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HomeMy WebLinkAboutWQ0000430_Regional Office Historical File Pre 2018f..l Water Resources ENVIRONMENTAL QUALITY - April 24, 2017 LARRY WRIGHT — PLANT SUPERVISOR / ORC CITY OF CHERRYVILLE 116 SOUTH MOUNTAIN STREET CHERRYVILLE, NORTH CAROLINA 28021 Dear.Mr. Wright: ROY COOPER Governor MICHAEL S..REGAN Secretary S. JAY ZIMMERMAN Director Subject: Attachment B Certification Permit No. WQ0000430 City of Cherryville RLAP Gaston County Inaccordancewith your permit modification request received January 12, 2017, and subsequent additional information received: March 3, 2017 and April 4, 2017, we are forwarding herewith modified Attachment B, certified;April 24, 2017 to the City of Cherryville for the subject residuals program. This certification is being issued to modify Attachment B by: Addition of three fields in Lincoln County totaling 39.7 acres, those fields being NC-LT-107-01 to -03. This modified-Attachment.B shall be effective from the date of certification until July 31, 2020 (i.e. expiration date of the current permit), shall void Attachment B of Permit No. WQ0000430 that was previously certified -on April 24, 2015, and shall be subject to the conditions and limitations as specified therein as well as those specified in the above -referenced permit. Please replace the Attachment B of Permit No. WQ0000430 that was issued on April 24, 2015 with this modified Attachment B. Please note that only the maps for any new residuals -generating sources and/or land- application sites are attached to this letter. It is the Permittee's responsibility to ensure that a complete permit is created by inserting these documents into the. previously issued permit. If any parts, requirements,: and/or limitations contained in this certification or modified Attachment B are unacceptable, you have the right to request an.adjudicatory hearing upon written request within 30 days following receipt.ofthe certification. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes and filed with.the Office of Administrative Hearings at 6714 Mail Service Center; Raleigh; North Carolina 27699-6714. Unless such demands are made, this permit:shall be final and binding. .--- -Nothing Compares--, State of North Carolina Environmental Quality I Water Resources I Water Quality Permitting Non -Discharge Permitting 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6332 " ;/ ss�'' * Ff � • f ,f,rF , fo'f.�"�l %��� �*� ��/�a6i, *,'�S '� �, � k. A. 144:1 ',e �y, f•�' ^ d .` !w %a .. .` � �� ` , ��.,a ; _mow s; JC _-"ff ! /s r ': .. r r ✓ /`°g ," �,s rb Ja• t•.� •. �r ' a,y `•e r. { F E` rrt/. f�. �• ! ��� r a d�ifv`�v.s.r a * 4�✓/r`i sr fri '�,,^r-��. i ✓d• f ,t��,,p°��, p✓i J,39 el; �^• ✓d i f r`i'°" •> :s,0'�� �`. ,^ l.::ap^ 4f:e - �_� ,.'ri x ! .' rr �tlr •%f '� + 'J`jf,!"rA �. •jfs p .f f! .frf p•." ,ew a�{. if rd •'/,� y • f'rf 'J%A' - , ' ` ,F ° �. i f/r jr •>r f'� i'F��.t � � r " sdf 1 6� � /�V r �" c. � ' ' ,lei � � r o /e s' ♦ � � t � 0 f% s'f. '+ >t b.% �tPs'�I'i ♦ iJ ^" � f' '�� " r % �• i = l" •� 177 �' °<��✓J" �!s'a,F Efi' %ffrd fa n 1104 f . ;°•9l Grp ri r�x,.. `/f , f �•„'ft :i��' y ' : /aila`/i /f ff 7, � i� C , `l t d` �J fs rs./�is ffi!s%� f , f • •� • � } s r>�` J `sfle'-'fif a�� f�f`'s�'p�'`✓ff"����*%` r� .y .� # t�^MD - �5 +. � fJ %i�i" �J c�� �F •i ,rJ��' f� N4 f Aw-�'`sSa�;i. Figure 1 Legend ? irrr:h = 960 feat iaca.fons dpU(U)C'�,njfPj --�� Stiearn OnSibiHcwso izN MIteWeil The complDeneatwunduyinWatltt6hedat el0ler250 feet num the rnrduurs eppr=fioit —E)1'a:rc ■ 0tP$iteHou5a SaDwc6ption arum nr90femwiltnlnthe pro pertyooundoiq, _ whichworis elosisttethe apprteatton are,. Appllootloaftea j Ou:oulding Urmulteble rnK cm, review himadwy is btistted rntdwayr between the cotnp iancc truundaryand the 0 Propertyl..ino 'V, Ongltyep pertmeterottnerellutFappnucanurca. Fact Sited NC.LT-12 f o 16032fe 640 960 ,2P mot_—.ew. I Figure 2 -- Stream [=.PropertyUne OnSitalhlell ^ Drdlr ■ OnSitaHcuss off8l!eVs�ll x—y.- Fence ■ offsaeHouple E, s� ... SeilDescriptltut Appilcat'o1Vi�ea i l Jratbul;dln Unsuitable S*. NC-LT-124 (aft foca��rrsapraw:r!mafs) The wng noe baurtdsry ra ustabUrhed at v';hrula kctframtheriza.Mm h.dpplloadon arcs or :0 fcr: within tllc propwv boundary, vddchevar re cWest to the appUsa6aa area. Thn-ia%-D6iv %Wndeey hi tsstW shed mf&ivy brhvean thr.canpliarrra barmdary anit tha pertmater of the raalomw dpErlentrpn arm. FW 0 160320 040 850, 1,260 1;ECEIVED/NCDENR1DWR - *-A . APR 2 i 2015 North Carolina Department of Environment and Natural Resource?vQROS MOORESVILLE REGIONAL OFFICE Pat McCrory Donald R. van der Vaart Governor Secretary April 24, 2015 .Mr. Larry Wright -- Plant Supervisor/ORC City of Cherryville 116 South Mountain Street Cherryville, NC 2802.1. Subject: Permit No. WQ0000430 City of Cherryville Residuals Land Application Program Residuals Management System Gaston County Dear Mr. Wright: In accordance with your permit renewal request received March 2, 2015, we are forwarding herewith Permit No. WQ0000430 dated April 24, 2015, to the City of Cherryville for the continued operation of the subject residuals management program. .Please note that .this renewed permit shall become effective on August 1, 2015 (i.e. the day after the expiration date of the existing permit), which differs from the date of this letter. This permit shall be effective from August 1, 2015; until July 31., 2020, shall void Permit No. WQ0000430 issued June 12, 2012, and shall be subject to the conditions and limitations as specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A and B for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. Please note the following permit conditions have been removed since the last permit issuance dated June 12, 2012: 1. Condition 1.2: Permittee is in compliance with notification of regional office. 2. Condition I.3: Permittee is in compliance with signage requirements. Please note the following permit conditions are new since the last permit issuance dated June 12, 2012: 1. Condition II.6: Residuals that are land applied. shall meet Class B pathogen reduction requirements. If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written. request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and .filed with the Office of Administrative Hearings at 6714 Mail Service Center, .Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-64641 Internet: hUp:l/portal.ncdennoralwebhvo An Equal Opportunity (Affirmative Action Employer— Made in part with recycled paper Mr. Lary Wright April 24, N45 - Pdge 2 of 2 If you need additional information concerning this permit, please contact Troy Doby at (919) 807-633 6or irby.doby@ncdenr.gov. Sincerely, �V . Ja inDirector Y > Division of Water Resources cc: Gaston County Health Department [curtis.hopper@co.gaston.nc.us] (Electronic Copy) Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy) Eric Thompson, LSS — Synagro Central, LLC [ethompsorr@synagro.com] (Electronic Copy) Marshall Puryear — Synagro Central, LLC [mpuryear@synagro.com] V Beth Buffington — Protection and Enforcement Branch (Electronic Copy) Digital .Permit Archive (Electronic Copy) Central Files RECEIVEDINCDENR/DWR APR 2 i 2015 NORTH CAROLINA WQROS ENVIRONMENTAL MANAGEMENT COMMISSIONrtOORESVILLE REGIONAL OFFICE DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH LAND APPLICATION OF CLASS B RESIDUAL SOLIDS PERMIT (NON -DEDICATED) In accordance with the provisions of Article 21 of Chapter 1.43, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO City of Cherryville Gaston County FOR THE continued operation of a residuals management program for City of Chenyville and consisting of the land application of Class B residual solids generated by the approved facilities listed in Attachment A to the approved sites listed in Attachment I3 with no discharge of wastes to surface waters, pursuant to the application received March 2, 2015, and in conformity with other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. The use and disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does not exempt the Permittee from complying with the federal regulations. This permit shall be effective from August 1, 2015, until July 31, 2020, shall void Permit No. NVQ0000430 issued June 12, 2012, and shall be subject to the following specified conditions and limitations. I. SCHEDULES No later than six months prior to the expiration of this permit, the Permittee shall request renewal of this permit on official Division .forms. Upon receipt of the request, the Division will review the adequacy of the facilities described therein, and if warranted, will renew the permit for such period of time and under such conditions and .limitations as it may deem appropriate. Please note Rule 15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application. [15A NCAC 02T .0108(b)(2), 02T .105(d), 02T ,0109] 11. PERFORMANCE STANDARDS I. The subject residuals management program shall be effectively maintained and operated at all times so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease land applying residuals to the site, contact the Mooresville Regional Office supervisor, and take any immediate corrective actions., [G.S. 143-215.1] WQ0000430 Version 3.0 Shell Version 150101 Page 1 of 12 2. This permit shall not relieve the Permittee of responsibility for damages to groundwater or surface water resulting from the operation of this residuals management program. [15A NCAC 02B .0200, 02L .0100] 3. Only residuals generated by the facilities listed in Attachment A are approved for land application in. accordance with this permit. [G.S. 143-2.15.1] 4. Only the sites listed in Attachment B are approved for residuals land application. [G.S. 143-215.1] 5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant Loading Rates (CPLRs): Parameter Ceiling Concentration (milligrams per kilogram) -CPLR (pounds per acre) Arsenic 75 36 Cadmium 85 �4,300 34 Copper 1,338 Lead 840 267 Mercury 57 15 Molybdenum 75 n/a Nickel. 420 374 Selenium 100 89 Zinc 7,.500 2,498 The Permittee shall determine compliance with the CPLRs using one of the following methods: a. By calculating the existing cumulative level of pollutants using actual analytical data from all historical land application events of residuals, or b. For land where residuals application have not occurredor for which the required data is incomplete, by determining background concentrations through representative soil sampling. [15A NCAC 02T .1105] 6. Residuals that are land applied shall meet Class B pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c). Exceptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1106] 7. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A) that are land applied shall meet one of the vector attraction reduction alternatives in 1.5A NCAC 02T .1107(a). Exceptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1107] WQ0000430 Version 3.0 Shell Version 150101 Page 2 of 12 8. Setbacks for treatment and storage facilities shall be as follows: Setback Description Setback feet Habitable residence or place of public assembly under separate ownership or not 100 to be maintained as part of the prqject site .Property lines 50 Private or public water supply _ 100, Surface waters (streams — intermittent and perennial, pererinial.waterbodies, and 50 i wetlands) Wells with exception to monitoring wells _ 100 [I5A NCAC 02T .1108] 9. Setbacks for Class B land application sites shall be as follows: Setback by application type (feet) Setback Description Vehicular Irrigation Surface Surface Injection / Application Application Incorporation Habitable residence or place of public assembly under separate ownership or not to be maintained as 400 400 200 art of the ploject site Habitable residence or places of public assembly _ owned by the Permittee, the owner of the land, or the lessee/operator of the land to be maintained as part 0 200 0 of the prpj ect site Property lines 50 150 50 Public -right of way 50 50 50. Private or public water supply 100 100 100 Surface waters (streams — intennittent and perennial, perennial waterbodies, and wetlands) 100 100 50 Surface water diversions (ephemeral. streams, waterways, ditches) 25 100 25 Groundwater lowering ditches (where the bottom of the ditch intersects the SHWT) 25 100 25 Subsurface groundwater lowering system 0 100 0 Wells with exception to monitoring wells 100 100 100 Bedrock outcrops 25 25 25 Top of slope of embankments or cuts of two feet or 15 more in vertical height 15 .15 Building foundations or basements 0 15 0 Water lines 0 10 0 Swimming pools 100 100 too Nitrification fields 0 20 0 [I5A NCAC 02T .1108) WQ0000430 Version 3.0 Shell Version 150101 Page 3 of 12 10. Land application areas shall be clearly marked on each site prior to and during any residuals application event. [15A NCAC 02T .0108(b)(1)] 11. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in. exceedance of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the following methods: a. Division's pre -approved site specific historical data for specific crop or soil types by calculating the mean of the best three yields of the last five consecutive crop hat -vests for each field. b. North Carolina Historical :Data for specific crop and soil types as provided by North Carolina State University Department of Soil Science ht://nittrients.soil.nesu.edu/vields/index. h ). A copy shall be kept on file and reprinted every five years in accordance with. Condition. IV.5. c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE and appropriate nutrient application rates reported in any of the following documents: i. Crop management plan as outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. ii. Waste Utilization Plan as outlined by the Senate Bill 1.217 .Interagency Group - Guidance Document: Chapter 1 (hitp://www.neagr.gov/SWC/tech/docLunents/9th Guidance Doc 100109 pdfl. iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation Services (NRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards(ftp•//fti)-fc.se.egov.usda.gov/NHO/practice-standards/standards/590.pdf). d. If the RYE and appropriate nutrient application rates cannot be determined, the Pennittee shall contact the Division to determine necessary action. [I 5A NCAC 02T .I 109(b)(1)(k)] 12. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by 25% in accordance with the USDA-NRCS 590 Nutrient Management Standards. [15A NCAC 02T .0108(b)(1)] 13. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer and rye grass in the winter with both crops to receive residuals), then the second crop can receive an application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. [15A NCAC 02T .0108(b)(1)] 14. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the Permittee shall obtain and implement recommendations from at least one of the following: 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. 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. The Permittee shall maintain written records of these recommendations and details of their implementation. [15A NCAC 02T .0108(b)(1)] WQ0000430 Version 3.0 Shell Version 150101 Page 4 of 12 On 15. These residuals land application sites were individually permitted on or after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from the residual land application area, or 50 feet within the property boundary, whichever is closest to the residual land. application area. An exceedance of groundwater standards at or beyond the compliance .boundary is subject to remediation action according to 1.5A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B. [15A NCAC' 02L .0107(a)] 16. The review boundary shall be established midway between the compliance boundary and the residual land application area. Any exceedance of groundwater standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02L .0108] OPERA.TIOIN AND MAINTENANCE REMMEMENTS 1. The residuals management program shall be properly maintained and operated at all times. The program shall be effectively maintained and operated as a non -discharge system to prevent any contravention of surface water or groundwater standards. [15A NCAC 02T .1.1101 2. The Mooresville Regional Office, telephone number (704) 663-1699, and the appropriate local goverment official (i.e., county manager, city manager, or health director) shall be notified at least 48 hours prior to the initial residuals land application to any new land application site. Notification to the regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. [15A NCAC 02T .0108(b)(1)] 3. The Mooresville Regional Office shall be notified via email or telephone, (704) 663-1699, at least 24 hours prior to conducting any land application activity. Such notification shall indicate, at a minimum, the anticipated application times, field IDs, and location of land application activities. If it becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be notified prior to commencing the application to those fields. [15A NCAC 02T .0108(b)(1)] 4. The Permittee shall maintain an approved Operation and Maintenance Plan. (O&M Plan) Modifications to the O&M Plan shall be approved by the Division prior to utilization of the new plan. The O&M Plan, at the minimum, shall include: a. Operational functions; b. Maintenance schedules; c. Safety measures; d. Spill response plan; e. f. Inspection plan including the i. Names and/or titles of pe ii. Frequency and location procedures to assure that of the residuals managen iii. Detailed description of taken by the inspector noncompliance notificat permit; Sampling and monitoring pla i. Names and/or titles of pc ii. Detailed description of n the ORC, and representative id actions to be pursuant to the ig section of the monitoring; parameters to be monitored; WQ0000430 Version 3.0 Shell Version 150101 Page 5 of 12 iii. 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). [15A NCAC 02T .1100] Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC) classification of the facility, the Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with 15A NCAC 08G .0201. The ORC or his back-up shall visit the facilities in accordance with 15A NCAC 08G. 0204, or as specified in the most recently approved. O&M plan (i.e., see Condition III. 4.), and shall comply with all other conditions of 1.5A NCAC 08G. 0204. For more information regarding classification and designation requirements, please contact the Division of Water Resources' Protection and Enforcement Branch at (919) 707-9105. [15A NCAC 02T .0117] 6. When the Permittee land applies bulk residuals, a copy of this permit and a copy of O&M Plan shall be maintained at the land application sites during land application activities. [15A NCAC 02T .0108(b)(I )] 7. When the Permittee transports or land applies bulk residuals, the spill control provisions shall be maintained in all residuals transport and application vehicles. [ 15A NCAC 02T .1.11.0] 8. Residuals shall not be stored at any land application site, unless written approval .has been requested and received from the Division. [G.S. 143-215.1] 9. When the Permittee land applies bulk residuals, adequate measures shall be taken to prevent wind erosion and surface runoff from conveying residuals from the land application sites onto adjacent properties or into surface waters. [G.S. 143-215.1] 10. When the Permittee land applies bulk residuals, a suitable vegetative cover shall be maintained on land application sites onto which residuals are applied, or application shall be in accordance with the crop management plan outlined by the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or an agronomist and as approved by the Division. [15A NCAC 02T .1.109(b)(1)] 11. Bulk residuals shall not be land applied, under the following conditions: a. if the residuals are likely to adversely affect a threatened or endangered species listed under section 4 of the Endangered Species Act or its designated critical habitat; b. If the application causes prolonged nuisance conditions; c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface water or groundwater standards; d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of the residuals would occur; e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within a 24-hour period following a residuals land application event; f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period; WQ0000430 Version 3.0 Shell Version 150101 Page 6 of 12 g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than 18% for injected or incorporated. bulk liquid residuals; h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved variations to the acceptable soil p.H (6.0) will be noted in this permit; L If the land does not have an established vegetative cover unless the residuals are incorporated or injected within a 24-hour period following a residuals land application event. Any field that is in a USDA no -till program shall be exempted from meeting this vegetative cover requirement; j. If the vertical separation between the seasonal high water table and the depth of residuals application is less than one foot; k. If the vertical separation of bedrock and the depth of residuals application is less than one foot; 1. Application exceeds agronomic rates. [I 5A NCAC 02T .1109] 12. The following public access restrictions apply to residual land. application sites: a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted for 365 days after a residuals land application event; b. Public access to non-public contact sites shall be restricted. for 30 days after a residuals land. application event. [15A NCAC 02T .I 109(b)(2)] 13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g., 1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and name and contact information, including the Permittee or applicator's telephone number. Signs shall be posted in a clearly visible and conspicuous manner at the entrance to each land application site daring a land application event, and for as long as the public access restrictions required under Condition 11I.12. apply. [15ANCAC 02T ,0108(b)(1)] 14. The following harvesting and grazing restrictions apply to residual land application sites after each land application event: Harvesting and Grazing. Description Restricted Duratioat Animals shall not be allowed to graze during land application activities and restricted period. Sites that are to be used for grazing shall have fencing to 30 days prevent access after each land application event. Food crops, feed crops and fiber crops shall not be harvested for: 30 days Turf grown on land where residuals have been applied shall not be harvested for: 12 months Food crops with harvested parts that touch the residual/soil mixture and are totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.) 14 months shall not be harvested for: When the residuals remain on the land surface for four months or longer prior to incorporation into the soil, food crops with harvested parts below the land surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be 20 months harvested for: When the residuals remain on the land surface for less than four months prior to incorporation into the soil, food crops with harvested parts below the land 38 months surface shall not be harvested for: [15A NCAC 02T .1.109(b)(3)] WQ0000430 Version 3.0 SheIl Version 1.501.01 Page 7 of 12 15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume of other nutrient sources (i..e., manufactured fertilizers, manures, or other animal waste products) that have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those operations where a NMP is required by the US Department of Agriculture -National Resources Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable nutrient loading rates based on the provided information and use appropriate reductions. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient Management Plan. [15A NCAC 02T .01.08(b)(l), 02T ..1104(c)(4)] 16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA) between the Pennittee and landowners or lessees/operators of the land application site is in full force and effect. These agreements shall be considered expired concurrent with the permit expiration date, and shall be renewed during the permit renewal process. [ 15A NCAC 02T .1104(c)(4)] IV. -MONITORING AND REPORTING REQUIREMENTS 1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses) necessary to ensure groundwater and surface water protection shall be established, and an acceptable sample reporting schedule shall be followed. [15A NCAC 02T .0108(c)] 2. Residuals shall be analyzed to demonstrate they are non -hazardous under. the Resource Conservation and Recovery Act (RCRA). Residuals that tests or is classified as a hazardous or toxic waste under. 40 CFR Part 261 shall not be used or disposed under this permit. The analyses [corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)] shall be performed at the frequency specified in Attachment A, and the Permittee shall maintain these results for a minimum of five years. Any exceptions from the requirements in this condition shall. be specified in Attachment A. The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter is in parentheses); Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroethane (0.5) Pentachlorophe.nol (100.0) Benzene (0.5) 1, 1 -Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.1,3) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0)� Chlordane (0.03) Hexachlorobenzene (0.1.3) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene {0.5} Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-1'richlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) [15A NCAC 13A .0102(b), 02T ..1101, 02T .1105] WQ0000430 Version 3.0 SheIl Version 150101 Page 8 of 12 3. An analysis shall be conducted on residuals from each source generating facility at the frequency specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years. The analysis shall include the following parameters: Aluminum Mercury Potassium Ammonia -Nitrogen Molybdenum Selenium __._ Arsenic Nickel Sodium _._.. Cadmium _ Nitrate -Nitrite Nitrogen Sodium Adsorption Ratio _........ (SA Calcium Percent Total Solids TKN Copper pH Zinc Lead Phosphorus Magnesium Plant Available Nitrogen (by calculation) [ 15A NCAC 02T .1101] 4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction requirements at the frequency specified in Attachment A. and at the time indicated in the sampling and monitoring sections of the approved O&M plan. The required data shall be specific to the stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirement in 15A NCAC 02T .1.107 (a) shall be met. Any exceptions from the requirements in this condition shall be specified in Attachment A. [1.5A NCAC 02T .1106, 02T .1107, 02T .l.l 11(c)] An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site listed in. Attachment B on which a residuals land application event will occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil Sampling" located in the Sampling Instructions section of the NC Department of Agriculture & Consumer Services' website htt://Nvwxv.ncagr.gov/agronomi/pubs.btm). The .Pennittee shall maintain these results and a description of the sampling methodologies used to determine soil fertility for a period of no less than five years, and shall be made available to the Division upon request. At a minimum, the Standard Soil Fertility Analysis shall include the following parameters: Acidity Exchangeable Sodium Percentage Phosphorus Base Saturation (by calculation) Magnesium Potassium Calcium Manganese Sodium Cation Exchange Capacity Percent Ilumic Matter Zinc Copper pH [15A NCAC 02T. I I I l(d)] 6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall be in accordance with the monitoring requirements in 15A NCAC 02B .0505. [15A NCAC 02B .0505] 7. The Permittee shall maintain records tracking all residual land application. events. At a minimum, these records shall include the following: a. Source of residuals; b. Date of land application; c. Location of land application (i.e., site, field, or zone number as listed in Attachment B); WQ0000430 Version 3.0 Shell Version 150101 Page 9 of 12 d. Approximate areas applied to (acres); e. Method of land application; f. Weather conditions (e.g., sunny, cloudy, raining, etc.); g. Predominant Soil Mapping Unit (e.g., CbB2); h. Soil conditions (e.g., dry, wet, frozen, etc.); i. Type of crop or crops to be grown on field; j. Nitrogen Application Rate based on RYES (if using data obtained from the North Carolina State University Department of Soil Science Website, the printout page shall be kept on file and reprinted every five years); k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet ton per acre; 1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or wet tons per acre; in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre, or wet tons per acre; and n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per' acre of PAN, and annual pounds per acre of phosphorus applied to each field. [15A NCAC 02T .0109(a)] 8. Three copies of an annual report shall be submitted on or before March I". The annual report shall meet the requirements described in the Instructions for Residuals Application Annual Reuortina Farms. Instructions for reporting and annual report forms are available at http://portal.ncdenr.org/web/wq/aps/lau/reporting, or can be obtained by contacting the Land Application Unit directly. The annual report shall be submitted to the following address: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [15ANCAC 02T .111l(a)] 9. Noncompliance Notification The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704) 663-1699, 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. Land application of residuals abnormal in quantity or characteristic. b. Any failure of the land application 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 WQ0000430 Version 3.0 Shell Version 150101 Page 10 of 12 Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300.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. [15A NCAC 02T .0105(1), 02T .0108(b)(1)] V. INSPECTIONS 1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the subject facilities and shall be in accordance with the approved O&M Plan. [15.A NCAC 02T .0108(b)] 2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the residuals processing, storage, transport and application facilities to prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the release of wastes to the environment, a threat to human health or a public nuisance. The Perrnittee shall maintain an inspection log that includes, at a minimum, the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken. The Pennittee shall maintain this inspection log for a period of five years from the date of inspection, and this log shall be made available to the Division upon request. [15A NCAC 02T .0108(b)] 3. Any duly authorized :Division representative may, upon presentation of credentials, enter and inspect any property, premises or place on or related to the land application sites or facilities permitted. herein at any reasonable time for the purpose of determining compliance Nvith this pennit; may inspect or copy any records required to be maintained under the terms and conditions of this pennit; and .may collect groundwater, surface water or leachate samples. [G.S. 143-215.3(a)(2)] VI. GENERAL CONDITIONS I. .Failure to comply with the conditions and limitations contained herein may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statutes 143- 215.6A to 143-215.6C. [G.S. 143-215.6A to 1.43-215.6C] 2. This permit shall become voidable if the residuals land application events are not carried out in accordance with the conditions of this permit. [15A NCAC 02T .0110] 3. This pennit is effective only with respect to the nature and volume of residuals described in. the pennit application and other supporting documentation. [G.S. 143-215.1] 4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies (e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCG010000; any requirements pertaining to wetlands tinder 15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the General Statutes. [15A NCAC 02T .0105(c)(6)] 5. In the event the residuals program changes ownership or the Permittee changes his name, a formal pennit modification request shall be submitted to the Division. This request shall be .made on official Division forms, and shall include appropriate documentation from the parties involved and other supporting documentation as necessary. The Permittee of record shall remain fully responsible for maintaining and operating the residuals program permitted herein until a permit is issued to the new owner. [15A NCAC 02T .0104] WQ0000430 Version 3.0 Shell Version 150101 Page l I of 12 'HIS PAGE BLANK Figure 1 -M-. Stream M OnSibdHousa •• IIY�%tT � Ci�iteiitt�l58 AppBiationArea� Ouialxildng Prnpsnyl ino $ OnSiteWell Sitc, >fC-LT-120 K04 off5itowell �;: &oL6�st;Rptio;t Ofla litable TM apmpYrenre Wundaryt tic nitabtiefied at trltherZ0 Wtnnm the raIdUals ppplieatinn arna:nr s6festrrtthlntrte prap�rty Coundafy, whiehCVcris eiosestta.theapplisatlon'e�em. Tito revirty bnqqftr V fs cstahiished midway between the eotnpBaucr.bomifary and the psrl6eterotttr2 deldu3ls appliea66n_7j7pa, f'fsF Figure Z. Propertyune. DrATp. OnSltaHouss Fenbe ■ MileHovo Applidaf6riAma OtOtIlIdIng Site.- NC-1-T-124 On5,111-IlArall FCH GliMeVIA-all Unsukablo The m-npliwmeboundwy is mbblishod of ol,hcr 00 k-qt fmmthc m—.Wmlvoj*ljio*n atta w t0fic—Aftbiwffic propvmy, bound6q, vAlobovir Is-0106fiat area, Th-2prcvCqAvL,oUndoty im =WbMahid rolderdy brhveon thnuunpGaroe 60=61, and the pq4wt er 0 itte mmldu p Ir,,mml rAll on 1, Ima. pot 0 10-3320 .640 960 1,20 Esm State of North Carolina Department of Environmental Quality Division of Water Resources WATER QUALITY REGIONAL OPERATIONS SECTION Division of Water Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM Lb C °Jr January 16, 2020 JAPE 2 2 MO To: RO:VQR(15`:'Andlew Pitner�/ CoreyBasinger i JC?ROS [' �C,CP,rS`JILLE �'EGlOh�,?� From: Ranveer Katyal, Water Quality Permitting Section - Non -Discharge Branch OFFICE Permit Number: WQ0000430 Permit Type: Land Application of Residual Solids (503) Applicant: City of Cherryville Owner Type: Municipal Facility Name: City of Cherryville RLAP Signature Authority: Larry Wright Address: 116 S. Mountain St., Cherryville, NC 28021 Fee Category:. Non -Discharge Minor Comments/Other Information: Project Type: Renewal with Major Modification Owner in BIMS? Yes Facility in BIMS? Yes Title: Plant Supervisor County: Gaston Fee Amount: $245 - Major Modification Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 45 calendar days, please take the following actions: ® Return this form completed. ® Return a completed staff report. ❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact person listed above. T c RO-WQROS Reviewer: Date: I^ZZ —�� FORM: WQROSNDARR 09-15 Page I of 1 ROY COOPER Governor MICHAEL S. REGAN Secretary LINDA CULPEPPER Director LARRY WRIGHT — PLANT SUPERVISOR CITY OF CHERRYVILLE 116 S. MOUNTAIN ST. CHERRYVILLE, NORTH CAROLINA 28021 Dear Mr. Wright: NORTH CAROUNA Environmental Quality January 16, 2020 JAN nm In1�}iC3� f,400 E-SVIi_I_r rC:'IC I;! AI aFFICE Subject: Acknowledgement of Application No. WQ0000430 City of Cherryville RLAP Residuals Management System Gaston County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on January 15, 2020. Your application package has been assigned the number listed above, and the primary reviewer is Ranveer Katyal. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Ranveer Katyal at (919) 707-3661 or ranveer.katyal@ncdenr.gov. cc: wnore ivm Permit File Sincerely, Nathaniel D. Thornburg, Supervisor Division of Water Resources e-,, *- - � �-D- E NORTH c ,,O1.INF Department of Envlronmonlal Duality North Carolina Department of Environmental Quality I Division of Water Resources 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919.707.9000 December 31, 2019 RECEIVED/hCf}ENR/DWR J A I v y 29 2,120 N.C. Department of Environment and Natural Resources Division of Water Resources 1rJ�tROS Aquifer Protection Section — Land Application Unit MoaREsvUErr1onIaL OFFICE 1636 Mail Service Center Raleigh, NC 27699-1636 ATTENTION: Mr. Nathaniel Thornburg REFERENCE: APPLICATION FOR RENEWAL OF PERMIT # WQ0000430 City of Cherryville Dear Mr. Thornburg: On behalf of the City of Cherryville, Synagro is submitting this application to renew the referenced residuals land application permit. New vicinity, application, topographic, and soil maps are being submitted for all renewed sites. We are adding three new fields LT-107-4,5,6 and deleting fields LT- 124-01,02. This application package should contain all of the information necessary to complete the requested renewal of the City of Cherryville's permit. However, if you require additional information or have further questions, please contact me at 336-703-8681 or afox@synagro.com Thank you in advance for the timely and efficient review of this renewal application. �OF W ATF9Q State of North Carolina a Department of Environment and Natural Resources co r Division of Water Quality RESIDUALS LAND APPLICATION PROGRAM INSTRUCTIONS FOR FORM: RLAP 08-11 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 supportin14 documentation For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: htt//portal. ncdenr. orz/webhvq/aps/lau General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under 15A NCAC 02T. I 100. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Residuals Land Application Program (FORM: RLAP 08-11) Application: (All Application Packages): Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-11) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate person may be designated as the signing official if a delegation letter is provided fi•om 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 Environment and Natural Resources (NCDENR). STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table below. EXPRESS REVIEW — Visit the Express Review webpage for the Express Fee Schedule: STANDARD APPLICATION REVIEW FEES: Facility Classification I , New Permit I Major Modification' Major (land are permitted for > 300 acres) I $1,310 I $395 Minor (land are permitted for < 300 acres) �— $810 F $245 i - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage; adds additional land application areas not previously approved; 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. D. Environmental Assessments (May be Required— See 15A NCAC 1C .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: RLAP 08-11 Page 1 of 3 E. 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; Z 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. THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY. F. Program Determination Ej Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T .1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable: Any land application site certified for the residuals land application program that receives residuals at rates or frequencies greater than agronomic rates. 0 Any land application site certified for the residuals land application program that is used primarily for residuals disposal, and agricultural crop production is of secondary importance. Ej Any land application site certified for the residuals land application program that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system. [( Please contact the Aquifer Protection Section if you need any assistance in determining whether your residuals program falls under the dedicated program definitions. G. Program Information Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system. [] Provide an explanation of the dedicated system and its operation. H. Detailed Site Maps (All New or Modification Application Packages) 21, Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF only). For Modifications, submit plans specific to the modification(s) only. Plans must include the following minimum items: A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site relief and showing all facility related structures and fences within the land application area. The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s). Delineation of the review and compliance boundaries Setbacks as required by 15A NCAC 02T .1108 Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s). A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray irrigation zones as they will be operated. 1] Plans must depict a completed design and 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. However, the plans may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION INSTRUCTIONS FOR FORM: RLAP 08-11 Page 2 of 3 I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites) ] Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops and their ability to accept the proposed application rates. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy available at: http://portal.ncdenr.orc/web/wq/aps/lau/policies. The document shall be signed, sealed and dated by a qualified professional. K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation facilities fed through fixed supply system) �] Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or Professional Land Surveyor in accordance with 15A NCAC 02T .I104(d)(2). For Modifications, submit an updated site map specific to the modification(s) only. ]] The design documents must include the following minimum items: Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new units or are critical to the understanding of the complete process; [� Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the finished product including leaking testing; and Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head curve analysis for each pump, and irrigation design. Soil mapping units shown on all disposal sites. L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or irrigation facilities fed through fixed supply systems) ❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy available at: h tp://portal.ncdenr.or web/wq/aps/lau/policies. M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment or irrigation components) [] Property ownership documentation shall consist of one of the following: ] Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or [] An easement running with the land specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107(f) or A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY AQUIFER PROTECTION SECTION LAND APPLICATION UNIT By U.S. Postal Service: 1636 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1636 TELEPHONE NUMBER: (919) 733-3221 By Courier/Special Delivery: 2728 CAPITAL BOULEVARD RALEIGH, NORTH CAROLINA 27604 FAX NUMBER: (919) 715-6048 INSTRUCTIONS FOR FORM: RLAP 08-11 Page 3 of 3 O�O� W A T , Q uacl State of North Carolina ]department of Environment and Natural Resources cis r Division of Water Quality RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 08-11 I. APPLICANT INFORMATION: 1. Applicant's name: City of Ch=ille Applicant type: [( Individual [] Corporation [] General Partnership [] Privately -Owned Public Utility 0 Federal Q State Municipal d County Signature authority's name per 15A NCAC 02T .0106: Laity Wri ht Title: Plant Supervisor/ORC Applicant's mailing address: 116 South Mountain Street City: Cherryville State: NC Zip: 28021 Telephone number: (704)-214-1162 Email Address: lwright(cr�,cityofcherMille.com 2. Consultant's name: Alex Fox License Number (for P.E.):�� Affiliation: On Staff ( Retained (Firm: Synagro Central, LLC) Consultant's mailing address: 284 Boger Rd City: Mocksville State: N.C. Zip: 27028 Telephone number: (336)-703-8681 Email Address: afoxaaro.com Agronomist's name: License Number: --i Affiliation: 0 On Staff ❑ Retained (Firm: Synagro Central, LLC) Agronomist's mailing address: City: State: Telephone number: 3. Soil Scientist's name: Zip: Email Address: License Number: Affiliation:.Ej On Staff ❑ Retained (Firm: S nagro Central, LLC) Soil Scientist's mailing address: City: State: Zip: Telephone number: Email II. PERMIT INFORMATION: 1. Application is for (check all that apply): E] new, 0 modified, M renewed permit 2. If this application is being submitted to renew or modify an existing permit, provide the following: Permit number: WQ0000430 Date of most -recently issued permit: 04/24/2015 Date of most -recently certified Attachment A (if different than the permit): Date of most -recently certified Attachment B (if different than the permit): FORM: RLAP 08-11 Page 1 of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 736 Tot Dellinger Road City: CheMr ville Coordinates: Latitude: 350 24'51" Datum: NAD83 Method of measurement: MAP State: NC Zip: 28021 Longitude: 810 22' 08" Level of accuracy: second 2. County where residuals land application program is headquartered: Gaston 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Robert Michael Cox Synagro Central, LLC LA13191 Back -Up ORC Robert Roth Synagro Central, LLC LA1001672 Additional Back -Up ORCs (if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: Alex Fox Synagro Central LLC. Scheduled to take class and exam 04/02/2020 Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 273 dry tons per year. PAN Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection First -Year 21.16 25.38 577 6928 Five -Year Maximum Adjusted 31.92 36.14 8714 9866 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation 0.0 Row Crops 93.8 II Hay 0.0 Pasture 22.7 Total: 116.5 _] Methods Surface 116.5 L Incorporation or Injection 0.0�� Total: 116.5 FORM: RLAP 08-11 Page 2 of 5 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Acres Required Using Acres Required Using Application Rate First -Year PAN Concentrations Five -Year Maximum Adjusted PAN fibs PAN/ac yr) Concentrations Surface Incorporation or Surface Incorporation or Injection Injection 50 115.5 138.6 174.3 197.3 100 57.8 69.3 87.1 98.7 150 38.5 46.2 58.1 65.8 200 28.9 34.6 43.6 49.3 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction practices not in place, etc.):.56 7. Specify type of residuals program (See Instruction F): Non -dedicated Dedicated If Dedicated, specify the following (check all that apply): Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; = . ] Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; = El Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain, F i IV. RESIDUALS SOURCE INFORMATION: (Not required if no new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. H Residuals Source Certification V. LAND APPLICATION SITE INFORMATION: (Not required if no new, renewed, or modified land application site) Complete and submit the following Land Applications Site Certification and all associated documentation. Land Application Siite Certification. doc FORM: RLAP 08-11 Page 3 of 5 Note: Item VI. Applicable to Dedicated Program with fixed irrigationystem only. 'I. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM 1. The irrigation system is: 0 Spray C] Drip 2. Disposal system is:;l , existing E proposed. 3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet below ground surface. Rules 15A NCAC 02T .050ff. M requires at least one -foot vertical separation between SHWT and ground surface. 4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? 0 Yes or E] No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be maintained or modified: 17 5. Loading rates recommended by the Soil Scientist Evaluation: Soil Series Fields within Soil Area Recommended Loading Rate (in/hr) Recommended Loading Rate in/ r !^= 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? f d Yes or 0 No If No, explain why 15A NCAC 02T .0505(n) is not met: 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field Zone Design Area (ftz) Number of Nozzles Maximum Application Rate ( allons/hr) Design Annual Loading Rate ( allons/ r) -�-=� `�m Total Spray Irrigation Design Element Plan Sheet Number Specification Page Number Wetted diameter of nozzles [�-] ft Wetted area of nozzles ft2 j Nozzle capacity] gpm Nozzle manufacturer / model Elevation of highest nozzle }__� ft FORM: RLAP 08-11 Page 4 of 5 Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): he 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. M Yes d No, Explain; = I, Larry Wright Plant Supervisor/ORC (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for City of Cherryville (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 Quality may not conduct a technical review of this 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. I will make no claim against the Division of Water Quality 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 .§143-215.613, any person who knowingly makes any -�,lse statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine of to exceed $10,000 as well as civil penalties up to $25,000 per violation. Sign Date: 8 13 - 202,0 FORM: RLAP 08-11 Page 5 of 5 OPERATIONS AND MAINTENANCE PLAN . RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Inspection Plan Inspections will be conducted on a weekly basis at the land application site during activities of this project. Inspection frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random fields that have been completed. These inspections will consist of: 1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical staff. 2. Checking the calculated loads to insure the correct amount of residuals are being land applied. 3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance plan. 4. Insuring that the field has been flagged properly and that all buffers are being adhered to. 5. Insuring that the "Crop and Landowner Verification" form has been filled out. 6. Verifying that the residuals have been adequately sampled to confirm compliance. The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall report by telephone to the NCDENR/DWR Mooresville Regional Office at 704-663-1699, as soon as possible, but no later than 24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following. • Any occurrence with the distribution program resulting in the land application of significant amounts of material that is abnormal in quantity or characteristics. • Any failure of the program that results in a release of material to surface waters. • Any time that self -monitoring information indicates that the program has gone out of compliance with the permit. • Any process unit failure that results in the system not adequately treating the residuals. • Any spill or discharge from a vehicle or piping system during residuals transportation. Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-662- 7956, 800-858-0368, or 919-733-3300. These numbers are to be called in the event of a release to surface waters or the imminent failure of a storage system when the event occurs outside of normal business hours. Within 5 days of the first notice of on occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or proposed actions taken to ensure that the problem does not recur. Persons responsible for inspections on this project are as follows: Mike Cox or his designee is responsible for inspections on this project . OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Sampling Plan Sampling for this project consists of sampling the residuals just before land application is to occur. Based on the dry tonnage of this plant, there will be one sample for each parameter per year. The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.) Arsenic (5.0) 1, 4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1, 2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1, 1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2, 4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13 Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5 TP ( Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl Chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) The residuals will also be sampled, based on the chart below, for the following constituents Dry Tons Generated (short tons per year) Monitoring Frequency (Established in 40 CFR 503 and 15A NCAC 02T.1111) <319 1 time per year =>319-<1,650 1 per Quarter (4 times per year) =>1,650-<16,500 1 every 60 days (6 times per year) =>16,500 1 every month (12 times per year) Aluminum Ammonia -Nitrogen Arsenic Cadmium Calcium Copper Lead Sodium Adsorption Ratio (SAR) Magnesium Mercury Molybdenum Nickel Nitrate -Nitrite Nitrogen Phosphorous Potassium pH Plant Available Nitrogen (calculation) Selenium Sodium Total Solids Total Kjeldahl Nitrogen Zinc In order to meet pathogen and vector requirements, the material will be sampled for fecal coliform density and the 30- day bench test. The samples will be taken from the digester. Additional samples will be taken for TCLP/RCI and nutrients and metals analysis. Methods of sampling will follow the conditions of the permit and applicable regulations. The following people are responsible for sampling: Marshall Puryear, Technical Services Manager or his designee. OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Operational Functions The operational function of this project involves land application of residuals for the City of Cherryville's wastewater treatment plant. This material will be loaded onto tractor trailers or "spreader trucks" and hauled to land application sites. The residuals will be spread at agronomic rates, as determined by a recently analyzed nutrients and metals sample. The material will be land applied with a liquid applicator that will use pressure to achieve a consistent spread pattern. The fields applied will have a crop, either established or planted soon after application, which is to be utilized for animal consumption. Safety Measures Synagro believes in operating in a safety -conscious manner and has all employees participate in quarterly online safety courses. These courses are designed to help employees recognize safety issues and take steps to prevent accidents from occurring. In addition, all Synagro employees have the authority to stop operations if they think any aspect of the operation could cause environmental or personal harm. Maintenance Schedule Synagro will follow the maintenance schedule specified by their fleet management section for the equipment necessary to complete the job. I SPILL RESPONSE PLAN PROJECT: City of Cherryville Permit W00000430 IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN IMMEDIATELY: 1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES: The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of Cherryville or the NC Department of Transportation, and other private contractors as necessary. 2. HALT THE SOURCE OF THE SPILL: Such as a ruptured container or damaged transport unit. 3. CONTAIN THE SPILL: Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to augment the straw bale contaimnent area of the spill. The Operations Manager or the person in charge on the spill site will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up operation, i.e., local farmers, farm supply centers, nurseries, etc. 4. CLEAN-UP: Employ front-end loaders, vacutun equipment, sludge application vehicles, and/or local septic tank service to remove as much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by representatives of the state regulatory agency. 5. FINAL CLEAN-UP: Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original condition if possible. 6. NOTIFICATION: As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central office, and they will then be responsible for notifying other key Synagro personnel. 7. REPORTING: Synagro Central personnel will notify the Mooresville Regional office for The City of Cherryville WWTP as soon as possible, but not more than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to the Technical Services Manager. The report shall list all relative information and actions taken. Synagro Central personnel will file a written report to the Mooresville Regional office of the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300) �0� W ATFRQ State of North Carolina Department of Environment and Natural Resources r Division of Water Quality RESIDUALS SOURCE CERTIFICATION INSTRUCTIONS FOR FORM: RSC 08-11 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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: http: //portal. ncdenr. org/web/wq/aps/late General — This certification provides detailed information of residuals source generating facility and its residuals quality for land application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 08-11, FORM: DCAR 08-11, or FORM: SDR 08-11). 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 08-11): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 08-11) 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. 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 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 08-11 Page 1 of 1 RESIDUALS SOURCE FACILITY SUMMARY Applicant's name: City of Cherryville Status Maximum Dry Tons Per Year Facility Permit Holder Facility Name County Permit Number Code," Current Proposed R City of Cherryville City of Cherryville WWTP Gaston NCO044440 273 273 a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) s M (Modified) o 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 08-11 Page 1 WATFR p State of North Carolina G Department of Environment and Natural Resources >_ Division of Water Quality RESIDUALS SOURCE CERTIFICATION FORM: RSC 08-11 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: City of Cherryville WWTP 2. Facility permit holder is: Federal, M State, Local Government, or a Private. Facility permit issued by: Div. of Water Quality, Div. of Environmental Health, or Other (explain: 3. Facility contact person and title: LaM Wright, Plant Supervisor, ORC Complete mailing address: 116 South Mountain Street City: Cherryville State: NC Zip: 28021 Telephone number: 704) 214-1162 E-mail address: lwrigh—t@cityofcheMNille.com 4. Facility physical address: 736 Tot Dellinger Road City: Cherryville State: NC Zip: 28021 Coordinates: Latitude: 35' 24' 51" Longitude: 81' 22' 08" Datum: NAD83 Level of accuracy: Second Method of measurement: MAP 5. Purpose of the facility: treatment of municipal wastewater, 0 treatment of 100% domestic wastewater, [] treatment of potable water, El treatment of 100% industrial wastewater, [� treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: F— % industrial and i.^ % domestic) E] other (explain: 6. Does the facility have an approved pretreatment program: Yes El No 7. Facility permitted/design flow: 2_0 MGD and facility average daily flow: 350,000 MGD 8. Average amount of residuals being generated at this facility 108.0 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: sludge holding tank: 248,000 gallons Type and volume of residuals storage (i.e., outside of residuals treatment units): sludge lagoon: 250,000 gallons H. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: 40 CFR Part503 or 40 CFR Part 257. Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40 CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257. 2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as: Biological j] Non -Biological FORM: RSC 08-11 Page 1 of 5 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). 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: 11 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: Ej yes i 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: Summit Environmental Technologies, Inc. and Date(s) of analysis: 06/05/2019 Passed corrosivity test: yes] no. pH: 7_1 s.u. (2 <pH < 12.5) Passed ignitability test: yes] no. Flashpoint: >140 IF (> 140°F) Passed reactivity test: M yes - E]no. HCN: nd mg/kg (<250) & H2S: nd mg/kg (<500) TCLP Parameter Limit (mg/l) Result (mg/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 1,1-Dichloroethylene 0.7 nd 2,4,5-Trichlorophenol 400.0 nd 2,4-Dinitrotoluene 0.13 nd 2,4,6-Trichlorophenol 2.0 nd Endrin 0.02 nd 2,4,5-TP (Silvex) 1.0 nd Heptachlor and its Hydroxide 0.008 nd Vinyl Chloride 0.2 nd FORM: RSC 08-11 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 AnW3qical and Date of analysis: 05/24/2019 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg/kg) Monthly Average Concentration Limits (Class A Only) (mg/kg) Result (mg/kg) Arsenic 75 41 <5.0 Cadmium 85 39 2.57 Copper 4,300 1,500 996 Lead 840 300 34.7 Mercury 57 17 2.15 Molybdenum 75 n/a 8.44 Nickel 420 420 70.8 Selenium 100 100 <5.0 Zinc 7,500 2,800 897 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) El > 0 but <25 30 200 210 0 > 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 08-11 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 4.51 %. 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: 05/24/2019 Parameter Result (mg/kg) Aluminum 16,500 Ammonia -Nitrogen 4,220 Calcium 7,590 Magnesium 2,230 Nitrate -Nitrite Nitrogen 195 pH (Standard Unit) 6.7 Phosphorus 12,900 Potassium 1,700 Sodium 833 Total Kjeldahl Nitrogen 31,800 c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.56 [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: 30 %. This rate is a (check one): default value, or Q 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: This is a default value for water treatment plant 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 (1") Year PAN Five -Year Maximum Adjusted PAN (m91k9) (m9/k9) Surface 10,579 15,960 Injection/Incorporation 12,689 18,070 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: No FORM: RSC 08-11 Page 4 of 5 7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements: a. For Distribution/Land Application of Class A or Equivalent: A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids, or 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): Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance. Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment. Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: ❑ composting, [] heat drying, ❑ heat treatment, thermophilic aerobic digestion, ❑ beta ray irradiation, �] gamma ray irradiation, or ❑ pasteurization. b. For Land Application of Class B: Alternative 1 [15A NCAC 02T.1106(c)(1)] -Fecal Coliform Density Demonstration. Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP). Specify one: M 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 II. 7a. above. Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. ❑ Exempt -If Daily Cover Alternative is chosen in Item I1.8. 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.1107, specify how residuals will meet the VAR requirements: Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). Alternative 2 [15A NCAC 02T.1107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). Alternative 3 [15A NCAC 02T.1107(a)(3)1- 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.I 107(a)(5)] - 14-Day Aerobic Processes. Alternative 6 [15A NCAC 02T. 1 107(a)(6)] - Alkaline Stabilization. Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals. ❑ Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals. Alternative 9 [15A NCAC 02T.1107(a)(9)] - Injection. Alternative 10 [15A NCAC 02T. 1 107(a)(1 0)] - Incorporation. Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I107(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 08-11 Page 5 of 5 Quantitative Justification for Residuals Production Rate Facility: City of Cherryville WWTP Maximum Permitted Rate: 273 dry tons/year Justification: The City of Cherryville's WWTP currently produces an average (for the past five years) of just over 108 dry tons of biosolids per year. The calculations below indicate that the average daily flow is less than one million gallons per day. The amount of production has been variable, but, for the past five years, no greater than 70 percent of the permitted tonnage (273 dry tons). Calculations: Based on rule -of -thumb that average daily flow is approximate to annual volume of residuals produced: (1,000,000 gal/yr) x (4 % solids) 8.51bs/gal) � 170 dt/yr (2,000 lbs/ton) Residuals Sampling Plan City of Cherryville Land Application Program Nutrient and Metal Analysis Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Composite Lab: Waypoint Analytical Pathogen Reduction Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Grab Lab: Cameron Testing Services, Inc. Vector Attraction Reduction Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Composite Lab: Cameron Testing Services, Inc. TCLP/RCI Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual Sample Type: Composite Lab: Shealy Environmental VICINITMAP � i � Y' /A1G-RO T57 h q 73b�1'dt_D.Elling�v Ro.a�;' - -E 1b37 3 i bVn e.Pii p E Gop 00 w , COUNTY: Gaston OWNER(S): Cherryville WWTP Way®ant. e PNAL 5/24/2019 Synagro Central LLC/ Cherryville Mary Brewer 284 Boger Road Mocksville, NC, 27028 Ref: Analytical Testing Report Number: 19-136-0211 Project Description: Cherryville WWTP 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-940i ° Fax 804-271-6446 www.waypointanalytical.com Dear Mary Brewer: Waypoint Analytical Virginia, Inc. received sample(s) on 5/16/2019 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Virginia 460014 <dp• Page 1 of 6 7621Whitepine Road, Richmond, VA 23237 Wayp.o•int , Main 804' 443=9401 ° Fax 804-271-6446 ANALYTICAL www.wayp6intanalytical.com Sample Summary Table Report Number: 19-136-0211 Client Project Description: Cherryville WWTP Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 SM-4500-NH3C WTN 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 9045D WTN 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 4500NO3F-2011 WTN 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 6010D WTN 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 SW-7471B WTN 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 SM-4500-NH3C TKN WTN 66425 Cherryville WWTP Solids 05/14/2019 11:00 05/16/2019 SM-2540G WTN WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #1354 Page 2 of 6 Report Number: 19-136-0211 Account Number: 46442 Send To: Synagro Central LLC/ Cherryville Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 66425 Sample Id : Cherryville WWTP Way 1 7621 Whitepine Road, Richmond, VA 23237 Main 804-M-9401 0 Fax 804-271-6446 www.waypblntanalytical.com Project: Cherryville WWTP REPORT OF ANALYSIS Date Sampled: 5/14/2019 11:00:00 Date Received: 05/16/20.19 00:00 Date Reported: 05/24/2019 Total Solids * 4.51 ADM 05/21/2019 16:54 SM-254OG Moisture * 95.50 ADM 05/21/2019 16:54 SM-2540G Total Kjeldahl Nitrogen 3.18 31800 250 CLP 05/23/2019 13:30 SM-4500-NH3C-TKN Phosphorus 1.29 12900 50.0 KKM 05/21/2019 23:43 6010D Potassium 0.17 1700 50.0 KKM 05/21/2019 23:43 601 OD Sulfur 0.79 7880 50.0 KKM 05/21/2019 23:43 6010D Calcium 0.76 7590 250 KKM 05/21/2019 23:43 6010D Magnesium 0.22 2230 50.0 KKM 05/21/2019 23:43 601 OD Sodium 0.08 833 250 KKM 05/21/2019 23:43 601 OD Iron 28300 50.0 KKM 05/21/2019 23:43 6010D Aluminum 16500 50.0 KKM 05/21/2019 23:43 601 OD Manganese 443 5.00 KKM 05/21/2019 23:43 6010D Copper 996 2.50 KKM 05/21/2019 23:43 6010D Zinc 897 12.5 KKM 05/21/2019 23:43 6010D Ammonia Nitrogen 0.42 4220 100 ZBD 05/23/2019 16:00 SM-4500-NI3C Organic N 2.76 27580 250 05/23/2019 13:30 CALCULATION Nitrate+Nitrite-N 195 4.71 ZBD 05/22/201913:46 4500NO3F-2011 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. B - Analyte detected in blank H - Beyond Holding Time Pot;& pig `f Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made Pauric McGroary to the work, the results, or the company in any advertising, news release, orother pubfrc announcements without obtaining our prior written authorization. Agronomist Page 3 of 6 Report Number: 19-136-0211 Account Number: 46442 Send To: Synagro Central LLC/ Cherryville Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 66425 Sample Id : Cherryville WWTP Way 1PARTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 8044-743-9401 ° Fax 804-271-6446 www.wayp6intanalytical.com Project: Cherryville WWTP REPORT OF ANALYSIS Date Sampled: 5/14/2019 11:00:00 Date Received: 05/16/2019 00:00 Date Reported: 05/24/2019 Cadmium 2.57 1.00 KKM 05/21/2019 23:43 601 OD Chromium 147 2.50 KKM 05/21/2019 23:43 601 OD Nickel 70.8 2.50 KKM 05/21/2019 23:43 601 OD Lead 34.7 3.00 KKM 05/21/2019 23:43 6010D Arsenic <5.00 5.00 KKM 05/21/2019 23:43 601 OD Mercury 2.15 0.0143 TJS 05/22/2019 12:37 SW-7471 B Selenium <5.00 5.00 KKM 05/21/2019 23:43 6010D pH * 6.7 JSL 05/21/2019 08:40 9045D Molybdenum 8.44 2.50 KKM 05/21/2019 23:43 601 OD Comments: All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. B - Analyte detected in blank H - Beyond Holding Time Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Pauric McGroary Agronomist Page 4 of 6 Q.. Waypoint, ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypoi nta nalyti cai.coni Cooler Receipt Form Customer Number: 46442 Customer Name: Synagro Central LLC/ Cherryville Report Number: 19-136-0211 Shipping Method 0 Fed.Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received F 1 Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Required Custody seals intact on sample bottles? 0 Yes 0 No • Not Required Chain of Custody (COC) present? 0 Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? • Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? 0 Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No • N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No ® N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No N/A F- High concentration container (48 hr) F- Low concentration EnCore samplers (48 hr) F- High concentration pre -weighed (methanol -14 d) F- Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes 0 No Comments: Signature: jBrandi Watson Date & Time: 05/16/2019 13:46:49 Page 5 of 6 ro w w 0 M 0 r-h m j SAMPLING LOG IIIII�IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII.041442 4D191 ± ChorrWllle WVVTP 13:44:33 CUSTOMER: SYNAGRO � F'FiOJECl` f1JiRIVAGER:two ' Phdh'e: G < 1< A & L CUSTOMER SAMPLING' SAMPLE ## OF LAB ## SAMPLE I.D. LOCATION TYPE CONTAINERS .ABS, INC. CHAHN, OF CUSTODY IRRECORD ,&, ANALYSIS RECORD 9st that;the, proper field sampling procedures: were used during -the collection of these_samples. f 31—IJZ SAMPLER - �_ SAMPLING METHOD METHOD DATE TIME PRESERVED SHIPPED ;/I 0 Relinquished by Sampler: Date Time: Recieved by: REMARKS: 5/1S 2 `GG Relinquished by: _Pate, Time by: Relinquished by: Ipat4 " Time. _VR-ecleved by: SPECIAL INSTRUCTIONS: Uv UtZ5 For J �� monitoring purposes. POl#: SAMPLE ANALYSIS REQUESt 5LI SL2 NH4-N NOa N Organic Cd Ct' Ni P13 As Hg Se pH equlCv3 Solids Mo CI NOz-iV G v�1lQ mo Y SLI: Total Solids, (Moisture), Total Kje►dahl Nitrogen, Phosphorus, .and Potassium' SL2: Basic.Test-SL'I plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc Analytical_ Results TA�°SV IL�-E �. ANALYTICAL Synagro 284 Boger Rd. Mocksville, NC 27028 Receive Date: 05/14/2019 Reported: 05/15/2019 For: Cherryville WWTP Comments: Geometric Mean: <1775 MPN/g Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 190514-37-01 Fecal Coliforms 1 <2381 MPN/g sM=XE2006 05/14/2019 CL 190514-37-01 Percent Solids 1 0.84 % SM2540B-2011 05/14/2019 CL 190514-31-02 Fecal Coliforms 2 <1515 MPN/g Si 2210E-2006 05/14/2019 CL 190514-37-02 Percent Solids 2 1.32 % SM254082011 05/14/2019 CL 190614-37-03 Fecal Coliforms 3 <1961 MPN/g SM92210E2006 05/14/2019 CL 190514-37-03 Percent Solids 3 1.02 % SM254OB-2011 05/14/2019 CL 190514-37-04 Fecal Coliforms 4 <1156 MPN/g SM92210E-2006 05/14/2019 CL 1.90514-37-04 Percent Solids 4 1.73 % SM2540H-2011 05/14/2019 CL 190514-37-05 Fecal Coliforms 5 <1905 MPN/g sM92210E2006 05/14/2019 CL 190514-37-05 Percent Solids 5 1.05 ova SM25403-2011 05/14/2019 CL 190514-37-06 Fecal Coliforms 6 <2105 MPN/g SM92210E-20o6 05/14/2019 CL 190514-37-06 Percent Solids 6 0,95 % SM2540H 2O11 05/14/2019 CL 190514-37-W Fecal Coliforms 7 <1695 MPN/g sM9221cE-2006 05/14/2019 CL 190514-37-07 Percent Solids 7 1.18 % SM2540B-2011 05/14/2019 CL Respectfully submitted, ,'Oj"-V ,.M-e, Dena Myers NC Cert #440, NCDW Cert #37755, EPA 9NCO0909 PO Box 228 ;* Statesville, NC 28687 a 704/872/4697 Page 1 of 4 Condition of Receipt Sample Number 190514-37-01 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190614-37-02 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190514-37-03 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190514-37-04 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190514-37-05 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190514-37-06 Temp on Arrival: 2.3 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule; Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190614-37-07 Temp on Arrival: 2.3 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 4 Client: y, i3V `` l� rt STATFSVUAXANALY17CAL 122 Court Street • P.O.9ox 228 Address: Statesv111c, NC 28687 (7od) 8724697 Contact Person:f ts. Phone #>� G1 U b FAX# Chain of Custody Record PO # Requisitioned by: (rime Date) Customer Sample 1D8 labdD4 TimeSempled {erab Only) Dale Sampled (Graf Only) N Matdx N-3911 w WW Paromct=..agaosiedkraae,ysis i.,s c• utt�e ^5 5 1. vile o,41 l C)' o . 6S V O Q � • Cl`I Relinquished by: Time �{5 am��Date Sampled by: Received by. ` Time ?" Clam, pm Date —� Transported by: Relinquished by: Time am, pm Date _/_ _/ Holding times met: Received by: Time am, pm Date �—J Compliance work: Comiaphe Sain lei q #1: Time begin am, pm Date _I I Non-compliance work: Time end am, pm Date Composite Sampling #2: _J_! Lab Comments; Samples Transported On Ice: Time begin am, pm Date _{ Time end am, pm Date InlUats: Summit Environmental Technologies, Inc. 3310 Win St. EPfi1rIYO1Jt,9L u`_e3e+p[ or1', ING Cuyahoga Falls, Ohio 44223 Ailii gtZa Lab6Iatarh TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htW.-1Aviviv.settek.com June 05, 2019 Erik Bruce Synagro 284 Boger Rd. Mocksville, NC 27028 TEL: (336) 998-7150 FAX: (336) 998-8450 RE: Cherryville WWTP Dear Erik Bruce: Order No.: 19051264 Summit Environmental Technologies, Inc. received 1 sample(s) on 5/16/2019 for the analyses presented in the following report. There were no problems with the analytical events associated with this report unless noted in the Case Narrative. Quality control data is within laboratory defined or method specified acceptance limits except where noted. If you have any questions regarding these tests results, please feel free to call the laboratory. Sincerely, Jennifer Woolf Project Manager 3310 Win St. Cuyahoga Falls, Ohio 44223 Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0108, Delaware, Florida NELAC E87688, Georgia E87688, Idaho OH00923, Illinois 200061, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061, Maryland 339, Minnesota 409711, New Hampshire 2996, New Jersey OH006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio DW, Ohio VAP CL0052, Oklahoma 9940, Oregon OH200001, Pennsylvania 010, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-11-5, Utah OH009232011-1, Virginia VELAP 9456, Washington C891 Page 1 of 35 �4 Summit Environmental Technologies, Inc. Case Narrative 3310 Win St. 1� �1f1�1 €�1dfe1 1TAL`c C*i lo�t3 � S,INC. Cuyahoga Falls, Ohio44223 WO#: 19051264 Aiiartyrtical?!#tbcraiarles TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htto://ivipiv.settek.com Date: 6/5/2019 CLIENT: Synagro Project: Cherryville WWTP WorkOrder Narrative: 19051264: This report in its entirety consists of the following documents: Cover Letter, Case Narrative, Analytical Results, QC Summary Report, Applicable Accreditation Information, Chain -of -Custody, Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit Environmental Technologies, Inc., Work Order Number assigned to this report. Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of the cover letter that may or may not pertain to this report. Please refer to the "Accreditation Program Analytes Report" for accredited analytes list. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results contained in this report are only representative of the samples received. Conditions can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible for use or interpretation of the data included herein. All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as "dry weight" using the "-dry" designation on the reporting units. This report is believed to meet all of the requirements of the accrediting agency, where applicable. Any comments or problems with the analytical events associated with this report are noted below. Analytical Sequence Sample Notes: 19051264-OOIA TCLP-SVOC_8270E: The CCV (Batch R98606) exhibited high recovery of 2,4- Dinitrotoluene. The associated samples are ND for 2,4-Dinitrotoluene. 19051264-OOIA TCLP-SVOC-CPest(8081B): CCV exhibited high recoveries for Endrin. Associated samples were ND Revision v1 Page 2 of 35 Summit Environmental Technologies, In Qualifiers and Acronyms 11 3310Win 5 ,tr ;VII C�� ,S, TIC Cuyahoga Falls, Ohio 4422 `VO#: 19051264 of ticaii 7BnraFarf � TEL: (330) 253-8211 FAX.- (330) 253-446 Date: 6/5/2019 Website: htto://wrovtiv.settek.co. These commonly used Qualifiers and Acronyms may or may not be present in this report. Qualifiers U The compound was analyzed for but was not detected. J The reported value is greater than the Method Detection Limit but less than the Reporting Limit. H The hold time for sample preparation and/or analysis was exceeded. D The result is reported from a dilution. E The result exceeded the linear range of the calibration or is estimated due to interference. MC The result is below the Minimum Compound Limit. x The result exceeds the Regulatory Limit or Maximum Contamination Limit. in Manual integration was used to determine the area response. d Manual integration in which peak was deleted N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response. P The second column confirmation exceeded 25% difference. C The result has been confirmed by GC/MS. X The result was not confirmed when GUMS Analysis was performed. B/1ViB+ The analyte was detected in the associated blank. G The ICB or CCB contained reportable amounts of analyte. QC-/+ The CCV recovery failed low (-) or high (+). R/QDR The RPD was outside of accepted recovery limits. QL-/+ The LCS or LCSD recovery failed low (-) or high (+). QLR The LCS/LCSD RPD was outside of accepted recovery limits. QM-/+ The MS or MSD recovery failed low (-) or high (+). QMR ' The MS/MSD RPD was outside of accepted recovery limits. QV-/+ The ICV recovery failed low (-) or high (+). S The spike result was outside of accepted recovery limits. Z Deviation; A deviation from the method was performed; Please refer to the Case Narrative for additional information Acronyms ND Not Detected RL Reporting Limit QC Quality Control MDL Method Detection Limit MB Method Blank LOD Level of Detection LCS Laboratory Control Sample LOQ Level of Quantitation LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit QCS Quality Control Sample CRQL Contract Required Quantitation Limit DUP Duplicate PL Permit Limit MS Matrix Spike RegLvl Regulatory Limit MSD Matrix Spike Duplicate MCL Maximum Contamination Limit RPD Relative Percent Different MinCL Minimum Compound Limit ICV Initial Calibration Verification RA Reanalysis ICB Initial Calibration Blank RE Reextraction CCV Continuing Calibration Verification TIC Tentatively Identified Compound CCB Continuing Calibration Blank RT Retention Time RLC Reporting Limit Check CF Calibration Factor DF Dilution Factor RF Response Factor This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting. Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this list or for additional information regarding the use of these Qualifiers on reported data. Revision vl Page 3 of 35 Summit Environmental Technologies, Inc. it3310 Win St. t J€?aPdlat F7TAL CHRif31 CIGt $� 911i� Cuyahoga Falls, Ohio 44223 A)T9iikd4l p 3bet`2�ari6_ TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htto:/hvivw.settek.com Workorder Sample Summary WO#: 19051264 05-Jun-19 CLIENT: Synagro Project: Cherryville WWTP Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix 19051264-001 Cherryville WWTP 5/14/2019 11:00:00 AM 5/16/2019 10:20:00 AM Sludge Page 4 of 35 Szimmit Environmental Technologies, Inc. DATES RFP®RT 1, 3310 Win St. �t'3UPRDPJPe9iUTAL' >BIWn1&S 3Pi4. Cuyahoga Falls, Ohio 44223 Aj7myticd l Laboraionns, TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: htto://lvii,w.settek.com 05-Jun-19 Client: Synagro Project: Cherryville WWTP Sample ID Client Sample ID Collection Date Matrix Test Name Leachate Date Prep Date Analysis Date 19051264-OOIA Cherryville WWTP 5/14/2019 11:00:00 AM Sludge Ignitability of Solids (SW-846: 1030) 6/3/2019 5:55:23 PM pH (SW9045D) 5/31/2019 3:40:31 PM Reactive Cyanide (9014/7.3.3.2)-Solid 5/17/2019 8:10:00 PM Reactive Sulfide (9034)/7.3.4.2 5/17/2019 8:10:00 PM SVOC SW-846: 8151 Herbicides-TCL5/18/2019 6:00:00 PM 5/24/2019 2:15:00 PM 6/1/2019 8:31:00 AM TCLP Mercury Analysis (SW1311/7475/18/2019 6:00:00 PM 5/20/2019 2:35:00 PM 5/20/2019 6:58:00 PM TCLP Metals Analysis (SW 1311/6010.5/18/2019 6:00:00 PM 5/20/2019 8:00:00 AM 5/22/2019 8:27:03 PM TCLP Metals Analysis (SW1311/6010 5/18/2019 6:00:00 PM 5/20/2019 8:00:00 AM 5/22/2019 4:04:46 PM TCLP Pesticides Analysis (SW 1311/8CS/18/200 6:00:00 PM 5/24/2019 1:00:06 PM 5/31/2019 11:17:00 PM TCLP Semi-Volatiles Analysis 5/18/2019 6:00:00 PM 5/20/2019 1:00:00 PM 5/21/2019 3:47:00 PM (SW1311/8270) TCLP Volatiles Analysis 5/18/2019 6:00:00 PM 5/20/2019.5:32:00 PM Revision vl Page 5 of 35 Summit Environmental Technologies, Inc. Analytical Report 3310 Win St. 1 J WIf?OtAIEW'i1AL°6�CWJ'0Lgf.IZ-13, II; Cuyahoga Falls, Ohio 44223 (base report) l lrzrPt.'tfc�i + ?tir�ra�r1� TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: htto:/Aviviv.settek.com Date Reported: 6/5/2019 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 5/14/2019 11:00:00 AM Lab ID: 19051264-001A Project: Cherryville WWTP Client Sample ID Cherryville WWTP Analyses Result RL Qual Units DF Date Analyzed TCLP METALS, VOC, BNA, PEST, HERB -LIQUID SW7470A SW7470A Analyst: DNS TCLP MERCURY ANALYSIS (SW1311/7470) TCLP Mercury ND 0.00500 mg1L 1 5/20/2019 6:58:00 PM TCLP METALS, VOC, BNA, PEST, HERB -LIQUID SW6010D SW3010A Analyst: KMO TCLP METALS ANALYSIS (SW1311/6010) TCLP Arsenic(As) ND 1.25 mg/L 1 5/22/2019 4:04:46 PM TCLP Barium(Ba) ND 12.5 mg/L 1 5/22/2019 4:04:46 PM TCLP Cadmium(Cd) ND 0.250 mg/L 1 5/22/2019 4:04:46 PM TCLP Chromium(Cr) ND 0.500 mg/L 1 5/22/2019 4:04:46 PM TCLP Lead(Pb) ND 1.25 mg/L 1 5/22/2019 8:27:03 PM TCLP Selenium(Se) ND 0.125 mg/L 1 5/22/2019 4:04:46 PM TCLP Silver(Ag) ND 1.25 mg/L 1 5/22/2019 4:04:46 PM TCLP METALS, VOC, BNA, PEST, HERB -LIQUID SW8270 SW3510C Analyst: BJH TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270) 1,4-Dichlorobenzene ND 0.0800 mg/L 2 5/21/2019 3:47:00 PM 2,4,5-Trichlorophenol ND 0.200 mg/L 2 5/21/2019 3:47:00 PM 2,4,6-Trichlorophenol ND 0.200 mg/L 2 5/21/2019 3:47:00 PM 2,4-Dinitrotoluene ND 0.0400 QC+ mg/L 2 5/21/2019 3:47:00 PM Cresols, Total ND 4.00 mg/L 2 5/21/2019 3:47:00 PM Hexachloro-1,3-butadiene ND 0.0160 mg/L 2 5/21/2019 3:47:00 PM Hexachlorobenzene ND 0.0400 mg/L 2 5/21/2019 3:47:00 PM Hexachloroethane ND 0.0800 mg/L 2 5/21/2019 3:47:00 PM Nitrobenzene ND 0.0800 mg/L 2 5/21/2019 3:47:00 PM Pentachlorophenol ND 0.200 mg/L 2 5/21/2019 3:47:00 PM Pyridine ND 0.200 mg/L 2 5/21/2019 3:47:00 PM Surr: 2-Fluorophenol 53.3 10 - 109 %Rec 2 5/21/2019 3:47:00 PM Surr: Phenol-d6 64.7 10 - 109 %Rec 2 5/21/2019 3:47:00 PM Surr: Nitrobenzene-d5 49.6 19 - 120 %Rec 2 5/21/2019 3:47:00 PM Surr: 2,4,6-Tribromophenol 96.5 10 -120 %Rec 2 5/21/2019 3:47:00 PM Surr: 2-Fluorobiphenyl 49.4 22 - 117 %Rec 2 5/21/2019 3:47:00 PM Surr: p-Terphenyl-d14 85.9 34 - 116 %Rec 2 5/21/2019 3:47:00 PM Qualifiers: E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Revision v1 RL Reporting Detection Limit U Samples with CalcVal < MDL Page 6 of 35 I MIS Summit Environmental Technologies, Inc. Analytical Report 3310 Win St. SSrII C�tdl AL Fc?iJnf<rGtgI. Cuyahoga Falls, Ohio 44223 (base report) Affal.°ttcnl lic fawrl�_ TEL: (330) 253-8211 FAX. (330) 253-4489 Wo#: 19051264 Website: http://lviviv.settek.com Date Reported: 6/5/2019 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 5/14/2019 11:00:00 AM Lab ID: 19051264-OOIA Project: Cherryville WWTP Client Sample ID Cherryville WWTP Analyses Result RL Qual Units DF Date Analyzed TCLP METALS, VOC, BNA, PEST, HERB -LIQUID SW8081 SW3510C Analyst: SFG TCLP PESTICIDES ANALYSIS (SW1311/8081) Chlordane, total ND 0.0250 mg/L 10 5/31/2019 11:17:00 PM Toxaphene ND 0.0500 mg/L 10 5/31/2019 11:17:00 PM Endrin ND 0.00500 mg/L 10 5/31/2019 11:17:00 PM gamma-BHC ND 0.00500 d mg/L 10 5/31/2019 11:17:00 PM Heptachlor ND 0.00500 mg/L 10 5/31/2019 11:17:00 PM Heptachlor epoxide ND 0.00500 mg/L 10 5/31/2019 11:17:00 PM Methoxychlor ND 0.00500 d mg/L 10 5/31/2019 11:17:00 PM Surr: TCMX 61.7 10 - 119 %Rec 10 5/31/2019 11:17:00 PM Surr: DCB 76.7 10 - 119 %Rec 10 5/31/2019 11:17:00 PM TCLP METALS, VOC, BNA, PEST, HERB -LIQUID SW8151A SW8151A Analyst: MES SVOC SW-846: 8151 HERBICIDES-TCLP 2,4-D ND 0.0100 mg/L 1 6/1/2019 8:31:00 AM 2,4,5-TP ND 0.00500 mg/L 1 6/1/2019 8:31:00 AM Surr: 2,4-Dichlorophenylacetic ad 70.8 20 - 140 %Rec 1 6/1/2019 8:31:00 AM TCLP METALS, VOC, BNA, PEST, HERB -LIQUID SW8260 Analyst: CTB TCLP VOLATILES ANALYSIS 1,1-Dichloroethene ND 0.500 mg/L 100 5/20/2019 5:32:00 PM 1,2-Dichloroethane ND 0.500 mg/L 100 5/20/2019 5:32:00 PM MEK ND 10.0 mg/L 100 5/20/2019 5:32:00 PM Benzene ND 0.500 mg/L 100 5/20/2019 5:32:00 PM Carbon tetrachloride ND 0.500 mg/L 100 5/20/2019 5:32:00 PM Chlorobenzene ND 5.00 mg/L 100 5/20/2019 5:32:00 PM Chloroform ND 0.500 mg/L 100 5/20/2019 5:32:00 PM Tetrachloroethene ND 0.500 mg/L 100 5/20/2019 5:32:00 PM Trichloroethene ND 0.500 mg/L 100 5/20/2019 5:32:00 PM Vinyl chloride ND 0.200 mg/L 100 5/20/2019 5:32:00 PM Surr: 4-Bromofluorobenzene 102 70 -130 %Rec 100 5/20/2019 5:32:00 PM Surr: Dibromofluoromethane 96.7 70 - 130 %Rec 100 5/20/2019 5:32:00 PM Surr: Toluene-d8 107 70 -130 %Rec 100 5/20/2019 5:32:00 PM E Value above quantitation range H Holding times for preparation or analysis exceeded Qualifiers: M Manual Integration used to determine area response MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits Revision v1 RL Reporting Detection Limit U Samples with CalcVal < MDL Page 7 of 35 Summit Environmental Technologies, Inc. 3310 Win St. 7 AAnalyticall i�e1lOrt lbVlfii]PdleyeFl7ALticC&lil(9Lij1,s Cuyahoga Falls, Ohio44223 (base report) A� rG4�GGeG fiber aarlr9� TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: hgp.- Aviviv.settek.com Date Reported: 6/5/2019 CLIENT: Synagro Tag Number: Matrix: SLUDGE Collection Date: 5/14/2019 11:00:00 AM Lab ID: 19051264-OOIA Project: Cherryville WWTP Client Sample ID Cherryville WWTP Analyses Result RL Qual Units DF Date Analyzed RCI-SOLID-W/IGNITABILITY1030 SW9014 Analyst: MS REACTIVE CYANIDE (9014/7.3.3.2)-SOLID Cyanide, Reactive ND 0.476 mg/Kg 1 5/17/2019 8:10:00 PM RCI-SOLID-W/ IGNITABILITY1030 SW1030 Analyst: CXS IGNITABILITY OF SOLIDS (SW-846: 1030) Ignitability nonflammable 1 6/3/2019 5:55:23 PM RCI-SOLID-W/ IGNITABILITY1030 SW9045D Analyst: VVK PH (SW9045D) pH 7.1 s.u.@20.9C 1 5/31/2019 3:40:31 PM i RCI-SOLID-W/ IGNITABILITY1030 SW9034 Analyst: MS REACTIVE SULFIDE (9034)/7.3.4.2 Sulfide, Reactive ND 25.0 mg/Kg 1 5/17/2019 8:10:00 PM Qualifiers: E Value above quantitation range M Manual Integration used to determine area response N Tentatively identified compounds O RSD is greater than RSDlimit PL Permit Limit RL Reporting Detection Limit H Holding times for preparation or analysis exceeded MC Value is below Minimum Compound Limit. ND Not Detected P Second column confirmation exceeds R RPD outside accepted recovery limits Revision vl U Samples with CalcVal < MDL Page 8 of 35 - Summit Environmental Technologies, Inc. IT3310 Win St. Accreditation Program Anal teS Report y ERt'�IiFO1.1P1=17TAL' �!iNclf tlG1l t Cuyahoga Falls, Ohio 44223 - �: aaglgtle ai tcsrararbt TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: htto://tiviviv.settek.com 05-Jun-I9 Client: Synagro State: NW Project: Cherryville WWTP Program Name: NC WW_SCM Sample ID Matrix Test Name Analyte Status 19051264-OOIA Sludge Ignitability of Solids (SW-846: 1030) Ignitability A Sludge pH (SW9045D) Hydrogen Ion (pH) A Sludge Reactive Cyanide (9014/7.3.3.2)-Solid Cyanide, Reactive U Sludge Reactive Sulfide (9034)/7.3.4.2 Sulfide, Reactive U Sludge SVOC SW-846: 8151 Herbicides-TCLP 2,4,5-TP A Sludge SVOC SW-846: 8151 Herbicides-TCLP 2,4-D A Sludge TCLP Mercury Analysis (SW131 in470) Mercury A Sludge TCLP Metals Analysis (SW1311/6010) Arsenic A Sludge TCLP Metals Analysis (SW1311/6010) Barium A Sludge TCLP Metals Analysis (SW1311/6010) Cadmium A Sludge TCLP Metals Analysis (SW1311/6010) Chromium A Sludge TCLP Metals Analysis (SW1311/6010) Lead A Sludge TCLP Metals Analysis (SW1311/6010) Selenium A Sludge TCLP Metals Analysis (SW1311/6010) Silver A Sludge TCLP Pesticides Analysis (SW1311/8081) Chlordane, total A Sludge TCLP Pesticides Analysis (SW1311/8081) Endrin A Sludge TCLP Pesticides Analysis (SW1311/8081) gamma-BHC A Sludge TCLP Pesticides Analysis (SW1311/8081) Heptachlor A Sludge TCLP Pesticides Analysis (SW1311/8081) Heptachlor epoxide A Sludge TCLP Pesticides Analysis (SW1311/8081) Methoxychlor A Sludge TCLP Pesticides Analysis (SW1311/8081) Toxaphene A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 1,4-Dichlorobenzene A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4,5-Trichlorophenol A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4,6-Trichlorophenol A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) 2,4-Dinitrotoluene A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Cresols, Total A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobenzene A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachlorobutadiene A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Hexachloroethane A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Nitrobenzene A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Pentachlorophenol A Sludge TCLP Semi-Volatiles Analysis (SW1311/8270) Pyridine A Key Key NC WW SCM A Accredited NC_WW_SCM U Unavailable Version #3 Page 9 of 35 Summit Environmental Technologies, Inc. Accreditation Pro gram 3310 Win St. M Anal tes Report y P I MP©fdkl_SJTAL$ ?$ ](]f t'GIaS,tP�C. Cuyahoga Falls, Ohio 44223 An afji0ca! TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: http://iviviv.settek.com 05-Jun-19 Client: Synagro State: NW Project: Cherryville WWTP Program Name: NC WW_SCM Sample ID Matrix Test Name Analyte Status 19051264-001A Sludge TCLP Volatiles Analysis 1,1-Dichloroethene A Sludge TCLP Volatiles Analysis 1,2-Dichloroethane A Sludge TCLP Volatiles Analysis 2-Butanone A Sludge TCLP Volatiles Analysis Benzene A Sludge TCLP Volatiles Analysis Carbon tetrachloride A Sludge TCLP Volatiles Analysis Chlorobenzene A Sludge TCLP Volatiles Analysis Chloroform A Sludge TCLP Volatiles Analysis Tetrachloroethene A Sludge TCLP Volatiles Analysis Trichloroethene A Sludge TCLP Volatiles Analysis Vinyl chloride A NC_WW_SCM A Accredited NC_WW_SCM U Unavailable Version #3 Page 10 of 35 Summiffir Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT PN4!15��tJtdt]T�LLGF9NE]Ef3i,.3tdt Cuyahoga Falls, ohto44223 elrraii tdc � 1�Cvo� rf7RdF� TEL: (330) 2S3-8211 FAY: (330) 253-4489 Website: hap:lAviviv.settek.com WO#: 19051264 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: 37518 Sample ID 19051239-001AMS SampType: MS TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 5/20/2019 RunNo: 98666 lient ID: BatchQC Batch ID: 37518 TestNo: SW6010D SW3010A Analysis Date: 5/22/2019 SegNo: 2124011 knalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Arsenic(As) 2.27 0.500 2.000 0 113 70 130 TCLP Barium(Ba) ND 5.00 2.000 0.2309 105 70 130 TCLP Cadmium(Cd) 2.04 0.100 2.000 0 102 70 130 TCLP Chromium(Cr) 2.16 0.200 2.000 0 108 70 130 TCLP Selenium(Se) 2.32 0.0500 2.000 0 116 70 130 - TCLP Silver(Ag) 2.43 0.500 2.000 0.0007661 122 70 130 Sample ID 19051239-001AMSD SampType: MSD TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 5/20/2019 RunNo: 98666 client ID: BatchQC Batch ID: 37518 TestNo: SW6010D SW3010A Analysis Date: 5/22/2019 SegNo: 2124012 %nalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] TCLP Arsenic(As) 2.19 0.500 2.000 0 109 70 130 2.267 3.48 20 TCLP Barium(Ba) ND 5.00 2.000 0.2309 101 70 130 0 0 20 TCLP Cadmium(Cd) 1.96 0.100 2.000 0 97.8 70 130 2.036 4.02 20 TCLP Chromium(Cr) 2.08 0.200 2.000 0 104 70 130 2.159 3.78 20 TCLP Selenium(Se) 2.24 0.0500 2.000 0 112 70 130 2.323 3.45 20 TCLP S]Iver(Ag) 2.34 0.500 2.000 0.0007661 117 70 130 2.432 3.95 20 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anali J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds Revision Vl PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 11 of 35 - Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT S' '�t4[I�Ct]J6TALF6PJf7t43ia�',.9 Cuyahoga Falls, Ohio 44223 riDk°ffC�r3"L'i7arafoRle& WO#: 19051264 TEL: (330) 253-8211 FAX.