HomeMy WebLinkAboutWQ0014136_Final Permit_20090706NCDEN�
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
MAYOR W ILLIAM "BILL" THUNBERG
TOWN OF MOORESVILLE
POST OFFICE BOX 878
MOORESVILLE, NORTH CAROLINA 28115
Dear Mayor Thunberg:
Division of Water Quality
Coleen H. Sullins
Director
July 6, 2009
Dee Freeman
Secretar+,
Subject: Permit No. WQ0014136
Town of Mooresville
Town of Mooresville Residuals Land
Application Program
Land Application of Residual Solids
Iredell County
In accordance with your renewal request received March 31, 2009, we are forwarding herewith
Permit No. WQ0014136, dated July 6, 2009, to the Town of Mooresville for the continued operation of
the subject land application of residuals solids program.
This permit shall be effective from the date of issuance until June 30, 2014, shall void Permit No.
WQ0014136 issued July 16, 2004, and shall be subject to the conditions and limitations as specified
therein. Please pay particular attention to the monitoring requirements in this permit, Failure to establish
an adequate system for collecting and maintaining the required operational information will result in
future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of
this permit. This request must be in the form of a written petition, conforming to Chapter 150E of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding.
Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T —
Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these
rules. Remember to tape the time to review this permit thoroughly, as some of the conditions
contained therein may have been added, changed, or deleted from those in previously issued permits.
AQU`ER PROTECTIC',' 3ECTICI,
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Mr. Thunberg
July 6, 2009
Page 2 of 2
If you need additional information concerning this matter, please contact Alice M. Wessner at
(919) 715-5208 or alice.wessner@ncmail.net.
Sincerely,
`Cole H. Sullins
cc: Iredell County Health Department
Mooresville Regional Office, Aquifer Protection Section.
Mecklenburg County Land Use & Environmental Services Agency - Water Quality Program
Scott D. Berg, Technical Services Manager, Synagro, 284 Boger Road, Mocksville, NC 27028
APS Central Files
LAU Files
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Mooresville
Iredell County
FOR THE
continued operation of a residuals land application program for the Town. of Mooresville and consisting of
the land application of residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A to the land application sites listed in the most recently -certified
Attachment B with no discharge of wastes to surface waters, pursuant to the permit renewal application
package received on March 31, 2009 and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until June 30, 2014, shall void Permit No.
WQ0014136 issued July 16, 2004, and shall be subject to the following specified conditions and
limitations:
I. SCHEDULES_[please review the entire permit for reporting, monitoring,,_ and other on -going activities)
1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period
of time and under such conditions and limitations as it may deem appropriate. Please note that Rule
15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal
application.
H. PERFORMANCE STANDARDS
The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application program
WQ0014136 Version 4.0 Shell Version 090204 Page 1 of 16
2. No residuals other than those generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit shall be approved for land application in
accordance with this permit.
3. Only the land application sites listed in the most recently certified Attachment B of this permit are
approved for residuals land application. A permit modification application is required for any new
land application sites to be added to Attachment B.
4. The pollutant concentrations in any residuals that are land applied to any land application site shall
not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilogram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc
7,500
5. The pollutant loading rates on any land application site shall not exceed the following Cumulative
Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(pounds per acre)
Arsenic
36 P
Cadmium
34
Co per
1,338
Lead
267
Mercury
15
Molybdenum
n/a
Nickel
374
Selenium
89
Zinc
2,498
The Permittee shall determine compliance with the cumulative pollutant loading rates using one of
the following methods:
a. Use site specific analytical data from all historical land application events not
otherwise exempted.
b. For land on which land application events of residuals has not occurred or for which
the data is incomplete, use background concentrations through representative sampling
WQ0014136 Version 4.0 Shell Version 090204 Page 2 of 16
6. When residuals are land applied under the conditions of this permit, the Class B pathogen reduction
requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirements
in 15A NCAC 02T .1107 (a) shall be met. Additionally, an evaluation shall be performed that
demonstrates the residuals' ability to comply with this requirement. Upon request, a copy of this
evaluation., including all test results and calculations, shall be submitted. Only residuals that are
generated by the residuals source -generating facilities that are identified as being exempt from this
condition in the most recently -certified Attachment A shall not be required to comply with the
specified pathogen reduction and vector attraction reduction requirements.
7.. The facilities permitted herein must be constructed and maintained according to the following
setbacks.
a. When land applying residuals to any land application site, the following setbacks shall be
maintained (all distances in feet):
Setback by type of application
Surface
Surface
Application
Application
by
Injection)
Description of Setback
by Vehicle
Irrigation
Incorporation
i. Habitable residence or place of public assembly
under separate ownership or not to be maintained
as part of the project site
400a
400
200a
ii. Habitable residence or places of public assembly
owned by the permittee, the owner of the land, or
the lessee/operator of the land to be maintained
as part of the project site
0
200
0
iii. Property lines
50
150
50
iv. Public right of way
50
50
50
v. Private or public water supply
100
100
100
vi. Surface Waters (streams — intermittent and
perennial, perennial waterbodies, and wetlands)
100
100
50
'Setback reduced to 100 feet for surface application by vehicle and injection/incorporation for fields
NC-CB-7-1, NC-CB-7-3, NC-CB-7-4, NC-IR-01-01A, NC-IR-01-02, NC-IR-01-03, and 150 feet
for fields NC-IR-14-03A and NC-IR-14-03B.
Specific residuals land application area boundaries shall be clearly marked on each land application
site prior to and during a residuals land application event.
Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land
application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using
expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved
land application site. Realistic Yield Expectations for crop types and specific fields or soils types
shall be determined by using any of the following methods:
a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina
State University Department of Soil Science. The Department webpage is located at:
http:/.inutr-ients-soil.ncsu.edu/vields,'
WQ4014136 Version 4.0 Shell Version 090204 Parge 3 of 16
b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the
mean of the best three yields of the last five consecutive crop harvests for each field.
C. If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established
from specially developed soil interpretation records for Nutrient Management Planning, Farm
Service Agency Records, university trials, or inference from crop performance on soil with
very similar physical and chemical features.
d. Realistic Yields Expectations and acceptable nitrogen application rates that use the above
methodology are required parts of many agricultural planning documents. The Permittee may
use the RYE and appropriate agronomic rates reported in any of the following documents:
i. Crop managft
ement plan as outlined by the local Cooperative Extension Office, the North
Carolina Department of Agriculture and Consumer Services, the Natural Resource
Conservation Service, or other agronomist.
ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance
Document. Chapter 1. Guidance for the completion of the plan can be found at:
http://www.enr.state.ne.us/DSWC/T)ages/p,,ui,da.n..c.e docs.html.
iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation
Services (NRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards, which are available at:
:/ ft-fe.se.e ov.usda. ovl / ractice-standards/standards/590. df.
e. For any crop type for which the RYE and appropriate nitrogen application rate cannot be
determined, the Permittee shall contact the Division to determine necessary action.
10. If the land application sites are to be overseeded or doublecropped (e.g., bermuda grass in the
summer and rye grass in the winter with BOTH crops to receive residuals or corn and small grain
both to receive residuals), then the second crop shall receive an application of PAN at a rate of no
greater than 50 pounds per acre per year. This practice shall be allowed as long as the second crop is
to be harvested. If the second crop is to be planted for erosion control only and is to be tilled into the
soil, then no residuals shall be land applied to these sites because the PAN will essentially be
returned to the soil.
Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee
must submit and receive approval by the Division.
11. Should any of the residuals generated by the residuals source -generating facilities listed in the most
recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium
adsorption ratio (SAR) of ten (10) or higher), the Permittee shall obtain and implement
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 other agronomist regarding sodium application rate, soil amendments (e.g., gypsum,
etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability
for land application of residuals and maintaining conditions conducive to crop growth. The
Permittee shall maintain written records of each monitoring event that includes details of the sites
covered and rate of soil amendment application.
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12. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance
Boundary for each land application site is established at either 250 feet from the residuals land
application area or 50 feet within the property boundary, whichever is closest to the residuals land
application area. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance
Boundary may be located closer to the waste disposal area (provided the groundwater standards can
be met at the newly established Compliance Boundary). Any approved relocation of the
COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this
permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject
to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in
accordance with North Carolina General Statute 143-215.6A through 143-215.6C.
13, The REVIEW BOUNDARY shall be established around each land application site midway between
the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance
of Groundwater Quality Standards at the Review Boundary shall require action in accordance with
15A NCAC 2L .0106 (d)(1).
14. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to the
initial residuals land application event on any new site so that they will be aware that residuals land
application activities have commenced on the site.
15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least
24 hours prior to the initial residuals land application event on any new land application site. Such
notification to the Regional Aquifer Protection Supervisor shall be made during normal office hours
(i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding State Holidays. A
list of the Division's regional offices, their county coverage, and their contact information may be
downloaded from the web site at http://www.enr.state.nc.us/htinl/regionaloffices.html.
M. OPERATION AND MAINTENANCE REOUMEMENTS
The residuals land application program shall be effectively maintained and operated at all times as a
non -discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
2. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to
15A NCAC 02T .1110 including operational functions, maintenance schedules, inspection plan,
sampling and monitoring plan, safety measures, and a spill response plan. The inspection portion of
the plan shall 'include the following information:
a. Names of personal responsible for conducting the inspections
b. Description of inspection plan describing how the frequency of inspections and location of
inspections are determined to assure that inspections are representative of land application
program.
c. Description of record keeping requirements meeting requirements of permit Conditions W.9.
d. Description of required actions meeting the requirements of permit Condition IV. I 1 to be taken
by the inspector in the event that noncompliance is observed during an inspection.
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The sampling and monitoring portion of the plan shall include the following information:
e. Names and position of personnel responsible for conducting the sampling and monitoring;
f. Required sampling frequency specified in Attachment B of the permit;
g. Description of sampling and monitoring procedures to gather representative sampling for each
sampling period. Note that fluctuation in temperature, flow, and other operating conditions can
affect the quality of the residuals. The sampling plan must account for any foreseen fluctuations
in compost residuals quality, and indicate sampling times accordingly to ensure compliance
during the most limiting times (e.g. small facilities that apply multiple times per year, but have
an annual sampling frequency may need to sample and document compliance with the pathogen
reduction requirements during winter months when pathogen reduction is most likely to be
negatively affected by cold temperatures).
Any modification to the O&M Plan shall be approved by the Division. The most recent O&M Plan
shall be submitted to the Mooresville Regional Office for review and approval.
In the event that the residuals land application program is not operated satisfactorily, including the
creation of nuisance conditions due to improper operation and maintenance, the Permittee shall cease
land applying residuals to the site, contact the Aquifer Protection Section of the appropriate Division
of Water Quality's (Division) regional office, and take any immediate corrective actions as may be
required by the Division.
