WQ0006147_More Information Received_20240703

Initial Review
Reviewer
nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
If not an application what is the submittal type?* Annual Report
Residual Annual Report
Additional Information
Other
Permit Number (IR) * W00006147
Applicant/Permittee Butterball, LLC
Email Notifications
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
......................................................................................................................................................................................................................................................................................... ... ... ... ... ... .. ... ... ... ... ..
Name* Leigh -Ann Dudley
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
9194181727
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* Wastewater Irrigation High -Rate Infiltration
Other Wastewater Reclaimed Water
Closed -Loop Recycle Residuals
Single -Family Residence Wastewater Other
Irrigation
Permit Number:* WQ0006147
Has Current Existing permit number
Applicant/Permittee Address* 1628 Garner Chapel Road, Mount Olive, NC 28365
Facility Name* Butterball Class B Residuals Program
Please provide comments/notes on your current submittal below.
The attached document is a response to DEQ's request for additional information on the permit renewal application.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
2024.07.02 Signed WQ0006147 Application Response to
1.19MB
Request for Additional Information.pdf
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* By checking this box, I acknowledge that I understand the application will not be accepted for pre -review until the fee (if required) has
been received by the Non -Discharge Branch. Application fees must be submitted by check or money order and made payable to the
North Carolina Department of Environmental Quality (NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
Submission Date 7/3/2024

BUTTERBALL
July 2, 2024
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
512 N. Salisbury St.
Raleigh, North Carolina 27604
To whom it may concern:
This Ietter along with the associated material in this package is being submitted for renewal of the
Butterball, LLC Residual Land Application Program for the Mt. Olive site located in Duplin County, which
is permitted under permit number WQ0006147 and remains effective until March 31, 2024. A renewal
package was sent and received by the Division of Water Resources' Central and Regional staff on March
13, 2024. Additional information was requested and is attached in this package to be addressed by the
deadline of July 8, 2024. A Response to Document is attached to address each comment and action made.
Items submitted in the application package include:
• RLAP 06-16
• RSC 06-16
• LASC 06-16
• Operation and Maintenance Plan (which includes Sampling Plan)
• Vicinity Map
• Process Flow Diagram
• Quantitative Justification.
Butterball has not land applied during this permit cycle, therefore PAN calculations included in this package
are theoretical and sections which require sampling data are not included.
If you have any questions or concerns about this application package, please do not hesitate to contact me
at 919-255-7900, ext., 7989.
Sincerely,
Lankford Ruffin
Director of Environmental Affairs and Sustainability
Butterball, LLC
One Butterball Ln.
Garner, NC 27529
BUTTERBALL, LLC, One Butterball Lane, Garner, NC 27529
R 866-613-2251, F: 919-255-7971
wmv. butterbal lcorp.com

Response to DEQ Comments and Additional Information Request
A. Overall:
The annual permit fee is currently open, and the invoice is attached to this letter.
Please note that the permit cannot be granted if the annual fee has not been paid in
accordance with 15A NCAC 02T .0120(c).
a. Invoice for the annual permit fee has been processed.
2. Permit Condition L2. and Footnote 3 of the Attachment B of Permit No. WQ0006147
issued February 4, 2019 state that the Permittee shall reevaluate the usable acreage and
setbacks for Field 8 due to development of the church on an adjacent property. The
habitable residence/place of assembly on parcel 351100836386 has been constructed.
The setbacks to this structure shall be provided, and any changes shall be shown in an
updated site map and an updated acreage shall be provided in an updated LASC 06-
16 form.
a. The updated vicinity map shows the usable acreage in Field 08 is still 8.5
acres after accounting for a 400' setback (15A NCAC 02T.1108(c)) from the
habitable residence/place of assemble on the adjacent property. Field 04
acreage has been slightly reduced from 9.5 acres to 9.2 acres to also account
for a 400' setback from the place of assembly on the adjacent property.
B. Cover Letter:
1. No comments
C. Application Fee:
1. See Comments F.1 and N.2.
a. Responses for F.1 and N.2 clarify that no permit modification is being
requested. No modification fee is included.
D. Application (Form: RLAP 06-16):
1. Item IIL4.a notes the maximum amount of residuals to be certified is 998.4 dry tons
per year (DT/yr), but the maximum dry tons per year in the previous permit dated
February 4, 2019 is 34 DT/yr. Please clarify the discrepancy, and update this form as
needed.
a. Maximum dry tons per year in the current permit WQ0006147 (February 4,
2019) is 25.5 DT/yr and RLAP 06-16 has been corrected to reflect 25.5 DT/yr.
2. Item III.4.b notes 34 acres of land application sites, but only 25.5 acres were previously
permitted. Please clarify the discrepancy, and update this form as needed.
a. Permitted acres of land application sites is 25.2 acres and has been updated in
form. This is a reduction from the previous 25.5 acres to account for setbacks
from an adjacent property with a place of assembly. Field 12-SL was removed
from the form and is not intended to be added to the permit.

