WQ0038071_Application_20200610

PO Box 146 Ronda, NC 28670
336-777-6909
www.usbiosolids.com
Tuesday, June 9, 2020
North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Reference: Permit Renewal
Permit No. WQ0038071
U.S. Biosolids, Inc. Class A Distribution Program
U.S. Biosolids, Inc. is submitting this permit renewal package for the distribution of class A residuals.
There are no changes or modifications in this renewal package since the last issuance of Permit
WQ0038071.
There are currently three residuals sources listed in permit WQ0038071: Town of Forest City Water
Treatment Plant, Town of Denton Water Treatment Plant, and the City of Mount Holly Water Treatment
Plant. These three residual sources are requested to be renewed with this permit.
Your attention in the review of this permit renewal application is highly appreciated. Should any
questions or concerns arise during the review of this permit renewal package, please do not hesitate to
contact me at my direct line at 336-777-6909 or at [e-mail]
Sincerely,
" Y��
Zach Key
U.S. Blosolids, Inc.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
INSTRUCTIONS FOR FORM: DCAR 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application_ and
su ortin documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website
General —This application is for treatment, storage, transport, distribution, land application, and/or marketing of Class A (or Equivalent)
residuals under 15A NCAC 02T . l 100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Distribution of Class A Residuals (FORM: DCAR 06-16):
❑ Submit the completed and appropriately executed Distribution of Class A Residuals (FORM: DCAR 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 project name should be consistent on the plans, specifications, etc.
❑ The Applicant's Certification on Page 3 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 .0I06(b).
❑ if this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
...
Facility Classification New Permit Major Modification'
Major (residuals permitted for distribution > 3,000 dry tons/year) $1,310 $395
. .... ......... ......... ......... .
Minor (residuals permitted for distribution < 3,000 dry tons/year) $810 $245
- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage,
adds additional residuals sources; or includes the addition of new treatment or storage units/processes not previously permitted.
There is no fee for minor permit modifications.
C. Cover Letter (AII Application Packages)
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
INSTRUCTIONS FOR FORM: DCAR 06-16 Page I of

D. Program Information (All Application Packages)
❑ Provide a narrative explaining the following:
❑ How the materials will be handled and transported from where the residuals were produced to where it will be treated.
El How the residuals will be processed/treated (attach process flow diagram).
❑ How leachate collection will be handled.
[] Where the residuals will be stored until processed.
❑ How the final product will be distributed (packaging, bulk, etc.)
❑ What nutrients or other constituents (i.e. nitrogen, phosphorous, aluminum, calcium, etc.) are used or recommended as the
limiting parameter for determination of residuals loading rate to ensure that it does not overload the soil and cause
contravention of surface water or groundwater standards, limit crop growth, or adversely impact soil quality.
❑ Attach a marketability statement detailing destinations and approximate amounts of the final product to be distributed.
❑ Provide either a label that shall be affixed to the bagged processed residual or an information sheet that shall be provided to the
person who receives the processed residual. The label or information sheet shall contain, at a minimum, the following
information:
❑ Name and address of the person who prepared the residual that is sold or given away.
❑ A statement that application of the residuals to the land shall be in accordance with the instructions on the label or
information sheet.
A statement that the residuals shall not be applied to any site that is flooded, frozen or snow-covered.
❑ A statement that adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
❑ Information on all applicable setbacks in accordance with 15A NCAC 02T. l 108(b).
❑ A statement that the residuals shall be applied at agronomic or recommended rates for intended uses.
E. Detailed Plans and Specifications (Application Involving New or Changes to Treatment or Storage Units)
❑ Submit detailed plans and specifications that have been signed, sealed, and dated by a NC Professional Engineer per 15A
NCAC 02T .l 104(a). Specifications for standard equipment may only be omitted for municipalities with approved standard
specifications, but use of the standard specifications must be noted on each sheet of the plans.
❑ Plans must include the following minimum items: a general location map, a topographic map, plan and profile view of the
residuals treatment and storage units as well as the proximity of the residuals treatment and storage units to other utilities and
natural features within 500 feet of all treatment and storage facilities, and detail drawings of all items pertinent to the residuals
treatment and storage units. Depict minimum separations required in 15A NCAC 02T. I 108 a on the plans.
❑ Specifications must include, at a minimum, the following for all items pertinent to residuals treatment and storage units:
description of materials to be used, methods of construction, quality of construction testing procedures to ensure the integrity
of the final product in accordance with 15A NCAC 02T. 1104(a)(2)(B}, including leakage and pressure testing as appropriate.
❑ Plans and specifications must not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans and specifications. However, the plans and
specifications may be labeled with the phrase: FINAL DESIGN —NOT RELEASED FOR CONSTRUCTION,
F. Engineering Calculations (Application Involving New or Changes to Treatment or Storage Units)
❑ Submit all design calculations that have been signed, sealed, and dated by a NC Professional Engineer per 15A NCAC 02T
.1 104(a -
C. Environmental Assessments (May be Required — See 15A NCAC 1 C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: DCAR 06-16 Page 2 of

H. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with 15A NCAC 02T .1110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to function
and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipments calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan. including control, containment, remediation, emergency contact information, etc.
❑ inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the selected
location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature, flow,
and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The sampling
plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for residuals to meet
pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per year but have an annual
sampling frequency, may need to sample during winter months when pathogen reduction is most likely to be negatively affected
by cold temperatures.
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]
BV Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: DCAR 06-16 Page 3 of 3

State of North Carolina
Department of Environmental Quality
Division of Water Resources
DWR
Division of Water Resources 15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 06-16
1. APPLICANT INFORMATION:
1. Applicant's name: U.S Biosolids Inc.
Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ❑ Municipal
❑ County
Signature authority's name per 15A NCAC 02T .0106: Zach Key
Title: President
Applicant's mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] Email Address: zachkeyAusbiosolids.com
2. Consultant's name: License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: )
Consultant's mailing address:
City: State: Zip: -
Telephone number: (_) _- Email Address:
3. Fee submitted: 0.00 (See Instruction B)
11. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, Z renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0038071
Date of most -recently issued permit: 12-9-2015
Date of most -recently certified Attachment A (if different than the permit): 1-17-2017
III. FACILITY INFORMATION:
I . Name of residuals processing facility: Forest City Water Treatment Plant
City: Forest City State: NC Zip: 28043
Coordinates: Latitude: 35' 20' 55.46" Longitude: 81' 51' 50.19"
Datum: NAD83
Method of measurement: GPS
Level of accuracy:.01
County where facility is located: Rutherford
2. Facility contact (person familiar with residuals preparation):
Name: Jason Webb Title: Superintendent
Mailing address: PO Box 728
City: Forest City State: NC Zip: 28043
Telephone number: [phone] E-mail address: watrwebb2ctownofforestcit-y com
FORM: DCAR 06-16 Page 1 of 3

3. Is the residual process facility also the generator? Yes; ❑ No
If No, please specify delivery frequency and quantity of residual to be processed:
4. Length of residuals storage at facility: 365+ days (Note: the Division requires minimum 30 days storage in units that are separate
from treatment system, i.e. not in clarifiers, aeration basins, etc.)
IV. RESIDUALS QUALITY INFORMATION:
I . Specify how these residuals will be distributed:
❑ sold or given away in bags or other containers; ❑ lawn (bulk); ❑ home garden (bulk);
other (explain); Given away to local farmers for soil amendment
Note: Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
load capacity of one metric ton or less.
2. Complete the following if residuals are to be mixed with other materials:
Type of Materials Amounts to be added
ner 1.0 dry ton of residuals (dry ton)
3. Approximate amounts of the residuals received and processed at the facility: 1500 dry tons per year.
4. Approximate amounts of the final product (processed residuals) to be distributed: 1500 dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution): The residuals are stored in two 2 l 000 000- allon la oons l2rior to distribution.
These lagoons are capable of storing the residuals for 365+ days.
6. Does the facility have a stormwater management plan? ❑ Yes; 0 No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled: all runoff is held in
the lagoon where the residuals are stored
V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the attached Residuals .Source Cerlificatron and all associated documentation.
RSC 06-16.doc
FORM: DCAR 06-16 Page 2 of

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal package
may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I have reviewed
this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature, and Date:
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes ❑ No, Explain;
1, Zach Key President
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of th is program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. 1 will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: 6-8-2020
FORM: DCAR 06-16 Page 3 of 3

Program Information
All of the residuals produced from the Town of Denton's Water Treatment plant are
stored in the residuals holding pond.
The first location during the treatment that the residuals are produced is from the
sedimentation basins, from where the residuals are allowed to settle out. The return water left in
the sedimentation basin is pumped to the sludge holding lagoons.
The second place in the treatment process that produced residuals are from the filters.
The filters are backwashed and the residuals from the backwash process are sent to the sludge
holding pond. Also, residuals are sent to the pond when a filter is rewashed during plant start-up.
Once the residuals reach the sludge holding pond, they are stored until the pond is full
enough to need a distribution even. Once it is determined that a distribution event is needed, the
residuals are pumped and loaded onto tanker trucks. The residuals are given to local landowner's
for use as a soil amendment.
All of the residual are stored in the sludge holding pond along with any leachate or run
off the may be present.
All land owners that receive the residuals are given an information sheet that will
explain all of the requirements and regulations for the material. This information sheet will also
highlight any nutrients that will be the limiting parameter for determining the residuals loading
rate. In most cases, the limiting parameter for determining the loading rate will be nitrogen.

Program Information
All of the residuals produced from the City of Mount Holly's Water Treatment Plant are
stored in two (2) 170' X 100' holding lagoons.
The first location during the treatment that the residuals are produced is from the settling
basins, from where the residuals are allowed to settle out. The return water left in the
sedimentation basin is pumped to the sludge holding lagoons.
The second place in the treatment process that produced residuals are from the filters.
The filters are backwashed and the residuals from the backwash process are sent to the sludge
holding lagoons. Also residuals are sent to the lagoons when a filter is rewashed during plant
start-up.
Once the residuals reach the sludge holding lagoons, they are stored until the lagoons are
full enough to need a distribution even. Once it is determined that a distribution event is needed,
the residuals are removed using pumps and tanker trucks. The residuals are given to local
landowner's for use as a soil amendment.
All of the residual are stored in the sludge holding lagoons along with any leachate or run
off the may be present.
All land owners that receive the residuals are given an information sheet that will
explain all of the requirements and regulations for the material. This information sheet will also
highlight any nutrients that will be the limiting parameter for determining the residuals loading
rate. In most cases, the limiting parameter for determining the loading rate will be nitrogen.

Program Information
All of the residuals produced from the Town of Forest City's Water Treatment plant are
stored in the two (2), one million (1,000,000) gallon sludge storage lagoons. The residuals are
produced from the treatment of raw water from the Second Broad River. The residuals come
from two places during the treatment process.
The first location during the treatment that the residuals are produced is from the
sedimentation basins, from where the residuals are allowed to settle out. The return water left in
the sedimentation basin is pumped to the sludge holding lagoons.
The second place in the treatment process that produced residuals are from the filters.
The filters are backwashed and the residuals from the backwash process are sent to the sludge
holding lagoons. Also residuals are sent to the lagoons when a filter is rewashed during plant
start-up.
Once the residuals reach the sludge holding lagoons, they are stored until the lagoons are
full enough to need a distribution event. Once it is determined that a distribution event is needed,
the residuals are allowed to dry and they are removed from the lagoon with front end loaders and
dump trucks. The residuals are given to local landowner's for use as a soil amendment.
All of the residual are stored in the sludge holding lagoons along with any leachate or run
off the may be present.
All land owners that receive the residuals are given an information sheet that will
explain all of the requirements and regulations for the material. This information sheet will also
highlight any nutrients that will be the limiting parameter for determining the residuals loading
rate. In most cases, the limiting parameter for determining the loading rate will be nitrogen.

