WQ0003902_Application_20191203

Permit Number W00003902
Program Category
Non -discharge
Permit Type
Land Application of Residual Solids (503)
Primary Reviewer
ranveer.katyal
Coastal SWRule
Permitted Flow
Facility
Facility Name
City of Newton Residuals Land Application Program
Location Address
PO Box 550
Newton
Owner
NC 28658
Central Files: APS _ SWP _
12/9/2019
Permit Tracking Slip
Status Project Type
In review Renewal
Version Permit Classification
G Individual
Permit Contact Affiliation
James Dusty Wentz
Director Public Works
PO Box 550
Newton NC 28658
Major/Minor Region
Major Mooresville
County
Catawba
Facility Contact Affiliation
Owner Name
Owner Type
City of Newton
Govemment - Municipal
Owner Affiliation
E Todd Clark
City Manager
PO Box 550
Dates/Events
Newton NC 28658
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
12/30/1983 12/3/2019
Regulated Activities Requested /Received Events
Wastewater treatment and disposal Region comments on draft requested
Region comments on draft received
RO staff report received
RO staff report requested 12/4/19
Outfall
Waterbody Name Streamindex Number Current Class Subbasin

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
E. TODD CLARK - CITY MANAGER
CITY OF NEWTON
PO Box 550
NEWTON, NORTH CAROLINA 28658
Dear Mr. Clark:
NORTH CAROLINA
Environmental Quality
December 9, 2019
Subject: Acknowledgement of
Application No. WQ0003902
City of Newton RLAP
Residuals Management System
Catawba County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on December 3, 2019. Your application package has been assigned the
number listed above, and the primary reviewer is Ranveer Katyal.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Ranveer Katyal at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: Mooresville Regional Office, Water Quality Regional Operations Section
Permit File WQ0003902
^_ North Carolina Department of Environmental Quality i Division of Water Resources
ef�—D—EQ,�J/jj 512 North Salisbury Street 1617 Mail Service Center Raleigh, North Carolina 27699-1617
NIJIP-� 919,707.9000

SYNAGRO
DEC - 3 zws
Application For Renewal of
Permit NO. WQ0003902
Land Application of City of Newton, NC
Residuals
Prepared by:
Alex Fox
5ynagro Central, LLC
Mocksville, NC 27028
P 336-998-7150 F 336-998-8450

October 10, 2019
N.C. Department of Environment and Natural Resources
Water Quality Section
Non -Discharge Permitting Unit — Aquifer Protection Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
ATTENTION: Mr. Nathaniel Thornburg Nor.D� in9��t�et
REFERENCE: RENEWAL OF CITY OF Newton LAND APPLICATION PERMIT
WQ0003902
Dear Mr. Thornburg:
Synagro Central LLC is submitting a request to renew a land application program for residuals
generated by the City of Newton Wastewater Treatment Plant and Water Treatment Plant. One
original and two copies of this application to renew the referenced residuals are included. Three
sites are being completely deleted they are CA-07, CA-14, and CA-17. Site LT-119 is deleting
two fields 3 and 4. This brings the total amount of acres being deleted to 306.9 acres. We plan to
do a permit modification to add more land in the near future. As of right now there 628.7 acres
resnain in the program.
This application package contains the information necessary to complete the certification of
this permit. However, if you require any additional information or have further questions about
the information presented herein, please contact me at [e-mail] or at my phone
number (336)-703-8681 I look forward to working with you to ensure a timely and efficient
review of this application.
Sincerely,
Alex Fox
Technical Services Specialist
Synagro Central, LLC

State of North Carolina
DWR
�ECskwVD Department of Environmental Quality
20 g Division of Water Resources
Division of Water Resources 15A 02T .I100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS,i9ftLAP 06-16 & SUPPORTING DOCUMENTATION
pe
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
sunoortinn 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 _0106(b). 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 .0106ib).
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).
I
Facility Classification New Permit Major Modification'
Major (land are permitted for > 300 acres) $1,310 S395
Minor (land are permitted for < 300 acres) $810 $245
1 - 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)
E 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 Page 1 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: http://www.ncwater.ore/Ruies_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 .I 104(d)(2i. 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 .1104(d)(5) and current Division Policy
available at: http://www.ncwater.ore/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 casement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), 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: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 1407 McKay Farm Rd.
City: Newton State: NC Zip: 28658
Coordinates: Latitude: 35' 37' 40" Longitude: 81 ° 14' 03"
Datum: NAD83 Level of accuracy: Man
Method of measurement: Second
2. County where residuals land application program is headquartered: Catawba
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
Mike Cox
Synagro
13191
Back -Up ORC
Robert Roth
Synagro
1001672
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: Alex Fox Spring 2020
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 3438 dry tons per year.
PAN
Pounds of PAN per Dry Ton
Pounds of PAN per Year
(Weighted Average)
Surface
Incorporation
Surface
Incorporation
or Injection
or Injection
First -Year
,�13.00
19.52
44686
67102
Five -Year Maximum Adjusted
17.20
23.72
59147
81562
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
0
Row Crops
27.5
Hay
75.2
Pasture
526.0
Total:
628.7
Methods
Surface
628.7
Incorporation or Injection
0
Total:
628.7
FORM: RLAP 06-16 Page 2 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only,
r VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray L] Drip
2. Disposal system is: ❑ exisiing ❑ 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 .0505(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 .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field 1 Zone
Design Area
ftz)
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ftZ
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

SPILL RESPONSE PLAN
PROJECT: CITY OF Newton Permit W00003902
IN THE UNLIKELY EVENT OF A SPILL THE FOLLOWING ACTIONS SHALL BE TAKEN
IMMEDIATELY:
1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES:
The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to
be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of
Lincolnton or the NC Department of Transportation, and other private contractors as necessary.
2. HALT THE SOURCE OF THE SPILL:
Such as a ruptured container or damaged transport unit.
3. CONTAIN THE SPILL:
Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site
will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up
operation, i.e., local farmers, farm supply centers, nurseries, etc.
4. CLEAN-UP:
Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as
much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining
material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by
representatives of the state regulatory agency.
5. FINAL CLEAN-UP:
Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction
of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original
condition if possible.
6. NOTIFICATION:
As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central
office, and they will then be responsible for notifying other key Synagro personnel.
7. REPORTING:
Synagro Central personnel will notify the Mooresville regional office of the NCDENR by telephone [phone]) for
the City of Newton as soon as possible, but not more than 24 hours after, or on the next working day following the
occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to the Technical Services
Director. The report shall list all relative information and actions taken. Synagro Central personnel will file a written
report to the Mooresville Regional office of the NCDENR within 5 days of the occurrence. For after hours reporting the
Division's emergency number shall be called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300).

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0003902 (City of newton)
Inspection Plan
Inspections will be conducted on a weekly basis at the land application site during activities of this project. Inspection
frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the
facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random
fields that have been completed. These inspections will consist of:
1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical
staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and
maintenance plan.
4. Insuring that the field has been flagged properly and that all buffers are being adhered to.
S. Insuring that the "Crop and Landowner Verification" form has been filled out.
6. Verifying that the residuals have been adequately sampled to confirm compliance.
The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall
report by telephone to the NCDENR/DWQ Mooresville R nal Office at 704-663-16�9, as soon as possible, but no later
than 24 hours after, or the next working day, Follomdng the occurrence or fir nowledge of the occurrence of the
following.
• Any occurrence with the distribution program resulting in the land application of significant amounts of
material that is abnormal in quantity or characteristics.
• Any failure of the program that results in a release of material to surface waters.
• Any time that self -monitoring information indicates that the program has gone out of compliance with
the permit.
• Any process unit failure that results in the system not adequately treating the residuals.
• Any spill or discharge from a vehicle or piping system during residuals transportation.
Any release that requir immediate reporting outside of normal business hours shall be called into DEN Rat 800-662-
7956, 800-858-0368 r 919-73 -3300. These numbers are to be called in the event of a release to surface waters or the
imminent failure a storagesystem when the event occurs outside of normal business hours. Within 5 days of the first
notice of an occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or
proposed actions taken to ensure that the problem does not recur.
Persons responsible for inspections on this project are as follows:
Robert Roth Technical Services Manager, or his designee.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0002712 (City of Lincolnton)
Sampling Plan
Sampling for this project consists of sampling the residuals once per permit cycle during the permit renewal
process.
The residuals shall be sampled once per permit cycle for the following: (Regulatory level in milligrams per liter in
parentheses.)
Arsenic (5.0)
1, 4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium (100.0)
1, 2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene (0.5)
1, 1-Dichloroethylene (0.7)
Pyridine (5.0)
Cadmium (1.0)
2, 4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13
Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5)
Trichloroethylene (0.5)
Chromium (5.0)
Hexachlorethane (3.0)
2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0)
2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4)
2,4,5 TP ( Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2)
Vinyl Chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
The residuals will also be sampled, based on the chart below, for the following constituents
Dry Tons Generated
(short tons per year)
Monitoring Frequency
(Established in 40 CFR 503 and 15A NCAC 02T.1111)
<319
1 time per year
=>319-<1,650
1 per Quarter (4 times per year)
=>1,650-<16,500
1 every 60 days (6 times per year)
=>16,500
1 every month (12 times per year)
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Sodium Adsorption Ratio (SAR)
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Phosphorous
Potassium
pH
Plant Available Nitrogen (calculation)
Selenium
Sodium
%Total Solids
Total Kjeldahl Nitrogen
Zinc
In order to meet pathogen and vector requirements, the material will be sampled for fecal coliform density and the 38%
volitile solids reduction or 40 day bench test. The samples will be taken from the digester. Additional samples will be
taken for TCLPJRCI and nutrients an metals analysis. Methods of sampling will follow the conditions of the permit and
applicable regulations.
The following people are responsible for sampling:
Robert Roth, Technical Services Manager, or his designee.
Debra V. Tunstall, City of Lincolnton Lab

