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Home My WebLink AboutWQ0003351_Compliance Evaluation Inspection_20201008ROY COOPER Governor MICHAEL S. REGAN Secretary S. DANIEL SMITH Director Mr. Matt Settlemeyer, Town Manager Town of Mocksville 171 North Clements Street Mocksville, North Carolina 27028 NORTH CAROLINA Environmental Quality October 8, 2020 SUBJECT: Compliance Evaluation Inspection Town of Mocksville — Residuals Land Application Program Permit No. WQ0003351 Davie County Dear Mr. Settlemeyer: On October 7, 2020, staff of the North Carolina Division of Water Resources (DWR), Winston-Salem Regional Office (WSRO) performed a compliance inspection of the subject facility's land application of residual solids program. The inspection was conducted by DWR staff person, Justin Henderson. Mr. Roy Whitaker, ORC and Brent Collins, Back -Up ORC were present during this inspection. While the majority of this inspection reflects compliance with the Permit No. WQ0003351, the following items of concern require your attention and action: 1) The Operation and Maintenance (O&M) Plan was not present at the land application site upon commencement of residual application in accordance with Permit Condition III. (6). It should be noted that Mr. Roy Whitaker was able to retrieve a copy of the facility's O&M Plan to be maintained at the land application site during operations, prior to the conclusion of this inspection. 2) Public Access Control signs, as required by Permit Condition III. (13) were not posted at the land application site entrance at the commencement of residual application operations. It should be noted that Mr. Roy Whitaker was able to retrieve and post the public access restriction signage, prior to the conclusion of this inspection. Please be aware in accordance with Permit Condition lll. (13), that signage shall remain posted after the event for as long as the public access restrictions require as established by Permit Condition Ill. (12). 3) Calibration records for the pH meter were unavailable for review during this inspection. Mr. Brent Collins acknowledged during this inspection, that while calibration of the pH meter was performed in accordance with EMA's Field Laboratory Certification, that documentation of this per event calibration was not recorded. D � North Carolina Department of Environmental Quality I Division of Water Resources Winston-Salem Regional Office 1450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105 NOh �HCARO UHA oep I, 6,1 m �ku�I o�a� /"� 336.776.9800 If you have any questions, please contact Justin Henderson or me at (336) 776-9800. Sincerely, <by: �D—"Slg"Id -0, -T S— "Jcr Lon4JfTLf6 4EA Regional Supervisor Water Quality Regional Operations Section Division of Water Resources, NCDEQ-WSRO encl: Compliance inspection report cc: Brent Collins, EMA Resources — Electronic Copy Laserfiche Files — (electronic copy) Compliance Inspection Report Permit: WQ0003351 Effective: 01/08/18 Expiration: 12/31/22 Owner: Town of Mocksville SOC: Effective: Expiration: Facility: Town of Mocksville RLAP County: Davie 171 Clement St Region: Winston-Salem Mocksville NC 27028 Contact Person: Brent M Collins Title: Phone: 336-751-1441 Directions to Facility: System Classifications: LA, Primary ORC: Roy L Whitaker Secondary ORC(s): On -Site Representative(s): Certification: 13283 Phone: 336-751-1441 Related Permits: NC0021491 Town of Mocksville - Dutchman Creek WWTP Inspection Date: 10/07/2020 Entry Time 09:50AM Primary Inspector: Justin L Henderson Secondary Inspector(s): Exit Time: 11:50AM Phone: 336-776-9701 Reason for Inspection: Routine Inspection Type: Compliance Evaluation Permit Inspection Type: Land Application of Residual Solids (503) Facility Status: ❑ Compliant Not Compliant Question Areas: Miscellaneous Questions Record Keeping Treatment Sampling Land Application Site Pathogen and Vector Attraction Storage Transport (See attachment summary) Page 1 of 5 Permit: WQ0003351 Owner - Facility: Town of Mocksville Inspection Date: 10/07/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: On October 7, 2020, staff of the North Carolina Division of Water Resources (DWR), Winston-Salem Regional Office (WSRO) performed a compliance inspection of the subject facility's land application of residual solids program. The inspection was conducted by DWR staff person, Justin Henderson. Mr. Roy Whitaker, ORC and Brent Collins, Back -Up ORC were present during this inspection. While the majority of this inspection reflects compliance with the Permit No. WQ0003351, the following items of concern require your attention and action: 1) The Operation and Maintenance (O&M) Plan was not present at the land application site upon commencement of residual application in accordance with Permit Condition III. (6). It should be noted that Mr. Roy Whitaker was able to retrieve a copy of the facility's O&M Plan to be maintained at the land application site during operations, prior to the conclusion of this inspection. 2) Public Access Control signs, as required by Permit Condition III. (13) were not posted at the land application site entrance at the commencement of residual application operations. It should be noted that Mr. Roy Whitaker was able to retrieve and post the public access restriction signage, prior to the conclusion of this inspection. Please be aware in accordance with Permit Condition III. (13), that signage shall remain posted after the event for as long as the public access restrictions require as established by Permit Condition III. (12). 3) Calibration records for the pH meter were unavailable for review during this inspection. Mr. Brent Collins acknowledged during this inspection, that while calibration of the pH meter was performed in accordance with EMA's Field Laboratory Certification, that documentation of this per event calibration was not recorded. Page 2 of 5 Permit: WQ0003351 Owner - Facility: Town of Mocksville Inspection Date: 10/07/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine Type Yes No NA NE Distribution and Marketing ❑ Land Application Record Keeping Yes No NA NE Is GW monitoring being conducted, if required? ❑ ❑ 0 ❑ Are GW samples from all MWs sampled for all required parameters? ❑ ❑ 0 ❑ Are there any GW quality violations? ❑ ❑ 0 ❑ Is GW-59A certification form completed for facility? ❑ ❑ 0 ❑ Is a copy of current permit on -site? 0 ❑ ❑ ❑ Are current metals and nutrient analysis available? 0 ❑ ❑ ❑ Are nutrient and metal loading calculating most limiting parameters? 0 ❑ ❑ ❑ a. TCLP analysis? 0 ❑ ❑ ❑ b. SSFA (Standard Soil Fertility Analysis)? 0 ❑ ❑ ❑ Are PAN balances being maintained? 0 ❑ ❑ ❑ Are PAN balances within permit limits? 0 ❑ ❑ ❑ Has land application equipment been calibrated? ❑ ❑ ❑ Are there pH records for alkaline stabilization? 0 ❑ ❑ ❑ Are there pH records for the land application site? 0 ❑ ❑ ❑ Are nutrient/crop removal practices in place? 0 ❑ ❑ ❑ Do lab sheets support data reported on Residual Analysis Summary? 0 ❑ ❑ ❑ Are hauling records available? 0 ❑ ❑ ❑ Are hauling records maintained and up-to-date? 0 ❑ ❑ ❑ # Has permittee been free of public complaints in last 12 months? ❑ ❑ ❑ Has application occurred during Seasonal Restriction window? 