WQ0003992_Residual Annual Report 2019_20200210

Dale Baldwin, Mayor
Brantley Price, Town Manager
Bradley Jordan, Chief of Police
John B. "Jak" Reeves, Town Attorney
.. ff-e.s
Estabfisfied 191 S
VT�rosperity, Cjrowt(, Acfzievement"
January 31, 2019
DENR/DWQ
Water Quality Section
Non -Discharge Compliance Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Calvin Green, Alderman
Jerry C. McMillan, Alderman
John K. Reeves, Alderman
Stephen Shoemaker, Alderman
Brett T. Summey, Alderman
Enclosed please find three copies of the Town of West Jefferson's Annual Report for the Land
Application of Bio-solids for the calendar year 2019. If you have comments, questions, or
require additional information, please let me know.
Respectfully,
Brandon Patrick
Town of West Jefferson
336-246-3558
[e-mail]
Post Office Box 490 of S. Jefferson Ave.
Phone: [phone] Fax: [phone]
FEB 1.0 2020
DUNR SECTION
INFORNKTION PROCESSING UNIT
West Jefferson, NC 28694
www.townofwinc.com
This institution is an equafopportunity provider andempCoyer.

f 131
Dale Baldwin, Mayor
Brantley Price, Town Manager
Bradley Jordan, Chief of Police
John B. "Jak" Reeves, Town Attorney
4We, n t7eff-orsva
Esta6Csshed 1915
"'Prosperity, Growth, Achievement"
TOWN OF WEST JEFFERSON
BIO-SOLIDS PROGRAM 2019
SLUDGE PERMIT #WQ0003992
NPDES #NC0020451
Report Contents:
FORM ACF
FORM RSSF
FORM RSSF - B
FORMS MFLSF:
Fields: DP-1; DP-2; KP-1
FORMS FSF:
Fields: DP-1; DP-2; KP-I
Lab Sheets
Pathogen Reduction Summary
FORM PVRF 2T
Field Soils Test
Calvin Green, Alderman
Jerry C. McMillan, Alderman
John K. Reeves, Alderman
Stephen Shoemaker, Alderman
Brett T. Summey, Alderman
All three fields in our program were used for multiple haul events. Field KP-1 was not used until
the end of the year due to his hay coming on quickly in the spring and summer.
Town of West Jefferson
Po Box 490
West Jefferson, NC 28694
Brandon Patrick, ORC
[e-mail]
336-246-3558
Post Office Box 490
Phone: [phone]
of S. Jefferson Ave.
Fax: [phone]
West Jefferson, NC 28694
www.townofwjnc.com
his institution is an equaf opportunity providerandempfoyer.

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0003992
Facility Name (as shown on permit):
Land Application Operator:
County:
ASHE
Year: 2019
Town of West Jefferson
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
10 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary.•
Brandon Patrick
Total number of application fields in thepermit:
3
Total number of fields utilized for land application during the year:
3
Total amount of dry tons applied during the year for all application sites:
14.0253
Total number of acres utilizes for land application during the year:
27.98
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2019 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑d Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of
laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T.] 10.5(a) or the Pollutant Loading
Rates in 15A NCAC 02T .l 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503
regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T. I 1 1 1 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in
the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, ' cl ding the possibility of fines
and imprisonment for knowing violations."
Brantley Price/Town Manager
Permittee Name and Title (type or print) Signature of ermittee Date
�_ / � tv e �
Signature of Preparer* V bate -
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T
Signature of Land Applier Date
(if different from Permittee and Preparer)
1 102 (26)
DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM r
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: W00003992
Facility Name:
Residual Source WQ # or NPDES
WWTP Name:
Resirinal Annlvsis Data
Town of West Jefferson
NCO020451
Town of West Jefferson
Laboratory: 1) Water Quality Labs
2) Blue Ridge Labs
3) Enviromental Testing Solutions
4)
5)
Parameter
(mg/kg)
Ceiling
Conc. Limit
m a
Sample or Composite Date
05/21/19
12/10/19
Percent Solids (%)
NA
0.67
Arsenic
75
0.149
Cadmium
85
0.73
Copper
4,300
65.97
Chromium
NA
1.3
Lead
840
0.14.9
Mercury
57
0.011
Molybdenum
75
0.015
Nickel
420
5.507
Selenium
100
0.91
Zinc
7,500
8.403
Total Phosphorus
NA
6313.4
TKN
NA
1746.3
Ammonia -Nitrogen
NA
450.7
Nitrate and Nitrite
NA
143.3
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure
that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting
false information, including the possibility of fines and imprisonment for knowing violations."
D(/ D
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Y
DENR FORM RSSF (12/2006)

