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HomeMy WebLinkAboutWQ0001863_Regional Office Historical File Pre 2018 (4)WATER QUALITY REGIONAL OPERATIONS SECTION APPLICATION REVIEW REQUEST FORM Date: October 3, 2014 To: MRO-WQROS: Michael Parker / Andrew Pitner From: Troy Doby, Water Quality Permitting Section - Non -Discharge Pennitting Unit Telephone: (919) 807-6336 Fax: (919) 807-6496 E-Mail. troy.doby@ncdenr.gov A. Permit Number: WQ0001863 B. Applicant: City of Mount Holly C. Facility Name: City of Mount Holly Land Application of Class B Residuals D. Application: Permit Type: Surface Disposal of Residual Solids (503) Project Type: Renewal OCT 6 2014 •r.. 7 rytc r; E. Comments/Other Information: Expect Comments, Questions via email after my initial review in a few days time. ❑ I would like to accompany you on a site visit. 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 a completed WQROSARR Form. ❑ Attach a classification rating sheet. ❑ Attach Attachment B for Certification. ® Return a completed WQROSSR Staff Report ❑ Attach Well Construction Data Sheet. ❑ Issue an Attachment B Certification. When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and return it to the appropriate Central Office Water Quality Permitting Section contact person listed above. RO-WOROS Reviewer: Date: FORM: WQROSARR 02-14 Page 1 of 1 CDER North Carolina Department of Environment and Natural Resources Pat McCrory Governor David Johnson — Utilities Director City of Mount Holly PO Box 406 Mount Holly, NC 28120 Dear Mr. Johnson: John E. Skvarla, III Secretary October 3, 2014 Na .`i I _., 6 f- J ; OCT 6 Subject: Acknowledgement of Application No. WQ0001863 City of Mount Holly Residuals Management System Gaston County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on October 1, 2014. Your application package has been assigned the number listed above, and the primary reviewer is Troy Doby. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Troy Doby at (919) 807-6336 or troy.doby@ncdenr.gov. Sincerely, v l (�)_ Jon Risgaard, Supervisor Division of Water Resources cc: Mooresville Regional Office, Water Quality Regional Operations Section Marshall Puryear — Synagro Central, LLC, 284 Boger Road, Mocksville NC 27028 Permit File WQ0001863 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Phone: 919-807-64641 Internet: http://portal.ncdenr.org/web/wg An Equal Opportunity 1 Affirmative Action Employer — Made in part with recycled paper NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Governor CLARIANT CORPORATION 625 E CATAWBA AVE MOUNT HOLLY NC, 28120 Dear Clariant Corporation: Water Quality Programs Thomas A. Reeder Director October 3, 2014 va Ieci L.� OCT 7 2014 V Subject: Notice of Expiration (NOE) Mount Holly West (MHW) Facility Land Application of Residual Solids (503) System Permit No: WQ0002544 Gaston County Our records indicate that the above referenced permit for the operation of a Land Application of Residual Solids (503) system is soon due for renewal. The most recent permit was effective on 2/10/2012, and will expire on 4/30/2015. Per administrative code, the renewal application must be submitted six (6) months prior to the expiration of your permit. Therefore, according to our records, you must submit your permit renewal by 10/30/2014. As the permit owner, you are responsible for maintaining this permit. Failure .to do so may result in assessment of civil penalties in accordance with North Carolina General Statute § 143-215.6A. Renewal Instructions Please respond to this notice by taking one of the following actions: 1. APPLY FOR PERMIT RENEWAL. Forms for renewal are available on-line at the Division of Water Resources website at http://portal.nedenr.org/web/wq/aps/lau/applications. -OR- 2. APPLY FOR PERMIT RESCISSION. If the Land Application of Residual Solids (503) system is no longer active, or a permit is no longer needed, you may request to rescind your permit by submitting a letter requesting rescission signed by the permit owner, and documentation from the Division's Regional office that the system has been properly closed. If your system has never been constructed or does not include treatment and storage units, please indicate so in your rescission request letter. WATER QUALITY PERMITTING SECTION 1617 Mail Service Center, Raleigh, North Carolina 27699-1636 Location: 512 N. Salisbury St., Raleigh, NC 27604 Phone: 919-807-64641 FAX: 919-807-6496 Internet: http://Portal.ncdenr.org/web/wq rla, III An Equal Opportunity \'Affirmative Action Employer Please submit the necessary documentation to the following address: Division of Water Resources Water Quality Non -Discharge Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1636 Thank you in advance for your cooperation and timely response. If you have any questions regarding renewal of your permit, please contact our permitting staff by phone at (919) 807-6464. Sincerely, Jon Risgaard, Supervisor Division of Water Resources .%cc7Xoore vs ille Regional -Office;, Water Quality Non -Discharge Permitting Unit Permit Application File WQ0002544 . Permit Number WQ0001863 Program Category Non -discharge Permit Type Land Application of Residual Solids (503) Primary Reviewer troy.doby Coastal SWRuIe Permitted Flow Facility Central Files: APS _ SWP 10/3/2014 Permit Tracking Slip Status Project Type In draft Renewal with major mod Version Permit Classification E Individual Permit Contact Affiliation Marshall R. Puryear 284 Boger Rd Mocksville NC 27028761E Facility Name Major/Minor Region City of Mount Holly Residuals Land Application Program Minor Mooresville Location Address County 201 Broom St Gaston Facility Contact Affiliation Mount Holly NC 28120 Owner Owner Name Owner Type City of Mount Holly Government - Municipal Owner Affiliation Danny Jackson City Manager PO Box 406 Dates/Events Mt Holly NC 28120 Scheduled Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration 12/28/1989 . 10/1 /2014 10/3/2014 Regulated Activities Requested /Received Events Wastewater treatment and disposal RO staff report received Water treatment, surface water RO staff report requested 10/3/14 outfall 'Naterbody Name Streamindex Number Current Class Subbasin OCT 6 2014 l� C DENR N1RQ j C3. NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor October 3, 2014 David Johnson — Utilities Director City of Mount Holly PO Box 406 Mount Holly, NC 28120 Dear Mr. Johnson: John E. Skvarla, III Secretary Subject: Acknowledgement of Application No. WQ0001863 City of Mount Holly Residuals Management System Gaston County The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on October 1, 2014. Your application package has been assigned the number listed above, and the primary reviewer is Troy Doby. Central and Regional Office staff will perform a detailed review of the provided application, and may contact you with a request for additional information. To ensure maximum efficiency in processing permit applications, the Division of Water Resources requests your assistance in providing a timely and complete response to any additional information requests. Please note that processing standard review permit applications may take as long as 60 to 90 days after receipt of a complete application. If you have any questions, please contact Troy Doby at (919) 807-6336 or troy.doby@ncdenr.gov. cc: Sincerely, c) (�) -e�' Jon Risgaard, Supervisor Division of Water Resources Mooresville Regional Office, Water Quality Regional Operations Section Marshall Puryear — Synagro Central, LLC, 284 Boger Road, Mocksville NC 27028 Permit File WQ0001863 2014� J. lit � t 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Phone: 91M07-64641 Internet: http://PoHal.ncdenr.org/web/wq An Equal Opportunity \ Affirmative Action Employer —Made in part with recycled paper Name New Application Yes No Permit Number/Case Number_.( 0 (2) 0 1 �o Date Received_ In WQPS (stamped date) Check Number OCT Water Quality Permitting Section Check Date (date on check) D-:�- f I L + , Type of Application Arcy—e,^�cA Delivered By:"y,- Amount WQPS Payment Info Form 10/25/2013 September 30, 2014 North Carolina Department of Environment and Natural Resources Division of Water Quality, Aquifer Protection Section Land Application Unit 1636 Mail Service Center Raleigh, NC 27699-1636 Re: Land Application of Residuals Program Permit Renewal and Modification City of Mt Holly - Permit No. W00001863 Dear Mr. Risgaard: Please find the enclosed Land Application of Residuals Permit Renewal and Modification for Permit No.. WQ0001863. Also enclosed is'the check required for the permit modification. Should you have any questions please feel free to contact me at 704-574-5291. Thank you, Drew Culp Technical Services Specialist O C ! - 1 TO;-4 water Qualk 12701 Lancaster Hwy Pineville, NC 28134 Phone: (704) 752-8673 0 Fax: (704)-752-8736 AN, I Wr hl 1]: Transforming natural waste challenges into sustainable, planet -friendly solutions J ff CITY a.1VIO'LINT' HOLLY 400 East Ceistial Avenue Post -Office Box 4-06 Mount Holly, NC 28120 704-822-2930 704-327-5672 Fax W ebsite: 6%-w %v. m tholl v. us. Ms. Barbara Sifford Division of: Water Resources Mooresville Regional Office 610 East Centex Avenue, Suite 301 Mooresville, NC 281.15, Dear Ms. Sifford, UTILITIES: DEPARTMENT WATER TREAT1IMINT 11'ASTFWATER TREAMMENT STORe HATER GIS TLCHNOLOGY Effective January 31, 201 , I will be iet ring fioiia the Cite of Mount Holly, NC. At that time:'1,,vill relinquish my duties as Operator in Responsible Charge of the Wastewater Treatment Facility-, including the Land. Application Residuals ORC and Laboratory Manager position. The NPDES Permit number. is N000211 Sb: and the Land Application Permit number is WQ00418h3. The Laboratory certification,number is 215. My plan Is to return to work part-time with. the. City on March 3, 2014, I will be involved with..the-, training of ilaw operators as well as assisting «•ithPlant Operations, Industrial Pretreat mentand Laboratory Operations. I look forward to staying connected to the Water Environment profession in this new limited capacity. Jonathan Jordan will be assuming the duties of ORC and will besendin�a his: ORC Designation Form soon. Hest Regards, Ralph Douglas City of ]Mount Holly S . r 40 t y,' ram` _ • \•. �%"• \ - rit � \ rnl10 $. w NC-LT-43 1 \ , ' J �020ln Googlc i4 ' � J V N't-T-43 f , .,,eat • � ',ak 0 201.4Google _ . • ~, c !�• ' Y MCI Legend Stream ® OnSiteHouse F<)-i OHSiteWell SurfaceWater ■ 00iteHouse Q SoilDescription X — X - Fence Outbuilding ® Unsuitable PropertyLine OnSiteWell APplicationArea Site: NC-LT-46; Fields 2, 4-5f 9 f 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 0 225 450 900 1,350 1,800 Legend Stream @I OnSiteHouse OBiteWell SurfaceWater ■ OffSiteHouse O SoilDescription X — X — Fence Outbuilding ® Unsuitable PropertyLine OnSiteWell APPlicationArea Site: NC-LT-46; Fields 2f 4-5f 9 I 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 0 225 450 900 1,350 1,800 September 30, 2014 North Carolina Department of Environment and Natural Resources Division of Water Quality, Aquifer Protection Section Land Application Unit 1636 Mail Service Center Raleigh, NC 27699-1636 Re: Land Application of Residuals Program Permit Renewal and Modification City of Mt Holly — Permit No. WQ0001863 Dear Mr. Risgaard: +t 1 OCT 6 2014 If ` `".�.__ t' MR(-) R(—) i��iC .3 ()IN a, - A?,q '+: r Pro ediur, On behalf of the City of Mt Holly, Synagro Central, LLC is submitting this attached application for the renewal and modification of the referenced permit. Listed below are the requested modifications to the existing permit: • Delete fields 2 and 3 from site NC-GA-44 • Add site NC-GA-45 (1 field, 17.0 net acres) • Add field 9 to NC-LT-46 (7.3 net acres) • Deleting equalization basin as a source and including any dry tonnage from referenced equalization basin with the dry tonnage from the WWTP • Please note that acres for some sites may have increased or decreased due to remapping Please note that no changes have occurred in the treatment, testing and monitoring, handling, land application methods, or any other aspect of sludge management. Please refer to the table of contents for complete documentation of attachments. If you have any questions or require additional information, please feel free to contact me at (704) 752-8673 ext. 16 or via e-mail at jaculp@synagro.com. Sincerely, Drew Culp Technical Services Specialist Cc: David Johnson/ City of Mt Holly Utilities Director OCT - 1 4 Water Quality Permitting Section 12701 Lancaster Hwy Pineville, NC 28134 Phone: (704) 752-8673 0 Fax: (704)-752-8736 Table of Contents Section: 1. Residuals Land Application Program Form: RLAP 11-13 2. Site deletion sheet 3. Operations and Maintenance/Spill Control Plans 4. Residuals Source Certification form: RSC 11-13 (WWTP) 5. Residuals Source Certification form: RSC 11-13 (WTP) 6. Land Application Site Certification form: LASC 11-13 7. County Board Notification form: CBN 11-13 8. NC-GA-41 / 9. NC-GA-44` 10. NC GA-45 �✓el� �' 11. NC-LT-43 /4'a fo cLca-ej Luf 12. NC-LT-46 6 �f1 �" �/' ✓ 13. NC-MG-37 / 14. Agronomic and Soils Info 15. Existing Permit State of North Carolina Departinent: of Environment and Natural. Resources Division of:Water Resources::WR l- ( Division of Water Resources 15A NCAC 02T .1100 RESIDUALS LANI) APPLICATION.PROGRAM INSTRUCTIONS FOR FORM : RLAP 11-13 & SUPPORTING DOCUMENTATION Please use the following; instructions as :a checklist in order fo ensure all required items are submitted: Adherence to these: instructions and checking the: provided boxes willhelpproduce 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 mformation,:visit the Water Quality Permitting Section's;Non-Discharge Permitting Unit website at.