4. Upon classification of the residuals land application program by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land
application/residuals operator to be in responsible charge (ORC) of the program. The operator shall
hold a certificate of the type classification assigned to the program by the WPCSOCC. The
Permittee shall also designate a certified back-up operator of the appropriate type to comply with the
conditions of 15A NCAC 8G .0201.
This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals or the application causes contravention of surface water or groundwater standards and may
be revoked unless the land application sites are maintained and operated in a manner that will protect
the assigned water quality standards of the surface waters and groundwater.
6. A copy of this permit shall be maintained in all manned equipment at the land application sites when
residuals are being land applied during the life of this permit. The spill prevention and control plan
shall be maintained in all residuals transport and application vehicles.
7. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying
residuals from the land application sites onto adjacent properties or into any surface waters.
Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or
stored residuals into any surface waters.
9. No residuals shall be stored at any land application site at any time, unless written approval has first
been requested and obtained from the Division.
10. Bulk residuals shall not be applied to the land under the following conditions:
a. if the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
WQ0014136 Version 4.0 Shell Version 090204 Page 6 of 16
b. If the application causes prolonged nuisance conditions;
c. If the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated within
a 24-hour period following the residuals land application event;
f During a measurable precipitation event (i.e., >.01" per hour) or within 24 hours following a
rainfall event of 0.5 inches or greater in a 24-hour period. Any emergency residuals land
application measures shall first be approved in writing by the Division;
g. If the slope for land is greater than 10 percent when bulk liquid residuals are surface applied, and
if the slope of the land is greater then 18 percent with bulk liquid residuals are injected or
incorporated;
h. If the pH is not maintained in the soil, residuals, and lime mixture, greater than 6.0, on land
application sites onto which residuals are applied. Residuals may be applied to the sites
provided that sufficient amounts of lime is also applied to achieve a final pH of the soil mixture
of at least 6.0, or if an agronomist provides information indicating that the pH of the soil,
residuals, and lime mixture is suited for the specified crop type. Any approved variations to the
acceptable soil pH (6.0) for land application will be noted in the most recently certified
Attachment B of this permit.
i. If the land does not have an established vegetative cover in accordance with the crop
management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or other
agronomist unless the bulk residuals are incorporated within a 24-hour period following the
residuals land application event or injected (This requirement does not apply to no -till
fields);
j. If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot;
k. If the vertical separation of the depth to bedrock and the depth of residuals application is less
than one foot;
11. For land onto which bulk residual that do not meet the Class A Pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following public access restrictions apply:
a. Public access to public contact sites shall be restricted for one calendar year after any residuals
land application event. Such controls may include the posting of signs indicating the activities
conducted at each site;
b. Public access to land that is not a public contact site shall be restricted for 30 days after any
residuals land application event. Such controls may include the posting of signs indicating the
activities conducted at each site.
12. For land onto which bulk residual that do not meet the Class A pathogen Reduction Requirements
(15A NCAC 02T .1106(b)), the following harvesting and grazing restrictions apply:
a. Animals shall not be allowed to graze on land application sites for 30 days after any residuals
land application event. Sites that are to be used for grazing shall have fencing that will be used
to prevent access after each event;
WQ0014136 Version 4.0 Shell Version 090204 Page 7 of 16
b. Food crops, feed crops, and fiber crops shall not be harvested for 30 days after any residuals land
application event;
c. Food crops with harvested parts that touch the residual/soil mixture and are totally above the
land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals land application event;
d. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals remain on the land surface for four months or longer prior to
incorporation into the soil;
e. Food crops with harvested parts below the surface of the land shall not be harvested for 38
months after any residuals land application event when the residuals remain on the land surface
for less than four months prior to incorporation into the soil;
f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any
residuals land application event.
13. This permit shall become voidable unless the agreements between the Permittee and the landowners
and lessees or operators of any land application sites listed in the most recently -certified Attachment
B of this permit not owned by the Permittee are in full force and in effect. These agreements shall
be considered expired concurrent with the expiration date of the permit and shall be renewed at the
same time the permit is renewed.
14. Upon entering an agreement with landowners to apply residuals to a land application site, the
Permittee shall require of the landowner or lessee/operator a statement detailing the volume of
nutrient sources (waste residuals, manufactured fertilizers, manures, or other animal waste products)
other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy
of the most recent Nutrient Management Plan (NMP), if available, for the fields within the
agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste
Utilization Plan (WUP) or Certified Nutrient Management Plan (CLAMP) shall also be
considered a Nutrient Management Plan.
The NMPs must be provided only for those operations where a NMP is required by the US
Department of Agriculture --- National Resources Conservation Service (NRCS) or other State
Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions
in allowable nutrient loading rates. if the calculation shows that the agronomic rates in the NMP
(including PAN) have already been met or exceeded on a field, no additional residuals shall be land
applied to that field.
1V. MONITORING AND REPORTING REQUIREMENTS
Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue analyses)
deemed necessary by the Division to ensure protection of the environment shall be established, and
an acceptable sampling and reporting schedule shall be followed.
2. Residuals generated by each residuals source -generating facility listed in the most -recently -certified
Attachment A of this permit shall be analyzed to demonstrate that they are non -hazardous under the
Resource Conservation and Recovery Act (RCRA). A corrosivity, ignitability, and reactivity
analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be
conducted on residuals generated by each residuals source -generating facility listed in the most
WQOO14136 Version 4.0 Shell Version 090204 Page 8 of 16
recently -certified Attachment A of this permit. The analyses shall be performed at the frequency
specified in the most recently -certified Attachment A of this permit, and the results shall be
maintained on file by the Permittee for a minimum of five years.
