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HomeMy WebLinkAboutWQ0000520_Residual Annual Report 2019_20200302Initial 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 3/2/2020 Received:* Project Number* WQ0000520 Email Notifications Does this need review by the hydrogeologist?* r Yes r No Regional Office CO Reviewer Admin Reviewer Kendall.Williams@ncdenr.gov Submitted Form Project Contact Information Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues. .......................................................................................................................................................................................................................................................................................................................................................................... Name * Brent Collins Email Address* brent.collins@emaresourcesinc.com 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* WQ0000520 Applicant\Permittee * City of Burlington Facility Name * City of Burlington Phone Number* 336-751-1441 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.) 2019 Burlington Annual Report - WQ0000520.pdf 25.33MB Upload only 1 R7F document. NL@iple documents must be combined into one R7F 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 Submission Date 2/24/2020 BCity qbf URLINGTON City of Burlington, NC 2019 Annual Report Permit Number WQOOOO52O {lily of URLINGTON -'ag"gg�'3'tr Re34ur February 51" 2020 North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Permitting Section Non -Discharge Permitting Unit 512 N. Salisbury Street Raleigh, NC 27604 RE: 2019 Annual Report, Permit No. WQ0000520 To Whom It May Concern: The City of Burlington, with the assistance of our contractor, EMA Resources Inc. is submitting this Annual Report for permit number WQ0000520. This annual report is divided into seven marked sections. The City of Burlington also sent a total of 1,731.61 Dry Tons to landfills in 2019, the break down for each plant is South Plant = 1,234.39 Dry Tons and East Plant = 497.22 Dry Tons. • Annual Land Application Certification Form • RSSF Forms • MFLSF and FSF Forms • Residual Analysis and TCLP • PVRF Forms • Soil Analysis • Zimpro Ash If you have any questions concerning this application, please contact Shane Fletcher at (336) 675-5927 or sfletcher@ci.burlington.nc.us Respectfully, Shane Fletcher Residuals Management Coordinator City of Burlington PO Box 1358 Burlington, NC 27216-1358 City of Burlington —Permit # WQOOOO52O Biosolids Land Application Program 2019 Annual Report Table of Contents Section 1— Annual Land Application Certification Form Section 2 — RSSF Forms Section 3 — MFLSF and FSF Forms Section 4 — Residuals Analysis and TCLP Section 5 — PVRF Forms Section 6 — Soil Analysis Section 7 — Zimpro Ash Section 1 Annual Land Application Certification Form ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0000520 County: Facility Name (as shown on permit): Land Application Operator: Alamance Year: 2019 City of Burlington EMA Resources Inc. Phone: 336-751-1441 Land application of residuals as allowed by the permit occurred during the past calendar year? 0 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 Aonlication_Summary: Total number of application fields in thepermit: 178 Total number of fields utilized for land application during the year: 57 Total amount of dry tons applied during the year for all application sites: 2,115.01 Total number of acres utilizes for land application during the year: 1095.58 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 Quality. 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 . 1105(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 .I I I I 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 Quality. 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. 11) 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." Shane Fletcher - Residuals Coordinator Permittee Name and Title (type or print) Signature of Preparer* Date (if different from Permittee) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T Signature of Permittee Date zl�z 1 /8/2020 Signature of Land Applier Date (if different from Permittee and Preparer) 1102 (26) DENR FORM ACF (12/2006) Section 2 RSSF Forms 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: WQ0000520 Facility Name: City of Burlington Residual Source WQ # or NPDES #: WWTP Name: Residual Analysis Data NCO023868 Eastside WWTP Laboratory: 1) American Testing Technologies 2) 3) 4) 5) Parameter (mg/kg) Conc. Limit (mg/kga Sam le or Composite Date 12/3/18 1/7/19 2/4/19 3/4/19 4/1/19 5/6/19 6/3/19 7/1/19 8/5/19 9/9/19 10/7/19 11/4/19 Percent Solids (%) NA 4.03 3.71 4.02 3.67 4.91 5.31 4.64 2.9 3.33 4.09 2.73 3.25 Arsenic 75 5 5 5 5 5 5 5 5 5 5 5 5 Cadmium 85 5 5 5 5 5 5 5 5 5 5 5 5 Copper 4,300 155 212 305 180 133 180 160 167 220 200 140 130 Chromium NA 44 51 94 80 46 86 63 43 73 70 54 50 Lead 840 5 5 5 5 5 5 5 5 5 5 5 5 Mercury 57 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 Molybdenum 75 5 5 5 5 5 5 5 5 5 5 5 5 Nickel 420 23 22 40 42 22 24 21 21 30 24 18 22 Selenium 100 5 5 5 5 5 5 5 5 5 5 5 5 Zinc 7,500 490 630 860 580 430 470 460 670 800 810 590 550 Total Phosphorus NA 10380 18000 20000 10000 14000 12000 13000 5000 16000 20000 12000 12250 TKN NA 18000 23000 27000 26000 28000 26000 28000 30000 29000 31000 26000 33000 Ammonia -Nitrogen NA 6000 15000 10000 11000 12000 16000 19000 11000 17000 15000 12000 18000 Nitrate and Nitrite NA 60 50 45 40 50 30 30 40 35 40 45 30 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." Signature of Preparer L"/1ZU xt Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) 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: WQ0000520 Facility Name: City of Burlington Residual Source NPDES # or WQ#: WWTP Name: Residual Analysis Data NCO023868 Eastside WWTP Laboratory: 1) American Testing Technologies 2) 3) 4) 5) Parameter aramet) Sam le or Com osite Date 12/3/18 1/7/19 2/4/19 3/4/19 4/1/19 5/6/19 6/3/19 7/1/19 8/5/19 9/9/19 10/7/19 11/4/19 Aluminum 37500 31080 49000 35420 36700 26420 31250 33620 43940 39730 38520 38460 Calcium 137500 30860 50000 14990 137750 105660 96980 171900 186970 143030 214070 224620 Magnesium 2880 2700 4500 2860 3670 2500 2880 3410 4270 4250 4570 3810 Potassium 1940 2300 2300 2590 3060 1750 1390 1600 2075 2030 3430 3900 Sodium 8000 7100 1500 5000 4900 5700 2000 2760 4370 3100 4500 3160 pH 11.12 6.12 11.24 5.3 12.34 11.4 12.05 11.81 11.56 11.74 11.8 11.6 PAN 6660 9950 10145 10040 10850 11030 12230 11240 12135 12340 10245 13530 SAR 1.17 2 0.34 1.87 0.79 1.09 0.37 0.31 0.5 0.44 0.43 0.33 C.E.C. 38% 35% 37% 38% 40% 37% 35% 38% 42% 40% 40% 38% "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." 2 / AZv� Signature of Preparer * F. Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF - B (12/2006) 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: WQ0000520 Laboratory: 1) Facility Name: City of Burlington 2) Residual Source WQ # or NCO023876 3) NPDES #: 4) WWTP Name: Southside WWTP 5) Residual Analysis Data American Testing Technologies Parameter (mg/kg) Conc. Limit m a Sam le or Composite Date 12/3/18 1/7/19 2/4/19 3/4/19 4/1/19 5/6/19 6/3/19 7/8/19 9/9/19 10/7/19 11/4/19 Percent Solids (%) NA 3.21 3.09 2.98 2.84 2.5 2.54 3.2 2.94 3.94 3.44 2.91 Arsenic 75 5 5 5 5 5 5 5 5 5 5 5 Cadmium 85 5 5 5 5 5 5 5 5 5 5 5 Copper 4,300 119 162 180 176 150 200 140 170 106 140 120 Chromium NA 55 67 70 77 70 110 69 77 45 51 48 Lead 840 5 5 5 5 5 5 5 5 5 5 5 Mercury 57 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 Molybdenum 75 5 5 5 5 5 5 5 5 5 5 5 Nickel 420 8 5 10 50 14 18 5 24 8 16 12 Selenium 100 5 5 5 5 5 5 5 5 5 5 5 Zinc 7,500 226 310 330 317 300 380 270 460 230 305 275 Total Phosphorus NA 24380 30000 26000 17000 26000 24000 16000 11000 23000 21000 25600 TKN NA 48000 50000 43000 45000 47000 47000 44000 47000 49000 48000 52000 Ammonia -Nitrogen NA 12000 21000 28000 29000 21000 22000 21000 19000 23000 20000 28000 Nitrate and Nitrite NA 70 60 70 50 60 40 50 46 50 65 45 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." Signature of Preparer * Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (1212006) 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: WQ0000520 Facility Name: City of Burlington Residual Source NPDES # or WQ#: WWTP Name: Residual Analysis Data NCO023876 Southside WWTP Laboratory: 1) American Testing Technologies 2) 3) 4) 5) Parameter (mg/kg) Sample or Composite Date 12/3/18 1/7/19 2/4/19 3/4/19 4/1/19 5/6/19 6/3/19 7/8/19 9/9/19 10/7/19 11/4/19 Aluminum 4660 4120 5370 4700 6400 5000 3880 5340 2920 2870 2570 Calcium 125000 126600 112400 119700 214000 137800 147660 155170 101500 140550 128450 Magnesium 5630 6930 6700 6940 8800 3200 5630 3800 6100 9060 8620 Potassium 6570 7000 6540 8275 6600 9500 7000 7200 6730 10880 13450 Sodium 9700 10200 1040 7000 9600 9600 3700 2600 3600 4200 3630 pH 11.78 11.66 11.56 11.64 11.44 11.58 11.68 11.52 9.23 11.53 9.8 PAN 16870 19260 18570 19350 18360 18540 17450 17946 19350 18465 21245 SAR 1.3 1.33 0.14 0.9 0.87 1.11 0.46 0.31 0.59 0.54 0.45 C.E.C. 41% 42% 39% 45% 42% 40% 38% 45% 44% 35% 41% "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." /1 2-a 2-s Signature of Preparer date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF - B (12/2006) Section 3 MFLSF and FSF Forms City of Burlington - WQ0000520 - Lime applied through lime stabilized product pH from Soil Lime Applied through CEC, Site Report in pounds/acre AM014-05 5.3 2100 AM 116-09 5.7 660 CH098-06 5.9 1180 CH098-07 5.6 1300 CH098-08 5.9 1260 CH098-09 5.9 1900 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series: 13 Acres Permitted: 13 Site #: AM002 Field #: 35.30 DbB 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.56 0.16 Arsenic 0.026 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Cadmium 0.026 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 0.681 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.727 Chromiuni 0.235 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.257 Lead 0.026 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.026 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 0.113 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.117 Selenium 0.026 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 2.201 0.094 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.294 Total Phos- 71.652 8.112 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 79.764 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Kenneth Culberson Operator: Kenneth Culberson WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 35.30 Site #: Predominant Soil Series: DbB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 237 Crop 2 Name: Acres Utilized: 13 AM002 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 13 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/29 6500 4.91 0.102 East Burlington D <.5" S 0.5 0.3 28000 12000 50 2.222 NA Fescue 5/30 156000 4.91 2.457 East Burlington D <.5" S 0.5 0.3 28000 12000 50 53.316 NA Fescue 5/31 19500 2.5 0.156 South Burlington D <.5" S 0.5 0.3 47000 21000 60 5.742 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1820001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 61.280 FO.000 Lime Applied Annuallbs/acre 0.027 0.027 0.727 0.257 0.027 0.001 0.027 0.117 0.027 2.294 79.764 9.334 11.628 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.054 0.042 4.321 1 2.28 0.327 0.017 0.119 0.302 0.085 Current Cumulative lbs/ac 0.081 0.069 5.048 2.537 0.354 0.018 0.146 0.419 0.112 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 237 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series: 5.9 Acres Permitted: 5.9 Site #: AM002 Field #: 8.81 DbB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.49 Arsenic 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Cadmium 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Copper 0.448 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.448 Chromiuni 0.209 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.209 Lead 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 denum Nickel 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.042 Selenium 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Zinc 0.896 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.896 Total Phos- 77.636 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 77.636 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Kenneth Culberson Operator: Kenneth Culberson WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 8.81 Site #: Predominant Soil Series: DbB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 237 Crop 2 Name: Acres Utilized: 5.9 AM002 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 5.9 0 o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/31 84500 2.5 1.493 South Burlington D <.5" S 0.5 0.3 47000 21000 60 54.826 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 84500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 54.826 FO.000 Lime Applied Annuallbs/acre 0.015 0.015 0.448 0.209 0.015 0.001 0.015 0.042 0.015 0.896 77.636 9.458 10.354 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.049 0.046 4.122 1 2.616 0.4 0.017 0.115 0.285 0.086 Current Cumulative lbs/ac 0.064 0.061 4.570 2.825 0.415 0.018 0.130 0.327 0.101 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 237 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series: 7.7 Acres Permitted: 7.7 Site #: AM002 Field #: 22.62 DbB 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.94 Arsenic 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Copper 0.782 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.782 Chromium 0.270 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.270 Lead 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.129 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.129 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Zinc 2.527 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.527 Total Phos- 82.264 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 82.264 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Kenneth Culberson Operator: Kenneth Culberson WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 22.62 Site #: Predominant Soil Series: DbB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 237 Crop 2 Name: 4 Acres Utilized: 7.7 AM002 Acres Permitted: 7.7 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/29 110500 491 2.938 East Burlington D <.5" S 0.5 0.3 28000 12000 50 63.760 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1105001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 63.760 FO.000 Lime Applied Annuallbs/acre 0.029 0.029 0.782 0.270 0.029 0.001 0.029 0.129 0.029 2.527 82.264 11.532 14.059 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.083 0.078 5.225 1 3.477 0.51 0.018 0.212 0.313 0.111 Current Cumulative lbs/ac 0.112 0.107 6.007 3.747 0.539 0.019 0.241 0.442 0.140 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 237 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: Acres Used: 17 Acres Permitted: 17 Site #: AM006 Field #: 46.56 HbB 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.74 Arsenic 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Cadmium 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 1.096 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.096 Chromiuni 0.383 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.383 Lead 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 0.131 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.131 Selenium 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 4.437 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.437 Total Phos- 109.560 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 109.560 horus "1 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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Walter Hessenthaler Operator: Tom Neal WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 46.56 Site #: Predominant Soil Series: HbB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 169 Crop 2 Name: Acres Utilized: 17 AM006 Acres Permitted: 17 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t cc � � * c ?. * �' o' E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/18 84500 4.09 0.848 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 20.922 NA Fescue 10/19 45500 4.09 0.456 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 11.266 NA Fescue 10/25 143000 4.09 1.435 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 35.407 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 273000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 67.596 FO.000 Lime Applied Annuallbs/acre 0.027 0.027 1.096 0.383 0.027 0.001 0.027 0.131 0.027 4.437 109.5601 21.363 25.800 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.161 0.136 8.082 1 4.087 0.785 0.022 0.225 0.591 0.187 Current Cumulative lbs/ac 0.188 0.163 9.178 4.470 0.812 0.023 0.252 0.722 0.214 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 169 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: Acres Used: 18.6 Acres Permitted: 18.6 Site #: AM006 Field #: 88.28 AbB 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): WINNEW Com- posite Date Olson Nunn OEM MEMO 0 Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 3.79 0.95 Arsenic 0.038 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Cadmium 0.038 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Copper 1.365 0.382 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.747 Chromiuni 0.652 0.134 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.786 Lead 0.038 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.038 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 m denu Nickel 0.182 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.228 Selenium 0.038 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Zinc 3.564 1.545 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.110 Total Phos- 91.008 38.160 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 129.168 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Walter Hessenthaler Operator: Tom Neal WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 88.28 Site #: Predominant Soil Series: AbB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 237 Crop 2 Name: Acres Utilized: 18.6 AM006 Acres Permitted: 18.6 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/18 78000 5.31 0.929 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 20.484 NA Fescue 6/24 123500 5.31 1.470 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 32.433 NA Fescue 6/25 117000 5.31 1.393 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 30.726 NA Fescue 10/26 104000 4.09 0.954 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 23.536 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 422500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 107.179 FO.000 Lime Applied Annuallbs/acre 0.047 0.047 1.747 0.786 0.047 0.002 0.047 0.228 0.047 5.110 129.168 0.19 0.154 1 11.286 1 4.797 0.923 1 0.036 0.293 1 0.745 0.218 29.105 0.237 0.201 13.033 5.583 0.970 0.038 0.340 0.973 0.265 34.215 36 34 1338 267 15 374 89 2498 1 237 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Walter Hessenthaler Owner: Tom Neal Predominant Soil Series: Acres Used: 10.4 Acres Permitted: 10.4 Site #: AM006 Field #: 21.47 AbB 8 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): mignon Com- posite Date Olson Nunn OEM MEMO 0 Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 0.27 1.80 Arsenic 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.106 0.648 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.754 Chromiuni 0.058 0.309 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.368 Lead 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.010 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.096 Selenium 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.021 Zinc 0.201 1.691 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.892 Total Phos- 12.720 43.176 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 55.896 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Tom Neal Operator: Walter Hessenthaler Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 21.47 Site #: Predominant Soil Series: AbB Crop 1 Max. PAN: 177 Crop 2 Name: Acres Utilized: 10.4 AM006 Acres Permitted: 10.4 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/26 26000 2.54 0.265 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 9.819 NA Fescue 6/26 84500 5.31 1.799 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 39.688 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1105001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 49.507 FO.000 Lime Applied Annuallbs/acre 0.021 0.021 0.754 0.368 0.021 0.001 0.021 0.096 0.021 1.892 55.896 13.034 14.926 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.105 0.078 5.751 1 3.969 0.429 0.016 0.153 0.34 0.131 Current Cumulative lbs/ac 0.126 0.099 6.505 4.337 0.450 0.017 0.174 0.436 0.152 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 177 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): 8.64 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Walter Hessenthaler Owner: Tom Neal Predominant Soil Series: AbB Acres Used: 5 Acres Permitted: 18 Site #: AM006 Field #: 9 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.73 Arsenic 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Cadmium 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Copper 0.622 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.622 Chromiuni 0.297 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.297 Lead 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 denum Nickel 0.083 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.083 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 0.017 Zinc 1.623 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.623 Total Phos- 41.448 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 41.448 horus "1 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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Tom Neal Operator: Walter Hessenthaler Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 8.64 Site #: Predominant Soil Series: AbB Crop 1 Max. PAN: 177 Crop 2 Name: AM006 Acres Utilized: 5 Acres Permitted: 18 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/26 39000 5.31 1.727 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 38.101 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 39000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 38.101 F 0.000 Lime Applied Annuallbs/acre 0.017 0.017 0.622 0.297 0.017 0.001 0.017 0.083 0.017 1.623 41.448 0.077 0.062 3.658 1 2.531 0.243 0.01 0.103 0.177 0.074 7.388 0.094 0.079 4.280 2.828 0.260 0.011 0.120 0.260 0.091 9.011 36 34 1339 267 15 374 89 2498 1 177 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Jimmy Staley Owner: Jimmy Staley Predominant Soil Series: Acres Used: 15.6 Acres Permitted: 15.6 Site #: AM008 Field #: 47.25 EdC2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.53 2.50 Arsenic 0.005 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Cadmium 0.005 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Copper 0.212 0.800 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.012 Chromiuni 0.117 0.315 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.431 Lead 0.005 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.005 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 denum Nickel 0.019 0.105 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.124 Selenium 0.005 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.030 Zinc 0.403 2.299 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.702 Total Phos- 25.440 64.974 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 90.414 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Jimmy Staley Operator: Jimmy Staley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 47.25 Site #: Predominant Soil Series: EdC2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 162 Crop 2 Name: Acres Utilized: 15.6 AM008 Acres Permitted: 15.6 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t cc � � * c ?. * �' o' E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/28 78000 2.54 0.530 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 19.637 NA Fescue 7/1 201500 4.64 2.499 East Burlington Dry <.5" S 0.5 0.3 28000 19000 30 61.131 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 279500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 80.768 FO.000 Lime Applied Annuallbs/acre 0.030 0.030 1.012 0.431 0.030 0.001 0.030 0.124 0.030 2.702 90.414 26.518 29.220 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.177 0.125 11.771 1 5.648 0.963 0.04 0.306 0.837 0.221 Current Cumulative lbs/ac 0.207 0.155 12.783 6.079 0.993 0.041 0.336 0.961 0.251 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 162 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Hadley Owner: Ray Mazejka Predominant Soil Series: Acres Used: 9.18 Acres Permitted: 9.18 Site #: AM013 Field #: 54.19 TaB2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.89 5.02 Arsenic 0.009 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 Cadmium 0.009 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 Copper 0.266 1.806 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.072 Chromiuni 0.124 0.863 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.987 Lead 0.009 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 Mercury 0.000 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.009 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 denum Nickel 0.025 0.241 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.266 Selenium 0.009 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.059 Zinc 0.532 4.716 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.248 Total Phos- 46.072 120.408 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 166.480 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Ray Mazejka Operator: James Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 54.19 Site #: Predominant Soil Series: TaB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 190 Crop 2 Name: Acres Utilized: 9.18 AM013 Acres Permitted: 9.18 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t cc � � * c ?. * �' o' E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/31 78000 2.5 0.886 South Burlington D <.5" S 0.5 0.3 47000 21000 60 32.526 NA Fescue 6/3 123500 5.31 2.979 East Burlington D <.5" S 0.5 0.3 26000 16000 30 65.714 NA Fescue 6/4 84500 5.31 2.038 East Burlington D <.5" S 0.5 0.3 26000 16000 30 44.962 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 286000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 14-3 203 FO.000 Lime Applied Annuallbs/acre 0.059 0.059 2.072 0.987 0.059 0.002 0.059 0.266 0.059 5.248 166.4801 73.674 78.922 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.336 0.509 1 48.658 1 22.733 7.152 1 0.123 0.658 1 3.785 0.362 Current Cumulative lbs/ac 0.395 0.568 50.730 23.720 7.211 0.125 0.717 4.051 0.421 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop I 190 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 18.78 Operator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2 Acres Used: 11.67 Acres Permitted: 11.67 Site #: AM013 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn 1WEEMENE NUMEMBEEMEM Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.91 0.70 Arsenic 0.009 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Cadmium 0.009 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Copper 0.243 0.209 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.452 Chromiuni 0.084 0.098 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.181 Lead 0.009 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.009 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 denum Nickel 0.040 0.020 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.060 Selenium 0.009 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.016 Zinc 0.784 0.418 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.203 Total Phos- 25.536 36.244 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 61.780 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Burlington WQ Permit #: WQ0000520 Field #: 2 Acres Utilized: Ernest Goldworthy Annual Dry Tons Applied: 18.78 Site #: AM013 Acres Permitted: James Hadley Crop 1 Name: Rye Grass Predominant Soil Series: Crop 1 Max. PAN: 137 TaB2 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 11.67 11.67 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t c�c * c ?. * �' o' E. - q a• o TKN mg/kg a o aQ 5 mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/3 52000 4.91 0.912 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 19.797 NA Rye 5/3 26000 2.5 0.232 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 8.529 NA Rye 5/7 52000 2.5 0.465 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 17.057 NA I Rye 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 130000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 45.383 0.000 Lime Applied Annuallbs/acre 0.016 0.016 0.452 0.181 0.016 0.001 0.016 0.060 0.016 1.203 61.780 43.262 44.465 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.151 0.241 25.015 9.406 2.582 0.079 0.463 1.553 0.183 Current Cumulative lbs/ac 0.167 0.257 25.467 9.587 2.598 0.080 0.479 1.613 0.199 Permitted C. P. L. R.**** 36 1 34 1 1338 1 267 1 15 1 1 374 89 Permit PAN Limit 1 st/2nd Crop 1 137 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 32.09 Operator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2 Acres Used: 15 Acres Permitted: 30.49 Site #: AM013 Field #: 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn 1WEEMENE NUMEMBEEMEM Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.60 0.54 Arsenic 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.425 0.163 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.587 Chromiuni 0.147 0.076 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.223 Lead 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.070 0.015 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.085 Selenium 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.021 Zinc 1.373 0.325 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.699 Total Phos- 44.716 28.184 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 72.900 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Burlington WQ Permit #: WQ0000520 Field #: 3 Acres Utilized: Ernest Goldworthy Annual Dry Tons Applied: 32.09 Site #: AM013 Acres Permitted: James Hadley Crop 1 Name: Rye Grass Predominant Soil Series: Crop 1 Max. PAN: 137 TaB2 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 15 30.49 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t c�c * c ?. * �' o' E. - q a• o TKN mg/kg a o aQ 5 mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/2 117000 4.91 1.597 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 34.655 NA Rye 5/3 78000 2.5 0.542 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 19.906 NA Rye 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1950001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 54.561 FO.000 Lime Applied Annuallbs/acre 0.021 0.021 0.587 0.223 0.021 0.001 0.021 0.085 0.021 1.699 72.900 48.665 50.364 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.24 0.322 30.395 1 13.141 3.054 0.098 0.493 2.218 0.261 Current Cumulative lbs/ac 0.261 0.343 30.982 13.364 3.075 0.099 0.514 2.303 0.282 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 137 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 29.48 Operator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2 Acres Used: 15.49 Acres Permitted: 30.49 Site #: AM013 Field #: 3B Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.84 1.07 Arsenic 0.008 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Cadmium 0.008 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 0.301 0.427 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.728 Chromiuni 0.144 0.235 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.379 Lead 0.008 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.008 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.040 0.038 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.079 Selenium 0.008 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.019 Zinc 0.786 0.811 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.597 Total Phos- 20.064 51.216 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 71.280 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Ernest Goldworthy Operator: James Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 29.48 Site #: Predominant Soil Series: TaB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 190 Crop 2 Name: 3B Acres Utilized: 15.49 AM013 Acres Permitted: 30.49 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t c�c * c ?. * �' o' E. - q a• o TKN mg/kg a o aQ 5 mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/4 58500 5.31 0.836 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 18.448 NA Fescue 6/5 123500 2.54 0.844 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 31.313 NA Fescue 6/6 32500 2.54 0.222 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 8.240 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 2145001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 58.001 FO.000 Lime Applied Annuallbs/acre 0.019 0.019 0.728 0.379 0.019 0.001 0.019 0.079 0.019 1.597 71.280 48.665 50.262 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.24 0.322 30.395 1 13.141 3.054 0.098 0.493 2.218 0.261 Current Cumulative lbs/ac 0.259 0.341 31.123 13.520 3.073 0.099 0.512 2.297 0.280 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 190 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 27.45 Operator: James Roney Owner: James Roney Predominant Soil Series: HbC2 Acres Used: 12.96 Acres Permitted: 12.96 Site #: AM014 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.81 0.31 Arsenic 0.018 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.018 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.797 0.104 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.901 Chromiuni 0.264 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.312 Lead 0.018 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.018 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.109 0.015 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.123 Selenium 0.018 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.021 Zinc 2.898 0.282 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.180 Total Phos- 57.952 6.754 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 64.706 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington James Roney Operator: James Roney Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 27.45 Site #: Predominant Soil Series: HbC2 Crop 1 Max. PAN: 118 Crop 2 Name: Acres Utilized: 12.96 AM014 Acres Permitted: 12.96 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/17 39000 3.33 0.418 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 10.142 NA Fescue 9/18 32500 2.94 0.307 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 11.035 NA Fescue 9/18 130000 3.33 1.393 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 33.806 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 2015001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 54.982 FO.000 Lime Applied Annuallbs/acre 0.021 0.021 0.901 0.312 0.021 0.001 0.021 0.123 0.021 3.180 64.706 0.132 0.11 7.107 1 5.072 0.56 0.013 0.174 0.541 0.174 16.549 0.153 0.131 8.008 5.384 0.581 0.014 0.195 0.664 0.195 19.729 36 34 1339 267 15 374 89 2498 1 118 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 53.32 Operator: James Roney Owner: Jame Roney Predominant Soil Series: EdC2 Acres Used: 21.57 Acres Permitted: 21.57 Site #: AM014 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.18 0.30 Arsenic 0.022 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Cadmium 0.022 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Copper 0.957 0.