0
L

Division of Water Resources
State of North Carolina
Department of Environmental Quality
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_lLllication and
supportinp,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
Residuals 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 I of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Newton
Status
Code fl
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tans Per Year
Current
3448
Proposed
R
City of Newton
Newton WWTP
Catawba
WQ0003902
3448
a 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.c, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Newton Waste Water Treatment Plant
2. Facility permit holder is: [ Federal, [I State, 0 Local Government, or 0 Private.
Facility permit issued by: Div. of Water Resources, 0 Div. of Environmental Health,
or Other (explain:
3. Facility contact person and title: Eric Jones Waste Water Plant Superintendent
Complete mailing address: P.O. Box 550
City: Newton State: NC Zip: 28658
Telephone number: 828) 217-4457 E-mail address: [e-mail]
4. Facility physical address: 1407 McKay rd
City: Newton State: NC Zip: 28658
Coordinates: Latitude: 35' 37' 40" Longitude: 810 14' 00"
Datum: NAD83 Level of accuracy: Second
Method of measurement: Map
5. Purpose of the facility:
treatment of municipal wastewater, treatment of 100% domestic wastewater,
treatment of potable water, 0 treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: _ % industrial and % domestic)
✓Q other (explain: ).
6. Does the facility have an approved pretreatment program: 0 Yes 0 No
7. Facility permitted/design flow: MGD and facility average daily flow: 2.25 MGD
8. Average amount of residuals being generated at this facility 650 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment:
Type and volume of residuals storage (i.e., outside of residuals treatment units):
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
Eg 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(6) as:
Biological Q 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: 0 yes 0 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: to yes 11 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: Shealy Environmental and Date of analysis: 11/23/2019
Passed corrosivity test: yes Is no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: yes r3 no. Flashpoint: >140 °F (> 140°F)
Passed reactivity test: Oyes 1].no.HC-N:ndmg/kg(<250)&H2S:ndmg/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
.34
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 Application: 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: Waypoint Environmental and Date of analysis: 09/10/2019
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
<5.0 ✓
Cadmium
85
39
<1.0 V/
Copper
4,300
1,500
164
Lead
840
300
12.1
Mercury
57
17
.123
Molybdenum
75
n/a
3.27
Nickel
420
420
22.6
Selenium
100
100
<5.0
Zinc
7,500
2,800
904
b. For Surface Disposal Unit (landrll): 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
(mglkg)
Nickel
(mg/kg)
> 0 but <25
30
200
210
Ej > 25 but < 50
34
220
240
> 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 1 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 6.62 %.
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: Waylaoint Analytical and Date of analysis: 09/10/2019
Parameter
Result
(mg/kg)
Aluminum
18100
Ammonia -Nitrogen
6520
Calcium
208000
Magnesium
522
Nitrate -Nitrite Nitrogen
10784
pH (Standard Unit)
Phosphorus
8240
Potassium
633
Sodium
604
Total Kjeldahl Nitrogen
17300
I �W
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.8.5
[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): M default value, or El 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 (I") Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(mg1kg)
Surface
6499
8,602
Injection/Incorporation
9759
11,862
6. Other Pollutants Determination: ,Specify whethe or not there are any other pollutants of concern in the residuals and pro,
the results of the latest analyses:
ya
tsrF
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application ol'Class A or Equivalent:
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grains of total dry solids.
AND one of the followings (except for non -biological residuals):
�[�. Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Timc/Temperature Compliance.
Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, EJ heat drying, heat treatment,
! thermophilic aerobic digestion, beta ray irradiation,
El gamma ray irradiation, or [ pasteurization.
b. For Land Application of Class B:
Alternative I [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, air drying, F1 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 I1. 7b. above.
Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
[3 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.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Q 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.I 107(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.I 107(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

VICINITY MAP
W
STARTOWN
W7
YQg
EMT:
fl,07 Pgfty F", R#0
PER
ml
Go gle
it
COUNTY: Catawba OVVNER(S): Newton WWTP
01
UM-4..Amrfl 'l1 n4. I

Residuals Sampling Plan
City of Newton and Application Program (WWTP)
Nutrient and Metal Analysis
Sampling Point:
Sampling Frequency:
Sample Type:
Lab:
WWTP
Digester
Quarterly
Composite
Waypoint Environmental
Pathogen Reduction
- Lime Stabilization done in house by plant operators
Vector Attraction Reduction
- Lime Stabilization done in house by plant operators
TCLP/RCI
Sampling Point:
Sampling Frequency:
Sample Type:
Lab:
WWTP
Digester
Once per permit cycle
Composite
Shealy Environmental

INFLUENT
7.5 MGD INFLUENT PUMP STATION
AND BAR SCREEN
AERATED GRIT CHAMBERS
ADDITION
REACTOR CLARIFIERS
I
I
I
I
AERATION BASINS I
I
f
I
I J
I I
! f '
SECONDARY I I
CLARIFIERS f !
— --� _ —�— BIOLOGICAL
SLUDGE RECYCLE PUMP STATION
L
U--I--------
DUAL MEDIA I I
FILTERS + !
THIC{C� f �DENER &r I
T—o
CENTRIFUGES I
AND PUMP STATION �.
I CHLORINE CONTACT PUMP STATION!
BASINS AND
DECHLORINATION ! I
II
1
TO REGIONAL
DISCHARGE TO COMPOST FACILITY
CLARK CREEK 001 OR LAND APPLICATION
a
CITY OF NEWTON
TN
NUARY 2005
Vul ligENGINEERS CLARK CREEK WWTP
FLOW SCHEMATIC C s4s.o �7
LE I 1

Quantitative Justification for Residuals Production
Currently, the City of Newton's WWTP is permitted for 3448 dry tons of annual production.
There is no request at this time to change this amount. The facility permitted/design flow is 6
MGD. Even if this maximum amount is reached, we would still be under the permitted dry tons
of annual production. The additional dry tonnage will allow for any future expansions.
Total Dry Tons = gallons of residuals X % solids X 8.34 lbs./gallon
2,000 lbs./tan
(2,250,000 X 0.0632 X 8.34 lbs./gallon)/ 2,000 lbs./ton = —621 dry tons

Bio-solids Management Summary
City of Newton NC
Clark Creek WWTP
NPDES Permit #NC0036196
The City of Newton disposes of generated residuals from the Clark Creek WWTP
generally by its Land Application Program with a small portion being transported to the
Regional Composting Facility via the City of Conover.
The City of Conover discharges wastewater to the Clark Creek WWTP and is a vested
owner in the Regional Compost Consortium. Presently Conover is transporting
approximately 14% of the bio-solids produced at Clark Creek to the Compost Facility for
treatment and disposal.
The remainder of the bio-solids is land applied in accordance with the City of Newton
Land Application Permit.
Primary clarifier sludge and waste biological solids are pumped to an in -process gravity
thickener. Telescoping valves are utilized to decant water from the surface of the
thickener as solids settle.
If sludge is to be hauled to the Regional Compost Facility by the City of Conover, the
solids are segregated to a separate thickener and gravity thickened only.
Solids for land application are gravity thickened with the addition of lime slurry to the in -
,process thickener. Thickened sludge is transferred to one of two holding thickeners
where the pH of the sludge is raised to 12.0 or greater. In two hours, the pH is again
tested to verify a pH of 12.0 or greater. After 22 more hours, a pH is again taken to
confirm a pH of 11.5 or greater to meet the requirements pathogen reduction and vector
attraction elimination. The sludge is then land applied.
Periodic, routine analyses of the bio-solids are performed as required by the Land
Application Permit.

Waypoint(D
ANALYTICAL
9/1012019
Synagro Central LLC/ Newton
Mary Brewer
284 Boger Road
Mocksville, NC, 27028
Ref: Analytical Testing
Report Number: 19-241-0005
Project Description: NEWTON WWTP
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalyfical.com
Dear Mary Brewer:
Waypoint Analytical Virginia, Inc. received sample(s) on 8/29/2019 for the analyses presented in the following
report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table
if applicable.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report ofAnalysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
P'd. aW 0.7'
Pauric McGroary
Agronomist
Laboratory's liability in any claim relating to analyses performed shall be limited to; at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Virginia 460014
` J's ii; -'R0
i�
Ys s.
Page 1 of 6

i •
P6211Nhitepine Road, Richmond, VA 23237
Waypoint Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
Sample Summary Table
Report Number: 19-241-0005
Client Project Description: NEWTON WWTP
Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
67995
NEWTON WWTP
Solids
08/28/2019
10:55
08/29/2019
WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #1354
SM-2540G
WTN
SW-7471B
WTN
SM-4500-NH3C TKN
WTN
4500NO3F-2011
WTN
6010D
WTN
SM-4500-NH3C
WTN
9045D
WTN
AOAC 955.01
WTN
Page 2 of 6

Report Number: 19-241-0005
Account Number: 46476
Waypoi nt(2)
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Send To: Synagro Central LLC/ Newton
Project: NEWTON WWTP
Mary Brewer
284 Boger Road
Mocksville , NC 27028
REPORT OF ANALYSIS
Date Sampled,
8/28/2019��10,55:00
Lab Number: 67995
Date Received26
f9 00:00
Sample Id : NEWTON WWTP
Date Reported:
09/10/2019
RESULT
RESULT QUANTITATION
PARAMETER
•
•�
Total Solids *
6.62
ADM
08/30/2019 15:57
SM-2540G
Moisture *
93.40
ADM
08/30/2019 15:57
SM-254OG
Total Kjeldahl Nitrogen
1.73
17300
250
JPJ
09/06/2019 09:00
SM-4500-NH3C-TKN
Phosphorus
0.82
8240
50.0
JTR
09/05/2019 21:28
6010D
Potassium
0.06
633
50.0
JTR
09/05/2019 21:28
6010D
Sulfur
0.41
4100
50.0
JTR
09/05/2019 21:28
6010D
Calcium
20.80
208000 V/
5000
BKN
09/06/2019 18:07
6010D
Magnesium
0.52
5220 ✓
50.0
JTR
09/05/2019 21:28
6010D
Sodium
0.06
604
250
BKN
09/06/201913:33
6010D
Iron
11500
50.0
JTR
09/05/2019 21:28
6010D
Aluminum
18100
50.0
JTR
09/05/2019 21:28
6010D
Manganese
581
5.00
JTR
09/05/2019 21:28
6010D
Copper
164
2.50
JTR
09/05/2019 21:28
6010D
Zinc
904
12.5
JTR
09/05/2019 21:28
6010D
Ammonia Nitrogen
0.65
6520
10D
JPJ
09/06/2019 14:30
SM-4500-NH3C
Organic N
1.08
10780
25D
09/06/2019 09:00
CALCULATION
Nitrate+Nitrite-N
<4.87
4.87
ZBD
09/04/201915:18
4500NO3F-2011
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B-Analyte detected in blank H - Beyond holding time Ptw;,& Ing 61wr
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made Pa uric McGroary
to the work., the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
Agronomist
Paqe 3 of 6

