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WQ0036561_Staff Report - WSRO_20230314
State of North Carolina Division of Water Resources Water Quality Regional Operations Section Staff Report March 14, 2023 To: DWR Central Office — WQ, Non -Discharged Application No.: W00036561 Attn: Erick Saunders Facility name: Danville RLAP From: Caitlin Caudle Winston-Salem Regional Office 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 m they are applicable. I. GENERAL AND SITE VISIT INFORMATION 1. Was a site visit conducted? ® Yes or ❑ No a. Date of site visit: 2/24/2023. 3/7/2023. 3/8/2023 b. Site visit conducted by: C. Caudle and C. Smith from RRO c. Inspection report attached? ® Yes or ❑ No d. Person contacted: Brent Collins and their contact information: brent.collinsgemaresourcesinc.com II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS 1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A ORC: Roy Whitaker Certificate #: 13283 Backup ORC: Brent Collins Certificate #: 27651 2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No 3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately assimilating the waste? ® Yes or ❑ No 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 5. Is the residuals management plan adequate? ® Yes or ❑ No 6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No 7. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No 8. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No 9. Has a review of all self -monitoring data been conducted (e.g., AR, NDMR, NDAR, GW)? ® Yes or ❑ No Please summarize any findings resulting from this review: An NOD was issued in 2021 for ponding and runoff from the application area (in U). Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable. 10. Has a review of source facilities compliance history been completed (e.g., CEIs and DMRs)? ® Yes or ❑ No 11. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No 12. Check all that apply: ® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC ❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A FORM: WQROSSR 04-14 Page 1 of 2 13. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit`? ❑ Yes ®No❑N/A III. REGIONAL OFFICE RECOMMENDATIONS 1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No 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 Soil borings for CS-09-03? There were not soil borings provided to add these areas to the application area. Soil boring needed? Soil scientist comments for updated soil series in Att. Most soil series are listed as Fairview without any LSS comments. B? 3. 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 state reasons: ) 4. Signature of report preparer: Signature of regional supervisor: I "I T. i5.1 Date: 3/14/202 3 145ME225CMEA... IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS See site summary. FORM: WQROSSR 04-14 Page 2 of 2 On March 6, 2023, Division of Water Resources staff Caitlin Caudle and Chris Smith conducted a permitting site visit to review newly permitted fields. Brent Collins, EMA Resources, was present during the entire site visit. On March 7, 2023, Ms. Caudle continued reviewing the permitted fields. Ms. Caudle also reviewed fields on February 24, 2023. Below is a table of the suggested predominant soil series for each new field, or field with new areas: Field Soil Series Map Unit CS-06-03/04 Fairview FbB2 CS-06-05 Fairview FbB2 CS-09-02A Fairview FbB2 CS-09-02B Rhodhiss RnB, can be found in Rockingham Co in RYE CS-09-02C Fairview FbB2 CS-12-02 Toast ToB, can be found in Rockingham Co in RYE CS-15-01 Fairview FbB2 CS-06-03/04 CLC2 (36.738344,-79.443545) 0-2" 7.5YR 4/6, clay loam 2-6" 7.5YR 4/6, clay loam, structure changes 6-16" 7.5YR 5/6, sandy clay loam >16" 5YR 5/8, sandy clay loam The above description is within the range of characteristics of eroded Fairview, which is consistent with field conditions. The provided soil descriptions are within the range of characteristics of Fairview. CS-06- 04 was originally permitted