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.058 Chromiuni 0.318 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.363 Lead 0.022 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.022 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 denum Nickel 0.131 0.014 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.145 Selenium 0.022 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.025 Zinc 3.482 0.272 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.754 Total Phos- 69.632 6.512 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 76.144 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Jame Roney Operator: James Roney Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 53.32 Site #: Predominant Soil Series: EdC2 Crop 1 Max. PAN: 122 Crop 2 Name: Acres Utilized: 21.57 AM014 Acres Permitted: 21.57 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/13 32500 3.33 0.209 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 5.078 NA Fescue 9/16 26000 2.94 0.148 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 5.304 NA Fescue 9/16 110500 3.33 0.711 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 17.265 NA Fescue 9/17 26000 2.94 0.148 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 5.304 NA Fescue 9/17 195000 3.33 1.255 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 30.467 NA Fescue 0.000 1 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 1 0.000 0.000 0.000 1 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 390000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 63.418 0.000 Lime Applied Annuallbs/acre 0.025 0.025 1.058 0.363 0.025 0.001 0.025 0.145 0.025 3.754 76.144 13.684 17.438 2499 Date lbs/ac Prior Years Cumulative lbs/ac 0.132 0.111 5.947 5.008 0.703 0.013 0.172 0.553 0.172 CEC 1 2100 Current Cumulative lbs/ac 0.157 0.136 7.005 5.371 0.728 0.014 0.197 0.698 0.197 See Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Attachment Permit PAN Limit 1 st/2nd Crop 122 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 62.88 Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: VbC3 Acres Used: 12.26 Acres Permitted: 12.26 Site #: AM015 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 5.13 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 0.051 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Copper 1.641 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.641 Chromiuni 0.646 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.646 Lead 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 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 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 denum Nickel 0.215 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.215 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 4.719 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.719 Total Phos- 133.354 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 133.354 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Charlie Wyatt Operator: Charlie Wyatt WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 62.88 Site #: Predominant Soil Series: VbC3 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 182 Crop 2 Name: Acres Utilized: 12.26 AM015 Acres Permitted: 12.26 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 7/26 188500 4.64 2.975 East Burlington D <.5" S 0.5 0.3 28000 19000 30 72.766 NA Fescue 7/27 136500 4.64 2.154 East Burlington D <.5" S 0.5 0.3 28000 19000 30 52.693 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 325000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 125.459 FO.000 Lime Applied Annuallbs/acre 0.051 0.051 1.641 0.646 0.051 0.002 0.051 0.215 0.051 4.719 133.3541 18.007 22.726 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.157 0.127 7.146 1 4.473 0.576 0.018 0.215 0.608 0.196 Current Cumulative lbs/ac 0.208 0.178 8.787 5.119 0.627 0.020 0.266 0.823 0.247 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 182 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 22.64 Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: EdC Acres Used: 10.54 Acres Permitted: 10.54 Site #: AM015 Field #: 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.15 Arsenic 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 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.687 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.687 Chromiuni 0.271 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.271 Lead 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 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 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 denum Nickel 0.090 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.090 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 1.976 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.976 Total Phos- 55.848 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 55.848 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Charlie Wyatt Operator: Charlie Wyatt Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 22.64 Site #: Predominant Soil Series: EdC Crop 1 Max. PAN: 122 Crop 2 Name: Acres Utilized: 10.54 AM015 Acres Permitted: 10.54 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * c * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 7/29 117000 4.64 2.148 East Burlington D <.5" S 0.5 0.3 28000 19000 30 52.536 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1170001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 52.536 FO.000 Lime Applied Annuallbs/acre 0.021 0.021 0.687 0.271 0.021 0.001 0.021 0.090 0.021 1.976 55.848 10.836 12.812 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.116 0.098 4.443 1 2.754 0.723 0.017 0.146 0.323 0.135 Current Cumulative lbs/ac 0.137 0.119 5.130 3.025 0.744 0.018 0.167 0.413 0.156 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 122 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 57.85 Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: CbB2 Acres Used: 15.01 Acres Permitted: 15.01 Site #: AM015 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 3.85 Arsenic 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Cadmium 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Copper 1.233 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.233 Chromiuni 0.486 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.486 Lead 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 denum Nickel 0.162 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.162 Selenium 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Zinc 3.546 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.546 Total Phos- 100.204 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 100.204 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Charlie Wyatt Operator: Charlie Wyatt WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 57.85 Site #: Predominant Soil Series: CbB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 216 Crop 2 Name: 4 Acres Utilized: 15.01 AM015 Acres Permitted: 15.01 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 7/27 149500 4.64 1.927 East Burlington D <.5" S 0.5 0.3 28000 19000 30 47.138 NA Fescue 7/29 149500 4.64 1.927 East Burlington D <.5" S 0.5 0.3 28000 19000 30 47.138 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 299000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 94.276 FO.000 Lime Applied Annuallbs/acre 0.039 0.039 1.233 0.486 0.039 0.002 0.039 0.162 0.039 3.546 100.2041 13.203 16.749 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.133 0.114 1 5.557 1 4.402 0.633 1 0.018 0.171 1 0.371 0.162 Current Cumulative lbs/ac 0.172 0.153 6.790 4.888 0.672 0.020 0.210 0.533 0.201 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 216 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Michael Hadley Owner: William Hadley Predominant Soil Series: Acres Used: 29.07 Acres Permitted: 29.07 Site #: AM016 Field #: 93.20 HdC2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 3.16 0.05 Arsenic 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Cadmium 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Copper 0.840 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.854 Chromiuni 0.291 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.297 Lead 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 denum Nickel 0.139 0.001 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.140 Selenium 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.032 Zinc 2.717 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.745 Total Phos- 88.452 2.444 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 90.896 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Hadley Operator: Michael Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 93.20 Site #: Predominant Soil Series: HdC2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 198 Crop 2 Name: Acres Utilized: 29.07 AM016 Acres Permitted: 29.07 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/20 97500 4.91 0.687 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 14.902 NA Fescue 5/21 156000 4.91 1.099 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 23.843 NA Fescue 5/22 156000 4.91 1.099 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 23.843 NA Fescue 5/23 32500 4.91 0.229 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 4.967 NA Fescue 5/24 6500 4.91 0.046 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 0.993 NA Fescue 5/24 13000 2.5 0.047 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 1.712 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 0 461500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 70.260 0.000 Lime Applied Annuallbs/acre 0.032 0.032 0.854 0.297 0.032 0.001 0.032 0.140 0.032 2.745 90.896 9.324 12.069 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.092 0.078 3.542 3.505 0.257 0.01 0.121 0.255 0.121 Current Cumulative lbs/ac 0.124 0.110 4.396 3.802 0.289 0.011 0.153 0.395 0.153 Permitted C. P. L. R.****1 36 1 34 1 1338 1 1 267 1 15 1 1 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 198 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Michael Hadley Owner: Michael Hadley Predominant Soil Series: Acres Used: 23.46 Acres Permitted: 23.46 Site #: AM016 Field #: 47.20 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 SB 4/1/19 2 EB 4/l/19 3 Mack 7/3/19 4 5 6 7 8 9 10 J 11 12 % Solids 2.5 4.91 2.27 Arsenic 5 5 5 Cadmium 5 5 5 Copper 150 133 77 Chromium 70 46 168 Lead 5 5 5 Mercury 0.2 0.2 0.2 Molyb- denum 5 5 5 Nickel 14 22 5 Selenium 5 5 5 Zinc 300 430 3140 Total Phos- horns 26000 14000 1490 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ App. Event 0.78 0.68 0.55 Arsenic 1 0.008 0.007 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.008 0.007 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.234 0.181 0.085 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.500 Chromium0.109 0.063 0.185 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.357 Lead 0.008 0.007 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.008 0.007 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 m denu Nickel 0.022 0.030 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.057 Selenium 0.008 0.007 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 0.468 0.586 3.460 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.514 Total Phos- 40.560 19.068 1.642 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 61.270 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Michael Hadley Operator: Michael Hadley Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 47.20 Site #: Predominant Soil Series: AaB Crop 1 Max. PAN: 190 Crop 2 Name: Acres Utilized: 23.46 AM016 Acres Permitted: 23.46 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t c�c � � * o ?. * �' o' - a• o TKN mg/kg a o aQ 5 �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/9 175500 2.5 0.780 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 28.637 NA Fescue 5/20 78000 4.91 0.681 East Burlington Dry <.5" S 0.5 0.3 28000 12000 50 14.772 NA Fescue 8/7 123500 2.27 0.498 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 8.101 NA Fescue 8/8 13000 2.27 0.052 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 0.853 NA Fescue 0.000 1 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 0 39000o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 52.362 o.000 Lime Applied Annuallbs/acre 0.020 0.020 0.500 0.357 0.020 0.001 0.020 0.057 0.020 4.514 61.270 11.462 15.976 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.108 0.091 4.87 3.305 0.371 0.01 0.146 0.303 0.131 Current Cumulative lbs/ac 0.128 0.111 5.370 3.662 0.391 0.011 0.166 0.360 0.151 Permitted C. P. L. R.****1 3 1 34 1 1338 1 1 267 1 15 1 1 374 1 89 Permit PAN Limit 1 st/2nd Crop I 1 190 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Michael Hadley Owner: C.L. Hadley Predominant Soil Series: Acres Used: 27.74 Acres Permitted: 27.74 Site #: AM016 Field #: 40.20 GaB2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): mignon Com- Date Mack Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.05 0.40 Arsenic 0.011 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.011 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.315 0.061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.376 Chromiuni 0.147 0.134 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.281 Lead 0.011 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.011 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 denum Nickel 0.029 0.004 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Selenium 0.011 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.014 Zinc 0.630 2.506 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.136 Total Phos- 54.600 1.189 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 55.789 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington C.L. Hadley Operator: Michael Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 40.20 Site #: Predominant Soil Series: GaB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 211 Crop 2 Name: Acres Utilized: 27.74 AM016 Acres Permitted: 27.74 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t cc � � * c ?. * �' o' E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/24 188500 2.5 0.708 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 26.013 NA Fescue 5/28 91000 2.5 0.342 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 12.558 NA Fescue 8/8 117000 2.27 0.399 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 6.490 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 396500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 45.061 FO.000 Lime Applied Annuallbs/acre 0.014 0.014 0.376 0.281 0.014 0.001 0.014 0.033 0.014 3.136 55.789 13.291 16.427 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.102 0.08 5.893 1 2.313 0.349 0.013 0.151 0.413 0.141 Current Cumulative lbs/ac 0.116 0.094 6.269 2.594 0.363 0.014 0.165 0.446 0.155 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 211 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 22.04 Operator: Michael Hadley Owner: Russell Hadley Trust Predominant Soil Series: HdC2 Acres Used: 32.94 Acres Permitted: 32.94 Site #: AM016 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): 11,11MR)WINUMME Com- po Mack W moon MENOMMEN0000 TotalDate Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 21 3 4 J 6 7 8 9 j 1-2-1 11 j 12 y DT/Ac./ App. 14 Event 0.17 0.50 Arsenic 0.002 0.005 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.007 Cadmium 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Copper 0.050 0.078 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.127 Chromium.0.023 0.169 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.192 Lead 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Mercury 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 Molyb- 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 denum Nickel 0.005 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.010 Selenium 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Zinc 0.099 3.165 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.264 Total Phos- 8.580 1.502 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10.082 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Russell Hadley Trust Operator: Michael Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 22.04 Site #: Predominant Soil Series: HdC2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 198 Crop 2 Name: 4 Acres Utilized: 32.94 AM016 Acres Permitted: 32.94 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t c�c * c ?. * �' o' E. - q a• o TKN mg/kg a o aQ 5 mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/9 52000 2.5 0.165 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 6.043 NA Fescue 8/8 45500 2.27 0.131 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 2.126 NA Fescue 8/9 130000 2.27 0.374 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 6.073 NA Fescue 0.000 0.000 0.000 0.000 1 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 14.241 o.000 Lime Applied Annuallbs/acre 0.007 0.007 0.127 0.192 0.007 0.000 0.007 0.010 0.007 3.264 10.082 13.068 16.332 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.085 0.06 5.095 3.354 0.497 0.018 0.138 0.361 0.115 Current Cumulative lbs/ac 0.092 0.067 5.222 3.546 0.504 0.018 0.145 0.371 0.122 Permitted C. P. L. R.****1 36 1 34 1 1338 1 1 267 1 15 1 1 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 198 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 50.31 Operator: Michael Hadley Owner: Michael Hadley Predominant Soil Series: GaB2 Acres Used: 10.5 Acres Permitted: 10.5 Site #: AM016 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- Date Mack Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.03 0.89 2.87 Arsenic 0.010 0.009 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Cadmium 0.010 0.009 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Copper 0.310 0.236 0.442 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.988 Chromiuni 0.145 0.082 0.965 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.191 Lead 0.010 0.009 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Mercury 0.000 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.010 0.009 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 denum Nickel 0.029 0.039 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.097 Selenium 0.010 0.009 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Zinc 0.620 0.763 18.030 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 19.413 Total Phos- 53.716 24.836 8.556 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 87.108 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Michael Hadley Operator: Michael Hadley Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 50.31 Site #: Predominant Soil Series: GaB2 Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 10.5 AM016 Acres Permitted: 10.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches - cc � � * c ?. * �' o' , E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/28 104000 2.5 1.033 South Burlington D <.5" S 0.5 0.3 47000 21000 60 37.916 NA Fescue 5/29 45500 4.91 0.887 East Burlington D <.5" S 0.5 0.3 28000 12000 50 19.253 NA Fescue 8/5 149500 2.27 1.348 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 21.909 NA Fescue 8/6 169000 2.27 1.524 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 24.767 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 468000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 10-3 845 FO.000 Lime Applied Annuallbs/acre 0.048 0.048 0.988 1.191 0.048 0.002 0.048 0.097 0.048 19.413 87.108 6.512 25.925 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.086 0.086 1 2.451 1 1.261 0.144 1 0.003 0.086 1 0.192 0.086 Current Cumulative lbs/ac 0.134 0.134 3.439 2.452 0.192 0.005 0.134 0.289 0.134 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 158 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Albert Mills Owner: Albert Mills Predominant Soil Series: 25.35 Acres Permitted: 25.35 Site #: AM018 Field #: 74.91 IbB2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.51 2.45 Arsenic 0.005 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Cadmium 0.005 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Copper 0.107 0.980 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.087 Chromiuni 0.046 0.343 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.388 Lead 0.005 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 Mercury 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 Molyb- 0.005 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.030 denum Nickel 0.008 0.118 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.126 Selenium 0.005 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.030 Zinc 0.233 3.967 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.200 Total Phos- 23.276 97.960 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 121.236 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Albert Mills Operator: Albert Mills WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 74.91 Site #: Predominant Soil Series: IbB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 123 Crop 2 Name: Acres Utilized: 25.35 AM018 Acres Permitted: 25.35 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/9 26000 3.94 0.169 South Burlington Dry <.5" S 0.5 0.3 49000 23000 50 6.521 NA Fescue 10/9 169000 4.09 1.137 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 28.062 NA Fescue 10/10 26000 3.94 0.169 South Burlington Dry <.5" S 0.5 0.3 49000 23000 50 6.521 NA Fescue 10/10 195000 4.09 1.312 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 32.379 NA Fescue 10/11 26000 3.94 0.169 South Burlington Dry <.5" S 0.5 0.3 49000 23000 50 6.521 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 442000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 80.005 FO.000 Lime Applied Annuallbs/acre 0.030 0.030 1.087 0.388 0.030 0.000 0.030 0.126 0.030 4.200 121.236 11.909 16.109 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.074 0.046 4.751 3.434 0.385 0.013 0.128 0.294 0.112 Current Cumulative lbs/ac 0.104 0.076 5.838 3.822 0.415 0.013 0.158 0.420 0.142 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 123 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Albert Mills Owner: Albert Mills Predominant Soil Series: 11.95 Acres Permitted: 11.95 Site #: AM018 Field #: 16.63 IbB2 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.39 Arsenic 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.557 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.557 Chromiuni 0.195 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.195 Lead 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Mercury 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 Molyb- 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 denum Nickel 0.067 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.067 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Zinc 2.255 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.255 Total Phos- 55.680 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 55.680 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Albert Mills Operator: Albert Mills Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 16.63 Site #: Predominant Soil Series: IbB2 Crop 1 Max. PAN: 121 Crop 2 Name: Acres Utilized: 11.95 AM018 Acres Permitted: 11.95 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/11 97500 4.09 1.392 East Burlington Dry <.5" S 0.5 0.3 31000 15000 40 34.343 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 97500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 34.343 FO.000 Lime Applied Annuallbs/acre 0.014 0.014 0.557 0.195 0.014 0.000 0.014 0.067 0.014 2.255 55.680 11.384 13.639 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.07 0.042 4.303 1 3.058 0.347 0.012 0.118 0.271 0.104 Current Cumulative lbs/ac 0.084 0.056 4.860 3.253 0.361 0.012 0.132 0.338 0.118 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 121 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series: Acres Used: 10.91 Acres Permitted: 10.91 Site #: AM109 Field #: 52.01 HcB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date ENE Olson MENEEMBEEMEM Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 2.70 2.07 Arsenic 0.027 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Cadmium 0.027 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Copper 0.194 0.910 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.104 Chromiuni 0.475 0.302 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.777 Lead 0.027 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Mercury 0.001 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.027 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 denum Nickel 0.027 0.124 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.151 Selenium 0.027 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Zinc 3.833 3.309 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 7.141 Total Phos- 21.592 66.176 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 87.768 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Chapman McQueen Operator: Lonnie Thompson WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 52.01 Site #: Predominant Soil Series: HcB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 169 Crop 2 Name: Acres Utilized: 10.91 AM109 Acres Permitted: 10.91 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches - cc � � * c ?. * �' o' , E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 7/9 45500 1.53 0.266 Mackintosh Dry <.5" S 0.5 0.4 20000 7000 20 4.640 NA Fescue 7/10 221000 1.53 1.292 Mackintosh Dry <.5" S 0.5 0.4 20000 7000 20 22.539 NA Fescue 7/11 195000 1.53 1.140 Mackintosh Dry <.5" S 0.5 0.4 20000 7000 20 19.888 NA Fescue 9/24 162500 3.33 2.068 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 50.197 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 624000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 97.265 FO.000 Lime Applied Annuallbs/acre 0.048 0.048 1.104 0.777 0.048 0.002 0.048 0.151 0.048 7.141 87.768 61.679 68.820 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.413 0.394 1 32.756 1 11.025 6.444 1 0.114 1.122 1 3.402 0.421 Current Cumulative lbs/ac 0.461 0.442 33.860 11.802 6.492 0.116 1.170 3.553 0.469 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 169 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series: Acres Used: 5.66 Acres Permitted: 5.66 Site #: AM109 Field #: 21.83 HcB 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): m- posite W © EEOW TotalDate Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 11 21 31 4 J 6 7 8 9 1� 11j 12 y DT/Ac./ App. 14 Event 1.47 2.39 Arsenic 0.015 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Cadmium 0.015 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Copper 0.105 1.052 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.158 Chromium 0.258 0.349 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.607 Lead 0.015 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Mercury 0.001 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.015 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 denum Nickel 0.015 0.144 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.158 Selenium 0.015 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.039 Zinc 2.080 3.827 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.908 Total Phos- 11.720 76.544 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 88.264 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Chapman McQueen Operator: Lonnie Thompson WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 21.83 Site #: Predominant Soil Series: HcB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 169 Crop 2 Name: Acres Utilized: 5.66 AM109 Acres Permitted: 5.66 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches - cc � � * c ?. * �' o' , E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 7/9 130000 1.53 1.465 Mackintosh Dry <.5" S 0.5 0.4 20000 7000 20 25.556 NA Fescue 9/25 97500 3.33 2.392 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 58.055 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 227500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 83.611 FO.000 Lime Applied Annuallbs/acre 0.039 0.039 1.158 0.607 0.039 0.002 0.039 0.158 0.039 5.908 88.264 0.451 0.46 35.503 1 11.748 5.568 0.136 1.194 3.415 0.465 72.512 0.490 0.499 36.661 12.355 5.607 0.138 1.233 3.573 0.504 78.420 36 34 1339 267 15 374 89 2498 1 169 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Leonidas Newlin Owner: Leonidas Newlin Predominant Soil Series: Acres Used: 15 Acres Permitted: 19.48 Site #: AM110 Field #: 42.50 GaB 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date soon mammon Non no 0 Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 2.07 0.77 Arsenic 0.021 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Cadmium 0.021 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Copper 0.826 0.276 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.102 Chromiuni 0.454 0.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.586 Lead 0.021 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.021 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 m denu Nickel 0.074 0.037 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.111 Selenium 0.021 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.028 Zinc 1.569 0.722 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.291 Total Phos- 99.120 18.432 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 117.552 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Leonidas Newlin Operator: Leonidas Newlin WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 42.50 Site #: Predominant Soil Series: GaB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 211 Crop 2 Name: Acres Utilized: 15 AM110 Acres Permitted: 19.48 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t c�c � � * o ?. * �' o' - a• o TKN mg/kg a o aQ 5 �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/6 117000 2.54 0.826 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 30.634 NA Fescue 6/17 175500 2.54 1.239 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 45.951 NA Fescue 6/18 52000 5.31 0.768 East Burlington Dry <.5" S 0.5 0.3 26000 16000 30 16.934 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 3445001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 93.519 FO.000 Lime Applied Annuallbs/acre 0.028 0.028 1.102 0.586 0.028 0.001 0.028 0.111 0.028 2.291 117.5521 36.795 39.086 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.245 0.2 1 20.003 1 7.379 3.711 1 0.073 0.842 1 2.05 0.227 Current Cumulative lbs/ac 0.273 0.228 21.105 7.965 3.739 0.074 0.870 2.161 0.255 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 211 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 126.18 Operator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB Acres Used: 46.39 Acres Permitted: 46.39 Site #: AM116 Field #: 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 SB 2/4/19 2 EBSB 3/4/19 L3/4/19 4 SB 10/7/19 5 EB 11/4/19 6 7 8 9 10 11 12 % Solids 2.98 3.67 2.84 1 3.44 3.25 Arsenic 5 5 5 5 5 Cadmium 5 5 5 5 5 Copper 180 180 176 140 130 Chromium 70 80 77 51 50 Lead 5 5 5 5 5 Mercury 0.2 0.2 0.2 0.2 0.2 Molyb- denum 5 5 5 5 5 Nickel 10 42 50 16 22 Selenium 5 5 5 5 5 Zinc 330 580 317 305 550 Total Phos- horns 26000 10000 17000 21000 12250 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ App. Event 0.60 0.37 0.25 0.12 1.39 Arsenic 1 0.006 0.004 0.003 0.001 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Cadmium 0.006 0.004 0.003 0.001 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 0.215 0.132 0.088 0.034 0.360 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.829 Chromium0.083 0.059 0.039 0.012 0.139 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.332 Lead 0.006 0.004 0.003 0.001 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Mercury 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.006 0.004 0.003 0.001 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 0.012 0.031 0.025 0.004 0.061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.133 Selenium 0.006 0.004 0.003 0.001 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 0.393 0.426 0.159 0.074 1.525 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.576 Total Phos- 30.992 7.340 8.500 5.082 33.957 0.000 0.000 0.000 0.000 0.000 0.000 0.000 85.87 horus "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 1/8/2020 Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Burlington WQ Permit #: WQ0000520 Field #: 3 Acres Utilized: HWB Family Annual Dry Tons Applied: 126.18 Site #: AM116 Acres Permitted: David Ridlin Crop 1 Name: Corn - Grain Predominant Soil Series: Crop 1 Max. PAN: 132 GaB Crop 2 Name: Cation Exchange Capacity (non 503): Wheat Crop 2 Max. PAN: 46.39 46.39 0 50 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * o * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/29 91000 2.98 0.244 South Burlington Dry <.5" S 0.5 0.3 43000 28000 70 9.053 NA Corn 3/30 130000 2.98 0.348 South Burlington Dry <.5" S 0.5 0.3 43000 28000 70 12.933 NA Corn 4/12 6500 3.67 0.021 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 0.431 NA Corn 4/18 104000 3.67 0.343 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 6.889 NA Corn 4/23 97500 2.84 0.249 South Burlington Dry <.5" S 0.5 0.3 45000 29000 50 9.633 NA Corn 11/22 39000 3.44 0.121 South Burlington Dry <.5" S 0.5 0.3 48000 1 20000 65 Na 4.454 Wheat 12/6 143000 3.25 0.418 East Burlington Dry <.5" S 0.5 0.3 33000 18000 30 Na 11.305 Wheat 12/7 286000 3.25 0.836 East Burlington Dry <.5" S 0.5 0.3 33000 18000 30 Na 22.609 Wheat 12/8 45500 3.25 0.133 East Burlington Dry <.5" S 0.5 0.3 33000 18000 30 Na 3.597 Wheat 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 942500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 38.939 141.965 Lime Applied Annuallbs/acre 0.027 0.027 0.829 0.332 0.027 0.001 0.027 0.133 0.027 2.576 85.871 15.296 17.872 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.115 0.085 7.588 3.594 0.823 0.03 0.23 0.914 0.113 Current Cumulative lbs/ac 0.142 0.112 8.417 3.926 0.850 0.031 0.257 1.047 0.140 Permitted C. P. L. R.