- (330) 253-4489 Websits: httn:/hvivw.settek.com 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchFD: 37518 Sample ID 19051239-001AMS SampType: MS TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 5/2012019 RunNo: 98666 Client ID: BatchQC Batch ID: 37518 TestNo: SW6010D SW3010A Analysis Date: 5/22/2019 SegNo: 2124063 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Lead(Pb) 2.16 0.500 2.000 0.01223 107 70 130 3'ample ID 19051239-001AMSD SampType: MSD TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 5/20/2019 RunNo: 98666 :lient ID: BatchQC Batch ID: 37518 TestNo: SW6010D SW3010A Analysis Date: 5/22/2019 SegNo: 2124064 analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] TCLP Lead(Pb) 2.16 0.500 2.000 0.01223 108 70 130 2.157 0.351 20 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal; J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision V 1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 12 of 35 Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT "�C�4!I�C tJ1 7tiL�e CF1�1n[J3C51�'�7 Cuyahoga Falls, Ohio44223 wimI!livoil Lwborneorloe TEL: (330) 253-8211 FAX: (330) 253-4489 Website: hhapWivww.settek.coin WO#: 19051264 05-Jun-I9 Client: Synagro Project: Cherryville WWTP BatchIll: 37518 Sample ID MB-37518 SampType: MBLK TestCode: Mtl-TCLP-7(6 Units: mg/L Client ID: PBS Batch ID: 37518 TestNo: SW6010D SW3010A Analyte Result PQL SPK value SPK Ref Val TCLP Arsenic(As) ND 0.500 TCLP Barium(Ba) ND 5.00 TCLP Cadmium(Cd) ND 0.100 TCLP Chromium(Cr) ND 0.200 TCLP Lead(Pb) ND 0.500 TCLP Selenium(Se) ND 0.0500 TCLP Silver(Ag) ND 0.500 Prep Date: 5/20/2019 RunNo: 98499 Analysis Date: 5/2012019 SegNo: 2118254 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Sample ID LCS-37518 SampType: LCS TestCode: Mtl-TCLP-7(6 Units: mg/L Prep Date: 5/20/2019 RunNo: 98499 ;lient ID: LOSS Batch ID: 37518 TestNo: SW6010D SW3010A Analysis Date: 5/20/2019 SegNo: 2118255 knalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Arsenic(As) 2.11 0.500 2.000 0 105 80 120 TCLP Barium(Ba) ND 5.00 2.000 0 106 80 12D TCLP Cadmium(Cd) 1.95 0.100 2.000 0 97.3 80 120 TCLP Chromium(Cr) 2.19 0.200 2.000 0 110 80 120 TCLP Lead(Pb) 2.23 0.500 2.000 0 ill 80 120 TCLP Selenium(Se) 2.17 0.0500 2.000 0 108 80 12D TCLP Silver(Ag) 2.32 0.500 2.000 D 116 80 120 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal; 7 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision vl ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 13 of 35 Summit Environmental Technologies, Inc. -S 3310 Win St. QC SUMMARY REPORT r r'r EC+lb.ISCL�PJY�1�fd'Pi[L`fi"cO:tINe7EA�ia7d.a..]hd�� Cuyahoga Falls, Ohio 44223 - il,mall�!tJeT�'iGctaalvFd+s TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: http://www.settek.corn 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: 37523 Sample ID MB-37523 SampType: MBLK TestCode: HG_TCLP(74 Units: PPM Prep Date: 5/20/2019 RunNo: 98535 Client ID: PBS Batch ID: 37523 TestNo: SW7470A SW7470A Analysis Date: 5/20/2019 SegNo: 2117843 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Mercury ND 0.00200 Sample ID LCS-37523 SampType: LCS TestCode: HG_TCLP(74 Units: PPM Prep Date: 5/20/2019 RunNo: 98535 Client ID: LCSS Batch ID: 37523 TestNo: SW7470A SW7470A Analysis Date: 5/20/2019 SegNo: 2117844 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual TCLP Mercury 0.00397 0.00200 0.00400 0 1 99.2 80 120 Sample ID 19051026-001AMS SampType: MS TestCode: HG_TCLP(74 Units: PPM Prep Date: 5/20/2019 RunNo: 98535 Client ID: BatchQC Batch ID: 37523 TestNo: SW7470A SW7470A Analysis Date: 5/2012019 SegNo: 2117848 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] TCLP Mercury 0.00435 0.00200 0.00400 0.0000500 108 i 75 125 Sample ID 19051026-001AMSD SampType: MSD TestCode: HG_TCLP(74 Units: PPM Prep Date: 5/20/2019 RunNo: 98535 Client ID: BatchQC Batch ID: 37523 TestNo: SW7470A SW7470A Analysis Date: 5/20/2019 SegNo: 2117849 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] TCLP Mercury 0.00439 0.00200 0.00400 0.0000500 108 75 125 0.00435 0.915 20 Qualifiers: B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected PL Permit Limit E Value above quantitation range M Manual Integration used to (determine area response 0 RSD is greater than RSDlimit R RPD outside accepted recovery limits Page 14 of 35 H Holding times for preparation or anali MC Value is below Minimum Compound P Second column confirmation exceeds RL Reporting Detection Limit Revision v1 Summit Environmental Technologies, Inc. QC SUMMARY REPORT M'Summ 1 3310 YYin St. "�t45t9iCf fdPi9lliliL•GFd1lf]fJ1Ci] av7iiC Cuyahoga Falls, Ohio 44223 tre�P tft h3 L'abaraBaPJes TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: huy:/Avivw.settek.cons 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: 37523 Sample ID 19051026-001AMSD SampType: MSD TestCode: HG_TCLP(74 Units: PPM Prep Date: 512012019 RunNo: 98535 Client ID: BatchQC Batch ID: 37523 TestNo: SW7470A SW7470A Analysis Date: 5/2012019 SegNo: 2117849 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qua] Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anah J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds Revision vl PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 15 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT -S IT 3310 Win St. E�trIStO?1PA1YFtL"6��61PJt3,ECbC3CS,.7I�G Cuyahoga Falls, Ohio44223 WO#: 19051264 ll;rpt�,fljrtVC3 iC+cta�v�dgE TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htty://iviviv.settek.com 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: 37528 Sample ID 19051350-001AMS SampType: MS TestCode: SVOC-BNA T Units: mg/L Prep Date: 5/20/2019 RunNo: 98606 client ID: BatchQC Batch ID: 37528 TestNo: SW8270 SW3510C Analysis Date: 5/21/2019 SegNo: 2120533 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,4-Dichlorobenzene 0.282 0.0800 0.8000 0 35.3 33.8 126 QMR 2,4,5-Trichlorophenol 0.432 0.200 0.8000 0 54.0 28.7 144 QMR 2,4,6-Trichlorophenol 0.451 0.200 0.8000 0 56.4 12.8 153 QMR 2,4-Dinitrotoluene 0.455 0.0400 0.8000 0 56.9 20.4 155 QC+QMR Cresols, Total ND 4.00 1.600 0 50.3 10 148 QMR Hexachloro-1,3-butadiene 0.281 0.0160 0.8000 0 35.1 29 126 QMR Hexachlorobenzene 0.352 0.0400 0.8000 0 44.0 33.7 134 QMR Hexachloroethane 0.267 0.0800 0.8000 0 33.4 32.8 132 QMR Nitrobenzene 0.358 0.0800 0.8000 0 44.8 20 158 QMR Pentachlorophenol 0.473 0.200 0.8000 0 59.1 10 176 Pyridine 0.254 0.200 0.8000 0 31.7 10 130 Surr:2-Fluorophenol 0.404 1.000 40.4 3.39 130 Surr: Phenol-d6 0.457 1.000 45.7 5 130 Surr: Nitrobenzene-d5 0.344 1.000 34.4 14.5 154 Surr: 2,4,6-Tribromophenol 0.524 1.000 52.4 19.5 130 Surr:2-Fluorobiphenyl 0.350 1.000 35.0 34.4 130 Surr: p-Terphenyl-d14 0.539 1.000 53.9 8.86 156 Sample ID 19051350-001AMSD SampType: MSD TestCode: SVOC-BNA T Units: mg/L Prep Date: 5/2012019 RunNo: 98606 Client ID: Batch= Batch ID: 37528 TestNo: SW8270 SW3510C Analysis Date: 5/2112019 SegNo: 2120534 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal; J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision V 1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 16 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT `R� � 3310 Win St. •&tat3CFfal1rCuyahoga Falls, Ohio 44223 %I,ip7ljrtic�i CaE7c>��oFIr36 TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Wehsite: htfo.-Mvivw.settekcon? OS-Jun-19 CIient: Synagro Project: Cherryville WWTP BatchIID: 37528 Sample ID 19051350-001AMSD SampType: MSD TestCode: SVOC-BNA T Units: mg/L Prep Date: 512012019 RunNo: 98606 client ID: BatchQC Batch ID: 37528 TestNo: SW8270 SW3510C Analysis Date: 5/21/2019 SegNo: 2120534 4nalyte Result PQL SPK value SPK Ref Val %REC LowLimit HighUrnit RPD Ref Val %RPD RPDLimit Qua[ 1,4-Dichlorobenzene 0.402 0.0800 1.600 D 25.2 33.8 126 0.2824 35.0 30 RS 2,4,5-Trichlorophenol 0.625 0.200 1.600 0 39.1 28.7 144 0.4320 36.5 30 R 2,4,6-Trichlorophenol 0.634 0.200 1.600 0 39.6 12.8 153 0.4508 33.8 30 R 2,4-Dinitrotoluene 0.654 0.0400 1.600 0 40.9 20.4 155 0.4548 35.9 30 RQC+ Cresols, Total ND 4.00 3.200 0 34.9 10 148 0 0 30 R Hexachloro-1,3-butadiene 0.423 0.0160 1.600 0 26.4 29 126 0.2808 40.5 30 RS Hexachlorobenzene 0.498 0.0400 1.600 0 31.2 33.7 134 0.3520 34.4 30 RS Hexachloroethane 0.374 0.0800 1.600 0 23.4 32.8 132 0.2668 33.6 30 RS Nitrobenzene 0.513 0.08D0 1.600 0 32.1 20 158 0.3580 35.6 30 R Pentachlorophenol 0.607 0.200 1.600 0 37.9 10 176 0.4728 24.8 30 Pyridine 0.312 0.200 1.600 0 19.5 10 130 0.2536 20.5 30 Surr:2-Fluorophenol 0.590 2.000 29.5 3.39 130 0 Surr: Phenol-d6 0.646 2.000 32.3 10 130 0 Surr: Nitrobenzene-d5 0.500 2.000 25.0 14.5 154 0 Surr: 2,4,6-Tribromophenol 0.776 2.000 38.8 19.5 130 0 Surr:2-Fluorobiphenyl. 0.507 2.000 25.4 34.4 130 0 S Surr: p-Terphenyl-d14 0.754 2.0DO 37.7 8.86 156 0 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analN J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision Vl ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 17 of 35 - Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT U'j�hVI�tONMt]7LS61Ne5LS1•t'a�„31�0 IWebsite: Cuyahoga Falls, Ohio44223 WO#: 19051264 ltrdl3ediF fgiaorafo�J�s TEL: (330) 253-8211 FAX.- (330) 253-4489 ht1o:1Avivi9.se1tekcom 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: 37528 Sample ID MB-37528 SampType: MBLK TestCode: SVOC-BNA_T Units: mg/L Prep Date: 512012019 RunNo: 98559 Nent ID: PBS Batch ID: 37528 TestNo: SW8270 SW3510C Analysis Date: 5/21/2019 SegNo: 2119054 knalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ 1,4-Dichlorobenzene ND 0.0400 2,4,5-Trich[orophenol ND 0.100 2,4,6-Trichlorophenol ND 0.100 2,4-Dinitrotoluene ND 0.0200 Cresols, Total ND 2.00 Hexachloro-1,3-butadiene ND 0.00800 Hexachlorobenzene ND 0.0200 Hexachloroethane ND 0.0400 Nitrobenzene ND 0.0400 Pentachlorophenol ND 0.100 Pyridine ND 0.100 Surr: 2-Fluorophenol 0.486 Surr: Phenol-d6 0.605 Surr: Nitrobenzene-d5 0.501 Surr: 2,4,6-Tribromophenol 0.585 Surr: 2-Fluorobiphenyl 0.566 Surr: p-Terphenyl-d14 0.676 1.000 48.6 10 109 1.000 60.5 10 109 1.000 50.1 19 120 1.000 58.5 10 120 1.000 56.6 22 117 1.000 67.6 34 116 Sample ID LCS-37528 SampType: LCS TestCode: SVOC-BNA T Units: mg/L Prep Date: 5/20/2019 RunNo: 98559 Client ID: LCSS Batch ID: 37528 TestNo: SW8270 SW3510C Analysis Date: 5/21/2019 SegNo: 2119055 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or analN J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision V 1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 18 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 1 3310 Win ,St. t61SI�iCfJPi9EJ'dli[L%iGV9R1p[Ga„.7�GC Cuyahoga Falls, Ohio44223 _- 1�.r7ttr4ttf��3L�ratdSadd TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: htto:1APwiv.settek.coin 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchlID: 37528 Sample ID LCS-37528 SampType: LCS TestCode: SVOC-BNA_T Units: mg/L Prep Date: 5/20/2019 RunNo: 98559 client ID: LCSS Batch ID: 37528 TestNo: SW8270 SW3510C Analysis Date: 5/21/2019 SegNo: 2119055 4nalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qua] 1,4-Dichlorobenzene 0.409 0.0400 0.8000 D 51.2 36.4 130 2,4,5-Trichlorophenol 0.571 0.100 0.8000 0 71.4 31.7 132 2,4,6-Trichlorophenol 0.570 0.100 0.8000 0 71.2 31.1 133 2,4-Dinitrotoluene 0.568 0.0200 0.8000 0 71.0 43.3 130 Cresols, Total ND 2.00 1.600 0 65.2 31.7 130 Hexachloro-1,3-butadiene 0.403 0.00800 0.8000 0 50.4 31.4 130 Hexachlorobenzene 0.528 0.0200 0.8000 0 66.0 43.1 130 Hexachloroethane 0.396 0.0400 0.8000 0 49.5 36.5 130 Nitrobenzene 0.499 0.0400 0.8000 0 62.4 39.5 130 Pentachlorophenol 0.518 0.100 0.8000 0 64.8 34 130 Pyridine 0.138 0.100 0.8000 0 17.3 10 130 Surr: 2-Fluorophenol 0.604 1.000 60.4 17.1 130 Surr: Phenol-d6 0.648 1.000 64.8 10 130 Surr: Nitrobenzene-d5 0.615 1.000 61.5 32.6 130 Surr: 2,4,6-Tribrom o phenol 0.714 1.000 71.4 4.43 130 Surr: 2-Fluorobiphenyl 0.621 1.000 62.1 41.8 130 Surr: p-Terphenyl-d14 0.814 1.000 81.4 36.4 130 m Qualifiers: B Analyte detected in the associated Method BIank E Value above quantitation range H Holding times for preparation or anali J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds ReV1S10n Vl PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 19 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT j 3310 Win St. �C�Vti?IV�t idh9 941T�L G �P{�Oc7UCbdad ,:1�GC Czvahoga Falls, Ohio 44223 �4m7Ayof�7 L'faarndC7rd�5 TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 19051264 Website: httn:AAwivw.settek-com 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: 37600 Sample ID MB-37600 SampType: MBLK TestCode: TCLP-SVOC- Units: mg/L Prep Date: 5/24/2019 RunNo: 98799 client ID: PBS Batch ID: 37600 TestNo: SW8081 SW3510C Analysis Date: 5/2412019 SegNo: 2142057 %nalyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Chlordane, total ND 0.00250 Toxaphene ND 0.00500 Endrin ND 0.000500 gamma-BHC ND 0.000500 d Heptachlor ND 0.000500 d Heptachlor epoxide ND 0.000500 d Methoxychlor ND 0.000500 d Surr: TCMX 9.56 20.00 47.8 10 . 119 Surr: DCB 16.6 20.00 82.9 10 119 Sample ID LCS-37600 SampType: LCS TestCode: TCLP-SVOC- Units: mg1L Prep Date: 5/24/2019 RunNo: 98799 :lient ID: LCSS Batch ID: 37600 TestNo: SW8081 SW3510C Analysis Date: 5/2412019 SegNo: 2142058 knalyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Endrin 0.0101 0.000500 0.0100 0 101 20 216 gamma-BHC 0.00768 0.000500 0.0100 0 76.8 20 197 Heptachlor 0.00679 0.000500 0.0100 0 67.9 20 200 Heptachlor epoxide 0.00803 0.000500 0.0100 0 80.3 20 200 Methoxychlor D.00978 0.000500 0.0100 0 97.8 20 227 Surr: TCMX 11.5 20.00 57.5 20 143 Surr: DCB 18.7 20.D0 93.5 20 151 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds Revision v1 PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 20 of 35 — SummitEnrironmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. �E�1fIt�SatAtfitF�Lce'C@fE�dlf�0f,.7C Cuyahoga Falls, Ohio44223 WO#: 19051264 i�,rr.f:ftPdCstiL':lart®ales, TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: huo✓hvivw.settek.cons 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchlD: 37650 Sample ID MB-37650 SampType: MBLK TestCode: TCLP-SVOC- Units: mg/L Prep Date: 512412019 RunNo: 99034 Client ID: PBS Batch ID: 37650 TestNo: SW8151A SW8151A Analysis Date: 5/31/2019 SegNo: 2141487 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ 2,4-D ND 0.0100 0 0 a 2,4,5-TP ND 0.00500 0 0 d Surr: DCAA 253 500.0 50.6 20 140 Sample ID LCS-37650 SampType: LCS TestCode: TCLP-SVOC- Units: mg/L Prep Date: 5/24/2019 RunNo: 99034 Client ID: LCSS Batch ID: 37650 TestNo: SW8151A SW8151A Analysis Date: 5/31/2019 SegNo: 2141488 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ 2,4-D 0.406 0.0100 0.500 0 81.2 43.8 130 2,4,5-TP 0.413 0.00500 0.500 0 82.6 51.5 ill Surr: DCAA 597 500.0 119 34.2 150 Sample ID LCSD-37650 SampType: LCSD TestCode: TCLP-SVOC- Units: mg/L Prep Date: 5/24/2019 RunNo: 99034 Client ID: LCSS02 Batch ID: 37650 TestNo: SW8151A SW8151A Analysis Date: 5/31/2019 SegNo: 2141489 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 2,4-D 0.408 0.0100 0.500 0 81.6 43.8 130 0.406 u.btW su 2,4,5-TP 0.428 0.00500 0.500 0 85.5 51.5 130 0.413 3.54 30 Surr: DCAA 292 500.0 58.3 34.2 150 0 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal; J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision V 1 ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 21 of 35 Siimmil Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. tc6'Ai!13SOtJ1e1 Fi14iL:Lc�9@P1o1�ta3ZS,AN ClryahogaFalls, Ohio WO#: 19051264 "2i�a yPf Pi 'aU€sratl7rd�S TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: han.-Ilwrvw.settek.cam 05-Jun-19 Client: Synagro Project: Cherryville WWTP lBatchID: R98525 Sample ID LCS-98525 Client ID: LCSW Analyte 1,1-Dichloroethene 1,2-Dichloroethane MEK Benzene Carbon tetrachloride Chlorobenzene Chloroform Tetrachloroethene Trichloroethene Vinyl chloride Surr: 4-Brom ofluorobenzene Surr: Dibromofluoromethane Surr: Toluene-d8 SampType: LCS TestCode: voc-mstr_np Units: mg/L Prep Date: RunNo: 98525 Batch ID: R98525 TestNo: SW8260 Analysis Date: 5/20/2019 SegNo: 2117453 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ 0.0167 0.00500 0.0200 0 83.7 70 138 0.0178 0.00500 0.0200 0 89.2 70 130 0.0961 0.0250 0.100 0 96.1 70 130 0.0192 0.00500 0.0200 0 96.0 10 199 0.0195 0.00500 0.0200 0 97.4 21.3 240 0.0190 0.00500 0.0200 0 94.8 70 132 0.0193 0.00500 O.D200 0 96.5 70 130 0.0184 0.00500 0.0200 0 92.2 1D 130 0.0193 0.00500 0.0200 0 96.6 70 130 0.0189 0.00200 0.0200 0 94.3 70 130 50.8 50.00 102 70 130 47.6 50.00 95.2 70 130 54.2 50.00 108 70 130 Sample ID MB-98525 SampType: MBLK TestCode: voc-mstr np Units: mg/L Prep Date: RunNo: 98525 Client ID: PBW Batch ID: R98525 TestNo: SW8260 Analysis Date: 512012019 SegNo: 2117457 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,1-Dichloroethene ND 0.00500 1,2-Dichloroethane ND 0.00500 MEK ND 0.0250 Benzene ND 0.00500 Qualifiers: B Analyte detected in the associated Method Blank J Analyte detected below quantitation limits ND Not Detected PL Permit Limit E Value above quantitation range H Holding times for preparation or anal} M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 O RSD is greater than RSDlimit P Second column confirmation exceeds R RPD outside accepted recovery limits RL Reporting Detection Limit Page 22 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 1IT 3310 Win St. E�3tr13tatiPd��"rJItTLGa CF6tl�at�Z K0 Cuyahoga Falls, Ohio 44223 WO#: 19051264 �p ��tl�'yp(ppr�agf�, TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: htto://ivivw.settek.coin OS-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: R98525 Sample ID MB-98525 Client ID: PBW Analyte Carbon tetrachloride Chlorobenzene Chloroform Tetrachloroethene Trichloroethene Vinyl chloride Surr: 4-Bromofluorobenzene Surr: Dibromofluoromethane Surr: Toluene-d8 SampType: MBLK TestCode: voc-mstr_np Units: mg/L Batch ID: R98525 TestNo: SW8260 Result PQL SPK value SPK Ref Val ND 0.00500 ND 0.00500 ND 0.00500 ND 0.00500 ND 0.00600 ND 0.00200 50.3 50.00 47.4 50.00 54.0 50.00 Prep Date: Analysis Date: 5/20/2019 %REC Lowl-imit HighLimit RPD Ref Val 101 70 130 94.9 70 130 108 70 130 RunNo: 98525 SegNo: 2117457 %RPD RPDLimit Qua] Sample ID 19051144-00laMS SampType: MS TestCode: voc-mstr_np Units: mg/L Prep Date: RunNo: 98525 Client ID: Batch QC Batch ID: R98525 TestNo: SW8260 Analysis Date: 5/21/2019 SegNo: 2119583 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 1,1-Dichloroethene 0.131 0.0500 0.200 0 65.3, 63.8 148 1,2-Dichloroethane 0.170 0.0500 0.200 0 85.0 70 130 MEK 0.943 0.250 1.00 0 94.3 10 130 Benzene 0.727 0.0500 0.200 0.547 89.9 70 13D Carbon tetrachloride 0.142 0.0500 0.200 0 71.0 70 130 Chlorobenzene 0.173 0.0500 0.200 0 86.2 70 130 Chloroform 0.180 0.0500 0.200 0 90.2 70 130 Tetrachloroethene 0.142 0.0500 0.200 0 70.8 70 130 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal; J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision V 1 ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 23 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT ui 3310 Win St. i ENS?IRO'tJrd1 TJ7AL'C60N�]i 4G3,•31i� Cuyahoga Falls, Ohio 44223 - WO#: 19051264 rrt�llj€P��?p L' a.aralorfks TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: ham:11ivww.settek.com OS-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: R98525 Sample ID 19051144-001aMS SampType: MS TestCode: voc-mstr_np Units: mg/L Prep Date: RunNo: 98525 Client ID: BatchQC Batch ID: R98525 TestNo: SW8260 Analysis Date: 512112019 SegNo: 2119583 Analyte Result PQL SPK value SPK Ref Val %REC LowLimit HighLimit RPD Ref Val %RPD RPDLimit Qual Trichloroethene 0.167 0.0500 0.200 0 83.7 70 130 Vinyl chloride 0.138 0.0200 0.200 0 69.2 53.9 141 Surr: 4-Bromofluorobenzene 507 500.0 101 70 130 Surr: Dibromofluoromethane 471 500.0 94.2 70 130 Surr: Toluene-d8 544 500.0 109 70 130 Sample ID 19051144-001aMSD SampType: MSD TestCode: voc-mstr_np Units: mg/L Prep Date: RunNo: 98525 Client ID: BatchQC Batch ID: R98525 TestNo: SW8260 Analysis Date: 5/21/2019 SegNo: 2119584 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Analyte 1,1-Dichloroethene 0.144 0.0500 0.200 0 72.0 63.8 148 0.131 9.83 30 1,2-Dichloroethane 0.174 0.0500 0.200 0 87.2 70 130 0.170 2.61 25 MEK 0.927 0.250 1.00 0 92.7 10 130 0.943 1.69 25 Benzene 0.716 0.0500 0.200 0.547 84.6 70 130 0.727 1.48 30 Carbon tetrachloride 0.157 0.0500 0.200 0 78.4 70 130 0.142 9.91 25 Chlorobenzene 0.176 0.0500 0.200 0 88.2 70 130 0.173 2.29 30 Chloroform 0.182 0.0500 0.200 0 91.1 70 130 0.180 0.883 25 Tetrachloroethene 0.154 0.0500 0.200 0 77.0 70 130 0.142 8.25 25 Trichloroethene 0.174 0.0500 0.200 0 87.2 70 130 0.167 4.10 30 Vinyl chloride 0.134 0.0200 0.200 0 66.8 53.9 141 0.138 3.60 25 Surr:4-Bromofluorobenzene 510 500.0 102 70 130 0 25 Surr: Dibromofluoromethane 468 500.0 93.7 70 130 0 25 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal; J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision Vl ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 24 of 35 Sxmmit Environmental Technologies, Inc. QC SUMMARY REPORT 1 3310 Win St. E�81rl�t�tdFd�ltsJ7[L'GGBg�1oE�G.SS,•]HC Cuyahoga Falls, Ohio 44223 WO#: 19051264 rtt¢.l�ysttc��T faPaotdc�ads TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: http•/%vivw settek.com OS-Jun-19 Client: Synagro Project: Cherryville WWTP BatchID: R98525 Sample ID 19051144-00laMSD SampType: MSD TestCode: voc-mstr_np Units: mg/L Client ID: Batch= Batch ID: R98525 TestNo: SW8260 Analyte Surr: Toluene -dB Result PQL SPK value SPK Ref Val 547 500.0 Prep Date: RunNo: 98525 Analysis Date: 5/21/2019 SegNo: 2119584 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual 109 70 130 0 25 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 25 of 35 - Szmimit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. �G@Srl LitJti9E4lT�tL 1TCFG2JAI ��1 5:9hd Cuyahoga Falls, Ohio 44223 W09: 19051264 ;+trr�ycdc�'L`uaratorl TEL: (330) 253-8211 FAX.- (330) 253-4489 OS-Jun-19 Website: http•//www.settekcom Client: Synagro Project: Cherryville WWTP BatchID: R98525 Sample ID LCS-98525 SampType: LCS TestCode: tclp-voc-mstr Units: mg/L Prep Date: RunNo: 98525 Client ID: LCSS Batch ID: R98525 TestNo: SW8260 Analysis Date: 5/2012019 SegNo: 2119592 Result PQL SPK value SPK Ref Val %REC Lowl-imit Hight-imit RPD Ref Val %RPD RPDLimit Qua[ Analyte 1,1-Dichloroethene 0.0167 0.00500 0.0200 0 83.7 79.4 131 1,2-Dichloroethane 0.0178 0.005D0 0.0200 0 89.2 73.6 137 MEK ND 0.100 0.100 0 96.1 55.1 163 Benzene 0.0192 0.00500 0.0200 0 96.0 73.1 132 Carbon tetrachloride 0.0195 0.00500 0.0200 0 97.4 63.7 139 Chiorobenzene ND 0.0500 0.0200 0 94.8 72.3 139 Chloroform 0.0193 0.00500 0.0200 0 96.5 79.3 129 Tetra chloroethene 0.0184 0.00500 0.0200 0 92.2 56.2 187 Trichloroethene 0.0193 0.00500 0.0200 0 96.6 64.1 138 Vinyl chloride 0.0189 0.00200 0.0200 0 94.3 22.1 147 Surr:4-Bromofluorobenzene 50.8 50.00 102 80.4 126 Surr: Dibromofluoromethane 47.6 50.00 95.2 70.3 125 Surr: Toluene-d8 54.2 50.00 108 82 117 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 O RSD is greater than RSDlimit P Second column confirmation exceeds ND Not Detected PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 26 of 35 Summit Environmental Technologies, Inc. QC SUMMITRY RAP®R'I' T3310 Win St. �6A1VI5tC9fJP T L CFOPtaLC1Gi1,.NG Cuyahoga Falls, Ohio44223 WO#: 19051264 iiitp/FIaA+C/C4'i TEL: (330) 253-8211 FAX.- (330) 253-4489 .C.@1�dOdd6 Website: h�:Uw ww.settek.com OS-Jun-19 Client: Synagro Project: Cherryville WWTP BatchYD: R98750 Sample ID Blank SampType: MBLK TestCode: Cyanide,Rea Units: mg/L Prep Date: RunNo: 98750 Client ID: PBW Batch ID: R98750 TestNo: SW9014 Analysis Date: 5/1712019 SegNo: 2129296 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Cyanide, Reactive ND 0.485 Sample ID LCS SampType: LCS TestCode: Cyanide,Rea Units: mg/L Prep Date: RunNo: 98750 Client ID: LCSW Batch ID: R98750 TestNo: SW9014 Analysis Date: 511712019 SegNo: 2129297 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua] Cyanide, Reactive 9.43 0.490 10.00 0 94.3 85 115 Sample ID RI -Check SampType: RLC TestCode: Cyanide,Rea Units: mg/L Prep Date: RunNo: 98750 Client ID: BatchQC Batch ID: R98750 TestNo: SW9014 Analysis Date: 5/17/2019 SegNo: 2129299 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Cyanide, Reactive 0.524 0.490 0.5000 0 1Ub bu iau Sample ID 19051158-011AMS SampType: MS TestCode: Cyanide,Rea Units: mg/L Prep Date: RunNo: 98750 Client ID: BatchQC Batch ID: R98750 TestNo: SW9014 Analysis Date: 511712019 SegNo: 2129319 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Cyanide, Reactive 10.0 0.500 10.00 0.3081 97.3 81.3 118 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 27 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 'M'Summ.-IT, , 3310Win St. 'C&�SPI�tf79UllI'�111aL"fit BlNc�t fidal�5 ih8�. Cuyahoga Falls, Ohio 44223 WO#: 19051264 tt�rlt a1 LtE�ractea�l@, TEL: (330) 253-8211 FAY.- (330) 253-4489 Website: http•//www.settek.com OS-Jun-l9 Client: Synagro Proiect: Cherryville WWTP BatchID: R98750 Sample ID 19051158-011AMS SampType: MS TestCode: Cyanide,Rea Units: mg/L Prep Date: RunNo: 98750 Client ID: BatchQC Batch ID: R98750 TestNo: SW9014 Analysis Date: 511712019 SegNo: 2129319 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Sample ID 19051158-011AMSD SampType: MSD TestCode: Cyanide,Rea Units: mg/L Client ID: BatchQC Batch ID: R98750 TestNo: SW9014 Analyte Cyanide, Reactive Result PQL SPK value SPK Ref Val 10.2 0.500 10.00 0.3081 Prep Date: RunNo: 98750 Analysis Date: 5/17/2019 SegNo: 2129320 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 98.7 81.3 118 10.04 1.39 5 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anah J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 28 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. ��94!IC�fCit�l T�[L 6 C61�8tHLITfa1 71�w CUahoga Falls, Ohio 44223 WO#: 19051264 Afpyiar�e.���;pal TEL: (330) 253-8211 FAX.- (330) 253-4489 Website: hup-//iviviv.settek.com OS-Jun-I9 Client: Synagro Project: Cherryville WWTP BatchID: R98776 Sample ID MB-R98776 Client ID: PBW Analyte Sulfide, Reactive Sample ID LCS-R98776 Client ID: LCSW Analyte Sulfide, Reactive SampType: MBLK TestCode: Sulfide,React Units: mg/L Batch ID: R98776 TestNo: SW9034 Result PQL SPK value SPK Ref Val ND 25.0 Prep Date: RunNo: 98776 Analysis Date: 511712019 SegNo: 2130197 %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual SampType: LCS TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 98776 Batch ID: R98776 TestNo: SW9034 Analysis Date: 6/17/2019 SegNo: 2130198 Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual 4560 25.0 4800 0 95.0 85 115 Sample ID 19051158-011AMS SampType: MS TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 98776 Client ID: BatchQC Batch ID: R98776 TestNo: SW9034 Analysis Date: 611712019 SegNo: 2130209 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual Sulfide, Reactive 4720 25.0 4800 0 98.3 75 125 Sample ID 19051158-011AMSD SampType: MSD TestCode: Sulfide,React Units: mg/L Prep Date: RunNo: 98776 Client ID: BatchQC Batch ID: R98776 TestNo: SW9034 Analysis Date: 5/17/2019 SegNo: 2130210 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ Sulfide, Reactive 4680 25.0 4800 0 97.5 75 - 125 4720 0.851 30 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 29 of 35 �Summit Environmental Technologies, Inc. QC SUMMARY REPORT � M 3310 Win St. i �PdUl6]PIPe9YY11L�u61P2C3L6€a3'.9P&a Cuyahoga Falls, Ohio 44223 WO#: 190S1264 :�irQ�t�pirc r:P'l omarordc5 TEL: (330) 253-8211 FAX. (330) 253-4489 Website: ham://www settek.com 05-Jun-19 CIient: Synagro Project: Cherryville WWTP BatchID: R98776 Sample ID 19051158-011AMSD SampType: MSD TestCode: Sulfide,React Units: mg/L Client ID: BatchQC Batch ID: R98776 TestNo: SW9034 Analyte Result PQL SPK value SPK Ref Val Prep Date: RunNo: 98776 Analysis Date: 511712019 SegNo: 2130210 %REC Lowl-imit Highl-imit RPD Ref Val %RPD RPDLimit Qual Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 30 of 35 Summit Environmental Technologies, Inc. 3310 Win St. QC SUMMARY REPORT ':F~1!Ii7lJFY�L"Ce CFoh7r�Ed001�1,9 Cuyahoga Falls, Ohio44223 WO#: 19051264 ��iyrr��q� LOa�gp��l� TEL: (330) 253-8211 FAX.- (330) 253-4489 05-Jun-19 Website: h�•/hvww.settelc.com Synagro Client: Project: Cherryville WWTP BatchIl): R98995 Sample ID LCS-R98995 SampType: LCS TestCode: pH_S(9045D) Units: s.u.@22.00 Prep Date: RunNo: 98995 Client ID: LCSS Batch ID: R98995 TestNo: SW9045D Analysis Date: 5/31/2019 SegNo: 2139142 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qual pH 7.0 7.0 0 100 90 110 Sample ID CHECK 7 SampType: LCS TestCode: pH_S(9045D) Units: s.u.@22.3C Prep Date: RunNo: 98995 Client ID: LCSS Batch ID: R98995 TestNo: SW9045D Analysis Date: 6/31/2019 SegNo: 2140377 Analyte Result PQL SPK value SPK Ref Val %REC Lowl-imit HighLimit RPD Ref Val %RPD RPDLimit Qua[ pH 7.0 7.0 0 101 90 110 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal, J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 31 of 35 Summit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. ��§1plStdPJPlIl�AL L@BNQtId�1,•71�+ Cuyahoga Falls, Ohio 44223 WO#: 19051264 1rafk+tfc7i'faael®�d TEL: (330) 253-8211 FAX- (330) 253-4489 Website: hao•/%vww.settekeom OS-Jun-I9 Client: Synagro Project: Cherryville WWTP BatchYD: R98995 Sample ID 19052000-001BDUP SampType: DUP TestCode: pH_NPW(450 Units: s.u.@20.3C Prep Date: Client ID: BatchQC Batch ID: R9B995 TestNo: SW9045D Analysis Date: 5/31/2019 Analyte pH Result PQL SPK value SPK Ref Val %REC Lowl-imit Highl-imit RPD Ref Val 6.9 6.9 RunNo: 98995 SegNo: 2140375 %RPD RPDLimit Qua] 0.6 5 Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anali 7 Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision v1 ND Not Detected O RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 32 of 35 i - Summit Environmental Technologies, Inc. QC SUMMARY REPORT 3310 Win St. 1. �7 U 1�I1�11 iit i �f�lll 14t TAL.`I�CCHIaaE-0G71,J N G CiryahogaFalls, Ohio44223 WO#: 19051264 n �� �Iltdc�I L�Giaf d®adee TEL: (330) 253-8211 FAX: (330) 253-4489 Website: httD:/hvwiv.settek.coin 05-Jun-19 Client: Synagro Project: Cherryville WWTP BatchED: R99073 Sample ID LCS-R99073 SampType: LCS TestCode: Ignitability_S Units: Client ID: LCSS Batch ID: R99073 TestNo: SW1030 Analyte Result PQL SPK value SPK Ref Val Ignitability 7.94 7.240 0 Prep Date: Analysis Date: 6/3/2019 %REC LowLimit Highl-imit RPD Ref Val 110 70 130 RunNo: 99073 SegNo: 2142958 %RPD RPDLimit Qua] Qualifiers: B Analyte detected in the associated Method Blank E Value above quantitation range H Holding times for preparation or anal} J Analyte detected below quantitation limits M Manual Integration used to determine area response MC Value is below Minimum Compound Revision Vl ND Not Detected 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits RL Reporting Detection Limit Page 33 of 35 .0fC. Us, Ody. A.A� tin OM A ah! of -53mlilo origin R CONIPIJAN6L NO - -0ATTGSj'ATjj(rj%h;g ir-, it a , , " 1-214 Tq, Page 34 of 35 -- Summit Environmental Technologies, Inc. ® 3310 Win St. �h1�lf?01dCil1 ti7ALb 71.t]tit^,t �,iP<C, Cuyahoga Falls, Ohio44223 Sample Log -In Check List srt£fretec f Y r�atord�a TEL: (330) 253-8211 FAX.. (330) 253-4489 Website: htto:llivww.settek.com Client Name: SYN-NC-27028 Work Order Number: 19051264 RcptNo: 1 Logged by: Kayla L. Oulton Completed By: Jesseca E. Westfall Reviewed By: Jennifer Woolf 5/16/2019 10:20:00 AM 511612019 5:34:18 PM 5/17/2019 3:21:16 PM Chain of Custody 1. Is Chain of Custody complete? Yes ❑d No ❑ Not Present ❑ 2. How was the sample delivered? UPS Lop /n 3, Coolers are present? Yes ❑d No ❑ NA ❑ 4. Shipping container/cooler in good condition? Yes ❑d No ❑ Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present R No. Seal Date: Signed By: 5. Was an attempt made to cool the samples? Yes No ❑ NA ❑ 6. Were all samples received at a temperature of >0° C to 6.0°C Yes d❑ No ❑ NA ❑ 7. Sample(s) in proper container(s)? Yes ❑d No ❑ 8. Sufficient sample volume for indicated test(s)? Yes W No ❑ g, Are samples (except VOA and ONG) properly preserved? Yes W No ❑ 10. Was preservative added to bottles? Yes ❑ No 91 NA ❑ 11. Is the headspace in the VOA vials less than 1/4 inch or 6 mm? Yes ❑ No ❑ No VOA Vials ❑� 12. Were any sample containers received broken? Yes ❑ No ❑d 13. Does paperwork match bottle labels? Yes ❑d No ❑ (Note discrepancies on chain of custody) 14. Are matrices correctly identified on Chain of Custody? Yes ❑d No ❑ 15. Is it clear what analyses were requested? Yes ❑d No ❑ 16. Were all holding times able to be met? Yes No ❑ (If no, notify customer for authorization.) Special Handling (if applicable) 17. Was client notified of all discrepancies with this order? Yes ❑ No ❑ NA ❑d Person Notified:— Date 1 By Whom: Via: ❑ eMail ❑ Phone ❑ Fax ❑ In Person Regarding: Client Instructions: , 18. Additional remarks: Cooler Information Page 35 of 35 r BACKFLOW PREVENTER INFWf NT FROM INFLUENT PUMP STATION CM 4WATE METER i �jflk--�—DRAINAGE TO LICK FORK CRrEK--� TO INFLUENT PUMP STATION r WV6•WV7 CASCADE AERATOR WATER METER -VAULT DETAIL CHLORINE CONTACT CHAMBER CHLORINE STORAGE BUILDING %% ��'' O MAINTENANCE BUILDING �� % < CLARIFIER (TYP) 1 r� RECIRCULATION PUMP STATION l CONTROL BUILDINGMETER VAULT 4"Q 1Uit�e� UlSe �i _• y �, RSV- .k \� - � STORM DRAIN SLUDGE DRYING BEDS STORM DRAIN— WATER. METER VAULT MVv�i �MVV3 I �r �k y " `� / o (SEE ,DETAIL) MVV4 Lou MVV2 . �• RSV3 `. J WV7 , 9y W 5. \• UNCTION BOX k ��. WVi/-' \ . • fry / � > • �OXIDATION DITCH NO, �� y 5HV1 OXIDATION DITCH NO,2. ' i s SLUDGE HOLDING TANK Z► - ODVI-------=-- PLANT PROCESS PIPING a - WATER LINE 0 m SLUDGE LINE O�O� SAT ��QG State of North Carolina r Department of Environment and Natural Resources co Division of Water Quality LAND APPLICATION SITE CERTIFICATION INSTRUCTIONS FOR FORM: LASC 08-11 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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: http://portal.ncdenr.or /web/wq/aps/lau General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 08-11 or FORM: SDR 08-11). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Application Site Certification (FORM: LASC 08-11): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® For new or renewed permits, submit the requested information for all land application sites. ® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed modification. Land Application Site Information: ® The status of the land application site with respect to this residuals land application program must be provided in table I. The status categories and their corresponding codes are as follows: ♦ New (I) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D) ® Attach the following in accordance with each status code: Status Code Required Item N R T M County Manager ✓ Notification PO Land Owner ✓ ✓ ✓ Agreement (If applicable) W., ii= H ✓ ✓ ✓ ✓ Setback Waiver Agreement An updated vicinity/setback map in accordance with the "Map Guidance for Residuals Land Application Permits" ✓ ✓ ✓ A soils and agronomic evaluation in accordance with the "Soil Scientist Evaluation Policy" ✓ An updated accounting of the land application site's cumulative ✓ ✓ pollutant loading rates CPLRs INSTRUCTIONS FOR FORM: LASC 08-11 Page 1 of 3 i� Status Code Required Item' N R T M For previously permitted sites without a soil series name indicated in the Attachment B, submit County Soil Survey Map (or equivalent) clearly ✓ ✓ ✓ indicate the location of the land application site and in accordance with the soil map requirements in the "Soil Scientist Evaluation Policy" Acknowledgement of field transfer from Permittee relinquishing field ✓ Acknowledgement of field transfer from Land Owner (Fields may not ✓ be permitted to multiple Permittees over the same timeperiod) * This item may be required for land application site with a status code "M", please contact the Division if you need assistant in determining attachment requirements. ® Crop Type should include the most likely crop types for the life of the permit (five years). ® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name of the soil series as provided by the licensed soil scientist. ® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping unit. If a representative slope is provided, it must be determined accordingly: ® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope by using the average slope provided in the County Soil Survey (or. equivalent). A soil type with a slope range of 4 - 8% would have a representative slope of 6%. ❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist. ® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as follows: • Address Matching (ADD) • Digital or Raw Photo Extraction (EXT) • Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO) • Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR) • Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS) • Conversion from Township -Section -Range (TSR) • Remote Sensing (RS) • Conversion from Universal Trans Merc (UTM) • Zip Code Centroid (ZIP) • Map Interpretation by Digital or Manual Extraction (MAP) C. Waterbody and Classifications Information: (new sites only) ® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ® Surface water body classifications information may be found at: http://portal.nedenr.org/web/wg/Ss/cs ❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices. ❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: http://portal.nedenr.org/web/wq/home/ro ❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned subbasins, location descriptions, stream index numbers and established classifications. 1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x it -inch sheet showing the project area should be submitted with the permit application regardless of whether a Stream classification was completed). 2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT to stream name" as the waterbody name. 3. Open the link hn://h2o enr state.nc.usibims/reports/rgportsWB.html. If this link does not work, open http•//portal.ncdenr.org/web/wq/l)s/csu/classifications and download weekly -updated classification lists for named waterbodies. ❑ Stream Classification Process: One of the options below may be used depending on the known initial project information. ❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select proper basin from the List all Waterbodies in Error! Objects cannot be created from editing field codes. Basin sorted Error! Objects cannot be created from editing field codes. report. Sort hydrologically as this will provide the proper location descriptions if multiple runs. INSTRUCTIONS FOR FORM: LASC 08-11 Page 2 of 3 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select the proper county from the List all Waterbodies in Error! Objects cannot be created from editing field codes. county, hydrologically report. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Use the Clickable basin map to hydrologically sorted list report. 2. Click on the approximate project location to bring up the hydrologically sorted list. 3. Locate the name of the identified waterbody (from General Directions) on the list. 4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 5. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ Notes on index number and unnamed streams: Unnamed Streams 15A NCAC 02B .03010). ❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned to the stream segment to which it is tributary (at the point of entry) except: (A) unnamed streams specifically described in the schedule of classifications; (B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or (C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted. ❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the basin: Unnamed Tributaries Entering Other States or for Specific Basin Areas Hiwassee River Basin Streams entering Georgia or Tennessee shall be classified "C Tr." Little Tennesse River Basin And Savannah River Drainage Area Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah River drainage area entering South Carolina shall be classified "B Tr." French Broad River Basin Streams entering Tennessee will be classified "B." Watauga River Basin Streams entering the State of Tennessee are classified "C." Broad River Basin Streams entering South Carolina are classified "C." New River Basin Streams entering the State of Tennessee are classified "C." Catawba River Basin Streams entering South Carolina are classified "C." Yadkin -Pee Dee River Basin Streams entering Virginia are classified "C," and such streams entering South Carolina are classified "C." Lumber River Basin Streams entering South Carolina are classified "C Sw." Roanoke River Basin Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "C and B." Chowan River Basin Streams entering Virginia are classified "C." Tar -Pamlico River Basin All drainage canals not noted in the schedule are classified "C Sw." except the main drainage canals to Pamlico Sound and its bays which shall be classified "SC." Pas uotank River Basin All drainage canals not noted in the schedule are classified "C." INSTRUCTIONS FOR FORM: LASC 08-11 Page 3 of 3 Applicant's name: City of Cherryville Land application sites currently certified: 78.3 net acres and Total to be certified: 38.2 net acres. 1. LAND APPLICATION SITE INFORMATION (See Instruction B): Predominant Soil Series Nameb Mapping Unit Status Site/Field ID Landowner(s) Lessee(s) or Operator(s) Net Acres County Crop(s) Codes or Rep. Slope' R NC-LT-120-02 Wayne Gilbert 27.6 Lincoln Fescue (hay) Cecil CeB2 R NC-LT-120-03 Wayne Gilbert 11.0 Lincoln Row Crops Cecil CeB2 D NC-LT-124-01 Keith Beam Keith Beam 30.0 Lincoln Fescue (pasture) Cecil CeB2 D NC-LT-124-02 Keith Beam Keith Beam 10.1 Lincoln Fescue (pasture) Pacolet PeC2 R NC-LT-107-01 Jason Huitt 10.7 Lincoln Fescue (pasture) Cecil CeB2 R NC-LT-107-02 Jason Huitt 12.0 Lincoln Fescue (pasture) Cecil CeB2 R NC-LT-107-03 Calvin Wehunt 17.0 Lincoln Corn(silage), Sorghum, Sudex Cecil CeB2 N INC-LT-107-04 Calvin Wehunt 10.9 Lincoln Fescue (pasture) Corn(silage), Sorghum, Sudex Rion N NC-LT-107-05 Calvin Wehunt 17.8 Lincoln Fescue (pasture) Corn(silage), Sorghum, Sudex Cecil CeB2 N NC-LT-107-06 Calvin Wehunt 9.5 Lincoln Fescue (pasture) Corn(silage), Sorghum, Sudex Cecil CeB2 a Status Code for land application sites are: ♦ N (New) + R (Renewed) ♦ M (Modified) ♦ 1 (lransrerrea) e D �Jjeieiea) b Soil Series Name (i.e. Appling, Cecil, etc.) °Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) C. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed Class NC-LT-107-04 35.4737 -81.4674 NAD 83 MAP Second Little Buffalo Creek WS-111 WS-111 NC-LT-107-05 NC-LT-107-06 35.4717 35.4701 -81.4664 -81.4633 NAD 83 NAD 83 MAP MAP Second Second Little Buffalo Creek Little Buffalo Creels WS-111 WS-111 WS-111 WS-111 State of North Carolina DRepartment of Environment and Natural Resources _ _ _ Division of Water Resources '07yy-� y ~ `` LAND OWNER AGREEMENT Division of Water Resources FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time. and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit General - This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Lapd Owner Agreement (FORM: LOA 06-16): Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. - (Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. [G/A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND ie undersigned landowner or his re Applicant's name: t i jt, permits: NVf/If hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following Iand application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Craps ------ Residuals Source (optional) - - -Special note --- (no-till/over-seed/ pasture) Ivu-�� i`Z® ��v✓ k The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and all be renewed each time this permit is renewed. 'l'he undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. H. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for ,a- 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested re -location of the compliance compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACI NOWLEDGEMENT OF FIELD TRANSFER: (if needed) boundary and attach a map showing the newly proposed ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new urop-ram: (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: Address: -S�i( L f City: �� State: Zip: Phone: 76' 1 2 7,10 , Z/ E-mail address: Signature: wa e Date: �1 Z NORTH CA_ROLINA, I d°IBGs I A COUNTY I, the undersigned Notary Public do hereby certify that lt i { W Y C personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 2f z� day of , 20 Signature and seal: W 041` Ift My commission expires: Lessee's/Operator's Certification: //C������®,e® I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: I certify that I have read this Agreement and do Signing official name: Signature: State: E-mail address: Date: Zip: to abide gby the stipulations and restrictions as specified herein. 6 d •�PlifA li uivIv Date: i ) 3- 20-00 FORM: LOA 06-16 Page 3 of 3 �\4y933�� w a�� -ƒy yf � SITE SUMMARY Cherryville Land Application Program (WQ 0000430) Site ID: NC-LT-120 Owner: Wayne Gilbert Address: 884 Cat Square Road Vale, North Carolina 28168 Phone: (704) 276-1171 Operator: same Estimated Rye Based Predominant Latitude & Total Applicable Annual Soil Series Longitude Fieldq ArrPc errcac rrnn(c) DAM 1 :r ai+ /ih /—/vrl /— . ..:+1 rn " cl corn (silage) 238 Cecil 35.30.36 N 2 38.3 27.6 soybeans (fs/dc) 185/155 rye rain 115 (Ce132) 81.23.54 W 3 17.4 11.0 fescue (hay) 209 Cecil 35.30.32 N CeB2 81.23.51 W. TOTALS 55.7 38.6 Notes: Date: 02/19/15 i ME Legend 1 inch = 660 feet (all locations approximate) Stream ■ OnSiteHouse FO-1 OffSlteWell The compliance boundary is established at either 250 feet from the residuals application Drain ■ OffSiteHouse O SoilDescription area. or50 feet within the property boundary, { r whichever is closest to the application area. ° ApplicationArea Outbuilding ® Unsuitable The review boundary is established midway between the compliance boundary and the Propertyl-ine OnSiteWell perimeter of the residuals applicatio n.area. Feet /f�; NC—LT-120 0 160320 640 960 1,280 T®p®graphk Map �'-�: � _ � a; l /d o- � •. T 'r $=IIr14 V��q'� T� h �A �y Wi 0 Ft M J�� - �� _ � •. - _ ,. :.� A.. A - � tea'"""-_ } �-y � . � ' , Hip ,a � d �.. �%- �� _ �'...L � � '1. �. _ `� � .� i'np �!� n t•' - � f �L.r �". V� a• �1 _ 'gyp, a r= Y i=�1-''_'�"e� �'� a�}�-'�;�y� �, r,r IC=�i`gtP;a � ,ar a*`� ✓ !4� �. ' _' +` �� gyr s a. tS .'i �:.� �' '•fir �. tig_ .. � trk. _ .- '- .Ct .-sr� w s—.a'+vn,.A..:,rp .'�veT' ' '34s%, d p y_^' � `.ei 2• •�`� y' � + - ,�+ ad--t �n �., k--•n`�i fit. wa�- - . �,'j �QA�' • d ' eft' - ,,�- 6 n ' -- ;s�'+aA.. — ' _ ° �:+ �a 5 " �jp e°��}�e' ,k� - . , _ � •.• _ i1�7�=-arr,..:�'�=:.-�re�n+y1 _ x-.d z: •- - � aA "l,', 1N�Sa33�. •s—'�`.=z .=. .: ':_._.-... .- . _ r ate.- NC-LT-120 (all locations approximate) 1 inch = 1,000 feet i% ■H ite.- NC-LT-120 (all locations approximate) 9 inch = 1,000 feet OZOZILI G Ct,L6'9Z £90VO LZ89'L 6ELS'O L9Z0'0 1:9L0'L EZOL'SL b098'6 E090'0 OOZL'O 860Z/LZ/90 SeW6 E 99ZL'O L098' L ONTO 80EO'0 £L9Z' L 9EZ6'OZ L9£Z'Z LOLO'O J76£ L'O MZ/ZZ/90 9906'L ilea VO 'b966'0 417/-Vo 99L0'0 9£LZ'0 L9Z9'EE 9£L17'0 t,990'0 L9L0'0 9WME/EO uZ aS IN oj� ad no- i-3 Po- sy pollddIV JSE-1 GWO L 3o L :a6ed £000-0-OZ LOO-1-1-ON Z000-0-OZ L 00-1-T-ON L000-0-0Z L00-1-1-ON (31 PIold se paALIdsip sl podw ay; uo 6ulpeol au; paainboN TON seen 6ulpe01 Raw ay;;o 6ull3eg io oi6euft o; papodaN ION sem lInsel qnl le;aw ooe.1; a asaynn saseo ul •(faOlslH o; panlgoje uaaq aneq s6ulpeol ay; pue poonpoid uaaq seq:podeM flq;uoW a •a•l) spaooaI AU018IH woa} awoo Vodal s[q;.[o} sle;aut 9n13elnwn0 eq1 OZOZ/L4 =10 SV (3U3V/SS1) SONICIVO"1 'IV-L3W BAliL d-lnwno State of North Carolina DWR Department of ]Environment and Natural Resources Division of Water Resources �Dlvlsion of Water Resources LAND OWNER AGREEMENT FORM: LOA 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND he undersigned landowner or his representative hereby Applicant's name: hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) AIL-JJ- f o %-1-L Ala to .1 WAS � � n.