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit (e.g. no land application occur during an entire year when annual
monitoring is required), no sampling data is required during the period of inactivity. The Permittee
shall submit an annual report, as required in condition IV, 10., even in the event that no land
application events occur during an entire year; the annual report shall include an explanation for
missing sampling data.
Only residuals that are generated by the residuals source -generating facilities that are identified as
being exempt from this condition in the most recently -certified Attachment A of this permit shall not
be required to comply with this monitoring requirement.
The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
Arsenic (5.0)
Barium (100.0)
Benzene (0.5)
Cadmium (1.0)
Carbon tetrachloride (0.5)
Chlordane (0.03)
Chlorobenzene (100.0)
Chloroform (6.0)
Chromium (5.0)
m-Cresol (200.0)
o-Cresol (200.0)
p-Cresol (200.0)
Cresol (200.0)
2,4-D (10.0)
1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
1, 1 -Dichloroethylene (0.7)
Pyridine (5.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Endrin (0.02)
Silver (5.0)
Hexachlorobenzene (0.13)
Tetrachloroethylene (0.7)
Heptachlor (and its hydroxide) (0.008)
Toxaphene (0.5)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Hexachloroethane (3.0)
2,4,5-Trichlorophenol (400.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
Lindane (0.4)
2,4,5-TP (Silvex) (1.0)
Mercury (0.2)
Vinyl chloride (0.2)
Methoxychlor (IU)
Methyl ethyl ketone (200.0)
After the residuals have been monitored as specified above for two years at the frequency specified
in the most recently -certified Attachment A of this permit, the Permittee may submit a request to the
Division for a permit modification to request a reduction of this monitoring requirement. In no case,
however, shall the frequency of monitoring be less than once per permit cycle.
An analysis shall be conducted on residuals generated by each residual source -generating facility
listed in the most recently certified Attachment A of this permit. The analysis shall be performed at
the frequency specified in the most recently certified Attachment A of this permit, and the results
shall be maintained on file by the Permittee for a minimum of five years. The analysis shall include,
but shall not necessarily be limited to, the following parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Magnesium pH
Mercury Plant Available Nitrogen
(by calculation)
Molybdenum Selenium
WQ0014136 Version 4.0 Shell Version 090204 Page 9 of 16
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio
(SAR)
Nickel
Nitrate -Nitrite Nitrogen
Phosphorus
Potassium
Sodium.
% Total Solids
TKN
Zinc
If residuals generated by a particular residuals source -generating facility are insufficient to require a
land application events during a required sampling period as specified in the most recently -certified
Attachment A of this permit, the Permitter shall make up the missed sampling either by taking
additional samples during land application events previous to a planned period of inactivity or by
taking additional samples during land application events immediately following the period of
inactivity. If no land application events occur during a complete calendar year, the Permittee need
not make up the missed sampling events for that year. The Permitter. shall submit an annual report,
as required in condition W. 10., even in the event that no land application events occur during an
entire year; the annual report shall include an .explanation of additional sampling data intended to
compensate for periods of inactivity, or an explanation for missing sampling data
4. Residuals generated by each residuals source -generating facility listed in the most recently -certified
Attachment A of this permit shall be monitored for compliance with Condition IL 6. The monitoring
shall be performed at the frequency specified in the most recently -certified Attachment A of this
permit, and data to verify pathogen and vector attraction reduction of the residuals shall be
maintained on file by the Permittee for a minimum of five years. The required data shall be specific
to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with
the Class A pathogen reduction requirements in 15P. NCAC 02T .1106 (a) and (b) or the Class B
pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction
reduction requirements in 15A NCAC 02T .1107 (a) shall be met. In addition, the Environmental
Protection Agency (EPA) certification statements concerning compliance with pathogen reduction
requirements, vector attraction reduction requirements, and management practices shall be
completed at the frequency specified in the most recently -certified Attachment A of this permit by
the proper authority or authorities, if more than one is involved (i.e., either the person who prepares
the residuals, the person who derives the material, or the person who applies the residuals). Only
residuals that are generated by the residuals source -generating facilities that are identified as being
exempt from Condition II. 6. in the most recently -certified Attachment A of this permit shall not be
required to comply with this monitoring requirement.
5. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site on which a residuals land application event in the respective calendar year
has occurred or is to occur, and the results shall be maintained on file by the Permitter, for a
minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily
limited to, the following parameters:
Acidity Exchangeable Sodium Percentage (by calculation)
Calcium Magnesium Phosphorus
Cation Exchange Capacity Manganese Potassium
Copper Percent Humic Matter Sodium
Base Saturation (by calculation) pH Zinc
Laboratory analyses of parameters as required by Condition W. 1., Condition IV. 2., Condition IV.
3., and Condition TV. 4. shall be performed/gathered on the residuals as they are to be land applied.
WQ0014136 Version 4.0 Sbell Version 090204 Page 10 of 16
7. Laboratory analyses of parameters as required by Condition TV. 1., Condition IV, 2., Condition IV.
3., Condition IV. 4., and Condition IV. 5. shall be in accordance with 15A NCAC 02B .0505.
