WQ0003351_2020 Residual Annual Report_20210218

Initial Review
Reviewer Williams, Kendall
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)* W00003351
Applicant/Permittee Town of Mocksville
Email Notifications
Does this need review by the hydrogeologist?* O Yes r No
Regional Office Winston-Salem
CO Reviewer
Admin Reviewer [e-mail]

Submittal Form
Project Contact Information
Rease provide inforration on the person to be contacted by N B Staff
Name * Brent Collins
Email Address*
[e-mail]
electronic subnittal, confirmation of receipt, and other correspondence.
Project Information
........ ......... .......................................................................................................................
Application/Document Type* r New (Fee Req ui red)
r Modification - Major (Fee Required)
r Renewal with Major Modification (Fee
Required)
r Annual Report
r Additional Information
r Other
Phone Number*
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:* WQ0003351
Fbs Current Existing permt number
Applicant/Permittee Address* 171 Clement Street, Mocksville, NC 27028
Facility Name * Town of Mocksville - Dutchman's Creek
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.*
(Application Form Engineering Rans, Specifications, Calculations, Bc.)
2020 Mocksville Annual Report - WQ0003351.pdf 5.3MB
Upload only 1 RFdocurrent (less than 250 \B). NLRiple documents rust be contained into one FDFfile 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 2/18/2021

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0003351 County: Davie Year:
2020
Facility Name (as shown on permit):
Land Application Operator:
EMA Resources Inc.
Town of Mocksville
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 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 Anniication Summary:
Total number of application fields in the perrnitj
10
Total number of fields utilized for land application during the year:
7
Total amount of dry tons applied during the year for all application sites:
143.35
Total number of acres utilizes for land application during the ycar:1
74.2
Part B - Annual Comniance 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.❑ 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) Ail 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 .I 105(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 .1 I I I were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in (lie 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.
l 1) 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 (lie possibility
of tines and imprisonment for knowing violations."
Lynne Trivette - Interim Town Manager
Permittee Nan and Title (type or p ' Si ture of Permittee Date
— ( — Z Z�'_ 1/27/2021
Signature of Preparer* Date
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T
Signature of Land Applier Date
(if different from Pennittee and Preparer)
1102 (26) DENR FORM ACF (1212006)

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:
WQ0003351
Laboratory: 1)
Facility Name:
Town of Mocksville
2)
Residual Source WQ # or
NCO021491
3)
NPDES #:
4)
WWTP Name:
Dutchman's Creek WWTP
5)
Residual Analvcic nata
Waypoint Analytical
Parameter
(mg/kg)
Cone.
Limit
mg/kg a
Sample or Composite
Date
1 /9/20
Percent Solids (%}
NA
2.58
Arsenic
75
16.1
Cadmium
85
1.9
Copper
4,300
51.9
Chromium
NA
I1.1
Lead
840
5.73
Mercury
57
0.299
Molybdenum
75
5
Nickel
420
11.1
Selenium
100
18.8
Zinc
7,500
213
Total Phosphorus
NA
3880
TKN
NA
31600
Ammonia -Nitrogen
NA
4650
Nitrate and Nitrite
NA
184
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"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 bmitting false information, including the possibility of fines and imprisonment for knowing violations."
~--� C•� 2- t 2 Z1 - .
Signature oYPreparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)

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:
WQ0003351
Facility Name: Town of Mocksviile
Residual Source
NPDES # or WQ#:
WWTP Name:
Reaidiinl Annlvaic nata
NCO021491
Dutchman's Creek WWTP
Laboratory: 1) Waypoint Analytical
2)
3)
4)
5)
Parameter
_ _
Sample or Composite Date
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties f9r submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Prep r
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
0? -/a a /
Date

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mocksville Total Dry Tons Applied (Annual): 3.87
Permit #: WQ0003351 Cation Exchange Capacity (non 503 only):
Operator: Toby Cornatzer Owner: Toby Cornatzer Predominant Soil Series: ToB2
Acres Used: 7.5 Acres Permitted: 7.5 Site #: NC-DV05 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 1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
0.52
Arsenic
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.017
Cadmium
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
Copper
0.054
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.054
Chromiuni
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Lead
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.005
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.005
denum
Nickel
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
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
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
Total
Phos-
4.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.004
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".
Signature of Land Applier
1/27/2021
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.
Town of Mocksville
Toby Cornatzer
Toby Cornatzer
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0003351 Field #:
Annual Dry Tons Applied: 3.87 Site #:
Predominant Soil Series: ToB2
Crop 1 Max. PAN:
141
Crop 2 Name:
NC-DV05
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
7.5
7.5
C
y o
Q o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
F 'F
Q w
*O
o
*
7� rc
R
*
�.
o
TKN
mg/kg
Z I
o
urc 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
5/7/20
36000
2.58
0.516
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
1 31600
4650
1 184
10.942
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
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
36000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
10,9421
0.000
Lime Applied
Annuallbs/acre
0.017
0.002
0.054
0.011
0.006
0.000
0.005
0.011
0.019
0.220
4.004
Date
lbs/ac
Prior Years Cumulative lbs/ac
1.486
0.207
2.771
20.671
12.949
0.4
0.022
1.253
1.055
6.732
C.C.E.
260
Current Cumulative lbs/ac
1.503
0.209
2.825
20.682
12.955
0.400
0.027
1.264
1.074
6.952
Permitted C. P. L. R. * * * *
36
34
1 1338
267
1 15
374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
1 141
"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
1/27/2021 **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: Town of Mocksville Total Dry Tons Applied (Annual): 16.78
Permit #: WQ0003351 Cation Exchange Capacity (non 503 only):
Operator: Toby Cornatzer Owner: Toby Cornatzer Predominant Soil Series: ToB2
Acres Used: 11.5 Acres Permitted: 11.5 Site #: NC-DV05 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
WINE
Com-
posite
Date
MEMO
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
1.46
Arsenic
0.047
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
Cadmium
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Copper
0.151
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.151
Chromiuni
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.032
Lead
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.017
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
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
denum
Nickel
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.032
Selenium
0.055
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.055
Zinc
0.622
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.622
Total
Phos-
11.322
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
11.322
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".
Signature of Land Applier
1/27/2021
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.
Town of Mocksville
Toby Cornatzer
Toby Cornatzer
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0003351 Field #:
Annual Dry Tons Applied: 16.78 Site #:
Predominant Soil Series: ToB2
Crop 1 Max. PAN:
141
Crop 2 Name:
NC-DV05
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
11.5
11.5
C
y o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
F 'F
Q ;
*O
o
*
7� rc
"
CD�.
�.
o
TKN
mg/kg
Z I
o
ac o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN A lied
PP
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/6/20
84000
2.58
0.786
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
1 31600
4650
1 184
16.650
NA
Fescue
5/7/20
72000
2.58
0.674
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
14.272
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
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
156000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
-30,9221
0.000
Lime Applied
Annuallbs/acre
0.047
0.006
0.151
0.032
0.017
0.001
0.015
0.032
0.055
0.622
11.322
Date
lbs/ac
Prior Years Cumulative lbs/ac
1.486
0.207
2.771
20.671
12.949
0.4
0.022
1.253
1.055
6.732
Current Cumulative lbs/ac
1.533
0.213
2.922
20.703
12.966
0.401
0.037
1.285
1.110
7.354
Permitted C. P. L. R. * * * *
36
34
1 1338
267
1 15
374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
1 141
"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
1/27/2021 **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: Town of Mocksville Total Dry Tons Applied (Annual): 57.07
Permit #: WQ0003351 Cation Exchange Capacity (non 503 only):
Operator: Roger Spillman Owner: Roger Spillman Predominant Soil Series: CeB2
Acres Used: 21.8 Acres Permitted: 21.8 Site #: NC-DV08 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
WINNEW
Date
W
moon
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
0.78
1.84
Arsenic
0.025
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.051
Cadmium
0.003
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Copper
0.081
0.116
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.197
Chromiuni
0.017
0.256
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.274
Lead
0.009
0.091
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.099
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-
0.008
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
denum
Nickel
0.017
0.115
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.132
Selenium
0.029
0.018
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.047
Zinc
0.331
0.311
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.642
Total
Phos-
6.030
4.455
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
10.485
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".
Signature of Land Applier
II2%12UZI
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.
Town of Mocksville WQ Permit #: WQ0003351 Field #: 1 Acres Utilized:
Roger Spillman Annual Dry Tons Applied: 57.07 Site #: NC-DV08 Acres Permitted:
Roger Spillman
Crop 1 Name: Fescue -Pasture
Predominant Soil Series:
Crop 1 Max. PAN: 156
CeB2
Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
21.8
21.8
0
�, o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
�
�
Q w
*O
o
*
7 co
?j
*
�.
o
TKN
mg/kg
Z
pot
ac o
mg/kg
Nitrate
andPP
Nitrite
mg/kg
PAN A lied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
11/6/20
18000
2.58
0.089
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
1.882
NA
Fescue
11/7/20
54000
2.58
0.266
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
5.647
NA
Fescue
11/8/20
45000
2.58
0.222
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
4.705
NA
Fescue
12/23/21
18000
2.58
0.089
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
1.882
NA
Fescue
12/24/21
22500
2.58
0.111
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
2.353
NA
Fescue
0.000
0.000
0.000
6/25/20
32500
6.73
0.418
Mocksville WTP
Dry
<.5"
S
0.5
0.1
1 2990
4060
1 936
2.392
NA
I Fescue
6/26/20
110500
6.73
1.423
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
8.134
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
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
300500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
26.995
0.000
Lime Applied
Annuallbs/acre
0.0511
0.0041
0.1970
0.2735
0.0995
0.0008
0.0152
0.1321
0.0468
0.6421
10.485 1
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
0.0000
Current Cumulative lbs/ac
0.0511
0.0041
0.1970
0.2735
0.0995
0.0008
0.0152
0.1321
0.0468
0.6421
Permitted C. P. L. R. * * * *
36
34
1338
267
1 15
1 374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
F 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
1/27/2021 **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: Town of Mocksville Total Dry Tons Applied (Annual): 10.65
Permit #: WQ0003351 Cation Exchange Capacity (non 503 only):
Operator: Greg Dooley Owner: Greg Dooley Predominant Soil Series: ToB2
Acres Used: 9.7 Acres Permitted: 9.7 Site #: NC-DV11 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 1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
1.10
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
0.004
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
0.114
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.114
Chromiuni
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Lead
0.013
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.013
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
denum
Nickel
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Selenium
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.041
Zinc
0.468
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.468
Total
Phos-
8.520
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
8.520
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".
Signature of Land Applier
1/27/2021
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.
Town of Mocksville
Greg Dooley
Greg Dooley
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0003351 Field #:
Annual Dry Tons Applied: 10.65 Site #:
Predominant Soil Series: 0132
Crop 1 Max. PAN:
209
Crop 2 Name:
NC -DV 11
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
9.7
9.7
y o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
a
0 w
*O
o
�'
7 rc
"
�.
o
TKN
mg/kg
Z I
o
ac 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
8/12/20
36000
2.58
0.399
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
8.460
NA
Fescue
8/24/20
22500
2.58
0.250
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
5.288
NA
Fescue
8/25/20
40500
2.58
0.449
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
9.518
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
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
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
99000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
23.265
0.000
Lime Applied
Annuallbs/acre
0.035
0.004
0.114
0.024
0.013
0.001
0.011
0.024
0.041
0.468
8.520
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
C.C.E.
560
Current Cumulative lbs/ac
0.035
0.004
0.114
0.024
0.013
0.001
0.011
0.024
0.041
0.468
Permitted C. P. L. R. * * * *
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1 st/2nd Crop
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
1/27/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier o 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:
Town of Mocksville Total Dry Tons Applied (Annual): 26.15
WQ0003351 Cation Exchange Capacity (non 503 only):
Clarence Rupard Owner: Clarence Rupard Predominant Soil Series: MsB - Mocksville
15 Acres Permitted: 15 Site #: NC-MK01 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
WINE
Com-
posite
Date
Monosson
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
1.74
Arsenic
0.056
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.056
Cadmium
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
Copper
0.181
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.181
Chromiuni
0.039
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.039
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-
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.017
denum
Nickel
0.039
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.039
Selenium
0.066
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.066
Zinc
0.743
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.743
Total
Phos-
13.526
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
13.526
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".
Signature of Land Applier
II2%12UZI
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.
Town of Mocksville WQ Permit #: WQ0003351 Field #: 2 Acres Utilized:
Clarence Rupard Annual Dry Tons Applied: 26.15 Site #: NC-MKO1 Acres Permitted:
Clarence Rupard
Crop 1 Name: Fescue -Pasture
Predominant Soil Series: MsB - Mocksville
Crop 1 Max. PAN: 167 Crop 2 Name:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
15
15
C
�, o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
F '�
w
*O
o
*
7� co
?j
*
�.
o
TKN
mg/kg
Z
o
ac o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/30/20
45000
2.58
0.323
Dutchman's Creek
Dry
<.5"
S
0.5
1 0.3
31600
4650
1 184
6.839
NA
Fescue
7/l/20
63000
2.58
0.452
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
9.574
NA
Fescue
7/2/20
27000
2.58
0.194
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
4.103
NA
Fescue
10/28/20
13500
2.58
0.097
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
2.052
NA
Fescue
11/4/20
4500
2.58
0.032
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
0.684
NA
Fescue
11/5/20
90002
2.58
0.646
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
1 184
13.677
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
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
243002
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
36.929
0.000
Lime Applied
Annuallbs/acre
0.0561
0.0066
0.1809
0.0387
0.0200
0.0010
0.0174
0.0387
0.0655
0.7425
13.526
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.1681
0.1503
11.2865
0.8600
2.2413
0.0517
0.6473
1.0649
0.2138
41.5432
Current Cumulative lbs/ac
0.2242
0.1569
11.4674
0.8987
2.2613
0.0527
0.6647
1.1036
0.2793
42.2857
Permitted C. P. L. R. * * * *
36
34
1 1338
267
1 15
374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
167
"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
1/27/2021 **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:
Town of Mocksville Total Dry Tons Applied (Annual):
WQ0003351 Cation Exchange Capacity (non 503 only):
Jeff Smith Owner: Town of Mocksville Predominant Soil Series:
4.7 Acres Permitted: 4.7 Site #: NC-MK05 Field #:
62.88
CeB2 - Cecil
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
8.33
5.05
Arsenic
0.268
0.071
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.340
Cadmium
0.032
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.035
Copper
0.865
0.319
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.184
Chromiuni
0.185
0.702
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.887
Lead
0.095
0.248
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.344
Mercury
0.005
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
0.083
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.104
denum
Nickel
0.185
0.315
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.500
Selenium
0.313
0.048
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.362
Zinc
3.549
0.853
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.402
Total
Phos-
64.656
12.211
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
76.868
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".
Signature of Land Applier
1/27/2021
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.
Town of Mocksville
Town of Mocksville
Jeff Smith
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0003351 Field #:
Annual Dry Tons Applied: 62.88 Site #:
Predominant Soil Series: CeB2 - Cecil
Crop 1 Max. PAN:
209
Crop 2 Name:
NC-MK05
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4.7
4.7
y o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
a
0 w
*O
o
�'
7 rc
"
�.
o
TKN
mg/kg
Z I
o
ac 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
1/9/20
22500
2.58
0.515
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
10.913
NA
Fescue
1/10/20
40500
2.58
0.927
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
19.643
NA
Fescue
7/2/20
22500
2.58
0.515
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
10.913
NA
Fescue
7/3/20
13500
2.58
0.309
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
6.548
NA
Fescue
8/20/20
67500
2.58
1.545
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
32.738
NA
Fescue
8/24/20
18000
2.58
0.412
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
8.730
NA
Fescue
10/7/20
32500
2.58
0.744
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
15.763
NA
Fescue
10/8/20
39000
2.58
0.893
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
18.915
NA
Fescue
12/22/21
13500
2.58
0.309
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
6.548
NA
Fescue
12/23/21
36000
2.58
0.824
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
17.460
NA
Fescue
12/28/21
45000
2.58
1.030
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
21.825
NA
Fescue
12/29/21
13500
2.58
0.309
Dutchman's Creek
Dry
<.5"
S
0.5
1 0.3
1 31600
4650
1 184
6.548
NA
Fescue
0
84500
5.046
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
28.851
0.000
TOTALS:
0
448500
As
Cd
Cu
Cr
Pb
HgF
Mo
Ni
Se
Zn
P
205.393
0.000
Lime Applied
Annuallbs/acre
0.340
0.035
1.184
0.887
0.344
0.006
0.104
0.500
0.362
4.402
76.868
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.144
0.077
9.795
1.019
1.199
0.047
0.289
0.879
0.181
30.919
Current Cumulative lbs/ac
0.484
1 0.112
10.979
1.906
1.543
0.053
0.393
1.379
0.543
35.321
Permitted C. P. L. R. * * * *
36
34
1 1338
1
1 267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
F 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
1/27/2021 **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: Town of Mocksville WQ Permit #: WQ0003351 Field #: 1 Acres Utilized: 4.7
Land Owner: Town of Mocksville Annual Dry Tons Applied: 62.88 Site #: NC-MK05 Acres Permitted: 4.7
Operator: Jeff Smith Predominant Soil Series: CeB2 - Cecil Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 209 Crop 2 Name: Crop 2 Max PAN:
o
Q
Volume applied (enter
one)
Cu. Yds Gallons
39000
0
/o
Solids
6.73
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
(Dry,
e '
Moist)
preci p.
Past 24
Hrs.
inches
E w
*
C
o
7 w
*
?j
;
t,
TKN
mg/kg
Z
o 5
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN A lied
PP
( lbs/acre)
Name of CropType
yp
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/24/20
2.329
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
13.316
NA
Fescue
6/25/20
45500
6.73
2.717
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
15.535
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
1 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
TOTALS:
0
84500
5.046
28.851
0.000
"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
1/27/2021 **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: Town of Mocksville Total Dry Tons Applied (Annual): 60.81
Permit #: WQ0003351 Cation Exchange Capacity (non 503 only):
Operator: Jeff Smith Owner: Town of Mocksville Predominant Soil Series: CfB2
Acres Used: 4 Acres Permitted: 4 Site #: NC-MK05 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Date
Total
Phos-
phonis
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
2
3
4
5
6
7
8
9
LOJ
11
12
DT/Ac./
App.
Event
7.45
7.75
Arsenic
0.240
0.110
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.350
Cadmium
0.028
0.005
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.033
Copper
0.773
0.490
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.263
Chromiuni
0.165
1.079
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.245
Lead
0.085
0.381
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.467
Mercury
0.004
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
0.075
0.031
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.106
denum
Nickel
0.165
0.484
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.649
Selenium
0.280
0.074
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.354
Zinc
3.174
1.310
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4.484
Total
Phos-
57.812
18.762
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
76.574
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".
Signature of Land Applier
1/27/2021
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.
Town of Mocksville
Town of Mocksville
Jeff Smith
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0003351 Field #:
Annual Dry Tons Applied: 60.81 Site #:
Predominant Soil Series: 0132
Crop 1 Max. PAN:
209
Crop 2 Name:
NC-MK05
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4
4
y o
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)
Sod
Cond.
(Dry,
Wet
Moist)
Precip.
past 24
Hrs.
inches
a
0 w
*O
o
�'
7 rc
"
�.
o
TKN
mg/kg
Z I
o
ac 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
1/21/20
22500
2.58
0.605
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
12.822
NA
Fescue
1/22/20
9000
2.58
0.242
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
5.129
NA
Fescue
1/23/20
40500
2.58
1.089
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
23.080
NA
Fescue
8/17/20
18000
2.58
0.484
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
10.258
NA
Fescue
8/19/20
45000
2.58
1.210
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
25.645
NA
Fescue
10/9/20
52000
2.58
1.399
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
29.634
NA
Fescue
11/3/20
45000
2.58
1.210
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
25.645
NA
Fescue
11/4/20
31500
2.58
0.847
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
17.951
NA
Fescue
12/22/21
13500
2.58
0.363
Dutchman's Creek
Dry
<.5"
S
0.5
0.3
31600
4650
184
7.693
1 NA
Fescue
0.000
0.000
0.000
6/23/20
58500
6.73
4.104
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
23.469
NA
Fescue
6/24/20
52000
6.73
3.648
Mocksville WTP
Dry
<.5"
S
0.5
0.1
2990
4060
936
20.861
NA
Fescue
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
387500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
202.188
0.000
Lime Applied
Annuallbs/acre
0.350
0.033
1.263
1.245
0.467
0.006
0.106
0.649
0.354
4.484
76.574
Date
lbs/ac
Prior Years Cumulative lbs/ac
1.497
0.212
2.002
10.989
11.557
0.401
0.035
3.102
1.114
6.377
Current Cumulative lbs/ac
1.847
0.245
3.265
12.234
12.024
0.407
0.141
3.751
1.468
10.861
Permitted C. P. L. R. * * * *
36
1 34
1 1338
1
267
1 15
374
1 89
1 2498
Permit PAN Limit 1 st/2nd Crop
1 209
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/27/2021 **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)

