HomeMy WebLinkAboutWQ0004893_Application_20200428Barber, Jim
From: Allen, Trent
Sent: Wednesday, April 29, 2020 9:03 AM
To: Barber, Jim
Subject: FW: WQ0004893 - Campbell Soup Supply Company RLAP Renewal Application
Attachments: WQ0004893 WQROSNDARR 200428.pdf
FYI
Trent Allen
Fayetteville Regional Supervisor
Division of Water Resources
910 433 3336 office
T re nt.Al l e n@ n cd e n r: gov
225 Green Street —Suite 714
Fayetteville, NC 28301
Email correspondence to and from this address is subject to'the North Carolina Public Records Law and may be disclosed
to third parties
From: Thornburg, Nathaniel
Sent: Tuesday, April 28, 202010:48 AM
To: Williams, Kendall <kendall.williams@ncdenr.gov>
Cc: Giri, Poonam a <Poonam.Giri@ncdenr.gov>; Allen, Trent <trent.allen@ncdenr.gov>; Brantley,,Mark
<m a rk. bra ntl ey @ n cd e n r.gov>
Subject: WQ0004893 - Campbell Soup Supply Company RLAP Renewal Application
Kendall,
Please process the subject application received April 28, 2020 in BIMS.
I've included the RO review request form for your use.; I also included the Applicant email addresses in the comment
section of RO review request form. _
Please copy the RO, Reviewer, and myself on the acknowledgement letter that you send to the Applicant.
**************
RO Supervisors — Please assign this project to one of your staff for review.
APPLICATION LINK:
https://edocs.deg.nc.gov/WaterResources/DocView.aspx?id=1157011&dbid=0&repo=WaterResources
1
Thank you,
Nathaniel D. Thornburg
Branch Chief
Non -Discharge Branch
Department of Environmental Quality
919 707 3653 office
nathaniel.thornburg@ncdenr.gov
512 N. Salisbury St.
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
t CEIVEDINCDENWR
APR 2 8 2020
2120 NC 71 Highway North Non -Discharge
Maxton, NC 28364 Permitting Unit
April 27, 2020
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section RECEIVED
Non -Discharge Permitting Unit
By Nathaniel Thornburg at 10:14 am, Apr 28, 2020
RE: Submittal Notification
Residuals Land Application Program — Permit Renewal
Campbell Soup Company, LLC
Maxton, Robeson County, North Carolina
To: NCDENR-DWR WQS,
Campbell Soup Company, LLC would like to submit this Residuals Land Application Program — Permit
Renewal Application for the "Site" known as the Campbell Soup Supply Co -Sludge. This application
includes the requirements set forth in 15A NCAC 02T .1100, and serves as our request for renewal of
Permit Number WQ0004893 which expires on October 31, 2015. The following items are included in this
renewal application (as is referenced in RLAP 06-16 Form) —
Item A— Residuals Land Application Program (RLAP 06-16) Application
Item C — Cover Letter
Item E—Operation and Maintenance Plan
Item H — Buffer maps
Vicinity map ,Process Narrative and Flow Diagram, Quantitative Data
All other sections not completed were not applicable to Campbell Soup Supply Company permit renewal,
including instructions B, D, F, G, H, I-M of RLAP 06-16. RLAP 06-16 section VI not applicable since Campbell
Soup Supply Company does not spray irrigate any residuals. Landowner and Setback Waiver Agreements
also are not applicable since Campbell Soup Supply Company owns all of its application properties.
We appreciate your consideration and review following the submission of this application. If you have
any questions concerning this report, please don't hesitate to contact us at (910) 844-1574.
Respectfully Submitted,
Brett Dunson
Senior Director of Operations
cc: Mr. Keith Osterman, Campbell Soup Company, LLC
ITEM A: Renewal Application (RAP 6-16)
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the agplication and
suoportine documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
® Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .01061 b1. An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
® Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification 1
Major (land are permitted for >_300 acres) $1,310 $395
Minor (land are permitted for < 300 acres) $810 $245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
® List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC 1 C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Pagel of 3
E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
® Submit the O&M Plan in accordance with 15A NCAC 02T .I 110 and include at a minimum:
® Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
® Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
® Safety measures; may include safety training program, manuals, signs, etc.
® Spill response plan; including control, containment, remediation, emergency contact information, etc.
® Inspection plan including the following information;
® Names and titles of personnel responsible for conducting the inspections.
® Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
® Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
® Sampling and monitoring plan including the following information;
® Names and titles of personnel responsible for conducting the sampling and monitoring.
® Detailed description of monitoring procedures including parameters to be monitored.
® Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to MI ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
❑ Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3
I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)f4] and current Division Policy
available at: hqp://www.ncwater.oER/Rul es Policies and Regulations. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
❑ Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)l2 ). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1 INd)(5) and current Division Policy
available at: http://www.ncwater.org/Rules Policies and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(l), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: (919) 807-6464
Bv Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: (919) 807-6496
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: Campbell Soup Supply Company LLC
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Mr. Brett Dunson Title: Senior Director of Operations
Applicant's mailing address: 2120 Highway 71 North
City: Maxton State: NC Zip: 28364-
Telephone number: (910) 844-1574 Email Address: brett_dunsonia)campbells.com
2. Consultant's name: N/A License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address:
City: State:
Zip: -
Telephone number: (_) =
Email Address:
3. Agronomist's name: Taylor Chavis
License Number:
Affiliation: ❑ N/A ❑ On Staff
® Retained (Firm: NC Cooperative Extension)
Agronomist's mailing address: PO Box
2280 455 Caton Rd.
