WQ0001863_Regional Office Historical File Pre 2018 (3)

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
DAVID E. JOI-IN SON —UTILITIES DIRECTOR
CITY OF MOUNT HOLLY
POST OFFICE BOX 406
MOUNT HOLLY, NORTH CAROLINA 28120
Dear Mr. Johnson:
NORTH CAROLINA
Environmental Quality
October 14, 2019
Subject: Permit No. WQ0001863
City of Mount Holly RLAP
Land Application of
Class B Residuals
Gaston County
In accordance with your permit renewal request received May 31, 2019, and subsequent additional
information received August 28, 2019, we are forwarding herewith Permit No. WQ0001863 dated October
14, 2019, to the City of Mount Holly for the continued operation of the subject residuals management
program. Please note that this renewed permit shall become effective on December 1, 2019 (i.e., the day
after the expiration date of the existing permit).
This permit shall be effective from December 1, 2019 through May 31, 2025, shall void Permit No.
WQ0001863 issued December 1, 2014, and shall be subject to the conditions and limitations as specified
therein. The Permittee shall submit a renewal application no later than December 2, 2024.
Please pay particular attention to the monitoring requirements listed in Attachment A 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 that on September 1, 2018, North Carolina Administrative Code Title 15A Subchapter
02T — Waste not Discharged to Surface Waters was readopted. Accordingly, this permit incorporates the
requirements of these rules, therefore, please take the time to review this permit thoroughly.
The Division has removed the following permit conditions since the last permit issuance dated
December 01, 2014:
➢ Old Condition III.10. —The permit condition has been removed.
➢ Old Condition III.13. —The permit condition has been removed:
➢ Old Condition VI.2. — This condition has been removed as the permit is not voidable
North Carolina Department of Environmental Quality I Division of Water Resources
t��D_E - 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
Neam w v
919.707.9000

Mr. David E. Johnson
October 14, 2019
Page 2 of 2
2014:
The following permit conditions are new since the last permit issuance dated December 01,
➢ Condition II1.10.1. —Bulk Residuals shall not be land applied if the land application sites are
located within a WS-1, WS-II, WS-III or WS-IV watershed.
➢ Condition 111.1 Le. — Class B land application sites shall have the following public access
restrictions: Public access to land associated with a dedicated land application site shall be
restricted continuously while the land is permitted for active use, and for one calendar year
after the final land application of residuals.
➢ Condition IV.8. — This condition states that the permit shall not be renewed if the Permittee or
any affiliation has not paid the required annual fee.
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. Otherwise, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Ranveer Katyal at (919)
707-3661 or ranveer.kaiN,al+%ncdenr.aov.
Sincerely,
inda Culpepper, Director
Division of Water Resources
cc: Gaston County Health Department (Electronic Copy)
Lincoln County Health Department (Electronic Copy)
Mecklenburg County Health Department (Electronic Copy)
Cleveland County Health Department (Electronic Copy)
Mooresville Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
LAND. APPLICATION OF CLASS B RESIDUALS 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
City of Mount HoRy
Gaston County
01aft "I
continued operation of a residuals management program for the City of Mount Holly and consisting of the
land application of Class B residuals. generated by. the approved facilities listed in Attachment A to the
approved fields listed in Attachment B, with no discharge of wastes to surface waters, pursuant to the
application received May 31, 2019, subsequent additional information received August 28, 2019, and in
conformity with other supporting data subsequently filed and approved by the Department of
Environmental Quality and considered a part of this permit. The disposal of residuals is regulated under
Title 40 Code of Federal Regulations Part 503. This permit does not exempt the Permittee from complying
with Federal Regulation 40 CFR Part 503.
This permit shall be effective from December 1, 2019 through May 31, 2025, shall void Permit No.
WQ0001863 issued December 1, 2014, and shall be subject to the following conditions and limitations:
I. SCHEDULES.
1. The Permittee shall request renewal of this permit on Division -approved forms no later than December
2, 2024. [15A NCAC 02T .0105(b), 02T .0109]
II. PERFORMANCE STANDARDS
The Permittee shall maintain and operate the subject residuals management program so there is no
discharge to surface waters, nor any contravention of groundwater or surface water standards. In the
event the residuals management program fails to perform satisfactorily, including the creation of
nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease
land applying residuals, take immediate corrective actions, and contact the Mooresville Regional Office
supervisor. [15A NCAC 02T .0108(b)(1)(A)]
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. [15A NCAC 02T
.0108(b)(1)(A)]
3'. Only residuals generated by the facilities listed in Attachment A are approved for land application in
accordance with this permit. [15A NCAC 02T .1101]
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4. Only the field's listed in' Attachment B are approved for residuals land application. [G.S. 143-
-215.1(a)(9)]
5. Pollutant concentrations in residuals land applied to the sites listed in Attachment B shall not exceed
the following Ceiling Concentrations or Cumulative Pollutant Loading Rates (CPLRs), on a dry
weight basis:
Parameter
Ceiling
Concentration_.
Cumulative Pollutant Loading Rates
Arsenic
75
41
36
Cadmium .
85 l
39
34
C°PPer -
4,300 _ .- -.
1,500
1,338
Lead
840
300-
267
Mercury
57
17
_15
Molybdenum
75
N/A
N/A l^
Nickel
420
420
374
Selenium)
100
100
89
Zinc
7 500
2,800
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 has not occurred or for which the required data is, incomplete,
by determining background concentrations through representative soil -sampling.
[15A NCAC 02T .1105(a), 02T .1105(b)]
6. Class B biological residuals shall meet the pathogen reduction requirements in 15A NCAC 02T ,1106
(b). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1.106(b),,
02T .1106(d)]
7. Class B biological residuals shall meet,one of the vector attraction reduction alternatives' in 15A NCAC
02T .1107(a). Exemptions to this requirement shall -be specified in Attachment A. [15A NCAC 02T
.11-07(a), 02T .1107(c)]
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8. The facilities and sites herein were permitted per the following setbacks:
a. Setbacks for Class B land'. application.sites are as follows (all distances in feet):
Surface
Irrigation
Injection /
Application
Surface
Incorporation
by Vehicle
Application
i. Each habitable residence or place of assembly
400
400
200
under separate ownership:
ii. Each habitable residence or places of assembly
owned by the Permittee, the owner of the land,
0
200
0
or the lessee or operator of the land:
iii. Each property line:
50,
150,
50'
iv. Public right of way:
50
50
50
v. Each private or public water supply source:
100
100
100
vi. Surface waters such as intermittent and
perennial streams, perennial:waterbodies, and
32.9
32.8
32.8
wetlands:
vii, Surface water diversions such as ephemeral
25
25
25
streams, waterways; and ditches:
viii.Groundwater lowering ditches where the
25
100
25
bottom of the ditch intersects the SHWT:
ix. Subsurface groundwater lowering systems:
0
100
01
x. Each well with exception of monitoring wells:
100
100
100
xi. Bedrock outcrops:
25
25
25
xii. Top of slope of embankments or cuts of two
15
15
15
feet or more in vertical height:
xiii.Each building foundation or basement:
0
15
0
xiv. Each water line:
0
10
0
xv. Nitrification field:
0
20
0
' Setbacks to property lines are not applicable when the Permittee,
or the entity from which the
Permittee is leasing, owns both parcels separated by the property
line:
[15A NCAC 02T .1108(c)]
9. Class B land application areas shall be clearly marked on each site prior to and during any residuals
application event. [15A NCAC 02T .0110(g)]
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10. 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 (httpJ/nutrients.soil.ncsu.edu/yields/index.ph�l. A copy .
shall be kept on file and reprinted every five years in accordance with Condition IV.6.
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
,.ftt://www.iicagt--g.by/SWC/tech/documents/9th Guidance Doc 10010ft fl.
iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation
Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management
Standards(fD:Hf[dTfc.sc.eibv.usda.aov/NPIO/practice-standards/standards/596.ndtl:
d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall
contact the Division to determine necessary action.
[15A NCAC 02T .1109(a)(1)(K)]
11. When residuals are land applied to grazed pasture, hay, crop realistic nitrogen rate shall be reduced by
25%. [15A NCAC 02T .0108(b)(1)(A)]
12. If residuals 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)(A)]
13. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the
Per nittee 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)(A)]
14. Residuals land application fields permitted on or after December 30, 1983 have a compliance boundary
that is 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. Any exceedance of groundwater standards
at or beyond the compliance boundary shall require corrective action. Division -approved relocation of
the compliance,. boundary shall be noted in Attachment B. Multiple contiguous properties under
common ownership and permitted, for use as a disposal system shall be treated as a single property with
regard to determination of a compliance boundary. [15A NCAC 02L .0106(d)(2); 02L .0107(b), 02T
.0105(h), G.S. 143-215.1(i), G.S. 143-215.1(k)]
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15. The review boundary is midway between the compliance boundary and the residual land application
area. Any exceedance of groundwater standards at or beyond the review boundary shall require
preventative action. [15A NCAC 02L .0106(d)(1), 02L .0T08] _
III. OPERATION AND. MAINTENANCE REQUIREMENTS
1. The Permittee shall operate and maintain the residuals management program as a non -discharge system.
[15A NCAC 02T .1100]
2. The Permittee shall notify the Mooresville Regional Office, telephone number [phone] and the
appropriate local government official (i.e., county manager, city manager; or health director) at least
two business days in advance of a site's initial residuals land application event. [15A NCAC 02T
.0108(b)(1)(A)]
3. The Permittee shall notify the Mooresville Regional Office, telephone number [phone], at least
one business day in advance of conducting any land application activity. Notification shall include the
anticipated application date, time, and field name as listed in Attachment B. Exceptions to this
requirement shall be approved by the Mooresville Regional Office. [15A NCAC 02T .0108(b)(1)(A)]
4. The Permittee shall maintain a Division -approved Operation and Maintenance Plan that shall include:
a. Description of the program, and associated facilities and equipment, in sufficient detail to show
what operations are necessary for the program to function and by whom the functions are to be
conducted;
b. Description of anticipated maintenance of facilities and equipment associated with the program;
c. Include provisions for safety measures, including restriction of access to sites and equipment;
d. Spill control provisions:
i. Response to upsets and bypasses including control, containment, and remediation; and
ii. Contact information for plant personnel, emergency responders, and regulatory agencies;
e. Detailed inspection procedures:
is Names or titles of personnel responsible for conducting inspections;
ii. Frequency and location of inspections, and procedures to assure that the selected locations and
inspection frequency are representative_ of the residuals management program; and
iii. Description of record keeping and actions to be taken by the inspector in the event that
noncompliance is observed,
f. Detailed sampling and monitoring procedures:
i. Names or titles of personnel responsible for conducting sampling and monitoring;
ii. Description of monitoring procedures including parameters to be monitored; and
iii. Sampling frequency and procedures, to assure that representative samples are 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.
[ 15A NCAC 02T . I 110(a)]
5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the residuals management program, the Permittee shall designate and employ a
certified operator in responsible charge (ORC), and one or more certified operators as back-up ORCs.
The ORC or their'back-up shall visit the facilities in accordance with 15A NCAC 08G 0204 and shall
comply with all other requirement in 15A NCAC 08G 0204. [15A NCAC 02T .0117, 08.G .0204]
WQ0001863 Version 4.0 Shell Version 190710 Page 5 of 12

6. The Permittee shall' ensure that a copy of this permit and the Division -approved Operation and
Maintenance Plan is available when land applying residuals. [15A NCAC 02T .1110(b)]
7. The Permittee shall ensure that spill control provisions are available when transporting or; land applying
residuals. [15A NCAC 02T .1110(a)(4.)]
8. Class B.residuals shall not be stored oPstaged at any land application site without prior written approval
from the Division. Class B residual's approved for stoiage shall be stored or staged in a manner to
prevent runoff of leachate and other wastewaters generated. [15A NCAC 02T .1110(c), 02T .1110(e)]
9. Adequate measures shall be taken to prevent wind erosion and. runoff from the land application sites
listed in Attachment B. [15A NCAC 02T .01'08(b)(1)(A)]
10. Class B 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 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 residuals are injected or incorporated within a 24-
hour period following a residuals land application event;
f. During precipitation events, or within 24 hours following a rainfall event of 0.5 inches or greater
in a 24-hour period;
g. If the slope of the land is greater than 10% when liquid residuals are surface applied, or if the slope
of the land is greater than 18% when liquid residuals are injected or incorporated;
h. If the land does not have an established vegetative cover crop unless the land is a.Division-approved
no -till site, or the residuals are injected, or incorporated within a 24-hour period following the
application of residuals;
i. If the vertical separation of the seasonal high water table and the depth of residuals application is
less than one foot;
j. If the vertical separation of 'the depth to bedrock and the depth of residuals application is less than
one foot;
k. If the application exceeds agronomic rates.
1. ' If the land application sites are located within a WS-I watershed pursuant to 15A NCAC 02B .0212
or within the Critical Area of a WS-II pursuant to Sub -Item (4)(g) of Rule 15A NCAC 02B .0212,
or within the Critical Area of a WS-III or WS-IV watershed pursuant to Sub -Item (4)(h) of Rules
15A NCAC 02B .0215, and .0216.
[15ANCAC 02T .I109(a)(1)]
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11. Class B land application sites shall have the following public access restrictions:
a. Public access to public contact sites shall be restricted for one calendar year 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;
c. Public access to land associated with a dedicated land application site shall be restricted
continuously while the land is permitted for active use, and for one calendar year after the final
land application of residuals.
[15A NCAC 02T .I 109(a)(2)]
12. Class B land application sites shall have the following harvesting and grazing, restrictions:
a.. Animals shall not be allowed to graze on land for 30 calendar days after any land application of
residuals;
b. Food crops, feed crops, and fiber- crops shall not be harvested for 30 calendar days after any land
application of residuals;
c. Food crops -with harvested parts that touch the mixture of residuals and soil and are totally above
the land surface shall not be harvested for 14 months after any land and
of residuals;
d. Food crops with harvested parts below the land surface shall not be harvested for 20 months after
any land application of residuals if the residuals remain on the land surface for four months or
longer prior to incorporation into the soil;
e. Food crops with harvested parts below the land surface shall not be harvested for 38 months after
any land application of residuals if the residuals remain on the land surface for less than four months
prior to incorporation into the soil; and
f. Turf grown on land where residuals are applied shall not be harvested for one calendar year after
any land application of residuals.
[15A NCAC 02T .1109(a)(3)]
13. 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 (MRCS) 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 .0108(b)(1)(A), 02T .1104(c)(3)]
14. Class B residuals shall not be land applied to the fields listed in Attachment B unless the Landowner
Agreement between the Permittee and' the respective field owners or lessees/operators of the land
application site is valid. The Landowner Agreements shall expire concurrent with the permit expiration
date of May 31, 2025. [15A NCAC 02T .1104(c)(4)]
WQ0001863 Version 4.0 Shell Version 190710 Page 7 of 12

IV. MONITORING AND -REPORTING REQUIREMENTS
I. The Permittee. shall conduct and report any Division required monitoring necessary to evaluate this
program's impact on groundwater and surface water. [15A NCAC 02T .0108(c)]
2. The residuals from each source generating facility shall be analyzed to demonstrate they are non-
hazardous under the Resource Conservation and Recovery Act (RCRA). Residuals that test or are
classified as a hazardous or toxic waste under, 40 CFR Part 261 shall not be land applied. 'Me analyses
(i.e., 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 five years. Any exemptions from the requirements in this condition shall be specified in Attachment
A. The TCLP analysis shall include the following parameters, and the Federal regulatory level (mg/L)
is 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)
_ Pyridme (5:0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13)
Selenium (1.0)
Carbon tetrachloride (0.5) 1
Endrin (0.02)
Silver (5.0)
Chlordane (0.03)
Heptachlor (and its epoxide)
0.008,:
Tetrachloroethylene (0.7)
Chlorobenzene (190.0)
Hexachlorobenzene (0.13) -
Toxaphene (0.5)
Chloroform (6.0)
Hexachlorobutadiene (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)
Once the residuals have been monitored for two years at the frequency specified, in Attachment A, the
Permittee may submit a permit modification request to reduce the frequency of this monitoring
requirement. In no case shall the monitoring frequency be less than once per permit cycle.
[15A NCAC 13A .0102(b), 02T .1101, 02T .1105]
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3. The residuals from each source generating facility shall be analyzed at the frequency specified in,
Attachment A, and the Pennittee shall maintain the results for a minimum of five years. Each analysis
shall include the following parameters:
Aluminum
Mercury
Potassium
AmmoniaNitrogenMolybdenum
Selenium
Arsenic
Nickel
Sodium
Cadmium
Nitrate -Nitrite Nitrogen
Sodium Adsorption Ratio
Calcium
Percent Total Solids
TKN
Copper
pH
Zinc
Lead
Phosphorus
P . fant Available Nitrogen —
Magnesium
_(by calculation)
[15A NCAC 02T. 11011
4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction
requirements at the frequency specified in Attachment A. The monitoring results shall specify the
stabilization process utilized, and demonstrate compliance with the Class B pathogen reduction
requirements in 15A NCAC 02T .1 106(b), and one vector attraction reduction requirement in 15A
NCAC 02T .1 107(a) shall be met. Any exemptions from the requirements in this condition shall be
specified in Attachment A. [15A NCAC 02T .1106(b), 02T .1107(a), 02T .1111(c)]
5. An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on
each land application site listed in Attachment B that received residuals during the calendar year. This
analysis shall be in accordance with the soil sampling guidance located in the Sampling Instructions
section of the NC Department of Agriculture & Consumer, Services' website
(hjW-//www.nca_or;P_ov/q orni/pubs.hUn The Permittee shall maintain these results for a period of
no less than five -years, and these -results shall be made available to the Division upon request. Each
Standard Soil Fertility Analysis shalt include the following parameters:
Acidity
Exchanaeable Sodium Percentag
Phosphorus
Base Saturation (by calculation)
Magnesium
Potassium
Calcium
Manganese
Sodium
Cation Exchange Capacity
Percent Humic Matter
Zinc.
Copper
pH
[15A NCAC 02T.0108(c), 15A NCAC 02T.1 11 l(d)]
6. Representative samples of residuals that are prepared for land application shall be collected and
analyzed. [ 15 A NCAC 02T .1111(a)]
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7. The Permittee shall maintain records for all residual land application events. These records shall
include the following:
a. Residuals source (as listed in Attachment A);
.b. Date of application;
c. Location of land application (field name as listed in Attachment B);
d. Approximate acreage applied;
e. Method of application;
f. Weather conditions;
g. Dominant soil series;
h. Soil conditions;
i. Proposed crop;
j. Nitrogen Application Rate based on RYEs;
k. Volume of residuals, applied per acre in gallons, cubic yards, dry tons, or wet tons;
1. Volume. of animal waste or other nutrient source applied per acre in gallons, cubic yards, dry tons,
or wet tons;
m. Volume of soil amendments applied per acre in.gallonsi cubic yards, dry tons, or wet tons; and
n. Annual and cumulative totals applied to each field for the following:
i. Class A and Class B residuals (dry tons per acre);
ii. Animal waste and other sources of nutrients (dry tons per acre);
iii. Heavy metal&as specified in Condition 11.6. (pounds per acre);
iv. Plant available nitrogen (pounds per acre); and
v. Phosphorus (pounds per acre).
[15A NCAC 02T .0108(c)]
8. One hard copy, and one electronic copy of an annual report- shall be submitted on or before March 11.
The annual report shall meet the requirements described in the Instructions for Residuals Application.
Annual. Reporting, Formsinstructions for reporting and annual report forms are available at
discharge-permittirig-unitireporting=forms, or can be obtained by contacting the Non -Discharge Branch
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
[15A NCAC 02T .I 111(d)]
9. Noncompliance Notification
The Permittee shall report to the Mooresville Regional Office, telephone number (704) 663-1.699,
within 24 hours of first knowledge of the:
a. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of
adequate residual treatment.
b. Any failure resulting in a discharge to surface waters.
c. Any time self -monitoring indicates. the program has gone out of compliance with its permit
limitations.
d. Land application of residuals abnormal in quantity or characteristic.
e. Any discharge from a vehicle or piping system transporting residuals.
Emergencies requiring reporting outside normal business hours shall call the Division's Emergency
Response personnel at telephone number [phone], [phone]i or [phone]. All
noncompliance notifications shall file a written report to the Mooresville Regional Office within five
days of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to
ensure the problem does not recur. [15A NCAC 02T .0108(b)(1)(A)]
WQ0001863 Version 4.0 Shell Version 190710 Page 10 of 12

V. INSPECTIONS_
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the Permitted's
storage, distribution, and application, facilities. [15A NCAC 02T .1110(f)]
The Permittee shall inspect the Permittee's, residuals processing, storage, transport, and application
facilities to prevent malfunctions, facility deterioration, and operator errors that may result in discharges
of wastes to the environment, threats to human health, or public nuisances. The Permittee shall maintain
an inspection log that includes the date and time of inspection, observations made, and 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.
[15A NCAC 02T .01080)(1)(A), 02T .1110(f)]
3. Division authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the land application sites or facilities permitted herein at any
reasonable time for determining compliance with this permit. Division authorized representatives may
inspect or copy records maintained under the terms and conditions of this permit, and may collect
groundwater, surface water, or leachate samples. [G.S. 143-21.5.3(a)(2)]
VI. GENERAL CONDITIONS,
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.613, 143-215.6C]
2. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, and Division -approved plans and specifications. [G.S. 143-215.1(d)]
I Unless specifically requested and approved in this permit, there are no variances to administrative codes
or general statutes governing the construction or operation of the facilities permitted herein. [15A
NCAC 02T .0105(n)]
4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules,
regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal)
may require. [15A NCAC 02T .0105(c)(6)]
5. If the permitted residuals program change ownership, or the Permittee changes their name, the
Permittee shall submit a permit modification request on Division -approved forms. The Permittee shall
comply with all terms and conditions of this permit until the permit is transferred to the successor -
owner. [G.S.143-215.1(d3)]-
WQ0001863 Version 4.0 Shell Version 190710 Page 11 of 12

6. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in
whole or part for:
a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter
02T;
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials:
i. to enter the Permittee's premises where a system is located or where any records are required
to be kept;
ii. to have access to any permit required documents and records;
iii. to inspect any monitoring equipment or method as required in this permit; or
iv. to sample any pollutants;
d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or
e. a Division determination that the conditions of this permit are in conflict with North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T .0110]
7. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not
occur'if any of the following apply:
a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of.
environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be
prosecuted under. G.S. 143-215.6B, and all appeals of this conviction have been abandoned or
exhausted. -
b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned,
a wastewater treatment facility without properly closing the facility.
c. The Permittee or any parent, subsidiary, or other affiliate of the Perinittee has not paid a civil
penalty, and all appeals of this penalty have been abandoned or exhausted.
d, The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant
with any compliance schedule in a permit, settlement agreement, or order.
e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual
fee.
[15A NCAC 02T .0120(b), 02T .0120(d)]
8. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee.
[I5A NCAC 02T .0120(c)]
Permit issued this the 14t' day of October 2019
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
mda Culpepper, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0001863
WQ0001863 Version 4.0 Shell Version 190710 Page 12 of 12 -

ATTACHMENT A — APPROVED RESIDUAL SOURCES
City of Mount Holly
Certification Date: October 14, 2019
Permit Number: WQ0001863 Version: 4.0
I
Maximum
Monitoring
Mouitorin g
Monitoring
Frequency for
Approved '
Owner
Facility Name
= County f
Permit
Number I
Biological"
Residuals,
Dry Tons
Frequency for
Non-hazardous
Frequency for
Metals and
gen
patho &
Mineralization,
dl
per Year 1
Characteristics Z
Nutrients','�s
Vector Attraction
' Rate
i Reductions
City of -Mount Holly
Mount Holly W WTP
4 Gaston I,
NCO021156',
Yes
780
Annually
_- -
See Table Below
;; See Table Below,
0.4
City of Mount Holly l
Mount Holly WTP
Gaston I
01-36 020 `.
No
130
Annually
Annually
N.A
-
- Total
910
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 IVA.
5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above.
-
Dry Tons Applied (metric tons)
j Dry Tons Applied
(short tons per year)
Monitoring Frequency —
(40 CFR $03 and 15A NCAC 02T
1111 c ;r
- --<290 -
< 319
Once per year (Annually)
> 290 to < 1,500
>_ 319 to < 1 650
Once per quarter (4 x Year)
> 1,500 to < 15,000
>_ 1,650 to < 16,500
Once per 60 days (6 x Year)
> 15,000
>_ 16,500
Once per month (12 x Year)
Ifmo.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 sball include an explanation for missing sampling data Those required to submit the annual report to United States Environmental
Protection Agency (US EPA) may be required to make up the missed sampling. Contact the US EPA for additional information.
WQ0001863 Version 4.0 Attachment A Page 1 of 1

THIS PAGE BLANK

Lil
ATTACHMENT B - APPROVED LAND APPLICATION SITES
City of Mount Holly - City of Mount Holly RLAP
Certification Date: October 14, 2019
Permit Number: WQ0001863 Version: 4.0
Field
f
Owner
Lessee i
County
Latitude
Longitude
''I
Ac et' a
Dominant Soil Series
Footnotes
CL 12 O1
I
Cedar Lake Farm LLC
Charlie Jones ,
Cleveland
35.353756°
-81 415567°
51.1
- 1ihB -Hulett
- 1
<
--
i
�i � GA 41 Ol
. -
i!
- -- -- -
-
Springs, -Edwin Gregory_ - _
_ 'L_.�
- -
Gaston
35 295533 °
:
,.-81.031617°
q
3.5-
_ MaB2 -Madison
2
it GA-41-06
Springs, Edwin Gregory
Gaston
35.297433'
-81.030931°
:I
8.9
CeB2 - Cecil
2
'
j GA-41-14
Springs, Edwin Gregory
Gaston
I
35.2942560
'� -81 031553°
.�
7.4
CeB2 - Cecil
2 ,
l
--- --
-- -
- -._ ;
LT _44-01
'
Lee Shank
Lincoln
li
35.416228'
`;-81.161897'
y'
-
15.65
CcB - Cecil
3
�' LT-45-01
I
--
Macomson, Michael Talbott
Lincoln
35.513933°
I °
- 81 268894
it
15 01 1
CcB - Cecil
4
11 ^LT 46-0,1
:
Ton Jones
y
E
Lincoln
�!
35.409103
81 040622
- - -
11 S
- =
CeB2 Cecil
- --_--
�_
5
--
LT 46-02
- _ Tony Jones
-
Lincoln
35 411467'
-81.035853'
45.2
CeB2 - Cecil
-
6_
`-
-_-
LT-46-0 3
Tony Jones
Lincoln
35 407686°
ly-81.033881°
`
9.9 i
CeB2 - Cecil
5
11 LT 46 04
Tony Jones
% Lincoln
35.407806°
1-81.034253° a,
19.4
CeB2 Cecil
,
6
LT 46-05
Tony Jones
Lincoln
;
35.415708°
'-81031194°
,
7.9
LdB2 Lloyd
6
LT- 46-06
Tony Jones
Lincoln
35 413858
81.013794
5 4
PeB2 - Pacolet
7
LT 46-07
Tony Jones I
Lincoln
, i
35 442781 °
'j -81 008003°
I
7.0
PeB2 - Pacolet
_ 8 -
LT 46-08
-
~
Tony Jones
11,
Lincoln
'
35.405769°
5'-81.041036°
''
6.6
CeB2 Cecil
5
-
� LT-46-09
-
Ton Jones
y
Lincoln
! i
:
35.410469°
it ��-81.026819°
r i.
I
7.3
LdB2 - Lloyd
y
_
6
L 1vIG-37-01
Dale Dean Connell
Mecklenburgfi +
35.296461
�! li 80.988744°
18.3
CeB2 - Cecil
9
1' Total
G- ........_
-and
-
4
!i
a
240 tl
--
-- -- -- - -
-- - -
1. See Figure 1.
2. See Figure 2.
3. 'See Figure 3.
4. See Figure 4.
5. See Figure 5.
6. See Figure 6.
7. See Figure 7.
S. See Figure 8.
9. See Figure 9.
WQ0001863 Version 4.0 Attachment B Page 1 of 1

F, I:,%,R - I
W00001863 - Cit of Mount Holly RLAP
y APPLICATION MAP
I�}I
ow
tn
,,..:
�Z,
Q
Jf
}
2
{ rti
n
LEGEND
APPLICATION AREA ® UNSUITABLE AREA
- — — — — - PRIVATE ROAD WATER GRAPHIC SCALE
— - - — STREAM ONSITE HOUSE n = 660'
- DRAIN 660, 0 660'
OFFSITE HOUSE i
— FENCE OUTBUILDING
— -- PROPERTY LINE �( WELL
no SOIL DESCRIPTION X�
The compliance boundary is established either 250 It from the residuals application area or 50 feet within N �'-Icl-� 2
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 1

Fire 2
VV00001863 - City of Mount Holly RLAP
APPLICATION MAP
LEGEND
6 d
APPLICATION AREA
®
UNSUITABLE AREA
— —�— —�— —
PRIVATE ROAD
y
WATER
—
STREAM
ONSITE HOUSE
- — — - ----
DRAIN
OFFSITE HOUSE
�E
FENCE
OUTBUILDING
PROPERTY LINE
WELL
0
SOIL DESCRIPTION
The compllance boundary Is established either 250 ft from the residuals application area or 50 feet within
In the property boundary, whichever Is closest to the applloatlon area. The review boundary Is established
midway between the compliance boundary and the perimeter of the residuals application area. All
locatlons are approximate.
GRAPHIC SCALE
1" = 660'
ego, o esa
1�

F�t&L4zr 3
W00001863 -City of Mount Holly RLAPAPPLICATION
MAP
/i, ��f3
� 4. - l'`L
� i"�
p����Y :� :� ��
1p
1� �'2' �3-•F�
� f �
,�o^- h1 -'�, r l ` �
i d ""S � R� F -^ Y• k i � ,. F � y' � c .b4i � �� 5 f � { - 6
Y
ic
F
x N
y�
_ i+ t :
44,
i
M1yMWT
�, t y.„. c
�`. �� • ,i4,„ 1" � i V � :ypF 'fir . A r�r�*��;
� a
�fj�J
-79
a
` "�-= ° r t'• � tam �>�Tx 1�'
fq
fp' f �i'..: � A� � "1�14,1�.i1&1A �1^t�i • � .,4i L i�l °1� �� �f � �
_ 4, •`�..i� d^�' � ��." � Y'i�"K iM, _�{,. d�+•�i� a'D A x'�e �.` rPw*� •:. ,�._
vt
..Rs,. i �'L. � � t • � •a�4�'� ��ww �3 �l' c'S fit u y "�-yro ti�iP �3
LEGEND
I, cI APPLICATION AREA ® UNSUITABLE AREA
- — — — — - PRIVATE ROAD C WATER
GRAPHIC SCALE
— - - — STREAM ONStTE HOUSE 1 " = 660'
- DRAIN 660' 0 660'
OFFSITE HOUSE �L
X—X FENCE OUTBUILDING
PROPERTY LINE 0
WELL
Q SOIL DESCRIPTION
The compliance boundary is established either 250 It from the residuals application area or 50 feet within
A I C_1 Ts4 A
� V 4
in the property boundary, whichever is closest to the application area. The review boundary is established
L
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
Field 1

F` L,-"Vi< y
Ul
W00001863 - City of Mount Holly RLAP
APPLICATION MAP
Y
il el
LEGEND
APPLICATION AREA ®
UNSUITABLE AREA
- — — — — -
PRIVATE ROAD
WATER
GRAPHIC SCALE
— — — —
STREAM ®
ONSITE HOUSE 1 ° = 660'
-
DRAIN
sso' o sso,
OFFSITE HOUSE � � � �
--x—
FENCE
OUTBUILDING
- -- ' -
PROPERTY LINE
WELL
SOIL DESCRIPTION
The compliance boundary is established either 250 It from the residuals application area or 50 feet within V A I C_I T_ q C
in the property boundary, whichever is closest to the application area. The review boundary is established L �FJ
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 1

1,�-,W00001863 - City of Mount Holly RLAP
Lap ood
Stream
StlrfaceiiUater
ApplioationArea
NV OnSiteHouse
x -- x - Fertce 1' OASiieHouse
Ptppettytinf� j Outhttilding
NI-410 INSICr-J T I AID - R065&1- .� .
'G Ons tevv/ell
C:) Soi{besci iption
", .i UtIsoable
Ft �wtc �;--
c_ _:e— -- w -- s,
! inch = 600 feet
(all locatloris apprnxlroste)
The compli;rrrce botnrdary is established at
either 260 feet from the residur2ts applloation
area or 50 feet wltldn the plrporty boundary,
whicheveris clo west to tha .- pplication area.
The Mdew boundary is establishntl midway
between the a�nrptiarnce boundary ar►it H►e
perimeter of tine tesiduals application arr�n"
Feet
0 230 460 920 1,380 1,840

WQOD01863 - City of Mount Holly RLAP App®icalliall Area Map
s/ _
i 1\$'A,fY•r
1,'
i�•. t. 72 /: ��; f i' aft •J a; t .�.�h �` 4 la\i: r'• - .�" , , - � c � c �, f .; ' _ , "mot 1-� .� l\• ,
i'k / �� r �i.(• 4 '' •` � i i �F43 ,'{. .! It A F t � F i'•%� �:.t Y��, at•
yhr r(^^. r P r ,. � J �'- x".• + t�} r 23 ¢pr .� �+'sY il�d. �.- � SL�a�w' � .� �
Tyr 4� ♦ ' S r'' D- J "T 1 .t"1 1 � ! �Y-•,, 34.� � - �,y �'4 yry�..55 l.
`1+
71,
A. i r S 1 { � ,� \ rtt � Jrt. L 't^ k "U 3rti �Frr u'�• .r ';.
z
vzev.
- r? L i- ` 1 1, - . 33Y ; 2 �'rJ�. °,f. /..r- - T � /• `��� $�e.
b `' f -� W � + 3 # I ., (' . u S � f s3 AA t - t r aS ® -•"+ � �.. `a 1'.
.ia } .tM1k I j � P• y Y -{ IJ J � "+��ir y�i
Lr i F fjr
s� �l F ^i y ? -x,rt �Ai� M�`r , ,.. Sr fi ft �`}+,'� �•���ff/{r
.,i �a t :rj ., rJ�3�'ra: itn.n � •' r. ,r� i ..."i. i3"t
ti Y „i F y s s�) Lr r 'ty �P y" S• , i f t r^ v � r .'F }�{:s:`
K � i
. t t. i. f �&' �! t°i ^s t's"�'- t i.;Fx`��I', X{c�.T.•3 i9 't, .. � .fir r 4 t' i�,
•ly N V I � t � [ 2
i l✓' '' '•.1.�J? �'i 1 +?� t Ei jt-� -P �R fT ''� '� Mit%( K L� -?•
...I„r
h6l�. .. ., �. Jiro i 1 �'�+�.-lf 4 r-f3t1 .�� ♦ r Zr
•k�' O �� �J ` t't�.i'; yj��r 4�s�e C.3.'11 � r;¢- s
Legend I inch 660 feet
_ (all ®ocaifons approximate)
�•�••,••,•® Stream � �I OnSfteHouse FL?'1 O&SfteWeIl
The compliance boundary is established at
SurfaceWater OaiteHouse SoilDescrtptiou either 250 feet from the residuals application
area or 50 feet within the property boundary,
c ®X -Fence OutlwliduLg Unsuitable whichever is closest to the application awa.
The review boundary Is established midway
Propart rUne onSiteweu between the compliance boundary and the
perimeter of the residuals application area.
Applicar3onAzea Feet
ter -Uo ; Fields 2, m , 9 0 225 450 900 1,350 1,800
-- =---

Fi�-� ^7
,_�}INQ0001863= City of Mount Holly RLAP�pe� Al a
I`'�
,
2
,
jy P
°A°iF�t?.�J
,
5 ' yr. } f'• cip,Si'fls`'y� ar. d
i R9 •F k' K!' 4.' j
pr
F
A ,Pya f I 3 � - � " Z & t �- 't.` J`. �ti� �•� '4
� I• f .' � 8 - ' P' -f _ `P �d'S w: L -i � � y7� 'y � r+. � ,# (•aa'�T M1 it r,
�, � q`, ^ A a< 'fit. •T' V.. { � t. — Y �F fi• 1
ya � C_ b 5' i I •. �! a _ .. Y
w
VA
"fix f x i�iA��� e �.� fr � C � '' t - • / f t °y�` s�B �o �' i'., �.
e;? t�t� � 4•;i. � +'" Yi c. ' '� 4 �4' r a;�y, 'igj {•-. (� a {yp
e cr-- -. Irk''' i.s z 'r . t• d,. ,.t " �. z L tt.,� •„,'s�x�
• 'r, � -a. � asp` � •T f�, 01Ywi:
t " •�
1 inch = 660 feet
{aU localiwls approximate)
Stream ApplicationArea \ OnSifeWelf The compliance bounckiryis ezablished at
either250 feet from the residuclls application
SurfaceWater i OnSiteHouse SoilDescdption area or60 feet within the pruportyboundary,
whichever is closest 10 the upplication area_
x -- x - Fence r/�: no review boundary is esbiblished midway
=, OffSiteHouse Unsuitable
btrlween the curriplilrxe buwidury urid dw
PropettyL.ine, L__- I Outbifildint! pwirncter of the resldu;d,, appliC;26un t1rz:?.
_ Fect
�11t11•?�: iii 0 230 460 920 1,380 1,131

',:9/VQ0001863 - City of Mount Holly RLAPAlpL)f1cadon Are
[� • a `
F!� P s g '. i • { ' r s ,� ,m,, � O1„^f"�"�'� }) , ( c t rl ;i� ` s r
f ,t'?s � e lY., j a � � '."- �f.�rt < � `-ti .gyp )tY 6_'` r._ Fit.• i..�,t
r, P I a •' e} �t
� fT -�{ ` ' . �)✓--e + �' � � f ki♦ afki 6� 'a�` 4 t
s• L M i °Q� K¢,,� f j t �: ''Yr � �Al
t ' 8A4,1 { r
��a >
A� f "l�f�ar �,'��, y �) P• "� r>, r X ���ht ' .
�� 44
pA
1�.. )�n#�5� •€3 f a��. Y,ria ¢ 1ry � p'° s'�1 `a' .
+ !• � u, ,g"s'1 A �S 2t ki `4 t „� G'4 rs� - �"" .y f a4 s c� ; � {r yip'+ . -
r a_r ^ S '�� + - a •y t '& a Y.' c c yd a ,;.EE- :r
4
i ! ; s. , ,st x T �` } � - �� i i _ � ,r ey .VJ6 {R N':. •,D
tk; ;r ♦ f} . `f SEAS' ..$� k�b •. �I k n•S ♦�: ,
r, s•
1 inch = 660 feet
Drain ` ApplicationArea U SoilDescription (aAlociftnsapproximate)
R ®'— Stream Wj OnSiteHouse Unsuitable The compliance boundary is establistwd at
either 250 feat from tho residuals application
5urfaceVlfater:: OffSitHouse area or50 feet vrithln the property boundary,
_ whichever is closest to flip application wea.
x --- x - Fence U Outbuildidg, b e t ei the bouevnndary
z bois abl established
and
Prep+ rfyL.ine l OnSiteVVell partrneterof the residuals applica ort area.
Feet
mBkw C-U-' 46:" F-6al ` o 230 460 920 1.380 t.8=�o

WQ0001863 - City of Mount Holly RLAP
mot,
APPLICATION MAP
LEGEND
6 d
APPLICATION AREA
rol
UNSUITABLE AREA
PRIVATE ROAD
fir,`
WATER
T _ _
STREAM
ONSITE HOUSE
—
DRAIN
IN
OFFSITE HOUSE
-ae-- -
FENCE
OUTBUILDING
PROPERTY LINE
WELL
SOIL DESCRIPTION
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.
F-I Crwxc1
GRAPHIC SCALE
1" = 660'
sso, o ssa
NC-MG-37
Field I

ATTACHMENT B — Approved Land Application Sites
City of Mount Holly
Certification Date: April 2, 2018
Permit Number: WQ0001863 Version: 3.1
Field/ Site
Owner
Lessee
County
Latitude
Longitude
Net
Acreage
Dominant Soil
Series
Footnotes
NC-CL-11-01
Bowen Family Trust
Andy Bowen
Cleveland
35.3471560
-81,4290030
23.01
CaB2 - Cecil
I
NC-CL-11-02
Bowen Family Trust
Andy Bowen
Cleveland
35.3490030
-81.4279390
15.18
MaB2—Madison
1
NC-CL-12-01
Cedar Lake Farm LLC
Charlie Jones
Cleveland
35.353756°
1 -81.415567°
51.15
HhB - Hulett
2,16
Total.for Cleveland County
89.34
NC-GA-41-01
Springs, Edwin Gregory; Springs, Sarah H.
Gaston
35.2955330
-81.0316170
3.40
MaB2 — Madison
3
NC-GA-41-06
Springs, Edwin Gregory; Springs, Sarah H.
Gaston
35.2974330
-81.0309310
8.90
CeB2 - Cecil
3,14
NC-GA-41-09
Springs, Thomas W., III
Gaston
35.2942560
-81.0315530
4.00
Ce132 - Cecil
3
NC-GA-41-10
Springs, Edwin Gregory; Springs, Sarah H.
Gaston
35.2962920
-81.0268860
7.90
CeB2 - Cecil
3, 14
NC-GA-41-14
Springs, Edwin Gregory; Springs, Sarah H.
Gaston
35.2951280
-81.0284580
6.80
CeB2 - Cecil
3,14
NC-GA-44-01
Allen, George Bennett
Gaston
35.3999690
-81.3294220
7.90
WeD - Wedowee
4
NC-GA-45-01
Allen, David; Allen, Sharon
Gaston
35.3785470
-81.2860080
17.00
LdB2 - Lloyd
5, 15
Total for Gaston County
55.90
NC-LT-44-01
Shank, Jenny; Shank, Lee
Lincoln
35.4162280
-81.1618970
15.65
CcB - Cecil
7
NC-LT-45-01
Macomson, Michael Talbott
Lincoln
35.5139330
-81.2688940
15.01
CcB - Cecil
8,
NC-LT-46-01
LTJ Properties LLC
Lincoln
35.4091030
-81.0406220
11.80
CeB2 - Cecil
9
NC-LT-46-02
LTJ Properties LLC
Lincoln
35.4114670
-81.0358530
45.20
CeB2 - Cecil
10
NC-LT-46-03
LTJ Properties LLC
Lincoln
35.4076860
-81.033881'
9.90
Cc132 - Cecil
9
NC-LT-46-04
LTJ Properties LLC
Lincoln
35.4078060
-81.0342530
19.40
Ce132 - Cecil
10
NC-LT-46-05
LTJ Properties LLC
Lincoln
35.415708'
-81.031 194°
7.90
LdB2 - Lloyd
10
NC-LT-46-06
LTJ Properties LLC
Lincoln
35.4138580
-81.0137940
5.40
PeB2 - Pacolet
11
NC-LT-46-07
LTJ Properties LLC
Lincoln
35.4427810
-81.0080030
7.00
PeB2 - Pacolet
12
NC-LT-46-08
LTJ Properties LLC
Lincoln
35.405769°
-81.041036°
6.60
CeB2 - Cecil
9
NC-LT-46-09
Jones, Tony
Lincoln
35.410469°1
-81.026819'
7.30
LdB2 - Lloyd
10
WQ0001863 Version 3.1 Attachment B Page I of 2

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Site: NC-f-"A g
1 inch = 660 feet
(all locations approximate)
The compliance boundary Is established at
either 250 feet from the residuals application
area or 50 feet within 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.
Feet
0 160320 640 960 1,280

State of North Carolina
Department of Environmental Quality
DWR Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
Division of Wester Resources NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
May 31, 2019 RECEIVED/NCDeNR/0WF?
To: MIT, er l@or�ey Basinger JUN ^ �,
� 2019
From: Ranveer Katyal, Water Quality Permitting Section - Non -Discharge Branch WQROS
MOORESVILLE REGIONAL OFFICE
Permit Number: WQ0001863 Permit Type: Land Application of Residual Solids (503)
Applicant: City of Mount Holly Project Type: Renewal
Owner Type: Municipal Owner in BIMS? Yes
Facility Name: City of Mount Holly RLAP Facility in BIMS? Yes
Signature Authority: David E. Johnson Title: Utilities Director
Address: PO Box 406, Mount Holly, NC 28120 County: Gaston
Fee Category: Non -Discharge Major Fee Amount: $0 -Renewal
Comments/Other Information:
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.
c
RO-WQROS Reviewer: Date:
FORM: WQROSNDARR 09-15 Page 1 of 1

