WQ0012662_Permit Application_20010328

DIVISION OF \VATER QUALITY
GROUNDWATER SECTION
/ /LC rGlr 22 200 i
NIENIORAND
Vi\t T' 1.
TO: / 1 r t I},�GL/'{�
RegionalOftice
FROM: YGf vi w GG//ol'v ti
SUBJECT: Application for X Permit Renewal,
New Pernrit
Permit Amentbnent
Repnit/Altertttion ofE.yist. Disposal S}•steer /DEHf
Facility Name: [/ t-t d] ba �,O h
Coudty: L'tct+"h'e1L/1__
Type of Project: La t7w &If)//OYl
APPLICABLE PERMIT NO.s: WQ 49 12 6�J Z GW 010 6 3
DEH
EPA (CONST. GRANTS)
ANIMAL WASTE (DWQ) • ..
A to C
The Groundwater Section has received ONLYONE /llcopy of the referenced permit application. A copy of the
application should have been sent to your Regional Water Quality Supervisor, so please use that copy for
your review - IF A COPY HAS NOT BEEN RECEIVED IN THE REGIONAL OFFICE, PLEASE LET ME
KNOW.
The Groundwater Section has received ONLY ONE fllftl copy of the referenced permit application. A copy of the
application should have been sent to DEH's Regional Soil Specialist, so please use
that copy for your review - IF A COPY HAS NOT BEEN RECEIVED IN THE REGIONAL OFFICE, PLEASE
LET ME KNOW.
}� The Groundwater Section received two (2) copies of the referenced permit application. One copy of the
application documents Nye received is attached.
Please review the application matejials fgr completeness. If you feel additional information is necessary, please
let me know no later than �/ 1 i / 200 A copy of any formal requestfor additional information
will be forwarded to you.
If you do ty�t neef� any additional information to complete your review, please provide your final comments
by / �g / %00 ( . If you request and/or receive additional information, your find comments
\9-9STRAN.SHL (rev. 9/29/98)

DUNBAR FOODS CORPORATION, DUNN, NC FACILITY
PERMIT RENEWAL...... LAND APPLICATION OF RESIDUALS
TABLE OF CONTENTS
ITEM
R.ECEI F-D
Ila
Non -Discharge PennOng
PAGE # INPACKAGE
FORM LAORS 02/95................................................................1 - 18
ATTACHMENT # 1 TREATMENT PROCESS................................19
- 20
ATTACHMENT # 2 TCLP & CHEMISTRY ............................... :.....21
- 27
ATTACHMENT # 3 PATHOGEN REDUCTION..............................28
- 29
ATTACHMENT # 4 DELIVERY & EQUIPMENT ............................30
- 31
ATTACHMENT # 5 PROPER DISTRIBUTION...............................32
- 33
ATTACHMENT # 6 VICINITY MAP............................................34 — 36
ATTACHMENT # 7 SOIL TEST.................................................. 37 — 39
ATTACHMENT # 8 CONTROL OF SITE ACCESS ...........................40
— 41
ATTACHMENT # 9 BUFFER IDENTIFICATION ............................42
— 47
ATTACHMENT # 10 DEFAULT MINERALIZATION RATE
AND N-DECAY SERIES ................................
48 — 51
ATTACHMENT # 11 CUMULATIVE LOADINGS ...........................52
- 54

State of North Carolina RFCEI`JED
Department of Environment, Health and Naturaf,'IR sotirces
Division of Environmental Management
Non -Discharge Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL))1scharge Pemtif !ng
LAND_ APPLICATION OF OTHER RESIDUAL SOLIDS
This application is intended for facilities which are EXEMPT from 40 CFR Part 503
I. GENERAL INFORMATION:
1. Applicant's name (please specify the name of the municipality, corporation, individual, etc.):
2. Print Owners or Signing Official's name and title (the person who is legally responsible for the facility and its compliance):
RC> AU-eT;tJ MA D
3. Mailing address: P o B bX
City: DU lY !Y �yp�l State: ` . C Zip: AV,3
Telephone Number 0/i0
4. Application Date: ,
5,. Fee Submitted: S A— [The permit processing fee should be as specified in 15A NCAC 2H .0205(c)(5).]
6. Specify whether these residuals will be land applied to: agriculnual lands, _ forest, _ public contact sites,
reclamation sites; (Please be advised, if these residuals will be distributed for lawn or home garden use, the
application for the "DISTRIBUTION OF RESIDUAL SOLIDS" should be completed'rarher than this application.)
7. If the alternative for residual disposal consists of "surface disposal" as deimed under 40 CFR Part 503, please complete the
application titled "SURFACE DISPOSAL OF RESIDUAL SOLIDS. Please identify if there is any storage of residuals in
a surface impoundment or disposal thru hmdfilling. Explain:
8. For Class B Residuals (or Class A Residuals to be land applied on a dedicated site), please specify the number of acres on
which residual solids are to be land applied under the authority of this permic ' /
proposed in this application: acres;; total (current and proposed): _ `13C� aces
9. County(ies) where residuals will be land applied: ZIAIa ga 1 �
II. PERMIT LNFORMATION:
1. Application No. (will be completed by DEM):
2. Specify whether project is:_ new; _x renewal`; _ modification
For renewals. complete all sections included in the application, in addition, please submit updated cumulative loadings
for the ten (10) pollutants and undated owner's agreemem for tmh site. i+� 3. N this apnlicarion1 is oem, submitted as a result of a renewal or modification to an e�xi/sftip/�iC ermit Est the existing permit
�
number �W QOIc 66 ;, and its issue dare -AU G. ,6 l (O
FORM: LAORS 03/95
Page 1 of IS

III. FACILITY INFORMATION (attach additional pagess for additional sources of residuals):
1. Name of facilitywhere residuals are generated or prepared: 1UA16 4 R- so c-no
2. Facilitypermit number.4 gL,-; facility permit holder. cDuN h 4(?
3. Specify whether facility in Section IIll.1 is owned by: _ federal; -X private; _y state; _ local government
4. Specify facility design flow -1 G T k - acility average daily flow: MGD;
Type of residual storage: _e /�1PjZt S 2& ( AAI kE
Volume of residual storage: A5 igo > �A4
Length of residuals storage at facility: 30 ' days (the Division requires a minimum 30 days storage in units that
are separate from treatment system, i.e. not in clarifiers, aeration basins, Etc.)• // / . / ,\
Maximum storage time of residuals between application events: _1 days.(W2F409lit-` a � 6W*Md
Estimated volume of residuals: � Q? (dry tons/yr.);
S. Are there any other storage facilities, other than th'e. above, currently on /site: —A-Yes, No.
If Yes, please identify: !HN R—S W�S� L7i4 S/N. S
6. Facility contact (person familiar with residuals preparation):. R6 A(467-;
7. Facility contact's telephone number
8. Location of treatment facility: - Stare; �i�K N G / % County
9. Mailing address: 74 O - cw
10. Latitude: zC� � �� �7 Longitude: ltS r [) �t
11. Specify the source of the residuals: _ treatment of water (alum sludges); _ treatment of industrial wastewater
(100% industrial residuals); _ treatment of industrial wastewater mixed with domestic wastewater (please specify
appropriate percentages of % industrial wastewater, % domestic wastewater .)'I.
Z' other (explain): / L1Qe' BF SVi�F. A7 � lhrD Y-� A; -4A ldk2 2
Attach an explanation of either the treatment process, manufacturing process, .or how the waste is generated Provide full
and complete details of the entire process.
515- erACfl�Er1T-
12. Does the facility which generates the residuals have an approved pretreatment program? _ Yes;No.
This includes facilities which are classified as a "Class I" facility (any publicly owned treatment works iequired, under 40
CFR 403.8, to have an approved pretreatment program or any facility treating domestic sewage that is classified as "Class
r by the appropriate federal or State authority)
IV. RESIDUALS INFORMATION (attach additional pages for additional sources of residuals):
Information for Hazardous Waste (RCRA) Determination. The information requested on the limitations specified below
Pertain only to those residuals that are generated from a municipal wastewater treatment facility with industrial contribution
or active pretreatment program and from any other neamrent facility with wastewater sources that include industrial sources.
a. Are any of the residuals covered by this application listed in 40 CFR 26131-261.33? _ Yes; � No. If Yes,
list the number(s):
FORM: LAORS 02195
Page 2 of 18

