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HomeMy WebLinkAboutWQ0000520_Residual Annual Report 2020_20210217Initial 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)* W00000520 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 inforration on the person to be contacted by N B Staff Name * Brent Collins Email Address* brent.collins@emaresourcesinc.com 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* 3367511441 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:* W00000520 Fbs Current Existing permt number Applicant/Permittee Address* PO Box 1358, Burlington, NC 27216 Facility Name * City of Burlington RLAP 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 nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here.* (Application Form} Engineering Rans, Specifications, Calculations, Bc.) 2020 Burlington Annual Report - WQ0000520.pdf 25.83MB Upload only 1 RFdocurrent (less than 250 NB). NLRiple documents rust be contained into one RJFfile unless file is larger than upload limit. * V 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 ff &kgw Submission Date 2/17/2021 {'its' 4 1 F URLINGTO _` .�%'Vatcr Res4urve City of Burlington, NC 2020 Annual Report Permit Number WQ0000520 �Cite ur URLINGTON m'ater Res4ure"- February 15th 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. WQ0000520 To Whom It May Concern: The City of Burlington, with the assistance of our contractor, EMA Resources Inc. is submitting this Annual Report for permit number WQ0000520. This annual report is divided into seven marked sections. The City of Burlington also sent a total of 2,593.58 Dry Tons to McGill Environmental and Republic Services Landfill in 2020. The break down for each plant is South Plant = 2,011.06 Dry Tons and East Plant = 582.52 Dry Tons. • Annual Land Application Certification Form • RSSF Forms • MFLSF and FSF Forms • Residual Analysis and TCLP • PVRF Forms • Soil Analysis • Zimpro Ash If you have any questions concerning this application, please contact Shane Fletcher at (336) 675-5927 or SFletcher@burlingtonnc.gov Respectful) , Shane Fletcher Residuals Management Coordinator City of Burlington PO Box 1358 Burlington, NC 27216-1358 Annual Land Application Certification Form ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0000520 County: Alamance Year: 2020 Facility Name (as shown on permit): City of Burlington Land Application Operator: EMA Resources Inc. Phone: 336-751-1441 Land application of residuals as allowed by the permit occurred during the past calendar year? ® Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: Total number of application fields in thepermit: 178 Total number of fields utilized for land application during the year: 43 Total amount of dry tons applied during the year for all application sites: 1,934.85 Total number of acres utilizes for land application during the year: 835.46 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2020 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Shane Fletcher - Residuals Coordinator Permittee Name and Title (type or print) Signature of Permittee Date Z-� 1/25/2021 Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503 9 (r) and 15A NCAC 02T 1102 (26) DENR FORM ACF (12/2006) RSSF Forms 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: Facility Name: Residual Source WQ # or NPDES #: WWTP Name: Residual Analysis Data WQ0000520 City of Burlington NCO023868 Eastside WWTP Laboratory: 1) 2) 3) 4) 5) American Testing Technologies Parameter (mg/kg) Conc. Limit (Mg/kg) a Sample or Composite Date 12/2/19 2/3/20 3/2/20 4/6/20 5/4/20 6/1/20 7/6/20 8/3/20 10/5/20 11/2/20 Percent Solids (%) NA 3.6 4.62 4.21 5.24 5.04 5.29 4.64 3.36 3.33 3.93 Arsenic 75 5 5 5 5 5 5 5 5 5 5 Cadmium 85 5 5 5 5 5 5 5 5 5 5 Copper 4,300 160 235 155 120 140 180 130 150 103 110 Chromium NA 49 67 60 30 48 42 39 330 39 55 Lead 840 5 5 5 5 5 5 5 5 5 5 Mercury 57 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 Molybdenum 75 5 5 5 5 5 5 5 5 5 5 Nickel 420 19 30 27 17 20 20 15 18 17 19 Selenium 100 5 5 5 5 5 5 5 5 5 5 Zinc 71500 630 800 630 460 540 630 390 460 390 470 Total Phosphorus NA 9000 21000 9000 12000 11000 9000 8400 1300 9000 9400 TKN NA 36000 25000 28000 30000 27000 26000 21000 25000 28000 25000 Ammonia -Nitrogen NA 14000 15000 12000 15000 13000 9000 6000 7000 10000 11000 Nitrate and Nitrite NA 20 50 34 40 55 36 30 23 31 22 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. I am aware that there are significant penalties fop, bmitting 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 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: Facility Name: Residual Source NPDES # or WQ#: WWTP Name: Residual Analysis Data WQ0000520 City of Burlington NCO023868 Eastside WWTP Laboratory: 1) American Testing Technologies 2) 3) 4) 5) Parameter (mg/kg) Sample or Composite Date 12/2/19 2/3/20 3/2/20 4/6/20 5/4/20 6/1/20 7/6/20 8/3/20 10/5/20 11/2/20 Aluminum 34700 57000 47600 22700 38700 36670 43100 38700 22700 27600 Calcium 233000 18300 13100 127860 165000 140000 183200 248500 139400 190000 Magnesium 3580 4200 2700 2500 4100 3500 2990 3700 3200 3100 Potassium 2700 2800 3100 1100 2000 2000 2050 1400 1900 1700 Sodium 3200 1500 2700 1500 1700 740 800 1000 1400 5400 pH 11.70 6 5.4 11.85 12.01 12.3 11.97 11.7 11.8 12.1 PAN 13620 10550 10834 12040 10755 9636 7530 8923 10431 9722 SAR 0.34 0.56 1.15 0.26 0.25 0.12 0.11 0.1 0.18 0.67 C.E.C. 41% 35% 31% 35% 40% 39% 36% 31% 33% 36% "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 * Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF - B (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: WQ0000520 Facility Name: City of Burlington Residual Source WQ # or NPDES #: NCO023876 WWTP Name: Southside WWTP Residual Analysis Data Laboratory: 1) American Testing Technologies 2) 3) 4) 5) Parameter (mg/kg) Conc. Limit m /k a Sample or Composite Date 12/2/ 19 2/3/20 3/2/20 Percent Solids (%) NA 2.9 3.19 2.77 Arsenic 75 5 5 5 Cadmium 85 5 5 5 Copper 4,300 170 130 200 Chromium NA 69 55 80 Lead 840 5 5 5 Mercury 57 0.2 0.2 0.2 Molybdenum 75 5 5 5 Nickel 420 11 5 60 Selenium 100 5 5 5 Zinc 7,500 345 300 400 Total Phosphorus NA 30000 27000 29000 TKN NA 55000 47000 49000 Ammonia -Nitrogen NA 30000 25000 30000 Nitrate and Nitrite NA 30 65 50 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 * 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 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: WQ0000520 Laboratory: Facility Name: City of Burlington Residual Source NCO023876 NPDES # or WQ#: WWTP Name: Southside WWTP Residual Analysis Data 1) American Testing Technologies 2) 3) 4) 5) Parameter Sampleor • •• Date ®®®--------- • Magnesium ------------ ------------ ------------ ------------ "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." i z/ Signature of Preparer date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF - B (12/2006) MFLSF and FSF Forms 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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Larry Griffin Owner: Larry Griffin Predominant Soil Series: Acres Used: 1.9 Acres Permitted: 1.9 Site #: AM005 Field #: 3.61 CmD 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 1.90 Arsenic 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 Cadmium 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 Copper 0.391 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.391 Chromiuni 0.148 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.148 Lead 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 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- 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.065 Selenium 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 Zinc 1.482 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.482 Total Phos- 34.200 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 34.200 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 1/15/2021 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 Larry Griffin Operator: Larry Griffin Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 3.61 Site #: Predominant Soil Series: CmD Crop 1 Max. PAN: 92 Crop 2 Name: Acres Utilized: 1.9 AM005 Acres Permitted: 1.9 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 11/5 26000 3.33 1.900 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 39.642 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 2600o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.642 0.000 Lime Applied Annuallbs/acre 0.019 0.019 0.391 0.148 0.019 0.001 0.019 0.065 0.019 1.482 34.200 1.929 3.411 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.019 0.029 1.063 0.358 0.073 0.004 0.034 0.07 0.025 Current Cumulative lbs/ac 0.038 0.048 1.454 0.506 0.092 0.005 0.053 0.135 0.044 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 92 "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 1/15/2021 **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): 19.85 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Larry Griffin Owner: Larry Griffin Predominant Soil Series: CmD Acres Used: 9.8 Acres Permitted: 9.8 Site #: AM005 Field #: 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 2.03 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.417 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.417 Chromiuni 0.158 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.158 Lead 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 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- 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.069 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.069 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 1.580 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.580 Total Phos- 36.468 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 36.468 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 1/15/2021 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 Larry Griffin Operator: Larry Griffin Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 19.85 Site #: Predominant Soil Series: CmD Crop 1 Max. PAN: 92 Crop 2 Name: Acres Utilized: 9.8 AM005 Acres Permitted: 9.8 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 11/5 84500 3.33 1.197 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 24.979 NA Fescue 11/6 58500 3.33 0.829 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 17.293 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: o i43000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 42.271 0.000 Lime Applied Annuallbs/acre 0.020 0.020 0.417 0.158 0.020 0.001 0.020 0.069 0.020 1.580 36.468 3.391 4.971 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.034 0.045 1.931 0.739 0.204 0.007 0.072 0.137 0.043 CCE 1340 Current Cumulative lbs/ac 0.054 0.065 2.348 0.897 0.224 0.008 0.092 0.206 0.063 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 92 "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 1/15/2021 **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 #: WQ0000520 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 HbB 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use niWkg, % 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 4.13 0.41 Arsenic 0.041 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Cadmium 0.041 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Copper 1.488 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.508 Chromiuni 0.347 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.433 Lead 0.041 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 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- 0.041 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 denum Nickel 0.165 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.169 Selenium 0.041 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Zinc 5.208 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.241 Total Phos- 74.394 1.652 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 1/15/2021 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 #: WQ0000520 Field #: Annual Dry Tons Applied: 77.28 Site #: Predominant Soil Series: HbB 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 * 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 7/2 175500 5.29 2.277 East Burlington Dry <.5" S 0.5 0.3 26000 9000 1 36 43.888 NA Fescue 7/3 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 T8 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 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 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 25.8 31.041 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.188 0.163 9.178 4.47 0.812 0.023 0.252 0.722 0.214 Current Cumulative lbs/ac 0.233 0.208 10.686 4.903 0.857 0.025 0.297 0.891 0.259 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 15 374 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Walter Hessenthaler Owner: Tom Neal Predominant Soil Series: Acres Used: 6 Acres Permitted: 18 Site #: AM006 Field #: 17.21 AbB 9B Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date 01111110MEM Non 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 2.87 Arsenic 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Copper 1.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.032 Chromiuni 0.241 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.241 Lead 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 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- 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.115 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.115 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.029 Zinc 3.614 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.614 Total Phos- 51.624 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.624 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 1/15/2021 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 Tom Neal Operator: Walter Hessenthaler Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 17.21 Site #: Predominant Soil Series: AbB Crop 1 Max. PAN: 177 Crop 2 Name: 9B AM006 Acres Utilized: 6 Acres Permitted: 18 Cation Exchange Capacity (non 503): 0 Crop 2 Max. PAN: ;.1 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 7/14 78000 5.29 2.868 East Burlington Dry <.5" S 0.5 0.3 26000 9000 36 55.266 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 78000 As Cd Cu Cr Pb H g Mo Ni Se Zn P 55.266 0.000 Lime Applied Annuallbs/acre 0.029 0.029 1.032 0.241 0.029 0.001 0.029 0.115 0.029 3.614 51.624 0.094 0.079 4.28 2.828 0.26 0.011 0.12 0.26 0.091 9.011 0.123 0.108 5.312 3.069 0.212 0.149 0.375 0.120 12.625 67 15 334 338 374 89 2498Permitted 177 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Walter Hessenthaler Owner: Tom Neal Predominant Soil Series: Acres Used: 6 Acres Permitted: 18 Site #: AM006 Field #: 17.21 AbB 9C Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date 01111110MEM Non 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 2.87 Arsenic 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Copper 1.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.032 Chromiuni 0.241 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.241 Lead 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 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- 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.115 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.115 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.029 Zinc 3.614 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.614 Total Phos- 51.624 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.624 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 1/15/2021 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 Tom Neal Operator: Walter Hessenthaler Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 17.21 Site #: Predominant Soil Series: AbB Crop 1 Max. PAN: 177 Crop 2 Name: 9C AM006 Acres Utilized: 6 Acres Permitted: 18 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 7/14 78000 5.29 2.868 East Burlington Dry <.5" S 0.5 1 0.3 26000 1 9000 36 55.266 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 78000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 55.266 0.000 Lime Applied Annuallbs/acre 0.029 0.029 1.032 0.241 0.029 0.001 0.029 0.115 0.029 3.614 51.624 9.011 12.625 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.094 0.079 4.28 2.828 0.26 0.011 0.12 0.26 0.091 Current Cumulative lbs/ac 0.123 0.108 5.312 3.069 0.289 0.012 0.149 0.375 0.120 Permitted C. P. L. R. * * * * 36 34 1338 1 267 15 1 374 89 Permit PAN Limit 1 st/2nd Crop F 177 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Hadley Owner: Ray Mazejka Predominant Soil Series: Acres Used: 9.18 Acres Permitted: 9.18 Site #: AM013 Field #: 42.42 TaB2 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 4.62 Arsenic 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 Cadmium 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 Copper 0.952 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.952 Chromium 0.360 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.360 Lead 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 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- 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 denum Nickel 0.157 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.157 Selenium 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.046 Zinc 3.604 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.604 Total Phos- 83.178 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 83.178 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 1/15/2021 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 Ray Mazejka Operator: James Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 42.42 Site #: Predominant Soil Series: TaB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 190 Crop 2 Name: Acres Utilized: 9.18 AM013 Acres Permitted: 9.18 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 11/6 26000 3.33 0.393 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 8.205 NA Fescue 11/7 39000 3.33 0.590 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 12.307 NA Fescue 11/8 39000 3.33 0.590 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 12.307 NA Fescue 11/9 117000 3.33 1.770 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 36.922 NA Fescue 11/10 84500 3.33 1.278 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 26.666 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 30550o As Cd Cu Cr Pb Hg, Mo Ni Se Zn P 96.406 o.000 Lime Applied Annuallbs/acre 0.046 0.046 0.952 0.360 0.046 0.002 0.046 0.157 0.046 3.604 83.178 78.922 82.526 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.395 0.568 50.73 23.72 7.211 0.125 0.717 4.051 0.421 Current Cumulative lbs/ac 0.441 0.614 51.682 24.080 7.257 0.127 0.763 4.208 0.467 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 20.76 Operator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2 Acres Used: 11.67 Acres Permitted: 11.67 Site #: AM013 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn MENWEEME NUMEMBEEMEM 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 1.78 Arsenic 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 Cadmium 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 Copper 0.366 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.366 Chromiuni 0.139 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.139 Lead 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 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- 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.060 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.060 Selenium 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 Zinc 1.388 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.388 Total Phos- 32.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 32.022 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 1/15/2021 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 Ernest Goldworthy Operator: James Hadley Crop 1 Name: Rye Grass WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 20.76 Site #: Predominant Soil Series: TaB2 Crop 1 Max. PAN: 137 Crop 2 Name: Acres Utilized: 11.67 AM013 Acres Permitted: 11.67 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 11/18 39000 3.33 0.464 East Burlington Dry <.5" S 0.5 0.3 1 28000 10000 1 31 9.681 NA Rye 11/19 110500 3.33 1.315 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 27.430 NA Rye 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 149500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 37.111 0.000 Lime Applied Annuallbs/acre 0.018 0.018 0.366 0.139 0.018 0.001 0.018 0.060 0.018 1.388 32.022 44.465 45.853 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.167 0.257 25.467 9.587 2.598 0.08 0.479 1.613 0.199 Current Cumulative lbs/ac 0.185 0.275 25.833 9.726 2.616 0.081 0.497 1.673 0.217 Permitted C. P. L. R. * * * * 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 137 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 11.74 Operator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2 Acres Used: 15.49 Acres Permitted: 30.49 Site #: AM013 Field #: 3B 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 0.76 Arsenic 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Cadmium 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Copper 0.156 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.156 Chromiuni 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 Lead 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 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- 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 denum Nickel 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Selenium 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Zinc 0.591 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.591 Total Phos- 13.644 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13.644 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 1/15/2021 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 Ernest Goldworthy Operator: James Hadley Crop 1 Name: Rye Grass WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 11.74 Site #: Predominant Soil Series: TaB2 Crop 1 Max. PAN: 137 Crop 2 Name: 3B Acres Utilized: 15.49 AM013 Acres Permitted: 30.49 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 11/18 84500 3.33 0.758 East Burlington Dry <.5" S 0.5 0.3 1 28000 10000 1 31 15.803 NA Rye 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 84500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 15.803 0.00o Lime Applied Annuallbs/acre 0.008 0.008 0.156 0.059 0.008 0.000 0.008 0.026 0.008 0.591 13.644 50.262 50.853 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.259 0.341 31.123 13.52 3.073 0.099 0.512 2.297 0.28 Current Cumulative lbs/ac 0.267 0.349 31.279 13.579 3.081 0.099 0.520 2.323 0.288 Permitted C. P. L. R. * * * * 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 137 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 42.42 Operator: James Roney Owner: James Roney Predominant Soil Series: HbC2 Acres Used: 12.96 Acres Permitted: 12.96 Site #: AM014 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date 010MIlm mammon Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3J 4 J 6 7 9 j 1-2-1 11 j 12 __8j y DT/Ac./ App. 14 Event 3.27 Arsenic 0.033 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.033 Cadmium 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Copper 0.674 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.674 Chromium.