**** 36 34 1338 1 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 132 50 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 27.94 Operator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB Acres Used: 15.66 Acres Permitted: 15.66 Site #: AM116 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.03 0.19 0.56 Arsenic 0.010 0.002 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Cadmium 0.010 0.002 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Copper 0.363 0.053 0.146 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.563 Chromiuni 0.159 0.020 0.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.236 Lead 0.010 0.002 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.010 0.002 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.103 0.007 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.135 Selenium 0.010 0.002 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Zinc 0.654 0.223 0.619 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.497 Total Phos- 35.088 4.536 13.794 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 53.418 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Burlington WQ Permit #: WQ0000520 Field #: 4 Acres Utilized: HWB Family Annual Dry Tons Applied: 27.94 Site #: AM116 Acres Permitted: David Ridlin Crop 1 Name: Corn Predominant Soil Series: Crop 1 Max. PAN: 132 GaB Crop 2 Name: Cation Exchange Capacity (non 503): Wheat Crop 2 Max. PAN: 15.66 15.66 0 50 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � c�c � � * o ?. * �' o' - a• o TKN mg/kg a a o I aQ 5 �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/1 104000 2.84 0.786 South Burlington Dry <.5" S 0.5 0.3 45000 29000 50 30.437 NA Corn 4/2 32500 2.84 0.246 South Burlington Dry <.5" S 0.5 0.3 45000 29000 50 9.512 NA Corn 11/27 26000 2.73 0.189 East Burlington Dry <.5" S 0.5 0.3 26000 12000 45 Na 3.873 Wheat 12/6 65000 3.25 0.563 East Burlington Dry <.5" S 0.5 0.3 33000 18000 30 Na 15.222 Wheat 0.000 1 0.000 0.000 0.000 1 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.949 F19.095 Lime Applied Annuallbs/acre 0.018 0.018 0.563 0.236 0.018 0.001 0.018 0.135 0.018 1.497 53.418 15.2 16.697 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.108 0.088 7.354 3.676 0.723 0.031 0.222 0.989 0.132 Current Cumulative lbs/ac 0.126 0.106 7.917 3.912 0.741 0.032 0.240 1.124 0.150 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 132 1 50 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 19.24 Operator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB Acres Used: 8.53 Acres Permitted: 8.53 Site #: AM116 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 2.26 Arsenic 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Cadmium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Copper 0.794 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.794 Chromium 0.347 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.347 Lead 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.226 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.226 Selenium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Zinc 1.430 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.430 Total Phos- 76.704 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 76.70 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (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: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Corn - Grain WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 19.24 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 132 Crop 2 Name: Acres Utilized: 8.53 AM116 Acres Permitted: 8.53 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t c�c � � * o ?. * �' o' p - �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/4 162500 2.84 2.256 South Burlington Dry <.5" S 0.5 0.3 45000 29000 50 87.311 NA Corn 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1625001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 87.311 FO.000 Lime Applied Annuallbs/acre 0.023 0.023 0.794 0.347 0.023 0.001 0.023 0.226 0.023 1.430 76.704 4.088 5.518 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.041 0.034 2.492 1 0.932 0.171 0.007 0.074 0.296 0.04 Current Cumulative lbs/ac 0.064 0.057 3.286 1.279 0.194 0.008 0.097 0.522 0.063 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 132 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 88.15 Acres Permitted: 88.15 Site #: AM116 Field #: 164.05 TaB 7 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.48 1.14 0.25 Arsenic 0.005 0.011 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Cadmium 0.005 0.011 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 0.171 0.694 0.089 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.954 Chromiuni 0.067 0.214 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.320 Lead 0.005 0.011 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.005 0.011 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.010 0.091 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.121 Selenium 0.005 0.011 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Zinc 0.314 1.956 0.288 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.557 Total Phos- 24.752 45.480 4.960 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 75.192 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (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: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 164.05 Site #: Predominant Soil Series: TaB Crop 1 Max. PAN: 48 Crop 2 Name: Acres Utilized: 88.15 AM116 Acres Permitted: 88.15 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/14 143000 2.98 0.202 South Burlington Dry <.5" S 0.5 0.3 43000 28000 70 7.487 NA Cotton 3/18 78000 4.02 0.148 East Burlington Dry <.5" S 0.5 0.3 27000 10000 45 3.010 NA Cotton 3/19 117000 2.98 0.165 South Burlington Dry <.5" S 0.5 0.3 43000 28000 70 6.126 NA Cotton 3/20 78000 4.02 0.148 East Burlington Dry <.5" S 0.5 0.3 27000 10000 45 3.010 NA Cotton 3/25 136500 4.02 0.260 East Burlington Dry <.5" S 0.5 0.3 27000 10000 45 5.267 NA Cotton 3/27 143000 4.02 0.272 East Burlington Dry <.5" S 0.5 0.3 27000 10000 45 5.518 NA Cotton 3/28 162500 4.02 0.309 East Burlington Dry <.5" S 0.5 0.3 27000 10000 45 6.270 NA Cotton 3/29 78000 2.98 0.110 South Burlington Dry <.5" S 0.5 0.3 43000 28000 70 4.084 NA Cotton 4/24 143000 3.67 0.248 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 4.985 NA Cotton 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: o io79000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 45.756 o.000 Lime Applied Annuallbs/acre 0.019 0.019 0.954 0.320 0.019 0.001 0.019 0.121 0.019 2.557 75.192 0.143 0.127 9.106 4.126 1.073 0.046 0.34 0.636 0.156 18.798 0.162 0.146 10.060 4.446 1.092 0.047 0.359 0.757 0.175 21.355 36 34 1338 267 15 374 89 2498 48 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 68.64 Acres Permitted: 68.64 Site #: AM116 Field #: 58.07 TaB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.18 0.67 Arsenic 0.002 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Cadmium 0.002 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Copper 0.063 0.240 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.303 Chromiuni 0.028 0.107 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.134 Lead 0.002 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Mercury 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 Molyb- 0.002 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 denum Nickel 0.018 0.056 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.074 Selenium 0.002 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.008 Zinc 0.113 0.774 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.887 Total Phos- 6.086 13.340 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 19.426 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (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: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 58.07 Site #: Predominant Soil Series: TaB Crop 1 Max. PAN: 48 Crop 2 Name: Acres Utilized: 68.64 AM116 Acres Permitted: 68.64 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/23 104000 2.84 0.179 South Burlington Dry <.5" S 0.5 0.3 45000 29000 50 6.944 NA Cotton 4/25 130000 3.67 0.290 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 5.820 NA Cotton 4/26 52000 3.67 0.116 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 2.328 NA Cotton 4/29 117000 3.67 0.261 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 5.238 NA Cotton 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 403000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 20.330 FO.000 Lime Applied Annuallbs/acre 0.008 0.008 0.303 0.134 0.008 0.000 0.008 0.074 0.008 0.887 19.426 0.139 0.117 1 7.709 1 3.908 1.025 1 0.04 0.301 0.512 0.142 17.073 0.147 0.125 8.012 4.042 1.033 0.040 0.309 0.586 0.150 17.960 36 34 1338 267 15 374 89 2498 1 48 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 40.37 Acres Permitted: 40.37 Site #: AM116 Field #: 31.85 GaB 9 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.79 Arsenic 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 Cadmium 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 Copper 0.237 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.237 Chromiuni 0.110 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.110 Lead 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 Mercury 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 Molyb- 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 denum Nickel 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Selenium 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 Zinc 0.473 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.473 Total Phos- 41.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 41.028 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington HWB Family Operator: David Ridlin David Ridlin Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 31.85 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 50 Crop 2 Name: Acres Utilized: 40.37 AM116 Acres Permitted: 40.37 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip.> Past 24 Hrs. inches c�c � � * o ?. * �' o' � - �. � a• o TKN mg/kg o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/7 130000 2.5 0.336 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 12.327 12.327 5/8 175500 2.5 0.453 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 16.642 16.642 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 305500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 28.969 28.969 Lime Applied Annuallbs/acre 0.008 0.008 0.237 0.110 0.008 0.000 0.008 0.022 0.008 0.473 41.028 20.202 20.675 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.105 0.088 10.961 3.554 1.036 0.046 0.301 0.745 0.143 CEC 660 Current Cumulative lbs/ac 0.113 0.096 11.198 3.664 1.044 0.046 0.309 0.767 0.151 See Permitted C. P. L. R.**** 36 1 34 1338 267 15 374 89 Attachment Permit PAN Limit 1 st/2nd Crop 1 50 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 41.77 Operator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB Acres Used: 41.03 Acres Permitted: 41.03 Site #: AM116 Field #: 13 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): . posite Date no Bonn ME 0 0 0 0 0 0 0 0 Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.28 0.24 0.50 Arsenic 0.003 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Cadmium 0.003 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Copper 0.099 0.087 0.149 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.335 Chromiuni 0.043 0.039 0.069 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.151 Lead 0.003 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Mercury 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 Molyb- 0.003 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 denum Nickel 0.028 0.020 0.014 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.062 Selenium 0.003 0.002 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Zinc 0.178 0.281 0.297 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.756 Total Phos- 9.554 4.840 25.740 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 40.134 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (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: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 41.77 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 50 Crop 2 Name: 13 Acres Utilized: 41.03 AM116 Acres Permitted: 41.03 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t c�c � � * o ?. * �' o' - �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/30 97500 2.84 0.281 South Burlington Dry <.5" S 0.5 0.3 45000 29000 50 10.891 NA Cotton 4/30 65000 3.67 0.242 East Burlington Dry <.5" S 0.5 0.3 26000 11000 40 4.868 NA Cotton 5/1 195000 2.5 0.495 South Burlington Dry <.5" S 0.5 0.3 47000 21000 60 18.193 NA Cotton 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 357500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 33.953 FO.000 Lime Applied Annuallbs/acre 0.010 0.010 0.335 0.151 0.010 0.000 0.010 0.062 0.010 0.756 40.134 14.69 15.446 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.1 0.08 7.226 1 3.289 0.503 0.026 0.197 0.505 0.141 Current Cumulative lbs/ac 0.110 0.090 7.561 3.440 0.513 0.026 0.207 0.567 0.151 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 50 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): 6.89 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Russell Cartner Owner: Russell Cartner Predominant Soil Series: HcB Acres Used: 3.4 Acres Permitted: 3.4 Site #: AM120 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.03 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.810 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.810 Chromiuni 0.446 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.446 Lead 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.073 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.073 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 1.539 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.539 Total Phos- 97.200 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 97.200 horus "1 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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Russell Cartner Operator: Russell Cartner Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 6.89 Site #: Predominant Soil Series: HcB Crop 1 Max. PAN: 126 Crop 2 Name: Acres Utilized: 3.4 AM120 Acres Permitted: 3.4 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches - cc � � * c ?. * �' o' p , E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/27 65000 2.54 2.025 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 75.083 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 65000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 75.083 FO.000 Lime Applied Annuallbs/acre 0.020 0.020 0.810 0.446 0.020 0.001 0.020 0.073 0.020 1.539 97.200 0.126 0.121 9.264 1 3.933 2.672 0.033 0.348 0.698 0.155 18.135 0.146 0.141 10.074 4.379 2.692 0.034 0.368 0.771 0.175 19.674 36 34 1338 267 15 374 89 2498 1 126 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 17.21 Operator: Edgar Cashwell Owner: Edgar Cashwell Predominant Soil Series: HcB Acres Used: 8.71 Acres Permitted: 8.71 Site #: AM121 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.98 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.790 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.790 Chromiuni 0.435 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.435 Lead 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.071 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.071 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 1.502 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.502 Total Phos- 94.848 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 94.848 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Edgar Cashwell Operator: Edgar Cashwell WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 17.21 Site #: Predominant Soil Series: HcB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 126 Crop 2 Name: Acres Utilized: 8.71 AM121 Acres Permitted: 8.71 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t cc � � * c ?. * �' o' p E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/27 162500 2.54 1.976 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 73.273 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1625001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 73.273 FO.000 Lime Applied Annuallbs/acre 0.020 0.020 0.790 0.435 0.020 0.001 0.020 0.071 0.020 1.502 94.848 23.604 25.106 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.147 0.132 12.464 1 5.054 3.047 0.054 0.411 0.847 0.171 Current Cumulative lbs/ac 0.167 0.152 13.254 5.489 3.067 0.055 0.431 0.918 0.191 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 126 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): 18.94 Operator: Steven Wright Owner: Steven Wright Predominant Soil Series: DdB Acres Used: 4.34 Acres Permitted: 4.34 Site #: AM123 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): mignon Com- Date Mack Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.38 1.99 Arsenic 0.024 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.044 Cadmium 0.024 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.044 Copper 0.952 0.306 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.257 Chromiuni 0.523 0.667 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.190 Lead 0.024 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.044 Mercury 0.001 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.024 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.044 denum Nickel 0.086 0.020 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.105 Selenium 0.024 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.044 Zinc 1.808 12.466 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 14.274 Total Phos- 114.192 5.915 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 120.107 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Steven Wright Operator: Steven Wright WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 18.94 Site #: Predominant Soil Series: DdB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 194 Crop 2 Name: Acres Utilized: 4.34 AM123 Acres Permitted: 4.34 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/28 97500 2.54 2.379 South Burlington Dry <.5" S 0.5 0.3 47000 22000 40 88.232 NA Fescue 7/31 65000 2.27 1.418 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 23.046 NA Fescue 8/1 26000 2.27 0.567 Mackintosh D <.5" S 0.5 0.4 18000 9000 28 9.218 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1885001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 120.496 FO.000 Lime Applied Annuallbs/acre 0.044 0.044 1.257 1.190 0.044 0.002 0.044 0.105 0.044 14.274 120.107 4.224 18.498 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.083 0.083 1 1.444 1 1.022 1.621 1 0.003 0.083 1 0.218 0.083 Current Cumulative lbs/ac 0.127 0.127 2.701 2.212 1.665 0.005 0.127 0.323 0.127 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 194 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Brewer Owner: James Brewer Predominant Soil Series: Acres Used: 14.82 Acres Permitted: 14.82 Site #: CH039 Field #: 20.72 CmB 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.40 Arsenic 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.475 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.475 Chromiuni 0.215 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.215 Lead 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 denum Nickel 0.067 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.067 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Zinc 1.286 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.286 Total Phos- 30.756 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 30.756 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington James Brewer Operator: James Brewer WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 20.72 Site #: Predominant Soil Series: CniB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 189 Crop 2 Name: Acres Utilized: 14.82 CH039 Acres Permitted: 14.82 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/26 169000 294 1.398 South Burlington D <.5" S 0.5 0.3 47000 19000 46 50.179 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1690001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 50.179 FO.000 Lime Applied Annuallbs/acre 0.014 0.014 0.475 0.215 0.014 0.001 0.014 0.067 0.014 1.286 30.756 6.641 7.927 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.056 0.046 3.231 1 2.321 0.28 0.016 0.08 0.2 0.066 Current Cumulative lbs/ac 0.070 0.060 3.706 2.536 0.294 0.017 0.094 0.267 0.080 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 189 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): 6.38 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Brewer Owner: James Brewer Predominant Soil Series: GaB Acres Used: 20.38 Acres Permitted: 20.38 Site #: CH039 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.31 Arsenic 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 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 0.003 Copper 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 Chromiuni 0.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 Lead 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 Mercury 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 Molyb- 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 denum Nickel 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Selenium 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 Zinc 0.288 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.288 Total Phos- 6.886 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.886 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington James Brewer Operator: James Brewer Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 6.38 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 158 Crop 2 Name: 4 Acres Utilized: 20.38 CH039 Acres Permitted: 20.38 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/27 52000 2.94 0.313 South Burlington D <.5" S 0.5 0.3 47000 19000 46 11.227 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 52000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 11.227 FO.000 Lime Applied Annuallbs/acre 0.003 0.003 0.106 0.048 0.003 0.000 0.003 0.015 0.003 0.288 6.886 6.964 7.252 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.071 0.063 1 3.546 1 2.296 0.222 1 0.015 0.091 1 0.229 0.077 Current Cumulative lbs/ac 0.074 0.066 3.652 2.344 0.225 0.015 0.094 0.244 0.080 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 158 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Brewer Owner: James Brewer Predominant Soil Series: Acres Used: 32.61 Acres Permitted: 32.61 Site #: CH040 Field #: 58.80 GaB 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.18 0.62 Arsenic 0.012 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Cadmium 0.012 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Copper 0.402 0.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.533 Chromiuni 0.182 0.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.238 Lead 0.012 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.012 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.057 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.067 Selenium 0.012 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Zinc 1.087 0.286 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.373 Total Phos- 25.982 28.612 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 54.594 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington James Brewer Operator: James Brewer Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 58.80 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 32.61 CH040 Acres Permitted: 32.61 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/27 78000 3.74 0.373 South Burlington D <.5" S 0.5 0.3 47000 19000 46 13.389 NA Fescue 9/30 169000 3.74 0.808 South Burlington D <.5" S 0.5 0.3 47000 19000 46 29.010 NA Fescue 10/1 123500 3.94 0.622 South Burlington D <.5" S 0.5 0.3 49000 23000 50 24.080 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 370500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 66.479 FO.000 Lime Applied Annuallbs/acre 0.018 0.018 0.533 0.238 0.018 0.001 0.018 0.067 0.018 1.373 54.594 0.204 0.142 16.75 1 7.127 1.288 0.059 0.421 1.026 0.227 29.276 0.222 0.160 17.283 7.365 1.306 0.060 0.439 1.093 0.245 30.649 36 34 1338 267 15 374 89 2498 1 158 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: 7.78 Acres Permitted: 7.78 Site #: CH098 Field #: 20.52 CmB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.64 Arsenic 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Cadmium 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Copper 0.738 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.738 Chromium 0.269 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.269 Lead 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 denum Nickel 0.084 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.084 Selenium 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Zinc 1.609 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.609 Total Phos- 110.754 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 110.754 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 20.52 Site #: Predominant Soil Series: CniB Crop 1 Max. PAN: 141 Crop 2 Name: Acres Utilized: 7.78 CH098 Acres Permitted: 7.78 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � a * o * �' o' p - ~ * � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 11/22 143000 3.44 2.637 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 97.371 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1430001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 97.371 FO.000 Lime Applied Annuallbs/acre 0.026 0.026 0.738 0.269 0.026 0.001 0.026 0.084 0.026 1.609 110.7541 11.991 13.600 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.14 0.058 4.14 1 2.918 0.628 0.016 0.13 0.296 0.119 Current Cumulative lbs/ac 0.166 0.084 4.878 3.187 0.654 0.017 0.156 0.380 0.145 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 141 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): 1.48 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: BdB Acres Used: 20.05 Acres Permitted: 20.05 Site #: CH098 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 0.07 Arsenic 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Cadmium 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Copper 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 Chromiuni 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 Lead 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Mercury 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 Molyb- 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 denum Nickel 0.003 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.003 Selenium 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Zinc 0.087 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.087 Total Phos- 1.776 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.776 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 1.48 Site #: Predominant Soil Series: BdB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 171 Crop 2 Name: 4 Acres Utilized: 20.05 CH098 Acres Permitted: 20.05 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 11/18 13000 2.73 0.074 East Burlington Dry <.5" S 0.5 0.3 26000 12000 45 1.512 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 130001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 1.512 FO.000 Lime Applied Annuallbs/acre 0.001 0.001 0.021 0.008 0.001 0.000 0.001 0.003 0.001 0.087 1.776 0.02 0.012 1 1.522 1 0.682 0.31 1 0.005 0.03 1 0.091 0.03 4.193 0.021 0.013 1.543 0.690 0.311 0.005 0.031 0.094 0.031 4.280 36 34 1339 267 15 374 89 2498 1 171 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): 14.92 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: CmB Acres Used: 8.87 Acres Permitted: 8.87 Site #: CH098 Field #: 6 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 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 0.000 0.017 Cadmium 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Copper 0.471 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.471 Chromiuni 0.172 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.172 Lead 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 denum Nickel 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 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 0.017 Zinc 1.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.026 Total Phos- 70.644 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 70.644 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 14.92 Site #: Predominant Soil Series: CniB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 171 Crop 2 Name: Acres Utilized: 8.87 CH098 Acres Permitted: 8.87 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 11/5 104000 3.44 1.682 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 62.113 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 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1040001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 62.113 FO.000 Lime Applied Annuallbs/acre 0.017 0.017 0.471 0.172 0.017 0.001 0.017 0.054 0.017 1.026 70.644 4.589 5.615 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.044 0.031 1.856 1 1.34 0.138 1 0.006 0.056 0.154 0.056 CEC 1180 Current Cumulative lbs/ac 0.061 0.048 2.327 1.512 0.155 0.007 0.073 0.208 0.073 See Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Attachment Permit PAN Limit 1 st/2nd Crop 1 171 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: Acres Used: 12.06 Acres Permitted: 12.06 Site #: CH098 Field #: 22.38 CmB 7 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.86 Arsenic 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Cadmium 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 0.520 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.520 Chromiuni 0.189 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.189 Lead 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.059 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 Selenium 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Zinc 1.