WQ0028547_Renewal Application_20240510

Initial Review
Reviewer nathaniel.thorn burg
Is this submittal an application? (Excluding additional information.) *
Yes No
Permit Number (IR) * WQ0028547
Applicant/Permittee Town of Yanceyville
Applicant/Permittee Address PO Box 727, Yanceyville, NC 27379
Is the owner in BIMS? Yes ) No Is the facility in BIMS? Yes No
Owner Type
Facility Name
County
Fee Category Minor
Is this a complete application?*
Yes No
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if non -application)
Email Notifications
Municipal
Town of Yanceyville Class B Residuals Program
Caswell
Does this need review by the hydrogeologist? * Yes No
Regional Office
CO Reviewer
Admin Reviewer
Fee Amount
Complete App Date
05110/2024
$0
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notfication
Comments for Admin
Comments for RO

Comments for Reviewer
Comments for Applicant

Submittal Form
Project Contact Information
Please provide information on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other correspondence.
Name* Brent Collins
Email Address*
[e-mail]
Project Information
.........................
Application/Document Type*
New (Fee Required)
Modification - Major (Fee Required)
Renewal with Major Modification (Fee
Required)
Annual Report
Additional Information
Other
Phone Number*
3363993646
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:* WQ0028547
Has Current Existing permit number
Applicant/Permittee* Town of Yanceyville
Applicant/Permittee Address* PO Box 727, Yanceyville, NC 27379
Facility Name* Town of Yanceyville Class B Residuals Program
Please provide comments/notes on your current submittal below.
At this time, paper copies are no longer required. If you have any questions about what is required, please contact Nathaniel Thornburg
at [e-mail].
Please attach all information required or requested for this submittal to be reviewed here.
(Application Form, Engineering Plans, Specifications, Calculations, Etc.)
Permit Renewal - Town of Yanceyville WQ0028547.pdf 14.53MB
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
5/10/2024

May 8, 2024
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Services Center
Raleigh, NC 27699-1617
RE: Permit Renewal — WQ0028547
To Whom it May Concern:
EMA Resources is submitting the included permit renewal for The Town of
Yanceyville's land application permit - WQ0028547. The fields that are marked as
modified (M) in the LASC form have been re -mapped using ARCGis to reflect the acres
more accurately. The old maps were not very clear and not as precise. We have had
trouble locating Jennifer Hodges NC-CS-09-11 for a new landowner agreement but we
believe she still wishes to participate in the program. We will submit the LOA as soon as
we receive it and will not spread on that field until a new LOA has been executed and
submitted.
If you have any questions concerning this renewal, please contact Brent Collins —
Director of Technical Services
Respectfully,
Z�z 4;2�_
Brent Collins
Director of Technical Services
brent.collinsgemaresourcesinc.com
[phone]
Phone [phone] — Fax [phone]
755 Yadkinville Rd — Mocksville, NC 27028

g
Inc.
Permit Renewal Application
For
The Town of Yanceyville
WQ0028547
Land Application of Residuals
Prepared By:
EMA Resources Inc.
755 Yadkinville Road
Mocksville, NC 27028
336-751-1441
May 8, 2024
Phone [phone] — Fax [phone]
755 Yadkinville Road — Mocksville, NC 27028

Table of Contents
1)
RLAP Form
a)
Current Permit
2)
RSC
Form
a)
Vicinity Map
b)
Process Flow Diagram
c)
Quantitative Justification
d)
Laboratory Analytical Reports
3)
Operation & Maintenance Plan
4)
Residuals
Information Sheet
5)
LASC
Form
a)
Per Site Information
i) Landowner Agreement
b)
Vicinity Map
c)
Aerial/Application Map
d)
Current Cumulative Loadings

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: Town of Yanceyville
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership Privately -Owned Public Utility
❑ Federal 0 State ® Municipal County
Signature authority's name per 15A NCAC 02T .0106: Kamara Barnett Title: Town Manager
Applicant's mailing address: 158 East Church St, PO Box 727
City: Yanceyville State: NC Zip: 27379
Telephone number: [phone] Email Address: townmana eg_r(a�yanceyvillenc.g_ov
2. 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
Telephone number: [phone]
Email Address: breast.collinskemaresourcesinc.com
3. 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: _
4. Soil Scientist's name: AN
License Number: 72
Affiliation: ❑ N/A [I On Staff
0 Retained (Firm: )
Soil Scientist's mailing address: _
City: State:
Zip: K__-J
Telephone number: (_) =
Email Address: _
5. Fee submitted: $0.00 (See Instruction B)
IL PERMIT INFORMATION:
1. Application is for (check all that apply): 0 new, a modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00028547
Date of most -recently issued permit: 05/16/2019
Date of most -recently certified Attachment A (if different than the permit): 05/16/2019
Date of most -recently certified Attachment B (if different than the permit): 05/16/2019
FORM: RLAP 06-16 Page 1 of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
1. Residuals Processing Facility's physical address: 666 Pine Dr
City: Yanceyville State: NC Zip: 27379
Coordinates: Latitude: 36' 23' 39" Longitude: 79. 20' 27"
Datum: NAD83
Method of measurement: GPS
Level of accuracy: Nearest Second
2. County where residuals land application program is headquartered: Caswell
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: 319 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
66.23
70.54
21,127
22,502
Five -Year Maximum Adjusted
85.14
89.44
27,160
28,531
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
0
Hay/Pasture
160.89
Total:
160.89
Methods
Surface
160.89
Incorporation or Injection
0
Total:
160.89
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
423
450
543
571
100
211
225
272
285
150
141
150
181
190
200
106
113
136
143
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): E 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.
IR
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, Kamara Barnett — Town Manager
(Signature Authority's Name — PLEASE PRINT) (Title)
attest that this application for Town of Yancgyville
(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 § 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
kawal-a Eamett 05/10/2024
Signature: K,-B-,tt(M,V 1J, 202419:22 EDT) Date:
FORM: RLAP 06-16 Page 5 of 5

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
KAMARA BARNETT — TOWN MANAGER
TOWN OF YANCEYVILLE
POST OFFICE BOX 727
YANCEYVILLE, NORTH CAROLINA 27379
Dear Ms. Barnett:
NORTH CAROLINA
Environmental Quality
August 25, 2022
Subject: Permit No. WQ0028547
Correction
Town of Yanceyville Class B
Residuals Program
Land Application of
Class B Residuals
Caswell County
In accordance with a written request from you and Brent Collins received July 21, 2022, we are
forwarding herewith corrected Attachment A of Permit No. WQ0028547 issued May 16, 2019.
The correction to the subject permit is as follows:
1. Addition of Footnote 6 in Attachment A pertaining to the vector attraction reduction
requirements for non -biological residuals.
Please replace Attachment A of Permit No. WQ0028547 issued May 16, 2019 with the
enclosed corrected Attachment A.
If you need additional information concerning this permit correction, please contact Erick Saunders
at [phone] or erickson.saunders&ncdenr. og_v.
Sincerely,
Richard E. Rogers, Jr., Director
Division of Water Resources
Enclosure
cc: Caswell County Health Department (Electronic Copy)
Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Brent Collins — EMA Resources, Inc. (Electronic Copy)
Digital Permit Archive WQ0028547 (Electronic Copy)
Laserfiche File (Electronic Copy)
� 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 GAROLINA +
919.707.9000

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LW DA CULPEPPER
Director
BRIAN COLLIE — TOWN MANAGER
TOWN OF YANCEYVILLE
POST OFFICE BOX 727
YANCEYVILLE, NORTH CAROLINA 27379
Dear Mr. Collie:
NORTH CAROLINA
Environmental Quality
May 16, 2019
Subject: Permit No. WQ0028547
Town of Yanceyville RLAP
Land Application of
Class B Residuals
Caswell County
In accordance with your permit major modification and renewal request received February 27,
2019, and subsequent additional information received April 24, 2019, we are forwarding herewith Permit
No. WQ0028547 dated May 16, 2019, to the Town of Yanceyville for the continued operation of the subject
residuals management program.
Modifications to the subject permit are as follows:
Removal of one field in Caswell County totaling 6.36 acres, that field being NC-CS-80-
03.
• Addition of five fields in Caswell County totaling 69.65 acres, those fields being NC-CS-
09-11 and NC-CS-82-01 to -04.
This permit shall be effective from the date of issuance through October 31, 2024, shall void Permit
No. WQ0028547 issued April 21, 2014, and shall be subject to the conditions and limitations as specified
therein. The Permittee shall submit a renewal application no later than May 4, 2024.
Please pay particular attention to the monitoring requirements listed in Attachment A for they may
differ from the previous permit issuance. Failure to establish an adequate system for collecting and
maintaining the required operational information shall result in future compliance problems.
Please note that on September 1, 2018, North Carolina Administrative Code Title 15A Subchapter
02T — Waste not Discharged to Surface Waters was readopted. Accordingly, this permit incorporates the
requirements of these rules, therefore, please take the time to review this permit thoroughly.
The Division has removed the following permit conditions since the last permit issuance dated
April 21, 2014:
➢ Old Conditions I.2., I.3. and I.4. — These conditions have been fulfilled.
➢ Old Condition II.8. — Replaced by Condition 11.8.
➢ Old Condition III.10. — Redundant since the vegetative cover requirement stipulated in Old
Condition III.11.i. and Condition III.10.h.
D.._ North Carolina Department of Environmental Quality I Division of Water Resources
NORrr+ av+ouran �
�' 512 North Salisbury Street 1 1617 Mail Service Center I Raleigh, North Carolina 27699-1617
u 919.707.9000

Mr. Brian Collie
May 16, 2019
Page 2 of 2
➢ Old Condition III.1 Lh. — Redundant since the soil pH requirement stipulated in Old Condition
III.11.1. and Condition 1II.10.k.
➢ Old Condition IV.8. — Replaced by Condition IV.8.
➢ Old Condition VI.2. — This condition has been removed because the permit is not voidable.
➢ Old Condition VI.9. — Replaced by Condition VI.8.
The following permit conditions are new since the last permit issuance dated April 21, 2014:
➢ Condition II.8. — The setback requirements for land application sites are listed in this condition.
➢ Condition I1I.10.1. — This condition lists the types of watersheds where new land application
fields are not to be permitted.
➢ Condition 1II.1 l.c. — Public access restrictions to dedicated sites have been added. Note that
there are no dedicated sites in this permit.
➢ Condition IV.8. — The annual report shall consist of one paper copy and one electronic (.pdf)
copy.
➢ Condition VI.8. — The permit cannot be renewed without annual fees being paid.
➢ Attachment B — The changes to the land application sites were listed earlier in this letter.
If any parts, requirements or limitations contained in this permit 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 permit shall be final and binding.
If you need additional information concerning this permit, please contact Troy Doby at (919) 707-
3655 or troy ob &ncdenr. ov.
Sincerely,
mda Culpepper, Director
Division of Water Resources
cc: Yancey County Health Department (Electronic Copy)
Winston-Salem Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Brent Collins — EMA Resources, Inc. (Electronic Copy)
Beth Buffington — Protection and Enforcement Branch (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

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
Town of Yanceyville
Caswell County
FOR THE
continued operation of a residuals management program for the Town of Yanceyville and consisting of the
land application of Class B residuals generated by the approved facilities 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 February 27, 2019, subsequent additional information received April 24, 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 October 31, 2024, shall void Permit No.
WQ0028547 issued April 21, 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 May 4,
2024. [15A NCAC 02T .0105(b), 02T .0109]
II. 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 .0108(b)(1)(A)l
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 facilities listed in Attachment A are approved for land application in
accordance with this permit. [ 15A NCAC 02T .1101 ]
WQ0028547 Version 3.0 Shell Version 181130 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
Arsenic
Cadmium
Ceiling
Concentration
Cumulative Pollutant Loading Rates
(mg/kg)
(kg/ha) (lbs/ac)
75
41
36
85
4,300
39
1,500
34
1,338
Copper
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
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.
[15ANCAC 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)]
WQ0028547 Version 3.0 Shell Version 181130 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 Incorporation
by Vehicle Application
400
400
200
0
200
0
50 1
150 1
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.
[15A NCAC 02T .1108(c)]
9. 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)]
WQ0028547 Version 3.0 Shell Version 181130 Page 3 of 12

10. 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 (http://nutrients.soil,ncsu.edu/yields/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:
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.ncaar.gov/SWC/tech/documents/9th Guidance Doc 100109.12dt).
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.sc.eov.usda.p-ov/NHO/practice-standards/standards/590.pdf).
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 .1109(a)(1)(K)]
11. When residuals are land applied to grazed pasture, hay crop realistic nitrogen rate shall be reduced by
25%. [15ANCAC 02T .0108(b)(1)(A)]
12. 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)]
13. 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)]
14. 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)]
WQ0028547 Version 3.0 Shell Version 181130 Page 4 of 12

15. 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 REO UIREMENTS
1. The Permittee shall operate and maintain the residuals management program as a non -discharge system.
[15A NCAC 02T .1100]
The Permittee shall notify the Winston-Salem Regional Office, telephone number [phone], 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 [phone], 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. I I I 0(a)]
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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 residuals are transported or
land applied. [15A NCAC 02T .1110(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 incorporated within a 24-hour period following the injection or
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 W S-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.
[15A NCAC 02T. I 109(a)(1))
WQ0028547 Version 3.0 Shell Version 181130 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;
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)(1)(A), 02T .1104(c)(3)]
14. Class B residuals shall not be land applied to the fields listed in Attachment B unless the Land Owner
Agreement between the Permittee and the respective field owners or lessees/operators of the land
application site is valid. The Land Owner Agreements shall expire concurrent with the permit
expiration date of October 31, 2024. [ 15A NCAC 02T .1104(c)(4)]
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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 (mg/L)
is in parentheses:
Arsenic
1,4-Dichlorobenzene (7.5)
Nitrobenzene (2.0)
Barium
1,2-Dichloroethane (0.5)
Pentachlorophenol (100.0)
Benzene
1,1-Dichloroethylene (0.7)
Pyridine (5.0)
Selenium (1.0)
Cadmium
2,4-Dinitrotoluene (0.13)
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]
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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
Sodium Adsorption Ratio
(SAR)
Cadmium
Nitrate -Nitrite Nitrogen
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
(h=://www.ncagr.gov/agronomi/pubs.htin) The Pennittee 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
Base Saturation (by calculation)
Calcium
ble Sodium Percentage Phosphorus
Magnesium Potassium
Manganese Sodium
Cation Exchange Capacity Percent Humic Matter Zinc
Copper pH
[15A NCAC 02T .0108(c), 15A NCAC 02T. I 111(d)]
6. Representative samples of residuals that are prepared for land application shall be collected and
analyzed. [15A NCAC 02T .1111(a)]
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7. 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 1I.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 I".
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. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/non-
discharge-permitting-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 [phone],
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.
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 [phone], [phone], or [phone]. 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. [15ANCAC 02T .0108(b)(1)(A)]
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V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the storage,
distribution, and application facilities. [15A NCAC 02T .1110(f)]
2. The Permittee shall inspect the 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. [I 5A
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)]
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
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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. 143-215.613, 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 16'' day of May 2019
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Z.a�� �Q�k
?Linda Culpepper, Director
Division of Water Resources
By Authority of the Environmental Manage ent Commission
Permit Number WQ0028547
WQ0028547 Version 3.0 Shell Version 181130 Page 12 of 12

ATTACHMENT A — APPROVED RESIDUAL SOURCES
Town of Yanceyville
Certification Date: May 16, 2019
Permit Number: WQ0028547 Version: 3.0
Monitoring
Monitoring
Monitoring
Biological
Maximum
Frequency for
Frequency for
Frequency for
Approved
Owner
Facility Name
County
Permit Number
Residuals
Dry Tons
Non -hazardous
Metals and
Pathogen &
Mineralization
per Year r
Characteristics
Nutrients
Vector Attraction
Rate
Reductions a, 5
Town of Yanceyville
Yanceyville WTP
Caswell
NCO217010 — WP1
No
75
Annually
Annually
Annually 6
0.4
Town of Yanceyville
Yanceyville WWTP
Caswell
NCO040011
Yes
244
Annually
Annually
Annually
0.3
Total
319
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
< 290
< 319
Once per year (Annually)
> 290 to < 1,500
> 319 to < 1,650
Once per quarter (4 x Year)
> 1,500 to < 15,000
> 1,650 to < 16,500
Once per 60 days (6 x Year)
> 15,000
> 16,500
Once per month (12 x Year)
6. Water Treatment Plant (WTP) residuals are exempt from meeting the vector attraction requirements in Condition IVA, provided they are not mixed with residuals that have been generated during
the treatment of domestic wastewater, the treatment of animal processing wastewater, or the biological treatment of industrial wastewater. The WTP residuals must be treated and processed in a
manner as to not meet the definition of Biological Residuals" as defined in 15A NCAC 02T .1102(6).
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.
WQ0028547 Version 3.0 Attachment A Page 1 of 1

ATTACHMENT B — APPROVED LAND APPLICATION SITES
Town of Yanceyville — Town of Yanceyville RLAP
Certification Date: May 16, 2019
Permit Number: WQ0028547 Version: 3.0
Field
Owner
Lessee
County
Latitude
Longitude
Net Acreage
Dominant Soil Series
Figures
NC-CS-09-11
Hodges, Jennifer W.
Caswell
36.4291250
-79.4408110
38.00
224B — Fairview
1
NC-CS-80-01
Hodges, Wayne Edward; Hodges, Virginia N.
Caswell
36.4850470
-79.3836030
3.17
224B - Fairview
2
NC-CS-80-02
Hodges, Wayne Edward; Hodges, VirginiaN.
Caswell
36.4832670
-79.3875060
11.06
263C -Poindexter
2
NC-CS-80-04
Hovatter, Ruby S.
Sartin, David
Caswell
36.4798030
-79.3903530
22.28
9.69
224B - Fairview
250B - Iredell
3
NC-CS-81-01
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3366720
-79.2479250
4
NC-CS-81-02
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3347190
-79.2466060
5.14
250B - Iredell
4
NC-CS-81-03
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3330530
-79.2462080
3.50
250B - Iredell
4
NC-CS-81-04
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3360530
-79.243022'
11.97
250B - Iredell
4,5
NC-CS-81-05
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3338860
-79.2418360
15.43
Orange
4,5
NC-CS-81-06
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3372280
-79.2404420
5.77
Helena
5
NC-CS-81-07
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3388530
-79.2425170
15.73
250B - Iredell
5
NC-CS-81-08
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3390940
-79.2384440
8.38
Helena
5
NC-CS-81-09
Williamson, Vernon H.; Williamson, Sylvia
Caswell
36.3375060
-79.2383080
7.15
Helena
5
NC-CS-82-01
Crispin, Jon; Crispin, Bonnie; Smith, Dennis Paul
Caswell
36.5010940
-79.271119'
4.75
224B — Fairview
6
NC-CS-82-02
Crispin, Jon; Crispin, Bonnie; Smith, Dennis Paul
Caswell
36.5027740
-79.2723210
7.00
224B — Fairview
6
NC-CS-82-03
Crispin, Jon; Crispin, Bonnie; Smith, Dennis Paul
Caswell
36.501675'
-79.274375'
8.50
224B — Fairview
6
NC-CS-82-04
Crispin, Jon; Crispin, Bonnie; Smith, Dennis Paul
Caswell
36.504599'
-79.2767750
10.90
224B - Fairview
6
Total
188.42
WQ0028547 Version 3.0 Attachment B Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Yanceyville
Status
Code a
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current n
Proposed
R
Town of Yanceyville
Yanceyville WWTP
Caswell
NCO040011
244
244
R
Town of Yanceyville
Yanceyville WTP
Caswell
02-17-010
75
75
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
'The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Yanceyville WWTP
2. Facility permit holder is: ❑ Federal, I❑ State, E Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, rl Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title: Matthew Malone — ORC
Complete mailing address: I
City: State: AM Zip: -
Telephone number: [phone] E-mail address: matthew/maloneginframark.com
4. Facility physical address: 666 Pine Drive
City: Yanceyville State: NC Zip: 27379-
Coordinates: Latitude: 36' 23' 39" Longitude: 79. 20' 27"
Datum: NAD83 Level of accuracy: nearest second
Method of measurement: GPS
5. Purpose of the facility:
® treatment of municipal wastewater, p treatment of 100% domestic wastewater,
❑ treatment of potable water, p treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and _= % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: Yes No
7. Facility permitted/design flow:.45 MGD and facility average daily flow:.25 MGD
8. Average amount of residuals being generated at this facility 244 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 2 sequential batch reactors — 270,000 gallons each
Type and volume of residuals storage (i.e., outside of residuals treatment units): 5 acre lagoon — approximately 10,000,000
gallons
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
® Biological 0 Non -Biological
FORM: RSC 06-16 Page 1 of
5

Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s): 3-
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well
as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 09/26/2023
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >170 OF (> 140°F)
Passed reactivity test: J' yes r]no. HCN: <.25 mg/kg (<250) & H2S: 75 mg/kg (<500)
TCLP Parameter
Limit
(mg//)
Result
(mgfi)
TCLP Parameter
Limit
(mgfi)
Result
(mgfi)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
214,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
214,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate
the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical and Date of analysis: 09/27/2023
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mglkg)
Result
(mglkg)
Arsenic
75
41
<13.2
Cadmium
85
39
<<2.63
Copper
4,300
1,500
404
Lead
840
300
66.8
Mercury
57
17
1.61
Molybdenum
75
n/a
<7.89
Nickel
420
420
33.8
Selenium
100
100
<18.4
Zinc
7,500
2,800
937
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 1.91 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: WMpoint Analytical and Date of analysis: 09/27/2023
Parameter
Result
(mglkg)
Aluminum
23,300
Ammonia -Nitrogen
4,090
Calcium
21,400
Magnesium
3,980
Nitrate -Nitrite Nitrogen
19,800
pH (Standard Unit)
7.3
Phosphorus
20,400
Potassium
3,510
Sodium
2,720
Total Kjeldahl Nitrogen
64,700
c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): .62
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and
conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This rate
is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1s) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mg/kg)
Surface
40,030
50,935
Injection/Incorporation
42,075
52,980
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of

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

I%.r
Data use subject to license. #TN
® DeLorme. Map® 8. fm (9,V"
www.delorme.com

Quantitative Justification for Residuals Production Rate
Facility:
Town of Yanceyville WWTP
Town of Yanceyville WTP
Requested Permitted Rate:
244 dry tons/year— WWTP
75 dry tons/year - WTP
Justification WWTP:
The Town of Yanceyville WWTP currently produces roughly 250 dry tons of biosolids,
based on the calculations below.
Justification WTP:
The Town of Yanceyville WTP currently produces roughly 75 dry tons of biosolids, based
on the calculations below.
Calculations WWTP:
Based on the most recent hauling year of 2023, there were 442,500 gallons applied.
Using 1,000,000 in our calculation and the most recent sampling data showing 1.91%
residual solids.
(1,000,000 gal/yr) x (1.91% solids) x (8.34 Ibs/gal) = 80 dt/yr
(2,000 Ibs/ton)
Calculations WTP:
Based on the most recent hauling year of 2022, there were 344,500 gallons applied.
Using 1,000,000 in our calculation and the most recent sampling data showing 2%
residual solids.
(1,000,000 gal/yr) x (2% solids) x (8.34 Ibs/gal) = 83.4 dt/yr
(2,000 Ibs/ton)

Waypointo
ANALYTICAL
10/9/2023
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Lab Report Number: 23-271-0003
Client Project Description: Yanceyville
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Dear Mr. Brent Collins:
Waypoint Analytical, LLC. received sample(s) on 9/28/2023 for the analyses presented in the following report.
The above referenced project has been analyzed per your instructions. The analyses were performed in
accordance with the applicable analytical method. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2021) and NELAC unless otherwise indicated. Any parameter
for which the laboratory is not officially NELAP accredited is indicated by a '—'symbol. These are not included in
the scope because NELAP accreditation is either not available or has not been applied for. Additional
certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Connie Cook
Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 8

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.com
Certification Summary
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/29/2024
Arkansas
State Program
88-0650
02/07/2024
California
State Program
2904
06/30/2024
Florida
State Program
- NELAP
E871157
06/30/2024
Georgia
State Program
C044
11/14/2025
Georgia
State Program
04015
06/30/2024
Illinois
State Program
- NELAP
200078
10/31/2024
Kentucky
State Program
80215
06/30/2024
Kentucky
State Program
KY90047
12/31/2023
Louisiana
State Program
- NELAP
LA037
12/31/2023
Louisiana
State Program
- NELAP
04015
06/30/2024
Mississippi
State Program
MS
11/14/2025
North Carolina
State Program
47701
07/31/2024
North Carolina
State Program
415
12/31/2023
Pennsylvania
State Program
- NELAP
68-03195
05/31/2024
South Carolina
State Program
84002
06/30/2024
Tennessee
State Program
02027
11/14/2025
Texas
State Program
- NELAP
T104704180
09/30/2024
Virginia
State Program
00106
06/30/2024
Virginia
State Program
- NELAP
460181
09/14/2024
Page 1 of 1 00001/23-271-0003
Page 2 of 8

Waypoint
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Report Number: 23-271-0003
Client Project Description: Yanceyville
Lab No Client Sample ID Matrix Date Collected Date Received
88155 Yancyville WWTP Solids 09/27/2023 10:00 09/28/2023
Page 3 of 8

Waypointo
ANALYTICAL
Client: EMA Resources Inc
Project: Yanceyville
Lab Report Number: 23-271-0003
Date: 10/9/2023
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 fax [phone]
www.waypointanalytical.com
CASE NARRATIVE
Metals Analysis Method 601 OD
Sample 83723 (Grab)
Analyte: Aluminum
QC Batch No: 1-708175/1-707770
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.
Sample 83723 (Grab)
Analyte: Calcium
QC Batch No: 1-708175/1-707770
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.
Sample 83723 (Grab)
Analyte: Iron
QC Batch No: 1-708175/1-707770
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.
Sample 83723 (Grab)
Analyte: Potassium
QC Batch No: 1-708544/1-707770
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.
Sample 83723 (Grab)
Analyte: Magnesium
QC Batch No: 1-708175/1-707770
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.
Sample 83723 (Grab)
Analyte: Manganese
QC Batch No: 1-708175/1-707770
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 4 of 8

Waypointo
ANALYTICAL
46245
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville , NC 27028
Project Yanceyville
Information :
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Report Date : 10/09/2023
nReceived : 09/28/2023
C-�*�-� =
Connie Cook
Report Number : 23-271-0003
REPORT OFANALYSIS
Project
Manager
Lab No : 88155
Matrix:
Solids
Sample ID : Yancyville WWTP
Sampled:
9/27/2023
10:00
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Moisture
98.1
%
1
09/29/23 16:05
CAH
SW-DRYWT
Ammonia Nitrogen
40903
mg/Kg -
dry
842
5260
1
10/05/23 12:04
JPJ
4500NH3C-2011
Nitrate+Nitrite-N
19800
mg/Kg -
dry
52.6
263
1
10/05/23 11:38
CLP
4500NO3F-2016
Organic N
606303
mg/Kg -
dry
842.1
5263
1
10/05/23 07:05
CALCULATION
pH
7.3
S.U.
1
10/02/2316:45
CNB
9045D
Total Solids
1.91
%
0.010
0.010
1
09/29/23 16:05
CAH
2540G-2011
Total Volatile Solids
55.1
%
0.010
0.010
1
09/29/23 16:05
CAH
2540G-2011
Total Kjeldahl Nitrogen
64700
mg/Kg -
dry
526
13200
1
10/05/23 07:05
JPJ ;M-4500-NH3C-TKI`
Phosphorus
20400
mg/Kg -
dry
147
263
1
10/02/23 20:42
BKN
6010D
Aluminum
23300
mg/Kg -
dry
245
263
1
10/02/23 20:42
BKN
6010D
Arsenic
<13.2
mg/Kg -
dry
13.2
26.3
1
10/02/23 20:42
BKN
6010D
Cadmium
<2.63
mg/Kg -
dry
2.63
5.26
1
10/02/23 20:42
BKN
6010D
Calcium
21400
mg/Kg -
dry
2040
2630
1
10/02/23 20:42
BKN
6010D
Chromium
45.1
mg/Kg -
dry
13.2
13.2
1
10/02/23 20:42
BKN
6010D
Copper
404
mg/Kg -
dry
15.8
26.3
1
10/02/23 20:42
BKN
6010D
Iron
24800
mg/Kg -
dry
450
526
1
10/02/23 20:42
BKN
6010D
Lead
66.8
mg/Kg -
dry
10.5
15.8
1
10/02/23 20:42
BKN
6010D
Magnesium
3980
mg/Kg -
dry
137
263
1
10/02/23 20:42
BKN
6010D
Manganese
526
mg/Kg -
dry
18.4
26.3
1
10/02/23 20:42
BKN
6010D
Mercury
1.613
mg/Kg -
dry
1.17
9.74
1
10/03/23 12:12
MRE
7471A
Molybdenum
<7.89
mg/Kg -
dry
7.89
13.2
1
10/02/23 20:42
BKN
6010D
Nickel
33.8
mg/Kg -
dry
7.89
13.2
1
10/02/23 20:42
BKN
6010D
Potassium
3510
mg/Kg -
dry
326
526
1
10/02/23 20:42
BKN
6010D
Qualifiers/ DF Dilution Factor
J
Estimated value
Definitions MQL Method Quantitation Limit
Page 5 of 8

•
Waypoint
27090 Whitten
Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
ANALYTICAL
www.waypointanalyiical.com
46245
EMA Resources Inc
Project
Yanceyville
Mr. Brent Collins
Report Date : 10/09/2023
755 Yadkinville Rd
Information :
Received : 09/28/2023
Mocksville , NC 27028
Connie Cook
Report Number : 23-271-0003
REPORT OFANALYSIS
Project Manager
Lab No : 88155
Matrix: Solids
Sample ID : Yancyville WWTP
Sampled: 9/27/2023 10:00
Test
Results
Units
MDL
MQL DF Date / Time By Analytical
Analyzed Method
Selenium
<18.4
mg/Kg - dry
18.4
26.3 1 10/02/23 20:42 BKN 6010D
Sodium
2720
mg/Kg - dry
684
1320 1 10/02/23 20:42 BKN 6010D
Zinc
937
mg/Kg - dry
44.7
65.8 1 10/02/23 20:42 BKN 6010D
Sulfur
14400
mg/Kg - dry
274
526 1 10/02/23 20:42 BKN 6010D
Sodium Absorption Ratio
0.61
Ratio
0.01
0.01 1 10/02/23 20:42 CALCULATION
Qualifiers/ DF Dilution Factor
Definitions
J Estimated value
Page 6 of 8

s
WayPAoi nt ..(2) �79p Whitten Road,3.240 Memphis, TN 38133
21.2440
Main 901.213.240fl °Fax [phone]
N A LYT I C A L www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 23-271-0003
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
IT100
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?
# Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
# Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
F_ High concentration container (48 hr)
F_ 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: IMakayla Weaver Date & Time: 09/28/2023 09:01:50
Page 7 of 8

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Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
J_..a
Contact: Brent Collins
Client: GMA Resources, Inc
755 Yadkinville Road
Mocksville, NC 27028
Meritech Work Order # 09262312
Parameters gei >
% Total Solids 1.96 %
Fecal Coliform (Class B Sludge) 10,204 CFU/g
Meritech Work Order # 09262313
Parameters Result
% Total Solids 2.13 %
Fecal Coliform (Class B Sludge) 9,859 CFU/g
Meritech Work Order # 0926231
Parameteu
% Total Solids
Fecal Coliform (Class B Sludge)
Sample: Yanceyville 1
Analysis Date
9/27/23
dry wt 9/26/23
Sample: Yanceyville 2
Analysis Date
9/27/23
dry wt 9/26/23
4 Sample: Yanceyville 3
Result Analysis Date
1.61 % 9/27/23
2,258 CFU/g dry wt 9/26/23
Meritech Work Order # 09262315 Sample: Yanceyville 4
Parameters Result Analysis Date
% Total Solids 1.97 % 9/27/23
Fecal Coliform (Class B Sludge) 14,213 CFU/g dry wt 9/26/23
Revised Report Date:
Report Date:
Date Sample Rcvd:
Reporting Limit
0-100 %
130 CFU/g dry wt
Reporting Limit
0-100 %
130 CFU/g dry wt
Reporting Limit
0-100 %
130 CFU/g dry wt
Repo fi g-Limit
0-100 %
130 CFU/g dry wt
Page 1
1012 612023
10/3/2023
9/26/2023
9/26/23
Method
SM 2540B
SM 9222D
9/26/23
Method
SM 2540B
SM 9222D
9/26/23
Meth
SM 2540B
SM 9222D
9/26/23
Me tt god
SM 2540B
SM 9222D
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
•
Contact: Brent Collins
Client: EMA Resources, Inc
755 Yadkinville Road
Mocksville, NC 27028
Meritech Work Order # 09262316
Parameters Result
% Total Solids 2.07 %
Fecal Coliform (Class B Sludge) 4,392 CFU/g
Meritech Work Order # 0926231
Parameters
% Total Solids
Fecal Coliform (Class B Sludge)
2.40 %
1,515 CFU/g
Meritech Work Order # 09262318
Parameterj Result
% Total Solids 2.31 %
Fecal Coliform (Class B Sludge) 3,148 CFU/g
Sample: Yanceyville 5
Analysis Date
9/27/23
dry wt 9/26/23
Sample: Yanceyville 6
Analysis Date
9/27/23
dry wt 9/26/23
Sample: Yanceyville 7
Analysis Date
9/27/23
dry wt 9/26/23
1 hereby certify that 1 have reviewed and approve these data.
Revised Report Date:
Report Date:
Date Sample Rcvd:
Reporting Limit
0-100 %
130 CFU/g dry wt
Reporting Limit
0-100 %
130 CFU/g dry wt
Reporting Limit
0-100 %
130 CFU/g dry wt
Page 2
1012612023
10/3/2023
9/26/2023
9/26/23
Method
SM 2540B
SM 9222D
9/26/23
Method
SM 2540B
SM 9222D
9/26/23
Nlgth9d
SM 2540B
SM 9222D
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

6A-1016
Chain of Custody Record (COC)
NPDES#:
Client: EMA Resources Inc. Phone: [phone]
Address:_ 755 Yadkinville Rd Fax: [phone]
Mocksville NC 27028 Email:�[e-mail]
Project:
P.O.#:
Attention:_Brent Collins Turn Around Time*
How would you like your report sent? *RUSH work needs prior approval.
Circle all that apply: mai preferred), Fax, Mail Sftl�l°—days) 3Cy� zOS
J
MERITECH INC.
1
ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritechlabs.com
Sample Location and/or ID #
Sampling Dates &Times
Person Taking Sample (Sign/Print):
Lab Use Only
Start
End
comp?
Grab?
a of
Cont.
Test(s) Required
On Ice?
M / No
pH OK?
Cl OK?
Date
Time
Date
Time
YOACeyvilit-
j
9%21i12-3
/p;IS
G
1
Fecal Coliform
2
17
3
Vy
-7
V
V
1
Temperature Upo�f
Receipt: rL
Method of
Shipment:
`** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol
and TKN samples must be done in the field prior
to preservation. ***
Comments:
Compositor #
JJug #
❑ UPS
❑ Fed Ex
Are these results for regulatory purposes? Yes 0
No ❑
Report results in: mg/L ❑
mg/kg o- ug/L ❑
Hand Delivery
Relinquished by: / Date: Time:
� � y�y� 2.3
Received by:
Date: Time:
❑ Other
Relinquished by: Date: Time:
Received by:
Date: Time:
Relinquished by: Date: Time:
ed b j I)
,BAteti j lTin L

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
;a ;
Contact: Brent Collins Report Date: 10/2/2023
Client: EMA Resources, Inc
755 Yadkinville Road
Mocksville, NC 27028 Date Sample Rcvd: 9/26/2023
Meritech Work Order # 09262319 Sample: Yanceyville - VS In Grab 9/26/23
Parameters
Result
Analysis Date
Reporting Limit
Method
• Total Solids
0.29 %
9/27/23
0-100 %
SM 2540B
• Volatile Solids
0.21 %
9/27/23
0-100 %
SM 2540E
Meritech Work Order # 09262320 Sample: Yanceyville - VS Out Grab 9/26/23
Parameters
Result
Analysis Date
Reporting Limit
Method
• Total Solids
2.91 %
9/27/23
0-100 %
SM 2540B
• Volatile Solids
0.86 %
9/27/23
0-100 %
SM 2540E
1 hereby certify that 1 have reviewed and approve these data.
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

5-9-2016
Chain of Custody Record (COC)
NPDES#:
Client: EMA Resources Inc. Phone:[phone]
Address: 755 Yadkinville Rd Fax: [phone]
Mocksville NC 27028 Email: [e-mail]
Project:
P.O.#:
Attention: Brent Collins Turn Around Time*
How would you like your report sent? *RUSH work needs prior approval.
stCd1lOdays) 3-5 Days z= s
Circle all that apply: S (preferred), Fax, Mail
L ] L
JUSe
ME RITECH INC.
ENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
WWW.fYlerltecillabS.COfYI
Sample Location and/or ID #
Sampling Dates &Times
l
Person Taking Sample (Sign/Print):
'
Lab Only
Y
Start
End
Comp?
Grab?
Cont.nt
Test(s)
Required
On Ice?
Yes / No
pH OK?
Cl OK?
Date
Time
Date
Time
you c e-%j;
1 N
91,Wok3
io : 0-0
C.
I
Volatile Solids
V
\Is O j T
9/26,/8
/b: r S
Temperature Upon
Receipt: zy
Method of
Shipment:
*** Dechlorination <0.5 p m of Ammonia, Cvanide, Phenol
and TKN samples must be done in the field prior to preservation. ***
Comments:
Compositor #
❑ UPS
_
Jug #
❑ Fed Ex
Are these results for regulatory purposes? Yes 9-� No ❑
Report results in: mg/L ❑ mg/kg EJ' ug/L ❑
Hand Delivery
Relinquished by: jai/ Date: Time:
`��.�- 9�Za/Zj
/o; �Q
Received by: Date: Time:
❑ Other
Relinquished by: Date: Time:
Received by: Date: Time:
Relinquished by: Date: Time:
eceived'Isy Le � � [ TL
Z l I

13
ace Analytical ' ANALYTICAL REPORT
October 09, 2023
EMA Resources
Sample Delivery Group: L166O181
Samples Received: 09/27/2023
Project Number:
Description: Sludge
Report To: Mr. Brent Collins
755 Yadkinville Road
Mocksville, NC 27028
Entire Report Reviewed By
zez�7��'
Reagan Johnson
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 1 of 22

TABLE OF CONTENTS
Cp: Cover Page
u
Tc: Table of Contents
2
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
Fss]
YANCEYVILLE L1660181-01
5
Fn
Qc: Quality Control Summary
7
Wet Chemistry by Method 9012 B
7
Fr
Wet Chemistry by Method 9034-9030B
8
Wet Chemistry by Method 9045D
9
Rc
Wet Chemistry by Method D93/1010A
10
F
Mercury by Method 7470A
11
Metals (ICP) by Method 6010D
12
[Al
Volatile Organic Compounds (GC/MS) by Method 8260D
14
Chlorinated Acid Herbicides (GC) by Method 8151A
16
RC
Pesticides (GC) by Method 8081B
17
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
18
GI: Glossary of Terms
20
al: Accreditations & Locations
21
Sc: Sample Chain of Custody
22
ACCOUNT: PROJECT: SDG:
DATE/TIME:
PAGE:
EMA Resources L1660131
10/09/23 11:09
2 of 22

