WQ0037135_Modification_20230719

Initial Review
Reviewer nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
Permit Number (IR) * WQ0037135
Applicant/Permittee U.S. Biosolids, Inc.
Applicant/Permittee Address PO Box 146 Ronda, NC 28670
Is the owner in BIMS? Yes ) No Is the facility in BIMS?
Owner Type
Facility Name
County
Fee Category Major
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Organization
U.S. Biosolids Class B Residuals Program
Wilkes
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
Fee Amount
Complete App Date
07119/2023
Yes No
$395
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name* Zach Key
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
336467350
Modification - Minor
Renewal
GW-59, NDMR, NDMLR, NDAR-1,
N DAR-2
Residual Annual Report
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://edoes.deq.nc.gov/Forms/NonDischarge_Monitoring_Report
Permit Type:*
Wastewater Irrigation
High -Rate Infiltration
Other Wastewater
Reclaimed Water
Closed -Loop Recycle
Residuals
Single -Family Residence Wastewater
Other
Irrigation
Permit Number:*
WQ0037135
Has Current Existing permit number
Applicant/Permittee*
U.S. Biosolids, Inc.
Applicant/Permittee Address*
PO Box 146 Ronda, NC 28670
Facility Name*
U.S. Biosolids Class B Residuals Program
Please provide comments/notes on your current submittal below.
Land Application Permit No. WQ0037135 permit modification for U.S. Biosolids, Inc.
This modification is for the addition of 96.92 acres and to add the City of Marion as a residuals source.
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 Plans, Specifications, Calculations, Etc.)
Binder1.pdf 18.56MB
Upload only 1 PDF document (less than 250 MB). Multiple documents must be combined into one PDF file unless file is larger
than upload limit.
* 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
Submission Date 7/3/2023

PO Box 146 Ronda, NC 28670
336-777-6909
www.usbiosofids.com
July 3, 2023
North Carolina Department of Environmental Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
Reference: U.S. Biosolids, Inc.
Residuals Land Application
Permit Modification
Permit WQ0037135
U.S. Biosolids, Inc. is submitting this permit modification package to ask for the following changes:
• Addition of 96.92 acres
• Addition of the City of Marion as a residuals source.
The additional land constitutes of 20.75 acres in Wilkes County and 76.17 acres in Rutherford County.
The City of Marion currently has a land application permit WQ0019960, which they are going to
maintain and use. The addition of Marion to U.S. Biosolids, Inc. permit is to allow more flexibility in
farming and livestock rotations.
If you have any questions, please contact me at [e-mail] or at my direct line at 336-
467-3550.
Zach Key
U.S. Biosolids, Inc.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .1100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0106(b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification'
Major (land are permitted for > 300 acres) F $1,310 F $395
Minor (land are permitted for < 300 acres) F_ $810 $245
' - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (Maybe Required —See 15A NCAC 1C .0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 1 of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with 15A NCAC 02T . 1110 and include at a minimum:
❑ Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.110202). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a feed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
❑ Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
❑ Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T .1104(d)(4) and current Division Policy
available at: http://www.ncwater.org/Rules_ Policies_ and_Regulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T .I 104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
❑ The design documents must include the following minimum items:
❑ Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
❑ Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
❑ Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
❑ Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
❑ Submit a completed and accurate water balance in accordance with 15A NCAC 02T .1104(d)(5) and current Division Policy
available at: http://www.ncwater.org/Rules_ Policies_ and Regulations/.
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
❑ Property ownership documentation shall consist of one of the following:
❑ Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
❑ Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
❑ An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L .0107(f), or
❑ A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
1. Applicant's name: US Biosolids, Inc,
Applicant type: 1] Individual ® Corporation ❑ General Partnership Privately -Owned Public Utility
❑ Federal State ❑ Municipal E7 County
Signature authority's name per 15A NCAC 02T .0106: Zach Key Title: President
Applicant's mailing address: PO Box 146
City: Ronda State: NC Zip: 28670
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Zach Key License Number (for P.E.): L�
Affiliation: ® On Staff Q Retained (Firm: )
Consultant's mailing address:
City: State: Zip:
-
Telephone number: (_) _ jo Email Address: IF
3. Agronomist's name: .0 License Number:
Affiliation: ❑ N/A a On Staff 0 Retained (Firm: )
Agronomist's mailing address: MR
City: `A State: Zip: m
Telephone number: c�_) = Email Address:
4. Soil Scientist's name: Constance Adams License Number: 1186
Affiliation: ❑ N/A ❑ On Staff Q Retained (Firm: )
Soil Scientist's mailing address: PO Box 2175
City: Indian Trail State: NC Zip: 28079
Telephone number: [phone] Email Address: connieadamslssggmail.com
5. Fee submitted: $395.00 (See Instruction B)
IL PERMIT INFORMATION:
1. Application is for (check all that apply): 0 new, a modified, El renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00037135
Date of most -recently issued permit: 4-23-2020
Date of most -recently certified Attachment A (if different than the permit): 4-25-2023
Date of most -recently certified Attachment B (if different than the permit): 4-25-2023
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 3982 Highway 226 South
City: Marion State: NC Zip: 28752
Coordinates: Latitude: 35° 39' 09.72" Longitude: 81. 57' 23.81"
Datum: NAD83
Method of measurement: MAP
Level of accuracy: 0.01
2. County where residuals land application program is headquartered: Wilkes
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Zach Key
US Biosolids, Inc.
27660
Back -Up ORC
David Key
US Biosolids, Inc.
23629
Additional Back -Up
ORCs
(if applicable)
Dennis Key
US Biosolids, Inc.
15704
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitrogen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 1800 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
15.1648
15.2418
27296.7
27435.2
Five -Year Maximum Adjusted
23.978
24.034
43160.4
43261.2
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
56.3
Hay
222.02
Pasture
308.77
Total:
587.09
Methods
Surface
530.79
Incorporation or Injection
56.3
Total:
587.09
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application Summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
(lbs PAN/ac yr)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
545.9328
548.7048
863.1991
865.2575
100
272.9664
274.3524
431.5996
432.6288
150
181.9776
182.9016
287.733
288.4192
200
136.4832
137.1762
215.7998
216.3144
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.):'
7. Specify type of residuals program (See Instruction F): JZ Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain; I_
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain; "-'9r
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain; -A
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
R
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
IR
Land Application Siite
Certification. doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
1. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SHWT) within irrigation sites(s) per Soil Scientist's Evaluation: feet
below ground surface. Rules 15A NCAC 02T .0505(n) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/vr
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
(ftZ
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Pa a Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106):
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
® Yes d No, Explain;
I,
(Signature Authority's Name — PLEASE PRINT)
attest that this application for U.S. Biosolids, Inc.
(Facility Name)
(Title)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date: 6-29-2023
FORM: RLAP 06-16 Page 5 of 5

Operation and Maintenance Plan
City of Marion, WWTP
Permit No. WQ0037135
In accordance with the requirements as issued by the North Carolina Department of Environmental
Quality using NCGS 143-215.1 and 143-215.3(a) based on 15A NCAC 02T .110, the City of Marion and U.S
Biosolids, Inc. are implementing this Operation and Maintenance Plan.
The Land Application of Non -Dedicated Class B Residuals from the City of Marion WWTP will be
conducted from the Wastewater Treatment facility, located at 3892 Highway 226 South Marion, NC
28752. Residuals will be removed and given away to farmers to be used as a soil amendment. The
residuals will be removed on as needed bases as fluctuation in the output of the plant will vary with
changing economic conditions. The day-to-day operation of the running of the Wastewater Treatment
will be conducted by Tim Horton, Wastewater Superintendent of the City of Marion WWTP or his/her
designee. The operations of the land application program will be conducted by Zach Key of U.S Biosolids,
Inc. or his/her designee.
Land application of residuals will be determined once enough residuals have been produced from
processing of biological residuals to fill the 700,000-gallon residual digester. The land application event
is initiated by the Marion Wastewater Treatment plant contacting U.S. Biosolids, Inc. U.S. Biosolids, Inc.
will contact the farmers in listed in the permit to arrange for a land application event to occur. This my
take up to 45 days to arrange due to crop and animal rotations and weather conditions, so a land
application event must be planned enough in advance, so enough freeboard is maintained in the
residual digester.
Prior to land applying these residuals to permitted sites, the following sampling conditions must be met
(as is outlined in greater detail in the sampling plan attached to this Operation and Maintenance Plan).
Toxicity Characteristics Leaching Procedure (TCLP) will be conducted once per
year, if a land application event takes place.
A metals and nutrients analysis, pathogen and vector attraction, and soil analysis will be conducted
annually if a land application event takes place.
These samples will be collected by Tim Horton or his/her designee and transported to an approved lab
the same day the samples are taken, as in accordance with 15A NCAC 02B .0505. The samples must be
taken in a matter to ensure a representative sample of the residuals has been taken.
An inspection will be conducted daily while a land application event is taking place. This inspection will
confirm that all requirements of permit WQ0019960 are complying with regulations. The fields should
be inspected daily for compliance with the conditions that is outline in then permit. The inspection
should consist of (but not limited to):
1. All required setbacks and buffers are complying.
2. All required record keeping of truck and fields sheets are maintained and properly filled out so
accurate records of the volume and locate of residuals are keep.
3. All public access points are controlled (signs posted, gates closed)

4. Make sure all fields' records are turned over to the ORC so records can be reviewed by NCDEQ,
and an annual report can be constructed.
The daily land application inspection will be conducted by the following personal:
Zach Key, ORC U.S. Biosolids, Inc.
David Key, BORC U.S. Biosolids, Inc.
If any issues or violations are discovered, the ORC of Land Application, the City of Marion WWTP and the
Asheville Regional Office should be contacted as soon as safely possible.
ORC of Land Application, US Biosolids, Inc. 336-777-6909
Marion WWTP 828-652-8843
Asheville Regional Office 828-296-4500
Winston Regional Office 336-776-9800
To prevent any spills and or safety issues from occurring the flowing will take place during a land
application event. In the unlikely event of a spill consult the spill control plan immediately.
1. Access to the facility will be controlled with a locked gates and fences and signs to prevent any
unauthorized entry into the complex.
2. All pumps and hose will be checked at the start of each day for leaks or loose fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or mechanical hazards or
issues.
6. All equipment is secured at the end of each working day to prevent any tampering or
unauthorized use.
7. Enough freeboard is maintained in the residual digesters so to prevent overflowing. This can be
accomplished by maintaining the levels of residuals to an acceptable level by planning adequate
land application events to keep up with residuals production.

City of Marion, WWTP
Permit No. WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory for
analysis.
These individual grab samples are collected and tested for fecal coliform analysis, vector
attraction reduction, nutrient analysis, and a TCLP test. These tests will be taken by the Tim Horton from
City of Marion or his/her designee. All samples apart from the vector attraction sample will be taken to a
state certified laboratory. The vector attraction sample will be analyzed in house at the City of Marion,
W WTP.
The vector attraction reduction will first be attempted to be achieved using option 4
[503.33(b)(1)]; Specific Oxygen uptake know as a SOUR test. This sample will be taken from the
digester.
Fecal Coliform is gathered in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for: Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc,
Aluminum, Ammonia Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus,
Potassium, TKN, Sodium. From this information, the Plant Available Nitrogen (PAN) and a Sodium
Absorption Ratio (SAR) will be calculated. This sample will be collected in a non -breakable container, at
least one quart in size. This sample will be taken from the digester.
A full TCLP test, including corrosivity, ignitability, and reactivity will be taken in two (2) gallon
containers from the aerobic digester. This test will be run annually unless prior approval is granted from
the division to reduce this requirement to once per permit cycle.

SPILL CONTROL PLAN- U.S. Biosolids, Inc.
City of Marion. NC -Permit No. WQ0037135
In the event of a spill, the following should be taken IMMEDITALY.
1. Make sure all personal and bystanders are safe- if not contact emergency services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much of the spilled
material as possible. Use straw to soak -up the remaining material. Dispose of the same in a
landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable area, till the same into
the soil and spread lime if necessary. If a spill occurs on private property, final clean-up should be
to the satisfaction of the owner.
6. Notification. (This should be done as soon as safely possible.)
A. U.S. Biosolids, Inc. Main Office [phone]

B. City of Marion, WWTP- Tim Horton [phone]
C. NCDEQ-Winston Regional Office 336-776-9800
D. NCDEQ-Asheville Regional Office [phone]
E. County Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting:
The Permittee shall report by telephone to the Winston Regional Office, telephone number (336)
776-9800, as soon as possible, but in no case more than 24 hours or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
A. Surface disposal of residuals abnormal in quantity or characteristic.
B. Any failure of the surface disposal program resulting in a release of material to surface
waters.
C. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
D. Any process unit failure, due to known or unknown reasons, rendering the facility
incapable of adequate residual treatment.
E. Any spill or discharge from a vehicle or piping system during residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent
failure of a storage structure, etc.) outside of normal business hours shall be reported to the
Division's Emergency Response personnel at telephone number [phone], [phone],
or [phone]. Persons reporting such occurrences by telephone shall also file a written
report in letter form within five days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to ensure that the problem does not recur.
8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed.
C. Inspect all seals and replace if necessary.

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
❑ For each source facility, attach the following:
❑ Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
❑ Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: U.S. Biosolids, Inc.
Status
Code a
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current n
Proposed
R
Baxter Healthcare Corp.
Baxter Healthcare Corp.
McDowell
NC0006564
100
100
R
Yadkin Valley Sewer
rity
YVSA WWTP
Surry
NCO020567
100
100
R
Town of North Wilkesboro
Thurman Street WWTP
Wilkes
NCO020761
300
300
R
City of Belmont
Belmont WWTP
Gaston
NCO020761
300
300
R
City of Lowell
Lowell WWTP
Gaston
NCO021181
200
200
R
Town of Rutherfordton
Rutherfordton WWTP
Rutherford
NCO0205909
100
100
R
Town of Forest City
Forest City WWTP
Rutherford
NCO025984
300
300
R
Town of Spindale
Spindale WWTP
Rutherford
NCO020664
100
100
R
Town of Dallas
Dallas WWTP
Gaston
NC0006688
100
100
N
City of Marion
Corpening Creek
McDowell
NCO031879
200
200
'Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
b The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: City of Marion, Corpening Creek WWTP
2. Facility permit holder is: ❑ Federal, 0 State, 0 Local Government, or 0 Private.
Facility permit issued by: ❑ Div. of Water Resources, Div. of Environmental Health,
or Other (explain:
3. Facility contact person and title: Tim Horton
Complete mailing address: PO Drawer 700
City: Marion State: NC Zip: 28752-0700
Telephone number: [phone] E-mail address: thortonkmarionnc.org
4. Facility physical address: 3982 Highway 226 South
City: Marion State: NC Zip: 28752
Coordinates: Latitude: 35' 39' 09.72" Longitude: 81. 57' 23.81"
Datum: NAD83 Level of accuracy:.01
Method of measurement: MAP
5. Purpose of the facility:
treatment of municipal wastewater, treatment of 100% domestic wastewater,
treatment of potable water, treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: _ % industrial and _ % domestic)
other (explain: _ ).
6. Does the facility have an approved pretreatment program: Yes No
7. Facility permitted/design flow: 3.0 MGD and facility average daily flow: 09 MGD
8. Average amount of residuals being generated at this facility 76.15 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 780,000 Aeration Basins
Type and volume of residuals storage (i.e., outside of residuals treatment units): 700,000-gallon digester
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
40 CFR Part 503 or 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
Biological 0 Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: 0 yes ® no.
If yes, list the number(s): _
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: N yes [i no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 12-10-2020
Passed corrosivity test: yes no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: yes no. Flashpoint: 200 OF (> 140°F)
Passed reactivity test: ® yes ao. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mgfi)
Result
(m917)
TCLP Parameter
Limit
(mgfi)
Result
(mgfi)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: ETS, Inc. and Date of analysis: 8-22-2022
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mglkg)
Result
(mglkg)
Arsenic
75
41
16.8
Cadmium
85
39
16.8
Copper
4,300
1,500
538
Lead
840
300
54.4
Mercury
57
17
0.738
Molybdenum
75
n/a
53.1
Nickel
420
420
19.3
Selenium
100
100
16.8
Zinc
7,500
2,800
1450
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: _ and Date of analysis: _
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg4g)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 2.6 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: ETS, Inc. and Date of analysis: 8-2-2022
Parameter
Result
(mglkg)
Aluminum
13800
Ammonia -Nitrogen
77
Calcium
18900
Magnesium
5420
Nitrate -Nitrite Nitrogen
157
pH (Standard Unit)
4.9
Phosphorus
19700
Potassium
5450
Sodium
1840
Total Kjeldahl Nitrogen
24700
c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 0.53
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): JW default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, ex lain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: ia
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1s) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mglkg)
Surface
7582.4
11988.88
Injection/Incorporation
7620.9
12017.47
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
JJ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
IN Alternative 1 [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
J Alternative 2 [15A NCAC 02T.I 106(b)(3)(13)] - Alkaline Treatment.
d Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
El Alternative 4 [15A NCAC 02T.I 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, W heat drying, heat treatment,
thermophilic aerobic digestion, beta ray irradiation,
❑ gamma ray irradiation, or pasteurization.
b. For Land Application of Class B.
Alternative 1 [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T. 1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, I
air drying, ❑ anaerobic digestion,
El composting, or lime stabilization.
c. For Surface Disposal:
11 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
J Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
J Exempt -If Daily Cover Alternative is chosen in Item II.8. below [15A NCAC 02T.1106(a)(2)].
J Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
El Alternative 1 [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T. 1107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T. 1107(a)(7)] - Drying of Stabilized Residuals.
Alternative 8 [15A NCAC 02T. 1107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
El Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.I 107(b)(2)].
a Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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QUANTITATIVE JUSTIFICATION FOR RESIDUALS PRODUCTION RATE
The City of Marion has produced the following dry tons over the last 7 years.
2022 96.27 DT
2021 103.37 DT
2020 58.06 DT
2019 145.89 DT
2018 0 DT
2017 94.34 DT
2016 35.13 DT
This comes to an average of 76.15 Dry Tons per year

