WQ0032855_Residual Annual Report 2019_20200303

Initial Review
INITIAL REVIEW
Reviewer Williams, Kendall
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application r Annual Report
what is the submittal r Residual Annual Report
type?* r Additional Information
r Other
Annual Report 2019
Year*
Date Paper Copy 3/3/2020
Received:*
Project Number* WQ0032855
Email Notifications
Does this need review by the hydrogeologist?*
r Yes r No
Regional Office
CO Reviewer
Admin Reviewer [e-mail]

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by NDB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
..........................................................................................................................................................................................................................................................................................................................................................................
Name * Doug Barrick
Email Address*
[e-mail]
Project Information
.........................................................................................
Submittal Type* r New Permit Application
r Renewal
r Annual Report
r Other
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* WQ0032855
Applicant\Permittee * Town of Rutherfordton
Facility Name * Town of Rutherfordton
Phone Number*
8282873530
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
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.)
doc01484220200228115917.pdf 13MB
upload only 1 RDF document. NL@iple documents must be combined into one RDF file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper 2-pol cation is required,
be advised, applications accepted for pre -review until both the paper and elect-c-ii.- --ol:ies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments {talcs, soils report, specs, etc.]
o One full-size engineering plan set
o One 11x17" engineering plan set
o 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
1617 Mail Service Center I Att: Nathaniel Thornburg, P Floor, Office #942W
- =
Raleigh, NC 27699-1617 S12 N.5alisburySt.
For questions or problems contact Tessa Monday attessa.monday@)ncdenr.Qov or 919.707.3560.
* rJ 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 CC)
Submission Date 2/28/2020

i
2019
Town of Rutherfordton
2019 Annual Report
Land Application Program
Permit No. WQ0032855

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0032855
County:
Facility Name (as shown on permit):
Land Application Operator:
Rutherford
Year: 2019
Town of Ruthei•fordton
Southern Soil Builders, Inc. Phone:
Land application of residuals as allowed by the permit occurred during the past calendar year?
21 Yes [j 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 Surnmarv:
336-957-7871
Total number of application fields in the ermit:
16
Total number of fields utilized for land application during the year:
4
Total a1T10unt of diy tons applied during the year for all application sites:1
31.18
Total number of acres utilizes for land application during the year:l
28.8
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. 21 Yes 0 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
to ken.
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 .1 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T ,1 105(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 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 wateis 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."
&rc' 0(
Permittee Name and Title (type or print)
n' 01
1�-2 2otI
_r_0 -"-) - Signature er` ittee Date
Signature of Ekeparer* U
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and
Date Sijnature of Land Applier
Date
(if different from Permittee and Preparer)
15A NCAC 021' .1 102 (26) nFNR FnRnn ar.F (1?1?nnF)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0032855 Laboratory: 1)
Facility Name: Town of Rutherfordton 2)
Residual Source WQ # or 3)
NPDES #: NCO25909
WWTP Name: Town of Rutherfordton 4)5)
Residual Annlvcic Tlat�
Waypoint
Parameter
(mg/kg)
Cone.
Limit
(mg/kg)
Sample
or Composite
Date
3-26-19
Percent Solids (%)
NA
1.95
Arsenic
75
5
Cadmium
85
1.22
Copper
4,300
430
Chromium
NA
34.3
Lead
840
30
Mercury
57
0.799
Molybdenum
75
6.29
Nickel
420
18.7
Selenium
100
5
Zinc
7,500
1030
Total Phosphorus
NA
14500
TKN
NA
72500
Ammonia -Nitrogen
NA
10000
Nitrate and Nitrite
NA
320
" For surface disposal facilities
the ceiling
rnnrPntrati—
1;—;+, r.—A
:- .L:_
- --__-_ uPP,-clu,- ncicience ine maiviaual permit for metals limits.
9 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."
—"r, _ rtn
-
Signature
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
oL' ;k
Date
DENR FORM RSSF (12/2006)

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: WQ0032855 Laboratory: 1)
Facility Name: Town of Rutherfordton 2) Waypoint
Residual Source NCO25909 ')
NPDES # or WQ#: )
WWTP Name: Town of Rutherfordton 4)
Residual Analvsis Data
Sample or Composite Date
Parameter
(mg/kg)
3-26-
2019
Potassium
3560
Sulfur
7870
Calcium
8280
Magnesium
3030
Sodium
1300
Iron
20500
Aluminum
17100
Manganese
294
Organic N
62500
pH
6.29
PAN
24070
SAR
0.43
it certify, unaer penaity 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 Pre arer * 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:
Permit #:
Operator:
Acres Used:
Town of Rutherfordton Total Dry Tons Applied (Annual):
WQ0032855
2.11
PbC2
Residual Analvsis Data (Heavy Metnl.c and rntgi Phnenhnrnc ven --/1... o% ., - D ... n n.
Henry Edwards Owner:
1.6 Acres Permitted:
Cation Exchange Capacity (non 503 only):
Stuart Beam Predominant Soil Series:
1.6 Site #: 1-1E Field #:
Sample or
—
3�
_4 �
_51
6._
_?_
_ 8_�
9_�
i2j
11
12
Com-
posite
Date
3/26/19
Solids
1.95
Arsenic
5
Cadmium
1.22
Copper
430
Chromium
34.3
Lead
30
Mercury
0.799
Molyb-
6.29
denum
Nickel
18.7
Selenium
5
Zinc
] 030
Total
Pros-
14500
horns
.v..��u•!M��rano��t•�l•/U•J.7►MYi•[MINHIfGi•m•11i•lYL7iN Yemw
Total
P.
Event
—
®
1 1
1 Ile
1 Ile
1 111
1 111
1 111
!Ile
1 111
1 111
1 111
1 111
1 111
1 1
•'®
1 11
1 111
1 111
1 111
1 111
1 111
1 eel
1 ell
1 lee
1 111
1 ell
1 Ile
1 11
'®
•
1 III
1 III
1 111
1 lee
1 111
1 III
1 ell
1 III
1 111
1 ell
1 111
1 1•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1•
1 1'
1 111
1 111
1 11
1 III
1 111
1 eel
1 III
1 Ile
1 111
1 Ile
1 111
1 1 •
1 11
1 111
1 Ile
1 Ile
1 Ile
1 111
me
1 111
a 111
1 lee
1 111
1 111
1 11
��
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11f
1 111
1 111
1 111
1 1
®
1 1 •
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1�
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®®
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Total
Phos-
phorus
---j , �•....,. 111•••••.j�..n. uua uUcuuicui rvns prepxreu unUel' my Clli'eCiloll or SUpeltilslon 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".
A,
Signature of Land pplier
Date
DENR FnRM MFI RF (1wqnnai