Operation and Maintenance Plan
City of Mount Holly, NC
Water Treatment Plant
In accordance to the requirements as issued by the North Carolina Department of
Environmental Quality using NCGS 143-215.1 and 143-215.3(a) based on 15A NCAC
02T .110, the City of Mount Holly and U.S. Biosolids, Inc. are implementing this
Operation and Maintenance Plan.
The Class A distribution program from the City of Mount Holly's Water Treatment Plant
will be conducted from the Water Treatment facility, located at I I I Mountain Island
Mount Holly, NC. Residuals will be removed and given away to local farmers to be used
as a soil amendment. The residuals will be removed on as needed bases; as fluctuation in
the output of the plant will vary with changing economic conditions. The day to day
operation of the running of the Water Treatment will be conducted by City of Mount
Holly. The operations of the distribution program will be conducted by Southern Soil
Builders, Inc.
A label shall be provided to every recipient of the residual material, in addition to this
label, the ORC will make sure every recipient is educated in the proper use of the
residuals.
Prior to distributing these residuals to local farmers, the following sampling conditions
must be met (as is outlined in greater detail in the sampling plan attached to this
Operation and Maintenance Plan).
Toxicity Characteristics Leaching Procedure (TCLP) will be conducted once per
permit cycle.
An analysis of the parameters will be conducted annually if a distribution event
takes place.
A fecal coliform test shall be conducted as required in 15A NCAC 027T .1106
chapters (a) and (b) to show that the density of the fecal coliform is less than
1,000 MPN per gram of total solids, each year a distribution event takes place
These samples will be collected by the ORC or his/her designee and transported to an
approved lab the same day the samples are taken, as in accordance to 15A NCAC 02B
.0505. The samples must be taken in a matter to ensure a representative sample of the
residuals has been taken.

To prevent any spills and or safety issues from occurring the flowing will take place
during a distribution event. In the unlikely event of a spill consult the spill control plan
immediately.
1. Access to the facility will be controlled with a locked gate and signs to
prevent any unauthorized entry into the complex; this gate will be lock at the
end of each day.
2. All pumps and hose will be checked at the start of each day for leaks or loose
fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to
transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak
prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or
mechanical hazards or issues.
6. All equipment is secured at the end of each working day to prevent any
tampering or unauthorized use.
The fields should be inspected daily by the ORC or the BORC for compliance with the
conditions that is outline in then permit. The inspection should consist of (but not limited
to):
2.
3.
All required set -backs and buffers are in compliance
All required record keeping of truck and fields sheets are maintained and properly
filled out so accurate records of the volume and locate of residuals are keep.
All public access points are controlled (signs posted, gates closed)
Make sure all fields records are turned over to the ORC and the City of Mount
Holly so records and be reviewed by NCDEQ and an annual report can be
constructed.
If any issues or violations are discovered, the ORC, Mount Holly WTP and
Mooresville Regional Office should be contacted as soon as safely possible.

SPILL CONTROL PLAN- U.S. Biosolids Inc.
Permit WQ0038071
City of Mount Holly -Water Treatment Plant
In the event of a spill, the following should be taken IMMEDITALY.
Make sure all personal and bystanders are safe- if not contact emergency
services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to
contain the spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as
much of the spilled material as possible. Use straw to soak -up the
remaining material. Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable
area, till the same into the soil and spread lime if necessary. If a spill occurs
on private property, final clean-up should be to the satisfaction of the
owner.
6. Notification. (This should be done as soon as safely possible.)
A. U.S. Biosolids, Inc. Main Office [phone]

B. City of Mount Holly, WTP [phone]
C. NCDEQ-Mooresville Regional Office [phone]
D. County Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting:
The Permittee shall report by telephone to the Mooresville Regional Office,
telephone number [phone], as soon as possible, but in no case
more than 24 hours or on the next working day following the occurrence
or first knowledge of the occurrence of any of the following:
A. Surface disposal of residuals abnormal in quantity or characteristic.
B. Any failure of the surface disposal program resulting in a release of
material to surface waters.
C. Any time self -monitoring indicates the facility has gone out of
compliance with its permit limitations.
D. Any process unit failure, due to known or unknown reasons,
rendering the facility incapable of adequate residual treatment
E. Any spill or discharge from a vehicle or piping system during
residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to
surface waters, imminent failure of a storage structure, etc.) outside of
normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone],
or [phone]. Persons reporting such occurrences by telephone shall
also file a written report in letter form within five days following first
knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure that the problem does not recur.

8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed
C. Inspect all seals and replace if necessary.

U.S. Biosolids, Inc.
Mount Holly, WTP
Permit No. WQ0038071
SAMPLING PLAN
Annually, if a land application event occurs, multiple individual grab samples are
collected from the holding pond and sent to a laboratory for analysis. If a land application
event is to occur in the early part of a calendar year (i.e. January or early February) these
samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and a TCLP
test. These tests will be taken by Southern Soil Builders, Inc. All samples with the
exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
Annually, if land application occurs, a composite residual sample will be analyzed, prior
to a land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum,
Ammonia Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH,
Phosphorus, Potassium, TKN, Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption
Ratio (SAR) will be calculated. This sample will collected in a non -breakable container,
at least one quart in size. This sample will be taken from the holding ponds.

Operation and Maintenance Plan
City of Forest City Water Treatment Plant
In accordance to the requirements as issued by the North Carolina Department of
Environmental and Natural Resources using NCGS 143-215.1 and 143-215.3(a) based on
15A NCAC 02T . 110, the City of Forest City and U.S Biosolids, Inc. are implementing
this Operation and Maintenance Plan.
The Class A distribution program from the City of Forest City Water Treatment Plant
will be conducted from the Water Treatment facility, located at 581 Vance Street Forest
City, NC. Residuals will be removed and given away to local farmers to be used as a soil
amendment. The residuals will be removed on as needed bases; as fluctuation in the
output of the plant will vary with changing economic conditions. The day to day
operation of the running of the Water Treatment will be conducted by the City of Forest
City. The operations of the distribution program will be conducted by Southern Soil
Builders, Inc.
A label shall be provided to every recipient of the residual material, in addition to this
label, the ORC will make sure every recipient is educated in the proper use of the
residuals.
Prior to distributing these residuals to local farmers, the following sampling conditions
must be met (as is outlined in greater detail in the sampling plan attached to this
Operation and Maintenance Plan).
Toxicity Characteristics Leaching Procedure (TCLP) will be conducted once per
permit cycle.
An analysis of the parameters will be conducted annually if a distribution event
takes place.
A fecal coliform test shall be conducted as required in 15A NCAC 027T .1106
chapters (a) and (b) to show that the density of the fecal coliform is less than
1,000 MPN per gram of total solids, each year a distribution event takes place
These samples will be collected by the ORC or his/her designee and transported to an
approved lab the same day the samples are taken, as in accordance to 15A NCAC 02B
.0505. The samples must be taken in a matter to ensure a representative sample of the
residuals has been taken.

To prevent any spills and or safety issues from occurring the flowing will take place
during a distribution event. In the unlikely event of a spill consult the spill control plan
immediately.
1. Access to the facility will be controlled with a locked gate and signs to
prevent any unauthorized entry into the complex; this gate will be lock at the
end of each day.
2. All pumps and hose will be checked at the start of each day for leaks or loose
fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to
transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak
prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or
mechanical hazards or issues.
6. All equipment is secured at the end of each working day to prevent any
tampering or unauthorized use.
The fields should be inspected daily by the ORC or the BORC for compliance with the
conditions that is outline in then permit. The inspection should consist of (but not limited
to):
1.
2.
All required set -backs and buffers are in compliance
All required record keeping of truck and fields sheets are maintained and properly
filled out so accurate records of the volume and locate of residuals are keep.
All public access points are controlled (signs posted, gates closed)
Make sure all fields records are turned over to the ORC and the City of Forest
City so records and be reviewed by NCDENR and an annual report can be
If any issues or violations are discovered, the ORC, Forest City Water Treatment Plant
and the Asheville Regional Office should be contacted as soon as safely possible.

SPILL CONTROL PLAN- U.S. Biosolids, Inc.
CITY OF FOREST CITY -WATER TREATMENT PLANT
In the event of a spill, the following should be taken IMMEDITALY.
Make sure all personal and bystanders are safe; if not, contact emergency services
without delay.
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much of
the spilled material as possible. Use straw to soak -up the remaining material.
Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable area,
till the same into the soil and spread time if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
6. Notification. (This should be done as soon as safely possible.)
U.S. Biosolids, Inc. Main Office [phone]
City of Forest City Water Treatment Plant [phone]
NCDEQ, Asheville Regional Office [phone]
County/City Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting. The project manager shall detail how the spill occurred and all action
that was taken. A written report shall be given to the Asheville regional office as
soon as possible, and within 24 hours of the spill, or next working day.
8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed.
C. Inspect all seals and replace if necessary.

U.S. Biosolids, Inc.
Forest City, WTP
Permit No. WQ0038071
SAMPLING PLAN
Quarterly, if a land application event occurs, multiple individual grab samples are collected from
the holding pond and sent to a laboratory for analysis. If a land application event is to occur in the early
part of a calendar year (i.e. January or early February) these samples may have to be taken in December
so results can be obtained before the land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and a TCLP test.
These tests will be taken by U.S. Siosolids, Inc. All samples with the exception of the composite residual
sample will be taken to Statesville Analytical. Ail samples taken will be taken in the same condition as
the residuals are to be land applied.
Quarterly, if land application occurs, a composite residual sample will be analyzed, prior to a
land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the holding ponds. This test will be done by a NC certified laboratory.

Operation and Maintenance Plan
U.S. Biosolids, Inc.
Town of Denton Water Treatment Plant
In accordance to the requirements as issued by the North Carolina Department of
Environmental and Natural Resources using NCGS 143-215.1 and 143-215.3(a) based on
15A NCAC 02T .110, the Town of Denton and Southern Soil Builders, Inc. is
implementing this Operation and Maintenance Plan.
The Class A distribution program from the Town of Denton's Water Treatment Plant
will be conducted from the Water Treatment facility, located at 3049 Bringle Ferry Road
Denton, NC. Residuals will be removed and given away to local farmers to be used as a
soil amendment. The residuals will be removed on as needed bases; as fluctuation in the
output of the plant will vary with changing economic conditions. The day to day
operation of the running of the Water Treatment will be conducted by the Town of
Denton. The operations of the distribution program will be conducted by Southern Soil
Builders, Inc.
A label shall be provided to every recipient of the residual material, in addition to this
label, the ORC will make sure every recipient is educated in the proper use of the
residuals.
Prior to distributing these residuals to local farmers, the following sampling conditions
must be met (as is outlined in greater detail in the sampling plan attached to this
Operation and Maintenance Plan).
Toxicity Characteristics Leaching Procedure (TCLP) will be conducted once per
permit cycle.
An analysis of the parameters will be conducted annually if a distribution event
takes place.
A fecal coliform test shall be conducted as required in 15A NCAC 027T .1106
chapters (a) and (b) to show that the density of the fecal coliform is less than
1,000 MPN per gram of total solids, each year a distribution event takes place
These samples will be collected by the ORC or his/her designee and transported to an
approved lab the same day the samples are taken, as in accordance to 15A NCAC 02B
.0505. The samples must be taken in a matter to ensure a representative sample of the
residuals has been taken.

To prevent any spills and or safety issues from occurring the flowing will take place
during a distribution event. In the unlikely event of a spill consult the spill control plan
immediately.
Access to the facility will be controlled with a locked gate and signs to
prevent any unauthorized entry into the complex; this gate will be lock at the
end of each day.
2. All pumps and hose will be checked at the start of each day for leaks or loose
fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to
transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak
prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or
mechanical hazards or issues.
6. All equipment is secured at the end of each working day to prevent any
tampering or unauthorized use.
The fields should be inspected daily by the ORC or the BORC for compliance with the
conditions that is outline in then permit. The inspection should consist of (but not limited
to):
1. All required set -backs and buffers are in compliance
2. All required record keeping of truck and fields sheets are maintained and properly
filled out so accurate records of the volume and locate of residuals are keep.
3. All public access points are controlled (signs posted, gates closed)
4. Make sure all fields records are turned over to the ORC and the Town of Denton
so records and be reviewed by NCDENR and an annual report can be constructed.
If any issues or violations are discovered, the ORC, Denton Water Treatment Plant and
the Winston Regional Office should be contacted as soon as safely possible.