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.132 Total Phos- 77.952 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 77.95 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 22.38 Site #: Predominant Soil Series: CniB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 189 Crop 2 Name: Acres Utilized: 12.06 CH098 Acres Permitted: 12.06 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 11/5 65000 3.44 0.773 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 28.552 NA Fescue 11/6 91000 3.44 1.082 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 39.973 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1560001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 68.525 FO.000 Lime Applied Annuallbs/acre 0.019 0.019 0.520 0.189 0.019 0.001 0.019 0.059 0.019 1.132 77.952 6.817 7.949 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.062 0.048 3.281 1 2.561 0.417 1 0.01 0.084 0.262 0.084 CEC 1300 Current Cumulative lbs/ac 0.081 0.067 3.801 2.750 0.436 0.011 0.103 0.321 0.103 See Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Attachment Permit PAN Limit 1 st/2nd Crop 1 189 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: 15.61 Acres Permitted: 15.61 Site #: CH098 Field #: 27.97 CmB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 1.79 Arsenic 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Cadmium 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Copper 0.502 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.502 Chromiuni 0.183 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.183 Lead 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.057 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.057 Selenium 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Zinc 1.093 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.093 Total Phos- 75.264 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 75.264 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 27.97 Site #: Predominant Soil Series: CniB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 189 Crop 2 Name: Acres Utilized: 15.61 CH098 Acres Permitted: 15.61 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 11/4 182000 3.44 1.672 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 61.765 NA Fescue 11/5 13000 3.44 0.119 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 4.412 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1950001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 66.177 FO.000 Lime Applied Annuallbs/acre 0.018 0.018 0.502 0.183 0.018 0.001 0.018 0.057 0.018 1.093 75.264 5.779 6.872 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.036 0.024 2.37 1 2.243 0.32 1 0.007 0.059 0.144 0.059 CEC 1260 Current Cumulative lbs/ac 0.054 0.042 2.872 2.426 0.338 0.008 0.077 0.201 0.077 See Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Attachment Permit PAN Limit 1 st/2nd Crop 1 189 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: 24.12 Acres Permitted: 24.12 Site #: CH098 Field #: 52.34 CmB 9 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 J 6 7 8 9 j 1-2-1 11 j 12 y DT/Ac./ App. Event 2.17 14 Arsenic 0.022 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.022 Cadmium 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Copper 0.460 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.460 Chromium.0.195 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.195 Lead 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 denum Nickel 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.035 Selenium 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Zinc 0.998 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.998 Total Phos- 99.820 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 99.820 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 52.34 Site #: Predominant Soil Series: CniB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 189 Crop 2 Name: Acres Utilized: 24.12 CH098 Acres Permitted: 24.12 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/28 149500 3.94 1.018 South Burlington Dry <.5" S 0.5 0.3 49000 23000 50 39.410 NA Fescue 10/29 169000 3.94 1.151 South Burlington Dry <.5" S 0.5 0.3 49000 23000 50 44.551 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 3185001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 83.961 FO.000 Lime Applied Annuallbs/acre 0.022 0.022 0.460 0.195 0.022 0.001 0.022 0.035 0.022 0.998 99.820 8.534 9.532 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.095 0.082 3.781 1 3.241 0.385 1 0.009 0.12 0.319 0.115 CEC 1900 Current Cumulative lbs/ac 0.117 0.104 4.241 3.436 0.407 0.010 0.142 0.354 0.137 See Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Attachment Permit PAN Limit 1 st/2nd Crop 1 189 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: 30.99 Acres Permitted: 30.99 Site #: CH098 Field #: 65.51 CmB 10 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date non monsoon EMENOMEM Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 1.57 0.55 Arsenic 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.438 0.154 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.592 Chromiuni 0.160 0.059 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.219 Lead 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.050 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.070 Selenium 0.016 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Zinc 0.955 0.648 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.602 Total Phos- 65.730 13.176 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 78.91 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington William Brookbank Jr. Operator: Bobby Cooper Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 65.51 Site #: Predominant Soil Series: CniB Crop 1 Max. PAN: 141 Crop 2 Name: 10 Acres Utilized: 30.99 CH098 Acres Permitted: 30.99 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 11/6 143000 3.44 0.662 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 24.445 NA Fescue 11/7 195000 3.44 0.903 South Burlington Dry <.5" S 0.5 0.3 48000 20000 65 33.334 NA Fescue 11/11 117000 2.73 0.430 East Burlington Dry <.5" S 0.5 0.3 26000 12000 45 8.807 NA Fescue 11/18 32500 2.73 0.119 East Burlington Dry <.5" S 0.5 0.3 26000 12000 45 2.446 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 4875001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 69.032 FO.000 Lime Applied Annuallbs/acre 0.021 0.021 0.592 0.219 0.021 0.001 0.021 0.070 0.021 1.602 78.906 36.613 38.215 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.24 0.152 13.243 1 6.517 1.899 0.049 0.362 1.414 0.252 Current Cumulative lbs/ac 0.261 0.173 13.835 6.736 1.920 0.050 0.383 1.484 0.273 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 141 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Dennis Simmons Owner: Delmar Allred Predominant Soil Series: 28.42 Acres Permitted: 28.42 Site #: CS018 Field #: 47.32 ApB 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date soon mammon Non no 0 Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 0.37 1.30 Arsenic 0.004 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Cadmium 0.004 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Copper 0.124 0.434 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.558 Chromiuni 0.056 0.112 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.168 Lead 0.004 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.004 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 denum Nickel 0.018 0.055 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.072 Selenium 0.004 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Zinc 0.336 1.742 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.078 Total Phos- 8.030 13.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 21.030 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Delmar Allred Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 47.32 Site #: Predominant Soil Series: ApB Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 28.42 CS018 Acres Permitted: 28.42 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8/21 6500 2.94 0.028 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 1.006 NA Fescue 8/26 26000 2.94 0.112 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 4.026 NA Fescue 8/26 84500 2.9 0.360 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 8.083 NA Fescue 8/27 26000 2.94 0.112 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 4.026 NA Fescue 8/27 1 162500 1 2.9 0.691 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 15.544 NA Fescue 8/28 26000 2.94 0.112 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 4.026 NA Fescue 8/28 58500 2.9 0.249 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 5.596 NA Fescue 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 i 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 0 39000o As Cd Cu Cr Pb H Mo Ni Se Zn P 42.306 0.000 Lime A lied Annuallbs/acre 0.017 0.017 0.558 0.168 0.017 0.001 0.017 0.072 0.017 2.078 21.030 18.554 20.632 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.12 0.095 6.52 2.399 0.965 0.026 0.189 0.587 0.173 Current Cumulative lbs/ac 0.137 0.112 7.078 2.567 0.982 0.027 0.206 0.659 0.190 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 178 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 22.91 Acres Permitted: 22.91 Site #: CS036 Field #: 56.11 IrB 6 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.51 1.94 Arsenic 0.005 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Cadmium 0.005 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Copper 0.109 0.774 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.883 Chromiuni 0.046 0.271 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.317 Lead 0.005 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.005 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 denum Nickel 0.008 0.093 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.101 Selenium 0.005 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Zinc 0.236 3.136 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.372 Total Phos- 23.598 77.440 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 01.038 horns L "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 56.11 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: 87 Crop 2 Name: Acres Utilized: 22.91 CS036 Acres Permitted: 22.91 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/2 45500 3.94 0.326 South Burlington D <.5" S 0.5 0.3 49000 23000 50 12.628 NA Fescue 10/2 136500 4.09 1.016 East Burlington D <.5" S 0.5 0.3 31000 15000 40 25.079 NA Fescue 10/3 26000 3.94 0.186 South Burlington D <.5" S 0.5 0.3 49000 23000 50 7.216 NA Fescue 10/4 123500 4.09 0.919 East Burlington D <.5" S 0.5 0.3 31000 15000 40 22.691 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 3315001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 67.613 FO.000 Lime Applied Annuallbs/acre 0.024 0.024 0.883 0.317 0.024 0.001 0.024 0.101 0.024 3.372 101.0381 81.856 85.228 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.453 0.541 59.147 1 21.152 8.262 0.171 1.201 4.4 0.34 Current Cumulative lbs/ac 0.477 0.565 60.030 21.469 8.286 0.172 1.225 4.501 0.364 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 87 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 17.45 Acres Permitted: 17.45 Site #: CS036 Field #: 35.06 IrB 7 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn 1WEEMENE NUMEMBEEMEM Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.78 1.23 Arsenic 0.008 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.008 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.341 0.419 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.761 Chromiuni 0.113 0.190 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.303 Lead 0.008 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.008 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.047 0.059 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.106 Selenium 0.008 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 1.242 1.134 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.376 Total Phos- 24.832 27.126 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.958 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 35.06 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: 88 Crop 2 Name: Acres Utilized: 17.45 CS036 Acres Permitted: 17.45 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/12 19500 3.33 0.155 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 3.766 NA Fescue 9/12 143000 2.94 1.005 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 36.060 NA Fescue 9/13 32500 2.94 0.228 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 8.195 NA Fescue 9/13 78000 3.33 0.621 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 15.064 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 1 0.000 TOTALS: 01 273000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 63.085 FO.000 Lime Applied Annuallbs/acre 0.020 0.020 0.761 0.303 0.020 0.001 0.020 0.106 0.020 2.376 51.958 0.487 0.517 58.314 1 18.104 7.749 0.148 1.342 4.388 0.389 85.787 0.507 0.537 59.075 18.407 7.769 0.149 1.362 4.494 0.409 88.163 36 34 1338 267 15 374 89 2498 1 88 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 10.88 Acres Permitted: 10.88 Site #: CS036 Field #: 22.46 0 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn 1WEEMENE NUMEMBEEMEM Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.99 0.07 Arsenic 0.020 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.020 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.876 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.901 Chromiuni 0.291 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.302 Lead 0.020 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.020 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.119 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.123 Selenium 0.020 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Zinc 3.186 0.067 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.253 Total Phos- 63.712 1.606 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 65.318 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 22.46 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: 88 Crop 2 Name: Acres Utilized: 10.88 CS036 Acres Permitted: 10.88 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches -t � � * c * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/11 156000 3.33 1.991 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 48.322 NA Fescue 9/12 6500 2.94 0.073 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 2.629 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1625001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 50.951 FO.000 Lime Applied Annuallbs/acre 0.021 0.021 0.901 0.302 0.021 0.001 0.021 0.123 0.021 3.253 65.318 85.772 89.025 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.449 0.54 59.736 1 19.455 8.173 0.154 1.206 4.26 0.369 Current Cumulative lbs/ac 0.470 0.561 60.637 19.757 8.194 0.155 1.227 4.383 0.390 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 88 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 7.67 Acres Permitted: 7.67 Site #: CS036 Field #: 19.80 IbB2 9 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.56 2.02 Arsenic 0.006 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Cadmium 0.006 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Copper 0.118 0.810 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.928 Chromiuni 0.050 0.283 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.333 Lead 0.006 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.006 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 denum Nickel 0.009 0.097 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.106 Selenium 0.006 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Zinc 0.256 3.279 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.535 Total Phos- 25.622 80.960 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 106.582 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 19.80 Site #: Predominant Soil Series: IbB2 Crop 1 Max. PAN: 90 Crop 2 Name: Acres Utilized: 7.67 CS036 Acres Permitted: 7.67 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/4 26000 3.94 0.557 South Burlington D <.5" S 0.5 0.3 49000 23000 50 21.554 NA Fescue 10/4 91000 4.09 2.024 East Burlington D <.5" S 0.5 0.3 31000 15000 40 49.940 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1170001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 71.494 FO.000 Lime Applied Annuallbs/acre 0.026 0.026 0.928 0.333 0.026 0.001 0.026 0.106 0.026 3.535 106.5821 0.175 0.253 33.375 1 11.771 4.708 0.115 1.003 2.208 0.186 45.989 0.201 0.279 34.303 12.104 4.734 0.116 1.029 2.314 0.212 49.524 36 34 1339 267 15 374 89 2498 I 90 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 14.26 Acres Permitted: 14.26 Site #: CS036 Field #: 26.34 IrB 10 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.39 1.46 Arsenic 0.004 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Cadmium 0.004 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Copper 0.133 0.641 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.774 Chromiuni 0.060 0.213 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.273 Lead 0.004 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.004 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.019 0.087 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.106 Selenium 0.004 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Zinc 0.360 2.330 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.689 Total Phos- 8.602 46.592 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 55.194 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 26.34 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: 88 Crop 2 Name: 10 Acres Utilized: 14.26 CS036 Acres Permitted: 14.26 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches - cc � � * c ?. * �' o' , E. 7� q - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/10 19500 2.94 0.168 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 6.017 NA Fescue 9/10 123500 3.33 1.203 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 29.188 NA Fescue 9/11 26000 2.94 0.224 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 8.023 NA Fescue 9/11 26000 3.33 0.253 East Burlington Dry <.5" S 0.5 0.3 29000 17000 35 6.145 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1950001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 49.372 FO.000 Lime Applied Annuallbs/acre 0.018 0.018 0.774 0.273 0.018 0.001 0.018 0.106 0.018 2.689 55.194 57.009 59.698 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.291 0.249 36.658 1 10.548 4.811 0.09 1.162 2.602 0.349 Current Cumulative lbs/ac 0.309 0.267 37.432 10.821 4.829 0.091 1.180 2.708 0.367 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 88 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 18.09 Acres Permitted: 18.09 Site #: CS036 Field #: 39.71 IrB 11 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.63 0.57 Arsenic 0.016 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Cadmium 0.016 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Copper 0.554 0.189 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.743 Chromiuni 0.251 0.049 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.300 Lead 0.016 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.016 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 denum Nickel 0.078 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.102 Selenium 0.016 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Zinc 1.500 0.757 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.257 Total Phos- 35.860 5.650 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 41.510 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: 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. City of Burlington WQ Permit #: WQ0000520 Field #: 11 Acres Utilized: Dennis Simmons Annual Dry Tons Applied: 39.71 Site #: CS036 Acres Permitted: Dennis Simmons Crop 1 Name: Fescue -Pasture Predominant Soil Series: IrB Crop 1 Max. PAN: 88 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 18.09 18.09 0 o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches � � � * c * �' o' - q �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8/29 97500 2.94 0.661 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 23.716 NA Fescue 8/29 84500 2.9 0.565 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 12.698 NA Fescue 8/30 143000 2.94 0.969 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 34.784 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 325000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 71.199 1 0.000 Lime Applied Annuallbs/acre 0.022 0.022 0.743 0.300 0.022 0.001 0.022 0.102 0.022 2.257 41.510 37.13 39.387 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.236 0.196 16.063 4.491 2.315 0.046 0.488 1.68 0.25 Current Cumulative lbs/ac 0.258 0.218 16.806 4.791 2.337 0.047 0.510 1.782 0.272 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 88 "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 1/8/2020 **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) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Burlington Total Dry Tons Applied (Annual): Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 24.73 Acres Permitted: 24.73 Site #: CS036 Field #: 30.12 IrB 12 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 0.45 0.77 Arsenic 0.004 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Cadmium 0.004 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Copper 0.149 0.263 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.411 Chromiuni 0.038 0.119 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.157 Lead 0.004 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Mercury 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 Molyb- 0.004 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 denum Nickel 0.019 0.037 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.056 Selenium 0.004 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Zinc 0.596 0.711 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.307 Total Phos- 4.450 17.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 21.456 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 30.12 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: 88 Crop 2 Name: 12 Acres Utilized: 24.73 CS036 Acres Permitted: 24.73 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches - c�c * c ?. * �' o' , E. - q a• o TKN mg/kg a o aQ 5 mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8/28 91000 2.9 0.445 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 10.003 NA Fescue 9/3 156000 2.94 0.773 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 27.758 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 247000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 37.761 FO.000 Lime Applied Annuallbs/acre 0.012 0.012 0.411 0.157 0.012 0.000 0.012 0.056 0.012 1.307 21.456 37.883 39.190 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.251 0.206 20.219 1 6.42 3.33 0.055 0.8 1.858 0.271 Current Cumulative lbs/ac 0.263 0.218 20.630 6.577 3.342 0.055 0.812 1.914 0.283 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 88 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series: 19.55 Acres Permitted: 19.55 Site #: CS113 Field #: 23.64 CuB2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date soon Total Phos- phoms Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 0.20 1.01 Arsenic 0.002 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Cadmium 0.002 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Copper 0.069 0.336 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.405 Chromiuni 0.031 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.118 Lead 0.002 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Mercury 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 Molyb- 0.002 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 denum Nickel 0.010 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.052 Selenium 0.002 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Zinc 0.188 1.347 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.534 Total Phos- 4.488 10.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 14.54 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Elizabeth Kirby Operator: Elizabeth Kirby WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 23.64 Site #: Predominant Soil Series: CuB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 19.55 CS113 Acres Permitted: 19.55 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8/19 32500 2.94 0.204 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 7.315 NA Fescue 8/19 162500 2.9 1.005 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 22.596 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1950001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 29.911 FO.000 Lime Applied Annuallbs/acre 0.012 0.012 0.405 0.118 0.012 0.000 0.012 0.052 0.012 1.534 14.538 3.493 5.027 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.0314 0.0262 2.5927 1 0.6045 0.5602 0.0103 0.0918 0.3423 0.0157 Current Cumulative lbs/ac 0.043 0.038 2.998 0.722 0.572 0.011 0.104 0.394 0.028 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 209 "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 1/8/2020 **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) 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: City of Burlington Total Dry Tons Applied (Annual): WQ0000520 Cation Exchange Capacity (non 503 only): Linda Clemmons Owner: Linda Clemmons Predominant Soil Series: 10 Acres Permitted: 27.16 Site #: CS113 Field #: 20.48 CuB2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.32 1.73 Arsenic 0.003 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.003 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.108 0.577 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.686 Chromiuni 0.049 0.149 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.198 Lead 0.003 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Mercury 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.003 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.015 0.073 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.088 Selenium 0.003 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.020 Zinc 0.293 2.317 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.610 Total Phos- 7.018 17.290 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 24.31 horus "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". Z�fz 1/8/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: 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. City of Burlington Linda Clemmons Operator: Linda Clemmons WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 20.48 Site #: Predominant Soil Series: CuB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 10 CS113 Acres Permitted: 27.16 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8/20 26000 2.94 0.319 South Burlington Dry <.5" S 0.5 0.3 47000 19000 46 11.441 NA Fescue 8/20 143000 2.9 1.729 East Burlington Dry <.5" S 0.5 0.3 30000 11000 40 38.875 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 1690001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 50.315 FO.000 Lime Applied Annuallbs/acre 0.020 0.020 0.686 0.198 0.020 0.001 0.020 0.088 0.020 2.610 24.308 26.944 29.554 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.157 0.163 15.693 1 4.655 2.245 0.044 0.446 1.806 0.149 Current Cumulative lbs/ac 0.177 0.183 16.379 4.853 2.265 0.045 0.466 1.894 0.169 Permitted C. P. L. R.**** 36 34 1339 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 209 "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 1/8/2020 **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) Section 4 Residuals Analysis and TCLP e i 12/21/2018 Arner7c n resting Technofogiss, Inc_ City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.. 122118-08 09 Enclosed are the results of the sample(s) submitted to our laboratory on 12/06/2018. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis_ Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sgmy@americantestingtechnologies.com .anager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. Page 1 of 3 1350 Horne Average Akron, OH 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnotogies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington; NC 27215 Date Received: 12/06/2018 Date Reported: 12/21/2018 Date Collected: 12/03/2018 Time Collected: 0052 Client ID #: EB012019 Laboratory ID #: 120618-09 400 American Tesiing Technologies, lnc, Certificate of Analysis Parameter Result Result Analysis Date Method (%) (mg/kg) Aluminum, Total 37,500 12/17/2018 6010C Arsenic, Total <5.0 12/17/2018 6010C Cadmium, Total <5.0 12/17/2018 6010C Calcium, Total 13.75 137,500 12/17/2018 6010C Chromium, Total 44 12/17/2018 6010C Copper, Total 155 12/17/2018 6010C Iron, Total 9,275 12/17/2018 6010C Lead, Total <5 12/17/2018 6010C Magnesium, Total 0.29 2,880 12A7/2018 6010C Manganese, Total 596 12/17/2018 6010C Mercury, Total <0.20 12/17/2018 7471B Molybdenum, Total <5 12/17/2018 6010C Phosphorus, Total 1.0 10,380 12/17/2018 6010C Nickel, Total 23 12/17/2018 6010C Potassium, Total 0.19 1,940 12/17/2018 6010C Selenium, Total <5.0 12/17/2018 6010C Sodium, Total 0.80 8,000 12/17/2018 6010C Sulfur, Total 0.9 9,000 12/17/2018 6010C Zinc, Total 490 12/17/2018 6010C Total Kjeldahl Nitrogen 1.80 18,000 12/13/2018 SM-4500 Ammonia Nitrogen 0.60 6,000 12/13/2018 SM-4500 Organic Nitrogen 1.20 12,000 12/13/2018 Calculation Nitrate+Nitrite- N 60 12/14/2018 SM-4500C Calcium Carbonate Equivalent 38 380,000 12/14/2018 AOAC 955.01 Total Solids 4.03 40,300 12/10/2018 SM-2540G Total Volatile Solids 45 450,000 12/10/2018 SM-2540G Moisture 1 95.97 12/10/2018 SM-2540G Page 3 of 3 135® Home Avenue Akron,OH 44310 TO Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnologies.com TestingTechnologies.com n o ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. PR JECT RE gE jENC PROJECT NO. PROIEGT LO 17N MATRIX '�64�'-'T�`Tp (STATE} c/ TYPE PROJECT MANAGER P.O. NUMBER CONTRACT NO. CLIENT (SITE) CLIENT PHONE CLIENT FAX z q LU CLIENT NAME A CLIENT E-MAI 00 GL4;s�7"tY4�Rr r lf�r /4' m p a CLI TADDR I� o w Ln 71 I�- W in SAMPLE °a Uj 0o � DATE TIME. ZD SAMPLE IDENTIFICATION o CY o o U d VJ d 0�0'Z i A'hi� IT�em'7nA Serial Number 003037 American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmerlcariTestingTochnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 REQUIRED ANALYSIS PAGE OF STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY O (SURCHARGE) DATE DUE `r f NUMBER OF COOLERS SUBMITTED PER SHIPMENT: NUMBER OF CONTAINERS SUBMITTED REMARKS IELINQUISHED Y (SIGNATURE) DATE TIME RELINQUISHED BY: j51GNATURE DATE TIME RELINQUISHED BY: (SIGNATURE) DATE PME : ECEIVED BY: (SIGNATURE) DATE TIME R CEIVED BY: {SIGNATURE} DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME WO0 aRY USE'ONLY 3ECEIVBD FOR LABAORATORY BY:. D.ATEE TIME CUST00Y Ij4TAGr CUSTODY A:T.T; -L�16(?RATORY REMARKS 5[�NA7URCj // If YES SEAL No. LOG NO [j 4io 02/11/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 0 12219-1415 Enclosed are the results of the sample(s) submitted to our laboratory on 01/22/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sane americantestin echnolo 'es.com SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue: Akron,. 0H 44310 Toll Free: 677-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Viebsite; wwvv, mericanTestingTechnoiogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 2-7215 Date Received: 01/22/2019 Date Reported: 02/11/2019 Date Collected: 01/07/2019 Time Collected: 0056 Client ID #: EB022019 Laboratory ID it: 012219-14 qip American Testeng Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method %) (mg/kg) Aluminum, Total 31,080 02/04/2019 6010D Arsenic, Total <5.0 02/04/2019 6010D Cadmium, Total <5.0 02/04/2019 6010D Calcium, Total 3.08 30,860 02/04/2019 .601OD Chromium, Total 51 02/04/2019 6010D Copper, Total 212 02/04/2019 6010D Iron, Total 14,400 02/04/2019 6010D Lead, Total <5.0 02/04/2019 601OD Magnesium, Total 0.27 2,700 02/04/2019 6010D Manganese, Total 520 02/04/2019 6010D Mercury, Total <0.20 02/04/2019 7471B Molybdenum, Total <5.0 02/04/2019 6010D Phosphorus, Total 1.8 18,000 02/04/2019 601OD Nickel, Total 22 02/04/2019 6010D Potassium, Total 0.23 2,300 02/04/2019 6010D Selenium, Total <5.0 22/04/2019 6010D Sodium, Total 0.71 7,100 02/04/2019 601 OD Sulfur, Total 0-50 5,000 02/04/2019 6010D Zinc, Total 630 02/04/2019 6010D Total Kjeldahl Nitrogen 2.30 23,000 02/07/2019 SM-4500 Ammonia Nitrogen 1.50 15,000 02/07/2019 SM-4500 Organic Nitrogen 0.$0 8,000 02/07/2019 Calculation Nitrate+Nitrite- N 50 02/01/2019 SM-4500C Calcium Carbonate Equivalent 35 350,000 02/06/2019 AOAC 955,01 Total Solids 3.71 37,100 01/25/2019 SM-2540G Total Volatile Solids 42 420,000 01/25/2019 SM-254OG Moisture 96.29 01/25/2019 SM-2540G 1350 Home Avenue Akron, 0H 44310 Tull Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 ebsite: www,AmericanTestingTachnologies.com Serial Number 003037 ANALYSIS REQUEST AND 4 CHAIN of CUSTODY RECORD wo American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT RE C a -p [ PROJECT NO. (SiTE) PROJECT LOjDN � MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER vc-- P.O. NUMBER CONTRACT NO. a aUj Of(SURCHARGE) o ~ C) w � w o a 02 o � a z o o a W a STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY p DATE DUE CLIENT (SITE) CLIENT PHONE 536 " �z ( CLIENT FAX CLIENT NAME I l� L�asr ► E� a CLIENT E-MAI �. F n n r�r ( r' " , ll�f / J 1�y r,. "W2, f � 9 GLI ®DDR ( 7 jf � ¢/ j e A � [Yti L � 1 s' NUMBER e �Y � 1 "�, a � r . , Vic^ � }F( OF CONTAINERS SUBMIED- I NUMBER OF COOLERS SUBMITTED PER SNIPMENT: REMARKS SAMPLE SAMPLE IDENTIFICATION DATE TIME A 6 c� RELINQUISHED BY: (SIGNATURE) DATE TIME REL QU FEED BY: (SIGNATURE) DATE TIME RELINQUISHER BY: (SIGNATURE) DATE TIME RECEIVED BY::&GNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE LABORORY"U5E'ONLY TIME REC�IWD-FOIi LABAORATORY•RY:: (SIGA7URF) �-v DATE TIME 1� �ti"c� C USTODY TACT YES IVO; o CU51Dl]Y SEAL NO. A;T.T LAG NO. BOR LAATORY REMARI{5- 1 Ob 03/07/2019 Arnerocan Testing Techno9ogies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.:.021519-19 20 Enclosed are the results of the sample(s) submitted to our laboratory on 02/15/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sam arnericantestin echnolo es.com S ere o t ry Manager SL Test performed by an approved subcontract laboratory BRL - Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results_ In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 135O Home Avenue Akron OH 44310 Toll Free: 877-634-9906 Phone, (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnoiogfes.r-om City of Burlington, NC Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Date Received: 02/15/2019 Date Reported: 03/07/2019 Date Collected: 02/04/2019 Time Collected: 0547 Client ID #: EB032019 Laboratory ID #: 021519-20 4sp American Testing Tecbnalcgies, Jnc. Certificate of Analysis .Parameter Result {% Result (mg/kg) Analysis Date Method Aluminum, Total 49,000 02/25/2019 6010D Arsenic, Total <5.0 02/25/2019 601OD Cadmium, Total <5.0 02/25/2019 601OD Calcium, Total 5 50,000 02/25/2019 6010D Chromium, Total 94 02/25/2019 6010D Copper, Total 305 02/25/2019 6010D Iron, Total 23,100 02/25/2019 6010D Lead, Total <5.0 02/25/2019 6010D Magnesium, Total 0.45 4,500 02/25/2019 601OD Manganese, Total 730 02/25/2019 6010D Mercury, Total Molybdenum, Total <0.20 <5.0 02/25/2019 02/25/2019 7471B 601OD Phos horns, Total 2.0 20,000 02/25/2019 6010D Nickel, Total 40 02/25/2019 6010D Potassium, Total 0.23 2,300 02/25/2019 601OD Selenium, Total <5.0 02/25/2019 6010D Sodium, Total 0.15 1,500 02/25/2019 6010D Sulfur, Total 1.0 10,300 02/25/2019 6010D Zinc, Total 860 02/25/2019 6010D Total neldahl Nitrogen 2.70 27,000 03/01/2019 SM-4500 Ammonia Nitrogen 1.00 10,000 03/01/2019 SM-4500 Organic Nitrogen 1.70 8,000 03/01/2019 Calculation Nitrate+Nitrite- N 45 02/20/2019 SM-4500C Calcium Carbonate Equivalent 37 370,000 02/25/2019 AOAC 955.01 Total Solids 4.02 40,200 02/18/2019 SM-2540G Total Volatile Solids 39 390,000 02/18/2019 SM-2540G Moisture 95.98 02/18/2019 SM-2540G 1350 Home Avenue Akron, OH 44310 Toff Free: 877-634-9906 Phone; (330) 634-9906 Fax; (330) 634-9907 Website: www.ArnericanTestingTechnologies.com Serial Number 003037 • ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Adenine Akron, OH 44310 Website: www.AmericanTestingTechnologies.com Toll Free: 677-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PR ogREF�NC g `�� PROJECT NO. (STATE) MATRIX TYPE TYPE REQUIRED ANALYSIS PAGE —F OF PROJECT MANAGER P.O. NUMBER CONTRACT NO. m 0 c�a w o o o `'o cn�z � z U) p CY O STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY O (SURCHARGE) DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX CLIENT NAME lei O�ZaU�I�� CLIENT E-MAIL j �+ r.Er 1v/'�r (�^tf%4�11��Rr'Y6C�r�4 / CLI ADDR r Atka� ��" H„�=.I NUMBER OF CONTAINERS SUBMITTED _ NUMBER OF COOLERS SUBMI77E❑ PlriSNIAMENT: REMARKS SAMPLE SAMPLE IDENTIFICATION DATE TIME 4 4"1 5'9 [ 2 I A9 0 IA-rAl .ate RELINQUISHED BY: pGNATURF) DATE TIME RELINQUISHED BY- (SISIGGN,ATURE) ny _ DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: {SIGNATURE) LABORATORY USE ONLY DATE THE RECEIVCDII OR LA BA OR :. '.