note• Secondary Nutrteras and - MicronutrientsIn general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations forsmall areas, such as home.lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit wwtv.ncaar.c7ov/actronomi/oLOadtt:html` nd information that
P-I
phosphorus index
may help you choose a comparable alternate. For more information, read -A Homeowner's Guide to Fertilizer
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
Wtv
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
Zn-1
zinc availability index
zinc index
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-1, Zn-AI, Cu-I, S-1, SS -I, Na, ESP, SS -I, NOs-N (not routinel
available)] indicate levels of plant nutrients or other fertility measurement. Visit �'' ncac7r.go�laclronon1i/uy_rStntm

''Divlslon of Water.Resources
State of North Carolina
Department of Environmental Quality
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
instructious 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 orieinal and two, copies- of the application and
supportinE documentation
For more Information, visit tine Water Qirality.Perndtting Section's 1Non-Discharge Permit iti4 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 then. 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 .l 100. Do not submit this document for review
without a corresponding residuals program application form (CORM: 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 dire 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 I5A 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:
littps:tideq.nc.eoddaboutidivisions'ttiatee-resourcesla5 ater-resourers-rufsttivater-supply-i� atershec!-protectiiin-pro=gym
® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (91.9) 807-6337.
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:
httpssG'�v►� a:sosnc.aoyipubli tionVdircct_aspx
® A list of the Division's regional offices, their county coverage, and their contact information may be. downloaded at:
lion:,�deq:iic.�oyt¢ontactlre�scii�al-ofliczs.
® 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 I l4rich copy of the retum 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: 3/11/2020 "
To. Name of Chairman to the Board of County Commissioners: Howard L. Penny
Complete mailing address: PO Box 759
City: Lillin on State: NC Zip:. 27546-
County where land application sites are located: Harnett
Froin: Applicant's name: City of Dunn (on behalf of the Division of Water Resources in accordance with Session Law
20.13-340) 1 ,
Contact person and title: Melvin Goad
Complete mailing address: 284 Boger Rd.
City Mocksville State, NC Zip: 27028-
Telephone number: [phone] E-mail address: mizoad (s�na ro.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 Iand application of residual solids to site(s) located in your county. During this review, the Division
i` 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 Depaitment) 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: Fayetteville Regional Office
Complete mailing address: 225Green St. Suite 714
City: Fayetteville State: NC Zip: 28301
Telephone number: (210).433-3300 t
Expected date of application submission: 3/20120
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 Seryloe Cenler;.Relei h, North Carolina 27699.1617
Phone: [phone]Internet htlo:lloartal.ncdenr.orohvebhi
An Equal opportunity t frrnalivaAclion Employer- Made in padv ith recycled paper FORM: CBN 06-16

RESIDUALS SOURCE FACILITY_ SUMMARY
Applicant's name: City of Dunn
Status
Code'
Facility i'ermitHolder
Facility Name-
County
Permit Number
Maximum Dry Tons Per Year
Current b
I Proposed
R
'City of Dunn
City of Dunn WTP
Harnett
03-43-0I0
350
350
s R
City of Dunn
City of Dunn WWTP
Harnett
NCO043176
300
300
I
-
II
i
I
(-
I
1
I
Status Code for source facility are: + N (NeW) ♦ R (Renewed) + M (Modified) ♦ D (Deleted)
e The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13 Page l

