WQ0002672_Residual Annual Report 2018_20190226

ANNUAL SLUDGE DISPOSAL REPORT
FEB 16 2019
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PER 26?C19
SUMMARY B0p ZT`^ j
LAND APPLICATION PROGRAM
FOR THE
TOWN OF MAYODAN
prepared by
SUEZ
Clemmons, North Carolina
[phone]

I
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0002672 County: Rockingham Year: 2018
Facility Name (as shown on permit): Town of Mayodan
Land Application Operator: Jamie Whitten
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes 91 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in the ermit:
25
Total number of fields utilized for land application during the year:
3
Total amount of dry tons applied during the year for all application sites:
58.96
Total number of acres utilizes for land application during the year:
79.1
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2018 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑ Yes 10 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .l 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T . l I I I were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
too (-�e�a tl er
Permittee Name and Title (t 0 e or int) -- Sigriture of Permittee I Date
WaturEr of Preparer* Dafe Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .l 102 (26) DENR FORM ACF (12/2006)

Town of Mayodan
NPDES Permit No.: NCO021873
NC Land Application Permit No: WQ0002672
EXPLANATION OF NONCOMPLIANCE
The pollutant concentration limit for Lead was exceeded. The report value was 915
mg/kg with the limit being 840 mg/kg. This result is questionable as it is not consistent
with the historical values. Table I provides a summary of the typical Lead
concentrations in the biosolids.
Table I — Historical Biosolids Data
Sample Date
Lead, mg/kg
8/23/2016
12
4/1 /2015
42
11 /25/2014
50
10/29/2013
50
9/13/2011 148
The Town of Mayodan wastewater treatment plant treats a combination of domestic,
industrial, and commercial wastewater. Table II provides a summary of typical influent
Lead concentration to the wastewater treatment plant. A review of the industrial user
data indicates no change in their discharge.
Table II. WWTP Influent Lead
Sample Date
Influent Lead, u /I
3/7/2017
18.0
6/13/2017
22.0
9/12/2017
7.0
12/5/2017
<5.0
3/13/2018
14.0
6/12/2018
19.0
9/25/2018
19.0
12/4/2018
19.0
Follow-up sludge lead samples were collected on February 13, 2019. The result was
255 mg/kg which is below the concentration ceiling limit of 840 mg/kg.
Corrective actions to prevent future noncompliant occurrences include the following:
1. Sludge samples will be collected in 2019 prior to sludge hauling events to verify
the lead level.

2. A process to thoroughly review the analytical data prior to sludge hauling_ will be
implemented.
3. All hauling events will be approved by the ORC after review of the analytical data
4. Documentation of the ORC's approval to haul sludge will be provided to the land
applier prior to hauling events.

IT) �?r�9,r
GREENVILLE, N.C. 27858
SUEZ WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279
CLEMMONS ,NC 27012
PARAMETERS
Digester 2 Analysis Method
Date Analyst Code
Lead (dry weight basis), mg/kg 255 02/14/19 MTM 3113B-04
Drinking ;later ID: 3771.5
Wastewater ID: 10
f'i :0NL 1c�J�j
FAX (252) 'P'
ID#: 990 C
DATE COLLECTED: 02/13/19
DATE REPORTED : 02/18/19
REVIEWED BY:

1
ANNUAL RESIDUAL SAMI L,..iG 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: WQ0002672 Laboratory:
Facility Name: Town of Mayodan
Residual Source
NPDES # or WQ#:
NCO021873
WWTP Name: Town of Mayodan WWTP
Residual Analysis Data
1) Environment 1
2) Summit Environmental Technologies
3)
4)
5)
Parameter-
Sampleor • •• Date
'
--
Potassium
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

ANNUAL RESIDUAL SAi..�-LING SUMMARY FORM
Please note that your permit may containadditional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0002672
Facility Name:
Residual Source WQ # or
NPDES #:
Town of Mayodan
NCO021873
WWTP Name: Town of Mayodan WWTP
Residual Analysis Data
Laboratory: 1) Environment 1
2) Summit Environmental Technologies
3)
4)
5)
Parameter= =
Conc.or
• •• Date
1
.----------
morom,. No
Molybde
Total Phosphorus
Nitrate and Nitrite
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 submitting false information, including the possibility of fines and imprisonment for knowing violations."
of Preparer *
�_ 6_Z7
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ElmhMEW % Wopumbd
_-- -EENVILLE, h ,C . 27858 € AX (252" 756-0633
*** THIS IS A CORRECTED COPY OF PREVIOUSLY REPORTED DATA ***
ID#: 990
SUEZ WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279
CLEMMONS ,NC 27012
Sludge
Analysis
Method
PARAMETERS
Sample
Date
Analyst
Code
PH, Units
6.8
02/19/18
KDS
4500HB-11
Aluminum, (dry wt. basis), mg/kg
8910
02/20/18
LFJ
EPA200.7
Arsenic (dry wt. basis), mg/kg
<2.5
02/21/18
MTM
3113B-04
Calcium (dry wt. basis), mg/kg
13030
02/20/18
LFJ
EPA200.7
Cadmium (dry wt. basis), mg/kg
1.9
02/20/18
MTM
3113B-04
per (dry wt. basis), mg/kg
670
02/20/18
LFJ
EPA200.7
omium, T.(dry wt. basis),mg/kg
27
02/20/18
LFJ
EPA200.7
lead (dry weight basis), mg/kg
915
02/19/18
MTM
311313-04
Magnesium (dry wt. basis), mg/kg
3779
02/20/18
LFJ
EPA200.7
Mercury (dry wt. basis), mg/kg
1.4
02/21/18
MTM
EPA7471B
Nickel (dry wt. basis), mg/kg
22
02/20/18
LFJ
EPA200.7
Potassium (dry wt. basis), mg/kg
4164
02/20/18
LFJ
EPA200.7
Selenium (dry wt. basis), mg/kg
<5.0
02/22/18
MTM
3113B-04
Sodium (dry wt. basis), mg/kg
3522
02/20/18
LFJ
EPA200.7
Zinc (dry wt. basis), mg/kg
859
02/20/18
LFJ
EPA200.7
Sodium Adsorption Ratio (calc)
7.0
Total Solids, %
1.68
02/01/18
KAC
2540G-11
TKN (dry wt.), mg/kg
c 36370
02/22/18
CML
351.2 R2-93
Ammonia Nitrogen (dry wt.),mg/kg
c 2567
02/20/18
CML
350.1 R2-93
Phosphorus, T. (dry wt.), mg/kg
c 17940
02/22/18
DTL
365.4-74
Nitrate -Nitrite (dry wt.), mg/kg
c 15.75
03/01/18
DTL
353.2 R2-93
Plant Available Nitrogen, mg/kg
11440
03/02/18
SEJ
Molybdenum (dry wt. basis), mg/kg
6
02/20/18
LFJ
EPA200.7
DATE COLLECTED: 01/31/18
DATE REPORTED : 03/02/18
REVIEWED BY:
c Uncertified data. DWR does not offer non -aqueous certification for this analytical procedure.