b. Do the residuals exhibit any of the four characteristics defined by 40 CFR 261.21-261.24? _ yesAli
No.
Attach laboratory results for the, Toxicity Characteristic Leaching Procedure Analyses, Reactivity, Igniand
Coaosivity for each residual 9Fi� n-tyda01E�-
Note: If the following constituent levels (as determined? by the Toxicity Characteristic Leaching Procedure Analyses) are
exceeded in the residuals or if the pH of the residual is not within the range listed below, the residual is by
definition a Hazardous waste. Chemical analyses must be made to Minimum Detection Levels.
EEM
EEC
Arsenic
5.0
Barium ,
100.0
Benzene
0.5
Cadmium
1.0
Carbon tenachloride
0.5
Chlordane
0.03
Chlorobenzene
100.0
Chloroform
6.0
Chromium
5.0
o-Cresol
200.0
m-Cresol
200.0
p-Cresol
200.0
Cresol
200.0
2,4-D
10:0
1,4-Dichlorobenzene
7.5
1,2-Dichloroee
than
0.5
1,1-Dichloroethylene
0.7
2,4-Dinitrotoluene
0.13
Fudrin
0.02
Heptachlor (and its hydroxide) .
0.008
Hexachloroberizene
0.13
Hexachlcao-1,3-butadiene
0.5
Hexachloroethane
3.0
Lead
5.0
Lindane
0.4
Mercury
0.2
Methoxychlor
10.0
Methyl ethyl ketone
200.0
Nitrobenzene,
2.0
Pentachlorophenol
100.0
Pyridine
5.0
Selenium
1.0
Silver
5.0
Teuarhloroethylene
0.7
Toxaphene
0.5
Trichloroethylene
0.5
2,4,5-Trichlorophenol
400.0
2,4,6-Trichlorophenol
2.0
2,4,5-TP (Silvex)
1.0
Vinyl chloride
0.2
PH (2:1 volJwQ: >2.0 s.u. - <12.5 s.u.
A
NOTE: IF ANY OF THE RESIDUALS MEET THE DEFINITIONS OF A HAZARDOUS . WASTE,
AS NOTED IN EITHER "A" OR 'B" ABOVE, A PERMIT CANNOT BE ISSUED.FOR
THAT RESIDUAL AND .IT SHOULD NOT BE INCLUDED AS PART OF TffiS
APPLICATION.
2. For each residual, please attach a complete chemical analysis of the material. This analysis must be comprehensive enough
to completely characterize the residual and must be based upon a review of the process that generates the material If the
facility that will generate the residual is not. yet in operation, the characterization must be based on similar existing
facilities and projection based on the type of facility. The analysis must include a minimum of the following parameters
and any other known and suspected cony=T^inams that are tributary to the system.
Cadmium
Aluminum
pH
Copper
Ammonia -Nitrogen
Phosphorus
Lead
Calcium
Potassium
Mickel
-Ma-�nesium
Sodium
Zinc
Nitrate-NititeNitrogen
TSN
°% Total Solids
Plant Available Nitrogen (by calculation)
3. Wastewater residuals shall not be applied to the land if the concentration of any pollutant in the residuals exceeds the ceiling
concentrations specified in the table below. Specify the pollutant concentration of these residuals (attach lab analysis):
.S'EF_ f7Tn9cJ�MF..tfl.#-2
Pollutant
Pollutant Ceiling Concentration (mg/kg)
DryWeigItBasis
Pollutant Concentration (mg/kg)
Dry Weight Basis
Cadmium
85
t
Copper
4300
p
Lead
840
Nickel
420
Zinc
.7500
3
FORM: LAORS 02/95
Pape 3 of 18

L
E 47TAC 4MG /� � 3
V . PATHOGEN REDUCTION INFORMATION (attach add, pages for additional sources of residuals):
In accordance with 15A NCAC 2H .0200, pathogen reduction can be achieved using either 40 CFR Part 257 or 40 CFR part
503. Since the pathogen reduction requirements found in 40 CFR Part 257 (note, "Processes to Significantly Reduce
Pathogens" or PSRP) are incorporated into 40 CFR Part 503, only Part 503 is listed below. Please check which of the
following applies to the subject residual:
X100% Industrial Residuals with no domestic contribution (Skip this section, proceed to Section VI)
_ Residuals from the treatment of water (Alum Sludges) with no domestic contribution (Slip this section, proceed to Section
_ Residuals from animal processing plants (if the residuals are being injected into the soil, please explain the process and the
equipment used, skip this section and proceed to Section VI
Industrial residuals with domestic contribution
L In accordance with 40 CFR Part 503, a residual cannot be land applied if it does not meet one of the following alternatives
for Class B pathogen reduction.
Please specify a, bl, b2, b3, b4, b5 or c from below (submit all lab analysis, test results and calculations):
a. at least seven residuals samples should be collected at the time of use and analyzed for Fecal coliforms during each
monitoring period. The geometric mean of the densities of these samples will be calculated and should be less than
2,000,000 most probable number per gram of total dry solids, or less than 2,000,000 Colony Forming Units per gram
of total dry solids.
b. the residuals must be treated by one of the following "Process to Significantly Reduce Pathogens" (PSRP).
1. Aerobic Digestion - residuals are agitated with air or oxygen to maintain aerobic conditions for a specific mean cell
residence time and temperature between 40 days at 200 C and 60 days at 150 C.
2. Air Drvina - residuals are dried on sand beds or on paved or unpaved basins for a minimum of time months.
During two of the three months, the ambient average daily temperattre is above Oo C.
3. Anaerobic Digestion - residuals are treated in the absence of air for a specific mean cell residence time and
temperature between 15 days at 350 C to 550 C and 60 days at 200 C.
4. Composting - using either the within -vessel, static aerated pile, or windrow composting methods, the temperature
of the residuals are raised to 406 C or higher for five days. For four hours during the five days, the temperature in
the compost pile exceeds 550 C.
5. Lime Stabilization - sufficient Iime is added to the residuals to raise the pH of the residuals to 12 after two hours
of contact
c. The residuals shall be treated by a process that is equivalent to a "Process to Significantly Reduce Pathogens" (PSRP),
as determined by the permitting authority, based on an evaluation of the recommendations provided by the Pathogen
Equivalency Committee.
V`I. RESIDUALS TRANSPORT AND APPLICATION: 6RE 4771AC#McNt*
1. How will the residuals be delivered to the application sites (leak proof trucks, etc.)? J
2. What type of equipment will be utilized for land application?
3. How will the application of the residual be controlled to ensure that there is proper distribution over the site?
SFc-- mrr (-##i t 7T 0 ,a -
FORM: LAORS 02/95
Page 4 of IS

4. Will the land application operation utilize a contractor who specializes in Residuals Management or will the petmittee
management the program? _ Contractor, '>� Permittee. If a contractor is utilized, provide the name of the firm, a
contact, address, and telephone number.
VII. SITE EVALUATION AND RECOMMENDED LOADING RATES:
1. The following sites are to be used for land application under this permit application [please attach map(s),see La,]:
f �, Ft'S .345*AC5 bgrO&ti BUt!-EDL
Note: If more than ten (10) sites are to be covered by this applicarion, please attach a form listing all of the sites along
with the information listed below:
a. A vicinity map must be attached. This map must show the location of each site in relation to at least two
geographical references and major intersection (numbered roads named streams/ri etc.).
b. For all new or modified sites, a detailed site location map must be attached delineating both total and buffered acres.
This map must be drawn to scale with topographical contour intervals not exceeding ten feet or 25%, of total site relief
(whichever is more descriptive) and showing the property lines; all existing wells, all surface waters and drainage ways
and all dwellings within 500 feet of the land application areas; and all buffers. S6C- A-fff}Lu #sa f ��/j
Note: The following buffers must be maintained If residuals are sprayed on the sites ]anger buffers may be required:
1. 400 feet from any habitable residence or place of public assembly under separate ownership or which is to be sold
for surface residual application, '
200 feet from any habitable residence or place of public assembly trader separate ownership or which is to be sold
for subsurface residual injection.
2. 100 feet between the disposal area and any public or private water supply source, all streams classified as WS or B,
waters classified as SA or SB and any Class I or Class 11 impounded reservoir used as a source of drinking water.i
3. 100 feet between any surface residual application area and any stream, lake, river, or natural drainage way,
50 feet between any subsurface residual injection area and any stream, lake, river, or natural drainage way.t
4. 50 feet between the residual application am and property limes for both surface and subsurface application (if the
original permit was issued with the buffer distance to property line as 100 feet, updated maps must be submitted
and new acreage delineated for the buffer to be reduced).
5. 10 feet between the disposal area and any interceptor drains or surface water diversions (upslope).
6. 25 feet between the disposal area and any interceptor drains or surface water diversions (downslope).
7. 25 feet between the disposal area and any groundwater lowering and surface drainage ditrhes.
9t SPECIFY THE NAME OF AND CLASSIFICATION OF THE CLOSEST DOWNSLOPE SURFACE WATERS
C(as established by the Environmental Management Commission) TO THE LAND APPLICATION SITE(S). USE
THE ATTACHED INFORMATION SHEET (PAGE 9 OF 18) TO OBTAIN THIS INFORMATION.
�n0V required Cc I- renewcok
FORM: LAORS 02/95 Page 5 of 18

Note: The maximum slope for land application of residuals is 10% for surface application and 18% for. subsurface
application.
n4 0. For each land application site, attach a soil evaluation by a soils scientist (the evaluation must be signed by the soil
t 211 U ifPd scientist) which addresses soil color, the depth, thickness and type of restrictive horizons; the presence or absence of a
tt seasonal high watertable or bedrock within three vertical feet of the deepest point of residual application; pH and cation
exchange capacity. If the depth to either groundwater or bedrock is less than three feet, please also attach a demonstration,
using predictive calculations or modeling methods acceptable to the Director of the Division of Environmental
Management, that the use of this site will not result in the contravention of classified groundwater standards as contained in
NCAC 2L .0200. In no case shall the separation be less than one foot. This report must be signed by the soil
scientist and submitted with application.
r1 Ut Q For each site, please attach a project evaluation conducted by an agronomist including recommendations concerning cover
required crops and their ability to accept the proposed loading of liquids, solids, nitrogen; phosphorus, heavy metals, salts and any
other contaminant know to be in the residual. A part of the agronomists recommendations must be a crop management
plan. This plan must determine the crops to be grown on the site(s), when they should be grown and how they should be
harvested and marketed. This report must be signed by the agronomist and submitted with application.
4. Attach a representative soils analysis of each site. The soils analysis shall include the following parameters, along with
any other significant parameter that has been shown to be contained in the residual:
Standard Soil Fertility Test (which includes): pH Phosphorus Potassium +1
Acidity Calcium Manganese i
Magnesium Zinc Copper
% Humic Matter Sodium Cation Exchange Capacity
Base Saturation (by calculatibu)
And the following Pollutants: Cadmium Lead Nickel
S. In order to assist D&V in the review of the proposed loading rues, please complete the calculations contained in the'.
on -Page 11 of 18). If more than one residual is to be covered by
attachment titled "Calculations Work Sheet" (beginning
this peen% additional worksheets must be attached.
VI. GENERAL INFORMATION:
1. 'Five (5) complete copies of the permit application and five (5) copies of all required supporting information, including
cover letters must be submitted or the application package will be returned as incomplete.
2. Please explain how access to the land application sites, by both ppeopld and animals be controllfollowing the
application of residuals:
a. Animals shall not be grazed on the land application sites within 30 days after the application of residuals.
b. Appropriate measures must betaken to control public access to the land application sites during the active site use and
for 12"months following the last application event Such controls may include the posting of signs indicating the
activities being conducted at the site.
3. Please explain the procedures that will be used to establish and maintain
the sites be flagged):
buffers duringti
r,�ii//ng the nplicatio�n process (Le. will
FE� Y-- "/
4. Please attach an executed "Agreement For the Land Application of Residuals to Private Lands" for each land application site
that is not owned by the applicant A copy. of the DEM approved form is attached. If the applicant wishes to use a
different form or a modified form, prior approval must be received from DEM.
5. Each application site must be assigned a site identification number.
6. Attachments may be utilized to provide the information that is requested in this application fort; however, if attachments
are utilized, their location should be so indicated on the application form. All attachments must be numbered m correspond
to the individual parts of the application that require the attachment If the attachments are part of a larger doa�ent a
table must be provided that lists the locations of the required information. 4 / !-, r-/ j�� ! DCIn7Ft & t0d
FORM: LAORS 02195 Page 6 of 18