LAND APPLICATION SITE CERTIFICATION
Appiicaafsname: Qy.ofDunn'
Land application sites currently certified. 203.4 net acres and Total to be certified: TBD.netacres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site)
ID
Landowner(� s
Lesse s . or Operator(s)
�))
Net keres
Countycrop(s)
s
Predominant Soil:
Series Nameb
MaPp?aa Unit
or Rep. Slope°
i1{1NG ROBER1TtS FARMS ING,
Vie.
13.
Iame
a ,
ickharnr
.. .
HA-7
c 1to13ERTs F11Rlrf$ IbI
: ame
t . �iME
LR,'
; .3.0�7
�G ROBCR•TiS hARMS IN
�. S� am `
41.
,4 "
-
. _ _
"May,
s
= A-307-7
°Roberts Jr.
] 0.0II�#0'
N
SA=19.-01
NUCH4M r oPmrrFs..
y�o oonwnaPx
. •
I ....Same ' .
28.
., . A
Sam son ,
P .
Row Crop
P •
Goldsboro
GoA
N
SA-19-02
Tn��L G°LLC
I Same-
21.1
Sampson
Row Crop
GoIdsboro
GoA
N
Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) .♦ M (Modified) ♦ T ('fianstmTed) ♦ D (Deleted)
b Soil Series Name (ie. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in. the, County Soil Survey. (i.e. for a 2-8%slope Cecil in Anson County the mapping unit is Ce$2)
II_ WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Sitelltiield ID
Latctude
Long fade
Location
Datum.
I;ocafion 1Ylethod Code.
Location
ration Accuiacy
Waterbody Subbasin and
Stream, in TVo:
Current aad Proposed
Class .
(HA
^5° 19° 58.4
8 ° 43° 18"
I. AD_8S
tT�]_carest Secortsl
pier LiGtIe River 18-20-(24S ;
G-S
CRSw,
H,a.-t7
5° 20' 8.2"
8° 48' 18.1
8_'
DD .LN—
ar_e t Second . '
i_ er Little lZivrr 18-20= 24�t .
C'Sw
;`�:
i -
r5° 20` 14.6 . ,
` 8' 4?' S7.4"
AD 8�:,
� .`
+'N_ea vst Seeand
4 pQer Little River 18.20-(?4 5i
ME
G Sw
;%IA OOfZe7t1
r 5° 2O' 2? 2 ': .
$° 43' 23.5"
a.
AD 83. ...
D
.. • .
t Secon ..
er L ` le River 18-2a �4.5�
LFP. .. (}, ..het
G-S
C= .
S
SA4-01
35° 12' S2.5"
. 780 30' 25.6"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68=147
C;Sw•
C;Sw
SA-19-02'
350 12' S22"
780 30' 34.4".
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-1-17
C;Sw
QSw
I'
[ °
I ° F."I_:"
NAD 83
ADD,
'Nearest Second
A
NAD 83
ADD
Nearest Second
Note: Please keep the site information (L) and waterbody information (U.) of the same Feld on the same page.
FORM: LASC 06-16 Page.1

LAND ,APPLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 203.4 net acres and Total to be certified: TBD net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope°
N
HA-3fl7-4
.KING,ROBCRTS FARMS 1_NG
Same
1_310
Harnett
Hay
Wickham
WkS
HA-307 5
K" fNG R_'0' TS FARMS INC
Same
9.3
Harnett
Hay"
W�ckhatr
WkB
\,
HA-307 6
KING RbBLRTS 'ARMS INC
Same
41.5•
Harnett
Hay
Wickham
WkB.
N
HA 07-'
King Roberts Jr;'
Same
10.0
Harnett
Hay
Augusta
Au
MICHAELL: GODWIN PROPERTIES,
LLC
Same
7
_8.1
Sampson
Row Crop
Goldsboro
GoA
N
SA-19-0
hECHAELL GODWIIQ PROPERTIES.
LLC
Same
S
21.1
Sampson
p
Row Crop
p
Goldsboro
GoA
N
^_
N1
--
Status Code for land application sites are: + N (New) + R (Renewed) + M (Modified) • r (I rmsrerrca) • ii kwctregu j
Soil Series Name (Le. Appling, Cecil, etc.)
°Mapping Unit must be consistent with those used in the County Soil Survey (Le. fora 2-8%slope Cecil in Anson County the mapping unit is. CeB2)
II. WATER13ODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accurac y
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
HA 3074'
350_ 19' 58.=t°.
78 _° 43' 181'
NAD 83`
AIX
Newest,Second
Upper Little ;River, 18-20-(24.5)
HA'307-5
35°, 20' 8.2"
78' 48'_ 18..1"
NAD 83'
ADD
ADD;
Nearest Second.
U er Little River, I;8=20. 24_5
pp.e (. - .)
C Sw
> _
C Sw.
>....
78° 42'5)
S.7?1"
NAND 83`
ADD,`
Neare:st_Secon. d
UpgerLlttle River,-i8'20-(?4;
C,Sw
C,Sw•.
�.
iTA 307,7A
35' 20'222"
78043' 23 5';
y1 sAD 8
ADD`
�.
Nearest Second
Upper.Ltttle.Rver,18=20-(�4.5)
C,Svv
C;Sw
SA-19-01
350 12' 52.5"
780 30' 25.6"
NAD 83
ADD
Nearest Second
Little Coharie Creek, 18-68-147
C;Sw
C;Sw
SA-19-02
350 12' 52 2"
780 30' 34.4"
NAD 83
'
ADD
Nearest Second
Little Coharie Creek, 18-68-147
C;Sw
C;Sw
° ! .>77,
NAD 83
ADD
Nearest Second
° El'
.
NAD 83
ADD
Nearest Second
_
[
Note: Please keep the site information (I.) and waterbody information (II.) ofthe same field on the same page.
FORM LASC 06-16 Page 1

