WQ0019504_Renewal Application_20200901

Initial Review
Reviewer
Thornburg, Nathaniel
Is this submittal an application? (Excluding additional
information.)*
r Yes r No
Permit Number (IR)*
WQ0019504
Applicant/Permittee
City of Belmont
Applicant/Permittee Address
PO Box431 Belmont, NC 28012
Is the owner in BIMS? r Yes r No
Is the facility in BIMS? r Yes r No
Owner Type
Municipal
Facility Name
City of Belmont DCAR
County
Gaston
Fee Category Minor
Fee Amount 0
Is this a complete
application?*
r Yes r No
Complete App Date 09/01/2020
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Does this need review bythe hydrogeologist?* r Yes r No
Regional Office
CO Reviewer
Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Kendall
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Zach Key
Email Address*
[e-mail]
electronic subntttal, confirmation of receipt, and other correspondence.
Project Information
........ .....................................................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
3369577871
O Modification - Minor
G Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* r Wastewater Irrigation r High -Rate Infiltration
r Other Wastewater r Reclaimed Water
r Closed -Loop Recycle r Residuals
r Single -Family Residence Wastewater r Other
Irrigation
Permit Number:* W00019504
Fbs Current Existing perrrit number
Applicant/Permittee * City of Belmont
Applicant/Permittee Address* PO Box431 Belmont, NC 28012
Facility Name * City of Belmont DCAR
Please provide comments/notes on your current submittal below.
This is a permit renewal package for Permit WQ0019504 for the City of Belmont"s Water
Treatment Plant. This is for the renewal of the distribution and land application of class A
water treatment plant residuals.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Bc.)
Belmont WTP 2020 Land Application Permit Renewal.pdf 1.84MB
Upload only 1 RCFdocurrent (less than 250 W). NLfliple documents rust be corrbined into one RDFfile unless file is larger than
upload limit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature

Submission Date Is filled inautonaticallyonce subnitted.

P4 Box 146 Ronda, NC 28670
336-777-6909
www.usbiosolids.com
Tuesday, September 1, 2020
North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27064
Reference: City of Belmont
Water Treatment Plant
Permit Renewal
WQ0019504
US Biosolids, Inc. is assisting the City of Belmont, NC in preparing this renewal package for its
distribution/land application of Alum residuals; Permit No. WQ0019504 from the Water Treatment
Plant.
There have been no changes in the process or the way the residuals are handled since the last issue of
permit WQ0019054. The residuals are stored in a 400,000-gallon concrete clarifier tank till the residuals
are distributed through land application.
Your attention in the review of this permit renewal application is greatly appreciated. Please contact me
with any questions or concerns at [e-mail] or at 336-957-7871.
Sincerely,
3-;.A --�
Zach Key
US Biosolids, Inc.

CITY OF BELMONT
WATER TREATMENT PLANT
PERMIT RENEWAL
PERMIT No. WQ0019504
FOR
DISTRIBUTION/LAND APPLICATION
OF
ALUM RESIDUALS

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T A 100 — 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
supporting documentation
For more information, visit the Water Quality Permitting.4ection'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 . 1100.
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 .0106(b).
❑ if this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification'
. ......... ..... .
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 (All 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 3

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.
❑ 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 .1 108(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 .1 104(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 1 108(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 .1 104(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 l p4(a}.
G. Environmental Assessments (May be Required — See 15A NCAC I 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 3

