Hidden Hills Farms DEH 92-88-2/GW99057

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
MEMORANDUM
TO: /7�/+� //%J/1/tiwi`nAllO�
Y N� e L t e I/t l �e Regional Office
FROM: JJAvt4 Gc�An.tc.�
SUBJECT: Application for Permit Renewal,
New Permit
to 1 joncceu
APR 2 1 1999
FAYETTEVILLE
REG. OFFICE
PermitAmendment
✓ Reps a�/Altertrtion.of-Exist.D sposalSystem.[DEH]
Facility Name: /7 1 0,0 e A.)`/j Its FA (UW
County S<af/.jW0
TypeofProject: 5✓45LA-rAG2 C4:Pwt/ej,&✓,4)
APPLICABLE PERNHTNO.s: WQ 4:Da99oS7
�Ex 9z-&8-Z
ANIMAL WASTE (DWQ)
EPA (CONST. GRANTS) A to C
The Groundwater Section has received ONLY ONE (1) copy of the referenced permit application. A copy of the
application should have been sent to your Regional Water Quality Supervisor, so please use that copy for
your review - IF A COPY HAS NOT BEEN RECEIVED IN TEE REGIONAL OFFICE, PLEASE LET ME KNOW.
The Groundwater Section has received ONLY ONE (1) copy of the referenced permit application. A copy of the
application should have been sent to , DEH's Regional Soil Specialist, so please use
that copy for your review - IF A COPY HAS NOT BEEN RECEIVED IN THE REGIONAL OFFICE, PLEASE
LET ME KNOW.
{� The Groundwater Section received hvo (2) copies of the referenced permit application. One copy of the application
documents we received is attached.
"Please review the application.m�for-foress. If you feel additional information is necessary, please let
me know no later tha /A^ 19 5 co? h . A copy of any formal request for additional information will be
forwarded to you.
1 information to complete your review, please provide your final comments by
If you request and/or receive additional information, your final comments are
\M8TRAN.SHL (rev..9129/98)

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April 13, 1999 D;yQ QED .a ti r:D i DEfrR SECTir
MEMORANDUM 99 GP° 16 Pr&912. 2 9
TO: Bob Cheek, Supervisor
Permits and Compliance Unit, Groundwater Section, DWQ
FROM: Robin Godshall,, Project Engineer/1(!
On -Site Wastewater Engineering ranch, OSWS, DEH
Phone:[phone]
SUBJECT: Groundwater Section Review
OSWS Project No.:
County:
Facility Name:
Facility Type:
System Type:
Design Flow:
Regional Soil Specialist:
Phone:
92-88-2
Scotland
Hidden Hills Fanns
Meat Processing Plant
Conventional
2,000 gpd unreduced
David McCloy, Fayetteville RO
910 692-4118
Per our Memorandum of Agreement, attached you will find plans, specifications, and supporting information
for the above project for the Groundwater Section's review. If we can provide any additional information,
please don't hesitate to contact us. Your assistance is greatly appreciated.
PROJECT/SPECIFIC INSTRUCTIONS/COMMENTS:
An on -site wastewater disposal system for the subject site was previously approved per the reference. However, the '
previous owner, B&M Meats Inc., subsequently sold the site and the approved system was not installed. A domestic -
only system serving only the restrooms and sinks was later permitted by the county health department. It must be noted.
that the approval of the previous system plans and specifications should not be confused with the proposed system. The
previously approved system plans are no longer valid for implementation at the subject facility for the following reasons;
change of ownership, change of facility use and subsequent change of wastewater characteristics, proposed design
utilizes different pretreatment components from originally approved plans and the proposed design utilizes different end
disposal, i.e., different drainfield configuration. Therefore, the proposed system requires OSWS review and approval
and is subject to all the current OSWS rules, design guidelines and review processes.
The proposed wastewater system for the htdustrial Process Wastewater (IP W W) discharge only consists of a gravity
collection sewer to a Custom Environmental Technology (CET) wastewater pietreatment-package unit, a Krystal Klear
single liquid bag filtration unit, a 4,000-gallon equalization tank and an external above -ground pump. Final disposal is
through two force mains to two pressure manifolds each dosing a drainfield. Each drainfield has 11 75-ft conventional
drainlines for a total drainline length of 1,650 ft based on a long-term acceptance rate (LTAR) of 0.40 gallons per day
per square foot (gpd/ft2).
A preliminary review of the submitted package indicates that it is Incomplete in that it does not contain the minimum
required materials for an OSWS review. Since insufficient materials were received, only a cursory review of the
received materials was conducted. I met with the applicant's engineer on 4/9/99 and he knows he has a lot of work to
do. Attached is a copy of my preliminary review letter to the health department.
RNG/mg
cc: Project File

State of North Carolina
Department of Environment
and Natural Resources
Division of Environmental Health
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Linda C. Sewall, Director
April 13,1999
Mr. Teddy Locklear
Environmental Health Coordinator
Scotland County Health Department
Post Office Box 69
Laurinburg, North Carolina 28353
Courier 14-38-02
NCDENR
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT ANo NATURAL RESOURCES
Subj, Acknowledgement of Receipt and Preliminary Review of Plans and Specifications received for:
Hidden Hills Farms, Route 2, Cliff Gibson Road (SR 1341), Laurel Hill, Scotland County, NC,
OSWS Project No. 92-88-2
Ref: a.) Ltr dtd March 26, 1993: from OSWS to Scotland County Health Department, re: Approval of Revised
Plans and Specifications for B&M Meats Industrial Process Wastewater System, Rorie 2, Cliff
Gibson Road,, Laurel Hill, Scotland County, NC, Project No. 92-88.
Dear Mr. Locklear,
We have conducted a preliminary review of the plans and specifications received for the subject facility on
February 8, 1998. This project has been assigned to RN. Godshall for review and to whom all future
correspondence should be addressed. We are also concurrently seeking comments from Dr. D. McCloy, the
OSWS Regional Soil Scientist and from the Division of Water Quality; Groundwater Section whose
comments will be forwarded when available.
An on -site wastewater disposal system for the subject site was previously approved per the reference.
However, the wevious_owner, B&M Meats Inc., subsequently sold the site and the approved system was not
installed. A domestic -only system seeing only the restrooms and sinks was later permitted by your
department. It must be noted that the approval of the previous system plans and specifications should not be
confused with the proposed system. The previously approved system plans are no longer valid for
implementation at the subject facility for the following reasons;
a. Change of ownership.
b. Change of facility use and subsequent change of wastewater characteristics.
c. Proposed design utilizes different pretreatment components from originally approved plans.
d. Proposed design utilizes different end disposal, i.e., different drainfreld configuration -
ON -SITE WASTEWATER SECTION
P.O. Box 29594, Raleigh, North Carolina 27626-0594
Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Hidden Hills Farms
April 13, 1999
Page 2 of 8
Therefore, the proposed system requires OSWS review and approval and is subject to all the current OSWS
rules, design guidelines and review processes.
The proposed wastewater system for the Industrial Process Wastewater (IPW W) discharge only consists of a
gravity collection sewer to a Custom Environmental Technology (CET) wastewater pretreatment package
unit, a Krystal Klear single liquid bag filtration unit, a 4,000-gallon equalization tank and an external above-
ground pump. Final disposal is through two force mains to two pressure manifolds each dosing a drainfield.
' Each drainfield has-11-75=ft conventional drainlines for a total drainline length of 1,650-ft based on -along -
term acceptance rate (LIAR) of 0.40 gallons per day per square foot (gpd/ft').
A preliminary review'of the submitted package indicates that it is Incomplete in that it does not contain the
minimum required materials for an OSWS review. Since insufficient materials were received, only a cursory
review of the received materials was conducted and the comments contained herein detail only our initial
concerns and further informational requirements. These comments must be addressed and recisions
resubmitted to this office for further review prior to plan approval and issuance of an Improvement Permit
and Authorization to Construct. The submitted package was deemed to be in Incomplete for the following
reasons:.
1. General: The Scotland County Health Department (SCHD) must submit a formal request for OSWS
review. This correspondence should specify the type of review requested; i.e., site layout; design flow
confirmation and/or full engineering.
2. Facilities Served and Dailv Wastewater Flow: The proposed on -site system will serve a meat processing
facility with a daily design flow of 2,000 gallons. However, the basis for the proposed daily design flow,
to include the number of employees and hours of facilih• operations must be submitted. We also strongly
recommend that the subject facility be equipped or -retrofitted with extreme water -conserving fixtures and
that the system utilize 24-hour flow equalization over a 6-day period.
The submittal should include a description of those processes and/or mechanisms which will be used to
strictly limit the wastewater discharge to the specified daily design flow. We recommend that applicant
consider retrofitting the subject facility with extreme water -conserving fixtures if they are not already
firm
present. The applicant's engineer should either conthe use of these fixtures in the facility or provide
cut sheets for these fixtures to OSWS for the retrofit.
3. Wastewater Characterization: Additional data (analytical results) from a similar facility must be
submitted to determine if the proposed influent chemical loading accurately reflects the expected
chemical loading from the proposed activities at the subject facility.
4. Pretreatment: We are willing to review the proposed dissolved air flotation pretreatment technology, i.e.,
the CET system, but the following issues related to the proposed unit must be addressed:
a. Additional performance data for the proposed CET pretreatment unit is required in order to
determine if the proposed unit will adequately pretreat the effluent prior to discharge. This data
should be in the form of laboratory analytical results and include influent and post -treatment data for