SPILL CONTROL PLAN- U.S. Biosolids Inc.
TOWN OF DENTON-WATER TREATMENT PLANT
In the event of a spill, the following should be taken IMMEDITALY.
1. Make sure all personal and bystanders are safe; if not, contact emergency services
without delay.
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much of
the spilled material as possible. Use straw to soak -up the remaining material.
Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable area,
till the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
6. Notification. (This should be done as soon as safely possible.)
U.S. Biosolids, Inc. Main Office [phone]
City of Forest City Water Treatment Plant [phone]
NCDEQ, Winston-Salem Regional Office [phone]
County/City Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting. The project manager shall detail how the spill occurred and all action
that was taken. A written report shall be given to the Asheville regional office as
soon as possible, and within 24 hours of the spill, or next working day.
8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed.
C. Inspect all seats and replace if necessary.

U.S. Biosolids, Inc.
Town of Denton WTP
Permit No, WQ0038071
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the holding pond.
Samples from the pond will be combined to form individual grab samples to be sent to a laboratory for
analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or early
February) these samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and a TCLP test.
These tests will be taken by Southern Soil Builders, Inc. All samples with the exception of the composite
residual sample will be taken to Statesville Analytical. All samples taken will be taken in the same
condition as the residuals are to be land applied.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the residuals holding pond

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two codes of the application and
supportima documentation
For more information, visit the Water Quality Perm itting.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 .l 100. 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 11-115):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC I 1-15) 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 I

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: U.S. Biosolids, Inc.
Status
Code°
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
R
Town of Forest City
Forest City WTP
Rutherford
NCO074306
1500
1500
R
Town of Denton
Denton WTP
Davidson
NCO082949
300
300
R
City of Mount Holly
Mt Holly WTP
Gaston
NCO 136020
300
300
'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution. land application. or disposal (i.e. not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page l

Town of Forest City
Water Treatment Plant
Residuals Source Certification (RSC)

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Divislon of Water ReSOUMes RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Town of Forest City
2. Facility permit holder is: ❑ Federal, [] State, [D Local Government, or Ej Private.
Facility permit issued by: 0 Div. of Water Resources, 0 Div. of Environmental Health,
or Ej Other (explain ).
3. Facility contact person and title: Jason Webb
Complete mailing address: PO Box 7285
City: Forest City State: NC Zip: 28043
Telephone number: [phone] E-mail address: watrwebb rt townofforestcity com
4. Facility physical address: 581 Vance Street
City: Forest City State: NC Zip: 28043
Coordinates: Latitude: 35' 20' 55.446" Longitude: 81 ° 5 V 50.19"
Datum: NAD83 Level of accuracy:.01
Method of measurement: GPS
5. Purpose of the faci I ity:
Etreatment of municipal wastewater, 0 treatment of 100% domestic wastewater,
Z treatment of potable water, 0 treatment of 100% industrial wastewater,
C1 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
E] other (explain: ' ).
6. Does the facility have an approved pretreatment program: 0 Yes No
7. Facility permitted/design flow: 8 MGD and facility average daily flow: 2_4 MGD
8. Average amount of residuals being generated at this facility 783.43 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: two (2) one million -gallon lagoons
Type and volume of residuals storage (i.e., outside of residuals treatment units): two (2) one million -gallon lagoons
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1 102(6) as:
E] Biological [D 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 I of

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: El yes E no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: [] yes 2 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 08-21-2018
Passed corrosivity test: N yes E] no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: 0 yes Ej no. Flashpoint: 200 °F (> 140°F)
Passed reactivity test: M yes E]no. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(m9/0
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
0.68
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
Pe ntach loro phenol
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-DichloroethyIene
0.7
ND
2,4,5-Trichloropheno1
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichloropheno1
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 Analytical and Date of analysis: 6-29-2018
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
5
Cadmium
85
39
1
Copper
4,300
1,500
33.4
Lead
840
300
18.9
Mercury
57
17
0.4
Molybdenum
75
n/a
2.84
Nickel
420
420
17A
Selenium
100
100
5
Zinc
7,500
2,800
116
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
Q > 0 but < 25
30
200
210
> 25 but < 50
34
220
240
> 50 but < 75
39
260
270
Q > 75 but < 100
46
300
320
> 100 but < 125
53
360
390
0 > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 39.27 %.
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: Waypoint Analytical and Date of analysis: 6-29-2018
Parameter
Result
(mg4g)
Aluminum
11500
Ammon ia-N itrogen
255
Calcium
1 160
Magnesium
2880
Nitrate -Nitrite Nitrogen
2.45
pH (Standard knit)
6.1
Phosphorus
1150
Potassium
1640
Sodium
250
Total Kjeidahl Nitrogen
3840
c. Using the results listed in Item 11, 5b. above, calculate the sodium adsorption ration (SAR): 0.558
[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: 40 %. This
rate is a (check one): 0 default value, or 0 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: Non -Processed 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 (111) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mg/kg)
Surface
1563.95
1673.42
Injection/Incorporation
1691.45
1809.85
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses
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/Laud Application of Class A or Equivalent.
Q A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
0 A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
E] Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline `treatment.
Q Alternative 3 [15A NCAC 02T.1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
[] Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helm inth Ova.
Ej Alternative 5 [15A NCAC 0211106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: 0 composting, ED heat drying, E] heat treatment,
El thermophilic aerobic digestion, El beta ray irradiation,
C ] gamma ray irradiation, or ❑ pasteurization.
b. For Laud Application of Class B:
El Alternative I [15A NCAC 02T.1106(c)(I)]- Fecal Coliform Density Demonstration.
E] Alternative 2 [15A NCAC 02T.1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: 0 aerobic digestion, [] air drying, Ej anaerobic digestion,
11 composting, or Q lime stabilization.
c. For Surface Disposal:
El Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
0 Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
El Exempt - if Daily Cover Alternative is chosen in Item 11.8. below [ 15A NCAC 02T. l 106(a)(2)].
0 Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
[] Alternative I [15A NCAC 02T.1 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
7 Alternative 2 [15A NCAC 02T.1 107(a)(2)1 - 40-Day Bench Scale Test (Anaerobic Digestion).
ED Alternative 3 [15A NCAC 02T.1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
D Alternative 4 [15A NCAC 02T.1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
0 Alternative 5 [15A NCAC 02T.1 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1 107(a)(6)] - Alkaline Stabilization.
[] Alternative 7 [15A NCAC 02T.1 107(a)(7)] - Drying of Stabilized Residuals,
Alternative 8 [15A NCAC 02T.1 107(a)(8)] - Drying of Unstabilized Residuals.
Q Alternative 9 [ISA NCAC 02T.1 107(a)(9)] - Injection.
El Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [ 15A NCAC 02T.1 107(b)(2)].
Z 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

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Process Flow Narrative
The Town of Forest City receives its raw water from the Second Broad River, where the
water is pumped to the Water Treatment Plant from the river. After the water reaches the Water
Treatment Plant, it is feed Poly Aluminum Chloride and Sodium Hypochlorite in the flash mixer,
where they are mixed with the raw water. After the water is mixed with the Aluminum Chloride
and Sodium Hypochlorite, it goes from the flash mixer to a sedimentation basin, where the
impurities in the water are allowed to settle out. The water in the return from the sedimentation
basin is pumped to one of the two one million gallon sludge lagoons. After the water leaves the
sedimentation basin, it is sent to the filters where any remaining residuals are captured and sent
to the sludge lagoons when a filter is backwashed. Residuals are also sent to the sludge lagoons
when a filter is rewashed during plant start-up. Once the residuals reach the sludge lagoons, it is
stored until a distribution event is needed. When a distribution event is needed, the lagoon is
allowed to dry out till the residuals are dry enough to be removed using front end loaders and
dump trucks. Once it has been determined that the residuals have sufficiently dried enough, the
residuals are sampled and distributed to local land owners for use as a soil amendment.

Quantitative Justification of Residuals Production Rate
The Town of Forest City produces an estimated 860 Dry Tons per year of residuals through the
treatment of Potable Water. The currently requested 1500 Dry Tons should allow for any growth
in the water system and for any unforeseen increases in the amount of residuals that the Water
Treatment Plant in producing.

U.S. Biosolids, Inc.
Town of Forest City WTP
Permit No. WQ0038071
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the holding pond.
Samples from the pond will be combined to form individual grab samples to be sent to a laboratory for
analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or early
February) these samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and a TCLP test.
These tests will be taken by Southern Soil Builders, Inc. All samples with the exception of the composite
residual sample will be taken to Statesville Analytical. All samples taken will be taken in the same
condition as the residuals are to be land applied.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the residuals holding pond

Report Number: 18-183-0201
•
Account Number: 46381 �����' �� 7621 Whitepine Road, Richmond, VA-23237
Main 804-743-9401 O Fax SO4-271-6446
ANALYTICAL www.waypointanalytical.com
Send To: Southern Soil Builders Project : Forest City
Dennis Key
958 Hoots Road
Roaring River, NC 28669
REPORT OFANALYSIS
Date Sampled: 6/29/2018 14:00-00
Lab Number: 61472
Date Received:
07/02/2018 00:00
Sample Id : Forest City
Date Reported:
07/12/2018
QUANT11TATIONLIMIT
ANALYST
*
! ►
Total Solids'
39.27
392700
100.0
JM
07/02/2018 13:40
SM-2540G
Moisture '
60,72
100.0
JM
07/02/2018 13:40
SM-254OG
Total Kjeldahl Nitrogen
0.38
3840
50.0
R D
07/03/2018 09:00
SM-4500-NH3C-TKN
Phosphorus
0.12
1150
50.0
KKM
07/10/2018 00:27
60100
Potassium
0,16
1640
50.0
JTR
07/10/2018 00:27
6010D
Sulfur
0.21
2050
50.0
KKM
07/10/2018 00:27
6010D
Calcium
0.12
1160
50.0
KKM
07/10/2018 00:27
6010D
Magnesium
0.29
2880
50.0
KKM
07/10/2018 00:27
6010D
Sodium
<0A3
<250
250
KKM
07/11/2018 00:45
6010D
Iron
50700
50.0
KKM
07/10/2018 00:27
6010D
Aluminum
115000
500
SKN
07/11/201811:25
6010D
Manganese
987
5.00
KKM
07/10/2018 00,27
6010D
Copper
33.4
2.50
KKM
07/10/2018 0027
6010D
Zinc
116
5.00
KKM
07/10/2018 00:27
6010D
Ammonia Nitrogen
0.03
255
50.0
R D
07/03/2018 09:00
SM-4500-NI3C
Organic N
0.35
3585
50.0
07/03/2018 09:00
CALCULATION
Nitrate+Nitrite-N
<2.45
2.45
MMT
07/05/2018 09:50
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.
�G
PaW�
GI E
m �
_,
_. ... .. ., _ �, :� - .
_._ -... , , - „ -.. _ .,<
Pauric McGroary
Agronomist

Report Number: 18-183-0201
Account Number_ 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number'. 61472
Sample Id : Forest City
Waypoint0
ANALYTICAL
Cadmium
<1.00
Chromium
45.2
Nickel
17.4
Lead
18.9
Arsenic
<5.00
Mercury
<0.400
Selenium
<5.00
pH'
6.1
Molybdenum
2.84
Comments:
NC CERT4257
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
Project : Forest City
REPORT OFANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Hate Sampled: 6/29/2018 14:00:00
Date Received: 07/02/2018 00:00
Date Reported: 07/12/2018
1.00
KKM
07/10/2018 00,27
6010D
2.50
KKM
07/10/2018 00:27
60100
2.50
KKM
07/10/2018 00:27
6010D
3.00
KKM
0711012018 00:27
6010D
5.00
KKM
07/11/2018 00:45
6010D
0.400
SMC
07/06/2018 13:52
SW-7471 B
5.00
KKM
07/10/2018 00-27
6010D
1.0
R D
07/03/2018 09:00
9045D
2.50
KKM
07110/2018 00:27
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.
poJ{G Inc &Wr
Pauric McGroary
Agronomist