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 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 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- 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 denum Nickel 0.111 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.111 Selenium 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Zinc 2.553 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.553 Total Phos- 58.914 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 58.914 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 1/15/2021 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 James Roney Operator: James Roney Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 42.42 Site #: Predominant Soil Series: HbC2 Crop 1 Max. PAN: 118 Crop 2 Name: Acres Utilized: 12.96 AM014 Acres Permitted: 12.96 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 10/9 104000 3.33 1.114 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 23.247 NA Fescue 10/20 201500 3.33 2.159 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 45.041 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: 0 30550o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 68.288 0.000 Lime Applied Annuallbs/acre 0.033 0.033 0.674 0.255 0.033 0.001 0.033 0.111 0.033 2.553 58.914 19.729 22.282 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.153 0.131 8.008 5.384 0.581 0.014 0.195 0.664 0.195 C.E.C. 2160 Current Cumulative lbs/ac 0.186 0.164 8.682 5.639 0.614 0.015 0.228 0.775 0.228 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 118 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 25.28 Operator: James Roney Owner: James Roney Predominant Soil Series: HbB Acres Used: 9.56 Acres Permitted: 9.56 Site #: AM014 Field #: 3 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 2.64 Arsenic 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Cadmium 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Copper 0.545 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.545 Chromium 0.206 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.206 Lead 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 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- 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 denum Nickel 0.090 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.090 Selenium 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Zinc 2.062 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.062 Total Phos- 47.592 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 47.592 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 1/15/2021 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 James Roney Operator: James Roney WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 25.28 Site #: Predominant Soil Series: HbB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 169 Crop 2 Name: Acres Utilized: 9.56 AM014 Acres Permitted: 9.56 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 10/20 6500 3.33 0.094 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 1.970 NA Fescue 10/21 175500 3.33 2.549 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 53.181 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 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 ts2000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 55.151 0.000 Lime Applied Annuallbs/acre 0.026 0.026 0.545 0.206 0.026 0.001 0.026 0.090 0.026 2.062 47.592 15.864 17.926 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.138 0.112 7.164 4.722 0.863 0.013 0.189 0.574 0.189 Current Cumulative lbs/ac 0.164 0.138 7.709 4.928 0.889 0.014 0.215 0.664 0.215 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 48.75 Operator: James Roney Owner: Jame Roney Predominant Soil Series: EdC2 Acres Used: 21.57 Acres Permitted: 21.57 Site #: AM014 Field #: 5 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 2.26 Arsenic 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Cadmium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Copper 0.466 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.466 Chromiuni 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 Lead 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 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- 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.077 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.077 Selenium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Zinc 1.763 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.763 Total Phos- 40.680 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 40.680 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 1/15/2021 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 #: WQ0000520 Field #: 5 Acres Utilized: Jame Roney Annual Dry Tons Applied: 48.75 Site #: AM014 Acres Permitted: James Roney Crop 1 Name: Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 122 EdC2 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21.57 21.57 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 10/7 97500 3.33 0.628 East Burlington D <.5" S 0.5 0.3 28000 10000 31 13.095 NA Fescue 10/8 188500 3.33 1.214 East Burlington D <.5" S 0.5 0.3 28000 10000 31 25.316 NA Fescue 10/9 65000 3.33 0.418 East Burlington D <.5" S 0.5 0.3 28000 10000 31 8.730 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 47.140 0.000 Lime Applied Annuallbs/acre 0.023 0.023 0.466 0.176 0.023 0.001 0.023 0.077 0.023 1.763 40.680 17.438 19.201 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.157 0.136 7.005 5.371 0.728 0.014 0.197 0.698 0.197 Current Cumulative lbs/ac 0.180 0.159 7.471 5.547 0.751 0.015 0.220 0.775 0.220 Permitted C. P. L. R.**** 36 34 1338 1 267 15 1 374 1 89 Permit PAN Limit 1 st/2nd Crop 122 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 15.34 Operator: James Roney Owner: Jame Roney Predominant Soil Series: AbB Acres Used: 10.72 Acres Permitted: 10.72 Site #: AM014 Field #: 6 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 1.43 Arsenic 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.295 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.295 Chromiuni 0.112 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.112 Lead 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 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- 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 denum Nickel 0.049 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.049 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Zinc 1.116 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.116 Total Phos- 25.758 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 25.758 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 1/15/2021 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 Jame Roney Operator: James Roney Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 15.34 Site #: Predominant Soil Series: AbB Crop 1 Max. PAN: 237 Crop 2 Name: Acres Utilized: 10.72 AM014 Acres Permitted: 10.72 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 10/23 19500 3.33 0.253 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 5.270 NA Fescue 11/4 91000 3.33 1.179 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 24.591 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 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 tto5oo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 29.861 0.000 Lime Applied Annuallbs/acre 0.014 0.014 0.295 0.112 0.014 0.001 0.014 0.049 0.014 1.116 25.758 1.162 2.278 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.024 0.024 0.775 0.208 0.024 0.001 0.024 0.155 0.024 CCE 940 Current Cumulative lbs/ac 0.038 0.038 1.070 0.320 0.038 0.002 0.038 0.204 0.038 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 237 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 30.97 Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: VbC3 Acres Used: 12.26 Acres Permitted: 12.26 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 2.53 Arsenic 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Cadmium 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Copper 0.758 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.758 Chromiuni 1.667 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.667 Lead 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 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- 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 denum Nickel 0.091 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.091 Selenium 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Zinc 2.324 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.324 Total Phos- 6.568 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.568 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 1/15/2021 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 #: WQ0000520 Field #: 1 Acres Utilized: Charlie Wyatt Annual Dry Tons Applied: 30.97 Site #: AM015 Acres Permitted: Charlie Wyatt Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 182 VbC3 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 12.26 12.26 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 9/22 58500 3.36 0.669 East Burlington D <.5" S 0.5 0.3 25000 7000 23 11.931 NA Fescue 9/23 162500 3.36 1.857 East Burlington D <.5" S 0.5 0.3 25000 7000 23 33.142 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 221000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 45.073 0.000 Lime Applied Annuallbs/acre 0.025 0.025 0.758 1.667 0.025 0.001 0.025 0.091 0.025 2.324 6.568 22.726 25.050 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.208 0.178 8.787 5.119 0.627 0.02 0.266 0.823 0.247 Current Cumulative lbs/ac 0.233 0.203 9.545 6.786 0.652 0.021 0.291 0.914 0.272 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 23.63 Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: EdC2 Acres Used: 11.74 Acres Permitted: 11.74 Site #: AM015 Field #: 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 1.63 0.38 Arsenic 0.016 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.016 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.489 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.568 Chromiuni 1.075 0.030 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.105 Lead 0.016 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 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 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.059 0.013 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.072 Selenium 0.016 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.020 Zinc 1.499 0.300 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.798 Total Phos- 4.235 6.912 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11.147 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 1/15/2021 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 #: WQ0000520 Field #: 2 Acres Utilized: Charlie Wyatt Annual Dry Tons Applied: 23.63 Site #: AM015 Acres Permitted: Charlie Wyatt Crop 1 Name: Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 122 EdC2 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 11.74 11.74 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 9/23 52000 3.36 0.621 East Burlington D <.5" S 0.5 0.3 25000 7000 23 11.075 NA Fescue 9/24 84500 3.36 1.008 East Burlington D <.5" S 0.5 0.3 25000 7000 23 17.997 NA Fescue 10/2 32500 3.33 0.384 East Burlington D <.5" S 0.5 0.3 28000 10000 31 8.020 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 169000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 37.092 0.000 Lime Applied Annuallbs/acre 0.020 0.020 0.568 1.105 0.020 0.001 0.020 0.072 0.020 1.798 1L147 12.209 14.007 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.088 0.066 4.059 3.87 0.363 0.013 0.139 0.352 0.107 Current Cumulative lbs/ac 0.108 0.086 4.627 4.975 0.383 0.014 0.159 0.424 0.127 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 122 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 20.95 Operator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: CbB2 Acres Used: 7.5 Acres Permitted: 15.01 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 2.79 Arsenic 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Cadmium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Copper 0.838 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.838 Chromiuni 1.843 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.843 Lead 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 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- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.101 Selenium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Zinc 2.570 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.570 Total Phos- 7.262 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 7.262 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 1/15/2021 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 #: WQ0000520 Field #: 4 Acres Utilized: Charlie Wyatt Annual Dry Tons Applied: 20.95 Site #: AM015 Acres Permitted: Charlie Wyatt Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 216 CbB2 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 7.5 15.01 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 9/22 149500 3.36 2.793 East Burlington D <.5" S 0.5 0.3 25000 7000 23 49.842 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 149500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 49.842 0.000 Lime Applied Annuallbs/acre 0.028 0.028 0.838 1.843 0.028 0.001 0.028 0.101 0.028 2.570 7.262 16.749 19.319 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.172 0.153 6.79 4.888 0.672 0.02 0.21 0.533 0.201 Current Cumulative lbs/ac 0.200 0.181 7.628 6.731 0.700 0.021 0.238 0.634 0.229 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 216 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Michael Hadley Owner: William Hadley Predominant Soil Series: Acres Used: 29.07 Acres Permitted: 29.07 Site #: AM016 Field #: 83.34 HdC2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): WINE Com- posite Date Nunn OEM MEMO 0 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 2.87 Arsenic 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Copper 0.803 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.803 Chromium 0.275 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.275 Lead 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 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- 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.115 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.115 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Zinc 3.096 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.096 Total Phos- 63.074 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 63.074 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 1/15/2021 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 William Hadley Operator: Michael Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 83.34 Site #: Predominant Soil Series: HdC2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 198 Crop 2 Name: Acres Utilized: 29.07 AM016 Acres Permitted: 29.07 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 6/24 26000 5.04 0.188 East Burlington Dry <.5" S 0.5 0.3 27000 13000 1 55 4.043 NA Fescue 6/25 97500 5.04 0.705 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 15.162 NA Fescue 6/26 97500 5.04 0.705 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 15.162 NA Fescue 6/27 52000 5.04 0.376 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 8.087 NA Fescue 6/29 123500 5.04 0.893 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 19.206 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 39650o As Cd Cu Cr Pb Hg, Mo Ni Se Zn P 61.660 0.00o Lime Applied Annuallbs/acre 0.029 0.029 0.803 0.275 0.029 0.001 0.029 0.115 0.029 3.096 63.074 12.069 15.165 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.124 0.11 4.396 3.802 0.289 0.011 0.153 0.395 0.153 Current Cumulative lbs/ac 0.153 0.139 5.199 4.077 0.318 0.012 0.182 0.510 0.182 Permitted C. P. L. R. * * * * 36 34 1 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 198 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Michael Hadley Owner: Michael Hadley Predominant Soil Series: Acres Used: 16 Acres Permitted: 23.46 Site #: AM016 Field #: 57.38 ME A Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn 1WEEMENE NUMEMBEEMEM 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 3.59 Arsenic 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Cadmium 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Copper 1.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.004 Chromiuni 0.344 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.344 Lead 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 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- 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 denum Nickel 0.143 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.143 Selenium 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Zinc 3.873 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.873 Total Phos- 78.892 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 78.892 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 1/15/2021 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 #: WQ0000520 Field #: Annual Dry Tons Applied: 57.38 Site #: Predominant Soil Series: AaB Crop 1 Max. PAN: 190 Crop 2 Name: Acres Utilized: 16 AM016 Acres Permitted: 23.46 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 7� co * 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 6/4 52000 5.04 0.683 East Burlington D <.5" S 0.5 0.3 27000 13000 1 55 14.692 NA Fescue 6/5 13000 5.04 0.171 East Burlington D <.5" S 0.5 0.3 27000 13000 55 3.673 NA Fescue 6/22 45500 5.04 0.598 East Burlington D <.5" S 0.5 0.3 27000 13000 55 12.856 NA Fescue 6/23 110500 5.04 1.451 East Burlington D <.5" S 0.5 0.3 27000 13000 55 31.221 NA Fescue 6/24 52000 5.04 0.683 East Burlington D <.5" S 0.5 0.3 27000 13000 55 14.692 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 0 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 0.000 TOTALS: 01 273000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 77.135 r 0.000 Lime Applied Annuallbs/acre 0.036 0.036 1.004 0.344 0.036 0.001 0.036 0.143 0.036 3.873 78.892 15.976 19.849 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.128 0.111 5.37 3.662 0.391 0.011 0.166 0.36 0.151 Current Cumulative lbs/ac 0.164 0.147 6.374 4.006 0.427 0.012 0.202 0.503 0.187 Permitted C. P. L. R. * * * * 36 34 1338 267 1 15 1 374 1 89 Permit PAN Limit 1 st/2nd Crop I F 1-90 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Michael Hadley Owner: C.L. Hadley Predominant Soil Series: Acres Used: 27.74 Acres Permitted: 27.74 Site #: AM016 Field #: 38.25 GaB2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date 01111n Nunn OEM MEMO 0 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 1.38 Arsenic 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.386 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.386 Chromiuni 0.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.132 Lead 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 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- 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 denum Nickel 0.055 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.055 Selenium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Zinc 1.489 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.489 Total Phos- 30.338 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 30.338 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 1/15/2021 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 C.L. Hadley Operator: Michael Hadley WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 38.25 Site #: Predominant Soil Series: GaB2 Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 211 Crop 2 Name: Acres Utilized: 27.74 AM016 Acres Permitted: 27.74 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 * 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 6/3 123500 5.04 0.936 East Burlington D <.5" S 0.5 0.3 27000 13000 1 55 20.126 NA Fescue 6/4 52000 5.04 0.394 East Burlington D <.5" S 0.5 0.3 27000 13000 55 8.474 NA Fescue 6/8 6500 5.04 0.049 East Burlington D <.5" S 0.5 0.3 27000 13000 55 1.059 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: o ts2000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 29.660 0.000 Lime Applied Annuallbs/acre 0.014 0.014 0.386 0.132 0.014 0.001 0.014 0.055 0.014 1.489 30.338 16.427 17.916 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.116 0.094 6.269 2.594 0.363 0.014 0.165 0.446 0.155 C.E.C. 1100 Current Cumulative lbs/ac 0.130 0.108 6.655 2.726 0.377 0.015 0.179 0.501 0.169 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 211 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 102.40 Operator: Michael Hadley Owner: Russell Hadley Trust Predominant Soil Series: HdC2 Acres Used: 20 Acres Permitted: 32.94 Site #: AM016 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): -ICom- posite Phos- 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 2.66 1.01 1.44 Arsenic 0.027 0.010 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Cadmium 0.027 0.010 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Copper 0.746 0.091 0.087 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.924 Chromiuni 0.256 0.233 1.328 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.817 Lead 0.027 0.010 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Mercury 0.001 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.027 0.010 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 denum Nickel 0.107 0.016 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.143 Selenium 0.027 0.010 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.051 Zinc 2.877 0.324 0.289 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.490 Total Phos- 58.608 3.036 8.664 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 70.308 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 1/15/2021 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 Russell Hadley Trust Operator: Michael Hadley Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 102.40 Site #: Predominant Soil Series: HdC2 Crop 1 Max. PAN: 148 Crop 2 Name: 4 Acres Utilized: 20 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 His. inches F '5 w o 7� co * 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 6/8 58500 5.04 0.615 East Burlington Dry <.5" S 0.5 0.3 27000 13000 1 55 13.223 NA Fescue 6/9 39000 5.04 0.410 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 8.815 NA Fescue 6/10 71500 5.04 0.751 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 16.162 NA Fescue 6/15 6500 5.04 0.068 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 1.469 NA Fescue 6/22 52000 5.04 0.546 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 11.754 NA Fescue 6/24 26000 5.04 0.273 East Burlington Dry <.5" S 0.5 0.3 27000 13000 55 5.877 NA Fescue 0.000 0.000 0.000 8/10 156000 3.11 1.012 Mackintosh Dry <.5" S 0.5 0.4 13000 3000 10 11.147 NA Fescue 8/11 214500 1.46 0.653 Mackintosh Dry <.5" S 0.5 0.4 17000 8000 14 9.943 NA Fescue 8/12 182000 1.46 0.554 Mackintosh Dry <.5" S 0.5 0.4 17000 8000 14 8.437 NA Fescue 8/13 78000 1.46 0.237 Mackintosh Dry <.5" S 0.5 0.4 17000 8000 14 3.616 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 90.443 o.000 Lime Applied Annuallbs/acre 0.051 0.051 0.924 1.817 0.051 0.002 0.051 0.143 0.051 3.490 70.308 16.332 19.822 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.092 0.067 5.222 3.546 0.504 0.018 0.145 0.371 0.122 Current Cumulative lbs/ac 0.143 0.118 6.146 5.363 0.555 0.020 0.196 0.514 0.173 Permitted C. P. L. R. * * * * 36 34 1 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 148 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 86.45 Operator: Michael Hadley Owner: Russell Hadley Trust Predominant Soil Series: HnB Acres Used: 18.25 Acres Permitted: 18.25 Site #: AM016 Field #: 6 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 3.22 1.52 Arsenic 0.032 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Cadmium 0.032 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Copper 1.160 0.394 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.554 Chromiuni 0.271 0.118 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.389 Lead 0.032 0.015 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- 0.032 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 denum Nickel 0.129 0.045 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.174 Selenium 0.032 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.047 Zinc 4.058 1.182 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.241 Total Phos- 57.978 25.469 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 83.447 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 1/15/2021 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 Russell Hadley Trust Operator: Michael Hadley Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 86.45 Site #: Predominant Soil Series: HnB Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 18.25 AM016 Acres Permitted: 18.25 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 7/22 39000 5.29 0.471 East Burlington Dry <.5" S 0.5 0.3 26000 9000 1 36 9.085 NA Fescue 7/23 97500 5.29 1.179 East Burlington Dry <.5" S 0.5 0.3 26000 9000 36 22.712 NA Fescue 7/24 19500 5.29 0.236 East Burlington Dry <.5" S 0.5 0.3 26000 9000 36 4.542 NA Fescue 7/27 110500 5.29 1.336 East Burlington Dry <.5" S 0.5 0.3 26000 9000 36 25.741 NA Fescue 8/6 143000 4.64 1.516 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 22.832 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 409500 As Cd Cu Cr Pb Hg, Mo Ni Se Zn P 84.913 o.000 Lime Applied Annuallbs/acre 0.047 0.047 1.554 0.389 0.047 0.002 0.047 0.174 0.047 5.241 83.447 16.332 21.573 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.092 0.067 5.222 3.546 0.504 0.018 0.145 0.371 0.122 Current Cumulative lbs/ac 0.139 0.114 6.776 3.935 0.551 0.020 0.192 0.545 0.169 Permitted C. P. L. R. * * * * 36 34 1 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 158 "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 1/15/2021 **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): 50.01 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Joe Rice Owner: Joe Rice Predominant Soil Series: CnB2 Acres Used: 17.33 Acres Permitted: 17.33 Site #: AM035 Field #: 6 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 2.81 0.07 Arsenic 0.028 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Cadmium 0.028 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Copper 1.013 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.032 Chromiuni 0.236 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.242 Lead 0.028 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 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- 0.028 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.113 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.115 Selenium 0.028 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Zinc 3.544 0.057 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.601 Total Phos- 50.634 1.226 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.860 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 1/15/2021 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 Joe Rice Operator: Joe Rice Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 50.01 Site #: Predominant Soil Series: CnB2 Crop 1 Max. PAN: 162 Crop 2 Name: Acres Utilized: 17.33 AM035 Acres Permitted: 17.33 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 11rs. inches F '5 w o 7� co * 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 7/28 130000 5.29 1.655 East Burlington Dry <.5" S 0.5 0.3 26000 9000 1 36 31.891 NA Fescue 7/31 91000 5.29 1.158 East Burlington Dry <.5" S 0.5 0.3 26000 9000 36 22.323 NA Fescue 8/6 6500 4.64 0.073 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 1.093 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: 0 22750o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 55.307 0.000 Lime Applied Annuallbs/acre 0.029 0.029 1.032 0.242 0.029 0.001 0.029 0.115 0.029 3.601 51.860 0 3.601 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 C.E.C. 2240 Current Cumulative lbs/ac 0.029 0.029 1.032 0.242 0.029 0.001 0.029 0.115 0.029 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 162 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series: Acres Used: 10.91 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 #): 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 2.31 3.79 Arsenic 0.023 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.061 Cadmium 0.023 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.061 Copper 0.600 0.182 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.782 Chromiuni 0.180 0.789 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.969 Lead 0.023 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.061 Mercury 0.001 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- 0.023 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.061 denum Nickel 0.069 0.038 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.107 Selenium 0.023 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.061 Zinc 1.799 0.303 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.102 Total Phos- 38.741 15.168 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 53.909 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 1/15/2021 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 #: WQ0000520 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: 10.91 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 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 8/7 130000 4.64 2.306 East Burlington Dry <.5" S 0.5 0.3 21000 6000 1 30 34.721 NA Fescue 0.000 0.000 0.000 7/9 26000 2.88 0.286 Mackintosh Dry <.5" S 0.5 0.4 15000 4000 17 3.673 NA Fescue 7/16 195000 2.88 2.147 Mackintosh Dry <.5" S 0.5 0.4 15000 4000 17 27.549 NA Fescue 7/17 123500 2.88 1.359 Mackintosh Dry <.5" S 0.5 0.4 15000 4000 17 17.447 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: 01 474500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 83.391 0.000 Lime Applied Annuallbs/acre 0.061 0.061 0.782 0.969 0.061 0.002 0.061 0.107 0.061 2.102 53.909 68.82 70.922 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.461 0.442 33.86 11.802 6.492 0.116 1.17 3.553 0.469 Current Cumulative lbs/ac 0.522 0.503 34.642 12.771 6.553 0.118 1.231 3.660 0.530 Permitted C. P. L. R. * * * * 36 34 1338 267 1 15 1 374 1 89 Permit PAN Limit 1 st/2nd Crop I F 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series: Acres Used: 5.66 Acres Permitted: 5.66 Site #: AM109 Field #: 15.09 HcB 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date won monsoon NEWEEMEM 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 2.67 Arsenic 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Cadmium 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 0.693 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.693 Chromium 0.208 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.208 Lead 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 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- 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 0.080 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.080 Selenium 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 2.