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 . I 110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to function
and by whom the functions are to be conducted.
❑ Maintenance schedules, may include 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: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: DCAR 06- l6 Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 06-16
1. APPLICANT INFORMATION:
1. Applicant's name: City of Belmont
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: Adrian Miller Title: City Manatrer
Applicant's mailing address: PO Box 431_
City: NC Zip: 28012
Telephone number: [phone] Email Address: amillerc cityofbelmont.org
2. Consultant's name: Zach Key License Number (for P.E.):
Affiliation: ❑ On Staff ® Retained (Firm: US Biosolids.lne.)
Consultant's mailing address: 958 Hoots Road
City: Roaring River State: NC Zip:28669
Telephone number: [phone] Email Address: zachkey (_usbiosolids.com
3. Fee submitted: $0.00 (See Instruction B)
H. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W 0�4_. 019504
Date of most -recently issued permit: 916.-2015
Date of most -recently certified Attachment A (if different than the permit): 9-16-2015
Ill. FACILITY INFORMATION:
I. Name of residuals processing facility: City of Belmont WTP
City: Belmont State: NC Zip: 28012
Coordinates: Latitude: 35" 14' 32.35" Longitude: 81' O1' 0O600"
Datum: WGS84 Level of accuracy: f0.01
Method of measurement: MAP
County where facility is located: Gaston
2. Facility contact (person familiar with residuals preparation):
Name: Josue Title: Superintendent
Mailing address: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: [phone] E-mail address: [e-mail]
FORM: DCAR 06-16 Page I 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 through land application
Note: Sulk 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
per 1.0 d ton of residuals d ton
Not Mixed with other materials
3. Approximate amounts of the residuals received and processed at the facility: 23.21 dry tons per year.
4. Approximate amounts of the final product (processed residuals) to be distributed: 23.3 l 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): 400,000 gallon concrete tank
6. Does the facility have a stormwater management plan? ❑ Yes; ® No
Explain whether the treatment and storage areas are under roof or how storm water runoff will be handled: AI I storm water that
mixes with the residuals are sent to the WWTP for rocessing
V. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the attached Residuals .Source Certification and all associated documentation.
RSC 06-16.doc
I=ORM: DCAR 06-16 Page 2 of 3

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
Wiest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I 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 bate:
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 N A 02T .0 105,
® Yes ❑ No. Explain,
I• _ _ AdriAn Miller _ City Manama
(Signature Authority's Name — PLEASE PRINT) (Title) _�
attest that this application for C .4 of, ""i__ wT
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specificaliv
granted in the permit. Further. any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I al$o understand that if all required parts of this application are not completed
and that if all rcquired supporting information and attachments arc not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statement, representation. or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed 510.000 as well as civiVpenalties up to $25.000 per violation.
Signature: r _ Date:
FORM: ❑CAR 06-16 Page 3 of

City of Belmont
Water Treatment Plant
The residuals are generated from particles from the treatment of water from the Catawba River.
The raw water that is pumped from the Catawba River is added with liquid alum and pre -caustic
to bind sediments that are pumped with the raw water from the river. These particles are
removed from the water by filters and sent to the clarifier. Once the residuals reach the clarifier,
they settle to then bottom of the clarifier by gravity. Once the clarifier is nearing full, a land
application/distribution event is planned. The supernatant water is removed from the top of the
residuals and sent to the sanitary sewer system before the land application/distribution event. The
remaining alum residuals are then pumped out and used as a soil amendment.
These residuals are stored at the facility site until distribution. The storage time is greater than
365 days. The distribution is handled by an experienced private contractor, Southern Soil
Builders, Inc. The contractor will provide pumps and tanker trucks to the facility on a timely
basis. The residuals will be loaded into the tankers from the clarifier and then transported to
suitable application sites in the area. Cropland, pasture and hay land are available to receive the
material, which is used as a suitable soil amendment.
The common limiting factor in the use of this product is commonly the amount of PAN (plant
available nitrogen) that the crop on the field can hold. Caution should be used, as the amount of
residuals that can be applied before pooling or runoff starts can happen before the maximum
amount of nitrogen levels have been reached.

Marketability Statement:
The product will be given to local landowners who desire the material as a soil
amendment. The amount of residuals to be land applied per year is approximately 25 dry tons.
These residuals can be beneficial to soils and plants and the improved soil physical properties are
the results of the addition of organic matter and plant nutrients. Destinations for these residuals
are local landowners and farmers that have. sufficient amount of land to handle a bulk
distribution of the alum residuals; a field or combination of fields of around 25 acres are desired.

