WQ0037135_Modification_20190520

INITIAL REVIEW
Reviewer Thornburg, Nathaniel
Project Number* WQ0037135
SUBMITTAL DATED: 5/15/2019
Project Contact Information
Rease provide inforrration on the person to be contacted by MB Staff regarding electronic submittal, confirmation of receipt, and other issues.
......................................................................................................................................................................................................................................................................................................................................................................................................
Name * Zach Key
Email Address*
[e-mail]
Project Information
.... .............................. ...................
Application Type* r
New
r
Renewal
r
Annual Report
Permit Type * r
Wastewater Irrigation
r
Other Wastewater
r
Closed -Loop Recycle
r
Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?*
r Yes r Nor N/A
Permit Number WQ0037135
currently has project
Applicant\Permittee * Southern Soil Builders, Inc
Facility Name * Southern Soil Builders, Inc.
Phone Number*
3369577871
r Modification (Major or Minor)
r Additional Information
r Other
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Please attach all information required or requested for this submittal to be review here.
Application Form Engineering Rans, Specifications, Calculations, Etc.)
WQ0037135 Modification 5152019.pdf 11.61 MB
upload only 1 R7F docurrent. NUltiple documents rust be contained into one R7F file.

For new and modification permit applications, a paper copy may be required. If YGL' have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a aaoe- a1,o1:cation is required,
be advised, applications accepted far pre -review until both the paper and eIect-c-i_ col. es -,ave been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (cales, soils
report, specs, etc.)
o One full-size engineering plan set
o One 11x27" engineering plan set
o One extra set of specifications
o Fee (if required)
Mailing address:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
By U.S. Postal Service
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
By Courier/Special Delivery:
�----------------------------------------------------------------------------
---------------------------
❑ivision of Water Resources
i Division of Water Resources
-------------- - ---- ----- -----------------------------------
Non -Discharge Branch
1---------
Non -Discharge Branch
1617 Mail Service Center
i Aft: Nathaniel Thornburg, 90 Floor, O f`uce #942W
Raleigh. NC 27699-1617
512 N. Salisbury St.
Far questions or problems contact Tessa Monday [e-mail] or 919.707.3560.
* I;W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature f
L'
Submission Date 5/15/2019

S Southern
S Soil
B Builders, Inc.
Tuesday, May 14, 2019
958 Hoots Road Roaring River, NC 28669
Zach Key 336-957-7871 • Fax [phone]
Email: [e-mail]
North Carolina Department of Environment Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Reference: Permit Modification for Southern Soil Builders, Inc.
Land Application Permit No. WQ0037135
Addition of Acreage.
Southern Soil Builders, Inc. is applying for a modification to its current land application permit
WQ00037135. This modification is for the addition of an additional 45.5 acres.
These additional acres are in Wilkes County and are in two different farms.
Your attention to this permit application package is greatly appreciated. If you have any questions or
concerns, please feel free to contact me at 336-957-7871 or at [e-mail].
Sincerely,
Zach Key
Southern Soil Builders, Inc.

Southern Soil Builders, Inc.
Permit Modification
PERMIT NO. WQ0037135
Tuesday, May 14, 2019

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one on final and two copies of the a lication and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .I 100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T 0106(b). An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T 0106(b).El -
If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
El Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
Facility Classification New Permit Major Modification'.
Major (land are permitted for > 300 acres) $1,310 $395
Minor (land are permitted for < 300 acres) $810 $245
' - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]; adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
C. Cover Letter (All Application Packages)
List all items included in the application package, as well as a brief description of the requested permitting action.
D. Environmental Assessments (May be Required — See 15A NCAC IC .0300)
Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Page I of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
Q For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
Submit the O&M Plan in accordance with 15A NCAC 02T .I 110 and include at a minimum:
Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
Safety measures; may include safety training program, manuals, signs, etc.
Spill response plan; including control, containment, remediation, emergency contact information, etc.
Inspection plan including the following information;
El Names and titles of personnel responsible for conducting the inspections.
Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
Sampling and monitoring plan including the following information;
Names and titles of personnel responsible for conducting the sampling and monitoring.
Q Detailed description of monitoring procedures including parameters to be monitored.
C] Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 02T
.1102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
F1 Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
El Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
Submit three (3) sets of standard size plans and two (2) sets of 11" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
Q Plans must include the following minimum items:
n A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
Setbacks as required by 15A NCAC 02T .l 108
Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
[] A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

I. Project Evaluation and Receiver Site Management Plan (All New Application Packages or Modifications that include new sites)
0 Submit a project evaluation and a receiver site management plan (if applicable) with recommendations concerning cover crops
and their ability to accept the proposed application rates.
J. Hydrogeologic Report (All New Application Packages or Modifications involving increasing the total design capacity)
Submit a detailed hydrogeologic evaluation in accordance with 15A NCAC 02T 1104(d)(4) and current Division Policy
available at: httP://www.ncwater.orv,/Rules Policies and Re ulations/. The document shall be signed, sealed and dated by a
qualified professional.
K. Engineering Design Documents (All New or Modification Application Packages with fixed irrigation facilities or irrigation
facilities fed through fixed supply system)
Submit engineering design documents that have been signed, sealed, and dated by a NC licensed Professional Engineer and/or
Professional Land Surveyor in accordance with 15A NCAC 02T 1104(d)(2). For Modifications, submit an updated site map
specific to the modification(s) only.
(] The design documents must include the following minimum items:
0 Engineering plans for the facility and equipment except those previously permitted unless they are directly tied into the new
units or are critical to the understanding of the complete process;
0 Specifications describing materials to be used, method of construction, and means for ensuring quality and integrity of the
finished product including leaking testing; and
Engineering calculations including hydraulic and pollutant loading, sizing criteria, hydraulic profile, total dynamic head
curve analysis for each pump, and irrigation design.
Soil mapping units shown on all disposal sites.
L. Water Balance (All New Application Packages or Modifications that include new sites utilizing fixed irrigation facilities or
irrigation facilities fed through fixed supply systems)
0 Submit a completed and accurate water balance in accordance with 15A NCAC 02T 1 104(d)(5) and current Division Policy
available at: httP://www.newater.org/Ruies Policies and Regulations .
M. Property Ownership Documentation (All New or Modification Application Packages involving new and/or relocated treatment
or irrigation components)
0 Property ownership documentation shall consist of one of the following:
0 Legal documentation of ownership (i.e., GIS, deed or article of incorporation), or
0 Written notarized intent to purchase agreement signed by both parties with a plat or survey map, or
0 An easement running with the land specifically indicating the intended use of the property and meeting the requirements of
15A NCAC 02L 0107(fl, or
0 A written notarized lease agreement signed by both parties, indicating the intended use of the property, as well as a plat or
survey map.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 3 of 3