ANNUAL METAI_,S 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:
Town of Rutherfordton Total Dry Tons Applied (Annual):
WQ0032855 Cation Exchange Capacity (non 503 only):
Henry Edwards Owner: Stuart Beam Predominant Soil Series:
5.1 Acres Permitted: 5.1 Site #: HE Field #:
Residual Analvsis Data (Heavv Mptalc and Tnfal Phne„h.,. „ _/►.— of c _u-i- __ - "____ "
5.28
PbC2
6
Sample or1a
_2.1
-31
_41
5_1
6
—
7
_.__
8I
9I
10
11I
12
com-
_
__
posite
Date
3/26/19
% Solids
1.95
Arsenic
5
Cadmium
1.22
Copper
430
C111-0111iUlInj
34.3
Lead
30
Mercury
0.799
Molyb-
6.29
denLlnl
Nickel
18.7
Selenium
5
Zinc
1030
Total
Phos-
14500
horns
A.. ..l L7....-.-.
TiT
._I.._1 T•_1_7
T
•
Event
I
®
Kulmoly
Total
Phos-
Phoms
-� - r- ✓ �- ­14L •1110 ""a UI,,cu• vvnn l'1 clJd1 eu uuuer my ulrecTlon 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
mprisonment for knowing violations".
>ignature of Land Applies
Date
DENR FORM MFLSF (12(2nnp)l

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:
Town of Rutherfordton Total Dry Tons Applied (Annual):
WQ0032855
Henry Edwards Owner
14.9 Acres Permitted
Cation Exchange Capacity (non 503 only):
Stuart Beam Predominant Soil Series:
14.9 Site #: 1-IE Field #:
17.45
O
Residual Analysis Data (Heavy Metals and Total Phosphorus rise ma/lra- °/ CniidQ nQi- Raw Pnrrnnf 14l-
Sample or-_�-j1,21
Com-
posite
Date
3/26/ 19
_3.]
_4
_5J
_81
10
11
12
% Solids
1.95
Arsenic
5
Cadmillm
1.22
Copper
430
Chromium
34.3
Lead
30
Mercury
0.799
Molyb-
denum
6.29
Nickel
18.7
Selenium
5
Zinc
1030
Total
Phos-
horus
14500
riuuuta ixuavy ivlcta, rlclu j Uoauixivs m alcnlaieu in Ills/nvre.l'
•
T 'all
•
Event
e e
a eee
a eee
a eee
a eee
a eee
a eee
a eee
a eee
a eee
a eee
o eee
e e
eee
a eee
a eee
a eoa
a eee
a eee
a eee
o eee
a eee
a eee
a eee
a eee
eee
...-
ee
a eee
a eee
a eea
a eea
o eee
a eee
a eee
a eee
a eee
a eee
a eoe
ee
a a•o
a eee
a eee
a eee
a aae
a eee
a eee
a eee
a eee
a eee
a eee
a eea
a e:e
eae
a eee
a eee
a aae
o off
a aae
a eee
a eaa
a eee
a eee
a eea
a aee
a a e
eee
a eae
a eae
o eoe
o aee
a eeo
a eee
o aae
a eee
a eae
a eee
a eao
eee
®
e e
a eee
a eoe
o aae
a eee
a eee
a eee
a eea
o aee
a eee
a eaa
a aee
e e
e e��
a eee
a eea
a eee
a eee
a eee
a eee
a eee
a eee
a eee
a oee
o aee
a e••
a e
a aee
a aae
a aee
a aea
a eea
a eae
a eea
a aee
a eea
a aaa
a eoo
e e
®�
a eoa
a eae
a aae
a aaa
a eae
a eee
a eaa
a aaa
a eaa
a eaa
a eaa
fotal
Pl1os_
a eee
a eee
a eoa
o eee
a eae
a eoe
a eee
a eae
a eee
a oee
a aee
•
Pliorus
. "....y, u„ucl t,U11a1ty u, law, teat u„s (iucurnenl was prepare❑ unuer my au•ectron or supel-vision 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 FnRM MFI .,;F t1?i?nnF)

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:
Town of Rutherfordton Total Dry Tons Applied (Annual): 6.34
WQ0032855
Henry Edwards Owner
7.2 Acres Permitted
Cation Exchange Capacity (non 503 only):
Stuart Beam Predominant Soil Series: ApB
7.2 Site #: HE Field #: 8
Residual Analvsis Data (Heavv Metals and 'rnfai nihnc"i n....o .. ./r. o/ 0_1I-_]._ __ _ Ti___. -__. I'.
Sample or
_._jj
21
3
5_1
6
7_
9
��.I
12
Com-
posite
Date
3/26/19
% Solids
1.95
Arsenic
5
Cadmium
1.22
Copper
430
Chronniunil
34.3
Lead
30
Mercury
0.799
Molyb-
6.29
denllm
Nickel
18.7
Selenium
5
Zinc
1030
Total
Phos-
14500
horus
a
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
I l l f
1 111
1 111
1 111
1 11 •
•'®
1 11
1 111
1 111
1 111
1 111
1 111
1 I l l
1 111
1 I l l
1 111
1 111
1 111
1 11
••.
1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1
'®
1 1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1.1
-•
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 tll
1 111
1 111
1 11
•_•
t l
1 111
1 111
1 Ilt
1 111
1 111
1 111
E
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11•
®�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
:
Total
Pllos-
1 111
1 111
1 111
1 111
1 111
1 111
1 I l e
1 111
1 111
1 111
1 111
Plior•
__. _"j 7 ,.... - 1,.,.--.7 .,..a..., ...n. u1L3 uvcuiucui wa6 prepareu unuer my airection or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
l am aware that there are significant penalties for submitting false information, including the possibility of fines and
Imprisonment for knowing violations".
i
Signature of Land Applier
0 , y d"t)
Date
DENR FnRM MR qF (19(9nnF)