E. Operation & Maintenance (O&M) Plan:
1. In accordance with Item E in the RLAP 06-16 Instructions form, an O&M Plan
meeting the requirements of 15A NCAC 02T .1110 shall be provided.
a. O&Mplan meeting requirements and in accordance with Item E in RLAP 06-
16 is included.
F. Summary for Form: RSC 06-16:
1. The maximum dry tons per year given in this form for the Butterball — Mt. Olive
facility (Permit No. WQ0000884, not WQ0006147 as stated) is 34 DT/yr, but the
maximum in the previous permit dated February 4, 2019 was 25.5 DT/yr. Please note
that to increase the dry tonnage is a major modification of the permit, requiring a $348
modification fee. Please clarify the proposed maximum dry tonnage and provide any
necessary modification fees.
a. Maximum for dry tons per year in the current permit WQ0006147 is 25.5
DT/yr. No modification is being requested, and no fee is included.
G. Application (Form: RSC 06-16):
1. The RSC form for the Butterball — Mt. Olive facility was not filled out. The sections
of the application that do not require laboratory reports shall be completed for review,
including the facility information in Section I, the mineralization rate in Item II.5.c.,
pollutants of concern in Item IL6, the pathogen reduction alternative in Item IL7, and
the vector attraction reduction alternative in Item IL8.
a. Required sections of RSC form that do not require laboratory reports have
been filled out.
2. Regional Office staff noted that waste activated sludge from the facility's sanitary
plant is pumped to the primary lagoon. As this is a domestic wastewater residual, Item
IL1 of this form shall be regulated under 40 CFR Part 503, and not Part 257 as
indicated. This shall be included in the updated RSC form.
a. Item II.1 has been changed to reflect regulation under 40 CFR Part 503 and
has been updated in RSC form.
H. Vicinity Maps:
1. In accordance with Item B in the RSC 06-16 Instructions form, a vicinity map of the
residuals source generating facility (Permit No. WQ0000884) shall be provided.
a. Vicinity map in accordance with Item Bin RSC 06-16Instructions form has
been provided.
L Process Flow Diagram & Narrative:
1. In accordance with Item Bin the RSC 06-16 Instructions form, a process flow diagram
and/or process flow diagram that describes how the residuals are generated, treated,

processed, and stored at the residuals source facility (Permit No. WQ0000884) shall
be provided.
a. Process flow diagram in accordance with Item B in RSC 06-16 Instructions
form has been provided.
J. Quantitative Justification:
1. In accordance with Item B in the RSC 06-16 Instructions form, a quantitative
justification for the permitted residuals production rate shall be provided.
a. Quantitative justification in accordance with Item B in RSC 06-16 Instructions
form has been provided.
K. Sampling Plan:
1. In accordance with Item B in the RSC 06-16 Instructions form, a sampling plan for
the residuals source generating facility shall be provided.
a. Sampling plan in accordance with Item Bin RSC 06-16 Instructions form has
been provided in O&Mplan.
L. Laboratory Analvtical Retorts:
1. No comments
M. Pathogen Reduction (PR) & Vector Attraction Reduction (VAR) Compliance
Documents:
1. No comments
N. Application (Form: LASC 06-16):
1. See Comment A.2. Any changes to the field based on this reevaluation shall be
included in an updated LASC.
a. Field 04 acreage has been reduced from 9.5 acres to 9.2 acres to account for
a 400' setback from a place of assembly on the adjacent property. LASC 06-
16 has been updated to reflect 9.2 acres for Field 04.
2. The LASC includes a field 12-SL, which was not included in the previous permit
dated February 4, 2019. Please note that to increase the addition of this field to the
program is a major modification of the permit, requiring a $348 modification fee.
Please clarify whether this field is being added to this program and provide any
modification fee and supporting documentation as necessary.
a. Field 12-SL should not have been included in the previous permit application
and has been removed from the updated LASC 06-16. No modification fee or
supporting documentation required.