Product Information:
Residuals produced from:
City of Belmont Water Treatment Plant
Mailing Address:
P4 Box 4301
Belmont, NC 28012
Facility Address:
205 N Tenth Street
Belmont, INC 28012
[phone]
• This product contains plant nutrients such as nitrogen and aluminum and can be used as a soil
amendment. This material has been processed in accordance with EPA guidelines. Chemical
composition of this product is such that it does not exceed pollutant ceiling concentrations
• This material shall not be applied to any site that is:
o frozen, snow-covered, or flooded
0 100 feet of any public or private water supply source (including wells)
0 100 feet of surface waters (streams, rivers, wetlands)
0 25 feet of water diversions (ditches)
0 Within a 100-year flood plain unless incorporated within 24 hours
0 During a measurable precipitation event (0.01 inch per hour) or within 24 hours of a
rainfall event of 0.5 inches
0 Slope greater than 10%
0 Has a vertical separation of the bedrock less than one foot
0 If vertical separation of seasonal water table is less than one foot
0 Then does not have an established vegetative cover unless incorporated
• If soil pH is less than 6.0, lime shall be added to maintain at least 6.0 unless an agronomist
provides information indication otherwise
• Residual stockpile for more than 14 days shall be covered

For current analysis and appropriate loading rates for farmland application, contact:
US Biosolids, Inc.
958 Hoots Road
Roaring River, NC 28669
Phone [phone]
[e-mail]
Application of this material to the land is prohibited except in the accordance with the
instructions on this label and all applicable setbacks as in accordance with 15A NCAC 2T
.1108(b). Use of this material should conform to the recommendations of the current analysis
and loading rates.

Operation and Maintenance Plan
City of Belmont Water Treatment Plant
Permit No. WQ0019504
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 .1 10, the City of Belmont and US Biosolids, Inc. is implementing this
Operation and Maintenance Plan,
The Class A distribution program from the City of Belmont will be conducted
from the Water Treatment facility, located at 205 N Tenth Street Belmont, 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 Belmont. 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 .110b
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. 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 are turned over to the ORC and the City of Belmont so
records and be reviewed by NCDEQ and an annual report can be constructed.
If any issues or violations are discovered, the ORC, Belmont Water Treatment Plant and
the Mooresville Regional Office should be contacted as soon as safely possible.

SPILL CONTROL PLAN- US BiosoIids Inc.
CITY OF BELMONT-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.)
US Biosolids, Inc. Main Office [phone]
City of Belmont Water Treatment Plant [phone]
NCDEQ, Mooresville 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.

State of North Carolina
DWK
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supportin2 documentation
For more information, visit the Water Quality Permitting Section's Non-Dischar e 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 .1 100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 1 l-I5, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC I I-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 "Ma,p_Gui_dan,ce_for
Residuals Land, Application Pen -pits".
❑ 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 1. 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- l6 Page I of I

Dlvlslon of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: City of Belmont Water Treatment Plant
2. Facility permit holder is: ❑' Federal, ❑ State, tR Local Government, or ❑ Private.
Facility permit issued by: ❑ Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Joseph Roy, Superintendent
Complete mailing address: PO Box 431
City: Belmont State: NC Zip: 28012
Telephone number: [phone] E-mail address: Troy@cityofbelmontorg
4. Facility physical address: 205 N 1011 Street
City: Belmont State: NC Zip: 28012
Coordinates: Latitude: 350 14' 32.35" Longitude: 81 ° 01' 06.00"
Datum: WGS84 Level of accuracy: 0.01
Method of measurement: MAP
5. Purpose of the facility:
[] treatment of municipal wastewater, 0 treatment of 100% domestic wastewater,
. treatment of potable water, 0 treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages % industrial and % domestic)
other (explain: ).
6. Does the facility have an approved pretreatment program: ❑ Yes No
7. Facility permitted/design flow: 10 MGD and facility average daily flow: 2 MGD
8. Average amount of residuals being generated at this facility 14.66 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 400,000 gal [on concrete tank
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:
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.1 102(6) as:
El Biological [@ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page 1 of 5