Applicant's Certification:
I•f2�(.i�T� attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I 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 as. incomplete.
Signatttie/�[ i.� Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND
MATERIALS, SHOULD BE SENT. TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
PERMITS AND ENGINEERING UNIT
POST OFFICE BOX 29535
RALEIGH, NORTH CAROLINA 27626-0535.
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
FORM: LAORS 02195 Page 7 of 18

Instructions:
Processing of this application will not be initiated until five (5) copies of all of the following
items have been submitted in addition tolfive(5) copies of the completed application form. If
any of the below items have been excluded from the package, please explain.
1. Is a general I cation map included?
YES general
NO
2. Is a site -map (drawn to scale) included which delineates total and buffered acres and
shows all property lines, buffers, existing wells within 500 feet, topography, drainage
features, and any surface waters?
YES V-'_ or NO
3. Is a vicinity map enclosed which clearly indicates the projects location with respect to
State roads and named Surface waters?
YES `_ or NO
Is a signed soil scientist report included which defines the following:
a) field descriptions of texture, color, and structure,
b) depth and thickhess of soil horizons,
c) presence of any restrictive soil horizons or layers,
d} depth to seasonal high water table,
e) the hydraulic conductivity,
f) recommended loading rate for the site,
YES or NO
Is a signed agronomist's report included which identifies the crop and loading -
recommendations for N-P-K?
YES or NO
Is the Crop Management Plan included in the application package?
YES or NO
7. Has the Land Owner's agreement been completed and signed?
YES ✓ or NO
Appropriate fee in accordance with 15A NCAC 2H .0205(c)(5)-(eff. February 1, 1993):
New Applications, Modifications or Late Renewals $400.00
Timely Renewals without Modifications $250.00
YES or NO
9. Five (5) copies of all reports, evaluations, agreements, supporting calculations, etc. must
be included as a part of the application package.
FORM: LAORS 02/95 Page 8 of 18

FEE. 1b. e081ryt10:U1RM EYVSROMMEMTRL MG1MIT3
02/15 ' 01 08; 56 M0kv..b9 l%iu�2
This form mvA be completed by the appropriate Regional Office and included with the.
submission of the applicatloo package.
XNSTRUCTIONS TO APPLICANT
In order to determine the classification of the watershed in which these lend app8caidoa activities will bi
located, you are required to submit this foam, with items I through, 8 compkw? to t>:e
Environmental Management Regional Water Quality Supervisor (see attached listing). Atpa man ropmx Division ou aius
include an 8.5" by 11" copy of the portion of a 7.5 minato.USGS Topographic Map which shows the subjee
which surface waters: You must
which identity the 10eatiom the Of facility and the closest dovaldope surface water (waters fob
yom are requesting the classification) on the submitted map copy. The application mny not be
submitted tnttilthis form is completed and included with the submittal,
1.
,he ratmieipality� cotporooa, indj�vidttal. or oo ):
2. 'Name and Complete Address of Applicant: P d X
• . .r
State:
Telephone Ntrrmber: ( ) r
3. Project Name..)L�.r , >�0!,1�_���kWCATi
4. VOlurae of residuals to be land applied: / ROD e) dxy/tona per yew
5, Name Of closest kurface waters:.!,
6. Cotmuy(s) Where land application site is located; gw, &rr
7. tvbp name and date: - 5®
8. Applicant Sigaat,ue:
TO: REGIONAL WATER QUALITY SUPERVISOR
PIMase rite attached
me with the classiScati n of the watershed where these land applicatioZt activities will occur,.
as idetatiTed on attached asap fir;
Name of sutfaCe waters:
Clas3i(1carfoa (as estab]isbedby the F.nvitentmeatal Management Caromisshom):
Proposed Mssifmation, if applicable: +
Signature of regional OT=
FORM- LAORS 02JOS page 9 of 18
Darr• � ia-- J
4r�

DIVISION OF ENVIRONMENTAL MANAGEMENT REGIONAL OFFICES (12/94)
Asheville Regional WQ Supervisor
59 Woodfin Place
Asheville, NC 28801
[phone]
Fax [phone]
Avery
Macon
Buncombe
Madison '
Broke
McDowell
Caldwell
Mitchell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Henderson
Yancy
Jackson
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 28301
[phone]
Fax [phone]
Anson
Moore
Bladen
Robeson
Cumberland
Richmond
Hamett
Sampson
Hoke
Scotland
Montgomery
Winston-Salem Regional WQ Supervisor
585 Waughmwn Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
Alamance
Rockinehnm
Allegbany
Randolph
Ashe
Stokes
Caswell
Sorry
Davidson
Watausa
Davie
Wilkes
Forsyth
Yadkin
Guilford
Washington Regional WQ Supervisor
Post Office Box 1507
Washington, NC 27889
[phone]
Fax [phone]
Beaufort Jones
Berrie
Lenoir
Camden
Martin
Cbowan
Pamlico
Craven
Pasquomuk
Currimck
Perquimans
Dare
Pitt
Gates
Tytell
Greene
Washington
Hertford
Wayne
Hyde
Mooresville Regional WQ Supervisor
919 North Main Street
Mooresville, NC 28115
[phone]
Fax [phone]
Alexander Mecklenburg
Cabamrs ' Rowan
Catawba Staniy
Gasmn Union .
keden Cleveland
Lincoln
Raleigh Regional WQ Supervisor
Post Office Box 27687
Raleigh, NC 27611
[phone]
Fax [phone]
Chatham .
Nash
Durham
Northampton
Fdgecombe
Orange
Franklin
Person
Granville
Vance
Halifax
Wake
Johnston
Warren
lie
Wilson
Wilmington Region. WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3945
[phone]
Fax [phone]
Brunswick New Hanover
Carteret Onslow
Columbus Pender
Duplin
FORM: LAORS 02/95 Pave 10 of 18

CALCULATIONS WORK SHEET
This work sheet is designed to assist the Division of Environmental Management in reviewing this application as expeditiously as
possible. Its preparation in a complete and accurate manner is critical to this review. Fur permits that cover nwltiple suurccs of
residuals or differcat residuals from the same source,'usc additional work sheets.
A. List the specific residual that is covered by these calculatioits (place or process of origin)
Wbat are the total dry tom of this residual to be land applied each yearl
TaUd Dry Tans = Gallons of Residuals + % Solids "• 834 lbsJgallon
produced annually ion
2,000 lbsJton
Total Dry Tom 8.34 IbsJgaliva
ton
2,000 lbsJton
Dry Tans per y=r -
If the quantity of residual will vary significantly or if Werc will be a larger initial application, picase auach a dwailcd'
explanation and provide calculations for each variation.
B . Complete the following calculations to establish the portion of the residual .tbut -is made
up of the various parameters:
% Total Solids = $, 1
(PLEASE NOTE THAT ALL CONSTITUENTS ARE TO BE IN TOTAL CONCENTILATIONS)
PARAMETER -
Cadmium
m /L
+ 9G solids (necinful)
= rnYk- (dr wt.)
x 0.002
=.IbaJarr t„=
Copper
= «,0
x 0.002
, oLf
Lead
= 'Q 0
x 04002
Nickel
= . 0
= <
x 0.002
=. . c)
Zinc
x 0.002
= - o
= 34f
x 0.002
Ammonia-N
Calcium "
x 0.002
, gs
Magnesium
_ '� 3 3 O
x 0.002
= fp
NO3-NO2-N •
= 1 3 LfO
x 0.002
=
Phosphorus
3. 7
x 0.002
=
Potassium
= ZO z U
x 0.002
= •p
Sodium
= Z 500
x 0:002
= •5S .0 C)
TKN
_ (7 U
x 0.002
= `73 G 0
x 0.002
= I �, • 7 �.
OTHER:
=
x 0.002
=
=
x 0.002
=
_
x 0.002
—
=
x 0.002
=
=
x 0.002
=
FORM: LAORS o2/9s
Page 11 of 18