City: Lumberton State: NC
Zip: 28359-2280
Telephone number: (910) 671-3276
Email Address: taylor chavisCa�ncsu.edu
4. Soil Scientist's name: N/A
License Number:
Affiliation: ❑ N/A ❑ On Staff
❑ Retained (Firm: )
Soil Scientist's mailing address:
City: State:
Zip: -
Telephone number: (_) =
Email Address:
5. Fee submitted: (See Instruction B)
II. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00004893
Date of most -recently issued permit: November 1. 2015
Date of most -recently certified Attachment A (if different than the permit): July 30, 2015
Date of most -recently certified Attachment B (if different than the permit): July 30, 2015
FORM: RLAP 06-16 Page 1 of 5
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 2120 Highway 71 North
City: Maxton State: NC Zip: 28364-
Coordinates: Latitude: 340 46' 19" Longitude: 790 19' 26"
Datum: WGS84 Level of accuracy: +/- 3m
Method of measurement: Goo_ 1� e Earth
2. County where residuals land application program is headquartered: Robeson
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Keith Osterman
Campbell Soup Supply
1005253
Company LLC
Back -Up ORC
Jeff Scott
Campbell Soup Supply
996267
Company LLC
Additional Back -Up
ORCs
if applicable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 334 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
34.4
N/A
4057.4
N/A
Five -Year Maximum Adjusted
58.8
N/A
5682.48
N/A
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
26
Row Crops
Hay
30.8
Pasture
Total:
56.8
Methods
Surface
56.8
Incorporation or Injection
Total:
56.8
FORM: RLAP 06-16 Page 2 of 5
c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
qbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
229.8
N/A
392.7
N/A
100
114.9
N/A
196.4
N/A
150
76.6
N/A
130.9
N/A
200
57.4
N/A
98.2
N/A
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.): N/A
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain;
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
Land Application Siite
Certification.doc
FORM: RLAP 06-16 Page 3 of 5
Note: Item VI. Applicable to Dedicated Program with _fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505f n] requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505t-_ . is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Design Area
(ft')
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/yr)
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5
Applicant's Certification (signing authority must 6e in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule. and do not have any overdue annual fees under Rule 15A NCAC 02T .0105,
® Yes ❑ No, Explain;
Brett Dunson Senior Director of Operations
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Campbell Soup Supply Company
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: lre4 A&•►-�� Date: 7-
FORM: RLAP 06-16 Page 5 of 5
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
sunnortine documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
2esiduals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1
RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Cam bell SOUD SUPply CoLnpany LLC
'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16
Page 1
DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Campbell Soup Supply Company LLC
2. Facility permit holder is: ❑ Federal, ❑ State, ❑ Local Government, or ® Private.
Facility permit issued by: ❑ Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Mr. Brett Dunson, Senior Director of Operations
Complete mailing address: 2120 Highway 71 North
City: Maxton State: NC Zip: 28364
Telephone number: (910) 844-1574 E-mail address: brett_dunson a campbells.com
4. Facility physical address: 2120 Highway 71 North
City: Maxton State: NC Zip: 28364-
Coordinates: Latitude: 34' 46' 19" Longitude: 79' 19' 26"
Datum: WGS84 Level of accuracy: +/- 3m
Method of measurement: Goggle Earth
5. Purpose of the facility:
❑ treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ® treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: ❑ Yes ® No
7. Facility permitted/design flow: 4 MGD and facility average daily flow: 2_5 MGD
8. Average amount of residuals being generated at this facility 123.24 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 5 MGD
Type and volume of residuals storage (i.e., outside of residuals treatment units): 20,000 gallons
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
❑ 40 CFR Part 503 or ® 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102 61 as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page 1 of 5
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 7/23/.2019
Passed corrosivity test: Z yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: JZ yes ❑ no. Flashpoint: DNI at 170 OF (> 140°F)
Passed reactivity test: Z yes Ono. HCN: ND mg/kg (<250) & H2S: 52.4 mg/kg (<500)
TCLP Parameter
Limit
(Mg/1)
Result
(Mg/1)
TCLP Parameter
Limit
(Mg/1)
Result
(Mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, 1 -Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5
4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Ayolication: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Environmental Chemists Inc. and Date of analysis: 11/25/19
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
<3.10
Cadmium
85
39
<3.10
Copper
4,300
1,500
17.8
Lead
840
300
6.06
Mercury
57
75
17
<0.266
Molybdenum
n/a
3.38
Nickel
420
420
27.7
Selenium
100
100
<3.10
Zinc
7,500
2,800
538
b. For Surface Disposal Unit IlandDlll: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:.
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ �t25 but < 50
34
220
240
❑ >_50 but < 75
39
260
270
❑ >_75 but < 100
46
300
320
❑ >_100 but < 125
53
360
390
❑ >_125 I 62 , 450 ' 420 1
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 9.44 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Environmental Chemists, Inc. and Date of analysis: 2/7/2020
Parameter
Result
(mg/kg)
Aluminum
423
Ammonia -Nitrogen
287
Calcium
1250
Magnesium
338
Nitrate -Nitrite Nitrogen
1.68
pH (Standard Unit)
4.12
Phosphorus
1320
Potassium
1020
Sodium
3070
Total Kjeldahl Nitrogen
16800
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 3.86
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals:
%. This rate is a (check one): ED default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (11) Year PAN
Five -Year
Maximum Adjusted PAN
(mg�kS)
(m9/k9)
Surface
6,750.38
10,003.44
Injection/Incorporation
N/A
N/A
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: N/A
FORM: RSC 06-16 Page 4 of 5
7. Pathoeen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Eauivalent.
El A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
El A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.1106(b)(3)(B)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T. 1106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
❑ Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item Il. 7b. above.
❑ Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the a )lication and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
® Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
® For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
® The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
✓
County Board
Notification. doc
FW
Land Owner
Agreement
(If applicable)
]�
✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the ". lap Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Polic,"
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3
An updated accounting of the land application site's cumulative
pollutant loading rates CPLRs )
Status Code
Required Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
✓
✓
indicate the location of the land application site and in accordance with
the soil mapre uirements in the "Soil Scientist Evaluation Po' "
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
® Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: hM:Hdeg.nc.gov/about/divisions/water-
esources/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hM2://dgq.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x I1-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link htt ://de .nc. ov/about/divisions/water-resources/ lannin classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301fi1.
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3
LAND APPLICATION SITE CERTIFICATION
Applicant's name:
Land application sites currently certified: net acres and Total to be certified: net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code'
Site/Field
ID
Landowner(s)
Less
R
1
Campbell Soup Supply Co.
Camp]
R
2
Campbell Soup Supply Co.
Campl
R
3
Campbell Soup Supply Co.
Camp]
R
4
Campbell Soup Supply Co.
Camp]
R
5
Campbell Soup Supply Co.
Camp]
R
6
Campbell Soup Supply Co.
Camp]
R
7
Campbell Soup Supply Co.
Campl
R
!e(s) or Operator(s) Net Count
Acres y
cell Soup Supply Co.
5.1
Robeson
Coastal l
cell Soup Supply Co.
8.4
Robeson
Coastal 1
'ell Soup Supply Co.
5.6
Robeson
Pir
'ell Soup Supply Co.
9.1
Robeson
Coastal I
'ell Soup Supply Co.
3.4
Robeson
Coastal I
'ell Soup Supply Co.
2.3
Robeson
Coastal I
'ell Soup Supply Co.