City of Marion, WWTP
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory for
analysis.
These individual grab samples are collected and tested for fecal coliform analysis, vector
attraction reduction, nutrient analysis, and a TCLP test. These tests will be taken by the Tim Horton from
City of Marion or his/her designee. All samples apart from the vector attraction sample will be taken to a
state certified laboratory. The vector attraction sample will be analyzed in house at the City of Marion,
W WTP.
The vector attraction reduction will first be attempted to be achieved using option 4
[503.33(b)(1)]; Specific Oxygen uptake know as a SOUR test. This sample will be taken from the
digester.
Fecal Coliform is gathered in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for: Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc,
Aluminum, Ammonia Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus,
Potassium, TKN, Sodium. From this information, the Plant Available Nitrogen (PAN) and a Sodium
Absorption Ratio (SAR) will be calculated. This sample will be collected in a non -breakable container, at
least one quart in size. This sample will be taken from the digester.
A full TCLP test, including corrosivity, ignitability, and reactivity will be taken in two (2) gallon
containers from the aerobic digester. This test will be run annually unless prior approval is granted from
the division to reduce this requirement to once per permit cycle.

Environmental Testing Solutions, Inc.
Certificate of Analysis
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Project name: Marion WWTP Project number: 220802.517
Collection date: 2-Aug-22
Date received: 2-Aug-22
Sample identification: Sludge l/2 - Grab Sample number: 225836
Parameter
Method
Result
RL Units
Date
Analyzed
Analyst
Footnotes
Arsenic
200.7
<16.8
mg/kg
16-Aug-2z
ECHEM
I
Cadmium
200.7
<16.8
mg/kg
16-Aug-22
LCIIEM
I
Copper
200.7
538
mg/kg
2:-Aug-22
UC:HEM
I
Lead
200.7
54.4
mg/kg
16-Aug-22
ECHEM
1
Molybdenum
200,7
53.1
mg/kg
16-Aur 22
F.CHFM
1
Nickel
200.7
19.3
mglkg
16-A.g.22
ECIII-M
1
Selenium
200.7
<16.8
mg/kg
16-Aug-22
ECHEM
1
Zinc
200.7
1450
mg/kg
2,-Aug-22
PCHEM
1
Aluminium
200.7
13800
mg/kg
23-Aug-22
ECIILM
1
Calcium
200.7
18900
mg/kg
23-Aug-22
ECHEM
1
Magnesium
200.7
5420
mg/kg
17-Aug,-22
ECHEM
I
Potassium
200.7
5450
mg/kg
23-Aug-22
ECIIEM
1
Sodium
200.7
1844)
mg/kg
17-Aug-22
ECHEM
1
Mercury
SW 846 7471. B
0.738
mg/kg
16-Aug-22
ECHEM
I
Total Kjeldahl Nitrogen
351.2
24700
mgikg
s-Aug-22
EC1IT' M
1
Nitrate i Nitrate - Nitrogen
353.2
157
mg/kg
M-ua
LCI IEM
1
Total Phosphorus
200.7
19700
mg/kg
17-Aug-22
ECHEM
1
Total Solids (%)
SM 2540 B
3.01
%
5-Aug-22
ECHEM
1
%Total Solid
SM 2540 G
2.6
%
3-Aug-22
KEK
Ammonia Nitrogen
SM 4500 NI-13 1)
77
38 mg/kg
4-Aug-22
KEK
N- Pav
Calculation
7582
mg/kg
25-Aug-22
KEK
Sodium Adsorption Ratio (SAR)
Calculation
16.7
mg/kg
25-Autc-22
KFK
H
SW 846 904D C
4.9
0.1 S.U.
3-Aug-22
KEK
2
1
-i zz
Footnotes:
RL — Repotting Limit. Values are reported down to the
1. Sample analyzed by Envrio Chemists, Inc.
2. Sample was analyzed out of mold time.
Date reviewed:
Data reviewed by: Kelley E. Keenan
Signature:
This report should not he reproduced, crept in its entirety, without the wi
The results in this report relate only to the san
JV V
f�

F�IT
�?_i
Environmental Testing Solutions, Inc.
Certificate of Analysis
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Project name: Marion WWTP Project number:
Collection date: 21-Feb-22
Date received: 21-Feb-22
Sample identification: Sludge 01 - Grab Sample number:
220221.500
220934
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
%TS SM 2540 G 2.3 0.10 % 21,17eh-22 KEK
Mulii le "rube Fermentation Procedure SM 9221-L 59800 4.7 MPN 2i-Feb-22 KEK
Sample identification: Sludge #2 - Grab Sample number
220935
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
%TS SM 2540 G 2.6 0.10 % 21-Feb-22 KEK
Mulitvlc Tube Fermentation Procedure SM 9221-i: 59800 4.7 MPN 21-Fc1r22 KEK
Sample identification: Sludge #3 Grab Sample number: 220936
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
%Ts SM 2540 G 2.6 0.10 % 2I-Feb-22 KEK
Mulit le Tube Fermentation Procedure SM 922 t-E 85800 4.7 MPN 21-Feb-22 KEK
Footnotes:
RL = Reporting Limit. Values are reported down to the Reporting Limit only.
Date reviewed:
Data reviewed by: Kelley E. Keenan
Signature:
NC Certification Number: 600
SC Certification Number: 99053
NC Drinking Water Certification Number: 37786
This report should not be reproduced, exept in its entirety, without the mTitten consent of Environmental Testing Solutions, Inc.
The results in this report relate only to the samples submitted for analysis.

i
Environmental Testing Solutions, Inc.
Project name:
Marion WWTP
Certificate of Analysis
PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Project number: 220228.500
Collection date:
28-Feb-22
Date received:
28-Feb-22
Sample identification:
Sludge #4 - Grab
Sample number:
221074
Parameter
Method
Result
RL
Date Analyst
Footnotes
%TS
SM 2540 G
2.2
0.10
%
28-reb•22 KEK
\4uht le Tube fermentation Procedure SM 9221-E
50600
4,0
MPN
2840-22 KEK
Sample iden ti fication:
Slud a #5 - Grab
Sample number:
221075
Parameter
Method
Result
RL
Units
pate
Analyzed Analyst
Footnotes
%TS
SM 2540 G
1.7
0.10
%
28-Fcb-22 KEK
Muht le Tube Fermentation Procedure SM 9221-E
39100
3.1
MPN
28-Fee-27 KEK
Sample identification:
Sludge #6 Grab
Sample number:
221076
Parameter
Method
Result
RL
Units
Date
Analyzed Analyst
Footnotes
°/uTS
SM 2540 G
1.7
0.10
%
28,Fcb-22 KEK
Mulit le Tube fermentation Procedure SM 9221-E
39100
3.1
MPN
28-Feb-22 KF.K
Sample identification:
Slud a ##7 C rab
Sample number:
221077
Parameter
Method
Result
RL
Units
Date Analyst
Footnotes
Analyzed
%TS
SM 2540 G
1.8
0.10
%
28-Feb•22 KEK
Mulit le Tube Fermentation Procedure SM 9221-E
88200
3.2
MPN
28-Fcb-22 KEK
Footnotes:
ELL = Reporting Limit. Values are reported down to the Reporting Limit only,
Date reviewed:
Data reviewed by:
Signature:
Kelley E. Keenan
NC Certification Number: 600
SC: Certilcation Number: 99053
NC: Drinking Water Certification Number: 37786
This report should not be reproduced, exept in its entirety, without the written consent of Environmental Testing Solutions, Inc,
The results in this report relate only to the samples submitted for analysis.

Analytical Results
U.S. Biosolids Inc
958 Hoots Road
Roaring River, NC 28669
Receive Date: 11/12/2020
Reported: 12/10/2020
For: MARION
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
201112-18-01 TCLP MARION See Attached asNDted 11/1312020 PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cent #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 30

o PaceAnalyfil
www.pocrlabs.com
Pace Analytical Services, LLC
9800 KmCey Ave. Suite 100
Huntersville, NC 28078
(704 j875-9092
Project. US &o Marion
Pace Project No, 92506084
ANALYTICAL RESULTS
Sample: Sludge
Lab lD: 92506084001 Collected: 11112120 11:30 Received: 11/13/20 O8.55 Matrix, Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit OF Prepared Analyzed
CAS No. Qual
Chlorinated Herb. (GC) 8151A
Analytical Method. EPA8161A Preparation Method 8151A
Leachate MethodlDate, 1311: 11119,•2D 09.49 Initial pH, 5.72: Final pH, 5
Pace National - Mt. Juliet
2.4,5-TP (Sill
NO mglL 0-00200 1 11i21120 19:09 11/25/20 23:32
93-72-1
2.4-D
NO mglL 0.00200 1 11121/20 19:09 11/25120 23:32
94-75-7
Surrogates
2.4-DCAA(S)
71.4 % 14.0-158 1 11f2112019:09 11i2512023'.32
19719-28-9
OD81 TCLP Pesticides RVE
Analytical Method: EPA 8081E Preparation Method: EPA 3510C
Leachate MethodlDale: EPA 1311; 11124/20 15.55 Initial pH.: Final pH. 5
Pace Analytical Services - Charlotte
gamma-SHC (Lindane)
NO ug1L 0 50 1 11/30120 08:06 llf30/2O 15,11
58-89-9
Chlordane (Technical)
ND ugiL 3.0 1 11130120 08&06 11J30i20 15:11
57-74-9
Endrin
NO ugrL 0.50 t 11130/20 OB-08 11/30120 15:11
72-20-8
Heptachlor
ND ug1L 0.50 1 1113012DOl 11J3012015,11
76-44-8
Heptachlor epoxide
NO ugiL 0.50 1 11130120 08:06 11130120 15:11
1024-57-3
Methoxychlor
NO uglL 1000 1 11/30/20 08,06 11/30/20 15:11
72-43-5
TDxaphene
NO ug/L 3.0 1 11130/2009.06 1113012015:11
8001-35-2
Surrogates
Decachlorobiphenyl (S)
103 °A 10-154 1 11130120 08:06 11/30/20 15.11
2051-24-3
Tetrachloro,m-xylene(S)
26 °h 10-184 1 1113012608:06 11I30l2015:11
877.09-8
8082 TCLP PCBs WE
Analytical Method: EPA 8082A Preparation Method: EPA 351 OC
Leachate MelhodlDate, EPA 1311; 11124Q0 15:55 ln4ial pH. ; Final pH: 5
Pace Analytical Services - Charlotte
PCB-1016 (Aroclor 1016}
NO ug/L 1000 1 11/30120 0739 11130120 1317
12674-11-2
PCB-1221 (Aroclor 1221)
NO uglL 1000 1 11130f2007:39 111301201317
11104-28-2
PCB-1232 (Aroclor 1232)
NO ugil- 1000 1 11/30/20 07.39 11130120 13:17
11141-16-5
PCB-1242 (Aroclor 1242)
NO ug1L 10DO 1 11/30/20 07,39 11130/20 1317
53469-21-9
PCB-1248 (Aroclor 1248)
ND ug1L 1000 1 11/30I20 07 39 11l30120 13:17
12672-29-6
PCB-1254(Aroclor1254)
NO ug1L loco 1 IV301200739 11i3012013:17
11097-69-1
PCB-1260 (Aroclor 1260)
NO ugiL 1000 1 11130120 07.39 11/30120 13,17
11096-82-5
Surrogates
Decachlprobiphenyl (S)
78 % 10-181 1 11/30120 07.39 11130/20 13.17
2051-24-3
6010 MET ICP, TCLP
Analytical Method: EPA 6010D Preparation Method. EPA 3010A
Leachate Methodl0ate'. EPA 1311, 11116120 15:37 Initial pH, ; Final pH: 2
Pace Analytical Services - Asheville
Arsenic
NO mg1L 0.050 1 11118120 02 31 111181201118
7440-38-2
Barium
NO mglL 0.25 1 1111812002'.31 1111812011-.18
7440-39-3
Cadmium
NO mg1L 0.0050 1 1111812002:31 IlYlBI2011:18
7440-43-9
Chromium
NO mgrL 0.050 1 11118120 0231 11118/20 11:18
7440-47-3
Lead
NO ill 0.025 1 11/18/2002,31 1111812011,18
7439-92-1
Selenium
NO mglL 0.10 1 11118,'200231 11:18Y2011.18
77B2-49.2
Silver
NO mg1L 0.025 1 11118120 02.31 11118/20 11:18
7440-22-4
REPORT OF LABORATORY ANALYSIS
T€ds report shall nol be reproduced. axe pt in lull.
Date. 12/08/2020 05:14 PM
without the written consent of Pace Analytical Services. LLC
Page 5 of 27
PO Box 228 a Statesville, NC 28687 * 704/872/4697
Page 8 of 30

