WQ0006242_Residual Annual Report 2018_20190313

INITIAL REVIEW
Reviewer Williams, Kendall
Project Number* WQ0006242
SUBMITTAL DATED: 2/26/2019
Project Contact Information
Rease provide inforrration on the person to be contacted by NDB Staff regarding electronic submittal, confirmation of receipt, and other issues.
......................................................................................................................................................................................................................................................................................................................................................................................................
Name * Lisa Finnerty
Email Address*
[e-mail]
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* WQ0006242
Permittee *
Facility Name *
Town of Sparta
Town of Sparta
Phone Number*
4434899086
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.
Please attach all information required or requested for this submittal to be review here.
Application Form Engineering Rans, Specifications, Calculations, Etc.)
Town of Sparta NC 2018 Annual Report.pdf 8.44MB
Upload only 1 RDF docurrent. IVliltiple documents must be corrbined into one RDF file.

For nein and modif cation permit applications, the paper copy is required to be submitted to the
Di, risiom Be advised, applications will not be considered complete until both the paper and electronic
applications. have been received_ The paper copy shall include the follm ging:
• Application Farm
• All relevant attachments (talcs, soils report, specs, etc_)
• 1 full-size engineering plan set
• 2 11-17" engineering plan sets
• 1 extras set of specifications (in addition to the set of specifications Provided in the
attachments)
• Fee (if required)
This shall be mailed to the following address:
By US_ Postal Service-
Di,vision of Water Resources- Non -Discharge Branch
1617 Mail Service Center Raleigh NC 27699-1617
By Courier, -Special Delivery:
Division of Water Resources- Non -Discharge Branch
Nathaniel Thornburg- 9th Floor, Office #942M
512 N_ Salisbury St_ Raleigh, NC 27644
For questions or problems contact Tessa Monday at 919.7073660 or Tessa_X%nday(dncdem_gov or
Sonia Graves at 919.707.3657 or Sonia Graves(dpcdenr.gov.
*140 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 2/26/2019

435 Williams Court, Suite 100
Baltimore, MD 21220
www.synagro.com
FEBRUARY 22, 2019
NCDEQ
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, NC 276991617
Re: 2015 Annual Report for Permit No. WQ0006242
Dear NCDEQ:
SYNAGRO
Synagto is submitting one copy and one electronic copy of the above referenced report on
behalf of the Town of Sparta, NC.
If you have any questions or need additional information, please do not hesitate to contact
Bryan Edwards at [phone] or Erik Bruce at [phone].
Sincerely,
Derrick Shivar
Environmental Compliance Manager
Enclosures
cc: Bryan Edwards, Town of Sparta
Erik Bruce, Synagro
YOUR PARTNER FORA CLEANER, GREENER WORLD

TOWN OF SPARTA, NC
RESIDUALS LAND APPLICATION PROGRAM
Permit No. WQ0006242
2018 ANNUAL REPORT

Town of Sparta, NC
Residuals Land Application Program
2018 Annual Report
TABLE OF CONTENTS
1. Certification Form and Annual Operations Summary
2. Annual Residual Sampling Summary Forms, Residuals Analyses,
& SAR Calculation Pages
3. Annual Land Application Field Summary Forms & Metals Field
Loading Summary Forms
4. TCLP Analysis
5. Pathogen Reduction/Vector Attraction Reduction
6. Soil pH & Lime Application Records
7. Soil Analyses

SECTION 1

ANNUAL LAND APPLICATION CERTIFICATION FORM
VQ Permit #: WO0006242 County Alleehany Year 2018
Facility Name (as shown on permit) Town of Sparta W WTP NPDES No. NC0026913
Land Application Operator Smaero Phone# [phone]
Land application of residuals as allowed by the above permit occurred during the past calendar year?
X YES 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 the permit: 11
Total number of fields utilized for land application during the year: 3
Total amount of dry tons applied during the year for all application sites: 40_01
Total number of acres utilized for land application during the year: 67.2
Part B —Aanual Comroliance 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 X YES NO.
If no, please provide a written description why the facility was not compliant, the dates, and explain corrective action taken.
I. 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 was performed on each site receiving residuals during the past calendm' 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 .I 105(a) or the Pollutant Loading
Rates in 15A NCAC 02T. I 105(b) (Applicable to 40 CFR Part 503 regulated facilities).
7. All general requirements 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 15ANCAC 02T. I I I I 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 receiving 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 —Cert
ification:
"I cert
ify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. ]
am aware that thereare significant penalties for submitting false infbrmafion, including the possibility of fines and imprisonment fox
knowing violations."
Bryan Edwards, Town Manager
Permittee Name and Ti1ile typ or int)
Signature of Pre} r Date
if different from erminee)
" gnature of Permittee Date
Sign 'e - Date
(if different fro ermr ee and P arer)
*Preparer is defined in 40 CPR Part 503.9(r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

2018 ANNUAL OPERATIONS SUMMARY - LAND APPLICATION IN NC
SPARTA,NC
SPARTA, NC LIME STABILIZED LIQUID
DRY METRIC
MONTH/YEAR
AMOUNT
UNIT
DRY
TONS
UNIT
TONS
April 2018
98,000.00
G
11.56
D
10.49
July 2018
932600.00
G
11.04
D
10.02
October 2018
147,600.00
G
17.41
D
15.80
YEARLY TOTAL
3391200.00
G
40.01
D
36.31
vzzizois

