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HomeMy WebLinkAboutWQ0001684_More Information (Received)_20230807Initial Review Reviewer nathaniel.thorn burg Is this submittal an application? (Excluding additional information.) * Yes No If not an application what is the submittal type?* Annual Report Residual Annual Report Additional Information Other Permit Number (IR) * W00001684 Applicant/Permittee City of Asheboro Email Notifications Does this need review by the hydrogeologist? * O Yes G No Regional Office CO Reviewer Admin Reviewer 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* Brent Collins Email Address* brent.collins@emaresourcesinc.com 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* 336-399-3646 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:* WQ0001684 Has Current Existing permit number Applicant/Permittee Address* PO Box 1106, Asheboro, NC 27204 Facility Name* City of Asheboro Class B Residuals Program Please provide comments/notes on your current submittal below. This modification is being re -submitted with the corrections requested in the additional information letter from Zachary Mega. At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg at nathaniel.thornburg@ncdenr.gov. Please attach all information required or requested for this submittal to be reviewed here. (Application Form, Engineering Plans, Specifications, Calculations, Etc.) Permit Modification - City of Asheboro WQ0001684.pdf 25.2MB 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 8/7/2023 g rnc. Permit Modification Application For the City of Asheboro WQ0001684 Land Application of Residual Solids Prepared By: EMA Resources Inc. 755 Yadkinville Road Mocksville, NC 27028 336-751-1441 June 9, 2023 Division of Water Resources Water Quality Permitting Section Non -Discharge Permitting Unit 1617 Mail Services Center Raleigh, NC 27699-1617 RE: Permit Modification — WQ0001684 To Whom it May Concern: EMA Resources is submitting the included permit modification for The City of Asheboro's Land Application Permit - WQ0001684. When approved, this modification will add 9 new fields totaling 123.31 acres and increase the acreage of one currently permitted field. Check 930508 in the amount of $395 is also being mailed. Please contact Brent Collins — Director of Technical Services with questions regarding this modification. Respectfully, Brent Collins Director of Technical Services brent.collins(cr�,emaresourcesinc.com (336) 399-3646 Phone 336975191441 — Fax 336975191442 755 Yadkinville Rd — Mocksville, NC 27028 Table of Contents 1) RLAP Form a) Current Permit 2) LASC Form a) County Commissioner Notification Attachment b) Landowner Agreement c) Vicinity Map d) Aerial/Application Map e) Topo Map f) Soil Map g) Background Soil Sample 3) Soil Scientist Evaluation 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: City of Asheboro Applicant type: ❑ Individual L; Corporation ❑ General Partnership Privately -Owned Public Utility ❑ Federal 0 State ® Municipal E7 County Signature authority's name per 15A NCAC 02T .0106: Mike Wiseman Title: Wastewater Treatment Plant Manager Applicant's mailing address: PO Box 1106 City: Asheboro State: E Zip: 27204-7a Telephone number: (336) 626-1245 Email Address: mwiseman@ci.asheboro.nc.us Consultant's name: Brent Collins License Number (for RE.): Affiliation: ❑ On Staff ® Retained (Firm: EMA Resources Inc.) Consultant's mailing address: 755 Yadkinville Rd City: Mocksville State: NC Zip: 27028-T Telephone number: (336) 399-3646 Email Address: breast.collinskemaresourcesinc.com 2. Agronomist's name: License Number: W Affiliation: ❑ N/A [j On Staff 0 Retained (Firm: �) Agronomist's mailing address: _ City: `A State: _ Zip: W-no Telephone number: (A) Email Address: _ 3. Soil Scientist's name: License Number: Affiliation: ❑ N/A [I On Staff 0 Retained (Firm:) Soil Scientist's mailing address: City: State: Zip: Telephone number: (_) - Email Address: 4. Fee submitted: $395 (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: W00001684 Date of most -recently issued permit: 10/10/2019 Date of most -recently certified Attachment A (if different than the permit): 10/10/2019 Date of most -recently certified Attachment B (if different than the permit): 10/10/2019 FORM: RLAP 06-16 Page 1 of 5 III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION: 1. Residuals Processing Facility's physical address: 1032 Bonkemeyer Dr City: Asheboro State: NC Zip: 27204-. Coordinates: Latitude: 35' 45' 56" Longitude: 79. 47' 11" Datum: NAD83 Method of measurement: GPS Level of accuracy: nearest second 2. County where residuals land application program is headquartered: Randolph 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 Roy Whitaker EMA Resources Inc. LA13283 Back -Up ORC Brent Collins EMA Resources Inc. LA27651 Additional Back -Up ORCs (if applicable) 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: 3000 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 26.03 33.4 78102 100212 Five -Year Maximum Adjusted 37.22 44.59 111672 133782 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 118.1 Hay/Pasture 720.05 Total: 838.15 Methods Surface 838.15 Incorporation or Injection 0 Total: 838.15 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 1562 2004 2233 2675 100 781 1002 1116 1337 150 520 668 744 891 200 390 501 558 668 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 ❑ No, Explain-, I, Mike Wiseman — Wastewater Treatment Plant Manager (Signature Authority's Name — PLEASE PRINT) (Title) attest that this application for — City of Asheboro (Facility Name) 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 § 143-215.6B, 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. @Wi- Jun 9, 2023 Signature: MichaelR.wiseman(Jun e,aozsossDa te: ate: FORM: RLAP 06-16 Page 5 of 5 ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGEM, JR. Director NORTH CAROLINA Environmental Quality September 14, 2022 MICHAEL R. WISEMAN — WWTP MANAGER CITY OF ASHEBORO POST OFFICE BOX 1106 ASHEBORO, NORTH CAROLINA 27204 Subject: Permit No. WQ0001684 City of Asheboro Class B Residuals Program Attachment B Certification Randolph County Dear Mr. Wiseman: In accordance with your permit major modification request received June 10, 2022, and subsequent additional information received September 8, 2022, we are forwarding herewith a modified Attachment B certified September 14, 2022, to the City of Asheboro for the subject residuals management program. Modifications to the subject Attachment are as follows: ➢ Transfer of Fields NC-RD-03-01 through 05 in Randolph County from Permit No. WQ0004825, to be included in this permit as NC-RD-43-01 through 03. ➢ Transfer of Fields NC-RD-46-01 and 02 in Randolph County from Permit No. WQ0004825. The modified Attachment B shall be effective from the date of certification until September 30, 2025 (i.e., expiration date of the current permit), shall replace Attachment B of Permit No. WQ0001684 issued October 10, 2019, and shall be subject to the conditions and limitations as specified therein, as well as those specified in the above -referenced permit. Please replace Attachment B of Permit No. WQ0001684 that was issued October 10, 2019 with the modified Attachment B. Please note that the Permittee shall submit a renewal application no later than April 3, 2025. Please note that only the maps for new land application sites are attached to this letter. It is the Permittee's responsibility to ensure that a complete permit is created by inserting these documents into the previously issued permit. If any parts, requirements, or limitations contained in this certification are unacceptable, the Permittee has the right to request an adjudicatory hearing upon written request within 30 days following receipt of this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service Center, Raleigh, NC 27699-6714. Otherwise, this certification shall be final and binding. D � North Carolina Department of Environmental Quality i Division of Water Resources 512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617 NORTH CAROLINA '.'roMMm 0­; /I 919,707,9000 Mr. Michael R. Wiseman September 14, 2022 Page 2 of 2 If you need any additional information concerning this matter, please contact Erick Saunders at (919) 707-3659 or erickson.saunderskncdenr.gov. Sincerely, Richard E. Rogers, Jr. Director Division of Water Resources cc: Randolph County Health Department (Electronic Copy) Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy) Brent Collins — EMA Resources, Inc. (Electronic Copy) Laserfiche File (Electronic Copy) Digital Permit Archive (Electronic Copy) NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION DEPARTMENT OF ENVIRONMENTAL QUALITY RALEIGH LAND APPLICATION OF CLASS B RESIDUALS PERMIT In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as amended, and other applicable Laws, Rules, and Regulations PERMISSION IS HEREBY GRANTED TO City of Asheboro Randolph County FOR THE continued operation of a residuals management program for the City of Asheboro and consisting of the land application of Class B residuals generated by the approved facility listed in Attachment A to the approved fields listed in Attachment B, with no discharge of wastes to surface waters, pursuant to the application received July 1, 2019, subsequent additional information received July 29, 2019, and in conformity with other supporting data subsequently filed and approved by the Department of Environmental Quality and considered a part of this permit. The disposal of residuals is regulated under Title 40 Code of Federal Regulations Part 503. This permit does not exempt the Permittee from complying with Federal Regulation 40 CFR Part 503. This permit shall be effective from the date of issuance through September 30, 2025, shall void Permit No. WQ0001684 issued July 24, 2014, and shall be subject to the following conditions and limitations: I. SCHEDULES 1. The Permittee shall request renewal of this permit on Division -approved forms no later than April 3, 2025. [15A NCAC 02T .0105(b), 02T .0109] H. PERFORMANCE STANDARDS The Permittee shall maintain and operate the subject residuals management program so there is no discharge to surface waters, nor any contravention of groundwater or surface water standards. In the event the residuals management program fails to perform satisfactorily, including the creation of nuisance conditions due to improper operation and maintenance, the Permittee shall immediately cease land applying residuals, take immediate corrective actions, and contact the Winston-Salem Regional Office supervisor. [ 15A NCAC 02T .0 1 08(b)(1)(A)] 2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface water resulting from the operation of this residuals management program. [15A NCAC 02T .0108(b)(1)(A)] 3. Only residuals generated by the facility listed in Attachment A are approved for land application in accordance with this permit. [15A NCAC 02T .1101] WQ0001684 Version 4.0 Shell Version 190710 Page 1 of 12 4. Only the fields listed in Attachment B are approved for residuals land application. [G.S. 143- 215.1(a)(9)] 5. Pollutant concentrations in residuals land applied to the sites listed in Attachment B shall not exceed the following Ceiling Concentrations or Cumulative Pollutant Loading Rates (CPLRs), on a dry weight basis: Parameter Ceiling Concentration Cumulative Pollutant Loading Rates (mg/kg) (kg/ha) (Ibslac) Arsenic 75 41 36 Cadmium 85 39 34 Copper 4,300 1,500 1,338 Lead 840 300 267 Mercury 57 17 15 Molybdenum 75 N/A N/A Nickel 420 420 374 Selenium 100 100 89 Zinc 7,500 2,800 2,498 The Permittee shall determine compliance with the CPLRs using one of the following methods: a. By calculating the existing cumulative level of pollutants using actual analytical data from all historical land application events of residuals, or R b. For land where residuals application has not occurred or for which the required data is incomplete, by determining background concentrations through representative soil sampling. [15A NCAC 02T .1105(a), 02T .1105(b)] 6. Class B biological residuals shall meet the pathogen reduction requirements in 15A NCAC 02T .1106 (b). Exemptions to this requirement shall be specified in Attachment A. [15A