YANCEYVILLE L1660181-01 Waste
Method
Preparation by Method 1311
Preparation by Method 1311
Wet Chemistry by Method 9012 B
Wet Chemistry by Method 9034-9030B
Wet Chemistry by Method 9045D
Wet Chemistry by Method D93/1010A
Mercury by Method 7470A
Metals (ICP) by Method 6010D
Volatile Organic Compounds (GC/MS) by Method 8260D
Chlorinated Acid Herbicides (GC) by Method 8151A
Pesticides (GC) by Method 8081B
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
SAMPLE SUMMARY
Collected by
Brent Collins
Collected date/time Received date/time
09/26/2310:00 09/27/23 09:00 C
P
Batch Dilution Preparation Analysis
date/time date/time
WG2141719
1 09/29/2316:39
09/29/2316:39
WG2141899
1 09/29/2314:08
09/29/2314:08
WG2142337
1 09/30/2317:54
10/01/23 20:55
WG2143775
1 09/30/23 09:21
10/02/23 20:00
W G 2141964
1 09/2 9/2313:41
10/02/2314:19
WG2143483
1 10/03/23 02:56
10/03/23 02:56
W G 2143179
1 10/02/231133
10/02/2316:03
W G 21432 55
1 10/02/2312:33
10/02/2317:2 8
W G 2142404
1 10/01/2315:27
10/01/2315:27
W G 2142 975
1 10/02/2314:22
10/03/2312:40
WG2144467
1 10/04/23 2100
10/05/23 03:57
WG2144463
1 10/05/23 05:49
10/05/23 20:28
Analyst
PNK
BTP
LDT
CAT
ARID
WOS
NDL
DJS
DYW
HMH
JMB
AED
Location
FC
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Fn
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Fr
Mt. Juliet, TN
Mt. Juliet, TN
Rc
Mt. Juliet, TN
Mt. Juliet, TN
GI
F
RC
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 3 of 22

CASE NARRATIVE
All sample aliquots were received at the correct temperature, in the proper containers, with the FP
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FC
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FS
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data. 0
Fr
-� Rc
GI
Reagan Johnson [Al
Project Manager
RC
Project Narrative
All Reactive Cyanide results reported in the attached report were determined as totals using method 9012 B.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034-903013.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 4 of 22

SAMPLE RESULTS - 01
L1660181
YANCEYVILLE
Collected date/time: 09/26/23 10:00
Preparation by Method 1311
Result
Analyte
TCLP Extraction
TCLP ZHE Extraction -
Initial pH 6.73
Final pH 6.05
Wet Chemistry by Method 9012 B
Qualifier Prep Batch
date / time
9/29/2023 4:39:41 PM WG2141719
9/29/2023 2:08:35 PM WG2141899
9/29/2023 4:39:41 PM WG2141719
9/29/2023 4:39:41 PM WG2141719
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Cyanide ND 0.250
Wet Chemistry by Method 9034-9030B
Dilution Analysis Batch
date / time
1 10/01/2023 20:55 WG2142337
Result Qualifier RDL Dilution Analysis Batch
Analyte mg/kg mg/kg date / time
Reactive Sulfide ND 75.0 1 10/02/2023 20:00 WG2143775
Wet Chemistry by Method 9045D
Result Qualifier Dilution Analysis Batch
Analyte su date / time
Corrosivity by pH 6.93 T8 1 10/02/202314:19 WG2141964
Sample Narrative:
L1660181-01 WG2141964: 6.93 at 22.9C
Wet Chemistry by Method D93/1010A
Result
Analyte Deg. F
Ignitability DNI at170
Mercury by Method 7470A
Result
Analyte mg/I
Mercury ND
Metals (ICP) by Method 6010D
Qualifier Dilution Analysis Batch
date / time
1 10/03/2023 02:56 WG2143483
Qualifier RDL Limit Dilution Analysis Batch
mg/I mg/I date / time
0.0100 0.20 1 10/02/202316:03 WG2143179
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Arsenic
ND
0.100
5
1 10/02/202317:28
WG2143255
Barium
ND
0.100
100
1 10/02/202317:28
WG2143255
Cadmium
ND
0.100
1
1 10/02/202317:28
WG2143255
Chromium
ND
0.100
5
1 10/02/202317:28
WG2143255
Lead
ND
0.100
5
1 10/02/202317:28
WG2143255
Selenium
ND
0.100
1
1 10/02/202317:28
WG2143255
Silver
ND
0.100
5
1 10/02/202317:28
WG2143255
Volatile Organic Compounds (GC/MS) by Method 8260D
Analyte
Benzene
Carbon tetrachloride
Chlorobenzene
Chloroform
1,2-Dichloroethane
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
mg/I
mg/I
mg/I
date/time
ND
0.0500
0.50
1 10/01/202315:27
WG2142404
ND
0.0500
0.50
1 10/01/202315:27
WG2142404
ND
0.0500
100
1 10/01/202315:27
WG2142404
ND
0.250
6
1 10/01/202315:27
WG2142404
ND
0.0500
0.50
1 10/01/202315:27
WG2142404
ACCOUNT:
PROJECT:
SDG:
DATE/TIME: PAGE:
EMA Resources
L1660131
10/09/23 11:09 5 of 22

YANCEYVILLE SAMPLE RESULTS
Collected date/time: 09/26/23 10:00 L1660181
Volatile Organic Compounds (GC/MS) by Method 8260D
- 01
Result
Qualifier RDL Limit Dilution
Analysis
Batch
Analyte
mg/I
mg/I mg/I
date/time
1,1-Dichloroethene
ND
0.0500 0.70 1
10/01/202315:27
WG2142404
2-Butanone (MEK)
ND
0.500 200 1
10/01/202315:27
WG2142404
Tetrachloroethene
ND
0.0500 0.70 1
10/01/202315:27
WG2142404
Trichloroethene
ND
0.0500 0.50 1
10/01/202315:27
WG2142404
Vinyl chloride
ND
0.0500 0.20 1
10/01/202315:27
WG2142404
(S) Toluene-dH
110
80.0-120
101011202315.27
WG2142404
(S) 4-Bromofluorobenzene
878
77.0-126
101011202315.27
WG2142404
(S) 1,2-Dichloroethene-d4
116
70.0-130
101011202315.27
WG2142404
Chlorinated Acid Herbicides (GC) by Method 8151A
Result Qualifier
RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
2,4,5-TP (Silvex)
ND
0.00200
1 10/03/202312:40
WG2142975
2,4-D
ND
0.00200
1 10/03/202312:40
WG2142975
(S) Z4-Dichlorophenyl Acetic Acid
90.0
14.0-158
101031202312.40
WG2142975
Pesticides (GC) by Method
8081B
Result Qualifier
RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Chlordane
ND
0.00500
0.03
1 10/05/2023 03:57
WG2144467
Endrin
ND
0.00500
0.02
1 10/05/2023 03:57
WG2144467
Heptachlor
ND
0.00500
0.0080
1 10/05/2023 03:57
WG2144467
Heptachlor epoxide
ND
0.00500
0.0080
1 10/05/2023 03:57
WG2144467
Lindane
ND
0.00500
0.40
1 10/05/2023 03:57
WG2144467
Methoxychlor
ND
0.00500
10
1 10/05/2023 03:57
WG2144467
Toxaphene
ND
0.0100
0.50
1 10/05/2023 03:57
WG2144467
(S) Decochlorobiphenyl
53.2
10.0-128
1010512023 03.57
WG2144467
(S) Tetrochloro-m-xylene
84.2
10.0-127
1010512023 03.57
WG2144467
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
Analyte
1,4-Dichlorobenzene
2,4-Dinitrotoluene
Hexachlorobenzene
Hexachloro-1,3-butadiene
Hexachloroethane
Nitrobenzene
Pyridine
3&4-Methyl Phenol
2-Methylphenol
Pentachlorophenol
2,4,5-Trichlorophenol
2,4,6-Trichlorophenol
(S) 2-Fluorophenol
(S) Phenol-d5
(S) Nitrobenzene-d5
(S) 2-Fluorobiphenyl
(S) Z4,6-Tribromophenol
(S) p-Terphenyl-d14
ACCOUNT:
EMA Resources
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
mg/I
mg/I
mg/I
date/time
ND
0.100
7.50
1 10/05/2023 20:28
WG2144463
ND
0.100
0.13
1 10/05/2023 20:28
WG2144463
ND
0.100
0.13
1 10/05/2023 20:28
WG2144463
ND
0.100
0.50
1 10/05/2023 20:28
WG2144463
ND
0.100
3
1 10/05/2023 20:28
WG2144463
ND
0.100
2
1 10/05/2023 20:28
WG2144463
ND
0.100
5
1 10/05/2023 20:28
WG2144463
ND
0.100
400
1 10/05/2023 20:28
WG2144463
ND
0.100
200
1 10/05/2023 20:28
WG2144463
ND
0.100
100
1 10/05/2023 20:28
WG2144463
ND
0.100
400
1 10/05/2023 20:28
WG2144463
ND
0.100
2
1 10/05/2023 20:28
WG2144463
28.4
10.0-120
101051202320.28
WG2144463
19.6
10.0-120
101051202320.28
WG2144463
79.8
10.0-127
101051202320.28
WG2144463
65.3
10.0-130
101051202320.28
WG2144463
78.0
10.0-155
101051202320.28
WG2144463
79.8
10.0-128
101051202320.28
WG2144463
PROJECT:
SDG:
DATE/TIME: PAGE:
L1660131
10/09/23 11:09 6 of 22

WG2142337
QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9012 B
L1660181-01
Method Blank (MB)
(MB) R3930233-1 10/01/23 20:45
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
Reactive Cyanide U 0.0390 0.250
L1660272-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1660272-01 10/01/23 21:08 • (DUP) R3930233-3 10/01/23 2109
Original Result DUP Result Dilution DUP RPD
DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg
Reactive Cyanide 0.851 1.23 1 36.7
P1 20
Sample Narrative:
DUP: RPD failure due to matrix interference.
L1660630-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1660630-01 10/01/23 21:11 • (DUP) R3930233-4 10/01/23 2112
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg
Reactive Cyanide ND ND 1 0.000 20
Laboratory Control Sample (LCS)
(LCS) R3980233-2 10/01/23 20:46
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg
Reactive Cyanide 2.50 2.48 99.3 85.0-115
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 7 of 22

WG2143775
Wet Chemistry by Method 9034-9030B
Method Blank (MB)
(MB) R3980852-1 10/02/23 2000
MB Result
Analyte mg/kg
Reactive Sulfide U
MB Qualifier MB MDL MB RDL
mg/kg mg/kg
30.0 75.0
Laboratory Control Sample (LCS)
(LCS) R3980852-2 10/02/23 20:00
Spike Amount LCS Result
Analyte mg/kg mg/kg
Reactive Sulfide 100 76.4
QUALITY CONTROL SUMMARY
L1660181-01
LCS Rec. Rec. Limits LCS Qualifier
76.4 53.8-124
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 3 of 22

WG2141964 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9045D L1660181-01
Laboratory Control Sample (LCS) C
(LCS) R3930563-1 10/02/231419 p
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier ITC]
Analyte su su % %
Corrosivity by pH 10.0 9.99 99.9 99.0-101
F
Sample Narrative: SS
LCS: 9.99 at 21.6C
[Cn]
5
Sr
�GI
FAI
FSC1
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 9 of 22

WG2143483 QUALITY CONTROL SUMMARY
Wet Chemistry by Method D93/1010A L1660181-01
L1660066-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1660066-01 10/03/23 02:56 • (DUP) R3930756-3 10/03/23 02:56
Original Result DUP Result Dilution DUP RPD
Analyte Deg. F Deg. F
Ignitability DNI at170 DNI at170 1 0.000
L1660377-02 Original Sample (OS) • Duplicate (DUP)
DUP Qualifier DUP RPD
Limits
i
10
(OS) L1660377-02 10/03/23 02:56 • (DUP) R3930756-4 10/03/23 02:56
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte Deg. F Deg. F
Ignitability DNI at170 DNI at170 1 0.000 10
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3930756-1 10/03/23 02:56 • (LCSD) R3930756-2 10/03/23 02:56
Spike Amount LCS Result LCSD Result LCS Rec.
LCSD Rec.
Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte Deg. F Deg. F Deg. F
Ignitability 126 125 127 98.8
100
95.6-104 1.59 10
ACCOUNT:
PROJECT:
SDG: DATE/TIME: PAGE:
EMA Resources
L1660131 10/09/23 11:09 10 of 22

WG2143179 QUALITY CONTROL SUMMARY
Mercury by Method 7470A L1660181-01
Method Blank (MB)
(MB) R3930639-1 10/02/231519
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/I mg/I mg/I
Mercury U 0.00330 0.0100
Laboratory Control Sample (LCS)
(LCS) R3980639-2 10/02/2315:26
Spike Amount LCS Result LCS Rec.
Analyte mg/I mg/I
Mercury 0.0300 0.0286 95.4
Rec. Limits LCS Qualifier
80.0-120
L1660170-03 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1660170-03 10/02/23 15:29 • (MS) R3930639-3 10/02/2315:31 • (MSD) R3930639-4 10/02/23 15:34
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0297
0.0301 99.0 100 1 75.0-125 1.34 20
L1660194-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1660194-02 10/02/2316:06 • (MS) R3930639-5 10/02/2315:39 • (MSD) R3930639-6 10/02/2315:41
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0258
0.0296 86.1 98.7 1 75.0-125 13.6 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 11 of 22

WG2143255
Metals (ICP) by Method 6010D
Method Blank (MB)
(MB) R3930304-1 10/02/2316:42
MB Result
MB Qualifier MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
Arsenic U
0.0333
0.100
Barium U
0.0333
0.100
Cadmium U
0.0333
0.100
Chromium U
0.0333
0.100
Lead U
0.0333
0.100
Selenium U
0.0333
0.100
Silver U
0.0333
0.100
Laboratory Control Sample (LCS)
(LCS) R3980804-2 10/02/23 16:45
QUALITY CONTROL SUMMARY
L1660181-01
Spike Amount
LCS Result
LCS Rec.
Rec. Limits
Analyte
mg/I
mg/I
Arsenic
10.0
10.7
107
80.0-120
Barium
10.0
9.94
99.4
80.0-120
Cadmium
10.0
9.91
99.1
80.0-120
Chromium
10.0
9.57
95.7
80.0-120
Lead
10.0
9.75
97.5
80.0-120
Selenium
10.0
10.3
103
80.0-120
Silver
2.00
1.73
86.7
80.0-120
LCS Qualifier
L1660194-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1660194-02 10/02/2316:43 • (MS) R3930304-4 10/02/2316:53 • (MSD) R3930304-5 10/02/2316:56
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
10.5
10.4
105
104
Barium
10.0
0.106
10.4
10.2
103
101
Cadmium
10.0
ND
9.89
9.78
98.9
97.8
Chromium
10.0
ND
9.83
9.63
98.3
96.3
Lead
10.0
ND
9.82
9.65
98.2
96.5
Selenium
10.0
ND
9.86
9.65
98.6
96.5
Silver
2.00
ND
1.72
1.71
86.1
85.4
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
1 75.0-125
1.12
20
1 75.0-125
1.41
20
1 75.0-125
1.12
20
1 75.0-125
2.10
20
1 75.0-125
1.73
20
1 75.0-125
2.12
20
1 75.0-125
0.816
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 12 of 22

WG2143255 QUALITY CONTROL SUMMARY
Metals (ICP) by Method 6010D L1660181-01
L1660460-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1660460-02 10/02/2316:59 • (MS) R3930304-6 10/02/23 17:02 • (MSD) R3930304-7 10/02/23 17:04
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
10.8
10.8
108
108
Barium
10.0
0.880
11.0
10.9
101
100
Cadmium
10.0
ND
10.1
10.0
101
100
Chromium
10.0
ND
9.78
9.71
97.8
97.1
Lead
10.0
ND
9.89
9.91
98.9
99.1
Selenium
10.0
ND
10.4
10.4
103
103
Silver
2.00
ND
1.77
1.75
88.6
87.7
ACCOUNT:
EMA Resources
PROJECT:
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
1 75.0-125
0.775
20
1 75.0-125
0.964
20
1 75.0-125
0.620
20
1 75.0-125
0.726
20
1 75.0-125
0.251
20
1 75.0-125
0.658
20
1 75.0-125
1.01
20
SDG:
DATE/TIME:
PAGE:
L1660131
10/09/23 11:09
13 of 22

WG2142404 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1660181-01
Method Blank (MB)
(MB) R3931330-3 10/01/231109
MB Result
Analyte
mg/I
Benzene
U
Carbon tetrachloride
U
Chlorobenzene
U
Chloroform
U
1,2-Dichloroethane
U
1,1-Dichloroethene
U
2-Butanone (MEK)
U
Tetrachloroethene
U
Trichloroethene
U
Vinyl chloride
U
(S) Toluene-dH
109
(S) 4-Bromofluorobenzene 89.3
(S) 1,2-Dichloroethane-d4 112
MB Qualifier MB MDL
mg/I
MB RDL
mg/I
0.0167
0.0500
0.0167
0.0500
0.0167
0.0500
0.0833
0.250
0.0167
0.0500
0.0167
0.0500
0.167
0.500
0.0167
0.0500
0.0167
0.0500
0.0167
0.0500
80.0-120
77.0-126
70.0-130
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3981330-1 10/01/23 09:43 • (LCSD) R3981330-2 10/01/2310:05
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
Analyte
mg/I
mg/I
mg/I
Benzene
0.250
0.262
0.260
105
104
70.0-123
Carbon tetrachloride
0.250
0.269
0.276
108
110
68.0-126
Chlorobenzene
0.250
0.259
0.251
104
100
80.0-121
Chloroform
0.250
0.278
0.278
ill
ill
73.0-120
1,2-Dichloroethane
0.250
0.242
0.241
96.8
96.4
70.0-128
1,1-Dichloroethene
0.250
0.255
0.248
102
99.2
71.0-124
2-Butanone (MEK)
1.25
1.14
1.07
91.2
85.6
44.0-160
Tetrachloroethene
0.250
0.257
0.270
103
108
72.0-132
Trichloroethene
0.250
0.241
0.245
96.4
98.0
78.0-124
Vinyl chloride
0.250
0.212
0.244
84.8
97.6
67.0-131
(S) Toluene-dH
106
105
80.0-120
(S) 4-Bromofluorobenzene
90.1
90.9
77.0-126
(S) 1,2-Dichloroethane-d4
105
108
70.0-130
LCS Qualifier
LCSD Qualifier RPD
0.766
2.57
3.14
0.000
0.414
2.78
6.33
4.93
1.65
14.0
RPD Limits
20
20
20
20
20
20
20
20
20
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 14 of 22

WG2142404 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1660181-01
L1659704-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1659704-02 10/01/23 12:14 • (MS) R3931330-4 10/01/23 13:40 • (MSD) R3931330-5 10/01/23 19:01
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Benzene
0.250
ND
0.192
0.196
76.8
78.4
Carbon tetrachloride
0.250
ND
0.232
0.207
92.8
82.8
Chlorobenzene
0.250
ND
0.189
0.194
75.6
77.6
Chloroform
0.250
ND
ND
ND
91.2
94.0
1,2-Dichloroethane
0.250
ND
0.201
0.207
80.4
82.8
1,1-Dichloroethene
0.250
ND
0.207
0.195
82.8
78.0
2-Butanone (MEK)
1.25
ND
0.824
0.957
65.9
76.6
Tetrachloroethene
0.250
ND
0.182
0.196
72.8
78.4
Trichloroethene
0.250
ND
0.177
0.183
70.8
73.2
Vinyl chloride
0.250
ND
0.165
0.153
66.0
61.2
(S) Toluene-dH
104
106
(S) 4-Bromofluorobenzene
86.3
85.4
(S) 1,2-Dichloroethane-d4
116
114
ACCOUNT:
EMA Resources
PROJECT:
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
1 17.0-158
2.06
27
1 23.0-159
11.4
28
1 33.0-152
2.61
27
1 29.0-154
3.02
28
1 29.0-151
2.94
27
1 11.0-160
5.97
29
1 10.0-160
14.9
32
1 10.0-160
7.41
27
1 10.0-160
3.33
25
1 10.0-160
7.55
27
80.0-120
77.0-126
70.0-130
SDG:
DATE/TIME:
PAGE:
L1660131
10/09/23 11:09
15 of 22

WG2142975
Chlorinated Acid Herbicides (GC) by Method 8151A
Method Blank (MB)
(MB) R3931026-1 10/03/23 04:47
MB Result
Analyte mg/I
2,4,5-TP (Silvex) U
2,4-D U
(S) Z4-Dichlorophenyl Acetic 84.0
Acid
QUALITY CONTROL SUMMARY
L1660181-01
MB Qualifier MB MDL
MB RDL
mg/I
mg/I
0.000667
0.00200
0.000667
0.00200
14.0-158
Laboratory Control Sample (LCS)
(LCS) R3981026-2 10/03/23 04:58
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
2,4,5-TP (Silvex) 0.0500
0.0400
80.0
50.0-125
2,4-D 0.0500
0.0533
107
50.0-120 E
(S) Z4-Dichlorophenyl Acetic
84.2
14. 0-158
Acid
L1659612-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1659612-01 10/03/23 05:31 • (MS) R3931026-3 10/03/23 05:43 • (MSD) R3931026-4 10/03/23 05:54
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
2,4,5-TP (Silvex)
0.0500
ND
0.0559
0.0374
112
74.8
2,4-D
0.0500
ND
0.0758
0.0574
152
115
(S) Z4-Dichlorophenyl Acetic
842
242
Acid
Dilution Rec. Limits
MS Qualifier
MSD Qualifier
RPD
RPD Limits
1 50.0-125
E
J3
39.7
20
1 50.0-120
E J5
E J3
27.6
20
14.0-158
11
11
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 16 of 22