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.079 Total Phos- 44.789 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 44.789 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 1/15/2021 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 #: WQ0000520 Field #: Annual Dry Tons Applied: 15.09 Site #: Predominant Soil Series: HcB Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 169 Crop 2 Name: Acres Utilized: 5.66 AM109 Acres Permitted: 5.66 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 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 8/7 78000 4.64 2.666 East Burlington Dry <.5" S 0.5 0.3 21000 6000 1 30 40.157 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: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 40.157 0.000 Lime Applied Annuallbs/acre 0.027 0.027 0.693 0.208 0.027 0.001 0.027 0.080 0.027 2.079 44.789 0.49 0.499 36.661 12.355 5.607 0.138 1.233 3.573 0.504 78.42 0.517 0.526 37.354 12.563 5.634 0.139 1.260 3.653 0.531 80.499 1 36 34 1 1338 267 1 15 374 1 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 46.39 Acres Permitted: 46.39 Site #: AM116 Field #: 86.70 GaB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): WINE Com- posite Date non Non no no on no 0 0 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 1.87 Arsenic 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 Cadmium 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 Copper 0.579 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.579 Chromiuni 0.224 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.224 Lead 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 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- 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.101 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.101 Selenium 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.019 Zinc 2.355 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.355 Total Phos- 33.642 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 33.64 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". Signature of Land Applier 1/15/2021 Date DENR FORM MFLSF (12/2006) 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. Facility Name: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 86.70 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 48 Crop 2 Name: Acres Utilized: 46.39 AM116 Acres Permitted: 46.39 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 7� co * 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 4/6 104000 4.21 0.394 East Burlington Dry <.5" S 0.5 0.3 28000 12000 1 34 8.528 NA Cotton 4/16 91000 4.21 0.344 East Burlington Dry <.5" S 0.5 0.3 28000 12000 34 7.462 NA Cotton 4/17 104000 4.21 0.394 East Burlington Dry <.5" S 0.5 0.3 28000 12000 34 8.528 NA Cotton 4/22 195000 4.21 0.738 East Burlington Dry <.5" S 0.5 0.3 28000 12000 34 15.990 NA Cotton 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: o900o As Cd Cu Cr Pb Hg, Mo Ni Se Zn P 40.508 o.000 Lime Applied Annuallbs/acre 0.019 0.019 0.579 0.224 0.019 0.001 0.019 0.101 0.019 2.355 33.642 0.142 0.112 8.417 3.926 0.85 0.031 0.257 1.047 0.14 17.872 0.161 0.131 8.996 4.150 0.869 0.032 0.276 1.148 0.159 20.227 36 34 1 1338 267 15 374 89 1 2498 1 1 48 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): 30.80 Operator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB Acres Used: 15.66 Acres Permitted: 15.66 Site #: AM116 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): . •o Com- posite © © o O N m m 0 TotalDate Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 J 6 7 8 9 1-2-1 11 j 12 y DT/Ac./ App. Event 1.97 Arsenic 0.020 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.020 Cadmium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.610 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.610 Chromium.0.236 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.236 Lead 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 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- 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.106 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.106 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 2.478 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.478 Total Phos- 35.406 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 35.406 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 1/15/2021 Signature of Land Applier Date DENR FORM MFLSF (12/2006) 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. Facility Name: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 30.80 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 48 Crop 2 Name: 4 Acres Utilized: 15.66 AM116 Acres Permitted: 15.66 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 4/15 175500 4.21 1.967 East Burlington Dry <.5" S 0.5 0.3 28000 12000 1 34 42.631 NA Cotton 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 175500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 42.631 0.000 Lime Applied Annuallbs/acre 0.020 0.020 0.610 0.236 0.020 0.001 0.020 0.106 0.020 2.478 35.406 16.697 19.175 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.126 0.106 7.917 3.912 0.741 0.032 0.24 1.124 0.15 Current Cumulative lbs/ac 0.146 0.126 8.527 4.148 0.761 0.033 0.260 1.230 0.170 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 48 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 8.53 Acres Permitted: 8.53 Site #: AM116 Field #: 18.25 GaB 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 2.14 Arsenic 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 0.663 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.663 Chromiuni 0.257 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.257 Lead 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 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- 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.116 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.116 Selenium 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Zinc 2.696 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.696 Total Phos- 38.520 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 38.52 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 1/15/2021 Signature of Land Applier Date DENR FORM MFLSF (12/2006) 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. Facility Name: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 18.25 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 48 Crop 2 Name: Acres Utilized: 8.53 AM116 Acres Permitted: 8.53 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 4/15 6500 4.21 0.134 East Burlington Dry <.5" S 0.5 0.3 28000 12000 1 34 2.899 NA Cotton 4/16 97500 4.21 2.007 East Burlington Dry <.5" S 0.5 0.3 28000 12000 34 43.480 NA Cotton 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 46.379 o.000 Lime Applied Annuallbs/acre 0.021 0.021 0.663 0.257 0.021 0.001 0.021 0.116 0.021 2.696 38.520 0.064 0.057 3.286 1.279 0.194 0.008 0.097 0.522 0.063 5.518 0.085 0.078 3.949 1.536 0.215 0.009 0.118 0.638 0.084 8.214 36 34 1 1338 267 15 374 89 1 2498 1 1 48 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 88.15 Acres Permitted: 88.15 Site #: AM116 Field #: 236.77 TaB 7 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date BE no now Olson NEWEEMEM 0 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 0.84 0.58 1.27 Arsenic 0.008 0.006 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Cadmium 0.008 0.006 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 0.394 0.151 0.279 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.824 Chromiuni 0.112 0.064 0.140 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.316 Lead 0.008 0.006 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 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- 0.008 0.006 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 0.050 0.006 0.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.104 Selenium 0.008 0.006 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 1.341 0.347 1.193 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.881 Total Phos- 35.196 31.266 23.857 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 90.319 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 1/15/2021 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 #: WQ0000520 Field #: 7 Acres Utilized: HWB Family Annual Dry Tons Applied: 236.77 Site #: AM116 Acres Permitted: David Ridlin Crop 1 Name: Cotton Predominant Soil Series: TaB Crop 1 Max. PAN: 48 Crop 2 Name: Cation Exchange Capacity (non 503): Wheat Crop 2 Max. PAN: 88.15 88.15 0 50 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 a 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 3/9 91000 4.62 0.199 East Burlington Dry <.5" S 0.5 1 0.3 25000 15000 50 4.196 NA Cotton 3/9 6500 3.19 0.010 South Burlington Dry <.5" S 0.5 0.3 47000 25000 65 0.376 NA Cotton 3/10 71500 4.62 0.156 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 3.297 NA Cotton 3/10 84500 3.19 0.128 South Burlington Dry <.5" S 0.5 0.3 47000 25000 65 4.888 NA Cotton 3/11 1 130000 1 3.19 0.196 South Burlington Dry <.5" 1 S 0.5 0.3 47000 25000 65 7.519 NA Cotton 3/12 149500 4.62 0.327 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 6.894 NA Cotton 3/13 39000 3.19 0.059 South Burlington Dry <.5" S 0.5 0.3 1 47000 25000 65 2.256 NA Cotton 3/16 123500 3.19 0.186 South Burlington Dry <.5" S 0.5 0.3 47000 25000 65 7.143 NA Cotton 3/18 71500 4.62 0.156 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 3.297 NA Cotton 12/4 1 169000 3.93 0.314 East Burlington D <.5" S 0.5 0.3 25000 11000 22 Na 6.109 Wheat 12/10 130000 3.93 0.242 East Burlington D <.5" S 0.5 0.3 25000 11000 22 Na 4.699 Wheat 12/11 149500 3.93 0.278 East Burlington D <.5" S 0.5 0.3 25000 11000 22 Na 5.404 Wheat 0 234000 0.435 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 0.000 8.459 TOTALS: 0 1449500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.867 24.671 Lime Applied Annuallbs/acre 0.027 0.027 0.824 0.316 0.027 0.001 0.027 0.104 0.027 2.881 90.319 0.162 0.146 10.06 4.446 1.092 0.047 0.359 0.757 0.175 21.355 0.189 0.173 10.884 4.762 1.119 0.048 0.386 0.861 0.202 24.236 36 34 1 1338 267 1 15 374 1 89 1 2498 1 48 1 50 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 1/15/2021 **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 LAND APPLICATION FIELD SUMMARY FORM Supplemental Information 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. Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 7 Acres Utilized: 88.15 Land Owner: HWB Family Annual Dry Tons Applied: 236.7709 Site #: AM116 Acres Permitted: 88.15 Operator: David Ridlin Predominant Soil Series: TaB Cation Exchange Capacity (non 503): Crop 1 Name: Cotton Crop I Max. PAN: 48 Crop 2 Name: Wheat Crop 2 Max PAN: 50 o Q Volume applied (enter one) Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, D e ' Moist) preci p. Past 24 Hrs. inches � w * C o 7 w * ?j ; TKN mg/kg Z o 5 o p �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of CropType yp ReceivingResidual Application Crop 1 Crop 2 Crop 1 Crop 2 12/12 78000 3.93 0.145 East Burlington D <.5" S 0.5 0.3 25000 11000 22 Na 2.820 Wheat 12/30 156000 3.93 0.290 East Burlington D <.5" S 0.5 0.3 25000 11000 22 Na 5.639 Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 TOTALS:J 01 234000 0.435 00001 8.45911106, "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 1/15/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date ***C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (SUPP) (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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 68.64 Acres Permitted: 68.64 Site #: AM116 Field #: 122.25 TaB Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Bonn MENWEEME NUMEMBEEMEM 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 1.72 0.07 Arsenic 0.017 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Cadmium 0.017 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Copper 0.806 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.827 Chromiuni 0.230 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.238 Lead 0.017 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 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- 0.017 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.103 0.004 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.106 Selenium 0.017 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.018 Zinc 2.744 0.083 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.827 Total Phos- 72.030 1.188 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 73.218 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 1/15/2021 Signature of Land Applier Date DENR FORM MFLSF (12/2006) 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. Facility Name: City of Burlington Land Owner: HWB Family Operator: David Ridlin Crop 1 Name: Cotton WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 122.25 Site #: Predominant Soil Series: TaB Crop 1 Max. PAN: 48 Crop 2 Name: Acres Utilized: 68.64 AM116 Acres Permitted: 68.64 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 3/18 13000 4.62 0.036 East Burlington Dry <.5" S 0.5 0.3 25000 15000 1 50 0.770 NA Cotton 3/19 91000 4.62 0.255 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 5.389 NA Cotton 3/20 84500 4.62 0.237 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 5.004 NA Cotton 3/28 117000 4.62 0.328 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 6.929 NA Cotton 3/29 136500 4.62 0.383 East Burlington Dry <.5" S 0.5 0.3 25000 15000 50 8.084 NA Cotton 3/30 169000 4.62 0.474 East Burlington Dry <.5" S 0.5 0.3 25000 15000 1 50 10.009 NA Cotton 4/6 26000 4.21 0.066 East Burlington Dry <.5" S 0.5 0.3 28000 12000 34 1.441 NA Cotton 0.000 0.000 0.000 0.000 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 37.626 0.00o Lime Applied Annuallbs/acre 0.018 0.018 0.827 0.238 0.018 0.001 0.018 0.106 0.018 2.827 73.218 0.147 0.125 8.012 4.042 1.033 0.04 0.309 0.586 0.15 17.96 0.165 0.143 8.839 4.280 1.051 0.041 0.327 0.692 0.168 20.787 36 34 1 1338 267 15 374 89 1 2498 1 1 48 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 12 Acres Permitted: 13.82 Site #: AM116 Field #: 34.09 GaB 10 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 2.84 Arsenic 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Cadmium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Copper 0.682 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.682 Chromiuni 0.170 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.170 Lead 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 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- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.097 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.097 Selenium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Zinc 2.614 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.614 Total Phos- 68.184 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 68.184 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 1/15/2021 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 HWB Family Operator: David Ridlin WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 34.09 Site #: Predominant Soil Series: GaB Crop 1 Name: Soybeans Crop 1 Max. PAN: 190 Crop 2 Name: 10 Acres Utilized: 12 AM116 Acres Permitted: 13.82 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 5/4 156000 5.24 2.841 East Burlington D <.5" S 0.5 0.3 1 30000 15000 1 40 68.402 NA Beans 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 156000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 68.402 0.000 Lime Applied Annuallbs/acre 0.028 0.028 0.682 0.170 0.028 0.001 0.028 0.097 0.028 2.614 68.184 16.092 18.706 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.102 0.096 9.887 3.514 1.232 0.024 0.209 0.546 0.102 Current Cumulative lbs/ac 0.130 0.124 10.569 3.684 1.260 0.025 0.237 0.643 0.130 Permitted C. P. L. R. * * * * 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop I 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Frank Small Owner: HWB Family Predominant Soil Series: Acres Used: 40 Acres Permitted: 52.97 Site #: AM116 Field #: 93.76 GaB 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 1.46 0.89 Arsenic 0.015 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Cadmium 0.015 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Copper 0.349 0.249 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.598 Chromiuni 0.087 0.085 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.173 Lead 0.015 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 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- 0.015 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.050 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.085 Selenium 0.015 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Zinc 1.340 0.959 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.299 Total Phos- 34.944 19.536 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 54.480 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 1/15/2021 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 HWB Family Operator: Frank Small WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 93.76 Site #: Predominant Soil Series: GaB Crop 1 Name: Soybeans Crop 1 Max. PAN: 190 Crop 2 Name: 11 Acres Utilized: 40 AM116 Acres Permitted: 52.97 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 5/6 32500 5.24 0.178 East Burlington D <.5" S 0.5 0.3 1 30000 15000 1 40 4.275 NA Beans 5/7 71500 5.24 0.391 East Burlington D <.5" S 0.5 0.3 30000 15000 40 9.405 NA Beans 5111 84500 5.24 0.462 East Burlington D <.5" S 0.5 0.3 30000 15000 40 11.115 NA Beans 5/12 78000 5.24 0.426 East Burlington D <.5" S 0.5 0.3 30000 15000 40 10.260 NA Beans 6/1 84500 5.04 1 0.444 East Burlington D <.5" S 0.5 0.3 27000 13000 55 9.550 NA Beans 6/2 84500 5.04 0.444 East Burlington D <.5" S 0.5 0.3 1 27000 13000 1 55 9.550 NA Beans 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 435500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 54.156 0.000 Lime Applied Annuallbs/acre 0.023 0.023 0.598 0.173 0.023 0.001 0.023 0.085 0.023 2.299 54.480 16.839 19.138 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.13 0.086 9.578 4.118 1.031 0.045 0.272 0.916 0.128 Current Cumulative lbs/ac 0.153 0.109 10.176 4.291 1.054 0.046 0.295 1.001 0.151 Permitted C. P. L. R. * * * * 36 34 1338 1 267 15 1 1 374 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: David Ridlin Owner: HWB Family Predominant Soil Series: Acres Used: 14 Acres Permitted: 19.16 Site #: AM116 Field #: 31.95 GaB 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 2.28 Arsenic 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Cadmium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Copper 0.707 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.707 Chromium 0.274 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.274 Lead 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 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- 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.123 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.123 Selenium 0.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 Zinc 2.875 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.875 Total Phos- 41.076 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 41.076 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 1/15/2021 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 #: WQ0000520 Field #: 12 Acres Utilized: HWB Family Annual Dry Tons Applied: 31.95 Site #: AM116 Acres Permitted: David Ridlin Crop 1 Name: Soybeans Predominant Soil Series: Crop 1 Max. PAN: 190 E Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 14 19.16 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) Precip.y Past 24 Hrs. inches '5L 0 w * o * o rt * o TKN mg/kg Ei 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 4/29 182000 4.21 2.282 East Burlington D <.5" S 0.5 0.3 28000 12000 34 49.452 NA Soybeans 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 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 1 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 182000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 49.452 0.000 Lime Applied Annuallbs/acre 0.023 0.023 0.707 0.274 0.023 0.001 0.023 0.123 0.023 2.875 41.076 5.625 8.500 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.073 0.036 2.663 1.525 0.267 0.012 0.096 0.212 0.057 C.E.C. 1420 Current Cumulative lbs/ac 0.096 0.059 3.370 1.799 0.290 0.013 0.119 0.335 0.080 Permitted C. P. L. R.