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HomeMy WebLinkAboutWQ0037135_Staff Report_20240513May 13, 2024 To: DWR Central Office — WQ, Non -Discharge Unit Attn: Erick Saunders From: Caitlin Williams Winston-Salem Regional Office State of North Carolina Division of Water Resources Water Quality Regional Operations Section Staff Report Application No.: W00037135 Facility name: US Biosolids RLAP Note: This form has been adapted from the non -discharge facility staff report to document the review of both non -discharge and NPDES permit applications and/or renewals. Please complete all sections as they are applicable. I. GENERAL AND SITE VISIT INFORMATION 1. Was a site visit conducted? ® Yes or ❑ No a. Date of site visit: 5/7-8/2024 b. Site visit conducted by: C. Williams c. Inspection report attached? ❑ Yes or ® No II. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS 1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A 2. Are the design, maintenance, and operation of the treatment facilities adequate for the type of waste and disposal system? ® Yes or ❑ No 3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately assimilating the waste? ® Yes or ❑ No 4. Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance boundary, new development, etc.)? ® Yes or ❑ No If yes, please explain: See attached maps of new development surroundingsome ome application fields. 5. Is the residuals management plan adequate? ® Yes or ❑ No 6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No 7. Are there any setback conflicts for existing treatment, storage, and disposal sites? ® Yes or ❑ No If yes, attach a map showing conflict areas. 8. Is the description of the facilities as written in the existing permit correct? ❑ Yes or ❑ No 9. Has a review of all self -monitoring data been conducted (e.g., AR, NDMR, NDAR, GW)? ❑ Yes or ❑ No Please summarize any findings resulting from this review: Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable. 10. Has a review of compliance history been completed (CEI's)? ® Yes or ❑ No 11. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No 12. Check all that apply: ® No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC ❑ Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium Have all compliance dates/conditions in the existing permit been satisfied? ® Yes ❑ No ❑ N/A 13. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit? ❑ Yes ®No❑N/A FORM: WQROSSR 04-14 Pagel of 3 III. REGIONAL OFFICE RECOMMENDATIONS 1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No 2. List any items that you would like the NPDES Unit or Non -Discharge Unit Central Office to obtain through an additional information request: Item Reason MEK levels for Belmont Waiting on an email response from Zach about MEK. WWTP 3. Recommendation: ® Hold, pending receipt and review of additional information by regional office ❑ Hold, pending review of draft permit by regional office ❑ Issue upon receipt of needed additional information ❑ Issue ❑ Deny (Please state reasons: ) 4. Signature of report preparer: CAv, Ry�aw s Signature of regional supervisor: Date: 5/15/2024 IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS DocuSigned by: B74ss... • Staff noted that the TCLP lab analysis provided for Belmont WWTP reported Methyl Ethyl Ketone (MEK) as 318 ppm or mg/L. The regulatory limit for MEK is 200 mg/L. Based on the available information, the biosolids applied from Belmont WWTP are hazardous materials. Staff have contacted Mr. Key for an explanation as Belmont WWTP biosolids were applied under the US Biosolids RLAP permit. STAFF ARE STILL WAITING FOR AN EXPLANATION. • The Belmont WWTP TCLP samples were collected on 3/16/23 based on the lab results, not the reported 4/26/23. • Staff calculated the first year PAN for Belmont WWTP as 45,790 mg/kg for surface application, and 47,374 mg/kg for injection/incorporation. Ammonia-N value was reported as 330 mg/kg, lab results show 3,330 mg/kg. TKN was reported as 14,900 mg/kg, lab results show 149,000 mg/kg. • Baxter Healthcare WWTP TCLP lab analysis shows an elevated level of MEK (196 mg/kg). Dallas WWTP and Town of North Wilkesboro showed reportable levels of MEK. Could this be a lab error? • The Baxter Healthcare WWTP nutrient and metals samples were collected on 2/16/23, not the reported 2/17/23. Ammonia-N was reported incorrectly as 2,260 mg/kg, lab results show 2,260 mg/kg. • Forest City WWTP TCLP samples were collected on 2/16/23, not the reported 4/6/23. • Corpening Creek WWTP TCLP samples were collected on 11/12/20, not the reported 12/10/2020. • Town of North Wilkesboro WWTP sampling for TCLP, nutrients and metals were sampled on 3/16/2023 not the reported 4/26/23. • Town of Rutherfordton WWTP TCLP result for chloroform was <0.6 mg/L, not the reported 0.5 mg/L, and <0.1 mg/L, not the reported 0.05 mg/L. • The physical address for the Town of Spindale WWTP is 327 Ecology St, Spindale, NC. • Spindale WWTP TCLP samples were collected on 6/7/23, not the reported 7/12/23. • Staff calculated PAN for Spindale WWTP as 21,138 mg/kg for surface application, and 26,588 mg/kg for inj ection/incorporation. • YVSA WWTP TCLP samples were collected on 4/5/23, not the reported 5/10/23. • YVSA WWTP TCLP result for MEK was <20 mg/L, not the reported 0.2 mg/L. • Staff calculated YVSA WWTP PAN for injection/incorporation as 29,442 mg/kg. • Fields NM-1 and 2 had incorrect soil series, PbB2, listed based on the previous Attachment B, PaC2. • Fields FC-1 and 2 do not have labels on the application map. • Field SK-04C has incorrect coordinates in BIMS and the Attachment B. It is a duplicate of SK-04B. • Field CM-02 has a pond visible that is not buffered. It does not impact the application area. FORM: WQROSSR 04-14 Page 2 of 3 • Field CM-02 has incorrect lat in BIMS, Attachment B is correct. • Field RD-1B has incorrect coordinates. Correct coordinates are 35.3569,-81.7355. • Field LB-4 coordinates do not match in BIMS and Attachment B. Both are correct. • Field LB-3 coordinates are wrong in BIMS and Attachment B. • Field LB-2 is on tracts 1614391 and 326478. • Field DK-1 coordinates do not match in BIMS and Attachment B. • Fields LW-1 through 3 have incorrect coordinates in BIMS and Attachment B. The coordinates on the application map direct to the field for LW-1 and LW-2. • Field BP-4 is no longer owned by the same person. The field covers parcels owned by Josephy Bryant and Kathleen Porter. Should this field be split based on the parcel boundaries and a property line buffer used? • Field TL-3 has a different acreage listed from Attachment B. Clarification is needed. • Staff calculated 126.05 acres of row crops and 376.92 acres of hay/pasture. • Belmont WWTP, Baxter Healthcare WWTP, Corpening Creek WWTP, Spindale WWTP, and YVSA WWTP have individual permits. Based on the PAN values staff calculated a weighted average of 24,549 mg/kg first year surface PAN, or 49,098 lbs/ton, and 26,871 mg/kg first year injection/incorporation, or 53.742 lbs/ton, were calculated. A total of 88,376 lbs/yr will be produced. Staff calculated a conservative PAN capacity of 63,559 lbs/ac based on the listed crop types in the LASC. Considering the individual permits there is adequate acreage to support this program. • Fields: TL-1, TL-2, TL-3, FLB-1, FLB-3, FLB-4, JH-1, NM-3, SK-2, SK-3, SK-4B, SK-4C haven't received any residuals. • Corrected LOAs are included for select fields. • The results for City of Marion Corpening Creek WWTP results provided are the most recent available as no land application has occurred for this sources under this permit. • Dallas WWTP results are attached. • On May 7 and 8, 2024, staff completed drive by inspections of all land application fields. The following observations were noted: o A new house has been built across from BP-2 within 240 ft of the property line and several dwellings have changed hands or need to be corrected on the map. See attached map. o A barn has been removed from TL-4. The acreage needs to be updated to reflect the new application area and field conditions. o There appears to be another dwelling close to TL-3. See attached map. Clarification is needed as to whether this is a new house. o Field LB-3 will need to be reseeded if it is to remain in fescue. o Field NM-2 has a new house built south of the property. See attached map. I have received differing information about buffering new construction around application fields. The most recent information I have received directed that new dwellings do not need to be mapped or buffered with the following regulation referenced.• 15 NCAC 02T .1108 (g) Habitable residences or places of assembly under separate ownership constructed after the non -discharge facilities were originally permitted or subsequently modified are exempt from the setback requirements in Paragraphs (a) and (d) of this Rule. Paragraphs (a) and (d) refer to treatment and storage facilities, and surface disposal units. PLEASE ADVISE. FORM: WQROSSR 04-14 Page 3 of 3 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 Permittini- Unit. General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: 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) LBI No Fescue Hay LB2 No Fescue Hay LB3 No Fescue Hay LB4 No Fescue Hay LB5 No Fescue Hay LB6 No Fescue Hay 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 I. 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 terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. II. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (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 Pennittee to land apply residuals to the land application site(s) as specified herein. Landowner name: Larry Bailey Address: 2174 Salem Ch Rd. City: _ Bostic State: _ NC Zip: 28018 Phone: 828-453-0396 E-mail address: Signature: 10""04ft— /Lolf Date: �/ ) 3/2 N NORTH CAROLINA, Rutherford COUNTY I, the undersigned Notary Public do hereby certify that La.. Y Bailey personally appeared before me this day and acknowledged the due execution of the forgoing instrument. WITNESS my hand and official seal this the t day of I 110,rc +*, Signature and seal: My commission expl Lessee's/Operator's Certification: C AkO � ' I11!1111 0 1 certify that l have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Zach Key Signature: /l Date: 5-10-2024 FORM: LOA 06-16 Page 3 of 3 Compliance and Review Boundaries: The compliance boundary is established either 250 feet from the edge of the residuals application area or 50 feet within the property boundary, whichever is closest to the application area. The review boundary is established halfway between the compliance boundary and the edge of the residuals application area. 51 1%. 40* V Buffers 'jr Property Line (50') Surface Water (100') Perennial Stream 100 House (400) House (100') Well (100') Legend Well : House►' Propery Line x Soil Boring Fleld Boundary Surface Water Perennial Stream ® Unused Area e arAWAenter for Geographic4nformati Bailey, Larry: Compliance and Review Field 161 Parcel: 1619517 0 140 280 560 Feet Rutherford County, NC i I , I i . 1 35.3975,-81.7536 North Carolina 5tateplane. NAD83 f r v s L c.- M Compliance and Review Boundaries: The compliance boundary is established either 250 feet from the . edge of the residuals application area or 50 feet within the property+ boundary, whichever is closest to the application area. The review boundary is established halfway between the compliance boundary �• and the Prige of the residuals application area ` t.aLtll kvw N 1 t 0 I 1 0 Buffers Property Line (50') Surface Water (100) �- Perennial Stream (100') House (400') v House Well (10000') Legend Well House Propery Line x Soil Boring Field Boundary Surface Water Perennial Stream ® Unused Area Bailey, Larry: Compliance and Review Field 1-132 Parcels: 0319871, 0326478 Rutherford County, NC 0 125 i 1 , 35.3992.-81.757 North Caroli 250 Map,.N.- rd ' a Sa�eR` 500 Feet 19Mi - Compliance and Review Boundaries: The compliance boundary is established either 250 feet from the edge of the residuals application area or 50 feet within the property boundary, whichever is closest to the application area. The review boundary is established halfway between the compliance boundary and the edge of the residuals application area. t l f Lii fail Buffers Property Line (50') Surface Water (100') Perennial Stream (100') House (100') a House (400), Legend well:._;: House ., Propery Line x Soll Boring Field Boundary Surface Water' Perennial Stream ® Unused Area kneKiap NC Cent' fo'I` Bailey, Larry: Compliance and Review Fields 1-133, 1-134, 1-65, 1-136 Parcel 0319871 0 250 500 1.000 Feet Rutherford County, NC i 1 0 1 1 1 & i c r,�arnati�Rrar,.�,a:rrrs .nv. . 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. Facility Name: U.S. Biosolids, Inc. Land Owner: Larry Bailey Operator: Larry Bailey Crop 1 Name: Fescue WQ Permit #: WQ0037105 Field #: NC-RU-LB Annual Dry Tons Applied: 35.4808 Site #: 1 Predominant Soil Series: PbB2 Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 8 Acres Permitted: 8 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o � >~ o Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches 4 y F °o * o .- * 4 7y ?; �. * TKN mg/kg Z a : t o qQ .°n E. 