Report Number: 19-241-0005
Account Number: 46476
Send To: Synagro Central LLC/ Newton
Mary Brewer
284 Boger Road
Mocksville , NC 27028
Lab Number: 67995
Sample Id: NEWTON WWTP
Cadmium
Chromium
Nickel
Lead
Arsenic
Mercury
Selenium
pH *
Calcium Carbonate Equivalent
Molybdenum
Comments:
•
Waypoi nt
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Project: NEWTON WWTP
REPORT OF ANALYSIS
Date Sampled: 8/28/2019 10:55:00
Date Received: 08/29/2019 00:00
Date Reported: 09/10/2019
kESULT RESULT
QUANTITATION
METHOD
<1.00
1.00
JTR
09/05/2019 21:28 6010D
27.5
2.50
JTR
09/05/2019 21:28 6010D
22.6
2.50
JTR
09/05/2019 21:28 6010D
12.1
3.00
JTR
09/05/2019 21:28 6010D
<5.00
5.00
JTR
09/05/2019 21:28 6010D
0.123
0.0142
TJS
09/04/2019 13:53 SW-7471 B
<5.00
5.00
JTR
09/05/2019 21:28 6010D
8.0
JSL
09/04/2019 06:13 9045D
46.00 460000
1000
DXT
09/05/2019 10:12 AOAC 955.01
3.27
2.50
JTR
09/05/2019 21:28 6010D
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B - Analyte detected in blank H - Beyond holding time
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made
to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization.
TAw;r' PIC &bw
Pauric McGroary
Agronomist
Paqe 4 of 6

0
Waypoint_
ANALYTICAL
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical:com
Cooler Receipt Form
Customer Number: 46476
Customer Name: Synagro Central LLC/ Newton
Report Number: 19-241-0005
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers received
F 1
Custody seals intact on shipping container/cooler?
0 Yes
0 No
Not Required
Custody seals intact on sample bottles?
0 Yes
0 No
Not Required
Chain of Custody (COC) present?
0 Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
Yes
0 No
Samples in proper containers?
IS Yes
0 No
Sample containers intact?
• Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
• Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met 0 Yes
0 No
♦ N/A
High concentration container (48 hr)
i High concentration pre -weighed (methanol -14 d)
F Low concentration EnCore samplers (48 hr)
F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes • No
Comments
Signature: Brandi Watson Date & Time: 08/29/2019 14:05:14
Page 5 of 6

SAMPLING LOG #
CUSTOMER: SYNAGRQ
PROJECT MANAGER: _ Abe\
Phone: ( 33 ) -7v 3 SG
A & L CUSTOMER SAMPLING
LAB # SAMPLE I.D. LOCATION
(II I�IIIIIf (Jill III IIIIJill III AN 11 46476 z
Svnaclm Central LLCI Newton 08-29 2
019
NEWTON WWTP
SAMPLE
TYPE
:ASS, INC. CHAIN OF CUSTODY
RECORD & ANALYS08
RECORD
r aLica[ trio[ c►►e proper neia sampling procedures
were used during the collection of these samples.
SAMPLE
# OF SAMPLING METHOD METHOD
CONTAINERS DATE TIME PRESERVED SHIPPED
Relinquished by Sampler: Date Time Recieved by:11
REMARKS:
N A PS _ _
Relinquished by: Date Time Recieved by:
Relinquished by: Date Time Recieved by: -
SPECIAL INSTRUCTIONS: — - - - - - - -
For C' '
monitoring purposes. PO#: 8TATL7
SAMPLE ANALYSIS REQUEST
I.D. SLi SL2 NH4 N NO: N flrgNanic Cd Cr Ni Pb As4HgSepH CaCO3 Volatileuiv. Solids Mo CINt72-Nko 1� t� t� tomI� tf too
.......... -L-L
SLi: Total Solids (Moisture), Total Kjeldahl Nitrogen, Phosphorus, and Potassium
SL2: Basic Test SLi plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc
Paqe 6 of 6

SHEALY ENVIRONPOENTAL SERVICES, INC.
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Alex Fox
Project Name: Newton VWVFP
Lot N u m ber: U K1 3045
Date Completed:11125/2019
I
11 /29/2019 8:34 AM
Approved and released by:
Lab Director - Greenville: Lucas Odom
ss ,,«F
N6
h CC lia�rfn
ON EIAP
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w.vw.shealylab.com
Page 1 of 10

SHEALY ENVIRONMENTAL SERVICES, INC.
SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Field Parameters No: 5639
Case Narrative
Synagro
Lot Number: UK13045
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the QAMP, SOPs or policies are qualified on the results page or
discussed below.
Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W"
qualifier
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
The pH analysis associated with the sample(s) in this report was/were performed after the method
recommended 15 minute holding time.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 2 of 10

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Synagro
Lot Number: UK13046
Sample Number Sample ID Matrix Date Sampled Date Received
001 Newton TCLP Solid 11/12/2019 1010 11/13/2019
(1 sample)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 3 of 10

SHEALY ENVIRONMENTAL SERVICES, INC.
Detection Summary
Synagro
Lot Number: UK13045
Sample Sample ID
Matrix
Parameter
Method
Result Q
Units
Page
001 Newton TCLP
Solid
Ignitability (Pensky-Martens
101 DA
>140
° F
5
001 Newton TCLP
Solid
Paint Filter Test
9095B
Fail
pass/fail
5
001 Newton TCLP
Solid
3+4-Methylphenol
8270D
0.63
mg/L
6
001 Newton TCLP
Solid
Barium
601 OD
0.34
mg/L
8
(4 detections)
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 4 of 10

Client:Synagro Laboratory ID: UK13045-001
Description: Newton TCLP Matrix: Solid
)ate Sampled:1111212019 1010
ate Received:11/1312019
Inorganic
non-metals
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst Prep Date Batch
1
(Ignitability) 1010A
1
11/18/2019 1125 SLC 36130
1
(Paint Filter) 9095B
1
11/19/2019 2307 HET
1
(Reactive Cya) 7.3.3
1
11(20/2019 1803 KFE 11/19/2019 0956
1
(Reactive Sul) 7.3.4
1
11/19/2019 1819 HET 11/19/2019 0956
1
(Soil pH meas) 9045D
1
11/20/2019 2122 HET 36570
Parameter
CAS Analytical
Number Method
Result Q
LOQ
Units
Run
Ignitability (Pensky-Martens Closed -Cup)
1010A
>140
140
- F
1
Paint Filter Test
9095B
Fail
pass/fail
1
Reactive Cyanide
7.3.3
ND
50
mg/kg
1
Reactive Sulfide
7.3.4
ND
50
mg/kg
1
Soil pH measured in water @ 20.2 ° C
9045D
9.3
su
1
TCLP Volatiles
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 131115030B
8260B 10 11/16/2019 2207 STM
35975 11/14/2019 1931
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Benzene
71-43-2 8260B
ND
0.050
mg/L
1
2-Butanone (MEK)
78-93-3 8260E
ND ✓
0.10
mg/L
1
Carbon tetrachloride
56-23-5 8260B
ND ✓
0.050
rng/L
1
Chlorobenzene
108-90-7 8260E
ND ✓
0.050
mg/L
1
Chloroform
67-66-3 8260B
ND ✓
0.050
mg/L
1
1,2-Dichloroethane
107-06-2 8260B
ND `/
0.050
mg/L
1
1,1-Dichloroethene
75-35-4 8260B
ND ✓
0.050
mg/L
1
Tetrachloroethene
127-18-4 8260B
ND _/
0.050
mg/L
1
Trichloroethene
79-01-6 8260B
ND V
0.050
mg/L
1
`J
Vinyl chloride
75-01-4 8260B
ND
0.010
mg1L
1
Run 1 Acceptance
1�
Surrogate
Q % Recovery Limits
1,2-Dichloroethane-d4
81 70-130
Bromofluorobenzene
82 70-130
Toluene-d8
86 70-130
TCLP Semivolatiles
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 1311/3520C
8270D 1 11/22/2019 1409 SCD
11/19/2019 1853 36299 11/18/2019 1915
CAS Analytical
Parameter
Number Method
Result 9
LOQ
Units
Run
1 ,4-Dichlorobenzene
106-46-7 8270D
ND
0.040
mg/L
1
2,4-Dinitrotoluene
121-14-2 8270D
ND
�3
0.080
mg/L
1
LOQ = Limit of Quantitation
B = Detected in the method 'blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the LOQ
N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H = Out of holding time
W = Reported on wet weight basis
healy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 5 of 10

Client: Synagro Laboratory ID: UK13045-001
Description: Newton TCLP Matrix: Solid
Date Sampled:1111212019 1010
Date Received: 1111312019
TCLP Semivolatiles
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 1311/3520C 8270D 1 11/22/2019 1409 SCD 11/19/2019 1853 36299 11/18/2019 1915
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
Hexachlorobenzene
118-74-1 8270D
ND
0.040
mg/L
1
Hexachlorobutadiene
87-68-3 8270D
ND ✓
0.040
mg/L
1
Hexachloroethane
67-72-1 827CD
ND
0.040
mg/L
1
2-Methylphenol
95-48-7 8270D
ND
0.040
mg/L
1
3+4-Methylphenol
106-44-5 8270D
0.63 ✓
0.040
mg/L
1
Nitrobenzene
98-95-3 8270D
ND
0.040
mg/L
1
Pentachlorophenol
87-86-5 8270D
ND
0.20
mg/L
1
Pyridine
110-86-1 8270D
ND r
0.040
mg/L
1
2,4,5-Trichlorophenol
95-95-4 8270D
ND f
0.040
mg/L
1
2,4,6-Trichlorophenol
88-06-2 8270D
ND
0.040
mg/L
1
Run 1 Acceptance
Surrogate
Q %Recovery Limits
2-Fluorobiphenyl
69 37-129
—
2-Fluorophenol
39 24-127
Nitrobenzene-d5
69 38-127
Phenol-d5
70 28-128
Terphenyl-d 14
85 10-148
2,4,6-Tribromophenol
84 41-144
TCLP Herbicides
( Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 131118151A
8151A 1 11/22/2019 0209 DAL1
11/20/2019 2055 36413 11/1812019 1915
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
2,4-D
94-75-7 8151A
ND
0.020
mg/L
1
2,4,5-TP (Silvex)
93-72-1 8151A
ND
0.0�
mg/L
1
Run 1 Acceptance
b
Surrogate
Q % Recovery Limits
DCAA
77 50-112
TCLP Pesticides
Run Prep Method
Analytical Method Dilution Analysis Date Analyst
Prep Date
Batch Leachate Date
1 131113520C
8081B 1 11/25120191509 DAL1
11/21/2019 1856 36571 11118120191915
CAS Analytical
Parameter
Number Method
Result Q
LOQ
Units
Run
gamma-BHC(Lindane)
58-89-9 8081B
ND
mg/L
1
Chlordane
57-74-9 8081B
ND ✓
/p00040
J 0.0040
mg/L
1
Endrin
72-20-8 8081B
ND
V0.00040
mg/L
1
LOQ = Limit of Quantitation
B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the LOQ
N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H = Out of holding time
W = Reported on wet weight basis
iealy Environmental Services, Inc.
i06 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 6 of 10

