WQ0002702_Regional Office Historical File Pre 2018 (35)

facsimile
TRANSMITTAL
to: WPCSOSS & Mooresville Regional Office
fax #: [phone] & 704-663-6040
re: Town of Cleveland Land .Application ORC Form
date: October C. 2016
pages: 2, including this cover sheet
The Town of Cleveland has a new contract for land application services with BioGreen,
Recycling Services. A new Water Pollution Control Systems, Operator Designation Form is
attached.
If you have any questions, please call me at 704-279-4777.
Thank you,
Cathy Payne, CMC, CLGFO
Town Clerk
From the desk of...
Cathy G. Payne
'own Clerk, CMC
Town of Cleveland
P. O. Box 429
Cleveland, MC 27013
704 278-4777
Fax: [phone]
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Water Pollution Control System; Operator Designation Form
WPCSOCC
NCAC 1.5A SG .0201
Permittee Owner/Officer Name:
A
Mailing Address: P0 R Ea. T a r
City: State: I\fC ,Zip:' ,A`A - Phone #: -C+" a7 S :�'%7/
Email address:
r-
Signature:
Date: �� l
............... ...................zo�.....................................................................................................
Facility Namme: M Od i) &C ( OfOAVUL-')-d ids' L i f Permit #: &)6011J f
County: 0 t)
..........Y.n............................... .Y. . :.•.r........... ...................,r.............. r........... ...............................
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade (CHECK ONLY ONE):
Biological Collection Physical/Chemical Surface Irrigation Land L icata
Operator in Responsible Charge (ORC)
Print Full Natne: )ZZ / & g/ A-7�/G%,Email:
Certificate Type / Grade / Number: Q?)SCI S1 Work Phone #: 31 &42
Signature: Date: 69Cyg-"
"I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
......................... ......................... Y..........................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number: Ar ���� � � `. Wo>I'lC Phone #: "L �
Signature: A �^--rDate: �1 ��La� W
9 certify that I agree to my designation as a Bade -up Operator in Responsible Charge for the facility noted. I understated and will abide by the
rules and regulations pertaining to the responsibilities of the )RU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
....... ...........................................Y......................................................................................
Matl, fax or email the WPCSOCC, 1618 Mail Service Center; Raleigh, NC 27699-1.618 Fag: 919.715.2726
odgingl to: E'ma eeirtailmin"e'
Aradl or fax a caov to the Asheville
appropriate Regional Office: . 2090 US Hwy 70
Swannanoa 28778
Fax.[phone]
Phone: 828.296A500
Washington
943 Washington Sq Mall
Washington 27889
Fax:[phone]
Phone: [phone]
Fayetteville
225 Green St
Suite 714
Fayetteville 28301-5043
tax: 910.486.0707
Phone: [phone]
Wilmington
127 Cardinal Dr
Wilmington 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville
610 E Center Ave
Suite 301
Mooresville 28115
Fax: `704.663.6040
Phone: [phone]
Winston-Salem
450 W. Hanes Mall Rd
Winston-Salem 27105
Fax: 336.776,9797
Pbone: 336.776.9800
Raleigh
3800 Barrett Dr
Raleigh 27609
)~ am 919.571.4718
Phone:[phone]
Revised 05-2015
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Water Resources
ENVIRONMENTAL QUALITY
March 08, 2018
Mr. Danny Gabriel, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Acknowledgement of Receipt. of the 2017 Annual Report
Town of Cleveland - Permit No.: WQ0011431
Land Application of Residuals
Rowan County
Dear Mr. Gabriel:
The Mooresville Regional Office (MRO) received and reviewed the 2017 Annual Report for the
above permit. The data submitted appears to be correct.
The report presents the Sodium Absorption Ratio (SAR) value, but it did not present the
populated formula for SAR. Please provide this information by email. The MRO this requesting
the populated SAR formula be presented in future reports.
Should you have any concerns or questions, please contact me at edward.watson(,5-ncdenr.gov
or [phone].
Sincerely,
59�x ) dward Watson, ydrogeologist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
CC: Gerald Osbourne, Town Commissioner
Todd Richardson, ORC (via email)
Ray Gambill, Bio-Green Services, Inc. (via email)
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office) 610 East Center Avenue, Suite 301 I Mooresville, North Carolina 281.15
704 663 1699

4
A'
Water Resources
Environmental Quality
April 18,.2017
Mr. Danny Gabriel, Mayor
Town of Cleveland
P.O. Box 429
Cleveland North Carolina 27013
ROY COOPER
Governor
MICHAEL S. REGAN
- Secretary
S. JAY ZI1VIlVlERMAN
Director
Subject: Non -Discharge Permit Inspection
Town of Cleveland
Permit WQ0011431
Land Application of Residuals
Rowan County
Dear Mr. Gabriel: -
.Enclosed you will find the compliance inspection report conducted April 13th, 2017. I would like to thank
Rob Wilcox, Gerald Osbourne and Todd Robinson for their assistance during this inspection.
Please be sure to submit the new contractor information to our central office for the. Bio-Green Services,
Inc. Land Application ORC and update the contact for the permit. Our system currently indicates Scott
D. Berg as a contact for this facility.
During the inspection, a review was conducted for the addition of a 10.9-acre field owed by Mr. Guy
Byrd to be. included into the land application program.
If you have any questions or concerns regarding the content of the report, please feel free to contact me.
I may be reached by phone at [phone] or email edward.watson(ct�,ncdenr.gov.
Sincerely,
Edward Watson, Hydrogeologist
Mooresville Regional Office.
Water Quality Regional Operations, Section
Division of Water Resources, NCDEQ
Enclosure(s): WQ0011431 Inspection Report April 2017
Operator Designation Form
CC: Gerald Osbourne, Town Commissioner
Todd Richardson, ORC (via email)
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704-663-1699

Compliance Insnection ReDort
Permit: WQ0011431 Effective: 10/24/14 Expiration: 12/31/19 Owner: Town of Cleveland
SOC: Effective: Expiration: Facility: Town of Cleveland RLAP
County: Rowan 625 Third Creek Church Rd
Region: Mooresville
Cleveland NC 27013
Contact Person: Scott D Berg Title: Phone: [phone] Ext.127
Directions to Facility:
System Classifications: LA,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
NC0049867 Town of Cleveland - Cleveland WWTP
Inspection Date: 04/13/2017 EntryTime: 11:OOAM
Primary Inspector: Edward Watson
Secondary Inspector(s):
Reason for Inspection: Routine
Permit Inspection Type: ' Land Application of Residual Solids (503)
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Record Keeping
Pathogen and Vector Attraction Storage
(See attachment summary)
Exit Time: 12:30PM
Phone:
Inspection Type: Compliance Evaluation
Treatment
Page: 1

Permit: W00011431 Owner - Facility: Town of Cleveland
Inspection Date: 04/13/2017 Inspection Type: Compliance Evaluation Reason forVisit; . Routine.T
Inspection Summary:
The facility was found to be in compliance with the permit. Records were present and in good order.
The laboratory needs to display the formulas for Sodium Absorbtion Ratio (SAR) and Plant Available Nitrogen (PAN) on the
lab data sheets for verification purposes.
The Town of Cleveland has contracted with Bio-Green Services, Inc. to perform land application of residuals.
Page: 2

Permit: WQ0011431
Inspection Date: 04/13/2017
Owner - Facility: Town of Cleveland
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Pathogen and Vector Attraction
a. Fecal coliform SM 9221 E (Class A or B)
Class A, all test must be <1000 MPN/dry gram
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
Fecal coliform SM 9222 D (Class B only)
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram
b. pH records for alkaline stabilization (Class A)
c. pH records for alkaline stabilization (Class B)
Temperature corrected
d. Salmonella (Class A, all test must be < 3MPN/4 gram day)
e. Time/Temp on:
Digester (MCRT)
Compost
Class A lime stabilization
f. Volatile Solids Calculations
g. Bench -top Aerobic/Anaerobic digestion results
Comment: PVAR is performed using30 day BENCH TEST procedure.
Record Keeping
Is GW monitoring being conducted, if required?
Are GW samples from all MWs sampled for all required parameters?
Are there any GW quality violations?
Is GW-59A certification form completed for facility?
Is a copy of current permit on -site?
Are current metals and nutrient analysis available?
Are nutrient and metal loading calculating most limiting parameters?
a. TCLP analysis?
b. SSFA (Standard Soil Fertility Analysis)?
Are PAN balances being maintained?
Are PAN balances within permit limits?
Has land application equipment been calibrated?
Are there pH records for alkaline stabilization?
Are there pH records for the land application site? .
Are nutrient/crop removal practices in place?
Yes No NA NE
■❑❑❑
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■❑❑❑
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Yes No NA NE
❑❑■❑
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• ❑ ❑ ❑
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❑ ❑ M ❑
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Page: 3

Permit: WG10011431 Owner - Facility: Town of Cleveland
Inspection Date: 04/13/2017 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Record Keeping Yes No NA NE
Do lab sheets support data reported on Residual Analysis Summary? 0 ❑ ❑ ❑
Are hauling records available? ❑ ❑ ❑
Are hauling records maintained and up-to-date? ❑ ❑ ❑
# Has permittee been free of public complaints in last 12 months? E ❑ ❑ ❑
Has application occurred during Seasonal Restriction window? ❑ N ❑ ❑
Comment: The facility has not recently land applied. SSFA analysis to be performed prior to land application
event.
Treatment
Yes No NA NE
Check all that apply
Aerobic Digestion
Anaerobic Digestion
❑
Alkaline Pasteurization (Class A)
❑
Alkaline Stabilization (Class B)
❑
Compost
❑
Drying Beds
❑
Other
❑
Comment: This facilfty has the capability to store up to six months of residual material.
TVPe Yes No NA NE
Land Application
Distribution and Marketing ❑
Page: 4