NCAC 02T .1106(b), 02T .1106(d)] 7. Class B biological residuals shall meet one of the vector attraction reduction alternatives in 15A NCAC 02T .1107(a). Exemptions to this requirement shall be specified in Attachment A.. [15A NCAC 02T .1107(a), 02T .1107(c)] WQ0001684 Version 4.0 Shell Version 190710 Page 2 of 12 8. The facilities and sites herein were permitted per the following setbacks: a. Setbacks for Class B land application sites are as follows (all distances in feet): i. Each habitable residence or place of assembly under separate ownership: ii. Each habitable residence or places of assembly owned by the Permittee, the owner of the land, or the lessee or operator of the land: iii. Each property line: iv. Public right of way: v. Each private or public water supply source: vi. Surface waters such as intermittent and perennial streams, perennial waterbodies, and wetlands: vii. Surface water diversions such as ephemeral streams, waterways, and ditches: viii. Groundwater lowering ditches where the bottom of the ditch intersects the SHWT: ix. Subsurface groundwater lowering systems: x. Each well with exception of monitoring wells: xi. Bedrock outcrops: xii. Top of slope of embankments or cuts of two feet or more in vertical height: xiii. Each building foundation or basement: xiv. Each water line: xv. Nitrification field: Surface Irrigation Injection / Application Surface by Vehicle Application Incorporation 400 400 200 0 200 0 501 150' 50' 50 50 50 100 100 100 32.8 32.8 32.8 25 25 25 25 100 25 0 100 0 100 100 100 25 25 25 15 15 15 0 15 0 0 10 0 0 20 0 ' Setbacks to property lines are not applicable when the Permittee, or the entity from which the Permittee is leasing, owns both parcels separated by the property line. 10. Class B land application areas shall be clearly marked on each site prior to and during any residuals application event. [15A NCAC 02T .0110(g)] WQ0001684 Version 4.0 Shell Version 190710 Page 3 of 12 11. Residuals and other sources of Plant Available Nitrogen (PAN) shall not be applied in exceedance of agronomic rates. Appropriate agronomic rates shall be calculated using expected nitrogen requirements based on the determined Realistic Yield Expectations (RYE) using any of the following methods: a. Division's pre -approved site specific historical data for specific crop or soil types by calculating the mean of the best three yields of the last five consecutive crop harvests for each field. b. North Carolina Historical Data for specific crop and soil types as provided by North Carolina State University Department of Soil Science (htip://nutrients.soil.ncsu.edu/}'ields/index.php). A copy shall be kept on file and reprinted every five years in accordance with Condition IV.6. c. If the RYE cannot be determined using methods (a) or (b) above, the Permittee may use the RYE and appropriate nutrient application rates reported in any of the following documents: i. Crop management plan as outlined by the local Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, or other agronomist. ii. Waste Utilization Plan as outlined by the Senate Bill 1217 Interagency Group - Guidance Document: Chapter 1 (http://www.neagr.gov/SWC/tech/documents/9th Guidance Doc 100109.pdfj. iii. Certified Nutrient Management Plan as outlined by the Natural Resources Conservation Services (MRCS). These plans must meet the USDA-NRCS 590 Nutrient Management Standards (ftp://ftp-fc.se.egov.usda.gov/NHQ/practice-standards/standards/590.pdD. d. If the RYE and appropriate nutrient application rates cannot be determined, the Permittee shall contact the Division to determine necessary action. [15A NCAC 02T .I 109(a)(1)(K)] 12. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by 25%. [15A NCAC 02T .0108(b)(1)(A)] 13. If residuals land application sites are to be over -seeded or double -cropped (e.g., bermuda grass in the summer and rye grass in the winter with both crops to receive residuals), then the second crop can receive an application of PAN at a rate not to exceed 50 pounds per acre per year (lbs/ac/yr). This practice may be allowed as long as the second crop is to be harvested or grazed. If the second crop is to be planted for erosion control only and is to be tilled into the soil, then no additional PAN shall be applied. [15A NCAC 02T .0108(b)(1)(A)] 14. Prior to land application of residuals containing a sodium adsorption ratio (SAR) of 10 or higher, the Permittee shall obtain and implement recommendations from at least one of the following: 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. 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. The Permittee shall maintain written records of these recommendations and details of their implementation. [15A NCAC 02T .0108(b)(1)(A)] 15. Residuals land application fields permitted on or after December 30, 1983 have a compliance boundary that is either 250 feet from the residual land application area, or 50 feet within the property boundary, whichever is closest to the residual land application area. Any exceedance of groundwater standards at or beyond the compliance boundary shall require corrective action. Division -approved relocation of the compliance boundary shall be noted in Attachment B. Multiple contiguous properties under common ownership and permitted for use as a disposal system shall be treated as a single property with regard to determination of a compliance boundary. [15A NCAC 02L .0106(d)(2), 02L .0107(b), 02T .0105(h), G.S. 143-215.1(i), G.S. 143-215.1(k)] WQ0001684 Version 4.0 Shell Version 190710 Page 4 of 12 16. The review boundary is midway between the compliance boundary and the residual land application area. Any exceedance of groundwater standards at or beyond the review boundary shall require preventative action. [15A NCAC 02L.0106(d)(1), 02L .0108] III. OPERATION AND MAINTENANCE REQUIREMENTS 1. The Permittee shall operate and maintain the residuals management program as anon -discharge system. [15A NCAC 02T .1100] 2. The Permittee shall notify the Winston-Salem Regional Office, telephone number (336) 776-9800, and the appropriate local government official (i.e., county manager, city manager, or health director) at least two business days in advance of a site's initial residuals land application event. [15A NCAC 02T .0108(b)(1)(A)] 3. The Permittee shall notify the Winston-Salem Regional Office, telephone number (336) 776-9800, at least one business day in advance of conducting any land application activity. Notification shall include the anticipated application date, time, and field name as listed in Attachment B. Exceptions to this requirement shall be approved by the Winston-Salem Regional Office. [15A NCAC 02T .0108(b)(1)(A)] 4. The Permittee shall maintain a Division -approved Operation and Maintenance Plan that shall include: a. Description of the program, and associated facilities and equipment, in sufficient detail to show what operations are necessary for the program to function and by whom the functions are to be conducted; b. Description of anticipated maintenance of facilities and equipment associated with the program; c. Include provisions for safety measures, including restriction of access to sites and equipment; d. Spill control provisions: i. Response to upsets and bypasses including control, containment, and remediation; and ii. Contact information for plant personnel, emergency responders, and regulatory agencies; e. Detailed inspection procedures: i. Names or titles of personnel responsible for conducting inspections; ii. Frequency and location of inspections, and procedures to assure that the selected locations and inspection frequency are representative of the residuals management program; and iii. Description of record keeping and actions to be taken by the inspector in the event that noncompliance is observed; f. Detailed sampling and monitoring procedures: i. Names or titles of personnel responsible for conducting sampling and monitoring; ii. Description of monitoring procedures including parameters to be monitored; and iii. Sampling frequency and procedures to assure that representative samples are 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. [ 15A NCAC 02T . l I I0(a)] WQ0001684 Version 4.0 Shell Version 190710 Page 5 of 12 5. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC) classification of the residuals management program, the Permittee shall designate and employ a certified operator in responsible charge (ORC), and one or more certified operators as back-up ORCs. The ORC or their back-up shall visit the facilities in accordance with 15A NCAC 08G 0204 and shall comply with all other requirement in 15A NCAC 08G 0204. [15A NCAC 02T .0117, 08G .0204] 6. The Permittee shall ensure that a copy of this permit and the Division -approved Operation and Maintenance Plan is available when land applying residuals. [15A NCAC 02T .1110(b)] 7. The Permittee shall ensure that spill control provisions are available when transporting or land applying residuals. [ 15A NCAC 02T . I I I0(a)(4)] 8. Class B residuals shall not be stored or staged at any land application site without prior written approval from the Division. Class B residuals approved for storage shall be stored or staged in a manner to prevent runoff of leachate and other wastewaters generated. [ 15A NCAC 02T . 1110(c), 02T .1110(e)] 9. Adequate measures shall be taken to prevent wind erosion and runoff from the land application sites listed in Attachment B. [15A NCAC 02T .0108(b)(1)(A)] 10. Class B residuals shall not be land applied under the following conditions: a. If the residuals are likely to adversely affect a threatened or endangered species listed under section 4 of the Endangered Species Act or its designated critical habitat; b. If the application causes nuisance conditions; c. If the land fails to assimilate the bulk residuals or the application causes the contravention of surface water or groundwater standards; d. If the land is flooded, frozen, or snow-covered, or is otherwise in a condition such that runoff of the residuals would occur; e. Within the 100-year flood elevation, unless the residuals are injected or incorporated within a 24- hour period following a residuals land application event; f. During precipitation events, or within 24 hours following a rainfall event of 0.5 inches or greater in a 24-hour period; g. If the slope of the land is greater than 10% when liquid residuals are surface applied, or if the slope of the land is greater than 18% when liquid residuals are injected or incorporated; h. If the land does not have an established vegetative cover crop unless the land is a Division -approved no -till site, or the residuals are injected, or incorporated within a 24-hour period following the application of residuals; i. If the vertical separation of the seasonal high water table and the depth of residuals application is less than one foot; j. If the vertical separation of the depth to bedrock and the depth of residuals application is less than one foot; k. If the application exceeds agronomic rates; 1. If the land application sites are located within a WS-I watershed pursuant to 15A NCAC 02B .0212 or within the Critical Area of a WS-II pursuant to Sub -Item (4)(g) of Rule 15A NCAC 02B .0212, or within the Critical Area of a WS-III or WS-IV watershed pursuant to Sub -Item (4)(h) of Rules 15A NCAC 02B .0215, and .0216. [I 5A NCAC 02T . 