loft
Orlando, FL o
The results set forth herein are provided by SGS North America Inc.
Technical Report for . ��'
Environment 1, Inc
Suez Water, Mayodan WWTP; Clemmons, NC
990A
SGS Job Number: FA51555
Sampling Date: 01/31/18
Report to:
Environment 1, Inc
PO Box 7085
Greenville, NC 27835
[e-mail]
ATTN: Deedee Woolard
e-Hardcopy 2.0
Automated Report
Total number of pages in report: 14
Test results contained within this data package meet the requirements Caitlin Brice, M.S.
of the National Environmental Laboratory Accreditation Program General Manager
and/or state specific certification programs as applicable.
Client Service contact: Sue Bell 407-425-6700
Certifications: FL(E83510), LA(03051), KS(E-10327), IL(200063), NC(573), NJ(FL002), NY(12022), SC(96038001)
DoD ELAP(ANAB L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, IA, KY, MA, MS, NO, NH, NV, OK, OR, UT, WA, WV
This report shall not be reproduced, except in its entirety, without the written approval of SGS.
Test results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 - Orlando, FL 32811 • tel: [phone] • fax: [phone]
SGS is the sole authority for authorizing edits or modifications to this document.
Unauthorized modification of this report is strictly prohibited.
Review stiriidard terms at: http://ww,v.sgs.com/eii/iemis-and-conditions
1 of 14
FA51555

-I -
Section1: Sample Summary...................................................................................................
Section2: Summary of Hits....................................................................................................
Section, 3: Sample Results........................................................................................................
11.: FA51555-1: SLUDGE SAMPLE..................................................................................
Section4: Misc. Forms............................................................................................................
4.1: Chain of Custody...........................................................................................................
Sections:
3 is
' 2ofi14
. .i� FA59555

SGS North America Inc.
Sample Summary
Environment 1, Inc
Job No: FA51555
Suez Water, Mayodan WWTP; Clemmons, NC
Project No: 990A
Sample 'K4i4:- Matrix Client
Number Date Time By Received Code Type Sample ID
LT, 01/31/18 09:40 DL 02/03/18 SO Sludge
Soil samples reported on a dry weight basis unless otherwise indicated on result page.
3 of 14
FA51555

Summary of Hits
Job Number:
FA51555
Account:
Environment 1, Inc
Project:
Suez Water, Mayodan WWTP; Clemmons, NC
Collected:
01/31/18
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA51555-1 SLUDGE SAMPLE
Corrosivity as pH
7.2
su
SW846 CHAP?
Ignitability (Flashpoint) a
> 200
Deg. F
SW846 1010
Benzene
0.0844
0.010 0.0031 mg/1
SW846 8260B
Tetrachloroethylene
0.0089 J
0.010 0.0022 mg/1
SW846 8260B
(a) Not ignitable.
Page 1 of 1
4 of 14
SGS
FA51555

