WQ0007349_Residual Annual Report 2019_20200212

Initial Review
INITIAL REVIEW
Reviewer Williams, Kendall
Is this submital an
application?*
r Yes r No
Annual Report 2019
Year*
Date Paper Copy 2/11/2020
Received:*
Project Number* WQ0007349
Email Notifications
............................................................................................
Does this need O Yes
review by the a No
hydrogeologist? *
Regional Office
CO Reviewer
Admin Reviewer [e-mail]

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by NUB Staff regarding electronic submittal, confirmation of receipt, and other issues.
....................................................................................................................................................................................................................................................................................................................................................................................................
Name * Nicole Johnston
Email Address*
[e-mail]
Project Information
Submittal Type* f New Permit Application
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* WQ0007349
Applicant\Permittee * Nicole Johnston
Facility Name * Yadkin Valley Sewer Authority
Phone Number*
3368359819
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.
Application Form Engineering Rans, Specifications, Calculations, Etc.)
2019 Land App.pdf 828.54KB
Upload only 1 R]Fdocurrent. I laltiple docurrents must becombined into one PDFfile.
For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contact the reviewer or Tessa Monday. If a paper application is required,
be advised, applications accepted for pre -review until both the paper and electronic copies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (caIcs, soils report, specs, etc,}
0 one full-size engineering plan set
o One 11x17" engineering plan set
0 one extra set of specifications
o Fee (if required}
Mailine address:
Division of Water Resources Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
---- --- - --- - --- ------------ ------------------------------------i----------------------------------------------------------------------------
1617 Mail -service Center Att: Nathaniel Thomburv, 9"' Floor, Office #942W
---- -NC �-- - -------------------------------------------- ------------------------------------------------
Raleih, 7699-1617 512 N. SaVisbury St
For questions or problems contact Tessa Monday at [e-mail] or 919.707.3660.

