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HomeMy WebLinkAboutWQ0038499_Residual Annual Report 2018_20190315INITIAL REVIEW Reviewer Williams, Kendall Project Number* WQ0038499 SUBMITTAL DATED: 3/5/2019 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 * Bio -Green Services, Inc. Email Address* Biogreensvc@aol.com 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* WQ0038499 Permittee * Bio Green Services, Inc. Phone Number* 3368138063 Facility Name * Brunswick Nuclear/NG Purvis Truck Wash 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.) Bio Green AR 2018.pdf 6.44MB l pload only 1 RDF docurrent. NUltiple 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 3/5/2019 2018 ANNUAL REPORT LAND APPLICATION PROGRAM BIO -GREEN SERVICES, INC. PERMIT #W00038499 Compiled By: Bio -Green Services, Inc. 383 Potts Road Advance, NC 27006 January 2019 HCDABCS Agronomic Division Phone: (999) 733.2855 Webaile: www.nosgr.govMgronomil mroinis Sauntlers Report No. FYI 8 SL004B88 Sample ID; 08 Racomnwndationa: Lima NuOrieMs {1Wacre) Page 3 of 4 Lime History; Crop (tonslacre) N P203 1 -Bermuda haylpasL, M 1.3 180-220 K20 Mg f Mn Zn Ca B More Information 0 2- Barrnuda ha 180-220 0 210 210 0 - 0 0 0 0 0 0 0 0 tea: 12 Test Results [units - WN In 9/cn?,1 CEC and Na in macg1100 crtf; NOadt In 0 0 0 • 1 mg/dm'J: foil Class; Mineral HM% WN CEC BS% At pH P•1 KA Ca% Mg% 54 Mn -1 Mn.All Mn.AI2 ,2nd Zn -Al Cu4 No ESP g3-1 NO2-N 0.46 1.54 4.2 52 2.0 5.0 312 13 38 13 50 60 53 53 343 343 sea 0.1 a Heavy Metals (parts per million): Arsenic, 0.1 Cadmlum, 0.0 Nickel, 0.4 Chromium, 0.4 Lead, 4.1 Selenium, 0.1 NCDAdCS Agronomic Division Phone: (919) 733-2655 Websita: www.neagr.gov/agranomll Report No. FY1S-SL0046B8 Wginia Saunders Page 2 of 4 Sample ID: 03 Recommendations: Lime Nutrients (ib/acre) More Crop (tonalacre) N P205 K20 Mg S Mn Zn Cu 8 Intornution Lime History. 1-FescuetoGramTim, M 0.0 120-200 0 40 0 0 0 0 0 0 Note: 12 2-Fsacue=rasslTm, M 0.0 120-200 0 40 0 0 0 0 0 D l Test Results [unh$ - WN In g/crrP; CEC and Na In megJ100 cm?; M03 -N 1n mg/drift Soil Clens: Mineral HM% WN CEC BS% At pH P-1 Kd Ca% Mq% 3-1 Mn -I Mn -All Mn.Al2 Znd Zn AJ Cu -I Na ESP SS -I NO3-N 0.41 1.41 5.7 80 1.1 6.2 263 49 53 23 37 63 52 52 330 330 251 0.1 2 Heavy Metals (parts per million): Arsenic, 0.2 Cadmium, 0.1 Nickel, 0.5 Chromium, 0.3 Lead, 6.3 Selenium, 0.0 Sample 1D: D4 Recommendations: Lime Nutrients (Iblecre) More Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Small Grain (SG) 0.0 80-10D 0 70 0 0 0 0 0 0 Note 3 2 -Small Grain (SG) 0.0 80-100 0 70 0 0 0 0 0 0 N Test Results [units - WIV In gkO: CEC and Na in megll00 cm1; NO3-N in mgldn?J: Soil Class: Mineral HM% WIV CEC BS% At pH P-1 K-1 Cay. Mg% S-1 Mn4 Mn -AN Mn-Al2 Zn -I Zn -Al CU4 Na ESP SS4 NO3-N 0.32 1.35 6.1 78 1.4 8.1 307 32 56 19 29 91 64 64 649 849 780 0.1 2 Heavy Metals (parts per million): Arsenio, 0.2 Cadmium, 0.1 Nickel, 0.5 Chromium, 0.3 Lead, 6.6 Selenium, 0.1 Sample ID: 05 Recommendations: Lime Nuldents (IWacre) I More Crop (torWacre) N P20a K20 Mg S Mn Zn Cu B Information Lime History: 1-FescuelOGrese/Tim, M 0.0 120-200 0 60 0 0 C 0 0 0 Nola: 12 I 2-Fescue/OGrass/Tim, M 0.0 120-2DO 0 60 0 C 0 0 0 0 NO' 12 Teat Results [units - WN In gJcrnl; CEC and No In meg1100 cm3; NO3-N In mgldn?]: Sou Class: Mineral HM% WN CEC 133% At pH Pd K4 CA Mg;G 5.1 Mn4 Mn -All Mn-Al2 Zn -I Zn4U Cu -I Na ESP SS4 NO3-N 0.66 1.47 7.5 84 1.2 5.3 268 40 82 20 32 116 82 82 444 444 251 0.1 1 Heavy Metals (parts par million): Ars *nit, 0.1 Cadmium, 0.1 Nickel. 0.4 Chromium, 0.3 Lead, 5.3 Selenium, 0.1 �. kjr "ormc wvisron Nnone: (919) 733-2855 Website: wswv.nca9r.govlagronomI1 Report No. FY16-SL004686 HeavyMetals Client: Virginia Saunders Advisor. Wll;cox &Metre Soil Solutions (jF � f 1224 Gurney W ltd 1205 W Bessemer Ave Ste 202 Soil Re ort Mehlich-3 Extraction Eagle Springs. NC 27242 Greensboro, NC 27408 p „,n" Links to Het iul Information Sampled: 091 Sampled County : Moore Received: 09!1412017 Farm; Virginia Saunders -Site 05 Completed: 09122!2017 Client lD: 477176 Advisor f0; 462496 Agronomist's Comments: This report Contains both routine soil test information as well as heavy metals data in a section labeled as Heavy Metals under sail lest lab results. Luing Mehlich 3 as a soif lest extraolant, background levels ofthese metals typically seen in NC soils when anNyzed are as follows: arsenic (As)- 4.5 ppm, cadmium [Cd)• 0.1 ppm, chromium (Cr)- 0.2 ppm, iced (Pb} - 4.2 ppm, nickel (Ni}- 0.8 ppm, & selenium (Se). 02 ppm (FY2005-2007). Note elevated lead (Pb) in sample 01,02 and 04. Although The above metals here are not believed to pose s Cor tem for plant growth. continue to monitor these and tole where elevated above background levels. Note any lime and fertilizer recommendations. Where soil test phosphorus (P) A very hkph [P-1 > 100 crops ill not respond to additional P applied Ja athi Kamalakanthan 9122/2017 Sample ID: 01 Recommendations: Lime _ Nutrients (lblacre) More Lime History: ___T Crop (tonstacre) N P205 K20 Mg S Mn Zn Cu B 1- Bermuda hayrpasi., M 0.0 180-220 0 180 D 0 0 Information 0 0 0Note: 2 -Bermuda hay! asi., M 0.0 180-220 0 180 3 0 0 0 0 0 12 (dote: 12 Test Results [units - W!V in gfcrrd; CEC and Na in meg1100 crrrl; NOa•N In r idmijo Soil Class: Mineral Hli WN CEC BS% Ac pH P-1 K4 Ca% Mg% S•1 Mn -I Mi Mn-AI2 Zn -I Zn•AI Cu.] Na ESP SS -1 NO3-N 0.80 1.42 6.3 79 1.3 51 1.96 23 56 21 43 93 71 71 534 534 256 0.1 2 Heavy Metals (parts per million): Arsenic, 0.1 Cadmium, 0.1 Nickel, 0.5 Chromium, 0.2 Lead, 7.1 Selenium, 0.1 Sample ID: 02 Recommendations: Lime Nutrients (lblacre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1. Bermuda haytpa5t., M 0.5 180-220 0 160 0 0 0 0 0 0 Note: 12 2. Bermuda hey/past., M 0.0 160-220 0 160 C 0 0 0 0 0 fie_ 12 Test Results junits - WN In glomi; CEC and Na in megli D0 cmi; NO3-N in mgido]: Soil Class: Mineral HM% WN CEC 86% Ac pH P-1 K -I Ca% M9% 8-1 li Mn -Ali Mn-AIZ Zn -I Zn -AI Cu -1 No ESP SS -I NO3-N 0.51 1.50 4.8 70 1.4 5.7 367 30 50 17 40 123 91 91 603 603 577 01 2 Heavy Motais (parts per million]: Arsenic, 0.2 Cadmium, 0.1 Nickel, 0.6 Chromium, 0.3 Lead, 8.6 Selenium, 0.1 North C4-3rolif13 ta6accn Trus[ r„n�f Commi;siw[ Reprogramming of the laboratoryinformation-management system that makes this repod possible Is beinp funded throuph a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Sieve Troxler, Commissioner of Agriculture NCAA&CS Agronomic Division Phone: (919) 733-3655 Website: tiwvw.ncagr.govlagronomif Report No. FY18-61_031137 Denise Harrison Page 2 of 4 Sample 11): DEPV2 Recommendations: Lime Nutrients (Iblacre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1. - Bermuda hay/past., E 0.9 60-80 0 30 6 0 0 0 0 0 Note 12 2- Bermuda hay/past., M 0.0 180-220 0 100 0 0 0 