F
Orlando,.
Sample Results
Report of Analysis
I
5 of 14
FA51555

SGS North America Inc.
Report of Analysis
:lient Sample ID: SLUDGE SAMPLE
,ab Sample ID: FA51555-1 Date Sampled: 01/31/18
Matrix: SO - Sludge Date Received: 02/03/18
Method: SW846 8260B SW846 1311 Percent Solids: n/a a
°roject: Suez Water, Mayodan WWTP; Clemmons, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 M0101333.D 10 02/12/18 21:56 WV 02/09/18 12:45 OP68719 VM4363
Run #2
Purge. Volume
.un #1 5.0 ml
.un #2
VOA TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
44 - -' D018
0.50 0.010
0.0031
mg/l
78-93-3
2-Butanone (MEK)
k4
i" - I I''� ;,�'-' :' D035
200 0.050
0.020
mg/1
56-23-5
Carbon Tetrachloride
4iVD;, �- �; ', D019
0.50 0.010
0.0036
mg/1
108-90-7
Chlorobenzene
ND a, e`° . ° ;; rr D021
100 0.010
0.0020
mg/1
67-66-3
Chloroform.NI):�,
,*,�. D022
6.0 0.010
0.0030
mg/1
106-46-7
1, 4-Dichlorobenzene
ND '., `:. ;' , z'4 D027
7.5 0.010
0.0026
mg/l
107-06-2
1,2-Dichloroethane
ND'-'p . `.:' D028
0.50 0.010
0.0031
mg/1
75-35-4
1,1-Dichloroethylene
ND',,. ° , _ '=' D029
0.70 0.010
0.0032
mg/1
127-18-4
Tetrachloroethylene
0.0'089 °. .` a D039
0.70 0.010
0.0022
mg/1 J
79-01-6
TrichloroethyleneND�
D040
`
0.50 0.010
0.0035
mg/1
75-01-4
Vinyl Chloride
! �' r.
t.N=D : ���.� D043
0.20 0.010
0.0041
mg/l
CAS No.
Surrogate Recoveries
Run# 1 Run# 2
Limits
1868-53-7
Dibromofluoromethane
102%q�
83-118%
17060-07-0
1,2-Dichloroethane-D4�03%a:`.
.l
":.
79-125%
2037-26-5
Toluene-D8
85-112%
460-00-4
4-Bromofluorobenzene
99°t
83-118%
(a) All results reported on a wet weight basis.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 V1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
6of14
.FA51655

SGS North America Inc.
Report of Analysis
;lient Sample ID: SLUDGE SAMPLE
.ab Sample ID: FA51555-1 Date Sampled: 01/31/18
Matrix: SO - Sludge Date Received: 02/03/18
Method: SW846 8270D SW846 3510C Percent Solids: n/a a
oroject: Suez Water, Mayodan WWTP; Clemmons, NC
Page 1 of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 9I000129.D 1 02/14/18 01:04 MV 02/13/18 10:10 OP68750 S9I5
Run #2
Initial Volume Final Volume
un #1 100 ml 1.0 ml
.un #2
ABN TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
95-48-7
2-Methylphenol
ND
D023
200 0.050
0.0056
mg/1
3&4-Methylphenol
ND
D024
200 0.050
0.0098
mg/1
87-86-5
Pentachlorophenol
ND
D037
100 0.25
0.050
mg/1
95-95-4
2,4,5-Trichlorophenol
ND
D041
400 0.050
0.0074
mg/I
88-06-2
2,4,6-Trichlorophenol
ND
D042
2.0 0.050
0.0075
mg/I
106-46-7
1,4-Dichlorobenzene
ND
D027
7.5 0.050
0.0050
mg/I
121-14-2
2,4-Dinitrotoluene
ND
D030
0.13 0.050
0.0081
mg/l
118-74-1
Hexachlorobenzene
ND
D032
0.13 0.050
0.0069
mg/1
87-68-3
Hexachlorobutadiene
ND
D033
0.50 0.050
0.0050
mg/1
67-72-1
Hexachloroethane
ND
D034
3.0 0.050
0.016
mg/1
98-95-3
Nitrobenzene
ND
D036
2.0 0.050
0.0093
mg/1
110-86-1
Pyridine
ND
D038
5.0 0.10
0.020
mg/I
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
367-12-4
2-Fluorophenol
21%
14-67%
4165-62-2
Phenol-d5
13%
10-50%
118-79-6
2,4,6-Tribromophenol
85%
33-118%
4165-60-0
Nitrobenzene-d5
70%
42-108%
321-60-8
2-Fluorobiphenyl
72%
40-106%
1718-51-0
Terphenyl-d14
57%
39-121%
(a) All results reported on a wet weight basis.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/l/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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FA51555

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA51555-1 Date Sampled: 01/31/18
Matrix: SO - Sludge Date Received: 02/03/18
Method: SW846 8151A SW846 3510C Percent Solids: n/a a
Project: Suez Water, Mayodan WWTP; Clemmons, NC
Page 1_. of 1
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC057190.D 1 02/13/18 13:26 EM 02/12/18 14:30 OP68737 GCC1247
Run #2
Initial Volume Final Volume
Run #1 10.0 ml 5.0 ml
Run #2
Herbicide TCLP Leachate
TCLP Leachate method SW846 1311
CAS No. Compound
Result HW#
MCL RL
MDL Units Q
94-75-7 2,4=1)
[N , a D016
10 0.050
0.017 mg/1
93-72-1 2,4,5-TP (Silvex)D`t
D017
1.0 0.0050
0.0013 mg/1
CAS No.. Surrogate Recoveries
Run# 1 Run# 2
Limits
19719-28-9 2,4-DCAA
al09°l0`;=-r;
39-135%
(a) All results reported on a wet weight basis.
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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FA51555

SGS North America Inc.
Report of Analysis Page 1 of 1
Client Sample ID: SLUDGE SAMPLE t
Lab Sample ID: FA51555-1 Date Sampled: 01/31/18 �
Matrix: SO - Sludge Date Received: 02/03/18
Method: SW846 8081B SW846 3510C Percent Solids: n/a a
Project: Suez Water, Mayodan WWTP; Clemmons, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 KK87827.D 1 02/13/18 15:39 KL 02/09/18 12:30 OP68724 GKK2800
Run #2
Initial Volume Final Volume
un #1 100 ml 5.0 ml
un #2
Pesticide TCLP Leachate
CAS No. Compound
58-89-9
gamma-BHC (Lindane)
12789-03-6
Chlordane
72-20-8
Endrin
76-44-8
Heptachlor
1024-57-3
Heptachlor epoxide
72-43-5
Methoxychlor
8001-35-2
Toxaphene
CAS No. Surrogate Recoveries
877-09-8 Tetrachloro-m-xylene
2051-24-3 Decachlorobiphenyl
(a) All results reported on a wet weight basis
TCLP Leachate method SW846 1311
Result HW# MCL RL MDL Units Q
ND _ - 1 D013 0.40 0.00010 0.000022 mg/1
'-ND
D020
0.030 0.0010
0.00038
mg/1
'ND
! D012
0.020 0.00020
0.000021
mg/1
ND
j D031
0.0080 0.00010
0.000026
mg/1
i ND
i D031
0.0080 0.00010
0.000020
mg/l
ND
; D014
10 0.00020
0.000050
mg/l
ND _
_ D015
0.50 0.0050
0.0021
mg/1
Run# 1
Run# 2
Limits
}78%
42-127%
75%
27-127%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
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FAS1555