0 ❑ ❑ ❑ Comment: Pathogen and Vector Attraction Yes No NA NE a. Fecal coliform SM 9221 E (Class A or B) ❑ ❑ 0 ❑ Class A, all test must be <1000 MPN/dry gram ❑ Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram ❑ Fecal coliform SM 9222 D (Class B only) ❑ ❑ ❑ Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram ❑ b. pH records for alkaline stabilization (Class A) ❑ ❑ ❑ c. pH records for alkaline stabilization (Class B) ❑ ❑ ❑ Temperature corrected d. Salmonella (Class A, all test must be < 3MPN/4 gram day) ❑ ❑ ❑ Page 3 of 5 Permit: WQ0003351 Owner - Facility: Town of Mocksville Inspection Date: 10/07/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine e. Time/Temp on: ❑ ❑ 0 ❑ Digester (MCRT) ❑ Compost ❑ Class A lime stabilization ❑ f. Volatile Solids Calculations ❑ ❑ 0 ❑ g. Bench -top Aerobic/Anaerobic digestion results ❑ ❑ 0 ❑ Comment: Per event calibration records were not available for review during this inspection. Treatment Yes No NA NE Check all that apply Aerobic Digestion ❑ Anaerobic Digestion ❑ Alkaline Pasteurization (Class A) ❑ Alkaline Stabilization (Class B) Compost ❑ Drying Beds ❑ Other ❑ Comment: Sampling Yes No NA NE Describe sampling: Samples collected from the digestor while air is on to ensure samples are representative. Is sampling adequate? ❑ ❑ ❑ Is sampling representative? 0 ❑ ❑ ❑ Comment: Transport Yes No NA NE Is a copy of the permit in the transport vehicle? 0 ❑ ❑ ❑ Is a copy of the spill control plan in the vehicle? ❑ ❑ ❑ Is the spill control plan satisfactory? ❑ ❑ ❑ Does transport vehicle appear to be maintained? 0 ❑ ❑ ❑ Comment: Land Application Site Yes No NA NE Is a copy of the permit on -site during application events? ❑ ❑ ❑ Is the application site in overall good condition? ❑ ❑ ❑ Is the site free of runoff/ponding? ❑ ❑ ❑ If present, is the application equipment in good operating condition? ❑ ❑ ❑ Are buffers being maintained? ❑ ❑ ❑ Page 4 of 5 Permit: WQ0003351 Owner - Facility: Town of Mocksville Inspection Date: 10/07/2020 Inspection Type: Compliance Evaluation Reason for Visit: Routine Are limiting slopes buffered? 10% for surface application ❑ ❑ 0 ❑ 18% for subsurface application ❑ ❑ 0 ❑ Are there access restrictions and/or signs? ❑ 0 ❑ ❑ Is the application site free of odors or vectors? 0 ❑ ❑ ❑ Have performance requirements for application method been met? For injection? ❑ ❑ 0 ❑ For incorporation? ❑ ❑ 0 ❑ Does permit require monitoring wells? ❑ ❑ 0 ❑ Have required MWs been installed? ❑ ❑ 0 ❑ Are MWs properly located w/ respect to RB and CB? ❑ ❑ 0 ❑ Are MWs properly constructed (including screened interval)? ❑ ❑ 0 ❑ Is the surrounding area served by public water? ❑ ❑ ❑ If Annual Report indicates overapplication of PAN, are wells nearby that may be impacted? ❑ ❑ 0 ❑ Are soil types consistent w/ Soil Scientist report/evaluation? ❑ ❑ ❑ Is the water table greater than 173' bls. ❑ ❑ ❑ Is application occurring at the time of the inspection? 0 ❑ ❑ ❑ Comment: Public access restrictions signage was not posted at the commencement, but was posted prior to the conclusion of the inspection. The O&M Plan was not maintained at the applicaiton site at the commencement of the event, however it was produced at the site prior to the conclusion of this inspection. Page 5 of 5 North Carolina Department of Environmental Quality Division of Water Resources Water Quality Section NON -DISCHARGE COMPLIANCE INSPECTION REPORT CLASS B RESIDUALS LAND APPLICATION General Information Facility Name: Town of Mocksville RLAP County: Davie Permit No.: W000 0003351 Permit Issuance Date: 01/08/2018 Owner: Marcus Abernethy, Town Manager - Town of Mocksville Permit