as Clifford and CS-06-03 permitted as Fairview. Fairview may be a more appropriate soil series for the combined 03 and 04 field. Fairview has a more conservative RYE rate than Clifford for fescue. Based on field conditions, buffers were removed or added, a rock outcropping is present in the field, and stream lines were added. CS-n6-n5 CLC1 (36.385140,-79.447618) 0-3" 10YR 2/2, granular structure 3-10" 10YR 5/6, granular structure 10-15" 10YR 6/8, subangular blocky structure, clay content increases 15-17"+ 10YR 5/8, 7.5YR 5/8 common concentrations, subangular blocky structure The above soil description, and the provided soil descriptions, are within the range of characteristics of Fairview. Fairview is the predominant soil series for this field. Based on site conditions, buffers were added for stream lines, ditches, and restrictive slopes. CS-09-02C CLC3 (36.392840,-79.469224) 0-2" 10YR 2/2, sandy loam 2-14" 10YR 5/6, sandy loam 14-18" 10YR 6/8, sandy clay loam, wet >18" 10YR 5/8, sandy clay loam, wet CLC4 (36.394236,-74.468295) 0-2" Brown, granular, loam 2-4" 7.5YR 4/6, sandy clay 4-15"+ 2.5YR 4/8, some mica, increase clay content The above soil descriptions are within the range of characteristics of Fairview. Fairview is the predominant soil series for this field. Based on site conditions, buffers were removed. CS-12-02 CLC5 (36.424327,-79.447605) 0-6" 2.5YR 4/6, sandy clay loam, —40% gravel 6-13"+ 2.5YR 4/8, clay content increases, manganese concentrations, mica The newly cleared areas were removed as they were not completely cleared and unsuitable for land application at the time of inspection. This boring was completed in the original application area. Additional borings in the outlying areas were not completed to confirm that Fairview is the predominant soil series. Toast should remain the permitted soil series. CS-15-01 CLC6 0-6" 10YR 4/6, sandy clay loam 6-13" 2.5YR 4/8, few 7.5YR 4/4 mottles, mica, clay content increases 13-17"+ 2.5YR 4/8, few 10YR 5/6 mottles, maybe lithochromic colors The above soil description is within the range of characteristics for Fairview. Fairview is the predominant soil series. Based on site conditions stream lines and buffers were added. Other Observations: • According to Mr. Gould, the lime stabilization equipment is still installed but abandoned and no longer used. • The flow path of the plant stops at the sludge treatment basin, but there is a weir that allows supernatant to go back to the headworks of the Northside WWTP. • Robert Clifton and Alan Gould were both listed in the O&M Plan as Project Manager. Mr. Collins stated that Mr. Gould is the new Project Manager. Mr. Collins will update the O&M Plan to reflect that. • CS-6-1 was last applied on in 2014. The FSF is attached. • CS-9-10 has never been applied on. It is in a crop rotation and timing has not worked out to apply on the field. The operator has stated that the field will eventually be turned into a hay field. • Land was transferred from CS-07-01 to CS-07-02. This reflects current management practices, no concerns with the adjusted acreage. The predominant soil series for CS-07-02 would still be Fairview. • CS-09-02A is the original CS-09-02. A barn is being built on the back part of the field. 2A may change as field conditions change. • CS-09-02B and 02C were originally CS-06-02. 06-02 was permitted as Rhodhiss. 09-02B does not have a soil evaluation to confirm that Fairview is a more appropriate soil series. • CS-09-03 has areas that have been added to the field without new soil evaluations (marked on map). Will a soil evaluation be needed to add these formerly buffered areas to the application area? • The majority of the fields have a different soil series in the permit application than in Attachment B, but soil scientist comments were not provided to support changing the soil series. Caswell County is not in the RYE database and PAN values must be pulled from neighboring counties, e.g. Rockingham. The fields without new areas were not reviewed with a change in soil series in mind. Please advise on how to approach this. • The storage facility was not reviewed as it was visited during the 2022 CEI. ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Danville WQ Permit #: WQ0036561 Field #: 1 Acres Utilized: 24.9 Land Owner: James Blackwell Annual Dry Tons Applied: 39.54 Site #: CS06 Acres Permitted: 24.9 Operator: James Blackwell Predominant Soil Series: CfB Cation Exchange Capacity (non 503): 0 Crop 1 Name: Fescue Crop 1 Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN: CZ Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches c °ate * o * °� �_ N• g o' TKN mg/kg z > o o0 0 CD mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop I Crop 2 6/10 143000 6.63 1.588 Northside WWTP Dry <.5" S 0.5 0.3 36875 10352.5 14.73 41.751 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 143000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 41.751 0.00o Lime A lied Annuallbs/acre 0.055 0.010 1.446 0.385 0.264 0.006 0.073 0.218 0.016 5.367 66.696 Date lbs/ac Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 Current Cumulative lbs/ac 0.055 0.010 1.446 0.385 0.264 0.006 0.073 0.218 0.016 5.367 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 2498 Permit PAN Limit 1st/2nd Crop 216 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Zyz G�j� *Application Method: S - Surface, IN - Injection, INC - Incorporation 9/4/2014 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. M Field Total Acres Applicable Acres 1 29.11 20.33 SCALE: 1 ^ = 440 ' = DATE: 03-10-23 �jMA DRAWN BY: BC-.Resour�c%s, Inc. • Rock Outcrop On Site Dwelling ■ Off Site Dwelling Church areas Ditch Stream ® Buffer s Pond Field Boundary ouree. Esri, Maxar, GeoEye, Earthst'ar Property Boundary ` USDA, U� G= , AeroGRdD, IGN, and the � � tl City of Danville, VA FIGURE NO. Land Application Program 2 N C-CS-06 Nettie Blackwell The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary for field CS06-03 has been modified to allow for application up to 100 feet from on -site water supply well dded buffer r w 3 ♦. M. ew nouse butter Field Total Acres Applicable Acres 3 55.73 45.87 5 30.52 26.89 SCALE: 1 " = 660 ' = DATE: 03-13-23 �jMA DRAWN BY: BC -.Resources, Inc. • Rock Outcrop • Well ♦ Structure On Site Dwelling Formed buffered ■ Off Site Dwelling i Church Stream Drain Silage Pit w � ® Buffer t Pond ` Field Boundary ource: Esri, Max«ar, GeoEye, Earths4ar Property Boundary USDA, USGS, AeroGRdD, IGN, and the m FIGURE NO. City of Danville, VA Land Application Program 2 N C-CS-06 Nettie Blackwell The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary for field CS07-01 has been modified to allow for application up to 100 feet from on -site water supply well f Field Total Acres Applicable Acres 1 9.72 7.29 SCALE: 1 = 440, *P" DATE: 03-10-23DRAWN BY: BC �'� ■ AA A A A • Well A Structure ■ Off Site Dwelling On Site Dwelling ® Buffer Field Boundary ource: Esri, Maxlar, GeoEye, Earbhsdar ! � � � �, U DA, U G� , AeroGRID, IGN, and Uhe Property Boundary Garmin,(e Open�treetMapcontributors, L���� City of Danville, VA FIGURE NO. Land Application Program 2 N C-CS-07 James R Blackwell The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary for field CS07-02 has been modified to allow for application up to 100 feet from on -site water supply well 1 ewly buffered �. ... _ tq- -r Field Total Acres Applicable Acres 2 43.4 36.85 SCALE: = 440 ' *—Resources, DATE: 03-10-23DRAWN BY: BCInc. lication area me frees remove d added this area appncauon area i • Well -; On Site Dwelling ■ Off Site Dwelling Stream ® Buffer Field Boundary ` Pond �: Esri, Ma ar, GeoEye, Earthsdar � � � �, U G_ , eroGR+ID, IGN, and the Property Boundary (c)IrpentreetMap contributors, L ... M City of Danville, VA FIGURE NO. Land Application Program 2 N C-CS-07 Locust Hill Land & Cattle The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary for field CS09-2B has been modified to