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 2-2023 112 15.5 1.828 NCO025984 dry 0 s 0.5 0.3 46300 974 35.5 51.610 NA Fescue 3-2023 70 15.5 1.142 NCO025984 dry 0 s 0.5 0.3 46300 974 35.5 32.256 NA Fescue 8-2023 48 14.5 0.733 NCO025984 dry 0 s 0.5 0.3 63400 3920 82.8 29.142 NA Fescue 9-2023 48 14.5 0.733 NCO025984 dry 0 s 0.5 0.3 63400 3920 82.8 29.142 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS] 2781 0 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 142.1501 0.000 Lime Applied Annuallbs/acre 0.039 0.021 3.450 0.389 0.566 0.010 0.065 0.147 0.095 12.720 182.508 Date lbs/ac Prior Years Cumulative lbs/ac 0.137 0.095 8.979 1.049 2.095 0.031 0.225 0.46 0.548 36.768 Current Cumulative lbs/ac 0.176 0.116 12.429 1.438 2.661 0.041 0.290 0.607 0.643 49.488 Permitted C. P. L. R.**** 36 34 1338 NA 267 15 NA 74 89 2498 Permit PAN Limit 1 st/2nd Crop I "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." G2 C /l4 Signature of Land Applier 2-23-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: U.S. Biosolids, Inc. Land Owner: Larry Bailey Operator: Larry Bailey Crop 1 Name: Fescue WQ Permit #: WQ0037105 Field #: NC-RU-LB Annual Dry Tons Applied: 39.1324 Site #: 2 Predominant Soil Series: PbB2 Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 11.7 Acres Permitted: 11.7 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o N o Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches y 4 � N '� zr °o * o Z o �' .- * = 7y ?; P �. * TKN mg/kg Z a : t o qQ E. E. 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 3-2023 112 15.5 1.250 NCO025984 dry 0 s 0.5 0.3 46300 974 35.5 35.289 NA Fescue 7-2023 42 14.5 0.438 NCO025984 dry 0 s 0.5 0.3 63400 3920 82.8 17.435 NA Fescue 10-2023 168 13.7 1.657 NCO025984 dry 0 s 0.5 0.3 70800 730 590 72.816 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 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS] 322 o As Cd Cu Cr Pb H Mo Ni Se Zn P 125,540 0.000 Lime Applied Annuallbs/acre 0.030 0.014 2.558 0.284 0.390 0.009 0.051 0.112 0.072 9.679 145.391 Date lbs/ac Prior Years Cumulative lbs/ac 0.13 0.094 8.324 0.873 1.887 0.016 0.208 0.415 0.52 34.436 Current Cumulative lbs/ac 0.160 0.108 10.882 1.157 2.277 0.025 0.259 0.527 0.592 44.115 Permitted C. P. L. R.**** 36 1 34 1 1338 1 NA 1 267 1 15 1 NA 1 74 1 89 1 2498 Permit PAN Limit 1 st/2nd Crop I F 178 "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." /l4 Signature of Land Applier 2-23-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: U.S. Biosolids, Inc. Land Owner: Larry Bailey Operator: Larry Bailey Crop 1 Name: Fescue WQ Permit #: WQ0037105 Field #: NC-RU-LB Annual Dry Tons Applied: 11.0763 Site #: 3 Predominant Soil Series: PbB2 Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 3.1 Acres Permitted: 3.1 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o � >~ o Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches 4 y F °o * o o .- * 4 7y ?; �. * TKN mg/kg Z a : t o qQ .°n E. 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 11-2023 96 13.7 3.573 NCO025984 dry 0 s 0.5 0.3 70800 730 590 157.040 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS 961 0 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 157.0401 0.000 Lime Applied Annuallbs/acre 0.032 0.013 2.658 0.289 0.364 0.011 0.056 0.121 0.077 10.362 162.929 Date lbs/ac Prior Years Cumulative lbs/ac 0.103 0.064 6.81 0.754 1.398 0.011 0.155 1.441 0.308 28.258 Current Cumulative lbs/ac 0.135 0.077 9.468 1.043 1.762 0.022 0.211 1.562 0.385 38.620 Permitted C. P. L. R.**** 36 34 1338 NA 267 15 NA 74 89 2498 Permit PAN Limit 1 st/2nd Crop F 178 "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." Signature of Land Applier 2-23-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: U.S. Biosolids, Inc. Land Owner: Larry Bailey Operator: Larry Bailey Crop 1 Name: Fescue WQ Permit #: WQ0037105 Field #: NC-RU-LB Annual Dry Tons Applied: 9.6917 Site #: 4 Predominant Soil Series: PbB2 Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 5.4 Acres Permitted: 5.4 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o � >~ o Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches y 4 F °o * o o .- * 4 7y ?; �. * TKN mg/kg Z a : t o qQ .°n E. 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 11-2023 84 13.7 1.795 NCO025984 dry 0 s 0.5 0.3 70800 730 590 78.883 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS] 841 0 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 78.883 0.000 Lime Applied Annuallbs/acre 0.016 0.006 1.335 0.145 0.183 0.006 0.028 0.061 0.039 5.206 81.852 1 Date lbs/ac Prior Years Cumulative lbs/ac 0.111 0.072 7.241 0.735 1.506 0.011 0.166 1.332 0.319 30.547 Current Cumulative lbs/ac 0.127 0.078 8.576 0.880 1.689 0.017 0.194 1.393 0.358 35.753 Permitted C. P. L. R.**** 36 34 1 1338 NA 267 15 NA 74 89 2498 Permit PAN Limit 1 st/2nd Crop F 178 "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." �K Signature of Land Applier 2-23-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: U.S. Biosolids, Inc. Land Owner: Larry Bailey Operator: Larry Bailey Crop 1 Name: Fescue WQ Permit #: WQ0037105 Field #: NC-RU-LB Annual Dry Tons Applied: 15.2299 Site #: 5 Predominant Soil Series: PbB2 Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 4.6 Acres Permitted: 4.6 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o � >~ o Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches 4 y F °o * o o .- * 4 7y ?; �. * TKN mg/kg Z a : t o qQ .°n E. 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 10-2023 132 13.7 3.311 NCO025984 dry 0 s 0.5 0.3 70800 730 590 145.518 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS] 1321 o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 145.5181 0.000 Lime Applied Annuallbs/acre 0.030 0.012 2.463 0.268 0.338 0.010 0.052 0.112 0.072 9.602 150.982 Date lbs/ac Prior Years Cumulative lbs/ac 0.05 0.037 3.023 0.272 0.708 0.005 0.072 0.137 0.158 13.335 Current Cumulative lbs/ac 0.080 0.049 5.486 0.540 1.046 0.015 0.124 0.249 0.230 22.937 Permitted C. P. L. R.**** 36 34 1 1338 NA 267 15 NA 74 89 2498 Permit PAN Limit 1 st/2nd Crop F 178 "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." �K Signature of Land Applier 2-23-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: U.S. Biosolids, Inc. Land Owner: Larry Bailey Operator: Larry Bailey Crop 1 Name: Fescue WQ Permit #: WQ0037105 Field #: NC-RU-LB Annual Dry Tons Applied: 11.0763 Site #: 6 Predominant Soil Series: PbB2 Crop 1 Max. PAN: 178 Crop 2 Name: Acres Utilized: 3.3 Acres Permitted: 3.3 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o � >~ o Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches 4 y F °o * o o .- * 4 7y ?; �. * TKN mg/kg Z a : t o qQ .°n E. 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 10-2023 96 13.7 3.356 NCO025984 dry 0 s 0.5 0.3 70800 730 590 147.522 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS 961 0 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 147.5221 0.000 Lime Applied Annuallbs/acre 0.030 0.012 2.497 0.272 0.342 0.011 0.053 0.113 0.072 9.732 153.034 Date lbs/ac Prior Years Cumulative lbs/ac 0.367 0.047 3.795 0.28 0.867 0.006 0.089 0.169 0.174 17.018 Current Cumulative lbs/ac 0.397 0.059 6.292 0.552 1.209 0.017 0.142 0.282 0.246 26.750 Permitted C. P. L. R.**** 36 34 1 1338 NA 267 15 NA 74 89 2498 Permit PAN Limit 1 st/2nd Crop F 178 "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." C1C /l4 Signature 6f Land Applier 2-23-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** 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 Permittini- Unit. General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: 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) MH 2-1 No Fescue Hay MH 2-2 No Fescue Hay MH 2-4 No Fescue Hay MH 2-5 No Fescue Hay 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 I. 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 terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. II. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (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: Charlie Killian Address: 14109 LUCIA RIVERBEND HWY City: Mt, Holly State: NC Zip: 28120 Phone: l E-mail address: Signature: Date: NORTH CAROLINA, Gaston COUNTY I, the undersigned Notary Public do hereby certify that Charlie Killian 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 ��1VVL1Millllllp�� - — Signature and seal: My commission expires: (i_ 4.2 $ = Notary Public _ Lessee's/Operator's Certification: '� �nj rCA 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: Zach Key Signature: KP-�L Date: 4-1-2024 FORM: LOA 06-16 Page 3 of 3 ANNUAL LAND APPLICATION FIELD SUMMARY FORM \ PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Mount Holly Permit #: W 0001863 Q Annual Dry Tons Applied: 55.099044 Owner: Chales Killian Operator: Charles Killian Site #: MH 02-01 Cation Exchange Capacity (non 503 - Li Field #: MH 02-01 Acres Utilized: 33.3 � Acres Permitted: 33.3 Specify ne $ ; Gal• Totals % Dry Tons Per Residual Cond. Inches Appli- Vola- Miner - Ammo Ni- 0 C] Re.Yrt Revort Per Solid Acre Sources �' Precip. cation tili- ali- TKN nia- [rate Totals Acre s (Summarize) Wet Past 24 Meth- zation zation Ni- and in Gal. Hrs. od* Rate** Rate trogen Nitrite 6-2008 429000 12883 3.08 1.654625946 WWTP dry 0 0 p s 0.5 300/. 89300 1010o I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Must Select PAN 1 PAN 2 Crop I or Crol 2 Crop 1 Crop ; Fescue 0.00825 I.0263 0.066 riMo Ni Se Zn P PAN 1 PANslacre lbs/ac 0.00825 0.0033 0.0231 00891 0.01221 1.7I93 5412953429 0emulative Cumulativetbs/ac W004290.6864 1.0263 0.066 0.0033 0.0231 0.0891 001221 1.7193s C. P. L. R.*** 36 0 0 0 J Limit lstl2nd Cron A 1338 257 15 NA 374 89 2498 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a sy250 stem 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." d� Signature of Land Applier 9 �� *Application Method: S - Surface, IN - Injection, INC - Incorporation Date **Volatilization Rate- Surface - 0.5. lniection/lncorvoration - 1.0 ***C.P.L.R.: Cumulative Pollutant Loadine Rate s s s s The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # I to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PL Facility Name: Town of Dallas Land Owner: Charles Killian Operator: Charles Killian Crop f Name: Fescue ACE A N/A IN A BLANK OR BOX WHEN NOT APPLICABLE. WQ Permit #: WQ0020912 Field #: MH 02-02 Acres Utilized: 30.1 Annual Dry Tons Applied: 0.5123 Site #: MH 02-02 Acres Permitted: 30.1 Predominant Soil Series: Cecil Cation Exchange Capacity (non 503): Crop 1 Max. PAN: 209 Crop 2 Name: r-- I ..-- - M Volume applied Volume Residual Sources Soil Preci y • 2. a .....t. ., naax. rein: (enter one) Solids/ % Applied per (NPDES #, WQ#, Cond. Past 24 o a z v o Z 3 Nitrate PAN Applied Name of Cmp Type �m Liquid Solids Acre Fem, Animal (Dry' IIrs. ii 0 : q' : ^ 7 °: �d (Ibs/acre ) Receiving Residual Cu. Yds Gallons Waste, etc) We[, a c ; �+ w" Nitrite Application 5-2014 58500 0.21 (Dry Tom/Ac) 0.017 WQ0020912 Moist ) dry ; mgn g mgn g ngn g Crop 1 Crop 2 Crop 1 Crop 2 0.000 0 s 0.5 03 71400 33300 2 0.956 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 o.o oo o.000 0.000 o.000 o.000 0.000 o.000 o.000 0.000 o.000 0.000 o.000 o.000 a.000 0.000 o.000 o.000 o.000 0.000 o.00a o.000 0.000 o.00a o.000 Residuals Applications totals oo FORM FSF supp ( attach FORM FSF o.000 o.000 )rAls: o sssoo As Cd Cu Cr Pb supp to this form): unuallbs/acre 0.000 0.000 0.008 0.001 H Mo Ni Se Zn P 0.956 0.000 Lime A lied .ior Years Cumulative lbs/ac 0.021 0.008 3.156 0.001 0.000 1 0.000 0.000 0.000 0.023 0.830 Date Ibs/ac intent Cumulative Ibs/ae 0.021 0.008 3.1" 1.366 0.142 1 0.005 1 0.07 10.18 0.034 4.817 12-2014 1000 omitted C. P. L. R.**** 36 1.367 0.143 0.005 0.070 0.180 0.034 4.840 :rnlit PAN Limit ]st/2nd Crop 34 1 1338 I NA 267 IS 1 NA 1 374 1 89 2498 209 certify, under penalty of law that this document was prepared under my direction or supervision in accordance with a system designed to assure that ialifed personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier *Application Method: S - Surface, IN- Injection, INC- Incorporation **Volatilization Rate: Surface - 0.5, Injectionancorporation - 1.0 Date *** Mineralization Rates: Compost-0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON Facility Name: U.S. Biosolids, Inc. Land Owner: Charles Killain Operator: Charles Killain Crop 1 Name: Fescue PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. WQ Permit #: WQ0037135 Field #: NC-GA-MH-2 Annual Dry Tons Applied: 8.2399 Site #: 4 Predominant Soil Series: CeB2 Crop 1 Max. PAN 209 Crop 2 Name: Acres Utilized: 4.3 Acres Permitted: 4.3 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o N p Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches y 4 � N '� � °o * Z o �' .- * = 7y ?; P �. * TKN mg/kg Z a : t o qQ E. E. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8-2023 65000 3.04 1.916 NCO021181 dry 0 s 0.5 0.3 149000 3330 343 175.181 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 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS] 01 65000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 175.181 0.000 Lime Applied Annuallbs/acre 0.064 0.013 1.261 0.231 0.068 0.024 0.032 0.081 0.064 7.204 106.913 Date lbs/ac Prior Years Cumulative lbs/ac 0.252 0.054 8.415 2.551 0.592 0.022 0.175 0.533 0.262 36.276 Current Cumulative lbs/ac 0.316 0.067 9.676 2.782 0.660 0.046 0.207 0.614 0.326 43.480 Permitted C. P. L. R.**** 36 34 1 1338 NA 1 267 15 NA 74 1 89 1 2498 Permit PAN Limit I st/2nd Crop F 2-09 "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." /1 'e Signature of Land Applier 2-12-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON Facility Name: U.S. Biosolids, Inc. Land Owner: Charles Killain Operator: Charles Killain Crop 1 Name: Fescue PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. WQ Permit #: WQ0037135 Field #: NC-GA-MH-2 Annual Dry Tons Applied: 12.3599 Site #: 5 Predominant Soil Series: CeB2 Crop 1 Max. PAN 209 Crop 2 Name: Acres Utilized: 24.6 Acres Permitted: 24.6 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o N p Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) SoilPrecip. Cond. (Dry, Wet Moist Past 24 Hrs. inches y 4 � N '� � °o * Z o �' .