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Belmont WTP
€ Status Maximum Dry Tons Per Year
Facility Permit Holder Facility Name County Permit Number
Code" Current a Proposed
R City of Belmont City of Belmont WTP Gaston WQ0019504 200 200
Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
s The amount of residuals currently permitted for distribution. land application. or disposal (i.e. not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16
Page 1

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: El yes Q 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: 03-14-2016
Passed corrosivity test: 0 yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: M yes ❑ no. Flashpoint: 183 OF (> 140°F)
Passed reactivity test: 0 yes Ono. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/0
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
NDN
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
IJ-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
NDN
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: 7-25-2016
Parameter
Ceiling
Concentration Limits
(ClossA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
10
Cadmium
85
39
2
Copper
4,300
1,500
49
Lead
840
300
14
Mercury
57
17
0.4
Molybdenum
75
n/a
5
Nickel
420
420
14
Selenium
100
100
5
Zinc
7,500
2,800
102
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/k9d
Nickel
(mg/kg)
[] > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
[] > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 0.87 %.
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 AnaE tical and Date of analysis: 7-25-2016
Parameter
Result
(mg/kg)
Aluminum
119000
Ammonia -Nitrogen
10300
Calcium
1410
Magnesium
800
Nitrate -Nitrite Nitrogen
2
pH (Standard Unit)
6.39
Phosphorus
2170
Potassium
1450
Sodium
328
Total Kjeldahl Nitrogen
28700
c. Using the results listed in [tern II. 5b. above, calculate the sodium adsorption ration (SAR): 0.11
[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): E 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: Default for Alum 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/kgj
(mg/kg)
Surface
12512
13387
Injection/Incorporation
17662
18898
6. Other Pollutants Determ ination: 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. Patho2en 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 grate of total dry solids,
or
❑ 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):
0 Alternative 1 [ 15A NCAC 02T. 1106(b)(3)(A)] - Time/Temperature Compliance.
0 Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] -Alkaline Treatment.
❑ Alternative 3 (15A NCAC 02T.1 106(b)(3)(C)] -Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.1 I06(b)(3)(D)] -No Prior Testing for Enteric Virus/Viable Helm inth Ova.
El Alternative 5 [15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, [] heat drying, ❑ heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
[] gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
El Alternative I [15A NCAC 02T.] 106(c)(1)] - Fecal Coliform Density Demonstration.
[] Alternative 2 j 15A NCAC 02T.1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion ❑ air drying, ❑ anaerobic digestion,
composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [ 15A NCAC 02T.1 106(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:
El Alternative I [15A NCAC 02T. 1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T. 1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T. 1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.1 107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
ED Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1 107(a)(10)] - Incorporation.
rl Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1 107(b)(2)].
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

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Quantitative Justification for Residuals Production Rate:
In the 7 years since the last permit was issued, the City of Belmont Water Treatment Plant has
produced 14.66 Dry Tons per year. This is less than the 200 dry tons currently allowed by permit
WQ0019504, This will allow any growth that the Water Treatment Plant may occur during the
next permit cycle.

CITY OF BELMONT
WTP SAMPLING PLAN
Annually, if a distribution event occurs, grab samples are collected from the clarifier. Samples
from the clarifier will be combined to form individual grab samples to be sent to a laboratory for
analysis. If a distribution 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 fecal coliform analysis, nutrient
analysis, and a TCLP test. These tests will be taken by Zach Key of US Biosolids, Inc. All samples apart
from the composite residual sample will be taken to Statesville Analytical, the composite residual
sample will be sent to Waypoint Laboratory. All samples taken will be taken in the same condition as
the residuals are to be land applied.
Fecal Coliform is gathered in seven (7) individual samples and tested to meet the requirements
of [503.32(b)(2)j. This requirement is for the geometric mean fecal coliform density of the samples be
less than one thousand (1,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
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 be collected in a non -breakable container, at least one quart in size.
This sample will be taken from the clarifier.
A Toxicity Characteristics Leaching Procedure (TCLP) test with ignitability, reactivity, and
corrosivity will be collected in two separate, one gallons jugs. This test will be conducted on a frequency
as outlined in the permit.