2.5
Robeson
Coastal I
Predominant Soil
rop(s) Mapping
Series Nameb Unit or
Rep.
lermudagrass Noboco Loamy Sand 0-2% slope NoAc
3ermudagrass Goldsboro Loamy Sand 0-2% slope GoA
e Trees Johns Sandy Loam Jo
lermudagrass Wakulla Sand 0-6% slope WkB
lermudagrass Wakulla Sand 0-6% slope WkB
lermudagrass Goldsboro Loamy Sand 0-2% slope GoA
lermudagrass Goldsboro Loamy Sand 0-2% slope GoA
OUaLub wue for Tana application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
`Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
OUaLub wue for Tana application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
`Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
II. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Locati
Datu
m
on Location Method Code Location Accuracy Waterbody Subbasin and
_ Stream Index No.
3 ADD Nearest Second
3 ADD Nearest Second
3 ADD Nearest Second
3 ADD Nearest Second
3 ADD Nearest Second
3 ADD Nearest Second
3 ADD Nearest Second
3 ADD Nearest Second
on ( .) an waterbody information (Il.) of the same field on the same page.
Current and Proposed
FORM: LASC 06-16
Page 1
on ( .) an waterbody information (Il.) of the same field on the same page.
Current and Proposed
FORM: LASC 06-16
Page 1
ITEM E: operation and Maintenance Plan
Operation and Maintenance Plan - WQ0004893
Name: Campbell Soup Supply Company
Prepared By: Keith Osterman
Approved By: Brett Dunnson
Signature:
1.0 Purpose
1.1 Ensure the requirements of Residuals Permit# WQ0004893 for Campbell Soup Supply
Company are met. Requirements are included for both Campbell Soup Supply Company
(Permittee & ORC) and EHC, Inc. (land application contractor).
2.0 Personnel
The following is a list of personnel in the order they are to be contacted when information needs to be
shared.
2.1 EHC, Inc.
2.1.1 Thomas Ammons, Operations Manager
2.1.2 Charles Jacobs, Field Services Manager
2.2 Campbell Soup Supply Company
2.2.1 Brett Dunson, Senior Director of Operations
2.2.2 Keith Osterman, Facilities & Environmental Leader
3.0 Operational Functions
The operational function of this project is going to involve the wastewater leaving the plant and is
screened and gravity fed into a DAF tank. From there, the DAF treats the wastewater and produces
sludge material that is suitable for land application. It will be spread at agronomic rates that are
determined using the Realistic Yield Expectations (RYE) as outlined in Attachment B of permit
WQ0004893, the amount of other nutrient sources the landowner or operator has applied, the residuals
nutrient and metal sample that is current for that monitoring period. It will be spread with a liquid
applicator that will use pressure to spread the material in such a way to achieve a consistent spread
pattern. The material is going to be land applied on fields that have a crop growing on them to be either
used for pine tree growth or cut for animal feed.
4.0 Maintenance Schedules
EHC will follow the maintenance schedule as recommended by the EHC field manager for the equipment
necessary to complete the job.
7.0 Inspection Plan
Inspections for the land application of residuals will be conducted on a minimum of a weekly basis at
the land application site during the land application activities of this project. The inspection
frequency is based on the time frame that it is going to take to complete the project and the amount
of dry tons to be land applied from this facility. The inspections will consist of inspecting a current
field that is being applied as well as inspecting random fields that have been completed. Inspections
will be conducted by EHC Operations Manager. Inspections will also be conducted by Keith
Osterman, Biosolids ORC or a designated backup ORC. These inspections will consist of the
following:
7.1 Verifying that the Pre -Operations Check List has been completed and signed by both
Operations and Technical staff.
7.2 Checking the calculated loads to insure the correct amount of residuals are being land
applied.
7.3 Ensure that all manned equipment has a copy of the permit and the operations and
maintenance plan.
7.4 Insure that the field has been flagged properly and that all buffers are being adhered to.
7.5 Verifying that the correct number samples of the residuals have been taken and that it
meets the criteria for land application.
7.6 The records will be kept in the EHC project files in the respective office for the project.
Copies of all records will be forwarded to Campbell Soup Supply Company and kept on file.
7.7 EHC and Campbell Soup Supply Company staff will immediately inform the other party if any
of the following conditions are noted. Campbell Soup Supply Company staff shall report by
telephone to the Fayetteville Regional Office at 910-433-3300 as soon as possible but no
later than 24 hours after or the next working day following the occurrence or the first
knowledge of the occurrence of the following:
7.7.1 Any occurrence with the distribution program resulting in the land application
of significant amounts of material that is abnormal in quantity or characteristics.
7.7.2 Any failure of the distribution system that results in the release to surface
waters.
7.7.3 Any time that self -monitoring indicates that the facility has gone out of
compliance with the permit.
7.7.4 Any process failure that results in the system not adequately treating the
residuals.
7.7.5 Any spill or discharge from a vehicle or piping system during residuals
transportation.
7.7.6 Any release that requires immediate reporting outside of normal business hours
shall be called in by Campbell Soup Supply Company staff to NCDENR at 800-
858-0368 or 919-733-3300. These numbers are to be called in the event of a
release to surface waters or imminent failure of a storage system when the
event occurs outside of normal business hours.
7.7.7 With the assistance of EHC staff, Campbell Soup Supply Company staff will file a
written report in the form of a letter to the Fayetteville Regional office of the
NCDENR within 5 days of the occurrence, outlining the actions taken or
proposed actions taken to ensure that the problem does not recur.
9.0 Environmental Impacts
9.1 The environmental aspects for biosolids may be affected by this procedure.
9.2 This procedure helps assure that land application is conducted in a safe, efficient manner,
while ensuring compliance with laws and regulations and to minimize exposure, negative
environmental impacts and public relations concerns.
9.3 Not following this procedure could result in improper biosolids handling and potential
noncompliance and/or monetary fines.
10.0 Deviations from this procedure must be documented by completing a Corrective/Preventative
Action Report (EMS-0101.004).
11.0 Revision History
Note: All revisions to this procedure must be approved in advance by NCDENR Aquifer Protection
Staff.
ITEM H: Buffer Maps
I
Field >«
ex
10
Field G
Site I B i \
'� }f
Legend
® Buffer
Borings
Parcel lines
�r N
Ditch
Drainage Ditch
Land Application Fields
Houses
."
scare 1"=400' Campbell Soup and Sppply Company
Buffer
Checked By: RTB Land Application Fields
Map
BRANCH Maxton, North Carolina
Drawn By: RTB ]RESIDUALS 1
Dote: July '� 8l 001 LS, LLC ProlcetX..
