WQ0045242_Application _Pump & Haul_20240319

WQooJVS242,
RECENEDMCDENR/DWR
1
AgriBusiness-
Perdue AgriBusiness LLC
Environmental Services & Sustainability
242 Cofield Road
Cofield, NC 27922
March 14, 2024
Mr. Robert Tankard
Assistant Regional Supervisor
943 Washington Square Mall
Washington NC 27889
RE: Perdue AgriBusiness — Cofield
Pump and Haul Permit
Dear Mr. Tankard:
MAR 19 2024
Water Quality
Reglnal Operations Sectlon
Washington Regional Office
Certified Mail
Please find enclosed an application for a Wastewater Pump and Haul permit and applicable fee.
PAB is requesting to pump and haul to Perdue — Lewiston as needed to alleviate excess wastewater
which we are not able to apply to our spray fields due to seasonal weather conditions.
PAB will notify you in advance when we are in a situation and will be hauling wastewater to Lewiston.
If you require any further information, please contact me at [e-mail].
Sincerely,
Karena Musgrave
Regional Environmental Manager
Perdue AgriBusiness
We Believe In Responsible Food and Agriculture*

I. PRESUBMITTAL INFORMATION:
1. Contacted representative from regional office (Pre -submittal)?! ® Yes ❑ No
2. Contact name (For Regional Office): Robert Tankard
II. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Perdue AgriBusiness - Cofield
2. Applicant type: ❑ Municipal ❑ State ❑ Privately -Owned Public Utility
❑ County ® Other: LLC
3. Origin of Wastewater:
❑ Residential Subdivision ❑ Retail (Stores, Shopping Centers) Domestic:
❑ Apartments/Condominiums ❑ Institution Commercial
❑ Mobile Home Park ❑ Hospital Industrial:
❑ School ❑ Church Other:
❑ Restaurant ❑ Nursing Home
❑ Office ® Other (specify) Process wastewater
4. Signature authority's name: Karena Musgrave per 15A NCAC 02T .0106(b)
Title: Regional Environmental Manager
5. Applicant's mailing address: 242 Perdue Road
City: Cofield State: NC Zip: 27922-
6. Applicant's contact information:
Phone number: 252 358 -8323 Email: karena.musgrave(@Perdue.com
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: Karena Musgrave
Title/Affiliation: Regional Environmental Manager
2. Contact's information:
Phone number: 252 358-8323
N. RECEIVING FACILITY INFORMATION:
Email: [e-mail]
100 %
91
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment)
1. Owner: Perdue
2. Facility name: Perdue - Lewiston
3. Facility permit number: NC0028835
4. WWTF permit number:
5. WWTF contact name: Ashton Weller
Title/Affiliation: WW Manager
6. WWTF contact information:
Phone number: 252 348-4390
Email: [e-mail]
APPLICATION P&H 11-23 Page 3 of 5

D
AgriBusiness-
Perdue AgriBusiness LLC
Environmental Services & Sustainability
242 Cofield Road
Cofield, NC 27922
March 14, 2024
Certified Mail
Mr. Robert Tankard
Assistant Regional Supervisor
943 Washington Square Mall
Washington NC 27889
RE: Perdue AgriBusiness — Cofield
Pump and Haul Permit
Dear Mr. Tankard:
Please find enclosed an application for a Wastewater Pump and Haul permit and applicable fee.
PAB is requesting to pump and haul to Perdue — Lewiston as needed to alleviate excess wastewater
which we are not able to apply to our spray fields due to seasonal weather conditions.
PAB will notify you in advance when we are in a situation and will be hauling wastewater to Lewiston.
If you require any further information, please contact me at [e-mail].
Sincerely,
Karena Musgrave
Regional Environmental Manager
Perdue AgriBusiness
We Believe In Responsible Food and Agriculture*