8. Proper records shall be maintained by the Pcnnittee tracking all residuals .land application events.
These records shall include, but are not necessarily limited to, the following information:
a. Source of residuals;
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number as listed in Attachment B);
d. Method of land application;
e. Weather conditions (e.g., sunny, cloudy, raining, etc.);
f. Predominant Soil Mapping Unit (e.g., CbB2);
Cr, Soil conditions (e.g., dry, wet, frozen, etc.);
h. Type of crop or crops to be grown on field;
i. Nitrogen Application Rate based on RYEs.
j. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, wet
ton per acre, or kilograms per hectare;
k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre,
wet tons per acre, or kilograms per hectare (if applicable);
1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per
acre, wet tons per acre, or kilograms per hectare (if applicable); and
m. Annual and cumulative totals of dry tons per acre of residuals as well as animal waste and other
sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy
metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury,
molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds
per acre of phosphorus applied to each field.
9. All records required as part of this permit shall be retained a minimum of five years,
10. Three copies of an annual report shall be submitted on or before March I", The annual report shall
meet the requirements described in the Instructions For Residuals Application Annual Reporting
Forms. The most recent instructions for reporting and annual report forms are available on the Land
Application Unit website at http://h2o.enr.state.ne.us/lau/compliance.html, or can be obtained by
contacting the Land Application Unit directly. The annual report shall be submitted to the following
address:
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
11, Noncompliance Notification
The Pennittee shall report by telephone to the Mooresville Regional Office, telephone number
(704)663-1699, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
WQ0014136 Version 4.0 SheIl Version 090204 Page I of 16
a. Any occurrence with the land application program which results in the land application of
significant amounts of wastes which are abnormal in quantity or characteristic.
b. Any failure of the land application program resulting in a release of material to receiving waters.
c. Any time that self -monitoring information indicates that the facility has gone out of compliance
with the conditions and limitations of this permit or the parameters on which the system was
designed.
d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate residual treatment.
e. Any spillage or discharge from a vehicle or piping system during transportation of residuals.
For any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside normal business hours must be reported to the Division's
Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-
3300.
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five (5) days following first knowledge of the occurrence. This report must outline the actions taken
or proposed to be taken to ensure that the problem does not recur.
V. INSPECTIONS
Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation
of the subject facilities.
2. Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and deterioration,
operator errors, and discharges that may cause or lead to the release of wastes to the environment, a
threat to human health, or a nuisance. The Permittee shall maintain an inspection log or summary
including at least the date and time of inspection, observations made, and any maintenance, repairs,
or corrective actions taken by the Permittee. This log of inspections shall be maintained by the
Permittee for a period of five years from the date of the inspection and shall be made available to the
Division or other permitting authority, upon request.
Any duly authorized officer, employee, or representative of the Division may, upon presentation of
credentials, enter and inspect any property, premises, or place on or related to the land application
sites or facilities at any reasonable time for the purpose of determining compliance with this permit;
may inspect or copy airy records that must be kept under the terms and conditions of this permit; and
may obtain samples of groundwater, surface water, or leachate.
VI. GENERAL, CONDITIONS
This permit shall become voidable unless the residuals land application events are carried out in
accordance with the conditions of this permit, the supporting materials, and in the manner approved
by the Division.
WQ0014136 Version 4.0 Shell Version 090204 Page 12 of 16
This permit shall be effective only with respect to the nature and volume of residuals described in
the application and other supporting data.
3. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee
to an enforcement action by the Division in accordance with North Carolina General Statutes § 143-
215.6A through § 143-215.6C.
4. The annual administering and compliance fee shall be paid by the Permittee within 30 days after
being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate
action to revolve this permit, as specified by 15 NCAC 2T .0105 (e).
The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, 'regulations, or ordinances, which may be imposed by other government agencies (local, state,
and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer
rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC
Chapter 4 and under the Division's General Permit NCG010000, and any requirements pertaining to
wetlands under 15A NCAC 02B .0200 and 02H .0500.
6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and
monitoring requirements the Division deems necessary in order to protect the environment and
public health adequately.
7. This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the Permittee, a
formal permit request shall be submitted to the Division documentation from the parties involved
and other supporting materials as may be appropriate. The approval of this request shall be
considered on its merits and may or may not be approved.
Permit issued this the 6th day of July, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Coles. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0014136
WQ0014136 Version 4.0 Shell Version 090204 Page 13 of 16
THIS PAGE BLANK
WQ0014136 Version 4.0 Shell Version 090204 Page 14 of 16
ATTACHMENT A - Approved Residual Sources
Permit Number: WQ0014136 Version: 4.0
Town of Mooresville — Rocky River WWTP
Certification Date: 07/0612009
Monitoring
Monitoring
Frequency
Frequency for
Maximum
for
Condition IV. 3.
Approved
Dry Tons
Condition
and Condition IV.
Mineralization
Owner
Facility Name
County
.Permit Nurnber
Issued B
Is 503?
Per Year
IV. 2.
4. a
Rate
Town of
Rocky River
Mooresville
WWTP
tredell
NCO046728
DWQ
503
657.00
Annually
Quarterly
.30
Total
657.00
a Monitoring frequencies are based on the actual dry tons applied per year, unless specified. The Monitoring Frequency Requirements Table
below shall be used to determine appropriate sampling frequency. The Permittee is responsible for managing program to assure that adequate
sampling is performed.