O. County Board Notification:
1. See Comment N.2. If field 12-SL is proposed to be added in this application, a CBN
06-16 form and all supporting documentation shall be provided.
a. See response to comment N.2.
P. Application (Form: LOA 06-16):
1. No comments
Q. Setback Waivers:
1. No comments
R. Vicinity/Setback Maps:
1. The site map provided does not meet the requirements of the Map Guidance for
Residuals Land Application Fields guidance document or the 15A NCAC 02T
.1104(c)(1) rules. This map does not appear to show several property lines within 500
feet of the application sites and does not depict setbacks in accordance with 15A
NCAC 02T .1108 that may impact setbacks to the fields (such as in the case of
Comment A.2). An updated site map meeting the 02T .1104(c) and the guidance
document shall be submitted for review, and any changes in acreages shall be provided
in an updated LASC form.
a. An updated vicinity map is included that meets the requirements of the Map
Guidance for Residuals Land Application Fields including showing the
property lines within 500 ft and depicts setbacks that impact the fields.
2. See Comment N.2. An updated site map shall be provided to remove field 12-SL if it
is not being proposed in this application.
a. Field 12-SL is not depicted on the updated vicinity map because Field 14
(WQ0000884) is in its place.
S. Soil & Arronomic Evaluation:
1. See Comment N.2. If field 12-SL is proposed to be added in this application, a soil
and agronomic evaluation in accordance with the Soil Scientist Evaluation Policy and
15A NCAC 02T. 1 104(c)(21 shall be submitted for review.
a. See response to N.2.
T. Updated Cumulative Pollutant Loading Rates (CPLRs):
1. In accordance with Item B in the LASC 06-16 Instructions form, an updated
accounting of the land application site's cumulative pollutant loading rates (CPLRs)
shall be provided for all renewed fields.

a. No residuals have been land applied during the most recent permit term. As
such, no analytical data is available to compare to CPLRs. Therefore, no data
for CPLRs available.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Wvlslurt of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
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 ApDlicant shall submit one original and two conies of the apmlication and
suDDortiniz documentation
For more information, visit the Water Quality Permitting Section's Non-Dischanze Permittiinjz Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 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.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification'
Major (land are permitted for > 300 acres) F $1,310 F $395
Minor (land are permitted for < 300 acres) F_ $810 $245
' - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® Submit the O&M Plan in accordance with 15A NCAC 02T . 1110 and include at a minimum:
® Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
® Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
® Safety measures; may include safety training program, manuals, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
® Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
® Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
® Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
® Sampling and monitoring plan including the following information;
® Names and titles of personnel responsible for conducting the sampling and monitoring.
® Detailed description of monitoring procedures including parameters to be monitored.
® Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: httn://www.ncwater.orp,/Rules Policies and ReLmlations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .I 104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: httn://www.ncwater.orWRules Policies and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
II An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f). or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Deliverv:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