Client:Synagro Laboratory ID: UK13045-001
Description: Newton TCLP Matrix: Solid
Date Sampled:11112120191010
Date Received:11/1312019
I TCLP Pesticides
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 1311/3520C 8081E 1 11/25/2D191509 DAL1 11/21/20191856 36571 11/18/20191915
CAS Analytical
Parameter Number Method Result Q LOQ Units Run
Heptachlor
76-44-8
8081B
ND,,/
0.00040
mg/L
1
Heptachlor epoxide
1024-57-3
8081 B
ND�
0.00040
mg/L
1
Methoxychlor
72-43-5
8081B
ND %
0.0016
mg/L
1
Toxaphene
8001-35-2
8081B
ND
0.0080
mg/L
1
Run 1 Acceptance
Surrogate
Q %Recovery Limits
Decachlorobiphenyl
43 20-131
Tetrachloro-m-xylene
71 26-132
TCLP Metals
Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date
1 1311/3010A 6010D 1 11/21/2019 0023 LLL 11/20/2019 0931 36328 11/18/2019 1915
1 1311/7470A 7470A 1 11/21/2019 1746 KSH2 11/20/2019 1455 36377 11/18/2019 1915
CAS
Analytical
Parameter
Number
Method
Result Q
LOQ
Units
Run
Arsenic
7440-38-2
601OD
ND r/
0.15
mg/L
1
Barium
7440-39-3
6010D
0.34 ✓
0.25
mg1L
1
Cadmium
7440-43-9
601OD
ND
0.050
mg/L
1
Chromium
7440-47-3
601OD
ND ✓
0.10
mg/L
1
Lead
7439-92-1
6010D
ND
0.10
mg/L
1
Mercury
7439-97-5
7470A
ND
0.0020
mg/L
1
Selenium
7782-49-2
601OD
ND
0.20
mg/L
1
Silver
7440-22-4
601OD
ND
0.10
mg/L
1
Footnote(s): *Paint Filter: 13mL collected;
LOQ = Limit of Quanlitation B = Detected in the method 'blank E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the LOQ N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40
H = Out of holding time W = Reported on wet weight basis
healy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 7 of 10

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 8 of 10

m
M z
Shealy EnvirQnlaaenlal Services. i(ic.
�.
CD
Chain of Custody Record
1c76Voi ntaage Polrrt Drive
wart Columbia, South Carollrre 291T2 Number
°
rn
Telephone No. ,603) 701-970D Fax No_ (BD3r T91-911 j
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WINNG
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CfRushr-lom-4'p5dh') QRa-:urrkbClient ®DlspoaWtA,Lab
Poss" 1-.Azar:1 (ListI lh K
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h9d by ) `
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1. (��"ttived t y
Date
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DUAG
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3. Recelved by
had Data 7.m�p
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Note: All Saaaple3 are retained for frrur wooks /Yarn receipt
LA8 USE (WILY
unless other arrarwimertiS are made_
Rrr;&Wry on IceiCr,-Ck) Y I]N Cice F'Ack
I— rr_ Df
UK°13045 Mr
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2
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0

SHEALY ENVIRONMENTAL SERVICES, INC.
AwlyEnvimn-memal"grAuv,Ira. P_r l
irr
nn emmenc N wt hiG I5C-1 1 tY®I
Sample Receipt Cheicklist (SRC) Gain:iav Mar 9 ".
Client: 3YNAGRO Cooler Inrnec.ted b •/date: Is3i i I Ii 13tI9
Lot #: UK 13U4..c
i4k'uasofreceipC [j SI�SI nClient [JI'S 1 Fa ; T4other:
i_j Y" Nol it. Were custmly sc7als Tyrc9paut on tt18 cnolcp
Yes '-N u A A 2. if custody seals +�rore prcwnr, w= they iotaet tuna .iiyhmuloan•r
pH Strip ID: NA _ Chlorine Strip ID_ N A _ Tasted by., NA
Original tctnperahrre rptrn re:,eipt 1 Drrivcd ({ crrracW) tcrrtperq tare upon rect ipt 40o1id Snap-CmT t1); NA
2.7 ; 2,7 NA I NA 'C 'NA i NA DC J
Metawd: El Terrrperaturc Blank OAltainst 121todes 1R (rim 11): 5 IR Gun Correction J--=bnr, 0 °C
Melhnd of star arlt:C�� �i'et Ccs 1ae I PCs ❑ Dry Ire ❑None
0 Yes
d No
VIVA If trmpMttmre Of any Cooler exceadcd 611°(, u'aes Ynject 1 fanq�mx t�'otitied^
PM yeas Notified by: phone I elrrmlf face-w4ace (circle one).
N 4 Ir the ccrmtnerm i lill conricr s packing slurp attaelu�d to this form?
'cs
0 PFej
5. ;vats per a ustody rucdduren (reiingvisited+'raceive�d) fallowed?
G. l�itxe sample 113s listed cm the COC?
V]l.N,
7. Were samS.�.
Wns cuilActiost d1 tc & tine listed on all sample tvtrritainers?
_
10. Did all ectutainer label informatioe (!D, date, time) 09—r with thz COC?
RYE!
NO
11, Were tesht to be paformed listed on the CM
Yes
No
12. Did all swa4gcs arrive us tht! proper enn.tainers for tsaah test an ftr in good wrt(fitic,a
(unbroken, lids on, otc.)?
at.m If e. tJ NO I3- Was adequate sample vohvne avaiia�ble?
7'14, Were all samples received within i5 the holding limn or 4R houxa, w•hi chp%mr comes first?
es
❑ No
ZT-Yes Vma 15, 46'erts any s4tnples container's misxittg,+ex (atrclo one} acantlales Wot listtA on Ctat 7
Ll
Yes No 0 NA 1i' For 1rOA and RSK-175 sampics..vec bulthlzs prewrmt>"pe A -size" (14"or 6rM in ditkmrxetcr)
to any of the VOA vials?
Q Yes Nn NA l i. Were all DRO)meeaWauvient samples rcx rived at it pH of r 2?
0 Yes El Ni ol 0 NA I IS. 1Merc all Cyasnide sdmples received at a nN> 12 and sulydc sarn Ics received at u pH> 9•?
Yes NA JIV. _ere all applicable Z H;e Kl+ I nm crpheaw + .,5 F U.—WE) samples Fmc of residual
� 4'es gU Were clitatrt+ rmarks'reyt cats (i.C. mquested dilutiotu, T��St\�D des igrtatiotrti.:#s-._}
Nu N..h c*n' ctly transcritod from the COC iota tint Comment section in TRIS?
7'es
!� n 21. Was the uuic ntunber listed nrt the container label? If yes, Quote # NA
Sample >C'rese"At18nia—Mth Itmat be m mnnpletdGl for any satnple(s} iarcot c,[]y preset�rd or with head5i•ace.}
per{`} NA _Were; mcei%%d incorrectly preserved and were adjusted aocerdingl}.
ot�
in saWfv reivitg with NA mL of circle onc:1)2S()4, HNO3, I10, MON using SR ?? NA
Time ofprese-vatiomt wA Y^ , if'more thanom presen•alim is needed, Incase note in %—Q Comm —tilts belo�c.
Samplo(s) NA were received with bubbles-6 mm in diamewr.
Samplcs(s) lt'A ware received turtle TK.C:: G $ atg+T. {tf+tl9 is nv } armd vt'e re
adjustcd accfxdiaxly in sample iweiving with suelium thio3Wfate (Na_SA) with Shealy 111: NA _
'SR baroode labels applied by: 2l� Date: I lA1 i+19
Ct►l3ttnetilx
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 10 of 10

Weekly Retail Gasoline and Diesel Prices
(Dollars per Gallon, Including Taxes)
Area: I Lower Atlantic (PADDIC) v Period: Weeidy v,
C wm" SK" Fkfty 0Deeromrs, Sources rotes
Show Data By.
Ytew
Q Product U Area
Carr t
I.
i History
Gasoline - All Grades
❑
2.423
Z451
2.440
2.415
2.430
2.461 1993-2019
All Grades - Conventional
a"
Areas
0
2.428,
2.457
2.446
2.4211
2.4361
2.469 1994-2019
All Grades - Reformulated I
Areas
❑
2.358
2.367
2.363
2.349
2.358
2.362 1994-2019
Regular
❑
2-343,
2.372
2.362
2.335
2.351
2383 1993-2019
Conventional Areas I
?R ❑
2.349
2.379
2368
2.341
2.357
2-391 1993-2019
Reformulated Areas
AT ❑
2.272
2.2811
2275
2.260
2.270
2.275 1994-2019
Midgrade
❑
2-691
2.712
2.699
2.580
2.691
2.722 19942019
Conventional Areas
4- ❑
2.697
2.720
2.706
2.686
2.697
2.731 1994-2019
Reformulated Areas _
4* ❑
2.623
2629
2.624
2.516
2.624
2627 1994-2019
Premium
❑
2.981
3.004
2.996
2.9781
2.982
3.009 1994-2019
Conventional Areas
❑
2.996
3.020
3.010
2.991
2.996
3.025 1994-2019
Reformulated Areas
4* ❑
2.836
2.843
2-851
2.846
f 2.852
2.853 1994-2019
Diesel (On -Highway) - All Types
4- ❑
2.932
2.905
2 919
2.922
2 921
. -2019
Ultra Law Sulfur (55 ppm and
Under)
'>" ❑
2.932
2.905
2.919
2.922
2.921
2.928 20D7-2019
+- Click on the source key icon to learn how to download seriv; into Excel, or to embed a chart or map on your wetwits.