WG2144467
QUALITY CONTROL SUMMARY
Pesticides (GC) by Method 8081B
L1660181-01
Method Blank (MB)
(MB) R3932203-1 10/05/23 00:55
MB Result
MB Qualifier
MB MDL
MB RDL
Analyte mg/I
mg/I
mg/I
Chlordane U
0.00167
0.00500
Endrin U
0.00167
0.00500
Heptachlor U
0.00167
0.00500
Heptachlor epoxide U
0.00167
0.00500
Lindane U
0.00167
0.00500
Methoxychlor U
0.00167
0.00500
Toxaphene U
0.00333
0.0100
(S) Decochlorobiphenyl 74.6
10.0-128
(S) Tetrochloro-m-xylene 99.3
10.0-127
Laboratory Control Sample (LCS)
(LCS) R3932203-5 10/05/23 0107
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
Endrin 0.0100
0.00978
97.8
57.0-134
Heptachlor 0.0100
0.00913
91.3
27.0-132
Heptachlor epoxide 0.0100
0.00972
97.2
57.0-130
Lindane 0.0100
0.00969
96.9
55.0-129
Methoxychlor 0.0100
0.00906
90.6
54.0-155
(S) Decochlorobiphenyl
64.8
10.0-128
(S) Tetrochloro-m-xylene
92.4
10.0-127
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1660131 10/09/23 11:09 17 of 22

WG2144463 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1660181-01
Method Blank (MB)
(MB) R3932963-2 10/05/231319
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
U
0.0333
0.100
2,4-Dinitrotoluene
U
0.0333
0.100
Hexachlorobenzene
U
0.0333
0.100
Hexachloro-1,3-butadiene
U
0.0333
0.100
Hexachloroethane
U
0.0333
0.100
Nitrobenzene
U
0.0333
0.100
Pyridine
U
0.0333
0.100
3&4-Methyl Phenol
U
0.0333
0.100
2-Methylphenol
U
0.0333
0.100
Pentachlorophenol
U
0.0333
0.100
2,4,5-Trichlorophenol
U
0.0333
0.100
2,4,6-Trichlorophenol
U
0.0333
0.100
(S) 2-Fluorophenol
30.6
10.0-120
(S) Phenol-d5
19.4
10.0-120
(S) Nitrobenzene-d5
91.6
10.0-127
(S) 2-Fluorobiphenyl
64.4
10.0-130
(S) 2,4,6-Tribromophenol
78.5
10.0-155
(S) p-Terphenyl-d14
77.3
10.0-128
Laboratory Control Sample (LCS)
(LCS) R3982968-1 10/05/2317:58
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
1,4-Dichlorobenzene 0.500
0.260
52.0
18.0-120
2,4-Dinitrotoluene 0.500
0.419
83.8
49.0-124
Hexachlorobenzene 0.500
0.380
76.0
44.0-120
Hexachloro-1,3-butadiene 0.500
0.335
67.0
19.0-120
Hexachloroethane 0.500
0.293
58.6
15.0-120
Nitrobenzene 0.500
0.372
74.4
27.0-120
Pyridine 0.500
0.0866
17.3
10.0-120
3&4-Methyl Phenol 0.500
0.196
39.2
31.0-120
2-Methylphenol 0.500
0.176
35.2
28.0-120
Pentachlorophenol 0.500
0.382
76.4
23.0-120
2,4,5-Trichlorophenol 0.500
0.376
75.2
44.0-120
2,4,6-Trichlorophenol 0.500
0.392
78.4
42.0-120
(S) 2-Fluorophenol
27.1
10.0-120
(S) Phenol-d5
18.4
10.0-120
(S) Nitrobenzene-d5
69.7
10.0-127
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1660181 10/09/23 11:09 18 of 22

WG2144463 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1660181-01
Laboratory Control Sample (LCS)
(LCS) R3982968-1 10/05/2317:58
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/I mg/I
(S) 2-Fluorobiphenyl 65.3 10.0-130
(S) 2,4,6-Tribromophenol 75.0 10.0-155
(S) p-Terphenyl-d14 69.7 10.0-128
L1660047-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1660047-01 10/05/2313:41 • (MS) R3982968-3 10/05/2319:02 • (MSD) R3982968-4 10/05/2319:24
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
Analyte
mg/I
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
0.500
ND
0.275
0.269
55.0
53.8
1 17.0-120
2,4-Dinitrotoluene
0.500
ND
0.447
0.444
89.4
88.8
1 39.0-125
Hexachlorobenzene
0.500
ND
0.413
0.411
82.6
82.2
1 35.0-122
HexachIaro-1,3-butadiene
0.500
ND
0.372
0.389
74.4
77.8
1 12.0-120
Hexachloroethane
0.500
ND
0.291
0.309
58.2
61.8
1 10.0-120
Nitrobenzene
0.500
ND
0.443
0.468
88.6
93.6
1 12.0-120
Pyridine
0.500
ND
0.123
ND
24.6
17.5
1 10.0-120
3&4-Methyl Phenol
0.500
ND
0.186
0.238
37.2
47.6
1 10.0-120
2-Methylphenol
0.500
ND
0.174
0.221
34.8
44.2
1 10.0-120
Pentachlorophenol
0.500
ND
0.474
0.493
94.8
98.6
1 10.0-128
2,4,5-Trichlorophenol
0.500
ND
0.371
0.429
74.2
85.8
1 33.0-120
2,4,6-Trichlorophenol
0.500
ND
0.365
0.426
73.0
85.2
1 26.0-120
(S) 2-Fluorophenol
23.3
30.6
10.0-120
(S) Phenol-d5
20.1
20.3
10.0-120
(S) Nitrobenzene-d5
81.4
89.9
10.0-127
(S) 2-Fluorobiphenyl
75.2
77.4
10.0-130
(S) 2,4,6-Tribromophenol
76.5
92.5
10.0-155
(S) p-Terphenyl-d14
76.4
75.0
10.0-128
MS Qualifier MSD Qualifier RPD
RPD Limits
2.21
40
0.673
25
0.485
24
4.47
34
6.00
40
5.49
30
34.0
37
24.5
36
23.8
30
3.93
37
14.5
31
15.4
31
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1660131 10/09/23 11:09 19 of 22

GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and ifyou have additional questions please contactyour project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
u
Fc
Fss]
MDL
Method Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable).
Fn
RDL
Reported Detection Limit.
Rec.
Recovery.
Fr
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
F
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
F
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
Rc
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)
Confidence level of 2 sigma.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity ofthe results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession ofthe
samples from the time of collection until delivery to the laboratory for analysis.
This section ofyour report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier
Description
E
The analyte concentration exceeds the upper limit ofthe calibration range ofthe instrument established by the initial
calibration (ICAL).
J1
Surrogate recovery limits have been exceeded, values are outside upper control limits.
J3
The associated batch QC was outside the established quality control range for precision.
J5
The sample matrix interfered with the ability to make any accurate determination, spike value is high.
P1
RPD value not applicable for sample concentrations less than 5 times the reporting limit.
T8
Sample(s) received past/too close to holding time expiration.
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1660131 10/09/23 11:09 20 of 22

ACCREDITATIONS & LOCATIONS
Pace Analytical National 12065 Lebanon Rd Mount Juliet, TN 37122
Alabama
40660
Nebraska
N E-OS-15-05
Alaska
17-026
Nevada
TN000032021-1
Arizona
AZ0612
New Hampshire
2975
Arkansas
88-0469
New Jersey—NELAP
TNO02
California
2932
New Mexico
TN00003
Colorado
TN00003
New York
11742
Connecticut
PH-0197
North Carolina
Env375
Florida
E87487
North Carolina'
DW21704 _
Georgia
NELAP
North Carolina 3
41
Georgia'
923
North Dakota
R-140
Idaho
TN00003
Ohio—VAP
CL0069
Illinois
200008
Oklahoma
9915
Indiana
C-TN-01
Oregon
TN200002
Iowa
364
Pennsylvania
68-02979
Kansas
E-10277
Rhode Island
LA000356
Kentucky' 6
KY90010
South Carolina
84004002
Kentucky 2
16
South Dakota
n/a
Louisiana
A130792
Tennessee'"
2006
Louisiana
LA018
Texas
T104704245-20-18
Maine
TN00003
Texas5
LABO152
Maryland
324
Utah
TN000032021-11
Massachusetts
M-TNO03
Vermont
VT2006
Michigan
9958
Virginia
110033
Minnesota
047-999-395
Washington
C847
Mississippi
TN00003
West Virginia
233
Missouri
340
Wisconsin
998093910
Montana
CERT0086
Wyoming
A2 LA
A2LA— ISO17025
1461.01
AIHA-LAP,LLC EMLAP
100789
A2 LA — ISO 17025 5
1461.02
DOD
1461.01
Canada
1461.01
USDA
P330-15-00234
EPA—Crypto
TN00003
Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold 6 Wastewater n/a Accreditation not applicable
Not all certifications held by the laboratory are applicable to the results reported in the attached report.
Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace Analytical.
Rc
ACCOUNT: PROJECT: SDG: DATE/TIME:
EMA Resources L1660131 10/09/23 11:09
PAGE:
21 of 22

Company Name/Address:
Billing Information:
_T
Ana
y�ik
Container
Pr
=tjj---
i- ervat v
Chain of Custody Page _ of_
EMA Resources
Mr. Brent Collins LPChk755
Yadkinville Road
aceAnalytical
755 Yadkinville Road
Mocksville, NC 27028
Mocksville, NC 27028
I
12065 Lebanon Rd Mount Juliet. TN 37122
Report to:
Email To:
Mr. Brent Collins
brent.collins emaresourcesinc.com;ro .whitak
@
submitting a sample yra this chain of custody
constitutes acknoydedgment and acceptance of the
t ^_ - �'
Pace Terms and Conditions found at:
https:H�nfo.pacelabs.com/hubfs/pas-standard-
Project Description: City/State
q�tyV7TTt Please Circle:
Sludge Collected:
PT MT CT
terms.pdr
ISDG #
Client Project #
Lab Project #
Phone: [phone]
Jo69
—
Collected by (print):
Site/Facility ID #
P.O. #06
%�
o
Acctnum: EMARES
p"
Template:T11413
Collected b (signature):
? Quote #
Rush. (Lab MUST Be Notified)
Day Five Day
Z
U
J
Prelogin: P895391
_Same _
_ Next Day _ 5 Day (Rad Only) Date Results Needed
2=
PM: 607
immediately - /
—Two Day _ 10 Day (Rad Only) No.
JJ.stIn �.rr
PB ,
Packed on Ice N_ Y `�
_Three Day of
4--
Shipped V#ia:
Fed)EX Ground
Sample ID
Comp/Grab
Matrix •
Depth
Date
Time ntrs
-
1
cc
U
Remarks Sample # (lab only)
C
Ss
39
10;o0
z
x
x
Yanc v v; e—
i
I
I
I
I
1
1
I
1
I
t
1
1
I
l
' Matrix: Remarks: Sample R
ntacth
S-Soil AIR -Air F-Filter I pH _ Temp COC Seal Present/i: P Y N
COC Signed/Accurate: �rf�N
GW- Groundwater B- Bioassay
Flow Other Bottles arrive intact: � N
III
W - Waste Water Correct bottles used: ,X N
DW- DrinkingW ter Sufficient volume sent:
Samples returned via:
OT - Other 5 �Jt _UPS FedEx Courier Tracking # 3-€_BPe]a.,;-a_§J1
VOA Zero Headspace: Y N
Relin uis d b (Signature) Date: Time: Received b (Signature) TripBlank Received: Yes Preservation Correct/Checked: Y ^N
Q y' ( g ) Y- ( g ) PAD Screen <0.5 Whr: �_N
C) �� ?� HCL/MeoH
7 �•J
I
�) TB R
Relinquished by: (Signature)
Date:
Time:
Received by: (Signature)
Temp: °C Bottles R ceived:
If preservation required by Login: Date/Time
S,y 5,
Relinquished by: (Signature)
Date:
Time:
Received for I Signature
Da Time:
Hold:
Conditi o
NCFj
/� /�d '7 PG/!/

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

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Town of Yanceyville
Status
Code a
Facility Permit Holder
Facility Name
County
Permit Number
Maximum Dry Tons Per Year
Current n
Proposed
R
Town of Yanceyville
Yanceyville WWTP
Caswell
NCO040011
244
244
R
Town of Yanceyville
Yanceyville WTP
Caswell
02-17-010
75
75
a Status Code for source facility are: ♦ N (New) ♦ R (Renewed) ♦ M (Modified) ♦ D (Deleted)
'The amount of residuals currently permitted for distribution, land application, or disposal (i.e, not applicable to new facility).
SUMMARY FOR FORM: RSC 06-16 Page 1

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
1. Facility Name: Yanceyville WTP
2. Facility permit holder is: ❑ Federal, I❑ State, E Local Government, or ❑ Private.
Facility permit issued by: ® Div. of Water Resources, rl Div. of Environmental Health,
or ❑ Other (explain: ).
3. Facility contact person and title:
Complete mailing address: =
City: State: AM Zip: -
Telephone number: (_) _ E-mail address:
4. Facility physical address: 1316 Badgett Sisters Parkway
City: Yanceyville State: NC Zip: 27379-
Coordinates: Latitude: 36' 23' 27" Longitude: 79. 20' 52"
Datum: NAD83 Level of accuracy: nearest second
Method of measurement: GPS
5. Purpose of the facility:
❑ treatment of municipal wastewater, p treatment of 100% domestic wastewater,
® treatment of potable water, p treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: % industrial and -M % domestic)
❑ other (explain: ).
6. Does the facility have an approved pretreatment program: Yes No
7. Facility permitted/design flow: JI& MGD and facility average daily flow: F� MGD
8. Average amount of residuals being generated at this facility 0 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: —0
Type and volume of residuals storage (i.e., outside of residuals treatment units):
IL RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
11 40 CFR Part 503 or ® 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
❑ Biological ® Non -Biological
FORM: RSC 06-16 Page 1 of 5

Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ® no.
If yes, list the number(s): 3-
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as well
as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 07/25/2022
Passed corrosivity test: ® yes ❑ no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint: >170 OF (> 140°F)
Passed reactivity test: J' yes r]no. HCN: <.25 mg/kg (<250) & H2S: 75 mg/kg (<500)
TCLP Parameter
Limit
(mg//)
Result
(mgfi)
TCLP Parameter
Limit
(mgfi)
Result
(mgfi)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
214,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
214,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not violate
the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical and Date of analysis: 07/25/2022
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mglkg)
Monthly Average
Concentration Limits
(Class A Only)
(mglkg)
Result
(mglkg)
Arsenic
75
41
26.9
Cadmium
85
39
<1
Copper
4,300
1,500
48.1
Lead
840
300
11.4
Mercury
57
17
<0.342
Molybdenum
75
n/a
<6.75
Nickel
420
420
17.2
Selenium
100
100
<16
Zinc
7,500
2,800
62
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
❑ > 0 but < 25
30
200
210
❑ > 25 but < 50
34
220
240
❑ > 50 but < 75
39
260
270
❑ > 75 but < 100
46
300
320
❑ > 100 but < 125
53
360
390
❑ > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 2 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: WMpoint Analytical and Date of analysis: 07/25/2022
Parameter
Result
(mglkg)
Aluminum
188,000
Ammonia -Nitrogen
5,000
Calcium
<1940
Magnesium
1,340
Nitrate -Nitrite Nitrogen
<250
pH (Standard Unit)
6.3
Phosphorus
2,190
Potassium
865
Sodium
<650
Total Kjeldahl Nitrogen
24,700
c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 0.39
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity and
conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 40 %. This rate
is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1s) Year PAN
Five -Year
Maximum Adjusted PAN
(mglkg)
(mg/kg)
Surface
10,630
13,130
Injection/Incorporation
15,355
17,855
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of

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

r9
r
2
• In section 1- raw water is treated using Alum and Polymer to form floc.
• In Section 2- treated source water is settling the Alum floc in this chamber.
• In section 3- treated source water is filtered. Residual turbidity is filtered here.
• From section 2 Alum residual sludge is forced to section 4. When basins are cleaned.
• From section 3 turbidity is washed out of the filters every 96 hours. To section 4.
• Section 4 collects the majority of the sludge and water goes to section 5 were the rest of the slur
5 water is decanted to a reservoir.
• In section 3- 25 %caustic soda is added to the water along with chlorine.
• In section 5- the decanted water is treated with a dechloring agent.

Waypointo
ANALYTICAL
8/3/2022
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville, NC, 27028
Ref: Analytical Testing
Lab Report Number: 22-207-0025
Client Project Description: Yanceyville
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Dear Mr. Brent Collins:
Waypoint Analytical, LLC. received sample(s) on 7/26/2022 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. Where the laboratory was not responsible for the sampling
stage (refer to the chain of custody) results apply to the sample as received.
The analytical data has been validated using standard quality control measures performed as required by the
analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all
parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA
(including 40 CFR 136 Method Update Rule May 2021) and NELAC unless otherwise indicated. Any parameter
for which the laboratory is not officially NELAP accredited is indicated by a '—'symbol. These are not included in
the scope because NELAP accreditation is either not available or has not been applied for. Additional
certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable.
A full list of certifications is available upon request.
Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of
sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time.
Refer to sample analysis time for confirmation of holding time compliance.
The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as -
received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to
the samples included in this report.
Please do not hesitate to contact me or client services if you have any questions or need additional information.
Sincerely,
Connie Cook
Project Manager
Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the
analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis.
Page 1 of 8

Waypointo
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 0 Fax [phone]
www.waypointanalytical.com
Certification Summary
Laboratory ID: WP MTN: Waypoint Analytical, LLC., Memphis, TN
State
Program
Lab ID
Expiration Date
Alabama
State Program
40750
02/28/2023
Arkansas
State Program
88-0650
02/07/2023
California
State Program
2904
06/30/2023
Florida
State Program
- NELAP
E871157
06/30/2023
Georgia
State Program
C044
02/18/2023
Georgia
State Program
04015
06/30/2023
Illinois
State Program
- NELAP
200078
10/10/2022
Kentucky
State Program
80215
06/30/2023
Kentucky
State Program
KY90047
12/31/2022
Louisiana
State Program
- NELAP
LA037
12/31/2022
Louisiana
State Program
- NELAP
04015
06/30/2023
Mississippi
State Program
MS
02/11/2023
North Carolina
State Program
415
12/31/2022
Pennsylvania
State Program
- NELAP
68-03195
05/31/2023
South Carolina
State Program
84002
06/30/2022
Tennessee
State Program
02027
02/11/2023
Texas
State Program
- NELAP
T104704180
09/30/2022
Virginia
State Program
00106
06/30/2023
Virginia
State Program
- NELAP
460181
09/14/2022
Page 1 of 1 00001/22-207-0025
Page 2 of 8

Waypoint
ANALYTICAL
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Sample Summary Table
Report Number: 22-207-0025
Client Project Description: Yanceyville
Lab No Client Sample ID Matrix Date Collected Date Received
91150 Yanceyville V TP Solids 07/25/2022 09:20 07/26/2022
Page 3 of 8

