WQ0014565_Renewal Application_20190206

INITIAL REVIEW
Reviewer Monday, Tessa R
Project Number* WQ0014565
SUBMITTAL DATED: 2/5/2019
Project Contact Information
Rease provide inforrration on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
......................................................................................................................................................................................................................................................................................................................................................................................................
Name * Robert T. Branch
Email Address*
[e-mail]
Project Information
Application Type* r
New
r
Renewal
r
Annual Report
Permit Type * r
Wastewater Irrigation
r
Other Wastewater
r
Closed -Loop Recycle
r
Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?*
r Yes r Nor N/A
Permit Number WQ0014565
currently has project
Permittee* Pilgrim's Pride
Facility Name * Pilgrim's Pride Sanford NC
County* Lee
Phone Number*
336 312-9007
r Modification (Major or Minor)
r Additional Information
r Other
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Please attach all information required or requested for this submittal to be review here.
PP Spray Renewal 2019.pdf 1.24MB
Application Form Engineering Rans, Specifications, Calculations, Etc.)

For nein and modification permit applications, the paper copy is required to be subrrutted to the
Di, vision Be advised, applications ivill not be considered complete until both the paper and electronic
applications have been received_ The paper copy shall include the follo-kAmig:
• Application Farm
• All relevant attachments (talcs, soils report, specs, etc_)
• 1 full-size engineering plan set
• 2 11-17" engineenng plan sets
• 1 extra set of specifications (in addition to the set of specifications provided in the
attachments)
• Fee (if required)
This shall be mailed to the following address:
By U_S_ Postal Service:
Division of Water Resources- Non -Discharge Branch
1617 Mail Service Center Raleigb_ NC 27699-1613
By CourieriSpecial Delivery:
Division of Water Resources- Non -Discharge Branch
Ag Nathaniel Thornburg- 9th Floor, Office #942WN
512 N_ Salisbury St_ Raleigh,NC 27604
For questions or problems contact Tessa Monday at: 919.7073660 or TessaMonday([ icdcur-goo or
Sonia GraxTs at 919.747.3657 or Sonia Graves(dpc&au.gov.
* I;W By checking this box I am acknowledging that I have read the above statement and agree
to send these documents as required to one of the address given above.
Signature Sign
Submission Date 2/5/2019

PERNUT RENEWAL FOR THE
WASTEWATER SPRAY IRRIGATION
WQ0014565
PILGRIM'S PRIDE CORPORATION
SANFORD POULTRY PROCESSING FACILITY
WASTEWATER TREATMENT PLANT
SANFORD, NORTH CAROLINA
Prepared For:
Pilgrim's Pride Corporation
484 Zimmerman Road
Sanford, NC 27331-3668
Prepared By:
Branch Residuals & Soils, LLC
8646 West Market Street —Suite 111
Greensboro, North Carolina 27409
January 2019

January 31, 2019
North Carolina Department of Environment and Natural Resources
Division of Water Resources/Aquifer Protection Section
Land Application Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Attention: Mr. Nathaniel Thornburg
Reference: PERMIT RENEWAL OF SPRAY IRRIGATIN PERMIT WQ0014565
Pilgrim's Pride Corporation — Sanford Facility
Sanford, North Carolina
BR&S Job No. 2013-103
Dear Mr. Thornburg:
Branch Residuals & Soils, LLC is under contract with the Pilgrim's Pride Corporation to renew
Permit WQ0014565, a spray irrigation for industrial wastewater generated from Pilgrim's Pride
Poultry Processing facility in Sanford.
Please contact me immediately if you require additional information or have questions in the review
of the permit application.
Sincerely,
Robert T. Branch, L. S. S.
Project Manager
cc: Ms. Tina Pedley — Pilgrim's Pride Corporation — Sanford Facility

TABLE OF CONTENTS
Section No. Title
NON -DISCHARGE SYSTEM RENEWAL FORM
Facility Map
Parcel Map
Soil Map
Buffer Map 500ft
Buffer Map 400ft
Monitoring Well Map