2008-76
/*
X.,
L
-7�
Dn ]31rr Legend
ti
Buffer
I& Borings
Parcel lines
Ditch
MaA-F
Drainage Ditch
r
Land Application Fields
Houses
Scale-. V = 400' Campbell Soup and Supply Company Buffer
Checked By: RTB Land Application Fields Map
BRANCH Maxton, North Carolina
Drawn By: RTB 2
REsimuALs
Date: July - 09 SOILS, LLC Project No. 200&-76
t10
state:
V 400'
Chocked By:
RTB
Drown By;
RTB
Date:
July - 09
r 01
GIA�
w-
r
�- �-Ao
Legend
Buffer
Borings
— — — Parcel lines
Ditch
F-1 Land Application Fields
Houses
Campbell Soup and Supply Company Buffer
Land Applicatin Fields Map
BRANCH Maxton, North Carolina 3
RESIDUALS
& SOILS, LLC Proloct No. 2008-76
I
rr
r'
c- J� 'fr e�" �•' r
tr f r rdr
,�,:• " - +� Site 5
it z
V
ar Y
c
�(/ \ Legend
. ! Fl Lend Appllrallon Fields
Drainage
l
Field J2 Borings Field J4 Field J
� Panel lime
`O Y ' , ■ Houses
�' V V p �.tiC eAitrJ ® Buffer
Monlmimg wells
r 1F Id J4 Field JS ••—... alp Ditch
Seale: 1" =400' Campbell Soup and Supply Company Buffer
Checked Dy: RTB Land Application Fields Map
Drawn By: RT8
BRANCH Maxton, North Carolina Figure
RE$IDiTQ? •5 2
Date: SCpt2010 81;_SOILS, LLC ProlcctNo. 2008-76
Field J4 Field J2 Field J
r'
gti
� a
' Field JS
Field
Field J4
Y 1 ��f �''i�:t':3• �r-:
Site 2
Site fi y
Field .1&
Field F6 ���r �/
Field F7 J ' •;a' �✓
Legend
! y � f �= � - .•� Land Apptlmtlon Flaida
' • • :., — Drainage
BoArip
,'icy r Parcel lines
Sire 7
Noueee
Buffer
jar � A1�niiclmq sia
r/•_ "f�; - .. .._.. Big Dllch
C
seele: In =400' do Campbell Soup and Supply Company Buffer
Checked By: RTB Land Application Fields Map
Drnwn By: RTB BRANCH Maxton, North Carolina Figure
RESIDUALS 3
__ Date: Sept 2010 & SOILS, LLC Prolect No. 2008- 6
Vicinity Map
Go ..,sic earth miles I
km 12
Process Narrative and Flow Diagram
PROCESS NARRATIVE
The DAF removes contaminants by pressurizing a recycled stream of clarified effluent,
injecting and dissolving air under high pressure 80 to 100 psi and releasing this solution into
the wastewater stream (see attached flow diagram for reference). When the pressure is
released very small air bubbles form which become attached to the waste materials and float
them to the waters surface where the waste material is skimmed off.
Production wastewater enters the plant drainage system and is gravity fed to the Parshall
Flume. After the Parshall Flume the wastewater enters the bar screen system where any waste
two inches or larger is separated from the wastewater. The wastewater then enters the 16,950
gallon wet well where six (800 gpm) Flyght pumps pump the wastewater 25 feet vertically to
three 6 foot long (1,700 gpm) and one four foot long (I,064 gpm) rotary screens where
smaller solids are screened out. The smaller pieces fall onto an auger tray which pushes them
into the waste hopper for daily site removal. The wastewater exits the rotary screens and is
gravity fed to the splitter tank which diverts the wastewater to the influent pipe located at the
front of each DAF tank. Each tank holds 18,090 gallons and can treat 4 million gallons per
day. This 18 inch influent pipe to the DAF tank is where wastewater and white water are first
mixed. Whitewater is what floats the solids, fats, oils and grease. The wastewater and - -
whitewater mixture enters the contact chamber and as the mixture enters pressure is reduced
which allows air to be released as tiny pinpoint bubbles which form around suspended solids,
fats, oils and grease lifting them to the surface. As the mixture spills over the contact chamber
it moves to the main floatation tank through more whitewater which is released by mid tank
injection headers, this additional whitewater compacts the bottom of the mat or layer of sludge
floating at the water's surface as well as floats solids missed at the front of the tank. As the
wastewater and the sludge mat move to the back of the DAF tank the sludge is skimmed off
by rotating skimmer blades and deposited into the sludge hopper. The sludge is stored in two,
10,000 gallon storage tanks, which are emptied out once a week. The clarified wastewater
flows under the sludge hopper and overflows through the adjustable height weir pipes and
enters the effluent box. The clarified wastewater flows from the effluent box to the effluent
channel which carries the clarified wastewater through a 30 inch to the 23,000 gallon clear
well which has 6 (800 gpm) turbine pumps which pump the clarified wastewater to the spray
fields. Some of the solids (grit) settle to the bottom of the DAF tank which is equipped with a
bottom trough and auger; which push the solids to the influent end of the tank where they are
periodically pumped to the classifier which separates the water and grit.
Whitewater occurs by drawing effluent water from the outlet side of the DAF, where air is
siphoned into the suction side of the pump through an eductor and air entrained water is sent
to the saturation tank and is pressurized. The recycled flow then reaches the pressure relief
valve where pressure is reduced and fine bubbles are produced. This recycled flow is then
mixed with the influent flow into the DAF tank. Desorption is when pressure is released from
a liquid, small bubbles from.
The mat is the layer of the small solids and the fats, oils and greases (collectively known as
sludge) that has been floated by the whitewater to the top of the DAF tank. The way to control
the percent solids in the mat is by raising or lowering the water level in the DAF tank. By
raising the water level you reduce the percent solids in the mat. If you lower the water level
in the DAF tank the percent solids in the mat will raise.
The DAF system has two 10,000 gallon storage tanks (one at the end of each DAF tank) for
a total of 20,000 gallons of storage. When the tanks reach capacity there are Campbell Soup
Supply Company calls EHC (Environmental Hydrogeological Consultants) to bring their
vacuum truck and land apply sludge.
r"t
WAOTEWATER TREATYENT FLOW DIAG,R..`,M
CAMPBELL SOUP COMPANY
PROCESS
WASTEWATER
FLOW
MAXTO R NORTH C ARO LINA
APPROX 2.5
MILES TO SPRAY
IRRIGATION SYSTEM
CENTER PIVOT
SPRAY IRRIGATION SYSTEM.