allow for application up to 100 feet from on -site water supply well New area - These areas added with N Eno soil boring. Okay? Property line buffer ■ w �`' ! SEX ' �� removed ■ i 3 Xt —x �+ ■ —x —x —x —x ■ / �� \+ Removed this area, no / X soil borin 2C / V. / dded buffer around rees and excluded wet area x _ X ! t Legend A Structure Well 1 p• - 2B On Site Dwelling •• Church _ � y r+ Vew house buffer 2A Public Contact Site N Rock Outcrop " �� // _ ■ Off Site Dwelling Co _ N Drain m x x — x Fenceline Field Total Acres Applicable Acres - - Stream o 1 40.56 36.71 ® Buffer o 2A 23.37 11.87 ■ Field Boundary U� 213 29.39 11.85 CD 0 Pond Q 2C 21.15 17.69r' Source: EsriIffira'1111111170:771 r; G➢eoEe Earthstar GeographicsCNES/Arbus C r Property Boundary3 79.74 52.46 IGN, and thUser Community 0 SCALE: 1 = 623 DATE: 03-10-23 "1 City of Danville FIGURE NO. o PROJECT NO: DRAWN BY: EMA Land Application Program y WQ0001793 BC Z Resources, Inc. NC-CS-09 Glenn Hodges The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary for field CS09-09 has been modified to allow for application up to 100 feet from on -site water supply well WRIM. • ►- ,i. 3 Ire 0 Field Total AcrtApplicable Acres 9 29.2938 SCALE: 1 " = 440 ' = � DATE: 03-13-23 EMA DRAWN BY: BC -.Resources, Inc. �' a... • Well On Site Dwelling ■ Off Site Dwelling t Drain Stream Pond ® Buffer Field Boundary Pond rce. sri, Mancar, GeoEye, EarbhsUar Property Boundary SDA, U G , AeroGRdD, IGN, and the City of Danville, VA FIGURE NO. Land Application Program 2 N C-CS-09 Glenn Hodges The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well Field Total Acres Applicable Acres 10 15.44 11.5 SCALE: 1 " = 440 ' *—Resources, DATE: 03-13-23DRAWN BY: BC Inc. • Well ■ Off Site Dwelling Stream ® Buffer Field Boundary Pond ource. Esri, Max«ar, GeoEye, EarGhsfiar Property Boundary USDA, U ' G� , AeroGRdD, IGN, and the City of Danville, VA FIGURE NO. Land Application Program 2 N C-CS-09 Glenn Hodges The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for field CS10-02, CS10-03 & CS10-04 has been modified to allow for application up to 100 feet from on -site water supply well N All part of F` 6 r eo. 3 \+ r .. 4 :- �eAd Rd 5 ab od Satter. x ■ Well E N O On Site Dwelling co ■ Off Site Dwelling 2 Field Total Acres Applicable Acres �x — x Fenceline o 1 11.91 10.37 r ,_' •,� StreamN co o 2 49.48 46.46 Buffer 3 14.04 12.74 Pond g 4 15.69 10.91 Field Boundary E 5 45.7 45.35 ource. Esri, Maxar, GeoEye, Ear6hstar Geo 00 6 17.22 10.23 USDA, U'G�,AeroGRdD, IGN, and the GIS �.�.� Property Boundary SCALE: 1 �� = 660 = City of Danville FIGURE NO. y DATE: 03-13-23 EM Land Application Program DRAWN BY: BC -.Resources, Inc. 2 PROJECT NO: N C-CS-10 1AInnn'29991 Marc Thomas/Walter Thomas The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for field CS12-02 & CS12-03 has been modified to allow for application up to 100 feet from on -site water supply well 1 rdue moved some areas to land clearing 16 eW nouse DUTTer Field Total Acres Applicable Acres 1 25.45 24.85 2 40.25 34.65 3 34.19 25.78 SCALE: 1 " = 660 ' DATE: 03-13-23 �jMA DRAWN BY: BC -.Resources, Inc. Mow Buffered these areas ra I i t r removed this area i1 © V_1C:z:J _ a Well Off Site Dwelling On Site Dwelling ' — — Drain j — — Stream i ® Buffer ` i Pond e. Esri, Maxar, GeoEye, Earthsfiar Geograp Field Boundary ! IU' G� , AeroGR+ID, IGN, and tihe GIS Use r' �' Property Boundary n' (c Open�treetMap contributors, and th City of Danville, VA FIGURE NO. Land Application Program 2 NC-CS-12 Margaret Hatchett The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. -- — — — < ■ N 5 ■ �v ,._ f - f - i •x r ■ Off Site Dwelling ri- — %Lt Drain Field Total Acres Applicable Acres 5 25.43 17.47 SCALE: 1 ^ = 440, DATE: 01-20-23 DRAWN BY: BC ,—Resources, Inc. Stream ® Buffer Pond Field Boundary rce. sri, iaXar, GeoEye, Ea rt star 1 , U G�S,AeroGRID, IGN,analthe Property Boundary nin, (c OO penStreetMap contributors, City of Danville, VA FIGURE NO. Land