**** 36 1 34 1338 1 267 1 15 1 374 89 Permit PAN Limit 1 st/2nd Crop 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Brewer Owner: James Brewer Predominant Soil Series: Acres Used: 10 Acres Permitted: 14.82 Site #: CH039 Field #: 21.66 CmB 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date 11111m 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 2.17 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 0.446 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.446 Chromiuni 0.169 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.169 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 0.074 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.074 Selenium 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.022 Zinc 1.689 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.689 Total Phos- 38.988 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 38.988 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 1/15/2021 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 James Brewer Operator: James Brewer Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 21.66 Site #: Predominant Soil Series: CmB Crop 1 Max. PAN: 142 Crop 2 Name: Acres Utilized: 10 CH039 Acres Permitted: 14.82 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 11/24 136500 3.33 1.895 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 39.543 NA Fescue 11/25 19500 3.33 0.271 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 5.649 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 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 ts6000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 45.192 0.000 Lime Applied Annuallbs/acre 0.022 0.022 0.446 0.169 0.022 0.001 0.022 0.074 0.022 1.689 38.988 7.927 9.616 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.07 0.06 3.706 2.536 0.294 0.017 0.094 0.267 0.08 Current Cumulative lbs/ac 0.092 0.082 4.152 2.705 0.316 0.018 0.116 0.341 0.102 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 142 "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 1/15/2021 **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): 1.77 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Brewer Owner: James Brewer Predominant Soil Series: GaB Acres Used: 4 Acres Permitted: 20.38 Site #: CH039 Field #: 4 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 0.44 Arsenic 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.091 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.091 Chromiuni 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 Lead 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 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 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 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 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Zinc 0.346 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.346 Total Phos- 7.974 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 7.974 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 1/15/2021 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 James Brewer Operator: James Brewer Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 1.77 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 158 Crop 2 Name: 4 Acres Utilized: 4 CH039 Acres Permitted: 20.38 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 11/20 110500 3.33 3.836 East Burlington Dry <.5" S 0.5 0.3 28000 10000 1 31 80.027 NA Fescue 11/21 39000 3.33 1.354 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 28.245 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 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 t495oo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 1108.2721 0.000 Lime Applied Annuallbs/acre 0.004 0.004 0.091 0.035 0.004 0.000 0.004 0.015 0.004 0.346 7.974 7.252 7.598 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.074 0.066 3.652 2.344 0.225 0.015 0.094 0.244 0.08 Current Cumulative lbs/ac 0.078 0.070 3.743 2.379 0.229 0.015 0.098 0.259 0.084 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 158 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: James Brewer Owner: James Brewer Predominant Soil Series: Acres Used: 27.61 Acres Permitted: 32.61 Site #: CH040 Field #: 45.28 GaB 1 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 1.18 0.46 Arsenic 0.012 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Cadmium 0.012 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Copper 0.242 0.102 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.344 Chromiuni 0.092 0.051 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.143 Lead 0.012 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 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 0.001 Molyb- 0.012 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 denum Nickel 0.040 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.058 Selenium 0.012 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 Zinc 0.918 0.435 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.353 Total Phos- 21.186 8.704 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 29.890 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 1/15/2021 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 James Brewer Operator: James Brewer Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 45.28 Site #: Predominant Soil Series: GaB Crop 1 Max. PAN: 158 Crop 2 Name: Acres Utilized: 27.61 CH040 Acres Permitted: 32.61 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 11/21 45500 3.33 0.229 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 4.774 NA Fescue 11/23 97500 3.33 0.490 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 10.230 NA Fescue 11/25 91000 3.33 0.458 East Burlington Dry <.5" S 0.5 0.3 28000 10000 31 9.548 NA Fescue 12/3 78000 3.93 0.463 East Burlington Dry <.5" S 0.5 0.3 25000 11000 22 9.002 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 3t2000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 33.554 0.000 Lime Applied Annuallbs/acre 0.016 0.016 0.344 0.143 0.016 0.001 0.016 0.058 0.016 1.353 29.890 30.417 31.770 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.22 0.158 17.198 7.326 1.304 0.06 0.437 1.081 0.243 Current Cumulative lbs/ac 0.236 0.174 17.542 7.469 1.320 0.061 0.453 1.139 0.259 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 158 "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 1/15/2021 **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): WQ0000520 Cation Exchange Capacity (non 503 only): Dennis Simmons Owner: Delmar Allred Predominant Soil Series: 28.42 Acres Permitted: 28.42 Site #: CS018 Field #: 99.36 ApB 1 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 3.50 Arsenic 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 Cadmium 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 Copper 0.909 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.909 Chromium 0.273 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.273 Lead 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 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- 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 denum Nickel 0.105 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.105 Selenium 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 Zinc 2.727 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.727 Total Phos- 58.733 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 58.733 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 1/15/2021 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 Delmar Allred Operator: Dennis Simmons Crop 1 Name: Fescue -Hay WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 99.36 Site #: Predominant Soil Series: ApB Crop 1 Max. PAN: 238 Crop 2 Name: Acres Utilized: 28.42 CS018 Acres Permitted: 28.42 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 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 * 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 8/25 45500 4.64 0.310 East Burlington Dry <.5" S 0.5 1 0.3 21000 6000 30 4.665 NA Fescue 8/26 169000 4.64 1.151 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 17.328 NA Fescue 8/27 188500 4.64 1.283 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 19.327 NA Fescue 8/28 110500 4.64 0.752 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 11.330 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 513500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 52.650 0.000 Lime Applied Annuallbs/acre 0.035 0.035 0.909 0.273 0.035 0.001 0.035 0.105 0.035 2.727 58.733 20.632 23.359 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.137 0.112 7.078 2.567 0.982 0.027 0.206 0.659 0.19 Current Cumulative lbs/ac 0.172 0.147 7.987 2.840 1.017 0.028 0.241 0.764 0.225 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 238 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 22.91 Acres Permitted: 22.91 Site #: CS036 Field #: 51.00 IrB 6 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 2.23 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 0.668 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.668 Chromiuni 1.469 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.469 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 0.080 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.080 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 2.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.048 Total Phos- 57.876 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 57.876 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 1/15/2021 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 Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 51.00 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: 87 Crop 2 Name: Acres Utilized: 22.91 CS036 Acres Permitted: 22.91 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 11rs. inches F '5 w * o o' 7� co * 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 9/3 123500 3.36 0.755 East Burlington Dry <.5" S 0.5 0.3 25000 7000 1 23 13.479 NA Fescue 9/4 214500 3.36 1.312 East Burlington Dry <.5" S 0.5 0.3 25000 7000 23 23.411 NA Fescue 9/8 26000 3.36 0.159 East Burlington Dry <.5" S 0.5 0.3 25000 7000 23 2.838 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: 0 36400o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.728 0.000 Lime Applied Annuallbs/acre 0.022 0.022 0.668 1.469 0.022 0.001 0.022 0.080 0.022 2.048 57.876 85.228 87.276 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.477 0.565 60.03 21.469 8.286 0.172 1.225 4.501 0.364 Current Cumulative lbs/ac 0.499 0.587 60.698 22.938 8.308 0.173 1.247 4.581 0.386 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 87 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 17.45 Acres Permitted: 17.45 Site #: CS036 Field #: 49.17 IrB 7 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 2.82 Arsenic 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Cadmium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Copper 0.845 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.845 Chromiuni 1.860 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.860 Lead 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 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- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.101 Selenium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Zinc 2.593 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.593 Total Phos- 73.268 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 73.268 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 1/15/2021 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 Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 49.17 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: Crop 2 Name: Acres Utilized: 17.45 CS036 Acres Permitted: 17.45 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 * 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 9/2 221000 3.36 1.774 East Burlington Dry <.5" S 0.5 0.3 25000 7000 1 23 31.667 NA Fescue 9/3 130000 3.36 1.044 East Burlington Dry <.5" S 0.5 0.3 25000 7000 23 18.628 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: 0 35t000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 50.295 0.000 Lime Applied Annuallbs/acre 0.028 0.028 0.845 1.860 0.028 0.001 0.028 0.101 0.028 2.593 73.268 0.507 0.537 59.075 18.407 7.769 0.149 1.362 4.494 0.409 88.163 0.535 0.565 59.920 20.267 7.797 0.150 1.390 4.595 0.437 90.756 1 36 34 1 1338 267 1 15 374 1 89 1 2498 1 1 88 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 10.88 Acres Permitted: 10.88 Site #: CS036 Field #: 30.05 0 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 2.43 0.34 Arsenic 0.024 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Cadmium 0.024 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Copper 0.631 0.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.732 Chromiuni 0.189 0.221 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.410 Lead 0.024 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 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 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.073 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.085 Selenium 0.024 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Zinc 1.893 0.308 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.201 Total Phos- 40.774 8.710 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 49.484 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 1/15/2021 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 Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 30.05 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: Crop 2 Name: Acres Utilized: 10.88 CS036 Acres Permitted: 10.88 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 * 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 8/28 58500 4.64 1.040 East Burlington Dry <.5" S 0.5 0.3 21000 6000 1 30 15.668 NA Fescue 8/31 78000 4.64 1.387 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 20.890 NA Fescue 9/2 26000 3.36 0.335 East Burlington Dry <.5" S 0.5 0.3 25000 7000 23 5.975 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: o t625oo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 42.533 0.000 Lime Applied Annuallbs/acre 0.028 0.028 0.732 0.410 0.028 0.001 0.028 0.085 0.028 2.201 49.484 89.025 91.226 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.47 0.561 60.637 19.757 8.194 0.155 1.227 4.383 0.39 Current Cumulative lbs/ac 0.498 0.589 61.369 20.167 8.222 0.156 1.255 4.468 0.418 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 88 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 7.67 Acres Permitted: 7.67 Site #: CS036 Field #: 20.95 IbB2 9 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 2.73 Arsenic 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Cadmium 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 0.819 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.819 Chromiuni 1.802 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.802 Lead 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 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- 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 denum Nickel 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 Selenium 0.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Zinc 2.513 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.513 Total Phos- 7.101 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 7.101 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 1/15/2021 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 #: WQ0000520 Field #: 9 Acres Utilized: Dennis Simmons Annual Dry Tons Applied: 20.95 Site #: CS036 Acres Permitted: Dennis Simmons Crop 1 Name: Fescue -Pasture Predominant Soil Series: IbB2 Crop 1 Max. PAN: 90 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 7.67 7.67 1 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 9/21 149500 3.36 2.731 East Burlington D <.5" S 0.5 0.3 25000 7000 23 48.737 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 149500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 48.737 0.000 Lime Applied Annuallbs/acre 0.027 0.027 0.819 1.802 0.027 0.001 0.027 0.098 0.027 2.513 7.101 0.201 0.279 34.303 12.104 4.734 0.116 1.029 2.314 0.212 49.524 0.228 0.306 35.122 13.906 4.761 0.117 1.056 2.412 0.239 52.037 36 34 1338 267 15 374 89 2498 90 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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 14.26 Acres Permitted: 14.26 Site #: CS036 Field #: 40.24 IrB 10 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 2.82 Arsenic 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Cadmium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Copper 0.734 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.734 Chromium 0.220 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.220 Lead 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 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- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.085 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.085 Selenium 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Zinc 2.201 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.201 Total Phos- 47.410 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 47.410 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 1/15/2021 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 Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 40.24 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: Crop 2 Name: 10 Acres Utilized: 14.26 CS036 Acres Permitted: 14.26 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 8/20 182000 4.64 2.469 East Burlington Dry <.5" S 0.5 0.3 21000 6000 1 30 37.190 NA Fescue 8/21 26000 4.64 0.353 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 5.313 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: 0 2os000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 42.503 0.000 Lime Applied Annuallbs/acre 0.028 0.028 0.734 0.220 0.028 0.001 0.028 0.085 0.028 2.201 47.410 59.698 61.899 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.309 0.267 37.432 10.821 4.829 0.091 1.18 2.708 0.367 Current Cumulative lbs/ac 0.337 0.295 38.166 11.041 4.857 0.092 1.208 2.793 0.395 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 88 "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 1/15/2021 **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 #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: Acres Used: 24.73 Acres Permitted: 24.73 Site #: CS036 Field #: 40.24 IrB 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 1.63 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 0.423 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.423 Chromiuni 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 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 0.049 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.049 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 1.269 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.269 Total Phos- 27.334 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 27.334 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 1/15/2021 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 Dennis Simmons Operator: Dennis Simmons Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 40.24 Site #: Predominant Soil Series: IrB Crop 1 Max. PAN: Crop 2 Name: 12 Acres Utilized: 24.73 CS036 Acres Permitted: 24.73 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 8/24 71500 4.64 0.559 East Burlington Dry <.5" S 0.5 0.3 21000 6000 1 30 8.425 NA Fescue 8/25 136500 4.64 1.068 East Burlington Dry <.5" S 0.5 0.3 21000 6000 30 16.084 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 2os000 As Cd Cu Cr Pb Hg, Mo Ni Se Zn P 24.509 o.000 Lime Applied Annuallbs/acre 0.016 0.016 0.423 0.127 0.016 0.001 0.016 0.049 0.016 1.269 27.334 39.19 40.459 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.263 0.218 20.63 6.577 3.342 0.055 0.812 1.914 0.283 Current Cumulative lbs/ac 0.279 0.234 21.053 6.704 3.358 0.056 0.828 1.963 0.299 Permitted C. P. L. R. * * * * 36 34 1 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 88 "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 1/15/2021 **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): 30.06 Permit #: WQ0000520 Cation Exchange Capacity (non 503 only): Operator: Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series: CuB2 Acres Used: 15 Acres Permitted: 19.55 Site #: CS113 Field #: 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 2.00 Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Copper 0.601 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.601 Chromiuni 1.323 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.323 Lead 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 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- 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.072 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.072 Selenium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 1.844 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.844 Total Phos- 52.104 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 52.10 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 1/15/2021 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 Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0000520 Field #: Annual Dry Tons Applied: 30.06 Site #: Predominant Soil Series: CuB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 15 CS113 Acres Permitted: 19.55 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 * 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 9/8 84500 3.36 0.789 East Burlington Dry <.5" S 0.5 0.3 25000 7000 1 23 14.086 NA Fescue 9/9 130000 3.36 1.214 East Burlington Dry <.5" S 0.5 0.3 25000 7000 23 21.670 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: 0 214500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 35.756 0.000 Lime Applied Annuallbs/acre 0.020 0.020 0.601 1.323 0.020 0.001 0.020 0.072 0.020 1.844 52.104 5.027 6.871 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.043 0.038 2.998 0.722 0.572 0.011 0.104 0.394 0.028 Current Cumulative lbs/ac 0.063 0.058 3.599 2.045 0.592 0.012 0.124 0.466 0.048 Permitted C. P. L. R. * * * * 1 36 34 1 1338 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 156 "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 1/15/2021 **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): WQ0000520 Cation Exchange Capacity (non 503 only): Linda Clemmons Owner: Linda Clemmons Predominant Soil Series: 10 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 #): -ICom- posite �. �.Date Phos- 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 1.18 1.19 Arsenic 0.012 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Cadmium 0.012 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Copper 0.355 0.071 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.426 Chromiuni 0.781 1.092 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.873 Lead 0.012 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 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 0.001 Molyb- 0.012 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 denum Nickel 0.043 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 Selenium 0.012 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 Zinc 1.089 0.237 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.327 Total Phos- 30.784 7.122 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 37.91 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 1/15/2021 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 Linda Clemmons Operator: Linda Clemmons WQ Permit #: WQ0000520 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: 10 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 9/10 26000 3.36 0.364 East Burlington Dry <.5" S 0.5 0.3 25000 7000 1 23 6.501 NA Fescue 9/11 58500 3.36 0.820 East Burlington Dry <.5" S 0.5 0.3 25000 7000 23 14.628 NA Fescue 0.000 0.000 0.000 9/14 156000 1.46 0.950 Mackintosh Dry <.5" S 0.5 0.4 17000 8000 14 14.463 NA Fescue 9A 5 39000 1.46 0.237 Mackintosh Dry <.5" S 0.5 0.4 17000 8000 14 3.616 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 39.207 o.000 Lime Applied Annuallbs/acre 0.024 0.024 0.426 1.873 0.024 0.001 0.024 0.059 0.024 1.327 37.906 29.554 30.881 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.177 0.183 16.379 4.853 2.265 0.045 0.466 1.894 0.169 Current Cumulative lbs/ac 0.201 0.207 16.805 6.726 2.289 0.046 0.490 1.953 0.193 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 1/15/2021 **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) Residual Analyses and TCLP ab 12/17/2019 American Testing Technologies, Inc. City of Burlington, NC Attu: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 120619-36 37 Enclosed are the results of the sample(s) submitted to our laboratory on 12/06/2019. 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 fall, 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 samy@americantestingtechnologies.com ely, abl atory 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 Horne Avenue Akron, Ohio 44310 Toll Free: 877,634.9906 Phone_ 330.634.9906 Fax: 330.634.9907 www.Arnerica nTestingTechnologies.corn FL City Of Burlington, NC American Testing Technologies, Inc. Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 12/06/2019 Date Reported: 12/17/2019 Date Collected: 12/02/2019 Time Collected: 0115 Client ID #: EB012010 LaboratoryED #: 120619-36 Certificate of Analysis Parameter Result Result Analysis Date Method Aluminum, Total 34,700 12/10/2019 6010D Arsenic, Total <5.0 12/10/2019 601OD Cadmium, Total <5.0 12/10/2019 6010D Calcium, Total 23.3 233,000 12/10/2019 6010D Chromium, Total 49 12/10/2019 6010D Copper, Total 160 12/10/2019 6010D Iron, Total 11,460 12/10/2019 601OD Lead, Total <5.0 12/10/2019 6010D Magnesium, Total 0.36 3,580 12/10/2019 6010D Manganese, Total 760 12/10/2019 6010D Mercury, Total <0.20 12/10/2019 7471B Molybdenum, Total <5.0 12/10/2019 6010D Phosphorus, Total 0.90 9,000 12/10/2019 6010D Nickel, Total 19 12/10/2019 6010D Potassium, Total 0.27 2,700 12/10/2019 601OD Selenium, Total <5.0 12/10/2019 6010D Sodium, Total 0.32 3,200 12/10/2019 6010D Sulfur, Total 1.0 10,000 12/10/2019 6010D Zinc, Total 630 12/10/2019 6010D Total Kjeldahl Nitrogen 3.60 36,000 12/13/2019 SM-4500 Ammonia Nitrogen 1.40 14,000 12/13/2019 SM4500 Organic Nitrogen 2.20 22,000 12/13/2019 Calculation Nitrate+Nitrite- N 20 12/13/2019 SM-4500C Calcium Carbonate Equivalent 41 410,000 12/10/2019 AOAC 955.01 Total Solids 3.60 36,000 12/06/2019 SM-2540G Total Volatile Solids 41 410,000 12/06/2019 SM-2540G Moisture 96.40 12/06/2019 SM-2540G 1350 Horne Avenue Akron, Ohio 44310 roll Free: 877.634.9906 Phone: 330.634„9906 Fax: 330.634.9907 www.AmericanTestingTechnofogies.com _............ _. American Testing Technologies, Inc. ANALYSIS REQUEST AND 4 M 1350 Home Avenue Akron, ON 44310 CHAIN OF CUSTODY RECORD Websfte: www.AmericanTestingTechnologies.com American Testing Technologies, Inc. Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-990fir7 PROJECT REF FENCE PROJECT NO. PROJECTLOCATION MATRIX PAGE OF (STATE) 4,1 C_ TYPE REQUIRED ANALYSIS PROJ CTTMANAGER P.O. NUMBER CONTRACT NO. STANDARD REPORT ` �2 ; z DELIVERY CLIENT (SITE) CLIENT PHONE CLIENT FAX 'zz7 S133 z eu w PATE DUE EXPEDITED REPORT GLI _NT NAME CLIENT E-MAIL VIC. t-AS �/� ] �� ! �LAf �lti^1 a 0 9 o DELIVERY Q {SURCHARGE) CLIENTA D SS o R En 2 g DATE DUE - ry/ Sy LU NUMBER OF COOLERS SUBMITTED = o a z o I PER 3HIP.MENT: SAMPL DATE TIME SAMPLE IDENTIFICATION o��1p61`] NUMBER OF CONTAINERS SUBMITTE�D/ REMARKS \\5 � (j U� 0'� 7 d !4 Zt, t 5 �� � IJ Gu rY Zn 1 U (� P ELIN IS�EA BY: (SIGNaTUR ATE TIME RELfNQUISNED fay; (SIGNATURE) 14f6bVED DATE TIME RELINQWSHED BY: (SIGNATURE) DATE TIME BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY. (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIVED FOR LABADRAT RY� (SIGMA ) a DATE TIME � CUSTODYINTACT YES �I' CUSTODY SI=AL NO; A.T:T, LOG NO. LABORATORY REMARKS �� N0 0 1 31 ORIGINAL - RETURN TO LABORATORY' WITH SAMPLE(S) QD American Testing Technologies, Inc. 02/21 /2020 City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 021020-59 60 Enclosed are the results of the sample(s) submitted to our laboratory on 02/10/2020. 