SGS North America Inc.
Report of Analysis
;lient Sample ID: SLUDGE SAMPLE
,ab Sample ID: FA51555-1 Date Sampled: 01/31/18
Matrix: SO - Sludge Date Received: 02/03/18
Percent Solids: n/a a
Project: Suez Water, Mayodan WWTP; Clemmons, NC
Page 1 of 1
Metals Analysis, TCLP Leachate SW846 1311
Analyte
Result
HW#
MCL
RL
Units
DF
Prep
Analyzed
By
Method
Prep Method
Arsenic
< 0.25
D004
5.0
0.25
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
Barium
< 5.0
D005
100
5.0
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
Cadmium
< 0.13
D006
1.0
0.13
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
Chromium
< 0.25
D007
5.0
0.25
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
Lead
< 0.13
D008
5.0
0.13
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
Mercury
< 0.0050
D009
0.20
0.0050
mg/1
1
02/20/18
02/20/18
LM
SW846 7470A 2
SW846 7470A 4
Selenium
< 0.25
D010
1.0
0.25
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
Silver
< 0.25
D011
5.0
0.25
mg/1
1
02/16/18
02/19/18
DM
SW846 6010D 1
SW846 3010A 3
(1) Instrument QC Batch: MA14692
(2) Instrument QC Batch: MA14696
(3) Prep QC Batch: MP33345
(4) Prep QC Batch: MP33360
(a) All results reported on a wet weight basis.
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/l/l1)
SAP* 10 of 14
FA51555

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA51555-1 Date Sampled: 01/31/18
Matrix: SO - Sludge Date Received: 02/03/18
Percent Solids: n/a a
Project: Suez Water, Mayodan WWTP; Clemmons, NC
General Chemistry
Analyte
Result
Corrosivity as pH
7.2
Cyanide Reactivity
< 1.5
Ignitability (Flashpoint) b
> 200
Sulfide Reactivity
< 1400
(a) All results reported on a wet weight basis.
(b) Not ignitable.
RL = Reporting Limit
RL Units DF
su 1
1.5 mg/kg 1
Deg. F 1
1400 mg/kg 1
Page 1 of 1
Analyzed By Method
02/13/18 14:10 VK
SW846 CHAP?
02/07/18 10:56 VK
SW846 CHAP7
02/16/1816:20 BW
SW8461010
02/13/18 13:00 CH
SW846 CHAP7
SGS11 of 14
FA51555

Orlando,
Misc. Forms at
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
Section 4
SGS12 of 14
FA51555

C
Environment 1, Inc.
P.O. Box 7085,114 Oakmont Dr.
ro"Pa.,,,Hna hir)TQtQ
CHAIN OF CUSTODY .RECORD S 5 .S
Page —L_ of i
environmentlinc.com
DISINFECTION
CHLORINE NEUTRALIZED AT COLLECTION
Phone [phone] • Pax [phone]
❑ CHLORINE
pHCHECK (LAB)
CLIENT: 990A Week:7
❑ uv
SUEZ WATER (MAYODAN WWTP-SLUDGE)
❑ NONE
P
P
P
G
G
G
G
G
CONTAINERTYPE,PIG
NADINE BLACKWELL
CHEMICALPRESERVATION
P.O. BOX 1279
❑
CLEMKONS NC 27012
A
A
A
A
A
A
A
A
N A -NONE D-NAOH
E F
(33� 766-0270
z
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St
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C B-HNO E.HCL
COLLECTION
rc
¢
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C-H=SO, F-ZINC ACETATEINAOH
G-NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
Sludge Sample
%
1 yQ
5
1
a
f
0
a
, t�
0.
CLASSIFICATION:
//❑-- ASTEWATER(NPDES)
ORINKWGWATER
❑ DWO/Gw
❑ SCUD WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
3AM�SCOLLECfEDBY:
S REC IVED IN LAB AT 'y °C
Rai EDBY(SIG. S PLER)
D TEIRME
REC13VED BY (SR)
DATEMME
COMMENTS
r
yn ,
phin NS BY(SIG)
ATEMME
REC B
DAT ME
_.
,(SI
V, s
REU (SHED G.
ITATEIIINTE
R C IG
ATERIME
3
/Wf,o
ra
_0� e I .30 Sampler must place a "C" for composite sample or a "G" for N ° 327426
PLEASE D Instructions for corttpleting this form on the reverse side.
FORM n5 Grab sample in the blocks above for each parameter requested.
FA51555: Chain of Custody
Page I ®f 2
A
13of14
FA59555