'Water Resources
ENVIRONMENTAL QUALITY
March 08, 2017
Mr. Danny Gabriel, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013
ROY COOPER
FILL -
Governor
I�HAEL S. REGAN
Secrdaiy
S. JAY ZIMMERMAN
Director
Subject: Acknowledgement of Receipt of the 2015 Annual Report
Town of Cleveland - Permit No.: WQ0011431
Land Application of Residuals
Rowan County
Dear Mr. Gabriel:
The Mooresville Regional Office (MRO) received and reviewed the 2016 Annual Report
for the above permit. The report reflects there was no land application of residuals
conducted under this permit in 2016.
The MRO plans to conduct an on -site facility inspection within the calendar year;
however,. if you haveany immediate concerns or questions, please contact me at
edward,watsonnncdenr.gov or [phone].
Sincerely, .
Edward Watson, Hydrogeologist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
CC: Dena Myers, Contract ORC, Statesville Analytical (Email)
Nathaniel Thornburg, LAU Compliance, CO -Raleigh (email)
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office) 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0011431 County: Rowan Year:
2016
Facility Name (as shown on permit):
Land Application Operator:
Town of Cleveland W WTP
BioGreen Services
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
® Yes 21 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were han%ert1V�D1NCbENRlDWR
Part A - Residuals Application Summary:
"lop
Total number of application fields in the permit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ® Yes ® No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
� taken. �� -
1) Only residuals approved for this permit were applied to the permitted sites. VED
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve algal pH o of least?Qppr
ordnthe limit specified in the permit. 0 Proceaft
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year anw �F
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T. 1111 were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations." ,
Danny Gabriel, Mayor-/
Permittee Name and Title (type or print) Signature of Permi Date
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

Permit: WQ0011431
SOC:
County: Rowan
Region: Mooresville
Contact Person: Scott D Berg
Directions to Facility:
System Classifications: LA,
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Compliance Inspection Report
Effective: 10/24/14 Expiration: 12/31/19 owner: Town of Cleveland
Effective: Expiration: Facility: Cleveland Town -A Sludge/Lars
PC Box 429
Title:
Related Permits:
NC0049867 Town of Cleveland - Cleveland WWTP
Inspection Date: 03/08/2017 EntryTime: 10:OOAM
Primary Inspector: Edward Watson
Secondary Inspector(s):
Cleveland NC 27013
Phone: [phone] Ext.127
Certification: Phone:
Reason for Inspection: Routine
Permit Inspection Type: Land Application of Residual Solids (503)
Facility Status: Compliant Not Compliant
Question Areas:
E Miscellaneous Questions Record Keeping
(See attachment summary)
Exit Time: 11:OOAM
Phone:
Inspection Type: Annual Report Review
Page: 1

Permit: WQ0011431 Owner - Facility: Town of Cleveland
Inspection Date: 03/08/2017 Inspection Type : Annual Report Review Reason for Visit: Routine
Inspection Summary:
This is an AR only report review inspection. A site visit did not occur for this inspection.
There was no land application for 2016 under this permit.
Page: 2

4
c._ rs
Permit: WQ0011431 Owner - Facility: Town of Cleveland
Inspection Date: 03/08/2017 Inspection Type : Annual Report Review
Reason for Visit: Routine
Record Keeping
Yes No NA NE
Is GW monitoring being conducted, if required?
❑ ❑ ❑
Are GW samples from all MWs sampled for all required parameters?
❑ ❑ ❑
Are there any GW quality violations?
❑ ❑ ❑
Is GW-59A certification form completed for facility?
❑ ❑ ❑
Is a copy of current permit on -site?
❑ ❑ ❑
Are current metals and nutrient analysis available?
❑ ❑ E ❑
Are nutrient and metal loading calculating most limiting parameters?
❑ ❑ ❑
a. TCLP analysis?
❑ ❑ E ❑
b. SSFA (Standard Soil Fertility Analysis)?
❑ ❑ ❑
Are PAN balances being maintained?
❑ ❑ ❑
Are PAN balances within permit limits?
❑ ❑ ❑
Has land application equipment been calibrated?
❑ ❑ ❑
Are there pH records for alkaline stabilization?
❑ ❑ E ❑
Are there pH records for the land application site?
❑ ❑ ❑
Are nutrient/crop removal practices in place?
❑ ❑ ❑
Do lab sheets support data reported on Residual Analysis Summary?
❑ ❑ E ❑
Are hauling records available?
❑ ❑ ❑
Are hauling records maintained and up-to-date?
❑ ❑ ❑
# Has permittee been free of public complaints in last 12 months?
N ❑ ❑ ❑
Has application occurred during Seasonal Restriction window?
❑ ❑ 0 ❑
Comment: No land application occured under this permit for the vear of 2016.
Type Yes No NA NE
Distribution and Marketing ❑
Land Application
Page: 3

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Wa%rResources
ENVIRONMENTAL QUALITY
Mr. Danny Gabriel, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013
PAT MCCRORY
Governor
DONALD R.�V N� { DIE R U=A RT
,,,r"Iary
S. JAY ZIMMERMAN
Director
September 12, 2016
Subject: Non -Discharge Permit Inspection
Town of Cleveland WWTP
Permit #WQ0011431
Land Application of -Residuals
Rowan County.
Dear Mr. Gabriel:
Enclosed you will find the report for the compliance inspection conducted on August.
18th, 2016 for the referenced permit. I would like to thank Todd Richardson, Dena
Myers and Gerald Osborne for their time during the inspection.
Per conversation with Mr. Osborne, the Town of Cleveland is actively seeking a new
land application contractor. The enclosed.Operator Designation form should be
submifted according to the instructions when the new contractor is'secured.
The report should be self-explanatory; however, -1 may be reached by phone (704-235-
2184) or email (maria.schuttea_ncdenr.gov) with questions.
Sincerely,
C
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR.
Enclosure(s): WWQ0011431 inspection.Report August 2016
Operatcr.Designation Form
CC: Gerald Osborne, Town Commissioner
Todd Richardson; WWTP ORC :(email)
State of North Carolina I Environmental Quality I Water Resoitrees I Water Quality Regional Operations'
Mooresville Regional. OJ8 cel 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

State of North Carolina Department of Environmental Quality
Division of Water Resources
Pat McCrory, Governor
Donald R. van der Vaart, Secretary
NON -DISCHARGE COMPLIANCE INSPECTION
GENERAL INFORMATION
Owner: Town of Cleveland
Permit #: WQ0011431
Permittee Contact: Danny Gabriel (Mayor)_
ORC Name: Todd Robinson (WWTP ORC)
LA ORC: To be named — Seeking anew LA contractor
LA BU-ORC: To be named — Seeking a new LA contractor
County: Rowan
Issued: 10/24/2014 Expiration: 12/31/2019
Telephone No.: 704-263-0298
Telephone No.: 704-881-4598 (WWTP)
Telephone No.:
Telephone No.:
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Type of Inspection
Collection System - Spray Irrigation X Sludge
Inspection Date(s): August 18, 2016
Inspection Summary: (additional comments may be included on attached pages)
Other
Records maintenance and WWTP residuals storage appeared to meet permit requirements at the time of
inspection. Town management is currently seeking a new land application contractor.
Please Note:
• The attached designation form should be submitted according to the instructions when possible.
• The MRO should be informed of any changes to the contact information noted above.
Is a follow-up inspection necessary des X no?
Inspector Name/Title: Maria Schulte, Environmental Specialist; Wes Bell, Senior Environmental Specialist
Telephone No.: 704-663-1699 Fax No. 704-663-6040
d
Date of Inspection: 08/18/2016

Residuals Inspection
WQ0011431 Town of Cleveland WWTP — Rowan County
pg. 2
Type of Residual
X Land Application (class B)
Record Keeping
Y-yes N-no N/A -not applicable
Distribution and Marketing (class A)
N/&not evaluated
Y Copy of current permit available at residual generating site
NA Current metals and nutrient analysis (see permit for frequency) — The facility has not land applied under
this permit in recent years. A one-time LA event was conducted by Southern Soil Builders under their permit.
Y TCLP analysis NA SSFA (Standard Soil Fertility Analysis)
NA Nutrient and metals -loading calculations (to determine most limiting parameter) YTD
NA Hauling records (# gal and/or ton hauled during calendar year to date)
NA Field loading records NE Field site maps and information
NA Records of lime purchased
NA Pathogen and VAR
Comments: This inspection was primarily
'to view the WWTP and residuals storage. The MRO reviewed most
records in the MRO files, since the last application event was in 2012. No new residuals analyses have been
conducted or required under this permit since then; however, Southern Soil Builders (SSB) collected residuals
samples for LA under their permit and the MRO has requested those records from SSB. Land application
records are maintained on -site at the WWTP and appeared in good order at the time of inspection.
Pathogen & Vector Attraction Reduction Records
Comments: * Per previous annual reports Pathogen and Vector Attraction Reduction are achieved via Fecal
Opt. I and VS reduction Opt• 3.
Treatment
X Aerobic digestion Autothermal Thermophilic Aerobic Digestion
Anaerobic digestion Drying beds (may not meet 503's)
Alkaline Stabilization Lime Other -describe
Comments: WWTP has ongoing fats, oils and grease issues.
Transport NA — there was no active land application at the time o this inspection.
Spill control plan in transport vehicle? NA
Does transport vehicle appear to be maintained? NA
Storage Typical WWTP odors were noted at the facility, but not detected at the residuals storage tank at the
time of inspection.
Number of days/weeks/months of storage: Per on -site discussion and previous annual reports, this facik can
store residuals for approximately 2 years at current plant production level.
Describe storage: Per the 2011 inspection report, this facifiU utilizes an 80, 000gallon aerobic -di eg ster.
Odors present N . Vectors present N

Residuals Inspection 3
WQ0011431 Town of Cleveland WWTP — Rowan County pg.
Sampling No active land application sampling was not examined.
Is sampling adequate? NE Is sampling representative? NE
Field Sites (end use for class B biosolids)
No land application activity at time of inspection.
Permit on site during application Spill plan on site
Buffers adequate Cover crop specified in permit
Documented exceedances of PAN limits Site condition adequate
Signs of runoff / ponding (if no, improvements recommended)
Rain Gauge on site during application
Are there any limiting slopes on fields?
10 % for surface application 18% for subsurface application
Monitoring well(s) Y/N: NA
If yes, location of well(s):
Comment: This permit does not require groundwater monitoring
Odors/vectors
Describe any nuisance.conditions and any corrective actions needed. NA
Odors present NA
Vectors present NA
Other noted conditions: il