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
DAVID E. JOHNSON — UTILITIES DIRECTOR
CITY OF MOUNT HOLLY
PO Box 406
MOUNT HOLLY, NORTH CAROLINA 28120
Dear Mr. Johnson:
NORTH CAROLINA
Environmental Quality
May 31, 2019
RECEIVED/NCDENR/DWR
JUN - 6 2019
MOORESVILWQROS
LE REGIONAL OFFICE
Subject: Acknowledgement of
Application No. WQ0001863
City of Mount Holly RLAP
Residuals Management System
Gaston County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 31, 2019. 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 [phone] or [e-mail].
cc:
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
®� Q
�� North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center 1 Raleigh, North Carolina 27699-1617
noan+cnnouwn
oewn�cmoie.vo�iu�u\ 919.707.9000

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'I'Prepared by,-,
SYMAGRO CENTRAL L14 L C
,12701 Lanca- slter Hwy
Pinevd1e) NC 28134
Phone�'. (704) 650-4-341.
Fzix-. (4,46) /11.89-911-82
�i'\f i-i,,y 27, 20119

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PiERIVViT NO. WO�' OO 1386I,M
City of Mount �AoHjy, NC
Prepared by.-
SYNAGRO CENTRAL, LLC
12701 Lancas"Ler Hwy
Pineville., NC 28134.
Phone: [phone]
Fax: [phone]
May 27, 201(9,

Page 1 of 4
Google Maps 610 E Center Ave, Mooresville, NC to Drive 48.1 miles, 1 h 5 min
495 N Carolina 16, Stanley, NC 28164
610 E Center Ave
Mooresville, NC.28115
Get on 1-77 S in Davidson from E Wilson Ave
and NC-1100/Brawley School Rd
---—9-min-(3.7 mi)
t 1. Head west on E Center Ave toward
Cedar St
mi
h 2. Turn left onto S Church St
mi
r' 3. Turn right onto E Wilson Ave
r.5 mi
t 4: Continue onto NC-1100/Brawley School
Rd
0 mi
A 5. Turn left to merge onto 1-77 S
mi
Follow 1-77 S and 1-485 Outer to NC-27 W/Mt
Holly Rd in 12, Paw Creek. Take exit 14 from
1-485 Outer
^^ min-(24.2 mi)
Map data ©2016 Google 2 mi
7 NlA/'InIt

6. Merge onto 1-77 S
mi
7. Use the right 2 lanes to take exit 19A-
19B for Interstate 485 Outer S toward
Spartanburg
4.1mi.
8. Merge onto I-485 Outer
n.1 mi
9. Take exit 14 for North Carolina 27/Mt
Holly Rd
mi
Continue on NC-27 W. Drive to Broome St in
Mount Holly
".6 mi)
r 10. Turn right onto NC-27 W/Mt Holly Rd
+.4 mi
f'1 11. Turn left to stay on NC-27 W/Mt Holly
Rd
0 Continue to follow NC-27 W
.5 mi
'1 12. Turn left onto Highland St
--0.8 mi
t 13. Continue onto S Main St
13ft
41 14. Turn left onto Tuckaseege Rd
©.5 mi
41 15. Turn left onto Broome St
A Partial restricted usage road
Destination will be on the right
-- 8.3 mi
42 min (32.4 mi)
9
201 Broome St
Mt Holly, NC 218120
Take Tuckaseege Rd to S Main St
Page 2 of 4 4
'INA/)AI C

Page 3 of 4
t 16. Head south on Broome St toward
Sports Ln
Partial restricted usage road
.3 mi
P' 17. Turn right onto Tuckaseege Rd
0.5 mi
Take NC-273 N to NC-16 S in Catawba Springs
--�0 r"4n-(1 .8 mi)
f'
18.
Turn right onto S Main St
_--_____ --413 ft
t
19.
Continue onto Highland St
- -4.2 mi
t
20.
Continue onto NC-273 N/N Main St
Continue to follow NC-273 N
.6 mi
1*
21.
Turn right onto State Rd.1922/Lucia
Riverbend Hwy
1.0
mi
41
22.
Turn left onto NC-16 N
7.1
mi
23.
Take the North Carolina 73 exit toward
North Carolina 16
N/Lincolnton/Huntersville
__..1.2 mi
*1 24. Turn left onto NC-73 W
0.1 mi
25. Turn left to merge onto NC-16 S
0.6 mi
23 min (15.7 mi)
495 N Carolina 16
Stanley, NC 28164

Page 4 of 4
These directions are for planning purposes only. You may find that construction
projects, traffic, weather, or other events may cause conditions to differ from the
map results, and you should plan your route accordingly. You must obey all signs or
notices regarding your route.
Google Maps
\I
I /7 A /7 01 <

May 27, 2019
N.C. Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section — Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTENTION: Mr. Nathaniel Thornburg t�P o1�crav9�\ti
Nor ��9
REFERENCE: APPLICATION FOR RENEWAL OF PERMIT R 0001863
CITY OF MOUNT HOLLY
Dear Mr. Thornburg:
On behalf of the City of Mount Holly, Synagro is submitting this application to renew the
referenced residuals land application permit.
Contained in this renewal are the deletion of three sites and the modification of two sites.
The two sites that were modified were done so due to property line changes. The required
maps are being submitted for both sites. Forms RLAP and LASC are included, along with
other required forms and documentation. Those sites include:
• CL-11: Deletion
• GA-44: Deletion
• GA-45: Deletion
• MG-37: Modification
• GA-41: Modification
This application package should contain all of the information necessary to complete the
renewal of the City of Mount Holly's permit. However, if you require additional information
or have further questions, please contact me at [phone] or abrigmangs�na rg o.com.
Thank you in advance for the timely and efficient review of this renewal application.
Sincerely,
Adam Brigman
Technical Services Specialist
Synagro
CC: David Johnson, Utilities Director, City of Mount Holly
[e-mail]
[e-mail]
12701 Lancaster Highway, Pineville NC, 28134 • Phone: [phone] • Fax: [phone]

State of North Carolina
Department of Environment and Natural Resources
-:-. W-Z Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 11-13 & 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 website at:
htW.-Ilportal. ncdenr. or g/web/wg/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 11-13) Application: (All Application Packages):
Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 11-13) fonn. 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.
STANDARD APPLICATION REVIEW FEES:
Facility Classification I New Permit I Major Modification 1
Major (land are permitted for > 300 acres) 1 $1,310 1 $395
Minor (land are permitted for < 300 acres) I $810 I $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) �`
H1 List all items included in the application package, as well as a brief description of the requested pee�i� 'action.
D. Environmental Assessments (May be Required — See 15A NCAC 1 C .0300) ��"
Submit a copy of the Findings of No Significant Impact (FONSI) or Environment 1�act State�bt (EIS). Also, include
information on any mitigating factor(s) from the Environmental AssessingEtlele-
) that mpa t econstruction of the
residuals treatment and storage facilities. An EA may also be required for prisysts w any pu. e funds and/or lands
are used for the construction of the subject facilities. �v� O,50r
Pe
INSTRUCTIONS FOR FORM: RLAP 11-13 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 .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;
Rj 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.
N 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:
® 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.
® 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)
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
® 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.
® 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 11-13 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.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
0 Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://portal.ncdenr.or web/wq/aps/laq/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 .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
El 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: http://portal.ncdenr.org/web/wq/gps/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 RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 11-13 Page 3 of 3

State of Forth Carolina
Department of Environment and Natural Resources -W--, RDivision of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 11-13
I. APPLICANT INFORMATION:
1. Applicant's name: City of Mount Holly
Applicant type: ❑ Individual El Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
Federal ❑ State N Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: David Johnson Title: Utilities Director
Applicant's mailing address: P.O. Box 406
City: Mount Holly State: NC Zip: 28120
Telephone number: 704 458-1309 Email Address: [e-mail]
2. Consultant's name: Synagro Central, LLC License Number (for P.E.):
Affiliation: On Staff ❑ Retained (Firm: )
Consultant's mailing address: 12701 Lancaster hwy
City: Pineville State: NC Zip: 28134-
Telephone number: 704)- 650-4341 Email Address: [e-mail]
1an@s�nagro.com
3. Agronomist's name: License Number:
4. Affiliation: N/A ❑ On Staff ❑ Retained (Firm:, ;)
Agronomist's mailing address:
City: State: Zip:
Telephone number: Email Address:
5. Soil Scientist's name: G. Christopher Murray License Number: 1284
Affiliation: ❑ N/A ❑. On Staff Z Retained (Firm: Piedmont Environmental)
Soil Scientist's mailing address: 284 Boger Road
City: Oak Ridge State: NC Zip: 27526-.
Telephone number: 336) 662-5487 Email Address: [e-mail]
6. Fee submitted: (See Instruction B)
II. PERMIT INFORMATION:
oC�1u�DINCD�-n���R
R�
mg 3 4 2019
t40n_0i5c1nUg`
pe"Jwn9
1. Application is for (check all that apply): ❑. new, ❑ modified, 0 renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: WQ0001863
Date of most -recently issued permit: 04/02/18
Date of most -recently certified Attachment A (if different than the permit): 12/01/2014
Date of most -recently certified Attachment B (if different than the permit):
FORM: RLAP 11-13 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 201 Broome St.
City: Mount Holly State: NC Zip: 28120
Coordinates: Latitude: 35' 16' 57" Longitude: 81' 00' 41"
Datum: NAD 83 Level of accuracy: Second
Method of measurement: MAP
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
Doug Shoutd
City of Mount Holly
#998746
Back -Up ORC
Michael Ben Moretz
City of Mount Holly
#989274
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 Availahle 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: 910 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
56.26
63.76
43,883
49,733
Five -Year Maximum Adjusted
85.33
92.83
66,556
72,406
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
15.0
Hay
18.3
Pasture
214.0
Total:
247.4
Methods
Surface
247.4
Incorporation or Injection
0.0
FORM: RLAP 11-13 Page 2 of 5

Total: 247.4
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
gbs 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
877.7
994.7
1331.1
1448.1
100
438.8
497.3
665.6
724.1
150
292.6
331.6
443.7
482.7
200
219.4
248.7
332.8
362.0
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.):[-.
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;
❑ 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
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.
9
Land Application Siite
Certification. doc
FORM: RLAP 11-13 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system on1Y.
q. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: 0 Spray ❑ 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?
[] 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:
Recommended
Recommended
Soil Series
Fields within Soil Area
Loading Rate
Loading Rate
in/hr)
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ 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
Number of
Maximum Application
Design Annual Loading
(ftZ)
Nozzles
I Rate ( allons/hr)
Rate ( allons/ r)
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
i ft
Wetted area of nozzles
ftz
----
Nozzle capacity
_
m
Nozzle manufacturer / model
Elevation of highest nozzle
ft^
FORM: RLAP 11-13 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
fhe 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 .51 ❑ No, Explain; '
I, David Johnson Utilities Director
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for City of Mount Holly
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water
Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes
unless 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 § 143-215.6B, any person who knowingly makes any
else 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.
Signature: Date:
FORM: RLAP 06-16 Page 5 of 5

OPERATIONS AND MAINTIENENCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0001863 (City of Mt Holly)
Inspection Plan
Inspections for the land application of residuals will be conducted within 48 hours of the land application of
residuals at the land application site during the land application activities of this project. The inspection frequency is
based on the time frame that it is going to take to complete the project and the amount of dry tons to be land applied
from the this facility. The inspections will consist of inspecting a current field that is being land applied as well as
inspecting random fields that have been completed. These inspections will consist of
1. Verifying that the pre -operations checklist been completed and signed by both operations and technical
staff.
2. Checking the calculated loads to insure the correct amount of residuals are being land applied.
3. Insure that all manned equipment has a copy of a spill control plan, the permit, and the operations and
maintenance plan.
4. Insure that the field has been flagged properly and that all buffers are being adhered to.
5. Insure that the crop and landowner verification form has been filled out.
6. Verifying that the correct number samples of the residuals have been taken and that it meets the criteria
for land application.
7. The records will be kept in the project fields in the respective office for the project.
8. The Permitee or Inspector shall report by telephone to Mooresville regional office of the NCDEQ by
telephone [phone]) as soon as possible but no later than 24 hours after or the next working day
following the occurrence or the first knowledge of the occurrence of the following.
a Any occurrence with the distribution program resulting in the land application of
significant amounts of material that is abnormal in quantity or characteristic.
Any failure of the distribution system that results in the release to surface
waters.
Any time that self -monitoring indicates that the facility has gone out of
compliance with the permit.
• Any process failure that results in the system not adequately treating the
residuals.
And\y 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 DEQ at 1-800-662-7956, 1-800-858-0368, or 1-919-733-
3300. These numbers are to be called in the event of a release to surface waters,
imminent failure of a storage system when the event occurs of normal business
hours.
Within 5 days of the first notice of an occurrence a written response in the form
of a letter shall be sent to DEQ outlining the actions taken or purposed actions to
ensure that the problem does not recur. Persons responsible for inspections on
this project are as follows:
Doug Shoutd Plant Superintendent or his designee (Doug Shoutd is the
designated land application ORC for this project and his designees are
the backup ORC's for this project.

OPERATIONS ARID MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQOOOI863 (City of Mount Holly)
Operational Functions
The operation function of this project is going to involve removing liquid biosolids from a n aerobic digester that is mixed
and pumped by the City of Mt. Holly. The land application contractor will use a dri-prime pump and a load stand to load
tankers out of the digester. The biosolids will be transported to the land applications . ite in the tankers to be off loaded
with a liquid spreader. The material is going to be spread with a liquid applicator that will use a vacuum/pressure pump
to off load the liquid to the spreader then switch to pressure to spread the material in such a way to achieve a consistent
spread pattern. The material is going to be land applied on fields that have grass growing on them that are going to
either be grazed or cut for hay for animal feed some fields may be in row crop production and rates will be determined
by RYE for the crop that is going to be grown for animal consumption.
SAFETY MEASURES
Synagro believes in operating in a safety conscious manner and is has all employees participate in quarterly online safety
course that are designed to help its 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 is going to cause environmental or personal harm.
Maintenance Schedule
nagro will follow the maintenance schedule as recommended by the Synagro fleet manager for the equipment
necessary to complete the job.

OPERATIONS AND MAINTENANCE PLAN
SYNAGRO RESIDUALS LAND APPLICATION FOR WQ0001863
Sampling Plan
Sampling for this project consists of sampling the residuals during the time that land application is occurring. This will
result in one round of sampling to occur before land application commences in order to insure that the residuals are
suitable for land application. Based on the dry tonnage of this plant this will be quarterly sampling for all parameters
per year. Synagro will track the dry tonnages produced throughout the year at this plant and adjust the sampling
frequency as required based on the dry tons land applied.
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
Tetra chloroethylene (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)
he 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 vector requirements the material will be sampled for 30 day bench scale test and fecal to prove that the
residuals have met the pathogen requirements of the permit for the WWTP. The WTP has no vector requirements since it is water
treatment residuals with no domestic waste water contribution to them nor will they be mixed with any other residuals. The
samples will be pulled from the digester at the WWTP that are currently holding residuals. The WTP samples will be pulled from
the specific lagoon that the city chooses to clean out that year. The samples that will be pulled for TCLP, nutrients and metals, 30
day bench scale and a fecal sample to prove that the material is suitable for land application. The nutrient and metal and TCLP
sample will be collected randomly and consist of at least 15 individual samples mixed together in order to get the composite
ample for these parameters. This material is very consistent based on the fact that it is residuals from the treatment of drinking
ater so there should not be any seasonal fluctuations in these residuals.
The following people are responsible for sampling: Doug Shoudt Plant Superintendent or his designee.

SPILL CONTROL PLANT
PROJECT: City of Mount Holly Permit No. W00001863
IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE IMMEDIATELY TAKEN:
MANAGEMENT OF CLEANUP ACTIVITIES: The first Synagro representative (whether IC, operator, or
manager) at the scene will begin procedures to halt the spill and call Synagro and City of Mount Holly staff to help
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. Personal protective equipment (PPE) must be worn by all
persons involved in the cleanup activities. PPE will include safety glasses, safety vests, steel toed boots, and
gloves. The Operations Manager shall also communicate with the public on the -scene, answering questions and
advising of the cleanup activities.
2. HALT SOURCE OF SPILL: Such as a ruptured container or damaged transport unit.
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, farin supply center, nursery, etc.
t. 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.
NOTIFICATION: As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will
notify the local Synagro 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 project calling list. The contacted City
of Mount Holly representative will call the Mooresville Regional Office of NCDEQ, unless he/she requests
Synagro to call instead.
REPORTING: City of Mount Holly/project personnel and/or regional Synagro personnel will notify the Regional
Office of DEQ by telephone as soon as possible, but not more than 24 hours, 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 Residuals
Management Coordinator (or appropriate City of Mount Holly personnel). The report shall list all relative
information and actions taken. City of Mount Holly or Synagro regional and project personnel will file a written
report to the appropriate regional office of DEQ within 5 days of the occurrence (decided on a case -by -case basis).
Version Date: 01/2018

State of North Carolina
Department of Environmental Quality
.� Division of Water Resources
�D l lon of WaterResoatrces RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discharze Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Mount Holly
Status
n
Code
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current n
Proposed
R
City of Mount Holly
Mount Holly WWTP
Gaston
NCO021156
780
780
R
City of Mount Holly
Mount Holly WTP
Gaston
01-36-020
130
130
'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

State of Forth "Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water ResourcesRESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Mount Holly WWTP
2. Facility permit holder is: Federal, [_] State, Local Government, or ❑; Private.
Facility permit issued by: Div. of Water Resources, Div. of Environmental Health,
or [] Other (explain:
3. Facility contact person and title: Doug Shoutd
Complete mailing address: 201 Broome St
City: Mount Holly State: NC Zip: 281201,
Telephone number: 704) 827-4261 E-mail address: d uo shoutd(a�mtholl��us
4. Facility physical address: 201 Broome St
City: Mount Holly State: NC Zip: 28120;�_]
Coordinates: Latitude: 350 16' 57" Longitude: 810 00' 41"
Datum: NAD 83 Level of accuracy: Second
Method of measurement: MAP
5. Purpose of the facility:
treatment of municipal wastewater, treatment of 100% domestic wastewater,
[� treatment of potable water, treatment of 100% industrial wastewater,
[] treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: i� % industrial and C -7 % domestic)
other (explain: I __ 1).
6. Does the facility have an approved pretreatment program:Yes No
7. Facility permitted/design flow: 4_0 MGD and facility average daily flow: 2_1 MGD
8. Average amount of residuals being generated at this facility 210 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: ! _ _
Type and volume of residuals storage (i.e., outside of residuals treatment units): 2c_o_ncr_ete cylindrical storage tanks -both
hold � 75.0,000. gallons -.each
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
0 40 CFR Part503 or Ej 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
0 Biological Non -Biological
FORM: RSC 06-16 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: [j 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: 11 yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: ;Summit Environmental Technolaies; Inch and Date of analysis: ,01721/19,
Passed corrosivity test: yes [( no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: yes Q no. Flashpoint: non-flammable °F (> 140°F)
Passed reactivity test: M yes ❑no. HCN: ND mg/kg (<250) & HZS: 1VD mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
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 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Shealy Environmental and Date of analysis: 05/02/19
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
ND
Cadmium
85
39
1.1
Copper
4,300
1,500
440
Lead
840
300
11
Mercury
57
17
ND
Molybdenum
75
n/a
ND
Nickel
420
420
14
Selenium
100
100
ND
Zinc
7,500
2,800
780
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: �_l and Date of analysis: 1�.M.
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
> 25 but < 50
34
220
240
C( > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids:
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: tShealy Environmental and Date of analysis: ,O5/0 TO,
Parameter
Result
(mg/kg)
Aluminum
20,000
Ammonia -Nitrogen
7,500
Calcium
10,000
Magnesium
3,700
Nitrate -Nitrite Nitrogen
2,030
pH (Standard Unit)
7.2
Phosphorus
24,000
Potassium
4,800
Sodium
8,300
Total Kjeldahl Nitrogen
82,000
c. Using the results listed in Item I1. 5b. above, calculate the sodium adsorption ration (SAR):
[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: 4 0 %. This
rate is a (check one): 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: I
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 (15f) Year PAN
Five -Year
Maximum Adjusted PAN
(mg�k
(mg/kg)
Surface
28,130
42,664
Injection/Incorporation
31,880
46,414
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: F_ -1
FORM: RSC 06-16 Page 4 of 5

7. PathoLyen 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
[[ 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.1106(b)(3)(B)] - Alkaline Treatment.
[� Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Hehninth 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: composting, [] heat drying, El heat treatment,
H thermophilic aerobic digestion, n beta ray irradiation,
gamma ray irradiation, or Q 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.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: [[ aerobic digestion, El air drying, Q anaerobic digestion,
0 composting, or [] lime stabilization.
c. Far Surface Disposal:
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
[� Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
[( Exempt -If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.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:
0 Alternative 1 [15A NCAC 02T. 1 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
E] Alternative 2 [15A NCAC 02T. 1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
M Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T. 1 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
Q Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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Quantitative Justification for Residuals Production Rate
Facility:
City of Mt Holly WWTP
Requested Permitted Rate:
780 dry tons/year
Justification: This is currently permitted for 780 dry tons as listed in the most current permit.
We would like to keep the dry ton rate the same, due to future growth. They have averaged 221 dt
over the past 8 years.
Calculations:
The dry tons requested for permitting is based on the volume of material times the
percentage of solids.
6,000,000 gallons x 1.38% solids x 8.34/2000 = 345 dt

Residuals Sampling Plan
City of Mount Holly 4 Mount Holly WWTP
Nutrients and Metals Analysis
Sampling Point: Storage tanks
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: Shealy Environmental
Pathogen (Fecal Coliform Density Demonstration)
Sampling Point: Storage tanks
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: Shealy Enviormental
Vector Attraction Reduction
Sampling Points: Storage tanks
Sampling Frequency: Quarterly
Sample Type: Grab
Lab: Par Laboratories, Inc.
TCLP + RCI
Sampling Point: storage tanks
Sampling Frequency: Annually
Sample Type: Grab
Lab: Summit Environmental Technologies, Inc
12