* W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 2/6/2020

2019
Yadkin Valley Sewer Authority
2019 Annual Report
Land Application Program
Permit No. WQ0007349

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0007349 County: Surry Year:
Facility Name (as shown on permit): Yadkin Valley Sewer Authori
Land Application Operator: Southern Soil Builders, Inc. Phone:
Land application of residuals as allowed by the permit occurred during the past calendar year? T
❑ 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.
2019
336-957-7871
Total number of application fields in thepermit: 10
Total number of fields utilized for land application during the year: 4
Total amount of dry tons applied during the year for all application sites: 122.04
Total number of acres utilizes for land application during the year:1 37.9
Part B - Annual Comviance 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. 0 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 .] 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .I 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 .l I 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 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 l) 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, including the
possibility of fines and imprisonment for knowing violations."
�IGl7�e �ohw` bh �xecu-+Iye 1'7+reefuv- 1
Permttee Name and Title (type or print) Signature of Per ittee Date
L -1J
re of Preparer*
Date Signature of Land Applier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (1212006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM`
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Yadkin Valley Sewer Authority Total Dry Tons Applied (Annual): 46.74
Permit #: WQ0007349 Cation Exchange Capacity (non 503 only):
Operator: Bill Hinson Owner: Bill Hinson Predominant Soil Series: FcB2
Acres Used: 9.3 Acres Permitted: 9.3 Site N: BH-01 Field 4: BH-0I
Residual Anaivsis Data (Heavv Metals and Total PhncnhnrEi-% i«P mallca. o/ gnl;rle „ea Raw Parno„t !91.
_4111
ray
©
o
o
Corn-
..
Main
Em
ME
D.
,
Total
Phos-
��r.nMEENEEEEEEEE
n.+.uuai
iacavy iriLvta, rxrxu ,uuauings
t%.aicuiateu in ios/acre):
Tota I
L1j
21
3
4
5
6
8
9
10
11
12
DTlAc./
H
0
App.
i
Event
5.03
y
Arsenic
0.050
0.000
0.000
0.000
0.000
0.000
0-000
0.000
0.000
0.000
0.000
0.000
0.050
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
3.056
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.056
Chromium
0.458
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.458
Lead
0.259
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
b.000
0.000
0.000
0.259
Mercury
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.007
Molyb-
denum
0.031
0.000
0.000
0.000
0.000
0.000
0 000
0.000
0.000
0.000
0.000
0.000
0.031
Nickel
0.223
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.223
Selenium
0.050
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.050
Zinc
6.132
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.132
Total
Phos-
297.5391
0.000
0.000
0.000
0.000
0.000
0 000
0.000
0.000
0.000
0.000
0.000 1297.5391
"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".
Ova v
Sign ture of Land pplier 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: Yadkin Valley Sewer Authority Total Dry Tons Applied (Annual): 20.78
Permit #: WQ0007349 Cation Exchange Capacity (non 503 only):
Operator: Bill Hinson Owner: Bill Hinson Predominant Soil Series: FcB2
Acres Used: 10.1 Acres Permitted: 10.1 Site #: BH-02 Field #: BH-02
Residual Analvsis Data (Heavv Metals and 'Fntal Phncnhnriie neP molls °/ Cnrrla iieo vaw Aar,,nn# "t.
Com-
posite
Date
Total
•
�.��
.�
r.a &u r■acaaA racau k1u4"AlIga k%,41CU1aLUU M. ]US/acre):
Total 11 L2J3 4j 5 8
DTIAc.;
App.
Event 2.06
Arsenic
1 0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
Cadmium
0.004
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Copper
1.251
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.251
Chromium
0.188
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.188
Lead
0.106
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.106
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
denum
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Nickel
0.091
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.091
Selenium
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
Zinc
2.510
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.510
Total
Phos-
121.774
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
121.774
"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".
Signature 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: Yadkin Valley Sewer Authority Total Dry Tons Applied (Annual):
Permit #: WQ0007349 Cation Exchange Capacity (non 503 only):
Operator: Bill Hinson Owner: Gayle Anthony Predominant Soil Series:
Acres Used: 1 l .6 Acres Permitted: 11.6 Site #: BH-04 Field #:
19.48
FcB2
BH-04
Residual
Analysis Bata
(Heavy
Metals and Total Phosphorus use mglkg,
% Solids use
Raw Percent #}:
Sample or
1
2
3
4
L5J
61
7
__8j
L9j131
110
12
Com-
posite
Date
216119
% Solids
4.79
Arsenic
5
Cadmium
I
Copper
304
Chromium
45.6
Lead
25.8
Mercury
0.746
Molyb-
3.13
denum
Nickel
22.2
Selenium
5
Zinc
610
Total
Phos-
29600
horus
Annual
Heavy Metal
Field Loadings
(Calculated in lbslacre):
Total
LIJ
2j
s
a
5j
6
7
a
9j
j0
IIJ
2
DT/Ac./
App.
Event
1.68
Arsenic
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
Cadmium
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Copper
1.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Chromium
0.153
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
Lead
0.087
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
d num
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Nickel
0.075
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Selenium
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Zinc
2.048
0.000
0.000
0.000 1
0.000
o.000
0.000
0.000
0.000
0.000
0.000
0.000
Total
Phos-
99.397
0.000
0.000
0.000
0.00o
0.000
0.000
0.000
0.000
0.000
0.000
0.000
horus
"I certify,
under
penalty of law, that
this document was prepared
under my direction
or supervision in accor d
0.017
0.003
1.021
0.153
0.087
0.003
0.011
0.075
0.017
2.048
99397
a
I ,4A.
Signature of Lan 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:
Yadkin Valley Sewer Authority Total Dry Tons Applied (Annual): 35.05
WQ0007349 Cation Exchange Capacity (non 503 only):
Bill Hinson Owner: Bill Hinson Predominant Soil Series: FcB2
6.9 Acres Permitted: 6.9 Site It. BH-05 Field #: BH-05
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent # ;
Corn-
positeD.
•
•.l�
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
_2j
3
a
51
6
7
81
9j
101
11
12
DT/Ac./
c
App.
rt
w
Event
5.08
y
Arsenic
0.051
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.051
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
3.089
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.089
Chromium
0.463
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.463
Lead
0.262
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.262
Mercury
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.008
Molyb-
denum
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.000
o.000
0.000
0.032
Nickel
0.226
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.226
Selenium
0.051
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.051
Zinc
6.198
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.198
Total
Phos-
300,736
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
300.736
horus
1 certtty, under penalty of taw, 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".
.n^
Signature of Land A plier
Date
DENR FORM MFLSF (12/2006)