It
Water Pollution Control, System Operator Designation Form
WPCSOCC
NCAC 15A 8G .0201
Permittee Owner/Officer Name:
Mailing Address:
-City:
Email address:
.State: Zip: - Phone #:
Signature: Date:
................................................................................................................................................
Facility Name:
Permit #•
County:
...........................................:................................................................................:................
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade .(CHECK ONLY ONE):
Biological Collection _ PhysicaUChemical Surface Irrigation; Land'Application
.............................................................................................................................................
Operator. in Responsible Charge (ORC)
Print Full Name: Email:
Certificate Type / Grade / Number:
Signature:
Work.Phone #.
Date:
"I certify that I agree to my_ designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the :rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary
Actions by the Water.Pollution Control System Operators Certification Commission.
Back -Up Operator in Responsible Charge (BU ORC)
Print:Full Name:.. Email:-
Certificate Type / Grade / Number: Work Phone #:
Signature: Date:
" I certify that I agree to my designation as a Back=up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set. forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary, Actions by the Water. Pollution Control System Operators Certification Commission.".
................................................... .
Mail, fak or email the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fag: 919.715.2726
orisinal to:. ..�adininna .,
9"f certncdenr goy
Mail or fax a coon to. the Asheville Fayetteville Mooresville .Raleigh .
appropriate Regional Office: : 2090 US Hwy.70 225 Green St, _ ' 616 E Center Ave ' 3800 Barrett Dr .
Swannanoa 28778 . Suite 7.14 Suite 30.1..: Raleigh27609
Fax: [phone] Fayetteville 28301-5043 Mooresville 28115 Fax: [phone]
Phone:[phone] Fax :[phone] Fax:[phone] Phone':919.791.4200
Phone:[phone] -Phone- 704.663.1699
Washington Wilmington Winston-Salem
943 Washington Sq Mall 127 Cardinal Dr 450 W. Hanes Mall Rd
Washington.27889 Wilmington 28405-2845 Winston-Salem 27105
Fax:[phone] Fax:[phone] Faz:336.776.9797
Phone: [phone] . Phone::[phone] Phone- 336.776.9800
Revised 05-2015

WPCSOCC Operator Designation Form, cont.
Facility Name:
Permit #:
.............................................................................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: Email:
Certificate Type / Grade / Number:
Signature:
Work Phone #:
Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water. Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: Email:
Certificate Type / Grade / Number:
Work Phone #:
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: Email:
Certificate Type / Grade / Number: Work Phone #:
Signature: Date.
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
.............................................................................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: Email:
Certificate Type / Grade / Number: Work Phone #:
...Signature:
Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by. the Water Pollution Control System Operators Certification Commission."
Revised 05-2015

ATA
NCDENR f
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
June 30, 2014
Mr. Danny Gabriel, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013
Subject: Non -Discharge .Permit Inspection and
Acknowledgement of Receipt of 2013 Annual Report
Town of Cleveland WWTP - Permit No.: WQ0011431
Land Application of Residuals
Rowan County
Dear Mr. Gabriel:
The Mooresville Regional Office (MRO) conducted a compliance inspection on May 19th, 2014,
which included a records review and facility visit.. The annual report reflected there was no land
application in 2013. The MRO would like to thank Pete Rich (WWTP ORC) and town staff for their
time and assistance during the inspection.
Please note this permit is due to expire on December 31, 2014, which means that a renewal
application was due in June; however, the application may be submitted as soon as possible. The
renewal land application form (RLAP) may be accessed via the website at this link:
http://portal. ncdenr. orq/web/wq/aps/lau/applications
The attached report indicates compliance at the time of inspection and should be self-explanatory;
however, if you have questions about this report or your permit renewal, please contact me by
phone [phone]) or email (maria. schutteCaD-ncdenr.gov).
Sincerely,
r
Maria Schutte, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Attachment: Inspection Report March 20.14
CC: Gerald Osborne, Town Commissioner
Peter Rich, WWTP ORC (email)
Eric Thompson, Synagro (email)
Ed Hardee, LAU Compliance, CO -Raleigh (email)
Mooresville Regional Office, 610 East Center Avenue, Mooresville, North Carolina 28155
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Resources
Pat McCrory, Governor
John E. Skvarla, III, Secretary
0
'&*a
NCDENR
NON -DISCHARGE COMPLIANCE INSPECTION
GENERAL INFORMATION
City/Town/Owner: Town of Cleveland
Permit No.: WQ0011431
Permittee Contact: Danny Gabriel (Mayor)
ORC Name: Peter A. Rich (WWTP ORC)
Email: petel1245(a,aol.com
LA ORC: Michael W. Boone (Sync ro) 4LA987521
LA BU-ORC: Eric N. Thompson (Synagro) #LA29096
County: Rowan
Issued: 01/25/2006 Expiration: 12/31/2014
Telephone No.: 704-263-0298 (WWTP)
Telephone No.: 704-881-4598 (WWTP)
Telephone No.: 336-399-0389
Telephone No.: 336-998-7150 Ext. 120
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Type of inspection
Collection System Spray Irrigation X Sludge Other
Inspection Date(s): May 19, 2014
Inspection Summary: (additional comments may be included on attached pages)
Records maintenance and WWTP residuals storage appeared to meet permit requirements at the time of
inspection. This permit is now due for renewal, as noted in the cover -letter.
Is a follow-up inspection necessary _yes X no
Inspector(s): Maria Schutte - Environmental Specialist
Telephone No.: 704-663-1699 Fax No.: 704-663-6040
Date of Inspection: May 19", 2014

Residuals Inspection pg. 2
WQ0011431 Town of Cleveland WWTP
Y-yes N-no N/A -not applicable N/E-not evaluated
Type of Residual
X Land Application (class B)
Record Keeping *
Y Copy of current permit available at residual generating site
NA Current metals and nutrient analysis (see permit for frequency) — The facility has not land applied in
recent years
NA TCLP analysis, NA SSFA (Standard Soil Fertility Analysis)
NA Nutrient and metals loading calculations (to determine most limiting parameter) YTD
NA Hauling records (# gal and/or ton hauled during calendar year to date)
NA Field loading records, NE Field site maps and information
NA Records of lime purchased
NA Pathogen and VAR
* Comments: This inspection was primarily to view the WWTP and residuals storage. The MRO reviewed
most records in the MRO.files, since the last application event was in 2012. No new residuals analyses have
been conducted or required since then. Land application records are maintained on -site at the WWTP and
appeared in good order at the time of inspection.
Pathogen & Vector Attraction Reduction Records *
Comments: *Per previous annual reports Pathogen and Vector Attraction Reduction are achieved via
Fecal Opt. I and VS reduction Opt. 3.
Treatment
X Aerobic digestion Autothermal Thermophilic Aerobic Digestion
Anaerobic digestion Drying beds (may not meet 503's)
Alkaline Stabilization Lime Other -describe
Comments: WWTP has ongoing fats, oils and grease issues.
Transport No land application activity at time of inspection.
Spill control plan in transport vehicle? NA
Does transport vehicle appear to be maintained? NA
Storage Typical WWTP odors were noted at the facility, but not detected at the residuals storage tank, at
the time of inspection.
Number of days/weeks/months of storage: Per on -site discussion and previous annual reports, this facility
can store residuals for approximately years at current plant production level.
Describe storage: Per the 2011 inspection report, this facility utilizes an 80, 000 gallon aerobic digester.
Odors present N Vectors present N

Residuals Inspection
WQ0011431 Town of Cleveland WWTP
Pg• 3
Sampling No active land application sampling was not examined
Is sampling adequate? NE Is sampling representative? NE
Field Sites (end use for class B biosolids)
No land application activity at time of inspection.
Permit on site during application
Buffers adequate
Documented exceedances of PAN limits
Signs of runoff / ponding
Rain Gauge on site during application
Spill plan on site
Cover crop specified in permit
Site condition adequate
(if no, improvements recommended)
Are there any limiting slopes on fields?
NE 10 % for surface application NE 18% for subsurface application
Monitoring well(s) Y/N: NA
If yes, location of well(s): This permit currently does not require groundwater monitoring
Odors/vectors
Describe any nuisance conditions and any corrective actions needed. There was no land application at
the time of this inspection.
Odors present NA
Vectors present NA
Other noted conditions:

J OF W ATF9
A6chael F_ Easley. Gorerrxw
t r WiEam G_ Ross, Jr_,Seretary
O North Carolina Department of Environment and Natrral Resources
Alan W. Klimek P.E-, Diia--or
Division of Water Darby
April 23, 2003
Mr. Travis Hendren, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013-0429
Subject: Land Application Inspection
Permit No. WQ0011431
Rowan County
Dear Mr. Hendren:
Enclosed is the land application inspection report for the inspection conducted on April 15, 2003 by Ms.
Ellen Huffman with this Office.
All laboratory and plant monitoring data reflect compliance with the land application permit; however, the
chain of custody form for fecal coliform did not indicate that the sample was on ice when the sample ums taken
to/received by the lab. The annual report reflects compliance for 2002, but the pathogen and vector attraction
reporting form was incomplete. Your current land application contractor performs these duties for you- It is
suggested that you inform your contractor of the deficiencies.
The report should be self-explanatory, however, if you have any questions, please contact Mrs. Huffman or
me at [phone].
Sincerely,
tom)' / (?"-4"L
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
Attachment
cc: non -discharge compliance
Mooresville Regional Office, 919 North Main Street, Mooresville, NC 28115
PHONE [phone] Cato wSenca
FAX [phone] 623-7743

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
&Tom, �W'j
NCDENR
NON -DISCHARGE COMPLIANCE INSPECTION
GENERAL INFORMATION
City/Town/Owner: Town of Cleveland
Permit No.: WQ0011431
Last Amended Date: N/A
If applicable SOC Issuance Date: N/A
Permittee Contact: Earl Mitchell
ORC Name: Clyde Kivett
Reason for Inspection
X ROUTINE_
Type of inspection
Collection System
County: Rowan
Issuance Date: December 15.2000
Expiration Date: November 30.2005
Expiration Date: N/A
Telephone No.: 704/278-4669
Telephone No.: same
COMPLAINT FOLLOW-UP
Spray Irrigation X Sludge
OTHER
Inspection Summary: (additional comments may he included on attached pates)
The Town of Cleveland has one wastewater treatment plant. Residuals from the plain are land
applied two to three times per year. Southern Soil Builders is the current land application
contractor. All laboratory and plant monitoring data reflect compliance with the land application
permit; however, the chain of custody form for fecal coliform did not indicate that the sample was
on ice when the sample was taken to/received by the lab. The annual report reflects compTame
for 2002, but the pathogen and vector attraction reporting form was incomplete.
Is a follow-up inspection necessary __yes X no
Inspector Name/Title Ellen Huffman / Env. Specialist II
Telephone No. 704/663-1699 Fax No. 704/663-6040
Date of Inspection April 16, 2003

