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Home My WebLink AboutWQ0000520_Other_20170801 • ATTACHMENT B-Approved Land Application Sites Certification Date:August 1,2017 City of Burlington Permit Number: WQ0000520 Version:3.0 NM Field Owner Lessee County Latitude Longitude Acreage Dominant Soil Series F NC-AM-126-01 Fuquay,Joan Faye A. Alamance 35.881728° -79.455936 6.80 DdB-Durham 34 NC-AM-126-02 Ashley,Thomas Alvah;Fuquay,Joan Faye A. Fogleman,Chad Alamance 35.880225° -79.455164 5.25 GaB-Georgeville 34,74 NC-AM-126-03 Ashley,Thomas Alvah;Fuquay,Joan Faye A. Alamance 35.878339° -79.456986 24.80 GaB-Georgeville 34 NC-AM-126-05 Fogleman,Larry L.;Fogleman,Connie F. Alamance 35.883031° -79.490214 7.90 DdB-Durham 35 NC-AM-126-06 Fogleman,Larry L.;Fogleman,Connie F. Alamance 35.884086° -79.489753 7.20 DdB-Durham 35 NC-AM-126-07 Fogleman,Larry L.;Fogleman,Connie F. Alamance 35.883894° -79.492344 5.90 GaB-Georgeville 35 NC-AM-126-08 Fogleman,Travis Chad Alamance 35.885778° -79.489603 10.00 DdB-Durham 35 NC-AM-126-09 Ashley,Ralph Carter;Ashley,Thomas Alvah Alamance 35.889625° -79.462678 12.10 AdB2-Appling 36 NC-AM-126-10 Ashley,Thomas Alvah Alamance 35.891258° -79.460522 26.40 DbB-Davidson 36 Felton,Gene T.;Thompson,John Sabert;Larry P.Norwood NC-AM-127-01 Reversible Living Trust;Mary T.Norwood Reversible Living Thompson,Blair Alamance 35.954522° -79.357447 7.90 HcB-Helena 37 Trust Total forAlamance County 1,707.45 rR- NC-CS-018-01 Allred,Delmar W. Simmons,Dennis A Caswell 36.273086° -79.410358 28.90 EnB-Enon 38 1964 L NC-CS-036-06 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.290856° -79.426603 21.10 FgB-Frogsboro 39 NC-CS-036-07 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.276872° -79.427961 17.70 FgB-Frogsboro 39 NC-CS-036-08 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.277547° -79.426597 11.00 FgB-Frogsboro 39 NC-CS-036-09 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.279053° -79.424658 8.40 FgB-Frogsboro 39 NC-CS-036-10 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.279953° -79.422672 14.00 FgB-Frogsboro 39 NC-CS-036-11 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.278058° -79.415517 18.80 FgB-Frogsboro 39 NC-CS-036-12 Simmons,Dennis A.;Simmons,Mary U. Caswell 36.274508° -79.417433 24.20 FgB-Frogsboro 39 NC-CS-113-01 Kirby,Elizabeth Simmons Caswell 36.2%103° -79.445139 14.20 FgB-Frogsboro 40 NC-CS-I 13-02 Kirby,Elizabeth Simmons Caswell 36.294719° -79.438042 17.30 CuB2-Cullen 40 NC-CS-113-03 Clemmons,Linda Simmons;Franklin,Janice Simmons Caswell 36.304686° -79.442272 29.70 CuB2-Cullen 41 NC-CS-113-04 Franklin,Janice Simmons;Steele,Almeria Simmons Caswell 36.304133° -79.444903 23.50 CuB2-Cullen 41 NC-CS-113-05 Clemmons,Linda Simmons Caswell 36.302822° -79.443814 9.50 VaB2-Vance 41 iig (fro WQ000540 Version 3.0 Attachment B Page 5 of 9 ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A"N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Burlington WQ Permit#: WQ0000520 Field#: 6 Acres Utilized: 21.1 Land Owner: Dennis Simmons Annual Dry Tons Applied: 104.45 Site#: CS036 Acres Permitted: 21.1 Operator: Dennis Simmons Predominant Soil Series: FaB3 Cation Exchange Capacity(non 