Hidden Hills Farms
April 13, 1999
Page 3 of 8
at least COD, BODs, TSS and 0&G.
b. The details of the proposed CET system must be included on the engineering plans.
c. The wastestream will need a grease trap with effluent filter in line prior to the CET unit.
5. Site Lavout: The following initial items related to site layout must be addressed:
a., The plans must indicate the location of the existing previously permitted domestic -only system.
' - - - - - - - - -b. The proposed discharge of the any overflow from the CETinto the lagoon must be deleted and- - - _ - - - - - ' - • -
accounted for by increasing proposed tankage sizing.
c. The location of any water supply sources and associated supply lines within 500 feet of the
drainfields or repair areas and within 200 feet of other system components must be indicated on the
plans. An arrow indicating direction and distance may be used to indicate water supply and supply
line locations•beyond the drawing scale. The plans must clearly demonstrate that the requirements
for vertical and horizontal separation between any water lines and the wastewater collection sewers
are met.
d. The location of the main water service line for the property as well as the service lines for the
individual buildings must be included on the plans.
e. While some provisions for the diversion of stormwater have been included on the plans, the details of
any stormwater piping need to be shown on the site layout clearly demonstrating that the
requirements for vertical and horizontal separation between any stormwater piping and the
wastewater piping are meL
f. The plans, calculations or soils report must indicate the depth to groundwater (DTG) derived from
either field observation or justiflable estimate.
g. The location of the previously permitted domestic -only on -site system must be included on the plans.
h. In areas subject to traffic loading or where vertical and horizontal setback requirements cannot be
met with PVC, the design will need to use ductile iron pipe (DIP).
i. The 10- and 100-yT flood levels must be indicated on the plans if in the vicinity of proposed system
components.
j. The plans must indicate the protective mechanism such as fencing, bollards, etc. to be used to protect
both the pretreatment components and the drainfields from vehicular and human traffic.
k. The applicant's engineer should submit information regarding the current or proposed activities/
development on the neighboring properties which may be hydraulically relevant to the proposed
subsurface discharge areas.
1. The plans must specify/show a minimum required 3 ft of cover for all pressure and gravity lines.
The trenching and backftll for all lines should also be detailed.
m. The plans must include the invert elevations for all collection lines, tankage, pressure manifolds and
drainline trench bottoms.
n. , We strongly recommend that the plans include depth profile to assist in conveying the depth
information for each of the subsystems.
o. Although the site appears relatively flat, the applicant's engineer should ensure that the drainlines
will be laid out on the contours.
p. The general desip of the 100% repair area must be included on the plans, i.e., layout of drainlines.
6. Soils Evaluation: We have forwarded a copy of the submittal to Dr. McCloy to review the site layout and
soils issues and are awaiting his written comments. The adequacy of the soils report from the previously

Hidden Hills Fames
April 13, 1999
Page 4'of 8
approved on -site system for the subject facility and its applicability to the proposed system must be
reviewed and any additional soils work required at the site identified Of particular note is that the depth -
to -groundwater (DTG) at the site was not included in either the soils report or the plans. The DTG must
either be identified from field observation or a reasonable estimate provided
7. Gravity Collection Sewers: The invert elevations, pipe material, size and installation depth for the
proposed gravity collection sewers must be detailed on the plans.
8. Tankage. General: The following general issues related the tankage must be addressed,
a. The selected tankage must be shown to have sufficient capacity for the proposed daily design flow.
Engineering information on the tankage and dosing schedule is required in order to determine if the
proposed tankage is adequately sized.
b. Since DTG was not submitted, the applicant's engineer should submit buoyancy calculations
evaluating the need for any anti -buoyancy protection provisions in the tankage design or provide
justification that buoyancy is not a concern at the proposed tank locations.
c. The plans must indicate all proposed tank bottom elevations whether installed above or below
ground
d. The details for the tankage bedding must be included on the plans and in the project specifications.
9. Drainfields: The following issues related to the drainfields must be addressed:
a. The drainfiees must be shown on the plans to be laid out on the contours.
b. The high and low existing surface grade elevations for each subsystem should be surveyed. Both the
existing and proposed drainfields must be field staked with concurrence by your department prior to
plan approval.
Based on a cursory engineering review, we have the following additional concerns:
1. General: Overall, the.plans must include substantially more detail. While certain system components
Were well detailed on the submitted plans, other components were omitted entirely. -
2. Pretreatment Tankage. General: The following general issues related to the proposed tankage must be
addressed:
a. Complete engineering details on any fiberglass tankage to be used must be submitted Please
recognize that fiberglass tankage is not currently state -approved but is approvable on a site -specific
basis. We would need to conduct a full tank review and approval process prior to proceeding with
the plans review for the proposed wastewater system.
b. If precast concrete tankage is used, the tankage concrete must be specified to be at least 3,500-psi
strength.
c. An effluent filter should be provided in the effluent compartment of the grease trap and added to the
existing domestic -only septic tank. The filters must be sized and specified in accordance with

Hidden Hills Farms
April 13, 1999
Page 5 of 8
manufacturer's recommendations and a cut -sheet for the selected filters should be included in the
project specifications. It must be clear how the filters will be accessed for maintenance.
3. CET Tank: The applicant's engineer should submit calculations indicating the dosing schedule for the
CET unit. This flow should utilize 24-hour flow equalization dosed over 6 days. This flow equalization
may require additional surge tank capacity and must be timer -enabled but float -controlled to ensure
uniform dosing of the CET unit.
4. Final Dosing Pump Tank: The applicant's engineer should submit calculations indicating the drainfield
dosing schedule. This discharge should have 24-h6ur flow equalization dosed over 6 days. This flow
equalization may require additional dosing tank capacity and must be timer -enabled but float -controlled
to ensure uniform dosing of the drainfields.
5. Pumn Tankage. General: The engineering details of the pump tanks were not included on the submitted
plans. The plan must include more specific information on the configuration for the pump tanks.
However, the folloNNing general issues related to the all proposed pump tankage must be.addressed and
specifically the plans must show the following:
a. Since the proposed daily design flow is >_ 2,000 gpd, the system confietuation must include a duplex
pumping system rather than the simplex pump proposed.
b. The exact pump to be used must be specified with manufacturers pump curves also submitted-
Cl- Each pump tank must have a retrieval mechanism for the pump, a stainless steel chain unless the
selected pumps are large enough to also require a guiderail removal system. Additionally, all other
metallic components in the pump tank such as mounting bolts_ cable brackets, etc. should likewise be
specified to be stainless steel.
d. The electrical conduit into the pump tank must be specified io be both gastight and watertight and the
method of sealing included on the plans.
e. The plans must include the float elevations.
f. Pump tanks should be provided with a rectangular riser and lockable aluminum hatch.
g. The discharge piping must have a back -flow prevention device, usually a check valve, a 3/16-in
antisiphon hole located above the lag float elevation and a true -union disconnect located within 18
inches of the access lid. The pump and associated discharge piping must be removable without
having to enter the tank.
h. The plans must clearly indicate how the floats and wiring in the pump tank will be supported, i.e., by
a stainless steel float bracket. This bracket must be located Within 18 inches of the access lid to
ensure maintenance accessibility. Alternately, a PVC float tree may be used.
i. The applicant's engineer should ensure that the tank capacity requirements of Rule. 1952(c) are met
for all pump tanks. The minimum capacity must be the sum of the volume below the pump off float
level, the dose volume, the flow equalization volume and the emergency storage volume. Since no
back-up power or auto -dialer is proposed, the tank must have at least 24-hour emergency storage.
6. Force Mains: The following issues related to the force mains must be addressed:
a. The pipe size, material and invert elevations for the force mains must be identified on the plans.

Hidden Hills Farms
April 13, 1999
Page 6 of 8
b. The installation and test procedures for all pressure lines (as well as for all gravitylines),, to include
alignment and in/exfiltration checks must be included either on the plans or in project specifications.
7. Drainfield Pressure Manifolds: The following issue related to the pressure manifolds must be addressed:
a. The submittal should include TDH calculations with the pumping requirements based on the orifice
equation used for describing the pressure manifold flow.
b.- The details for the -gate valve for each pressure manifold must -be included and shown -to be --
accessible from grade.
c. The pressure manifolds must be specified to be installed dead level.
d. While the proposed in -ground pressure manifolds would be conceptually acceptable since the
installation area is nearly flat, we recommend that the applicant's engineer consider using shorter
pressure manifolds contained in vaults with gravity feeder lines to the drainlines.
8. Drainfields: The following issues related to the drainfields should be addressed:
a. Based on an LTAR of 0.40 gpd/ft', the total drainline length should be 1,667 ft rather than the 1,650
ft proposed.
b. The trench gravel should be specified to be twice -rinsed with a 45 recommended stone size.
c. To allow for periodic inspection of ponding depths by the ORC and health department personnel, it
is recommended that inspection ports be installed in the middle and bottom of each drainfield (with at
least two per drainfreld). The inspection ports should consist of 2-in PVC pipe extending from the
trench bottom to final grade. The screened portion of the pipe should be at least 2 ft long and consist.
of 910 slotted screen. Locations and details for the inspection ports should be included on the plans.
9. Installation: Note that a registered professional engineer must certify that the system has been installed in
accordance with the approved plans and specifications. This certification is based on periodic
inspections of the installation work and a final inspection for design compliance by the certifying
engineer or his representative. It is recommended that these conditions be included in the project
specifications or at least in the plan notes.
10. Svstem Classification: Vb, requiring the assignment of an ORC in writing and monthly inspections by
the ORC. Inspection by your department should be quarterly for the first six months of system operation
and annually thereafter. Quarterly inspection reports must be submitted to your department.
11. Pretreatment Monitoring Requirements: The effluent wastewater shall be monitored monthly for the first
year of system operation. If warranted, modifications to the sampling regime, i.e., a reduction in the
monitoring frequency, may be requested by the applicant, based on the results of the first year's sampling
(observed concentrations.) The system operation and maintenance (O&M) plan must propose an effluent
monitoring program identifying or describing the sampling method, the personnel or organization to
conduct the sampling, the sampling location, the parameters to be analyzed and the laboratory to conduct
the analysis.
We offer the following recommendations with respect to effluent monitoring. The sampling should be
conducted in accordance with state -approved sampling protocbls by personnel familiar with acceptable