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 sarny-@americantestino-technologies.com .anager 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 Avenues Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 3"0.634.9906 Fax: 330.634.9907 www.AmericanTestir,gTechnologies.com Page 1 of 3 City of Burlington, NC Attn: Glenn McGirt 1302 Bebuont Street Burlington, NC 27215 Date Received: 02/10/2020 Date Reported: 02/21/2020 Date Collected: 02/03/2020 Time Collected: 0434 Client ID #: EB032020 Laboratory ID #: 021020-60 CD American Testing Technoiogies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method (%) (m g) Aluminum, Total 57,000 02/17/2020 6010D Arsenic, Total <5.0 02/17/2020 6010D Cadmium, Total <5.0 02/17/2020 601OD Calcium, Total 1.83 18,300 02/17/2020 6010D Chromium, Total 67 02/17/2020 6010D Copper, Total 235 02/17/2020 6010D Iron, Total 22,800 02/17/2020 6010D Lead, Total <5.0 02/17/2020 6010D Magnesium, Total 0.42 4,200 02/17/2020 601OD Manganese, Total 560 02/17/2020 6010D Mercury, Total <0.20 02/17/2020 7471B Molybdenum, Total <5.0 02/17/2020 6010D Phosphorus, Total 2.1 21,000 02/17/2020 6010D Nickel, Total 30 02/17/2020 601OD Potassium, Total 0.28 2,800 02/1-7/2020 6010D Selenium, Total <5.0 02/17/2020 6010D Sodium, Total 0.15 1,500 02/17/2020 6010D Sulfur, Total 0.8 8,000 02/17/2020 601OD Zinc, Total 800 02/17/2020 6010D Total K'eldaW Nitrogen 2.50 00 02/19/2020 SM-4500 Ammonia Nitrogen 1.50 t15,006 02/19/2020 SM-4500 Organic Nitrogen 1.00 00 02/19/2020 Calculation Nitrate+Nitrite- N 50 02/18/2020 SM-4500C Calcium Carbonate Equivalent 35 350,000 02/20/2020 AOAC 955.01 Total Solids 4.62 4,6200 02/11/2020 SM-2540G Total Volatile Solids 40 400,000 02/11/2020 SM-2540G Moisture 95.38 02/11/2020 SM-2540G 1350 Home Avenue Akron. Ohio 44310 TouFree:877.634.9906 Phone:330.634.9906 Fax.-330.634.9907 www.ArnericanTestingTechnoiogies.corn Page of Serial Number 003037 American Testing Technologies, Inc. 4aw ANALYSIS REQUEST AND 1350 Horne Avenue Akron, OH 44310 CHAIN OF CUSTODY RECORD Website: www.AmericanTestingrechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 American Testing Technologies, Inc. Fax: (330) 634-9907 PR J�ECT RE�ENC '�� L/�y�ID PROTECT N0. PROJECT LO F}N MATRIX REQUIRED ANALYSIS PAGE OF (STATE) TYPE PROJECT MANAGER S c 6S It gig i' P.O. NUMBER CONTRACT NO. STANDARD REPORT L"Al w z DELIVERY DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX a � CLIENT NAME CLIENT E-MAI j (' / ker, -- EXPEDITED REPORT DELIVERY ,� O?j I�" -i , IJ^P,C�'•l ¢ O a © o Ly (SURCIiARGE) DATE RUE CLI T��pApDDR fp tr �_ ate'" hi f r LD 4 LLl 4 p J �j &X—f �r S NUMBER OF COOLERS SUE3MfTTEO PER SHIPMCNT: f ®R1 S7till v) 0o c w d' ¢ o o rn ¢ � 0 z i:' .,. ,,; Mti ' NUMBER OF CONTAINERS A <{ SUBMITTED _ REMARKS SAMPLE SAMPLE IDENTIFICATMN DATE TIME off �Nq 114 el.- i D o a v;-z 6 U -�J e TTF RELINQUISHED BY (SIGNATURE) DATE TIME RELIN UISHED BY:1SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RE EIVED BY: (SIGNATURE). DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIUi D:FO)t LABAORATOR 1 . '(SIGNATURE) lIAT TliV11 CU5 fOOY IN7A T CUSTODY � /i,T.T: LAB+7RATORY REMARKS YES SEAL NO. LOG NO. 7 No. 0 ' `—z V r 4sp 03/30/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 03 062 0-0203 Enclosed are the results of the sample(s) submitted to our laboratory on 03/06/2020. 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 sam riamericantestin echnolo ies.com .anager 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 3 Ton Free: 877.634.9906 Phone. 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com City of Burlington, NC Attu.: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 03/06/2020 Date Reported: 03/30/2020 Date Collected: 03/02/2020 Time Collected: 0435 Client ID #: EB042020 Laboratory ID 9: 030620-02 4sp American Testing Technologies, Inc. Certificate of Analysis Parameter Result N (Result lm g) Analysis Date Method Aluminum, Total 47,600 03/16/2020 601OD Arsenic, Total ,<5.0 03/16/2020 6010D Cadmium, Total <5.0 03/16/2020 6010D Calcium, Total 1.3 13,100 03/16/2020 6010D Chromium, Total 60 03/16/2020 6010D Copper, Total 155 03/16/2020 6010D Iron, Total 22,000 03/16/2020 601OD Lead, Total <5.0 03/16/2020 6010D Magnesium, Total 0.27 2,700 03/16/2020 6010D Manganese, .Total 350 03/16/2020 601 OD Mercury, Total <0.20 03/16/2020 7471B Molybdenum, Total <5.0 03/16/2020 6010D Phosphorus, Total 0.90 9000 03/16/2020 6010D Nickel, Total 27 03/16/2020 6010D Potassium, Total 0.31 3,100 03/16/2020 6010D Selenium, Total <5.0 03/16/2020 601OD Sodium, Total 0.27 2,700 03/16/2020 6010D Sulfur, Total 0.58 5,800 03/16/2020 6010D Zinc, Total 630 03/16/2020 6010D Total Kjeldahl Nitrogen 2.80 28,000 03/20/2020 SM-4500 .Ammonia Nitrogen 1.20 12,000 03/20/2020 SM-4500 Organic Nitrogen 1.60 16,000 03/20/2020 Calculation Nitrate+Nitrite- N 34 03/20/2020 SM-4500C Calcium Carbonate Equivalent 31 310,000 03/19/2020 AOAC 955.01 Total Solids 4.21 4,2100 03/09/2026 SM-2540G Total Volatile Solids 44 440,000 03/09/2020 SM-2540G Moisture 95.79 03/09/2020 SM-254OG 1350 Home Avenue Akron, Ohio 44310 Page 2 of 3 Toll Free: 877.634.9906 Phone: 330.634:9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com ANALYSIS REQUEST AND CHAIN OR CUSTODY RECORD o w American Tesling Technologies; Inc. AeneriCaln Testing TeCltnolOgies, Inc. 1350 ,Home Avenue Akron, ON 44310 Website: wwwAtnericanTestingrechnoioi ies.corn Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (33C}) 634 990WT PROJECT REFERENCE { I'1 l PROJECT NO. PROJECT LOCATION (STATE) M MATRIX TYPE REQUIRED ANALYSIS PAGE or PROD CT MANAGER P.O. NUMBER CONTRACT NO. i' µ1 a o a —�� STANDARD REPORT DELIVERY DATE. DUE EXPEDITED REPORT DELIVERY C) (SURCHARGE) DATE DUE CLIENT (SITE) J CLIENT PHONE ZZZ _ CLIENT FAX CLIENT NAME CLIENTE-MAIL tf1G•] CLIENT A D SS NUMBER OF COOLERS SUBMITTED PFR SHIPMENT: /►� �ly 1t Y a J `L�o SAMPL SAMPLE IDENTIFICATION a�IICA� � NUMBER OF CONTAINERS SUBMITTEtD, REMARHS DATE TIME ,+ 701' I L ® '5a,4 " z,0 G%AIca. Zn a i11X o RELINQ [SHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME C IVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED (3Y: (SIGNATURE) DATE TIME LAR4RATO,RY USE.ONLY RECEIVED FORLABAORATORYBY (SIGNATURFa r l DATE TIME CIfSTODYINTACf' .. y. .. jr CLII;iODY SEAL NO. pT:T :pL�OG NO. ..kABdRAMRY'REMARKS ORIGINAL - RETiPHI 10 LABIIRAVORY WITH SAMPI.E(S) �I 04/30/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 041320-05 Enclosed are the results of the sample(s) submitted to our laboratory on 04/13/2020. 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 fall, and with written approval from the laboratory. It f you have any questions please contact the laboratory manager at 330-634-9906 or via c nail at sam_,americantes_tinptechnoloOes.com 4ely, 4 v� abtory Manager SL- Test performed by an approved subcontract laboratory BRI.- 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. i350 Nome Avenue Akron, Ohio 44310 Tvo Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www,AmericanTestingTechnaIogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 04/13/2020 Date Reported: 04/30/2020 Date Collected: 04/06/2020 Time Collected: 0100 Client ID #: EB052020 Laboratory ID #: 041320-05 American Testing Technologies, Inc. Certificate of Analvsis Parameter Result %) Result (m g) Analysis Date Method Aluminum, Total 22,700 04/16/2020 6010D Arsenic, Total <5.0 04/16/2020 6010D Cadmium, Total <5.0 04/16/2020 6010D Calcium, Total 12.8 127,860 04/16/2020 6010D Chromium, Total 30 04/16/2020 601OD Copper, Total 120 04/16/2020 6010D Iron, Total 9,500 04/16/2020 6010D Lead, Total <5.0 04/16/2020 6010D Magnesium, Total 0.25 2,500 04/16/2020 6010D Manganese, Total 230 04/16/2020 6010D Mercury, Total <0.20 04/16/2020 7471B Molybdenum, Total <5.0 04/16/2020 6010D Phosphorus, Total 1.2 12,000 04/16/2020 601 OD Nickel, Total 17 04/16/2020 6010D Potassium, Total 0.11 1,100 04/16/2020 6010D Selenium, Total <5.0 04/16/2020 601OD Sodium, Total 0.15 1,500 04/16/2020 6010D Sulfur, Total 0.40 4,000 04/16/2020 601OD Zinc, Total 460 04/16/2020 6010D Total Kjeldahl Nitrogen 3.00 30,000 04/24/2020 SM-4500 Ammonia Nitrogen 1.50 15,000 04/24/2020 SM-4500 Organic Nitrogen 1.50 15,000 04/24/2020 Calculation Nitrate+Nitrite- N 40 04/24/2020 SM-4500C Calcium Carbonate Equivalent 35 350,000 04/23/2020 AOAC 955.01 Total Solids 5.24 5,2400 04/14/2020 SM-2540G Total Volatile Solids 50 500,000 04/14/2020 SM-2540G Moisture 94.76 04/14/2020 SM-2540G 1350 Home Avenue Akron. Ohio 44310 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnoiogies.com ANALYSIS REQUEST AND CHAIN CR CUSTODY RECORD w American Tesiing TecBnologies; Inc. American Testing Technologies, Inc. 1350Home Avenue Akron, OH 44310 Website: wwwAmericanTestingTechnologies.com Toll Free: $77-634-9906 Phone: (330) 634-9906 Fax: (330) 634-990p, T PROJECT REFRENCE 1 PROJECT No. PROJECT LOCATION (STATE) C MAT TYPE REQUIRED ANALYSIS PAGE OF PROD CT MANAGER j Gli"n1M �"l P.O. NUMBER CONTRACT NO. ? o tai � o. o v � 0 w x c � a. a o Gn � Q ,� a x z STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT CD DELIVERY (SURCHARGE) DATE DUE CLIENT {SITE} CLIENT PHONE C CLIENT FAX NAME CLIENT InG W E-MAIL r-� 1 . b,w I M CLIENTA 55 f , PER SWI OF COOLERS SUBMITTED PER SHIPMl=NT: � O SAMPL SAMPLEIQ£NTIE(CATION �� iChNUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME Cup Zn Old M SHED BY 5I NATURE} AA DATE TIME RELINQUISHED BY (SIGNATURE) rDATE TIME RELINQUISHEO BY: (SIGNATURE) DATE TIME ECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) TIME RECEIVED BY: (SIGNATUREI DATE. TIME IAR RATo,RY U5E.ONLY RECENEDFOR LABAO RYBY: 'D TE {51GNATIJAE} TIME ! ` CIISTODYANTACT 1.1WSTODY YE5_�5- .:.SEAL-N0: NO: - © _— A.T.T. : f-0 ..LABORATORY REMARKS 11 l 1 (—I v ORIGINAL - RETURN T9LABQRA34D WI'THSAMPLE(S) qW 05/22/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 051120-28 29 Enclosed are the results of the sample(s) submitted to our laboratory on 05/11/2020. 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 samy@,americantestinatech.nologies.com el f bo tory Manager f SIr Test performed by an approved subcontract laboratory BR]L- 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 Toll Free_ 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmeriCanTestingTechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 05/11/2020 Date Reported:-Q5/22/2020 Date Collected: 05/04/2020 Time Collected: 0107 Client ID #: EB062020 Laboratory ID #: 051120-28 1 American Testing Technologies, Inc. Certificate of Analysis Parameter Result (°/a) Result (m g) Analysis Date Method Aluminum, Total 38,700 05/12/2020 601OD Arsenic, Total <5.0 05/12/2020 6010D Cadmium, Total <5.0 05/12/2020 6010D Calcium, Total 16.5 165,000 05/12/2020 6010D Chromium, Total Copper, Total 48 140 05/12/2020 05/12/2020 6010D 6010D Iron, Total 17,700 05i12/2020 6010D Lead, Total <5.0 05/12/2020 6010D Magnesium, Total 0.41 4,100 05/12/2020 6010D Man anese, Total 300 05/12/2020 6010D Mercury, Total <0.20 05/12/2020 7471B Molybdenum, Total <5.0 05/12/2020 601OD Phosphorus, Total 1.1 11,000 05/12/2020 6010D Nickel, Total 20 05/12/2020 6010D Potassium, Total 0.2 2,000 05/12/2020 601OD Selenium, Total <5,0 05/12/2020 6010D Sodium, Total 0.17 1,700 05/12/2020 6010D Sulfur, Total Zinc, Total 0.50 5,000 540 05/12/2020 05/12/2020 6010D 6010D Total Kjeldahl Nitrogen Ammonia Nitrogen 2.70 1.30 27,000 13,000 05/19/2020 05/19/2020 SM-4500 SM-4500 Organic Nitrogen 1.40 14,000 05/19/2020 Calculation. Nitrate+Nitrite- N 55 05/19/2020 SM-4500C Calcium Carbonate Equivalent 40 400,000 05/18/2020 AOAC 955.01 Total Solids Total Volatile Solids 5.04 41 5,0400 410,000 05/13/2020 05/13/2020 SM-2540G SM-2540G Moisture 94.96 1 05/13/2020 1 QM-2540G 1350 Home Avenue Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmoricanTestingTechnoIogies.com Serial Number 003037 4mo ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTesttngTochnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT R E jENC mdd Vi'[a«. p PROJECT NO, PROJECT LO ON {STATE} MATRIX TYPE REQUIRED ANALYSIS PAGE OF PROJECT MANAGER _ rV.fq Pj iL&psi gz-- f P.O. NUMBER CONTRACT NO. � m 1 Q a i �� a 0 a z o q a STANDARD REPORT DELIVERY DATE DUE EXPEDITED REPORT DELIVERY C) (SURCHARGE) DATE DUE CLIENT (SITE( CLIENT PHONE CLIENT FAX CLIENT NAME %% l�r Zalal f Rom' CLIENT E-MAI JJ o� rv( �" L^^r,IrvTgI,-YS, NGt%,f2j J CLI TADDRLM &A+ g� „ "' �° NUMBER OF CONTAINERS Cn �i'T SUBMITTED NUMBER OF COOLERS SUBMITTED fERSHIPfNENT: REMARKS SAMPLEJ SAMPLE IDENTIFICATION DATE TIME �b®lo-i&f1 r�� ? t , a :a RELI Q SHED BY: (SIGNATURE) DATE 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 L 4BORITQRY USE'ONLY_ RECEIVED: 1_IRYBY:. (SIGNATURE DAT TIME - CUSTODYIN CT YES CUSTODY SUSio 0. .'AT.T,.. ILABORATORYREMARKS- LOG NO. p d 06/19/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 060820-22 Enclosed are the results of the sample(s) submitted to our laboratory on 06/08/2020 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 samy@arnericantestipgechnolop-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 Toll Free; 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.ArnericanTest1ngTechnoIogies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 06/08/2020 Date Reported: 06/19/2020 Date Collected: 06/01/2020 Time Collected: 0050 Client ID #: EB072020 Laboratory ID #: 060820-22 Ceardfiicate of Analysis Parameter Result {% Result {m Analysis Date Method Aluminum, Total 36,670 06/11/2020 6010D Arsenic, Total <5.0 06/11/2020 6010D Cadmium, Total <5.0 06/11/2020 6010D Calcium, Total 14.0 14,0000 06/19/2020 601OD Chromium, Total .42 06/11/2020 601OD Copper, Total 180 06/11/2020 6010D Iron, Total 14,180 06/11/2020 6010D Lead, Total <5.0 06/11/2020 6010D Magnesium, Total 0.35 3,500 06/11/2020 6010D Manganese, Total 330 06/11/2020 6010D Mercury, Total <0.20 06/11/2020 7471 B Molybdenum, Total <5.0 06/11/2020 6010D Phosphorus, Total 0.90 9,000 06/11/2020 6010D Nickel, Total 20 06/11/2020 6010D Potassium, Total 0.2 2,000 06/19/2020 601OD Selenium, Total <5.0 06/11/2020 6010D Sodium, Total 0.07 740 06/11/2020 6010D Sulfur, Total 0.67 6,700 06/11/2020 6010D Zinc, Total 630 06/11/2020 6010D Total Kjeldahl Nitrogen 2.60 26,000 06/15/2020 SM-4500 Ammonia Nitrogen 0.90 9,000 06/15/2020 SM-4500 Organic Nitrogen 1.70 17,000 06/15/2020 Calculation Nitrate+Nitrite- N 36 06/15/2020 SM-4500C Calcium Carbonate Equivalent 39 390,000 06/16/2020 AOAC 955.01 Total Solids 5.29 5,2900 06/08/2020 SM-254OG Total Volatile Solids 52 520,000 06/08/2020 SM-2540G Moisture 94.71 06/08/2020 SM-2540G 1350 Home Avenue Akron, Ohio 44310 non Free: 877,634.9906 Phone. 330.634.9906 Fax. 330.634,9907 www.AmericanTestingTechnologies.com Aimerlcan Testing lrechnologles, Inc. 1350 Home Avenue Akron, OH �44310 4=0 ANALYSIS RIrQUIrST AND Website: www.ArnericanTeatingTechnniag'ies-00m CHAIN OFVUSTODY RECORD Toil Free: 877-634-9906 Phone: (330) 634-9906 Fax: (33O)634-990.r7 American Testing Technologies, Inc. PAGE OF ECTREFERENCE q PROJECT NO. PROJECTLACATION MATRIX (STATE) TYPE REQUIRED ANALYSIS y STANDARD REPORT ECT MANAGER P.O. NUMBER CONTRACT NO_ DELIVERY I�CS UT {Siff) CLIENT PHONE C CLIENT FAX OATS DUE •ZLZ 7k33 EXPEDITED REPORT VT NAME CLIENT E-MAIL µ5 fe DELIVERY [� (5URCHARGE) yl ve DATE DUE NTA 55 i NUMBER oFCnOLERSSUOUP'TED J. e� rliln AMC, Z 2,110 uj SAMPL o a a�r5 NUMBER OF CONTAINERS SUBMITTED REMARKS TIME SAMPLE IDENTWICATION .� DATE pd► not- 1-716 HEI.INI UISHEO BY: jsIGNATifREi DATE TIME RELINQUISHED BY. (SIGNATURE) DATE TIME RELINQUISHED 13Y: (5IGNA70RE) PATE TIME RECEIVED BY: (SIGNATURE} DATE TIME RECEIVED W.ISIGNATORF) DATE TIME RECEIVED UV (SIrNATURs i DATE TIME ------ - -- EAFPRATONY.USE.ONLY RECEIVED FDR LAW TORY BN p E TIME CCISTODY INTICCT' .. ::.61" OPY ' A.T.T AABORATORY`REMlIRKt' (SIpNAT1:8P� .YES .r,; 3EAUNQ; :LOG'N r / .N0: CC) — ORIGINAL - RETURN TO LABORATORY WITH SANIPLRA) • 07/28/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 071320-36 37 Enclosed are the results of the sample(s) submitted to our laboratory on 07/13/2020. 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 samya aamericantestingtechnol4es com anager SLr 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 4433.0 Ton Free, 877.634.9906 Phone. 330.634.9906 Fax. 330.634.9907 wwvJ_American7esting7echnclogies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Behnont Street Burlington, NC 27215 Date Received: 07/13/2020 Date Reported: 07/28/2020 Date Collected: 07/06/2020 Time Collected: 0412 Client ID #: EB082020 Laboratory ID #: 0713 20-3 6 4ib American Testing Technologies, inc. Certificate of Analysis Parameter Result Result Analysis Date Method. (a/o� (mg/kg) Aluminum, Total 43,100 07/15/2020 6010D . Arsenic, Total <5.0 07/15/2020 6010D Cadmium, Total <5.0 07/15/2020 601OD Calcium, Total 18.3 183,200 07/15/2020 6010D Chromium, Total 39 07/15/2020 6010D Copper, Total 130 07/15/2020 6010D Iron, Total 15,700 07/15/2020 601OD Lead, Total <5.0 07/15/2020 601OD Magnesium, Total 0.30 2,980 07/15/2020 6010D Manganese, Total 240 77/15/2020 6010D Mercury, Total <0.20 07/15/2020 7471B Molybdenum, Total <5.0 07/15/2020 601OD Phosphorus, Total 0.84 8,400 07/15/2020 6010D Nickel, Total 15 07/15/2020 6010D Potassium, Total 0.2 2,050 07/15/2020 6010D Selenium, 'Total <5.0 07/15/2020 601 OD Sodium., Total 0.08 800 07/15/2020 6010D Sulfur, Total 0.50 5,000 07/15/2020 6010D Zinc, Total 390 07/15/2020 6010D Total Kjeldahl Nitrogen 2.10 21,000 07/23/2020 SM-4500 Ammonia Nitrogen 0.60 6,000 07/23/2020 SM-4500 Organic Nitrogen 1.50 15,000 07/23/2020 Calculation Nitrate+Nitrite- N 30 07/23/2020 SM-4500C Calcium Carbonate Equivalent 36 360,000 07/15/2020 AOAC 955.01 Total Solids 4.64 4,6400 07/14/2020 SM-254OG Total Volatile Solids 45 450,000 07/14/2020 SM-2540G Moisture 95.36 07/14/2020 SM-2540G 1350 Horne Avenue Akron, Ohio 4439A Tou Free: 877.634.9906 Phone: 330,634.9906 Fax, 330.634.9907 www.AmericanTestingTechnologies.corn Serial Number 003037 A ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD 4 American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue Akron, OH 44310 Website: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT RE aE ENC o� A PROJECT MANAGER PROJECT NO. P.O. NUMBER PROJECT LO ©N (STATE) CONTRACT NO, MATRIX TYPE z p w � J cn m Q Q o & o w a 8 a (n a z REQUIRED ANALYSIS PAGE OF STANDARD REPORT 0ELIVE RY DATE DUE EXPEDITED REPORT DELIVERY CD (SURCHARGE) DATE DUE CLIENT (SITE) CLIENT PHONE j `7 [ < CLIENT FAX CLIENT NAME Cs` Q �r✓r CLIENT E-MAIL IA"P(_�n° ri+`f� p a �^r:(/lrfA�I[ lrnf%,i�l JJ CLI TADDR r f �4 4 r� 6 wi r ..s vt n Gr,i3.q� NUMBER OF CONTAINERS SUBMITTED ram- � �� NUMBER OF COOLERS SUBMITTED PERSMfPMENT. - - REMARKS IL I pJ SAMPLE ­/ SAMPLE IDENTIFICATION DATE TyWE e { '� RELI Q ISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) HATE TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORRTORY USE ONLY . .RECEIVED :FOR L AORATORYBY (SIGNATUR DATE T1M1: CUSTODYINTACT - YES, . NO C �o���� CUSTODY .SERL N0. AT.T, LAB REMARKS LOG NO. F71 r -17r-99 08/24/2020 American Testing Technologies, Inc. City of Burlington, NC ' Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Report No.. 080720-78 Enclosed are the results of the sample(s) submitted to our laboratory on 08/07/2020. 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__samy@americantestingtechnologies_com tanager 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 Toff Free: 877.634.9906 Phone: 330.634.9906 Fax: 330,634.9907 www.AmerlcanTestingTechncIogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street 'Burlington, NC 27215 Date Received: 08/07/2020 Date Reported: 08/24/2020 Date Collected: 08/03/2020 Tune Collected: 08:05 Client ID #: EB092020 Laboratory ID #: 080720-78 Qb American Testing Technologies, Inc. Certificate of Analvsis Parameter Result Result Analysis Date Method N (m g} Aluminum, Total 38,700 08/19/2020 6010D Arsenic, Total <5.0 08/19/2020 6010D Cadmium, Total <5.0 08/19/2020 6010D Calcium, Total 24.9 248,500 08/19/2020 6010D Chromium, Total 330 08/19/2020 6010D Copper, Total 150 08/19/2020 6010D Iron, Total 11,900 08/19/2020 6010D Lead, Total <5.0 08/19/2020 601OD Magnesium, Total 0.4 3,700 08/19/2020 6010D Manganese, Total 290 08/19/2020 6010D Mercury, Total <0.20 08/19/2020 7471B Molybdenum, Total <5.0 08/19/2020 6010D Phosphorus, Total 0.13 1,300 08/19/2020 6010D Nickel, Total 18 08/19/2020 6010D Potassium, Total 0.14 1,400 08/19/2020 6010D Selenium, Total <5.0 08/19/2020 6010D Sodium, Total 0.1 1,000 08/19/2020 6010D Sulfur, Total 0.7 6,700 08/19/2020 6010D Zinc, Total 460 08/19/2020 6010D Total Kjeldahl Nitrogen 2.5 25,000 08/17/2020 SM-4500 Ammonia Nitrogen 0.70 7,000 08/17/2020 SM-4500 Organic Nitrogen 1.80 18,000 08/17/2020 Calculation Nitrate+Nitrite- N 23 08/17/2020 SM-4500C Calcium Carbonate Equivalent 31 310,000 08/19/2020 AOAC 955.01 Total Solids 3.36 33,600 08/07/2020 SM-2540G Total Volatile Solids 41 410,000 08/07/202, SM-2540G Moisture 96.64 08/07/2020 SM-2540G 1350 Home Avenue Akron, Ohio 44310 page 2 of 2 roll Free. 877.634.9906 Phone. 330.634.9906 Fax. 330.634.9907 www.AmericanTestingTechnoiogies.com ANALYSIS REQUEST AND CHAIN O!F CUSTODY RECORD w American Testing Tbchnaicgies; Inc. American Testing Teclhneloglas, Inc. 1350 Home Avenue Akron, OHi 44310 Website: www.AmericanTestingrechnologtes.com Toll Free: 877-634-9906 Phone: (330) T34-9906 Fax: (330) 634-1390JY7 PROJECT REFF.RFNCE { Min l PROJECT NO. PROJECT LOC TION I$TATE) C_ MATRDC TYPE REQUiREO ANALYSIS PAGE OF PRO1 CT MANAGER f P.O. NUMBER CONTRACT NO. w c^o ¢ o � Q o � � STANDARD REPORT �._�r DELIVERY CX DATE DUEy� EXPEDITED REPORT DELIVERY (SURCHARGE) DATE DUE CLIENT(SITE) CLIENTPHONE - 7-ZZ � � CLIENT FAX CLIENT NAME ap-murimalmVI-T CLIENTE•MAIL G.] 11 I , bLW CLIENT A SS 135AW � NUMS�R OF COOLERS 5GeM171"50 PER SHIPMENT: SAMPL SAMPLE IDENTINCATION �NIOVA 5 NUMBER OFCONTAINERS SUBMITTED REMARKS DATE TIME ( V lzb & 7p G� CI i dJ !L. -%OOLI Zn a RELIN Ui HED BY: (SIGNATURE) DATE TIME TIME RELINQUISHED BV (SIGNATURE) RECEIVED BY: (SIGNATuRF1 DATE DATE TIME TIME RELINQUISHED BY: (SIGNATURE) RECEIVED BY: (SIGNATURE) t DATE DATL TIME TIME RECEIVED BY: ISGGNATURE► DATE L OOROQRY USE.ONLY I' RECEIVED -FOR ATn (SIGNATURE) � DAY TIME CClST DYINTIi CD Co5TpDY A;T.L LABgRATORY'RNIARKS' --- I I � ORICINAL - RkT1 RN TO LABORATORY Wlili SANiFLR SV 10/19/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Sharon Wagoner 1302 Belmont Street ,Burlington, NC 27215 Report No.: 100820-10 Enclosed are the results of the sample(s) submitted to our laboratory on 10/08/2020. 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 samy@americantestinLytechnologies.com S .l L a ory Manager i 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 decnsions 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 roll Free, 877.634.9906 Phone:330.634,9906 Fox: 330.634,9907 www.AmericanTestingTechnoIogies.com City of Burlington, NC Attn: Sharon Wagoner 1302 Belmont Street Burlington, NC 27215 Date Received: 10/08/2020 Date Reported: 10/19/2020 Date Collected: 10/05/2020 Time Collected: 0050 Client ID #: EB 112020 Laboratory ID #: 100820-10 Qb American Testing TechncIogies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method (n�0) (mg kg Aiuminum, Total 22,700 10/12/2020 601OD Arsenic, Total �<5.0 10/12/2020 6010D Cadmium, Total <5.0 10/12/2020 601OD Calcium, Total 13.9 139,400 10/12/2020 6010D Chromium, Total 39 10/12/2020 601OD Copper, Total 103 10/12/2020 6010D Iron, Total 8,000 10/12/2020 6010D Lead, Total <5.0 10/12/2020 6010D Magnesium., Total 0.32 3,200 10/12/2020 6010D Manganese, Total 570 10/12/2020 6010D Mer , Total <0.20 10/12/2020 7471B Moi Wdenum, Total <5.0 10/12/2020 6010D Phosphorus, Total 0.90 9,000 10/12/2020 601 OD Nickel, Total 17 10/12/2020 6010D Potassium, Total 0.19 1,900 10/12/2020 601OD Selenium, Total <5.0 10/12/2020 6010D Sodium, Total 0.14 1,400 10/12/2020 6010D Sulfur, Total 0.75 7,500 10/12/2020 6010D Zinc, Total 390 10/12/2020 6010D Total Kjeldahl Nitrogen— 2.80 28,000 10/15/2020 SM-4500 Ammonia Nitrogen 1.00 10,000 10/15/2020 SM-4500 Organic Nitrogen 1.80 18,000 10/15/2020 Calculation Nitrate+Nitrite- N 31 10/15/2020 SM-4500C Calcium Carbonate E uivalent 33 330,000 10/16/2020 AOAC 955.01 Total Solids 3.33 33,600 10/08/2020 SM-2540G Total Volatile Solids 49 410,000 10/08/2020 SM-2540G Moisture 96.67 10/08/2020 SM-2540G 1.350 Home Avenue Akron, Ohio 44310 7ou Free: 977.634,9906 Phone: 330.634.9906 - Fex: 330.634.9907 Page 2 Of 2 www.AmericanTestingTechnol€sgies.com ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Tesling TLIChnnlogies, Inc. American Testing Technolegi s, Inc. 1350'Home Avenue Akron, Ohl 44310 Wehsite: www.AmericanTestingTechnolagies,com Toll Free: 877-634-9906 Phone: (330) 11553443906 Fax: (330) 634-990.W7 PROJECT REF PENCE PROJECT NO. PROJECT LOCRTION (STATE) MATRIX TYPE REQ0IREDANALYS)S ' PAGE OF pROJ CT MANAGER y0/I r_•L P.O. Nt)M®ER CONTRACT N0. w U z rn o N ee y z o a a z I � STANDARREPORT D DELIVERY x DATE DUE VAPEPRED REPORT DELIVERY 0 (SURCHARGE) DATE DUE CLIENT ISITE) CLIENT PHONE rr CLIENT FAX CLIENT NAME CLIENT EMAIL Y1G• a.�j Y r 1 1 I. 114,a GLIESVT A D ss x 1M AV,. z► NUMBER OF COOLERS SUR MITTED PER SHMWNT. SAMT'L SAMPLE IDENTIFICATION D�VrS Nt1MBER pF CONTAINERS SUBMITTED REMARKS DATE TIME ra�s- �oSD1120� Sd� K S Cu Zvt 1 6` id o r T I RELIM ISHEO BY: SIGNATURE) DATE TIME RELINQUISHED BY. (SIGNATURE) DATE TIME RELINQUISHED BY: [SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY: [SIaNATLmi) GATE TIME IJ►IiURATi'4RK USE.ON LY RECEIVED FOR LASAQAATOAY BY: [SIGNATURE j _ +YES l/ Syr DATE V i/" TIME �:.NO_� CU5TDDY CT -CD : CUST{1pV.I', SEAL NO; A:TT, :LOG'N �1 R� }�W .L'ALipRAXORY'RtMARKS ORIGINAL. - RETURN TO LABORATORY WITH SAMPLE(S) 11/17/2020 American Testing Technologies, [nc. City of Burlington, NC Attu: Sharon Wagoner 1302 Belmont Street Burlington, NC 27215 Report No.: 110520-37 Enclosed are the results of the sample(s) submitted to our laboratory on 11/05/2020. 