SEE ATTACHMENT lej.2�!D
C . Plant Available Nitrogen (PAN) calculations and land application area requirements:
1. Mineralization Rate (MR) [ f 0 %
(These values can be established for the specific residual or default values can be used for domestic wastewater treatment
If actual values are established, attach the documentation. The default values are as follows):
Unstabilized Primary and Seimmlary. Residuals 40%
Aerobically Digested Residuals ; 30%
Anaembitally Digested Residuals 20%
Composted Residuals I loik
(If the default values are used, attach an explana4eu as to why the speditc chos §I§aAt TI�,CIIl &,% ih.� )
2. Complete the following calculations for the application method proposed (Please note, the Mineralization
Rate [MR] should be utilized in the following calculations as a decimal):
PAN for Surface Application
PAN = [(MR) x CrKN - N113)l +.5 x (N113) + (NO3-NO2-N)
PAN=[ . y x( 3� 0 _ 1411�1 )]+sx(" 1`}�"1 )+ '13,-
PAN = S 0 PPM DryWeight
PAN for Subsurface Application
PAN = ((MR)XMCN - NH3)l + (NI13)+ (NO3-N(32-N).
+( )+
PAN = PPM Dry Weight -
3. Total PAN to be land applied per year
Total dry tom of residual to -be land applied per year. G j 1
TOW PAN In pounds - (PAN in me/kp r)ry W Jghll * 2rm Pounds / Tnn 3-C'3 G X -COO
dry ton 1,000,000
1-t c:0 tPUQ
= (PAN in PPM•Dry Weight) x 0.002 =
, 3�3C'9 X.UO3+
_- -7, Pouuds/Dry Ton/Year
Total PAN in pounds = (PAN in Pounds / Dry Tan) x TOUd tons of residual to be land applied
-7.Ot x 170-7
G S n Pounds/Ycar
Due to the fact that organic nitrogen Is mineralized slowly over time, the amount of nitrogen that comes available in years
following the initial application must betaken into consideration when calculating application fates for We subsequent
years. This being the case please attach an evaluation of this factor and its impact on luading rates. Show the adjusted pan
for azleast five years SEE ATTACHMENT 1E.1-10 `
The maximum adjusted annual PAN is PoundrdYear.
4.' Crop information an nitrogen uptake per year
(Division Recommendations)
Crop(s) PAN (lbadacre/year)
Alfalfa 200
Bermuda Grass (Flay, Pasture) 220
FORM: LAORS 02195 Page 12 of 19
(Provide for the Crops Specified)
PAN (lbsJucre/year)

Blue Grass
Corn (Grain)
Corn (Silage)
Cotton
Fescue
Forest (Hardwood & Softwood)
Milo
Small Grain (Wheat, barley, oats)
Sorghum, Sudex (Pasture)
Sorghum, Sudex (Silage)
Soybeans
Timothy, Orchard, & Rye Grass
120
160
200
70
250
75
100
100
180
220
1200
200
Please provide the basis for the uptake rates used if different
I(X)
Recommeoda(jans:
5. Total acres•needed to land apply the pounds of available nitrogen calculated above
Total acres needed: _ Ali AA jew )
Maximum tom+I nnundrof nlam avail hl iirn`yn frnn .
Pounds of nitrogen needed for crop*
�kj 37Ac �r carr78v�e2.. -lc0ac
Minimum acres needed based on most restrictive PAN = S
acres
• This value must be the value for the crop to be grown that has the lowest nitrogen uptake rate per acre.
If there are various crops that will only be utilized for certain sites, please attach the calcuiadons for each site and dctcrmine
the total needed acres using the format outlined above.
D. Calculate the Sodium Adsorption Ratio (SAR)
("This section must be completed in mg/l, to convert: mg/kg x % solids [as a decimal] = nig/1**)
SAR = Na Milli Equivalent + [0.5(Ca Milli Equivalent + Mg Milli Equivatengl 0.5
CONCENTRATION (mg/I) + Equivalent Weight = MUH Equivalents of Ion
SODIUM (Na) 58 r'� (mgll)"+ 21 _ _ A . rj
CA1.CI1UM (Ca) c69.1 (mgll) + 20
MAGNESIIJM (Mg) �O `� (mgn) + 12 = { .
SAR = H.
If"calculation sheets are being completed for more than one residual or site, please attach a
summary sheet that bring the results of all the calculation sheets to one point.
FORM: LAORS 02/95 Page 13'of 18

E. Determine Ole Site Life for this land appilentlon site:
The lifetime pollutant loadings shall not be exceeded. The site life b determined by caiculdting We number can receive the residual without a exceeding, We lifetime pollutant loadings. The site life crticulrtiogs will be basal
restrictive crop plant available nitroen Y�nrs that We si
aximum thy
annually. Therefore, In We (able below We Tons of Itcsiduals for be Appi,ed/fied and the A year will bons e (l ales duals to be an die
most
land appliul
I. Mostrestriaive crop based on the plant available nitrogen (PAID) requirement:
Associated Plant available nitrogen
B (PAM requirement: _ L OCt (lbsJacWyear)
2. Minimum acres needed based on most reshictive PAN (as found in CS above): (0 5
3. Dry Tons of Residuals to be land applied acres
Per year2! O 7 dry tons per year
4. Tons of Residuals to be Applied/AcnNear_ nrvTonsN �rnfR cidn Icig 1
Tons of Residuals to be ApplieMjn number of acres required fur land application
d/Acre/year j y PC
If any of the application sites are to be loaded at greater Wan the rates Y
Tons of Residuals to be A lied/ Pecrfied above PlMse specify the loading rule and explain:
PP AcrrJYear (different
from above) = +� I n c 1
Explanation: _ �-sv-�!�'L2n7�'
For the purpose of site life determination, the lifetime pollutant loadings shall not exceed the following for Utc corns
Cation Exchange Capacities (CEC), Site life for the site covered by ads application shaft 6e dcremdn d by. using fist lowia s
� le b apP+oPrlute column should be chosen and applied in the 'Allowable Lifetime Pollutant be dnt Loadings based on CEC' in
We table below;
CEC < 5
Pollutant
/lh /acre)
lCEC 5-15�
CEC > 15
Lead
zinc
25500
1,000.
2,000
1500
Nickel
125
2 0
Cadmium
4.5.
9�
500
18,
the table below, the highest annual loading
by We IbsJdry too of each (Tons of Residuals to be Applied/Acre/Ycar) slicei -ed abuvc, will be
bpollutant as found in It above. The Site Life can then be delcominmultiplied
ad by:
Site, Life (Years) = A11nwaHie T (f tIm T oadino nt, r
Projected. Pounds to be Applied/Acre/Year
Tons of
Projected Allowable LifetimeResiduldstobepollutant
peroundin
rlbsJdrytogafeach
Part H'
Poundsto6ePollutant Loadings site 1.1(eAPPbed
Applied/Aere
based on CECAcreperYrrabove) (Years)
/Year From
Chart above
° =
o-7
1. Z 976
. _
. C1 3' 2S(�
. OD, _
• 2'd I ZS
• 00 u —
. l 1.7 L
Compare the five (5) pollutants above and determine which pollutant that will result in the shortest life for this site.
The Limiting Pollutant Is (f/ineffi t %) nrv�
The Site Life is i-j
years.
FORM: LAORS 02/95. Page 14 of 18

North Carolina Division of Environmental Management
AGREEMENT FOR THE LAND APPLICATION OF WASTEWATER RESIDUALS
I I TO PRIVATE LANDS ,
Permittee: J 1J.AI Ld-i1 gnrl.( �
( 'C JJm xn/)StlI
Contact Person:
of Permittee:
List of wastewater residuals to be applied to these
Site ID Number:
Field Number.
Location of Land to be used for residual application (include map for each site):
Owner of Property used for residual application:
Lessee of Property (if appropriate):
Land use or cropping patterns: coka.
Intended use or disposition of crops:
The undersigned land owner orhis repfeseniative hereby permits
hereinafter referred to as the Permittee, to apply the above listed residuals onto the land at the location
shown as described herein in accordance with the restrictions and stipulations as given below. 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 described above for the
disposal of wastewater residuals. This agreement shall remain in effect for the length of the Division of
Environmental Management land application permit and shall be renewed each time the land application
permit is renewed. The undersigned land owner or his representative and the Permittee agree to abide with
the following restrictions and stipulations until such time as written notification, given thirty (30) days in
advance, modifies or cancels this Land owner's Agreement.
Notification of cancellation of this agreement shall be immediately forwarded- to:
Division of Environmental Management
Permits and Engineering Unit
Post Office Box 29535
Raleigh, North Carolina 27626-0535
FORM: LAORS 02/95 Page 15 of IS

STIPULATIONS:
The landowner or his representative hereby authorizes the Permittee, County and State Officials or
their representatives to inspect each parcel of property prior to, during, and after residual application
and to established monitoring facilities on or near the application site as required by the residual land
application permit
The landowner or his representative authorizes the Permittee, County and State Officials or their
representatives to take necessary soil, surface and ground water samples during the term of, and
twelve (12) months after termination of, this Agreement
3. The Permittee will provide each landowner or his representative with a copy of the land application
permit as issued by the N.C. Department.of Environment, Health and Natural Resources
(NCDEHNR) Division of Environmental Management (DEM) for the land described above prior to
commencement of residual application. The NCDEHNR-DEM permit will specify maximum
application rates, limitations and other restrictions prescribed by the laws and regulations.
4. " The Permittee has provided the landowner or his representative with information and data concerning
the program for land application of residuals to privately owned lands which includes an analysis of
constituents of the residual, residual application methods and schedules for typical cropping patterns
and a description of the equipment used by the Permittee for residual application.
5. The Permittee will furnish each landowner or his representative with a copy of the results of each soil "
analysis.
The site shall be adequately limed to a soil pH of at least 6.0, prior to residual application. Residuals
may be applied to sites with a pH of less than 6.0 provided'a sufficient amount of lime is also applied
to achieve a fnial pH of the lime, residual and soil mixture of at least 6.0.
7. The landowner or his representative will inform the Permittee of any revisions or modifications to the
intended use and cropping patterns shown above prior to each planting season to enable the Permittee
to amend this Agreement and schedule applications at appropriate periods. Within the limits of the
NCDEHNR-DEM permit, the owner or his representative and the Permittee will determine residual
application rates and -schedules based on crop patterns and the results of soil samples.
8. Crops for direct human consumption shall be harvested in accordance with the conditions of the
permit.
9. The landowner or his representatives or successors shall adhere to the provisions of this Agreement
for a period of eighteen (18) months from the date of the most recent residual application.
10. Appropriate measures must be taken by the Permittee or Land Owner (Lessee) to control public
access to the land application sites during active site use and for the twelve (12) month period
following residual application. Such controls may include the posting of signs indicating the
activities being conducted at each site.
11. Specific residual application area boundaries shall be clearly marked on each sire by the Permittee or
Land Owner (Lessee) prior to and during application.
12. Should the landowner or his representative lease or otherwise permit the use of the land by a third
party, the landowner shall be responsible to insure the third parry agrees and complies with the terms
and conditions of this Agreement ,
13. The existing lessee, if any, of the site agrees, by execution of this Agreement, to comply with all
provisions of this Agreement
FORM: LAORS 02/95 Page 16 of 1S