�5ceAnalyftca(
4w.p7nI�E7.can
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Klncey Ave. Suite 100
Huniersvilte. NC 28078
)704)875.9092
Project: US Bid Marion
Pace Project No. 92506084
Sample: Sludge
Lab ID: 92506084001 Collected
11/12120 11.30 Received: 11113120 08�55 Matrix: Solid
Resurts reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit
OF Prepared
Analyzed CAS No. Qual
7470 Mercury, TCLP
Analytical Method: EPA7470A Preparation Method: EPA 7470A
Leachate Method/Daley EPA 1311, 11116120
15:37
Initial pH:: Final d",
2
Pace Analytical Services - Asheville
Mercury
ND mglL
0,00020
1 1111812011:30
110912014:04 7439-97-6
8270E TCLP RVE
Analytical Method, EPA 8270E Preparation Method:
EPA 3510C
Leachate Melhod7Date: EPA 13 11 ; 11124120
15:55
Initial pH'.: Final pH
5
Pace Analytical Services - Charlotte
1.4-Drch€orobenzene
ND ugfL
50.0
1 11f30120 0804
11Q0120 14:40 106-46-7
2,4-DinitrotNuene
NO ugfL
50-0
1 11/3012008-04
1V3012014:40 121-14-2
Hexachlore-1:3-bWaldiene
NO ugiL
50.0
1 1113012008:04
1113012014,40 87-68-3
Hexachlorebenzene
NO ugfL
50.0
1 111301200604
1113012014A0 118-74-1
Hexachloroethane
NO ugfL
50.0
1 11 f30120 08:04
11 i30120 14,40 67-72-1
2-MaIhylphano110-Cresol)
ND ug!L
50,0
1 11130/20 08:04
11.30120 14,40 95-48-7
384-Methyiphencl(mB:pGresol)
NO ugfL
50.0
1 1113012008:04
t113012014.40 15831-10-4
Nitrobenzene
NO ugfL
50,0
1 11;30r20 08:04
11130/21) 14:40 98-95-3
Pentar.Norophenol
NO ugfL
100
1 11130120 08;04
11130120 14:40 87-86-5
Pyridine
NO ugiL
50.0
1 11130/20 08.04
1 V30120 14:40 110-85-1
2.4.5-Trichlorophenol
NO ugfL
50.0
1 11130120 08,04
11130/20 14:40 95-95-4
2,4,6-Trichlorophenol
NO ugfL
50.0
1 11130120 08:04
1V3012l) 14:40 88-06-2
Surrogates
Nitrobenzene-05 (S)
77 %
10-144
1 1V30120 08.04
11OW20 14:40 4165-60-0
2-Fluorobiphenyl(S3
54 %
10-130
1 11/30120 08:04
11130120 14:40 321-60-8
Terphenyl-614 (S)
106 %
34-163
1 11130120 05:04
11130120 14:40 1718-51-0
Phenol-d6 (S)
41 %
10-130
1 11)30f20 08:04
11130120 14'.40 13127-86-3
2-Flucrophenol(S)
58 %
10-130
1 11/30f20 08:D4
11130120 14t40 367-12-4
2.4,6-Tnldromophenoi (S)
75 I
10-144
1 1 V30120 08.04
11130/20 14'.40 118-79-6
8260D MSV TCLP
Analytical Method: EPA 82600 Leachate MethodlDate: EPA 1311; 11123120 17.16
Pace Analytical Services - Chadotte
Benzene
ND ug/L
100
20
lli2412017,22 71.43-2
2-Butanone (MEK)
NO ugfL
201
20
1V2412017:22 78-93-3
Carbon tetrachloride
NO ugfL
10D
20
11124120 17:22 56-23-5
Chlorobenzene
NO ugfL
100
20
11124/20 17:22 108-90-7
Chloroform
NO ugfL
100
20
111241201T22 67-66-3
1,4-Dichlorobenzene
NO ugiL
100
2C
11124120 17:22 106-46-7
1,2.Dichloroethane
NO ugiL
100
2D
11124,2017.22 107-06-2
1,1-Dichloroethene
NO ugfL
100
20
1112412017.22 75-35-4
Telrachloroethene
ND ugfL
100
20
11i24120 17:22 127.18-4
Trichloroethene
NO ugfL
100
20
1112Q2017:22 79-01-6
Vinyl chloride
ND ugfL
100
20
11/24/20 17:22 75-014
Surrogates
1.2-Dichloroethane-d4 (S)
100 %
70-130
20
11/24/20 17:22 17060-07-0
Toluerl (S)
100 %
67-135
20
11/24120 17:22 2037-26-5
4-8romofluorobenzene {S)
98 %
70-130
20
11124J20 I T22 460-00-4
REPORT OF LABORATORY ANALYSIS
This reporl shall nol be reproduced.
except in full,
Date 1210812020 05:14 PM
without the written consent of Pace Anaiytrcal
Services, LLC
Page 6 of 27
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 9 of 30

aceAnal'4io
J
x+rr.pEcelr6a.coa
ANALYTICAL RESULTS
Project. US Bio Marion
Pace Project No.: 92506084
Pace Analytical Services, LLC
9800 Kincey Ave. Suile 100
Huntersville, NO 28078
[phone]
Sample: Sludge LabIp: 92506084001 Collected: 11/12120 11:30 Received: 11113/20 08:55 Matrixr Solid
Results reported on a "dry weight" basis and are adjusted for percent moisture, sample size and any difutions.
Parameters Results Units Report limit OF Prepared Analyzed CAS No. Qual
Percent Moisture
Analytical Method: ASTM D2974.87
Pace Analytical Services - Charlotte
Percent Moisture
93.3 /0
0.10 1
11113/20 19:38
1010 Flashpoint,Closed Cup
Analytical Method. EPA 1010A
Pare Analytical Services - Asheville
Flashpcini
>200 deg F
70-0 1
12106120 14,42
9045 pH Soil
Analytical Method: EPA 9045D
Pace Analytical Services -Asheville
pH at 25 Degrees C
5.9 Std- Units
0.10 1
12107120 16:41
9095 Paint Filter Liquid Test
Analytical Method. EPA 9095B
Pace Analytical Services - Asheville
Free Liquids
Fail
1_0 1
12,102120 16:21
733C S Reactive Cyanide
Analytical Methods EPA 9014 Preparation Method: SW-846 7.3.3.2
Pace Analytical Services - Greensburg
Cyanide. Reactive
NO mglkg
0.99 1 11l18i20 18:23
11119120 18:58
734S Reactive Sulfide
Analytical Method: SM 4500S2F-2011 Preparation Method: SW-846 7.3.4_2
Pace Analytical Services - Greensburg
Sulfide, Reactive
NO mgikg
9.9 1 11/18120 18:23
11118720 18:25
H3
Sample: PCB Lab ID; 92506084002 Collected: 111212011:30 Received'. 1111312008:55 Malrix, Water
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. QUal
8082 GCS PCB RVE
PCB-1016 (Aroclor 1016)
PCB-1221 (Aroclor 1221)
PCB-1232 (Aroclor 1232)
PCB-1242 (Aroclor 1242)
PCB-1248 (Aroclor 1248}
PCB-1254 (Aroclor 1254}
PCB-1260 (Aroclor 1260)
Surroga tes
Decachdroblphenyi (S)
Date. 12108/2020 05,14 PM
Analytical Method'. EPA 5082A Preparation Methotl: EPA 3510C
Pace Analytical Services - Charlotte
ND
ug1L
2.5
1
1210112010:28 1210212002:16 12674-11-2
ND
ugiL
2.5
1
12VI2010:28 121021200216 11104-28-2
ND
ug1L
2.5
1
12101120 10 28 12102i2002.16 11141-16-5
ND
ug1L
2,5
1
121011201028 12102i2002:16 53469-21-9
ND
ug1L
2,5
1
1210112010:28 12f0212002:16 12672-29-6
NO
ug/L
2,5
1
12101120 10 28 12102/2002.16 11097-69-1
NO
Ug1L
2 5
1
12/01/20 10:28 12/02120 02:16 11096-82-5
42
1!1
10-181
1
1210112010:26 1210212002'.16 2051-24-3
REPORT OF LABORATORY ANALYSIS
Thrs report shall not he repmduced, except in Full,
without the written Consent of Pace Analytical Services. LLC.
Page 7 of 27
PO sox 228 • Statesville, NC 28687 • 704/872/4697
Page 10 of 30

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Cor enin Cr
Biosolids Permit Number: WO 0019960
Date: 1161
Digester Temperature:
Sampling Date/Time: 1-6-22 122
Sampled By: DM
Analysis Date/Time: 1-6-22 14(
Analyzed By: RGC
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
1000 milliliters
1.96 % Dry Solids
25 degrees Celsius
25 dearees Celsius
Slope: 0.1
Intercept: 8.2
Correlation Coefficient: 1.0
Oxygen Uptake Rate: 4.11 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.21 mg Oxygen/g/hr
Average Temperature: 25 degrees Celsius
Temperature Correction Factor: 0,783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.16 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes, The Calculation and the Spreadsheet execute automatically.

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Corpenin
Creek
Biosolids permit Number: WQ 0019960
Date:
1 /7/202
Digester Temperature:
1
Sampling Date/Time: 1-7-22
1246
Sampled By: DS
Analysis Date/Time: 1-7-22
1330
Analyzed By: RGC
Sample Volume:R
100
Total Solids:
1.9
Beginning Temperature:
2
End Temperature:r
2
Dissolved Oxygen Level
Slope: 0.1
Intercept: 8.5
Correlation Coefficient: 1.0
milliliters
% Dry Solids
degrees Celsius
degrees Celsius
Oxygen Uptake Rate: 3.98 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.20 mg Oxygen/g/hr
Average Temperature: 25 degrees Celsius
Temperature Correction Factor: 0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.16 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Cor enin Cre
Biosolids Permit Number: WQ 0019960
Date: 1 / 1012
Digester Temperature:
Sampling Datefrime: 1-10-22 1313
Sampled By: DS
Analysis Date/Time: 1-10-22 1350
Analyzed By: DS
Sample Volume: 1
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
milliliters
% Dry Solids
degrees Celsius
decrees Celsius
0.0
8.3
1.0
2.60 mg Oxygen/hr
0.14 mg Oxygen/g/hr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.11 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

Time
(minutes)
a
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Corpeninq Creek
Biosolids Permit Number: WQ 0019960
Digester Temperature:
Sampling Date/Time: 1/11/22
Sampled By: DS
Analysis DatelTime: 1/11122
Analyzed By: DS
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature.
Temperature Correction Factor:
1325
14
1000 milliliters
1.96 % Dry Solids
25 degrees Celsius
25 degrees Celsius
0.0
7.5
1.0
2.63 mg Oxygenlhr
0.13 mg Oxygenlglhr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.10 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes, The Calculation and the Spreadsheet execute automatically.

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name:!Corgening Creek
Biosolids Permit Number: WQ 0019960
Date: 1 /12/2022
Digester Temperature:, 18
Sampling Date/Time: 1/12/22
Sampled By: IDS
Analysis DateMme: 1/12122
Analyzed By: DS
Sample Volume. -
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
1425
1
1000 milliliters
1.96 % Dry Solids
25 degrees Celsius
25 degrees Celsius
0.0
7.9
1.0
Oxygen Uptake Rate: 2.55 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.13 mg Oxygen/glhr
Average Temperature: 25 degrees Celsius
Temperature Correction Factor: 0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 7. 0.10 mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
-Z7 6 L

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name:
Biosolids Permit Number:
Date:
Digester Temperature:
Sampling DatelTime:
Sampled By.
Analysis Date/Time:
Analyzed By:
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope: 0.0
Intercept: 8.6
Correlation Coefficient: 1.0
milliliters
% Dry Solids
degrees Celsius
degrees Celsius
Oxygen Uptake Rate: 2.37 mg Oxygen/hr
Ambient Specific Oxygen Uptake Rate: 0.12 mg Oxygen/g/hr
Average Temperature: 25 degrees Celsius
Temperature Correction Factor: 0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.16 mg Oxygen/g/hr
Instructions. Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.
Z
U

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Corpening Creek
Biosoiids Permit Number: WQ 0019960
Date: 1 /14/2022
Digester Temperature: 14
Sampling Date/Time: 01/14/22 1145
Sampled By: dm
Analysis Date/Time: 01/14/22 1204
Analyzed By: ssg
Sample Volume:. 1000 milliliters
Total Solids: 1.58 % Dry Solids
Beginning Temperature: 25 degrees Celsius
End Temperature:E 25 degrees Celsius
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
0.0
8.6
1.0
2.04 mg Oxygen/hr
0.13 mg Oxygen/glhr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate: 0.10. mg Oxygen/glhr
Instructions: Enter Data in the Slue Boxes. The Calculation and the Spreadsheet execute automatically.

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Car en
Biosolids Permit Number: WQ 00
Date:
Digester Temperature:
Sampling Date/Time- 1/15122
Sampled By:IDS
Analysis DatelTime: 1/1
Analyzed By: DS
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
Slope:
Intercept:
Correlation Coefficient:
Oxygen Uptake Rate:
Ambient Specific Oxygen Uptake Rate:
Average Temperature:
Temperature Correction Factor:
Creek
1330
0.0
6.5
1.0
milliliters
% Dry Solids
degrees Celsius
degrees Celsius
1.61 mg Oxygen/hr
0.08 mg Oxygenlglhr
25 degrees Celsius
0.783526166
Temperature Corrected Specific Oxygen Uptake Rate:. 0.07 :mg Oxygen/g/hr
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discharye PermittiinjZ Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
❑ The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
Notification. doc
Land Owner
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Policy"
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3

An updated accounting of the land application site's cumulative
7
�
pollutant loading rates (CPLRs)
Status Code
Required Item
N
F R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
❑ Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: hU://deg.nc.gov/about/divisions/water-
re source s/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hLtp://deg.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http://deg.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified 'B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified 'B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification 'B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: U.S. Biosolids, Inc.
Land application sites currently certified: 490.17 net acres and Total to be certified: 586.88 net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field
ID
Landowners
O
Lessees or Operator(s)
O
Net Acres
County
ry
Crop(s) s
PO
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope
N
SP1
Koone Dairy Farms
15.3
Rutherford
Fescue Hay
Pacolet
PaC2
N
SP2
Koone Dairy Farms
10.7
Rutherford
Fescue Hay
Pacolet
PaC2
N
SP3
Koone Dairy Farms
10.6
Rutherford
Fescue Hay
Pacolet
PaC2
N
SP4
Koone Dairy Farms
L
2.2
Rutherford
Fescue Hay
Pacolet
PaC2
N
SP5
Shirley Koone
17.88
Rutherford
Fescue Hay
Pacolet
PaD2
N
SP6
Shirley Koone
4.39
Rutherford
Fescue Hay
Pacolet
PaC2
N
SP7
Shirley Koone
15.1
Rutherford
Fescue Hay
Skyuka
SkB
N
LA
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
IL WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
p
Class
SP1
35.479531
-82.029360
NAD 83
ADD
Nearest Second
East Branch Mtn. Creek 9-25-2
C
C
SP2
35.481619
-82.033962
NAD 83
ADD
Nearest Second
East Branch Mtn. Creek 9-25-2
C
C
SP3
35.483891
-82.030111
NAD 83
ADD
Nearest Second
East Branch Mtn. Creek 9-25-2
C
C
SP4
35.483000
-82.033791
NAD 83
ADD
Nearest Second
East Branch Mtn. Creek 9-25-2
C
C
SP5
35.481558
-82.027675
NAD 83
ADD
Nearest Second
East Branch Mtn. Creek 9-25-2
C
C
SP6
35.482213
-82.025497
NAD 83
ADD
Nearest Second
Mill Creek 9-41-13-3
WS-V
WS-V
SP7
35.483576
-82.022429
NAD 83
ADD
Nearest Second
Mill Creek 9-41-13-3
WS-V
WS-V
_
.°.' a"
.°.'."
NAD 83
ADD
Nearest Second
'
_
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 06-16 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discharye PermittiinjZ Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
❑ The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
County Board
Notification. doc
Land Owner
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits"
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
✓
Evaluation Policy"
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3

An updated accounting of the land application site's cumulative
7
�
pollutant loading rates (CPLRs)
Status Code
Required Item
N
F R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
❑ Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the name of the soil indicated in Attachment `B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD) • Digital or Raw Photo Extraction (EXT)
• Aerial Photography with Ground Control (AER) • Geodetic Quality GPS Survey (GEO)
• Cadastral Survey (SUR) • LORAN-C Navigation Device (LOR)
• Conversion from Coordinate Plane (CP) • Navigation Quality GPS (GPS)
• Conversion from Township -Section -Range (TSR) • Remote Sensing (RS)
• Conversion from Universal Trans Mere (UTM) • Zip Code Centroid (ZIP)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by 11-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: hU://deg.nc.gov/about/divisions/water-
re source s/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hLtp://deg.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http://deg.nc.gov/about/divisions/water-resources/planning/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i).
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C"; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified 'B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified 'B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification 'B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

LAND APPLICATION SITE CERTIFICATION
Applicant's name: U.S. Biosolids, Inc.
Land application sites currently certified: 490.17 net acres and Total to be certified: 586.88 net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field
ID
Landowners
O
Lessees or Operator(s)
O
Net Acres
County
ry
Crop(s) s
PO
Predominant Soil
Series Nameb
Mapping Unit
or Rep. Slope
N
TB 01
Tristen Blevins
16.32
Wilkes
Fescue Hay
Fairview
FcB2
N
TB 02
Tristen Blevins
4.43
Wilkes
Fescue Hay
Fairview
FcC2
N
N
N
N
N
N
a Status Code for land application sites are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ T (Transferred) ♦ D (Deleted)
b Soil Series Name (i.e. Appling, Cecil, etc.)
Mapping Unit must be consistent with those used in the County Soil Survey (i.e. for a 2-8% slope Cecil in Anson County the mapping unit is CeB2)
IL WATERBODY AND CLASSIFICATIONS INFORMATION (See Instruction C):
Site/Field ID
Latitude
Longitude
Location
Datum
Location Method Code
Location Accuracy
Waterbody Subbasin and
Stream Index No.
Current and Proposed
p
Class
TB 01
36.263653
-81.005384
NAD 83
ADD
Nearest Second
Little Bugaboo Creek 12-48-1-(1)
C
C
TB 02
36.262265
-81.007154
NAD 83
ADD
Nearest Second
Little Bugaboo Creek 12-48-1-(1)
C
C
NAD 83
ADD
Nearest Second
_
NAD 83
ADD
Nearest Second
-°.'."
.°.'."
NAD 83
ADD
Nearest Second
° M'."
.°.'."
NAD 83
ADD
Nearest Second
° ' -""
.°.'."
NAD 83
ADD
Nearest Second
_=0
mrr'
.°.'."
NAD 83
ADD
Nearest Second
Note: Please keep the site information (I.) and waterbody information (II.) of the same field on the same page.
FORM: LASC 06-16 Page 1