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 samy@americantestinatechnoloics.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 Toll Free, 877.634.9906 phone. 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnofogies.corn r_1 �r_l AVIF 6hL�- American Testing Technologies, Inc. City of Burlington, NC Attn: Sharon Wagoner 1302 Belmont Street Burlington, NC 27215 Date Received: 11/05/2020 Date Reported: 11/17/2020 Date Collected: 11/02/2020 Time Collected: 0103 Client ID #: EB 122020 Laboratory ID #: 110520-37 Certificate of Anal sis Parameter Result Result Analysis Date Method N l1 gl Aluminum, Total 27,600 11/12/2020 6010D Arsenic, Total <5.0 11/12/2020 6010D Cadmium, Total <5.0 11/12/2020 6010D Calcium, Total 19 190,000 11/12/2020 6010D Chromium., Total 55 11/12/2020 6010D Copper, Total 110 11/12/2020 6010D Iron, Total 10,690 11/12/2020 6010D Lead, Total <5.0 11/12/2020 6010D Magnesium, Total 0.31 3,100 11/12/2020 6010D Manganese, Total 380 11/12/2020 6010D Mercury, Total <0.20 11/12/20 00 7471E Molybdenum, Total <5.0 11/12/2020 6010D Phosphorus, Total 0.94 9,400 11/12/2020 6010D Nickel, Total 19 11/12/2020 6010D Potassium, 'Total 0.17 1,700 11/12/2020 6010D Selenium, Total <5.0 11/12/2020 601QD Sodium, Total 0.54 5,400 11/12/2020 6010D Sulfur, Total 0.80 8,000 11/12/2020 6010D Zinc, Total 470 11/12/2020 601 OD Total K'eldahl Nitrogen 2.50 25,000 11/13/2020 SM-4500 Ammonia Nitrogen 1.10 11,000 11/13/2020 SM-4500 Organic Nitrogen 1.40 14,000 11/13/2020 Calculation Nitrate+Nitrite- N 22 11/13/2020 SM-4500C Calcium Carbonate Equivalent 36 360,000 11/16/2020 AOAC 955.01 Total Solids 3.93 39,300 11/05/2020 SM-2540G Total Volatile Solids 41 410,000 11/05/2020 SM-254OG Moisture 96.07 11/05/2020 SM-2540G 1350 Home Avenue Akron, Ohio 44310 roll Free: 877.634.9906 Phone: 330.634.9906 Fax, 330.634.9907 www.AmericanTestingTechnologies.com ANALYSIS REQUEST AND CHAIN rai�•11;�1STODY RECORD 4im American Testing Technologies, Inc. Amewican Testing Technologies, 1350'Home Avenue Akron, OH Webslte. www.American7estingTechnologies.com Toll Free: $77-634-9906 Phone: (330) Fax: {380) 634990�� Inc. 44310 349906 PROJECT REFERENCE PROJECT NO, PROJECT LOCATION (STATE) MATRIR TYPE REQUIRED ANALYSIS I PAGE OF PRO1 CT MANAGER ` 1 i P.O. NUMBER CONTRACT NO. �C o w a 'N ' " o x�rf1r� I STANDARD REPORT DEI.Iv�Rv DATE DUE EXPEDITED REPORT DELIVERY CD (SURCHARGE) OATS PUe CLIENT (SITE) CLIENT PHONE • ZZ7- _ s 133 CLIENT FAX CLIENT NAME CLIENT MAIL ✓tom• V'4 I , bt irk( c3 CLIENT A o -ssL359 Fi NUMBER OF COOLERS SURMlTTWL) PER 9NIPMENT- �(�� ��//� °� lY J •b ' fi z1 SAMPL 5AMPLEIDENTIF(CATION?,� NUMBER OF CONTAINERS SUBMITTED REMARKS DATE TIME 2 ZO a l43►1ZZ0'� im n. G� Zn a RELIN I HED BY: (SI NATUR I DATE TIME RELINQUISHED BY (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED W.- ISGGNATURE) DATE TIME RECEIVED BY. (SIGNATURE) DATE TIME RECEIVED BY, (SIGNATURE) DATE TIME LABp00RYUsE.0NILY RECEIVED-FORLABAORAFORYBY ISIGNATURE} DATE " � � TIME CUSTODYINTAM.- _ ; •"CUSTODY :.•ND .---� ::SH1L.N0: j,,A:7'.T-. I:1i60_RATORYRrMARKS :LQI��I�`'�� 1111f J! V ORIGINAL � REMRN TO LAHDR 1311W WITH SAINP)LEM ab 12/17/2019 American Testing Technologies, Inc. City of Burlington, NC Attu: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 120619-36 37 Enclosed are the results of the sample(s) submitted to our laboratory on 12/06/2019. 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 fall, 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 samy@americantestingtechnologies.com ely, abl atory 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 Horne Avenue Akron, Ohio 44310 Toll Free: 877,634.9906 Phone_ 330.634.9906 Fax: 330.634.9907 www.Arnerica nTestingTechnologies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Behnont Street Burlington, NC 27215 Date Received: 12/06/2019 Date Reported: 12/17/2019 Date Collected: 12/02/2019 Time Collected: 0635 Client ID #: SB012020 Laboratory ID #: 120619-37 46D American Tesfing Technologies, Inc. Certificate of Anal. sis Parameter Result Result Analysis Date Method (%) (mg/kg) Aluminum., Total 3,800 12/10/2019 6010D Arsenic, Total <5.0. 12/10/2019 6010D Cadmium, Total <5.0 12/10/2019 6010D Calcium, Total 14.5 144,800 12/10/2019 6010D Chromium, Total 69 12/10/2019 6010D Copper, Total 170 12/10/2019 6010D Iron, Total 8,600 12/10/2019 6010D Lead, Total <5.0 12/10/2019 601OD Magnesium, Total 0.91 9,100 12/10/2019 6010D Manganese, Total 240 12/10/2019 6010D Mercury, Total <0.20 12/10/2019 7471B Molybdenum, Total <5.0 12/10/2019 601OD Phosphorus, Total 3.0 3000 12/10/2019 6010D Nickel, Total 11 12/10/2019 6010D Potassium, Total 1.5 15,300 12/10/2019 6010D Selenium, Total <5.0 12/10/2019 6010D Sodium, Total 0.36 3,630 12/10/2019 601OD Sulfur, Total 1.1 11,000 12/10/2019 6010D Zinc, Total 345 12/10/2019 6010D Total Kjeldahl. Nitrogen 5.50 55,000 12/13/2019 SM-4500 Ammonia Nitrogen 3.00 30,000 12/13/2019 SM-4500 Organic Nitrogen 2.50 25,000 12/13/2019 Calculation Nitrate+Nitrite- N 30 12/13/2019 SM-4500C Calcium Carbonate Equivalent 36 360,000 12/10/2019 AOAC 955.01 Total Solids 2.90 29,000 12/06/2019 SM-2540G Total Volatile Solids 39 390,000 12/06/2019 SM-2540G Moisture 97.10 12/06/2019 SM-2540G 1350 Home Avenue Akron, Ohio 443Z0 Toll Free.,377.634.9906 Phone=330.634.9906 Fax:330,634.9907 www.AmericanTestingTechnologies.com _............ _. American Testing Technologies, Inc. ANALYSIS REQUEST AND 4 M 1350 Home Avenue Akron, ON 44310 CHAIN OF CUSTODY RECORD Websfte: www.AmericanTestingTechnologies.com American Testing Technologies, Inc. Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-990fir7 PROJECT REF FENCE PROJECT NO. PROJECTLOCATION MATRIX PAGE OF (STATE) 4,1 C_ TYPE REQUIRED ANALYSIS PROJ CTTMANAGER P.O. NUMBER CONTRACT NO. STANDARD REPORT ` �2 ; z DELIVERY CLIENT (SITE) CLIENT PHONE CLIENT FAX 'zz7 S133 z eu w PATE DUE EXPEDITED REPORT GLI _NT NAME CLIENT E-MAIL VIC. t-AS �/� ] �� ! �LAf �lti^1 a 0 9 o DELIVERY Q {SURCHARGE) CLIENTA D SS o R En 2 g DATE DUE - ry/ Sy LU NUMBER OF COOLERS SUBMITTED = o a z o I PER 3HIP.MENT: SAMPL DATE TIME SAMPLE IDENTIFICATION o��1p61`] NUMBER OF CONTAINERS SUBMITTE�D/ REMARKS \\5 � (j U� 0'� 7 d !4 Zt, t 5 �� � IJ Gu rY Zn 1 U (� P ELIN IS�EA BY: (SIGNaTUR ATE TIME RELfNQUISNED fay; (SIGNATURE) 14f6bVED DATE TIME RELINQWSHED BY: (SIGNATURE) DATE TIME BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED BY. (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIVED FOR LABADRAT RY� (SIGMA ) a DATE TIME � CUSTODYINTACT YES �I' CUSTODY SI=AL NO; A.T:T, LOG NO. LABORATORY REMARKS �� N0 0 1 31 ORIGINAL - RETURN TO LABORATORY' WITH SAMPLE(S) QD American Testing Technologies, Inc. 02/21 /2020 City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 021020-59 60 Enclosed are the results of the sample(s) submitted to our laboratory on 02/10/2020. 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 sarny-@americantestino-technologies.com .anager 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 Avenues Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 3"0.634.9906 Fax: 330.634.9907 www.AmericanTestir,gTechnologies.com Page 1 of 3 City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/10/2020 Date Reported: 02/21/2020 Date Collected: 02/03/2020 Time Collected: 0735 Client ID #: SB032020 Laboratory ID #. 021020-59 ATIF American Testing Technologies, Inc. Certificate of Analysis Parameter Result Result Analysis Date Method (mg/kg) Aluminum, Total 1,860 02/17/2020 601OD Arsenic, Total <5.0 02/17/2020 .6010D Cadmium, Total <5.0 02/17/2020 6010D Calcium, Total 12.9 129,032 02/17/2020 6010D Chromium, Total 55 02/17/2020 601OD Copper, Total 130 02/17/2020 6010D Iron, Total 8,550 02/17/2020 6010D Lead, Total <5.0 02/17/2020 6010D Magnesium, Total 095 9,470 02/17/2020 601OD Manganese, Total 200 02/17/2020 6010D Mercury, Total <0.20 02/17/2020 7471B Molybdenum, Total <5.0 02/17/2020 6010D Phos horus, Total 2.7 27,000 22/17/2020 6010D Nickel, Total <5.0 02/17/2020 6010D Potassium, Total 1.4 13,700 02/17/2020 6010D Selenium, Total <5.0 02/17/2020 6010D Sodium, Total 0.16 1,560 02/17/2020 6010D Sulfur, Total 0.95 9,500 02/17/2020 601OD Zinc, Total 300 02/17/2020 6010D Total Kjeldahl Nitrogen 4.70 47,000 02/19/2020 SM-4500 Ammonia Nitrogen 2.50 25,000 02/19/2020 SM-4500 Organic Nitrogen 2.20 22,000 02/19/2020 Calculation Nitrate+Nitrite- N 65 02/18/2020 SM-4500C Calcium Carbonate Equivalent 35 350,000 02/20/2020 AOAC 955.01 Total Solids 3.19 3,1900 02/11/2020 SM-2540G Total Volatile Solids 45 450,000 02/11/2020 SM-2540G Moisture 96.81 02/11/2020 SM-2540G 1350 Home Avenue Akron, Ohio 44310 Tot! Free: 877.634.9906 Phone: 330.634.9906 Fax. 330.634,9907 www.AmerkcanTestingTechnoIogies.corn Page 2 of 3 Serial Number 003037 American Testing Technologies, Inc. 4aw ANALYSIS REQUEST AND 1350 Horne Avenue Akron, OH 44310 CHAIN OF CUSTODY RECORD Website: www.AmericanTestingrechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 American Testing Technologies, Inc. Fax: (330) 634-9907 PR J�ECT RE�ENC '�� L/�y�ID PROTECT N0. PROJECT LO F}N MATRIX REQUIRED ANALYSIS PAGE OF (STATE) TYPE PROJECT MANAGER S c 6S It gig i' P.O. NUMBER CONTRACT NO. STANDARD REPORT L"Al w z DELIVERY DATE DUE CLIENT (SITE) CLIENT PHONE CLIENT FAX a � CLIENT NAME CLIENT E-MAI j (' / ker, -- EXPEDITED REPORT DELIVERY ,� O?j I�" -i , IJ^P,C�'•l ¢ O a © o Ly (SURCIiARGE) DATE RUE CLI T��pApDDR fp tr �_ ate'" hi f r LD 4 LLl 4 p J �j &X—f �r S NUMBER OF COOLERS SUE3MfTTEO PER SHIPMCNT: f ®R1 S7till v) 0o c w d' ¢ o o rn ¢ � 0 z i:' .,. ,,; Mti ' NUMBER OF CONTAINERS A <{ SUBMITTED _ REMARKS SAMPLE SAMPLE IDENTIFICATMN DATE TIME off �Nq 114 el.- i D o a v;-z 6 U -�J e TTF RELINQUISHED BY (SIGNATURE) DATE TIME RELIN UISHED BY:1SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RE EIVED BY: (SIGNATURE). DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY USE ONLY RECEIUi D:FO)t LABAORATOR 1 . '(SIGNATURE) lIAT TliV11 CU5 fOOY IN7A T CUSTODY � /i,T.T: LAB+7RATORY REMARKS YES SEAL NO. LOG NO. 7 No. 0 ' `—z V r 4sp 03/30/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 03 062 0-0203 Enclosed are the results of the sample(s) submitted to our laboratory on 03/06/2020. 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 sam riamericantestin echnolo ies.com .anager 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 3 Ton Free: 877.634.9906 Phone. 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 03/06/2020 Date Reported: 03/30/2020 Date Collected: 03/02/2020 Time Collected: 0640 Client ID #: SB042020 Laboratory ID #: 030620-03 4sp American Testing Technologies, Inc. Certificate of Analysis Parameter Result N Result (mg/kg) Analysis Date Method Aluminum, Total 3,700 03/16/2020 6010D Arsenic, Total <5.0 03/16/2020 601OD Cadmium, Total <5.0 03/16/2020 6010D Calcium, Total 18 180,000 03/16/2020 6010D Chromium, Total 80 03/16/2020 6010D Copper, Total 200 03/16/2020 601OD Iron, Total 10,470 03/16/2020 601OD Lead, Total <5.0 03/16/2020 6010D Magnesium, Total 1.1 11,000 03/16/2020 6010D Manganese, Total 280 03/16/2020 601 OD Mercury, Total <0.20 03/16/2020 7471B Molybdenum, Total <5.0 03/16/2020 601OD Phosphorus, Total 2.9 29,000 03/16/2020 6010D Nickel, Total 60 03/16/2020 6010D Potassium, Total 1.9 18,700 03/16/2020 6010D Selenium, Total <5.0 03/16/2020 601OD Sodium, Total 0.28 2,800 03/16/2020 601OD Sulfur, Total 1.1 11,100 03/16/2020 601OD Zinc, Total 400 03/16/2020 6010D Total Kjeldahl Nitrogen 4.90 49,000 03/20/2020 SM-4500 Ammonia Nitrogen 3.00 30,000 03/20/2020 SM-4500 Organic Nitrogen 1.90 19,000 03/20/2020 Calculation Nitrate+Nitrite- N 50 03/20/2020 SM-4500C Calcium Carbonate Equivalent 37 370,000 03/20/2020 AOAC 955.01 Total Solids 2.77 2,7700 03/09/2020 SM-2540G Total Volatile Solids 57 570,000 03/09/2020 SM-2540G Moisture 97.23 03/09/2020 SM-2540G 1350 Home Avenue Akron, Ohio 44310 page 3 of 3 rorr Free. 877.634.9906 Phone. 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.corn ANALYSIS REQUEST AND CHAIN OR CUSTODY RECORD o w American Tesling Technologies; Inc. AeneriCaln Testing TeCltnolOgies, Inc. 1350 ,Home Avenue Akron, ON 44310 Website: wwwAtnericanTestingrechnoioi ies.corn Toll Free: 877-634-9906 Phone: (330) 634-9906 Fax: (33C}) 634 990WT PROJECT REFERENCE { I'1 l PROJECT NO. PROJECT LOCATION (STATE) M MATRIX TYPE REQUIRED ANALYSIS PAGE or PROD CT MANAGER P.O. NUMBER CONTRACT NO. i' µ1 a o a —�� STANDARD REPORT DELIVERY DATE. DUE EXPEDITED REPORT DELIVERY C) (SURCHARGE) DATE DUE CLIENT (SITE) J CLIENT PHONE ZZZ _ CLIENT FAX CLIENT NAME CLIENTE-MAIL tf1G•] CLIENT A D SS NUMBER OF COOLERS SUBMITTED PFR SHIPMENT: /►� �ly 1t Y a J `L�o SAMPL SAMPLE IDENTIFICATION a�IICA� � NUMBER OF CONTAINERS SUBMITTEtD, REMARHS DATE TIME ,+ 701' I L ® '5a,4 " z,0 G%AIca. Zn a i11X o RELINQ [SHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME C IVED BY: (SIGNATURE) DATE TIME RECEIVED BY: (SIGNATURE) DATE TIME RECEIVED (3Y: (SIGNATURE) DATE TIME LAR4RATO,RY USE.ONLY RECEIVED FORLABAORATORYBY (SIGNATURFa r l DATE TIME CIfSTODYINTACf' .. y. .. jr CLII;iODY SEAL NO. pT:T :pL�OG NO. ..kABdRAMRY'REMARKS ORIGINAL - RETiPHI 10 LABIIRAVORY WITH SAMPI.E(S) Serial Number 004315 American Testing Technologies, Inc. 4mo ANALYSIS REQUEST AND 1350 Home Avenue, Suite G-1 Akron, OH 44310 CHAIN OF CUSTODY RECORD Website: www.AmericanTestingTechnologies.com Toll Free: 877-634-9906 Phone: (330) 634-9906 American Testing Technologies, Inc. Fax: (330) 634-9907 PROJECT REFERENCE �+ B 7D PROJECT NO, PROJECT LOCATION MATRIX PAGE OF If (STATE) TYPE REQUIRED ANALYSIS PROJECT MANAGE � P.O. NUMBER CONTRACT N0, STANDARD REPORT DELIVERY CLIENT (SITE) CLIENT PHONIE +7 f 7` CLIENT FAX DATE DUE CLIENT NAME CLIENT E-MAIL z a j cn EXPEDITED REPORT tA'l I'v+p—i 'fA I-11 �I Gt an o DELIVERY CENT DDRESS ca o (SURCHARGE) o a oDATE DUE JW U)� U) o NUMBER OF COOLERS SUBMITTED lei cr t ` ru} j PER SHIPMENT: 0 SAMPLE �w DATE TIME SAMPLE IDENTIFICATION 0 d o a NUMBER OF CONTAINERS SUBMITTED REMARKS -1 tL-A 1 '[111 Z D t : - t-A nl0 �' 1A RELINQU ED BY: (SIG AT e) ®ATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME 1T CEIV B. SWIG (ATURF) D E TIME RECEIVED BY:-(SJGNATURE) DATE -TIME RECEIVED BY: (SIGNATURE) DATE TIME LABORATORY USE ONLY. RECEIVED FOR LABAORATOR BY: ti DATE TIME CUSTODY INTACT CUSTODY A.T.T. LABORATORY REMARKS IGNATl1RI) ` YES � SEAL NO. LOG NO. f o� .z�:-01_ : S ORIGINAL - RETURN TO LABORATORY WITH SAMPLE(S) 1 03/31/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.: 022120-01 05 Enclosed are the results of the sample(s) submitted to our laboratory on 02121/2020. 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 samy@ameiicantestinL-technologies.com .anager 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 Horne Avenue Akron, Ohio 44310 Ton Free:877.634.9906 Phone:330.634.9906 Fax.330.634.9907 Page 1 of31 www.AmericanTestingTechnologies.com 4D American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:51 AM Client ID #: East Land AP ELA Laboratory ID #: 022120-01 Date of Analysis: 03/09/2020 Certificate of Aaaalysis Metals-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 zng/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver Q.0 mg/L 5.0 6010C reviewed by: Manager 1350 Dome Avenue Akron, Ohio 44310 ro11 Free-- 877.634.9906 1-none.330.634.9906 Fax.330.634.9907 Page 2 of 31 www.AmericanTestingTechnologies.com plFIF American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:51 AM Client ID #. East Land AP ELA Laboratory ID #: 022120-01 Date of Analysis: 03/06/2020 Certificate of Analysis Volatiles-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Benzene <0.I mg/L 0.5 8260B Carbon tetrachloride <0.1 mg/L 0.5 8260B Chlorobenzene <0.1 mg/L 100 8260B Chloroform <0.1 mg/L 6.0 8260B 1,2-Dichloroethane <0.1 mg/L 0.5 8260B 1,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetraehloroethene <0.1 mg/L 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B reviewed by: Maaager 1350 Home Avenue Akron, Ohio 44310 Toll Free. 877.634.9906 Phone:330.634.9906 Fax.-330.634.9907 Page 3 of 31 www.AmericanTestingTechnologies.com ATIF 6L�-- -�� American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:51 AM Client ID #. East Land AP ELA Laboratory ID #: 022120-01 Date of Analysis: 03/26/2020 Certificate of Anal sis BNA-TCLP (.PA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachiorobenzene <0.05 mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8274C Nitrobenzene <0,05 mg/L 2.0 8270C Pyridine <0,05 mg/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C xn,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 roll Free: 877.634.9906 Phone. 330.634.9906. Fax: 330.634.9907 Page 4 of 31 www.AmericanTestingTechnologies.com LATT American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:51 AM Client ID #: East Land AP ELA Laboratory ID #: 022120-01 Date of Analysis: 03/20/2020 Certificate of Analvsis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 808IB Heptachlor <0.005 mg/L 0.008 8081B Heptachlor epoxide <0.005 mg/L 0,008 8081B Lindane <0.005 mg/L 0.4 8081B Methoxychlor <0.I mg/L 10.0 808IB Toxaphene <0.I mg/L 0.5 8081B reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 page 5 of 31 roll Free. 377.634.9906 Phone: 330,634.9906 Fax. 330.634.9907 www.AmericanTestingTechnoiogies.com LA- ...1 \1AFT American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:51 AM Client ID 9: East Land AP ELA Laboratory ID 9: 022120-01 Date of Analysis: 03/19/2020 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D c1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 Taft Free: 877.634.9906 Phone: 330.634.9906 Fax 330.634.9907 Page 6 of 31 www.AmericanTestingTechnoIog'ies.com City of Burlington, NC Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:51 AM Client ID #: East Land AP ELA Laboratory ID #: 022120-01 49D American Testing Technologies, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.33.2 02/27/2020 Reactive Sulfides <25 mg/kg 7.3.4.1 02/27/2020 pH (Lab) 5.37 S.U. 9045D 02/21/2020 Flash point >140 OF 1010A 02/27/2020 1350 Home Avenue Akron, Ohio 44310 . Taii Free. 877.634.9906 Phone: 330.634.9906 Fax.330.634.9907 Page 7 of 31 www.AmericanTestingTechnologies.com American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis: 03/09/2020 Certificate of Analysis Metals-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C 1350 Home Avenue Akron, Ohio 44310 page $ of 31 Told Free, 877,634.9906 Phone; 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnoIogies.com City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 1038 AM Client ID #: East Zimpro Ash EZA Laboratory ID #: 022120-02 Date of Analysis: 03/06/2020 Volatiles-TCLP (EPA 1311) Parameter Results ATIF 6L� -�� American Testing Technologies, Inc. Certificate of Analysis Units Regulatory Method Limits Number Benzene <0.1 mg/L 0.5 Carbon tetrachloride <0. i mg/L 0.5 Chlorobenzene <0.1 mg/L 100 Chloroform <Q.I mg/L 6.0 1,2-Dichloroedme <0.1 mg/L 0.5 1,1-Dichloroethene <0.1 mg/L 0.7 Methyl ethyl ketone <2.0 mg/L 200 Tetrachloroethene <0.1 mg/L 0.7 Trichloroethene <0.1 mg/L 0.5 Vinyl chloride <0.2 mg/L 0.2 8260B 8260B 8260B 8260B 8260B 8260B 8260B 8260E 8260B 8260B 1350 Home Avenue Akron, Ohio 44310 Page 9 of 31 Toll Free-- 877.634.9906 Phone: 330.634,9906 Fax:330.634.9907 www.AmericanTestingTechno.ogies.com 4-p American Testing Technologies, Inc_ City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:3 8 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis: 03/26/2020 Certificate of Analysis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzene <0.05 mg/L 2.0 8270C Pyridine <0.05 rng/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentacblorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C reviewed by: Manager 1350 Horne Avenue Akron, Ohio 44310 Toll Free: 877.634.9906 Phone: 330,634.9906 Fax_ 330.634.9907 Page l 0 O£3l www.AmericanTestingTechnologies.com quo American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis: 03/20/2020 Certificate of Analysis Pesticides-TCLP MA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 8081B Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0.005 mg/L 0.4 8081B Methoxychlor <0.1 mg/L 10.0 8081B Toxaphene <0.1 mg/L 0.5 8081B reviewed by. Manager 1350 home Avenue Akron, Ohio 44310 page 11 of 31 Tall Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnoIogies.com F� I �F' 6hL� American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirr 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis:.03/19/2020 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A f 1350 Horne Avenue Akron, Ohio 44310 Page 12 of 31 roit Free. 877.634.9906 Phone. 330.634.9906 Far. 330.634.9907 www.AmericanTestingTechnoIogies.com s American Testing Technologies, inc. City of Burlington, NC Alin: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 _ Certificate of Analysis ]Parameter Results Units Method Date of Number Analvsis Reactive Cyanides c0.5 mg/kg 7.3.3.2 02/27/2020 Reactive Sulfides <25 mg/kg 7.3.4.1 02/27/2020 pH (Lab) 6.17 S.U. 9045D 02/21/2020 Flash point >140 of 1010A 02/27/2020 1350 Home Avenue Akron, Ohio 44310 7o1e Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 Page 13 of 31 www.AmericanTe5tingTechnologies.com 4sp Arneacan Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:15 AM Client ID #: South Land AP SLA Laboratory ID #: 022120-03 Date of Analysis: 03/09/2020 Certificate of Analysis Metals-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 rot; Free: 877.634.9906 Phone. 330.634.9906 Fax. 330.634.9907 Page 14 of 31 www.AmericanTest1ngTechnoIogies.corn 4sp American Testing Technologies, Inc_ City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: I0:15 AM Client ID #: South Land AP SLA Laboratory ID #: 022120-03 Date of Analysis: 03/06/2020 Certificate of Analysis Volatiles-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Benzene <0.1 mg/L 0.5 8260B Carbon tetrachloride <0.1 mg/L 0.5 8260B Chlorobenzene <0.I mg/L 100 8260B Chloroform c0.1 mg/L 6.0 8260B 1,2-Dichloroedme <0.1 mg/L 0.5 8260B I,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetrachloroethene <0.I mg/L 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B reviewed by: Manager 1350 Dome Avenue Akron, Ohio 44310 Page 15 of 31 Toll Free. 877.634.9906 Phone. 330.634.9906 Fax. 330.634.9907 www.AmericanTest1ngTechnoIogies.com ATT 6L�-� American Testing Technologies, Iric. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:15 AM Client ID #: South Land AP SLA Laboratory ID #: 022120-03 Date of Analysis: 03/26/2020 Certificate of Analysis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzenc <0.05 xng/L 2.0 8270C Pyridine <0.05 Ing/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C reviewed by: Manager 1360 Home Avenue Akron, Ohio 44310 pa e 16 of 31 Toll Free: 877,634.9906 Phone: 330.634.9906 Fax: 330.634.9907 � www.AmericanTestingTechnologies.com 4p American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:15 AM Client ID #: South Land AP SLA Laboratory ID #: 022120-03 Date of Analysis: 03/20/2020 Certificate of Analysis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 8081B Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0.005 mg/L 0.4 8081B Methoxychlor <0.1 mg/L 10.0 8081E Toxaphene <0.1 mg/L 0.5 8081B reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 Ton Free:877.634.9906 Phone:330.634.9906 Fax.330.634.9907 Page 17 of31 www.AmericanTe5tingTechnoIogies.com LAVIF]F-,.A American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:15 AM Client ID #: South Land AP SLA Laboratory ID #: 022120-03 Date of Analysis: 03/19/2020 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 page 18 of 31 Tot! Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:15 AM Client ID #: South Land AP SLA Laboratory ID #: 022120-03 4D American Testing Technologies, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.3.3.2 02/27/2020 Reactive Sulfides <25 mg/kg 7.3.4.1 02/27/2020 pH (Lab) 8.81 S.U. 9045D 02/21/2020 Flash point >140 OF 1010A 02/27/2020 reviewed by. Manager 1350 Home Avenue Akron, Ohio 44310 7ou Free. 377.634.9906 Phone. 330.634.9906 Fax. 330.634.9907 Page 19 of 31 www.Amer1canTestingTechnoIogies.com City of Burlington, NC Attu: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:20 AM Client ID #: South Compost SCP Laboratory ID #: 022120-04 Date of Analysis: 03/09/2020 Metals-TCLP (EPA 1311) Parameter Results Units - -1r 74 ATT 6�� -!Lwai American Testing Technologies, Inc. Certificate of Analysis Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C 1350 Horne Avenue Akron, Ohio 44310 Tot! Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 Page 20 of 31 www.AmericanTestingTechnoiogies.cocas 4sp American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:20 AM Client ID #: South Compost SCP Laboratory ID #: 022120-04 Date of Analysis: 03/06/2020 Certificate of Analysis Volatiles-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Benzene <0.1 mg/L 0.5 8260B Carbon tetrachloride <0.1 mg/L 0.5 8260B Clalorobenzene <0.1 mg/L 100 8260B Chloroform <0.1 mg/L 6.0 8260B 1,2-Dichloroethane <0.1 mg/L 0.5 8260B 1,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetrachloroethene <0.1 mg/L 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B 1350 Horne Avenue Akron, Ohio 44310 Tou Free. 877.634.9906 phone. 330.634.9906 Fax. 330.634.9907 Page 21 of 31 www.AmericanTestingTechnologies.com ATT ikh�- -L� American Testing "technologies, [nc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:20 AM Client ID #: South Compost SCP Laboratory ID #: 022120-04 Date of Analysis: 03/26/2020 Certificate of Analysis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method. Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.45 mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzene.. <0.05 mg/L 2.0 8270C Pyridine <0.05 mg/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C 1350 Borne Avenue Akron, Ohio 44310 Page Of 3 Tot! Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com 4io American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received. 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected. 10:20 AM Client ID #: South Compost SCP Laboratory ID #: 022120-04 Date of Analysis: 03/20/2020 Certificate of Analvsis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 8081B Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0.005 mg/L 0.4 8081B Methoxychlor <0.1 mg/L 10.0 8081B Toxaphene <0.1 mg/L 0.5 8081B reviewed by: Manager 1350 Home Avenue Akron, Ohio 443vo Toil Free: 877.634.9906 ?hone; 330.634.9906 Fax: 330.634.9907 Page 23 Of 31 www.AmericanTestingTechnoIogies.corn qmp American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:20 AM Client TD #: South Compost SCP Laboratory ID #: 022120-04 Date of Analysis: 03/19/2020 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 roll Free: 877.634,9906 Phone: 330.634.9906 Fax: 330.634.9907 Page 24 of 31 www.AmericanTesti ngTech nologies.corn City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 10:20 AM Client ID #: South Compost SCP Laboratory ID #: 022120-04 6 f Ak FT: L�- --LA American Testing Technologies, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.3.3.2 02/27/2020 Reactive Sulfides <25 rug/kg 7.3.4.1 02/27/2020 pH (Lab) 7.00 S.U. 9045D 02/21/2020 Flash point >140 OF 1010A 02/27/2020 reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 rott Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 Page 25 0f 31 www.AmericanTestingTechnologies.com 4P American Testing Techno€ogies, Inc. City of Burlington, NC Attn.: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 11:00 AM Client ID #: Macldmtosh Lagoon MAL Laboratory ID #: 022120-05 Date of Analysis: 03/09/2020 Certificate of Analysis Metals-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L 100.0 6010C Cadmium <0.5 mg/L 1.0 6010C Chromium <1.0 mg/L 5.0 6010C Lead <1.0 mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/L 5.0 6010C reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 7oa Free. 877.634.9906 Phone: 330.634.9906 Fax. 330.634.9907 Page 26 of 31 www.Aimer€ can7estingTechnoiogies.corn e American testing Technologies, inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 11:00 AM Client ID #: Mackintosh ]Lagoon MAL Laboratory ID #: 022120-05 Date of Analysis: 03/06/2020 Certificate of Analysis Volatiles-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Benzene <0,1 mg/L 0.5 8260B Carbon tetrachloride <0,1 mg/L 0.5 8260B Chlorobenzene <0.1 xng/L 100 8260B Chloroform <0.1 mg/L 6.0 8260B' 1,2-Dichloroethane <0.1 mg/L 0.5 8260B 1, l-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetrachloroethene <0.1 xng/L 0.7 8260B Trichloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B Fknal rtort reviewed by; Manager 1350 Home Avenue Akron, Ohio 44310 rou Free: 377.634.9906 Phone., 330.634.9906 Fax. 330.634.9907 Page 27 of 31. www.AmericanTestingTechnoiogies.corn quo American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 11:00 AM Client ID #: Mackintosh Lagoon MAL Laboratory -ID #: 022120-05 Date of Analysis: 03/26/2020 Certificate of Analvsis BNA-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 mg/L 0.13 8270C Hexachlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzene <0.05 mg/L 2.0 8270C Pyridine <0.05 mg/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C a 1350 Home Avenue Akron, Ohio 44310 page 2$ Of 31 rou Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnoIogies.com ATT 6L�� -144 American Testina Technologies, inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 11:00 AM Client ID #: Mackintosh Lagoon MAL Laboratory ID #: 022120-05 Date of Analysis: 03/20/2020 Certificate of Analysis Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number Chlordane <0.005 mg/L 0.03 8081E Endrin <0.005 mg/L 0.02 808113 Heptachlor <0.005 mg/L 0.008 8081B Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0.005 mg/L 0A 8081B Methoxychlor <0.1 mg/L 10.0 8081B Toxaphene <0,1 mg/L 0.5 8081B 1350 Home Avenue Akron, Ohio 44310 TojiFree: 877.634.9906 Phone.330.634.9906 Fax:330.634.9907 Page 29 of 31 www.AmericanTestingTechnologies.com 0 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington., NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/17/2020 Time Collected: 11:00 AM Client ID #: Mackintosh Lagoon MAL Laboratory ID #: 022120-05 Date of Analysis- 03/19/2020 Certificate of Analysis Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Limits Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 ing/L 1.0 8151A 1350 Hoare Avenue Akron, Ohio 44310 page 30 of 31 Tou Free. 877.634.9906 Phone. 330.634.9906 Fax; 330.634.9907 www.AmericanTestingTechnologies.coma City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported:--43/31/2020 Date Collected: 02/17/2020 Time Collected: 11:00 AM Client ID #: Mackintosh Lagoon MAL Laboratory ID #: 022120-05 Qb American Testing Technologies, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Anal, is Reactive Cyanides c0.5 mg/kg 7.3.3.2 02/27/2020 Reactive Sulfides <25 mg/kg 7.3.4.1 02/27/2020 pH (Lab) 7,02 s.u. 9045D 02/21/2020 Flash point >140 OF 1010A 02/27/2020 1350 Home Avenue Akron, Ohio 44310 page 31 of 31 Tou Free: 877.634.9906 Phone: 330.634.9906 Fax. 330.634.9907 www.Amer1canTestingTechnoIogies.torsi PVRF Forms ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From l/1/2020 To 2/28/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) O 1 Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing)❑ Alt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs El If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density [31 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization © 1 Ali -Drying CJ Composting f-.1 fAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- Frequency of Analysis Y Sample Type Analytical Tech-nique inimu Geo. Mean Maximum 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) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt,l (VS reduction) ❑ Alt. 2 (40-day bench) jAlt. 3 (30-day bench) ❑ JAIL 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 21 jAlt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) L3 Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ INo vector attraction reduction alternatives were performed 0 CERTIFICATION STATEMENT (please check the appropriate statement) �® "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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) Signature of Preparer* Date Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) GIs-/ �f/«, G /��- 1/25/2021 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) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 3/l/2020 To 4/30/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: jAlt. (1) Fecal Density L31 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization 0 Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion O If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- n Frequency of Analysis Y Sample Type Analytical Tech-nique inimu Geo. Mean aximu 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) 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) ❑ I Alt. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization © Alt 7 (Drying - Stable) ❑ I Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed 0 CERTIFICATION STATEMENT (please check the appropriate statement) ® "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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) G 70;/ !l4- 1/21/2021 Signature of Preparer* Date 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) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 5/l/2020 To 6/30/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)[] Alt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Therniophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (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 p Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g ty Number o Excee- nces Frequency of Analysis Sample Type Analytical Tech-nique MinimumGeo. Mean aximu 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) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I wei ht Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 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) ❑ "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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Name and Title (if applicable)(type or print) 2-1404OL1 Z!�Z 1 /25/2021 Date Signature of Land Applier (if applicable) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) Date DENR FORM PVRF 02T (12/2006) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From 7/l/2020 To 8/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment) ❑ Alt. C (Prior Testing)❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens': Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ 1 Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (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 O Air Drying ❑ Composting ❑ jAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge en Pathog Density Number o Excee- ences Frequency of Analysis Sample Type Analytical Tech-nique MinimumGeo. Mean MaximumUnits Fecal Coliform 2 x 10 to the 6th power per gram of total solids N [CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 77E3TAlt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization l] Alt 7 (Drying - Stable) ❑ 1 Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .l 106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." 13 "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." Shane Fletcher - Residuals Coordinator Preparer Name and Title (type or print) Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Name and TT�ittl�lee (if applicable)(type or print) Gn"" 1/25/2021 Date 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) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WWTP Name: Eastside WWTP Monitoring Period: From 9/1/2020 To WQ Permit Number: NPDES Number: 10/31/2020 WQ0000520 NC23868 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing)❑ A1t.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: JAIt. (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 Daring ❑ Composting ❑ jAcrob1c Digestion ❑ Anaerobic Digestion ❑ _ - If applicable to alternative performed (Class A or Class B) complete the Wowing monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- ences Frequency of Analysis Y Sample Type Analytical Tech-nique inimu Geo. Mean aximu 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) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I 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) ❑ Alt. 6 (Alk. Stabilization © Alt 7 (Drying - Stable) ❑ I Alt. 8 (Drying - Unstable) 0 Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed [3 CERTIFICATION STATEMENT (please check the appropriate statement) ® "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .l 106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." 13 "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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) 2 /G y/ !.►����«/- 1/25/2021 Signature of Preparer* ate 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) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Eastside WWTP NPDES Number: NC23868 Monitoring Period: From l l/1/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ 1 Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ I Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (1) Fecal Density ❑ 1 Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ® 1 Air Drying ❑ Coinposting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density g � Number o Excee- ences Frequency of Analysis Sample Type Analytical Tech-nique inimu Geo. Mean Maximum 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) Salmonella bacteria (in lieu of fecal coliform) I 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. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ 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) �® "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." Shane Fletcher - Residuals Coordinator Preparer N e and Title (type or print) Signature of Preparer* Brent Collins; Director of Technical Services Land Applier Nam Ti tle (if applicable)(type or print) or = i(r J01/ Z;2�- 1/25/2021 Date 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) CITY OF BuRmNCTON LALBORATOftY sumcES NC Wastewater Laboratory Certification #188 336-222-5133 Sam"pled` nH Anal im Sample ID # d }j'Y SU date time analyst South WWTP Digester #2 a3Zi,-o vi 35 ?,47 770 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 o5 aoz-o /3 zo 0,-13q �e , c Zl3 oY36 4/ Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by wl T, date NC Wastewater Laboratory Certification #188 336-222-5133 SamDled I DH I Analyzed Sample ID # date time SU date time analyst South WWTP Digester#2 5Goqzozc 3/L Zp O South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 El H LCI-7-6 vv� Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by_ � 'e'li l WJc-U(r5�: date �T7-n CITY OF BURLINGTON LABORATORY SERVICES NC Wastewater Laboratory Certification #188 336-222-5133 Samnlarl I u I A....i..-...J 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 Compost Other A Certified by 10-M YVl 1 date bZ,o CITY OF $URmNeTON LABORATORY sEPViCES NC Wastewater Laboratory Certification #188 336-222-5133 Sampled I pH 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 p ©Lr Z6 Zc S/,i%W b eo"l i'Z, 01 GS y G i W Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost �.f3C � 5�`� Z� G� (i Vq 2v ,.�o ,' Other Certified by LItOrl 1,,Af:CA► �� date �� CITY OF BURLIN(iTON LABOftATOftY Sm11 cu NC Wastewater laboratory Certification #188 336-222-5133 Sampled I pH I Analvzed sample ID # date time SU date time analyst South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 o Ip-1-2c� G S�� jz, -3 (9-%-ZZ God j�'' v"� Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by Gemn wy-CA r date ), c crrY of $uni ToN L*$oRAToRy sERvims NC Wastewater Laboratory Certification #188 336-222-5133 Sampled' pH I Nna5v7pd Sample ID # date time SU date time analyst. South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 Bo ;'ZOZ-0 7440 Nil 107 7 0 I Mackintosh Lagoon #1 Mackintosh Lagoon #2 a� 2 (� i� f '5 Compost Other Certified by date CITY OF BuRmNeTON LABofmTORY SERVICES NC Wastewater Laboratory Certification #188 336-222-5133 Sample Ip # date 5 „���„y;. t q' PIP, Y l.�-19$ fi y.i1 F ^afs: L.M.s } r analyst: South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 60/ZO cx (, %/7t; L` Coo �,m Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by date����� CITY Off' iBuRmNCTON I.AL$ORATORY SEftvicEs NC Wastewater Laboratory Certification #188 336-222-5133 Samaled Analvzed Sample ID # date time Su date time analyst South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 PF lIZ07.0 jo'S-I.0 Q(�So 11,0 5� ic�- ©CCX> TV6 Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by 5)yron date /(i-5-� CITY w BuRmNFTON LABORATORY smtvim,S NC Wastewater Laboratory Certification #188 336-222-5133 Satmple; ID,# South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 Last WWTP Digester #1 uoC) 7,0 11� ot5c) l ,k \` C�5� Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by t arr'ln 1,'%Ji� date CITY OF BURLINGTON LABORATORY SERVICES NC Wastewater Laboratory Certification #188 336-222-5133 Sampled I pH 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 v Z7 026 1qZ(O 0O6-S I2,() 0109 11)7-JZD --d5 Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost Other Certified by %CkT-On )�kyUYV&(­ date Z MY CW BURUNSTON L&BOR&TORY SMVICES NC Wastewater Laboratory Certification #188 336-ZZZ-5133 gg go z W.I.el '..tl'cq.. Maw-01, , my,� South WWTP Digester #2 South WWTP Digester #3 South WWTP Digester #4 East WWTP Digester #1 0 . -Pvj Mackintosh Lagoon #1 Mackintosh Lagoon #2 Compost other Certified by—UJDL���... date DATE LBS_ LIME EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH March "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH April "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS � 1 � . 11 111 m 1 ®1 �m 1 1� �m 1 : .• � . m � • 1 � • : 1 111 ®1 1®®1 ' �• ml 1® 1• • •• ®1 1®® • 1 ml � • 1 � 11 111 ® 1®®1 �® 1 1• ® � �: ® 1 1• :1 �® m � 1 1 ©®1 ®1 ® 1 1• ��® 1 1• ®�® 1® •• 1 1 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH MAY "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE I LST GALIONS LBS. LIME INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2 HR pH TIME 24HR TEMP C pH CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS. 1 5/2/20 Dig 1 171,990 12,500 21 -0.12 12.18 16:59 21 -0.12 12.05 19:13 20 -0.15 12.02 17:16 JB 2 5/4/20 2 38,000 3,250 22 -0.09 12.07 11:41 22 -0.09 12.05 13:43 23 -0.06 11.92 12.52 JB 3 5/7/20 1 35,250 3,000 21 -0.12 12.17 0:23 21 -0.12 12.16 2:25 20 -0.15 12.05 0:27 RF 4 5/8/20 2 36,750 3,000 21 -0.12 12.16 7:04 22 -0.09 12.18 14:56 21 -0.12 1 12.08 13:03 JB 5 5/11/20 1 36,000 3,000 20 -0.15 12.21 3:25 19 -0.18 12.18 5:28 20 -0.15 12.16 3:30 RF 6 5/13/20 2 35,750 3,000 21 -0.12 12.16 11:29 21 -0.12 12.08 13:31 20 -0.15 11.76 12:25 JB 7 5/15/20 1 35,500 3,000 22 -0.09 12.27 19:27 22 -0.09 12.26 21:29 24 -0.03 12.02 19:30 KT 8 5/17/20 2 37,000 3,250 23 -0.06 12.27 3:15 22 -0.09 12.35 5:20 24 -0.03 12.42 3:20 PW 9 5/18/20 1 37,500 3,000 23 -0.06 12.30 15:15 23 -0.06 12.08 17:16 23 -0.06 12.27 15:21 JB 10 5/20/20 2 37,250 3,000 22 -0.09 12.31 10:31 22 -0.09 12.13 12:37 21 -0.12 12.15 10:39 RF 11 5/22/20 1 36,750 3,000 20 -0.15 12.21 12:40 21 -0.12 12.11 15:37 22 -0.09 11.87 13:51 JB 12 5/24/20 2 37,250 3,000 24 -0.03 12.19 13:39 24 -0.03 12.08 15:45 24 -0.03 12.24 13:47 RF 13 5/28/20 Dig 21 110,600 11,250 22 -0.09 12.17 2:47 22 -0.09 12.16 4:53 22 -0.09 12.12 3:01 JB 14 5/31/20 2 37,750 3,000 24 -0.03 12.17 17:05 25 0.00 12.27 19:05 24 -0.03 12.01 17:06 JB 15 16 17 18 19 20 21 22 23 24 Total Total 25 723,340 60,250 26 sludge Lime 27 28 29 30 31 32 33 34 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH June "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS • � 1 . • • 1 ®1 ® 1 1. ® 1®® 1 1• ®®1 m 1 1 ®1 1®m © • 1 1 . • :• ••1 1 1 ® 1 It ®1 ®1 ® 1 11 �®®. 1 1 � 1 ®m • 1 . • •1 : 11 m 1 I � 11 ® 1 1. � � 11 ® 1 1• ®�m �. . 1 a 111 /11 ®' 1 1 ®1 ®1 ® 1 1• ®1 ®1 ®' 1 1 :1 1• 1 .. • 111 III ® 1 11 ®�® 1 11 ®�® 1 11 ®1 1• m 1 .. ,• ••1 tll ®. 1 I ®®t m. 1 1 ® 1• ®. 1 1 ®1 ®. EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH July "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE LST GALLONS LBS. LIME INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2 HR pH TIME 24HR TEMP C H CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS. 1 7/2/20 2 Dig 155,820 9,250 25 0.00 12.16 5:27 26 0.03 12,25 7:57 26 0.03 11.99 8:35 JB 2 7/8/20 2 Dig 199,920 14,750 27 0.06 12.17 1:48 27 0.06 12.14 3:58 28 0.09 12.26 2:08 PW 3 7/9/20 2 Dig 72,030 5,500 26 0.03 12.23 19:10 26 0.03 12.32 21:14 27 0.06 12.16 19:28 RF 4 7/11/20 1 36,500 3,000 29 0.12 12.39 16A9 28 0.09 12.27 19:31 27 0.06 12.19 17:36 JB 5 7/13/20 2 37,500 3,000 27 0.06 12.20 8:12 27 0.06 12.17 10:18 28 0.09 11.82 8:58 HS 6 7/15/20 2 Dig 171,990 11,250 27 0.06 12.07 8:14 28 0.09 12.06 10.24 27 0.06 12.22 8:31 RF 7 7/17/20 1 37,500 3,000 28 0.09 12.17 16:05 28 0.09 12.38 18:20 29 0.12 12.27 16:45 KT 8 7/19/20 2 1 38,500 3,000 29 0.12 12.26 15:36 29 0.12 12.32 17:45 29 0.12 12,23 15:53 RF 91 7/21/20 1 36,000 3,250 30 0.15 12.20 16:55 29 0.12 12.43 18:56 29 0.12 12.06 16:57 HS 10 7/23/20 2 38,000 3,250 27 0.06 12.18 2:03 27 0.06 12.28 4:04 28 0.09 12-31 2:14 JB 11 7/25/20 1 35,500 3,500 27 0.06 12.20 12:06 28 0.09 12.23 14:45 29 0.12 12.17 12:51 JB 12 7/26/20 2 39,000 4,750 28 0.09 12,27 7:26 28 0.09 12.29 9:41 28 0.09 12.21 7:50 JB 13 7/28/20 1 31,750 3,000 28 0.09 12.33 7:18 28 0.09 12.36 9:48 29 0.12 11.79 8:37 JT 14 7/30/20 1 Dig 255,780 15,750 29 0.12 12.23 20:35 28 0.09 12.16 23:06 30 0.15 12.23 21:39 PW 15 16 17 18 19 20 21 22 23 241 Total Total 25 1,191,790 86,250 26 sludge Lime 27 28 29 30 31 32 33 34 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH Au usE "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE I LST GALLONS LBS. LIME INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2 HR pH TIME 24HR TEMP C pH CORR FACTOR 24 HR pH 24 HR pH TIME OPER, (NITS. 1 8/2/20 1 39,000 3,250 29 0.12 12.38 10:48 28 0.09 12.12 12:52 29 0.12 12.07 11:13 KM 2 8/3/20 2 35,500 3,000 29 0.12 12.33 8:08 29 0.12 12.36 10:17 29 0.12 12.26 8:25 KM 31 8/5/20 1 35,000 3,000 27 0.06 12.30 2:49 27 0.06 12.26 5:02 28 0.09 12.44 3:06 PW 4 8/6/20 2 Dig 76,440 5,500 28 0.09 12.36 12:29 28 0.09 12.29 14:53 30 0.15 12.19 13:49 HS 5 8/8/20 1 36,750 3,250 27 0.06 12.22 3:45 27 0.06 12.22 5:47 28 0.09 12.16 3:49 DB 6 8/10/20 2 38,250 3,000 27 0.06 12.26 10:13 28 0.09 12.29 12:41 28 0.09 12.17 13:34 JB 7 8112/20 2 Dig, 117,600 6,250 28 0.09 12.40 15:16 28 0.09 12.41 17:46 29 0.12 12.09 16:01 DB 81 8/13/20 2 35,250 3,000 29 0.12 12.30 16:07 28 0,09 12.40 18:46 28 0.09 12.26 16:47 JB 9 8/14/20 1 39,000 2,750 28 0.09 12.34 1239 28 0.09 12.39 14:49 28 0.09 12.10 13:12 JB 10 8/16/20 2 36,500 2,500 28 0.09 12.19 0:30 28 0.09 12.19 2:30 28 0.09 12.27 116 KM 11 8/17/20 1 36,000 3,000 28 0.09 12.48 19:04 27 0.06 12.55 22:14 26 0.03 12.51 21:54 KM 12 8/20/20 2 1 37,000 3,250 28 0.09 12.20 16:16 26 0.03 12.22 18:31 28 0.09 12.07 16:44 RF 13 8/22/20 2 Dig 235,200 11,750 27 0.06 12.10 16:45 28 0.09 12.18 18:53 27 0.06 12.11 16.54 JB 141 8124/20 2 38,250 3,000 27 0.06 12.20 16:10 29 0.12 12.30 1810 28 0.09 12.11 16:10 JB 15 8/27/20 2 Dig 185,220 1 12,000 29 0.12 1221 16:50 28 0.09 12.18 18:56 28 0.09 12.02 17:01 JB 16 8/29/20 2 Dig 147,000 10,250 27 0.06 12.13 13:56 28 0.09 12.08 16:09 28 0.09 12.09 15:08 KM 17 8131120 1 34,500 3,000 28 0.09 12.15 3:55 28 0.09 12.25 5:58 28 0.09 12.25 4:04 DB 18 19 20 21 22 23 24 Total Total 25 1 1,202,460 81,750 26 Sludge Lime 27 28 29 30 31 32 33 34 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIMA STABILIZATION OF BIOSOLIDS MONTH September "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE LST GALLONS LBS. LIME INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2 HR pH TIME 24HR TEMP C pH CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS. 1 9/2/20 2 Dig 167,580 15,250 27 0.06 12.20 11:20 27 0.06 12.11 13:27 27 0.06 12.11 12:07 JB 2 9/3/20 2 37,250 2,750 27 0.06 12.21 11:49 28 0.09 12.17 15:20 29 0.12 12.20 13:39 KM 3 9/4/20 2 Dig 169,050 11,250 28 0,09 12.13 21:33 28 0.09 12.22 23:40 28 0,09 11.94 21:43 DB 41 9/7/20 2 Dig 173,460 10,000 27 0.06 12.18 9:41 27 0.06 12.21 12:04 26 0.03 12.02 10:06 JB 51 9/9/20 2 Dig 176,400 11,000 27 0.06 12.24 14:30 27 0.06 12.07 16:44 26 0.03 12.06 14:53 RF 6 9/11/20 2 Dig 174,930 11,000 28 0.09 12.13 22:13 27 0.06 12.17 0:17 28 0.09 12.20 22:20 PW 7 9/13/20 2 Dig 105,840 6,750 27 0.06 12.26 15:36 27 0.06 12.26 17:41 27 0.06 12.24 15:50 RF 8 9/14/20 2 35,500 2,750 27 0.06 12.45 3:40 27 0.06 12.37 5:42 28 0.09 12.07 4:16 KM 9 9/16/20 2 Dig 108,780 5,250 27 0.06 12.14 20:05 26 0.03 12.10 2221 24 -0.03 12.20 0:24 JB 10 9/16/20 2 36,000 3,000 28 0.09 12.13 16:05 27 0.06 12.24 18:32 26 0.03 12.05 16:33 HS 11 9/17/20 1 35,750 3,750 27 0.06 1224 15:34 26 0.03 12.27 18:12 26 0.03 12.20 16:20 DB 12 9/19/20 2 36,250 2,750 26 0.03 12.30 5:10 26 0.03 12.16 7:18 25 0,00 12.27 5:24 KM 13 9/21/20 1 37,500 2,750 24 -0.03 12.25 14:57 24 -0.03 12.21 16:59 24 -0.03 12.16 15:03 JB 14 9/23/20 2 35,250 2,750 24 -0.03 12,29 22:34 24 -0.03 12.26 0:38 24 -0.03 12.20 22:43 RF 15 9/25/20 1 Dig 202,860 13,500 25 0.00 12.25 15:10 24 -0.03 12.20 17:15 23 -0.06 12.26 17:39 JB 16 9/28/20 1 34,250 2,750 24 -0.03 12.23 5:43 24 -0.03 12.07 7:47 24 -0.03 12.13 5:51 DB 17 9/30/20 2 34,750 2,750 25 0.00 12.24 7:20 25 0.00 12.08 10:25 24 -0.03 12.21 10:04 JB 18 19 20 21 22 23 24 Total Total 25 11,601,400 111,000 26 sludge Lime 27 28 29 30 31 32 33 1341 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH October "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS DATE I LST GALLON LBS. LIME INITIAL TEMP C pH CORR. FACTOR INITIAL pH INITIAL pH TIME 2HR TEMP C pH CORR. FACTOR 2HR pH 2 HR pH TIME 24HR TEMP C pH CORR FACTOR 24 HR pH 24 HR pH TIME OPER. INITS. 