503): 0 Crop 1 Name: Fescue-Pasture Crop 1 Max.PAN: 145 Crop 2 Name: Crop 2 Max.PAN: Volume applied Volume Residual Sources Soil Precip. > o _. a Nitrate Name of Crop Type p .5 Cond. b ;h PAN Applied (enter one)Solids/ % Applied per (NPDES#,WQ#, Past 24 co _ , TKN 1 § and Receiving Residual c (Dry Hrs. o iv `° K' * �° Nitrite (Ibs/acre) Application A Liquid Solids Acre Felt Animal Animal Wet c. - * R * w a ° Cu.Yds Gallons (Dry Tons/Ac) Waste,etc) Moist) inches * ° • 0 r mg/kg mg/kg mg/kg Crop I Crop 2 Crop 1 Crop 2 8/17 39000 3.6 0.277 South Burlington Dry <.5" S 0.5 0.3 39000 16000 80 8.313 NA Fescue 8/17 156000 5 1.542 East Burlington Dry <.5" S 0.5 0.3 17500 16000 60 26.237 NA Fescue 8/18 26000 3.6 0.185 South Burlington Dry <.5" S 0.5 0.3 39000 16000 80 5.542 NA Fescue 8/18 175500 5 1.734 East Burlington Dry <.5" S 0.5 0.3 17500 16000 60 29.516 NA Fescue 8/21 26000 3.6 0.185 South Burlington Dry <.5" S 0.5 0.3 39000 16000 80 5.542 NA Fescue _ 8/21 104000 5 1.028 East Burlington Dry _ <.5" S 0.5 0.3 17500 16000 60 17.491 NA Fescue 0.000 _ 0.000 0.000 0.000 0.000 0.000 _ _ 0.000 0.000 0.000 0.000 - 0.000 0.000 0.000 . 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp(attach FORM FSF supp to this form): 0.000 0.000 :. TOTALS: 0t. 526500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 92.641 0.0g=====00 Lime Applied Annual lbs/acre 0.050 0.050 1.747 0.715 0.631 0.002 0.050 0.207 0.050 4.408 272.281 Date lbs/ac Prior Years Cumulative lbs/ac 0.379 0.467 56.275 20.113 7.607 0.168 1.127 4.121 0.266 75.05 Current Cumulative lbs/ac 0.429 0.517 58.022 20.828 8.238 0.170 1.177 4.328 0.316 79.458 Permitted C. P. L.R.**** 36 34 1338 267 15 374 89 2498 i 1 Permit PAN Limit st/2nd Crop 145 "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations." *Application Method: S-Surface,IN-Injection,INC-Incorporation 1/10/2017 **Volatilization Rate: Surface-0.5,Injection/Incorporation-1.0 Signature of Land Applier Date *** Mineralization Rates:Compost-0.1,anaerobially digested-0.2, aerobically digested-0.3,raw sludge-0.4 ****C.P.L.R.:Cumulative Pollutant Loading Rate DENR FORM FSF(12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Burlington WQ Permit#: WQ0000520 Field#: 11 Acres Utilized: 18.8 Land Owner: Dennis Simmons Annual Dry Tons Applied: 45.55 Site#: CS036 Acres Permitted: 18.8 Operator: Dennis Simmons Predominant Soil Series: IbB2 Cation Exchange Capacity(non 503): 0 Crop 1 Name: Fescue-Pasture Crop 1 Max.PAN: 91 Crop 2 Name: Crop 2 Max.PAN: Volume applied Volume Residual Sources Soil i Precip. > o . _z Nitrate Name of Crop Type Cond. 3 n PAN Applied 'S (enter one)Solids/ ado Applied per (NPDES#,W Past 24 'o '� M F. V `D TKN and Receiving Residual Q#, D N. `. (1)... .