14. This Agreement shall be binding on the grantees, the successors and assigns of the parties hereto
with reference to the subject matter of this Agreement.
15. Animals should not be grazed on residual applied lands within a thirty (30) day period following,the
residual application. Application sites thak are to be used for grazing shall have fencing that will be
used to prevent access during these periods after each application.
16. Prior to a transfer of this land to a new owner, a permit modification must be requested and obtained
from the Division of Environmental Management. The request shall contain appropriate fees and
agreements. In addition, a notice shall be given by the current landowner to the new landowner that
gives full details of the materials applied or incorporated at each site.
17. Any duly authorized officer, employee, or representative of the Division of- Environmental
Management may, upon presentation of credentials, enter and inspect any property, premises or
place on or related to the application site and facility at any reasonable time for the purpose of
determining compliance with this permit; may inspect or copy any records that must be kept under
the terms and conditions of this permit; or may obtain samples of groundwater, surface water, or
leachate:
18. The landowner shall not enter into any additional waste disposal contracts or agreements with
another municipality, contractor,. or other permitted entity for the land specified by this Agreement
The land application of any additional wastewater residual sources, other than the residuals specified
by this permit, is prohibited -
RESTRICTIONS:
FORM: LAORS 02195 Page 17 of 18

t�!%} t/t'
I • �f "rr� GKS have read this land oy �e�s agreement and do hereby gnnt permission
to the Petmittee to apply sludgetresidual to my lands as specified herein.
Date
NORTH CAROLINA, #arae
Z7' COUNTY,
I, the undersigned Notary Public, do hereby certify that WAX17 e 14C e-4 5
---I
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WI'1NESS my hand and official seal this day of A L. j -Z 49 2OD /
My commission Expires 0 A ,� / —
SEAL:
I,
the stipulations and restrictions as specified herein.
read this land owner's agreement and do hereby agree to abide by
Lessee
Date
T. have read this land owner's agreement and do hereby agree to abide by
the stipulations and restrictions as specified herein.
Permitter
Date
FORM: LAORS 02/95 Page 18 of 18

ATTACHMENT. 1
PAGE AL OF 18
DESCRIPTION OF PROCESS PRODUCING RESIDUALS

Residual Solids from Canned Sweetpotato Processing
Sweetpotatoes are prepared for canniag'by first removing the
fibrous outer peel. At Dunbar Foods, this is accomplished with a
high pressure steam peeler and mechanical scrub -brushes.'
Fresh or stored Sweetpotato roots are 'delivered in bulk bins
and7or dump trucks. The roots are dumped into a feed hopper .which
controls their.flow into a dry reel where dry soil and debris is
removed.
The roots are washed and flumed to as initial scrubber which
removes secondary roots and attached soil. A visual ]Inspection is
performed to remove any foreign material which might be present.
i The roots are next mechanically loaded into the steam,peeler
chamber where they are exposed to 180-190 psi steam for 45 to 55
seconds, followed by a rapid drop in steam pressure - which blows
the peel free from the flesh.
The peeled roots are passed through a mechanical scrubber to
remove any attached peel and to,polish the finished product. Both
the peeling and scrubbing process produce a residue consisting -of
very fine pieces of the fibrous peel and the sweet potato flesh.

PAGE 3 OF 18
RESULTS OF ANALYTIC TESTING OF RESIDUALS
0

CHEMICAL & ENVIRONMENTAL TEcHNOLOGY1! INC.
ENVIRONMEWAL ANALY"C4L SERVICES i
Page 2 of 3 PROJECT NAME SNP RSSIDOS
CONTINUATION OF bATA FOR SAMPLE NUMBER 115267
SAMPLE PREP ANALYSIS
'
ANALYSIS
METHOD
'DATE BY DATE
BY
RSSkLT UNITS
H®[ACHLOROBOEND 1289
8210
i 10 ug/L
HSXACHWROSTHANB
8770
a 10 ug/L
NITR09SN2=
4270
< 10 ug/L
PENTACHL�IOpHBNOL
6270
a 50 ug/L
PYRIDINE
8270
a 10 ug/L
2,4,S-TRICHLOROPHEHOL
6270
i 10 fig/L
2,4.6-TBICHLOROPHEROL
9270
< 10 ug/L
TCLP VOLATILES EPA 1311
EPA 9240
06/10/96 ALT 06/13/96
ALT
BENZENE
EPA 8240
<!5.0 ug/L
CARBON TXTRAC3(LCRID2
EPA 8240
<"A.a ug/L
CHLOR08ENZERS
EPA 0240
-< S,C ug/L
C"LOROtORM
SPA 0240
a:5:0 ug/L
1.4-0ICHLOROSBNZEN8
EPA 9240
< R.0 ug/L
1.2-DICRLOROETHAHB
SPA 0240
< $.a ug/L
1.1-DICHLORQFrH RB
EPA 8240
a i5.0 ug/L
TEMCHLOROETHENE
EPA 8240
a I5.0 ug/L
TRICHLOROBIHBN8
EPA 9240
< 5.0 u9/L
VISM CHLORIDE
EPA 8240
-
s 1O.0 ug/L
METHYL ETHYL RSTONS
SPA 1240
< ROO ug/L
TCLP-HMWICIDBS
also
06/04/96 MMP 09/10/96
ALT
!
2,4-D
vise
< .1.0 ug/L
SILvvx
also
< �1.0.ug/L
AzukinDM,TOTAL
Salo
06/26/96 JLB 06/27/96
JMM
'; •140 mg/kg.
TCLP ARSENIC
6010
- 06/04/96 JLB 06/13/96
JMM
1 mg/L
1.9
TCLP BARIUM
$CIO
06/04/96 JLB 06/13/96
JMM
ng/L
TCLP CADMIUM
Salo
06/04/96.JL8 06/13/94
JON
0.;'444 mg/L
TCLP CHROMIUM
6010
06/04/96 JL8 06/13/96
JMM
0.:010 mg/L
TCLP LRAD
6010
06/04/96 JLB 06/13/96
JMM
q0-1 mg/L
TCLP MERCURY
7471
06/04/96 JLB 06/20/96
JLE
<0.0004 mg/L
i
I
PQL
P.O. San 171" - 11aMa.tt170drote Polk NC 27706 6nlW"M 102-A Wa0Aw1nM Inuu.m:l Court - Cary, NC 27b11
7N.ph9g10191167-7Ca0 Faa1011148748t5
JUl 01-1996 09-34 -9194673515 9sx, P.02

CHEMICAL & ENVIRONMENTAL TECHNOLOGY, INC.
ENVIRONMENTAL ANALYTICAL SERVICES
DUNBAR FOODS
PO BOX 519
DUNN, NO 28334
Attn: KENNETH WRENCH
SWP RESIDUE # 053096
FINAL REPORT OF ANALYSES
REPORT DATE: 06/21/96
SAMPLE NUMBER- 115267 SAMPLE ID- SWP RESIDUE
DATE.SAMPLED- 05/31/96
DATE RECEIVED- 05/31/96 SAMPLER- DAVID ADKINS
TIME RECEIVED- 0835 DELIVERED BY- JOEY CAMPBELL
Page 1 of 2
ANALYSIS
TCLP-PESTICIDES 1311/8270
CHLORDANE
ENDRIN
HEPTACHLOR
HEPTACHLOR EPDXIDE
LINDANE
METHOXYCHLOR
TOXAPHENE
PROJECT NAME : SWP RESIDUE
METHOD
8270
8270
8270
8270
8270
8270
8270
8270
TCLP-SEMI VOLATILES 1311/8270 8270
o-CRESOL
8270
m,p-CRESOL
8270
2,4-DINITROTOLUENE
8270
HEXACHLOROBENZENE
8270
HEXACHLOROBUTADIENE -
8270
HEXACHLOROETHANE
8270
NITROBENZENE
8270
PENTACHLOROPHENOL
8270
PYRIDINE
8270
2,4,5-TRICHLOROPHENOL
8270
• 2,4,6-TRICHLOROPHENOL
8270
SAMPLE MATRIX- OT
RECEIVED BY- CDL
SAMPLE PREP ANALYSIS
DATE BY DATE BY RESULT UNITS
06/04/96 MMP 06/21/96 JBR
06/04/96 MMP 06/21/96 JBR
0
1
PQL
< 20
ug/L
20
<#20
ug/L
20
< 5.0
ug/L
5.0
< 5.0
ug/L
5.0
< 10
ug/L
10
< 10
ug/L
10
< 400
ug/L
.400
< 10
ug/L
10
< 10
ug/L
10
< 10
ug/L
10
< 10
ug/L
10
< 10
ug/L
10
< 10
ug/L
10
< 10
ug/L
10
< 50
ug/L
50
< 10
ug/L
10
< 10
ug/L
10
c 10
ug/L
10
P.O. Box 12298 • Research Triangle Park. NC 27709
Telnphonn(919) 467-3090
Shipping: 102-A Woodwinds Industrial Court • Cary. NC 27511
Fax [phone]