Hidden Hills Farms
April 13, 1999
Page 7 of 8
sampling and sample handling protocols since the use of improper sampling techniques may result in an
invalid sampling or inaccurate results. The analysis must be conducted by a state -certified laboratory
with results being reported to both your department in the operator's reports and this office. The
sampling location should be identified and located as far downstream in the wastestream prior to
distribution as is feasible to collect the samples, in this case probably the final dosing pump tank.
While the proposed COD, BOD and TSS influent concentration estimates were provided, the
specifications must also include effluentparameter limits -Sampling and analysis parameters must- - - - - - - - - - - - - -
include but are not limited to BOD,, COD, TSS, 0&G and total nitrogen (nitrates and nitrites). pH and
temperature should also be field-measured'at the time of sampling: The applicant's engineer should
propose effluent limits for the above parameters based on the expected influent parameter concentrations
and the expected parameter reductions from the proposed pretreatment system. In order to protect the
drainfields, it is recommended the applicant's engineer consider setting the effluent limits to be COD <_
400 mg/i, BOD, <_ 200 mg/i, TSS _< 100 mgli, and 0&G s 30 mg/i with neutral pH. This office is
available to work closely with you and the applicant's engineer to establish an appropriate sampling and
analysis regimen.
12. Svstem Operation and Maintenance (0&Ml: Prior to approval, system operation and maintenance (0&M)
procedures for the proposed project. must be submitted either as part of the engineering plans or project
specifications or as a separate stand-alone document. At a minimum, the system 0&M plan should
address the procedures for inspection and maintenance (scheduled and unscheduled) for all system
components; including detailed procedures for the CET unit and the following:
• Collection system (sewers, clean -outs, etc.)
• Septic tank (fluid level, solids level, pumping frequency, effluent filter, etc.)
• CET pretreatment units (solids removal, pump delivery measurement, timer -dose volume adjustment etc.)
• Disposal of accumulated residuals must be in accordance with NC Solid Waste Management procedures.
• Dosing tanks (pumps, alarms, solids level, dosing system, pump elapsed time and cycle counter readings
must be recorded during each operator inspection, etc.)
• Pressure manifolds and nitrification drainfields (pressure manifold head settings, pump delivery
measurement to each field, tamer -dose volume adjustment. inspection of cleanouts, vegetation, erosion,
surfacing, etc.)
• Supply lines.
• Water consumption at the facility shall be measured and reported Specifically, a water flow meter shall be
provided and monitoring on a daily basis.
• Pretreatment monitoring requirements (as detailed above).
• Any other system specific requirements or components.
A predesign conference was held with the applicant's engineer, Mr. Chuck Pakala, on April 9, 1999 to
discuss the above issues. The issues contained herein were discussed with Mr. Pakala in great detail.
Additionally, other topics related to design flow, pretreatment, soils evaluation, site layout, general design
issues and the OSWS review process were addressed during this meeting. At the end of the meeting, Mr.
Pakala recognized the level of engineering detail required for an OSWS plans review and indicated that he
would be resubmitting a revised package of plans and specifications.

Hidden Hills Farms
April 13, 1999
Page 8 of 8
We shall continue our review as soon as we receive the revisions and the additional information requested
above. Please feel free to contact us if you have any questions pertaining to this review or if we may be of
further assistance with this project. I can be contacted directly at [phone] or by email at
robin—[e-mail].
Sincerely, -�j�
R.N. Godshall, P.E
Environmental Engineer II
On -Site Wastewater Engineering
RNG/mg
cc: DavidMcClov
Bi11 Mingin
Chuck Pakala

E9'
' NIDDEIJ Hlt�s F.4TZ-MS
Project tWe
'SCOT LA -Ai D
DEHNR-OSWS LARGE SUBSURFACE. WASTEWATER SYSTEM
REVIEW TRANSMITTAL CHECK -LIST
I. SYSTEM WASTEWATER DESIGN FLOW CONFIRMATION*
Not
Done Applicable
A. Application information.
E3( ❑ Application for Improvement Permit has been submitted to LED (four copies attached)
(2a)**
E3" ❑ Property has been shown on plat or boundary survey, and PIN number and locator map
have been provided
M/' ❑ Name, address, phone, Fax, E-Mail Numbers for owner, agent, engineer, soils
consultant are attached
Lgr ❑ Project proposed is described, including whether new, repair, expansion, replacement,
modification of existing, or combination
❑ 07 Water supplies (existing and proposed) and surface waters have been described and
locations shown
❑ El'� Facilities are described and located (existing and proposed) which are to be served by
proposed system, including occupancy and projected use patterns
❑ List provided of all wastewater sources and water use fixtures (points of wastewater
entry into system)
El/' ❑ Projected wastewater characteristics (e.g. including wastewater quality data for any non -
domestic sources) and flow patterns are described ' -
❑ Wastewater system components are described and located (existing and proposed)
❑ Proposed phasing schedule for facilities and system components is provided.
❑ d Documentation provided to LHD indicating wastewater system and facility are under
ownership or control of person owning the facility or that an owners association and tri-
party agreement shall be provided
B. Design Flow Information (3)**
El/ ❑ Proposed design flow attached for sizing each system component (e.g. pretreatment units,
and draintields) and phase of development
12' ❑ Basis, including calculations, for determining design flows provided by Applicant's
engineer
❑ El/ If flow reduction proposed,.the conditions of Rule .1949(c) have been met
If reduction proposed is based on flow data:
❑ ❑ Comparable facility has been fully described, including comparative occupancy, hours
of operation, location, size, floor plans, water use fixtures and water use practices.
Foriod service facility, documentation on comparable dining area size and use of
�tulti- vs. single -service utensils and plates have been provided.
RECE IVE
po 19 19" I-1
DEHNRlDEH
On4e WastewalerSecffon

D= Not
APPUCRUC
❑ lg/� Flow meter(s) location(s) has been specified.and measurement units have been field
confirmed, with documentation attached.
❑ 19/ Flow data provided include at least 12 previous consecutive monthly consumption
readings and 30 days of consecutive daily flow readings from an average or above
average month.
❑ Cg/ Occupancy data has also been collected at least during this 30 day period.
❑ GY If wastewater includes food service or other non -domestic sources, at least two
effluent samples during hours of operation have been taken from a comparable facility.
For food service, samples have been analyzed for BOD or COD, total suspended
solids and grease + oil.
La, ❑ Pretreatment measures have been proposed to off -set any high strength characteristics
of the wastewater from the proposed facility (description attached).
If reduction proposed is based on using water -conserving fixtures:
❑ E31, Manufacturer's cut sheets are attached for proposed plumbing fixtures, including
water consumption per use.
❑ lg/ Provisions are described for wastewater minimization and for diverting extraneous waters
from the wastewater system (eg: cooling system condensate discharges)
❑ G✓ If reduction is based on flow equalization, anticipated flow pattern, basis for sizing
dosing tank and drainf elds, and method of equalizing flows are fully described.
C. Concurring�S a re, that the applicant has, to the best of his/her abilities and belief,
provided complete and factual representations of the information requested above:
Applicant or Applicant's A' nt ' Date
D. tmg that Application has been submitted, requested
informs nap mplete and State review is requested:
Local ] ey lth , neat Environmental Health Specialist Date
* Note to all interested persons. This transmittal check list and necessary accompanying
information shall be submitted with a request for design flow confirmation to the On -Site Wastewater
Section, Division of Environmental Health, PO Box 29594, Raleigh, NC 27626-0594 (Phone: 919-733-
2895).
** Numbers in parentheses ( ) refer to corresponding item in document entitled "Procedures and
Information Required for Approval of Large Subsurface Wastewater Systems", which contains complete =
information on the large system review and approval process and may be obtained from the On -Site
Wastewater Section
I-2

r`
41T)osN uicos f-Alzms
Project Title
5 CoT L-hN D
DEHNR-OSWS LARGE SUBSURFACE WASTEWATER SYSTEM
REVIEW TRANSMITTAL CHECK -LIST
H. SITE PLAN AND LAYOUT APPROVAL
Not
Dom Applicable
A. Application information (= needed if previously provided)
E( ❑ • Application for Improvement Permit has been submitted to LHD (4 copies attached)(2a)**
❑, ❑ Property has been shown on plat or boundary survey, and PIN number and locator map have
been provided
El"' ❑ Name, address, phone, Fax, E-Mail Numbers for owner, agent, engineer, soils consultant
are attached
Project proposed is described, including whether new, repair, expansion, replacement,
modification of existing, or combination
water supplies (existing and proposed) and surface waters have been described and locations
shown
Facilities are described and located (existing and proposed) which are to be served by
proposed system, including occupancy and projected use patterns
List provided of all wastewater sources and water use fixtures (points of wastewater entry
into system)
Projected wastewater characteristics (e.g. including wastewater quality data for any non -
domestic sources),and flow patterns are described
Wastewater system components are described and located (existing and proposed)
Documentation provided to LHD indicating wastewater system and facility are under
ownership or control of person owning the facility or that an owners association and tri-
party agreement shall be provided
B. Design Flow C:onfirmatinn (3)**
Documentation provided that:
El' ❑ Proposed design flow has been confirmed by the LHD based on Rule .1949(a) or Table
I of Rule .1949(b)
Q" ❑ . OSWS has previously concurred with proposed design flow
El' ❑ OSWS confirmation of proposed design flow is being concurrently sought

C. Existing System Component Evaluation (4)**
Not
Done APPLICable
❑ lg/ Existing system components initially proposed to remain in use have been properly
identified, inspected by applicant's consultants and LHD and inspection reports are attached
❑ G✓ Existing component dimensions, capacities, adequacy/suitability for proposed continued use,
and needed repairs/modifications to be incorporated into system design have been
determined and documentation provided
D. Soil/Site Evaluation
❑ EY' Soil/Site evaluation report by applicant's soil scientist provided (4 copies) (5b)**:
❑ a' Includes soil profile descriptions for pits and borings field located by gridding and
staking at 50-foot intervals, taken at pre -approved intervals
❑ M" Delineates sites which are suitable, provisionally suitable or unsuitable for different types
of wastewater systems in manner which enables their field location
❑ EY' Recommends LTAR for proposed system(s), with justification
❑ Cd Includes recommendations for dtainfield design and site modifications (maximum trench
depth, fill depth, drainage needs, etc.).
❑ U' Includes soil chemical data (pH, CEC, percent base saturation, etc.) when site is to
receive wastewater from nondomestic sources, and background metal and cation levels
(sodium, potassium, calcium and magnesium) when the wastewater is expected to contain
concentrations greater than domestic wastewater
❑ CY Includes site -specific documentation in accordance with Rule .1948(d) when site
proposed to be used originally is classified unsuitable
❑ i9' Soil/Site evaluation report by Local Health Department provided (4 copies) (5c)**•
❑ M' Includes verification of consultant's evaluation and compliance with rules
❑ lil/ Includes results of independent check borings/pits, including their locations
❑ lY Topographic map provided prepared by Registered Land Surveyor(4 copies to OSWS-
Central office, 2 copies to LHD) (6)**:
l/ ❑ Includes site(s) for all proposed drainfrelds and repair areas, with at least two foot
contour intervals or spot elevations at 50 foot grid intervals for level sites.
❑ ET' Alternately proposed lateral lines for initial and repair system have been field -located,
flagged and surveyed in on site plan.
❑ 13'� Includes relative elevations along property lines and as needed to evaluate hydraulic
gradient between field sites and adjacent property lines
❑ El" Alternately these relative elevations are shown on site plan
❑ L" Site -specific Information on site loading capacity and assessment of groundwater impact
provided (4 copies) (T)**:
❑ Includes field data sufficient to show compliance with performance requirements of Rule
.1946(4)
❑ GY Substantiation for proposed LTAR provided
❑ El/' Assessment of projected compliance with groundwater standards and justification
provided
11-2