Application Program 2 NC-CS-12 Margaret Hatchett The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary for field CS14-01 and CS14-02 has been modified to allow for application up to 100 feet from on -site water supply well The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. i-. Field Total Acres Applicable Acres 1 34.27 21.33 SCALE: 1 " = 440 ' *—Resources, DATE: 03-13-23DRAWN BY: BC Inc. 0 Off Site Dwelling - Waiver ■ Off Site Dwelling On Site Dwelling Stream Drain ® Buffer Field Boundary Pond �. Esri, Max+air, GeoEye, E �■�■�, U'G eroGR+I©, IGN, Property Boundary (c Open-treetMaO con ■�■� City of Danville, VA FIGURE NO. Land Application Program 2 NC-CS-15 Larry Whitt LAND APPLICATION SITE CERTIFICATION Applicant's name: City of Danville Land application sites currently certified: 814.16 net acres and Total to be certified: 658.07 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Codes Site/Field ID Landowner�s � Lessee�s� or O s p �� Operator(s) Net Acres County Con �' Crop(s) Predominant Soil a Series Name Mapping Unit or Rep. Slope R/M NC-CS06-01 Nettie Blackwell 20.33 Caswell Fescue Fairview FbB2 R/M NC-CS06-02 See NC-CS09-2B & 2C R/M NC-CS06-03 Nettie Blackwell 45.87 Caswell Fescue Fairview FbB2 D NC-CS06-04 Combining NC-CS06-03 & 04 N NC-CS06-05 Nettie Blackwell 26.89 Caswell Fescue Fairview FbB2 R/M NC-CS07-01 James R. Blackwell 7.29 Caswell Fescue Fairview FbB2 R/M NC-CS07-02 Locust Hill Land & Cattle 36.85 Caswell Fescue Rasalo-Enott Complex ReB R/M NC-CS09-01 Glenn Hodges 36.71 Caswell Fescue Fairview FbB2 R/M NC-CS09-2A Glenn Hodges 11.87 Caswell Fescue Fairview FbB2 R/M NC-CS09-2B Glenn Hodges 11.85 Caswell Fescue Fairview FbB 1 N NC-CS09-2C Glenn Hodges 17.69 Caswell Fescue Fairview FbB2 R/M NC-CS09-03 Glenn Hodges 52.46 Caswell Fescue Fairview FbB2 D NC-CS09-04 Glenn Hodges 9.8 Caswell R/M NC-CS09-09 Glenn Hodges 24.38 Caswell Fescue Fairview FbB2 R/M NC-CS09-10 Glenn Hodges 11.5 Caswell Fescue Fairview FbB2 R/M NC-CS10-01 Marc Thomas 10.37 Caswell Fescue Fairview FbB2 R/M NC-CS10-02 Marc Thomas 46.46 Caswell Fescue Fairview FbB2 R/M NC-CS10-03 Marc Thomas 12.74 Caswell Fescue Fairview FbB2 R/M NC-CS10-04 Walter Thomas 10.91 Caswell Fescue Casville CaB R/M NC-CS10-05 Walter Thomas 45.35 Caswell Fescue Casville CaB R/M NC-CS10-06 Walter Thomas 10.23 Caswell Fescue Fairview FbB2 R/M NC-CS12-01 Margaret Hatchett 24.85 Caswell Fescue Fairview FbB2 FORM: LASC 06-16 Page 1 LAND APPLICATION SITE CERTIFICATION R/M NC-CS12-02 Margaret Hatchett 34.65 Caswell Fescue Fairview FbB2 R/M NC-CS12-03 Margaret Hatchett 25.78 Caswell Fescue Fairview FbB2 R/M NC-CS12-05 Margaret Hatchett 17.47 Caswell Fescue Fairview FbB2 R/M NC-CS14-01 Sledge Sartin/David Sartin 75.78 Caswell Fescue Toast ToB R/M NC-CS14-02 Sledge Sartin 11.93 Caswell Fescue Toast ToB R/M NC-CS14-03 Sledge Sartin 6.38 Caswell Fescue Fairview FaB N NC-CS15-01 Larry Whitt Sledge Sartin 21.48 Caswell Fescue Fairview FbB2 D NC-PSO1-01 Circle P Farms James Poindexter 12 Person D NC-PS02-01 James F. Poindexter 22 Person D NC-PS02-02 James F. Poindexter 17 Person D NC-PS02-03 James F. Poindexter 21.5 Person D NC-PS02-04 James F. Poindexter 26 Person D NC-PS02-05 James F. Poindexter 14 Person D NC-PS02-06 James F. Poindexter 34 Person D NC-PS03-01 Etree LLC James Poindexter 58 Person a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ 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% slope Cecil in Anson County the mapping unit is CeB2) II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Location Method Code Location Accuracy Waterbody Subbasin and Current and Proposed P Datum Stream Index No. Class NC-CS06-05 360 23' 00" 790 26' 46" NAD83 GPS Nearest Second East Prong Moon Creek 22-51-1 C NC-CS-15-01 360 26' 44" 790 18' 52" NAD83 GPS Nearest Second South Fork Rattlesnake Creek 22-52-2-(2) WS-IV Note: Please keep the site information (I.) and waterbody information (IL) of the same field on the same page. FORM: LASC 06-16 Page 2