1109(a)(1)] WQ0001684 Version 4.0 Shell Version 190710 Page 6 of 12 11. Class B land application sites shall have the following public access restrictions: a. Public access to public contact sites shall be restricted for one calendar year after a residuals land application event; b. Public access to non-public contact sites shall be restricted for 30 days after a residuals land application event; c. Public access to land associated with a dedicated land application site shall be restricted continuously while the land is permitted for active use, and for one calendar year after the final land application of residuals. [15A NCAC 02T .1109(a)(2)] 12. Class B land application sites shall have the following harvesting and grazing restrictions: a. Animals shall not be allowed to graze on land for 30 calendar days after any land application of residuals; b. Food crops, feed crops, and fiber crops shall not be harvested for 30 calendar days after any land application of residuals; c. Food crops with harvested parts that touch the mixture of residuals and soil and are totally above the land surface shall not be harvested for 14 months after any land application of residuals; d. Food crops with harvested parts below the land surface shall not be harvested for 20 months after any land application of residuals if the residuals remain on the land surface for four months or longer prior to incorporation into the soil; e. Food crops with harvested parts below the land surface shall not be harvested for 38 months after any land application of residuals if the residuals remain on the land surface for less than four months prior to incorporation into the soil; and f. Turf grown on land where residuals are applied shall not be harvested for one calendar year after any land application of residuals. [15A NCAC 02T .1109(a)(3)] 13. The Permittee shall acquire from each landowner or lessee/operator a statement detailing the volume of other nutrient sources (i.e., manufactured fertilizers, manures, or other animal waste products) that have been applied to the site, and a copy of the most recent Nutrient Management Plan (NMP) for those operations where a NMP is required by the US Department of Agriculture — National Resources Conservation Service (NRCS) or other State Agencies. The Permittee shall calculate allowable nutrient loading rates based on the provided information and use appropriate reductions. For the purpose of this permit condition, a Crop Management Plan (CMP), Waste Utilization Plan (WUP) or Certified Nutrient Management Plan (CNMP) shall also be considered a Nutrient Management Plan. [15A NCAC 02T .0108(b)(1xA), 02T .1104(c)(3)] 14. Class B residuals shall not be land applied to the fields listed in Attachment B unless the Landowner Agreement between the Permittee and the respective field owners or lessees/operators of the land application site is valid. The Landowner Agreements shall expire concurrent with the permit expiration date of September 30, 2025. [15A NCAC 02T .1104(c)(4)] WQ0001684 Version 4.0 Shell Version 190710 Page 7 of 12 IV. MONITORING AND REPORTING REQUIREMENTS 1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this program's impact on groundwater and surface water. [15A NCAC 02T .0108(c)] 2. The residuals from each source generating facility shall be analyzed to demonstrate they are non- hazardous under the Resource Conservation and Recovery Act (RCRA). Residuals that test or are classified as a hazardous or toxic waste under 40 CFR Part 261 shall not be land applied. The analyses (i.e., corrosivity, ignitability, reactivity, and toxicity characteristic leaching procedure (TCLP)) shall be performed at the frequency specified in Attachment A, and the Permittee shall maintain these results for five years. Any exemptions from the requirements in this condition shall be specified in Attachment A. The TCLP analysis shall include the following parameters, and the Federal regulatory level (mglL) is in parentheses: Arsenic (5.0) 1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0) Barium (100.0) 1,2-Dichloroethane (0.5) Pentachlorophenol (100.0) Benzene (0.5) 1, 1 -Dichloroethylene (0.7) Pyridine (5.0) Cadmium (1.0) 2,4-Dinitrotoluene (0.13) Selenium (1.0) Carbon tetrachloride (0.5) Endrin (0.02) Silver (5.0) Chlordane (0.03) Heptachlor (and its epoxide) (0.008) Tetrachloroethylene (0.7) Chlorobenzene (100.0) Hexachlorobenzene (0.13) Toxaphene (0.5) Chloroform (6.0) Hexachlorobutadiene (0.5) Trichloroethylene (0.5) Chromium (5.0) Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0) m-Cresol (200.0) Lead (5.0) 2,4,6-Trichlorophenol (2.0) o-Cresol (200.0) Lindane (0.4) 2,4,5-TP (Silvex) (1.0) p-Cresol (200.0) Mercury (0.2) Vinyl chloride (0.2) Cresol (200.0) Methoxychlor (10.0) 2,4-D (10.0) Methyl ethyl ketone (200.0) Once the residuals have been monitored for two years at the frequency specified in Attachment A, the Permittee may submit a permit modification request to reduce the frequency of this monitoring requirement. In no case shall the monitoring frequency be less than once per permit cycle. [15A NCAC 13A .0102(b), 02T .1101, 02T .1105] WQ0001684 Version 4.0 Shell Version 190710 Page 8 of 12 3. The residuals from each source generating facility shall be analyzed at the frequency specified in Attachment A, and the Permittee shall maintain the results for a minimum of five years. Each analysis shall include the following parameters: Aluminum Mercury Potassium Ammonia -Nitrogen Molybdenum Selenium Arsenic Nickel Sodium Cadmium Nitrate -Nitrite Nitrogen Sodium Adsorption Ratio (SAR) Calcium Percent Total Solids TKN Copper pH Zinc Lead Phosphorus Magnesium Plant Available Nitrogen (by calculation) [15A NCAC 02T. 1101] 4. Residuals shall be monitored for compliance with pathogen and vector attraction reduction requirements at the frequency specified in Attachment A. The monitoring results shall specify the stabilization process utilized, and demonstrate compliance with the Class B pathogen reduction requirements in 15A NCAC 02T .1106(b), and one vector attraction reduction requirement in 15A NCAC 02T .1107(a) shall be met. Any exemptions from the requirements in this condition shall be specified in Attachment A. [15A NCAC 02T .1106(b), 02T .1107(a), 02T .1111(c)] An annual representative soils analysis (i.e., Standard Soil Fertility Analysis) shall be conducted on each land application site listed in Attachment B that received residuals during the calendar year. This analysis shall be in accordance with the soil sampling guidance located in the Sampling Instructions section of the NC Department of Agriculture & Consumer Services' website (http://www.neap The Permittee shall maintain these results for a period of no less than five years, and these results shall be made available to the Division upon request. Each Standard Soil Fertility Analysis shall include the following parameters: Acidity iExchangeable Sodium Percentagc Phosphorus Potassium Base Saturation (by calculation) Magnesium Calcium Manganese Sodium Cation Exchange Capacity Percent Humic Matter Zinc Copper pH [15A NCAC 02T .0108(c), 15A NCAC 02T. 1111 (d)] 6. Representative samples of residuals that are prepared for land application shall be collected and analyzed. [15A NCAC 02T .1111(a)] WQ0001684 Version 4.0 Shell Version 190710 Page 9 of 12 The Permittee shall maintain records for all residual land application events. These records shall include the following: a. Residuals source (as listed in Attachment A); b. Date of application; c. Location of land application (field name as listed in Attachment B); d. Approximate acreage applied; e. Method of application; f. Weather conditions; g. Dominant soil series; h. Soil conditions; i. Proposed crop; j. Nitrogen Application Rate based on RYEs; k. Volume of residuals applied per acre in gallons, cubic yards, dry tons, or wet tons; 1. Volume of animal waste or other nutrient source applied per acre in gallons, cubic yards, dry tons, or wet tons; in. Volume of soil amendments applied per acre in gallons, cubic yards, dry tons, or wet tons; and n. Annual and cumulative totals applied to each field for the following: i. Class A and Class B residuals (dry tons per acre); ii. Animal waste and other sources of nutrients (dry tons per acre); iii. Heavy metals as specified in Condition I1.5. (pounds per acre); iv. Plant available nitrogen (pounds per acre); and v. Phosphorus (pounds per acre). [15A NCAC 02T .0108(c)] 8. One hard copy and one electronic copy of an annual report shall be submitted on or before March 15` The annual report shall meet the requirements described in the Instructions for Residuals Application Annual Reporting Forms. Instructions for reporting and annual report forms are available at http://deg .nc.I;ov/about/divisions/water-resources/water-resources-permits/wastewater-branch/non- discharge-permittin-unit/reporting-forms, or can be obtained by contacting the Non -Discharge Branch directly. The annual report shall be submitted to the following address: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 [ 15A NCAC 02T .1111(d)] 9. Noncompliance Notification The Permittee shall report to the Winston-Salem Regional Office, telephone number (336) 776-9800, within 24 hours of first knowledge of the: a. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of adequate residual treatment. b. Any failure resulting in a discharge to surface waters. c. Any time self -monitoring indicates the program has gone out of compliance with its permit limitations. d. Land application of residuals abnormal in quantity or characteristic. e. Any discharge from a vehicle or piping system transporting residuals. Emergencies requiring reporting outside normal business hours shall call the Division's Emergency Response personnel at telephone number (800) 662-7956, (800) 858-0368, or (919) 733-3300. All noncompliance notifications shall file a written report to the Winston-Salem Regional Office within five days of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to ensure the problem does not recur. [ 15A NCAC 02T .0108(b)(1)(A)] WQ0001684 Version 4.0 Shell Version 190710 Page 10 of 12 V. INSPECTIONS 1. The Permittee shall perform inspections and maintenance to ensure proper operation of the Permittee's storage, distribution, and application facilities. [15A NCAC 02T .1110(f)] 2. The Permittee shall inspect the Permittee's residuals storage, transport, and application facilities to prevent malfunctions, facility deterioration, and operator errors that may result in discharges of wastes to the environment, threats to human health, or public nuisances. The Permittee shall maintain an inspection log that includes the date and time ,of inspection, observations made, and maintenance, repairs, or corrective actions taken. The Permittee shall maintain this inspection log for a period of five years from the date of inspection, and this log shall be made available to the Division upon request. [15A NCAC 02T .0 1 08(b)(1)(A), 02T .1110(f)] 3. Division authorized representatives may, upon presentation of credentials, enter and inspect any property, premises, or place related to the land application sites or facilities permitted herein at any reasonable time for determining compliance with this permit. Division authorized representatives may inspect or copy records maintained under the terms and conditions of this permit, and may collect groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)] VI. GENERAL CONDITIONS 1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a Division enforcement action. [G.S. 143-215.6A, 143-215.613, 143-215.6C] 2. This permit is effective only with respect to the nature and volume of wastes described in the permit application, and Division -approved plans and specifications. [G.S. 143-215.1(d)] 3. Unless specifically requested and approved in this permit, there are no variances to administrative codes or general statutes governing the construction or operation of the facilities permitted herein. [15A NCAC 02T .0105(n)] 4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules, regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal) may require. [15A NCAC 02T .0105(c)(6)] 5. If the permitted residuals program change ownership, or the Permittee changes their name, the Permittee shall submit a permit modification request on Division -approved forms. The Permittee shall comply with all terms and conditions of this permit until the permit is transferred to the successor - owner. [G.S. 143-215.1(d3)] WQ0001684 Version 4.0 Shell Version 190710 Page 11 of 12 6. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in whole or part for: a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter 02T; b. obtaining a permit by misrepresentation or failure to disclose all relevant facts; c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials: i. to enter the Permittee's premises where a system is located or where any records are required to be kept; ii. to have access to any permit required documents and records; iii. to inspect any monitoring equipment or method as required in this permit; or iv. to sample any pollutants; d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or e. a Division determination that the conditions of this permit are in conflict with North Carolina Administrative Code or General Statutes. [15A NCAC 02T .0110] 7. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not occur if any of the following apply: a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be prosecuted under G.S. 143-215.6B, and all appeals of this conviction have been abandoned or exhausted. b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned a wastewater treatment facility without properly closing the facility. c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil penalty, and all appeals of this penalty have been abandoned or exhausted. d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant with any compliance schedule in a permit, settlement agreement, or order. e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual fee. [15A NCAC 02T .0120(b), 02T .0120(d)] 8. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee. [15A NCAC 02T .0120(c)] Permit issued this the 10' day of October 2019 NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION A Dmda Culpepper, Director ivision of Water Resources By Authority of the Environmental Management Commission Permit Number WQ0001684 WQ0001684 Version 4.0 Shell Version 190710 Page 12 of 12 ATTACHMENT A — APPROVED RESIDUAL SOURCES City of Asheboro Maximum Monitoring Owner Facility Name County Permit Biological Dry Tons Frequency for Number Residuals per Year' Non -hazardous Characteristics z Certification Date: October 10, 2019 Permit Number: WQ0001684 Version: 4.0 Monitoring Monitoring Frequency for Frequency for Approved Metals and Pathogen & Mineralization Nutrients 3> 5 Vector Attraction Rate Reductions 4,5 City of Asheboro I Asheboro WWTP Randolph NCO026123 Yes 3,000 Annually See Table Below See Table Below 0.2 Total 3,000 1. Maximum Dry Tons per Year is the amount of residuals approved for land application from each permitted facility. 2. Analyses to demonstrate that residuals are non -hazardous (i.e., TCLP, ignitability, reactivity, and corrosivity) as stipulated under permit Condition IV.2. 3. Testing of metals and nutrients as stipulated under permit Condition IV.3. 4. Analyses of pathogen and vector attraction reductions as stipulated under permit Condition IVA 5. Monitoring frequencies are based on the actual dry tons applied per year using the table below, unless specified above. Dry Tons Applied Monitoring Frequency Dry Tons Applied (metric tons) (short tons per year) (40 CFR 503 and 15A NCAC 02T .1111(c)) Once per year (Annually) < 290 < 319 >_ 290 to < 1,500 > 319 to < 1,650 Once per quarter (4 x Year) > 1,500 to < 15,000 > 1,650 to < 16,500 > 16,500 Once per 60 days (6 x Year) > 15,000 Once per month (12 x Year) If no land application events occur during a required sampling period (e.g., no land application occur during an entire year when annual monitoring is required), then no sampling data is required during the period of inactivity. The annual report shall include an explanation for missing sampling data. Those required to submit the annual report to United States Environmental Protection Agency (US EPA) may be required to make up the missed sampling. Contact the US EPA for additional information. WQ0001684 Version 4.0 Attachment A Page 1 of 1 ATTACHMENT B — APPROVED LAND APPLICATION SITES City of Asheboro — City of Asheboro Class B Residuals Program Certification Date: September 14, 2022 Permit Number: WQ0001684 Version: 4.1 Field Owner Lessee County Latitude Longitude Net Acreage Dominant Soil Series Footnotes NC-GU-15-01 Sardi, Carl A., Jr. Guilford 35.921364' -79.704397 23.2 EnB - Enon 1 NC-GU-16-01 Rocking F Farm, LLC Guilford 35.918003 -79.706719 4.9 CrB - Coronaca 2 NC-GU-16-02 Rocking F Farm, LLC Guilford 35.919147 -79.706647 8.5 CrB - Coronaca 2 NC-GU-16-03 Rocking F Farm, LLC Guilford 35.917239 -79.710561 7.3 EnB - Enon 2 NC-GU-16-04 Rocking F Farm, LLC Guilford 35.918706 -79.710906 15.2 EnB -Enon 2 NC-GU-19-01 Marshall, Brandon T.; Marshall, Anna F. Guilford 35.926586 -79.744947 6.8 ApB - Appling 3 NC-GU-19-02 Marshall, Brandon T.; Marshall, Anna F. Guilford 35.928369 -79.742997 15.3 EnB -Enon 3 NC-GU-19-03 Marshall, Brandon T.; Marshall, Anna F. Guilford 35.930614 -79.743783 4.9 EnB -Enon 3 NC-GU-19-04 Marshall, Brandon T.; Marshall, Anna F. Guilford 35.929586 -79.747414 28.6 EnB -Enon 3 NC-GU-27-01 Jones, Joseph R.; Jones, Eloise T. Guilford 35.965636 -79.625542 34.9 CcB - Cecil 4 NC-GU-27-02 Jones, Joseph R.; Jones, Eloise T. Guilford 35.967686 -79.624444 25.5 CcB - Cecil 4 NC-GU-27-03 Jones, Joseph R.; Jones, Eloise T. Guilford 35.970636 -79.622147 24.5 ApB - Appling 4 NC-GU-27-04 Jones, Joseph R.; Jones, Eloise T. Guilford 35.972908 -79.619378 3.9 ApB - Appling 4 NC-GU-27-05 Jones, Joseph R.; Jones, Eloise T. Guilford 35.968656 -79.616167 13.3 ApB - Appling 4 NC-GU-27-06 Jones, Joseph R.; Jones, Eloise T. Guilford 35.969711 -79.613892 19.4 EnB -Enon 4 Total for Guilford County 236.2 NC-RD-031-08A Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.596233 -79.711003 10.1 GeB2 - Georgeville 5 NC-RD-031-08B Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.598442 -79.709433 3.4 GeC2 - Georgeville 5 NC-RD-031-09 Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.598594 -79.712575 10.4 GeB2 - Georgeville 5 NC-RD-031-10A Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.600994 -79.712811 8.8 GeC2 - Georgeville 5 NC-RD-031-1OB Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.600425 -79.715906 12.6 GeB2 - Georgeville 5 NC-RD-031-11 Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.597761 -79.714958 15.4 GeC2 - Georgeville 5 NC-RD-031-12 Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.603339 -79.713567 28.4 GeB2 - Georgeville 5 NC-RD-031-13 Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.599164 -79.707686 2.7 GeC2 - Georgeville 5 NC-RD-031-14 Atkinson, Dwight A.; Atkinson, Aleen M. Randolph 35.604344 -79.714547 5.2 GeB2 - Georgeville 5,6 WQ0001684 Version 4.1 Attachment B Page 1 of 3 ATTACHMENT B - APPROVED LAND APPLICATION SITES City of Asheboro - City of Asheboro Class B Residuals Program Certification Date: September 14, 2022 Permit Number: WQ0001684 Version: 4.1 Field Owner Lessee County Latitude Longitude Net Dominant Soil Footnotes Acreage Series NC-RD-034-01 Hopkins, Levon; Hopkins, Barbara Randolph 35.586672 -80.049903 24.7 BtC2 - Badin-Tarrus 7 NC-RD-035-01 Hopkins, Jennifer Tesh Randolph 35.594211 -80.044853 10.5 BtB2 - Badin-Tarrus 8 NC-RD-035-02 Hopkins, Levon; Hopkins, Jennifer Tesh; Randolph 35.593519 -80.052147 26.6 BtC2 - Badin-Tarrus 8 Hopkins, Walter Standish NC-RD-038-01 Browne, Frank B.; Browne, Martha Randolph 35.676492 -79.663403 6.9 WtB - Wynott-Enon 9 NC-RD-038-02 Browne, Frank B.; Browne, Martha Randolph 35.675953 -79.658619 11.2 GeB2 - Georgeville 9 NC-RD-041-01 Smith, Donald R., Trustee; Smith, Brenda P., Carter, Jimmy F. Randolph 35.693708 -79.727181 9.6 GeB2 - Georgeville 10 Trustee NC-RD-041-02 Smith, Donald R., Trustee; Smith, Brenda P., Carter, Jimmy F. Randolph 35.692317 -79.725006 11.9 GeB2 - Georgeville 10 Trustee NC-RD-041-03 Smith, Donald R., Trustee; Trogdon, Kristie S., Carter, Jimmy F. Randolph 35.690869 -79.727856 16.4 GeB2 - Georgeville 10 Trustee NC-RD-041-04 Smith, Donald R., Trustee; Smith, Brenda P., Carter, Jimmy F. Randolph 35.688308 -79.723969 15.1 GbC - Georgeville 10 Trustee NC-RD-042-01 Markham Properties, LLC Randolph 35.619519 -80.056442 15.1 BaB - Badin-Tarrus 11 NC-RD-042-02 Jackson, Tony E.; Jackson, Fonda Randolph 35.619197 -80.058653 8.6 BaB - Badin-Tarrus 11 NC-RD-042-03 Markham Properties, LLC Randolph 35.622975 -80.058461 7.1 BaB - Badin-Tarrus 11 NC-RD-043-01 Hiatt, R. Gene Randolph 35.883328' -79.756497' 9.25 BtB2 - BBadm 13 arrus NC-RD-043-02 Hiatt, R. Gene Randolph 35.881737' -79.761087' 16.2 GbC - Georgeville 13 NC-RD-043-03A Hiatt, R. Gene Randolph 35.881909' -79.757598' 6.51 BtB2 - BBadm 13,15 arrus NC-RD-043-03B Hiatt, R. Gene Randolph 35.880752' -79.755931' 11.92 BtC2 - BBadm 13 arrus NC-RD-046-1 Hensley, Douglas Randolph 35.845833' -79.730277' 13.5 ApB -Appling 14,15 NC-RD-046-2 Hensley, Douglas Randolph 35.841042' -79.734853' 43.2 HeB - Helena 14 NC-RD-101-02 York, Earl D., Jr.; York, Judy W. Randolph 35.812031 -79.641633 43.5 BtB2 - Badin-Tarrus 12 NC-RD-101-03 York, Earl D., Jr.; York, Judy W. Randolph 35.818219 -79.635853 71.3 B2C2 - Badin-Tarrus 12 NC-RD-101-10 York, Earl D., Jr.; York, Judy W. Randolph 35.814386 -79.639503 16.8 BaC - Cadin-Tarrus 12 Total for Randolph County, 492.88 Total 729.08 1. See Figure 1. 2. See Figure 2. 3. See Figure 3. WQ0001684 Version 4.1 Attaclunent B Page 2 of 3 ATTACHMENT B — APPROVED LAND APPLICATION SITES City of Asheboro — City of Asheboro Class B Residuals Program Certification Date: September 14, 2022 Permit Number: WQ0001684 Version: 4.1 4. See Figure 4. 5. See Figure 5. 6. This field is currently unsuitable for the application of residuals. Residuals shall not be applied to this field until it is cleared and made suitable for the application of residuals, a detailed site review is performed by the Winston-Salem Regional Office, and permission to apply the residuals is granted by the Winston-Salem Regional Office. 7. See Figure 6. 8. See Figure 7. 9. See Figure 8. 10. See Figure 9. 11. See Figure 10. 12. See Figure 11. 13. See Figure 12. 14. See Figure 13. 15. A re -defined compliance boundary has been approved for this land application site. Note that the 100-foot setback between wells and the land application area shall still be met. WQ0001684 Version 4.1 Attachment B Page 3 of 3 Applicant's name: City of Asheboro Land application sites currently certified: 729.08 net acres and Total to be certified: 838.15 net acres. L LAND APPLICATION SITE INFORMATION (See Instruction B): Status Code a Site/Field ID Landowners �) Lessees or Operator(s) �) Net Acres County t3 Crop(s) s P�) Predominant Soil Series Nameb Ma m Unit or Rep. Slope' N NC-GU28-01 EMH Farms LLC 16.82 Guilford Fescue Enon EnB N NC-GU28-2A EMH Farms LLC 16.29 Guilford Fescue Enon EnB N NC-GU28-2B EMH Farms LLC 7.06 Guilford Fescue Enon EnB N NC-GU28-03 EMH Farms LLC 12.54 Guilford Fescue Enon EnB N NC-GU28-04 EMH Farms LLC 9.94 Guilford Fescue Enon EnB N NC-GU28-05 EMH Farms LLC 16.17 Guilford Fescue Helena HhB N NC-GU28-06 EMH Farms LLC 10.32 Guilford Fescue Enon EnB M NC-RD42-02 Fonda Jackson 14.79 Randolph Fescue Badin BaB N NC-RD42-04 Kimball Markham 5.47 Randolph Fescue Badin BaB N NC-RD42-05 Fonda Jackson 5.86 Randolph Fescue Badin BaB FORM: LASC 06-16 Page 1 North Carolina Department of Environmental Quality Pat McCrory Donald R. van der Vaart Governor Secretary Date: 5/25/23 To: Name of Chairman to the Board of County Commissioners: Melvin Alston Complete mailing address: 301 W. Market Street City: Greensboro State: NC Zip: 27401- County where land application sites are located: Guilford From: Applicant's name: City of Asheboro (on behalf of the Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: Mike Wiseman Complete mailing address: PO Box 1106 City: Asheboro State: NC Zip: 27204- Telephone number: (336) 626-1245 E-mail address: mwisemankci.asheboro.nc.us Subject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources for the land application of residual solids to site(s) located in your county. During this review, the Division will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: Name of appropriate regional office: Winston Salem Regional Office Complete mailing address: 450 West Hanes Mill Rd City: Winston-Salem State: NC Zip: 27105- Telephone number: (336) 776-9800 Expected date of application submission: 6/1/23 Should you desire to comment on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. Enclosures: Source Facility Summary Land Application Site Summary Maps Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-6464 \ Internet: httyflPortal.ncdenr.org/web/wg An Equal Opportunity \ Affirmative Action Employer— Made in part with recycled paper FORM: CBN 06-16 North Carolina Department of Environmental Quality Pat McCrory Donald R. van der Vaart