WQ0000672_More Information (Received)_20231031

N IRO- ICE
ii
PO Box 390
Lumberton, NC 28359
Phone: [phone]
Fax: [phone]
September 18, 2023
N.C. Environmental Quality-DWQ
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Mr. Zachary J. Mega
Subject: Response to Letter Dated 8-16-23
Mr. Mega,
We have updated the permit application to address the comments as follows (in red):
1. Field NC-RO-020-16 had a portion of the application buffered out but the listed application area
stayed unchanged at 10.32 acres instead of decreasing. Please revise. Corrected and attached
below.
2. 1 see that Chad W. Hammonds is the latest owner of Field NC-RO-020-04. Please submit a
revised Form: LOA 06-16 with his information and signature. Form is signed and attached.
3. Please revise the vicinity/setback map for Site NC-RO-028 to show the property lines (in yellow)
for the subject parcels owned by Robert D. Baskerville, Jr. Property lines have been added.
4. The response to Comment L.7.b references a setback waiver, however, a setback waiver for the
parcel in question was not included. Please either submit a setback waiver for Parcel No.
151501002 or adjust the application area boundary to meet the 50-foot property line setback.
Setbacks have been added and attached.
5. There are multiple parcels surrounding the northern portion of Field NC-RO-028-02 that have
different owners and are less than 50 feet from the application area boundary. Please either
obtain setback waivers for these parcels or revise the application area boundary to meet 50-foot
property line setbacks for all parcels. The quickest solution here would be to adjust the
application area boundary for a small loss in overall field acreage. Setback was added and new
map is attached.
6. Please show the reduced 150-foot setbacks per the submitted setback waivers for the off -site
habitable residences owned by Mark E. Bullard and Patrick L. Bullard. This will reduce acreages

slightly for Fields NC-RO-039-01A, NC-RO-039-02, and NC-RO-039-04. Setbacks have been
added. Acreages have been updated.
Please also revise the application area boundary for Field NC-RO-039-01A per Comment L.8.c of
Additional Information Request #2, which was not addressed. Has been updated and attached
below.
7. Please also submit a revised Form: LASC 06-16 that shows the reduced acreages for the affected
fields above and the updated total acreage. Acreages have been updated and form is attached.

G1
The compliance boundary is established
at either 250 feet from the residuals land
application area or 50 feet within the
property boundary, whichever is closest
to the residuals land application area.
Field 3: Total Acres: 48.63 Application Area: 25.61
Field 15: Total Acres: 29.98 Application Area: 25.21
Field 16: Total Acres: 15.16 Application Area: 10.15
Field 17: Total Acres: 26.75 Application Area: 26.23
0
Legend
®
Application Area
0
On -Site Residence
771
Off -Site Residence Buffer
Off -Site Residence
�
Unsuitable Area
Parcels
—
Streams
O
Well
Ditch
®
Well Buffer
Pond
V71
Pond Buffer
SITE: NC-RO-20
Graphical Scale
0 250 500 1,000 1,500 2,000 Field 3, 15-17
Feet
1 Inch = 600 feet Owner: Permit Holder: County:
Ronald Hammonds City of Lumberton Robeson

Legend
®
Application Area
77
Off Site Habital Buffer
®
Unsuitable Area
O
Well
,'Z2
Well Buffer
0
On -Site Residence
Off -Site Residence
Streams
Ditch
Pond
771
Pond Buffer
Parcels
Field 1A:
Field .
O
The compliance boundary is established
at either 250 feet from the residuals land
application area or 50 feet within the
property boundary, whichever is closest
to the residuals land application area.
Source: Esri, Maxar, Earthstar Geographies, and the GIs User Co munity
SITE: NC-RO-39
Graphical Scale
0 145 290 580 870 1,160 Field 1A, 5-6
Feet
1 inch — 350 feet Owner: Permit Holder: County:
Patrick Bullard City of Lumberton lRobeson

Application Area Map
srig
end the GIS User Community

Field 1:
Total Acres: 13.13 Application Area: 10.04
_ Field 2:
Total Acres: 63.58 Application Area: 53.08
Field 3:
Total Acres: 14.16 Application Area: 8.34
Oyu
A
O
Legend
Off- Site Residence
Ditch
Parcels
® Unsutable Area
® Application Area
77 Pond Buffer
r Pond
77 Off Site Habital Residence Buffer
�klp I
O
j/ The compliance boundary is established
at either 250 feet from the residuals land
application area or 50 feet within the
1 property boundary, whichever is closest
to the residuals land application area.
Maxar, Earthstar Geographies, and the GIS User Community
SITE: NC-RO-28
Graphical Scale
0 250 500 1,000 1,500 2,000 Field 1-3
Feet
1 inch — 600 feet Owner: Permit Holder: County:
Robert Baskerville City of Lumberton Robeson