Expiration Date: 12/31 /2022 Plant ORC Name: Roy Whitaker, EMA Telephone No.: 336 751-1441 LA ORC / Contract Company: Brent Collins, EMA Telephone No.: 336 751-1441 Other Contact(s): Telephone No.: Facility Location (address, gps or directions): 171 Clement Street Mocksville, NC Reason for Inspection ® ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT ❑ PERMITTING ❑ Other: Comments (attach additional pages as necessary) 2.1: residuals management program maintained and operated at all times so no discharge, nor any contravention to groundwater or surface water standards. 2.3: only residuals generated by facility listed in Attachment A are approved for land application in accordance with this permit. 2.4: only fields listed in Attachment B are approved for residuals land application. 2.5 Pollutant Concentration Limits: CPLR: Arsenic - 36; Cadmium - 34; Copper - 1338; Lead - 267; Mercury - 15; Moly - n/a; Nickel -374; Selenium - 89; Zinc - 2498 (pounds/acre) 2.6: Residuals shall meet Class B pathogen reduction requirements. Lime stabilization and alkaline stabilization. 2.7: Residuals shall meet Vector attraction reduction alternatives. 2.8 Setbacks for treatment/Storage: residence - 400'; P/L - 50'; Private/Pulic Water supply - 100'; surface water - 50'; wells - 100' 2.9 Setbacks for application sites: residence - 400'; P/L - 50` ROW - 50; Private/Public Water Supply - 100'; Surface Water - 100; Surface Water Diversion - 25; Rock Outcrops - 25; Swimming Pools - 100 2.10: Land application sites shall be clearly marked on each site prior to and during application Okay 2.12: When applied to pastures reduce PAN by 25% 2.13 If site to be over -seeded or double -cropped, then second crop can receive an application of PAN not to exceed 50 Ibs/acre/year. 2.14 Prior to application of residuals of SAR 10 or higher, Permittee shall obtain and implement recommendations from at least one of the following, Cooperative Extension Office, INC AGCS, NRCS, LSS, or agronomist. 2.15 CB - 250 L.F. from application boundary or 50 Win P/L 3.1 Program properly maintained and operated at all times. 3.2 WSRO shall be notified 48 hours in advance of operations on new site. 3.3 WSRO notified at least 24 hours in advance of operations. 3.4 O&M Plan: Operational Functions, Maintenance Schedules, Safety Measures, Spill Response Plan, Inspection Plan, Sampling/monitoring plan. 3.6 During application a copy of permit and O&M Plan shall be maintained on -site. Not present at commencement (o&m) 3.7 Spill plan maintained in all transport/application vehicles during event. 3.8 Residuals not stored on any land app site w/o written approval from Division. 3.9 measure to prevent wind erosion, surface runoff? 3.10 vegetative cover maintained? 3.11 No application when: prolonged nuisance conditions; land fails to assimilate; land is flooded, frozen, etc; w/in 100-year FP unless incorporated w/in 24- hour period; during rain measurabel rain event; w/in 24-hours of 0.5" rain event; if slope >10%; vertical separation btw SHWT<12"; in excess of agronomic rates. 3.12 Public access restricted: a. pbulic site - 365 days ; b. non-public sites - 30-days post event. 3.13 public access controls shall include posting of signes with a minimum of 3 square feet. Include permit #, name and contact info.; activities being conducted; Posted in clearly visible and conspicuos manner at entrance to si day field Public access not present at commencement 3.14 Grazing resrictions: animals - 30-days post event........ 3.16 No applicaiton w/o valid LOA 4.2 TCLP (1/yr)? 