WQ0003351_2018 Residual Annual Report_20190314

INITIAL REVIEW
Reviewer Williams, Kendall
Project Number* WQ0003351
SUBMITTAL DATED: 2/27/2019
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 * Brent Collins
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* WQ0003351
Permittee *
Facility Name *
Matt Settlemyer
Tovm of Mocksville
Phone Number*
336-751-1441
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.)
Mocksville Annual Report - WQ0003351.pdf 2.42MB
upload only 1 RDF docurrent. IVUltiple documents must be cor ined 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 2/27/2019

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0003351 County:
Facility Name (as shown on permit):
Land Application Operator:
Davie
EMA Resources Inc.
Year: 2018
Town of Mocksville
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 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 thepermit:
10
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:
22.77
Total number of acres utilizes for land application during the year:
20.2
Part B - Annual Compiance 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. 0 Yes ❑ 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 .1105(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 .1111 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."
c
Matt Settlemyer - Town Manager:A VXi y
Permittee Name and Title (t pe or print) Signature of Permittee Date
12/20/2018
Signatrat�e'of Preparer7— 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 (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:
Permit #:
Operator:
Acres Used:
Town of Mocksville Total Dry Tons Applied (Annual):
WQ0003351 Cation Exchange Capacity (non 503 only):
Toby Cornatzer Owner: Toby Comatzer
11.5 Acres Permitted: 11.5 Site #:
16.85
Predominant Soil Series: ToB2
NC-DV05 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
1 1©
Com-
posite
Date
1 11
1 21
©
1 41
©
EEONE
L7j8
on
9
10
11
12
DT/Ac./
off,
App.
Event
1.47
' 4
Arsenic
1 0.004
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
1 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
0.305
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.305
Chromium
0.045
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Lead
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
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-
0.009
Total
Phos-
phorus . h
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
denum
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 11
1 21
3 J
1 41
5j
6
L7j8
9
10
11
12
DT/Ac./
off,
App.
Event
1.47
' 4
Arsenic
1 0.004
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
1 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
0.305
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.305
Chromium
0.045
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.045
Lead
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
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-
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
denum
Nickel
0.022
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.022
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
1.280
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.280
Total
Phos-
33.988
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
33.988
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".
z � �/ 4: �_ �e_
Signature of Land Applier
12/20/2019
Date
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:
Permit #:
Operator:
Acres Used:
Town of Mocksvill
WQ0003351
Jeff Smith Owner:
4.7 Acres Permitted:
e Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
Town of Mocksville Predominant Soil Series:
4.7 Site #: NC-MK05 Field #:
1.89
CeB2 - Cecil
1
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mg/kg. % Solids use Raw Percent 91:
19
T - •
Com-
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Date
1 11
1 21
1 31
1415
6
7]
L8J
L9J10
11 J
12
DT/Ac./
c
App,
s�
Event
0.40
y
Arsenic 1
0.001
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.001
Cadmium
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.001
Copper
0.084
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.084
Chromium
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Lead
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.009
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-
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
denum
Total
P
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Nickel
tinnuai rneavv ivieiai rieia Loaaings (uaicuiatea in insiacre►:
Total
1 11
1 21
1 31
1415
6
7]
L8J
L9J10
11 J
12
DT/Ac./
c
App,
s�
Event
0.40
y
Arsenic 1
0.001
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.001
Cadmium
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.001
Copper
0.084
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.084
Chromium
0.012
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Lead
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.009
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-
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
denum
Nickel
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
Selenium
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
Zinc
0.351
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.351
Total
Phos-
9.326
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
9.326
horus
"1 certlly, unser penalty of law, that tn1S 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
12/20/2018
Date
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:
Permit #:
Operator:
Acres Used:
Town of Mocksvill
WQ0003351
Jeff Smith Owner:
4 Acres Permitted:
e Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
Town of Mocksville Predominant Soil Series:
4 Site #: NC-MK05 Field #:
4.03
CfB2
2
Residual Analvsis Data (Heavy Metals and Total Phnsnhnrus uce mu/k¢- % Cnlidv nae Raw PPre""t Hl-
MOrpm 09
Com-
..