0 0 0 Note 12 Test Results [units - WN in glcrrrl; CEC and Na in meglloo crr> ; Nos-N in mgldm3]: Soil Class: Mineral HM% WN CEG BS% Ac PH P-1 K-1 Ga°/ Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-I NO3-N 1.31 1.05 7.7 74 2.0 5.5 279 55 56 14 58 40 41 41 1365 1365 179 0.3 4 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda haylpast.. E 0.5 60-80 0 0 0 0 0 0 0 0 Note 12 2-Bermuda haylpast.. M 0.0 180-220 0 10 0 0 0 0 0 0 Note 12 Test Results [units - WIV in glcmii; CEC and Na in meg11o0 cnr1; NO3-N in mgldnrl]: Soil Class: Mineral HM% W!V CEC BS% Ac PH P-1 K-1 Ca% Mg% S4 Mn-1 Mn-All Mn-Al2 Zn-1 Zn-A) Cu-I Na ESP SS-I NO3-N 1.67 0.83 102 82 1 8 5.8 i 83 112 63 14 62 60 53 53 456 456 96 0.4 4 Sa Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P2O5 K20 Mg S Mn Zn Cu B Information Lime History: 1- Bermuda haylpast., E 0.0 60-80 0 10 0 0 0 0 0 0 Nate 12 2- Bermuda hay/past., M 0.0 180-220 0 60 0 0 0 0 0 0 Note 12 Test Results [units - WiV in glcrn"; CEC and Na in megll00 crr"; NO3-N in mgldrn;]: Soil Class: Mineral HMJ W!V CEC BS% Ac pH P-1 K-1 Ca% Mg% S4 Mn-I Mn-All Mn-Al2 Zn-1 Zn-At Cu-I Na ESP SS-I NOs-N 1.02 1.18 9.6 85 1 4 6.0 603 76 65 16 83 97 75 75 706 706 224 03 3 Srnni fflt B Recommendations: Lime Nutrients QVacre) More Crop (tonslacre) N P2O5 V-2O Mg 5 Mn Zn Cu 13 Information Lime History: 1 - Bermuda haylpast, E 0.0 60-60 0 40 0 0 0 ❑ 0 0 Note 12 2 - Bermuda haylpast. M 0.0 180-220 0 110 0 0 0 0 ❑ 0 Nc'o 12 Test Results junits - W1V in glcmr ; CEC and Na in megi cm3; NO3-N in mgtolm"]: Sal Class: Mineral HIM WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-I NO3-N 0.46 1.12 12-4 87 1.6 6.1 1159 49 76 9 65 81 65 65 1529 1529 402 0.4 3 Report No. FY16-SL031137 NCDA&CS Agronomic Division Phone: (9191733.2655 Website: www.ncagr.govlagranomU Denise Harrison Page 3 of 4 Sample In: DEAV3 Recommendations: Lime Nutrients (Ibtacre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Bermuda hay/past., E 1.9 60-80 0 120 25 0 0 0 0 0 N to e: 12 2 - Bermuda hay/past., M 0.0 180-220 0 220 $ 0 0 0 0 0 Note: 2 No Test Results [units - WN in glenf; CEC and Na in meg1100 cm3; NOS-N in mg/dm?]; Soil Class: Mineral HM% W1V CEC BS% Ac pH P4 K-1 Ca% Mg % S4 Mn-I Mn-All Mn-Al2 Zrk4 Zn-AI Cua Na ESP S54 NO3-N 1.08 1.24 4.0 35 2.6 4.5 246 11 27 7 45 18 28 28 200 200 69 0.3 8 Ume Stabilftat'Ofl Ph Test Results HaUlDr. olo.GREEN Sorvic", '"C' 'r Ir t,%.C, k _ Sludge Source:- _f__Orv,I5 -.141b Approximate ciallonw Permit. 0: initial pb Test DfiteN OPcMtOT TeMP Temperature Corrected Ph 2 Hous' Ph Test opffalol' Time Temp Ph Temp Corrected Ph 24 gourPh Test Time 91, (1POMIC'r Date 36�-1!5` j f1b C Orreewd Burnett Lime Company, Inc. CERTIFIED PUBLIC WEIGHER LA 7095 Hwy 11, Campobello, SC 29322 U 52DO US Hwy 17 S, Bartow, FL 33830 . DELIVERY TICKET NO. -11100 Airport Rd, Eastaboga, AL 36260 49740 SHIPMENT DATE • 3/29/18 SHIPMENT WEIGHTS S 0 Bio Green L Attn: Accounts Payable D 383 Potts Road Advance, NO 27007 T O S H NG Purvis Farms 1 10470 NC 705 P Eagle Springs, NC 27242 T O 0 6ii`"t�`�.4# ?i z1L) Mitchell I'VIN9 J40782R W z 46,080 LBS c� 2e �jrr c 7� 11 `%-,/ CUSTOMER SIGNATURE ORIGINAL COPY PROJECT NO, BILL FREIGHT CHARGES TO: BURNETT LIME CONSIGNEE CUSTOMER NO. BEC ORDER LOT NO. CUSTOMER PURCHASE ORDER NO. SHIPPED VIA TERMS M`2p ��`19�— 1 CAL B005 ORDERED Cr oC I , Ray Transport SHIPPED DESCRIPTION 1 Tanker CAL-FLO' Slurry COI} 1 DRIVER MUST FIND OPERATOR ON DUTY AT END OF OFF-LOADING NO DILUTION WATER NEEDED AUTOMATIC DILUTION METER TURNED "ON" INITIAL WATER METER READING FINAL WATER METER READING CAL -= FLQ BEGINNING TANK LEVEL FT ENDING TANK LEVEL FT *OPERATOR REQUESTED TO INSPECT SLURRY DILUTION ACCURACY AND OFF-LOADING AREA CLEANLINESS ohiT MEiWe OPERATOR UNABLE TO INSPECT UNLOADING PROCEDURE inaao, me T.�.dvdAN 41NU60m ' °� Sh ANSl�RSKA ki c.rwm xva,o:ie. OPERATOR INITIALS IF DIFFERENT FROM CUSTOMER SIGNATURE 65O m,(c Ma. m"�u eLe"e z1L) Mitchell I'VIN9 J40782R W z 46,080 LBS c� 2e �jrr c 7� 11 `%-,/ CUSTOMER SIGNATURE ORIGINAL COPY ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules) ^•cility Name: NG Purvis Farms, Inc. Truck Wash WQ Permit Number: WQW38499 WTP Name: NPDES Number: None Monitoring Period: From 1/1/2018 To 12/31/2018 Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 Alternative 2 Alternative 3 Alternative 4 Alternative 5 Alternative 6 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: Alternative l Alternative 2 If applicable to alternative performed (Class B ons) indicate "Process to Significantly Reduce Path ens": Lime Stabilization Air Drying composting Aerobic Digestion Anaerobic Digestion If applicable to alternative performed Class A or Class B) complete the following monitoring data: Parameter Allowable Level inSludge Pathogen Density Number o Gxcee- Frequency of Analysis Sample Type Analytical Tech-nique Minimum 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) ,,.,.monel]a bacteria (in lieu or feeal coliform 3 MPN per 4 grams total solid (dry weight) vector attraction xeauction t9u ern 3tu..3.31- riease imitate option perruratea: Alt.1 (VS reduction) Alt. 2 (40 -day bench) Alt_ 3 (30 -day bench) I Alt. 4 (Spec. O, uptake) Alt. 5 (14 -Day Aerobic) Alt. 6 (Alk. Stabilization )< Alt 7 (Drying - Stable) JAIt. 8 (Drying - Unstable) Alt. 9 (ln}action) Alt. 10 (incorporation) jNo 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 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 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 personnels 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." ) G(I t L k-t4a 0 Ray Gambill, President Preparnr Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) -,,gtlatu Preparer* ata Signature ottand Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T - 1102 (26) ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules) Facility Name: Brunwick Nuclear Plant WQ Permit Number: W Q0038499 WWTP Name: Brunswick Support Facilities W WTP NPDES Number: NCO007064 Monitoring Period: From 1/1/2018 To 12131/2018 Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed: Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ Alternative 4 ® Alternative 5 ❑ Alternative 6 ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ I IIeat Drying ❑ Heat Treatment ❑ Thermophilic Pieta Rav 11 Garmna Rav ❑ Pasteurization ❑ Class l3: Alternative 1 .J Alternative 2 2 If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens': Linte Stabilization ❑ Air Dr4ingO Composting D Aerobic Digestion '. Anaerobic Digestion Ll If applicable to alternative perfotlned (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density "urn `r o Excee- Cncesof Frcquency Anal Ysrs Sample Type Analytical Tech - ni MinimumGeo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids '�iPV CF - 