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 Rutherfordton WQ Permit #: WQ0032855 Field #: j
Acres Utilized: 1.6
Land Owner: Henry Edwards Annual Dry Tons Applied: 2.1142 Site #: HE Acres Permitted 1.6
Operator: Stuart Beam
Crop l Name: Fescue
Predominant Soil Series: PbC2
Cron 1 Max. PAN: 151
Cation Exchange Capacity (non 503):
o s
o
Q
9-2019
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
26000
%
Solids
1.95
Volume
Applied per
Acre
(Dry Tons/Ac)
1-321
0.000
0.000
Residual Sources
(NPDES #, WQ#,
Fert.. Animal
Waste, etc)
WQ0032855
Soil
Cond.
(Dry'
Wet;
Moist)
dry
Precip-
past 24
Hrs-
inches
0
D
=
8
.x o-
s
•
=
x- m
0.5
--
_�
y
"
x.
o
7
0.3
�.•vp
G 1RAA. rHl�l:
TKN
mg/kg
72500
o 3
°O 0
2-
mg/kg
10000
Nitrate
and
Nitrite
mg/kg
320
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving
b Residual
Application
g1l
rop 2
NA
.000
.0000.000
Crop 1
Fescue
Crop 2
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
o.000
FSF supp to this form):
Se Zn P
0.000
0.000
rOTALs:
Annual
0 26000
lbs/acre
As
0.013
Residuals Applications totals on FORM FSF supp ( attach FORM
Cd Cu Cr Pb I HR Mo Ni
0.003 1.136 0-091 0-079 0.002 0.017 0.049
63.611
0. 000
Lime Applied
0-013
2-721
38.309
Date
Ibs/ac
Prior Years
�urrent
ermrtted
'ermit PAN
I Certlfv.
Cumulative Ibs/ac
Cumulative Ibs/ac
C. P. L. R.****
Limit 1st/2nd Crop
under nenalty of law
0.05
0.053
36
+1,�++1,:�
0-025 8.482 0.59 0.641 0.052 0.096 0.3
0.028 9.618 0.681 0.720 0.054 0-113 0.349
34 1338 NA 267 105 NA 374
________ ,
0.057 14.709
0.070 17.430
89 2498
0
15I
- -� r- �r�• u=....,, "Iy u„ ccLiwi ur supervision in accordance with a system designed to assure that
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
d_ �l ,,? c?C`
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
**'-- 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)

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
Land
Name: Town of
Owner: Henry Edwards
Operator: Stuart Beam
Crop I Name:
Rutherfordton
WQ Permit #• WQ0032855 Field #: 6
Annual Dry Tons Applied: 5.2855 Site #- HE
Predominant Soil Series: PbC2 Cation Exchange Capacity
Crop 1 Max. PAN: 15 -Crop 2 Name: Crop
Acres Utilized- 5.1
Acres Permitted: 5.1
(non 503):
2 Max. PAN:
Fescue
o =
Y o
9-2019
Volume applied
PP
(enter one) Solids/
Liquid
Cu_ Yds Gallons
65000
%
Solids
1.95
Volume
A lied er
PP P
Acre
(Dry Tors/Ac)
1.036
Residual Sources
(NPDES #. WQ#.
Fert., Animal
Waste. etc)
WQ0032855
Soil
Cond.
(Dry,
Wet,
Moist)
dry
Precip.
Past 24
Hrs.
inches
0
D
_
-
o T
s
o
;, E
c
-
o
0.5
c
o
0.3
TKN
mg/kg
72500
z D
=
d
�° o
ng/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of CropType
YP
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10000
320
49.891
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
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
49.891
0.000
0.000
Lime Applied
TOTALS:
Annual
0 65000
lbs/acre
As
0.010
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
Cd Cu Cr Pb Ht, Mo Ni Se Zn P
0.003 0.891 0.071 0.062 0.002 0.013 0.039 0.010 2.134 30.044
Date
lbs/ac
Prior Years
Cumulative lbs/ac
0.036
0.018
6. 776
0.418
0.449
0. 336
0. 667
0. 113
0. 442
10.516
11-2019
1500
Current
Cumulative lbs/ac
0.046
0.021
6.967
0.489
OSI1
0.038
0.080
0.252
0.052
12.650
Permitted
Permit PAN
"I Certify
C. P. L. R.****
Limit 1st/2nd Crop
nndpr nnn�lfa, of
1-1
36
t}, ,+ +1- A
34 1338 NA 267 005 NA 374 89 2498
_____ _ __
151
- - -- -•- --- •• I • -• •_••, ���u■..Cx- -3 P, evai cu under my direction or supervision 1n 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
° cz **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
v
Signature of Land Applier Date r*x 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