PAN
Mineralization
Rate TKN::[ NH3 NO3
0.4 3840 255 2,45
PAN Surface
—1563.951 mglkg 3.1279 lbs/dry ton
2450.491 Ibs total PAN
28.8293 !bs PAN/acre
PAN In'ection
1691.45 mg/kg 3.3829 Ibsld ton
2650.265 lbs total PAN
31.17959 lbs PANlacre
Dry Tons/1000 gal.
1.637659
1st year PAN
Surface lbs.
2450.490697
1st year PAN
Injected lbs.
2650.265347
lbs./acre
Surface
28.82930232
lbs./acre
Injected
31.17959232
as uecimal Total�r Acres
NO2 % Solids tons/year Applied on
0 0.3927 783.43 85
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mglkg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %501ids X sp. q ravi "=dry tons/1000gal."
2000

SAR
Sodium Absorption Ratio
Na: Sodium (MgIL) Equivalent weight: 23
Ca: Calcium (MgIL) Equivalent weight: 20
Mg : Magnesium (MgIL) Equivalent weight: 12
Mil#i Equivalent = MgIL 1 Equivalent weight
Na M /L Ca(Mg/L) M MIL
98.17 1 455.53 1 1130.97
Na (ME}
Ca (ME)
Mg (ME)
4268261
1 22.7765
1 94.2475
SAID= Na Mslli Equivalenil10.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
5AR = 0.557993 (From MgIL entered above)
TSAR= 0.(From ME entered below)
Na (ME)
Ca (ME)
Mg (ME)
4.27 1
22.78
1 94.25
The amount of exchangeable sodium ions ver
amount of exchangeable calcium & magnesiu
Permitting guidance is if greater than 10 requi

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 08/21/2018
Reported: 09/10/2018
For: Forest City
Comments:
Sample Number Parameter Sample ID Result
Unit Method Analyzed Analyst
180821-29-01 TCLP Forest City See Attached as Noted
0910612018 PACE
Respectfully submitted,
r0,3 Ut/a., J')'')) ,rL ,,I
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Paget of 29

Condition of Receipt
Sam le Numbor 180821-29-D1 Temp on Arrival: 2.3
Parameter Schedule: TCLP
Received on Ice
PO Box 228 - Statesville, NC 28687 - 704/872/4697
Page 2 of 29

vllcl 11.
Address:
004hern sort
Q
1 Je. :.r%c
Contact Person:
PO t;
Cuslorner
Sample Ips
!KO
C.
Lab -ID n
LjLi'Q
T— Sarr pled
(Grab Only)
- 4L1 l� .4Q tx
sitioned by: Crete Date)
TA9
LAParamcters rewested for ansiysis st.aa. ww_l$ x, 7�L
STATES V11XE A NALYnCAL
122 Goat Stint • P.O. Box 228
SSatesvilte, NC 28b87
(704)872-407
Chain of
Custody Record
Relinquished by:
Time I
am, Date L !�ff
V
Sampled
P by: NY
Received by:
Time �j t1
prr am Date �t 21i I
�
Transported by.
Relinquished by:
Time
am, pm Date ��I
Holding times met:
Received by:
Time
am m Date
' p
�lLo�Samnting #1:
Compliance work:
Time begin
am, pm Date !_j_
Non-compliance work -
Time end
am, pm Date
Lab Ctxrtments:
ggwglite mp
q �.
Samples Transported on Ice:
Time begin
am, pm Date !�
Time end
am, pm Date
"tials:
h
rn
v
\ N
N O
h
0
\ N
a
h �-
•
h
00
to
00
N
V
2
aU

� D
,` -, aceARa!ytrcal
wewrlacelabscvm
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 KinCeyAve- Suiie 100
Huntersville. NC 28078
[phone]
Project: 180821-29.01
Pace Project No.: 92396772
Sample: 180821.29-01 Lab ID: 92396772001 Collected; 0812li18 11:00 Received: 08/22118 10:55 Matrix: Solid
Results reported on a 'dry weight" bssls and are adjusted for percent moisture, sample site and any dilutions.
Parameters Results Units Report Limit OF Prepared Analyzed -`------- _ p Y GAS No. Oual
8081 TCLP Pesticides RVE
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachlaro-m-xylene (S)
8082 GCS PCB
PCB-1016 (Aroclor 1016)
PCB-1221 (Aroclor 1221)
PCB-1232 (Aroclor 1232)
PCB-1242 (Aroclor 1242)
PCB-1246 (Aroclor 1248)
PCB-1254 (Aroclor 1254)
PCB-1260 (Aroclor 1260)
Surrogates
Decachlcrobipheryl (S)
8151A Cl Acid Herbicides TCLP
2.4-D
2,4,5-TP (Siivex)
Surrogates
2,4-DCAA (S)
6010 MET ICP, TCLP
Arsenic
8a6um
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
Date; 09/06/2018 04:43 PM
Analytical Method: EPA 808113 Preparation Method: EPA 3510C
Leachate Method/Date: EPA 1311; 0813011a 16:22 Initial pH: 4.9; Final PH: 5
NO
NO
ug/L
ug/L
0.50
3.0
1 09104/1815:33 09/05/1816:26 58-89.9
NO
ug1L
0.50
1 09/0411815:33 09105/1816:26 57-74-9
1
NO
u911,
0.50
09104/7815:33 09/0511816:26 72-20-8
1 09104/1815:33 09/05/1816:26 76,44.8
NO
NO
ug1L
ug/L
0.50
1 09/0411815:33 0910511816:26 1024-57-3
NO
ug1L
1000
1 0910411815:33 0910511816:26 72-43-5
3.0
1 09/0411815:33 09/05/1816:26 8001.35-2
53 % 10.138
44 % 10-110
0910411815:33 09/0511816:26 2051-24-3
09/04/1815:33 09105/1816:26 877-09-8
Analytical Method: EPA 8082A Preparation Method: EPA 3546
NO uglkg 50.5 1
NO u91k9
08/22/18 21:40 08/23/18 19:21 12674-11-2
50.5 1
NO uglkg
08/22118 21:40 08/23118 19:21 11104-28-2
50.5 1
NO ug/kg
08122/18 21:40 08/23118 19:21 11141.16.5
50.5 1
NO uglkg 50,5 1
08122/1821A0 08/2311819:21 53469.21.9
NO uglkg 50.5 1
08/22/18 21:40 06/23118 19:21 12672-29-6
NO uglkg 50.5 1
08122/18 21 A0 08/23/18 19:21 11097-69-1
0812208 21:40 08123/18 19:21 11096,82-5
53 % 21-132 1
08122/1821:40 08/23/1819:21 2051-24.3
Analytical Method; EPA 8151A Preparation Method:
EPA 8151A
Leachate MethodlDate: EPA 1311; 08127/18 15:45 Initial
PH: 5.8; Final pH: 4.91
NO mg1L 0.0050 1
NO
08/29118 09:30 08/31/18 13:08 94-75.7
mg1L 0.010 1
08129118 09:30 08/31118 13:08 93-72-1
67 %. 10-155 1
08/29/18 09:30 08/31/18 13:08 19719-28-9
Analytical Method: EPA 601 OD Preparation Method:
EPA 3010A
Leachate Method/Data: EPA 1311; 08124/18 21:30 Initial pH: 6.91; Final pH; 4.5
NO mg1L 0.050 1
0.68 mg1L
W2711819:21 08/28/1817:09 7440-38-2
0,25 1
NO mg1L
08127/1819:21 08/2811817:09 7440-39.3
0.0050 1
NO mglL 0.050
08/27/1819:21 08/28/1817;09 7440-43-9
1
ND mglL
08127/1819:21 08/28/1817:09 7440-47-3
0.025 1
NO mg1L
08127/1819:21 0812811817709 7439-92-1
0.10 1
NO mg1L 0-025 1
0812711819:21 08/28/1817:09 7782-49.2
08/27/1819:21 08/2811817:09 7440-22-4
Analytical Method; EPA 7470A Preparation Method: EPA 7470A
Leachate Method/Date: EPA 1311; 08/24/18 21:30 Initial
pH: 6,91; Final pH: 4.5
NO mg1L 0.00020 1
0812711820;16 00/30/1812:52 7439-97.6
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
wlthovt the writlan consent of Pace Anatylical Services, LLC,
Page 4 of 26
PO BOX 228 • Statesville, NC 28687 • 704/872/4697
Page 7 of 29

- , ;ZeAnalXicalo
!' 1NIM1Y,(laCBl8bd L9Ri
ANALYTICAL RESULTS
Project: 180821-29-01
Pace Project No.: 92396772
Pace Analytical Services, LLC
9800 Kincey Ave. Surke 100
Huntersvllle, NC 28078
[phone]
Sample: 180821-29.01 Lab ID: 02396772001 Collected: 08121/18 11:00 Received: 08122/18 10:55
Results reported on a "dry weight' basis and are adjusted for
Matrix: Solid
percent
moisture, sample
sire and any dilutions.
Parameters
Results
Units
Report Limit
DF
Prepared Analyzed
CAS No. Qual
8270 MSSV TCLP Sep Funnel
Analyticaf Method:
EPA 8270D Preparation Method:
EPA 3510C
Leachate Method/Date: EPA 1311: 08/30/18 16:22 Initial
pH: 4A: Final pH: 5
1,4-Dichforobenzene
2,4-binilrokotuene
NO
ug1L
50.0
1
09/04/18 13:20 09/06/18 08:31
106-4fi-7ND
Hexachloro-1,3•butadiene
NO
ug1L
50.0
1
09/04/18 13:20 09106/18 08:31
121-14.2
Hexachlorobenzene
NO
uglL
50.0
1
09/04/18 13:20 09/06/18 08:31
87-68.3
Hexachloroethane
NO
ug/L
50.0
1
09/04/18 13:20 09/06/18 08:31
f18-74.1
2-Methylphenol(o-Cresol)
NO
ug1L
50.0
1
09/04/18 13:20 09/06/18 08:31
67-72-1
384-Methylphenol(m&pCresol)
NO
uglL
50.0
1
09/04/18 13:20 09/06/18 08:31
95-48.7
Nitrobenzene
NO
ug1L
50.0
1
09104/1813:20 09/06/18 08:31
15831-10-4
Pentachlorophenot
NO
ug1L
50.0
1
09/04/18 13:20 09106H8 08:31
98-95-3
Pyridine
NO
uglL
100
1
09104118 13:20 09/06/18 W31
87.86-5
2,4,5-Trichlorophenof
NO
4/1-
50.0
1
09/04/18 13:20 09/06/18 08:31
110-86-1
orophenol
ND
ug/L
50.0
1
09/04/18 13:20 09/06/18 08:31
95-95 4
Surrogates
Surrogate
ug1L
50.0
1
09/04118 13:20 09106/18 08:31
88-06.2
Nitrobenzene-d5 (S)
2-Fluorobiphenyl(S)
76
%
12-102
1
0910411a 13:20 09/06/18 08:31
4165.60-0
Terphenyl-d14 (S)
72
88
%
,/o
13-107
1
09/04118 13:20 09/06118 08:31
321-60-8
Phenol-d6 (S)
45
21.132
1
09704118 13:20 09108/18 08:31
1718-51-0
2-Fluorophenol(S)
59
%
"/a
10-110
1
09104/18 13:20 09/06/18 0&31
13127.88-3
2,4,6-Tribromophenol (S)
85
10.110
1
09104l18 13:24 09/06118 08:31
367-12-4
%
27.108
1
09/04118 13:20 09/00118 08:31
118-79-6
8260 MSV TCLP
Analytical Method: EPA 82606 Leachate Method/Dade:
EPA 1311: 08/23/18 15:52
Benzene
2-Butanone (MEK)
NO
NO
ug1L
100
20
08127l18 10:41
71.43-2
Carbon tetrachloride
ND
u 1L
9
200
20
OB12T118 10:41
78-93-3
Carbonenzene
NO
uglL
ug1L
100
20
08/2711810A1
56-23-5
Chloroform
Chloroform
NO
uglL
100
20
0812711810:41
108.90-7
benzene
NO
ug/L
100
20
08/27118 10:41
67-66-3
1,2-Dichlorobenze
NO
ug/L
100
20
0812711810:41
106.46-7
1,1-Dichloroethene
ND
ug1L
100
20
08/2711810:41
107-06.2
Tetrachloroethena
loroetne
NO
uglL
100
20
0812711810:41
75-35-4
Tetrac
ND
uglL
100
20
08/27/18 10:41
127-18-4
Vinyl chloride
NO
uglL
100
20
08/27/18 10:41 79-01-6
Surrogates
100
20
08127/1810:41
75-01-4
12-Dichloroethane-d4 (5)
97
%
Toluene-d8 (B)
109
%
70-130
20
06/27/18 10:41 17060.07.0
4-Bromofluorobenzene (S)
100
%
67-135
20
08/27/1810:41 2037-26.5
70-130
20
08127! 18 10:41 4
fi0.40.4
Percent Mofsture
Analytical Method:
ASTM D2974.87
Percent Moisture
35,7
%
0.10
1
08124l18 17:19
1010 Flashpolnt,Closed Cup
Analytical Method:
EPA 1010A
Rashpoint
>200
deg F
70.0
1
09101118 02:04
Date: 09106/2018 04:43 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
whhout the written consent of Pace Analytical Services. LLC,
Page 5 of 26
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 8 of 29