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in iicn of fecal coliform) 3 TMPN per 4 grams total solid (dry weight) Vector Attraction >K.ediletion On urm :%w-3.5) - rrease tnutcare opnon errurmeo: Alt.l (VS reduction) Al Alt. 2 (40 -day bench) Ll Alt. 3 (.30 -day bench) ❑ I Alt. 4 (Spec. 0, uptake) ❑ All. 5 (14 -Day Aerobic) ❑ Alt. 6 (AIL Stabilization Ff Alt 7 (Drying - Stable) ❑ JAR. 8 (Drying - Unstable) J Alt. 9 (injection) ❑ Alt. 10 (Incorporation) I—D No vector attraction reduction alternatives were performed Q CERTIFICATION STATE_-NIENT (please check the appropriate statement) fl "1 certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction re uirement in 40 CFR 503.33 have been met." Ll "I certif}•, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 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." Chn, Irr 1< 64C 106.4 t9g, Ray Gambill, President Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) �ef/���i�Signature of Preparer* Date Signaand Applier if applicable) Date *Preparer is defined in 40 CFR Pail 503.9(r) and 15A NCAC 2T . t 102 (26) DENR FORM PVRF 503 (1212006) ANNUAL PATHOGEN AND VECTOR FORMS ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report _eility Name: NG Purvis Farms, Inc. Truck Wash Total Dry Tons Applied {Annual): 60.85 Permit #: W00038499 Cation Exchange Capacity (non 503 only): Operator: Same Owner: Saunders Predominant Soil Series: Fuquay Acres Used: 6.4 Acres Permitted: 6.4 Site #: 5 Field #: 6 Residual Analysis Data {Heavy Metals and Total Phosphorus use me/kte. % Solids use Raw Percent #l: Annual Heavy Metal Field Loadings (Calculated in lbs/acre): l otai DT/Ac./ App. Event 9.51 `l 0 $ 14 Arsenic 0.125 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.125 Cadmium 0.038 0.000 1 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.038 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.170 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0J70 Mercury 0.008 0.000 0.000 4.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Molyb- denu 0.096 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.096 Nickel 0.464 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.464 Selenium 0.095 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.095 Zinc 49,061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 49.061 Total Phos- bonus 251.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 251.011 "1 certify, under penalty of taw, 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 offines and imprisonment for knowing violations". Sign4tture oUand Applier Dat ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUHMI7TED FOR EACH FIELD APPLIED ON PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facitity Name: NG Purvis Fames, lite. Truck W WQ Permit a: WQ0038499 Field 0: 6 Acres Utilized: 6,4 Landowner. Saunders Annual Dry Tons Applied: 60.8499 Site p: 5 Ades Permitted: 6.4 Operator, Some Predominant Sail Series: Fuqusy Cation Exchange Capacity (non 503): Crop 1 Name: Bermuda Grass Cron I Max, PAN: 196 Crop 2 Name: N/A Crop 2 Max. PAN: WA Vnlurrme epplicd M (toter one) Solids+' % .9 Liquid Solids Cu Yds Galland Voltmte Applied per A S07 TanuAc7 Residual Sources (NPDES a, WQn,cre Fert„Animal Waste, etc) Soil Cord (Dry, Moist Nwip. Past 24 H '=� D �' �. 8 'p o � �. : °= � o- TKN a g u n'fd1�4 Nitrate W Nitrite mP9 PAN A bed (lhsla Applied ) Crop 1 I Crop 2 Name of Crop Type Receiving Residual Application Crop I Crop 2 Apr 191500 7.62 9508 WQ0039499 Dry S 0.5 0.4 23200 38M 2.33 183-735 NA 9G 0.000 0.000 0.000 0.000 0,000 0.000 O.ODO 0.000 0.000 0.000 O.DOO 94000# O.Wo 0.000 0.000 0.000 0.000 0.000 0.0W 0.000 0.000 o.W0 0.000 0.000 0.000 0.000 O.00D _ 0.0(1[) flOW o.um 0.13M 0.000 0.000 Rrri4aais Applkatiow luta]-on FORM FSF.sup. ( attach FC)RM FSF ,u to this form): rornl i 1500 As Cd Cu Cr Pb lig Mo Ni Se Ln P 183735 1 0000 Lime Applied Annual lbs/acre Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.'••+ 11.017 0 0.017 36 0.037 0.075 u 0 0.017 0.075 34 133.8 0,017 0 0.0[7 N/A 0.0$7 0 0.017 267 O.DOI 0 0.001 15 0.017 0 0.017 NIA U.O17 o 0.017 374 0.017 D 0.917 89 0.501 u 0.501 2498 4.504 17.ate lbs/ac Permit PAN Limit Istl2nd Crop I f 196 1 NIA "1 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 auhmitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Sorrier - 0.5, Injectionllncorporntion - LO C Signature of Land Applier Date Mineralization Rates: Compost -0.1, annerobially digested -0.2, aerobically digested -0J, raw sludge -0.4 •t•tC.P.L.R.: Cumulative Pollutant Loading Rate ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report . , _dity Name - Permit #: Operator: Acres Used: NG Purvis Farms, Inc. Truck Wash Total Dry Tons Applied (Annual): 21.45 WQ0038499 Same Owner: 2.2 Acres Permitted: Cation Exchange Capacity (non 503 only): Saunders Predominant Soil Series: 2.2 Site #: 5 Field #: Fuquay 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Annual Heavy Metal Field Loadings (Calculated in lbs/acre): I ural 0 DTlAc.1 App, 6 Event 4.75 Arsenic 0.128 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.128 Cadmium 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Copper I 4.000 0.000 1 0.000 1 0.000 0.000 1 4.000 0.000 0.000 0.000 1 0.000 0.000 0.000 4.000 Chromium 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0,000 0.000 0.000 I cad 0.175 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0,175 Mcrc:ury 0.406 0.000 0.000 0.000 4.000 4.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Mol}h- 0.048 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.098 denum Nickel 0.476 4.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 O.000 0,000 0.476 Selenium 0.447 0.440 0.044 4.444 0.000 4.000 4.000 0.000 4A44 4.404 0.040 4.400 0.097 Zinc 50.305 0.O00 4.000 0.000 0.000 0.000 0.000 0.000 0.00O 4.000 0.000 0.000 50.345 Total Phos- 257.374 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 257.374 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 iAand Applier ate 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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility lame: NG Purvis Fames, Inc. Truck W WQ Permit p: WQ0038499 Field M 5 Acres Utilized: 2,2 Land Owner: Saunders Annual Dry Tons Applied: 21.4484 Site N: S Acres Permitted: 2.2 Operator: Same Predominant Soil Series: Fuguay Cation Exchange Capacity (don 503): Crop I Name: Bermuda Grass Crop I Mat. PAN: 196 Crop 2 Name: WA Crop 2 Max. PAN: NfA. Volume applied Beater one) Salid>r Liquid solids Cu. Yds Gallons Volume Applied per Acre ([Ory TWWAc) Residual Sources (NPDFS 4, WQk, Fer[.. Animal Waste, etc) Soil Coed. W O. Moist Prec,p7 Past 24 Nrhm t y � 0 = . 