VICINITY MAP.
' -
♦ fib• _� 1 ti�j „y. /�`��•�:
- - :L � .ram � . •r Pib �
1 : '• _ ti� +r ' '1 . _ 'ram( �`+ r
GRAPHIC SCALE . -
9" = 4.000'
The -co mplan.* . undsry Is eslsb>Ished ehlier 2ti0 Ii from Ihe.resWue s rippli aUori area Or till feetOON N C-HA-307=
In thproperly boundary, whichever Is closest to the appticoUon area The revlow boundary Is estabLihed -
mldway batwoon the compliance boundary -and the pedineler o11he uals'appllcalbn orsa.All- .
IoceUons ore sppr*mate,
Fields-4-7A

I
GRAPHIC SCALE
V = 4,000'
o a,aa
The compliance boundary Is established War 260 It from the rest luals application area or 50 feel Willin N-C-HA-307
In the property.boundary,.whlchevecisclosesl to Ilia application area. The revlow boandaryla established
midway between the compliance boundary and the peOmater of the residuals application area, All
locations are approximate. Fields 4-7A

Nate Roth
t From: UPS: Quantum View <[e-mail]>
Sent: Wednesday, April 8, 202012:03 PM
To:, Nate Roth
Subject: UPS Delivery Notification, Tracking Number 1Z51 F78WO108962881
Your package has been delivered.
Delivery Date: Wednesday, 04/08/2020
Delivery Time: 11:37 AM
At the request of SYNAGRO - MOCKSVILLE this notice alerts you that the status of the shipment listed
below has changed.
Shipment Detail
Tracking Number:
1Z51F78W010$Q 28S1
HOWARD PERRY
HOWARD PERRY
Ship:To:
420 MCKINNEY PKWY
LILLINGTON, NC 27546
US
UPS Service:
UPS NEXT DAY AIR
Number of Packages:
1
Weight:
1.0 LBS,
Delivery Location:
OFFICE
FUSA
Reference Number 1:
20-2360-30-60-4310 50-0055
0 c
x❑ Download the U25 inobite and
1

1Dlvlslon of Water Resources
State of North Carolina
Department. of Environmental Quality
Division of Water Resources
COUNTY BOARD NOTIFICATION.
INSTRUCTIONS FOR FORM: CBN 06-16
Please use the following instructions asa checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quielcer review time and reduce the amount of additional
information requested. failure to submit all of the required items will lend 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 wore h formation, visit the Prater Qualig; Permitting Section's Non -Discharge Permitting Unif
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, asJong 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:
hops:/;'deq nc-.uocfabo�.itfciivisions!�t°ater-resourcesftivoter-i'e:�odrcesaulesrwater-suppiV-ii•atei�hed-protection-pro;iam
® 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:i�«7.�v:sosnc.cav,'publ iCati4n5tdICCCI.aSpl
® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
http:ildeq:tic.goylcaritactfregional-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 I I -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 I