Waypointo
ANALYTICAL
46245
EMA Resources Inc
Mr. Brent Collins
755 Yadkinville Rd
Mocksville , NC 27028
Project Yanceyville
Information :
2790 Whitten Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
www.waypointanalytical.com
Report Date : 08/03/2022
nReceived : 07/26/2022
C-�*�-� =
Connie Cook
Report Number : 22-207-0025
REPORT OFANALYSIS
Project
Manager
Lab No : 91150
Matrix:
Solids
Sample ID : Yanceyville WTP
Sampled:
7/25/2022
9:20
Test
Results
Units
MDL
MQL
DF
Date / Time
By
Analytical
Analyzed
Method
Moisture
98.0
%
1
07/29/22 15:56
FMM
SW-DRYWT
Ammonia Nitrogen
5000
mg/Kg -
dry
800
5000
1
08/02/22 14:30
JPJ
4500NH3C-2011
Nitrate+Nitrite-N
<250
mg/Kg -
dry
250
250
1
08/01/22 13:53
ZBD
4500NO3F-2016
Organic N
19650
mg/Kg -
dry
800.0
5000
1
08/02/22 10:30
DH
CALCULATION
pH
6.3
S.U.
1
08/01/2216:03
DRS
9045D
Total Solids
2.00
%
0.010
0.010
1
07/29/22 15:56
FMM
2540G-2011
Total Volatile Solids
32.7
%
0.010
0.010
1
07/29/22 15:56
FMM
2540G-2011
Total Kjeldahl Nitrogen
24700
mg/Kg -
dry
500
12500
1
08/02/22 10:30
JPJ ;M-4500-NH3C-TKI`
Phosphorus
2190
mg/Kg -
dry
138
250
1
07/27/22 21:46
EAL
6010D
Aluminum
188000
mg/Kg -
dry
231
250
1
07/27/22 21:46
EAL
6010D
Arsenic
26.9
mg/Kg -
dry
12.0
25.0
1
07/27/22 21:46
EAL
6010D
Cadmium
<1.00
mg/Kg -
dry
1.00
5.00
1
07/27/22 21:46
EAL
6010D
Calcium
<1940
mg/Kg -
dry
1940
2500
1
07/27/22 21:46
EAL
6010D
Chromium
32.3
mg/Kg -
dry
11.8
12.5
1
07/27/22 21:46
EAL
6010D
Copper
48.1
mg/Kg -
dry
15.5
25.0
1
07/27/22 21:46
EAL
6010D
Iron
30900
mg/Kg -
dry
426
500
1
07/27/22 21:46
EAL
6010D
Lead
11.43
mg/Kg -
dry
9.00
15.0
1
07/27/22 21:46
EAL
6010D
Magnesium
1340
mg/Kg -
dry
129
250
1
07/27/22 21:46
EAL
6010D
Manganese
925
mg/Kg -
dry
16.3
25.0
1
07/27/22 21:46
EAL
6010D
Mercury
<0.342
mg/Kg -
dry
0.342
7.85
1
07/27/22 12:31
TJS
7471A
Molybdenum
<6.75
mg/Kg -
dry
6.75
12.5
1
07/27/22 21:46
EAL
6010D
Nickel
17.2
mg/Kg -
dry
6.00
12.5
1
07/27/22 21:46
EAL
6010D
Potassium
865
mg/Kg -
dry
309
500
1
07/27/22 21:46
EAL
6010D
Qualifiers/ DF Dilution Factor
J
Estimated value
Definitions MQL Method Quantitation Limit
Page 4 of 8

•
Waypoint
27090 Whitten
Road, Memphis, TN 38133
Main 901.213.2400 ° Fax [phone]
ANALYTICAL
www.waypointanalyiical.com
46245
EMA Resources Inc
Project
Yanceyville
Mr. Brent Collins
Report Date : 08/03/2022
755 Yadkinville Rd
Information :
Received : 07/26/2022
Mocksville , NC 27028
Connie Cook
Report Number : 22-207-0025
REPORT OFANALYSIS
Project Manager
Lab No : 91150
Matrix: Solids
Sample ID : Yanceyville WTP
Sampled: 7/25/2022 9:20
Test
Results
Units
MDL
MQL DF Date / Time By Analytical
Analyzed Method
Selenium
<16.0
mg/Kg - dry
16.0
25.0 1 07/27/22 21:46 EAL 6010D
Sodium
<650
mg/Kg - dry
650
1250 1 07/27/22 21:46 EAL 6010D
Zinc
62.03
mg/Kg - dry
40.5
62.5 1 07/27/22 21:46 EAL 6010D
Sulfur
5050
mg/Kg - dry
259
500 1 07/27/22 21:46 EAL 6010D
Sodium Absorption Ratio
<0.01
Ratio
0.01
0.01 1 07/27/22 21:46 CALCULATION
Qualifiers/ DF Dilution Factor
Definitions
J Estimated value
Page 5 of 8

s
WayPAoi nt ..(2) �79p Whitten Road,3.240 Memphis, TN 38133
21.2440
Main 901.213.240fl °Fax [phone]
N A LYT I C A L www.waypointanalytical.com
Shipment Receipt Form
Customer Number: 46245
Customer Name: EMA Resources Inc
Report Number: 22-207-0025
Shipping Method
0 Fed Ex 0 US Postal 0 Lab
0 UPS 0 Client 0 Courier
0 Other:
Thermometer ID:
IT135
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?
# Yes
0 No
Cooler/Samples arrived at the laboratory on ice.
Samples were considered acceptable as cooling
process had begun.
# Yes
0 No
Water - Sample containers properly preserved
0 Yes
0 No
N/A
Water - VOA vials free of headspace
0 Yes
0 No
N/A
Trip Blanks received with VOAs
0 Yes
0 No
N/A
Soil VOA method 5035 — compliance criteria met
0 Yes
0 No
0 N/A
F_ High concentration container (48 hr)
F_ 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: lEmily M. Peterson Date & Time: 07/26/2022 09:25:34
Page 6 of 8

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Page 7 of 8

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Brent Collins
Client: EMA Resources, Inc
755 Yadkinville Road
Mocksville, NC 27028
Page 1
Report Date: 8/3/2022
Date Sample Rcvd: 7/25/2022
Meritech Work Order # 07252204 Sample: Yanceyville WTP 1 Grab 7/25/22
Parameters Result Analysis Date Reporting Limit Method
% Total Solids 1.92 % 7/27/22 0-100 % SM 2540B
Fecal Coliform (Sludge) <473 CFU/g dry wt 7/25/22 473 CFU/g dry wt SM 9222D
Meritech Work Order # 07252205 Sample: Yanceyville WTP 2 Grab 7/25/22
Parameters Result Analysis Date Reporting Limit Method
%Total Solids 1.83 % 7/27/22 0-100 % SM 2540B
Fecal Coliform (Sludge) <497 CFU/g dry wt 7/25/22 497 CFU/g dry wt SM 9222D
Meritech Work Order # 07252206 Sample: Yanceyville WTP 3 Grab 7/25/22
Parameters Result Analysis Date Reporting Limit Method
%Total Solids 2.05 % 7/27/22 0-100 % SM 2540B
Fecal Coliform (Sludge) <443 CFU/g dry wt 7/25/22 443 CFU/g dry wt SM 9222D
Meritech Work Order # 07252207 Sample: Yanceyville WTP 4 Grab 7/25/22
Parameters Result Analysis Date Reporting Limit Method
% Total Solids 1.89 % 7/27/22 0-100 % SM 2540B
Fecal Coliform (Sludge) <481 CFU/g dry wt 7/25/22 481 CFU/g dry wt SM 9222D
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
R
Contact: Brent Collins
Client: EMA Resources, Inc
755 Yadkinville Road
Mocksville, NC 27028
Page 2
Report Date: 8/3/2022
Date Sample Rcvd: 7/25/2022
Meritech Work Order #
Parameters
% Total Solids
Fecal Coliform (Sludge)
07252208 Sample: Yanceyville WTP 5 Grab
Result Analysis Date Reporting Limit
1.91 % 7/27/22 0-100 %
<476 CFU/g dry wt 7/25/22 476 CFU/g dry wt
7/25/22
Method
SM 2540B
SM 9222D
Meritech Work Order #
07252209 Sample: Yanceyville WTP 6 Grab
7/25/22
Parameters
Result Analysis Date Reporting
Limit
Method
% Total Solids
1.86 % 7/27/22 0-100 %
SM 2540B
Fecal Coliform (Sludge)
<489 CFU/g dry wt 7/25/22
489 CFU/g dry wt
SM 9222D
Meritech Work Order #
07252210 Sample: Yanceyville WTP 7 Grab
7/25/22
Parameters
Result Analysis Date. Reporting
Limit
Method
% Total Solids
1.94 % 7/27/22 0-100 %
SM 2540B
Fecal Coliform (Sludge)
<469 CFU/g dry wt 7/25/22
469 CFU/g dry wt
SM 9222D
I hereby certify that have reviewed and approve these data,
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

5-9-2016
Chain of Custody Record (COC)
NPDES#:
Client: EMA Resources Inc. Phone:_
Address: 755 Yadkinville Rd Fax:
Mocksville NC 27028 Email:
Project:
P.O.#:
Attention: Brent Collins
How would you like your report sent?
Circle all that apply: l preferred) , Fax, Mail
336-751-1441
336-751-1442
[e-mail]
Turn Around Time*
*RUSH work needs prior approval.
Std(1Dda S) 3-5 Da s 24-49Hrs
I—
ME R ITE CH INC.
ENVIRONMENTAL LABORATORIES
r 642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritechlabs.com
Sample Location and/or ID #
Sampling Dates &Times
Person Taking Sample (Sign/Print):
Lab Use Only
v
- Start
End
Comp?
Grab?
#of
Cont.
Test(s) Required
On Ice?
Yes / No
pH OK?
Cl OK?
Date
Time
Date
Time
yQAre�%rj li1.
HfTP I
7/,2-S
9: 2W
Feca l Cot, -&-,vi
t�
Z
0S,
3
�(,
y
W
%
`
v
v
Temperature Upon
Receipt:. L�
1
`Method of
Shipment:
*** Dechlorination (<0.5 ppm) of Ammonia, Cyanide,
Phenol and TKN
samples must be done in the field prior
to preservation.
***
Comments:
Compositor #
❑ UPS
Fug #
❑ Fed Ex
Are these results for regulatory purposes? Yes
�� No ❑
Report results in: mg/L
El-,
mg/kg Pug/L ❑
Hand Delivery
_ _
Relinquished by: Date: 7�35
i�
Time:
10 �24
Received by:
Date: Time:
❑ Other
Relinquished by: Date:
Time:
Received by:
Date: Time:
Relinquished by: Date: Time:
Rec (J t
i�

(� ace Analytical
ANALYTICAL REPORT
August 05, 2022
EMA Resources
Sample Delivery Group
Samples Received:
Project Number:
Description:
Report To:
L1518453
07/26/2022
Sludge
Mr. Brent Collins
755 Yadkinville Road
Mocksville, NC 27028
Entire Report Reviewed By
zw ��w -a
T. Alan Harvill
Project Manager
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace
Analytical National is performed per guidance provided in laboratory standard operating procedures ENV-SOP-MTJL-0067and
ENV-SOP-MTJL-0068. Where sampling conducted by the customer, results relate to the accuracy of the information provided,
and as the samples are received.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 1 of 22

TABLE OF CONTENTS
Cp: Cover Page
Tc: Table of Contents
Ss: Sample Summary
Cn: Case Narrative
Sr: Sample Results
YANCEYVILLE L1518453-01
Qc: Quality Control Summary
Wet Chemistry by Method 9012 B
Wet Chemistry by Method 9034-9030B
Wet Chemistry by Method 9045D
Wet Chemistry by Method D93/1010A
Mercury by Method 7470A
Metals (ICP) by Method 6010D
Volatile Organic Compounds (GC/MS) by Method 8260D
Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321
Pesticides (GC) by Method 8081B
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
GI: Glossary of Terms
al: Accreditations & Locations
Sc: Sample Chain of Custody
2
3
4
5
5
7
7
9
10
11
12
13
14
16
17
18
20
21
22
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 2 of 22

YANCEYVILLE L1518453-01 Waste
Method
Preparation by Method 1311
Preparation by Method 1311
Wet Chemistry by Method 9012 B
Wet Chemistry by Method 9034-9030B
Wet Chemistry by Method 9045D
Wet Chemistry by Method D93/1010A
Mercury by Method 7470A
Metals (ICP) by Method 6010D
Volatile Organic Compounds (GC/MS) by Method 8260D
Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321
Pesticides (GC) by Method 8081B
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
SAMPLE SUMMARY
Collected by
Brent Collins
Batch
WG1901366
WG1901367
WG1899053
WG1903690
WG1901497
WG1901992
WG1902177
WG1902441
WG1902474
WG1903776
WG1902977
WG1902662
Dilution Preparation
date/time
1 07/27/22 1321
1 07/27/22 10:30
1 07/28/22 0357
1 08/02/2212:00
1 07/27/22 09:43
1 07/28/22 0110
1 07/28/2210:00
1 07/28/2216:34
1 07/29/22 0131
1 08/01/221136
1 07/30/2210:17
1 07/29/22 08:42
Collected date/time Received date/time
07/25/22 09:20 07/26/22 09:15 C
P
Analysis
date/time
07/27/2213:21
07/27/2210:30
07/29/22 1130
08/02/22 15:00
07/27/2214:00
07/28/22 0110
07/30/22 0832
07/28/22 22:44
07/29/22 0131
08/02/22 12:46
07/30/22 2101
07/29/22 16:26
Analyst
JWS
BTP
LDT
RMR
SIDE
WOS
SRT
CCE
ADM
GKM
JMB
JNJ
Location
FC
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Fn
Mt. Juliet, TN
Mt. Juliet, TN
Mt. Juliet, TN
Fr
Mt. Juliet, TN
Mt. Juliet, TN
Rc
Mt. Juliet, TN
Mt. Juliet, TN
GI
F
RC
ACCOUNT: PROJECT: SDG:
EMA Resources L1513453
DATE/TIME: PAGE:
03/05/22 13:26 3 of 22

CASE NARRATIVE
All sample aliquots were received at the correct temperature, in the proper containers, with the FP
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FC
have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control
are within established criteria except where addressed in this case narrative, a non-conformance form
or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FS
knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the
quality of the data have been identified by the laboratory, and no information or data have been
knowingly withheld that would affect the quality of the data. 0
Fr
Rc
aV3� /,07 Wa GI
T. Alan Harvill [Al
Project Manager
RC
Project Narrative
All Reactive Cyanide results reported in the attached report were determined as totals using method 9012 B.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034-903013.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 4 of 22

SAMPLE RESULTS - 01
L1518453
YANCEYVILLE
Collected date/time: 07/25/22 09:20
Preparation by Method 1311
Result Qualifier Prep
Batch
Analyte
date / time
TCLP Extraction
7/27/202210:30:10 AM
WG1901367
TCLP ZHE Extraction
- 7/27/202212149 PM
WG1901366
Fluid
1 7/27/202210:30:10 AM
WG1901367
Initial pH
5.73 7/27/202210:30:10 AM
WG1901367
Final pH
4.95 7/27/202210:30:10 AM
WG1901367
Wet Chemistry by Method 9012 B
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Cyanide ND 0.250
Wet Chemistry by Method 9034-9030B
Result Qualifier RDL
Analyte mg/kg mg/kg
Reactive Sulfide ND 75.0
Wet Chemistry by Method 9045D
Dilution Analysis Batch
date / time
1 07/29/20221130 WG1899053
Dilution Analysis Batch
date / time
1 08/02/202215:00 WG1903690
Result Qualifier Dilution Analysis Batch
Analyte su date / time
Corrosivity by pH 6.66 T8 1 07/27/202214:00 WG1901497
Sample Narrative:
L1518453-01 WG1901497: 6.66 at24.3C
Wet Chemistry by Method D93/1010A
Result
Analyte Deg. F
Ignitability DNI at170
Mercury by Method 7470A
Qualifier Dilution Analysis Batch
date / time
1 07/28/2022 0110 WG1901992
Result Qualifier RDL Limit
Analyte mg/I mg/I mg/I
Mercury ND 0.0100 0.20
Metals (ICP) by Method 6010D
Result
Qualifier RDL
Limit
Analyte
mg/I
mg/I
mg/I
Arsenic
ND
0.100
5
Barium
ND
0.100
100
Cadmium
ND
0.100
1
Chromium
ND
0.100
5
Lead
ND
0.100
5
Selenium
ND
0.100
1
Silver
ND
0.100
5
Volatile Organic
Compounds (GC/MS) by Method
8260D
Result
Qualifier RDL
Limit
Analyte
mg/I
mg/I
mg/I
Benzene
ND
0.0500
0.50
Carbon tetrachloride
ND
0.0500
0.50
Chlorobenzene
ND
0.0500
100
Chloroform
ND
0.250
6
ACCOUNT:
PROJECT:
EMA Resources
Dilution Analysis Batch
date / time
1 07/30/2022 08:32 WG1902177
Dilution Analysis
Batch
date / time
1 07/28/2022 22:44
WG1902441
1 07/28/2022 22:44
WG1902441
1 07/28/2022 22:44
WG1902441
1 07/28/2022 22:44
WG1902441
1 07/28/2022 22:44
WG1902441
1 07/28/2022 22:44
WG1902441
1 07/28/2022 22:44
WG1902441
Dilution Analysis
Batch
date / time
1 07/29/2022 0131
WG1902474
1 07/29/2022 0131
WG1902474
1 07/29/2022 0131
WG1902474
1 07/29/2022 0131
WG1902474
SDG:
DATE/TIME: PAGE:
L1513453
03/05/22 13:26 5 of 22

YANCEYVILLE SAMPLE RESULTS
Collected date/time: 07/25/22 09:20 L1518453
Volatile Organic Compounds (GC/MS) by Method 8260D
- 01
Result
Qualifier RDL Limit Dilution
Analysis
Batch
Analyte
mg/I
mg/I mg/I
date/time
1,2-Dichloroethane
ND
0.0500 0.50 1
07/29/2022 0131
WG1902474
1,1-Dichloroethene
ND
0.0500 0.70 1
07/29/2022 0131
WG1902474
2-Butanone (MEK)
ND
0.500 200 1
07/29/2022 0131
WG1902474
Tetrachloroethene
ND
0.0500 0.70 1
07/29/2022 0131
WG1902474
Trichloroethene
ND
0.0500 0.50 1
07/29/2022 0131
WG1902474
Vinyl chloride
ND
0.0500 0.20 1
07/29/2022 0131
WG1902474
(S) Toluene-dH
102
80.0-120
0712912022 01.31
WG1902474
(S) 4-Bromofluorobenzene
98.3
77.0-126
0712912022 01.31
WG1902474
(S) 1,2-Dichloroethane-d4
107
70.0-130
071291202201.31
WG1902474
Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321
Result
Qualifier RDL
Analyte
mg/I
mg/I
2,4-D
ND
0.0200
2,4,5-TP (Silvex)
ND
0.0200
(S) Z4-DB-D3
119
70.0-130
Pesticides (GC) by Method 8081B
Limit Dilution Analysis Batch
mg/I date / time
10 1 08/02/202212:46 WG1903776
1 1 08/02/202212:46 WG1903776
0810212022 12.46 WG1903776
Result
Qualifier RDL
Limit
Dilution Analysis
Batch
Analyte
mg/I
mg/I
mg/I
date/time
Chlordane
ND
0.00500
0.03
1 07/30/2022 21:01
WG1902977
Endrin
ND
0.00500
0.02
1 07/30/2022 21:01
WG1902977
Heptachlor
ND
0.00500
0.0080
1 07/30/2022 21:01
WG1902977
Heptachlor epoxide
ND
0.00500
0.0080
1 07/30/2022 21:01
WG1902977
Lindane
ND
0.00500
0.40
1 07/30/2022 21:01
WG1902977
Methoxychlor
ND
0.00500
10
1 07/30/2022 21:01
WG1902977
Toxaphene
ND
0.0100
0.50
1 07/30/2022 21:01
WG1902977
(S)Decochlorobiphenyl
70.3
10.0-128
071301202221.01
WG1902977
(S) Tetrochloro-m-xylene
64.6
10.0-127
071301202221.01
WG1902977
Semi Volatile Organic Compounds (GC/MS) by Method 8270E
Result
Analyte
mg/I
1,4-Dichlorobenzene
ND
2,4-Dinitrotoluene
ND
Hexachlorobenzene
ND
HexachIoro-1,3-butadiene
ND
Hexachloroethane
ND
Nitrobenzene
ND
Pyridine
ND
3&4-Methyl Phenol
ND
2-Methylphenol
ND
Pentachlorophenol
ND
2,4,5-Trichlorophenol
ND
2,4,6-Trichlorophenol
ND
(S) 2-Fluorophenol
19.4
(S) Phenol-d5
11.0
(S) Nitrobenzene-d5
56.3
(S) 2-Fluorobiphenyl
59.6
(S) Z4,6-Tribromophenol
73.0
(S) p-Terphenyl-d14
65.7
Qualifier
RDL
mg/I
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
10.0-120
10.0-120
10.0-127
10.0-130
10.0-155
10.0-128
Limit
mg/I
7.50
0.13
0.13
0.50
3
2
5
400
200
100
400
2
Dilution Analysis Batch
date / time
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
07/29/2022 16:26
0712912022 16.26
0712912022 16.26
0712912022 16.26
0712912022 16.26
0712912022 16.26
0712912022 16.26
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
WG1902662
ACCOUNT: PROJECT: SDG:
EMA Resources L1513453
DATE/TIME: PAGE:
03/05/22 13:26 6 of 22