DWR State of North Carolina
Department of Environmental Quality
Division of Water Resources
Divislon of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
I. APPLICANT INFORMATION:
I. Applicant's name: Southern Soil,Builderg -Inc
Applicant type: ❑ Individual Z Corporation ❑ General Partnership ❑Privately -Owned Public Utility
C] Federal ❑ State ❑ Municipal C] County
Signature authority's name per 15A NCAC 02T 0106: Dennis Kev Title: President
Applicant's mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 2 669
Telephone number: QA3 ) 957-L878 Email Address: dst cyAsvthernsoilb ild
rs com
2. Consultant's name: Zach Kev License Number (for P.E.): _
Affiliation: 0 On Staff Q Retained (Firm: --__)
Consultant's mailing address: 1151 Wagon Ridge Road
City: Roaring River State: NC Zip: 28669
Telephone number: (36) 957-7871 Email Address: zachkey@southernsoilbt ilders com
3. Agronomist's name: _ License Number:
Affiliation: C] N/A C] On Staff C] Retained (Firm: _)
Agronomist's mailing address:
City: State: _ Zip: _
Telephone number: (_) _ Email Address:
4. Soil Scientist's name: Karl A Shaffer License Number: 1009
Affiliation: ❑ N/A 0 On Staff ED Retained (Firm: Agri -Waste Technolo v )
Soil Scientist's mailing address: 501 N Salem Street Zip: 27502
Telephone number: [phone] Email Address:'
5. Fee submitted: $395.00 (See Instruction B)
11. PERMIT INFORMATION:
1. Application is for (check all that apply): ❑ new, 0 modified, 0 renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W <'135
Date of most -recently issued permit: 5-7-2019
Date of most -recently certified Attachment A (if different than the permit): 5-7-2019
Date of most -recently certified Attachment B (if different than the permit): 5-7-2019
III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
FORM: RLAP 06-16 Page I of 5

I. Residuals Processing Facility's physical address: 298 Parkdale Drive
City: Belmont State: NC
Zip: 28102
Coordinates: Latitude: 350 13' St1" Longitude: 81 ° 01' SU"
Datum: NAD83
Level of accuracy: 1"
Method of measurement: MAP
2. County where residuals land application program is headquartered: Wilkes
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Dennis Key
Southern Soil Builders Inc.
15704
Back -Up ORC
Zacb Key
Southern Soil Builders Inc.
ditional Back -Up
27660
ORCs
(if applicable)
David Key
Southern Soil Builders, Inc.
23629
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test: _
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitroeen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 11_18 dry tons per year.
LL
on
(Weig
Pounds ofF42.27
Pounds of PAN per Year
Surfaceon
n
Surface
Incorporation
or Injection
36,60840927.74
44585.8
38.79843376.16
47257 86
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
42.2
Hay
65.1
Pasture
310.92
Total:
418.22
Methods
Surface
376.02
Incorporation or Injection
42.2
Total:
418.22
FORM: RLAP 06-16 Page 2 of 5

c. Residuals Land Application summary: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
(lbs PAN/ac-yr)
Five -Year Maximum Adjusted PAN
Concentrations
Surface Incorporation or
Surface Incorporation or
Injection
Injection
50
818.55 891.71
867.52 9a5.>
100
409.27 445.85
433.76 472.57
150
272.85 297.23
289.17 315.05
200
204.63 222.92
216.88 236.28
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.):
Specify type of residuals program (See Instruction F): [D Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
0 Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain;
El Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
F1 Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain; _
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
It
Land Application Siite
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
I. The irrigation system is: n Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
3. Minimum depth to mean seasonal high water table (SH WT) within irrigation sites(s) per Soil Scientist's Evaluation:..'_ feet
below ground surface. Rules 15A NCAC 02T 0505(p) requires at least one -foot vertical separation between SHWT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
[] Yes or [] No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
0 Yes or El No If No, explain why 15A NCAC 02T 0505(n) is not met:
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field / Zone
Design Area
ftZ
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
Tota!
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft'-
Nozzle capacity
gpm
Nozzle manufacturer / model
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with 15A NCAC 02T .0106)
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without proper
closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual fees under Rule 15A NCAC 02T 0105.
L"Yes ❑ No, Explain;
(Signature Authority's Name — PLEASE PRINT)
(Title)
attest that this application for Southern Soil Builders Inc.
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate enforcement action,
which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. 1 also understand that if all required parts of this application are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
Note: In accordance with North Carolina General Statutes § 143-215.6A and § 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: I -- �` Y Date: S— m- a 0
FORM: RLAP 06-16 Page 5 of 5