Page: i of 2
Report Number: 16-210-0203
Account Number: 46381 Waypoint
7621 Whitepine Road, Richmond, VA 23237
Main 804-743.9401 ° FaK 804-271-6446
ANALYTICAL www.waypointanalytical.corn
Send To: Southern Soil Builders Project : Belmont WTP
Dennis Key NC Cert##257
958 Hoots Road
Roaring River. NC 28669
REPORT OF ANALYSIS Date Sampled: 7/25/2016 13:56:00
Lab Number : 58594 Date Received: 07/28/2016 00:00
Sample Id : Belmont WTP Date Reported: 08/05/2016
Total Solids *
0.87
8700
1010
JM
07/28/2016 1,929
SM-2540G
Moisture "
99.13
100.0
JM
07/28/2016 15 29
SM-254OG
Total Kjeldahl Nitrogen
2.87
28700
10.0
JM
08/04/2016 10:55
SM-4500-NH3C-TKN
Total Phosphorus
0.22
2170
100
KM
07/29/2016 13:00
SW 6010C
Total Potassium
0.15
1450
100
KM
07/29/2016 13:00
SW 6010C
Total Sulfur
0.69
6930
100
KM
07/29/2016 13:00
SW 6010C
Total Calcium
0.14
1410
100
KM
07/29/2016 13:00
SW 6010C
Total Magnesium
0.23
2260
100
KM
07/29/2016 13:00
SW 6010C
Total Sodium
0.03
328
100
KM
07/29/2016 13:00
SW 6010C
Total Iron
28500
100
KM
07/29/2016 13:00
SW 6010C
Total Aluminum
119000
100
KM
07/29/2016 13:00
SW 6010C
Total Manganese
800
5
KM
07/29/2016 13:00
SW 6010C
Total Copper
49
5
KM
07/29/2016 13:00
SW 6010C
Total Zinc
102
5
KM
07/29/2016 13:00
SW 6010C
Ammonia Nitrogen
1.03
10300
10.0
JM
07/29/2016 08.30
SM-4500-NH3C
Organic N
1.84
18400
0.001
JM
08/05/2016 08:40
CALCULATION
Nitrate+Nitrite-N
<2.00
2.00
JM
07/29/2016 09:00
SM-450ONO3F
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
9OW reports anu :et:er; am 70; ?: ie e­4;usrve ana contiderrtral use of uur CueuiS. and may not be repiooucea tit wbote or part, nor may any reference be made /idft�l
to the work the results, or the company in any advertising, nears refeaze or other public announcements without obtaining our pnor vrmten aidhonzahon
Debbie Holt
Laboratory Supervisor

Page: 2 of 2
Report Number: 16-210-0203
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 58594
Sample Id : Belmont WTP
Waypoint(2)
ANALYTICAL
Project: Belmont WTP
NC Cert#257
REPORT OF ANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 7/25/2016 13:56:00
Date Received: 07/28/2016 00:00
Date Reported: 08/05/2016
Total Cadmium
<2.0
2.0
KM
07/29/2016 13:00
SW 6010C
Total Chromium
105
5
KM
07/29/2016 13:00
SW 6010C
Total Nickel
14
5
KM
07/29/2016 13:00
SW 6010C
Total Lead
14
5
KM
07/29/2016 13:00
SW 6010C
Total Arsenic
10.0
3.0
KM
07/29/2016 13:00
SW 6010C
Total Mercury
<0.4
0.4
KKM
08/02/2016 15:30
SW-7471B
Total Selenium
<5.0
5.0
KM
07/29/2016 13:00
SW 6010C
pH (Standard Units) *
6.39
2.00
JM
07/29/2016 09:00
SW-9045D
Total Molybdenum
<5
5
KM
07/29/2016 13:00
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT
FOR COMPLIANCE PURPOSES.
QUALIFIER: THE LRB WAS OUT OF LIMITS
FOR "Na". THE MATRIX SPIKE WAS OUT OF LIMITS
FOR "Al", "P",
"Se", AND "S". ALL OTHER QC DATA IS
ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exc usfoe and conlidenlial use of our clientsand may not be reproduced in Whole or part, nor may any reference be made
to the cork. the results, or the company in any advertising. news release or other public announcements without oblaining our prior written authorization
Debbie Holt
Laboratory Supervisor