6 zu a' TKN maA4 :-43 9 no" Nitrate and Nitrite unary PAN Applied (lhslacre) Crop I Crop 2 Name ofCrup Type Receiving Residual Application Crop 1 Crop 2 Apr 67500 7.62 9.949 W(;0038499 fare 0 S 0.5 0.4 23200 3800 2.33 198401 NA BG 0.000 0.000 _ 0.000 0,000 0.000 0.000 0.000 0.000 Omo - 0 000 0.000 "40" 0.000 O.OW 0.000 0 000 0.000 0.000 OW0 _ _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 a'[" 0.000 O.ODD Reddash Applications totals on FORM FS F iuppt attach FIRM FSF su t" chis farm): TOTALS. 0 67500 As Cd CO Cr Ph I liz Mo Ni Se Zn P 188401 0.W0 UmcApplied Annttallbs/acre Prior Years Cumulative Ibslae Current Cumulative Ibsfac Permitted C. P. L. R."" 0017 0 0.017 36 O.Of7 0075 0 D 0.017 0075 34 1336 0,017 0 0.017 NIA 0017 0 0017 267 0.00E 0 0.001 15 0.017 0 0.017 NIA 0,017 0 0.017 374 0017 u 0.017 89 0.501 0 0.501 2498 4.504 Date Ihslac Permit PAN limit Ist/2rsd Crop t96 NIA "1 certify, udder penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified person net properly gathered and evaluated the information submitted. 1 am aware that there are significaat penalties for submitting false information ' rI ding the possibility of fines and imprisonment for knowing violations." "Application Method: S - Surface, IN - Injection, INC - Incorporation _ "Volatilintion Rete: Surface -0.5, Injectionlincorporation - 1.0 .'ignature oft -and Applier Date ..• Mineralization Rates: Compost -0.1, aaaerobially digested -0.2, aerobically digested -03, raw sludge -0A ••.•C.P.LR.: Cumulative Pollutant Loadia$ Rate ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: NG Purvis Farms, Inc. Truck Wash Total Ory Tons .Applied (Annual): 14.62 Permit #: W"38499 Cation Exchange Capacity (non 503 only): Operator: Same Owner: Saunders Predominant Soil Series: Fuquay Acres Used: 2.9 Acres Permitted: 2.9 Site #: 5 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): r Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./ App. Event 5.04 Arsenic 0.066 0:000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.066 Cadmium 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.600 0.000 0.000 0.000 0.000 0.020 Capper 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 Chromium 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.090 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.090 Mercury 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 Molyh- 0.051 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,051 rnum Nickel 0.246 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.246 Selenium 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 Zine 26.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 26.006 T'olal Phos- 133.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 133.056 horus "I certify, under penalty of law, (hat 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and in+nrisonment for knowing violations". Signa re d Applier Date ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND Si1BMITTED FOR EACH FIELD APPLIED ON PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: NG Purvis Farms, Inc. Track W Land Owner. Saunders Operator Same Crop 1 Namc: Com WQ Permit 0: 00'00038499 Field M 4 Annual Dry Tons Applied: 14.6467 Site 4.5 Predominant Soil Series: Fuquay Crop 1 Mas PAN- 104 Crap 2 Nsmt: Acres tittlized: 2.9 Aeras Permitted: 2.9 Cation Exchange Capacity (non 503): WA Crop 2 Max. PAN: WA Volume applted Volume Resdual Sources Soil Coad. Precip. a a ' 3 4 i5 3a Nitrate P Applied Nam arCrop Type (enter ane) Solids q; Applaud per (NPDES M. WQdt, Pas[ 24 $ =_ t1CN ,g O X and t lhslncro} Receivin8 Residual Liquid Solids n Acre Fen., Animal' Wet, Hrs. s ; , Nitrite Application Cu. Yds Gellorta (r>n'TmuAc) Wastc, gaol Moist F�xa ' a 5 mtpkq '"61k9 mVq Crop 1 Crap 2 Crop 1 Crop 2 Apr 46000 7.63 5,040 WQD038499 Dry 0 S v 5 0.4 23200 3800 2.33 97.401 NA BO 0.000 0.00(1 0.000 0.000 0.000 0.000 0.000 0.000 a.aao 0.010 0.000 #NiYNi" 0.000 0.000 0.000 0,000 a000 0.000 0.000 0.010 0.000 0.000 0 COU DOW 0.000 0.000 0.000 0.000 0.000 0000 O.11tlO 0000 0,000 Reaidaah A licatiom tains on FORM FSF sa t ouch FORM FSF Cupp to this forts): toTALS: 46000 As Cd Cu Cr Ph lilt Mu Ni Se Zn P 97 401 n Delo Lime ADDliCil Anntud Ib 'acre 0017 0.017 0.073 1 0.017 0.017 0.001 0,017 0.017 0.017 0,501 4,504 lute Ihslac Prior Yearn Cumulative lbs/ac 0 0 D 0 0 0 1 0 0 0 0 Current Cumulative lbs/ac 0.017 0.017 0,0750.017 0.017 0.001 0.017 0.017 0.017 0-501 Permitted C. P. L. R.**** 36 34 1338 N!A 267 15 NIA 374 89 2498 Permit PAN Limit lst/2nd Crop I104 N1A 1 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 properlygathered and evaluated the information submitted. 1 am aware that there are significant penalties for submitting raise information, including the possibility of fines and imprisonment for knowing violations." -Ap����r ..Vo litilizat Method:Rate: S - Serrace- . , I - injection, rpo - Inction - 1arat3on "•Vo[alilizalian Ratt: SaHact - 0.5, InJeclionllacarpondoo - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, ato troblally digested -0.2, aerobically digested -0.3, raw sludge -0.4 •*••C.P.LR.: Cumulative Pollutant Loading Rate ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report i _z lity Name- NG Purvis Farms, Inc. Truck Wash Total Dry Tons Applied (Annual): 17.16 Permit #: WQ0038499 Cation Exchange Capacity (non 503 only): Operator: Same Owner: Saunders Predominant Saii Series: Fuquay Acres Used: 4.5 Acres Permitted: 4,5 Site #: 5 Field #: 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): r: Annual Heavy Metal Field Loadings (Calculated in lbs/acre).- Total bs/acre): Total DTIAcJ Annual Heavy Metal Field Loadings (Calculated in lbs/acre).- Total bs/acre): Total DTIAcJ R App - Event 3.81 Arsenic 0.050 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.050 Cadmium 0.015 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 1 0:015 Copper 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 Chromiu 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.068 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.068 Mercury 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 Molyh- 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 denum Nickel 0.186 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.186 Selenium 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.038 Zinc 1 19.680 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 19.680 Total Phos- 100.690 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.000 0.000 100.690 hones "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". /��, / I f Signature 6tCand Applier Date 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 "NIA" IN A BLANK OR BOX WHEN NOT. APPLICABLE, Facility Name: NG Purvis Fauns, Inc. Truck W WQ Permit at W00038499 _ Field N: 3 Acres Utilized: 4,5 Land Owner. Saunders Aaoaal Dry Toss Applied: l7.IS87 Site p: 5 Actes Permitted: 4,5 Operator: Same Predominant Soil Series: Fuguny Callon Exchange Capacity (non 