Date
1 11
1 21
1 31
14151
6
L7J
L8]91
NONE
110111
1121
DT/Ac./
c
App'
Event
1.01
.
Arsenic 1
0.003
0.000
0.000 1
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.003
Cadmiuml
0.001
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.001
Copper 1
0.209
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.209
(_hzomiu
0.031
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
�ead
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
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
olyb-
denum
0.006
Total
P
..
.��
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
Nickel
Annual ricavv ivietal htela LOaaings ivalculatea in Ins/acres:
Total
1 11
1 21
1 31
14151
6
L7J
L8]91
110111
1121
DT/Ac./
c
App'
Event
1.01
.
Arsenic 1
0.003
0.000
0.000 1
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.003
Cadmiuml
0.001
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.001
Copper 1
0.209
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.209
(_hzomiu
0.031
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.031
�ead
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
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
olyb-
denum
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
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 1
0.880
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.880
Total
Phos-
23.362
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
23.362
horus
I ceruiy, unuer penalty ui saw, tnat tins aocument was preparea unser my airection 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
12/20/2018
Date
DENR FORM MFLSF (12/2006)

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*ESC ANALYTICAL REPORT
March 16, 201E
EMA Resources
Sample Delivery Group: L975375
Samples Received: 03/07/2018
Project Number:
Description: Mocksville
Report To: Mr. Brent Collins
755 Yadkinville Road
Mocksville, NC 27028
Entire Report Reviewed By:
Cassandra Foster
Technical Service Representative
Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be
reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by ESC is
performed per guidance provided in laboratory standard operating procedures: 060302, 060303, and 060304.
a
m ESC
a rYbi/O/arY ul.

TABLE OF CONTENTS ONE LAB. NATIONWIDE.
Tc: Table, Of Conten,*,!
Ss: Sample Summary
3
Cn: Case Narrative
4
Sr: Sample Results
5
VSs
MOCKSVILLE L975375-01
S
4Cn
Qc: Quality Control Summary
8
Wet Chemistry by Method 9012 B
8
FSI.
Wet Chemistry by Method 9034-9030B
9
Wet Chemistry by Method 9045D
10
TQC
Wet Chemistry by Method D93/1010A
11
GI
Mercury by Method 7470A
12
Metals (ICP) by Method 6010D
13
Volatile Organic Compounds (GC/MS) by Method 8260B
14
-
Chlorinated Acid Herbicides (GC) by Method 8151A
16
9
Sc
Pesticides (GC) by Method 8081B
17
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
18
Gl: Glossary of Terms
20
AlAt.{...r i?(�klo &
Sc: Sample Chain of Custody
22
ACCOUNT: PROJECT: SDG:
DATE/TIME:
PAGE:
EMA Resources L975375
03/16/181229
2 of 22

SAMPLE SUMMARY ONE LAB. NATIONWIDE.