SECTION 2

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Sodium Absorption Ratio Calculation (SAR)
Product
Code
Product Name
Sample Date
Report Range
Ratio
2040-01-LSLIQ-NC
SPARTA, NC LIME
STABILIZED LIQUID
4/16/2018
1/1/2018-12/31/2018
0.1065
Na mg/I = (Na mg/kg x %Solids) = 100 = (993 x 2.8300) + 100 = 28.1019
Ca mg/I = (Ca mg/kg x %Solids) = 100 = (162000 x 2.8300) - 100 = 4584.6
Mg mg/I = (mg mg/kg x %Solids) * 100 = (14500 x 2.8300) + 100 = 410.35
Na meq = Na mg/I + Molec. Wgt. Na = 28.1019 + 23 = 1.22182
Ca meq = Ca mg/I + Molec.Wgt.Ca = 4584.6 - 20 = 229.23
Mg meq = Mg mg/I + Molec.Wgt.Mg = 410.35 - 12 = 34.1958
SAR = Na meq + SgrRoot[0.5 x (Ca meq + Mg meq)] = 1.22182 + SgrRoot[0.5(229.23+34.1958)] = 0.106462
Printed: 1/23/2019
Page 1 14:18

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Sparta, NC Total Dry Tons Applied (Annual):
Permit #: W00006242 Cation Exchange Capacity (non 503 only):
Operator: Greg Wagoner Owner: Greg Wagoner Predominant Soil Series:
Acres Used: 29.6 Acres Permitted: 29.6 Site #: NC AG 00005 Field #:
17.42
Chester
AG 00005 0001
Residual Analysis Data (Heave Metals and Total Phosphorus use mg/kg, %Solids use Raw Percent #):
Sample or
Com-
posite
Date
�
4/16/18
�
3
b
5
6
7
8
9
10
11
12
Solids
2.83
8
9
10
11
12
Arsenic
3
Cadmium
2
H
Copper
459
Chromi
20.5
°
Lead
14.2
Mercury
0.4
m
Molyb-
denum
0.59
5
Nickel
17.6
..
Arsenic
Selenimn
5
0.000
0.000
0.000
0.000
0.000
0.000
Zinc
430
0.000
0.000
0.000
0.000
0.004
Cadmium
Total
Phos-
horus
9900
0.000
0.000
0.000
0.000
0.000
0.000
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
Total
�
2
3
4
5
6
7
8
9
10
11
12
H
DT/Ac./
°
APP
m
Event
0.59
..
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0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Cadmium
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Copper
0.540
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.540
Chromiu
0.024
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.024
Lead
0.017
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.017
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
denum
Nickel
0.021
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.021
Selenium
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Zinc
0.506
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.506
Total
Phos-
11.642
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
11.642
horus
"I certify, under penalty of ►ave, that this document was prepared under my directton or superv�ston m accuruance
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�
Signature of La d Applier
�°l P �I � i �
� Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this farm to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Sparta, NC
Total Dry Tons Applied (Annual):
11.05
4
Permit #:
W00006242 Cation Exchange Capacity (non 503 only):
7
Operator:
Ronny Edwards Owner:
Ronny Edwards Predominant Soil Series:
Hayesville
12
Acres Used:
25.7 Acres Permitted:
25.7 Site #: NC AG 00008 Field #:
AG 00008 0001
9
Residual Analysis
Data (Heavy Metals and Total
Phosphorus use mg/kg, %Solids use Raw Percent #):
Sample Or
Com-
posite
Date
�
4/16/18
�
3
4
5
6
7
8
9
10
11
12
Solids
2.83
8
9
10
11
12
Arsenic
3
Cadmium
2
y
Copper
459
Chromim
20.5
�°+
Lead
14.2
Mercury
0.4
w
Molyb-
denum
5
Nickel
17.6
..
Selenium
5
0.000
0.000
0.000
0.000
0.000
Zinc
430
0.000
0.000
0.000
0.000
0.000
0.003
Total
Phos-
horus
9900
0.000
0.000
0.000
0.000
0.000
Annual Heavy Metal Field Loadines (Calculated in lbs/acre):
Total
�
2
3
4
5
6
7
8
9
10
11
12
y
DT/Aa/
�°+
APP
w
Event
0.43
..
Arsenic
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Cadmium
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
Copper
0.395
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.395
Chromiw
0.018
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.018
Lead
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
O.Ol2
Mercury
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Molyb-
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
denum
Nickel
0.015
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.015
Selenium
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Zinc
0.370
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.370
Total
Phos-
8.514
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
8.514
horus
"I certify, under penalty of law, that this document was prepared under my direction or superv�ston m 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
Signature of Land er � 'nate
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Sparta, NC Total Dry Tons Applied (Annual): 11.57
Permit #: WQ0006242 Cation Exchange Capacity (non 503 only):
Operator: Ronny Edwards Owner: Ronny Edwards Predominant Soil Series: Hayesville
Acres Used: 11.9 Acres Permitted: 11.9 Site #: NC AG 00008 Field #: AG 00008 0002
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Data
1
4/16/18
2
3j
4
5
6j
7
8
_Wj
10
1_L1_j
12
% Solids
2.83
8
9
10
11
12
Arsenic
3
Cadmiuml
2
H
Copper
459
Chromium
20.5
Lead
14.2
Mercury
0.4
y
Molyb-
denum
5
Nickel
17.6
Selenium
5
0.000
0.000
0.000
0.000
0.000
Zinc
430
0.000
0.000
0.000
0.000
0.000
0.006
Total
Phos-
horus
9900
0.000
0.000
0.000
0.000
0.000
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11
12
H
DT/Ac,/
App,
y
Event
0.97
Arsenic
0.006
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Cadmium
0.004
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.004
Copper
0.892
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.892
Chromirml
0.040
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.040
Lead
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.001
Molyb-
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
denum
Nickel
0.034
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.034
Selenium
0.010
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
1 0.000
1 0.000
0.000
0.010
Zinc
1 0.836
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.836
Total
Phos-
19.246
0.000
0.000
0.0000.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
19.246
horus
"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 LLan pplier Date