- * = 7y ?; P �. * TKN mg/kg Z a : t o qQ E. E. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8-2023 97500 3.04 0.502 NCO021181 dry 0 s 0.5 0.3 149000 3330 343 45.932 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 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS 01 97500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 45.932 0.000 Lime Applied Annuallbs/acre 0.017 0.003 0.330 0.061 0.018 0.006 0.008 0.021 0.017 1.888 28.012 Date lbs/ac Prior Years Cumulative lbs/ac 1.544 0.193 27.839 7.86 3.472 0.129 0.719 15.447 0.344 86.01 Current Cumulative lbs/ac 1.561 0.196 28.169 7.921 3.490 0.135 0.727 15.468 0.361 87.898 Permitted C. P. L. R.**** 36 34 1 1338 NA 1 267 15 NA 74 1 89 1 2498 Permit PAN Limit I st/2nd Crop F 2-09 "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." /l 4 Signature of Land Applier 2-12-2024 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 *** 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) � A24.6 Acres MH2-1 28.5 Acres Killian Farm: Buffer Man Parcels: 3680975479, 3680987280, 3690065812, 3690178949,3690270469 Gaston County, NC 35.3995,-81.0477 MH2-5 24.6 Acres ago Buffers Property Line (50') 0 House (400') Surface Water (100') 0 Well (100') 0 Perennial Stream (100') Legend Property Line House Field Boundary 0 Surface Water Perennial Stream ®Unused Area • Well 0 250 500 750 1000ft I I I I I North Carolina State Plane, NAD83 N W E S Produced: 2024 Created by: Joseph Jarvis 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 Unit. General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: 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) FLAT No Fescue Hay FLA2 No Fescue Hay FLB1 No Fescue Hay FLB2 No Fescue Hay FLB3 No Fescue Hay FLB4 No Fescue Hay FLCI No Fescue Hay 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 I. 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 terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. II. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (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) [R 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: Frank Lawson Address: PO Box 1061 City: Ellenboro State NC Phone: ,828-453-0113 ) E-mail address: Signature: l �''' /"��" Date NORTH CAROLINA, Rutherford COUNTY 1, the undersigned Notary Public do hereby certify that Frank Lawson Zip: 28040 ,r?-Z7 personally appeared before me this day and acknowledged the due execution of the forgoing instrument. Ir �• WITNESS my hand and official sea] this the t 3 �' day of m Ar C L, Signature and seal: My commission expires: `f ' 9' 2f Notc�tV cop" — Lessee's/Operator's Certification: I certify that I have read this Agreement and do hereby agree to abide by th��fa' ` Nestrictions as specified herein. !l1 f f 11101111 Lessee/operator name: Address: City: Phone: Signature: Permittee's Certification: State: E-mail address: , 20 :2 ,,is HIJ41!// Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Zach Key _ Signature: X Date: 4-1-2024 FORM: LOA 06-16 Page 3 of 3 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 Permittini- Unit. General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this agreement for review without a corresponding application form (FORM: RLAP 06-16). Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed below. A. Land Owner Agreement (FORM: LOA 06-16): ❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer. ❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the Applicant. ❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator. AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND The undersigned landowner or his representative hereby permits: Applicant's name: 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) TLI No Corn Silage TL2 No Corn Silage TL3 No Corn Silage TL4 No Corn Silage 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 I. 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 terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the term of, and 12 months after termination of, this Agreement. II. RESTRICTIONS: 1. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of signs that indicate the activities being conducted at the land application site(s). 2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application events. 3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event. 4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month period following a residuals land application event. 5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil. 6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil. 7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event. III.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one) 15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following; ❑ A re -defined compliance boundary is needed for field(s) ID: (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: Eva Lucas Address: 191 Burcham Road City: Roaring River State: NC Zip: 28669 Phone: ('3'36-957-8091 E-mail address: 2 Signature: (.�.�A 4—Date: NORTH CAROLINA, Wilkes COUNTY 1, the undersigned Notary Public do hereby certify that Eva Jolly Lucas personally appeared before me this day and acknowledged the due execution of the forgoing instru"gilf„, J WITNESS my hand and official seat this the 41A.1'p,CNER�'�� day of l 7 1 Or-C. i^. 20 O ' W I %JF Y g0707 �f% = Signature and seal: Wlfkes County My commission exp Irs. ` oZ fJ O,o_ EM 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 Date: Zip: I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein. Signing official name: Zach Key Signature: zl�-4 /� Date: 4-1-2024 FORM: LOA 06-16 Page 3 of 3 Greenhorn Rd. TL1 2.5 Acres 1 y iL Southern Soil Builders, Lucas & Bodsford Tract - TL1 Eva J Lucas & Vickie Bodsford 191 Burcham Rd. Roaring River, NC r Buffers Property Line (50') 0 Land Owner Home (100') 0 House (400') F—I Surface Water (100') Legend PropertyLine A House Lines 0 Pond ♦ Land Owner Home N W E S Parcel: 0604353 Wilkes County, NC 36.2803,-80.9980 0 250 500 I I I North Carolina State Plane, NAD83 750 ft Produced: December, 2018 Created by: Joseph Jarvis w 0 .14. U� r• � I' +l a, aIr',�,..,A ~, fir. , 3.5 Acres Y }, � �, L 1i• k �1�.. fir'.. ,r Buffer < 0 House (400') Legend Field Boundary Property Line ttt ♦ House Southern Soil Builders, Lucas & Bodsford Tract - TL2 N Eva J Lucas & Vickie Bodsford 191 Burcham Rd. Roaring River, NC w E S Parcel: 0601860 Wilkes County, NC 36.2789,-80.9964 0 250 500 I I I North Carolina State Plane, NAD83 750 ft J Produced: December, 2018 Created by: Joseph Jarvis L Southern Soil Builders, Lucas & Bodsford - TO Eva J Lucas & Vickie Bodsford 191 Burcham Rd. Roaring River, NC RI 250 500 a Buffers Property Line (50') 0 House (400') Legend Property Line Field Boundary 0 House 750 ft N W E S Parcel: 0604165 Wilkes County, NC Produced: December, 2018 36.2271,-80.9946 North Carolina State Plane, NAD83 Created by: Joseph Jarvis Southern Soil Builders, Lucas & Bodsford Tract - TL4 N Eva J Lucas & Vickie Bodsford 191 Burcham Rd. Roaring River, NC UV E S 0 250 500 750 ft I I I I Parcel: 0606480 Wilkes County, NC Produced: December, 2018 36.2801,-81.0013 North Carolina State Plane, NAD83 Created by: Joseph Jarvis F'1 re w U Q .6 a R rn a o v o = O U W'O Q O m E S Q a v N n Q 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O 0 Q Z d M 0 0 0 0 0 0 0 0 0 0 0 M a U o 0 0 0 0 0 0 0 0 0 o y a � .. ; �_ Z Z E h Ammonia Nitrogen E Ci n 0 F E V LL G O O C Mineralization M 0 c M m Rate*** O N N V Volatilization y, w o Rate** a Application a Method* C ` 3 L W W r U 3 O V o 0 o z V = 3 e y a V 4 M 0 v E o y dM m U. Q 3 z K? a C V o 0 o M v c O� 0 0 0 0 0 0 0 0 0 0 c5 y r P _ V F .Q Q b 0 o 0 6 6 0 0 6 6 0 0 6 0 6 6 0 0 6 0 0 6 0 ¢ D O O b M j r— 0 0 0 Q 9 N h u O o 0 v a p o 000 N ^ > it N 9 U t0 v H E a j U m Z a yzuoW o c ao ale4 .� a U a a C O � O N O L � � _ o y i UZ tW. o 9 a a V y O O C u E O y O Z� U W o w o � N N L - W y c � a U n' > 5/11/24, 9:26 PM Wilkes County Tax Administration PARID: 0607141 BLEVINS, TRISTEN 824 GRACE HOWARD RD Parcel ParlD / PIN: 0607141 / 4902-90-2549 Tax Year: 2024 Tax District: 06 : Edwards Neighborhood 508: NBHD 508 Old NBHD: 257 Ortho: 4902 Owner Account Number: 200482 Name: BLEVINS, TRISTEN Name 2: BENGE, COLBY Care Of: Mailing Address: 1481 BYRD RD ROARING RIVER NC 28669 Current Book/Page: 1323/285 Description NBHD Code / Name: 508: NBHD 508 Class: R1 : RESIDENTIAL Use Code: 910 : UNDEVELOPED LAND Appraisal Territory: 3 Zoning: Living Units: 0 Topography: 3: BELOW STREET Location: Parking: Utilities: 7 : NONE Restrictions: Taxable Acres: 4.92 Valuation Appraised Land: 23,500 Appraised Building: 0 Appraised Total: 23,500 Deferred: 20,200 Exempts/Excluded: 0 Assessed Real: 3,300 Total Assessed: 3,300 Legal Physical Address: 824 GRACE HOWARD RD Tax District Setup Tax Dist 1: F16 : 100% : Sheperds Crossroads Tax Dist 2: G01 : 100% : Wilkes County Tax Dist 3: Recorded Transaction Date Book Page Instrument 15-FEB-21 1323 285 WD - WARRANTY DEED Sale Price Validity Code 08 https://parcelinfo.wilkescounty.net/Datalets/PrintDatalet.aspx?pin=0607141 &gsp=PROFI LEALL&taxyear=2024&jur=097&ownseq=0&card=l &roll=RE... 1 /1 Waypointo ANALYTICAL 1 /2/2024 US Biosolids Inc Dennis Key 958 Hoots Road Roaring River, NC, 28669 Ref: Analytical Testing Report Number: 23-347-0002 Project Description: Dallas 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Dear Dennis Key: Waypoint Analytical Virginia, Inc. received sample(s) on 12/13/2023 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. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information Sincerely, Brandi Watson 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 10 (2) Waypoint, 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 23-347-0002 Client Project Description: Dallas Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 64120 Dallas Solids 64120 Dallas Solids 64120 Dallas Solids 64120 Dallas Solids 64120 Dallas Solids 64120 Dallas Solids 64120 Dallas Solids 64120 Dallas Solids 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 12/11/2023 11:00 12/13/2023 SM-4500-111-13C WP MTN 9045D WP MTN 4500NO3F-2016 WP MTN 6010D WP MTN SW-7471B WP MTN SM-4500-NH3C-TKN WP MTN SM-2540G WP MTN WP MTN - Memphis, TN: Waypoint Analytical - TN, Memphis, TN Page 2 of 10 WavDointo ANALYTICAL 46381 US Biosolids Inc Dennis Key 958 Hoots Road Roaring River , NC 28669 Report Number : 23-347-0002 Lab No : 64120 Sample ID: Dallas Project Dallas Information : 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com REPORT OF ANAL YSIS Report Date : 01/02/2024 Received : 12/13/2023 Brandi Watson Matrix: Solids Sampled: 12/ 11/ 2023 11:00 Test Results Units MQL DF Date / Time Analyzed By Analytical Method Moisture 98.4 % 0.010 1 12/15/2317:26 CJR SM-2540G Sulfur 20800 mg/Kg - dry 625 1 12/15/23 22:25 TJS 6010D Calcium 49600 mg/Kg - dry 3130 1 12/15/23 22:25 TJS 6010D Aluminum 24900 mg/Kg - dry 313 1 12/15/23 22:25 TJS 6010D Manganese 781 mg/Kg - dry 31.3 1 12/15/23 22:25 TJS 6010D Organic N 19310 mg/Kg - dry 15630 1 12/28/23 10:27 CALCULATION Nickel 28.1 mg/Kg - dry 15.6 1 12/15/23 22:25 TJS 6010D Lead 54.3 mg/Kg - dry 18.8 1 12/15/23 22:25 TJS 6010D Arsenic <31.3 mg/Kg - dry 31.3 1 12/15/23 22:25 TJS 6010D Selenium <31.3 mg/Kg - dry 31.3 1 12/15/23 22:25 TJS 6010D Test Results Units MQL DF Date / Time By Analytical Analyzed Method Total Solids 1.57 % 0.010 1 12/15/23 17:26 CJR SM-2540G Phosphorus 27200 mg/Kg - dry 313 1 12/15/23 22:25 TJS 6010D Copper 1240 mg/Kg - dry 31.3 1 12/15/23 22:25 TJS 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 3 of 10 WavDointo ANALYTICAL 46381 US Biosolids Inc Dennis Key 958 Hoots Road Roaring River , NC 28669 Report Number : 23-347-0002 Lab No : 64120 Sample ID: Dallas Project Dallas Information : 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com REPORT OF ANAL YSIS Report Date : 01/02/2024 Received : 12/13/2023 Brandi Watson Matrix: Solids Sampled: 12/ 11/ 2023 11:00 Test Results Units MQL DF Date / Time Analyzed By Analytical Method Total Kjeldahl Nitrogen 25600 mg/Kg - dry 15600 1 12/28/23 10:27 JPJ ;M-4500-NH3C-TKP Potassium 4850 mg/Kg - dry 625 1 12/15/23 22:25 TJS 6010D Magnesium 4010 mg/Kg - dry 313 1 12/15/23 22:25 TJS 6010D Sodium 3400 mg/Kg - dry 1560 1 12/15/23 22:25 TJS 6010D Iron 31400 mg/Kg - dry 625 1 12/15/23 22:25 TJS 6010D Zinc 1980 mg/Kg - dry 78.1 1 12/15/23 22:25 TJS 6010D Ammonia Nitrogen 6250 mg/Kg - dry 6250 1 12/28/23 13:09 JPJ SM-4500-NH3C Nitrate+Nitrite-N 875 mg/Kg - dry 313 1 12/22/23 12:39 CLP 4500NO3F-2016 Cadmium <6.25 mg/Kg - dry 6.25 1 12/15/23 22:25 TJS 6010D Chromium 63.8 mg/Kg - dry 15.6 1 12/15/23 22:25 TJS 6010D Mercury <10.2 mg/Kg - dry 10.2 1 12/15/23 11:24 FDS SW-7471B pH 7.3 S.U. 1 12/18/2314:04 RDP 9045D Molybdenum <15.6 mg/Kg - dry 15.6 1 12/15/23 22:25 TJS 6010D Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit Page 4 of 10 Waypointo ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Client: US Biosolids Inc CASE NARRATIVE Project: Dallas Lab Report Number: 23-347-0002 Date: 12/29/2023 Metals Analysis Method 6010D Sample 64122 (Petersburg) Analyte: Aluminum QC Batch No: 1-723203/1-722784 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 64122 (Petersburg) Analyte: Calcium QC Batch No: 1-723451/1-722784 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 64122 (Petersburg) Analyte: Copper QC Batch No: 1-723203/1-722784 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 64122 (Petersburg) Analyte: Potassium QC Batch No: 1-723203/1-722784 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 64122 (Petersburg) Analyte: Lead QC Batch No: 1-723203/1-722784 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 64122 (Petersburg) Analyte: Selenium QC Batch No: 1-723203/1-722784 This analyte was analyzed at a dilution due to IEC interference/matrix interference. Solids Total Mercury Analysis - CVAA Method 7471A Sample 64122 (Petersburg) Analyte: Mercury QC Batch No: 1-722937/1-722669 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post digestion spike was performed and passed quality control acceptance ranges. No matrix interference is suspected. Page 5 of 10 WayPAoint. NALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com Shipment Receipt Form Customer Number: 46381 Customer Name: US Biosolids Inc Report Number: 23-347-0002 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 Other: UPS 0 Client 0 Courier Thermometer ID: Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers/boxes received F 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? U Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? Yes 0 No All samples received within holding time? Yes 0 No Cooler temperature in compliance? 