M
1 �
ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar
year. Use additional forms as needed.
WQ Permit Number: W00003992 Laboratory: 1) Water Quality Labs
Facility Name: Town of West Jefferson 2) Blue Ridge Labs
Residual Source NCO020451 3) Environmental Testing Solutions
NPDES # or WQ#: 4)
WWTP Name: Town of West Jefferson 5)
Recidnal Ana➢vci.c nnta
Parameter (mg/kg)
Sampleor • •• Date
Magnesium
Potassium
------------
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
o i3 d
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of West Jefferson Total Dry Tons Applied (Annual):
Permit #: WQ0003992 Cation Exchange Capacity (non 503 only):
Operator: Brandon Patrick Owner: Dennis Pennington Predominant Soil Series:
Acres Used: 7.36 Acres Permitted 7.36 Site #: DP-1 Field #:
1
Residual Analvsis Data (Heave Metals and Total Phosuhorus use mL712, % Solids use Raw Percent #):
Com-
posite
Date:01110,100000
Total
Phos-
phorus
,
Annual
heavy ivietai riew Eoaamgs (uaicuiatea
in
Ws/acre):
Total
DT/Ac. /
APP•
Event '
1
0.79
2
3
4
5
6
7
8
9
10
°
Arsenic
0.000
0.000
0:000
0:000
.0:000.
0.000
: 0:000=
0:000
0000:'Q000'
:
0.000
O:OOQ
Cadmium
Q.001
0.000
0.000
0:000
.0:000.:-.
0-6,00
. ;0:000 ;.:,:.0.0.00..
.:
.
-0 ,00.0.-
-
..... ...: ......:...:.,.::..........:.:
Co er
PP
0.104
0.000
0.000
0.000
0.:000'
0:000
.0.000
0_:00.0..
O.Q00 ::_
: O.000:;::'::o
00 0`:,
':' 0:0'.00;:
wa: i a :.
Chromium
0.002
0.000
0.000.
0.000.
-0.000-.
04001
0:000 _-.
.0.000 ::_
: 0.000
0:000
0 000
0 000 _
0 002.
Lead
0.000
0.000
0.000
0.000
.0.000
0.000
,.-0.000
T:0:000
0:000 .
O.;OOo
0 OoO:`
'0:000,
0 000
Mercury
0.000
0.000
0.000
0.000
0000'
0.000
:.0:000.-:,:
0:000 .
0.000 .:
6.66QZ
. 0:000
`:.': 0: 000"_:
Molyb-
0.000
0.000
0.000
_.
0.000
0.000
_
0.000
....
0.000
-0.OW'
_.... _............
.0.o.00.
.
0.000:-:0.000:`0.000.
.
0:000:°
Nickel
0.009
0.000
0.000
0.000
°0:000
0:000''
0.000"'=
"0:000
0:000;
0.000'
;'`:-4:0.0:0:<':::
0demim
:009;:.:
Selenium
0.001
0.000
0.000
0.000
.0:000
0.000
0:000 `
0,000
0.000 =:
0.000
0.:0ow
Zinc
0.013
0.000
0:000
0.000
0.000
0.000:.
0.000 :
0:000 ::
0:000_
-- 0:000.'.0.0:00_°
- 0:0:00 '
':.001;3.;
Total
Phos-
horus
9.975
0.000
0.000
0.000
0.000 -
0.000
_ 0:000_.-
0.000
0.000.
0:000:
-
' 0 000:=
-
. 0..000
-
9 975
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information
submitted. I am aware that there are significant penalties for submitting false information, including the possibility
of fines and imprisonment for knowing violations".
,:4? �-, f
nature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Total Dry Tons Applied (Annual): 4:24 .
Cation Exchange Capacity (non 503 only):
Owner: _ Dennis Pennington Predominant Soil Series:
Acres Permitted: 10.53 Site #: DP-2 Field #: 1
Residual Analysis Data (Heave Metals and Total Phosnhornc wqp mcr/ka- % cnlirlc 4l.
Town of West Jefferson
WQ0003992
Brandon Patrick
10.53
Sample0
or Com-
posite
Date
1 UVI Lily, unurr penalty or law, that tors aocument was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information
submitted. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations".
f f
SienatUre of • Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of West Jefferson Total Dry Tons Applied (Annual): ";` 397.':<
Permit #:
Operator:
Acres Used:
WQ0003992
Brandon Patrick
Cation Exchange Capacity (non 503 only):
Owner: _ Bryan Anthony Phillips Predominant Soil Series:
10.09 Acres Permitted: 10.09 Site #: KP-1 Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use m2/k2, % Solids use Raw Percent ft
posite
Date
._ M-M--
•R u
, ,
--a--------.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware
that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations".
ature of Land Applier
--0113-112,0
Date
DENR FORM MFLSF (12/2006)

e
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of West Jefferson WQ Permit #: WQ0003992 Field #: 1 Acres Utilized: 7.36
Land Owner: Dennis Pennington Annual Dry Tons Applied: 5.8113 Site #: DP-1 Acres Permitted: 7.36
Operator: Brandon Patrick Predominant Soil Series: Cation Exchange Capacity (non 503):
-_-- , C,,,.,.,,o 0,.,,., 1 M- Pent• 202 CroD 2 Name: Crop 2 Max. PAN:
o Y
ID
O
Volume applied (enter
one Solids/ Li uid
)
Cu. Yds Gallons
Solids
Volume
Applied per
Acre
(DryTons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert.. Animal
Waste, etc)
Soi1
Cond.
(Dry,
Moist)
Preci p
Past 24
Hrs.
inches
D
o d
'
o
_
�,
y
TKN
mg/kg
z =
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Q
Receivinb Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
April
6000
0.67
0.023
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0.004
NA
Fescue
May
46000
0.67
0.175.
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0.033
NA
Fescue
July
62000
0.67
0.235
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0.044 .
NA
Fescue
September94000
0.67
0.357.
N00020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0:067 .
NA.
Fescue
0.000
0.000 -
0.000
0.000
0.000
0.000
0:000 '
0.000
0.000.
0.000 °
0.000
0.000
0.000:.
0.000 ..
.0.000
0.000.
0.000
0.000
0.000
0.000
0.000:-_
0.000
0:000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
TOTALS.
of
2 88000
:.:.:.:.
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn P
0.148
0.000
Lime A lied
Annuallbs/acre
0:000
0.001
0:104
0.002
0.000
0:000
^0.000
°•°0:009.
0.001
0.013 9.975
2.861
2.874 :; . • •
2498
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.125
0.029
1.117
0.091
0.233
0.004
0.066
0.479
0.121
Current Cumulative lbs/ac
'0.125 .
0.030 .::.;
L221
0.093 '
0:233
Os004
0:066
0.488
0:122,
Permitted C. P. L. R.****
36
34
1338
2677
267
15
N/A
374
89
Permit PAN Limit I st/2nd Crop
202
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that quantieci
personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface-0.5, Iniection/Incorporation- 1.0
11i�pplier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically
Signature of Land
digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

