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HomeMy WebLinkAboutWQ0011360_Permit Renewal_20190129State of North Carolina Division of Water Resources Water Quality Regional Operations Section Environmental Staff Report Quality To: ❑ NPDES Unit ® Non -Discharge UnitA Attn: Ashley Kabat - From: Jim Barber Fayetteville Regional Office Application No.: W00011360 Facility name: Tar Heel Sanitation Trailer Wash Note: This form has been adapted from the non -discharge facility staff report to document the review of both non - discharge and NPDES permit applications and/or renewals Please complete all sections as they are ap lip cable I. GENERAL AND SITE VISIT INFORMATION 1. Wag a site visit conducted? ® Yes or ❑ No a. Date of site visit: 02/14/2019 and 03/26/2019 b. Site visit conducted by: Jim Barber and Tony Honeycutt c. Inspection report attached? ❑ Yes or ® No d. Person contacted: Mike Cudd and their contact information: (2LO) 276 — 0648 x: 463 cell#: (910) 217-1836 e. Driving directions: From Fayetteville take Hwv 87 toward Elizabethtown. At the intersection of Hwy 87 and Hwy 20, turn right onto Hwy 20 and then turn left onto Purdie Hall road Drive approx 150 miles and turn left onto the entrance road for the Tar Heel trailer wash site. The trailer wash is at the end of the entrance road anprox. 1/4 mile off of Purdie Hall rnnd 2. Discharge Point(s): N/A Latitude: 34.786338 Longitude:-78.826556 (approx. center of Zone 1) Latitude: 34.784675 Longitude:-78.828972 (approx. center of Zone.2) Latitude: 34.782345 Longitude:-78.828865 (approx. center of Zone 3) Latitude: 34.780574 Longitude:-78.831262 (approx. center of Zone 4) (3. Receiving stream or affected surface waters: Surface water adiacent to the facility is Goodman Swamp Classification: River Basin and Subbasin No. Describe receiving stream features and pertinent downstream uses: Goodman Swamp heads up near the intersection of NC Hwy 20 and Purdie Hall road. Waterway is not well definedtypical of eastern NC swamp and somewhat_ braided. Land uses downstream of the trailer wash adiacent to Goodmn farms. Row crop production of corn/wheat/soybeans is also common. H. PROPOSED FACILITIES: NEW APPLICATIONS 1. Facility Classification: Proposed flow: Current permitted flow: (Please attach completed rating sheet to be attached to issued permit) FORM: WQROSSR 04-14 Page 1 of 2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑ Yes or ❑ No If no, explain: 3. Are site conditions (soils, depth to water table, etc) consistent with the submitted reports? ❑ Yes ❑ No ❑ N/A If no, please explain: 4. Do the plans and site map represent the actual site (property lines, wells, etc.)? ❑ Yes ❑ No ❑ N/A If no, please explain: 5. Is the proposed residuals management plan adequate? ❑ Yes ❑ No ❑ N/A If no, please explain: 6. Are the proposed application rates (e.g., hydraulic, nutrient) acceptable? ❑ Yes ❑ No ❑ N/A If no, please explain: 7. Are there any setback conflicts for proposed treatment, storage and disposal sites? ❑ Yes or ❑ No If yes, attach a map showing conflict areas. 8. Is the proposed or existing groundwater monitoring program adequate? ❑ Yes ❑ No ❑ N/A If no, explain and recommend any changes to the groundwater monitoring program: 9. For residuals, will seasonal or other restrictions be required? ❑ Yes ❑ No ❑ N/A If yes, attach list of sites with restrictions (Certification B) Describe the residuals handling and utilization scheme: 10. Possible toxic impacts to surface waters: 11. Pretreatment Program (POTWs only): III. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS 1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A ORC: Ronald Matthews Certificate #: SU995905 Backup ORC: Mike Cudd Certificate #:SI/994597 2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No If no, please explain: Description of existing facilities: Facultative lagoon system with spray irrigation of•bermuda hay. Proposed flow: 12,410,000 Gallons per year (34,000 GPD /0.034 MGD) Current permitted flow: 12,410,000 Gallons per year (34,000 GPD/0.034 MGD) Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership, etc.) 3. Are the site conditions (e.g., soils, _topography, depth to water table, etc) maintained appropriately and adequately assimilating the waste? ® Yes or ❑ No If no, please explain: 4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance boundary, new development, etc.)? ❑ Yes or ® No If yes, please explain: The facility has not changed since the Iast permit renewal Adjacent properties and the area in general around the trailer wash facility has not changed. No new residences or water supply wells have been constructed on adiacent properties to the facility. Murphy -Brown LLC has permitted the adjacent row crop fields (Tyson land NC-BL-20-3) for the land application of residual solids from the trailer wash lagoons at Tar Heel and White Oak (WO0040332). 5. Is the residuals management plan adequate? ® Yes or ❑ No If no, please explain: 6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No If no, please explain: FORM: WQROSSR 04-14 Page 2 of 6 7. Is the existing groundwater monitoring program adequate? ® Yes ❑ No ❑ N/A If no, explain and recommend any changes to the groundwater monitoring program: There has been one exceedance for nitrate over the last 10 years in MW-5 out of approx.. 150 samples taken Nitrate levels over the last five years have averaged around 7 mvA with some concentrations at 8 m2/1 All monitoring wells are the facility are inside the review boundary, between 50'-100' from the waste application area Once MB removes solids from the facultative lagoon at the Tar Heel trailer wash in 2019/2020; nitrate concentrations in the wastewater should decrease and minimize potential groundwater impacts in the future. 8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No If yes, attach a map showing conflict areas. 9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No If no, please explain: 10. Were monitoring wells properly constructed and located? ® Yes ❑ No ❑ N/A If no, please explain: Monitoring wells are relatively close to the waste application -area and all monitoring wells at the facility are inside the review boundary, between 50'-100' from the waste application area. FORM: WOROSSR 04-14 Page 3 of 6 11. Are the monitoring well coordinates correct in BIMS? ® Yes ❑ No ❑ N/A If no, please complete the following (expand tahle if necPcsarv)- Monitoring Well Latitude Longitude O I II O / It O / If O 1 If O 1 II O / it O / It O / 11 O / II O / 11 12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ® Yes or ❑ No Please summarize any findings resulting from this review: Flow rates are acceptable and not being exceeded since transitioning to the monitoring flow on an gallons/year basis verses monthly. Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable. 13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No If yes, please explain: 14. Check all that apply: ® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC ❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.) If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been working with the Permittee? Is a solution underway or in place? Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ® N/A If no, please explain: 15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑ Yes ®No❑N/A If yes, please explain: 16. Possible toxic impacts to surface waters: N/A 17. Pretreatment Program (POTWs only): N/A FORM: WQROSSR 04-14 Page 4 of 6 IV. REGIONAL OFFICE RECOMMENDATIONS 1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No If yes, please explain: 2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an additional information request: Item Reason 3. List specific permit conditions recommended to be removed from the permit when issued: Condition Reason 4. List specific special conditions or compliance schedules recommended to be included in the permit when issued: Condition Reason 5. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office ❑ Hold, pending review of draft permit by regional office ❑ Issue upon receipt of needed additional information ® Issue ❑ Deny (Please pate reasons: ) 6. Signature of report preparer: v Signature ofre ional supervisor: �J(�a� �r� ,g fz %)? Q-r .4u,&N Date: FORM: WQROSSR 04-14 Page 5 of 6 V. 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Soil Analysis ietails Billing, (lass.iDesig. Events Reg. Activities -Sir uctures Affiliations . Reviewers f . i. Permit: [ OD113 {? Version: -0. Status: dive Qlassifications { Designated 00eraids Back Next } Finish nu r trrnu. A Comments History} Inspections ` incidents Enforcements ''violations Related Permits Points Prior To Irrigation Wells i Fields Sites Soil Analysis Details 1 f Details 2 Billing Dlass.lDesig. Events Reg. Activities Structures r AfFiliations r Reviewers Permit: J Q001136. 0' App_ Version_ 13.0 Status: ctive Owner Lessee Tract# Fiell d.2one # Acreage Dominant Soil Series Plat Rating [Ourphy-Brown LLD T9 700-F2 01 671 Autryville Murphy -Brown. LLC T9700-F2 102 7.06 a utryville Murphy -Brown LLC 11 T9700-17 03 9.13 Autpjville Murphy -Brown LLB T9 7 0 0-F2 104 15.26 lAutDville <Bach I'.le"'d Finish Close Details.:. Remove Re rl0 ftn PERMIT: WQ0011360 FACILITY: Murphy=Browh LLC - TarheeI Sanitation Trailer Wash PARAMETER: 00620 Nitrogen, Nitrate Total (as N) ; PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00620 - Nitrogen, Nitrate Total (as N) 5 9 3 MW1 0) 4 AI- c7j 7i cr u' 07, Da�p7Q e p7Q�� Qp7sp> �07Sp7� p76�� Sp7�p7�� �p7� p7���7� GW59 t PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00620 - Nitrogen, Nitrate Total (as N) 10 -W M W2 9 2 O TT9"-1"T -TI-� vj !j 7 ttj �j 7 uj %j 7 uj %j 7 uj !j % 7 uj �i �' v' �i c� u' �i c� cs' �i u' �' ,7 V 7, 7, u�p cep cep p 7, `�00`,p0 /�O�p7�p7 ��O�p7 �p7 /�0�07�07 /�0�07�p7 �9 9 O9 O O 7p 7 7 7�7 2 Datt e 7p Tl 7v GW59 PERMIT: W00011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00620 - Nitrogen, Nitrate Total (as N) 1.0 W 0.6 It MW4 0) E m 0.2 0 '> 7 0 O� 7 S� '> 7 S� "� 7 S� > 7 S� 'i 7 a '> 7 O� '> 7 S� '> 7 0 _" 7 c� c� '7 u' 7, 7,u� 7, �00�00 ��Oc�07�� O��Oc�07 c�070��0�O72� O�07�070��0�07c'O77��Oc�07c�070��0 c�07c�070��Oc�07�070��0�07c�070��0 70 GW59 Date PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00620 - Nitrogen, Nitrate Total (as N) 16 14 12 10 E 8 6 4 2 0 -W MW5 uO �� 7 c�j �� u'v' 7i �' c�c� 7i c� c� 7i O O 7, 7, u� 7, c� 7, 7, c� �'0 �'0 O%� `�O c�0 Oic� `�O c�0 O�� �O `�O O% �O �O O�� O �O 7i� .20 20 