DID = : _ ��� - AIR
PA
ROTARY DRUM
SOLIDS
D. A. F.
FLOAT
PULL TANK
WITH TRACTOR
PRESSURIZATION O
PUMP p p a
TO LAND APPLICATION
Cumulative Pollutant Loading Rates
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Campbell Soup Supply Company Permit #: WQ0004893 Annual Dry Tons Applied: 17.2526244
Owner: Campbell Soup Supply Compan O
y Aerator. Campbell Soup Supply Company Cation Exchange Capacity (non 503):
Site #: S Field #: 1 Acres Utilized: 5.1
Acres Permitted: 5.1
Snecifv � _
Sep 13
I._.! Gat.
+. J cu.Yd.
Report
Totals
in Gal.
18806
TOTALS:
Annual lbs/acre
Totals % Residual
Per Solid Dry Tons Per
Acre Sources
Acre s (Summarize)
Current Cumulative lbs/ac
Prior Years Cumulative lbs/ac
Permitted C. P. L. R.***
Permit PAN Limit 1 st/2nd Crop
3.382867529
0
0
0
0
0
0
0
0
0
0
0
As
0.015493224
0.015493224
Cond.Precip.
Inches
Appli-
Vola-
Miner-
Dry,
cation
till-
ali-
Wet,
past 24
Meth-
zation
zation
n r, ._ ,
Hrs.
od*
Rate**
Rate
Ammo Ni-
TKN nia- trate
Ni- and PAN 1 PAN 2
trogen Nitrite
DAF I :r0 S 0.5 1 0.4 1 9530 230 i 0.72
Cd
Cr
I Cu I
Pb IH
Mo 1
Ni
1Se
Zn
P
0.01549
0.09269
0.06414
O.O1549
0.00068
0.01549
0.05027
0.01549
1.72523
2.9904
0.01549
0.09269
0.06414
0.01549
0.00068
0.01549
0.05027
0.01549
1.72523
>5.0
Must Select
*
Crop 1 or Crop
2
Crop 1 I Crop 21 *
25.9515 1 #######1 Bermuda
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a I Innsystem 50
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."
ignature of Land Applier Zot *Application Method: S -Surface, IN - Injection, INC - Incorporation
Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the
same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1.
r)FNR Pr)RKA FCF /F/onnll\
ANNUAL LAND APPLICATION IIELD SUMMARY FORM '
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Campbell Soup Supply Company Permit #: WQ000493 Annual Dry Tons Applied: 61.2621372
Owner: Campbell Soup Supply an Com O
Compan
Aerator. Campbell Soup Supply Company Cation Exchange Capacity (non 503):
Site #: S Field #: 2 Acres Utilized: 8.4
Acres Permitted: 8.4
S seci fv
W.
0
M
Gal.
Totals
Per
%
Solid
Dry Tons
Residual
Sources
ite
Cond.
Dry,
Inches
Precip.
Appli-
cation
Vola-
tili-
Miner-
ali-
Ammo
nia-
Ni-
trate
Cu.Yd.
Report
Totals
Acre
s
Per Acre
(Summarize)
Wet,
Past 24
Meth-
zation
zation
TKN
Ni-
and
PAN 1
PA
in Gal.
Moist
Hrs.
od*
Rate**
Rate
trogen
Nitrite
Aug 6
17,894
2130.2
22
1.954280429
DAF
Dry
0
S
0.5
Aug 13
13537
1611.5
22
1.478433786
DAF
Dry
0
S
0.4
9530
230
0.72
14.9921
###
Aug 20
13398
1595
22
1.463253
DAF
Dry
0
S
0.5
0.4
9530
230
0.72
11.3417
0#;
Aug 28
11098
1321.2
22
1.212060143
DAF
Dry
0
S
0.5
0.4
9530
230
0.72
11.2 553
###;
DAF
Dr
0
S
0.5
0.4
9530
230
0.72
9.29825P##,#,,1.185084214
05
0.4
9530
230
0.72
9.09:2
TOTALS: 7950 As Cd Cr Cu Pb His Mo Ni Se Zn P PAN 1 PAS
Annual lb 0.033403314 0.0334 0.19984 0.13829 0.0334 0.00146 0.0334 0.10838 0.0334 3.71958 6.44728 55.9487
Current Cumulative lbs/ac 0.033403314 0.0334 0.19984 0.13828 0.0334 0.00146 0.0334 0.10838 0.0334 3.71958 Prior Years 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 5
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."
>5.0
�4 2
Must Select
Crop 1 or Crop 2
*
####
####
40
k###
�###
Crop 1
Bermuda
Bermuda
Bermuda
Bermuda
Bermuda
Crop 2
*
1
2
3
4
5
6
7
8
9
10
11
v 2
Lime Applied
Date
lbs/ac
12
ignature of Land Applier 3 Zd� *Application Method: S - Surface, IN - Injection, INC - Incorporation
Date **Volatilization Rate: Surface - 0.5. Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
****
The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the
same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1.