503). Crop l Name: Fescue Crop I Max. PAN: 74 Crop 2 Name, NIA Crop 2 Max. PAN: WA Volume applied ° r (enter one) Solids, C % Liquid Solids o Cu. Yds Gallons Volume lied App per Acre (pry TnmlAe) Residual Sources IM'DES #, WQ#, Fart., Animal(Dry Waste, eac) Solt Cmtd. Win) Precip. Past 24 ;-hM 9 3:1 g ' � a _- fi' � e 3 Io $ : � TKN mgt Z mgncg Ninate and Nitric -pg PAN Applied I lhsracref Crop l CropCCrop NamcofCrup Type Receiving Residuai Application 1 Crop 2 Mar 27000 7.62 1.907 WW39499 Dry 0 5 0.5 0.4 23200 3900 2.33 36.843 NA 86 Apr 27000 7,62 1.907 WQ0038499 Dry 0 S 0.5 0.4 23200 3800 2.33 36.943 36.943 0.000 0.00(1 0.000 0,000 0.000 0.000 0..000 0.000 00"0 0.11(10 0.000 o.oW 0,000 0.000 0.000 0.000 0 arxi 0:000 (LOW 0-000 0.000 0.000 0.000 0.000 1) Wit 0.01)(1 O.WO 0 000 0000 0 00(1 Rniduals Ap lkalions totals on FORM FSF sn (altaeh FORM FSF supp to this form): TOTALS WMI As Cd I Cu Cr Pb HR I Mo Ni Se Zn P 73.696 36.943 lime Applied Annuallbslucre Prior Years Cumulative lbs/ac Currant Cumulative lbs/ac Permitted C. P. L. R.**** 0.017 O 0.017 36 0017 0.075 o O 0.017 01075 34 1338 0-017 o 0.017 NIA 0017 0 0,017 267 0.001 0 O.00I 15 0.017 0 0.017 NIA 0.017 0 0.017 374 0.017 0 0.017 99 0.501 0 0.501 2498 4604 Date lbs/ac Permit PAN Limit tstl2nd Crop F 74 NIA "I certify, under penalty of law, [hat [his document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evalusled 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," ZzApplication Method: 5 - Surface, IN - Injection, INC - Incorporation -�*Voladlization Rate: Surface -0.5, Injectloollneorpontion - 1.0 Signature of Land Applier Date *** MiceralkAtinn Rates: Compost -0.1, anserobially digested -0.2, atrobically digested -0.3, rax sludge -0.4 ***'C',P.I_R,: Cumulative Pollutant Loadine Rate ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report t "ility Name: Permit #: Operator: Acres Used: NO Purvis Farms, Inc. Truck Wash Total Dry Tons Applied (Annual): 42.10 WQ0038499 Same Owner: 4.2 Acres Permitted: Cation Exchange Capacity (non 503 only): Saunders Predominant Soil Series: Fuquay 4.2 Site #: 5 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total DT/Ac./ e App - Event 10.02 Arsenic 0.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.132 Cadmium 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 C'npper 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 t'hromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.179 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.179 Mercury 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0.008 Molyb 0.101 0.000 0.000 0.000 0:000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.101 denum Nickel 0.489 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0,000 0,489 Selenium 0.100 0.000 0.000 0.000 0:000 0,000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.100 Linc 51.724 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.724 Total Phos- 264.634 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 264.634 horus "1 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 flues and imprisonment for knowing violations". Signature ofVand Applier DP ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE. A COPY OF THIS BLANK FORM TO RE COMPLETED AND Sli EMITTED FOR EACR FIELD APPLIED ON PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: NO Purvis Farms, Inc. Truck W 'N'Q Permit p; WQD0M499 Field a: 2 Acres Utilized: 4,2 Land owner. Saunders Annual pry Tons Applied: 42.1024 Site p: 5 .Acres Permitted: 4.2 Operator. Same Predominant Soil Series: Fuquay Cation Exchange Capacity (non 503).- Crop 03):Crop 1 Name: liermudo Grass Crop I Max. PAN,: 196 Crop 2 Name: NIA Crop 2 Max. PAN: NIA Volume applied (eater ane) SMidsf y; Liquid Solids Cu. Yds Gallons Volume Applied per Acre, Pry Tons t) Residual Sources (NPDES 9. WQk, Fert., Animal Waste, etc) Soil C1°d. (Dry. Moist) precip FmA 24 Hrs. a i9. ' c m u y a a n 'o- TKN nip a x 3 � �.. m91kp Nitrate and Nitrite .04,g PAN l lbtirure)d Crop I TCrap 2 Name of Crop Type Receiving Residual Application Crop I Crop:. Apr 132500 762 10-024 WO0038499 Dry 0 S 0.5 04 73200 3800 2.33 143 718 NA RG (I. WO O.Owl 01100 1) OW 0,(01 0000 O.OW 0.000 0000 0.000 DOW 444400# 0.000 0.000 0.000 OOW 6,000 0000 OOW 0 O 0.000 0.OW 0,000 O.000 O.OW o00u 0.000 0,000 O ox 1 0000 O000 1 0 Diu 1 O Stat Residuals Applications total. ma FORM FSF .upp ( munch FORM FSF supp to the form): Tn rA1.5. 0 tx25oo As Cd I Cu Cr I Pb I 1p I Mo I Ni Se Zn 1 1' 1193.718 0 O Lime Appliud Annual lbs/acre Prior Years Cumulative lbs/ac Current Cumulative lbslac Pcmlitted I . P. L. R.•••• OA 17 0 0017 36 0,017 0075 0 0 0.017 0.075 34 l338 0.017 O 0047 NIA 0,017 n E 0.017 267 0001 o 0.001 13 0.017 0 0.017 N!A 0..017 u 0017 374 0.017 6 0017 N9 0.501 u 0.501 2448 45W [lute lbs/ac Permit PAN Limit I s0nd Crop -19b NIA "1 cerfify, 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 submilting false information, including the possibility of fines and imprisonment for knowing v lotions." 'Application Method: S - Surface, IN - Injection, INC - Incorporation ••Volatilization Rate: Surface- 0._S, lnjectioollocorporation- 1.6 •"' Mincraliration Rates; Compost -0.1, anaernhially digested -0.2, aerobically Signature of Land Applier Date digested 43, raw sludge -0A ••••C.P.LR.: Cumulative Pollutant Loadlux Rate ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report . _Jlity Name: Permit #: Operator: Acres Used: NG Purvis Farms, Inc. Truck Wash Total Dry Tons Applied (Annual): 68.64 WQ0038499 Same Owner: Acres Permitted: 7.6 Cation Exchange Capacity (non 503 only): Saunders Predominant Soil Series: 7.6 Site #: 5 Field #: Fuouav Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Rare Percent #): Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Towl -� tll7Ae_/ P� App. Event 9.03 .. Arsenic 0.119 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.119 Cadmium 0.036 0.000 0.000 0.000 0.000 0.000 0-000 0.000 0.000 0.000 0.000 0.000 0.036 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Chromiuml 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Lead 0.M2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.162 Mercury 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Molyh 0.091 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.091 denum Nickel 0.441 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.441 Selenium 0.090 0.000 0.000 0.000 0.000 0:000 0.000 0.000 0.000 0.000 0.000 0,000 0.090 Zinc 46.6001 0.000 1 0.000 0:000 0.000 I 0.000 0.000 0.000 0.400 Q.000 0.000 0.000 46.600 Totai Phos- 238.418 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 238.418 horus "1 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. l am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". .r t I SignatureofC6d Applier Date 