CHEMICAL & ENVIRONMENTAL TECHNOLOGY, INC.
ENVIRONMENTAL ANALYTICAL SERVICES
Page 2 of 2 PROJECT NAME : SWP RESIDUE
CONTINUATION OF DATA FOR SAMPLE NUMBER 115267
SAMPLE PREP, ANALYSIS
ANALYSIS METHOD DATE BY DATE BY RESULT UNITS PQL
TCLP VOLATILES EPA 1311 EPA 8240 06/10/96 ALT 06/13/96 ALT'
BENZENE EPA 8240 '< 5.0 ug/L 5.0
..CARBON TETRACHLORIDE EPA 8240 < 5.0 ug/L 5.0
CHLOROBENZENE EPA 8240 < 5.0 ug/L 5.0
CHLOROFORM EPA 8240 < 5.0 ug/L 5.0
1,4-DICHLOROBENZENE EPA 8240 < 5.0 ug/L 5.0
1,2-DICHLOROETHANE EPA 8240 < 5.0 ug/L 5.0
1,1-DICHLOROETHENE EPA 8240 < 5.0 ug/L 5.0
TETRACHLOROETHENE EPA 8240 < 5.0 ug/L 5.0
TRICHLOROETHENE EPA 8240 < 5.0 ug/L 5.0
VINYL CHLORIDE EPA 8240 <'10.0 ug/L 10.0
METHYL ETHYL KETONE EPA 8240 < 100 ug/L 100
TCLP-HERBICIDES 8150 06/04/96 MP 06/18/96 ALT
2,4-D 8150 < 1.0 ug/L 1.0
SILVEX 8150 < 21.0 ug/L 1.0
TCLP ARSENIC 6010 06/04/96 JLB 06/13/96 JMM <0.1 mg/L 0.1
TCLP BARIUM 6010 06/04/96 JLB 06/13/96 JMM 1.0 mg/L 0.1
TCLP CADMIUM 6010 06/04/96 JLB 06/13/96 JMM 0.044 mg/L 0.005
TCLP CHROMIUM 6010 06/04/96 JLB 06/13/96 JMM 0.010 mg/L 0.005
TCLP LEAD 60.10 06/04/96 JLB 06/13/96 JMM <0.1 mg/L 0.1
TCLP MERCURY 7471 06/04/96. JLB 06/20/96 JLB <0.0004 mg/L 0.0004
TCLP SELENIUM 6010 06/04/96 JLB 06/13/96 JMM <0.1 mg/L 0.1
TCLP SILVER 6010 06/04/96 JLB 06/13/96 JMM <0.005 mg/L 0.005
PQL = Practical Quantitation Limit ..
Results followed by the letter J are estimated concentrations.
All results fbr soil arid sludge samples are reported on a dry weight basis as required
by the NC DEM Laboratory Certification Section. Wet Weight Concentration =
(dry weight conc.)(percent solids)/100.
LABORATORY DIRECTOR'6(X. �G
j
P.O. Box 12298 • Research Triangle Park. NC 27709 Shipping: 102-A Woodwinds Industrial Court • Cary. NC 27511
T0,;:hona(9191467.3090 Fax [phone]

_ CHEMICAL & ENVIRONMENTAL TECHNOLOGY; INC.
ENVIRONMENTAL ANALYTICAL SERWCES j
FINAL REPORT OF ANALYSES
DUHDAR rows '
PO BOX S19
DURN, RC 28334
Attn: KENNEIH WENCH
SNP RESIDUE 1 053096 ADDITIONAL ANALYSES
REPORT DATE: 06/29/96
SIMPLE NUMBER- 115267 SAMPLE ID- SHP RESIDUE
DATE SAMPLED-' 05/31/96
CAT]; RECEIVED- 09/31/96 SAMPLER- DAVID ADMS
TIME RSCSIVRD- 0835 DELIVERED BY- JOST CAMPER"
Page 1 of 3 PROJECT HAMS : SHP RESIDUE
SAMPLE PREP ANALYSIS
ANALYSIS METHOD DATE By DATE by
AMMONIA NITROGEN IN SOLID EPA 350.2
KinnAHL NITROGSti IN SOLID SPA 351..3
HITRAT6-HITRITS IN SOLID SPA.353.3
PH, LAS EPA150.1
TOTAL PNOSPHOROUS IN SOLIDS 'SPA 365.3
PERCENT SOLIDS NA
TCLP-PESTICIDES-1311/0270 0270
CHLORDANE
8279
KNORIN
8270
REPTACHLOR-
8270
HEPTACHLOR BPOIIIDE
8270
LINDANS
0270
METHCKYCHLOR
9270
TORAPHEH6
9270
TCLP-SRMX VOLATILRS
1311/8279 8270
O-CRESOL
8270
m,p-CRESOL
8270
2.4-DINITRO70LOBNE
0270
HEXACHLORODENZENE
$270
I.O: 9 . 12290 - 114119gmh Tr14np4 Parr. NC 27M
TmapAeM10m447-7040
JUL-01-1996 Oa,33
SAMPLE!MATAIX- OT
i
RSCSIVBD BY- CDL
06/27/96 CSP
06/26/96 JTC
06/25/96 JTC
06/25/96 am
09/25/96 JTC
06/26/96TIC
06/04/96 MP 06/21/96 JBR
09/04/99 MMP 06/21/96 JBR
Showng; 102-n Wy4ynlnU�
919Q643515
RESULT UNITS
i
i427 mg/kg
9360 mg/kg
43.7 mg/kg
13.9 atd units
4020 m9/kq
18.7 percent
c 20 uq/L
4.20 ug/L
c'S.0 ug/L
c!5.0 ug/L
c 10 ug/L
e 10'ug/L
c1400 uq/L
i
i 10 ug/L
e 20 ug/L
e 10 ug/L
SO uq/L
PqL
'nduntrbl Court • C411. NC 27511
Ffn19121467-351$
95? E P.01
53
78
21.7
N/A
52
0.1
20
20
5.0
5.0
10
'10
400
30
10
IO
10

CHEMICAL&. ENVIRONMENTAL TECHNOLOGY,INC.
EivWFr0NMEJV7•A1. ANAI.MCAL. SEAVYCES
Page 3 of 3
PROJECT NAME
r SRP RESIDUE
OONTLtwhTION OF DATA
FOR SAMPLE NUMBER
IIS267
SAMPLE PREP
PVWYSIS
ANALYSIS
M6'INOO
DATE
BY
DATE
BY
RESULT GRITS
TCLP SELENIUM
6010
06/04/96
JIB
06/13/96.JMM
'Co .I mg/L
TCLP SILVER
6010
06/04/96
OLD
06/13/96
JMM'
e0.100S mq/L
CADMIUM IN SOLID
solo
06/26/96
OLD
06/27/96
JMM
I c4 mg/kg
CALCIVM IN SOLID
6010
06/26/96
OLD
06/21/96
JMM.
3.i330'mg/kg
COPPER IN SOLID
solo
.06/26/96
JIB
06/27/96
JMM
i 20 mg/kq
LEAD IN SOLID
6010
06/26/96
JLB
06/27/96
Jzgm
!s40 mg/kq
MAOBESIUM IN SOLID
6010
06/26/96
JLB
06/27/96
JMM
1440 mg/kg
NICKEL IN SOLID
solo
06/26/96
OLD
06/27/96
JMH
!"<S mg/kg
POTASSIUM IN SOLID
6010
•06/26/96
OLD
06127/96
JMM
27.300 mg/kg _
SODIQ4 IN SOLID
- 6010
06/26/96
JIB
06/27/96
JW
.670 mg/kg'
ZINC IN SOLID'
solo
06/26/96
JIB
06/21/96
4M
; 34 mg/kg
POL + Practical Ouantitstion Limit i
Result■ followed by the letter J are estimated concentrations.
All results for soil and sludge samples are reported an a dry weight baeis as required
by the NC-DEM Laboratory Certification Section. Net Neight Concentration
(dry .eight conc.)(percent eolidal/100.
LABORATORY DIRER
a
I
0.1
0.005
4
40
4
40
4
a
400
40
4
P.C. Rosa t4xe4 • R44e4ron Trl.rpi. Vwk. NC 2f7Oe 6hippinp: 102-A Wo.d'rhid.Irrdu.viil Cwn • Gry, qt 276t 1
T�kphw.. (sty 40T•7090 H.p10)se7.Osls
JLL-01-1996 08=34 9194673515 94% i P.03
i
TOTPL P.03

- CHEMICAL & ENVIRONMENTAL TECHNOLOGY, INC.
ENVIRONMENTAL ANALYTICAL. SERVICES
METHOD REFERENCES
Federal Register, Vol. 59, 40 CFR Part 136.3, January 31, 1994
—Metals, Inorganics, and Organics for groundwater and wastewater
Federal Register, Vol. 56, 40 CFR Parts 141-143, January 30, 1991
--Metals, Inorganics, and Organics for drinking water
"Groundwater Section Guidelines for the Investigation and Remediation of Soils and
Groundwater", NCDEHNR, DEM, March 1993.
--High Fraction Hydrocarbon and Low Fraction Hydrocarbon for groundwater and soil
SW-846, Third Edition, Revision I, July 1992
--Inorganics and Organics in soil or sludges. Metals in soil, sludge, or groundwater.
(Metals in groundwater are digested by Method 3030C, Standard Methods, 18th Edition)
40 CFR Part 261, Appendix II and III
--Toxic Characteri$tic Leaching Procedure
Standard Methods, 18th Edition, 1992
--Total and Fecal Coliform in wastewater, streams, and lakes
' a
0
P.O. Box 12298 • Research Triangle Park. NC 27709 Shipping: 102-A Woodwinds Industrial Court • Cary. NC 27511
Telephone[phone] Fax [phone]