Operation and Maintenance Plan
Southern Soil Builders, Inc.
Permit No. WQ0037135
In accordance to the requirements set forth by the North Carolina
Department of Environmental and Natural Resources using
NCGS 143-215.1 and 143-215.3(a) based on 15A NCAC 02T .1 10, Southern
Soil Builders, Inc. is implementing this Operation and Maintenance Plan.
The project manager of the land application event will make sure a daily
check off is performed at the start of each work day. This inspection is to
prevent any spills, leaks, or run-offs.
The daily check -off will consist of inspection the following items:
1. Access to the facility will be controlled with a locked gate and
signs to prevent any unauthorized entry into the complex.
2. All pumps and hose will be checked at the start of each day for
leaks or loose fittings.
3. All tanker valves are closed prior to loading and lids are closed
prior to transport.
4. All dump trailers or dump trucks gates are tightly fastened and
do not leak prior to transport.
5. All on road equipment is check as per DOT regulations for any
safety or mechanical hazards or issues.
6. All equipment is secured at the end of each working day to
prevent any tampering or unauthorized use.
The ORC or back up ORC will inspect the field after each land application
event to make sure all regulations as required by the permit are followed.
Also, the project manager at the end of each working day during a land
application event will make sure that all gates if present are closed.
All samples shall be taken as early as possible before the first application
event of the calendar year to make sure the facility is compliance.
The samples will be taken in a matter that is representative of the residuals
and all grab samples will be mixed prior to be placed in to the containers

that will go to the laboratory. These samples must be collected and
transported as outlined in the Sampling Plan attached to this O&M Plan.
All records of these laboratory results as well as the annual report and
loading rates will be kept on file for a minimum of five (5) years.
Also, in the unlikely event of a spill or unintended release of residuals,
actions should be immediately taken as outlined in a copy of the
spill control plan attached.

Southern Soil Builders, Inc.
Permit No. WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the
digester. Samples from the digester will be combined to form individual grab samples to be sent
to a laboratory for analysis. If a land application event is to occur in the early part of a calendar
year (i.e. January or early February) these samples may have to be taken in December, so results
can be obtained before the land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis,
volatile solids reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern
Soil Builders, Inc. All samples except for the composite residual sample will be taken to
Statesville Analytical. All samples taken will be taken in the same condition as the residuals are
to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)];
38%volatile solids reduction. This option will be attempted first due to it being the most cost
effective. One sample will be taken at the aeration basin and labeled "B". The next sample will
be labeled "A" and be taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench
scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the
sample being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the
sludge holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)],
commonly known as lime stabilization.
Fecal Coliform is gathered in seven (7) individual samples and tested to meet the
requirements of [503.32(b)(2)]. This requirement is for the geometric mean fecal coliform
density of the samples be less than two million (2,000,000) MPN per gram. These samples will
be placed in 250ml containers and placed on ice, in a cooler for transport to the laboratory
before 1600 hours (4pm) the same day the samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior
to a land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum,
Ammonia Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus,
Potassium, TKN, Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption
Ratio (SAR) will be calculated. This sample will be collected in a non -breakable container, at least
one quart in size. This sample will be taken from the digester. This test will be done by A&L Labs.

SPILL CONTROL PLAN- Southern Soil Builders Inc.
Southern Soil Builders Permit No W90037135
In the event of a spill, the following should be taken IMMEDITALY.
1. Make sure all personal and bystanders are safe- if not contact emergency
services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to forma dike to
contain the spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as
much of the spilled material as possible. Use straw to soak -up the
remaining material. Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable
area, till the some into the soil and spread lime if necessary. If a spill occurs
on private property, final clean-up should be to the satisfaction of the
owner.
6. Notification. (This should be done as soon as safely possible.)
A. Southern Soil Builders, Inc. Main Office [phone]

B. North Carolina Department of Environmental Quality
(Call appropriate regional office, the counties covered by each
regional office are listed)
Asheville Regional Office Phone: [phone]
Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood,
Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk,
Rutherford, Swain, Transylvania, Yancey
Mooresville Regional Office Phone: [phone]
Alexander, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln,
Rowan, Stanly, Union
Winston-Salem Regional Office Phone: [phone]
Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford,
Randolph, Rockingham, Stokes, Surry, Watauga, Wilkes, Yadkin
C. County Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting:
The Permittee shall report by telephone to the appropriate Regional
Office, as soon as possible, but in no case more than 24 hours or on the
next working day following the occurrence or first knowledge of the
occurrence of any of the following:
A. Surface disposal of residuals abnormal in quantity or characteristic.
B. Any failure of the surface disposal program resulting in a release of
material to surface waters.
C. Any time self -monitoring indicates the facility has gone out of
compliance with its permit limitations.
D. Any process unit failure, due to known or unknown reasons,
rendering the facility incapable of adequate residual treatment

E. Any spill or discharge from a vehicle or piping system during
residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to
surface waters, imminent failure of a storage structure, etc.) outside of
normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone],
or [phone]. Persons reporting such occurrences by telephone shall
also file a written report in letter form within five days following first
knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed
C. Inspect all seals and replace if necessary.

DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unil
General — This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .I 100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
❑ The status of the land application site with respect to this residuals land application program must be provided in table 1. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Status Code
Required Item
N
R
T
M
44��
lit
County Board
✓
Notifkation.doc
kw '.
Land Owner
✓
✓
✓
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map„Guidance
for Residuals_ Land Application Permits'
✓
✓
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation Policy"
✓
#
INSTRUCTIONS FOR FORM: LASC 06-16 Page I of 3

An updated accounting of the land application site's cumulative
ollutant loading rates CPLRs
Status Code
Required Item
NF
R
F T
M
For previously permitted sites without a soil series name indicated in the
Attachment B, submit County Soil Survey Map (or equivalent) clearly
indicate the location of the land application site and in accordance with
the soil map requirements in the "Soil Scientist Evaluation Policy"
Acknowledgement of field transfer from Land Owner (Fields may not
be permitted to multiple Permittees over the same timeperiod)
* This item may be required for land application site with a status code "M", please contact the Division if you need assistant in
determining attachment requirements.
❑ Crop Type should include the most likely crop types for the life of the permit (five years).
❑ Predominant Soils Series Name must be either the name of the soil indicated in Attachment "B" of the existing permit, or
name of the soil series as provided by the licensed soil scientist.
❑ Predominant Soil Mapping Unit or Representative Slope: Either the Soil Mapping Unit or the representative slope of each
site must be provided. The predominant soil -mapping unit must be consistent with the predominant soil series name. Please
note that the soil mapping units are variable between Counties, so care should be taken in properly identifying the correct
mapping unit. If a representative slope is provided, it must be determined accordingly:
❑ For sites previously permitted for use, but do not have an established soil mapping unit (the mapping unit provides
information on both the soil series name and the slope of the soil), the Applicant may determine the representative slope
by using the average slope provided in the County Soil Survey (or equivalent). A soil type with a slope range of 4 - 8%
would have a representative slope of 6%.
❑ New Sites to be permitted must have slopes determined as part of the soils report prepared by a licensed soil scientist.
❑ Acceptable methods for determining location coordinates (i.e., latitude and longitude) and their corresponding codes are as
follows:
• Address Matching (ADD)
• Aerial Photography with Ground Control (AER)
• Cadastral Survey (SUR)
• Conversion from Coordinate Plane (CP)
• Conversion from Township -Section -Range (TSR)
• Conversion from Universal Trans Mere (UTM)
• Map Interpretation by Digital or Manual Extraction (MAP)
• Digital or Raw Photo Extraction (EXT)
• Geodetic Quality GPS Survey (GEO)
• LORAN-C Navigation Device (LOR)
• Navigation Quality GPS (GPS)
• Remote Sensing (RS)
• Zip Code Centroid (ZIP)
C. Waterbody and Classifications Information: (new sites only)
❑ Use an 8.5 by I1-inch copy of the portion of a 7.5-minute USGS Topographic Map to identify the location where the
residuals program activities are planned to occur as well as the closest downslope surface waters as clearly as possible. Each
map portion must be labeled with the map name and number, the identified location, and be of clear and reproducible quality.
❑ Surface water body classifications information may be found at: http://deq.nc.gov/about/divisions/water-
resources/planning/classification-standards/classifications
❑ Any questions concerning the waterbody and its classification, please contact the Division's regional offices.
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
hutp://deci.nc.gov/contact/regional-offices
❑ General Instructions: There are 17 river basins in North Carolina. Each basin has associated waterbodies with assigned
subbasins, location descriptions, stream index numbers and established classifications.
I. Identify the project area on a 7.5 minute USGS topographical map (an 8.5 x 11-inch sheet showing the project area
should be submitted with the permit application regardless of whether a Stream classification was completed).
2. Determine the names of all the closest down slope surface waters from the project site. For unnamed tributaries, see
Table l: Unnamed Tributaries Entering Other States or for Specific Basin Areas. Label any unnamed tributaries as
"UT to stream name" as the waterbody name.
3. Open the link hh>tp://deg.nc.gov/about/divisions/water-resources/planniny/classification-standards/classifications.
❑ Stream Classification Process: One of the options below may be used depending on the known initial project information.
❑ KNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Select proper basin from the List all Waterbodies in Basin sorted report. Sort hydrologically as this will provide
the proper location descriptions if multiple runs.
INSTRUCTIONS FOR FORM: LASC 06-16 Page 2 of 3

