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Home My WebLink AboutWQ0002005_Tax Certification_20190227 a z T'f:-ic£y+< ,.s•,y.�.,' ... y:!' i.:.F .u� ... 3 C', c- ;s."• r.+,rr i..x , -. This li application is to a used only for waste treatment systems and equipment cc S: f 7 .4 Rev. -under the'authorityof t Division o Water Resources � 0. l29l201 1 DIRECTIONS:Complete and mail signed copies of the application form and all supporting information to both 1)the County Tax Administrator for the County in which the facility is located(one cope AND: )to the NC Division of water Resources,Surface water protection Section, 1617 Gail Service Center,Raleigh,NG 27699-16.17(two copies). Type or print in blue or black ink; A separate application package is required for each facility where property proposed for tax certification is located: THIS PPL.I TI WILL.NOT DE PROCESSED WITHOUT COMPLETE AND ACCURATE INFORMATION. if you have any questions regarding this application,please call the local tax office or the C Division of Water Resources at 919/807-6300 or their web site at htt s://ox.de rod.nc. ov/about/divisions/water-resources/water-resources• errnits/wastewater-branch/n des-was ewaterltax- certification for more specific contact information. Please Note: a)Tax Certifications will only be processed for facilities under the authority of the DwR.and only if the DWR has.found that the described property: 1.Has been or will be constructed or installed; 2.Complies with or that plans therefore which have been submitted.to the DWR indicate that it will comply with the requirements of the Environmental Management Commission; 3.Is being effectively operated or will,when completed,be required to operate in accordance with the teams and conditions,of the permit,certificate of approval,or other document of approval issued by the DWR;and 4.Has or,when completed,will have as.its PRIMARY rather than incidental purpose the redudtion of water pollution, Is being used exclusively(1 o0%)for waste treatment. b)If approved,the Tax Certification issued will incorporate all requested assets at the facility that meet the:criteria for Tax Certification by DWR. Therefore this application must include any new assets for which Tax Certification is being requested,as well as any assets previously receiving Tax Certification from DWR for which Tax Certification is still needed. the roe described in this a licatian for tax.certification.. A�.� l.iennt(Applicant is the owner off,and.taxpayer#`�oi~, - Name ofl~acilit dame.cif.�.pplicant. y: House of Raeford Farms,Inc----Rose Hill House of Raeford.Farms,.Inc--Rose Hill Address of Applicant,if different from.facility where property located: Physical Address of.Facility where-property located(no P.O.Box): PO Box 4 3333 Hwy 117'lV Rose Hill,NC 2 4 $ Rose Hill,N 28458 (address) (city). (zip) (street address) (city) (zip) Bu�iness Relationship of applicant to facility where property located: OWNER Coun where property located: DUPLIN Name of Contact Person at Facility where property located.- Chris-Murray - Does the Applicant hold any NC Division of Water Resources Permits? 910-990-7921 x "es No Title: MANAGER Phone Number: ifyes,please list Q00020 0.5 Permit Nos e If approved,will this he the first Tax Certification issued for this Fac ity? If no;attach any previously issued e 1 o tax.certifications e Iete this Section only if the 0 e ator/User of'the facility and equi l ent is different from the Owner of the facility, Name of Operator/User: Operator/User Address: - (address) (city) (zip) Operator./User ContactName: Relationsht)between Operator/User of facility and e ul rnent and applicanti, ATTACH A PROCESSSCHEMATIC TO YOURAPPLICATION The number of each Rem.for which Tax-Certification is being.requested must be shots can the schematic"* Application continues on. Next pa DIVISION OF WATER RESOURCES TAX CERTIFICATION EXEMPTION APPLICATION PAGE Waste Treatment Systems&Equllpment.A Waste treatment systems&equipment must be used exclusively for the abatement of water pollution Rsv.09/DI n13 i FIX DWR use Was asset listed in Asset Number, °,of time item is Is this asset Year of Original Historical ° ► :,rcu si Descripiio>,of Waste Treatment Systems or Equipment the permit(Yes/No Vehicle.Identification [scar is this equipment used for pollution abeiement7 used for pollution Acquisition Cost" replacing a prior rc o Number(i IN) abatement asset? } .° DAF S'YST£M YES WASTEWATER SOLIDS REMOVAL 100 2015 574,019 80 NO - rPi.lMPSIPIVOTSICOAdTROLS YES SPRAYINg.WASTEWATER 100 368 89'7: NO i V, A 5 77 .1_ ,2 . attach additional pages if necessary *If the Bisset is listed In the DWQ permit the description must be identical as listed on the current permit.v the asset is not specifically listed In the DWR permit,the applicant.must attsch doialled information as to why the asset sflaaid quality for Tax Certification. When certifying systems or equipment,DEER is not certifying the cast of the equipment or the year of acquisition. FacliffieS: To qualify for tax certification,the building or section of building being applied for,must be used exclusively for water pollution prevention. A sketch of the building,square footage along with details as to hour the building is used for water pollution prevention,is required. To qualify for tax certification,the land must be used exclusively for water pollution prevention. A.schematib.d.iagram of the facility.detailing the land being applied for is required. The amount of land (acreage)is required and how this land is being used to prevent water pollution. For wastewater treatment and irrigation system list separately the acreage used for actual treatment from the acreage required by the facility's water quality permit for buffers and setbacks. SIGNATURE I hereby certify that the above equipment,facilities and/or Pared are.used for the purpose stated,and that the information presented in this application is accurate. Furthermore,l certify that any portable or mobile equipment liste this application will be used exclusively in the state of.North Carolina, Applicant -aim Oft Signature:nature: (print name else, NOTICE: The penalty for false statement,representations car ce tIc » ftDac hereln includes Imprisonment and I or the assessment of civil pe ties. ( ame of Applicant Business Entity). 2 ,a,7 ale —(��