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 Rutherfordton WQ Permit #: WQ0032855 Field #: 7 Acres Utilized: 14.9
Land Owner: Henry Edwards Annual Dry Tons Applied: 17.4421 Site #: HE Acres Permitted: 14.9
Operator: Stuart Beam Predominant Soil Series: ApB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 237 Crop 2 Name: Crop 2 Max. PAN:
=
a)
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tors/Ac
Residual Sources
(NPDES #, WQ#,
Fert.; Animal
Waste, etc )
Soil
Cord.
(Dry,
Wet,
Moist )
Precip.
Past 24
Hrs.
inches
>
a
a
-
o
-
o
? °
� -
_ v
_
-
_
-.
_ y
o
TKN
mg/kg
72500
z J
rt_
o
'Jq
-
m /k
g g
10000
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
9-2019
214500
1.95
1.171
WQ0032855
dry
0
s
0.5
0.3
320
56.353
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
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lime A lied
fOTALS:
Annuallbs/acre
0 214so0
As
0.012
Residuals Applications totals on FORM FSF supp ( attach FORM
Cd Cu Cr Pb H Mo Ni
0.003 1.007 0.080 0.070 0.002 0.015 0.044
FSF supp to this form):
Se Zn P
0.012 2.412 33.959
56.353
0.000
Date
lbs/ac
'rior Years
Cumulative lbs/ac
0.063
0.024
8.568
0.707
0.753
0.041
0.10]
0.398
0.08 15.776
0.092 18.188
89 2498
0
�urrent
Cumulative lbs/ac
0.075
0.027
9.575
0.787
0.823
0.043
0.116
0.442
"ermitted
C. P. L. R.****
36 1
34
1338
NA
267
T 1 55
NA
374
'ermit PAN
Limit I st/2nd Crop
237
- --- ---✓ I ---"-- x---•••--. .-, wawa tail. uVIwuclll YV46 pl Cpal Cu unuer my utreciion or supervision to accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
7� *Application Method: S - Surface, 1N - Injection, INC - Incorporation
d-`'20QU **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
xrx Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signature of Land Applier Date
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
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 Rutherfordton
WQ Permit #: WQ0032855
Field #: $
Land Owner: Henry Edwards
Annual Dry Tons Applied: 6.3426
Acres Utilized: 7,2
Site #: HE
Operator: Stuart Beam
Acres Permitted: 7.2
Predominant Soil Series: ApB
Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue
Crop l Max. PAN: 237
Crop 2 Name: Crop 2 Max. PAN:
Volume applied
o PP Volume
Soil
Residual Sources Precip. D
o z D Nitrate
(enter one) Solids/ o
/o Applied per
o
Cond.
(NPDES #, WQ#. Past 24 T
_ - Name of CropType
� rt _ = PAN Applied )P
TKN -'
Liquid Solids Acre
F.
Fert.. Animal (DD' Hrs. 6 a
_ _� d and
n - CD 0° 0 ( lbs/acre) Receiving Residual
Cu. Yds Gallons (Dry Tons/Ac)
Wet ?- =
Waste, etc) �
:x _? g E- Nitrite Application
9-2019 78000 1.95 0.
Moist) inches
WQ0032855 dry 0
o mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2
s
0.5 0.3 72500 10000 320 42.407 NA Fescue
0.0000 0
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
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
roTALs: 0 7s000 As
Cd Cu Cr Pb HQ
supp to this form):
Mo Ni Se
Annual ]bs/acre 0.009
0.002 0.758 0.060 0.053 0.001
Zn P 42.407 0.000 Lime Applied
0.011 0.033 0.009
Prior Years Cumulative ]bs/ac 0.037
0-018 5.175 0.376 0.378 0.021
1.815 25.549 Date lbs/ac
0.072 0.256 0.049 9.141
Current Cumulative lbs/ac 0.046
0.020 5.933 0.436 0A31 0.022
1 ]-2019 2000
0.083 0.289 0.058 10.956
Permitted C. P. L. R.**** 36
34 1338 NA 267 105
NA 374 89 2498
Permit PAN Limit 1st/2nd Crop
-
-
237
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
qualified personnel properly gathered and evaluated
the information
to assure that
submitted.
I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
�Dd3
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization
Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
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)

Report Number: 19-087-0202
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Waypoint,,C)
ANALYTICAL
Project : Rutherfordton
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Lab Number: 65603 REPORT OF ANALYSIS Date Sampled: 3/26/2019 13:15:00
Sample Id : Rutherfordton Date Received: 03/28/2019 00:00
Date Reoorted: n4mF,/gn14
--
:----
IUU.0
WN
U4/U1/201914:08
SM-2540G
Moisture
98.00
100.0
CJR
04/01/201914:08
SM-254OG
Total Kjeldahl Nitrogen
7.25
72500
250
CLP
04/04/2019 13:00
SM-4500-NH3C-TKN
Phosphorus
1.45
14500
50.0
JTR
04/02/2019 21:29
6010D
Potassium
0.36
3560
50.0
JTR
04/02/2019 21:29
6010D
Sulfur
0.79
7870
50.0
JTR
04/02/2019 21:29
6010D
Calcium
0.83
8280
250
JTR
04/02/2019 21:29
6010D
Magnesium
0.30
3030
50.0
JTR
04/02/2019 21:29
6010D
Sodium
0.13
1300
250
JTR
04/02/2019 21:29
6010D
Iron
20500
50.0
JTR
04/02/2019 21:29
6010D
Aluminum
17100
50.0
JTR
04/02/2019 21:29
601 OD
Manganese
294
5.00
JTR
04/02/2019 21:29
6010D
Copper
430
2.50
JTR
04/02/2019 21:29
6010D
Zinc
1030
12.5
JTR
04/02/2019 21:29
6010D
Ammonia Nitrogen
1.00
10000
100
JPJ
04/01/2019 13:00
SM-4500-NH3C
Organic N
6.25
62500
250
04/01/2019 13:00
CALCULATION
Nitrate+Nitrite-N
320
4.84
ZBD
04/01/201916:02
4500NO3F-2011
All values are on a dry weight
basis except as noted by asterisk. Detection limit on all N series is on a wet basis_
B-Analyte detected in blank H - Beyond Holding Time }� hic 66wr
(„
lo
Pours McGroaryAgronomist
lace :i r: w

Report Number: 19-087-0202
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
s
Y
Wa pint:..
ANALYTICAL
Project : Rutherfordton
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Lab Number: 65603 REPORT OF ANALYSIS Date Sampled: 3/26/2019 13:15:00
Sample Id : Rutherfordton Date Received: 03/28/2019 00:00
n ntn Run—fnrl• nA/nC/']n1n
Chromium
«
1.uu
J I K
U4/02/2019 21:29
6010D
34.3
2.50
JTR
04/02/2019 21:29
6010D
Nickel
18.7
2.50
JTR
04/02/2019 21:29
6010D
Lead
30.0
3.00
JTR
04/02/2019 21:29
6010D
Arsenic
<5.00
5.00
JTR
04/02/2019 21:29
6010D
Mercury
0.799
0.0143
TJS
04/02/2019 14:08
SW-7471 B
Selenium
<5.00
5.00
JTR
04/02/2019 21:29
6010D
�
6'2
JSL
04/02/2019 07:22
9045D
M
Molybdenum
6.29
2.50
JTR
04/02/2019 21:29
6010D
Comments:
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B - Analyte detected in blank H - Beyond Holding Time
PIf�e- mr G�Ir
Pauric McGroary
Agronomist
nna Z of

PAN
Mineralization
Rate TKN NH3 NO3
0.3 72500 10000 1 320
PAN Surface
24070 mg/kg 48.14 lbs/dry ton
0 Ibs total PAN
#DIV/0! jibs PAN/acre
PAN Injection
29070 mg/kg 58.14 lbs/dry ton
0 Ibs total PAN
#DIV/0! 11bs PAN/acre
Dry Tons/1000 gal.
0.081315
1st year PAN
Surface lbs.
0
1st year PAN
Injected lbs.
0
lbs./acre
Surface
#DIV/O1
lbs./acre
Injected
#DIV/Ol
as decimal Total dry Acres
NO2 % Solids tons/year _Applied on
0 0.0195
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity "=dry tons/1000gal."
2000