�n,4 0 The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. "'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and tall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Pagel of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If -the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event_ when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed pliance boundary to the application package) A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: . is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new program; (Name of the new program) FORM: LOA 06-16 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, aclmowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: 01 ^ 4- O."s li✓ Address: 2 3y 1110 Cj%&) A4401 /t City: !Lf, State: Zip: 0 �l Phone: -7014` 74 7 E-mail address: 1 00 t aL.P.&Iep*. Signature: Date: NORTH CAROLINA, /'�- r A G:� (ft COUNTY — I, the undersigned Notary Public do hereby certify that J 0 keL W t %It", personally appeared before me this day and acknowledged the due execution of the forgoing instrument. nhe, WITNESS my hand and official seal this the day of ) &.o� C% Signature and seal: I AYt;,II J, °_ I My commission expires: ['�ry�- o(, C20TV AVM. �%�Lo� °.•; �`� Lessee's/Operator's Certification: 'V,1/11111 a� 10%`�``�o I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: I certify that I have read this. Agreement and do hereby agree to Signing official name: Signature: Zip: Date: by the stipulations and restrictions as specified herein. Date: I— r J ^ O t)2- FORM: LOA 06-16 Page 3 of 3 e���� R a � � � D`�r=`� .rd �� 0`�y. '. � .�� . N. �n `p £- 44 jp� �fiF. . M m' ,. Q ��.y p�� $rA �Fl _ T "V� f State of North Carolina nmentWR (Department of Environand Natural Resources Division of Water Resources clnpivision of WA— soiurces LAND OWNER AGREEMENT FORM: LOA 06-16 ]Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supportintZ documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ® A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND e undersigned landowner or his rep Applicant's name: hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) c- L I - is ~1' ZAl NsLv' Alm The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. — its Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and �B all be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 06-16 Page 1 of 3 11. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If -the soil pH of the land. application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. — RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. IMALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15ANCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Ple.4e include the rationale for the requested re -location of the compliance c pliance boundary to the application package) A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) boundary and attach a map showing the newly proposed ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new nroeram: (Name of the new program) FORM: LOA 06-16 Paae 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee t&,land apply residuals to the land application site(s) as specified herein. Landowner' name: ��A-Zp, Atr,� r� Address: �- 'r City: ��� State: _ �! L Zip: Phone: :f ew 61�B E-mail address: pro e-1-A0,;n Signature: Date: ZZI3 42D . NORTH CAROLINA, ---kup1r'A COUNTY I, the undersigned Notary Public do hereby certify that �� aSon 44y i I4 personally appeared before me this day and acknowledged the dV,ue execution of the forgoing instrument. ``�,`,, Ex IV WITNESS my hand and official seal this the N% ib,' s� day of , 20 T Signature and seal: L _ .V� s .r 0 My commission expires: Z � � � � �� •..• w� Lessee's/Operator's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations / and restrictions as specified herein. Signing official name: Lay f `9 r i`�j �fn.eV-jrgV Signature: Date: E 13 ~- 2 o 2 a FORM: LOA 06-16 Page 3 of 3 � \\ \\\� s � . � ©©� 3� : \ !§ �w,� � � � . f m J �� � �- $ �° � � a , � JJ� � - � ���. A �� m� � w� / 6r � � ,� a;/2` ` \ SITE SUMMARY Cherryville Land Application Program (WQ 0000430) Site ID: NC-LT-107 Owners Name: Jason Huitt 1 and 2 Address: 2588 Lee Bess Rd Lawndale, NC 28021 Phone: 704-534-0831 Operator: Address: Phone: same Estimated Applicable Fialric Anrnc Crnnfsl JG Wehunt and Son inc 3 through 6 7607 Flay Rd Cherryville, NC 28021 Calvin WeHunt 704-472-9780 Rye Based Annual Predominant PAN Limit flh/ac/vrl Soil Series 1 10.7 fescue pasture 156 Cecil 2 12.0 Fescue Pasture 156 Cecil 3 17.0 corn silage, sor hum,sudex 238, 141,221 Cecil 4 10.9 corn silage, sor hum,sudex 166, 97, 198 Roin 5 17.8 corn silage, sor hum,sudex 238, 141, 221 Cecil 6 9.5 corn silage, sor hum,sudex 238, 141, 221 Cecil TOTALS 77.9 Notes: Date: 12/31 /19 10, APPLICATION MAP �-'pice } Sv.� _ /{' •[ t?5 p ,,yy�p,, Ul r r - y },4AIRML _ I ��� Ply 'p � '+ - •�- T p i y •i`- • ipl i t 1i �• LEGEND APPLICATION AREA UNSUITABLE AREA — — — — — — PRIVATE ROAD WATER GRAPHIC SCALE — — — — STREAM ONSITE HOUSE V = 660 — DRAIN sso' o sso' OFFSITE HOUSE X X X FENCE OUTBUILDING PROPERTY LINE WELL Q SOIL PROFILE .'he compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-LT-1 07 in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-2 ♦�� �nsyr"� .'try��� ay1,�� ,y A. ;� `�6� ,�i tr��j'. f�f x iK�� �,. +� • S �'_ \ ,�� +�'. t. '� TAG .•i, � y ✓'n�f a y�y y r r,. "r! d,/4 t ' «� + + ► if..a�la � ✓ r /jar y�4` ,� / T rW OITyes/Al,'�y,✓r, veo ,t}R .i. 'gip?/ �✓ yrf ; r �r.+rrr�'yyfl' r- 4y� .,, y * rs,%,yy4 jfr rJ`�Y'r !"aJr iyy,� Pf� ..- - ,�l�jp t�' ¢: itsd`r ✓ !a rr Y�. �/y��:�i✓y -.r I/ '�inY «,#r,+ /tea °� ✓ i. y, � � ` �+ + 'rY rtR t � -� e y�'?%/y,✓i,,[� + � ' �Vy 'N� V'��� t /• ( �'�rJlta✓�J��.•7� �v�'�« 4 tI � �y'11, VYea Ic�y I o,✓ d�, e� yc'r�/�j�, ' +`�j°"�5." r �-. (`� • �/'g��'� . .[,if ray �� d ����'- f'•: 1 • �3 44y a� �� 1 • ��yf♦ �� �fi4 y'�4 r���✓f .f,���1901P `� 1�.}. gar "ati r• :. `��: '�3 __APPLICATION MAP NX sk 14 �' J� �I if n ��� �. is Y � ✓'�f� � , " � ' t� " �+'�.�/ ��.i��®,/✓�-/�l9 �/y' � f��%,f®®ate-,,'� �,.e !# '''` �`' " FYI . F• tl ® ��� ,/�i'T��� � �F � � �' /` ' � /� .\ �yt t n �C f,T •uq� CI. y �i '�11 1.Yi '.'%.'// rrr f✓ r ,4 < ^'' g T ; a• .tit'_ v ��•� SOIL l Y • � fit, � `� '' '�•- �' � E:'C E_'� 1 �. ,�j o , 17�s7 _"t i f ✓k 774 (. ,+ -'; � f F ,• , y \ 1 p��',tr t � �".'P' G k � rS `-,.' a 17 AM ! q ii.' + r- k+ S( �• � ,� i'. � f (f"�u F.1 a >t-t� :__ � � •L��,1. , fir �" F Y+ r-f' . � I < 1, 9 1 j i� �p�•�,C� �, 1:, t� ��� � 4 r� >�� _ �-t � � �Ip ,`��{�j}}}Y T�yI. 11�." 4 "'>U r � -1 7 � + �' w �� •-L e LT-107 Application Area (sf) Application Area (ac) Latitude Longitude 1 466358 10.71 35°27'39.87"N 81°28'19.39"W 2 519995 11.94 35°27'43.90"N 81°28'11.13"W 3 739640 16.98 35°28'53.63"N 81°27'59.97"W 4 475311 10.91 35°28'24.51"N 81°28'2.48"W 5 775734 17.81 35°28'17.72"N 81°27'58.49"W 6 413118 9.48 35°28'12.40"N 81°27'47.45"W Total 39.62 10 TOPOGRAPHIC MAP cry - lro N, - 1 dF k�{ }��; � � _11�' t'� •' rolh .- "'4V 1 I � '"�7�Ji j, IN 777 , tea.: __ L f Wk t ¢ JN GRAPHIC SCALE 1"=1,000' 1'000' 0 1,000' rva sa.a �I i he compliance boundary is established either 250 ft from the residuals application area or 50 feet within A I C_IL To 1 07 V I in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-2 z TOPOGRAPHIC MAP :N., �11 'k ii W Y� A T�r7 7 W .Az -.75. GRAPHIC SCALE V = 1,000' 1,000' 0 1,000' :e compliance boundary is established either 250 ft from the residuals application are ' a or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. N C-LT- 107 Field 3-6 VICINITY MAP '`� .'��fj`.�-�� t�7� i ,�'�� �`*, ' N� yam``•- �-1— ``�`��-� r "11 `� j � . .. ;~ �,� : ��� ��� ' O�II It and ;• 4 " �Fv1 1. r ` .� �.� �/ %' , �•t" \'^� y. i� ne IV . o'� fl , :;•�< .��� �_. - � :!� `! j�.r -��� �� �•-� a� h �.�� ` `,�•<J�`' ' � �' �-!"y� �� , ,' �, : r-j;5 /� �i��.. � , sic ��F, ��J ! t--_'t, � 4. r fie.•, � � r ems- y 1 �p! • cam} /' '%'}7 C /J f \`�t �4 � i�//�,,1 �'�. V ��. � �p �� `` Yeti/�l '�!� i �. .• �/N q� ( GRAPHIC SCALE - V = 4,000' 4,000' 0 4,000' -.ie compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established NC—LT-1 07 midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-6 NCDA&CS Agronomic Division Phone: (919) 733=2655 Website: www.ncagr.gov/agronomi/ ReportNo. FY20-SL017107 "R54uiacu+. Client: Calvin (John) Wehunt Advisor: Alex Fox Heavy Metals of 2385 Norman Parker Synagro ` �� Soil Report Mehlich-3 Extraction Cherryville, NC 28021 284 Boger Rd Mocksville, NC 27028 'r t 'x'wirn+F" Sampled County: Lincoln Links to Helpful Information Client ID: 324632 Advisor ID: 501947 Sampled: 11/14/2019 Received: 11/26/2019 completed: 12/02/2019 Farm: Lt-107 Agronomist's Comments: This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated lead(Pb) in samples 4 and 5 ; elevated nickel(Ni) in all the samples. Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations. Ja athi Kamalakanthan 12/2/2019 - Sample ID: 4 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, silage 0.4 180-220 70 90 0 0 0 0 0 0 Note: 3 2 - 0.0 Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.09 1.13 4.1 72 1.2 5.7 35 54 48 17 83 104 79 48 48 75 0.1 2 Heavy Metals.(parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 2.9 Chromium, 0.2 Lead,. 6.6 Selenium,, 0.0. Sample ID: 5 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Corn, silage 1.0 180-220 . 0 130 0 0 0 0 0 0 Note: 3 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM%o WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.12 4.6 61 1.8 5.2 104 33 44 13 55 119 88 83 83 90 0.1 2 Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1 Nickel, 2.1 Chromium, 0.2 Lead, 19.6 Selenium, 0.1 North_ carol na '�Q�tiac�:� Tni,' rrrnsiaiissl� Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. Steve Troxler. Commissioner of Apric• •" ' - NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL017107 Calvin (John) Wehunt Page 2 of 3 Sample ID: 6 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Sudan/Sorghum silage 0.6 180-220 130 140 0 0 0 $ 0 0. Note: 12 Note: .2- 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1- NO3-N 0.32 1.08 5.5 75 1.4 5.5 7 28 50 23 129 94 73 21 21 115 0.1 2 Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 1.3 Chromium,, 0.1 Lead; 3.4 Selenium, 0.0 NCDA&CS Agronomic Division Phone: (919).733-2655 Website: www.ncagr.goV/agronomi/ Report No. FY20-SLO17107. Calvin (John) Wehunt Page 3 of 3 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Report Abbreviations Lime Ac exchangeable acidity If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either B boron ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. Bs% % CEC occupied by basic cations For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on Ca% % CEC occupied by calcium time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate CEC cation exchange capacity is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-I copper index ESP exchangeable sodium percent Fertilizer HM% percent humic matter Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of K-1 potassium index lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they Mg% % CEC occupied by magnesium are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS -I levels appear Mn manganese only on reports for greenhouse soil or problem samples. Mn-All Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-n-1 manganese index Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z M mineral-organic soil class notations appear on the soil report, refer to Note: Secondary Nutrients and Micronutrients. In general, homeowners do not N nitrogen need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit Na .. sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obpart4.htmlf nd information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P206 phosphate S-1 sulfur index Test Results SS'-1 soluble salt index WN weight per volume The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI zinc availability index remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-1, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine) Zn-I zinc index available)] indicate levels of plant nutrients or other fertility measurement. Visit www•ncagr.gov/agronomi/uvrsthtm SYNAGRO, CHERRYVILLE CLASS B PERMIT WQ 0000430 SOIL SCIENTIST CERTIFICATION This is to certify that soil profile evaluations were conducted on the proposed application sites for the Cherryville WWTP project by Piedmont Environmental Associates, P.A. on behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and descriptions of the soils on the application sites. All hand auger borings included in this package were either performed by me or under my direct supervision. All other work performed for this permit application was conducted by Synagro Central, LLC. G. Christopher Murray, L.S.S. No. 1284 t Synagro, Cherryville WWTP Project, Various Fields Soil Profile Descriptions in Field Locations Project: Cherryville Permit (WQ 0000430) % Slope: 4% Site: Calvin Wehunt Crop: Forage/Pasture Field: Field 4 Conducted By: GC Murray Coordinates: 35.4737 N Date: 11/14/2019 81.4674 W Soil Series: Rion N 0> L L v O O � U U c O L x O N r O G� C O C m as N .a O a Un U a� x 2 41 M N K 0 0 N 0 PIEDMONT ENVIRONMENTAL ASSOCIATES, P. A. w w W N 0 (0 i— N C N L ry O ,r t) t) f) N Y i i O V tC In en fA S n A = - � ova■® • • ��®®� Legend. Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Seasonal High Water Table: Structure Grade Structure Type Structure Size Depth (") Type (apparent/perched) wk weak gr granular f fine - - m moderate nl nlaty med medium str strong pr prismatic cpr columnar abk angular blocky sbk subangular blocky Moist Consistency sg single grained fr friable ma massive vfr very friable fi firm vfi very firm Soil Profile Descriptions in Field Locations -Project: Cherryville Permit (WQ 0000430) % Slope: 4% Site: Calvin Wehunt Crop: Forage/Pasture Field: Field 5 Conducted By: GC Murray Coordinates: 35.4717 N Date: 11/14/2019 -81.4664 W Soil Series: Cecil N i O O c c V 0 O c O 0 5 16 a� r e � w a Q m a N m O V x O N N 0 m n PIEDMONT ENVIRONMENTAL ASSOCIATES, P. A. NIL � !n F N •a 1 1 N L L O > V c � C> C> U) Y N L L O •n in S1 A A Ap 0-3 10YR 4/4 - - - - moist sl mod med gr fr ns np AB 3-11 5YR 4/4 - - - - moist scl mod med gr fr ns np Bt 11-41 2.5YR 4/6 - - - - moist cl mod med sbk fi s p BC 41-48 2.5YR 4/6 - - - - moist scl mod med sbk fi s p Legend. Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam Sid silty clay loam Seasonal High Water Table: Structure Grade Structure Type Structure Size Depth (") Type (apparent/perched) wk weak gr granular f fine - - m mnHizratP nl nlaty med medium str strong pr prismatic cpr columnar abk angular blocky sbk subangular blocky Moist Consistency sg single grained fr friable ma massive vfr very friable fi firm vfi very firm Soil Profile Descriptions in Field Locations Project: Cherryville Permit (WQ 0000430) % Slope: 3% Site: Calvin Wehunt Crop: Forage/Pasture Field: Field 6 Conducted By: GC Murray Coordinates: 35.4701 N Date: 11/14/2019 -81.4633 W Soil Series: Cecil (PIEDMONT ENVIRONMENTAL A,SSOCI ATe s, P.A. w aD w m L ci ca 0 fA F- .O O O d a U) C O O Q N O O O U U Q co U m O U N fC d N d xOch3 v v v N N [erg OEM �Mrl IT -TOM Legend: Texture Structure Grade Structure Type Structure Size s sand wk weak gr granular f fine I loam m moderate pl platy med medium si silt str strong pr prismatic sil silt loam cpr columnar c clay abk angular blocky cl clay loam sbk subangular blocky Moist Consistency scl sandy clay loam sg single grained fr friable sl sandy loam ma massive vfr veryfriable sid silty clay loam fi firm vfi veryfirm Seasonal High Water Table: Depth (") Type (apparent/perched) State of North Carolina Division of Water Resources Department of Environmental Quality Division of Water Resources COUNTY BOARD NOTIFICATION INSTRUCTIONS FOR FORM: CBN 06-16 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit General — This notification is intended to provide the county board in which the land application site is proposed to be located with general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review without a corresponding residuals program application form (FORM: RLAP 11-15). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. County Board Notification (FORM: CBN 11-15): ® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-15). Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application sites are located. B. Critical Watershed Areas Information: ® Under 15A NCAC 02B .0212 no new permitted sites for land application of residuals are allowed within critical watershed areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas. ® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at: https•//deq nc gov/about/divisions/water resources/water-resources-ruleshvater-supply-watershed-protection-pro, ® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (919) 807-6337. C. Notification Package Submission: ® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the notification package also be sent to the County Manager. ® The most current publication of the Directory of State and County Officials may be downloaded at: bgps:/hvw-vv sosnc .goy/publications/direct gwx ® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: http•//deq ne.=ov/contact/regional-offices. ® The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage (i.e., a copy of "Residuals Source Facility Summary" is adequate but not required). ® The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a copy of "Land Application Site Certification" is adequate but not required). D. Proof of Submission: ® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the Division for review. INSTRUCTIONS FOR FORM: CBN 06-16 Page 1 of 1 North Carolina Department of Environmental Quality tat McCrory Donald R. van der Vaart Governor Secretary Date: 01/2/2020 To: Name of Chairman to the Board of County Commissioners: Carrol Mitchem Complete mailing address: 7868 Hallman Mill Road City: Vale State: NC Zip: 28168 County where land application sites are located: Lincoln From: Applicant's name: City of CheMr yille (on behalf of the Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: Larry Wright Waste Water Superintendent Complete mailing address: 736 Tot Dellinger rd City: Cherryville State: NC Zip: 28021 Telephone number: (104) 214-1162 E-mail address: lwrip-,ht@cityofchgMyille.com Subject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water ".esources for the land application of residual solids to site(s) located in your county. During this review, the Division rill ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals - generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: Name of appropriate regional office: NC DEQ Mooresville Complete mailing address: 610 East Center Ave Suite 301 City: Mooresville State: NC Zip: 28115 Telephone number: (704) 663-1699 Expected date of application submission: 01/10/20 Should you desire to comment on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. Enclosures: Source Facility Summary Land Application Site Summary Maps Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-64641Internet. htti):Unortal.ncdenr.om/webAug An Equal Opportunity (Affirmative Action Employer— Made in part with recycled paper FORM: CBN 06-16 CUMULATIVE METAL LOADINGS (LBSIACRE) AS OF 1/7/2020 The Cumulative metals for this report come from HISTORY records (i.e. a Monthly Report has been produced and the loadings have been archived to History). In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR" Date Meld ID Last Applied As Cd Cr Cu Pb Hg Mo Ni Se Zn NC-LT-00107-0-0003 08/22/2019 0,0404 0.0208 1.1897 8.0611 a.2808 0.0174 0.0683 0.5730 0.0404 7.2598 Page: 1 of 1 1/7/2020 Alex Fox i rom: Sent: To: Subject: UPS Quantum View <pkginfo@ups.com> Tuesday, December 31, 2019 11:22 AM Alex Fox UPS Ship Notification, Tracking Number 1Z51 F78W0197235553 To get an estimated delivery time for most UPS packages, click Continue You have a ,package coming: Sch'eduled':Delivery.Date Thursday, 01/02/2020 Change Delivery Manage Preferences View Delivery Planner This message was sent to you at the request of SYNAGRO = MOCKSVILLE to -notify you that the shipment information below, has beentransmitted to UPS. The Physical package may or may not have actually'been_ tendered .to UPS for 'shipment. To verify the actual transit status ofyour'shipment, 'click on the, tracking link below. Message from SYNAGRO MOCKSVILLE of SYNAGRO- MO,CKSVILLE: County. manager notification for Ca'nol M,itchem. Sh,plment Details From: SYNAGW -MOCKSVILLE Tracking 'Number: iZ51F78WO197235553 is 1 Ship To: UPS Service: Number of Packages: Package Weight: Scheduled Delivery: Reference Number 1: x - Download the UPS mobile aoD CARROLMITCHEM 7868 HALLMAN MILL RD VALE, NC 28168 US UPS NEXT DAY AIR 1 0.5 LBS 01/02/2020 20-2360-30-60-4310 50-0055 © 2019 United Parcel Service of America, Inc. UPS, the UPS brandmark, and the color brown are trademarks of United Parcel Service of America, Inc. All rights reserved. All trademarks, trade names, or service marks that appear in connection with UPS's services are the property of their respective owners. Please do not reply directly to this email. UPS will not receive any reply message. Review the UPS Privacy Notice For Questions, Visit Our Help and Support Center 191 2 Alex Fox rom: UPS Quantum View <pkginfo@ups.com> Sent: Thursday, January 2, 2020 10:28 AM To: Alex Fox Subject: UPS Delivery Notification, Tracking Number 1251 F78W0197235553 Your package has been delivered. Delivery Date: Thursday, 01/02/2020 Delivery Time: 10:24 AM At the request of SYNAGRO - MOCKSVILLE this notice alerts you that the status of the shipment listed below has changed. Message from SYNAGRO - MOCKSVILLE of SYNAGRO - MOCKSVILLE: County manager notification for Carrol Mitchem. Shipment Detail Tracking Number: 1Z51F78W®197235553 CARROL MITCHEM Ship To: 7868 HALLMAN MILL RD VALE, NC 28168 US UPS Service: UPS NEXT DAY AIR Number of Packages: 1 Package Weight: 0.5 LBS 1 Delivery Location: SIDE DOOR Reference Number 1: 20-2360-30-60-4310 50-0055 xlz Download the UPS mobile apa © 2019 United Parcel Service of America, Inc. UPS, the UPS brandmark, and the color brown are trademarks of United Parcel Service of America, Inc. All rights reserved. All trademarks, trade names, or service marks that appear in connection with UPS's services are the property of their respective owners. Please do not reply directly to this email. UPS will not receive any reply message. Review the UPS Privacy Notice .For Questions, Visit Our Help and Support Center 19-- Water Resources ENVIRONMENTAL QUALITY LARRY WRIGHT — ORC CITY OF CHERRYVILLE 116 SOUTH MOUNTAIN STREET CHERRYVILLE, NORTH CAROLINA 28021 Dear Mr. Wright: ROY COOPER Governor WILLIAM G. ROSS, JR. Acting Secretary S. JAY ZIMMERMAN Director RECEIVEDINCDENR/DWR January 12, 2017 JAN 17 20117 WQROS MOORESVILLE REGIONAL OFFICE Subject: Acknowledgement of Application No. WQ0000430 City of Cherryville RLAP Residuals Management System Gaston County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on January 12, 2017. Your application package has been assigned the number listed above, and the primary reviewer is Troy Doby. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Troy Doby at (919) 807-6336 or troy.doby@ncdenr.gov. Sincerely, Nathaniel D. Thornburg, Supervisor Division of Water Resources cc: RM Permit le WQ0000 0 1 c W cr�Qualnty Rea onalc(�71 erati0fls_ Section. i l"1VoT}3incy Compares State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6332 D-,WR Division of Water Resources State of North Carolina Department of Environmental Quality Division of Water Resources WATER QUALITY REGIONAL OPERATIONS SECTION NON -DISCHARGE APPLICATION REVIEW REQUEST FORM January 12, 2017 To: 0�4UQROS.'�Andrew Pitrier�/-Corey Basinger RECEIVED/NCDENRlDWR JAN 17 2017 From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit WQROS MOORESVILLE REGIONAL OFFICE Permit Number: WQ0000430 Permit Type: Land Application of Residual Solids (503) Applicant: City of Cherryville Owner Type: Municipal Facility Name: City of Chenyville RLAP Signature Authority: Larry Wright Address: 116 South Mountain Street, Cherryville, North Carolina 28021 Fee Category: Non -Discharge Minor Comments/Other Information: Project Type: Major Modification Owner in BIMS? Yes Facility in BIMS? Yes Title: ORC County: Gaston Fee Amount: $245 -Major Modification Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 45 calendar days, please take the following actions: ® Return this form completed. ® Return a completed staff report. ❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification. When you receive this request form,,please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact person listed above. RO-WQROS Reviewer: � Date: FORM: WQROSNDARR 09-15 Page 1 of 1 11 /30/16 N.C. Department of Environment and Natural Resources Division of Water Resources Aquifer Protection Section — Land Application Unit 1636 Mail Service Center Raleigh, NC 27699-1636 ATTENTION: Mr. Nathaniel Thornburg RECEIVED/NCDENRIDWR JAN 17 2017 WWROS MOORESVILLE REGIONAL OFFICE REFERENCE: APPLICATION FOR MODIFICATION OF PERMIT # WQ0000430 City of Cherryville Dear Mr. Thornburg: On behalf of the City of Cherryville, Synagro is submitting this application to modify the referenced residuals land application permit. New vicinity, application, topographic, and soil maps are being submitted for all new sites. All fields are listed, on form "LASC", as "new". This application package should contain all of the information necessary to complete ..� the requested renewal of the City of Cherryville's permit. However, if you require additional information or have further questions, please contact me at 336 703-8681 or ebruce@synagro.com. Thank you in advance for the timely and efficient review of this modification application. Sincerely, Erik Bruce cc: Larry Wright, City of Cherryville �CEIVEDINCDE�WR JAN 2 20.17 Perm., .n9 Unit 284 Boger Road, Mocksville, NC 27028 Phone: (336) 998-7150 0 Fax: 336-998-8450 State of North Carolina Department of Environmental Quality _W111-R Division of Water Resources °Wylsion of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM INSTRUCTIONS FOR FORM: RLAP 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 Section's Non -Discharge Permitting Unit General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under 15A NCAC 02T. 1100. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages): Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .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). C. I13 Facility Classification New Permit Major Modification i Major (land are permitted for > 300 acres) F- $1,310 -F $395 Minor (land are permitted for < 300 acres) $810 $245 1- A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage; adds additional land application areas not previously approved for that particular program [including transferring of field(s) from one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not previously permitted. There is no fee for minor modifications to a permit. Cover Letter (All Application Packages) B List all items included in the application package, as well as a brief description of the requested permitting action. Environmental Assessments (May be Required — See 15A NCAC 1C .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: RLAP 06-16 Pagel of 3 E. 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. Z 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 equipment 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. N; 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; O' 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. THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY. F. Program Determination Q! Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T .110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable: Q Any land application site certified for the residuals land application program that receives residuals at rates or frequencies greater than agronomic rates. [] Any land application site certified for the residuals land application program that is used primarily for residuals disposal, and agricultural crop production is of secondary importance. 0 Any land application site certified for the residuals land application program that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system. [�! Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program falls under the dedicated program definitions. G. Program Information Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system. Provide an explanation of the dedicated system and its operation. H. Detailed Site Maps (All New or Modification Application Packages) OI Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF only). For Modifications, submit plans specific to the modification(s) only. Plans must include the following minimum items: [ ! A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site relief and showing all facility related structures and fences within the land application area. The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, .ponds, and other surface drainage features within 500 feet of the land application site(s). Delineation of the review and compliance boundaries Setbacks as required by 15A NCAC 02T .1108 0'! Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s). _ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray irrigation zones as they will be operated. Ej Plans must depict a completed design and 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. However, the plans may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3 I. NA L. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites) Q Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops and their ability to accept the proposed application rates. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) 01 Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy available at: http://www.ncwater.org/Rules Policies and Regulations/. The document shall be signed, sealed and dated by a qualified professional. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation facilities fed through fixed supply system) [Q Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map specific to the modification(s) only. �] The design documents must include the following minimum items: �! Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new units or are critical to the understanding of the complete process; Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the finished product including leaking testing; and 0 Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head curve analysis for each pump, and irrigation design. [( Soil mapping units shown on all disposal sites. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or irrigation facilities fed through fixed supply systems) -1 Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy available at: http://www.ncwater.org/Rules Policies and Regulations/. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment or irrigation components) _[ ! Property ownership documentation shall consist of one of the following: [], Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or 01 Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or An easement running with the land specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107(fl, or A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES WATER QUALITY PERMITTING SECTION NON -DISCHARGE PERMITTING UNIT By U.S. Postal Service: 1617 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1617 TELEPHONE NUMBER: (919) 807-6464 By Courier/Special Delivery: 512 N. SALISBURY STREET RALEIGH, NORTH CAROLINA 27604 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3 State of North Carolina Department of Environmental Quality Division of Water Resources Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 06-16 I. APPLICANT INFORMATION: Applicant's name: City of Cherryville Applicant type: 0 Individual _0 Corporation Di General Partnership 0' Privately -Owned Public Utility [ j Federal _Ej State ! Municipal Q County Signature authority's name per 15A NCAC 02T .0106: Lair Wn t Title: (Plant Supervisor/OR0 Applicant's mailing address: f l6 South MoFMta City: Cherr3 v lle State Rd Zip: 2$02_1 f 1 Telephone number: (f:701) 435,1739, Email Address: lwrightncityofcherryille:com� 2. Consultant's name: License Number (for P.E.): F---1 Affiliation:[]Affiliation:E]i On Staff F1 Retained (Firm: ) Consultant's mailing address: F7_ City: F_7 State: i I Zip: Telephone number: C!_—) i-�� Email Address: 3. Agronomist's name: Marshall Pt ryea License Number:, 9442 Affiliation: O.. N/A ' On Staff OJ Retained (Firm: Sena o Central LLQ) Agronomist's mailing address: 284 Bo er Rd' City: Mocksuille State: NQ Zip L028 Telephone number: Email Address:` jjr ear@synaao,com 4. Soil Scientist's name: Christopher Murray% License Number: !1284 Affiliation: 0' N/A 0; On Staff [ 1] Retained (Firm: Soil Scientist's mailing address: i8004 Linville Rd, Suite_C_ City: ,OakRtde. State: Zip: 2731'0; I Telephone number: 636 662-5487i Email Address: Ch s piedmontso m 5. Fee submitted: $245.00, (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: WQ0000430 Date of most -recently issued permit: 08/01/2015 Date of most -recently certified Attachment A (if different than the permit): Date of most -recently certified Attachment B (if different than the permit): I FORM: RLAP 06-16 Page 1 of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 736 Tot Dellinger Road City: State NC . ......... I Coordinates: Latitude: 35 24"15111" Longitude: Kt` 2--2", b'k Datum: Level of accuracy: second Method of measurement: MAP 2. County where residuals land application program is headquartered: d8ton 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC if, i3f�_ Back -Up ORC Erik Randolph Bruce. 7&­�.- d, yn JLAT66_3_5_2_8 Additional Back -Up ORCs (if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: 4. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as, currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 27§ dry tons per year. PAN Pounds of PAN per Dry Ton Pounds of PAN per Year (Weighted Average) Surface Incorporation Surface Incorporation or Injection or Injection First -Year 28 70 43 0 7,836, ;11740 Five -Year Maximum Adjusted 3 8,07, b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation Row Crops Hay .. . . ...... ... Pasture Total: Methods Surface 120.5 Incorporation or Injection ----- - ----- Total: 120.5 FORM: RLAP 06-16 Page 2 of 5 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate 6bs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 Il"56.7� 23,8 2 9 285 9, 100 1117.4 �1�'Q3 9 1143. 150 52 2i 7 69.3 9 3 200 39.E 58 7 >52A; 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector _ reduction practices not in place, etc.): I 7. Specify type of residuals program (See Instruction F): Non -dedicated Q' Dedicated If Dedicated, specify the following (check all that apply): EJ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; `0 Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; i 01 Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain; IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. FF• Residuals Source Certification V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site) Complete and submit the following Land Applications Site Certification and all associated documentation. Land Application Siite Certification. doc FORM: RLAP 06-16 Page 3 of 5 Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only. T. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM 1. The irrigation system is: Ei Spray E] Drip 2. Disposal system is: '[], existing []! proposed. 3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SHWT and ground surface. 4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? Ej Yes or Q No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be maintained or modified: 5. Loading rates recommended by the Soil Scientist Evaluation: Soil Series Fields within Soil Area Recommended Loading Rate Recommended Loading Rate (inn//h-rr) 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? j Yes or ] No If No, explain why 15A NCAC 02T .0505(n) is not met: 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field Zone Design Area (ft2) Number of Nozzles Maximum Application Rate ( allons/hr) Design Annual Loading Rate (gallons/ r) f Total i -- Spray Irrigation Design Element Plan Sheet Number Specification Pa a Number Wetted diameter of nozzles ice] ft Wetted area of nozzles ftZ Nozzle capacity gpm 0 Nozzle manufacturer / model Elevation of highest nozzle W ft-: ^] FORM: RLAP 06-16 Page 4 of 5 pplicant's Certification (signing authority must be in compliance with 15A NCAC 02T.0106): 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 I, L- -oxyq W f , (Signature Aut oritv's Nam attest that this application for PRINT) Name) (Title) 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 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. I 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 §143-215.613, any person who knowingly makes any Ise statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine .: )t to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature Date: ' S A l FORM: RLAP 06-16 Page 5 of 5 WATFRQG State of North Carolina Department of Environment and Natural Resources Cl) r- Division of Water Quality LAND APPLICATION SITE CERTIFICATION INSTRUCTIONS FOR FORM: LASC 08-11 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 supportinIZ documentation For more information or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: http://portal. ncdenr.ors/web/wg1aps/lau General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T A 100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 08-11 or FORM: SDR 08-11). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Application Site Certification (FORM: LASC 08-11): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ For new or renewed permits, submit the requested information for all land application sites. ® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed modification. Land Application Site Information: ® The status of the land application site with respect to this residuals land application program must be provided in table I. The status categories and their corresponding codes are as follows: ♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D) ® Attach the following in accordance with each status code: Status Code Required Item N R T M ✓ County Manager Notification Land Owner ✓ ✓ Agreement (If applicable) V10 ✓ ✓ ✓ ✓ Setback Waiver Agreement An updated vicinity/setback map in accordance with the "Man Guidance for Residuals Land Application Permits" ✓ ✓ ✓ A soils and agronomic evaluation in accordance with the "Soil Scientist ✓ Evaluation Policy" An updated accounting of the land application site's cumulative ✓ ✓ pollutant loading rates (CPLRs) INSTRUCTIONS FOR FORM: LASC 08-11 Page 1 of 3 Required Item Status Code N R T M For previously permitted sites without a soil series name indicated in the Attachment B, submit County Soil Survey Map (or equivalent) clearly ✓ ✓ ✓ indicate the location of the land application site and in accordance with the soil map requirements in the "Soil Scientist Evaluation Policy" Acknowledgement of field transfer from Permittee relinquishing field ✓ Acknowledgement of field transfer from Land Owner (Fields may not ✓ be permitted to multiple Permittees over the same time period) * This item may be required for land application site with a status code "M", please contact the Division if you need assistant in determining attachment requirements. ® Crop Type should include the most likely crop types for the life of the permit (five years). ® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name of the soil series as provided by the licensed soil scientist. ® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping unit. If a representative slope is provided, it must be determined accordingly: ® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8% would have a representative slope of 6%. ® New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist. ® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as follows: • Address Matching (ADD) • Digital or Raw Photo Extraction (EXT) • Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO) • Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR) • Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS) • Conversion from Township -Section -Range (TSR) • Remote Sensing (RS) • Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP) • Map Interpretation by Digital or Manual Extraction (MAP) C. Waterbody and Classifications Information: (new sites only) ® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ® Surface water body classifications information may be found at: http://portal.ncdenr.org/web/wq/ sp /csu ❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices. ❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: hnp://portal.ncdenr.org/web/wqihome/ro ❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned subbasins, location descriptions, stream index numbers and established classifications. 1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x I1-inch sheet showing the project area should be submitted with the permit application regardless of whether a Stream classification was completed). 2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT to stream name" as the waterbody name. 3. Open the link hitp://h2o.enr.state.nc.us/-bims/reports/reportsWB.htinl. If this link does not work, open http://portal.ncdenr.or web/wq/ps/csu/classifications and download weekly -updated classification lists for named waterbodies. ❑ Stream Classification Process: One of the options below may be used depending on the known initial project information. ❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED INSTRUCTIONS FOR FORM: LASC 08-11 Page 2 of 3 1. Select proper basin from the List all Waterbodies in Error! Objects cannot be created from editing field codes. Basin sorted Error! Objects cannot be created from editing field codes. report. Sort hydrologically as this will provide the proper location descriptions if multiple runs. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select the proper county from the List all Waterbodies in Error! Objects cannot be created from editing field codes. county, hydrologically report. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Use the Clickable basin map to hydrologically sorted list report. 2. Click on the approximate project location to bring up the hydrologically sorted list. 3. Locate the name of the identified waterbody (from General Directions) on the list. 4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 5. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ Notes on index number and unnamed streams: Unnamed Streams 15A NCAC 02B .0301(i). ❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned to the stream segment to which it is tributary (at the point of entry) except: (A) unnamed streams specifically described in the schedule of classifications; (B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or (C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted. ❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the basin: Unnamed Tributaries Entering Other States or for Specific Basin Areas Hiwassee River Basin Streams entering Georgia or Tennessee shall be classified "C Tr." Little Tennesse River Basin And Savannah River Drainage Area Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah River drainage area entering South Carolina shall be classified "B Tr." French Broad River Basin Streams entering Tennessee will be classified "B." Watauga River Basin Streams entering the State of Tennessee are classified "C." Broad River Basin Streams entering South Carolina are classified "C." New River Basin Streams entering the State of Tennessee are classified "C." Catawba River Basin Streams entering South Carolina are classified "C." Yadkin -Pee Dee River Basin Streams entering Virginia are classified "C," and such streams entering South Carolina are classified "C." Lumber River Basin Streams entering South Carolina are classified "C Sw." Roanoke River Basin Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "C and B." Chowan River Basin Streams entering Virginia are classified "C." Tar -Pamlico River Basin All drainage canals not noted in the schedule are classified "C Sw." except the main drainage canals to Pamlico Sound and its bays which shall be classified "SC." Pasquotank River Basin All drainage canals not noted in the schedule are classified "C." INSTRUCTIONS FOR FORM: LASC 08-11 Page 3 of 3 LAND A.. LICATION SITE CERTIFICATION Applicant's name: City of Cherryville Land application sites currently certified: 120.5 net acres and Total to be certified: 41.8 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code" Site/Field ID Landowners () Lessees or O s () Operator(s) () Net Acres County ouny s Crop() Predominant Soil b Series Name Mapping Unit or Rep. Slope° N NC-LT-107-1 JG Wehunt and Sons, Inc Calvin Wehunt 11.6 Lincoln Fescue (Pasture) Cecil — CeB2 4-6% N NC-LT-107-2 JG Wehunt and Sons, Inc Calvin Wehunt 13.2 Lincoln Fescue (Pasture) Cecil — CeB2 4-6% N NC-LT-107-3 JG Wehunt and Sons, Inc Calvin Wehunt 17.0 Lincoln Corn, Soybeans, Small Grain Cecil — CeB2 4-6% 'Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) e M (Modified) ♦ T (Transferred) 0 D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) 'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) C. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude g Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed Class NC-LT-107-1 35 27' 39.87"N 81 28' 19.39"W NAD83 ADD Nearest Second 9-53-2 WS-III NC-LT-107-2 35 27'43.90"N 81 28' 1 1.13"W NAD83 ADD Nearest Second 9-53-2 WS-III NC-LT-107-3 35 28'53.63"N 81 27'59.97"W NAD83 ADD Nearest Second 9-53-1.3-1 WS-III Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page. FORM: LASC 08-11 Page 1 SPILL RESPONSE PLAN PROJECT: City of Cherryville Permit WQ0000430 IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN IMMEDIATELY: 1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES: The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested from the City of Cherryville or the NC Department of Transportation, and other private contractors as necessary. 2. HALT THE SOURCE OF THE SPILL: Such as a ruptured container or damaged transport unit. 3. CONTAIN THE SPILL: Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constricted to augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean-up operation, i.e., local farmers, farm supply centers, nurseries, etc. 4. CLEAN-UP: Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank service to remove as much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by representatives of the state regulatory agency. 