r
Na
. • � Das Applioble
❑ [� Revised Site plan and system layout provided by Engineer and Registered Land Surveyor
(4 copies to OSWS-Central Office, 2 copies to LLID) (8)**:
d ❑ Shows all comers of property and property lines potentially influencing design
19/ ❑ Shows all known wells/water supply sources (existing and proposed) within property or
within 500 feet of any proposed drainfeld(s) and repair area(s) and within 100 feet of all
other system components
❑ 1/ Shows known or proposed water lines within property and within 10 feet of any projected
system component
❑ [2, Shows surface waters with their water quality classifications
❑ C� Shows locations of any existing and proposed wastewater system components,
drainfields/repair areas
El/ ❑ Shows existing and proposed structures, roads, drainage features, and any known
underground utilities or utility rights -of -way
❑ [� Delineates designated wetlands and elevations of 10-year and 100-year flood zones in
vicinity of any system component
❑ M1 Shows existing or proposed sediment control and storm water management system
components
GV ❑ Shows proposed location and layout field -verified by LHD of new drainfield(s) and
repair field(s), and proposed alterations to field topography
❑ Ca/ legal documents for systems to be under joint or multiple ownership or control are
attached, including easements, association documents, draft tri party agreements, etc. (2
copies to OSWS-Central Office, 2 copies to LHD)
E. ConcurringySi a , , that the applicant has, to the best of his/her abilities and belief,
provided complete and factural representations of the information requested above:
Applicant or Applicant's Agou Date
F. approval that Application for Improvement permit has been
submitted, re7
inf on appears complete and State review is requested:
_ 9 f42-ff
Local Heal D ent tnviromental Health Specialist Date
* Note to all interested persons. This transmittal check list and necessary accompanying
information shall be submitted with a request for site plan and layout approval (prior to Improvement
Permit issuance by the Local Health Deparment) to the On -Site Wastewater Section, Division of
Environmental Health, PO Box 29594, Raleigh, NC 27626-0594 (Phone: [phone]).
** Numbers in parentheses ( ) refer to corresponding item in document entitled "Procedure and
Information Required for Approval of Iarge Subsurface Wastewater Systems", which contains complete
information on the Large System Review and approval process and may be obtained from the On -Site
Wastewater Section
11-3

:11D p£N F}11-1-5 F�,.rtMs
Projea Title
SC.o t t-A " D
DEHNR-OSWS LARGE SUBSURFACE WASTEWATER SYSTEM
REVIEW TRANSMITTAL CHECK -LIST
M. SYSTEM ENGINEERING DESIGN REVIEW/APPROVAL*
Not
D= Appsaw
A (I= needed if previously provided)
❑ Application for Improvement Permit has been submitted to LHD (4 copies attached)(2a)!*
❑ Property has been shown on plat or boundary survey, and PIN number and locator map have
been provided
Ey' ❑ Name, address, phone, Fax, &Mail Numbers for owner, agent, engineer, soils consultant
are attached
❑ Project Proposed is described, including whether new, repair, expansion, replacement,
modification of existing, or combination
❑ M, Water supplies (existing and Proposed) and surface waters have been described and locations
shown
❑ [9" Facilities are described and located (existing and proposed) which are to be served by
Proposed system, including occupancy and Projected use, patterns
[9' ❑ List provided of all wastewater sources and water use fixtures (points of wastewater entry
into system)
❑ Projected wastewater characteristics (e.g. including wastewater quality data for any . non
-
domestic sources) and flow patterns are described
❑ Wastewater system components are described and located (existing and proposed)
❑ Documentation provided to LHD indicating wastewater system and facility are under
ownership or control of person owning the facility or that an owners association and tri-
Party agreement shall be provided
B. Site Plan and IA=t Atmroval/Imnrovement Permit Ismuapg
/ Documentation provided that:
H ❑ Proposed site plan and layout have been previously approved by the OSWS
❑ Lam/ An Improvement Permit has been issued by the LHD (3 copies attached)
❑ OSWS approval of proposed site plan and layout is being concurrently sought
❑ ❑ C. Predesign conference wag held (11)**
-❑ 19� Predesign conference was waived by all parties
n

Not
Dooe Applicable
l2r"' ❑D. Engineering plans and specifications and supporting calculatioM are submitted herein
(3 copies to OSWS-Central Office, 2 copies to LHD) (12)**:
GY ❑ The North Carolina Professional F,ngineer's seal appears on -all plan sheets and the fast
page of specifications and calculations
u, ❑ The design is in accordance with applicable rules, guidelines and recognized principles
and practices of engineering and public health
Er/ ❑ The design incorporates and is found by the LHD to be consistent with approved site
plan and layout and the improvement permit (if issued)
Cy ❑ Facility description and details (floor plans) are provided to confirm compatibility with
previously submitted information (1 copy to OSWS-Central Office, 1 copy to LHD).
E. Sneciflcations generally. include the following (13)**:
EV' ❑ Description of all materials and equipment to be used, with attached manufacturer's cut
sheets, pump curves, etc.
[cFY
❑
Project -specific construction methods, installation, testing and start-up procedures
M-"
❑
Means of assuring quality and integrity of finished product
E'
❑
Specific operation and maintenance procedures, including:
❑Y
❑
Requirements for system operation
EY,
❑
Inspection process and performance monitoring schedules
E'
❑
Provisions for maintaining mechanical components and drainfield vegetative cover
GY
❑
Reporting requirements
❑
E'
Provisions for residuals management
❑
12""
Abandonment procedures for existing system components that are no longer required.
��'•7FTi13fTif ai^-'.$i� • t • yt: au . n t . t ' t i itt:i���
• t
MOM
❑ 111" Plan drawings showing locations of manholes and cleanouts
❑ EY� Profile drawings provided when the collection system is a 6-inch or larger gravity sewer
serving two or more buildings or contains two or more manholes, or when it is a
pressure sewer system.
❑ GK Pipe invert and ground surface elevations are shown on plan drawings for all
cleanouts/manholes
❑ O/ Force mains are shown in profile as required when their length exceeds 500 feet, or
when their grade is not continuous.
❑ E3/ Force main inverts are shown at their beginning and end, and depths of cover
❑ 13"" Proximity indicated to utilities, wells, water lines, storms drains, surface waters,
structures, roads, and other trafficked areas
❑ Gl/� Detail drawings are provided, as appropriate, of service connections, manholes,
cleanouts, valves, other appurtenances, aerial crossings, and crossings of roads, water
lines, storm drains, streams or ditches
13 E3/ Specifications include alignment, deflection and infiltration/extiltration testing procedures
and pass/fail criteria
n

Nu
D= Applicable
Tl IdM (14b)** :
❑ Tanks located accessible to pumpers and maintenance vehicles with all setbacks shown
inverts, top and ground) . .
❑ EY' Plans show tank dimensions and relevant elevations (bottom, floor, inlet and outlet
❑ q/ Plans show other pertinent elevations in pump tanks (i.e., float activation levels) or
siphon tanks (i.e., siphon -trip and alarm elevations)
❑ 131, Access riser, manhole, chamber interconnection and sanitary tee details
❑ Q' Complete construction details are provided for built -in -place tanks, including dimensions,
reinforcement details and calculations, and construction methods
❑ EY State -approved precast tanks are specified as to manufacturer, nominal capacity, whether
or not the tank is'rated for traffic loading and State approval nuntber (i.e., the PT -
number for pump tanks, and the STB-number for septic tanks)
❑ GY For grease traps, design and construction specifications are provided in accordance with
Rule .1955(k)
❑ Ell" Installation (e.g.: bedding, method of sealing tank and riser, pipe connections, surface
water diversion) and water tightness testing procedures are provided with pass/fail
criteria
❑ 191 Anti -floatation (buoyancy) calculations and provisions have been provided
Pump c atio c (14c)**
01" ❑ Plans show pumps, discharge piping, and all related appurtenances
[� ❑ Calculations provided for system total dynamic head, pump is specified, pump curve(s)
provided, and expected operating conditions specified
❑ M/ Plans -show accessible pump removal system and accessible float support system, float
switches and float settings
❑ E3/ Plans show control panel over high water ahem location and electrical connection details
❑ 19/ Control panel/high water alarm components specified
❑ B/ - Description of float "sequencing, control panel function under normal and abnormal
conditions, and appropriate settings
❑ 0"* Emergency storage capacity calculations and provisions for stand-by power have been
provided when required
❑ Ea/ Provisions for lighting, wash -down water -supply with back siphonage protection, and
protective fencing, detailed as needed
❑ ❑
Ground absoMflon fields (14d)** :
13-' ❑ Final layout,, existing and finished ground elevations are shown on the plans
❑ El4 All lines have been re -staked in the field as needed to verify layout,, relative elevations
and distribution system design
❑ EY' Trench and lateral distribution system plan and profile details and invert elevations for
each lateral are shown on the plans
19/ ❑ Manifold and supply line and interconnection details and invert elevations are shown on
the plans
n

