310863_Application SW_Classification_20230602

DocuSign Envelope ID: 3E18871F-7433-4916-BDAC-4797E5BDB6D5
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: Winters Tract - Grady AWS310863
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 applicable:ffiDocuSignped by: �. I
Signature of regional office personnel: I,a, &IWA. Date: 3/23/2023
(All attachments must be signed) 8237FC6EDFCC4A3 .
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 5 of 6

DocuSign Envelope ID: 3E18871F-7433-4916-BDAC-4797E5BDB6D5
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(#1) KING BRANCH
(NORTH FORK
NAHUNGA CREEK)
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oe
WINTERS ACT
QQQQQOQQ GRADYTFARM
ROPOSED COVERED NEW
DIGESTER FOR WINTERS
TRACT — GRADY FARM
(#2) BIG
BRANCH
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NAME OF STREAM
STREAM CLASS
STREAM INDEX
1
KING BRANCH TO NaH CK
C; Sw
8-74-19-13-1
2
BIG BRANCH to BEAR SW
C; Sw
18-74-19-9-1
LATITUDE:
LONGITUDE:
BASIN:
MAP NAME & #:
35.058264
—78.077639
CAPE FEAR
WARSAW NORTH, N
2022
WATERSHED CLASSIFICATION MAP
ON —FARM BIOGAS SYSTEM
WINTERS TRACT — GRADY
OWNER: BENJAMIN GRADY
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P. CA�,P'��r
CAVANAU G H
Stewardship through innovation
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NORTH CAROLM
Cavanaugh & Associates, P.A. PO Box 11197
Winston-Salem, NC 27116
[phone] Fax: [phone] wvvw.cavanaughsolutions.com
LOCATION
NOT TO SCALE
PROJECT #: BE21.015
DRAWN BY: LJL
BD #: SCALE. 1 "=1000' 1
DATE: 2023-03