Collected by Collected date/time Received date/time
MOCKSVILLE L975375-01 Waste Brent Collins 03/06/1810:00 03/07/18 08:45
Method
Batch
Dilution Preparation
Analysis
Analyst
date/time
date/time
Preparation by Method 1311
WG1082033
1 03/08/1810:27
03/08/181027
KK
Preparation by Method 1311
WG1082087
1 03/08/1811:21
03/08/1811:21
TM
Wet Chemistry by Method 9012 B
WG1081990
1 03/08/1811:24
03/08/1815:58
KK
Wet Chemistry by Method 9034-90308
WG1083022
1 03/10/1814:46
03/10/1814:46
JLJ
Wet Chemistry by Method 9045D
WG1082142
1 03/08/1813:37
03/08/1814:35
GB
a
Cn
Wet Chemistry by Method D93/1010A
WG1082869
1 03/10/1814:14
03/10/1814:14
JLJ
Mercury by Method 7470A
WG1082558
1 03/09/1810:38
03/11/18 20:39
EL
~
Metals (ICP) by Method 6010D
WG1082632
1 03/09/1811:20
03/09/1815:22
TRB
Sr
Volatile Organic Compounds (GC/MS) by Method 82608
WG1082535
1 03/09/18 20:15
03/09/18 20:15
ACG
Chlorinated Acid Herbicides (GC) by Method 8151A
WG1084241
1 03/14/18 08:09
03/15/18 04:12
KLM
6
QC
Pesticides (GC) by Method 8081B
WG1083170
1 03/11/1812:57
03/12/18 22:06
JNS
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
WG1083002
1 03/10/1810:28
03/12/18 20:10
JF
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
WG1083002
1 03/10/1810:28
03/14/1819:54
SR
GI
9
Sc
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L975375 03/16/1812:29 3 of 22

CASE NARRATIVE ONE LAB. NATIONWIDE #
All sample aliquots were received at the correct temperature, in the proper containers, with the
appropriate preservatives, and within method specified holding times, unless qualified or notated within
the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples
have been corrected for the dilution factor used in the analysis. All radiochemical sample results for
solids are reported on a dry weight basis with the exception of tritium, carbon-14 and radon, unless wet LEI weight was requested by the client. All Method and Batch Quality Control are within established
criteria except where addressed in this case narrative, a non-conformance form or properly qualified
within the sample results. By my digital signature below, I affirm to the best of my knowledge, all
problems/anomalies observed by the laboratory as having the potential to affect the quality of the data
have been identified by the laboratory, and no information or data have been knowingly withheld that
would affect the quality of the data.
�Sr
RC
i/�i�rG I
Cassandra Foster
Technical Service Representative
RC
Project Narrative
All Reactive Cyanide results reported in the attached report were determined as totals using method 90128.
All Reactive Sulfide results reported in the attached report were determined as totals using method 9034/9030B.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L975375 03/16/1812:29 4 of 22

MOCKSVILLE
Qualifier RDL
Limit
Dilution Analysis
Collected date/time: 03!06/18 10:00
SAMPLE RESULTS - 01
ONE LAB. NATIONWIDE.
date l time
L975375
0.0100
0.20
Preparation by Method 1311
Lead
ND
Selenium
Analyte Result Qualifier
Prep
Batch
0.100
5
date / time
0.100
1
TCLP Extraction
0.100
5
1 03/09/201815:22
TCLPZHE Extraction
3/8/201811:21:49 AM
WG1082087
Fluid
3/8/2018 10:27:27 AM
WGIO82033
1
Initial pH
3/8/201811:21:49 AM
WG1082087
3__..._,
11.07
Final pH
3/8/201811:21:49 AM
WG1082087
SS
4.98
3/8/201811:21:49 AM
WG1082087
Wet Chemistry by Method 9012 B
[7n]
Result Qualifier
Analyte
RDL Dilution
Analysis Batch
mg/kg
Reactive Cyanide
mg/kg
date /time
ND
0.250 1
03/08/201815:58
Wet Chemistry by Method 9034-9030B
FIC
Result Qualifier
Analyte
RDL Dilution
Analysis Batch
7Gi
mg/kg
Reactive Sulfide
mg/kg
date /time
ND
25.0 1
03/10/201814:46
Wet Chemistry by Method 9045D
_......