PAN
Mineralization
as decimal
ITotal dry
tons/year
Acres
Applied on
1 25.7
Rate
0.4
TKN NH3
28700 10300
NO3
2
NO2
0
% Solids
0.0087
1 12.73
PAN Surface
125121mg1kg 25.024 lbs/dry ton
318.5555 Ibs total PAN
12.39516 lbs PAN/acre
PAN Injection
176621mg/kg 1 35.324 lbs/dry ton
449.6745 Ibs total PAN
17.49706 Ibs PAN/acre
Dry Tonsl1000 gal.
0.036279
1st year PAN
Surface Ibs.
318.55552
1st year PAN
Injected Ibs.
Ibs.lacre
Surface
12.39515fi42
Ibs.lacre
Injected
17.49708304
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2
mg/kg x .002
MR(TKN-NH3) + 1(NH3)+NO3+NO2
mg/kg x .002
=mglkg
=lbsldry ton
=mglkg
=lbsldry ton
1000 X 8.34 X %solids X sp. gravi "=dry tons/ 1000gai."
2000

Sodium Absorption Ratio
Na(Mg/L)
Ca(MgIL)
Ma{Mg/L1
Na: Sodium (MgIL) Equivalent weight: 23
2.85 1
12.26
19.66
Ca., Calcium (MgIL) Equivalent weight: 20
Mg : Magnesium (MgJL) Equivalent weight: 12
Na (ME)
Ca (ME)
1
Mg (ME)
0.123913
0 613
1 638333
Milli Equivalent = MgIL 1 Equivalent weight The amour
amount of E
SAR= Na Milli Equivalentl[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
Permitting �
SAR = 0.116792 (From MgJL entered above)
SAR= 0 113137 (From ME entered below)
Na (ME)
1
Ca (ME)
1
Mg (ME)
0.12
0.61
1.64