- hqt .//portal.ncdenr.org/web/wg/apsllau General — This application is for treatment, storage, transport, and/or land application of C1ass;B residuals (may include residuals that - . . are gerierate'd from a water treatment plant or other, type facilities) on the proposed or currently approved Ian application site(s) under 15A NCAC 02T .1100. qw Unless otherwise noted, the Applicant shall submit one original and two.:copies of the application and supporting documentation listed - ........ A. Residuals Land Application Program Pro ra..m.. (F..ORM: RLAP 11-13) Application: (All Packages)� ..... - .. .. AP 11-13 form. Please— Submit the completed and appropriately executed Residuals Land Application Program FORM: RL 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 62T .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 a lication form at least 180 days rior 'to the expiration date on :the existing erinit or: 90 days prior to pp. y.p.... P• gP Y p • operation of proposed facility(ies) for application:packages inv61ving: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...; New Permit F:7Major Modification l .... . Major (land are permitted for > 300 acres).:: ;: $1,31.0: ; $305 Minor -(land: are permitted for < 300 acres) $810 $245:: 1 A: major modification shall be defined as any permit modification that. irioreases the generating facility's residuals dry tonnage; _.._ adds: additional land applicationareas not previously approved; adds additional: residuals sources; or includes the addition o f new treatment or storage units/processes .not previously permitted.': There is no fee for minor permit modification's. C..:Cover Letter All. Application Packages) :List all items included in the',application package; as: well as a brief description of the requested permitting action.:: D. Environmental; Assessments (May be:Required — See 15A NCAC 1C .0300)' Submit a copy of the Findings of No Significant Impact-(FONSI) or Environmental impact Statement (EIS). Also, include �r information on ' any mitigating factors) from the Environmental .Assessment (EA) that :impact the construction- of the 4 residuals treatment'and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for: the construction of the :subject facilities. INSTRUCTIONS FOR FORM: RLAP 11-13 Page l 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.. Z Spill response :plan; including control, containment, remediation, emergency: contact information, etc. Inspection plan including the following information; Names and titles of personnel responsible for conducting the inspections. wq Frequency and location of inspections, including -those: to be conducted- by the ORC, and procedures to assure that the selected location(s) and inspection frequency are representative of the residuals management program. Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event.that noncompliance is observed. ® Sampling and monitoring plan including the following information; Names and titles of personnel responsible 'for conducting the sampling and monitoring. Detaileddescription 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 E 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:: D Any land application site certified for the residuals land application program that receives residuals at rates or frequencies greater than agronomic rates. 0 Any land, application site certified. for the residuals: land application program that is used primarily. :for residuals disposal,: : and agricultural crop production is of secondary importance. D 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. M Provide an explanation of the dedicated system and its operation. H. Detailed Site Maps (All New or Modification Application Packages) 0 Submit three (3) sets of standard size plans and two :(2) sets of I 1 by 17" plans (electronic format is acceptable -:Adobe PDF only). For Modifications, submit:plans specific to the modifications Only. Plans must include the following minimum items: A general location map, a vicinity map and:a topographic inap: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: 0 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 coinpliance:boundaries Setbacks as required by 15A NCAC 02T .1108 0 Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s). A map showing the entire irrigation area with an overlay: of the suitable irrigation area depicted by the soil scientist's 1 evaluation. The irrigation plans shall show each nozzle/emitter::and wetted area (when applicable). Clearly label spray irrigation zones as they will be operated: 0 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 L 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. `f. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity) Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy available at: http://portal.ncdenr.or web/wq/a s/p lau/ olp icies. The document shall be signed, sealed and dated by a qualified professional. K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigationfacilities 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: El Engineering 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::: El 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.or web/wq/aps/laikpolicies: 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: 0 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 NCACO2L .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: By Courier/Special Delivery: 1636 MAIL SERVICE CENTER 512 N..SALISBURY STREET RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROL-INA 27604 TELEPHONE NUMBER: (919) 807-6300 FAX NUMBER: (919) 807-6496 INSTRUCTIONS FOR FORM: RLAP 11-13 Page 3 of 3 State of North .Carolina DWR Department of Environment and Natural Resources Division of Water Resources - Division of Water Resources 15A NCAC 02T .11.00 — RESIDUALS LAND APPLICATION PROGRAM FORM: RLAP 11-13 I. APPLICANT INFORMATION: 1. Applicant's name: City of Mount Holly Applicant type: 0 Individual 0 Corporation 0 General Partnership 0 Privately -Owned Public Utility Federal- El State 0 Municipal El 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: da;vid.johnson@mtholly.us ' ( ) 2. . Consultant's name: S naaro Central, LLC License Number for P.E.:: : - Affiliation:: On Staff Retained(Firm: Consultant's mailing address: 284 Boger Rd. ... ; City:, Mocksville State:- NC Zip: 27028- Telephone number: (336) 998-7150 Email Address: jaculp(a synag or com 3. Agronomist's name: Marshall Puryear License Number: 29442. low, Affiliation:.0 N/A E On Staff.. El Retained (Firm: ... ) Agronomist's mailing address: 284 Boger Road City: Mocksville State: NC Zip: 27028=.:. ;. Telephone number: (434) 738-8002 Email Addre§s:'mpuiyear@synajzro.com 4. Soil Scientist's name: Eric Thompson License Number: 1228 . Affiliation: N/A 0 On Staff El Retained (Firm:.::: ) Soil Scientist's mailing address: 284 Boger Road City: Mocksville Stater NC Zip: 27028- Telephone number: (336) 971-9085 Email Address: ehompson na y rgr o:com 5. , Fee submitted: (See Instruction B) II. PERMIT INFORMATION: 1. Application is for (check.all that apply): 0 new, _ . Z modified, 0 renewed permit . 2. If this application is being submitted to renew or modify: an existing permit, provide the following: . Permit number: WQOOO 1863 Date of most -recently issued permit: 12/31/2013... Date of most -recently certified -Attachment A (if different than.the permit): 09/23/2011 Date of most -recently certified Attachment B (if.different than the permit): 12/31/2013 FORM: RLAP 11-13 Page I of 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: 350 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 Jonathan:Jordan 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 Available Nitrogen .Summary: Determine the maximum plant available nitrogen: (PAN) generated by all residuals source -generating facilities as currently certified and proposed for certification with this application and list the results in the following table: Maximum amount of residuals to be certified: 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 34.69 45.43 27,058 35,432 Five -Year Maximum Adjusted 49.01 59.75 38,228 46,602 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 0.0 Hay 92.6 :Pasture 150.E Total: 243.2 Methods Surface 243.2 Incorporation or Injection 0.0 Total: 243.2 FORM: RLAP 11-13 Page 2 of 5 c: Residuals Land Application Summary:. Determine the minimum acreage required to land apply the residuals as currently certified and proposed for certification assuming the scenarios listed in the following table: Assumed Application Rate (Ibs PAN/ac yr) Acres Required Using First -Year PAN Concentrations so Acres Required Using Five -Year Maximum :Adjusted PAN Concentrations Surface Incorporation or Injection Surface Incorporation or Injection 50 54.1.2 708.6 764.6.. 932.0 100 270.6 3 54:3 382.3 466.0 150 1:80:4 236.2 254.9. 310.7: :-- .7200 135.3 1772 191.1 233.0 .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. riot. enough storage, not enough land, vector reduction practices not in place, etc.): 7. Specify -type of -residuals program (See Instruction F): Non -dedicated O:Dedicated . If Dedicated specify the following check all that apply):' P fY g ( pP Y): Residuals program contains any, land application site(s) that receives .residuals at rates or frequencies greater than. agronomic .rates, explain, 0 Residuals program, ;contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop production is ofsecondary importance, explain; I 0 Residuals ;program contains :any land application sites) -that receives residuals through fixed: irrigation facilities: or: irrigation facilities fed.through h a fixed supply s stem ex lain g g pp Y Y p W. 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. wss �I qs �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. Land Application Siite Certff ication.doc FORM: RLAP 11-13 Page 3 of 5 Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only. 'I. DESIGN INFORMATION FORYIXED IRRIGATION SYSTEM 1. The irrigation system is: 0 Spray 0 Drip 2. Disposal system is: E] existing 0 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.lSA 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? El 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:.`..._;.,:.r: 5. Loading rates recommended by the Soil Scientist Evaluation: Soil Series Fields within Soil. Area Recommended Loading Rate in/hr. -sw Recommended Loading Rate inl r 6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist? -`;EJ Yes or D:No_ If No, explain wh15A NCAC 02T.055(n) is not met:"_ 7. . Non -dedicated System:D.esign (fill in the appropriate information for;either a spray or drip.i rigation system): Design Area .::.Number of Maximum Application. Design Annual Loading Field /Zone z (ft) Nozzles Rate ( allons/hr Rate (gallons/ r) ;-- - —_71 Total Spray Irrigation Design Element Plan Sheet. Specification. Number Page Number Wetted diameter of nozzles - ft.. Wetted area of nozzles 8� Nozzle capacity ; gpm ..... Nozzle manufacturer / model / Elevation ;of highest nozzle ff FORM: RLAP 11-13 Page 4 of 5 "lpplicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106): The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where, all; appeals have been: exhausted or abandoned, :are compliant with any active compliance schedule, and do not have -any overdue annual fees under Rule 15A NCAC 02T .0105. Z Yes E] 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 §143-215.613, any person who knowingly makes any 2 alse statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine . 4iotao exceed $10,000 as well as civil penalties up to $25,000 per violation. ; Signature: Date: 6 owp RECEIVEDIDENRIDWR OCT _ 1 "!14 Water Quality permitting Section FORM: RLAP 11-13 Page 5 of 5 _ SITE DELETION(S) SITE ID FIELD(S) LANDOWNER LESSEE TOTAL ACRES. NC-GA-44 2-3 R-Annell Housing George B. Allen 56.4. OPERATIONS AND MAINTENANCE PLAN SYNAGRO RESIDUALS LAND APPLICATION FOR W.Q0001863 (City of Mount Holly) t Operationa Functions t 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 a,p.p,lication contractorwll use a dri-primepump and a load stan:d:to load tankers out of the digester. The biosolids will be transported to the land application site 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-switchao.