Result Qualifier
Dilution Analysis
Batch
9
SC
Analyte su
date / time
Corrosivity by pH 12.4 T8 1 03/08/201814:35
Sample Narrative:
L975375-01 WG1082142:12.44 at 21C
Wet Chemistry by Method D93/1010A
Result Qualifier Dilution Analysis Batch
Analyte Deg. F date / time
Ignitability DNI at 170
1 03/10/201814:14 .._
Mercury by Method 7470A
Result
Analyte
Qualifier RDL
Limit
Dilution Analysis
mg/I
Mercury
mg/I
mg/I
date l time
ND
0.0100
0.20
1 03111!2018 20:39
Metals (ICP) by Method 6010D
Qualifier RDL
Result
Analyte
mg/I
Arsenic
ND
Barium
0.132
Cadmium
ND
Chromium
ND
Lead
ND
Selenium
ND
Silver
ND
Qualifier RDL
Limit
Dilution Analysis
mg/I
mg/I
date / time
0.100
5
1 03/09/201815:22
0.100
100
1 03/09/201815:22
0.100
1
1 03/09/201815:22
0.100
5
1 03/09/201815:22
0.100
5
1 03/09/201815:22
0.100
1
1 03/09/201815:22
0.100
5
1 03/09/201815:22
Volatile Organic Compounds (GC/MS) by Method 8260B
Batch
Batch
Result Qualifier RDL Limit Dilution Analysis Batch
mg/I m
Analyte Result
/I mg/I date / time
Benzene ND 0.0500 0.50 1
Carbon tetrachloride 03!09/2018 20:15
ND 0.0500 0.50 1 03/09/2018 20:15
Chlorobenzene ND 0.0500 100 1 03/09/2018 20:15
Chloroform ND 0.250 6 1 03/09/2018 20:15
ACCOUNT: PROJECT:
SDG: DATE/TIME:
EMA Resources PAGE:
L975375 03/16/1812:29 5 of 22

MOCKSVILLE
Result
SAMPLE RESULTS
- 01
ONE LAB. NATIONWIDE,
Collected date/time: 03/06/18 10:00
L975375
Dilution Analysis Batch
7G1
Volatile Organic Compounds
(GC/MS) by Method 826013
mg/I
date / time
7.50
Result
Qualifier RDL Limit Dilution
Analysis
Batch
Analyte
mg/I
mg/I mg/I
date / time
1 03/15/2018 04:12
1,2-Dichloroethane
ND
0.0500 0.50 1
03/09/2018 20:15
031151201804.•12
1,1-Dichloroethene
ND
0.0500 0.70 1
03/09/2018 20:15
0.100
2-Butanone (MEK)
ND
0.500 200 1
03/09/2018 20:15
_
s
Tetrachloroethene
ND
0.0500 0.70 1
03/09/2018 20:15
N
SS
Trichloroethene
ND
0.0500 0.50 1
03/09/2018 20:15
Chlordane ND
0.00500
Vinyl chloride
ND
0.0500 0.20 1
03/09/2018 20:15
_ 4Cn
(S) Toluene -d8
107
80.0-120 120
03/09/2018 20:15
0.00500
(S) Dibromofluoromethone
99.3
76.0-123 123
03/0972018 20:15
0.00500
(S)o,o,o-Trifluorotoluene
101
80.0-120 120
03/09/201820:15
0.00500
(S) 4-Bromofluorobenzene
110
80.0-120 120
03109/2018 20:15
0.0100
Chlorinated Acid Herbicides (GC) by Method 8151A
Result
Qualifier RDL
Rc
Result Qualifier
RDL
Limit
Dilution Analysis Batch
7G1
Analyte mg/I
mg/I
mg/I
date / time
7.50
2,4,5 -TP (Silvex) ND
0.00200
1
1 03/15/2018 04:12
0.13
2,4-D ND
0.00200
10
1 03/15/2018 04:12
0.13
(S) 2,4-Dichlorophenyl Acetic Acid 95.7
14.0-158
158
031151201804.•12
0.50
Pesticides Method 808113
Hexachloroethane
ND
0.100
Fc
(GC) by
Nitrobenzene
ND
0.100
2
Result Qualifier
RDL
Dilution
Analysis Batch
5
Analyte mg/I
mg!I
ND
date / time
400
Chlordane ND
0.00500
1
03/12/2018 22:06
200
Endrin ND
0.00500
1
03/12/2018 22:06
100
Heptachlor ND
0.00500
1
03/12/2018 22:06
400
Lindane ND
0.00500
1
03/12/2018 22:06
2
Methoxychlor ND
0.00500
1
03/12/2018 22:06
110
Toxaphene ND
0.0100
1
03/12/2018 22:06
120
(S) Decochlorobiphenyl 80.9
10.0-144
26.2
0311212018 22.06
120
(S) Tetrochloro-m-xylene 81.7
10.0-135
23.9
0311212018 22:06
120
Semi Volatile Organic Compounds (GC/MS) by Method 8270G