SECTION 4

Tyoummil
ENVIRONMENTAL TECNNOLO"S'"r 1NC
AnxtyWat Laboratories
March 06, 2018
Erik Bruce
Synagro
284 Boger Rd.
Mocksville, NC 27028
TEL: [phone]
FAX: [phone]
RE: Yadkinville WWTP
Dear Erik Bruce:
S Mout Envu onnienlal Tra nologies, Inc.
3310 Win Sl.
Cuyahoga Falls, Ohio 44223
TEL: [phone] FAX: [phone]
Websit : hhiho v n senekconn
Order No.: 18010570
Smnmit Environmental Technologies, Inc, received 1 samples) on 1/12/2018 fox the
analyses presented in the following report.
There were no problems with the analytical events associated with this report unless noted
in the Case Narrative.
Quality control data is within laboratory defined or method specified acceptance limits
except where noted.
If you have any questions regarding these tests results, please feel fr
ee to call the
laboratory.
Sincerely,
Jennifer Woolf
Project Manager
3310 Win St.
Cuyahoga Falls, Ohio 44223
Arkansas 88-0735, California 07256CA, Colorado, Cormecticu[PH-0108, Delaware, Florida NELAC E87G88, GeorLna E87688, Idaho OH00923, Illino's
20006
1, Indimra C -0H-13, Kansas E-10347, Kentucky (Underground StomeeTank) 3, Kentucky 90146, Lowsiane 04061, Maryland 339, Minnesota r
A0971 I, New Hampshae 2996, New Jersey OHOOG New York 11777, North Caro]ina 39705 and 631, Noah Dakota R-201, Oklahoma 9940, Oregon
OH2O0001, Rhode Island LA00037 7, South Carolina 92016001, Texas 7104704466-11-5, Utah OH009232011-I, Virginia VELAP 9456, Washington
C891
Page 1 of 13

SUMMIT
summit Environmental Techno,ogies, Inc.ffl 3310 Win St. Case Narrative
rNVIRONRIENTALTECNNOLOGIES,+NC. Cuyahoga Falls, Ohio 44223 WO#; 18010570
AnaYyOral Laborafuries - TEL: [phone] FAX: [phone]
Website: hatto //wwivsettek com Date: 3/6/2018
CLIENT: Synagro
Project: Yadkinville WWTP
WorkOrder Narrative:
18010570: This report in its entirety consists ofthe following documents: Cover Letter, Case Narrative,
Analytical Results, QC Summary Report; Applicable Accreditation Information, Chain -of -Custody,
Cooler Receipt Form, and other applicable forms as necessary. All documents contain the Summit
Environmental Technologies, Inc., Work Order Number assigned to this report.
Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of
the cover letter that may or may not pertain to this report. State Certificates and Scopes of Accreditation
are attached as applicable. Results provided in this report for any parameter not listed on the Scope of
Accreditation should be considered "not certified."
The information contained in this analytical report is the sole property of Summit Environmental
Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of
Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results
contained in this report are only representative of the samples received. Conditions can vary at different
times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible
for use or interpretation of the data included herein.
All results for Solid Samples
are reported
on an
"as received" or
"wet weight" basis unless indicated as
"dry weight" using the "-dry"
designation
on Lite
reporting units.
This report is believed to meet all of the. requirements of the accrediting agency, where applicable. Any
comments or problems with the analytical events associated with this report are noted below.
Analytical Sequence Sample Notes:
18010570-001 a tclp-svoc-cpest tclp(8081): The Pesticide MS and MSD pair exhibited high RPDs for
all analytes of interest; Recoveries were within acceptance limits for all analytes individually in both the
MS and the MSD.
Analytical Sequence QC Notes:
18010570-OOlams tclp-svoc-cpest tclp(8081): The Pesticide MS and MSD pair exhibited high RPDs
for all analytes of interest; Recoveries were within acceptance limits for all analytes individually in both
the MS and the MSD.
18010570-001amsd tclp-svoc-cpest_telp(8081): The Pesticide MS and MSD pair exhibited high BPDs
Original
Page 2 of 13

91 SU IT SummaEnvonm ,arT hnooge,Tc. Case Narrative
3310 Win St.
MVIRONMENTAL IECONOLGGIES, iNC- Cuyahoga Falls, Ohio 44223 WOE: 18010570
Apitytcal Laborainrles TEL: [phone] FAX: [phone] Date: 3/6/2018
Website:M lAviv,vsette&com
CLIENT: Synagro
Project: Yadkinville WWTP
for all analytes of interest, Recoveries were within acceptance limits for all analytes individually in both
the MS and the MSD.
Original
Page 3 of 13