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Dischanze Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include water
treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed
modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and t ,ir corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following m accor ance with each status code:
Status Code
Required Item
N
R T M
County Board
Notification. doc
Land Owner
✓
✓ ✓
Agreement
(If applicable)
I.J
✓
✓ ✓ ✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Marl Guidance
✓
✓ ✓
for Residuals Land ADDlication Permits"
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Policv"
INSTRUCTIONS FOR FORM: LASC 06-16Page 1 of

An updated accounting of the land application site's cumulative pollutant
loading rates (CPLRs)
Status Code
Required Item
N R T M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policv"
Acknowledgement of field transfer from Land Owner (Fields may not be
permitted to multiple Permittees over the same time period)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name
of the soil series as provided by the licensed soil scientist.
® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site
must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note
that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping
unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals
program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion
must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://dea.nc.2ov/about/divisions/water-
resources/nlannine/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
httr):Hdea .nc.2ov/contact/re2ional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT
to stream name" as the waterbody name.
3. Open the link httD:Hdea.nc.Qov/about/divisions/water-resources/planninQ/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16Page 2 of

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
Basin And Savannah
River drainage area entering South Carolina shall be classified "B Tr."
River Drainage Area
French Broad River
Streams entering Tennessee will be classified "B."
Basin
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Streams entering Virginia are classified "C," and such streams entering South Carolina are
Basin
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir
and the North Carolina portion of streams tributary thereto not otherwise named or described
Roanoke River Basin
shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina
portion of streams tributary thereto not otherwise named or described shall carry the classification
"C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
Basin
canals to Pamlico Sound and its bays which shall be classified "SC."
Pasquotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16Page 3 of

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Citv of Lumberton
Land application sites currently certified: 761.8 net acres and Total to be certified: 1,248 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codea
R
R
R
R
R
R
R
R
R
R
R
R
N/R
N/R
N/R
N/R
N/R
N/R
N/R
N/R
R
R
Site/Field ID
Landowner(s)
Lessee(s) or
Net
County
Crop(s)
Operator(s)
Acres
NC-RO-16-01
Baker, Arlin Ozzell
11.45
Robeson
Coastal Bermuda/Winter Rye
NC-RO-16-2
Baker, Arrin Ozzell
2.14
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-3
Baker, Arlin Ozzell
3.34
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-4
Baker, Arlin Ozzell
3.35
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-5
Baker, Arlin Ozzell
9.79
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-6
Baker, Arlin Ozzell
17.25
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-7
Baker, Arlin Ozzell
16.35
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-8
Baker, Arlin Ozzell
6.14
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-16
Campen, James T.; Surles, Mary Sydney
Baker, Arrin Ozzell
5.33
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-17
Campen, James T.; Surles, Mary Sydney
Baker, Arlin Ozzell
6.23
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-18
Campen, James T.; Surles, Mary Sydney
Baker, Arrin Ozzell
12.25
Robeson
Coastal Bennuda/Winter Rye
NC-RO-16-19
Campen, James T.; Surles, Mary Sydney
Baker, Arrin Ozzell
1.09
Robeson
Coastal Bermuda/Winter Rye
NC-RO-17-01
Lumberton Municipal Airport
Allen, Delois
52.97
Robeson
Row Crops
NC-RO-17-02
City of Lumberton
Allen, Delois
25.03
Robeson
Row Crops
NC-RO-17-03
City of Lumberton
Allen, Delois
49.30
Robeson
Row Crops
NC-RO-17-04
Lumberton Municipal Airport
Allen, Delois
81.77
Robeson
Row Crops
NC-RO-17-04A
Lumberton Municipal Airport
Allen, Delois
57.71
Robeson
Row Crops
NC-RO-17-05
Lumberton Municipal Airport
Allen, Delois
35.82
Robeson
Row Crops
NC-RO-17-06
Lumberton Municipal Airport
Allen, Delois
33.39
Robeson
Row Crops
NC-RO-17-07
Lumberton Municipal Airport
Allen, Delois
35.22
Robeson
Row Crops
NC-RO-20-03
Hammonds, Ronald G.
25.61
Robeson
Coastal Bermuda/Winter Rye
NC-RO-20-04
Brown, Charles H.
Hammonds, R. G.
29.12
Robeson
Coastal Bennuda/Winter Rye
Predominant Soil
Mapping
Series Nameb
Unit or Rep.
Slope,
Ra- Rains Sandy
0 to 2% slopes
GoA- Goldsboro
0 to 2% slopes
GoA-Goldsboro
0 to 2% slopes
Ra- Rains Sandy
0 to 2% slopes
Ra- Rains Sandy
0 to 2% slopes
NoA- Norfolk
0 to 2% slopes
NoA-Norfolk
0 to 2% slopes
WaB-Wagram
0 to 6% slopes
WaB-Wagram
0 to 6% slopes
WaB-Wagram
0 to 6% slopes
WaB-Wagram
0 to 6% slopes
WaB-Wagram
0 to 6% slopes
Jo -Johns Sandy
0 to 2% slopes
Lu-Lumbee
0 to 2% slopes
Lu-Lumbee
0 to 2% slopes
Jo -Johns Sandy
0 to 2% slopes
Jo -Johns Sandy
0 to 2% slopes
Jo -Johns Sandy
0 to 2% slopes
Lu- Lumbee Sandy
0 to 2% slopes
T -
Jo -Johns Sandy
0 to 2% slopes
WkB-Wakulla
0 to 6% slopes
WkB-Wakulla
0 to 6% slopes
FORM: LASC 06-16 Page 1