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 /L Ca M /L M M /L
25.35 1 161.46 1 59.08
Na_...(ME)
I Ca...(ME�.
M.g,,._(ME).
l A 02174
8.073
4.923333
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.432369 (From Mg/L entered above)
SAR= 0.431455 ](From ME entered below)
Na ME
Ca ME
M ME
1.1
8.1
4.9
The amour
amount of i
Permitting I

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 04/04/2019
Reported: 05/24/2019
For: Rutherfordton
Comments:
Sample Number Parameter Sample ID Result
190404-27-01 30 Day Benchscale Rutherfordton <1
Respectfully submitted,
'Op 'VO, J'YT) t"
Dena Myers
NC Cert #440.
NCDW Cert #37755,
EPA #NC00909
ANALYMAL
r
Unit Method Analyzed Analyst
EPA625-R-92/0 04/04/2019 WC
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

Client: S , jt4. r. Soj A".)drq
STATTSVILLEANALYTICAL
Address: 5 /� a /
f .(
0 v f
122 Court Street • P.O. Box 228
Statesville, NC 28687
(70.1) 872-4697
Kor r 19cGo
Contact Person:~7 Phone # 33c qr,
PO# Requisitioned by:
FAX# 3;.4 QS-) srj
(Time ��]
Chain of
Custody Record
Customer
Sample IDa
Lab-10 9
Tine Sampled
(Grab Only)
Date Sampled
(Grab Only)
L
a
Matrix
w
Parameters requested for analysis
Pr -
Relinquished by: 7
Received by: L aj�
Relinquished by:
Received by:
Composite Sampling #1:
Time begin am, pm Date _/ /_
Time end am, pm Date _/_/_
Composite Sampling #2•
Time begin am, pm Date _/_/
Time end am, pm Date
Time t Rd
Time �(Q
Time
Time
Lab Comments:
am,�rr� Date L1 / tom/ 19 Sampled by: Z,, Y�
am,((//oDate Transported by: z J�
am, pm Date _/_/_ Holding times met:
am, pm Date /_/_ J
Compliance work:
Non-compliance work:
Samples Transported On Ice:
I nilials�
rn
N
N O
r- N
00
O
n
00
tD
00
N
U
z
ai
to
v
a✓
to
Do
N
N
X
O
in
0
t1

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date:
04/04/2019
Reported:
04/05/2019
For:
Rutherfordton
Comments:
GM <897 MPN/g
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190404-26-01
Fecal Coliforms
R1
<837
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-01
Percent Solids
R1
2.39
%
SM25406-2011
04/04/2019
WC
190404-26-02
Fecal Coliforms
R2
<909
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-02
Percent Solids
R2
2.20
%
SM254OB-2011
04/04/2019
WC
190404-26-03
Fecal Coliforms
R3
<913
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-03
Percent Solids
R3
2.19
%
SM254OB-2011
04/04/2019
WC
190404-26-04
Fecal Coliforms
R4
<870
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-04
Percent Solids
R4
2.30
%
SM25408-2011
04/04/2019
WC
190404-26-05
Fecal Coliforms
R5
<926
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-05
Percent Solids
R5
2.16
%
SM2540B-2011
04/04/2019
WC
190404-26-06
Fecal Coliforms
R6
<901
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-06
Percent Solids
R6
2.22
%
SM25408-2011
04/04/2019
WC
190404-26-07
Fecal Coliforms
R7
<926
MPN/g
SM92210E-2006
04/04/2019
WC
190404-26-07
Percent Solids
R7
2.16
%
SM2540B-2011
04/04/2019
WC
Respectfully submitted,
rU P -'Va, J-Y-bt
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 190404-26-01 Temp on Arrival: 3.3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190404-26-02 Temp on Arrival: 3.3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190404-26-03 Temp on Arrival: 3.3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190404-26-04 Temp on Arrival: 3.3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190404-26-05 Temp on Arrival: 3.3
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 190404-26-06 Temp on Arrival: 3.3
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190404-26-07 Temp on Arrival: 3.3
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

Client:
1
'
STATFSVILLEANALYTICAL
122 Coat Strcct - P.O. Box 228
Address:
Smcsville,NC 29687
fj
K ;n R:+Cr ML
aS-G69
[phone]
Contact Person: `
Phone # 33 j� ry S. �g ,�4 FAX#
�i 1
Chain of
Custody Record
PO # Requisitioned by: (Time Dale)
Customer
Sample (DR
Lab -ID It
Time Sampled
(Grab Only)
Date Sampled
(Grab Only)
a
o.
MaMx
y,�- w
Nvr
Pazamctas requested ror analysis
1 1
fq&r
(ntL�1� %P
-01
�1
r
02
D
x
off.
5yx
o5
r-
DU
4_7
h
X
Relinquished by:
Time r` �J
am, (9Date
Sampled by: z�j Y
Received by:
Time
am, p�Date __V I q
Transported by: 7�,
Relinquished by:
Time
am, pm Date
Holding times met:
Received by:
Time
am, pm Date /_
Coll Nsite Sampling #1:
_/
Compliance work:
Time begin am, pm Date _/ /_
Non-compliance work:
Time end am, pm Date
Composite Sampling #2:
Lab Comments:
Samples Transported On Ice:
Time begin am, pm Date
Time end am, pm Date
Initials:
r�
rn
LD
'-Zl' v
N o
r, v
00
\ rn
O d
r-
00
t.D
00
N
U
Z
v
(v
V)
00
N
N
x
0
0
D_

Analytical Results P, T:.'T' °)VI rt.! 3,
ANALYTIRAL
Southern Soil Builders�,a�
s;
958 Hoots Road
Roaring River, NC 28669
Receive Date: 04/04/2019
Reported: 04/26/2019
For: Rutherfordton
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190404-28-01 TCLP Rutherfordton See Attached as Noted 04/05/2019 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 38