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 fieldsmay be in row crop production and ratesmill 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 Synagro 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 (City of Mt. Holly) Inspection Plan Inspections for the land application of residuals will be conducted on a weekly basis 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 this facility. The inspections will consist of inspecting a current field that is being applied as well as inspecting random:fields that have been completed. These inspections will consist of: 1. . Verifying that the Pre -Operations Check List has been completed and signed by both 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 the 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 files in the respective office for the project. 8. The Permittee or Inspector shall report by telephone to the Mooresville regional office of the NCDENR by:telephone (704-663-1699) 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. • Any occurrence with the. distribution programresulting in the land application of significant. amounts of material_ that is abnormafin quantity or characteristics: • Any failure of:the distribution system that results in the release to surface waters.: •: Any time that self4nonitoring 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. • Any spill or discharge from a vehicle or piping system during residuals transportation. _ - • Any release that requires immediate. reporting outside of normal business hours shall be called in to DENR at 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 outside of normal business hours. �'- • Within 9 days.of.the first notice of on occurrence a written response in the form of a letter shall be sent to DENR' outlining the actions taken or purposed actions taken to ensure that the problem does not recur. Persons responsible for inspections on this project are as follows: Jonathan Jordan Plant Superintendent or his designee Jonathan Jordan is the designated land application ORC for this project and his designees are the: backup ORC's for this project. OPERATIONS AND MAINTENANCE PLAN SYNAG.RO: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 one sample for all parameters per year. The residuals shall be sampled annually for the following::(Regulatory level in milligrams per liter in parentheses.) Arsenic (5,0) 1, 4-Dichlorobenzene. (7.5) Nitrobenzene (2.0) Barium (100.0) 1, 27Dichloroethane.(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 (O.S) Endrin(0.02) Silver (5:.0) Chlordane:(0.'03) Hexachlorobenzene.(0.13 Tetrachloroethylene (0.7) Chlorobenzene (100.0) Heptachlor (and its hydroxide) (0.008):Toxaphene (0.5) Chloroform (6.0) Hexachloro-1,3-butadiene (0.5)... Trichloroethylene Chromium_(5.0) :.Hexachlorethane PAY.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) (1.01. p-Cresol (200.0) Mercury(.0.2).. Uinyl.Chloride (0.2) - Cresol (200.0) Methoxych[or (10.0)' 2,4-1) (10.0) :- .. Methyl ethyl ketone (200.0) r: The residuals willalso be sampled based on the chart below for the following constituents e- :_..:' . 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.peryear) Aluminum. : Magnesium pH Ammonia -Nitrogen . _ _ .. _ . Mercury .. -. Plant Available, Nitrogen .(calculation)... .... ..::Arsenic Molybdenum Selenium Cadmium -.... Nickel Sodium . . Calcium . Nitrate -Nitrite Nitrogen %Total Solids ...... .. Popper Phosphorous Total Kjeldahl Nitrogen . .... . Lead - Potassium Zinc .... _. Sodium Adsorption Ratio SAR - - 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 not water treatment, plant. residua ls with any;domestic waste water :contribution to them hot will they be mixed:with. any other residuals. The samples; will be pulled from the digester at the W-WTP that are currently holding the residuals. The WTP samples will be pulled from the specific lagoon that the City wshes.to clean outthat-year. The samples thatwill be pulled a.re a TCLP, nutrient and metals sample, 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 lea st 15 individual samOle s mixed together in, order to get the composite sample for these. parameters. This material is very consistent based on the fact that it is residuals f from the. treatment of drinking water so there should: not be any seasonal:fluctuations in these residuals. The following . people are responsible : for sampling: p. Jonathon Jordan . Plant Superintendent : or his designee : SPILL RESPONSE PLAN ,PROJECT: SYNAGRO CENTRAL Permit W00001863 IN THE UNLIKELY EVENT OF A SPILL, THE FOLLOWING ACTIONS SHALL BE TAKEN IMMEDIATELY: 1. MANAGEMENT OF SPILL CLEAN-UP ACTIVITIES: The Operations Manager shall take immediate charge and initiate clean-up activities. Synagro labor and equipment is to be utilized. In the event additional labor and equipment is required, assistance may be requested_ . from the County of Gaston or the NC Department of Transportation, and other private contractors as necessary. 2. HALT THE SOURCE OF THE SPILL: - Such as a ruptured: container or damaged transport unit: 3. CONTAIN THE SPILL: Form a barrier. Sufficient quantities of straw shall be used for such purposes. Earthen barriers may be constructed to augment the straw bale containment area of the spill. The Operations Manager or the person in charge on the spill site will advise the clean-up personnel where to get the straw, lime, and other items necessary to complete the clean=up operation; i.e., local farmers, farm supply centers, nurseries, etc. 4: CLEAN-UP: Employ front-end loaders, vacuum equipment, sludge application vehicles, and/or local septic tank- service to remove as much of the spilled material as possible. Straw and/or sand should be scattered in the spill area to soak up the remaining material. The straw- and sand -soaked material will be collected and removed to a disposal area approved by representatives of the state regulatory agency. 5.. FINAL CLEAN-UP: Employ rotary brush sweeper if needed, and apply lime to the spill area upon the approval of the clean-up efforts by the state regulatory representative. If the event occurs on private property, the clean=up will be completed to the satisfaction of the.property owner and state regulatory representatives. The ultimate goal will be to restore the spill area to its original condition'if possible. 6. NOTIFICATION: As soon as possible after the spill occurs, the Synagro Operations Manager or assistant will notify the Synagro Central office, and they will then be responsible :for notifying other. key Synagro persorinel- 7. REPORTING: Synagro Central personnel will notify the Mooresville regional office of the NCDENR by telephone (704-663-1699) as soon as possible, but not more than 24. hours after, or on the next working day following the occurrence. The Operations Manager shall provide a written report within 48 hours of the spill to the Technical Services Manager. The report shall list all relative information and actions taken.: Synagro Central personnel will file a written report to the Asheville, Wilmington _- or Winston Salem Regional office of the NCDENR within 5 days of the occurrence. For after hours reporting the Division's emergency number shall be called to report all incidences (800-662-7956 or 800458-0368 or 919-133-3300) - DWR State of North Carolina Department of Environment and Natural Resources Division of Water Resources RESIDUALS SOURCE CERTIFICATION Division of Water Resources INSTRUCTIONS FOR FORM: RSC 11-13 Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these: instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one original and two copies of -the application and supportinS documentation For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit website at: hgp://portal. ncdenr. org/web/wq/aps/lau General - This certification provides detailed information of residuals source: generating facility and its residuals quality for land application, distribution, or disposal in accordance with 15A NCAC 02T .4100. Do not submit -this certification for review without a corresponding application form (FORM: RLAP 11-13, FORM: DCAR 11-13, or FORM: SDR 11-13). 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 11-13): ® Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-13) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made; as long as the attachments are numbered to correspond to the section and item to which they refer. ® 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. 1. 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 thatdescribes 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 11-13 Page I of I 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 NC0021156 500 780 R City ofNlount Holly Mount Holly'WTP Gaston 01:-36-020 130.130 Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) . 4 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 11-13 Page 1 State of North Carolina Department of Environment and Natural Resources ­'DWRDivision of Water Resources Division of Water Resources RESIDUALS SOURCE CERTIFICATION FORM: RSC 11-13 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction-B.): 1. Facility Name: City of 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: G 3. Facility contact person and title: Jonathan Jordan, Plant Superintendent Complete mailing address: 201 Broome Street City: Mount Holly State: NC Zip: 28120 Telephone number: (704) 860-1417 E-mail address: jonathan.jordan@mtholly.us . 4. Facility, physical address: 201 Broome Street City: Mount Holly State: NC Zip: 28120-F:, Coordinates: Latitude: 35' 16' 57" Longitude: 810 0' 41" Datum: NAD 83 :: Level of accuracy: Second Method of measurement: MAP 1 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 11 '1 % domestic) 0 other (explain: 6. Does the facility have an approved pretreatment program: Yes El 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 ! ' dry tons per. year. 9. Specify the following regarding treatment and storage volumes available at the facility: Type and volume of residuals treatment:.! . I .. Type and volume of residuals storage (i.e., 'outside of residuals treatment units): 2 concrete cylindrical storage tanks — both hold—750,000 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 251.- 2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as: - ` Biological. ❑ Non -Biological FORM: RSC 11-13 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: Elyes 0 no. If yes, list the number(s): i 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 Environmental Technologies, Inc. and Date of analysis: 02/07/14 Passed corrosivity test: ® yes ❑ no. pH: 7.0 s.u. (2 < pH < 12.5) Passed ignitability test: ® yes Elno. Flashpoint: >140 T (> 140°F) Passed reactivity test: ® yes ❑no. HCN: <250 mg/kg (<250) & H2S: <500 mg/kg (<500) TCLP Parameter Limit (mg/l) Result (m9/1) TCLP Parameter Limit (mg/1) Result (mg/1) Arsenic 5.0 ND Hexachlorobenzene 0.13 ND Barium 100.0 ND Hexachloro-1,3-13utadieiie 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 200.01 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 He and its Hydroxide 0:008 ND Vinyl Chloride 0.2 ND FORM: RSC 11-13 Page 2 of 5 4. Metals Determination:. Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate the ceiling concentrations for metals regulated under:15A NCAC 02T .1-105. " a. For Distribution/Land Application: Fill in, the following table with the results of the -latest. analyses (i.e., on a dry weight basis) for the following metal parameters: Laboratory: A.& L Eastern Laboratories, INC and: Date of analysis: 07/31 2014 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg/kg) .. Monthly Average Concentration Limits (Class A Only) . (mg/kg) Result (mg/kg) Arsenic 75 41 3.0 Cadmium 85 39 <2.0 Copper 4,300 Y,500 -- - - 512 _ Lead 840 300 33.0 ::.: Mercury 57 ... 17 1.3 Molybdenum 75 n/a <5:0 . Nickel 420 420 23.0 Selenium 100 100 <5.0 Zinc 7,500 2,800 671 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: and Date of:anal sis ! Laboratory:: r Y.. � . Distance from Disposal Unit to Boundary to Closest Property Line (meters, check one) Arsenic (mg/kg Chromium (mg/kg Nickel (mg/kg) .. >.0 .but <25 30 200 210 ❑.. > 25 but < 50 34 220 240 0 > 50 but < 75...' 39 _ 260 . 270 > 75-but < 100 46 300 320 . - 0 > 100 but < .125. 53 ' :360 390 . 125 62 450 _. 420 . Result (mgft)� 7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements: a. For Distribution/Land Application of Class A or Equivalent: A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of.total dry solids, or ❑ 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. I 106(b)(3)(A)] - Time/Temperature Compliance. Alternative 2 [15A NCAC 02T.1:106(b)(3)(B)] - Alkaline Treatment. Fj _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.1106(b)(3)(E)-(K)] -Process to Further Reduce Pathogens (PFRP). Specify one: ❑ . composting, ❑ heat drying, ❑ heat treatment, thermophilic aerobic digestion, ❑ beta ray irradiation, ❑ gamma ray irradiation, or . _ ❑ pasteurization. b.::: For Land Application'df 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, ❑ -air drying, ❑ anaerobic digestion, composting, or ❑ lime stabilization. 