LAND APPLICATION SITE CERTIFICATION
R NC-RO-20-06 Hammonds, Ronald G
R NC-RO-20-07 Hammonds, Ronald G
R NC-RO-20-08 Hammonds, Ronald G
R NC-RO-20-14 Taylco, Inc Hammonds, R. G
N
NC-RO-20-15
Hammonds, Ronald G
N
NC-RO-20-16
Hammonds, Ronald G
N
NC-RO-20-17
Hammonds, Ronald G
N
NC-RO-20-18
Hammonds, Ronald G
N
NC-RO-20-19
Hammonds, Ronald G
N
NC-RO-20-20
Hammonds, Ronald G
N
NC-RO-20-21
Hammonds, Ronald G
R
NC-RO-28-01
Baskerville, Robert D., Jr.
Locklear, Carnell
R
NC-RO-28-02
Baskerville, Robert D., Jr
Locklear, Carnell
R
NC-RO-28-03
Baskerville, Robert D., Jr
Locklear, Carnell
R
NC-RO-39-OIA
Bullard, Patrick
Bullard, Patrick
R
NC-RO-39-OIB
Bullard, Tracy
Bullard, Patrick
R
NC-RO-39-02
Bullard, Lyndon
Bullard, Patrick
R
NC-RO-39-03
Bullard, Quindale; Bullad, Luzette
Bullard, Patrick
R
NC-RO-39-04
Bullard, Quindale; Bullad, Luzette
Bullard, Patrick
R
NC-RO-39-05
Bullard, Patrick
R
NC-RO-39-06
Bullard, Patrick
R
NC-RO-39-07
Bullard, Lyndon; Bullard, Anissa Emanuel
R
NC-RO-39-08
Bullard, Lyndon
R
NC-RO-39-09
Bullard, Tracy Elizabeth
Bullard, Patrick
N
NC-RO-40-1
Chavis, Ben
N
NC-RO-40-2
Chavis, Ben
N
NC-RO-40-3
Chavis, Ben
N
NC-RO-40-4
Chavis, Ben
N
NC-RO-40-5
Chavis, Ben
FORM: LASC 06-16
9.65
Robeson
Row Crops
NoA-Norfolk
0 to 2% slopes
13.1
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
82.51
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
11.31
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
25.21
Robeson
Coastal Bennuda/Winter Rye
WkB-Wakulla
0 to 6% slopes
10.15
Robeson
Coastal Bennuda/Winter Rye
WkB-Wakulla
0 to 6% slopes
26.23
Robeson
Coastal Bermuda/Winter Rye
WkB-Wakulla
0 to 6% slopes
6.1
Robeson
Coastal Bermuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
4.93
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
45.62
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
9.1
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
10.04
Robeson
Row Crops
Ra- Rains Sandy
0 to 2% slopes
53.08
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
8.34
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
6.97
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
2.81
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
1.63
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
5.22
Robeson
Coastal Bermuda/Winter Rye
Ra-Rains Sandy
0 to 2% slopes
14.22
Robeson
Coastal Bermuda/Winter Rye
Ly-Lynchburg
0 to 2% slopes
3.98
Robeson
Coastal Bermuda/Winter Rye
Ly-Lynchburg
0 to 2% slopes
3.2
Robeson
Coastal Bermuda/Winter Rye
WaB-Wagram
0 to 6% slopes
4.52
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
8.15
Robeson
Coastal Bermuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
60.87
Robeson
Coastal Bermuda/Winter Rye
WaB-Wagram
0 to 6% slopes
25.71
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
37.04
Robeson
Coastal Bermuda/Winter Rye
GoA-Goldsboro
0 to 2% slopes
6.85
Robeson
Coastal Bermuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
13.23
Robeson
Coastal Bermuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
6.81
Robeson
Coastal Bermuda/Winter Rye
WaB-Egram
0 to 6% slopes
Page 2