Waypointo
ANALYTICAL
1 /22/2020
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Lab Report Number: 20-010-0081
Client Project Description: Mocksville
2790 Whitten Road, Memphis, TIN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Dear Mr. Brent Collins:
Waypoint Analytical, LLC. received sample(s) on 1/10/2020 for the analyses presented in the following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule August 2017) and NELAC unless otherwise indicated. Any
parameter for which the laboratory is not officially NELAP accredited is indicated by a '—' symbol. These are not
included in the scope because NELAP accreditation is either not available or has not been applied for. Additional
certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Danyale Love
Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Alabama #40750 Louisiana #04015
Mississippi California #2904
Kentucky #90047 Tennessee #TN02027
VA NELAP #460181
NC #415
EPA #TN00012
Texas #T104704180 Arkansas #88-0650
Oklahoma #9311 SC #84002
Kentucky UST #80215 PA DEP #68-03195
Page 1 of 8

Waypoint
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Report Number: 20-010-0081
Client Project Description: Mocksville
Lab No Client Sample ID Matrix Date Collected Date Received
92918 Mocksville Solids 01/09/2020 09:00 01/10/2020
Page 2 of 8

Waypointo
ANALYTICAL
Client: EMA Resources Inc
Project: Mocksville
Lab Report Number: 20-010-0081
Date: 1/22/2020
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Metals Analysis Method 6010D
Analyte: Aluminum
QC Batch No: L473190
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Calcium
QC Batch No: L473190
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Copper
QC Batch No: L472999
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Iron
QC Batch No: L473190
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Potassium
QC Batch No: L473190
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post
digestion spike was performed and passed quality control acceptance ranges. No matrix interference is
suspected.
Analyte: Magnesium
QC Batch No: L472999
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Analyte: Manganese
QC Batch No: L472999
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Sodium
QC Batch No: L472999
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Page 3 of 8

Waypoint
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.com
Analyte: Phosphorus
QC Batch No: L473190
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Sulfur
QC Batch No: L473450
The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test
was performed and passed quality control acceptance ranges. No matrix interference is suspected.
Analyte: Zinc
QC Batch No: L472999
The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance
ranges. Matrix interference is suspected.
Page 4 of 8

i
Wa2790 Whitten Road, Memphis, TN 38133
ypoint.Main 901.213.2400 ° Fax [phone]
ANALYTICAL www.waypointanalytical.com
46245
EMA Resources Inc
Mr. Brent Collins Project Mocksville Report Date : 01/22/2020
755 Yadkinville Rd Information : Received : 01/10/2020
Mocksville , NC 27028
Report Number : 20-010-0081 REPORT OFANALYSIS Danyale Love
Project Manager
Lab No : 92918
Matrix: Solids
Sample ID : Mocksville
Sampled:
1/9/2020
9:00
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Moisture
97.4
%
0.010
1
01/15/2016:55
ADM
SW-DRYWT
Ammonia Nitrogen
4650
mg/Kg -
dry
962
1
01/21/20 14:00
JPJ
4500NH3C-2011
Nitrate+Nitrite-N
<184
mg/Kg -
dry
184
184
1
01/20/20 16:12
ZBD
4500NO3F-2011
Organic N
26920
mg/Kg -
dry
56.54
2819
1
01/14/20 16:20
CALCULATION
pH
11.9
S.U.
1
01/21/20 05:24
JSL
9045D
Total Solids
2.58
%
0.010
0.010
1
01/15/20 16:55
ADM
2540G-2011
Total Kjeldahl Nitrogen
31600
mg/Kg -
dry
2820
1
01/14/20 16:20
CLP 4500NORGD-2011
Phosphorus
3880
mg/Kg -
dry
98.8
192
1
01/14/20 19:31
BKN
6010D
Aluminum
3560
mg/Kg -
dry
78.1
192
1
01/14/20 19:31
BKN
6010D
Arsenic
<16.1
mg/Kg -
dry
16.1
19.2
1
01/14/20 19:31
BKN
6010D
Cadmium
<1.90
mg/Kg -
dry
1.90
3.85
1
01/14/20 19:31
BKN
6010D
Calcium
76200
mg/Kg -
dry
646
962
1
01/14/20 19:31
BKN
6010D
Chromium
11.1
mg/Kg -
dry
7.31
9.62
1
01/14/20 19:31
BKN
6010D
Copper
51.9
mg/Kg -
dry
5.58
9.62
1
01/14/20 19:31
BKN
6010D
Iron
4540
mg/Kg -
dry
163
192
1
01/14/20 19:31
BKN
6010D
Lead
<5.73
mg/Kg -
dry
5.73
11.5
1
01/14/20 19:31
BKN
6010D
Magnesium
950
mg/Kg -
dry
85.4
192
1
01/14/20 19:31
BKN
6010D
Manganese
228
mg/Kg -
dry
7.04
19.2
1
01/14/20 19:31
BKN
6010D
Mercury
0.2993
mg/Kg -
dry
0.129
0.585
1
01/15/20 16:25
TJS
7471A
Molybdenum
<5.00
mg/Kg -
dry
5.00
9.62
1
01/14/20 19:31
BKN
6010D
Nickel
11.1
mg/Kg -
dry
6.35
9.62
1
01/14/20 19:31
BKN
6010D
Potassium
2320
mg/Kg -
dry
115
192
1
01/14/20 19:31
BKN
6010D
Selenium
<18.8
mg/Kg -
dry
18.8
19.2
1
01/14/20 19:31
BKN
6010D
Qualifiers/ DF
Dilution Factor
J
Estimated value
Definitions L
Limit Exceeded
MQL
Method Quantitation Limit
Page 5 of 8

i
Waypoint.
ANALYTICAL
46245
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville , NC 27028
Report Number : 20-010-0081
Lab No : 92918
Sample ID : Mocksville
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Project Mocksville
Information :
REPORT OFANALYSIS
Report Date : 01/22/2020
Received : 01/10/2020
Danyale Love
Project Manager
Matrix: Solids
Sampled: 1/9/2020 9:00
Test
Results
Units
MDL
MQL
DF
Date / Time
Analyzed
By
Analytical
Method
Sodium
3680
mg/Kg - dry
297
962
1
01/14/20 19:31
BKN
6010D
Zinc
213
mg/Kg - dry
41.5
48.1
1
01/14/20 19:31
BKN
6010D
Sulfur
2330
mg/Kg - dry
188
192
1
01/14/20 19:31
BKN
6010D
Neutralizing Value (%CCE)
25.1
% - dry
0.1
1
01/16/20 12:43
DXT
AOAC 955.01
Sodium Absorption Ratio
<2.22
Ratio
2.22
5.00
1
01/14/20 19:31
CALCULATION
Qualifiers/ DF Dilution Factor
Definitions
J Estimated value
Page 6 of 8

