WQ0021632_Residual Annual Report 2020_20210215

Initial Review
Reviewer Thornburg, Nathaniel
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application what is the submittal type?* r Annual Report
r Residual Annual Report
r Additional Information
r Other
Annual Report Year* 2020
Permit Number (IR)* W00021632
Applicant/Permittee City of Burlington
Email Notifications
Does this need review by the hydrogeologist?* 0 Yes r No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer

Submittal Form
Project Contact Information
Rease provide information on the person to be contacted by N B Staff
Name * Brent Collins
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ ......... .......................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
3363993646
O Modification - Minor
C Renewal
C GW-59, NDMR, NDMLR, NDAR-1,
NDAR-2
r Residual Annual Report
r Change of Ownership
We no longer accept these monitoring reports through this portal. Please click on the link below and it will take you to the correct form.
https://edocs.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:* r Wastewater Irrigation r High -Rate Infiltration
r Other Wastewater r Reclaimed Water
r Closed -Loop Recycle r Residuals
r Single -Family Residence Wastewater r Other
Irrigation
Permit Number:* WQ0021632
Fbs Current Existing permt number
Applicant/Permittee Address* PO Box 1358, Burlington, NC 27216
Facility Name * City of Burlington DCAR
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form} Engineering Rans, Specifications, Calculations, Rc.)
2020 CompoGro Compost Annual Report -
19.23M6
WQ0021632.pdf
Upload only 1 PCF docurrent (less than 250 M3). Maniple docurrents must be combined into one R7F file unless file is larger than
upload linit.
* W By checking this box, I acknowledge that I understand the application will not be
accepted for pre -review until the fee (if required) has been received by the Non -
Discharge Branch. Application fees must be submitted by check or money order
and made payable to the North Carolina Department of Environmental Quality
(NCDEQ). I also confirm that the uploaded document is a single PDF with all parts
of the application in correct order (as specified by the application).
Mail payment to:
NCDEQ — Division of Water Resources
Attn: Non -Discharge Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Signature
o 0041, W
Submission Date 2/15/2021

CITY OF BURLINGTON
CLASS A COMPOGRO COMPOST
2020 ANNUAL REPORT
PERMIT NO. WQ0021632
BURLINGTON, NC
JANUARY 14, 2021

BC'{ty of
URLINGTON
Water Retirurees
January 14th 2021
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
RE: 2020 Annual Report, Permit No. WQ0021632
To Whom It May Concern:
The City of Burlington is submitting this annual report that is divided into six sections. The first five
sections were compiled by the City of Burlington. The last section was compiled by EMA Resources.
• DMSDF
• RSSF Forms
• Compost Lab Analysis
• PVRF Forms
• Supporting Data - Temperatures
• Mackintosh Water Treatment Plant Residuals
If you have any questions concerning this application, please contact Shane Fletcher at [phone]
or [e-mail]
Respectfully,
Shane Fletcher
Residuals Management Coordinator
City of Burlington
PO Box 1358
Burlington, NC 27216-1358

For information regarding the contents of this report, the City of Burlington Composting facility or the
"COMPOGRO" process, please contact any or all of the following individuals:
SHANE FLETCHER, RESIDUALS MANAGEMENT COORDINATOR
City of Burlington Composting Facility
Phone [phone] — email: [e-mail]
ROBERT C PATTERSON JR, WATER RESOURCES DIRECTOR
City of Burlington
Phone [phone] — email: RPatterson c( burlingtonnc.gov
BEN BANI, OPERATIONS MANAGER
City of Burlington
Phone [phone] — [e-mail]
SHARON WAGONER, LABORATORY SUPERINTENDENT
City of Burlington
,Phone [phone] — email: [e-mail]

-3-
Introduction
In 1999, the Burlington City council agreed to allocate funds to construct a small-scale compost
facility at the South Burlington WWTP capable of processing 5.5 dry tons of biosolids per day.
Although the compost facility would not be large enough to compost 100% of the daily sludge
production of the wastewater plant, it would be large enough to answer some important questions such
as:
1. Could the City produce a quality and compliant compost at a reasonable cost?
2. Is the local demand for compost enough to warrant an expansion of the compost
operations?
3. How will the cost of processing compost to a Class A residual compare to the cost of
hauling Class B sludge from year-to-year?
Construction on the compost facility began in 2001 and the first sludge was dewatered in 2002. The
compost facility operated in a `test' mode in the time between the completion of construction and the
time the permit to operate a compost facility was received from the NC Department of Environment
and Natural Resources in September of 2003.
This annual report has been assembled as a condition of the Distribution of Residual Solids ( 2T )
Permit, #WQ0021632.
I. DESIGN CRITERIA
Design Flow: 5.5 dry tons feed sludge per day
Equipment Description:
Number Equipment Purpose
2 Grinder pumps Transfer residuals from existing storage tanks
1 2-meter belt press Dewater feed sludge to 16% — 20% solids
1 Berth for 2nd 2-meter belt press (future)
\\COBDATA\CobUserDataWetcher\COMPOST ANNUAL REPORT INFO1Compost_Annual pages 2-9.doc

I
Conveyor
1
25,500 ft2 Open area
1
1,710 ft2 Covered area
1
1,875 ft2 Covered area
1
Agricultural Feed Mixer
1
35,700 ft2 Covered area
11
5-Horsepower blowers
1
153 yd3 Trammel screen
1
15,000 ft2 Open area
1
900 ft2 biofilter
1
4,900 ft2 biofilter
1
Polymer Feed System
Transfer dewatered sludge to mixing area
Storing amendment material
Blending dewatered residuals and amendment material
Storing amendment material
Blending dewatered residuals and amendment material
Composting blended residuals/amendment material
Aerating static piles (Maximum of 22 static piles)
Screening composted product and recovery of amendment
Final curing and maturation and storage of Class A product
Capture and treat odor -generating compounds in the facility
Capture and treat odor -generating compounds in the facility
Assist with the dewatering of residuals
IL PROCESS DESCRIPTION
The goal of the Compogro compost facility is to consistently produce a Class A EQ material that is
suitable for a variety of uses on land that has no post -application restrictions. Class A residuals have
.the greatest degree of pathogen reduction and are considered to be very safe. All domestic residuals
which are to be distributed to the public for use for landscaping must meet one of the alternatives for
Class A pathogen reduction found in 40 CFR Part 503.30.
Class A pathogen reduction must meet one of the following criteria:
1. A fecal coliform density must be less than 1,000 MPN (most probable number) per gram of
total solids (dry weight)
2. A Salmonella sp. bacteria must be less than 3 MPN per 4 grams of total solids (dry weight)
11COBDATA\CobUserDatalsfletcher\COMPOST ANNUAL REPORT INFOICompost_Annual pages 2-9.doc

-5-
The City of Burlington has selected the former criteria (fecal coliform <1,000 MPN) as the preferred
method to determine compliance with the pathogen reduction requirements. This is achieved by
following the time and temperature guidelines in 40 CFR 503.
In addition to the pathogen reduction requirements, Compogro must also meet all of the Vector
Attraction Reduction (VAR) requirements of Class A residuals. All domestic residuals which are to be
distributed to the public for landscaping must meet one of the alternatives for vector attraction
reduction listed in 40 CFR 503.33. The City achieves compliance by following the time and
temperature guidelines provided by the USEPA.
The City of Burlington Compogro Compost facility has developed a system for building aerated piles
and collecting and recording data necessary to ensure that all the requirements of Class A compost are
being achieved. A copy of the sampling plan along with all the information necessary to demonstrate
compliance with 40 CFR 503 rules for the Calendar Year 2020 are included with this report.
III. RECORDKEEPING PROCEDURES
A record of the aerated static pile temperatures is enclosed to demonstrate that the piles meet the
required temperatures for the designated time to achieve pathogen reduction and vector attraction
reduction. The document is titled Compost Pile Temperature's. Aerated static piles are assigned an
identifying number that establishes the date that the pile was built, and the blower that was used to
aerate the pile. The format is year, month, day, and blower number. For example, the number
030109-07 would indicate that the pile was started on January 9, 2003 and was aerated using blower 7.
Each pile is monitored for temperature with at least four thermometers. We are satisfying the 40 CFR
IICOBDATA\CobUserDatalsfletcher\COMPOST ANNUAL REPORT INFOICompost_Annual pages 2-9.doc

IMe
503 pathogen reduction requirements by keeping the compost above 131 degrees F for three (3)
consecutive days (72 hours minimum). We are satisfying the 40 CFR 503 vector attraction reduction
requirements by keeping the compost above 104 degrees F and an average of greater than 113 degrees
F for a minimum of fourteen (14) consecutive days. In reviewing these logs you will see that we are
maintaining the aerated static piles for longer than 21 days, and keeping the temperatures elevated for
longer than the regulations require. The piles on the Compost Pile Temperature log sheet were
followed onto the curing piles and into the finished compost product piles.
The City has included copies of residuals analyses for the finished compost product from American
Testing Technologies Inc. All of the results support the EQ designation of the compost and are
included in a separate section of this report.
IV. "COMPOGRO" COMPOST SAMPLING PROCEDURES
The Static Aerated Piles
`The aerated static piles are constructed under a roof to protect the pile from wind and rain. Before
building the pile, the base or bed is made with a 4 inch perforated airline placed down the center of the
bed. The airline is connected to a blower creating positive or negative pressure so that air can be
forced or pulled through the compost pile. The blowers are controlled by timers that turn them on or
off as needed to supply airflow to the piles. After the biosolids and amendment (wood chips and
leaves) are mixed together, the mixture is placed on the 4 inch perforated pipe to build the static
aerated pile and to begin the composting process. The mixture of biosolids and amendment is then
covered with a six to eight (6 — 8) inch blanket of amendment to insulate the pile.
11COBDATA\CobUserData�sBetchehCOMPOST ANNUAL REPORT INFO\Compost_Annual pages 2-9.doc

-7-
After building a pile, a minimum of four (4) thermometers with 48-inch probes are placed at various
locations and depths throughout the pile to monitor the temperatures of the compost pile. The
temperatures are recorded daily to track the composting process. Results are entered into a database to
track each pile with a unique identifier to make sure it meets the regulatory requirements. The
thermometers are left in place during the time required to achieve compliance with the time and
temperature requirements for the process to further reduce pathogens (PFRP) and for vector attraction
reduction. We have not had any trouble reaching the prescribed time and temperature requirements in
our static piles.
Curing and stabilization
After our static compost piles have met the requirements for time and temperature, the compost is
moved to the curing pile for a minimum of 21 days for further stabilization. We keep one thermometer
in the curing pile (which can be a combination of several aerated static piles) and record those
temperatures as well. We have found that the curing process often requires more than 21 days and may
take as many as 50 days.
Sampling Finished Compost for Fecal Coliform, Metals and Nutrients
After the curing process is completed the material is screened to separate the reusable amendment
from the compost. At this point the finished compost is ready to be sampled and analyzed for fecal
coliform to demonstrate successful pathogen reduction. The finished compost pile is sampled for fecal
coliform in the following manner.
11COBDATA\CobUserDatalsfletcher\COMPOST ANNUAL REPORT INFO\Compost_Annual pages 2-9.doc

A core sampler is disinfected for use to collect the samples. The core sampler is used to take core
samples within the compost pile at different depths and locations through out the compost pile to get a
good composite sample of the product. We collect four (4) cores in a sealable plastic bag or sterile
fecal bottle to make one composite sample, and collect a minimum of three (3) composite samples for
each batch of finished compost. That means that we are taking samples of twelve (12) different
locations in the pile.
The fecal samples are collected in sterile fecal bags and are sent directly to the lab for analysis. The
samples are hand delivered to the City of Burlington wastewater lab (Certificate No. 188). A dry
solids analysis and the fecal test require about four days turnaround from sample collection to
reporting of the data. Sample results are recorded and laboratory reports are maintained in the files.
Similar sampling techniques are used to collect samples for nutrient and metals analyses. Those
samples are contained in the sealable plastic bags and sent to American Testing Technologies, Inc. in
Akron, Ohio. A sample is also collected and sent to the NCDA&CS. This data will be used to
formulate the information sheets that are given to the purchaser of the compost. These analyses will
be performed within 60 days of distribution of the finished product, and the results will be maintained
on file.
Test for Re -growth of Fecal Coliform
If the compost is not distributed within 60 days of an acceptable analysis, the pile will be resampled
for fecal coliform using the same technique described above prior to distribution.
11COBDATA\CobUserDatalstletcher\COMPOST ANNUAL REPORT INFO\Compost_Annual pages 2-9.doc

City of Burlington —Permit # WQ0021632
Class A Compogro and Mackintosh Water
Plant Residuals
2020 Annual Report
Table of Contents
Section 1— DMSDF
Section 2 — RSSF Forms
Section 3 — Compost Lab Analysis
Section 4 — PVRF Forms
Section 5 — Supporting Data - Temperatures
Section 6 — Mackintosh Water Treatment Plant Residuals

Section 1 - DMSDF
.1

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0021632 FACILITY NAME: City of Burlington Compogro Composting Facility
PHONE: [phone] COUNTY: Alamance OPERATOR: Shane Fletcher
FACILITY TYPE (please check one):
❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
0 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 0 No ❑ —► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
See Attached Sheets
139.84
Landscaping
February
South Burlington WWTP NCO023876
160.12
40.11
See Attached Sheets
1.75
Landscaping
March
See Attached Sheets
0
Landscaping
April
120.14
See Attached Sheets
0
Landscaping
May
See Attached Sheets
6.94
Landscaping
June
See Attached Sheets
96.4
Landscaping
July
See Attached Sheets
0
Landscaping
August
See Attached Sheets
0
Landscaping
September
See Attached Sheets
0
Landscaping
October
See Attached Sheets
0
Landscaping
November
See Attached Sheets
0
Landscaping
December
See Attached Sheets
0
Landscaping
Total from FORM DMSDF (sup)
Totals:
Annual (dry tons):
160.12
40.11
120.14
244.93
Amendment(s) used: I I Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit p Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No ► If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
No contravention of Ground Water Quality Standards occurred at a monitoring well.
"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."
2�
Signature of Permittee ate
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature of Preparer**
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B* RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH
January 2020
January 2020
January 2020
January 2020
January 2020
January 2020
January Totals
NAME
CUBIC YARDS
VOLUME ( DRY TONS)
PILE #
Ben Lassiter
10
1.58
69
Phillippi Grading
272
42.98
69
Brian Coleman
32
5.06
69
Accu-Cut
48
7.58
69
Mebane Shrubbery
459
72.53
69
Living Landscapes
64
10.11
69
Pile # 69 Notes
1 cubic yard (pounds) 812
compost % dry 38.92
1 cubic yard ( dry pounds ) 316.03
885
Recipient Log 2020.xls
139.84
INTENDED USE
Landscaping
Landscaping
Landscaping
Landscaping
Landscaping
Landscaping