8. c. For Surface Disposal: ❑ Select One of the _Class A or Equivalent Pathogen Reduction Alternatives in Item. IL. 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.9. below [15A NCAC:02T.1106(a)(2)]. : Not Applicable ---Non-Biological Residuals with NO Domestic Wastewater Contribution. :. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements: ❑: Alternative 1 [15A NCAC 02T.l l07(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.1107(a)(4)] Specific Oxygen Uptake Rate Test (Aerobic Digestion). 0 Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes. 0 Alternative 6 [15A NCAC 02T.1107(a)(6)] :Alkaline Stabilization:: ❑ Alternative 7 [15A NCAC 02T.1107(a)(7)] Drying.of Stabilized Residuals. ❑ Alternative 8 [15A NCAC 02T. 1 107(a)(8)] - Drying ofUnstabilized Residuals. Alternative 9 [15A NCAC 02T.1107(a)(9)]:=Injection. 1Z Alternative 10 [15A NCAC 02T.1107(a)(10)] - Incorporation. Alternative for Surface Disposal Units Only;-.Soil/Other Material Cover [15A NCAC 02T.1107(b)(2)]. Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. Note: For animal processing residuals, only alternatives 9 or 10 maybe chosen due to the nuisance conditions that typically occur when these residuals are applied and left on the land surface. FORM: RSC 11-13 Page 5 of 5 -- � \4- 40 t Holly) El, VV6.fl I EQ, Cal xi. M C dl yenville p 7*rgrc 2-!McgMehv d ogle IL Noe " "A. Ik , 7-3 t ok Go-ogte -earth) MOUNT HOLLY WASTEWATER TREATMENT PLANT Environmental Technologies, Inc. �yvD Summit 3310 Win St. t�rrtirl CtNPAEhJ'f .L G'F PdC7La�l2s, INCCuyahoga Falls, Ohio 44223 _� �;a trial L .i?eaa efR i s TEL: (330) 253-8211 FAX.` (330).253-4489 Website: htfg-11 vww.settek.com February 07, 201:4 Drew Culp Synagro; NC 28134 - 12701 Lancastet:Hw y: Pin ville, NC 28134 TEL: . 704-752-8673 FAX: 704 752 8736 RE: , : City of Mount Holly NC Order No.; 14011776 Dear Drew Culp--: Summit:Environmental Technologies, Inc. received .1: sample(s) on 1 /28/2014, 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. w. - 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, ..: 3310 Win St: Cuyahoga Fa S, .:...19 44223" A2LA 0724.0 L, Alabama 41600, Arkansas 8870735; California 01256CA, Colorado, Connecticut PH-6105; Delaware; Florida NELAC E87688; Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-01-143; Kansas E-10347, Kentucky (undetgiound Storage Tank) 3, Kentucky 90146, Louisiana'04061 and LA12004, Maine 2012915, Maryland 339, Massachusetts M-OPH923, Minnesota 409711, Montana CERT0099, New Hampshire 2996, New Jersey OH006, New York 11777, No Carolina 39705 and 631, Ohio 4170,:Ohio VAP CL0052, Oklahoma 9940, Oregon OH2O0001, Pennsylvania:68=01335; Rhode Island LA000317; South Carolina 92016001, Tennessee TN04018, Texas T104704466-1 I-5, Region 8 8TMS- L, USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C and E87688,'Wisconsin 399013010 Page of 9 qq — t Summit Environmental Technologies, Inc. 3310Win St. Workorde ' 4� Sample Silinm`c)lry { Pf41FDh1Fm7ENICtL � 'Cd L7G1 ar€v Cuyahoga Falls, Ohio44223 {� l,rni¢•C i331 L .15pJ:3ic 1eti TEL: (330) 253-8271 FAX. (330) 253-4489 WO#:: 14011776 Wehsite: htto://www.settek.com 07-Feb44 CLIENT: Synagro, NC 28134 ,Project: City —of Mount Holly NC Lab SampleID :. Client Sample ID Tag No Date Collected Date Received Matrix 14011776-001 Mount Holly 50-1701-01 2014 1/27/2014 10:45:00 AM 1/28/2014 9:50:00 AM 1Von=Potable q. ..Water.... . w. Page 2.o.f Summit Environmental Technologies, Inc..:WO#: 3310Win St. 14011776 i'apIzONJN9E.NJi �LTYtNCJL�7�t �, ira ; „ Cuyahoga Falls, Ohio 44223 Date Reported: 2/7/2014 n a, r rzla,^iaa 9rr,7?. TEL: (330) 253-8211 FAX:(330) 253-4489 Company: SynagIo, NC 28134 Website: htW.-11Www.settekcom - Address: 12701:Lancaster Hwy Pineville NC 28134 Received- 1/28/2014 Project#: City of Mount H TCLP Metals Analysis (6010).. Client ID# Lab:ID# Collected Analyte Rep Lmt Result: Units Matrix Method DF RegL;vl :: Run Analyst Mount Holly:50-1701- 001 1/27/2014 TCLP Arsenic(As) 0.50 ND mg/L : Non- EPA 601.0 C: 1 5.0 2/5/2014 WK 01 2014 Potable .. ater... ... Mount:Holly 50-1701- 001 :1/27/2014 TCLP Badunn(Ba) 5.0 q. NQ: mg/L Non_ EPA 6010 C 1 100 2/5/2014 WK 01 2014. .. .. ... Potable Water Mount Holly 50-.1701- 001 1/27/2014 TCLP Cadmium(Cd) 0.10 ND mg/L .....: Non- EPA 601O.C. 11.0 2/5/2014 WK 01.2014 Potable:. :: . ..... Water Mount Holl 50-1701- 001' y. 1/27/2014:TCLP Chromium Cr ( ) :: 0.20 ND mg/L.. Non- EPA 6010 -C : 1 5.0 2/5/2014 WK 01 2014:.::.... .: - : - .Potable .. Water Mount.Holly 50-1701-. 001::.:: -1/27/2014 TCLP Lead(Pb). 0.50 :::::ND. mg/L Non -::.:EPA 6010 C 1 5.0:: 2/5/2014 WK : :012044 Potable Water -\_'Aount Holly 50-1701- 001 1/27/20147CLP Selenium(Se) 0.50 ND mg/L Non- EPA 6010 C 1,: 1.0 2/5/2014 WK 2014 Potable . . .� Water_: ...- Mount Holly 50-1701- 001, .. ..:1/27/2014 TCLP Silver(Ag) 0.50 ND mg/L Non-. EPA 6010 C 1 5.0.... 2/5/2014 WK 01 2014 Potable ....... ::Water TCi,P Merenry Analvsis (1311/74701 e Summit Environmental Technologies, Inc.::WO#: Sx 14011776 a 3310 Win St. �55I >aP' :: rF;tltJraPnlEN�t1L� MEae�Laa.i ..arrc. Cuyahoga Falls, Ohio.44223 Date Reported: 2/7/2014. Arz?y rrg1 L, bn 91rj,e= TEL: (330) 253-8211 FAX: (330) 253-4489 Company: Synagro, NC 28134 Websrre:hrro://wivwseriekcom Address: 1270LLancasterHwy Pih6AIIe NC 28134 Received: 1/28/2014 Project#: City of Mount H SVOC SW-846: 8081 Pesticides-TCLP Client ID# Lab:ID# Collected Analyte Rep Lint Result Units Matrix Method DF RegLA Run Analyst Mount Fiolly:50=1701- 001 1/27/2014 Chlordane, total 0,010 ND mg/L: Non- EPA 8081 B : 1:: 0.030 2/6/2014: JBN 01 2014 Potable Water:, Mount Holly 50-1701= 001 1/27/2014 Toxaphene 0.10 - ND mg/L Non- EPA 8081 B 1 0.50 2/6/2014 JBN 012014 - Potable .:Water Mount Holly 50-1701-. 0.01. _ _ 1/27/2014 Endrin ..... _ _ 0.0020. _ - _ND mg/L Non--. .EPA 8081 B 1 0.020. - 2/6/2014 JBN . _ . .. 01 2014 .. 1 ....... ..... Potable - Water Mount Holly50-1701- 001 1/27/2014 gamma-BHC 0.0020 ND mg/L:., Non- EPA8081_:13 1, 0.40 216/2014, JBN 01 2014 ... _: Potable Water Mount Holly 50-1701- 601 : 1/27/2014 Heptachlor . 0.0026 ND mg/L Non- :::EPA 8081 B 1 0.0080 2/6/2014 JBN 01 2014 Potable . -Water ,Jlount Holly 50-1701- 001 1/27/2614 Heptachlor epoxide 0.0020 ND mg/L Non- EPA 8081 B 1:: 0.0080 2/6/2014 JBN ?014 - : - :. - - Potable . . . _. . water: . Mount Holly 50-1701- 001 Methoxy 9/27/2014 chlor 0.0020 ND mg/L Non- EPA 8081 B 1 10 2/6/2014 JBN 012014 := Potable qpw Water q. Page 4 of 9 s-. �, iEnvironmental Technologies, I Summit nvronmentaecnologes,Inc.-- 3310 Win St.: WO#: 14011776 rIncCuyahoga t:'t41�'iOt1NAEN7IxL G=^. L1C7LfJ^�1�5; Falls, Ohio 44223 Date Reported: 2/7/2014 I� 4� arr r c3, t; tip, ato, ram, TEL: (330) 253-8211 FAX: (330) 253-4489 Company: .Synagro, NC 28134 Website: htip:/hvtiviv.settek.com Address: 127011ancaster Hwy Pineville NC 28134 Received: 1/28/2014 Project#: City of Mount H VOC.by GC/MS (8260)-TCLP Client ID# Lab:ID# Collected Analyte Rep Lmt Result Units Matrix Method DF Re9Lvl Run Analyst Mount Holly:50-'1701- 001 1/27/2014 1,1-Dichloroethene 0.10 ND mg/L Non- EPA 8260 B 1 0.70 2/5/2014: MES 012014 .. Potable Water: Mount Holly 50-1701- 001 1/27/2014 1,2-Dichloroethane 0.10 ND mg/L Non- EPA 8260 B 1 0.50 2/5/2014 MES 012014 Potable Water Mount Holly 50-1701- 001 1/27/2014 Benzene 0.10 ND mg/L Non- EPA 8260 B 1 0.50 2/5/2014 MES 01 2014 Potable Water Mount Holly :50-1701- 001 1/27/2014 Carbon tetrachloride - 0.10 ND mg/L Non- EPA 8260 B 1 0.56 2/5/2014 MES 012014 Potable Water Mount; Holly 50-1701- 00T: 1/27/2014 Chlorobenzene 0.10 ND mg/L Non- :EPA 8260 B 1 100. 2/5/2014 MES . . 01 2014 Potable Water Mount Holly 50-1701- 001 1/27/2014 Chloroform 0.10 ND mg/L. Non- EPA 8260 B 1:: 6.0 2%5/2014 MES 2014 Potable `Mount Water . Holly 50-1701- 001 1/27/2014 Tetrachloroethene 0.10 ND mg/L Non- EPA 8260 B 1 0.70 2/5/2014 MES 012014 Potable . Water Mount Holly 50-1701- 001. 1/27/2014 Trichloroethene 0.10 ND mg/L Non- EPA 8260 B 1 0.50 2/5/2014 MES 012014 Potable Water Mount Holly 60-1701- 001 1/27/2014 Vinyl chloride 0.20 ND mg/L Non- EPA 8260 B 1 0.20 2/5/2014: MES 012014 Potable Water..... Mount Holly 50-1701- 001 :1/27/2014 MEK 2,0 ND: mg/L Nori; EPA 8260 B 1 200 2/5/2014 MES 012014 Potable - Water Page 5 of 9 .. tt. r Summit Environmental Technologies, Inc. 3310 Win St.: WO#: 14011776 a LE"' I�i MtalEtJt ttL c o- Cdc�lLo a} Inc . Cuyahoga Falls, Ohio 44223 Date Reported: 2/7/2014. _AFrari rrr1 ion r3for'Fe> TEL: (330) 253-8211 FAX: (330) 253-4489 Company: .Synagro, NC 28134 Website: httD:/hvtivwsettek.com Address: 12701:Lancaster Hwy Pineville NC 28134 Received: 1/28/2014 Project#: City of.Mount H SVO.0 8270 TCLP BNA List. Cl:a.rr rnR r..h rnR C.,no +.A si.,+o uo.. i IT-4. rvr.,+;.:::: NJ-+l.,,a Y'kV Do..r .A n.... A. .,..�4....- Mount Holly 50=1701- 001 1/27/2014 1,4-Dichlorobenzene:: i s 0.10 ND mg/L Non- EPA 8270:C: 1 7.5 2/6%2014: AKE 012014 Potable ... .... Water. Mount: Holly 50-1701- 001 :1/27/2014 2,4,5-Trichlorophenol 0.25 ND mg/L Non- EPA 8270 C 1 400 2/6/2014 AKE 012014. Potable Water Mount Holly 50-.1701- 001 1/27/2014 2,4,6-Trichlorophenol 0.25 ND mg/L Non- EPA 8270 C 1. 2.0 2/6/2014 AKE .:.01.2014 _ . Potable- - Water Mount Holly:50A701- 001 1/27/2014:24-Dinitr6toluene 0.10 ND mg/L : Non- EPA 8270 C t 0.13 2/6/2014 : AKE 01 2014:...... . Potable Water Mount -Holly 50-1701-. 001::.:. 1/27/2014 Cresols;.Total 5.0 ::.:.:ND. mg/L Non=::.:EPA 8270 C 1 200 : 2/6/2014 AKE . .012014 Potable Water .Ulount Holly 50-1701- 001 1/27/2014 Hexachloro-1,3- 0.10 ND mg/L Non- EPA 8270'C: 1:: 0.50 2/6/2014 AKE ,20.14 butadiene Potable Water:... Mount Holly 50-1701- 001 . .. ... 1/27/2014 Hexachlorobenzene 0.10 ND mg/L Non- EPA 8270 C 1 0.13. 2/6/2014 AKE 012014 Potable Water .Mount Holly 50-1701- 001:. 1/27/2014 Hexachloroethane 0.10 .. ND mg/L Non-... EPA 8270 C 1 3.0 2/6/2014 AKE .:. : 01 201:4 Potable: - Water . Mount Holly 50-:1701- 001 1/27/2014 'Nitrobenzene 0.10 ND mg/L ::: Non- EPA 8270 C : 1 2.0 2/6/2014 : AKE . . 2014:01 Potable Water.... ; Mount:Holly 50-1701- OOq 1/27/2014 Penfachlorophehol 0.25 :ND: mg/L Non_ 'EPA 8270 C 1 100 2/6/2014 AKE 012014.. ..... Potable _ _ Water Mount Holly 50-1701- 001 1/27/2014.P.yridine 0.25 ND mg/L Non- EPA 8270 C. 1 5.0 2/6/2014' AKE 01 2014 Potable Water SVOC SW-846: 8321 Herbicides.TCLP ..... ..... Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst- Mount Holly. 50-1701- 001 1/27/2014: 2,4-D 5.0 ND mg/L: Non- EPA 832:1-A : 1 - 10 215/2014 AMZ 012014 Potable ater: . w. Mount Holly 50-1701- 001 1/27/2014 2,4,5-TR 0.50 ND mg/L Non- EPA 8321 A 1 1.0 ' 2/5/2014 AMZ 012014 :: Potable q. sp Water Page of 9 . pp'-- J Summit Environmental Technologies, Inc. 3310 Win St. ` b#: 14011776. hy e is1 Imo] Date Reported: 2/7/2014 r;•'s'L OhIPe1EP:rALt£Y dC�LOGIcs, 7Pd' Cuyahoga Falls, Ohio44223 a A,r,-atyt raf L4� iSq,•ar0efe TEL: (330) 253-8211 FAX: (330) 253-4489 Company: Synagro, NC 28134 Website: hUn.,11www.settek.com Address: 12701:Lancaster HWy Pineville NC 28134 Received: .1/28/2014 p. Project#: City of Mount H Client ID# Lab ID# Collected Analyte Result Units Matrix Method DF RL Run Analyst Mount Holly 50-1701- 001 1/27/2014 Flashpoint (200°F) >200 T Non- EPA 1010 1 2/3/2014 OOD 01 2014. .::. . Potable Water Mount Holly 50-1701- 001 1/27/2014 Total PCBs ND ppm Non- EPA 8082 1 1.0 1/30/2014 AKE 01 2014 Potable - Water Mount.Holly 50-1701- 001-- 1/27/2014 Cyanide,' Reactive ND ppm Non-: EPA 9014 1 0.50 1/28/2014 TIR 01 2014........ Potable ..... Water Mount Holly 50-1701- 001 1/27/2014 pH . -; = 7.0 s.u@19.4 Non- SM 4500 1 1/28/2014 AYS 012014 C. Potable H+B Water unt.Holly 50-1701- 001_ 1/27/2014 Sulfide, Reactive ND ppm Non- EPA 9034 1 25 1/28/2014 TIR U1 2014 Potable Water ...... ........ w. Page 7 of 9 i_NVIRONPe1`_NTAL Analysis Request / Chain of Custod . _ t 5CMNci.I.,OCIES, INC.: 3310 Win Srreel - For Summit Environmental Technologies,. Inc. use Only Cuya11090 Falls, Ohio d4223 - 80L'-278-0 I.dO r Page of : SET No. Meru Ntinic•' "" S nagro Central Pmjeer Idcnliticatirnt C177' DF 'h?ov� tfVc,.z,y NG Pr..,,wt .Ad[lresz %.; U° :0. 11 @.:.. I. a d' If 'e .�= z : W. _ �:: >.. �, ir. o �.: 'Z Altalyfie�l ;�aianeters and'Ct110(15 Cliunl Address 12M Lancaster Hwy iPine%i le NC, 28134 -A � �h X.:: = Client Phone 704752-8673 Repurt'I'o �1ZEW. Gtaty Client Fax No. / to Receive Results by Fax 704-M5 -8736 PO Number- So r70 Contact Pmon Quote Mumher . Sampled By -DREW (ALP amp ❑. �� : if -Ohio VAP:Sbes::: # Sample Identification. Date __t;oltected • Time: :d?ollectecl. IhDUMi OwY $d. I701 t. avig Dl L7 r o- y5' s. IT1AA) I %.,,r k I Reliuquislted bY: Date Titne Received by:. lhite . Time Notes ! Cnintn ts: 1n-w` kisTsw S Ta.. s y,1 '&d2,V . 