a
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANKEORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of West Jefferson WQ Permit #: WQ0003992 Field #: 1 Acres Utilized: 10.53
Land Owner: Dennis Pennington Annual Dry Tons Applied: 4.2467 Site #: DP-2 Acres Permitted: 10.53
Operator: Brandon Patrick Predominant Soil Series: Cation Exchange Capacity (non 503):
r,..,,., t NJ.-.. FPCrI1P C'rnn 1 Max. PAN: 202 Crop 2 Name: Crop 2 Max. PAN:
L Y
0
Y o
ro
C]
Volume applied enter
pp (
one) Solids/ Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(DryTons/Ac)
Residual Sources
(NPDES #, W #,
Q
Fert., Animal
Waste, etc)
S01I
Cond.
(Dry.
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
D
^ ?
0 Fa
ao'
'
o
N
?»
TKN
mg/kg
z D
o o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
June
54000
0.67
0.143:
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0.027
NA
Fescue
July
14000
0.67
0.037.1
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0,007
NA
Fescue
September74000
0.67
0:196
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7-
1.194
0.037
NA:.
Fescue
October
10000
0.67
0.027.
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1,194
0.005
NA
Fescue
0.000.
0.000
0.00o
0.o.0o
0.000.
0.000:-
0:000
0.000 .
0.000:
0.000
0.000.
0.000 .
0.000:
0.000
0:000.
0:000
0:0oo
0.000-
0.000 _
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
TOTALS.
0
152 000
: ; : ; : ; : ;
AS
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
0.075.
o.000
Lime Applied
Annual lbs/acre
0.060 ;
6.001
0.05.3
0001
0.000
0.000
0.000
0:004
0:001
0.007
5.089
: ; : ; : ; : '
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.684
0.126
9.278
0.667
0.952
0.274
0.802
0.74
0.481
10.812
Current Cumulative lbs/ac
0.684 ;,.:::..01.127.
:9.331
.0668
0.952 .;
....0.274
0.802
0.744.
:0 482 ' .
10.819.
Permitted C. P. L. R.****
36
34
1338
2677
267
15
N/A
374
89
2498
Permit PAN Limit lst/2nd Crop
_. 202`" .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualificci
personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
/r /O "Volatilization Volatilization Rate: Surface - 0.5, In.iection/Incorporation - 1.0
Signature of Land Applt Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically
digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
F
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of West Jefferson WQ Permit #: WQ0003992 Field #: 1 Acres Utilized: 10.09
Land Owner: Bryan Anthony Phillips Annual Dry Tons Applied: 3.9673. Site #: KP-1 Acres Permitted: 10.09
Operator: Brandon Patrick . Predominant Soil Series: Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 202 Crop 2 Name: Fescue Crop 2 Max. PAN: 202
o
�? o
Volume applied (enter
one) Solids/ Liquid
Cu. Yds Gallons
°
�0
Solids
Volume
Applied per
pp p
Acre
(DryTons/Ac)
Residual Sources
(NPDES #, WQ#,
Fen., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
D
v
_ �.
a R
�'
o
70 3-
_
Z
w
g
TKN
mg/kg
z
o 9
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name ot'Crop Type
Receiving Residual
g
Application
Crop 1
Crop 2
Crop 1
Crop 2
October
1
70000
0.67
0.194
NCO020451
Dry
0
S
0.5
0.3
1 7.463
450.7
1.194
0:036
NA
I escue
Novembei
72000
0.67
0.199
NCO020451
Dry
0
S
0.5
0.3
7.463
450.7
1.194
0:037
NA
Fescue
0.000 =
0s 000 :
.0.000
-0.000
0.000
. 0.000'
0.000
0:000 •
" 0.000
0.000
0.000 :'
.' OA00
0.000
0,000 ;
-0.000.
0:000;. � ".
0.900:
0.000 -
0:000 = -
0.000
0,000..
0.000
0.000
0.000-
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
TOTALS:
of.
142000
::::::: ;
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
0.,074
0.000"
Lime Applied
Annual lbs/acre
0.000
0.00r. "'•
0.052
'0.001
0:000
-0.000
.0.000'
: 0i004
0.001
0.007
4.962
••••..... . . . . . . . .
;;;;;;... ... . •
; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.202
0.054
2.027
0.165
0.335
0.007
0.123
0.645
0.194
4.321
Current Cumulative Ibs/ac
0 202 :: -.
" 0:055
2.079: °
0.-166
0335
0.007
0.123
0:649;` "
0.195
4`328
Permitted C. P. L. R.****
36
34
1338
1 2677
267
15
N/A
374
89
2498
Permit PAN Limit Ist/2nd Crop
202_ :202.".7
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified
personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
Z2" 1-13© Zo **Volatilization Rate: Surface- 0.5, Iniection/Incorporation- 1.0
Signature of Land App •er Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically
digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

WATER QUALITY LAB &OPERATIONS, INC.
LAB No. 544
30 DAY BENCH SCALE VAR OPTION 3
S III 2540 E
ANALYST: START DATE:
DIGESTER VOLUME: l -1-40-11t Lt• CiA Joi-4erfP-7
DAY
TIME
VOLUME
CONFIRMED
SCRAPED
SOLIDS
TEMP
TARE
WET
DRY
ASH
RESULT
Start
looms
—
4DOib
2. 6�It
F�
2
3
�, o
2Z.
¢
tj_
Z3
5
6
8
9
10-
11
12
13
14
15
�n,i
0-7
r
/
-
q (
Z Q
23-
114
p
M O71,1
21
_ I
16
1030
Lo
17
(0Vn
/
o
18
19
20
21
22
o f
r
- 120
1 ! ®'
2 2
?t4,1 06-
. zb �
23
/ o r
/
217
24
l a0 0
/
7-0
25
26
27
28
29
2!
30
'Z-Z 1
A4760
10-3721 -71, 7f-`i3
VOLITILE SOLIDS REDUCTION: Z _ �] 70

WATER QUALITY LAB & OPERATION, INC.
P.O. BOX 1167,BANNER ELK, NC 28604
[phone]
CLIENT: WEST JEFFERSON
SAMPLER:
COLLECTED DATE:
REPORTED DATE:
ID#:
BRANDON PATRICK
2-Jan-19
17-Jul-18
ANALYSISAPIALYSIS
MQL's
.` UNITS
..SANIPLE,:..::AP1ALI�SIS
:.:
S:�NT.:::::
RESULTS
LOCATIONGQMI'LETED
:'::
30 DAY BENCH SCALE
START
VOLITILE SOLIDS
69.60
0.1
%
SLUDGE
7-Jan-19
PI
END
VOLITILE SOLIDS
66.90
0.1
%
SLUDGE
7-Feb-19
PI
VOLITILE SOLIDS REDUCTION:
REPORTED BY: NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR
2.70%