xuwDeoa7a6s.mm
1 ,
ANALYTICAL RESULTS
Pace Analyticat Services, LLC
9800 KincoyAve, Suite 100
Huntersville, NC 28878
[phone]
Project: 180821-29-01
Pace Project No,: 92396772
Sample: 180821-29.01 Lab l0: 9239677200i Collected: 08/21118 11:00 Received: 08/22118 10:55 Matrix: Solid
Results reported on a 'dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF
Prepared Analyzed CAS No, Qual
9045 pH Soil Analytical Method: EPA 9045D�
pH at 25 Degrees C 5.4 Std. Units
0.10 1 08l25118 00:32
733C S Reactive Cyanide Analytical Method: EPA 9014 Preparation Method: SW-946 7.3.3.2
Cyanide, Reactive ND mg/kg 1.5 1 08/28118 18:38 08128/18 19:55
734S Raactive Sulfide Analytical Method: SM4500S2F-00 Preparation Method: SW-846 7.3.4.2
Sulfide, Reactive
ND mglkg 15A 1 08/28/1818:38 08/28M818:41
Data: 091061201804:43 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Without the wrglan consent of Pace Analytical Services, LLC.
Page 6 of 26
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 9 of 29

Town of Denton
Water Treatment Plant
Residuals Source Certification (RSC)

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction 13.):
1. Facility Name: Town of Denton Water Treatment Plant
2. Facility permit holder is: El Federal, Q State, 0 Local Government, or 0 Private.
Facility permit issued by: [ Div. of Water Resources, EJ Div. of Environmental Health,
or [ Other (explain: }.
3. Facility contact person and title: Heather Hicks, ORC
Complete mailing address: PO Box 306
City: Denton State: NC Zip: 27239
'Telephone number: [phone] E-mail address: [e-mail]
4. Facility physical address: 3049 Brin Ig e Ferry Road
City: Denton State: NC Zip: 27239
Coordinates: Latitude: 35' 35' 53.54" Longitude: 80' 13' 25.17"
Datum: NAD83 Level of accuracy:.01
Method of measurement: GPS
5. Purpose of the facility:
treatment of municipal wastewater, El treatment of 100% domestic wastewater,
treatment of potable water, 0 treatment of 100% industrial wastewater,
0 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages:.I::'.;:::. % industrial and % domestic)
[] other (explain::: ).
6. Does the facility have an approved pretreatment program: Yes JZ No
7. Facility permitted/design flow: 2.25 MGD and facility average daily flow: I MGD
8. Average amount of residuals being generated at this facility 200 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: One (1) 200'X150" holding pond and two (2) 40'x 120' drying beds
Type and volume of residuals storage (i.e., outside of residuals treatment units):
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I. Specify if residuals are regulated under:
Q 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:
0 Biological Z 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: RSC06-16 Page 1 of

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: Q yes N 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: n yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 3-15-2016
Passed corrosivity test: yes [ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: yes 0 no. Flashpoint: 200 OF (> 140°F)
Passed reactivity test: S yes Elno. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(m9/1)
Result
(m9/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
],I-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 .1 105.
a. For Dislribution/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 Analytical and Date of analysis: 8-25-2019
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
8.61
Cadmium
85
39
1
Copper
4,300
1,500
48.5
Lead
840
300
21.7
Mercury
57
17
0.0585
Molybdenum
75
n/a
2.5
Nickel
420
420
17.5
Selenium
100
100
5
Zinc
7,500
2,800
77.5
b. For SurfaceVjsXosal Unit (land: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratoryand Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mglkg)
Chromium
(mg/kg)
Mickel
(mg/kg)
Q > 0 but < 25
30
200
210
> 25 but < 50
34
220
240
0 > 50 but < 75
39
260
270
Q > 75 but < 100
46
300
320
E] > 100 but < 125
53
360
390
Q > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

S. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 4.79 %.
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: Waypoint Analytical and Date of analysis: 8-25-2019
Parameter
Result
(mg/kg)
Aluminum
152000
Ammonia -Nitrogen
2920
Calcium
2810
Magnesium
1430
Nitrate -Nitrite Nitrogen
4.63
pH (Standard Unit)
6.5
Phosphorus
1840
Potassium
982
Sodium
297
Total Kjeldahl Nitrogen
9790
C. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0,248
[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: 40 %. This
rate is a (check one): EJ default value, or 0 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: Non -Processed 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 Wf) Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(mg/kg)
Surface
4212.63
4507,51
Injection/Incorporation
5672.63
6348.71
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1 106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
El A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
0 A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
El Alternative l [I5A NCAC 02T.1 106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.1 106(b)(3)(13)] - Alkaline Treatment.
n Alternative 3 [15A NCAC 02T.1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
E3 Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, C] heat drying, heat treatment,
thermophilic aerobic digestion,] beta ray irradiation,
gamma ray irradiation, or pasteurization.
b. For Land Application of Class 8:
Alternative I [15A NCAC 02T.1 106(c)(1)] - Fecal Coliform Density Demonstration.
0 Alternative 2 [15A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, ,] air drying, F� anaerobic digestion,
composting, or lime stabilization.
c. For Surface Di_,posal:
0 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
0 Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item It. 7b. above.
0 Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
0 Alternative I [ 15A NCAC 02T.1 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
0 Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [ 15A NCAC 02T.1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Q Alternative 4 [15A NCAC 02T. l 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Q Alternative 5 [15A NCAC 02T. 1107(a)(5)] - 14-Day Aerobic Processes.
0 Alternative 6 [15A NCAC 02T.1 107(a)(6)] - Alkaline Stabilization.
0 Alternative 7 [15A NCAC 02T.1 107(a)(7)] - Drying of Stabilized Residuals.
0 Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals.
0 Alternative 9 [15A NCAC 02T.1 107(a)(9)] - Injection.
0 Alternative 10 [15A NCAC 02T.1 107(a)(10)] - Incorporation.
[] Alternative for Surface Disposal Units Only - Soil/Other Material Cover [ 15A NCAC 02T.1 107(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

t A
Wi

WTP Process Flow Narrative:
The Town of Denton's Water Treatment Plant receives its water from the Tuckertown Reservoir
which is in the Yadkin River basin. We have a conventional drinking water treatment plant.
Depending on the quality of the incoming raw water, treatment facilities use a variety of
processes to make the water safe to drink. At our plant workers first add alum, caustic, potassium
permanganate, and when conditions call for it, carbon, to the incoming water. These chemicals
coagulate suspended particles, algae, protozoa, viruses, bacteria, iron and manganese into larger
particles that settle to the bottom of the settling basins. This process also reduces the turbidity as
the water flows through the basins. Water then comes to the entrance of the filters, (if plant
operations are optimized, the turbidity entering the filters is at 10% of the original raw water
turbidity entering the plant). Facility workers then add chlorine into the water, on top of the
filters, to kill bacteria, viruses, and protozoa. This chlorine then goes through the filters, keeping
the filters free from bacteria. Next, they use activated carbon filters to remove organic
compounds and any suspended particles still in the water. After filtration, chlorine is added again
to satisfy any demand on chlorine by the water, (to keep within the regulations set forth by the
State and E.F.A.) and kills any remaining bacteria that may have entered the water during the
filtration process.
The next step is the addition of phosphates to help to control the corrosion that happens in
every distribution system (Water + metals = corrosion). The final step involves adjusting the
water's pH level to limit corrosion in the public water system and, in some communities, adding
fluoride to help fight tooth decay in the population. We do add Fluoride at an average of 1.0
ppm. During the whole treatment process, the plant operators constantly monitor the water
moving through the treatment plant, and its various different processes. After the water has gone
through the treatment process, there is a solids waste (Alum Sludge) that is produced and has to
be removed and disposed of in accordance with our discharge permit.

Quantitative Justification of Residuals Production Rate
The Town of Denton's Water Treatment Plant produces an estimated 150 Dry Tons per year of
residuals through the treatment of Potable Water. The currently requested 300 Dry Tons should
allow for any growth in the water system and for any unforeseen increases in the amount of
residuals that the Water Treatment Plant produces.

U.S. Biosolids, Inc.
Town of Denton WTP
Permit No. WQ0038071
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the holding pond.
Samples from the pond will be combined to form individual grab samples to be sent to a laboratory for
analysis. If a land application event is to occur in the early part of a calendar year (Le. January or early
February) these samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and a TCLP test.
These tests will be taken by Southern Soil Builders, Inc. All samples with the exception of the composite
residual sample will be taken to Statesville Analytical. All samples taken will be taken in the same
condition as the residuals are to be land applied.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the residuals holding pond

C
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 03/14/2016
Reported: 03/30/2016
For: Denton WTP
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
160314-14-01
Fecal Coliforms
1
<2,667
MPNIg
SM92210E-2006
03/14/2016
WL
160314-14-01
Percent Solids
1
0.75
%
SM25408-1997
03/14/2016
WL
160314-14-02
Fecal Coliforms
2
<8,696
MPNIg
SM92210E-2006
03/14/2016
WL
160314-14-02
Percent Solids
2
0.23
%
SM2540B-1997
03/14/2016
WL
160314-14-03
Fecal Coliforms
3
<6,060
MPNIg
SM92210E-2006
03/14/2016
WL
160314-14-03
Percent Solids
3
0,33
%
SM25408-1997
03/14/2016
WL
160314-14-04
Fecal Coliforms
4
<3,125
MPN/g
SM92210E-2006
03/14/2016
WL
160314-14-04
Percent Solids
4
0.64
%
SM25408-1997
03/14/2016
WL
160314-14-05
Fecal Coliforms
5
<2,247
MPN/g
SM92210E-2006
03/14/2016
WL
160314-14-05
Percent Solids
5
0.89
%
SM254OB-1997
03114/2016
WL
160314-14-06
Fecal Coliforms
6
<3,846
MPNIg
SM92210E-2006
03/14/2016
WL
160314-14-06
Percent Solids
6
0.52
%
SM254OB-1997
03/14/2016
WL
160314-14-08
Corrosivity
Denton WTP
See
SW-846
03/14/2016
PACE
Attached
160314-14-08 Ignitability
Denton WTP See 1010M 03/14/2016 PACE
Attached
160314-14-08 Reactivity
Denton WTP See SW-846 03/14/2016 PACE
Attached
160314-14-08 TCLP
Denton WTP See as Noted 03/14/2016 PACE
Attached
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 a 704/872/4697
Page 1 of t