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T.1100— LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water duality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .I 100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: __ IJ.S Biosolids, Inc.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
KI
no
Hay/Pasture
Livestock Feed
K2
no
_ Hay/Pasture
Livestock Feed
❑
K3
no
Hay/Pasture
Livestock Feed
K4
no
Hay/Pasture
Livestock Feed
K5
no
Hay/Pasture
Livestock Feed
K6
no
Hay/Pasture
Livestock Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of

1. STIPULATIONS:
1. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR. Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. '['he Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns. a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative kvith a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pi I of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples. and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis ofother sources of nutrients
(e.g.. fertilizer. unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
or
the land application sites) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to, enter and
inspect any property, premises. or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the pert -nit: establish monitoring facilities on or near the land application site(s) as required by the permit: copy any records
that must be kept under the terms and conditions of the permit: take necessary leachate. Surface water, groundwater, or soil samples during the
term of. and 12 months after termination of, this Agreement.
If. RESTRICTIONS:
I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops. and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a I 4-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than lour months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
111LALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCACO2L .0107(d) prohibits water supply wells within the compliance boundary. However. 15A NCAC 02T.0105(h1 allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
El A re -defined compliance boundarv, is needed for field(s) ID:
())lease include the rationale for the requested re -location ofthe compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
El The land application field(s) ID: is currently permitted under another
residuals land application program: Permit Number The land owner hereby acknowledge that by signing this
agreement. he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3
Z�

Landowner's Certification:
| certify that | mn udcedcd landowner ofthe above- rcferm/ccd land application site(s) and om authorized to make decisions
re -or in-dhc use nfthe land application site(s)on behalf ofother deeded landowners ORthat | am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. | certify that the above -referenced land application site(a) are not included in any *uoto disposal contract or
agreement with another Municipality, contractor, orother permitted entity. Furthermore, | certify that | have read this &gocmcn\
understand the stipulations, ostriohonu, o|icmuiives for water Supply vvc||m inside the compliance boundary, acknowledgement of
field transfer, and dnhereby grant permission to the Pcnnktec to land apply residuals mthe land application siu(s)osopccificd
herein.
Landowner name: Koone's Dairy Farm Inc.
Address:
City: State: Zip: 28167
Phone: E-mail address:-
-��\/ Signature: Do���
/r\ �
NORTH CAROLINA, COUNTY
1, the undersigned Notary Public do hereby certify that
personally appeared before mcthis day and acknowledged the due execution mfthe for �oin�in�mmcnt.
WITNESS myhand and nffiokdseal this the
day of,,-__—_
Signature and seal:
My commission expires:
Lessee's/Operator's Certification:
.20
|ccuify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
name:
State: Zip:
E-mail address:
Dote:
| certify that \ have rux\ this Aoncmrn\ and do hereby agree »oabide 6y the stipulations and restrictions as specified herein.
Signing official name: Kev
Si -nature: Dam:

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Dlviston of Water Resources LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T . 1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
❑ The status of the land application site with respect to this residuals land application program must be provided in table 1. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (`i') ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
,7'
County Board
Notffication. doc
Land Owner
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
Mr Residuals I,.any,.A,p,plicatio.n,,Pcrn3i,ts.-
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soi]_Scntist
✓
Evaluation Policy"
INSTRUCTIONS FOR FORM: LASC 06-16 Page 1 of 3

G
❑■
X
An updated accounting of the land application site's cumulative
pollutant loading rates CPLRs)
Status Code
Required Item
N
R
T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Perm ittees over the saute timeperiod)
* This item may be required for land application site with a status code --M". please contact the Division if you need assistant in
determining attachment requirements.
Crop Type should include the most likely crop types for the life of the permit (five years).
Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
Acceptable methods for determining location coordinates (i.e.. latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Merc (UTM)
• Map Interpretation by Digital or Manual Extraction (MAP)
C. Waterbody and Classifications Information: (new sites only)
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)
❑ Use an 8.5 by I I -inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://deg.nc.,�ov/about/divisions/water-
resources/planning/class ificat ion-standards/class ifie ations
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
htt :1lde .nc. ov/contact/re 7ional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
1. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x I 1-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table 1: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link http://deg.nc.t;ov/about/divisions/water-resources/planning;/cIassi_f_tcation-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1, Use the Clickable basin map to hydrologically sorted list report.
2.Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 0213.0301 i .
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C or
(C) after November I, 1486, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Draina e Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watau ,a River Basin
Streams entering, the State of Tennessee are classified T."
Broad River Basin
Streams entering South Carolina are classified "C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified T."
Lumber River Basin
Streams enterin South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia arc classified "C."
Tar -Pamlico River
Basin
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotank River Basin
All drainage canals not noted in the schedule are classified "C."� j
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

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State of North Carolina
Division of Water Resources
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LANDOWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more informalion, visit the Wafer Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T . 1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: U.S. Biosolids, Inc.
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
SPI
No
Hay
Livestock Feed
SP2
No
Hay
Livestock Feed
SP3
No
Hay
Livestock Feed
SP4
No
Hav
Livestock Feed
SP5
No
Hay
Livestock Feed
SP6
No
Hay
Livestock Feed
SP7
No
Hay
Livestock Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
"this Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page I of 3

STIPULATIONS:
'. Vie landowner or his represeniaTk-e shall not cuter into any addi€tonal rcSidtfals apphcauon contracts or ag!rc nmcnts with am>ther permitted
cnrity for Iliv sitcl sl sl+c[tfred b> IN,; \"rc rllcro
Shortld the landowner or his rcpresentaticc Icasc or otlaur i e permit the use of da. land :applicat€on sitclst to a third par€v. tho landowner shall
he revponsiblc to ensure that the thud party ague, and cY)t qks u l the tcmts and conditions of this .Agreement
The. landowner c,r his reprewroatiie shall cxllacrc to the provisions of lasts Aguenwnt until all of be we rasvwwris ('ouster NOW Il) are met.
4. Notilicntion of cancellmion of this A�reerncnt shalt he in€ntedi;itch' fnrlv;irdcd of Nt.'DFNR-DWR. Nor)-Djschar,,c Pcrinmins! Unit, 161?
Salta Seri, ice C`cntcr_ ftalcip,h. N(' 27t>9�)-161 -.
I The Purvint" rnum request amd Want a permit nwd licaton from the Ilk Won prior to a transtcr of the land application 5ire(s) to a new
hndowncr_ In addition, the current landowner shall gke a notice to Ow new, landowner that full ciet;ril: all'the residuals apphcd at the
land application siic(5'E.
6. The Pennawe has procidcd tw Ando%ner m his '.y'r€h mho mat€on and Nita concerning_ the ro'ldttal lamd application program.
Inc lndInL an anais�sIs of c01stItw nIS of the resi(Iuals_ ressdutiIS Ipl,IicaIion Ini'the?d,s, schedules It typic:at cropping pattc ens. a description cat"
tale quiprftcrtt used 1)v the Pcrmitice
Fle Parunce will pris be the landowner or his rey"critwive cs ah a cope of talc rcnicluuls permit prior fo COITIM nccnacnt of any residuals
Iand application event and a copy of the results of each sail anaalysis,
R_ if the sail pH of the land applic'anon sitc(s) is not tna mmi-Icd ar 6.0 or grc.ncr, sutficicnl ornount� of linic shall htr ;applied to achicce a final
soil pf 1 of at Imm 6,0. unless an agronomist proms ides NOrmauon mdieamy gala[ floc pH of the sal, residuals and Anw mixture is surmb c Am
MC specillcd crap.
9. '1 he landowner or liis rcpresvntatitic and the Pcrnimcc u ill a grec: «rt residuals ahplicanon rates and >chedtiles hatacd oil crop patternS. re tills Of
soil saaanplcs. and [lac permatcd application limit."
l0. The lanlownc°r cx his rcprescm;jtice will pro% do the Pcrmitice with infornnnion rc,ardirtg the amount :and ;wal)sis of ollwr u)urccs of
nuiricrns Ic.g., fcrtiliicr. unregulated animal waste, ttc.) that hayc heen :applied to fhc I:tnd :appiicatinn Nile(")
1 I Tlw landocuncr or his rcpreseniativc• will inAny rho Fornirw of any rcc i,nrns or rlloditication to the intended €rsc and cropping patterns for
Mc land application sac(,$) prior to each planting* season to cn:rhic the Perminec to mncnd this Agreement and schedule residualS land
opphcalion eNents at ;appropria(c peri<sds
11 5pew& residuals land application area KnimMAs Shull by dearly marked on the Laid application snots) be the Permai , We landowner o
his representative prior to and during a residuals land atpplicahoia ecc:nt.
1?. The landowner or his e hc;rchv authorucs the Permiuee_ local officiak, and State of€iciAs of nccir rcpresew"111%,cs to: cuter and
inspect any property, prernisec, err place oil or related to the land application sne(s) at any rcaSojiablc tine• for the purpiosc Of detcl'tnirotn,
coniplranc, wah talc pcxrnit: estahliA nNknitonng WOW im or near dW land applicatnM site:{s1 aS required by the permu: rapt anti t'cconk
that must be kept under tale terms artd cr>ndiutons of task lxmit : take• necessary Ic=Wc, surface wmer, groundwater or soil samples dwmg glue
turn of and 12 )months after icnninaz ni of. this AWwrincnt,
IL Ws rRK TIONS:
I aipn)rmiatc measure; must be utken by the Penmttcc and,or the landovs ricr of his icpresciomire io control public access to the Land
application sile(s) during segue use anal Or the 12-nionth period followmy a residuals land applications c"ni. Sue.h e€mtmis may include the
pasting a igns [hat indicate Me activities bring c€,nclucted at the land application suss)
Animals shaft cur he grated on the land apphcatism sste(s1 Ibr a Y"day peered Adlcrwirsg a residuals land apphcatwn coml. Land application
Sites that are to he used for grazinz i shall hmv farming that will he used in preycsot ""a during twse periods after such NSidunfS land
applicmion events_
Food crops, Wd craps, and Over cresps shall not be han eWd fur a WAY period at rcyicfualS land applicatioon cycnt.
4 Food crops xkith haarye:Stwd parts that touch the rusidriSswd mmWN and are towlly aho%c the land sintax, shall nut lie hartestal Ibr a 14-
morol) period Iollowin, a Iosiduals land aploheauit)n event.
5- good crops with havested parts below we Snowe of the land Shall ruu be ha€ nind tier a Na-mml period foiling a residuals laird
app]rc;aion vkent %vlien the residuals ianain on the kind surface liar four monf is nr linger prior io incorporation € ro the ,oil.
h, I-ood crops with harver (Cct parts below the surface of the Iranti �hall not l,c harvestui Ibr a: Wnacanth period Bllouinlr a residuals land
apphcalion ctrnl when the: residuals remain on the land surface fior ti`ss than four months prior to incorporation Into the soil.
1 urf gmmn on Land %hen residuals arc applied .hall not he htarkated bra 11month period nollow ins, a residuais'an(' appliC'Wora e,ent.
HLALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COIIIPLIA\C E BOUNDARY: (ttlease check Lane)
1�,A V'AC 021, .0I077(dy prnhihits w:ascr aulsply wills %6111m the cosnpliame houndarq- 01-11 V\t .A(' 02T 1030o allow; the
vlmplia— boundan to be plaeud closer to the uame Upon! area, such that ncc waver supple wj,. 1., cantpliaanre
I,oundaWy pro%€tied the groundwater <landtards can be tact to the ncwlr- Whlishod wrnpliancc hryW ary I'leasr mark erns^ of Ilse foiluwira�;
r-Z
_1 Aver -defined compliance houndar}' is needed for ficld(s} 11.
0"ase rncltrde the nalionale for the rcqutstw re -location o'i t`)rc uomp'nlecc 'uoun'ni) ;rnu xo:lch a trap atr)aysna the ncu,ls proposud
compliance houndanr to the application packag=c1
A re-dctined consplinncu boundary a riot needed Ar Ili; tile,
W-ACKNOWLEDGENUNT OF FIELD TRANSFER: (if needed)
'Ile land apphcat€on licld!_s1 if.) . is c'urrcntly pc:rnaittA under another
residuals land application progmvin PUMU \umber WO: The Innd owner hereby acknowkQ that by atpnW this
as'.rccnrnt, he=she is rcqu,"Ag that the licl, Inc ronw,icd Sun the pr.;vwnW permitted residuals land application program and iransii:rrcd
Into the nc" progr3ra:
(Douse (l the new program)
i -W%1: L_OA ' I - i ? Page 2 of

Landowner's Certification:
I ccrufv that I atn a dccdcd landowttcr ol� the above-rctcrcnced land application sites) and am author-iicd to make decisions
rcgatdin tltc use of thc land application) sitc(s1 on bchttlf of oihdr deeded landox+°nct-,; OR that I arty othct-ise auth0rized. through
a power of attorney or other legal delegation. to wake de,•ision, regarding the use of the land application ,itc(s) on behalf of the
deeded landowners. I ccrtifr that the aboyc-referenced land apph::ation sites) are not included in anti wastc disposat contract or -
agreement with another municipality, conrractur, or other permitted entity. Furthcr-more, I certify that 1 have read this Agreement.
widcrstand the stipulatians, restrictions, altCrnati%CS for water Supply welts inside the C MP11ance boundary- acknowledgement of
field transfer, and do hercby grant permission to the Pennitice to land apply residuals to the land application site(,) as speCt ied
herein.
I.andmk ncr- name: 5hirle.v Koonc
Address: 19 C P:1Ily"l'F;RS G A1) RI)
t: itv: UNION Mll..LS State: l!C"
Phone F-mail address:
S i (pi azure:
Lip: _ —' 16'
Datc:G%.13
1. the undersigned Nomty Public do hereby certify that S �i _ QOn
-_---.L_ t ......_.._..__ .... ..... ....... ...—
personally appearcd before nw this day and acknowledged the due executit.)rt of the forooino instrument.
WITNESS nth hand and official seal this the .._ �..�_-.— ��1Ntt�u41r11,���y
da.' nt J V
Signaturc and ,cal
A11commission expires:
Lessee's/Operator's Certification:
N,j,w.. CC)UOY
Wt�tces —
.................................. _
N cP�°.�
�111"It[tiltttO��
I certify that I have read this Agreement and do hereby agrcc to abide by the Stipulations and restrictions as specified hm"In.
Lessee operator name
Address:
City:
Phone:
Signature:
Permiftee'S Certification:
state-
E-mail all
Date,:
Zip:
1 certify that I have read this Aireenacnt and do hereby agree to ahide by the stipulation, and restrictions as specified herein.
Siaming official name: Luck Kcv
Signature: Date: 'eI073
FORM1.-OA I I - 13 Page ? of

Landowner's Certification;
I certify that I ant a deeded landowner (it' the above referenced land application site(s) and ani authorized to make decisions
regarding the use of the land application sites) on behalf of" other deeded landowners OR that I arts otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on Behalf of- the
deeded landowners. I certifv that the above -referenced land application site(s) are not included in any waste disposal contract or
agreemen€ with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Perntittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: Koone's Dairy I art'-1 ln-c.
Address:- 231 Padgett Road
City: _._ Union Mills ._ —_-- State: << ............._.......... Lrp: __......._._28167
Phonc: F-mail address:
- j Signature: - _ - - -.. _ . _ Date:A-3
NORTH CAROI.fNA, V7��fTOrpCOUNTY
1, the undersigned Notary Public do hereby certify that b A
M._.or _
personally appeared before me this day and acknowledged the due execution ot'the forgoing instrument.
WITNESS my hand and official seal this the a I
day ofV
Signature and seal:_-
Notory PUbIle s
My commission expi es: L%..'.Q_-._--------
y
Lessee's/Operator's Certification:/O�THCAR����````
urrrttrt 1
I certify that I have read this Agreement and do herebyagree to abide by the stipulations and restrictions as specified herein.
L.essee'operwor name:
Permittee's Certification:
I cerify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signinti official name: Za.ch Key
Signature: Date: �� 3: '�0
F()RM: WA 06-16 Pate i of 3