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Adam Brigman
Project Name: City of Mt. Holly
Project Number: 50-1701
IR.ii►fft ,,
Date Completed:05/07/2019
05/07/2019 4:23 PM
Approved and released by:
Lab Director - Greenville: Lucas Odom
AI�B'
4eOFF
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 1 of 12

Client: Synagro Laboratory ID: UD30045-001
Description: Mt. Holly 2 of 4 Fecal Matrix: Solid
Date Sampled:04/30/2019 0730 % Solids: 1.38 05/01/2019 0118
Date Received: 0413012019
Inorganic non-metals
.un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Fecal Colifo) SM 9222 D-2006 1 05/01/2019 2330 MDD 04/30/2019 1954
CAS Analytical
Parameter Plumber Method Result Q LOQ DL Units Run
Fecal Coliform-MF
SM 9222 D- 145180 20
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated result < LOQ and > DL
H = Out of holding time W = Rbported on wet weight basis
aly Environmental Services, Inc.
Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
col/g 1
Page 3 of 12

Client:Synagro Laboratory ID:UD30045-003
Description: Mt. Holly 2 of 4 Fecal Matrix: Solid
Date Sampled:04/30/2019 0730 % Solids: 1.37 05/01/2019 0118
Date Received:04/30/2019
Inorganic non-metals
tun Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Fecal Colifo) SM 9222 D-2006 1 05/01/2019 2330 MDD 04/30/2019 1954
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Fecal Coliform-MF
SM 9222 D- 73105 20 col/g 1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated result < LOQ and > DL
H = Out of holding time W = Reported on wet weight basis
aly Environmental Services, Inc.
i Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 5 of 12

9
Client: Synagro Laboratory ID: UD30045-005
Description: Mt. Holly 2 of 4 Fecal Matrix: Solid
Date Sampled:04/30/2019 0730 % Solids: 1.36 05/01/2019 0118
Date Received: 04/3012019
Inorganic non-metals
Lin Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Fecal Colifo) SM 9222 D-2006 1 05/01/2019 2330 MDD 04/30/2019 1954
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Fecal Coliform-MF SM 9222 D- 73314 20 col/g 1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quanlitation of compound exceeded the calibration range DL = Detection Limit
NO = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated result < LOQ and > DL
H = Out of holding time W = Reported on wet weight basis
aly Environmental Services, Inc.
Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 7 of 12

Client: Synagro Laboratory ID: UD30045-007
Description: Nit. Holly 2 of 4 Fecal Matrix: Solid
ate Sampled:04/30/2019 0730 % Solids: 1.40 05/01/2019 0118
ite Received:04/30/2019
Inorganic non-metals
un Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch
1 (Fecal Golifo) SM 9222 D-2006 1 05/01/2019 2330 MDD 04/30/2019 1954
CAS Analytical
Parameter Number Method Result Q LOQ DL Units Run
Fecal Coliform-MF
SM 9222 D- 143195 20 col/g 1
LOQ = Limit of Quantitatlon B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
NO = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated result < LOQ and > DL
H = Out of holding time W = Reported on wet weight basis
fly Environmental Services, Inc.
Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 9 of 12

M
,Shealy Environmental Service, Ine,
1013-Vantage Paint DrjUfl
Chafn of Custody Record 'Af-nt-Columbtaa, 3oLAh.C;aroljna 2U'72
MLimb Dr.
ialgprrsne No. C663j ,YG l -0,70C )=exNa, (8C3} 791-9111
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�uur4 Na-.
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P AWL
PRO NIPT•ACOU RATE- RELIABLE
EAEORATOIUES., INC
W1"V.PaRLABS.COM
REPORT OF ANALYSES
Attn: ADAM BRIGMAN
SYNAGRO
12701 LANCASTER HWY
PINEVILLE, NC 28134-
PROJECT NAME: JAN 19
DATE: 02/13/19
SA1Ad.PLL NUMBER-
134501
SAIJPLE rD- CITY (ir`
Ns`I'. HOLLY 1 OF 4
SAMPLE MATRIX- SO
DATE SAMPLED-
01/03/19
TIME SAMPLED- 0830
DATE RECEIVED-
01/03/19
SAMPLER- AB
RECEIVED BY- DJ
TIME RECEIVED-
1340
DELIVERED BY- AB
TYPE SAILPLE- Grab
Page 1 of 1
ANALYSIS
ANALYSIS
METHOD
DATE TIME BY
RESULT UNITS
30 DAY BENCH SCALE
TEST
VAR
01/03/19 1600 RE
3.39 a
LABORATORY DIRECTORL.-
2217 Graham Park Drive • Charlotte, NC 28273
Phone: [phone] a Fax: [phone]

PAR
PROMPT- ACCU RATE- RELI AS LE
LABORATORIES, INC
W W W. PARLABS.COM
Collected
D.O.
Crucible
Tare Wt (g)
Sample Wt +
Tare Wt (g)
Liquid Sludge Wi
(9)
Oven Temp °C
Date/Time In
Date/Time Out
Dried Sample W1
+ Tare Wt (g)
Dried Sludge Wt (g)
Fixed Solids Wt (g)
Furnace Temp °C
Date/Time In
Date/Time Out
Burned Sample
Wt + Tare Wt (g
Volatile Solids Wt (g)
TS%
VS%
30 ®ay Bench Scale Extended Aeration Test
VAR Ontinn 3 Percent Vnlatile Solids Reduction
SYNAGRO
CITY OF MT HOLLY 1 OF 4
134501
• - 01/03/19
01131/19
As Received Day 0 Day 7 Day 14 Day 21 Day 28
not rnBr4o nifn•afio n4tin11t:i n11.1711Q n112dmg 01131/19
- _
4.68
5.10
5.93
6.11
6.69
X29
X29
X31
X32
X2
X7
20.1060
20.1060
22.1002
24.4294
25.0654
19.2827
29.8485
29.8485
31.8701
34.3355
35.1293
29.3293
9.7425
9.7425
9.7699
9.9071
10.0639
10.0466
106
106
106
105
106
106
01/03/19 16:00
01/03/19 16:00
01/10/19 09:30
01/17/19 08:50
01/24/19 10:00
01/31/19 11:20
01/04/19 14:50
01/04/19 14:50
01/11/19 10:00
01/18/19 09:10
01/25/19 10:00
02/01/19 11:00
20.2685
20.2685
22.2626
24.5940
25,2325
19.4465
0.1625
0.1625
0.1624
0.1656
0.1671
0.1638
0.0350
0.0361
0.0370
0.0374
0.0368
550
550
550
550
550
01/04/19 16:30
01/11/19 13:40
01/18/19 12:30
01/25/19 12:15
02/01/19 14:00
t,
01/04/19 17:20
01/11/19 14:45
01/18/19 13:50
01/25/19 13:10
02/01/19 15:05
'2{-
1a j
20.1410
22.1363
24.4654
25.1028
19.3195
0.1275
0,1263
0.1286
0.1297
0.1270
1.67%
1.67%
1.66%
1.67%
1.66%
1.63%
78.46%
77.77%
77.66%
77.62%
77.53%
Yf Mass Fraction of volatile Solids in Liquid (Feed)
Yb Mass Fraction of Volatile Solids in Liquid (Bottom)
Sludge at Start of Test
0.0130870
Sludge at End of rest
0.0126411
Xf Mass Fraction of Fixed Solids in Liquid (Feed) Sludge
Xb Mass Fraction of Fixed Solids in Liquid (Bottom)
at Start of Test
0.0035925
Sludge at End of Test
0.0036629
TS
0.1625
TS ()
0.1638
VS ()
0.1275
VS (g)
0.127
Volatile Fraction In: 0.46982
P,O. Box 411483 a Charlotte, NC 28241-1483
Phone: [phone] a Fax: [phone]
a
Volatile Fraction Out: 1 0.47564

SO l
EAVIHJt•JP.1ENTAL TZMINC1LOGIES, INC
Anistvfta1 L-aboraf o7e
January 21, 2019
Adam Brigman
Synagro, NC 28134
12701 Lancaster Hwy
Pineville, NC 28134
TEL: [phone]
FAX: [phone]
RE: Mt Holly
Dear Adam Brigman:
Summit Environmental Technologies, Inc.
3310 Win St.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX- [phone]
Website: httn://Mtw.settek.com
Order No.: 19010438
Summit Environmental Technologies, Inc. received 1 sample(s) on 1/9/2019 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 01100923, Illinois
200061, Indiana C-011-13, Kansas E-10347, Kentucky (Underground Storaee Tank) 3, Kentucky 90146, Louisiana 04061, Maryland 339, Minnesota
409711, New Hampshire 2996, New Jersey OH006, New York 11777, ATorth Carolina 39705 and 631, North Dakota R-201, Oklahoma 9940, Oregon
OH2O0001, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-11-5, Utah OH009232011-1, Virginia VELAP 9456, Washington
C891
Page 1 of 28

Summit Environmental Technologies, Inc. Case Narrailve
O IT 3310 Win St. l�
EC. Cuyahoga Falls, Ohio44223 WO#: 19010438
Ai7alytical Uj&draidfi TEL: [phone] FAX. [phone]
Website. httv.1Avww.settekcom Date: 1/21/2019
CLIENT: Synagro, NC 28134
Project: Mt Holly
recoveries.
CCV 40ng 14287 SVOC-MSTR S(8270): The CCV (Batch R93442) exhibited low recovery for
Pyridine. Possible low bias for Pyridine due to low recovery in CCV; Reporting Limit Check shows
adequate instrument sensitivity for reporting purposes.
MB-35513 SVOC-BNA - TCLP(8270): MB-35513 exhibited low recovery of Surrogate: 2-Fhiorophenol.
MB-35513 SVOC-BNA_TCLP(8270): Possible low bias for Pyridine due to low recovery in CCV;
Reporting Limit Check shows adequate instrument sensitivity for reporting purposes.
LCS-35513 SVOC BNA_TCLP(8270): LCS-35513 exhibited low recovery of Surrogate: 2-
Fluorophenol.
LCS-35513 SVOC-BNA_TCLP(8270): Possible low bias for Pyridine due to low recovery in CCV;
Reporting Limit Check shows adequate instrument sensitivity for reporting purposes.
Original
Page 3 of 28

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- Summit Environmental Technologies, Inc. Analytical Report
SUMM111 3310 Agin St.
E?'1?IitOd�tu9 ]TALTP�F@h1pEOG3�5,IF:� CgyahogaFalls, Ohio 44223 (base report)
4+rt Wjoal La66rafai#?e0 TEL: [phone] FAX.- [phone] WO#: 19010438
Website: htty.#Ww t iv.settekcom Date Reported: 1/21/2019
CLIENT: Synagro, NC 28134 Tag Number:
Matrix: SLUDGE Collection Date: ln,12019 10:02:00 AM
Lab ID: 19010438-001A
Project: Mt Holly
Client Sample ID Mt Holly
Analyses Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW7470A
SW7470A Analyst: DNS
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury ND
0.00500
mg/L
1
1/10/2019 5:42:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW6010D
SW3010A
Analyst: EAM
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenic(As) ND
0.500
mg/L
1
1/11/2019 3:05:24 PM
TCLP Badum(Ba) ND
5.00
mg/L
1
1/11/2019 3:05:24 PM
TCLP Cadmium(Cd) ND
0.100
mg/L
1
1/11/2019 3:05:24 PM
TCLP Chromium(Cr) ND
0.200
mg/L
1
1/11/2019 3:05:24 PM
TCLP Lead(Pb) ND
0.500
mg/L
1
1/11/2019 3:05:24 PM
TCLP Selenium(Se) ND
0.0500
mg/L
1
1/11/2019 3:05:24 PM
TCLP Silver(Ag) ND
0.500
mg/L
1
1/11/2019 3:05:24 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
1,4-Dichlorobenzene
ND
2,4,5-Trichlorophenol
ND
2,4,6-Trichlorophenol
ND
2,4-Dinitrotoluene
ND
o-Cresol
ND
m/p-Cresol(s)
ND
Cresols, Total
ND
Hexachloro-1,3-butadiene
ND
Hexachlorobenzene
ND
Hexachloroethane
ND
Nitrobenzene
ND
Pentachlorophenol
ND
Pyridine
ND
Surr. 2-Fluorophenol
7.60
Surr. PhenoW6
8.76
Surr. Nitrobenzene-0
64.5
Surr. 2,4,6-Tribromophenol
15.3
Surr. 2-Fluorobiphenyl
65.1
SW8270D SW3510C Analyst: BJH
0.0800
mg/L
2
1/151201911:03:00 PM
0.200
mg/L
2
1/151201911:03:00 PM
0.200
mg/L
2
1/15/201911:03:00 PM
0.0400
mg/L
2
1115/201911:03:00 PM
0.200
mg/L
2
1/15/201911:03:00 PM
0.200
mg/L
2
1/15/2019 11:03:00 PM
4.00
mg/L
2
1/15/2019 11:03:00 PM
0.0160
QC+
mg/L
2
1/15/2019 11:03:00 PM
0.0400
mg/L
2
1/15/201911:03:00 PM
0.0800
mg/L
2
1/15/201911:03:00 PM
0.0800
mg/L
2
1/15/201911:03:00 PM
0.200
QC+
mg/L
2
1/151201911:03:00 PM
0.200
QC-
mg/L
2
1/151201911:03:00 PM
10 - 109
S
%Rec
2
1/15/2019 11:03:00 PM
10 - 109
S
%Rec
2
1/15/2019 11:03:00 PM
19 - 120
%Rec
2
1/15/2019 11:03:00 PM
10 - 120
%Rec
2
1/15/2019 11:03:00 PM
22- 117
%Rec
2
1/15/2019 11:03:00 PM
Qualifiers: *
Value exceeds Maximum Contaminant Level.
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
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 Original
RL Reporting Detection Limit
Page 7 of 28

0
Summit Environmental Technologies, Inc. Anal_�Ca7 Report
1 1 3310 Win St. l it 1
E14R�185PIM9ENFAL:T`sC&B�3pt:Ct�,dlna, INC Cuyahoga Falls, Ohio 44223 (base report)
Pgattl ftaf La.6f[ra1'&W TEL: [phone] FAX.- [phone] WO#: 19010438
Website: http://Www.settek.coin Date Reported: 1/21/2019
CLIENT: Synagro, NC 28134 Tag Number:
Matrix: SLUDGE Collection Date: 1/7/2019 10:02:00 AM
Lab ID: 19010438-001A
Project: Mt Holly
Client Sample ID Mt Holly
Analyses Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8151A
SW8151A Analyst: MES
TCLP HERBICIDES ANALYSIS (SW131118151)
2,4-D ND
1.00
mg/L
1
Ill 8/2019 4:18:00 PM
2,4,5 TP ND
0.500
mg/L
1
1/18/20194:18:00 PM
Surr: DCAA 72.6
20 - 140
%Rec
1
1/18/2019 4:18:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8260B
SW1311M Analyst: RMT
TCLP VOLATILES ANALYSIS
1,1-Dichlorcethene ND
0.0500
mg/L
10
1/10120192:42:00 PM
1,2-Dichloroethane ND
0.0500
mg/L
10
1/10/20192:42:00PM
/ MEK ND
0.250
mg/L
10
1/10/2019 2:42:00 PM
Benzene ND
0.0500
mg/L
10
1/10/2019 2:42:00 PM
Carbon tetrachloride ND
0.0500
mg/L
10
1/10/2019 2:42:00 PM
Chlorobenzene ND
0.0500
mg/L
10
1/10/2019 2:42:00 PM
Chloroform ND
0.0500
m mg/L
10
1/10120192:42:00 PM
Tetrachloroethene ND
0.0500
mg/L
10
1/10/2019 2:42:00 PM
Trichloroethene ND
0.0500
mg/L
10
1/10/20192.42:00 PM
Vinyl chloride ND
0.0200
mg/L
10
1/10/2019 2:42:00 PM
Surr: 4-Bromofluorobenzene 99.3
70 - 130
%Rec
10
1/10/2019 2:42:00 PM
Surr. Dibromofluoromethane 95.2
70 - 130
%Rec
10
1/10/2019 2:42:00 PM
Surr. Toluene-d8 100
70 - 130
%Rec
10
1/10/2019 2:42:00 PM
RCI-SOLID-WI IGNITABILITY1030
SW9014
Analyst: MS
REACTIVE CYANIDE (9014/7.3.3.2)-SOLID
Cyanide, Reactive ND
0.495
mg/Kg
1
1/14/201911:38:00 AM
PAINT FILTER FREE LIQUIDS TEST (SW-846: 9095)
SW9095
Analyst: DHC
Free Liquid fail
1
1/9/2019 3:15:00 PM
RCI-SOLID-WI IGNITABILITY1030
SW1030
Analyst: AJT
IGNITABILITY OF SOLIDS (SW-846: 1030)
Ignitability non-flammable
1
1/11/2019 11:00:00 AM
Qualifiers: * Value exceeds Maximum Contaminant Level.
E Value above quantitation
range
H Holding times for preparation or analysis exceeded
M Manual Integration used to determine area response
i
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
Original
R RPD outside accepted recovery limits
RL Reporting Detection Limit
Page 9 of 28

Summit Environmental Technologies, Inc. Accreditation Program
3310 Win St. AIIal teS Report
S
PdMd1C}1T#tL t9;7i]G1i�;d ,W C:ryahogaFalls,Ohio44223
fdfit3PyFtfCBi 'Lalb Tt`mVIGG TEL: [phone] FAX- [phone] WO#: 19010438
Website: httg://www.settekcom 21-Jan-19
Client: Synagro, NC 28134 State: NW
Project: Mt Holly Program Name: NC WW SCM
Sample ID Matrix Test Name Analyte Status
9010438-OOIA Sludge Ignitability of Solids (SW 846: 1030) Ignitability A
Sludge Paint Filter Free Liquids Test (SW-846: 9095) Free Liquid A
Sludge pH (SW9045D) Hydrogen Ian (pH) A
Sludge Reactive Cyanide (9014/7.3.3.2)-Solid Cyanide, Reactive U
Sludge Reactive Sulfide (9034)/7.3A.2 Sulfide, Reactive U
Sludge SVOC PCB (8082) 7 Arochlors 2,2',3,3',4,4',5,5',6,6'- A
Decachlorobiphenyl
Sludge SVOC PCB (8082) 7-Arochlors Aroclor 1016 A
Sludge SVOC PCB (8082) 7 Amchlors Aroclor 1221 A
Sludge SVOC PCB (8082) 7-Arochlors Aroclor 1232 A
Sludge SVOC PCB (8082) 7 Arochlors Aroclor 1242 A
Sludge SVOC PCB (8082) 7 Arochlors Aroclor 1248 A
Sludge SVOC PCB (8082) 7-Arochlors Aroclor 1254 A
Sludge SVOC PCB (8082) 7-Arochlors Aroclor 1260 A
Sludge SVOC PCB (8082) 7-Arochlors Tetrachloro-m-xylene A
Sludge SVOC PCB (8082) 7-Arochlors Total PCBs A
Sludge TCLP Herbicides Analysis (SW131118151) 2,4,5-TP A
Sludge TCLP Herbicides Analysis (SW1311/8151) 2,4-D A
Sludge TCLP Herbicides Analysis (SW1311/8151) DCAA A
Sludge TCLP Mercury Analysis (SW1311/7470) 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) 2,2',3,3',4,4-,5,5',6,6-- A
Decachlorobiphenyl
Sludge TCLP Pesticides Analysis (SW1311/8081) Chlordane, total A
Sludge TCLP Pesticides Analysis (SW1 311/808 1) Endrin A
Sludge TCLP Pesticides Analysis (SW1311/8081) gamma-BHC A
Sludge TCLP Pesticides Analysis (SW1311/8081) Heptachlor A
Original #1
1
Page 11 of 28

- - Summit Environmental Technologies, Inc. Accreditation Program
3310 inn St. Anal teS Report
EItiRFisR�tlt�tl°tIGALuelflltsitlL[tG;m ,INC C:ryahogaFalls,Ohio 44223 �'
AiTaIII11MI Lab&raldgoi TEL: [phone] FAX.- [phone] WO#: 19010438
Website: hap.-IlvwwsetteFcom 21-Jan-19
Client: Synagro, NC 28134
State: NW
Project: Mt Holly
Program Name: NC WW SCM
Sample IID Matrix
Test Name
Analyte
Status
19010438-001A Sludge
TCLP Volatiles Analysis
Tetrachloroethene
A
Sludge
TCLP Volatiles Analysis
Toluene-d8
A
Sludge
TCLP Volatiles Analysis
Trichioroethene
A
Sludge
TCLP Volatiles Analysis
Vinyl chloride
A
Original #1
Page 13 of 28