Pace Analytical Servic9s, Inc.
/�alcemalXical* 9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: 160314-14-08
Pace Project No.: 92290083
Sample: 160314-14-08 LabID: 92290083001 Collected: 03/14/16 07A5 Received: 03/15/16 10:00 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed GAS No. Qual
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate MethodlDate:
EPA 1311;
03126tl6 14:00
Hexachloro-1,3-butadiene
ND
uglL
50.0 1
03128/1611:25
03/28/1617:40
87-68-3
Hexachlorobenzene
ND
ug&
50.0 1
0312811611:25
03/28/1617:40
118-74-1
Hexachloroethane
ND
uglL
50.0 1
03/2811611:25
03/28/1617;40
67-72-1
2-Methylphenol(o-Cresot)
NO
ug/L
50.0 1
03128/1611:25
0312811617:40
95-48-7
384-Methylphenol(m&p Cresol)
NO
ug/L
50.0 1
03/28/16 11:26
03/28116 17:40
Nitrobenzene
NO
ug/L
50.0 1
03/2811611:25
03/28/1617A0
98-95-3
Pentachlorophenol
ND
ug/L
100 1
03/28/1611:25
03/28/1617:40
87-86-5
Pyridine
ND
ug/L
50.0 1
0312811611:25
0312811617:40
110-86-1
2,4,5-Trichlorophenol
NO
ug/L
50.0 1
0312811611:25
03/2811617:40
95-96-4
2,4,6-Trichiorophenol
NO
ug/L
50.0 1
0312811611:25
03128/1617:40
88-06-2
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphanyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (S)
2,4,6-Tribromophenoi (S)
Benzene
2-Butanone (MEK)
Carbon tetrachloride
Chlorobenzene
Chloroform
1,4-Dichlorobenzene
1, 2-Dichloroethane
1,1-Dichlaroethene
Tetrachloroethene
Trichloroelhene
Vinyl Chloride
Surrogates
1,2-Dichloroethene-d4 (S)
Toluene-d8 (S)
4-Bromofluorobenzene (S)
1010 Flashpoint,Clnsed Cup
Flashpoint
9045 pH Soil
pH at 25 Degrees C
9095 Paint Filter Liquid Test
Free Liquids
Date: 03129/2016 04:40 PM
72
%
12-102
1
03/28116 11725
03/28/16 17,40 4165-60-0
74
%
13-107
1
03/28/16 11:25
03/28116 17 40
321-60-8
99
%
21.132
1
03/2811611:25
0312811617:40
1718-51-0
26
%
10-110
1
0312&1611:25
0312811617:40
13127-88-3
40
%
10-110
1
03/28/1611:25
03/2911617:40
367.12.4
63
%
27-108
1
03128/1611:25
03/28/1617:40
118-79-6
Analytical Method: EPA 8260 Leachate Method/Date:
EPA 1311; 03/16/16
10:42
NO
ug/1-
100
20
03/22/16 00:31
71-43-2
NO
ug/L
20C
20
03/22/16 0031
78-93-3
NO
ug/L
10C
20
03/22/16 00:31
56-23-5
NO
ug/L
100
20
03/22/16 00:31
108-90-7
NO
ug/L
100
20
03/22/16 00:31
67-66-3
ND
ug/L
100
20
03/22/16 00:31
106-46-7
NO
ug/L
100
20
03/22/16 00:31
107-06-2
NO
ug/L
100
20
03/22/16 00:31
75-35-4
ND
ug/L
100
20
03/22/16 00:31
127-18-4
ND
ug/L
100
20
03/22/16 00:31
79-01-6
ND
u91L
100
20
03/22/16 00:31
75-01-4
107
%
70-130
20
03/22/16 00:31
17060-07-0
98
%
67-135
20
03/22/16 00:31
2037-26-5
99
%
70-130
20
03/22116 00:31
460-00-4
Analytical Method:
EPA 1010
>200
deg F
70.0
1
03/27/16 12:15
Analytical Method:
EPA9045
6.8
Std. Units
0.10
1
03/18/16 14:35
H6
Analytical Method:
EPA 9095
FAIL
1.0
1
03117/16 14:40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
without the written consent of PaceAnalytical Services, Inc..
Page 5 of 26

® Pace Analyticai Services, Inc.
/�4ceAnal/Xical 9800 Kincey Ave. Suite 100
wwwDaoMabamm
Huntersville, NC 28078
(704)875-9W2
ANALYTICAL RESULTS
Project: 160314-14-08
Pace Project No.: 92290083
Sample 160314-14-08 Lab ID: 92290083001 Collected: 03114/1607:45 Received: 0311511610:00 Matrix: Water
Parameters Results Units Report Limit OF Prepared Analyzed GAS No. Qual
8081 GCS Pesticides, TCLP
Analytical Method: EPA 8081
Preparation Method: EPA 3510
Leachate Method/Date:
EPA 1311: 0312FW16 14:00
gamma-BHC (Lindane)
ND
ug/L
0.50
1
03/28/16 12:50
03/28/16 18:37 58-89-9
Chlordane (Technical)
ND
ug1L
3.0
1
03/28/16 12:50
03/28/16 18:37 57-74-9
Endrin
NO
ug/L
0.50
1
03/28/16 12:50
03128/1618:37 72-20-8
Heptachlor epoxide
NO
ug/L
0.50
1
03/28/16 12:50
03/28/16 18:37 1024-57-3
Methoxychlor
NO
ug/L
1000
1
03/2811612:50
03/2&1618:37 72-43-5
Toxaphene
NO
ug/L
3.0
1
0312811612:50
=28/1618:37 8001-35-2
Surrogates
Decachlorobiphenyl(S)
50
%
10-138
1
03/28/16 12:50
03/2811618:37 20,1-24-3
Tetrachloro-m-xylene (S)
75
%
10-110
1
03/28/16 12:50
03/28/16 18:37 877-D9-8
8082 GCS PCB Analytical Method: EPA 8082 Preparation Method: EPA 3510
PCB-1016 (Aroclor 1016)
ND
uglL
0.50 1
03118/16 09:07 03/18/16 20:26
12674-11-2
PCB-1221 (Arodor 1221)
NO
ug/L
0.50 1
03/18116 09:07 03/18/16 20:26
11104-28-2
PCB-1232 (Arodor 1232)
ND
ug/L
0.50 1
03/18/16 09:07 03/18/16 20:26
11141-16-5
PCB-1242 (Arodor 1242)
NO
uglL
0.50 1
0311a/1609:07 03/18/16 20:26
53469-21.9
PCB-1248 (Arodor 1248)
ND
ug1L
0.50 1
03/18/16 09:07 03/18/16 20:26
12672.29-6
PC8-1254 (Arodor 1254)
NO
ug/L
0.50 1
03/18/16 09:07 03/18/16 20:26
11097.W-1
PCB-1260 (Aroclor 1260)
NO
ug/L
0.50 1
03118/18 09:07 03/18/16 20:26
11 D96-82-5
Surrogates
Decachlorobiphenyl (3)
45
%
10-132 1
03/18/16 09:07 03/18/16 20:26
2051-24-3
8151 Chlorinate Herbicide TCLP
Analytical Method: EPA 8151
Preparation Method: EPA 3510
2,4-0
NO
mg/L
D.010 1
03/24/16 12:55 03/26/16 02:58
94-75.7
2,4,5-TP (Silvex)
NO
mg1L
0.010 1
03/24A6 12:55 03/26/16 02:58
93-72-1
Surrogates
2,4-DCAA (S)
99
%
42-142 1
03/24/16 12:55 03/26/16 02:58
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Leachate Method/Date- EPA 1311; 03/22/16 0&00 Initial
pH: 5: Final pH: 5
Arsenic
ND
mg1L
0,050 1
03/23/16 03:00 03/23/16 13:57
7440-38.2
Barium
NO
mg/L
0,25 1
03/23/16 03:00 03/23/16 13:57
7440-39-3
Cadmium
NO
mg1L
0.0050 1
03/23/16 03:00 03/23/16 13:57
7440-43-9
Chromium
ND
mglL
0.025 1
03/23/16 03:00 03/23/16 13:57
7440-47-3
Lead
NO
mg/L
0.025 1
03/23M6 03:00 03/23116 13-57
7439-92-1
Selenium
NO
mg/L
0.10 1
03/23/16 03:00 03/23/16 13:57
778249-2
Silver
NO
mg/L
0.025 1
03/23/16 03:00 03/23/16 13:57
7440-224
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate MethodlDate: EPA 1311: 03/22/16 03:00 Initial
pH- 5: Final pH: 5
Mercury
NO
mg1L
0.00020 1
03/23/16 11 *00 03/211614:15
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method:
EPA 8270 Preparation Method: EPA 3510
Leachate MethodlDate: EPA 1311; 03/26/16 14:00
1,4-Dichlombenzene
NO
ug/L
50.0 1
03/2811611:25 03128/1617:40
106-46-7
2,4-Dinitrototuene
NO
uglL
50.0 1
03/28/1611:25 03/28/1617:40
121-14-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 03/29/2016 04:40 PM without the written consent of Pace Analytical Services, Inc.. Page 4 of 25

Pace Analytical Services, Inc.
aceAnalytical • 9800 Kincey Ave. Suite 100
lwwwpwakk co
Hunteraville, NC 28078
i7041875.9092
ANALYTICAL RESULTS
Project: 160314-14-08
Pace Project No.: 92290083
Sample: 160314-14-08 Lab lD: 92290083001 Collected: 03/14116 07:45 Received: 03/15/16 %00 Matrix: Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
733C Reactive Cyanide Analytical Method: SW-846 7.3.3.2
Cyanide, Reactive ND mg/L 0.010 1 03121/16 21:40
734S Reactive Sulfide Analytical Method: SW-848 7.3.4.2
Sulfide, Reactive ND mg/L 1.0 1 03/21/16 18:20
I!
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/29/2016 04:40 PM vrilhout the written consent of Pace Analytical Services, Inc.. Page 6 of 25

4.79
95.20
0.98
0.18
0.10
0.33
0.28
0.14
0.03
0.29
0.69
O
Waypoient
ANALYTICAL
9790
1840
982
3260
2810
1430
297
36500
152000
2700
48.5
77.5
2920
6870
<4.63
Report Number: 19-240-0010
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 67986
Sample Id : Denton WTP
Total Solids "
Moisture "
Total Kjeldahl Nitrogen
Phosphorus
Potassium
Sulfur
Calcium
Magnesium
Sodium
Iron
Aluminum
Manganese
Copper
Zinc
Ammonia Nitrogen
Organic N
Nitrate+Nitrite-N
Project: Denton WTP
REPORT OFANALYSIS
7621 Whitepine Road, Richmand, VA 23237
Main 804-743-9401 o Fax [phone]
www-waypointanalytical.com
Date Sampled: 8/25/2019 11.52:00
Date Received: 08/28/2019 00:00
Date Reported: 09/06/2019
08/30/20 i 9 15:57
08/30/2019-15:57
09/04/2019 13:00
09/03/2019 19:53
09/03/2019 19:53
09/03/2019 19:53
09/03/2019 19:53
09/03/2019 19:53
09/03/2019 19-53
09/03/2019 19:53
09/04/2019 17:46
09/03/2019 19:53
09/03/2019 19:53
09/03/2019 19:53
09/05/2019 13:00
09/04/2019 13:00
09/0412019 15:2 1
Ail 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
250
Wo
50.0
50.0
250
50.0
250
50.0
500
5.00
2.50
12.5
100
250
4.63
ADM
ADM
JPJ
JTR
JTR
JTR
JTR
JTR
JTR
JTR
JTR
JTR
JTR
JTR
JPJ
ZBD
SM-2540G
SM-254OG
SM-4500-NH3C-TKN
6010D
6010D
601 OD
6010D
6010D
601 OD
6010D
601 OD
601 OD
6010D
6010D
S M-4500-N H 3C
CALCULATION
4500NO3r-2011
PcWtic/` 6aire
Pauric McGroary
Agronomist
Page 3 of 6

Report Number: 19-240-0010
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
0 (2)
Waypoint,
ANALYTICAL
Project : Denton WTP
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-94010Fax SO4-271-6446
www_waypoi ntanal ytical.com
Lab Number. 67986 REPORT OFANALYSIS Date Sampled: 8/25/2019 11:52:00
Sample Id : Denton WTP Date Received: 08/28/2019 00:00
Date Reported: 09/06/2019
Cadmium
Chromium
<1.00
1.00
JTR
09103/201919:53
Nickel
43.3
2.50
JTR
09/03120i919:53
Lead
17.5
2.50
JTR
09103/201919:53
Arsenic
21.7
3.00
JTR
09/03/201919:53
Mercury
8.61
5.00
JTR
09/03/201919:53
Selenium
0.0585
0.0141
TJS
09/03/201914:49
pH.
<5.00
5.00
JTR
09/03/201919:53
Molybdenum
6.5
JSL
09/03/2019 05:31
Comments:
<2.50
2.50
JTR
09/03/201919:53
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
601DD
601OD
601OD
601OD
6010D
SW-7471 B
6010D
9045D
601 OD
po' LG ("C V *Awr
Pauric McGroary
Agronomist
Page 4 of 6