•
WayPAoi nt ..(2) 2790 Whitten Road,3.240 Memphis, TN 38133
21.2440
Main 9fl1.213.2400 °Fax [phone]
N A LYT I C A L www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 20-010-0081
Shipping Method
® Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
#70
Shipping container/cooler uncompromised?
0 Yes
0 No
Number of coolers/boxes received
F-71
Custody seals intact on shipping container/cooler?
0 Yes
0 No
! Not Present
Custody seals intact on sample bottles?
0 Yes
0 No
® Not Present
Chain of Custody (COC) present?
0 Yes
0 No
COC agrees with sample label(s)?
0 Yes
0 No
COC properly completed
0 Yes
0 No
Samples in proper containers?
0 Yes
0 No
Sample containers intact?
0 Yes
0 No
Sufficient sample volume for indicated test(s)?
0 Yes
0 No
All samples received within holding time?
0 Yes
0 No
Cooler temperature in compliance?
0 Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
0 Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
® N/A
Water - VOA vials free of headspace
0 Yes
0 No
® N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
F_ High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr)
F_ High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes ® No
Comments:
Signature: rRory Phillips Date & Time: 01/10/2020 10:54:04
Page 7 of 8

Client Name/Address
Client Project Manager/Contact
Billing Information
For La boratary Use Only
EMA Resources Inc
Brent Collins
Account #46245
755 Yadkinvilie Rd
Mocksville, NC 27028
Project Description
Project/Site Location (City/State)
RUSH - Additional charges apply
Method of Shi ment
Matrix Key
Special Detection Limit(s)
❑ Fed Ex UPS DUSPS
WW - Wastewater GW -Groundwater
}
. u 5� l L
�, J li I� i+
AOLkSV !1 C—
Date Results Needed
1:1Courier Client Drop Off
DW - Drinking Water 5 - Soil /Solid O - Oil
P- Product M - Vise
I 0 6
Other
Project Number
Project Manager Phone #
Project Manager Email
Purchase Order Number
SitelFacility ID It
336-399-3646
[e-mail]
Q
T
z
Tin
A Cool r 14C N325203 (Micro Only)
N
�
U
�E
B
1Nayp�int
=
Q
0
HZSG04
C Ff250+i pN42
ANALYTICAL
R
c
Y
a
E
C7
J)
O None R aired
E NaOH pH510
2790 Whitten Road
Unless noted, all containers
o
d
�
U
to
M
Q
Z
�
�
�
F FiNO3 pHQ
G HCL pW2
Memphis, TN 38133
o
T
>
[phone]
per Table If of 40CFR Part
A
r
�J
H H3Pv4 ;)HQ136.
1 Cool s= 6C NAZS203
3
m
L7
Date
Time
Sample Identification
Required
Anal sis / Preservative
Comments/Notes
rnOCY-SV I'L
1
\
C
►�
►�
� l
Metals'AI,As,Ca,Cd,Cr,Cu,Fe, Pb
Mn, Mg,Mo,Hg,Ni,Se,Na,P,S.K,Zn
1111I1III III IIII1l 1111111111 °°$,
llllll II1II 11111111111III (III 46245 za20
Y1c r. ks v d 10:53:28
For Laboratory Use Only
Sampled by (Name - Print}
��r�f
Client Remarks/Comments
Sludge Samples - Report Dry Weight
Ice
Custody
Lab Comments
.�S
Y / N
RelinquI hed by: (SIGNATURE)
Date Time
Received by: (SIGNATURE)
Date Time
Y/N
,/? 3�0C1'-'
Blank/Cooler Temp
Relinquished by: (SIGNATURE)
Date Time
Receive y: (S) TUBE]
Date Time
Relinquished by: (SIGNATURE)
Date Time
Recei by: !GNAT )
nall Ti e
1 v 0'8:bS
Page 8 of 8

aceAnalytical
National Center for Testing & Innovation
AW
ANALYTICAL REPORT
January 20, 2020
EMA Resources
Sample Delivery Group: L1177625
Samples Received: 01/09/2020
Project Number:
Description: Sludge
Report To: Mr. Brent Collins
755 Yadkinville Road
Mocksville, NC 27028
Entire Report Reviewed By
JJwkC4V1--
Justin Carr
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 1 of 21

TABLE OF CONTENTS
ONE LAB. NATIONWIDE.
Cp: Cover Page
1
FP
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
FS
MOCKSVILLE L1177625-01
5
Fn
Qc: Quality Control Summary
7
Wet Chemistry by Method 9012 B
7
Fr
Wet Chemistry by Method 9034-9030B
8
Wet Chemistry by Method 9045D
9
FC
Wet Chemistry by Method D93/1010A
10
F
Mercury by Method 7470A
11
Metals (ICP) by Method 6010D
12
[Al
Volatile Organic Compounds (GC/MS) by Method 8260D
13
Chlorinated Acid Herbicides (GC) by Method 8151A
15
RC
Pesticides (GC) by Method 8081B
16
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
17
GI: Glossary of Terms
19
al: Accreditations & Locations
20
Sc: Sample Chain of Custody
21
ACCOUNT: PROJECT: SDG:
DATE/TIME: PAGE:
EMA Resources L1177625
01/20/2014:23 2 of 21

MOCKSVILLE L1177625-01 Waste
SAMPLE
SUMMARY
Collected by
Brent Collins
Collected date/time
01/08/2009:30
ONE LAB. NATIONWIDE.
Received date/time
01/09/2008:30
FP
Method
Batch
Dilution Preparation
Analysis
Analyst
Location
date/time
date/time
F
Preparation by Method 1311
WG1409009
1 01/10/2010:55
01/10/2010:55
IDW
Mt. Juliet, TN
Preparation by Method 1311
WG1409111
1 01/10/2012:38
01/10/2012:38
CGD
Mt. Juliet, TN
Wet Chemistry by Method 9012 B
WG1411287
1 01/15/20 09:07
01/15/2013:37
JER
Mt. Juliet, TN
Wet Chemistry by Method 9034-9030B
WG1410832
1 01/14/20 2100
01/14/20 2100
LDT
Mt. Juliet, TN
Wet Chemistry by Method 9045D
WG1409190
1 01/14/2015:00
01/14/20 20:00
MSP
Mt. Juliet, TN
Fn
Wet Chemistry by Method D93/1010A
WG1412116
1 01/20/2010:15
01/20/2010:15
MJA
Mt. Juliet, TN
Mercury by Method 7470A
WG1409664
1 01/11/2012:04
01/13/2018:59
TCT
Mt. Juliet, TN
Metals (ICP) by Method 6010D
WG1409674
1 01/12/2010:27
01/12/2019:19
CCE
Mt. Juliet, TN
Fr
Volatile Organic Compounds (GC/MS) by Method 8260D
WG1409731
1 01/12/20 00:15
01/12/20 00:15
BMB
Mt. Juliet, TN
Chlorinated Acid Herbicides (GC) by Method 8151A
WG1411034
1 01/14/2018:22
01/16/20 03:44
LEL
Mt. Juliet, TN
FC
Pesticides (GC) by Method 8081B
WG1409135
1 01/12/2016:58
01/13/2015:41
HMH
Mt. Juliet, TN
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
WG1409132
1 01/12/2018:00
01/13/20 0110
AO
Mt. Juliet, TN
GI
SAI
RC
ACCOUNT:
PROJECT:
SDG:
DATE/TIME:
PAGE:
EMA Resources
L1177625
01/20/20 14:28
3 of 21

CASE NARRATIVE
ONE LAB. NATIONWIDE. *
All sample aliquots were received at the correct temperature, in the proper containers, with the FP
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FC
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FS
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data. 0
Fr
FC
GI
Justin Carr [Al
Project Manager
RC
Project Narrative
All Reactive Cyanide results reported in the attached report were determined as totals using method 9012B.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034/9030B.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 4 of 21

MOCKSVILLE
Collected date/time: 01/08/20 09:30
Preparation by Method 1311
SAMPLE RESULTS - 01
L1177625
Result Qualifier
Prep
Batch
Analyte
date / time
TCLP Extraction
1/10/202010:55:10 AM
WG1409009
TCLP ZHE Extraction -
1/10/202012:38:41 PM
WG1409111
Fluid 1
1/10/202010:55:10 AM
WG1409009
Initial pH 10.88
1/10/202010:55:10 AM
WG1409009
Final pH 5.11
1/10/202010:55:10 AM
WG1409009
Wet Chemistry by Method 9012 B
Result Qualifier
RDL Dilution
Analysis
Analyte mg/kg
mg/kg
date / time
Reactive Cyanide ND
0.250 1
01/15/202013:37
Wet Chemistry by Method 9034-9030B
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Sulfide ND 25.0
Wet Chemistry by Method 9045D
Batch
WG1411287
Dilution Analysis Batch
date / time
1 01/14/2020 2100 WG1410832
Result Qualifier Dilution Analysis Batch
Analyte su date / time
Corrosivity by pH 12.3 T8 1 01/14/2020 20:00 WG1409190
Sample Narrative:
L1177625-01 WG1409190:12.28 at24.5C
Wet Chemistry by Method D93/1010A
Result
Analyte Deg. F
Ignitability DNI at170
Mercury by Method 7470A
Qualifier Dilution Analysis Batch
date / time
1 01/20/202010:15 WG1412116
Result Qualifier RDL Limit
Analyte mg/I mg/I mg/I
Mercury ND 0.0100 0.20
Metals (ICP) by Method 6010D
Result
Qualifier RDL
Limit
Analyte
mg/I
mg/I
mg/I
Arsenic
ND
0.100
5
Barium
0.152
0.100
100
Cadmium
ND
0.100
1
Chromium
ND
0.100
5
Lead
ND
0.100
5
Selenium
ND
0.100
1
Silver
ND
0.100
5
Volatile Organic
Compounds (GC/MS) by Method
8260D
Result
Qualifier RDL
Limit
Analyte
mg/I
mg/I
mg/I
Benzene
ND
0.0500
0.50
Carbon tetrachloride
ND
0.0500
0.50
Chlorobenzene
ND
0.0500
100
Chloroform
ND
0.250
6
ACCOUNT:
PROJECT:
EMA Resources
Dilution Analysis Batch
date / time
1 01/13/202018:59 WG1409664
Dilution Analysis
Batch
date / time
1 01/12/202019:19
WG1409674
1 01/12/202019:19
WG1409674
1 01/12/202019:19
WG1409674
1 01/12/202019:19
WG1409674
1 01/12/202019:19
WG1409674
1 01/12/202019:19
WG1409674
1 01/12/202019:19
WG1409674
ONE LAB. NATIONWIDE. *
Fp
Fc
FS
Fn
Fc
�GI
SAI
Rc
Dilution Analysis
Batch
date / time
1 01/12/2020 00:15
WG1409731
1 01/12/2020 00:15
WG1409731
1 01/12/2020 00:15
WG1409731
1 01/12/2020 00:15
WG1409731
SDG:
DATE/TIME: PAGE:
L1177625
01/20/20 14:28 5 of 21