2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ KNOWN COUNTY WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
I. Select the proper county from the List all Waterbodies in county, hydrologically report.
2. Locate the name of the identified waterbody (from General Directions) on the list.
3. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
4. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ UNKNOWN BASIN WHERE CLOSEST DOWN SLOPE SURFACE WATER IS LOCATED
1. Use the Clickable basin map to hydrologically sorted list report.
2. Click on the approximate project location to bring up the hydrologically sorted list.
3. Locate the name of the identified waterbody (from General Directions) on the list.
4. For multiple listings of the same waterbody name in the report, select and verify the location description. The term
"source" in the description means the beginning of the waterbody segment (most upstream point).
5. Record all Basins, Stream Index Numbers and Classifications applicable to the project.
❑ Notes on index number and unnamed streams:
Unnamed Streams 15A NCAC 02B .0301(i)
❑ Any stream which is not named in the schedule of stream classifications carries the same classification as that assigned
to the stream segment to which it is tributary (at the point of entry) except:
(A) unnamed streams specifically described in the schedule of classifications;
(B) unnamed freshwaters tributary to tidal saltwaters will be classified "C'; or
(C) after November 1, 1986, any newly created areas of tidal saltwater which are connected to Class SA waters by
approved dredging projects will be classified "SC" unless case -by -case reclassification proceedings are conducted.
❑ The following river basins have different policies for unnamed streams entering other states or for specific areas of the
basin:
Unnamed Tributaries Entering Other States or for Specific Basin Areas
Hiwassee River Basin
Streams entering Georgia or Tennessee shall be classified "C Tr."
Little Tennesse River
Basin And Savannah
River Drainage Area
Streams entering Georgia or Tennessee shall be classified "C Tr." Such streams in the Savannah
River drainage area entering South Carolina shall be classified "B Tr."
French Broad River
Basin
Streams entering Tennessee will be classified "B."
Watauga River Basin
Streams entering the State of Tennessee are classified "C."
Broad River Basin
Streams entering South Carolina are classified 'C."
New River Basin
Streams entering the State of Tennessee are classified "C."
Catawba River Basin
Streams entering South Carolina are classified "C."
Yadkin -Pee Dee River
Basin
Streams entering Virginia are classified "C," and such streams entering South Carolina are
classified "C."
Lumber River Basin
Streams entering South Carolina are classified "C Sw."
Roanoke River Basin
Streams entering Virginia are classified "C." Except that all backwaters of John H. Kerr
Reservoir and the North Carolina portion of streams tributary thereto not otherwise named or
described shall carry the classification "B," and all backwaters of Lake Gaston and the North
Carolina portion of streams tributary thereto not otherwise named or described shall carry the
classification "C and B."
Chowan River Basin
Streams entering Virginia are classified "C."
Tar -Pamlico River
Basin I
All drainage canals not noted in the schedule are classified "C Sw." except the main drainage
canals to Pamlico Sound and its bays which shall be classified "SC."
Pas uotWk River Basin
All drainage canals not noted in the schedule are classified "C."
INSTRUCTIONS FOR FORM: LASC 06-16 Page 3 of 3

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State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittinv Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .I 100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
❑ For each source facility, attach the following:
❑ Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
❑ Process flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of I

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State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of NVAter Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name. Baxter Healthcare Corporation
2. Facility permit holder is: ❑ Federal, ❑ State, ❑ Local Government, or [] Private.
Facility permit issued by: Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain:
3. Facility contact person and title: Stephen Taylor
Complete mailing address: PO Box: 1390
City: Marion State: NC Zip: 28752
Telephone number: [phone] E-mail address: Stephen d [e-mail]
4. Facility physical address: 65 Pitts Station Road
City: Marion_ State: NC Zip: 28752
Coordinates: Latitude: 3550' 16.93" Longitude: 81" 59' S5_21"
Datum: NAD86 Level of accuracy:
Method of measurement: MAP
5. Purpose of the facility:
❑ treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
® treatment of industrial wastewater mixed with domestic wastewater.
(approximate percentages: 81 % industrial and 19 %domestic)
❑ other (explain: _ ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 1_2 MGD and facility average daily flow: 0.8 MGD
8. Average amount of residuals being generated at this facility 95.2 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 2 Digesters-307,000 gallons
.
Type and volume of residuals storage (i.e., outside of residuals treatment units): 2 sand drying beds
IL RESIDUALS QUALITY INFORMATION (See Instruction C.):
I . Specify if residuals are regulated under:
® 40 CFR Part 503 or ❑ 40 CPR Part 257.
Note; Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1 102(6) as:
® Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page I of

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes E no.
If yes, list the number(s):_
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes ® no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (fCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Meritech and Date of analysis: 11/30/2018
Passed corrosivity test: ® yes ❑ no. pH: sm. (2 < pH < 12.5)
Passed ignitability test: ® yes ❑ no. Plashpoinc >140 °F (> 140T)
Passed reactivity test: ® yes ❑no. HCN: 0_5 nu,/kg (<250) & H.>,S: 1.84 mg/kg (<500)
TCLP Parameter
Limit
(mg/l)
Result
(mg/l)
TCLP Parameter
Limit
(mg/1)
Result
(m9/0
Arsenic
5.0
0.1
Hexachlorobenzene
0.13
0.1
Barium
100.0
0.05
Hexachloto- I,3-Bmad iene
0.5
0.1
Benzene
0.5
1.0
0.5
0.03
100.0
0.01
0.02
0.01
Hexachloroethane
3.0
0.1
Cadmium
Carbon Tetrachloride
Chlordane
Chlorobenzene
Lead
Lindane
5.0
0.1
0.4
0.04
0.003
0.01
0.01
Mercury
Methoxychlor
Methyl Ethyl Ketone
0.2
0.02
10.0
200.0
1.0
0.864
Chloroform
6.0
Chromium
m-Cresol
o-Cresol
p-Cresol
5.0
200.0
200.0
200.0
0.05
0.1
0.1
0.1
Nitrobenzene
Pentachlorophenol
Pyridine
Selenium
2.0
100.0
5.0
1.0
0.1
05
0.1
0.116
Cresol
200.0
03
Silver
5.0
0.05
2,4-D
10.0
1.0
Tetrachloroethylene
0.7
0.01
1,4-Dichlorobenzene
I.2-Dichloroethane
1,1-Dichloroethylene
2,4 Dinitrotoluene
7.5
0.5
0.7
0.13
0.1
0.01
0.01
0.1
Toxaphene
Trichloroethylene
2,4.5-1richlorophenol
2,4,6-Trichlorophenol
0.5
0.5
400.0
0.05
0.01
0.1
2.0
0.1
Endrin
Heptachlor and its Hydroxide
0.02
0.008
0.002
0.0008
2,4,5=FP Silvex
1.0
0.1
Vinyl Chloride
0.2
0.02
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Wavooint Analytical and Date of analysis: 1/04/2018
Parameter
Ceiling
Concentration Limits
(ClassA & Class6)
(mg1kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kK)
4.96
Arsenic
75
41
Cadmium
85
39
2
Copper
4300
1,500
99
Lead
840
300
7.83
Mercury
57
75
17
0.4
Molybdenum
n/a
5.43
Nickel
420
100
7,500
420
24
Selenium
Zinc
100
-----------------------
5
2,800
81.5
b. For Surface Disposed Unit Rnndfil0: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory:. and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(nvelers, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
('mg/kg)
> 0 but < 25
> 25 but < 50
30
34
200
220
210
2,40
> 50 but < 75
39
260
270
El 75 but < 100 --
-- - 46
— - 300 - --
--- 320 --
0 > 100 but < 125
53
360
390
> 125 -
Result (mg/kg)
— -- 62 - ---
450
420
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 13_56 %.
b. Fill in the following table with the results of the latest analyses (i.e.. on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical and Date of analysis: 1/04/2018
Parameter
Result
Aluminum
1 100
Ammonia -Nitrogen
7300
Calcium
5670
2370
Magnesium
Nitrate -Nitrite Nitrogen
23.5
pH (Standard Unit)
13.56
Phosphorus - -
— - 13300
Potassium
Sodium
Total Kjeldahl Nitrogen
3W
2130
82500
c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 2.199
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: default value foraerobic
digestion
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (W) Year PAN
Five -Year
Maximum Adjusted PAN
ling/kg/
mg/k
Surface
262335
28069
--
Injection/incorporation
--------—..-------- —
29883.5
31975
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per I5A NCAC 02-1.1 106. specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Lund Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative I [15A NCAC 02T.1 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] - Alkaline Treatment.
Alternative 3 [15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation.
❑ gamma ray it radiation, or ❑ pasteurization.
b. For Land Application of Class 8:
❑ Alternative I [15A NCAC 02T.] 106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
composting, or ❑ lime stabilization.
e. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item I I. 7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [I5A NCAC 02T.I 106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
® Alternative I [15A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [I5A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.I 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
❑ Alternative 10 [I5A NCAC 071'. ] 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I5A NCAC 021'.] 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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Quantitative Justification of Residuals Production Rate:
2017: 147.3
2016: 136.19
2015: 134.94
2014: 108.5
2013: 95.2
This comes out to an average of 124.42 Dry Tons for the last 5 years. The 100 Dry Tons will be enough
for this permit as Baxter Healthcare has another 140.62 acres in its own land application permit
WQ0031725, that is actively land applies on.