■ CompW6 i4ems 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
6;Jdenn
I I�� I I�I II I II I II I �� ��IIIIIII� II II�
9590 9402 2547 6306 9919 89
2. Article Number (Transfer from service label)
A. S7tr
X ❑ Agent
Addressee
6. (Printed Name) C. Date of Delivery
0. Is delivery address different from Item 17 ❑ Yes
If YES, enter delivery address beiDw: ❑ No
3. Service Type
❑ Priority Mail Express®
* Adult Signature
0 Registered Mail"
G Adult Signature Restricted Delivery
❑ Registered Mail Restricted
* Certified Maile
Mvery
* Certified Mall Restricted Delivery
❑ Return Receipt for
* Collect on Delivery
Merchandise
C Collect on Delivery Restricted Delivery
❑ Signature Con"Art!onTM
C] Insured Mail
❑ Signature Contimiation
0 Insured Mali Restricted Delivery
Restricted Delivery
(over $500)
PS form 3811, July 2015 PSN 7530-02-000-90 3 Done Return Receipt
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Domestic
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For delivery intormation, visit our website
at WwwwSP&
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LAij rK#sbnrfJ r !V C Nr.q tj

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit 1he Water Quali1j, Permitting Section's Non -Discharge Permitting 1Jni1.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T . 1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: U.S. Biosolids, Inc
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Laud Use or
Cropping Patterns
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
TB1
no
Hay
Animal Feed
TB2
no
Hav
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page 1 of

I. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity I'or the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use ofthe land application sites) to a third party. the landowner shall
he responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification ofeancellation of this Agreement shall be immediately forwarded to NCDENR-DWR. Nan -Discharge Permitting Unit. 1617 Mail
Service Center. Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition. the current landowner shall give a notice to the nc%k landowner that gives full details ofthe residuals applied at the land
application site(s),
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program.
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns. a description ofthe
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy ofthe residuals permit prior to commencement of any residuals land
application event and a copy ofthe results of each soil analysis.
8. If the soil pFl of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall he applied to achieve a final soil
pli of at least 6.0. unless an agronomist provides information indicating that the pl I of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedulcs based on crop patterns. results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis oi'other sources ofnutrients
(e.g., fertilizer, unregulated animal waste. etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permitlee. local officials. and State officials or their representatives to; enter and
inspect any property. premises. or place on or related to the land application sites) at any reasonable time for the purpose of determining
compliance with the permit: establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit: take necessary Ieachate. surface water, groundwater, or soil samples during the
term of. and 12 months after termination of. this Agreement.
IL RESTRICTIONS:
I. Appropriate measures must he taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops. feed crops. and fiber crops shall not be harvested fora 30-day period following a residuals land application event.
4. Food crops %%ith harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface ofthe land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface ofthe land shal I not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7, Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I11.ALTERNATIVES FOR WATFR SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within (he compliance boundary. I lowcver. 15A NCAC 02T .0105(h) allows the compliance
boundary to be placed closer to the waste disposal area. such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliancc boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location ofthe compliance boundary and attach a map showing the newly proposed compliance
bormdary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV, ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: _ _ is currently permitted under another
residuals land application program: Permit Number WQ:___ _�. "I he land owner hereby acknowledge that by signing, this
agreement. he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the ne%% program: _
(Name ofthe new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that I am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name: BLEVINS. TRISTEN & BENGE, COLBY
Address:
City: Roaring River State: NC Zip: 28669
Phone: [phone] F-mail address: G
Signature. _ ' m"�� Date:,
NORTH CAROLINA, Wes COUNTY
1.. the undersigned Notary Public do hereby certify that enwe
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ��V —� ,a\_X1;.1.1AlIW11 -I,
day of j V r%
Signature and seal:
My commission exp res:
Lessee's/Operator's Certification:
/1��ItiIYl.4�111
certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name:
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail address:
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: Zach Key
Signature: / Date: 6-26-2023
FORM: LOA 06-16 Page 3 of 3

Attachment 3:
Detailed Soil Descriptions
APRIL 10, 2023 924 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 14

Attachment 3--Page I of 4
Site: 824 Grace Howard Rd, Roaring River, NC
Client: US 6IOSOLIDS, INC.
County and State: _WILKES COUNTY, NC_
Date: 21I 8/2023
Soil Scientist: C. ADAMS
Fld/Pit # 1- r -
Lndscpe Pos. �
Vegetation SM�.0 ,,1p,
uitable Unsuitable
.3 Slope 1
Parent Mat. 1 eSe
f
Seasonal water table 7 L 4(4
Water table type
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
MConsiste nce
ste
Wet Consistence
Other
Ap
1 o R-8j3
—
C_L,
t'
d er
s� =
ut
7=L�"
2_.sjX4/(-
--
C_
13� 2.
)A-32,
2, Sjk4J�
CL_
LAC
3Zi�
z,S��51 �
)yq
'��{
Lam.
�
��,-ram
S�AS��
'•����
�,
��
�rf���
Additional comments:
F1dIPit #
Slope
Lndscpe Pos. 6 �_'jl Vegetation ��
Parent Mat. M5 JOLtvin Seasonal water table €�
Suitable Unsuitable
Water table type
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
Moist Consistence
Wet
Cons
Other
Other
2-kS
55 5
AB
6 -11 "
����� q i't
C+_
1414�
r
ss
t
t [ -22 "
2,S Ifl�
C
s
C
z2
�,SW-�Ii�
7.S %
`�
It.5
S�
�rkci;�
Additional comments: i'`L�
C_
C
4c.
At -

Site: 824 Grace Howard Rd, Roaring River, NC
Client: US BIOSOLIDS, INC.
County and State: _WILKES COUNTY, NC_
Attachment 3--Page 2 of 4
Date: 2/18/2023
Soil Scientist: C. ADAMS
F1d/Pit # i -3 Lndscpe Pos. �`� Vegetation Suitable Unsuitable
Slope L-) Parent Mat. Seasonal water table Water table type ^-
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
Moist
Consistence
Wet Consistence
Other
A
s
bt
c-1s�
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} (
7, 3
c- L -
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C_
5 5
s Lt b
A"
��
,1s v1n
ti
Additional comments:
FIffit # -`�� Lndscpe Pos. LS Vegetation �—O_-L c Aj iV= uitabl Unsuitable
Slope 9— Parent Mat. Cues, Seasonal water table > SLf q Water table type
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
CaMoististence
et
Cans stenee
Other
A
I s -i 1
CL
P,t l
6 2-11y
z,5 R r{6
C
k L
2ft-42"
'2'Sip- 4
! csf�IC
�r
s5 s
BC-
`t7_ S'�
ILS 'A+1b
L4-
Additional comments: L' 1 r
Wj L
U'3y�
AL( -

Attachment 3--Page 3 of 4
Site: �824 Grace Howard Rd, Roaring River, NC
Client: _US BIOSOLIDS, INC.
County and State: _WILKES COUNTY, NC
Date: 2/18/2023
Soil Scientist: C. ADAMS
F1dIPit 4 1 - S
Lndscpe Pos.
Vegetation ke-"Ltu,_ 0.tA�r-e.
Cuitable Unsuitable
Slope I„
Parent Mat. j-ysj llacu ,K
Seasonal water table > bhk
Water table type —
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
Moist
Consistence
Wet Consistence
Other
C �-
i s
r
e's
-L s to
C
(wr j[
t F
S
�C
3 C,
'z, tf ;_s b
ivy.; I 't
0,1 b
C t- _
C
+\3
L
v
c
vl s o
Additional comments: C_ k'
Fid/Pit # a�f Lndscpe Pos. hJ 1, Vegetation �O�Jja
�^ W
Slope �` Parent Mat. Seasonal water table j_
Cuitabl Unsuitable
Water table type
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
Cons ist
Cons stt
Other
Ap
a
_5
7,�`'�
C—L
I
L"fin
C
f�C
,.
35 = 5=`,
ZS4416
i C k
G
f1 s rn
1 L4t*_
fOver
t
AS AP
Additional comments:
' +4
kn c
Ros

Site: _824 Grace Howard Rd, Roaring River, NC
Client: US BIOSOLIDS, INC.
County and State: WILKES COUNTY, NC
Attachment 3--Page 4 of 4
Date: 2/18/2023
Soil Scientist: C. ADAMS
F1d/Pit # A-7
Lndscpe Pos.
Vegetation s(:
�i abl unsuitable
Slope
Parent Mat. (tiP ;, „ti,4
Seasonal water table > U,
Water table type --
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
Moist
Consistence
Wet Consistence
Other
I
L[ z�
�`5�{`i�s�
t�
�►
c
Pif 2-
Z"--'
yvlq
Additional comments:
Fid/Pit # Lndscpe Pos.
Slope Parent Mat. _
Vegetation
Seasonal water table
Suitable unsuitable
Water table type
Horizon
Depth
Matrix Colors
Mottles
Texture
Structure
Cons ist
Cons stt
Other
Additional comments:

Attachments 4-7
Soil Sample Transmittal Sheets and
Soil Test Results
Nutrient Analysis by NCDA&CS Agronomic Division, Raleigh, INC
Heavy Metal Analysis by Waypoint Analytical, Charlotte, NC
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 15

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oe'
%y R

WaypointO
449 Springbrook Rd,
Chartotte, NC 28217
ANALYTICAL
Main 704,529.6364
www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 00118
Customer Name: Connie Adams
Report Number: 23-069-0015
Shipping Method
0 Fed Ex US Postal 0 Lab
0 Other:
0 UPS 0 Client 0 Courier
Thermometer
ID: 11R15 17.70
Shipping container/cooler uncompromised?
* Yes
0 No
Number of coolers/boxes received
F_ 1
Custody seals intact on shipping container/cooler?
* Yes
0 No
Q Not Present
Custody seals intact on sample bottles?
0 Yes
Q No
Q Not Present
Chain of Custody (COO) present?
Yes
0 No
CDC agrees with sample label(s)?
Yes
0 No
COC properly completed
Q Yes
(:) No
Samples in proper containers?
Yes
0 No
Sample containers intact?
Yes
0 No
Sufficient sample volume for indicated test(s)?
Yes
o No
All samples received within holding time?
Yes
0 No
Cooler temperature in compliance?
0 Yes
No
Cooler/Samples arrived at the laboratory on ice.
Q Yes
No
Samples were considered acceptable as cooling
process had begun.
Water - Sample containers properly preserved
0 Yes
0 No
# NIA
Water - VOA vials free of headspace
a Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
NIA
Soil VOA method 5035 — compliance criteria met 0 Yes 0 No NIA
High concentration container (48 hr) Low concentration EnCore samplers (48 hr)
High concentration pre -weighed (methanol -14 d) j Low conc pre -weighed vials (Sod Bis -14 d)
Special precautions or instructions included? 0 Yes No
Comments:
Signature: Angelo Norvell Date & Time: 03/11/2023 11:25:17

9iC1t V1W%-Vj- I
( 16� 4
Waypoint.
449 5pringbrovk
Rd, Charlotte, INC 28217
Main 704.529.6364
.
ANALYTICAL
www.waypointanawcal.co►n
Sample Summary Table
Report Number: 23-069-0015
Client Project Description: Grace Howard Rd.
Lab No
Client Sample ID
Matrix
Date Collected
Date Received Method
Lab ID
90975
GH1
Solids
02/13/2023 12:00
03/10/2023 12:00 SW-DRYWT
WP MTN
90975
GH1
Solids
02/18/2023 12:00
03/10/2023 12:00 6010D
WP MTN
90975
GH1
Solids
02/18/2023 12:00
03/10/2023 12:00 7471A
WP MTN
90976
G112
Solids
02/18/2023 16:00
03/10/2023 12:00 SW-DRYWT
WP MTN
90976
GH2
Solids
02/18/2023 16.00
03/10/2023 12:00 7471A
WP MTN
90976
G112
Solids
02/18/2023 16:00
03/10/2023 12:00 6010D
WP MTN
WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN

Waypointo
ANALYTICAL
449 5pringbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.way po i n to n a lyti to I. tom
Client: Connie Adams CASE NARRATIVE
Project: Grace Howard Rd.
Lab Report Number: 23-069-0015
Date: 3/23/2023
Solids Total Mercury Analysis - CVAA Method 7471A
Sample 83524 (3)
Analyte: Mercury
CSC Batch No: L6713931L671188
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.

0
Waypoint.
ANALYTICAL
(MI18
Connie Adams
Project
Connie Adams
3201 Smith Farm Road
Information
Matthews, NC 28104
Report Number : 23-069-0015
Lab No : 90975
Sample ID : GH1
Test
Moisture
Arsenic
Cadmium
Copper
Lead
Mercury (Total)
Molybdenum
Nickel
Selenium
Zinc
Atkrtc
449 5pringbrook Rd, Charlotte, NC 28217
Main 704.529.6364
www.waypointanalytical.com
Grace Howard Rd.
REPORT OFANAL PSIS
Results Units
22.3
%
3.24
mg/Kg - dry
0.605
mg/Kg - dry
39.0
mg/K9 - dry
16.3
mg/Kg - dry
¢0.246 H
mg/Kg - dry
0.722
mg/Kg - dry
5.05
mg/Kg - dry
0.644
mg/Kg - dry
69.8
mg/Kg - dry
MQL
0.643
0.129
0.644
0.386
0.246
0.321
0.321
0.643
1.61
Report Hate : 03/24/2023
Received : 03/10/2023
�% �yx�
Jamie Corporaal
Laboratory Project Manager
Matrix: Solids
Sampled: 2/ 18/ 2023 12.00
DF Date 1 Time By Analytical
Analyzed Method
1 03/21/2316:41
331
SW-DRYWT
1 03/18/23
07:39
BKN
60101)
1 03/18/23
0739
BKN
6010D
1 03/18/23
07:39
BKN
6010D
1 03/18/23
07:39
BKN
6010D
1 03/22/23
11:39
FD5
7471A
1 03/18/23
07:39
BKN
6010D
1 03/18/23
07:39
BKN
6010D
1 03/18/23
07:39
BKN
6010D
1 03/20/23
18:47
JTR
6010D
Qualifiers/ DF Dilution Factor H Beyond holding time
Definitions MQL Method Quantitation Limit

Waypoint.
449 Springk]raok Rd, Charlotte, NC 28217
Main 704.529.6364
ANALYTICAL www.waypointanalocal.com
00118
Connie Adams Project Grace Howard Rd.
Connie Adams Report Date : 03/24/2023
3201 Smith Farm Road Information : Received : 03/10/2023
Matthews , NC 28104 J'(X �r�
Jamie Corporaal
Report Number :23-069-0015 REPORT OPANALY515 Laboratory Project Manager
Lab No: 90976 Matrix: Solids
Sample ID: GH2 Sampled: 2/3.8/2023 16:00
Test Results Units MOIL DF Date 1 Time By Analytical
Analyzed Method
Moisture
20.3
11/0
1
03/21/2316:41
333
SW-DRYINT
Arsenic
4.45
mg/Kg - dry
3.14
5
03/22/23 18:36
TJS
6010D
Cadmium
0.279
mg/Kg - dry
0.125
1
03/21/23 04:14
BKN
6010D
Copper
39.8
mg/Kg - dry
0.627
1
03/21/23 04:14
BKN
6010❑
Lead
13.7
mg/Kg - dry
0.376
1
03/21/23 04:14
BKN
6010D
Mercury (Total)
r0.216 H
mg/Kg - dry
0.216
1
03/22/23 11:41
FDS
7471A
Molybdenum
0.706
mg/Kg - dry
0.313
1
03/21/23 04:14
BKN
6010D
Nickel
6.02
mg/Kg - dry
0.313
1
03/21/23 04:14
BKN
6010❑
Selenium
<3.14
mg/Kg - dry
3.14
5
03/21/23 15:55
T3S
6010D
Zinc
65.7
mg1Kg - dry
1.57
1
03/21/23 04:14
BKN
6010D
Qualifiers/ DF Dilution Factor H Beyond holding time
Definitions MQL Method Quantitation Limit