5. FINAL CLEAN-UP: Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the state regulatory representative. If the event occurs on private property, the clean-up will be completed to the satisfaction of the property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original condition if possible. 6. NOTIFICATION: As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central office, and they will then be responsible for notifying other key Synagro personnel. 7. REPORTING: Synagro Central personnel will notify the Mooresville Regional office for The City of Cherryville WWTP as soon as possible, but not more than 24 hours after, or on the next working day following the occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to the Technical Services Manager. The report shall list all relative information and actions taken. Synagro Central personnel will file a written report to the Mooresville Regional office of the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called to report all incidences (800-662-7956 or 800-858-0368 or 919-733-3300) Residuals Sampling Plan City of Cherryville Land Application Program Nutrient and Metal Analysis Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Composite Lab: Waypoint Analytical Pathogen Reduction Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific s Sample Type: Grab Lab: PAR Labs Vector Attraction Reduction Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Composite Lab: PAR Labs TCLP/RCI Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual 6 Sample Type: Composite Lab: Summit Environmental Technologies, Inc. OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Operational Functions The operational function of this project involves land application of residuals for the City of Cherryville's wastewater treatment plant. This material will be loaded onto tractor trailers or "spreader trucks" and hauled to land application sites. The residuals will be spread at agronomic rates, as determined by a recently analyzed nutrients and metals sample. The material will be land applied with a liquid applicator that will use pressure to achieve a consistent spread pattern. The fields applied will have a crop, either established or planted soon after application, which is to be utilized for animal consumption. Safety Measures Synagro believes in operating in a safety -conscious manner and has all employees participate in quarterly online safety courses. These courses are designed to help employees recognize safety issues and take steps to prevent accidents from occurring. In addition, all Synagro employees have the authority to stop operations if they think any aspect of the operation could cause environmental or personal harm. Maintenance Schedule Synagro will follow the maintenance schedule specified by their fleet management section for the equipment necessary to complete the job. OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Inspection Plan Inspections will be conducted on a weekly basis a# the land application site during activities of this project. frequency is based on the time f me­2 to�omplete the project and the amount of dry tons to be land applied from the facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random fields that have been completed. These inspections will consist of: 1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical staff. 2. Checking the calculated loads to insure the correct amount of residuals are being land applied. 3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance plan. 4. Insuring that the field has been flagged properly and that all buffers are being adhered to. 5. Insuring that the "Crop and Landowner Verification" form has been filled out. 6. Verifying that the residuals have been adequately sampled to confirm compliance. The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall report by telephone to the NCDENR/DWR Mooresville Regional Office at 704-663-1699, as soon as possible, but no later than 24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following. • Any occurrence with the distribution program resulting in the land application of significant amounts of material that is abnormal in quantity or characteristics. • Any failure of the program that results in a release of material to surface waters. • Any time that self -monitoring information indicates that the program has gone out of compliance with the permit. • Any process unit failure that results in the system not adequately treating the residuals. • Any spill or discharge from a vehicle or piping system during residuals transportation. Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-662- 7956, 800-858-0368, or 919-733-3300. These numbers are to be called in the event of a release to surface waters or the imminent failure of a storage system when the event occurs outside of normal business hours. Within 5 days of the first notice of on occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or proposed actions taken to ensure that the problem does not recur. Persons responsible for inspections on this project are as follows: Mike Cox or his designee is responsible for inspections on this project . ti� OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryv' Sampling Plan Sampling for this project consists of sampling the residuals just before land application is to-ot, the dry tonnage of this plant, there will be one sample for each parameter per year. The residuals shall be sampled annuallyfor the following: (Regulatory level in milligrams per liter in paremli==.) Arsenic (5.0) 1, 4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1, 2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1, 1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2, 4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13 Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5 TP ( Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl Chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) The residuals will also be sampled, based on the chart below, for the following constituents Dry Tons Generated (short tons per year) Monitoring Frequency (Established in 40 CFR 503 and 15A NCAC 02T.1111) <319 1 time per year =>319-<1,650 1 per Quarter (4 times per year) =>1,650-<16,500 1 every 60 days (6 times per year) =>16,500 1 every month (12 times per year) Aluminum Ammonia -Nitrogen Arsenic Cadmium Calcium Copper Lead Sodium Adsorption Ratio (SAR) Magnesium Mercury Molybdenum Nickel Nitrate -Nitrite Nitrogen Phosphorous Potassium pH Plant Available Nitrogen (calculation) Selenium Sodium Total Solids Total Kjeldahl Nitrogen Zinc In order to meet pathogen and vector requirements, the material will be sampled for fecal coliform density and the 30- day bench test. The samples will be taken from the digester. Additional samples will be taken for TCLP/RCI and nutrients and metals analysis. Methods of sampling will follow the conditions of the permit and applicable regulations. The following people are responsible for sampling: Erik Bruce, Technical Services Manager or his designee. State of North Carolina nw_ RDepartment of Environmental Quality Division of Water Resources 'Division of Water Resources COUNTY BOARD NOTIFICATION INSTRUCTIONS FOR FORM: CBN 11-15 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at: http://portal.ncdenr. orQ/web/wglaps/lau General — This notification is intended to provide the county board in which the land application site is proposed to be located with general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields deemed permitted to receive Class A residuals under 15A NCAC 02T .1100. Do not submit this document for review without a corresponding residuals program application form (FORM: RLAP 11-15). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. County Board Notification (FORM: CBN 11-15): ® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-15). Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application sites are located. B. Critical Watershed Areas Information: ® Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas. ® For more information regarding Water Supply Watershed Protection Program, please visit the Division website at: b.ftp://portal.ncdenr.org/web/wq/swp/ws/wM ® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (919) 807-6337. C. Notification Package Submission: ® Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the notification package also be sent to the County Manager. ® The most current publication of the Directory of State and County Officials may be downloaded at: htW://www.secretM.state.ne.us/pubsweb/direct.aspx ® A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: hltp://portal.nedenr.org/web/wq/home/ro. ® The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage (i.e., a copy of "Residuals Source Facility Summary" is adequate but not required). ® The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e., a copy of "Land Application Site Certification" is adequate but not required). D. Proof of Submission: ® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the Division for review. INSTRUCTIONS FOR FORM: CBN 11-15 Page 1 of 1 North Carolina Department of Environmental Quality at McCrory Donald R. van der Vaart Governor Secretary Date: 111%30/.1.6� To: Name of Chairman to the Board of County Commissioners: Cecelia,A.Mn Complete mailing address: F-O Box.l 12 City: Cro e State: NC Zip: 2803 -F County where land application sites are located: c to n From: Applicant's name: (on behalf of the Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: Er>k Bruce Technical Services Specialis Complete mailing address: ,284 Bo - Rd City: ocksville State: R0 Zip !_ _ Telephone number: fflq:§) `t03� =8,: 6& I E-mail address: ,e pLj n6 syna ro.co n Subject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources for the land application of residual solids to site(s) located in your county. During this review, the Division rill ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals- _'enerating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: Name of appropriate regional office:Vloo Complete mailing address: 610 East Center Avenue Suite 3'0] City: 1 o_ordsviul State: Zip: Telephone number: (10) {16-90 Expected date of application submission: 112/08/1,6, Should you desire to comment on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. Enclosures: Source Facility Summary Land Application Site Summary Maps Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-64641 Intemet:.hftp://portal.ncdenr.org/web/w An Equal Opportunity 1 Affirmative Action Employer— Made in part with recycled paper FORM: C;BN 11-15 ■ Complete items 1, 2, and 3. Also complete Item 4 if Restricted Delivery Is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: CeceP taY�en+��.: vo r�)Pciia �1�0u�.N� a9o33 A Sig ❑ Agent X 2'4-4�� ❑ Addressee B. Received by (Printed Name) I C, Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Sero Type IPT-ertMed Mall ❑ Express Mall ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2: Article Number 7.,p0,9' 1680 0Q02 6170 2205 f (Trfer from service label). PS Form 3811, February 2004 . - t`Domestic.Retum Receipt 102595-024M-11: - - -- SITE SUMMARY City of Cherryville Cherryville, NC Site ID: NC-LT-107 Owners Name: JG Wehunt and Son, Inc Address: 7607 Flay Rd Cherryville, NC 28021 Phone: 704-472-9780 Operator: Calvin Wehunt Applicable Fields Acres Croa(s1 Predominant Latitude & RYE Soil Series Lonaitude 1 11.6 Fescue (Pasture) 156 Cecil - CeB2 35 27' 43" N 81 28' 20" W 2 13.2 Fescue (Pasture) 156 Cecil - CeB2 35 27' 46" N 8128'10"W 3 17.0 Soybean, Corn, Small Grain 185, 238, 116 Cecil - CeB2 35 28' 54" N 81 27' 57" W TOTALS 41.8 0.0 Notes: I Date: 11/30/16 Residuals Source Summary The residuals to be applied on site NC-LT-107 will be generated from the City of Cherryville WWTP. This facility produces a maximum of 273 dry tons per year. Cherryville WWTP is located in Gaston County, NC. WATERSHED MAP UNCULN LLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLLLLL LLLL LLLLLLLLLLLLLLLLLL LLLLLLLLL LLLLLLLLLLLLLLLLLL LLLLLLLLLLLL LLLLLLLLLLLLLLLLLL LLLLLLLLLLLLLL LLLLLLLLLLLLLLLLL LLLLLLLLLLLLLLL LLLLLLLLLLLL LL LLLLLLLLLLLLLLL LLLLLLLLLLL LL LLLLLLLLLLLLLLLL LLLLLLLLLL LLL LLLLLLLLLLLLLLLLLL LLLLLLL LL LLL LLLLLLLLLLLLLLLLLLLL LLLLLLL L LLLLLLLLLLLLLLLLLLLLL LLLLLL L LI LLLLLLLLLLLLLLLLLLLLLL LLL LLL LLLLLL LLLLLLLLLLLLLLLLL Ll GRAPHIC SCALE LEGEND The compliance boundary Is established either 250 ft from the residuals application area or 50 feet within 1" = 5,000' in the property boundary, whichever is closest to the application area. The review boundary is established �+ �+ �+ midway between the compliance boundary and the perimeterimateof the residuals application area. All e,oao c s,oco ® WS_I ® WS-I I ® WS_I I I LLL WS-Iv locations � �+ are approximate. � APPLICATION MAP s s ' '' i _ � Y ice^ .. �T�e •. $�. �� • x fir' �' 4 � r`��' r• r ',. , t t y,'=''�� A '•e � sp,-5 �. ,r,�h�'?.. � � 5 � q r°� r + of Ile, 4nv ■ LEGEND APPLICATION AREA UNSUITABLE AREA — — — — — — PRIVATE ROAD O WATER GRAPHIC SCALE — — — — STREAM . ONSITE HOUSE 1= 660' 660' 0 660' — DRAIN ■ OFFSITE HOUSE X X X FENCE OUTBUILDING PROPERTY LINE 0 WELL The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-LT-1 07 in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-2 APPLICATION MAP i. ' !t h s#' 8` Ka 1P if j, s •ly yj �y "t�h t �\ ,M�� 1�ZA •. ,�fe Z �4 -.�4� y,�"y^ ,t 41 .P iF�.���:��'� M ,�•! � i �_S.� Y{ _r.;Y � 'l' v sl A IN 9 4,",('7 a t 1 t R6 . • � R� 1k-D .� Jr., ry �i LEGEND APPLICATION AREA UNSUITABLE AREA PRIVATE ROAD OW WATER —--n—n�— GRAPHIC SCALE — — — — STREAM ONSITE HOUSE 1" = 660' 660' 0 660' — DRAIN ® OFFSITE HOUSE X XX FENCE OUTBUILDING PROPERTY LINE 0 WELL The compliance boundary is established either 250 ft from the residuals application area or 50 feet within NC-LT-1 07 in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Field 3 10 VICINITY MAP Yl Ly ,fit*�/ - i '•� � ` -� , � � . � ter` -- - .: 1 ( •sir .� _ '�`: ' � �,} 1) a ia^.S4[x>or /� �- :., •'. / I -. - f Ell V� I1 I�j }i1f: 1E IL V��� GRAPHIC SCALE 1" = 4,000' 4,000' 0 4,000' � 1 _ fhe compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established NC—LT-1 07 midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields 1-3 Site ID: Owners Name: Address: Phone: Operator: Applicable Fields Acres SITE SUMMARY City of Cherryville Cherryville, NC I NC-LT-107 JG Wehunt and Son, Inc 7607 Flay Rd Cherryville, NC 28021 704-472-9780 Calvin Wehunt Predominant Latitude & Crop(s) RYE Soil Series Lonqitude 1 11.6 Fescue (Pasture) 156 Cecil - CeB2 35 27' 43" N 81 28' 20" W 2 13.2 Fescue (Pasture) 156 Cecil - CeB2 35 27' 46" N 81 28' 10" W 3 17.0 Soybean, Corn, Small Grain 185, 238, 116 Cecil - CeB2 35 28' 54" N 81 27' 57" W TOTALS 41.8 0.0 Notes: Date: 11/30/16 State of North Carolina Department of Environment and Natural Resources Division of Water Resources DW-J ®3vision of Water Resources15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 11-13 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit we site at: http://portal.ncdenr.or /web/wd/aps/lau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 11-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 11-13): X Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 11-13) 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. Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: Zf hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies)' onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops Residuals Source (optional) Special note (no-till/over-seed/ pasture) The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. 'his Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and shall be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 11-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements withanother permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. ,l. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. HI. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (Please include the rationale for the requested -re-location of the compliance compliance boundary to the application package) A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) boundary and attach a map showing the newly proposed ❑ The land application field(s) ID: . is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred into the new nroeram: (Name of the new program) FORM: LOA 11-13 Page 2 of 3 Landown I cert regan a pov deeds agree. under field hereii Land( Addrf City: Phon( Signa I, the undersigned Notary Public do hereby certify that ��r � v - C . (V ! V--_ W C Ly in�-6 personally appeared before me this day and acknowledged the due execution of the forgoing instrument. 0%J11o1sittil OLP14 WITNESS my hand and official seal this the day of �W 20_ ®�� JULY ® 2 Signature and seal: �_ 2029 My commission expires: 7C_3 G a zz @®°®®® �,k)'°oUs m Lessee's/Operator's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: State: Phone: E-mail address: Signature: Date: Permittee's Certification: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name:. Signature: Date: 12 ^ ig -O ii FORM: LOA 11-13 Page 3 of 3 I a z APPLICATION MAP IN let �. t+r3' 1 E �.z.�, - it a r LEGEND APPLICATION AREA UNSUITABLE AREA —--n—n�— PRIVATE ROAD OW WATER — — — — STREAM Q ONSITE HOUSE DRAIN . OFFSITE HOUSE X X FENCE OUTBUILDING PROPERTY LINE 0 WELL The compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. l Syr — v. d GRAPHIC SCALE 1" = 660' 660' 0 660' r r NC-LT-107 Fields 1-2 4t y d U. o 4' rCY t "ttiJO��,��,e E asC. s° f ,E°`'/Yf, f ' Off M 'psr {�" �4.��-'• .lf •.°.� a � no,-r�r i'�.*/< < t"� .f� '. ¢i P" . e"ltyt'rF-�Ar��*s,•,�.� �r•.1.ff�r Pd' 1,�`.i �v011axi- ' TOPOGRAPHIC MAP ;_-- +% K7' O - '1 "y GRAPHIC SCALE 1" = 1,000' 1,000- 0 1,000' { The compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-LT-1 07 Fields 1-2 TOPOGRAPHIC MAP Y .. ell t a F F .:'A C _ + f nA '��_�.: '.���i '• �3� � ,�-""' v -'fie- s-a'* � C GRAPHIC SCALE 1" = 1,000' 1,000' 0 1,000' The compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. NC-LT-107 Field 3 (�l V ' � �$' ^ Jl' to •Y , , Y .` ._ ��1 `` .t i , � v v tr V��;� \i. ���. ,+.. <.,• _ ,. ;.zs-=•.tea s`' � •fir* `<, w r-Ilk [^ L sINA � `.� lid t...,,, •\ � �. _ �e L�'1v�PI"J.���• + �' � � �-r � � .- ,,d "�� , Y ` , �i7F#•_ ',r^ "�,'a Vt a"t'�'t.��,- ,.x1.' �� t .�.'".' sy 'e�_Y "�L+fi:��� }t+��.. , , et ' A`' VICINITY MAP o J f�-••� )') _ , JC' �� 1 � L" ����jf of �j� `,� � � /�n ���_ '' �( ` J %��� - .•r,'`+,r, .'� �, � l�r��'� ��`.a� 2ru ��-' L`.i.. �%t_�— +'�S'.�I ��— ti�i„ t.'`1r1���, %;rfj t\ i`1 (r'�l ..:� •./JII +�`� i�,� - "/ A "l'� �" �� �gym✓ `�= ,��-r=� ri1 vet j , �� - ,� � /mil \��i1("�'; _ � _ r 1 .�! Gam.. , l 4 Q ✓` `r"'� t . � ' •�,J i I1�� 1 �_��R. �%,C!'a�i � � ,... ~. � 7•- Z/�,4/y''"•+`� 67 , ed (�, � ( J aryc r ate• n � 1 7 GRAPHIC SCALE 1" = 4,000' 4,000' 0 4,000' fhe compliance boundary is established either 250 ft from the residuals application area or 50 feet within in the property boundary, whichever is closest to the application area. The review boundary is established N C-ILT-107 midway between the compliance boundary and the perimeter of the residuals application area. All locations are approximate. Fields q 1'0 Soil Profile Descriptions in Field Locations Project: Cherryville Site: LT 107 Field: 1 Boring Coord.: 35127' 43" N 810 28' 20" W N N O O V O O _ U U O t x d N T fn S S % Slope: 4-6% Crop: Forage/Pasture Conducted By: GC Murray Date: 11 /14/2016 Soil Series: Cecil/Pacolet C O o U FO N w r w (n N Q U) m d O O o w N N O d O O S S NO S L-- n n 'r i "MRPR w m N C V1 7 0 O r+ c L) N O R en S Ap 0-4 .10YR 4/4 - - - - moist sl I wk med I gr fr ns np AB 4-11 7.5YR 5/4 - - - - moist sl mod med gr fr ns np Bt 11-35 10R 4/8 - - - - moist c mod med sbk fi s p BC 35-38 10R 4/8 - - - - moist cl mod med sbk fi ss sp Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) Soil Profile Descriptions in Field Locations Project: Cherryville Site: LT 107 Field: 2 Boring Coord.: 35127' 46" N 81028'10"W N N O O v O O r U U O K d N rMi S S % Slope: 4-6% Crop: Forage/Pasture Conducted By: GC Murray Date: 11 /14/2016 Soil Series: Cecil W +O- N i� 0 C V 'N^ //0� S 0 -a N S eY S x WA Ff�Oiffmo. PR W v d N U 7 N 0 "J m _ c v 7 N V L �O rn S n n Ap 0-3 10YR 4/4 - - - - moist sl wk med gr fr ns np AB 3-10 7.5YR 514 - - - - moist sl mod med gr fr ns np Bt 10-43 10R 4/8 - - - - moist c mod med abk fi s p BC 43-48 10R 4/8 - - - - moist scl mod med sbk fi ss sp Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sicl silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) Soil Profile Descriptions in Field Locations Project: Cherryville Site: LT 107 Field: 3 Boring Coord.: 35128' 54" N 810 27' 57" W N N -O O O v = O O _ U U N 01 T n S S % Slope: 4-6% Crop: Row Crop Conducted By: GC Murray Date: 11 /14/2016 Soil Series: Cecil/Pacolet a C 0 fJ Cn W N N Q (A Gf d S S C U xO W d) N S O X V L rn ;v v L rn ENIBQ,N N,TRL FM8WRTE9. PR }W v F d N ayi irn U u V Y i V rn n Legend: Texture s sand I loam si silt sil silt loam c clay cl clay loam scl sandy clay loam sl sandy loam sid silty clay loam Structure Grade wk weak m moderate str strong Structure Type gr granular pl platy pr prismatic cpr columnar abk angular blocky sbk subangular blocky sg single grained ma massive Structure Size f fine med medium Moist Consistencv fr friable vfr very friable fi firm vfi very firm Seasonal High Water Table: Depth (") Type (apparent/perched) CHERRYVILLE PROJECT WQ 0000430 SOIL SCIENTIST CERTIFICATION This is to certify that soil profile evaluations were conducted on the proposed application sites for the Cherryville project by Piedmont Environmental Associates, P.A. on behalf of Synagro Central, LLC. The evaluations consisted of hand auger borings and descriptions of the soils on the application sites. All hand auger borings included in this package were either performed by me or under my direct supervision. All other work performed for this permit application was conducted by Synagro Central, LLC. G. Christopher Murray, L.S.S. No. 1284 Cherryville Project, Various Fields State of North Carolina Department of Environment and Natural Resources Division of Water Resources WATER QUALITY' REGIONAL OPERATIONS SECTION Division of PWRWater Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM March 2, 2015 f RECEIVED/NCDENR/DWR I To: MRO-WQROS: Michael Parker / Andrew Pitner MAR 5 2015 From: Troy Doby, Water Quality Permitting Section - Non -Discharge Permitting Unit WQROS IMIOORESVILLE REGIONAL OFFICE Permit Number: WQ0000430 Permit Type: Land Application of Residual Solids (503) Applicant: City of Cherryville Project Type: Renewal Owner Type: Municipal Owner in BIMS? Yes Facility Name: City of Cherryville RLAP Facility in BIMS? Yes Fee Category: None Comments/Other Information: Fee Amount: $0 Attached, you will find all information submitted in support of the above -referenced application for your review, comment, and/or action. Within 45 calendar days, please take the following actions: ® Return this form completed. ® Return a completed staff report. ❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact person listed above. RO-WQROS Reviewer: Date: FORM: WQROSNDARR 01-15 Page 1 of 1 Central Files: APS _ SWP 3/3/2015 Permit Humber W00000430 Permit Tracking Slip Programs Category Status Protect Type Non -discharge In review Renewal Permit Type Version Permit Classification Land Application of Residual Solids (503) E Individual Primary Reviewer troy.doby Coastal SWRule Permitted Flow Facility Permit Contact Affiliation Scott D. Berg 284 Boger Rd Mocksville NC 270287615 Facility Name Major/Minor Region City of Cherryville Residuals Land Application Program Minor Mooresville Location Address County 116 S Mountain St Gaston Facility Contact Affiliation Cherryville NC 280213421 Larry Wright 116 S Mountain St. Owner Cherryville NC 28021342' Owner Name Owner Type City of Cherryville Government - Municipal Owner Affiliation Ben Blackburn city mgr 116 S Mountain St Dates/Events Cherryville NC 28021342 Scheduled Orig Issue App Received Draft Initiated Issuance 12/6/1991 3/2/2015 Regulated ActlAties Wastewater treatment and disposal Public Notice Issue Effective Expiration Requested /Received. Events RO staff report received RO staff report requested outffaH Waterbody Name Streamindex Number Current Class Subbasin o NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor March 3, 2015 Larry Wright — Plant Supervisor/ORC City of Cherryville 116 South Mountain Street Cherryville, NC 28021 Dear Mr. Wright: Donald R. van der Vaart Secretary Subject: Acknowledgement of Application No. WQ0000430 City of Cherryville Residuals Land Application Program Residuals Management System Gaston County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on March 2, 2015. Your application package has been assigned the number listed above, and the primary reviewer is Troy Doby. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Troy Doby at (919) 807-6336 or troy.doby@ncdenr.gov. Sincerely, Q-tJon Risgaard, Branch Manager Division of Water Resources cc: Mooresville Regional Office, Water Quality Regional Operations Section. Marshall Puryear — Synagro Central, LLC; 284 Boger Rd, Mocksville NC 27028 Permit File WQ0000430 Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 9IM07-6464 1 Internet: http://Qortal.ncdenr.org/web/wq An Equal Opportunity 1 Affirmative Action Employer- Made in part with recycled paper February 23, 2015 N.C. Department of Environment and Natural Resources Division of Water Resources Aquifer Protection Section — Land Application Unit 1636 Mail Service Center Raleigh, NC 27699-1636 ATTENTION: Mr. John Risgaard REFERENCE: APPLICATION FOR RENEWAL OF PERMIT # WQ0000430 City of Cherryville Dear Mr. Risgaard: On behalf of the City of Cherryville, Synagro is submitting this application to renew the referenced residuals land application permit. New vicinity, application, topographic, and soil maps are being submitted for all renewed sites. All fields are listed, on form "LASC", as "modified". This occurs 284 Boger Road due to changes in acreage. The acreage changes occur due to more accurate mapping Mocksville, NC 27028 techniques: specifically, ArcGIS version 10. Forms CMNA, RLAP, LASC, and 877.267.2687 RSC are included, along with other required forms. 336.998.8450 This application package should contain all of the information necessary to complete www.synagro.com the requested renewal of -the City of Cherryville's permit. However, if you require additional information or have further questions, please contact me at 336-971-9085 or ethompson@synagro.com. rg_o.com. Thank you in advance for the timely and efficient review of this renewal application. Sincerely, Eli ho son cc: Larry Wright, City of Cherryville RECEIVEDIDENROWR MAR o 2 2015 wabvaualky permUng section OF W A TF9 State of North Carolina Department of Environment and Natural Resources C r Division of Water Quality a RESIDUALS LAND APPLICATION PROGRAM INSTRUCTIONS FOR FORM: RLAP 08-11 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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: http://portal. ncdenr. org/web/tivnlaps/lau General - This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under 15A NCAC 02T .1100. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Residuals Land Application Program (FORM: RLAP 08-11) Application: (All Application Packages): Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-11) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .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 Environment and Natural Resources (NCDENR). STANDARD REVIEW - Submit the appropriate fee for all new and major modification applications as listed in the table below. EXPRESS REVIEW - Visit the Express Review webpage for the Express Fee Schedule: STANDARD APPLICATION REVIEW FEES: ------------ .� — _ ...----------._... - -- - - - - ------------- ------- ---------- --...... ------ - - -- -- ---- Facility Classification New Permit i Major Modification 1 - ------------------- - _ _ ---- - - - _ -- ----- ---- - - - -- ---- - ----------- - -- -- --' Major (land are permitted for > 300 acres) $1,310 I $395 ------------------------------------- ------ --- J - - ------------ ----- --- -- - - - ------ i Minor (land are permitted for < 300 acres) 1 $810 $245 - — - ._._..._....-------._... _ - --- --- - - - - - --- -- - _ �_..-- -- -- -- - _ - --- - --------- ---- -- 1 - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage; adds additional land application areas not previously approved; 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) S_ List all items included in the application package, as well as a brief description of the requested permitting action. D. Environmental Assessments (May be Required - See 15A NCAC 1C .0300) 'El' a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for the construction of the subject facilities. INSTRUCTIONS FOR FORM: RLAP 08-11 Pagel of 3 E. 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. THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY. F. Program Determination Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T .1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable: 0: Any land application site certified for the residuals land application program that receives residuals at rates or frequencies greater than agronomic rates. [ 1 Any land application site certified for the residuals land application program that is used primarily for residuals disposal, and agricultural crop production is of secondary importance. Q Any land application site certified for the residuals land application program that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system. ] Please contact the Aquifer Protection Section if you need any assistance in determining whether your residuals program falls under the dedicated program definitions. G. Program Information 0. Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system. �] Provide an explanation of the dedicated system and its operation. H. Detailed Site Maps (All New or Modification Application Packages) �El. Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF only). For Modifications, submit plans specific to the modification(s) only. �] Plans must include the following minimum items: A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site relief and showing all facility related structures and fences within the land application area. The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s). E,j Delineation of the review and compliance boundaries 0, Setbacks as required by 15A NCAC 02T .1108 jElSite property boundaries within 500 feet of all waste treatment, storage, and disposal site(s). El A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray irrigation zones as they will be operated. El Plans must depict a completed design and 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. However, the plans may be labeled with the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION INSTRUCTIONS FOR FORM: RLAP 08-11 Page 2 of 3 I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites) Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops and their ability to accept the proposed application rates. T Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) �] Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy available at: hM2://portal.nedenr.or web/wq/aps/lau/policies. The document shall be signed, sealed and dated by a qualified professional. K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation facilities fed through fixed supply system) 0 Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or Professional Land Surveyor in accordance with 15A NCAC 02T .1104(d)(2). For Modifications, submit an updated site map specific to the modification(s) only. Q. The design documents must include the following minimum items: 0. Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new units or are critical to the understanding of the complete process; Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the finished product including leaking testing; and �] Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head curve analysis for each pump, and irrigation design. 0 Soil mapping units shown on all disposal sites. L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or irrigation facilities fed through fixed supply systems) Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy available at: http://portal.ncdenr.org/web/wq/aps/lau/policies. M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment or irrigation components) Property ownership documentation shall consist of one of the following: Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or 0 Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or 0 An easement running with the land specifically indicating the intended use of the property and meeting the requirements of 15A NCAC 02L .0107(fl, or 0 A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or survey map. ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS: NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY AQUIFER PROTECTION SECTION LAND APPLICATION UNIT By U.S. Postal Service: 1636 MAIL SERVICE CENTER RALEIGH, NORTH CAROLINA 27699-1636 TELEPHONE NUMBER: (919) 733-3221 By Courier/Special Delivery: 2728 CAPITAL BOULEVARD RALEIGH, NORTH CAROLINA 27604 FAX NUMBER: (919) 715-6048 INSTRUCTIONS FOR FORM: RLAP 08-11 Page 3 of 3 O�OF W A T FRQG State of North Carolina Department of Environment and Natural Resources r Division of Water Quality RESIDUALS LAND APPLICATION PROGRAM �® FORM: RLAP 08-11 I. APPLICANT INFORMATION: 1. Applicant's name: City of ChgMr yille Applicant type: El Individual El Corporation [] General Partnership E_ Privately -Owned Public Utility 0 Federal] State Z Municipal County Signature authority's name per 15A NCAC 02T .0106: Larry Wright Title: Plant Supervisor/ORC Applicant's mailing address: 116 South Mountain Street City: Cherryville State: NC Zip: 28021 Telephone number: (704 435-1739 Email Address: lwright@citvofcheMLKJille.com 2. Consultant's name: Eric Thompson License Number (for P.E.): Affiliation: 0 On Staff I. Retained (Firm: Synagro Central, LLC) Consultant's mailing address: 284 Boger Rd City: Mocksville State: N.C. Zip: 27028 Telephone number: (336) 998-7150 ext 12 Email Address: ethompson@synagro.co 3. Agronomist's name: Marshall Puryear License Number: Affiliation: ID On Staff Retained (Firm: Synagro Central, LLC) Agronomist's mailing address: 284 Boger Rd. City: Mocksville State: N.0 Zip: 27028 REECEI EEDIDENRUR Telephone number: (336) 998-7150 ext 17 Email Address: mpuryear@synagro.com MAR - 2 2015 4. Soil Scientist's name: Eric Thompson License Number: 1238 Affiliation: On Staff Retained (Firm: Synaexo Central, LLC)��®��9i�0 ��- ®� Soil Scientist's mailingaddress: 284 Boger Rd. �— City: Mocksville State: N.C. Zip: 27028 City: Telephone number: (336) 998-7150 ext 12 Email Address: ethompsonna,synauo.com 5. 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: WQ0000430 Date of most -recently issued permit: 07/09/2010 Date of most -recently certified Attachment A (if different than the permit): Date of most -recently certified Attachment B (if different than the permit): FORM: RLAP 08-11 Pagel of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 736 Tot Dellinger Road City: Cherryville State: NC Coordinates: Latitude: 350 24'51" Datum: NAD83 Method of measurement: MAP Zip: 28021 Longitude:.81 ° 22' 08" Level of accuracy: second 2. County where residuals land application program is headquartered: Gaston 3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their certification numbers, and their affiliations in the following table: Designation Name Affiliation Certification Number ORC Robert Michael Cox Synagro Central, LLC LA13191 Back -Up ORC Eric Norman Thompson Synagro Central, LLC LA29096 Additional Back -Up ORCs if applicable) If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school and certification test: = 4. Complete the following tables regarding management of the residuals land application program: a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 270 dry tons per year. PAN Pounds of PAN per Dry Ton (Weighted Average) Pounds of PAN per Year Surface Incorporation or Injection Surface Incorporation or Injection First -Year 22.38 31.02 6109 8468 Five -Year Maximum Adjusted 31.26 39.90 8533 10,892 b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and proposed for certification with this application: Category Use Acres Comments Crops Forest or Plantation 0.0 Row Crops 11.0 Hay 27.6 Pasture 40.1 Total: 78.7 Methods Surface 78.7 Incorporation or Injection 0.0� Total. 78.7 FORM: RLAP 08-11 Page 2 of 5 c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate qbs PAN/ac yr) Acres Required Using First -Year PAN Concentrations Acres Required Using Five -Year Maximum Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 122.2 169.4 170.7 217.8 100 61.1 84.7 85.3 108.9 150 40.7 56.5 56.9 72.6 200 30.5 42.3 42.7 54.5 6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction practices not in place, etc.): F I 7. Specify type of residuals program (See Instruction F): Non -dedicated 0 Dedicated If Dedicated, specify the following (check all that apply): �] Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic rates, explain; Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is of secondary importance, explain; = J Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation facilities fed through a fixed supply system, explain; IV. RESIDUALS SOURCE INFORMATION: (Not required if no new, renewed, or modified residuals source) Complete and submit the following Residuals Source Certification and all associated documentation. I kaa Residuals Source Certification V. LAND APPLICATION SITE INFORMATION: (Not required if no new, renewed, or modified land application site) Complete and submit the following Land Applications Site Certification and all associated documentation. n Land Application Site Certification. doc FORM: RLAP 08-11 Page 3 of 5 Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only. "I. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM 1. The irrigation system is: _0. Spray F] Drip 2. Disposal system is: [I existing E_ proposed. 3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation:. — feet below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation. between SHWT and ground surface. 4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area? Fl. Yes or No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if structures are to be maintained or modified: 5. Loading rates recommended by the Soil Scientist Evaluation: Soil Series Fields within Soil Area Recommended Loading Rate Recommended Loading Rate r) (in/hr ; }(in—/ 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? El. Yes or [) No If No, explain why 15A NCAC 02T .0505(n) is not met: = 7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system): Field /Zone Design Area (ft Number of Nozzles Maximum Application Rate allons/hr Design Annual Loading Rate (gallons/ r) Total wool Spray Irrigation Design Element Plan Sheet Number Specification Page Number Wetted diameter of nozzles [�T f ft Wetted area of nozzles ftz Nozzle capacity gpm C v ! � j Nozzle manufacturer / model Elevation of highest nozzle ft FORM: RLAP 08-11 Page 4 of 5 Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): ie applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without roper 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 0 No, Explain; = I, Larry Wright Plant Supervisor/ORC (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for City of Chenyville (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 Quality may not conduct a technical review of this 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. I will make no claim against the Division of Water Quality 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 Caroling 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 t to exceed $10,000 as well as civil penalties up to $25,000 per violation. Signature: Date: Z - 23- 201S FORM: RLAP 08-11 Page 5 of 5 OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Operational Functions The operational function of this project involves land application of residuals for the City of Cherryville's wastewater treatment plant. This material will be loaded onto tractor trailers or "spreader trucks" and hauled to land application sites. The residuals will be spread at agronomic rates, as determined by a recently analyzed nutrients and metals sample. The material will be land applied with a liquid applicator that will use pressure to achieve a consistent spread pattern. The fields applied will have a crop, either established or planted soon after application, which is to be utilized for animal consumption. Safety Measures Synagro believes in operating in a safety -conscious manner and has all employees participate in quarterly online safety courses. These courses are designed to help employees recognize safety issues and take steps to prevent accidents from occurring. In addition, all Synagro employees have the authority to stop operations if they think any aspect of the operation could cause environmental or personal harm. Maintenance Schedule Synagro will follow the maintenance schedule specified by their fleet management section for the equipment necessary to complete the job. qp SYNAGRO p A Residuals Afanagemw Cmnpany SPILL CONTROL FLAN PROJECT: CITY OF CHERRYVILLE IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE IMMEDIATELY TAKEN: 1. MANAGEMENT OF CLEAN UP ACTIVITIES: The first Synagro representative (whether IC, operator, or manager) at the scene will begin procedures to halt the spill and initiate clean up activities. Upon arrival, the Operations Manager will take immediate action to coordinate all activity. Synagro labor and equipment are to be utilized. In the event additional labor and equipment are required, assistance shall be requested from the plant operator. The Operations Manager shall also communicate with the public on the scene, answering questions and advising of the clean up activities. 2. HALT SOURCE OF SPILL: Such as a ruptured container or damaged transport unit. 3. CONTAIN SPILL: Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to augment the straw bale containment area. The Operations Manager or the person in charge on the spill site will advise the clean up personnel where to get the straw, lime, and other items necessary to complete the clean up operation, i.e. local farmers, farm supply center, nursery, etc. 4. CLEAN UP: Employ front end loaders, vacuum equipment, sludge application vehicles, and/or the local septic tank service to remove as much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining material. The straw and sand soaked material will be collected and removed to a disposal area approved by representatives of the State regulatory agency. FINAL CLEAN UP: Employ a rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean up efforts by the State regulatory representative. If the event occurs on private property, the clean up will be completed to the satisfaction of the property owner and State regulatory representatives. The ultimate goal will be to restore the spill area to its original condition, if possible. 6. NOTIFICATION: As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro regional office, and they will then be responsible for notifying other key Synagro personnel. The Operations Manager will also be responsible for notifying someone on the City/Project calling list. 7. REPORTING: Synagro regional personnel and/or city/project personnel will notify the Regional Office of DENR by telephone as soon as possible, but not more than 24 hours, or on the next -working day—y C{ M following the occurrence. The Operations Manager shall provide a written report w thln 48 hours of the spill to the Residuals Management Coordinator and the Director of Utilities (or appropriate project personnel). The report shall list all relative information and actions taken. Synagro regional and project i personnel will file a written report to the appropriate regional office of DENR within 5 days of the occurrence. Version Date: 07/04 OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Inspection Plan Inspections will be conducted on a weekly basis at the land application site during activities of this project. Inspection frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random fields that have been completed. These inspections will consist of: 1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical staff. 2. Checking the calculated loads to insure the correct amount of residuals are being land applied. 3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance plan. 4. Insuring that the field has been flagged properly and that all buffers are being adhered to. 5. Insuring that the "Crop and Landowner Verification" form has been filled out. 6. Verifying that the residuals have been adequately sampled to confirm compliance. The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall report by telephone to the NCDENR/DWR Mooresville Regional Office at 704-663-1699, as soon as possible, but no later than 24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following. • Any occurrence with the distribution program resulting in the land application of significant amounts of material that is abnormal in quantity or characteristics. • Any failure of the program that results in a release of material to surface waters. • Any time that self -monitoring information indicates that the program has gone out of compliance with the permit. • Any process unit failure that results in the system not adequately treating the residuals. • Any spill or discharge from a vehicle or piping system during residuals transportation. Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-662- 7956, 800-858-0368, or 919-733-3300. These numbers are to be called in the event of a release to surface waters or the imminent failure of a storage system when the event occurs outside of normal business hours. Within 5 days of the first notice of on occurrence, a written response in the form of a letter shall be sent to DEN outlining the actions taken or proposed actions taken to ensure that the problem does not recur. Persons responsible for inspections on this project are as follows: Eric Thompson, Soil Scientist/Technical Services Specialist, or his designee (Eric Thompson is responsible for ensuring compliance for this project.) OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0000430 (City of Cherryville) Sampling Plan Sampling for this project consists of sampling the residuals just before land application is to occur. Based on the dry tonnage of this plant, there will be one sample for each parameter per year. The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.) Arsenic (5.0) �/` 1, 4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1, 2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2, 4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13 Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5 TP ( Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl Chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) The residuals will also be sampled, based on the chart below, for the following constituents Dry Tons Generated (short tons per year) Monitoring Frequency (Established in 40 CFR 503 and 15A NCAC 02T.1111) <319 1 time per year =>319-<1,650 1 per Quarter (4 times per year) =>1,650-<16,500 1 every 60 days (6 times per year) =>16,500 1 every month (12 times per year) Aluminum Magnesium pH Ammonia -Nitrogen Mercury Plant Available Nitrogen (calculation) Arsenic Molybdenum Selenium Cadmium Nickel Sodium Calcium Nitrate -Nitrite Nitrogen % Total Solids Copper Phosphorous Total Kjeldahl Nitrogen Lead Potassium Zinc Sodium Adsorption Ratio (SAR) In order to meet pathogen and vector requirements, the material will be sampled for fecal coliform density and the 30- day bench test. The samples will be taken from the digester. Additional samples will be taken for TCLP/RCI and nutrients and metals analysis. Methods of sampling will follow the conditions of the permit and applicable regulations. The following people are responsible for sampling: Eric Thompson, Soil Scientist/Technical Services Specialist, or his designee. OF W ATF9 State of North Carolina CO � Department of Environment and Natural Resources > C Division of Water Quality RESIDUALS SOURCE CERTIFICATION INSTRUCTIONS FOR FORM: RSC 08-11 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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: http:/1portal. ncdenr. orb/web/wq/aps/lau General — This certification provides detailed information of residuals source generating facility and its residuals quality for land application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 08-11, FORM: DCAR 08-11, or FORM: SDR 08-11). 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 08-11): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 08-11) 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. 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 08-11 Page 1 of 1 RESIL��LS SOURCE FACILITY SUMMARY Applicant's name: City of Cherryville Status Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year e Cod Current b Proposed R City of Cherryville City of Cherryville WWTP Gaston NCO044440 273 273 a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted) b The amount of residuals currently permitted for distribution, land application, or disposal (Le, not applicable to new facility). SUMMARY FOR FORM: RSC 08-11 Page 1 WAT L,RQG State of North Carolina co- Department of Environment and Natural Resources > Division of Water Quality P � RESIDUALS SOURCE CERTIFICATION FORM: RSC 08-11 I. - RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.): 1. Facility Name: City of CheMwille WWTP 2. Facility permit holder is: ] Federal, �E] State, Local Government, or 0 Private. Facility permit issued by: Div. of Water Quality, [( Div. of Environmental Health, or [] Other (explain: [ _,_ I). 3. Facility contact person and title: Larry Wright, Plant Supervisor, ORC Complete mailing address: 116 South Mountain Street City: CheMLi ille State: NC Zip: 28021 Telephone number: (104) 435-1739 E-mail address: lwrip-ht@cityofcheLryville.com ofcherryville.com 4. Facility physical address: 736 Tot Dellinger Road City: CheMr yille State: NC Zip: 28021 Coordinates: Latitude: 350 24' 51" Longitude: 8V 22' 08" Datum: NAD83 Level of accuracy: Second Method of measurement: MAP 5. Purpose of the facility: treatment of municipal wastewater, El treatment of 100% domestic wastewater, treatment of potable water, r] treatment of 100% industrial wastewater, D treatment of industrial wastewater mixed with domestic wastewater, (approximate percentages: % industrial and F__1 % domestic) El other (explain:l ). 6. Does the facility have an approved pretreatment program: Yes E]_ No 7. Facility permitted/design flow: 2_0 MGD and facility average daily flow: 0.5-1.0 MGD 8. Average amount of residuals being generated at this facility 108.0 dry tons per year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment: sludge holding tank: 248,000 gallons Type and volume of residuals storage (i.e., outside of residuals treatment units): sludge lagoon: 250,000 gallons H. RESIDUALS QUALITY INFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: Z 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: 2 Biological j Non -Biological FORM: RSC 08-11 Page 1 of 5 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). 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: [1yes no. If yes, list the number(s): 1_ b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261.24: El 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, ignitability, and reactivity: Laboratory: Summit Environmental Technologies, Inc. and Date(s) of analysis: 07-22-11 (or, where noted with "*", on 07-21-10 Passed corrosivity test: Z yes 'El no. pH: 7.68 s.u. (2 < pH < 12.5) Passed ignitability test: 0 yes Q no. Flashpoint: >140 °F (> 140T) Passed reactivity test: j( yes Ono. HCN: <0.5 mg/kg (<250) & HzS: <25 mg/kg (<500) TCLP Parameter Limit (mg/1) Result (mg/1) TCLP Parameter Limit (mg/1) Result (mg/1) Arsenic 5.0 <0.50 Hexachlorobenzene 0.13 <0.10 Barium 100.0 <5.0 Hexachloro-1,3-Butadiene 0.5 <0.10 Benzene 0.5 <0.10 Hexachloroethane 3.0 <0.10 Cadmium 1.0 <0.10 Lead 5.0 <0.50 Carbon Tetrachloride 0.5 <0.10 Lindane 0.4 <0.0020* Chlordane 0.03 <0.010* Mercury 0.2 <0.0020 Chlorobenzene 100.0 <0.10 Methoxychlor 10.0 <0.0020* Chloroform 6.0 <0.10 Methyl Ethyl Ketone 200.0 <2.0 Chromium 5.0 <0.20 Nitrobenzene 2.0 <0.10 m-Cresol 200.0 <5.0 Pentachlorophenol 100.0 <0.25 o-Cresol 200.0 <5.0 Pyridine 5.0 <0.25 p-Cresol 200.0 <5.0 Selenium 1.0 <0.50 Cresol 200.0 <5.0 Silver 5.0 <0.50 2,4-D 10.0 <5.0* Tetrachloroethylene 0.7 <0.10 1,4-Dichlorobenzene 7.5 <0.10 Toxaphene 0.5 <0.10* 1,2-Dichloroethane 0.5 <0.10 Trichloroethylene 0.5 <0.10 1,1-Dichloroethylene 0.7 <0.10 2,4,5-Trichlorophenol 400.0 <0.25 2,4-Dinitrotoluene 0.13 <0.10 2,4,6-Trichlorophenol 2.0 <0.25 Endrin 0.02 <0.0020* 2,4,5-TP (Silvex) 1.0 <0.50* Heptachlor and its Hydroxide 0.008 <0.0040* Vinyl Chloride 0.2 <0.20 FORM: RSC 08-11 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: A&L Eastern Laboratories, Inc. and Date of analysis: 08/14/2014 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg/kg) Monthly Average Concentration Limits (Class A Only) (mg/kg) Result (mg/kg) Arsenic 75 41 5.0 Cadmium 85 39 4.0 Copper 4,300 1,500 695 Lead 840 300 43 Mercury 57 17 0.8 Molybdenum 75 n/a 19 Nickel 420 420 128 Selenium 100 100 <5.0 Zinc 7,500 2,800 1500 b. For Surface Disposal Unit (landfr'll): 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: E— Distance from Disposal Unit to Boundary to Closest. Property Line (meters, check one) Arsenic (mg/kg) Chromium (mg/kg) Nickel (mg/w > 0 but < 25 30 200 210 C] > 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 08-11 Page 3 of 5 5. Nutrient/Micronutrient Determination: Complete the following: a. Total solids: 5.90 %. 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: A&L Eastern Laboratories, Inc. and Date of analysis: 08/14/2014 Parameter Result (mg/kg) Aluminum 15,400 Ammonia -Nitrogen 8640 Calcium 11,200 Magnesium 3370 Nitrate -Nitrite Nitrogen 40.7 pH (Standard Unit) 7.58 Phosphorus 31,500 Potassium 2230 Sodium 1080 Total Kjeldahl Nitrogen 31,400 c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0.56 [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: 30 %. This rate is a (check one): N default value, or 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: This is a default value for water treatment plant 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 (lst) Year PAN Five -Year Maximum Adjusted PAN (niglkg) (mg1kg) Surface 11,189 15,629 Injection/Incorporation 15,509 19,949 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: No FORM: RSC 08-11 Page 4 of 5 7. Patho-aen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements: a. For Distribution/Land Application of Class A or Equivalent: . J A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids, or A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids. AND one of the followings (except for non -biological residuals): El Alternative 1 [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance. ] Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment. 0_ Alternative 3 [15A NCAC 02T.I 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 Helminth Ova. Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP). Specify one: ,0 composting, Elheat drying, [] heat treatment, 0 thermophilic aerobic digestion, ❑ beta ray irradiation, 0 gamma ray irradiation, or 0pasteurization. b. For Land Application of Class B: Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration. El Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP). Specify one: aerobic digestion, [ ( air drying,] anaerobic digestion, composting, or lime stabilization. c. For Surface Disposal: EJ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 1I.7a. above. El Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above. EJ Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.I 106(a)(2)]. iLl Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. 8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements: Z Alternative 1 [15A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). Alternative 2 [15A NCAC 02T. 1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion). Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion). 0. Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion). Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes. Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization. E] Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals. Ej Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals. Alternative 9 [15A NCAC 02T.1107(a)(9)] Injection. Alternative 10 [15A NCAC 02T. 1 107(a)(1 0)] - Incorporation. [] Alternative for Surface Disposal Units Only - Soil/Otheir 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 08-11 Page 5 of 5 ,10 SYNAGO A Reriduals Alanagement Company COUNTY Q 74/4/ OWNER e17-f 4` C%W LV U,(Me- Attachment 2-a w (A1T° Zz Ce r o1V TIME PERIOD: CALENDAR YEAR -1990 . DECANT TO HEADWORKS 1,412,500 GALLONS DECANT TO HEADWORKS 1,400,000 GALLONS a- rdw on. Route 1. Bost 394 taiden. NC 2USO rxin.Rs Oxidation Ditch Secondary Clarification 500,000 GAL AERATED HOLDING TANK 1,500,000 GAL STORAGE LAGOON LAND APPLICATION OVERALL VSS a REDUCTION FIESIDENC2 TIME n WASTE FROM PROCESS 4,324,500 GALLONS 407,5251b Ss 326,020 tb VSS 14300 Mg/L SS 35% REDUCTION IN VSS W HOLDING TANK DISCHARGED TO LAGOON 2,772,500 GALLONS 266,543 Ib SS 213,234 1b VSS 14327 Mg/L. SS 22% REDUCTION VSS TO LAND APPLICATION 4300,00C GALLONS 19,448 Mg/L 83 15,410 Mg/L VS3 210,855 ib SS IG7,140 1b VSS 326.020 - 167d40 4a% 326,020 MIfj OF 9 MOWTHS (OASED AN SLUDGE HAUL RECORDS) SLUDGE TREATMENT SCHEMATIC cirY OF CHERRwkLF LAND APPLICATION 34 PERMIT RENEWAL NOVEMSER 22. ISSI Quantitative Justification for Residuals Production Rate Facility: City of Cherryville WWTP Maximum Permitted Rate: 273 dry tons/year Justification: The City of Cherryville's WWTP currently produces an average (for the past five years) of just over 108 dry tons of biosolids per year. The calculations below indicate that the average daily flow is less than one million gallons per day. The amount of production has been variable, but, for the past five years, no greater than 70 percent of the permitted tonnage (273 dry tons). Calculations: Based on rule -of -thumb that average daily flow is approximate to annual volume of residuals produced: (1,000,000 ag_Ug)x (4 % solids) x (8.5 lbs/gal) z 170 dt/yr (2,000 lbs/ton) Residuals Sampling Plan City of Cherryville Land Application Program Nutrient and Metal Analysis Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Composite Lab: A&L Eastern Agricultural Laboratories, Inc. Pathogen Reduction Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific l Sample Type: Grab Lab: Cameron Testing Services, Inc. Vector Attraction Reduction Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual or event specific Sample Type: Composite Lab: Cameron Testing Services, Inc. 0-0 0 /Z6)1 Sampling Point: Biosolids Storage Lagoon Sampling Frequency: Annual Sample Type: Composite Lab: Summit Environmental Technologies, Inc. Page: 1 of 2 Report Number: 14-225-0201 Account Number: 46442 Submitted By: ERIC THOMPSON Send To: SYNAGRO CENTRAL/CHERRYVILLE Mary Brewer 284 BOGER RD MOCKSVILLE , NC 27028 A&L Eastern Laboratories, Inc. ffg,� 7621 Whitepine Road Richmond; Vrginia'23237 '(804) 743-5401 .Fax.(804) 271.6446 www.olezfstLim.com Project: CHERRYVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 8/11/2014 11:30:00 Lab Number: 57004 Date Received: 08/13/2014 00:00 Sample Id: CHERRYVILLE Date Reported: 08/19/2014 PARAMETER RESULT RESULT QUANTITAfION LIMIT ANALYSIS ANALYST DATE/TIME o. Total Solids * 5.90 59000 100.0 JM 08/13/2014 13:50 SM-254OG Moisture * 94.10 100.0 JM 08/13/2014 13:50 SM-2540G Total Kjeldahl Nitrogen 3.14 31400 10.0 JM 08/14/2014 07:50 SM-4500-NH3C-TKN Total Phosphorus 3.15 31500 100 KM 08/14/2014 14:37 SW 6010C Total Potassium 0.22 2230 100 KM 08/14/2014 14:37 SW 6010C Total Sulfur 0.91 9110 100 KM N/14/2014 14:37 SW 6010C Total Calcium 1.12 11200 100 KM 08/14/2014 14:37 SW 6010C Total Magnesium 0.34 3370 100 KM 08/14/2014 14:37 SW 6010C Total Sodium 0.11 1080 100 KM 08/14/2014 14:37 SW 6010C Total Iron 57300 100 KM 08/14/2014 14:37 SW 6010C Total Aluminum 15400 100 KM 08/14/2014 14:37 SW 6010C Total Manganese 970 5 KM 08/14/2014 14:37 SW 6010C Total Copper 695 5 KM 08/14/2014 14:37 SW 6010C Total Zinc 1500 10 KM 08/14/2014 14:37 SW 6010C Ammonia Nitrogen 0.86 8640 10.0 JM 08/15/2014 08:55 SM-4500-NH3C Organic N 2.28 22760 10.0 08/14/2014 07:50 CALCULATION Nitrate+ N itrite-N 40.7 2.00 JM 08/14/2014 07:50 SM-450ONO3F Total Cadmium 4.0 2.0 KM 08/14/2014 14:37 SW 6010C 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 exclusive and confidential use of ourclients, and may not be reproduced in whole or art, nor may reference be made P Y any to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining ourprior written authorization. Debbie Holt Page: 2 of 2 Report Number: 14-225-0201 Account Number: 46442 Submitted By: ERIC THOMPSON Send To: SYNAGRO CENTRAUCHERRYVILLE Mary Brewer 284 BOGER RD MOCKSVILLE , NC 27028 A &L Eastern Laboratories, Inc. 7621 Whltepine Road Rii h nond; V rginla 23237 (804) 743-940t Fax (804) 271-696 wwuvaleasternaom Project: CHERRYVILLE NC CERT#257 REPORT OF ANALYSIS Date Sampled: 8/11/2014 11:30:00 Lab Number: 57004 Date Received: 08/13/2014 00:00 Sample Id: CHERRYVILLE Date Reported: 08/19/2014 PARAMETER RESULT RESULT QUANTITATION LIMIT ANALYSIS ANALYST e °� Total Chromium 216 5 KM 08/14/2014 14:37 SW 6010C Total Nickel 128 5 KM 08/14/2014 14:37 SW 6010C Total Lead 43 5 KM 08/14/2014 14:37 SW 6010C Total Arsenic 5.0 3.0 KM 08/14/2014 14:37 SW 6010C Total Mercury 0.8 0.4 KM 08/15/2014 09:00 SW-7471 B Total Selenium <5.0 5.0 KM 08/14/2014 14:37 SW 6010C pH (Standard Units) 7.58 2.00 JM 08/14/2014 08:05 SW-9045D Total Molybdenum 19 5 KM 08/14/2014 14:37 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE LCS WAS OUT OF LIMITS FOR'W", "K", "Na", AND "S". THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "P", 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 exclusive and confidential use of our clients, and may not be reproduced in whole or part nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt 7 -14w22"201 ANALYSIS :04 4: -THEAS-T YKQG"RQCE-NTRAlJCllERRYML=- OJECTMANA.G -4��R; PR�en 5ER 4-4 L cusTOMER' SAMPLING, RAMP.Lt 'SAMPUNG METHOD Lv,p METHOD LAB it SAMPLE4M LOCATI 41JOR F, -CONTAINERS DATE' TIME PRESERVED 'glq[PFYED .113 Fl-fjltn " q, d i h -Eqd'I Y, Y-; s I . 0 TY Rotleved bv., 13EMARM 'AdrinOd rafie-&.by. t:DhleF-",. TWne -Recieved by: 7�bz 1,2.6 , R pci. Vod by. SPECIAL INSTRUCTFGNS'c For, monifurfing. purposes~ pos7es, PO& (STATE ). :SAMPLE- ..rAOALV,If EaIU"T.. M-P "'Gic"o, 1volatile au !�L-2. WHeNINO-4 NU 'pil T �'As 3-; s f -P -J T iz t J'I -,j V 'S' -13 GSIC Tes Lli Copper an na L M ANAGE5"COPY ENVIRONMENTAL TECHNOLOGIES, INC. Analytical Laboratories Client Synagro Southeast 284 Boger Rd. Mocksville, NO 27028 Order Number 1113563 Project Number Cherryville WWTP Issued .Monday, July 25, 2011 Total Number of Pages 5 (excluding C.O.C. and cooler receipt form) Approved By: QA Manage.r. M11011111 . U111111.111.10 NE -LAC Accreditation #E87688 "Analytical Integrity" - EPA Certified .. NELAP -Certified 3310 Win Street ! Cuyahoga Falls, Ohio 44223 - Phone, 330-253-82 il -, Fax: 330-253-44-89 Web Site: www.settek.com ENVIRONMENTAL TECHNOLOGIES, INC. j Analytical Laboratories Sample Summary Client: Synagro Southeast Order Number: 1113568 2 Laboratory I0 Client ID 'Matrix Sampling Date 1113563-01 Cherryville WWTP Sludge 7/5/2011 'Analytical Integrity" . EPA Certified - NELAP,Certifi6d l . 3310IRlinStreet - CulfalhogaFaIs,Ohio44223 - Phone:330-2 . 53 . -8211 Fax: 330-253-4489 Web Site: wwwsettek.com qn 1!, 'ENVIRONMENTAL TECHNOLOGIES, INC. Analytical' Laboratories 3 Repbrt Narrative Client: Synagro Southeast Order Number: 1113563 No problems were encountered during analysis of this order number, except as noted. Data Qualifiers: B = Analyte found in the method blank J = Estimated concentration of analyte between MDL (LOD) and Reporting Limit (LOQ) C = Analyte has been corifirmed by another instrument or method E = Analyte exceeds the upper limit of the calibration curve: D = Sample or extract was analyzed at a higher dilution X = User defined data qualifier. S = Surrogate out of control limits U = Undetected a = Not Accredited. by NELAC ND = Non Detected at LOQ DF Dilution Factor Limit Of Quantitatiori (LOQ) Laboratory Reporting Limit (not adjusted for dilution factor) Limit Of Detection (LOD) = Laboratory Detection Limit Estimated uncertainty values are available upon request. Matrices: A = Air C = Cream DW ='Drinking Water L = Liquid O = Oil SL = Sludge SO = Soil S = Solid T = Tablet TC = TCLP Extract W W = Waste Water W = Wipe The test results meet the requirements of the NELAC standard, except where noted. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the client, It cannot be reproduced in, any form Without the consent of Summit Environmental Technologies, Inc._ or the client for Which this report was issued. The results contained in this report are only representative .of the samples received, Conditions can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible for use or interpretation of the data included herein. "Analytical Integrity" • ERA Certified VELAR Certified 33 i 0 Wiry Street • Cup-hoga, Falls, Ohio 44223 4 Phone: 330-253-821.I . Fax: 330�253-4480 Web Site: www.settek.com ENVIRONMENTAL TECHNOLOGIES, INC. July25,2011 �+ Analytical laboratories Client: Synagro Southeast Address: 284 Boger Rd. Mocksville, NC 27028 Received: 7/7/2011 Project #: Cherryville WWTP TCLP Metals Client ID# Lab ID# Collected Anal kte Rep Lmt Result Units Matrix Method DF ReaLvl Run Analyst Cherryville.WWTP 1113563-01 05-Ju1-11 Barium 5 <5.0 mg/I SL 1311 1 100 21-Ju1-11 WK Cherryville VAM 1113563-01 05-Jul-11 Cadmium 0.1 <0,1 m9/1 SL 1311 1 1 21-Jul-11 VVK Cherryville WWTP 1113563-01 05-Jul-11 Chromium .0.2 <0.2 mg/I SL 1311 1 5 21 Jul-11 VVK Cherryville WWTP 1113563-01 OS-Jul-11 Selenium 0.5 <0.5 mg/I SL 1311 1 1 21-3ul-11 VVK Cherryville WWTP 1113563-01 05-Jul-11 Arsenic 0.5 <0.5 mg/I SL 1311 1 .5 21-Jul-11 VVK Cherryville WWTP 11.13563-01 05-Ju1-11 Lead 0.5 <0.5 mg/I SL 1311 1 5 21 Jul-11 VVK Cherryville WWTP 1113563-01 05-Jul-11 Silver 0.5 <0.5 mg/l SL 1311 1 5 21-Jul-11 VVK Cherryville WWTP - 1113563-01 05-Jul-11 Mercury 0.002 <0.002 fng/I SL 1311 1 0.2 21 Jul-11 VVK TCLIP Volatiles Client ID# Lab ID# Collected Anal to Rep Lmt Result Units Matrix Method DF ReaLvl Run Ana] sf Cherryville WWTP 1113563-01 05-Jul-11 Chlorobenzene 0.1 <0.1 mg/L SL 1311 1 100 19-Jul-ii MS Cherryville WNfrP 1113563-01 05-jut-116Fetrachloroethene 0.1 <0.1 mg/L SL 1311 1 0.7 19-301-11 MS Cherryville WWTP 1113563-01 05-Jul-11 1,1-Dichloroethene 0.1 <0.1 mg/L SL 1311 1 0.7 19-Jul-11 MS Cherryyille WWTP 1113563-01 05-Jul-11 Trichloroethene 0.1 <0.1 mg/L SL 1311 1 0.5 19-Jul-11 MS Cherryville WWTP 1113563-01 05-Jul-11 Carbon tetrachloride 0.1 <0.1 mg/L SL 1311 1 0.5 19-Jul-a MS Cheq.yville. WWTP 1113563-01 05-Jul-11 Vinyl Chloride 0.2 <0.2 mg/L SL 1311 1 0.2 19-Jul-11 MS Cherryville WWTP 1113563-01 05-Jul-111,2-Dichlomethane 0,1 Mi mg/L SL 1311 1 0.5 19 Jui-11 MS Cherryville WWTP 1113563-01 05 ]ui-112-Butanpne (MEK) 2 <2.0 mg/L SL 1311 1 200 19-Jul-11 MS CherryAlle WWTP 1113563-01 05-Jul-11 Benzene 0.1 <0.1 mg/L SL 1311 1 0.5 19-Jul-11 MS Cherryville WWTP ---- 1113563-01 .05 Jul-11 Chloroform 0.1 <0.1 mg/L SL 1311 1 6 ig-Jul-11 MS TCLP BHA Client ID# Lab ]D# Collected Analyte Rep Lmt Result Units Matrix Method DF ReaLvl Run Analyst Cherryville WWTP 1113563-01 65-Jul-11 Pe ntachlorophenol 0.25 <0.25 mg/1 SL 1311 1 100 20-Jul-11 AE Cherryville WWTP 1113563-01 05-Jul-11 Cresols 5 <5.0 mg/1 SL 1311 1 200 20-Jul-11 AE Cherryville WWTP 1113563-01 05Jul-11 Pyridine 0.25 <0.25 mg/I SL 1311 1 5 20-Jul-i1 AE Cherryville WWTP 1113563-01 05-Jul-112,4,6-Trichlorophenol 0.25 <0.25 mg/I SL 1311 1 2 20-3ul-11 AE Cherryville WWTP 1113563-01 05-Jul-11 1,4-bichlor6benzene 0.1 <b.i mg/I SL 1311 1 7.5 20-Jul-11 AE Cherryville WWiP 1113563-01 05-Jul-11 Hexachldroethane 0.1 <0.1 mg/l SL 1311 1 3 20Jul-11 AE Cherryville WWTP 1113563-01 OS-Jul=11 Nitrobenzene 0.1 <0.1 mg/I SL 1311 1 2 20-Jul-11 At Cherryville WWTP i113563-01 05-Jul-11 Hexachloro-1,3-butadiene 0.1 <0.1 mg/I SL 1311 1 0.5 20-Jul-11 AE -Cherryville WWrP 1113563-01 05-Jul-11 Hexachlorobenzene 0.1 <0.1 mg/I SL 1311 1 0.13 20-Jul-11 AE Cherryville WWTP 1113563-01 05-Jul-.112,4-Dinitrotoluene, 0,1 -�0.1 mg/I SL 1311 1 0,13 20-Jul-11 At Cherryville WWTP 1113563-01 05-Jul-11 2,4,5-Trichlorophenol 0.25 <0.25 mg/I SL 1311 1 400 20-Jul-11 AE Client ID# Lab 1D# Collected Anal3d Result units Matrix Method DF LOQ Run Analyst Cherryville WWTP 1113563-01 05-Jul-11 Flash Point >14OF SL 1010 1 11 Jul-11 DVW Page 4 "Ahalyfical Integrity" EPA. Certified NELAP Certified 33 i 0 Win Street • Cuyahoga Falls, Olio 44223 o Phone: 330-253-52 i i Fax: 330-253-4439 Web Site; wmv.settek.com ENVIRONMENTAL TECHNOLOGIES, INC. �— Analytical. Laboratories Client ID# Lab ID# Collected Anal e CherryVille WWTP 1113563-01 05-Jul-11 PCBs Client 1D# Lab ID# Collected Anal e Cherryville WWTP 1113563-01 .08-Jul-11 pH July 25, 2011 Client: Synagro Southeast Address: `284 Boger Rd. Mocksville,'NC 27028 Received: 7/7/2011 Project 4: Cherryville WWTP Result Units Matrix Method DF 1-00 Run Analyst ND mg/kg SL 8082 1 0.2 22-361-11 AKE .Result Units Matrix Method DF LOQ Run Anal sf 7.68su @23.3C 5L 9040 1 0.01 11-Jul-11 CXS Client ID# Lab ID # Collected Anal e CherryWle WWTP 1113563.01 05-Jul_11 Reactive Cyanide Client ID# Lab ID# Collected Analvte Cherryville WWTP 1113563-01 05 Jul-11 Reactive Sulfide Result Units Matrix Method DF 100 Run Analyst ND mg/kg SL 7.3.3.2 1 0.5 11=Jul-11 TIR Result Units Matrix Method DF LOQ Run Analyst ND mg/kg SL 7.3.4.2 1 .25 11 Jul-li TIR Page 5 ;Analytical Integrity" • EPA Certified - WELAP Certified 3310 Win Street - Cuyahoga Falls, Ohio 44223 - Phone: 330-253-8211 • Fax: 330-253-4489 Web Site: www.settek.com --- - --------- Summit Environmental Techfto'logies, Inc.. Analy0s Request/` 3310 Win strec-'t. For Summit E nv Cllyah0cr.L Fafk, Ohio 44223 Tcl:330.253.92H r-ax:,*130,253.448`0 — I " 11 1 30 1. 5L- NA X A go (i raw linquis d by., -1patp Receiyed:by:. Date Time Rc! . ved irtlaltby: Date I Time Rush Requested BY: Da te by lall manager While -.jiTd yellow Inigms should accompany samples to the laborator%c Tfic,chent retains.ille pink page. n -7 e, -7 E) U t �-- I - I SUPrti'rtlt EnVIPontrtr vital Teehnologlec, loe. I���I��III�I�II�I�III�II��I�II�IIIIII��I IIIIIIIIIIIIII�IIIII��IIIIIIIIIIIIII�IIIIIIII Cooler Receipt Forin Order ID: 1113563 COOLER Order ID: ecehRad:� , 1 in Initials. Date R �� � 1 Time Re�lvOd; Date o Number of Cools ] 1 ozesN/A Shipper FED EX PS DHL Airborne US Postal Walkdn UnP+cked � Plekup Other. PecCa91 Peanuts Bubble W 'Foam Nora Other. Tape on cooieribox: M Custody Seols Intact N/A Y N C-Q--C in plastic 0 N Coolant; Icce_ Blue ice____Weter_None N(A Sample Temperature u C C O C filled out properly Oy N Samples in s®parste bage A, N NIA Sample. containers intac{ N `!f no, list broken sample(s): N/A i i Sempls I®bal(D) comptet€ (ID, detg, otc.) y N NIA Lebel(O goref with C-O-C Y- N Coact containers us d NIA SA61ent sample remlved NIA Y. N Ssmpbg at �q pH? (list below) Y N N/A Bubbles abseni'9rom 40 'mL vials" Y. N N1fV Samples With bubblas less then the size of apes are acceptable. Client contact: hfl+one.. comments; ZJi{/'^ U;A lis IT * inan ENVIRONMENTAL TECHNOLOGIES, INC. Analytical Laboratories Client Syn.agro Southeast 284 Boger Rd. ,Mocksville, NC 27028 Order Numbe * r 1010557 Pr 'edi Number oj Cherryville WWTP Issued Wednesday, July 2 1,2010 Total Number of Pages 5 (excluding C.O.C. and cooler receipt form) Approved By QA Manager NELAC Accreditation #E87688 "AnalyticalIntegrity" - EPA Certified - NELAOCeriffied 3310 Win Street Cuyahoga Falls, Ohio 44223 - Phone: 330-253-6M w Fax: 330-258-4489 Web Site: www. se.ttek- rom 'EirlENVIRONMENTALTECHNOLOGIES, INC. Analytical ,Laboratories Sample Summary Client: Synooro Southeast 2 Order Number: 1010557 Laboratory ID Client ID Matrix Sampling Date 1010557.01 Cherryville WWTP Sludge 7/8/2010 "Analytical lritegrity" . EPA Certified • NELAP Certified 3310 .Win Street Cuyahoga.'Falls, Ohio 44223 Phone: 330-253-W11 Fax: 330-253-4489 Web Sire: www.settekxom ENVIRONMENTAL TECHNOLOGIES, INC. Analytical Laboratories Report Narrative Client: Synagro Southeast Order Number: 1010057 .3 No problems were encountered during analysis of this order number, except as noted. Data Qualifiers: B'= Analyte found in the method blank J = Estimated concentration of analyte.between MDL (LOD) and Reporting Limit (LOQ) C = Analyte has been confirmbd Iby'another instrument Or method E = Analyte exceeds the upper limit of the calibration curve. D = Sample oi• extract uias analyzed at a higher dilution X = User defined data qualifier.' S = Surrogate out of control limits U = Undetected a =,Not Accredited by NELAC ND = Non Detected at LOQ DF =.Dilution Factor Limit Of Quantltation (LOQ) = Laboratory"Reporting Limit (not adjusted for dilution factor) Limit Of Detection (LOD) =.'Laboratory Detection Limit Estimated uncertainty values are available upon request. A = Air C =..Cream DW = Drinking Water L Liquid b =,Oil SL = Sludge SO =Soil S ` Solid T = Tablet Te = TCLP Extract WW = Waste Water W =.Wipe. The test results meet the.requirements.of the NELAC standard, except where noted, The information. contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the client, ' It cannot be reproduced in, any form Without the consent of Summit. Environrnbhtal Technologies, Inc. or the client for which this report was issued. The results contained in this report are only representative of the samples received. Conditions can vary at different times and at different. sampling conditions.. Summit Environmental Technologies, Inc. is not responsible for use or interpretation of the data included herein. "Analytical Integrity" • EPA Certified NELAP Certified 3310 Win Street Cuyahoga Falls, Ohio 44223 o Phone: 330-253-8211 • Fax: 330-253-4489 Web Site: www.settek,com C�fi r ENVIRONMENTAL TECHNOLOGIES, INC. July21,2010 Analytical Laboratories 'southeast Client: Synagro Address: 284 Boger Rd. Mocksville,NC 27028 Received: 7/13/2010 Project #: Cherryville WWTP TCLP Metals Ciiebt ID# Lab ID# Collected AnalyKe Rep Lmt Result Units Matrix :Metliod Di- RegLyl Run Analyst 'Cherryville WWTP 1010557-01 08-361-10 Cadmium 0.1 4<0.1 mg/l SL 1311 1 1 :19-361-10 VVK Cherryville WWTP 1010557-0.1 08 Jul-10 Chromium 0.2 <0.2 tng%I SL 1311 1 5 19 Ju140 VVK Cherryvllte WWTP 1010557-01 08 Jul-10 Selenium 0.5 <0.5 mg/l SL 1311 1 1 19 Jul-10 VVK Cherryville WWTP 1010557-01 08 Julao Arsenic 0.5 <0.5 rrg/l SL 1311 1 5. 19 Jul-10 VVK Cherryville WWTP 1010557r01 08-3ul-10 Lead 0.5 <0.5 rrg%I SL 1311 1 5 19 Jul-10 VVK Cherryville WWTP 1010557-01 08-Jul-10 Silver 0.5 <0.5 mg)I $L 1311 1 5 19-Jul-10 VVK Cherryville WWTP 1010557-01 08-Jul-10 Barium 5 <5.0 m6/1 SL 1311 1 100 19-Jul-10 VVK Cherryville WWTP 1010557-01 08 36140 Mercury 0.002 <0.002 i» g/I SL 1311 1 0.2 19-JUI-10 VVK TCLP Volatiles Client ID# Lab ID# Collected Analyse Rep Lmt Result Units Matrix Method DF R, e" Run Analyst Cherryville WWTP 1010557-01 08-Ju1710 Benzene 0.1 <0.1 mg/L SL '1311 1 0.5 20-Ju1710 MS Cherryville WWTP 1010557-01 08-Jul-10 2-Butanone (MEK) 2 <2.0 mg/L 5L 1311 1 .200 20-41-10 MS Che ille WWTP 1010557,01 rry v •08 Ju{-10 Vinyl Chloride 0.2 <0.2 mg/L SL 1311 1 0.2 20-301-10 MS Cherryville WWTP 1010557701 08-Jul-10 Chlorobenzene D.1 <0.1 mg/L SL 1311 1 100 20-361-10 MS Cheuyviile.WWTP .1010557-01 08 Jul-10,Chloroform 0.1 <0.1 mg/L SL 1311 1 6 20-Jul-10 MS CherryVille WWTP 1010557-01 08-Jul-10 Tetrachloroethene 0.1 <0.1 mg/L SL 1311 i 0.7 20-3ti140 MS Cherryville WWTP 1010557-.01 08-J0,1.10 1i1-Dichloroethene 0.1 <0.1 mg/L SL 1311 1 0.7 20 Jul-10 MS Cherryville WWTP 1010557-01 08-Jul-10 Carbon tetrachloride_ 0.1 t0,1 mg/1- SL 1311 1 0..5 20-301-10 MS Cherryville WWTP 1010557-01 '08-Jul-10 1,2-Dichloroethane 0.1 <0.1 mg/L SL 1311 1 0.5 20 Jul-10 MS Cherryville WWTP 1010557-01 08-Jul-10Trich►oroethene 0.1 <0A mg/L SL 1311 1 0.5 20,-Jul-10 MS TCLP BNA 1°lienrlDr# Lab ID# Collected_ Aiialvte Rep Lmt Result Uniis .Matrix Method DF R• egLyl Run Analyst Cherryville WWTP 1010557=01 08-3ul-10 Nitrobenzene 0.1 .<0.1 mg/I SL .1311 1 2 .20 Jul-10 AE Cherryv{Ile. WWTP 1010557-Q1 08-3u1-10 Hexachloroethane 0.1 .<0.1 mg%I 51- 1311 1 3 20-Jul-10 AE Cherryville WWTP 1010557-01 08-Jul-10.2,4-Dsnit btoluene 0.1 <0.1. mg/I SL 1311 1 0.13 20-Jui40 AE Cherryville WWTP 1010557-01 08-Jul-10 1,471)ichlorobenwne 01_ <0.1 019/1 SL 1311 1 7,5 20-Jul-10. AE Cherryville WWTP 1010557-01 08-361-10 Hexachlorobenzene QA <0.1 mg/I 51- 13.11 1 0.13 20-Ju1.10 AE Cherryville WWTP 1010557.01 08 Jul 10 2;4,6--Trichlorophenol 0.25 <0.25 mg/1 SL 1311 1 2 20: Jul-10 AE Cherryville WWTP 1010$57-01 08-Jul-10 Pyridine 0.25 50.25 mg/1 SL 1311 1 5 20-Jul-i0 AE Cherryville WWTP 1010557-01 08-Jul-10 Pentachlorophenol 0.25 <0.25 mg/I :SL 1311 1 100 20Jul-10 AE. Cherryville WWTP 1010557-01 -08-Ju1-10 ?Aj5 Trichlorophenol 0.25 <0.25 mg/l SL 1311 1 160 20-Jul-10 AE Cherryville WWTP 1010557-01 08-J61-10 Cresols 5 <5.0 mg/l ,SL 1311 1 200 20-Jul-10 AE Cherryville WWTP 1010557-01 08-J61-10 Hexachloro-1,3-butadi.ene 0.1 <0.1 mg/l SL 1311 1 0.5 207Jul-10 AE Page 4 "Analytical integrity" - EPA Certified NELAP Certified 3310 Win Street - Cuyahoga Falls, Ohio 44223 Phone: 330-253-8211 • Fax: 330-253-4489 Web Site: www.settek.com ...'SUMMIT l __1 ENVIRONMENTAL TECHNOLOGIES, INC. Analytical Laboratories July 21, 2010 Client: Synagro _Soptheast Address: 294 Boger Rd. Mocksville, NC 27028 Received: 7/13/2010 Project #F: Cherryville WWTP TCLP Pesticides Client ID# LA ID# Collected Analc Rep Lmt Result Units Matrix Method W RegLy1 'Run Analyst .Cherryville WWTP 1010557-01 08Ju1-10 Heptachlor Cpbxide 0.002 <0.002 mg/I SL 1311 1 0.008 21-Jul-10 KMG Cherryville WWTP 1010557-01 08 Jul-10 Toxaphene 0.1 <0.1 mg/I 5L 1311 1 0.5 21-3ul-10 KMG Chetryville WWT'P 1010557-01 08-Jul-10 Chlordane 0.01 <O.Oi. mg/1 SL i311 1 0,03 21-Jul-10 KMG CherryAlle WWTP 1010557-01 08-Ju1-10 Methoxychlor 0.002 <0.002 mg/I SL 1311 1 10 21 Jul-10 KMG Chenyville WWTP 1010557 Ol 08-]ul 10 Endrin 0.002 <0.002 mg/I SL 1311 1 0.02 21 Jul-10 KMG Cher ille. WWTP 1010557-01 08-301-10 Heptachlor 0.002 <0.002 mg/I SL '1311 1 0,008 21=30-10 KMG Cherryville.WWTP 1010557-01 08 Jul-10'Ganr ma-BHC 0.002 <0.002 mg/I SL -1311 1 0.4 21-301-10 KMG TCLP Herbicides C:lieiit ]D# Lab ID# Collected Anale Rep Lmt .Result' Units Matrix Method DI' RegLyl Run Anal st .Cherryville WWTP 1010551-01 08-JuI40 2,4,5-TP(Silvex) 0.5 <0..5 mg/1 SL 1311 1 1 19-Jul-10 KMG CherryAlle WWTP 1010557-01 08-J01-10 2,4,D 5 <5 0 ring/I SL 1311 .1 10 19-Jul-10 KMG Client 1D# lab ID# Collectixi Ana.134c Result Units Matrix Mcthod DF LOQ Run Analyst I Chertyville WWTP 1010557-01 08Jul-10 Flash Point >140F SL 1010 1 21 Jul-10 DVW Client ID# I A ID# Collected .Anal ie Res" Units Matrix Method Dl� LONG Run Analyst Cherryville WWTP 1010557-01 08Ju1-10.pH 7.36 su@24.00 SL 9Dg0 1 0.01 14-Jul-10 TIR I C:lieni 1D# Lab 1D# Collected Analyt tesult Units Matrix Method DF LQQ Run Analyst Cherryville WWTP 1010557-01 08-3ul-10 Reactive Cyanide <0.5 mg/kg SL 7.3.3.2 1 0.5 13-Jul-10 TIR i C.'lient ID# Lab ID# ollected Analvtc Result Units Matrix Method DF LOQ Run Analyst Cherryville WWTP 1010557-01 08Jul-10 Reactive Sulfide .<25.0 mg/kg SL 7.3.4.2 1 25 13 Jul-10 TIR Page 5 "Analytical Integrity" EPA Certified - NELAP Ceftified 3310 Win Street • Cuyahoga Falls, Ohio 44223 m Phone: 330-253-8211 Fax: 330-253-4489 Web Site: wmv.settek.com Summit ]Environmental Technologies, InQ. 3'3I0'Win Street .�nalysIs Request/Chaln �of Custody 44 For'•Sumrniif Environmental Technologies, Inc. use only Cuyhhuga Falls , Ohio 223' Tel' 330,253:8Z.1:I Fax 330.253.4489 Page�of j SETNo. Company.Name -(Please Print) D Project Name. deQR rrl/- k1wrP Analytical Parameters and Methods Compan ;Address zeq Q Project.Address 0 �. Client Phone No. c Report. to ., Client Fax -No.. Please, Fax Results V. PO#EJ i. Client Email Please:Email Results ✓. Quote;No Mill 0 � -01 u to .tz o, 0.: I .Contact -Person e- ,t_�r Sampled by Checkil`Ohio' VAP samples ✓ a� o .4 , a .Q. 5ample:Iden&icaEiun'. Date: Collected' Time Collec7ed; MENEM 2_2 LI ENE IN EMES M RHOMBI Tyme Must be approved' •. Rush:Requested_By: ... _ Date, by7ab manager manager yellow,pages should accompany:samplescto'the laborntory,''Me client retains the pink pager t— U Summit Environmental Technologies,_ Inc. Cooler Receipt Form Client: Order Number,._ /Q (D. S Date Received: Time Received: Number of(oo . Boxes: N/A Shipper: ED UPS DHL Airborne US Postal Walk-in Pickup Other: Packaging; '.ean 6 Bubble Wrap l' Foam None Other: Tape on cooler/box: cy3 N NlA Custody Seats intact N N/A C-O-C in plastic N N/A lce Blue ices Qpaseo / absent / melted NIA Sample Temperature el °C NIA C-O-C filled outproperly 'N N/A Samples in separate bags Q N N/A Sample containers intact* -N N/A *If no, lst:broken 'sample(s): Sample labels) complete (ID, date, etc.) 'N N/A Li3liel(s) agree with C-0-C N N/q Correct containers used Q N N/A Sufficient sample received N N/A Bubbles absent from 40 mL vials** Y N N/ "* Samples with bubbles less than the size of a pea are acceptable. Was client contacted about samples Y N Will client send new samples Y N Client contact: Date/Time: Logged in by: Comments: Rev. 6 AIL ( PROMPT -.ACCURATE• RELIAF�LF_ ' T-,A,Z30I2A•T0RlES, INC OF ANALT YSES ALtti: .} IC THO i?SON` SYNAGR0 P. rQJECT NAM AUG 14 2B4 ? ;ER ,TdOAD D1TL O9/15/14 140CKSVi.LLE Air' 27028 SAMIPLE -NUMBER- 115303 SAMPLE iD- CHERRYVILLE DATE SAS+PLPD- 08/ 1 1 / 1 rz m,hSE SAMPLED 1 130 DATE REc,F_VED- 08/1 i /19SAMPf rR- .ETRLCEIVE'D BY- D7 `1L14F VAE e.±VFD- 1308 DE IVERI;D BY- ET TYPE Pa C:? a`t Pag".3 I G.i All,A L Y SI S ANliL 5I5 METHOD DALE Ti- �i` RESUs.T UL�:TTS °O�M (GEOM. M-AN) S'M 9221 E 0$/1 1 /1 4 '1425 RE 12,053 MPN/gk CAL "JLTr 1 . L-A?3ORfs"i'ORlY DIRECTaOR' P.O, Box 411413 • Charlotte, NC 28241-1483 Phone: (704) S8,034333 ^ 1 wv (704) 588-833i . �f- PRRMPT•ACCURATE • RCLtAi3LE I.tP�BC�+IZ�T�R�ESp I� 2217 Graham Park Drive PO Box 411483 Charlotte, NC 28241-1483 NC Cert # 20: SC Pert # 99onoot ' �l o � SYNAGRO CHERRYVIL•LE 08111./14 ;: FECAL COLIFORM, GEOMETRIC.MEAN ..SM.9221 E' w ``. x� '�;, y `• `d` 75303.. ' ...tdi: 1 _�.r" -.fry° ,t� 830 .�.'�` 6 tA:004 6:41% .. . 12,941.21 2 .797 6;48%° 12,302.62 3 _ 783 6.39% 12,267.26 4...: 772 6. 42%0 12,019.93 .5 687 . 6.40%°. 10,736.37 6 .. 819. 6.42% 12,749 71 7 738 6.41 % 11,507.01 k a PROM PT-ACCU FATE+ RELIAS LE - I.,AI3ORATORI.ES, INC 11'1YAV-PA RLA BS.CU'% I ,Attt2- ERTI�' ''rijo ppFQN 204 BQGFK POA%3 I _ 3, 09/15/14 1-MC'x.sViL LE, NC 27028- sdl�i, f11,04•,1B1R_ 1153Cf4- S:III'•1?.Li. Il)- l°fiFtBtY�iT ;f'Lti RI qW C' 1,1::r: SA I 'MATRIX- - Z DITB SAtfPLED- 0t3/i'1/14 ` NE SAMPLIED- 1 1`5 LtAIVE-E-CMVE10- 08/11/14 :A1','?L!RR- E"' R=TVED $Y- `IDJ JM8 RsC IVED- 1308 D�'F-iVEREP B - F;i' TYPE' SAiM?Li Grab ANALYSJS ANALYSIS IS F-ifarlT.00+ DATET I'ivSE BY -RESULT UNITS 30 DAY RENCi SCAIX 4'ES`1" VAF 08/15/1=_ 10—IS RE. :TTACNED L �Dt. ,TORY DIRLC?GC{ 1' 0. [lox 4 l 14&_1 - C'. m lotic, NC 25211-1493 Plionc; (704) 5ti5-8333' • Fi.x: (701).588-8335 PRO MPT'.-="RATCRGLIA�LL-- z.Aii©12ATC�RTEs, INC WWW.PARLAB,S.GOM 30 Day Bench Scale _Extended Aeration Test �rceri�i folatile Solids Reduction NP p (; 71 Ina soul Ji Start: .:. :End:.. TS ... ,. 013778 .:.::.::.0.3732 TS%':.:..: 1:84% .. ; :._ 1.85% VS 0.1524.. 0.1435 VS% 40.34% ..38.45% yI N . 0.003444 OUT . 0.00332688 FSVR (Mass Balance) 3.41% F.SVR .(Van_ Kleeck) 7.60%° FSVR (Mass Balance).<15% FSVR (Va'n Kleeck) :r15% YES ..:. * Samplereceived 08111/14. Starting solids was 6.41 1'.C1. Box 411483 v1p Clidrlutte, NC 29241.1453 ( Phonc: (704) S4,q-8333 ® Fax:. ("t0-0 SS.Sm$335 CHAIN OF CUSTODY Phone (704) 588-8333 . PROMPT•A'CCURAT,j'RKt.1A136€ Fax (704) 588=8335 LAB ©RATORIES,, IN c Shipping: Mailing: 2-217 Graham Park Driye PO Box 411483 Charlotte, NC 28273 Charlotte, NC 28241-1483 It is essential that III information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North Carolina Department of Environmental and Natural Resources, Company Name (billing) Comments/ Special Instructions U� 1,41A Address zn o12 City, State t3 zip code Gnu Ic�S- r 7 0 . Point of Contact r# Telephone Number Sarnple Taken By. 51GNATURE _ PRINTED NAME L41,1, C 14 f ARE SAMPLES FOR STATE or.EPA REPORTING? YES ✓ lV0 *Sample Type: DW WW ✓ GWMW HW Soil Other Sample Temp at time of sampling: C Sample Temp upon receipt: U ° C *Tield Preserved: Yes No Teflon Liner/Zero Headspace: Yes 'No ,f n/a Residual Chlorine checked at time of sampling (Y/N): rj Dechlorination Necessary (Y!N):. bent Sample I.D. (Sariiple Location / Number) Comp Grab Preseni. Set Up' '. ba(e/Time Co.11ectioh -Analyses Daterrirr a Requested .......... bro Relinquish by: Date/Time Received by: Daterrime :=Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste **See her Side O�OF WAT L- State of North Carolina Department of Environment and Natural Resources ►" Division of Water Quality 5 LAND APPLICATION SITE CERTIFICATION INSTRUCTIONS FOR FORM: LASC 08-11 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 or for an electronic version of this form, visit the Land Application Unit (LAU) web site at: http: //portal. ncdenr. org/web/wglaps/lau General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without a corresponding application form (FORM: RLAP 08-11 or FORM: SDR 08-11). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Application Site Certification (FORM: LASC 08-11): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-11) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ® For new or renewed permits, submit the requested information for all land application sites. ® For modified permits, submit the requested information for only those sites that are new, transferred or affected by the proposed modification. Land Application Site Information: ® The status of the land application site with respect to this residuals land application program must be provided in table I. The status categories and their corresponding codes are as follows: ♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D) ® Attach the following in accordance with each status code: Status Code Required Item N R T M IDC County Manager Notification l'}I Land Owner Agreement (If applicable) ✓ ✓ ✓ ✓ Setback Waiver Agreement An updated vicinity/setback map in accordance with the "Map Guidance ✓ ✓ ✓ for Residuals Land Application Permits" A soils and agronomic evaluation in accordance with the "Soil Scientist ✓ Evaluation Policv" An updated accounting of the land application site's cumulative ✓ ✓ pollutant loading rates (CPLRs) INSTRUCTIONS FOR FORM: LASC 08-11 Page 1 of 3 Status Code Required Item N R T M For previously permitted sites without a soil series name indicated in the Attachment B, submit County Soil Survey Map (or equivalent) clearly ✓ ✓ ✓ indicate the location of the land application site and in accordance with the soil map requirements in the "Soil Scientist Evaluation Policy" Acknowledgement of field transfer from Permittee relinquishing field ✓ Acknowledgement of field transfer from Land Owner (Fields may not ✓ be permitted to multiple Permittees over the same time period) * This item may be required for land application site with a status code "W', please contact the Division if you need assistant in determining attachment requirements. ® Crop Type should include the most likely crop types for the life of the permit (five years). ® Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or name of the soil series as provided by the licensed soil scientist. ® Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct mapping unit. If a representative slope is provided, it must be determined accordingly: ® For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8% would have a representative slope of 6%. ❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist. ® Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as follows: • Address Matching (ADD) • Aerial Photography with Ground Control (AER) • Cadastral Survey (SUR) • Conversion from Coordinate Plane (CP) • Conversion from Township -Section -Range (TSR) • Conversion from Universal Trans Merc (UTM) • Digital or Raw Photo Extraction (EXT) • Geodetic Quality GPS Survey (GEO) • LORAN-C Navigation Device (LOR) • Navigation Quality GPS (GPS) • Remote Sensing (RS) • Zip Code Centroid (ZIP) • Map Interpretation by Digital or Manual Extraction (MAP) C. Waterbody and Classifications Information: (new sites only) ® Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality. ® Surface water body classifications information maybe found at: hitp://portal.ncdenr.ora/web/wq/ps/csu ❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices. ❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at: http://portal.ncdenr.or web/wq/home/ro ❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned subbasins, location descriptions, stream index numbers and established classifications. 1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area should be submitted with the permit application regardless of whether a Stream classification was completed). 2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as "UT to stream name" as the waterbody name. 3. Open the link hM://h2o.enr.state.nc.usibims/reports/reportsVVB.html. If this link does not work, open http•//portal ncdenr.ora/web/wq//s/esu/classifications and download weekly -updated classification lists for named waterbodies. ❑ Stream Classification Process: One of the options below may be used depending on the known initial project information. ❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED INSTRUCTIONS FOR FORM: LASC 08-11 Page 2 of 3 1. Select proper basin from the List all Waterbodies in Error! Objects cannot be created from editing field codes. Basin sorted Error! Objects cannot be created from editing field codes. report. Sort hydrologically as this will provide the proper location descriptions if multiple runs. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Select the proper county from the List all Waterbodies in Error! Objects cannot be created from editing field codes. county, hydrologically report. 2. Locate the name of the identified waterbody (from General Directions) on the list. 3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 4. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED 1. Use the Clickable basin map to hydrologically sorted list report. 2. Click on the approximate project location to bring up the hydrologically sorted list. 3. Locate the name of the identified waterbody (from General Directions) on the list. 4. For multiple listings of the same waterbody name in- the report, select and verify the location description. The term "source" in the description means the beginning of the waterbody segment (most upstream point). 5. Record all Basins, Stream Index Numbers and Classifications applicable to the project. ❑ Notes on index number and unnamed streams: Unnamed Streams 15A NCAC 02B .0301(i). ❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned to the stream segment to which it is tributary (at the point of entry) except: (A) unnamed streams specifically described in the schedule of classifications; (B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or (C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted. ❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the basin: Unnamed Tributaries Entering Other States or for Specific Basin Areas Hiwassee River Basin Streams entering Georgia or Tennessee shall be classified "C Tr." Little Tennesse River Basin And Savannah River Drainage Area Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah River drainage area entering South Carolina shall be classified "B Tr." French Broad River Basin Streams entering Tennessee will be classified "B." Watauga River Basin Streams entering the State of Tennessee are classified "C." Broad River Basin Streams entering South Carolina are classified "C." New River Basin Streams entering the State of Tennessee are classified "C." Catawba River Basin Streams entering South Carolina are classified "C." Yadkin -Pee Dee River Basin Streams entering Virginia are classified "C," and such streams entering South Carolina are classified "C." Lumber River Basin Streams entering South Carolina are classified "C Sw." Roanoke River Basin Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "B," and all backwaters of Lake Gaston and the North Carolina portion of streams tributary thereto not otherwise named or described shall carry the classification "C and B." Chowan River Basin Streams entering Virginia are classified "C." Tar -Pamlico River Basin All drainage canals not noted in the schedule are classified "C Sw." except the main drainage canals to Pamlico Sound and its bays which shall be classified "SC." Pasquotank River Basin All drainage canals not noted in the schedule are classified "C." INSTRUCTIONS FOR FORM: LASC 08-11 Page 3 of 3 LANL . - PLICATION SITE CERTIFICATION Applicant's name: City of Cherryville Land application sites currently certified: 245.50 net acres and Total to be certified: 78.7 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code' Site/Field ID Landowner(s) Lessee(s) or Operator(s) Net Acres County Crop(s) Predominant Soil Series Nameb Mapping Unit or Rep. Slope' M NC-LT-120-02 Wayne Gilbert Wayne Gilbert 27.6 Lincoln Fescue (hay) Cecil CeB2 M NC-LT-120-03 Wayne Gilbert Wayne Gilbert 11.0 Lincoln Row Crops Cecil CeB2 M NC-LT-124-01 Keith Beam Keith Beam 30.0 Lincoln Fescue (pasture) Cecil CeB2 M NC-LT-124-02 Keith Beam Keith Beam 10.1 Lincoln Fescue (pasture) Pacolet PeC2 D NC-GA-100-01 Curtis Pruitt 14.70 Gaston Fescue (pasture) Appling D NC-GA-100-02 Curtis Pruitt 13.50 Gaston Fescue (pasture) Madison D NC-LT-103-01 A B Flowers 45.00 Lincoln Fescue (pasture) Cecil D a NC-LT-103-02 A B Flowers 67.50 Lincoln Fescue (pasture) Cecil Status Code for land application sites are: o N (New) ♦ R (Renewed) O M (Modified) ♦ T (Transferred) ♦ D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) 'Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) C. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude g Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed p Class Note: -Please keep the site information (1.) and waterbody information (1I.) of the same field on the same page. FORM: LASC 08-11 Page 1 LANI _ __'PLICATION SITE CERTIFICATION Land application sites currently certified: 245.50 net acres and Total to be certified: 78.7 net acres. H. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code Site/Field ID Landowner(s) Lessee(s) or Operator(s) Net Acres County Crop(s) Predominant Soil Series Name Mapping Unit or Rep. Slope' D NC-LT-103-02 A B Flowers 21.30 Lincoln Fescue (pasture) Pacolet an aiatus Code tor land application sites are: ♦ N (New) ♦ x (rkenewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted) b Soil Series Name (i.e. Appling, Cecil, etc.) `Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2) CI. WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Datum Location Method Code Location Accuracy Waterbod y Subbasin and Stream Index No. Current and Proposed Class iwx; riease Keep me sne inrormation li.) and wateroody information (11.) of the same field on the same page. FORM: LASC 08-11 Page 2 SITE SUMMARY Cherryville Land Application Program (WQ 0000430) Site ID: NC-LT-120 Owner: Wayne Gilbert Address: 884 Cat Square Road Vale, North Carolina 28168 Phone: (704) 276-1171 Operator: same Estimated Rye Based Predominant Latitude & Total Applicable Annual Soil Series Longitude Fields Acres Acres Crnnfsl PAN Limit flh/ac/vrl (man unitl (D.M.SI corn (silage) 238 Cecil 35.30.36 N 2 38.3 27.6 soybeans (fs/dc) 185/155 rye rain 115 (Ce62) 81.23.54 W 3 17.4 11.0 fescue (hay) 209 Cecil 35.30.32 N CeB2 81.23.51 W TOTALS 55.7 38.6 Notes: r Date: 02/19/15 State of North Carolina Department of Environment and Natural Resources �k7x Division of Water Resources ¢DIvI51aah iorl Wateir 13e zources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORM: LOA 08-13 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 or for an electronic version of this form, visit the Land Application Unit (LA U) web site at: http://portal.ncdenr.or 1w, ebAvg1aps/laai General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 08-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR TBE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND undersigned landoVper or his representative hereby permits: Applicant's name: I , ( Z hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops . Residuals Source (optional) Special note (no-till/over-seed/ pasture) it% oC—, 'i s The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. ^`-- Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and f be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such, time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 08-13 Pagel of 3 Y. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section H) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Land Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and' schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. :ESTRICTIONS: Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. IMALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, '15A NCAC 02T .0105(h) allows the coin liance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance bo ndary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; A re -defined compliance boundary is needed for field(s) ID: A V - ,i- r.- i ;2_f3 —6 2- t 6 (Please include the rationale for the requested re -location of the compliance boundary and attach ach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred into the new program: (Name of the new program) FORM: LOA 08-13 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified herein. Landowner name: W ` ,,JC Address: Py � i*f 64 � i, . /Cc ,06 city: State: •Af L Zip: 2-0 t / �O Phone: `Z 3 d R`! Car 6 E-mail address: Signature: , �_ ` --v Date: 6 3 NORTH CAROLINA, b 1.-k - f COUNTY / I, the undersigned Notary Public do hereby certify that personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS Shand and official seal this the day of & `. Signature and seal: My commission Lessee's/Operator's Certification: ,20 NOTARY PUBLIC STATE OF NORTH CAROLINA I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: )Permittee's Certification: State: Zip: E-mail address: Date: I certify that I have read this Agreement and do hereby agreje- to abide by the stipulations and restrictions as specified herein. Signing official ng.ye: L� ' W f r\ Signature: Date: Z 2 3 201 9 FORM: LOA 08-13 Page 3 of 3 Site.- NC—LT-120 (all locations approximate) 1 inch = 7,500 feet Topographic Map LD ,. i` .• , II j r � ; i+ +I,I �1' i, , yl��.. Site: NC-LT-120 (all locations approximate) 9 inch = 1,000 feet Legend 1 inch = 660 feet (all locations approximate) "-"-"- Stream OnSiteHouse K)-1 OffSiteWell The compliance boundary is established at either 260 feet from the residuals application Drain ■ OffSiteHouse O SoilDescription area or60 feet within the property boundary, T whichever is closest to the application area. l ApplicationArea Outbuilding ® Unsuitable The review boundary is established midway t--- between the compliance boundary and the QPropertyLine OnSiteWell . perimeter of the residuals application. area. Feet Site: NC-LT-120 0 160320 640 960 1,280 Soil Map '`_x'�-''�...�``n. rM: t�` ♦ 75 "�r ,�� �,✓ ,�+•a. c, �ra +C� d'^ f ° \'\t. r*�isa„3� -^�_.�-�� � ,,'ia4l.�. W irl tov.X{n �?R r�xs ; Y§1J. tIla Sv*•Y �`'y,1 ^c .h r _��� ()� 11i"(� �n iy� "- Tr ��ap . r L 'trC.t+• t'� � :.c, \ - � -- .4 `i's� �`�,'� � � c �} 'fir P,tir�t'?�•If,,`'"'fir n x =_` '`. �� t `�.:' 1� aay#''� \.n'��.. '„ice. `3✓e�":. y p y RM `* PeC2 e 3 PaD ilk/ yytt >r 7 Alt �e2 Ce62 C �� i� eG2Y W ; PQ62�� .. PeC2 i � v �.'� I wa•.�r' _,.l4 .�•�'+ /, •�'•: � - Alt �-�* ,„ & � .( :: ` ,`�4 µ t 1 ,r . fPeC2 fE teL. °tr/ '���' PAD , �wh ..�f i I - �� `� `•,.� ���,1 � ,. � �'`Y t�l^' �.�-� all � \�� Y1�c, l .. QA- J^ .. -, r :• �,�� .f 4-. ,,.�- \ , ,, i, .W \� wy � 7Gk, y" r 1� l : - �i' .. ,�5;^ � d r�➢�vt'z��� � f�.FfS i : � PeC2 i \ y �7t': t � \ r ; �``� \ {��• PeC2' '�i r?rR �}rk 1� �'}i'` +- i c� ;. t _ .•i \�` \, W ,ma'sy�.4 t �v ie471f-I y f PaD y� ;:% PeC2 . t Site: NC-LT-120 (all locations approximate) 9 inch = 1,000 feet SITE SUMMARY Cherryville Land Application Program (WQ 0000430) Site ID: NC-LT-124 Owner: Keith Beam Address: 3079 Ishmael Beam Road Cherryville, NC 28021 Phone: (704) 435-3881 or (704) 830-8715 cell Operator: same Estimated Total Applicable ri-IA. Anroc Arrnc rrnn/cl Rye Based Predominant Latitude & Annual Soil Series Longitude PAN 1 imit (Ih/-nrr/vrl (man isnitl (D_M_S) 1 45.7 30.0 fescue (pasture) 156 (209*0.75) Cecil Ce62 .2N 81.23..35 W 2 14.8 10.1 fescue (pasture) 129 (172*0.75) Pacolet PeC2 35.25.38 N 81.33.20 W TOTALS 60.5 40.1 Notes: Date: 02/19/15 State of North Carolina Department of Environment and Natural Resources Division of Water Resources 15A NCAC 02T .1100 — LAND OWNER AGREEMENT FORD: LOA 08-13 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 or for an electronic version of this form, visit the Land Application Unit (EAU) web site at. http://portal. ncdenr. org/webhva/ans/lau General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 08-13). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 08-13): ❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 08-13) 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. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND undersigned landowner or his representative hereby permits: Applicant's name: 6-nr IF i 06 eyy iliL r hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this Agreement: Site/Field ID Lease (yes/no) Land Use or Cropping Patterns Intended Use of Crops . Residuals Source (optional) Special note (no-till/over-seed/ pasture) Pe' t'- r�005- The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals. Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and be renewed each time this permit is renewed. The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and stipulations until such. time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement. FORM: LOA 08-13 Page 1 of 3 I. STIPULATIONS: 1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted entity for the site(s) specified by this Agreement. 2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement. 3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section II) are met. 4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Land Application Unit, 1636 Mail Service Center, Raleigh, NC 27699-1636. 5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land application site(s). 6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program, including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land application event and a copy of the results of each soil analysis. 8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. 9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of soil samples, and the permitted application limits. 10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s). 11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and' schedule residuals land application events at appropriate periods. 12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or his representative prior to and during a residuals land application event. 13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. tESTRICTIONS: Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14- month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. M.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance 7bou ary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; A re -defined compliance boundary is needed for field(s) ID: N/`—G(` �� •-o / 4 — d L (Please include the rationale for the requested re-l(Yation of the compliance boundary and attach a map showing the newly proposed compliance boundary to the application package) ❑ A re -defined compliance boundary is not needed for this site. IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: The land owner hereby acknowledge that by signing this agreement, he/she is requesting that the fields) be removed from the previously permitted residuals land application program and transferred into the new nroeram: (Name of the new program) FORM: LOA 08-13 Page 2 of 3 Landowner's Certification: I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or agreement with another inunicipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement, understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, aclmowledgement of field transfer, and do hereby grant permission to the Pennittee to land apply residuals to the land application site(s) as specified herein. Landowner name: _ Address: l 1) -�," rl /c 6li.f Ii City: _ �� 1-1 V� Zi-� State: �- Phone: �d "1, - S d 1 S, E-mail address: Signat cxci- 5%� Date: NORTH CAROLINA, 1-Irvc-OL, COUNTY I, the undersigned Notary Public do hereby certify that kfL % &A" Zip: 2,802A 0, h s personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the day of 1q,912-66 Signature and seal: My commission expires: Lessee's/Operator's Certification: , 20 14 ERIC THOMPSON- STATE OF NORTH CARMJNA I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: State: Zip: Phone: E-mail address: Signature: Date: ]Permittee's Certification: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: L -(knr m Wv i x \11� Signature: Date: 2 - 2-3 " 201 S FORM: LOA 08-13 Page 3 of 3 I Site NC-LT-124 (all locations approximate) 9 inch = 7,500 feet Topographic Mai I ' A 1 I :y x B m" I ' v { I' I 4.����.f`� a� ?r � fb.� �r `•.�� +yam; !j ;,� ! � '1S jj�^ .+'r _ �' jI• x � �ll, I 1 '^,5 ��'!' !, � tea• i i N I` �I , 0 IA ==ram• l''' I, d - I'y l 1 a •Ya''�". ...,_J.N ' 1 11�.1 Ian •y 1�' r� IN, .r 1t ' su �'a ,rs (p @' p'xaf •+ J-.`+=.s.a 3, ],,}}III' So i ` t — _ yi7p F,4 _ - c� e'•1♦ w6.11�i.�tl S�..���� '� � � �1�� �•i I� �L� � ' .. _ „ n i _y/��y +� � fin.. q''�• x' ' , Site: NC-LT-124 (all locations approximate) W 9 inch = 1,000 feet PeC2­:-.,,,�', r 0011 1v1dP Site: NC-LT-124 (all locations approximate) 9 inch = 1,000 feet Application Area Map 4 4 - i t - IL I i, 4' � •' to � ' L' w 4r lk a x - • Legend 9 inch = 660 feet Stream Pro ert Line p Y � (all locations approximate) OnSiteWell The compliance boundary is established at Drain 0 OnSiteHouse either 250 feet from the residuals application K)-i OffSiteWell area or 50 feet within the property boundary, x — x - Fence ■ OffSiteHouse O whichever is closest to the application area. SoilDescription The review boundary is established midway ApplicationArea 0 between the compliance boundary and the Outbuilding ® Unsuitable perimeter of the residuals application area. Feet A��+ /te: IV �r-L Tm12=� 0 960320 640 960 9,280 CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 2/19/2015 The Cumulative metals for this report come from LTD Period Table records (i.e. a Monthly Report has been produced and the loadings have been archived to History In cases where a trace metal lab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NR" Date Field ID Last Applied As Cd Cr Cu Pb H� Mo Ni Se Zn NC-LT-00124-0-0001 09/2014 0.1387 0.0997 4.0556 23.4908 1.3004 0.0301 0.5629 2.8634 0.1394 39.8541 NC-LT-00124-0-0002 09/2009 0.0089 0.0061 0.2631 2.3514 0.0867 0.0028 0.0335 0.1595 0.0170 3.6111 Page: 1 of 1 2/19/2015 s Beverly Eaves Perdue Governor Charles Wakild, P. E. Director June 12, 2012 MR. LARRY WRIGHT—PLANT SUPERVISOR, ORC CITY OF CHERRYVILLE 116 SOUTH MOUNTAIN STREET CHERRYVILLE, NORTH CAROLINA 28021 Dear Mr. Wright: _ 0ee Freeman JUN 2 0 2012 ? `. iq,, cil~P(r h11Ro Subject: Permit No. WQ0000430 City of Cherryville Residuals Land Application Program Land Application of Class B / Residuals (Non -Dedicated) Gaston County In accordance with your permit minor modification request received April 26, 2012 as part of a major modification request submitted on behalf of the City of Gastonia for their permit number WQ0001793 to transfer fields from your program to theirs, we are forwarding herewith Permit No. WQ0000430, dated June 12, 2012, to the City of Cherryville for the continued operation of the subject residuals management program. This permit has been modified to remove fields NC-LT-103-01, NC-LT-103-02, and NC-LT- 103-03 from this permit. Those fields have been transferred to the City of Gastonia residuals program. As such, approved land application site acreage has been reduced from 245.5 acres to 111.7 acres. Please note that on August 5, 2009, Session Law 2009-406, entitled "An Act to Extend Certain Government Approvals Affecting the Development of Real Property Within the State," was enacted by the General Assembly and signed into law. The Act, known as the Permit Extension Act of 2009,..extends the expiration date of certain government approvals and permits. In addition, Session Law 2.010-177 extended the Act by another year. Permit No. WQ000000430 falls within the scope of this Act and is therefore being extended until -July 31, 2015. A renewal application must still be submitted six months in advance of the extended expiration date. This permit shall be effective from the date of issuance until July 31, 2015, shall void Permit No. WQ0000430 issued July 9, 2010 and shall be subject to the conditions and limitations as specified therein. Please pay particular attention to the monitoring requirements listed in Attachment A. Failure to establish an adequate system for collecting and maintaining the required operational information shall result in future compliance problems. AQUIFER PROTECTION SECTION 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Location; 512 N. Salisbury St., Raleigh, North Carolina 27604 One Phone: 919-807-64641 FAX: 919-807-6496 ., �1 Internet: http:llpoaal ncdenr orgiweb/walaps o.l. tilCciPol1.11a An Equal Opportunity, Affirmative Action Employer Mr. Larry Wright June 12,, 2012 . Page 2 of 2 Please note this permit has contains updated formatting and language to provide consistency with other similar permits recently issued by the Division. Please review carefully to ensure understanding of all permit requirements. The following permit conditions are new since the last permit issuance: ➢ 'Condition II.11. — Requires 25% reduced nitrogen application rate on grazed pastures; ➢?_' Condition III.1 L(1) — Prohibits land application at greater than agronomic rates; ➢ Condition III.13. — Requires public access controls to include three square feet signage posted at each land application site during each application; ➢ Condition III.16. —Requires a current Land Owner Agreement Attachment (LOAA) between permittee and field owner/lessee for each land application site; and ➢ Condition VI.8. — Allows the Division to revoke the permit for failure to pay annual fees. If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding. If you need additional information concerning this matter, please contact Cory Larsen at (919) 807-6362 or cory.larsen@ncdenr.gov. Sincerely, /harles Wakild, P. E. cc: Gaston County Health Department Lincoln County Health Department t�Mooxesville Regiona 6f if ce,"Aquifer-P_rotection'Section Permit File WQ000043.0 Notebook File WQ0000430 J NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RALEIGH LAND APPLICATION OF CLASS B RESIDUAL SOLIDS PERMIT (NON -DEDICATED) In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO City of Cherryville Gaston County FOR THE continued operation of a residuals management program for the City of Cherryville and consisting of the land application of Class B residuals generated by the approved facilities listed in Attachment A to the approved sites listed in Attachment B with no discharge of wastes to surface waters, pursuant to the application received April 26, 2012, and in conformity with other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. The use and disposal of residuals are regulated under Title 40 Code of Federal Regulations Part 503. This permit does not exempt the Permittee from complying with the federal regulations. This permit shall be effective from the date of issuance until July 31, 2015, shall void Permit No. WQ0000430 issued July 9, 2010 and shall be subject to the following specified conditions and limitations: I. SCHEDULES 1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of this permit on official Division forms. Upon receipt of the request, the Division will review the adequacy of the facilities described therein, and if warranted, will renew the permit for such period of time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application. 2. The permittee shall be in full compliance with the regional office notification requirements established in Condition III.3. within 90 days of permit issuance. 3. The permittee shall be in full compliance with the signage requirements established in Condition I1I.13. within 180 days of permit issuance. . . . . . . - - n1 11 111.11 'n___ 1 _lt A II. PERFORMANCE STANDARDS 1. The subject residuals management program shall be effectively maintained and operated at all times so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease land applying residuals to the site, contact the Mooresville regional office's Aquifer Protection Section supervisor, and take any immediate corrective actions. 2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface water resulting from the operation of this residuals management program. Only residuals generated by the facilities listed in Attachment A are approved for land application in accordance with this permit. 4. Only the sites listed in Attachment B are approved for residuals land application. 5. Pollutant concentrations in residuals applied to land application sites listed in Attachment B shall not exceed the following Ceiling Concentrations (i.e., dry weight basis) or Cumulative Pollutant Loading Rates (CPLRs): Parameter Ceiling Concentration (milligrams per kilogram) CPLR (pounds per acre) Arsenic 75 36 Cadmium 85 34 Copper 4,300 1,338 Lead 840 267 Mercury 57 15 Molybdenum 75 n/a Nickel 420 374 Selenium 100 89 Zinc 7,500 2,498 The Pennittee shall determine compliance with the CPLRs using one of the following methods: a. By calculating the existing cumulative level of pollutants using actual analytical data from all historical land application events of residuals, or b. For land where residuals application have not occurred or for which the required data is incomplete, by determining background concentrations through representative soil sampling. 6. Biological residuals (i.e. residuals generated during the treatment of domestic or animal processing wastewater, or the biological treatment of industrial wastewater, and as identified in Attachment A) that are land applied shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T .1107(a). Exceptions to this requirement shall be specified in Attachment A. d 7. Setbacks for treatment and storage facilities shall be as follows: Setback Description Setback feet Habitable residence or place of public assembly under separate ownership or not to be maintained as part of the project site 100 Property lines 50 Private or public water supply 100 Surface waters (streams — intermittent and perennial, perennial waterbodies, and wetlands) SO Wells with exception to monitoring wells 1 100 8. Setbacks for land application sites shall be as follows: Setback by application type (feet) Vehicular Irrigation Infection / Setback Description Surface Surface Incorporation Application Application Habitable residence or place of public assembly under separate ownership or not to be maintained as 400 400 200 art of the project site Habitable residence or places of public assembly owned by the Permittee, the owner of the land, or the 0 200 0 lessee/operator of the land to be maintained as part of the project site Property lines 50 150 50 Public right of way 50 50 50 Private or public water supply 100 100 100 Surface waters (streams — intennittent and perennial, 100 100 50 perennial waterbodies, and wetlands) Surface water diversions (ephemeral streams, 25 100 25 waterways, ditches) Groundwater lowering ditches (where the bottom of 25 100 25 the ditch intersects the SHWT) Subsurface groundwater lowering system 0 100 0 Wells with exception to monitoring wells 100 100 100 Bedrock outcrops 25 25 25 Top of slope of embankments or cuts of two feet or 15 15 15 more in vertical height Building foundations or basements 0 15 0 Water lines 0 10 0 Swimming pools 100 100 100 Nitrification fields 0 20 0 9. Land application areas shall be clearly marked on each site prior to and during any residuals application event. 10. Bulk residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the following methods: a. Division's pre -approved site specific historical data for specific crop or soil types by calculating the mean of the best three yields of the last five consecutive crop harvests for each field. b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State University Department of Soil Science (httl2://www.soil.ncsu.edu/programs/nnip/yields/­). A copy shall be kept on file and reprinted every five years in accordance with Condition IV. 11. c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE and appropriate nutrient application rates reported in any of the following documents: i. Crop management plan as outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. ii. Waste. Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance Document: Chapter 1 (hqp://wwvv.enr.state.ne.us/DSWC/Tages/guid.ance docs.html). iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation Services (NRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards(ftp://ftp-fc.sc.egov.usda.gov/NHQ/practice-standards/standards/590.pdf). d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall contact the Division to determine necessary action. 11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by 25% in accordance with the USDA-NRCS 590 Nutrient Management Standards. 12. If land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer and rye grass in the winter with both crops to receive residuals), then the second crop can receive an application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. 13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the Permittee shall obtain and implement recommendations from at least one of the following: 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. 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. The Permittee shall maintain written records of these recommendations and details of their implementation. 14. The compliance boundary for residual land application sites shall be specified in accordance with 15A NCAC 02L .0107(b). These sites were individually permitted on or after December 30, 1983; therefore, the compliance boundary is established at either 250 feet from the residual land application area, or 50 feet within the property boundary, whichever is closest to the residual land application area. An exceedance of groundwater standards at or beyond the compliance boundary is subject to remediation action according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C. Any approved relocation of the COMPLIANCE BOUNDARY will be noted in Attachment B. 15. In accordance with 15A NCAC 02L .0108, the review boundary shall be established midway between the compliance boundary and the residual land application area, Any exceedance of groundwater standards at the review boundary shall require action in accordance with 15A NCAC 02L .0106. \IlnhllMA 111 7 7 Q1 A11 11—;r 1 1 11)) 7 11)- . n. P I A III. OPERATION AND MAINTENANCE REQUIREMENTS The residuals management program shall be properly maintained and operated at all times. The program shall be effectively maintained and operated as a non -discharge system to prevent any contravention of surface water or groundwater standards. 2. The Mooresville Regional Office, telephone number (704) 663-1699, and the appropriate local government official (i.e., county manager, city manager, or health director) shall be notified at least 48 hours prior to the initial residuals land application to any new land application site. Notification to the Aquifer Protection Section's regional supervisor shall be made from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays. 3. The Mooresville Regional Office shall be notified via email or telephone, (704) 663-1699, at least 24 hours prior to conducting any land application activity. Such notification shall indicate, at a minimum, the anticipated application times, field IDs, and location of land application activities. If it becomes necessary to apply to additional fields due to unforeseen events, the Regional Office shall be notified prior to commencing the application to those fields. 4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to 15A NCAC 02T .1110. Modifications to the O&M Plan shall be approved by the Division prior to utilization of the new plan. The O&M Plan, at the minimum, shall include: a) Operational functions; b) Maintenance schedules; c) Safety measures; d) Spill response plan; e) Inspection plan including the following information: i. Names and/or titles of personnel responsible for conducting the inspections; ii. 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; iii. Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event that noncompliance is observed pursuant to the noncompliance notification requirements under the monitoring and reporting section of the permit; f) Sampling and monitoring plan including the following information: i. Names and/or titles of personnel responsible for conducting the sampling and monitoring; ii. Detailed description of monitoring procedures including parameters to be monitored; iii. 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 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). Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC) classification of the facility, the Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more certified operators as back-up ORCs in accordance with 15A NCAC 08G .0201. The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G. 0204, or as specified in the most recently approved O&M plan (i.e., see Condition III. 4.), and shall comply with all other conditions of 15A NCAC 08G. 0204. For more information regarding classification and designation requirements, please contact the Division of Water Quality's Technical Assistance & Certification Unit at (919) 733-0026. 6. When the Permittee land applies bulk residuals, a copy of this permit and a copy of O&M Plan shall be maintained at the land application sites during land application activities. 7. When the Permittee transports or land applies bulk residuals, the spill control provisions shall be maintained in all residuals transport and application vehicles. 8. Residuals shall not be stored at any land application site, unless written approval has been requested and received from the Division. 9. When the Permittee land applies bulk residuals, adequate measures shall be taken to prevent wind erosion and surface runoff from conveying residuals from the land application sites onto adjacent properties or into surface waters. 10. When the Permittee land applies bulk residuals, a suitable vegetative cover shall be maintained on land application sites onto which residuals are applied in accordance with the crop management plan outlined by the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or an agronomist and as approved by the Division. cv�AAAA ­ cr__._: ___ n n OL-1117...-..:..„ 111h'117 r)--, 4 -ri A 11. Bulk residuals shall not be land applied under the following conditions: a. If the residuals are likely to adversely affect a threatened or endangered species listed under section 4 of the Endangered Species Act or its designated critical habitat; b. If the application causes prolonged nuisance conditions; c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface water or groundwater standards; d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of the residuals would occur; e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated within a 24-hour period following a residuals land application event; f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period; g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than 18% for injected or incorporated bulk liquid residuals; h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the specified crop. Any approved variations to the acceptable soil pH (6.0) will be noted in this permit; i. If the land does not have an established vegetative cover unless the residuals are incorporated or injected within a 24-hour period following a residuals land application event. Any field that is in a USDA no -till program shall be exempted from meeting this vegetative cover requirement; j. If the vertical separation between the seasonal high water table and the depth of residuals application is less than one foot; k. If the vertical separation of bedrock and the depth of residuals application is less than one foot; 1. Application exceeds agronomic rates. 12. The following public access restrictions apply to residual land application sites: a. Public access to public contact sites (e.g., golf courses, parks, ball fields, etc.) shall be restricted for 365 days after a residuals land application event; b. Public access to non-public contact sites shall be restricted for 30.days after a residuals land application event. 13. Public access controls shall include the posting of signs with a minimum area of 3 square feet (e.g., 1.5' x 2'). Each sign shall indicate the activities conducted at each site, permit number, and naive and contact information, including the Permittee or applicator's telephone number. Signs shall be posted in a clearly visible and conspicuous manner at the entrance to each land application site during a land application event, and for as long as the public access restrictions required under III.12 apply. ni 111.1.._ _ 111-Y ___ - I - II A 14. The following harvesting and grazing restrictions apply to residual land application sites after each land application event: Harvesting and Grazing Description Restricted Duration Animals shall not be allowed to graze during land application activities and restricted period. Sites that are to be used for grazing shall have fencing to 30 days prevent access after each land application event. Food crops, feed crops and fiber crops shall not be harvested for: 30 days Turf grown on land where residuals have been applied shall not be harvested for: 12 months Food crops with harvested parts that touch the residual/soil mixture and are totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.) 14 months shall not be harvested for: When the residuals remain on the land surface for four months or longer prior to incorporation into the soil, food crops with harvested parts below the land 20 months surface (e.g., root crops such as potatoes, carrots, radishes, etc.) shall not be harvested for: When the residuals remain on the land surface for less than four months prior to incorporation into the soil, food crops with harvested parts below the land 3 8 months surface shall not be harvested for: 15. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those operations where a NMP is required by the US Department of Agriculture — National Resources Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable nutrient loading rates based on the provided information and use appropriate reductions. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be -considered a Nutrient Management Plan. 16. No residuals shall be land applied unless the submitted Land Owner Agreement Attachment (LOAA) between the Permittee and landowners or lessees/operators of the land application site is in full force and effect. These agreements shall be considered expired concurrent with the permit expiration date, and shall be renewed during the permit renewal process. IV. MONITORING AND REPORTING REOUIREMENTS Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses) necessary to ensure groundwater and surface water protection shall be established, and an acceptable sample reporting schedule shall be followed. ')'I QT-11 xI­:..,, 1110')'1 D___ 0 _V I 2. Residuals shall be analyzed to demonstrate they are non -hazardous under the Resource Conservation and Recovery Act (RCRA). The analyses [corrosivity, ignitability, reactivity, 'and toxicity characteristic leaching procedure (TCLP)l .shall be perfornied at the frequency specified' in Attachment A, and the Permittee shall maintain these results for a. minimum of five years. Any exceptions from the requirements in this condition shall be specified in Attachment A. The TCLP analysis shall include the following parameters (the regulatory level in milligrams per liter is in parentheses): Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroetliane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) ene h Toxa (0.5) p ( ) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) 3. An analysis shall be conducted on residuals from each source generating facility at the -frequency specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years. The analysis shall include the following parameters: . Aluminum Mercury Potassium Ammonia -Nitrogen Molybdenum Selenium Arsenic Nickel Sodium Cadmium Nitrate -Nitrite Nitrogen Sodium Adsorption Ratio(SAR) Calcium Percent Total Solids TKN Copper pH Zinc Lead Phosphorus Magnesium Plant Available Nitrogen (by calculation) 4.. Residuals shall be monitored for compliance with pathogen and vector attraction 7reduction requirements at the frequency specified in Attachment A, and at the time indicated in the sampling and monitoring sections of the approved O&M plan. The required data shall be specific to the stabilization process utilized, and sufficient to demonstrate compliance with the Class B pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c) and one vector attraction reduction requirement in 15A NCAC 02T .1107 (a) shall be met. Any exceptions from the requirements in this condition shall be specified in Attachment A. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site listed in Attachment B on which a residuals land application event will occur in the respective calendar year. This analysis shall be in accordance with the "Guidance on Soil Sampling" located in the Sampling Instructions section of the NC Department of Agriculture & Consumer Services' website (http://www.ncagr.gov/agronomi/ptibs.htm). The Permittee shall maintain these results and a description of the sampling methodologies used to determine soil fertility for a period of no less than five years, and shall be made available to the Division upon request. At a minimum, the Standard Soil Fertility Analysis shall include the following parameters: Acidity Exchangeable Sodium Percentage Phosphorus Base Saturation (by calculation) Magnesium Potassium Calcium Manganese Sodium Cation Exchange Capacity Percent Humic Matter Zinc Copper pH 6. Laboratory parameter analyses shall be performed on the residuals as they are land applied, and shall be in accordance with the monitoring requirements in 15A NCAC 02B .0505. Xzrnnnnnn In vim....,,., I') et,An 11—;— 1 1 1017 Dom— IA Mf 1 n 7. The Pennittee shall maintain records tracking all residual land application events. At a minimum, these records shall include the following: a. Source of residuals; b. Date of land application; c. Location of land application (i.e., site, field, or zone number as listed in Attachment B); d. Approximate areas applied to (acres); e. Method of land application; f. Weather conditions (e.g., sunny, cloudy, raining, etc.); g. Predominant Soil Mapping Unit (e.g., CbB2); h. Soil conditions (e.g., dry, wet, frozen, etc.); i. Type of crop or crops to be grown on field; j. Nitrogen Application Rate based on RYES (if using data obtained from the North Carolina State University Department of Soil Science Website, the printout page .shall be kept on file and reprinted every five years); k. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, or wet ton per acre; 1. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, or wet tons per acre; in. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre, or wet tons per acre; and n. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per acre of phosphorus applied to each field. 8. Three copies of an annual report shall be submitted on or before March ls`. The annual report shall meet the requirements described in the Instructions for Residuals Application Annual Reporting Forms. Instructions for reporting and annual report forms are available at http:Hpoital ncdenr.org/web/wq/gps/lau/repoi-tin.g, or can be obtained by contacting the Land Application Unit directly. The annual report shall be submitted to the following address: Division of Water Quality Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 __.�.. .. .. .. ... .. .. .. .. 01__il 111A)7 T)^-.. 11 ..11A 9. Noncompliance Notification The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704) 663-1699, 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. Any occurrence with the land application program resulting in the land application of significant amounts of wastes that are abnormal in quantity or characteristic. b. Any failure of the land application 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 normal business hours shall be reported to the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300.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. V. INSPECTIONS 1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the subject facilities and shall be in accordance with the approved O&M Plan. 2. Prior to each bulk residuals land application event, the Permittee or his designee shall inspect the residuals storage, transport and application facilities to prevent malfunctions, facility deterioration and operator errors resulting in discharges, which may cause the release of wastes to the environment, a threat to human health or a public nuisance. The Permittee shall maintain an inspection log that includes, at a minimum, the date and time of inspection, observations made, and any maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five years from the date of inspection, and this log shall be made available to the Division upon request. 3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect any property, premises or place on or related to the land application sites or facilities permitted herein at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy any records required to be maintained under the terlms and conditions of this permit; and may collect groundwater, surface water or leachate samples. VI. GENERAL CONDITIONS Failure to comply with the conditions and limitations contained herein may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statutes 143- 215.6A to 143-215.6C. 2. This permit shall become voidable if the residuals land application events are not carried out in accordance with the conditions of this permit. arnnnnnn'In A70,...;— 7 7 q1 all Varcinn 1 1 10?7 Parma 17 of lA 3. This permit is effective' only with respect to the .nature and volume of residuals described in the permit application and other supporting documentation. 4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies (e.g., local, state, and federal). Of particular concern to the Division are applicable river buffer rules in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCG010000; any requirements pertaining to wetlands under 15A NCAC 02B .0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the General Statutes. 5. In the event the residuals program changes ownership or the Pennittee changes their name, a formal permit modification request shall be submitted to the Division. This request shall be made on official Division forms, and shall include appropriate documentation from the parties involved and other supporting documentation as necessary. The Permittee of record shall remain fully responsible for maintaining and operating the residuals program pennitted herein until a permit is issued to the new owner. 6. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division Director, in whole or part for the requirements listed in 15A NCAC 02T .0110. 7. Unless the Division Director grants a variance, expansion of the permitted residuals program contained herein shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay the amival fee accordingly shall be cause for the Division to revoke this permit pursuant to 15A NCAC 02T .0105(e)(3). Permit issued this the 12th day of June 2012. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION CYfiarlesyakild, P. E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0000430 THIS PAGE BLANK a.—nn "• .I . n n CIL-11 X7,...,. -- 111 n')'7 T)--. 1A - P 1 A ATTACHWNT A - Approved Residual Sources City of Cherryville Certification Date: June 12, 2012 Permit Number: WQ0000430 Version: 2.2 Maximum Monitoring Monitoring Monitoring Frequency for Approved Owner Facility Name County Permit Number Biological Residuals Dry Tons Frequency for Non -hazardous Frequency for Metals and . Pathogen & Mineralization 1 Per Year Characteristics 2 Nutrients 3' 5 Vector Attraction Reductions Rate City of Cherryville City of Cherryville W WTP Gaston NC0044440 Yes 273 1 X Permit Cycle Annually Annually 0.30 Total .273 1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility. 2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2. 3. Testing of metals and nutrients as stipulated under permit Condition IV.3. 4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IV A. 5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above. Dry Tons Generated short tons per ear Monitoring Frequency Established in 40 CFR 503 and 15A NCAC 02T .1111 <319 1/Year =>319 - <1,650 1/ Quarter (4 times per year) =>1,650 - <16,500 1/60 Days (6 times per year) =>16,500 1/month (12 times per year If no land application events occur during a required sampling period (e.g. no land application occur during an entire year when annual monitoring is required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data. 