Southern Soil Builders, Inc.
Permit No. WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

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Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 11/01/2018
Reported: 12/03/2018
For: Baxter
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
181101-21-01
Corrosivity
Baxter
See Attached
SW-846 11/07/2018
Meritech
181101-21-01
Ignitability
Baxter
See Attached
'oiom 11/07/2018
Meritech
181101-21-01
Reactivity
Baxter
See Attached
SW846 11/07/2018
Meritech
181101-21-01
TCLP
Baxter
See Attached
as Noted 11/07/2018
Meritech
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 7

Condition of Receipt
Sample Number 181101-21-01 Temp on Arrival: 2,3
Parameter Schedule: Reactivity
Received on Ice
Parameter Schedule: Corrosivity
Received on Ice
Parameter Schedule: Ignitability
Received on Ice
Parameter Schedule: TCLP
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 7

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PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 7

Meritech, Inc.
AJO
Environmental
Laboratory
Laboratory
Certification No. 165
Contact: C. Little
Report Date:
1e
11/30/201.8
Client: Statesville Analytical
I
122 Court St
Project:
Southern Soil (Baxter)
Statesville, NC 28677
Date Sample Rcvd:
11/6/2018
Meritech Work Order#
1106111130 Sample: 181101.21.01. Grab
11/1/201If
1311 TCLP Metals
Parameter
Re ils
Anal GIs Date y ni ReeLimit
hod
Arsenic
<0.100 mg/1,
11/8/2018 0.100 5.0
i
Ii PA 200.7
Barium
<0.050 mg/L
11/8/2018 0.050 100.0
EPA 200.7
Cadmium
<0.020 mg/L.
11/8/2018 0.020 1.0
_
EPA 200.7
Chromium
<0.050 mg/I.
11/8/2018 0.0.50 5.0
EPA 200.7
Lead
<0. 100 mg/L
11/8/2018 0.100 5.0
EPA 200.7
Mercury
<0.02 mg/l,
11/1.3/2018 0.02 0.2
EPA 245.1
Selenium
0.116 mg/L
I.1/n/2018 0.100 1.0
EPA 200.7
Silver
<0.OS0 mg/I.
11/15/2018 0.050 5.0
EPA 200.7
TCLP Organics
Parameter
Results
Analysis Date Reporting Limit
Meth od
Volatiles 8260
Attached
11/13/2018 -
8260
Somi Vol. 8270
Attached
11/20/2018 -
8270
Other Tests
Para— 3mew
Results
Analysis Date Reporting Limit
Method
Cyanide, total
<0,500 mg/kg
11./14/201B 0.500 mg/kg
EPA 335.4
Sulfide
Igmtabibty
1,81 mg/kg
11./12/2018 10.0 mg/kg
SW 846903B
Cm rnaitfvity (pP)
Will Not Ignite
7.7 S.U.
11/14/2018
11/18/2018 1.0 -'t4.0 S.U.
EPA 1030
SM 45001-111 -
642 Tamco Road, Reidsville, North Carolina 27320
tcl.(336)342-474.8 fax.[phone]
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 4 of 7