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SAR
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 IL
Ca M /L
M MIL
66.58
456
157.6
Na (ME)
Ca.
Mg fME)
2.894783
22.8
13.13333
SAR= Na Milli Equivalentl[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0,5 power
SAR = 0.682939 (From Mg/L entered above)
SAR= 0.681843 (From ME entered below)
Na ME Ca ME I MgLE�
2.89 22.8 1'I
The amour
amount of i
Permitting

Analytical Results STATESVI LLE
ANALYTICAL
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 02/06/2019
Reported: 02/08/2019
For: YVSA
Comments: Geometric Mean 20,785 MPN/g
Sample Number
Parameter
Sample ID
Result
Unit
Method
190206-12-01
Fecal Coliforms
1
Analyzed
Analyst
190206-12-01
Percent Solids
1
5583
MPN/ 9
SM92210E-2aos
02/07/2019
WC
190206-12-02
Fecal Coliforms
2
4.12
o
�0
SM254OB-2011
02/07/2019
WC
190206-12-02
Percent Solids
2
58537
MPN/ $
SM02210E-loos
02/0712D19
WC
190206-12-03
Fecal Coliforms
3
4.10
%
SWWS-2o11
02/07/2019
WC
190206-12-03
Percent Solids
3
19512
MPNI 9
SM92210E-loos
02/07/2019
WC
190206-12-04
Fecal Coliforms
4
4.10
%
SM25408-2011
02/07/2019
WC
190206-12-04
Percent Solids
12563
MPNI 9
SM92210E-2008
02/07/2019
WC
190206-12-05
Fecal Coliforms
4
5
3.98
%
SM25408-2o11
02/07/2019
WC
190206-12-05
Percent Solids
5
30952
MPNI �
SM92210E-2008
02107I2019
WC
190206-12-06
Fecal Coliforms
6
4.20
%
SM25408.2011
02/07/2019
WC
190206-12-06
Percent Solids
6
61381
MPNI 9
SM92210E-2006
U210712019
WC
190206-12-07
Fecal Coliforms
7
3.91
%
SM25406-2011
02/07/2019
WC
190206-12-07
Percent Solids
7
11013
MPNI 9
SM92210E-2006
02/07/2019
WC
4.54
%
SM254OB-2011
02/07/2019
WC
Respectfully submitted,
�10'p -Wftl O'YIT I
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Condition of Receipt
Sample Number 190206-12-01 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190206-12-02 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190206-12-03 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190206-12-04 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190206-12-05 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 4

Parameter Schedule. Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190206-12-06 Temp on Arrival: 3 2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190206-12-07 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 4

9 9 9
LL L�
I�
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m
a
5.
` 5.
a
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F�a
F
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it
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PO Box 228 •Statesville, NC 28687. 704/872/4697
Page 4 of 4

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 02/06/2019
Reported: 03/21 /2019
For: YVSA
Comments:
TATE ► ILLE
" ANLYMAL
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190206-20-01 30 Day Benchscale YVSA 2; PA625-R-92r 02I0612019 WC
190206-20 01 TCLP YVSA See Attached ea Noted 02/07/2019 PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755
EPA #NC00909
PO Box 228 - Statesville, NC 28687 - 704/872/4697
Page 1 of 41

Condition of Receipt
Number 190206-20-01
Temp on Arrival: 3.2
Parameter Schedule: TCLP
Parameter Schedule:
Received on Ice
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 41

V+ a
P
in
7
!� r
7:V
t�s
in if t
t
INEW
Amm
mmmm
PO Box 228 • Statesville, NC 28687. 704/872/4697
Page 3 of 41