0 Yes No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes No Water - Sample containers properly preserved 0 Yes 0 No CO,) N/A Water - VOA vials free of headspace 0 Yes 0 No �0,) N/A Trip Blanks received with VOAs 0 Yes 0 No �0,) N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No U N/A F_ High concentration container (48 hr) F_ High concentration pre -weighed (methanol -14 d) F Low concentration EnCore samplers (48 hr) Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes 0 No Comments: Signature: David Lennon Date & Time: 12/13/2023 09:01:02 Page 6 of 10 0 t o s � � iJ m 41 a w m n;.= -❑mf 5 m n f -ram �_ [ �i r 6 D we Z ram �a✓� cv Q m ro a n i v. `= ` I w>nr u%s 31I 3 I 3I n r r m a G7 a G7 ❑ G7 o G) � � a ❑ ❑ l J - 3 - F a m am a rm a m 5-3 a ¢ r w 4�� r rn o CD N r a w o _ r C c �y ro cii ° Z co ry m ryG n _ fi-� n cr a �c� <. _ N Q w N La N VI N N En o N p m ._. Q C o c � n a n❑ a❑ a a 3 N "v 3 N cn N Cl) h nri r m m w 0 N S ID N rp n x n A y' ro O m 3CD N m C N n n H n' n m � ❑ Y �] to ro n_ P � 4r a= N m O CD ro CA C [] � Cl) A7 � �. a o [n 0 [n U] < a 3 (CD N 5 N 5 a Z Cl n m ti m (D C d U1 U) CO am) p c� N — ro CL C N xn Q � r W Z5 Z Q n C-} N W d7 (.b Lri US a � v C4 = a a0 Q N Q o < ;u CD 7 0) j Z o 0- n fV co m m QD Page 7 of 10 Waypoi nt.. ANALYTICAL 12/14/2023 07:11:32 Export Batch Report Export Batch Id : 4334E To; Waypoint Analytical - TN 2790 Whitten Road Memphis, TN 38133 901-213-2400 Report N Due Da Rush Matrix Lab No Method Na 23-347-DO02 12/28/2023 SOL 64120 SM-4500-NO3F 23-347-DO03 12/28/2023 SOL 64121 SM-4500-NO3F 23-347-DO04 12/28/2023 SOL 64122 SM-4500-NO3F 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 904-271.6446 www.waypointanalydcal.corn Page 1 of 1 Created: 12/ 14/2023 07:11:25 Computer: WPALMS-030 User: David Lennon From: Waypoint Analytical Virginia, Inc. 7621 Whitepine Rd. Richmond, VA 23237 804-743-9401 Fee Code Description Nitrate-Nitdte as N RECYCI RECYC1 I IIIIII IIIII IIlI IIIIII IlII IIIII IN IIIIII III I III I IIIII II IN0001 Wavpoinl Analytical Virginia 08 49 41 4334E Sampled By Method of AShipment L� l Blank / Cooler Temp. Remarks Relinquished By (sign) Date Time Received By (sign) Date / Time Relinquished By (sign) Date Time ved By (sign) Date ae JTime] L1'//7 Page 8 of 10 Wa ntYPOI ANALYTICAL 12/13/2023 12:41:20 Export Batch Report Export Batch Id : 4333E To: Waypoint Analytical - TN 2790 Whitten Road Memphis, TN 38133 901-213-2400 Report ND Due Date Rush Ma rix Lab No Method NQ 23-347-0001 12/20/2023 SOL 54114f SW-6010D 23-347-0001 12/20/2023 SOL 64115r SW-6010D 23-347-0001 12/20/2023 SOL 64116.- SW-6010D 23-347-0001 12/20/2023 SOL 64117i SW-6010D 23-347-0001 12/20/2023 SOL 64118,1 SW-6010D 23-347-0001 12/20/2023 SOL 64119` SW-6010D 23-347-0002 12/28/2023 SOL 64120� SM-254OG 23-347-0002 12/28/2023 SQL 64120r-SM-4500-NH3C 23-347.0002 12/28/2023 SOL 64120 ,� S M-4500-NH3C-TKN 23-347-0002 12/28/2023 SOL 64120' SW-6010D SOL 23-347-0002 12/28/2023 SOL 64120' SW-7471A 23-347-0002 12/28/2023 SOL 64120/ SW-9045D 23-347-0003 12/28/2023 SOL 64121 ^ AOAC 1.1.04 23-347-0003 12/28/2023 SOL 64121' SM-2320 B 23-347-0003 12/28/2023 SOL 64121r SM-2540G 23-347-0003 12/28/2023 SOL 64121., SM-4500-NH3C 23-347-0003 12/28/2023 SQL 64121, SM-4500-NH3C-TKN 23-347-0003 12/28/2023 SOL 64121. SW-6010D 23-347-0003 12/28/2023 SOL 6412E SW-7471A 23-347-0003 12/28/2023 SOL 64121-4 SW-9045D 23-347-0004 12/28/2023 SOL 64122" AOAC 1.1.04 23-347-0004 12/28/2023 SOL 64122' SM-2320 B. 23-347-0004 12/28/2023 SOL 64122- SM-254OG 23-347-0004 12/28/2023 SOL 64122' SM-4500-NH3C 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.com Page 1 of 2 Created: 12/13/2023 12:40:53 Computer: WPALMS-040 User: David Lennon From: Waypoint Analytical Virginia, Inc. 7621 Whitepine Rd. Richmond, VA 23237 804-743-9401 Fee Code Description Lead {Total) Lead (Total) Lead {Total} Lead (Total) Lead (Total) Lead (Total) SL2 Biasolids Test Package using 6010D Ammonia-Nltrogen by Distillation (Titration) SL2 Biosolids Test Package using 6010D 51-2 Biasolids Test Package using 6010D 503E Metals 503E Metals pH RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI RECYCI Sampled By Method of Shipment Blank / Cooler Temp. i7dCJ CJ • J C.<' Relinquished By (sign) Date / Time Received By (sign) Date / Time 1 '2- � -11-1- S � �'4 L Relinquished By (sign) Date / Time Re ived Da e / Time Page 9 of 10 Waypoi t ANALYTICAL 12/13/2023 12:41:20 Export Batch Report Export Batch Id : 4333E To: Waypoint Analytical - TN 2790 Whitten Road Memphis, TN 38133 901-213-2400 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Page 2 of 2 Created: 12/ 13/2023 12:40: 53 Computer: WPALMS-040 User: David Lennon From: Waypoint Anaiytical Virginia, Inc. 7621 Whitepine Rd. Richmond, VA 23237 804-743-9401 Report No Due Date Rush Matrix Lab No Method No Fee Code Description 23-347-0004 12/28/2023 SOL 64122 SM-4500-NH3C-TKN RECYCI 23-347-0004 12/28/2023 SOL 64122' SW-6010D RECYCI 23-347-0004 12/28/2023 SOL 64122' SW-7471A RECYCI 23-347-0004 12/28/2023 SOL 64122� SW-9045❑ RECYCI 7 3.348-04a4 111111111�11111�1ti1llltillllltill111111ti�t111111ti1�1�«�»�u+«uti 11 42-5g23 ,N1u10in1 A 4333E Sampled By Method of Shipment Blank / Cooler Temp. LA-- IVl`-1' LJ Remarks Relinquished By (sign) Date / Time Received By (sign) Date / Time Relinquished By (sign) Date / Time Received By (sign !!Da e / ime Page 10 of 10 +� Not a dwelling �BP2-2� 4.9 Acres 6 �Iling BP2-1 24.5 Acres si l S f y.� K A This parcel is owned by �d• a different person. Bluffers Could be a dwelling? G �eerr���r Potentially onsite well? O Property Line (50') Explanation needed. 0 Surface Water (100') Land Owner House (100') House (400') There is no longer a This parcel is not owned house here, appears to by William and Kathleen be a new barn. fend Porter. Still on site Property Line Land Owner Home dwellin ? Field Boundary House Perennial Stream Southern Soil Builders, Porter Tract - BP2 N Kathleen G Porter W E 3573 Greenhorn Rd. Roaring River, NC S 0 250 500 750 1000 ft Parcel: 0604325 I I I I I Wilkes County, NC Produced: 2024 36.2845,-81.0114 North Carolina State Plane, NAD83 Created by: Joseph Jarvis Compliance and Review Boundaries: r. The compliance boundary is established either 250 feet from the edge of the residuals application area or 50 feet within the property boundary, whichever is closest to the application area. The review boundary is established halfway between the compliance boundary :• ., and the edge of the residuals application area. : ev F�1 r" T. s '�I � gyp-. ,�- • 1�-� - tM,, �,; Cr New house built here. 4.2 acresf A - x 4, x 3 LIP Buffers Property Line (50') Perennial Stream (100') House (400') L g Well �. House ropery Llne x Soll Boring 5 Field Boundary Surface Water + Perennlal Stream ® Unused Area `aa McDaniel, Norman: Compliance and Review Field NM2 Parcel: 1646617 0 125 250 500 Feet Rutherford County, NC t k 1_ J 35.3982.-81.725 North Carolina Stateplens, NAO83 Y--_ w 0(1) o� N fa -0 Q E aj 0 O 0 U 7 y O N O L(1 n O O Lr) O Ln N rl J a U a-+ U fa L L O `V Ln o O m c zS Ln ca U J-z �0 � O -O m ol f m v o Uo Ln M 0 i U fo O � 0, J o U m o (nLu d> M Southern Soil Builders, Lucas & Bodsford Tract - TL2 N Eva J Lucas & Vickie Bodsford 191 Burcham Rd. Roaring River, NC w E S 0 250 500 750 ft I I I I Parcel: 0601860 Wilkes County, NC Produced: December, 2018 36.2789,-80.9964 North Carolina State Plane, NAD83 Created by: Joseph Jarvis TL4 6 Acres hifti its barn is no longer ere. n CK E c� U U m IN. A Greenhorn Rd. Southern Soil Builders, Lucas & Bodsford Tract - TL4 Eva ] Lucas & Vickie Bodsford 191 Burcham Rd. Roaring River, NC Ai] 250 500 T' :lRia1 Rl" Buffers 0 Property Line (50') 0 Land Owner House (100') 0 House (400') 0 Barn (100') Legend — Property Line A House — Field Boundary • Barn ♦ Land Owner House N W E S 750 ft Parcel: 0606480 Wilkes County, NC Produced: December, 2018 36.2801,-81.0013 North Carolina State Plane, NAD83 Created by: Joseph Jarvis Time (minutes) 0 8 9 10 11 12 13 14 15 Specific Oxygen Upta a Rate SOUR Facility Name: Biosolids Permit Number: Date: Digester Temperature: Sampling Date/Time: Sampled By: Analysis Date/Time: Analyzed By: Sample Volume: Total Solids: Beginning Temperature: End Temperature: Dissolved Oxygen Level Corpening Creek WQ 0019960 3/14/2023 15 3/14/2023 1320 JM 3114/23 1350 NR 1000 1.93 25 25 degrees Celsius milliliters % Dry Solids degrees Celsius degrees Celsius Slope: 0.1 Intercept: 8.0 Correlation Coefficient: 1.0 Oxygen Uptake Rate: 3.53I mg Oxygen/hr Ambient Specific Oxygen Uptake Rate: 0.18I mg Oxygen/g/hr Average Temperature: 25ldegrees Celsius Temperature Correction Factor: 0.783526166 Temperature Corrected Specific Oxygen Uptake Rate: 0.14 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation anQ the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: 3 q z-' TIME: 13z,e TEMPERATURE: IS oc ANALYST: N 'Q AERATION TIME START: a R STOP: 13A DO READING START TIME: 105G RECORD DO READINGS O intervals less than one MINUTE FOR AT LEAST 15 MIN 50 5rc g,oZ 2 'i. s6 12 � 3 �.� `� 73 r. . a� 4 i . 7 2 14" 5.1 l 15 6 16 7 f. 5� 17� .0 6 16 5 9 10.-3 20 �. 5 Record the temperature at the end of the test: 2S °C Sample collected by�LNI s @ time: 132 Temperature of sample: is °C N N O + N X m W N O Q N II � M N ei Y >_ � f0 s U o N a-� f6 m � Y E m E Y Q ° E P C OA n X a M ry ry m co �o a ry n m Iu oc n n r ri e e (I/8w(uaBAzp panlossip I CITY OF AlARION CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples Standard Methods— 2510 O-2015 DATE: 3-14.2TIMEIN: 142� _ TEMP IN: I ANALYST : NR TIME OUT. " 3' /.S'Z3 �.L uSiC ' ti TEMP OIfi:bS °C ' Time Weighed: G`%G -B X 100 (A -D) x 100 3ANIFILE ID DATE COLLEC gamin Vol. ML I Dish WT. M. Dish+ Wetsemple m . Dish+ Dried Raaldu me. WLaresiaue +dishaher I niSO me. Residue Weight m . Residue Weight m . %Total Solids %o Volatile Solids Blank S ss-4r Y' .QG/y 13 3dU. OSZ IIZ 1111 V.M3% D.59fl 39 /9G /93 DUP. if n 48 Ong 1 103.Sczs 3 O.S93Z ,?9S/z /.93 AA� aLK YZ433 2, 0S 0, 04/ A DUP. % , rp/3 9Aioz, p. G6/7— / B BLK 3 e I 8a.6� k .2.1-511.3 191 DUP. I I I %8 6a"s . Op A) Time In: 0 %/// A) Temp. In: /OS °t A) Time Out /0/0 A) Temp. Out: A) Time Weighed: #6ft>5 7� 11y0 ,= Weight of dried residue +dish, mg: 1= Weight of dish, = Weight ofwm sample+dish, mg 1= Weight of residue+dish after Ignition, mg B) Tlmeln: //�S� B)Temp. In: B) Time Out:/2�/5' 8)Temp Out: /GS B) Time Weighed:/565— %Wadle Solids=SA- DI. 100 %Fixed Solids = (D - el x 100 A-B A-B (A-81x100 %Total Salida = C-B /93 Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. IT, raitr.a&]IT, "1141111 *XiT d Date: 3/14/2023 Time Sampled: 1320 Sampled By: JM Time Started Aeration: N/A Time Ended Aeration: N/A Time test started: 1350 Time test complete: 1405 Analyzed By: NR Total Time of Test: < 2 furs. ( 45 mins Total time of test includes the time sample was aerated. Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling Date/Time Sampled By Analysis Date/Time Analyzed By Sample Volume Total Solids Beginning Temperature End Temperature Dissolved Oxygen Level Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Cor enin Creek WQ 0019960 3/13/2023 15 3/13/23 0900 im 3/13/23 0921 NR 1000 1.92 25 25 0.1 8.4 1.0 iegrees Celsius milliliters ya Dry Solids iegrees Celsius iegrees Celsius 3.38 mg Oxygen/hr 0.18 mg Oxygen/g/hr 25 degrees Celsius 0.783526166 Temperature Corrected Specific Oxygen Uptake Rate: 0.14 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: 03-1'a-23 AtKAT1UN TIMC TIME: 092-1 START: Ri TEMPERATURE: IS °C STOP: kk ANALYST: Kr — DO READING START TIME: RECORD DO READINGS O Intervals less than one MINUTE FOR AT LEAST 15 MIN S 1 $. 3(0 11 2 12 3 g', a..l 73 �7 5 9,09 15 t_S 6 $.Oa 16 9 17 .48 8 18. A{ 9 19 �, g 10 20 . 