Contact: C. Lithe
Client: Statesville Analytical
122 Court St
Statesville, NC 28677
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Page 2
Report Date: 11/30/2018
Project: Southern Soil (Baxter)
Date Sample Revd: 11/6/2018
MCI itech Wel'It Orda# 110618130 Sample: 181101.2101 Grab :I1/1/2018
1311- TCLP Pesticides & Herbicides
Pesticide - SW-846
8081A
Parainetei
Results
Analysis Date
Det. Litni
Reg. Limit
Dilution Factor
Gndrm
<0.002 mg/L
11/14-1.6/1.8
0.002
0.02
1
Chlordane
<0.003 mg/I,
11/14-16/18
0.003
0.03
1
I'oxaphene
<0.050 mg/L
11/14.16/18
0,050
O.S
1
Methoxychlor
<1.00 mg/L
11/14-16/18
1.00
10.0
1
Heptachlor
<0.0008 mg/L
11/14-16/18
0.0008
0.008
1
Lindane
10.040 mg/L
11/14-16/11)
0.040
0.4.
1
Herbicides - SW-846
8151A
Parameter
Result
Anasis Date
� - in
Re Limit
111nt;�, ract,.•
2,4-D
<1.0 mg/I.
11/14-1.6/18
1..0
10.0
1
2,4,5-TP(Silvex)
<().10 mg/L
1.1./1.4-16/18
0.10
1..0
1
I hereby cer•tffy [hat!/rove reviewed and approve these data,
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel,[phone] fax.[phone]
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 5 of 7

MERITECH, INC.
a" Environmental Laboratories
"'. Laboratory Certificate #165
Client: Statesville Analytical
Project: Southern Soil (Baxter)
Client Sample ID: 181301.•21-01
Sample Collection: 11/01/I8
Meritech Sample Ill: 110618130
1311 - TCLP Oraanics
Volntiles• SR'-846 8260
Analysis: 11/13/19
I?xbaction:
11/07/18
Anolyrl: VWV
ILcpml Date:
11/19/18
pnvnmcter
RURc=ult
❑nits
DO. LhnJf
R_.v. l=knit
Dfl.flon Faunr
Benzene
10.0100
mg/I.
0.0100
0.50
10
Curholl lwolchlornle
<0.Woo
mg/L
0.0100
0.50
10
Chlorohcnzcnc
10.0100
mg/f.
0.0100
100
10
Chlomlbnn
10.0100
Ing/L
0.0100
6.0
10
1,2-Dichlomelhane
<0.0100
mtjl.
0.0100
0.50
10
LI-Dichlorncthcnc
10.0100
mF/L
0.0100
0.70
10
Dlelhyl Ethyl Ketone
0.864
ntg/I,
0.100
200
to
'11elrachlornelhylelle
< 0.0100
m@/L
0,0100
0.70
10
'1'601k,mclhenc
<0.01 no
mg/,
0.0100
0.50
10
Vinyl Chloride
<0.0200
mg/L
0.020
0.20
t0
Semi -Vora tiles: SW-846 8270
Analysis: 11/20/ 18
tatraclinn:
11; 07/ 18
Analyse PM
Rcpon Dale:
11/21/18
'm'ameler
Result
i nits
Def. Linot
Rec. Limit
DihRiun irnctor
1,4-Dichlolobovenc
<0too
mg/1.
0.100
7.5
10
Ilcsaehlorobenzene
<-0.100
mg/L
0.100
0.13
10
I lexachloro-1.3-hatudJane
<0.100
IIIW1.
0.100
0.5
10
Rexachloroethane
+.0.100
mg/L
0.100
3.00
10
o-aesol
<0, 100
Ingo,
0. 100
200
10
nt&P.cresol
<0.200
Inb9.
0.200
200
10
TOud oresots
<0.300
n1F/L.
0.300
201)
10
Nitrobenzene
<0'100
mp/L
0.100
2.00
10
P.,mblomphenol
<0.500
Ing/L
0.500
lo0
10
Pplhdine
+OJOO
Ingo,
0.100
5.0
10
2;1,5-1, chIm ophenol
10.100
mg/f.
0,100
400
10
2,4fi- TriehIowphenol
<0.I Oo
mg/L
0.100
2.00
0
2;4-Dinitro1olvelc
-:0.100
mgil.
0.I110
0.13
10
I here/{p certify that I hale IT viewed and apprnne these data. '/ // o
Labarrr/ory Representative
642 Tamco Road' Reidsville, NC 27320
[phone] ` [e-mail]3
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 6 of 7

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VS in 0.0156
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Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/04/2018
Reported: 08/22/2013
For: Baxter
Comments: Geometric Mean 2025 MPN/g
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
180104-15-01
Fecal Coliforms
1
3623
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-01
Percent Solids
1
13.8
%
SM254OB-1997
01/05/2018
WC
180104-15-02
Fecal Coliforms
2
593
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-02
Percent Solids
2
13.5
%
SM254OB-1997
01/05/2018
WC
180104-15-03
Fecal Coliforms
3
3546
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-03
Percent Solids
3
14.1
%
SM254OB-1997
01/05/2018
WC
180104-15-04
Fecal Coliforms
4
2500
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-04
Percent Solids
4
13.6
%
SM254OB-1997
01/05/2018
WC
180104-15-05
Fecal Coliforms
5
809
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-05
Percent Solids
5
13.6
%
SM254OB-1997
01/05/2018
WC
180104-15-06
Fecal Coliforms
6
3650
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-06
Percent Solids
6
13.7
%
SM254OB-1997
01/05/2018
WC
180104-15-07
Fecal Coliforms
7
2481
MPN/g
SM92210E-2006
01/05/2018
WC
180104-15-07
Percent Solids
7
13.3
%
SM2540a-1997
01/06/2018
WC
180104-15-08
% Volatile Solids
A
0.76
%
SM254OG
01/05/2018
WC
180104-15-09
% Volatile Solids
B
1.56
%
SM264OG
01/05/2018
WC
Respectfully submitted,
Dena Myers
NC Cent #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704187214697
Page 1 of 5

