WQ0002834_2018 Residual Annual Report_20190305

There,sa Coletta
Mayor
Jeanne Martin
Town Clerk
Ms. Sonya Gregory
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Ms. Gregory,
Town of Burnsville
AZ
Councilor:
Judy Buchanan
P-umell Fox
Bunnie McInto8h
(Shannon Peter8on
02/27/2019
RECEIVED/NMENWR
MAR - 5 2019
Non -Discharge
Permitting unit
Please find enclosed the original and two copies of the Town of Burnsville's Bio-Solids Annual
Report for your review and approval. Per the DMSDF, one of the six temperature probes was
not functioning correctly. The probe has been replaced and backup probes are now on hand if
needed. P If you have any questions please call the ORC at 828-260-2027.
Thank you,
1� 4 �-j
Ronnie Tipton
Public Works Director
P.O. Box 97 0 Burnsville, North Carolina 28714 • Phone [phone] PAX [phone]

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Burnsville
WWTP Name: Town of Burnsville
Monitoring Period: From
WQ Permit Number: WQ0002834
NPDES Number: NCO020290
12/31/2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
1/1/2019
To
Class A:
Alt. A (time/temp) K I
Alt B (Alk Treatment)❑
Alt. C (Prior Testing)[]
Alt.D ,(No Prior Test) ❑
Process to Further Reduce Pathogengs ❑��'
If applicable to alternative performed (Class A only) iindkate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ElThermophilic
El
Beta RayEl
Gamma Ra ❑
Pasteurization ❑,
L7 777:
Class B:
Alt. (1) Fecal Density ❑
I 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
n
:-.:.
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
g
Pathogen Density
Number ol
Excee-
Frequency
of Analysis
Y
Sample
Type
Analytical
Tech-
nioue
inimu
Geo. Mean
aximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gam
of total solid (dry
weight)
38.1
39.1
mpn/kg
0
only pile
G
sm922le2
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 gams
total solid (dry
I weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
jAlt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) 14
Alt. 6 (Alk. Stabilization ❑
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)
�} "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."
Jadd Brewer, ORC
Preparer N nd Title (type or print) Land Applier Name and Title (if applicable)(type or print)
a �)Aig
Signature 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)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0002834 FACILITY NAME: Town of Burnsville
PHONE: [phone] COUNTY: Yancey OPERATOR: Jadd Brewer
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
91 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes ® No ❑ ---► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
.
applicable)
V lume (dry tons
i
Reci Tent Information
Amendment/
Bulkin Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
NCO020290POTW
40
20.62
60.62
Tom Sheff
0.34
mulch
February
Digester
Willard Jobe
0.68
pasture
March
Chris Wilson
1.36
leaf crop
April
Randy Baker
27.6
pasture
May
Basil Dayton
3.4
leaf crop
June
Russell Banks
0.86
mulch
July
Chad Prisk
4.31
leaf crop
August
Chris Stonbach
5.69
mulch
September
Dennis Hughes
3.97
nursery crops
October
Terry Miller
8.62
turf grass
November
Alex Cha pelear
3.79
soil conditioner
December
Total from FORM DMSDF (sup)
Totals:
Annual d to ):
tons):
40
20.62
60.02
_`
60.62
'
Amendment(s) used:
Bulking A ent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)):
Part C:
Total Number of Form DMSDF (Supp)l
Facility was compliant during the past calendar year with all conditions of the land application permit b Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: 50 No ► If No, Explain in Narritive--gyp, C 6Ve(-
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. 5kee-k-
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"1 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."
a7
Si ature ofPermi Date Signature Preparer** Date
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM DMSDF (12/2006)

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: WQ0002834 Laboratory: 1) Envionmental Testing Solutions
Facility Name: Town of Burnsville 2) Water Quality Labs
Residual Source WQ # or NCO020290 3)
NPDES #: 4)
WWTP Name: Town of Burnsville 5)
Residual Analvsis Data
Parameter
(mg/kg)
Ceiling
Conc.
Limit
Sample or Composite Date
07/18l17
Percent Solids (%)
NA
20.5
Arsenic
75
<0.17
Cadmium
85
<3.27
Copper
4,300
124
Chromium
NA
<0.10
Lead
840
15.3
Mercury
57
<0.002
Molybdenum
75
<8.17
Nickel
420
17.4
Selenium
100
<8.17
Zinc
7,500
304
Total Phosphorus
NA
8850
TKN
NA
29300
Ammonia -Nitrogen
NA
410
Nitrate and Nitrite
NA
933.04
a 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 submittinlse informtW, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
.2 7 /q
Date
DENR FORM RSSF (12/2006)

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: WQ0002834
Facility Name: Town of Burnsville
Residual Source
NPDES # or WQ#:
NCO020290
WWTP Name: Town of Burnsville
Residual Analvsis Data
Laboratory: 1) Envionmental Testing Solutions
2) Water Quality Solutions
3)
4)
5)
Parameter
Sample or CompositeDate
Magnesium
•' 1
----_------
"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 forsulZmitting fal§e information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
*Preparer is defined in 40
Part 503.9(r) and 15A NCAC 2T .1102 (26)
-,;.27-!°1
Date
DENR FORM RSSF - B (12/2006)

WATER QUALITY LAB & OPERATION, INC.
P.O. BOX 1167,13ANNER ELK, NC 28604
[phone]
CLIENT: BURNSVILLLE SLUDGE LOGIN TIME: 9:00 AM
SAMPLER: JADD BREWER
COLLECTED DATE: 13-Jun-18
REPORTED DATE: 6-Jul-18
ID#: NCO020290
ANAL-YSI9 ................ ................
.................
........ ........ ..............
....... . ......... :1-RESUErs.
........................
..
........
J
. .....
......
- -
......
I L T
S: IS::::::::::::METHOP:::::::::
......
................. ......
0
.... . DE
. .-ANT
.........
.......
SLUDGE
TOTAL SOLIDS
15.6
2.0
%
PRESS
15-Jun-1 8
SM-2540B
Pi
SLUDGE
TOTAL SOLIDS
20.5
1.0
%
PILE
15-Jun-18
SM-2540B
Pi
REPORTED BY: NC CERTIFIED LAB # 544
PAUL ISENHOUR, SUPERVISOR
0

Pile Number —
TOWN OF BURNSVILLE
Depth
3611
3611
36"
2411
2411
1811
1811
1811
Date
Initials
Tempt
Temp 2
Temp 3
Temp 4
Temp 5
Temp 6
Temp 7
Temp 8
'N
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Sampling Date
Number of Samples Taken
Sampling Depth 36", 2411, 1811
Page of

Pile Numbers 7
TOWN OF BURNSVILLE
Depth
3611
3611
3611
24"
2411
1811
1811
1811
Date
Initials
Tempt
Temp 2
Temp 3
Temp 4
Temp 5
Temp 6
Temp 7
Temp 8
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Sampling Date
Sampling Depth 36", 24", 18"
Number of Samples Taken Page of

Pile Number/�� %
Date
Initials
Tempt
Temp 2
Temp 3
Temp 4
Temp 5
Temp 6
Temp 7
Temp 8
t ZZ
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Sampling Date
Sampling Depth
Number of Samples Taken Page of

Pile Number 4-1
TOWN OF BURNSVILLE
Date
Initials
Tempt
Temp 2
Temp 3
Temp 4
Temp 5
Temp 6
Temp 7
Temp 8
F
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Sampling Date
Sampling Depth
Number of Samples Taken Page of

E. Rogers
a .ENVIRONMENTAL
Client Environmental Testing Solutions
Kelley E. Keenan
351 Depot St.
Asheville. NC 28801-4310
Dear Client:
VI
"44
Laboratory Report
Project:
Work Order:
Received:
Huntsville WW'FP
7070968
07/19/2017 10:00
Rogers and Cailcott appreciates the opportunity to be of service to you. The attached laboratory services report includes analytical results and chain of
custody for samples that were received on July 19, 2017. Rogers and Callcott maintains a formal QA'QC program. Unless otherwise noted, all analyses
performed under NELAP certification have complied with all the requirements for the'i_\1 standard. The analyses met the QAfQC confidence interval
for each test method unless otherwise qualified. Estimated uncertainty is available uponrcquest.
Privileged/Confidential information may be contained in this report and is intended only for the use of the addressee. if you are. not the addressee, or
the person responsible for delivering to the person addressed, you may not copy or deliver this message to anyone else. If you receive this message by
mistake, please notify Rogers and Callcott immediately.
We strive to provide excellent service to our clients. Please contactAmy Ashley, your Project Manager, at amy ashleyCa rogetsandcallcott com or
(864)-3354962 if you have any questions about this report.
Report Approved By:
Amy Ashley
Project Manager
This nporr mat• not be reproduced. except infull. rdrhour written permission fiaui Rogers d Cnllcou, Etc.
PO Box 5655 - Greenville, SC 29606 : 426 fairforest Way Greenville, SC 29607 main 864.232.1556 fax [phone] Cogersandcai0CC32t.Com
__.._._.. __.. _ _. .._ ...__.... _._.._ ..._ _.__,_._._ _... ____-___._ _____ _ __._.___.__..______-__ _._._.... .... an employee -owned company
Page 1 of 20

rRogers &Callcott
ENVIRONMENTAL
Certificate ®f Analysis
Client Environmental Testing Solutions
Kelley E. Keenan
351 Depot St.
Asheville, NC 288014310
Sample Number Sample Description
7070968-01 Burnsville WWTPResiduals
r
South Carolina Greenville Laboratot r Identfcation 23103
South Carolina Columbia LaboratogIdentfcation 40572
\"orrh Carolina I.oboratory C_'ert ftcation htnnther 27
I`arth Carolina Drinking t;'ater Lab Number 4.i710
14£LA' Utah Cert.cate Number SCO00042014-1
Georgia Drinking [liver Lab 1D 880
Project: Buntsville_ WXYTP
Work Order: 7070968
Received: 07/1912017 10:00
Matrix Sampled
Solid 07/18/17 07:30
Type
Gi ab
PO Box 5655 Greenville, SC 29606 426 hirfor-est Way Greenville, SC 29607 main 864.232.1556 fax [phone] r©gerSandCallcott.001T1
an employee -owned company
AVI N.'2017 16:16 This aport mqr nat be mproduced. erctpt MAP. svithoru nrtsen pennitsion front Rogers & Callcott, Inc. Page 2 of 20