Governor Secretary Date: 5/25/23 To: Name of Chairman to the Board of County Commissioners: Darrell Frye Complete mailing address: 725 McDowell Rd City: Asheboro State: NC Zip: 272054L— County where land application sites are located: Randolph From: Applicant's name: City of Asheboro (on behalf of the Division of Water Resources in accordance with Session Law 2013-340) Contact person and title: Mike Wiseman Complete mailing address: PO Box 1106 City: Asheboro State: NC Zip: 27204- Telephone number: (336) 626-1245 E-mail address: mwisemankci.asheboro.nc.us Subject: Notification of residual land application site proposal This is to notify you that the Applicant listed above will be submitting an application to the Division of Water Resources for the land application of residual solids to site(s) located in your county. During this review, the Division will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals -generating sources and locations of the proposed land application sites. Please forward this letter and its associated attachments to the appropriate Department within your County (i.e., Health or Environmental Health Department and Planning Department) if applicable. More information of the land application sites included in this application will be available at the following Division of Water Resources Regional Office: Name of appropriate regional office: Winston Salem Regional Office Complete mailing address: 450 West Hanes Mill Rd City: Winston-Salem State: NC Zip: 27105- Telephone number: (336) 776-9800 Expected date of application submission: 6/1/23 Should you desire to comment on this application, please do so no later than 30 calendar days following the expected application submission date. If you have any questions or comments about this notification, or if you would like more information, please contact the appropriate regional office at the telephone number provided above. Thank you in advance for your attention to this matter. Enclosures: Source Facility Summary Land Application Site Summary Maps Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-6464 \ Internet: httyflPortal.ncdenr.org/web/wg An Equal Opportunity \ Affirmative Action Employer— Made in part with recycled paper FORM: CBN 06-16 • Complete items 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. Article Addressed to: GviIt'd 4!1. 601m3cr'-.4ers 30 l W . /larks { S f• 2710 1 A. Sigha� 11 Agent ❑ Addressee 8. R e (P d tm C. D e of D ivery e D. Is delivery address different from item 1? U Yes If YES, enter delivery address below: 0 No 3. Service type ❑ Registered erect M xpressc3 ❑ Adult Signature ❑Registered Mailx"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restrictts X Certified Maii@ Delivery 9590 9402 8099 2349 7270 42 ❑ Certified Mail Restricted Delivery is Signature Confirmatiori ❑ Collect on Delivery ❑ Signature Confirmation 2. Article Number (Transfer from service labeo ❑ Collect on Delivery Restricted. Delivery Restricted Delivery `I insured Mail 7021 2720 0002 1326 4995 ] insured Mail Restricted Delivery (over $500) PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt •l Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, _or on the front if space permits. 1. Article Addressed to: -7Z.S /401)oael t RW. 14A-e6orc / AoC 277-05 9590 9402 8099 2349 7270 59 2. Article Number (Transfer from service labeg 7021 2720 0002 1326 4988 PS Form 3811, July 2020 PSN 7530-02-000-9053 0 A. Si ture ❑ Agent ❑ Addressee ceived, by (Pr' d Name) C. Date of Delivery �56fhe (�t ee Y, 5-31-Zo23 D. Is delivery address diffavent'v x�t,i-tem 1? 0 Yes If YES, enter delive j*G@;g$ fow: 0 No 013170 3. Service Type �L Priority Mail Express@ ❑ Adult Signature ❑ Registered Manx"+ ❑ Adult Signature Restricted Delivery ❑ Registered Ma i Restricted f4 Certified Mail@ Delivery © Certified Mail Restricted Delivery ❑ Signature Confirmation'rM ❑ Collect on Delivery ❑ Signature Confirmation ❑ Collect on Delivery Restricted Deiivery Restricted Delivery ❑ Insured Mail ❑ Insured Mail Restricted Delivery favor $500) Domestic Return Receipt UNITED ED -STATE, POSTAL SER ACT. MOCKSVILLE 1119 YADKINVII-LE RD MOCKSVILLE, NC 27028-2565 ($00)275-8777 05/25/2023 01:32 PN Product Oty Unit-----Pr:ice Price Priority Mail@ --------1- ----.___.-$9 65 Flat Rate Env Greensboro, NC 27401 Flat Rate Expected Delivery pate Fri 05/26/2023 Insurance MOO Up tc $100.00 included Certified Mail@ $4.15 Tracking #: 70212720000213264995 Return Receipt Trac 4-..~ 9511 9402 1199 2349 7270 42 Total 15 Priority Mai Ili 1 $9.65 Flat Rate Env Asheboro, NC 27205 Flat Rate Expected Delivery Date Fri 05/26/2023 Insurance $0.00 Up to $100.00 included Certified Mails $4.15 Tracking #: 7C212720000213264988 Return Receipt rackk ' � i'9590 9402 8099 2349 7270 59� Total Grand Total: $3430 Credit Card Remit $34.30 Card Name: VISA Account #: XXXXXXXXXXXX2968 Approval #: 025574 Transaction #: 681 AID: AOOODO00031010 Contactless AL: VISA CREDIT DWR 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 Quality Permitting Section's Non -Discharge Permitting 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: City of Asheboro 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) NC-GU-28-(1-6) No Hay/Pasture 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 3 L 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 II) 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. 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 of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with 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 pH 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 of other 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 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 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 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 terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. 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 14-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 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. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 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 compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: NC-GU-2841-6) (Please include the rationale for the requested re -location of the 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) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: 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 program; (Name of the 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_ 1 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: 17114LC_ t, L L Address: 71 ID9 - 1440r IDw P-d. City: _ 4_ 4k �o:� State: NC Zip: 72,& Phone: % E-mail address: ignature: �V�S -- - - Date: !a 19/2 3 NORTH CAROLINA, C�� �'`� COUNTY I, the undersigned Notary Public do hereby certify that P2 F qg k a f �- personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the g f I' day of ��,.� - , 20 2 3 Signature and seal: M. Brent Collins My commission expires: r 3/13012e, NOTARY PUBLIC NO My Commission Expires March 30, 2026 Lessee's/Operator's Certification: 1 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: State: Zip: Phone: E-mail address: Signature: Date: Permittee's Certification: 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: Michael R. Wiseman Signature: Michael R. Wiseman (Jun 9, 2023 08:31 EDT) ©ate: J u n 9, 2023 FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 ft from the residuals application area or 50 ft within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL014030 Client: EMH Farms LLC Advisor: Brent Collins Heavy Metals 1311 NC Hwy 62 EMA Resources Inc High Point, NC 27263 755 Yadkinville Rd # ' Soil Report-3 Extraction Mocksville, NC 27028 _ Sampled County : Guilford Links to Helpful Information Client ID: 536578 Advisor ID: 405413 Sampled: Received: 11/16/2022 Completed: 11/18/2022 Farm: GU28 Agronomist's Comments: . This report contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under soil test lab results. Using Mehlich 3 as a soil test extractant, background levels of these metals typically seen in NC soils when analyzed are as follows: arsenic (As)- 4.5 ppm, cadmium (Cd)- 0.1 ppm, chromium (Cr)- 0.2 ppm, lead (Pb)- 4.2 ppm, nickel (Ni)- 0.8 ppm, & selenium (Se)- 0.2 ppm (FY2005-2007). Note elevated zinc (Zn) and lead (Pb) in many samples; elevated nickel (Ni) in sample 3. Although the above metals here are not believed to pose a concern for plant growth, continue to monitor these and note where elevated above background levels. Note any lime and fertilizer recommendations. Where soil test phosphorus (P) is very high (P-I > 100), crops will not respond to additional P applied. Tissue testing is advised where soil pH is elevated as in samples found here. Ja athi Kamalakanthan 11/18/2022 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 40 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.11 8.4 81 1.6 5.9 40 88 56 20 40 220 149 1394 1394 95 0.1 1 Heavy Metals (parts per million): Arsenic, 0.0 Cadmium, 0.2 Nickel, 0.5 Chromium, 0.2 Lead, 17.2 Selenium, 0.0 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 60 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.09 10.1 87 1.4 6.0 72 41 59 25 50 304 199 1206 1206 105 0.2 2 North Carolina J Tcbatcu (rusk f umi Cixnmisslan Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL014030 Page 2 of 4 Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.2 Nickel, 1.0 Chromium, 0.4 Lead, 14.3 Selenium, 0.2 Sample ID: 00003 Lime History: Recommendations: Lime Crop (tons/acre) N P2O5 1-Fescue/OGrass/Tim, M 0.0 120-200 0 2 - 0.0 K2O 90 Nutrients (lb/acre) Mg S 0 0 Mn 0 Zn 0 Cu 0 B 0 More Information Note: 12 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% 0.41 1.18 9.4 83 1.6 5.9 74 26 61 20 S-1 Mn-I 36 172 Soil Class: Mineral Mn-All Mn-Al2 Zn-I Zn-AI 120 1387 1387 Cu-I 135 Na ESP SS-1 NO3-N 0.1 1 Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.2 Nickel, 1.9 Chromium, 0.3 Lead, 19.3 Selenium, 0.0 Sample ID: 00004 Lime History: Recommendations: Lime Crop (tons/acre) N P2O5 1-Fescue/OGrass/Tim, M 0.0 120-200 0 2 - 0.0 K2O 20 Nutrients (lb/acre) Mg S 0 0 Mn 0 Zn 0 Cu 0 B 0 More Information Note: 12 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% 0.27 1.19 6.8 85 1.0 6.4 181 66 55 25 S-1 Mn-I 41 186 Soil Class: Mn-All Mn-AI2 123 Mineral Zn-I Zn-AI 617 617 Cu-I 34 Na ESP SS-1 NO3-N 0.2 3 Heavy Metals (parts per million): Arsenic, 0.3 Cadmium, 0.1 Nickel, 0.2 Chromium, 0.4 Lead, 14.1 Selenium, 0.2 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL014030 Page 3 of 4 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.4 120-200 130 110 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.14 7.7 81 1.4 5.8 8 14 52 29 29 200 137 254 254 55 0.2 3 Heavy Metals (parts per million): Arsenic, 0.0 Cadmium, 0.1 Nickel, 0.5 Chromium, 0.5 Lead, 5.6 Selenium, 0.2 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 60 130 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.27 4.7 91 0.4 6.7 31 9 61 28 31 216 136 199 199 46 0.2 4 Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.0 Nickel, 0.3 Chromium, 0.3 Lead, 4.7 Selenium, 0.1 Sample ID: 00007 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 30 100 0 0 0 0 $ 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.17 5.8 77 1.3 5.9 48 19 59 17 40 187 129 568 568 22 0.2 3 Waypointo ANALYTICAL 11 /8/2022 EMA Resources Inc 755 Yadkinville Road Mocksville, NC, 27028 Ref: Analytical Testing 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com Report Number: 22-305-0007 Project Description: EMA Resources Inc Waypoint Analytical Virginia, Inc. received sample(s) on 11/1/2022 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information Sincerely, �aw,c M( G10"r Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Page 1 of 12 • 7621 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 22-305-0007 Client Project Description: EMH Farms LLC Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 59796 01 Solids 11/01/2022 SW-7471B WP MTN 59796 01 Solids 11/01/2022 6010D WP MTN 59797 02 Solids 11/01/2022 SW-7471B WP MTN 59797 02 Solids 11/01/2022 6010D WP MTN 59798 03 Solids 11/01/2022 SW-7471B WP MTN 59798 03 Solids 11/01/2022 6010D WP MTN 