„ SunmmitEmdroninetttalTechiiologiesl„e. QC SUMMARY REPORT
® 3310 Win St.
Eh&SPIifi®s� td91 taTRIL fii G61t3ClLCltil S„ 9td C Cuyahoga Falls, Ohio 44223
APrUy9fcaPL-,?b6ra[ardas TEL: [phone] FAX: [phone] WO#: 19010438
Website: htR://wwip.settek.com 21-Jan-19
Client: Synagro, NC 28134
Project: Mt Holly BatchlD: 35458
Sample ID MB-35458
SampType: MBLK
TestCode: SVOC-PCB_ Units: mg/Kg
Prep Date: 1/10/2019
RunNo: 93274
Client ID: PBS
Batch ID: 35458
TestNo: SW8082 SW3550C
Analysis Date: 1/10/2019
SegNo: 1902113
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Aroclor 1016
ND
0.00600
0
0
Aroclor 1260
ND
0.00600
0
0
Aroclor 1221
ND
0.00600
0
0
Aroclor 1232
ND
0.00600
0
0
Aroclor 1242
ND
0.00600
0
0
Aroclor 1248
ND
0.00600
0
0
Aroclor 1264
ND
0.00600
0
0
Total PCBs
ND
0.00600
0
0
Surr: DCB
35.2
33.40
105 10 165 m
Surr: TCMX
24.1
33.40
72.1 10 139
Sample ID LCS-35458
SampType: LCS
TestCode: SVOC-PCB_ Units: mg/Kg
Prep Date: 1/10/2019
RunNo: 93274
Client ID: LCSS
Batch ID: 35458
TestNo: SW8082 SW3550C
Analysis Date: 1/10/2019
SegNo: 1902114
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua]
Aroclor 1016
0.140 0.00600
0.165 0 84.7
31.1
130
Aroclor 1260
0.174 0.00600
0.165 0 105
38.4
130
Total PCBs
0.314 0.00600
0,330 0 95.1
36
130
Surr: DCB
34.9
33.40 104
40.6
130
m
Surr: TCMX
23.9
33.40 71.5
28.2
130
Qualifiers: *
Value exceeds Maximum Contaminant Level.
B
Analyte detected in the associated Method Blank
E
Value above quantitadon range
H
MC
Holding times for preparation or analysis exceeded
Value is below Minimum Compound Limit.
J
ND
Analyte detected below quantitation limits
Not Detected
M
O
Manual Integration used to determine
RSD is greater than RSDlimit Original
P
Second column confinnation exceeds
PL
Permit Limit
R
RPD outside accepted recovery limits
Page 15 of 28

strmrnitBnvhronmental Techirolagies, lnc. QC SUMMARY REPORT
is
'I 3310 Win St.
eA7t!lRt]i1MEf1BQ4 Yl_teHhld7LiC3 S;INC Cuyahoga Falls, Ohio44223
ailAAyffCAP'tIbPJPEfftll�l® TEL: [phone] FAX. [phone] WO#: 19010438
Website: htW.,11wivw.settek.com 21-Jan-19
Client: Synagro, NC 28134
Project: Mt Holly BatchID: 35459
Sample ID MB-35459
SampType: MBLK
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1/10/2019
RunNo: 93323
Client ID: PBS
Batch ID: 35459
TestNo: SW7470A SW7470A
Analysis Date: 1/10/2019
SegNo: 1903301
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-35459
SampType: LCS
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1/10/2019
RunNo: 93323
Client ID: LCSS
Batch ID: 35459
TestNo: SW7470A SW7470A
Analysis Date: 1/10/2019
SegNo: 1903302
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00439 0.00200 0.00400 0 110 80 120
Sample ID 19010394-001AMS
SampType: MS
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1/10/2019
RunNo: 93323
Client ID: Batch=
Batch ID: 35459
TestNo: SW7470A SW7470A
Analysis Date: 1110/2019
SegNo: 1903305
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00445 0.00200 0.00400 0.0000500 110 75 125
Sample ID 19010394-001AMSD
SampType: MSD
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 1110/2019
RunNo: 93323
Client ID: BatchQC
Batch ID: 35459
TestNo: SW7470A SW7470A
Analysis Date: 1/10/2019
SegNo: 1903306
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Mercury 0.00441 0.00200
0.00400 0.0000500 109 75
125
0.00445 0.903 20
Qualifiers: * Value exceeds Maximum Contaminant Level.
B Analyte detected in the associated Method Blank
E
Value above quantitation range
H Holding times for preparation or analysis exceeded
J Analyte detected below quantitation limits
M
Manual Integration used to determine
MC Value is below Minimum Compound Limit.
ND Not Detected
O
RSD is greater than RSDlimit Original
P Second column confirmation exceeds
PL Permit Limit
R
RPD outside accepted recovery limits
Page 17 of 28

t;- ; � _3310 Win St. Summit Environmental Technologies, Inc.1® t.QC SUMMARY REPORT
-
�'
E?W.lTTONMt-IgTALLTrciimnL11aiES,,iNc Cuyahoga Falls, Ohio 44223 WO#: 19010438
J i4ntslytical'wbaretorlai� TEL: [phone] FAX [phone]
Website: htU.-Ilwivw.settek.com 21-Jan-19
Client: Synagro, NC 28134
Project: Mt Holly BatchID: 35523
Sample ID Ics-35523
SampType: LCS
TestCode: tclp-svoc-her Units: mg/L
Prep Date: 1/11/2019
RunNo: 93601
Client ID: LCSS
Batch ID: 35523
TestNo: SW8151A SW8151A
Analysis Date: 1/18/2019
SegNo: 1914631
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D
ND 1.00
0.500
0 78.4
43.8
130
2,4,5-TP
ND 0.500
0.500
0 62.9
51.5
ill
Surr: DCAA
357
500.0
71.4
34.2
150
Sample ID mb-35523
SampType: MBLK
TestCode: tclp-svoc-her Units: mg/L
Prep Date: 1/11/2019
RunNo: 93601
Client ID: PBS
Batch ID: 35523
TestNo: SW8151A SW8151A
Analysis Date: 1/18/2019
SegNo: 1914632
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D ND 1.00 0 0 d
2,4,5-TP ND 0.500 0 0
Surr: DCAA 320 500.0 64.0 20 140
Sample ID 19010307-001ams
SampType: MS
TestCode: tclp-svoc-her Units: mg/L
Prep Date: 1/11/2019
RunNo: 93601
Client ID: BatchQC
Batch ID: 35523
TestNo: SW8151A SW8151A
Analysis Date: 1118/2019
SegNo: 1914634
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
2,4-D ND 1.00 0.500 0 100 37 105 W
2,4,5-TP ND 0.500 0.500 0 89.8 38 106 W
Surr: DCAA 567 500.0 113 20 140 W
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is Original
p greater than RSDlimit
P Second column confirmation exceeds PL Pen -nit Limit R RPD outside accepted recovery limits
Page 19 of 28

W.SzrmrnitEnvironnrentalTechnologies,lne. QC SUMMARY REPORT
3310 Win St,
E'R84fIli09d@9CP]TAL TLCE1C�ttL[1GJE�,'RPJ.0 Cuyahoga Falls, Ohio 44223
�1ndly ffeaf Labs rarorfse TEL: [phone] FAX [phone] WO#: 19010438
Webs•ite: htW:/hvivw.settek.com 21-Jan-19
Client: Synagro, NC 28134
Project: Mt Holly BatchID: R93258
Sample ID LCS-R93258
SampType: LCS
TestCode: pH Oil(9045 Units: s.u.@21.9C
Prep Date:
RunNo: 93258
Client ID: LCSW
Batch ID: R93258
TestNo: SW9045D
Analysis Date: 1/10/2019
SegNo: 1901827
Analyte
Result
PQL SPK value SPK Ref Val %REC
Lowl-imit HighLimit RPD Ref Val
%RPD RPDL[mit Qua[
pH 7.0 7.0 0 99.7 90 110
Sample ID CHECK 7
SampType: LCS
TestCode: pH Oil(9045 Units: s.u.@21.9C
Prep Date:
RunNo: 93258
Client ID: LCSW
Batch ID: R93258
TestNo: SW9045D
Analysis Date: 1/10/2019
SegNo: 1901844
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
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 21 of 28

Summit Environmental Technologies, Win St. QC SUMMARY REPORT
c1. L
3310 Win St.
EiStPIir134 1619 AL MCHNn LaG153,11PZC Cuyahoga Falls, Ohio 44223
4ert�dytPll°L�btirAtaaae TEL: [phone] FAX.- [phone] WO#: 19010438
Website: htM.-Ilwivw.settek.com 21-Jan-19
Client: Synagro, NC 28134
Project: Mt Holly BatchID: R93390
Sample ID 19010535-01AMS
SampType: MS
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 93390
Client ID: BatchQC
Batch ID: R93390
TestNo: SW9014
Analysis Date: 1/14/2019
SegNo: 1906045
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive . 8.98 0.490 10.00 0 89.8 81.6 122
Sample ID 19010535-001AMSD
SampType: MSD
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 93390
Client ID: BatchQC
Batch ID: R93390
TestNo: SW9014
Analysis Date: 1/14/2019
SegNo: 1906046
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
Cyanide, Reactive
9.09 0.495 10.00 0 90.9 81.6 122
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 23 of 28

,4l
q � - Sianmlt Environmental Technologies, Ina S, 3310 Win Sr. QC SUMMARY REPORT
•'a
EMVITTOtINY JTAL1MtHfin6.OGItL:5,,6ttc CtryahogaFalls, Ohio44223
Amilyttival TEL: [phone] FAX [phone] WO#: 19010438
Website: http://wivw.settek.com 21-Jan-19
Client: Synagro, NC 28134
Project: Mt Holly BatchID: R93465
Sample ID 19010535-001AMS
SampType: MS
TestCode: Sulfide,React Units: mglKg
Prep Date:
RunNo: 93465
Client ID: BatchQC
Batch ID: R93465
TestNo: SW9034
Analysis Date: 1/14/2019
SegNo: 1908916
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Sulfide, Reactive 4210 25.0 4800 0 87.7 80 120
Sample ID 19010535-001AMSD
SampType: MSD
TestCode: Sulflde,React Units: mg/Kg
Prep Date:
RunNo: 93465
Client ID: BatchQC
Batch ID: R93465
TestNo: SW9034
Analysis Date: 1/14/2019
SegNo: 1908917
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
dfide, Reactive 4320 25.0 4800 0 90.0 80 120 4210 2.58 30
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding tithes for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 25 of 28

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Time I Received by: Date 'nme 1 ]voted ) Comments: A L
Wu sufaekr■ volume provkled to run QCt YES / NO Cooler' S /NO .Other
Time Carrier Rush Requested: 0 /���
WIU Must be approved by Lab Manager Rea Temp: 5. � Ice:/Y ) NO !melted
4.3-HC1. 4-Zinc Acetate, S-NsOH, 6•EDA, 7-none, 8-other (apcciBtd in comments) Refer to lab's terms and conditions at www.schelccom
t Jgftq
Page 27 of 28
Page 1 of 1

r �-
SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
Attention: Adam 'Brigman
Project Name: City of Mt. Holly
Project Number: 50-1701
Lot Number:UD30072
Date Completed:05/10/2019
05/10/2019 3:40 PM
Approved and released by:
Lab Director - Greenville: Lucas Odom
PCU1
AI�Bl
DODEW
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 1 of 7

Client:Synagro Laboratory ID: UD30072-001
Description: Mt. Holly 2 of 4 N&M Matrix: Solid
Date Sampled:04/3012019 0730 % Solids: 1.38 . 05/02/2019 0027
Date Received: 04/3012019
Inorganic
non-metals
un Prep Method
Analytical Method
Dilution
An Date Analyst
Prep Date Batch
2
(% Solids) SM 254OG
1
05/02/2019 0027 KFE
15395
1 350.1
(Ammonia - N ) 350.1
5
05/01/20.19 1419 DMA
15286
1
(Nitrate - N ) 9056A
1
05/06/2019 2243 HKL
15882
2
(Nitrite - N ) 9056A
1
05/08/2019.0924 HKL
16168
1
(pH) 9045D
1
05/02/2019 2251 HET
15537
1
(Phosphorus) 365.1
10
05/02/2019 1013 DMA
05/01/2019 1217 15297
1 351.4
(TKN) 351.2
1
05/02/2019 1151 DMA
05/01/2019 1721 15334
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
% Solids
SM 254OG
1.38
%
2
Ammonia - N (gas diffusion)
350.1
7500
360
190
mg1kg
1
Nitrate - N (soluble)
9056A
530
14
1.8
mg/kg
1
Nitrite - N (soluble)
9056A
1500
14
1.4
mglkg
2
pH @ 21.7 ° C
9045D
7.2
su
1
Phosphorus
7723-14-0 365.1
24000
3600
720
mg/kg
1
TKN
351.2
82000
1800
1800
mg/kg
1
CVAA
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 7471 B
7471 B
1 05/02/2019 1701 JM H
05/02/2019 1353 15424
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
{ tercury
7439-97-6 7471B
ND
5.5
1.3
mg/kg
1
ICP-AES
Run Prep Method
Analytical Method
Dilution Analysis Date Analyst
Prep Date
Batch
1 3050B
6010D
1 05/09/20191316 JCF
05/06/2019 1057 15558
CAS Analytical
Parameter
Number Method
Result Q
LOQ
DL
Units
Run
Aluminum
7429-90-5 6010D
20000
350
130
mg/kg
1
Arsenic
7440-38-2 6010D
ND
13
4.4
mg/kg
1
Cadmium
7440-43-9 6010D
1.1 J
4.4
1.1
mg/kg
1
Calcium
7440-70-2 6010D
10000
4400
550
mg/kg
1
Chromium
7440-47-3 6010D
160
8.8
2.2
mg/kg
1
Copper
7440-50-8 6010D
440
8.8
4.0
mg/kg
1
Iron
7439-89-6 6010D
9600
88
40
mg/kg
1
Lead
7439-92-1 6010D
11
8.8
4.0
mg/kg
1
Magnesium
7439-95-4 6010D
3700 J-
4400
550
mglkg
1
Manganese
7439-96-5 6010D
170
13
5.2
mg/kg
1
Molybdenum
7439-98-7 6010D
ND
35
8.8
mg/kg
1
Nickel
7440-02-0 6010D
14 J
35
9.3
mg/kg
1
LOQ = Limit of Quantitation B = Detected in the method blank E = Quantitation of compound exceeded the calibration range DL = Detection Limit
ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J = Estimated result < LOQ and > DL
'+ = Out of holding time W = Reported on wet weight basis
Sly Environmental Services, Inc.
Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 3 of 7

Chain of Custody
and
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 5 of 7

SHEALY ENVIRONiVIENTAL SERVICES, INC.
RPM131 Enviannmeudul Yiv r„cs, trJr,
ik+:.II"= ML-D318C-1a Fgge lot l
Sample E1rc�:�•cr�nce;8;,�.�JtB
jP Receipt Checklist (,SRC.) C[irail; 5�nagru Cooler respected b .;date• NIEC r 4-10.119 Lots; UDS0072
Itiuls ofreceipt; ® �SF.sl ® Client ® Up5 ❑ FcdEt {�iher _ —
Q Ycs ® No I.1tro custudy seals prwQnt on the Gooier?
ytm No r7l NA �. If case0civ seal~ Were recent, wet a they inn: ct and unbroken?
pH Strip Ti?: NA Chlorine Strip ID; NA � 'Petted by; NA
C}ritdinaL re»1 rattue upon receipt J17erivecl ((;orrecteci) temperature upott mce[pt %50jid Snap Cup ID 19-6I l
3.6 ,116 'C NA r`NA CC, NA ,1NA off; NA ,NA aC
h-lctho$ Ternperaturr Blank [Against Bott]4s 112 C7un ID_ _� IR Cron C:orrectiun Factor 0 T
t4Seeharl afcaolant: W'et Ice ❑ 1ce Packs ❑ Dry 1re ❑ None s
0 irc�s ❑ No j�a ]yA 3 If tcmpernttrre 0f adsy cItrler exceeded Cr.(r'� was Project Manager Nod fied"
PLl Was Notiflod by- phone .,i emsil f faetrt0-facd (Circle one).
❑ Ycs ❑ No ®NA i. Is the cOnImercial courier's packing slid, attached! to this farm?
® Yzs ®Nu S_ Were prober custcxly procedures (relin nl3had%r=ived) fbUQwcd?
Yes No 6. Were swnplc IDs listed on the C'DC?
® Yey El No 7. Were samplc II3s listed on a ]l sample oDi taigets2
Y,* N,� S. Was wllrction data & tine listed on the COC^
y No 4. %V.1s COl1CCtiot1 &"-Ut-& tir'rie listed on all sample contaigers?
® Yes ® No 10. Did all container iabel infornnation (it), date, 1itne) agme with the C:(}C;?
Na 1 I. Were I-F to he —0-I m:d listed on the CDC?
No 12. Did all samples arrive in the proper containers for each tart andior in good Condition
(unbnArn, lids on, CR.)? _
® Yea ® No 13, Was adequate sample volume ati'ailukrlc?
® Yes © Tt'o 14. Were all simples received within Y3 the holding tinlo or48 hottrs, vrh]chcver comes fdst?
Yes ®No ] S. ti's'ere any slin les contairlers missing.+excess (circle one) samples Not listed on (-,(-IC?
Yes ®11a f�J uA i6. For VUA and RSI 1?i samples, were bubbles present _"pea -size" (!:.i" or 6rnni in diarne:t-tr)
in any of the V0A vials7•
❑ Ye$ No NA 17. Were all DR01mictals+'nutrienr narnplos recei ved at a pH or•: 27
Yes ❑ No vi N.4 t B. Vvere al[ cyariiclo sap ]cs receivrx{ at a off � 12 and sulladr rain [es received at a H : 9?
EIN01 {DNA 19_Akre all applicanlcNllvTKNlcyani c+plterro'6�5(�{}.irn-�'T, san,elcsfreed, ,Mi:t::,l
El Yes ElNo ® Nth 20, IV01'C client remarks,+'Wquests (I,c. reques d dilueions, l~i5JM5D @csigtu ii0ns, etc...)
correctly tramscribed ti-orn the COC inm the comment section in LIMP
❑ Yes No 21. 14as the quolo numbor listed on the eantalilcr label? if 4-es, Quote it NA
'ample Preservat[on (A•iust 6G COmpleted for any saniple(s) iucarrcctly pres•_rved or with hcadspacc,)
ample(s) NTA were received incori> cl]
i spur 1.. recwiti�n6 with Nri y presarvcd and. were adjusted accordin!ry
F " o ntL oicircle otic: I-I2SO4, I-1NO3, HcL. N1014 usuig SR 9 NA
itne Ofpre crvation NA if more than One 11-80rvativc is hewed, please note in tliz comments below,
untNlr(s) NA tvcro reeeivcd wilh bubbles >6 mot in diameter.
aenplcs{.s} NA _ tiYere rc+ceva(I with'�'RC > 0.4 itig?L {rf ;�19 is t1v) send mere
]justrd as ordingly in receiving wish sodium Ihiostdfale (Va,S,,4;) whit siiealy ID., NA
b"Godc iabets applied by_ ET-8
Comnien Lg;
I)ttte, 4M,119
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 7 of 7

'W�_qN State of North Carolina
Department of Environmental Quality
.p Division of Water Resources
Diwlslon of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one oril4inal 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 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 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. .
® For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
® Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
® For each source facility, attach the following:
® Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
® Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
® Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
® Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
® For each source facility, attach the following:
® Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
® Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
® For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: City of Mount Holly
Status
Code'
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current b
Proposed
R
City of Mount Holly
Mount Holly WWTP
Gaston
NCO021156
780
780
R
City of Mount Holly
Mount Holly WTP
Gaston
01-36-020
130
130
'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 06-16 Page 1

State of North Carolina
Department of Environmental Quality
D,WR ^ p�.� Division of Water Resources
dl
~� — �`s- RESIDUALS SOURCE CERTIFICATION
Divlsion of Water Resources
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: M-f Holly'
2. Facility permit holder is: ❑ Federal, ❑State, 0 Local Government, or ❑ Private.
Facility permit issued by: Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: �7
3. Facility contact person and title: Gina -Mil r
Complete mailing address: Il 11 Mountain Island rd
City: Mount Holly State: Zip: 28120-! I
Telephone number: 70I ,8 P1417 E-mail address: na.mrller mtholl�us
4. Facility physical address: 1111 Mountain Island rd
City: IOAnt Holly State: NK Zip: 28120_f _
Coordinates: Latitude: 35' 20' 3" Longitude: 80' 59' 49"
Datum: NAD 83 Level of accuracy: Second
Method of measurement: MAP
5. Purpose of the facility:
❑ treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
treatment of potable water, ❑ treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: ^� % industrial and % domestic)
other (explain: % ).
6. Does the facility have an approved pretreatment program: Yes �( No
7. Facility permitted/design flow: 13.5 MGD and facility average daily flow: 2_5 MGD
8. Average amount of residuals being generated at this facility 130 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: _
Type and volume of residuals storage (i.e., outside of residuals treatment units): 1 goons -_both hold - 500,000 gallons
each
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
Biological M Non -Biological
FORM: RSC 06-16 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: [[ yes no.
If yes, list the number(s): F__1
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: [] yes Z 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 Ana!3qical and Date of analysis:.03/14/19
Passed corrosivity test: yes no. pH: s.u. (2 < pH < 12.5)
Passed bgnitability test: ( yes [ no. Flashpoint: non-flammable °F (> 140°F)
Passed reactivity test: _Nyes Qno. HCN: ND mg/kg (<250) & H2S: 30 mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
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
in -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 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: __ace Anal icaI and Date of analysis: 03/04/1�
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
44.0
Cadmium
85
39
ND
Copper
4,300
1,500
234
Lead
840
300
ND
Mercury
57
17
ND
Molybdenum
75
n/a
9.6
Nickel
420
420
15.9
Selenium
100
100
ND
Zinc
7,500
2,800
126
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: �4i and Date of analysis: F.
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(m9/k9)
Chromium
(m9/k9)
Nickel
(mg/kg)
�] > 0 but < 25
30
200
210
[( > 25 but < 50
34
220
240
0 > 50 but < 75
39
260
270
E] > 75 but < 100
46
300
320
> 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/k1l
I
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: L1 & %.
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: iPace Analytical and Date of analysis: p3/04/19
Parameter
Result
(mg/kg)
Aluminum
226,000
Ammonia -Nitrogen
531
Calcium
1130
Magnesium
1670
Nitrate -Nitrite Nitrogen
224
pH (Standard Unit)
6.4
Phosphorus
2000
Potassium
9200
Sodium
9200
Total Kjeldahl Nitrogen
12600
c. Using the results listed in Item H. 5b. above, calculate the sodium adsorption ration (SAR): 5_5
[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: 4 %. This rate
is a (check one): 0 default value, or E-1 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: [ —
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
(mglkg)
(mg/kg)
Surface
28,130
42,664
Injection/Incorporation
31,880
46,414
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: =
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Eand 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
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.1106(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: 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. 1 106(c)(1)] - Fecal Coliform Density Demonstration.
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:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item H. 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 II.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. 1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
]� Alternative 4 [15A NCAC 02T. 1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
�( Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
[( Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
�] Alternative 9 [15A NCAC 02T. I 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation.
D Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)].
0, Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

Mt Holly Water Plant
-i6
tta Nature'Cdnter
k Historic Latta Plantaticifi
IC#q I Otte Water
tdivarr PuMPI-StRian
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MOUNTAIN
4 ISLAND
iv
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apt ff2D7O4
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,Sol
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27
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er Q Pilling Clo., le
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Map data @2019 Google 1 mi ®
I

Quantitative Justification for Residuals Production Rate
Facility:
City of Mt Holly WTP
Requested Permitted Rate:
130 dry tons/year
Justification: Currently 130 dry tons per year is permitted, we are asking for the rate to stay the
same in the instance that we spread 1,500,000 gallons.
Calculations:
The dry tons requested for permitting is based on the volume of material times the
percentage of solids.
1,500,000 gallons x 1.80% solids x 8.34/2000 = 112 dt