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 "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE. tscility Name: NC Purvis Farms, Inc. Truck W WO Permit M: WQN38499 Field H: I Acres Utilized: 7,6 _ Laid Owner: Saunders Annual Dry Tons Applied: 68.6349 Site 8: S Acres Permitted: 7.6 Operator. Some Predominant Soil Series: Ailey Cation Exchange Capacity (ion 303): Crop 1 !name: Bermuda Grass Cron I Max. PAN: 175 Crop 2 Name: NIA Crop 2 Max. PAN: WA Volume applied Volume Rm,du d Sources Sud Precip. ? ? Z Nitrate PAN Aplslied Name of Crop Type (enter anpi Solids! Applied per (NPDES #, WQ#, Coad. Past 24 '; � �, T1W a and f Ihdacm l Receiving Residtml tiuid Solids Acre Fen.. Anima! ( Wei, tlrs. m_ ; C. k� m. Nitrite Application Cu, Yds Gnflons (Dry TorWAQ Wye' etc) Moist WK- • o rryka mpatq n Oft Cmp 1 Clap 2 Crop i Crop 2 [sr MOM 7,62 3,930 WQ003B499 Dry 0 S 0.5 0.4 23200 3100 2,73 75.948 NA BC, 1220W 7,62 5.101 WQ0038499 Div 0 S 0.5 0.4 232M 3800 2.33 98.571 98.571 0 0,000 O.Ono 0.000 1 0.000 I I I 0.000 0.000 0.000 0.000 #008411 0.000 OXWO 0.000 0 000 0.000 0.090 0.000 0.000 0.000 0.000 0.00 0 000 0.0(10 4000 0.000 a.DW 0W) 1 0.000 a,DOO a mo 0000 Residoak A plieatians tamla an FORM RF ru ( attach FORM FSF Supp to this larml: Is_ zi4000 As Cd Cu Cr Ph HIZ Mo Ni Se Zn I P 174.519 99571 Lime Applied mllbs/actt: 0.017 0.017 0.075 0017 0017 0,001 0017 0.017 0.017 0.501 4.504 Date Ibslac Yours Cumulative Wee o 0 i 0-0 0 a 0 0 o D int Cutnulalive lbs/ac 0.617 0.017 0.075 0.017 0.017 0A01 0,017 D037 0.017 0.501 ilted C. P. L. R,++++ 36 34 1338 NIA 2b7 I S N,A 374 89 2498 It PAN Limit 12nd Crop 11 r 1721 NIA under penalty of law, that this document was prepared under any direction or supervision in accordance with a system designed to assure Thal s'cjso ragel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false T' including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, 1N - Injection, INC - Incorporation -Volatilization Rate: Surface - 0 S, Injection/Incorporation - 1.0 *** ?Mineralization Rates: Compost 4.1, anaerobiolly digested -0.2, aerobically digested -0.3, raw sludge -0.4 ••••GP.LR,: Cumulative Pollutant Loading Rate 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 #: ^_rstor: ,-res Used: Brunswick Nuclear Plant Total Dry Tons Applied (Annual): 2.70 WQ0038499 Same Owner: 15 Acres Permitted: Cation Exchange Capacity (non 503 only): P Vereen Predominant Soil Series: 15 Site #: PV Field #: 21 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft aual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4, 5 6 7 8 o- I 11 12 .101 DTIAc.I 0 App• y Event 0.18 .. Arsenic 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 Cadmium 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0A00 0.000 0.000 0.017 Copper 0.075 0.000 aual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4, 5 6 7 8 9 11 12 .101 DTIAc.I 0 App• y Event 0.18 .. Arsenic 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 Cadmium 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0A00 0.000 0.000 0.017 Copper 0.075 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.075 Chromium 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 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 0.001 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- 0.017 0.000 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 denum Nickel 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 Selenium 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 O.Ol7 Zinc 0.501 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.501 Total Phos- 4.504 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.504 h orus N 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 lines and irisonment for knowing violations". 12 , I T//9 Signatur f land Applier Date DENR FORM MFLSF (1212006) 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: Brunswick Nuclear Plant Land Owner: P Vereen Operator: Same Crop 1 Name: Bermuda WQ Permit #: WQ0038499 Field #: 2 I Acres Utilized: 15 Annual Dry Tons Applied: 0.1801 Site #: PV Acres Permitted: 15 Predominant Soil Series: Lynchburg Cation Exchange Capacity (non 503): Crop 1 Max. PAN: 172 Crop 2 Names NIA Crop 2 Max. PAN: N/A Volume applied PP s c (enter one) Solids/ % n, o Liquid Solids Cu. Yds Gallons Volume Applied per Acre (orytons ac} Residual Sources (NPDES #, Wf�#!. Fen., AnimalHrs. Waste, etc) Soil Cond. (Dry. W Moist) 1'recip. Past 24 inches -a a �• o o_ �' o' ril re TKN mg kg ? o mg kg Nitrate and N'strite mq kg PAN A lied PP (lbs/acre) Crop 1 Crop 2 Name of Crop type Receiving Residual Application Crop l Crap 2 March 4000 1.08 0.012 BN thv 0 S 0.5 0.3 104000 15700 1.89 0.825 NA BG 0.000 0.000 O.M0 0.000 0.000 0.4100 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0010 0,000 0.000 0.000 (1.)00 0.000 0.000 11.000 0.000 0.000 0.000 0.000 0.000 0,000 0.000 0 000 0.000 0,0041 o.000 Residuals Applications totals on FORM FSF Supp ( attach FORM FSF Supp to this form): TOTAL.S�J ill 4000 As Cd CU Cr Pb Hg. Mo Ni Se Zn I P 0.825 O.CK}0 Lilm pplied Annual lbs/acre Prior hears Cumulative Ibslac Current Cumulative lbs/ac Permitted C. P. L, R.**** 0.017 0.001 0.018 36 (>,017 0.075 0.001 [1008 0.018 0,083 34 1338 8017 0.001 0,018 N/A 0.017 0 0.017 267 0.001 0 0.001 15 0.017 0.001 0.018 N/A 0.017 0,001 0,018 374 0.017 0.001 0.018 89 0.501 0.042 0.543 2498 4.504 Date lbs/ac Permit PAN Limit tst/2nd Crop 172 N/A "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 % 7- *Application Method: S -Surface, IN - Injection, INC - Incorporation / **Volatilization Rate: Surface -0.5, Injection/Incorporation - 1.0 Date x** 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 (1212006) ANNUAL 'LAND APPLICATION SUMMARY FORM WAT 5 IC RAL Lp, lE C_ Ship To; NG PURVIS FARMS 2504 sms ROAD ROBBINS, NC 27325 lffrg AWkVftmi LRb@mtOS@S1 Inc - Liquid Manure/Sludge Analysis and Application Report 364 West Park Drive Warsaw, NC 28398 (910) 791.2204 FAX (918) 293-2183 Type lagoon Liquid MaerobicSvOine (NOT farrow 10 wean) SamplaNumbFn TW Date Submi tcA' 111=017 Lab Number: 10095W Report Date 111612017 pPPucation Method: Broadcast GreLLfE9A NG PURViS FARMS Results Reported On: L=LIQUID BASIS Remarks: This donunent nW be mmrtdu do* in its er&etyt Waters Agriwrhaal tabor"iFs has no conbol O'er dle manner In whlrh sam are taken, thererorG a„ahsis is based SOIL* on rhe sampk as retei+ a tab uAbW is WOod M the fee assessed on the referenced sample* i 1.90 0.951 Nitrogen - Total 2 28 0 �� P205 - TotaS 65.87 0.55 0.67 0.669 K20 - Total 80.18 0.304 36.5 0.30 Calcium 0-207 24.81 0.21 Magnesiurn 0.038 4.68 0.039 Sulfur 0.001 0.16 0.001 0.000 0.001 0.000 Zinc 0.000 0.000 Manganese 0.001 0.002 0'19 0.002 Iron 0.003 0.003 copper 0.34 0.369 0.309 Sodium 37 0.000 0.001 0.00 Aluminum Results Reported On: L=LIQUID BASIS Remarks: This donunent nW be mmrtdu do* in its er&etyt Waters Agriwrhaal tabor"iFs has no conbol O'er dle manner In whlrh sam are taken, thererorG a„ahsis is based SOIL* on rhe sampk as retei+ a tab uAbW is WOod M the fee assessed on the referenced sample* Purvis Truck Wash O.oa2 RESIDUALS ANALYSIS Residual Type: Lagoon NPDES# None Date Sampled: April 17, 2018 Permit WQ0038499 Mineralization rate 0.30 Total Solids 7.62 DH 8.3 Parameter % PPM fmnikg)(%'10 0001 Lbsli].ryTon (Mg/Kg0.002) PAN Surface 7722.23 15.444 PAN Injected TKN Nl.