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L975375 03/1611812:29 6 of 22
Result
Qualifier RDL
Limit
Dilution Analysis Batch
Analyte
mg/I
mg/I
mg/I
date / time
1,4 -Dichlorobenzene
ND
0.100
7.50
1 03/12/2018 20:10 _ _ _-
2,4-Dinitrotoluene
ND
0.100
0.13
1 03/12/2018 20:10
Hexachlorobenzene
ND
0.100
0.13
1 03/12/2018 20:10
Hexachloro-1,3-butadiene
ND
0.100
0.50
1 03/12/2018 20:10
Hexachloroethane
ND
0.100
3
1 03/12/2018 20:10
Nitrobenzene
ND
0.100
2
1 03/14/201819:54
Pyridine
ND
0.100
5
1 03/12/2018 20:10
3&4 -Methyl Phenol
ND
0.100
400
1 03/12/2018 20:10
2-Methylphenol
ND
0.100
200
1 03/12/2018 20:10
Pentachlorophenol
ND
0.100
100
1 03/12/2018 20:10
2,4,5 -Trichlorophenol
ND
0.100
400
1 03/12/2018 20:10
2,4,6 -Trichlorophenol
ND
0.100
2
1 03/12/2018 20:10
(S) 2-Fluorophenol
39.0
10.0-120
110
031141201819.54
(S) 2-Fluorophenol
33.5
10.0-120
120
0311212018 20:10
(S) Phenol -d5
26.2
10.0-120
120
031141201819:54
(S) Phenol -d5
23.9
10.0-120
120
0311212018 20:10
(S) Nitrobenzene -d5
29.5
10.0-126
126
0311212018 20.10
(S) Nitrobenzene -d5
41.6
10.0-126
126
031141201819;54
(S) 2-Fluorobiphenyl
49.2
22.0-127
127
0311212018 20:10
(S) 2-Fluorobiphenyl
56.3
22.0-127
127
031141201819:54
(S) 2,4,6-Tribromophenol
124
10.0-153
153
03/14/201819:54
(S) 2,4,6-Tribromophenol
92.4
10.0-153
153
0311212018 20:10
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L975375 03/1611812:29 6 of 22

MOCKSVILLE SAMPLE RESULTS - 01 ONE LAB. NATIONWIDE.
Collected date/time: 03/06118 10:00 L975375
Semi Volatile Organic Compounds (GC/MS) by Method 8270D
3
Ss
4
Cn
M
FC
AGI
FC
Result
Qualifier RDL Limit
Dilution Analysis Batch
Analyte
mg/I
mg/I mg/I
date / time
(S)p-Terphenyl-d14
70.0
29.0-141 141
03/127201820:10
(S)p-Terphenyl-dN
69.3
29.0-141 141
03714/201819:54
ACCOUNT:
PROJECT:
SDG: DATE/TIME: PAGE:
EMA Resources
L975375 03/16/1812:29 7 of 22
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GLOSSARY OF TERMS ONE LAB. NATIONWIDE.
Guide to Reading and Understanding Your Laboratory Report
The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not
intended as a comprehensive explanation, and if you have additional questions please contact your project representative.
Abbreviations and Definitions
MDL
Method Detection Limit.
ND
Not detected at the Reporting Limit (or MDL where applicable).
RDL
Reported Detection Limit.
Rec.
Recovery,
RPD
Relative Percent Difference.
SDG
Sample Delivery Group.
Surrogate (Surrogate Standard) - Analytes added to every blank, sample, Laboratory Control Sample/Duplicate and
(S)
Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be
detected in all environmental media.
u
Not detected at the Reporting Limit (or MDL where applicable).
Analyte
The name of the particular compound or analysis performed. Some Analyses and Methods will have multiple analytes
reported.
If the sample matrix contains an interfering material, or if concentrations of analytes in the sample are higher than the
Dilution
highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value
different than 1 is used in this field, the result reported has already been corrected for this factor.
