040036_Stream Classification from FRO to Add holding new pond_20230608

6. 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 Aquifer Protection Supervisor (see page 6 of 10). 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.
6.1 Farm Name: White Rock Farms, LLC
6.2 Name & complete address of engineering firm: Samuel C. Bingham, PE, 845 Baber Road, Rutherfordton, NC 28139
Telephone ntunber: ( 828 ) 429 - 6798
63 Name of closest downslope surface waters: Clay Creek and Deadfall Creek Tributaries of Thompson Creek in Yadkin -Pee
Dee River Basin
6.4 County(ies) where the animal waste management system and surface waters are located: Anson
6.5 Map name and date: Hornsboro/Mount Croghan Quadrangles, 2023
6.6 NC Professional's Seal (If appropriate), Signature, and Date:
TO: REGIONAL WQROS 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:_Clay Creek, SC & Deadfall Creek, NC 7;�&—e�,4-11 f='� r—V^l ae-6`4
Classification (as established by the Environmental Management Commission):
Proposed classification, if applicable:
Signature of regional office personnel: Date:.
Date:.
(All attachments must be signed)
FORM: AWO-STATE-G-l4/E 4/17/2020 Page 4 of 5

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