Residuals Inspection
Type of Residual
X Land Application (class B) Distribution and Marketing (class A)
Record Keeping
Y/N
Y Copy of current permit available at residual generating site
Y Current metals and nutrient analysis (see permit for frequency)
Y TCLP analysis Y SSFA (Standard Soil Fertility Analysis)
Y Nutrient and metals loading calculations (to determine most limiting parameter)
year to date.
Y Hauling records (# gal/ton hauled during calendar year to date)
Y Field loading records Y Field site maps and information
Y Records of lime purchased
Y Pathogen & Vector Attraction Reduction
Comments:
Pathogen Reduction
Alternative 1. Pathogen monitoring method SM 9221 E
Vector Attraction Reduction
Option 1— volatile solids reduction calculation. VanKleeck calculation method.
Treatment (check treatment type(s) used)
X Aerobic digestion
n/a Autothermal Thermophilic Aerobic Digestion (ATAD)
n/a Anaerobic digestion
n/a Drying beds (may not meet 503's)
n/a Alkaline Stabilization Lime other
Compost (check treatment type used)
Windrow n/a Aerated Static Pile n/a In vessel n/a Other n/a
Transport No land application activity at time of inspection.
Permit in transport vehicle? n/a Spill control plan in transport vehicle? n/a
Does transport vehicle appear to be maintained? n/a
Operation & Maintenance records No land application activity at time of inspection.
Calibration records of land application equipment n/a
Condition of land application equipment on site n/a
pg 2

Residuals Inspection
Storage
Number of days/month storage 57 dgys
Describe storage 80,000 gallon aerobic digester.
(if more than 2 yrs, does facility have Surface Disposal Permit?) n/a
Spill control plan on storage site?
n/a Lagoon - Is lagoon lined
Above ground tank n/a In ground tank X
Aerated Mixed Aerated X Mixed
n/a Drying beds n/a Concrete storage pads
Sampling
Describe Sampling
pg 3
Fecal Coliform, metals and nutrient sampling are taken as grab samples by the contractor prior to
land application. Volatile solids reduction sampling is also taken by the contractor. Samples are taken
at sampling points before and after aerobic digestion. The results are calculated by the lab.
Is sampling adequate Y Is sampling representative Y
Field Sites (end use for class B biosolids)
No land application activity at time of'inspection.
Permit on site during application
Buffers adequate
Documented exceedances of PAN limits
Signs of runoff/ ponding
Rain Gauge on site during application
Are there any limiting slopes on fields? Y/N N
10 % for surface application
Monitoring well(s) in permit: no
If yes, location of well(s)
Odors/vectors
Spill plan on site
Cover crop specified in permit
Site condition adequate
(if no, improvements recommended)
18% for subsurface application
Odors present no
Vectors present no
Describe any nuisance conditions and any corrective actions needed

Non-compliance work:
Lab Comments:
Composite Sampling:
Time begin am, pm Date
Time end am, pm Date _/^J

Ctient:
STAT'ESV ILLE ANALYTI€:AL
122 Co=ui Street - RO. BGx M
Address:
! Statesville. ,N-C 28687 .-
-- (704) 8 €'2-4t 97
Contact Person:
Phone
FAX"Chain
of
Custody .Record
{-rime Date)
Po r
Requisitioned by:
Customer
Lab -ID ?
Time Samplea
I Date Sampled
R
Matr x
Parameters requested for analysis
SWaR
W
rry
sample tu-
c(Grab onhr)
(Crab only)
U
t /
j
Relinquished by:
Y`
~'
Time
am, pm Date Sampled by:
Received by:
Time
am., pm Date —:ice/Transported by: `$
Relinquished by:
Time
am, pm Date
.../_ _l Holding times met:
Received by;
",..
€ A K.
r
Time pm Date
v..
Compliance work: �..,
t
!Sion -compliance work:
Lab Comments:
Comp osite:: Sa mp
l i n ct;
Time begin
am, pm Date
Time end
am, pm Date
Yl�/!

State of North Carolina
Department of Environment
and Natural Resources
Mooresville Regional Office
James B. Hunt, Jr., Governor
William E. Holman, Secretary
Kerr T. Stevens, Director
Mr. Travis Hendren, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013-0429
Dear Mr. Hendren:
I fflzalh�*'j
qT 0
4 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Division of Water Quality
November 9, 2000
Subject: Land.Application Inspection
Permit No. WQ0011431
Rowan County
Enclosed is the land application inspection report for the inspection conducted on November
7, 2000 by Ms. Ellen Huffrnan with this Office. This inspection is part of our initiative to inspect all
land application programs during each calendar year.
The report indicates compliance with the permit. requirements, including field conditions and
record keeping. Your staff should be commended for their efforts in maintaining compliance with
permit requirements.
The report should be self-explanatory, however, if you have any questions, please contact
Mrs. Huffman or me at [phone].
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
Attachment
cc: non -discharge compliance
919 North Main Street, Mooresville, North Carolina 28115 Telephone [phone] FAX 704=663-604
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper

V
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, -Secretary
Kerr T. Stevens, Director
NCDENR
NON DISCHARGE -COMPLIANCE INSPECTION
GENERAL INFORMATION
City/Town/Owner: Town of Cleveland
Permit No.: W00011431
Last Amended Date: N/A
If applicable SOC Issuance Date: N/A
Permittee Contact: Earl Mitchell
ORC Name: Clyde Kivett
Reason for Inspection
County: Rowan
Issuance Date: January 31, 1996
.Expiration Date: December 31, 2000
Expiration -Date: N/A
Telephone No.:.704/278-4669
Telephone No.: same
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Type of inspection
Collection System Spray Irrigation X Sludge Other
Inspection Summary: (additional comments may be included on attached -pages)
The Town of Cleveland has one wastewater treatment plant. A plant and field site visit was
performed on.November 7,-2000. Residuals from the plant are land applied two to three times per --
year. Southern Soil Builders is the current land application contractor. Cleveland was not actively
applying at the time of inspection. The site is slightly rolling and very remote. All laboratory and
plantmonitoring data reflect.compliance with the land application permit, which is currently in-
house for renewal. There were no nuisance conditions found at the field. No land application
activity was occuring at the time of inspection.
Is a follow-up inspection necessary _des X no
Inspector Name/Title Ellen Huffman / Env. Specialist II
Telephone No. 704/663-1699 Fax No. 704/663-6040
Date of Inspection November 29,1999

Residuals Inspection Check List pg 1
Type of Residual
X Land Application (class B) Distribution and Marketing (class A)
Record Keeping
Y/N
Y Copy of current permit available at residual generating site
Y Current metals and nutrient analysis (see permit for frequency)
_:.. ._..Y.:. TCLP analysis Y SSFA_(Standard.Soil Fertility Analysis)._ .. ___- -----------
Y Nutrient and metals loading calculations (to determine most limiting parameter)
year to date.
Y Hauling records (# gal/ton hauled during calendar year to date)
Y Field loading records Y Field site maps -and information
Y Records of lime purchased
Y -Pathogen & Vector Attraction Reduction
Comments:
Pathogen & Vector Attraction Reduction Records (check which methods apply)
Fecal coliform
X SM 9221 E (Class A or B)
(Class A, all test must be <1000 MPN / dry gram)
(Class B, Geometric mean of 7 samples/monitoring period -. <2.0* 106 CFU / dry gram)
SM 9222 D (Class B only)
(Geometric mean of 7 samples/monitoring -period for Class B <2.0* 106 CFU / dry gram)
Salmonella -(Class A, all tests must be < 3MPN / 4 grams dry - —
Time /-Temp records
Digester (MCRT) n/a Compost n/a Class A lime stabilization n/a
Volatile solids calculations X
Bench -top aerobic/anaerobic digestion results Y
pH records for lime stabilization ( Class A or B) Y
Treatment (check treatment type(s) used)
X Aerobic digestion n/a Autothermal Thermophilic.Aerobic Digestion (ATAD)
n/a Anaerobic digestion n/a Drying beds (may not meet 503's)
n/a Alkaline Stabilization Lime other
Compost (check treatment type used)
Windrow n/a Aerated Static Pile n/a In vessel n/a Other n/a

L;
Residuals Inspection Res. pg 2
Transport No land application activity at time of inspection.
Permit in transport vehicle? n/a Spill control plan in transport vehicle? n/a
Does transport vehicle appear to be maintained? n/a
Operation & Maintenance records No land application activity at time -of inspection.
Calibration records of land application equipment n/a
Condition of land application equipment on site n/a
Storage
Number of days/month storage 57 days
Describe storage 80,000 gallon aerobic digester.
(if more than 2 yrs, does facility have Surface Disposal Permit?) n/a
Spill control plan on storage site?
n/a Lagoon - Is lagoon lined
Above ground -tank n/a
Aerated Mixed
n/a Drying beds Y Concrete storage pads
In ground tank n/a
Aerated Mixed
Sampling
Describe Sampling
-Fecal Coliform metals and nutrient sampling are taken as grab samples by the contractor prior to
land application -in accordance with the permit and EPA standards. VSR sampling is taken once -
every monitoring period by the land application ORC. Sampling is conducted at the proper locations,
before and after aerobic digestion and documentation for each plant site is in the operator's office.
All lab data was in order at time of inspection.
Is sampling adequ4tcL Y Is sampling representative Y
Field Sites (end use for class B biosolids) Field identification Garnet Doby # 2-1 and 2-2
No land application activity at time of inspection.
Permit on site during application
Buffers adequate
Documented exceedances of PAN limits
Signs of runoff / ponding
Rain Gauge on site during application
Comments -
Are there any limiting slopes on fields? Y/N N
Spill plan on site
Cover crop specified in permit
Site condition adequate
(if no, improvements recommended)
10 % for surface application 18% for subsurface application

Residuals Inspection Res. pg 3
Monitoring well(s) in permit: no
If yes, location of well(s)
Odors/vectors .
Odors present no
Vectors present no
Describe any nuisance conditions and any corrective actions needed