Residuals Sampling Plan
City of Mount Holly 4 Mount Holly WTP
Nutrients and Metals Analysis
Sampling Point: Lagoon
Sampling Frequency: Annually
Sample Type: Grab
Lab: Shealy Environmental LLC
Pathogen (Fecal Coliform Density Demonstration)
Sampling Point: Lagoon
Sampling Frequency: Annually
Sample Type: Grab
Lab: Par Laboratories, Inc.
Vector Attraction Reduction
Not required due to being residuals being generated from the treatment of potable
water with no domestic wastewater contribution.
Sampling Points:
Sampling Frequency:
Sample Type:
Lab:
TCLP + RCI
Sampling Point: Lagoon
Sampling Frequency: Annually
Sample Type: Grab
Lab: Summit Environmental Technologies, Inc

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8 1rL ]r19' sysc - ,�.F"•.. .. j:.T•::A�P^•q ..'
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au .5 4144 G•Me e,: re' i.a P.a ,Idr3 •'•^•t 4L 111 1 l•T:C
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=� ,
®°DRIEN 6 GERE WATER FACILITIES LLOCAITION a PIPI

Szzmmit Environmental Technologies, Inc.
3310 Win St.
V""q
Czryahoga Falls, Ohio 44223
�'e ig'FbG 3c di�S�r TEL: [phone] FAX.- [phone]
Website: htW.-Mvww.settek.com
March 14, 2019
Adam Brigman
Synagro, NC 28134
12701 Lancaster Hwy
Pineville, NC 28134
TEL: [phone]
FAX: [phone]
RE: Mt. Holly WTP
Dear Adam Brigman:
Order No.: 19021420
Summit Environmental Technologies, Inc. received 1 sample(s) on 2/26/2019 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,
rjP-�
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-01-1-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061, Maryland 339, Minnesota
409711, New Hampshire 2996, New Jersey 01-1006, New York 11777, North Carolina 39705 and 631, North Dakota R-201, Ohio DW, Ohio VAP
CL0052, Oklahoma 9940, Oregon OH2O0001, Pennsylvania 010, Rhode Island LA000317, South Carolina 92016001, Texas T104704466-11.-5, Utah
OH009232011-1, Virginia VELAP 9456, Washington C891
Page 1 of 36

Summit Environmental Technologies, In Qualifiers and Acronyms
3310 Win 5 �L
LE+I�t�1JPo9�.1TALC@61r3Ci1=_3; 9Gi Cuyahoga Falls, Ohio 4422 WO#: 19021420
lrst�9 Pi'L €tt ��3 TEL: [phone] FAX. [phone]
Website: httD:/hvwtv.settek.co. Date: 3/14/2019
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. Not Clean Water Act compliant.
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.
m 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 GUMS.
X The result was not confirmed when GC/MS Analysis was performed.
B/MB+ 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.
W Samples were received outside temperature limits (0' — 6° C). Not Clean Water Act compliant.
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.
Original
Page 3 of 36

Summit Environmental Technologies, Inc. DATES REPORT
c' ')A' 3310 Win St.
*LDA ldtal�falPETITBU-'M�FIL90W+� 8S,AN0. Cuyahoga Falls, Ohio 44223
WO#: 19021420
`4e1[I�t (Fl�sai88id��_: TEL: [phone] FAX.- [phone]
Website: http:/hvww.settek.com 14-Mar-19
Client:
Synagro, NC 28134
Project:
Mt. Holly WTP
Sample ID
Client Sample ID Collection Date
Matrix Test Name Leachate Date
Prep Date
Analysis Date
19021420-001A
Mt. Holly WTP TCLP 2/25/2019 7:30:00 AM
Solid Ignitability of Solids (SW-846: 1030)
2/29/2019 3:30:00 PM
Paint Filter Free Liquids Test (SW-846
3/8/2019 5:00:00 PM
9095)
pH (SW9045D)
3/7/2019 4:01:53 PM
Reactive Cyanide (9014/7.3.3.2)-Solid
3/5/2019 5:16:00 PM
Reactive Sulfide (9034)/7:3.4.2
3/5/2019 5:16:00 PM
SVOC PCB (8082) 7-Arochlors
2/27/2019 11:00:48 A
2/28/2019 8:52:00PM
SVOC SW-846: 8151 Herbicides-TCL2/26/2019 5:38:57 PM
3/4/2019 4:00:00 PM
3/5/2019 10:16:00 PM
TCLP Mercury Analysis (SW1311/7412/26/2019 5:38:57 PM
2/28/2019 12:40:00 PM
2/28/2019 4:09:00 PM
TCLP Metals Analysis (SW1311/6010'2/26/2019 5:38:57 PM
2/27/2019 11:10:00 A
�T
2/27/2019 7:33:21 PM
TCLP Pesticides Analysis (SW1311/8(2/26/2019 5:38:57 PM
3/1/2019 4:10:00 PM
3/7/2019 9:03:00 PM
TCLP Semi-Volatiles Analysis 2/26/2019 5:38:57 PM
3/4/2019 3:40:00 PM
3/6/2019 6:25:00 PM
(SW 1311/8270)
TCLP Volatiles Analysis
2/26/2019 5:40:51 PM
2/27/2019 3:16:00 PM
Original
Page 5 of 36

MSUMMSummit Environmental Technologies, Inc. Analytical Deport
IT 3310 Win St.
Egdt+liii]P-d�,9 t1Ti�L`cCP1�c]L_tZG;h,ph Cuyahoga Falls, Ohio44223 (base report)
R+32a4&'tiC Fl 18t iriel��', TEL: [phone] FAX: [phone] WO#: 19021420
Website: htta://wiviv.settek.com Date Reported: 3/14/2019
CLIENT: Synagro, NC 28134 Tag Number:
Matrix: SOLID Collection Date: 2/25/2019 7:30:00 AM
Lab ID: 19021420-001A
Project: Mt. Holly WTP
Client Sample ID Mt. Holly WTP TCLP
Analyses
Result
RL
Qual Units
DF
Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SW8270
Analyst: BJH
TCLP SEMI-VOLATILES ANALYSIS (SW1311/8270)
Hexachloro-1,3-butadiene
ND
0.0160
mg/L
2
3/6/2019 6:25:00 PM
Hexachlorobenzene
ND
0.0400
mg/L
2
3/6/2019 6:25:00 PM
Hexachloroethane
ND
0.0800
mg/L
2
3/6/2019 6:25:00 PM
Nitrobenzene
ND
0.0800
mg/L
2
3/6/2019 6:25:00 PM
Pentachlorophenol
ND
0.200
mg/L
2
3/6/2019 6:25:00 PM
Pyridine
ND
0.200
mg/L
2
3/6/2019 6:25:00 PM
Surr: 2-Fluorophenol
68.0
10 - 109
%Rec
2
3/6/2019 6:25:00 PM
Surr: Phenol-d6
68.8
10 - 109
%Rec
2
3/6/2019 6:25:00 PM
Surr: Nitrobenzene-d5
71.9
19 - 120
%Rec
2
3/6/2019 6:25:00 PM
Surr: 2,4,6-Tribromophenol
65.8
10 - 120
%Rec
2
3/6/2019 6:25:00 PM
Surr: 2-Fluorobiphenyl
64.4
22 - 117
%Rec
2
3/6/2019 6:25:00 PM
Surr: p-Terphenyl-d14
95.8
34 - 116
%Rec
2
3/6/2019 6:25:00 PM
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP PESTICIDES ANALYSIS (SW1311/8081)
Chlordane, total
ND
Toxaphene
ND
Endrin
ND
gamma-BHC
ND
Heptachlor
ND
Heptachlor epoxide
ND
Methoxychlor
ND
Surr: TCMX
57.9
Surr: DCB
52.2
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
SVOC SW-846: 8151 HERBICIDES-TCLP
2,4-D
2,4,5-TP
SW8081
Analyst: SFG
0.250
mg/L
10
3/7/2019 9:03:00 PM
0.500
mg/L
10
3/7/2019 9:03:00 PM
0.0250
mg/L
10
3/7/2019 9:03:00 PM
0.0250
mg/L
10
3/7/2019 9:03:00 PM
0.0250
mg/L
10
3f7/2019 9:03:00 PM
0.0250
mg/L
10
3f7/2019 9:03:00 PM
0.0250
mg/L
10
3/7/2019 9:03:00 PM
10 - 119
%Rec
10
3f712019 9:03:00 PM
10 - 119
%Rec
10
3f7/2019 9:03:00 PM
ND 1.00 mg/L
ND 0.500 mg/L
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP VOLATILES ANALYSIS
Qualifiers: *
Value exceeds Maximum Contaminant Level.
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
SW8151A SW8151A Analyst: SFG
1 3/5/2019 10:16:00 PM
1 3/5/2019 10:16:00 PM
SW8260 Analyst: RMT
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
0 RSD is greater than RSDlimit
PL Permit Limit Original
RL Reporting Detection Limit
Page 7 of 36

Summit Environmental Technologies, Inc. Analytical Report
® 3310 Win St.
Et�E�lf€i�1�P�1�FtTALf C?4tvE� _R7 ia5, INCCtryahogaFalls, Ohio 49223 (base report)
�3iYi10ttC9 P ?Sre?Y �fe7t}� TEL: [phone] FAX' [phone] WO#: 19021420
Website: ham://wiviv.settek eom Date Reported: 3/14/2019
CLIENT: Synagro, NC 28134 Tag Number:
Matrix: SOLID Collection Date: 2/25/2019 7:30:00 AM
Lab ID: 19021420-OOIA
Project: Mt. Holly WTP
Client Sample ID Mt. Holly WTP TCLP
Analyses Result RL Qual Units DF Date Analyzed
RCI-SOLID-W/ IGNITABILITY1030 SW9034 Analyst: MS
REACTIVE SULFIDE (9034)/7.3.4.2
Sulfide, Reactive
30.0 25.0 mg/Kg 1 3/5/2019 5:16:00 PM
Qualifiers: *
Value exceeds Maximum Contaminant Level.
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
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 Original
RL Reporting Detection Limit
Page 9 of 36

Summit Environmental Technologies, Inc. QC SUMMARY REPORT
, _� 3310 Win St.
t i!I R IFJt�i1 FJil
TAL Cuyahoga Falls, Ohio 44223
= Alhapy'llat,1 tibormaefed TEL: [phone] FAX.- [phone] WO#: 19021420
Website: htty.-Mvivw.settek.com 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: 36160a
Sample ID 19021319-004AMS
SampType: MS
TestCode: TCLP-VOC-M Units: mg/L
Prep Date:
RunNo: 95117
client ID: BatchQC
Batch ID: 36160a
TestNo: SW8260
Analysis Date: 2/27/2019
SegNo: 1977665
4nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua]
Carbon tetrachloride
1 D.2
2.48
9.90
0
103
40.8
162
Chlorobenzene
11.0
2.48
9.90
0
ill
35.7
168
Chloroform
9.54
2.48
9.90
0
96.4
18.3
199
Tetrachloroethene
12.6
2.48
9.90
0
128
10
261
Trichloroethene
10.9
2.48
9.90
0
110
23.8
175
Vinyl chloride
8.07
0.990
9.90
0
81.5
ID
165
Surr:4-Bromofluorobenzene
5060D
49500
102
84.6
130
Surr: Dibromofluoromethane
40800
49500
82.5
71.4
127
Surr: Toluene-d8
51300
49500
104
74.6
127
Sample ID 19021319-004AMSD SampType: MSD TestCode: TCLP-VOC-M Units: mg/L Prep Date: RunNo: 95117
Client ID: BatchQC Batch ID: 36160a TestNo: SW8260 Analysis Date: 2/27/2019 SegNo: 1977667
Analyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit
HighLimit
RPD Ref Val %RPD RPDLimit Qua]
1,1-Dichloroethene
10.2
2.48
9.90 0
103
39.9
160
10.8 5.52
25
1,2-Dichloroethane
9.00
2.48
9.90 0
91.0
42.5
157
9.61 6.54
25
MEK
44.2
12.4
49.5 0
89.3
16.6
227
43.9 0.720
25
Benzene
9.95
2.48
9.90 0
101
38.1
155
10.0 0.743
25
Carbon tetrachloride
9.55
2.48
9.90 0
96.5
40.8
162
10.2 6.22
25
Chlorobenzene
10.6
2.48
9.90 0
107
35.7
168
11.0 3.39
25
Chloroform
9.04
2.48
9.90 0
91.3
18.3
199
9.54 5.43
25
Tetra chi oroethene
12.3
2.48
9.90 0
124
10
261
12.6 2.90
25
Qualifiers: *
Value exceeds Maximum Contaminant Level.
B
Analyte detected in the associated Method Blank
E
Value above quantitation range
H
Holding times for preparation or analysis exceeded
J
Analyte detected below quantitation
limits
M
Manual Integration used to detennine
Original
MC
Value is below Minimum Compound Limit.
ND
Not Detected
0
RSD is greater than RSDlimit
P
Second column confirmation exceeds
PL
Permit Limit
R
RPD outside accepted recovery limits
Page 11 of 36

i Summit Environmental Technologies, Inc. QC SUMMARY REPORT
' 10 IT
3310 Win St.
ER187��iPv9ILbGF(ItdQFa4ith�t Cuyahoga Falls, Ohio44223
1rhfiPow:1=Adrad6ob's TEL: [phone] FAX.- [phone] WO#:, 19021420
Website: httti:/Avipw.settelc.com 14 Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: 36160a
Sample ID LCS-95117
SampType: LCS
TestCode: TCLP VOC-M Units: mg/L
Prep Date:
RunNo: 95117
Client ID: LCSS
Batch ID: 36160a
TestNo: SW8260
Analysis Date: 2/27/2019
SegNo: 1977852
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
iurr: Toluene-d8 53.0, 50.00 106 82 117
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected 0 RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 13 of 36

Summit Environmental Technologies, Inc. QC SUMMARY
7� Y REPORT
7 T P O T
QC GJ l011dAYi L� i A<111C IL[L A
3310 Win St.
<=tAVIM�MWtBWG ,ING Cuyahoga Falls, Ohio44223 WO#: 19021420
TEL: [phone] FAX.- [phone]
Website: htty.Ihviviv.settelc.com 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchYD: 36162
Sample ID
19021420-001AMS SampType: MS
TestCode: SVOC-PCB_ Units: mg/Kg
Prep Date: 2/27/2019
RunNo: 95173
Client ID:
Mt. Holly WTP TCLP Batch ID: 36162
TestNo: SW8082 SW3550C
Analysis Date: 2/28/2019
SegNo: 1979966
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua]
Aroclor 1016
0.178 0.0598
0.164
0 108
1
165
Aroclor 1260
0.459 0.0598
0.164
0 279
1
158 S
Total PCBs
0.637 0.0598
0.329
0 194
1
153 S
Surr: DCB
37.2
33.29
112
11.9
124
Surr: TCMX
20.6
33.29
61.9
32.6
105
Sample ID
19021420-OD1AMSD SampType: MSD
TestCode: SVOC-PCB_ Units: mg/Kg
Prep Date: 2/27/2019
RunNo: 95173
Client ID:
Mt. Holly WTP TCLP Batch ID: 36162
TestNo: SW8082 SW3550C
Analysis Date: 212812019
SegNo: 1979967
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
Aroclor 1016
0.185 0.0596
0.164
0 113
1
165 0.178
3.83
30
Aroclor 1260
0.468 0.0596
0.164
0 286
1
158 0.459
2.00
30 S
Total PCBs
0.653 0.0596
0.328
0 199
1
153 0.637
2.52
30 S
Surr: DCB
37.4
33.18
113
11.9
124
0
0
Surr: TCMX
21.2
33.18
63.9
32.6
105
0
0
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 15 of 36

Summit Environmental Technologies, Inc. (�!� SUMMARY ntT REPORT
i � °� l� GJ U 1Vl.i�lt i it1� A
1 , 3310 Win St.
BC&VIBiCpole9 JF�iL'' FtlNC3U1C�l S, JNC Cuyahoga Falls, Ohio 44223 WO#: 19021420
i1mA1!fctl C'a®ral®sd�i� TEL: [phone] FAX.- [phone]
Website: http:/hvivw.settelc.com 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: 36171
Sample ID 19021385-001AMS
SampType: MS
TestCode:
MTL-TCLP-7( Units: mg/L
Prep Date: 212712019
RunNo: 95072
;lient ID: BatchQC
Batch ID: 36171
TestNo:
SW6010D SW3010A
Analysis Date: 212712019
SegNo: 1998512
4nalyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
2.31
0.500
2.000
0.03134
114
70
130
TCLP Barium(Ba)
ND
5.00
2.000
0.04219
103
70
130
TCLP Cadmium(Cd)
2.02
0.100
2.000
0.001928
101
70
130
TCLP Chromium(Cr)
2.18
0.200
2.000
0.03063
108
70
130
TCLP Lead(Pb)
2.16
0.500
2.000
0
108
70
130
TCLP Selenium(Se)
2.41
0.0500
2.000
0.01372
120
70
130
TCLP Silver(Ag)
1.67
0.500
2.000
0.001833
83.4
70
130
Sample ID 19021385-001AMSD
SampType: MSD
TestCode: MTL-TCLP-7( Units: mg/L
Prep Date: 2/27/2019
RunNo: 95072
client ID: BatchQC
Batch ID: 36171
TestNo: SW6010D SW3010A
Analysis Date: 2/27/2019
SegNo: 1998513
\nalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
TCLP Arsenic(As)
2.36
0.500
2.000
0.03134
116
70
130
2.315
1.93
20
TCLP Barium(Ba)
ND
5.00
2.000
0.04219
104
70
130
0
0
20
TCLP Cadmium(Cd)
2.05
0.100
2.000
0.001928
102
70
130
2.019
1.49
20
TCLP Chromium(Cr)
2.21
0.200
2.000
0.03063
109
70
130
2.185
1.35
20
TCLP Lead(Pb)
2.21
0.500
2.000
0
111
70
130
2.162
2.37
20
TCLP Selenium(Se)
2.44
0.0500
2.000
0.01372
121
70
130
2.408
1.38
20
TCLP Silver(Ag)
1.45
0.500
2.000
0.001833
72.6
70
130
1.669
13.7
20
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 17 of 36

Sumn:itEnvironmental Technologies, Inc. QC SUMMARY REPORT
1 3310 Win .St.
Eit�llttryPJFa1S 11tiL'•GF6@JC]ErkC�l.dC& Cuyahoga Falls, Ohio 44223 WO#: 19021420
,�r¢rP ..dcit.7'G Lal f®�dn TEL: [phone] FAX.- [phone]
Website: http://www.sette7c.coni 14 Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP Batchll): 36187
Sample ID 19021483-001AMSD
SampType: MSD
TestCode: HG_TCLP(74 Units: PPM
Prep Date: 2/28/2019
RunNo: 95172
client ID: BatchQC
Batch ID: 36187
TestNo: SW7470A SW7470A
Analysis Date: 2/28/2019
SegNo: 1979404
Snalyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 19 of 36

Summit Environmental Technologies, Inc. (fir SUMMARY
RY REPORT
S -um '. 3310 Win St. �[ d. �7 U 111i I R I� r i� l
ECd1PI3t�1NFAt]11[LGaiF7!]Qt;iS�.iCdC Cuyahoga Falls, Ohio 44223 WO#: 19021420
.ieJ!1ffd�ctstrfa�d0 TEL: [phone] FAX. [phone]
Website: htto:/hvww.sette%com 14 Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchlD: 36212A
Sample ID 19021205-001AMS
SampType: MS
TestCode: TCLP-SVOC- Units: mg/L
Prep Date: 3/1/2019
RunNo: 95519
:lient ID: BatchQC
Batch ID: 36212A
TestNo: SW8081
Analysis Date: 3/8/2019
SegNo: 1995063
analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
Endrin
ND
0.0250
0.0250
0
68.5
2D
157
W
gamma-BHC
ND
D.D250
0.0250
0
57.6
22
137
W
Heptachlor
ND
0.0250
0.0250
0
49.0
24
121
QC-W
Heptachlor epoxide
ND
0.0250
0.0250
0
62.3
27
152
W
Methoxychlor
ND
0.0250
0.0250
0
85.3
10
199
W
Surr: TCMX
16.0
20.D0
79.8
10
119
mW
Surr: DCB
19.3
20.00
96.4
10
119
W
Sample ID 19021205-001AMSD
SampType: MSD
TestCode: TCLP-SVOC- Units: mg/L
Prep Date: 3/1/2019
RunNo: 95519
;lient ID: BatchQC
Batch ID: 36212A
TestNo: SW8081
Analysis Date: 3/8/2019
SegNo: 1995054
analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
Endrin
ND
0.0250
0.0250
0
65.2
20
157
0
0
30
W
gamma-BHC
ND
0.0250
0.0250
0
55.6
22
137
0
0
30
W
Heptachlor
ND
0.0250
0.0250
0
47.5
24
121
0
0
30
QC-W
Heptachlor epoxide
ND
0.0250
0.0250
0
59.6
27
152
0
0
30
W
Methoxychlor
ND
0.0250
0.0250
0
82.3
10
199
0
0
30
W
Surr: TCMX
15.8
20.00
78.8
10
119
0
mW
Surr: DCB
18.8
20.00
94.0
10
119
0
W
Qualifiers: k Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 21 of 36

aLa Summit Environmental Technologies, Inc.XU I!
QC SUMMARY REPORT
1
3310 Win .St.
�E�4rl�iEr11Pe9 F1PtIL:G GtBtdc9fC1�1 SANG Cuyahoga Falls, Ohio44223
1r�nyldTl'l �G�S�zC®AYE TEL: [phone] FAX.- [phone] WO#: 19021420
Websile: hay.-Ilivww.sette%com 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: 36229
Sample ID LCS-36229
SampType: LCS
TestCode: TCLP-SVOC- Units: mg/L
Prep Date: 3/4/2019
RunNo: 95366
Client ID: LCSS
Batch ID: 36229
TestNo: SW8151A SW8151A
Analysis Date: 3/5/2019
SegNo: 1985390
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qua[
2,4-D ND 1.00
2,4,5-TP ND 0.500
Surr: DCAA 427
Qualifiers: * Value exceeds Maximum Contaminant Level.
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
P Second column confirmation exceeds
0.500 0 68.2 43.8
0.500 0 68.8 51.5
500.0 85.4 34.2
B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
PL Permit Limit
Page 23 of 36
130 m
III m
150
E Value above quantitation range
M Manual Integration used to determine
O RSD is greater than RSDlimit Original
R RPD outside accepted recovery limits