Year I
City of Newton - Clark Creek WWTP
Sludge Grab Sampling Data
DATE Sample ID
Intial Sample
2 Hour Sample
22 Hour Sample
Collection
Analysis
_Collection
Analysis
Collection
Analysis
8y
Time
pH
Corrected
PH
Temp
Time
By
By
Time
pH
Corrected
pH
Temp
Time
By
By
Date
Time
pH
Corrected
pH
Temp
Time
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Collect #1 sample for pH when tank is ready for testing. Temperature is measured in °C Method - SM2550 B-2000
Sampling Collect #1 sample for pH when tank is ready for testing. pH is measured in s.u.
Guidelines Collect #1 sample for pH when tank is ready for testing, pH Method - SM4500 H+B-2000 (Aqueous)
Sample must arrive in lab within 15 minutes of collection. pH is corrected to 25'C

Year 9-019
City of Newton - Clark Creek WWTP
Sludge Grab Sampling Data
Intial Sample
2 Hour Sample
22 Hour Sample
Sample ID
Collection
Analysis
Collection
Analysis
Collection
Analysis
DATE
By
Time
PH
Corrected
pH
Temp
Time
By
By
Time
PH
I Corrected
PH
Temp
Time
By
By
Dale
Time
PH
Corrected
PH
Tamp
Time
By
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Collect #1 sample for PH when tank is ready for testing.
Sampling Collect #1 sample for PH when tank Is ready for testing.
Guidelines Collect #1 sample for PH when tank is ready for testing.
Sample must arrive In lab within 15 minutes of collection.
Temperature is measured in *C
PH is measured in s.u.
PH Method - SM4500 H+B-2000 (Aqueous)
PH is corrected to 25*C
Method - SM2550 B-2000

�J

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 application 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 (NT) f Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
® Attach the following in accordance with each status code:
Status
Code
Required Item
N
R
'I'
M
County Board
✓
Notification. doc
H
Land Owner
V�
Agreement
(If applicable)
H✓
✓
✓
✓
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Matt Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation PolicN
✓
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 map requirements in the "Soil Scientist Evaluation Polio''
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 Mere (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 i7SGS 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: http://deq.nc.gov/about/divisions/Water-
resources/ tannin /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:
http://deq .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 11-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 http://deq.nc.Qov/about/divisions/water-resources/planninJclassification-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.
❑ UNKNO'%N 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 .03011il
❑ 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
Little Tennesse River
Basin And Savannah
River Drainage Area
French Broad River
Basin
Watauga River Basin
Broad River Basin
New River Basin
Catawba River Basin
Yadkin -Pee Dee River
Basin
Lumber River Basin
Roanoke River Basin
Chowan River Basin
Tar -Pamlico River
Basin
Pasauotank River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
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."
Streams entering Tennessee will be classified "B.
Streams entering the State of Tennessee are classified "C."
Streams entering South Carolina are classified "C."
Streams enterin the State of Tennessee are classified "C."
Streams entering South Carolina are classified "C."
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Streams entering South Carolina are classified "C Sw."
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."
Streams enteriES Virginia are classified "C."
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."
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: City of Newton
Land application sites currently certified: 541.1 net acres and Total to be certified: 0 net acres.
I. LAND APPLICATION SITE INFORMATION (See Instruction B):
D
Status
Code'
Site/Field } Landowners
ID
or O s
Lessee(s) perator��
Net Acres
Count •
5
Crop(s)
P�s)
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope'
D
CA-07-1
Lina Draughan
Jeff Smyre
10.4
Catawba
D
CA-07-2
Lina Draughan
Jeff Smyre
15.1
Catawba
D
CA-07-3
Lina Draughan
Jeff Smyre
8.0
Catawba
D
CA- 14-1A
Nelda Lee
Chuck Waters
21.3
Catawba
D
CA-14-1B
Nelda Lee
Chuck Waters
9.1
Catawba
D
CA- 14-1C
Nelda Lee
Chuck Waters
8.2
Catawba
D
CA-14-2A
Nelda Lee
Chuck Waters
27.5
Catawba
D
CA-14-2B
Nelda Lee
Chuck Waters
4.9
Catawba
D
CA-14-3
Nelda Lee
Chuck. Waters
33.4
Catawba.
D
CA-14-4
Nelda Lee
Chuck Waters
110.8
Catawba
D
CA-17-1
Jane Berry
Chuck Waters
5,6
Catawba
D
CA-17-2
Jane Berry
Chuck Waters
4.4
Catawba
D
CA-17-3
Jane Berry_
Chuck Waters
11.3
Catawba
D
CA-17-4
Jane Berry
Chuck Waters
25.5
Catawba
D
CA-17-5
Jane Berry
Chuck Waters
7,0
Catawba
D
CA-17-6
Jane Berry
Chuck Waters
10.7
Catawba
D
CA-17-7
Mane Berry
Chuck Waters
0.3
Catawba
D
CA-17-8
Jane Berry.
Chuck Waters
21.6
Catawba
D
CA-17-9
'Jane Berry
Chuck Waters
3.9
Catawba
D
LT-119-3
;Gordy Goins
9.2
J,incoln
D
LT-119-4
Gordy Goins
10.7
�Jncoln
D
CA-18-1
Bruce Hunsucker
Gordy Goins
MA
Catawba
Fescue,
1-16ytf
FORM: LASC 06-16 Page 1

LAND APPLICATION SITE CERTIFICATION
D
CA-18-2
Bruce Hunsucker
Gordy Coins
23,9
Catawba
Fescue
Cecil
D
CA-18-3
Bruce Hunsucker
Gordy going
7.1,
Catawba
Fescue
Cecil
D
CA-18-4
Bruce Hunsucker,
Gordy Going
15.0
Catawba
Fescue
Cecil
D
CA-18-5
Bruce Hunsucker
Gordy Goins
112 Catawba
12.0 Catawba
rescue
Lloyd
R
CA-16-1
Richard Biggerstaff
Fescuel.
Cecil
R
CA-16-2
Richard Biggerstaff
15.0
Catawba.
Fescue,
lloycl
R
CA- 15-1
Steve Fox.,
Ray Isenhour.
13.5
Catawba
Fescue,
Clifford,
R
CA-15-2
Steve Fox
Ray Isenhour,
6.6
Catawba
rescue
kasalo-Zion;
R
CA-15-3
Sieve Fox
Ray Isenhour,
11.0
Catawba
Fescue
Rasal -Zion
R
CA-15-4
Steve Fox
Ray Isenhour,
9.6
Catawba'
Fescue
C!4brd
R
CA-15-5
'Steve. Fox
Ray Isenhour,
1.6
Catawba
Fescue
Clifford
R
CA-15-6
Steve Fox
gay Isenhour,
5.2
Catawba
Fescue
Clifford,
R
CA-15-7
'Steve Fox
Ray Isenhour
19.5
-
Catawba
Fescue
Clifforo,
R
CA-15-9
Steve Fox
Ray lscnhouz'
J.1
Catawba
Fescue
Clifford
R
CA-15-10
Steve Fox,
Ray Isenhour,
�2.1
Catawba
Fescue
Clifford
R
CA-15-11
Steve Fox
lsenho47
Ray Isenhour,
Tim Woodriff
Tim Woodriff
.0
Cat'awbq
Fescue
Corn, Wheat Fescue, Be@ing
Fescue
Fescue
Clifford,
R
CA-2 1 -1
Thomas Warlick
27.5
Catawba
Lloyd
R
CA-21-2
Thomas Warlick,
50.7
Catawba,
Lloyd
R
CA-20-3
Harold Sherill
'Tim . Wo odr"id
41.7
Catawba
Lloyd
R
CA-20-4
Harold Sherill
tim'Woodriff
24.5
Catawba
Fescue
Lloyd
R
CA-20-5
Harold Sherill
Tim Woodriff
43.3
Catawba
Fescue
boY4
R
CA-20-6
Harold Sherill
Tim Woodrid
t 12.�
Catawba'
Fescue
I,100
R
CA-20-7
fIarqld Sherill
Tim Woodriff
47.3'
Catawba
rescue
Lloyd
R
CA-20-8
Harold Sherill
Tim Woodriff
22.0
Catawba I
Fescue
boyd,
R
CA-20-9
Harold Sherill
Tim Woodriff
47.5
Catawba
Fescue
boyd
R
CA-20-1 0
Harold Sherill
Tim Woodriff
36.6,
Catawba
Fescue
Lloyd
R
CA-20-11
Harold Sherill
Tim Woodriff
23.2
Catawba,
Fescue
Floyd
R
CA-32-1
k
I Ronnie Sigmqncl
12.2
7.4
Catawba
Fescue
Appling
Ap -pling
R
CA-32-2
Ronnie S'igniond
Catawba
Fesc=
FORM: LASC 06-16 Page 2

LAND APPLICATION SITE CERTIFICATION
R
CA-111-1
city of Newton
Pqnny Sigponif
3.0
Catawba
Venue
'Pacolet
R
CA- 111-2
City of Newton
Panny Sigpiond
4.3
Catawb4
Fescue
Lloyd
'
R
LT-1 19-1
Rebecqa Plate
GordyQoins
10J
'Lincoln
Fescue
Madison.
R
LT-1 19-2
� ebe-cca 'Platd
'Gordy Goins
18
tin,coln
Fescue
Lloyd
a Status Code for land application sites are: + N (New) + R (Renewed) + M (Modified) + T (Transferred) + D (Deleted)
b Soil Series Nanic (i.e. Appling, Cecil, etc.)
c 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)
11. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction Q:
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
Class
0 f
NAD 83
ADD
Nearest Second
0 1
NAD 83
ADD
Nearest Second
0 1 ry
NAD 83
ADD
Nearest Second
0 1 r,
0 11
NAD 83
ADD
Nearest Second
o 1
0 ill
NAD 83
ADD
Nearest Second
FORM: LASC 06-16 Page 3

LAND APPLICATION SITE CERTIFICATION
° ' it
° ' "
NAD 83
ADD
Nearest Second
NAD 83
ADD
Nearest Second
NAD 83
ADD
Nearest Second
Note: Please keep the site information (L) and waterbody information (II.) of the same field on the same page.
FORM: LASC 06-16 Page 4

L
r-I
L-A

SITE SUMMARY
City of Newton
Newton, NC
Site ID: NC-CA-111
Owner: Danny Sigmon - City of Newton
Address: P.O. Box 550
Newton, NC 28658
Phone:
[phone]
Operator:
Wally Saine
Address:
707 Westside Drive
Newton, NC 28658
Phone:
[phone]
Catawba
Estimated
RYE -based
Predominant
Latitude &
Applicable
Annual PAN limits
Soil Series
Longitude
Fields
Acres Crop(s)
(pounds/acre/year)
(map unit)
(D.M.S)
Pacolet 35°40'02.4" N
1
3.0 Fescue (hay)
hay 139/pasture 104
(PaE3)
81°05'59.3" W
Lloyd
35°39'46.7" N
2
1 4.3 Fescue (hay)
hay 216/pasture 162
Lc6
81°06'39.7" W
TOTAL
7.3
Notes:
Date:
11/21/14