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B* RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH
NAME
CUBIC YARDS
VOLUME ( DRY TONS)
PILE #
INTENDED USE
February 2020
Kieth Nice
4
0.63
69
Landscaping
February 2020
Raymond Herring
2
0.32
69
Landscaping
February 2020
Chan Kuhg
1
0.16
69
Landscaping
February 2020
Dennis Moore
1
0.16
69
Landscaping
February 2020
William Sharpe
1
0.16
69
Landscaping
February 2020
Frank Bizon
1
0.16
69
Landscaping
February 2020
Steve Hutchins
1
0.16
69
Landscaping
February Totals
Pile # 69 Notes
1 cubic yard ( pounds ) 812
compost % dry 38.92
1 cubic yard ( dry pounds ) 316.03
11 1.75
Recipient Log 2020.xls

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B` RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
March 2020 Sold Out
Recipient Log 2020.x1s

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B" RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
April 2020 Sold Out
Recipient Log 2020.xls

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING 1 SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B' RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
May 2020 Living Landscapes 48 6.94 70 Landscaping
May Totals
Pile # 70 Notes
1 cubic yard ( pounds ) 812
compost % dry 38.0
1 cubic yard ( dry pounds ) 308.56
48 6.94
Recipient Log 2020.xls

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B" RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
NAME
CUBIC YARDS
VOLUME ( DRY TONS)
PILE #
INTENDED USE
June 2020
Eric Davis
32
4.94
70
Landscaping
June 2020
James Reid
16
2.47
70
Landscaping
June 2020
Steve Hutchins
10
1.54
70
Landscaping
June 2020
Shawn Perkins
12
1.85
70
Landscaping
June 2020
Don Stanford
12
1.85
70
Landscaping
June 2020
Karen Harrison
16
2.47
70
Landscaping
June 2020
Van Beaver
10
1.54
70
Landscaping
June 2020
Danielle Beniell
10
1.54
70
Landscaping
June 2020
Kevin Uhuller
10
1.54
70
Landscaping
June 2020
David Rogers
16
2.47
70
Landscaping
June 2020
William Sharpe
1
0.15
70
Landscaping
June 2020
Sherry Coble
10
1.54
70
Landscaping
June 2020
First Taste
2
0.31
70
Landscaping
June 2020
April Auguilar
16
2.47
70
Landscaping
June 2020
Richard Cauleg
1
0.15
70
Landscaping
June 2020
Gary Pollard
1
0.15
70
Landscaping
June 2020
Aaron Simon
16
2.47
70
Landscaping
June 2020
Annie Huth
16
2.47
70
Landscaping
June 2020
Accu-Cut
48
7.41
70
Landscaping
June 2020
Donald Munson
1
0.15
70
Landscaping
June 2020
Larry Hawkins
10
1.54
70
Landscaping
June 2020
Mattie Baker
16
2.47
70
Landscaping
June 2020
David Dipert
16
2.47
70
Landscaping
June 2020
John Black
1
0.15
70
Landscaping
June 2020
Jit Hauser
2
0.31
70
Landscaping
June 2020
Dena Edwards
2
0.31
70
Landscaping
June 2020
Laurelin Younge
10
1.54
70
Landscaping
June 2020
Ben Lassiter
10
1.54
70
Landscaping
June 2020
Neal Wood
15
2.31
70
Landscaping
June 2020
Brian Coleman
48
7.41
70
Landscaping
June 2020
Qing Xia Chen
1
0.15
70
Landscaping
June 2020
Mary McVey
16
2.47
70
Landscaping
Recipient Log 2020.x1s

June
2020
Phillippi Grading
192
29.62
70
Landscaping
June
2020
Danny Crowson
1
0.15
70
Landscaping
June
2020
Jimmy Tsai
2
0.31
70
Landscaping
June
2020
Mebane Shrubbery
27
4.17
70
Landscaping
June Totals
Pile # 70 Notes
1 cubic yard ( pounds) 812
compost % dry 38.0
1 cubic yard( dry pounds) 308.56
625 96.4
Recipient Log 2020.xls

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B' RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
Sold Out
July Totals
Recipient Log 2020.xls
F I el

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B* RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME( DRY TONS) PILE # INTENDED USE
August 2020 Sold Out
no
Recipient Log 2020.x1s

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B* RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
September 2020 Sold Out
e
Recipient Log 2020.x1s

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING 1 SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B* RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
October 2020 Sold Out
Recipient Log 2020.xls

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B* RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
M 2
Recipient Log 2020.x1s

CITY OF BURLINGTON NC - COMPOGRO COMPOST FACILITY
ANNUAL DISTRIBUTION AND MARKETING / SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
PART B" RECIPIENT INFORMATION ( ADDITIONAL SHEETS)
MONTH NAME CUBIC YARDS VOLUME ( DRY TONS) PILE # INTENDED USE
December 2020 Sold Out
no
Recipient Log 2020.x1s

CITY OF BURLINGTON
COMPOGRO COMPOST FACILITY
AMENDMENT DELIVERY TRACKING LOG
DATE
COMPANY
NAME
TYPE OF
AMENDMENT
ESTIMATED
CUBIC YARDS
Janua -2020
City of Burlington
Leaves
425
Southern Tree
Woodchips
50
February-2020
Southern Tree
Woodchips
70
No other Ammendment Received
Compost Production Discontinued
l
Totals
545
AMENDMENT TRACKING LOG 2020

Secti
SSF-

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0021632
Facility Name: City of Burlington Compogro Compost Facility
Residual Source WQ # or
NPDES #:
NCO023876
WWTP Name: South Burlington Wastewater Treatment Plant
Residual Analysis Data
Laboratory:
1)
2)
3)
4)
5)
ATT Inc ( NC CERT # 670 )
Parameter
(mg/kg)
Conc.
Limit
m /k a
Sample or Composite Date
12/ 11 / 19
5/4/20
Percent Solids (%)
NA
38.92
38
Arsenic
75
<5.0
<5.0
Cadmium
85
<5.0
<5.0
Copper
4,300
26
30
Chromium
NA
9
11
Lead
840
10
12
Mercury
57
<0.20
<0.20
Molybdenum
75
<5.0
<5.0
Nickel
420
<5.0
<5.0
Selenium
100
<5.0
<5.0
Zinc
7,500
108
130
Total Phosphorus
NA
2000
3500
TKN
NA
18000
23000
Ammonia -Nitrogen
NA
10000
10000
Nitrate and Nitrite
NA
35
37
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"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. I am aware that there are significant
penalties fwr'�ubmitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Reps all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0021632
Facility Name: City of Burlington Compogro Compost Facility
Residual Source
INWD S ## or WQ##:
NCO023876
WW`EP Name: South Burlington Wastewater Treatment Plant
Xaw'd sl Analy%i!% Data
Laboratory:
1)
2)
3)
4)
5)
ATT Inc (NC Cert # 670 )
Sample.• Date
� I' a 1. n
11
•11
----------
------------
----------==
----------
------------
`11, eertdyr under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
desed to, assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
siodff=wt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
/—/" 2-1
Signature of P reprer * Date
*Ptepartr is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

Section 3 — COMPOST
LAB ANALYSIS

Certificate No. 188
STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
LABORATORY CERTIFICATION BRANCH
In accordance with the provisions of N.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
2020
City of Burlington Laboratory Services
Is hereby certified to perform environmental analysis as listed on Attachment I and report monitoring data to DEQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H .0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This ifi cecate-saal/ be valid until 12/31/2020
Ir �
__...---.....-...
Dana B. Satterwhite -

North Carolina Wastewater/Groundwater Laboratory Certification
Certified Parameters Listing
Lab Name: City of Burlington Laboratory Services
Address: 1302 Belmont St.
Burlington, NC 27215
The above named laboratory, having duly met the requirements of 15A NCAG 21-1.0800, is hereby certified for the measurement of the parameters listed below.
CERTIFIED PARAMETERS
INORGANIC
BACTERIA - COLIFORM FECAL
IDEXX Colilert 018 (MPN) (Aqueous)
SM 9221C E-2006 (MPN) (Biosolids)
BOD
SM 5210 B-2011 (Hach 10360-2011, Rev. 1.2) (LDO) (Aqueous)
CHLORINE, TOTAL RESIDUAL
SM 4500 CI G-2011 (Aqueous)
CONDUCTIVITY
SM 2510 B-2011 (Aqueous)
CYANIDE
SM 4500 CN- E-2011 (Total) (Aqueous)
DISSOLVED OXYGEN
SM 4500 O G-2011 (Aqueous)
Hach 10360-2011, Rev. 1.2 (LDO) (Aqueous)
NITROGEN, AMMONIA
SM 4500 NH3 D-2011 (Aqueous)
NITROGEN, NO3 + NO2
Hach 10206 (Aqueous)
NITROGEN, TOTAL KJELDAHL
Hach 10242 (Aqueous)
pH
SM 4500 H+B-2011 (Aqueous)
SW-846 9045 D (Non -Aqueous)
PHOSPHORUS, TOTAL
SM 4500 P E-2011 (Aqueous)
Hach 8190 TNT (Aqueous)
RESIDUE, SUSPENDED
SM 2540 D-2011 (Aqueous)
TEMPERATURE
SM 2550 B-2010 (Aqueous)
TURBIDITY
SM 2130 B-2011 (Aqueous)
VECTOR ATTRACTION REDUCTION: OPTION 1
Reduction in Volatile Solids
VECTOR ATTRACTION REDUCTION: OPTION 5
Aerobic Treatment above 40deg C
VECTOR ATTRACTION REDUCTION: OPTION 8
Moisture Reduction with Solids
METAL
ALUMINUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
ANTIMONY
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
ARSENIC
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
BARIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
CADMIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
CHROMIUM TOTAL
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
COBALT
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
COPPER
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
IRON
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
LEAD
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
MANGANESE
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
MOLYBDENUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
NICKEL
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SELENIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SILVER
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
Certificate Number:
188
Effective Date:
1/1/2020
Expiration Date:
12/31/2020
Date of Last Amendment:
12/3/2019
THALLIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
VANADIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
ZINC
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are subject to civil penalties and/or decertification for infractions
as set forth in 15A NCAC 21-1.0807.

North Carolina Wastewater/Groundwater Laboratory Certification
Certified Parameters Listing
Lab Name: City of Burlington Laboratory Services
Address: 1302 Belmont St.
Burlington, NC 27215
The above named laboratory, having duly met the requirements of 15A NCAC 21-1.0800, is hereby certified for the measurement of the parameters listed below
Certificate Number:
188
Effective Date:
1/1/2020
Expiration Date:
12/31/2020
Date of Last Amendment:
12/3/2019
_
CERTIFIED PARAMETERS
INORGANIC
VECTOR ATTRACTION REDUCTION: OPTION 5
BACTERIA - COLIFORM FECAL
Aerobic Treatment above 40deg C
IDEXX Colilert 018 (MPN) (Aqueous)
VECTOR ATTRACTION REDUCTION: OPTION 8
SM 9221C E-2006 (MPN) (Biosolids)
Moisture Reduction with Solids
BOD
METAL
SM 5210 B-2011 (Hach 10360-2011, Rev. 1.2) (LDO) (Aqueous)
ALUMINUM
CHLORINE, TOTAL RESIDUAL
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SM 4500 Cl G-2011 (Aqueous)
ANTIMONY
CONDUCTIVITY
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SM 2510 B-2011 (Aqueous)
ARSENIC
CYANIDE
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SM 4500 CN- E-2011 (Total) (Aqueous)
BARIUM
DISSOLVED OXYGEN
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SM 4500 0 G-2011 (Aqueous)
CADMIUM
Hach 10360-2011, Rev. 1.2 (LDO) (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
NITROGEN, AMMONIA
CHROMIUM TOTAL
SM 4500 NH3 D-2011 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
NITROGEN, NO3 + NO2
COBALT
Hach 10206 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
NITROGEN, TOTAL KJELDAHL
COPPER
Hach 10242 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
pH
IRON
SM 4500 H+B-2011 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SW-846 9045 D (Non -Aqueous)
LEAD
PHOSPHORUS, TOTAL
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
SM 4500 P E-2011 (Aqueous)
MANGANESE
Hach 8190 TNT (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
RESIDUE, SUSPENDED
MOLYBDENUM
SM 2540 D-2011 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
TEMPERATURE
NICKEL
SM 2550 B-2010 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
TURBIDITY
SELENIUM
SM 2130 B-2011 (Aqueous)
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
VECTOR ATTRACTION REDUCTION: OPTION 1
SILVER
Reduction in Volatile Solids
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
THALLIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
VANADIUM
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
ZINC
EPA 200.8, Rev. 5.4, 1994 (Aqueous)
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are subject to civil penalties andfor decertification for infractions
as set forth in 15A NCAC 2H.0807.