33 Record the temperature at the end of the test: !" °C Sample collected by TTR @ time: 090D Temperature of sample: IS °C _ I _ N C W + N m N O Q n e ry Y L � Z v o v " Y � m a (p E Y E D C a ry X N a m ry c6 m n n n G/Pw) ua8AXO PDAI ssi0 Specific Oxygen Uptake Rate Sour Test Corpening CreeklWastewater Lab Marion, N.C. Method: SM 2710 B-2011 Date: 3/1312023 Time Sampled: 0000 Sampled By: JM Time Started Aeration: N/A Time Ended Aeration: N/A Time test started:0921 Time test complete: 0855 Analyzed By: NR Total Time of Test: < 2 hrs. ( 36 mins. ) Total time of test includes the time sample was aerated. U� CITY OF MARION CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples Standard Methods-02MG-2015 '23 ,3 3 DATE: 3-13 -7 TIME IN:( 4 090 TEMP IN:/0.—' -C ANALYST: N(� TIME OUT:C 94S-3-it) TEMP OUT: -C Time Weighed: 68 dg — r A-B 100 IA -DI x 100 SA DATE Sempl Dish Dish+ Dish+ WLotmsidue ..-o Residue a-B Residue C-S %To tal A-B % ID COLLEC Val. MIL Wr. Wateemple DriedResidue +tlishaDer Weight Weight Solids Volaula nxi,m . m// . Ignition, mg. . Mg. Solids Blank 81(e3•`50%•U 31% r� �.2. 06 0.�8ara .3� .Y.09fz /,53 DUP.8 _j A) BLIK A 3Za/a, Y7.2 ri Lqs A) OUR GCY B BILK B B OUR 3-/P-23 Cc A) Time In: 6 &.5Z A) Temp. In. /CSC B) Time In: B) Temp. In: A)Ttme Oul:(./ /8 Z' A) Temp. Out: //'5 `G B) Time Out: B)Temp Out: A) Time Weighed: /CS S B) Time Weighed: Weight o1 Wet Sample +dish, mg Weight a/residue+dish after Ignition, mg % Volatile Solids= (A- D) x Inn %Fled Solids=ID -BIx 100 A-B A-B A SIx1G0 %Total Solids = C-B Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling DaterTime Sampled By Analysis Date/Time Analyzed By Sample Volume Total Solids Beginning Temperature End Temperature Dissolved Oxygen Level Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Cor enin Creek WQ 0019960 3/12/2023 14 3112123 0830 JW 3112/23 0840 RGC 1000 1.95 25 25 degrees Celsius milliliters Y. Dry Solids degrees Celsius degrees Celsius 0.11 8.91 1.0'. 3.621 mg Oxygen/hr 0.%mg Oxygen/g/hr 25i degrees Celsius 0.783526166'. Temperature Corrected Specific Oxygen Uptake Rate: 0.15 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: 33 AERATION TIME TIME: -930 START: /✓/,� TEMPERATURE: /`f °C STOP: N/If ANALYST: DO READING START TIME: 0990 RECORD DO READINGS @ intervals less than one MINUTE FOR AT LEAST 15 MIN 3 1 f'„�'S 11 �•�S 2 • %`d 12�' 3 .5"n 13 a 6.d5' 14,�� 5 4.G6 15 8.OD 6 16 7 17 a is 9 10 R / 20 Record the temperature at the end of the test: = °C Sample collected by 'T R/ @ time: 3-" Temperature of sampler °C Jul N Dissolved Oxygen (mg/1) J J V W % W P. A U1 W W N A N �% 1p N W A ut m O X V (D 3 _y C 3 0) c ID fp o n S D) � r�r N Y W Y A II O O O W X N W U) m m m Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. Method: SM 2710 B-2011 Date: 3/12/2023 Time Sampled: 0830 Sampled By: JW Time Started Aeration: N/A Time Ended Aeration: N/A Time test started; 0840 Time test complete: 0855 Analyzed By: RGC Total Time of Test: < 2 hire. (25 mins Total time of test includes the time sample was aerated. CITY OF MARION CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples Stendardhlethods—a 2MOG-2015 DATE: 3-R- Z 3 TIMEIN: TENPIN:ANALYST. ��L F( TIME OUT:,g13 3-03 & TaAp OUT:/.p�'C Time Weighetl:p8� -B 100 (A-DIx100 SAMPL ID DATE COLLEC SanPl Vol. ML Dlah WT. DM+ Wetsample m . Dish+ Ddd Re osidue m . Mofrashill +dishRe er Ignition, mg. - Residue Weight MR. G-C Residue Weight Mg. G-B %Totsi Solids A-B % Volatile Solids Blank 78.00� d;Oa�33 4�00® /� 3-/Z-z3 90 $S• GY6 //S. 9 ad' 6.13 ¢ip 0, S8N3 . z9Y� /• 94� DUP. ,i .3G gZ.OS2 //L.j(%Z 82. /v�%6/ 0•.��%S 'a%�OD f// A Six . oog3 . 8. G7 9Z 9. 000 Y/,23 1 & OOOL A DUP. SZ.G�fd`f Z, .000 D SI B B OUR 2-/3-z3 — A)Timeln: A) Temp. In: 105C B) Time In: B)Temp. In: A) Time Ott/0/3 A)Temp. Out: IVS L B) Time Out: B)Temp Out: A) Time Weighed:///j B) Time Weighed: mg: Weight of wet sample +dish. mg Weight of residue - dish after Ignitor, mg % Volatile Solids=SA- DI x too %Fixed Solids= (D- Blxloo A B A-e (A - In 100 %Total Solid, = C-B Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling Date/Time Sampled By Analysis Date/Time Analyzed By Sample Volume Total Solids Beginning Temperature End Temperature Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: iegrees Celsius nilliliters Dry Solids iegrees Celsius iegrees Celsius 0.1 8.2 1.0 3.00 mg Oxygen/hr 0.15 mg Oxygen/g/hr 25 degrees Celsius 0.783526166 Temperature Corrected Specific Oxygen Uptake Rate: 0.12 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: //- -' AERATION TIME TIME. 1 /`/ START: t /A TEMPERATURE: /S °C STOP: ill ANALYST: DO READING START TIME:.5.? S RECORD DO READINGS @ intervals less than one MINUTE FOR AT LEAST 15 MIN >•1 }, 2 h,/J- 12 JC3 3 .S. C .S 13 a 14 ry s3 5 7, `J % 15 6 %•%J 16 7 /, ;9 17 S 9 ih 19 10 l. y z 20 Record the temperature at the end of the test: Z °C Sample collected by -� W @ time: p.g/ Temperature of sample: 's` °C m m N � + N N O N O O N II T m N L s v IL o a m � � v Y � m E Q °° E F C to n T X O m a m N < N c0 W tD V n N w n n n n (1/ew) ua8Ax0 panlossl0 A Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. Method: SM 2710 B-2011 Date: 3/11/2023 Time Sampled: 0819 Sampled By: JW' Time Started Aeration: N/A Time Ended Aeration: N/A Time test started' 0825 Time test complete: 0840 Analyzed By: RGC Total Time of Test: < 2 hrs. ( 21 mins Total time of test includes the time sample was aerated. CITY OF MARIOIN CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples Standard Methods —a 2540 G-2015 DATE: J-//- Z 3 TIMEIN: ANALYST: ,(6 , TIME OUT: /f5 TEMP OUT: �01 C Time Weighed: /1'S-6 IA-BI X 100 IA -DI x 100 e SAtaPU ID DATE COLLEC tempt Vol. ML Dish WT. M. Dish+ Wetsample m . Dish+ Dded Rssidu m . W1.0fresidue -disha@er 1 nitlon m . - Residue I Weight m . Residue Weight mg. c-C %Total Solids A-tl % Volatile Solids Blank D e4 - d0 b'747 535'' 6 36 • 1s2?ow DUP. 23 $ . 31L 1U. M3,f 92,a2 5,g3 C,o61 G%5 BLIK 7. 53y1 7. srs cV 0,0001 87ova 4 0• aa¢8 A DUP. 2.zz ?. , 0A%5 � � D ID BLK 3 53-V ,Q ,53 -3 ace sr, B 80.zj4z6 81 OUR Sd•2/9/ 2--3J Qz, . 000 3-/Z-0-3 4c- A) Time In: /fOCi A) Temp. In: /aS _ B) Tlme In: 0 12S B) Temp, In: /a S 3-/ZX3-w)Tlme Ouk 15'/C A)Temp. Out /C S B) Time Out: /C 30 B)Tenp Out: 10S- i/ A) Time Weighed: d�/S- III Time Weighed://3S— dish, mg; B = Weight of dish, C= Weight afMA Sample +dish. mg D = Weight of residue +dish after Ignition, mg % Volatile Solids= IA- DI x 100 %FOxd Solids = tD-B1xtoo A-B A-B A. BIx100 %Total SOOtle= C-B (4V,i Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling DatelTime Sampled By Analysis Date/rime Analyzed By Sample Volume Total Solids Beginning Temperature End Temperature Dissolved Oxygen Level Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Corpening Creek WQ 0019960 3/1012023 16 3/10/23 0835 TH 3/10/23 0911 NR 1000 e44 25 25 0.1 7.6 1.0 degrees Celsius milliliters/'.�[� r f 0'I degrees Celsius degrees Celsius 3.27 mg Oxygen/hr 0.16 mg Oxygen/g/hr 25 degrees Celsius 0.783526166i Temperature Corrected Specific Oxygen Uptake Rate: 0.13 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: 3-10-23 AERATION TII TIME: a{ Q83S START: NIA- 6t TEMPERATURE: Its °C STOP: A//!F ANALYST: tjP DO READING START TIME: 011 RECORD DO READINGS @ intervals less than one MINUTE FOR AT LEAST 15 MIN 50z° 1 -7 2 �.5� 12 3 �.t{5 13 .9 4 -1 3 14 s .33 15 $ 6 -1V 76 1J5 7 }. 23 17 8 -.FI 18 9 7.12 19 10 1 '}.p-. 20 Record the temperature at the end of the test: 25 °C Sample collected by Tl�- @ time: 0$3S Temperature of sample: IU °C CITY OF MARION CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: in Solid and Semisolid Samples Standard Method" 25,100-2015 ANALYST: /j✓/ �.�y�- TIMEIN: CGS `�' p TEMPIN: 10 'C TIME OUT: O8 AV 3-//-Z5 &- TEMp OUT:,g—•C Time welghed: O JOS iA-81 X 100 LA -DI x 100 UAMPU ID DATE COLLFA Smith Vat Dish Dish« Dish+ WL of resides Residue Residue p-N %Tehl A-6 ML•M. WE Wetesmple I Dded RssM +diehaher Weight Weight Solids Volatile aso m . Ignition, mg,. mg. m . Solids Blank s 8S �Y.Z S ./yJOS 3-b Z3 3p 9 . S11Z. /Za v b'd. S 0• p'{33h . 0698 2• OUR 3 A BILK S, �-5•Is 53 O.Ooo z.dsd 824E-7 p.0610 ADUP. 8. 9.6/98 0,oa/q s B BLK B OUR I98.G/98 7b •G/ OooW� z3 A) Tlme In: 0 915 A) Temp. In: /03� B) Time In: //US B) Temp. In: /c 3 A) Time Out: /0 /5 A) Temp. Out: /its B) Time Out: /a J/S B) Temp Out: io S A) That) Weighed: //30 B) Time Weighed: /3 y1 residue +dish, me; weigm orwm Sample +dish, mg D = Weight of residue+dish alter Ignition, mg % Volatile SOlids= (A- D) x 100 %Fbzd Solids=lD-B1x100 A-B A-B fA. B1 x 100 %Total Salida e C-B Z, 0 Dissolved Oxygen (mg/1) N A T W V N A 01 N N W A N m 0 X `G Oro V fD 3 ti C � W 3 !v S c r (D A N !D o � S N -e �-r w O O A N x � J J m Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. Method: SM 2710 B-2011 Date: 3/10/2023 Time Sampled: 0835 Sampled By: TH Time Started Aeration: N/A Time Ended Aeration: N/A Time test started:..0911 Time test complete: 0926 Analyzed By: NR Total Time of Test: < 2 hrs. ( 51 mins Total time of test includes the time sample was aerated. Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling Date/Time Sampled By Analysis Datefrime Analyzed By Sample Volume Total Solids Beginning Temperature End Temperature Dissolved Oxygen Level Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Corpening Creek WQ 0019960 3/9/2023 19 3/9123 0925 im 319/23 1106 RGC 1000 1.99 25 25 0.1 8.4 1.0 iegrees Celsius nilliliters Y. Dry Solids iegrees Celsius iegrees Celsius 3.20 mg Oxygen/hr 0.16 mg Oxygen/g/hr 25 degrees Celsius 0.783526166 Temperature Corrected Specific Oxygen Uptake Rate: 0.13 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: - % Z 3 AERATION TIME TIME: O %2 s START: TEMPERATURE: /� eC STOP: ANALYST: 41f- DO READING START TIME: RECORD DO READINGS O intervals less than one MINUTE FOR AT LEAST 15 MIN -6zls o G 1 rp, 3 S— 2 x1d9 12 3 S',,,2,3 13 4 67, 14 S- 5 S" 1s %6G 6 16 SN 7 D•OL 17 l l 8 %/% 18 9 19 10 7, B 20 Record the temperature at the and of the test: 3 f °C Sample collected by J 12( @ time: D %L S Temperature of sample:/�/ °C Dissolved Oxygen (mg/1) J J J V W W q V N A OI OJ N N A OI Y N W A N m O X W J ti � W fT 3 � X c fD !y rF o � S D) .mot N W A II � O N NW X N WW A W N m Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. Method: SM 2710 B-2011 Date: 3/9/2023 Time Sampled: 0925 Sampled By: JM Time Started Aeration: 0930 Time Ended Aeration: 1100 Time test started: 1106 Time test complete: 1121 Analyzed By: RGC Total Time of Test: < 2 hrs. ( 1 hr. 56 mins Total time of test includes the time sample was aerated. 5 2 5 CITY OF MARION CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples Standard Methods-4 2500 G-2015 DATE: „3-v-Z,3 TIME IN: Id47 _ TEMP IN:.'0) ANALYST: A/L-/4G TIMEOUT: 3'/G-236C TEMPOUT:/(S C Time Weighed:O �W61 (A-81 X 100 (A-D1 x 100 rA—M—PU ID DATE COLLEC Sampl Vol. ML Dish WT. Mg. Dlah+ Wall sample m . Dish+ Dded Residu , Maffei +dishefter Ignition, mg. Residue Weight Mg. Residue Weight Mg, %Total Solids A- %a Volatile Solids Blank /m rG3g ,OOC 1k ka E3 DUP. `z3 30 8T.53Z? Hsu u7o ��./2y0 52 4,s 63 ,i9( 29.9 a9,6Vs : 99 /97 J--- A BLK il G3 kZ ,�� •'3$_3 p, 00,9 A) . 262- 0. A DUP. 7.22 7s32 0e,/ III BLK B B OUR 3-/O-z3 EJC- A)Tlmeln: d jOZ A) Temp. In: le'3 A)Tlme Out:/eDL A)Temp. Out: /CSC A) Tlme Weighed:///0 I = Weight of dish, = Weight of s d sample+ dish, mg 1= Weight of residue +dish after Ignition, mg B) Time In: B) Temp. In: B) Time Out: B) Temp Out: B) Time Weighed: % Volatile Solids= (A- D) x too %Fixed Solids =(D-B)x 100 A B A-B (A- Swart %Total Solids = C-B Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name. Biosolids Permit Number. Date. Digester Temperature, Sampling Date/Time. Sampled By Analysis Date/Time. Analyzed By Sample Volume. Total Solids. Beginning Temperature. End Temperature. Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Corpening Creek WQ 0019960 3/8/2023 19 318/23 1610 DS 318/23 1640 RGC 1000 1.96 25 25 0.1 7.2 1.0 legrees Celsius nilliliters yo Dry Solids iegrees Celsius iegrees Celsius 3.57 mg Oxygen/hr 0.18 mg Oxygen/g/hr 25 degrees Celsius 0.783526166 Temperature Corrected Specific Oxygen Uptake Rate: 0.14 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: -�"�3 AERATION TIME TIME: /7a /® START: 41 A TEMPERATURE: / % °C STOP: IfIlh ANALYST: DS DO READING START TIME: /G �c RECORD DO READINGS O Intervals less than one MINUTE FOR AT LEAST 15 MIN 5S41�, 2 L 1 7,/2- YI ,SG 2 7,03 12 �, y 3 13 1,39 4 14 /p..33 5 15 t 5 77 i5 •,l 3 7 (p, 7,7 17 S / 78 9 �, /p/ 79 70 20 Record the temperature at the end of the test: C Sample collected by Ds @ time: Temperature of sample, /9 C Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. Method: SM 2710 B-2011 Date: 3/8/2023 Time Sampled: 1610 Sampled By: DS Time Started Aeration: N/A Time Ended Aeration: N/A Time test started: 1640 Time test complete: 1655 Analyzed By: RGC A-5 Total Time of Test: < 2 hrs. ( 45 mins. ) Total time of test includes the time sample was aerated. W �1 1 Dissolved Oxygen )mg/1) T W OI N A Gf CO V N A W A N m O X `< VQ V M 3 ti C q 3 � 'c N v o n S v Z N W 1 A � O b V N Y+ a m CITY OF MARION CORPEPIING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and Volatile Solids: In Solid and Semisolid Samples Standard%hdhGds­# 2560 G-2015 GATE: -'4 -i3 TIMEIN: / �j yls f'lL ANALYST: AS TIME OUT: O%4s_a9-L3 ?9�- TEMPOt1T:/Le °C Time Weighed: 159sZ• o (A-BI X 100 (A -D) x 100 SAMPL ID GATE COLLECI sampif Vol. MIL Dish WT. mg. Olah+ WeteamPle m . Dinh+ Dded Residue m . MO. of maidue +dishafter Ignition, mg. Residua Weight Mg. Residue Weight m %Total solids P.tl % Volatile Solids Blank/`ls sa 79 4P7q Si). y179 0, SScw' aH- 65 no /. �� OUR �� -''0 60,7791 q,0Gs1 ,3i.)5 ,57`! '9.L970 A BLK gR,s g,ySS�f A 0. s7) 0, 0013 A OUR6 . - , z� l- 311 B BLK B B DUP. 3`I-2> K5c A)Timeln: 0952— A) Temp, In: (OS B)Time In: B)Temp. In: A)Tima Out:0'/A)Temp.Out: B) Time Out: B)Temp Out: A) Time Weighed: /Oia' B) Time Weighed: A= Weight of dried residue+dish, mg: B = Weight of dish, +��w�e elan, mg D =Weight of realdue+dish after Ignition, mg % Volatile Solids= 1A- 0) x too %Food Solids =l0-B)x 100 A S A-B %Total Solids= —9 /'96 Time (minutes) 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name: Biosolids Permit Number: Date: Digester Temperature: Sampling Date rime: Sampled By: Analysis Date/Time: Analyzed By: Sample Volume: Total Solids: Beginning Temperature: End Temperature: Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Corpening Creek WQ 0019960 3/7/2023 19 3/7/23 1358 Dustin Saine 3/7/23 1436 R. Carter 1000 1.94 25 25 0.0 7.9 1.0 milliliters % Dry Solids degrees Celsius degrees Celsius 2.96 mg Oxygen/hr 0.15 mg Oxygen/g/hr 25 degrees Celsius 0.783526166 Temperature Corrected Specific Oxygen Uptake Rate: 0.12 mg Oxygen/g/hr Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. SOUR OXYGEN UPTAKE RATE D.O. WORKSHEET DATE: 3 - 7 - Z 3 AERATION TIME TIME: START: /V00 i TEMPERATURE: °C STOP: IP35 39 ZX ANALYST: �l�G DO READING START TIME: 14,E RECORD DO READINGS O intervals less than one MINUTE FOR AT LEAST 15 MIN %, Y 1 '%3 11 % 3-3 2 72 I, 2Y 3 '/13 73 %2, 5 %(JL 15 6 j, l'� 16 7 S y 17 8 7— ! 