Monitoring Frequency Requirements
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and
15A NCAC 02T .111
<319
I /Year
=>319 - <1,650
I/ Quarter (4 times peryear
=>1,650 - <16,500
1/60 Days (6 times per year)
=> 16,500
I/month 12 times er year)
WQ0014136 Version 4.0 Attachment A Page I of 2
THIS PAGE BLANK
WQ0014136 Version 4.0 Attachment A Page 2 or2
ATTACHMENT B - APPROVED LAND APPLICATION SITES
Permit Number: WQ00141.36 Version: 4.0
Town of Mooresville — Town of Mooresville Residuals Land Application Program
Certification Date: 07/06/2009
Dominant
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Soil Series
NC-CB-07-01
Wayne, Jeremy
Wayne, Michael
Cabarrus
35"30'05"
80045'53"
11.80
Cecil
NC-CB-07-03
Wayne, Michael
Cabarrus
35"29'54"
8OQ45158"
7.20
Cecil
NC-CB-07-04
Brewer, Larry
Wayne, Michael
Cabarrus
35029'45"
80°46106"
7.10
Cecil
NC-IR-01-
Patterson, Gary
Iredell
35031'49"
80046114"
12.30
Lloyd
01A
NC-IR-01-02
Patterson, Gary
Iredell
35031'50"
80"45'59"
18.30
Lloyd
NC-IR-01-03
Patterson, Gary
Iredell
35031'54"
80046'06"
4.00
Lloyd
NC-IR-02-01
Neel, Robert G
Iredell
35036'03"
80047117"
4.20
Cecil
NC-IR-02-02
Neel, Robert G
Iredell
35"35'56"
80047'04"
6.20
Cecil
NC-IR-02-03
Neel, Robert G
Iredell
35036'02"
80"47'14"
10.20
Cecil
NC-IR-02-04
Neel, Robert G
Iredell
35035'54"
80"47'12"
8.00
Cecil
NC-IR-02-05
Neel, Robert G
Iredell
35"36'03"
80°47'02"
2.10
Cecil
NC-IR-12-03
Fesperman, John
Iredell
35"34'22"
80"46'47"
13.00
Cecil
Wyatt
NC-IR-12-04
Fesperma , John
Iredell
35034'32"
80046'47"
13.80
Cecil
Wyatt
NC-IR-13-02
Carrington, Douglas
Iredell
35"36'20"
80"46'10"
27.10
Cecil
NC-111-14-
Barker, Juanita
Barry McAllister
Iredell
35°31']0"
80047'15"
8.40
Mecklenburg
03A
NC-lR-14-
Barker, Juanita J
Bary McAlister
Iredell
35031'10"
80047'l5"
5.20
Lloyd
03 B
NC-IR-17-01
Christopher, Joseph C
Iredell
359 P60"
80049'05"
3.80
Enon
NC-IR-17-02
Christopher, Joseph C
Iredell
35031'56"
80"49'04"
6.00
Cecil
WQ00I4136 Version 4.0 Attachment B Page i of
ATTACHMENT B - APPROVED LAND APPLICATION SITES (continued)
Permit Number: WQ0014136 Version: 4.0
Town of Mooresville — Town of Mooresville Residuals Land Application Program
Certification Date: 07/06/2009
Field/ Site
Owner
Lessee
County
Latitude
Longitude
g
Net Acreage
Dominant
Soil Series
NC-IR-17-03
Christopher, Joseph C
Iredell
3591'48"
80049'03"
11.40
Pacolet
NC-IR-18-05
Hager, Donald
Hager, Ronald
Iredell
351132'19"
80049'22"
24.50
Cecil
NC-iR-21-01
Edwards, Larry
Iredell
35029'12"
80046'20"
13.80
Bethlehem
NC-IR-21-02
Edwards, Larry
Iredell
35"39'10"
W46'02"
1590
Pacolet
NC-IR-21-03
Edwards, Larry
Iredell
35039'01"
80045'59"
33.90
Pacolet
NC-IR-21-04
Edwards, Larry
Iredell
3503S'54"
80046'09"
8.10
Bethlehem
Total
276.3
WQfl014136 Version 4.0 Attachment B Page 2 of
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quali", (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
For more infonatanon, visit our iijeb site at:httn:Nh2o.enr,state.nc.us/lauimain.html
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for revie«, without its corresponding. residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property, from which a waiver from 1.5A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T ,1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Mooresville (William Thunburg, Mayor) „
Complete mailing address of applicant: 413_ E. Main St, (mailing) P.O. Box 878
City: Mooresville State: NC Zip: - 28115
Telephone number: ( 704 ) 663-4026 Facsimile number: ( 704 ) 663-4616
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: 11356 Mooresville Rd
City: Davidson State: NC Zip. 20306
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned proper", owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement,
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore; I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land
application site(s) as specified herein.
Property owner name: Jody Winkler
Signature: Date:
FORM: SWAA 02-07 Page I of I Attachment Order 3-d
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FOR -AI MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
For niore in&mation, visit our imb site at; http:tih2o.enr,stnte.nc.trcIlauiniain.hinil
INSTRUCTIONS TO THE APPLICANT:
A. Attachment form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicants name: Town of Mooresville William Thunbur , Mayor)
Complete mailing address of applicant: 413 E. Main St(mailing
P.O. Box 879
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 ) 663-4026 Facsimile number: ( 704 ) 663-4616
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 1100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: 11443 Mooresville Rd
City: Davidson State: NC Zip: 20306
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant pennission to the Pennittee to land apply residuals to land
application site(s) as specified herein.
Property owner name: Cecil Weddineton
Signature: G�� •�� Date: A % leg 6i'
FORM: SWAA 02-07 Page 1 of 1 Attachment Order 3-d
State of N�arth Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FORM MAF BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
For more information, visit our web site ar: http:///`1?o.eni- state. nc.ttsliattii?iarn. html
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
,1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: _ Town of Mooresville -(William Thunburg, Mayor)
Complete mailing address of applicant: 413_E. Main St. (mailin) P,O._Box 878
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 ) 663-4026 Facsimile number: ( 704 ) 663-4616
F-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: 11503 Mooresville Rd
City: Davidson State: NC Zip; 20306
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed, in addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certit, that I have read and
understand this Agreement and do hereby grant pemaission to the Permittee to land apply residuals to land
application site(s) as specified herein.