LAND APPLICATION SITE CERTIFICATION
N NC-RO-40-6
Chavis, Ben
5.84
Robeson
Coastal Bennuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
N NC-RO-40-7
Chavis, Ben
9.38
Robeson
Coastal Bennuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
N NC-RO-40-8
Chavis, Ben
24.18
Robeson
Coastal Bennuda/Winter Rye
NoA-Norfolk
0 to 2% slopes
N NC-RO-42-1
McGirt, James
Hardin Farms 34.33
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
N
NC-RO-42-2
McGirt, James
Hardin Farms
3.88
Robeson
Row Crops
GoA-Goldsboro
0 to 2% slopes
N
NC-RO-42-3
McGirt, James
Hardin Farms
59.24
Robeson
Row Crops
Ra-Rains Sandy
0 to 2% slopes
N
NC-RO-42-4
McGirt, James
Hardin Farms
4.69
Robeson
Row Crops
Me-Meggett Fine Sandy
0 to 2% slopes
T -,—
N
NC-RO-42-5
McGirt, James
Hardin Farms
7.20
Robeson
Row Crops
Me-Meggett Fine Sandy
0 to 2% slopes
T -,—
N
NC-RO-42-6
McGirt, James
Hardin Farms
9.72
Robeson
Row Crops
Me-Meggett Fine Sandy
0 to 2% slopes
N
NC-RO-42-7
McGirt, James
Hardin Farms
25.62
Robeson
Row Crops
Me-Meggett Fine Sandy
0 to 2% slopes
T -
N
NC-RO-42-8
McGirt, James
Hardin Farms
1.07
Robeson
Row Crops
Ra-Rains Sandy
0 to 2% slopes
N
NC-RO-42-9
McGirt, James
Hardin Farms
25.62
Robeson
Row Crops
NoA-Norfolk
0 to 2% slopes
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)
FORM: LASC 06-16 Page 3

LAND APPLICATION SITE CERTIFICATION
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
NC-RO-17-01
NC-RO-17-02
NC-RO-17-04
NC-RO-17-04A
NC-RO-17-05
NC-RO-17-06
NC-RO-17-07
NC-RO-20-15
NC-RO-20-16
NC-RO-20-17
NC-RO-20-18
NC-RO-20-19
NC-RO-20-20
NC-RO-20-21
NC-RO-40-1
NC-RO-40-2
NC-RO-40-3
NC-RO-40-4
NC-RO-40-5
NC-RO-40-6
NC-RO-40-7
NC-RO-40-8
NC-RO-42-1
NC-RO-42-2
NC-RO-42-3
Latitude
34.611136
34.599260
34.609154
34.606287
34.617194
34.605947
34.610854
34.790247
34.790247
34.790247
34.722911
34.722830
34.725264
34.722268
34.736106
34.736072
34.739551
34.737437
34.7377870
34.735540
34.735823
34.732211
34.682377
34.684425
34.679899
Longitude
-79.054205
-79.074230
-79.059053
-79.063723
-79.05339
-79.054299
-79.063432
-79.079081
-79.079081
-79.079081
-79.071572
-79.028887
-79.025476
-79.023093
-79.012886
-79.009727
-79.004684
-79.004360
-79.001929
-79.004643
-79.002922
-79.003509
-78.966435
-78.964811
-78.965605
Location
Datum
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Google Maps
Location
Method Code
ADD
ADD
ADD
ADD
ADD
ADD
Location Accuracy
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
39.7 meters RMSE
Waterbody Subbasin and
Stream Index No.
Lumber River Basin / 14-17
Lumber River Basin / 14-17
Lumber River Basin / 14-17
Lumber River Basin / 14-17
Lumber River Basin / 14-17
Lumber River Basin / 14-17
Lumber River Basin / 14-17
Lumber River Basin / 14-10-4
Lumber River Basin / 14-10-4
Lumber River Basin / 14-10-4
Lumber River Basin / 14-10-(5.5)
Lumber River Basin / 14-12-3
Lumber River Basin / 14-12-3
Lumber River Basin / 14-12-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3
Lumber River Basin / 14-22-3-4
Lumber River Basin / 14-22-3-4
Lumber River Basin / 14-22-3-4
Current and Proposed
Class
C;Sw
C;Sw
C;Sw
C;Sw
C;Sw
C;Sw
C;Sw
C;Sw
C;Sw
C;Sw
WS-IV;Sw
C: Sw
C:Sw '
C: Sw
C;Sw
C;Sw
C;Sw
Q Sw
Q Sw
Q Sw
Q Sw
Q Sw
FORM: LASC 06-16 Page 4