DWR
01 sion of Water Resources
I. APPLICANT INFORMATION:
1. Applicant's name: Butterball, LLC
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
Applicant type: ❑ Individual ® Corporation ❑ General Partnership n Privately -Owned Public Utility
❑ Federal 0 State ❑ Municipal E7County
Signature authority's name per 15A NCAC 02T .0106: Lankford Ruffin Title: Director, Environmental Affairs and
Sustainabilitv
Applicant's mailing address: One Butterball Ln
City: Garner State: NC
Zip: 27529-5971
Telephone number: [phone]
Email Address: lruffin(a),butterball.com
2. Consultant's name:
License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained
(Firm: )
Consultant's mailing address:
City: State: _
Zip: MW-'
Telephone number: M) W[__
Email Address: _
3. Agronomist's name: _
License Number: =
Affiliation: ❑ N/A a On Staff
0 Retained (Firm: )
Agronomist's mailing address: _
City: --A State: _
Zip: 11L-�
Telephone number: (_I) W --]
Email Address:
4. Soil Scientist's name:
License Number: �
Affiliation: ❑ N/A E On Staff
0 Retained (Firm: )
Soil Scientist's mailing address: _
City: 11— State:
Zip: �-
Telephone number: (_) =
Email Address:
5. Fee submitted: I (See Instruction B)
IL PERMIT INFORMATION:
1. Application is for (check all that apply): 0 new, F-1 modified, IT renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00006147
Date of most -recently issued permit: 2-4-19
Date of most -recently certified Attachment A (if different than the permit):
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 1628 Gamer Chanel Rd
City: Mt. Olive State: NC Zip: 2836576167
Coordinates: Latitude: 35' 8' 33.1" Longitude: -77' 54' 47.1"
Datum: Level of accuracy:
Method of measurement:
2. County where residuals land application program is headquartered: Duplin
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation Name Affiliation Certification Number
ORC Joshua Batchelor Butterball, LLC 993694
Back -Up ORC Jefferson Foy Butterball, LLC 995886
Additional Back -Up
ORCs
(if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summarv. Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 25.5 dry tons per year.
PAN
First -Year
Five -Year Maximum Adjusted
Pounds of PAN per Dry Ton Pounds of PAN per Year
(Weighted Average)
Surface Incorporation Surface Incorporation
or Injection or Injection
2295
b. Land Application Site Use Summarv: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Crops
Forest or Plantation
Row Crops
Hay
25.2
Pasture
Total:
25.2
Methods
Surface
25.2
Incorporation or Injection
Comments
FORM: RLAP 06-16 Page 2 of 5

Total: I 25.2
c. Residuals Land Application Summarv: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(lbs PAN/ac yr)
50
100
150
200
Acres Required Using Acres Required Using
First -Year PAN Concentrations Five -Year Maximum Adjusted PAN
Concentrations
Surface Incorporation or Surface Incorporation or
Injection Injection
F2.5
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.): i
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain; I_
Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
w�
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certification. doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray F1 Drip
2. Disposal system is: ❑ existing M proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(n) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Recommended Recommended
Soil Series Fields within Soil Area Loading Rate Loading Rate
(in/hr) (in/yr)
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone Design Area Number of Maximum Application Design Annual Loading
(ft2) Nozzles Rate (gallons/hr) Rate (gallons/yr)
Total Owl
Spray Irrigation Design Element Plan Sheet Specification
Number Page Number
Wetted diameter of nozzles ft
Wetted area of nozzles ft2
Nozzle capacity gpm
Nozzle manufacturer / model /
Elevation of highest nozzle ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
Ayes ❑ No, Explain; ..
I, L u ✓� �` ��� (' i� � v i�l���'L- J` � ��(� Pc-�, l o � C n i!TQ II M P.'7'�., f ��. r� CI— J U! t� .'� a � - l y
(Signature Authority's Name — PLEASE PRINT) (Title) /
attest that this application for
(facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, 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,
Signature: Date:
FORM: RLAP 06-16 Page 5 of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
INvlslun of Witter 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discharze Permittiinz 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 their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Required Item
County Board
Notif icatio n. doc
I
Land Owner
Agreement
(If applicable)
I =J
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Man Guidance
for Residuals Land Annlication Permits"
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation Policv"
INSTRUCTIONS FOR FORM: LASC 06-16Page
Status Code
N R
T
M
✓ ✓
✓
✓
✓ ✓
✓
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: httn://dea.nc.Rov/about/divisions/water-
resource s/Dlannina/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:
httn://dea.nc. Rov/contact/reRional-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.
Open the link httD:Hdea.nc.2ov/about/divisions/water-resources/DlanninL/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 3