MOCKSVILLE SAMPLE RESULTS
Collected date/time: 01/08/20 09:30 L1177625
Volatile Organic Compounds (GC/MS) by Method 8260D
- 01
Result
Qualifier RDL Limit Dilution
Analysis
Batch
Analyte
mg/I
mg/I mg/I
date/time
1,2-Dichloroethane
ND
0.0500 0.50 1
01/12/2020 00:15
WG1409731
1,1-Dichloroethene
ND
0.0500 0.70 1
01/12/2020 00:15
WG1409731
2-Butanone (MEK)
ND
0.500 200 1
01/12/2020 00:15
WG1409731
Tetrachloroethene
ND
0.0500 0.70 1
01/12/2020 00:15
WG1409731
Trichloroethene
ND
0.0500 0.50 1
01/12/2020 00:15
WG1409731
Vinyl chloride
ND
0.0500 0.20 1
01/12/2020 00:15
WG1409731
(S) Toluene-dH
103
80.0-120
0111212020 00.15
WG1409731
(S) 4-Bromofluorobenzene
92.3
77.0-126
0111212020 00.15
WG1409731
(S)1,2-Dichloroethane-d4
108
70.0-130
011121202000.15
WG1409731
Chlorinated Acid Herbicides (GC) by Method 8151A
Result
Analyte mg/I
2,4,5-TP (Silvex) ND
2,4-D ND
(S) 2,4-Dichlorophenyl Acetic Acid 64.6
Pesticides (GC) by Method 8081B
Result
Analyte
mg/I
Chlordane
ND
Endrin
ND
Heptachlor
ND
Lindane
ND
Methoxychlor
ND
Toxaphene
ND
(S) Decochlorobiphenyl
E7.6
(S) Tetrochloro-m-xylene
74.2
Qualifier RDL
Limit
Dilution Analysis
Batch
mg/I
mg/I
date / time
0.00200
1
1 01/16/2020 03:44
WG1411034
0.00200
10
1 01/16/2020 03:44
WG1411034
14.0-158
0111612020 03.44
WG1411034
Qualifier RDL Limit Dilution Analysis Batch
mg/I mg/I date / time
0.00500
0.03 1
01/13/202015:41
WG1409135
0.00500
0.02 1
01/13/202015:41
WG1409135
0.00500
0.0080 1
01/13/202015:41
WG1409135
0.00500
0.40 1
01/13/202015:41
WG1409135
0.00500
10 1
01/13/202015:41
WG1409135
0.0100
0.50 1
01/13/202015:41
WG1409135
10.0-128
011131202015.41
WG1409135
10.0-127
011131202015.41
WG1409135
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
1,4-Dichlorobenzene
ND
0.100
7.50
1 01/13/2020 0110
WG1409132
2,4-Dinitrotoluene
ND
0.100
0.13
1 01/13/2020 0110
WG1409132
Hexachlorobenzene
ND
0.100
0.13
1 01/13/2020 0110
WG1409132
Hexachloro-1,3-butadiene
ND
0.100
0.50
1 01/13/2020 0110
WG1409132
Hexachloroethane
ND
0.100
3
1 01/13/2020 0110
WG1409132
Nitrobenzene
ND
0.100
2
1 01/13/2020 0110
WG1409132
Pyridine
ND
0.100
5
1 01/13/2020 0110
WG1409132
3&4-Methyl Phenol
ND
0.100
400
1 01/13/2020 0110
WG1409132
2-Methylphenol
ND
0.100
200
1 01/13/2020 0110
WG1409132
Pentachlorophenol
ND
0.100
100
1 01/13/2020 0110
WG1409132
2,4,5-Trichlorophenol
ND
0.100
400
1 01/13/2020 0110
WG1409132
2,4,6-Trichlorophenol
ND
0.100
2
1 01/13/2020 0110
WG1409132
(S) 2-Fluorophenol
44.9
10.0-120
0111312020 01.10
WG1409132
(S) Phenol-d5
31.0
10.0-120
0111312020 01.10
WG1409132
(S) Nitrobenzene-d5
57.1
10.0-127
0111312020 01.10
WG1409132
(S) 2-Fluorobiphenyl
73.7
10.0-130
0111312020 01.10
WG1409132
(S) 2,4, 6-Tribromophenol
73.5
10.0-155
0111312020 01.10
WG1409132
(S) p-Terphenyl-d14
72.3
10.0-128
0111312020 01.10
WG1409132
ONE LAB. NATIONWIDE. *
Fp
Fc
FS
Fn
FA
Fc
F,
SAI
Rc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 6 of 21

WG1411287 QUALITY CONTROL SUMMARY
ONE LAB. NATIONWIDE.
Wet Chemistry by Method 9012 B L1177625-01
Method Blank (MB)
C p
(MB) R3490983-1 01/15/201324
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
TC
I
Reactive Cyanide -10.0390 0.250
FS
L1178358-01 Original Sample (OS) • Duplicate (DUP)
[�n]
(OS) L1173353-01 01/15/2013:41 • (DUP) R3490933-4 01/15/2013:42
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
5
Sr
Analyte mg/kg mg/kg
—
Reactive Cyanide ND 0.0962 1 0.000 20
Laboratory Control Sample (LCS)
GI
(LCS) R3490933-5 01/15/20 13:43
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
1711
Analyte mg/kg mg/kg
Reactive Cyanide 2.50 2.80 112 50.0-150
1—Sc
L1177905-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1177905-01 01/15/2013:33 • (MS) R3490933-2 01/15/2013:39 • (MSD) R3490933-3 01/15/2013:40
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD
RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide 1.67 ND 1.08 1.16 65.0 69.8 1 75.0-125 J6 J6 7.12
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 7 of 21

WG1410832
Wet Chemistry by Method 9034-9030B
Method Blank (MB)
(MB) R3490769-1 01/14/20 2100
MB Result
Analyte mg/kg
Reactive Sulfide U
MB Qualifier MB MDL MB RDL
mg/kg mg/kg
7.63 25.0
L1178721-01 Original Sample (OS) • Duplicate (DUP)
QUALITY CONTROL SUMMARY
L1177625-01
(OS) L1173721-01 01/14/20 2100 • (DUP) R3490769-3 01/14/20 2100
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg %_
Reactive Sulfide ND ND 1 0.000 20
Laboratory Control Sample (LCS)
(LCS) R3490769-2 01/14/20 2100
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg
Reactive Sulfide 100 95.3 95.3 70.0-130
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:23 3 of 21

WG1409190 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9045D L1177625-01
Laboratory Control Sample (LCS)
(LCS) R3490750-1 01/14/20 20:00
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte su su
Corrosivity by pH 10.0 9.94 99.4 99.0-101
Sample Narrative:
LCS: 9.94 at 20C
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 9 of 21

WG1412116 QUALITY CONTROL SUMMARY
Wet Chemistry by Method D93/1010A L1177625-01
L1177848-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1177343-01 01/20/2010:15 • (DUP) R3492211-3 01/20/2010:15
Original Result DUP Result Dilution DUP RPD
Analyte Deg. F Deg. F
Ignitability 149 148 1 0.674
DUP Qualifier DUP RPD
Limits
i
10
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3492211-1 01/20/2010:15 • (LCSD) R3492211-2 01/20/201015
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte Deg.F Deg.F Deg.F
Ignitability 82.0 79.9 79.9 97.4 97.4 97.0-103 0.000 10
ONE LAB. NATIONWIDE. *
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 10 of 21

WG1409664 QUALITY CONTROL SUMMARY
Mercury by Method 7470A L1177625-01
Method Blank (MB)
(MB) R3490391-1 01/13/20 13 42
MB Result MB Qualifier MB MDL
MB RDL
Analyte mg/I mg/I
mg/I
Mercury U 0.00330
0.0100
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3490391-2 01/13/20 13:44 • (LCSD) R3490391-3 01/13/20 13 45
Spike Amount LCS Result LCSD Result
LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte mg/I mg/I mg/I
Mercury 0.0300 0.0305 0.0318
102 106 80.0-120 4.18 20
L1177707-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
ONE LAB. NATIONWIDE. *
(OS) L1177707-02 01/13/20 13:47 • (MS) R3490391-4 01/13/20 13 49 • (MSD) R3490391-5 01/13/20 13 57
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0310
0.0311 103 104 1 75.0-125 0.167 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 11 of 21

WG1409674
Metals (ICP) by Method 6010D
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1177625-01
(MB) R3490059-1 01/12/20 13 59
MB Result
MB Qualifier MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
Arsenic U
0.0333
0.100
Barium U
0.0333
0.100
Cadmium U
0.0333
0.100
Chromium U
0.0333
0.100
Lead U
0.0333
0.100
Selenium U
0.0333
0.100
Silver U
0.0333
0.100
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3490059-2 01/12/20 19:01 • (LCSD) R3490059-3 01/12/20 19:04
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
Analyte
mg/I
mg/I
mg/I
Arsenic
10.0
9.74
9.62
97.4
96.2
80.0-120
Barium
10.0
10.0
9.90
100
99.0
80.0-120
Cadmium
10.0
9.76
9.66
97.6
96.6
80.0-120
Chromium
10.0
9.80
9.76
98.0
97.6
80.0-120
Lead
10.0
9.79
9.72
97.9
97.2
80.0-120
Selenium
10.0
9.91
9.82
99.1
98.2
80.0-120
Silver
2.00
1.86
1.86
93.0
92.8
80.0-120
L1177201-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1177201-01 01/12/20 19:06 • (MS) R3490059-5 01/12/20 19:11 • (MSD) R3490059-6 01/12/20 1914
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
9.86
9.82
98.6
98.2
Barium
10.0
0.616
10.6
10.6
99.5
99.6
Cadmium
10.0
ND
9.86
9.83
98.6
98.3
Chromium
10.0
ND
9.75
9.72
97.5
97.2
Lead
10.0
ND
9.96
9.91
98.7
98.2
Selenium
10.0
ND
10.0
9.97
100
99.7
Silver
2.00
ND
1.87
1.87
93.4
93.6
LCS Qualifier LCSD Qualifier RPD
RPD Limits
1.32
20
1.10
20
1.08
20
0.461
20
0.753
20
0.909
20
0.171
20
Dilution Rec. Limits
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
MS Qualifier MSD Qualifier RPD
0.463
0.0737
0.257
0.303
0.565
0.395
0.266
ONE LAB. NATIONWIDE. *
RPD Limits
20
20
20
20
20
20
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 12 of 21

WG1409731 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1177625-01
ONE LAB. NATIONWIDE. *
Method Blank (MB)
(MB) R3439946-3 01/11/20 20:52
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Benzene
U
0.0167
0.0500
Carbon tetrachloride
U
0.0167
0.0500
Chlorobenzene
U
0.0167
0.0500
Chloroform
U
0.0833
0.250
1,2-Dichloroethane
U
0.0167
0.0500
1,1-Dichloroethene
U
0.0167
0.0500
2-Butanone (MEK)
U
0.167
0.500
Tetrachloroethene
U
0.0167
0.0500
Trichloroethene
U
0.0167
0.0500
Vinyl chloride
U
0.0167
0.0500
(S) Toluene-dH
104
80.0-120
(S) 4-Bromofluorobenzene
95.2
77.0-126
(S) 1,2-Dichloroethane-d4
105
70.0-130
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3489946-1 01/11/2018:50 • (LCSD) R3489946-2 01/11/2019:10
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
Analyte
mg/I
mg/I
mg/I
Benzene
0.250
0.264
0.260
106
104
70.0-123
Carbon tetrachloride
0.250
0.239
0.237
95.6
94.8
68.0-126
Chlorobenzene
0.250
0.235
0.230
94.0
92.0
80.0-121
Chloroform
0.250
0.268
0.265
107
106
73.0-120
1,2-Dichloroethane
0.250
0.258
0.259
103
104
70.0-128
1,1-Dichloroethene
0.250
0.259
0.257
104
103
71.0-124
2-Butanone (MEK)
1.25
1.67
1.65
134
132
44.0-160
Tetrachloroethene
0.250
0.224
0.216
89.6
86.4
72.0-132
Trichloroethene
0.250
0.222
0.225
88.8
90.0
78.0-124
Vinyl chloride
0.250
0.236
0.239
94.4
95.6
67.0-131
(S) Toluene-dH
103
100
80.0-120
(S) 4-Bromofluorobenzene
94.9
92.9
77.0-126
(S) 1,2-Dichloroethane-d4
106
106
70.0-130
LCS Qualifier
LCSD Qualifier RPD
1.53
0.840
2.15
1.13
0.387
0.775
1.20
3.64
1.34
1.26
RPD Limits
20
20
20
20
20
20
20
20
20
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 13 of 21