O Oil Oic� O 00 00 000 70 70 070 7) 77 077 7� 7� 07� WO 70 070 t 7Q 07Q 07S 76, 76, 076 7� 7� 07,70 70 070 GW59 Date PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00620 - Nitrogen, Nitrate Total (as N) 10 E:1 6 E H Id -W M W6 0 uj !j 7 uj 8j 7 L? !j 7 L? �j 7 L? �j L? !j 7 L? �i 7 uj �j c�j % 7 L? %j 7 c� c' 7i c� u' 7i u' v' 7i u' u' 7i u' u' c? u' 7i u' u' c� u' 7i c1� u' 7i 7� 7, u' 7� 7� 7, u� 7� 7� c� 7, 7, c� �O �O ��� �O �O ��� �O �O ��� �O �O ��� �O 0 �`9 �`9 �09 70 70 �70 77 77 O77 7� 7� 07 7`� 7`� 7Q 7Q �7Q 7S 7cS �7S 76 76, 7� 7j �7, 7cP 7cP �7� Gt59 Date -i u 8 6 4 2 0 u� �� 7 L?�� 7 c?� c? u' . 7i . p c' 7i c? v' . 7i u' u' 7i cr c� 7i 7i 7i 7i p 7i . 7i p �i 7 p 7i 7i c� 7i 7i . c? 7, 7� u� 7, 7, c� �p2p,pi2.c�p.c�p�i�c�p c�ppi�2pc�pppc�p�pOi�2p.c�poi� pig pig p09 70.70 p7p 77 �7 07� 7� 7� �7� �c�' 7i� . �7p 7st 7Q �7Q 7S 7S 07S 76, 76, 0)6 7� 7� 0�,7p 7d, 07p GW69 Date PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC_ Tatheel Sanitation Trailer -Wash ,- PARAMETER: 82546 - Water level, distance from measuring point 14 12 10 d 8 6 4 2 0 0i 7 u?� .O� : 7 u� �� 7 c�j % .7 c�j �� 7 cry : �� ..7. ui �� . 7 c�j ii .7 c�j �� 7 u� .7 . �i .u' cr . 7i . 0 . v' 7i c� u' . 7i u' c� �i u' u' .�i u' c� 7i 0 t2 7i . 0 0 7i.7i 7i 7i �0 7i 7i OO 7i . 7i OO 7i 7i OO 7i. 7i "�0 : • 7� 7� ,�J 7� 7� 00 7, 7, Z? 7, 7� . u'0. 7, 7i 00 r'O �O �� / PO " �� �O �O�O �� �O �O �� �'O �O �� �O �O �� '�'O �O �� �O �O �� �O ?O 00 00 Oq 70 70 07 17 77 07 7"P 7� 07 70 70 07 7Q 7Q 07 7s 7�. 07 76, 76, 07 7� 7� 07 70 70 07 7 ?GW59 Date Q s O 8 PERMIT: WQ0011360 _ _FACIL'ITY J ;MurpFiy=B'rown LLC-- Taiheel'Sanitation Trailer :UVasFi PARAMETER: 00610 - Nitrogen, Ammonia Total (as N) 1.6 1.4 1.2 1.0 E 0.8 0.6 0.4 0.2 f Mwi -�— MW2 -� M W4 -W M W5 -W M W6 0.0' I uj % 7 .c�j !j 7 c�j !j %j 7 L? �j 7 chiuj % 7 . . u' 7i c� 0 7i c� c,� �i c� . u' u' 07�r400%�07�r00��`�707��OOO7��07000i�7070 Oi�700 707��0 Oic�0OO�i����07��0`�Oic�7��07��O�0ic� 00 00 00 70 70 07 77 77 07 7� 7� O) 70 70 O) 7Q 7Q 07 7s 7S 0� 76, 70, 07 7� 7� 07 70 70 07 c9 O 7 c� Tl S 6' cp GW59 Date PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash. PARAMETER: 00610 - Nitrogen, Ammonia Total (as N) 1.6 1.4 1.2 1.0 tz E 0.8 0.6 0.4 0.2 0.0 c�j �� u' u' c� u' 7i 01 c0 7i 7i 7, 7, u� 7, 7, u� 7, 7, v' 7, 7, c� 7, 7, ci 7, 7, 7, 7, c� 7, `�00`�000%p`�07c�070%O�07c�O7O%0�07�070%Oc�07c�070%Oc�07�O77�20•�07c�0 O%0�07�070%0�07�070%0�O7c�070%O �9 c9 09 O O 70 7 7 77 7� u' u� 70 St it 7Q S cS 7�. 6' 6' 76, > > 7� 8 7� GW59 Date -- MW1 PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00610 - Nitrogen, Ammonia Total (as N) 0.5 M 0.3 E 0.2 0.1 -- MW2 c�j %j 7 t�j %j 7 cJj %j 7 t�j %j 7 u, %j 7 O O 7i u' 7i 7i u' c� �i c� u' 7i u' c� 7i �' c� 7i u' u' 7i 7, 7, u�O u�0 c�Ou'Oc�Ou�0 7, 7, u'OO 7i 7i 00 `�00�00 /�0�07�07 0�07 207 0�07�07 0�07�07 0�07�07 0�07�07 0 9 J 09 O O 70 7 7 7�,70 St rt 7Q S S 7s GW59 Date PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00610 - Nitrogen, Ammonia Total (as N) 0.40 0.35 0.30 0.25 E 0.20 0.15 0.10 0.05 0.00 -W M W4 .�ppp2pp��pO p7O p7 gip; p7; p7��p; p7c�p)��p; p7� p70�p; p7Q p7�2p; p7s p7s�p; p7s p7��p; p7;p7��p; p7� p���p7 u' Q GW59 Date PERMIT: W00011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00610 - Nitrogen, Ammonia Total (as N) 0.40 0.35 0.30 0.25 E 0.20 0.15 0.10 0.05 0.00 7 7 c�j �j u' u' 7i u' u' 7i 7i 0 0 7i 0 p 7i 7, 7, u' 7, 7, u� 7, 7, 7, u� 7, 7, u� 7, 7, u� c� 7, 7, u� 7, `�0p`�0p ��'p`'p7p70/�O�p7 �p7�O�p70000 �0 0 0�0p7�O�p7�O7702p7p70O �07�p7pp0��0 9 9 09 O O 70 7 7 77 7� 7p t St 7Q GW59 Date -W M W5 PERMIT: WQ0011360 FACILITY: Murphy -Brown LLC - Tarheel Sanitation Trailer Wash PARAMETER: 00610 - Nitrogen, Ammonia Total (as N) 0.40 0.35 0.30 0.25 0.20 0.15 0.10 0.05 0.00 --W MW6 a I> 77 0 0 77 0 1> 77 0 �� 77 0 1> 0 '> 72 0� 77 0 '> a ". 