.p
r.
SEEN
no � Q
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 41

2ceAnaljdcal11—!'
aMscpsorYEsemr
ANALYTICAL RESULTS
PaceAnslyllcal Services, LLC
9800 KineeyAve. Salle too
Huntersville, NC 2607S
(704)575.9D92
project: 190206,20 TCLP
Pace Project No.: 92416925
Sample: 190205.20 Lab ID: 92416925001 Collected: 02/06/19 11:35 Received: 02JO7119 09:20 Matrix; Solid
Results raporfed OR a •dry welght- basis end are adfusted for percent malsture, Sample sire and any dilullons.
Parameters Results Units Report Urvit OF Prepared Analyzed CAS No. Qua[
8270 MSSV TCLP Sap Funnel Analytical Method: EPA 82700 Preparation Method: EPA 3510A 35100C
Sro f goLeachate Method/Date: EPA 1311; 02/12/19 16:24 Initial pH:, Final pH: 5
ur
ea
2,4.6-Tribromophenol(S)
25 %
27-108
5
02/13/19 11:46 02/13/19 17A4 118.79-6 so
8260 MSV TCLP
Analytical Method: EPA S260B Leachale Malhod/Date: EPA 1311; 02/18/19 14:28
Benzene
2-Butanone (MEK)
NO ug/L
ND U01L
100
20
02/19/19 19A9 7143-2
Carbon tetrachloride
M0 4191L
200
20
02/19/19 19.49 78.93-3
Chlorobenzene
NO ug/L
100
20
02J1911919:49 56-23.5
Chloroform
NO ugfL
100
10D
20
0211911919:49 108.90-7
1,4-Dichlorobenzene
ND u�
20
02/19/1919:49 67-66-3
1,2-Dichioroethans
NO ug/L
100
20
02JI911919A9 106-46.7
1,1-Dfchloroethene
NO ug/L
100
20
02/1911919:49 107.00-2
Tetrachloroethene
NO u�
100
20
02/1911919:49 75-35.4
Trichloroelhene
NO u91L
100
20
02/19/1919:49 127-18-4
Vinyl chloride
NO ug1L
100
20
02J19119 19AS 79-0L6
Surrogates
100
20
02/1911919:49 75-01.4
1,2-Dichloroelhan" (S)
Toluen
Toluene-d8 {S)
102 %
�8
70-130
20
02119119 19:49 17080-07-0
oBuorobenzene{S)
�
103 °�
67.135
20
02/19119 19:49 2037-26-5
Percent Moisture
70.130
20
0211911919:49 460.00-4
Analytical Method: ASTM 02974-87
Percent Moisture
95.0 y,
0.10
t
1010 Flashpoint,Closed Cup
Analytical Method: EPA 1010A
02/D7/1917:06
Flashpoinl
a 200 deg F
70.0
1
9045 pH Soll
Analytical Method: EPA 9045D
02113/19 18:10
pH at 25 Degrees C
6.7 Sid. Units
0.10
1
9095 Paint Filter Liquid Teat
Analytical Method: EPA 9095B
02l18119 11:31 H3
Free Liquids
Fall
733C S Reactive Cyanide
Analytical Method: EPA 9014 Preparation
1.0 1
Method: SW-846
0211711912:25
Cyanide, Reactive
NO mgfkg
22.8
1
7.3.3.2
02112J79 19:09 02/1211920:58
7343 Reactive Sulfide
Analytical Method: SM 4500S2F-00 Preparation
Method: SW-846 7.3.4.2
Sulfide, Reactive
NO mglkg
228
1
02/12/19 19:09 02h2/1919:12
REPORT OF LABORATORY ANALYSIS
Date: 02/20l2019 04:21 PM This report shall not be rsproducad, except in fury,
v41hOUt the written consent of pace Analytical Services, LLC.
Page 5 of 37
PO Box 228 • Statesville, NC 28687 - 704/872/4697
Page 9 of 41