ATTACHMENT 3
PAGE 4 OF 18
PATHOGEN AND VECTOR REDUCTION INFORMATION

ATTACHMENT 3
PAGE 4 OF 18
PATHOGEN AND VECTOR
THIS MATERIAL IS NOT SUBJECT TO PATHOGEN AND VECTOR REDUCTION

P
(PAGE 4 OF 18)
DELIVERY AND EQUIPMENT
f I

ATTACHMENT 4
DELIVERY AND EQUIPMENT
Biosolids will be delivered to site in a leakproof tank truck.
At the site the solids are spread by.driving across the field and
spraying material from the rear of the truck.
0

ATTACHMENT, 5
(PAGE 4 OF 18)
CONTROL OF

ATTACMIENT 5
CONTROL OF DISTRIBUTION
Even distribution is attained by driving at a speed which
allows uniform coverage at a calculated rate. The nearly level
fields are layed off into zones which are marked so the driver.can
apply a known volume to a measured area.
9

ATTACHMENT # 6
(PAGES 5 OF 18)
VICINITY MAP

B
� r � ` � ssr •Zia
69
!. y� 1
o$r' o V 4 d o �$
Olt
(/ NY•
ueLt .1 are'' • �• _ _ 1 /•.� % / Ir.14
P.✓;.Z�
\ f/ sa �'. ,�js+"v/�- ;.•\��pe�—\ P ! r-~o //•�i o➢. fC.l �l.`\
\VI Y ® wa:��•.. '�i'?... ALLI
1 _G=oe v � ..
• ..\.mod ! /-'� Sf/ 44
"
.� \/ ` aeu'r?SP`,}J-�-•-..T���_ O[r /��e 1/IIBI I =o��v MI�.$I: `��-\ I�C
��. .•• fib^ =. ,��-`}/t.{' ,I//,e mO P '�" , ._ �Jtvl I
I.f �!iTT e�T�}�i�i^ �f 11V I as l' 1
-:S YI• i .. _ YWLS xxss o 0�08SVHaA . r
ao avK xs=uiDxn ev ixn psi ••� � .;:.�_
�j•. '-'e v �!I /�� I •-tom, �,'I (S[ll �'

I, \ rmrano
\ i Pant
J-. r
`4 1
9
• Y _ �j
e $ _ r
o '
j d z , tp dr • f.[•.
' Ti90� \ +�tr`n�1.•�>t ice!,, O.(1.s'. �.
js
PW
ou
90
Trailkti
k 1
em
pa
X 117 L 1 •�• • „/ I .% _ ••
��'J 1 1 • W,,�lM1 •7780 (1797,' %' .•a
781.
VRc� Bader
G.: 1 '7� c� ans .•I
V. l95/
Al
:/ V,`.N17.i�i/�/7fY+�`r / f+o / ., tAll. .7 .. ___y�—c'd l%G�•-.
1\ � .� / �• ^lam �.�, ��,S.yO
1 ITEM VII A: VICINITY MAP--301 SITE a/ / Im ,�5?

ATTACHMENT # 7
(PAGE 6 OF 18)
SOIL TEST

f
3
WN
i
Grower.-
Dunbar Foos
Copies to:
Attn. MoodyDunbar
PO Box 519
Soil
Test
Report
Dunn, NC 28334
.0
Parm:
12/20/00 SERVING N.C. CITIZENS FOR OVER 50 YEARS
Harnett County
Agronomist, Comments:
A - 3,$,12
77
Sample No- Last Crop Me Yr TIA
crop or Year
Lime N
B05 - Igo
Mg CO
Zu
B
Mn
Soo Note
3 Corn Grain 102000 O-f
Is[ Crop: Small Grains 0 80-100
0 0
0 2
0
0
3
2nd Crop: Soybeans
0 0
0 0
0 $
0
0
3
Test Results
Sail Class HM% WIV CHC BS%
Ac pH P-1
K-1 ca% -Ak% Mn-jMn-Al (j)Mn.Al(2) Zu-1
Zn_Al
Cu.,
S_1
SS.,
NCB-N A7h-JY Na
MIN 0.56 1.53 .1 63.0
1. 9 5.6 70
114 ABA 14.0
Z2 72 8
&
21
62
0.1
Sample No. Last Crop Mo Yr 2/A
1
crop or Year
Lime
'B --Ye—e
N
nos AO
M9 Cu
Zu
Mn
Note
3A Corn Grain 102000 01
1st Crop: Small Grains 0 80-100
0 0
0
0
10
0
3
2nd Crop: Soybeans
0 0
0. 0
0 0
0
'0
3
Test Results
Soil Class Mf% WIV CBC 'BS%
Ae pH P-1
K-1 Ca% N9% Mn-1 Mx-Al(1)Mn-AI(2) 24-1
Zn-Al
Cu-1
S-1
SS-1
NCB-N AW-N -Na
MIN oA 1.59 5.0 70.0
1.5 5.7 117
122 41.0 16.0 7
60 60 74
.
74
O
1
q
0.1
Sample No. Last Crop Mo Yr TIAJ
NUMMMEM,
Crop or Year
M��
. Lime
Lime ft
nU5 AO
Mg - Cu
zu
B
Mn Soo Note
6 Corn Grain 102000 0:
1st Crop: Small Grains 0 80-100
0 0
.0 0
0
0
3
2nd Crop: Soybeans
0 0
10 0
0 0
0
0
3
Test Results
I I
.
Soil Class 1jM% WIV CEC 'BS%
Ae pH P-1
K-1 Fa-96 M9% Mij-1Mn-Al (1)Mn-W(2) Zn.—I
Zn-Al
Cu-1
S-I,
SS-1 Iffib. N AF&N Na
MIN 2,j8 1.24 80.0
W.,
�10...�M
4 J7 148
148
46
67
0.1
19
Mp"Pffl"N

NCDA W. @d G�>e kRUndr
`(i465,„ {„w,i_r,.. '
onoc%ScD_iy<sio..430,04 .
iNl+_"�7,6,�I 19 733.2 6'S't.. d_,s, i:.4: ,.. : c: e..ort,Ni4,251g4t.::
Grower: Dunbar Foods Copies to:
i' Min: Moody Dunbar
•rrp p li'�;+5� p0 Box 519
,
(
(' 1.1==�'�'
Donn, NC 28334
Test.
"'soil $ goo,_ �!
Report
, Aft
3/Woi. SERVING N.C. CITIZENS FOR OVER 50 YEARS Harnett County
Agronomist Comments: A - 3
R�.�".._a.,,�'k
Sample No. Last Crop
Ho Yr T/A
Crop or Year Lime ,N D05 I60 Mg Cu Zn B ' Mn See Note
1 Sm Grain SIVSoybeans
112000 0.
1st Crop: Corn Grain 0 120=1600 10-36 0 0 0 0 3
2nd Crop: Sm Grain SiVSoybeans 0 80-100 0 0-20 0 0 0 0 3
Test Results '
Soil Class HM% W/V CEC BS•.6 Ac pH P-1 K-1 Ca% Mg% Mn-I Mn-Al (1)Mn-Al (2) Zn-1 Zn-AI • Ca-1 S-1 SS-1 Nib-N AU-N Na
. _ 0..92 _ _ 1.44 4.2 _ 68 2.y0y . 21.0 110_ _ 85 78 138 138 41 43 0.1
811..0.„p
AjMINy
(
eldylfifdflo4 Q.n
9
�I d�Lune
j�0Iyy.8,
j„5. y
?A'bi B, Ie.. I4 YJ.1i
. I }�I�x'�'
_. .
a Ae�dininentidtiolls
Sample No. Last Crop
Mo Yr T/A
Crop or Year Lime N A05 160 Mg Cu Zrr B Mn See Note
2 Sm Grain SII/Soybeam
112000 0.
1st Crop: Corn Grain 0 120-160 0 40-60 0 0 0 0 3
2nd Crop: Sm Grain Sil/SO beans 0 80-100 •0 70-90 0 0 0 0 3
Test Results .
Soil Class HM% W/V CEC BS•.6 Ac pH P-I K I Ca% Mg% Mn-I Mn-Al (1) Mn-Al (2) Zu-1 Zn-Al Cu-1 S-1 SS-1 NQ3-N AH-N Na
MIN -._ 0.6 1.45 .9 7 .0_ 0.8 6.0 . 157 - 45 56.0 18.0. 118 88 81 - 314. 314 52 33 - 0.0
FteYd'��Fp ttnnooY$r
r�lll Qt�..S!ft.IQe,1st
nn
iy�
�I.ri,LLi,
p CO� .ytq���
11fl p t {.7 n
1 t� J r 'p �r +vnr..a Ex. �. �9+u
,�..;.jse..3f�
_ `:1,e
4M 4,UiM1�� .0 11'S
rj�Ar.�iin:��\��:5H -i�1s1e1+�a FFI�'
:aa.7.H.wll', ... s'r_a• 1.
Sample No. - Last Crop
Me Yr T/A
Crop or Year Lime N R05 KO Mg Cr; Zn B Mn See Note
4 Sm Grain SiVSoybeans
112000 0.
1st Crop: Corn Grain 0 120-160 0 0 0 0 0 . 0 3
2nd Crop: Sm Grain SIVSo beans 0 80-100 0 0 0 0 0 0 3
Test Results
Soil Class HM% W/V CEC BS% . Ac pH P-1 K-1 Ca% Mg% Mn-I Mn-Al (1)Mn-Al (2) Zn-1 Zn-AI Cu-1 S-I SS -I NQ-N NII-N Na
ORG 8.86 1.1 7.6 61.o 3.0 5.3 106 . 102 39.0 M.0 72 71 64 97 161 .43 59 0.1
IlformAt�on• r r , •+
led'vive
��Ifee_ �,i,. � >.,...M r
,>r><eId
mlftendatloiC�;;u'-, ,� fr. ,,i. �. ,�f• _ ., .� k,.,u`I. � ..,.< , . ..a ..:.:...
Sample No. Last Crop
He Yr T/A,
Crop or Year Line N. A05 AO Mg Cu Zu B Mn See Note
5 Sm Grain SiVSoybeans
I1 2000 0,
1sl Crop: Corn Grain 0 120-160 0 0 0 0 0 0 3
2nd Crop: Sm Grain SiVSoybeans 0 80-100 0 0 0 0 0 0- 3
Test ResuN
it Class HM% WlV CEC BS% Ac pH P-1 K-1 Ca% Mg% Mn-I Mn-Al (1) Mn-AI (2) Zn-I Zn-Al Cu-1 S-1 SS -I NCS-N NIb-N Na
MIN 1.08 1.39 5.7 82.0 1.0 6.1 1 105 118 54.0 18.0 125 90 83 342 342 79 47 0.1
�4 '