6DAI oil �jJG yy EPA o► T7 1 . 17: D.Q. Received in Lah by: Date . Time Rush Requested:: M y(s) Must be apped,ved by I.ah Maitager t rwl i I ��, i !1 - r �;'-% F' )!.: Page::l.of Z Report Number: 14-205-0202 A&.L Eastem Laboratories, Inc. ACCOUr1t Number: 00015 7621 White ineRoad Richmond Virginia p r m 804 743-Ml Fax 804 271.6446 i t ( 1 Submitted By,: DREW GULP wwwaleastern.cotn. Send To: SYNAGRO CENTRAUMT HOLLY Project.: MT HOLLY WWTP WAYNE BRADY NC CERT#257 12701 LANCASTER HWY PINEVILLE , NC 28134 REPORT OF ANALYSIS Date Sampled: 7/23/2014 08:00:00 Lab: Number :: 56665 Date Received: 07/24/2014 00:00. Sample Id ::MT HOLLY WWTP Date Reported: 07/31/2014 'PARAMETER RESULT RESULT QLIANTITAfION METHOD Total Solids * . : 1.99 19900 100.0 JM . 07/24/2014 15:00 SM-2540G Moisture,* 98.01 100-0 JM 07/24/201415:00 SM-2540G Total Kjeldahl Nitrogen 6.38 • 63800 10.0'. JM 07/25/2014 09:24 SM-4500-NH3C-TKN Total Phosphorus 1.74 • 1,7400 100: KM 0712512014 13:22 SW 6010C Total Potassium 0.29 2870 100 KM '07/25/2014 13:22 SW 6010C Total Sulfur f.55 15500 ' .. 100 KM' .. 07/25/2014 13:22 SW.6010C Total Calcium 1.21 12100 : 100 KM : 07/25/2014 13:22 SW 6010C Total Magnesium 0.30 2970 100 KM' 07/25/2014 13:22 SW 6010C , Total Sodium 0.82 8170 100. KM 07/25/2014 13:22 SW 601 OC Total Iron 14900 100 KM 07/25/2014:13:22 SW 6010C Total Aluminum: 27900 100 KM 07/25/2014 13:22 SW 6010C Total Manganese 506 5 KM 07/25/2014 13:22 SW 601OC Total Copper 512 . 5 KM 07/25/2014 13:22 SW 6010C Total Zinc 671 5 KM 07/25/2014 13.22 SW 6010C Ammonia Nitrogen 1-56 15600 10.0 JM 07/25/2014 09:24 SM-4500-NI3C Organic N 4.82 48200 10.0 07/25/2014 09:24 CALCULATION Nitrate+Nitrite=N 211 2.00,.. JM 07/25/2014 09:25 SM 4500NO3F Total Cadmium <2.0 2.0 KM 07/25/2014 13:22 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. ,u. .n. rN'.:)nd h: R:: n. „ r: !ar l/: r. -: o:Ir1>nn: ttnl; r.vnlirN:llUrd il.•:,:.ii. Dorf Ih:rriS any! rr';)ri not :n::::rdvclfl+:r:a !n d'Yr: id:�.! t.::(Z ':. rY ^L;i . un (e:ru(r•rrl:' ixz ndJr l \i��^ `'/�� .. : !11.. .. r:ik .I.r: :1:':l lli': '1( f.r:r: : '(11% ':!!Ir :fr :II!y -It lVr:fll: rl!'ll,�_ flt::l'.:_rt'i[:::::.: . 'f :)i ter:/-:: )f.l(1/1' .!('r Ir 111 f; r; !: (17<:i 1(: t'. 111 rr '::�. +ri):i:lf'fr: 'ilr 'fR ir..': !fi: r; l: ll:!tr';"-''li!r r•; : . Debbie Holt Page: 2 of 2 Report Number: 14-205-0202 Account Number: 00015 Submitted By: DREW CULP Send To: SYNAGRO CENTRAUMT HOLLY WAYNE BRADY 12701 LANCASTER, HWY PINEVILLE , NC 28134 Lab Number : 56665 Sample Id ::MT HOLLY'WWTP AFL Eastern Laboratories, nc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 7435401 Fax (804) 271-6446 www.aliastem.com Project :.MT HOLLY WWTP NC CERT#257 REPORT OF AMAL YS/$ Date Sampled: 7/23/2014 08:00:00 Date Received: 07/24/2014 00:00 Date Reported: 07/31/2014 Total Chromium 266 5 KM 07/25/2014 13:22 SW.6010C Total Nickel 23 5 KM 07/25/2014 13:22 SW 6010C Total Lead 33 5 KM 07/25/2014. 13:22 SW 601OC' Total Arsenic 3.0 3.0 KM 07/25/2014 13:22 SW 6010C Total Mercury 1.3 0.4 KM 07/25/2014 09:00 SW-7471 B Total Selenium <5.0 .5.0 KM 07/25/2014 13:22 SW.6010C pH (Standard Units) ;7.81 ! 2.00 JM :: 07/25/2014 09:24 ss SW79045D -Total Molybdenum <5 5 KM 07/25/2014 13:22 SW'6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE; MATRIX SPIKE WAS OUT OF LIMITS FOR "Al", "Mo"; AND "Se": THE MSD WAS OUT OF LIMITS FOR "Se".. ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. . •rr.•,,.; :.:r, .v:! h:riet• . „ru Orr .'f : .:au:a!•c: hurt ;xrnlM.Nnfnu rr:;:-: nr pu(: ;!wIL; mcm nr:i :... :nm:hn.• n ur •il: n!r rv: p.vl .rar ^r. n::lur•. n:6:rr: r.•sl :ir, :; n.rdr. .. ��j� ^�• `�e •I%� :li•r. u:r?Jr .::uit::::!t......r:nn•rrr; rrr ur.�dh; v'lr:a!u/. nc:V:: rr!r. a.:r.-,•ram,:�:url a!,.,rr;n:un,:ornunt..:711,,.ra uhP:n::ruru::,r;rr ..: •r,„:••:nr!4:yr_,un,,; Debbie Holt SAMPLING: LOG* IIuulllllll. l-a& 07-242014 AL 'Rich .14-205-02132 7h1'OF CUSTODY SVNAGRO CENTR/WMT HOLLY 13 01 49 )RD & ANALYSIS CUSTOMER: AGRO SOUT EA$T ® Mr HOLLY•1NWTP . RECORD 804P PROJECT MANAGER:!:attest -that the proper field sempling procedures Were used during theco1Jectonof these sarples. .Phone:-� 5 a l . . A & L CUSTOMER LAB. # SAMPLE 1.D. SAMPLER 1-OF SAMPLING METHOD METHOD SAPLING• LO. /�TiON SAMPLE y TNPE cONTAWERS DATE ' TIME ' .PRESERVED SHIPPED " SQ-- f'fiol - 01 -EX �3r�.��►►tJ gUiShedl ! y. Si3mp,l� 1171 � f- ... -. i D e Time . RecieVed by; . REMA RKS: Relin uished:b . q Date T e Recieved by . Relinquished ;by ecieved by: SPECIAL JNSTRUGT[ONS: dS SAMPLE ANALYSIS REQUEST ' LD. SL'I ®' ante CaC-equVolatile SL2: NHq-N 'NO,+ld ` Cd. Cr Ni Pb.. ! As H Se N 9 : PH Mo CI : . iv Solids . too- 7SLy: Total Solids_(MoisWre);::Total Kjeldahl;Nit en; Phosphorus, and;Potessium SL2; BasicTest`,SL1 plus°Sulhir,.Calcium. ;Magne'sium,_Sodlum, Iron, Aluminum,.Mandanese, Cbpper and Zinc 1Nhite —A &; L Canary — MANAGER COPY w En py 1F ... PROM PT•ACCU RATE -RE LIABLE ... E_NBORA-TORIF_S, I11-TC L j WWW.PARLABS.CON7 REPORT OF ANALYSES Attn: DREW CULP SYNAGRO PROJECT NAME: JUL 14 12701 LANCASTER HWY DATE:_08/11/14 PINEVILLE, NC 28134 SAMPLE, NUMBER- 115007 SAMPLE ID -.MT. HOLLY 50-170.1 3RD EVENT SAMPLE MATRIX- SO. DATE -SAMPLED- 07/23/14 TIME.SAMPLED- 0810- DATE RECEIVED- 07/23/14 SAMPLER- DC RECEIVED BY.- DJ TIME RECEIVED- 0950 DELIVERED BY- DC TYPE SAMPLE- Grab Page 1: of 1 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS FECAL COLIFORM (GEOM. MEAN) SM 9221 E, 07/24/14 RE 82,640 MPN/g i LABORATORY DIRECTOR r _-y- TRO Box 411483 C'luidotte NC 2S241-1483 Phcmr: (704):i88-.833�31 - l''' l:7(y1-!.) >:SS-S;3i " ivtx F0,1 �iY�r� llmlwif�iji "_tS=Jam"-`-�_"_=.^�:._=1 AA�M F;Z r- PRC3MPT°ACCURATE•-REL.IAF3LE 2217 Graham Park Drive PO BoX 411483 Charlotte, NC 28241-1483 NG Cert #. 20; SC Cert # 99003001 f�r Y.;a (71• rx i SYNAGRO .. : MT HOLLY 50-1701 31RD EVENT 07/23/14 .'v FECAL COLIFORM, GEOMETRIC MEAN SM 9221 E 115007 1 :2,133 2.11 %: 101,180.69 2 1,531 2.10% 72,745.67 3 1,310 2.09% 62,679.56 4 1,768 2.11 % 83,805:51 5 - 2,116 2.11 % 100,280.68 6 .2, 064 1 2.10%. 98,305 7 1,464 2.12% 69,062.68 PAR CHAIN OF CUSTODY UBOAATOAIES,INO, PAR Laboratories, Inc Phone(704):588-8333 www.parlabs.com Fax (704) 588-8335 Shipping: Mailing: 2217 Graham Park Drive PO Box 411483 Charlotte, NC 28273 Charlotte, NC 28241-1483 It is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, Inc. and the North t aronna ue artmenr or tnvironmeniat ana Narural.nesources. Company Name (billing) Comments/ Special Instructions SYNAGRO CENTRAL Address 12701 LANCASTER HWY City, State Er zip code PINEVILLE. NC 28134 Point of Contact Et Telephone Number DREW C u LP. 7o v- 57I - 5-2 :Sample 0 /I Taken By: SIGNATURE�v: PRINTED NAME ARE SAMPLES FOR STATE or EPA REPORTING? YES NO *Sample Type: DW WW GWMW HW Soil Other oJe Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C *Fleld Preserved: Yes No Teflon Liner/Zero Headspace: Yes No n/a _.. -; residual Chlorine:checked at time of sampling (Y/N): ®echlorination Necessary (YIN): ClientSample I.D. _ _ (Sample Location / Number) Comp Grab Preseiv. Set Up Date/Time Collection Date/Time Analyses Requested li7f �P.prmt�'I+:G. lei IVi V 7 �m' wsnea oy: uatei i ime rteceive �,,,,,uate/ i ime elinquished by: Date/ rime Received by: Date/Time `;-Composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater. Monitoring Well HW=Hazardous Waste **See 'pier. Side P A�M k PROMPT•ACCU RATE- RELIABLE , -:,AB®.RAT®RYES' INC t1'\�_A PARLABS.CONI l REPORT OF ANALYSES: Attu: DREW CULP SYNAGRO PROJECT NAME: JUL 14 -. 12701 LANCASTER HWY DATE: 08/29/14 PINEV:IL,LE, NC 28134= SAMPL)"' NUMBER- 115006 SAM'IPLE ID- 1✓11- r.0LLY .�0=170-1 3RD EVENT SA_KPLE MATRIX- SO DATE_ SAl•4PLED- 07/23/_1.4: - TIME SAMPLED- 0800 DATE RECEIVED- 07/23/14 SAMPLER- DC RECEIVED BY- DJ TIME RECEIVED-.0950 DELIVEREID BY- DC TYPE SAMP-LE- Grab Page of 1 ANALYSIS a... ANALYSIS METHOD DATE TIME BY RESULT UNITS 30 DAY BENCH SCALE TEST VAR 07/2.4/14 RE ATTACHED LABORATORY DIRECTOR W. - ... P.O.koN 411483 ^ Chitrloue. NC 28241-1483 Phone: (:704) 588-8333 ^fax: (704) 5r,3=8:35 T�iA"IP�A14E 4 1 ... Start: End: TS 0.2815 0.2787 TS%o 1.92% 1.920/0 VS 0.1996 .... . 0.1954 VS% 70.91 % 70.11 % yI N ...... .... _ . 0.004641 ... .. .... . yOUT 0.00454679 FSVR (Mass Balance) 2.04% FSVR (Van Kleeck): 3.75% FSVR:(Mass Balance):<1.5% YES FSVR (Van Kleeck) <15%- - :: YES PAR CHAIN OF CUSTODY I 4170ORIES,INC. PAR Laboratories, Inc Phone (704) 588-8333. 8335 t parlabs.com Fax (Z04) 588--- Shipping: Mailing: 2217 Graham Park Drive PO Box 411483 Charlotte, NC 28273 : Charlotte, NC 28241-1483 It is essential that all information be recorded on this Chain of Custody document for acceptance by PA.R Laboratories, Inc. and the North Carolina. Department of environmental and Natural Kesources. Company Name (billing) Cotili Vents/ Special Instructions SYNAGRO CENTRAL.= . e Address (ed12701 LANCASTER HWY �ovo �� �a i.r<f�'.: City, State Et zip: code i PINEVILLE.NC 28134 - '>C Point of Contact Et Telephone Number DRSW cUt-P 741y=sw-sz9r Sample aken By: SIGNATURE _ ��/ r,� . -f ARE SAMPL ES FOR STATE or EPA: REPORTING? YES NQ ::.Sample Type: aJvu: Ww GWMW HW Soil . Other, Sample Temp at time of sampling:. °p .0 . Sample Temp upon receipt:..... .. ° G - Teflon Liner/Zero:Heads ace: Yes: No n1a **t�ield Plreserved: Yes N® p Mdual Chlorine checked at time of,sam- pling (YIN): Dechlorinati6n:N66essary (YIN):, t Sample; I.D. :. - Set up _ Collection Analyses (Sample Location / Number) Comp Grab Preserve Date/Time DateTme Requested So- 1701 - - Z0r `6 : t7p ®.� y C3e.�[/ iefcs`oRJ Relinquished b : DateMme Receive Date/Time Relinquished by: Date rime Received by: Date7Time ;composite G=Grab DW=Drinking Water WW=Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste "-See.... . r Side State of North Carolina Department: of Environment and Natural Resources Division of Water Resources Division of Water Resources . RESIDUALSSOURCE CERTIFICATION FORM: RSC 1 13 I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B'.): . 1. Facility Name: City of Mount Holly WTP 2. Facility permit holder is: 0 Federal, 0 State, Z Local Government, or E] Private. Facility permit issued b Div. of Water Resources Div. of Environmental Health, or . 0 :. Other (explain: J). 3.: Facility contact person and title: Brian Wilson, Plant Superintendent Complete mailing address: I I I. Mountain Island Road.. City: Mount Holly State: NC Zip: 28120-1 Telephone number.: (704) 860-1417 E-mail address: ionathan.jordan,mtholly.us 4. Facility physical yh sical address: 20.1 Broome Street . . City: Mount Holly State: NC Zip: 281204.__. 1.. Coordinates: Latitude: 35 0 20' 3" Longitude: 80 : 59'.49" Datum: NAD 83 ; Level of accuracy: Second :Method of measurement: _MAP 5. Purpose of the facility: wr .. [] treatment of municipal wastewater, El treatment.of.100 /° domestic wastewater, y treatment of potable water,] treatment of 100% industrial wastewater,-: treatment of industrial wastewater mixed with domestic wastewater, roxnna a ercenta es:. % industrial and % domestic (app P ..... g ) El other.(explain: f.`. , . ; .).... 6. Does the facility have an approved pre treatment program: 0 Yes' No 7: Facility permitted/design flow: 13.5 MGDand 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 volumeof residuals treatment:. :: Type.and volume of residuals. storage (i.e., outside of.residuals treatment units): 2 lagoons — both hold—500,000 gallons... . each II. RESIDUALS QUALITYINFORMATION (See Instruction C.): 1. Specify if residuals are regulated under: 40 CFR:Part-503 or 0 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. .:: ow 2.:. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:: [� Biological . " Non -Biological -- FORM: RSC 11-13 Pagel 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 �-r 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): b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21- 261..24: ❑ yes no. Fi11 in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well as those for corosivitY, i� itability,and reactivity : Laboratory: Summit Environmental Technologies. Inc. and Date of analysis:.. 01/23/2012..: Passed corrosivity test: Z yes ❑ no. pH: 6.67 s.u. (2 < pH < 12.5) Passed ignitability test:: ® yes ❑ no. Flashpoint: > T (> 140T) Passed reactivity test: 0 yes ❑no. HCN: ND mg/kg (<250) & HZS: ND mg/kg (<500) TCLP Parameter Limit (mg/1) Result (Mg/1) :TCLP Parameter.: ... Limit (mg/1) . Result (mg/l) . Arsenic 5.0 ND Hexachlorobenzene < . Barium._ 100.0 ND Hexachloro-1,3-Butadiene: 0.5 : <0.:1 Benzene 0.5 ND Hexachloroethane 3.0. <0.1 Cadmium 1.0 ND Lead 5.0 ND Carbon Tetrachloride 0.5 ND Lindane 0.4 ND Chlordane - 0.03 <001 Mercury 0.2: ND Chlorobenzene 100.0:: ND Methoxychlor 10.0 <0.002 Chloroform 6.0 ND Methyl Ethyl Ketone 200.0 ND Chromium 5.0 ND Nitrobenzene 2.0 <0.1 m-Cresol 200.0 <5.0 Pentachlorophenol 100.0 <0.25 o-Cresol 200.0 <5 0 - Pyridine 5.0. <0.25 p-Cresol 200.0 <5.0 Selenium 1.0 ND Cresol 200.0 <5.0 Silver 5.0 ND 2,4-D 10.0 <5.0 Tetrachloroethylene 0;7- . ND 1,4-Dichlorobenzene 7:5.:: <0.1 Toxaphene 0.5 <0.1 1,2-Dichloroethane.... 