ceAnalytical
' waxpsoaYbs,aaer
I
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kinsey Ave. Suite 100
Hunlerevime. NC 28078
(7041875.9092
Project: 190208.20 TCLP
Pace ProjectNo.- 92416925
Sample. 198208.20 PCB
Lab ID: 92416025002
Collected: 02f0611911:35
Received: 02/07119 09:20 Matrix: Non Aqueous
Results reported on a 'dry weight` basis and are
ad usted for Liquid
1 percentmolsture, sample airs and any dilutions.
Parameters
Results
Units
Report Limit OF
Prepared Analyzed CAS No. Oual
8082 GCS PCB
Analytical Method! EPA8082A Preparation Method: EPA35M —�
PCB-1016 (Arodor 1016)
PCB-1221 (Arodor 1221)
NO
NO
mg►k9
1.0 1
0207119 22:43 02118/19 12:28 12674-11-2
PCB-1232 (Arodor 1232)
NO
mg/kg
mglkg
1.0 1
02/17/19 22:43 0211811912:28 11104-28-2
PCB-1242 (Arodar 1242)
NO
mglkg
1.0 1
02/17/19 22:43 02/1af19 12:28 11141-16.5
PCB-1248 (Arodor 1248)
ND
mgAg
1.0 1
D2117/19 22:43 02118/1912:28 53469.21.9
PCB-1254 (Arodor 1254)
NO
mglk9
1.0 1
02117119 22:43 02 I8119 12:28 12672-29-6
PCB-1260 (Arodor 1260)
ND
mglkg
1.0 1
02/17dg 22:43 021181191228 11097-69.1
Surrogates
1.0 1
02/17/19 22:43 02/i8/19 12:28 11096-82-5
Decachlorobiphenyl (S)
56
;
49-130 1
02117/19 22:43 02/18119 12:28 2051 24-3
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except In full,
Dale: 02/201ZD18 04:21 PM vAlhout the Millen consent of Pecs Analytical Services, LLC.
Page 6 of 37
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 10 of 41

190206.20 SAMPLE RESULTS - 01 ONE LAS NA710WADE >
Collected dalellime: 02/05119 M35 L1068492
Preparation by Method 1311
Result Qualifier pre
Analyle P Batch
dale 1lime
TCLP Extraction
1111120I911:44:50A►d WG1235787
Fhrd 1 21121201911:44:50AM WG1235787
WWI PH 6.21 21121201911:44:50 A1A W61235787
Final PH 4.80 21I21201911:44:50AM W61235787
Chlorinated Acid Herbicides (GC) by Method 8151A
Res I
u t
m
OuallBer ROL Limit
Dilution Analysis
Balch
2,4,5-TPlsftq
HD
MJA M94
date Itime
2,44D
0.0109
0.00200 1
I OW41201923:58
Y1G12M%
02,4-D1c?7foroplrenyrArelkAcid
74.6
0.00200 10
1 01/14120)923:56
WGR36886
f4,0-158
01R41207923..58
WGI236826
ACCOUNT:
Pace AnaVicai Huntermne, NC
PROJECT- SDG: OATEMME
92416925 L1068492 02115d916:23
Page 32 of 37
PAGE:
50110
PO Box 228 • Statesville, NC 28687 a 704/872/4697
Page 36 of 41

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Yadkin Valley Sewer Authority WQ Permit Number: WQ0007349
WWTP Name: Yadkin Valley Sewer Authority NPDES Number: NCO020567
Monitoring Period: From 1/l/2019 To 12/31/2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: I Alt. A (time/temp) ❑ Alt B (Alk Trentment}p Alt. C (Prior Testit� )❑
A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogen gs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment EJ Thermophilic ❑
Beta Ra ❑ Gamma Ra ❑ Pasteurization ❑
Class B: JAIt. (1) Fecal Density R1 I 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 ❑ Coni postin ❑ Aerobic Digestion 'j
Anaerobic Digestion ❑
If applicable to alternative erformed (Class A or Class B) complete the followin monitorin data:
Allowable Level Pathogen Density Number o na yttca
Parameter Excee- Frequency Sample
in Sludge Minimu Geo, Mean Maximu Units of Analysis Type Tech-
2 x ]0 to the MPN 5583 20785 61391 MPN.' 0 7 6th power g grab sm9221
per gram of
Fecal Coliform total solids CFU
1000 mpn per gram
of total solid (dry
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid (dry
coliform) wei ht
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.I (VS reduction) p Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) p Alt. 4 (Spec. O, uptake) 'J
Alt. 5 (14-Day Aerobic) Cl Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction re uirement in 15A NCAC 02T .1107 have been met."
❑ "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 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. I am aware that there are
significant penalties for false certification including fine and imprisonment."
_r_P� S-0L Dennis Key Southern Soil Builders, Inc.
Pre ar r Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
W
1a�-ao�a
Signature of Preparer* Date Signature of Land A tier �f applicable)
pp ( pp ) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM Pk/pp n)T r-1711nn01

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