(SIGNATURE) . ATE / TIME r r OJ0 CUSTODY' INTACT Q CUSTODY" SEAL NO &T.7:. LOG N0. ] LABORATORY REMARKS . V yr . < f-1- f--3� -110 03/26/2019 lop c. City of Burlington, NC Attu_ Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Report No.: 031419-13 14 Enclosed are the results of the sample(s) submitted to our laboratory on 03/14/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at smy@aTnericantestinL)-technologies.com S c re , { t ry Manager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, € H 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: vojvw,AmericanTestingrechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 03/14/2019 Date Reported: 03/26/2019 Date Collected: 03/04/2019 Time Collected: 0104 Client ID if: EB042019 Laboratory ID #: 031419-13 American Testing Technologies, Inc. Certificate of Anal sis Parameter Result N Result (mom Analysis Date Method Aluminum, Total Arsenic, Total 35,420 <5.0 03/15/2019 03/15/2019 6010D 6010D Cadmium, Total <5.0 03/15/2019 6010D Calcium, Total Chromium, Total Copper, Total 1.5 14,990 80 ISO 03/15/2019 03/15/2019 03/15/2019 601OD 6010D 601 OD Iron, Total Lead, Total 15,940 <5.0 03/15/2019 03/15/2019 6010D 6010D Magnesium., Total Manganese, Total 0.29 2,860 385 03/15/2019 03/15/2019 6010D 6010D Mercury, Total Molybdenum, Total <0.20 <5.0 03/15/2019 03/15/2019 7471B 601OD Phosphorus, Total 1.0 10,000 03/15/2019 6010D Nickel, Total Potassium, Total 0.26 42 2,590 03/15/2019 03/15/2019 6010D 601OD Selenium, Total Sodium, Total 0.50 <5.0 5,000 03/15/2019 03/15/2019 6010D 601OD Sulfur, Total 0.43 4,300 03/15/2019 6010D Zinc, Total 580 03/15/2019 6010D Total K'eldahl Nitrogen 2.60 26,000 03/25/2019 SM-4500 Ammonia Nitrogen 1.10 11,000 03/25/2019 SM-4500 Organic Nitrogen Nitrate+Nitrite- N 1.50 15,000 40 03/25/2019 03/22/2019 Calculation SM-4500C Calcium Carbonate Equivalent 38 380,000 03/18/2019 AOAC 955.01 Total Solids 3.67 36,700 03/15/2019 SM-2540G Total Volatile Solids 41 410,000 03/15/2019 SM-2540G Moisture 96.33 03/15/2019 SM-2540G 135a Horme Avenue Akron, OH 44310 Toll Free. 877-634-9906 Phone: (330) 6343905 Fax: (330) 634-9907 Website: www.AmericanTestingTechnologies.corn Serial Number 003037 A ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD 0 American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingl'echnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PR JECT RE �-�'T�►� A PROJECT N0, PROJECT LO(�I�i�OiV (STATE) �I� X TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER �f 6'a~ '+' P.Q. NUMBER CONTRACT NO. a Z m o a w U) W ¢ o Jo W 0 O � z W uQi J n ra ? STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY CD/ (SURCHARGE) DATE DUE CLIENT (SITE) �CLIENT PHONE p � 5] CLIENT FAX CLIENT NAME (� Owl, CLIENT E-MAI /' a tve �' ° a I�P,�,�"f /1, k.rE, "e! f0. CLl /1) e �� y d !::{ .,,,•� ? i.! a S i ( .__.� NUMBER OF COOLERS SUBMITTED PER SHIPMENT: SAMPLE SAMPLE IDENTIFICATION &aT NUMBER OF CONTAINERS SUBMITTED _ REMARKS DATE TIME o i La C5 � � f�v G$ r 169 id .r RELINQUISHED BY: (SIGNATURE) DATE TIME RELIN ISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME i,;ABDRATORY USE ONLY RECEIVED FOR OR BY:. ` (sIGIUArURE} DA TIME - QOSTODY INTACT- y� 0 .:CUSTODY- SEAL NO A;T.T. LAkY REMARKS- [LO C NO. M B�73/ 04/23/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 040819-12 13 ,Enclosed are the results of the sample(s) submitted to our laboratory on 04/08/2019. ,All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to . NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy�?aa,americantestingtechnolop-ies.com SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, OH 4.4310 Toll Free: 377-,634-9905 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: wv.vw.ArnericanTest'sngrechnologies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 04/08/2019 Date Reported: 04/23/2019 Date Collected: 04/01/2019 Time Collected: 0049 Client ID #: EB052019 Laboratory ID #: 040819-13 q=P American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method Aluminum, Total 36,700 04/13/2019 6010D Arsenic, Total <5.0 04/13/2019 601OD Cadmium, Total <5.0 04/13/2019 6010D Calcium, Total 13.8 137,750 04/13/2019 6010D Chromium, Total 46 04/13/2019 6010D Copper, Total 133 04/13/2019 6010D Iron, Total 19,390 04/13/2019 601OD Lead, Total <5.0 04/13/2019 6010D Magnesium, Total 0.37 3,670 04/13/2019 6010D Manganese, Total 204 04/13/2019 6010D Mercury, Total <0.20 04/13/2019 7471B Molybdenum, Total <5.0 04/13/20I9 6010D Phosphorus, Total 1.4 14,000 04/23/2019 6010D Nickel, Total 22 04/13/2019 601OD Potassium, Total 0.30 3,060 04/13/2019 601OD Selenium, Total <5.0 04/13/2019 601OD Sodium, Total 0.49 4,900 04/23/2019 6010D Sulfur, Total 0.47 4,700 04/23/2019 6010D Zinc, Total 430 04/13/2019 6010D Total Kjeldahl Nitrogen 2.8 28,000 04/19/2019 SM-4500 Ammonia Nitrogen 1.2 12,000 04/19/2019 SM-4500 Organic Nitrogen 1.6 16,000 04/19/2019 Calculation Nitrate+Nitrite- N 50 04/19/2019 SM-4500C Calcium Carbonate Equivalent 40 400,000 04/18/2019 AOAC 955.01 Total Solids 4.91 49,100 04/12/2019 SM-2540G Total Volatile Solids 43 430,000 04/12/2019 SM-2540G Moisture 95.09 04/12/2019 SM-2540G 1350 Home Avenue Akron, OH 44310 Ta11 Free: 877-634-9305 Phone: (330) 634 990fi Fax: (330) 534-9907 Web -site. witw.AmericanTestingTechnologies.corn Serial Number 003037 IM0 ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTochnologies.com Toll Free: 877-634.9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT RE �dE��f�ENC tA ibQ4i��7T. p PROJECT N0. PROJECT LO DN (STATE) �/ MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER r- AJ I P.O. NUMBER CONTRACT NO, M Q "� w v� ¢ it 0 ¢ uw J a 0 � z STANDARD REPORT ` DELIVERY r ` DATE DUE EXPEDITED REPORT DELIVERY (SURCHARGE) DATE WE CLIENT (SITE) CLIENT PHONE / ipZ r' CLIENT FAX CLIENT NAME b$mj l CLIENT E-MA! j f r" Iv f � l P.ldi l YYR , rfl��. to CLIkATADDR /0 � � _ If p 6� % R rIC:-1 I vim. At 4 L ""' / P NUMBER �. ti.'�: r'+-- G r;5 ti4 f ' OF CONTAINERS SUBMITTED NUMBER OF COOLERSSUBMfTTEO PER SHIPMENT: REMARn SAMPLE SAMPLE IDENTIFICATION DATE TIME r � J P�® 50, RELINQUISHED BY (SIGNATURE) DATE TIME Q IS iE�BIGNA 4RC DATE ) TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME VED BY: (SIGNATURE) DATE TIME RECEIVED BY (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIVED FOR LAB TORY .- (SIGNATURE) c, DATE TIME CUSTODY INTACT Y CUSTODY SFAL N0. A,T.T, LOG Xkq -,LABORATORY REMARKS s 05/3 0/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Gleam McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 051319-04 05 Enclosed are the results of the sample(s) submitted to our laboratory on 05/13/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at satn americantestin echnolo es.com clrelyqao anager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 ToA Free: 877.634.9906 Phone_ 330.634,9906 Fax., 330.634.9907 www.AmericanTestingTechnoIogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 05/13/2019 Date Reported: 05/30/2019 Date Collected: 05/06/2019 Time Collected: 0237 Client ID #: EB062019 Laboratory ID #: 05 13 19-05 46D American Testing Technologies, Inc. Certificate of Analysis Parameter Result (%) Result (mg/kg) Analysis Date Method Aluminum, Total Arsenic, Total 26,420 <5.0 05/22/2019 05/22/2019 601 OD 6010D Cadmium,.Total <5.0 05/22/2019 6010D Calcium, Total 10.6 105,660 05/22/2019 6010D Chromium, Total 86 05/22/2019 6010D Copper, Total 180 05/22/2019 601OD Iron, Total 13,200 05/22/2019 601OD Lead, Total Magnesium, Total 0.25 <5.0 2,500 05/22/2019 05/22/2019 6010D 6010D Manganese, Total 280 05/22/2019 6010D Mereury, Total <0.20 05/22/2019 7471B Molybdenum, Total <5.0 05/22/2019 601OD Phosphorus, Total 1.2 12,000 05/29/2019 6010D Nickel, Total 24 05/22/2019 6010D Potassium, Total 0.17 1,750 05/22/2019 6010D Selenium, Total <5.0 05/22/2019 6010D Sodium, Total 0.57 5,700 05/22/2019 6010D Sulfur, Total 0.48 4,800 05/29/2019 601OD Zinc, Total 470 05/22/2019 6010D Total Kjeldahl Nitrogen 2.6 26,000 05/23/2019 SM-4500 Ammonia Nitrogen 1.6 16,000 05/23/2019 SM-4500 Organic Nitrogen 1.0 10,000 05/23/2019 Calculation Nitrate+Nitrite- N 30 05/23/2019 SM-4500C Calcium Carbonate Equivalent 37 370,000 05/28/2019 AOAC 955.01 Total Solids 5.31 53,100 05/20/2019 SM-2540G Total Volatile Solids 39 390,000 05/20/2019 SM-2540G Moisture 94.69 05/20/2019 1 S1-2540G 1350 Home Avenue Akron, Ohio 44310 Tau Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com Serial Number 003037 • ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website! www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJEE�REf'E(;iENC njq_p `` (L (.i' 0 PROJECT NO, =STATE) PROJECT LO JON CI MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER S r-,A�i9P $ f P.O. NUMBER CONTRACT No. m � o u.r a o a cn GO z LU *Q o ra a = 4 z STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT D LIVERY O (SURCHARGE) DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX CLIENT NAME lei @� Z�d/�! ` CLIENT E-MAI %j� r. �'q F+r f it /s ", !��//f�f1�Rr mfit �R f/ Cl.l TADDR /® �iVIA �T Coai� NUMBER OF CONTAINERS SUBMITTED _ _ NUMBER OF COOLERS SUBMITTED PER SHIPMENT: _ REMARKS SAMPLE SAMPLE IDENTIFICATION DATE TIMEUj oz *-? r I - ' AWN to Ypq J. Al RELINQUISHED BY. (SIGNATURE) DATE TIME RELIN UISHED BY. (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME DECEIVED BY. (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) C DAT TIME RECEIVED BY: (SIGNATURE) DATE TIME (_ABORATORY USE O NLY RECEIUCD:FOR LABA•ORATORY BY-. (SIGNATURE) DATE TfME CUSTODY INTACT _ YES CUSTODY SEAL NO. A;T.7: LOCH NO LABOi2A70RY Ri HABITS. (� 06/20/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 060719-19 20 Enclosed are the results of the sample(s) submitted to our laboratory on 06/07/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis_ Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. 1f you have any questions please contact the laboratory manager at 330-634-9906 or via email at sa y{c americantestingtechnologies.com c ely, bo o Manager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingiechnofogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 06/07/2019 Date Reported: 06/20/2019 Date Collected: 06/03/2019 Time Collected: 0128 Client ID #: EB072019 Laboratory ID a#: 060719-19 46D American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method (%)(mg/kg) Aluminum., Total 31,250 06/18/2019 6010D Arsenic, Total <5.0 06/18/2019 601OD Cadmium, Total <5.0 06/18/2019 6010D Calcium, Total 9.70 96,980 06/18/2019 6010D Chromium, Total 63 06/18/2019 6010D Copper, Total 160 06/18/2019 6010D Iron, TotaJ 12,930 06/18/2019 6010D Lead, Total <5.0 06/18/2019 6010D Magnesium, Total 0.29 2,880 06/18/2019 6010D Manganese, Total 360 06/18/2019 6010D Mercury, Total <0.20 06/18/2019 74711E Molybdenum, Total <5.0 06/18/2019 6010D Phosphorus, Total. 1.3 13,000. 06/19/2019 6010D Nickel, Total 21 06/18/2019 6010D Potassium, Total 0.14 1,390 06/18/2019 6010D Selenium, Total <5.0 06/18/2019 6010D Sodium, Total 0.20 2,000 06/18/2019 601OD Sulfur, Total 0.58 5,800 06/19/2019 6010D Zinc, Total 460 06/18/2019 6010D Total Kjeldahl Nitrogen 2.80 28,000 06/20/2019 SM-4500 Ammonia Nitrogen 1.90 19,000 06/20/2019 SM-4500 Organic Nitrogen 0.90 9,000 06/20/2019 Calculation Nitrate+Nitrite- N 30 06/20/2019 SM-4500C Calcium Carbonate Equivalent 35 350,000 06/20/2019 AOAC 955.01 Total Solids 4.64 46,400 06/17/2019 SM-2540G Total Volatile Solids 35 350,000 06/17/2019 SM-2540G Moisture 95.36 06/17/2019 SM-2540G 1350 Horne Avenue Akron, Ohio 44310 Toli Free: $77.634.9906 Phone: 330.634.9906 Fax; 330.634.9907 www.AmericanTestingTechnologies.corn A ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inr. PROJECT REFERENCE PROJECT N0. PROJECT LOCATION MATRIX Ifr��� (STATE) TYPE PROJECT MANAGER P.O. NUMBER CONTRACT NO, v� vv c r CLIENT (SITE) 7CLIENT P��HO�yyNE 1` CLIENT FAX CLIENT NAME JCHENTMAIL �# f �i<n'V\(, 'd a C TADDR � o ❑ _ 5 q W y 4 J/ SAMPLE ID—E1 NTIFCATIONSAMPLETIMEATE n� ao oo a w c z RELINQUISHED BY' (SIGNATURE) RECEIVED BY: (SIGNATURE) RECEIVED FOR LABAORATORY BY: American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Wehsite: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-990)V T REQUIRED ANALYSIS PAGE qF STANDARD REPORT DELIVERY DATE DUE_____,.__ EXPEDITED REPORT DELIVERY (SURCHARGE) DATE DUE '.I NUMBER OF COOLERS SUHMITTED PER SHIPMENT NUMBER OF CONTAINERS SUBMITTED DATE TIME RELI QUISHED BY: (SIGNATURE) LDATE TIME RELINQUISHED BY: (SIGNATURE DATE itME RECEIVED BY. (SIGNATURE) TIME RECEIVED BY: (SIGNATURE) LABORATORY USE ONLY T TIM E Y SST DY-1 TACT SEAL Vul NO L.T:TO �/ LABORATORY REM 5 I oO NO � r- / (0 1 l 7 - )— t ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(S) REMARKS DATE TIME DATE TIME s 07/31/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont street Burlington, NC 27215 Report No.: 071519-22 24 Enclosed are the results of the sample(s) submitted to our laboratory on 07/15/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA $260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy@americantestin tg echnologies.com 4ary r anager SL - Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Tou Free: 877.634.9906 Phone: 330.634.9906 Fait. 330.634.9907 www.AmericanTestingTechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 07/15/2019 Date Reported: 07/31/2019 Date Collected: 07/01/2019 Time Collected: 0200 Client ID #: EB082019 Laboratory ID #: 071519-22 46W American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method Aluminum, Total 33,620 07/16/2019 6010D Arsenic, Total <5.0 07/16/2019 6010D Cadmium, Total <5.0 07/16/2019 6010D Calcium, Total 17.2 171,900 07/16/2019 6010D Chromium, Total 43 07/16/2019 601 OD Copper, Total 167 07/16/2019 6010D Iron, Total 11,550 07/16/2019 6010D Lead, Total Magnesium, Total Manganese, Total 0.34 <5.0 3,410 730 07/16/2019 07/16/2019 07/16/2019 6010D 6010D 601OD Mercury, Total <0.20 07/16/2019 7471B Molybdenum, Total Phosphorus, Total 0.5 <5.0 5,000 07/16/2019 07/16/2019 6010D 6010D Nickel, Total 21 07/16/2019 6010D Potassium, Total 0.16 1,600 07/16/2019 601OD Selenium, Total <5.0 07/16/2019 6010D Sodium, Total 0.28 2,760 07/16/2019 6010D Sulfur, Total 0.60 6,000 07/16/2-019 6010D Zinc, Total Total Kjeldahl Nitrogen Ammonia Nitrogen 3.00 1.10 670 30,000 11,000 07/16/2019 07/26/2019 07/26/2019 601OD SM-4500 SM-4500 Organic Nitrogen 1.90 19,000 07/26/2019 Calculation Nitrate+Nitrite- N 40 07/26/2019 SM-4500C Calcium Carbonate Equivalent 38 380,000 07/29/2019 AOAC 955.01 Total Solids 2.90 29,000 07/15/2019 SM-2540G Total Volatile Solids 1 40 400,000 07/15/2019 SM-2540G Moisture 1 97.10 07/15/2019 SM-2540G 1350 Home Avenue Akron, Ohio 44310 Ton Free: 877.634.9906 phone. 330.634.9906 Fax 330.634.9907 www.AmericanTestingTechnoIogies.com op ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Horne Avenue Akron, OH 44310 Website: www.ArnericanTesting oohnologies.corn Toll Free: 877-634-9906 Phone: (330) 634.9906 Fax: (330) 634-990P7 PROJECT REFERENCE L jOh,� OL PROJECT NO. PROJECT LOCATION (STATE) Al C MATRIX TYPE A EQUIREO ANALYSIS PAGE OF PROD T MANAG� P.O. NUMBER CONTRACT NO. ti � � a $ a n = w rn --T M zr(0+� z STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY Q (SURCHARGE) DATE DUE CLIENT(SITE) CLIENT PHONE CLIENT FAX CLIENT NAME ��l�ll CLIENT E-MAIL pin CA rt%� , CUENTA14013E ir /�Uj �A ^� 1 7/� + "- • F V / I Y' ( NUMBER OF COOLERS SUBMITTED PER AHIPMFNT SAMPLE SAMPLE IDENTIFICATION NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME 7,0 01 Al) lo 1q Gt r ffih W o Jl/ k�A RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: ((SSIGNNAT,U,R�EE))� OAT TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: ISICNATURL) DATE TIME ECEiVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE] DATE TIME LAB 0IRATORY USE ONLY RECENED FQRAMACRA _ (SIGNATURE) t ' D TE TIME P � CUSTODY'INTACT YES r N0•: O_ . Clu8TODY SEAL NO; A.T.T. LOG'NO:. LABORATORYREMARKS y�Q 6a-7 I 1/ 1 , I // ORIGINAL - RETURN TO LABORATORY WITH SANIPLgS) 08/14/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 080819-10 Enclosed are the results of the sample(s) submitted to our laboratory on 08/08/2019. All analyses were performed according to our laboratory's duality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy a,americantestingtechnologies.com S' ly S La ora Manager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recornmendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Page 1 of 2 To!! Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestinjechnoiogies.com I- A-10 F � F 6hL�_. City of Burlington, NC American Testing Technologies, inc. Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 08/08/2019 Date Reported: 08/14/2019 Date Collected: 08/05/2019 Time Collected: 0402 Client ID #: EB092019 Laboratory ID #: 080819-10 Certificate of Analysis Parameter Result Result Analysis Date Method N (mg/k9) Aluminum, Total 43,940 08/12/2019 6010D Arsenic, Total <5.0 08/12/2019 601OD Cadmium, Total <5.0 08/12/2019 601OD Calcium, Total 18.7 186,970 08/12/2019 6010D Chromium, Total 73 08/12/2019 .6010D Copper, Total 220 08/12/2019 6010D Iron, Total 16,820 08/12/2019 6010D Lead, Total <5.0 08/12/2019 601OD Magnesium, Total 0.43 4,270 08/12/2019 6010D Manganese, Total 830 08/12/2019 6010D Mercury, Total <0.20 08/12/2019 7471B Molybdenum, Total <5.0 08/12/2019 601OD Phosphorus, Total 1.6 16,000 08/12/2019 6010D Nickel, Total 30 08/12/2019 6010D Potassium, Total 0.21 2,075 08/12/2019 6010D Selenium, Total <5.0 08/12/2019 6010D Sodium, Total 0:44 4,370 08/12/2019 6010D Sulfur, Total 1.0 10,000 08/12/2019 6010D Zinc, Total 800 08/12/2019 6010D Total Kjeldahl Nitrogen 2.90 29,000 08/13/2019 SM-4500 Ammonia Nitrogen 1.70 17,000 08/13/2019 SM-4500 Organic Nitrogen 1.20 12,000 08/13/2019 Calculation Nitrate+Nitrite- N 35 08/13/2019 SM-4500C Calcium Carbonate Equivalent 42 420,000 08/12/2019 AOAC 955.01 Total Solids 3.33 33,300 08/12/2019 SM-2540G Total Volatile Solids 37 370,000 08/12/2019 SM-2540G Moisture 96.67 08/12/2019 SM-2540G 1350 Home Avenue Akron, Ohio 44310 Page 2 of 2 Toll Free: 877,634.9906 Phone: 330.634.9906 Fax, 330.634.9907 www.America nTesti ngTech n01ogies.corn • ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD 4Toll American Testing Technologies, Inc, American Testing Technologies, Inc. 1350 Home Avenue Akron, ON 44310 Webslte: www.AmeriGanTestingTochnologies.com Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 63"90)V7 PROJECT REF RENCE 1 1 PROJECT NO. PROJECT LOC TION (STATE) C— MATRIX TYPE REQUIREOANALYSIS PAGE OF PROD GT MANAGER f CGA Ir P.O. NUMBER CONTRACT NO. a fn �� - o cv J z a a STANDARD REPORT y DELIVERY (]�7 DATE DUE ` EXPEDITED REPORT DELIVERY (SURCHARGE) p DATE DUE CLIENT (SITE) CLIENT PHONE -zZz,W) CLIENT FAX CLIENT NAME CLIENT E-MAIL {{ G L4 j 1)L'r I m CLiENTA 0 55 cr o� � , R OF COOLERS SUBMITTED PO SWIPMENT., 1 7214 SAMPI- SAMPLE IDENTIFICATION dn#tA��'f�5 NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME 5 Z. 0 Zfs °,% S'Ah.Ca eu Zn 1 6 I td frA W RELIN ED BY: Z(.NA��E' DATE TIME RELINQUISHED Br (SIGNATURE) DATE TIME. RELINQUISHED BY (SIGNATIRE) DATE TIME REGEIVED BY: (SIGNATURE) D E TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY. (SIGNATURE) DATE TIME LAEIORAtDRY USE.ONLY RECEIVED FOR LABA' RATOAY 8Y, _ (sIG .RE} k4 DATE ' TIME ..YES CUSTODY INTi. NO. -O CUSTODY SEALNb: A,T.T. L06N0:. LABORATORl`RrMARKS' � 1 V ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(S) 4D 09/20/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 091219-04 05 Enclosed are the results of the sample(s) submitted to our laboratory on 09/12/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 1501, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant -to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. 1f you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy@ainericantestinZechnologies.com 4aboa anager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Page 1 of 3 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax. 330.634.9907 www.AmericanTestingTechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 09/12/2019 Date Reported: 09/20/2019 Date Collected: 09/09/2019 Time Collected: 0051 Client ID #: EB102019 Laboratory ID #: 091219-04 4sp American Testing Technologies, Inc. Certificate of Anal sis Parameter Result Result Analysis Date Method (%) (mg/kg) Aluminum, Total 39,730 09/16/2019 6010D Arsenic, Total <5.0 09/16/2019 6010D Cadmium, Total <5.0 09/16/2019 6010D Calcium, Total 14.3 143,030 09/16/2019 6010D Chromium, Total 70 09/16/2019 6010D Copper, Total 200 09/16/2019 6010D Iron, Total 14,670 09/16/2019 6010D Lead, Total <5.0 09/16/2019 6010D Magnesium, Total 0.43 4,250 09/16/2019 6010D Manganese, Total 810 09/16/2019 6010D Mercury, Total <0.20 09/16/2019 7471B Molybdenum, Total <5.0 09/16/2019 6010D Phosphorus, Total 2.0 20,000 09/16/2019 6010D Nickel, Total 24 09/16/2019 6010D Potassium, Total 0.20 2,030 09/16/2019 601OD Selenium, Total <5.0 09/16/2019 6010D Sodium, Total 0.31 3,100 09/16/2019 6010D Sulfur, Total 1.0 10,000 09/16/2019 6010D Zinc, Total 810 09/16/2019 601OD Total Kjeldahl Nitrogen 3.10 31,000 09/19/2019 SM-4500 Ammonia Nitrogen 1.50 15,000 09/19/2019 SM-4500 Organic Nitrogen 1.60 16,000 09/19/2019 Calculation Nitrate+Nitrite- N 40 09/19/2019 SM-4500C Calcium Carbonate Equivalent 40 400,000 09/18/2019 AOAC 955,01 Total Solids 4.09 40,900 09/12/2019 SM-2540G Total Volatile Solids 34 340,000 09/12/2019 SM-254OG Moisture 95.91 09/12/2019 SM-2540G 1350 Horne Avenue Akron, Ohio 44310 Page 2 of 3 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD 41W American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Apron, 0H 44310 Website: www_AmericanTestingTechnoiagics.com Toll Free; 877-634-9906 Phone: (330) 634-9906 Fax; (330) 634-990fi' T PROJECT REFERENCE no in t-4VI t!q PROJECT NO. PROJECT LOCATION (STATE)0&1 C— MATRIX TyPE REQUIRED ANALYSIS PAGE OF PROJ CT MANAGER I { L P.O. NUMBER CONTRACT NO. h `? o t Qao a _ - w a 112i coo C, o a [�» a z STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY [� (SURCHARGE} DATE DUE CLIENT (SITE) J` CLIENT PHONE zzz�5E33 CLIENT FAX CLIENT NAME CLIENT E-MAIL t�(r• yr-+ bLuIM CL4EW A D -SS _PA AV- d J7 11, NUMBER OF COOLERS SUBMfTTSD PER 9�lIPiJENT: JAG. � zr SAMPL SAMPLE IDENTIFICATION b�ir�r�`5 NUMBER OF CONTAINERSSUBMITTED REMARKS DATE TIME l9 1; lozoil Sdl K '5' Call - a RELI U HEDSY: (SIG AT DATE TIME RELINQUISHED BY;'(SIGNATURE) DATE TIME RELINQUISHED BY:ISIGNATUR:) DATE TIME RE EKED W. [51cNATURF} DATE TIME RECEIVED BY; (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY E.ONLY RECEIVED FOR LABAORATORY BY MATURE} , , d __j DATE Cj, t� j TIME CUSTODY INTACT: f:'CVST0DY NOS Q SEALNO:. . A:T:T. LOG- No. LABORATORV'RVMARKS C 09 s ORIGINAL - RETURN TO LABORATORY WITH SAMPLES) 10/21/2019 American Testing Technologies, Inc. City of Burlington, NC Attn. Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 101019-07 08 Enclosed are the results of the salnple(s) submitted to our laboratory on 10/10/2019, All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8-082, 8081, 8151' 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant -to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samyaamericantestinvtechnologies.com SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 443].0 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax. 330.634.9907 www.AmericanTestingTechnoiogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Behnont Street Burlington, NC 27215 Date Received: 10/10/2019 Date Reported: 10/21/2019 Date Collected: 10/07/2019 Time Collected.: 0116 Client ID #: East Land Ap EB 112019 Laboratory ID #: 101019-08 ATIF 6�� American Testing Technologies, Inc. Certificate of Anal sis --T--- Parameter Result Result Analysis Date Method {% (mg/kg) Aluminum, Total 38,520 10/14/2019 601OD Arsenic, Total <5.0 10/14/2019 6010D Cadmium, Total <5.0 10/14/2019 6010D Calcium, Total 21.4 214,070 10/14/2019 6010D Chromium, Total 54 10/14/2019 6010D Copper, Total 140 10/14/2019 6010D Iron, Total 11,300 10/14/2019 6010D Lead, Total <5.0 10/14/2019 6010D Ma esium, Total 0.46 4,570 10/14/2019 6010D Manganese, Total 810 10/14/2019 601OD Mercury, Total <0.20 10/14/2019 7471 B Molybdenum., Total <5.0 10/14/2019 6010D Phosphorus, Total 1.2 12,000 10/14/2019 6010D Nickel, Total 18 10/14/2019 6010D Potassium, Total 0.34 3,430 10/14/2019 6010D Selenium, Total <5.0 10/14/2019 6010D Sodium, Total 0.45 4,500 10/14/2019 6010D Sulfur, Total 0.84 8,400 10/14/2019 6010D Zinc, Total 590 10/14/2019 6010D Total Kjeldahl Nitrogen 2.60 26,000 10/18/2019 SM-4500 Ammonia Nitrogen 1.20 12,000 10/18/2019 SM-4500 Organic Nitrogen 1.40 14,000 10/18/2019 Calculation Nitrate+Nitrite- N 45 10/18/2019 SM-4500C Calcium Carbonate Equivalent 40 400,000 10/17/2019 AOAC 955.01 Total Solids 2.73 27,300 10/10/2019 SM-2540G Total Volatile Solids 38 380,000 10/10/2019 SM-2540G Moisture 97.27 10/10/2019 SM-2540G 1350 Home Avenue Akron, Ohio 44310 Toll Frem 877.634.9906 Phone. 330.634,9906 Fax 330.634.9907 www.AmericanTestingTechnologies.com American Testing Technologies, Inc. • ANALYSIS REQUEST AND 4 1350 Tome Avenue Akron, OH 44310 CHAIN OF CUSTODY RECORD Wehsite: www.AmericanTestingTechnologies.corn Tall Free: 877-63 -9906 Phone: (330) 634-9906 American Testing Technologies, Inc. Fax: (330) 634-990Y T PROJECT REFERENCE KA 0 � PROJECT NO. PROJECT LOCATIO MATRIX PAGE OP A)b ISTATE) TYPE REQUIRED ANALYSIS PROJECT MA AGER P.O. NUMBER CONTRACT NO. STANDARD REPORT o z DELIVERY DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX x J EXPEDITED REPORT CLIENT N CLIENT IMAIL p /I ` 0 f ivl.►^ lj 1flx . m o a DELIVERY O (SURCHARGE) CLIEN ADDRESS w N DATE DUE NUMBER 7 OF COOLERS SUBMITTED - - PaR SHIPMENT.' 0 y z Ux SAMPLE SAMPLE IDENTIFICATION }� T ' �' NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME Ol(I 2moj 9 a,1 1 fve,1 v a 5t I *RECEIVED Y.ATURE) *NATURE) DAT TIME RELINQUISHED BY: (SIGNATURE) DATE TIME REdNQUiSHED BY: (SIGNATURE) DATE TIME VATEI TIME RECEIVED BY: (SIGNATUREI DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY USE.ONLY RECEIVED FOR BAORA BY DATE TIME C17STODYINT (SIGNATURE _ T CUSTODY A.T.T. LABORATORY REMARKS G r. YES SEAL NO. LOG NJJO ff]] V NO r I , I 6 ORIGINAL - RETURN TO LABORATORY WITH SAMPLE[sv "J L" L/ , P6r Ono 11/18/2019 �rnerican Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No-: 110819-84 85 Enclosed are the results of the sainple(s) submitted to our laboratory on 11/08/2019. All analyses were performed acc6rding to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accfeditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sm@americantestingtechnologies.com S ' rel ;. ry Manager r Slr Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations! made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Horne Avenue Akron, Ohio 44310 Ton Free, 877.634.990d Phone: 330.634.9906 Fax_ 330.634,9907 www.Ame..ricanTestingTechnoIogies.com City of Burlington, NC Attu: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 11/08/2019 Date Reported: 11/18/2019 Date Collected: 11/04/2019 Time Collected: NA Client ID #: EB 122019 Laboratory ID #: 110819-84 i4p American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method (% mg/kg) Aluminum, Total 38,460 11/11/2019 6010D Arsenic, Total <5.0 11/11/2019 6010D Cadmium, Total <5.0 11/11/2019 601OD Calcium, Total 22.5 224,620 11/11/2019 6010D Chromium, Total 50 11/11/2019 601OD Copper, Total 130 11/11/2019 6010D Iron, Total 11,880 11/11/2019 601OD Lead, Total <5.0 11/11/2019 6010D Magnesium, Total 0.38 3,810 11/11/2019 6010D Manganese, Total 890 11/11/2019 6010D Mercury, Total <0.20 11/11/2019 7471 B Molybdenum, Total <5.0 11/11/2019 6010D Phosphorus, Total 1.2 12,250 11/11/2019 6010D Nickel, Total 22 11/11/2019 601OD Potassium, Total 0.40 3,900 11/11/2019 6010D Selenium, Total <5.0 11/11/2019 6010D Sodium, Total 0.32 3,160 11/11/2019 6010D Sulfur, Total 1.1 11,200 11/11/2019 6010D Zinc, Total 550 11/11/2019 6010D Total K'eldahl Nitrogen 3.30 33,000 11/15/2019 SM-4500 Ammonia Nitrogen 1.80 18,000 11/15/2019 SM-4500 Organic Nitrogen 1.50 15,000 11/15/2019 Calculation Nitrate+Nitrite- N 30 11/15/2019 SM-4500C Calcium Carbonate E uivalent 38 380,000 11/15/2019 AOAC 955.01 Total Solids 3.25 32,500 11/08/2019 SM-2540G Total Volatile Solids 38 380,000 11/08/2019 SM-2540G Moisture 96.75 11/08/2019 SM-2540G 1350 Home Avenue Akron, Ohio 44310 Toll Free: 877.634.9906. Phone: 330.634.9906 Fax 330.634.9907 www.Ame�ricanTestingTechnoIogies.com • ANALYSIS REQUEST AND 4 CHAIN ANA OF CUSTODY RECORD Amer)can Testing Technologies, Inc. American Testing Technologies, Inc. 1350 'Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnalogies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9900 T PROJECT REf RENCE PROJECT NO. PROJECT LOCATION (STATE) MATRIX TYPE ANALYSIS PAGE OF PRO) CT MANAGER I L. P.D. NUMBER CONTRACT No. z yak ¢ w d [wig a w 1 o w a ce aS STANDARD REPORT DELIVERY Ix DATE DUE EXPEDITED REPORT DELIVERY (SURCHARGE) DATE DUE_ CLIENT (SITE) CLIENT PHONE ZZ���l� CLIENT FAX CLIENT NAME CLIENT E MAIL InG- Vr I.I. ux M001). o � o 8 CLIENTA 0 SS NUMBER OF COOLERSSUnMITTED PER AMPMENT• j %�sy -7 i M J KC. (� SAMPL SAMPLE IDENTIFICATION a� lt+� NUMBER OF CONTAINERS SUBMITTED REMARXS DATE TIME l I � 1L?�C� ��j p1 6" K 5 it t 1-1,0 0 Cu Zn a RELI Q lsi L'T BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED Br (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) RATE TIME RECEIVED W. [SIGNATURE) DATE TIME IJIBQW'Wr USE ONLY RECEIVED FOR LA BAO TO (SIGNATURE) rr (f ATE TIME l . r CUSTODY INTi4CT y. NO.: C7 C115 fODY SEALLNQ; A;T.T LABORATORY REMAR4 :LOGAO. I - v , r I ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(Sl/ v • 03/11/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont street Burlington, NC 27215 Report No.: 013119-14 19 Enclosed are the results of the sample(s) submitted to our laboratory on 01/31/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in Ul, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sM@,americantestinp-technologies.com S c ly, S L atory Manager E t SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, OH 44310 Page 1 of 37 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9947 Website: www.AmericanTestingTechnologies.com City of Burlington, NC Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Date Received: 01131/2019 Date Reported: 03/11/2019 Date Collected: 01/29/2019 Time Collected: 8:34 AM Client ID ##: East Land AP Laboratory ID #: 013119-14 Date of Analysis: 02/18/2019 Certificate of Anal sis Metals-'TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C 1350 Horne Avenue Akron,OH 44310 Page 2 0f37 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: ww%,,J(,AmericanTestingTechnologies.com� aw American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/29/2019 Time Collected: 8:34 AM Client ID #: East Land AP Laboratory ID #: 013119-14 Date of Analysis: 02/20/2019 Certificate of Analysis Volatiles-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Benzene <0.1 zng/L 0.5 826013 Carbon tetrachloride <0.1 mg/L 0.5 8260B Chlorobenzene <0.1 mg/L 100 8260B Chloroform <0.1 mg/L 6.0 8260B 1,2-Dichloroethane <0.1 mg/L 0.5 8260B 1,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2A mg/L 200 8260B Tetrachloroethene <0.1 mg/L 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B reviewed by: Manager Page 3 of 37 1350 Home avenue Akron. OH 443:tC 'toll Free: 877-6311-39®O Phone. (330) 634-9906 Fax. (330) 6344907 Webslte; } v,A,rnerican7estingTechnoiogies.com American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington., NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/29/2019 Time Collected: 8:34 AM Client ID #: East Land AP Laboratory ID #: 013119-14 Date of Analysis: 02/25/2019 Certificate of Anal sis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroetiaane <0.05 mg/L 3.0 8270C Nitrobenzene <0.05 mg/L 2.0 8270C Pyridine <0.05 mg/L 5.0 8270C o-Cresol <0.5 nag/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C Page 4 0f37 1350 Horne Avenue Akron. 0H 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 6349907 Website: ww,s Y.America nTestingTechnologies.com 40 American Testing Technologies, Inc - City of Burlington, NC Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/29/2019 Time Collected: 8:34 Client ID #: East Land AP Laboratory ID #: 013119-14 Date of Analysis. 02/22/2019 Certificate of Analysis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method. Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 808113 Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0,005 mg/L 0.4 8081B Methoxychlor <0.1 mg/L 10.0 8081B Toxaphene <0.1 mg/L 0.5 8081B reviewed by: Manager Page 5 of 37 1360 Borne Avenue Akron. OH 44310 Toga Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: wwv.AmericariTestingTechnoiogies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/29/2018 Time Collected: 8:34 AM Client ID #: Bast Land AP Laboratory ID #: 013119-14 Date of Analysis: 02/18/2019 e American Testing Technologies, Inc. Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A 135® Home Avenue Akron.OH 44310 Page 6 of37 Toli Free. 877-634-99€ 6 Phone: (330) 634-9906 Fax: (330) 534-9907 V4feb5ite: vvvAv.Ameriean%stsngfechnasogies.com City of Burlington, NC Attn.: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/29/2019 Time Collected: 8:34 AM Client ID #: East Land AP Laboratory ID #: 0 13 119-14 • 0 American Testing Technologies, Inc. Certificate of Analvsis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.3.3.2 02/11/2019 Reactive Sulfides <25 mg/kg 7.3.4.1 02/11/2019 pH (Lab) 7.21 S.U. 9045D 02/07/2019 Flash point >140 OF 1010A 02/04/2019 reviewed by: Manager Bast Houle Avenue Akron. OH 44310 Page 7 of 37 TO Free: 877-634-9906 Phone: {330) 634-9906 Fax: (330) 634-9907 Website: www.ArmericanTesiingTechnologies.coma Serial Numher nnadQn A 0 ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnologles.com Toll Free: 877.634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT REFERENCE PROJECT NO. PROJECT LOCATION (STATE) MATRIX TYPE REQUIRED ANALYSISJ_ PAGE OF PROTECT MANAGER P.O. NUMBER CONTRACT NO. � ¢ cc o w v~—i 0 o c� W o =L ¢ e� � J o O C LAea o 00 � ¢ ? z v�i o o od J a o z � � � ��C _ �" 4 4 Cp�� 'v �y¢y jP ! 1 STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY CD (SURCHARGE) DATE DUE— CLIENTtl[ (SITE)�f(�5 gljq.�lJvf/[ � [ CLIENT PHONE CLIENT FAX CLIENT N ME 4 }��jy °1 I.� CLIENT E-MAIL t�C% i�l�lllP�ii1L:, i�� CLIENTADDRESS ° f� t i !r- T NUMBER OF COOLERS SUBMITTED PER SHIPMENT; SAMPLE A SAMPLE IDENTIFICATION NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME b r t 10 -' iAn Yp oleo A Z yr¢ a' r ov 0"It'rr G RELINQUISHED BY (SIGNATURE) DATE TIME RELI Q ISHED BY: {SIGN TUBE) 444 DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY (SIGNATURE) A 's x , DATE TIME RECEIVED BY: ( IATURFA . -( " ..//yl�� f IV�4jYn,' u� L (�EI �ELI RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY JSE ONLY RECEIVED FOR LABAORATORYBY; (SIGNATURE) (1 D E `TIME COST„ DY INTACT, N CUSTODY ' SEAL N0. A. LABORATORY REMARKS LOG 0. ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(S) e i 12/21/2018 Arner7c n resting Technofogiss, Inc_ City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.. 122118-08 09 Enclosed are the results of the sample(s) submitted to our laboratory on 12/06/2018. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis_ Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sgmy@americantestingtechnologies.com .anager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. Page 1 of 3 1350 Horne Average Akron, OH 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnotogies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 12/06/2018 Date Reported. 12/21/2018 Date Collected: 12/03/2018 Time Collected: 0621 Client ID #: SBO12019 Laboratory 1D #: 120618-08 4S W- American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method (% (mg/kg) Aluminum, Total 4,660 12/17/2018 .6010C Arsenic, Total <5.0 12/17/2018 6010C Cadmium, Total <5.0 12/17/2018 6010C Calcium, Total 12.5 125,000 12/17/2018 6010C Chromium, Total 55 12/17/2018 6010C Copper, Total 119 12/17/2018 6010C Iron, Total 7,690 12/17/2018 6010C Lead, Total <5.0 12/17/2018 6010C Magnesium, Total 0.56 5,630 12/17/2018 6010C Manganese, Total 190 12/17/2018 6010C Mercury, Total <0.20 12/17/2018 7471E Molybdenum, Total <5.0 12/17/2018 6010C Phosphorus, Total 2.4 24,380 12/17/20IS 6010C Nickel, Total 8 12/17/2018 6010C Potassium, Total 0.66 6,570 12/17/2018 6010C Selenium, Total <5.0 12/17/2018 6010C Sodium, Total 0.97 9,700 12/17/2018 6010C Sulfur, Total 0.91 9,100 12/17/2018 6010C Zinc, Total 226 12/17/2018 6010C Total Kjeldahl Nitrogen 4.80 48,000 12/13/2018 SM-4500 Ammonia Nitrogen 1.20 12,000 12/13/2018 SM-4500 Organic Nitrogen 3.60 36,000 12/13/2018 Calculation Nitrate+Nitrite- N 70 12/14/2018 SM-4500C Calcium Carbonate Equivalent 41 410,000 12/14/2018 AOAC 955.01 Total Solids 3.21 327100 12/10/2018 SM-254OG Total Volatile Solids 45 450,000 12/10/2018 SM-2540G Moisture 96.79 12/10/2018 SM-2540G Page 2 of 3 1350 Fiore Avenue Akron, OH 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnologies.corn n o ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. PR JECT RE gE jENC PROJECT NO. PROIEGT LO 17N MATRIX '�64�'-'T�`Tp (STATE} c/ TYPE PROJECT MANAGER P.O. NUMBER CONTRACT NO. CLIENT (SITE) CLIENT PHONE CLIENT FAX z q LU CLIENT NAME A CLIENT E-MAI 00 GL4;s�7"tY4�Rr r lf�r /4' m p a CLI TADDR I� o w Ln 71 I�- W in SAMPLE °a Uj 0o � DATE TIME. ZD SAMPLE IDENTIFICATION o CY o o U d VJ d 0�0'Z i A'hi� IT�em'7nA Serial Number 003037 American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmerlcariTestingTochnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 REQUIRED ANALYSIS PAGE OF STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY O (SURCHARGE) DATE DUE `r f NUMBER OF COOLERS SUBMITTED PER SHIPMENT: NUMBER OF CONTAINERS SUBMITTED REMARKS IELINQUISHED Y (SIGNATURE) DATE TIME RELINQUISHED BY: j51GNATURE DATE TIME RELINQUISHED BY: (SIGNATURE) DATE PME : ECEIVED BY: (SIGNATURE) DATE TIME R CEIVED BY: {SIGNATURE} DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME WO0 aRY USE'ONLY 3ECEIVBD FOR LABAORATORY BY:. D.ATEE TIME CUST00Y Ij4TAGr CUSTODY A:T.T; -L�16(?RATORY REMARKS 5[�NA7URCj // If YES SEAL No. LOG NO [j 4io 02/11/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 0 12219-1415 Enclosed are the results of the sample(s) submitted to our laboratory on 01/22/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sane americantestin echnolo 'es.com SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue: Akron,. 0H 44310 Toll Free: 677-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Viebsite; wwvv, mericanTestingTechnoiogies.com Date Received: 01/22/2019 Date Reported: 02/11/2019 Date Collected: 01/07/2019 Time Collected: 0643 Client ID #: SB022019 Laboratory ID #: 012219-15 Certificate of Analysis Parameter Result Analysis Date Method %� (Result �m Aluminum, Total 4,120 02/04/2019 6010D Arsenic, Total <5.0 02/04/2019 6010D Cadmium, Total <5.0 02/04/2019 6010D Calcium, Total 12.7 126,600 02/04/2019 6010D Chromium, Total 67 02/04/2019 601OD Copper, Total 162 02/04/2019 6010D Iron, Total 10,500 02/04/2019 6010D Lead, Total <5.0 02/04/2019 6010D Magnesium, Total 0.69 6,930 02/04/2019 6010D Manganese, Total 250 02/04/2019 6010D Mercury, Total <0.20 02/04/2019 7471B Molybdenum, Total <5.0 02/04/2019 6010D Phosphorus, Total 3.0 30,000 02/04/2019 6010D Nickel, Total <5.0 02/04/2019 6010D Potassium, Total 0.70 7,000 02/04/2019 6010D Selenium, Total <5.0 02/04/2019 6010D Sodium, Total 1.0 10,200 02/04/2019 6010D Sulfur, Total 0.70 7,000 02/04/2019 6010D Zinc, Total 310 02/04/2019 6010D Total Kjeldahl Nitrogen 5.0 1 50,000 02/07/2019 SM-4500 Ammonia Nitrogen 2.1 21,000 02/07/2019 SM-4500 Organic Nitrogen 2.9 29,000 02/07/2019 Calculation Nitrate+Nitrite- N 60 02/01/2019 SM-4500C Calcium Carbonate Equivalent 42 420,000 02/06/2019 AOAC 955.01 Total Solids 3.09 30,900 01/25/2019 SM-2540G Total Volatile Solids 40 400,000 01/25/2019 SM-2540G Moisture 96.91 01/25/2019 SM-2540G 1350 Home Avenue Akron. OH 44310 Toll Free: 377-634-9906 'hone: (330) 634-9906 ,Fax: (330) 634-9307 Wetasite: www.AmerocanTestingFechnologies.com Serial Number 003037 ANALYSIS REQUEST AND 4 CHAIN of CUSTODY RECORD wo American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT RE C a -p [ PROJECT NO. (SiTE) PROJECT LOjDN � MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER vc-- P.O. NUMBER CONTRACT NO. a aUj Of(SURCHARGE) o ~ C) w � w o a 02 o � a z o o a W a STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY p DATE DUE CLIENT (SITE) CLIENT PHONE 536 " �z ( CLIENT FAX CLIENT NAME I l� L�asr ► E� a CLIENT E-MAI �. F n n r�r ( r' " , ll�f / J 1�y r,. "W2, f � 9 GLI ®DDR ( 7 jf � ¢/ j e A � [Yti L � 1 s' NUMBER e �Y � 1 "�, a � r . , Vic^ � }F( OF CONTAINERS SUBMIED- I NUMBER OF COOLERS SUBMITTED PER SNIPMENT: REMARKS SAMPLE SAMPLE IDENTIFICATION DATE TIME A 6 c� RELINQUISHED BY: (SIGNATURE) DATE TIME REL QU FEED BY: (SIGNATURE) DATE TIME RELINQUISHER BY: (SIGNATURE) DATE TIME RECEIVED BY::&GNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE LABORORY"U5E'ONLY TIME REC�IWD-FOIi LABAORATORY•RY:: (SIGA7URF) �-v DATE TIME 1� �ti"c� C USTODY TACT YES IVO; o CU51Dl]Y SEAL NO. A;T.T LAG NO. BOR LAATORY REMARI{5- 1 Ob 03/07/2019 Arnerocan Testing Techno9ogies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.:.021519-19 20 Enclosed are the results of the sample(s) submitted to our laboratory on 02/15/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sam arnericantestin echnolo es.com S ere o t ry Manager SL Test performed by an approved subcontract laboratory BRL - Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results_ In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 135O Home Avenue Akron OH 44310 Toll Free: 877-634-9906 Phone, (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnoiogfes.r-om City of Burlington, NC Attn: Glenn McGirt 1302 Behnont Street Burlington, NC 27215 Date Received: 02/15/2019 Date Reported: 03/07/2019 Date Collected: 02/04/2019 Time Collected: 0547 Client ID #: SB032019 Laboratory ID #: 021519-19 qib American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method %} (rn g} Aluminum, Total 5,370 02/25/2019 6010D Arsenic, Total <5.0. 02/25/2019 6010D Cadmium, Total <5.0 02/25/2019 6010D Calcium, Total 11.2 112,400 02/25/2019 6010D Chromium, Total 70 02/25/2019 6010D Copper, Total 180 02/25/2019 6010D Iron, Total 11,380 02/25/2019 6010D Lead, Total <5.0 02/25/2019 6010D Magnesium, Total 0.67 6,700 02/25/2019 601 OD Manganese, Total 250 02/25/2019 6010D Mercury, Total <0.20 02/25/2019 7471 B Molybdenum, Total <5.0 02/25/2019 6010D Phosphorus, Total 2.6 26,000 02/25/2019 6010D Nickel, Total 10 02/25/2019 6010D Potassium, Total 0.65 6,540 02/25/2019 6010D Selenium, Total <5.0 02/25/2019 6010D Sodium, Total 0.10 1,040 02/25/2019 6010D Sulfur, Total 1.17 11,700 02/25/2019 6010D Zinc, Total 330 02/25/2019 6010D Total Kjeldahl Nitrogen 4,30 43,000 03/01/2019 SM-4500 Ammonia Nitrogen 2.80 28,000 03/01/2019 SM-4500 Or a uc Nitrogen 1.50 15,000 03/01/2019 Calculation. Nitrate+Nitrite- N 70 02/20/2019 SM-4500C Calcium Carbonate Equivalent 39 390,000 02/25/2019 AOAC 955.01 Total Solids 2.98 29,800 02/18/2019 SM-2540G Total Volatile Solids 42 420,000 02/18/2019 SM-2540G Moisture 97.02 02/18/2019 SM-2540G 1350 Home Avenue Akron, off 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmeriGanTestingTechriologies.com Serial Number 003037 • ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Adenine Akron, OH 44310 Website: www.AmericanTestingTechnologies.com Toll Free: 677-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PR ogREF�NC g `�� PROJECT NO. (STATE) MATRIX TYPE TYPE REQUIRED ANALYSIS PAGE —F OF PROJECT MANAGER P.O. NUMBER CONTRACT NO. m 0 c�a w o o o `'o cn�z � z U) p CY O STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY O (SURCHARGE) DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX CLIENT NAME lei O�ZaU�I�� CLIENT E-MAIL j �+ r.Er 1v/'�r (�^tf%4�11��Rr'Y6C�r�4 / CLI ADDR r Atka� ��" H„�=.I NUMBER OF CONTAINERS SUBMITTED _ NUMBER OF COOLERS SUBMI77E❑ PlriSNIAMENT: REMARKS SAMPLE SAMPLE IDENTIFICATION DATE TIME 4 4"1 5'9 [ 2 I A9 0 IA-rAl .ate RELINQUISHED BY: pGNATURF) DATE TIME RELINQUISHED BY- (SISIGGN,ATURE) ny _ DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: {SIGNATURE) LABORATORY USE ONLY DATE THE RECEIVCDII OR LA BA OR :. '.(SIGNATURE) . ATE / TIME r r OJ0 CUSTODY' INTACT Q CUSTODY" SEAL NO &T.7:. LOG N0. ] LABORATORY REMARKS . V yr . < f-1- f--3� -110 03/26/2019 lop c. City of Burlington, NC Attu_ Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Report No.: 031419-13 14 Enclosed are the results of the sample(s) submitted to our laboratory on 03/14/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at smy@aTnericantestinL)-technologies.com S c re , { t ry Manager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, € H 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: vojvw,AmericanTestingrechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 03/14/2019 Date Reported: 03/26/2019 Date Collected: 03/04/2019 Time Collected: 0617 Client ID #: SB042019 LaboratoryED #: 031419-14 qiw American 'testing Technologies, inc. Certificate of Analysis Parameter Result N Result (mg/kg) Analysis Date Method Aluminum, Total 4,700 03/15/2019 6010D Arsenic, Total <5.0 03/15/2019 601OD Cadmium, Total <5.0 03/15/2019 601OD Calcium, Total 12.0 119,700 03/15/2019 6010D Chromium, Total 77 03/15/2019 6010D Copper, Total 176 03/15/2019 6010D Iron, Total 11,000 03/15/2019 6010D Lead, Total <5.0 03/15/2019 6010D Ma esium, Total 0.69 6,940 03/15/2019 601OD Manganese, Total 260 03/15/2019 6010D Mercury, Total <0.20 03/15/2019 7471B Molybdenum, Total <5.0 03/15/2019 6010D Phosphorus, Total 1.7 17,000 03/15/2019 6010D Nickel, Total 50 03/15/2019 6010D Potassium, Total 0.83 8,275 03/15/2019 6010D Selenium, Total <5.0 03/15/2019 6010D Sodium, Total 0.70 7,000 03/15/2019 6010D Sulfur, Total 0.60 6,000 03/15/2019 6010D Zinc, Total 317 03/15/2019 6010D Total Kjeldahl Nitrogen 4.5 45,000 03/25/2019 SM-4500 Ammonia Nitrogen 2.9 29,000 03/25/2019 SM-4500 Organic Nitrogen 1.6 16,000 03/25/2019 Calculation Nitrate+Nitrite- N 50 03/22/2019 SM-4500C Calcium Carbonate Equivalent 45 450,000 03/18/2019 AOAC 955.01 Total Solids 2.84 28,400 03/15/2019 SM-2540G Total Volatile Solids Moisture 44 97.16 440,000 03/15/2019 03/15/2019 SM-2540G SM-2540G 1350 Home Avenue Akron, OH 4.4310 Toil Free. 877-634-9906 phone: (330) 634-9906 Fax: (330) 634-9907 Website: vie+vwr,AmericanTesiindTechnoiogies.corn Serial Number 003037 A ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD 0 American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingl'echnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PR JECT RE �-�'T�►� A PROJECT N0, PROJECT LO(�I�i�OiV (STATE) �I� X TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER �f 6'a~ '+' P.Q. NUMBER CONTRACT NO. a Z m o a w U) W ¢ o Jo W 0 O � z W uQi J n ra ? STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY CD/ (SURCHARGE) DATE DUE CLIENT (SITE) �CLIENT PHONE p � 5] CLIENT FAX CLIENT NAME (� Owl, CLIENT E-MAI /' a tve �' ° a I�P,�,�"f /1, k.rE, "e! f0. CLl /1) e �� y d !::{ .,,,•� ? i.! a S i ( .__.� NUMBER OF COOLERS SUBMITTED PER SHIPMENT: SAMPLE SAMPLE IDENTIFICATION &aT NUMBER OF CONTAINERS SUBMITTED _ REMARKS DATE TIME o i La C5 � � f�v G$ r 169 id .r RELINQUISHED BY: (SIGNATURE) DATE TIME RELIN ISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME i,;ABDRATORY USE ONLY RECEIVED FOR OR BY:. ` (sIGIUArURE} DA TIME - QOSTODY INTACT- y� 0 .:CUSTODY- SEAL NO A;T.T. LAkY REMARKS- [LO C NO. M B�73/ 04/23/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 040819-12 13 ,Enclosed are the results of the sample(s) submitted to our laboratory on 04/08/2019. ,All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to . NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy�?aa,americantestingtechnolop-ies.com SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, OH 4.4310 Toll Free: 377-,634-9905 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: wv.vw.ArnericanTest'sngrechnologies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 04/08/2019 Date Reported: 04/23/2019 Pate Collected: 04/01/2019 Time Collected: 0621 Client ID #: SB052019 Laboratory ID #: 040819-12 4ib Amer!can Testing Technologies, Inc. Certificate of Analysis Parameter Result (%) Result (mg/kg) Analysis Date Method Aluminum., Total 6,400 04/13/2019 6010D Arsenic, Total <5.0. 04/13/2019 601 OD Cadmium, Total <5.0 04/13/2019 6010D Calcium, Total 21.4 214,000 04/13/2019 6010D Chromium, Total 70 04/13/2019 6010D Copper, Total 150 04/13/2019 6010D Iron, Total Lead, Total 14,400 <5.0 04/13/2019 04/13/2019 601OD 6010D Magnesium, Total 0.88 8,800 04/13/2019 6010D Manganese, Total 240 04/13/2019 6010D Mercury, Total Molybdenum, Total <0.20 <5.0 04/13/2019 04/13/2019 7471B 6010D Phosphorus, Total Nickel, Total Potassium, Total Selenium, Total 2.6 0.66 26,000 14 6,600 <5.0 04/23/2019 04/13/2019 04/13/2019 04/13/2019 601OD 6010D 6010D 6010D Sodium, Total 0.96 9,600 04/23/2019 6010D Sulfur, Total 0.68 6,760 04/23/2019 601OD Zinc, Total 300 04/13/2019 6010D Total K'eldahl Nitrogen 4.70 47,000 04/19/2019 SM-4500 Ammonia Nitrogen 2.10 21,000 04/19/2019 SM-4500 Organic Nitrogen 2.60 26,000 04/19/2019 Calculation Nitrate+Nitrite- N 60 04/19/2019 SM-4500C Calcium Carbonate Equivalent 42 420,000 04/18/2019 ADAC 955.01 Total Solids 2.50 25,000 04/12/2019 SM-2540G Total Volatile Solids Moisture 47 97.5 470,000 04/12/2019 04/12/2019 SM-2540G SM-2540G 1350 Home ,avenue Akron. OH 44310 Toll Free, 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: w%vw.Am erica nTesti ngTech no tog! es.cc m Serial Number 003037 IM0 ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTochnologies.com Toll Free: 877-634.9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT RE �dE��f�ENC tA ibQ4i��7T. p PROJECT N0. PROJECT LO DN (STATE) �/ MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER r- AJ I P.O. NUMBER CONTRACT NO, M Q "� w v� ¢ it 0 ¢ uw J a 0 � z STANDARD REPORT ` DELIVERY r ` DATE DUE EXPEDITED REPORT DELIVERY (SURCHARGE) DATE WE CLIENT (SITE) CLIENT PHONE / ipZ r' CLIENT FAX CLIENT NAME b$mj l CLIENT E-MA! j f r" Iv f � l P.ldi l YYR , rfl��. to CLIkATADDR /0 � � _ If p 6� % R rIC:-1 I vim. At 4 L ""' / P NUMBER �. ti.'�: r'+-- G r;5 ti4 f ' OF CONTAINERS SUBMITTED NUMBER OF COOLERSSUBMfTTEO PER SHIPMENT: REMARn SAMPLE SAMPLE IDENTIFICATION DATE TIME r � J P�® 50, RELINQUISHED BY (SIGNATURE) DATE TIME Q IS iE�BIGNA 4RC DATE ) TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME VED BY: (SIGNATURE) DATE TIME RECEIVED BY (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIVED FOR LAB TORY .- (SIGNATURE) c, DATE TIME CUSTODY INTACT Y CUSTODY SFAL N0. A,T.T, LOG Xkq -,LABORATORY REMARKS s 05/3 0/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Gleam McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 051319-04 05 Enclosed are the results of the sample(s) submitted to our laboratory on 05/13/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at satn americantestin echnolo es.com clrelyqao anager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 ToA Free: 877.634.9906 Phone_ 330.634,9906 Fax., 330.634.9907 www.AmericanTestingTechnoIogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 05/13/2019 Date Reported: 05/30/2019 Date Collected: 05/06/2019 Time Collected: 0811 Client ID #: SB062019 Laboratory ID #: 051319-04 I American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result mg/kg) Analysis Date Method Aluminum, Total Arsenic, Total Cadmium, Total Calcium, Total 13.8 5,000 <5.0 <5.0 137,800 05/22/2019 05/22/2019 05/22/2019 05/22/2019 6010D 6010D 6010D 601OD Chromium, Total Copper, Total Iron, Total 110 200 12,800 05/22/2019 05/22/2019 05/22/2019 6010D 6010D 6010D Lead, Total <5.0 05/22/2019 6010D Magnesium, Total 0.32 3,200 05/22/2019 601OD Man. anew, Total 320 05/22/2019 6010D Mercury, Total Molybdenum., Total <0.20 <5.0 05/22/2019 05/22/2019 7471B 6010D Phosphorus, Total Nickel, Total 2.4 24,000 18 05/29/2019 05/22/2019 601OD 6010D Potassium, Total 0.95. 9,500 05/22/2019 6010D Selenium, Total <5.0 05/22/2019 6010D Sodium, Total 0.96 9,600 05/22/2019 6010D Sulfur, Total 0.95 9,500 05/29/2019 6010D Zinc, Total 380 05/22/2019 6010D Total Kjeldabl Nitrogen 4.70 47,000 05/23/2019 SM-4500 Ammonia Nitrogen Organic Nitrogen 2.20 2.50 22,000 25,000 05/23/2019 05/23/2019 SM-4500 Calculation Nitrate+Nitrite- N 40 05/23/2019 SM-4500C Calcium, Carbonate Equivalent Total Solids Total Volatile Solids 40 2.54 43 400,000 25,400 430,000 05/28/2019 05/20/2019 05/20/2019 AOAC 955.01 SM-2540G SM-2540G Moisture 97.46 05/20/2019 SM-2540G 1350 Home Avenue Akron, Ohio 443:.0 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericariTestingTechnoIogies.com Serial Number 003037 • ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website! www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJEE�REf'E(;iENC njq_p `` (L (.i' 0 PROJECT NO, =STATE) PROJECT LO JON CI MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER S r-,A�i9P $ f P.O. NUMBER CONTRACT No. m � o u.r a o a cn GO z LU *Q o ra a = 4 z STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT D LIVERY O (SURCHARGE) DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX CLIENT NAME lei @� Z�d/�! ` CLIENT E-MAI %j� r. �'q F+r f it /s ", !��//f�f1�Rr mfit �R f/ Cl.l TADDR /® �iVIA �T Coai� NUMBER OF CONTAINERS SUBMITTED _ _ NUMBER OF COOLERS SUBMITTED PER SHIPMENT: _ REMARKS SAMPLE SAMPLE IDENTIFICATION DATE TIMEUj oz *-? r I - ' AWN to Ypq J. Al RELINQUISHED BY. (SIGNATURE) DATE TIME RELIN UISHED BY. (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME DECEIVED BY. (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) C DAT TIME RECEIVED BY: (SIGNATURE) DATE TIME (_ABORATORY USE O NLY RECEIUCD:FOR LABA•ORATORY BY-. (SIGNATURE) DATE TfME CUSTODY INTACT _ YES CUSTODY SEAL NO. A;T.7: LOCH NO LABOi2A70RY Ri HABITS. (� 06/20/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 060719-19 20 Enclosed are the results of the sample(s) submitted to our laboratory on 06/07/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis_ Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. 1f you have any questions please contact the laboratory manager at 330-634-9906 or via email at sa y{c americantestingtechnologies.com c ely, bo o Manager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingiechnofogies.com F7x . AT 6L �\- City of Burlington, NC American Testing Technologies, lnc. Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 06/07/2019 Date Reported: 06/20/2019 Date Collected: 06/03/2019 Time Collected: 0715 Client ID -#: SB072019 Laboratory ID #: 060719-20 Certificate of Analysis Parameter Result Result Analysis Date Method. (%) g/kg) Aluminum, Total 3,880 06/18/2019 6010D Arsenic, Total <5.0 06/18/2019 601 OD Cadmium, Total <5.0 06/18/2019 6010D Calcium, Total 14.8 147,660 06/18/2019 6010D Chromium, Total 69 06/18/2019 6010D Copper, Total 140 06/18/2019 6010D Iron, Total 9,380 06/18/2019 601 OD Lead, Total <5.0 06/18/2019 6010D Magnesium, Total 0.56 5,630 06/18/2019 6010D Manganese, Total 183 06/18/2019 6010D Mercury, Total <0.20 06/18/2019 7471B Molybdenum, Total <5.0 06/18/2019 601 OD Phosphorus, Total 1.6 16,000 06/18/2019 6010D Nickel, Total <5.0 06/18/2019 6010D Potassium, Total 0.7 7,000 06/18/2019 601 OD Selenium, Total <5.0 06/18/2019 6010D Sodium, Total 0.37 3,700 06/18/2019 6010D Sulfur, Total 0.73 7,300 06/19/2019 6010D Zinc, Total 270 06/18/2019 601 OD Total Kieldahl Nitrogen 4.40 44,000 06/20/2019 SM-4500 Ammonia'Nitrogen 2.10 21,000 06/20/2019 SM-4500 Organic Nitrogen 2.30 23.,000 06/20/2019 Calculation Nitrate+Nitrite- N 50 06/20/2019 SM-4500C Calcium Carbonate Equivalent 38 380,000 06/20/2019 AOAC 955.01 Total Solids 3.20 32,000 06/17/2019 SM-2540G Total Volatile Solids 39 390,000 06/17/2019 SM-2540G Moisture 96.8 06/17/2019 SM-2540G J-350 Horne Avenue Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnoIogies.corn A ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inr. PROJECT REFERENCE PROJECT N0. PROJECT LOCATION MATRIX Ifr��� (STATE) TYPE PROJECT MANAGER P.O. NUMBER CONTRACT NO, v� vv c r CLIENT (SITE) 7CLIENT P��HO�yyNE 1` CLIENT FAX CLIENT NAME JCHENTMAIL �# f �i<n'V\(, 'd a C TADDR � o ❑ _ 5 q W y 4 J/ SAMPLE ID—E1 NTIFCATIONSAMPLETIMEATE n� ao oo a w c z RELINQUISHED BY' (SIGNATURE) RECEIVED BY: (SIGNATURE) RECEIVED FOR LABAORATORY BY: American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Wehsite: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-990)V T REQUIRED ANALYSIS PAGE qF STANDARD REPORT DELIVERY DATE DUE_____,.__ EXPEDITED REPORT DELIVERY (SURCHARGE) DATE DUE '.I NUMBER OF COOLERS SUHMITTED PER SHIPMENT NUMBER OF CONTAINERS SUBMITTED DATE TIME RELI QUISHED BY: (SIGNATURE) LDATE TIME RELINQUISHED BY: (SIGNATURE DATE itME RECEIVED BY. (SIGNATURE) TIME RECEIVED BY: (SIGNATURE) LABORATORY USE ONLY T TIM E Y SST DY-1 TACT SEAL Vul NO L.T:TO �/ LABORATORY REM 5 I oO NO � r- / (0 1 l 7 - )— t ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(S) REMARKS DATE TIME DATE TIME s 07/31/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont street Burlington, NC 27215 Report No.: 071519-22 24 Enclosed are the results of the sample(s) submitted to our laboratory on 07/15/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA $260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy@americantestin tg echnologies.com 4ary r anager SL - Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Tou Free: 877.634.9906 Phone: 330.634.9906 Fait. 330.634.9907 www.AmericanTestingTechnologies.com City of Burlington, NC Attn:. Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 07/15/2019 Date Reported: 07/31/2019 Date Collected: 07/08/2019 Time Collected: 0617 Client ID #: SBOS2019 Laboratory ID #: 071519-23 41=0 American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method %} (mg/kg) Aluminum, Total 5,340 07/16/2019 6010D Arsenic, Total <5.0 07/16/2019 6010D Cadmium, Total <5.0 07/16/2019 6010D Calcium, Total 15.5 155,170 07/16/2019 6010D Chromium, Total 77 07/16/2019 6010D Copper, Total 170 07/16/2019 6010D Iron, Total 10,690 07/16/2019 601OD Lead, Total <5.0 07/16/2019 6010D Magnesium, Total 0.38 3,800 07/16/2019 6010D Manganese, Total 170 07/16/2019 6010D Mercury, Total <0.20 07/16/2019 7471 B Molybdenum, Total <5.0 07/16/2019 6010D Phosphorus, Total 1.1 11,000 07/16/2019 6010D Nickel, Total 24 07/16/2019 6010D Potassium, Total 0.72 7,200 07/16/2019 6010D Selenium, Total <5.0 07/16/2019 6010D Sodium, Total 0.26 2,600 07/16/2019 6010D Sulfur, Total 0.64 6,400 07/16/2019 6010D Zinc, Total 460 07/16/2019 601OD Total Kjeldahl Nitrogen 4.70 47,000 07/26/2019 SM-4500 Ammonia Nitrogen 1.90 19,000 07/26/2019 SM-4500 Organic Nitrogen 2.80 28,000 07/26/2019 Calculation Nitrate+Nitrite- N 46 07/26/2019 SM-4500C Calcium Carbonate Equivalent 45 450,000 07/29/2019 AOAC 955.01 Total Solids 2.94 29,400 07/15/2019 SM-2540G Total Volatile Solids 45 450,000 07/15/2019 SM-2540G Moisture 97.06 07/15/2019 SM-2540G 1350 Nome Avenue Akron, Ohio 44310 Toll Free: 877.634.9906 Phone_ 330.634.9906 Fax 330.634.9907 www.AmericanTestingTechnologies.com fup ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Tachnologies. Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, ®H 4 310 Website: www.ArnericanTestingToohnologies.corn Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-990YT PROJECT REFERENCE l C "a a PROJECT NO. PROJECT LOCATION (STATE) Al CTYPE MATRIX REQUIRED ANALYSIS PAGE OF PROD T MANAG�R P.O. NUMBER CONTRACT ND. L tl a $ a N z n w T M z STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY (SURCHARGE) DATE DUE CLIENT(SrrE) CLIENT PHONE CLIENT FAX CLIENT NAME } cv���1_ l CLIENT E-MAIL pin 11P6��ni y CLIENT A PRE w NUMBER OF COOLERS SUBMITTED PER SHIPMENT: SAMPLE SAMPLE IDENTIFICATION NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY(SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME ECENED BY: (SIGNATURE) DATE TIME RECEIVED BY: (5IGNATURE] DATE TIME LA9()]ZATDRY USE ONLY RECENEDF OR A _'DTE (SIGNATURE) t TIME CUSTODY INTACT YES NO. O CUSTODY 5EALN4, A.T.T. LOG'NO:. LABORATORYREMARKS 0 ff P ' f // ORIGINAL - RETURN TO LABORATORY WITH SAMPLgS) 4D 09/20/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 091219-04 05 Enclosed are the results of the sample(s) submitted to our laboratory on 09/12/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 1501, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant -to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. 1f you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy@ainericantestinZechnologies.com 4aboa anager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 44310 Page 1 of 3 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax. 330.634.9907 www.AmericanTestingTechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street - Burlington, NC 27215 Date Received: 09/12/2019 Date Reported: 09/20/2019 Date Collected: 09/09/2019 Time Collected: 0658 Client ID #: SB 102019 Laboratory ID #: 091219-05 400 American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method N (mg/kg) Aluminum, Total 2,920 09/16/2019 6010D Arsenic, Total <5.0 09/16/2019 6010D Cadmium, Total <5.0 09/16/2019 6010D Calcium, Total 10.2 101,500 09/16/2019 6010D Chromium, Total 45 09/16/2019 6010D Copper, Total 106 09/16/2019 6010D Iron, Total 71,830 09/16/2019 601OD Lead, Total <5.0 09/16/2019 6010D Magnesium, Total 0.61 6,100 09/16/2019 6010D Manganese, Total 150 09/16/2019 6010D Mercury, Total <0.20 09/16/2019 74713 Molybdenum, Total <5.0 09/16/2019 6010D Phosphorus, Total 2.3 23,000 09/16/2019 6010D Nickel, Total 8 09/16/2019 6010D Potassium, Total 0.67 6,730 09/16/2019 6010D Selenium, Total <5.0 09/16/2019 6010D Sodium, Total 0.36 3,600 09/16/2019 6010D Sulfur, Total 0.76 7,600 09/16/2019 601OD Zinc, Total 230 09/16/2019 6010D Total Kjeldahl Nitrogen 4.90 49,000 09/19/2019 SM-4500 Ammonia Nitrogen 2.30 23,000 09/19/2019 SM-4500 Organic Nitrogen 2.60 26,000 09/19/2019 Calculation Nitrate+Nitrite- N 50 09/19/2019 SM-4500C Calcium Carbonate Equivalent 44 440,000 09/16/2019 AOAC 955.01 Total Solids 3.94 39,400 09/18/2019 SM-2540G Total Volatile Solids 33 330,000 09/12/2019 SM-2540G Moisture 1 96.06 09/12/2019 SM-2540G 1350 Home Avenue Akron, Ohio 44310 Page 3 of 3 Toff Free: 877.634.9906 phone: 330,634.9906 Fax. 330,634.9907 www.AmericanTestingTechnoIogies.com O W (X Y ❑ O O a LU G C) C w _ w w ❑ � W N , � C w s? ¢ w?� c mrn ❑ ❑ u� a ¢W o a 0 v~i❑ uX]Cie 5w C. 3 D m m w c l ic w m�� x ¢ m ii a ¢ � z w w •- 3cp o . ; w o 14, V• ai O dLL m TM a M ~ z — ti T O' • W 4 J . (...'�smos'�ial ain6issnosn�vNaN � w o z anosivam altos {l13.!'dW sno2nbV ~ 3lnfa1Jf {5) W a W V RASOMOD w 4 0¢ 2 g w O a v 8 d 0 M z 'Ln O �, � f • s LLi N ~ Y .�.� Q. z N =a a o w LJ Do ❑ a F- , lit r \ V Ir Z w Q LU m CC C 4z 13 m 1 m O u �^ d U LU Ea � t < m N a na x N m E� Ld a a� a a w w W z a a a v Lu I 10/21/2019 American Testing Technologies, Inc. City of Burlington, NC Attn. Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 101019-07 08 Enclosed are the results of the salnple(s) submitted to our laboratory on 10/10/2019, All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8-082, 8081, 8151' 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant -to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samyaamericantestinvtechnologies.com SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, Ohio 443].0 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax. 330.634.9907 www.AmericanTestingTechnoiogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont street Burlington, NC 27215 Date Received: 10/10/2019 Date Reported: 10/21/2019 Date Collected: 10/07/2019 Time Collected: 0637 Client ID #: South Land Ap SB 112019 Laboratory ID #: 101019-07 400 American Testing Technologies, Inc. Certificate of Analvsis Parameter Result Result Analysis Date Method (%) (mg/kg) Aluminum, Total 2,870 10/14/2019 6010D Arsenic, Total <5.0 10/14/2019 6010D Cadmium, Total <5.0 10/14/2019 6010D Calcium, Total 14 14,0550 10/14/2019 6010D Chromium, Total 51 10/14/2019 6010D Copper, Total 140 10/14/2019 6010D Iron, Total 8,240 10/14/2019 6010D Lead, Total <5.0 10/14/2019 6010D Magnesium, Total 0.91 9,060 10/14/2019 6010D Manganese, Total 180 10/14/2019 6010D Mercury, Total <0.20 10/14/2019 7471B Molybdenum, Total <5.0 10/14/2019 601OD Phosphorus, Total 2.1 21,000 10/14/2019 6010D Nickel, Total 16 10/14/2019 6010D Potassium, Total 1.1 10,880 10/14/2019 6010D Selenium, Total <5.0 10/14/2019 6010D Sodium, Total 0.42 4,200 10/14/2019 6010D Sulfur, Total 0.82 8,200 10/14/2019 6010D Zinc, Total 305 10/14/2019 6010D Total Kjeldahl Nitrogen 4.80 48,000 10/18/2019 SM-4500 Ammonia Nitrogen 2.00 20,000 10/18/2019 SM-4500 Organic Nitrogen 2.80 28,000 10/18/2019 Calculation Nitrate+Nitrite- N 65 10/18/2019 SM-4500C Calcium Carbonate Equivalent 35 350,000 10/17/2019 AOAC 955.01 Total Solids 3.44 34,400 10/10/2019 SM-2540G Total Volatile Solids 32 320,000 10/10/2019 SM-2540G Moisture 96.56 10/10/2019 SM-2540G 1350 Home Avenue Akron, Ohio 44310 To!! Free. 877.634.9906 Phone_ 330.634.9906 Fax 330.634.9907 www.AmericanTestingTechnoIogies.com e+ C 6m_rMrs .m n r o o v 2 b m p Q. r~i1 ➢ m (� 2 m P w a. y b rnr 3 - z cn CA m-m M i CD m � m A j D ` ' N n 7 •G rr[ m m m m p 2 m 3 m w m a i r m m m m m A y m ••I fll 0 8 a Q m A Am OA to ` < H a Z V .m TQ D v I COMPOSITE CC) OR GRA13 G) INDICATE AQUEOUS (WATER) z o' � SOLID ORSEMlSOLID o o AIR m NONAQUEDLS LIQUID {OIL, SOLVENT,...) � o• j �• v � v m m •'V m T m fl p- m m CD O A f�+7: D ... v N :E y :E > -A CD ti Nu'z o C m U) wpm 3 p C0 04 3 CoP ai vz yamx M- v m O m 2m m ma Y,p i m 3o m a m o O m y o m b m 0 o 0 W � m a C O � m T la m a '0� Ono 11/18/2019 �rnerican Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No-: 110819-84 85 Enclosed are the results of the sainple(s) submitted to our laboratory on 11/08/2019. All analyses were performed acc6rding to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accfeditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sm@americantestingtechnologies.com S ' rel ;. ry Manager r Slr Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations! made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Horne Avenue Akron, Ohio 44310 Ton Free, 877.634.990d Phone: 330.634.9906 Fax_ 330.634,9907 www.Ame..ricanTestingTechnoIogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 11/08/2019 Date Reported: 11/18/2019 Date Collected: 11/04/2019 Time Collected: NA Client ID #: SB 122019 Laboratory ID #: 110819-85 American Testing Technologies, Inc. Certificate of Analysis Parameter ]result Result Analysis Date Method N (mg/kg) Aluminum, Total 2,570 11/11/2019 601OD Arsenic, Total <5.0 11/11/2019 6010D Cadmium, Total <5.0 11/11/2019 6010D Calcium, Total 12.8 128,450 11/11/2019 6010D Chromium, Total 48 11/11/2019 601OD Copper, Total 120 11/11/2019 6010D Iron, Total 7,220 11/11/2019 6010D Lead, Total <5.0 11/11/2019 6010D Magnesium, Total 0.86 8,620 11/11/2019 6010D Manganese, Total 165 11/11/2019 601OD Mercury, Total <0.20 11/11/2019 7471 B Molybdenum, Total <5.0 11/11/2019 6010D Phosphorus, Total 2.6 25,600 11/11/2019 6010D Nickel, Total 12 11/11/2019 601OD Potassium, Total 1.3 13,450 11/11/2019 6010D Selenium, Total <5.0 11/11/2019 6010D Sodium., Total 0.36 3,630 11/11/2019 6010D Sulfur, Total 0.85 8,500 11/11/2019 601OD Zinc, Total 275 11/11/2019 6010D Total Kjeldahl Nitrogen 5.20 52,000 11/15/ 0019 SM-4500 Ammonia Nitrogen 2.80 28,000 11/15/2019 SM-4500 Organic Nitrogen 2.40 24,000 11/15/2019 Calculation Nitrate+Nitrite- N 45 11/15/2019 SM-4500C Calcium Carbonate Equivalent 41 410,000 11/15/2019 AOAC 955.01 Total Solids 2.91 29,100 11/08/2019 SM-2540G Total Volatile Solids 37 370,000 11/08/2019 SM-2540G Moisture 97.09 11/08/2019 SM-2540G 1.350 Home Avenue Akron, Ohio 44310 Tau Free: 877,634.9906Phone: 330.634.9906 Fax 330.634.9907 www.AmericanTestingTechnofogies. corn pm. �22 m o m r rn m m '� o a a i '� A a m II 2 1 N m V g 3 "' � o m a z � 'ru O '. W,. { ► - m z 3 m w 3 7 m a C� m fp � O A to 3 m m n I (q _0 Nz G m n o t m T N m r !