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122 Court Svecl • P.O. Box 228
Siatesville, NC 28687
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ANALYTICAL RESULTS
Project: TCLP 190404.28
Pace Project No.: 92424317
Pace Analytical Services, LLC
9800KinceyAve. Suite:100
Huntersvllle. NC 28078
[phone]-
bample: sample Lab ID: 92424317001 Collected: 04/04/19 00:00 Received: 04/05/19 08:53 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual
8081 TCLP Pesticides RVE
Analytical Method: EPA8081B Preparation Method: EPA3510C
Leachate Method/Date:-EPA 1311; 04/09/19 16129 Initial
pH: ; Final pH: 5
gamma-BHC (Lindene)
NO ug/L 0.50 1
04/15/19 15:34 04/16/19 15:52 58-89-9
Chlordane (Technical)
ND ug/L 3.0 1
04/15/19 15:34 04/16/19 15:52 57-74-9
Endrin
NO ug/L 0.50 1
04/15/191534 04/16/19 15:52 72.20-8
Heptachlor
ND ug/L 0.50 1
04/15/19 15:34 04/16/19 15:52 76-44.8
Heptachlor epoxide
ND ug/L 0.50 1
04/15/19 15:34 04/16119 15:52 1024-57-3
Melhoxychlor
ND ug/L 1000 1
04/1511915:34 04/16/19 15:52 72-43-5
Toxaphene
ND ug/L 3,0 1
04115/1915:34 04/16/19 15:52 8001-35-2
Surrogates
Decachlerobiphenyl (S)
74
%
10-138
1 04/15/19 15:34 04/16119 15:52 2051-24.3
Telrachloro-m-xylene (S)
51
%
10-110
1 04115/19 15:34 04116/19 15:52 877-09-8
8082 TCLP PCBs RVE
Analytical Method: EPA8082A Preparation Method:
EPA3510C
Leachate Method/Date: EPA 1311:
04/09/19 16:29
Initial pH: ; Final pH: 5
PCB-1016 (Aroclor 1016)
ND
ug/L
1000
1 04110/19 13:22 04/12/19 20:00 12674-11-2
PCB-1221 (Aroclor1221)
ND
ug/L
1000
1 04/10/19 13:22 04/12/19 20:00 11104-28-2
PCB-1232 (Aroclor 1232)
NO
ug/L
1000
1 04/10119 13:22 04/12119 20:00 11141-16-5
PCB-1242 (Aroclor 1242)
ND
ug/L
1000
1 04/10/19 13:22 04/12/19 20:00 53469-21-9
PCB-1248 (Aroclor1248)
ND
ug/L
1000
1 04/10/19 13:22 04/12/19 20:00 12672-29-6
PCB-1254 (Aroclor1254)
NO
ug/L
1000
1 04/10/19 13:22 04/12/19 20:00 11097-69.1
PCB-1260 (Aroclor 1260)
ND
ug/L
1000
1 04/10/19 13:22 04/12/19 20:00 11096-82-5
Surrogates
Decachlorobiphenyl(S)
53
%
10-132
1 04/10/19 13:22 04/12/19 20:00 2051.24-3
6010 METJCP, TCLP
Analytical Method: EPA 6010D
Preparation Method:
EPA 3010A
Leachate Melhod/Date:
EPA 1311; 04/12/19 20:19
Initial pH: 6.65; Final pH: 6
Arsenic
ND
mg/L
0.050
1 04113/1917:09 04114/1918:31 7440.38.2
Barium
0.30
mg/L
0.26
1 04/13/1917:09 0411411918:31 7440-39-3
Cadmium
ND
mg/L
0.0050
1 0411311917:09 04/14/1918:31 7440.43-9
Chromium
ND
mg/L
0.050
1 04713/1917:09 04/14/191821 7440.47-3
Lead
ND
mg/L
O'.025
1 04/13/1917:09 04/14/1918:31 7439-92.1
Selenium
NO
mg/L
0.10
1 04/13/1917:09 0411411918:31 7782-49-2
Silver
NO
mg/L
0.025
1 04/13/1917:09 04/141191.8:31 7440.22-4
7470 Mercury, TCLP
Analytical Method:
EPA 7470A
Preparation Method: EPA 7470A
Leachate Method/Date: EPA 1311; 04/12/19 20:19 Initial pH: 6.65; Final pH: 6
Mercury
ND
mg1L
0.00020
1 04113/1918:15 04/15M911:01 7439-97-6
8270E MSSV TCLP Sep Funnel
Analytical Method: EPA 8270E
Preparation Method:
EPA 3510C
1,4-Dichlorobenzene
ND
Lig/L
60.0
1 04110/1912:24 04115/1912:59 106-46-7
2,4-Dinitrololuene
ND
ug/L
50.0
1 04/10/1912:24 04/15/1912:59 121-14-2
Hexachloro-1,3-butadiene
ND
ug/L
5040
1 04/10/1912:24 041'1511912:59 87-68-3
Hexachlorobenzene
NO
ug/L
50.0
1 04/10/1912:24 04115/1912:59 118.74-1
Hexachloroethane
NO
ug/L
50.0
1 04110/1912:24 04/1571912:59 67.72-1
2-Methylphenot(o-Cresol)
NO
ug/L
50.0
1 0411011912:24 04/1511.912:59 95.48-7
3&4-Melhylphencl(m&p Cresol)
153
ug/L
50.0
1 04/10/19 12:24 04/15/19 12:59 15831-10-4
REPORT OF LABORATORY ANALYSIS
This reporl shall not be reproduced, except in full,
Date: 04/19/2019 12:14 PM without the written consent of Pace Analytical Services, LLC.
Page 4 of 35
PO Box 228 e Statesville, NC 28687 e 704/872/4697
Page 7 of 38