* �o 66 AAa,-f /JV?WZ:W
Property owner na e. j r Hyman
Sicnature:� Date:
FORM: SWAA 02-07 Palle 1 of 1 Attachment Order:-d
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FOR IvI MAYBE PHOTOCOPIED FOR USE AS _f1N ORIGIM4L)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing, and review time.
For more information, visit our web site at:httn_//h 2o.enr.state.aic.usflau inain.html
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned,
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Mooresville (William Thunbure, Mayor)
Complete mailing address of applicant: 413 E. Main. St: -(mailinc) P.O. Box_878
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 } 663-4026 Facsimile number: ( 704 ) 663-4616
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: 11378 Mooresville Rd
City: Davidson State: NC Zip: 20306
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® I certify that 1 am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on belialf of other deeded property owners, Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land
application site(s) as specified herein.
s
Property owner name: Rosemary Hyman
� U
Sivnature: r Date:
r
FORM: SWAA 02-07 Page 1 of 1 AttacEiient Order 3-d
. J
State of North Carolina L�
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FORM MA Y BE PHOTOCOPIED FOR USE r1S AN ORIGINAL)
The Division of Water Qualith, (Division.) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
For more b7ib oration, visit our web site at:l�trn:/Ilt?o.ear.state.rrc.us/laxtitazain.larn�l
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1109, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Mooresville William Thunbur Ma or
Complete mailing address of applicant: 413 E. Main St: (mailingl P.O. Box 878 -
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 ) 663-4026 Facsimile number:( 704 ) 663-4616
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: I 1453 Mooresville Rd
City: Davidson State: NC Zip: 20306
This Agreement shall remain in effect for the length of the Division of Water Qualin,'s (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as lone as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do herebv grant permission to the Permittee to land apply residuals to land
application site(s) as specified herein.
Property owner name: Randall Guillory
Signature:Date:
FORM: SWAA 02-07 Page 1 of 1 Attachment Order 3-d
State of North Carolina
Department of Environment and Natural Resources
Division of ''V47ater Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FORrbl MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and reviewtime,
For more information, visit our web site cit., htip:1110o.enr.state.nc.usliatrinrain.hrml
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment forni for revieFr without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
tp
✓ Any other setbacks required by 15A NCAC 2T .1108, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC ZT .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: 'Town of Mooresville William Thunbur . Mayor)
Complete mailing address of applicant: 413 E. Main St: (mailing-) P,O. Box 978„ „
City: Mooresville State: NC Zip: 2811
Telephone number: ( 704 ) 663-4026 Facsimile number: ( 704 } 663-4616
1=-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property; Terrace Ridac Subdivision lots 1 -- 7 Aaron Locke Lane
City: Davidson State: NC Zip: 20306
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. lit addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein,
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® 1 certify that I ani a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Pernittee to Land apply residuals to land
application site(s) as specified herein.
Property owner name: Alan Goodman
Signature: Date: -3-07
FORM: SWAA 02-07 Fagg 1 of I Attachment Order 3-d
/Ve 7Z -
State of forth -Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WA117ER AGREEMENT ATTACHMENT
For Land Application of Residual Solids (FORM: SWAA 02-07)
(THIS FORM MAI' BE PHOTOCOPIED FOR USE AS AAr ORIGINAL)
The Division of Water Quality (Division) will not accept this attachment unless all the instructions are
followed, Failure to submit all required items will lead to additional processing and review time.
For more information, visit our weh site at: httn:Ilh 20_enr.state.nc.us/lauimain.htmt
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP).
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T .1 i 08, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicant's name: Town of Mooresville —(William Thunbure, Mayor}
Complete mailing address of applicant: 413 E. Main St(mailing) P.O. Box 878
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 ) 663-4026 Facsimile number: ( 704 ) 663-4616
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 100 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following..
Location address of property: l fs,y 606d' //� U` /Z_ u
City:—�rrl[�a c� � l � _ Stater Zip: 2 0/r6_
This Agreement shall remain in effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced property and am authorized to make decisions
regarding this property on behalf of other deeded property owners, Furthermore, I certify that I have read and
understand this Agreement and do hereby grant permission to the Permittee to land apply residuals to land
application site(s) as specified herein.
Property owner name: s� / /�� -r"fR DE14,
Date:
FOR
Attachment Order 3-d
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
SETBACK WAIVER AGREEMENT ATTACHMENT
For Land Application of Residual. Solids (FORM' SWAA 02-07)
(THIS FORM MA )' BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
The Division of eater Qualify (Division) will not accept this attachment unless all the instructions are
followed. Failure to submit all required items will lead to additional processing and review time.
Formore information, visit our web site at: htrn://112o.enr.siate;nc.tisliaw)iiaiii.hrml
INSTRUCTIONS TO THE APPLICANT:
A. Attachment Form:
✓ Do not submit this attachment form for review without its corresponding residuals program
application form (FORM: NDRLAP),
✓ Any changes to this attachment form will result in the application package being returned.
B. Prepare a separate attachment form for each property from which a waiver from 15A NCAC 2T
.1108(b)(2)(for habitable residences or place of public assembly) is being sought.