u ill Summit Environmental Technologies, In Qualifiers and Acronyms
prS33/0 Win
FrWINONiAENTALI£CANOLOGIES, INC Cuyahoga Falls, Ohio 44Z WO#: 18010570
ArrafyHaal Laboratories TEL: [phone] FLY: (330) 253-445 Date: 3/6/2018
Website.' It lip LAviru1 settekco
These commonly used Qualifiers aad Acronyms may or may not lie present in thisaeport
Qualifiers
U
The compound was analyzed for but was not detected.
J
The reported value is greater than the Method Detection Limit but less than the Reporting Limit.
I
The hold time for sample preparation and/or analysis was exceeded.
D
The result is reported from a dilution.
E
The result exceeded the Inxear range of the calibration or is estimated due to interference,
MC
The result is below the Minimum Compound Limit.
s
The result exceeds the Regulatory Limit or Maximum Contamination Limit.
in
Manual integration was used to determine the area response.
d
Manual integration in which peak was deleted
N
The result is presumptive based on a Mass Spectral library search assuming a 1:1 response.
P
The second column confirmation exceeded 25% difference.
C
The result has been confirmed by GUMS.
X
The result was not confirmed when GC/MS Analysis was performed.
BIMB+
The analyte was detected in the associated blank.
G
The ICB or CCB contained reportable amounts of analyte.
QC-/+
The CC V recovery failed low (-) or high (+).
R/QDR
The RPD was outside of accepted recovery limits.
QL-/+
The LCS or LCSD recovery failed low (-) or high (+),
QLR
The LCS/LCSD RPD was outside of accepted recovery limits.
QM-/+
The MS or MSD recovery failed low (-) or high (+).
QMR
The MS/MSD RPD was outside of accepted recovery limits.
QV-/+
The ICV recovery failed low (-) or high (+).
S
The spike result was outside of accepted recovery limits.
Z
Deviation; A deviation from the method was performed; Please refer to the Case Narrative for
additional information
Acronyms
ND
Not Detected RL Reporting Limit
QC
Quality Control MDL Method Detection Limit
MB
Method Blank LOD Level of Detection
LCS
Laboratory Control Sample. LOQ Level of Quantitation
LCSD
Laboratory Control Sample Duplicate PQL Practical Quantitation Limit
QCS
Quality Control Sample CRQL Contract Required Quantitation Limit
DUP
Duplicate PL Permit Limit
MS
Matrix Spike RegLvl Regulatory Limit
MSD
Matrix Spike Duplicate MCL Maximum Contamination Limit
RPD
Relative Percent Different MhaCL Minimum Compound Limit
ICV
Initial Calibration Verification RA Reanalysis
ICB
Initial Calibration Blank RE Reextraction
CCV
Continuing Calibration Verification TIC Tentatively Identified Compound
CCB
Continuing Calibration Blank RT Retention Time
RLC
Reporting Limit Check CF Calibration Factor
DF
Dilution Factor RF Response Factor
This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting.
Please refer to the Analytical Notes in th.e Case Narrative for any Qualifiers or Acronyms that do not appear in this
list or for additional information regarding theuse of these Qualifiers on reported data.
Original
Page 4 of 13

SUMMIT
UIT Summit Enriranmental Technologies, St. yr Oil�Oi�UCT
331010 Win St.
MVIRONMENTAL 7 ECHNOLOGIrS, n1c Cuyahoga Falls, Ohio 44223 Sample Summary
Anaipfical Laboratories TEL: [phone] FAX,' [phone] WO#: 18010570
Webslle: ham./hvivw settekconi 06-Mar-18
CLIENT:. Synagro
Project: YadkinvilleWWTP
Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix
18010570-001 Sparta W WTP 1/10/2018 9:00:00 AM 1/12/2018 12:20:00 PM Solid
Page 5 of 13

s '.l summit Ehvironmen[al Techfio%Win St. Analytical Report
33100 Win St.
ffl
£PlvIRONMEMTAL 7£CNNOL0C31E5, iPtL Cuyahoga Falls, Ohio 44223 (base report)
Anafyflraf LaborsaMes TEL: [phone] FAX: [phone] WO#: 18010570
Webmre: htto'//vi [[ek eom Date Report
ed: 3/6/2018
CLIENT: Synagro Tag Number:
Matrix: SOLID Collection Date: 1/10/2018 9:00:00 AM
Lab ED: 18010570-001A
Project: YadkinvilleWWTP
Client Sample ID Sparta W WTP
Analyses
Qualifiers:
Result
RL Qual
Unite
DF
Date Analyzed
TCLP METALS, VOC, BNA,
PEST, HERB -SOLID
SW7470A
SW7470A Analyst: EAM
TCLP MERCURY ANALYSIS (SW131117470)
TCLP Mercury
NO
0.00200
mg/L
1
1/18/201811:10:00 AM
TCLP METALS, VOC, BNA,
PEST, HERB -SOLID
SW6010D
SW3010A Analyst: KMS
TCLP METALS ANALYSIS (SW131116010)
TCLP Arsenic(As)
ND
0.500
mg/L
1
1/17/20181:19:00 PM
TCLP Barium(Ba).
ND
5.00
mg/L
1
1/17/2018 1:19:00 PM
TCLP Cadmium(Cd)
NO
0.100
mg/L
1
1/17/2018 1:19:00 PM
TCLP Chromium(Cr)
NO
0.200
mg/L
1
1/17/2018 1:19:00 PM
TCLP Lead(Pb)
NO
0.500
mg/L
1
1/17/2018 1:19:00 PM
TCLP Selenium(Se)
NO
0.0500
mg/L
1
1/17/2018 1:19:00 PM
TCLP Silver(Ag)
NO
0.500
mg1L
1
1/17/2018 1:19:00 PM
TCLP METALS, VOC, BNA,
PEST, HERB -SOLID
SW8270D
SW3510C Analyst: BJH
TCLP SEMI -VOLATILES ANALYSIS (SW131118270)
1,4 -Dichlorobenzene
NO
0.200
mg/L
2
1/18/201811:19:00 AM
2,4,5 -Trichlorophenol
NO
0.500
mg/L
2
1/18/2018 11:19:00 AM
2,4,6 -Trichlorophenol
NO
0.500
mg/L
2
1118/201811:19:00 AM
2,4-Dinitrotoluene
NO
0.100
mg1L
2
1/181201811:19:00 AM
o -Cresol
ND
0.500
mg/L
2
1/18/2018 11:19:00 AM
m/p-Cresol(s)
NO
0.500
mg/L
2
1/18/2018 11:19:00 AM
Cresols, Total
NO
10.0
mg/L
2
1/18/201811:19:00 AM
Hexachloro-1,3-butadiene
NO
0.0400
mg1L
2
1/181201811:19:00 AM
Hexachlorobenzene
ND
0.100
mg/L
2
1/18/2018 11:19:00 AM
Hexachloroethane
ND
0.200
mg/L
2
1/18/201811:19:00 AM
Nitrobenzene
NO
0.200
mg/L
2
1/181201811:19:00 AM
Pentachlorophenol
NO
0.500
mg/L
2
1/18/2018 11:19:00 AM
Pyridine
ND
0.500
mg/L
2
1/18/201811:19:00 AM
Surr: 2-Fluorophenol
29.4
10-109
%Rec
2
1/18/2018 11:19:00 AM
Surr: Phenol -d6
14.1
10-109
%Rec
2
1/18/2018 11:19:00 AM
Surr: Nitrobenzene -d5
52.0
19- 120
%Rec
2
1/18/2018 11:19:00 AM
Surr: 2,4,6-Tribromophenol
34.9
10-120
%Rec
2
1/18/2018 11:19:00 AM
Surr: 2-Fluorobiphenyl
54.8
22-117
%Rec
2
1/18/2018 11:19:00 AM
* Value exceeds Maximum Contaminant Levet.
H E Value above quantitation range
Holding times for preparation or analysis exceeded
M Manual Integration used to determine area response
MC Value is below Minimum Compound Limit
ND Not Detected
P Second column confirmation exceeds
R RPD outside accepted recovery limits
N Tentatively identified compounds
O RSD is greater than RSDlimit
PL Permit Limit Original
RL Reporting Detection Limit
Page 7 of 13

