WQ0010583_Residual Annual Report 2018_20190228

INITIAL REVIEW
Reviewer Williams, Kendall
Project Number* WQ0010583
SUBMITTAL DATED: 2/25/2019
Project Contact Information
Rease provide inforrration on the person to be contacted by MB Staff regarding electronic submittal, confirmation of receipt, and other issues.
......................................................................................................................................................................................................................................................................................................................................................................................................
Name * Brent Collins
Email Address* Phone Number*
[e-mail] 336-751-1441
Project Information
Application Type*
r New
r Renewal
r Annual Report
Permit Type *
r Wastewater Irrigation
r Other Wastewater
• Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?*
r Yes r Nor
N/A
Permit Number*
WQ0010583
Reviewer*
Troy Doby
Permittee* Johnny Lambert
Facility Name * Davie County Water System
County* Davie
r Modification (Major or Minor)
• Additional Information
r Other
• High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
There was no land application for 2018
Please attach all information required or requested for this submittal to be review here.
Davie County Water System Annual Report
252.77K6
WQ0010583.pdf
Application Form Engineering Rans, Specifications, Calculations, Hc.)

For nein and modification permit applications, the paper copy is required to be subrmtted to the
Division- Be advised, applications will not be considered complete until both the paper and electronic
applications. have been received_ The paper copy shall include the follmtLring=
• Application Farm
• All rulevant attachments (talcs, soils report, specs, etc_)
• 1 full-size engineering plan set
• 2 11-17" engineering plan sets
• 1 extra set of specifications (in addition to the set of specifications Provided in the
attachments)
• Fee (if required)
T:di shall ae mailed to the followins aPrl-: s:
By pc­lal ser- lce:
Divisron o= % ater Resources- Non -Discharge Branch
1617 Mail Service Center Raleigh NC 2.7699-1613
By Courier/Special Delivery:
Division of Water Resources- Non -Discharge Branch
AZ Nathaniel Thornburg- 9th Floor, Office #942WN
512 N_ Salisbury St_ Ralei NC 27604
For que€tions or problems contact Tessa Monday at 919.7073660 or Tessa_X%nday(dncdenr_gov or
Sonia Graves at 919.707.3657 or Sonia.Graves(apcdenr..
* I;W By checking this box I am acknowledging that I have read the above statement and agree
to send these documents as required to one of the address given above.
Signature
Submission Date 2/25/2019

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0010583 County:
Facility Name (as shown on permit):
Land Application Operator:
Davie Year: 2018
Davie County Water System
EMA Resources Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes 0 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in thepermit: 16
Total number of fields utilized for land application during the year: 0
Total amount of dry tons applied during the year for all application sites: 0
Total number of acres utilizes for land application during the year: 0
Part B - Annual Cpm iance Statement:
Facility was compliant during calendar year 2018 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. R1 Yes t] No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6,0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .l 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T . i 1 I l were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Johnny Lambert - Utilities Director
Pen-nittee Name and Title (type or print) Signature of ittee Date
12/19/2018
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (1212006)