PAN
Mineralization 1.
Rate TKN NH3 NO3
0.4 9 990 2920 4.63
PAN Surface
4212.63 1 mg/kg 8.42526 lbs/dry ton
0 i bs total PAN
#DIVIO! Ilbs PAN/acre
PAN Injection
5672.63 mg/kg 11.34526 Ibs/dry ton
0 Ibs total PAN
#DIVIO! IIbs PANlacre
Dry Tons11000 gal.
0.199743
1st year PAN
Surface Ibs.
0
1st year PAN
Injected lbs.
0
Ibs./acre
Surface
#DIV/0!
lbs_/acre
Injected
#DfV/0'
as decimal _Total dry Acres
NO2 % Solids tons/year Applied on
0 0.0479
MR(TKN-NH3)} + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 7-Ibs/dry ton
1000 X 8.34 X %solids X sp graviiv "=dry tons/1000gal,"
2000

SAR
Sodium Absorption Ratio
Na M IL
I- M u
M M /L
Na: Sodium (Mg/L) Equivalent weight: 23
14.22
134,E
68.49
Ca: Calcium (Mg/L) Equivalent weight. 20
Mg : Magnesium (MgIL) Equivalent weight 12
Na ME
Ca ME
Milli Equivalent = MgIL / Equivalent weight
0.618261
6.73
5.7075
The amour
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power amount of i
SAR = 0.247925 (From MgIL entered above) Permitting t
SAR= 0.248597 (From ME entered below)
NaLE� Ca ME Mg- MQ
0.62 6.73 5.71

Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date:
Reported:
For:
Comments
Analytical Results
09/10/2019
09/12/2019
Denton WTP
<435 MPN/g
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
190910-37-01
Fecal Coliforms
1
<490
MPN/g
SM92210E-2006
09/11/2019
WC
190910-37-01
Percent Solids
1
4.08
%
SMr25408-2011
09/11/2019
WC
190910-37-02
Fecal Coliforms
2
<34$
MPNIg
SM92210E-2006
09/11/2019
WC
190910-37-02
Percent Solids
2
5.74
%
SM25409.2011
09/11/2019
WC
190910-37-03
Fecal Coliforms
3
<442
MPNIg
SM92210E-2006
09/11/2019
WC
190910-37-03
Percent Solids
3
4.52
%
SM25408-2011
09/11/2019
WC
190910-37-04
Feca! Coliforms
4
<424
MPN/g
SM92210E-2005
09/11/2019
WC
190910-37-04
Percent Solids
4
4,72
%
SM254OB-2011
09/11/2019
WC
190910-37-05
Fecal Coliforms
5
<476
MPNIg
SM92210E-2006
09/11/2019
WC
190910-37-05
Percent Solids
5
4.20
%
SM25408-2011
09/11/2019
WC
190910-37-06
Fecal Coliforms
6
<435
MPNIg
SM92210E-2000
09/11/2019
WC
190910-37-06
Percent Solids
6
4.60
%
SM2540B-2011
09/11/2019
WC
190910-37-07
Fecal Coliforms
7
<443
MPNIg
SM9221Ge-2006
09/11/2019
WC
190910-37-07
Percent Solids
7
4.51
%
SM25406-2011
09/11/2019
WC
Respectfully submitted,
n�,l ' "i /'q, " ,'17 � ,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

City of Mount Holly
Water Treatment Plant
Residuals Source Certification (RSC)

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: City of Mount Holy WTP
2. Facility permit holder is: El Federal, 0 State, 0 Local Government, or 0 Private.
Facility permit issued by: Div. of Water Resources, Div. of Environmental Health,
or E] Other (explain: ).
3. Facility contact person and title: Gina Miller
Complete mailing address: PO Box 406
City: Mount Holly State: NC Zip: 28120
Telephone number: [phone] E-mail address: gina.miller rr mtholly.us
4. Facility physical address: I I I Mountain Island Road
City: Mount Holly State: NC Zip: 28120
Coordinates: Latitude: 35' 20' 06" Longitude: 80' 59' 51"
Datum: NAD83 Level of accuracy: 01"
Method of measurement: MAP
5. Purpose of the facility:
0 treatment of municipal wastewater, treatment of 100% domestic wastewater,
treatment of potable water, Q treatment of 100% industrial wastewater,
[] treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and % domestic)
other (explain: ).
6. Does the facility have an approved pretreatment program: 0 Yes No
7. Facility permitted/design flow: 6_0 MGD and facility average daily flow: 3.001 MGD
8. Average amount of residuals being generated at this facility 200 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two (2) 170' X 100' holding ponds
Type and volume of residuals storage (i.e., outside of residuals treatment units): None
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
El 40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(61 as:
Biological S 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- l6 Pagel of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ] yes no.
If yes, list the number(s):
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes M. no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitabiiity, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 10-24-2016
Passed corrosivity test: 0 yes El no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: E yes 0 no. Flashpoint: 200 IF (> 140°F)
Passed reactivity test: S yes Qno. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(m9/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.o
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachioroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
l,l-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 Analytical and Date of analysis: 10-24-2016
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration limits
(Class A Only)
(mg/kg)
Result
(m9/k9)
Arsenic
75
41
32.3
Cadmium
85
39
2
Copper
4,300
1,500
88.7
Lead
840
300
21.6
Mercury
57
17
0.4
Molybdenum
75
n/a
5
Nickel
420
420
10.8
Selenium
100
100
5
Zinc
7,500
2,800
57.1
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory:. and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
[] > 0 but < 25
30
200
210
Cj > 25 but < 50
34
220
240
Q > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
E] > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 0.38 %.
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: Waypoint Analytical and Date of analysis: 10-24-2016
Parameter
Result
(mg/kg)
Aluminum
170000
Ammonia -Nitrogen
5130
Calcium
6100
Magnesium
940
Nitrate -Nitrite Nitrogen
1.01
pH (Standard Unit)
8
Phosphorus
1270
Potassium
842
Sodium
449
Total Kjeldahl Nitrogen
43600
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0.08
[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: 40 %. This
rate is a (check one): 0 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: Non processed 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 (111) Year PAN
Five -Year
Maximum Adjusted PAN
(mg�kg�
(mg/kg)
Surface
17954.01
19210.78
Injection/Incorporation
20519.01
21955.34
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of 5

7. Patho en Reduction: Per 15A NCAC 02T.1 106, specify how residuals will meet the pathogen reduction requirements:
a. For DistrihutionlLand Application of Class A_ or Equivalent:
El A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
El A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Q Alternative 1 [15A NCAC 02T.1 106(b)(3)(A)] - TimelTemperature Compliance.
Q Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline Treatment.
0 Alternative 3 [15A NCAC 02T.1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
0 Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: 0 composting, 0 heat drying, 0 heat treatment,
0 thermophilic aerobic digestion, EJ beta ray irradiation,
0 gamma ray irradiation, or 0 pasteurization.
b. For Land ApBlicaflon of Class B:
[] Alternative 1 [15A NCAC 02T.1 106(c)(1)] - Fecal Coliform Density Demonstration.
[] Alternative 2 [15A NCAC 02T.] 106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: ] aerobic digestion, Q air drying, :Q anaerobic digestion,
El composting, or 0 lime stabilization.
c. For Surface Disposal:
0 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
0 Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
0 Exempt - If Daily Cover Alternative is chosen in Item 1I.8. below [ 15A NCAC 02T.1 106(a)(2)].
0 Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution,
8. Vector Attraction Reduction (VAR}: Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
Q Alternative 1 [I5A NCAC 02T.1 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 (15A NCAC 02T.1 107(a)(2)1- 40-Day Bench Scale Test (Anaerobic Digestion).
0 Alternative 3 [15A NCAC 02T. 1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
E] Alternative 4 [15A NCAC 02T.1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
E] Alternative 5 [15A NCAC 02T.1 107(a)(5)] - 14-Day Aerobic Processes.
[] Alternative 6 [15A NCAC 02T. 1107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals.
0 Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals.
Q Alternative 9 [15A NCAC 02T. i 107(a)(9)] - Injection.
0 Alternative 10 [15A NCAC 02T.1 107(a)(10)] - Incorporation.
[] Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1 ]07(b)(2)1.
0 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
City of Mount Holly
Water Treatment Plant

Process Flow Diagram

A is ,a
.�M
C
TO
F INi5nEa ...........
........_.
...
- ...
..
... ... ..
-RUNFiNt15lAi.-DN
$CUTM CORNER ...
)+610 i
�'/T.d
...
riESTCORMEN
1a A80
1-11 0
RtlMFN 8111LOING
_
-
ENTRANCE DRWE iL
..
4•2i5.i
CHEMd CAL FFE6
- i
ENTRANc[ rt
I'
7-25.Vl�.
T -
y EIIIURI VAOL.3-
CENTiF ..
8.19.0
S
{
E
. CLGARMPEIL CFNT�R ..
■+,500-._
LAGTR i©LI3
OOOXECNOSMrER IUN
10•Al.tl
- ^_
4r55.e
-
..^
Y -
- .
-
LAGOON NO, 3 CENTER3-ii
..•
�Syy
1
�1
t
L 1ICAON J<p 2CEN7ER
10+79.0
5.6A J
r
l 0
0.
I y
LAgl(ON ENTRANCE
S „'[Att. ^
•.
'^ {
/''� (•�
OR -YE
IoyS
% !
L105..1
IM0.TCNLIN, WITH RAW WATER
€-
.,
..... C[ r
-»� -. -.
...
7RANSM155JtlN41NF
............. .......e.,.an
•-
�
f
=e r *'
1 :.a +d
.4 L

Quantitative Justification of Residuals Production Rate
The City of Mount Holly's Water Treatment Plant produces an estimated 200 Dry Tons per year
of residuals through the treatment of Potable Water. The currently requested 300 Dry Tons
should allow for any growth in the water system and for any unforeseen increases in the amount
of residuals that the Water Treatment Plant produces.

U.S. Biosolids, Inc.
Mount Holly, WTP
Permit No. WQ0038071
SAMPLING PLAN
Annually, if a land application event occurs, multiple individual grab samples are collected from
the holding pond and sent to a laboratory for analysis. If a land application event is to occur in the early
part of a calendar year (i.e. January or early February) these samples may have to be taken in December
so results can be obtained before the land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for nutrient analysis, and a TCLP test.
These tests will be taken by Southern Soil Builders, Inc. All samples with the exception of the composite
residual sample will be taken to Statesville Analytical, All samples taken will be taken in the same
condition as the residuals are to be land applied.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the holding ponds. This test will be done by A&L Labs.

Page: 1 of 2
Report Number: 16-301-0206 '
Account Number: 46381 Waypoint. 7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 0 Fax [phone]
ANALYTICAL www.waypointanalytical.com
Send To: Southern Soil Builders Project: MT Holly WTP
Dennis Key INC Cert #257
958 Hoots Road
Roaring River, NC 28669
REPORT OF ANALYSIS Date Sampled: 10/24/2016 12:55:00
Lab Number: 60432 Date Received: 10/27/2016 00:00
Sample Ild : MT Holly WTP Date Reported: 11/02/2016
METHODPARAMETER RESULT RESULT QUANTITATION LIMIT ANALYSIS
Total Solids " 0.38 3800 100.0 JM 10/27/2016 15:05 SM-2540G
Moisture' 99.61 100.0 JM 10/27/201615:05 SM-254OG
Total Kjeldahl Nitrogen 4.36 43600 10.0 JM 10/31/2016 09:35 SM-4500-NH3C-TKN
Total Phosphorus 0.13 1270 100 JTR I IIM2016 07:49 6010C
Total Potassium 0.08 842 100 JTR 11/02/2016 07:49 6010C
Total Sulfur 0.53 5280 100 JTR 11/02/2016 07:49 6010C
Total Calcium 0.61 6100 100 JTR 11/02/2016 07:49 6010C
Total Magnesium 0.09 940 100 JTR 11/02/2016 OT49 6010C
Total Sodium 0,04 449 100 JTR 11102/2016 OT49 6010C
Total Iron 17300 100 JTR 11/02/2016 07:49 6010C
Total Aluminum 170000 1000 JTR 11/02/2016 07:53 6010C
Total Manganese 329 5.00 JTR 11/02/2016 07:49 6010C
Total Copper 88.7 5.00 JTR 11/02/2016 07:49 6010C
Total Zinc 57.1 5,00 JTR 11/02/2016 07:49 6010C
Ammonia Nitrogen 0.51 5130 10.0 SJB 10/28/2016 09:00 SM-4500-NH3C
Organic N 3.85 38470 10.0 10/28/2016 09:00 CALCULATION
Nitrate+Nitrite-N <1.01 1.01 SJB 10/31/201613:50 450ONO3F-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. A41W
Our reports a00 gerltlr5 are for ;r;e eoa,�s,ve aou c,)ntdlIrIfai o5e of our cf;enis. and niay norLe reproduced rn whole or pan, -ormay any reference be made M�l
to the work rho resuirs, or the company in any advenisrng, ne�ii release or olher public announcements withoul obta+n+ng our prior wntrere aufhonzafion
Debbie Halt
Laboratory Supervisor