State of North Carolina
Department of Environment
and Natural Resources
Mooresville Regional Office
James B. Hunt, Jr., Governor
William E. Holman, Secretary
Kerr T. Stevens, Director
Mr. Travis Hendren, Mayor
Town of Cleveland
P.O. Box 429
Cleveland, North Carolina 27013-0429
Subj ect:
Dear Mr. Hendren:
1 • •
NCDENR
.- NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Division of Water Quality
November 9, 2000
Land Application Inspection
Permit No. WQ0011431
Rowan County
Enclosed is the land application inspection report for the inspection conducted on November
7; 2000 by Ms. Ellen Huffman with this Office. This inspection is part of our initiative to inspect all
land application programs during each calendar year.
The report indicates compliance with the permit requirements, including field conditions and
record keeping. Your staff should be -commended for their.efforts.in maintaining compliance with
permit requirements.
The report should be self-explanatory, however, 'if you have any questions, please contact
Mrs. Huffman or me at [phone].
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
Attachment
cc: non -discharge compliance
919 North Main Street, Mooresville, North Carolina 28115 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
A 1 T RS�
ag
NCDENR
NON -DISCHARGE COMPLIANCE INSPECTION
GENERAL INFORMATION
City/Town/Owner: Town of Cleveland
Permit No.: W00011431
Last Amended Date: N/A
If applicable SOC Issuance Date:- N/A
Permittee Contact: Earl Mitchell
ORC Name: Clyde Kivett
Reason for Inspection
County: Rowan
Issuance Date: January 31, 1996
Expiration Date: December 31, 2000
Expiration Date: N/A -
Telephone No.: 704/278-4669
Telephone No.: same
X ROUTINE COMPLAINT FOLLOW-UP OTHER
Type of inspection
Collection System Spray Irrigation X Sludge Other
Inspection Summarv: (additional comments may be included on attached. pages)
The Town of Cleveland has one wastewater treatment plant. A plant and field site visit was
performed on November 7, 2000. Residuals from the plant are land applied two to three times per
year. Southern Soil Builders is the current land application contractor. Cleveland was not actively
applying at the time of inspection. The site is slightly rolling and very remote. All laboratory and
plant monitoring data reflect compliance with the land application permit, which is currently in-
house for renewal. There were no nuisance conditions found at the field. No land application
activity was occuring at the time of inspection.
Is a follow-up inspection necessary des X no
Inspector Name/Title Ellen Huffman / Env. Specialist II
Telephone No. 704/6634699 Fax No. 704/663-6040
Date of Inspection November 29,1999

Residuals Inspection Check List
Type of Residual
X Land Application (class B)
Distribution and Marketing (class A)
Record Keeping
Y/N
Y Copy of current permit available at residual generating site
Y Current metals and nutrient analysis (see permit for frequency)
- - Y ..TCLP analysis Y .. SSFA (Standard,Coil. Fertility Analysis)._... -
Y Nutrient and metals loading calculations (to determine most limiting parameter)
year to date.
Y Hauling records (# gal/ton hauled during calendar year to date)
Y Field -loading records Y Field site maps and information
Y Records of lime purchased
- - Y Pathogen & Vector Attraction Reduction - -
Comments:
Pathogen & Yector Attraction Reduction Records (check which methods apply)
Fecal coliform
X SM 9221 E (Class A or B)
(Class A, all test must -be <1.00.0-MPN_/ dry gram)._
(Class B, Geometric mean of 7 samples/monitoring period - <2.0* 106 CFU / dry gram)
SM 9222 D (Class B only).
-(Geometric mean of 7 samples/monitoring period for Class B <2:0* 106 CFU /dry gram)
Salmonella (Class A, all tests must be < 3MPN / 4 grams dry -
Time / Temp records
Digester (MCRT) n/a Compost n/a Class A .lime stabilization n/a
Volatile solids calculations X
Bench -top aerobic/anaerobic digestion results Y
pH records for lime stabilization ( Class A or B) Y
Treatment (check treatment type(s) used)
X Aerobic digestion n/a ' Autothermal-Tliermophilic Aerobic Digestion (ATAD)
n/a Anaerobic digestion n/a Drying beds (may not meet 503's)
n/a Alkaline Stabilization Lime other
Compost (check treatment type used)
Windrow n/a Aerated Static Pile n/a In vessel n/a Other n/a
pg I

Residuals Inspection Iles. pg 2
Transport No land application activity at time of inspection.
Permit in transport vehicle? n/a Spill control plan in transport vehicle? n/a
Does transport vehicle appear to be maintained? n/a
Operation & Maintenance records No land application activity at time of inspection.
Calibration records of land application equipment n/a
Condition of land application equipment on site n/a
Storage
Number of days/month storage 57 das
Describe storage 80,000 gallon aerobic digester.
(if more than 2 yrs, does facility have Surface Disposal Permit?) n/a
Spill control plan on storage site?
n/a Lagoon - Is lagoon lined_
Above ground tank n/a
Aerated Mixed
n/a Drying beds
Sampling
Describe Sampling
Y Concrete storage pads
In ground tank n/a
Aerated Mixed
Fecal Coliform metals and nutrient sampling are taken as grab samples by the contractor prior to
land implication in accordance with the permit and EPA standards. VSR sampling is taken once
every monitoring period by the land application ORC. Sampling is conducted at the proper locations,
before and after aerobic digestion. and documentation for each plant site is in the operator's office.
All lab data was in order at time of inspection.
Is sampling adequate Y Is sampling representative Y
Field Sites (end use for class B biosolids) _ Field identification Garnet Doby # 2-1 and 2-2
No -land application activity at time of inspection.
Permit on site during application
Buffers adequate
Documented exceedances of PAN limits
Signs of runoff / ponding
Rain Gauge on site during application
Comments -
Are there any limiting slopes on fields? Y/N N
Spill plan on site
Cover crop specified in permit
Site condition adequate
(if no, improvements recommended)
10 % for surface application 18% for subsurface application

Residuals Inspection
Monitoring well(s) in permit: no
If yes, location of well(s)
Odors/vectors -
Odors present no
Vectors present no
Describe any nuisance conditions and any corrective actions needed
Res. pg 3

%oar
(� Cf i Cr
Environmental Waste Recycling, Inc.
August 4, 1998
Mr. Rex Gleason
Division of Water Quality
Mooresville Regional Office
919 North Main Street
Mooresville, NC 28115
Dear Mr. Gleason:
N.C. DEFT. OF
ENVIRONME-NT,1s,-ALTH ,
iU`G 5 1998
This is a follow-up to my conversation with you today. Environmental Waste
Recycling, Inc., has the contract to haul and land apply the biosolids from the
Town of Cleveland. We have received the permit (WQ0011431 dated January 31,
1996) and, weather permitting, plan to begin hauling Wednesday, August 4. One
of the stipulations of the permit is that we notify your Regional Office prior to the
initial application of the biosolids. The application site is the Garnett Doby farm
at 1630 Baker Mill Road.
Please feel free to call our office with any questions or comments.
Sincerely,
oretta Hagan
Technical Services
149 Yadkin Valley Road • Advance, NC 27006 • [phone] FAX [phone] ��✓
Printed on
Recycled Paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Travis Hendren
Town of Cleveland
Post Office Box 429
Cleveland, NC 27013-0429
Dear Travis Hendren,
D E N R
February 3, 1998
L_ 6
c� i7r J
Subject: Annual Monitoring and Reporting Requirements
Treatment and Land Application of Residuals
Permit Number: WQ0011431
Town of Cleveland
Rowan
The purpose of this letter is a reminder that the monitoring reports required by the
subject permit must be submitted as an Annual Report for calendar year 1997 by no later
than March 1, 1998. The report must be submitted (in triplicate) to the following address:
DENR/DWQ/Water Quality Section
Non -Discharge Compliance Unit
P.O. Box 29535
Raleigh, N.C. 27626-0535
Due to limitations in storage space, please submit the reports in bound form rather
than in notebook form. Permittees are subject to civil penalty for failing to submit the
Annual Report as required by their permit.
Enclosed are the summary and certification sheets that must be used for your
annual report. Please complete these sheets and if necessary make copies of the blank
forms if extras are needed. The forms have not changed since last year, so you may use
those you already have on hand.
You will note that the forms include additional information required by
EPA as outlined in 40 CFR Part 503. Since the requirements of 40 CFR Part 503 are self
implementing, they are legally binding and enforceable Federal requirements for all
persons subject to the requirements of 40 CFR Part 503, even if these requirements
are not currently contained in the State permit. The annual reports for the EPA must be
received by EPA at the following address on or before Febuary 19,1998.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Annual Monitoring and Reporting Requirements
Permit Number
Page 2
Melinda Green
Clean Water Act Enforcement Section
Water Programs Enforcement Branch
Water Management Division
U.S. EPA Region 4
61 Forsyth Street, S.W.
Atlanta, Ga. 30303-3104
If there is a need for any information or clarification on the State reporting
requirements, please do not hesitate to contact Kevin Barnett of our staff at 919-733-5083
extension 529. For further information on the Federal requirements, you should call
Vince Miller of the Environmental Protection Agency at 404-562-9345.
Sincerely,
6P Dennis R. Ramsey
Assistant Chief for Non Discharge
Cc: Vince Miller, EPA Region IV
Mooresville Regional Supervisor
Compliance / Enforcement File
Central Files

OF
l J
�QGMAR cS' 1997
1996" ANNUAL MONITORING REP®`lZf�'r Eff6'I.r,Cf''�E'fT9l L'.P, fA l` HT
for the, MOM ESVIlLE itMIRL GINCE
LAND APPLICATION OF BIOSOLIDS PROGRAM
THE TOWN OF CLEVELAN®, NC
Non -Discharge Permit -No. W00011431
"Beneficial Use .Through. Land Application"
MCI I E DES POSESSSM NT UNiT
prepared -by:
EimRONMENTAL WASTE RECYCLING, INC
149 YADKIN VALLEY ROAD
ADVANCE, NC 27006