CITY OF 13UM NSiTON
Laboratory Services
Report Date: 12120//2019 Sample ID: Finished Pile 69
ID #: 191210
Cetificate of Analyses
Initial testing 60 day repeat Failure Repeat no.
PASS FAIL
Sample #:
A
8
C
C-Dup
Sample Date:
12/17/2019
12/17/2019
12/17/2019
12/19/2019
Sample Time:
0740
0743
0745
0745
pH:
6.8
6.8
6.7
6.7
% Solids:
42.1
40.6
45.8
39.9
Fecal Col iform:
(MPN/dry grm)
55
57
72
82
Certified by:,
average of C= 77
Geometric mean= 62 MPN/dry grm
tory Supervisor
NC Wastewater Certification #188 NC Water Supply Certification #37612

CITY OF BURLINGTON
POST OFFICE BOX 1358
BURLINGTON NC 27216-1358
336-570-6138
CONTACT PERSON — SHANE FLETCHER
COMPOST FACILITY
CHAIN OF CUSTODY FOR COMPOST FECAL COLIFORM SAMPLE
SAMPLE LOCATION: /r ►'spec' �^-»s f �• 6�
SAMPLED BY:
� - 07Yo c- 0 7y p
DATE: 1 Z / S TIME: 0- QW 3
DELIVERED BY:
DATE: l I A TIME:
RECEIVED IN LAB BY:
DATE: 2/ �� (l't TIME: �-'`y-s-
SHIPPED BY:
DATE:
TIME:
REMARKS
SAMPLE I.D.# A — / ?/-) / 0
SAMPLEID# r3 l9laId
SAMPLE I.D.# C — l of l a 10
SAMPLE I.D.#
* Will the results of this sample be used for compliance reporting.
NCDENR-DWQ
WATER QUALITY SECTION
NON -DISCHARGE COMPLIANCE ENFORCEMENT UNIT
1617 MAIL SERVICE CENTER
RALEIGH NC 27699-1617
YES/ NO

City of Burlington, NC
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Date Received: 12/17/2019
Date Reported: 01/02/2020
Date Collected: 12/11/2019
Time Collected: 0815
Client ID #: 191210
Laboratory ID #: 121719-41
%W
American Testing Technologies, Inc.
Certificate of Analysis
Parameter
Result
Result
(mg/kg)
Analysis Date
Method
Aluminum, Total
2,800
12/26/2019
6010D
Arsenic, Total
<5.0
12/26/2019
6010D
Cadmium, Total
<5.0
1 12/26/2019
6010D
Calcium, Total
2.30
23,000
12/26/2019
6010D
Chromium, Total
9
12/26/2019
6010D
Copper, Total
26
12/26/2019
6010D
Iron, Total
Lead, Total
6,600
10
12/26/2019
12/26/2019
6010D
6010D
Magnesium, Total
0.48
4,800
12/26/2019
6010D
Manganese, Total
1,000
12/26/2019
6010D
M! rr , Total
<0.20
12/26/2019
7471 B
Molybdenum, Total
<5.0
12/26/2019.
6010D
Phosphorus, Total
0.2
2,000
12/26/2019
6010D
Nickel, Total
<5.0
12/26/2019
6010D
Potassium, Total
0.34
3,400
12/26/2019
6010D
Selenium, Total
<5.0
12/26/2019
601 OD
Sodium, Total
0.02
170
12/26/2019
6010D
Sulfur, Total
0.11
1,100
12/26/2019
6010D
Zinc, Total
108
12/26/2019
6010D
Total K'eldahl Nitrogen
1.80
18,000
12/23/2019
SM-4500
Ammonia Nitrogen
1.0
10,000
12/23/2019
SM4500
Organic Nitrogen
0.80
8,000
12/23/2019
Calculation
Nitrate+Nitrite- N
35
12/23/2019
SM-4500C
Calcium Carbonate Equivalent
25
250,000
12/24/2019
AOAC 955.01
Total Solids
38.92
38,9200
12/17/2019
SM-2540G
Total Volatile Solids
40
400,000
12/17/2019
SM-2540G
Moisture
61.07
12/17/2019
SM-2540G
1350 Home Avenue Akron, Ohio 44310
rou Free: 877.634.9906 Phone: [phone] Fax: [phone]
www.AmericanTestingTechnologies.com

ANALYM REQUEST AND
CHAIN (W CUSTODY RECORD
4M
American Testing Technologies; Inc.
AMeiiIsan Testing TechnOfagies, IIRe.
1350'Home Avenue Akron, OH 44310
website: www.AnwricanTestingTechnologies.com
ToN Free: 877-634-99M Phone: [phone]
max: (330) 634 990W T
PROJECT REF RENGE
PROJECT N0.
PROJECT LOC (ON
)STATE) °�,
MATRIX
TYPE
REQUIRED ANALYSIS
PAGE
OF
PROJ CT MANAGER ; `
{—
P.O. NUMBER
CONTRACT NO.
i
O
i
.
STANDARD REPORT
DELIVERY
DATE DUE
t](PEDITED REPORT
DELIVERY
(SURCHARGE)
DATE WE
CLIENT (STYE}
CUNT PHONE� + S 0CLIENT
FAX
CLIENT NAME CLIENT EMAIL G uS
r-ltA-4 4-Y C� I , btAC I M
CLIENT A S � �
_.
�.: ,i • J . yT
•
NUMBER OF COOLERS SUBMITTED
ProSNIPMENT-
SAMPL
SAMPLE �ENTIfICATION
,W5 NUMBER OF CONTAINERS SUBMITTED
REMARKS
DATE
TIME
01'LID
S k
j SQa
*pAA,
Gu►
Zn
Al.
a
4
V
a
ad
P
tr
ITT
-
RELI UI ED BY: (SIGN pTUBE)
DATE
!2!Z
TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
U8E.0N(Y
RECEIVED FOR LA T
IMMATURE}
DATE
'
^
TIME
TODY
1E$
7pDY
r.3�AL.NQ
X.T.T.iABflRATORY`REMARKS'
106' .. • 1
-q
P P f l ORIGINAL - WERMN TO LABORATORY WI:N SAMPLE(S)

'�Clc P'Y
CITY OF $URLWN(ITON
Laboratory Services
Report Date: 512212020 Sample ID: Finished Pile 70
ID #: 200504
Cetificate of Analyses
Initial testing 60 day repeat
PASS
Failure Repeat no.
FAIL
Sample #:
A
B
C
C-Dup
Sample Date:
0519/20
5/19/2020
5/19/2020
5/19/2020
Sample Time:
0830
0832
0835
0835
pH:
5.6
5.6
5.5
5.5
Solids:
43.0
40.3
47.9
40.4
Fecal Coliform:
(MPN/dry grm)
77
195
501
594
Certified by:
average of C= b48
Geometric mean= 258 1 MPN/dry grm
Glenn lAcGirt
Laboratory Supervisor
NC Wastewater Certification #188 NC Water Supply Certification #37612

CITY OF BURLINGTON
POST OFFICE BOX 1358
BURLINGTON NC 27216-1358
336-570-6138
CONTACT PERSON - SHANE FLETCHER
COMPOST FACILITY
TODY FOR
SAMPLE LOCATION: in�sl2� � 7()
SAMPLED BY:
DATE: 4 �-
DELIVERED BY: J
DATE:
RECEIVED IN LAB BY:
TIME: rJ -
TE: 0
IlVIS
2,0 TIME:
DATE:
SHIPPED BY:
DATE: TIME:
REMARKS
SAMPLE I.D.# A ;- 10O�d
SAMPLE I D.# & 2 ©UJO
SAMPLE I.D #
SAMPLE I.D.#
* Will the results of this sample be used for compliance reportins. YES
NO
NCDENR-DWQ
WATER QUALITY SECTION
NON -DISCHARGE COMPLIANCE ENFORCEMENT UNIT
1617 MAIL SERVICE CENTER
RALEIGH NC 27699-1617

City of Burlington, NC
Attn: Glenn McGirr
1302 Belmont Street
Burlington, NC 27215
Date Received 05/11/2020
Date Reported: 05/22/2020
Date Collected: 05/04/2020
Time Collected: 0810
Client ID #: 200504
Laboratory ID #: 051120-29
400
American Testing Technologies, Inc.
Certificate of Analysis
Parameter
Result
(%
Result
mg/k
Analysis Date
Method
Aluminum, Total
2,180
05/12/2020
6010D
Arsenic, Total
<5.0
05/12/2020
6010D
Cadmium, Total
<5.0
05/12/2020
601 OD
Calcium, Total
2.3
23,600
05/12/2020
6010D
Chromium, Total
11
05/12/2020
6010D
Copper, Total
30
05/12/2020
6010D
Iron, Total
5,200
05/12/2020
6010D
Lead, Total
12
05/12/2020
A 601OD
Magnesium, Total
0.37
3,680
05/12/2020
6010D
Manganese, Total
950
05/12/2020
6010D
Mercury, Total
<0.20
05/12/2020
7471B
Molybdenum, Total
<5.0
05/12/2020
6010D
Phosphorus, Total
0.35
3,500
05/12/2020
601OD
Nickel, Total
<5.0
05/12/2020
6010D
Potassium, Total
0.26
2,600
05/12/2020
6010D
Selenium, Total
<5,0
05/12/2020
6010D
Sodium, Total
0.02
200
05/12/2020
6010D
Sulfur Total
0.14
1,400 f
05/12/2020
6010D
Zinc, Total
130
05/12/2020
6010D
Total K'eldahl Nitrogen
2-30
23,000
05/19/2020
SM-4500
Ammonia Nitrogen
1.00
10,000
05/19/2020
SM-4500
Organic Nitrogen
1.30
13,000
05/19/2020
Calculation
Nitrate+Nitrite- N
37
05/19/2020
SM-4500C
Calcium Carbonate Equivalent
25
250,000
05/18/2020
AOAC 955.01
Total Solids
38
38,0000
05/13/2020
SM-2540G
Total Volatile Solids
42
42 0, 0 00
05/13/2020
SM-254OG
Moisture
62
05/13/2020
SM-2540G
135D Home Avenue Akron, Ohio 44310
Toll Free: 877.634.9906 Phone. [phone] Fax [phone]
www.AmerlcanTestingTechnologies.corn

Serial Number 003037
ANALYSIS REQUEST AND
CHAIN OF CUSTODY RECORD
400
American Testing Technologies, Inc.
American Testing Technologies, Inc.
1350 Home Avenue Akron, OH 44310
website: www.AmericanTesting ochnologies.com
Toll Free: 877-634-9906 Phone: [phone]
Fax: [phone]
PR JECT
jLft6i1iR C L4tJP
PRO.IECT NO,
PROJECT LO�(�} ON'
(STATE) IVV
MATRIX
TYPE
REQUIRED ANALYSIS
PAGE
OF
PROJECT MANAGER
P.O. NUMBER
CONTRACT NO,
S
Oo
u�
d
u�
o
y
zc
o
=
a
z
STANDARD REPORT
DELIVERY
DATE DUE
EXPEDITED REP091'
DELIVERY CD
(SURCHARGE)
DATE DUE
CLIENT (SITE)
CLIENT PHONE
CLIENT FAX
CLIENT NAME (�
Of 20d) •
CLIENT E-MAI , / (
1 • i 17L[�f /�vtY.f== dour P-tJ
an
8
CLI WADDRESS
�t7
Y'v /, _
�?
i S �,
S� �4?'
:orraI..,�r,
NC,t: I`.N.. :,
991. ;.i.G'
:T+dr.`:'.:, ';i:55't�t
{fin.. _ i
•`k11I
o;•
_.I•, • �•,cti, ..
:.�
NUMBER OF COOLERS SUBMITTED
PER SHIPMENT:
SAMPLE
SAMPLE IDENTIFICATION
�' NUMBER OF CONTAINERS SUBMITTED
REMARKS
DATE
TIME
r
a
A
�.1
RELI Q SHED BY: (SIGNATURE)
DATE
TIME
RELINQUISHED BY: (SIGNATURE)
DATE TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RFCEIVED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE TIME
RECEIVED BY. (SIGNATURE)
DATE
TIME
UIBORATQRY USE`OiKY ,
RECETVIID: Ar7 RY BY:.
(SIGNATURE a
'bAT
TIME.OU
/�, oo
70bY
YES `
CUSTt}bY
SERL• NO.
A.T.T," ."
LOG NO
20'
LABOWORY REMARKS.
(,
FA

Section 4 - PVRF
mau..

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: City of Burlington Compogro Composting Facility WQ Permit Number:
WWTP Name: South Burlington WWTP NPDES Number:
Monitoring Period: From l/l/2020 To 12/31/2020
WQ0021632
NCO023876
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (tithe/temp) ❑
I Alt B (Alk Treatment) ❑
I Alt. C (Prior Testing) ❑
A1t.D (No Prior Test) ❑
I Process to Further Reduce Pathogengs 21
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost R1
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
jAlt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑
Com osting ❑
Aerobic Digestion ❑
Anaerobic Digestior. ❑
......................................................... ..................... ............. ...................
.
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech -
nioue
Minimum
Geo. Mean
Maximuml
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
77
259
594
MPN
0
60Days[Dist
Comp
SM9221ELTBEC
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) p
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION[ STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 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."
p,k� Lr-- � M
Preparer Name and Title (type or print)
Si ture of Preparer* Date
Land Applier Name and Title (if applicable)(type or print)
Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