59799 04 Solids 11/01/2022 6010D WP MTN 59799 04 Solids 11/01/2022 SW-7471B WP MTN 59800 05 Solids 11/01/2022 SW-7471B WP MTN 59800 05 Solids 11/01/2022 6010D WP MTN 59801 06 Solids 11/01/2022 SW-7471B WP MTN 59801 06 Solids 11/01/2022 6010D WP MTN 59802 07 Solids 11/01/2022 SW-7471B WP MTN 59802 07 Solids 11/01/2022 6010D WP MTN WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN Page 2 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59796 Matrix: Solids Sample ID : 01 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Mercury <0.139 mg/Kg 0.139 1 11/04/2212:36 JTR SW-7471B Molybdenum <0.250 mg/Kg 0.250 1 11/07/2219:40 EAL 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 3 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59797 Matrix: Solids Sample ID : 02 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Molybdenum <0.250 mg/Kg 0.250 1 11/07/2219:45 EAL 6010D Mercury <0.137 mg/Kg 0.137 1 11/04/2212:37 JTR SW-7471B Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 4 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59798 Matrix: Solids Sample ID : 03 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Mercury <0.158 mg/Kg 0.158 1 11/04/2212:39 JTR SW-7471B Molybdenum <0.250 mg/Kg 0.250 1 11/07/2219:50 EAL 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 5 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59799 Matrix: Solids Sample ID : 04 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Molybdenum <0.250 mg/Kg 0.250 1 11/07/22 20:05 EAL 6010D Mercury <0.149 mg/Kg 0.149 1 11/04/2212:40 JTR SW-7471B Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 6 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59800 Matrix: Solids Sample ID : 05 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Mercury <0.142 mg/Kg 0.142 1 11/04/2212:42 JTR SW-7471B Molybdenum <0.250 mg/Kg 0.250 1 11/07/22 20:10 EAL 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 7 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59801 Matrix: Solids Sample ID : 06 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Molybdenum <0.250 mg/Kg 0.250 1 11/07/22 20:15 EAL 6010D Mercury <0.151 mg/Kg 0.151 1 11/04/2212:43 JTR SW-7471B Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 8 of 12 • 7621 0 Whitepine Road, Richmond, VA 23237 Waypoint Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project EMH Farms LLC 755 Yadkinville Road Report Date : 11/09/2022 Information : Received : 11/01/2022 Mocksville , NC 27028 �oau� �� Grow Report Number : 22-305-0007 REPORT OFANALYSIS Pauric Mc Groary Ph.D., CPA Agronomist Lab No : 59802 Matrix: Solids Sample ID : 07 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Mercury <0.135 mg/Kg 0.135 1 11/04/2212:45 JTR SW-7471B Molybdenum <0.250 mg/Kg 0.250 1 11/07/22 20:20 EAL 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 9 of 12 Waypointo ANALYTICAL Client: EMA Resources Inc Project: EMA Resources Inc Lab Report Number: 22-305-0007 Date: 11 /8/2022 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com CASE NARRATIVE Metals Analysis Method 601 OD Sample 85804 (1315.5-213) QC Batch No: L647398/L646879 One or more Internal Standards are outside method acceptance criteria. Re -analysis and/or sample dilutions are required. Sample 85804 (1315.5-213) Analyte: Molybdenum QC Batch No: L647590/L646879 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. Page 10 of 12 WayPAoInt.. NALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com Shipment Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 22-305-0007 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: Shipping container/cooler uncompromised? * Yes 0 No Number of coolers/boxes received Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Present Custody seals intact on sample bottles? 0 Yes 0 No Not Present Chain of Custody (COC) present? # Yes 0 No COC agrees with sample label(s)? # Yes 0 No COC properly completed # Yes 0 No Samples in proper containers? # Yes 0 No Sample containers intact? # Yes 0 No Sufficient sample volume for indicated test(s)? # Yes 0 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. Samples were considered acceptable as cooling process had begun. 0 Yes No Water - Sample containers properly preserved 0 Yes 0 No N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low concentration EnCore samplers (48 hr) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes * No Comments: Signature: IDavid Lennon Date & Time: 11/01/2022 13:35:29 Page 11 of 12 7 Waypoint ANALYTICAL rw] SOIL SAMPLE INFORMATION SHEET 7621 Whitepine Road Richmond, VA 23237 (804)743-9401 • Fax (804)271-6466 www.waypointana!iiical.com CUSTOMER INFORMATION GROWER INFORMATION EMA Resources I nc. (n (({ r rr1 s I- L C 755 Yadkinville Rd. Mocks►rille, NC 27028 send Report to Iii-mall address brent.rollinsw emaresourcesinc.com A4GOY1k 416245 lYCW IO Farm ID V 2g Field ID Pla;so cke[k;am s In ColVmn Prorided it Herbicide or Nematode a Alyms ra uQ=tad IF Herbicide. please indicate name of Herbicide in Add'I Into ha+ below dumber Sample ID S2M - b A0d'I TMSr 6ok" Atleltlona! kn�nAaE Ir"W"Iad Alrnrfr A�rnaM ►rw %m 6 iHa tIchamnnu 51M 0. Sala T�iiWr� HOS�1 Taw C Coda C YWn Cr"Cog* CM0 Vim Croo ■ Cu F� lipi rile 5 2n rL■1b, s-e e- sew � 0 3 05— Sao _, o m n �j „x M S 1 M - Organic Matter Ptwspnorou5. Potassium Calcium Magnesium pH Buffer pH S2M - S I M plus any two of the following Sodium. Sulfate -Sultur Boron Zinc Manganese Iron Copper Each, addilional test (above two) cost $2 0o w c S3M - S 1 M oluS all of the foHpwn rpq $odium. 5uIfate, Sulfur. Baron Z,.^. = Manganese Iron. Cope2r n a CROP CODES TO BE USED IF FERTILIZER RECOMMENDATIONS ARE REQUESTED - If the cro for whichyou would like recommendations is not listed, write the cropamain the crop code boxes FIELD CROPS FORAGE CROPS 1 Barley 101 Alfalfa Hay 161 Coastal Bermuda Hay 5 Canala 103 AlfalWCool Season Grass Hay 162 Caaslal Bermuda Pasture TURFGRASS 10 Corn 106. AlfalfalWarm Season Gress Hay 172 Cool Season Grass Pasture 512 Bar+,agrass Lawn 11 CorNSoybeans Rotation 116 Bahiagrass Hay 173 Coal Season Grass Hay 513 Bahiagrass Sad Production 12 Coco • No Till 117 Bah,agrass Pasture 181 Fescue Hay 517 8entgrass Green 13 Coco Silage 121 Common Bermuda Hay 182 Fescue Pasture 521 Bermudagrass Athletic Feld 20 Cotton 122. Common Bermuda Pasture 183 Fescue+legume Hay 522 Sermudagrass Fairway 21 Cotton - No Till 123. Common BermudarLegume Hay 184 Fescue/Legurne Pasture 523 Sermuciagrass Green 25 Grain Sorghum 124 Common BermudWLegurne Pasture 23-1 R ress 524 Hermudagrass Lawn INDICATE TYPE OF GRAB$ ANp1OR LEGUME 30 Oats 525 Bermudagrass Sad Producti[ 32 Peanuts 526 Bermudagrass Tee 34 Popcorn 207 OTHER HAY 533 Bluegrass Lawn 35 Rapeseed 534 Bluegrass Sod Production 38 Rice 298 OTHER PASTURE Safi Centipede Lawn 39 Rye ----- 547 Centipede SoR Production 45 Soybeans 2W CRP 561 Fescue Athletic Field 46 Soyteans - No Till 563 Fescue Lawn V E ABLE CROPS FRUIT 8 NUT CROPS 51 Sugarcane - Plant 307 Beans - Lima 381 Spinach 400 Apples 584 Fescue Sod Production 52 Sugarcane - Stubble 309 Beans • Snap 382 Squash 410 Blueberries 576 St Augustine Lawry 62 Tobacco • Burley 320 Cabbage 383 Sweet Corn 420 Citrus 577 St Augustine Sod Production 63 Tobacco - Dark 322 Cantaloupe 384 Sweet Potato(ton) 430 Grapes 583 Z0ySiagr35s Lawn 64 Tobacco - Flue Cured 330 Cucumbers 391 Sweet Potato(bu) 410 Peaches 584 Zoysiagrass Sod Production 75 Wheat 340 Garden 385 Tomatoes 475 Pecans 78 Wheat S+IaWCOrrf Silage 364 Peppers 398 Wa',ermelnns 490 S[rawoerries 92 Wheali( ears Double Crop These samples need to be analyzed for - Mercury and Molybdenum oubmit[al or inrormauon sheet to n ilions All prices are subject Additional lees ma be charged to Client it Saco a rest0 Change Wlihou[ noflce y g pl requires additional pre procedures Page 12 of 12 13K 2869 PG 2090 (2) /ma;14P: eAA Non -Standard Doeitmeltt Fee apl;lies due to; ?5°°- double eid&4 This document presented and filed: 08/0412023 10:49:49 AM AGREEMENT Fee $51.00 Excise Tax: $O.0 �1111MM1111111111 20168696 Randolph County North Carolina Krista M. Lowe, Register of Reeds State of North Carolina Department of Environmental Quality Division of Water Resources NON -DISCHARGE RESIDUALS MANAGEMENT PROGRAM WAIVER FOR THE APPLICATION OF CLASS B RESIDUALS AGREEMENT TO 'WAIVE SETBACKS PURSUANT TO 15A NCAC 02T .1108(c) Kimball Markham certify that I am a deeded owner of the property located at: Address: 4963 Valley Farm Rd Parcel No.: 88607 Denton NC 27239 Randolph City: State: Zip Code: County: Furthermore, I certify that 1 am authorized to make decisiorts regarding this property, and that I do hereby agree that the setback distances cited below be granted to the ApplicantiPermittee listed on the following page - For the parcel identified above, I consent to a reduced setback from feet to feet, thereby allowing the application of Class B residuals as near as feet from my property line. E--For the parcel identified above, I consent to a reduced setback from 400 feet to 100 feet, thereby allowing th application of Class B residuals as near as feet from my residence. **THIS WAIVER SH TERMINATED UPON C NGE OF OWNERSHIP OF ANY PARTIES INVOLVED' Signat Date: C3 FORM:NDRMPW-LAS II -IS Page I oft BK 2869 PG 2091 DOC#20168696 Appticant/Permittee: City of Asheboro Address: PO Box 1106 City: Asheboro Parcel No.: E9607 State: NC Zip Code: _ 27204 County: Randolph NORTH iCAROLINA, RandolphCOUNTYCOUNTY 1, 1 1 1Q l Ui1 JI 1�l � �; a Notary Public for County, North Carolina, do hereby certify that �J MU 1 rf My & d rn personally appeared before rite this day and acknowledged the due execution of the foregoing instrument. Witness my hand and official seal, this the � day of sir•' ���'� ''ss 5 kA' > QgAR1, 4 = Signature of Notary Public 1 x= PUs',- ti -; My commission expires 81141 a0 a3 0LVT, �l11Iy11Nlllf�` Once notarized, this form shall be recorded at the Register of Deeds in the county or counties in which the described properties are located. A copy of the recorded waiver shall be sent to the following address: Division of Water Resources Non -Discharge Branch 1617 Mail Service Center Raleigh, North Carolina 27699_ 16I 7 FORM: NDRMPW-I.AS I1-1S Page 2af2 Krista M. Lowe Randolph County Register of Deeds 158 Worth Street Asheboro, NC 27203 PG Box 4468 Asheboro, NC 27204 (336)318-6960 Receipt For Services Receipt Started: 0810412023 10:47:25 AM Receipt #: 20230804104725-41 EMA RESOURCES INC MARKHAM EMA RESOURCES INC 755 YADKI N VI LLE RG M KSVI LLE N C 27028 AGREEMENT Book 1 Page: 286912090 - 2 Page(s) Time- 08. 04i2023 10-49-49 AN1 Recording Fee. $51-00 Excise Tax- $0-00 Non: Standard Document Charge (Included in Recording Fee)_ 25_00 SUBTOTAL $51.00 POSTAGE SUBTOTAL: M Receipt Total: $52.00 Check: $52.00 . Check # 32020 - $52.00 Change Clue: $0_00 Friday August 4. 2023 10:50:26 AM - DWR 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 Quality Permitting Section's Non -Discharge Permitting 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: City of Asheboro 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) NC-RD-42-(2,4,5) No Hay/Pasture 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 3 L 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 II) 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. 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 of the equipment used by the Permittee. 7. The Permittee will provide the landowner or his representative with 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 pH 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 of other 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 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 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 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 terns and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the tern of, and 12 months after termination of, this Agreement. IL RESTRICTIONS: 1. 