SGS Sample Receipt Summary
Job Number: FA51555 Client: ENVIRONMENTAL 1 INC Project: 999 A
Date / Time Received: 2/3/2018 11:30:00 AM Delivery Method: FX Airbill Ws: 4200 4046 2646
Therm ID: IR 1; Therm CF: 0.4; # of Coolers: 2
Cooler Temps (Raw Measured) "C: Cooler 1: (3.0); Cooler 2: (3.2);
Cooler Temps (Corrected) °C: Cooler 1: (3.4); Cooler 2: (3.6);
Cooler Information
1. Custody Seals Present
2. Custody Seals Intact
3. Temp criteria achieved
4. Cooler temp verification
5. Cooler media
Trip Blank Information
1. Trip Blank present/ cooler
2. Trip Blank listed on COC
3. Type Of TB Received
Y or
N
©
❑
©
❑
2
❑
R Gun
Ice(Bag)
Y or N
N/A
❑
❑
o
❑
❑
91
W or
S
N/A
❑
❑
sa
Misc. Information
Number of Encores: 25-Gram _
Test Strip Lot #s: pH 0-3
Residual Chlorine Test Strip Lot #:
Comments
Sample Information
Y or
N
N/A
1. Sample labels present on bottles
®
❑
2. Samples preserved property
❑
3. Sufficient volume/containers recvd for analysis:
®
❑
4. Condition of sample
Intact
5. Sample recvd within HT
0
❑
6. Dates/Tmes/IDs on COC match Sample Label
❑�
❑
7. VOCs have headspace
❑
❑
8. Bottles received for unspecified tests
❑
0
9. Compositing instructions clear
❑
❑
10. Voa Soil Kits/Jars received past 48hrs?
❑
❑
11. % Solids Jar received?
❑
❑
0
12. Residual Chlorine Present?
❑
❑
5-Gram Number of 5035 Field Kits: Number of Lab Filtered Metals:
230315 pH 10-12 219813A Other: (Specify)
shoot Rev. Oate 0524117 Technician: JORGEC Date: 2/3/2018 11:30:00 AM
Reviewer: Date:
FA5155 Chain of Custody
Page 2 of 2
_._. _ I 14 of 14
1 FA51555

Environment Y, Inc. CHAIN OF CUSTODY RECORD
P.O. Box'M/ 85, 114 Oakmont Dr. Page _ I of _ 1
Greenville, NC 27858
environmentl inc.com
DISINFECTION
Phone [phone] - Fax [phone]
CHLORINE NEUTRALIZED AT COLLECTION
CHLORINE
pH CHECK (LAB)
CLIENT: 990 A Week: 7
UV
SUEZ WATER (MAYODAN WWTP-SLUDGE)
NONE
p
p
p
G
G1
GI
G
G1
CONTAINER TYPE, P/G
NADINE BLACKWELL
I
P.O. BOX 1279
CLEMIVIONS NC 27012
A
A
A
A
A
I A
A
A
CHEMICAL PRESERVATION
A -NONE D-NAOH
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[phone]
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0 0
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LU
COLLECTION
Q o)
0
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a 0
W" ¢
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ag
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ul
a
HI
P.
F
a
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a
FU-
a
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¢ G - NATHIOSULFATE
SAMPLE LOCATION
DATE
TIME
1
Sludge Sample
P I
r•
5
>..
CLASSIFICATION:
WASTEWATER (NPDES)
DRINKING WATER
Lj DWQ/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING SHIPMENT/DELIVERY
N
SAM S COLLECTED BY:
(Mrint
L S RE C IVED IN LAB ATy °C
RELI ED BY (SIG. S MPLER)
D TE/TIME
RECEIVED BY (SIG.)
DATE(fIME
COMMENTS:
!
e
p
UIS -D BY (SIG.)
ATE/TIME
RECEWEP BY(SI
DATEITIME
RELI ISH2n�1-:XZzell'
AT I E
R CE D BY IG.
DATUrIME
i
V" �F : READ Instructions for completing this form on the reverse side. Sampler must place a "C"for composite sample or a "G" for (� 0 327425
FORM #5 Grab sample in the blocks above for each parameter requested.

..v-t%.ve-7.a L. JAQV11r O.CIYV
CHAIN OF CUSTODY
Sample Location: aQ �S �PY'
.� Sample Start Date: / Start Time:
Sample End Date: End Time: �i
Water Meter Reading Begin
Water Meter Reading End
Total Water Treated
PH L' K --
P
Temperature
Sample Date
Sample Time
Analyst Dame/Signature
Person Collecting Sample Name/Signature
Samples Sent to Laboratory for additional analys(s? IYES ) NO
Comments:
Attach copy of commercial laboratory Chain of Custody to this farm