0.5 ND .. Trichloroethylene 0,5 .. ND 4, I-Dichloroethylene 0.7 ND 2,4,5-Trichlorophenol 400.0 <0.25 2,4-Dinitrotoluene 0.13_ <0.1 2,4,6-Trichlorophenol 2.0 <0.25. Endrin 0.02 <0.002 2,4,5_TP (Silvex) 1.0 <0.5 Heptachlor and its Hydroxide 0.008 <0.002 Vinyl Chloride 0.2 ND r FORM: RSC 11-13 Page 2 of 5 r' 4. Metals Determination: Complete one of:the following tables (i.e.., as applicable) to demonstrate that the residuals do not violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105. a. For Distribution/Land.Application. Fill. in the following table with the results of the latest, analyses (i.e.; on a. dry weight basis) for the following metal parameters: " Laboratory: A & L Eastern Laboratories, INC and Date of analysis: 01/18/2012 Parameter Ceiling Concentration Limits (ClassA & ClassB) (mg/kg) Monthly Average Concentration Limits (Class A Only) (mg/kg) Result (mg/kg) Arsenic 75 41 .28.0 Cadmium 85 39 <1.0 Copper_ 4,300. -: 1,500 218 Lead 840 300 7.0. Mercury 57 : - - 17 <0.4 Molybdenum 75 n/a <5.0 Nickel 420 420 10.0 Selenium 100: 100- 2.0 Zinc 7,500 2,800 102 b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e.; on a dry weight basis) for the following metal parameters: F 77 Laboratory:. E� !and Date of analysis: f Distance from Disposal Unit to Boundary to Closest Property Line. (meters, check one). Arsenic . (mg/kg) Chromium (mg/kg) Nickel (mg/kg) 0 > O but <25.. 30 200- 210 0 > 25 but < 50 34 220 240 0 > 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)- 5. Nutrient[Micronutrient Determination: Complete the following: a. Total- solids- 1.46 %. b..: Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and micronutrient parameters: Laboratory: A & L Eastern Laboratories, INC and Date of analysis: 01/18/2012 Parameter Result (mg/kg) Aluminum 155,000 Ammonia -Nitrogen 2,050 Calcium 1010 Magnesium - -_ - 1,030- - Nitrate -Nitrite Nitrogen <1.0 pH (Standard Unit) 6.63 Phosphorus 1,500 .. Potassium: 77 Sodium 347 - Total Kjeldahl Nitrogen 13,000 c. Using the results listed in:Item II. Sb. above; calculate the .sodium adsorption ration (SA1Z): 0.222 . [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 minerali.2ation.rate to be used. in calculating the plant available nitrogen (PAN) of the residuals: 40 %. 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:. F . - e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table: Application Method. First (lst) Year PAN Five -Year . :Maximum Adjusted PAN (mg/kg) (mg/kg) Surface 5,406 7,764- Ipjection/Incorporation 6,431 8,789= 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 11-13 Page 4 of 5 7. Path.ogen 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.I 106(b)(3)(A)] - Time/Temperature Compliance. Alternative 2 [15A NCAC 02T.I 106(b)(3)03)] - Alkaline Treatment. .Alternative 3 [ 15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 4 [15A NCAC 02T.I 106(b)(3)(1))] - No Prior Testing for Enteric Virus/Viable Helminth Ova. Alternative 5 [15A NCAC 02T:1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens.(PFRP). Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment, thermophilic. aerobic digestion, ❑ beta ray. irradiation, El gamma ray irradiation, or ❑ pasteurization. b. For Land Application of Class B: Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration. Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP). .. Specify one: ❑ aerobic digestion, ❑ air drying, Q anaerobic digestion-, ❑ composting, or [] lime stabilization. c. For Surface Disposal: Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above. Select One of the Class B or, Equivalent Pathogen Reduction Alternatives: in Item II. 7b. above. r �F ❑ Exempt -if Daily Cover Alternative is chosen in item 1I.8. below [15A NCAC 02T.1106(a)(2)]. \-` 0 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)(-I)]:: 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion). Alternative 2 [15A NCAC 02T. I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).' ❑. Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).. Alternative 4 [15A NCAC'02T.1107(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.1107(a)(6)]. -. Alkaline Stabilization. . Alternative 7 [15A NCAC 02T.110.7(a)(7)] - Drying: of Stabilized Residuals... .. . ❑ Alternative 8 [1-5A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals. Alternative 9 [15A NCAC :02T. 1107(a)(9)] - Injection. ❑ Alternative 10 [15A NCAC 02T.I107(a)(10)] - Incorporation. Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T..1107(b)(2)]. ss Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution. Note: For animal processing residuals; only alternatives 0 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 11-13 Page 5 of 5 o d ° ,Lucia13 f L w :�� •lal • jl �.I Q I •d ` t; p f Noruatarn Island',, ❑ ❑ Mt. Holly WTP Itii`. va, o 7 ` 1At IAI o z S J iAd+ Y`d tY IAI O t�. IRI. L7 'k C °% O t'e a -L•3 � Q C oogle eahh c MtrHoily t 2o's o -glo El - ipl Y �.:t,- �.,}: .? .tom 4 . CONCRETE MONUMEN S EVATIO ( w/ BM EL NS YP .) - ' _ I LOCATION OF Al STRUCTURES d - - .- ... ... N FLO.ATIN WEIR (TYP.) UTH O SO c NE 3+63 0 R 3+77 0 _ � .K. X "IN 70 V IN 9. ' - WEST coR ER 3+9B.0 � � � 3+77.0 ... .. CH EMICAL. SPILL ADMIN. U. G . BASIN 1 b 3pj PVC 6 " INV. OUT ' X .. '..:. .. .... ... D ENTRANCE RI .. .... E ..fl .... ..:: 4+20.5. ., L 61 PVC. .. 1 .. CHEMICAL FEED � ... ... 5+25.0 _ . VEN �.. V URI . .. .. .. • ENTRANCE cj .. .. .. .. 1FENCE LL .. H7 'I:CY I :VENTURI VAO .CENTER 3+62 c 6+14 o 0,009 , 8u: MHQ 61� 'R� :. rps,_ n69825 .. - -- - s+e¢o ��' 6" PV 'CHEM ?_ -y"- - II. CLLARWtLL .. t� GCULIATION . 6" O DRAINAGE •DITCH - LAGOON BUTTON .. 10+43.0 - - 4+55.8 - .. .. T( .. BASINS .. z " . , _ CENTER BOxcENT I .. .. .. .. 0 00 �. � � � � � � � : LAGOON NO. 1 ENTER g I _ . ; ; ; I . Q : : L . LAGOON NO. 2 CENTER : 10+74.0 5+61.3 � 1 00 .. ... .. "'.LAGOON ENTRI�NCE :t RA - 000 IT INLET - - DRIVE .':: 10+9.5' 1 . I .. _.12° .. _ . I III f .. ..... ... 8" SLUDGE INLET : - MATCHLINE WItH RAW WATER ... .:: - h:IX• '...,�:..--. _ : TRANSMISSIONiLINE ... - ... Il t .697.75 .. .. A CHEMICAL SP N-5,7�0�. LL BASIN 4 6-250 i � B ASIN S 'ING .. SOUTHW SI ST CORNER I I _- ; N ;. .. 6" SUPERNATANT RE .. AT TOE URN qF CUT F ,. 12 DRA N r-- OA3' - .. t: 30';'. LAGOON _ ....... .. MH 3' ....-0.011 ., I 30" DRAIN - .0.010 - H. ... .. ,INLET,_ 8" SLUDGE`INLET 7 .. .. .. + X, .. 0..24-DRAIN- - c.•v:+ 25 :'-.c:y;•> x<:. VT INLET j ... 012. ',.`�.wv'`' . ., ._._.. - ..... .. 697.75 - CA NRaLtAE6�� �CH B N) RTi- OP IRL�41ND1 L .. . ... FI LTERS ^c ` ....,. 1 I I N E INVERT IN/PIPE SIZE' INVERT OUT/PIPE SIZE X - .. �' C.B..M1 2+33.a: 4+04.0 713.1/18':, 713.1/12" i .. 712.9/18" z w ... LIMITS S OF GRAVEL ROAD C.B.a2 2+31. ..4+39.0 712.0/18" 7tf.8/te" .. I '..: 30" FILTERED .. . _ .. :.. "C.B.:03 2+42.4.::iN0.0 7f0.0/18",,710.0/12" ::::... 709:8/18". :: WAT ER .... 2 Z J EL ROAD GRAVE C.B: N4 2+36. 5+57.0 705.1 /18",.705.1 /l2" :. 704.9/18" TE O O _ v> SEE SECTION DE AIL C.B. 05 2+86. 3+58.0 714.3/12" ¢ ON SHEET G-2 C.B, 06 2+86. 4+71.0 .714.3/12" - o: C.B. 07 2+06. 5+51.0 . - .. . 714.3112" _ . .. .. 20, ...." D.I. 02 . B.+89. 1+T30 „ 700.2/ 8'� - 7000/f 8" - - -- �� �-� � � � .. �•� � ... - D.I.N1 � 2+42. 4+62.5:: 7.1.1.6/18", 71I:67:4 .. ....- , .. M.H. O1 . 5+68. 4+12.3 . 710.0/24" 9 709.8/30" ' 696.25 ) M.H. N2 5+63.8 4+55.8 709A/30", 709.4/30", 709.2/30" .. X _ =24" FII PUMPI M .H. 25' . M. 04 5+68.� ' S+2S'.e 710.1/12'.'; 710.1/8" "' 7 OA/30'• . ' . .... .... ... ' .... :::.... ' M.H.,45 54-63. :: 6+08.4 711.1/8", . , . :.:.... 710.9/8" .:. CLEAR W ELL „' _ M.H. 4'7 3+80. - 8+f 9.2 713.0/6" 712.9/6" - K M.H. N8 4+44. 6+08 4 7133/6", 713.5/6" 712.2/6" H.W.01 10+60. M H S 9 . 4+60: 14800 699 0/11}, 1 7 �m 713 a/ B 713.0/ 8" . I 'Residuals Sampling Plan City of Mount Holly 4 Mount Holly WTP I SUMMIT i h e y ENVIRONMENTAL TECHNOLOPIES, INC. .. Analytical Laboratories LA IB3 O RA!i ®R11 : Ifs E P O Rtl. .:. 1o�01�Q�t Synagro, NC 28134 12701: Lancaster Hvvy-_: - Pineville, -NC. 28134 Order Number 1200906 project Number - Mt Holly WTP. hawed Monday,.:January 23, 2012 Total Number of pages. 6 (excluding C.O.C. and cooler receipt form) -Approved By:'° QA Manager NELAC Accreditation #E87688 "Analytical Integrity" .. EPA Certified NELAP Certified 3310 Win Street Cuyahoga Faiis, lido 44223:: - . Phone: 330-253m.8211 Fax: 330-253��4489i Web Site: www.settek.com Web Site: www.settek.com „q =1 i.. SUMMIT EI\i1(iRONMENTAIL TECH NOL. O..GIES, INC. 4 ... _..# Analytical Laboratories 3 Re0or Narlratide Client: Synawo, NC 28134 Order: dumber: 1200906 .: Solid sample results are reported on a wet weight basis except as noted. No problems were.encountered during analysis of this order number, except as noted. Data Qualifiers: B = Analyte found in the.method blank J = Estimated concentration=of analyte between MDL (LOD) and Reporting Limit (LOQ) C = Analyte has:been confirmed by another instrument or method Matrices: E = Analyte exceeds the upper limit of the calibration curve. =Air C D = Sample or extract was analyzed at a higher dilution = Cream DW =Drinking Water X = User defined data qualifier.: L = Liquid S = Surrogate out of control limits 0 = Oil U =Undetected SL = Sludge a = Not Accredited by NELAC SO = Soil ND = Non Detected at LOQ ' - °U1G1 DF = Dilution Factor TC = TCLP Extract. WW = Waste Water Limit Of Quantitation (LOQ) = Laboratory Reporting Limit (not adjusted for dilution factor) W -Wipe Limit Of Detection (LOD) = Laboratory Detection Limit... Estimated uncertainty values are available upon request. The test results meet the requirements of the NELAC standard, except where. noted. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the client. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the client for which this report was issued. -The results contained in this report are only representative of the samples received. Conditions can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible for use or interpretation of the data included herein. "Analytical Integrity” EPA Certified NELAP Certified 3310 Win Street Cuiyahoga FaIls, Ohio 44223 - Phone: 330-25M211 Fax: 330-253-4439 Web Site: www.settek.com fl� Q 1 g SUM -MIT ENVIRONMENTAL TECHNOLOGIES, INC. ^_.,. Analytical Laboratories January 23, 2012 Client: Synagro,.NC 28134 Address: 12701 Lancaster Hwy Pineville. NC 28134 Received: 1 /13/2012 Project #: Mt Holly WTP. TCLP Mercury Client ID# LaU ID# Collected Analyte Reo Lmt 'Result Units Matrix Method DF RegLvl Run Analyst 50-1701-02 1200906-01 12-3an-12 Mercury 0.02 ND mg/L S 1311 1 0.2 17-3an-12 AU TCLP Volatiles Client ID# Lab ID# Collected Amlyte Rep Lmt Result Units Matrix. Method, DF RegLvl Run Analyst 50-1701-02 1200906-01 12-Jan-12 1,1-Dichloroethene 0.1 ND mg/L S 1311 1 0.7 17-3an-12 MS 50-1701-02 1200906-01 12-3an-12 1,2-Dichloroethane 0.1 ND mg/L S 1311 1 0.5 17-Jan-12 MS. 50-1701-02 1200906-01 12-Jan-12 2-Butanone (MEK) 2 :ND mg/L S 1311 1 200 17-Jan-12 MS 50-1701-02 1200906-01 12-Jan-12 Benzene 0.1 ND _ mg/L S 1311 1 0.5 17-Jan-12 MS 50-1701-02 1200906-01 12-Jan-12 Carbon Tetrachloride 0.1 ND mg/L S 1311 1 0.5 17-Jan-12.MS 50-1701-02 1200906-01 12-3an-12 Chlorobenzene 0.1 ND mgA _ S 1311 .1 100 17-Jan-12 MS 50-1701-02 1200906-01 12-Jan-12 Chloroform 0.1 ND mg/L S 1311 1 6 17-Jan-12 MS 50-1701702 1200906-01. 12-3an-12 Tetrachloroethene 0.1 ND mg/L S 1311. 1 0.7 . 17-Jan-12 MS 50-1701-02 1200906-01 12-Jan-12 Trichloroethene 0.1 ND mg/L S 1311 1 0.5 - 17-Jan-12 MS 50-1701-02 - - 1200906-01 12-Jan-12 Vinyl Chloride 0.2 ND mg/L S 1311 1 0.2 17-Jan-12 MS - TCLP BHA Client IN Lab ID# :Collected Analvte Rep Lmt Result: Units Matrix Method DF RegLvl Run Analyst i" 50-1701-02 . 1200906-01 12-1an-12 1,4-Dichlorobenzene 0.1 <0.1 mg/L S 1311 1 7.5 20-Jan-12 AE <= ' 50-1701-02 1200906-01 12-Jan-12 2,4i5=Trichlorophenol 0.25 <0.25 mg/L S 1311 1- 400 20 ]an 12 AE 50-1701-02. 1200906-01 12-1an-12 2,4,6-Trichlorophenol 0.25 <0.25 mg/L S 1311 1 2 20-Jan-12 AE 50-1701-02 1200906-01. 12-Jan-12 2,4-Dinitrotoluene ; 0.1 <0.1 • • mg/L S 1311 1 0.13 20-Jan712 AE 50-1701-02 1200906-01 12-Jan-12 Cresols. 5 <5.0 mg/L S 1311 1 200 20-Jan-12 AE 50-1701-02 1200906-01 12-Jan-12 Hezachloro-1,3-butadiene 0.1 <0.1 mg/L S 1311 1 0.5. 20-Jan-12 AE 50-1701-02 1200906-01. 12-3an-12 Hexachlorobenzene_. 0.1 <0.1 mg/L S.. 1311 1 0.13 20-Jan-12 AE 50-1701-02 1200906-01 12-Jan-12 Hexachloroethane : 0.1 <0.1 mg/L S 1311. 1 3 20-3an-12 AE 50-1701-02 1200906-01 12-Jan-12 Nitrobenzene 0.1 .<0.1 mg/L S 1311 1 2 20-Jan-12 AE 50-1701-02 1200906701 12-Jan-12 Pehtachlorophenol 0.25 . <0.25 mg/.L .. S 1311 1 : -100. 20-Jan-12 AE 50-1701-02 1200906-01 12-Jan-12 Pyridine 0.25 <0.25. mg/L S., 1.311. 1 5 20-Jan-12 AE TCLP Barium Client ID# Lab 1D# Collected Analyte Reo:Lmt Result Units Matrix Method DF : RegLvl Run Analyst 50-1701-02 1200906-01 12-Jan-12 TCLP Barium 5 ND mg/L S 1311 1 _ _ _100 17-Jan-12 WK . :::TCLP Pesticides Client ID# Lab 1D# Collected Anale Rep Lmt Result Units Matrix Method DF . RegLvl Run Analyst .. 