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Campbell Soup Supply Company Permit #: WQ0004893 Annual Dry Tons Applied: 58.5084
Owner: Campbell Soup Supply Company O er t C
p a or, ampbell Soup Supply Company Cation Exchange Capacity (non 503):
Site #: S Field #: 3 Acres Utilized: 26
Acres Permitted: 26
'S S �ecif
0
0
Q
Jan 8
Jan 18
Jan 29
Feb 8
Mar 1
Mar 15
Mar 29
Apr 11
Nov 14
Nov 21
Dec 4
Dec 12&2C
TOTALS:
��
Gal. Site
Cu.Yd. Totals % Residual Cond. Inches Appli- Vola- Miner -
Dr Ammo Ni-
Report Per Solid y Tons Sources Dry, Precip. cation tili- ali- nia- trate
Totals Acre s Per Acre (Summarize) Wet, Past 24 Meth- zation zation TKN Ni- and
in Gal. Moist Hrs. od* Rate** Rate trogen Nitrite
13695
16420
10578
8597
11645
9583
10317
8055
17436
17086
18688
38266
lbs/acre
526.73
631.54
406.85
330.65
447.88
368.58
396.81
309.81
670.62
657.15
718.77
1471.77
6937.2
Current Cumulative lbs/ac
9.6
9.6
9.6
9.6
9.6
9.6
9.6
5.28
6.39
6.39
6.39
6.39
0.210860862
DAF
Dry
0
S
0.5
0.4
966
592
27.6
0.252817477
DAF
Dry
0
S
0.5
0.4
966
592
27.6
0.162868652
DAF
Dry
0
-0
S
0.5
0.4
966
592
27.6
0.132367348
DAF
Dry
-S
0.5
0.4
966
592
27.6
0.179297169
DAF
Dry
0
S
0.5
0.4
966
592
27.6
0.147548714
DAF
Dry
0
S
0.5
0.4
966
592
27.6
0.158850055
DAF
Dry
0
S
0.5
0.4
966
592
27.6
0.068212218
DAF
Dry
0
S
0.5
0.4
56700
2810
2.48
0.178694187
DAF
Dry
0
S
0.5
0.4
5260
443
26.7
0.175107185
DAF
Dry
0
S
0.5
0.4
5260
443
26.7
0.191525406
DAF
Dry
0
S
0.5
0.4
0.392172045
DAF
Dry
0
S
5 660
443
26.7
As
Cd Cr
Cu
Pb
0.5
0.4
5260
443
26.7
0.014865056
0.01487 0.16255
0.06373
0.02042
Hg
0.00126
Mo
0.0 5539
Ni
0.08694
Se
0.01487
0.014865056
0.01487 0 16255
0 06373
1.63 444
7.4888
0.02042 Prior Years Cumulative lbs/a0.00126 0.01539 0.08694 0.01487 1.63944
c
Permitted C. P. L. R.***
Permit PAN Limit lst/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."
>5.0
PAN 1
0.19956
0.23927
0.15414
0.12527
0.16969
PAN 2
#######
#######
Must Select
Crop 1 or Crop
2
1
Crop 1
Pines
Crop 2
Pines
2
#######
Pines
3
#######
Pines
4
#######
Pines
5
0.13964
0.15034
3.13278
#######
#######
Pines
Pines
6
7
8
0.77732
0.76172
#######
#######
Pines
Pines
9
10
0.83314
#######
Pines
11
1.70595 #######
PAN 1 PAN 2
8.3888 1 0
Pines
Lime Applied
Date
lbs/ac
12
60
Signature of Land Applier �' OZv - *Application Method: S - Surface, IN - Injection, INC - Incorporation
Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into
the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1.
PLEAS`r, MAKE A COPY OF THIS BLANK FORM TO BE COMPL)E
9
tED AND
SUBMITTED
FOR EACH APPLICATION
FIELD.
PLACE A "N/A" IN
A BLANK OR BOX WHEN
NOT APPLICABLE.
Facility Name:
Campbell Soup Supply Company
Permit #:
WQ0004893
Owner: Campbell Soup
Supply Company
Operator:
Annual Dry Tons Applied:
33.72315321
Site #:
Campbell Soup Supply Company
Cation Exchange Capacity
g p y (non 503):
>5.0
S
Field #:
4
Acres Utilized:
9.1
Acres Permitted:
9.1
Lecifv
'Site
o y
Gal.
Totals
%
Residual
Cond.
Inches
Appli-
Vola-
Miner-
Ammo
Ni-
Must Select
0
A
Cu.Yd.
Report
Per
per
Solid
Dr Tons
per
Sources
Dry,
Precip.
cation
tili-
all -
nia-
trate
Crop 1 or Crop
Totals
Acre
s
Acre
(Summarize)
Wet,
Past 24
Meth-
zation
zation
I KN
Ni-
and
PAN 1
PAN 2
2
May 7
in Gal.
11837
Hrs.
od*
Rate**
Rate
trogen
Nitrite
Cro 1
p
Crop 2
p
May 17
15420
1300.8
1694.5
5.28
5.28
0.286398166
0.373089442
DAF
DAF
Dry
0
S
0.5
0.4
56700
2810
2.48
13.1534
#######
Pines
1
May 31
20000
2197.8
5.28
0.483903297
DAF
Dry
Dry
0
0
S
0.5
0.4
56700
2810
2.48
17.1349
#######
Pines
2
Jun 11
19012
2089.2
5.28
0.459998474
DAF
Dry
0
S
0.5
0.4
56700
2810
2.48
22.2242
#######
Pines
3
Oct 4
15698
1725.1
6.39
0.459663316
DAF
Dry
0
S
0.5
0.4
56700
2810
2.48
21.1263
#######
Pines
4
Oct 10
17650
1939.E
6.39
0.516821093
DAF
Dry
0
S
0.5
0.4
5260
443
26.7
1.99954
#######
Pines
5
Oct 21
20295
2230.2
6.39
0.594271053
DAF
Dry
0
S
0•5
0.4
5260
443
26.7
2.24817
#######
Pines
6
Oct 29
18158
1995.4
6.39
0.531696171
DAF
Dry
0
S
0.5
0.4
5260
443
26.7
2.58508
#######
Pines
7
S
0.5
0.4
5260
443
26.7
2.31288
#######
Pines
8
9
TOTALS:
15173
As
Cd
Cr
Cu
Pb
H$
Mo
Ni
Se
10
Annual lbs/acre
0.043275624
0.04328
0.30199
0.11558
0.05572
0.00263
0.04445
0.16105
Zn
P
PAN 1
PAN 2
Lime Applied
Current Cumulative lbs/ac
0.043275624
0.04328
0.30 999
0.115 88
0.05 772
0.0 2263
0.04328
3.51294
26.6391
82.7845
0
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.04 445
0.16 005
0.04328
3.51294
Permitted C. P. L. R.***
Permit PAN Limit lst/2nd Crop
"I certify, under penalty of law, that this document was
A J
prepared
under
my direction or
sunervisian in
u,.Jl�1lGu LO a„ure that quautied personnel properly gathered and evaluated the information submitted.. Ivam awarer11 that there care
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier ZU *Application Method: S -Surface, IN - Injection, INC - Incorporation
Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
**** ***C.P.L.R.: Cumulative Pollutant Loading Rate
The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the
same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1.
ANNUAL LAND APPLICATION FIh uD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Campbell Soup Supply Company Permit #: WQ0004893 Annual Dry Tons Applied: 55.58115563
Owner: Campbell Soup Supply Company Operator: Campbell Soup Supply Company Cation Exchange Capacity (non 503): >5.0
Site #: S Field #: 5 Acres Utilized: 3.4
Acres Permitted: 3.4
Specify .+
3> G
-� o
as
as
Gat.
Totals
Per
%
Solid
D Tons Per
Residual
Sources
....