These are the target °% recovery ranges or % difference value that the laboratory has historically determined as normal
Limits
for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or
duplicated within these ranges.
Original Sample
The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control
sample. The Original Sample may not be included within the reported SDG.
This column provides a letter and/or number designation that corresponds to additional information concerning the result
Qualifier
reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and
potentially a discussion of possible implications of the Qualifier in the Case Narrative if applicable.
The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. If there was
no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL"
Result
(Below Detectable Levels). The information in the results column should always be accompanied by either an MDL
(Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect
or report for this analyte.
A brief discussion about the included sample results, including a discussion of any non -conformances to protocol
Case Narrative (Cn)
observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will
be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report.
Control
Quality Control
This section of the report includes the results of the laboratory quality control analyses required by procedure or
Summary
analytical methods to assist in evaluating the validity of the results reported for your samples. These analyses are not
being performed on your samples typically, but on laboratory generated material.
This is the document created in the field when your samples were initially collected. This is used to verify the time and
Sample Chain of
date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This
Custody (Sc)
chain of custody also documents all persons (excluding commercial shippers) that have had control or possession of the
samples from the time of collection until delivery to the laboratory for analysis.
This section of your report will provide the results of all testing performed on your samples. These results are provided
Sample Results (Sr)
by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for
each sample will provide the name and method number for the analysis reported.
Sample Summary (Ss)
This section of the Analytical Report defines the specific analyses performed for each sample ID, including the dates and
times of preparation and/or analysis.
Qualifier Description
J The Identification of the analyte is acceptable; the reported value is an estimate.
J2 Surrogate recovery limits have been exceeded; values are outside lower control limits.
T8 Sample(s) received past/too close to holding time expiration.
ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L975375 03/16/1812:29 20 of 22

ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE.
ESC Lab Sciences is the only environmental laboratory accredited/certified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab
is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network
laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory campus. The model is conducive to accelerated productivity, decreasing
turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE.
Not all certifications held by the laboratory are applicable to the results reported in the attached report.
Accreditation is only applicable to the test methods specified on each scope of accreditation held by ESC Lab Sciences.
Alabama40660
Nebraska
N
NE -OS -15-05
Alaska
Arizona
17-026
Nevada
TN -03-2002.34
Arkansas
AZO612
New Hampshire
2975
California
88-0469
New Jersey—NELAP
TNO02
2932
New Mexico
n/a
Colorado
TN00003
New York
11742
Connecticut
PH -0197
Florida
North Carolina
Env375
Georgia
E87487
North Carolina'
DW21704
NELAP
North Carolina a
41
Georgia
923
Idaho
North Dakota
R-140
Illinois
TN00003
Ohio—VAP
CL0069
200008
Oklahoma
Indiana
C -TN -01
Oregon
Iowa
364
TN2 TN200002
Kansas
Pennsylvania
68-02979
Kentucky s
E-10277
Rhode Island
LA000356
Kentucky
90010
South Carolina
84004
Louisiana
16
South Dakota
Louisiana
A130792
Tennessee'"
20
2006
Maine
LA180010
Texas
T 104704245-17-14
TN0002
Texas5
LAB0152
Maryland
324
Utah
Massachusetts
M-TNO03
TN00003
Michigan
9958
Vermont
VT2006
Minnesota
047-999-395
Virginia
460132
Mississippi
TN00003
Washington
C847
Missouri
West Virginia
233
Montana
340
Wisconsin
9980939910
CERT0086
Wyoming
A2LA
A2LA — ISO 17025
-
1461.01
_ IHA-LA.
e
A2LA — ISO 17025 5
1461.02
AIHA-LAP,LLC EMLAP
LC CML..10
100789
Canada
1461.01
DOD
1461.01
EPA—Crypto
TN00003
USDA
P330-15-00234
' Drinking Water 'Underground Storage Tanks 'Aquatic Toxicity ' Chemical/Microbiological 'Mold 'Wastewater n/a Accreditation not applicable
ESC Lab Sciences has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please
contact our main office. ESC Lab Sciences performs all testing at our central laboratory.