laceAnalyticais
I wwwpacelabs.com
Project: 160314-15-08
Pace Project No.: 92290089
Sample: 160314-15-08
Parameters
8081 GCS Pesticides, TCLP
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
8082 GCS PCB
PCB-1016 (Aroclor 1016)
PCB-1221 (Aroclor 1221)
PCB-1232 (Arodor 1232)
PCB-1242 (Aroclor 1242)
PCB-1248 (Arodor 1248)
PCB-1254 (Arodor 1254)
PCB-1260 (Arodor 1260)
Surrogates
Decachlorobiphenyl (S)
8151 Chlorinate Herbicide TCLP
2,4-D
2,4,5-TP (Silvex)
Surrogates
2,4-DCAA (S)
6010 MET ICP, TCLP
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSSV TCLP Sep Funnel
1,4-Di chlorobenzene
2,4-Dinitrotoluene
Date: 03/29/2016 04:40 PM
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Lab ID: 92290089001 Collected: 03/14/16 11:15 Received: 03/15/16 10:00 Matrix: Water
Results
Units
Report Limit
OF
Prepared
Analyzed
CAS No. Qual
Analytical Method:
EPA 8081
Preparation Method: EPA 3510
Leachate Method/Date:
EPA 1311; 0312611614:00
ND
ug/L
1.0
1
03/28/1612:50
03/28/1619:13
58-89-9
ND
ug/L
6.0
1
03/28/1612:50
03128/1619:13
57-74-9
NO
ug/L
1.0
1
03/28/1612:50
03128/1619:13
72-20-8
ND
ug/L
1.0
1
03/28/1612:50
03/28/1619:13
1024-57-3
NO
ug/L
2000
1
03/28/1612:50
03/28/1619:13
72-43-5
NO
ug/L
6.0
1
03128/1612:50
03/28/1619:13
8001-35-2
51
%
10-138
1
0312811612:50
03/28/1619:13
2051-24-3
215
%
10-110
1
0312811612:50
03/28/1619:13
877-09-8 S5
Analytical Method: EPA 8082 Preparation Method: EPA 3510
NO
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
12674-11-2
NO
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
11104-28-2
ND
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
11141-16-5
NO
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
53469-21-9
ND
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
12672-29-6
ND
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
11097-69-1
ND
ug/L
5.0
1
03/18/16 09:07
03/18/16 20:47
11096-82-5
16 % 10-132 1 03/18/16 09:07 03/18/16 20:47 2051-24-3
Analytical Method: EPA 8151 Preparation Method: EPA 3510
ND mg/L 0.010 1 03/24/16 12:55 03/26/16 01:27 94-75-7
ND mg1L 0.010 1 03/24/16 12:55 03/26/16 01:27 93-72-1
95 % 42-142 1 03/24/16 12:55 03/26/16 01:27 19719-28-9
Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Leachate Method/Date: EPA 1311; 03/22/16 0100 Initial pH: 6.7; Final pH: 5
NO mg/L
0.050 1
03/23/16 03:00
03/23/16 14:00
7440-38-2
ND mg/L
0.25 1
03/23/16 03:00
03/23/16 14:00
7440-39-3
ND mglL
0.0050 1
03/23116 03:00
03/23/16 14:00
7440-43-9
ND mg1L
0.025 1
03/23/16 03:00
03/23/16 14:00
7440-47-3
ND mg/L
0.025 1
03/23/16 03:00
03/23/16 14:00
7439-92-1
ND mglL
0.10 1
03/23/16 03:00
03/23/16 14:00
7782-49-2
ND mg/L
0.025 1
03/23/16 03:00
03/23/16 14:00
7440-22-4
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 03/22/16 03:00 Initial
pH: 6.7, Final pH: 5
NO mg/L
0.00020 1
03/23/1611:00
03/23/1614:17
7439-97-6
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate MethodlDate: EPA 1311; 03/26/16 14:00
NO ug/L
500 10
03128/1611:25
03/29/1611:25
106-46-7
ND ug/L
500 10
03/28/1611:25
03/29/1611:25
121-14-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 4 of 27