18 9 '1 19 10 -,f 20 Record the temperature at the end of the test: 'S� °C Sample collected by 0S @ time: Temperature of sample: � 0C S- d CITY OF MARION CORPENING CREEK WASTE TREATMENT PLANT LABORATORY Total, Fixed, and volatile Solids: In Solid and Semisolid Samples Standard Methods —a 25,10 G-2015 DATE: Z� TIMEIN: iq AraALvsr: "� 2c 9 I 5'�- TEMP TEMPoirt:l j •c _ P_ / TIMEOIlT:O% i3-9-Z3 .L' Time weighed: Y75 nP 100 fA-D1x 100 10 SA ID DATE CCLLE S Vol. Vol. ML Dish WT. Dish + Wet ssmpie m . Dish+ Dded Residue m . -- MR of n sldue +disheher 1 nidon am. - Residue Weight m . s-o Residua Weight m . c-Is Total Solids A-B % Volatile Solids Blanc a /-z3 81.�39 gl,G321 0,000q 3-7-Z,3 /i6•abd J 8q,21 45/0 ,�.ye9 ppd.ds�4 Z Z �,J�3iat� 3f.Os�1 ,9S sL wa A BLK -%23 '�. 3.9/ 3 0. 000 A zzs d2Z2" .0oov A OUR II z P.//s 0. 0003 e am a B DDP. 3-17-23 cSe- A)nmeln: t6ST A)Temp. In: /65— B)Time In: 8)Temp. In: A) Time out 0 %S 19 A) Temp. out: /,Ps— B) Time Out: B) Temp Out: A) Time Weighed: /0 T 5 8) Time Weighed: A- WeI0h1 ofddad Maus,. dish, mg; Weight of Wait sample +dish. mg Weight of residue+dish after ignition, mg % V012ele Solitls= IA- D) x 100 %Fixed Solitls=lD- R)xloo A B A-B %Total Solids A-S1x1o0= C-B Specific Oxygen Uptake Rate Sour Test Corpening Creek Wastewater Lab Marion, N.C. IdirMTT.'IE9J6'.YiMQ V407f Date: 3/7/2023 Time Sampled: 1358 Sampled By: DS Time Started Aeration: 1400 Time Ended Aeration: 1435 Time test started: 1436 Time test complete: 1451 Analyzed By: RGC Total Time of Test: < 2 hrs. ( 53 mins. ) Total time of test includes the time sample was aerated. Dissolved Oxygen (mg/1) 01 W V N A O1 W pJ N W A M m 0 x DO DO V 3 � C 3 Iv c N ._, .O !v ID o (i 3 N G '* N W I A b K N i V b U) N • enmmnmental Testing Solutions, Inc. Certificate of Analysis Project name: Marion WWTP Collection date: 6-Feb23 Date received: 6-Feb 23 Sample identification: Sludge#1-Crab PO Box 7565 Asheville,NC 28802 Phone: (828)350-9364 Fax: (828)350-9368 Project number: 230206.504 Sample number: 234729 Parameter Method Result RL Units Rate Analyst Footnotes Analyzed %TS SM 2540G 3.3 0.10 % 6-Feb23 KEK Mulitple Tube Fermentation Procedum SM 9221-E 4950 5.9 MPN 6-Feb23 KEK Sample identification: Sludge #2-Grab Sample number: 234730 Parameter Method Result RL Units Analyst Footnotes Analyzed %TS SM 2540 G 3.4 0.10 % 4Feb23 KEK Multiple Tube Fermentation Procedure SM 9221-E 5780 61 MPN s.Feb23 KEK Sample identification: Sludge#3 Grab Sample number: 234731 Parameter Method Result RL Units Analyst Footnotes Analyced %TS SM 2540G 3.3 0.10 % 6-Rb-23 KEK Mulitple Tube Fermentation Procedure SM 9221-E 4290 5.9 MPN 6-Fe 23 KEK Sample identification: Sludge#4 Grab Sample number: 234732 Parameter Method Result RL Units Data Analyst Footnotes Analyze) °/aTS SM 2540 G 3.3 0.10 % &FY23 KEK Mulitple Tube Fermentation Procedure SM 9221-E 6600 5.9 MPN 6-FJzs KEK Footnotes: RL— Reporting Limit. Values are reported down to the Reporting Limit only. Date reviewed: NC Certification Number: 600 Data reviewed by: Kelley E. Keenan SC Certification Number: 99053 Signature: NC Drinking Water Certification Number: 37786 This rl should not be reproducM,ex,t inmrntirety,without the 3m¢en consent of Environmental Turing Solutions. Inc The results in Nis report relate only to the samples submiltcd for anal33is. - - PO Box 7565 :. Asheville, NC 28802 Phone: (828)350-9364 - . Fax: (828)350-9368 .�.. Enmrnnmandlrasan9solanonRInc. Certificate ofAnalysis Project name: Marion WWTP Project number: 230213.503 Collection date: 13-Feb-23 Date received: 13-Feb-23 Sample identification: Sludge 85 - Grab Sample number: 235088 Parameter Method Result RL Units Date Analyst Footnotes Analyzed a/oTS SM 2540 G 3.3 0.10 % 13-1`A23 KEK Muliti le Tube Fermentation Procedure SM 9221-E 16170 5.9 MPN 13.Fh 23 KEK Sample identification: Sludge N6-Grab Sample number: 235089 Parameter Method Result RL Units Analyst Footnotes AneIyzed %TS SM 2540 G 3.3 0.10 % 13-Ftb23 KEK Mulitple Tube Fermentation Procedure SM 9221-E 16170 5.9 MPN 13.1`eo-23 KEK Sample identification: Sludge87Grab Sample number: 235090 Parameter Method Result RL Units Date Analyst Footnotes Analyzed %TS SM 2540 G 3.3 0.10 % u-F.b-23 KEK Mulitple Tube Fermentation Procedure SM 9221-E 10890 5.9 MPN 13-R623 KEK Footnotes RL = Reporting Limit. Values are reported down m the Reporting Limit only. � a� DDateoa� e reviewed: NC Certification Number: 600 Dam reviewed by: Kelley E. Keenan SC Certification Number: 99053 Signature: it, NC Drinking Water. Certification Number: 37786 Thisaports ouldnot be rcpsoduccd, exept in its enurcty, without the written comentof Environmental Testing Solutions, Inc. The results in this Mien relate only to the samples submitted for analysis. Environmental Testing Solutions, Inc. Project name: City of Marion Collection date: 13-Feb-23 Dalereceived: 13-Feb-23 Sample identification: FS TCLP-Grab Certificate of Analysis PO Box 7565 Asheville,NC 28802 Phone: (828)350-9364 Fax: (828)350-9368 Project number: 230213.505 Sample number: 235094 Parameter Method Result RL Units Data Analyst Footnotes Analyzed Arsenic -TCLP 200.7 <1.0 1.0 mg/L 20-1`.623 ECHEM 1 Barium -TCLP 200.7 <I.0 1.0 mg/L 20-Feb23 ECHEM 1 Cadmium-TCLP 200.7 <I.0 1.0 mg/L 20-Fab23 ECHEM 1 Chromium -TCLP 200.7 <I.0 1.0 mg/L 20-1`0623 ECHEM 1 Lead -TCLP 200.7 <1.0 1.0 mgtL 20-Fea23 ECHEM 1 Selenium -TCLP 200.7 <1.0 1.0 mg/L 20-1`co-23 ECHEM 1 Silver -TCLP 200.7 <1.0 1.0 mg/L 20-Fs23 ECHEM 1 Mercury -TCLP 245.1 <0.0002 0.0002 mg/L 10-FsW3 ECHEM 1 Full Scan TCLP Organics See attached sheets ECHEM L 2 Reactive Cyanide 335.4 1.30 mg/kg 35-F.623 ECHEM 1 Reactive Sulfide SM 4500 S D 0.09 0.05 mg/kg is-Faa23 ECHEM 1 Ignimbility, SW 8461010 >157 157 eF 15-FA23 ECHEM 1 Arsenic 200.7 -25.6 mg/kg 20-Rb23 ECHEM 1 Cadmium 200.7 <25.6 mg/kg 20.Fm23 ECHEM 1 Copper 200.7 566 mg/kg 20-F.W3 ECHEM 1 Lead 200.7 70.5 mg/kg 2o-Fes23 ECHEM 1 Molybdenum 200.7 66.6 mg/kg 20-Feb23 ECHEM 1 Nickel 200.7 <25.6 mg/kg 20-1`e623 ECHEM I Selenium 200.7 <25.6 mg/kg 20-F.b23 ECHEM I Zinc 200.7 1530 mg/kg MFeFQ3 ECHEM I Aluminium 200.7 13100 mg/kg 23-FA23 ECHEM 1 Calcium 200.7 16800 mg/kg 2o-rm23 ECHEM 1 Magnesium 200.7 5090 mgdcg 20.Feb23 ECHEM I Potassium 200.7 4490 mg/kg 2PFW2s ECHEM 1 Sodium 200.7 1460 mg/kg 2o-F.b23 ECHEM 1 Mercury SW 8467471 B 0.711 mg/kg 20-F.b23 ECHEM 1 Total Kjeldahl Nitrogen 351.2 39600 mg/kg 3-Mu-23 ECHEM 1 Nitrate+Nitrate - Nitrogen 353.2 14.6 mg/kg 13-R. 23 ECHEM 1 Total Phosphorus 200.7 23600 mg/kg 2-Ma-23 ECHEM 1 Total Solids (%) SM 2540 B 3.32 % I&F.W3 ECHEM 1 %Total Solid SM 2540 G 3.3 % 13-1`.623 KEK Ammonia Nitrogen SM 45W NH30 580 61 mg/kg I&F.6-23 KEK N-Pav Calculation 12011 mg/kg m.Ma-23 KEK Sodium Adsorption Ratio(SAR) Calculation 14 mg/kg lam,.-23 KEK PH SW 846 9040 C 5.0 0.1 S.U. 13-R. 23 KEK 3 The results in this report relate only to the smnples sub.lutd 777 1 _ Environmental Testing SoWuons,Ina. Certificate of Analysis Footnotes: RL = Reporting Limit. Values are reported down to the Reporting Limit only. 1. Sample cou lryed by Enviro Chemists, Inc. 2. Analyzed on 02-I6-23, 02-I8-23 and 02-22-23. 3. Sample received and analzyed outside hold time. Date reviewed: ()S 5.Z 3 Data reviewed by: Kelley E. Kremlin Signature: w PO Box 7565 Asheville, NC 28802 Phone: (828)350-9364 Fax: (828)350-9368 NC Certification Number: 600 SC Certification Number: 99053 NC Drinking Water Certification Number: 37786 This rep is should net be reproduced, exert in to entirely, withoutthe written coecentof Environmental Testing Solutions, Inc. The rectum in this report relate only tole samples submitted for analysis. Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 . 910.392.02231ab . 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 tab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 tab/Fax ANAD71CAL a CONSULTING CHEMISTS info&nvironmentalchemismcom Environmental Testing Solutions, Inc. Revised Report: Mar 14, 2023 Post Office Box 7565 Original Report Date: Mar 08, 2023 Asheville NC 28802 Report p: 202M2965 Attention: Customer ID: 08100055 Project ID: Marion W WTP Sludge Lab ID Sample ID: Collect Date/Time Matrix Sampled by 23-07308 Site: CC - Sludge 2/13/2023 T32 AM Solid/Sludge Client Test Method Results Date Aluminum EPA 2007. Rev. 4.4. 19" 13100mg/kg 02123/2023 Arsenic EPA 2007. Rev. 4.4, 19W <25.6 mg/kg 02/20/2023 Cadmium EPA 200.7, Rev. 44. ION <25.6mg/kg 02/20/2023 Calcium EPA 200.7• Rev. 4A. ION 16800mglkg 02/20/2023 Copper EPA20a 7, Rau. 44. ION 566 mg/kg 02/20/2023 Lead EPA M0.7. Rev, 44.1994 70.5ITI 02/20/2023 Magnesium EPA 200.7, Rev. 4.4. 1ON 5090mg/kg 02/20/2023 Molybdenum EPA 200.7. Rev. 4.4. 19" 66.6 mglkg 02120/2023 Nickel EPA 200.7. Rev. 44. ION <25.6 mg/kg 02120/2023 Potassium EPA 200.7. Rev. 4A, ION 4490 mglkg 02/2012023 Selenium EPA200.7. Rev. 4.4. 19M <25.6 mglkg 02/20/2023 Sodium EPA 2007. Ray. 4.1994 1460mg/kg 02/20/2023 Zinc EPA Mo.7, Rev. 4A. 1a" 1530 mg/kg 0212012023 Total Solids I%) SM 2e40e 3.32% 02/16/2023 Total Kieldahl Nitrogen(TKN) sM 4500 Noq e-20I I 39600mg/kg 03/03/2023 Total Phosphorus SM 4500 P(F-H).2011 23600 mg/kg 03/02/2023 Mercury swa87411 a 0.711 mg/kg 02/20/2023 Chlordane(TCLP) swae e011'a <0.02mg/L 02116/2023 Endrin(TCLP) swa45 e041a <0.0005mg/L 02/1612023 Heptachlor(TCLP) SW -NO east <0.0005mg/L 02/16/2023 Heptachlor epoxide(TCLP) W+-U6Mel B <0.0005 mg/L 02/16/2023 Llndane(TCLP) swats 009I9 <0.0005 mgIL 02/16/2023 Methoxychlor(TCLP) s9va46 e091e <0.0005 mgIL 02/16/2023 Toxaphene(TCLP) SWa46 8091e <0.05 mg/L 02/16/2023 2,4,5-TP(TCLP) SW-Na 8151A <0.003mg/L 02116/2023 2,4-D(TCLP) sw4545 8151A <0.003 mgIL 02116/2023 fle,dif, 202102965 Pagel.13 Environmental Chemists, Inc. envirochem 6602 Windmill Way, Wilmington, NC 28405 . 910,392.0223 Lab . 910.392.4424 Fax 710 Bowserlown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 Lab/Fax ANALYTICAL a CONSULTING CHEMISTS info gemironmemalchemismcom Environmental Testing Solutions, Inc. Post Offx:e Box 7565 Asheville NC 28802 Attention: Revised Report: Mar 14, 2023 Original Report Date: Mar O8, 2023 Report M: 2023-02965 Customer ID: 08100055 Project ID: Marion W WTP Sludge 1,4-Dlchlorobenzene(TCLP) swa6 U70E <0.050mg/L 02/22/2023 2,4,5.Trichlorophenol(TCLP) SWa6 V70E <0.050mgr- 02/22/2023 2,4,6-Trichlorophenol(TCLP) swab 8270E <0.050 mg/L 02/222023 2,4-Dinitrololuene(TCLP) swae a270E <0.050 mg/L 02/22/2023 Cresol (TCLP) SWa68270E <0.050 mgIL 02/222023 Hexachloro-1,3-butadiene(TCLP) swae 6270E <0.050mg/L 02/222023 Hexachlorobenzene(TCLP) swan 6270E <0.050mgIL 02/22/2023 Hexachloroethane(TCLP) swa68270E <0.050 mg/L 02/22/2023 m + p-Cresol (TCLP) Swa68270E <0.050mg/L 02/2212023 Nitrobenzene (TCLP) SW8168270E <0.050 mg/L 0212212023 o-Cresol(TCLP) SWa682TOE <0.050 mg/L 02/222023 Pentachlorophenol(TCLP) swae 8270E <0.250 mg/L 02/222023 Pyddine(TCLP) SWd466270E <0.050mg/L 02/222023 1,1-Dichlofoethylene(TCLP) swae MathM 82Mo <0.01 mg/L 2/1812023 1,2-Dichloroethane(TCLP) swae Meax,JON0D <0.01 mg/L 2/1812023 Benzene (TCLP) swa6MMhoda260o <0.01 mg/L 2/1812023 Carbon Tetrachloride (TCLP) swae M66gd 82WO <0.01 mgIL 2/18/2023 Chlorobenzene(TCLP) swae Meevd e29oo <0.01 mg/L 2I18I2023 Chloroform (TCLP) swasr dtxKls oo <0.01 mg/L 2/18/2023 Methyl ethyl ketone (TCLP) SWae Mews SMD <0.05 mg/L 2/182023 Tetrachloroethylene(TCLP) swae MdxxJ 62WD <0.01 mgIL 2/18/2023 Trichloroethylene(TCLP) swae WINXIO D <0.01 mg/L 2I182023 Vinyl Chloride ITCLP) swaa Mawd 82e0o <0.01 mgIL 2/182023 Total Nitrogen nalWN"mO 39600 mg/kg 03/0712023 RCI Cyanide W4500CND3016 1.30mglkg 02/1512023 Sulfide SM45WSD 0.09 mglkg 02/16/2023 Ignitability SWal6mewd70m >157'17 02/15/2023 TCLP Metals Repon/. 202302685 Pa,e203 Environmental Chemists, Inc. envirochem 6602 Windmill Way, Wilmington, NC 28405 . 910392.0223 Lab . 910.392.4424 Fax ® 710 Bowsenown Road, Manteo, NC 27954 . 