WG1409731 QUALITY CONTROL
Volatile Organic Compounds (GC/MS) by Method 8260D L1177625-01
L1177605-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
SUMMARY
ONE LAB. NATIONWIDE.
C
(OS) L1177605-01 01/11/20 2112 • (MS) R3439946-4 01/12/20 03:33 • (MSD) R3439946-5 01/12/20 03:53
p
Spike Amount Original Result MS Result
MSD Result MS Rec.
MSD Rec. Dilution Rec. Limits MS Qualifier
MSD Qualifier RPD
RPD Limits
Analyte mg/I mg/I mg/I
mg/I
%
%
%
%
%
z
TC
Benzene 0.250 ND 0.320
0.332
128
133 1
17.0-158
3.68
27
Carbon tetrachloride 0.250 ND 0.302
0.313
121
125 1
23.0-159
3.58
28
FS
Chlorobenzene 0.250 ND 0.279
0.293
112
117 1
33.0-152
4.90
27
Chloroform 0.250 ND 0.313
0.325
125
130 1
29.0-154
3.76
28
1,2-Dichloroethane 0.250 ND 0.305
0.318
122
127 1
29.0-151
4.17
27
[Cn]
1,1-Dichloroethene 0.250 ND 0.317
0.330
127
132 1
11.0-160
4.02
29
2-Butanone (MEK) 1.25 ND 1.87
1.93
150
154 1
10.0-160
3.16
32
5Sr
Tetrachloroethene 0.250 ND 0.267
0.283
107
113 1
10.0-160
5.82
27
Trichloroethene 0.250 ND 0.272
0.287
109
115 1
10.0-160
5.37
25
Vinyl chloride 0.250 ND 0.291
0.304
116
122 1
10.0-160
4.37
27
(S) Toluene-dH
104
104
80.0-120
(S) 4-Bromofluorobenzene
93.8
94.4
77.0-126
7G1
(S) 1,2-Dichloroethane-d4
106
108
70.0-130
[Al
L1177905-02 Original Sample (OS) • Matrix Spike (MS)
(OS) L1177905-02 01/12/20 03:17 • (MS) R3439946-6 01/12/20 04:13
FSC
Spike Amount Original Result MS Result
MS Rec.
Dilution
Rec. Limits MS Qualifier
Analyte mg/I mg/I mg/I
Benzene 0.250 ND 0.314
126
1
17.0-158
Carbon tetrachloride 0.250 ND 0.305
122
1
23.0-159
Chlorobenzene 0.250 ND 0.279
112
1
33.0-152
Chloroform 0.250 ND 0.321
128
1
29.0-154
1,2-Dichloroethane 0.250 ND 0.304
122
1
29.0-151
1,1-Dichloroethene 0.250 ND 0.325
130
1
11.0-160
2-Butanone (MEK) 1.25 ND 1.88
150
1
10.0-160
Tetrachloroethene 0.250 ND 0.264
106
1
10.0-160
Trichloroethene 0.250 ND 0.276
110
1
10.0-160
Vinyl chloride 0.250 ND 0.298
119
1
10.0-160
(S) Toluene-dH
103
80.0-120
(S) 4-Bromofluorobenzene
95.3
77.0-126
(S) 1,2-Dichloroethane-d4
107
70.0-130
ACCOUNT:
PROJECT:
SDG:
DATE/TIME:
PAGE:
EMA Resources
L1177625
01/20/20 14:28
14 of 21

WG1411034
Chlorinated Acid Herbicides (GC) by Method 8151A
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1177625-01
(MB) R3491211-1 01/16/20 0100
MB Result
MB Qualifier
MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
2,4-D U
0.000667
0.00200
2,4,5-TP (Silvex) U
0.000667
0.00200
(S) Z4-Dichlorophenyl Acetic 65.2
14.0-158
Acid
Laboratory Control Sample (LCS)
(LCS) R3491211-2 01/16/20 0113
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
2,4-D 0.0500
0.0447
89.4
50.0-120
2,4,5-TP (Silvex) 0.0500
0.0435
87.0
50.0-125
(S) Z4-Dichlorophenyl Acetic
79.2
14. 0-158
Acid
L1176194-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1176194-01 01/16/20 0127 • (MS) R3491211-3 01/16/20 0141 • (MSD) R3491211-4 01/16/20 0155
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
2,4-D
0.0500
ND
0.0411
0.0436
82.2
87.2
2,4,5-TP (Silvex)
0.0500
ND
0.0353
0.0382
70.6
76.4
(S) Z4-Dichlorophenyl Acetic
63.4
65.0
Acid
ACCOUNT:
EMA Resources
PROJECT:
ONE LAB. NATIONWIDE. *
Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
1 50.0-120 5.90 20
1 50.0-125 7.89 20
14.0-158
SDG: DATE/TIME: PAGE:
L1177625 01/20/20 14:28 15 of 21
Cp
ITC]
Fs-s
[Cn]
1-Sr
El
FAI
9
Sc

WG1409135 QUALITY CONTROL SUMMARY
Pesticides (GC) by Method 8081B L1177625-01
Method Blank (MB)
(MB) R3490334-1 01/13/201210
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Gamma BHC
U
0.00167
0.00500
Endrin
U
0.00167
0.00500
Heptachlor
U
0.00167
0.00500
Methoxychlor
U
0.00167
0.00500
Chlordane
U
0.00167
0.00500
Toxaphene
U
0.00333
0.0100
(S) Decachlorobiphenyl
96.3
10.0-128
(S) Tetrochloro-m-xylene
69.2
10.0-127
Laboratory Control Sample (LCS)
(LCS) R3490334-2 01/13/2012:22
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte
mg/I
mg/I
Gamma BHC
0.0100
0.0101
101
55.0-129
Endrin
0.0100
0.00999
99.9
57.0-134
Heptachlor
0.0100
0.00997
99.7
27.0-132
Methoxychlor
0.0100
0.0113
113
54.0-155
(S) Decachlorobiphenyl
90.0
10.0-128
(S) Tetrochloro-m-xylene
75.4
10.0-127
L1177103-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1177103-01 01/13/20 13:24 • (MS) R3490334-3 01/13/20 13:37 • (MSD) R3490334-4 01/13/20 13:49
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
Analyte
mg/I
mg/I
mg/I
mg/I
Gamma BHC
0.0100
ND
0.00956
0.00979
95.6
97.9
1 14.0-141
Endrin
0.0100
ND
0.0102
0.0102
102
102
1 10.0-160
Heptachlor
0.0100
ND
0.00970
0.00967
97.0
96.7
1 16.0-136
Methoxychlor
0.0100
ND
0.0114
0.0116
114
116
1 10.0-160
(S) Decachlorobiphenyl
78.1
80.9
10.0-128
(S) Tetrochloro-m-xylene
69.1
69.0
10.0-127
ONE LAB. NATIONWIDE. *
MS Qualifier MSD Qualifier RPD RPD Limits
2.38 40
0.000 39
0.310 40
1.74 34
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1177625 01/20/20 14:28 16 of 21

WG1409132 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1177625-01
Method Blank (MB)
(MB) R3490117-2 01/13/20 0042
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
U
0.0333
0.100
2,4-Dinitrotoluene
U
0.0333
0.100
Hexachlorobenzene
U
0.0333
0.100
Hexachloro-1,3-butadiene
U
0.0333
0.100
Hexachloroethane
U
0.0333
0.100
Nitrobenzene
U
0.0333
0.100
Pyridine
U
0.0333
0.100
2-Methylphenol
U
0.0333
0.100
3&4-Methyl Phenol
U
0.0333
0.100
Pentachlorophenol
U
0.0333
0.100
2,4,5-Trichlorophenol
U
0.0333
0.100
2,4,6-Trichlorophenol
U
0.0333
0.100
(S) Nitrobenzene-d5
67.0
10.0-127
(S) 2-Fluorobiphenyl
76.9
10.0-130
(S) p-Terphenyl-d14
76.0
10.0-128
(S) Phenol-d5
24.9
10.0-120
(S) 2-Fluorophenol
37.E
10.0-120
(S) 2,4, 6-Tribromophenol
75.0
10. 0-155
Laboratory Control Sample (LCS)
ONE LAB. NATIONWIDE. *
(LCS) R3490117-1 01/13/20 0020
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
1,4-Dichlorobenzene 0.500
0.310
62.0
18.0-120
2,4-Dinitrotoluene 0.500
0.433
86.6
49.0-124
Hexachlorobenzene 0.500
0.392
78.4
44.0-120
Hexachloro-1,3-butadiene 0.500
0.299
59.8
19.0-120
Hexachloroethane 0.500
0.281
56.2
15.0-120
Nitrobenzene 0.500
0.318
63.6
27.0-120
Pyridine 0.500
0.151
30.2
10.0-120
2-Methylphenol 0.500
0.266
53.2
28.0-120
3&4-Methyl Phenol 0.500
0.281
56.2
31.0-120
Pentachlorophenol 0.500
0.415
83.0
23.0-120
2,4,5-Trichlorophenol 0.500
0.408
81.6
44.0-120
2,4,6-Trichlorophenol 0.500
0.380
76.0
42.0-120
(S) Nitrobenzene-d5
54.5
10.0-127
(S) 2-Fluorobiphenyl
77.5
10.0-130
(S) p-Terphenyl-d14
75.2
10.0-128
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1177625 01/20/20 14:28 17 of 21

WG1409132 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1177625-01
Laboratory Control Sample (LCS)
(LCS) R3490117-1 01/13/20 0020
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/I mg/I
(S) Phenol-d5 277 10.0-120
(S) 2-Fluorophenol 42.1 10.0-120
(S) 2,4, 6-Tribromophenol 84.0 10. 0-155
L1176194-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1176194-01 01/13/20 03:36 • (MS) R3490117-3 01/13/20 03:57 • (MSD) R3490117-4 01/13/20 0419
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
0.500
ND
0.180
0.304
36.0
60.8
2,4-Dinitrotoluene
0.500
ND
0.237
0.420
47.4
84.0
Hexachlorobenzene
0.500
ND
0.195
0.372
39.0
74.4
Hexachloro-1,3-butadiene
0.500
ND
0.223
0.308
44.6
61.6
Hexachloroethane
0.500
ND
0.196
0.293
39.2
58.6
Nitrobenzene
0.500
ND
0.197
0.312
39.4
62.4
Pyridine
0.500
ND
0.0755
0.162
15.1
32.4
2-Methylphenol
0.500
ND
0.181
0.272
36.2
54.4
3&4-Methyl Phenol
0.500
ND
0.196
0.291
39.2
58.2
Pentachlorophenol
0.500
ND
0.184
0.343
36.8
68.6
2,4,5-Trichlorophenol
0.500
ND
0.252
0.409
50.4
81.8
2,4,6-Trichlorophenol
0.500
ND
0.226
0.378
45.2
75.6
(S) Nitrobenzene-d5
34.6
54.6
(S) 2-Fluorobiphenyl
44.5
76.5
(S) p-Terphenyl-d14
38.8
73.4
(S) Phenol-d5
23.3
30.5
(S) 2-Fluorophenol
30.3
46.9
(S) 2,4, 6-Tribromophenol
45.1
78.0
ONE LAB. NATIONWIDE. *
Dilution Rec. Limits
MS Qualifier MSD Qualifier
RPD
RPD Limits
1 17.0-120
J3
51.2
40
1 39.0-125
J3
55.7
25
1 35.0-122
J3
62.4
24
1 12.0-120
32.0
34
1 10.0-120
39.7
40
1 12.0-120
J3
45.2
30
1 10.0-120
J3
72.8
37
1 10.0-120
J3
40.2
30
1 10.0-120
J3
39.0
36
1 10.0-128
J3
60.3
37
1 33.0-120
J3
47.5
31
1 26.0-120
J3
50.3
31
10.0-127
10.0-130
10.0-128
10.0-120
10.0-120
10.0-155
ACCOUNT: PROJECT:
EMA Resources
SDG: DATE/TIME:
L117762 5 01/2 0/2 0 14:2 8
PAGE:
13 of 21

GLOSSARY OF TERMS
ONE LAB. NATIONWIDE. *
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and ifyou have additional questions please contact your project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
MDL
Method Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable).
RDL
Reported Detection Limit.
Rec.
Recovery.
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)
Confidence level of 2 sigma.
Fp
Fc
FS
Fn
Fr
Fc
SAI
Rc
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity ofthe results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession ofthe
samples from the time of collection until delivery to the laboratory for analysis.
This section ofyour report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier
Description
J3
The associated batch QC was outside the established quality control range for precision.
J6
The sample matrix interfered with the ability to make any accurate determination, spike value is low.
T8
Sample(s) received past/too close to holding time expiration.
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1177625 01/20/20 14:28 19 of 21