'Those required to submit the annual report to EPA may be required to make up the missed sampling, contact the EPA for additional information and clarification. Page 1 of 2 ATTACEINMNT A - Approved Residual Sources City of Cherryville TIIIS PAGE BLANK Page 2 of 2 Certification Date: June 12, 2012 Permit Number: WQ0000430 Version: 2.2 ATTACHMENT B - Approved Land application Sites City of Cherryville Certification Date: June 12, 2012 Permit Number: WQ0000430 Version: 2.2 Field/ Site Owner Lessee County Latitude Longitude Net A ea a Dominant Soil Series Footnotes NC-GA-100-01 Pruitt, Curtis Gaston 35021'11" 81022'18" 14.70 Appling NC-GA-100-02 Pruitt, Curtis Gaston 35021'04" 81°22'33" 13.50 Madison NC-LT-120-02 Gilbert, Wayne Lincoln 35030'36" 81'23'54" 31.70 Cecil NC-LT-120-03 Gilbert, Wayne Lincoln 35030'32" 81023'51" 12.70 Cecil NC-LT-124-01 Beam, Keith Lincoln 35025'59" 81023'35" 31.80 Cecil NC-LT-124-02 Beam, Keith Lincoln 35'25'38" 81°33'20" 7.30 Pacolet Total 111.70 Page 1 of 1 a �. NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor David Hodgkins - City Manager City of Cherryville 116 South Mountain Street Cherryville, NC 28021 Dear Mr. Hodgkins: Division of Water Quality Charles Wakild, RE. Director May 8, 2012 l�eePreman MAY 3 1 2012 t� I'`rvci - a i z'rott.r,tiart Subject: Acknowledgement of Application No. WQ0000430 City of Cherryville Residuals Land Application . Land Application of Residual Solids (503) System Gaston County The Aquifer Protection Section acknowledges receipt of your permit application and supporting documentation received on April 26, 2012. Your application package has been assigned the number listed above, and the primary reviewer is Cory Larsen. Central and Mooresville Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Aquifer Protection Section requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Cory Larsen at (919) 807-6362 or cory.larsen@ncdenr.gov. Sincerely, for Jon Rtsgaard LandApplicationUnit Supervisor cc: Mooresville -Regional Office, -Aquifer Protection Section Brent Collings — EMA Resources, Inc. Permit File WQ0000430 AQUIFER PROTECTION SECTION 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Location: 512 N. Salisbury St., Raleigh; North Carolina 27604 Phone: 919-807-6464 i FAX: 919-807.6496 Internet: www.ncwaterauality.orq One NorthCawlina Ail Equal OPPortunity ! Affirmative Action Employer 8. North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director July 9, 2010 MR. LARRY WRIGHT—PLANT SUPERVISOR, ORC CITY OF CHERRYVILLE 116 SOUTH MOUNTAIN STREET CHERRYVILLE, NORTH CAROLINA 28021 Dear Mr. Wright: JUL 1 3 2010 Dee Freeman 0 1 Secretary MAJQ-A;�,`r, r Protection Subject: Permit No. WQ0000430 City of Cherzyville City of Cherryville Residuals Land Application Program Land Application of Residual Solids (503) Gaston County In accordance with your permit modification request received May 19, 2010, we are forwarding herewith Permit No. WQ0000430, dated July 9, 2010, to the City of Cherryville for the continued operation of the subject land application of residuals solids program. The purpose of this modification is to reduce TCLP monitoring frequency from annually to once per permit cycle. On August 5, 2009, Session Law 2009-406, entitled "An Act to Extend Certain Government Approvals Affecting the Development of Real Property Within the State," was enacted by the General Assembly and signed into law. The Act, known as the Permit Extension Act of 2009, extends the expiration date of certain government approvals and permits. Permit WQ0000480 falls within the scope of this Act and is therefore being extended until July 31, 2014. Per your permit, a renewal application must still be submitted six months in advance of the extended expiration date. Please note that on September 1, 2006 State Administrative Code 15A NCAC Subchapter 02T — Waste not Discharged to Surface Water was adopted. This permit incorporates the requirement of these rules. Remember to take the time to review this permit thoroughly, as some of the conditions contained therein may have been added, changed, or deleted from those in previously issued permits. This permit shall be effective from the date of issuance until July 31, 2014, shall void Permit No. WQ000430 issued August 30, 2006, and shall be subject to the conditions and limitations as specified therein. Please pay particular attention to the monitoring requirements in this permit. Failure to establish an adequate system for collecting and maintaining the required operational information will result in future compliance problems. AQUIFER PROTECTION SECTION 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604 One Phone: 919-733-3221 1 FAX 1: 919-715-0588; FAX 2: 919-715-60481 Customer Service: 1-877-623-67481 t Internet: www.ncwOL"yateroualih,.org Cci1"O.lr An Equal Opportunity 1 Affirmative Action Employer �r Mr. Larry Wright July 9, 2010 Page 2 of 2 If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an adjudicatory hearing upon written request within thirty (30) days following receipt of this permit. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit shall be final and binding. If you need additional information concerning this matter, please contact Lori Montgomery at (919) 715-6187or Lori.Montgomery@ncdenr.gov. Sincerely, Q1. Coll. Sullms cc: Gaston County Health Department orsvllegion ffce_uo%OfCentral Files 'rote on S-ecotir_t LAU Files I. H. TJ NORTH CAROLINA C ENVIRONMENTAL MANAGEMENT COMMISSION C M �+ DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCE No 60 'ca O& o RALEIGH LAND APPLICATION OF RESIDUAL SOLIDS PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO The City of Cherryville Gaston County FOR THE continued operation of a residuals land application program for the City of Cherryville and consisting of the land application of residuals generated by the residuals source -generating facilities listed in the most recently -certified Attachment A to the land application sites listed in the most recently -.certified Attachment B with no discharge of wastes to surface waters, pursuant to the permit modification package received on May 19, 2010 and in conformity with the project plan, specifications, and other supporting data subsequently filed and approved by the Department of Environment and Natural Resources and considered a part of this permit. This permit shall be effective from the date of issuance until July 31, 2014, shall void Permit No. WQ0000480 issued August 30, 2006, and shall be subject to the following specified conditions and limitations: SCHEDULES (please review the entire permit for reporting, monitoring. and other on going activities] 1. No later than six months prior to the expiration of this permit, the Permittee shall request renewal of this permit on official Division forms. Upon receipt of the request, the Division will review the adequacy of the facilities described therein, and if warranted, will renew the permit for such period of time and under such conditions and limitations as it may deem appropriate. Please note that Rule 15A NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application. PERFORMANCE STANDARDS 1. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to surface waters or groundwater resulting from the operation of this residuals land application program. WQ000430 Version -".I Shell Version 090204 Page 1 of 15 2. No residuals other than those generated by the residuals source -generating facilities listed in the F, most recently -certified Attachment A of this permit shall be approved for land application in accordance with this permit. 3. '' Only the land application sites listed, in the most recently certified Attachment B of this permit are approved for residuals land application. A permit modification application is required for any new land application sites to be added to Attachment B. 4. The pollutant concentrations in any residuals that are land applied to any land application site shall not exceed the following Ceiling Concentrations (i.e., dry weight basis): Parameter Ceiling Concentration (milligrams per kilogram) Arsenic 75 Cadmium 85 Copper 4,300 Lead 840 Mercury 57 Molybdenum 75 Nickel 420 Selenium 100 Zinc 7,500 5. The pollutant loading rates on any land application site shall not exceed the following Cumulative Pollutant Loading Rates (CPLRs): Parameter CPLR (pounds per acre) Arsenic 36 Cadmium 34 Copper 1,338 Lead 267 Mercury 15 Molybdenum n/a Nickel 374 Selenium 89 Zinc 2,498 The Permittee shall determine compliance with the cumulative pollutant loading rates using one of the following methods: a. Use site specific analytical data from all historical land application events not otherwise exempted. b. For land on which a land application event of residuals has not occurred or for which the data is incomplete, use background concentrations through representative sampling. WQ000430 Version 2.1 Shell Version 090204 Page 2 of 15 6. When residuals are land applied under the conditions of this permit, the Class B pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirements in 15A NCAC 02T .1107 (a) shall be met. Additionally, an evaluation shall be performed that demonstrates the residuals' ability to comply with this requirement. Upon request, a copy of this evaluation, including all test results and calculations, shall be submitted. Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from this condition in the most recently -certified Attachment A shall not be required to comply with the specified pathogen reduction and vector attraction reduction requirements. 7. The facilities permitted herein must be constructed and maintained according to the following setbacks. a. For residuals treatment and storage facilities, the following minimum setbacks shall be maintained (all distances in feet): Description of Setback Setback i. Habitable residence or place -of public assembly under separate ownership or not 100 to be maintained as part of the project site I Property lines 50 iii. Private or public water supply 100 iv. Surface waters (streams — intermittent and perennial, perennial waterbodies, 50 and wetlands) v. Wells with exception to monitoring wells 100 WQ000430 Version 2.1 Shell Version 090204 Page 3 of 15 b. When land applying residuals to any land application site, the following setbacks shall be maintained (all distances in feet): Setback by type of application Surface Surface Application Application by Injection / Description of Setback by Vehicle Irrigation Incorporation i.' Habitable residence or place of public assembly under separate ownership or not to be maintained as part of the project site 400 400 200 ii. Habitable residence or places of public assembly owned by the permittee, the owner of the land, or the lessee/operator of the land to be maintained as part of the project site 0 200 0 iii. Property lines 50 150 50 iv. Public right of way 50 50 50 v. Private or public water supply 100 100 100 vi. Surface Waters (streams — intermittent and perennial, perennial waterbodies, and wetlands) 100 100 50 vii. Surface water diversions (ephemeral streams, waterways, ditches) 25 100 25 viii. Groundwater lowering ditches (where the bottom of the ditch intersects the SHWT) 25 100 25 ix. Subsurface groundwater lowering system 0 100 0 x. Wells with exception to monitoring wells 100 100 100 xi. Bedrock outcrops 25 25 25 xii. Top of slope of embankments or cuts of two feet or more in vertical height 15 15 15 xiii. Building foundations or basements 0 15 0 xiv. Waterlines 0 10 0 xv. Swimming pools 100 100 100 xvi. Nitrification fields 0 1 20 0 8. Specific residuals land application area boundaries shall be clearly marked on each land application site prior to and during a residuals land application event. 9. Residuals and other sources of Plant Available Nitrogen (PAN) shall be land applied to all land application sites at or below agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements based on the Realistic Yield Expectations (RYE) for each approved land application site. Realistic Yield Expectations for crop types and specific fields or soils types shall be determined by using any of the following methods: a. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State University Department of Soil_ Science. The Department webpage is located at: http://nutrients.soil.ncsu.edu/yields b. Site Specific Historical Data for crop types on specific fields or soil types by calculating the mean of the best three yields of the last five consecutive crop harvests for each field. WQ000430 Version 2.1 Shell Version 090204 Page 4 of 15 If the RYE cannot be determined using methods 9(a) or (b) above, RYE can be established from specially developed soil interpretation records for Nutrient Management Planning, Farm Service Agency Records, university trials, or inference from crop performance on soil with very similar physical and chemical features. d. Realistic Yields Expectations and acceptable nitrogen application rates that use the above methodology are required parts of many agricultural planning documents. The Permittee may use the RYE and appropriate agronomic rates reported in any of the following documents: i. Crop management plan as outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. ii. Waste Utilization Plan as outlined by Senate Bill 1217 Interagency Group- Guidance Document: Chapter 1. Guidance for the completion of the plan can be found at: http://www.enr.state.nc.us/DSWC/pages/guidance docs.html. iii. Certified Nutrient Management Plan as outlined by Natural Resources Conservation Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards, which are available at: ftT)://ftp--fc. sc.egov.usda. gov/NHO/practice-standards/standards/590.pdf. e. For any crop type for which the RYE and appropriate nitrogen application rate cannot be determined, the,Permittee shall contact the Division to determine necessary action. 10. If the land application sites are to be overseeded or doublecropped (e.g., bermuda grass in the summer and rye grass in the winter with BOTH crops to *receive residuals or corn and small grain both to receive residuals), then the second crop shall receive an application of PAN at a rate of no greater than 50 pounds per acre per year. This practice shall be allowed as long as the second crop is to be harvested. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no residuals shall be land applied to these sites because the PAN will essentially be returned to the soil. Prior to application of PAN to permitted sites at rates exceeding the agronomic rate, the Permittee must submit and receive approval by the Division. 11. Should any of the residuals generated by the residuals source -generating facilities listed in the most recently -certified Attachment A of this permit contain a high salt content (i.e., high sodium adsorption ratio (SAR) of ten (10) or higher), the Permittee shall obtain and implement 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 other agronomist regarding sodium application rate, soil amendments (e.g., gypsum, etc.) or other ameliorative mechanism for maintaining the integrity of the site in terms of suitability for land application of residuals and maintaining conditions conducive to crop growth. The Permittee shall maintain written records of each monitoring event that includes details of the sites covered and rate of soil amendment application. WQ000430 Version 2.1 Shell Version 090204 Page 5 of 15 12. The COMPLIANCE BOUNDARY for residuals land application programs is specified by regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The Compliance Boundary for each land application site is established at either 250 feet from the residuals land application area or 50 feet within the property boundary, whichever is closest to the residuals land application area. Per 15A NCAC 2T .0105(h), upon the request by the Permittee the Compliance Boundary may be located closer to the waste disposal area (provided the groundwater standards can be met at the newly established Compliance Boundary). Any approved relocation of the COMPLIANCE BOUNDARY will be noted in the most recently -certified Attachment B of this permit. An exceedance of Groundwater Standards at or beyond the Compliance Boundary is subject to remediation action according to 15A NCAC 2L .0106(d)(2) as well as enforcement actions in accordance with North Carolina General Statute 143-215.6A through 143-215.6C. 13. The REVIEW BOUNDARY shall be established around each land application site midway between the Compliance Boundary and the perimeter of the residuals land application area. Any exceedance of Groundwater Quality Standards at the Review Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(1). 14. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be notified at least 24 hours prior to the initial residuals land application event to any new land application site. In addition, the appropriate county manager's office shall be notified prior to the initial residuals land application event on any new site so that they will be aware that residuals land application activities have commenced on the site. 15. The Aquifer Protection Section of the appropriate Division's regional office shall be notified at least 24 hours prior to the initial residuals land application event on any new land application site. Such notification to the Regional Aquifer Protection Supervisor shall be made during normal office hours (i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and Friday, but excluding. State Holidays. A list of the Division's regional offices, their county coverage, and their contact information may be downloaded from the web site at http://www.enr.state.nc.us/html/regionaloffices.html. III. OPERATION AND MAINTENANCE REQUIREMENTS The residuals land application program shall be effectively maintained and operated at all times as a non -discharge system to prevent the discharge of any wastes resulting from the operation of this program. 2. Each land application site identified with a GW-A in the most recently certified Attachment B of this permit is dominated by soils with a mean seasonal high water table greater than three feet below the land surface. Residuals land application events may occur on these sites throughout the year. WQ000430 Version 2.1 Shell Version 090204 Page 6 of 15 Each land application site identified with a GW-B in the most recently certified Attachment B of this permit is dominated by soils with a mean seasonal high water table between one and three feet below the land surface. Residual land application events on these sites shall be prohibited from December through March, inclusive. No residuals shall be land applied to these sites when the vertical separation between the depth of residuals land application and the water table is less than three feet. The actual water table depth for seasonally -restricted soils shall be verified by soil borings within 24 hours prior to any residuals land application event that occurs from April through November, inclusive. The number of borings advanced shall be sufficient to characterize water table conditions across the land application site adequately. Any open borings shall be properly filled with native soil, prior to the residuals land application event, to decrease the chance of any residuals contaminating the groundwater. 4. The Permittee shall maintain an approved Operation and Maintenance Plan (O&M Plan) pursuant to 15A NCAC 02T .1110 including operational functions, maintenance schedules, inspection plan, sampling and monitoring plan, safety measures, and a spill response plan. The inspection portion of the plan shall include the following information: a. Names of personnel responsible for conducting the inspections. b. Description of inspection plan describing how the frequency of inspections and location of inspections are determined to assure that inspections are representative of land application program. c. Description of record keeping procedures meeting requirements of permit Condition IV.8. d. Description of required actions meeting the requirements of permit Condition IV. 11. to be taken by the inspector in the event that noncompliance is observed during an inspection. The sampling and monitoring portion of the plan shall include the following information: a. Names and position of personnel responsible for conducting the. sampling and monitoring; b.Required sampling frequency specified in Attachment B of the permit; c. Detailed description of sampling and monitoring procedures for the collection of representative samples. Fluctuation in temperature, flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event and must be considered when preparing this description. The sampling plan must account for any foreseen fluctuations in residuals quality, and indicate sampling times accordingly to ensure compliance during the most limiting times (e.g. small facilities that apply multiple times per year, but have an annual sampling frequency may need to sample and document compliance with the pathogen reduction requirements during winter months when pathogen activity is most likely to be negatively affected by cold temperatures). Any modification to the O&M Plan shall be approved by the Division. The most recent O&M Plan shall be submitted to the Mooresville Regional Office for review and approval. In the event that the residuals land application program is not operated satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, the Permittee shall cease land applying residuals to the site, contact the Aquifer Protection Section of the appropriate Division of Water Quality's (Division) regional office, and take any immediate corrective actions as may be required by the Division. WQ000430 Version 2.1 Shell Version 090204 Page 7 of 15 Upon classification of the residuals land application program by the Water Pollution Control System Operators Certification Commission (WPCSOCC), the Permittee shall designate a certified land application/residuals operator to be in responsible charge (ORC) of the program. The operator shall hold a certificate of the type classification assigned to the program by the WPCSOCC. The Permittee shall also designate a certified back-up operator of the appropriate type to comply with the conditions of 15A NCAC 8G .0201. 7. This permit shall become voidable if the soils of the land application sites fail to assimilate the residuals or the application causes contravention of surface water or groundwater standards and may be revoked unless the land application sites are maintained and operated in a manner that will protect the assigned water quality standards of the surface waters and groundwater. A copy of this permit shall be maintained in all manned equipment at the land application sites when residuals are being land applied during the life of this permit. The spill prevention and control plan shall be maintained in all residuals transport and application vehicles. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying residuals from the land application sites onto adjacent properties or into any surface waters. 10. Adequate procedures shall be provided to prevent surface runoff from carrying any land applied or stored residual into any surface waters. 11. No residuals shall be stored at any land application site at any time, unless written approval has first been requested and obtained from the Division. 12. Bulk residuals shall not be applied to the land under the following conditions: a. If the residuals are likely to adversely affect a threatened or endangered species listed under section 4 of the Endangered Species Act or its designated critical habitat; b. If the application causes prolonged nuisance conditions; c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface water or groundwater standards; d. If the land is flooded, frozen, or snow-covered or is otherwise in a condition such that runoff of the residuals would occur; e. Within the 100-year flood elevation unless the bulk residuals are injected or incorporated within a 24-hour period following the residuals land application event; f. During a measurable precipitation event (i.e., >.01" per hour) or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period. Any emergency residuals land application measures shall first be approved in writing by the Division; g. If the slope of the land is greater than 10 percent when bulk liquid residuals are surface applied, and if the slope of the land is greater than 18 percent when bulk liquid residuals are injected or incorporated; WQ000430 Version 2.1 Shell Version 090204 Page 8 of 15 h. If the pH is not maintained in the soil, residuals, and lime mixture greater than 6.0, on land application sites onto which residuals are applied. Residuals may be applied to the sites provided that sufficient amounts of lime are also applied to achieve a final pH of the soil mixture of at least 6.0, or if an agronomist provides information indicating that the pH of the soil, residuals, and lime mixture is suited for the specified crop type. Any approved variations to the acceptable soil pH (6.0) for land application will be noted in the most recently certified Attachment B of this permit. i. If the land does not have an established vegetative cover in accordance with the crop management plan outlined by the local Cooperative Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist, application shall not take place unless the bulk residuals are incorporated within a 24-hour period following the residuals land application event or injected (This requirement does not apply to no -till fields); j. If the vertical separation of the seasonal high water table and the depth of residuals application is less than one foot; k. If the vertical. separation of the depth to bedrock and the depth of residuals application is less than one foot; 13. For land onto which bulk residuals are applied that do not meet the Class A Pathogen Reduction Requirements (15A NCAC 02T .I 106(b)), the following public access restrictions apply: a. Public access to public contact sites shall be restricted for one calendar year after any residuals land application event. Such controls may include the posting of signs indicating the activities conducted at each site; b. Public access to land that is not a public contact site shall be restricted for 30 days after any residuals land application event. Such controls may include the posting of signs indicating the activities conducted at each site. 14. For land onto which bulk residuals are applied that do not meet the Class A Pathogen Reduction Requirements (15A NCAC 02T .1106(b)), the following harvesting and grazing restrictions apply: a. Animals shall not be allowed to graze on land application sites for 30 days after any residuals land application event. Sites that are to be used for grazing shall have fencing that will be used to prevent access after each event; b. Food crops, feed crops, and fiber crops shall not be harvested for 30 days after any residuals land application event; c. Food crops with harvested parts that touch the residual/soil mixture and are totally above the land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14 months after any residuals land application event; d. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes, carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil; Food crops with harvested parts below the surface of the land shall not be harvested for 38 months after any residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil; WQ000430 Version 2.1 Shell Version 090204 Page 9 of 15 f. Turf grown on land where residuals are applied shall not be harvested for 12 months after any residuals land application event. 15. This permit shall become voidable unless the agreements between the Permittee and the landowners and lessees or operators of any land application sites listed in the most recently -certified Attachment B of this permit not owned by the Permittee are in full force and in effect. These agreements shall be considered expired concurrent with the expiration date of the permit and shall be renewed at the same time the permit is renewed. 16. Upon entering an agreement with landowners to apply residuals to a land application site, the Permittee shall require of the landowner or lessee/operator a statement detailing the volume of nutrient sources (waste residuals, manufactured fertilizers, manures, or other animal waste products) other than the residuals to be applied by the Permittee, that have been applied to the land, and a copy of the most recent Nutrient Management Plan (NMP), if available, for the fields within the agreement. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient Management Plan. The NMPs must be provided only for those operations where a NMP is required by the US Department of Agriculture — National Resources Conservation Service (MRCS) or other State Agencies. The Permittee shall rely on the provided information to calculate appropriate reductions in allowable nutrient loading rates. If the calculation shows that the agronomic rates in the NMP (including PAN) have already been met or exceeded on a field, no additional residuals shall be land applied to that field. IV. MONITORING AND REPORTING REQUIREMENTS Any monitoring (i.e., including groundwater, .surface water, residuals, soil, or plant tissue analyses) deemed necessary by the Division to ensure protection of the environment shall be established, and an acceptable sampling and reporting schedule shall be followed. 2. Residuals generated by each residuals source -generating facility listed in the most -recently -certified Attachment A of this permit shall be analyzed to demonstrate that they are non -hazardous under the Resource Conservation and Recovery Act (RCRA). A corrosivity, ignitability, and reactivity analysis as well as a Toxicity Characteristics Leaching Procedure (TCLP) analysis shall be conducted on residuals generated by each source -generating facility listed in the most recently - certified Attachment A of this permit. The analyses shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and the results shall be maintained on file by the Permittee for a minimum of five years. If residuals generated by a particular source -generating facility are insufficient to require a land application event during a required sampling period as specified in the most recently -certified Attachment A of this permit (e.g. no land application occur during an entire year when annual monitoring is required), then no sampling data is required during the period of inactivity. The Permittee shall submit an annual report, as required in condition IV. 10., even in the event that no land application events occur during an entire year; the annual report shall include an explanation for missing sampling data. Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from this condition in the most recently -certified Attachment A of this permit shall not be required to comply with this monitoring requirement. WQ000430 Version 2.1 Shell Version 090204 Page 10 of 15 The TCLP analysis shall include the following parameters (i.e., note the regulatory level in milligrams per liter in parentheses): Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1,1-Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Hexachlorobenzene (0.13) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) An analysis shall be conducted on residuals generated by each residual source -generating facility listed in the most recently certified Attachment A of this permit. The analysis shall be performed at the frequency specified in the most recently certified Attachment A of this permit, and the results shall be maintained on file by the Permittee for a minimum of five years. The analysis shall include, but shall not necessarily be limited to, the following parameters: Aluminum Ammonia -Nitrogen Arsenic Cadmium Calcium Copper Lead Sodium Adsorption Ratio (SAR) Magnesium Mercury Molybdenum Nickel Nitrate -Nitrite Nitrogen Phosphorus Potassium pH Plant Available Nitrogen (by calculation) Selenium Sodium % Total Solids TKN Zinc If residuals generated by a particular residuals source -generating facility are insufficient to require a land application event during a required sampling period as specified in the most recently -certified Attachment A of this permit, the Permittee shall make up the missed sampling either by taking additional samples during land application events previous to a planned period of inactivity or by taking additional samples during land application events immediately following the period of inactivity. If no land application events occur during a complete calendar year, the Permittee need not make up the missed sampling events for that year. The Permittee shall submit an annual report, as required in condition IV. 10., even in the event that no land application events occur during an entire year. The annual report shall include an explanation of additional sampling data intended to compensate for periods of inactivity, or an explanation for missing sampling data. WQ000430 Version 2.1 Shell Version 090204 Page 11 of 15 4. Residuals generated by each residuals source -generating facility listed in the most recently -certified Attachment A of this permit shall be monitored for compliance with Condition H. 6. The monitoring shall be performed at the frequency specified in the most recently -certified Attachment A of this permit, and data to verify pathogen and vector attraction reduction of the residuals shall be maintained on file by the Permittee for a minimum of five years. The required data shall be specific to the stabilization process utilized, but also shall be sufficient to demonstrate clear compliance with the Class A pathogen reduction requirements in 15A NCAC 02T .1166 (a) and (b) or the Class B pathogen reduction requirements in 15A NCAC 02T .1106 (a) and (c), and one vector attraction reduction requirement in 15A NCAC 02T .1107 (a) shall be met. In addition, the Environmental Protection Agency (EPA) certification statements concerning compliance with pathogen reduction requirements, vector attraction reduction requirements, and management practices shall be completed at the frequency specified in the most recently -certified Attachment A of this permit by the proper authority or authorities, if more than one is involved (i.e., either the person who prepares the residuals, the person who derives the material, or the person who applies the residuals). Only residuals that are generated by the residuals source -generating facilities that are identified as being exempt from Condition H. 6. in the most recently -certified Attachment A of this permit shall not be required to comply with this monitoring requirement. A representative annual soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site on which a residuals land application event in the respective calendar year has occurred or is to occur, and the results shall be maintained on file by the Permittee for a minimum of five years. The Standard Soil Fertility Analysis shall include, but is not necessarily limited to, the following parameters: Acidity Exchangeable Sodium Percentage (by calculation) Calcium Magnesium Phosphorus Cation Exchange Capacity Manganese Potassium Copper Percent Humic Matter Sodium Base Saturation (by calculation) pH Zinc Laboratory analyses of parameters as required by Condition IV. 2., Condition IV. 3., Condition IV. 4., and Condition IV. 5. shall be performed/gathered on the residuals as they are to be land applied. Laboratory analyses of parameters as required by Condition IV. 2., Condition IV. 3., Condition IV. 4., Condition IV. 5., and Condition IV. 6. shall be in accordance with 15A NCAC 02B .0505. Proper records shall be maintained by the Permittee tracking all residuals land application events. These records shall include, but are not necessarily limited to, the following information: a. Source of residuals; b. Date of land application; c. Location of land application (i.e., site, field, or zone number as listed in Attachment B); d. Method of land application; e. Weather conditions (e.g., sunny, cloudy, raining, etc.); f. Predominant Soil Mapping Unit (e.g., CbB2); g. Soil conditions (e.g., dry, wet, frozen, etc.); h. Type of crop or crops to be grown on field; i. Nitrogen Application Rate based on RYES. WQ000430 Version 2.1 Shell Version 090204 Page 12 of 15 j. Volume of residuals land applied in gallons per acre, cubic yard per acre, dry tons per acre, wet ton per acre, or kilograms per hectare; k. Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per acre, wet tons per acre, or kilograms per hectare (if applicable); 1. Volume of soil amendments (e.g., lime, gypsum, etc.) applied in gallons per acre, dry ton per acre, wet tons per acre, or kilograms per hectare (if applicable); and in. Annual and cumulative totals in dry tons per acre of residuals as well as animal waste and other sources of nutrients (e.g., if applicable), annual and cumulative pounds per acre of each heavy metal (e.g., shall include, but shall not be limited to, arsenic, cadmium, copper, lead, mercury, molybdenum, nickel, selenium, and zinc), annual pounds per acre of PAN, and annual pounds per acre of phosphorus applied to each field. 9. All records required as part of this permit shall be retained for a minimum of five years. 10. Three copies of an annual report shall be submitted on or before March I". The annual report shall meet the requirements described in the Instructions For Residuals Application Annual Reporting Forms. The most recent instructions for reporting and annual report forms are available on the Land Application Unit website at http://h2o.enr.state.ne.us/lau/compliance.html, or can be obtained by contacting the Land Application Unit directly. The annual report shall be submitted to the following address: NCDENR-DWQ Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 11. Noncompliance Notification The Permittee shall report by telephone to the Mooresville Regional Office, telephone number (704) 663-1699, 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. Any occurrence with the land application program which results in the land application of significant amounts of wastes which are abnormal in quantity or characteristic. b. Any failure of the land application program resulting in a release of material to receiving waters. c. Any time that self -monitoring information indicates that the facility has gone out of compliance with the conditions and limitations of this permit or the parameters on which the system was designed. d. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate residual treatment. e. Any spillage or discharge from a vehicle or piping system during transportation of residuals. Any emergency that requires immediate reporting (e.g., discharges to surface waters, imminent failure of a storage structure, etc.) outside of normal business hours must be reported to the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300. WQ000430 Version 2.1. Shell Version 090204 Page 13 of 15 Persons reporting such occurrences by telephone shall also file a written report in letter form within five (5) days following first knowledge of the occurrence. This report must outline the actions taken or proposed to be taken to ensure that the problem does not recur. V. INSPECTIONS Adequate inspection and maintenance shall be provided by the Permittee to ensure proper operation of the subject facilities. 2. Prior to each residuals land application event, the Permittee or his designee shall inspect the residuals storage, transport, and application facilities to prevent malfunctions and deterioration, operator errors, and discharges that may cause or lead to the release of wastes to the environment, a threat to human health, or a nuisance. The Permittee shall maintain an inspection log or summary including at least the date and time of inspection, observations made, and any maintenance, repairs, or' corrective actions taken by the Permittee. This log of inspections shall be maintained by the Permittee for a period of five years from the date of the inspection and shall be made available to the Division or other permitting authority, upon request. Any duly authorized officer, employee, or representative of the Division may, upon presentation of credentials, enter and inspect any property, premises, or place on or related to the land application sites or facilities at any reasonable time for the purpose of determining compliance with this permit; may inspect or copy any records that must be kept under the terms and conditions of this permit; and may obtain samples of groundwater, surface water, or leachate. VI. GENERAL, CONDITIONS 1. This permit shall become voidable unless the residuals land application events are carried out in accordance with the conditions of this permit, the supporting materials, and in the manner approved by the Division. 2. This permit shall be effective only with respect to the nature and volume of residuals described in the application and other supporting data. Failure to abide by the conditions and limitations contained in this permit may subject the Permittee to an enforcement action by the Division in accordance with North Carolina General Statutes §143- 215.6A through § 143-215.6C. 4. The annual administering and compliance fee shall be paid by the Permittee within 30 days after being billed by the Division. Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit, as specified by 15 NCAC 2T .0105 (e). The issuance of this permit does not exempt the Permittee from complying with any and all statutes, rules, regulations, or ordinances, which may be imposed by other government agencies (local, state, and federal) that have jurisdiction. Of particular concern to the Division are applicable river buffer rules in 15A NCAC 02B .0200, erosion and sedimentation control requirements in 15A NCAC Chapter 4 and under the Division's General Permit NCGO10000, and any requirements pertaining to wetlands under 15A NCAC 02B .0200 and 02H .0500. WQ000430 Version 2.1 Shell Version 090204 Page 14 of 15 6. This permit may be modified, revoked, and/or reissued to incorporate any conditions, limitations and monitoring requirements the Division deems necessary in order to protect the environment and public health adequately. 7. This permit shall not be automatically transferable. In the event that there is a desire for the residuals land application program to change ownership or to change the name of the Permittee, a formal permit request shall be submitted to the Division along with documentation from the parties involved and other supporting materials as may be appropriate. The approval of this request shall be considered on its merits and may or may not be approved. Permit issued this the 9th day of July, 2010. NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION J Coen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission Permit Number WQ0000430 WQ000430 Version 2.1 Shell Version 090204 Page 15 of 15 THIS PAGE BLANK ATTACHMENT A - Approved Residual Sources Permit Number: WQ0000430 Version: 2.1 City of Cheriyville Certification Date: July 9, 2010 Monitoring Frequency Monitoring Maximum for Frequency for Approved Dry Tons Condition Condition 1V. 3. and Mineralization Owner Facility Name County Permit Number Issued By Is 503? Per Year IV. 2. Condition IV. 4. a Rate City of City of Cherryville Cherryville WWTP Gaston NC0044440 DWQ '503 273 1 X Permit Cycle Annually 0.30 Total 273 a Monitoring frequencies are based on the actual dry tons applied per year, unless specified. The Monitoring Frequency :Requirements Table below shall be used to determine appropriate sampling frequency. The Permittee is responsible for managing program to assure that adequate sampling is performed. Monitorin Fre uenc Re uirements Dry Tons Generated (short tons per year) Monitoring Frequency (Established in 40 CFR 503 and 15A NCAC 02T .1111 <319 1 /Year =>319 - <1,650 1/ Quarter (4 times per year) =>1,650 - <16,500 1/60 Days (6 times per year) =>16,500 Umonth (12 times per year) WQ0000430 Version 2.1 Attacliment A Page 1 of l THIS PAGE BLANK ATTACHMENT B - APPROVED LAND APPLICATION SITES Permit Number: WQ000,0430 Version: 2.1 City of Cheriyville — City of Cherryville WWTP Certification Date: July 9, 2010 Field/ Site Owner Lessee County Latitude Longitude Net Acreage Dominant Soil Series NC-GA-100-01 Pruitt, Curtis Gaston 35021'11" 81022'18" 14.70 Appling NC-GA-100-02 Pruitt, Curtis Gaston 35021'04" 81022'33" 13.50 Madison Total for Cozznty Gaston 28.20 NC-LT-103-01 Flowers, A B Lincoln 35028'12" 81025'33" 45.00 Cecil NC-LT-103-02 Flowers, A B Lincoln 35027'54" 81 °25'40" 67.50 Cecil NC-LT-103-03 Flowers, A .B Lincoln 35028'20" 81 °25'44" 21.30 Pacolet NC-LT-120-02 Gilbert, Wayne Lincoln 35°30'36" 81023'54" 31.70 Cecil NC-LT-120-03 Gilbert, Wayne Lincoln 35030'32" 81023'51" 12.70 Cecil NC-LT-124-01 Beam,Keith Lincoln 35025'59" 81023'35" 31.80 Cecil NC-LT-124-02 Beam, Keith Lincoln 35025'38" 81033'20" 7.30 Pacolet Total for County Lincoln 217.30 Total 245.50 WQ0000430 Version 2.1 Attachment B Page 1 of I SYNAGR A lietidualt lviatjn mxt Compau) OWNER SCALE: PHOTOQUADNEAR &/—kj FIGURE 1 TOWN OF CHERRYVILLE LAND APPLICATION PROGRAM GASTON COUNTY W00000430 LOCATION MAP FOR SITES NC-GA-100-01 & 100-02 APPLICATION AREA MAP A Rv,daah Afa„ap enr Company PL pl- l� B 1if\ I�` W 0A' i7te $ 1\ a Owner 2�r5 P�ui- - N N-6A —6 /i Scale: l" = la�C� � Field Total Acres_:2 samv4v Net -Acres 5e.e ssu.wr111al^✓ . > STREAM APPLICATION AREA — — — — — — PRIVATE ROAD • --> DRAIN ® HOUSE FORESTED AREA. OSURFACE WATER 0 OUTBUILDING FIGURE 2 FENCE WELL TOWN OF CHERRYVILLE STORAGE AREA O SOIL DESCRIPTI LAND APPLICATION PROGRAT CS GASTON COUNTY s. PROPERTYLINE W00000430 DETAIL MAP FOR SITES NC-GA-100-01 S 100-02 SYNAGRO IF A' Ruidwals Management Company r... 70. '1 •,1 i {,I.�GI'al e� Wp r� r.. � . �'t r k • �h ' I �E �,yh �d _ u t ,...•^ � r'� ' rust f i t"``y �\.� I ' s+�..�,. !r$ 'I'�lV`"�r�m>Ns`;'. •� �c. '� '� Iall �'' �I `' �'` i~6:1. lit I� C r— f I 1 !}'• ' f .. f.�'. ✓ r` 11 I ili 11 n! y u �E I ,IfI fill 11 ; iiJtll III �, � ✓ I �. iYld �1kti�i ll ! �� ,+'".."'ti9 F J' \ � k i '���p Yr�, 1 • 'Irl lit � r _ ^.f P i I' r � r•`� ��4y �i 'W- its Y.' C;+a. •* l I �,ki�l II'� II P 1 .. .•-yam j S � t' ;I! vu��l'ill'I''j�l�l �II r� � (.' ' - ��^ r'` i �I!' ,�,�. _. _y} ;f1� + I, 1111f� �m 1I tt�1P L.�,,,. r ' +•, OWNER SCALE: 1" FIGURE 3 TOWN OF CHERRYVILLE n ND APPLICATION PROGRAM PHOTOQUAD/YEAR 0) 21 V i �1� Qc t/� � LAND COUNTY W00000430 LOCATION MAP FOR SITES NC-LT-103-01, 103-02 & 103-03 �p �YNAG A Ruiduak M migwmt Company F1 y Aw Owner. �, �. EZa— zz Scale: 1" _ e�6.0 Field 10 Z, Total Acres _5�e_ Su* mat, Net Acres See ,5e4m ak? . _ > STREAM Q APPLICATION AREA — — — -- — — PRIVATE ROAD - > DRAIN HOUSE FORESTED AREA CK) SURFACE WATER ❑ OUTBUILDING FIGURE 4 FENCE . WELL TOWN OF CHERRYVILLE OSTORAGE AREA O SOIL DESCRIP LAND APPLICATION PROGRA GASTON COUNTY PROPERTY LINE W00000430 DETAIL MAP FOR SITES NC-LT-103-01,103-02 & 103-03 ' q%w SYNAGR� A Resid=lr Alarxgemcmt Company OWNER W,4 ��� = �r��'�,�? �` SCALE: 1 PHOTOQUAD/YBAR BiNJAI� D►2/�/,c<L�� FIGURE 5 TOWN OF CHERRYVILLE LAND APPLICATION PROGRAM GASTON COUNTY W00000430 LOCATION MAP FOR SITES NC-LT-120-02 & 120-03 APPLICATION ARFC,., MAP IMI SMGP,,.,O" A Raridrrala iNanngamnr Cm�tparry Owner W, % �itlC-LT-/�D� Scale: 1" = _ Field* 2 3 Total Acres a Net Acres_�see su.u,crae�j • S' Ci) APPLICATION AREA - - - - - - PRIVATE ROAD "D • > DRAIN HOUSE FORESTED AREA CDSURFACE WATER ❑ OUTBUILDING FIGURE 6 .� ., v FENCE TOWN OF CHERRYVILLE WELL STORAGE AREA O LAND APPLICATION PROGRAP O) SOIL DESCRiPT'IO GASTON COUNTY PROPERTY LM W00000430 DETAIL MAP FOR SITES NC-LT-120-02 & 120-03 SYNAG A Reriduah A4anagemor Company MW R i, ` :,• SCALE; 1" _ - PHOTOQUADNEAR FIGURE 7 TOWN OF CHERRYVILLE LAND APPLICATION PROGRAM GASTON COUNTY W00000430 LOCATION MAP FOR SITES NC-LT-124-01 & 124-02 Y NAGRO A Rcdduals /Ylam"'mmf e--,,„o,i Owner Af; �A sma- m (NC -CT— / Scale: V _ !P� U � Field # Total Acres fie. su m ma! Net Acres . —> STREAM APPLICATION AREA — — — — — — PRIVATE ROAD . — > DRAIN HOUSE FORESTED AREA CDSURFACE WATER ❑ OUTBUILDING FIGURE 8 3 FENCE WELL TOWN OF CHERRYVILLE AREA O SOIL DESCRIPTION LAND APPLICATION PROGR ' DSTORAGE GASTON COUNTY PROPERTY LINE W00000430 DETAIL MAP FOR SITES NC-LT-124-01 8-, 124-02