Sectio

COMPOST PILE TEMPERATURE'S
ALL TEMPERATURES ARE REPORTED IN FAHRENHEIT
10/412019
191003-05
131.5
120
130
138
138
69
191210
SH
10/512019
191003-05
137
130
126
150
142
69
191210
RF
10/612019
191003-05
140
150
118
152
140
69
191210
RF
10/7/2019
191003-05
147
160
140
150
138
69
191210
SH
10/8/2019
191003-05
150
162
152
148
138
69
191210
SH
10/9/2019
191003-05
150.5
166
154
144
138
69
191210
SH
10/10/2019
191003-05
151
168
154
144
138
69
191210
SH
10111/2019
191003-05
150.5
170
152
142
138
69
191210
SH
10/1212019
191003-05
151
168
152
146
138
69
191210
LW
10/13/2019
191003-05
151.25
170
150
145
140
69
191210
LW
10/14/2019
191003-05
148
170
146
140
136
69
191210
SH
10/1512019
191003-05
148
170
146
140
136
69
191210
SH
10/16/2019
191003-05
148
170
146
140
136
69
191210
SH
10/17/2019
191003-05
143
168
130
144
130
69
191210
SH
10/18/2019
191003-05
137.5
168
118
134
130
69
191210
SH
10/19/2019
191003-05
137.5
165
130
130
125
69
191210
GH
10/20/2019
191003-05
137.5
165
130
130
125
69
191210
GH
10/21/2019
191003-05
133.5
164
130
120
120
69
191210
SH
10/22/2019
191003-05
133.5
164
130
120
120
69
191210
SH
10/23/2019
191003-05
133.5
164
130
120
120
69
191210
SH
10/2412019
191003-05
130.5
164
130
110
118
69
191210
SH
10/25/2019
191003-05
130.5
164
130
110
118
69
191210
SH
10/26/2019
191003-05
119.25
165
126
70
116
69
191210
SH
10/27/2019
191003-05
118.5
162
126
72
114
69
191210
SH
10/28/2019
191003-05
121
160
126
80
118
69
191210
SH
10/29/2019
191003-05
121
160
126
80
118
69
191210
SH
10/412019
191003-06
130.5
130
122
140
130
69
191210
SH
10/512019
191003-06
142
140
132
156
140
69
191210
RF
1016/2019
191003-06
158
160
150
160
162
69
191210
RF
10/7/2019
191003-06
162.5
162
158
160
170
69
191210
SH
10/8/2019
191003-06
165
170
160
158
172
69
191210
SH
1019/2019
191003-06
166.5
170
162
154
180
69
191210
SH
10/10/2019
191003-06
165.5
170
162
150
180
69
191210
SH
10111/2019
191003-06
164.5
168
168
144
178
69
191210
SH
16/12/2019
191003-06
164.75
168
166
149
176
69
191210
LW
10/13/2019
191003-06
163
166
164
146
176
69
191210
LW
10/14/2019
191003-06
163
166
168
142
176
69
191210
SH
10/15/2019
191003-06
163
166
168
142
176
69
191210
SH
10/16/2019
191003-06
162.5
166
164
144
176
69
191210
SH
10/17/2019
191003-06
161
162
168
142
172
69
191210
SH
10/18/2019
191003-06
159
160
168
140
168
69
191210
SH
10/19/2019
191003-06
156
160
165
135
164
69
191210
GH
10/20/2019
191003-06
156
160
165
135
164
69
191210
GH
10/21/2019
191003-06
154
158
164
130
164
69
191210
SH
10/22/2019
191003-06
154
158
164
130
164
69
191210
SH
10/23/2019
191003-06
154
158
164
130
164
69
191210
SH
10/24/2019
191003-06
149.5
156
164
120
158
69
191210
SH
10/25/2019
191003-06
149.5
156
164
120
158
69
191210
SH
10/26/2019
191003-06
150
156
162
118
164
69
191210
SH
10/27/2019
191003-06
148.5
154
164
112
164
69
191210
SH
10/28/2019
191003-06
147.5
154
164
110
162
69
191210
SH
10/29/2019
191003-06
147.5
154
164
110
162
69
191210
SH
10/4/2019
191003-07
118.5
110
120
122
122
69
191210
SH
10/512019
191003-07
129.5
112
130
144
132
69
191210
RF
1016/2019
191003-07
149
136
150
158
152
69
191210
RF
1017/2019
191003-07
155.5
142
160
160
160
69
191210
SH
10/812019
191003-07
163
158
170
160
164
69
191210
SH
10/912019
191003-07
165
160
170
160
170
69
191210
SH
10/10/2019
191003-07
165.5
160
172
160
170
69
191210
SH
DAILY TEMPS.xls Page 554

COMPOST PILE TEMPERATURE'S
ALL TEMPERATURES ARE REPORTED IN FAHRENHEIT
10/11/2019
191003-07
165.5
160
172
158
172
69
191210
SH
10/12/2019
191003-07
165.5
160
171
160
171
69
191210
LW
10/1312019
191003-07
165
160
172
158
170
69
191210
LW
10114/2019
191003-07
164
160
170
156
170
69
191210
SH
10/15/2019
191003-07
164
160
170
156
170
69
191210
SH
10/16/2019
191003-07
164
160
170
156
170
69
191210
SH
10/1712019
191003-07
159
160
162
150
164
69
191210
SH
10/18/2019
191003-07
158
158
162
148
164
69
191210
SH
10/19/2019
191003-07
156
156
160
144
164
69
191210
GH
10/20/2019
191003-07
156
156
160
144
164
69
191210
GH
10/21/2019
191003-07
154.5
154
160
140
164
69
191210
SH
10/22/2019
191003-07
154.5
154
160
140
164
69
191210
SH
10/23/2019
191003-07
154.5
154
160
140
164
69
191210
SH
10/24/2019
191003-07
151.5
150
158
138
160
69
191210
SH
10/25/2019
191003-07
151.5
150
158
138
160
69
191210
SH
10/26/2019
191003-07
151.5
150
158
138
160
69
191210
SH
10/27/2019
191003-07
150.5
150
156
136
160
69
191210
SH
10/28/2019
191003-07
151
150
156
138
160
69
191210
SH
10/29/2019
191003-07
151
150
156
138
160
69
191210
SH
10/4/2019
191003-08
125.5
122
128
130
122
69
191210
SH
10/5/2019
191003-08
139
138
138
144
136
69
191210
RF
10/612019
191003-08
157.5
156
158
160
156
69
191210
RF
10/7/2019
191003-08
162.5
160
168
162
160
69
191210
SH
10/8/2019
191003-08
166
162
178
162
162
69
191210
SH
10/912019
191003-08
169
162
178
168
168
69
191210
SH
10/10/2019
191003-08
169
162
178
168
168
69
191210
SH
10/11/2019
191003-08
169
162
178
168
168
69
191210
SH
10/12/2019
191003-08
167.75
160
177
166
168
69
191210
LW
10/13/2019
191003-08
165.25
160
169
168
164
69
191210
LW
10/14/2019
191003-08
164
162
170
162
162
69
191210
SH
10/15/2019
191003-08
164
162
170
162
162
69
191210
SH
10/16/2019
191003-08
164
162
170
162
162
69
191210
SH
10/17/2019
191003-08
160
158
164
160
158
69
191210
SH
10/18/2019
191003-08
158.5
156
162
160
156
69
191210
SH
10/19/2019
191003-08
155.25
150
158
158
155
69
191210
GH
10/20/2019
191003-08
155.25
150
158
158
155
69
191210
GH
10/2112019
191003-08
155
150
158
158
154
69
191210
SH
10/22/2019
191003-08
155
150
158
158
154
69
191210
SH
10/23/2019
191003-08
155
150
158
158
154
69
191210
SH
10/24/2019
191003-08
155
150
158
158
154
69
191210
SH
10/25/2019
191003-08
152
148
156
152
152
69
191210
SH
10/26/2019
191003-08
150.5
148
152
152
150
69
191210
SH
10/27/2019
191003-08
150
146
152
152
150
69
191210
SH
10/28/2019
191003-08
149.5
146
152
150
150
69
191210
SH
10/29/2019
191003-08
150
146
152
152
150
69
191210
SH
1014/2019
191003-10
117
120
120
118
110
69
191210
SH
10/5/2019
191003-10
122
120
122
126
120
69
191210
RF
10/6/2019
191003-10
133
128
126
140
138
69
191210
RF
10/7/2019
191003-10
135
130
130
140
140
69
191210
SH
10/8/2019
191003-10
140
140
138
140
142
69
191210
SH
1019/2019
191003-10
143
140
140
142
150
69
191210
SH
10/10/2019
191003-10
143
140
140
142
150
69
191210
SH
10/11/2019
191003-10
145.5
142
140
148
152
69
191210
SH
10/12/2019
191003-10
144
141
138
146
151
69
191210
LW
10/13/2019
191003-10
144.75
144
140
145
150
69
191210
LW
10114/2019
191003-10
145.25
144
142
145
150
69
191210
SH
10/15/2019
191003-10
144.75
144
142
143
150
69
191210
SH
10/16/2019
191003-10
144.75
144
142
143
150
69
191210
SH
10/17/2019
191003-10
146
146
142
146
150
69
191210
SH
DAILY TEMPS.xls Page 555

COMPOST PILE TEMPERATURE'S
ALL TEMPERATURES ARE REPORTED IN FAH RENHEIT
10/18/2019
191003-10
147.5
148
146
146
150
69
191210
SH
10/19/2019
191003-10
156.5
150
158
158
160
69
191210
GH
10/20/2019
191003-10
157
150
158
160
160
69
191210
GH
10/21/2019
191003-10
149
150
150
146
150
69
191210
SH
10/22/2019
191003-10
149
150
150
146
150
69
191210
SH
10/23/2019
191003-10
149
150
150
146
150
69
191210
SH
10/24/2019
191003-10
148.5
146
150
148
150
69
191210
SH
10/2512019
191003-10
148.5
146
150
148
150
69
191210
SH
10/26/2019
191003-10
148.75
149
148
148
150
69
191210
SH
10/27/2019
191003-10
148
146
148
148
150
69
191210
SH
10/28/2019
191003-10
148
146
150
146
150
69
191210
SH
10/29/2019
191003-10
148
146
150
146
150
69
191210
SH
02/26/20
200225-10
118
115
115
125
117
70
200504
wjs
02/27/20
200225-10
139.25
145
130
150
132
70
200504
wjs
02/28/20
200225-10
144.5
160
136
150
132
70
200504
sh
02/29/20
200225-10
145.5
160
140
150
132
70
200504
jh
03/01/20
200225-10
145.5
160
140
150
132
70
200504
jh
03/02/20
200225-10
145.5
162
144
158
138
70
200504
sh
03/03/20
200225-10
150.5
162
144
158
138
70
200504
sh
03/04/20
200225-10
150.5
162
144
158
138
70
200504
sh
03/05/20
200225-10
153
162
150
158
142
70
200504
sh
03/06/20
200225-10
153
162
150
158
142
70
200504
sh
03/07/20
200225-10
153.5
162
150
160
142
70
200504
gh
03/08/20
200225-10
154
162
150
162
142
70
200504
gh
03/09/20
200225-10
154
162
150
162
142
70
200504
sh
03/10/20
200225-10
154
162
150
162
142
70
200504
sh
03/11/20
200225-10
154
162
150
162
142
70
200504
sh
03/12/20
200225-10
154
162
150
162
142
70
200504
sh
03/13/20
200225-10
155
160
150
160
150
70
200504
sh
03/14/20
200225-10
155
160
150
160
150
70
200504
ac
03/15/20
200225-10
155
160
150
160
150
70
200504
ac
03/16/20
200225-10
155
160
150
160
150
70
200504
sh
03/17/20
200225-10
155
160
150
160
150
70
200504
sh
02/26/20
200225-08
124.5
120
116
140
122
70
200504
wjs
&27120
200225-08
129
132
122
140
122
70
200504
wjs
02/28/20
200225-08
132.5
138
132
142
118
70
200504
sh
02/29/20
200225-08
133.25
138
130
145
120
70
200504
jh
03/01/20
200225-08
133.75
140
130
145
120
70
200504
jh
03/02/20
200225-08
134
140
132
142
122
70
200504
sh
03/03/20
200225-08
134
140
132
142
122
70
200504
sh
03/04/20
200225-08
134
140
132
142
122
70
200504
sh
03/05/20
200225-08
137
140
136
142
130
70
200504
sh
03/06/20
200225-08
137
140
136
142
130
70
200504
sh
03/07/20
200225-08
137
140
134
144
130
70
200504
gh
03/08/20
200225-08
137
140
134
144
130
70
200504
gh
03/09/20
200225-08
137
140
134
144
130
70
200504
sh
03/10/20
200225-08
137
140
134
144
130
70
200504
sh
03/11/20
200225-08
137
140
134
144
130
70
200504
sh
03/12/20
200225-08
137
140
134
144
130
70
200504
sh
03/13/20
200225-08
137.5
140
136
144
130
70
200504
sh
03/14/20
200225-08
137.75
140
136
145
130
70
200504
ac
03/15/20
200225-08
138.75
140
140
145
130
70
200504
ac
03/16/20
200225-08
138.75
140
140
145
130
70
200504
sh
03/17/20
200225-08
138.75
140
140
145
130
70
200504
sh
02/26/20
200225-07
120
120
122
118
120
70
200504
wjs
02/27/20
200225-07
131.25
130
130
140
125
70
200504
wjs
02/28/20
200225-07
133
130
136
144
122
70
200504
sh
02129/20
200225-07
133.75
130
140
145
120
70
200504
jh
03/01120
200225-07
126.25
130
110
145
120
70
200504
jh
DAILY TEMPS.xIs Page 556

COMPOST PILE TEMPERATURE'S
ALL TEMPERATURES ARE REPORTED IN FAHRENHEIT
03/02/20
200225-07
136.5
134
142
146
124
70
200504
03/03/20
200225-07
136.5
134
142
146
124
70
200504
03/04/20
200225-07
136.5
134
142
146
124
70
200504
03/05/20
200225-07
142
140
150
148
130
70
200504
03/06/20
200225-07
142
140
150
148
130
70
200504
03/07/20
200225-07
143
142
152
148
130
70
200504
03/08/20
200225-07
144
142
152
150
132
70
200504
03/09/20
200225-07
144
142
152
150
132
70
200504
03/10/20
200225-07
144
142
152
150
132
70
200504
03/11/20
200225-07
144
142
152
150
132
70
200504
03/12/20
200225-07
144
142
152
150
132
70
200504
03/13/20
200225-07
143.5
142
154
144
134
70
200504
03/14/20
200225-07
141.5
142
145
145
134
70
200504
03/15/20
200225-07
143.75
142
154
145
134
70
200504
03/16/20
200225-07
143.75
142
154
145
134
70
200504
03/17/20
200225-07
143.75
142
154
145
134
70
200504
02/26/20
200225-06
116.5
117
116
118
115
70
200504
02/27/20
200225-06
133.25
128
125
140
140
70
200504
02/28/20
200225-06
135
128
120
142
150
70
200504
02/29/20
200225-06
135
128
120
142
150
70
200504
03/01/20
200225-06
135.5
130
120
142
150
70
200504
03/02/20
200225-06
143
130
130
150
162
70
200504
03/03/20
200225-06
143
130
130
150
162
70
200504
03/04/20
200225-06
143
130
130
150
162
70
200504
03/05/20
200225-06
146
134
138
150
162
70
200504
03/06/20
200225-06
146
134
138
150
162
70
200504
03/07/20
200225-06
146
134
138
150
162
70
200504
03/08/20
200225-06
146.5
134
140
150
162
70
200504
03/09/20
200225-06
146.5
134
140
150
162
70
200504
03/10/20
200225-06
146.5
134
140
150
162
70
200504
03/11/20
200225-06
146.5
134
140
150
162
70
200504
03/12/20
200225-06
146.5
134
140
150
162
70
200504
03/13/20
200225-06
145.5
136
142
142
162
70
200504
03/14/20
200225-06
145.5
136
142
142
162
70
200504
M115120
200225-06
145.5
136
142
142
162
70
200504
03/16/20
200225-06
145.5
136
142
142
162
70
200504
03/17/20
200225-06
145.5
136
142
142
162
70
200504
02/26/20
200225-05
115.5
116
117
115
114
70
200504
02/27/20
200225-05
132.5
130
135
135
130
70
200504
02/28/20
200225-05
137.5
132
140
138
140
70
200504
02/29/20
200225-05
137.5
132
140
138
140
70
200504
03/01/20
200225-05
137.5
132
140
138
140
70
200504
03/02/20
200225-05
139.5
138
140
140
140
70
200504
03/03/20
200225-05
139.5
138
140
140
140
70
200504
03/04/20
200225-05
139.5
138
140
140
140
70
200504
03/05/20
200225-05
139.5
138
140
140
140
70
200504
03/06/20
200225-05
140.5
140
140
142
140
70
200504
03/07/20
200225-05
141
140
140
144
140
70
200504
03/08/20
200225-05
142
142
140
144
142
70
200504
03/09/20
200225-05
142
142
140
144
142
70
200504
03/10/20
200225-05
142
142
140
144
142
70
200504
03/11/20
200225-05
142
142
140
144
142
70
200504
03/12/20
200225-05
142
142
140
144
142
70
200504
03/13/20
200225-05
138.5
140
140
144
130
70
200504
03/14/20
200225-05
138.5
140
140
144
130
70
200504
03/15/20
200225-05
138.5
140
140
144
130
70
200504
03/16/20
200225-05
138.5
140
140
144
130
70
200504
03/17/20
200225-05
138.5
140
140
144
130
70
200504
02/26/20
200225-04
123.75
142
120
118
115
70
200504
sh
sh
sh
sh
sh
gh
gh
sh
sh
sh
sh
sh
ac
ac
sh
sh
wjs
wjs
sh
jh
jh
sh
sh
sh
sh
sh
gh
gh
sh
sh
sh
sh
sh
ac
ac
sh
sh
wjs
wjs
sh
jh
jh
sh
sh
sh
sh
sh
gh
gh
sh
sh
sh
sh
sh
ac
ac
sh
sh
wjs
DAILY TEMPS.xIs Page 557