VVA
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ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE:
EMA Resources L975375 03/16/1812:29 21 of 22
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ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name:
WWTP Name:
Town of Mocksville
Dutchman's Creek WWTP
WQ Permit Number:
PWS Number:
Monitoring Period: From 3/5/2018 To 3/5/2018
WQ0003351
NCO021491
Pathosen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:771t. A (time/temp) ❑ 1
Alt B (Alk Treatment)❑ Alt. C (Prior Testing) 0...........
AIt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying [IT Heat Treatment ❑ Thermophilic ❑
Beta Ray (31 Gamma Ray ❑ Pasteurization ❑
Class B: jAlt. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization R1 Air Drying El Composting El Aerobic Digestion 13__
_ _. __
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
g
Pathogen Density
Number oFrequency
Excee-
of Analysis
Sample
Type
Analytical
Tech-nique
inimu
Geo. Mean
aximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
wei t
Vector Attraction Reduction (15A fNUAU uZ I J iu7) - rlease molcaTe anernative periorineu:
Alt.1 (VS reduction) ❑ Alt. 2 (40 -day bench) ❑ Alt. 3 (30 -day bench) ❑ Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14 -Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
O "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 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. I am aware that there are significant
penalties for false certification including fine and imprisonment."
3rent Collins - Director of Technical Service: Brent Collins - Director of Technical Services
Preparer Name and Title (type or print) Land Applier Name and (if applicable)(type or print)
�e G�� �� 4; 12/20/2018
Signature of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name:
WWTP Name:
Monitoring Period: From
Town of Mocksville
Dutchman's Creek WWTP
4/27/2018
WQ Permit Number:
PWS Number:
To 4/27/2018
WQ0003351
NCO021491
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment)❑ Alt. C (Prior Testing)❑
.................. AIt.D (No Prior Test) ❑ Process to Further Reduce Pathogengs ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑ Heat Drying ❑ Heat Treatment ❑Thermophilic ❑
Beta Ray 11Gamma Ray ❑ Pasteurization ❑
Class B: jAlt. (1) Fecal Density ❑ Alt. (2) Process to Significantly Reduce Pathogens ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization © Air Drying ❑ Composting ❑ jAerobic Digestion ❑
Anaerobic Digestion ❑...................................... .
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
umer o
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech-nique
inim
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (1,A INUAU UZI .iiu7) - riease malcaie anernaiive perivrmeu:
Alt.1 (VS reduction) ❑ Alt. 2 (40 -day bench) ❑ Alt. 3 (30 -day bench) ❑Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14 -Day Aerobic) ❑ Alt. 6 (Alk. Stabilization 0 Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 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. I am aware that there are significant
penalties for false certification including fine and imprisonment."
3rent Collins - Director of Technical Service.,
Preparer Name and Title (type or print)
Brent Collins - Director of Technical Services
Land Applier Name and Title (if applicable)(type or print)
12/20/2018
Signature of Preparer* Date Signature of Land Applier (if applicable)
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM PVRF 02T (12/2006)

9—

Burnett Lime Company, Inc.
0 709S Hwy 11, Campobello, SC 29322
❑ S200 US Hwy 17 S, Bartow, FL 33830 .
0 1100 Airport Rd, Eastaboga, AL 36260
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BURNETT LIME CONSIGNEE
SHIPPED VIA I TERMS
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AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING „rAA.•---�"
FINAL WATER METER READING
BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT
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NO DILUTION WATER NEEDED
AUTOMATIC DILUTION METER TURNED "ON"
INITIAL WATER METER READING „rAA.•---�"
FINAL WATER METER READING
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OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE
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❑ 7095 Hwy 11, Campobello, SC 29322
❑ 5200 US Hwy 17 5, Bartow, FL 33830 . DELIVERY TICKET NO.
❑ 1100 Airport Rd, Eastaboga, AL 36260
SHIPMENT DATE
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BILL FREIGHT CHARGES TO.
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