NV AMM1 � son,miLEnvhornnenralTechno33/100Win SStl.
l. Analytical Report
fNVIRONMENTAL TECHNOLOGIES, INC Cuyahoga Falls, Ohio 44223 (base report)
Arralyfical Laboreiories TEL: [phone] FAX [phone] WO#: 18010570
Website: him lhvw,v setrek.cam Date Reported: 3/6/2018
CLIENT: Synagro Tag Number:
Matrix: SOLID Collection Date: 1/10/2018 9:00:00 AM
Lab ED: 18010570-OOIA
Project: Yadkinville WWTP
Client Sample ID Sparta W WTP
Analyses Result RL Qual Units DF Date Analyzed
TCLP METALS, VOC, BNA, PEST, HERB-SOLID SW8270D SW3510C Analyst: BJH
TCLP SEMI-VOLATILES ANALYSIS (SW131118270)
Surr: p-Terphenyl-dl4 55.0 34-116 %Rec 2 1/18/2018 11:19:00 AM
TCLP METALS, VOC, BNA, PEST, HERB-SOLID SW8081 SW3510C Analyst: JBN
TCLP PESTICIDES ANALYSIS (SWI311/8081)
Chlordane, total ND 0.0100 mg/L 1 1/17/2018 5:58:00 PM
Toxaphene ND 0.0200 mg/L 1 1/17/2018 5:58:00 PM
Endrin ND 0.00100 mg/L 1 1/17/2018 5:58:00 PM
gamma-BHC ND 0.00100 mg/L 1 1/17/20185:58:00 PM
Heptachlor ND 0.001.00 mg/L 1 1/17/2018 5:58:00 PM
Heptachlor epoxide ND 0.00100 mg/L 1 1/17/2018 5:58:00 PM
Methoxychlor ND 0.00100 mg/L 1 1/17/2018 5:58:00 PM
Sun': TCMX 55.2 10-119 % Rec 1 1/17/2018 5:58:00 PM
Sun': DCB 39.0 10-119 % Rec 1 1/17/2018 5:58:00 PM
TCLP METALS, VOC, BNA, PEST, HERB-SOLID SW8151A SW8161A Analyst: JBN
TCLP HERBICIDES ANALYSIS (SW131118151)
254-D ND 1.01) mg/L 1 1/23/2018 5:55:00 PM
2,415-TP ND 0,500 mg/L 1 1123/20185:55:00 PM
Surr: DCAA 111 20-140 % Rec 1 1/23/2018 5:55:00 PM
NOTES:
Sample's Prep Method hold time was exceeded by 2 days.
TCLP METALS, VOC, BNA, PEST, HERB-SOLID SW8260B SW1311M Analyst: CTB
TCLP VOLATILES ANALYSIS
1,1-Dichloroethene ND 0.0500 mg/L 10 1/17/2018 4:38:00 PM
1,2-Dichieroethane ND 0.0500 mg/L 10 1/17/2018 4:38:00 PM
MEK ND 0.250 mg/L 10 1/17120184:38:00 PM
Benzene ND 0.0500 mg/L 10 1/17/2018 4:38:00 PM
Carbon tetrachloride ND 0.0500 mg/L 10 1/17/2018 4:38:00 PM
Chlorobenzene ND 0.0500 mg/L 10 1/17/20184:38:00 PM
Chloroform ND 0.0500 mg/L 10 1/17120184:38:00 PM
Tetrachlomethene ND 0.0500 mg/L 10 1/17/2018 4:38:00 PM
QAAltfiars: 4 Value exceeds
above quantitation range
Maximum Contaminant Leval.
H
Holding times Por preparation or analysis exceeded
MG
Value is below Minimum Compound Limit
ND
Nat Detected
P
Second column confirmation exceeds
R
RPD outside accepted recovery limits
E Value
M Manual Integration used to determine area response
N Tentatively identified compounds
O RSD is greater than RSDlimit
PL Permit Limit Original
RL Reporting Detection Limit
Page 8 of 13