77 0 'i 77 - i i i i i i i i 7, u'� c�� u�� 7, �O �O i2 �O �O i� �O `�O �� �O �O7� �O �0 00 009 70 70 070 77 77 077 7� G 5 �59 Date ',�` State of North Carolina Department of Environmental Quality WDivision of Water Resources - —'� WATER QUALITY REGIONAL OPERATIONS SECTION Division of Water Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM L—Gi7n ilzij February 5, 2019 D E1 WR zh419. To: HERO=QROS Trent Allen_/�MarkBrantl`ey� FEB 11 2019 From: Ashley Kabat, Water Quality Permitting Section - Non -Discharge Branch U'1 QROS FAYETTEVILLE REOIONA OFFICE Permit Number: WQ0011360 Permit Type: Wastewater Irrigation Applicant: Murphy -Brown LLC Project Type: Renewal Owner Type: Organization Owner in Bl MS? Yes Facility Name: Tarheel Sanitation Trailer Wash-' Facility in BIMS? Yes Signature Authority: G. P. Schmidt Title: President Address: PO Box 856, Warsaw, NC 28398 County: Bladen Fee Category: Non -Discharge Major Fee Amount: $0 - Renewal Comments/Other Information: Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 45 calendar days, please take the following actions: ® Return this form completed. ❑ Attach an Attachment B for Certification. ® Return a completed staff report. ❑ Issue an Attachment B Certification. When you receive this request form, please write your name and dates in the spaces -below, make a copy of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact person listed above. RO-WQROS Reviewer: �� /ik g4mo - Date: /'/9 FORM: WQROSNDARR 09-15 Page 1 of I ROY COOPER Governor MICHAEL S. REGAN Secretory LINDA CULPEPPER Director G. P. SCHMIDT —PRESIDENT MURPHY-BROWN LLC PO Box 856 WARSAw, NORTH CAROLINA 28398 Dear Mr. Schmidt: NORTH CAROLINA Environmental Quality February 6, 2019 _ Subject: Acknowledgement of Application No. WQ0011360 Tarheel Sanitation Trailer Wash Wastewater Irrigation System Bladen County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on February 5, 2019. Your application package has been assigned the number listed above, and the primary reviewer is Ashley Kabat. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, 'the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If - you have any questions, please contact Ashley Kabat at (919) 707-3658 or ashley.kabat@ncdenr.gov. Sincerely, r r' Nathaniel D. Thornburg, Supervisor Division of Water Resources cc: FayettevlleRe`gional'Office WatermQualityegional Qpeiations'Sechori: Permit File WQ0011360 D, E NORTH CAROLJ14A CC, D*artm of of FnvtrOn Im UaUty North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919.707.9000 Smithfielda Good food. 7ZespoPtsN8 January 29, 2019 NCDEQ Division of Water Resources Water Quality Permitting Section Non -Discharge Branch 1617 Mail service Center Raleigh, NC 27699-1617 Attn.: Nathaniel Thornburg, Supervisor Subject: Permit Renewal Application for Tarheel Sanitation, Trailer Wash Facility Permit Number: WQ0011360 Bladen County M. Kevin Weston 5r. Environmental Compliance Technical Specialist Smithfield Hog Production Division P.O. Box 856 2822 NC Hwy 24 West Warsaw, NC 28398 (910) 293-3434 tel (910) 293-3 138 fax RECEIVFDINCDMOWR FEB 5 2019 Non -Discharge Permitting Unit Enclosed please find the