ACCREDITATIONS
& LOCATIONS
ONE LAB. NATIONWIDE.
Pace National is the only environmental laboratory accredited/certified to support your work nationwide
from one location. One phone call, one point of contact,
one laboratory. No other lab is as
accessible or prepared to handle your needs throughout the country. Our capacity and capability from our
single location laboratory is comparable to the collective
totals of the network
laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory
campus. The model is conducive to accelerated
productivity, decreasing
Cp
turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium
quality and prompt service allows us to be YOUR
LAB OF CHOICE.
Not all certifications held by the laboratory are applicable to the results reported in the attached report.
Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace
National.
Fc
State Accreditations
Alabama 40660
Nebraska
NE-OS-15-05
FS
Alaska 17-026
Nevada
TN-03-2002-34
Arizona AZ0612
New Hampshire
2975
Arkansas 88-0469
New Jersey—NELAP
TNO02
Fn
California 2932
New Mexico
n/a
Colorado TN00003
New York
11742
Connecticut PH-0197
North Carolina
Env375
Fr
Florida E87487
North Carolina'
DW21704
Georgia NELAP
North Carolina 3
41
Georgia' 923
North Dakota
R-140
Fc
Idaho TN00003
Ohio—VAP
CL0069
Illinois 200008
Oklahoma
9915
7G1
Indiana C-TN-01 f
Oregon
TN200002
Iowa 364
Pennsylvania
68-02979
Kansas E-10277
Rhode Island
LA000356
Kentucky' 6 90010
South Carolina
84004
Kentucky 2 16
South Dakota
n/a
Louisiana A130792
Tennessee'"
2006
Louisiana' LA180010
Texas
T104704245-18-15
Rc
Maine TN0002
Texas 5
LABO152
Maryland 324
Utah
TN00003
Massachusetts M-TNO03
Vermont
VT2006
Michigan 9958
Virginia
460132
Minnesota 047-999-395
Washington
C847
Mississippi TN00003
West Virginia
233
Missouri 340
Wisconsin
9980939910
Montana CERT0086
Wyoming
A2 LA
Third Party Federal Accreditations
A2LA— ISO17025 1461.01
AIHA-LAP,LLC EMLAP
100789
A2 LA — ISO 17025 5 1461.02
DOD
1461.01
Canada 1461.01
USDA
P330-15-00234
EPA—Crypto TN00003
' Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold
6 Wastewater n/a Accreditation not applicable
Our Locations
Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact
our main office. Pace National performs all testing at our central laboratory.
WA
MT ND
OR
ID SD
VWY
` NV T NE
T UT
CA co
KS
W o �AZ NM O�
T TX
AK
� . b
C,
fo • B HI 4 S
ACCOUNT: V PROJECT:
EMA Resources
ME
MN
WVI NY
MI T
IA T PA 4
OH
Mo
IL Ihi
T T WV
VAT
KY
N * r�
AR
Ms AL GA
LA
FL
SDG: DATE/TIME: PAGE:
L1177625 01/20/20 14:28 20 of 21

Billing Information:
An
Ivsi /Container
Preservative
:ham of Custody Page — of
EMA Resources
Mr. Brent Collins IPres
755 Yadkinville Road Chk
ace Analytical*
755 Yadkinville Road
Mocksville, NC 27028
Mocksville, NC 27028
o
Z
12065 Lebanon Rd µ*
Mount Juliel, TN 37t22 '
�' •:
Phone, 615-758-5858
Phore'900-767-5659 rr�t''y y
PaM stsase-1s�{s� QI:
Report to:
Mr. Brent Collins
Email To: [e-mail]
Project City/state
Description: Sludge Collected; ApGSV{��� him
Please Circle
PT MT CT FT
S D G # L! r�S
1225
Ti
Acctnum: EMARES
Tern plate:T114 13
Phone: [phone]
Fax: [phone]
Client Project #
lab Project p
Collected by (print):
Lv 1
Pn� /7 fl 5
Site/Facility ID #
P.O. a
Collected by (signature):
Rush) (Lab MUST Be Notified)
Immediately f
Packed on Ice N _ Y ✓
Same Day _ Five Day
Next Day v 5 Day (Rad Only) Date Results Needed
_Two Day _ 10 Day (Rad Only) No.
_ Three Day of
O
?
U
J
VQ.
r 1
Prelogin: P748429
PM: 807 - Justin Carr
PB:
Shipped Via: FedEX Standard
Sample ID
Cornp/Grab
Matrix'
Depth
Date
Time
ntrs
Remarks Sample k (lab only)
oCVsv; e—
SS
3'
fr20
9.3b
2
X
X
Matrix:Remarks:
_ yP
Sample R i ^k' t ^. e
COC Seal Present/Intact: Y N
COc Signed/Accurate:4 —N
Bottles arrive intact: 'Y N
Correct bottles used: N
SS - Soil AIR - Air F- Filter
GW - Groundwater B - Bioassay
WW - Wastewater
pH Temp
Flow Other
DW -Drinking W to
OT - Other $ 1G
Sufficient volume sent: If N
— —
If Applicable
VOA Zero Headspace: Y _N
Preservation Correct/Checked:,�� N
RAD Screen <0.5 mR/hr: t/Y N
_ _
Samples returned via:
UPS FedEx Courier
—
Tracking# ��
I D
Relinquished by (Signature)
Date: Time:
Received by: (Signature)
Trip Blank Received: Yes/ No
HCC I McOH
TBR
Relinqu+shed by: (Signature)
Date,
Time:
Received by: (Signature)
Temp: 7 - c Bottles Received:
^;
If preservation required by Login: bate/Time
Relinquished by: (Signature►
Date Time:
Received f r lab b Signature
/ ✓
Djat Time: 9
F c� ► 7
Hold:
Condition:
NCF ��

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Mocksville WQ Permit Number: WQ0003351
WWTP Name: Dutchman's Creek WWTP PWS Number: NCO021491
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) ❑
Alt B (Alk Treatment) ❑
1 Alt. C (Prior Testing)❑
A1t.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:
JAII. (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 El
Air Drying ❑
I Composting ❑
jAcrobic 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-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech -pique
Minimuni
Geo. Mean
Maximuni
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.I (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 El
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)
v❑ "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."
3rent Collins - Director of Technical Service!
Preparer Name and Title (type or print)
��
4�
Brent Collins - Director of Technical Services
Land Applier Name and Title (if applicable)(type or print)
;- 1/27/2021
Signature of Preparer* 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)

Hatch ID No.: I RESIDUAm LINE sTABLUZAMt! DATA FoBm Operator: l�
LA Program: oG j ,cfld W W rP WWTP/ WWTF: I, -�CkAum's Create
LA Program Permit No.. WaL 0 00 3351 WWTP l WWTF Permit No.; rt1C 00 Z I H q I
Take pH measurements on se► oral samples of residuals to ensure complete mix. Record lowest pH for any set of measurements.
5Lml: 'Slat -"Date: 1 �7 ZDZ
'Starr: nine.
Batch Voluinc 300 a+]q0 Gallons
&R? r "Raised to pH ? 12" Gate t I7 20 �a
'Raised fa pH ? 12 " Time. 9 • G
pH ai 2 Hours" Date; 117 ZaZ O
'PH at 2 Hours" Time:
Were residuals held at pH 5 12 for at least 2 hours without the addition of more lime?
Srer3. "pHat24Hours"Dare: ►1el1ta2D
pH at 24 Hours" Tinto: l ! : o S
Were residuals held at pH ? 11.5 for 22 additional hours without the addition of more litncl
Srm 4: pH before Land Application " Dare. 1 /9 ao z o
pH before Land Application" rime: 9.13 5
Is the pH of the residuals above 10.5 at the time of land application?
d,N-2
It the pH of the residuals below 12.5 at the time of land applicatioO
pH: e .
Tent rature:
7
° Celsius
pH Corwilon Factor:
- Q- $
Corrected pH:
7 • i (v
Volume of Luxe Added.,
4 S, a I o Galltms Data
PH.'
Temperature-
8 " Celsius'
pH Correction Factor:
- o . 51
Corrected pH:
J2.23
PH: I Z •
7'em ran,re: q n Celviar
PH Correalax Fatly;
Corrected pH:
Yes (Go to
Step 3) No (Ga to Step 1)
PH, 1 Y. y 3
Tex e+ahare.
$ " Celstus
,pH Correction Factor:
Corrected pH:
N • 92
Yes (Go to
Step 4) = No (Go to Step 1)
PH: 12. 71a
Testa erasure:
(� "Celsius
PH Correction Factor:
- 0.57
Corrected PH.-
l x - 1 q
0 Yea (Land apply!) No (Go to Step 1)
Yea (Laud apply[) No (Wait until pH drops below 12.5)
Temperature Celsius :
to
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
!i Correction Factor:
-0 45
-0.42
-0.39
-0.36
-0.33
-0.30
-0.27
-0.24
-0.21
-0.13
•0.15
-0.12
-0.09
-0.06
403
0.00
Temperature Celsius:
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
El Correction Factor.
+0.03
+O.06
+0_09
+0-12
+0.15
+0.18
+0.21
+0.24
+0,27
+0.30
+0.33
+0.36
+0.39
+0.42
+0.45
All pH results as reported are in S.U.

Burnett Lime
Company, Inc.
L7 7095 Hwy 11, Campobello, SC 29322
❑ 5200 US Hwy 17 5, Bartow, FL 33830
S
C.. 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
s- .. A- - -
o Ift: Acco mts kable
L 755 'iadkinAle Road
D Akck:•vi11e, 1T M28
A
H 7
I T^r< �.�1-,• ,•"fit
T
0
PROJECT NO -
CUSTOMER NO. I BLC ORDER LOT NO. I CUSTOMER PURCHASE ORDER NO.
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
55i8i
SHIPMENT WEIGHTS
0
�a
w
Q
BILL FREIGHT CHARGES TO:
❑ BURNETT LIME CONSIGNEE
SHIPPED VIA TEERRMSy7���
lxt ail
1 1 1 Tanker CAL -FLOG Slurry
DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING
FINAL WATER METER READING CAL ---- FLO
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT (� s y s, E n & s : � e k y
*OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS �o6CFR,F iAL`FLO'Slurry
, Dri n k l ng water Treatme nt Additive
Tested in accordance with
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE �1 Standard ANSI/NSF50
Calcium Hydroxide
OPERATOR INITIALS IF DIFFERENT FROM CUSTOMER SIGNATURE PENDeN 650 mpjl Maximum Use level
VIN #
z I r L
CUSTOMER 5IGNATURE 41_
CUSTOMER COPY

Batch ID No.: RESIDVALS LIMESTABILIZATIQN DATAXORM Operator:
LA Program: WWTP l WWTF: "4
LA Program Permit No.: '►J GL OOv 3 S I WWTP 1 WWTF Permit No.: I AX DnZ 1 V R )
Take pH measurements on several samples of residuals to ensure complete rnix. Record lowest pH for any set of measuremenM
Srar•t" Dare: 5/y+ 110
Start" ?lore. Wp 'V' Ld
Batch Volume: I,'IsO,00p Gallons
&Q 2 r 'Raised to pH ? 12" Dare • S y 10
Raised ro pH? 12" Ttnre. B : 39
pfl at 2 Hours "Date: $14IL'a
pH at 2 Hours" Time. t] ' 3
Were residuals geld at pH y 12 for at least 2 hours without the addition of more lime?
Soo 3 : Fff at 24 Hours" Date: 1 0
pH at 24 Hours" Tinte: .40
Were residuals held at pH ?! 11.5 for 22 additional hours without the addition of more lime?
pH before Land Application" Dare: 51tp120
pH before Land Application' Thite. 8 :Vp
Is the pH of the residuals above 10.3 at the time of land application?
IM
Is the pH of the residuals below 12.5 at the time of land application?
PH:
pH Correction Factor:
Corrected pH:
Volume of Lime Added
p1L 12. Jr$
PH Correction rector:
Corrected pH:
pH:
PHGorrectlan Factor:
Corrected pH:
Te erature: 17 ° Celsius
- 6. 214
to •9-1
y(o' T# D Gallo4s 1 Hutt
Temperature: 1-7 "Celsius
- o. 2q
1; 344
Temperahere:
-o.2-1
t7.•4
E�Iyes (Go to Step 3) = No (Go to Step 1)
PH-- 12. 3 Sf✓ Temperature. 1 "Celsius
PH Corrections Factor: - D . 2q
Corrected pH: U . t tf
= Yes (Go to Step 4) 0 No (Go to Step 1)
ptt. 12.0 Temperature- l8 "t eisius
pHCorrection Factor- - 0 . a-1
Corrected pH.• 1 r • S 9
= Yes (Land apply:) = No (Go to Step 1)
= Yes (Land apply!) = No (Walt until pH drops below 115)
Tem ratare Celslas):
10
11
12
13
1 14
15
16
17
l8
19 i
20
21
22
23
24
75
11 Correction Factor..
-0.45
-0.42
-0.39
-0.36
-0.33
-0.30
-0.21
•0.24
-0.2 t
-0.18
-0-15
-0.12
-0.09
-0.06
-0.03
0.00
Tem trsture eelaiu9:
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
)E1Correction Factor:
+0.03
+0.06
+t1.09
+OA2
+0.15
+0.18
+011
t0.24
t0.27
+0.30
+0.33
+0.36
-1•0.39
+0.42
+0.45
All pH results as reported are in S.U.