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 14-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 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. III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 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 compliance boundary. Please mark one of the following; ® A re -defined compliance boundary is needed for field(s) ID: NC-RD-(2.4.5) (Please include the rationale for the requested re -location of the 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) ❑ The land application field(s) ID: is currently permitted under another residuals land application program; Permit Number WQ: 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 program; (Name of the 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 A 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: {� Wf � tic VVI oce— City: � � % State: /y Zip: C91 / 9�3 9 Phone: E-mail address: �� j e) G. C-0 IM Signa e: Date. 1 NOR H CAROLINA, lkavidol h COUNTY I, the undersigned Notary Public do hereby certify that 16m ts. I I M a r {{Yt A, personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 1 T day of AV .� s , 20 z 1 Signature and seat: iLf H_Man! Alline My commission expires: Lessee's/Operator's Certification: Davie County, NO My Commission Expires March 30, 2026 I 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: Michael R. Wiseman Jun 9, 2023 Signature: Michael R. Wiseman (Jun 9, 2J23 J8:31 EDT) Date: FORM: LOA 06-16 Page 3 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: Lon . & n,) /AC. -K�5 d ✓Address: VCity: - — State: P Zip: 3/ VPhone: 33 r V E-mail address: Signatur - — - Date: NORTH CAROLINA,�Ao1ph COUNTY I, the undersigned Notary Public do hereby certify that Fonda Ta Ci"�/ son personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the 2 B+h � ••`�c����r,,`_'',�.� day of Signature and seal: My commission expires: 8i 1z Lessee's/Operator's Certification: 0 V 0 \M14 Q � I 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: Michael R. Wiseman Jun 9, 2023 Signature: Michael R. Wiseman (Jun 9, 232308:31 EDT) Date: FORM: LOA 06-16 Page 3 of 3 The compliance boundary is established either 250 it from the residuals application area or 50 it within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well 3 A r y� a >,w W. Field Total Acres Applicable Acres 1 18.36 15.1 3 13.3 7.1 4 8.49 5.47 SCALE: DATE: 08-07-23 w DRAWN BY: BC .Resources, Inc. r A 1 'a ♦ Structure Well ■ Off Site Dwelling On Site Dwelling Road f. X — X - Fenceline 4 Drain Stream Pond ® Buffer Field Boundary Simi=. Esri, M ar, GeoE�ye, E rthster ! Property Boundary USGS,AeroGRdD, IGN, nit the L�� IW City of Asheboro FIGURE NO. Land Application Program 2 NC-RD-42 Kimball Markham The compliance boundary is established either 250 it from the residuals application area or 50 it within the property boundary, whichever is closest to the application area. The review boundary is established midway between the compliance boundary and the perimeter of the residuals application area. The review boundary for this site has been modified to allow for application up to 100 feet from on -site water supply well Field Total Acres Applicable Acres 2 18.13 14.79 5 7.9 5.86 SCALE: 1 ° = 440 '- DATE: 08-07-23 DRAWN BY: BC EMA 'esources, Inc. 5 ' ■ Off Site Dwelling A Structure 0 Off Site Dwelling - Waiver Well x — x - Fenceline Drain - - - Stream Property Boundary ® Buffer ` Field Boundary Esri, M ar, GeoE�ye, E Pond USGS,AeroGRdD, IGN, City of Asheboro FIGURE NO. Land Application Program NC-RD-42 Fonda Jackson NCDA&CS Agronomic Division Phone: (919) 664-1600 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL034799 kSi l"14'4+;4, Client: Kimball Markham Advisor: Brent Collins Predictive 4794 Valley Farm Rd EMA Resources Inc °± f' Denton, NC 27239 755 Yadkinville Rd �- Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County : Randolph _1 Links to Helpful Information Sampled: Received: 06/22/2023 Completed: 07/04/2023 Farm: RD42 Client ID: 460568 Advisor ID: 405413 Sample ID: 001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 40 70 0 0 0 0 0 0 Note: 12 2- Fescue/OGrass/Tim, M 0.0 120-200 40 70 0 0 0 0 0 0 Note: 12 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.01 8.2 80 1.6 6.0 43 33 56 22 43 851 527 527 305 305 264 0.1 1 Sample ID: 002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.5 120-200 40 80 0 0 0 0 0 0 Note: 12 2- Fescue/OGrass/Tim, M 0.0 120-200 40 80 0 0 0 0 0 0 Note: 12 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 1.08 7.1 77 1.6 5.7 44 29 57 19 31 82 66 66 114 114 68 0.1 1 North Carolina Tai wLm Truk f and Ctwinlsskm Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 664-1600 Website: www.ncagr.gov/agronomi/ Report No. FY23-SL034799 Kimball Markham Page 2 of 3 Sample ID: 003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.3 120-200 0 0 0 0 0 0 0 0 Note: 12 2- Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 0.98 11.2 82 2.0 5.9 125 163 53 22 48 321 210 210 396 396 200 0.1 1 Waypointo ANALYTICAL 9/2/2021 EMA Resources Inc 755 Yadkinville Road Mocksville, NC, 27028 Ref: Analytical Testing 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com Report Number: 21-238-0004 Project Description: Kimball Markham Waypoint Analytical Virginia, Inc. received sample(s) on 8/26/2021 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information Sincerely, �aw,c M( G10"r Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. Page 1 of 7 • Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 21-238-0004 Client Project Description: Kimball Markham Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 77598 04 Solids 08/26/2021 6010D WP MTN 77598 04 Solids 08/26/2021 SW-7471B WP MTN 77599 05 Solids 08/26/2021 6010D WP MTN 77599 05 Solids 08/26/2021 SW-7471B WP MTN WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN Page 2 of 7 • 0 Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project Kimball Markham 755 Yadkinville Road Report Date : 09/02/2021 Information : Received : 08/26/2021 Mocksville , NC 27028 �oau� �� Grow Pauric Mc Groary Ph.D., CPA Report Number : 21-238-0004 REPORT OFANALYSIS Agronomist Lab No : 77598 Matrix: Solids Sample ID : 04 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Nickel 6.97 mg/Kg 0.250 1 08/31/2103:03 JTR 6010D Mercury 0.0390 mg/Kg 0.0151 1 08/30/2111:57 TJS SW-7471B Selenium <0.500 mg/Kg 0.500 1 08/31/2103:03 JTR 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Arsenic 8.26 mg/Kg 0.500 1 08/31/2103:03 JTR 6010D Cadmium 0.513 mg/Kg 0.100 1 08/31/2103:03 JTR 6010D Chromium 28.1 mg/Kg 0.250 1 08/31/2103:03 JTR 6010D Lead 16.2 mg/Kg 0.300 1 08/31/2103:03 JTR 6010D Molybdenum 0.499 mg/Kg 0.250 1 08/31/2103:03 JTR 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit L Limit Exceeded Page 3 of 7 • 0 Waypoint 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Project Kimball Markham 755 Yadkinville Road Report Date : 09/02/2021 Information : Received : 08/26/2021 Mocksville , NC 27028 �oau� �� Grow Pauric Mc Groary Ph.D., CPA Report Number : 21-238-0004 REPORT OFANALYSIS Agronomist Lab No : 77599 Matrix: Solids Sample ID : 05 Sampled: Test Results Units MQL DF Date / Time By Analytical Analyzed Method Nickel 10.2 mg/Kg 0.250 1 08/31/2103:20 JTR 6010D Mercury 0.0423 mg/Kg 0.0154 1 08/30/2112:01 TJS SW-7471B Selenium <0.500 mg/Kg 0.500 1 08/31/2103:20 JTR 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Arsenic 9.60 mg/Kg 0.500 1 08/31/2103:20 JTR 6010D Cadmium 0.516 mg/Kg 0.100 1 08/31/2103:20 JTR 6010D Chromium 26.6 mg/Kg 0.250 1 08/31/2103:20 JTR 6010D Lead 21.5 mg/Kg 0.300 1 08/31/2103:20 JTR 6010D Molybdenum 0.450 mg/Kg 0.250 1 08/31/2103:20 JTR 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit L Limit Exceeded Page 4 of 7 Waypointo ANALYTICAL Client: EMA Resources Inc Project: Kimball Markham Lab Report Number: 21-238-0004 Date: 8/31 /2021 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com CASE NARRATIVE Metals Analysis Method 601 OD Sample 77602 Analyte: Lead QC Batch No: 1-571832/1-571546 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Page 5 of 7 WayPAoInt.. NALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com Shipment Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 21-238-0004 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: Shipping container/cooler uncompromised? * Yes 0 No Number of coolers/boxes received Custody seals intact on shipping container/cooler? 0 Yes 0 No Not Present Custody seals intact on sample bottles? 0 Yes 0 No Not Present Chain of Custody (COC) present? # Yes 0 No COC agrees with sample label(s)? # Yes 0 No COC properly completed # Yes 0 No Samples in proper containers? # Yes 0 No Sample containers intact? # Yes 0 No Sufficient sample volume for indicated test(s)? # Yes 0 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. Samples were considered acceptable as cooling process had begun. 0 Yes No Water - Sample containers properly preserved 0 Yes 0 No N/A Water - VOA vials free of headspace 0 Yes 0 No N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low concentration EnCore samplers (48 hr) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes * No Comments: Signature: lBrandi Watson Date & Time: 08/26/2021 07:55:59 Page 6 of 7 Waypo�r ANALYTIC 7621 Whitepine Road Richmond, VA 23237 104) 743.9401 • Fax (804) 271.6466 www-wa ointan i i aE cgm OMER 11111-%M lRAI KM UHU1fl M INFUHMAI PUN EMA Resources Inc. K; M6•it M410to11 755 Yadkinville Rd. Mocksville, NC 27028 Sand Report to e-mail address }Irent.coffins@emareyourceslnc.corn 46245 Girower IU Farm ID Field ID Please CheCk S2rMWrVkP1es in colurrvn gpKrovided iI HerhlCIde or NemaIOde anal y SiS re quL5ted If HerbiLido. picase indicate name of Herbicide in Add 'I Info box below. Lab Number Sample 11) szkl - wd I TQaRS SWuMa wgdw seal kkandad h+tsndrd Altarnda Aaernsf+ Prl'nnn F 11-11111 ueepnl (ir:har6 rest st 6 Car ie IAn Ila S 2n S]M San: Terturc Np}H rests C Coda C YieW C Code Cr ymld Crup � ]?� 014 �C o S 1 1 d- it I I S I M - Orgarwc Matter, Phosphorous, Potassium. Calcium. Magnesium, pH. Buffer pH S 2 M S1M plus any two of the following- Sodium. Sulfate- Suit ui, Boron, Zinc. Manganese, Iron• COPpi•I C,x h ,IddiIIonaI P0,P (01)w0 IVO) 51 Se? S3M - SIM us all of the lot lowl Sodium, Sulfate, Sulfur- Boron Zinc Manganese. Iron. C22Er CROP CODES TO BE USED IF FERTILIZER RECOMMENDATIONS ARE REQUESTED If the crop for which You would like recommendations is not listed, write the crop name in the crop code lit 1. aartey 5. Carols 10. Core 11- CorntSoybeans Rotation 12 Corn, No Tili 13. Core Silage 20. Cotton 21, Cotton • No Till 25. Grain Sorghum 30. pats 32- Peanuts 34. Popcorn W Rapeseed 36. Rice 39. Rye 45. Soybeans 46. Soybeans - No Till 51. Sugarcane - Plant 52. Sugarcane - Stubble 62L Tobacco - Burley 63. Tobacco - Dark 64. Tobacco - Flue Cured 75. wheat 78- Wheat SilagelCorn Silage 101 Alfal!d Haj 161 Coastal Bermuda Hay 103- ARaRalCool Season Grass Hay 162- Coastal Bermuda Pasture 106. AlfallaMarm Season Grass Hay 172 Cool Season Crass Pasture 116L Bahiagrass Hay 173. Cool Season Crass Hay 117- Bahiagrass Pasture 181. fescue Hay 121. Common Bermuda Hay 182- fescue Pasture 122. Common Bermuda Pasture 183. FescuerLegume Hay 123. Common Bermuda1egume Hay 184 Fescuell-egume Pasture OTHER HAY OTHER PASTURE CRP VEGETABLE CROPS FRUIT 8 NUT CR( 307. Beans Lima 381. Spinach 400 Apples 309 Berms - Snap 302 Squash 410 Blueberries 320. Cabbage 383. Sweel Corn 420 Citrus 322 Cantaloupe 384. Sweel Pbtato0on) 430 Grapes 330. Cucumbers 391. Sweet Potatolbu) 470 Peaches 340 Garden 385. Tomatoes 475 Pecans 369 Peppers 398. Watermelons 490 Sirawbemes IAgniomi Tests or other intormatlorl NCDA FORMAT Additionally these samples need to be analyzed for: Arsenic, Cadmium, Chromium, Lead, Mercury, Molybdenum, Nickel, and Selenium TURFGRASS 512 Barragrass Lawn 513 Bahlayrass Sod Prodi 517- Benlgrass Green 521 Bermudagrass Athletic 522 Bermudegrass Fairwe 523 Bermudagrass Green 524 Bermudagrass Lawn 525, Berriudagrass Sad Pr 526. Bermudagrass Tee 533 Bluegrass Lawn 534. Bluegrass Sod Produc 546. Centipede Lawn 547. Centipede Sod Produc 561 Fescue Athletic Field 563. Fescue Lawn 564. Fescue Sod Pr iductior 576 St Augustine Lawn 577 St Augustine Sod Production 583. Zoysiagrass Lawn 584 Zoysiagrass Sod Production of information sheet to Waylxnnl Analytica$, Inc is acceplame of our lcvm5 and conditions Ail prices are subiet Additional lees may be charged to client if sample requires additional preparation procedures. Page 7 of 7 May 24, 2023 EMA Resources, Inc. 755 Yadkinville Road