f.. rs &Callcott
ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville W'A'fP
351 Depot St. Work Order: 7070968
AshcviUo, NC 288014310 Reported:' 08/18117 16.16
Sample Data
Sample Number' 7070968-01
Sample Description Burnsville NVWTP Residuals collected on 07118!17 07:30
licporting
Parameter Result Limit Units DF-Aaakwed 3Iethod Flag . Analyst Batch
TCI.P Metals
vlercury
ND
0.0020
mg°L
10.0
07131/17 16:37
EPA7470A
DF.R
B70404
Arsenic
ND
0.25
mst(-
5.00
07128117 15:18
EPA 601OD
_MEC
B7G1301
Barium
ND
2.50
mg`L
5,00
07!28.+•17 15:18
EPA601oD
MEC
B7G1301
Cadmium
ND
0.05
mi'L
5.00
07/28/17 15:18
EP.k6010D
MEC
B7G1301
Chromium
ND
0.10
mWL
5.00
07/28117 15:18
EPA 601 OD
MEC
B7G 1301
Lead
ND
0.25
met
5.00
07,128'17 15:18
EPA6010D
MEC
B7G1301
Selenium
NO
0.25
mg7.
5.00
07t28117 15:18
FRA601OD
MEC
137G1301
Silver
ND
0.10
meI
5.00
07128/17 15:18
EPA 6010D
MEC
B7G1301
TCLP Volatile Organics
Benzene
ND
0.160
mgL
50.0
07/28.'17 16:41
EPA826013
LBW
B7G1400
2-Butanonc (hiEK)
ND
0200
mi•'L
56.0
07128/17 16:41
EPAP-60B
LBW
137G1400
Carbontcttvchloride
ND
0.100
mgfl,
50.0
0728/17 16:41
rPA8260A
LBW
B7G1400
Chlorobenzene
ND
0.100
mA-'L
50.0
07,28/17 16:41
EPAS260B
LBW
B7G1400
Chloroform
ND
0.100
mitt
50.0
07128/17 16:41
RPA826OR
LBW
B761400
11-Dichlorocthane
ND
0,100
mitt-
50.0
07,12811716:41
EPAK_60B
LBW
wG1400
1.4-Diclilorobenzene
ND
(),I()()-P.;L
50.0
WtMi7 16:41
EPA8260B
LBW
B7G1400
1.1-Dichloroethene
ND
0.100
mg1l.
50.0
07/28117 16:41
E:PA82608
LBW
137G1400
Tetrachlomethene
ND
0.100
mS`L
50.0
07/28117 16:41
EPA8260B
LBW
B7Cr1400
Trichloroethene
ND
0.100
mg-1
50.0
.07/28117 16:41
LPA8260B
LBW
B7G1400
Vinvlchloride
ND
0.100
mitt
50.0
07/28.17 16:41
EPA926013
LBW
B7G1400
Surrogates
%REC
%REC Limits
Fla.-
1,2-Dichlnmelhune-1)�
83
10-130
Tohrcne-US
85
70-130
d-Dromr.lhauohenrene
105
70-130
TCLP Semi -Volatile Organics
2-Mcibylphenol (o-Cresol)
ND
0.100
mg"L
10.0
0& 16117 20:.51
L•PA 8270D
RAJ
R7cr1298
3/4-Methylphenoi (m,p-Cresol)
ND
0.100
mi'1-
10.0
08/16117 20:51
EPA 8270D
RJul
B7G1298
total Cresol
ND
0.200
mpl_
10.0
08/16!17 20:51
EPA 8270D
RINI
B7G1298
2.4-Dinitroiolucne
ND
0.100
mi•1•
10.0
08,116117 20:51
EPA MOD
W.M
B701298
Hexacblorobenzene
ND
0,100
nig•L
10.0
08/16/17 20:51
EPA 8270D
RAM
B7G1298
Hcxachlorobutadienc
ND
.0,100
mi1•
10.0
08/16/17 20:51
EPA9270D
RJV1
13761298
llcxachloracthanc
ND
0.100
mil•
10.0
08T16!17 20:51
EPAV70D
ILIA
137G1298
Nitrobenzene
ND
0.100
meL
10.0
08t16.117 20:51
EPA8270D
RJvI
B7G1298
.PO Box 5655 Greenville, SC 29606 426 Fairforest Way Greenville. SC 29607 main 864.232.1556 fax [phone] rogersandcallcott.com
an employee -owned company
08/1 k'2017 16:16 This rEport mqi• not he reproduced. erccpt in fill. a•ilhont irritten pernussion from Rogers & C'alleatt. Inc. Page 3 of 2O

Rogersl
ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville W`TVTP
351 Depot St. Work Order: 7070968
Ashcvil1c, NC 28801-4310 R -ported: 08118r 17 16:16
Sample Number 70709684)1
Sample Description Buntsvillc WWTP Residuals collected on 07 18'17 07:30
Reporting
Parameter Result Limit Units DF Analyzed Method Flag Analyst hatch
TCLP Semi -Volatile Organics
Pentachlorophenol
ND
0.100
mg'1, 10.0
0811617 20:51
EPA81-70D
RJM
137G1298
Pyridine
ND
0.100
tng,'L 10.0
011•11617 20:51
EPA8270D
RJM
B701298
2.4,5-Trichlorophenol
NI)
0.100
mg,L 10.0
08/16117 20:51
E•PA8270D
RJM
137G1298
2,4,6-Trichlorophenol
ND
0.100
m&I 10.0
W16117 20:51
EPA82270D
RJM
B7G1298
Surrogates
%REC
%REC Limits
Flag
i'itrohen_ene-!3:
71
35-114
2-Tluoro&iphetyd
90
43-116
2-rhamphenol
40
21-110
Phenol -US
30
10-110
2.4,6-Trihremophenol
80
10-123
76phenrl-D14
101
33-141
TCLP Pesticides
Gamma-1311C (Lindanc)
ND
0.00050
-g"[-
10.0
08,108117 04:52
FPA808113
RKH
B7G1432
Chlordane
ND
0.0050
mg-1
10.0
08/08/17 04:52
EPA8081B
RKH
WGI432
Endrin
ND
0.00050
m8`1•
10.0
08:'08!17 04:52
EPA li081B
RKU
137G1432
Heptachlor
ND
0.00050
mg1
10.0
08/08/17 04:52
EPA8081B
RKH
137GI432
Hcpiachlorcpoxidc
ND
0.00050
mg"1
10.0
09/08117 04:52
EPA8081B
RKH
MG1432
Toxaphene
'ND
0.0050
mg•'L
10.0
08./08.+17 04:52
EPA8081B
RKII
WIG1432
Methoxychlor
ND
0.00050
-W'L
10.0
08108.117 04:52
EPA8081B
RKH
B7G1432
Surrogates
%REC
%REC Limits
Flag
14.5,6-Tenvclt10ro-rn ttdeae
100
60-130
Deeachlorob phegvl
94
.30-150
PO Sox 5655 Greenville, SC 29606 426 Fairforest Way Greenville, SC 29607 main 864.232.1556 fax [phone] rogersandcalleott.colrl
at, employee -owned company
lhWS.2017 16:16 7his report may not he reproduced except in full. withoat %wifen peiwdscsion from Rogers & Callcou, Inc. page 4 of�

Rogers &Cailcott
Environtnental Testing Solutions Project: Burnsville VJ)G'TP
351 Depot St. Work Order: 7070968
Ashcvillc, NC 28801-4310 Reported. 08118i17 16.16
TCLP Metals
Quality Control Summary
Reporting Spike Source J RF.0 RPD
Parameter Resuir Limit Unirs bevel Rcault %RF.0 limits RPD Limir Flags
Batch B7G1301-EPA3005A
Blank (B7Gi301-Bi.KI)
---__..__-.____...___....._.._._.----.._...___......_._,.____..._....._.-.._..._._._..._...__.._._.-.__._._.--.----
Arm mic
ND
0.65
----- _--..__....__._.....__.._.__...__, ..... _
mg4.
Barium
ND
0.50
mg.L
Cadmium
ND
0,01
me'L
Chromium
ND
0.02
mg-L
Lead
ND
0.05
meL
Selenium
ND
0.05
mg.'L
Silver
ND
0.02
mg:L
Blank (B7G1301-BLK2)
Arsenic
ND
0.25
me'L
Harium
ND
2.50
mgA.
Cadmium
ND
0.05
mgd,
Chromium
ND
0.10
mg4'
Lead
ND
0.25
mg-C
Selenium
ND
025
me.L
Silver
ND
0.10
mg"I.
Blank (B7G1301-BLK3)
Ancnic
ND
0.25
me-L
Barium
ND
2.50
mF`L
(Cadmium
ND
0.05
mg7.
Chromium
ND
0.10
lar-I
Lead
ND
0.25
mg1L
Selenium.
ND
025
mg•'1.
Silver
ND
0.10
mgfL
Blank (M.1301-BLK4)
---
Arsanic
ND
0.25
_._-._..__-.-._-----_—_-.__._---
mg-1-
Barium
ND
2.50
mg,L
Cadmium
ND
0.05
me•L
Chromium
ND
0.10
mg•L
Lead
ND
0.25
mg•`L
Selenium
ND
0.23
mg -IL
silver
ND
0.10
mg2
PO Box_ 5655 Greenville, SC 29606 • 426 Fairforest Way Greenville. SC 29607 main 864.232.1556 fax [phone] eogersa idcallcott.COm
an employee -owned company
IhSVI N! 2017 16:1 <, 7hu rfPorf enaT aot oe reprodueerl, erecpt in frd?. witl:omt written yenxicsinn fiwu Ragers & Ca!lcort. Inc.
Page 5 of 20

Rogers &Callcott
ENVIRONMENTAL
Environmental Testing Solutions Project: Bumsville WWTP
351 Depot St. Work Order: 7070968
Asheville, NC 288014310 Reported: 08:U/17 16:16
TCLP Metals
Quality Control Summary
Reporting Spike Source %REC RPD
Parameter Result Limit Units Level Resulr %REC Limirx RPD Limit I•lags
Batch B7G1301- EPA 3005A
U-S (B7G130I-BS 1)
_...___._,_.-..__._._...____..___._._._...__..._..
Ar.•riic
-__..........................__.._.__......._,......_.-__._._.___......___..
0.50
0.05
mg%l.
------- __....._..
0.500
._.,..___.......___._.___.......__.........._..
100
80-120
Barium
0.50
050
mg:L
0.500
101
W120
Cadmium
0.51
0.01
mg-L
0.500
101
80-120
Chromium
0.50
0.02
mg-L
0500
t00
W120
Load
0.51
0.05
mg-L
0,500
102
80-120
Selenium
0.50
0.05
mg'L
0.500
100
80.120
Silver
0.51
0.02
mgL
0.500
102
96-120
Matrix Spike (B7G1301-11S5)
Source: 7070968-01
Arsenic
2.64
0.23
mg-L
2.50
ND
103
75-123
Barium
2.68
2.50
mg!L
2.50)
ND
102
75-125
Cadmium
2.62
0.05
mg-1
2.50
ND
105
75-123
Chromium
257
0.10
mg'L
2.50
ND
10;
75.125
Lead
2.56
0.25
mgS.
2.50
ND
102
75-125
Sclvnium
2.61
0.25
mg`L
2.50
ND
101
75-125
.Silver
2.63
0.10
mg•'f.
2.50
ND
105
75-125
Batch B7G1404 - EPA 7470A
Blank (B7G 1404-B1.K 1)
Mercury ND 0.0002 m •4.
Blank (B7G1404-BLK2)
Nlcrcury -
ND
0.0020
mgL
Blank (137G1404-BLK3)
Mercury
ND
0.0020
mg L
Blank (B7G1404-BLK4)
Mercury
y ND
0.0020
LC:S (B7G1404-BSI)
Mercury
0.0051
0.0002
mg.1, 6,00500 103 85-115
PO Box 5655 • Greenville. SC 29606 426 Fait -forest Way Greenville, SC 29607 main 864.232.1556 Fax [phone] rogersandcallcottt.com
anemployee-owne-dcompany
W-78�2017 16:16 This report map not he reproduced, except In full, wlthoai written perinimion from Rogers & C'alleorl, Inc. Page G Of 20