WG1899053
Wet Chemistry by Method 9012 B
Method Blank (MB)
(MB) R3320615-1 07/29/22 1104
MB Result
Analyte mg/kg
Reactive Cyanide U
MB Qualifier MB MDL MB RDL
mg/kg mg/kg
0.0390 0.250
L1517670-01 Original Sample (OS) • Duplicate (DUP)
QUALITY CONTROL SUMMARY
L1518453-01
(OS) L1517670-01 07/29/22 11:13 • (DUP) R3320615-3 07/29/22 1114
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg
Reactive Cyanide 1.13 1.12 1 0.808 20
L1517919-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1517919-01 07/29/22 1119 • (DUP) R3320615-6 07/29/22 1120
Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD
Limits
Analyte mg/kg mg/kg
Reactive Cyanide ND ND 1 1.32 20
Laboratory Control Sample (LCS)
(LCS) R3820615-2 07/29/22 1105
Spike Amount LCS Result LCS Rec.
Analyte mg/kg mg/kg
Reactive Cyanide 2.50 2.46 98.3
Rec. Limits LCS Qualifier
85.0-115
L1517670-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1517670-01 07/29/22 11:13 • (MS) R3320615-4 07/29/22 1117 • (MSD) R3320615-5 07/29/22 1118
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide 1.67 1.13 2.63 2.70 90.0 94.1 1 75.0-125 2.53 20
L1517919-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1517919-01 07/29/22 1119 • (MS) R3320615-7 07/29/22 1121 • (MSD) R3320615-8 07/29/22 1122
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Cyanide 1.67 ND 0.788 0.602 40.2 29.1 1 75.0-125 J6 J3 J6 26.8 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 7 of 22

WG1899053
Wet Chemistry by Method 9012 B
QUALITY CONTROL SUMMARY
L1518453-01
L1517919-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1517919-01 07/29/22 1119 • (MS) R3320615-7 07/29/22 1121 • (MSD) R3320615-8 07/29/22 1122
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/kg _ mg/kg mg/kg mg/kg
Sample Narrative:
MS: Matrix spike failure due to matrix interference.
MSD: Matrix spike failure due to matrix interference.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 3 of 22

--------------
WG1903690
Wet Chemistry by Method 9034-9030B
Method Blank (MB)
(MB) R3321777-1 03/02/22 15:00
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/kg mg/kg mg/kg
Reactive Sulfide U 30.0 75.0
QUALITY CONTROL SUMMARY
L1518453-01
Laboratory Control Sample (LCS)
(LCS) R3321777-2 03/02/22 15:00
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier
Analyte mg/kg mg/kg
Reactive Sulfide 100 73.8 73.8 53.8-124
L1519458-20 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1519453-20 03/02/22 15:00 • (MS) R3321777-3 03/02/22 15:00 • (MSD) R3321777-4 03/02/22 15:00
Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD
Analyte mg/kg mg/kg mg/kg mg/kg
Reactive Sulfide 100 ND ND ND 0.000 0.000 1 10.0-136 J6 J6 0.000
RPD Limits
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 9 of 22

WG1901497 QUALITY CONTROL SUMMARY
Wet Chemistry by Method 9045D L1518453-01
Laboratory Control Sample (LCS) C
(LCS) R3819745-1 07/27/22 1400 p
Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier ITC]
Analyte su su % %
Corrosivity by pH 10.0 10.0 100 99.0-101
F
Sample Narrative: SS
LCS:10 at 23.5C
[Cn]
5
Sr
�GI
FAI
FSC1
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 10 of 22

WG1901992 QUALITY CONTROL SUMMARY
Wet Chemistry by Method D93/1010A L1518453-01
L1517289-01 Original Sample (OS) • Duplicate (DUP)
(OS) L1517239-01 07/23/22 01:10 • (DUP) R3319942-3 07/23/22 0110
Original Result DUP Result Dilution DUP RPD
Analyte Deg. F Deg. F
Ignitability DNI at170 DNI at170 1 0.000
DUP Qualifier DUP RPD
Limits
i
10
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3819942-1 07/28/22 01:10 • (LCSD) R3819942-2 07/28/22 0110
Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits
Analyte Deg. F Deg. F Deg. F
Ignitability 126 126 130 99.9 103 95.6-104 3.13 10
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 11 of 22

WG1902177 QUALITY CONTROL SUMMARY
Mercury by Method 7470A L1518453-01
Method Blank (MB)
(MB) R3320337-1 07/30/22 07:55
MB Result MB Qualifier MB MDL MB RDL
Analyte mg/I mg/I mg/I
Mercury U 0.00330 0.0100
Laboratory Control Sample (LCS)
(LCS) R3820887-2 07/30/22 07:57
Spike Amount LCS Result LCS Rec.
Analyte mg/I mg/I
Mercury 0.0300 0.0309 103
Rec. Limits LCS Qualifier
80.0-120
L1518427-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1513427-01 07/30/22 07:59 • (MS) R3320337-3 07/30/22 08:01 • (MSD) R3320337-4 07/30/22 08:03
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0311
0.0302 104 101 1 75.0-125 2.63 20
L1518596-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1513596-01 07/30/22 08:05 • (MS) R3320337-5 07/30/22 08:07 • (MSD) R3320337-6 07/30/22 08:09
Spike Amount
Original Result
MS Result
MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Mercury 0.0300
ND
0.0320
0.0305 107 102 1 75.0-125 4.84 20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 12 of 22

WG1902441
Metals (ICP) by Method 6010D
Method Blank (MB)
(MB) R3320466-1 07/23/22 2155
MB Result
MB Qualifier MB MDL
Analyte mg/I
mg/I
Arsenic U
0.0333
Barium U
0.0333
Cadmium U
0.0333
Chromium U
0.0333
Lead U
0.0333
Selenium 0.0366
J 0.0333
Silver U
0.0333
Laboratory Control Sample (LCS)
(LCS) R3820466-2 07/28/22 2157
Spike Amount
LCS Result
Analyte
mg/I
mg/I
Arsenic
10.0
9.59
Barium
10.0
9.83
Cadmium
10.0
9.71
Chromium
10.0
9.50
Lead
10.0
9.59
Selenium
10.0
10.1
Silver
2.00
1.86
LCS Rec.
95.9
98.3
97.1
95.0
95.9
101
93.1
QUALITY CONTROL SUMMARY
L1518453-01
MB RDL
mg/I
0.100
0.100
0.100
0.100
0.100
0.100
0.100
Rec. Limits
80.0-120
80.0-120
80.0-120
80.0-120
80.0-120
80.0-120
80.0-120
LCS Qualifier
L1518212-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1513212-02 07/23/22 22:00 • (MS) R3320466-4 07/23/22 22:05 • (MSD) R3320466-5 07/23/22 22:08
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Arsenic
10.0
ND
9.70
9.63
97.0
96.3
Barium
10.0
ND
9.83
9.80
98.3
98.0
Cadmium
10.0
ND
9.79
9.74
97.9
97.4
Chromium
10.0
ND
9.33
9.40
93.3
94.0
Lead
10.0
ND
9.50
9.50
95.0
95.0
Selenium
10.0
ND
10.1
9.96
101
99.6
Silver
2.00
ND
1.87
1.87
93.3
93.6
Dilution Rec. Limits
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
1 75.0-125
MS Qualifier MSD Qualifier RPD
0.697
0.306
0.496
0.781
0.00731
0.970
0.238
RPD Limits
20
20
20
20
20
20
20
ACCOUNT:
EMA Resources
PROJECT:
SDG:
L1513453
DATE/TIME:
03/05/22 13:26
PAGE:
13 of 22

WG1902474 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1518453-01
Method Blank (MB)
(MB) R3323069-3 07/29/22 00:24
MB Result
Analyte
mg/I
Benzene
U
Carbon tetrachloride
U
Chlorobenzene
U
Chloroform
U
1,2-Dichloroethane
U
1,1-Dichloroethene
U
2-Butanone (MEK)
U
Tetrachloroethene
U
Trichloroethene
U
Vinyl chloride
U
(S) Toluene-dH
104
(S) 4-Bromofluorobenzene 97.7
(S) 1,2-Dichloroethane-d4 105
MB Qualifier MB MDL
mg/I
MB RDL
mg/I
0.0167
0.0500
0.0167
0.0500
0.0167
0.0500
0.0833
0.250
0.0167
0.0500
0.0167
0.0500
0.167
0.500
0.0167
0.0500
0.0167
0.0500
0.0167
0.0500
80.0-120
77.0-126
70.0-130
Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD)
(LCS) R3823069-1 07/28/22 22:30 • (LCSD) R3823069-2 07/28/22 22:52
Spike Amount
LCS Result
LCSD Result
LCS Rec.
LCSD Rec.
Rec. Limits
Analyte
mg/I
mg/I
mg/I
Benzene
0.250
0.252
0.270
101
108
70.0-123
Carbon tetrachloride
0.250
0.271
0.251
108
100
68.0-126
Chlorobenzene
0.250
0.259
0.267
104
107
80.0-121
Chloroform
0.250
0.253
0.271
101
108
73.0-120
1,2-Dichloroethane
0.250
0.291
0.291
116
116
70.0-128
1,1-Dichloroethene
0.250
0.257
0.229
103
91.6
71.0-124
2-Butanone (MEK)
1.25
1.88
1.85
150
148
44.0-160
Tetrachloroethene
0.250
0.236
0.247
94.4
98.8
72.0-132
Trichloroethene
0.250
0.257
0.276
103
110
78.0-124
Vinyl chloride
0.250
0.260
0.248
104
99.2
67.0-131
(S) Toluene-dH
104
103
80.0-120
(S) 4-Bromofluorobenzene
101
98.6
77.0-126
(S) 1,2-Dichloroethane-d4
104
103
70.0-130
LCS Qualifier
LCSD Qualifier RPD
6.90
7.66
3.04
6.87
0.000
11.5
1.61
4.55
7.13
4.72
RPD Limits
20
20
20
20
20
20
20
20
20
20
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 14 of 22

WG1902474 QUALITY CONTROL SUMMARY
Volatile Organic Compounds (GC/MS) by Method 8260D L1518453-01
L1518722-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1513722-02 07/29/22 01:53 • (MS) R3323069-4 07/29/22 03:52 • (MSD) R3323069-5 07/29/22 09:14
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Dilution Rec. Limits
MS Qualifier MSD Qualifier RPD
RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
Benzene 0.250
ND
0.170
0.240
68.0
96.0
1 17.0-158
J3
34.1
27
Carbon tetrachloride 0.250
ND
0.156
0.267
62.4
107
1 23.0-159
J3
52.5
28
Chlorobenzene 0.250
ND
0.192
0.241
76.8
96.4
1 33.0-152
22.6
27
Chloroform 0.250
ND
ND
ND
76.8
98.4
1 29.0-154
24.7
28
1,2-Dichloroethane 0.250
ND
0.261
0.291
104
116
1 29.0-151
10.9
27
1,1-Dichloroethene 0.250
ND
0.135
0.226
54.0
90.4
1 11.0-160
J3
50.4
29
2-Butanone (MEK) 1.25
ND
1.91
1.85
153
148
1 10.0-160
3.19
32
Tetrachloroethene 0.250
ND
0.133
0.215
53.2
86.0
1 10.0-160
J3
47.1
27
Trichloroethene 0.250
ND
0.171
0.243
68.4
97.2
1 10.0-160
J3
34.8
25
Vinyl chloride 0.250
ND
0.130
0.227
52.0
90.8
1 10.0-160
J3
54.3
27
(S) Toluene-dH
104
104
80.0-120
(S) 4-Bromofluorobenzene
96.8
99.7
77.0-126
(S) 1,2-Dichloroethane-d4
104
109
70.0-130
L1518431-04 Original Sample (OS)
• Matrix Spike (MS)
(OS) L1513431-04 07/29/22 01:09 • (MS) R3323069-6 07/29/22 09:36
Spike Amount
Original Result
MS Result
MS Rec.
Dilution
Rec. Limits
MS Qualifier
Analyte mg/I
mg/I
mg/I
Benzene 0.250
ND
0.254
102
1
17.0-158
Carbon tetrachloride 0.250
ND
0.277
ill
1
23.0-159
Chlorobenzene 0.250
ND
0.264
106
1
33.0-152
Chloroform 0.250
ND
0.265
106
1
29.0-154
1,2-Dichloroethane 0.250
ND
0.283
113
1
29.0-151
1,1-Dichloroethene 0.250
ND
0.233
93.2
1
11.0-160
2-Butanone (MEK) 1.25
ND
1.84
147
1
10.0-160
Tetrachloroethene 0.250
ND
0.246
98.4
1
10.0-160
Trichloroethene 0.250
ND
0.254
102
1
10.0-160
Vinyl chloride 0.250
ND
0.245
98.0
1
10.0-160
(S) Toluene-dH
106
80.0-120
(S) 4-Bromofluorobenzene
98.1
77.0-126
(S) 1,2-Dichloroethane-d4
108
70.0-130
ACCOUNT:
PROJECT:
SDG:
DATE/TIME:
PAGE:
EMA Resources
L1513453
03/05/22 13:26
15 of 22

WG1903776 QUALITY CONTROL SUMMARY
Semi -Volatile Organic Compounds (LCMS) by Method SW-846 8321 L1518453-01
Method Blank (MB)
(MB) R3822047-2 03/02/22 1059
MB Result
Analyte
mg/I
2,4-D
U
2,4,5-TP (Silvex)
U
(S) Z4-DB-D3
125
MB Qualifier MB MDL
MB RDL
mg/I
mg/I
0.00667
0.0200
0.00667
0.0200
70.0-130
Laboratory Control Sample (LCS)
(LCS) R3822047-1 08/02/22 10:41
Spike Amount LCS Result
Analyte mg/I mg/I
2,4-D 0.200 0.218
2,4,5-TP (Silvex) 0.200 0.212
(S) Z4-DB-D3
LCS Rec. Rec. Limits LCS Qualifier
109 70.0-130
106 70.0-130
113 70.0-130
L1519458-20 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1519453-20 03/02/22 11:52 • (MS) R3322047-3 03/02/22 11:17 • (MSD) R3322047-4 03/02/22 1135
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
2,4-D
0.200
ND
0.223
0.215
112
108
2,4,5-TP (Silvex)
0.200
ND
0.225
0.216
113
108
(S) Z4-DB-D3
106
117
Dilution Rec. Limits
1 70.0-130
1 70.0-130
70.0-130
MS Qualifier MSD Qualifier RPD RPD Limits
3.65 30
4.08 30
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 16 of 22

WG1902977
Pesticides (GC) by Method 8081B
Method Blank (MB)
QUALITY CONTROL SUMMARY
L1518453-01
(MB) R3321005-1 07/30/22 19:58
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
Chlordane
U
0.00167
0.00500
Endrin
U
0.00167
0.00500
Heptachlor
U
0.00167
0.00500
Heptachlor epoxide
U
0.00167
0.00500
Gamma BHC
U
0.00167
0.00500
Methoxychlor
U
0.00167
0.00500
Toxaphene
U
0.00333
0.0100
(S) Decachlorobiphenyl
76.6
10.0-128
(S) Tetrochloro-m-xylene
65.0
10.0-127
Laboratory Control Sample (LCS)
(LCS) R3821005-2 07/30/22 20:07
Spike Amount
LCS Result
Analyte
mg/I
mg/I
Endrin
0.0100
0.00947
Heptachlor
0.0100
0.0104
Heptachlor epoxide
0.0100
0.00948
Gamma BHC
0.0100
0.00884
Methoxychlor
0.0100
0.0109
(S) Decachlorobiphenyl
(S) Tetrochloro-m-xylene
LCS Rec. Rec. Limits LCS Qualifier
94.7
104
94.8
88.4
109
77.6
70.5
57.0-134
27.0-132
57.0-130
55.0-129
54.0-155
10.0-128
10.0-127
L1518453-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD)
(OS) L1513453-01 07/30/22 21:01 • (MS) R3321005-3 07/30/22 21:10 • (MSD) R3321005-4 07/30/22 2118
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec.
Analyte
mg/I
mg/I
mg/I
mg/I
Endrin
0.0100
ND
0.00838
0.00870
83.8
87.0
Heptachlor
0.0100
ND
0.00937
0.00982
93.7
98.2
Heptachlor epoxide
0.0100
ND
0.00831
0.00866
83.1
86.6
Gamma BHC
0.0100
ND
0.00777
0.00809
77.7
80.9
Methoxychlor
0.0100
ND
0.00983
0.0105
98.3
105
(S) Decachlorobiphenyl
68.8
73.6
(S) Tetrochloro-m-xylene
59.9
63.6
Dilution Rec. Limits
1 10.0-160
1 16.0-136
1 10.0-160
1 14.0-141
1 10.0-160
10.0-128
10.0-127
MS Qualifier MSD Qualifier RPD RPD Limits
3.75 39
4.69 40
4.12 36
4.04 40
6.59 34
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 17 of 22

WG1902662 QUALITY CONTROL SUMMARY
Semi Volatile Organic Compounds (GC/MS) by Method 8270E L1518453-01
Method Blank (MB)
(MB) R3820816-2 07/29/22 1436
MB Result
MB Qualifier MB MDL
MB RDL
Analyte
mg/I
mg/I
mg/I
1,4-Dichlorobenzene
U
0.0333
0.100
2,4-Dinitrotoluene
U
0.0333
0.100
Hexachlorobenzene
U
0.0333
0.100
Hexachloro-1,3-butadiene
U
0.0333
0.100
Hexachloroethane
U
0.0333
0.100
Nitrobenzene
U
0.0333
0.100
Pyridine
U
0.0333
0.100
3&4-Methyl Phenol
U
0.0333
0.100
2-Methylphenol
U
0.0333
0.100
Pentachlorophenol
U
0.0333
0.100
2,4,5-Trichlorophenol
U
0.0333
0.100
2,4,6-Trichlorophenol
U
0.0333
0.100
(S) 2-Fluorophenol
27.E
10.0-120
(S) Phenol-d5
15.8
10.0-120
(S) Nitrobenzene-d5
66.4
10.0-127
(S) 2-Fluorobiphenyl
71.3
10.0-130
(S) 2,4,6-Tribromophenol
79.5
10.0-155
(S) p-Terphenyl-d14
66.3
10.0-128
Laboratory Control Sample (LCS)
(LCS) R3820816-1 07/29/22 1413
Spike Amount
LCS Result
LCS Rec.
Rec. Limits LCS Qualifier
Analyte mg/I
mg/I
1,4-Dichlorobenzene 0.500
0.323
64.6
18.0-120
2,4-Dinitrotoluene 0.500
0.438
87.6
49.0-124
Hexachlorobenzene 0.500
0.320
64.0
44.0-120
Hexachloro-1,3-butadiene 0.500
0.457
91.4
19.0-120
Hexachloroethane 0.500
0.325
65.0
15.0-120
Nitrobenzene 0.500
0.360
72.0
27.0-120
Pyridine 0.500
0.0746
14.9
10.0-120
3&4-Methyl Phenol 0.500
0.257
51.4
31.0-120
2-Methylphenol 0.500
0.240
48.0
28.0-120
Pentachlorophenol 0.500
0.431
86.2
23.0-120
2,4,5-Trichlorophenol 0.500
0.476
95.2
44.0-120
2,4,6-Trichlorophenol 0.500
0.459
91.8
42.0-120
(S) 2-Fluorophenol
31.1
10.0-120
(S) Phenol-d5
17.7
10.0-120
(S) Nitrobenzene-d5
62.6
10.0-127
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1518453 08/05/22 13:26 18 of 22