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
Division of Water Resources
FORM: LOA 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 conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals 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 agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 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
e
fer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
plicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or
Applicant's name: C/
representative hereby permits:
01 �' Me ,,,.-row
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
A
L
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
t "his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
-shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: P 0. [JJ)(
City: State: _ %! Zip: n& J�
Phone: E-mail address: e Ae Ae, j/
Signature: Date: d
1 Ck4w
NORTH CAROLINA, Dl .• COUNTY
I, the undersigned Notary Public do hereby certify that 0(
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNE SS my hand and official seal this the .••:
day of 120 101 �;.•''•
Signature and seal: 2_1
My commission expires: 0�
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State: Zip:
E-mail address:
Date:
I certify that I have read this. Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official 1-a- I/�. 1 , . ( 11c r k
Signature:
Date: •/
FORM: LOA 06-16 Page 3 of 3

APPLICATION MAP
I r:m: kI n
APPLICATION AREA
UNSUITABLE AREA
— —�—�— — PRIVATE ROAD
WATER
— — — — STREAM
ONSITE HOUSE
— DRAIN
®
OFFSITE HOUSE
FENCE
OUTBUILDING
PROPERTY LINE
(�
WELL
„o'compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
1
NC-CA-1 11
Fields 1-2

VICINITY MAP
14-a 010-'I 'St
R 18!
oi� Mal
0. SOL4 [:A
II
DWI
7;rA
.5
7013
GRAPHIC SCALE
I" = 2,500'
2,500- 0 2,50V
U6 compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
CIO
BOOM
ca'r'�-nO
N
Cal
S
NC-CA-1 I I
Fields 1-2

TOPOGRAPHIC MAP
Tl3,YP!iQC� �.
'�t E'er,,,.---�-." -=m_ d• � r r __..
i j R r
t Eti
r w 4
y.
GRAPHIC SCALE
1" = 660'
669 0 660'
Tne'compliance boundary is established either 250 ft from the residuals application area or 50 feet within
In the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-111
Fields 1-2

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 11/2212019
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID Last AP plied As Cd Cr Cu Pb No Mo Ni Se Zn
NC-CA-00111-0-0001 02/2004 0.2736 0.1211 3.3086 12.3571 1.4124 0,0305 0.4016 2.9534 0.1851 29.7782
NC-CA-00111-0-0002 10/2003 0.2400 0.1022 2.3122 9.8410 1.0389 0,0236 0.2995 2.6942 0.1528 23.5719
Page: 1 of 1 11122/2019

Ll
r7
0

SITE SUMMARY
City of Newton
Newton, NC
Site ID: NC-CA-16
Owner: Richard Biggerstaff
Address: 4148 Biggerstaff Road
Maiden, NC 28650
Phone: [phone]
Operator: Same
Catawba
Estimated RYE -based
Applicable Annual PAN limits
Fip1diz Acres Cron(s) (pounds/acrelvear)
Predominant
Latitude &
Soil Series
Longitude
(map unit)
(D.M.S)
1
12.0
Fescue (pasture)
hay 216/pasture 162
Cecil
(CaB)
35'33'41.2" N
81'15'24.9" W
2
15.0
Fescue (pasture)
T
hay 216/pasture 162
Lloyd
(LdB2)
`35°33'32.1" N
81"15'09.3" W
i
TOTAL L27.
Notes:
Date: 11/21/14

` State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
1&v1sion of Water -_ . 15A NCAC 02T .1100 — LAND OWNER AGREEMENT
DiviResources ,
FORM: LOA 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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals 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 agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lan Owner Agreement (FORM: LOA 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
er.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
pplicant.
copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
-the undersigned Lando_ finer �Y 0 is representative hereby permits:
Applicant's name: E ' � Nf-�L Q
i
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID Lease Land Use or Special note
s Residuals Source
(yes/no) Cropping Patterns Intended Use of Crops (optional) (no-till/over-seed/
I pasture)
llo i! C,A-
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
is Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
-tall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein. i A
Landowner name:
Address:
City:
State: _ Zip:
Phone: Z.Z 0 E-mail address:
Signature: oe Date:Q�
NORTH CAROLINA,C COUNTY
I, the undersigned Notary Public do hereby certify that �.'� , ti
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
�tlflf�
WITNESS my hand and official seal this the Il 2
dayof ND k , 20'
Signature and seal:
L 71
My commission expires: 0 j -t -t
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City: State: Zip:
Phone: E-mail address:
Signature: Date:
Permittee's Certification:
I certify that I have read this [Agreement /and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: 1= . % 6 Ci 1, �� i
Signature: Date:
FORM: LOA 06-16 Page 3 of 3

z
APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
CK)
WATER
— —�— —�— PRIVATE ROAD
STREAM
ONSITE HOUSE
DRAIN
OFFSITE HOUSE
-�� FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
V = 660'
660' 0 660'
f ®�
ate.
NC-CA-16
Fields 1-2

z
V)
VICINITY MAP
GRAPHIC SCALE
1"=1,500'
1,500, 0 1,500-
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-16
Field 1-2

( .n
Z
Ln
TOPOGRAPHIC MAP
GRAPHIC SCALE
1" = 660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-16
Fields 1-2

z
y
Ln
SOIL SURVEY
GRAPHIC SCALE
1"=660'
660' 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
IBC-CA-16
Fields 1-2

CUMULATIVE METAL LOADINGS (LBSIACRE) AS OF 11/2212019
The Cumulative metals for this report come from LTD period Table records (Le, a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab resultwas Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NW
Date
Field ID Last Applied As Cd Cr Cu Pb Hoc Mo Ni Se Sn
NC-CA-00016-0-0001 1112016 0.1205 0.0472 1.2113 6.8279 0.4209 0.0241 0.1604 0.5859 0.' 229 23.8103
NC-CA-00016-0-0002 11/2016 0.1424 0.0595 1.4435 8.4794 0.5092 0.0275 0.1945 0.7408 0.1531 30.6880
Page: 1 of 1 11/22/2019

0
0
0

SITE SUMMARY
City of Newton, Clark Creek WWTP
Newton, NC
Site ID: NC-CA-15
Name: Steve Fox
Address: 7286 River Road
Claremont, North Carolina 28610
Phone: [phone]
Operator: Ray Isenhour (Farm Manager)
Address: 2072 Friendship Church rd
Taylorsville, North Carolina 28681
Phone: [phone]) mobile
Estimated
Applicable
Fields Acres Crop(s)
Predominant Latitude &
Soil Series Longitude
1
13.5
Fescue
Clifford
35.48.44 N
81.09.55 W
2
6.6
Fescue
Rasalo-Zion
35.48.49 N
81.09.53 W
3
11.0
Fescue
Rasalo-Zion
35.48.49 N
81.09.53 W
4
9.6
Fescue
Clifford
35.49.05 N
81.09.53 W
5
1.6
Fescue
Clifford
35.49.09 N
81.09.50 W
6
5.2
Fescue
Clifford
35.49.13 N
81.09.53 W
7
19.5
Fescue
Clifford
35.49.03 N
81.09.42 W
9
1.1
Fescue
Clifford
35.49.00 N
81.09.32 W
10
22.1
Fescue, Corn, Wheat
Clifford
35.48.56
81.09.29
11
6.7
Fescue
Clifford
35.48.55
TOTALS 96.9
Notes: coordinate all activity with ray Isenhour
12/1/19
Date:

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 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
supporting documentation
For more information, visit the Water Quality Permitting ,Section's Non -Discharge Permittin; Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals 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 agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
(t/ 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
efer.
prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
,.,,Applicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned lando per r his rep esentative hereby permits:
Applicant's name: r � A ✓ 44
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
qes
)--b r
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites) as specified
herein.
Landowner name: �Qi r C'�y (! . roK -rRtt�-r
Address: / Z g o l% B p-N el h-jil' • — -
W, bcnX rads&e
City: cLAAe-,1"oo17— State: 1 � Zip:
Phone: Ca g 3 8 t �°'&' 5' E-mail address:
Signature:, Lz � Date:
NORTH CAROLINA, _ LT. w 6,, COUNTY
I, the undersigned Notary Public do hereby certify that _ b Trz
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the a
day of Jtp -�.n Ile_
Signature and seal:
My commission expires: (3C. j
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide bbyy the stipulations and restrictions as specified herein.
Lessee/operator name: ,'` Pti /� // �f / � f � ei_ .I�isd�
Address: I? I/,
C
City:. --- 4 1. , / r State: 411
✓t/ r / Zip: 2 fflM %
Phone: t �(T"?�� b _ E-mail address: API M.0•!, tDw�
Signature: ./::� Date:
Permittee's Certification:
I certify that I have read this Agreement and do hereby] agree to abide by the stipulations and restrictions as specified herein.
Signing official nAe:,% . C• / a c74 C tG r rC
FORM: LOA 06-16 Page 3 of 3

♦i
�
APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
— — — — — — PRIVATE ROAD WATER
GRAPHIC SCALE
STREAM ONSITE HOUSE
1" = 660'
660' 0 660'
DRAIN OFFSITE HOUSE
X X X FENCE OUTBUILDING
PROPERTY LINE 0 WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-CA-1 5
'n the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Fields 1-7,9-1 1

(b1--
�iverbericl ��rk
tb
VICINITY MAP
GRAPHIC SCALE
1" = 2,500'
2,500' 0 2,500'
6
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-1 5
Field 1-7,9-1 1

TOPOGRAPHIC MAP
.oi
y
i
ply
9 i :4
d
N
�
T! V. Q
GRAPHIC SCALE
1 ° = 800'
800, 0 800
1
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-15
Fields 1-7,9-11

RC2
k Rn1� ' .-.f RrtA R B
W w CfC
RnB
�aB C�'
. Tm D
CsA v
FdE2
CfC
CSC F Fif E2
CfD
v �,r FdE2
f aE3 Cfc
-'
RaS
■
4o R
E Cfr,
r _ _ FeetMoE
a
R.a�
i Cf£'
1
Tm0 :;
TmC+? f '
Cfl
FdE
rWoD2 CfD
C (D �+ T!'8'Y D,�RIO
A