Not
D= Applioble
❑ l/ Flow distribution device design, construction detail, location, and invert elevations are
shown on the plans
❑ lY Drainage system locations, discharge points and design details are shown on the plans
❑ Q' Site preparation procedures have been specified
❑ [9// Construction phasing and phased system testing has been specified
❑ E Final landscaping provisions have been specified, including compliance with erosion
control requirements.
❑ G( G. Separate Guidelines and transmittal checklists have been obtained from the OSWS-
Central office, and have been followed for advanced pretreatment systems (e.g.: sand
filters, tertiary wastewater treatment plants), pressure sewer systems (eg: STEP or
Grinder Pump Systems), and industrial process wastewater systems, and relevant
information is attached (14e**).
❑ D/ H. Other requirements or guidelines have been followed as appropriate, with references
attached (14f)**.
I.Concurring Sia , that the Applicant has, to the best of his/her abilities and belief, provided
complete and factual representations of the information requested above:
(tllee� I I " 0 " /! �; --/s5�i
Applicant or Applicant' ign Engineer Date
J. Health4est
Denthat Application for Authorization to Construct has been
submitted,�jo�rmaflon appears complete and state review/approval is requested:
:K_�Q,�y
Local eal epartment Environmental Health Specialist -- Date
* Note to all interested persons. This transmittal check list and necessary accompanying
information shall be submitted with a request for engineering design review/approval to the On -Site
Wastewater Section, Division of Environmental Health, PO Box 29594, Raleigh, NC 27626-0594
(Phone: [phone]).
** Numbers in parentheses ( ) refer to corresponding item in document entitled "Procedure and
Information Required for Approval of Large Subsurface Wastewater Systems", which contains complete
information on the huge system review and approval process and may be obtained from the On -Site
Wastewater Section
n el I

r '
Project Title
IV. LARGE SUBSURFACE WASTEWATER SYSTEM
INSTALLATION CHECKLIST*
Nat
D= Appli able
❑ ❑ Meeting with applicant, Certifying Engineer, Installer, LHD, and OSWS, if needed,
has been held on -site
B. Site Modifications (16)**:
❑ ❑ Site modifications have been made as needed and approved by LHD (and
Authorization to Construct has been issued).
C. Ingallation (18)**:
❑ - ❑ Specified site preparation steps and layout have been properly completed and layout
approved by LHD
❑ ❑ Installation has been completed in a professional workman -like fashion, in accordance
with approved plans and specifications (or approved modifications), Improvement
Permit, Authorization to Construct, and applicable laws and rules
❑ ❑ Owner has maintained contract with certifying Professional Engineer and, if
necessary, a soil scientist, during installation
❑ ❑ Final landscaping, seeding and mulching are properly completed.
= 1 -7y 1' k=i 1 1 .•111 11 I t'11.a1/1
❑ ❑ Certifying Professional Engineer and LHD have inspected substantially complete
installation and prepared mutually acceptable final punch -list.
❑ ❑ Certifying Professional Engineer informs LHD of punch -list completion and LHD
confirms installation acceptability, with OSWS assistance provided when requested
and whenever system contains complex pretreatment, distribution or control
components.
❑ ❑ A "start-up" inspection has been completed and the system is found to be complete
and operational
❑ ❑ Certifying Professional Engineer certifies installation was in accordance with approved
plans and specifications (or approved modifications) ,
❑ ❑ Certifying Professional Engineer has provided record drawings
IV-1

Na
n= Appsvek =
E. Provisions for Qperation and Maintenance_ and T rE 1 Documents (20)**•
❑ ❑ The certifying engineer has provided complete operation and maintenance gal
including O & M materials provided by equipment supplier to system owner and
certified Operator in Responsible Charge (ORC)
❑ ❑ Provisions for operation, maintenance and monitoring are in place (including any
required groundwater monitoring wells).
❑ ❑ All necessary legal documents, including easements, association documents, Tri-Party
Agreements, etc. have been properly executed and recorded
❑ ❑ Owner has contracted with an ORC who is duly certified by the Water Pollution
Control System Operators Certification Commission to operate and maintain this
system (attach copy)
FConcurring Rignn= that the Applicant has, to the best of his/her abilities and belief, provided
complete and facwral representation of the information requested above: '
/' f /-, Z' c2
Applicant/Owneri(Agent
Date
* Note to all interested persons. This transmittal check list and necessary accompanying
information should be submitted with a request for operation permit issuance to the applicable local
health department.
** Numbers in parentheses () refer to corresponding item in document entitled "Procedures and
Information Required for Approval of Large Subsurface Wastewater Systems", which contains complete
information on the large system review and approval process and may be obtained from the On -Site
Wastewater Section, Division of Environmental Health, PO Box 29594, Raleigh, NC 27626-0594
(Phone: [phone]).
IV-2

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Sei�r9 e t;-,L- o� r ' +C-) SOA e

w
rr ��
IDEHNR
Date
MEMORANDUM
To: - -"T . � i'v Go10 3 IA Project Engineer --
Engineering Branch
On -Site Wastewater Section
Division of Environmental Health
Phone: 715-
From: GW Reviewer,
Permits Compliance Unit
Groundwater Section
Division of Watei Quality
Phone: 715- 616 '2-
Subject: Groundwater Review
On -Site Section Project No:'9 Z - 8s- 7-
Facility Name- N'g pe,v N 1 dls F_A n.w Y
County: 5 e_ 7rIA nid
GW #: 1i90s %
Preliminary Groundwater Section Comments: N J.1 1 1
er-pi aef (.ryfJ / 6 _ YGGefti,e, %4e re-L,i.Su/ ro /ahs wti, ti
crddr�Syriti� G�hG��n ci�r�( r1r �riGn t}/ L3/y9
Any requests for additional information will be forwarded to you by
the Groundwater Section reviewer listed above.
'OW-74 (10/96)

ENGINEERING REPORT
AND
WASTEWATER PRETREATMENT
CONSTRUCTION SPECIFICATIONS
(Small Subsurface Wastewater System) r„ . .
REM
APR 2 1 1999
FAY aE i EVILLE
REG. OFFICE
Prepared for:
Hidden Hills Farms of North Carolina
RT No. 2
Laurel Bill, North Carolina 28351
CPEES Project No.1042-001
anumy , K
J 14 1999
RECEIVED
MAo t o tpeG
DEHNRlDEH' '
Prepared by. On-sbWmtevaLuSedon
Chalam Pakala Eneineeiing and Environmental Solutions
11823 Hams Ridge Dr., Suite 201
Charlotte, North Carolina 28269
[phone]

ENGINEERING REPORT AND WASTEWATER PRETREATMENT CONSTRUCTION
SPECIFICATIONS
Hidden Hills Farms of North Carolina
Laurel Hill. North Carolina
TABLE OF CONTENTS
LI
1.0 PROJECT BACKGROUND................................................................................................1
1.1
General Information..........................................................................................................1
`
1.2
Site Location and Property Description.............................................................................1
1.3
Description of Operations..................................................................................................
2
1.4
Previous On -site Wastewater Permits................................................................................
2
1.5
Process Wastewater Sources.............................................................................................2
_.
1.6
Wastewater Chemistry ......................................................................................................3
iJ
r-
2.0 PROPOSED WASTEWATER PRETREATMENT SYSTEM.............................................4
2.1 Packaged Wastewater Pretreatment System......................................................................4
2.2 Effluent Disposal System..................................................................................................5
2.3 Proposed Pretreatment System Effectiveness..................................................................... 6
2.4 Description of Additional Facilities........................................:......................................... 6
2.4.2 Pump Calculations.......................................................................................................................:....... 6
2.4.3 Water Balance and Topographic Maps............................................................................................... 7
2.4.4 Groundwater Monitoring Wells.......................................................................................................... 7
i

' FIGURES
a Figure - I Site Location Map
Figure - 2 Facility Surrounding Area Map
Figure - 3 Facility Layout with Wastewater Pretreatment Schematic and Construction
Specifications
'I
APPECNDICES
APPENDIX A - Wastewater Pretreatment Package Unit Specifications
APPENDIX B - Wastewater Effluent Discharge,Resuhs for a Similar Project
APPENDIX C - Water Balance and Soft Topos of the Site and the Surrounding Area
APPENDIX D - Monitoring Well Construction Records
H
1

ENGINEERING REPORT AND WASTEWATER PRETREATMENT
CONSTRUCTION SPECIFICATIONS
Hidden Hills Farms of North Carolina
Laurel Hill, North Carolina
CPEES Project No.1042-001
1.0 PROJECT BACKGROUND
1.1 General Information
The applicant legally responsible for the facility operations and its compliance is:
Mr. Dennis Steward
President
Hidden I1ills farms of f North Carolina
P.O. Box 936
Maxton, North Carolina 28364-0936
Telephone: [phone]
Fax: [phone]
The project name and the location are:
Hidden Iii is Farms of North Carolina
Rt #2 (Cliff Gibson'Road)
Laurel I1i11, North Carolina 28351
1.2 Site Location and Property Description
G;H mi^sin
2Pfa> 771 +< ins W fo IravreA1A4 xiar. Atrp
E44- {urn tef }
e rn5s .RP tr4�c1.5
2bk�lc9...r..e cv+
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AS rport- 2cQ
T fwn r-i3hT
te£+ Nit4c.Qen Nilt
Ifidden Bills Farms of North Carolina (HHNC) is a meat processing plant located in Laurel IIill,
Scotland County, North Carolina. The site location on the U.S. Topo Map is displayed on Figure
1. The site is bounded by Route 2 (Cliff Gibson Road) to the west and private properties on the
north, east and south of the property. The site location on the US Topo Map could be identified
with Latitude 340 52' 43" and Longitude 790 31' 05". The facility was previously owned and
CP Engineering and Environmental Solutions 1 Hidden Hill Farms
�f 11823 Harris Ridge Dr. Mwdon, NC
Charlotte, NC 28269
EE .