Rogers& Callcott
ENVI RONMENTAL
Environmental Testing Solutions Project: Burnsville N"N'TP
351 Depot St. Work Order- 7070068
Askvil1c, NC 2880143 10 Reported: 0818/17 16:16
TCLP Metals
QuaUty Control Summary
Reporting Spike Source %RFC RPD
Parameter Result Limit Unit'. Level Result %REC Limits RPD Limit Hags
Batch B7GI404 - EPA 7470A
f CS (B7G I 404-BS2)
Mercury 0.0.i25 0.0020 mg!l' 0.0300 105 83- 115
Matrix Spike (117G 1404--NISS) Source: 7070968-01
Mercury 0.0532 0.0020 mg-1. 0.0500 i ND 106 75-125
PO Box 5655 ' Greenville, SC 29606 426 Fait -forest V/ay Greenville, SC 29607 main 864.232.1556 fax 864,232.6140 rogersandcallcott.com
an employee -owned company
(18/18,1017 16:16 This riporl nia-v nos be itprodticed.. except in full, Calleoft. Inc. -page

Rogers 111
&Callcott
4;.- ENVIRONMENTAL
I~m ironmental Testing Solutions Project: Burnsville WWTP
351 Depot St. Work Order: 7070968
Asheville; NC 289014310 keportcd: 08/18/ 17 16:16
TCLP Volatile Organics
Quality Control Summary
Reporting Spike Source %REC RPI)
Parameter Resuic Limit units Level Result %REC Limits RPI) Limit FIngc
Batch B7G1400 - EPA 5030
Blank (R7G 1400-BI,Kl )
Flenirne
ND
0.00200
mg.1
2-Butanone (MEP)
ND
0.00.100
tug-1-
Carbon tetrachloride
ND
0.00200
mg;L
Chlorobenzane
ND
0.00200
mg:L
Chloroform
ND
0.00200
m91L
12-Dichloroethane
ND
0.00200
maI
1.4-Dichiorobenzcne
N-D
0,00200
tng:L
1.1-Dichloroethene
ND
0.00200
mgrL
Tctrachloroetheme
ND
0.00200
mg-1
Trichlorocthenc
ND
0.00200
meL
Vinyl chloride
ND
0.00200
mg-L
Surrogate:l,2-Dichlorrocrhane-D4
77 70-130
Sunvgare: Toluene-D8
81 70-130
Sumo. -are: 4-Brow luomben_ene
97 10-130
Blank (B761400-BLK2)
Benze,na
ND
0.100
mg:L.
2-Butanone (MEP)
ND
0.200
mg-1
Carbon tetrachloride
ND
0.100
mg-L
(Norobcnzcnc
ND
0.100
mg,L
Chloroform
ND
0.100
mg-1
2-Dichloroethane
ND
0.100
mg l-
1.4-Dichiorobenzene
1:D
0.100
mg•L
1.1-Dichloroethene
ND
0.100
mg.L
Tctrachloroothcnc
ND
0.100
mPL
Trichloroetbene
ND
0.100
mg•'L
Vinyl obloride
N1)
0.1GO
mg1l.
Sr11710,9are:1.2-Dichlorocrhanc-D4
80 70-130
Su»vgcre: Tohiene-W
87 70-130
Stmvgare: 4-Brorncj1uorobcn one
105 70-130
LCS (137G1400-BSI)
Benzene
0,0220
0,00200
mg"L
0.0'-'00
110
70-I30
2-Butanone (MEP)
0.0202
0.00400
mg•L
0.0200
101
60-140
Carbon tetrachloride
0.0226
0.00200
mg-L
0.0200
113
70-130
Chlorobenzene
0.0220
0.00200
mc;L
0.0200
110
70-130
PO Box 5655
Greenville, SC 29606 426 Fairforest Way
Greenville,
SC 29607
main 864,232.1556
fax [phone] rogersandeallcott.eom
an errtptoyee-oven!=ti camoany
(h5'1&-7017 16:16 This rtporl map mrr he rEprodureJ, except in fill, u+rthnut nr)tten penniseion from Ragers c� (a1lcon. Inc. Pacle 8 of 20

Rogers &Cakott
5 . ENVIRONMENTAL
F.nvirorunental Testing Solutions Project: Burnsville NVNVTP
351 Depot St. Work Order: 7070968
Ashcvillc, NC 28801-4310 Rcported: 08!18%17 16:16
TCLP Volatile Organics
Quality- Control Summary
Reporting Spike Source %REC RFD
Parameter Rccult idmit knits Level Rccalt %RFC Untim RPD I:imit Fin
gs
Batch B7G1400 - EPA 5030
LC'S (137C.1400-14SI)
Chloroform
0.0218
0.00200
mg,L
0.0200
109
70-130
1,2-Dichloruelhane
0.0214
0.00200
mg!'l.
0.0200
107
70430
1.4-DieWorobenzene
0.0^_32
0.00200
mg•'L
0.0200
116
70-130
I,)-Dichlonxlhene
0.0233
QW200
mg`L
0.02W
116
7()•130
Tetrachlorocthene
0.0218
0.00200
mg•`[_
0.0200
109
70-130
Trichlorotthent
0.0237
0.00200
mg1L
0.020i)
118
70-130
Vinyl Aloridt
0.0179
0.00200
mg1.
0.07_00
89
60-140
Surrogate: 1,2-Dichloroelharlc-D4
109
70-130
5ann¢ate: Tohtene-DS
IN
70-130
Surrogate: 4-Dronf1fluoreben_ene
101
70-130
Spike (B7G1400-NIS2)
Source: 7070968-01
'Matrix
Benzene
1.10
(�
0.100
Ing:L
/�
1.00
l AA -D
l i 0
t1
70.130
2-Butanone (A'Il K)
1.04;
0.200
mg•'L
1.00
IND
103
60-140
C.'artmn tetrachloride
1.17
0.100
mg:1..
1.00
ND
117
70-130
Chlcrobcnzcnc
1.11
0.100
mgd-
1.00
r-D
111
70-130
Chloroform
1.09
0.100
mgl.
1.00
KD
109
70.130
1,2-Dichlorocthano
1.07
0.100
mg-L
1.QP
ND
107
76.130
1.4-Dichlorobcnzme
1.10
0.100
mg'1.
1.00
la-D
110
70-130
I.1-Dichlorocthma
1.11
0.100
mg-L
1.00
ND
111
70-130
Tetrachloroctiicne
1.08
0.100
mgL
1.00
ND
108
70-130
Trichloroethene
1.19
0.100
mg•l.
1.06
KD
119
70-130
'%mylchloride
1.07
0.100
mg'L
1.00
ND
107
60-140
Stermgafc: 1, 2-J?irhltxt>rrlra ne-D4
Surrogate: Toluene-DS
S1117>SRate: 4-Bronx jluornben_ ene
109 70-730
103 70-130
93 70-130
PO Box S655 Greenville, SC 29606 . 426 Fairforest Way Greenville, SC 29607 train 864.232.1556 fax [phone] rogersandcallC®tt.eOt'1-I
_ an employee -owned company
08,4 ,12017 16:16 This report n;qv nai he repuduced. except in fitll. wiihota w 1uen permission frorn Rogers A C'allcon, Inc. Page .Oi OT ZO

Rogers &Callcott
A; ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville WWTP
Ml Depot St. Work Order: 7070968
Asheville, NC 288014310 Reported: 08118117 16:16
TCLP Semi -Volatile Organics
Quality Control Summary
Reporting Spike Source '%REC RPD
Parameter Resulr Limir knits bevel Result %,RE(: Limits RPD Limit Flags
Batch B7G1298 - EPA 351OC - GCMS
Blank (B7G1298-HINT)
2-blethylphenol (o-Clrewl)
_....__._ KID
0.0100
mg.9.
14-Mcthylphenol (m.p-Cresol)
ND
0.0100
mg-1
total Cresol
ND
0,0200
meL
2.4-Dinitrotoluene
ND
0,0100
mg.'[.
Hcxachlorobonzcne
ND
0.0100
mg-1
Hexachlorobutadiene
ND
0.0100
met
Hexachloroethanc
ND
0.0100
mg-
1-Nitrobenzene
ND
0.0100
me'L
Pentachlorophmol
ND
0.0100
mg-1
Pyridine
ND
0.0100
mg,1
2,4,5-Trichlorophmol
ND
0.0100
me'L
2,4,6-Trichiorophenol
ND
0,0100
mg-'L
,Surmgale: A`itmhen:ene-DS
79
35-714
Surrogate:3-Fluorobiphenhl
85
43-116
3urmgme: ?-Flxotsphenol
44
21-110
Surmgare: Phenol-DW
30
10-110
Sunvgatc:2,4,6-Tribromcphcnol
92
10413
Surrogate: Teipheni4-D14
81
33-141
Blank (B7G1298-H1>tc2)
2-Methylphenol (o-Cresol)
ND
0.100
mg:t
14-Methylphenol (m,p-Cresol)
ND
0,100
mt;L
total Cresol
ND
0.200
m9.4.
2.4-Dinitrotolumc
ND
0.100
mg.1
Hexachlorobenzene
ND
0.100
mg-t
I1cxacb1orobutadienc
ND
0.100
mg:L
Hexachloroethane
ND
0.100
tng-'l
Nitrobenzene
ND
0.100
mg-1
Pcntachlorophcnol
ND
0.100
mg-1
Pyridine
ND
0.100
mg'L
2,4,5-Trichlorophcnol
ND
0.100
mg.L
2,4,6-Trichlorophenol
ND
0.100
mg-L
Surrogate: kinobenzene-W
67
35-114
Surttrgale: 1-Flunmhiphef 14
78
43-716
Sur%>aie: 1-rheomlihenol
41
21-110
Sw•rrtgole: phenol-DS
29
10-It0
PO Box 5655 Greenville, SC 29606 426 F4irforesc Way Greenville, SC 29607 mat, 864.232.1556 fax [phone] rogersandCallcott.com
an employee -owned company
A9.181017 16:16 this rsporl nwy trot he itproduced, erapt in full. without written permission frm Rogers & C'allcott. Inc. Page 10 of 20