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
Little Tennesse River
Basin And Savannah
River Drainage Area
French Broad River
Basin
Watauga River Basin
Broad River Basin
New River Basin
Catawba River Basin
Yadkin -Pee Dee River
Basin
Lumber River Basin
Roanoke River Basin
Chowan River Basin
Tar -Pamlico River
Basin
Pasquotank River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified 'B Tr."
Streams entering Tennessee will be classified 'B."
Streams entering the State of Tennessee are classified "C."
Streams entering South Carolina are classified "C."
Streams entering the State of Tennessee are classified "C."
Streams entering South Carolina are classified "C."
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
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
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."
Streams entering Virginia are classified "C."
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
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: Butterball. LLC
Land application sites currently certified: 25.5 net acres and Total to be certified: 25.2 net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Predominant Soil
Status Site/Field Landowners Lessees or Operator(s) Net Acres County Crop(s) s
Codes ID O O �' PO Mapping Unit
Series Nameb or Rep. Slope
R 01 Butterball, LLC
Butterball, LLC of Mt. Olive 2.5
Duplin
Hay
Foreston 0 to
2%
M 04 Butterball, LLC
Butterball, LLC of Mt. Olive 9.2
Duplin
Hay
Blanton 1 to
6%
R 05 Butterball, LLC
Butterball, LLC of Mt. Olive 5.0
Duplin
Hay
Autryville 0 to
6%
R 08 Butterball, LLC
Butterball, LLC of Mt. Olive 8.5
Duplin
Hay
Foreston 0 to
2%
R
R
R
R
-
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)
IL WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID Latitude Longitude
Location Location Method Code
Location Accuracy
Waterbody Subbasin and
Current and Proposed
p
Datum
Stream Index No.
Class
IN' 0
NAD 83 ADD
Nearest Second
011 0
1 NAD 83 ADD
Nearest Second
in, 0
NAD 83 ADD
Nearest Second
_ °
NAD 83 ADD
Nearest Second
° ' rp NO I '
NAD 83 ADD
Nearest Second
_ ° ' rp No L' _"
NAD 83 ADD
Nearest Second
_ ° ' rp NO E'."
NAD 83 ADD
Nearest Second
-
_ ° ' rp NO E'."
NAD 83 ADD
Nearest Second
-
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page
FORM: LASC 06-16 Page 1

DWR
INvlslun of Witter Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discharze Permittiinz Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) 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 a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of the
permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed, and/or
disposed, including any chemicals, amendments, or other additives that are added to the residuals during processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition, ensure
that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and vector
attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as they are to
be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please attach
analytical results of residuals generated from a similar facility along with the description of similarities of the two facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Butterball, LLC
Status Codes Facility Permit Holder Facility Name County Permit Number
R Butterball, LLC Butterball Mt. Olive Duplin WQ0006147
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
Maximum Dry Tons Per Year
Current b Proposed
25.5 No Change
SUMMARY FOR FORM: RSC 06-16 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Mvlslurt of Witter Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Butterball, LLC
2. Facility permit holder is: ❑ Federal, I❑ State, Local Government, or ® Private.
Facility permit issued by: ® Div. of Water Resources, rl Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Lankford Ruffin
Complete mailing address: One Butterball Ln
City: Garner State: NA Zip: 27529-5971
Telephone number: [phone] E-mail address: lruffin&butterball.com
4. Facility physical address: 1628 Garner Chapel Rd
City: Mt. Olive State: NC Zip: 28365-6167
Coordinates: Latitude: 35' 8' 33.1" Longitude: -77' 54' 47.1"
Datum: Level of accuracy:
Method of measurement:
5. Purpose of the facility:
❑ treatment of municipal wastewater, treatment of 100% domestic wastewater,
❑ treatment of potable water, treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and __j % domestic)
other (explain: ).
6. Does the facility have an approved pretreatment program: Yes No
7. Facility permitted/design flow: 0. MGD and facility average daily flow: 0_1 MGD
8. Average amount of residuals being generated at this facility M dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: None
Type and volume of residuals storage (i.e., outside of residuals treatment units): None
IL RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under
40 CFR Part 503 or L� 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
® Biological 0 Non -Biological
FORM: RSC 06-16 Page 1 of
5

Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ❑ no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ❑ no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well
as those for corrosivity, ignitability, and reactivity:
Laboratory: and Date of analysis:
Passed corrosivity test: ❑ yes ❑ no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: rl yes ❑ no. Flashpoint: OF (> 140°F)
Passed reactivity test: ❑ yes Eno. HCN: � mg/kg (<250) & H2S: mg/kg (<500)
TCLP Parameter
Limit Result
TCLP Parameter
Limit Result
(mgfi) (mgfi)
(mgfi) (mgfi)
Arsenic
5.0
Hexachlorobenzene
0.13
Barium
100.0
Hexachloro-1,3-Butadiene
0.5
Benzene
0.5
Hexachloroethane
3.0
Cadmium
1.0
Lead
5.0
Carbon Tetrachloride
0.5
Lindane
0.4
Chlordane
0.03
Mercury
0.2
Chlorobenzene
100.0
Methoxychlor
10.0
Chloroform
6.0
Methyl Ethyl Ketone
200.0
Chromium
5.0
Nitrobenzene
2.0
m-Cresol
200.0
Pentachlorophenol
100.0
o-Cresol
200.0
Pyridine
5.0
p-Cresol
200.0
Selenium
1.0
Cresol
200.0
Silver
5.0
2,4-D
10.0
Tetrachloroethylene
0.7
1,4-Dichlorobenzene
7.5
Toxaphene
0.5
1,2-Dichloroethane
0.5
Trichloroethylene
0.5
1,1-Dichloroethylene
0.7
2,4,5-Trichlorophenol
400.0
2,4-Dinitrotoluene
0.13
2,4,6-Trichlorophenol
2.0
Endrin
0.02
2,4,5-TP (Silvex)
1.0
Heptachlor and its Hydroxide
0.008
Vinyl Chloride
0.2
FORM: RSC 06-16 Page 2 of
5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate
the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Parameter Ceiling Monthly Average
Concentration Limits Concentration Limits
(ClassA & ClassB) (Class A Only)
(mglkg)
(mglkg)
Arsenic
75
41
Cadmium
85
39
Copper
4,300
1,500
Lead
840
300
Mercury
57
17
Molybdenum
75
n/a
Nickel
420
420
Selenium
100
100
Zinc
7,500
2,800
Result
(mglkg)
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal Arsenic Chromium Nickel
Unit to Boundary to
Closest Property Line
(meters, check one) (mg/kg) (mg/kg) (mg/kg)
❑ >0but <25
❑ >25but <50
❑ > 50 but < 75
❑ > 75 but < 100
❑ > 100 but < 125
❑ > 125
Result (mg/kg)
FORM: RSC 06-16 Page 3 of
5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: and Date of analysis:
Parameter
Aluminum
Ammonia -Nitrogen
Calcium
Magnesium
Nitrate -Nitrite Nitrogen
pH (Standard Unit)
Phosphorus
Potassium
Sodium
Total Kjeldahl Nitrogen
Result
(mglkg)
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR):
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and
conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate
is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
Surface
Injection/Incorporation
First (15) Year PAN
(mglkg)
45,000
Five -Year
Maximum Adjusted PAN
(mglkg)
Note: Calculation of PAN for the residuals is based on theoretical data and future calculations for application.
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: None
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: Q aerobic digestion, I
air drying, ❑ anaerobic digestion,
❑ composting, or lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
® Alternative 6 [15A NCAC 02T. 1107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically occur
when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