operated by B and M Meats.
The facility is situated on approximately 6.65 acres of land with less than 0.2 acres utilized for
process related activities: The site is located at an approximate elevation of 294 feet above mean
sea level (MSL). The site is relatively flat with surface drainage southeast toward duck pond
located behind the property, which is at an elevation of approximately 285 to 290 feet above
MSL. Buildings occupy approximately 6,700 square feet (sft) of the site. The facility includes an
abattoir, a shed, and an unlined lagoon. Figure 2 displays the properties around the, subject
facility and the Figure 3 displays the facility layout map.
1.3 Description of Operations
HHNC process meat at the facility. The meat processing includes cleaning the meat and shipping
to various customers. Please note the slaughtering the animals will be conducted elsewhere.
Therefore, the concentration of BOD and TSS from this facility will extremely lower than a
typical slaughter house wastewater. The production operations at HHNC are performed 8 hours
per day and 5 days per week
1.4 Previous On -site Wastewater Permits
The previous owner, B & M Meats, obtained a non discharge permit (WQ0006750) to discharge
approximately 1,500 gallons per day of process wastewater from the facility.
1.5 Process Wastewater Sources
Process wastewater is generated from the abattoir during the cleaning operations of the facility.
The facility contains approximately 6,700 sft and process up to 25,000 lbs of meat per day. The
major source for the process wastewater is washwater from the plant. High-pressure steam
washers will be used to cleanup the area. The blood, grease, and other waste products are
CP Engineering and Envbvnmental Solutions 2 Hidden Hill Farms
11823 Harris Ridge Dr. Masson, NC
Charlotte, NC 28269
L!

h.
i
LJ
LI
separated from the process wash water and disposed of properly. It is estimated approximately
2,000 gallons per day (gpd) of process wash water is generated from the facility.
The sanitary wastewater from the facility is treated using a septic system approved by the
Scotland County Health Department. Please note the process wastewater and the septic
wastewater are not mixed in the proposed on -site wastewater pretreatment system
1.6 Wastewater Chemistry
Based on our past experience with similar projects, we expect Biological Oxygen Demand
(BOD), Chemical Oxygen Demand (COD), Total Suspended Solids (TSS), and pH to be present
in the process wash water from the facility. Based on the available information from B & M
Meats, where animals are slaughtered, the approximate concentration of each parameter is:
Parameter
Concentration (mgFL)
BOD
3000 - 3500
COD
5000
TSS
300
However, as per the discussions with Hidden Hills Farms, it is our understanding that no
animals will be slaughtered at the facility and therefore, the BOD, TSS, and COD will be
lower than the results presented above.
CP Engineering and Environmental Solutions 3 Hidden Hill Farms
11823 Harris Ridge Dr. Manton, NC
Charlotte, NC 28269

2.0 PROPOSED WASTEWATER PRETREATMENT SYSTEM
The proposed packaged wastewater pretreatment system consists of an oil skimmer, coagulation
and flocculation, air floatation system, and an equalization tank. The existing lagoon may be used
if necessary for emergency overflow from the proposed pretreatment system.
+I
L�
2.1 Packseed Wastewater Pretreatment System
The packaged wastewater pretreatment system proposed by Custom Environmental Technology
consists of a grease remover, flocculation and a coagulation chamber, a dissolved air flotation
chamber, a particulate filter, and a clear water tank. Upon removal of the grease from the process
wash water, sodium hydroxide is used to adjust the pH of the influent stream Anionic and
cationic polymers are added in the flash mixer to coagulate and flocculate the wash water. The
solids created in the coagulation and flocculation chamber.are removed in the dissolved air
flotation chamber. The dissolved air flotation is a proven practical technique for separating
suspended particles and colloidal materials from industrial wastewater liquids. The dissolved air
flotation creates microscopic air bubbles that attach themselves to the floc particles (oils, greases,
and suspended matter) and float them to the surface of the unit where they are easily skimmed off
Clear effluent is either sent to the sewer, leach field or returned for reuse. A particulate filter is
provided before the clear water equalization tank to remove any solids escaped from the dissolved
air floatation system The full operation schematic of the package unit and the description of the
system is provided in Appendix A-
in addition to the packaged unit, a 4,000-gallon capacity equalization tank with a pump is
proposed to pump treated effluent from the packaged unit to the proposed leach filed. The over
flow from the equalization tank will be routed to the on -site lagoon for additional storage, if
needed.
CP Engineering and Errvirnnmental Solutions 4 Hidden Hill Farms
11823 Harris Ridge Dr. Masson, NC
Charlotte, NC 28269

_.I
2.2 Effluent Disposal System
tlI Wash water treated in the packaged unit is discharged to an on -site leach field using a low-
pressure pump system Based on the previous engineering report submitted by B & M Meats and
�i approved by the State, it is our understanding that the soil at the facility is sandy with no
aquicludes. (Well logs submitted by B & M Meats). The application rate determined by the
previous studies and approved by the State was estimated to be 0.3 to 0.4 gallons per square foot
per day under gravity flow. Assuming 0.4 gallons per day per square foot, it is estimated 5,000
t square feet or 1,650 Hadar feet (3 feet wide) is estimated for an effluent discharge of 2,000 gallons
if per day flow.
However, the proposed effluent flow is based on pressure manifold with gravity flow. Based on
the information provided by Mr. Steven Berkowitz of NC DEHNR - On -site Sewage Branch, the
design details are as follows:
Proposed Daily Flow:
2000 gallons
Orifice Diameter:
3/4 inch
Flow through Orifice:
12 gpm
4 Lateral Length:
75 feet
Diameter of the Lateral-
3/4 inch
-Flow into each Lateral:
12 gpm
LNumber of Laterals:
11
- Total Flow from all Laterals:
132 gpm
Lateral Spacing:
9 feet (center to center)
Manifold Diameter:
4 inch
Total time to pump out:
20 min
Head at each Lateral:
2 feet
- Width of the Trench:
3 feet
CP Engineering and Environmental Solutions
5 Hidden Hill Farms
11823 Harris Ridge Dr.
Marton, NC
Charlotte, NC 28269

I�
Lj
The pump curves and the manufacturer's literature are provided in Appendix A.
L
2.4.3 Water Balance and Topo2raphic Maps
The water balance calculations provided by the B & M Meats facility are provided in Appendix C.
In addition, Appendix C also includes the evaporation rates and the soil topographic maps of the
I
subject facility and the surrounding areas.
LI 2.4.4 Groundwater Monitoring Wells
previous consultant installed two groundwater monitoring wells for B & M Meats. The well
location and the soil boring records are provided in Appendix C.
CP Engineering and Emwvnmental Solutions 7 Hidden Hill Farms
11823 Harris Ridge Dr. Marton, NC
Charlotte, NC 28269
9

FIGURES
Figure- 1 Site Location Map
Figure - 2 Facility Surrounding Area Map
Figure - 3 Facility Layout Map with Wastewater Pretreatment
Schematic and Construction Specifications

S�
D�Ofj; KM
MARSMN. N.G
11144 MAMM 1! OYAOMAMM
N34SI s•w qxv? S
P190.
►10TOIIEVeYEO It"
DMA MA 1 1111-11M M Mr
<cALE 1i1= 2oeo �•
D
J
- I 1
SITE LOCATION MAP
HIDDEN HILLS FARMS OF NORTH CAROLINA
LAIIRE7.HII.i, NORTH CAROLINA
CPEES
CHARLOTTE, NORTH CAROLINA
JOB NO. 1042-003
FIGURE NO. 1
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Wastewater Pretreatment Package Unit Specifications

C.E.T.
CUSTOM ENVIRONMENTAL TECHNOLOGY
4040 CHESAPEAKE DR.
SUITE 225
CHARLOTTE NC 28216
PHONE: [phone]
PAGER: 515-0272
ENGINEERING, P.A.
KENILWORTH AVE.
MOTTE NC 28204
PHONE. [phone]
FAX: [phone]
WWW.ZAPENG.COM

CUSTOM
C.E.T.
ENVIRONMENTAL TECHNOLOGY
4040 CHESAPEAKE DR.
SUITE 225
CHARLOTTE' NC 26216
PHONE: [phone]
PAGER: 515-0272
,TA ENGINEERING, P.A.
)0 KENILWORTH AV&
CHARLOTTE NC 28204
PHONE; [phone]
FAX: [phone]
WWW.ZAPENG.COM

Mary
Product RE
and
Pollution C
thru
CLE.T.
GENERAL ADVANTAGES
Recovers Valuable Materials; such as
_ fats, greases, oils, latex, pulp and pa-
per fibers, heat and water for re -use.
t ' Low Capital Investment due to com-
pact size, flexibility of location and
nominal floor space requirements.
Simple Operation, and Maintenance,
requires little attention, offers stable
effective operation, fast fill and re-
duced wash-up volume.
Practical For On Spot Treatment
I of individual waste streams at their
point of origin.
Versatile Process produces a treated
! _I water high in dissolved oxygen and
suitable for re -use or direct -to -stream
disposal without further aeration.
1 ,
I_
Dissolved air flotation is a very practical technique for separating
suspended particles and colloidal materials from liquids in general
and from industrial waste streams in particular. By attaching air
bubbles to the suspended particles until their combined net speci-
fic gravity becomes less than that of water, the particles are made
buoyant. These buoyant particles then rise quickly to the surface'
forming a "float' which can be removed by, skimming. This sepa-
rated solid material is available for re -use or disposal. Clarified
effluent is generally acceptable for safe disposal, return to process
or for other plant uses.
To produce the microscopic air bubbles required for effective flota-
tion, the liquid is pressurized, and air is introduced until the liquid
approaches saturation. For example, at 50 pounds pressure about
five times more air can be dissolved in water than at atmospheric
pressure. Subsequently, when pressure is released the liquid be-
comes supersaturated and the volume of air in excess of the
atmospheric saturation concentration comes out of solution it the
form of microscopic bubbles. These bubbles may range in size
from thirty to one hundred and twenty microns, depending on
factors such as the type of release, pressure, presence of chemi-
cals, etc.
Most of the bubbles become attached to the solid particles by sur-
face energies :while others become entrapped -by the solids or by
the'hydrous oxide flocs.
Particles of colloidal nature are normally too small to permit the
formation of a satisfactory air -particle bond. They must first be
coagulated by a chemical such as an aluminum or iron compound
and then absorbed by the hydrous metal oxide floc generated by
these compounds. Frequently, a coagulant aid is used to agglom-
erate the hydrous oxide flocs, to enhance particle size and promote
the rate of flotation. .
CUSTOM ENVIRONMENTAL TECHNOLOGY
4040 CWSAPEARF DR. S E2U CKARLDi C&C. MIS (704)M4007