ANNUAL LAND APPLICATION CERTIFICATION FORM
Permit No. l�Jn n('1_l_1 131 Cou � /A ,& Year 1`t Va
Facility Name (as shown on permit) I owr o C le% rnr-
Land Application Operator Ew i2, = c• Phone 1#91099�g1Ss'y
Land application of residuals as allowed by the above permit occurred during the past calendar
year YES _y-' NO. If NO, skip Part I and Pact II and proceed to the certification. Also, if residuals
were generated but not land applied, please attach an explanation on how the residuals were handled.
Part I
-Total number of application fields in permit.
Total number of fields land application occurred during the year.
-Total amount of dry tons applied during the year for all application sites.
-Total number of acres land application occurred during the year.
Part II ►q9&
Facility was compliant during calendar year 4994 with all conditions of the land application permit
(including but not limited to items 1-12 below) issued by the Division of Environmental Management
- YES NO.
IF NO, PLEASE PROVIDE A WRITTEN DESCRIPTION WHY THE FACXITY WAS NOT COMPLIANT, THE
DATES, AIND EXPLAIN CORRECTIVE ACTION TAKEN.
1. Only residuals approved for this permit were applied to the permitted sites.
2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil
pH of at least 6.0 or the limit specified in the permit.
3. Annual soils analysis was performed on each site receiving residuals during the past calendar year
and three (3) copies of laboratory results are attached.
4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are
attached.
5. All other monitoring was performed in accordance with the permit and reported during the year as
required and three (3) copies of certified laboratory results are attached.
6. The facility did not exceed any of the Pollutant Concentration Limits in Table 1 of 40 CFR Part
503.13 or the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 . (applicable to 40 CFR Part 503
regulated facilities)
7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14
were complied with. (applicable to 40 CFR Part 503 regulated facilities)
8. All operations and maintenance requirements in the permit were complied with or, in the case of a
deviation, prior authorization was received from the Division of Environmental Management.
9. No contravention of Ground Water Quality Standards occurred at a monitoring well or
explanations of violations are attached to include appropriate actions and remediations.
10. Vegetative cover as specified in the permit was maintained on this site and the crops grown were
removed in accordance with the crop management plan.
11. No runoff of residuals from the application sites onto adjacent property or nearby surface waters
has occurred.
ed on the permit were maintained during each application
12. All buffer requirements as specifi
of residuals.
"I CERTIFY, UNDER PENALTY OF LAW, THAT THE ABOVE INFORMATION IS, TO THE BEST OF MY
KNOWLEDGE AND BEL=, TRUE, ACCURATE, TIES FOR SUBMITTING FALSE INFORMATION, INCLUDING D COMPLETE. I AM AWARE
1AT THERE ARE
SIGNIFICANT PENAL TTFiE OSSIBILI TY OF
FINES AND IMPRISONMENT FOR KNOWING VIOLATIONS."
Signature o Preparer Date Signature of i1Xnd App er
Date
(Signature of Permittee instead if different from preparer? ��F different from Prepater)
Note: Preparer is defined in 40 CFR Part 503.9(r)
R E C E I V E D !DEM FORM CF (10/94)
FEB 2 6 1997

NC DEPT. OF FNIVIR( NMI ENT .
AND NATI PA~ . RE CEU ;f.LS
VOORESVIL:..'� OFilICF
FEB 2 2 2001
WATER QUALITY SECTION
TOWN OF CLEVELAND
2000 ANNUAL REPORT
LAND APPLICATION PROGRAM
NC PERMIT NO. WQ0011434

ANNUAL LAND APPLICATION CERTIFICATION FORM
Permit Number _ WO 0 01 1 411 County R owan Year 2000
Facility Name (as shown on permit)_Town of ('1 oval and
Land Application Operator cn„thArn 20`i1 $u 3der- Phone# [phone]
Land application of residuals as allowed by the above permit occurred during the past calendar year
x YES NO. If NO, skip Part I and Part II and proceed to the certification. Also, if residuals were generated but
not land applied, please attach an explanation on how the residuals were handled.
Part I Z
• Total number of application fields in permit. 9 r -r
*Total number of fields land application occurred during the year.�G o�
•Total amount of dry tons applied during the year for all application sites. 67 4 n
-Total number of acres land application occurred during the year. 49 S E-3_ m o
Part II nt
CD
was compliant during calendar year 199_ with all conditions of the land application wit
(including but not limited to items 1-12 below) issued by the Division of Water Quality
X YES NO.
IF NO, PLEASE PROVIDE A WRITTEN DESCRIPTION WHY THE FACILITY WAS NOT COMPLIANT, THE DATES, AND
EXPLAIN CORRECTIVE ACTION TAKEN.
1. Only residuals approved for this permit were applied to the permitted sites.
2. Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil
PH of at least 6.0 or the limit specified in the permit.
3. Annual soils analysis was performed on each site receiving residuals during the past calendar year
and three (3) copies of laboratory results are attached.
4. Annual TCLP analysis was performed and three (3) copies of certified laboratory results are
attached.
5. All other monitoring was performed in accordance with the permit and reported during the year as
required and three (3) copies of certified laboratory results are attached.
6. The facility did not exceed any of the Pollutant Concentration Limits in Table 1 of 40 CFR Part
503.13 or the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 . (applicable to 40 CFR Part 503
regulated facilities)'
7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14
were complied with. (applicable to 40 CFR Part 503 regulated facilities)
8. All operations and maintenance requirements in the permit were complied with or, in the case of a
deviation, prior authorization was received from the Division of Water Quality.
9. No contravention of Ground Water Quality Standards occurred at a monitoring well or
explanations of violations are attached to include appropriate actions and remediations.
10.Vegetative cover as specified in the permit was maintained on this site and the crops grown were
removed in accordance with the crop management plan. .
11.No runoff of residuals from the application sites onto adjacent property or nearby surface waters
has occurred.
12.A11 buffer requirements as specified on the permit were maintained during each application
of residuals.
"I CERTIFY, UNDER PENALTY OF LAW, THAT THE ABOVE INFORMATION IS, TO THE BEST OF MY KNOWLEDGE
AND BELIEF, TRUE, ACCURATE, AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR
SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF FINES AND IMPRISONMENT FOR
KNOWING VIOLATIONS."
Pernutttee Name and Title ( rint)
type or p Si, afore of Permittee Date
Signatur of Preparer Date
(if different from Permittee)
/ '-D I -
-0
ignature of Land p Date
(if different from Peri and Preparer)
Note: Preparer Is defined in 40 CFR Part 503.9(r)
DEM FORM CF (10/94)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Attach this form to the corresponding laboratory analysis.
Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form.
Permit Number
Facility Name
NPDES #
or WO # (residual only facilities)
WWTP Name
(Town of Cleveland
Residuals Analvsis Data
Date Sampled 05/23/00
(grab) or Date
Percent Solids I I 1 1 7.21
Parameters (ma/ko dry weight)
Laboratory 1 A&L Eastern Agricultural Laboratories
2
3
Arsenic
2.30
Cadmium
11.2
Chromium
128
Copper
265
Lead
59
Mercury
1.15
Mol bdneum
26
Nickle
42
Selenium
1.38
Zinc
768
TKN
8900
Ammonia - Nitrogen
600
Nitrate - Nitrogen
710
Total Phosphorus
14300
X------- - -------------�- �� -----
(SIGNATU ' E OF PREPARER) DATE
"I certify. under penalty of law. that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted 1 am aware that there are
significant penalties for Submitting false information. mcluding the possibility of fines and imprisonment for knowing violations'
DEM FORM SSF (10/94)

u A & L EASTERN AGRICULTURAL LABORATORIES, INC.
a 7621 Whitepina Road • Richmond, Virginia 23237 [phone]
R128
Fax No. [phone]
-387 ACCOUNT 45230
PAOE 1
is REPORT NUMBER
E
f1l
9YNAGRO SOUTHEAST
P 0 BOX 1770 CLEVELAND NC MIKE kHETZEL
G490 STADIUM DRIVE
� CLENMONS NC 27012
BIOSOLIDS ANALYSIS REPORT
LAB NUMBER = 42329 DATE SAMPLED
SAMPLE ID = ALK STAB DATE RECEIVED 05/23/00
DATE REPORTED 05/26/00
.n
v
RESULT RESULT DETECTION
PAWAMETER LIMIT ANALYSIS
mn' r )— (MG/KO) (MG/KO) ANALYST DATE TIME ME7HOD REFERENCE
--------
------ - - - - ---------------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
SOLIDS(AS IS) 7.21 72100 100 --
Qc NITROGEN(TKN) KCS 03/23/00 16:00 SM 25406
PHOSPHORUS 0.89 8900 L00 KCS 05/24/00 14t00 EPA 351.3
w POTASSIUM 1.43 14300 100 JCM 03/24/00 14:00 Sk
846-60108
SULFUR
0.24 2400 100 JCM 05/24/00 14t00 Sk 846-60108
0.69 6900 L00
a CALCIUM JCM 05/24/00 14t00 Sk 846-60108
MAGNESIUM 19.26 182600 100 JCM 05/24/00 14t00 Sk 846-60108
SODIUM 0.56 5600 100 JCM 05/24/00 14:00 Sk 846-6010B
IRON 0.22 2200 100 JCM 05/24/00 14:00 Sk 846-6010B
ALUMINUM 19400 1 JCM 05/24/00 14t00 Sk
MANGANESE31700 LO JCM 05/24/00 14s00 Sk 846 321 1 -601DB
U, COPPER JCM 05/24/00 14s00 Sk 846-6010B
a ZINC 265 1 JCM 05/24/00 14:00 SN
768 1 JCM 05/24/00 846-60109
-1 AMMONIA -NITROGEN 14t00 SM 846-6010B
0.06 600 100 KCS 05/24/00 11t00 EPA 350.2
� NO3-NO2 NIrRDGEN 710 LO
CADMIUM KCS 05/24/00 14:06 SM 4500-NO3 F
CHROMIUM 11_2 1 JCM 05/24/00 14,00
Sk 846-6010B
L^ NICKEL 128 S JCM 05/24/00 14;00 Sk 846-60108
uul 42 5 JCM 05/24/00 14t00 Sw 846-60106
J
�O _
`I ALL VALUES ARE ON A DRY HEIGHT BASIS EXCEPT AS NOTED_"
t P A U L CCU l lick
>> Our reporl5 and lellere ero for Ura e.ckjsgw and conLtlenlial uee f H - C H UCC _ )NOR AN .TONE S
l r rrorf., the s s d 111S. ll gLe a mprny . any ndoa d co n yr our cllenle. end may Flog be 1eproduced In whole or In pail. nor may any relorence be ma6a to the
0 o s raloes4. of olhor pubic annox,ncomerhs ,.ghoul oblolnfnp our prior wriflon eueronzag on Coloyrlahf 1977