North Carolina Department of Environmental Quality
Pat. McCrory
Governor
Donald R. van der Vaart
Secretary
Date: 3/11 /2020
To: Name of Chairman to the Board of County Commissioners; Clark Wooten
Complete mailing address: 406 Counjy Complex Rd.
City: Clinton State: NC Zip: 283284
County where land application sites are located: Harnett
From: Applicant's"name: City of Dunn (on behalf of the Division of Water Resources in accordance with Session Law
2013-340)"
Contact person and title: Melvin Goad
Complete mailing address: 284 Boger Rd.
City: Mocksville State: NC. Zip: 27028-'j___'
Telephone number: (9.1.9) 799-0766 E-mail address: rugoad anag_ro.coni
Subject: Notification of residual land application site proposal
This is to notify you that tha 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
j 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 applications sites. Please forward this letter and its associated
attachments to the appropriate Department within your County (i.e., Hearth 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: Fayetteville Regional Office
Complete mailing address: 225 Green St. Suite 714
City: Ea
yetteville State: NC Zip: 28301
Telephone number: [phone]
Expected date of application submission: 3/20/20
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 276994617
Phone: 9IM07-64641Internet: hllo:llparlal.ncdc-nromtxeblwa
An Equal Opportunity 1AffumativeAction Employer— Made in part Mth recycled paper FORM: CBN 06-16

RESIDUALS SOURCE FACILITY SUMNLARY
Applicant's name; City of Dunn
Status
Code'
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current °
Proposed
R
City of Dunn
City of Dunn WTP
Harnett
03-43=010
; 350
350
R
City of Dunn
City of Dunn WWTP
Harnett
NC0043176
300
300
Status Code for Source. facility are: + N (Ne A,) + R (Renewed) + M (Modified) ♦ D (Deleted)
uThe a-nourt of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility).
SUMMARY FOR FORM: RSC 11-13 Page :1

LAND APPLICATION SITE CERTIFICATION
Applicant's name; amity of Dunn,
Land application sites currently certified: 203.4 net acres and.Total to be certified: T13D net acres.
i_ LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowners
(�
Lessees or O erator s
O P O
Net Acres
County
Crop(s) s
PO
Predominant Soil .
SeriesNameb
lYlappmgUriit
or Rep. Slope°'
N.
HA-307-4
ICING ROBERTS FARMS INC
Same
13:0 ..
Harnett
Hay
Wickham
WkB
N
HA-307-5
KING ROBERTS FARMS INC
Same
93
Harnett
Hay
Wickham
WkB
N .
HA-307-6.
KING ROBERTS FARMS INC
Same
41.5
Harnett
Hay
Wickham
WkB
N
-307-7
Kine Roberts Jr.
Same
10.01
Harnett .
Hay
Augusta.
Au
US � . •
. �
ow OYYo
Golr"dsboro
A-19 0
MiCYi4CL�fL!tGODW[NIPROAFIiIE$];
l
r��K
Same
1.]S
^fir
Sampson
aw Cro .
P1r'�Tlr4
�Goldsbom'
N
N
' btatus Code for land application sites are: ♦ N (New) i R (Renewed) ♦ M (Modified) ♦ T [Transterred) , + D (Deleted)
° Soil Series Name (i.e. Appli-rg, Cecil, etc.) -
°Mapping Unit must be consistedt with those used in the Cbunty Soil Suivey,(ie..for a 2-8% slope Cecil in Alison County.the mapping unit is CeB2)
II. WATERBODX AND CLASSIFICATIONS INFORMATION (See Instruction C):
SifelField II)
Latitude
Longitude.
Location
Datum .
Location lliethod Code
tocation Accuracy
Waterbody Subbasin and. -
Stream Index No.
Current and Proposed
P
Class
HA-3074
350 19' 58'.4"
78 ° 43' 18"
NAD 83
ADD
Nearest Second
Upper Little River, IS-20-(24.5). '
C;Sw
C;Sw
HA-307-5
35° 20' 82"
78° 48' 18:1"
NAD 83
ADD
Nearest Second
Upper Little River,.18 20-(24:5).
C;Sw
C;Sw
HA-307-6
35° 20' 14.6" .
78°.42' 57.4"
NAD 83,
ADD
Nearest Second
Upper Little River, I8-20-(24.5) •.
C;Sw
C;Sw
HA-307-7A
350 20' 222"
780 43' 23.5"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
A-] O1
5° 12` 5�_5"Nearest
.,. S , onsl
! ittle Caharie Creek 18-68-I-1
C-S
�C�S,w'
`,SA' h9M0a`
5° 12' S22"
'78° 30' 34.4",.
' AI7 83'
Dl3'
nearest
.'_ $econzj
Little Cohane Greek t8-68-1-1 f
C Sew
no Ell J_�ri
Le �,. _�:,
NAD.83 .
ADD.
Neatest Second.
j f
_ t
Q.' n'
NAD 83
ADD.
Nearest Second
! _
Note: Flease Keep the site information (L) and waterbody intormallon (ti.) of me same field on -the Same page.
FORM: LASC 06-16 Page 1
0