Cond.
Dry,
Inches
Precip.
Appli-
cation
Vola-
tili-
Miner-
ali-
Ammo
nia-
Ni-
trate
Cu.Yd.
Report
Q
Totals
Acre
s
Acre
(Summarize)
Wet
Past 24
Meth-
zation
zation
TKN
Ni-
1
and
in Gal.
mniql
Hrs.
od*
Rate**
Rate
trogen
Nitrite
Jun 20
13053
3839.12
5.28
0.845281567
DAF
Dry
0FS
S
Jul2
13240
3894.12
22
3.572463529
DAF
Dry
0S
0.5
0.4
56700
2810
2.48
Ju116
13710
4032.35
22
3.699280588
DAF
Dry
0S
0.5
0.4
9530
230
0.72
Sep 25
25193
7409.71
22
6.797664176
DAF
Dry
0
0.5
0.4
9530
230
0.72
Nov 7
18281
5376.76
6.39
1.432708854
DAF
Dry
0
0.5
0.4
9530
230
0.72
S
0.5
0.4
5260
443
26.7 t
TOTALS: 1245521 As
Annual lbs/acre 0.19310094
Current Cumulative lbs/ac 0.19310094
Prior Years Cumulative lbs/ac
Permitted C. P. L. R.***
Cd Cr I Cu I Pb 1H
0.1931 0.74607 0.38606 0.20158 0.00975
0.1931 0.74607 0.38606 0.20158 0.00975
Mo Ni I Se 1 Zn 1 P I
0.1939 0.40604 0.1931 11.33961126.71711
0.1939 0.40604 0.1931 11.3396
'AN 1
8.8212
.7.4059
.8.3788
2.1479
######
PAN 2
#######
#######
#######
#######
6.23228
Must Select
Crop 1 or Crop
2
1
Crop 1
Bermuda
Crop 2
Bermuda
2
Bermuda
3
Bermuda
4
Rye
5
6
7
8
9
10
11
'AN 1
46.754
PAN 2
6.23228
Lime A
Date
lied
lbs/ac
12
110 50
Permit PAN Limit I st/2nd Cro
"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 *Application Method: S - Surface, IN - Injection, INC - Incorporation
Date Volatilization Rate: Surface - 0.5. Iniection/Incorporation -1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into
the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1.
ANNUAL LAND APPLICATION HELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE
COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Campbell Soup Supply Company Permit #: WQ0004893 Annual Dry Tons Applied: 14.1683256
Owner: Campbell Soup Supply Company
Operator: Campbell Soup Supply Company
Site # S
ation Exchange Capacity (non 503): >5.0
Field #:
6 Acres Utilized: 2.3 Acres Permitted: 2.3
S ecif
Site
o
o
Gal.
Totals
%
Dry Tons
Residual
Cond.
Inches
Appli-
Vola-
Miner-
Ammo
Ni-
Must Select
Cu.Yd.
o
Report
Per
Solid
Per Acre
Sources
Dry,
Preci p
cation
till-
ali-
r KN
ma-
trate
PAN
PAN
Crop 1 or Crop
Q
Totals
Acre
s
(Summarize)
Wet,
Past 24
Meth-
zation
zation
Ni-
and
1
2
2
Jul 26
in Gal.
15444
6714.8
22
Dist
Hrs.
od*
Rate**
Rate
trogen
Nitrite
Cro 1
P
Cro 2
P
6.160141565
DAF
Dry
0
S
0.5
0.4
9530
230
0.72
47.26
######
Bermuda
1
2
3
4
5
6
7
8
9
10
11
TOTALS:
6715
As
Cd
Cr
Cu
Pb
H
Mo
Ni
Se
1121
Annual lbs/acre
Current Cumulative lbs/ac
0.0282128
0.02821
0.1688
0.11679
0.02821
0.00123
0.02821
0.09154
0.02821
Zn
3.1416
P
5.44544 147.26
1., N 1
PAN
0
Lime A
lied
Prior Years Cumulative lbs/ac
0.0282128
0.02821
0.1688
0.11679
0.02821
0.00123
0.0 8821
0.09154
0.02821
3.1416
Date
I 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 dirPrtinn ar e„r..,...,;
--a r„Cu Lu assure tnat 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."
4A
Signa�� nd Applier ZO Z v *Application Method: S - Surface, IN - Injection, INC - Incorporation
ture of LaDate **Volatilization Rate: Surface - 0.5, Iniection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered
into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF
ANNUAL LAND APPLICATION P'tELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Campbell Soup Supply Company Permit #: WQ0004893 Annual Dry Tons Applied: 0
Owner: Campbell Soup Supply Company Operator: Campbell Soup Supply Company 'ation Exchange Capacity (non 503): >5.0
Site #; S Field #: 7 Acres Utilized: 2.5 Acres Permitted: 2.5
o
Gal.
Totals
%
Residual
Cond.
Inches
Appli-
Vola-
Miner-
Ammo
Ni-
Must Select
Cu.Yd.
0
�' °
per
Solid
Dry Tons
Per Acre
Sources
Dry,
Preci p'
cation
tili-
ali-
r KN
nia-
trate
pAN
Crop 1 or Crop
Report
Q
Totals
Acre
s
(Summarize)
Wet,
Past 24
Meth-
zation
zation
Ni-
and
PAN 1
2
2
in Gal.
Hrs.
od*
Rate**
Rate
trogen
Nitrite
Crop 1
Crop 2
0
0
DAF
Dry
0
S
0.5
0.3
p
0
0
0
#####
Bermuda
i
NOT APPLI
TOTALS: 01 As Cd Cr Cu Pb H = l'
Annual lbs/acre Mo Ni Se Zn P PAN 1 PAN Lime Ali plied
0 0 0 0 0 0 0 0 0 0
Current Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 0 0 Date lbs/ac
0
Prior Years Cumulative lbs/ac 0
Permitted C. P. L. R. * *
Permit PAN Limit 1 st/2nd Crop
224 50
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 Z 3 2 0 2— 0 *Application Method: S - Surface, IN - Injection, INC - Incorporation
Date **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
***C.P.L.R.: Cumulative Pollutant Loading Rate
**** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked Sothis information needs to be entered
into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF
Laboratory Analyticals
Environmental Chemists, Inc.