4.3 RSSF (1/yr)? Yes 4.5 SSFA? Ok 4.6 Lab analyses performed on residuals as they are appliyt6% 4.7 Records tracking all application events? 5.2 Inspection records for storage, transport, and applicaiton facilities to identify malfunctions, facility detoriation, and operator errors. Preventative maintenance, repairs, corrective actions. Is a follow-up inspection necessary? ❑ Yes Primary Inspector: Justin Henderson ❑ No Secondary Inspector: Date of Inspection: 10/06/2020 Entry Time: 10:00am Exit Time: 1 1 :50am Non -Discharge Compliance Inspection Report Residuals Generating Facility Was the residuals generating facility inspected? [/Yes ❑ No Residuals Storage: Describe storage: Digestor—225,000 gal provides 60-70 days btw events. Number of days/weeks/months of storage: Residuals Sampling: Is sampling adequate and representative? Describe Sampling (Pathogens, VAR, Nutrients/Metals, TCLP): Y N NA NE Taken from digestor with air on to ensuwrepres`ennlative ❑ ❑ Transport Vehicle: Y N NA NE Is transport occurring at time of inspection? ® ❑ ❑ ❑ Are necessary records (i.e. permit & spill plan) present in vehicle? ID of observed vehicle(s): ❑ ® ❑ ❑ Record Keeping and Reporting Information: Y N NA NE Is current permit and prior annual reports available upon request? ® ❑ ❑ ❑ Has the facility been free of public complaints for the last 12 months? ® ❑ ❑ ❑ TCLP analysis conducted and results available? Frequency? ® 1/yr or ❑ 1/permit cycle ® ❑ ❑ ❑ Residuals metals and nutrient analysis conducted? Frequency? 1 /yr (See permit for frequency) [Z ❑ ❑ ❑ Nutrient and metals loading calculations? (to determine most limiting parameter) ® ❑ ❑ ❑ Do lab sheets support data reported on Residuals Analysis Summary? ® ❑ ❑ ❑ Are PAN balance records available and within permit limits? ® ❑ ❑ ❑ Are there nutrient (crop) removal practices in place? ® ❑ ❑ ❑ Are hauling records available? (gal and/or tons hauled during calendar year to date) ® ❑ ❑ ❑ Are field loading records available? ® ❑ ❑ ❑ Are field inspections conducted and are records available? ® ❑ ❑ ❑ Are soil sample results available? Mk 05 field 1 ® ❑ ❑ ❑ Did soil results call for lime amendment? If so, are there records of application? ❑ ® ® ❑ Soil results indicate that Cu & Zn indices are <3,000 (ideally <2,000)? ® ❑ ❑ ❑ Soil results indicate Na <0.5 meq/100 cm3, and Exchangeable Sodium Percentage (ESP) <15%? ® ❑ ❑ ❑ Does the permit require groundwater monitoring? ❑ Are groundwater lab results present? ❑ ® ❑ ❑ There are no 2L GW standard violations indicated in the lab results? ® ❑ ❑ ❑ Pathogen and Vector Attraction Reduction Records Pathogen Reduction: Which Alternative was used to demonstrate compliance? Y N NA NE ❑ Alternative 1 Fecal Coliform Density. Were 7 samples collected and geometric mean <2 million mpn/cfu? ❑ ❑ ® ❑ ❑ Alternative 2 Process to Significantly Reduce Pathogens (5 options) ❑ Alternative 3 Use of Equivalent to RSRP (Not commonly used -See White House Manual) If Alternative 2 was used, select which Option was utilized and complete the section below. ❑ Option 1 - Aerobic Digestion Y N NA NE Are logs present showing time and temperature? ❑ ❑ ® ❑ Was the time & temp. between 40 days at 68°F (20°C) and 60 days at 59' F (15°C)? ❑ ❑ ® ❑ ❑ Option 2 - Air Drying ❑ Option 3 - Anaerobic Digestion Are logs present showing time and temperature? ❑ ❑ ® ❑ Was the time & temp. between 15 days at 95' F — 131' F (35°-55° C) and 60 days at >68' F (20' C)? ❑ ❑ ® ❑ ❑ Option 4 — Composting (Not commonly used - See White House Manual) ® Option 5 - Lime Stabilization Are logs present showing time and temperature? ® ❑ ❑ ❑ Was the pH raised to >12 after two hrs of contact? ® ❑ ❑ ❑ Was the