Non -Discharge System Renewal Form: NDSR 09-18 and supporting documentation for the Tarheel Sanitation Trailer Wash Facility. The operations at this facility are remaining the same, however a change in the acres per spray application zone is needed to reflect a reduction ,in acreage due to some sprinklers not being used to meet the required 150' property line setback. Upon updating the site map, we discovered that several sprinklers were located within the setback. To date, we have not been able to obtain property line setback waivers from the adjoining landowners and therefore are closing these sprinklers off until the waivers can be obtained. The remaining acreage is enough to utilize the currently permitted capacity of 12,410,000 gallons per year at 22 inches per acre per year. Please update the acreage per zone. If you have any questions regarding this matter, please contact me. Sincerely, M. Kevin Weston kweston @s mithfield.coin www.smithfieldfoods.com =r - W__ Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL FORM: NDSR 09-18 This form is for renewal without modification for all non -discharge system permits,, except Residuals Management and Single - Family Residence Wastewater Irrigation System permits. For more information, visit the Water Quality Permitting Section's Non -Discharge Branch. I. PERMITTEE INFORMATION: 1. Permittee: Murphy -Brown, LLC 2. Signature authority's name: G.P. Schmidt per 15A NCAC 02T .0106(b) Title: President, Murphy -Brown, LLC Primary Telephone number: (210) 293-3434 Office Secondary number: (_) _- Select Email Address: gpschmidt@smithfield.com 3. Permittee's mailing address: P.O. Box 856 �A City: Warsaw State: NC Zip: 28398- RECEI,�D1Nr0F01nU'jP\ 4. Billing address (if different from above): FEB 5 2019 City: State: Zip: - Non -Discharge _ 5. Contact person's name (if different from signature authority): M. Kevin Weston Title: SrRhVlkWi ritM Technical Specialist Primary Telephone number: (910) 293-5363 Office Email Address: kweston@smithfreld.com H. PERMIT INFORMATION: Secondary number: 910 290-3300 Cell r4mmoiJS R10— Z0e- 9/6 — 09.3 — 55 (o PArJ CE) 1. Existing permit number: WQ0011360 2. Has the facility been constructed? ® Yes or ❑ No If yes, has the facility been constructed in accordance with the permit and the Division -approved plans and specifications? [ 15A NCAC 02T .01101 ® Yes or ❑ No If no, a formal permit modification request shall be submitted to the Division. 3. Has any of the property ownership within the facility and/or disposal area changed from what is indicated in the current permit (Attachment B — disposal field owner/lessee)? ❑ Yes or ® No Has the Permittee had a name change or has the permit changed ownership? ❑ Yes or ® No If yes to either, a permit modification request shall be submitted to the Division. [15A NCAC 02T .0105] 4. Is this facility a Privately -Owned Public Utility? ❑ Yes or ® No If yes, provide two copies of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non -discharge system. [,15A NCAC 02T .0115(a)(1)] 5. Is the Permittee a Home/Property Owners' Associations or Developers of lots to be sold? ❑ Yes or ® No If yes, provide the following: • For Home/Property Owners' Associations —.Operational Agreement (FORM: HOA) and a copy of the proposed or approved Articles of Incorporation, Declarations, and By-laws [15A NCAC 02T .0115(c)l • For Developers of lots to be sold — Operational Agreement FORM: DEV) F15A NCAC 02T .0115(b)] FORM: NDSR 09-18 Page 1 of 3 ' f J State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL Division of Water Resources FORM: NDSR 09-18 III. SITE MAP: 1. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following: Boundaries and physical features not under purview of other licensed professions shall be provided by a professional land surveyor ® Legend, north arrow, scale, and legible in black and white ® Topographic contour intervals not exceeding 10 feet or 25 percent of total site relief ® -Soil mapping units on all disposal sites ® All facility -related structures and fences within the treatment, storage, and disposal areas ® All habitable residences and places of assembly within 500 feet of all treatment, storage, and irrigations sites ® Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, ditches, and other surface drainage features within 500 feet of all waste treatment, storage, and disposal site(s) ® Location and identification of each monitoring well (identify any background/upgradient wells) ® Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits) ® Location and identification of major components of the waste disposal system ® The wetted perimeter of all irrigation fields with field names (named according to the approved permit) ® Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail right-of-ways) ® The delineation of compliance and review boundaries ® Distance measurements verifying all setbacks are being met ® Stormwater drainage controls ® 100-year floodplain (if applicable) IV. SETBACK WAIVERS, EASEMENTS, AND LEASES: 1. Does the permit have any setback waivers, easements, or leases? ❑ Yes or ® No If yes, provide copies of all documents and complete the table below: Document Type Grantor or Parcel No. Grantee Expiration Date County Registered Deed Book Deed Page Document Description 1 Select Select - Select Select Select Select - Select Select Select Select Select 1. The document description shall list any reduced setbacks with distance, etc. FORM: NDSR 09-18 Page 2 of 3 y State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE SYSTEM RENEWAL Division of Water Resources FORM: NDSR 09-18 Applicant's Certification per 15A NCAC 02T .0106(b): I, C.-P. $64mipTattest that this renewal application has been reviewed by me, and is accurate and complete to the best of my .knowledge. I understand that any unauthorized discharge of wastewater from this non -discharge system to surface waters or the land may resultJn an enforcement action that 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, this application may be returned to me as incomplete. I further certify that the Applicant or any parent, subsidiary, or other affiliate of the Applicant 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 does not have any overdue annual fees. NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package 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. The Applicant's Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an alternate person maybe designated as the signing official if a delegation letter is provided fro rson who meets the criteria in 15A NCAC 02T .0106(b) j Signature: �, r Date: G _� ( 1 THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE BRANCH By U.S. Postal Service: By Courier: By Email: Non -Discharge Branch Non -Discharge Branch — Archdale 640D Non-Discharge.Reports@ncdenr.gov 1617 Mail Service Center 512 N. Salisbury St. Raleigh, NC 27699-1617 Raleigh, NC 27604 TELEPHONE NUMBER: (919) 707-3654 FORM: NDSR 09-18 Page 3 of 3