CUMULATIVE METAL LOADINGS (LBSIADRE) AS OF 11/2212019
The Cumulative metals for this report come from LTD Period Table records (i.e_ a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace meta[ lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID
Last Applied
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Zn
NC-CA-00015-0-0001
07/2018
0.1218
0.0425
0.7332
3.1820
0.2566
0,0103
0,1005
1.3270
0.0991
16.2337
NC-CA-00015-0-0002
07/2018
0.0624
0.0260
0.6036
2,7396
0,2487
0.0084
0.0651
0.4357
0.0818
18.6616
NGCA-00015-0-0003
07/2018
0,1621
0.0439
0.9397
4.4062
0.3901
0.0126
0,1226
0.7781
0.1309
25,8619
NGCA-00015-0-0004
07/2018
0.0877
0.0361
0.5761
3.4300
0.3747
0.0040
0.0615
0.5179
0.1527
15,4295
NC-CA-00015-0-0005
10/2005
0.0181
0.0154
0.4826
1.5403
0.9959
0.0043
0.0821
0,2259
0,0165
3.6043
NC-CA-00015-0-0006
10/2005
0.1549
0.0552
0.8995
3.0690
0.3451
0.0093
0.1344
3.4108
0.0792
6.9530
NC-CA-00015-0-0007
0112015
0,0732
0.0125
0.1926
0.9574
0.0691
0.0024
0.0428
0.2143
0.0280
2.3006
NC-CA-00015-0-0008
10/2005
0.0780
0.0324
0.6493
2.1600
0,2703
0.0063
0.1022
1.6272
0.0436
4.9534
NC-CA-00015-0-0009
07/2003
0.0507
0.0085
0,1289
0,6447
0.0464
0.0016
0.0292
0.1461
0,0189
1.4615
NC-CA-00015-0-0010
0712003
0.0907
0.0152
0.2307
1.1638
0.0830
0.0029
0.0523
0.2615
0.0338
2.6153
NC-CA-00015-0-0011
10/2005
0.0598
0.0338
0.6210
3.1144
0.3773
0.0036
0.0956
0.4350
0.1260
6.9533
Page, 1 of 9
11/22/20i9

F-q
L_-j
0
0

SITE SUMMARY
City of Newton
Newton, NC
Site ID: NC-CA-32
Owner: Ronnie Sigmon
Address: 456 Dover Street
Claremont, NC 28610
Phone: [phone]
Operator: Same
Catawba
Estimated RYE -based
Applicable Annual PAN limits
Fields Acres Croo(s) (hounds/acre/vearl
Predominant
Latitude &
Soil Series
Longitude
(man unit)
in M C1
1
12.2
Fescue (hay)
hay 237/pasture 177
Appling
35'40'02.4" N
(AsB)
81"05'59.3" W
2
7.4
Fescue (pasture)
hay 237/pasture 177
Appling
35°39'46.7" N
(AsB)
81"06'39.7" W
TOTAL 19.6
Notes:
Date: 11/21/14

DWR
-&lsion of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals 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 agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
rp"ISubmit 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
Pr fer.
repare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
plicant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned land ynerpr his representative hereb permits:
Applicant's
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
{Y )
Land Use or
Cropping Patterns
PP g
Intended Use of Crops
Residuals Source
{optional)
Special note
(no-till/over-seed/
pasture)
- CA
- 3
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: fo boLr of
City: L (rr,ye.,Azn State: /�� Zip: !p to
Phone: r �.' �. r( E-mail address: ; yvkyal fl C'iyt �a
Signature: C4 - Date: LS " �6,
NORTH CAROLINA, W6Q COUNTY ]
I, the undersigned Notary Public do hereby certify that
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and gfficial seal this the _ q G
day of
Signature and seal:
W (::7� x
My commission expires: �� Z Z_ aoaq
Lessee's/Operator's Certification:
,20
L1
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official
Signature:
C !G r
Date: a2 p! !
FORM: LOA 06-16 Page 3 of 3

z
Va
APPLICATION MAP
t CO—CKIn
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
WATER
STREAM
ONSITE HOUSE
— DRAIN
OFFSITE HOUSE
FENCE
❑
OUTBUILDING
PROPERTY LINE
0
WELL
fine compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
N C-CA-32
Field 1

VICINITY MAP
w-
in
z
U1
GRAPHIC SCALE
1" = 2,000'
2,000' 0 2,000,
i
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-32
Fields 1-2

TOPOGRAPHIC MAP
I t'� _ ✓-01 ✓� ��
._ ,i i � —•.� 1"+`.� Z. mot+,._
L 4 +s
li efff: fry l 1 '-t
3Y _ Y r v1 1 '•,� � a
— 11 .S r',. '»..,. .r {`t y-'' ,��, r'� f•' ttit5�vk4�tti) (€ -
GRAPHIC SCALE
1" = 800'
800' 0 800'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-32
Fields 1-2

APPLICATION MAP
ir
(n
z
V)
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD
STREAM
DRAIN
)f )f )f FENCE
PROPERTY LINE
CD WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
0
WELL
'rrie compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-CA-32

C� J
Al
A ABC
i {i
mqc
Cad-
-ir
i Asp
t I1 I
Rkq _�✓.�. 1 fly - •-`
-MgZia
r
i-2
hA
-��i__ _�•• -t' '� -
- AaC
_ 5

CUMULATIVE METAL LOADINGS (LBSIACRE) AS OF 11/22/2019
The Cumulative metals for this report come from LTD Period Table records {he. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the meta[ loading was Not Required the loading on the report is displayed as "NR"
Date
Fiefd ID
LastAj)plied
As Cd Cr Cu Pb Hg Mo Ni Se Zin
NC-CA-00032-0-0001
0312018
0.0744 0.0466 0.9947 5.3028 0.3719 0.0054 0.1040 0.5317 0.1556 18.8737
NC-CA-00032-0-0002
03/2018
0.0403 0.0264 0.8406 4.0420 0.2094 0.0053 0.0787 0.3364 0.0705 17.0703
Page: 1 of 1 11/22/2019

0
L J

DW. R
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discha e Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals 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 agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land caner Agreement (FORM: LOA 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
r er.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
cant.
A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR TIIE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned land caner his representative herby permits:
Applicant's name: p 7'" W✓,
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Residuals Source
Intended Use of Crops (optional)
Special note
(no-till/over-seed/
pasture)
CA' �'�
�e
�'1a As�wa
1�
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: ] //` , A ,k6 �df4,0,//W fr �o 11144 At 0
Address: 11'U 1-3ac /0-7
City: .c,.a n y
State: /V C
Zip:
Phone: k2 Q ' -?2 ' 2 Y E-mail address: ry
Signature: Date:
NORTH CAROLINA, �� COUNTY c l
I, the undersigned Notary Public do hereby certify that U. a
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
nZ
WITNESS my hand and official seal this the 2A_
day of 1 t,+ J'— , 20
Signature and seal: /
My commission expires: Oct •(- Z Z, Dw a
roarni
Lessee's/Operator's Certification:
I certify that I have read this Agreement and', doo/ hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: % t (�✓O Ar, f
Address: (� sr�r 4V n k
City: Alt ✓tan State: Ay c Zip: li
Phone: t'60' ZZ ' ley -S E-mail address:
Signature: ir- Date: ! Z /
+!
Permittee's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing off:
Signature:
FORM: LOA 06-16 Page 3 of 3

SITE SUMMARY
City of Newton, Clark Creek WWTP
Newton, NC
Site ID: NC-CA-20
Name: Harold Sherrill
Address: 5080 16th St. NE
Hickory, North Carolina 28601
Phone:
[phone]
Operator:
Tim Woodriff (Farm Manager)
Address:
4697 Startown Road
Newton, North Carolina 28658
Phone:
(980-722-4283) mobile
Estimated
Total Applicable
Fields
Acres Acres Crop(s)
Predominant Latitude &
Soil Series Longitude
3 57.3
41.7
Fescue
Lloyd
35.35.54 N
81.15.47 W
4
25.2
24.5
Fescue
Lloyd
35.36.08 N
81.15.41 W
5
48.0
43.3
Fescue
Lloyd
35.36.11 N
81.15.58 W
6 17.2
12.5
Fescue
Lloyd
35.36.07 N
81.16.08 W
7 57.0
47.3
Fescue
Lloyd
35.37.55 N
81.15.35 W
8
28.5
22.0
Fescue
Lloyd
35.37.11 N
81.15.27 W
9
55.4
47.5
Fescue
Lloyd
35.37.04 N
81.15.55 W
10
48.0
36.0
Fescue
Lloyd
35.37.00 N
81.16.07 W
11
32.5
23.2
Fescue
Lloyd
35.36.43 N
81.16.17 W
N
W
TOTALS
Notes:
369.1 298.0
coordinate all activity with Tim Woodriff
i
Date: 11 /17/19

VICINITY MAP
!74, F k
� { R
all. l
GRAPHIC SCALE
1" = 4,000'
4,000- 0 4,000-
Tne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate,
N-C-CA-2a
Field 3-11

TOPOGRAPHIC MAP
0
GRAPHIC SCALE
1" = 660'
660, 0 660'
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-CA-20
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 3-6

0
�
t
z
�
V)
TOPOGRAPHIC MAP
}� -
(
2§$.
-
���
)
.
y.«»
f�
-
$¥
.
GRAPHIC SCALE
]"=80'
aoo a a§n
( —
Tecompliance boundary westablished Ahre 250Rfrom leh reside§GGc! application S feet within
nteh pro66 beam whichever is closest blehap|picknaera. The review boundary §e{SaEBllbd
midway between th compliance boundary and the perimeter yteh residuals application area. All
locations are approximate.
NC-CA-20
Fields 7-8

0
ZI
U1
TOPOGRAPHIC MAP
- rr
;ram - a
E i r•' /
_ i +
V I
`—
tj
i
•� i �
f r
i
a �
'-C -_'A,
' ,TA, 1 C :
A,
-
GRAPHIC SCALE
1" = 800'
800' 0 800'
z
7ne`compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-CA-20
in the properly boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate, Fields 9-11

0
M
k
z
V)
APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD
STREAM
DRAIN
— FENCE
PROPERTY LINE
WATER GRAPHIC SCALE
ONSITE HOUSE
1" = 660'
660' 0 660'
OFFSITE HOUSE I
OUTBUILDING
(� WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-CA-20
n the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 3-6