aceAnalytical
www.pacelabs.com
ANALYTICAL RESULTS
Project: 160314-15-08
Pace Project No.: 92290089
Pace Analytical Services, Inc.
9800 Kincey Ave, Suite 100
Huntersviile, NC 28078
[phone]
Sample: 160314-15-08
Parameters
Lab IQ: 92290089001
Results Units
Collected: 03/14/16 11:15
Report Limit DF
Received: 03/15/16 10:00 Matrix: Water
Prepared Analyzed GAS No.
Qual
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date:
EPA 1311; 03/26/16 14:00
Hexachloro-1,3-butadiene
ND
ug/L
500
10
03/28/16 11:25
03129/1611:25
87-68-3
Hexachlorobenzene
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11:25
118-74-1
Hexachloroethane
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11:25
67-72-1
2-Methylphenol(o-Cresol)
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11:25
95-48-7
3&4-Methylphenol(m&p Cresol)
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11:25
Nitrobenzene
ND
ug/L
500
10
03128/1611:25
03/2911611:25
98-95-3
Pentachlorophenol
ND
ug/L
1000
10
03/28/16 11:25
03129/1611:25
87-86-5
Pyridine
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11:25
110-86-1
2,4,5-Trichlorophenol
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11:25
95-95-4
2,4,6-Trichlorophenol
ND
ug/L
500
10
03/28/16 11:25
03/29/16 11 :25
88-06-2
Surrogates
Nitrobenzene-d5 (S)
0
%
12-102
10
03/28/16 11:25
03/29/16 11:25
4165-60-0
D3,S4
2-Fluorobiphenyl (S)
0
%
13-107
10
03/28/16 11:25
03/29/16 11:25
321-60-8
S4
Terphenyl-d14 (S)
0
%
21-132
10
03/28/16 11:25
03/29/16 11:25
1718-51-0
S4
Phenol-d6 (S)
0
%
10-110
10
03/28/16 11:25
03/29/16 11:25
13127-88-3
S4
2-Fluorophenol (S)
0
%
10-110
10
03/28/16 11:25
03/29/16 11:25
367-12-4
S4
2,4,6-Tribromophenol (S)
0
%
27-108
10
03/28/16 11:25
03/29/16 11:25
118-79-6
S4
8260 MSV TCLP
Analytical Method:
EPA 8260 Leachate Method/Date: EPA 1311; 03/16/16
10A2
Benzene
ND
ug/L
100
20
03/22/16 00:48
71-43-2
2-Butanone (MEK)
ND
ug/L
200
20
03/22/16 00:48
78-93-3
Carbon tetrachloride
ND
ug/L
100
20
03/22/16 00:48
56-23-5
Chlorobenzene
ND
ug/L
100
20
03/22/16 00:48
108-90-7
Chloroform
ND
ug/L
100
20
03/22/16 00:48
67-66-3
1,4-Dichlorobenzene
ND
ug/L
100
20
03/22/16 00:48
106-46-7
1,2-Dichloroethane
ND
ug/L
100
20
03/22/16 00:48
107-06-2
1,1-Dichloroethene
ND
ug/L
100
20
03/22/16 00:48
75-35-4
Tetrachloroethene
ND
ug/L
100
20
03/22/16 00:48
127-18-4
Trichloroethene
ND
ug/L
100
20
03/22/16 00:48
79-01-6
Vinyl chloride
ND
ug/L
100
20
03/22/16 00:48
75-01-4
Surrogates
1,2-Dichloroethane-d4(S)
100
%
70-130
20
0312211600:48
17060-07-0
Toluene-d8 (S)
101
%
67-135
20
03/22/16 00:48
2037-26-5
4-Bromofluorobenzene (S)
101
%
70-130
20
03/22/16 00:48
460-00-4
Percent Moisture Analytical Method: ASTM D2974-87
Percent Moisture 96.6 % 0.10 1 03/24/16 11:39
1010 Flash point,Closed Cup Analytical Method: EPA 1010
Flashpoint 183 deg F 70.0 1 03/27/16 12:15
9D45 pH Soil Analytical Method: EPA 9045
pH at 25 Degrees C 5.8 Std. Units 0.10 1 03/18/16 14:35 H6
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 5 of 27

aceAnalXical
r xnvw.Pacelebs.crom
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 160314-15-08
Pace Project No.: 92290089
Sample: 160314-15-08
Lab ID: 92290089001 Collected:
03/14/16 11:15
Received: 03/15/16 10:00 Matrix: Water
Parameters
Results Units Report Limit DF
Prepared Analyzed CAS No. Qual
9095 Paint Filter Liquid Test
Analytical Method: EPA 9095
Free Liquids
FAIL
1.0 1
03/17/16 14:40
733C Reactive Cyanide
Analytical Method: SW-846 7.3.3.2
Cyanide, Reactive
ND mg/L
0.010 1
03/21/16 21:04
734S Reactive Sulfide
Analytical Method: SW-846 7.3.4.2
Sulfide, Reactive
ND mg/L
1.0 1
03/21/16 18:20
Date: 03/29/2016 04:40 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 6 of 27