COMPOST PILE TEMPERATURE'S
ALL TEMPERATURES ARE REPORTED IN FAHRENHEIT
02/27/20
200225-04
141.25
150
145
140
130
70
200504
02/28/20
200225-04
152
156
158
156
138
70
200504
02/29/20
200225-04
149.25
150
160
155
132
70
200504
03/01/20
200225-04
151.75
155
160
160
132
70
200504
03102/20
200225-04
156
162
160
158
144
70
200504
03/03/20
200225-04
156
162
160
158
144
70
200504
03/04/20
200225-04
156
162
160
158
144
70
200504
03/05/20
200225-04
157.5
162
162
158
148
70
200504
03/06/20
200225-04
157.5
162
162
158
148
70
200504
03/07/20
200225-04
158.5
164
162
158
150
70
200504
03/08/20
200225-04
159
164
162
160
150
70
200504
03/09/20
200225-04
159
164
162
160
150
70
200504
03/10/20
200225-04
159
164
162
160
150
70
200504
03/11/20
200225-04
159
164
162
160
150
70
200504
03/12/20
200225-04
160
168
162
160
150
70
200504
03/13/20
200225-04
159.5
170
164
156
148
70
200504
03114/20
200225-04
159.5
170
164
156
148
70
200504
03/15/20
200225-04
159.5
170
164
156
148
70
200504
03/16/20
200225-04
159.5
170
164
156
148
70
200504
03/17/20
200225-04
159.5
170
164
156
148
70
200504
02/26/20
200225-03
120.25
101
141
114
125
70
200504
02/27/20
200225-03
143
136
158
138
140
70
200504
02/28/20
200225-03
145
140
160
140
140
70
200504
02/29/20
200225-03
145
140
160
140
140
70
200504
03/01/20
200225-03
145
140
160
140
140
70
200504
03/02/20
200225-03
145
156
162
142
142
70
200504
03/03/20
200225-03
150.5
156
162
142
142
70
200504
03/04/20
200225-03
150.5
156
162
142
142
70
200504
03/05/20
200225-03
153.5
156
162
146
150
70
200504
03/06/20
200225-03
153.5
156
162
146
150
70
200504
03/07/20
200225-03
154
156
164
146
150
70
200504
03/08/20
200225-03
155
156
164
148
152
70
200504
03/09/20
200225-03
155
156
164
148
152
70
200504
03/10/20
200225-03
155
156
164
148
152
70
200504
d3/11/20
200225-03
155
156
164
148
152
70
200504
03/12/20
200225-03
155
156
164
148
152
70
200504
03113/20
200225-03
156.5
152
166
150
158
70
200504
03/14/20
200225-03
156.5
152
166
150
158
70
200504
03/15/20
200225-03
156.5
152
166
150
158
70
200504
03/16/20
200225-03
156.5
152
166
150
158
70
200504
03/17/20
200225-03
156.5
152
166
150
158
70
200504
wjs
sh
jh
jh
sh
sh
sh
sh
sh
gh
gh
sh
sh
sh
sh
sh
ac
ac
sh
sh
wjs
wjs
sh
jh
jh
sh
sh
sh
sh
sh
gh
gh
sh
sh
sh
sh
sh
ac
ac
sh
sh
DAILY TEMPS.xis Page 558

Section 6 - Mackintosh Water
Treatment Plant Residuals
2020 Annual Report Permit #
WQ0021632