:. Rogersll t
ENVIRONMENTAL
Enviromnental Testing Solutions Project. Bumsville'% WTP
351 Depot St. Work Order: 7070968
Asheville, NC 288014310 Reported: 08/18/17 16:16
TCLP Semi -Volatile Organics
Quality Control Summary
Reporting Spike Source %RFC RPD
'arnmerer Resulr Limit Units Level Result %RFC' Limirs RPI) Limit Raga
Batch B7G1298 - EPA 351 OC - GCMS
Blank (B7(:1298-BLK2)
Surrogate:2,4,6-Tr•ibrrnncphenol 99 10-123
Surrogate: Terphenyl-D14 109 33-141
Blank (137C1298-BLK3)
2-Mcthyiphenol (o-Cresoi)
3=4-Methylphemol (m,p-Creu>t)
total Cresol
2.4-Dinitrotoluene
llexachlorob,wenc
Hexachlorobutadicnc
Hexachloroethane
Nitrobenzene
Pentachlorophenot
Pyridine
2,4,5-Trichiorophenol
2,4,6-Trichlorophenot
LCS (B7GI298-BSI)
2-Methylphenol (o-Cre-wl)
3.4-Methylphenol (m,p-Cresol)
2,4-Diaitrotolucnc
llexachlorobcnzcne
Hexachiorobutadionc
Ifoxachloroethane
N'itrobcnzcnc
Pentachloropheml
pyridine
2A5-Trichlorophcaol
2,4,6-Trichlorophenol
ND
ND
ND
ND
ND
NT
ND
T-D
ND
ND
ND
ND
Surrogate: Mirrobenrene-D3
Surrogate: 2-FhsorobiphmW
Surrogate: 2-F1uomphenol
Srtrragate: Phenol-DS
Surrrogate: 2,4,6-Trtbroincphenol
Surrogate.• Terphent4-1)14
0.967
0.720
0,717
0.624
0.554
0.634
0.665
0.372
0.676
0.657
Surrogate: rlltmbenzene-DS
0.(00
0.100
0.200
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
0.100
m41
mg•1.
mg..t
mg-L
mg%I.
mg.1
MAI
mg,2
mgL
mg-L
ing�L
mg•L
0,100
mgi f.
0.800
0.100
mg.1
1.60
0.100
mg4.
0.800
0.100
mg-1.
0.800
0.100
mg'L
'0.800
0.100
mg-L
0.800
0,100
mg•'L
0.800
0.100
m1
0.800
0.100
mg.'L
0.800
0.100
mg,,,L
0.800
0-100
mgL
0.800
56
72
31
23
68
95
60
90
90
78
69
79
83
47
84
82,
35-114
43-116
?1-110
10-110
10.123
33-141
50-90
42-92
65-164
72-116
39-100
36-99
51-108
'49-ill
23-67
56-112
55-113
35-114
PO Box 5655 Greenville, 5C 29606 426 Pairforest Way Greenville, SC 29607 . main 864.232.1556 - fax [phone] rogersandeallcott.eom
an employee -owned company
A.W8,2017 16:16 This report ntay not be )produced, except in fudl. �rithout tvriitenpenntcrion front Rogers tt- Calicott. Inc. hBgt3 i 1 Of ZO

RogersIt
ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville NVWTP
351 Depot St. Work Order: 7070968
Ashcvillc, NC 288014310 Rcportcd. 08,118/17 16:16
TCLP Semi -Volatile Organics
Quality Control Summary
Reporting Spike Source %RFC RPD
aramcter ticsuir Limit Units Level Refinir %IIF.<, Limits RPD Iamit Flags
Batch B7G1298 - EPA 3510C - GCMS
r.CS (B7Gl298-BSI)
Sta-rogate:2-Fluorobiphe»tfl
84
43-116
Surrogate:2-Finorsphenol
45
21-110
Surrogate: Phcnol-W
29
10-110
Sunvu ate: 2,4,6-Mbromephoiol
102
10-123
Surrogare. Tetphenrl-D14
108
33.141
LCS (B7G1298-AS2)
2-Methylphenol (o-Ctesol)
0.456
0.100
mg L
0.800
57
50-90
3.4-167ethylphenol (m,p-Cresol)
0.896
0.100
m `L
1.60
56
4292
2.4-Dinitrotoluene
0.116
0.100
mg1l.
0.800
90
65-104
Ilrxachlorobonzcuc
0.719
0,100
mgL
0.800
90
72-116
Iiexachlurabutadiene
0.608
0.100
-911,
0.8100
76
39-100
IIexachloroetime
0.550
0,100
mg:L
0.800
69
36-99
Nitrobcnzcnc
0.590
0.100
me+L
0.800
74
51-108
Pentachlorophenol
0.674
0.100
mgL
0.800
84
49-111
Pyridinc
0.371
0.100
mgL
0.800
46
23-67
2,4 5-Trichlurophenol
0.666
0.100
mgl.
0.800
K,
56-1 l _'
2,4,6-Trichiorophanol
0.644
0.106
mg -IL
0.800
80
55-113
i
Sivmgate: ,A'iJmheucene-D3
79
35-114
Srurogaie.2-Fluorobiphen),f
82
43-116
Stn7ogate: 2-Fluorcphenol
39
21-110
Sutmgale: Phenol -DJ
26
10-110
Surrogate:2.4,6-Trfbrowphenol
96
10-123
Surrogate: TerpheitO-D14
105
33-141
Matrix Spike (B7(:1298-MS3)
Source: 7070968-01
_.-...._.._.,_..._-._.------ ..-
............. ...---
2-Methylphenol (u-Cresol)
---.__..____ __..._..__.__...,..._.
0.42.1
_.___..____.___.-_.______.._---..__...---._._.-...___._........-___.-.__
0.100
mgll.
0.800
NO
53
_......__._-._.....
35-l00
3'4-Methylphenol(m,p-Cresol)
0,834
0.100
meZ
1.60
ND
52
30-97
2.4-1)initrutuluene
0.554
0.100
my'I,
0.800
NO
69
60-109
Iiexachlorobenzene,
0.657
0.100
mg-L
0.800
N`D
82
68-114
Hexachlorobutadiene
0.614
0.100
mgtl.
0.80t)
ND
77
35-101
flexacbloroathane
0.458
0.100
mg%[.
0.800
NO
57
31-9.1
Nitrobcozew
'0.378
0.100
mgZ
0.900
ND
72
40-112
Pentachlorophenol
0.609
0.100
m917:
0.800
NO
76
44-120
Pyridinc
0.228
0.100
mgZ
0.900
ND
29
14-68
2,4 5-Tiichlorophenol
0,664
0.100
mg-1.
0.800
NO
8.+
30-132
2,4,6-Ttichlorophenol
0.678
0.100
mgrL
0.900
NO
85
40-123
1`0 Box 5655 : Greenville, SC 29606 . 426 Fairforesr Way Greenville, 5C 29607 main 864.232.1556 : fax [phone] rogersandcallcott.eom
an employee -owned company
( V4,1017 16:16 This reporl may not be reproduced, eccEpt in fid). w.1thout itiritten pern:fission from Rogers'& Callcou, Inc. Page 1Z Of ZO

Rogers &Callcott
Environmental Testing Solutions Project: Burnsville V NXITP
351 Depot St. Work Order: 7070968
Asheville, NC 28901-4310 Reported: 08118117 16:16
TCLP Semi -Volatile Organics
Quality Control Summary
Reporting: Spike Source e/ RFC RPl)
Pnrameter Result limit l:nim level Resulr %RFC l.farits RPD Limit Flags
Batch B7G1298 - EPA 3510C - GCMS
Matrix Spike (B7(.1298-MS3) Source: 7070968-01
Surrogate: tNinnbencene-D5
.Surrogate: 2-rluombipheo�yl
Surrogate.- 2-rltrorzphenol
.Surrogate: Phenol-D5
Surrogate: 3,4,64'ribrontcphenol
Snrgjgale: 7etphegvl-1) I4
67
35.114
85
43-116
32
21-110
23
10-1/0
90
10-123
89
33-141
PO Box. 5655 , Greenville. SC 29606 : 426 Fairforest Way Greenville, SC 29607 main 864.232.15S6 lax 664.232.6140 rogersandcallcott.com
an employee -owned company
08,11 ,,2017 16:16 This anort mq1, not he reproduced, except in frill, without wi luen permission from Rogers & C'allcoll. Inc. Page 13

Rogers
ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville WWrP
351 Depot St. Work Order. 7070968
Asheville, NC 288014310 Reported: 08;18117 16:16
TCLP Pesticides
Quality Control Summary
Reporting Spike Source %RBC RPD
Parameter Resulr l.imir Units Level Result %RKC Limits RPD Limir Rags
Batch B7G1432 -EPA 3510C - GC
Blank (137G 1432-Bi.Kl )
(lamina-1311C (I indane)
ND
0.000050
mg!1'
Chlordane
ND
0.00050
mg-L
Endrin
ND
0.000050
MAIL
fleplachlor
ND
0.000050
mg•7.
Heptachlor cpoxidc
ND
0.0000-40
me.L
Toxaphene
ND
0.00050
mg-1
Mcrhoxychlor
ND
0.000050
mg!L
Srtr gate. 2,1,5,1r'felrachiarrrm,xrleae
94 60-730
Surrogate: Decach1aabiphet0,1
77 30.15U
Blank (B7G1432-BLK2)
Gamma-BHC (Lindane)
ND 0.00050
mg'L
Chlordane
ND 0.0050
mg!L
Gndrin
ND 0.00050
mg.l.
•Heptachlor
ND 0.00050
mg!L
lleplachlorefmxide
ND 0.00050
mgl.
Toxaphene
ND 0.0050
mg,*L
Methoxychior
ND 01=50
Mg."L
Sin7vratc:2,4,5,6-Tetiachlorzrnt-a}dette
100
60.130
Sur%ate: DecachloroSiphMil
103
30-150
Blank (B7G1432-BLK3)
Gatmna-BIIC (Lindano)
ND 0.00050
mg-'L
Chlordane
ND 0.0050
me-i
Endrin
ND 0.00050
mg L
Heptachlor
ND 0.00050
meI_
Heptachlor epoxide
ND 0.00050
mg:L
Toxaphene
ND 0.0050
mg'L
Niethoxychlor
ND 0.00030
mi:•'L
Surgaie: 2,4,5,6-Tetrachlatn-m-xyFene
104
60-130 �d
Surrogate: Decachlorohiphenyl
HAY
30-159
LCS (B7G1432-BS1)
Gamma-BHC (Undane)
0.0039
0.00050 mg-fL
0.(XW)0
98 70-130
Endrin
0.0015
6.00050 mg.I.
(00100
112 70-110
Heptachlor
0.0040
O.00050 mg-1
0.00400
'100 70-130
PO Box 5655
Greenville, SC 29606 426 Fairforesr Way
Greenville. SC 29607
main 864.232.1556
lax 864.232.6140
rogersandca{lc®tt.corrl
an employee -owned company
AVI &,:?017 16:16
This report rnuy rrat l e reproduced, except in frill. ivithottt u,rittenpen)ilssion front Rogers & Calloorl.. Inc.
(�ag2 14 of 20