Burnett Lime Company, Inc.
❑ 70" Hwy 11, Campobello, SC 29322
1715200 US Hwy 17 S, Bartow, FL 33830
❑ 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
0 Atn: rcounts Pavable
D 755 Ye dkinyille R7ad
0
r.,Vycksvi.lte, W, 27028
T
0
s Wchmm Cbeel;&gle WrTP
" 95 (Irwood R)ad
I
P NILickille,(�78
T
0
CUSTOMER NO. I BLC ORDER LOT NO.
1 1 1
J
PROJECT NO.
CUSTOMER PURCHASE ORDER NO.
Tanker CAL —FLOG Slurry
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
5651
SHIPMENT WEIGHTS
0
l7
Q
BILL FREIGHT CHARGES TO:
❑ BURNETT LIME CONSIGNEE
SHIPPED VIA I TERMS
DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "0N"
INITIAL WATER METER READING
FINAL WATER METER READING C A L � F LO
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT SYSTEM 3 SLURRY
"OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS CAL- FLO'5lurry
w Drinking Water Treatment Additive
d in arcordance with
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE Test Standard ANSI/NSF60
,Caldum Hydrn:ide
OPERATOR INITIALS IF DIFFERENT FROM CUSTOMER SIGNATURE �O�ENUENM1 650 mg/l Maximum Use Level
VIN #
H
w
Z
CUSTOMER SIGNATURE
j
CUSTOMER COPY

URtch ID No.: RESIDUALS LINE STABILIZATION DATA FORM Operatar:
LA Program: 'r � �� � �x�(1iz WWTP 1 WWTF: 1. Z),t,k#1%CjL
LA Program Permit No.: W Q OM,33:5 I WWTP I WWTF Permit No.: I AX OOZI'M I
Take pH rwasuremer%ts on several samples of residuals to ensure complete mix. Record lowest pH for any set of measurements.
5- rem 1: 5iore"Date: (� �z9 Z�
".start" 7inre- :30
Batch Volume: ZSO pofl Gallons
&M 7: 7RaW4 ro pH Z 12" Dote• (p 29 ZD
"Raised to PH:-:: 12" Tinte. 9 : 1:5 o" Ed
'pH at 2 Hours" hate: !I
' pH at 2 Hours" Time LEMNO-1%
Werc residuals held at pH a 12 for at least 2 hours without the addition of more lime?
s+ : pH or 24 Hours" Date W" /"
pH at 24 Hottrs" Ttote: 1 q: is
Were residuals held at pH a 11.5 for 22 additional hours without the addition of more lime?
&W 4: pH before Land Application" Date: G 3c1ao
pN before Land Application" Time- 9: 15
Is the psi of the residuals above 10.5 at the time of land application?
Is the pH of the residuals below 12.5 at the tints of land application?
PH: (r.$
PH Correction Factor.
Corrected pH.•
Yoltune of Luue Added
PH Correction Factor:
Corrected pH:
pH: t2. Z1
PHCorredion Factor.
Corrected pH:
Te 2Rf "Celsius
'I , 5&,D Gallons ntrrrd
Temperature: 25 " Cehlu s
O
Tens rar?(M. 1 ZS "i'eivu.s
O
12.21
Yes (Go to Step 3) = No (Co to Step 1)
pff Temperature. Z 5 " Celsius
pH Correction Factor- Q
Corrected joH
Yes (Go to Step 4) = No (Go to Step 1)
p1l: t i.04 Temperature; zS "Celsius
PH Correcrion Factor: o
Corrected pff: 1Z.041
Yes (Land apply!) No (Go to Step 1)
L=J Yea (rand apply!) No (Wail uutll pH drops below 12.5)
Temperature Celsims):
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
H Correction Factor.
-0 45
-0.42
-0-39
-0.36
-0.33
-0.30
-0.27
-0.24
-0.21
-0.18
-0.15
-0.12
-0.09
-0.06
-0.03
0.00
Temperature Celsius :
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
H Correction Factor:
+0.03
+0.06
+f).09
+0.12
+0-15
+0,18
+0.21
+0.24
+0.27
+0.30
+0.33
+0 36
+0-19
+0.42
+0.45
All pH results as reported are in S.U.

Burnett Lime Company, Inc.
❑ 7095 Hwy 11, Campobello, 5C 29322
❑ 5200 U5 Hwy 17 S, Bartow, FL 33830
❑ 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
3 J- - A &wurC es
o Ata. amounts Awabte
L ZS Yadiki-nvifle Pvad
�&ckMtte, M 27028
T
8 lltchman &Ak
H N75 C mated P.Dad
T
CUSTOMER NO. I BLC ORDER LOT NO.
1 1 1
PRDJECT NO.
CUSTOMER PURCHASE ORDER NO
Tanker CAL —FLOG Slurry
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
SHIPMENT WEIGHTS
0
BILL FREIGHT CHARGES TO:
❑ BURNETT LIME CONSIGNEE
SHIPPED VIA I TERMS
DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING
FINAL WATER METER READING CAL = FLU:
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT s. s T e 5 D D R r
*OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS do * `��r UaFr"Slurry
Drinking WateteT
r Treatment Additive �
e with
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE - ♦ T Sta.dwdd In [mdantF60
Standard AkS11N5Ffi0
Calcium HVdraxide
OPERATOR INITIALS IF DIFFERENT FROM CUSTOMER SIGNATURE b�dN� 4: 650 mglL Maximum Use tevrl
{4) fi-' ".
r
z
VIN #
CUSTOMER SIGNATURE
CUSTOMER COPY

Batch ID No.- � RES1DUAM LIME STABILIZATION DATA FORM Operator:
LA Program: WWTP 1 WWTF: ,-4 It..,s 1-
LA Program Permit No.: 5 WWTP l WWTF Permit No.: I AJe, 0 0 2.114 4
Take pH measurelrlents on several samples of residuals to ensure complete mix. Record lowest pH for any set of measurements.
Sren 1: Start"Date: klZD
Starr" Time 7: -20-,
Batch Volutne: >p oa0 C a8wis
Sri : "Raised to pH a 12 `• Date /o/Za
"Raised to pH? Id" Time: , f
pH at 2 Hours" Date. 9111110 I ya
'pH at 2 Hours" Time: W-- I�v...
Were tesiduals held at pH ? 12 for at least 2 hours without the addition of more lime?
im-3 .• 'pf! at 24 Hours" Date: g5 1 t lzr,
pH at 34 Hours" Time. 8 - tS —
Were residuals held at p11 ? 11.5 for 22 additional hours without the addition of more lime?
Sr_ ems : pH lsejore Lond Appl rcation " Dare. 8III-) zv
pH before Land Applicatralr" riufe. 7- 30."..
1s the p11 of the residuals above 10-5 at the lone of land application'
Is sire pH of the residuals helot. 12.5 at lire time of lulud applrcanott?
PH : 7 y2
Temperature.
17 " Celsius
PH Correction Factor.
+D.O&
Correcred pH
7. e
Volume of Lime Added.
'i $ 5$o Gallons I nutrds
PH. l 2. O
Temperature-'
" Celsius
pHCorrecagn Factor
it Q .0 en
Corrected ptl-
12 •740
PH. 7. (��
Temperature
Z "Celsius
PH Corecrion Factor
-+ o.Oe}
Corrected pi 1
) Z• 7 Z
Yes (Go to
Step 3) = No (Go to Step 1)
PH:
Temperature.
Z Ir "Celsius
PHCorreaion Factor-
I
Corrected pH:
11 $
Yes (Go to
Step 4) No (Go to Step 1)
p11 1 i - g$
Temperature.
A-7 "Crlsrus'
PH Correction Factor
+ p •(7 (o
Carrecred pH:
12 .014
Yes (Land apply!) No (Go to Step 1)
Yes (Land apply!) No (Wait until It" drops tsrlo" 12.S)
Tem rature ('Celsius):
10
11
12
13
14
1 S
16
17
18
19
20
21
2?
23
24
25
H Correction Factor:
-0 :45
-0-42
-0 39
-0.36
-0-33
•0.30
-0-2'
-0.24
•0.21
4A
-0.15
-0.12
1
-0.09
41.06
-4-01
0-00
Tem erature °Celsius):
26
27
28
29
30
31
32
33
34
35
36
37
1 38
39
4,0
lr1 Correction Factor:
+0.03
+0,06
+0.09
+0. 12
+0.15
+0-18
+0.2.1
+0.24
+017
+0.30
+0.33
1 +0.36
j 4-0 39
i +0-42
+OAS
All pH results as reported are in S.U.

Burnett Lime Company, Inc.
_j 7095 Hwy 11, Campobello, SC 29322
_1 5200 US Hwy 17 S, Bartow, FL 33830
1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
3 4 M A *sou 'C'BS
O Atu: lb10C►]ntS kable
D M 'VafktfiYille %ad
rtSOCt Mlle, 27029
T
0
g
P
T
O
PROJECT NO.
CUSTOMER NO. BLC ORDER LOT NO. CUSTOMER PURCHASE ORDER NO.
ORDERED SHIPPED ■
1 1 Tanker CAL -FLOG Slurry
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
68073
SHIPMENT WEIGHTS
Ln
4.
w
"e..�.
BILL FREIGHT CHARGES TO:
BURNETT LIME CONSIGNEE
SHIPPED VIA I TERMS
DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING
FINAL WATER METER READING
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT 51'r]S IJ=.J� 5 RLYIJ
*OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS wos ct*�� CAL"FLO"Slurry
M prinking Water Treatment Additive
Tested In accordance with
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE Standard ANS4/NSF50
�Z_ 1 [aidum Hydroxide
OPERATOR INITIALS IF DIFFERENT FROM CUSTOMER SIGNATURE .sF..,, �'.�' 650 mg/L Maximum Use Levet
&'RR ' (4) 1USES
VIN #
CUSTOMER SIGNATURE
CUSTOMER COPY 1

Batch ID No.: � M11211AIJ LIME STABILIZATION DATA 60RM Operator: $C
LA Progmita: r a/�'Ie&4.,tlle. WWTP 1 WWTR: JLc�w,s�+,c rail[{
LA Program Permit No.: ItIAL20031351WWTP r WWTF Perttlit No.:I /W- woz I`I9 I
Take pH measurements on several samples of residuals to ensure complete mix. Record lowest pH for any set of nwwurements.
s& a1 % ".Starr"Date.' loleo zv
"Starr' 71me. :00 ows
Batch Valuate: F 200, as 0 j Gallons
"Raised io pH ? 12" Date in I y 12G
"Raised to pH? 12" Tinge. t G : t S em
"PH at 2 flours" [late: ► o Wt o
"PH al 2 Hours" Time: 12: ►5 rr►
Were residuals held at pH *a 12 for at least I hours without the addition of more lime?
AVI., "pH as 24 Hours" Date. -
`PH at 24 Hours" Time: lo: ►Sa•••
Were residuals held at pH � 1 l .5 for 22 additional hours without the addition of more lime?
"pH before Land Application "Dole: ►e 7 2c
`pH before Laird Application" Thne: ►D; 15'0^
Is the pH of the residuals above 10.5 at the time of land application?
gag
Is the pH of the residuals below 12.s at the time or land apphcation7
PH,
Temperature:
O
° Celsius
pH Correction Factor:
-0. ►S
Corrected pH-
7. 34
Yolutnc of lAme Added:
e!S 1,90 Gallons / Quit
PH. ' 11.cfZ
Tem erarure:
21 "Celsius
PH Correction Factor:
-Q .lt.
Corrected pH:
I Z . 3
PH: t 2 . Sfl
Terapernrrtre:
Z I
" Celsius
PH Correction Factor:
-p . 1 Z
Corrected pH:
0 Yes (Go to
Step 3) No (Go to Step 1)
PH: F12.24
Tent rarttre.
Z ❑ " Celsius
PH Comecrion Factor
- b . t
CorrectedpH.-
1 t 2. 1 3
Yes (Go to
Step 4) 0 No (Go to Step 1)
p11.' 12 8 `6
Temperature-
2-0 10 Celsius
PH Correction Factor:
- G . t S
Corrwred pH.
1 2 . t i
=Yes (Land apply!) = No (Go to Step 1)
EEnYes (LAnd apply[) = No (Wait until pH drops below 12.5)
Temperature Celsiae):
10
11
12
13
14
15
16
17
]a
19
20
21
22
23
1 24
25
H Correction Factor:
-0.45
-0.42
-0.39
-0.36
-0.33
-0.30
-0.21
-0.24
-0.21
-0.18
-0.15
-0.12
-0.09
-0.06
-0.03
0.00
Temperature Gtslu::
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
H Correetloo Factor.
+0.03
+0.06
+0.09
+0.12
+0.15
+0.18
+0.21
+0.24
+0.27
+0.30
+033
+0.36
+0.39
+0.42
+0A5
All pH results as reported are in S.U.