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0021632 FACILITY NAME: City of Burlington - Mackintosh WTP
PHONE: [phone] COUNTY: Alamance OPERATOR: City of Burlington
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
p Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 0 No ❑ —► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
February
March
April
May
June
July
August
September
October
November
December
Total from FORM DMSDF (sup)
0
330.9
330.9
330.9
Totals:
Annual (drytons):
0
330.9
1 330.9
330.9
Amendment(s) used: I
Bulking Agent(s) used:
(supp)): Total Number of Form DMSDF (Supp)l 1
* If more space is required, attach additional information sheets (FORM DMSDF
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit❑ Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: ❑ No ♦ If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Quality.
No contravention of Ground Water Quality Standards occurred at a monitoring well.
"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."
Signature of Permittee Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature of Preparer**
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
Supplemental Information
WQ PERMIT #: WQ0021632 FACILITY NAME: City of Burlington - Mackintosh WTP
PHONE: [phone] COUNTY: Alamance OPERATOR: City of Burlington
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A - "Month", "Source(s)" and "Residual In" columns only)
❑ Distribution and Marketing (complete Parts A, and B)
Part A*:
Part B*:
Month
Sources(s) (include NPDES 1i if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry
tons)
Intended use(s)
June
Mackintosh WTP
15.62
15.62
Michael Hadley
15.62
Soil Amendment
July
Mackintosh WTP
4.68
4.68
Michael Hadley
4.68
Soil Amendment
July
Mackintosh WTP
92.88
92.88
Tom Neal
92.88
Soil Amendment
July
Mackintosh WTP
54.64
54.64
Chapman McQueen
54.64
Soil Amendment
July
Mackintosh WTP
12.65
12.65
Blair Thompson
12.65
Soil Amendment
July
Mackintosh WTP
45.52
45.52
ShirleyDreschel
45.52
Soil Amendment
August
Mackintosh WTP
64.15
64.15
Michael Hadley
64.15
Soil Amendment
September
Mackintosh WTP
24.53
24.53
Elizabeth Kirby
24.53
Soil Amendment
October
Mackintosh WTP
6.33
6.33
Elizabeth Kirby
6.33
Soil Amendment
October
Mackintosh WTP
9.9
9.9
Charlie Wyatt
9.9
Soil Amendment
Totals:
Annual (dry tons):
0
330.9
330.9 330.9
Amendment(s) used: I Bulking Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)l 1
DENR FORM DMSDF (Supp) (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number:
WQ0021632
Facility Name: City of Burlington
Residual Source WQ # or
NPDES #:
NCO083828
WWTP Name: J.D. Mackintosh Jr. WTP
Residual Analysis Data
Laboratory: 1) American Testing Technologies Inc.
2)
3)
4)
5)
Parameter
(mg/kg)
Conc.
Limit
m /k a
Sample or Composite Date
6/8/20
7/6/20
7/20/20
8/11/20
Percent Solids (%)
NA
1.24
2.88
3.11
1.46
Arsenic
75
5
5
5
5
Cadmium
85
5
5
5
5
Copper
4,300
24
24
45
30
Chromium
NA
109
104
115
460
Lead
840
5
5
5
5
Mercury
57
0.2
0.2
0.2
0.2
Molybdenum
75
5
5
5
5
Nickel
420
8
5
8
7
Selenium
100
5
5
5
5
Zinc
7,500
30
40
160
100
Total Phosphorus
NA
3000
2000
1500
3000
TKN
NA
13000
15000
13000
17000
Ammonia -Nitrogen
NA
4500
4000
3000
8000
Nitrate and Nitrite
NA
20
17
10
14
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"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, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
.2 ,F� ;L
ate
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number:
WQ0021632
Laboratory: 1)
Facility Name:
City of Burlington
2)
Residual Source
NCO083828
3)
NPDES # or WQ#:
4)
WWTP Name:
J.D. Mackintosh Jr. WTP
5)
Residual Analvsis Data
American Testing Technologies Inc.
Parameter
--•
SamplepoDate
1
. 1
1 1
1
--------
.111
• 111
� 11
11
--------
.11
------------
------------
------------
------------
------------
"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. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM RSSF - B (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series:
Acres Used: 17 Acres Permitted: 17 Site #: AM006 Field #:
77.28
HeB
1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
0.41
4.13
Arsenic
0.004
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Cadmium
0.004
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Copper
0.020
1.488
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.508
Chromiuni
0.086
0.347
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.433
Lead
0.004
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Mercury
0.000
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Molyb-
0.004
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
denum
Nickel
0.004
0.165
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.169
Selenium
0.004
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Zinc
0.033
5.208
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
5.241
Total
Phos-
1.652
74.394
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
76.046
horus
"1 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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Walter Hessenthaler
Operator: Tom Neal
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 77.28 Site #:
Predominant Soil Series: HeB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
169
Crop 2 Name:
Acres Utilized: 17
AM006 Acres Permitted: 17
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)*•
Precip.
Past 24
Hrs.
inches
F '5
w
o
7� co
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/8
58500
2.88
0.413
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
5.304
NA
Fescue
0.000
0.000
0.000
7/2
175500
5.29
2.277
East Burlington
Dry
<.5"
S
0.5
0.3
26000
9000
36
43.888
NA
Fescue
T3
143000
5.29
1.856
East Burlington
Dry
<.5"
S
0.5
0.3
26000
9000
36
35.761
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
0
37700o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
1 84.953
0.000
Lime Applied
Annuallbs/acre
0.045
0.045
1.508
0.433
0.045
0.002
0.045
0.169
0.045
5.241 76.046
0
5.241
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.045
0.045
1.508
0.433
0.045
0.002
0.045
0.169
0.045
Permitted C. P. L. R. * * * *
1 36
34
1 1338
267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
1 169
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series:
Acres Used: 18.6 Acres Permitted: 18.6 Site #: AM006 Field #:
45.27
AbB
2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phoms
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
2.43
Arsenic
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Cadmium
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Copper
0.117
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.117
Chromiuni
0.506
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.506
Lead
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
denum
Nickel
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Selenium
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Zinc
0.195
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.195
Total
Phos-
9.736
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
9.736
horus
"1 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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Walter Hessenthaler
Operator: Tom Neal
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 45.27 Site #:
Predominant Soil Series: AbB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
237
Crop 2 Name:
Acres Utilized: 18.6
AM006 Acres Permitted: 18.6
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
* w
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/1
52000
2.88
0.336
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
1 17
4.309
NA
Fescue
7/6
149500
2.88
0.965
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
12.389
NA
Fescue
7/7
156000
2.88
1.007
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
12.927
NA
Fescue
7/15
19500
2.88
0.126
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
1.616
NA
Fescue
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this
form):
0.000
0.000
TOTALS:
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn
P
31.241
o.000
Lime Applied
Annuallbs/acre
0.024 0.024 0.117 0.506 0.024 0.001 0.024 0.024 0.024 0.195 9.736
0 0 0 0 0 0 0 0 0 0
0.024 0.024 0.117 0.506 0.024 0.001 0.024 0.024 0.024 0.195
36 34 1 1338 267 15 374 89 1 2498
1 1 237
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R. * * * *
Permit PAN Limit 1 st/2nd Crop
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 17.95
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: DdB2
Acres Used: 14 Acres Permitted: 14 Site #: AM006 Field #: 8
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.28
Arsenic
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Cadmium
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Copper
0.062
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.062
Chromiuni
0.267
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.267
Lead
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
denum
Nickel
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Selenium
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Zinc
0.103
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.103
Total
Phos-
5.128
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
5.128
horus
"1 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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Walter Hessenthaler
Operator: Tom Neal
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 17.95 Site #:
Predominant Soil Series: DdB2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
169
Crop 2 Name:
Acres Utilized: 14
AM006 Acres Permitted: 14
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/10
149500
2.88
1.282
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
1 17
16.459
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
t495oo
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
16.459
0.000
Lime Applied
Annuallbs/acre
0.013
0.013
0.062
0.267
0.013
0.001
0.013
0.013
0.013
0.103 5.128
0
0.103
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.013
0.013
0.062
0.267
0.013
0.001
0.013
0.013
0.013
Permitted C. P. L. R. * * * *
1 36
34
1 1338
267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
169
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 6.24
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: HeB
Acres Used: 4 Acres Permitted: 4 Site #: AM006 Field #: 9A
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.56
Arsenic
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Cadmium
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Copper
0.075
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.075
Chromiuni
0.325
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.325
Lead
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
denum
Nickel
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Selenium
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Zinc
0.125
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.125
Total
Phos-
6.244
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.244
horus
"1 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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Walter Hessenthaler
Operator: Tom Neal
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 6.24 Site #:
Predominant Soil Series: HeB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
169
Crop 2 Name:
9A Acres Utilized: 4
AM006 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4
0
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/8
52000
2.88
1.561
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
20.037
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
0
5200o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
20.037
0.000
Lime Applied
Annuallbs/acre
0.016
0.016
0.075
0.325
0.016
0.001
0.016
0.016
0.016
0.125 6.244
0
0.125
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.016
0.016
0.075
0.325
0.016
0.001
0.016
0.016
0.016
Permitted C. P. L. R. * * * *
1 36
34
1 1338
1 267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
169
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/23/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 8.59
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: DdB2
Acres Used: 7 Acres Permitted: 7 Site #: AM006 Field #: 11
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phoms
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.23
Arsenic
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Cadmium
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Copper
0.059
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.059
Chromiuni
0.255
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.255
Lead
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
denum
Nickel
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Selenium
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Zinc
0.098
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.098
Total
Phos-
4.908
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.908
horus
"1 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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Walter Hessenthaler
Operator: Tom Neal
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 8.59 Site #:
Predominant Soil Series: DdB2
Crop 1 Max. PAN:
127 Crop 2 Name:
AM006
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
co '5L
0 w
*
o
* N'
o'
q
* N
o
TKN
mg/kg
o
Z.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/13
71500
2.88
1.227
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
15.743
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this
form):
0.000
F0.000
TOTALS:
01
71500
As
Cd
Cu
Cr
Pb
H g
Mo
Ni
Se
Zn
P
15.743
0.000
Lime Applied
Annuallbs/acre
0.012 0.012 0.059 0.255 0.012 0.000 0.012 0.012 0.012 0.098 4.908
0 0 0 0 0 0 0 0 0 0
0.012 0.012 0.059 0.255 0.012 0.000 0.012 0.012 0.012 0.098
36 34 1338 267 15 374 1 89 2498
F127
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R. * * * *
Permit PAN Limit 1 st/2nd Cro
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 7.81
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: DdB2
Acres Used: 5 Acres Permitted: 5 Site #: AM006 Field #: 12
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.56
Arsenic
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Cadmium
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Copper
0.075
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.075
Chromiuni
0.325
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.325
Lead
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
denum
Nickel
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Selenium
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.016
Zinc
0.125
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.125
Total
Phos-
6.244
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.244
horus
"1 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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Walter Hessenthaler
Operator: Tom Neal
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 7.81 Site #:
Predominant Soil Series: DdB2
Crop 1 Max. PAN:
127 Crop 2 Name:
12
AM006
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
0 w
*
o
o'
7� q
* N
TKN
mg/kg
a
o
Z.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/13
65000
2.88
1.561
Mackintosh
Dry
<.5"
S
0.5
1 0.4
15000
1 4000
17
20.037
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
65000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
20.037
0.000
Lime Applied
Annuallbs/acre
0.016
0.016
0.075
0.325
0.016
0.001
0.016
0.016
0.016
0.125 6.244
0
0.125
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.016
0.016
0.075
0.325
0.016
0.001
0.016
0.016
0.016
Permitted C. P. L. R. * * * *
36
34
1338
1 267
15
1
374
89
Permit PAN Limit 1 st/2nd Crop
F 127
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
6.73
Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: VbC3
Acres Used: 5 Acres Permitted: 5 Site #: AM015 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.35
Arsenic
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Cadmium
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Copper
0.081
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.081
Chromiuni
1.237
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.237
Lead
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
denum
Nickel
0.019
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.019
Selenium
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Zinc
0.269
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.269
Total
Phos-
8.070
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
8.070
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Charlie Wyatt
Operator: Charlie Wyatt
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 6.73 Site #:
Predominant Soil Series: VbC3
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
182
Crop 2 Name:
AM015
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/5
110500
1.46
1.345
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
1 14
20.489
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
ttosoo
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
20.489
0.000
Lime Applied
Annuallbs/acre
0.013
0.013
0.081
1.237
0.013
0.001
0.013
0.019
0.013
0.269 8.070
0
0.269
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.013
0.013
0.081
1.237
0.013
0.001
0.013
0.019
0.013
Permitted C. P. L. R. * * * *
1 36
34
1 1338
1 267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
182
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
3.17
Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: VbC3
Acres Used: 5 Acres Permitted: 5 Site #: AM015 Field #: 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
0.63
Arsenic
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Cadmium
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Copper
0.038
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.038
Chromium
0.582
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.582
Lead
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
denum
Nickel
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Selenium
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Zinc
0.127
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.127
Total
Phos-
3.798
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.798
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Charlie Wyatt
Operator: Charlie Wyatt
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 3.17 Site #:
Predominant Soil Series: VbC3
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
182 Crop 2 Name:
4
AM015
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/6
52000
1.46
0.633
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
1 14
9.642
NA
Fescue
0.000
0.000
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
0
5200o
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn P
9.642
o.000
Lime Applied
Annuallbs/acre
0.006
0.006
0.038
0.582
0.006
0.000
0.006
0.009
0.006
0.127 3.798
0
0.127
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.006
0.006
0.038
0.582
0.006
0.000
0.006
0.009
0.006
Permitted C. P. L. R. * * * *
36
34
1 1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
1
1 182
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Michael Hadley Owner: Michael Hadley Predominant Soil Series:
Acres Used: 32.94 Acres Permitted: 32.94 Site #: AM016 Field #:
102.38
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
Mack
07/20/20
2
Mack
08/11/20
3
EB
05/04/20
4
5
6
7
8
9
10 J
11
12
% Solids
3.11
1.46
5.04
Arsenic
5
5
5
Cadmium
5
5
5
Copper
45
30
140
Chromium
115
460
48
Lead
5
5
5
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
8
7
20
Selenium
5
5
5
Zinc
160
100
540
Total
Phos-
horns
1500
3000
11000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
App.
Event
0.61
0.88
1.62
Arsenic
1 0.006
0.009
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
Cadmium
0.006
0.009
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
Copper
0.055
0.053
0.453
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.561
Chromium0.141
0.807
0.155
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.103
Lead
0.006
0.009
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
Mercury
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.006
0.009
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
denum
Nickel
0.010
0.012
0.065
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.087
Selenium
0.006
0.009
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
Zinc
0.196
0.175
1.746
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.118
Total
Phos-
1.842
5.262
35.574
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
42.678
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Michael Hadley
Operator: Michael Hadley
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 102.38 Site #:
Predominant Soil Series: AaB
Crop 1 Max. PAN:
190
Crop 2 Name:
4 Acres Utilized: 32.94
AM016 Acres Permitted: 32.94
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
8/10
156000
3.11
0.614
Mackintosh
Dry
<.5"
S
0.5
0.4
13000
3000
1 10
6.768
NA
Fescue
8/11
214500
1.46
0.396
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
6.037
NA
Fescue
8/12
182000
1.46
0.336
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
5.122
NA
Fescue
8/13
78000
1.46
0.144
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
2.195
NA
Fescue
0.000
0.000
0.000
6/8
58500
5.04
0.373
East Burlington
Dry
<.5"
S
0.5
0.3
27000
13000
1 55
8.029
NA
Fescue
6/9
39000
5.04
0.249
East Burlington
Dry
<.5"
S
0.5
0.3
27000
13000
55
5.352
NA
Fescue
6/10
71500
5.04
0.456
East Burlington
Dry
<.5"
S
0.5
0.3
27000
13000
55
9.813
NA
Fescue
6/15
6500
5.04
0.041
East Burlington
Dry
<.5"
S
0.5
0.3
27000
13000
55
0.892
NA
Fescue
6/22
1
52000
5.04
0.332
East Burlington
Dry
<.5"
S
1 0.5
1 0.3
1 27000
13000
55
7.137
NA
Fescue
6/24
26000
5.04
0.166
East Burlington
Dry
<.5"
S
0.5
0.3
27000
13000
55
3.568
NA
Fescue
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
ss4000
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn P
54.914
o.000
Lime Applied
Annuallbs/acre
0.031
0.031
0.561
1.103
0.031
0.001
0.031
0.087
0.031
2.118 42.678
0
2.118
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.031
0.031
0.561
1.103
0.031
0.001
0.031
0.087
0.031
Permitted C. P. L. R. * * * *
36
34
1 1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
1 190
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Michael Hadley Owner: Michael Hadley Predominant Soil Series:
Acres Used: 7.5 Acres Permitted: 7.5 Site #: AM016 Field #:
35.33
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
2.71
2.01
Arsenic
0.027
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
Cadmium
0.027
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
Copper
0.130
0.120
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.250
Chromiuni
0.563
1.845
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
2.407
Lead
0.027
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
Mercury
0.001
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Molyb-
0.027
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
denum
Nickel
0.027
0.028
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.055
Selenium
0.027
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.047
Zinc
0.216
0.401
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.617
Total
Phos-
10.824
12.030
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
22.854
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Michael Hadley
Operator: Michael Hadley
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 35.33 Site #:
Predominant Soil Series: AaB
Crop 1 Max. PAN:
190
Crop 2 Name:
413 Acres Utilized: 7.5
AM016 Acres Permitted: 7.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
* w
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/30
130000
2.88
2.082
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
1 17
26.716
NA
Fescue
7/1
39000
2.88
0.624
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
8.015
NA
Fescue
8/13
117000
1.46
0.950
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
14.463
NA
Fescue
8/14
130000
1.46
1.055
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
16.070
NA
Fescue
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
4160001
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
65.264
0.000
Lime Applied
Annuallbs/acre
0.047
0.047
0.250
2.407
0.047
0.002
0.047
0.055
0.047
0.617 22.854
0
0.617
2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.047
0.047
0.0PLL25
0.047
0.002
0.047
0.055
0.047
Permitted C. P. L. R. * * * *
36
34
1338
267
1 15
1
374
1 89
Permit PAN Limit 1 st/2nd CropI
F 190
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series:
Acres Used: 15.81 Acres Permitted: 10.91 Site #: AM109 Field #:
66.53
HcB
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
WINNEW
Com-
posite
Date
Olson
MENEEMBEEMEM
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
1 C
11
12
DT/Ac./
App.
Event
2.62
1.59
Arsenic
0.026
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.042
Cadmium
0.026
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.042
Copper
0.126
0.414
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.539
Chromiuni
0.544
0.124
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.668
Lead
0.026
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.042
Mercury
0.001
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Molyb-
0.026
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.042
denum
Nickel
0.026
0.048
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.074
Selenium
0.026
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.042
Zinc
0.209
1.241
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.450
Total
Phos-
10.468
26.729
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
37.197
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Chapman McQueen
Operator: Lonnie Thompson
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 66.53 Site #:
Predominant Soil Series: HcB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
169
Crop 2 Name:
Acres Utilized: 15.81
AM109 Acres Permitted: 10.91
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
* w
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/9
26000
2.88
0.198
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
1 17
2.535
NA
Fescue
7/16
195000
2.88
1.481
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
19.010
NA
Fescue
7/17
123500
2.88
0.938
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
17
12.040
NA
Fescue
0.000
0.000
0.000
8/7
130000
4.64
1.591
East Burlington
Dry
<.5"
S
0.5
0.3
21000
6000
30
23.960
NA
Fescue
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this
form):
0.000
0.000
TOTALS:
0
474500
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn
P
57.545
o.000
Lime Applied
Annuallbs/acre
0.042 0.042 0.539 0.668 0.042 0.002 0.042 0.074 0.042 1.450 37.197
0 0 0 0 0 0 0 0 0 0
0.042 0.042 0.539 0.668 0.042 0.002 0.042 0.074 0.042 1.450
36 34 1 1338 267 15 374 89 1 2498
1 1 169
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R. * * * *
Permit PAN Limit 1 st/2nd Crop
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/23/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series:
Acres Used: 6.16 Acres Permitted: 6.16 Site #: AM109 Field #:
13.27
HcB
2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
2.15
Arsenic
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Cadmium
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Copper
0.103
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.103
Chromiuni
0.448
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.448
Lead
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
denum
Nickel
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Selenium
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Zinc
0.172
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.172
Total
Phos-
8.616
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
8.616
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Chapman McQueen
Operator: Lonnie Thompson
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 13.27 Site #:
Predominant Soil Series: HcB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
169
Crop 2 Name:
Acres Utilized: 6.16
AM109 Acres Permitted: 6.16
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5
w
*
o
o'
7�
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/15
110500
2.88
2.154
Mackintosh
Dry
<.5"
S
0.5
0.4
15000
4000
1 17
27.649
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
ttosoo
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
27.649
0.000
Lime Applied
Annuallbs/acre
0.022
0.022
0.103
0.448
0.022
0.001
0.022
0.022
0.022
0.172 8.616
0
0.172
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.022
0.022
0.103
0.448
0.022
0.001
0.022
0.022
0.022
Permitted C. P. L. R. * * * *
1 36
34
1 1338
1 267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
169
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
12.65
Operator: Blair Thompson Owner: Blair Thompson Predominant Soil Series: HbB2
Acres Used: 10.55 Acres Permitted: 8.67 Site #: AM127 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.20
Arsenic
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Cadmium
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Copper
0.108
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.108
Chromiuni
0.276
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.276
Lead
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
denum
Nickel
0.019
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.019
Selenium
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Zinc
0.384
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.384
Total
Phos-
3.597
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
3.597
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0021632 Field #: 1 Acres Utilized:
Blair Thompson Annual Dry Tons Applied: 12.65 Site #: AM127 Acres Permitted:
Blair Thompson
Crop 1 Name: Fescue -Pasture
Predominant Soil Series:
Crop 1 Max. PAN: 127
HbB2
Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
10.55
8.67
in
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Prec*
Past 24
Hrs.
inches
'5L
0 w
*
o
* w
o
4
rt
*
o
TKN
mg/kg
>
o E�
vc o
E�.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/21
97500
3.11
1.199
Mackintosh
D
<.5"
S
0.5
0.4
13000
3000
10
13.208
NA
Fescue
0.000
0.000
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
97500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
13.208
0.000
Lime Applied
Annuallbs/acre
0.012
0.012
0.108
0.276
0.012
0.000
0.012
0.019
0.012
0.384 3.597 11
0
0.384
2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.012
0.012
0.108
0.276
0.012
0.000
0.012
0.019
0.012
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
127
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
45.52
Operator: Shirley Dreschel Owner: Shirley Dreschel Predominant Soil Series: HeB
Acres Used: 10.27 Acres Permitted: 10.27 Site #: AM128 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
M1111m
mammon
Non
no
0
Total
Phos-
phoms
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
1 C
11
12
DT/Ac./
App.
Event
4.43
Arsenic
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
Cadmium
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
Copper
0.399
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.399
Chromiuni
1.019
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.019
Lead
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
Mercury
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Molyb-
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
denum
Nickel
0.071
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.071
Selenium
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.044
Zinc
1.418
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.418
Total
Phos-
13.296
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
13.296
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0021632 Field #: 1 Acres Utilized:
Shirley Dreschel Annual Dry Tons Applied: 45.52 Site #: AM 128 Acres Permitted:
Shirley Dreschel
Crop 1 Name: Fescue -Hay
Predominant Soil Series:
Crop 1 Max. PAN: 163
HeB
Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
10.27
10.27
in
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Prec*
Past 24
Hrs.
inches
'5L
0 w
*
o
* w
o
4
rt
*
o
TKN
mg/kg
>
o E�
vc o
E�.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/20
175500
3.11
2.216
Mackintosh
D
<.5"
S
0.5
0.4
13000
3000
10
24.422
NA
Fescue
7/21
78000
3.11
0.985
Mackintosh
D
<.5"
S
0.5
0.4
13000
3000
10
10.854
NA
Fescue
7/22
97500
3.11
1.231
Mackintosh
D
<.5"
S
0.5
0.4
13000
3000
10
13.568
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
351000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
48.844
0.000
Lime Applied
Annuallbs/acre
0.044
0.044
0.399
1.019
0.044
0.002
0.044
0.071
0.044
1.418 13.296
0
1.418
2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.044
0.044
0.399
1.019
0.044
0.002
0.044
0.071
0.044
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
163
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
City of Burlington Total Dry Tons Applied (Annual):
WQ0021632 Cation Exchange Capacity (non 503 only):
Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series:
Acres Permitted: 6 Site #: CS113 Field #:
6.33
CuB2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phoms
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.06
Arsenic
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
0.063
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.063
Chromiuni
0.971
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.971
Lead
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
denum
Nickel
0.015
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
Selenium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Zinc
0.211
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.211
Total
Phos-
6.330
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
6.33
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Elizabeth Kirby
Operator: Elizabeth Kirby
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 6.33 Site #:
Predominant Soil Series: CuB2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
209
Crop 2 Name:
CS113
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5L
C) w
*
o
o'
* N
* w
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/6
52000
1.46
0.528
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
1 14
8.035
NA
Fescue
10/7
52000
1.46
0.528
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
8.035
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
to4000
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn P
16.070
o.000
Lime Applied
Annuallbs/acre
0.011
0.011
0.063
0.971
0.011
0.000
0.011
0.015
0.011
0.211 6.330
0
0.211
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.011
0.011
0.063
0.971
0.011
0.000
0.011
0.015
0.011
Permitted C. P. L. R. * * * *
36
34
1 1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
1
1 209
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
City of Burlington Total Dry Tons Applied (Annual):
WQ0021632 Cation Exchange Capacity (non 503 only):
Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series:
27.16 Acres Permitted: 27.16 Site #: CS113 Field #:
23.71
CuB2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
WINNEW
Com-
posite
Date
monsoon
NEWEEMEM
Total
Phos-
phoms
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
1 C
11
12
DT/Ac./
App.
Event
0.44
0.44
Arsenic
0.004
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Cadmium
0.004
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Copper
0.026
0.131
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.157
Chromiuni
0.402
0.288
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.690
Lead
0.004
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.004
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
denum
Nickel
0.006
0.016
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
Selenium
0.004
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Zinc
0.087
0.401
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.489
Total
Phos-
2.622
11.336
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
13.96
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Elizabeth Kirby
Operator: Elizabeth Kirby
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 23.71 Site #:
Predominant Soil Series: CuB2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
209
Crop 2 Name:
Acres Utilized: 27.16
CS113 Acres Permitted: 27.16
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5L
C) w
*
o
o'
* N
* w
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
9/14
156000
1.46
0.350
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
1 14
5.325
NA
Fescue
9/15
39000
1.46
0.087
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
14
1.331
NA
Fescue
0.000
0.000
0.000
9/10
26000
3.36
0.134
East Burlington
Dry
<.5"
S
0.5
0.3
25000
7000
23
2.394
NA
Fescue
9/11
58500
3.36
0.302
East Burlington
Dry
<.5"
S
0.5
0.3
25000
7000
23
5.386
NA
Fescue
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn P
14.436
o.000
Lime Applied
Annuallbs/acre
0.009
0.009
0.157
0.690
0.009
0.000
0.009
0.022
0.009
0.489 13.958
0
0.489
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.009
0.009
0.157
0.690
0.009
0.000
0.009
0.022
0.009
Permitted C. P. L. R. * * * *
36
34
1 1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
1
1 209
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 7.12
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series: CuB2
Acres Used: 5.4 Acres Permitted: 5.4 Site #: CS113 Field #: 6A
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.32
Arsenic
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Cadmium
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Copper
0.079
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.079
Chromiuni
1.213
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.213
Lead
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
denum
Nickel
0.018
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.018
Selenium
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Zinc
0.264
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.264
Total
Phos-
7.914
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
7.91
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Elizabeth Kirby
Operator: Elizabeth Kirby
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 7.12 Site #:
Predominant Soil Series: CuB2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
209
Crop 2 Name:
6A Acres Utilized: 5.4
CS113 Acres Permitted: 5.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5L
C) w
*
o
o'
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
9/15
117000
1.46
1.319
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
1 14
20.087
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
tt7000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
20.087
0.000
Lime Applied
Annuallbs/acre
0.013
0.013
0.079
1.213
0.013
0.001
0.013
0.018
0.013
0.264 7.914
0
0.264
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.013
0.013
0.079
1.213
0.013
0.001
0.013
0.018
0.013
Permitted C. P. L. R. * * * *
1 36
34
1 1338
1 267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
209
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 5.54
Permit #: WQ0021632 Cation Exchange Capacity (non 503 only):
Operator: Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series: CuB2
Acres Used: 6.3 Acres Permitted: 6.3 Site #: CS113 Field #: 6B
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
0.88
Arsenic
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Cadmium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Copper
0.053
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.053
Chromium
0.809
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.809
Lead
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
denum
Nickel
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Selenium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Zinc
0.176
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.176
Total
Phos-
5.274
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
5.27
horus
"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.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Z�fz 2/3/2021
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Elizabeth Kirby
Operator: Elizabeth Kirby
WQ Permit #: WQ0021632 Field #:
Annual Dry Tons Applied: 5.54 Site #:
Predominant Soil Series: CuB2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
209
Crop 2 Name:
613 Acres Utilized: 6.3
CS113 Acres Permitted: 6.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
O
N
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry, Wet,
Moist)
Precip.
Past 24
Hrs.
inches
F '5L
C) w
*
o
o'
* N
o
TKN
mg/kg
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
9/16
91000
1.46
0.879
Mackintosh
Dry
<.5"
S
0.5
0.4
17000
8000
1 14
13.392
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications
totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
0
9t000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn P
13.392
0.000
Lime Applied
Annuallbs/acre
0.009
0.009
0.053
0.809
0.009
0.000
0.009
0.012
0.009
0.176 5.274
0
0.176
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.009
0.009
0.053
0.809
0.009
0.000
0.009
0.012
0.009
Permitted C. P. L. R. * * * *
1 36
34
1 1338
1 267
1 15
374
1 89
Permit PAN Limit 1 st/2nd Crop
1
209
"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. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/3/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