C.E.T.
AN rM4IUMM Q VVA*ACT W COWANr PROVIOM WASTEWATER PRETREATMENT SOLUTKM.
PACKAGED WASTEWATER PRETREATMENT SYSTEM
ry cA PIOW B EYATRC
• Dissolved Air Flotation creates microscopic air bubbles that attach
themselves to the floc particles (oils, greases, suspended matter) and float
them to the surface of the unit where they are easily skimmed off. Clear
effluent is sent to the sewer system or returned for reuse.
• active In the following Industries:
• Truck Wash • Petrochemical
• Latex a Textile
• Metal & Aluminum Processing • Food Processing, etc.
• provides the systems and services to help you meet your
wastewater discharge limits at the same time keeping your costs down.
CUSTOM ENVIRONMENTAL TECHNOLOGY
4040 CHESAPEAKE OR.SUITE 225 CHARLOTTE N.C. 26216 TEL. (r00)301-3037

MN
CUSTOM [NVIAONN[NT� T[ONNOLOOT
ONMLOTT[r NONTN QAMOL A
DessoLVCD AIR FLGTATION
[clawwno �
PuryI

CONTROL PANEL
IN
r,
FLASH
MIX
i,
CLEAR
WELL
DISSOLVED
FLASH
KIMME
AIR
RAMP -
MIX
_
.
T?,FLOATATION

emory
0
INq.�ON
EQUIPMENT QUOTATION
CareN W. Ron &ftm n Dale Amory 5, IM
Caeprry Cuabm Ermkm iwltw OMab No. FW00010
Addlwe 4W Cfxrfiapoeb dw•. Sint 225 Role
mir. tea. ap Cha m. NC 2g215 OWN Film Far.
Saharan Fmd VWom AffircI mft
L44121NW30.
• Carbon WN houairg with V NPT M*Um *L Rated b 300 pro
Carr flo w pdrf, I b9" abirw and tripod hm vww
s
5 miemn, PP" beg
Clw pf*w" drop is < 1 paq
1 ESIM-ATS-2-A
• Top porlyd ball velre. VMW ConatruebM of ANmimum w/btm
1 02044"00
• FirrreguWw
1 WDM G@nwal Ssrvics Pump,.,gdN ESP 3 x 1.5 x 5 with iron
=nWucbn. John Cmmtype21nlsrhwweatsW.5.20'MVdw,
die l W aWdCIM coupled to a 7.5 HP. TEFC MW RPM,
3A101230N60 V n�ohN,
Dow" 4-5Vt"b
0
14,DOO l46, PQ "rank , &pan '6P
aad et1d,
4110 Shonft t Court•Gnensboro. W. 27410•phorW, S0D-366-G3W- ax: 336.&%9154 • Ppa 1 of 2

Model 44 Single
Housing
Krystii Klear s model 44 Single Series of Liquid Bag
Housings offer two depths, a 6" and a 12" housing
depending upon the needed surface area and volume of
fluid to be filtered. FEATURES
► Carbon, ,
► 300 PSI pressure rating
► Low pressure drop
► Quick swing closure with eye nuts
► Viton lid seal
► Differential, drain, and vent ports
► 316 stainless steel strainer basket
► 2-part epoxy paint finish on carbon vessels
OP`TI
Adjustable rt legs
► SOQJW pressure rating
esh lined strainer baskets
Liquid Bag
to
L:, Y
�.0
OUT 44 series effectively removes dirt, pipe scale, and other contaminants from process liquids such as water,
chemical and petroleum products. Quality constructionand design assure protection for all down -stream
equipment.
VESSEL CONSTRUCTION: Our model 44 single vessels are designed for operating up to 300 PSI at 3000F. The
housing design provides a large sump area at the bottom of the basket for particulate accumulation. This design
utilizes the filter more efficiently and prolongs the element life.
The 316 S.S. basket rests, on a 316 S.S. support ring allowing the element to seal to the side of the housing
eliminating particulate bypass between the basket and seat. Optional mesh -lined strainer baskets and o-rings are
available. Please iefer to their individual brochures in our liquid catalog.
I
A vent in the housing lid and a drain port in the housing speed evacuation and filling. Gauge ports an: located
on the body of the housing to install gauges for monitoring the differential pressure across the bag or strainer
basket. Permanently piped housings, we opened with simple tools without disturbing the piping. Swing bolts with
eye -nuts allow easy opening and closing of the swing -lid. No need to remove any hardware.
As a standard finish, all vessels are blast cleaned and painted inside and out with a 2-part epozy. Stainless steel
i vessels are supplied with a saint finish.
£O'd d9t=Zi 66-SO-UEC

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HSGI-97
- HOUSING SELECTION GUIDE
Conneelipn size inflow rale
• The following information is oficred to help dclrnnine the pressure drop for a housing relating to
the connection sizes verses now rates. The chart is based on I centipoise or water.
• if bags arc to be iostallcd in the housing, you must add the pressure drop of the elements to the
housing differential pressure to get a complete clean starting poinL
Connection size (model 44,66,88)
Pressure drop
in P.S.I. .75• 1.25"
1" 1.50" 2" 3"
10
8
7
6
5
4
3
2
.8
.6
.5
.4
.3
.2
Pressure drop
in P.S.I.
12
10
v
8
7
6
5
4
3
2
Flow rate in G.P.M.
Connection size (multi round)
2" 3" 4" 6" r
10"
12"
__.,,FFl�lo--w rate in Q.P.M.
(ActVstil (X) lw C-9'iltration, R.R. 2 Box 300, Winarnac IN. 46996
Ph.[phone] Fax [phone]
SO'd dLiZi '66-90-UBC

BSG2-97
BAG SELECTION GUIDE
• This information is important in siring the housing if an clement is going to be placed
,into the housing:
• . The following data is based on 1 square foot of filtration media that is present in your
bag. Divide the differential pressure by the number of square feet of media that is found
in the selected bag to get your final rating.
• The following chart is }rased on 1 centipoise. "water". -if your liquid is above 1, please
use the correction factor to determine your estimated pressure drop.
m .8
.4
0
OMNI
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VAA
%
FW
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- PAARMA,
"PAPE
111111RFW.Z�d
wpm we
HOW
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a
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0
WMRWIRMWAPP�p
0.� 20 40
60 80 100
Flow Rate (GPM of water, 1 cps @ 77' F)
Viscosity In Cps.
Corimlion Factor
50
4.5
100
8.3
200
16.6
400
27.7
800
50.0
1000
56.2
2000
113.6
4000,
161.0
6000
250.0
8000
325.0 .
120 140
Qxstil Clear Filtration, R.R. 2 Box 300i Winamac IN, 46996
Ph.[phone] Fax [phone]
our = Zr 66-50-UVC
i

J
L
LJ
I
SmMPEKBAM VALVE
I
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Air -Powered
Double -Diaphragm
Pump
ENG1NFt-:IUNL:• 11:N6OWANE:E
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INTAI3E/DISCHAtOE w'E 612E
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100 D7)D12]DN WWDI41
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(Ab 61 hb.•PPf+alrnJel MAW.
(7xy2m•Dr>9 meteasl
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d8i%Zi 66-SO-uEI

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Wastewater Effluent Discharge Results for a Similar Project

NQV-lw-yes Uc:4me i.e. t ,
zuJ 3WA 3�J3/ Y.lJ3
Microbac Laboratories, Inc.
BAW LABORATORY DIV. LAB ID #49
635-A PRESSLEY ROAD LAB ID #37702
CHARLOTTE, N.C. 28217 LAB ID #99004
704-522-6363
AIR • FUEL a WATER a FOOD • WASTES
CERTIFICATE OF ANALYSIS
REFERENCE NO: 75178-NCO45 APRIL 22, 1997
DATE RECEIVED: APRIL.16, 1997 -
CLIENT: CUSTOM ENVIRONMENTAL TECHNOLOGY
4040 CHESAPEAKE DRIVE
SUITE 225
CHARLOTTE, ;N.C. 29216
ATTENTION. RON GRAYSON
SAMPLE IDENTIFICATION:
SAMPLE #1: RAW. (A).
SAMPLE #2: TREATED (B).
li
J
ANALYSIS:
PARAMETERS 1 2
BOD-5, MVI >3,250 >325
TOTAL SUSPENDED SOLIDS, m9/1 294 38
L
i'
_ OVED BY
I
, A L. TEGALL,
BUSINESS MANAGER
l
L
ma mu enpotn ,r mebn---Won mi anp mm, ormmpanyinp mosnan%,WQWXMYm un,Jafslaulyfa0 arbk M E M B E R
rwibraa upon lna r n aniupn approval
rmm lle laeomrory. l�r1G1CC 1VV1l��rVlliC�
USDA-EPA-MOSH Testing Food SmLbon CwwAug Chemical and fAwdabbg" Analyses and FWSWch

Water Balance and Soil Topos of the Site and the Surrounding Area

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r =; L_,
WATER BALANCE CALCULATIONS
1. Average Precipitation taken from "TABLE I. Climatic Summary,
North
Carolina. Stations - COASTAL PLAIN".
Nearest
station -
Fayetteville. (Attached)
2. Mean
Evaporation - USDA-SCS
Engineering Division -
Draving
ES-1016,
sheets2-13.
(Attached) Values interpolated for Laurel
Hill
area.
Average
Mean
Excess
Month
Precipitation (in.) Evaporation (in.)
Rainfall (in.)
January
3.02
1.35
1.67
February
3.39
1.65
1.74
March
3.89
2.55
1.34
April
3.80
3.90
-0.10
May
3.64
4.60
-0.96
June
4.16
5.60
-.1.44
July
6.06
5.65
0.41-
August
6.00
5.10
0.90
September 4.39
4.55
-0.16
October
2.25
3.60
-1.35
November
•2.83
2.55
0.28
December
3.01
1.50
1.51
Annual
46.44
in. 42.60 in.
3.84 in.
Wettest
6 months November -April: Total excess = 6.44
inches
Surface area collected
= 0.21 Ac. = 36,720 gale./6 mo.
= 204 gpd..