LAND APPLICATION SITE CERTIFICATION
NC-RO-42-4
Google Maps
39.7 meters RMSE
34.678297
-78.961545
NC-RO-42-5
Google Maps
39.7 meters RMSE
34.675302
-78.963078
NC-RO-42-6
34.675109
-78.960408
Google Maps
39.7 meters RMSE
NC-RO-42-7
34.672928
-78.960029
Google Maps ADD
39.7 meters RMSE
NC-RO-42-8
34.672942
-78.963529
Google Maps
39.7 meters RMSE
NC-RO-42-9
Google Maps
39.7 meters RMSE
34.681116
-78.958910
Note: Please keep the site information
(L) and
waterbody information (IL) of the same field on
the same page.
Lumber River Basin / 14-22-3-4
QSw
Lumber River Basin / 14-22-3-4
QSw
Lumber River Basin / 14-22-3-4
QSw
Lumber River Basin / 14-22-3-4
QSw
Lumber River Basin / 14-22-3-4
QSw
Lumber River Basin / 14-22-3-4
QSw
I
FORM: LASC 06-16 Page 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 1SA NCAC 02T .1100 -- LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following Instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Anolicant shall submit one original and two copies of the application and
sunnorting documentation
For more information, visit the Water Quality Permitting Section's Non-Dirchurwe Pernrirthw Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving, sites for land application of
Class l3 residuals (may include water treatment plant or other type residuals) in accordance with 15A NC AC 02T .I 100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Chad W. Hammonds
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease Land Use or
(yeslno) Cropping Patterns
V Hay
Intended Use of Crops
Animal Feed
Residuals Source
(optional)
City of Lumberton
WWTP
Special note
(no-till/over-seed/
pasture)
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee
receives, in consideration, the use of the land application sites) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed
each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such
time as written notification. given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06- 16 Pace i of 3

I. STIPULATIONS:
1, The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sitc(s) to a third party, the landowner shalt
be responsible to ensure that the third party agrees and complies with the teams and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-16IT
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
Iandowner. in addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a descrtptian of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results o£each soil analysis.
8. 1f the soil pH of the Isnd application sites) is not maintained at 6.0 or greater, sufficient amouni<s of lime shall be applied to achieve a ftnal soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permi ace will agree on residuals application rates and schedules based on crop pattems, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(c.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Perminee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) priorto each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittce, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Pcrmittec, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary Icachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
I1011 *111110" 1--6)1 v17
1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Ammals shall not be grazed on the land application sites) For a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that wi11 be used to prevent access during these periods after such residuals land application
events. _
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the res id u als/soi I mixture and are totally abovc the land surface shall not be harvested for a 14-man th
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period Following a residuals land application
event when the residuals remain on the land surtaee for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a ressiduaIs Sand application event.
III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supp]y wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) LD:
(Please include the rationale for the requested re -location ofthe compliance boundary and attach a map showing the newly proposes/ compliance
boundary to the application package)
❑ A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: , is currently permitted under another residuals land application program; Permit Number WQ:_
The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the
previously permitted residuals land application program and transferred into the new program.
(Name of the new program)
FORM: LOA 06- l6 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application sitc(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application sites) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites) as specified
herein. �1
Landowner name:
Address: (3(4 ! l 4A 1::�/l
city: L-o/Y) bay� e-) state: V V c Zip.
Phone: YA-mail address. 0-1 � l0amfy-1c h -1�r rLE ® I " d.
Signature: elE
NORTH CAROLINA, P)n64;2SNV_)
1, the undersigned Notary Public do hereby certify that
COUNTY
Cl A(� . �Vrn m n 3
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
j%0 11111111
WITNESS my hand and official seal this the me ,1'`� F RCADo
day of � � r�Gi _
COMM xis -.
Signature and seal: -
My commission expires.
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: L_ si�`�ar�
State: t) Zip: ��31 0
Phone: N [a E-mail address: N iA
Signature: �1� Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: �� L,. C f kid
Signature: Date: tf]- 3l -
FORM: LOA 46-16 Page 3 of