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mayodan Total Dry Tons Applied (Annual): 25.75
Permit #: WQ0002672 Cation. Exchange Capacity (non 503 only):
Operator: Jamie Whitten Owner: Dumaine Farms Predominant Soil Series: MkB2 - Mecklenb
Acres Used: 38.7 Acres Permitted: 38.7 Site #: 001 Field #: 30
Residual Analvsis Data (Heavv Mptalc anti Testa➢ Phncrthr."ve .,moo --AL-- rn UN-
WNdvMNN0L-%j
dM
N
monsoon
Date
-------
--�--.J •� u.ssaaaaa�o
�Vuac,41A1,Cli In IIPJ/4%;A 1r)i
Total
1
21
3
4`
5
6
7j
8
9;
10
11
12 i
DT/Ac./
y
App.
0
m
Event
0.67
0.00
0.00
0.00
14
Arsenic
0.003
0.000
0.000
0.000
0.000
1 0.o00
0.()00
0.000
0.000
0.000
0.000
0.000
0.003
Cadmium
0.003
0.000
0.000
0.000
0.000
0.0o0
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Copper
0.891
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
o.000
0.000
0.000
0.891
Chromiurr
0.036
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0A00
0.000
0.036
Lead
1.217
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.217
Mercury
0.002
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.002
enumke[
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.008
rdMolyb-
0.029
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.029
ium
0.007
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.007
c 1.143 0.000 0.000 0.000
0.000
0,000 0.000
0.000 0.000
0.000
0.000
0.000
1.143
Total
phos- 23.870 0.000 0.000 0.000
0.000
0.000 0.000
0.000 0.000
0.000
0.000
0.000
23.870
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated
the
information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
Facility Name: Town of Mayodan
Land Owner: Town of Mayodan
Operator: Jamie Whitten
Crop 1 Name: Corn (silage)
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
WQ Permit #: WQ0002672 Field #: 30
Annual Dry Tons Applied: 25.7456 Site #: 001
Predominant Soil Series: MkB2 - Mecklenburg s
Crop 1 Max. PAN: 197 Crop 2 Name:
Acres Utilized: 38.7
Acres Permitted: 38.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
I- �
o u
w c
S o
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%n
Solids
Volume
A lied er
pP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
soil
Cond.
Dr
{ y'
We(,
Moist)
Preci P
Past 24
Hrs.
inches
Y
ro n
7 ?
¢
*
<
o
70
° =
N'
?:
a
K
z
r: ,
_
< -
TKN
m /k
9 9
Z a
q
�o o
-
�,
m !k
9 9
Nitrate
and
Nitrite
m /k
9 9
PAN Applied
{ tbs/acre)
Name of Crop Type
P yP
Receiving Residual
Application
Crop t
p
Crop 2
p
Crop I
p
Crop 2
p
4/2018
367500
1 1.68
0.665
NCO021873
Dry
0
S
0.5
0.3
1 36370
2567
15.75
15,221
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0•000
0.000
0.000
0.000
0.000
0.000
0.665260465
Residuals Applications totals on FORM FSF supp (attach FORM
FSF supp
to this form):
TOTA7.1
0
307500
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni I
Se
Zn
P
15.221
0.000
Lime Applied
Annuallbs/acre
0.004
0.150714348
0.154
36
0.003
0.08424
0.087
34
0.974
12.4933
13.467
1338
0.039
0.20692
0.246
---
1.330
2.6481
3.978
267
0.002
0.01292
0.015
15
0.009
0.58361
0,592
---
0,032
0.57804
0.610
374
0.007
0.16
0.167
89
1,249
18,5046
19.753
2498
26.075
.
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st72nd Crop 1
197
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Date *** Mineralization Rates: Compost -0.1, anaeroblally digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAI, METALS FIELD LOADING SUMMARY FORM`
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mayodan Total Dry Tons Applied (Annual): 5.92
10Permit #: WQ0002672 Cation Exchange Capacity (non 503 only):
0perator: Jamie Whitten Owner: Dumaine Farms Predominant Soil Series: MkB2 - Mecklenb
Acres Used: 16 Acres Permitted: 16 Site #: 008 Field #: 38
Residual Analysis Data (Heavy Metals and Total Phosphorus use mgtkg, % Solids use Raw Percent #};
Com-
posi to
Date
1 /31 /201
% Solids
1.68
Arsenic
2.5
Cadmium
1.9
Copper
670
Chromium
27
Lead
915
Mercury
1.4
Molyb-
denum
6
Nickel
22
Selenium
Zinc
5
859
Total
Phos-
17940
f
ill
Ifi
i!1
1 11
1 fll
1 1i1
f Ilf
1 111
1 Ifl
1 fll
1 !fl
1 fli
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1 If
1 11
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1 ill
4 1{1
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1 111
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1 111
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1 fll
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f 1!f
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11!i
1 1 •
1 11�
1 Ilf
f 111
f iff
1 I11
l 111
fill
1 Ifl
I ffl
f Ilf
!ill
{ !!1
1 11�
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! . •
f lfl
f 111
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I Ill
i lli
1 111
f fll
l ilf
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f lfl
1 •
TotaloMEMEMME
!Ill
t,
1 lil
1 III
f flf
!Ifi
"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.
1 am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Mayodan
Land Owner: Town of Mayodan
Operator: Jamie Whitten
Crop 1 Name: Corn (Silage) _
WQ Permit #: WQ0002672 Field #: 38 Acres Utilized: 16
Annual Dry Tons Applied: 5.9197 Site #: 008 Acres Permitted: 16
Predominant Soil Series: MkB2 - Mecklenburg s Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 197 Crop 2 Name:
Crop 2 Max. PAN:
°
y °
Q
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
a
ti
5• n'
o �
G,
_
°
o