APPLICATION MAP
z
W
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD
STREAM
DRAIN
X X FENCE
PROPERTY LINE
WATER GRAPHIC SCALE
ONSITE HOUSE
1" = 660'
660' 0 660'
OFFSITE HOUSE'
OUTBUILDING
0 WELL
Tna compliance boundary is established either 250 ft from the residuals application area or 50 feet within
In the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-20
Fields 7-8

z
Ln
APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD
STREAM
X X X FENCE
PROPERTY LINE
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
0
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All I
locations are approximate.
GRAPHIC SCALE
1" = 660'
660, 0 660'
NC-CA-20
Fields 9-1 0

APPLICATION MAP
1 ` RYA77
it
A
':,':
IN
4
,
yi
rj
5
APPLICATION AREA
UNSUITABLE AREA
— — —�— PRIVATE ROAD
CK)
WATER
— STREAM
ONSITE HOUSE
— DRAIN
■
OFFSITE HOUSE
FENCE
OUTBUILDING
PROPERTY LINE
'0
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
n the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660,
NC-CA-20
Field 11

0
4
(r
Ln
SOIL SURVEY
GRAPHIC SCALE
1" = 800'
800' 0 800,
1 ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-CA-20
Fields 3-6

I
�Lc@ i - ,�•,1 1 ___, '��1a •74.. �'S,?Y it I
ICE
{ I cicz
Ltit2
LAC
LcD
1.f J .. ♦•y. .�^ 1 Lis.
L'ci=
LdC2
f M Fe fy
I i UK-F"

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 11/22/2019
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading an the report is displayed as "NR"
Date
Field ID
Last Applied
N C-CA-00020-0-0001
0112016
NC-CA-00020-0-0002
04/2016
N C-CA-00020-0-0003
1212017
NC-CA-00020-0-0005
0812013
NC-CA-00020-0-0007
0812019
NC-CA-00020-0-0008
07/2015
NC-CA-00020-0-0009
0112017
NC-CA-00020-0-0010
0612012
N C-CA-00020-0-0011
0112014
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Sn
0.0338
0.0220
0.2383
15.9293
0.0907
0.0111
0.0749
0.3913
0.0652
2.6297
0.0249
0.0160
0.1961
12.6108
0.0753
0.0066
0.0597
0.3287
0.0504
2.2491
0.1458
0.0837
1.6313
9.4008
0.6113
0.0197
0.2282
1.0525
0.2130
41.5571
0.0780
0.0323
0.7319
3.9983
0.2468
0.0078
0.0975
0.3712
0.0841
12.4234
0.1378
0.0514
1.3213
7.2178
0.4623
0.0124
0.1982
0.6616
0.1523
27.1044
0.1138
0.0551
1.2372
7.0643
0.4542
0.0135
0.2063
0.5917
0.1317
26.2749
0.0911
0.0438
0.8088
4.3421
0.3128
0.3157
0.123C
0.4299
0.1069
16.5602
0.0420
0.0176
0.8192
3.1068
0.1968
0.0126
0.0882
0.2695
0.0244
9.9059
0.0425
0.0123
0.5435
2.1938
0.1649
0.0044
0,0839
0.1646
0.0260
6.3732
Page: 1 of 1 11J22/2019

0
E

SITE SUMMARY
City of Newton, Clark Creek WWTP
Newton, NC
Site ID:
NC-LT-119
Name:
Gordy Goins
Address:
2924 Blackburn Bridge Rd
Lincolnton, North Carolina 28092
Phone:
(828-312-3247
Operator:
Address:
Phone:
Estimated
Total Applicable Predominant Latitude &
Fields Acres Acres Crop(s) Soil Series Longitude
1
0.0
10.3
Fescue
Madison
35.33.18 N
81.18.10 W
2
0.0
3.8
Fescue
Lloyd
35.33.12 N
81.18.08 W
TOTALS 0.0 14.1
Notes:
Date: 11 /4/19

State of North Carolina
DWI' RDepartment of Environmental Quality
Division of Water Resources
D vision of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 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
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals 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 agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Lao Owner Agreement (FORM: LOA 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
efer.
Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
pplicant.
M A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
she undersigned landowner
pr pe ative hereby permits:
Applicant's name: y 7 M.✓TOj
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease Land Use or
(yes/no} Cropping Patterns
s
Intended Use of Crop-till/over-seed/
��ww � Ct
Residuals Source
(optional)
Special note
( no
pasture)
!mot—�i -1
nSTurG
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
,his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
.fall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: &0'r A,
Address: I l a 4 ��c � �n _ `
City: Lji q cw �ll k q ✓� State: C. Zip: 7 6 L) Z
Phone: D 3 ^ 4j���_y E-mail address:
Signature: _ V'� Date: A
NORTH CAROLINA, COUNTY f
I, the undersigned Notary Public do hereby certify that o, l' d I1 S
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the IS
day of r/c'! , 20 (� _
Signature and seal: `�
My commission expires: V J% �.d
C
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing off
Signature:
FORM: LOA 06-16 Page 3 of 3

CUMULATIVE METAL LOADINGS (LBSIACRE) AS OF 11/22/2019
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NW'
Field ID
NC-LT-00119-0-0001
NC-LT-00119-0-0002
NC-LT-00119-0-0003
N C-LT-00119-0-0004
Date
Last Applied
1012015
10/2015
0512019
05/2019
As
Cd
Cr
Cu
Pb
Hoc,
Mo
Ni
Se
Zn
0.1546
0.1193
2.0901
10.1691
0.7062
0.0208
0.2612
0.8588
0.1340
38.6526
0.0865
0.0860
0.9507
5.6049
0.3713
0.0105
0.1322
0.5035
0.0968
24.6124
0.2059
0.1322
2.7723
13.6309
0.8799
0.0237
0.3580
1.2539
0.2110
52.6058
0.1866
0.1241
2.5359
12.4727
0.8228
0.0229
0.3100
1.1032
0.1740
47.0376
Page: 1 of 1 11/22/2019

>_'
tn
rn
P d-
VICINITY MAP
-27
NEI
a
GRAPHIC SCALE
1" = 2,000'
2,000- 0 2,000-
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within A I C—L T-1 19
in the property boundary, whichever is closest to the application area. The review boundary is established V
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 1-4

rr
4n
L
z
U1
TOPOGRAPHICq'''��� MAP
SDI 4, LIM, �
i 't
-
S
r
GRAPHIC SCALE
1 " = 660'
660' 0 660'
w w '
w w w i
-i ne compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-LT-1 19
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Fields 1-4

0, �J
APPLICATION MAP
Ate•
r
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
CK)
WATER
STREAM
ONSITE HOUSE
- DRAIN
OFFSITE HOUSE
XX X FENCE
OUTBUILDING
PROPERTY LINE
0
WELL
Tne compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
�l
1
..
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-LT-119
Fields 1-4

SOIL SURVEY
GRAPHIC SCALE
T' = 500'
500' 0 500,
me compliance boundary is established either 250 It from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-LT-119
Fields 1-4

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 12/22/2014
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID
Last Applied
N C-LT-00119-0-0001
0412014
NC-LT-00119-0-0002
04/2014
NC-LT-00119-0-0003
0412014
NC-LT-00119-0-0004
0412014
As
Cd
0.1195
0.1017
0.0534
0.0695
0.1205
0.1030
0.1237
0.1009
Cr
Cu
Pb
HR
Mo
1.6953
7.8008
0.5395
0.0173
0.2174
0.5785
3.3721
0.2142
0.0072
0.0909
1.8287
8.1957
0.5572
0.0180
0.2537
1.8100
8.2647
0.5713
0.0184
0.2301
Ni
Se
Zn
0.6232
0.0901
24.2672
0.2720
0.0555
11.0500
0.6803
0.1098
25.6051
0.6677
0.0976
25.8924
Page: 1 of 1 12/22/2014

0
0

SITE SUMMARY
City of Newton, Clark Creek WWTP
Newton, NC
Site ID: NC-CA-21
Name: Thomas Warlick
Address: P.O. Box 267
Newton, North Carolina 28658-0267
Phone: [phone]
Operator: Tim Woodriff (Farm Manager)
Address: 4697 Startown Road
Newton, North Carolina 28658
Phone: [phone]) mobile
Estimated
Total Applicable
Predominant
Latitude &
Fields
Acres Acres Crop(s)
Soil Series
Longitude
1
0.0 27.5 Fescue
Lloyd
35.36.59
81.15.31
2
0.0 50.7 Fescue
Lloyd
35.36.41
81.15.44
TOTALS
0.0 78.2
Notes:
coordinate all activity with V Tim Wooddriff
Date: 11 /4/19
VI

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 11/2212019
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID Last Applied As Cd Cr Cu Pb Ham, Mo Ni Se Zn
NC-CA-00021-0-0001 0312013 0.0817 0.0382 1.3058 5.3585 0.3429 0.0142 0.1386 0.4838 0.0854 19.8406
NC-CA-00021-0-0002 0912019 0.1518 0.0444 1.6551 6.4022 0.4661 0.0178 0.1751 0.6072 0.1238 23.5032
Page: 1 of 1 11/22/2019

100
iv
VICINITY MAP
Black
Ov
GRAPHIC SCALE
I" = 4,000'
4,000- 0 4,000-
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
Int-ptinnq Arp AnnmAmitp.
Mae I
NC-CA-21
Field 1-2

TOPOGRAPHIC MAP
GRAPHIC SCALE
1 " = 800'
t
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
N C-CA-21
Fields 1-2

APPLICATION MAP
LEGEND
APPLICATION AREA UNSUITABLE AREA
PRIVATE ROAD
— — — — STREAM
— DRAIN
FENCE
PROPERTY LINE
0
WATER
ONSITE HOUSE
OFFSITE HOUSE
OUTBUILDING
WELL
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
in the property boundary, whichever is closest to the application area. The review boundary is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
GRAPHIC SCALE
1" = 660'
660' 0 660'
N C-CA-21
Fields 1-2

"�ndC 2
LCE
tAkF
i.c6,'
-r � �-- •il` �� rrr - � __ .r
lam( 4f•~ / _.- _�� I�, ` ✓•I ��•.. _,
Pas J cy Pbi€3 - j� •,, j
.L 'E
1 1 'Lo
�B- ci ,II

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 12/22/2014
The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History
In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR"
Date
Field ID Last Applied
As Cd Cr Cu Pb fla Mo Ni Se Zn
NC-CA-00021-0-0001 03/2013
0.0817 0.0382 1.3058 5.3585 0.3429 0.0142 0.1386 0.4838 0.0854 19.8406
NC-CA-00021-0-0002 12/2011
0.0918 0.0235 1.2713 4.1652 0.3163 0.0142 0.1176 0.3421 0.0545 12.3617
Page: 1 of 1 12/22/2014

0
0
0