u int Summit En,hronnenra/Technor10Wi S1. Ana lyticalReport
3310 Win 23
rNVIROMMENTAL I ECHNO LOG I E5, SNC Cuyahoga Falls, Ohio 44223 (base report)
AnalpHcal LabarnforW.t+ TEL: [phone] FAX., [phone] WO#: 18010570
Webote: htm llawipserrekcc Date Reported: 3/6/2018
CLIENT: Synagro Tag Number:
Matrix: SOLID Collection Date: 1/10/2018 9:00:00 AM
Lab ID: 18010570-OOIA
Project: Yadkinville WWTP
Client Sample ID Sparta WWTP
Analyses
Result
TCLP METALS, VOC, BNA, PEST, HERB -SOLID
TCLP VOLATILES ANALYSIS
Trichloroethene ND
Vinyl chloride ND
Surr: 4-8romofluorobenzene 96.4
Surr: Dibromofluoromethane 109
Surr: Toluene -d8 105
RCI -SOLID -W/ IGNITABILITY7 030
REACTIVE CYANIDE (901417,3.3.2) -SOLID
Cyanide, Reactive ND
RL
Qual Units
DF
Date Analyzed
SW8260B
SW1311M
Analyst: CTB
0.0500
mg/L
10
1/17/20184:38:00 PM
0.0200
mg/L
10
1/17/20184:38:00 PM
70 -130
% Rea
10
1/17/2018 4:38:00 PM
70 -130
%Rea
10
1117/2018 4:38:00 PM
70 - 130
%Rec
10
1/17/2018 4:38:00 PM
SW9014
Analyst: MS
0.500 mg/Kg 1 1/19/20184:48:00 PM
RCI -SOLID -WI IGNITABILITY1030 SW1030 Analyst: AJT
IGNITABILITY OF SOLIDS (SW -846: 1030)
Ignitability non-flammable 1 1/25/2018 1:00:00 PM
RCI -SOLID -WI IGNITABILITY1030 SW9045D Analyst: DHC
PH (SW9045D)
pry 7.4 s.u.@18.6C 1 1/17/201811:56:00 AM
RCI -SOLID -W/ IGNITABILITY1030 SW9034 Analyst: MS
REACTIVE SULFIDE (9034)17.3.42
Sulfide., Reactive ND 25.0 mg/Kg 1 1/19/20184:48:00 PM
QnaliOers: � Value exceeds.Maximum Contaminant Level.
H Holding times for preparation or analysis exceeded
MC Value is below Minimum Compowrd Linrit.
ND Not Detected
P Second column confirmation exceeds
R RPD outside accepted recovery limits
E Value above quantitation range
M Manual Integration used to determine area response
N Tentatively identified compounds
O RSD is greater than RSDlimit
PL Permit Limit Original
RL Reporting Detection Limit
Page 9 of 13

3 u sa am tEavr onn e, a Technologies, Inc. Accreditation Program
3310 Winst. Analytes Y Report
rNVIRONWEN'rdL IECHNOL=E5, INC Cuyahoga Falls, Ohio 44223
Analyfirat Laboratories TEL: [phone] FAX: [phone] WO#: 18010570
Website: htm./Avroiv seltelr. coni 06 -Mar -18
Client: Synagro State: NW
Project: YadkinvilleWWTP Program Name: NC—WW—SCM
Sample ID Matrix Tes[ Name Analy[e Status
Key Key
18010570-OOIA Solid
Ignitability of Solids (SW -846:1030)
Ignitabihty
A
Solid
PH (SW9045D)
Hydrogen Ion (plf)
A
Solid
Reactive Cyanide (901417.3.3.2) -Solid
Cyanide, Reactive
U
Solid
Reactive Sulfide (9034)/7.3.4.2
Sulfide, Reactive
U
Solid
TCLP Herbicides Analysis (SWI 311/8151)
23425 -TP
A
Solid
TCLP Herbicides Analysis (SW1311/8151)
2,4-13
A
Solid
TCLP Herbicides Analysis (SW1311/8 15 1)
DCAA
A
Solid
TCLP Mercury Analysis(SW1311/7470)
Mercury
A
Solid
TCLP Metals Analysis (SW 1311/6010)
Arsenic
A
Solid
TCLP Metals Analysis(SW1311/6010)
Barium
A
Solid
TCLP Metals Analysis(SW1311/6010)
Cadmium
A
Solid
TCLP Metals Analysis (SW 1311/6010)
Chromium
A
Solid
TCLP Metals Analysis(SW1311/6010)
Lead
A
Solid
TCLP Metals Analysis(SW1311/6010)
Selenium
A
Solid
TCLP Metals Analysis(SW1311/6010)
Silver
A
Solid
TCLP Pesticides Analysis (SW1311/808 1)
2,2',3,3',4,4',5,5',6,6'-
A
Key Key
Decachlorobiphenyl
Solid
TCLP
Pesticides Analysis (SW1311/8081)
Chlordane, total
A
Solid
TCLP
Pesticides Analysis (SW1311/8081)
Endrin
A
Solid
TCLP
Pesticides Analysis (SW 1311/8081)
gamma -BHC
A
Selid
TCLP
Pesticides Analysis (SW1311/8081)
Heptachlor
A
Solid
TCLP
Pesticides Analysis(SW1311/808.1)
Heptachlor epoxide
A
Solid
TCLP
Pesticides Analysis (SW1311/808 1)
Methoxychlor
A
Solid
TCLP
Pesticides Analysis (SWI 311/8081)
Tetrachloro-m-xylene
A
Solid
TCLP
Pesticides Analysis (SW1311/808 1)
Toxaphene
A
Solid
TCLP
Semi -Volatiles Analysis (SW1311/8270)
1,4 -Dichlorobenzene
A
.Solid
TCLP
Semi -Volatiles Analysis(SW1311/8270)
2,4,5 -Trichlorophenol
A
Solid
TCLP
Semi -Volatiles Analysis(SW1311/8270)
2,4,6-Tribromophenol
A
Solid
TCLP
Semi -Volatiles Analysis (SW1311/8270)
2,4,6 -Trichlorophenol
A
Solid
TCLP
Semi -Volatiles Analysis (SW 1311/8270)
2,4-13initiotoluene
A
6olid
TCLP
Semi -Volatiles Analysis(SW1311/8270)
2-Fluorohiphenyl
A
Solid
TCLP
Semi -Volatiles Analysis(SW1311/8270)
2-Fluorophenol
A
Original #1
Page 10 of 13
NC
WW SCM
A
Accredited
NG
WW
SCM
U
Unavailable
Original #1
Page 10 of 13