�
?i -
N'
o'
�
4
8
,
i9
x ;
a
�
TKN
mglkg
Z >
o 3
'� 2
�'
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of CropType
ReceivingResidual
Application
PP
Crop 1
Crop 2
Crop 1
Crop 2
4/2018
84500
1.68
1 0.370
NCO021873
Dry
0
S
0.5
1 0.3
36370
2567
15.75
1 8.465
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.36998325
Residuals Applications totals on FORM FSF supp (attach FORM
FSF supp
to this form):
TOTALS:
0
84500
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn
P
8.465
0.000
Lime Applied
Annuallbs/acre
0.004
0.030073637
0.034
36
0.003
0.02499
0.028
34
0.974
3.76946
4.743
1338
0.039
0..12197
0.161
--
1.330
0.17278
1.503
267
0.002
0.00691
0.009
15
0.009
0.06649
0.075
--
0.032
0,1163
0,149
374
0,007
0.0-4323
0,040
89
1.249
-5.11311
6.362
2498
26.075
Date
ibs/ac
Prior Years Cumulative lbs/ac
Current Cumulative ibslac
Permitted C. P. L. R.****
Permit PAN Limit 1 st/2nd Crop
1 197
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Application Method: S - Surface, IN - Injection, INC - Incorporation
a-`i-kit `7j *44*Volatilization Rater Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R,: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Mayodan Total Dry Tons Applied (Annual): 27.29
Permit #: WQ0002672 Cation Exchange Capacity (non 503 only):
Operator: Jamie Whitten Owner: Dumaine Farms Predominant Soil Series: Mk82 - Meeklenb
Acres Used: 24.4 Acres Permitted: 24.4 Site #: 008 Field #: 39
Residual Analvsis Data (Heavv Metals and Tnral Phnsnhnrnc nap mo/lrn 01 Cnii,ic ..&n D..... D.-.., --# 41.
posite
Date
a+ufi41 11G4 V V 1V1106Q1 L' 1C111 LUQUIIIMS It HICII IN JP" in jn.wnvrP i-
1
a+ufi41 11G4 V V 1V1106Q1 L' 1C111 LUQUIIIMS It HICII IN JP" in jn.wnvrP i-
1
9
wi.a.
offi
ffiN
NEEN'08
000,0
i 11.
1 111
1111
l ill
! !11
1 ill
!ill
1 111
!Ili
1 !Il
1 lil
l 11.
'L
l lip
1 Ili
1 rll
l 111
l ill
1 I!1
l 111
i 1!1
i !il
l il!
i 1!l
i l!1
I iii
•,
• ••
1 111
1 0i1
i lil
1 I11
1 ill
1 Ill
i !1!
! lil
1 ill
1 Ill
1 11!
, ••
ll i�.l
1 111
l lil
I Ill
1 ill
1 IiI
ill!
l 111
l iil
l lil
1 Ill
l !il
1 !.l
��
i lil
i i!1
i ill
! 111
l 111
i Ill
l ill
1 I11
1 11!
! !!1
1 Ill
1�
1 i!
I Ill
i 111
1 Ili
1 ill
1 ill
1 ii!
! ili
1 111
1 Ill
1 Ili
1 111
1 !1
+ +
! 1
1 111
1 1!1
1 111
1 Ill
1 111
1 Ill
i ill
1 Ill
!ill
1 11!
!Ili
l i
l 1�•
1 fi!
1 Ili
1 111
1111
t 111
1 !il
1 1!l
i iii
1 ill
1111
1 l!1
1M
l!
lilt
I lil
lill
1111
1lll
IIIi
1111
i111
lIll
lIll
flil
Il
®�
l 111
i Ill
1 111
! !11
! lil
1 Ill
l ill
I lil
!Ili
i Ill
1 !l!
Total
' +
�1
1 ll!
! 111
1 ill
l Ili
1 1!1
1 III
! 111
1 111
!ill
i Ill
1 lil
�1
. +
--_-��-----�- r..........7 �. •".., &..o.. �••ga 1.VbU111C111 waa pi-cparcu uuuer my uirecnon or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Mayodan WQ Permit #: WQ0002672 Field #: 39 Acres Utilized:, 24.4
Land Owner: Town of Mayodan Annual Dry Tons Applied: 27.2868 Site #: 008 Acres Permitted: 24.4
Operator: Jamie Whitten Predominant Soil Series: MkB2 - Mecklenburg s Cation Exchange Capacity (non 503):
Crop 1 Name: Corn (Silage) Crop I Max. PAN: 197 Crop 2 Name: Crop 2 Max. PAN:
°
Volume applied
Volume
Residual Sources
Soil
Cond.
Preci P•
D
<
a
z ?'
Nitrate
Name of CropType
YP
y
y c
(enter one) Solids/
a
to
Applied per
PP P
(NPDES #, WQ#,
Past 24
2 v
z F
C. _
;n
w
TKN
q'
o E3
and
PAN Applied
Receiving Residual
g
a°
Q
Li Liquid
9
Solids
Acre
Fert„ Animal
(Dry,
Hrs,
=r �'
o '=
a
�_.
m
" N'
m o
`-' R.
�
Nitrite
l
( bs/acre)
PP �calion
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet,
Moist)
inches
r o.
°
�
mg/kg
c
mg/kg
mg/kg
Crap 1
Crop 2
Crop 1
Crop 2
4/2018
389500
1.68
1 1.118
NCO021873
Dry
0
S
0.5 _
0.3
36370
2567
15.75
25.587
NA
Corn
0,000
0.000
0.000
0,000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0,000
0.000
1.11831 1967
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp
to this form):
TOTALS:
0
38950o
As
Cd
I Cu
Cr I
Pb
Hg I
Mo
Ni
Se
Zn
P
25.587
0.000
Lime Applied
Annuallbs/acre
0.004
0.052162385
0.056
36
0.003
0.05598
0.059
34
0.974
4.5439
5.518
1338
0.039
0.12197
0.161
---
1.330
0.21962
1.550
267
0.002
0.00836
0.010
15
0.009
0.1 1 155
0.120
---
0.032
0.16048
0.192
374
0.007
0.04207
0.049
89
1.249
6.16668
7.415
2498
26.075
Date
Ibs/ac
Prior Years Cumulative Ibs/ac
Current Cumulative lbs/ae
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop I
I9i
1 certlly, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier Date
"Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost .0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
**"*C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Mayodan
WWTPName: Town of Mayodan WWTP
WQ Permit Number: WQ0002672
NPDES Number: NCO021873
Monitoring Period: From 1/1/2018 To 12/31/2018
Alt.I (VS reduction)
0
Alt. 2 (40-day bench) 171
Alt. 3 (30-day bench) ®Alt.
4 (Spec. O_, uptake)
O
Alt. 5 (14-Day Aerobic)
Cl
Alt. 6 (Alk. Stabilization 0
Alt 7 (Drying - Stable)
Alt. 8 (Drying - Unstable)
0
Alt. 9 (Injection)
0
Alt. 10 (Incorporation) Cl
No vector attraction reduction alternatives were performed
0
I.Mn i JKx [l.A 11vtV 5I Al EMEN'1 (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."
�amt'e GJltiff'�rt DaR� �nn:s t�t`i� �a,,{l•en. So.l
P parer Name a Ti (type or print) _ Land Applier Wrie and Title (if applicable)(type or print)
f
�/S)gnature of Preparer* Date Signature of Lan Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