ATTACHMENT # 8
(PAGE 6 OF 18)
SITE ACCESS CONTROL

Attachment 10
Site Access
Access is controlled by limited entry points at ditch crossings only. The fields are tilled
and seeded with grain crops only days after application of residuals.
(D

ATTACHMENT #9
(PAGE 6 OF 18)
BUFFER IDENTIFICATION
41,

ATTACHMENT q
BUFFERS
Buffers are external of application area since the areas are
owned by one entity and are part of a larger tract, except the
buffer along the road right-of-way, which is a standard setback.
This means buffers are self -defining and access -limiting.

T� f
Item VI 1 B: Site Location Map
Averasboro Cemetery Site
.Total Acres ............ 395.05
Buffer tion..........
Acres
.:. 322 ^ '
ApplicationAcres... 322

t
Y jT 8 "` E �gi �i ° a tsx e sps
pk
""
F., ,aa *a �; s n�, kid u� 5 •M"�k'S ..
Item V11 B: Site Location Map
�� s rye For 301 Site
Total Acres............195.8
by ag Buffer Acres .......... 73.05
Application Acres...108
71

\ I - r11Va At -'S+11 / ._a vo�`o'= /I '' ` i �' a: (lePl
a' )
ill x 114
op I ! , • �`/ !/� -'jh4 . •y'� r � �Y
It
a' ., n z00%
r % • :ti` I. "° i 1844 II �� .:.`�� %J / 3t .� r 'kc�d'
n Cz( �hwo j. �.
11
J: I ' - ��. 11 n � r .•�..rjr` .�`bf••vyr '• % �� Gb
Item V11 B: Site Location Map
For 301 Site , �• !� j
El
Total Acres ............ 195.8 x•. ' a• o ,!"g
Buffer Acres .......... 73.05 20°
s
1 Application Acres ... 108
• .= m • 4
. \•� � //�'• 11 i• �I .. e -,� ',�.•Y_�..!.✓ ` g .
It
• \' , it �'U ..n•-_,� �/ bµ''. • � / \�✓i'C_�r �
0 11 1 ,• M ,I _ • L .� � � I �
.I� 11 • W. 1� e%��• ` �_ /i ^'�j . r-7:IF
i • . •6
/ I •.• .. , �� • D / 1
®� _. •� ••.� a: „?y y 'l�"11/^ ,iyr 301 f/ 1791
1 \• ..-�_ ,;y/il

r
Item Vl1 B:,Site Location Map
Averasboro Cemetery Site
Total Acres ............. 395.05
Buffer Acres .......... 73.05
Application Acres ... 322
M

ATTACHMENT. J Q
(PAGES 12,13 OF 18)
DEFAULT MINERALIZATION RATE
AND-'
NITROGEN DECAY SERIES
u

...1IOr4s �owrllj�. vS,Q-
P �(ovs L —D1(a
"9rooc3s 'Qesloy-& rAozr' .,al
,wjrrS
CO) (� i5o 3 ��s Nl��r boo l�s nJ/a1 /y,�=
:; 11 r-- l'-t or,` Topis hC- �y �,� St4C
�.�. •. �Ar4,�.�r�T� are �•{, tS` �Cor CQP �S .w�-fir.; c_, MpSS �o a O
—u\LiTOr4S/AcP
r X o.L{Lt(o = .
!(G-��1 r
` p55umn2 SurAcei��.e
Ffc�nY� l�is�yy`S 7 G�5 .
N I62-"
3 �d
33 ��

t
;ADJaSA(L icx�os. CONoC st—,ai N C-
C, -�<va c9( N-CArr\/CN�2
NP C,00��ti-s(•l43)+.`t(.D-71 ID
- s u9
4% Z, Ca`C,,1�... N,-"-roGar� �C/J` Se11�-eJ
lit tyv%
130
'6, s)( 5'J = 3°t �4��N�
C .ZZY.�,S�'S7 - �. Z I����w
.: tea„ 3 ��-� (:l� I N p •{- '�(-2 AR Z. t�l ,r„ = l���a'
-I.?- = 4 S 3
`t 7 Z.Z.
YA o Re — 5

0 -0-s 60 D -Z) Qrj tj /V
u-J A C— C� t) 7�rc�
-t\nj 3 -7 3L,
(4a, x
W12 2o
x zcco 6.s/-r S 1 b-5/,4 C-) ffiAK) ivy
r VN
pkmoup�- AA 'ok
I FAIrd Tdtr,
7's
-7,06 Lb5 41DT
ori o Qr.T -SZ\jf �X706 lb-5 \JIDT
IWA c
PAD P4S5iY-P ?ArJ S,8- I �S/ A C
Ar
C— Fe
C- 66e-
P, C- a s6YA
q vi � Co CAj
Ac-

ATTACHMENT 11
(PAGES 1 OF 18)
CUMULATIVE LOADINGS
9

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMRTED FOR EACH APPLICATION FIELD.
PLACE A'N/A' IN A BLANK OR BOX WHEN NOT APPLICABLE,
FACILITY NAME -Du�bIiK Rdo )
OWNER - SITE g
OPERATOR FIELD N
TOTAL DRY TONS APPLIED (ANNUAL)
PERMIT W
CATION EXCHANGE CAPACITY (non 503 regulated facilities only) _
ACRES PERMITTED ACRES UTILIZED
DATE or
MONTH
Gallons /or Cubic Yards
(specify)
Dry
D Tons
per Acre
Residual Source
-
1901lds
r+`i:: o'"�idI
U91Avaiipii
Mln.rulluran
Rate
Application
Method
does or
Injection)
II dttl� D" pl
M� pp sa
:. .'d511 . f cards Dn INNi ,
Clop
Total
per AC(B
mwrn.wa
P..t]l it,..
Site Conditions
(Dry. Moist. Wet
.
a
i
TOTALS:
DEM FORM FSF (2195)
PAN I P I As I Cd
©EK7
Mo
DATE I LBSIACRE
6q
Zrt
all
"-iii��-�iaY!•R'i/�-��I//��RI/PSI
(SIGN TURE OF LAND APPLIER) DATE
"I ce Ify, under penally of law, that this document was prepared under my direction or supervision In accordance with a system
dealgped to secure that qualified personnel properly gathered and evaluated the ..lnformallan submllled. I am aware that there are
slgnlllcant penalties for submitting false Information, Including the possibility of lines and Imprisonment for knowing violations."
o
•4

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD.
PLACE A'N/A' IN A BLANK OR BOX WHEN NOT APPLICABLE.
FACILITY NAME ree) - PERMIT 4
OWNER SITE 0 .. CATION, EXCHANGE CAPACITY (non 503 regulated facilities only)
OPERATOR FIELD A - ACRES PERMITTED ACRES UTILIZED
TOTAL DRY TONS APPLIED (ANNUAL) -
DATE or
MONTH
Gallons/or Cubic Yards
s ecll
Dry Tons
per Acre
Residual Source
%Solitd's
N ji; 0"Hal
dt Avnyi$
Min•ralhsllaa
Rate
Application
Method
(Sudan or
In ecllon
I 1
if d.dint..��,tl0op11(:
$dgjl'fcni so eti�r.
.Crop
Total
per Acre
lois.. n,gMa
pw t• Ms.
Site Conditions
(Dry. well
(vv
Lime Application
DATE I LBSIACRE
LssiACRE `�'• "
o. �38a�'n':x3,- r� „
'Fi'47V ` ,'h3ilAm, yn e .R};�rq ".a -. .�
s .¢ x: {K,r:"e'6 RfflYsr?.�:fl:Y'W%n txi 'Ex { i' �4I, :_"3�4i•.i.%:ij�'
As
Cd
Cr
Cu
Pb
Hg
Me
NI
Se
Zn
•
: 215
o
Permit Limit Ibsilacre/ ear - Ist croe / 2nd Crop
Permitted Cumulative Pollutant Loading Rate (Ns./acre) b .
I
X-------
(SIGNATURE OF LAND APPLIER) DATE
"I certify, under penalty of law, that this document was prepared under my direction or supervision In accordance with a system
dealgped to assure that qualified personnel properly gathered and evaluated the Information submitted. 'i am aware that liters are - f
significant penalties for submitting false Information, Including the possibility of fines and Imprisonment for knowing violations."
DEM FORM FSF (2195)
(50