SUMMIT Suamnt En,aronmental TechnologtesJnc. Accreditation Program
3310 Win St. Analytes Report
mi CNVIHONhIENTAL TECHNOLOGIES, INC Cuyahoga Falls,. Ohio 44223 Y 11
AresIyMcal Laboratories TEL: [phone] FAX [phone] WO#: 18010570
Website: hap'Anvm.setrekcom O&Mar48
Client: Synagro State: NW
Project: YadkinvilleWWTP Program Name: NC_WW_SCM
Sample ID Matrix Test Name Analyte Status
18010570-OOIA Solid TCLP Semi -Volatiles Analysis (SW1311/8270) 2-Methylphenol A
Solid TCLP Semi -Volatiles Analysis(SWl 3l 1/8270) 3,4-Methylphenol A
Solid TCLP Semi -Volatiles Analysis(SW1311/8270) Cresols, Total A
Solid TCLP Semi -Volatiles Analysis(SW1311/8270) Hexachlorobenzene A
Solid TCLP Semi -Volatiles Analysis(SW1311/8270) Hexachlorobutadiene A
Solid TCLP Semi -Volatiles Analysis(SW1311/8270) Hexachloroethane A
Solid TCLP Semi -Volatiles Analysis (SWI311/8270) Nitrobenzene A
Solid TCLP Semi -Volatiles Analysis (SW1311/8270) Nitrobenzene -d5 A
-Solid TCLP Semi -Volatiles Analysis(SW1311/8270) Pentachlorophenol A
Solid TCLP Semi -Volatiles Analysis(SW1311/8270) Phenol -d6 A
Solid TCLP Semi -Volatiles Analysis (SW 1311/8770) p-Terphenyl-d14 A
Solid TCLP Semi -Volatiles Analysis (SW 1311/8270) Pyridine A
Solid. TCLP Volatiles Analysis 1„ 1-Dichloroethene A
Solid TCLP Volatiles Analysis 1,2-Dichloroethane A
Solid TCLP Volatiles Analysis 2-Butanone A
Solid TCLP Volatiles Analysis 4-Bromofluorobemmne A
Solid TCLP Volatiles Analysis Benzene A
Solid TCLP Volatiles Analysis Carbon tetrachloride A
Solid TCLP Volatiles Analysis Chlorobenzene A
Solid TCLP Volatiles Analysis Chloroform A
Solid TCLP Volatiles Analysis Dibromofluoromethane A
Solid TCLP Volatiles Analysis Tetracbloroethene A
Solid TCLP Volatiles Analysis Toluene -d8 A
Solid TCLP Volatiles Analysis Trichloroethene A
Solid TCLP Volatiles Analysis Vinyl chloride A
NC_WW_SCM A Accredited NC_WW_SCM U Unavailable
Original #1
Page 11 of 13

M
O
N

SUMMIT
UMMI Summit Environmental Technologies, W Inc.
3310 Win St.
rNVIRONMENTAL1aCHNOLOGISS,vNC- Cuyahoga Falls, Ohio 44223 Sample Log -In Check List
Analytical Laboratories TEL: [phone] FAX [phone]
Website: Nita /Avivmsettekcom
Client Name: SYN -NC -27028 Work Order Number: 18010570 RcptNo: 1
Logged by: Antonio Betscakos 1/12/2018 12:20:00 PM 4� �"- `.
Completed By: Antonio Betscakos 1/15/2018 2:33:08 PM.�- r i�
Reviewed By:
Chain of Custody
1. Is Chain of Custody complete? Yes ❑ No ❑ Not Present ❑
2. How was the sample delivered? FedEx
Loa In
3, Coolers are present? Yes J❑ No ❑ NA ❑
4, Shipping container/cooler in good condition? Yes No ❑
Custody seals intact on shipping container/cooler? Yes ❑ No ❑ Not Present fv�
No, Seal Date: Signed By:
5. Was an attempt made to cool the samples? Yes © No ❑ NA ❑
6. Were all samples received at a temperature of >0° C to 6.0°C Yes � No ❑ NA ❑
7, Samples) in proper container(s)? Yes 0 No ❑
g, Sufficient sample volume for indicated test(s)? Yes 0 No ❑
g. Are samples (except VOA and ONG) properly preserved? Yes No ❑
1 D. Was preservative added to bottles? Yes ❑ No ❑ NA
NA
11. Is the headspace in the VOA vials less than 1/4 inch or 6 mm? Yes ❑ No ❑ No VOA Vials 0.
12. Were any sample containers received broken? Yes ❑ No V]
13. Does paperwork match bottle labels? Yes No ❑
(Note discrepancies on chain of custody)
14. Are matrices correctly identified on Chain of Custody? Yes No ❑
15. Is it clear what analyses were requested? Yes No ❑
16. Were all holding times able to be met? Yes No ❑
(If no, notify customer for authorization.)
Special Handling (if applicable)
17. Was client notified of all discrepancies with this order? Yes ❑ No ❑ NA W
Person Notified: ��i Date li
By Whom: Via: ❑ eMail ❑Phone [] Fax ❑ In Person
Regarding:
Client Instructions:
18, Additional remarks:
Cooler Information
ECoolerNo Temp °C Condition Seal Intact Seal No Seal Date Signed By
1 4.5 Good Not Present
Page 13 of 13