Rogers &Callcott
..,... ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville W'WTP
3.51 Depot St. Work Order: 7070968
Asheville. NC: 28801-4310 Reported: 0811-18117 16:16
TCLP Pesticides
Quality Control Summary
Reporting Spike Source %RF.0 RPD
Parameter Result Limit Units Level Result %RF.C: Limits RPI) Limit Flags
Batch B7G1432 - EPA 3510C - GC
1,CS (B7G1432-RS1)
_..._.__.-----...._._..._.....,_..__._._... _..____....__.._....._..__._.,._._.............. ..... ._....__...__-_._._...,........_._._............_........._...__........_......_.___........---- ...___.._....,.._...---,..,_....-..__.._.._.
Heptuchlorepoxide 0.0040 0.00050 mc'L O.W400 100 70-130
Methoxychlor 0.0046 0.00050 mg11- O.E AGO 114 70-130
Snnngate:3.4,5,6-Te-trachlorv-rrr:tyleue 108 60-130
St1mgare: Decachlorobiphenpl 110 30-130
LCS (B7G1432-RS2)
Gamma-BIIC. (Lindane)
0.0039
0.00050
mg-1-
0,00-100
94
70-130
Endrin
0.0044
0.00050
mg%L
0.00400
109
70-130
Ileptachior
0.0038
0.00050
mgd-
0.00400
96
70-130
Hcptachlorcpoxide
0.0039
0.00050
meL
0.00100
96
70-130
Methoxychlor
0.0042
0.00050
mg.'L
0.00400
106
70-130
`-
Surrogate: ?,4,5,6 Terrachloro-m,xplcne
96
60-130
Sunogate: Dccachlo?tbipYten7!l
104
30-130
Matrix Spike (B7G1432-aiS2)
Source: 7070968-01
�99
Gamma-BRC: (Lindune)
0.0039 0.00050
mg`I.
O.CN)T00
ND
60-140
Eadrin
0.0046 0A0050
melt
0.00400
ND
114
60-140
Hepluchlor
0.0040 ROOM
mg 1.
0.(X)400
ND
100
60-140
heptachlor epoxide
0.0039 0.00050
mgR.
0.00400
N'D
99
60.140
Nlethoxychlor
0.0045 0.00050
mg•'L
0.00400
ND
tO4
60-140
Surrogate: '.4,5.6-TeVwchtoro-rn,tylcnc
fO4
60.130
Surrogate: Dccachlombipherml
91
30-150
PO Box 5655 Greenville, SC 29606 " 426 Fairrorest Way Greenville, SC 29607 main 861.232.1556 lax 864.232.6i40 r®gersandcallc®tt.Com
an employee -owned company
08I18,101 J 16:) 6 This report near not be repmdnced, ereepf in fed1, uithour wriuen porn:tssiorr f rrnt Rogers h C allcart Inc Page 15 of 20

e *. o F , '.� a t .I E
�P ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville WWTP
351 Depot St. Work Order: 7070968
A hc,---illc, NC 28801-4310 - Reported: 08/18117 16:16
MY Bottle Extraction
Quality Control Summary
Repoli; Spike Source %RF.(' RPU
Parameter Resuit Lintit knits Level Resuir %RF.0 Limits RPD Limit Flags
Batch B7GI347 - EPA 1311
Blank (B7C.1347-81,K1)
TC'LP Rottle Rx(raction Complete
Blank (B7C1347-BLK2)
TCI-P Hotile Extraction C;,linplete
PO Sox 5655 Greenville. SC 29606 426 Fairforest Way Greenville, SC 29607 main 864.232.1556 : lax 864.232.614o rogersandcallcott.Com
an employee -owned company
AV 1017 16:16 This report may trot he rEproderced, ewipt in fill. withoat written permission from Rogers & Calleart. Inc. Pa9@ 6 of 20

Rogersally
1, ENVIRONMENTAL
P-nviromnental Testing Solutions Project: Burnsville WQ4'TP
351 Depot St. Work Order: 7070968
Asheville; NC 288014310 Reported: 08/18117 16.16
TCLP ZHE Extraction
Quality Control Summary
Reporting Spike Source %REC RPD
Parameter Rcsult Limit Units Level Result °%RF.0 Hinirs RPD Limit Flags
Batch B7G12.55 - EPA 1311 - ME:
Blank (B7C;1255-BI.KI )
TC'1_P7.11F.Extruclion Complete
Sample Preparation Data
Parameter
Batch
Sample ID
Prepared
Analyst
EPA 3005A ICP Digestion
L•PA3005A
137G1301
7070968-01
012W2017 14:55
MEC
EPA 3510 Extraction
EPA3510C-(jC
B7G1432
7070968-01
07i311'2017 09:45
W313
EPA 3510 Extraction
EPA 3510C - GCMS
B7G1298
7070968-01
07,,27+2017 09:45
D1313
EPA 7470A Mercury Digestion
FPA 7470A
137G1404
7070968-01
07128/2017 16:47
DER
TCLP Extraction Data
Extraction Initial
Final
Parameter
Batch Sample ID Started finished Fluid # PH
PH
EPA 13 11 - TCLP Extraction
F,PA 1311
B7CTl 347 7070968-01 7124117 at 1455 7125117 at 0800 1 7.30
5.06
EPA 1311- TCLP 7,11E
. EPA lilt -ZIIE
137G1255 7070968-01 7r2512017 at 1614 7.°26.+2017 at 1055 1 N/A
N.A
PO Sox 5655 Greenville, SC 29606 426 Fairforest Way Greenville, SC 29607 math 864.232.1556 iar, 864.232.6140 rogersandcallcott.corn
an employee -owned cornaany
AVI&-2411 16:16 This report mar trot be reproduced. except in ftdl, wilhow written permission from Rogers & C allcott, rne. Page 17 of 20

Me�r. i_ YrG
Rogers &Cakott
ENVIRONMENTAL
Environmental Testing Solutions Project: Burnsville WWTP
351 Depot St. Work Order: 7070968
Asheville, NC 288014310 Reported: 08118.'17 16:16
Data Qualifiers and Definitions
XD Analyze No'r DEFL:L rED at or above the reponing limit
?'R Not reported
RPD Relative Percent Difference
PO Box 5655 . Greenville, SC 29606 426 Fairforest Way Greenville, SC 29607 ;Hain 864.232.1556 fax 864.232.614o rogersandcallcott.com
an employee -owned company
AVIS,201 i 16:16 This report tnal,not be reproduced, ccrcept in full. wtthoxt written pern:itdon from Ragerc & C'allcott, Inc. page 18 of 20

11 - ear _ I � CHAIN OF CUSTODY RECORD
t
WORK ORDER
Filtered Yes/iV
F N V I R O N M E N TA L
Coole (Yes o)
Mailing PO Box 5655 Shipping 426 Fairforest Way 2158 Stoneridge Drive
1
Container Type (Plastit/ SS)
Address: Greenville, SC 2.9606 Address: Greenville, SC 29607 Columbia, SC 29210
Phone [phone] Fax [phone] Phone [phone]
Container Volume (mL) d f,°,`rjW
Client Name
Sample Type (grab/Composite
Address
Sample Source (WW, GW, DW, 5
a
i°
Preservation Code(s)
Report To:
l
A — None E — HCI I — Zn Acetate
Email Address
°
)--
8 — HNO.3 f — NaaSzOs 1— H3P44
`'
C
C — H2SO4 G —Boric Acid K - MCAA
Tele hone #
p
E
°;
Ili
D— NaOH H—Ascorbic Acid L-
PO # Project It
E
CL
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i.�.
WORKORDER
DATE
TIME
SAMPLE DESCRIPTIONF—
COMMENTS
1
r
01�0s�r
MOM
75
'�, ,J;
no 8
4
R.
SAMPLER — RELINQUISHED BY:
Ei�,
DATE/TIME:
RECEIV Y:
DATEMME:
Composite Start Date:
Composite Start Time:
R ' HED FiY;
�
DATE/TIME:
RE�IVID
D�9A1'F!'I E:
0
3. �/V Cl
9�
4.
"1 1 �(
Timr, or Flaw (Circlo one) Initials: _._._....
RELINQUISHED BY:
DATEJTIME:
RECEIVED B
DDAIE/TIME:
Temperature of blank or representative: sample
At time of collection °C
5.
6.
RELINQUISHED BY:
DATE/TIME:
RECEIVED B :
DATE/TIME:
8
At time of lab receipt °C
Possible Hatards associated with samples: Non -Hazard ®Flammable Skin Irritant ElPolson Unknown Other Fora Revk wd July, 2014 Page ...... __.. Page 19 of 20

•
e I
�4 • SERVICES
Pieaseprmtortype A4N k ' ' , NON-HAZARDOUS WASTE MANIFEST € 3el A. '" a
t! 1,Generator's US EPA ID Number t Manifest-DocumentNumrbe., 2.Paged of = tr
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23,GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined_by,4Q CFR 261.or any-applicable-state-laW;has`Zr
been properly described,classified and packaged,and-is in proper condition fortianspdrtation according to applicable regulations;AND,if this waste is a treatment residue of a I'`i'`'':t previously restricted hazardous w "
aste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40 .' Y
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name
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'° B Printed/Typed Name I Signature
I--
Month Day Year
26.Discrepancy Indication Space
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Printed/Typed Name i ) -
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f . 12.Transporter#2's Phone
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�� 13,Desig��ated T/S/D Facility Name and Site Address `
r`"; §c � 3� t �� f 14.US EPA ID Number 15.Facility's Phone ,�'
,F;;4 ste Shipping Name and Description ••_ 17..Republic.Services Approval#and Exp.Date 18.Containers 19.Total . 20.Unit•
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"`t 23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law,has ,t.
h;.,f been.properly described,,classified and packaged,.and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a - x.`
t.'> previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requiremerits_of 40 rr'
`; CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. : i
14 Printedllyped Name
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9 Month Day Year
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27.Facility Owner or Operator:Certification of receipt of waste materials covered by this-manifest(except as noted in Item 19)
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3 Generator's Name an`d Mailing.Address • "` o, '' 'Ai f
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I;,, ;23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law,has ,„,=i
LY:i j been properly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a 4'
• -- -
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40 M i
, CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. °1
f.• Printed/Type�l Name . . ;'i
Signature F`,' 11
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, f� Signature Month Day Year
26.Discrepancy Indication Space
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Y,..1. �;27.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19)
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I :* 3.Generator's Name and Mailing Address' ' • ., • 5.Generating Location(if different) • . . .•
K-• : . , ,, 1,CHM-4 f.ti .lertriF.clatlf-,-2'. . • • • Clo;ozmr.4. 9 Town of DurrEwiR;3 ''' ' :- .....' • ', . - .. • „';',".1:
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10.Transporter#2 Company Name 11.US EPA ID Number 12.Transporter#2's Phone 13.Designated T/S/D Facility Name and Site Address 14.US EPA ID Number 1, 15.Facility's Phone sm,_7‘7_,e,,,,_niss''') tool:Nils Regierrail2ndffil -.,,.
2800 Chenny d.
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„....,.„:,. . 16..WasteShipping Name.and Description z4._ . _ .....,. , . 17.Republic Services Approval:#and Exp.Date 18.Containers-• •-•19.-Total - --. 20. Unit
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23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, as " )
t..•'•,:i been properlydepribed,clasitied'anq packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is ktreatmenttesicpe,of a.
previously restricted,hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40 q,1
1•':; CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. _..........., .4,, ,,,
PrintedTed NI ame Month Day Year L. Signature --' ,,•''' ,,,..- .1,----2 „=4,1' , • , •/....,
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Month Day Year 2`-'•••'
26.Discrepancy Indication Space ,• ,
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k----N 27.Facility Owner or Operator:Certification of receipt of waste materials covered by thja.manifest(except as noted in Item 19) •
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l'' TEM 1 of Burtmeillt.x �,;' :$�!-'��.GI-'e3 Tow is c1 1 '.rn.my i .:Q:
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16.Waste Shipping Name and Description 17.Republic Services Approval#and Exp.Date 18.Containers 19.Total ' 20.Unit
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22.Special Handling Instructions and Additional Information ;
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23.GENERATOR'S.CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law,has `
t ,,a'4'i
a".; been properly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a rr;,
; previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and9warrant that the waste has been treated in accordance with the requirements of 40
'ft- .
CFR-268 and'is no longer a hazardous waste as defined by 40 CFR 261. j/ .,i / - ' :
Printed/Typed Name 4 ' c, �,}/ Signature f / /' i" M onth Day g f
Year
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24.Transporter#1:Acknowledgement of Receipt of Materials '' r / `/� 1
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Printed/Typ..ed Na e Signature C• f' /'�'%�� / Month Day Year -::;:
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�' ¢ Printed/Typed Name Signature Month Day Year ,,
26.Discrepancy Indication Space /
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27.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19)>t ;>{
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11.US EPA ID Number 12.Transporter#2's Phone'
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LI,,l 16.Waste Shipping Name and Description • 17.Republic Services Approval#and Exp.Date 18.Containers 19.Total 20.Unit r
�� Quantity WtNol
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23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has ,,^
been properly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a �s'
�'"`
�L,w.,_ -previously restricted hazardous-waste subject to-the•Land-Disposal-Restrictions:1 certify-and-warranYtharthS a`T has`Feen tTeaied in accordance with the requirements of 40
•- CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. -I "' �'-
Printed/T'ped Name '� `=u•
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I Printed/Typed Name Signature Month Day Year
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26.Discrepancy Indication Space
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ram`27.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19)
` Republic 'Services ces of NC.,U.0 tuba Foothills Reolohal Landfill
Printed/Typed Name Sig-nature: I- I \rtAl 1 ' • itg-'1%'\\ . P, O, ' Cia.,9 t Month Day Year ';,
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TRANSPORTER#2 � _ COM00003 '"�

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1 Generator's US EPA ID Number Manifest Document Number 2.Page 1"of • > ,
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Town of B r lleCustomer 4 Town of&�tr�nswaiie ���
"`�a 2 Town Siloam 812 Pine Swamp Rd ;.
II`�'' Burnsville,NC28714 B�srnsvi1 ,NC 28714 °`,
t':'', 4.Phon 28- -2420 Ronnttb'.Tipton 6.Phone( ) =±v-I
7.Transporter#1 Company Name 8.US EPA ID Number 9.Transporter#1's Phone zar
e: } 10.Transporter#2 Company Name 11.US EPA ID Number 12.Transporter#2's Phone `"-; `�
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Foothills R stc 6 Landfill 8 8-757-S 8 a ,r
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,, 23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined.by 40 CFR 261 or any applicable,state laW, has m
:?
been properly described,classified and packaged,,and is in proper condition for transportation according to applicable regulations;AND,if thlaWa§te is a treatment residue cif a"Tir`;'14 tY
V' previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40 "'•'+,,i
iu: CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. / "<,
rr i;
�g"' Printed/T ed Name - . $i nature .' a+�
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Q Printed/Typed Name
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26:'Discr'epancy Indication Space
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: 27.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19) `r.
`,�. , Republic SEffifiCGS of NC,MC d a FoothitUS fiqgional landfill y
--- Print, yped Name t. Sig azure Month Day Year n
itV " ' � d `7� ,,. z � �t- , a+1
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* 3.Generator's Name and Mailing Address 5 Generating Location(if different)
Town€a - raall �asra T� 3� .} r�stslll� "a',
2 Town Square • 812 Pine Swam Rd '1'
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Burnsville, 2 714 Burnsville,NC 28714
, 4.Phonag2342) 42 I OStI'Ci8 a ptl 6.Phone( ) #yry
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GDS Boone il
10.Transporter#2 Company Name 11.US EPA ID Number 12.Transporter#2's Phone
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Quantity WtNol :,
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(••;0 Class lostlids 30441310397 1Of9 Oi8 1 RO Tons r,,�;
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23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
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been properly described,classified.and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a `-
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:' , previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40
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Printed/Typed Name j f Signae �`rf �' >
Monthi Day Year -
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4 Printed/Typed Name Signature Month Day Year i.
;, 26.Discrepancy Indication Space
i4 r'�7.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19) ai
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Signatu e Month Day Year
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q` previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated
ated n accordance with the requirements •of 40 ,ms
t,° CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261, I, :;, F _ r ° t y i .sn PrintedlTyped Name/ Signature '/'/ty' y �ii, s & fi �i ?� r f {# �—_.._ fd M�h r
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17.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19)
.' . t A le SerifiCES of NC,1.1.0 tirla Foothills RegionatLa-gain
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:;; 23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has .'yY
been prop''erly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a :,'
' previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40 ,,
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
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Printed/Typed Name
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26.Discrepancy Indication Space ��
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a23. GENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous waste as defined by „A'~
been properly described,.classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if
; CFR 261 or any applicable state law, has '4;
} :
-t prevrously-restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40 ,,."
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. this waste is a treatment residue of a
j Printed/Typed Name
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tx 24. Trans orter#1:Acknowledgement of Receipt of Ma Month Day
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s Printed/Typed Name40,
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1.Facility Owner or Operator:Certification of receipt of waste materials covered by this.:manifest(except as noted in Item 19)
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1.Generator's US EPA ID Number Manifest Document Number 2.Page 1 of s ;
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j: Th il of Buena ik? Cus,tornes 459 Town of Est Ile ,''.1
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Ourra al ,NC 2 714 C. SVitk i,NC 2C`7 4, . 4
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13.Desiggated l/S/D Facjlity Name a d,Site Address 14.US EPA ID Number 15.Facility's Phone V;
r.' :i,780 u(tc31s Rd,
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22.Special Handling Instructions and Additional Information x9
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It '",. •23• GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
•
'4t, been properly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a :'•`,1
previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements'of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
;_ - Printed yped/Name r Signatures'{^/% / Month Day Year `a
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,: a Printed/Typed Name Month DayYear ,�1
CC Signature fi(
' 26.Discrepancy Indication Space
I'
,r�� 27.Facility.Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19) r,',
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i"-._ ---t Printed/Typed Name .` Signature /'i Month Day Year eye]
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1.Generator's US EPA ID Number Manifest Document Number 2.Page 1 of
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3.Generator's Name and Mailing Address 5.Generating Location(if different) ,,
i'., '''v n of"Burnsville Customer 499 r 'try
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I.•s 1 13.Designated T/S/D Facility Name and Site Address 14.US EPA ID Number 15.Facility's Phone
,, a doVal flown/al landfill 82�-° 7- . `;,t,.
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{. `' Lenoir,NC 28645 `
II 16.Waste Shipping Name end-Description • 17..Republic Services Approval#and Exp.Date. 18.Containers. 19.Total -,_:20.'Unit .- ,''l
7°' Quantity WtNol ,,;
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23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law,•has
been properly described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a ,..,,!.11
previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance with the requirements of 40 r',
1
;., CFR 268 and is no longer a hazardous waste,as defined by 40 CFR 261. 1
C';', Printed/-Typed�Name L ! , Signature, �; Mo rnth Day Yea;�'.°
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26.Discrepancy Indication Space
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'1' ) e u lic tic's of NC,L C dba Foothills Regional$andfi
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Printed/Typed Name f` Signature /1 rTh
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1 Please print or type: NONHAZARDOUS WASTE MANIFEST f
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16.Waste Shipping Name and Description
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23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has ';"
rfr .. .been properly.described,classified and packaged,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue-of a ., 1
previously restricted hazardous waste subject to the Land Disposal Restrictions.I certify and warrant that the waste has been treated in accordance With the re uirement. ,,1
is .����". .
F CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. o s of 40 '`
r, Printedlfyped'Name / P
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25.Transporter#2:Acknowledgement of Receipt of Materials
cl Printed/Typed Name
F- •
Signature ss^
Month Day Year
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'26.Discrepancy Indication Space
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27.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19)
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Quantity WtNol ',
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y 23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has �:f
been properly describedrestricted ,classifiedhazardous and
subj packaged,andL is
and in proper condition for transportation according to applicable regulations;Atreated ,if thisaccordance wa
previous waste withect to the Disposal Restrictions.i
certify and,warrant that the waste has been inND the require ments oue f 4 f 0 '
!_:‘ - CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. • '
k
+ Printed pe,Name _mr--- �, �
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Printedlryped Name , �
- .. .
F- Signature
It Month Day Year `'
26.Discrepancy•Indication Space
-V 27•.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest(except as noted in Item 19) ,„:
Reptr bile ncz �s o i"iC,&.l_C dI Foothills Regional Landfill
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Printed/Typed Name t 6a,,
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16.Waste Shipping Name and Description 17.Republic Services Approval#and Exp.Date 18.Containers 19.Total 20.Unit '°"f
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p p y described,classified and acka ed,and is in proper condition for transportation according to applicable regulations;AND,if this waste is a treatment residue of a )
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previously,restricted hazardous waste subject to the Land Disposal Restrictions,I certify and warrant that the waste has been'treated-in accordance with,the.reguirements of 40 4.
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k, • a -,�_~ Signature ° Month Day ' 'Yea
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Theresa Coletta Town of Burnsville Councilors:
MayorJudy Buchanan
°F suR Russell Fox
Jeanne Martin y4c4 `q N41' Bunnie McIntosh
Town Clerk �° ��� Marmon Peterson
02/27/2019
RECEI uEpAlrDFC;-D WR
Ms. Sonya Gregory MAR - 5 2019
Division of Water Quality
Aquifer Protection Section NOn-Discharge
1636 Mail Service Center Permitting Unit
Raleigh, NC 27699-1636
Ms. Gregory,
The town of Burnsville, North Carolina WWTP hauled 230.06 tons of bio-solids cake to the
Foothills Landfill in Lenoir. The original and two copies of the manifests are attached for your
review. If you have any questions please call the ORC at 828-260-2027
Thank you,
Ronnie Tipton
Public Works Director
P.O. Box 97 • Burnsville, North Carolina 28714 • Phone [phone] • FAX [phone]

FOR ".: USE ONLY
.
•
Sample Receipt Verification
- Date
Client: Received: 'I
Carrier Name: lient F'edrx UPS US Mail Courier
Tracking Number:
Work ///Wl
�
Order:
Field Services Other:
Receipt Criteria
e
S
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Comments
Shipping container t cooler intact`'
Damaged leaking Other;
Custody seals intact?
COC included with samples?
COC signed when relinquished and received?
Sample bottles intact?
Damaged Leaking Other:
Sample ID on COC agree with label on bottle(s)?
Date 1 time on COC agree with label on bottle(s)?
Number of bottles on COC. agrees with number of bottles received?
Samples received within holding time?
Sample volume sufficient for analysis?
VOA vials free of headspace (<6mm bubble)?
UK
Samples cooled? Temp at receipt recorded on COC
Temp measured aYth tR thermometer - SN 47X)5it ,67
i
Ice Cold Packs, Dry Ice None
Samples requiring pH preservation at proper pli?
Note Samples for metals analysis may be preserved upon receipt in the lab
Samples dechtorinated for parameters requiring chlorine removal at
the time of sample collection?
If in-house preservation used - record Lot #
HCL H;PO,
HzSOa ( NaOH
I -I, o � Other
Comments:
1. Were non-conformance issues noted at sample receipt? Yes or � No � 1
Non -Conformance issue other than noted above:
Revised Jul} 2014
Completed by:
Page 20 of 20