envirochera 6602 Windmill Way, Wilmington, NC 28405 o 910.392.0223 Lab * 910.392.4424 Fax
sniff
710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax
255-A Wilmington Highway, Jacksonville, NC 28540 * 910.347.5843 Lab/Fax
EHC, INC
PO Box 902
Red Springs NC
Attention: Joshua Bass
Lab ID Sample ID:
20-05475 Site: DAF Sludge
Test
m ot«;envlronmenia c emists.com
Date of Report: Feb 24, 2020
Customer PO #:
28377 Customer ID: 14120029
Report #: 2020-02235
Project ID: Cambell Soup - DAF quarterly
Collect Date/Time Matrix Sampled by
2/7/2020 8:15 AM Solid/Sludge Joshua Bass
Method
Results Date Analyzed
pH
SW 846 Method 9045D
4.12 units
02/13/2020
Sludge Residuals
Aluminum
EPA 200-7
423 mg/kg
02/17/2020
Arsenic
EPA 200.7
<1-72 mg/kg
02/17/2020
Cadmium
EPA 200.7
<1.72 mg/kg
02/17/2020
Calcium
EPA 200.7
1250 mg/kg
02/17/2020
Chromium
EPA 200.7
24.8 mg/kg
02/17/2020
Copper
EPA 200.7
10.6 mg/kg
02l17/2020
Lead
EPA 200.7
1.76 mg/kg
02/17/2020
Magnesium
EPA 200.7
338 mg/kg
02/17/2020
Molybdenum
EPA 200-7
<1.72 mg/kg
02/17/2020
Nickel
EPA 200.7
12.8 mg/kg
02/17/2020
Potassium
EPA 200.7
1020 mg/kg
02/17/2020
Selenium
EPA 200.7
<1.72 mg/kg
02/17/2020
Sodium
EPA 200.7
3070 mg/kg
02/17/2020
Zinc
EPA 200.7
195 mg/kg
02/17/2020
Nitrate+ Nitrite-N itrogen
EPA 353.2
1.68 mg/kg
02/11/2020
Total Solids (%)
SM 2540 B
9.44 %
02/11 /2020
Ammonia Nitrogen
SM 4500 NH3 C
287 mg/kg
02/14/2020
Total Keldahl Nitrogen (TKN)
SM 4500 Org B
16800 mg/kg
02/20/2020
Total Phosphorus
SM 4500 P F
1320 mg/kg
02/14/2020
Mercury
SW8467471B
<0.165mg/kg
02/19/2020
Comment: *Sludge residual results,
except pH, reported on a dry weight basis.
pH reported on an as received
basis.
'
Reviewed by:
Report #:: 2020-02235
Page 1 of 1
Environmental Chemist, Inc., Wilmington, NC Lab #94
Client:
Sample Receipt Checklist
6602 Windmill Way
Wilmington, NC 28405
Date: "r j 10 1Report Number:
910.392.0223
Receipt of sample: Delivered UPS ❑ FeclEx ❑ Other ❑
❑ YES 10
NO N/A 11.
Were custody seals present on the cooler?
❑ YES 10
NO I PZ N/A
12. If custody seals were present, were they intact/unbroken?
Original temperature upon receipt eC Corrected temperature upon receipt °C
How temperature taken: ❑ Temperature Blank Against Bottles
IR Gun lD: Thomas Traceable S/N 192511657 iR Gun Correction Factor °C: 0.0
❑ YES
❑ NO
3. If temperature of cooler exceeded 6*C, was Project Mgr./CIA notified?
YES
0 NO
4. Were proper custody procedures (relinquished/received) followed?
iK YES
❑ NO
5. Were sample ID's listed on the COC?
YES
❑ NO
6. Were samples ID's listed on sample containers?
❑ NO
7. Were collection date and time listed on the COC?
UYEYES
S
❑ NO
8. Were tests to be performed listed on the COC?
YES
❑ NO
9. Did samples arrive in proper containers for each test?
YES
❑ NO
10. Did samples arrive in good condition for each test?
YES
❑ NO
11. Was adequate sample volume available?'
YES
❑ NO
12. Were samples received within proper holding time for requested tests?
❑ YES
❑ NO
13. Were acid preserved samples received at a pH of <2?
❑ YES
❑ NO
14. Were cyanide samples received at a pH >12?
❑ YES
❑ NO
15. Were sulfide samples received at a pH >9?
❑ YES
❑ N0
16. Were NH3/TKN/Phenol received at a chlorine residual of <0.5 m/L?
❑ YES
113 NO
17. Were Sulfide/Cyanide received at a chlorine residual of <0.5 m/L?
* TOC/Volatiles are pH checked at time of analysis and recorded on the benchsheet.
*" Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet
Sample Preservation: (Must be completed for any sample(s) incorrectly preserved or with headspace)
Sample(s) were received incorrectly preserved and were adjusted accordingly
by adding (circle one): HIS04 HNO3 HCI NaOH
Time of preservation: If more than one preservative is needed, notate in comments below
Note: Notify customer service immediately for incorrectly preserved samples. Obtain a new sample or
notify the state lab if directed to analyzed by the customer. Who was notified, date and time:
Volatifes Sample(s) were received with headspace
COMM
L)OC. QA.002
ENVIRONMENTAL CHEMISTS INC
6802 Windmill Way Wilmington, NC 28405
Anglyticef & ❑nstilt�ag Chemists NCDENR: DWQ CERTlFiCQTION # 94 NCDHHS: DL5 CERTIFICATION # 37729 OFFICE: 910-392-0223 FAX 910-392-4424
info@environmentalchemists.com
CLIENT: EF1C E vironmental
COLLECTION AND CHAIN OF CUSTODY
:
OJECT NAME: Cam bell Sou Quarter) Slud a 1 1
ADDRESS: 20 West Fourth Avenue PRREPORT NO
CONTACT NAME: Joshua Bass
Red S in s, NC 28377 PO NO:
REPORT TO: ehc'bass mail.com
PHONElFAX:
COPY TO:
Sampled By;
Sample Iden
Transfe
Collection
^,•���
I r rc: I = Influent, E = Effluent, W = Well, ST = Stream, SO = Soil, SL = Sludge, Other-
n
a s o` o
2
c� o
PRESERVATION
Date Time Tem P
CL C' Ei
N v
c O
u a
° M mLU
E g o
It
y °z a z ANALYSIS REQUESTED
.� `7 10 i,;<,
z Z
Z
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
C
P
G
G
n Relinquished B -
q Date/Time Received By:
2.
Temperature Wh n Received: ` L Accepted:
Delivered B - R jetted:
Y= _ _ Resample Requested:
eived By:
Comments: - _ _ Re- c-
- Date:
4 TURNAR UND.