� m m z -� � Z .A e.. n z K x mm my men m j? 5pcpp I m z a � k ' COMPOSITE(C) OR GRAB G)MUCATE AQUEOUS (WAER) m SOLID OR SEMISQI-I© o v il a AIR M .,;z NONAQUEOIJG UQUIO (OIL, SOLVENT-) r.m O 7" sin p Z 2. re 6 m D m O i -, 3tn n C 0 O fj�j -Q y -... p m Z - a toom - • m wS �Oa Out Q �3 D a „,, > z o �A,O m mp �p p 67 hl 0 m m mn T m m n 6 m rn m a m ' a • 03/11/2019 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont street Burlington, NC 27215 Report No.: 013119-14 19 Enclosed are the results of the sample(s) submitted to our laboratory on 01/31/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in Ul, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at sM@,americantestinp-technologies.com S c ly, S L atory Manager E t SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, OH 44310 Page 1 of 37 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9947 Website: www.AmericanTestingTechnologies.com I American Testing Technologies, inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/28/2019 Time Collected: 9:55 AM Client ID #: South Land AP Laboratory ID #: 013119-17 Date of Analysis: 02/18/2019 Certificate of Analysis Metals-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C s reviewed by: Manager 1.350 Home Avenue Akron, OH 44310 rage 20 of 37 Toil Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Web5ite: wwwv ArnericanTestingTechnoiogies.coma %W American Vesting Technologies, Isar. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/28/2019 Time Collected: 9:55 AM Client ID #: South Land AP Laboratory ID #: 013119-17 Date of Analysis: 02/20/2019 Certificate of Analysis Volatiles-TCLP (EPA 131.1) Parameter Results Units Regulatory Method Limits Number Benzene <0.1 mg/L 0.5 8260B Carbon tetrachloride <0.1 mg/L 0.5 8260B Chlorobenzene <0.1 mg/L 100 8260B Chloroform <0.1 mg/L 6.0 8260B 1,2-Dichloroetham <0.1 mg/L 0.5 8260B 1,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetrachloroethene <0.1 mg/L 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B Page 21 of 37 1360 Horne Avenue Akron, OH 44310 Toll Free: 377-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Webslte: win w,AmericanTestingTechnologies.com - - — — — - - -- - _. ...._.... Amer€ean Testing Technologies, €rc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/28/2019 Time Collected: 9:55 AM Client ID #: South Land AP Laboratory ID #: 013119-17 Date of Analysis: 02/25/2019 Certificate of Analvsis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 24-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 mg/L 0.13 8270C Hexachlorobutadiene <0,05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzene <0.05 mg/L 2.0 8270C Pyridine <0.05 mg/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenel <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C reviewed by: Manager 1350 Home Avenue Akron, OH 44310 Page 22 of 37 Toil Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Wabsite: vrv.AmericanTestingTechnologies.corn 4=P American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/28/2019 Time Collected: 9:55 AM Client ID #: South Land AP Laboratory ID #: 013119-17 Date of Analysis: 02/22/2019 Certificate of Analysis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081B Bndrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 8081E Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0.005 mg/L 0.4 8081B Methoxychlor <0.1 mg/L 10.0 8081B Toxaphene <0.1 mg/L 0.5 8081B reviewed by: Manager 1350 Home Avenue Akron, ®H 44310 Page 23 of37 Toll Free: 377-634-9906 Phone: (330) 634--9906 Fax: (330) 634-9907 Website: vnrww.AmericanTestingTechnologies.com • American Testing -technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported.: 03/11/2019 Date Collected: 01/28/2019 Time Collected: 9:50 Client ID #: South Land AP Laboratory ID #: 013119-17 Date of Analysis: 02/18/2019 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-IT (Silvex) c1.0 mg/L 1.0 8151A t Page 24 of 37 1350 Home Avenue Akron, OH 44310 Toll Free: 377-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: wmv.demericanTestingTeehnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/28/2019 Time Collected: 9:55 AM Client ID #: South Land AP Laboratory ID #: 013119-17 • ArnerIcan Testing Technologies, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.3.3.2 02/11/2019 Reactive Sulfides <25 mg/kg 7.3.4.1 02/11/2019 pH (Lab) 7.50 S.U. 9045D 02/07/2019 Flash point >140 7 1010A 02/04/2019 reviewed by: Manager Page 25 of 37 1350 Home avenue Akron, OH 443110 ToU Free: 877-634-9906 phone: (330) 634-9906 Fax: (330) 634-9907 Website: wryw.AmericanTestingTechnologies.com Serial Numher nnadQn A 0 ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnologles.com Toll Free: 877.634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT REFERENCE PROJECT NO. PROJECT LOCATION (STATE) MATRIX TYPE REQUIRED ANALYSISJ_ PAGE OF PROTECT MANAGER P.O. NUMBER CONTRACT NO. � ¢ cc o w v~—i 0 o c� W o =L ¢ e� � J o O C LAea o 00 � ¢ ? z v�i o o od J a o z � � � ��C _ �" 4 4 Cp�� 'v �y¢y jP ! 1 STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY CD (SURCHARGE) DATE DUE— CLIENTtl[ (SITE)�f(�5 gljq.�lJvf/[ � [ CLIENT PHONE CLIENT FAX CLIENT N ME 4 }��jy °1 I.� CLIENT E-MAIL t�C% i�l�lllP�ii1L:, i�� CLIENTADDRESS ° f� t i !r- T NUMBER OF COOLERS SUBMITTED PER SHIPMENT; SAMPLE A SAMPLE IDENTIFICATION NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME b r t 10 -' iAn Yp oleo A Z yr¢ a' r ov 0"It'rr G RELINQUISHED BY (SIGNATURE) DATE TIME RELI Q ISHED BY: {SIGN TUBE) 444 DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY (SIGNATURE) A 's x , DATE TIME RECEIVED BY: ( IATURFA . -( " ..//yl�� f IV�4jYn,' u� L (�EI �ELI RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY JSE ONLY RECEIVED FOR LABAORATORYBY; (SIGNATURE) (1 D E `TIME COST„ DY INTACT, N CUSTODY ' SEAL N0. A. LABORATORY REMARKS LOG 0. 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I�vlyl ( date CrrY CW BURLINGTON LABORAT(MY 8MVICES NC Wastewater Laboratory Certification #188 336422-5233 J. 1; B South WWTP Digester #2 2�C ()(a7 L G� 7 South WWTP Di #3 South WWTP Digester #4 East WWTP Digester #1 q/1) 11 C_04171 cC5 -7 Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost .Other Certified by date q 11 LABORATORY SMVICKS boratory Certification #288 6-ZZZ-5133 q/ta/ 19 08�1 VIM- < < 59 date Iowa, w.. .�. crrY of $URmNeTUN LAL$oRAToRY SERVICES NC Wastewater laboratory Certification #188 335-2 x2-5133 Sampled f,( ,u; 14 Analyzed sample ID # date time pH date. time.. analyst South WWTP Digester #2 01 Lo fel � d South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 ar, ol U 19 09 , 1 G I ,Gf7 Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost ,,ter Other e•�a Certified byP--)IOAVI 4 date_ (D hIll CITY of suumaToN LALBviRAToRY sEmACES NC Wastewater Laboratory Certification #188 336-222-5133 id l:I r Ai iilvzeid a pH date time analyst South WWTP Digester #2 07 1115-2 9 South WWTP Digester #3 .7,4Mi South WWTP Digester #4 !East WWTP Digester #1 01 -7f i/LOL p300 I t,el G205 ! l v� Mackintosh Lagoon #1 q() 70 1'2 7 3 Q2 5 7 Mackintosh Lagoon #2 Compost Other Certified b 1 VI y date CITY 4F BuRmNeTON LmaoiwoRY SE.I tuns NC Wastewater laboratory Certification #188 336-222-5133 Sampled I I Analyzed Sample ID # date time pH date time analyst South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 FBo b-S-19 0q6?- 0qo� Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by(�76n Lv date bi . 1 CITY QF summeniv LAL$oRAToRY SERVICES NC Wastewater Laboratory Certification #188 335-Z22-5133 Sampled I I Analyzed 5a►ple AL io # date time PH analyst South WWTP Digester #2 9date,time ?d South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 1ap �f i°I 51 0-I''l o63 71A) Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost ether Certified by f-eA 0vo!g date crrY og $uniNaTox LmoitmoaY sutvtus NC Wastewater Laboratory Certification #188 336-222-5133 Sampled I I Analyzed sample ID # date time pH date time analyst South WWTP Digester #2 0706 1/0 41107d5 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by b4o Yq �1�' date�/Z w Y CITY cw oun NeTON LABORATORY 5ERVIcES NC Wastewater Laboratory Certification ##188 336-222-5133 Sample ID # i South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester 44 East WWTP Dig ester #1 1 4 Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost other Certified by 'fIrICOPY sampled Analysed date time pH date time analyst 16� r'► lvhlrh jG{tj ��,l�a l61-111 arze � CITY OF BURLINGTON LABORATORY SERVICES NC Wastewater Laboratory Certification #188 336-ZZZ-5133 South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 i ZZ 0 I -] 6 616 TW Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by ] !2.�� r' date Section 5 PVRF Forms ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 1/1/2019 To 2/28/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testin )❑ Alt.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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization O Class B: Alt. (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 0 Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Di estior ❑ If applicable to alternative performed Class A or Class B complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- ences Frequency of Analysis y Sample Type Analytical Tech-nique Minimu Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ 1Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization r❑ Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check 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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) i• =C.r•� 1 /9/2020 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period From 3/1/2019 To 4/30/2019 Pathozen Reduction G5A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ElAlt B (Alk Treatment) ❑ Alt. C (Prior Testing)❑ AIt.D (No Prior Test) [IProcess to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (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 H1 Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitorin data: Parameter Allowable Level in Sludge g Pathogen Density Number oFrequency Excee- of Analysis Y Sample Type Analytical Tech-nique Minimu Geo. Mean aximu Units Fecal Colifotm 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization r❑ Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check 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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) 4 Signature of Preparer* Date Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) 1 /9/2020 Signature of Land Appher (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WWTP Name: Eastside WWTP NPDES Number: Monitoring Period: From 5/1/2019 To 6/30/2019 WQ0000520 NC23868 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ I 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 ❑ Beta Ray 01 Gamma 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 R1 Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class 13complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number of Excee- dences Frequency of Analysis Sample Type Analytical Tech-nique Minimui Geo. Mean Maximurr Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 21 Alt 7 (Drying - Stable) ❑ JAIL 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) C] "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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) Y—Dat:4 1/9/2020 Signature of Preparer* Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 7/1/2019 To 8/31/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing)❑ --d A1t.D (No Prior Test) ❑ I 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 ❑ Beta Ray ❑ Gamma Ra ❑ Pasteurization ❑ Class B: Alt. (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 R1 Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class 13) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g y Number o Excee- Frequency of Analysis Sample Type Analytical Tech-nique Minimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 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 Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization p Alt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check 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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) �yvzde 1 /9/2020 Signature of Preparer* 7Dat�e Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 9/1/2019 To 10/31/2019 Pathogen Reduction (15A NCAC 02T. 1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)❑ A1t.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost 01 Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma 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 R1 Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class 13complete the following monitorin data: Parameter Allowable Level in Sludge Pathogen Density Number o Excee- ences Frequency of Analysis Sample Type Analytical Tech-nique Minimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ I Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization r❑ Alt 7 (Drying - Stable) ❑ JAR. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check 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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) 14 Signature of Preparer* Date Land Applier Name and T//ittl�lee (if applicable)(type or print) 4�" 1 /9/2020 Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 11/1/2019 To 12/31/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing)❑ A1t.D (No Prior Test) ❑ I 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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: JAII. (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 R1 Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class B complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- Frequency of Analysis y Sample Type Analytical Tech-nique Minimum Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ 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 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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Pre arer Name and Title (type or print) �� Land Applier Name and Title (if applicable)(type or print) �y��� "jW xf/•jz GTi�/!lam«/� 1 /9/2020 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) DATE GALLON LSS. I INITIAL JpH CORR. INITIAL I INITIAL 2HR pH CORR. R 2H2 HR pH 24HR H CORR 24 HR 24 HR OPER. LIME TEMP C FACTOR pH pH TIME TEMP C FACTOR pH TIME TEMP C FACTOR pH pH TIME INITS. -- ---- ---- ---- - ------------- 24HR H CORR. TEMP ClFACTOR EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH March "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS MOM© © r. r: r r r m r®. t' iiSi'i�i��ii'.�L•������ EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH Ayii "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE LST GALLONS LBS. INITIAL pH CORK INITIAL INITIAL 2HR pH CORR. 2HR 2 HR pH 24HR pH CORR 24 HR 24 HR OPER. LIME TEMP C FACTOR pH pH TIME TEMP C FACTOR pH TIME TEMP C FACTOR pH pH TIME INITS, 1 411119 2 Di 155,820 11,000 19 -0.18 12.20 20:47 18 -0.21 12.03 22:52 17 -0.24 11.62 0:53 JB 2 414l19 1 36,250 3,250 18 -0.21 12.22 22:52 18 -0.21 12.25 0:55 19 -0.18 12.18 23:18 JS 3 416149 2 38,000 3,000 20 -0.15 1 12.22 15.03 20 -0.15 12.13 17:06 20 -0.15 11.56 15:17 HS 41 418119 1 1 34,250 3,000 20 -0.15 12.15 3:26 20 -0.15 12.16 5:42 20 -0.15 12.06 3A5 KM 51 4/11119 2 36,750 3,000 21 -0.12 12.08 9:54 22 -0.09 12.17 11:58 22 -0.09 11.70 10:04 HS 61 4/13/19 1 35,500 3,000 21 -0.12 12.10 4:28 21 -0.12 12.03 6:38 21 -0.12 11.63 4:40 KM 71 4118119 2 34,750 3,000 22 -0,09 12.68 14:41 22 -0.09 12.65 16:52 1 23 -0.06 12.46 15:02 JB 81 4/20/19 1 37,000 3,000 22 -0.09 12.25 8.28 23 -0.06 12.11 10:47 21 -0.12 11.83 9:21 MG 91 4/23/19 2 36,000 3,750 22 -0.09 12.20 10:40 22 -0.09 12.05 12:50 23 -0,06 11.85 11:09 JT 101 4125119 1 36,250 4,250 22 -0.09 12.25 12:29 22 -0.09 12.17 14:30 23 -0.06 12.14 12:35 HS 11 4/27/19 2 Dig 77,910 7,500 23 -0.06 12.40 1335 23 -0.06 12.36 16:09 21 -0.12 1227 14:10 NH 12 4/28/19 1 38,250 3,750 22 -0.09 12.38 15:48 23 -0.06 12.40 17:52 24 -0.03 12.37 17:51 JT 13 14 15 18 17 18 19 20 21 22 23 241 Total Total 25 59677 1, 5 261 sludge Lime 27 28 29 30 31 32 33 34 1 2 3 4 5 5 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2 2 2 2 30 31 3 3 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH my "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE 6 7 LST GALLONS LBS, LIME INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2 HR pH TIME 24HR TEMP C pH CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS, 511119 2 36,500 3,250 23 -0.06 12,33 12:10 24 -0.03 12,29 14:11 25 0.00 12.26 12:13 MG 512119 1 36,750 3,000 24 -0.03 12,24 12:00 24 -0.03 12,08 14:10 23 -0.06 11.83 14:45 NH 515119 12 Dig 246,960 18,000 24 -0.03 12,31 10:42 24 -0.03 12.30 12:54 23 -0.06 1 12.13 11:13 HS 517119 1Dig 382,200 7,750 25 0.00 12.26 14:01 25 0,00 12.39 19:21 24 -0,03 12.21 17:27 JB 518119 2 Dig 133,770 3,750 22 -0.09 12.45 1:39 22 -0.09 12.45 3:50 24 -0.03 11.89 2:45 NH 5110/19 2 37,500 2,750 25 0.00 12.34 13:04 25 0.00 12.20 15:25 25 0,00 11.89 13,43 HS 5111119 1 37,250 2,750 25 0.00 12.34 1015 25 0.00 12.32 13:12 25 0.00 12.13 12:27 JB 5/12119 2 38,250 2,750 24 -0,03 12.27 17:04 25 0,00 12.16 19:06 25 0,00 12.23 17:09 JB 5/17119 1 35,500 3,250 24 -0.03 12.24 10:51 24 -0.03 12,06 13:07 25 0.00 11.79 12:11 JS 5118/19 2 37,750 3,750 26 0,03 12.24 16:43 25 0.00 12.18 18:59 27 0.06 11.81 17:02 KM 5/20/19 1 38,750 3,750 27 0.06 12.34 12:38 27 0.06 12.31 14:39 27 0.06 11,71 13:25 KM 5122/19 2 38,000 3,500 27 0.06 12.24 18:24 26 0,03 12.25 20:28 26 0.03 1 12.09 18:31 1B 5/24119 1 38,250 3,750 25 0.00 12.28 0:44 25 0.00 12.33 2:52 26 0.03 11.86 0:55 PW 5125119 1 Dig 107,310 8,750 28 0.09 12,35 1 T38 27 0,06 12.10 19:39 28 0,09 11.55 18:40 NH 5/27/19 1 37,000 3,500 27 0.06 12.24 0:46 26 0.03 12.18 2:53 26 0.03 12.38 1:08 JB 5/29119 2 38,250 3,500 27 0,06 12.32 3.18 26 0.03 12,24 521 27 0,06 11.88 3:45 KM Total Total 1,319,990 77,750 sludge Lime 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH June "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS MIELE • r . •• •.1 i � : I ��® I rf ��® f fr :• �® • � rlr ®i ® I Ir ®�� 1 i ��® r 1. ®�® . • r . iff ®i � r 1 ��� 1 1 ®i �� r I ��® • � ' i rt1 ® r Ir i• ®i � I r '�i®i � r 1 ®®i I • �� 111 m 11• ® ' ' �:i 11• �®� f f• •• ®� • � : 11 I 1 r r � Ir�I���m 11. ��® 11. ��� MOM 1 A 5 s 7 a 9 is 11 12 13 14 15 16 17 18 19 20 21 22 23 24 'd5 26 27 28 29 3a 31 32 33 34 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH JUIV "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS ImmmoKim I�� r l l �� 1 f' ��® r i. ��® 1 r. i ■ �® I�� % r rl1 � i 1• r' �� r i' ��® i I. ��r'� I © .Irr Ili •,: r i• ����®®���®® l i ••� � . �] Irr � i r•�+ rl � i r• 11 ��®�0 �� I�ii © Irr 111 � i i ®�® 1 1. ��� r 1• ®�® LCUORWIMIA EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION ❑F BIOSOLIDS MONTH September "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS ���� r r m r r• r• r• � r r' ��® r r ©®m • 0 rr �m r r ��m r r ®®m r r' ��®� �� ■. r r rrr ® r r. ®®��®�� r r �®® © ■. r r r rrr ® r r. ®�® r r. ��® r r. �©� EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH October "PSRP" YEAR 2019 PROCESS T❑ SIGNIFICANTLY REDUCE PATHOGENS 1 • • � Ii lil � i I �®® 1 11 ®I ®I m 1 I ��® 1 ■ . 1 ®1 ® 1 #1 ®®® 1 #I ��® 111 ®®® ��a • 1 111 ® 1 1• ��® f 1. � " ® 1 I. � ' • 1 • ■ . � • i.l i 1 ® 1 1. i■ ®1 ® • 1 �1 �® 1 I .I �1 m1 al .�a� I i / ® I •. ® 1. ®�® 1 � m 1 1 � 1 1 m 1 • a 11 Ili ®��®®� ' I ®m 1 1 ��®� EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH November "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS MEN w ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WWTP Name: Southside WWTP NPDES Number: Monitoring Period: From 1/1/2019 To 2/28/2019 WQ0000520 NC23876 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)[] A1t.D (No Prior Test) I 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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: jAlt. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens p If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization RI F Air Drying ❑ 1 Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class B complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- Frequency of Analysis y Sample Type Analytical Tech-nique Minimum Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 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 Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization p Alt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) fO "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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and T//ittl�lee (if applicable)(type or print) .2 boa, Ors " - 1 /9/2020 Signature of Preparer* ae Signature of Land A lier if applicable) Date g P g PP ( PP ) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WWTP Name: Southside WWTP Monitoring Period WQ Permit Number: WQ0000520 NPDES Number: NC23876 From 3/1/2019 To 4/30/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing)❑ Alt.D (No Prior Test) I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thertnophilic ❑ Beta Ray ❑ Gamma 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 0 Air Drying ❑ I Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitorin data: Parameter Allowable Level in Sludge g Pathogen Density g �' Number o Excee- Frequency of Analysis Y Sample Type Analytical Tech-nique Minimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 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 Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization R1 Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .l 106 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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) 1 /9/2020 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Southside WWTP NPDES Number: NC23876 Monitoring Period: From 5/ 1 /2019 To 6/30/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing)❑ Alt.D (No Prior Test) ❑ I 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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: jAh. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens p If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class B complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- FrequencySample of Analysis y Type Analytical Tech-nique Minimu Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ I Alt. 4 (Spec. 02 uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 Alt 7 (Drying - Stable) ❑ JAIt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) !] "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T A 106 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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) 2 /f )," 12/12/2018 Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Southside WWTP NPDES Number: NC23876 Monitoring Period: From 7/1/2019 To 8/30/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)❑ Alt.D (No Prior Test) ❑ I 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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: All. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens p If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization R1 Air Drying ❑ Composting ❑ JAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludgexcee- g Pathogen Density Number ° Frequency of Analysis y Sample Type Analytical Tech-nique Minimu Geo. Mean Maxaximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry wei t Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 21 Alt 7 (Drying - Stable) ❑ JAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check 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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) e�i1/9/2020 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Southside WWTP NPDES Number: NC23876 Monitoring Period: From 9/1/2019 To 10/31/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)❑ —d A1t.D (No Prior Test) I 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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density L31 Alt. (2) Process to Significantly Reduce Pathogens p If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g Number o Excee- enneq Frequency of Analysis Sample Type Analytical Tech-nique Minimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 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 Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization r❑ Alt 7 (Drying - Stable) ❑ JAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check 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 exalanation 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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) �A Signature of Preparer* Date Brent Collins; Director of Technical Services Land Applier Name and T//ittl�lee (if applicable)(type or print) �+�• � G;w'� 1 /9/2020 Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WWTP Name: Southside WWTP NPDES Number: Monitoring Period: From 11 / 1 /2019 To 12/31 /2019 WQ0000520 NC23876 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)❑ Alt.D (No Prior Test) ❑ I 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 ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (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 ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed Class A or Class 13complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number oFrequency Excee- ences of Analysis y Sample Type Analytical Tech-nique Minimu Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. 02 uptake) ElAlt. 5 (14-Day Aerobic) [3 Alt. 6 (Alk. Stabilization RI 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) ❑ "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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) -k fto xf,,"zL 4•2'`' 12/12/2018 Signature of Preparer* ate Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) INITIAL IpH CORR. INITIAL INITIAL 2HR TEMP C FACTOR pH pH TIME TEMP C. 2HR pH TIME OPER. INITS. MMMEOMMOTITE mez Mrmmwzmkj WE mi, -M No batches mixed SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH March YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS Emmummmmm mom ISM SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH April YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS Imomml rm T m- ff FT. re f 4 MUM r-m m um-,rA m- r-m M uffir, m- ff.,% ms-.WMM�� SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH May YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE GALLON LBS. INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2HR pH TIME 24HR TEMP C H CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS. 1 512119 Fi3 457,759 93,140 23 -0.06 12.08 11:25 23 -0.06 12.00 13:25 23 -0.06 1194 1125 RA/LW 2 513119 88,865 30,000 24 -0.03 12.09 13:00 24 -0.03 12.11 15:00 23 -0.06 11.88 1100 RA/LW 3 516119 1 1 38,896 5,250 23 1 -0.06 12.14 12:50 1 23 -0.06 12.21 14 50 24 -0.03 11.92 12:50 LW 4 516119 2 38.896 5,250 23 -0.06 12.08 12:50 23 -0.06 12.16 14:50 24 -0.03 11.89 12:50 LW 51 5115/19 1 38,896 6,000 22 -0.09 12.08 11:30 22 -0.09 12.01 13:30 23 -0.06 11.71 11:30 OA 61 5/15/19 2 38,896 6,000 22 -0.09 12.10 11:30 22 -0.09 12.00 13:30 23 -0.06 11.92 11:30 OA 7 5/18/19 1 38,896 6,000 22 -0.09 12.15 6:00 23 -0.06 12.01 1 8:00 23 -0.06 11.92 6:00 OA 8 5/18/19 2 38,896 6,000 22 -0.09 12.17 6:00 23 -0.06 12.05 8:00 23 -0.06 11.85 6:00 OA 9 5119119 1 38.896 6,000 24 -0.03 12.10 13:00 24 -0.03 12.00 15:00 24 -0.03 11.96 13:00 OA 10 5119119 2 38,896 6,000 24 -0.03 12.07 13:00 24 -0.03 12.01 15:00 24 -0.03 11.87 13:00 OA 11 5/29/19 1 38,896 6,000 26 0.03 12.08 13:30 26 0.03 12.01 15:30 28 0.09 11.89 13:30 OA 12 5129/19 2 38,896 6,000 26 0.03 12.05 13:30 26 0.03 12.03 15:30 28 0.09 11.80 13 30 OA 13 5/30/19 1 38,896 6,000 27 0.06 12.08 11:30 27 0.06 12.07 13:30 27 0.06 11.86 11:30 OA 14 5/30/19 2 38,896 6,000 27 0.06 12.09 11:30 27 0.06 12.00 13:30 27 0.06 11.78 11.30 OA 15 5/31 /19 1 38,896 6,000 25 0.00 12.14 2130 25 0.00 12.07 23:30 27 0.06 11.68 21:30 GH 16 5/31119 2 38,896 6,000 25 0.00 12.10 21:30 25 0.00 12.06 23:30 27 0.06 11.89 2130 GH 17 18 19 2❑ 21 22 23 24 25 26 27 28 29 30 31 32 El 33 1341 SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH June YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS �����m I r 1• • I m 1 1 I. �m r l ��m © .. • a ::•. . Ilr m r 1 ®r. rr m 1 r I! rr m 1 r � 11 m .. • © ::■. . 111 m r 1 I. rr m I r �1 11 m 1 r � li • a :•. • rrr m 1 I ® 11 � 1 1 I: Ir r�. I 1 ®j 11 m�© ::•• � rrr � r I � rr m r r Ir rr m I I � rl +�'-' m . • � :•. 111 ® r 11 ®r: rl .. I r � 11 m I r � Ir ® . • © :•. 111 ® r 11 ®F rr � I r ®j 11 m 1 r � rr m SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH July YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS ©�© : :•. rrr m 1 1 ® !! m i 1 ® . 11 m 1 1• � � 11 © : • � ::•. rll m 1 1 � 11 m ! 1 � Ir m 1 1 � II �� • © ..•■ il! m 1 1 � 11 m 1 r � !! m 1 1 � 11 •" ��© ::•. III m 1 1• ®®1 � 1 !• ��m 1 1• �i 11 � � SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH August YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH September YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSR P" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS I Mmffi © • • a : :•. rlr ® 1 i. 1: Ir m 1 i■ 1. r1 � 1 1• � 11 • : © ::•. rir ® 1 r. ® Ir m 1 I■ ® rr m I r• ® rr © • • � :•. ri1 m 1 r' ®i it � I r• Ir Ir � 1 1• � it m • © ::•. rrr m�� ri � r I• � rr m I r• � it m SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH October YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE TANK GALLONS LBS. INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2HR pH TIME 24HR TEMP C pH CORR FACTOR 24 HR pH 24 HR pH TIME ❑PER. INITS. 1 1013119 1 38,896 3,375 26 0.03 12.20 9:30 27 0.06 12.23 11:30 26 0.03 12.18 9:30 LW 2 10/3119 2 38,896 3375 26 0.03 12.13 9:30 27 0.06 12.18 11:30 26 0.03 12.16 9:30 LW 31 10/4119 1 38,896 3,375 26 0.03 1209. 14:00 26 0.03 12.11 16:00 25 0.00 11.89 14:00 RF 4 10/4119 2 38,896 3,375 26 0.03 12.15 14:00 26 0.03 12.14 16:00 25 0.00 12.04 14:00 RF 5 1017119 1 38,896 3,375 25 0.00 12.10 12:15 25 0.00 12.32 14:15 24 -0.03 12.28 12:15 LW 6 1017119 2 38,896 3,375 25 0.00 12.18 12:15 25 0.00 12.34 14:15 24 -0.03 12.30 12:15 LW 7 10/12119 1 38,896 3,375 20 -0.15 12.11 9:30 20 -0.15 12.16 11:30 21 -0.12 12.17 9:30 LW 8 10/12/19 2 38,896 3,375 20 -0.15 12.09 9:30 20 -0.15 12.11 11:30 21 -0.12 12.10 9:30 LW 9 10/14/19 1 38,896 3,375 21 -0.12 12.07 9:45 22 -0.09 12.31 11:45 22 -0.09 12.10 9:45 RA 10 10/14/19 2 38,896 3,375 21 -0.12 12.04 9:45 22 -0.09 12.37 11.45 22 -0.09 12.07 9:45 RA 11 10/15/19 1 38,896 3,375 19 -0.18 12.14 12:00 20 -0.15 12.15 14:00 19 -0.18 1202. 12:00 RA 121 10/15119 2 1 38,896 3,375 19 -0.18 12.10 12:00 20 -0.15 12.17 14:00 19 -0.18 1204. 12:00 RA 131 10/17119 1 1 38,896 3,375 19 -0.18 12.20 12.00 19 -0.18 12.20 1400 19 -0.18 12.13 12:00 OA 14 10/17119 2 38,896 3,375 19 -0.18 12.17 12:00 19 -0.18 12.15 14.00 19 -0.18 12.09 12.00 OA 15 10/28119 1 38,896 3,375 21 -0.12 12.32 1300 22 -0.09 12.09 15:00 20 -0.15 12.02 13.00 OA 16 10/28/19 2 38,896 3,375 21 -0.12 12.30 1300 22 -0.09 12.15 15:00 20 -0.15 1204. 