Page: 2 of 2
Report Number: 16-301-0206
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 60432
Sample Id : MT Holly WTP
Waypoint(D
ANALYTICAL
Project: MT Holly WTP
NC Cert #257
REPORT OF ANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 10/24/2016 12:55:00
Date Received: 10/27/2016 00:00
Date Reported: 11/02/2016
Total Cadmium
<2.00
2.00
JTR
11/02/2016 07:49
6010C
Total Chromium
123
5.00
JTR
11/02/2016 07:49
6010C
Total Nickel
10.8
5.00
JTR
11/02/2016 07:49
6010C
Total Lead
21.6
5.00
JTR
11/02/2016 07:49
6010C
Total Arsenic
32.3
3.00
JTR
11/02/2016 07:49
6010C
Total Mercury
<0.400
0.400
JM
11/01/2016 10.30
SW-7471B
Total Selenium
<5.00
5.00
JTR
11/02/2016 07 49
6010C
pH (Standard Units) *
800
SJB
10/28/2016 09:00
SW-9045D
Total Molybdenum
<5.00
5A0
JTR
11/02/2016 07:49
6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT
FOR COMPLIANCE PURPOSES.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. /
Debbie Holt
Laboratory Supervisor

Z
Mineralization
as decimal
ITotal dry
tonslyear
Acres
Apo[ied on
Rate
0.4
TKN
43600
NH3
1 5130
NO3
1.01
NO2
0
% Solids
0.0038
1 300
PAN Surface
17964.01 1mg/ky 35.90802 Ibsld ton
10772.41 Ilbs total PAN
#DIVIO! jibs PANlacre
PAN Injection
20519.01 lmgfkg 41.03802 lbs/dry ton
12311.4f Ibs total PAN
#DIVI01 jibs PAN/acre
Dry Tons11000 gal.
0.015846
1st year PAN
Surface lbs.
f st year PAN
Injected Ibs.
1231 1.406
Ibs.lacre
Surface
#DIV10�
Ibs.lacre
Injected
#DIV/
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mglkg
mg/kg x .002 =lbsldry ton
MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =lbsldry ton
1000 X 8.34 X %solids X sp. gravity " dry tons11000gal."
2000

SAR
Sodium Absorption Ratio
Na M IL Ca(Mq/L) M M /L
Na: Sodium (Mg/L) Equivalent weight: 23
1.7 23.18 3.57
Ca: Calcium (MgIL) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Na (ME) Ca (ME) Mq (ME)
0.073913 1.159 0.2975
Milli Equivalent = MgIL I Equivalent weight The amour
amount of
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
Permitting {
SAR = 0.086613 (From Mg/L entered above)
SAR= 0.083966 (From ME entered below)
Na (ME)
Ca (ME)
Mg (ME)
0.07
1.16
0.23

Analytical Results
Southern Soil Builders
958 Moots Road
Roaring River, NC 28669
Receive Date: 10/24/2016
Reported: 11/14/2016
For: Mt Holly WTP
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
161024-13-01
Corrosivity
Mt. Holly WTP
See Attached
sw-846 10/26/2016
Pace
161024-13-01
Ignitability
Mt. Holly WTP
See Attached
1010M 1012612016
Pace
161024-13-01
Reactivity
Mt. Holly WTP
See Attached
Sw'646 10/26/2016
Pace
161024-13-01
TCLP
Mt. Holly WTP
See Attached
as Noted 10/26/2016
Pace
Respectfully submitted,
�11� �vOGJ`Y-
Dena Myers
NC Cert #440,
NCDW Cert #37755.
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

aceAnalytica!
—pacelabs.com
ANALYTICAL RESULTS
Project: 161024-13
Pace Project No.: 92317194
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Sample: 161024-13 Lab Id: 92317194001 Collected: 10124/16 12:55 Received: 10/25/16 08:25 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides, TCLP
Analytical Method: EPA 8081
Preparation Method: EPA 3510
Leachate Method/Date:
EPA 1311: 11/02/16 14:00
gamma-SHC (Lindane)
ND
ug1L
0.50
1
11/07/16 15:44
11/08/16 13:26
58-89-9
Chlordane (Technical)
ND
ug1L
3.0
1
11/07/16 15:44
11/08/16 13:26
57-74-9
Endrin
ND
uglL
0.50
1
11/07/16 15:44
11/0811613:26
72-20-8
Heptachlor
ND
uglL
0.50
1
11/07/16 15:44
11/08/1613:26
76-44-8
Heptachlor epoxide
ND
uglL
0.50
1
11/0711615:44
11/0811613:26
1024-57-3
Methoxychlor
ND
uglL
1000
1
11/0711615:44
11/0811613:26
72-43-5
Toxaphene
ND
uglL
3.0
1
11/07/16 15:44
11/0811613:26
8001-36-2
Surrogates
Decachlorobiphenyl (S)
60
%
10-138
1
11/07/16 15:44
11/08/16 13:26
2051-24-3
Tetrachloro-m-xylene (S)
68
%
10-110
1
11/07/16 15:44
11/08/16 13:26
877-09-8
8151 Chlorinate Herbicide TCLP
Analytical Method: EPA 8151
Preparation Method: EPA 3510
2,4-D
ND
mglL
0.010
1
11/08/1610:00
11/10/1603:39
94-75-7
2,4,5-TP(Silvex)
ND
mg/L
0,010
1
11/08/1610:00
11/10/1603:39
93-72-1
Surrogates
2,4-DCAA (8)
96
%
39-139
1
11/08/16 10:00
11/10/16 03:39
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA6010
Preparation Method:
EPA 3010A
Leachate Method/Date:
EPA 1311: 11/01/16 18:40 Initial
pH: 5.6; Final pH: 5.6
Arsenic
ND
mglL
0.050
1
11/0211616:30
11/0411601:20
7440-38-2
Barium
ND
mglL
0.25
1
11/02/16 16:30
11/04/16 01:20
7440-39-3
Cadmium
ND
mglL
0.0050
1
11/02/16 16:30
11/04/16 01:20
7440-43-9
Chromium
ND
mglL
0.050
1
11/02/16 16:30
11/04/16 01:20
7440-47-3
Lead
ND
mglL
0,025
1
11/02/16 16:30
11/04/16 01:20
7439-92-1
Selenium
ND
mg1L
0A0
1
1110211616:30
11/041160120
7782-49-2
Silver
ND
mg1L
0.025
1
11/02/16 16:30
11/04/16 0110
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470
Preparation Method: EPA 7470
Leachate Method/Date:
EPA 1311; 11/01/16 18:40 Initial pH: 5.6; Final pH: 5.6
Mercury
ND
mg1L
0.00020
1
11/02/16 20:35
11/03/16 10:29
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270
Preparation Method: EPA 3510
Leachate Method/Date:
EPA 1311; 11/02/16 14:00
1,4-Dichlorobenzene
ND
uglL
50.0
1
11/0711614:30
1110811610:36
106-46-7
2,4-Dinitrotoluene
ND
uglL
50.0
1
11/0711614:30
1110811610:36
121-14-2
Hexachloro-1,3-butadiene
ND
uglL
50.0
1
1110711614:30
1110811610:36
87-68-3
Hexachiorobenzene
ND
uglL
50.0
1
11/0711614:30
1110811610:36
118-74-1
Hexachloroethane
ND
ug/L
50.0
1
11/0711614:30
1110811610:36
67-72-1
2-Methylphenol(o-Cresol)
ND
uglL
50.0
1
11/07/1614:30
1110811610:36
95-48-7
3&4-Methylphenol(m&p Cresol)
ND
ug/l_
50.0
1
11/07/16 14:30
11/08/16 10:36
Nitrobenzene
ND
ug1L
50.0
1
11107/1614:30
11/0811610:36
98-95-3
Pentachlorophenol
ND
ug1L
100
1
11/0711614:30
11/0811610:36
87-86-5
Pyridine
ND
ug1L
50.0
1
11/0711614:30
11/0811610:36
110-86-1
2,4,5-Trichlorophenol
ND
uglL
50.0
1
11107/1614:30
1110811610:36
95-95-4
2,4,6-Trichlorophenol
ND
uglL
50.0
1
1110711614:30
11/0811610:36
88-06-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 11/10/2016 06:22 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 27

aceAnalytrcal e
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ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersvilie, NC 28078
[phone]
Project: 161024-13
Pace Project No.: 92317194
Sample: 161024.13 Lab ID: 92317194001 Collected: 10/24/16 12:55 Received: 10/25/16 08:25 Matrix: Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8270 MSSV TCLP Sep Funnel
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (S)
2,4,6-Tribromophenol (S)
8260 MSV TCLP
Benzene
2-Butanone (MEK)
Carbon tetrachloride
Chlorobenzene
Chloroform
1,4-D ihlorobenzene
1,2-D ichloroethane
1,1-Dichloroethene
Tetrachloroethene
Trichloroethene
Vinyl chloride
Surrogates
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
4-6romotiuorobenzene (S)
Percent Moisture
Percent Moisture
1010 Flash point,Closed Cup
Flashpoint
9045 pH Soil
pH at 25 Degrees C
9095 Paint Filter Liquid Test
Free Liquids
733C S Reactive Cyanide
Cyanide, Reactive
736S Reactive Sulfide
Sulfide, Reactive
Date: 11/10/2016 05:22 PM
Analytical Method: EPA8270 Preparation Method: EPA3510
Leachate MethodlDate: EPA 1311; 11/02/16 14:00
67 %
12-102
1
11107/1614:30
11/0811610:36
4165-60-0
60 %
13-107
1
11/0711614:30
11/0811610:36
321-60-8
94 %
21-132
1
11/0711614:30
111081161036
1718-51-0
32 %
10-110
1
11/07/1614:30
1110811610:36
13127-88-3
44 %
10-110
1
11/07/1614:30
11/0811610:36
367-12-4
71 %
27-108
1
11107/161430
11/08/1610:36
118-79-6
Analytical Method: EPA 8260 Leachate
Method/Date:
EPA 1311: 11/01/16
15:18
NO ug/L
5.0
1
11/0411617:12
71-43-2
NO ug/L
10.0
1
11/0411617:12
78-93-3
NO ug1L
5.0
1
11/04/1617:12
56-23-5
NO ug1L
5.0
1
1110411617:12
108-90-7
NO uglL
5.0
1
1110411617:12
67-66-3
NO ug/L
5.0
1
1110411617:12
106-46-7
ND ug/L
5.0
1
111041161712
107-066-2
NO ug1L
5.0
1
11/0411617:12
75-35-4
ND ug1L
5.0
1
11/0411617:12
127-18-4
NO ug/L
5.0
1
11/04/1617:12
79-01-6
ND ug/L
5.0
1
11104/1617:12
75-01-4
96 %
70-130
1
11104/1617:12
17060-07-0
106 %
67-135
1
11/04/1617:12
2037-26-5
95 %
70-130
1
11104/1617:12
460-00-4
Analytical Method: ASTM D2974-87
99.7 %
0.10
1
10/26/16 07:44
Analytical Method: EPA 1010
>200 deg F
70.0
1
10/31/16 10:19
Analytical Method: EPA 9045
6.6 Std. Units
0A0
1
10/31/16 14:23
H1
Analytical Method: EPA 9095
FAIL
1.0
1
11/07/16 16:35
Analytical Method: SW-846 7.3.3.2
NO mg/kg
385
1
11/02/16 20:49
Analytical Method: SW 846 7.3.4.2
ND mg/kg
3850
1
11/0211616:40
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in fuh,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 27