Summit Environmental Technologies, Inc. QC SUMMARY REPORT � , l.. SUMMARY 1r Al.1Al` REPORT
1
3310 Win St.
ER91fLY40tJFe9) I EtL"Fz��9Pdi]G Cbl? S, ii€ Cuyahoga Falls, Ohio 44223
r fZ:hlryd�fA C�4�id€td®ids; TEL: [phone] FAX.- [phone] WO#: 19021420
Website: htto.//ivww.setteh.coni 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchYD: 36238A
Sample ID ME-36238
SampType: MBLK
TestCode: TCLP-SVOC_ Units: mg/L
Prep Date: 3/4/2019
RunNo: 95324
Client ID: PBS
Batch ID: 36238A
TestNo: SW8270
Analysis Date: 3/5/2019
SegNo: 1994235
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qual
1,4-Dichlorobenzene
ND
0.0400
2,4,5-Trichlorophenol
ND
0.100
2,4,6-Trichlorophenol
ND
0.100
2,4-Dinitrotoluene
ND
0.0200
o-Cresol
ND
0.100
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
0.563
Surr: Phenol-d6
0.536
Surr: Nitrobenzene-d5
0.612
Surr: 2,4,6-Tribromophenol
0.628
Surr: 2-Fluorobiphenyl
0.603
Sum p-Terphenyl-d14
0.726
Qualifiers: a Value exceeds Maximum Contaminant Level.
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
P Second column confirmation exceeds
1.000
56.3
10
109
1.000
53.6
10
109
1.000
61.2
19
120
1.000
62.8
10
120
1.000
60.3
22
117
1.000
72.6
34
116
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
0 RSD is greater than RSDlimit
R RPD outside accepted recovery limits
Original
Page 25 of 36

S:.mmit Environmental Technologies, Inc. QC SUMMARY "PORT
3310 Win St.
1. SUMMARY jdl i "PORT
Ef M1PI CCNP11i li�L GtINOW(.I&-;l,ING Cuyahoga Falls, Ohio44223 WO#: 19021420
:� Il[ItdCtt� L 7ead d�6d� TEL: (330) 2S3-8211 FAX.- [phone]
Website: http://wivw.scttelc.com 14 Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: 36238A
Sample ID 19030085-001AMS
SampType: MS
TestCode: TCLP-SVOC_ Units: mg/L
Prep Date: 3/4/2019
RunNo: 95324
Client ID: BatchQC
Batch ID: 36238A
TestNo: SW8270
Analysis Date: 3/5/2019
SegNo: 1995034
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit Highl-imit RPD Ref Val
%RPD RPDLimit Qua[
1,4-Dichlorobenzene
0.475
0.0800
0.8000
0
59.4
15.2
124
W
2,4,5-Trichlorophenol
0.569
0.200
0.8000
0
71.1
30.6
152
mW
2,4,6-Trichlorophenol
0.648
0.200
0.8000
0
81.0
27.6
150
W
2,4-Dinitrotoluene
0.607
0.0400
0.8000
0
75.9
58
141
W
o-Cresol
0.607
0.200
0.8000
0
75.9
26.9
132
W
Cresols, Total
ND
4.00
1.600
0
74.6
27.6
132
W
Hexachloro-1,3-butadiene
0.406
0.0160
0.8000
0
50.8
-5.3
156
W
Hexachlorobenzene
0.610
0.0400
0.8000
0
76.2
54.3
142
W
Hexachloroethane
0.412
0.0800
0.8000
0
51.4
1.92
131
W
Nitrobenzene
0.603
0.0800
0.8000
0
75.4
21
135
W
Pentachlorophenol
0.576
0.200
0.8000
0
72.0
47.4
134
W
Pyridine
0.353
0.200
0.8000
0
44.2
-10.3
64.2
W
Surr:2-Fluorophenol
0.578
1.000
57.8
9.77
146
W
Surr: Phenol-d6
0.615
1.000
61.5
20.7
130
W
Surr: Nitrobenzene-d5
0.681
1.000
68.1
13.9
156
W
Surr: 2,4,6-Tribromophenol
0.631
1.000
63.1
27.3
183
W
Surr:2-Fluorobiphenyl
0.718
1.000
71.8
21.4
153
W
Surr: p-Terphenyl-d14
0.896
1.000
89.6
54.8
154
W
Qualifiers: * Value exceeds Maximum Contaminant Level.
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compound Limit.
P Second column confirmation exceeds
B Analyte detected in the associated Method Blank
J Analyte detected below quantitation limits
ND Not Detected
PL Permit Limit
Page 27 of 36
E Value above quantitation range
M Manual Integration used to determine
O RSD is greater than RSDlimit
R RPD outside accepted recovery limits
Original

Summit Environmental Technologies, Inc. QC
SUMMARY
RY REPORT
3310 Win St. 1. �7 LJ f�A Y REPORT
j(1
E NVInn-NFAENTAL.MMIFdcJLormlrgs,lt5 G Cuyahoga Falls, Ohio 44223
� �SgNcirl L-�f�ara$ot d�M TEL: [phone] FAX: [phone] WO#: 19021420
Website: hup.-Mvrvw.settek.com 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: R95160
Sample ID LCS-R95160
SampType: LCS
TestCode: Ignitability_S Units:
Prep Date:
RunNo: 95160
client ID: LCSS
Batch ID: R95160
TestNo: SW1030
Analysis Date: 2/28/2019
SegNo: 1979254
\nalyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit Highl-imit RPD Ref Val
%RPD RPDLimit Qua]
Ignitability 7.88 7.240 0 109 70 130
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded 7 Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 29 of 36

WIN Summit Environmental Technologies, Inc. M It
3310 Win St, SUMMARY jvl QC S 7�a MA AY REPORT
dtL PORT
EMr1 OUFAE10AL` E MINOWGIZZ,iNG Cuyahoga Falls, Ohio 44223
rt�;��yftdc l L PsOra�®61e TEL: [phone] FAX: [phone] WO#: 19021420
Website: hUp.-Ilwwmv.settelccom 14-Mar-19
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchYD: 1295449
Sample ID 19030127-001AMS
SampType: MS
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 95449
Client ID: BatchQC
Batch ID: R95449
TestNo: SW9034
Analysis Date: 3/5/2019
SegNo: 1987979
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qua[
Sulfide, Reactive 4640 25.0 4800 0 96.7 80 120
Sample ID 19030127-001AMSD
SampType: MSD
TestCode: Sulfide,React Units: mg/Kg
Prep Date:
RunNo: 95449
Client ID: BatchQC
Batch ID: R95449
TestNo: SW9034
Analysis Date: 3/5/2019
SegNo: 1987980
Analyte
Result
PQL SPK value SPK Ref Val
%REC LowLimit HighLimit RPD Ref Val
%RPD RPDLimit Qua]
Sulfide, Reactive 4550 25.0 4800 0 94.8 80 120 4640 1.96 30
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 31 of 36

- Summit Environmental Technologies, Inc. '1 3310 Win St. QC SUMMARYRTt®Rm
JM"'ETIAL 6r`;CP6fdOW(,a1C.5FINC Cuyahoga Falls, Ohio 44223
AiTOPY(WI CaGorblorfos TEL: [phone] FAX.- [phone] WO#: 19021420
Website: ht1y✓1www.settek.com I4-Mar-I9
Client: Synagro, NC 28134
Project: Mt. Holly WTP BatchID: R95453
Sample ID 19030127-001AMS
SampType: MS
TestCode: Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 95453
Client ID: BatchQC
Batch ID: R95453
TestNo: SW9014
Analysis Date: 3/5/2019
SegNo: 1988039
Analyte
Result
PQL SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 9.23 0.485 10.00 0.1837 90.4 81.6 122
Sample ID 19030127-001AMSD
SampType: MSD
TestCode:
Cyanide,Rea Units: mg/Kg
Prep Date:
RunNo: 95453
Client ID: BatchQC
Batch ID: R95453
TestNo:
SW9014
Analysis Date: 3/6/2019
SegNo: 1988040
Analyte
Result
PQL
SPK value SPK Ref Val
%REC Lowl-imit HighLimit RPD Ref Val
%RPD RPDLimit Qual
Cyanide, Reactive 8.74 0.459 10.00 0.1837 85.6 81.6 122 9.226 5.42 20
Qualifiers: * Value exceeds Maximum Contaminant Level. B Analyte detected in the associated Method Blank E Value above quantitation range
H Holding times for preparation or analysis exceeded J Analyte detected below quantitation limits M Manual Integration used to determine
MC Value is below Minimum Compound Limit. ND Not Detected O RSD is greater than RSDlimit Original
P Second column confirmation exceeds PL Permit Limit R RPD outside accepted recovery limits
Page 33 of 36

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SUMMIT
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Page 35 of 36

aceAnalytical
mnvpacelabs.com
March 04, 2019
Adam Brigman
Synagro
12701 Lancaster Hwy
Pineville, NC 28134
RE: Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Dear Adam Brigman:
Enclosed are the analytical results for sample(s) received by the laboratory on February 25, 2019.
The results relate only to the samples included in this report. Results reported herein conform to the
most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual,
where applicable, unless otherwise noted in the body of the report.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
64- �--
Lord Patton
[e-mail]
1(828)254-7176
Project Manager
Enclosures
cc: Lysa Finnerty, Synagro
PSCRF�.
eORASO
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 1 of 16

l
aceAnalXical
wwwpacelabs.com
SAMPLE ANALYTE COUNT
Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID Sample ID Method
Analysts
Analytes
Reported
Laboratory
92418933001 CITY OF MT. HOLLY WTP EPA 601 OD
IDS
14
PASI-A
EPA 7471 B
RDT
1
PASI-A
SM 2540G-2011
KDF
1
PASI-C
ASTM D2974-87
KDF
1
PASI-C
EPA 9045D
ECH
1
PASI-A
SM 271 OB-2011
EWS
1
PASI-A
EPA 350.1 Rev 2.0 1993 Mod.
NAL
1
PASI-A
EPA 351.2 Rev 2.0 1993
MFO
1
PASI-A
EPA 353.2 Rev 2.0 1993
MFO
3
PASI-A
EPA 365.1 Rev 2.0 1993
MDW
1
PASI-A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 3 of 16

aceAnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
QC Batch: 460503 Analysis Method: EPA 7471B
QC Batch Method: EPA 7471B Analysis Description: 7471 Mercury
Associated Lab Samples: 92418933001
METHOD BLANK: 2508453
Associated Lab Samples: 92418933001
Parameter Units
Mercury mg/kg
LABORATORY CONTROL SAMPLE: 2508454
Parameter Units
Mercury mg/kg
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.0060 02/28/1916:31
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
0.083 0.070 84 80-120
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2508455 2508456
MS MSD
92418975004 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua[
Mercury mg/kg 0.045 0.076 0.078 0.12 0.12 95 97 75-125 5
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/04/2019 02:47 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 16

anoAnalytical
www.pacelabs.com
QUALITY CONTROL DATA
Project: Mt. Holly WfP 50-1701 2/25
Pace Project No.: 92418933
MATRIX SPIKE & MATRIX SPIKE DUPLICATE:
2506815
MS
92418933001
Spike
Parameter
Units
Result
Conc.
Arsenic
mg/kg
44.0
946
Cadmium
mg/kg
ND
946
Calcium
mg/kg
1130
9460
Chromium
mg/kg
183
946
Copper
mg/kg
234
946
Lead
mg/kg
ND
946
Magnesium
mg/kg
1670
9460
Molybdenum
mg/kg
9.6
946
Nickel
mg/kg
15.9
946
Potassium
mg/kg
ND
9460
Selenium
mg/kg
ND
946
Sodium
mg/kg
ND
9460
Zinc
mg/kg
126
946
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
MSD
Spike
Conc.
2506816
MS
Result
MSD
Result
MS
% Rec
MSD
% Rec
% Rec
Limits
RPD
940
882
898
89
91
75-125
2
940
914
928
97
99
75-125
2
9400
10400
10700
98
102
75-125
3
940
1120
1140
99
102
75-125
2
940
1230
1260
106
110
75-125
2
940
894
910
94
96
75-125
2
9400
10700
11400
95
104
75-125
7
940
890
903
93
95
75-125
1
940
935
948
97
99
75-125
1
9400
10700
11400
103
111
75-125
6
940
768
782
81
83
75-125
2
9400
9620
9740
102
104
75-125
1
940
1040
1070
97
100
75-125
2
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/04/2019 02:47 PM without the written consent of Pace Analytical Services, LLC.
Qua]
Page 7of16

aceAnalytical
www.pacelabs.com
Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
QC Batch: 460997
QC Batch Method: EPA 9045D
Associated Lab Samples: 92418933001
SAMPLE DUPLICATE: 2510536
Parameter Units
pH at 25 Degrees C Std. Units
SAMPLE DUPLICATE: 2510537
Parameter
pH at 25 Degrees C
QUALITY CONTROL DATA
Analysis Method: EPA 9045D
Analysis Description: 9045 pH
92418081002 Dup
Result Result RPD Qualifiers
4.7 4.7 0 HI
92418933001 Dup
Units Result Result
Std. Units 6.4 6.5
RPD Qualifiers
0 H1
Pace Analytical Services, LLC
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
Results presented on this page are in the units Indicated by the "Units' column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/04/2019 02:47 PM without the written consent of Pace Analytical Services, LLC.
Page 9 of 16

aceAnaljdical
www.pacelabs.com
Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
QC Batch: 460129
QC Batch Method: EPA 351.2 Rev 2.0 1993
Associated Lab Samples: 92418933001
METHOD BLANK: 2506882
Associated Lab Samples: 92418933001
Parameter Units
Nitrogen, Kjeldahl, Total mg/kg
QUALITY CONTROL DATA
Analysis Method: EPA 351.2 Rev 2.0 1993
Analysis Description: 351.2 TKN
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 50.0 02/27/19 01:14
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
LABORATORY CONTROL SAMPLE: 2506883
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Nitrogen, Kjeldahl, Total mg/kg 1000 1050 105 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2506884 2506885
MS MSD
92418920001 Spike Spike MS MSD MS MSD % Rec
r Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Nitrogen, Kjeldahl, Total mg/kg 44000 6530 6240 50300 46000 97 32 90-110 9 M1
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/04/2019 02:47 PM without the written consent of Pace Analytical Services, LLC.
Page 11 of 16

aceAnaljdical
www.pacelabs.com
QUALITY CONTROL DATA
Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
QC Batch: 460306 Analysis Method: EPA 365.1 Rev 2.0 1993
QC Batch Method: EPA 365.1 Rev 2.0 1993 Analysis Description: 365.1 Phosphorus, Total
Associated Lab Samples: 92418933001
METHOD BLANK: 2507668
Associated Lab Samples: 92418933001
Parameter Units
Phosphorus mg/kg
LABORATORY CONTROL SAMPLE: 2507669
Parameter Units
Phosphorus mg/kg
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Matrix: Solid
Blank Reporting
Result Limit Analyzed Qualifiers
ND 0.94 02/27/19 23:15
Spike LCS LCS % Rec
Conc. Result % Rec Limits Qualifiers
46.3 48.3 104 90-110
MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2507670 2507671
MS MSD
92418640002 Spike Spike MS MSD MS MSD % Rec
Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual
Phosphorus mg/kg 13300 433 474 13600 14100 81 161 90-110 3 M6
Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 03/04/2019 02:47 PM without the written consent of Pace Analytical Services, LLC.
Page 13 of 16

r
aceAnalytical
www.pacelabs.com
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Mt. Holly WTP 50-1701 2/25
Pace Project No.: 92418933
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Lab ID
Sample ID
QC Batch Method
QC Batch
Analytical Method
Analytical
Batch
92418933001
CITY OF MT. HOLLY WTP
EPA 3050B
460104
EPA 601 OD
460183
92418933001
CITY OF MT. HOLLY WTP
EPA 7471B
460503
EPA 7471B
460606
92418933001
CITY OF MT. HOLLY WTP
SM 2540G-2011
460167
92418933001
CITY OF MT. HOLLY WTP
ASTM D2974-87
460021
92418933001
CITY OF MT. HOLLY WTP
EPA 9045D
460997
92418933001
CITY OF MT. HOLLY WTP
SM 271 OB-2011
461126
92418933001
CITY OF MT. HOLLY WTP
EPA 350.1 Rev 2.0 1993
460190
EPA 350.1 Rev 2.0 1993
460235
Mod.
Mod.
92418933001
CITY OF MT. HOLLY WTP
EPA 351.2 Rev 2.0 1993
460129
EPA 351.2 Rev 2.0 1993
460349
92418933001
CITY OF MT. HOLLY WTP
EPA 353.2 Rev 2.0 1993
460267
EPA 353.2 Rev 2.0 1993
460284
92418933001
CITY OF MT. HOLLY WTP
EPA 365.1 Rev 2.0 1993
460306
EPA 365.1 Rev 2.0 1993
460620
Date: 03/04/2019 02:47 PM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC.
Page 15 of 16

LAND APPLICATION SITE CERTIFICATION
Applicant's name: City of Mount Holly Permit No. WQ0001863
Land application sites currently certified: 316.6 net acres and Total to be certified: 247.4 net acres.
1. 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 b
Mapping Unit
or Rep. Slope'
M
GA-41-01
E. Gregory Springs
E. Gregory Springs
3.5
Gaston
Fescue
Madison
MaB2
M
GA-41-06
E. Gregory Springs
E. Gregory Springs
8.9
Gaston
Fescue
Cecil
CeB2
D
GA-41-09
Tom Springs
E. Gregory Springs
4.0
Gaston
Fescue
Cecil
CeB2
M
GA-41-10
E. Gregory Springs
E. Gregory Springs
6.9
Gaston
Fescue
Cecil
CeB2
M
GA-41-14
E. Gregory Springs
E. Gregory Springs
7.4
Gaston
Fescue
Cecil
CeB2
D
GA-44-01
George B. Allen
George B. Allen
7.9
Gaston
Fescue
Wedowee
WeD
D
GA-45-01
J. David Allen
J. David Allen
17.0
Gaston
Fescue
Lloyd
LdB2
M
MG-37-01
Pale and Dean Connell
Dale and Dean Connell
18.3
Mecklenburg
Fescue
Cecil
eB2
Status Code for Iand application sites are: 0 N (New) 0 R (Renewed) 0 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)
II. 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 Class Proposed
GA-45-01
350 22' 47"
810 17' 10"
NAD 83
MAP
Nearest Second
03-08-35-11-129-9-1-(2)
WS-IV
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 11-13 Page 1

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Charlotte Mecklenburg Utilities Permit No. WQ0000057
Land application sites currently certified: 316.6 net acres and Total to be certified: 247.4 net acres.
III. 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
b
Series Name
Mapping Unit
or Rep. Slope`
D
CL-11-01
Bowen Family Trust
Andy Bowen
24.42
Cleveland
Fescue/Bermuda
Cecil
4%-5%
D
CL-11-02
Bowen Family Trust
Andy Bowen
15.18
Cleveland
Fescue/Bermuda
Madison/Pacolet
5%
R
LT-45-01
Mike Macomson
Mike Macomson
15.01
Lincoln
Row Crop
Lloyd/Cecil
4%
R
CL-12-01
Cedar Lake Farm LLC
Charlie Jones
51.15
Cleveland
Fescue/Bermuda
Hewitt
3%
R
LT-46-03
Tony Jones
Tony Jones
9.9
Lincoln
Fescue
Cecil
CeB2
R
LT-46-04
Tony Jones
Tony Jones
19.4
Lincoln
Fescue
Cecil
CeB2
R
LT-46-05
Tony Jones
Tony Jones
7.9
Lincoln
Fescue
Lloyd
LdB2
Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) o 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)
IV. 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 Class Proposed
CL-11-01
35020'51" N
81°25'42" W
NAD 83
MAP
Second
Broad / 9-53-4-(1)
WS-III
CL-11-02
35020'57" N
81025'42" W
NAD 83
MAP
Second
Broad / 9-53-4-(1)
WS-III
CL-12-01
35021'12.5" N
81°25'1.8" W
NAD 83
MAP
Second
Broad / 9-53-6
C
LT-45-01
35030'51.8" N
81°16'8.7" W
NAD 83
MAP
Second
Hoyle Creek / 11-129-15-(1.5)
WS - IV
Note: Flease keep the site mtormation (1.) and waterbody information (II.) of the same field on the same page.
FORM: LA cr' I 1-13 Page 2

LAND APPLICATION SITE CERTIFICATION
Applicant's name: Charlotte Mecklenburg Utilities Permit No. WQ0000057
Land application sites currently certified: 316.6 net acres and Total to be certified: 247.4 net acres.
V. LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Code"
Site/Field
ID
Landowners
()
Lessees or O s
() Operator(s) ()
Net Acres
CountyCrop(s)
s
p()
Predominant Soil
b
Series Name
Mapping Unit
or Rep. Slope'
R
LT-46-06
Tony Jones
Tony Jones
5.4
Lincoln
Fescue
Pacolet
PaB
R
LT-46-07
Tony Jones
Tony Jones
7.0
Lincoln
Fescue
Pacolet
PaB
R
LT-46-08
Tony Jones
Tony Jones
6.6
Lincoln
Fescue
Cecil
CeB2
R
LT-46-09
Tony Jones
Tony Jones
7.3
Lincoln
Fescue
Lloyd
LdB2
R
LT-44-01
Lee Shank
Lee Shank
15.65
Lincoln
Fescue/Bermuda
Cecil
3%
R
LT-46-01
Tony Jones
Tony Jones
11.8
Lincoln
Fescue
Cecil
CeB2
R
LT-46-02
Tony Jones
Tony Jones
45.2
Lincoln
Fescue
Cecil
CeB2
'Status Code for land application sites are: e N (New) ♦ R (Renewed) ♦ 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)
VI. 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
p
Class
LT-46-09
350 24' 38"
810 F 37"
NAD 83
MAP
Nearest Second
03-08-33-11-119-2-(0.5)
C
LT-44-01
35024'58.5" N
8109'42.7" W
NAD 83
MAP
Second
South Fork Catawba River / 11-129-(2.5)
WS-IV
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LP '-r' t 1-13 Page 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
c. LAND OWNER AGREEMENT
61vlslorn of Wager 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. 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 permits:
Applicant's name: (``� C,r &W`-1 14611a
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)
Of
fvv
{ (cam Pa.,,Jt, --
A!,V3n
//I!-'r1�11
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
,hall 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 I 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 sites) 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 Iandowner 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 sites) 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, 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;
9A re -defined compliance boundary is needed for field(s) ID: R ` ( l Z - O f
(Please include the rationale for the requested re -location 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 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, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application sites) as specified
herein.
X1 Landowner name:
Address: P C� &dT_7_ 11
City: q Q Q State: " a
zip: 2 _'
Phone: ''D V%5-- 4, 9 277 6g, E-mail address: -
Signature: Date: L�-
NORTH CAROLINA, C t e v la«Ld COUNTY
I, the undersigned Notary Public do hereby certify that _ P&+ai 16 6 } L e(�-� j
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
5�h
day of c I , 20 i 9
Signature and seal: �
ARAM BRIGMAN
My commission expires: 2 q NOTARY PUBLIC
GASTON COUNTY, NC
MY COMMISSION EXPIRES APRIL 29,
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: _ l y rz" State: (f� Zip:
Phone: _ G' - 1-9,1 1 -- d-J -7� E-mail address:
Signature:
Gv -�. Date: 4_ M ;
Permittee's Certification:
I certify that I have readkthis Agreement f id do hereby
Signing official naive:
Signature:
to abide by the stipulations and restrictions as specified herein.
Date: .471
FORM: LOA 06-16 Page 3 of 3