252.473.57021ab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5843 tab/Fax ANAMCAL 8 CONSULTING CHEMISTS infoQcnvimnmcmalchemisticom Environmental Testing Solutions, Inc. Post Office Box 7565 Asheville NC 28802 Attention: Revised Report: Mar 14, 2023 Original Report Date: Mar 08, 2023 Report #: 202"2965 Customer ID: 08100055 Project ID: Marion W WTP Sludge Arsenic(TCLP) EPA 2001, Rev. 4A,19a4 <1.0mg1L 02202023 Barium(TCLP) EPA200.7,R614.4,1e24 <1.0mg1L 02202023 Cadmium (TCLP) EPAZQJ,R 4'4.1W <1.Omg/L 02202023 Chromium(TCLP) EPAM0.1,Ra.A4.19W <1.0mg/L 02202023 Lead(TCLP) EPAMI.Rm.4.4,1294 <1.Omg/L 0220/2023 Selenium(TCLP) EPAmnz Rev.4.4.192 <1.0 mg/L 02202023 Silver(TCLP) EPA200.7.RwA4.1W <1.Omg/L 02/2012023 Mercury(TCLP) EPA245.1 <0.0002 mg/L 022O/2023 Total Nitrogen (talc) Nitrate+Nitrite-Nitrogen EPA 3532 14.Bmg/kg 02/17/2023 Comment: Sludge residual results reported on a dry weight basis. AMENDED 03-14-2023 to add Selenium Reviewed by: Rep * 202302665 Pape3a3 Environmental Chemists Inc. 8270E Method Blank Summary - TCLP Prep Batch t123-056 Sample Amounts in mg/L MB 23.056 Compound Sample Amount Pyridine <0.050 1,4-Dichlorobenzene <0.050 2-Methylphenol <0.050 3&4-Methylphenol <0.050 Nitrobenzene <0.050 Hexachlorobutadiene <0.050 2,4,6-Trichlorophenol <0.050 2,4,5.Trichlorophenol <0.050 2,4-1)initrotoluene <0.050 Hexachlorobenzene <0.050 Pentachlorophenol <0.250 Eo,,hanmental Chemists Inc. Internal Standard/ Surrogate Recovery Check MS/MS esro.. 3/2/2023 moarea QC Section ICAL "MB 23-056" "LCS 23-056" "LCSD 23-056" "23-07308" l.a oxnwoe.venea9 1148182 959939 1000809 1139828 963420 xaph"tor W 2352223 1963738 2245511 2282042 2240746 M6rllhxnwGla 2388513 1378791 1192704 1515408 1385468 Fh oahllrl,da 2148401 2092951 1950012 2230009 2320769 amaaaal2 1625289 1817434 1343631 1530453 1979002 9<NIen412 2615019 2616557 2279939 2711391 2694399 x'AL Law KO QCSectlpn ICAL host IWIt 'Mg 23-056' 'LCS 23D56' 'LCS023L56' '23WNS' 1148182 s14*91 22963M pass pass pass pass 2352223 1176112 4704a36 pazs pass pass pass 1388513 696216 2771026 pass pass pass pass 2148401 1074201 4296503 pass pass pass pass 1625289 811645 3ZM79 pass pass pass pass 2615019 1301510 5130038 pass pass pass pass Aqueous Aqueous spike amt ug/ml low high low high QC Section 10 20 BLg/LFB SAMPLES 'Ms 23456" 'LCS 23-056" 'LC5023.056' '2307308' 2-tluorophenol 40 8.00 54.5 2.83 61.4 11.082 7.765 7.94 9.859 phenol-d6 6.10 38.3 0.405 46.4 6.288 4.922 5.139 5.941 nitrobenzene-05 20.4 97.3 18.4 88.4 15.196 12.892 15.009 12.263 2-fluorobiphenyi 14.9 112 15.0 96A 9.372 15.292 14.857 11,477 2,4,6-tribromophenol 48.9 114 32.1 133 15.171 18.397 17.897 15.523 terphenyl-d14 36.5 its 31.4 120 19.205 1778 17.52 17.789 'Surrogate limits updated 08/01/2022 OF-, 1 1 'Ma 23-0S6' RCS 23-056' "LCSa 230S6' '23-0730s' 10 2-fluorophenal 55.41 38.825 39.7 49.295 phenol.d6 31.44 24.61 25.695 29.705 nitrobenzene-d5 75.98 64.46 75.045 61.315 2-fluoroblphenyl 46.86 76A1 74.285 57385 2,4,6-tribromophenol 75.855 91.985 89.485 77.615 terphenyl-d14 96.025 88.9 37.6 88.945 'Ma 234D56' 'L623 S 'LM 230 '23-0730p' 2-fluorophenoi high pass pass pass phenol.d6 pass pass pass pass nitrobenzene.d5 pass pass pass pass 2-fluombiphenyi Pass pass pass pass 2,4,64ribromophenal On pass pass pass terphenyl-d14 pass pass pass pass Environmental Chemists Inc. Internal Standard / Surrogate Recovery Check MS/MS Reftrence 3/3/2023 iSTOAre. QC Section CCU "23-07308 MS" 1,4mid obenzened4 1115526 1090864 N.phtha1ene 48 2108316 2261135 memphmtne-mo 1329011 1418303 phenrnft.AI0 2124386 233GS39 Cbnse.Al2 1451698 1528079 h'renedlz 2192787 2452337 ¢AL Low Nqh QC Section CCV nmit nm4 "23-07308 MS" 1115526 557763 Z231052 pass 2108316 1054158 4216632 pass 1329011 664505 2GS8022 pass 2124386 3052193 4248772 pass 1451698 725649 2903396 pass 2192787 2096394 4365574 pass Aqueous Aqueous spike amt ug/ml low high low high QCSection 10 20 BLK/LFB SAMPLES "23477308 MS' 2-fluorophenol 40 8.00 54.5 2.83 64A 8.368 phenol-d6 6.20 38.3 0.405 46.4 5.535 nitrobenzene-d5 20.4 97.3 18.4 $8.4 15.081 2-fluorobiphenyl 14.9 112 15.0 96.6 35.825 2,4,6.tribromophenol 48.9 114 32.1 133 17.495 terphenyl-d14 36.5 118 31.4 120 20.436 -Surrogate limits updated 08/01/2022 '23-07308 MS' 10 2-fluorophenol 41.84 phenol-d6 27.675 nitrobenzene-d5 75.405 2-fluorobiphenyl 79.125 2,4,6-trlbromophenol 87.475 terphenyl-d14 102.18 '23,07308 Ms' 2-fluorophenol pass phenol-d6 pass nitrobenzene-d5 pass 2-fluorobiphenyl pass 2,4,6-tribromophenol pass terphenyl-d14 pass !||!!|| E�§■|k\ E§§t§w\ �!!�{• {|ili�E §$(§§§" Ei5■B*� ( (§5t §(§■§§� Environmental Chemists Inc. 8270E-625 Retention Time Check CCV DATE: 3/3/23 Internal Standard LS 1,4-Dichlorobenzene-d4 6.278 Naphthalene -dB 7.799 Acenaphthene-d10 9.944 Phenanthrene-d10 11.774 Chrysene-d12 15.138 Perylene-d12 17.329 Mean FIT Internal Standard -/t 30 sec. "23-07308 MS" ` 1,4-Dichlorobenzene-d4 5.778 6.778 6.208 Naphthalene-d8 7.299 - 8.299 7.728 Acenaphthene-d10 9.444 - 10.444 9.877 Phenanthrene-d10 11.274 - 12.274 11.696 Chrysene-d12 14.638 - 15.638 15.069 Perylene-d12 16.829 - 17.829 37.243 F D r Q J W Oj Gp L O N» O N pmG� �Ap p pY O, 3 P Environmental Chemists Inc. 8270E TCPL MS/MSD Recovery Summary Prep Batch N 23- 56 Spike Amclug/ml) 10 20 40 SO "23-07308 MS" Compound Spk Amt.(ug/ml) Calc. Amt.(ug/ml) %REC. CtC Limits Pyridine 20 2.20 11 0.1 - 50.0 1,4-Dichlorobenzene 20 13.07 65 20.0 - 88.7 2-Methylphenol 20 12.17 61 18.1 - 87.1 3&4-Methylphenol 20 11.17 56 0.1 - 12S.6 Nitrobenzene 20 1S.51 78 14.8 - 124.4 Hexachlorobutadlene 20 13.61 68 22.5 - 102.2 2,4,6-Trichlorophenol 20 13.73 69 5.4 - 108.7 2,4,5-Trichlorophenol 20 16.69 1 83 34.7 117.9 2,4-Dinitrotoluene 20 20.44 102 31.2 - 139.5 Hexachlorobenzene 20 18.18 91 32.0 - 118.1 Pentachlorophenol 20 20.21 101 43.5 - 146.1 Recovery Llmlts Updated M/D9/22 [envirochem ANALYTICAL A CONSULTING CHEMISTS LCS Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 - 910.392.02231ab ' 910392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 • 252.4735702 Lab/Fax 255 A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5843 Lab/Fax infW,nLnvnoamcnlalchem6lxcom QC ETS- 2023-02965 Parameter True Value mg L Recull % True Value Lfmils A ummum 1.0 0.98 90-I1 Arsenic 1.00 1.01 101 90-110 Barium 1.00 1.01 101 90-110 Cadmium 1.00 1.02 102 90-110 Calcium 2.00 2.01 101 90-110 Chromium 1.00 0.99 99 90-110 Cyanide 1.00 0.90 90 90-110 Copper L00 1.01 101 90-I10 Lead I.00 1.02 102 1 90-I10 Magnesium 2.00 2.03 102 90.110 Mercury 0.0050 0.0053 106 90-110 Mercury 0.0050 1 0.0053 106 90-110 Molybdenum 1.00 1 0.99 99 90-I10 Nickel 1.00 1 1.02 102 90-I10 NO2,NO3 1.00 1 1.03 103 90-110 Potassium 2.00 1 1.96 98 90.110 Selenium 1.00 1.00 100 90-110 -Silver 0.100 0.102 102 90.110 Sodium 2.00 2.00 100 90-110 Sulfide 0.50 0.46 92 90-110 TKN 0.50 0.5 I00 90-110 TP L60 1.50 94 90.110 TS°/a N/A N/A NIA NIA Zinc 1.00 1.04 104 90-110 MS/MSD Parameter True MJZIL Recovery M91L % Recovery % Di erence Limits % Recovery Limits % Difference Aluminum 0.100 0.109/0.098 109/98 11 80-120 520 Arsenic 0.100 0.104/0.099 104/99 5 90.120 <20 Barium 0.100 0.097/0.099 97199 2 80.120 <20 Cadmium 0.100 0.099/0.098 99/98 1 80.120 <20 Calcium 1.00 0.95/0.99 95199 4 80.120 520 Chromium 1.00 0.095/0.094 95/94 1 80-120 520 Cyanide 5.00 3.8/3.9 40•/42• 2 70.130 <30 Copper 0.100 0.100/0.100F93/101 0 <20 Lead 0.100 0.098/0.097 1 < 20 Magnesium 0.100 0.093/1.01 8 s 20 Mercu 0.0020 0.0021/0.0021 0 520 Mercu 0.0040 0.0042/0.0043 3 PM120 520 Mol bdenum 0.100 0.697/0.097 0 <20 Nickel 0.100 0.101/0.101 0 <20 NO2+NO3 0.50 0.5010.52 4 <_20 Potassium 1.00 10210.98 4 <20 Selenium 0.100 1 0.093/0.097 93/97 4 80-120 <20 Silver 1.00 0.097/0.096 97/96 1 80.120 520 Sodium 1.00 1.03/1.02 103/102 1 80-120 <20 Sulfide 0.50 0.46/0.47 92/94 2 80.120 <20 TKN 10.0 11.2/I1.2 112/112 0 80-120 520 TP 2.00 2.10/2.04 1051102 3 80-120 :520 TS°h N/A N/A N/A N/A N/A N/A Zinc 0.100 0,105/0.105 1051105 0 80-120 520 'Result valid. Matrix Interference. DUPLICATE SAMPLES Parameter R�sul�s %Dierence Limits% TS% 1 1.77 1.81 2 510 BLANKS Parameter Results m /L Limit mg/L Aluminum <0.005 0.005 Arsenic <0.005 0.005 Barium <0.005 0.005 Cadmium <0.005 0.005 Calcium <0.25 0.25 Chromium <0.005 0.005 Cyanide <0.5 0.5 Copper <0.005 0.005 Lead <0.005 0.005 Magnesium <0.25 0.25 Memo <0.0001 0.0001 Mercury <0.0002 0.0002 Molybdenum <0.005 0.005 Nickel <0.005 0.005 NO2+NO3 <0.01 0.01 Potassium <0.25 0.25 Selenium <0.005 0.005 Silver <0.005 0.005 Sodium <0.25 0.25 Sulfide <0.025 0.025 TKN <0.25 0.25 TP <0.02 0.02 TS°/n N/A NIA Zinc <0.005 0.005 QC2302521 23-07308 1,2-Dichloroethane-64 98.06 SO-120 23-07308 4-Bromofluorobenzene 10327 80.120 23-07308 Dibromofluoromethane %.75 80.120 23-07308 Toluenc-d8 99.25 80.120 LCSIO 1 1,2.Dichloroethane-d4 97.79 90. 120 LCSI01 4-Bromofluorobenzene 10027 80-120 LCSI01 Dibromofluoromethane 96.40 80-120 LCSIOI Toluened8 101.28 80.120 LCS151 1,2-Dichloroethaned4 105.06 80-120 LCSISI 4-Bromofluorobenune 103.70 80-120 LCS 151 Dibromofluoromethane 103.23 80-120 LCSIS I Toluen"S 107A5 80.120 LCS152 1,2-Dichloroethand4 108.81 90- 120 LCS 152 4.Bromofluorobenune 108.42 90.120 LC9152 Dibromofluoromethane 107.37 90.120 LCSI52 Toluened8 107.05 80-120 LCS201 1,2-Dichloroethaned4 98.80 80. 120 LCS201 4.8romofluorobenune 100.62 80-120 LCS201 Dibromofluoromethane 97.61 80.120 LCS20 1 Toluene-d8 106.19 80-120 LCS202 1,2-Diehloroethane-d4 102.03 80-120 LCS202 4-Bromofluorobenzene 102.65 80. 120 LCS202 Dibromofluoromethane 102.94 80-120 LCS202 Toluened8 102.93 SO. 120 LFBIO I 1,2-Dichlorocthened4 100.31 80- 120 LFBI01 4-Bromofluorobenzene 101.48 SO. 120 LFBI01 Dibromofluoromethane 102,11 80.120 LFBI01 Toluene -de 103.64 80.120 LFBISI 1,2-Dichlorocthaned4 103.63 80-120 LFBISI 4-Bromofluorobenune 106.42 80-120 LFB151 Dibromofluoromethane 104.59 90-120 LFB151 Toluene-d8 105.37 80-120 LFBI52 1,2-Dichlotoethaned4 102.74 80-120 LFB 152 4-Brunofluorobenzene 103.50 SO. 120 LFBI52 Dibromofluoromethane 103.10 80-120 LFBI52 Toluene-d8 105.02 80-120 LFB201 1,2-Dichloroethaned4 101.33 80-120 LFB20 I 4-Bramofluarobenzene 103.37 90- 120 LFB201 Dibromofluoromethane 101.18 80-120 LF8201 Toluene-d8 IM69 80-120 LFB202 1,2-Dichlomethane-d4 103.80 $0.120 LFB202 4-Bromofluorobenure 103.65 80. 120 LF8202 Dibromofluoromethane 103.87 80-120 LFB202 Toluene-d8 103.97 80-120 Method Blank I 1,2-Dichloroelhamed4 97.15 $0. 120 Method Blank 1 4-Bromofluorobenzene 104.00 80-120 Method Blank 1 Dibromofluoromethane 96.41 80 - 120 Method Blank 1 Toluened8 100.61 90- 120 Method Blank 1,2-Dichloroethaned4 99.49 80.120 Method Blank 4-Bromotluorobenune 106.13 80.120 Method Blank Dibrom fluoromethem 96.71 90.120 Method Blank Toluene-d8 100.46 80-120 Method Blank 3 1,2-Dichloroethaned4 88.62 80-120 Method Blank 4-Bromolluorobenune 91.49 80-120 Method Blank Dibromolluorome(hane 86.69 80.120 Method Blank 3 Toluene -de 99.56 80 -120 Method Blank 1,2-Dichlormthme-d4 100.06 80-120 Method Blank 4 4-Brom fluorobenum 106.34 80 - 120 Method Blank Dibrum fluoromethme 99,91 80-120 Method Blank Tolmmd8 99.74 80-120 Method Blank 5 1,2-Dichloroethane-d4 101.06 80. 120 Method Blank 5 4-BromaOuorobenune 104.60 80- 120 Method Blank 5 DibromoBuoromethane 99.21 80- 120 Method Blank 5 Toluenad8 99.59 80. 120 MS151 1,2-Dichloroethanc-d4 104.38 80-120 MS151 4-Bromolluorobenzene 99.98 80-120 MS151 Dibromotluoromethane 105.50 80-120 MSI51 Toluened8 104.08 80-120 MSDISI 1,2-Dichlormthme-d4 101.86 80-120 MSDIS I 4-BromoOuorobenzem 100.93 80- 120 MSD151 Dibromo0uoromethane 103.75 80-120 MSDISI Toluene-d8 102.37 80-120 QC Results pgmmdK-,___ .%Rase IRPD CaMro1LImIIR� QC2302521 23-07655A: M515 1 I,1-Dichloroethylem (TCLP) 103.14 80. 120 23-07655A: MS151 1,2-Dichlormlhane(TCLP) 104.98 80.120 23-0765SA: MSI51 Benune(TCLP) 105.12 80-120 23-07655A: MSI51 Carbon Tetrachloride (TCLP) 105A5 80.120 23-07655A: MSI51 Chlorobenune(TCLP) 108.15 80.120 23-07655A: MS151 Chlorofotm(TCLP) 106.03 80-120 23-07655A: M9I5 1 Methyl ethyl ketone (TCLP) 109.67 80.120 23-0765SA: MSISI Tetachloroethylene(TCLP) 97.6 80.120 23-07655A: MSI5 1 Trichlormthylene (TCLP) 101.38 80 - I20 23-07655A: MSI51 Vinyl Chloride (TCLP) 95.76 80.120 23-07655A: MSDISI i,l-Dichloroethylem(TCLP) 9.1711 0.12.5 23-07655A: MSD151 1,2-Dichloroelhane(TCLP) 1.9169 0-12.3 23.07655A: MSD15 1 Benzene(TCLP) 1.6787 0-10 23-0765SA: MSDISI Carbon Tetrachloride (TCLP) 4.862$ 0.10 23.07655A: MSDIS I Chlorobenune(TCLP) 2.4334 0-10 23-07655A: MSD151 Chlmororm(TCLP) 2.3919 0-10 23-0765SA: MSDI51 Methyl ethyl ketone(TCLP) 0.0976 0-25 23-07655A: MSDI5 I Tetrechlormthylene (TCLP) 1.908 0 -10 23-07655A: MSDISI Trichloroethylene CrCLP) 2.0032 0-10 23-07655A: MSDI51 Vinyl Chloride (TCLP) 2.0125 0-15 LCSIO1 1, 1 -Dichlorwhylene (TCLP) 96.72 80.120 LCSI01 1,2.Dichlormthane(TCLP) 100.16 80-120 LCSIO i Benzene (TCLP) 102.74 80 - 120 LCSI01 Carbon Tetrachloride (TCLP) 101.86 80.120 LCSIOI Chlorobenzene(TCLP) 108.26 80.120 LCSI01 Chlomform(TCLP) 102.26 80-120 I.CSIO 1 Methyl ethyl ketone (TCLP) 99.73 90. 170 LCSI01 Teirachlomethylem(TCLP) 98.09 80.120 LCSIOI TrichloroethylenC(TCLP) 95.22 80-120 LCSI01 Vinyl Chloride (TCLP) 94.35 80-120 LCS 151 1,1-Dichimmthylene(TCLP) 100.99 80.120 LCS 151 1,2-Dichloroethane(fCLP) 103.02 80-120 LCS 151 Benune(TCLP) 104.97 80-120 LCSI51 Carbon Tetrachloride (TCLP) 102.55 80-120 LCS 151 Chkaobenzme(TCLP) 110.55 80.120 LCS151 Chloroform(TCLP) 105.88 80-120 LCS15I Methyl ethyl ketone (TCLP) 104.24 80.120 LCSI51 Tetrachloraethylene(TCLP) 101.16 So. 120 LCS151 Trichloroethylene(TCLP) 100.14 80-120 LCSI51 Vinyl Chloride (TCLP) 97.39 80-120 LCS I52 1,1-Dichloroethylene(TCLP) 100.87 80-120 LCSI52 1,2-Dichloroetharm(TCLP) 108.18 80-120 LCSIS2 Benune(TCLP) 107.62 80.120 LCS15 2 Carbon Tetrachloride (TCLP) 102.42 90.120 LCS15 2 Chlorobenune (TCLP) 109.97 80- 120 LCS15 2 Chloroform (TCLP) 110.74 80 -120 LCSIS2 Methyl ethyl ketone (TCLP) 109.64 80.120 LC8I52 Tetrachlotoethylene(TCLP) 99.92 80-120 LCSI52 Trichkroethylene(TCLP) 102.75 80.120 LCSI52 Vinyl Chloride (TCLP) 102.71 $0.120 LCS201 1.I-Dichloroelhylcm(TCLP) %.02 80-120 LCS201 1,2-Diehlormthane(TCLP) 97.89 80-120 LCS201 Benune (TCLP) 97.95 80 - 120 LCS201 Carbon Tetrachloride (TCLP) 99.28 80 -120 LCS201 Chlorobenzene(TCLP) 105.58 90.120 LCS201 Chloroform(TCLP) 100.2 80.120 LCS201 Methyl ethyl ketone (TCLP) 94.48 80. 