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Dunn
Land application sites currently certified: 203.4 net acres and Total to be certified: TBD .net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code
Site/FieId
ID
Landowner(s)
Lessee(s) or Operator(s)
Net Acres
County
Crop(s)
Predominant Soil
Series Nameb
in
Ma Q Unit
pe
or Rep. Slope°
N
TA-307-4
KING ROBERTS FARMS INC
Same
13.0
Harnett
Hay
Wickham
WkB
N
HA-307-5
KING ROBERTS FARMS INC
Sarre
9.3
Harnett
Hay
Wickham
WkB
N
HA-307=6
Kam ROBERTS FARMS INC
Same
41.5
Harnett
Hay
Wickham
WkB
N
HA-307-7A
King Roberts Jr.
Same
10.01
Harnett
Hay
Aug sta
Au
N,
SA I9-01
MC-HAFIA
LLc
"Sam
28.1'
W
Sampson.
Goldsbo ro:
GoA
N
SA-19-02
MlCtinEf L, GDDWTN PROPRT[PS;
LLG
$ame
? 1:1`
Sampson
Row Crop
Goldsboro.
GoA
N
-'Status Code for land application sites are: + N.(New) +R (Renewed) + M (Modified) T (Transferred) + D (Deleted)
° Soil Series Name (i.e. Appling, Cecil, etc.)
°Mapping Unit must be consistent with those used in the County Soil Survey (Le. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
11. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Cade
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
HA-307-4
350 19' 58.4"
78 ° 43' 18"
NAD 83
ADD
Nearest Second
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
HA-307-5
350 20' 8.2"
78048' 19.1"
NAD 83
ADD
Nearest Second
Upper Little River,.18-20-(24.5)
C;Sw
C;Sw
HA-307-6
350 20' 14.6"
780 42' 57.4"
NAD 83
ADD
Nearest Second
Upper Little River,18-20-(24.5)
C;Sw
C;Sw
HA-307-7A
35" 20' 222"
780 43` 23.5"
NAD 83
ADD 1
Nearest Second:
Upper Little River, 18-20-(24.5)
C;Sw
C;Sw
SA I9-01
350 12' S?.5?
7800' 25.6`;
NAD 83
ADD
Nearest Second
Little Coharie,Creek, J S 68 _I-17
CSw;
CSw
SA-I9702
3't5' IT 522"
78' 30' 34.4"
NAD 83
ADi)
Nearest. Second..
Little CoharieCreek, 18-68-1-17
C;Sw.
C;Sw
_
NAD 83
ADD
Nearest Second
-'
-
r— r.�
° ��'
€ ° E " '"
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (II.) ofthe same field on the same page.
Pa
FORM: LASC 06-16 Page 1