1 1012120 Di 2 139,650 8,500 25 0.00 12.06 18:40 24 -0.03 12.08 21:05 23 -0.06 12.02 19:15 RF 2 10/5/20 2 38,250 3,000 24 -0.03 12.17 11:25 24 -0.03 12.21 13.49 24 -0.03 12.13 12:26 - JB 31 1017/20 1 35,000 2,750 23 -0.06 12.21 17A9 22 -0.09 12.03 20:06 24 -0.03 12.07 19:20 KT 4 10/10/20 Dig 2 114,660 67250 1 24 -0.03 12.08 1 13:32 24 -0.03 12.14 15:38 24 -0.03 12.13 14:25 RF 5 10/11/20 2 34,750 2,750 25 0.00 12.11 16:35 25 0.00 12.14 19:00 25 0.00 11.80 17:09 RF 6 10/13/20 2 Dig 169,050 10,750 23 -0.06 12.20 9:55 23 -0.06 12.15 12:10 22 -0.09 11.92 10:29 HS 7 10/15/20 2 37,500 3,000 24 -0.03 12.21 11:34 25 0.00 12.16 14:20 24 -0.03 12.13 12:50 RF 81 10/17/20 1 34,500 3,000 23 -0.06 12.08 17:25 23 -0.06 12.05 19:41 22 -0.09 11.83 17:41 JB 9 10/19/20 2 38,000 3,000 23 -0.06 12.05 14:16 24 -0.03 12.09 16:34 24 -0.03 12.14 14:40 JB 10 10/22/20 1 35,750 2,750 23 -0.06 12.16 0:20 23 -0.06 12.13 2:25 23 -0.06 12.05 0:27 RF 11 10/23/20 Dig 1 173,460 12,750 23 -0.06 12.07 10:35 24 -0.03 12.20 13:22 23 -0.06 11.95 131-18 JB 12 10/25/20 2 38,000 2,750 26 0.03 12.43 15:38 26 0.03 12.15 17:40 20 -0.15 11.83 16:21 KM 13 10/26/10 1 36,250 2,750 24 1 -0.03 12.20 17:45 23 -0.06 12.13 19:56 24 -0.03 12.17 18101 KM 14 10/28/20 2 36,000 2,750 24 -0.03 1220 2:35 23 -0.06 12.19 4.45 23 -0.06 12.17 2:51 PW 15 10/28/20 1 37,250 2,750 25 0.00 12.25 17:05 24 -0.03 12.21 19:13 1 24 -0.03 12.17 17:22 HS 16 10/30/20 2 36,000 2,750 25 0.00 12.27 15:17 24 -0.03 12.10 17:18 23 -0.06 12.05 15:39 KM 17 18 19 20 21 22 23 24 Total Total 25 77334,070 72,250 26 sludge Lime 27 28 29 30 31 32 33 34 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH November I "PSRP" YEAR 2020 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS ©���0 r•• �® • •• �1:�J�' cam® • •• ' • ®i'�S • • �� 1 2 3 4 5 EAST BURLINGTON WASTEWATER TREATMENT PLANT LIME STABILIZATION OF BIOSOLIDS MONTH December "PSRP" YEAR 2019 PROCESS TO SIGNIFICANTLY REDUCE PATHOGENS ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Burlington WQ Permit Number: WQ0000520 WWTP Name: Southside WWTP NPDES Number: NC23876 Monitoring Period: From l/l/2020 To 12/31/2020 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ I Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ 1 Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: Alt. (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 © 1 Air Dn ins ® Composting ❑ Aerohie Digestion ❑ ` Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- ences Frequency of Analysis Y Sample Type Analytical Tech-nique inimu Geo. Mean aximu 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) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry I weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.l (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ JAIL 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed CERTIFICATION STATEMENT (please check the appropriate statement) ® "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." Shane Fletcher - Residuals Coordinator Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) � l 7D Z f 2!! Z 4+'' - 1 /25/2021 Signature of Preparer* ate 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) INITIAL INITIAL 2HR pH CORR. 2HR 2HR 24HR pH CORR 24 HR 24 HR OPER. pH pH TIME TEMP C FACTOR pH pH TIME TEMP C FACTOR pH pH TIME INITS. 12.01 9:00 1 18 -0.21 12.04 11:00 1 17 -0.24 11.58 1 9:00 1 SF -- ---- ---- - -- ---- ---- - -- ---- ---- - -- ---- ---- - -- ---- ---- - -- ---- ---- - -- ---- ---- - Soil Analyses NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL021886 �5{i �141..tiL Client: larry Griffin Advisor: Brent Collins Predictive 633 Roselle Road EMA Resources Inc ;• Snow Camp, NC 27349 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Alamance Links to Helpful Information Client ID: 479783 Advisor ID: 405413 Sampled: Received: 12/15/2020 Completed: 02/11/2021 Farm: AM-5 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 0.96 25.3 99 0.3 7.2 1136 54 90 8 52 302 180 1236 1236 799 0.2 1 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.8 120-200 0 30 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.66 0.91 9.3 80 1.8 5.5 138 61 62 15 38 197 135 254 254 296 0.1 1 Noah 0' olina i I Awl' Futacii frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010484 Client: Walter Hessenthaler Advisor: Brent Collins vo- Predictive 8755 Moody Rd EMA Resources Inc Liberty, NC 27298 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC 27028 _ Sampled County : Alamance Links to Helpful Information Client ID: 513596 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: am-6 Sample ID: 000012 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.7 120-200 0 100 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 1.16 7.3 76 1.8 5.6 113 22 67 7 40 320 209 409 409 485 0.1 1 Sample ID: 000011 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 1.0 120-200 60 70 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.00 6.4 71 1.9 5.4 35 36 51 17 31 263 175 142 142 77 0.0 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.13 1.21 13.6 100 0.0 7.4 349 19 94 6 60 509 301 273 273 238 0.1 1 North Carolina Tobin w Trust f wW Ctwninisskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010484 Walter Hessenthaler Page 2 of 3 Sample ID: 00009 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 60 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.10 12.8 94 0.8 6.8 329 39 84 8 45 224 140 352 352 499 0.1 1 Sample ID: 00008 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.22 13.1 97 0.4 7.2 453 20 90 6 49 292 175 580 580 468 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL021884 Client: James Hadley Advisor: Brent Collins vo- Predictive 4305 Silk Hope Lindley Mill Rd. EMA Resources Inc Snow Camp, NC 27349 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC 27028 _ Sampled County : Alamance Links to Helpful Information Client ID: 85078 Advisor ID: 405413 Sampled: Received: 12/15/2020 Completed: 02/11/2021 Farm: AM-13 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 90 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.96 22.1 100 0.0 7.5 259 26 92 7 45 1120 666 427 427 403 0.1 0 Sample ID: 0003B Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 110 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 0.98 11.2 94 0.7 6.9 141 16 82 11 27 739 447 166 166 207 0.1 1 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 90 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.97 17.3 98 0.4 7.2 301 23 88 9 35 422 252 352 352 335 0.1 1 North Carolina Tiobxiv Trust f wW Ctwninisskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010477 Client: James Roney Advisor: Brent Collins vo- Predictive 2344 Barnett Rd. EMA Resources Inc Mebane, NC 27302 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC 27028 _ Sampled County : Alamance Links to Helpful Information Client ID: 147660 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: am-14 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.7 120-200 130 60 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.97 9.0 81 1.7 5.6 8 39 53 26 46 648 406 112 112 158 0.1 1 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 30 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 1.03 16.8 99 0.2 7.2 297 60 86 11 44 424 253 487 487 256 0.1 1 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 110 25 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.13 1.35 7.1 99 0.0 7.4 314 16 93 5 33 201 117 149 149 140 0.1 1 North Carolina Tobin w Trust f wW Ctwninisskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL021885 �5{i �141..tiL Client: James Roney Advisor: Brent Collins Predictive 2344 Barnett Rd. EMA Resources Inc ;• Mebane, NC 27302 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Alamance Links to Helpful Information Client ID: 147660 Advisor ID: 405413 Sampled: Received: 12/15/2020 Completed: 02/11/2021 Farm: AM-14 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.5 120-200 60 120 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 1.26 3.3 66 1.1 5.5 31 10 51 13 26 1172 720 48 48 51 0.1 3 Noah 0' olina i I Awl' Futaw frum FwW Curnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010478 Client: Charlie Wyatt Advisor: Brent Collins Predictive 2408 McCray Rd EMA Resources Inc ;+ Burlington, NC 27217 755 Yadkinville Rd �- Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County : Alamance _ Links to Helpful Information Client ID: 376144 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: am-15 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.17 12.7 100 0.0 7.5 112 18 93 6 33 561 331 171 171 191 0.1 1 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.13 1.14 9.6 100 0.0 7.6 198 19 93 6 33 219 124 143 143 153 0.1 1 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 20 90 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.17 7.5 93 0.6 6.8 54 26 82 9 29 1600 965 110 110 109 0.1 1 Noah 0' olina i I Awl' Futaw frum FwW Curnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010485 Client: Michael Hadley Advisor: Brent Collins vo- Predictive 9108 Bethel South Fork Rd EMA Resources Inc Snow Camp, NC 27349 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC 27028 _ Sampled County : Alamance Links to Helpful Information Client ID: 513597 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: am-16 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 50 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.85 15.3 93 1.0 6.6 583 43 82 10 61 338 210 516 516 548 0.1 1 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 1.8 120-200 70 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.09 1.02 8.3 68 2.6 4.7 30 148 35 24 129 86 69 67 67 60 0.1 1 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.94 19.8 96 0.7 6.9 596 101 87 6 54 576 350 811 811 729 0.1 1 North Carolina Tiobxiv Trust f wW Ctwninisskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010485 Michael Hadley Page 2 of 3 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 20 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.00 14.4 94 0.8 6.6 513 69 81 11 53 174 112 378 378 609 0.1 1 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 70 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 0.87 13.1 89 1.5 6.3 375 36 80 7 46 297 191 445 445 933 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010486 �5{i �141..tiL Client: Joseph (Joe) Rice Advisor: Brent Collins Predictive 8740 Bethel South Fork Rd EMA Resources Inc ;• Snow Camp, NC 27349 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Alamance Links to Helpful Information Client ID: 12361 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: am-35 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.7 120-200 70 80 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.98 5.8 73 1.6 5.5 28 27 55 16 29 886 549 75 75 83 0.1 2 Noah 0' olina i I Awl' Futacii frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010479 �5{i �141..tiL Client: Chapman McQueen Advisor: Brent Collins Predictive 1002 East Willowbrook Rd EMA Resources Inc ;• Burlington, NC 27215 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Alamance Links to Helpful Information Client ID: 489125 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: am-109 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 120 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.13 1.06 24.6 100 0.0 7.7 272 12 96 3 83 745 438 387 387 473 0.1 0 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 120 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.04 35.1 100 0.0 7.5 436 13 97 3 95 367 214 690 690 688 0.1 0 Noah 0' olina i I Awl' Futacii frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL031367 �5{i �141..tiL Client: Frank Small Advisor: Brent Collins Predictive PO Box 517 EMA Resources Inc ;• Salisbury, NC 28145 755 Yadkinville Rd f'. Soil Report +_ Mehlich-3 Extraction Mocksville, NC27028 Sampled County : Alamance Links to Helpful Information Client ID: 508815 Advisor ID: 405413 Sampled: Received: 05/27/2020 Completed: 06/03/2020 Farm: AM-116 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Cotton 0.0 50-70 0 0 0 0 pH$ 0 0 1.0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.87 15.3 97 0.4 7.2 212 140 84 8 36 704 414 268 268 346 0.1 1 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Cotton 0.0 50-70 80 60 0 0 pH$ 0 0 1.0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.95 13.6 95 0.7 7.0 24 44 80 13 36 280 163 130 130 140 0.1 1 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Cotton 0.0 50-70 0 0 0 0 pH$ 0 0 1.0 Note: 3 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.84 12.4 98 0.2 7.4 164 112 87 7 36 860 505 172 172 231 0.1 1 Noah 0' olina i I Awl' Futaw frum FwW Curnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL031367 Frank Small Page 2 of 4 Sample ID: 00007 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Cotton 0.0 50-70 0 0 0 0 pH$ 0 0 1.0 Note: 3 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.91 12.9 96 0.5 7.2 135 100 82 10 34 1138 675 172 172 156 0.1 1 Sample ID: 00008 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Cotton 0.0 50-70 70 0 0 20 pH$ 0 0 1.0 Note: 3 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 0.95 12.5 98 0.2 7.3 30 160 79 13 21 2332 1389 430 430 174 0.1 1 Sample ID: 00010 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Soybean 0.0 0 0 0 0 0 pH$ 0 0 0 Note: 3 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.41 0.81 11.8 95 0.6 7.1 68 91 84 7 36 648 383 140 140 321 0.1 1 Sample ID: 00011 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Soybean 0.0 0 0 0 0 0 pH$ 0 0 0 Note: 3 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 0.87 12.2 90 1.2 6.6 195 121 77 8 45 394 238 255 255 317 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL031367 Frank Small Page 3 of 4 Sample ID: 00012 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Soybean 1.6 0 0 0 0 0 0 0 0 0 Note: 3 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.92 0.85 6.2 58 2.6 5.1 100 124 40 7 73 353 222 106 106 163 0.1 2 Page 1 of 1 Report No: 20-365-0624 Account No: 46245 Advisor: EMA Resources Inc 755 Yadkinville Road Mocksville NC 27028 Waypo'10 t ANALYTICAL Client: James Brewer 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Farm: CH039 Date Received: 12/30/2020 Date of Report: 12/31/2020 Lab No Field ID Sample ID Soil Class HM% WN pH Ac P-1 K-1 S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 CEC BS% Ca% Mg% ESP Na 109763 01 MIN 2.9 6.6 0.7 70 21 15 338 0 0 148 148 90 12.5 94 79 14 0.6 0.1 I 109764 03 MIN 3.3 6.6 0.8 62 20 23 300 0 0 168 168 100 13.1 94 78 15 0.6 0.1 I Comment: Test result units = CEC and Na in meq/100cm3; NO3 N in mg/dm3; W/V in g/cm3 North Carolina Division of Water Quality Certification #257, Analysis and fertility recommendations shown on this report are performed in accordance within NCDA guidelines, Analysis prepared by: Waypoint Analytical Virginia, Inc. NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL021888 �5{i �141..tiL Client: Jim Brewer Advisor: Brent Collins Predictive 1501 Rufus Brewer rd EMA Resources Inc ;• Siler City, NC 27344 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Chatham Links to Helpful Information Client ID: 515191 Advisor ID: 405413 Sampled: Received: 12/15/2020 Completed: 02/11/2021 Farm: CH-39 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 30 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.56 0.96 17.5 95 0.8 6.8 254 56 81 13 43 455 278 661 661 667 0.1 1 Noah 0' olina i I Awl' fotciW frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL021887 �5{i �141..tiL Client: Jim Brewer Advisor: Brent Collins Predictive 1501 Rufus Brewer rd EMA Resources Inc ;• Siler City, NC 27344 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Chatham Links to Helpful Information Client ID: 515191 Advisor ID: 405413 Sampled: Received: 12/15/2020 Completed: 02/11/2021 Farm: CH-40 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 70 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 0.92 20.5 98 0.4 7.2 393 36 88 10 45 1264 758 674 674 742 0.1 0 Noah 0' olina i I Awl' fotciW frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010481 �5{i �141..tiL Client: Delmer Allred Advisor: Brent Collins Predictive 439 SR Allred Rd EMA Resources Inc ;• Elon College, NC 27244 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Caswell Links to Helpful Information Client ID: 376147 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: cs-18 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 1.25 15.1 100 0.0 7.5 120 54 87 11 34 1663 992 227 227 407 0.1 1 Noah 0' olina i I Awl' Futacii frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010487 Client: Dennis / Margaret Simmons Advisor: Brent Collins vo- Predictive 2820 Milesville Rd EMA Resources Inc Elon College, NC 27244 755 Yadkinville Rd .'..,$' Soil Report Mehlich-3 Extraction Mocksville, NC 27028 _ Sampled County : Caswell Links to Helpful Information Client ID: 4987 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: cs-36 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.02 24.2 100 0.1 7.3 325 246 84 10 65 770 459 651 651 687 0.1 0 Sample ID: 00007 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 70 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 1.11 28.9 100 0.0 7.6 468 32 93 7 61 794 469 608 608 924 0.1 0 Sample ID: 00008 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 90 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 0.90 49.8 100 0.0 7.7 630 23 96 4 125 229 129 1244 1244 1512 0.1 0 North Carolina Tiobxiv Trust f wW Ctwninisskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010487 Dennis / Margaret Simmons Page 2 of 3 Sample ID: 00009 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 1.02 30.7 100 0.0 7.5 484 51 93 6 62 884 524 709 709 810 0.1 0 Sample ID: 00010 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.96 32.2 99 0.2 7.4 836 357 84 10 116 732 435 1398 1398 955 0.2 1 Sample ID: 000012 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 50 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.08 27.8 100 0.0 7.6 286 42 91 8 66 1474 877 565 565 601 0.1 0 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY21-SL010480 �5{i �141..tiL Client: Elizabeth Simmons -Kirby Advisor: Brent Collins Predictive 882 Stadler Rd EMA Resources Inc ;• Elon, NC 27244 755 Yadkinville Rd f'. Soil Report Mehlich-3 Extraction +_ Mocksville, NC27028 Sampled County : Caswell Links to Helpful Information Client ID: 513594 Advisor ID: 405413 Sampled: Received: 10/26/2020 Completed: 11/06/2020 Farm: cs-113 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.03 8.0 92 0.6 6.8 78 21 81 9 34 434 266 143 143 121 0.1 1 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 0.98 11.7 94 0.7 6.8 78 50 82 10 32 1914 1153 221 221 312 0.1 1 Noah 0, olina i I Awl' Futacii frum fuWCurnml5skm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture Zimpro Ash East Burlington WWTP Zimpro Facility Ash Disposal (For the year of 2020, Part 503 annual sludge report) In addition to the lime stabilized primary treatment biosolids from the East Burlington WWTP that is land applied, we also produce an ash waste material from our Zimpro Facility. This facility oxidizes the volatile component of our waste activated sludge. The waste ash is material from this process that could not be volatilized at 450+ degrees F and 750+ PSI. The ash is dewatered with a filter press to over 60% solids. During the 2020 calendar year, the Zimpro Facility produced 22 tons of pressed ash, which was hauled to the Republic Services, Inc. Upper Piedmont Landfill located near Roxboro, North Carolina. A summary of this facility's operation and a TCLP performed on the ash material is attached. Submitted by: Darrin Allred East Burlington WWTP Chief Operator January 4, 2021 2020 East Burlington Carbon Regeneration Operational Summary Operational Run Data Month Sldg Procs Gallons Avg React Temp F Natrl gas used W Elect used kwh Days Oper days Ash removed Ibs Jan Feb Mar 311,454 87,836 510,704 460 455 445 771 350 1,168 160,358 93,999 169,799 4.8 1.5 9 15,200 1,900 19,000 Apr May 224,011 108,665 447 456 323 418 96,097 60,622 4 1.9 3,800 3,800 Jun down down down down down down Jul down down down down down down Aug down down down down down down Sep down down down down down down Oct down down down down down down Nov down down down down down down Dec down down down down down down AME ,242,670 248,534 453 3,030 606 580Tot,875 116,175 1�24 24, 40 Total Tons= 22 Feed Sludge Regeneration Effluent Month vg ss mg/l vg % vg mg/I vg % vg mg/I vg - mg/I Jan 42,090 65.67 15,555 34.7 8,063 1,380 Feb Mar down down 64 65 down down 46 54 10,600 9,663 1,500 1,288 Apr down down down down down down May down down down down down down Jun down down down down down down Jul down down down down down down Aug down down down down down down Sep down down down down down down Oct down down down down down down Nov down down down down down down Dec down down down down down down Avg 1 42,0901 65 15,555 44.9 L9,442 1,389 .prinl NurnhPr nnd31K I~ ANALYSIS REQUEST AND CHAIN OF CUSTODY RECORD American Testing Technologies, Inc. American Testing Technologies, Inc. 1350 Home Avenue, Suite GI Akron, OH 44310 Website: wwwAmericanTestingTechnologies.com Tot! Free: 877-634-9906 Phone: (330) 634-9906 Fax: (330) 634-9907 PROJECT REFERENCE 1^7 t PROJECT No. PROJECT LOCATION (STATE) MATRIX TYPE REQUIRED ANALYSIS PAGE---F OF PROJECT MANAGER �- f / P.O. NUMBER CONTRACT NO. ? p cry m o F a o L Cr o o m g ¢ �' uai o o ? STANDARD REPORT DELIVERY t�i� GATE DUE 1 " EXPEDITED REPORT DELIVERY Q (SURCHARGE) DATE DUE CLIENT (SITE) CLIENT PHONE r IN CLIENT FAX CLIENT CLIENT NAME CLIENT E-MAIL r (C/� �1 C lY�i� �� i 1 1 t'1 %i j7C'� C ENT DDRESS �Y 0 In r o a ) r , ; ) t * I;_ �' i r ' s ; :i y ,• it a NUMBER OF COOLERS SUBMITTED PER SHIPMENT: SAMPLE SAMPLE IDENTIFICATION o z NUMBER OF CONTAINERS REMARKS DATE TIME i. j `"45t L d F-L A. E 451- 1 tin to A . '_'tz . n!OVIE b dlkD!11 Y ( 44 6,04 M A L --- 4j- RELINQU ED BY: (StG ) :2 E It„ D7 E TIME REUNQUISHED BY: (SIGNATURE) DATE TIME RELINQUISHED BY: (SIGNATURE) DATE TIME R B ' G TU7 TIME RECEfV�p gY�(SJGNATURE) DATE -TIME RECENED BY: (SIGVATURc) DATE TIME LA60RATORY USE ONLY - RECEIVED FOR LABAORATO 8Y .. WE a�`+i.�: TyyE `. �30 CUSTODY INTACT .: :. YES ,� co CUSTODY SEAL N0. A:7T. LOG N0 o Zo-Oi- LABORATORY REMARKS ORIGINAL . RETURN TO LA130RATORY WITH SAMPLE(S) 03/31/2020 American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Report No.; 022120-01 05 Enclosed are the results of the sample(s) submitted to our laboratory on 02/21/2020. All analyses were performed according to our laboratory's quality assurance program. Ail 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 samy@americantestin echnolo 'egg s.com c 1 La r tory 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 roa Free: 877.634.9906 Phone: 230.634.9906 Fax; 330.634.9907 Page 1 of 31 www.AmerIcanTestingTechnologies.com iFIF American Testing Technologies, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH BZ..,A. Laboratory ID #: 022120-02 Date of Analysis: 03/09/2020 Certificate of Analysis Metals-TCLP (EPA 1311) Parameter Resuits Units Regulatory Method Limits Number Arsenic <1.0 mg/L 5.0 6010C Barium <10 mg/L. 100.0 6010C Cadmium <0.5 mg/L 1.0 601OC Chromium <1.0 mg/L 5.0 6010C Lead <LO mg/L 5.0 6010C Mercury <0.02 mg/L 0.2 7470A Selenium <0.5 mg/L 1.0 6010C Silver <1.0 mg/l, 5.0 6010C 1350 Home Avenue Akron, Ohlo 44310 page 8 of 31 Toll Free: 877.634.9906 Phone: 330.634.9906 Fax: 330.634.9907 www.AmericanTestingTechnologies.com aw AmerIcen ToWng Technologlas, Iran City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro Ash EZA Laboratory ID #: 022120-02 Date of Analysis: 03/06/2020 Certificate of Analysis Volatiles-TCLP (EPA 1311) Parameter Results units Regalatory Method Limits Number Benzene <0.I mg/L 0.5 8260B Carbon tetrachloride <0.1 mg/L 0.5 8260B Chlorobenzene <0.1 mg/L, 100 8260B Chloroform <0.1 mg/L 6.0 8260B 1,2-Dichioroethane <0.1 mg/L 0.5 8260D 1,1-Dichloroethene <0.1 mg/L 0.7 8260B Methyl ethyl ketone <2.0 mg/L 200 8260B Tetrachloroethene <0.1 mg/L 0.7 8260B Tricbloroethene <0.1 mg/L 0.5 8260B Vinyl chloride <0.2 mg/L 0.2 8260B 1350 Home Avenue Akron, Ohio 44310 Page 9 of 31 rouFrse 877.634.9906 Phone:330.634.9906 Fax.330.634.9907 www.AmericanTestingTechnologies.com A� F � F 6ML��-� American Testing Tochnologles, Inc. City of Burlington, NC Attu: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:3 8 AM Client ID A East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis: 03/26/2020 Certificate of AnaNsis BNA-TCLP (EPA 1311) Parameter Results Unite Regulatory Method Limits Number 1,4-Dichlorobenzene <0.05 mg/L 7.5 8270C 2,4-Dinitrotoluene <0.05 mg/L 0.13 8270C Hexachlorobenzene <0.05 mg/L 0.13 8270C Hexaehlorobutadiene <0.05 mg/L 0.5 8270C Hexachloroethane <0.05 mg/L 3.0 8270C Nitrobenzene <0.05 mg/L 2.0 8270C Pyridine <0.05 mg/L 5.0 8270C o-Cresol <0.5 mg/L 200 8270C m,p-Cresol <0.5 mg/L 200 8270C Pentachlorophenol <0.5 mg/L 100 8270C 2,4,5-Trichlorophenol <0.5 mg/L 400 8270C 2,4,6-Trichlorophenol <0.5 mg/L 2.0 8270C 1 rt reviewed by. o to Manager 1.350 Home Avenue Akron, Ohio 44310 Toll Free: 877.834.9906 Phone: 330.634.9906 Fax: 330.634.9907 Page 10 of 31 �� www.AmericanTestinaechnolagies.com ATT American T"Ing Technotogles, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis: 03/20/2020 Certificate of Analysls Pesticides-TCLP (EPA 1311) Parameter Results Units Regulatory Method )Limits Number Chlordane <0.005 mg/L 0.03 8081B Endrin <0.005 mg/L 0.02 8081B Heptachlor <0.005 mg/L 0.008 8081E Heptachlor epoxide <0.005 mg/L 0.008 8081B Lindane <0.005 mglL 0.4 8081B Methoxychlor <0,1 mg/L 10.0 8081B Toxaphene <0.1 mg/L 0.5 8081B reviewed by: Manager 1350 Home Avenue Akron, Ohio 44310 Page 11 of 31 sou File: 977.634.9906 Phone:330.634.9906 Fax: 330.634.9907 � www.AmerIcanTestingTechnoIogies.coat ATT American Testing Technoiogles, Inc. City of Burlington, NC Attn: Glenn McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Date of Analysis:.03/19/2020 Certificate of Analysts Herbicides-TCLP (EPA 1311) Parameter Results Units Regulatory Method Number 2,4-D <1.0 mg/L 10.0 8151A 2,4,5-TP (Silvex) <1.0 mg/L 1.0 8151A 0 1350 Home Avenue Akron, Ohlo 44310 page 12 of 31 Ton Free- 877.634.9906 Phone., 330.634,9906 Fac 330.634.9907 www.AmericanTestinjech nologles.com City of Burlington, NC Attn: Glean McGirt 1302 Belmont Street Burlington, NC 27215 Date Received: 02/21/2020 Date Reported: 03/31/2020 Date Collected: 02/18/2020 Time Collected: 10:38 AM Client ID #: East Zimpro ASH EZA Laboratory ID #: 022120-02 Aurr American Teasing Technologies, Inc. Certificate of Analysis Parameter Results Units Method Date of Number Analysis Reactive Cyanides <0.5 mg/kg 7.3.3.2 02/27/2020 Reactive Sulfides <25 mg/kg 7.3.4.1 02/27/2020 pH (Lab) 6.17 S.U. 9045D 02/21/2020 Flash point >140 OF 1010A 02/27/2020 1350 Home Avenue Akron, Ohio 44310 ron Free: 877.634.9906 Phone: 330.634,9906 Fom 330.634.9907 Page 13 of 31 www.AmericanTestingTechnologies.com