Attachments S and 9:
Nutrient management RYE tables
Fairview soils
Wilkes County.
Source: North Carolina Interagency Nutrient Management Committee. 2014. Realistic yields
and nitrogen application factors for north Carolina crops. realistic ields.ces.ncsu.edu North
Carolina State University, North Carolina department of Agriculture and Consumer Services,
North Carolina Department of Environment and Natural Resources, Natural Resources
Conservation Service. Raleigh NC.
Accessed 3/19/2023
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 26

Realistic Yields for FcB2: Fairview sandy clay loam, 2 to 8 percent
slopes, moderately eroded in Wilkes County, NC
Estimated
Realistic
Phosphorus
Crop
yield
Nitrogen
Factor
N Rate
removal
(lbslacre)
(lbs
P204acre
Bahiagrass (Hay)
3.3 Tons
44
146
38
Barley (Grain)
65 Bushels
1.49
96
25
Caucasion/Old World Bluestem (Hay)
3.3 Tons
44
146
40
Common Bermudagrass (Hay)
3.3 Tons
44
146
40
Corn (Grain)
154 Bushels
0.74
114
68
Corn (Silage)
19 Tons
10.9
207
65
Cotton
618 Pounds
0.08
49
12
Dallisgrass (Hay)
3.3 Tons
44
146
44
Fescue (Hay)
4.3 Tons
44
188
67
Hybrid Bermudagrass (Hay)
4.3 Tons
44
188
53
Mixed Cool Season Grass (Hay)
3.1 Tons
44
136
44
Oats (Grain)
81 Bushels
1.13
91
20
Orchardgrass (Hay)
3.3 Tons
44
146
49
Pearl Millet (Hay)
3.6 Tons
49
175
47
Rye (Grain)
48 Bushels
2.01
95
16
Small Grain (Silage)
8.6 Tons
11.1
95
46
Sorghum (Grain)
48 CWT
1.72
82
36
Sorghum (Silage)
16.2 Tons
7.6
123
48
Sorghum Sudan (Hay)
4 Tons
49
198
56
Soybeans (Dble Cropped - Manured)
32 Bushels
3.89
126
26
Soybeans (Double Cropped)
32 Bushels
0
0
26
Soybeans (Full Season - Manured)
38 Bushels
3.89
148
30
Soybeans (Full Season)
38 Bushels
0
0
30
Tobacco (Flue Cured)
2470 Pounds
0.02
49
12
Triticale (Grain)
67 Bushels
1.52
101
22
Tropical Corn (Silage)
19 Tons
6.5
124
65
Wheat (Grain)
90 Bushels
1.05
95
45
Source: North Carolina Interagency Nutrient Management Committee. 2014. Realistic yields and nitrogen
application factors for North Carolina crops. reaIisticyieIds.ces.ncsu.edu North Carolina State University, North
Carolina Department of Agriculture and Consumer Services, North Carolina Department of Environment and
Natural Resources, Natural Resources Conservation Service. Raleigh NC.

Atr,c L&vQ.q l
Realistic Yields for FcCZ: Fairview sandy clay loam, 8 to 15 percent
slopes, moderately eroded in Wilkes County, NC
Estimated
Nitrogen
Realistic N
Phosphorus
Crop
Yield
Factor
Rate (lbslacre)
removal
(lbs P205/acre
Bahiagrass (Hay)
2.8 Tons
44
123
32
Barley (Grain)
54 Bushels
1.49
81
21
Caucasion/Old World Bluestem (Hay)
2.8 Tons
44
123
33
Common Bermudagrass (Hay)
2.8 Tons
44
123
34
Corn (Grain)
130 Bushels
0.74
96
57
Corn (Silage)
16 Tons
10.9
174
54
Cotton
520 Pounds
0.08
42
10
Dallisgrass (Hay)
2.8 Tons
44
123
37
Fescue (Hay)
3.6 Tons
44
158
57
Hybrid Bermudagrass (Hay)
3.6 Tons
44
158
44
Mixed Cool Season Grass (Hay)
2.6 Tons
44
114
37
Oats (Grain)
68 Bushels
1.13
77
17
Orchardgrass (Hay)
2.8 Tons
44
123
41
Peanuts
0 Pounds
0
0
0
Pearl Millet (Hay)
3 Tons
49
147
40
Rye (Grain)
40 Bushels
2.01
80
13
Small Grain (Silage)
7.2 Tons
11.1
80
39
Sorghum (Grain)
40 CWT
1.72
69
30
Sorghum (Silage)
13.6 Tons
7.6
103
41
Sorghum Sudan (Hay)
3.4 Tons
49
167
47
Soybeans (Double Cropped - Manured)
27 Bushels
3.89
106
22
Soybeans (Double Cropped)
27 Bushels
0
0
22
Soybeans (Full Season - Manured)
32 Bushels
3.89
124
26
Soybeans (Full Season)
32 Bushels
0
0
26
Tobacco (Flue Cured)
2080 Pounds
0.02
42
10
Triticale (Grain)
56 Bushels
1.52
85
18
Tropical Corn (Silage)
16 Tons
6.5
104
54
Wheat (Grain)
76 Bushels
1.05
80
38
Source: North Carolina Interagency Nutrient Management Committee. 2014. Realistic yields and nitrogen
application factors for North Carolina crops, reaIisticyieIds.ces.ncsu.edu North Carolina State University, North
Carolina Department of Agriculture and Consumer Services, North Carolina Department of Environment and
Natural Resources, Natural Resources Conservation Service, Raleigh NC.

Map 4:
Soil Map with
Soil Map Legend
Source: USDA Natural Resources Conservation Service Web Soil Survey
Accessed 12/9/2022
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 11

$(1° 59' 5v W
4012WO 401297C Y11:%kii .ci :-i l: sl 401320 4013380 4013420
o y
R �
$1, Ol 35" yr
A
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80, 59'5T w

P�Zbfz
824 Grace Howard Rd
IAA2 `'
Soil Map —Wilkes County, North Carolina
Map Unit Legend
Map Unit Symbol Map Unit Name Acres in A01 Percent of A01
CoA Codorus loam, 0 to 2 percent 0.2 0.3%
slopes, frequently flooded
FaD Fairview sandy loam, 15 to 25 1 25.3 39.3%
i
percent slopes
FcB2 Fairview sandy clay loam, 2 to 11.2 17.4%
8 percent slopes, moderately
eroded
FcC2 Fairview sandy clay loam, 8 to 23.6 361%
15 percent slopes,
moderately eroded
RdE Rhodhiss fine sandy loam, 25 4.1 6.4%
to 60 percent slopes
Totals for Area of Interest 64.4 100.0%
usDA Natural Resources Web Soil Survey 121912022
Conservation Service National Cooperative Soil Survey Page 3 of 3

Map 5:
Site Investigation Map
Base Maps from Wilkes County GIS
Orthoimagery 2014
Accessed on 12/7/2022
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 12

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Attachments 1-2:
Official Soil series Descriptions for
Fairview and Clifford soils
Source: USDA Natural Resources Conservation Service Official Series Descriptions
Soil Survey Staff Natural Resources Conservation Service, United States Deportment of Agriculture.
Official Soil Series Descriptions. Available online. Accessed [311212023 and 4/9/20231.
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 13

Official Series Description - FAIRVIEW Series
A-10n,S&o%-t-k 1
https://soilseries.sc.egov.usda.gov/OSD—Docs/F/FAIRVrEW.htmi
LOCATION FAIRVIEW NC+VA
Fistablished Series
RJL-DCC/Rev. JAK/DTA
02/2008
FAIRVIEW SERIES
MLRA(s): 136 (mesic part)
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: Crest, interfluve, side slope, nose slope, head slope
Hillsiope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock
Slope: 2 to 50 percent
Elevation (type location): 1260 feet
Frost Free Period (type location): 174 days
Mean Annual Air Temperature (type location): 57 degrees F.
Mean Annual Precipitation (type location): 44 inches
TAXONOMIC CLASS: Fine, kaolinitic, mesic Typic Kanhapludults
TYPICAL PEDON: Fairview sandy clay loam (in an area of Fairview sandy clay loam. 8 to 15 percent
slopes, moderately eroded), on a convex 11 percent slope in pastureland. (Colors are for moist soil)
Apt- 0 to 10 centimeters (0.0 to 3.9 inches); brown (7.5YR 414) crushed sandy clay loam; weak medium
granular structure; friable, slightly sticky, slightly plastic. low excavation difficulty; many fine roots
throughout; 1 percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat
angular indurated 2- to 75-millimeter quartz fragments; moderately acid, pH 5.7, clear wavy boundary.
Ap2--10 to 23 centimeters (3.9 to 9.1 inches); strong brown (7.5YR 4/6) crushed sandy clay loam; weak fine
subangular blocky structure, and weak medium subangular blocky structure; friable, slightly sticky, slightly
plastic; low excavation difficulty; common fine roots throughout: common fine moderate -continuity tubular
pores; 1 percent fine red (2.5YR 4l8), moist, clay bodies and 1 percent fine mica flakes; I percent nonflat
angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat angular indurated 2- to 75-
millimeter quartz fragments; moderately acid, pH 5.7; (Ap horizon is typically 2 to 30 centimeters thick);
clear wavy boundary.
Bt--23 to bl centimeters (9.1 to 24.0 inches); red (2.5YR 418) broken face clay; moderate medium subangular
blocky structure; firm, slightly sticky, moderately plastic; moderate excavation difficulty; common fine roots
1 of 5 3/12/2023, 3:23 PM

Official Series Description - FAIRVIEW Series
https://soil series.sc.egov. usda.govlOSD_Docs/FIFAIRVIEW,htm]
throughout; common fine moderate -continuity tubular pores; 25 percent discontinuous faint red (2.5YR 5/8),
moist, clay films on all faces of peds; 10 percent fine mica flakes; 1 percent nonflat angular indurated 2- to
75-millimeter quartz fragments: strongly acid. pH 5.3; (Bt horizon is typically 20 to 60 centimeters thick);
gradual wavy boundary.
BCt--61 to 74 centimeters (24.0 to 29.1 inches); red (2.5YR 418) broken face clay loam; moderate medium
subangular blocky structure; friable, slightly sticky, slightly plastic; moderate excavation difficulty; 1 percent
discontinuous faint red (2.5YR 5/8), moist, clay films on vertical faces of peds; 10 percent fine mica flakes; 2
percent nonflat angular indurated 2- to 75-millimeter schist fragments and 4 percent nonflat angular indurated
2- to 75-millimeter quartz fragments and 5 percent flat very angular weakly cemented 2- to 150-millimeter
schist fragments; strongly acid, pH 5.3, (BC horizon is typically 0 to 75 centimeters thick); gradual wavy
boundary.
C--74 to 200 centimeters (29.1 to 78.7 inches): red (I OR 516) broken face loam; massive; friable, slightly
sticky, slightly plastic; low excavation difficulty: common fine roots throughout; common fine moderate -
continuity tubular pores, 10 percent fine mica flakes; 1 percent nonflat angular indurated 2- to 75-millimeter
schist fragments and 2 percent nonflat angular indurated 2- to 75- millimeter quartz fragments and 10 percent
flat very angular weakly cemented 2- to 150-millimeter schist fragments; strongly acid, pH 5.3.
TYPE LOCATION: Surry County, North Carolina; about 2.5 miles west of Dobson, 1000 feet northwest of
the intersection of Secondary Roads 1001 and 1124, in a pasture; USG Bottom topographic quadrangle; lat.
36 degrees 24 minutes 03 seconds N. and long. 80 degrees 46 minutes 25 seconds W.
RANGE IN CHARACTERISTICS:
Depth to top of Argillic horizon: 1 to 15 inches
Depth to base of Argillic horizon: 15 inches or more
Depth to Bedrock: Greater than 60 inches
Rock Fragment Content: 0 to 40 percent in the A and E horizons and 0 to 30 percent in the B and C horizons;
mostly gravel, cobbles or stones, but may include channers and flagstones
Pararock Fragment Content: 0 to 15 percent, throughout; mostly paragravel or paracobbles, but may include
parachanners and paraflagstones
Soil Reaction: Extremely acid to moderately acid throughout. Limed soils are typically moderately acid or
slightly acid in the upper part.
Mica Content: 0 to 20 percent, by volume mica flakes in the A, E and B horizons, and 0 to 30 percent in the
BC and C horizons
Other Features: Clayey part (greater than 35 percent clay) of the argillic horizon is less than 24 inches thick
and typically extends to a depth of less than 30 inches
RANGE OF INDIVIDUAL HORIZONS:
A horizon (if it occurs):
Color --hue of 5YR to l OYR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
Ap horizon:
Color --hue of 5YR to l OYR, value of 3 to 6, chroma of 2 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam. Eroded phases include sandy clay loam
or clay loam.
E horizon (if it occurs):
Color --hue of 5YR to 1 OYR, value of 4 to 6, chroma of 3 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
2 of 5 3/12/2023, 3:23 PM

Official Series Description - FAIRViEW Series https://soilseries.sc,egov.usda.gov/OSD_Docs/F/FAIRVIEW.himl
BE or BA horizons (if they occur):
- Color --hue of 2.5YR to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --fine sandy loam, loam, sandy clay loam, or clay loam
Bt horizon:
Color --hue of 1 OR to SYR, value of 4 or 5, chroma of 4 to 8
Texture (fine -earth fraction) --clay loam, sandy clay, or clay
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
BC horizon or BCt or CB horizon (if they occur):
Color --hue of 1 OR to 7.5YR, value of 4 or 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fide sandy loam, loam, sandy clay loam, or clay loam
Nan-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
C horizon:
Color --hue of 1 OR to 7.5YR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam saprolite
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
COMPETING SERIES:
Clifford soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick
Hayesville soils --are on elevations above 2000 feet
Nathalie soils --clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick and have Bt horizons with browner hue
Toast soils --have subsoils with browner hue
Westfield soils --have paralithic contact at 40 to 60 inches
Woolwine soils --have paralithic contact at 20 to 40 inches
GEOGRAPHIC SETTING:
Landscape: Piedmont upland
Landform: Hill, ridge, interfluve
Geomorphic Component: crest, Interfluve, side slope, nose slope, head slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum from felsic metamorphic or igneous rock such as mica schist, gneiss, granite
gneiss, mica gneiss, granodiorite, and granite
Slope: 2 to 60 percent
Elevation: 300 to 1400 feet
Frost Free Period: 160 to 205 days
Mean Annual Air Temperature: 52 to 57 degrees
Mean Annual Precipitation: 40 to 55 inches
GEOGRAPHICALLY ASSOCIATED SOILS:
Braddock soils --formed in old alluvium; on adjacent high terraces
Buckhall soils --have mixed mineralogy and a browner subsoil; on similar landforms
Clifford soils --the clayey part of the argillic horizon extends to a depth of more than 30 inches and is 25 to 60
inches thick; on similar landforms
Elioak sails --have more mica in the subsoil and formed in residuum from micaceous crystalline rock such as
muscovite schist; on similar landforms
Minnieville sails --formed in residuum from hornblende gneiss or hornblende schist and have moderate
shrink -swell potential; on similar landforms
Rhodhiss soils --have a fine -loamy particle -size class; on similar landforms
of 5 3112CO23, 3:23 PM