WG1902662
QUALITY
CONTROL
SUMMARY
Semi Volatile Organic Compounds
(GC/MS) by Method 8270E
L1518453-01
Laboratory Control Sample (LCS)
(LCS) R3320316-1 07/29/22 1413
Spike Amount
LCS Result
LCS Rec.
Rec. Limits
LCS Qualifier
Analyte mg/I
mg/I
(S) 2-Fluorobiphenyl
76.6
10.0-130
(S) 2,4,6-Tribromophenol
92.5
10.0-155
(S) p-Terphenyl-d14
41.6
10.0-128
L1518453-01 Original Sample (OS) • Matrix Spike (MS) • Matrix
Spike Duplicate (MSD)
(OS) L1513453-01 07/29/22 16:26 • (MS) R3320316-3 07/29/22 16:43 • (MSD) R3320316-4 07/29/22 1710
Spike Amount
Original Result
MS Result
MSD Result
MS Rec.
MSD Rec. Dilution Rec. Limits MS Qualifier
MSD Qualifier RPD
RPD Limits
Analyte mg/I
mg/I
mg/I
mg/I
1,4-Dichlorobenzene 0.500
ND
0.275
0.250
55.0
50.0 1
17.0-120
9.52
40
2,4-Dinitrotoluene 0.500
ND
0.390
0.371
78.0
74.2 1
39.0-125
4.99
25
Hexachlorobenzene 0.500
ND
0.418
0.413
83.6
82.6 1
35.0-122
1.20
24
HexachIaro-1,3-butadiene 0.500
ND
0.419
0.398
83.8
79.6 1
12.0-120
5.14
34
Hexachloroethane 0.500
ND
0.275
0.256
55.0
51.2 1
10.0-120
7.16
40
Nitrobenzene 0.500
ND
0.318
0.300
63.6
60.0 1
12.0-120
5.83
30
Pyridine 0.500
ND
ND
ND
12.1
12.2 1
10.0-120
1.15
37
3&4-Methyl Phenol 0.500
ND
0.187
0.172
37.4
34.4 1
10.0-120
8.36
36
2-Methylphenol 0.500
ND
0.184
0.171
36.8
34.2 1
10.0-120
7.32
30
Pentachlorophenol 0.500
ND
0.338
0.330
67.6
66.0 1
10.0-128
2.40
37
2,4,5-Trichlorophenol 0.500
ND
0.382
0.361
76.4
72.2 1
33.0-120
5.65
31
2,4,6-Trichlorophenol 0.500
ND
0.370
0.352
74.0
70.4 1
26.0-120
4.99
31
(S) 2-Fluorophenol
23.6
19.9
10.0-120
(S) Phenol-d5
13.4
12.7
10.0-120
(S) Nitrobenzene-d5
57.4
54.6
10.0-127
(S) 2-Fluorobiphenyl
71.4
66.1
10.0-130
(S) 2,4,6-Tribromophenol
78.0
76.0
10.0-155
(S) p-Terphenyl-d14
61.1
63.1
10.0-128
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L1513453 03/05/22 13:26 19 of 22

GLOSSARY OF TERMS
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and ifyou have additional questions please contactyour project representative.
Results Disclaimer - Information that may be provided by the customer, and contained within this report, include Permit Limits, Project Name,
Sample ID, Sample Matrix, Sample Preservation, Field Blanks, Field Spikes, Field Duplicates, On -Site Data, Sampling Collection Dates/Times, and
Sampling Location. Results relate to the accuracy of this information provided, and as the samples are received.
Abbreviations and Definitions
u
Fc
Fss]
MDL
Method Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable).
Fn
RDL
Reported Detection Limit.
Rec.
Recovery.
Fr
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
F
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
U
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the
F
Dilution
standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the
laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the
result reported has already been corrected for this factor.
Rc
These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
Uncertainty
(Radiochemistry)
Confidence level of 2 sigma.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Quality Control
This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or
Summary (Qc)
analytical methods to assist in evaluating the validity ofthe results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession ofthe
samples from the time of collection until delivery to the laboratory for analysis.
This section ofyour report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier
Description
J
The identification ofthe analyte is acceptable, the reported value is an estimate.
J3
The associated batch QC was outside the established quality control range for precision.
J6
The sample matrix interfered with the ability to make any accurate determination, spike value is low.
T8
Sample(s) received past/too close to holding time expiration.
ACCOUNT:
PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources
L1513453 03/05/22 13:26 20 of 22

ACCREDITATIONS & LOCATIONS
Pace Analytical National 12065 Lebanon Rd Mount Juliet, TN 37122
Alabama
40660
Nebraska
N E-OS-15-05
Alaska
17-026
Nevada
TN000032021-1
Arizona
AZ0612
New Hampshire
2975
Arkansas
88-0469
New Jersey—NELAP
TNO02
California
2932
New Mexico
TN00003
Colorado
TN00003
New York
11742
Connecticut
PH-0197
North Carolina
Env375
Florida
E87487
North Carolina'
DW21704 _
Georgia
NELAP
North Carolina 3
41
Georgia'
923
North Dakota
R-140
Idaho
TN00003
Ohio—VAP
CL0069
Illinois
200008
Oklahoma
9915
Indiana
C-TN-01
Oregon
TN200002
Iowa
364
Pennsylvania
68-02979
Kansas
E-10277
Rhode Island
LA000356
Kentucky' 6
KY90010
South Carolina
84004002
Kentucky 2
16
South Dakota
n/a
Louisiana
A130792
Tennessee'"
2006
Louisiana
LA018
Texas
T104704245-20-18
Maine
TN00003
Texas5
LABO152
Maryland
324
Utah
TN000032021-11
Massachusetts
M-TNO03
Vermont
VT2006
Michigan
9958
Virginia
110033
Minnesota
047-999-395
Washington
C847
Mississippi
TN00003
West Virginia
233
Missouri
340
Wisconsin
998093910
Montana
CERT0086
Wyoming
A2 LA
A2LA— ISO 17025
1461.01
AIHA-LAP,LLC EMLAP
100789
A2 LA — ISO 17025 5
1461.02
DOD
1461.01
Canada
1461.01
USDA
P330-15-00234
EPA—Crypto
TN00003
Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold 6 Wastewater n/a Accreditation not applicable
Not all certifications held by the laboratory are applicable to the results reported in the attached report.
Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace Analytical.
Rc
ACCOUNT: PROJECT: SDG: DATE/TIME:
EMA Resources L1513453 03/05/22 13:26
PAGE:
21 of 22

Company Name/Address:
EMA Resources
755 Yadkinville Road
Mocksville, NC 27028
Report to:
Mr. Brent Collins
Project Description:
Sludge
Phone: [phone]
Collected by (print):
�-•n�4- (A I I � � s
Collected by (signature):
Immediately
Packed on Ice N Y
Sample ID
o�ctaf v% i1
Billing Information- l t A alvsis i Ccinta,iQer1,PrI;servat,t2�Cham of Custody Page _of _
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755 Yadkinville Road Chk
Mocksvilie, NC 27028 �JceAnalytical
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a it To: IN65 Lebanon Rd Mount luRet. TN 37122
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COC Signed/Accurate:
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L-

Standard Operating Procedure and Operation
and Maintenance Plan for the Town of
Yanceyville - Land Application Program
1. Purpose
a. Ensure the requirements of the Town of Yanceyville, NC Non -Discharge
Permit#WQ0028547 are met.
2. Personnel
a. The following is a list of personnel in order they are to be contacted when
information needs to be shared.
Ira► I_\:ZalyIW-MM
1. Brandon Shaffer — Project Manager 336-978-3245
2. Roy Whitaker — Director of Bus.Dvlpmt./Ops. 336-909-1718
3. Brent Collins — Director of Technical Services 336-399-3646
ii. Town of Yanceyville, NC
1. Kamara Barnett - Town Manager 336-694-5431
3. Operational Functions
a. The operational function of this project it going to involves transporting the
thickened liquid residuals via tanker trailers to a staging area in the receiver
sites. The liquid residuals will be off-loaded into tractor/pull tank spreader
and land applied in a uniform application. It is going to be spread at
agronomic rates that are determined using the Realistic Yield Expectations
(RYE) as outlined in the permit, the amount of other nutrient sources the
landowner and operator has applied, and the residuals nutrient and metal
sample that is current for that monitoring period. The material is going to
be land applied on fields that have a crop growing on them that are going
to either be grazed or cut for animal feed or row crops for feed or fiber.

Application rates will be reduced by 25% on fields that are primarily used
for grazing in accordance with USDA-NRCS 590. Grazed fields will be
determined by the farmers and EMA project managers.
4. Maintenance Schedule
a. EMA Resources Inc. will follow the maintenance schedule as recommended
by the EMA Resources EHS&T Director for the equipment necessary to
complete the job.
5. Safety Measures
a. The Town of Yanceyville and EMA Resources Inc. believe in operating in a
safety conscious manner and all employees participate in safety training that
is designed to help employees recognize safety issues and take steps to
prevent accidents from occurring. In addition, EMA Resources employees
have the authority to stop operations if they think any aspect of the
operation is going to cause environmental or personal harm.
6. Spill Response Plan
a. In the unlikely event of a spill, the following action shall be taken
immediately.
i. Management of Spill Clean-up Activities: The EMA Resources
Project Manager shall take immediate charge and initiate clean-up
activities. EMA Resources labor and equipment is to be utilized. In
the event additional labor and equipment is required, assistance may
be requested from the Town of Yanceyville, The NC Department of
Transportation, and other private contractors as necessary.
ii. Halt the Source of the Spill: Such as a ruptured container or
damaged transport unit.
iii. Contain the Spill: Form a barrier. Sufficient quantities of straw shall
be used for such purposes. Earthen barriers may be constructed to
augment the straw bale containment area of the spill. The
Operations Manager or the person in charge on the spill site will be
advise the clean-up personnel where to get the straw, lime, and other
items necessary to complete the clean-up operation. le. local farmers,
farm supply centers, nurseries.
iv. Initial Clean -Up: Employ front-end loaders, vacuum equipment,
sludge application vehicles, and/or local septic tank service to

remove as much of the spilled material as possible. Straw and/or
sand should be scattered in the spill area to soak up the remaining
material. The straw and sand soaked material will be collected and
removed to a disposal area approved by representatives of the state
regulatory agency.
v. Final Clean-Ua: Employ rotary brush sweeper if needed and apply
lime to the spill area upon the approval of the clean-up efforts by the
state regulatory representative. If the event occurs on private
property, the clean-up will be completed to the satisfactory of the
property owner and state regulatory representatives. The ultimate
goal will be restore the spill area to its original condition if possible.
vi. Notification: As soon as possible after the spill occurs, the EMA
Resources Project Manager or designee will notify the Town of
Yanceyville and the EMA Resources main office. EMA Resources
office staff is then responsible for notifying other key EMA Resources
personnel.
vii. Reporting_ EMA Resources staff will notify the Winston-Salem
regional office of the NCDENR by telephone [phone] as soon
as possible, but not more than 24 hours after, or on the next working
day following the occurrence. The EMA Project Manager shall
provide a written report with 48 hours of the spill to the EMA
Resources Director of Technical Services and the Town of Yanceyville
staff. The report shall list all relative information and actions taken.
With the assistance of EMA Resources personnel, and the Town of
Yanceyville personnel, a written report will be filed with the Raleigh
regional office within 5 days of the occurrence. For after-hours
reporting, the Division's emergency number shall be called to report
all incidences [phone].
7. Inspection Plan
a. Inspection for the land application of residuals will conducted on a
minimum of a weekly basis at the land application site during land
application activities. The inspection frequency is based on the time frame
that it is going to take to complete the project and the amount of dry tons
to be land applied from this facility. The inspections will consist of
inspecting a current field that is being applied as well as inspecting random

fields that have been completed. Inspections will be conducted by Brandon
Shaffer — Project Manager. These inspections will consist of the following:
i. Verifying the application rates for each field that plan on receiving
material.
ii. Checking the calculated loads to ensure the correct amount of
residuals are being land applied.
iii. Ensure that all manned equipment has a copy of the permit and the
operation and maintenance plan.
iv. Ensure that the field has been flagged properly and that all buffers
are being adhered to.
v. Ensure proper signage has been posted
vi. Verify that the proper number of samples of the residuals have been
taken and that it meets the criteria for land application.
vii. The records will be kept in the EMA Resources project files in the
main office. Copies of all analyses and records will be forwarded to
the Town of Yanceyville and kept on file.
viii. EMA Resources and the Town of Yanceyville staff will immediately
inform the other party if any of the following conditions are noted.
1. Any occurrence with the distribution program resulting in the
land application of significant amounts of material that is
abnormal in quantity or characteristics.
2. Any failure of the distribution system that results in the release
to surface waters.
3. Any time that self -monitoring indicates that the facility has
gone out of compliance with the permit.
4. Any process failure that results in the system not adequately
treating the residuals.
5. Any spill or discharge from a vehicle or piping system during
residuals transportation.
6. Any release that requires immediate reporting outside normal
business hours shall be called in by EMA Resources staff to
DENR at [phone]. This number is to be called in the
event of a release to surface waters or imminent failure of a
storage system when the event occurs outside of normal
business hours.

8. Sampling and Monitoring Plan
a. Sampling for this project consists of sampling the residuals prior to land
application occurring in order to ensure that the residuals are suitable for
land application.
b. The samples will be collected from the two storage lagoons that holds the
thickened residuals
c. Brandon Shaffer, Brent Collins, or other designee will be responsible for
sample collection for nutrient and metal, TCLP, and fecal coliform.
d. Nutrient, metal and TCLP sample aliquots will be collected randomly and
consist of at least 7 individual aliquots mixed together in order to get the
composite sample for these parameters.
e. The residuals will be sampled annually for TCLP including the RClls.
f. Metal and nutrient parameters will be collected and analyzed based on the
requested dry ton numbers in the permit application.
g. Residuals will be sampled for fecal coliform to demonstrate pathogen
requirements have been met. Seven separate samples will be collected and
analyzed.
9. Environmental Impacts
a. The environmental impacts for residuals may be affected by this procedure.
b. This procedure helps assure that land application is conducted in a safe and
efficient manner while ensuring compliance with the laws and regulations
and to minimize exposure, negative environmental impacts and public
relation concerns.

Residuals Information Sheet
Generator: Town of Yanceyville
Facility:
Yanceyville WWTP/WTP
Add ress:
PO Box 727
Yanceyville, NC 27379
Phone:
[phone]
Contact:
Matthew Malone
Land Application Contractor: EMA Resources Inc.
755 Yadkinville Rd
Mocksville, NC 27028
Phone: [phone]
Contact: Roy Whitaker
Please Note: The application of these residuals is only allowed in accordance with subject permit.
(W Q0028547 )
All applicable setbacks in accordance with 15A NCAC 02T .1108(b) will be adhered and is the
responsibility of the land application contractor.
Application rates shall be applied at agronomic rates for intended uses.
No residuals shall be applied to any site that is flooded, frozen, or snow covered.
Adequate procedures will be implemented to prevent surface runoff of residuals in any surface waters.
The attached residuals analysis report is a summary of major and micro -nutrients available in the
residuals.
If you have any questions concerning this information, you may contact EMA Resources Inc, at the
number listed above.

Applicant's name: Town of Yancey
Land application sites currently certified: 188.42 net acres and Total to be certified: 160.89 net acres.
L LAND APPLICATION SITE INFORMATION (See Instruction B):
Status
Codes
Site/Field
ID
Landowners
��
Lessees or Operator(s)
��
Net Acres
County
tY
Crop(s) s
P�)
Predominant Soil
Series Name b
Mapping Unit
or Rep. Slope'
R/M
NC-CS09-11
Jennifer Hodges
28.85
Caswell
Fescue
Fairview
FbB2
D
NC-CS80-01
Wayne & Virginia Hodges
3.17
Caswell
Fescue
Fairview
D
NC-CS80-02
Wayne & Virginia Hodges
11.06
Caswell
Fescue
Poindexter
R/M
NC-CS80-04
Ruby Hovatter
22.28
Caswell
Fescue
Fairview
FbB2
R
NC-CS81-01
Vernon & Sylvia Williamson
9.69
Caswell
Fescue
Iredell
IrB
R
NC-CS81-02
Vernon & Sylvia Williamson
5.14
Caswell
Fescue
Iredell
IrB
R
NC-CS81-03
Vernon & Sylvia Williamson
3.5
Caswell
Fescue
Helena
HeB
R
NC-CS81-04
Vernon & Sylvia Williamson
11.97
Caswell
Fescue
Iredell
IrB
R
NC-CS81-05
Vernon & Sylvia Williamson
15.43
Caswell
Fescue
Orange
OrB
R
NC-CS81-06
Vernon & Sylvia Williamson
5.77
Caswell
Fescue
Helena
HeB
R
NC-CS81-07
Vernon & Sylvia Williamson
15.73
Caswell
Fescue
Iredell
IrB
R
NC-CS81-08
Vernon & Sylvia Williamson
8.38
Caswell
Fescue
Helena
HeB
R
NC-CS81-09
Vernon & Sylvia Williamson
7.15
Caswell
Fescue
Helena
HeB
R/M
NC-CS82-01
Jon Crispin
4.49
Caswell
Fescue
Fairview
FbB2
R/M
NC-CS82-02
Jon Crispin
6.21
Caswell
Fescue
Fairview
FbB2
R/M
NC-CS82-03
Jon Crispin
6.47
Caswell
Fescue
Fairview
FbB2
R/M
NC-CS82-04
Jon Crispin
9.83
Caswell
Fescue
Fairview
FbB2

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: Town of Yanceyville
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-CS-09-11
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
term 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(hl 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-CS-09-11
(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

3
r
Coo T
•Rt�
i
w _fit; Well
■ Off Site Dwelling
I� ► a' �- Drain
Field Boundary
jr,rr tir�r� Property Boundary
Buffer
Field Total Acres Applicable Acres
;+. ,,► "'`' ti,,� — — — Ditch
11 52.33 28.85 crr x
SCALE: 1":440' �\ FIGURE NO.
7-� Town of Yanceyville
DATE 5/6/2024 °'vMA Land Application Program
DRAWN BY: BC Resources, Inc. 2
PROJECT NO: CS09
WQ0028547
Jennifer Hodges

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Jennifer Hodges
Operator: Glen Hodges
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 92.26 Site #:
Predominant Soil Series: FbB2
Crop 1 Max. PAN:
141 Crop 2 Name:
Acres Utilized:
CS09 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
38
38
0
o �
N
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
w •,
* N
*�
TKN
mg/kg
Z
;
o
oa o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/4
110500
3.76
0.456
Yancey WTP
D
<.5"
S
0.5
0.3
9460
3960
177
3.471
NA
Fescue
5/5
78000
3.76
0.322
Yancey WTP
D
<.5"
S
0.5
0.3
9460
3960
177
2.450
NA
Fescue
5/7
156000
3.76
0.644
Yancey WTP
D
<.5"
S
0.5
0.3
9460
3960
177
4.901
NA
Fescue
5/8
71500
3.76
0.295
Yancey WTP
D
<.5"
S
0.5
0.3
9460
3960
177
2.246
NA
Fescue
0.000
0.000
0.000
4/10
169000
3.84
0.712
Unifi,Inc.
Dry
<.5"
S
0.5
0.3
18700
8470
132
10.591
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
585000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
23.660
0.000
Lime Applied
Annuallbs/acre
0.067
0.008
0.888
0.101
0.121
0.002
0.021
0.043
0.078
1.321
6.804
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.067
0.008
0.888
0.101
0.121
0.002
0.021
0.043
0.078
1.321
Permitted C. P. L. R.****
36
34
1 1338
1
267
1 15
374
1 89
2498
Permit PAN Limit Ist/2nd Crop
i
r 141
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/21/2021 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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: Town of Yanceyville
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-CS-80-04
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
term 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(hl 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:
(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:
1 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 Ql 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: R w6:, 16v. } vo r
Address: `ZI9 I New. i•'atsPj
City:
Phone: 334 - 3 $S - 2-y9 5
State
Nc
E-mail address:
zip: _ 7
Signature: � , ` Date: 5I2 q
NORTH CAROLINA, _ ♦+ t I
COUNTY
I, the undersigned Notary Public do hereby certify that R.+ 6y S . ) 42,A, 4-"u
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the
day of
M. Brent Collin$
Signature and seal:
My commission expires: 313012-4, Davie Courtly, NG
Lessee's/Operator's Certification:
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: _ Kam;; Barnet'
kawai-a Evm� 'tt
Signature: �ama�Ra.�o�„M� V-4.:�Fnn, Date: 05/10/2024
FORM: LOA 06-16 Page 3 of 3