13.00 OA 17 10/29/19 1 38,896 3,375 21 -0.12 12.19 15:30 21 -0.12 12.07 17:30 20 -0.15 12.04 15:30 RA 181 10/29/19 2 1 38,896 3,375 21 -0.12 12.16 15:30 21 -0.12 12.03 17.30 20 -0.15 12.02 15:30 RA 19 10/31/19 1 38,896 3,375 22 -0.09 12.09 12:00 22 -0.09 12.15 14:00 22 -0.09 11.91 12:00 OA 20 10/31/19 2 38,896 3,375 22 -0.09 12.14 12:00 22 -0.09 12.00 14:00 22 -0.09 11.87 12:00 OA 21 22 23 24 25 26 27 28 29 30 31 32 33 34 SOUTH BURLINGTON WASTEWATER TREATMENT PLANT MONTH November YEAR 2019 LIME STABILIZATION OF BIOSOLIDS "PSRP" PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE TANK GALLON LBS. INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2HR pH TIME 24HR TEMP C H CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS, 1 11/1/19 1 38,896 3,375 20 -0.15 12.30 13:30 20 -0.15 12.11 15:30 20 -0.15 11.90 13.30 OA 2 11/1/19 2 38,896 3,375 20 -0.15 12.21 13:30 20 -0.15 12.01 15:30 20 -0.15 11.95 13:30 OA 3 1114119 1 38,896 3,375 15 -0.30 12.39 13:31 15 -0.30 12.20 15:31 16 -0.27 11.85 13:31 OA 4 11/4119 2 38,896 3.375 15 -0.30 12.25 13:31 15 -0.30 12.16 15:31 16 -0.27 11.79 13:31 OA 5 11/6119 1 38,89E 3,375 17 -0.24 12.40 9:30 17 -0.24 12.14 11.30 17 -0.24 11.77 9:30 OA fi 11/6/19 2 38,896 3,375 17 -0.24 12.38 9:30 17 -0.24 12.12 11.30 17 -0.24 11.81 9:30 OA T11/7/19 1 38,896 6,750 16 -0.27 12.41 13:30 16 -0.27 12.38 15:30 16 -0.27 12.10 13:30 OA 11/7/19 2 38,896 6,750 16 -0.27 12.42 13:30 16 -0.27 12.38 15:30 16 -0.27 12.11 13:30 OA 1118/19 1 38,896 5,625 16 -0.27 12.22 13:50 16 -0.27 12.12 15:50 16 -0.27 12.00 13'50 OA 19 101 11 /8/19 2 38,896 5,625 16 -0.27 12.10 13:50 16 -0.27 12.09 15:50 16 -0.27 12.00 13.50 OA ill 11/11/19 1 38,896 5,625 14 -0.33 12.30 9:30 14 -0.33 12.05 11:30 15 -0.30 11.97 930 OA 12 11/11/19 2 38,896 5,625 14 -0.33 12.16 9:30 14 -0.33 12.01 11:30 15 -0.30 11.82 9:30 OA 13 11/12/19 1 38,896 5,625 14 -0.33 12.18 13:30 14 -0.33 12.04 15:30 13 -0.36 11.70 13.30 OA 14 11/12/19 2 38,896 5,625 14 -0.33 12.25 1130 14 -0.33 12.08 15:30 13 -0.36 11.80 13.30 OA 15 11/14/19 1 38,896 3,375 13 -0.36 12.05 10:30 13 -0.36 12.11 12:30 13 -0.36 12.02 10:30 LW 16 11 /14119 2 38,896 3,375 13 -0.36 12.03 10.30 13 -0.36 12.09 12:30 13 -0.36 11.98 10:30 LW 17 11/15119 1 38,896 6,000 12 -0.39 12.15 20:30 12 -0.39 12.00 22:30 13 -0.36 11.83 22:30 OA 1V/2411 2 38,896 6.000 12 -0.39 12.20 20.30 12 -0 39 12.03 22 30 13 -0.36 11.74 22:30 OA 1 38.896 3.375 13 -0.36 12.04 12:45 13 -0.36 12.16 14A5 13 -0.36 12.08 12:45 LW 2 38.896 3.375 13 -0.36 12.02 12.45 13 -0.36 12.00 14A5 13 -0.36 12.03 12:45 LW 1 38.896 5,250 14 -0.33 12.20 9:30 14 -0.33 12.07 11:30 14 -0.33 12.05 9:30 OA 2 38.896 5,250 14 -0.33 12.10 930 14 -0.33 12.00 11:30 14 -0.33 11.95 9:30 OA 23 24 25 26 27 28 29 30 31 32 N34 Section 6 Soil Analysis NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002103 CU)-ToegPredictive Client: Ken (Kenneth) Culberson Advisor: Brent Collins �C, 7738 Coble Mill Rd EMA Resources Inc Mehlich-3 Extraction 'Soil Report Snow Camp, NC 27349 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-2 Completed: 08/17/2019 Client ID: 276701 Advisor ID: 405413 Sample ID: 00002 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, M 0.0 120-200 0 60 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 1.04 15.7 97 0.4 7.1 174 40 81 15 34 1509 906 372 372 356 0.1 1 Sample ID: 00003 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, M 0.0 120-200 0 50 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.51 1.06 16.3 97 0.5 7.0 157 44 79 16 35 1112 669 349 349 273 0.1 1 Sample ID: 00004 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, M 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.46 1.05 19.4 100 0.0 7.4 200 48 86 13 41 1225 731 412 412 358 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021315 �5{i �141..tiL Client: Walter Hessenthlar Advisor: Brent Collins Predictive 8755 Moody Road EMA Resources Inc ;• Liberty, NC 27298 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 501060 Advisor ID: 405413 Sampled: Received: 11/26/2019 Completed: 01/27/2020 Farm: AM - 6 Sample ID: 00001 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, M 0.0 120-200 0 120 25 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.27 1.14 7.5 97 0.2 7.2 164 10 91 6 39 243 145 ill ill 119 0.1 1 Noah Carolina fdtaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002095 CU)-ToegPredictive Client: Walter Hessenthlar Advisor: Brent Collins �C, 8755 Moody Road EMA Resources Inc Mehlich-3 Extraction 'Soil Report Liberty, NC 27298 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-6 Completed: 08/17/2019 Client ID: 501060 Advisor ID: 405413 Sample ID: 00002 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, M 0.0 120-200 0 110 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.32 1.13 16.1 100 0.0 7.6 396 14 96 4 56 180 101 329 329 244 0.1 1 Sample ID: 00008 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.28 13.9 99 0.1 7.3 585 29 92 7 47 125 73 349 349 186 0.1 1 Sample ID: 00009 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, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.36 1.17 10.4 94 0.6 6.7 266 20 86 7 51 108 71 318 318 416 0.2 2 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002098 CU)-Toag Predictive Client: Jimmy Staley Advisor: Brent Collins �C, 4382 Cedar Cliff Rd EMA Resources Inc 'Soil Mehlich-3 Extraction Report Graham, NC 27253 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-8 Completed: 08/17/2019 Client ID: 291802 Advisor ID: 405413 Sample ID: 00001 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, M 0.0 120-200 0 110 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.22 1.04 22.7 100 0.0 7.6 478 14 94 6 57 494 290 450 450 375 0.1 0 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002105 CU)-ToagPredictive Client: James Hadley Advisor: Brent Collins �C, 4305 Silk Hope Lindley Mill Rd. EMA Resources Inc 'Soil Report Mehlich-3 Extraction Snow Camp, NC 27349 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-13 Completed: 08/17/2019 Client ID: 85078 Advisor ID: 405413 Sample ID: 00001 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: 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-1 Na ESP SS-1 NO3-N 0.41 0.91 24.9 100 0.0 7.5 353 30 92 8 59 844 500 494 494 493 0.1 0 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Com. Bermuda/Bahia 0.0 100-150 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.41 0.90 26.3 100 0.0 7.4 440 31 92 8 59 790 469 540 540 497 0.1 0 Sample ID: 0003A Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Com. Bermuda/Bahia 0.0 100-150 0 60 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.46 0.92 20.9 100 0.1 7.3 378 38 90 9 46 1513 904 441 441 404 0.1 0 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002105 James Hadley Page 2 of 3 Sample ID: 0003B 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; 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-1 Na ESP SS-1 NO3-N 0.46 1.02 15.7 97 0.4 7.1 261 30 86 10 37 1838 1103 356 356 335 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011813 �5{i �141..tiL Client: James Roney Advisor: Brent Collins Predictive 2334 Barnett Rd EMA Resources Inc ;• Mebane, NC 27302 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 405969 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: AM14 Sample ID: 00002 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.22 1.31 7.5 100 0.0 7.4 244 83 88 6 88 428 253 107 107 ill 0.2 3 Sample ID: 00005 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, M 1.3 120-200 0 20 0 0 0 0 0 0 Note: 12 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.71 1.01 9.2 73 2.5 5.3 98 66 52 18 39 317 207 278 278 74 0.1 1 Noah Carolina i� Futaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002093 CU)-ToegPredictive Client: Charlie Wyatt Advisor: Brent Collins �C, 2408 McCray Rd EMA Resources Inc Mehlich-3 Extraction 'Soil Report Burlington, NC 27217 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-15 Completed: 08/17/2019 Client ID: 376144 Advisor ID: 405413 Sample ID: 00001 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.27 1.07 18.1 100 0.0 7.5 206 29 92 7 46 729 432 284 284 188 0.1 1 Sample ID: 00004 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, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.18 1.14 18.3 100 0.0 7.6 355 18 93 6 51 434 253 301 301 227 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011814 �5{i �141..tiL Client: Charlie Wyatt Advisor: Brent Collins Predictive 2408 McCray Rd EMA Resources Inc ;• Burlington, NC 27217 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 376144 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: AM15 Sample ID: 0003 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.32 1.11 12.9 99 0.1 7.3 173 27 89 9 63 244 144 167 167 182 0.2 2 Noah Carolina Futaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011806 �5{i �141..tiL Client: Michael Hadley Advisor: Brent Collins Predictive 8922 Bethel South Fork Rd EMA Resources Inc ;• Snow Camp, NC 27349 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 387127 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: AM16 Sample ID: 00001 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, M 0.0 120-200 0 50 0 0 0 0 0 0 Note: 12 2 - 0.0 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 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 0.41 0.96 12.3 88 1.5 6.0 335 45 78 8 71 327 213 404 404 725 0.2 2 Noah Carolina FutaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002102 CU)-ToegPredictive Client: Michael Hadley Advisor: Brent Collins �C, 8922 Bethel South Fork Rd EMA Resources Inc Mehlich-3 Extraction 'Soil Report Snow Camp, NC 27349 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-16 9108 Bethel So Fork Rd Completed: 08/17/2019 Client ID: 387127 Advisor ID: 405413 Sample ID: 00002 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, M 0.0 120-200 0 10 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: 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-1 Na ESP SS-1 NO3-N 0.36 0.93 16.6 97 0.5 6.9 485 75 86 8 78 326 199 444 444 580 0.2 1 Sample ID: 00003 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, M 0.0 120-200 0 10 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 0.96 21.5 100 0.1 7.3 502 70 88 10 64 370 220 810 810 303 0.1 0 Sample ID: 00004 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 0.92 21.6 99 0.2 7.2 682 85 90 7 94 366 219 978 978 834 0.2 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002102 Michael Hadley Page 2 of 3 Sample ID: 00005 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: 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-1 Na ESP SS-1 NO3-N 0.27 0.95 26.6 100 0.0 7.3 755 233 86 9 100 1197 715 1672 1672 1397 0.2 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011812 �5{i �141..tiL Client: Albert/Bert Mills Advisor: Brent Collins Predictive 1617 McCuiston Dr. EMA Resources Inc ;• Burlington, NC 27215 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 294576 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: AM18 Sample ID: 00001 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.32 1.07 19.5 95 1.0 6.5 76 27 69 26 35 370 231 337 337 257 0.1 1 Sample ID: 00002 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.41 1.03 13.0 94 0.7 6.6 94 28 80 14 50 183 118 186 186 188 0.1 1 Noah Carolina i� Futaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021735 �5{i �141..tiL Client: Chapman McQueen Advisor: Brent Collins Predictive 1002 East Willowbrook Rd EMA Resources Inc ;• Burlington, NC 27215 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 489125 Advisor ID: 405413 Sampled: Received: 11/26/2019 Completed: 01/30/2020 Farm: AM-109 Sample ID: 00001 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, M 0.0 120-200 0 20 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.41 1.14 14.8 94 0.8 6.6 463 63 83 9 84 493 304 555 555 334 0.2 1 Sample ID: 00002 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.04 13.0 94 0.8 6.6 225 30 84 8 70 265 167 216 216 188 0.1 1 Noah Carolina i� FutaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002097 CU)-Toeg Predictive Client: Leonidas Newlin Advisor: Brent Collins �C, 8636 South NC 87 EMA Resources Inc 'Soil Report Mehlich-3 Extraction Snow Camp, NC 27349 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-110 Completed: 08/17/2019 Client ID: 154955 Advisor ID: 405413 Sample ID: 00001 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, M 0.0 120-200 0 90 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.32 0.97 23.0 100 0.0 7.7 324 26 95 5 55 831 490 409 409 469 0.1 0 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002100 CU)-ToegPredictive Client: Frank Small Advisor: Brent Collins �C, 2F Farms EMA Resources Inc S o i I Report Mehlich-3 Extraction PO Box 157 / 440 P and F Farm 755 Yadkinville Rd b Road Mocksville, NC 27028 Salisbury, NC 28145 F� x7- Links to Helpful Information Sampled: Not Provided vL Farm: AM-116 Received: 08/08/2019 SS m I C nt�r - Alamance A Completed: 08/17/2019 C�ierW?6: /f3 Advisor ID: 405413 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, grain 0.0 120 - 160 0 0 0 0 pH$ 0 0 0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.36 0.95 12.1 98 0.2 7.2 101 153 82 9 40 596 356 177 177 222 0.1 1 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, grain 0.0 120 - 160 0 0 0 0 pH$ 0 0 0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.36 0.96 13.9 98 0.2 7.2 95 130 85 9 36 1418 850 188 188 249 0.1 1 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, grain 0.0 120 - 160 0 0 0 0 pH$ 0 0 0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.46 0.93 14.4 97 0.4 7.1 159 163 83 9 36 1030 618 219 219 270 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002100 Frank Small Page 2 of 3 Sample ID: 00007 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Cotton 0.0 50-70 0 0 0 0 pH$ 0 0 1.0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cO; 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-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.41 1.01 12.9 98 0.2 7.2 83 112 83 11 38 1417 843 274 274 206 0.1 1 Sample ID: 00008 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Cotton 0.0 50-70 0 0 0 0 pH$ 0 0 1.0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.41 1.00 13.1 98 0.3 7.1 95 128 80 13 40 1430 851 302 302 209 0.1 1 Sample ID: 000013 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Cotton 0.0 50-70 0 0 0 0 pH$ 0 0 1.0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.41 0.96 12.9 99 0.2 7.2 164 111 84 10 34 1737 1034 300 300 245 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021739 �5' �141..tiL Client: Kaye Byrd Advisor: Brent Collins Predictive 2911 North Fairway Drive EMA Resources Inc ;• Burlington, NC 27215 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Alamance Links to Helpful Information Client ID: 505310 Advisor ID: 405413 Sampled: Received: 11/26/2019 Completed: 01/30/2020 Farm: AM-116 Sample ID: 00009 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Cotton 1.0 50-70 0 0 0 0 0 0 0 1.0 Note: 3 2 - 0.0 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 BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.46 1.02 10.4 83 1.8 5.7 197 192 59 14 51 691 422 377 377 327 0.1 1 Noah Carolina i� FutaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SLO21739 Kaye Byrd 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 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 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 Mn-I manganese index Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z Mn- mineral -organic soil class notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients_ In general, homeowners do not N nitrogen need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit Na sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obpart4.htn*fsfind information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 phosphate S-1 sulfur index Test Results SS-1 soluble salt index W/V weight per volume The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI zinc availability index Zn-1 zinc index remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit wwwncagr.gov/agronomi/uvrst.htm NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002101 CU)-Toeg Predictive Client: M. Russell Cartner Advisor: Brent Collins �C, PO Box 291 EMA Resources Inc 'Soil Report Mehlich-3 Extraction Saxapahaw, NC 27340 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-120 Completed: 08/17/2019 Client ID: 189437 Advisor ID: 405413 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 120 25 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.22 1.16 10.2 100 0.0 7.4 241 10 96 4 51 479 283 268 268 310 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002094 CU)-Toeg Predictive Client: Edgar Cashwell Advisor: Brent Collins �C, 6031 Whitney Rd. EMA Resources Inc 'Soil Report Mehlich-3 Extraction Saxapahaw, NC 27340 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-121 Completed: 08/17/2019 Client ID: 189438 Advisor ID: 405413 Sample ID: 00001 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, M 0.0 120-200 0 120 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.27 1.21 10.9 100 0.0 7.4 283 12 93 6 56 260 152 251 251 257 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL002104 CU)-ToegPredictive Client: Steven Wright Advisor: Brent Collins �C, 6323 Whitney Rd EMA Resources Inc Mehlich-3 Extraction 'Soil Report Graham, NC 27233 755 Yadkinville Rd Mocksville, NC 27028 Sampled County: Alamance F� x7- Links to Helpful Information Sampled: Not Provided vL Received: 08/08/2019 Farm: AM-123 Completed: 08/17/2019 Client ID: 475363 Advisor ID: 405413 Sample ID: 00001 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, M 0.0 120-200 0 110 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: 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-1 Na ESP SS-1 NO3-N 0.32 1.12 9.3 98 0.2 7.2 123 16 86 11 49 388 232 115 115 179 0.1 1 Sample ID: 0002A 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, M 0.0 120-200 0 90 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.08 12.0 100 0.0 7.4 115 25 66 33 28 174 100 186 186 57 0.1 1 Sample ID: 0003A 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, M 0.0 120-200 0 80 0 20 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.16 9.7 100 0.0 7.4 122 28 62 36 22 255 149 244 244 44 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011805 �5{i �141..tiL Client: James Brewer Advisor: Brent Collins Predictive 1501 Rufus Brewer Rd EMA Resources Inc ;• Siler City, NC 27344 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Chatham Links to Helpful Information Client ID: 336726 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: CH39 Sample ID: 00003 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, M 0.0 120-200 70 80 0 0 0 0 0 0 Note: 12 2 - 0.0 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 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 0.36 1.06 7.4 90 0.7 6.5 30 29 68 20 44 1123 684 89 89 80 0.1 1 Sample ID: 00004 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.36 0.94 17.4 97 0.6 7.0 277 31 86 9 60 613 370 801 801 1009 0.1 1 Noah Carolina i� FutaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011804 �5{i �141..tiL Client: James Brewer Advisor: Brent Collins Predictive 1501 Rufus Brewer Rd EMA Resources Inc ;• Siler City, NC 27344 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Chatham Links to Helpful Information Client ID: 336726 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: CH40 Sample ID: 00001 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, M 0.0 120-200 0 70 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.41 0.96 20.4 99 0.2 7.3 281 33 89 10 63 816 487 577 577 874 0.1 0 Noah Carolina FutaiW frum FundCiwn1nl55km 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 Aqriculture Page 1 of 1 Report No: 20-036-0825 Account No: 46245 Advisor: EMA Resources Inc 755 Yadkinville Road Mocksville NC 27028 Waypoint'(D ANALYTICAL Client: William Brookbank 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Farm: CH98 Date Received: 02/05/2020 Date of Report: 02/06/2020 Lab No Field ID Sample ID Soil Class HM% W/V pH Ac P-1 K-1 S-1 Mn-I Zn-I Zn-AI Cu-1 CEC BS% Ca% Mg% ESP Na SS-1 NO N 16797 3 MIN 6.5 0.5 31 11 15 100 53 53 60 7.2 94 80 11 1.9 0.1 9 Comment: Test result units = CEC and Na in meq/100cm3; NO3 N in mg/dm3; W/V in g/cm3 North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc. NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021736 Client: William H. Brookbank Advisor: Brent Collins vo- Predictive 5414 Amick Rd. EMA Resources Inc Julian, NC 27283 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC27028 _ Sampled County: Chatham Links to Helpful Information Client ID: 242329 Advisor ID: 405413 Sampled: Received: 11/26/2019 Completed: 01/28/2020 Farm: CH98 Agronomist's Comments: ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop production. The C and Z symbols are printed on your report for soil test Zn and Cu index levels of 2000 or more for agronomic crops; for peanuts with zinc, the level is 250. This note is designed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for Cu and Zn is set at a 3000 index; for peanuts with zinc, the level is 500. Maintaining a pH of 6.0 or higher may reduce potential for toxicity, especially for Zn. These levels are used by DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulating to the point where they become toxic to crops grown on a field. Sample ID: 00004 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, M 0.0 120-200 60 110 0 0 0 0 0 0 Note: 12 2 - 0.0 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 BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.32 0.95 7.3 86 1.0 6.1 32 16 77 9 38 118 87 376 376 81 0.2 3 Sample ID: 00005 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, M 0.0 120-200 90 60 25 0 0 Z 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.27 0.95 5.7 87 0.7 6.4 21 38 76 8 39 105 74 4985 4985 115 0.2 4 North Carolina r Tobww Trust FwW C47mmisslan 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021736 William H. Brookbank Page 2 of 4 Sample ID: 00006 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, M 0.0 120-200 100 100 25 0 0 0 0 0 Note: 12 2- 0.0 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 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 0.32 1.04 4.8 81 0.9 5.9 18 19 70 9 35 89 70 1592 1592 58 0.2 4 Sample ID: 00007 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, M 0.6 120-200 30 80 0 0 0 0 0 0 Note: 12 2- 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.46 1.01 7.2 79 1.5 5.6 49 28 68 8 45 86 69 136 136 71 0.1 1 Sample ID: 00008 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, M 0.0 120-200 40 120 0 0 0 0 0 0 Note: 12 2- 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.03 6.1 84 1.0 5.9 43 13 73 9 32 97 75 95 95 42 0.1 2 Sample ID: 00009 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, M 0.0 120-200 70 110 0 0 0 0 0 0 Note: 12 2- 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.03 7.7 84 1.2 5.9 28 15 69 15 43 363 235 65 65 87 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021736 William H. Brookbank Page 3 of 4 Sample ID: 00010 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 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 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 0.51 0.97 19.0 99 0.1 7.3 387 31 92 7 70 381 226 519 519 380 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL021286 �5{i �141..tiL Client: Delmer Allred Advisor: Brent Collins Predictive 439 SR Allred Rd EMA Resources Inc ;• Elon College, NC 27244 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Caswell Links to Helpful Information Client ID: 376147 Advisor ID: 405413 Sampled: Received: 11/26/2019 Completed: 01/27/2020 Farm: CS-18 Sample ID: 00001 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, M 0.0 120-200 0 70 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.41 1.13 21.1 100 0.0 7.7 157 33 91 9 64 1655 984 311 311 362 0.2 1 Nkl� h Carolina fdtaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011803 Client: Dennis / Margaret Simmons Advisor: Brent Collins vo- Predictive 2820 Milesville Rd EMA Resources Inc Elon College, NC 27244 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC27028 Sampled County: Caswell Links to Helpful Information Client ID: 4987 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: CS36 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 10 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 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 0.27 1.21 20.5 100 0.0 7.7 302 70 89 9 57 1558 926 497 497 515 0.1 0 Sample ID: 00006 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.46 1.00 26.3 100 0.1 7.3 369 322 82 12 74 715 426 704 704 860 0.1 0 Sample ID: 00007 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, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.07 22.0 100 0.0 7.5 440 31 92 7 63 564 333 608 608 536 0.1 0 North Carolina r Tobww Trust Fw►d C47mmisslan 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011803 Dennis / Margaret Simmons Page 2 of 4 Sample ID: 00008 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, M 0.0 120-200 0 20 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 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 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 0.27 1.02 32.7 100 0.0 7.6 641 65 91 8 79 493 289 936 936 1100 0.1 0 Sample ID: 00009 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.12 29.2 99 0.2 7.2 1060 197 84 12 80 1030 617 1308 1308 978 0.2 1 Sample ID: 00010 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, M 0.0 120-200 0 20 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 0.89 49.1 100 0.0 7.7 465 66 93 6 123 293 167 1066 1066 1063 0.1 0 Sample ID: 00011 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 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 BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.05 25.8 100 0.0 7.6 294 115 88 10 60 865 511 575 575 646 0.1 0 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011803 Dennis / Margaret Simmons Page 3 of 4 Sample ID: 00012 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, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 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 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 0.22 1.17 25.7 100 0.0 7.7 316 137 91 7 63 862 509 460 460 594 0.1 0 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011811 �5{i �141..tiL Client: Elizabeth Kirby Advisor: Brent Collins Predictive 882 Stadler Rd EMA Resources Inc ;• Elon, NC 27244 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Caswell Links to Helpful Information Client ID: 410825 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: CS113 Sample ID: 00002 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, M 0.0 120-200 60 50 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 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 BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.46 1.05 12.9 100 0.0 7.3 34 43 89 10 50 2126 1273 117 117 264 0.2 2 Sample ID: 00003 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, M 0.0 120-200 80 0 0 0 0 0 0 0 Note: 12 2 - 0.0 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 BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 0.98 7.9 86 1.1 6.0 23 98 60 20 64 1342 822 105 105 180 0.2 3 Noah Carolina i� FutaiW frum FundCiwn1nl55km 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 Aqriculture Section 7 Zimpro Ash East Burlington WWTP Zimpro Facility Ash Disposal (For the year of 2019, Part 503 annual sludge report) In addition to the lime stabilized primary treatment biosolids from the East Burlington WWTP that is land applied, we also produce an ash waste material from our Zimpro Facility. This facility oxidizes the volatile component of our waste activated sludge. The waste ash is material from this process that could not be volatilized at 450+ degrees F and 750+ PSI. The ash is dewatered with a filter press to over 60% solids. During the 2019 calendar year, the Zimpro Facility produced 105 tons of pressed ash, which was hauled to the Republic Services, Inc. Upper Piedmont Landfill located near Roxboro, North Carolina. A summary of this facility's operation and a TCLP performed on the ash material is attached. Submitted by: Darrin Allred East Burlington WWTP Chief Operator January 10, 2020 2019 East Burlington Carbon Regeneration Operational Summary Operational Run Data Month Slag ProeS Gallons Avg React Temp F NOR gas used ft3 Elect usea kwh Days Uper days Asti remov lbs Jan 509,854 438 1,055 223,610 9.4 30,400 Feb Down Down Down 74,591 Down 0 Mar 126,250 455 435 113,050 2.3 0 Apr 468,850 459 1,028 154,425 8.2 26,600 May 608,641 461 3,307 184,367 10.8 24,700 Jun 499,502 457 842 157,134 8.8 26,600 Jul 610,094 436 1,154 172,083 10.4 15,200 Aug 639,217 455 882 162,751 11.3 34,200 Sep 135,978 451 158 81,689 2.4 3,800 Oct 153,270 456 428 73,354 2.7 0 Nov 575,038 458 828 220,478 10.2 17,100 Dec 438,628 461 2,000 197,062 7.8 30,400 Total 4,765,322 12,117 1,814,594 84.3 209,000 Avg 433,211 453 1,1021 151,216 7.71 17,417 Total Tons= 105 Feed Sludge Regeneration Effluent Month vg ss mg/l Avg VSS % Avg'I'SSAvg mg/l VSS % Avg BUD mg/l AvgINH.5-IN mg/l Jan 54,820 59 22,853 36 8,815 1,243 Feb Down Down Down Down Down Down Mar Down Down Down Down Down Down Apr 50,910 63 21,977 30 10,152 1,116 May 50,193 59 25,527 25 9,785 1,404 Jun 56,887 58 32,453 23 9,642 2,003 Jul 52,840 57 32,658 33 71721 1,308 Aug 49,843 51 30,768 25 9,304 19292 Sep 51,390 56 33,510 27 6,760 896 Oct Down Down Down Down Down Down Nov 39,020 70 12,850 34 7,789 1,232 Dec 43,020 70 14,040 37 down 1,520 Avg 49,8801 60 25,1821 301 8,746 1,335 Serial Number 003490 • ANALYSIS REQUEST AND 4 CHAIN OF CUSTODY RECORD 0 American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT REFERENCE PROJECT NO. PROJECT LOCATION (STATE) MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER P.O. NUMBER CONTRACT NO. o z o W O cn p C4 v o '0 fr O co o By d ¢ z ( j Q� _ \ STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY (SURCHARGE) CD DATE DUE_ CLIENT (SITE) ( t(Jrfz J CLIENT PHONE - CLIENT FAX CLIENT NNME r&= CLIENT E-MAIL f CLIENTADDRESS tt- F' NUMBER OF COOLERS SUBMITTED PER SHIPMENT: SAMPLE SAMPLE IDENTIFICATION NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME q>- %An kitY ©` SSA- S"ovlf 14 P D �� �' J 0 0 h 0 wrf4 00 AAIAc7S`� i C` S LkGF J RELINQUISHED BY: (SIGNATURE) DATE TIME REJQ ISHED BY: (9S� IGr*TTURRE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE 11ME RECEIVED BY; (SIMATURE) DATE TIME _L YECEIVED BY: (IGNTUR FA 1k D 2 TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIVED FOR LAB�AIO/jR�ATORY BY: (5 NATURE) L F z. t.1 TIME :: OST. DY LNTACT' }; r� YES'' CUSTODY SEAL NO. A.T.T ` i= LOG NO. LABORATORY REMARKS 4 ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(S) 03/11/2019 AmerlemTastingTechnologies, tnc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.. 013119-14 19 Enclosed are the results of the sample(s) submitted to our laboratory on 01/31/2019. All analyses were performed according to our laboratory's quality assurance program. All sample results are reported on an "as -received" wet basis unless otherwise noted. The test results meet requirements of the NELAP standards for methods listed on the laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010, 6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted. Results apply only to the items submitted to the laboratory for analysis. Pursuant to NELAP, this report may not be reproduced except in full, and with written approval from the laboratory. If you have any questions please contact the laboratory manager at 330-634-9906 or via email at samy�?n americantestlnQtechnolo es.com SPly,Sanager SL- Test performed by an approved subcontract laboratory BRL- Below Reporting limit The results relate only to the items tested. ATT shall have no liability to the client or client's customer with respect to decisions or recommendations made, actions taken or courses of conduct implemented by either the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s liability with respect to the Test Results exceed the amount paid to ATT by the client therefore. 1350 Home Avenue Akron, OH 44310 Page 1 of 37 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnologies.corn 4io American Testing Technologies, Inc. City of Burlington, NC Attu: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/30/2019 Time Collected: 7:00 AM Client ID #: East Zimpro Ash Laboratory ID #: 0 13 119-16 Date of Analysis: 02/18/2019 Certificate of Analvsis Metals-TCLP (EPA 1311) Parameter Results units Regulatory Method Limits Plumber Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C Page 14 of 37 1350 Home Avenue Akron, OH 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingrechnologes.com 40 American Testing Technologies, Inc. City of Burlington, NC AttrL Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date R.eccived: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/30/2019 Time Collected: 7:00 AM Client ID #: East Zimpro Ash Laboratory ID #: 013119-16 Date of Analysis: 02/20/2019 Certificate of Analvsis Volatiles-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Benzene <0.1 mg/L 0.5 8260B Carbon tetrachloride <0.1 mg/L 0.5 8260B Chlorobenzene <0.1 mg/L 100 8260B Chloroform <0.1 mg/L 6.0 8260B 1,2-Dichloroethane <0.1 mg/L 0.5 8260B 1,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetrachloroethene <0.1 WWI- 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B reviewed by: Manager Page 15 of 37 1350 Home Avenue Akron, OH 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.AmericanTestingTechnologies.com ATT 6L�- -�� American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: O1/31/2019 Date Reported 03/11/2019 Date Collected: 01/30/2019 Time Collected: 7:00 AM Client ID #: East Zimpro Ash Laboratory ID #: 013119-16 Date of Analysis: 02/25/2019 Certificate of Analysis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 Mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzene <0.05 mg/L 2.0 8270C Pyridine <0.05 mg/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C reviewed by: Manager 1350 Home Avenue Akron, OH 44310 Page 16 of 37 Toll Free: 877-634-9906 Phone- (330) 634-9906 Fax: (330) 634-9907 Website: www,AmericanTestingTechnologies.com ATT Amerimm Tosting Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/30/2019 Time Collected: 7:00 AM Client ID #: East Zimpro Ash Laboratory ID #: 013119-16 Date of Analysis: 02/22/2019 Certificate of Analysis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 8081B Heptachlor epoxide <0.005 mg/L 0.008 8081B Liudane <0.005 mg/L 0.4 8081B Methoxychlor <0.1 mg/L 10.0 8081B Toxaphene <0.1 mg/L 0.5 808113 reviewed by - Manager Page 17 of 37 1350 Home Avenue Akron, OH 44310 Toti Free: 877-634-9906 Phone: (330) 634-9906 Fax. (330) 634-9907 Website: www.AmericanTestingTechnologies.com ap American Testing Technologies, Inc. City of Burlington, NC Ann: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 63/11/2019 Date Collected: 01/30/2019 Time Collected: 7:00 AM Client ID #: East Zimpro Ash Laboratory ID #: 013119-16 Date of Analysis: 02/18/2019 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A reviewed by: Manager Page 18 of 37 1350 Home Avenue Akron, OH 44310 Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 Website:vAvw.AmericanTestinglechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 01/31/2019 Date Reported: 03/11/2019 Date Collected: 01/30/2019 Time Collected: 7:00 AM Client ID #: East Zimpro Ash Laboratory ID #: 013119-16 qp Amerfcan:TOsting Tschnoiogfes, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.3.3.2 02/11/2019 Reactive Sulfides <25 mg/kg 7.3.4.1 02/11/2019 pH (Lab) 6.15 s.u. 9045D 02/07/2019 Flash point >140 OF 1010A 02/04/2019 Toll Free: 877-634-9906 reviewed by: Manager Page 19 of 37 1350 Home Avenue Akron, OH 44310 Phone: (330) 634-9906 Fax: (330) 634-9907 Website: www.Amerlr-anTestingTechnologies.com