CUMULATIVE METAL LOADINGS (LBSIACRE) AS OF 5/2312019
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
Field ID Last Applied As Cd Cr Cu Pb Ha Mo Ni Se Zn
NC-CL-00012-0-0001 06/09/2018 0.0241 0.0200 0,1607 0.5222 0.0401 0.0021 0.0562 0.1607 0.0803 0.8302
Page: 1 of 1 5/23/2019

SITE SUMMARY
CITY OF MOUNT HOLLY
Mount Holly, NC
Site ID: NC-CL-12
Owners Name:
River Taw Farms
Address:
126 Cedar Lake Farm rd
Cherryville, NC 28021
Phone:
(704)-913-0033
Operator:
Travis Jones
Total (Ibs PAN/ac) Predominant Latitude &
Fields Acres Cron(sl RYE PAN Rate Soil Series Lonaitude
1
51.2
Fescue
188
HhB
35°21'11.36"
1 N
81°25'0.81"
1 W
TOTALS 51.2
Notes:
Date: 1125118

APPLICATION MAP
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\ 7 4
(0 ■qq'
O
�
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}v �h �4 � i `� h `,��"�.+ �" •1k
y M y Y � �, �F� - ..! T r
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r WW
LEGEND
APPLICATION AREA UNSUITABLE AREA
— —�— — — PRIVATE ROAD WATER
GRAPHIC SCALE
_
— — — — STREAM ONSITE HOUSE 1 ' —
— DRAIN 660' o ssol
OFFSITE HOUSE
X X FENCE OUTBUILDING
PROPERTY LINE �( WELL
Q SOIL DESCRIPTION X�
The compliance boundary is established either 250 ft from the residuals application area or 50 feet within
NC-CI-1 2
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 1

. LEGEND
v-o v
APPLICATION AREA
PRIVATE ROAD
- - - - STREAM
■
- . DRAIN
.
X X x FENCE
❑
PROPERTY LINE
rx
UNSUITABLE AREA
WATER
ONSITE HOUSE.
OFFSITE HOUSE
OUTBUILDING
WRI
'-%a rmmnlinnra hni inrlanr ie aetahlicharl aifhar orm ff from fha molA isle nnnli—Onn aran nr rO faof xA4fhin
GRAPHIC SCALE
1°=A --

V CINITY MAP
jj �adl�'
Er
S
y
W /
GRAPHIC SCALE
V = 4,000'
4,000' 0 4,000'
I 1
rs� I
e compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C"CL"1 2
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 I

SOIL SURVEY
GRAPHIC SCALE
I" = 800'
)e compliance boundary is established either 250 ft from the residuals application area or 50 feet within
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-CL-12
Field 1

TOPOGRAPHIC MAP
GRAPHIC SCALE
1"=1,000'
1,000' 0 1,000'
�e compliance boundary is established either 250 ft from the residuals application area or 50 feet within N C-CL-12
the property boundary, whichever is closest to the application area. The -review boundary is established. I
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate. Field 1

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I— �

-,- M-R
�DIvIs9on of Water Resources
State of North Carolina
Department of Environment and Natural Resources
]division 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):
[Q / 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
pplicant.
LDS 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 permits:
Applicant's name: _ L ! `Ly tl )0+ H01,1 V
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)
/� /�
6A— 1 ���t Cb 1 �(Y�
�j
Hu P� � ��
n
%1f2t��ttI r-eyr, ,
ce,_q cd!°'l oqc fir
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
call 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 06-1.6 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. ShouId the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third parry, 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 sites) 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 aresiduals 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
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 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 sites) 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: 4� j o We-s
City: ,
-, m6I J V State: Zip: 1
Phone: -7 y � — `� � -7 7 7 @--F-- � �v4�a, � �C3 %M
mail address: ��
j
Signature: Date: 36 F1 7
NORTH CAROLINA, N COUNTY
I, the undersigned Notary Public do hereby certify that 6 re01 �(Jce!/ o S
LI/
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
Signature and seal:
My commission expires:
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: Zip:
E-mail
Date:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
V in, fi., 14
AN!
i
FORM: LOA 06-16 Page 3 of 3

SITE SUMMARY
City of Mt Holly
Mt. Holly. NC
Site ID:
NC-GA-41
Owners Name:
Greg Springs
Address:
410 West Catawba Ave.
Mt. Holly, NC 28120
Phone:
704-678-0000 (Greg)
Operator: Same
Estimated Gaston Co. predominant
Applicable Annual PAN Soil Series Latitude and
Fields Acres Cron(s) (LHIACIYRI Longitude
1
3.5
Fescue
167
Madison (MaB2)
35 17 45 N
81 1 55 W
6
8.9
Fescue
209
Cecil (CeB2)
17 N
8
81 1 50 W
10
6.9
Fescue
209
Cecil (CeB2)
35 17 39 N
81 1 53 W
14
7.4
Fescue
209
Cecil (CeB2)
35 17 48 N
81137W
TOTALS 26.7
Notes:
Date:
05/30/19

APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — — PRIVATE ROAD
O
WATER
— — — — STREAM
ONSITE HOUSE
— DRAIN
■
OFFSITE HOUSE
FENCE
❑
OUTBUILDING
PROPERTY LINE
rX
WFI I
Q SOIL DESCRIPTION
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
I/ locations are approximate.
GRAPHIC SCALE
1"=660'
660' 0 660'
NC-LT-44
Field 1

- - . •✓ y s `sue �--�'� ' �R,r s+
1 _
Y
3� a rI � _ �. � • �> ��. + \� 4�, �r,��'Y it-�S ///,� .f�j ,, ���'r�
t3 i 4�'
���� '��'� ' "`- , ; ��• � � ,'Rye= +' '�1���i�
/`'r � ."' t II-'"':{'•*e�+.Ydp .r5 l9 SY i.; PAfsy�¢, , ..'�j( JJ 'j � i '„ 3+�a '�� �
Fi

Al
,Czy `�'-sar--av�-p: v�,,-+•� a-.+--_�-� ` + *. r-F,.e
ter
WkF
CfD
z AS
. w s f w e.
Ud
=� `"� .+" 7':.� 7 � � � �'J •� '� t4, +n may. / ; �e� � ;�,, � i - ' _.+�`r
i f ti' : ' A f«
� � � �,.+ l` .Nq � i � T r ���� Y-rs �~ � �.,�d#}+.,� sue,• {-� '� � M� `.:
le
+� �d. "�_... _ W.Citri� ATi �.- 1� _ ^ 4- �4.� � ' d `♦ w_ 1 C t,� _ 6L.d 1 �' 5• �. '.�" t-f

TOPOGRAPHIC MAP
�m
.-, 6
10
S _ 1
z. "",.r.. _ ''moo t _: =�. •' � �
•�a�'''i"--.+..d" � +-r£�'i-. A` . .z-_
a.
MK 'T 4'�'5..�%�
{��'f•+}•-..�{•riaT it •OYr l � C_ i'v'Y•' i•. •a
r' ��
_--. ..ems .�, K +..i'+�+.a, J�• '-Ta-'<v -
GRAPHIC SCALE
1"=800'
800, 0 800'
he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-GA-41
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 1,6,10,14

VICINITY MAP
GRAPHIC SCALE
V = 4,000'
4,000' 0 4,000'
he 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-GA-41
FIELDS 1,6,10,14

W
` Division of Water Resources
State of Forth Carolina
]department of ]Environment and Natural Resources
Division 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.
i
© 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 permits:
Applicant's name: C f 4� &,P 1 VAJ&a4 Pte t J
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)
01
�JU
F',,ec/
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
hall 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

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 H) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1636
Mall 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, 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;
VA re -defined compliance boundary is needed for field(s) ID: L1 - `t q `0 1
(Please include the rationale for the requested re -location 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 TfbtN8F__ "' 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, 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: � han K_
� b
Address: l/� ��%
City: I �l1 e� v'��' - State:
Phone: �t� �'� + `V 1E-r/a:
Signature:
ki
C
address: `t-e, 24
r�rA&e tc4l Date:
NORTH CAROLINA, L)^1/lW_ 1111 U U COUNTY
Zip: 2'60 � O
�4 0 u-nl
I, the undersigned Notary Public do hereby certify that Le 2 SA al t -10
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 13 4 h
day of
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
9
,20
ADAM BRIGMAN
NOTARY PUBLIC
GASTON COUNTY, NC
MY COMMISSION EXPIRES APRIL 29, 2023
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
Signing official n
Signature: — TR
State:
E-mail address:
Date:
Zip:
and do hereby agree to abide by the stipulations and restrictions as specified herein.
Date:
FORM: LOA 06-16 Page 3 of 3

CUMULATIVE METAL LOADINGS (LBSIACRE) AS OF 5123/2019
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 Jab result was Not Reported to Synagro or tracking of the metal loading was Not Required the loading on the report is displayed as "NW'
Date
Field ID Last Applied As Cd Cr Cu Pb Ham, MO Ni Se Zn
NC-LT-00044-0-0001 08/21/2018 0,0107 0,0021 0.3615 1.0418 0.0213 0.0008 0.0107 0.0344 0.0107 1.6451
Page: 1 of 1 5/23/2019

Site 1D:
Owners game:
Address:
Phone:
Operator:
Tntai
NC-LT-44
Lee Shank
2702 Devine rd
Iron Station, NC
704-737-4476 (cell)
Same as above
SITE SUMMARY
CITY OF MOUNT HOLLY
Mount Holly, NG
Obs PAN/ac) Predominant Latitude &
Fields Acres Crops) RYE PAN Rate Soil Series Longitude
1 15.7 'Fescue 209 CeB2 35°24'57.54° N
81-9'44.69" W
TOTALS 95.7
Notes,
Date: 1125118
I

APPLICATION MAP
LEGEND
APPLICATION AREA
UNSUITABLE AREA
PRIVATE ROAD
CD
WATER
'— " — -- .
STREAM
ONSITE
HOUSE
— DRAIN
— FENCE
OFFSITE HOUSE
PROPERTY LINEEl
OUTBUILDING
O SOIL DESCRIPTION
WELL
,"'-'compliance boundary is established either 250 ft from the residuals application area ar 50 feet within
fi the property boundary, whichever is closest to the application
area. The
midway between the compliance boundary and the perimeter of the
review boundary is established
residuals application area. All
locations are approximate.
GRAPHIC SCALE
V 660'
fi60' U
sso
NC-L )
Field
11
DQ r14

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SOIL SURVEY
GRAPHIC SCALE
I" ;= 800'
800, 0 800,
Pe compliance boundary is established either 250 ft from the residuals application area or 50 feet within
(the property boundary, whichever is closest to the application area. The review boundaryis established
midway between the compliance boundary and the perimeter of the residuals application area. All
locations are approximate.
NC-LT-44
Field 1

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W,
Division of Water Resources
State of North Carolina
]department of ]Environment and Natural Resources
Division 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 oril4inal 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.
L( 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 permits:
Applicant's name: CI- --(el j9—
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�
aed
O ,( a JAI 14-
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
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 Page 1 of 3

1. 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, 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 �0-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 aresiduals 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;
9?J'A re -defined compliance boundary is needed for field(s) ID: L I _ t-1 h'U d
(Please include the rationale for the requested re -location 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 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, 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 ) ` A ,9
Address: 2-773q &jwr" rtj,
City: L Meo14ebi State: _
Phone: 00 - 2 i � ` E-mail
/✓ C
Zip: 21e) 7
Signature GLeAJ A_v Date:
NORTH CAROLINA,
L_Z-n Cc)1 m
COUNTY
I, the undersigned Notary Public do hereby certify that M I()? a e I J 1 ° L6t (e 01 SO
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
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
120
23
ADAM ®RIGMAN
WTON COUNTY, NC
MY COMMISSION EXPIRES APRIL 29, 2023
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 ead this
Signing official name
Signature:
State:
E-mail address:
Date:
Zip:
and do hereby agree to abide by the stipulations and restrictions as specified herein.
Date:
FORM: LOA 06-16 Page 3 of 3

SITE SUMMARY
CITY OF Mt Holly
Mt Holly, NC
Site ID:
NC-LT-45
Owners Name:
Mike Macomson
Address:
2739 River Rd
Lincolnton, NC
Phone:
(980)-241-5153
Operator:
Same
Total (lbs PAN/ac)
Fields Acres Crop(s) RYE PAN Rate
1 15.0 Row Crop I Corn: 131 Soybean:
185
TOTALS 95,0
Notes:
(D.M.S.)
Predominant Latitude &
Soil Series Longitude
CeB2 35°30 51.65
Date: 01/29/18

APPLICATION MAP
C
1 Nu':a
a
r
.t ..
h
w• V�\
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tfv
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LEGEND
APPLICATION AREA
UNSUITABLE AREA
— — — — — —
PRIVATE ROAD
WATER
— — — —
STREAM
ONSITE HOUSE
—
DRAIN
.
OFFSITE HOUSE
X X X
FENCE
OUTBUILDING
PROPERTY LINE
WELL
•
O
SOIL DESCRIPTION
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.
GRAPHIC SCALE
1" = 660'
660' 0 660'
NC-LT-45
Field 1

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I I I
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the compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-LT-45
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.
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N C-LT-45
to 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.
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&lslon of Water Resources
State of forth Carolina
Department of ]Environment and Natural resources
Division 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-Discharze 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):
Ef 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.
Id Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
D/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
1e undersigned landowner or his representative hereby permits:
Applicant's name:
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 Crops
Residuals Source
o tional
(optional)
Special note
(no-till/over-seed/
pasture)
L7 yL-101-C1J
NO
A/*nq/1 Re11lf�e
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
`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 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 sites) 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'an7 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, 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;
[3"/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
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 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, 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: T�
Address: De Lf 4, Nod LVf �t'1 rule Rd -
City: Deoyer- State: /V_C Zip: 216 9 7
Phone: _L �`� " �� S J E-mail address:
NORTH CAROLINA,
L MMi
COUNTY
Date: 5 / t 3 / I
I, the undersigned Notary Public do hereby certify that 1011 y jo m-06
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
Signature and seal: r
My commission expires:
Lessee's/Operator's Certification:
134A
,20 Iq
ARAM BNIGMAN
23 NOTARY PUBLIC
GASTON COUNTY, NC
MY COMMISSION EXPIRES APRIL 29, 2023
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
Signing official name:
Signature:
State:
E-mail address:
Date:
Zip:
and do hereby agree to abide by the stipulations and restrictions as specified herein.
Date:
FnuNr- r.nA n6_ir) Page 3 of

CUMULATIVE METAL LOADINGS (LBS/ACRE) AS OF 512312019
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
Reid ID
Last Applied
As
Cd
Cr
Cu
Pb
Hg,
Mo
Ni
Se
Zn
NC-LT-00046-0-0001
03/24/2018
0.0685
0.0424
5.1743
9.4234
0.6368
0.0192
0.1078
0.4402
0.1068
14.7087
NC-LT-00046-0-0002
02/15/2019
0.3883
0.0768
6.1980
31.0151
2.0814
0.0651
0.3540
1.3987
0.1877
38.0707
NC-LT-00046-0-0003
03/24/2018
0.0747
0.0464
5.6259
10.2417
0.6912
0.0213
0.1185
0.4891
0.1168
15.8382
NC-LT-00046-0-0004
12/27/2018
0.1451
0.0743
4.5874
40.5306
1.6723
0.0847
0.4608
1.5548
0.1665
37.0682
NC-LT-00046-0-0005
08/15/2018
0.0564
0.0231
3.0424
5.9865
0.3197
0.0093
0.0677
0.2538
0.0683
9.1489
NC-LT-00046-0-0007
08/18/2018
0.0451
0.0231
2.9442
5.8277
0.3387
0.0105
0.0653
0.2771
0.0653
8.6692
NC-LT-00046-0-0008
03/23/2018
0.0713
0.0446
5.4251
9.8658
0.6698
0.0206
0.1140
0.4758
0.1122
15.1643
Page: 1 of 1 5/23/2019

SITE SUMMARY
City of Mt Holly
Mt. Molly. NC
Site l®: NC-LT-46
Owners Name: Tony Jones
Address: 1418 Nature Preserve Rd.
Denver, NC 28037
Phone: [phone] (cell)
Operator: Sarre
Estimated Lincoln C®. Predominant
Appflcable Annual PAID Soil Series Latitude and
Fields acres crop(s) (LB/ACIYR) Longitude
1
11.8
Fescue
209
Cecil (CeB2)
35 24 32 N
81 2 27 W
2
45.2
Fescue
209
Cecil _(CeB2).
35 24 42 N
8126W
3
9.9
Fescue
209
Cecil (CeB2)
35 24 22 N
81 2 51 W
4
19.4
Fescue
209
Cecil (CeB2)
35 24 29 N
8127W
5
7.9
Fescue
216
Lloyd (LdB2)
35 24 56 N
81152W
6
5.4
Fescue
188
Pac®let (PaB)
35 24 50 N
81 0 50 W
7
7.0
Fescue
18®
_
Pac®let (PaB)
35 26 35 N
81 0 29 U19
8
6.6
Fescue
209
Cecil (CeB2)
35 24 21 N
812 28 W
9
7.3
Fescue
216
Lloyd (LdB2)
35 24 3� N
81 1 37W

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SurfaceWater ® OffSiteHouse Q SoilDescription
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(ail locations approximate)
The compliance boundary is established at
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area or 50 feet within 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.
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State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
�D�lvlslorn 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):
0 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.
DOI 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: � aF Mcud 1�11Y
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
o
(optional)
Special note
(no-till/over-seed/
pasture)
Ho y / f,2A-jOre
Ae d /
C � � or /To.
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
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.
i
FORM: LOA 06-16 Page 1 of 3

T. 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 NCD) NR-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.
[I. 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;
E A re -defined compliance boundary is needed for field(s) ID: M L 37-
(Please include the rationale for the requested re -location 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 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, 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: j l d wwd Pq I-e C o m ne ,
Address: 113 9 � J v ,) - ACC
City:
6170,/off State: Al zip: 292 (LI
Phone: 1, V l2` g��E-mail address:
Signature: ��p-
) Date: `� 3l l
,,
NORTH CAROLINA, Al 0- �b kI COUNTY nn
I, the undersigned Notary Public do hereby certify that �iewcirc� �✓�l fe CO/�h� ��
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 j 1
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
20 ( I
ADAM BRIGMAN
NOTARY PUBLIC
GASTON COUNTY, NC
MY COMMISSION EXPIRES APRIL 29,
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
Signing official name:
Signature:
State:
E-mail
Date:
Zip:
do hereby agree to abide by the stipulations and restrictions as specified herein.
Date:
FORM: LOA 06-16 Page 3 of 3

State of North Carolina
(Department of Environment and Natural Resources
Division of Water Resources
�Df�lsion of Water ResourcesLAND 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-Discharce 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. Lao 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
Ppplication may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
repare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
pplicant.
LC 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: mg, �t, ! (Y
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)
�nan/I �/�//�� //� 1
� ulr'<v1 U - 1 � I
n
/Uv
L /t
f �"Ig �GS�Gv^C'
�t
ryGl •`vYtc�l Leech
/ M
Cq `1 M1
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
;hall 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

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.
1. 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: A --wfl 22 C' l
(Please include the rationale for the requested re -location 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 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, 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: Ve 6I l co ll a 1,
Address: tog (Z 1` p 22 elle Is [-e"V Ad.
City: 1� c� State: /VC Zip: y 2-/ 1/Phone: �� t T S l E-mail address:
Signature: I%�� �Qoolfi( Date: 5 ��
NORTH CAROLINA, �I ect.jetnJJ g COUNTY
I, the undersigned Notary Public do hereby certify that 0egn 6ohMje ! /
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the 21 s f
day of ylq.,q V ,
V
Signature and seal:
My commission expires: Z ` li c7
Lessee's/Operator's Certification:
F
ADAM BRIGMAN
GASTON COUNTY, NC
COMMISSION EXPIRES APRI
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
I certify that I have read this Agreement and do hereby
Signing official name:
Signature:
Zip:
Date:
to abide by the stipulations and restrictions as specified herein.
Date:
FORM: LOA 06-16
Page 3 of 3

Site ID:
SITE SUMMARY
City of Mt Holly
Mt. Holly. NC
NC-MG-37
Owners Name: Dean and Dale Connell
Address: 10812 Rozzelles Ferry Rd.
Charlotte, NC 28214
Phone: [phone] (Dean)
704-512-8902 (Dale)
Operator: (SAME)/Nathan Thommason
704-634-6311 (Nathan)
Estimated Mecklenburg Co. predominant
Applicable Annual PAN Soil Series Latitude and
Fields Acres Croa(s) (LB/ACNR) Lonqitude
1
18.3
Fescue
209
Cecil (CeB2)
35 17 50 N
80 59 20 W
TOTALS 18.3
Notes:
Date: 05/30/19

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GRAPHIC SCALE
1" = 4,000'
4,000' 0 4,000'
I
he compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-M G-37
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 1

TOPOGRAPHIC MAP
27 •
"'mot Ti
ON
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fie
GRAPHIC SCALE
1" = 800'
800, 0 800'
l '
fhe compliance boundary is established either 250 ft from the residuals application area or 50 feet within
N C-M G-37
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 1