I. PRESUBMITTAL INFORMATION:
1. Contacted representative from regional office (Pre -submittal)?: ® Yes ❑ No
2. Contact name (For Regional Office): Robert Tankard
II. APPLICANT INFORMATION:
1. Applicant's name (Municipality, Individual, Corporation, etc): Perdue AgriBusiness - Cofield
2. Applicant type: []Municipal ❑ State ❑ Privately -Owned Public Utility
❑ County ® Other: LLC
3. Origin of Wastewater:
❑ Residential Subdivision ❑ Retail (Stores, Shopping Centers) Domestic:
❑ Apartments/Condominiums ❑ Institution Commercial
❑ Mobile Home Park ❑ Hospital Industrial:
❑ School ❑ Church Other:
❑ Restaurant ❑ Nursing Home
❑ Office ® Other (specify) process wastewater
4. Signature authority's name: Karena Musgrave per 15A NCAC 02T .0106(b)
Title: Regional Environmental Manager
5. Applicant's mailing address: 242 Perdue Road
City: Cofield State: NC Zip: 27922-
6. Applicant's contact information:
Phone number: 252 358 -8323 Email: karena.musgrave perdue com
III. CONTACT/CONSULTANT INFORMATION:
1. Contact name: Karena Musgrave
Title/Affiliation: Regional Environmental Manager
2. Contact's information:
Phone number: 252 358-8323
IV. RECEIVING FACILITY INFORMATION:
Email: karena-musgrave(@perdue.com
KI.4
CI!
If more than 1 facility has agreed to accept the wastewater, please list all the owners, facility names, and permit
numbers as a separate attachment)
1. Owner: Perdue
2. Facility name: Perdue - Lewiston
3. Facility permit number: NCO028835
4. WWTF permit number:
5. WWTF contact name: Ashton Weller
Title/Affiliation: WW Manager
6. WWTF contact information:
Phone number: 252) 348-4390
Email: Ashton.wellerPperdue com
APPLICATION P&H 11-23 Page 3 of 5

V. PROJECT INFORMATION:
1. Project Name: 2024 Pump and Haul
2. Project Location: PAB Cofleld
3. Duration of Pump and Haul Request (not to exceed 6 months): 6 months
4. Hasa prior permit been issued?
❑ New ® Prior Pump & Haul Permit
Permit No.: W00044263
5. Permanent Method of Wastewater Disposal: spray field
6. Date Permanent Disposal will be available: currently
7. Have permits / approvals for permanent disposal been obtained?
a. ® Yes ❑ No Permit Number: W00001536
8. Is there a Pretreatment Program in effect? ❑ Yes ® No
9. Describe any pretreatment prior to pumping and hauling:
10. Volume of Wastewater Generated: 35,000 Gallons per Day
11. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T .0114 or ® Representative Data
If representative data, describe: Flow meter on discharge or 75 gpd/bedroom, if applicable (House Bill 600
Section 18)
12. Describe Tank / Container wastewater will be pumped from (attach description if necessary):
Tanker truck
13. Is Tank / Container in place or will it be installed (attach description if necessary):
b.
14. What type of high water alarm does the container have:
2. ® Audible and Visual ❑ Telemetry (Auto Dialer / SCADA)
VI. CERTIFICATION:
1. Applicant's Certification: (Signature of Signing Official and Project Name)
I, Karena Musgrave , attest that this application for Cofleld Pump and Haul has been reviewed by me and Is accurate and
complete to the best of my knowledge. I understand that If all required parts of this application are not completed and that if
all required supporting documentation and attachments are not Included, this application package Is subject to being returned
as incomplete. I understand that Issuance of a permit will require pump and haul facilities or activities to be Inspected at least
daily by me or a designated representative. Note: In accordance with North Carolina General Statutes 143-215.6A and 143-
215.66, any person who knowingly makes any false statement, representation, or certification In any application shall be guilty
of a Class 2 misdemeanor, which may Include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
la. � T /►�'UI� a --- -
gning Official Signature Date
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APPLICATION P&H 11-23 Page 4 of 5

PERDUE FARMS INC. PO BOX 1537 SALISBURY, MD 21802-1537 No 20067578
Date 03/08/2024
NC DEPARTMENT OF ENVIRONMENTAL QUAL, PUBLIC WATER SUPPLY SECTION, 1634 MAIL (472701)
REMOVE DOCUMENTAL10M THIS PERFORATION
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NC DEPARTMENT OF ENVIRONMENTAL
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TO THE PUBLIC WATER SUPPLY SECTION
ORDER 1634 MAIL' SERVICE CTR
OF RALEIGH NC 27699-1641
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' 03/08/2024 I I ' 200 37678
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