October 29, 2018
OPERATIONS AND MAINTENANCE PLAN
Butterball, LLC RESIDUALS LAND APPLICATION FOR WQ0006147 (Butterball, LLC — Mt. Olive)
Inspection Plan
Inspections for the land application of residuals will be conducted on a weekly basis at the land
application site during the land application activities of this project. The inspection frequency is based
on the time frame that it is going to take to complete the project and the amount of dry tons to be land
applied from this facility. The inspections will consist of inspecting a current field that is being applied as
well as inspecting random fields that have been completed. These inspections will consist of:
1. Verifying that the Pre -Operations Check List has been completed and signed by both Operations and
Technical staff.
2. Checking the calculated loads to ensure the correct amount of residuals are being land applied.
3. Ensure that all manned equipment has a copy of the spill control plan, the permit, and the
operations and maintenance plan.
4. Ensure that the field has been flagged properly and that all buffers are being adhered to.
5. Ensure that the Crop and Landowner Verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the
criteria for land application.
7. The records will be kept in the project files in the respective office for the project.
8. The Permittee or Inspector shall report by telephone to the Wilmington Regional Office by telephone
at 910-796-7215 as soon as possible but no later than 24 hours after or the next working day following
the occurrence or the first knowledge of the occurrence of the following.
• Any occurrence with the distribution program resulting in the land application of significant
amounts of material that is abnormal in quantity or characteristics.
• Any failure of the distribution system that results in the release to surfacewaters.
• Any time that self -monitoring indicates that the facility has gone out of compliance withthe
permit.
• Any process failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
• Any release that requires immediate reporting outside of normal business hours shall becalled
in to the NCDEQ at 800-858-0368. This numbers is to be called in the event of a release to
surface waters, imminent failure of a storage system when the event occurs outside of normal
business hours.
• Within 5 days of the first notice of on occurrence a written response in the form of a letter
shall be sent to DENR outlining the actions taken or purposed actions taken to ensure that the
problem does not recur. Persons responsible for inspections on this project are asfollows:
Josh Batchelor, Wastewater and Sprayfield Farm Manager, or his designee.
Josh Batchelor is the designated land application ORC for this project and his designees are the backup
ORC's for this project.

OPERATIONS AND MAINTENANCE PLAN
Butterball, LLC RESIDUALS LAND APPLICATION FOR WQ0006147
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is
occurring. This will result in one round of sampling to occur before land application commences in
order to ensure that the residuals are suitable for land application. Based on the dry tonnage of
this plant this will be one sample for all parameters per year.
The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in
parentheses.)
Arsenic (5.0), 1, 4-Dichlorobenzene (7.5 ), Nitrobenzene (2.0)
Barium (100.0), 1, 2-Dichloroethane (0.5), Pentachlorophenol (100.0)
Benzene (0.5), 1, 1-Dichloroethylene (0.7 ), Pyridine (5.0)
Cadmium (1.0), 2, 4-Dinitrotoluene (0.13), Selenium (1.0)
Carbon tetrachloride (0.5), Endrin (0.02), Silver (5.0)
Chlordane (0.03), Hexachlorobenzene (0.13), Tetrachloroethylene (0.7)
Chlorobenzene (100.0), Heptachlor (and its hydroxide) (0.008), Toxaphene (0.5)
Chloroform (6.0), Hexachloro-1,3-butadiene (0.5), Trichloroethylene (0.5)
Chromium (5.0), Hexachlorethane (3.0), 2,4,5-Trichlorophenol (400.0)
M-Cresol (200.0), Lead (5.0), 2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0), Lindane (0.4), 2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0), Mercury (0.2), Vinyl Chloride (0.2)
Cresol (200.0), Methoxychlor (10.0)
2,4-D (10.0), Methyl ethyl ketone (200.0)
The residuals will also be sampled
based on the chart below for the
following constituents Dry Tons
Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A
NCAC 02T.1111)
<319 1 time per year
=>319-<1,650 1 per Quarter (4 times per year)
=>1,650-<16,500 1 every 60 days (6 times per year)
=>16,500 1 every month (12 times per year)

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Quantitative Justification
Form RSC 06-16, Item B
Value from Item I.8: Average amount of residuals being generated at this facility 25.5 dry tons per
year
Quantities for residual Generation:
100,000 GPD of sanitary wastewater (equivalent to 0.1 MGD)
280 mg/L biochemical oxygen demand (BOD)
0.6 yield, lb of mixed liquor suspended solids per lb of BOD
Calculation using quantities for residual Generation:
Mg lbs * L lbs BOD
L 0.1 MGD * 280 * 8.34 al * m — 233.5 da
9 9 Y
lbs BOD lbs sludge
233.5 da * 0.6 yield = 140.11 day
Y
140.11
lbs sludge * 365 days 1 ton 25.E DT sludge
* =
day 1 year 2000 lbs yr
Based on these calculations, the 100,000 gallons per day of sanitary wastewater at a BOD of 280
mg/L and a 0.6 ratio of mixed liquor suspended solids of BOD results in a residuals production
rate of 25.6 DT sludge/year. The amount of residuals being generated as this facility is therefore
quantitatively justified.