�. - al ceAnalylical
—wpacclob--
ANALYTICAL RESULTS
Project: TCLP 190404.28
Pace Project No.: 92424317
Pace Analytical Services, LLG
9800KIncey Ave. Suite.100
Hunlersville, NC 28078
[phone]
oampie: aample
Lab ID: 92424317001 Collected: 04/04/19 00:00 Received: 04/05/19 08:53 Matrix: Solid
Results reported on a "dry welght" basis and are adJusted for percent moisture,
sample
size and any dilutions.
Parameters
Results
Units Report Limit
OF
Prepared Analyzed CAS No. Qual
8270E MSSV TCLP Sep Funnel
Analytical Method: EPA8270E Preparation
Method:
EPA3510C
Nitrobenzene
NO
ug/L
50.0
1
04/10/191224 04/15/19 12:59 98-95-3
Penlachlorophenol
ND
ug/L
100
1
04/10/19 12:24 0411511912:59 87-86-5
Pyridine
ND
ug/L
50.0
1
04110/1912:24 04/15/19 12:59 110-86-1
2,4,5-Trichlorophenol
NO
ug/L
50.0
1
04/1011912:24 04115/1912:59 95-95-4
2,4,6-Trichlorophenol
ND
ug/L
50.0
1
0411011912:24 04/15/19 12:59 88.06-2
Surrogates
Nitrobenzene-d5 (S)
57
%
12.102
1
04/10/19 12:24 04/15/19 12:59 4165-60.0
2-Fluorabiphenyl (S)
55
%
13-107
1
04/10/19 12:24 04/15/19 12:59 324-60-8
Terphenyl-d14 (S)
68
%
21-132
1
04/10/10 12:24 04/15/19 12:59 1718-51-0
Phenol-d6 (S)
23
%
10-110
1
04/10/19 12:24 04115/19 12:59 13127-88-3
2-Fluorophenol(8)
32
%
10-110
1
04/10/19 12:24 04/15119 12:59 367-12-4
2,4,6-Tribromophenol (S)
65
%
27.108
1
04/10/19 12:24 04/15119 12:59 118.79.6
8260D MSV TCLP
Analytical Method:
EPA 8260D
Benzene
NO
ug/L
100
20
04/13/19 13:14 71-43-2
2-Bulanone (MEK)
ND
ug/L
200
20
04113119 13:14 78-93-3
Carbon tetrachloride
NO
ug/L
100
20
04/13/19 13:14 56-23-5
Chlorobenzene
ND
ug/L
100
20
04/1311913:14 108-90-7
Chloroform
ND
ug/L
100
20:
04/13/19 13:14 67-66-3 v2
1,4-Dichlorobenzene
ND
ug/L
100
20
04113/1913:14. 106-46-7
1,2-Dichloroethane
NO
ug/L
100
20
04113/1913:14 107-06-2
1,1-Dichlorcethene
ND
ug/L
100
20
04113/1913:14 75-35.4
Teirachloroelhene
NO
ug/L
100
20
04/13/19 13:14 127-18.4
Trichloroethene
NO
ug/L
100
20
04/13/19 13:14 79-01-6
Vinyl chloride
ND
ug1L
100
20
04/13119 13:14 75-01-4
Surrogates
1,2-Dichloroethane-d4 (S)
101
%
70.130
20
04/13/19 13:14 17060.07-0
Toluene-d8 (S)
98
%
67-135
20
04/13/19 13:14 2037-26.5
4-Bromofluorobenzene (S)
99
%
70-130
20
04/13/19 13:14 460-00.4
Percent Moisture
Analytical Method:
ASTM D2974-87
Percent Moisture
98.5
%
0.10
1
04105/19 17:43
1010 Flashpoint,Closed Cup
Analytical Method: EPA 1010A
Flashpoint
>200
deg F
70.0
1
04/08/19 19:22
9045 pH Soil
Analytical Method: EPA 90450
pH at 25 Degrees C
6.6
Sid. Units
0.10
1
04/18119 14:22 H3
9095 Paint Filter Liquid Test
Analytical Method:
EPA 9095E
Free Liquids
Fall
1-0
1
04/08/19 15:25
733C S Reactive: Cyanide
Analytical Method:
EPA 9014 Preparation Method: SW-846
7.3.3.2
Cyanide, Reactive
NO
mg/kg
65.6
1
04115/19 15:51 04/15/19 16:48
REPORT OF LABORATORY ANALYSIS
Thisreport shall not be reproduced, except in full,
Date: 04/19/2019 12:14 PM without the written consent of Pace Analytical Services, LLC.
Page 5 of 35
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 8 of 38

9 a,
p/ ceAnalytical s'
t wxw.pacMODs.corti
ANALYTICAL RESULTS
Project. TCLP 190404.28
Pace Project No.: 92424317
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Hunlersville, NC 28078
[phone]
aampie; sample Lab ID: 92424317001 Collected: 04/04/19 00:00 Received: 04/05/19 08:53 Matrix: Solid
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qua[
734S Reactive Sulfide Analytical Method: SM 4500S2F-00 Preparation Method: SW-846 7.3.4.2
Sulfide, Reactive ND mglkg 656 1 04/15/19 16:51 04/15/19 15:57
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 04/19/2019 12:14 PM without the written consent of Paco Analytical Services. L-C.
Page 6 of 35
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 9 of 38

{-x�sz�`rr=,�`ask�7�#Sa Ma�'T""T..r "..ts..,�u!;?,��€Si3!:Ei'i�Z::m^%`:�zi"i'7•G wa �.s�� rv,:
SAMPLE SAMPLE RESULTS - 01 ONL LAS NATONWID"�.
Collected dateltime: 04104/19 00:00 L10-86992
Preparation by Method 1311
Result Qualifier
Prep
Balch
Anal le
Y
date /lime
---
TCLP Extraction
-
4/11/2019 2:06:32 PM
WG1264431
"
Fluid
1
411112019.2:06:32 PM
VVG1264431
Initial i)It
6.40
4/11/2019 2:06:32 Phi
W/G1264431
Final pH
4.65
4/11/2019 2:06:32 PM
WG1264431
SS
Chlor -iatc. d Arid Herbicides (»{_ 1 1-)y Wthod
F-051A
Cn
Result Qualifier
RDL Limit
Dilution
Analysis
Balch
Analyle
rng/I
mgil mg11
tittle/lime
2,4,5-TP(Silvex)
ND
0.00200 1
1
H15/2019/7:30
VJG1265047
2.4-D
ND
0.00200 10
1
041151201917:30
V7G1265047
(5)24DichbophenylAcellc'Acid
95.4
14.0-158
04r19201917..30
WG1265047
)GI
SC
ACCOUNT:
Pace Analytical - Hunleiwille. NC
Page 30 of 35
PROJECT:. SDG: 'DATE/TIME: PAGE:
92424317 LiOSC932 0411611914:18 5of 10
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 33 of 38