VICINITY MAP
t 'E� I ' s - '}' t �� ��'�':es:. - �-••.• d. ° `yam, ,
NAl -
4.
�; � ':"AID ', j •r-, ;' ;�} `r� - I
GRAPHIC SCALE-:
9^ 4,0001
R.aco . o• a.oro'
Tire oomp4ance Uounde'ry is esiobushedellhec26041 from the residunis nppuceUoil.aiea or GO feel W11141 NC-Sr►M19 '
In the property twundafy, %h Chevor Is closest to the appllcallon area. The review boundary is estafted,
midwoy 1w.W.men the compliance boundary and Ole pedmater o1 Me.residuals opplicalion area. AQ.
Wotlonsamapproximate, Fields 1.4. .

VICINITY MAP
f
GRAPHIC SCALE
9" = 4,000'
R,OW a a.oca
The compliance boundary Is established OW 250 ft from the residuals npplcallon area or 50 feet Kithln. NC_SA-19
In the property boundary, 01chem Is closest to the applicatlan area_ The rodow boundary Is established
midwej between the compliance boundary and Vie perimeler of Uie residuals opplicalion area. All'
locations oreappioximate, Fields 1-2

3/25/2020
USPS Tracking°
USPS.cor—,, U SPS Tracking® Results
a
Track Another Package +
Tracking Number: 70172400000103197613
Your item was delivered to the front desk, reception area, o.r.mail room at_1:54 pm on March 20, 2020 in CLINTON, NC 28328. rn
0.
a
7
(DV Delivered
March 20, 2020 at 1:54 pm
Delivered, Front Desk/Reception/Mail Room
CLINTON, NC 28328
Get Updates
Text & Email Updates V
Tracking History
u
Product Information
https://tools.usps.com/gofrrackConfirmAction?tRef=fullpage&tLc=2&text28777=&tLabels=70172400000103197613%2C 112

Barber, Jim
From; /Uleh Trent
Sent:
. ThursdayiApril 3l2O2O9:25AM �
To: ` Barber, Jim
' FVV.VV[%}OO61O1 - City bfDunn RLAP Moor Modification* Application
VVQ0006101VVQROSNOARR200415.pdf '
'
Trent Allen ` '
Fayetteville Resiona|Su r
.Division ofWater Resources
'
9104333336 office
`
' .
23SGreen Street —Suite 714
Fayetteville, NC 28301
-
`
.
EnnaUcornespondence-toandfnomnthisadd ip is'ubect1oth6iNorth CarolinaPub|icRecords Law and may bedisclosed
to third parties
� From: Thornburg, Nathaniel
Sent: Wednesday, April 1S 203012:Z6PM
To: Williams, Kendall <kendaUmiUiancs6ncden�` v
Cc:.KatyoLRanveer<RanxeenK_'a|@ncden ' Allen, / <trent.a||enADncdenr.govv;Brantley, Mark'
<[e-mail]>
Su��"�� 1O1 �ofD RLAP Modification
-,---««uuuu� `�ny Dunn x0ay�roNoU nApp|ication
. Kendall,
` Please process the subject application. received April 1S,ZO3OinB|M5.
I've included the RID. review request form for youruse. | also included the Abp|ica. emai|addresses inthe.o nnmet
' section ofRQreview request form. -
Please copy the RO/ Reviewer, and myself on the acknowledgement letter that you send to the Applicant. '
'
`
ROSupervisors—Pleose a ' thbproject tooneofyour staff for reveVv. '
' ,
APPLICATION -IS ON LASERBCHE.
Thank you,
�
' 1