120 LCS201 Tetrachloroethylene(TCLP) 100.67 80-120 LCS201 Trichlomelhylene(TCLP) 94.64 80-I20 LCS201 Vinyl Chloride(TCLP) 102.52 $0.120 LCS202 i,l-Dichloroethylcnc(TCLP) 97.08 80-120 LCS202 1,2.Dichloroethane(TCLP) 101.83 80-120 LCS202 Benzene (TCLP) 99.74 80-120 LCS202 Carbon Tetrachloride (TCLP) 99.36 80-120 LCS202 Chlorobenzene(TCLP) 105.99 80-120 LCS20 2 Chloroform (TCLP) 103.89 80 - 120 LCS20 2 Methyl ethyl ketone (TCLP) 102.12 80. 120 LCS202 Tetrachlorcethylene(TCLP) 99.7 80.120 LCS202 TTichloroelhylene(TCLP) 99.64 80.120 LCS20 2 Vinyl Chloride (TCLP) 87.43 80 - 120 LFBIO 1 I,I-Dicblmoethylene(TCLP) 99.14 80-120 LFBIO 1 1,2-Dichloroethene(TCLP) 103.17 80-120 LFBIO 1 Benzene (TCLP) 103.97 80-120 LFBIO I Carbon Tetrachloride (TCLP) 103.37 SO. 120 LFBIO I Chlombenzene (TCLP) 112.24 80 - 120 LFBIO 1 Chlorofortn(TCLP) 106.54 80.120 LFBIO 1 Methyl ethyl ketone (TCLP) 105.6 80.120 LFBIO 1 Tetmchloroethylene(TCLP) 100.33 80-120 LFBI01 TTichlorwhylene(TCLP) 98,25 90.120 LFBIO 1 Vinyl Chloride (TCLP) 99.12 30. 120 LFBI51 1,1-Dichlmmthylene(TCLP) 102,18 80.120 LFBI51 1,2-Dichloroethene(TCLP) 103.67 SO- 120 LFBI51 Benzene (TCLP) 103.85 SO. 120 LFBI5 1 Carbon Tetrachloride (TCLP) 103.94 80- 120 LFB151 Chlorobenzene(TCLP) 111.04 SO. 120 LFB151 Chlorofmm(TCLP) 105.07 90.120 LFBI51 Methyl ethyl ketone (TCLP) 105.69 90. 120 LFBI51 Tetrachloroethylene(TCLP) 100.55 80-120 LFBI51 Triehlorcethylene(TCLP) 99.68 80.120 LFBISI Vinyl Chloride (TCLP) 100.73 80.120 LFB IS2 1.1-Dichtomcthylene(TCLP) %.53 80-120 LFB 152 1,2.Dichtorcethane(TCLP) 102.67 80-I20 LFB 15 2 Benzene (TCLP) 103.33 80 - I20 LFB 15 2 Carbon Tetrachloride (TCLP) 101.09 80 - 120 LFB 152 Chlorobenune(TCLP) 109.65 80.120 LFB I52 Chlorofom(TCLP) 105.92 80-120 LFBI5 2 Methyl ethyl ketone (TCLP) 103.68 80- 120 LFB 152 Tetntchloreethylene(TCLP) 99.48 80-120 LFBI52 Trichlmeethylene(TCLP) 100.58 80.120 LFB I52 Vinyl Chloride (TCLP) 97.33 SO- 120 LF8201 1,1-Dichloradhylene(TCLP) 101.66 80-120 LFB201 1,2.Dlchlormthane(TCLP) 102.02 90.120 LFB201 Benzene (TCLP) 100.25 80.120 LFB201 Carbon Tetrachloride (TCLP) ID2.81 80-120 LFB20 I Chlombenzene (TCLP) 107.67 80- 120 LFB20 I Chloroform (TCLP) 102.79 90. 120 LFB20 I Methyl ethyl ketone (TCLP) 98.51 80 - 120 LFB201 Teimchloroethylene(TCLP) 104.36 80-120 LFB201 Trichlomethylene(TCLP) 99.39 80.120 LFB201 Vinyl Chloride (TCLP) 99.59 80-120 LFB202 1,1-Dichlorvethylene(TCLP) 98.64 80.120 LFB202 1,2-Dichlmoethane(TCLP) 102.53 SO- 120 LFB202 Beoeenc(TCLP) 100.52 80-120 LFI3202 Carbon Tetrachloride (TCLP) 101.49 80. 120 LFB202 Chlorobenzene(TCLP) 107.14 SO. 120 LFB202 Chlmoform(TCLP) 105.76 80-120 LF620 2 Methyl ethyl ketone (TCLP) 102.43 SO- 120 LFB202 Tetrechloroethylene(TCLP) 101.48 LFB202 Trichloroethylene(TCLP) 100.85 LF8202 Vinyl Chloride (TCLP) 87.17 Method Blank I I,1-Dichloroethylene (TCLP) 0.0 Method Blank 1,2-Dichloroethane(TCLP) 0.0 Method Blank 1 Benzene (TCLP) 0.0 Method Blank Carbon Tetrachloride (TCLP) 0.0 Method Blank 1 Chlorobwmne (TCLP) 0.0 Method Blank I Chloroform (TCLP) 0.0 Method Blank 1 Methyl ethyl ketone (TCLP) 0.0 Method Blank I Tetrachlormthylene (TCLP) 0.0 Method Blank I Trichlomethylene (TCLP) 0.0 Method Blank I Vinyl Chloride (TCLP) 0.0 Method Blank I,l-Dichlotoethylem(TCLP) 0.0 Method Blank 1,2-DIchi methanc(TCLP) 0.0 Method Blank Bcnzcm(TCLP) 0.0 Method Blank 2 Cadwn Tetrachloride (TCLP) 0.0 Method Blank 2 Chlombenzcne (TCLP) 0.0 Method Blank 2 Chlooform (TCLP) 0.0 Method Blank 2 Methyl ethyl ketone (TCLP) 0.0 Method Blank 2 Tetrechlorcethyiene (TCLP) 0.0 Method Blank 2 Trichloroethylene (TCLP) 0.0 Method Blank Vinyl Chloride (TCLP) 0.0 Method Blank 1,1-Dichlorcethylene(TCLP) 0.0 Method Blank 3 1,2-Dichioroethane (TCLP) 0.0 Method Blank 3 Benzene (TCLP) 0.0 Method Blank Carbon Teiraohloride(TCLP) 0.0 Method Blank Chlorobenzene(TCLP) 0.0 Method Blank 1 Chloroform (TCLP) 0.0 Method Blank 3 Methyl ethyl ketone (TCLP) 0.0 Method Blank 3 Teimchloroethylene(TCLP) 0.0 Method Blank Trichloroethytme(TCLP) 0.0 Method Blank 3 Vinyl Chloride (TCLP) 0.0 Method Blank 4 I,1-Dichlmoethylene (TCLP) 0.0 Method Blank 1,2-Dichlormthane(TCLP) 0.0 Method Blank Benzene (TCLP) 0.0 Method Blank 4 Carbon Tetrachloride (TCLP) 0.0 Method Blank 4 Chlorobenzene (TCLP) 0.0 Method Blank Chlomfarm(TCLP) 0.0 Method Blank Methyl ethyl ketone (TCLP) 0.0 Method Blank 4 Tetrachloroethylene (TCLP) 0.0 Method Blank Trichloroethylene(TCLP) 0.0 Method Blank Vinyl Chloride (TCLP) 0.0 Method Blank 1,1-13khloraethylene(TCLP) 0.0 Method Blank 5 1,2-Dichloroelhane (TCLP) 0.0 Method Blank 5 Benzene (TCLP) 0.0 Method Blank Carbon Tetrachloride(TCLP) 0.0 Method Blank 5 Chlorobmune (TCLP) 0.0 Method Blank 5 Chloroform (TCLP) 0.0 80-120 80.120 80.120 Method Blank Methyl ethyl ketone(TCLP) 0.0 Method Blank 5 Tettachloroethylene(TCLP) 0.0 Method Blank 5 Trichlormthylene (TCLP) 0.0 Method Blank Vinyl Chloride(TCLP) 0.0 NA -mf onofyaeC Environmental Chemists Inc. R4pM# 23a02%5 QC Level sample# 21073" Batch 23-050 8151 Method Blank Summary Column 1 0 18/2023 Com pound 5 4mt. (o9/U Ct Rmt. 9/0 %0 CC Umit OCPA 0.20 0.1891 5 30 2.4-D o0.003 2,4,5 TP N.003 Column 2 02/18/2023 Compound Spi'lun lue/LI Gle. Rmt. luVilimit Oclm 0.20 0.1897 6 30 2,4-D <D.003 2,4,5-TP o0.003 Column 1 Environmental Chemists Inc. 8151 LCS Recovery Summary sn Compound p Rmt (u9/U Cak.4mt (u9/U %REC. QC Llmks • Cak.4ml. (u9/U XREC. qC Umita • 40% ^ 2,4-D O.ID 0.1110 ]ll 70 - 130 0.10e5 101 90 - 130 10 2.4.5-TP 0.10 0.0913 91 701 113010.0916 9x 70 L30 0 column 2 LCS iron Cam uM Sp pml. Ivyq Cak. 4mt4 lu9/ll %REC. QCRnits •1 G Rm1 Iu9/li %REC. QC Umds 40% •• 2,4-D 0.10 0.1036 1a4 70 - 130 v0986 1 99 1 70 - 11301 2,9,5-TP 0.30 0.0990 94 70- 130 0.093] 9a 701 1130 J1751H 0 8151 Matrix Spike Recovery Summary cptvmn 1 23-6n9 MS apt Nnt. CA client. Compound Ipg/U 11WO %REC. Cc Umiu 2,d-0 0.10 0.0980 9a 70 - ]30 2.4.5-TP 1 0.10 1 AM" 93 1 70 - 11301 Column Compound Spk9m1. •cNm. (u9/Q (.,%l %RFC. QC Umks 2 9.0 0.10 0.0978 ae 70 - 130 2,0,5-TD 0.10 0.0933 93 A 130 brvlmnm t.l Chemllt e.yonf )avctus level2sm.n.. nmw BOBS Summary Batch R 93 W9 M S.m IWmq ♦MC .o4Wf xM.tlYar N4n3 Nt v3b[ .0.Ptls Ir .maba.. mAd3 Uban. .o,pp5 [nbin Wldf m RU3 LlavaM .OAI fu N.OS MI CCS/SCSO Redvery Summary Mr. 4 .Im. 4 Mt M IWmO %NC. OCu.M. • olo atnf n . In Dam01 M Plo 0.30 0.dE IN N bf POO 114 N 144 q Gbnn 1 wm< IWmp I wnc Ocl3n 1 wlu %a<. exc� o.d OAIo. N y%.. x. .nb n . N m»f » low u oa0 and u Doan xt ,.xnrl V. a10 Pdu n n . IN on» ..Labs. olo A.oW n N N N . In n .il Nvan, 0.10 . ndN u . iN n GeM1r OAfs3 » U OANS M 0.10 N 1» 0.10n N 111 n N. 010 `IW » nIM CmINLMm UUJlveantl4xr. .r m,. Ifl 10 8081 Mf Rerovery9ummary (MYaol Liflf M cameewl IWmO IwM 1LM. duwu il< O.fO PI011 lol N x.WrMcr OAO d p) Me etlpF G• a10 F. aF.. ff . M Umad 0.10 abss p . .i,,0{i4n 0.10 OnN U8'In 0.10 0.1165 Ilf tl . IN b O.fO OINf_ W ff Id C°^'.mml IWM %SIG O(IMYY axc Pm olds 1n n . mar a10 o.lon In w . m .EYOI w o.w adN 1» wawa.. A.N olnl In n . m aamw. o.lo add n u M GPSr 0.10 an» 111 In 1u1 0.10 wln nl u m w.,l Lnme mtea.ewwP.nl. (u Wloll I.aaeam,ml ` « ®f\' .,` w aaa_=® -3;j—�- ®««° % collected \\\ HAO.| HCl ee| ; , } | � t f * � */ )�� 2§- \ !7! |E \ | " m ) � k Sc ) } k \ / § ! ® c � Bƒt on000000 0G)0 r l,o,e�G)G)G) e a, ) gJLBo t _ | 0. § ■| i| FILTE /) , i i Fad | - . �� 2 f m f§| Environmental Chemist, Inc., Wilmington, NC Lab #94 6602 Windmill Way Wilmington, NC 28405 ,t Sample Receipt Checklist 910.392.0223 Client: Me�--c ct-bon t_ t J DO,-: z�14 I2b Rr`port Number: 1023- ZQ(p5_ Were v temperature taken: ❑ temperatureelankg ID Thomas Traceable S/N 210886869 IR Gun Correction Factorr YE YES ❑ NO 3. If temperature of cooler exceeded VC, YES ❑ NO 4. was Proje Werepropercuslodyprocedures(relinquished/n YES ❑ NO S. Were sample ID's listed on the COC7 YES ❑ NO 6. Were samples ID'S listed 0nsample containers? YES ❑ NO 2. Were collection date and time listed on the COC? YES ❑ NO 8. Were tacit e., t.e....-r_.__.,,. _. . ------ ^• ^ wvper YES I nolamg time for ❑ NO - 13. Were acid nrem�,ed .___,______. YES ❑ NO 18. Were orthophosphate samples filtered in the field within 15 minutes? TOC/Volatile$ are pH checked at time ofanalysis and recorded on the benchsheel Bacteria samples are checked for Chlorine at time of analysis and recorded on the benchsheet. triple Preservation: (Must be completed for any sample(s rrectl mple(s) ) inc Y preserved or with headspace) were received incorrectly preserved and were adjusted accordingly adding (Circle one): HrSO, HNOa HCI NaOH ae of preservation: If more than one preservative is needed, notate in comments below e: rvmry cvstome: service immediately for immrecthr pres.rved Samos Obta n z s+-.p'e a - $the state lab if directed to anaryxed by taacvstomer. w. no star hoof en ev...d'. . > e m A Item Number a ti kA b b ' d m iV 1 S 1 1 a 3 z z 7 a � o Sample Number U7�ALA E" U.Oo1y ma: w.t...sou4 WgoW N N N Date Coueeted (Mnvnnrcv) JS Tlme Coueeted w N p Containers X x h h Uapn..d W �j1 r� HsSOt HNO3 HCl m QW C NaOH +A mbi. NatSzOt y m o � TC�>11 � •" x s e�.70 �. s Teyoce p e s W W w o Z N o v eo p, m 1 nhnII H �o p PA& PROM PT•ACCLI RATE -RELIABLE LABORATORIES, INC W W W.PARLABS.COM REPORT OF ANALYSES Attn: ZACH KEY U.S. BIOSOLIDS, INC. PO BOX 146 RONDA, NC 28670- SAMPLE NUMBER- 149338 SAMPLE ID- BELMONT DATE SAMPLED- 03/14/24 DATE RECEIVED- 03/14/24 SAMPLER- ZK TIME RECEIVED- 1245 DELIVERED BY- RE Page 1 of 2 ANALYSIS . METHOD PROJECT NAME: MAR 24 DATE: 04/09/24 SAMPLE MATRIX- WW TIME SAMPLED- 1205 RECEIVED BY- DJ TYPE SAMPLE- Grab ANALYSIS DATE TIME BY RESULT UNITS TCLP CHARACTERISTICS TCLP 03/25/24 1615 CB pH VALUE TCLP 03/25/24 1615 CB CORROSIVITY TCLP 03/25/24 1615 CB REACTIVITY TCLP 03/25/24 1615 CB FLASH POINT TCLP 03/25/24 1615 CB IGNITABILITY TCLP 03/25/24 1615 CB PAINT FILTER TEST TCLP 03/25/24 1614 AN TCLP METALS TCLP 03/26/24 1755 BN ARSENIC TCLP 03/26/24 1755 BN BARIUM TCLP 03/26/24 1755 BN CADMIUM TCLP 03/26/24 1755 BN CHROMIUM TCLP 03/26/24 1755 BN LEAD TCLP 03/26/24 1755 BN MERCURY TCLP 03/26/24 1755 BN SELENIUM TCLP 03/26/24 1755 BN SILVER TCLP 03/26/24 1755 BN TCLP PESTICIDES TCLP 03/27/24 1306 VC ENDRIN TCLP 03/27/24 1306 VC LINDANE TCLP 03/27/24 1306 VC METHOXYCHLOR TCLP 03/27/24 1306 VC TOXAPHENE TCLP 03/27/24 1306 VC 2217 Graham Park Drive • Charlotte, NC 28273 Phone: (704) 588-8333 • Fax: (704) 588-8335 6.6 S.U. NON NON > 200 degrees F NON FL < 0.5 ppm < 10 ppm < 0.1 ppm < 0.5 ppm < 0.5 ppm < 0.02 ppm < 0.1 ppm < 0.5 ppm < 0.002 ppm < 0.04 ppm < 1 ppm < 0.05 ppm PA&R PROM PT•ACCU RATE• RELIABLE LABORATORIES, INC W W W.PARLABS.COM Page 2 of 2 CONTINUATION OF DATA FOR SAMPLE NUMBER 149338 ANALYSIS ANALYSIS METHOD DATE TIME BY RESULT UNITS CHLORDANE TCLP 03/27/24 1306 VC < 0.003 ppm HEPTACHLOR (AND ITS EPDXIDE) TCLP 03/27/24 1306 VC < 0.0008 ppm TCLP HERBICIDES TCLP 03/29/24 1316 VC 2,4-D TCLP 03/29/24 1316 VC < 1 ppm 2,4,5-TP(SILVEX) TCLP 03/29/24 1316 VC < 0.1 ppm TCLP ORGANICS TCLP 03/18/24 1757 MS BENZENE TCLP 03/18/24 1757 MS < 0.05 ppm CARBON TETRACHLORIDE TCLP 03/18/24 1757 MS < 0.05 ppm CHLOROBENZENE TCLP 03/18/24 1757 MS < 10 ppm CHLOROFORM TCLP 03/18/24 1757 MS < 0.6 ppm o-CRESOL TCLP 03/18/24 1757 MS < 20 ppm p-CRESOL TCLP 03/18/24 1757 MS < 20 ppm m-CRESOL TCLP 03/18/24 1757 MS < 20 ppm 1,4-DICHLOROBENZENE TCLP 03/18/24 1757 MS < 0.75 ppm 1,2-DICHLOROETHANE TCLP 03/18/24 1757 MS < 0.05 ppm 1,1-DICHLOROETHYLENE TCLP 03/18/24 1757 MS < 0.07 ppm 2,4-DINITROTLUENE TCLP 03/18/24 1757 MS < 0.013 ppm HEXACHLOROBENZENE TCLP 03/18/24 1757 MS < 0.013 ppm HEXACHLOROBUTDIENE TCLP 03/18/24 1757 MS < 0.05 ppm HEXACHLOROETHANE TCLP 03/18/24 1757 MS < 0.3 ppm METHYL ETHYL KETONE TCLP 03/18/24 1757 MS < 20 ppm NITROBENZENE TCLP 03/18/24 1757 MS < 0.2 ppm PENTACHLOROPHENOL TCLP 03/18/24 1757 MS < 10 ppm PYRIDINE TCLP 03/18/24 1757 MS < 0.5 ppm TETRACHLORETHYLENE TCLP 03/18/24 1757 MS < 0.07 ppm TRICHLOROETHYLENE TCLP 03/18/24 1757 MS < 0.05 ppm 2,4,5-TRICHLOROPHENOL TCLP 03/18/24 1757 MS < 40 ppm 2,4,6-TRICHLORPHENOL TCLP 03/18/24 1757 MS < 0.2 ppm VINYL CHLORIDE TCLP 03/18/24 1757 MS < 0.02 ppm S % LABORATORY DIRECTOR 2217 Graham Park Drive • Charlotte, NC 28273 Phone: (704) 588-8333 • Fax: (704) 588-8335 MF:Z PR0MF-T-^CCUFRtA'Tr• RICLIAALE LABORATORIES, INC Shipping 1-t Mailing: 2217 Graham Park Drive Charlotte, NC 28273 CHAIN OF CUSTODY Phone (7G4) 588-8333 Fax (704) 588-8335 R is essential that all information be recorded on this Chain of Custody document for acceptance by PAR Laboratories, inc. and the North uarouna uepanmenc or rnvrronmenrai ana Natural resources. Company Name (billing) U.S. Biosolids, Inc. Address PO Box 146 City, State Es zip code Ronda, NC 28670 Point of Contact Et Telephone Number Zach Key 336-467-3550 Taken By: SIGNATURE Comments/ Special Instructions NKIN I tU NAMt C-&c. ARE SAMPLES FOR STATE or EPA REPORTING? YES ,W NO 'Sample Type: oW ww -, GWMW ^- HW — soil other Sample Temp at time of sampling: ° C Sample Temp upon receipt: ° C "Field Preserved: Yes No Teflon Liner/Zero Headspace: Yes No �n/a Residual Chlorine checked at time of sampling (Y/N): Dechlorination Necessary (YIN): ' C=Composite G=Grab DW=Drinking Water WW-Wastewater GWMW=Groundwater Monitoring Well HW=Hazardous Waste