6
Blue Ridge La
..,r Box 2940
Lenoir, 64
9
Client:
Water Quality Labs
P. O. Box 1167
Banner Elk, NC 28604
Attention:
Mr. P. Isenhour
Date Received.
23-May-19
Repoa-t Date:
02-Ju1-19
Sample Date:
21-May-19
BRL ft:
BRL-2019-0382
Lab Sample ID:
LSID-2019-01482
Client Sample ED-
West Jefferson Sludge
Parameter
% Solids
lo.nitability
Corrosivity as pH
Result MQL
0.67 0.1
Not ignitable . 70
7.1 0.1
Reported By:
r
S. . ohnson, D.P- WessingeP
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 3 of 4
[e-mail]
Analysis
Analysis
Unit Method
Time
Date
-
Analyst
% % Solids
I 6:45
5/24/2019
KCJ
Deg. F. 1030 SW-846
11:02
5/24/2019
KCJ ...__ ........
su 9045C .SW-8
16:10
5/23/2019
KCJ

1
Blue Midge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
[e-mail]
Client:
Water Quality Labs
P. O. Box 1167
Banner Elk, NC 28604
Attention:
Mr. P. Isenhour
Date Received:
23-May-19
Report Date:
02-Jul-19
Sample Date:
21-May-19
RRL #:
BRL-2019-0382
Lab Sample ID:
LSID-2019-01480
Client Sample ID:
West Jefferson Sludge
Analysis
Analysis
Parameter
Result
M1QL
--
Unit
-
Method
Time
Date
Analyst
Total Phosphorus
423
0.02
mg/l
200.7 1994
15:28
6/19/2019
KCJ
Al by ICP-AES
50.5
0.005
mg/1
200.7 1994
15:28
6/19/2010
KCJ
As by ICP-AES
*
0.01
mg/I
200.7 1994
I5:28
6/19/2019
KCJ
Ca by ICP-AES...... ...... ...._..._...__
...... ..... --...- 182
- • 0.025
mg/1
200.7 1994
I5:28
6/19/2019
KCJ
Zd by 1CP-AES
0.0489
0.0002
mg/1
200.7 I994
15:28
6/19/2019
KCJ
Cr by ICP-AES
0.087
0.001
mg/1
200.7 1994
15:28
6/19/2019
KCJ
hu by ICP-AES
4.42
0.001
mgn
200.7 1994
15:28
6/19/2019
KCJ
K by ICY-AES
143
49.5
mg/l
200.7 1994
3:48-
6/11/2019
Summit
Mg by ICP-AES
55.4
0.005
mg/l
200,71994
15:28
6/19/2019
KCJ
Mo by ICP-AES
0.001
mg/l
200.7 1994
15:23
6/19/2019
KCJ
Na by ICP-AES
297
49.5
mg/1
200.7 I994
3:48
6/11/2019
Summit
Ni by ICP-AES
0.360
0.001
mg/1
200.7 1994
15:28
6/19/2019
KCJ
Pb by ECP-AES
*
0.01
mgll
200.7 1994
15:28
6/1912019
KCJ
Se by ICP-AES
0.061
0.01
mg/1
200.7 1994
15:28
6/19/2019
KCJ
In by ICP-AES
0.563
0.001
mg/l
200.7 1994
15:29
6/19/2019
KCJ
Hg by Cold Vapor AAS 0.0008
0.0003
mg/l
7470A 1994
11:30
6117/ 2019
KCJ
Reported By:
tSosom, ID.iZ. lfilessinger
* Concentrations are below Minimum .Qp4ntifocation Limit except where noted.
NC Laboratory Certificate No. 275
Page 1 of 4

winellia" Technologies, ble.
131'r Win
Analytical Report
.1 I St.
uvah Fath Ohio 44223
C 09a
nlid,
(mm, ated)
TEL: (3301 2j3- * 821/,1 'FAY. (330253-4489
19060231
.......... .. ..... .. .......
Websile: till—, *.2!1Yi _u mQ4 —"w"
Date Reported: 6/12P20 19
......... I ...... .. ..
CLtENT:
Blue kid.s?e Labs. Inc.
Collection Date-,
P2019 10:01:00 AM
Project:
1431,11436/1480
Lab ID:
19060231-003
Matrim
SLUDGE
Client Sample, ID
1480
Analyses
Result PQL Qual Units
DF Date Analyzed
METALS ANALYSIS (601001
Swe-0 I
-SIVA130508 Analv�!; K?An—
Potassium(K)
143 49.5 mgiKg
1 6,11 V2019 3:48: 15 PNi
Sodium(Na) .
297 49,5 mcjiKg
1 611112019 3:48:15 PM
... .... . ....... . . .. .... .... ... ... . .. . ... ......... ..... . ............ ... . ... . .. .... . ... . ... . ........ ..... . .. ....... .. -- ...... .... ..... ..... . . .......... ..... ...... —.— . I ............. ..
Qualifiers- H How,rqtumsmy M mmum Jrm@.t.n •tsvj godewmwar= mpm.
ND Not Detected PL Pun Lund
R1. Reporting Detwitoo Lim W Smoi- ai hw laaprrwure ? w or Imt as sp&irx dar t"tcodo
Original
Paz-e 6 of 10