temperature corrected to 25' C (77' F) (by calculation, NOT auto correct)? ® ❑ ❑ ❑ Page 2 of 4 Non -Discharge Compliance Inspection Report Vector Attraction Reduction: Select which Option was used to demonstrate compliance and complete answer associated questions. ❑ Option 1 - 38% Volatile Solids Reduction Y N NA NE Are lab results and calculations present? ❑ ❑ ® ❑ Was the reduction on volatile solids (not total solids)? ❑ ❑ ® ❑ Were samples collected at correct locations? ❑ ❑ ® ❑ (beginning of digestion process & before land application) Was there a >38% reduction? ❑ ❑ ® ❑ ❑ Option 2 - 40-Day Bench Scale Test Y N NA NE Were residuals from an anaerobic digester with average temp. 30°C — 40°C? ❑ ❑ ® ❑ Are lab results and calculations present? ❑ ❑ ® ❑ Was the test anaerobically digested in lab, and test run for 40 days? ❑ ❑ ® ❑ Was the lab bench -scale test done between 30°C (86°F) and 37°C (99°F)? ❑ ❑ ® ❑ Was the reduction of on volatile solids (not total solids)? ❑ ❑ ® ❑ Was the reduction less than 17%? ❑ ❑ ® ❑ ❑ Option 3 - 30-Day Bench Scale Test Y N NA NE Were residuals from aerobic digestion? ❑ ❑ ® ❑ Are lab results and calculations present? ❑ ❑ ® ❑ Were residuals 2% or less total solids? ❑ ❑ ® ❑ If not 2% total solids, was the test ran on a sample diluted to 2% with unchlorinated effluent? ❑ ❑ ® ❑ Was the test run for 30 days? ❑ ❑ ® ❑ Was the test done at 20°C (68°F)? ❑ ❑ ® ❑ Was the reduction of on volatile solids (not total solids)? ❑ ❑ ® ❑ Was the reduction less than 15%? ❑ ❑ ® ❑ ❑ Option 4 - Specific Oxygen Uptake Rate (SOUR Test) Y N NA NE Were residuals from aerobic digestion? ❑ ❑ ® ❑ Were residuals <2% total solids (dry weight basis) (not diluted)? ❑ ❑ ® ❑ Was the test done between 10°C (50°F) and 30°C (86°F)? ❑ ❑ ® ❑ Was the temperature corrected to 20°C (68°F)? ❑ ❑ ® ❑ Was the sampling holding time <2 hours? ❑ ❑ ® ❑ Was the test started within 15 minutes of sampling or aeration maintained? ❑ ❑ ® ❑ Was the SOUR equal to or less than 1.5 mg of oxygen per hour per gram of total residual solids (dry weight basis)? ❑ ❑ ® ❑ ❑ Option 5 - 14-Day Aerobic Process Y N NA NE Were the residuals from aerobic digestion? ❑ ❑ ® ❑ Was the average residuals temperature higher than 45°C (113°F)? ❑ ❑ ® ❑ Were the residuals treated for 14 days and temperature maintained higher than 40°C (104°F) for the 14-day period? ❑ ❑ ® ❑ ❑ Option 6 - Alkaline Stabilization Y N NA NE Was the pH of the residuals raised to > 12 and maintained for two hours without addition of more alkali? ® ❑ ❑ ❑ Did the pH of residuals remain at > 11.5 an additional twenty-two hours (i.e. 24 hours total) without the addition of more alkali? ® ❑ ❑ ❑ Was the pH corrected to 25°C (77°F) (by calculation, NOT auto correct)? ❑ ❑ ❑ ❑ ❑ Option 7 - Drying of Stabilized Residuals Y N NA NE The residuals do not contain unstabilized residuals? ❑ ❑ ® ❑ Were the residuals mixed with any other materials? ❑ ❑ ® ❑ Were the residuals dried >75% total solids? ❑ ❑ ® ❑ ❑ Option 8 - Drying of Unstabilized Residuals Y N NA NE Were the residuals mixed with any other materials? ❑ ❑ ® ❑ Were the residuals dried >90% total solids? ❑ ❑ ® ❑ ❑ Option 9/10 — Injection/ Incorporation of Residuals (Not commonly used - See White House Manual) Page 3 of 4 Non -Discharge Compliance Inspection Report Land Application Site(s) Were application site(s) inspected? If so, please list Site ID(s) below. Application Site ID(s): ® Yes ❑ No Is application occurring at the time of inspection? ® Yes ❑ No If no, note the date of the last event: Was the Division notified of the application event(s)? ® Yes ❑ No Weather Conditions: ® Sunny ❑ Partly