i
ATT
611h�l _��
American Testing Technologies, Inc.
06/29/2020
City of Burlington, NC
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Report No.: 061520-88
Enclosed are the results. of the sample(s) submitted to our laboratory on 06/15/2020.
All analyses were performed according to our laboratory's quality assurance program.
All sample results are reported on an "as -received" wet basis unless otherwise noted. The
test results meet requirements of the NELAP standards for methods listed on the
laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010,
6020, 1010, 9045, 7471; 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted.
Results apply only to the items submitted to the laboratory for analysis. Pursuant to
NELAP, this report may not be reproduced except in full, and with written approval from
the laboratory.
If you have any questions please contact the laboratory manager at 330-634-9906 or via
email at samamericantestin echnolo ies_com
SL - Test performed by an approved subcontract laboratory
BRL- Below Reporting limit;
The results relate only to the items tested ATT shall have no liability to the client or client's customer with
respect to decisions or recommendations made, actions taken or courses of conduct implemented by either
the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s
liability with respect to the Test Results exceed the amount paid to ATT by the client therefore.
1350 Home Avenue Akron, Ohio 44310 page 1 of 2
To!! Free: 877.634.9906 Phone: [phone] Fax: [phone]
www.AmericanTestingTechnologies.com

City of Burlington, NC
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 2-7215
Date Received: 06/15/2020
Date Reported: 06/29/2020
Date Collected: 06/08/2020
Time Collected: 0915
Client ID ##: Mack lagoon # 2
Laboratory ID #: 061520-88
49D.
American Testing Technologies, Inc.
Certificate of Analysis
Parameter
Result
Result
Analysis Date
Method
Aluminum, Total'
116,000
06/29/2020
6010D
Arsenic, Total
<5.0
06/29/2020
601OD
Cadmium, Total
<5.0
06/29/2020
6010D
Calcium, Total
0.16
1,600
06/29/2020
6010D
Chromium, Total
109
06/29/2020
6010D
Copper, Total
24
06/29/2020
6010D
Iron, Total
28,200
06/29/2020
601OD
Lead, Total!
<5.0
06/29/2020
601 OD
Magnesium, Total
0.07
725
06/29/2020
601OD
Manganese, Total
5,600
06/29/2020
6010D
Mercury, Total
<0.20
06/29/2020
7471 B
Molybdenum, Total
<5.0
06/29/2020
6010D
Phosphorus, Total
0.30
3,000
06/29/2020
601OD
Nickel, Total
8
06/29/2020
6010D
Potassium, Total
0.02
250
06/29/2020
6010D
Selenium, Total
<5.0
06/29/2020
6010D
Sodium, Total
0.06
650
06/29/2020
6010D
Sulfur, Total
1.8
18,000
06/29/2020
601OD
Zinc, Total
30
06/29/2020
601OD
Total K eldahl Nitrogen
1.3
13,000
06/19/2020
SM-4500
Ammonia Nitrogen
0.45
4,500
06/19/2020
SM-4500
Organic Nitrogen
0.85
8,500
06/19/2020
Calculation
Nitrate+Nitrite- N
20
06/19/2020
SM-4500C
Calcium Carbonate Equivalent
33
330,000
06/17/2020
AOAC 955.01
Total Solids
1.24
12,400
06/18/2020
SM-2540G
Total Volatile Solids
49
490,000
06/18/2020
SM-2540G
Moisture
98.76
06/18/2020
SM-254OG
1350 Home Avenue Akron, Ohio 44310 Page 2 of 2
rou Free: 877.634.9906 Phone: [phone] Fax: [phone]
www.AmericanTestingTechnologies.com

ANALYSIS REQUEST AND
CHAIN OF CUSTODY RECORD
American Testing Technologies, Inc.
American 'hosting Technologies, Inc.
:1350 Home Avenue Akron, OH 44310
Wehsite: www.AmericanTesting ochnologies.corn
Toll Free: 877.634-9906 Phone: [phone]
Fax: [phone],9 T
PROJECT REF RENCE
n Iona ae
PROJECT NO.
PROJECT LOCATION
(STATE} C_
MATRIX
TYpE
REQUIRED ANALYSIS
PAGE
or
PROJ CT MANAGER
M !
P.O. NUMBER
CONTRACT NO.
�
�
a
a.
�
a
w
�
�
ul
o
al
�
s
>�
_
o
�
J
O
Q
—� z
STANDARD REPORT
DELIVERY
DATE DUE
EXPEDITEDREPCFtT
DELIVERY CD
(SURCHARGE)
DATE DUE
CLIENT(SITE) JCLIENT
PHONE
ZZZ. 51�7 7
CLIENT FAX
CLIENT NAME
CLIENT E-MAIL I%G• KS
4r'1- 1 blAf iM
CUENTA 55
D25o
i
:'i` i
NUMBER OF COOLERS SUBMITTED
AERSHIPMENT:
J 6l/. v 1
SAMPL
SAMPLE IDENTIFICATION
dnkrkkpf NUMBER
OF CONTAINERS SUBMITTED
REMARKS
DATE
TIME
�
7'
f
F.�
5
�u
Zn
1
a
Id
o
,r
HElJ QUI5HED BY: (SIGNATURE)
. (®rsV►
DATE
TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RECEVED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
RECEIVED GYt (SIGNATURE)
DATE
TIME
LADPRATOPYUSE.ONLY
RECEIVED FORMRATO
(SIGNATURE)
ATE
TIME �q
j '
STODY INf-CUSTODY
YES �
" CU0&�
NO.
.SEAL NO:
A,T.T
LOG' NO.
LABORATORY'REMARf(S
eq,,
ORIGINAL - RETURN TO LABORATORY WITH SAMPLES)

CITY OF $UMMGTON LABORATORY SEYICES
NC Wastewater Laboratory Certification #188
336-222-5133
Sampled off I Analyzed
Sample
ID #
date
time
SU
date
time
analyst
South WWTP Digester #2
South WWTP Digester #3
South WWTP Digester #4
East WWTP Digester #1
Mackintosh Lagoon #1
Mackintosh Lagoon #2
r -L-
(�
o , 154z
Compost
Other
'1
Certified by 0-'"o, date r / � /%(

City of Burlington, NC
Attu: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Date Received: 07/13/2020
Date Reported: 07/28/2020
Date Collected: 07/06/2020
Time Collected: 1145
Client ID #: Lagoon # 2
Laboratory ID #. 071320-37
4iD
American Testing Technologies, Inc.
Certificate of Analysis
Parameter
Result
(%}
Result
(mg/kg)
Analysis Date
Method
Aluminum, Total
295,000
07/15/2020
601 OD
Arsenic, Total
<5.0
07/15/2020
6010D
Cadmium, Total
<5.0
07/15/2020
6010D
Calcium, Total
0.15
1,450
07/15/2020
6010D
Chromium, Total
104
07/15/2020
6010D
Copper, Total
24
07/15/2020
601OD
Iron, Total
47,700
07/15/2020
6010D
Lead, Total
<5.0
07/15/2020
6010D
Magnesium, Total
0.06
570
07/15/2020
6010D
Manganese, Total
12,800
07/15/2020
6010D
Mercury, Total
<0.20
07/15/2020
7471B
Molybdenum, Total
<5.0
07/15/2020
601OD
Phosphorus, Total
0.20
2,000
07/15/2020
601OD
Nickel, Total
<5 .
07/15/2020
6010D
Potassium, Total
0.03
330
07/15/2020
6010D
Selenium, Total
<5.0
07/15/2020
6010D
Sodium, Total
0.03
330
07/15/2020
6010D
Sulfur, Total
1.2
12,000
07/15/2020
6010D
Zinc, Total
40
07/15/2020
6010D
Total Kjeldahl Nitrogen
1.5
15,000
07/23/2020
SM-4500
Ammonia Nitrogen
0.40
4,000
07/23/2020
SM-4500
Organic Nitrogen
1.1
11,000
07/23/2020
Calculation
Nitrate+Nitrite- N
17
07/15/2020
SM-4500C
Calcium Carbonate Equivalent
30
300,000
07/15/2020
AOAC 955.01
Total Solids
2.88
28,800
07/15/2020
SM-2540G
Total Volatile Solids
31
310,000
07/15/2020
SM-2540G
Moisture
97.12
07/15/2020
SM-254OG
1350 Horne Avenue Akron, Ohio 44310
:on Free: 877.634.9906 Phone: 330.634,9906 Fax: [phone]
www.AmericanTestingTechnoIogies.corns