Blue Ridge Labs
PO Box 2940
Lenoir, NC 28645
828-728-0149
Client:
Water Quality Labs
P. O. Box 1167
Banner Elk, NC 28604
Attention:
Mr. P. Isenhour
Date Received:
23-May-19
Report flute:
02-Jul-19
Sample ®ate:
21-May-19
BRL #:
BRL-2019-0382
Lab Sample ID:
LSID-2019-01483
Client Sample 113:
West Jefferson Sludge
Parameter Result MOL
_........ ........ _.. _....____..__..._._
Reactivity as CN # 1
Reactivity as Sulfide 5
blueridgeiabsletloirC gma1com
Analysis
Analysis
Unit Method
.. --
Time
Date Analyst
mg/l SW-846-7,3.3
16:10
51300.019 KCJ
mg/l SW-846-7.3.3
14:10
5/30/2019 KCJ
_
Reported By:
VSobpnson, lJ+— VWlessinger ' ----
* Concentrations are below Minimum Quantification Limit except where noted.
NC Laboratory Certiftate No. 275
Page 4 of 4

1�1
SAR for Biosolids or Wastewater
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg: Magnesium (Mg/L) Equivalent weight:12
Milli Equivalent = Mg/L/Equivalent weight
Na M /L Ca M /L Mg(Mg/L)
297 182 55.4
Na ME
12.91304
Ca ME
M ME
14.616667
9.1
SAR=Na Milli Equivalent/[0.5 X (Ca Milli Equivalent+Mg Milli equivalent)]0.5 power
SAR = 4.930822 (From Mg/L entered above)
If your lab reports in Milli Equivalents enter Na, Ca, & Mg below:
SAR= #DIV/0! I (From ME entered below)
Na LME Ca ME Mg (ME)
Exchangeable Sodium Percentage (FOR SOIL SAMPLE RESULTS)
ESP =Na (Milli Equivalents)/ CEC X 100 The percentageof sodium ions occupyingthea
ESP = #DIV/0!
Na on NC soil test is expressed as meq.
Na (ME) CEC

The amount of exchangeable sodium ions versus the
amount of exchangeable calcium & magnesium ions in a given material.
Permit Limit is 10. CONTACT REGIONAL OFFICE
ation exchange complex of soils
Should be less than 15%(15-20%)

Blue Ridge Labs
Pal Box 2940
Lenoir, NC 28645
828-728-0149 [e-mail]
Client :
Water Quality Labs
P. 0. Box 1167
Banner Elk; NC 28604
Attention:
Mr. P. Isenhour
Date Received:
23-May-19
Iteport Date:
02-Jul-19
Sample Date:
21-May-19
BRL #:
BRL-2019-0382
Lab Sample ID: .
LSID-2019-01481
Client Sample ID:
West Jefferson Sludge
Parameter
Result MQL
Anunonia Nitrogen
30.2 0.5
Analysis Analysis
Unit Method Time Date Analyst
mg/1 SM4500 199 1I:00 6/7/20I9 KCJ
Reported By:
S ohnson, D.R. Wassinker
* Concentrations are below Minimum Quantljication Limit except Where noted:.
NC Laboratory Certificate. No. 273
Page 2 of 4

Blue Ridge Labs
PO Bo.v 2940
Lenoir, NC 28645
828-728-0149
Client :
Water Quality Lah.<
P.O. Box 1 I67
Banner Elk, NC ,M04
Attention:
Mr. P. Isenhour
Dmv RectiNud:
12-1)1C-19
Report Date:
28-.Ian-20
Sample Date:
10-Dec-19
BRI,tt:
BRL-2019-1010
Lab Sample Ill:
LSID-2019-03910
('Iicnt Sample 11):
West .lefferson 5 uh-c
Paratnetcr
IN N?
I'K N
blueridgelabslenoir@gmaii-cam
Reissued due to typographical error.
Atuth•sis
Result N-1Q1, (mit Method 'Tillie
9.60 0.08 tne.i SN11945uC)-N 15:58
117 0.5 5M194500-N 14:25
Analtisis
Orate analyst
12 17 2019 1�( J
12.171201 tJ KCJ
Reported By:
5..1..fi.E., D-R. �we,.ne,
" Conveutralion> are below Minimum Quantification Limit euept where noted.
,NC.' l.aboratory Certificate No. 275
Page I of I

Blue Ridge Labs
PO Box 2940
Lenoir, AIC 28645
828-728-0149 [e-mail]
Client :
Water Quality Labs
11. 0. Box 1 167
Banner F'11k. N(' 2ti604
Attention;
Mi.. P. Isenhour
Date Received:
12-Dec- 19
Report Date:
09-Jan-20
Sample Date:
IO-Dec-19
BRL9:
L3RI.2t119-1010
Lab Sample ID:
LSID-2019-0:3912
Client Sample 11):
West Jefferson Sludge
Analysis Arlal}'sis
Parameter
Result
M Q L
knit
method
Time Date
Analyst
I Ig by Cold Vapor AAS
0.005
moll
7470A 1994
12/23/2019
Sunttnit
7CLP Extraction Metals
extracted
SW-846-1311
Sununit
-At,,
*
125
moll
SW-846-6010
12'23/2019
Summit
As
1''-5
m_'I
S%V•846-6010
I='-- -'->
Stuttnnt
Re
12.5
111a•1
SW-8.16-6010
12:2+1,2019
Sulnnlit
t_1.1
*
0.25
nun 1
SW-846-6010
l2:23'20IQ
Summit
cr
0.5
mJl
SW-846-6010
12,23'2019
Summit
I'b
"
1.25
marl
SW-846-6010
1123.22019
Summit
Se
*
0.125
mR/1
SW-8,16-6010
12,1231,12019
Summit
Rolun-tcd 11)
09�z��
5. J. ulsna, D.R. Wessinger
C:oncentratitxls are below minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Page 12 of 18