Official Series Description - FAIRVIEW Series
https:ilsollseries.sc.egov.usda.gov/OSD DocsIFIFAIRVIEW.html
Stott Knob soils -have paralithic contact at a depth of 20 to 40 inches and have a fine -loamy particle -size
class; on similar landforms
Toast soils --have subsoils with browner hue, on similar landforms
Westfield soils --have paralithic contact at a depth of 40 to 60 inches; on similar landforms
Wintergreen soils --formed in old alluvium; on adjacent high terraces
Woolwine soils --have paralithic contact at a depth of 20 to 40 inches; on similar landforms
DRAINAGE AND PERMEABILITY:
Depth Class: Very deep
Drainage Class (Agricultural): Well drained
Internal Free Water Occurrence: Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
USE AND VEGETATION:
Major Uses: Cultivated crops, pasture, and woodland
Dominant Vegetation: Where cultivated --corn, tobacco, small grain, hay, and apples. Where forested --Eastern
white pine, Virginia pine, red oak, white oak, post oak, hickory, blackgum, red maple, yellow poplar, and
dogwood.
DISTRIBUTION AND EXTENT:
Distribution: Virginia and North Carolina
Extent: Moderate
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina.
SERIES ESTABLISHED: Suny County, North Carolina; 2003.
REMARKS: Fairview soils were previously mapped as Pacolet soils. The April 1997 relocation of the
mesic/thermic line in North Carolina and Virginia necessitated the establishment of the Fairview series as a
mesic counterpart. The 2008 revision is intended to limit the amount of mica allowed in the Fairview series.
Fairview is not intended to replace Madison soils in the mesic region.
Diagnostic horizons and features recognized in this pedon:
Ochric epipedon--the zone from the surface to 9 inches (Ap] and Apt horizons)
Argillic horizon --the zone from 9 to 24 inches (Bt horizon)
Kandic horizon --the zone from 9 to 29 inches (Bt & BC horizons).
Other soil features identified with this pedon:
Series control section--0 to 60 inches
ADDITIONAL DATA:
Laboratory Data: No laboratory data available.
Database Information. -
Typical Pedon Data Mapunit ID82665
User Pedon ID--88NC i 71001
TABULAR SERIES DATA:
Slope Airtemp FrFr/Seas Precip Elevation
2-60 52-57 160-205 40-55 300-1400
S01-5 F1oodL F1oodH Watertable Kind Months Bedrock Hardness
4 of 5 3/12/2023, 3:23 PM

Dfficiai Series Description - FAIRVIEW Series
NONE >6.0
https://soilseries.se.egov.usda.gov/OSD—Docs/FfFAIRVIEW.htmi
a-
S6I-5 Depth
Texture
0-9
SL FSL L
0-9
SCL CL
9-24
5C CL C
24-60
SL FSL L SCL CL
3-Inch No-10 Clay% -CEC-
0-10
75-100
8-20
4-10
0-10
75-100
20-35
2-10
0-10
55-100
35-60
2-12
0-10
55-100
10-30
1-10
501-5 Depth
-pH-
O.M. Salin
Permea6
Shnk-Swll
0-9
3.6-6.0
0.5-2
2.0-6.0
LOW
0-9
3.6-6.0
0.5-1
0.6-2.0
LOW
9-24
3.6-6.0
0-0.5
0.6-2.0
LOW
24-60
3.6-6.0
0-0.5
0.6-6.0
LOW
National Cooperative Soil Survey
U.S.A.
5 of 5 3/12/2023, 3:23 PM

Official Series Description - CLIFFORD Series
Am%:\t'V*4'.& -4
LOCATION CLIFFORD NC+VA
https:llsoiIseries.sc.egov.usda.gov/0SD_Docs/CCLIFFOR D. htm I
Established Series
- SKT-BLLIRev. JAK
01/2006
CLIFFORD SERIES
MLRA(s): 136 (mesic part)
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
Depth Class: Very deep
Drainage Class (Agricultural). Well drained
Internal Free Water Occurrence. Very deep
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff. Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
Landscape: Piedmont uplands
Landform: Hill, interfluve
Geomorphic Component: Interfluve, side slope, nose slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum weathered from felsic crystalline rock such as mica schist, gneissgranite gneiss,
mica gneiss, granodiorite, and granite ,
Slope: 2 to 60 percent
Elevation (type location): 680 feet
Frost Free Period (type location): 174 days
Mean Annual Air Temperature (type location): 57 degrees F.
Mean Annual Precipitation (type location): 44 inches
TAXONOMIC CLASS: Fine, kaolinitic, mesic Typic Kanhapludults
TYPICAL PEDON: Clifford fine sandy loam (in an area of Clifford fine sandy loam, 2 to 8 percent slopes),
in mixed hardwood and pine forest. (Colors are for moist soil unless otherwise stated.)
AP--0 to 5 inches; dark brown (7.5YR 313) fine sandy loam; weak fine granular structure; very friable,
slightly sticky, slightly plastic; many fine, medium, and coarse roots; many fine tubular pores; 5 percent
gravel; very strongly acid; clear wavy boundary. (1 to 9 inches thick)
BA--5 to 13 inches; yellowish red (5YR 416) loam; weak medium subangular blocky structure; friable,
slightly sticky, slightly plastic: many fine, medium, and coarse roots: common fine tubular pores; very
strongly acid; gradual wavy boundary. (0 to 10 inches thick)
Btl--13 to 17 inches; 80 percent red (2.5YR 4/6) and 20 percent red (2.5YR418) clay loam; moderate
medium and fine subangular blocky structure; friable, slightly sticky, slightly plastic; common fine, medium,
and coarse roots; common fine tubular pores; common discontinuous faint clay films on faces of peds; very
strongly acid; gradual wavy boundary.
Bt2-- I7 to 48 inches; red (2.5YR 4/8) clay; moderate medium subangular blocky structure; firm, moderately
sticky, slightly plastic; common fine, medium, and coarse roots; common fine tubular pores; few
1 of 5
41912023, 12:52 PM

Official Series Description - CLIFFORD Series
https://soi lseries.sc. egos.usda.goy/OSD_Does/C/CLIFFORD,htmi
discontinuous faint clay films on faces of peds; few fine flakes of mica; very strongly acid; gradual wavy
boundary. (Combined thickness of the Bt horizon is 25 to 50 inches.)
BC--48 to 58 inches; red (1 OR 416) clay loam; weak medium subangular blocky structure; friable, slightly
sticky, slightly plastic; few fine, medium, and coarse roots; few fine tubular pores; few fine flakes of mica;
very strongly acid; gradual wavy boundary. (0 to 25 inches thick)
C--58 to 72 inches; 80 percent red (2,5YR 518) and 20 percent reddish yellow (5YR 616) loam saprolite;
massive; friable, few fine flakes of mica; very strongly acid.
TYPE LOCATION: Caswell County, North Carolina; about 3.3 miles south of Yanceyville, 0.05 mile east
from intersection of Secondary Road 1736 and North Carolina Highway 62, on Secondary Road 1736, 60 feet
north in wooded area; USGS Anderson topographic quadrangle; lat. 36 degrees 21 minutes 29 seconds N. and
long. 79 degrees, 20 minutes, 5 seconds W.
RANGE IN CHARACTERISTICS:
Depth to top of Argillic horizon: 1 to 15 inches
Depth to base of Argillic horizon. 35 inches or more
Depth to Bedrock: Greater than 60 inches
Rock Fragment Content: 0 to 35 percent in the A and E horizons and 0 to 15 percent in the B and C horizons;
mostly gravel and cobbles
Soil Reaction: Very strongly acid to moderately acid throughout. Limed soils are typically moderately acid or
slightly acid in the upper part.
Mica Content: 0 to 30 percent, by volume, mica flakes
Other Features: Clayey part (greater than 35 percent clay) of the argillic horizon is 24 or more inches thick
and typically extends to a depth of 30 inches or more
RANGE OF INDIVIDUAL HORIZONS:
A horizon (if it occurs):
Color --hue of 2,5YR to 1 OYR, value of 3 or 4, chroma of 2 to 4
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
Ap horizon:
Color --hue of 2.5YR to lOYR, value of 3 to 5, chroma of 2 to 6
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam. Eroded phases include sandy clay loam
or clay loam.
E horizon (if it occurs):
Color --hue of 7.5YR or 1 OYR, value of 4 to 6, chroma of 3 to 8
Texture (fine -earth fraction) --sandy loam, fine sandy loam, or loam
BA horizon or BE horizon (if it occurs):
Color --hue of 2.5YR to 1 OYR, value of 4 to 6, chroma of 4 to 8
Texture (fine -earth fraction) --loam, sandy clay loam, or clay loam
Bt horizon:
Color --hue of lOR to SYR, value of 3 to 5, chroma of 6 or 8. Pedons with hue of 5YR lack evident patterns of
non-redoximorphic mottling.
Texture (fine -earth fraction) --clay loam, sandy clay, or clay
Non-redoximorphic mottics (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
BC horizon:
Color --hue of 1 OR to 5YR, value of or 6, chroma of 4 to 8.
2 of 5 41912023, 12:52 PM

Official Series Description - CLIFFORD Series
https*Hsoi lseries.sc. egov.usda.gov/OSD_Does/C/CLIFFORD.ht.
Texture (fine -earth fraction) --loam, sandy clay loam, or clay loam
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
C horizon:
Color --hue of l OR to l OYR, value of 4 or 6, chroma of 4 to 8 or is variegated in shades of yellow, red, brown,
black, or white
Texture (fine -earth fraction) --sandy loam, fine sandy loam, loam, sandy clay loam, or clay loam saprolite
Non-redoximorphic mottles (if they occur) --masses of saprolite in shades of shades of red, brown, or yellow
COMPETING SERIES:
Fairview soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches and is less than
25 inches thick
Hayesville soils --are on landfonns above 2000 feet elevation
Nathalie sails --have Bt horizons with yellower hue
Toast sails --the clayey part of the argiIlic horizon extends to a depth of less than 30 inches, is less than 25
inches thick, and has Bt horizons with yellower hue
Westfield sails --have paralithic contact at 40 to 60 inches
Woolwine sails --have paralithic contact at 20 to 40 inches
GEOGRAPHIC SETTING:
Landscape. Piedmont uplands
Landform: Hill, interfluve
Geomorphic Component: Interfluve, side slope, nose: slope
Hillslope Profile Position: Summit, shoulder, backslope
Parent Material: Residuum weathered from felsic crystalline rock such as mica schist, gneiss, granite gneiss,
mica gneiss, granodiorite, and granite
Slope: 2 to 60 percent
Elevation: 300 to 1400 feet
Frost Free Period: 160 to 205 days
Mean Annual Air Temperature: 52 to 57 degrees
Mean Annual Precipitation: 40 to 55 inches
GEOGRAPHICALLY ASSOCIATED SOILS:
Braddock soils --formed in old alluvium; on adjacent high terraces
Buckhall soils --have mixed mineralogy and a browner subsoil; on similar landforms
Elioak-formed from micaceous crystalline rocks such as muscovite schist; on similar landforms
Fairview soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches and is less than
25 inches thick; on similar landforms
Minnieville soils --farmed from hornblende gneiss or hornblende schist and have moderate shrink -swell
potential; on similar landforms
Rhodhiss soils --have a fine -loamy particle -size class; on similar landforms
Stott Knob sails --have paralithic contact at a depth of 20 to 40 inches and have a fine -loamy particle -size
class; on similar landforms
Toast soils --the clayey part of the argillic horizon extends to a depth of less than 30 inches and is less than 25
inches thick, and has a browner subsoil; on similar landfonns
Westfield sails --have paralithic contact at a depth of 40 to 60 inches; on similar landforms
Wintergreen soils --formed in old alluvium; on adjacent high terraces
Woolwine soils --have paralithic contact at'a depth of 20 to 40 inches; on similar landforms
DRAINAGE AND PERMEABILITY:
Depth Class: Very deep (greater than 72 inches)
Drainage Class (Agricultural): Well drained
3 of 5
41912023, 12:52 PM

Official Series Description - CLIFFORD Series
https:llsoi lseries.sc.egov.usda.gov/OSD_Docs/C/CLIFFORD.htm]
Internal Free Water Occurrence: Very deep (greater than 60 inches)
Flooding Frequency and Duration: None
Ponding Frequency and Duration: None
Index Surface Runoff: Low to high
Permeability: Moderate
Shrink -Swell Potential: Low
USE AND VEGETATION:
Major Uses: Cultivated crops, pasture, and forest
Dominant Vegetation: Where cultivated --small grains, corn, soybeans, hay, tobacco, and orchards. Where
forested --Eastern white pine, Virginia pine, red oak, white oak, post oak, hickory, blackgum, red maple,
yellow poplar, and dogwood.
DISTRIBUTION AND EXTENT:
Distribution: Virginia and North Carolina
Extent: Moderate
MLRA SOIL SURVEY REGIONAL OFFICE (MO) RESPONSIBLE: Raleigh, North Carolina
SERIES ESTABLISHED: Henry County, Virginia, 1996.
REMARKS: Diagnostic horizons and features recognized in this pedon:
Ochric epipedon--the zone from the surface of the soil to a depth of 5 inches (Ap horizon)
Argiliic horizon --the zone from 13 and 48 inches (Bt horizon)
Kandic horizon --the zone between 13 and 58 inches (Bt and BC horizons)
Other soil features identified with this pedon:
Series control section --the zone from 0 to 60 inches
ADDITIONAL DATA:
Laboratory Data: Lab data for the typical pedon and supporting pedons is available from Virginia Polytechnic
Institute and State University.
Database Information:
Typical Pedon Data Mapunit ID --To be developed
TABULAR SERIES DATA:
Soil Name Slope Airtemp FrFr/Seas Precip Elevation
CLIFFORD 2-60 52-57 160-205 40-55 300-1400
F1oodL FloodH
Watertable
Kind Months
Bedrock Hardness
NONE
>.6.0
- -
>80
-
Depth
Texture
3-Inch
No-10
Clay%
-CEC-
0-13
5L FSL L
0-5
80-100
5-20
1-5
0-13
GR-5L GR-L
GR-FSL
5-5
55-85
5-20
1-5
0-13
SCL CL
0-5
75-100
20-35
5-10
13-58
C CL
0-5
92-100
35-70
3-12
58-72
VAR
-
-
-
1-12
Depth
-pH-
O.M.
Permeab Shnk-Swll
0-13
4.5-6.0
0.5-1.0
2.0-6.0 LOW
0-13
4.5-6.0
0.5-1.0
2.0-6.0 LOW
0-13
4.5-6.0
0.5-1.0
0.6-2.0 LOW
4 of 5 41912023, 12:52 PM

Constance M Adams
P.Q. Box 2175
Indian Trail, NC 28079
April 16, 2023
Mr. Zach Key
U.S. Biosolids, Inc.
P.O. Box 146
Ronda, NC 28670
Subject: Site Evaluation for Wastewater Residuals Appiication
Tristen Blevins Farm, 824 Grace Howard Rd; Roaring River, Wilkes County, NC (Tax PINS 4902-
90-5712 and 4902-90-2549)
Dear Mr. Key,
❑n February 18, 2023 1 evaluated selected fields on the above -named property for potential for
wastewater residuals (Class B) application. The report from that investigation is attached.
It has been a pleasure working on this project for you. If you have any questions or need additional
information, please do not hesitate to contact me.
Sincerely,
Constance M Adams, L.S.S.