> 23200 46.4 Ammonia Nitrogen (AM) 3800 7.6 Nitrate Nitrogen (Nin) 2.33 0.00466 Organic Nitrogen (Om) 0 0 Total Phosphorus (P) _ 13200 26.4 Total Phosphate (P205) 0 0 Estimated Avail. P205 0 0 Total Potassium (K) 2000 4 Total Potash {1<20) 0 0 Arsenic (As) 6._57 0.01314 Cadmium (Cd) 2 0.004 Chromium (Cr) 0 0 Copper (Cu) 0 0 Lead (Pb) 8.95 0.0179 Mercury (Hg) 0.4 0.0008 Molybdenum (Mo) 5.05 0.0101 Nickel (Ni) 24.4 0.0488 Selenium (Se) 5 0.01 Zinc (Zn) 2580 5.16 Aluminum (Al) 9840 19.68 Calcium (Ca) 34100 68.2 #ran (Fe) 0 0 Sodium (Na) 904 Sulfur (S) 0 0 Magnesium (Mg) 6090 12.18 Manganese (Mn) 0 0 Sample number 18-04920 'Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TXN-Ammonia N)+ Ammonia N + Nitrate N +Nitrate N - % PAN Surface Application (Mineralization Rate)(TKN-Ammonia N)+ (0.5) (Ammonia N) + Nitrate N +Nitrate N - % PAN Note: Constituents N.D. (Not Detected) or < direction limits are listed as detection limits for calculation purposes. I Environmental Chemists, Inc. P'M A . G spa 0 E ` e i 6602 Windmill Way, Wilmington, NC 2WS . 910.392.0223 Lab • 910.392.4424 Fax sM 710 Bowsertown Road, Manteo, NC 27954 • 252.473.5702 Lab/Fax 255-A Wilmington Highway, Jacksonville, NC 28540 • 910.347.5M-31-ab/Fax -ANALYTICAL & CONSULTING CHEMISTS infofu;cnvironrnentalchemists.com. Duke Energy - Brunswick Nuclear Plant Date of Report: Jan 18, 2018 PO Box 10429 Customer PO #: Southport NC 28461 Customer ID: 09080021 Attention: Chuck Nelson Report #: 2018-00087 Project ID: Lab lD Sample ID: Collect DateFrime Matrix Sampled by 18-00243 Site: Sludge 1/212018 10:15 AM Solid/Sludge Charles Wilson Test Method 'Results Date Analyzed Sludge Residuals Aluminum EPA zoo 7 1700 mg/kg 01/1012018 Arsenic EPA 200.7 <47.2 mg/kg 0111012018 Cadmium EPA 2007 <47.2 mg/kg 01/1012018 Calcium EPA 200 7 18600 mglkg 01/0812018 Chromium EPA 2007 <47.2 mgikg 01/10/2018 _—opper EPA 200.7 208 mg/kg 01/10/2018 Lead EPA 200 7 <47.2 mgikg 0111012018 Magnesium EPA 200 7 2850 mgikg 01/08/2018 Molybdenum EPA 200.7 <47.2 mg/kg 01/10/2018 Nickel EPA 200 7 <47.2 mg/kg 01/10/2018 Potassium EPA 2007 6350 mg/kg 01/08/2018 Selenium EPA 2007 <47,2mglkg 01/10/2018 Sodium EPA 2007 14800mglkg 01/0812018 Zinc EPA 2007 1390 mg/kg 01/10/2018 Nitrate+Nitrite-Nitrogen EPA 3532 1.89 mgikg 01/16/2018 Total Solids SM2540S 1,08%° 01/08/2018 pH SM 4500 H 6 6.45 units 01/1812018 Ammonia Nitrogen SM 4500NH3 C 15700 mg/kg 01/11/2018 Total Kleldahi Nitrogen (TKN) SM 4500 ory a 104000 mg/kg 0111112018 Total Phosphorus SM 4500 P F 12500 mg/kg 01/09/2018 Mercury SW84674718 <1.76mg1kg 01105/2018 ' Environmental Chemists, Inc. 6602 Windmill Way, Wilmington, NC 28405 . 910.392.0223 Lab . 910.392.4424 Fax 710 Bowsertown Road, Manteo, NC 27954 . 252.473.5702 Lab/Fax esu 255-A Wilmington Highway, Jacksonville, NC 28540 . 910.347.5Fi43 Lab/Fax. ANALYTICAL & CONSULTING CHEMISTS intoCa enviranmentalchemisis.com Duke Energy - Brunswick Nuclear Plant Date of Report: .Ian 18, 2018 P© Sox 10429 Customer PO #: Southport NC 28461 Customer ID: 09080021 Attention. Chuck Nelson Report #: 2018-00087 Project ID: Lab ID Sample ID: Collect DatelTime Matrix Sampled by 18-00250 Site: BSFS 1/3/2018 8:00 AM Water Charles Wilson Test Method Results Date Analyzed Residue Suspended (TSS) SM 2540 D 22.5 mg/L 01103/2018 SOD SM 5210 a 22 mg/L 0110312018 Sample estimated. Did not meet quality control requirements, GGA below acceptable limits of 85-115%. Comment'. Sludge residuals, except pH, reported on a dry weight basis. Reviewed b/ /� NPOES PERMIT SAMPLING AND MONITORING OE&RC-3219 Rev. 21 Page 23 of 27 ATTACHMENT 1 Page 1 of 1 « Environmental / Regulatory Analysis Request Form >> Brunswick Nuclear Plant Hwy. 87N; P.O. Box 10429 Southport, NC 28461 Requesting Plant: Brunswick Nuclear Plant Date Results Needed: 1110/18 Requested By: ,Joel McLean Telephone: (91 O) 457-2416 (Use this Form or Equivalent) Fax: 910 457-3321 CHAIN OF CUSTODY Sampled By: C. Wilson (Enter Sample Collection Date & Time for Each Sample) Relinquished By Date Time Received By Date Time No. Sampled Sampled Initials mark with (x) Brunswick Support Facilities Sewage Sludge Laboratory: 1/2/18 -6�'t cx:� ocr7 Lab Date Time Sampler Sample Description If NPDES No. Sampled Sampled Initials mark with (x) Brunswick Support Facilities Sewage Sludge 1 1/2/18 1015 Analysis (Two one liter bottles) —See Attached x Brunswick Support Facilities Sewage Treatment 2 eA�r 113/18 0800 i i Plant Effluent for BdDS Analysis X / Brunswick Support Facilities Sewage Treatment 3 G 1/3/18 0800 PBant Effluent for Total Suspended Solids x Analysis 4 5 6 Temperature Blank Initial Temperature - 7 112/18 1015 �,6.2' c x Temperature of Blank on Arrivat at Lab = -6�'t cx:� ocr7 COUNTY OF BRUNSWICK PUBLIC UTILITIES LAND APPLICATION PROGRAM 0.002 RESIDUALS ANALYS15 Residual Type: Wastewater Treatment Plant Permit # WQ0038499 Date Sampled: 112/18 Brunswick NuOear Plant NPDES # NC❑❑07064 Mineralization rate 0.30 %Solids 1.08 PH 6.45 Parameter % PPM Imolkoll% -10.0001 LbslflnrTon (Mt1IKa0.002) PAN Injected 34,342 68.68378 PAN Surface 42,192 84383 TO 1D4000 208 Ammonia Nitrogen 15700 31.4 Nitrate Nitrogen (Nin) 1.89 0.00378 Organic Nitrogen JOrn) 0 0 Total Phosphorus (R) 12500 25 Total Phosphate (P205) 0 0 Estimated Avail. P205 0 0 Total Potassium (K) 6350 12.7 Total Potash (1(20} ❑ 0 Arsenic (AS) 47.2 0.0944 Cadmium (Cd) 47.2 0.0944 Chromium (Cr) 47.2 0.0944 Copper (Cu) 208 0.416 Lead(Pb) 47.2 0.0944 Mercury (Hg) 1.76 0.00352 Molybdenum (Mo) 47.2 0-0944 Nickel (Ni) 47.2 0.0944 Selenium (Se) 47.2 0.0944 Zinc (In) 1390 2.78 Aluminum (AI) 1790 3.4 Calcium (Ca) 18600 37.2 Iron (Fe) 0 0 Sodium (Na) 14800 29.6 Sulfuri5) 0 0 Magnesium (Mg) 2850 5.7 Manganese IMP) 01 0 Environmental Chemists, Inc. 2018-00087 `Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N)+ Ammonia N + Nitrate N +Nitrate N - % PAN Surface Application (Mineralization Rate)(TKN-Ammonia N)+ (0.5) (Ammonia N)+ Nitrate N+Nitrate N - % PAN Note: Constituents N.D. (Not Detected) or < direction limits are listed as detection limits for calculatlnn purposes. 