'fide Ridge Labs
PO Box 2940
Lenoit•, NC.' 28645
828-728.0149 [e-mail]
Client; Water Quality Labs
P.O. Box 1167
Banner Elk, NC 28604
Attention: Mr. P. Isenhour
Date Received: 12-Dec-19
Report Date: 09-.1an-20
Sample Date: 10-Dec-19
13R L fi: 13 RL-2019-1010
Ltth tinntplC il): LSID-2019-03913
Client Sample ID: West Jefferson Sludge
AnnlvAs Analysis
Parameter Result
MQL
Unit
Method
Time Date
Anah•sl
I'CI.I' Semi-VOC Extraction asu•acted
SbW-846-1311
Summit
Cresols (Total)
10
m-1
SGV-8464270
12 27'2010
Suntntit
Dichlorobenzene, 1,4 x
0.2
mo/l
SW-846-8270
1212712019
Stunmit
UiniII-0101ucne.2.4- *
0.1
mg/I
SW-846-8270
12/27.12019
Summit
Il.vachloro-1.3-13utadiene
0.04
mo(1
SW-846-8270
11`3712019
Suounit
liexachlorobenzene
0.1
mail
SW-846-8270
12l2712019
Summit
Ilexachloroethane x
02
mall
SW-846-8270
12.127,2019
Sunttnit
Nitrobenzene *
0.2
moll
SW-846-8270
13.'27'2019
Suttuttit
Pentachlerupherol
0.5
mall
SW-846-8270
12/27f2019
Sununu
Pyridine
0.5
mc'I
Sib'-8,16-8270
1- 21 201`)
Suntntit
Trichlorophenol, 2.4J- *
0.005
mJl
SW-846-8270
12/2T2019
Suntntit
hichluropli nul.2.4,6-
0.00.5
nt 11
SW-846-8270
12.'2T2019
Sunrtit
v�Ji 3sr:- r'y11 -- %,`�
Reported 0}: f
S. J. J l 1, D.R. Wessinger
Concentrations Are below Minimum Quantification Limit except where noted.
NC Laboratory Certificate No. 275
Paue 13 of 18

Blue .ridge Labs
PO Box 2940
Lenoir, NC 28645
828.-728-0149 [e-mail]
Client :
Water QUality Labs
P. 0. Box 1 167
13attner Elk, NC 28604
Attention:
Mr. P. Isenhour
Date Received:
12-Dec-19
Report Date:
09-.1an-20
Sample D,;tc
10-Dec-19
8R1, if;
i3RL-2019-1010
Lab Sample ID:
LSID-2019-03914
Client Sample ID:
West .leffersorl Sludge
Analysis Analysis
Parameter
Result
MQL
Unit
Method
Time Date
Analyst
TCLP ZIT. Volatiles
Extraction c."tracted
SW-846-1311
Summit
f3�nrenr.
0.001:
mall
SW846-8260
11'23'2019
Summit
('arbkm ILsr.i;hloride
0.00
Mai
SW846-8260
12 23 201`>
Su;nmit
Cillorobt niche
>
Inail
SW846-8260
12r23 20I9
Sump}n
Chloroform
*
0.005
111011
SW846-8260
12123,2019
Summit
Dichloroethanc, 1,2-
0.005
mgil
SW846-8260
12/2312019
Summit
Dichforoethene.l.1-
*
0.005
n,gil
SW846-8260
12123`2019
Summit
1.1EK
#
10
ntg;l
SW846-8260
12/2312019
Summit
fctrachloroethene
0.00>
nt, l
SWS•16-8260
12233, -.QV)
Sununu
I'rich lorocthCne
'
0.00s
Ill`s 1
5111846-8260
12 23 2fi19
`;LI311nlii
Vnl i ('hlorE:.!:
0.2
mg i
SW846-8260
12 2" 2011)
SuEtuna
Reported By: tfih
son, U.R. Wessinger
* Concentrations are below Miniamin Quantiticsition Lirnit except where noted.
NC Laboratory Certificate No. 27-5
Pa—'e Iil of 18

Blue Ridge Labs
PO Box 2940
Lenoir, ;'VC 28645
828-728-0149 [e-mail]
Client:
Water Quality Labs
P. 0. Sox 1 167
Banner Elk, NC 28604
Attention:
Mr. P. ISeltltgUr
Date Received:
12-Dec-19
Report Dnte:
09-.Ian-20
Sample Date:
10-Dec-19
RRL 4:
BR1. 2019-1010
Lab Sample 11):
LSID-2019-01915
Client Sample ID:
West Jefferson Sludge
Antth'sis Attaltsis
Parameter
Re.nit
MQI'
Unit
Method
Time 1)atc
Anahsl
VC.'I.I' Semi-` OC Lxtraction
SW-846-1311
7 •1 �-'1'
.<
0,5
mg:l
SW-840-S080
17.233,2 }It)
Stttttitlll
2.4,5-TP (Silvex)
0.5
moil
SW-846-8080
12i23:2019
Sutniitit
2.4-D
0.5
mull
SW-846-8080
1123:2019
Summit
Chlordane
*
0.0125
nt',"l
SW-846-8080
12'312019
Sunuttit
Endritt
r
0.0025
moil
SW-846-8080
12131:2019
Suntntit
heptachlor
Y
0.0025
[trail
SW-846-8080
12`31!2019
Summit
Heptachlor Epoxide
M
0.0025
mg/l
SW-846-8080
12 3 U2019
Suinntit
L.indanr
0.0025
moll
SW-846-8080
1213 U2019
Summit
Metlio.%kdtivi
0.0025
moll
SW-846-8080
12;31'2019
Stunmit
Tmaphene
0.025
moll
SW-846-8080
12012019
Summit
Reported 13y':k!ffrz�
S.j'Johnson, D.R. Wessinger
* Concentrations are below Minimum Quantification Limit except where noted.
M1C Lahoratory Certificate No. 275
Page 15 of 18

WATER QUALITY LAS & OPERATION, INC.
P.O. BOX'1*167,BANNER ELK, NC 28604
(828)'89"277
CLIENT: WEST JEFFERSON (1) LOGIN TIME: 4:30 PM
SAMPLER:
COLLECTED DATE: 2-Jan-19
ID#: REPORTED DATE: 5-Feb-19
... ..........
..........
-AK� ........ .............. ..
...........
ANA
muol
...... IT
'S
T
ED
TOTAL' SOLIDS
1.8
FECAL COLIFORM
-15333
1
MPN -
E
3-Jan-19-
SM-9222D
WPS
Pi=r3nDTc:n Ov• Klf% r+c corn
I A n U r A A
PAUL ISENHOUR, SUPERVISOR
0