Barber, Jim
From: Allen, Trent
Sent: - Thursday, April 30, 2020 9:25 AM
To: Barber, Jim
Subject: FW: Application Received for Review — WQ0.006101, Modification
Found this in my emails:.Not sure if you were aware of it.
Trent Allen
Fayetteville. Regional Supervisor
Division of Water Resources
910 433 3336- office
[e-mail]
225 Green Street = Suite 714
Fayetteville,. NC 28301
Email correspondence to and from this address issubject to,the-North Carolina Public Records Law and may be disclosed
to third parties
From: [e-mail] [mailto:[e-mail]]
Sent: Wednesday, April 15; 202012:25 PM
To: Allen, Trent <[e-mail]> -
Subject: Application Received for Review - WQ0006101,Modification
An application has- arrived for you to review.
Complete Application Date: 4/15/2020
Permit Number: WQ0006101
Applicant: City of Dunn
Permit Type: Residuals
Application Type: Modification
Facility Name:. City of Dunn RLAP
County: Harnett
CO Reviewer: Ranveer Katyal
Comments:
The application can. be found here;
https://edocs.deg.nc.gov/Laserfiche/index:aspx?db=WaterResources#id=1105-115;view=browse. The document
linked above will provide all "information submitted in support of the above -referenced application for your
- . review, comment, .and/or action. Please upload to .Laserfiche a completed staff report within 45 -calendar days

Initial Review
INITIAL REVIEW
........ ... I .... . ................. .. . .... . ...... ............. ... ......... . . .. ..... ........ . ........
............. . .. . . ...... ...... .
Reviewer Thornburg, Nathaniel
Is -this submittal an application? (Excluding additional
information:)*
Yes r-- No
Is this a complete
application?,
Complete App Date
1S Yes r, No
04115/2020
Project Number WQ00061 01
Applicant/Permittee City of Dunn
Applicant/Permittee 401 E Broad St. Dunn, NC 28335
Address
Is the owner in BIMS?
'is the facility in. BIMS?
67-, Yes (7, No
0'• Yes C No
Owner Type Municipal
Facility Name City of Dunn RLAP
County 'Harnett
Fee Category
Fee Amount
Major
395
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if.
non -application)
Emit Notifications
. .. . . . . ... .... .... .... .... .... .... . . . .... .... .... .... .... .... ..... .... .... ... . .... .... ... ... .... .... .... .. ...
... ... .... .... .... .. .... .... .... .... ..... .... ... ... ... . . .... .... ... ... ... ... . . .... .... .... ....
Does this need review by the hyorogeologist?
r, Yes r!, No
Regional Office Fayetteville
CO Reviewer Ranveer Katy6l: eads\rkatyal

Admin Reviewer
J
Below list any additional email address that need notification about a new project.
Email Address
Comments -to be added to email notification
.. .........
Comments for Kendall
Comments -for RO
Comments,for Reviewei
Comments for Applicant

Submitted Form
Project Contact Infotmation
Please provide inf&Tration on the person to be contacted by t CB'Steff regarding e�ectronic subs ttal, confimation of receipt, and direr issues:
Name * Robert Roth
Email Address*
Phone Number`
[e-mail]
3364034324
Project Information
Submittal Type
r, New Permit Application
r- Modification (Major or Minor)
r7 .Renewal
r- Additional Information
rr Annual Report
r. Residual Annual Report
r Other
Permit Type *
rr Wastewater Irrigation
r High -Rate Infiltration
r~ Other Wastewater
C Reclaimed Water
r" Closed -Loop Recycle
r. Residuals
r- Single -Family Residence
C Other
Wastewater Irrigation
-
Is a paper copy of the
application being submitted?
r Yes r, No (, N/A
Permit Number
W00006101
currently has praect
ApplicantTermittee * City of Dunn
Applicant/Permittee- 401 E Broad St. Dunn, NC 28335
Address
Facility Name * City of Dunn RLAP
Please provide comments/notes on your current submittal. below.
Major modification to add 2 new sites to the City of Dunn's RLAP. WQ0006101
Please attach all information required or requested for.this submittal to be review here.
Application fib" 6rgireerirg Ftairs, Spe ications, C akulations, Etc.)
City of Dunn RLAP WQ0006101 Mod. pdf 14.24MB
QJ load only 1 FCF docurrent. Miltipte docL wts m rst be co-rUned into one FCF file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contact the,reviewer or Tessa Monday. If a paper application is required,
be advised, applications accepted for pre -review until both the paper and electronic copies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (talcs, soils report, specs, etc.)
o One full-size engineering plan set
a One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
Mailing address:
•----•..... .................... ...----:----------•----------- ---------------- -----_-----•------•----------
B U_S. Postal Service By Courier%Special Delivery:
- ------------------------------- .....................------•-•----•----•------.---- ,
Division of Water Resources i Division of Water Resources
--------•....................................................•-•--••---..•............_......._...........----•-----••.._........___._........•.
Non -Discharge Branch' Non -Discharge Branch
1617 Mail Service Center z Att: Nathaniel Thornburg, 92" Floor, Office #942W __._.i
___.
......... ......_••----..__... ...... ..................... �....._.......-_...._...._.. ......•..€
Raleigh, NC 27699-1617 512 N. Salisbury St.
---------------------------- --------------- --------- --•----•---•----..._...._....................... ...----•----
......__ _Rale, NC 27604 _T1�D -----
For questions or problems contact Tessa Monday at tessa:mondayPncdenr.¢ov or 919.707.3660.
W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. 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).
Signature
el
y -
Submission Date 4/812020
l
1