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A & L EASTERN AGRICULTURAL LABORATORIES, INC.
7621 Whit©pine Road - Richmond, Virginia 23237 - [phone]
Fax No. [phone]
R 1 2 B- 3 9 7
ACCOUNT 45230 PAGE 2
REPORT NUMBER
W
SYNAGRO SOUTHEAST
CLEVELAND NC
P 0 BOX 1770
MIKE WHETZEL
G490 STADIUM
DRIVE
CLEMMONS NC
27012
BIOSOLIDS
ANALYSIS REPORT
LAB NUMBER = 42329
DATE SAMPLED
SAMPLE ID = ALK STAB
DATE RECEIVED 05/23/00
DATE REPORTED 05/26/00
DETECTION
PARAMETER
RESULT
( -
RESULT
LIMIT
ANALYSIS '
)
(MG/KG)
(MG/KG)
ANALYST
DATE
TIME
METHOD REFERENCE
-------------
LEAD
`
ARSENIC
59
5
JCM
OS/24/00
14s00
SN 846-60108
MERCURY
1.15
0.2
KM
KM
05/23/00
16:00
SW 846-7061A
SELENIUM
1.38
0.1
05/23/00
16:00
Sit 846-7471A
PH (STD-UNITS,AS IS)
12.40
KM
05/23/00
16t00
SW 846-7741A
CALCIUM CARBONATE Et7
39.87
388700
100
RD
05/24/00
11100
EPA 150.1
VOLATILE SOLIDS
25.
25500
100
LDR
05/24/00
14t00
AOAC 955-01
ORGANIC NITROGEN
B3
O.83
8300
100
KCS
05/24/00
16100
SM 2540G
MOLYBDENUM
26
5
DCH
05/24/00
CALCULATION
JCM
05/24/00
14:00
SW 846-60t08
At VALUES ARE ON A DRY KEIGHT BASIS EXCEPT AS NOTED."
Our repony and totters e e lot nto o.duetvo and cont.denuat usa or our cn r y P P A U L C. H. C H U C. NO M A N J ONE S
work the resu49, or the company in any odverth lnp nevrt rele0 Of or ClI ar and an 1, nol bo onCsow hour In whole oour Dart nor may any reference be made to the
D Prior wntlan eUlhorlc,tron Copyr4DA1 1977

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
SC DHEC No. 32010
Client : Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Attention : Dennis Key
NC DEHNR No. 329
Description cleveland NC
Date Sampled 10/30/2000 1200
Lot Number BK02007-00i
Matrix
Solid
Date Received 11/01/2000
Prep
Analytical
Parameter
Method
Method
Result Q
PQL
Units
Prep Date
Analysis Date
Analyst
Inorganic non-metals
% Solids
160.3
2.20
%
11/06/2000
1435
ADH
pH
9045C
6.77
Std. units
11/03/2000
1100
AH
Ignitability (Pensky-Martens Closed -Cup)
1010
>140
° F
11/10/2000
0900
MAW
Reactive Cyanide
7.3.3
ND
2300
mg/kg
11/03/2000 1100
11/07/2000
1340
MCC
Reactive Sulfide
7.3.4
ND
2300
mg/kg
11/03/2000 1100
11/03/2000
1500
MDC
TCLP Volatiles
Benzene
1311/5030B
8260E
ND
0.10
mg/L
11/07/2000
1827
RED
2-Butanone (MEK)
1311/5030B
82608
ND
0.20
mg/L
11/07/2000
1827
RED
Carbon tetrachloride •
1311/5030B
8260E
ND
0.10
mg/L
11/07/2000
1827
RED
Chlorobenzene
1311/50308
8260E
ND
0.10
mg/L
11/07/2000
1827
RED
chloroform
1311/50308
82608
ND
0.10
mg/L
11/07/2000
1827
RED
1,2-Dichloroethane
131115030E
8260B
ND
0.10
mg/L
11/07/2000
1827
RED
1,1-Dichloroethene
1311/5030B
82608
ND
0.10
mg/L
11/07/2000
1827
RED
Tetra chloroethene
1311/5030B
8260B
ND
0.10
mg/L
11/07/2000
1827
RED
frichloroethene
1311/5030B
8260B
ND
0.10
mg/L
11/07/2000
1827
RED
✓inyl chloride
1311/5030B
8260E
ND
0.20
mg/L
11/07/2000
1827
RED
Surrogates
foluene•d8
1311/5030B
8260B
101
70.0-130
%
11/07/2000
1827
RED
1.2-Dichloroethane-d4
1311/50308
8260B
86.1
70.0-130
%
11/07/2000
1827
RED
3romofluorobenzene
1311/5030B
8260E
94.4
70.0-130
%
11/07/2000
1827
RED
TCLP Semivolatiles
1,4-Dichlorobenzene
1311/3520C
8270C
ND
0.050
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
2,4-Dinitrotoluene
1311/3520C
8270C
ND
0.10
mg/L
11/07/20001515
11/10/2000
1628
MWK
-iexachlorobenzene
1311/3520C
8270C
ND
0.050
mg/L
11/07120001515
11/10/2000
1628
MWK
-iexachlorobutadiene
1311/3520C
8270C
ND
0.050
mg/L
11/07/20001515
11/10/2000
1628
MWK
-lexachloroethane
1311/3520C
8270C
ND
0.050
mg/L
11/07/20001515
11/10/2000
1628
MWK
=ooutoic(s) @62 nil filtered.
PQL = Practical quanutation limit
B =
Detected in the method blank
E = Quantitation of compound exceeded the calibration range
ND = Not detected at or above the PQL
J = Estimated result less than the PQL
soils reported
on a dry weight basis
unless (lagged with a "W"'
I1F;\LY FNVIRON:b1ENTAL SERVICES,INC.
00 Vjnia,;c Poini Drive. Cayce.SouthCaroliru 29033 [phone] Fax [phone] www.shealyenvircnmental.com
Pale
1 of 3

Description Cleveland NC
Lot Number BK02007-001
Date Sampled 10/30/2000 1200
Matrix
Solid
chen. Southern Soil Builders, Inc.
Date Received 1 1/01/2000
Prep
Analytical
Parameter
Method
Method
Result
Q PQL
Units
Prep Date
Analysis
Date
Analyst
TCLP Semivolatiles
2-Methylphenol
1311/3520C
8270C
ND
0.050
mg/L
11/07120001515
11/10/2000
1628
MWK
3 & 4-Methylphenol
1311/3520C
8270C
ND
0.10
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
Nitrobenzene
1311/3520C
8270C
ND
0.050
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
Pentachlorophenol
1311/3520C
8270C
ND
0.25
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
Pyridine
1311/3520C
8270C
ND
0.050
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
2,4.5-Trich lorophenol
1311/3520C
8270C
ND
0.050
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
2.4.6-Trichlorophenol
1311/3520C
8270C
ND
0.050
mg/L
11/07/2000 1515
11/10/2000
1628
MWK
Surrogates
Nitrobenzene-d5
1311/3520C
8270C
37.0
30.0-130
%
11/07/2000 1515
11/10/2000
1628
MWK
Terphenyl-d14
1311/3520C
82700
54.5
30.0-130
%
11/07/2000 1515
11/10/2000
1628
MWK
Phenol-d5
1311/3520C
8270C
33.0
30.0-130
%
11/07/2000 1515
11/10/2000
1628
MWK
2-Fluorobiphenyl
1311/3520C
8270C
37.6
30.0-130
%
11/07/2000 1515
11/10/2000
1628
MWK
2-Fluorophenol
1311/3520C
8270C
32.6
30.0-130
%
11/07/2000 1515
11/10/2000
1628
MWK
2.4.6-Tribromophenol
1311/3520C
8270C
36.4
30.0-130
%
11/07/2000 1515
11/10/2000
1628
MWK
TCLP Pesticides
Chlordane
131113520C
8081A
ND
0.0010
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
Endrin
1311/3520C
8081A
ND
0.00050
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
gamma-BHC (Lindane)
1311/3520C
8081A
ND
0.00050
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
Heptachlor
1311/3520C
8081A
ND
0.00050
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
Heptachlor epoxide
1311/3520C
8081A
ND
0.00050
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
Methoxychlor
1311/3520C
8081A
ND
0.0020
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
Toxaphene
1311/3520C
8081A
ND
0.0050
mg/L
11/07/2000 1515
11/08/2000
2051
MTR
Surrogates
Tetrachloro-m-xylene
1311/3520C
8081A
97.8
50.0-130
%
11/07/2000 1515
11/08/2000
2051
MTR
Decachlorobiphenyl
131113520C
8081A
43.6
50.0-130
%
11/07/2000 1515
11/08/2000
2051
MTR
TCLP Herbicides
2.4-D
1311/8151A-
8151A
ND
0.020
mg/L
11/07/2000 1440
11/09/2000
1129
MTR
2,4,5-TP (Silvex)
1311/8151A-
8151A
ND
0.0050
mg/L
11/07/2000 1440
11/09/2000
1129
MTR
Surrogates
DCAA
1311/8151A-
8151A
94.4
50.0-130
%
11/07/2000 1440
11/09/2000
1129
MTR
TCLP Metals
Arsenic
1311/3010A
6010E
ND
0.050
mg/L
11/10/2000 0900
11/10/2000
1631
FTS
Barium
1311/3010A
6010E
ND
0.25
mg/L
11/10/2000 0900
11/10/2000
1631
FTS
Cadmium
1311/3010A
6010B
0.021
0.020
mg/L
11/10/2000 0900
11/10/2000
1631
FTS
Chromium
1311/3010A
6010E
ND
0.050
mg/L
11/10/2000 0900
11/10/2000
1631
FTS
Lead
1311/3010A
6010B
ND
0.030
mg/L
11/10/2000 0900
11/10/2000
1631
FTS
Mercury
1311/7470A
7470A
ND
0.0010
mg/L
11113/20001100
11/14/2000
1126
FTS
Selenium
1311/3010A
6010E
ND
0.050
mg/L
11/10/2000 0900
11/10/2000
1631
FTS
Footnote(s) re.62 ml filtered.
PQL = Practical quantitation limit
B = Detected in the method blank
E = Quantilation of compound exceeded the calibration ranee
ND = Na detected at or above the PQL
J = Estimated result less than the PQL
Soils reported on a dry weight basis unless flagged
with a
SI-IILALY ENVIRONMENTAL SERVICES,INC.
106 Vantage Point Drive, Cayce, SoulhCarolina
29033 [phone]
Fax [phone]
www.shealyenviraimental.com
Page 2
of 3