Environment 1, Inco
mmUd
:' 14 `.
SUEZ WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279
CLEMMONS ,NC 27012
ISINISSIHM
ID#: 990 B
DATE COLLECTED: 01/31/18
DATE REPORTED : 02/06/18
REVIEWED BY:
Sample Sample Sample Sample Sample Analysis Method
PARAMETERS #1 #2 #3 #4 #5 Date Analyst Code
Total Residue, mg/1 17160 16780 17040 16400 17640 02/O1/18 KAC 2540B-11
Fecal Coliform (MPH /gram Solids 1340 2920 1291 1037 7370 02/02/18 KAC 9221E-06
PP14 'E 6 201
BY........................

Environment 1, Incorporated
unEENVJLLE, N,C. 27835-7085
SUEZ WATER (MAYODAN WWTP-SLUDGE)
NADINE BLACKWELL
P.O. BOX 1279
CLEMMONS ,NC 27012
FAX [phone]
ID#: 990 B
DATE COLLECTED: 01/31/18
DATE REPORTED : 02/06/18
REVIEWED BY:
Sample Sample Analysis Method
PARAMETERS #6 #7 Date Analyst Code
Total Residue, mg/1 16560 16400 02/O1/18 KAC 2540B-11
Fecal Coliform (MPH /gram Solids 1570 1341 02/02/18 KAC 9221E-06

Time
(minutes)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Specific Oxygen Uptake Rate
SOUR
Facility Name: Town of Ma
Biosolids Permit Number: WQ000267!
Date: 4/
Digester Temperature:
Sampling Date/Time. 4/2/2018 / 4
Sampled By: Gary Moore
Analysis Date/Time: 4/2/2018 /
Analyzed By: Gary Moore
Sample Volume:
Total Solids:
Beginning Temperature:
End Temperature:
Dissolved Oxygen Level
8.38
8.38
8.37
737
8.361
8.33
732
8.3
8.29
8.29
8.27'
8.25I
8.19
8.
18
8I
8.15
8.13I
Slope:
Intercept:
Correlation Coefficient:
1
12.
0.0
8.4
1.0
illiliters
Dry Solids
;grees Celsius
:grees Celsius
Oxygen Uptake Rate: 1.03 mg Oxygen/UHr
Ambient Specific Oxygen Uptake Rate: 0.061. mg Oxygen/hr/g
Average Temperature: 13 degrees Celsius
Temperature Correction Factor: 1.605781476
Temperature Corrected Specific Oxygen Uptake Rate: 0.100 mg Oxygen/hr/g
Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically.

8.45
8.4
8.35
8.3
rn
E25
0
IBM
8.05
A
7.95
Oxygen Uptake Rate Chart
E
i
I
i
1
i
i
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Time (minutes)
Sample Location: Mayodan Digester
Sample Date: 4/2/2018
Sample Time: 4:00 PM
Analysis Date: 4/2/2018
Analysis Time: 4:10 PM

NCDAS 1ronomic Division Phone: [phone]
Website: wwa
�9r.gov/agronomi/
Report No. F` , . _' .013457
kL1 1:4'4
Client:
Scott Shoulars
Advisor:
Zach Key
f Y¢ he t Predictive
768 Irvin Farm Rd
Reidsville, NC 27320
Southern Soil Builders,
Inc.
Soil Report
Mehlich-3
Extraction
958 Hoots Rd
Sampled County: Rockingham
Roaring River, NC 28669
Links to Helpful Information
Client ID:
371907
Advisor ID: 231531
Sampled:11102/2018 Received: 11/08/2018 completed: 11/29/2018
Farm:
Sample ID: 130
Recommendations:
. Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Corn, silage
0.0
180-220 0
130
0 0
0
0
0
0
Note: 3
2 -
0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-Al
Cu-I
Na ESP SS-1 NO3-N
0.41 0.99 10.0 91 0.9 6.4
90 34
70 20
68
305
194
174
174
284
0.1 1
Sample ID: 838
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Corn, silage
0.0
180-220 0
70
0 0
pH$
0
0
0
Note: 3 Note:
2 -
0.0
Test Results [units - WN in glcm3; CEC and Na in meg1100
cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.46 0.98 13.4 95 0.7 6.7
196 65
76 17
62
189
120
553
553
494
0.1 1
Sample ID: 839
Recommendations:
Lime
Nutrients (lb/acre)
More
Crop
(tons/acre)
N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1 -Corn, silage
0.0
180-220 0
50
0 0
pH $
0
0
0
Note: 3 Note:
2 -
0.0
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH
P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-Al
Cu-I
Na ESP SS-1 NO3-N
0.46 1.00 11.0 93 0.7 6.8
185 74
63 27
51
176
110
333
333
326
0.1 1
North Carolina
Irv,
`+ l
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Steve Troxler, Commissioner of Aariculture