There,sa Coletta
Mayor
Jeanne Martin
Town Clerk
Ms. Sonya Gregory
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Town of Burnsville
Councilors:
Judy Buchanan
Russell Fox
bunnie McInto8h
-Shannon Peterson
02/27/2019
RECEIVED/A1QDFO/DWR
MAR e 5 2019
P�On-Dischar
Pefmitting Unit
Ms. Gregory,
The town of Burnsville, North Carolina WWTP hauled 230.06 tons of bio-solids cake to the
Foothills Landfill in Lenoir. The original and two copies of the manifests are attached for your
review. If you have any questions please call the ORC at 828-260-2027
Thank you,
Ronnie Tipton
Public Works Director
P.O. box 97 0 burn8ville, North Carolina 28714 • Phone [phone] • M [phone]

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23. GENERATOR'S CERTIFICATION: 1 hereby certify that the above named material is not a hazardous waste as defined .by 40 CFR 261 or any applicable state -law, has
been properly described, classified and packaged, and is in proper condition fortrahsportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed �Name Signature
v, y Month Day Year
24. Transporter #1: Acknowledgement of Receipt ofPaterials
ll Printed/ry ed Name
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Q Printed/Typed Name
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H Month Day Year
26. Discrepancy Indication Space
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TRANSPORTER #2 D
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previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements, of 40
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13. Designated T/S/D Facility Name and Site Address
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121. Additional Descriptions for Materials Listed
and Additional I
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NERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
operly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
sly restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
8 and is no longer a hazardous waste as definedby 40 CFR 261.
Typed Name Signature
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� Month D
O ay Year
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Z25. Transporter #2: Acknowledgement of Receipt of Materials
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27. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
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Please print or type. NON -HAZARDOUS WASTE MANIFFST 07 A PAQ i A A A
1. Generator's US EPA ID Number Manifest Document Number
2. Page 1 of
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been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name f'
11.F
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24. Transporter #1: Acknowledgement of Receipt of Materials
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Printed/Typed Name t Si natur f
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Transporter #2: Acknowledgement of Receipt of Materials
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j . 1 1. Generator's US EPA ID Number Manifest Document Number 2.
Page 1 of
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5. Generating Location (if different)
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10. Transporter #2 Company Name
11. US EPA ID Number
12. Transporter #2's Phone
13. Designated T/S/D Facility Name and Site Address 14.
US EPA ID Number
15. Facility's Phone p
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16. Waste Shipping Name and Description 17.
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been properly described, classified and packaged, and is in proper condition for transportatiod according to applicable regulations; AND, if this waste is a treatment residue of a
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NON -HAZARDOUS WASTE MANIFEST
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1. Generator's US EPA ID Number
Manifest Document Number 2.
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5. Generating Location (if different)
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been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify andwarrant that the waste ha`s been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printedlryped Name
Signature J Month Day Year,
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24. Transporter #1: Acknowledgement of Receipt of Materials
Printedlryped Name
Signature Month Day Year
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25. Transporter #2: Acknowledgement of Receipt of Materials
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Printed/Typed Name
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26. Discrepancy Indication Space
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TRANSPORTER #2 COM000033

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1. Generator's US EPA ID Number Manifest Document Number 2. Page 1 of
3. Generator's Name and Mailing Address 5. Generating Location (if different)
Town of Burnsville Customer 499 Town of Burnsville
2 Town Square 812 Pine Swamp Rd
BurnsviNe, NC 28714
4. Phon Burnsville, NC 28714
IM-662-2420
Ronnie Tipton 6. Phone ( )
7. Transporter #1 Company Name
GDS Boone
8. US EPA ID Number
9. Transporter #1's Phone
10. Transporter #2 Company Name
11. US EPA ID Number
12. Transporter #2's Phone
13. Designated Facility Name and Site Address
F�RlgiOt181 LandfiN
14. US EPA ID Number
15. Facility's Phone
28W Cheraw Rd.
928-7+7-e1965
Lenoir, NC 2SMS
16. Waste Shipping Name and Description 17:
Republic Services Approval # and Exp. Date
18. Containers 19. Total 20. Unit
Quantity WtNol
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Class 8 Nosolids
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21. Additional Descriptions for Materials Listed Above
22. Special Handling Instructions and Additional Information
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printeclfl Ae
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26. Discrepancy Indication Space
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27. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
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Print yped Name
Si�Iure Month Day Year
T/S/D/F/COPY

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�R7� REPUBLIC
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Please pint or t yo NON -HAZARDOUS W- TE MANIFEST a 392444
P P
Generator's US EPA ID Number
Manifest Document Number
2. Page 1 of
3. Generator's Name and Mailing Address
5_Generating Location (if different)
Town of Burnsville Customer 499
Town of BumsviNe
2 Town Square
912 Pine Swamp Rd
BurnsviNe, INC 23714
Burnsville, NC 28714
4. Phon%WW02_2420 Ronnie Tipton
6. Phone ( )
7. Transporter #1 Company Name
8. US EPA ID Number
9. Transporter #1's Phone
GDS Dome
10. Transporter #2 Company Name
11. US EPA ID Number
12. Transporter #2's Phone
13. Designated T/S/D Facility Name and Site Address
f outhiNs Regional Landfill
14. US EPA ID Number
15. Facility's Phone [phone]
28W Cheraw Rd.
Lenoir, NC 28645
16. Waste Shipping Name and Description
17. Republic Services Approval # and Exp. Date
18. Containers
19. Total
Quantity
20. Unit
Wt/Vol
No.
Type
a.
Class B Biosolids
30441310997 10/9/2018
1
RO
T->ns
0
Q
b.
uJ
Z
ua
C.
21. Additional Descriptions for Materials Listed Above
22. Special Handling Instructions and Additional Information
P 9
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in gccordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. ,'
I
Printed/Typed Name
Signature if
f
Mo th
Day
!
ea
Y r
.
24. Transporter #1: Acknowledgement f Recei t of Materials
LU
nted�ly ed a e
Signature Month Day
Year
�o
nr
�25.
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Transporter #2: Acknowledgement of Receipt of Materials
Z
¢
Printed/Typed Name
Signature Month Day Year
H
26. Discrepancy Indication Space
F-
J_
. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
I�
Republic Services of NC, LLC dba Foothills Regional Landfill
N
In
Prd/Typed Name j
Month Day Year
Signat
9 T/S /F/COPY

�RSUBLIC
44 SERVICES
NON -HAZARDOUS WASTE MANIFEST
Please print or type.
1. Generator's US EPA ID Number Manifest Document Number 2. Page 1 of
3. Generator's Name and Mailing Address 5. Generating Location (if different)
Town ot burttsville Cushmw 499
To" S*we
ItlC 287i4 fl ns e+, ! 28714
4. PhoneS284M-24M R afltllll Ttptm 6. Rhone ( )
7. Transporter #1 Company Name 8. US EPA ID Number 9. Tran p ter #1's Phone
D
10. Transporter #2 Company Name 11. US EPA ID Number 12. Transporter #2's Phone
13. Designated T/S/D Facility Name and Site Address 14. US EPA ID Number 15. Facility's Phone 717- MS.
16. Waste Shipping Name and Description
a.
IX
0
ar
C
W
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0
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21. Additional Descriptions for Materials Listed Above
17. Republic Services Approval # and Exp. Date 1 18. Containers J 19. Total
Quantity
No. Type
20. Unit
WUVOI
Tons
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a i
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated tn accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261..
Signature y Year
Mo4th
Day
Printed/Type,dNeme ifs f' t
24. Transporter #1: Acknowledgement of R ceipt of aterials
cc Month Day Year
Printed/Ty ed N m Signature �" 1 p
0
N 25. Transporter #2: Acknowledgement of Receipt of Materials
Si nature Month Day Year
2 Printed/Typed Name g
F
7. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
0
N M nth Day
PrintedQyped Name Signature R !
H 3 '� iA
Liam"
w TRANSPORTER #2
s

f REPUBLIC .. ",.
SERVICES
Please print or type. NON -HAZARDOUS WASTE MANIFEST 3924476
1. Generator's US EPA ID Number I Manifest Document Number 2. Page 1 of
3. Generator's Name and Mailing Address
5. Generating Location (if different)
Custmpw 4 `1 3k %a$ #3'Io; it
"O t l e'
114. Phon - �i2 TI r eu1 +� , . 2 714
T Transporter#1 Company Name 6. Phone ( )
8. US EPA ID Number 9. Transporter #1's Phone
10. Transporter #2 Company Name
11. US EPA ID Number 12. Transporter #21s Phone
13. Designated T/S/D Facility Name and Site Address
16. Waste Shipping Name and Description
a.
C1,455 F; s
0
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21. Additional Descriptions for Materials Listed Above
14. US EPA ID Number 15. Facility's Phone
29-717-MS
17. Republic Services Approval # and Exp. Date 18. Containers 19. Total 20. Unit
Quantity Wt/Vol
No. Type
cis
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according
residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been tltreat d in accordance with theons; AND, if this waste is aatment requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name a Signature
Month Dray Yea
°r1 t' � � $
¢ 24. Transporter #1 • Acknowledgemen of Rece' of Materials R R
0 Printed .ypeu a Signature
CL
Z 25. Transporter #2: AcknoW1d g lit o Receipt of Materials
� Printed/Typed Name
f. Signature
26. Discrepancy Indication Soace
7 Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
o taxi)' C of C,. LiC dbe' FOfAhillis Rftocwwl UtdfiN
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Na
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Day Year
Month Day Year
TRANSPORTER #2
COM000033 ii

REPUBLIC
SERVICES
PleasepritNON-HAZAR
,.•._ ?r. DOUS WASTE MANIFEST
1. Generator's US EPA ID Number
Manifest Document Number 2. Page 1 of ` . £
3. Generator's Name and Mailing Address
N�ipF ,Ig oft: i 3t 5. Generating Location (if different)
4. Phone
7. Transporter #1 Company Name 6. Phone ( )
�ium 8. US EPA ID Number 9. Transporter #1's Phone
10. Transporter #2 Company Name
I I - US EPA ID Number 12. Transporter #2's Phone -
13. Designated T/S/D Facility Name and Site Address
Law"MI 14. US EPA ID Number
?t4[ , �^��� e-. * 15. Facility's Phone
16. Waste Shipping Name and Description
17. Republic Services Approval # and Exp. Date 18. Containers 19. Total
20. Unit
a. No. Type Quantity Wt/Vol
C.
Above
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state iaw,
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations;
Previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements ofh4 s
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261. 9 ations; AND, if this waste is a treatment residue of a
PrintedlTyped Name 0
Signature
Month Day I Year
X 24. Transporter #1: Acknowledgement of Receipt of Materials
LU
Printed/Typed Name
00 Signature
IL
Z25. Transporter #2: Acknowledgement of Receipt of Materials Month Day Year
� Printed/Typed Name
Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest
Of
Printed/Typed Name
as noted in Item 19)
Month Day Year
I
TRANSPORTER f;2
COMOW033 -