Description
Lot Number
7-hent .
Date Received
'arameter
TCLP Metals
iilver
Cleveland NC
BK02007-001
Southern Soil Builders, Inc.
1 1 /01 /2000
ouiote(s) @62 ml littered
Prep
Method
Analytical
Method Result
1311/3010A 6010E ND
Date Sampled
Matrix
10/30/2000 1200
Solid
Q PQL Units Prep Date Analysis Date Ana
0.050 mg/L 11/10/2000 0900 11/10/2000 1631 FTS
Pt_1L = Practical yuanutation limit B = Detected in the method blank E = Quantitation of compound exceeded the calibration range
\D - iM &ICCICd at or abo%a the PQL J = Estimated result less than the PQL Soils reported on a dry weight basis unless flagged with a " W"
EALY ENVIRONMENTAL SERVICES, INC.
�Vantage Point Drive, Cayce,SoulhCarolina 29033 [phone] Fax [phone]Iwww.shealyenviraimental.coni
Pabe 3 of 3

TOWN OF CLEVELAND
Permit No. WQ0011431
RESIDUALS APPLICATION SUMMARY
ACRES
TOTAL
TOTAL DRY
GALLONS
PAN
SITE #
UTILIZED
GALLONS
TONS
PER ACRE
Ibs/acre
Garnet
Doby #2
42.5
224,000
67.4
5,271
11.90
TOTALS
224,000
67.4
5,271

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE
FACILITY NAME Town of Cleveland PERMIT# WQ0011431
OWNER Garnet Doby SITE# CATION EXCHANGE CAPACITY (NON 503 REGULATED FACILITIES ONLY) N/A
OPERATOR Garnet DOby FIELD# 2 ACRES PERMITTED 42.5 ACRES UTILIZED 42.5
TOTAL DRY TONS APPLIED (ANNUAL) 67.35
DATE or
MONTH
Gallons /or Cubic Yards (specify)
Dry Tons
per Acre
Residual Source
% Solids
Note: Do Not
use Averages
Mineralization
Rate
Applicaation
Method
(Surface or
injection)
If reporting by month keep these
daily records on site
Crop
Total
per Acre
Inchess
Rainfall past
24 Hrs.
Site Conditions (Dry,
Moist, Wet)
May-00
99,000 gal.
2,329
0.70
Town of Cleveland
7.21%
30%
Surf.
0
Dry
Fescue
Aug-00
75000 gal.
1,765
0.53
WWTP
7.21%
30%
Surf.
0
Dry
Fescue
Dec-00
50000 gal.
1,176
0.35
7.21%
30%
Surf.
0
Dry
Fescue
Lime
Date I LBS./ACRE
Totals:
LBS./ACRE
PAN
P.
As
Cd
Cr
Cu
Pb
Hg
Mo
Ni
Se
Zn
Annual
224,000
gal.
1 5,271
1.58
11.09
1 45.32
0.0073
0.0355
0.4057
0.8399
0.1870
0.0036
0.0824
0.1331
0.0044
2.434
Cumulative
I
1
1
0.0073
0.0755
0.4757
2.2899
0.3970
1 0.0156
0.1624
0.2031
1 0.0144
6.724
Permit Limit lbs./acr ear - 1 st Cr / 2nd Cr
250 / 0
Permitted cumulative Pollutant LoadingRate Ibs./acre)
36.57
34.79
2676
1338
267.6
15.16
16.06
374.64
89.2
2497.6
(SIGNATURE OF LAND A L DATE
"I certify, under penalty of law, that itTi s document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified perdonnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
DEM FORM FSF (2/95)

NCDA Agronomic Division 4300 Reedy Creek Road Ralei h, NG
M9) /55-Lb55
I%t:)urL ivo: Ut9t51
Grower. Garnet, Doby
Colne;
to. Southern Soil Builder."
•
1630 Baker Mill Rd.
•
Cleveland, NC 27013
J
Tevc Ror)ort
ovv
Farm:
8/ 7/00 SERVING N.C. CITIZENS
FOR OVER 50 YEARS
Rowan County
Agronomist Comments:
C 12
The heavy metal concentration is well within the
limits of normal background levels and should
pose no threat to crops grown on this land. Follo%v
soil test
recommendations for fertilizer
application.
T. Kent Yarborough, Agronomist
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime
N . R05 I"0
Mg Cu
Zu
B Mu See Note
2-1 Fes/OG/fim,M
1st Crop: Fes/OG/Pim,M 0
120-200 0 0
0 0
0
0 12
2nd Crop:
Test Results
Soil Class HM% W/V CEC BS%
Ac pH P-1 K 1 Ca% Mg%
Mn-I Mn-Al (1) Mn-AI (2) Zn-I
Z11-AI
Cu-1
S-I SS-1 Na-N Nlb-N Na
MIN 0.27 0.98 18.0 97.0
0.6 6.6 69 103 80.0 14.0
396 245 293
293
217
111 0.2
Field Information
Applied Lime
Recommendations
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime
N R05 KO
Mg Cu
Zcc
B Mn See Note
2-2 Fes/OG/Pim,M
1st Crop: Fes/OG/I'im,M 0
120-200 100-120 0
0 0
0
0 12
2nd Crop:
Test Results
Soil Class HM% W/V CEC BS%
Ac pH P-I K 1 Ca% Mg%
Mn-I Mn-AI (1) Mu -AI (2) Zn-I
Zn-AI
Cu-I
S-I SS -I Na-N Nlb-N Na
MIN 0.51 1.02 11.6 91.0
1.0 6.3 15 92 68.0 19.0
1105 675 122
122
161
47 0.1

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM
Facility Name TQwn of C'1 P�7P� and Permit Number
Ja1Q_Q_Q 1 1431
WWTP Name Town of c'1 PVPI Anr9 NPDES #_
Monitoring Period: From To 12/-1 1_/,2_0_00
Pathogen Reduction (40 CFR 503.32) - Please Indicate level achieved and alternative performed
Class A
Altemative 1 Alternative 2 Alternative 3
Alternative 4 Alternative 5 Alternative 6
Class B X_
Alternative 1 Alternative 2 Alternative 3
If applicable to alternative performed (class B only) indicate "Process to Significantly Reduce Pathogens":
— Aerobic Digestion _ Air Drying _ Anaerobic Digestion _ Composting -)�— Lime Stabilization
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
n sludge
PabogenDensity
Number of
Exceedences
Frequency of
Analysis
Sample
Type
Minimum
Geo. Mean
I Maximum
units
Fecal Coliform
2 x 106 MPN
per gram of total
solids or 2 x 106
SEE ATTACHED
CFU per gram
Ofsolids
N
of
id
ight)
Salmonellaper
(n
of fecal
4bacteria
otal6eu
rycoliform
Vector Attraction Reduction (40 CFR 503.33) - Please Indicate option performed
Option 1 Option 2 Option 3 Option 4 Option 5.
Option 6 _X Option 7 Option 8 Option 9 Option 10
No vector attraction reduction options were performed
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
"I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note If you check
this statement attach an explanation why you have not met one or both of the requirements.)
'This determination has been made under my direction and supervision in accordance with the system designed
to ensure that qualified personnel properly gather and evaluate the information used to determine that the
pathogen and vector attraction reduction requirements have been met. I am aware that there are significant
penalties for false certification including fine and imprisonment."
Pre rer • ame and Tit e (type or rint)
nat of Preparer Date
Land Applier Name and Title if a Iicable)(type or print)
Signature of Lan (if applicable) Date
DEM FORM RF (10/94)

ALKALINE STABILIZATION OF WASTEWATER BIOSOLIDS
Month
— /( �L. t!���VECA,�/�
/�%�'
i
Year: 02 ©D
Initial
Lime
24 hr. pH Operator
> 12 pH 2 hr. H
P
Date
�'f�"5
PH
PH
time pH
time pH
time Initials
S/b od
9D D'C�
_
S �D
3 S00
/D
�� ``
�� 1
tit"`
,
; y
)1, nJ
TOTAL
Comments:

-g
Time End
Temp
Ph
Corrected
Amount
Temp
Ph
Corrected
Temp
Ph
Corrected
Date
of Lime
of
at
Ph at
of Lime
of
Measured
Ph
of
at
ph
Operator
Addition
samples
Start
Start
Lbs/Gals
samples
at 2 hours
at 2 hours
samples
24hrs
at 24hrs
Time of readings >
'PH PFAnir\jnSl
Time
Temp
PH
Corrected
Ph
Operator
G
3
/J
G
/ O.
S
t
I / 4 S 61, 1 r i ..D -
Temp C
Correction
•nr not
Temp C
Correction
40
plus 0.45
24
minus 0.03
39
plus 0.42
23
minus 0.06
38
plus 0.39
22
minus 0.09
37
plus 0.36
21
minus 0.12
36
plus 0.33
20
minus 0.15
35
plus 0.30
19
minus 0.18
34
plus 0.27
18
minus 0.21
33
plus 0.24
17
minus 0.24
32
plus 0.21
16
minus 0.27
31
plus 0.18
15
minus 0.30
30
plus 0 15
14
minus 0.33
29
plus 0.12
13
minus 0 36
28
plus 009
12
minus 0 39
27
--- 26
plus 0 06
11
minus 0 42
plus 0 03
— 10_
(cOrrecled
minus 0 45
I'.r.lr• I

I IroI
r
Time End
Temp
Ph
Corrected
Amount
Temp
Ph
Corrected
Temp
Ph
Corrected
Date
of Lime
of
at
Ph at
of Lime
of
Measured
Ph
of
at
ph
Operator
Addition
samples
Start
Start
Lbs/Gals
samples
at 2 hours
at 2 hours
samples
24hrs
at 24hrs
Time of readings >
;PH READINDS)
I // o v 1
Time
Temp
PH
Corrected
Ph
Operator
6°6
c
1l oC,
/ �
G r'
lJ .
1 //, oy J
•4
2 7
Temp C
Correction
(. •arc• nc�l c
Temp C
Correction
40
plus 0.45
24
minus 0.03
39
plus 0.42
23
minus 0.06
38
plus 0.39
22
minus 0.09
37
plus 0.36
21
minus 0.12
36
plus 0.33
20
minus 0.15
35
plus 0.30
19
minus 0.18
34
plus 0.27
18
minus 0.21
33
plus 0.24
17
minus 0.24
32
plus 0.21
16
minus &.27
31
plus 0.18
15
minus 0.30
30
plus 0.15
14
minus 0.33
29
plus 0.12
13
minus 0.36
28
plus 0 09
12
minus 0.39
27
plus 006
11
minus 0 42
26
,;;unlrlc•.
plus 0 03
•cl ?'
10
cIn'E'car�d
minus 0 45
I •,u11• I