Mocksville, North Carolina 27025 Attention: Mr. Brent Collins Director of Technical Services Reference: Soil Scientist Services for Permit Application City of Asheboro — Asheboro, North Carolina Guilford and Randolph County Sites WMSS Project No. 15-06, Phase: 10 Dear Mr. Collins: Willcox & Mabe Soil Solutions, PLLC (WMSS) has conducted a Soil Scientist Evaluation per WMSS Proposal No. 2016-P07 dated May 3, 2016. The evaluation was performed to provide information for submitting a modification to a non -discharge permit to the North Carolina Department of Environmental Quality (NCDEQ) — Division of Water Resources (DWR), Non -Discharge Permitting Unit (NDPU) in accordance with 15A NCAC 2T .1104(c)(2)(A). The evaluation was conducted to assess the soil properties of the proposed acreage and to determine suitability for land application activities in the referenced permit application. WMSS has included our findings in Appendix I and II in order for this information to be incorporated into the permit modification package being prepared by EMA Resources, Inc. (EMA). The Appendices summarize our evaluations, findings, and recommendations. Should you have any questions or comments about this report please feel free to contact us at (336) 312-1396. Sincerely, Willcox & Mabe Soil Solutions, PLLC A-4 Martin Mabe Agronomist _ Z �4ao_)Z_ Rob Willcox, L.S.S. Soil Scientist Attachments: Appendix I — Summary Table Appendix II — Maps, Soil Profile Description Sheets SharedlWMSS Projects12015115-06 EMA ResourcesThase 01 - AsheborM2023 AsheborolPhase 1 Soil Scientist Report - Asheboro Land Application Program.doc APPENDIX I - SUMMARY TABLE On May 19, 2023, an employee of Willcox & Mabe Soil Solutions, PLLC (WMSS) under the direction of a licensed soil scientist performed hand auger borings on the following sites and determined that the noted soil series was present for each of the following new areas of Fields NC-GU-28-1, NC-GU-28-2A, NC-GU-28-2B, NC-GU-28-3, NC-GU-28-4, NC-GU-28-5, NC- GU-28-6, NC-RD-42-2, NC-RD-42-4, and NC-RD-42-5 added by EMA and evaluated by WMSS: Project County Site No. Field No. Soil Series / Mapping Unit Evaluated by WMSS, PLLC Asheboro Guilford NC-GU-28 I Enon / EnB NC-GU-28 2A Enon / EnB NC-GU-28 2B Enon / EnB NC-GU-28 3 Enon / EnB NC-GU-28 4 Enon / EnB NC-GU-28 5 Helena / HhB NC-GU-28 6 Enon / EnB Randolph NC-RD-42 2 Badin / BaB NC-RD-42 4 Badin / BaB NC-RD-42 5 Badin / BaB The hand auger borings were performed to determine if the proposed land application sites were suitable for land application activities in accordance with 15A NCAC 2T .l I04(c)(2)(A) and to be incorporated into a permit modification package for the City of Asheboro in Asheboro, North Carolina. All new areas of fields evaluated were found to be suitable for land application activities_ Please reference the attached maps for hand auger boring locations (noted by a green circle with an "x") and subsequent soil profile descriptions. 4ao-)Z- — V�W'/ Rob Willcox NC Licensed Soil Scientist # 1098 APPENDIX II - MAPS, SOIL PROFILE DESCRIPTION SHEETS WILLCOX & MASE SOIL SOLUTIONS, PLLC SITE/SOIL EVALUATION Project No. 65'�: cDj Phone No. Date•. Location % ro-e,-7-L, Pin County: /& -' 4� Property Size Proposed Facility: A-51, o orD L--J �A-A;t, ,Water Supply: On -Site Well Q Evaluation: Auger Boring Community ❑ Pit ❑ Described By: d }-� l tL a'1 t.�. E, Public ❑ Cut ❑ Weather:,�� �j_ Antecedent Moisture Surface Water: FACTORS PROFILE PROFILE PROFILE PROFILE � Landscape Position %ox �` ��� 2— Horizon Depth I ��- Color Mansell ,�d;; �i'y Texture Structureti Consistence � � � %� f� � fZ i !mot Boundary Horizon Depth II 'y- / ff lC� Color— Munseil Texture Mottles — t Structure Consistence i j7 • i., ✓ Boundary Horizon Depth III � 1 V'—r� Color— Munsell •} i, Sri`' i� yetr�/,�Z•! Texture Mottles Structure Consistence Boundary Horizon Depth IV f Color— Munsel[ Texture i Mottles ' Structure Consistence Boundary Soil Wetness ,1 n , Restrictive Horizon , TIA4�,'� :> Saprolite !r ,/1 LTAR Classification LEGEND LANDSCAPE POSITION R Ridge Interfluve S Shoulder L Linear Slope FS Foot Slope N Nose Slope H Head Slope Cc Concave Slope Cv Convex Slope T Terrace P Flood Plain TEXTURE s sand Is loamy sand s[ sandy loam I loam si silt sil silt loam sic[ silty clay loam Cl clay loam sel sandy clay loam sc sandy clay sic silty clay c clay CONSISTENCE WET Ns non -sticky Ss slightly sticky S sticky Vs very sticky s Np non -plastic Sp slightly plastic P plastic Vp very plastic MOIST vfr Very friable fir friable III firm vfi Very firm STRUCTURE sg single grain m massive cr crumb gr granular sbk subangularb]acky abk angular blocky pl platy pr prismatic WILLCOX & MABE SOIL SOLUTIONS, PLLC SITE/SOIL EVALUATION Project No. Phone No. Date: Location C'aPin Count j" r! y: j (�uc . -.en Property Size ` Proposed Facility: tt�ar �.. ,lZ x, Water Supply: On -Site Well © Evaluation: Auger Boring Q Described By: �'�,: d ,' w r,, Community ❑ Public ❑ Pit Cut ❑ ❑ Weather: Antecedent Moisture Surface Water: FACTORS PROFILE PROFILE PROFILE PROFILE (.0 1`� , Landscape Position % A, �� J% Horizon Depth 1 Color Munsell fD YQ ; /y Texture S Structure 11� k. 1 l e, Consistence r ��:� j� �!} Boundary Horizon Depth It =y' a 77 Color- MunseIl "Ile 1 1 J 21 Texture ��- f� Mottles 1l"c2ie-v ' Structure sC_� ytc� 1✓ rc����C 1,7k ,tip Consistence r, �ti ' 1� fa -r/. n e Boundary Horizon Depth III _71— Al Ar J 1 Color - Munsell 4- Texture Mottles Structure f• I�,, //II Consistence Boundary Horizon Depth [V Color-Munsell Texture .� C,nK1C ran C G Mottles - 'f- r 1 r_ '1 1r / �.7/ !r%1'' i,I n� '- Structure ° ,�. Consistence fry i Boundary Soil Wetness Restrictive Horizon Saprolite LTAR Classification r `r LEGEND LANDSCAPE POSITION R Ridge Interfluve S Shoulder L Linear Slope FS Foot Slope N Nose Slope FI Head Slope Cc Concave Slope Cv Convex Slope T Terrace P Flood Plain TEXTURE s sand Is loamy sand sl sandy loam l loam si silt sil silt loam sic] silty clay loam cl clay loam scl sandy clay loam sc sandy clay sic silty clay c clay Ns non -sticky Ss slightly sticky S sticky Vs very sticky Np non -plastic Sp slightly plastic P plastic Vp very plastic MOIST vfr Very friable fr friable f. firm vti Very firm STRUCTURE sg single grain m massive cr crumb gr granular sbk subangular blocky abk angular blocky pl platy pr prismatic WILLCOX & MABE SOIL SOLUTIONS, PLLC SITE/SOIL EVALUATION Project No. J5­C o PLO Phone No. Location Pin Date: P County: ITo rj Property Size Proposed Facility: A, . ,�,p, Water Supply: On -Site Well Community Described By: A,-� � Public Weather: Antecedent Moisture Evaluation: Auger Boring 0 Pit L1 ❑ Cut ❑ Surface Water: FACTORS PROFILE PROFILE PROFILE PROFILE Landscape Position% Horizon Depth 1 J f 0-7 Color Munsell 1) �//_/:a , j' Yle-11 Texture Structure , , Y > m r Consistence Boundary .Horizon Depth 11 „_ f 77 Color - Munsell Texture Mottles Structure Consistence _ t?' n -SJr!J YI a ? -,'•' .; / •, Boundary Horizon Depth 111 %%. / ,. .! ",� • jam' Color- Munsell Texture �. C Mottles Structure j 1. t lt iC Consistence Boundary Horizon Depth IV t` .. �� Color-Munsell ;Y Texture Mottles { �.t „� �rrC , - L �� r Structure Consistence,: Ll Jr — Boundary Soil Wetness Restrictive Horizon f7 tf ar - Saprolite 1.TAR Classification LEGEND LANDSCAPE POSITION R Ridge intertluve S Shoulder L Linear Slope FS Foot Slope N Nose Slope H Head Slope Cc Concave Slope Cv Convex Slope T Terrace P Flood Plain TEXTURE s sand Is loamy sand sl sandy loam l loam si silt sil silt loam sic[ silty clay loam cl clay loam scl sandy clay loam sc sandy clay sic silty clay c clay CONSISTENCE WET Ns non -sticky Ss slightly sticky S sticky Vs very sticky Np non -plastic Sp slightly plastic P plastic Vp very plastic MOIST vfr Very triable fr friable f; firm vEi Very firm STRUCTURE sg single grain In massive Cr crumb gr granular sbk subangular blocky abk angular blocky pl platy pr prismatic FIT, "ash iA IN ` 01 zip -J f y •s-Ir - 1 , ,� . 2A r- i--*, 5 213 + V - . , 1 If :; SL PI J �Il , �• 7 1: �. r 1 ';-s'R.l .� LYE i' 1•'.i A .NI ,1� _.r,'�,`� 4+'•' .t�T >r. .t_ - � s,� n'.sl � �� •-�a,A +� - 7' s s y ^d�.1 S ,!'" �•4�~,-k* % sli►rK N'r t5>a OuY�l..� 4. 1'' �'i-,,,;,��-i} r ftY. ,'7•' -e1 �, :1: f. �ivt L��`ji i'!"�'• . _ _ �.-altld` a i .'� �"�E'. •..?� f' _ ..'.'1 ,, ft.'i s :s, �r',v }'� `. , �.y}.,.� � :�. +i �;.',- �S ' ,a� - ,�_ ,i .tt► i:t � � 1 �. �i t} �, y, .ty-�y _ r i� Legend EnB Enon fine sandy loam, 2-6%slopes Hand Auger Boring c, .',ii a • - - Soil Series HhB Helena-Sedgefield complex, 0-6%slopes Yr " �t. � a .. t��+ �t, •,�� * � ou sri, M •ear, o - re, �ar€hstar M CNESIAirbus dS, Q Field Boundary EnC Enon fine sandy loam, 6-10%slopes `i'=�'• '`#� i� r e � i er ,a uni ;, SCALE: 1 DATE; FIGURE NO. 1 = 660 ' 05-22-23 City of Asheboro PROJECTNO: DRAWN BY: 11 r Land Application Program W00001684 BC --Re ources, Inc. NC-GU-28 Ryan Hiatt WILLCOX & MABE SOIL SOLUTIONS, PLLC SITE/SOIL EVALUATION Project No. 40ila A, 01 Phone No. Date: Location L Pin County: o[ Property Size P � �, `2�f Proposed Facility: rr-KI , ",,; Water Supply: Described By: Weather: 'I F Q1 Antecedent Moisture On -Site Well ❑ Evaluation: Auger Boring Community ❑ Pit ❑ Public ❑ Cut ❑ Surface Water: FACTORS PROFILE PROFILE PROFILE PROFILE Landscape Position % Horizon Deptlt I Color Munsell0- _ f} 0/ Texture Structure Consistence wLt ter- t �Jr_ ,,�, 2 },�� t� �I I W L -F yl�r Boundary Horizon Depth It Color- Munsell Texture Mottles Structure - �7 t J i �c �a r.. r W �' r ) %r .11/1 -R( /-"/ s , u 1,_4 ,frr- Ilk ' Consistence Boundary Horizon Depth 1[l t-� I Ca ` t4 F , f ) ✓ii/a YZ� Yt 0 Color - Munsell _Y 7Y Texture Mottles Structure S n` r1�• .,i , S fj�' C. r "" ���C- rc<<� 1 1� G'Nti r �a' r_ �r�.. � 1�k Consistence ; '-' . Boundary Horizon Deptli IV �7r- Color- Munsell f Texture Mottles /',u 4A r: laa} !1 \ i 'J ! L G. I i�r i A-, Structure Consistence .rf Z r— Boundary - Soil Wetness Restrictive Horizon r�in�s . r r1 �[ /�_ 4r- Saprolite LTAR Classification LEGEND LANDSCAPE POSITION R Ridge Interfluve S Shoulder L Linear Slope FS Foot Slope N Nose Slope 1-1 Head Slope Cc Concave Slope Cv Convex Slope T Terrace P Flood Plain TEXTURE s sand Is loamy sand sl sandy loam loam si silt sil silt loam sic[ silty clay loam cl clay loam scl sandy clay loam sc sandy clay sic silty clay c clay CONSISTENCE WET Ns non -sticky Ss slightly sticky S sticky Vs very sticky Np non -plastic Sp slightly plastic P plastic Vp very plastic MOIST vfr Very Friable fir friable fi firm vri Very firm STRUCTURE sg single grain m massive cr crumb gr granular sbk subangular blocky abk angular blocky pl platy pr prismatic �T�. pis `-r.-'�i96. �. ./' � ...,�' ,•u' r, i •.' ,y .\ •, 7 �. �� •i4 � �S ,f, i .s e r t l• i LL 1 +al" r!!{i�yy: „S-t'�i• >i.`�''`9'F �"7' 7 i'•. • 4;9 ' t 2 t. Nf r i t m- fFT f F' jc r k- K 1 r+' yMrniiS�_6t ti�sv t y ` .''$ "'"� yk1. ;E•�+sr ;`j�` fi yr: /• !-Ji'�.,•':.%'4'%-x!%e :.�, ' . • -1, �_-: 0 Hand Auger Boring Soil Series Buffer BaB Badin-Tarrus Complex, 2-89,GSlopes 5o frcei, , ,GeE e, �E,arthstrX U Field BoundaryBaC Badin-Tarrus Complex, 8-15%Slo es oGRla,}IQGNand the SCALE: 9 = 440 ' .` City of Asheboro FIGURE N0, DATE: 05-22-23A Land Application Program DRAWN BY: BC --Resources, In.c. NC-RD-42 4 PROJECTNo: ____ -- Markham Properties, Tony Jackson Signature Pages Final Audit Report Created: 2023-06-09 By: Brent Collins (brent.collins@emaresourcesinc.com) Status: Signed Transaction ID: CBJCHBCAABAAFdanOsRLzjEycKzeruBchKNoldW13AKb "Signature Pages" History Document created by Brent Collins (brent.collins@emaresourcesinc.com) 2023-06-09 - 12:21:43 PM GMT- IP address: 206.85.202.26 P+ Document emailed to mwiseman@ci.asheboro.nc.us for signature 2023-06-09 - 12:23:01 PM GMT Email viewed by mwiseman@ci.asheboro.nc.us 2023-06-09 - 12:29:29 PM GMT- IP address: 174.245.86.115 2023-06-09 14Q Signer mwiseman@ci.asheboro.nc.us entered name at signing as Michael R. Wiseman 2023-06-09 - 12:31:08 PM GMT- IP address: 174.245.86.115 All Document e-signed by Michael R. Wiseman (mwiseman@ci.asheboro.nc.us) Signature Date: 2023-06-09 - 12:31:10 PM GMT - Time Source: server- IP address: 174.245.86.115 Q Agreement completed. 2023-06-09 - 12:31:10 PM GMT a Adobe Acrobat Sign