50-1701-02 1200906-01 12-Jan-12 Chlordane 0.01 <0.01 mg/L : S 1311 1 0.03 18-3an-12 KMG 50-1701-02 1200906-01 12=Jan-12 Endrin 0.002 <0.002 mg/L S .-.1311 1 0.02 18-Jan-12 KMG 50-1701-02 1200906-01 12-1an-12 Gamma-BHC 0.002 <0.002 mg/L S 1311 1 0.4 18+Jan-12 KMG 50-1701-02 1200906-01 12-Jan-12 Heptachlor 0.002 <0.002 mg/L S 1311 1 : 0.008 18-Jan-12 KMG 50-1701-02 1200906-01 12-3an-12 Heptachlor Epoxide 0.002 <0.002 mg/L S 1311 1 0.008 18-3an-12 KMG 50-1701-02 1200906-01 12-Jan=12 Methoxychlor. 0.002 <0.002- mg/L S ...1311 1 10 18-3an-12 KMG 50-1701-02 1200906-01 ' 12-Jan-12 Toxaphene 0.1 <0.1 mg/L S 1311 1 0.5 18-Jan-12 KMG Page 4 "Analytical lreiegrity" EPA Certified NEL.AP Certified 3310 Win Street - Cuyahoga Palls, Ohio 44223 - Phone: 330-253-3211 • Pax: 330-253-4489 Web Site: www.settek.com SUMMIT I fENViRONMRNTlAL TECHNOLOGiSS, INC. January 23, 2012 Analytical Laboratories Client: Synagro; NC 28134 Address: 12701 Lancaster Hwy . Pineville. NC 28134 Received: 1/13/2012 Project #: Mt Holly WTP TCLP Herbicides Client ID#. Lab ID# Collected Anah4e Rep Lmt Result . Units Matrix Method DF RegLvl Run Analyst 50-1701-02 1200906-01 12-Jan-12 2,4,5-TP(Silvex) . 0.5 <0.5 mg/L S 1311. 1 1 19-Jan-12 KMG 50-1701-02 — 1200906-01 12-Jan-12 2,4,D 5 <5.0 mg/L S 1311 1 10 19-3an-12 KMG TCLP Arsenic Client ID# Lab ID# . . Collected Analyse Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst 50-1701-02 1200906-01 12-Jan=12 TCLP Arsenic 0.5 ND mg/L S 1311 1 5 17-1an-12 WK. ... TCLP Cadmium - Client IN Lab IN Collected Analvle Rep Lmt Result:: Units Matrix. Method DF RegLvl Run Analyst 50-1701-02 1200906-01 12-Jan-12 TCLP Cadmium .. 0.1 ND mg/L 5 .1311. 1 1 17-Jan-12 VVK TC1LF Chromium Client ID# Lab IN Collected Anahte Rep Lmt Result Units Matrix Method DF RegLvl Run Analvst 50-1701-02 1200906-01 12-Jan-12 TCLP Chromium 0.2 ND mg/L S 1311 1 5 17-Jan-12 WK - TCLIP Lead . Client ID# Lab IN Collected Analyse Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst 50-1701 02 1200906-01 12 Jan-12 TCLP Lead 0.5 ND' mg/L S 1311_ 1 5 17-Jan-12:WK TCLP Se Client IN Lab ID# Collected Analvte - Rep Lmt. _ Result Units Matrix Method DF RegLvl Run Analyst . . .. 50-1701-02 1200906-0.1..12-Jan-12 TCLP Selenium a 0.5 ND mg/L S. 1311 1 1 17-Jan712.WK TCLP Silver. Client ID# Lab 1D# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analvst 50-1701-02 1200906-01 12-Jan-12 TCLP Silver 0.5 ND mg/L S 1311 1 5 17-Jan=12 WK Client ID# Lab 1D# : Collected Afialylt Result Units Matrix Method DF LOQ Run Analvst 50-1701-02 1200906-01 12=Jan-12 PCBs ND mg/kg S .8082 1 0.2 18-Jan-12 KMG Client Ill# Lab iD#. Collected: Anal a Result Units Matrix Method DF. LOQ Run Analyst 50-1701-02 1200906-01 12-Jan-12 Flash Point >140 OF S 1010 1 16-Jan-12 ERE Client 1D# Lab IN Collected Analyae Result Units Matrix Method DF LOQ Run Analvst. 50-1701-02 1200906-01 12-3an-12 pH 6.67@20.1 C S.U. S 9040 1 0.01 16-Jan-12 JRK Client IN Lab'ID# Collected Anale Result Units Matrix Method ,DF : LOQ Run Analvst 50-1701-02 1200906-01 12-3an-12 Reactive Cyanide ND mg/kg S 7.3.3.2 I 0.5 16-Jan-12 TIR Page 5 "Analytical Integrity" EPA. Certified NELAP Certified . 331.0 Mn Street . Cuyahoga Fails, Ohio 44223:. Phone: 330-253-821 Pax: 330-253-4489 ... Web Site: www.settek.com VVeb Site: www.settek.com i I. iqw IIIIII III II IIII I III IL I III I I lel I IIIIII II I III 1111191I I III III I II 811 . Order 10: 1200906 COOLER l - r of r NIA uwo4 � - �'r• �f3 �� ' UPI DWL AIPbaPr� U6 pDMI y10���,rfl P°r�Hl�: F®t.nuYs ubsyl� Wrc Pn�r Frei' Rom •��r. -- �aE ®r,brlbox. {d N cmtod ti a . lqwa Int@f~I f N : NlQ C•D.0 in gle¢tle Nit; Cool(;nl Icc lueE, _ `None Te som le ` P �raiurh� a c C O.0 fftA ®vi Pit N N NLA:: sa N MIA © n4n1mfe him D N NIA Same 1¢:ii lls) MP IM-2 (ID. dole, elc �. N NIA Y N IA CerPQgj �ri9flftf$ ug®d N NIA GYW/A I SoPV46:41:wro1 PSI? OW barmy Y N ® bls 0boei l from 86 F vleUsoa :. Y N N! S© dNVOh-bubblss Nag n liij�:¢ige ®1 a Pee ®rQ p .bta : Clcant e®fl18�: i r: tivNrlROfv,MENTAt_ TECHNOLOGIES... INC cl 0(.1; 2i ii-,) I iQ nal . sIls Request / Cham - ®f Custody For Summit Environmental Technologies;: Inc. usP —1— I HIM IIIII IINIfilMab11III031111a Lc!U iJan), Synagro Central 11rulc.1 f[lc!it'I vatfor, n/1 W1 d L__L., ('iir!u Addre, 12701 Lancaster Hwy Pineville NC, 28134 !'ro!r ! Aililrc, (`l:rnt Piumc 704-752-8673 kchiilG II Synagro / C: Wayne Brady II ("In:n; 1-ii. N;+' 4, 1-Iv i :), 704-752-8736 0 I•'t! q1 •" `'1 II III C. Wayne Brady 11 C. Wayne Brady 11 - J if Ohio VAP Samples r # Snzi! Irnc��t�4acaflo �' II D PIbB]CEEdi li@f� h�`: Date T.hne Received I?:':. DMe ,deceived in Lai) by-- Dvile Thn Rush R1:--, UL:5'teU; jDuvt,,t b:.:1j1 rNvcd 1)v (:al; t Pager 1 of 2 Report Number:, 12-013-0207 A&L Ea tern Laboratories; lnc. Account Number; 00015 7621 Whitepine Road Richmond, Virginia 23237 (604) 743-9401 Fax (9041271.6446 .Submitted By: C WAYNE BRADY www.aleastern.com Send To: S na ro Southeast / Moun y g t Holly Project : MT HOLLY WTP 50-1701-02 (2012) WAYNE BRADY NC CERT # 0257 12701.LANCASTER HWY PINEVILLE , NC 28134 REPORT OF ANALYSIS Date Sampled: 1112/201214:00:00 -Lab Number: 85651 Date Received: 01/13/2012 00:00 Sample 'Id : MT HOLLY WTP ",; Date:Reportedr 01/18/2012 : RESULT RESULT DETECTION PARAMETER . ANALYST� , •• Total Solids * - -; 1.46 -:;. 14600 100.0 JM 01/13/20121520 SM-2540G Moisture * 98.54 " 100.0 JM 01/13/2012 15:20 SM-254OG Total Kjeldahl Nitrogen 1.30 13000 10.0 JM 01/16/2012 07:59 SM-4500-NH3C-TKN Total Phosphorus 0.15 1500 100 KM ... 01/16/2012 13:04 .. SW 6010C Total Potassium 0:08 774 . 100 KM :. 01/16/2012 13:04 :: SW 6010C Total Sulfur 0;68 6820 100 KM :. 01/16/2012 13:04.. SW 6010C Total Calcium 0.10 1010 100 KM 01/16/2012 13:04 SW 6010C Total Magnesium ". 0.10 1030 100 KM 01/16/2012 13:04 SW 6010C` Total Sodium : 0.03 347 100 KM 01/16/201:2 13:04 SW 6010C Total Iron 22B00 - 1 KM 01/16/2012 13:04 SW 6010C Total Aluminum 155000 :;;; :1.0 ;:: KM 01/16/2012 13:04, ::. SW6010C Total Manganese 492 "1' KM 01/16/2012 13:04 SW 6010C Total Copper 218. 1 „ KM 01/16/2012 13:04 SW 6010C Total;Zinc 102 1 KM 01/16/2012 1304 SW 6010C Ammonia Nitrogen. - 0.21 : 2050 10.0 . JM .01/16/201:2 07:59 SM-4500-NH3C Organic N 1.09 :. 10950 10.0 : 01/16/2012 07:59 CALCULATION Nitrate+Nitrite-N <1.00 1'.00 JM 01/16%2012 08:00 SM-450ONO3F Total Cadmium <1.0 1.0 KM 01/16/2012 13:04 SW 6010C All values are on a dry, weight basis except as noted by asterisk. Detection limit on. all N.series ison a wet basis.. 1F Debbie Holt Page: 2 of 2 Report Number: 12-013 0207 v A &L Eastern Laboratories;: Inc. Account Number: 00015 7621WhitepineRoad Richmond,•Virginia23237 (804)743-9401 Fax(804)'271-6446 Submitted By.: C WAYNE BRADY www.aleastern.com Send To: Synagro Southeast / Mount Holly Project: MT HOLLY WTP 50-1701-02 (2012) WAYNE BRADY NC:CERT # 0257 12701 LANCASTER HWY PINEVILLE , NC 28.434 REPORT OF ANALYSIS Date Sampled: 1/12/2012 14:00:00 Lab Number: 85651 Date Received: 01/13/2012,00:00 Sample Id:: MT HOLLY WTP Date Reported ::0.1l18l2012 RESULT RESULT DETECTIONPARAM15TER .• •' Total'Chromium ' 117 5_ KM 01/16/201.2 13:04 SW 6010E Total Nickel 10 5- KM 01/16/2012 13:04 SW 6010C Total Lead 7 5 KM 0 1 M 6/2012 13:04 SW 601OC .Total Arsenic 28.0 1.0 KM .. 01/16/2012 13:04.- SW.601OC :Total Mercury. <0.4- 0.4 KM 01/16/20.12 09:00 SW-7471B - Total Selenium 2.0 1.0 KM 01/16/2012 13:04 - SW 6010C pH (Standard Units)" 6.63 0.01 JM 01/16/2012 07:59 SW-9045D Total Molybdenum <5 5 KM 01/16/2012 13:04 SW 6010C Comments: QUALIFIER: THE, LRB WAS OUT OF LIMITS FOR "Se". THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Ca". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N.series is on a wet basis. .. .. SAMPLING LOGIINIIIIIIIIIIIIIII�Ii�lllllllllll�illlllllllllll��lllll�ll 12-0'13-0207 2012003 iUL'fUIIAL LABS,,INC..... .OUSTODY Svnaoru southeast " I Mounl Hully 12:27.17 ... ... W�� X� " �ti 1�l YNQ MTHdLLY GUSTOMEFI: SYNAG.RO_0UTHI 0.%271�6446 FIiECQFiiD-9 �jV,�,r�,;(J (. f.. PROJECT MAN�IGLR' '✓ '', r .... o—• -: ! attest that the proper held sampling procedures _ - were used.during the collection of these samples. Rhone:. JCw - - -: SAMPLER' _ ..--- - - A.& L: CUSTOMER : SAMPLING . SAMPLE # OF - - - SAMPLING METHOD METHOD L:AB#t SAMPLE I.D. LOCATION TYPE, :: CONTAINERS DATE TIME !'RI SEAVt0 SHIPPED /-/ /' , � Relinquished Y; .. ampler- .. f i]ate Time. Recleved by:: . REMARKS: �J Relinquished oy:. Date lime Recieved by :Relinquish. ` :; Date Time Reciev6d by: SPECIAL INSTRUCTIONS: 4-% -SAMPLE ANALYSIS REQUEST A.D. SLi . SU NH4-N NO -N Organic Cd ..: Cr . Ni Pb As. H .: Se CaC09 Volatile a N:. 9 pH OWN. Solids .:Ma Cl..: NOe- TrIto SL9: Total Solids (Moisture); Total. Kjeldahl Nitrogeir Phosphorus, and Potassiu[n SL2:13asic Test SL1 plus Sultur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zlne White - A & L Canary -MANAGER COPY; PAR Laboratories, Inc. ►' .2217 Graham Park Drive �aeoPsarFs.rnrc. PO Box 411483 Charlotte, NC 28241-1483 Phone: 704-588-8333; Fax: 704-588-8335 NC Cerf N 20, SC Cent k 99003 www.parlabs.com REPORT OF ANALYSES Attn: WAYNE BRADY . SYNAGRO PROJECT NAME: FEB 12701 LANCAST.ER HWY DATE: 02/09/12 PINEVILLE, NC 281347 . SAMPLE NUMBER- 103811 SAMPLE.ID- MT HOLLY WTP 50-1701-02 2012 SAMPLE. MATRIX- WW D.ATE.SP.MPLED- 02/02/12 TIME SAMPLED- 1400 DATE:RECEIVED- 02/02/12.SAMPLER WB RECEIVED BY- DJ TIME RECEIVED-.1505 DELIVERED BY- WB q TYPE SAMPLE- Grab Page 1. of 1 ...... ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS:: FECAL COLIFORM (GEOM. MEAN) SM 9221 E 02./02/12 1530 RE 6;672 MPN/g L-. LABORATORY DIRECTOR .. .. . 4- Au� PIROMP T-�AyCCU�RAyTE•MEC..IABLE 2217 Graham Park Drive PO Box.411483 Charlotte, NC 28241-1483 MC Cert # 20; SC Cert # 99003001 PWEe n o e o a 10381 1 1 < 152 . 1.70% 8�936.76 2 < 79 1.63% 4,851.14 3 ::- < 50 1.83% 2,733.54 4 < 126 1.67% 7 574.84 5 < 157 1.79% 8,800.85 6:. < 149: 1.79% 8,312.94 7 ::- 1:59 1.77%:.: 8,965.34 PAR CY AIN .OF CUSTODY [JtHOAAiOAlES, INC. PAR Laboratories, Inc �® Phone (704) 588-8333 www.parlabs.corri Fax (704) 588-8335 Siiipping: Mailing: 2217 Graham Park Drive PO Box 411483 Charlotte; NC 28273 Charlotte, NC 28241-1483. It is essential that all information be recorded on this Chain of Custody documeht for acceptance by PAR Laboratories, Inc. and the North Carolina Department of Environmental and Natural Resources. Company Name (billing) Comments/ Special Instructions SYNAGRO CENTRAL � �( / v Address 1270:1::LANCASTER HWY /v i City, State .£t zip code �Uft PINEVILLE NC 2M U Point of Contact fx Telephone Number WAYNE BRADY 704-752-8673 sample Taken By: SIGNATURE PRINTED NA. K L)�/0 Client Sample't.D; Saf'Up ;'' Collect 6ii An lysi s"' (Sample Location ! Nuni6erJ Comp Grate Preserv..,. Di3tt3fTirn2 dateme E3equestied -1701 o� o�d1 )1ff: as w lc��Xq. Reiin uished by; Dawt,e%rime % Receiv y: Date/Time Relinquished by:. _ DCaJt�eMme Received by: ;L,/ Date/Time * C=Composite G =Grab DW =Drinking Water WW=Wasfevirater;G)(VMW =Groundwater Monitoring Well HW =Hazardous Waste * See Other Side ,. LAND APPLICATION SITE CERTIFICATION Applicant's name: City of Mount Holly Permit No. W60001863 Land application sites currently certified: 308.2 net.acres and Total to be.certified: 243'2 net acres. I. LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code" Site/Field ID Landowners O Lessee(s). or,O erator s p O Net Acres County tY s :Crop(s) pO Predominant Soil b Series Name Mapping Unit or Rep. Slope` R GA-41-01 E. Gregory Springs .... E. Gregory Springs 3.4 Gaston, Fescue.. Madison MaB2 .. R. GA-41-06 E. Gregory Springs E. Gregory Springs 8.9 Gaston. Fescue Cecil CeB2 R GA-41-09 E. Gregory Springs E. Gregory Springs 4.0 Gaston Fescue Cecil CeB2 R GA-41-710 E. Gregory Springs E. Gregory Springs : 7:9 Gaston 'Fescue Cecil CeB2 R GA-41-14 E. Gregory Springs E. Gregory Springs &8 Gaston 'Fescue Cecil CeB2 R GA-44-01 George B. Allen George B., Allen 7.9 .:::. Gaston Fescue Wedowee WeD . N GA-45-01 J. David Allen J. David Allen 17.0 Gaston Fescue Lloyd LdB2 R LT-43-01- Gary. Duckworth, Gary Duckworth '10.6 Lincoln Fescue Cecil CeB2 Status Code -for land application sites are: ♦ N (New) ♦ R (Renewed) * M (Modified) ♦ `I`(Transterred) ♦ D (lleleted) 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. WATERB.ODY AND. CLASSIFICATIONS. INFORMATION (See Instruction C): Site/Field ID Latitude Longitude Location Datum Location Method, Code Location Accuracy Waterbody Subbasm'and Stream Index No. Current and Proposed p Class GA745-01 35° 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 (1,) and waterbody information (II.) of the same field on the same page. FORM: LASC 11-13 Page 1 LAND'ArkiACATION SITE CERTIFICATION Applicant's name: Charlotte Mecklenburg Utilities Permit No. W00000057 Land. application sites currently certified- 308.2 net acres and Total to be certified: 243.2 net acres. III: LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code Site/Field ID' Landowners O Lessees or O erator s O P O Net Acres County ty s Crop(s) PO Predominant Soil Series Nameb Mapping Unit or Rep. Slope' R LT43-02 Gary Duckworth Gary Duckworth 21.6 ..::. Lincoln Fescue Cecil CeB2 R LT-43-03 Gary:Duckworth Gary Duckworth 9.6 Lincoln Fescue Cecil CeB2 R LT-43-04 Gary Duckworth, Gary Duckworth 4.8 Lincoln Fescue Pacolet PaB R . : LT-46-:01 . Tony Jones Tony Jones : 11.8 Lincoln - Fescue q Cecil Ce132 R LT-46-02 Tony Jones • . Tony Jones : 45.2 Lincoln Fescue Cecil CeB2 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 Ce132 R LT-46-05 Tony Jones . Tony Jones 7.9 Lincoln Fescue Lloyd LdB2 atatus L;oae. ror iana applicanon sites -are: ♦ N: (iNew) * tc (tcenewea) t m tmoatnea) ♦ 1: t:i ransterrea) ♦ V (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 Lon etude g . Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed Class mote: Lease Keep rite site mtormatton (i.) ano waterway tntormanon. (m) of tne:same tiew on the same page. FORM LASC 11 11 LAND ArF-LIGATION SITE CERTIFICATION Applicant's name: Charlotte Mecklenburg Utilities. Permit No. W00000057 Land application sites currently certified: 308.2 , net acres and Total to be certified: 243.2 net acres. V. 'LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code' Site/Field, ID Landowner(s) Lessee(s) Operator(s) (s) Net Acres County Crop(s): 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 Ton Jones Ton Jones 7.0 Lincoln Fescue. Pacolet PaB .. R LT-46-08 Tony Jones Tony Jones 6.6 Lincoln Fescue Cecil CeB2 N . LT-46-09 Tony Jones. Tony Jones 7.3 Lincoln 'Fescue Lloyd Ld132 R MG-37-01. Dale and Dean Connell Dale and Dean Connell 20.2 Mecklenburg Fescue Cecil CeB2 OWLWU V UUe 1U1 1611U UppilUdL1U11 NLe9 are. v'n liww) v'i-,. Aenewea) 9 ivi (ivioainea) 'w r :( i ransrerrea). ♦ U (Ueletea) b Soil Series Name (i.e. Appling, Cecil, etc.) ° Mapping. Unit must be consistent with those used in the County Soil Survey (i.e. fora 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 g Location Datum Location Method Code Location Accuracy Waterbody Subbasin and Stream Index No. Current and Proposed p Class LT.. 46-09 350 24: 38" 81° F 37" NAD 83 . MAP Nearest Second,. 03-08-33-11-119-2-(0.5): C 1VULe. rledJe &CUP LIM JUC 11110FLILULlUn ki.) a11U waLerouuy.imormatlon kii.) or mesame neia on me Same.page. FORM: LASC 11-13 Page 3 State -of North Carolina Department of Environment:and Natural Resources DWRIDivision of Water Resources ' livlslon of Water it COUNTY BOARD: NOTIFICATION INSTRUCTIONS FOR FORM: CBN.11-13 Please use the following instructions as a checklist in order to ensure all required items are submitted. 'Adherence to these instructions and checking the. provided boxes will help produce a -quicker review time.and reduce the amount.of additional information requested. Failure to submit all of the required items will lead to additional processing and review time for the permit application. Unless otherwise noted the Applicant shall submit one. original and two conies :of the application. and supporting documentation For more information; visit the Water Quality Permitting Section's Non -Discharge Permittiizg:Unit website at: http://portal. ncdenr. org/web/wglaps/lay General. —.This notification is intended to provide the county board in which the. land application site, is proposed to be located with general. information on the size, location and type of residuals land application proposed to occur in their county, and to give them an opportunity m to comment.on- the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for fields deemed permitted to. receive Class A: residuals under 15A NCAC 02T .I 100.. Do not submit this :document for review without a corresponding residuals program application form (FORM: RLAP.1143). Unless otherwise noted, the Applicant shall submit one original:and two copies of the application and supporting documentation listed - below. A. County Board Notification -(FORM: CBN 11-13): - ® Submit the completed and appropriately executed County Board Notification (FORM: CBN 11-13). Please do not make any unauthorized :content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may he made; as long as the attachments are numbered to correspond to the. section and item to which they refer. ® Prepare a separate County Board Notification (FORM: CBN 1143) for each county in which the proposed land application sites are located; B. Critical Watershed Areas Information: ® Under 15A NCAC 02B :0212; no new permitted sites for land application of residuals are allowed within critical watershed areas. It is the Applicant's responsibility, t to. ensure thathe proposed land application sites are not located within these areas. For more information regarding Water _ .Supply Watershed Protection Program, please visit the Division website at.. hU://portal.ncdenr.or web/wq/swp/ws/wsn ® If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call (919) 807-6337. C Notification Package Submission: ® :Complete and mail the notification letter; source facility summary, land .application site summary, and site location maps to the appropriate County :Board: by certified mail with a return receipt requested. It is recommended that a copy of the notification package also be sent to the County Manager. ® The most current publication :of the Directory of -State and County Officials may be -downloaded at: htip://www.secreta4:y:state.nc.us/pubsweb/direct..asl2x .. ® A list of the Division's regional offices, their county coverage, and their contact information -may be downloaded at: http://portal.ncdonr--.orp-/web/wq/home/ro. ® The source facility :summary shall include: facility name; county where it is located; and the proposed anmua tonnage (i.e.,. a copy of "Residuals:Source Facility Summary" is adequate butnot required). ® The land application site summary shall include: field ID; acreage; county.where it is located; latitude and longitude. (i.e., a copy of "Land Application Site Certification" is adequate but.not required). D. Proof of Submission: ® Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment prior to submission of the application to the Division for review. INSTRUCTIONS FOR FORM: CBN 1.1-13 Page 1 of 1 4'•� NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A: Reeder John E. Skvarla, III Governor Director Secretary Date: 09/15/2014 To: Name of Chairman to the Board of County Commissioners: Tracy Philbeck Complete mailing address: P.O. Box 1578 City: Gastonia State: NC Zip: 28053-1578 County where land application sites are located: Gaston From: Applicant's riariie: City of Mount Holly (on behalf of the Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: David -Johnson. Utilities Director Complete mailing address: P.O. Box 406. .. City:. Mount Hollv State: NC Zip: 28120- `s Telephone number: (704) 4581309 E-mail address: davidjohnson@mtholly.us t�ibject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources' for the land application of residual solids to site(s) located in your county. During this review, the Division will ensure .that all federal and state regulations are enforced. Attached to this form is information regarding residuals - generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate. Department within your County (i.e., Health or Environmental Health. Department and Planning Department) if applicable. More information of the land application sites included in this application will be availableatthe following Division of Water Resources Regional Office: Name of appropriate regional office: Mooresville Regional Office Complete mailing address: 610 East Center Avenue, Suite 301 = City: Mooresville State: NC Zip: 28115 Telephone number: (704) 663-1699 Expected date of application submission: 09/30/14 Should you desire to comment on this application, please do -so no later than 30 calendar days following the expected application submission date: If you have any questions or comments about this notification, or ifyou would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. ;iclosures: Source Facility: Summary Land Application Site Summary Maps Page 1 of 1 FORM: CBN 11-13 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY i- ■ bomplete items 1,.2, and 3. Also complete .. si Helms i item 4 if Restricted.Qelivery is desired. XA9 ant i ■ Print your name and address on -the reverse ❑ Addressee j so .that.we:,can return the card-to.you. B. Receiv nTa)/Y C. Date of Delivery 1 6. Attach this card to the back'of the inailpiece, ` -- or on the front if space permits. D. dellvery`eddressdiffsrs its ! 1? O Yes I � 1: Article Addressed to:' If YES, enter delivery addre bolo .�eMc ( SEP ...iq hr 9.:Se.. o_� \, T Mall I } Regl stum Recelpt for Merchandise : :.13 ❑ Insured Mail C.O.D. 4 Restricted Delivery? (Extra Fee) ❑Yes 2. Article Number I :(transfer from service. ?aq : 701.4 0.1510 0002 0 4 3 7 .9 2.12 PS Form 3811, February 2004. Domestic Return'Recelpt �b2nn-tsao 1 September 15, 2014 Tracy Philbeck Gaston County Chairman, Board of Commissioners ::P,O. Box 1578 Gastonia, NC 28053 ATTN: Mr. Philbeck. REFERENCE: Modification of Permit No. W00001863 City of Mount -Holly Land Application of Residual Solids Permit Dear Mr. Philbeck; Synagro is submitting, on behalf of the City -of -Mount Holly, an application to the State of :.._North Carolina's Department of Environment and Natural Resources to -modify the City's residuals land application permit. Listed below are the requested modifications to the existing permit as:they pertain to land application sites:in your county. e Adding site NC=GA-45 (approx, 16.7 acres) This letter and state form (CBN 11-13) are being sent to. you in accordance.with the rules and regulations mandated by the North Carolina Department of Environment: and -Natural Resources. The enclosed form should contain.all of the information that is necessary.to inform you of the requested modification. However, if you require additional information or have further questions about the included information, please contact rhe_immediately. My contact information is included below. Kind regards, Drew Culp _..: Technical Services Specialist.. Synagro Central, LLC :(704)-574-5291 iaculpasynagro.com Enclosures: CBN 11-13 form, site summary, vicinity map, and list of sources of material 12701 Lancaster Hwy Pineville, :NC 28134 Phone: (7b4) 752-8673 0 Fax: (704)-752-8736, SITE SUMMARY 4 City of Mt Holly Mt. Holly. NC Site ID: NC-GA-45 :.. Owners Name: David Allen Address: 110 Helton Rd. Cherryville, .NC 28021 . _... . Phone: 704-445-9610 (cell) Operator: Same Estimated Gaston Co. Predominant Applicable Annual PAN Latitude and Soil Series Fields Acres Crop(s):.: (LB/AC/YR)_ .: :.: - Longitude,..,:, 1 16.7 Fescue 216 Lloyd (LdB2) 35 22:46 N 81 17 11 W .. i r A 4 NCDENR --- :North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality: Programs Pat McCrory Thomas AReeder Governor Director John E. Skvarla, III Secretary Date: 09/ 15/2014 To: Name of Chairman to the Board of County Commissioners: Alex Patton Complete- mailing address: 115. West -Main Street City: Lincolnton State: NC Zip: 28902 County where land application sites are located: Lincoln From: Applicant's name: City of Mount Holly (on behalf of the -Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: David Johnson, Utilities Director Complete mailing address: P.O. Box 406 City: Mount Holly ' Stater NC Zip:28120-i��'•�: Telephone number: (704) 4584309 E-mail addressi david.johnson@mtholly.us abject: Notification of residual land application site proposal -` This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources. for the land application of residual solids to site(s) located in your county. During this review, the Division will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals - generating sources and locations of the. proposed land application sites. Please forward this letter and .its associated attachments to the appropriate.. Department within your County..(i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land. application sites included in this application will be available at the following Division of Water Resources Regional Office; .. ... Name of appropriate regional office: Mooresville Regional Office Complete mailing address: 610 East Center Avenue, Suite 301: City: Mooresville State: NC Zip: 28115 Telephone number:: (704) 663-1699 Expected date of application submission: 09/30/14 Should you desire to comment on. this application,_please do so -.no later than 30 calendar days following the expected application: submission date.: If you have any questions: or comments about this notification, or..if you would like more information, please contact -the appropriate regional office at the.telephone number provided above: Thank you in advance for your attention to this matter. closures: Source Facility Summary Land Application_ Site Summary Maps FORM: CBN 11-13 Page 1 of 1