SECTION 5

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Sparta WQ Permit Number: WQ 0006242
WWTP Name: Town of Sparta WWTP NPDES Number: NC 0026913
Monitoring Period: From 01/01/18 To 12/31/2018
Pathogen Reduction (40 CFR 503.32/15A NCAC 02T.1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. 1/A (time/temp) Alt. 2/B (Alk Treatment) Alt. 3/C (Prior Testing)
Alt. 4/1) (No Prior Test) Alt. 5/Process to Further Reduce Pathogens Alt. 6 (Equivalent to PFRP)
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost Heat Drying Heat Treatment Thermophilic
Beta Ray Gamma Ray _ Pasteurization
Class B:
Alt. (1) Fecal Density Alt. (2) Process to Significantly Reduce Pathogens x
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization X Air Drying Composting _ Aerobic Digestion
Anaerobic Digestion
If applicable to alternative erformed Class A or Class B complete the immwm monitoring cars:
Vector Attraction Reduction (40 CFR 503.33/15A NCAC 02T.1107) -Please indicate option/alternative performed:
0 tion/Alt. 1 Option/Alt.2 OptiowAlt.3 Option/Alt.4
(V S reduction) (40 -day bench) (30 -day bench) (Spec. 02 uptake)
Option/Alt. 5 Option/Alt. 6 Option/Alt. 7 Option/Alt 8
(14 -Day Aerobic) (Alk Stabilization) x (Drying—Stable) (Drying—Unstable)
Option/Alt 9 Option/Alt. 10
(Injection) (Incorporation) _ No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32/15ANCAC 02T.1106 and the vector attraction
X reduction requirement in
40 CFR 503.33/ISANCAC 02T.1107 have been met"
"I certify, under penalty of law, that the pathogen reqquirements in 40 CFR 503.32/15A NCAC 02T.1106 and the vector athaction
reduction requirement in 40 CFR 503.33/15ANCAC 02T.1107 have not been met." (Please note if you check this statement attach an
explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified
personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have
been met. 1 am aware that there are significant penalties for false certification including fine and imprisonment"
Todd Lar
son, O erations Dir for
Preparer N Yi ipe
L 11
Signature of Preer* atc( D
Land Applier Name and Title (if applicable) (type or print)
Signature of Land Applier (if applicable)
*Preparer is defined in 40 CFR Part 503.9(r) and 15ANCAC 2T.1102 (26)
Date
Frequenof cy
Sample
Type
Analytical
Technique
Parameter
Allowable Level in Sludge
Pathogen Density
ExceNo. e-
Minimum Geo. Mean Maximum Units
dentes
Analysis
Fecal
2x10 tothe 6a
MPN
MPN/g
Coliform
power per gram
of total solids
CFU
CFU/g
1000 MPN per gram of
MPN/g
total solids (dry weight)
Salmonella
3 MPN per 4 grams total
bacteria (in
solids (dry weight)
lieu of fecal
coliform
Vector Attraction Reduction (40 CFR 503.33/15A NCAC 02T.1107) -Please indicate option/alternative performed:
0 tion/Alt. 1 Option/Alt.2 OptiowAlt.3 Option/Alt.4
(V S reduction) (40 -day bench) (30 -day bench) (Spec. 02 uptake)
Option/Alt. 5 Option/Alt. 6 Option/Alt. 7 Option/Alt 8
(14 -Day Aerobic) (Alk Stabilization) x (Drying—Stable) (Drying—Unstable)
Option/Alt 9 Option/Alt. 10
(Injection) (Incorporation) _ No vector attraction reduction alternatives were performed
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32/15ANCAC 02T.1106 and the vector attraction
X reduction requirement in
40 CFR 503.33/ISANCAC 02T.1107 have been met"
"I certify, under penalty of law, that the pathogen reqquirements in 40 CFR 503.32/15A NCAC 02T.1106 and the vector athaction
reduction requirement in 40 CFR 503.33/15ANCAC 02T.1107 have not been met." (Please note if you check this statement attach an
explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified
personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have
been met. 1 am aware that there are significant penalties for false certification including fine and imprisonment"
Todd Lar
son, O erations Dir for
Preparer N Yi ipe
L 11
Signature of Preer* atc( D
Land Applier Name and Title (if applicable) (type or print)
Signature of Land Applier (if applicable)
*Preparer is defined in 40 CFR Part 503.9(r) and 15ANCAC 2T.1102 (26)
Date

1
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Agricultural Lime Application Log
Year: 2018
Project: Sparta
Field
(state -county -site -field)
Soil
pH
(from
Lime Requirement
soil analysis)
11
Tons/Acre
Applied
Date Applied
1.3T/Ac.
AG -05-01
5.6
AG -08-01
5.6
0.9T/Ac.
AG -08-02
5.7
0.6/T/Ac.
O.OT/Ac.
*Lime applied in material, ph of material is over 11.5

SECTION 7

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