1000Galldns- 3.093 PAN LAB SHEETS y ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over tate past calendar year. Use additional forms as needed. WQ Permit Number: WQ0038499 Facility Name: NG Purvis Farms, Inc. Truck Wash Residual Source NC0007064 NPDES # or WQ4. W WTP Name: NIA Residual Analvsis Data Laboratory: 1) Environmental Chemists, Inc. 2) 3) _ 4) 5) "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 tines and imprisonment for knowing violations." ZZ17zczezlf gignas f Prepamr * Date *Preparer is defined in 40 CFR Part 503.9(r) and 1 SA NCAC 2T. 1102 (26) . MIS' Parameter ®-t-t-- ---- "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 tines and imprisonment for knowing violations." ZZ17zczezlf gignas f Prepamr * Date *Preparer is defined in 40 CFR Part 503.9(r) and 1 SA NCAC 2T. 1102 (26) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - 13 WQ Permit Number: WW38499 Facility Name: NG Purvis Farms, Inc. Truck Wash Residual Source WQ # or NPDF-S #: WWTP Name: Residual Analvsis Data 1011010WIT-S! NIA Laboratory: 1) 2) 3) 4) 5) Environmental Chemists, Inc. Parameter For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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." 'Signa of Preparer * Bate *Preparer is detincd in 40 CFR Part 503.9(x) and I SA NCAC 2T.1 102 (26) For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "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." 'Signa of Preparer * Bate *Preparer is detincd in 40 CFR Part 503.9(x) and I SA NCAC 2T.1 102 (26) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: WQ0038499 Facility Name: Brunswick Nuclear Plant Residual Source NCO007064 NPDES # or WQ#: WWTP Name: Brunswick Support Facilities WWTP Residual Analysis Data Laboratory: 1) 2) 3) 4) 5) Environmental Chemists, Inc. "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." dt,k x 44j4---, — a - 2 r— / I Signature of Preparer * Date *Preparer is defined in 40 CFR Part 503.9(r) and I SA NCAC 2T. 1 102 (26) DE=NR FORM RSSF - B (1212006) Sample or Composite Date = i Mi� "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." dt,k x 44j4---, — a - 2 r— / I Signature of Preparer * Date *Preparer is defined in 40 CFR Part 503.9(r) and I SA NCAC 2T. 1 102 (26) DE=NR FORM RSSF - B (1212006) f ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: WQ0038499 Laboratory: 1) Facility Name: Brunswick Nuclear Plant 2) Residual SourcNWQ Sar NCO007064 4) P WWTP Name: Brunswick Support Facilities W WTP 5) 0,...:A-1 An-+- Environmental Chemists, Inc. Parameter (mg/kg) Cone. Limit (mg/kg)" Sam le or Composite Date 1/18118 Percent Solids (%j NA 1.08 Arsenic 75 47.2 Cadmium 85 47.2 Copper 4,300 208 Chromium NA 47.2 Lead 840 47.2 Mercury 57 1.76 Molybdenum 75 47.2 Nickel 420 47.2 Selenium 100 472 Zinc 7,500 1390 l'otal Phosphorus NA 12500 TKN NA 104000 Ammonia -Nitrogen NA 15700 Nitrate and Nitrite NA 1.89 'For surface disposal taciIities the ceiling concentration limits listed in this form are not applicable. Keterence the individual permit for metals limits. "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 tines and imprisonment for knowing violations." L" K ,IL J -JP-/ I Signature of Preparer * Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T.1 102 (26) DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: W00038499 County: lite Name (as shown on permit): Brunswick Year: Brunswick Nuclear Plant 2018 Land Application Operator: Bio -Green Services, Inc. Phone: 336-940-4544 Land application of residuals as allowed by the permit occurred during the past calendar year? Yes No - If Na, 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 A lication Summary: Total number ofapplication fields in the ermitr 4 'total number of fields utilized for land application during the yearl 1 Total amount of dry tons applied during the year for all application sites: 0.1901 Total number of acres utilizes for land application during the year: 15 Part B- Annual Comniance Statement: Facility was compliant during calendar year 2018 with all conditions of the land application pe it (including but not limited to items 1-I3 below) issued by the Division of Water Resources, Yes No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. t) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pld 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. " All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) -opies of ccrtified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T.1 105(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 GFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T. I 111 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 Resources. 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. l 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoffof residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All butler 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." ` `A Ray Gambill, President Lit✓-C�t/I jl7 / �� Permittee Name and Title (type or print) ignatu of Permittee Date .ature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (ifdifferent from Permittee and Preparer) * Preparer is defined in 40 CPR Part 503.9 (r) and 15A NCAC 02T .1102 (26) ANNUAL LAND APPLICATION CERTIFICATION FORM TABLE OF CONTENTS SECTION NO. TITLE I Annual Land Application Certification Form Form ACF Ii Annual Residual Sampling Summary Form Form RSSF III Annual Land Application Field Summary Form Form FSF IV Lab Sheets (Analytical Data) V Annual Pathogen and Vector Reduction Forms VI Soil Analysis Bio -green Services, Inc. 377 Potts Road Advance, NC 27006 336-9401544 NC PERMIT tt WQ0038499 LAND APPLIIRS: Bio -Green Services, Inc. 383 Potts Road Advance, North Carolina 27006 2018 Brunswick Nuclear Plant Total Dry Tons 0.1801 NG Purvis Farms Inc. Truck Wash Total Dry Tons 224.811 2018 Brunswick Nuclear Plant Total Metric Tons 0.1644 NG Purvis Farms, Inc. Truck Wash Total Metric Tons 204.559 January 1, 2019 NCDENR-DWR 512 N Salisbury St 6th Floor Room 640-A Raleigh, NC 27604 Attention: Information Processing Unit Reference: 2018 LAND APPLICATION ANNUAL REPORT Bio -Green Services, Inc. Permit No. WQ0038499 Non -Discharge Compliance Unit: Bio -Green Services, Inc. (Bio -Green) is submitting all monitoring and reporting requirements as specified in the above referenced permit. Bio -Green compiled this report using data gathered during the compliance year by Bio -Green, Brunswick Nuclear Plant and NG Purvis Farms, Inc. This data includes: I Annual Land Application Certification Form Form ACF II Annual Residual Sampling Summary Form Form RSSF III Annual Land Application Field Summary Form Form FSF IV Lab Sheets (Analytical Data) V Annual Pathogen and Vector Reduction Forms VI Soil Analysis If there is any further information required or questions regarding this annual report please do not hesitate to contact Bio -Green for further assistance. Sincerely, Ray Gambill NC Land Application/Residuals Operator