CLIENT: WEST JEFFERSON (1)
ADDRESS:
CITY:
STATE:
ID#:
WATER QUALITYLAB & OPERATION, INC.
P.O. BOX 11 67,13ANNER ELK, NC 28604
898-6277
LOGIN TIME: 3:15 PM
SAMPLER:
COLLECTED DATE: 3-Jan-1 9
REPORTED DATE: 5-Feb-19
AW9$l$lm
::,Uw tT
-YSIS.': ...
:,ANAL
MET
..................
.
...... ......
..
..... .........
LOCAT
..
bE . .
... ......
TOTAL SOLIDS
1.8
CFUs
FECAL COLIFORM
7830
1
/100 MIS
E
4-Jan-1 9
SM-9222D
wps
REPORTED BY; NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR

WATER QUALITY LAS & OPERATION, UNC.
P.O. BOX 11 67,BANNER ELK, NC 28604
(M) 898-6277
CLIENT: WEST JEFFERSON (1) LOGIN TIME: 12:00 AM
SAMPLER:
COLLECTED DATE: 29-May-19
REPORTED DATE: 7-Jun-19
ID#:
A..N.A..L.Y...S... I.S. :: *::::::.-
......
AWALYS..I..
MQL'4�
T
.:::;$ L.E'.A,
"
ET..
.................... .....
. .
...
..
.
Ldb.* "b
MO'.L&E
........:.::.�:.A.
...T.....
TOTAL SOLIDS
1.6
%
FECAL COLIFORM
mr7mr'%rn-rm m" —
15850
1
MPN
E
30�Mav-1 9
-
SM-9222D
WPS
I'L-r-%,Jr\ I F-LJ D 7: IN11- Ur-M I ir-lr-U LIAM IF 0144
-7-
PAUL ISENHOUR, SUPERVISOR

CLIENT: WEST JEFFERSON (1)
ADDRESS:
CITY:
STATE:
!D#:
WATER QUALITY LAB & OPERATION, INC.
P.O. BOX 1167,BANNER ELK, NC 28604
[phone]
LOGIN TIME:
SAMPLER:
COLLECTED DATE: 30-May-19
REPORTED DATE: 7-Jun-19
alllQL"5:
;:;:1INIT5`.::;
:':_ Pi E
''ANALYSIS;:
..... >:°:::'
IN 7 s;:;:;
...........:..
RESULTS
-:':` > :`:.....
TLOC
.........
TOTAL SOLIDS
1.6
0/0
FECAL COLIFORM
16070
1
MPN
E
31-May-19
SM-9222D
WPS
REPORTED BY. NC CERTIFIED LAB IF 044
PAUL ISEENHOUR, SUPERVISOR

CLIENT: WEST JEFFERSON (1)
ADDRESS:
CITY:
STATE:
ID#:
►DATER QUALITY LAS & OPERATION, INC.
P.O. BOX 1167,BANNER ELK, NC, 28604
[phone]
LOGIN TIME:
SAMPLER:
COLLECTED DATE: 3-Jun-1 9
REPORTED DATE: 7-Jun-1 9
-AN
..... .. ..... ....
... ......
.. ........
........
.. ..
. ......
"Oft.
TOTAL SOLIDS
1.6
%
FECAL COLIFORM
4410
1
MPN
E
4-Jun-10
SM,922213
WPS
%mr-um 1 Cu D T: VA, LtK I It-ltU LAb ;F 544
PAUL ISENHOUR, SUPERVISOR

PATHOGEN AND VECTOR REDUCTION AT THE WEST JEFFERSON WWTP IS
ACCOMPLISHED THROUGH AEROBIC DIGESTION AND UTILAZATION OF
FECAL DENSITY AND THE 30 DAY BENCH SCALE TEST.
AS INDICATED ON THE ATTACHED WWTP SCHEMATIC, THREE AEROBIC
DIGESTERS ARE USED FOR SLUDGE STORAGE AND ASSIMILATION.
MEASUREMENT OF PH IS PERFORMED USING A Orion Star AT21 PORTABLE
PH METER.
ONCE THE CONTENTS OF THIS DIGESTER MEET PSRP AND VECTOR
ATTRACTION CRITERIA, SLUDGE IS REMOVED FROM THE UNIT AND LAND
APPLIED BY SURFACE METHOD.

t
qj o
G i ��1fi
XVWMAONLWH
r
� jp� p i
ai! U{7w �CYL Sam
Y

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: 'Town of West Jefferson WQ Permit Number: _
WWTP Name: Town of West Jefferson NPDESNumber:_
Monitoring Period: From 1/l/19 To 12/31/19
PathoLien Reduction (15A NCAC 02T _1106) _ PlPacninrlirata Laval aPh-aa anti 9lt-at;V as ...,a.l•
WQ0003992
NCO020451
Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑
A lt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
1 Gamma Ray ❑
Beta Ray ❑
Pasteurization ❑
Class B: JAIL (1) Fecal Density Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ Air Drying ❑ Composting [I Aerobic Digestion 0
Anaerobic Digestion ❑
If applicable to alternative
performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
Pathogen Density
g �'
Number o
Frequency
Sample
Analytical
in Sludge
Minimuml
Geo. Mean
Maximum
Units
Excee-
of Analysis
Type
Tech-nique
2 x 10 to the
MPN
6111 power per
gram of total
Fecal Coliform
solids
CFU
3.644
4.026
4.206
efu/100m1
1000 mpn per gram
of total solid (dry
wei ht)
Salmonella bacteria
3 MPN per 4 grams
(in lieu of fecal
total solid (dry
colilbnn)
weight)
.CL V, t1tL,ACLIVLl roCUUL:LIVnklz)A I.LHI,u61.!iui)-rieasemnicatealternativeperformecl:
LAlt
.] (VS reduction) ❑ Alt. 2 (40-day bench) [:IAlt. 3 (30-day bench) 0 Alt. 4 (Spec. OZ uptake) El. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization [3Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑. 9 Injection ❑ Alt. 10 Incor oration ❑ No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
❑v "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector
attraction reduction requirement in 15A NCAC 02T .1107 have been met."
1
"I certify, under penalty of law, that the pathogen requirements in 1.5A NCAC 02T .1106 and the vector
attraction reduction requirement in 15A NCAC 02T .1107 have not been met" (Please note if you check this
statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed to
ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and
vector attraction reduction requirements have been met. 1 am aware that there are significant penalties for false
certification including fine and imprisonment."
Brandon Patrick Q (?A�,
Preparer Name and Title (type or print)
Sig ature of Preparer*
Brandon Patrick / ORC
Land Applier Name and Title (if applicable)(type or print)
Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
J
DENR FORM PVRF 02T (12/2006)

