310185_Application SW_Classification_20230602

DocuSign Envelope ID: 32D77FB1-5484-4684-8533-7AF46135558D
SURFACE WATER CLASSIFICATION:
This form must be completed by the appropriate DWR regional office and included as a part of the
project submittal information.
INSTRUCTIONS TO NC PROFESSIONALS:
The classification of the downslope surface waters (the surface waters that any overflow from the facility would flow toward) in
which this animal waste management system will be operated must be determined by the appropriate DWR regional office.
Therefore, you are required, prior to submittal of the application package, to submit this form, with items 1 through 6
completed, to the appropriate Division of Water Resources Regional Operations Supervisor (see page 6 of 6). At a minimum,
you must include an 8.5" by I I" copy of the portion of a 7.5-minute USGS Topographic Map which shows the location of this
animal waste application system and the downslope surface waters in which they will be located. Identify the closest
downslope surface waters on the attached map copy. Once the regional office has completed the classification,
reincorporate this completed page and the topographic map into the complete application form and submit the
application package.
7.1 Facility Name & Number: Jim Grady and Sons, Inc. AWS310185
7.2 Name & complete address of engineering firm: Cavanaugh, PO Box It 197 Winston-Salem, NC 27116
Telephone: [phone] Fax:(
Email: jeffrgy.cappadona(a),cavanaughsolutions.com
7.3 Name of closest downslope surface waters: King Branch
7.4 County(ies) where the animal waste management system and surface waters are located Dunlin
7.5 Map name and date: Warsaw North, NC 2022
7.6 NC Professional's Seal (If appropriate), Signature, and Date: On -Man
TO: REGIONAL OPERATIONS SUPERVISOR
Please provide me with the classification of the watershed where this animal waste management facility will be or has been
constructed or field located, as identified on the attached map segment(s):
Name of surface waters: King Branch
Classification (as established by the Environmental Management Commission): C;SW
Proposed classification, if applicabl Docusigned by:
Signature of regional office persona 1: Date: 3 23 2023
(All attachments must be signed) 6237FC6EDFCC4A3...
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 5 of 6

DocuSign Envelope ID: 32D77FB1-5484-4684-8533-7AF46135558D
O�
PROPOSED NEW COVERED
DIGESTER FOR JIM
�P GRADY & SONS FARM _
4� �o
(#2) KING BRANCH
(NORTH FORK
NAHUNGA CREEK)
NAME OF STREAM
STREAM CLASS
STREAM INDEX
1
KING BRANCH (NF NH CK)
C; Sw
8-74-19-13-1
2
KING BRANCH (NF NH CK)
C; Sw
8-74-19-13-1
QN CAR �'''%
i
•
(#1) KING BRANCH
(NORTH FORK
NAHUNGA CREEK)
JIM GRADY &
SONS FARM
DUPLIN COUNTY
NORTH CAROLINA
LATITUDE:
35.064800,
LOCATION
LONGITUDE:
-78.070046
BASIN:
CAPE FEAR
".FNciNE��:•' o��='
NOT TO SCALE
MAP NAME & #:
WARSAW NORTH,
2022
NC '-., P• �A`P�,' �� ��
WATERSHED CLASSIFICATION MAP
PROJECT #: BE21.015
ON —FARM BIOGAS
SYSTEM
CAVANAUGH
DRAWN BY: LJL
JIM GRADY & SONS, INC.
Ste dshlpthro,9hmtio,
OWNER: BENJAMIN
GRADY
BD #: SCALE. 1 "=1000'
Cavanaugh & Associates, P.A. PO Box 11197
DATE: 2023-02
Winston-Salem, NC 27116
[phone] Fax: [phone] www.cavanaughsolutions.com