SITE EVALUATION AND SOIL REPORT
824 GRACE HOWAR❑ RD
ROARING RIVER, NC
NC PINS 4902-90-5712 AND 4902-90-2549
Land Owner: Tristen Blevins
WI LKES COUNTY, NC
APRIL 16, 2023
PREPARED BY
CONSTANCE M ADAMS, LSS
P.O. BOX 2175
INDIAN TRAIL, NC 28079
828-234-3776
FOR
US BIOSOLIDS, INC.
P.U. Box 146
RONDA, NC 28670
3 36-777-6909

SITE AND INVESTIGATION SUMMARY AND OVERALL
RECOMMENDATIONS
The purpose of this evaluation was to review the proposed site and soils for suitability for residuals
application as required by 15 A NCAC 02T and the subsequent site evaluation policies found in the Soil
Scientist Evaluation Policy document from September, 2008. This report will document the site
evaluation details and includes all required reporting information therein. Representative soil fertility
and heavy metal samples were collected and these samples were analyzed for the required fertility
analysis and baseline heavy metal content.
The site is located at 824 Grace Howard Rd in Roaring River, NC. For the purposes of permitting, the
farm is divided into 2 fields. Attached map 1 shows the general location of the site, map 2 shows the
location of the fields within the farm, and map 3 shows the general topography of the site. The overall
tracts total 35.89 acres, and the fields proposed for biosolids application have acreages as indicated in
Table 1. The site is in the watersheds of Little Bugaboo Creek, part of the Yadkin PeeDee River Basin.
For specifics for each field, see Table 1 below.
Table 1: Summary of Fields, Blackburn Farm, Roaring River, NC
--
Acreage
Center coordinates
i
Field #
(entire
PIN number/tract
(WGS84 Datum)
Watershed index, classification
field)
_
Field 1 17.7 ac 4902-90-5712,
N 36.26360, W 81.00480 12-48-1-(1) Little Bugaboo Creek
4902-90-2549
C
_
Field 2 T 3.5 ac 4902-90-5712 N 36.2623°, W 81.00690
12-4&1-(1) Littl� Bugaboo Creek
Slopes in the fields range from 3 percent to 15 percent. As the site is proposed for surface application of
residuals, the field portions with slopes exceeding 10 percent have been indicated on the Site
Investigation Map (map 5) attached herein. The slopes in the useable portion of the fields range from 3
to 10 percent. Depth to rock or water table was over 4 feet in all soil observations, although one quartz
outcrop was observed in field 2.
Soil borings were completed in both fields and the location of these borings is found on the attached
Site Investigation Map (map 5). These borings confirmed the USDA Natural Resources Conservation
Service soil map of the site in both fields. Because the soil evaluation closely confirmed the soil mapping
by the National Cooperative Soil Survey, with only inclusions that are within the design of the
designated map units, no distinct map unit lines have been mapped on the Site Investigation Map- all
areas shown are the same soil type and consistent with the soil survey. Amore detailed discussion of
the soils on the site can be found in the "Soil Investigation Results" section below.
Representative soil samples of each field were taken using a stainless steel core sampler to a depth of
6". Samples were taken randomly over the entire field. The results of the soil fertility tests
(attachments 4 and 5) and of the heavy metal analysis (attachments 6 and 7) support the use of this site
for residuals application. See "Soil Test Results and Site Nutrient Management Plan" below.
APRIL 10. 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 2

RECOMMENDATION. With the exception of required setbacks for homes, wells, rights -of -way, surface
waters, drainageways and/or property lines, and slope areas exceeding 10 percent that are buffered
out, the remainder of these fields are recommended for class 8 residuals application,.
Setbacks to all required features must be flagged at the time of residuals application. The slope areas
exceeding 10 percent will also need to be flagged out at the time of residuals application.
SOIL INVESTIGATION RESULTS
Field 1 (Site Investigation Map 5)
Soils in this fields are mapped as FcB2 Fairview sandy clay loam, 2 to 8 percent slopes, moderately
eroded, FcC2, Fairview sandy clay loam, 8 to 15 percent slopes, moderately eroded and as FaD, Fairview
sandy loam, 15 to 25 percent slopes on the USDA NRCS soil survey (see map 4). Fairview soils are well -
drained, with a clayey subsoil and soil depth exceeding 20 inches to parent material and a depth greater
than 60" to lithic or paralithic contact. The clayey Bt is less than 30" thick. Inclusions observed in this
field included Clifford soils, which have a thicker clay subsoil. See attached Official Series Description for
Fairview and Clifford soils (attachmentl and 2).
The taxonomic classification of the observed soils are as follows: Fairview (taxonomic class:
Fine, kaolinitic, mesic Typic Kanhapludultsy, and Clifford (taxonomic class: Fine, kaolinitic, mesic Typic
Kanhapludults ). Soils were moderately eroded with a clay loam surface. The inclusions observed are
commonly found in Fairview soil map units and have similar use and management. Taken as a whole,
these borings confirmed the accuracy of the USDA NRSC soil survey in these fields, with a slightly
different surface texture.
Field 1 is planted in mixed fescue pasture/hay, in good condition. 5 borings were observed in
this field. Slopes were 3-15%
Field 2 (Site Investigation Map 5)
Soils in this field are mapped as FcC2, Fairview sandy clay loam, 8 to 15 percent slopes, moderately
eroded and as FaD, Fairview sandy loam, 15 to 25 percent slopes on the USDA NRCS soil survey (see map
4). Fairview soils are well -drained, with a clayey subsoil and soil depth exceeding 20 inches to parent
material and a depth greater than 60" to lithic or paralithic contact. The clayey Bt is less than 30" thick.
inclusions observed in this field included Clifford soils, which have a thicker clay subsoil. See attached
Official Series Description for Fairview and Clifford soils (attachments 1 and 2).
The taxonomic classification of the observed soils are as follows: Fairview (taxonomic class:
Fine, kaolinitic, mesic Typic Kanhapludults), and Clifford (taxonomic class: Fine, kaolinitic, mesic Typic
Kanhapludults ). Soils were moderately eroded with a clay loam surface. The inclusions observed are
commonly found in Fairview soil map units and have similar use and management. Taken as a whole,
these borings confirmed the accuracy of the USDA NRSC soil survey in these fields, with a slightly
different surface texture.
Field 2 is planted in mixed fescue pasture/hay, in good condition. 2 borings were observed in
this field. Slopes were 5-1S% in upland areas. There is also an area of flood plain (not 100 year) that is
inside the stream buffer, with slopes of about 2-4%
None of the areas evaluated in these 2 fields is in a 100 year floodplain or contains jurisdictional
wetlands. Areas with slope greater than 10 percent are marked on the Site Investigation Map (map 5y.
Location of borings is indicated on the attached Site Investigation Map (map 5y; detailed descriptions
can be found in attachment 3, with a detailed description to a depth of 7' or auger refusal included for
each field.
APRIL 10, 2023 824 GRACE HOWARO RD, ROARING RIVER, WILKES COUNTY NC P A G E 13

Based on these results, the soil investigation of the site found that the soils in fields 1 and 2 are not
limiting for residuals application.
Table 2: Summary of Soil Observations —Fields 1 and 2
Depth
Slope
Restrictions
Field #-
Depth to
to slope
range in
Landscape
for
Sail soil Series
bedrock
SHWT %
vicinity
position
residuals
Boring #
(in)
(in)
M
application
1-1
Fairview
>66
>66
3%
3-5%
Summit
none
1-2
Fairview
>84
>84
4%
3-5%
Summit
none
Linear sidenone
1-3
Fairview
>52
>52
10%
7-10%
slope
Linear side
1-4
Clifford
>54"
�54"
9%
8-10%
slope
none
1-5
Clifford
>66"
>66"
8%
5-9%
Nose slope
none
2-1
Fairview
>84"
>84"
9%
6-10%
Nose slope
none
-2
Clifford
>66"
6%
6-10%
Nose slope
none
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 14

SOIL TEST RESULTS AND SITE NUTRIENT MANAGEMENT PLAN
Both fields are currently in established fescue pasture or hay. Crop health is good. Overall, the soil tests
show normal agronomic management and do not indicate any parameters that pose a concern for
residuals application.
Liming and nutrients: Addition of residuals must be monitored such that the known application rates of
nitrogen, phosphate, potash, and lime equivalent are taken into account with respect to the soil test
recommendations, or the RYE limit as given from the nutrient management tables. The permanent
hay/pasture should supply adequate erosion control for those fields; however, judgment must be
applied when applying liquid biosolids to fields where slopes exceed 6 percent as runoff may occur.
The NCDA&CS Agronomic Section's soil test results are applicable for all nutrients, and lime, EXCEPT
NITROGEN. 2T rules require the use of nutrient management Realistic Yield Expectaion (RYE) guidance
from North Carolina State University (NCSU) when defining application rates of residuals. Soils on the
site are distributed as indicated in table 2 (below). Where no one soil predominates, the more limiting
soil is used.
Table 3: Nitrogen Rates for fescue hay in Wilkes County per NC Realistic Yield Expectations (see
Attachments 8-9)
Soil Map Unit from
REALISTIC
N Factor
TOTAL NACRE OF ALL
APPLICABLE FIELDS
Wilkes County Soil
YIELD
NUTRIENT SOURCES
(WHERE THIS SOIL IS
Survey/Web Soil Survey
(tons)
(lbs/acre)
PREDOMINANT)
(Natural Resources
Conservation Service)
FCB2—Fairview sandy
4.3
44
188
None (present in field 1
clay loam, 2 to 8 percent
only)
slopes, moderately
eroded
FcC2—Fairview sandy
3.6
44
158
1,2
clay loam, 8 to 15
I percent slopes,
moderately eroded
The soil test shows pH within the acceptable range for forage crops. No lime application is
recommended for either field. If the applied wastewater residuals are handled in a manner that would
render them as a liming source, then the residuals should be tested for their liming equivalency (also
called calcium carbonate equivalency) to ensure that soils are maintained at an optimum pH.
Phosphate index (P-1) in all fields is high and no additional P is required. Potash Index (K-1) is high in field
1 with no additional K is required. In field 2, 60 Ibs/acre are recommended.
One special concern on these fields is the high zinc (Zn-1) and copper indices (Cu-1). Zinc indices ranged
from 478 to 574 and Copper indices range from 757 to 800, with any value over 100 considered
"excessive". According to the NC Cooperative Extension Soil Facts article on "Poultry Litter as a Fertilizer
Source" (https://content.ces.ncsu.edu/poultry-litter-as-a-fertilizer-source, accessed 4/9/2023), at zinc or
copper indices of 2000 or higher, "alternative application areas should be considered", and at indices of
3000 there should be no further applications of copper or zinc of any kind. Based on this, from an
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 15

agronomic perspective, these sites are still safe for application of materials containing copper or zinc. In
addition, heavy metal testing indicated that these fields are well below the limits set for biosoIids
application with regards to copper and zinc (see below)
No secondary or micronutrients are deficient and no amendments of such are recommended.
With adequate erosion control as currently exists and with ongoing maintenance of ground cover, P and
other nutrient losses should not be a concern.
Sodium and ESP: The sodium levels for all fields are very low at 0.1 milliequivalents/cm3. The
exchangeable sodium percentage (ESP) is found on the soil test reports as % of cation exchange
capacity. ESP is at 1% for both fields and will not be limiting for residuals application. ESP is a
parameter that should be calculated annually as residuals are applied to help with sodium monitoring.
Metals:
Soils were evaluated for regulated metals as required by 2T rules. Samples were submitted to Waypoint
Analytical in Charlotte, NC far heavy metal analysis. Chain of custody was documented. See table 4 for
summary of results.
The results of the heavy metal testing shows that generally this site is nowhere near the cumulative
pollutant loading rate (CPLR) for most of the heavy metals tested. The only exception to this is arsenic,
which is at about 15-20% of the CPLR. Arsenic levels in the soil and residuals being applied will need to
be closely monitored to remain below the limit of 41 kg/ha. It should be additionally noted that
Mercury was tested 3-4 days outside of the 28 day testing window. However, results were so low,
below detection limit for this analytical method and less than .03% of CPLR that it seems unlikely that
results would have been materially different (ie, significantly close to CPLR) within the testing window.
A common issue in this area is levels of Zinc and Copper due to application of poultry manure. On this
site levels of zinc and copper are at high levels from an agronomic perspective (see above) but are not
anywhere near EPA maximum CPLR.
Table 4: Summary of Heavy Metal Test Result
Field 1
Field 2
Soil
EPA
Soil
EPA
EPA
Heavy
Test
Soil test
max.
Test
Soil test
max.
Metal/
results,
results
CPLR
results,
results
CPLR
max.
CPLR
Pollutant
dry wt
ft/ha)**
exceed,
dry wt
(kg/ha)**
exceed-
kglha}
(Ppm)*
ed?
(ppm)•
ed?
ArseniC
3.24
6.318
no
4.45
8.6775
no
41
Cd
0.605
1.17975
no
0.279
0.54405
no
39
Copper
39
76.05
no
39.8
77.61
no
1500
Lead
16.3
31.785
no
13.7
26.715
no
300
Hg
c0.246
N/A
no
<0.216
N/A
no
17
{total]
Mh
0.722
1.4079
no
0.706
1.3767
no
(none)
Nickel
5.05
9.8475
no
6.02
11.739
no
420
Se
01644
1.2558
no
<3.14
N/A
no
100
Zinc
69.8
136.11
no
65.7
54.9
no
2800
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY INC P A G E 16

Hay/Agronomic Management
The hay should be rut or grazed using sound agronomic practices. Removal of the crop is required to
insure continued nutrient uptake and removal from the system. if the fescue crop appears damaged or
diseased, soil and plant tissue samples may be used to diagnose the problem. You should not apply
residuals on any fields/crops where plant tissue appears unhealthy or lacks sufficient density t❑ hold the
residuals in place on the field.
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 1 7

Map 1:
General Site Location Map
Source: Google Maps
Accessed 4/9/2023
APRIL 10, 2023 824 GRACE HOWAR❑ RD, ROARING, RIVER, WILKES COUNTY NC P A G E 18

si
i
40
L
z
co
N

Map 2:
Farm Overview M a p
Source: Google Maps
Accesses! 3/26/2023
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A 6 E 1 9

.J
IJ
ry
:�

Map I
Site Topographic Map
Source: Wilkes County GIS
Accessed 3/26/2023
APRIL 10, 2023 824 GRACE HOWARD RD, ROARING RIVER, WILKES COUNTY NC P A G E 110

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CD
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I
Soils Evaluation for Surface Application of
Residuals by Vehicle
For properties operated by Mark Koone in Rutherford County
June 1, 2019
Prepared by
Earthwise Designs
Caroline I Edwards
NC Licensed Soil Scientist 41220
NC Land Application of Bio-Solids #10006173
SC Professional Soil Classifier #117
991 Duncan Road Rutherfordton, NC 28139
CJEdwards234(c p,mail.com 828)289-0122
m
Koone fields

The following report provides soils and site information for adjacent fields at the
intersection of Padgett Road and Painters Gap Road, Rutherford County. All areas
meet soils requirements for surface land application by vehicle of
residuals/biosolids per Subchapter 02T rules. Detailed soils notes are included.
231 Padeett Rd. Rutherford Co. Owner: M. Koone
Borings 1-4
Parcel #1114462
Parcel #1607414
Lat: 35.485788
Lat: 35.480287
Long:-82.033561
Long:-82.032439
Soils classify as Pacolet and Cecil series. Taxonomic class for both: Fine,
kaolinitic, thermic Typic Kanhapludults. Slopes range from 5-9% in boring
locations. No soils restrictions encountered for residuals surface application. A
seasonal high water table was not present in boring profiles. Bedrock is greater
than 43-84". See detailed descriptions.
Boring 8
Parcel #1114461
Lat: 35.47731 Long:-82.032824
Soils classify predominately as Pacolet series with deeper Appling soil present in
the field in the southwestern section. Taxonomic class for all types encountered:
Fine, kaolinitic, thermic Typic Kanhapludults. Slopes range from 6-10% at the
boring locations. No soils restrictions encountered for residuals surface application.
A seasonal high water table was not present in boring profiles. Bedrock greater
than 48-84". See detailed descriptions.
2021 Painters Gap Road Rutherford Co. Owner: :_ S. Koone
Borings 5-7
Parcel #1116051
Lat: 35.48067 Long:-82.028367
Cecil -Urban land complex soils present on upland pasture near existing out
buildings and silo. Site was formerly a dairy farm. Soils classify as Pacolet series
in the field bordering Painters Gap road. Taxonomic class: Fine, kaolinitic, thermic
Typic Kanhapludults. Slopes 5-10% at boring locations. No soils restrictions
encountered for residuals surface application. A seasonal high water table was not
present in boring profiles. Bedrock greater than 48-84". See detailed descriptions.
Koone fields

3
1958 Painters Gap Road Rutherford Co. Owner: S. Koone
Boring 9
Parcel #1116032
Lat: 35.482006 Long:-82.025307
Soils classify as Pacolet series. Taxonomic class: Fine, kaolinitic, thermic Typic
Kanhapludults. No soils restrictions encountered for residuals surface application. A
seasonal high water table was not present in boring profiles. Bedrock greater than
48-84". See detailed descriptions.
Borings 10-13
Parcel #1116032
Lat: 35.483574 Long:-82.021747
This bottomland field to the east contains Skyuka soils in its northern section.
Taxonomic class: Fine, mixed, semiactive, thermic Ultic Hapludalfs. No seasonal
high water table present to a depth of 48"+ at the boring location.
Both Skyuka and Chewacla soils were encountered in the field's southern half.
Chewacla taxonomic class: Fine -loamy, mixed, active, thermic Fluvaquentic
Dystrudepts. Center of field is mildly concave and a seasonal high water table
(SHWT) was encountered at 22" and 23".
A dozen shallow borings were dug to a depth of 12" all along the creek side of the
field, approximately 50-75' away from the creek to check for SHWT; none was
encountered. Bedrock is greater than 27-84" throughout the field. Therefore, no
soils restrictions encountered for residuals surface application. See detailed
descriptions.
Koone fields

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