✓ Any other setbacks required by 15A NCAC 2T A 1 OS, other than those referenced above, cannot be waived
through execution of this attachment form.
✓ A copy of the completed and appropriately executed attachment form must be provided to the property owner.
AGREEMENT TO WAIVE THE SETBACK REQUIRED BY 15A NCAC 2T .1108(b)(2)(habitable residences)
The undersigned property owner hereby permits:
Applicants name: _ _ Town of Mooresville (William Thunburg, Mayor) W _
Complete mailing address of applicant: 413 E. Main St: (mailing) P.O. Box 878
City: Mooresville State: NC Zip: 28115
Telephone number: ( 704 ) 663-4026 Facsimile number: ( 704 ) 663-4616
E-mail address:
hereinafter referred to as the Permittee, to land apply residuals within 150 feet (i.e., cannot be less
than 100 feet) of the residence or place of public assembly located at the following:
Location address of property: 242 Johnson Dairy Road
City: Mooresville State: NC Zip: 28115
This Agreement shall remain in ,effect for the length of the Division of Water Quality's (Division) permit for
the residuals land application program and shall be renewed each time this permit is renewed. In addition,
this Agreement shall only remain in effect for as long as the undersigned property owner owns the property
described herein.
The undersigned property owner agrees to abide by this Agreement until such time as written notification,
given 30 calendar days in advance, modifies or cancels this Agreement.
® I certify that I am a deeded property owner of above -referenced propery and am authorized to make decisions
regarding this property on behalf of other deeded property owners. Furthermore, I certify that I have read and
understand this Agreement and do hereby grant perinission to the Pennittee to land apply residuals to land
application site(s) as specified herein.
Property owner name: L eMaune.v
60 S
Date:
FORM: SWAA 02-07 Pane I of I Attacliment Order 3-d
01,%--j SYNAG O
LOCATION MAP
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SYNAGRO
TOPOGRAPHIC MAP A Residuuli Management Conipapq
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SYNAGRO
APPLICATION AREA MAP A Re idnah ManaganewCnmpan)
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SOIL DESCRIPTION
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wc•iR•y
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SYNAGKO
VICINITY MAP
A Residual; Alaungemew Company
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SYNAGRO
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VICINITY MAP
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SYNAGRO
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APPLICATION AREA MAP
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A Residuals Managemnew Company
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SOIL, DESCRIPTION
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SYNAGRO
VICINITY MAP
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TOPOGRAPHIC MAP
SYNAGRO-
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APPLICATION AREA MAP A Residuals Alanagewent Company
Owner
Scale: 1Field #
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SOIL DESCRIPTION
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TOPOGRAPHIC IN/LAP
SYNAGE
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TOPOGRAPHIC MAP
A Relidmals Management Company
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SY NAGI
AERIAL REFERENCE MAP
R Residuals Managanew Compaq
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APPLICATION AREA MAP
A Residuals Maaagm=rCompany
Owner - JUXw
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Scale: V = Z-h�;C7 Field ## 5,4, 3B
Total
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APPLICATION AREA -- — — — — — PRIMATE ROAD
DRAIN
HOUSE FORESTED AREA
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SOIL DESCRIPTI0N SUITABLE FOR
INCORPORATION,
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PROPERTY LINE
8-126ia SLOPE
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VICINITY.' MAP
0)1/, SYNAGF\Q
A Residuralf Afanagemxnt Cmnpany
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TOPOGRAPHIC MAP AnejidrrahManagement Contpan}
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SYNAGRO
AERIAL REFERENCE NIAP
A Retrdvah hfanapmerl Contpant
COUNTY -7;2e---/3ZF2/L OWNER
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APPLICATION AREA MAP
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Scale; 1" ��L> ` 'Field
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SOIL DESCRIPTION
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PROPERTY LINE.
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VICINITY MAP
SY NAGR
Residuals Management Company
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SYNAG O
TOPOGRAPHIC MAP
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APPLICATION AREA MAP
SYNAGRO
A Re a5zali Afanagermt Compdn},
Owner Scale: I" _ �f�Q f Field it
> STREAM
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G:) SURFACE WATER
?� FENCE
CDSTORAGE AREA
PROPERTY LINE
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Net Acres
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FORESTED AREA
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O
SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
8-I2 io SLOPE
Clow 5
0 SYNAGKO
VICINITY MAP
A Rffiduali h4uriagmew Cowprlrr)
COUNTY ���,OG2-/ /- OWNER 6A/e�2 r' Ex 11414'2zQ .5
IV e --7--P- - Z /
SYNAG' 0
TOPOGRAPHIC MAP
P, Rvidnall elrianageman Cowpaiq
OWNER Cl�k?12P` �����-�2.��s SCALE: 1" = 4,�"
FIELDS /
ivC —722
PHOTOQUAD/YEAR /,"')74, f l _ 1' _ CONTOUR INTERVAL &7
NC, IQ • Zl 11tld5 1-4
SA Y1` M
APPLICATION AREA MAP A R-idv-b M-mumenfCOX&...
Owner ZAk c:�'IV,4ed.5 Scale: V _ Field 2, ,
Total Acres Net Acres
� > STREAM
_ -->
DRA-IN
OSURFACE
WATEI
v=- -
FENCE
OSTORAGE
AREA
PROPERTY LINE
CiDAPPLICATION
AREA --
- - - - - PRIVATE ROAD
a
HOUSE
CD FORESTED AREA
cr
❑
OUTBUM)ING
UNSUITABLE
0
WELL
SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
$-12% SLOPE
W • 1R- 6 21 AtolAo 1-$