Burnett Lime Company, Inc.
0 7095 Hwy 11, Campobello, SC 29322
❑ 5200 US Hwy 17 S, Bartow, FL 33830
❑ 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
s E M A Als Durres
° Aft- Amounts Payable
D 755 Ya&Linville %ail
%cksville, K N028
T
0
5 Di ChLilw QPA-
" Im le �
P 295 Cif'mod Road
b&eksVille, T" '217028
T
CUSTOMER NO. BLC ORDER LOT NO.
1 1 1
EM*
PROJECT NO.
CUSTOMER PURCHASE ORDER NO
Tanker CAL—FLO' Slurry
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
59t-388
SHIPMENT WEIGHTS
t„
it +0;
LL, . f- .. .� ..
rr •-
BILL FREIGHT CHARGES TO:
[] BURNETT LIME ❑ CONSIGNEE
SHIPPED VIA I TERMS
DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING
FINAL WATER METER READING
BEGINNING TANK LEVEL FT ENDING TANK LEVEL
*OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE
OPERATOR INITIALS IF DIFFERENT FROM CUSTOMER SIGNATURE
CRY (4) lij SL;:,
i—
LLi
z
FT Q���
1� c6, CAL" FLO• Slurry
Drinking Water Treatment Additive
j c Tested io accordance with
Standard ANSI/NSFW
Cakium Hydroxide
aoF fN9CH5" + 650 mg/L Maximum 0&e Level
7VIN#
CUSTOMER SIGNATURE
TRUCKER COPY _

Batch ID No.: � RESIDUALS LIME SS&ALLUATION DATA FORM Operator: G
LA Program: WWTPI WWTF: I b..v A "k ark
LA Program Permit No.: ❑❑ { WWTP 1 WWTF Permit No.: I Ax,10z1,fq
T4ke pH measurements ou several samples of residuals to ensure complete mix. Record lowest pH for any set of measurements.
aaLt "Starr"Dale: ! 27 29
'Start' Time: C-3pam
Batch Valuate: - 5" 000 Gallons
&,I Raised to pH ? 12" Date- 7' Ea
Raised to PH ? 12" Time: �] 0 o.+•t
"PH ai 2 Hours" bate. ■DA-1/zo
"p15H at 2 Hours" Time: 11 x owe
Were residuals held at pH ? 12 for at least 2 hours without the addition of more lime?
UU= pH at 24 Hours" Dare: ❑ ,•t is Z t7
'PH at 24 Hours" Tfnte,
Were residuals held at pH ? 11.5 for 22 additional hours without the addition of more Hine?
RIU t "pH before land Application " Bare: I 10 2 OTC
"pH before ! and Application" Time: 1 940 a An
1s 1he pH of the residuals above 10.5 at the time of land application?
dM
is the pH or the residuals below 12.5 at the tune or land appl ieation?
PH: 7 • S3
pH Correction Factor.
Corrected pH.'
Volume of !Irate Added
pH. -
PH Correction Factor:
Corrected pH:
PH:
PH Correction Factor:
Corrected pH'
Temperature: ° Celsius
-o.zr
7.3Z
+ J4 Z.5 a Gallons I rrmtds
Temperature: ° Celsius
-0 . Z 1
Te rnntre j Q " f'a i,,
IZI Yes (Go to Step 3) = No (Go to Step 1)
PH: Ten erature: I I "Celsius
pH Correction factor: . $
Corrected pN.' i z. Z
Yes (Go to Step 4) = No (Go to Step 1)
P11. Temperature: IQ "Celsius
PH Correction Factor;
Corrected pH:
Yes (Land apply.) No (Go to Step 1)
= Yes (Land apply!) No (Wall until pH drops below 12.5)
Temperature *Celsius):
10
11
12
13
14
15
16
17
is 1
19
20
21
22
23 1
24
25
H Correetlao Factor:
-0.45
-0.42
-0.39
-0.36
-0.33
-0.30
-0.27
-0.24
-0-21
-0.19
-0.15
-0.12
-0.09
-0.06
-0.03 '
0.00
Temperature Celsius :
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
H Carreetivn Factor:
+0.03
+0.06
+.{04
+()_ 12
+0.15
+-0.19
+0.21
+0.24
+0.27
+6 30
+0.33
+0.36
+0.39
+0.42
+0.45
All pH results as reported are in S.U.

Burnett Lime Company, Inc,
709S Hwy 11, Campobello, 5C 29322
El 5200 US Hwy 17 5, Bartow, FL 33830
I -I 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
S ,- M A Resources
0 Atn: Acc0'mts kable
L 'ASS Ya&inv$ie Road
bbckS%g11e, N3 ZM28
T
0
s lbtchmsn (eek
H �Ie �P
P 2R5 C%voad %ad
T
0
CUSTOMER NO. BLC ORDER LOT NO.
r
1 1 1
N=*
PROJECT NO.
CUSTOMER PURCHASE ORDER NO.
Tanker CAL —FLOG Slurry
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
J5b�
514IPMFNT WEIGHTS
Un
Cl) f. w
�' G;
F—
BILL FREIGHT CHARGES TO:
❑ BURNETT LIME F1 CONSIGNEE
SHIPPED VIA I TERMS
DRIVER MU5T FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
IfNITIAL WATER METER READING
FINAL WATER METER READING CAL =FLQ
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT (� 5 Y 5 T E M 6 S L U R R
*OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS �° b [fqr+. CAL"FL° atrmin
ti _ Drinking Water Treatment Additive
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE ° T Standa dsted in tA NS1/N5F50Calcium cordance h
C' 650 mg/L Maximum Ile Level
ydroxide
OPERATOR INITIALS fF DIFFERENT FROM CUSTOMER SIGNATURE �����
� I 'ES
I—
w
Z
VIN #
CUSTOMER SIGNATURE
CUSTOMER COPY

111atch 1D No.: RESIDEAULIME SIMILIZATIONDAIA FORM Operator: SC
1.A Program: a i ksVille, WWTP / WWTF: I ❑ j+t' mo, s rr rV
LA Program Permit No.: 351 WWTP ! WWTF Permit No.. p M9
Take pH measurements on several samples of residuals to ensure complete mix. Record lowest pH for any set of timmurtments.
Step 1: "Srrrrr" Dare: 1 all y fZ o
".Start" 77me: I ff, 9 Sac+
Batch Volume: 1 25rJ vas I Gulkms
kw-2-: "Raised to pH? 12" Duce- 4)Iy1 zo
!Raised to pH? 12" Tinte: cj • '1Sor.,
pH at 2 Hours" Date: 111040,70
"PH at 2 Hours" Time. r l q S o
Were residuals held at PH' 12 for at least 2 hours without the addition of more lime?
AW": pH at 24 Hours" Dore: r2 /1 S 70
"Hat 24 Hours" nme: 1l : 4Swr,
Were residuals held at pH ? 11.5 for 22 additional hours without the addition of more lime?
Sren d : pH before Land Application " Dore:
pH before Land Application" Time. 7; U)o"
Is the pH of the residuals above 10.5 at the time of land application?
rt the pia or the residuals below 12.5 at the time or loud application?
pH:
Te rature:
1 A
° Celsius
PH Correction F'acror:
-Q . YQ
Corrected pH:
7. 21
Volume of Unie Added:
'•i 5, ra o 0 Gallons Pvrrttds
pH.- 1 • ' I
Temperature:
4012 ° Celsius
PH Correction Factor.
Corrected pH.•
pH.'
Temperatr+re: l 3 " relrias
pH Correction Factor:
Corrected pH:
1 3io
Yes (Go to
Step 3) No (Co to Step 1)
PH., 1 r� , "� 5f
Tent tore:
l 2 " Celsius
PH Correction Factor:
- 0. 3
Corrected pH:
1A.09
= Yes (Gs to
Step 4) 0 No (Go to Step 1)
pH.• F 1:i. 3
Temperature-
I0 Celsius
PH Correction Factor:
-b • ►-►5
Cvrrierted pit.•
it, • 9 3
= Yea (Land apply!) = No (Go to Step 1)
MYes (Land apply!) = No (Wait until pit drops below t 2.R)
Temperature Celalus):
10
11
12
13
14
I5
16
17
l8
19
20
21
22
23
24
N Correcdos Factor..
-0 45
-0.42
-0.39
-0.36
-0.33
-0.30
-0.27
-0.24
-0.21
-0.18
415
-0.12
-0.09
-0.06
-0.03
Temperature CCelaimsy
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
PH Correction Factor.
+0D3
+0.06
+0.09
+0.12
+0.15
+0.18
+0.21
+Q.24
+0.27
+0.30
+0.33
+0.36
+0.39
+0.42
+0.43
All pH results as reported are in S.U.

Burnett Lime Company, Inc.
L7 7095 Hwy 11, CaMPODello, SC 29322
C:.' 5200 US Hwy 17 S, Bartow, FL 33830
C 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
i `' I
5
O Atn: Axotmft Ftyeble
D 55 ) a&biville Tad
lViT&-wide, M 27029
T
O
s lbtchman Gvek
H bgie Wl?
P 293 Gn ood &ad
T
O
CUSTOMER NO. I BLC ORDER LOT NO.
1 1 1
PROJECT NO.
CUSTOMER PURCHASE ORDER NO
Tanker CAL—FLO@ Slurry
CERTIFIED PUBLIC WEIGHER
DELIVERY TICKET NO.
55650
SHIPMENT WEIGHTS
O
5
w
BILL FREIGHT CHARGES TO:
BURNETT LIME ❑ CONSIGNEE
SHIPPED VIA I TERNS
DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING
NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING
FINAL WATER METER READING CAL. FLO
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT 5 r s , f s 5 R ,
"OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY
AND OFF-LOADING AREA CLEANLINESS FO S CEA7� CAL"FLO-Slurry
Drinking Water Trea tment Additive
OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE • ' Toted dard`ANSI/N`SF6u`n
Calcium Hydmxlde
OPERATOR INITIALS 1F DIFFERENT FROM CUSTOMER SIGNATURE a°� n,�`` 650 mg/L Maximum(J5e Le vel
w
Z
WN #
CUSTOMER SIGNATURE

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY21-SL005469
�5{i �141..tiL
Client:
Toby Cornatzer
Advisor: Brent Collins
Predictive
2482 US Hwy 64E
EMA Resources Inc
;•
Mocksville, NC 27028
755 Yadkinville Rd
f'. Soil Report
+_
Mehlich-3 Extraction
Mocksville, NC27028
Sampled County : Davie
Links to Helpful Information
Client ID: 493900
Advisor ID: 405413
Sampled: 09/14/2020 Received: 09/22/2020 Completed: 10/01/2020
Farm: DV05
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
0.9
120-200 120
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-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.41 0.91 9.5 80 1.9 5.5
11 107
57 17
56
703
439
208
208
169 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 20
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
0.36 1.01 15.0 94 1.0 6.6
53 121
77 12
54
854
521
245
245
190 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

Page 1 of 1
Report No: 20-364-0530
Account No: 46245
Advisor: EMA Resources Inc
755 Yadkinville Road
Mocksville NC 27028
Waypo'10 t
ANALYTICAL
Client: Roger Spillman
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Farm: DWO8
Date Received: 12/29/2020
Date of Report: 12/30/2020
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
109123 01 MIN 2.1 6.5 0.7 16 40 35 169 0 0 288 288 70 9.3 92 66 23 0.5 0 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.

Page 1 of 1
Report No: 20-010-1490
Account No: 46245
Advisor: EMA Resources Inc
755 Yadkinville Road
Mocksville NC 27028
Waypo'10 t
ANALYTICAL
Client: Greg Dooley
DV-11
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Farm:
Date Received: 01/10/2020
Date of Report: 01/13/2020
Lab No Field ID Sample ID Soil Class HM% WN pH Ac P-1 K-1 S-1 Mn-I Zn-I Zn-AI Cu-1 CEC BS% Ca% Mg% ESP Na SS-1 NO3 N
17305 1 MIN 2.5 5.7 1.9 65 21 35 213 490 490 495 8.9 79 57 20 0.9 0.1 10
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.

Page 1 of 1
Report No: 20-007-0577
Account No: 46245
Advisor: EMA Resources Inc
755 Yadkinville Road
Mocksville NC 27028
Waypo'10 t
ANALYTICAL
Client: Clarence Rupard
MK01
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Farm:
Date Received: 01/07/2020
Date of Report: 01/08/2020
Lab No Field ID Sample ID Soil Class HM% WN pH Ac P-1 K-1 S-1 Mn-I Zn-I Zn-AI Cu-1 CEC BS% Ca% Mg% ESP Na SS-1 NO3 N
14441 2 MIN 2.5 7.0 0.0 139 105 21 488 535 535 255 12.8 100 84 12 0.7 0.1
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.

Page 1 of 1
Report No: 20-007-0576
Account No: 46245
Advisor: EMA Resources Inc
755 Yadkinville Road
Mocksville NC 27028
Waypo'10 t
ANALYTICAL
Client: Town of Mocksville
MK-05
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Farm:
Date Received: 01/07/2020
Date of Report: 01/08/2020
Lab No Field ID
Sample ID
Soil Class
HM%
WN pH
Ac
P-1
K-1
S-1
Mn-I
Zn-I
Zn-AI
Cu-1
CEC
BS%
Ca%
Mg%
ESP
Na SS-1 NO3 N
14439
1
MIN
2.8
7.4
0.0
160
23
31
431
920
920
270
13.5
100
87
11
0.7
0.1
I14440
2
MIN
1.6
6.7
0.4
37
42
44
638
255
255
85
8.6
95
71
20
1.0
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.