NCDABCS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
�l = Client: Stuart Beam
Predictive Earthwise Designs
991 Duncan Rd
Soil Report Mehlich-3 Extraction Rutherfordton, NC 28139
Links to Helpful Information Sampled County : Rutherford
Client ID: 491547
Sampled: 11/07/2019
Received: 11/12/2019 Completed: 12/03/2019
Farm:
Sample ID: HE4
Recommendations:
Lime
Crop
(tons/acre)
N
Lime History:
1 -Fescue/OGrass/Tim, M
1.2
120-200
2 -
0.0
Test Results [units -W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
HM% WN CEC
BS% Ac pH
P-1 K-1
Ca% Mg'/
0.51 0.96 8.5
73 2.3 5.4
35 28
49 23
Sample ID: HE5
Recommendations:
Lime
Crop
(tons/acre)
N
Lime History:
1 - Fescue/OGrass/Tim, M
0.0
120-200
2 -
0.0
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
HM% W/V CEC
BS% Ac pH
P-1 K-1
Ca% Mg°
0.81 1.00 8.6
85 1.3 6.0
87 22
60 23
Sample ID: HE6
Recommendations:
Lime
Crop
(tons/acre)
N
Lime History:
1 - Fescue/OGrass/Tim, M
0.6
120-200
2 -
0.0
Test Results [units - W/V
in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]:
HM% WIV CEC
BS% Ac pH
P-1 K-I
Ca% Mg/,
0.56 0.98 7.9
79 1.7 5.7
71 20
53 24
North Carolina
3,:=(t;�.,, is , �.:.'•�:� :;,,� ,.3, ,
Report No. FY20-SI-015587
Advisor: Zach Key
Southern Soil Builders,
Inc.
958 Hoots Rd
Roaring River, NC 28669
Advisor ID: 231531
Nutrients (lb/acre)
More
P205
K20
Mg S Mn
Zn
Cu
B
Information
60
80
0 0 0
0
0
0
Note:12
Soil Class: Mineral
S-I
Mn-I
Mn-All Mn-AI2 Zn-I
Zn-AI
Cu-I
Na
ESP SS-1 NO3-N
49
72
60 301
301
133
0.1
1
Nutrients (lb/acre)
More
P205
K20
Mg S Mn
Zn
Cu
B
Information
0
100
0 0 0
0
0
0
Note:12
Soil Class: Mineral
/° S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
48 86 68 229 229 184 0.1 1
Nutrients (lb/acre) More
P205 K20 Mg S Mn Zn Cu B Information
0 100 0 0 0 0 0 0 Note:12
Soil Class: Mineral
S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N
54 91 72 278 278 178 0.1 1
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 ofAciriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Stuart Beam
Sample ID: HE7
Lime History:
Recommendations: Lime
Crop (tons/acre)
1-Fescue/OGrass/Tim, M 0.0
2- 0.0
Nutrients (Ib/acre)
N P2O5
120-200 0
K2O
100
Mg S Mn
0 0 pH$
Zn
0
Cu
0
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC
0.41 0.99 10.3
Sample ID: HE8
Lime History:
BS% Ac pH P-1 K-1
91 0.9 6.5 65 21
Recommendations: Lime
Crop (tons/acre)
1-Fescue/OGrass/Tim, M 0.9
2- 0.0
Ca% Mg% S-1
63 27 50
Mn-I
99
Mn-All Mn-Al2 Zn-I
68 263
Zn-AI
263
Cu-1
171
Nutrients (lb/acre)
N P2O5
120-200 0
K2O
80
Mg S Mn
0 0 0
Zn
0
Cu
0
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
0.51 1.01 8.1
BS% Ac pH P-1 K-1
76 1.9 5.5 64 31
Ca% Mg% S-1
51 24 47
Mn-I
133
Mn-All
97
Mn-AI2
Zn-1
232
Zn-AI
232
Cu-I
144
Report No. FY20-SL015587
Page 2 of 3
More
J0B Information
Note: 12 Note:
Na ESP SS-1 NO3-N
0.2 2
More
B Information
0 Note: 12
Na ESP SS-1 NO3-N
0.1 1

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/ Report No. FY20-SLO15587
Stuart Beam
Page 3 of 3
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Report Abbreviations
Lime
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
Ac
B
exchangeable acidity
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 one
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
Fertilizer
ESP
exchangeable sodium percent
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
HM%
K-1
percent humic matter
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 -I 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-1
manganese index
notations appear on the soil report, refer to SNote: Secondary Nutrients and Micronutrients In general, homeowners do not
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncaqr.qov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
ORG
organic soil class
the exact fertilizer grade recommended on the report, visit www.ncaargov/agronomi/obpart4 hLrEffsfind information that
pH
P-1
current soil pH
phosphorus index
may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer.
P205
phosphate
Test Results
S-1
sulfur index
SS-1
soluble salt index
WN
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-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, 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.ncaorgov/agronomi/uyrsthtm

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Rutherfordton
WWTP Name: Town of Rutherfordton
Monitoring Period: From
WQ Permit Number: WQ0032855
NPDES Number: NCO25909
To 12/31 /2019
PathoL,en Reduction (15A NCAC 021' .1106) - Plen.ce indiente level 7rhinvn11 and altnrnativn nnrfarmnrl•
1/1/2019
Class A:
Alt. A (tine/temp) !D
Alt B (Alk Treatment) 0
Alt. C (Prior Testing)©
A1t.D (No Prior Test) 0
Process to Further Reduce Pathogengs 0
If applicable to alternative performed (Class A only) indicate. "Process to Further Reduce Pathogens":
Compost I-J
Heat Drying 0
Heat Treatment 0
Therrnophilic 0
Beta Ray ID
Gainma Ray 0
Pasteurization 0
Class B:
jAlt. (1) Fecal Density E
Alt. (2) Process to Significantly Reduce Pathogens 0
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization 0
Air Drying Cl
Composting Ej
jAerobic Digestion 0
Anaerobic Digestior 0
_.. _..... „.., ......
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
Patho en Density
g y
unier o
Excee_
nc
Frequency
of Analysis
Sample
Type
na ytica
Tech -
niclue
Mi11imtul
Geo. MeanMaximun
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
837
897
926
MPN/g
0
7
grab
sm9221
Cl U
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
Weight)
vector Attraction AeuuCi1011 HnA 1NC_Al- 1IL 1 .1 111 /1 - Please it]divnte g1ternative nerfarrnnrl•
Alt.I (VS reduction) 0
Alt. 2 (40-day bench) 0
Alt. 3 (30-day bench) Z
JAIL 4 (Spec. OZ uptake) 0
Alt. 5 (14-Day Aerobic) I_�
Alt. 6 (Alk. Stabilization L]
Alt 7 (Drying - Stable) 0
1Alt. 8 (Drying - Unstable) LJ
Alt. 9 (Injection) 0
Alt. 10 (Incorporation) El
No vector attraction reduction alternatives were performed 0
��>c l tr> A i 1tJly I A 1 L+ 1v1LiN 1 (please cllecic the appropriate statement)
"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."
"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."
Dennis Key Southern Soil Builders, Inc.
Pieparer Arne and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
.01
Signature of Prep rer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM PVRF 02T (12/2006)