SECTION I
NON -DISCHARGE SYSTEM RENEWAL FORM

State of North Carolina
Department of Environmental Quality
Division of Water Resources
r f NON -DISCHARGE SYSTEM RENEWAL
"'blvislon of Water Resources FORM: NDSR 09-18
This form is for renewal without modification for all non -discharge system permits, except Residuals Management and Single -
Family Residence Wastewater Irrigation System permits.
For more information, visit the Water Quality Permitting Section's Non -Discharge Branch.
I. PERMITTEE INFORMATION:
1. Permittee: PiQrims's Pride Corporation
2. Signature authority's name: Jamal Mohammed per 15A NCAC 02T .0106 b Title: Complex Manager
Primary Telephone number:9�) 895-3455 Office Secondary number: {_) = Select
Email Address: mohammed.jamal.0- jbssa.com
3. Permittee's mailing address: 484 Zimmerman Road
City: Sanford State: NC Zip: 27330-
4. Billing address (if different from above):
City: State: Zip: -
5. Contact person's name (if different from signature authority): Tina Pedlev Title: Environmental Mana er
Primary Telephone number: 919 895-3457 Office Secondary number: 919 498-4471 Cell
Email Address: tina.pedleyQ3il9,rims.com
11. PERMIT INFORMATION:
1. Existing permit number: WQ0014565
2. Has the facility been constructed? ® Yes or ❑ No
If yes, has the facility been constructed in accordance with the permit and the Division -approved plans and specifications?
f 15A NCAC 02T .0110] ® Yes or ❑ No
If no, a formal permit modification request shall be submitted to the Division.
3. Has any of the property ownership within the facility and/or disposal area changed from what is indicated in the current permit
(Attachment B — disposal field owner/lessee)? ❑ Yes or ® No
Has the Permittee had a name change or has the permit changed ownership? ❑ Yes or ® No
If yes to either, a permit modification request shall be submitted to the Division. f 15A NCAC 02T .01051
4. Is this facility a Privately -Owned Public Utility? ❑ Yes or ®No
If yes, provide two copies of the Certificate of Public Convenience and Necessity from the North Carolina Utilities Commission
demonstrating the Applicant is authorized to hold the utility franchise for the area to be served by the non -discharge system.
f 15A NCAC 02T.0 1 15(a)(1)]
5. Is the Permittee a Home/Property Owners' Associations or Developers of lots to be sold? ❑ Yes or ®No
If yes, provide the following:
• For Home/Property Owners' Associations — Qperational Agreement (FORM: HOA) and a copy of the proposed or
approved Articles of Incorporation, Declarations, and By-laws f 15A NCAC 02T.01 15(c)l
• For Developers of lots to be sold — Qperational Agreement FORM: DE f 15A NCAC 02T.01 15(b)
FORM: NDSR 09-18 Page I of 3

W-1
)WW''R,
Division of Water Resources
III. SITE MAP:
State of North Carolina
Department of Environmental Quality
Division of Water Resources
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 09-18
1. Provide an updated site map in accordance with 15A NCAC 02T .0105(d) that shows the following:
Boundaries and physical features not under purview of other licensed professions shall be provided by a professional land
surveyor
® Legend, north arrow, scale, and legible in black and white
® Topographic contour intervals not exceeding 10 feet or 25 percent of total site relief
® Soil mapping units on all disposal sites
® All facility -related structures and fences within the treatment, storage, and disposal areas
® All Habitable residences and places of assembly within 500 feet of all treatment, storage, and irrigations sites
® Location of all wells, streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, ditches, and other surface
drainage features within 500 feet of all waste treatment, storage, and disposal site(s)
® Location and identification of each monitoring well (identify any background/upgradient wells)
® Latitude and longitude coordinates of all monitoring wells (decimal degrees to 6 digits)
® Location and identification of major components of the waste disposal system
® The wetted perimeter of all irrigation fields with field names (named according to the approved permit)
® Location and ownership of property boundaries within 500 feet of the disposal area (including road/rail right-of-ways)
® The delineation of compliance and review boundaries
® Distance measurements verifying all setbacks are being met
® Stormwater drainage controls
® 100 -year floodplain (if applicable)
IV. SETBACK WAIVERS, EASEMENTS, AND LEASES:
1. Does the permit have any setback waivers, easements, or leases? ❑ Yes or ® No
If yes, provide copies of all documents and complete the table below:
Document
Type
Grantor or
Parcel No.
Grantee
Expiration
Date
County
Registered
Deed
Book
Deed Page
Document
Descri tion r
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
Select
1. The document description shall list any reduced setbacks with distance, etc.
FORM: NDSR 09-18 Page 2 of 3

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DWR­
NON-DISCHARGE SYSTEM RENEWAL
Ilkexa We" FORM: NDSR 09-18
Applicant's Certification per 15A NCAC 02T .0106(6):
I, Jamal Mohammed, attest that this renewal application has been reviewed by me, and is accurate and complete to the best of my
knowledge. I understand that any unauthorized discharge of wastewater from this non -discharge system to surface waters or the land
may result in an enforcement action that 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, this application may be returned to me as incomplete. i further certify that the Applicant or any parent,
subsidiary, or other affiliate of the Applicant 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 does not have any overdue annual fees.
NOTE — In accordance with General Statutes 143-215.6A and 143-215,6B any person who knowmgly makes any false statement,
representation, or certification in any application package 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. The Applicant's Certification shall be signed in accordance with
15A NCAC 02T.010602). Per _15A NCAC 02T .0106fe), an alte person may be designated as the signing official if a delegation
letter is provided from a person who meets the criteria in 15A C 02T .0106(b)
sinature:
g t� ��.�, _ Date: 11541 t
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE BRANCH
By U.S. Postal Seryioe: By Courler: By May:
Non Discharge Branch Non -Discharge Branch — Archdale 640D Non -Disc e.
1617 Mail Service Center 512 N. Salisbury St.
Raleigh, NC 27699-16I7 Raleigh, NC 27604
TELEPHONE NUMBER: [phone]
FORM: NDSR 09-18 Page 3 of 3

Facility Map

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Spray Irrigation System Facility
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AnAwN BY: RE SIDuALS
DATE: 1/31/2019 & SOILS, LLC ProjedN& 2013-103

Parcel Map

Soil Map

Buffer Map 500ft

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Spray Irrigation System
Sanford, North Carolina
lo: 2013-103
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Monitoring Well Map

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Proiect No: 2013-103
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Monitoring
Well
Spray Irrigation System
Map
Sanford, North Carolina
Proiect No: 2013-103