CITY OF BURLINGTON LABORATORY SEfMCES
NC Wastewater Laboratory Certification #188
336-222-5133
Sampled pH Analvzed
Sample
ID #
date
time
SV
date
time
analyst
South WWTP Digester #2
South WWTP Digester #3
South WWTP Digester #4
East WWTP Digester #1
Elio ,-ZO Z-O
74 ZO
CT
07
Mackintosh Lagoon #1
Mackintosh Lagoon #2
,,Ovj
I z u
�� 'S
���
Compost
Other
Certified by date )ZI%ZG
T

4MD
08/11/2020 American Testing Technologies, Inc.
City of Burlington, NC
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Report No.: 072420-113
Enclosed are the results of the sample(s) submitted to our laboratory on 07/24/2020.
All analyses were performed according to our laboratory's quality assurance program.
All sample results are reported on an "as -received" wet basis unless otherwise noted. The
test results meet requirements of the NELAP standards for methods listed on the
laboratory's current fields of accreditation (EPA 8260, 8082, 8081, 8151, 8270, 6010,
6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted.
Results apply only to the items submitted to the laboratory for analysis. Pursuant to
NELAP, this report may not be reproduced except in full, and with written approval from
the laboratory.
1f you have any questions please contact the laboratory manager at 330-634-9906 or via
email at sam americantestin echnolo es.com
anager
$L- Test performed by an approved subcontract laboratory
BRL- Below Reporting limit
The results relate only to the items tested. ATT shall have no liability to the client or client's customer with
respect to decisions or recommendations made, actions taken or courses of conduct implemented by either
the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s
liability with respect to the Test Results exceed the amount paid to-ATT by the client therefore.
1350 Lorne Avenue Akron, Ohio 44310 Page 1 of 2
Tot! Free: 877.634,9906 Phone: [phone] Fax: [phone]
www.America nTestingTech noiogies.com

City of Burlington, NC
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Date Received: 07/24/2020
Date Reported: 08/11/2020
Date Collected: 07/20/2020
Time Collected: 12:20
Client ID #: Lagoon #2
Laboratory ID #: 072420-113
s
American Testing Technologies, Inc_
Certificate of Analysis
Parameter
Result
Result
Analysis Date
Method
%)
(Mg/kg)
Aluminum, Total
142,400
07/28/2020
6010D
Arsenic, Total
<5.0
07/28/2020
6010D
Cadmium, Total
<5.0
07/28/2020
6010D
Calcium, Total
0.25
2,500
07/28/2020
6010D
Chromium, Total
115
07/28/2020
601OD
Copper, Total
45
07/28/2020
6010D
Iron, Total
17,600
07/28/2020
6010D
Lead, Total
<5.0
07/28/2020
6010D
Ma esium, Total
0.06
820
07/28/2020
6010D
Manganese, Total
33,700
07/28/2020
601OD
Mercury, Total
<0.20
07/28/2020
7471B
Molybdenum, Total
<5.0
07/28/2020
6010D
Phosphorus, Total
0.15
1,500
07/28/2020
6010D
Nickel, Total
8
07/28/2020
601OD
Potassium, Total
0.02
150.
07/28/2020
6010D
Selenium, Total
<5.0
07/2W2020
6010D
Sodium, Total
0.03
350
07/28/2020
6010D
Sulfur, Total.
1.3
13,000
07/28/2020
601OD
Zinc, Total
160
07/28/2020
6010D
Total Kjeldahl Nitrogen
1.3
13,000
07/31/2020
SM-4500
Ammonia Nitrogen
0.30
3,000
07/31/2020
SM-4500
Organic Nitrogen
1.0
10,000
07/31/2020
Calculation
Nitrate+Nitrite- N
10
07/31/2020
SM-4500C
Calcium Carbonate Equivalent
25
250,000
08/03/2020
AOAC 955.01
Total Solids
3.11
31,100
07/24/2020
SM-2540G
Total Volatile Solids
28
280,000
07/24/2020
SM-2540G
Moisture
96.89
07/24/2020
SM-254OG
1350 Name Avenue Akron, Ohio 44310 Page 2 of 2
Tot! Free: 877.634.9906 ?hone: 330.634.9906 Fax. $30.634.9907
www.AmericanTestingTech n ologies.com

ANALYSIS REQUEST AND
CHAIN OF CUSTODY RECORD
4=0
American Testing Technologies, Inc.
American Testing Technologl S, Inc.
3350'Home Avenue Akron, OHI 44310
Webslte: www.AmericanTestingl'echnologies.com
Tali Free: 877-634-9906 Phone: (330) �34-9906
Fax: [phone]PF7
PROJECT REFERENCE
trl
pR0lECT ND.
PRQIECT LOCATION
(STATE) C_
MATRIX
TYPE
REQUIRED ANALYSIS
PAGE
OF
PRO1 CT MANAGER
t-.�--.
P.O. NUMBER
CONTRACT NO.
w
cn
m
�
a
a
p
a
�
��'�'
a
o
� �
STANDARD REPORT
DELIVERY
DATE DUE X
EXPEDITER REPORT
DELIVERY
(SURCHARGE) O
DATE DUE
CLIENT (SITE)
CLIENT PHONE
- Z22 -
CLIENT FAX
CLIENT NAME
urlY
CLIENTE-MAIL }} VlG• LS
fT ! �iiJlt M
C4S�IVTA sS 3
UL If-1 [Y 1 Cr !� 1
i
NUMBER OF COOLERS SUBMITTED
PER SHIPMENT
SAMPL
SAMPLE IDENTIFICATION
b���rUr�
NUMBER
OF CONTAINERS SUBMITTED
REMARKS
DATE
TIME
Vwlzo
1. ZO
a fw Z,
5,kJ
V
145,
GuyLoA
Zn
I
0
Id
v
frA
i
[DATE:
RELINQUISHED �BY (SjIG�NATURE)
DATE
TIME
RELINQUISHED BY: (SIGNATURE)
TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
RECEIVED BY: (sIGNATuREI
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
LA90RATO.RY USE.ONi.Y
i RECEIVED FORLA A
(SIGNATURE) 1
D E '
TIME
1
CUSfOD.Y INTACT'
YES ---
NO <D
:CCU .TODY�:.X-T:T,
-'•S0AL-N0;
LOG -No. s�
LABDRATORY'RMPIRKS
i (--
ORIGINAL - RERIRN TO LA6ORATORY WITH SAMPLE(.S)

I'l
CITY OF BuRmmmN LA$OftATOftY smtVimS
NC Wastewater Laboratory Certification #188
336-222-5133
Sample
ID
r�s
tc v; �'..{a-5`�y.tl).tQ�'1
v.Y.c
�
r F
date
irne
E st
South WWTP Digester #2
South WWTP Digester #3
South WWTP Digester #4
East WWTP Digester #1
Mackintosh Lagoon #1
Mackintosh Lagoon #2
z2_0
Compost
Other
Certified bydate S

AITIF
08/31/2020 American Testing Technologies, Inc.
City of Burlington, NC
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Report No.. 081420-02
Enclosed are the results of the sample(s) submitted to our laboratory on 08/14/2020.
All analyses were performed according to our laboratory's quality assurance program.
All sample results are reported on an "as -received" wet basis unless otherwise noted. The
test results meet requirements of the NELAP standards for methods listed on the
laboratory's current fields of accreditation. (EPA 8260, 8082, 8081, 8151, 8270, 6010,
6020, 1010, 9045, 7471, 1010, 1311, 150.1, 200.7, 200.8, and 245.1) except as noted.
Results apply only to the items submitted to the laboratory for analysis. Pursuant to
NELAP, this report may not be reproduced except in full, and with written approval from
the laboratory.
If you have any questions please contact the laboratory manager at 330-634-9906 or via
email at a4my@americantestincchnologies-com
Sqqi ely,
� 3 i
oV
V '3
Labo ory Manager
SL- Test performed by an approved subcontract laboratory
BRL- Below Reporting limit
The results relate only to the items tested. ATT shall have no liability to the client or client's customer with
respect to decisions or recommendations made, actions taken or courses of conduct implemented by either
the client or the client's customer as a result of or based upon the Test Results. In no event shall ATT `s
liability with respect to the Test Results exceed the amount paid to ATT by the client therefore.
1350 Home Avenue Akron, Ohio 44310 Page I of 2
ro!! Free. 877.634.9906 Phone: [phone] Fax: [phone]
www.AmericanTestingTechnologies.com

City of Burlington, NC American Testing Technologies, Inc.
Attn: Glenn McGirt
1302 Belmont Street
Burlington, NC 27215
Date Received. 08/14/2020
Date Reported: 08/31/2020
Date Collected: 08/11/2020
Time Collected: 12:00
Client ID #: Mackintosh Lagoon #2
Laboratory ID #: 081420-02
Certificate
of Analysis
Parameter
Result
Result
Analysis Date
Method
N
mg/kg)
Aluminum, Total
145,200
08/19/2020
6010D
Arsenic, Total
<5.0
08/19/2020
6010D
Cadmium, Total
<5.0
08/19/2020
6010D
Calcium, Total
0.2
2,000
08/19/2020
6010D
Chromium, Total
460
08/19/2020
6010D
Copper, Total
30
08/19/2020
6010D
Iron, Total
19,800
08/19/2020
6010D
Lead, Total
<5.0
08/19/2020
6010D
Magnesium, Total
0.09
950
08/19/2020
6010D
Manganese, Total
4,400
08/19/2020
601OD
Mercury, Total
<0.20
08/19/2020
7471B
Molybdenum, Total
<5.0
08/19/2020
6010D
Phosphorus, Total
0.3
3,000
08/19/2020
6010D
Nickel, Total
7
08/19/2020
601OD
Potassium, Total
0.03
280
08/19/2020
6010D
Selenium, Total
<5.0
08/19/2020
6010D
Sodium, Total
0.05
530
08/19/2020
601OD
Sulfur, Total
1.6
16,000
08/19/2020
6010D
Zinc, Total
100
08/19/2020
6010D
Total KjeldabJ Nitrogen
1.70
17,000
08/26/2020
SM-4500
Ammonia Nitrogen
0.80
8,000
08/26/2020
SM-4500
Organic Nitrogen
0.90
9,000
08/26/2020
Calculation
Nitrate+Nitrite- N
14
08/26/2020
SM-4500C
Calcium Carbonate Equivalent
31
310,000
08/19/2020
AOAC 955.01
Total Solids
1.46
14,600
08/14/2020
SM-2540G
Total Volatile Solids
32
320,000
08/14/2020
SM-2540G
Moisture
98.54
1
08/14/2020
SM-2540G
J.350 Home Avenue Akron, Ohio 443$.0 Page 2 of 2
roll Free. 877.634.9906 Phone. [phone] Fax: [phone]
www.AmericanTestingTechnoIogies.corn

Amer4qWfi..,.
ANALYSIS REQUEST AND
CHAIN OF! CUSTODY RECORD
American Testing Techn®lmgi�s, Inc.
1350 Home Avenue Akron, ONII 44310
Websitea www.A►nericanTertingTechnologles.com
'roll Free: 877-634-9906 Phone: (330) �34-9906
Fax: [phone]Y7 11
I
PROJECT REF RENCE
I1
I
PROJECT NO.
PROJECT LOCAONITION
{STATE) �
MATRIX
TYPE
REQUIRED ANALYSIS I
PAGE
DF
PROJ CT MANAGER
C
; 4
P.O. NUMBER
CONTRACT NO.
w
1
v.
5
o
r�
.�
a
ee'n
:cy
a z
i
STANDARD REPORT
DELIVERY
DATE DUE
EXPEDITED REPORT
DELIVERY CD
(SURCHARGE)
DATE DUE
CLIENT (SITE)
JCLIENT
PHONE
CLIENT FAX
CLIENT NAME
• j
CLIENT EMAIL VIC- �j
``
Y FT ! , 17ui I M
`
CLIENT A SS >
DA
o
.
.1
't.; '
NURSER OF COQL�'RS SUBM117En
PERSHIPMl=N7:
SAMPL
SAMPLE IDENTIE(CATIDN
b�i��re,<�
NUMBER OF CONTAINERS SUBMITTED
REMARKS
DATE
TIME
S itt
M
pz
Sdk
5ca
C u
Zn
d
�d
,r
I
(
I
I
14
--- ----
I
RELINQUISHED BY: 516A
�RE
DATE
TIME
RELINQUISHED BY: (SIGNATURE)
DATE
TIME
RELINQUISHED BY: (S(aNAT11RE) i
DATE
TIME
C IVED BY. (SIGNATURE)
DATE
TIME
RECEIVED BY: (SIGN111,E)
DATE
TIME
RECEIVED BY: (SIGNATURE)
DATE
TIME
LA9URAFQtY USE.ONLY
RECENEDFOR LABA4RA
( CNpTURE}
RYSY:
RATE
1
1t
TIME
i�_�, .
�Z�", :-NO
CLISTODY'INTIfCT'
YES }�
CD
:'Ct157ADY
SEAL,NQ.:
A;TT
LQ� D:
i�
tABURATORY'RMARKS
ORIGINAL - RETURN 76 LA6ORATGRY WITH SAMPLE IS)

y
�J n
0
F'E$ h. 1g93
CITY Ow $URwNCTON LALBoRATORY SERVICES
NC Wastewater Laboratory Certification #188
336-222-5133
ID # dat+� "'ri%e ''�1ate�y fine �;; analyst
Sample
South WWTP igester #2
South WWTP Digester #3
South WWTP Digest 'r #4
Last WWTP Digester #1
Mackintosh Lagoon #++1
Mackintosh Lagoon #2
Yv�rri�( 1� k�
i°j 1►/Z(>
IZ,00,
� Z
G%ii Zo
t jq6
Compost
Other
j
T
T
Certified by 0��e
�YN INIC Lt date i 1ZO