EGEND
APPLtC .ION AREA UNSUITABLE AREA _
PRIV E ROAD by WATER GRAPHIC SCALE
- - - ST EAM ONSITE HOUSE V " 660'
,J Esa• o crrr
" DRAT OFFSITE HOUSE I�
--x--x- FENCE OUTBUILDING
a
PROPERTY LINE 0 WELL
The compliance boundary Is estabtshed either 250 it from the residuals applcaton area or 50 fdeNithin NC-HA-307
In the property boundary, %vhlcheVer Is closest to the appllcatJon area. The review boundary is established ?
r midway between the complianceboundary and the.pedmeler of the residuals application area, All
t locations areapprogimate, Fields 4-7A -
i.
l
4

Map Unit Description: Augusta fine sandy loam --Craven County, North Carolina
Craven County, North Carolina
Ag—Augusta fine sandy loam
Map Unit Setting
National map unit symbol. 3wf3
Elevation: 20 to 160 feet
Mean annual precipitation: 40 to 55 inches
Mean annual air temperature: 59 to 70 degrees F
Frost -free period., 200 to 280 days
Farmland classification: Prime farmland if drained
Map Unit Composition
Augusta and similar soils: 85 percent
Minor components: 5 percent
Estimates are based on observations, descriptions, and transects of
the mapunit.
Description of Augusta
Setting
Landform: Stream terraces
Down -slope shape: Concave
Across -slope -shape: Linear
Parent material. Old loamy alluvium derived from igneous and
- metamorphic rock
Typical profile
A -.0 to 6 inches: fine sandy loam
Bt - 6 to 10 inches: sandy clay loam
Big - 10 to 46 inches: sandy clay loam
Cg - 46 to 80 inches: sandy loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature More than 80 inches
Natural drainage class: Somewhat poorly drained
Runoff class: Very high
Capacity of the most limiting layer to transmit water (Ksat):
Moderately high to high (0.57 to 1.98 in/hr)
Depth to water table: About 12 to 24 inches
Frequency of flooding: Rare
Frequency of ponding: None
Available water storage in profile: Moderate (about 8.4 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 3w
Hydrologic Soil Group: B/D
Hydric soil rating: No
USDA Natural Resources Web Soil Survey 5/14/2020
1" Conservation Service National Cooperative Soil Survey Page 1 of 2

Map Unit Description: Augusta fine sandy loam --Craven County, North Carolina
Minor Components
Tomotley, undrained
Percent of map unit: 5 percent
Landform: Depressions on stream terraces, flats on stream
terraces
Down -slope shape: Linear
Across -slope shape: Linear
Hydric soil rating: Yes
Data Source Information
Soil Survey Area: Craven County, North Carolina
Survey Area Data: Version 22, Sep 16, 2019
USDA Natural Resources Web Soil Survey 5/14/2020
:� Conservation Service National Cooperative Soil Survey Page 2 of 2