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W 1 0 2 Field Boundary
Miles
IV
Scale: 1 inch equals 2 miles NC-CS-80(1 - 4) LOCATION MAP Figure
Drawn by: CSC Town of YanccyviRe ©ass B Residual Permit
Reviewed by: SOEL Yanccy-v-illc, North CarolinaPLUS
Date: Oct '13 Soil Plus Project # 201205A10

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en N a �tes ' , ,r » NC �S
63
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s �1 7.07 r s Ac.
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arlton .,_ ` 1.06 et C. l
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Mar9PIrett Marshall "'►' _ r 1 ,
W + Y
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'tRuby Hovatieryr '4
NC -CS.. 4 *7
A25.89 Gross Ac. 25:89"Gr s•AC4
o Park Springs 22:28 Net Ac. !
tor. Pentacostal
r
d 1 ,;Iy Church
Ruby Hoi
Mary hod s 'N.C-CS-80-4
22.28 Net E. �jW
I,,. I i-,vat i
IA*md Ma Hiidges ,
House Xla.x Hodgesy
A Structure
• Well `
----W- Ditch
—No- Stream `
® Buffer
Q Field Boundary
Q Field Boundary
© Net Area
Pond
r
0 Property Boundary ' I 400 200 0 400
1 Felt
Scale: 1 inch equals 400 feet NC-CS-80 BUFFER MAP (Field 4) Figure
,Drawn bv: CSC Town of Yanceyl•ille Class B Residual Permit
Rcvicwcd bv: SOIL Yanccvvillc, North Carolina 3
PLUS
Date: Oct.'13 Soil Plus Proiect # 201205.A10 I

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Ruby Hovatter
Operator: Wayne Hodges
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 19.36 Site #:
Predominant Soil Series: FrD2
Crop 1 Max. PAN:
115 Crop 2 Name:
4
CS 80
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
22.28
22.28
0
o �
N
Q
Volume applied
enter one Solids/
)
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
w •,
* N
*�
TKN
mg/kg
Z
;
o
M o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/17
84500
2.1
0.332
Yanceyville WTP
D
<.5"
S
0.5
0.4
7580
50
2.13
2.019
NA
Fescue
10/18
136500
2.1
0.537
Yanceyville WTP
D
<.5"
S
0.5
0.4
7580
50
2.13
3.261
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
221000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
5.280
0.000
Lime Applied
Annuallbs/acre
0.010
0.003
0.026
0.050
0.010
0.001
0.020
0.100
0.009
0.063
1.665
Date
lbs/ac
2000
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
0.010
0.003
0.026
0.050
0.010
0.001
0.020
0.100
0.009
0.063
Permitted C. P. L. R. * * * *
1 36
34
1 133 S
267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
I F-115
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/9/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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: Town of Yanceyville
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-CS-81-(1-9)
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
term 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(hl 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:
(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 Iandowners 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: `ft(^0n WIl1;0MSOn
Address: 84,40 O NC F+t.. u AV&
City: _Vae [� ,y l l i
Phone: —336_- S/ `1-
State: /x Zip: 27;79
_ E-mail address:
iature: e:
NORTH CAROLINA, _6jf&•!i COUNTY
I, the undersigned Notary Public do hereby certify that _ ef4o4
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ZSt�
day of— c: 20 211
Signature and seal
M. Brent Collins
My commission expires: 4relZ(+
My Commission Expires March 30, 2026
Lessee's/Operator's Certification:
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: _Kamara Bame« — —
kawla-a EanWr 05/10/2024
Signature: Kama., aa, att iMa„ in iron FnT) Date:
FORM: LOA 06-16 Page 3 of 3

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an,
lab
\~N
Mtlaailk ,t -! J i�S� l �� \ 1 y inaa_
u9s
110 �, •. -� / 1J '� �� tom+ Lumm g
]l44��-
L
{ _��. ^� t.+ �e�.,}tzl / Legend
stop-2 1 0 .. 2 1 Field Boundary
Miles
sy errrlmp
Scale: 1 inch equals 2 miles NC-CS-81(1- 9) LOCATION MAP Figure
Drawn b : CSC Town of Yanceyville Glass B Residual Permit
Rcviewed by: �U Yance ille, North Carolina 1
Date: Oct.'13 Soil Plus Project # 201205.A10

"Harold Cobb -cs eta u
k 8.71 Gross C. NC -CS 81-9
Marks&
Crary Cobb'*';Ph71 yllisti , ti
12.63 Gross Ac.,'
Carneal
1 NC-CS-81-6
`Willm -
ia'', � '`�'
Parsons NC-CS-81-1 9.44 Gross Ac. 5.77 Net Ac. _
t'r1T+i11 ,i NC-CS-814
9.69Net 1. 'S)1 ai Willi anisoti 6.91Net Ac. NBC-CS-81-9 v � � Q
ti y' 2.54�Grose.Ac. �
jam 2.97 Gross Ac. V N
Williamson a
NC-CS-81 4 }}++
1 ~ y
2.53 Net Ac. 13.76 Grose Ac. a 3 z uJ
�.6.34 Gross Ac. u 4J E
i � f�+
NC-CS-81-2 Shirle V ° C.
Cecil,
10.47 Net Ac.
NC-CS-81-5
Tara Patterson
e� 4
ao
+E �►�i 6.61 Gross Ac. -
3.50 Gross A,.
1 • 1 ' NC:CS-81-3 NC CS81-5
LTr
'd 3.50 Net Ac 4.96 Net Ac. • _
Vernon & � `� Willis
Age"d lva Williamson �i� A AL- j . Thensa;
■
House v
A Structure �� ,Vernon & :�
Sylva Wilffia'rris�o '
• Well a 1q
_...� Ditch Or 4U
,� 1 • ,�
—110- Stream r Shirley Vernon
® Buffer'
© Net Area a. V
Q Field Boundary
ProBoundary
rY -
_ Pond 4()0 200 0 400 r• u
v v
Ij

i! V Annette Annette i� McDuff
a w
t �. MCDuffiey r� n i w t;e
` + 44 Mc lteffi
Ijw
P ! 995 Gross Ac. Vernon &
S'O>,'a Williamson
20.92 Gross Ac. 1'
NGCS-81-8 Y ti
ISM Net Ac. NC-81-7 y �pa ge fit' � O
8 t"" AL.Haze! Low 4
Ma cc . .. o o
0
8.71 Gross Ac.■ Y,
ti 7.48 Gross Ac.
NC -CS 81-1 i� 4 - NC-CS-81-6 I. A- & a
J._, ry �.
NGCS-81-9 rIs W
Wendy Scott {] c „ P.
9.44 Gross Ac: 5.77 1Vei'Ac. 5.76 Net Ac. L�ti (, C
Z ?, LA
NC-CS-81-4 r(/}
y F 1 k a William$on �y 6,91 Net Ac. NC-GS-B]-9 a
u y 2.54.GrosslAc. 1:39 Net-Ac. I
rMa ha Scotty' a
Z97Gross Ac.
$� 4 NC-CS41-4
2.53 Net Ac. 13.76 Gross Ac.
k .` • ' . 1 l egrnti
1 Grose C. � I .
House
'6 r l' Shirley Vernon Structure
10.47 Net Ae. well
NC-CS-81-5
v , - — Ditch
—► Stream
Buffer
Net Area
3.% Gtoss A,6.61 Gross Ac. _ G 4� r t� Field Boundary
NC-Ib -81-3 NC-Cs-81-5 0 Property Boundary
'' + • Q �' vVi M
3.50 Net Ac. 4.96 Net Ac. Pond �
Thensa Willis h >~ a
400 20(l 0 400 C
Vernon &_

There is no cumulative data for fields NC-CS-81-01,02,03,08

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Vernon Williamson
Operator: Vernon Williamson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 6.83 Site #:
Predominant Soil Series: IrB
Crop 1 Max. PAN:
87 Crop 2 Name:
4
CS81
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
11.97
11.97
0
o �
N
Q
Volume applied
enter one Solids/
)
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
-
w •,
* N
*�
TKN
mg/kg
Z
;
o
M o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/19
78000
2.1
0.571
Yanceyville WTP
D
<.5"
S
0.5
0.4
7580
50
2.13
3.468
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
78000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
3.468
0.000
Lime Applied
Annuallbs/acre
0.007
0.002
0.017
0.033
0.007
0.000
0.013
0.066
0.006
0.041
1.094
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.076
0.033
2.872
1.011
0.423
0.014
0.092
0.399
0.07
5.137
Current Cumulative lbs/ac
0.083
1 0.035
2.889
1.044
0.430
0.014
0.105
0.465
0.076
5.178
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
89
2498
Permit PAN Limit Ist/2nd Crop
1 87
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/9/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Vernon Williamson
Operator: Vernon Williamson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 35.09 Site #:
Predominant Soil Series: OaA
Crop 1 Max. PAN:
81
Crop 2 Name:
Acres Utilized:
CS81 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
15.43
15.43
0
o �
N
Q
Volume applied
enter one Solids/
)
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
-
w •,
* N
*�
TKN
mg/kg
Z
;
o
M o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/18
58500
6.75
1.067
Yanceyville WWTT
D
<.5"
S
0.5
0.3
28700
3990
62.4
20.213
NA
Fescue
4/20
52000
6.75
0.949
Yanceyville WWTT
D
<.5"
S
0.5
0.3
28700
3990
62.4
17.967
NA
Fescue
10/19
45500
2.1
0.258
Yanceyville WTP
D
<.5"
S
0.5
0.4
7580
50
2.13
1.570
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
156000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
39,7491
0.000
Lime Applied
Annuallbs/acre
0.015
0.009
1.201
0.311
0.206
0.003
0.026
0.194
0.023
2.527
42.024
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.09
0.037
3.349
1.39
0.528
0.016
0.105
0.5
0.08
5.863
Current Cumulative lbs/ac
0.105
1 0.046
4.550
1.701
0.734
0.019
0.131
0.694
0.103
8.390
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
81
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/9/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Vernon Williamson
Operator: Vernon Williamson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 20.13 Site #:
Predominant Soil Series: HeB
Crop 1 Max. PAN:
122 Crop 2 Name:
6
CS81
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
5.77
5.77
0
o �
N
Q
Volume applied
enter one Solids/
)
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
-
w •,
* N
*�
TKN
mg/kg
Z
;
o
as o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/21
71500
6.75
3.488
Yanceyville WWTT
D
<.5"
S
0.5
0.3
28700
3990
62.4
66.065
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
71500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
66.065
o.000
Lime Applied
Annuallbs/acre
0.021
0.014
2.065
0.513
0.352
0.005
0.035
0.285
0.035
4.339
71.853
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.087
0.038
4.105
1.357
0.567
0.018
0.111
0.531
0.079
7.219
Current Cumulative lbs/ac
0.108
1 0.052
6.170
1.870
0.919
0.023
0.146
0.816
0.114
11.558
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
89
2498
Permit PAN Limit lst/2nd Crop
1 122
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/9/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Vernon Williamson
Operator: Vernon Williamson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 12.80 Site #:
Predominant Soil Series: IrB
Crop 1 Max. PAN:
87
Crop 2 Name:
Acres Utilized:
CS81 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
15.73
15.73
0
o �
N
Q
Volume applied
enter one Solids/
)
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
w •,
* N
*�
TKN
mg/kg
Z
;
o
M o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/20
13000
6.75
0.233
Yanceyville WWTT
D
<.5"
S
0.5
0.3
28700
3990
62.4
4.406
NA
Fescue
4/21
32500
6.75
0.582
Yanceyville WWTT
D
<.5"
S
0.5
0.3
28700
3990
62.4
11.015
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
45500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
15.421
o.000
Lime Applied
Annuallbs/acre
0.005
0.003
0.482
0.120
0.082
0.001
0.008
0.066
0.008
1.013
16.768
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.016
0.008
1.484
0.226
0.144
0.002
0.023
0.136
0.019
2.988
Current Cumulative lbs/ac
0.021
0.011
1.966
0.346
0.226
0.003
0.031
0.202
0.027
4.001
Permitted C. P. L. R.****
36
34
1 1338
1
267
1 15
374
1 89
2498
Permit PAN Limit Ist/2nd Crop
1 87
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/9/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Vernon Williamson
Operator: Vernon Williamson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 20.13 Site #:
Predominant Soil Series: HeB
Crop 1 Max. PAN:
122 Crop 2 Name:
9
CS81
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
7.15
7.15
0
o �
N
Q
Volume applied
enter one Solids/
)
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
-
w •,
* N
*�
TKN
mg/kg
Z
;
o
M o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/21
71500
6.75
2.815
Yanceyville WWTT
D
<.5"
S
0.5
0.3
28700
3990
62.4
53.314
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
71500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
53.314
o.000
Lime Applied
Annuallbs/acre
0.017
0.011
1.666
0.414
0.284
0.004
0.028
0.230
0.028
3.502
57.989
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.033
0.022
4.663
0.917
0.519
0.015
0.07
0.442
0.022
8.19
Current Cumulative lbs/ac
0.050
1 0.033
6.329
1.331
0.803
0.019
0.098
0.672
0.050
11.692
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
89
2498
Permit PAN Limit lst/2nd Crop
122
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/9/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

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: Town of Yanceyville
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-CS-82-(1-4)
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
term 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(hl 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-CS-82-01.02.03
(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. 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: _DIVA) r1
Address: � � 1 6 • Q L 4 j G f 244-
City: 151-t. Q AJ L 64 State: 14 L Zip: a 07
Phone: �70 - d, Yf- E-mail address: t I AJ ��C�� C. C 6
� F
Signature: _ Date: yh�lzy
NORTH CA A, �SwZ� I _ COUNTY
I, the undersigned Notary Public do hereby certify that ­%^ Cw�1ti+
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
WITNESS my hand and official seal this the ITS,
day of _ _T 20 ZY
1 K Brent Win
Signature and seal: r! ►. �it�i"� _ -pyVil 'ALM
My commission expires:
Lessee's/Operator's Certification:
3/3olik-P
MY 0MV
NO
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: Kamara Barnett
Signature: _me/CaBWma EL'u Date: 05/10/2024
FORM: LOA 06-16 Page 3 of 3

7
op
v'Ar'l
I.
2 ", . KT
+ 2
Ar
lee
"
tAit
7�'
01
Wo
W, MIMI
7 17
4�-
77
x - x
Fenceline
141 -
Buffer
uffer
I IF An' 9 Well
A. On Site Dwelling
0 Off Site Dwelling
Field Total Acres Applicable Acres Church
1 5.02 4.49 Field Boundary
2 7.21 6.21
Pond
3 1 6.49 1 6.47
Property Boundary
4 14.69 9.83
SCALE 1":440' Town of Yanceyville
DATE 5/6/2024 FIGURE NO.
Land Application Program
DRAWN BY: LY-./.MA 2
PROJECT NO: BC —Resources, Inc. CS82
WQ0028547 Jon & Bonnie Crispin

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Bonnie Crispin
Operator: Jon Crispin
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 2.87 Site #:
Predominant Soil Series: FbB2
Crop 1 Max. PAN:
141
Crop 2 Name:
Acres Utilized:
CS82 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4.75
4.75
0
o �
N
Q
Volume applied
enter one Solids/
( )
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
w •,
* N
*�
TKN
mg/kg
Z
;
o
oa o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/18
4500
1.91
0.075
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
6.041
NA
Fescue
10/19
31500
1.91
0.528
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
42.284
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4-0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
36000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
48,3257
0.000
Lime Applied
Annuallbs/acre
0.016
25.851
0.488
0.054
0.081
0.002
0.010
0.041
0.022
1.132
24.643
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.069
0.017
3.904
0.426
0.766
0.004
0.057
0.311
0.088
8.43
Current Cumulative lbs/ac
0.085
25.868
4.392
0.480
0.847
0.006
0.067
0.352
0.110
9.562
Permitted C. P. L. R.****
1 36
34
1 1338
1
267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
141
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Bonnie Crispin
Operator: Jon Crispin
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 6.45 Site #:
Predominant Soil Series: FbB2
Crop 1 Max. PAN:
141
Crop 2 Name:
2
Acres Utilized:
CS82 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Q
Volume applied
enter one Solids/
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
A lied er
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
c�
w
*o•
o
,•d
�
#
w ,
* N
*�
TKN
mg/kg
Z
;
o
oa o
�•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/17
18000
1.91
0.205
Yancy WWTP
D
<.5"
S
0.5
1 0.3
64700
4090
19800
16.396
NA
Fescue
10/18
63000
1.91
0.717
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
57.386
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4-0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
81000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
737782
0.000
Lime App lied
Annuallbs/acre
0.024
39.462
0.745
0.083
0.123
0.003
0.015
0.062
0.034
1.728
37.618
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.08
0.021
4.546
0.498
0.917
0.005
0.067
0.364
0.101
10.036
Current Cumulative lbs/ac
0.104
39.483
5.291
0.581
1.040
0.008
0.082
0.426
0.135
11.764
Permitted C. P. L. R.****1
36
1 34
1 1338
1
1 267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
141
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Bonnie Crispin
Operator: Jon Crispin
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 7.89 Site #:
Predominant Soil Series: FbB2
Crop 1 Max. PAN:
141
Crop 2 Name:
Acres Utilized:
CS82 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
8.5
8.5
0
o �
N
Q
Volume applied
enter one Solids/
( )
Liquid
Cu_ Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
w •,
* N
*�
TKN
mg/kg
Z
;
o
oa o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/13
49500
1.91
0.464
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
37.132
NA
Fescue
10/17
49500
1.91
0.464
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
37.132
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
4-0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
99000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
74,2647
0.000
Lime Applied
Annuallbs/acre
0.024
39.718
0.750
0.084
0.124
0.003
0.015
0.063
0.034
1.739
37.862
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.131
0.009
1.274
0.253
0.274
0.002
0.044
0.158
0.09
2.719
Current Cumulative lbs/ac
0.155
39.727
2.024
0.337
0.398
0.005
0.059
0.221
0.124
4.458
Permitted C. P. L. R.****
1 36
34
1 1338
1
267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
141
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Town of Yanceyville
Bonnie Crispin
Operator: Jon Crispin
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0028547 Field #:
Annual Dry Tons Applied: 18.04 Site #:
Predominant Soil Series: FbB2
Crop 1 Max. PAN:
188 Crop 2 Name:
4
CS82
Acres Utilized:
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
10.9
10.9
0
o �
N
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
pp p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(may'
Wet,
Moist)
Precip.
Past 24
Ms.
inches
a
�a
F
w
*o•
o
,•d
�,
#
w •,
* N
*�
TKN
mg/kg
Z
;
o
oa o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
9/28
19500
1.91
0.142
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
11.407
NA
Fescue
10/10
90000
1.91
0.658
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
52.648
NA
Fescue
10/11
67500
1.91
0.493
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
39.486
NA
Fescue
10/12
49500
1.91
0.362
Yancy WWTP
D
<.5"
S
0.5
0.3
64700
4090
19800
28.956
NA
Fescue
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
226500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
132.497
0.000
Lime Applied
Annuallbs/acre
0.044
70.834
1.337
0.149
0.221
0.005
0.026
0.112
0.061
3.101
67.524
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.182
0.029
5.477
0.614
1.01
0.007
0.097
0.439
0.19
10.952
Current Cumulative lbs/ac
0.226
70.863
6.814
0.763
1.231
0.012
0.123
0.551
0.251
14.053
Permitted C. P. L. R.****
36
34
1 1338
1
267
1 15
374
1 89
2498
Permit PAN Limit lst/2nd Crop
i
F 188
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
2/1/2024 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Non -dedicated Residuals Programs
Final Audit Report 2024-05-10
Created: 2024-05-08
By: Brent Collins([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAApJymWxONxgBDE6fQ2jglYdvmnuiaXGf7
"Non -dedicated Residuals Programs" History
Document created by Brent Collins([e-mail])
2024-05-08 - 2:03:10 PM GMT
C'. Document emailed to Kamara Barnett ([e-mail]) for signature
2024-05-08 - 2:03:31 PM GMT
Email viewed by Kamara Barnett ([e-mail])
2024-05-10 - 1:20:39 PM GMT
6© Document e-signed by Kamara Barnett ([e-mail])
Signature Date: 2024-05-10 - 1:22:23 PM GMT - Time Source: server
Agreement completed.
2024-05-10 - 1:22:23 PM GMT
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