REPUBLIC
SERVICES
Please print or type. NON -HAZARDOUS WASTE MANIFEST
1. Generator's US EPA ID Number
Manifest Document Number!
2. Page 1 of
3. Generator's Name and Mailing Address
5. Generating Location (if different)
Town of 3vrn&vwj
TC W" �q%jat-p
Pirip 0amp kl
4C 287144
Rurnsvifle, NC 2P714
4. Phone
6. Phone
7. Transporter #1 Company Name
8. US EPA ID Number
9. Transporter #1's Phone
10. Transporter #2 Company Name
11. US EPA ID Number
12. Transporter #2's Phone
13. Designated T/$/Dr Facility Name and Site Address
14. US EPA ID Number
15. Facility's Phone
978- 71-),7-0%5
t"Kw, IYC 2-0645,
16. Waste Shipping Name and Description
17. Republic Services Approval # and Exp. Date
18. Containers
19. Total
20. Unit
Quantity
wtivol
No.
Type
a.
0
W441 3 1 (Y�97 lqil.412018
RO
Tons
b.
cc
W
Z
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21. Additional Dawr!Ption--.Jor.Uateriats-.UstedAbove
22. Special Handling Instructions and Additional Information
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name
Signature Month Month Day Year
X
24. Transporter #1: Acknowledgement of Receipt)of Materials
LU
PrintedfTyped Name
Signature Month Day Year
cc
0
Cn
Z
25. Transporter #2: Acknowledgement of Receiptof Materials
<
Printed/Typed Name
'ature Sign Month Day Year
26. Discrepancy Indication Space
F_
_J
27. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
Printed/Typed Name
Signature Month Day Year
TRANSPORTER #2_,;
COM000033

ART REPUBLIC
VV SERVICES
v
Please pr ty
NON -HAZARDOUS WASTE MANIFEST
1. Generator's US EPA ID Number
Manifest Document Number
2. Page 1 of
3. Generator's Name and Mailing Address
5. Generating Location (if different)
i
4. Phoned -2A !g° i,- T44 $t1
6. Phone ( )
7. Transporter #1 Company Name
8. US EPA ID Number
9. Transporter #1's Phone
10. Transporter #2 Company Name
11. US EPA ID Number
12. Transporter #2's Phone
13. Designated T/S/D Facility Name and Site Address
14. US EPA ID Number
15. Facility's Phone
hi;-r"o:"upp'� S'il
16. Waste Shipping Name and Description
17. Republic Services Approval # and Exp. Date
18. Containers
19. Total
20. Unit
Quantity
Wt/vol
No.
Type
a.
1311 T 1 J /7018
k
kC,
TOM
Q
b.
cc
uA
Z
W
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21. Additional Descriptions for Materials Listed Above
i
22. Special Handling Instructions and Additional Information
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable
state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name
Signature
Month
Day
Year
24. Transporter #1: Acknowledgement of Receipt of MaterialsIX
W
I.
Pnnted/T ped me
•• - / ��
Signature r/
Month Day
Year
O
US
25. Transporter #2: Acknowledgement of Receipt of Materials
Z
< Printed/Typed Name w
Signature
Month
Day
Year
H
26. Discrepancy Indication Space
Y
H
J_
U 27. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
des of NI C, tic dbe F00"i- Regional 1-andfill
J
\ Printed/Typ dName
H#
Signature
c
TRAN9PO ER #2 COM000033

REPUBLIC
3; ball,
Please print or type, NON -HAZARDOUS WASTE MANIFEST 1. Generator's US EPA ID Number Manifest Document Number 12. Page 1 of
3. Generator's Name and Mailing Address
1 Tow" ref
Y I ° t1�ary x {
i
i
4. Gen
7re2
-2420
7. Transporterompany NMIA
ame
II
10. TranCompany Name
13. Designated T/S/D Facility Name and Site Address
'os�,6tm re..�tr�da� �iti$-
16. Wast=Name iption
a.
CUSS 6+trEr3
0
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c.
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21. Additional Descriptions for Materials Listed Ahnvc
5. Generating Location (if different)
6. Phone ( )
8. US EPA ID Number 9. Transporter #1's.Phone
11. US EPA ID Number 12. Transporter. 42's Phone
14. US EPA ID Number 15. Facility's Phone
17. Republic Services Approval # and Exp. Date 1.8. Containers 19. Total
20. Unit
No. Type
Quantity Wt/vol
13f+t 7 7lQ "91/MIS � j
j Tour
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
Printed/Typed Name
' " Signature
k,,.. Month Day Year
24. Transporter #1: Acknowledgement of Receipt of Materials
� Printed/Typed N e �`
O f Signature
a :r':.- Month Day Year
Z25. Transporter #2: Acknowledgement of Receipt of Materials
< Printed/Typed Name •
�- Signature
Month Day Year
26. Discrepancy Indication Space 1 11
27. Facility Owner or Operator Certification of receipt of waste materials covered by this manifest
N
Prime ped Nam
Sin re
T,�ANSPORTER #.
as noted in Item 1
Month Day Year
COM000033 =n

REPUBLIC
�*3 SERVICES
1. Generator's US EPA ID Numby I NON -HAZARDOUS WASTE MANIFEST
er Manifest Document Number 2. Page 1 of '
3. Generator's Name and Mailing Address
Town Of BurnsvNle 5. Generating Location (if different) — --
Customer 499 n of Burnsville
z Town Sure Tow812 Pine Swamp Rd
4. Phone Burnsville, NC 28714 28-6k-2420 ` Burnsville, Nth 2871.4
7. Transporter #1 Company Name ROnnle� on 6. Phone ( )
GlS! 8. US EPA ID Number 9. Transporter #1's Phone
10. Transporter #2 Company Name
11. US EPA ID Number 12. Transporter #2's Phone
13. Desi Hated T/S/D Facility Name and Site Address
OOtilliljs Regional LandN 14. US EPA ID Number 15. Facility's Phone
2800 Cheraw Rd. 828-757-0W5
Lenoir, NC 29"S
16. Waste Shipping Name and Description
17. Republic Services Approval # and Exp. Date 18. Containers 19. Total
20. Unit
a No. Type Quantity Wt/Vol
Cfass 8 Bfosofids 30441310997 1
a b. 0/9/2018 1 RO ? Tons
C.
1
Above
i
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as def' ad by 40 CFR 261.
Printe N me g
L _ Signature
W 24. Transporter #1: Acknowledgement of Receipt of Mated s
Printed/Typed Name
0 Signature
a
W 25. TraLLknowledgement of Receipt of Materials
cc Printed
F- Signature
t
26. Discrepancy Indication Space _.
i127. Facility Owner or Operator: Certification of receipt of waste materials cdVered by this manife
Republic Servitors of NC, "C dba FOOthi"s Regional Landfill
� d -
Printed/Typed Name
H
Signature .
Month
,ept as noted in Item 19)
.._ - - �.,...... Month Day
Year
Year
T/S/D/F/COPY M

�R�: REPUBLIC
SERVICES
Please print or type. NON -HAZARDOUS WASTE MANIFEST
1. Generator's US EPA ID Number Manifest Document7Number75.
3.3. Generator's Name and Mailing Address neratingLocation (if different)
of 5 ` Ct
81 Rd
4. Phone ( ) !l'r 26714
6. Phone
7. Transporter #1 Company Name t14
EPA ID Number ( )
9. Transporter #1's Phone
10. Transporter #2 Company Name
EPA ID Number 12. Transporter #2's Phone
13. Designated T/S/D Facility Name and Site Address
EPA ID Number 15. Facility's Phone
twitow,
16. Waste Shipping Name and Description 17. Republic Services Approval # and Exp. Date 18. Containers 19. Total 20. Unit
Quantity Wt/Vol
a. No. Type
b.
I.q q -
i
i
c.
' 21. Additional Descriptions for Materials Listed Above
and
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant hat the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
n�N
Printedlryp"` , fVame
E1 f a Signature ,!,�.� �.. r,. %� Month Day Year
CC 24. Transporter #1: Acknowledgement 2f Receip of Materi s '
OPrinted /T d a e Signature --
(,,�.� Monte Da Yeah?,
Z iL
25. Transporte 42: Acknowledg e o Rec ipt atenars
4 Printed Typed Name
Signature Month Dav v a.
26. Discrepancy Indicatibn Space
27. Facllfty Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
of W, LW &g Forty
Printe ped Na e
Y Signature ����,n--�C/
TRANSPORTER 44
2
Month Day Year
,..-yr
X
COM000033

R� 1UPUBLIC
�
QV SERVICES
Please print or type. NON -HAZARDOUS WASTE MANIFEST
1. Generator's US EPA ID Number Manifest Document Number 12. Page 1 of
3. Generator's Name, and Mailing Address
TfIKm of III 4;4A0iiad:G'1 4
2 ToWn SWKS
NWIWAe, NC 29714
4. PhoneCO-M-24Ramin'rWiten
7. Transporter #1 Company Name
cr)
O
10. Transporter #2 Company Name
13. Designate .Fac li N . r eRa 'te Address
t� ��c ad,
i tllailr, MC 2045
16. Waste Shipping Name and Description
Ia ss 9 bknaWs
c
121
Descriptions for
indling Insp6Wctii
Listed Above
5. Generating Location (if different)
912 Ane SwalfnP Rd
gtrr ns e, 'K 2 714
6. Phone ( )
8. US EPA ID Number 9. Transporter #1's Phone
11. US EPA ID Number
12. Transporter #2's Phone
'Ar
14. US EPA ID Number 15. Facility's Phone,
17. Republic Services Approval #and Exp.-Date 16. Containers 9. Total T20.itQuantityNol
No. Type
TWtS
lo;/�20181 fit) TOM
23. GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR 261 or any applicable state law, has
been properly described, classified and packaged, and isin proper condition for transportation according to applicable regulations; AND, if this waste is a treatment residue of a
previously restricted hazardous waste subject to the Land Disposal Restrictions. I certify and warrant that the waste has been treated in accordance with the requirements of 40
CFR 268 and is no longer a hazardous waste as defined by 40 CFR 261.
f
Signat Month
Day
Printe' ,y{Ie Name; f
j
f
Olt
24. transporter #1: Acknowledgement of Re apt of aterials
H 7l
- Mnnth Dav Year
WPrintedned ae Signature
oZ 25. Transporter #2: Acknowled ment of Receipt of Materials
4 Printed/Typed Name Signature
H
26. Discrepancy Indication Space
Y
f—
I J _
27 Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest (except as noted in Item 19)
N Printed/Typed Name Signature
> TRANSPORTER #1
Month Day
Month Day Year
COM000033
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