-: 00 0 (lbs/acre) Al Liquid Solids Acre Fert.,Animal W�, Hrs. a la * 0 a w• Nitrite Application Cu.Yds Gallons (Dry Tons/Ac) Waste,etc) Moist) inches o = mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 8/28 32500 3.6 0.260 South Burlington Dry <.5" S 0.5 0.3 39000 16000 80 7.775 NA Fescue 8/28 195000 5 2.163 East Burlington Dry <.5" S 0.5 0.3 17500 16000 60 36.808 NA Fescue 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 0 0.000 Residuals Applications totals on FORM FSF supp(attach FORM FSF supp to this form): 0.000 0.000 ✓:::...... .... TOTALS: 0 227500 As Cd Cu Cr Pb Hg Mo Ni Se , Zn P 44.583 0.000 Lime Applied 1. Annual lbs/acre 0.024 0.024 0.858 0.341 0.314 0.001 0.024 0.099 0.024 2.170 131.976 ::::: Date lbs/ac Prior Years Cumulative lbs/ac 0.171 0.131 14.057 3.794 1.904 0.044 0.423 1.463 0.185 31.241 Current Cumulative lbs/ac 0.195 0.155 14.915 4.135 2.218 0.045 0.447 1.562 0.209 33.411 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 2498 Permit PAN Limit lst/2nd Crop91 "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations." Zive *Application Method: S-Surface,IN-Injection,INC-Incorporation 1/10/2017 **Volatilization Rate: Surface-0.5,Injection/Incorporation- 1.0 Signature of Land Applier Date *** Mineralization Rates:Compost-0.1,anaerobially digested-0.2, aerobically digested-0.3,raw sludge-0.4 ****C.P.L.R.:Cumulative Pollutant Loading Rate DENR FORM FSF(12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A"N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Burlington WQ Permit#: WQ0000520 Field#: 12 Acres Utilized: 24.2 Land Owner: Dennis Simmons Annual Dry Tons Applied: 36.20 Site#: CS036 Acres Permitted: 24.2 Operator: Dennis Simmons Predominant Soil Series: IbB2 Cation Exchange Capacity(non 503): 0 Crop 1 Name: Fescue-Pasture Crop 1 Max.PAN: 91 Crop 2 Name: Crop 2 Max.PAN: Volume applied Volume Residual Sources SO1l Precip. > o 3 Y Nitrate Name of Crop Type o Cond. b �y w PAN Applied (enter one)Solids/ % Applied per (NPDES#,WQ#, Past 24 ;g �. TKN 1 and Receiving Residual (Dry, " ° _ * w o Nitrite (lbs/acre) Application ALiquid Solids Acre Fert.,Animal Wet Hrs• o. o. * v. * 1 o w• Cu.Yds Gallons (Dry Tons/Ac) Waste,etc) Moist) inches ° = - mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop I Crop 2 8/25 6500 3.6 0.040 South Burlington Dry <.5" S 0.5 0.3 39000 16000 80 1.208 NA Fescue 8/25 123500 5 1.064 East Burlington Dry <.5" S 0.5 0.3 17500 16000 60 18.110 NA Fescue 8/28 45500 5 0.392 East Burlington Dry <.5" S 0.5 0.3 17500 16000 60 6.672 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 ......... .......... 0 0 : . 0.000 Residuals Applications totals on FORM FSF supp(attach FORM FSF supp to this form): 0.000 0.000 :.... TOTALS: 0 175500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 25.990 0.000 Lime Applied Annual lbs/acre 0.015 0.015 0.536 0.192 0.206 0.001 0.015 0.056 0.015 1.367 78.712 Date lbs/ac Prior Years Cumulative lbs/ac 0.19 0.145 18.244 5.854 2.994 0.053 0.739 1.649 0.21 32.185 Current Cumulative lbs/ac 0.205 0.160 18.780 6.046 3.200 0.054 0.754 1.705 0.225 33.552 :: Permitted C. P. L.R.**** 36 34 1338 267 15 374 89 2498 . ................ 2n Cr 91 Permit PAN Limit 1st/ d Crop "I certify,under penalty of law,that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations." *Application Method: S-Surface,IN-Injection,INC-Incorporation 1/10/2017 **Volatilization Rate: Surface-0.5,Injection/Incorporation- 1.0 Signature of Land Applier Date *** Mineralization Rates:Compost-0.1,anaerobially digested-0.2, aerobically digested-0.3,raw sludge-0.4 ****C.P.L.R.:Cumulative Pollutant Loading Rate DENR FORM FSF(12/2006)