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY20-SL015276
r .;;.-�•�=. �,�
Client: Dennisennin ton
9
Advisor: Brandon Patrick
(-
�' .° ��''
Predictive
420 Walters Way
Town of West Jefferson
Mehlich-3
Crumpler, NC 28617
PO Box 490
f `"
S�0� R��
Extraction
Sampled County: Ashe
West Jefferson, NC 28694
�
Links to Helpful Information
Client ID: 436176
Advisor ID: 393343
Sampled: 11/06/2019
Received: 11/08/2019 Completed: 11/26/2019
Farm: DP001
Sample ID: DP119
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O6
K2O Mg S
Mn
Zn Cu B
Information
Lime History:
1- Fescue/OGrass/Tim, E 0.0
50-70 0
0 0 0
pH$
0 0 0
Note: 12 Note:
2- Fescue/OGrass/Tim, M 0.0
120-200 0
40 0 0
pH$
0 0 0
Note: 12 Note:
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I Mn-All Mn-Al2
Zn-I
Zn-AI Cu-I Na ESP SS-1 NO3-N
0.41 0.80 14.6 95 0.7 7.0 101 48
59 34 57
210 128 128
569
569 260 0.1 1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15276
Dennis Pennington
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Mn-I
manganese index
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
M-0
mineral -organic soil class
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients_ In general, homeowners do not
N
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomUobpart4.htm►4fsfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P206
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
W/V
weight per volume
The first seven values (soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagrpov/agronomi/uyrst.htm

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
ReportNo. . FY20-SL015277
sr `�
Client: Dennis Pennington
Advisor: Brandon Patrick
Predictive
420 Walters Way
Town of West Jefferson
F3'.a..Y kkxx
Crumpler, NC 28617
PO Box 490
7YkT.�
Mehlich-3 Extraction
West Jefferson, NC 28694
Sampled County: Ashe
Links to Helpful Information
Client ID: 436176
Advisor ID: 393348
Sampled: 11/06/2019 Received: 11/08/2019 Completed: 11/26/2019
Farm: DP002
Sample ID: DP219
Recommendations: Lime
Nutrients (Ib/acre )
More
Crop (tons/acre)
N P2O6
K20 Mg S
Mn
Zn Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M b.0
120-200 0
80 0 0
pH$
0 0 0
Note: 12 Note:
2- Fescue/OGrass/Tim, E 0.0
50-70 0
50 0 0
pH$
0 0 0
Note: 12 Note:
Test Results [units - W/V in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WIV CEC BS% Ac pH P-1 K-1
Ca% Mg%
S-1 Mn-I Mn-All Mn-Al2
Zn-I
Zn-AI Cu-1 Na ESP SS-1 NO3-N
0.56 0.77 16.1 94 0.9 6.8 192 28
64 30
53 410 250 250
773
773 504 0.1 1
North Carolina
i:sze� 1�t.�t fx��tl�r�zra��t�4s3gs��
Reprogramming of the laboratory -information -management system, that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Steve Troxler, Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15277
Dennis Pennington
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca%
% CEC occupied by calcium
time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied. If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-1
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-n- I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
N
mineral -organic soil class
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagr.qov/agronomi/obpart4.htmVkfsfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
W/V
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-11 K-1, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagrgov/agronoini/uvrst.htin

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
ReportNo. FY20-SL015275
Client:
Keith Phillips
Advisor: Brandon Patrick .
,. Predictive
1479 Allen Rd
Town of West Jefferson
Piney Creek, NC 28663
PO Box 490
( �rGe IT
v Mehlich-3
Extraction
West Jefferson, NC 28694
1�•�r c �� <<.. ?, f�,
Sampled County: Ashe
Links to Helpful Information
Client ID:
436175
Advisor ID: 393343
Sampled: 11/06/2019 Received: 11/08/2019 completed: 11/26/2019
Farm: KP001
Sample ID: KP119
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg S
Mn
Zn Cu B
Information
Lime History:
1 - Fescue/OGrass/Tim, E 0.0
50-70 40
20
0 0
pH$
0 0 0
Note: 12 Note:
2 - Fescue/OGrass/Tim, M 0.0
120-200 20
60
0 0
pH$
0 0 0
Note: 12 Note:
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-AI Cu-I Na ESP SS-1 NO3-N
0.46 0.78 13.3 92 1.0 6.7 52 41
57 33 54
141
91 91
406
406 232 0.1 1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of Agriculture
a

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15275
Keith Phillips _
Page 2 of 2
g
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
Ac
exchangeable acidity
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
B
boron
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
BS%
% CEC occupied by basic cations
For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on
Ca%
% CEC occupied by calcium
_time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate
CEC
cation exchange capacity
is applied, If MG is recommended and lime is needed, use dolomitric lime.
Cu-I
copper index
ESP
exchangeable sodium percent
Fertilizer
HM%
percent humic matter
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
K-I
potassium index
lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies
K20
potash
for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they
Mg%
% CEC occupied by magnesium
are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
MIN
mineral soil class
an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-Al2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-n-I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
M
N
mineral-organic soil class
nitrogen
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawnslgardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncaprgovlagronomilobpart4.htirrVlfsfind information that
P-1
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P206
phosphate
S-1
sulfur index
Test Results
SS-1
soluble salt index
W/V
weight per volume
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-1. Mn-All, Mn-AI2, Zn-I. Zn-AI, Cu-I, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.r7cagr.govlagroi7olniluyrst.ht/n