Cloudy ❑ Cloudy ❑ Overcast ❑ Stormy ❑ Windy (wind direction: ) ❑ Breeze ❑ Calm ® No Precipitation ❑ Drizzle ❑ Rain ❑ Cloudburst (If applicable, precipitation measurement: Is there a rain gaugeonsite? ❑Yes El No Sunny —70 degrees during inspection w/forecaste Weather Notes (i.e. Significant Changes, Forecasts, etc): Temp. (° F): ❑ <32 ❑ 32 — 40 ❑ 40 — 60 ® 60 — 80 ❑ >80 Permit and Spill Plan onsite during application? I_1 of ❑ Yes ❑ No V Liquid ❑ Cake ❑ Other Application Site —Field ID(s): .... ' Intended Crop: Fescue PAN Rut lbs/ac Application Rate (gallrT�U��E_ Gb Nutrient Content: Application occurring at time of visit: ❑ Yes ❑ No Application Method: ® Surface ❑ Incorp/Injection Incorporation/hijection during visit: ❑ Yes ❑ No ® N/A Vegetative Buffer description: ❑None ®Grass ❑Crop ❑ Shrub ❑Tree ❑ Other Current Field Conditions: Hay fescue ❑ Bare ❑ Stubble ❑ Planted cro El Pasture Soil Condition: ® Dry ❑ Moist ❑ Wet ❑ Saturated ® Not -Frozen ❑ Frost ❑ Frozen ❑ Snow -Covered Slope: ❑ 0-3% ® 3-6% ❑ 6-10% ❑ 10-18% ❑ >18% Odor: ® None ❑ Mild ❑ Moderate ❑ Strong Vectors: ® None ❑ Few ❑ Many ❑ Excessive Application Site —Field ID(s): Intended Crop: _ PAN Requirement: lbs/ac Application Rate (gallons/acre): Nutrient Content: Application occurring at time of visit: ❑ Yes ❑ No Application Method: ❑ Surface ❑ Incorp/Injection Incorporation/Injection during visit: ❑ Yes ❑ No ❑ N/A Vegetative Buffer description: ❑None ❑Grass ❑Crop ❑ Shrub ❑Tree ❑ Other Current Field Conditions: ❑ Bare ❑ Stubble ❑ Planted cro ❑ Pasture Soil Condition: ❑ Dry ❑ Moist ❑ Wet ❑ Saturated ❑ Not -Frozen ❑ Frost ❑ Frozen ❑ Snow -Covered Slope: ❑ 0-3% ❑ 3-6% ❑ 6-10% ❑ 10-18% ❑ >18% Odor: ❑ None ❑ Mild ❑ Moderate ❑ Strong Vectors: ❑ None ❑ Few ❑ Many ❑ Excessive Application Details: Y N NA NE Application Details: Y N NA NE Application areas clearly marked? ® ❑ ❑ ❑ Application areas clearly marked? ❑ ❑ ❑ ❑ Application within authorized area? ® ❑ ❑ ❑ Application within authorized area? ❑ ❑ ❑ ❑ Application method appropriate? ❑ ❑ ❑ ❑ Application method appropriate? ❑ ❑ ❑ ❑ Application is even (no ponding)? ® ❑ ❑ ❑ Application is even (no ponding)? ❑ ❑ ❑ ❑ Sufficient setbacks from wells/residences? ® ❑ ❑ ❑ Sufficient setbacks from wells/residences? ❑ ❑ ❑ ❑ Sufficient setbacks from surface waters? ® ❑ ❑ ❑ Sufficient setbacks from surface waters? ❑ ❑ ❑ ❑ Slopes >10% avoided (Surface App.) ? ® ❑ ❑ ❑ Slopes >10% avoided (Surface App.) ? ❑ ❑ ❑ ❑ Slopes >18% avoided (Incorp/Inject) ? ® ❑ ❑ ❑ Slopes >18% avoided (Incorp/Inject) ? ❑ ❑ ❑ ❑ Incorp./hijection within time -frame? ❑ ❑ ® ❑ Incorp./Injection within time -frame? ❑ ❑ ❑ ❑ Biosolids visible on surface? ® ❑ ❑ ❑ Biosolids visible on surface? ❑ ❑ ❑ ❑ Site Restrictions Y N NA NE Site Restrictions Y N NA NE Public access is restricted / Signage present? ❑ ® ❑ ❑ Public access is restricted / Signage present? ❑ ❑ ❑ ❑ Grazing restrictions are met? ❑ ❑ ® ❑ Grazing restrictions are met? ❑ ❑ ❑ ❑ Transfer of biosolids is in permitted area? ® ❑ ❑ ❑ Transfer of biosolids is in permitted area? ❑ ❑ ❑ ❑ No evidence of shallow GW? ❑ ❑ ❑ ® No evidence of shallow GW? ❑ ❑ ❑ ❑ Sufficient timing for harvest restrictions? ® ❑ ❑ ❑ Sufficient timing for harvest restrictions? ❑ ❑ ❑ ❑ Off Site Transport Y N NA NE Off Site Transport Y N NA NE Tracking is prevented? ❑ ❑ ❑ ❑ Tracking is prevented? ❑ ❑ ❑ ❑ Biosolids run-off is prevented? ® ❑ ❑ ❑ Biosolids run-off is prevented? ❑ ❑ ❑ ❑ Windblown biosolids prevented? a ❑ ❑ ❑ Windblown biosolids prevented? ❑ ❑ ❑ ❑ Vegetative buffers exist? V ❑ ❑ ❑ I Vegetative buffers exist? ❑ ❑ ❑ ❑ Page 4 of 4 PH calibration records were not available