e
TABLE
1.
Climatic Summary,
North
Carolina Slorions--COASTAL
PLAIN
TEMPERATURE
AvEKAGE ►RECIf11FADOM
i
#
it
3
3
I
I
1
1
8
1
i
I
I
i
I
{ i
i
! .
•/
•f
•f
•f
Y.
le.
k
4
4
te.
4
11.
la
to
Is.
IS.
to
5#ovforIJM*,*Mod
40.0
80.6
107
4
3.59
3.99
3.95
3.10
3.56
3.31
7.44
6.M
6.19
3.12
3.71
4.10
54.05
Edenton
43.3
79-5
103
O
3.63
3.40
3.37
3.46
3.39
4.13
6.04
6.29
4.75
2.01
3.31
2.01
4E.08
Elizabeth City
44.6
79.5
107
- 2
3.61
3.76
3.04
3.42
2.29
3.82
7.11
6.41
5.00
3.10
3.50
3.25
50.27
Elhobethic"
47.4
79.0
100
0
2.79
2.2S
3.61
2.23
2.98
4.63
6.14
6.02
4.38
3.03
2.75
3.03
46.02
✓
Fayetteville
45.3
90.3
108
0
i112
�9
2t9
2.t0
7.64.
�.16
606
600
4S9
22S
2.t7
2.01.
46.11
Goldsboro
44.7
00.5
IOt
0
i22
2.27
05
3.79
2:05-4711750
5.62
4.75
2.07
•3.10
3.21
49:6
Green.il4
44.1
80.1
106
0
3.34
3.40
3.60
2.47
3.39
4.08
6.79
5.50
4.84
2.77
3.03
2.76
47.54
Kinston
4S.2
$0.0
106
0
3.03
3.46
3.50
3.11
3.64 -
4.62
7.09
5.62
4.79
2.56
2.95
2.17
47.84
lumberlon
4S.9
79.5
108
1
2.96
2.50
2.117
7.79
2.25
4.56
6.21
4.91
4.23
2.52
2.69
2.10
45.49
Mantes,
45.3
79.2
103
7
3.25
3.49
3.31
2.59
2.95
3.27
5.84
5.52
4.66
3.05
2.22
2.13
44.31
Noth.i0e
42.2
79.2
107
- 0
3.46
3.44
3.69
3.61
3.97
3.56
5.88
6.02
4.31
2.71
2"
3.17
47.01
Ne.r Be,"
46.6
$0.2
106
2
3.27
3.05
3.96
3.10
3.91
4.54
0.17
6.91
6.60
2.17
2.65
4.13
53.41
No. Holland
47.0
75.1
102
6
3.52
3:00
3.65
3.07
3.77
4.74
7.15
6.71
5.26
3.35
3.71
4.01
53.37
Plymouth
43.6
72.3
102
1
2.66
4.00
3.67
3.01
4.15
5.58
6.94
6.66
5.90
2.92
i.02
3.26
53.57
Rocky Mt, 2". Sta.
42.0
79.5
106
0
3.44
3.70
3.84
3.36
3.49
4.39
6.12
5.65
4.15
275
3.22
3.04
47.29
Scotland Neck
43.1
79.1
105
- 4
3.43
3.67
3.80
3.54
3.60
4.76
5.98
5.44
4.22
3.04
3.62
2.14
47.64
Sloan
46.0
78.9
105
1
3.12
3.32
3.62
2.95
3,61
5.17
7.22
5.71
5.04
2.57
2.02
3.21
40.77
Smithfield
44.1
79.4
106
- 6
3.42
237
3.36
3.97
3.56
4.57
6.04
6.08
4.19
2.81
2.03
3.24
40.34
Southport
48.7
80.2
103
1
2.00
2.65
3.94
2.57
3.17.
3.87
6.56
5.71
7.03
3.27
2.17
7.50
49.49
Torboro
43.2
00.0
107
- 2
3.47
3.49
3.93
3.40
3.57
4.49
6.00'
6.17
4.28
2.97
3.16
3.20
40.11
Weldon
42.4
79.9
109
0
3.29
2.37
3.43
2.26
2.71
3.20
S."
5.26
3.97
2.31'
212
2.89
43.65
Willord
47.3
79A
105
- 2
2.06
3.54
3.67
2.76
2.66
4.73
7.36
5.92
5.20
2.79
2.99
3.27
40.97
Willamstan
42.7
76.9
101
0
3.25
2.45
2.00
2.54
7.53
4.20
674-
6.04
4.41
2.69
3.10
2.99
47.113
Wilson
43.6
79.7
107
5
3.40
2.52
2.00
3.46
2.62
4.20
6.29
5:46,
3.95
2.53
2.06
2.88
46.49

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Monitoring Well Construction Records

►A. Sol I/ur - MWOIlK0. nail. Hall[ (Big) Ica -Nu
WELL CONSTRUCTION RECORD
OuatL Ib. MrW Iq.�,�,
Lai Lorta h�
tuns► 114141101
deal Code
Header tm� GMI-1 50
DiLL1NG CONTRACTOR �virorlrv�JtR( H�=S;Oa(
10 ZR -46, STATE WELL CONSTRUCTION
IILLER REGISTRATION NUMBER PERMIT NUMBER:
WELL LOCATION: (Slow sketch of the location below)
."great Town: La"re I W 1(
Flo" Canner llf, or Subdivision �}na Lot No.)
DwNER a 0% Me.4X
IDDilEtiB Z yy
IriI heels f l.• o Z83$t
CI or Tow State Zip Code
DATE DRILLEDZ � USE OF WELL m00j'40C
1__,'rOTAL DEPTH ZO CUTTINGS COLLECTED O Yss ❑ No
DOES WELL REPLACE EXISTWG WELL? ❑ Yes IStf No
STATIC WATER LEVEL: �(g_ FT. O Wlow TOP OF CASINO.
TOP OF CASINO 18 im� OyE LAND SURFACE.
YIELD (ppmk Na METHOD OF TEST
(WATER ZONES (depthk —NA
i r
CHLORINATION: Type Its Amount
CASING:
Wall Tnlek u
Depth I� I� Diameter orGWeightt// 1. Material
From —To. --II Ft.� �0 PAC
From To Ft.
From To Ft.
GROUT:
Depth Matufal Method
From 0 To Fl, pli`W-Catalt� -«.
From (0To=Ft.�&wtC Pa_
ISCREEM
Depth OWtnIN slot Stss Meta"
From To 20 Ft. 2 t In. ,01d M. PW—
From To Ft. In in.
Flom Te FL la h
DRILLING LOG
Formation De stork"
County: scc�l4O�J4
Depth
From To
i
IS - Zo
(Show direction and oistancs hom at Mgt Iwo OW pA&d%
or other map relwer" points)
(ue"') 0 Laroj
;GRAVEL PACK: '
Depth Size WteAa) 5P 1341 Cif Ie.iG J lie.
From To Ft. "
alIAML
I DO HEREBY CERTIFY THAT THIS WELL WAS C N RU ED IN ACCO ANCE WITH 15 NCAC 2C, WELL CONSTRUCTION
STANDARDS, AND THAT A COPY OF THIS RECORD HAS VIDEO T WELL OWNER. .
ATTACHMENT III /A z4-9
B AND M MEATS E OF CONTRACTOR OleasoM DATE
•1 Reviled 11/81 MOKITTOP WRT.T. T.Or. Subm11 oriolnal to Division of Environmental Manaosmsni and maw in w.e e..n"

FOR OFFICE USE ONLY
QUAD.. NO. SERIAL NO.
tat Lora. Po
Division of Environmental Management - Groundwater Section
P.O. Box 29535 - Raleigh, N.C. 27626.0535
Phone'[phone]
47 Minor Basin
WELL CONSTRUCTION RECORD t Basin Code
MLLINGCONT13ACTOR: Enly�foWvle..hicl� Div ragedlagl�l Header EnL GW-1Ent.
onlgu �S 1 ST TE WELL CONSTRUCTION
IRILLER REGISTRATION NUMBER: I O Z9 PERMIT NUMBER:
1. WELL LOCATION: (Show tkeg i lthe location below) SCai 1anJd
Nearest Town: kfe ' County:
5R 1341 CG-F_r & Sorel 12d.
(Road, Co nity, or Subdivision,end Lot No.) _ DEPTH
OWNER Dg- m meal S From To
ADDRESS 4- 7
(Street or Route No.)
LaL.rel N;ll N•C- Z8351
City or Town State Zip Code ( 3
DATE DRILLED - Q- 3 USE OF WELL mO1^t'�er
4. TOTAL DEPTH I S
-i. CUTTINGS COLLECTED YES ❑ NO[Z
i. DOES WELL REPLACE EXISTING WELL? YES[] NOW
STATIC WATER LEVEL Bolew•Top of Casing: 1i�16 FT.
tvC� (Use'+' it Above Top of Casing)
1-11. TOP OF CASING IS tf-Above Land Surface*
I _jCasing Terminated aVorbelow lend eudeca Is Illegal unless ■ variance Is letwad I
In accordance with 15A NCAC 2C .0118
YIELD (gpm): — METHOD OF TEST
0. WATER ZONES (depth): _
CHLORINATION: Type N Amount
I2. CASING:
Wall Thickness
Depth Diamgter or Weight/Ft. Material
From C To Ft. V SCA LA , PVC,
From To Ft.
From To Ft:
DRILLING LOG
Formation Description
If additional space is needed use back of form
LOCATION SKETCH
(Show direction and distance from at least two State
Roads, or other map reference points)
3. GROUT: �)
(W Depth Material Meth d
From TO Ft. Wr'� mac'+) e•+i
From 6To 7 —' Ft. Qc041:-JiAm
.4. SCREEN: /
Depth Diameter Slot Size Material (�
From '9' To i Ft z in. - 74 in. PVC
From To Ft. in. in.
From To Ft. in. in.
}5. SAND/GRAVEL PACK: I-
�J Depth Size Material I
From'_ To 17 Ft. pea'
1From To ft.
6. REMARKS: 1" -42
r M
�mez
Ct�s�
SR 1314t et'-wGrbsoo
4 Mt -->SR IC6I
I DO HEREBY CERTIFY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH 15A NCAC 2C, WELL
CONSTRUCTION STANDARDS, AND THAT A COPY OF THIS RECORD HAS BEEN PROVIDED TO THE WELL OWNER.
GW-1 REV:5191
Z - IZ
OF CONTRACTOR MOMM ' DATE
Submit original to Division of Embonmental Management and copy to erell owner.