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: Town of North Wilkesboro
2. Facility permit holder is: ❑ Federal, ❑ State, E Local Government, or ❑ Private.
Facility permit issued by: ❑ Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain:
3. Facility contact person and title: Scott Perry
Complete mailing address: PO Box.218
City: North Wilkesboro State: NC Lip: 28659
Telephone number: (�36) 838-5001 E-mail address: sperry r north-wilkesboro.com
4. Facility physical address: 100 Thurmond Street
City: North Wilkesboro State: NC Lip: 28659
Coordinates: Latitude: 3669' 44 37" Longitude: 81 ` 08' 04_12"
Datum: NAD 83 Level of accuracy: .01
Method of measurement: MAP
5. Purpose of the facility:
® treatment of municipal wastewater, ❑ treatment of 100%domestic wastewater,
❑ treatment of potable water, ❑ treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: _% industrial and % domestic)
❑ other (explain: _ y
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 2 MGD and facility average daily flow: 0.85 MGD
8. Average amount of residuals being generated at this facility 132.9 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 2 250.000 gallon aerobic digesters and.l_i illion Fallon sludge holdine tank
'I'ype and volume of residuals storage (i.e., outside of residuals treatment units): 6 50'x50,.drving beds
IL RESIDUALS QUALITY INFORMATION (See Instruction C.):
I. Specify if residuals are regulated under:
40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503. otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
Biological ❑ Non -Biological
Note: Biological residuals arc residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page I of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes 0 no.
If yes, list he number(s): _
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: [] yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 5-20-2018
Passed corrosivity test: M yes ❑ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: Z yes ❑ no. Flashpoint 200 °F (> 140°F)
Passed reactivity test: E] yes ❑no. HCN: ND mg/kg (<250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit
(ntg/1)
Result
(Ing/l)
WIT Parameter
Limit
(mg/l)
Result
(ntg/l)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
0.2
ND
ND
Chlordane
0.03
ND
Mercury
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
Chromium
6.0
5.0
ND
ND
Methyl Ethyl Ketone
Nitrobenzene
200.0
1.55
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
"Foxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
I,l-Dichloroethylene
0.7
013
0.02
0.008
ND
ND
ND
ND
2,4,5-Trichlorophenol
2,4,6=Frichlorophenol
? 4.5-TP (Silvex)
Vinyl Chloride
400.0
ND
2,4-Dinitrotoluene
Endrin
Heptachlor and its Hydroxide
2.0
1.0
0.2
ND
ND
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under I5A NCAC 021' .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Wavooint Analyjical and Date of analysis: 4-30-2018
Parameter
Ceiling
Concentration Limits
(ClassA & Class)3)
(nvg/W
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
4.02
Cadmium
85
39
1.38
Copper
4,300
1,500
319
Lead
840
300
30.3
Mercury
57
17
1.21
Molybdenum
75
n/a
5.67
Nickel
420
420
17.8
Selenium
100
100
4.08
Zinc
7,500
2,800
650
b. For Surface Disposal Unit /landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: _ and Date of analysis: _
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
-
—❑.-> 0 but < 25 -
---
30
34
39
200
220
210
240
Q > 25 but < 50
> SO but < 75
260
270
Q > 75 but < 100 ---
------46----
- 300 -- --
— 320
[] > 100 but < 125
53
360
390
125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 4.21 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Wavpoint Analytical and Date of analysis: 4-.30-2018
Parameter
Result
(mg/kg)
Aluminum
40600
Ammon is-N itrogen
6400
Calcium
Magnesium
7360
2310
Nitrate -Nitrite Nitrogen
112
pH (Standard Unit)
7.1
Phosphorus
15900
Potassium
2920
Sodium
949
Total Kjeldahl Nitrogen
43600
c. Using the results listed in Item 11. 5b. above, calculate the sodium adsorption ration (SAR): 0.51
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: _
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method First (I") Year PAN Five -Year
Maximum Adjusted PAN
(mg/kg/ (mg/kg)
Surface 14472 15058
Injection/Incorporation � 17672 1 18732
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: -
FORM: RSC 06-16 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
❑ A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative I [15A NCAC 02T.1106(b)(3)(A)] -Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [15A NCAC 02"1'.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.1106(b)(3)(13)] -No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [ 15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
gamma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
® Alternative I [15A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.I 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.1 106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107, specify how residuals will meet the VAR requirements:
❑ Alternative I [15A NCAC 02T.1 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
E Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
EJ Alternative 5 [15A NCAC 02T. 1107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.I 107(a)(8)1 - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.I 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.I 107(a)(10)] - Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [ 15A NCAC 02T.1107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

OF-, wk-
7—
X44
0->
r
North Wilkesboro Wastewater Treatment Plant'
Tag'}-
X"
%
USGS Wilkesboro and Roaring River, North Carolina 7.5 Minute Quadrangles
North Wilkesboro Wastewater Treatment Plant LISGS
CHECKED BY: Town of North Wilkesboro Facility
DRAWN BY: RTB Land Application Program
m Map
DATE: Aug-03 F.J"t N.. I - 1513-25

WASTEWATER TREATMENT PLANT PROCESS
The Town of North Wilkesboro operates a 2.0 MGD facility which utilizes an aerobic digestion
process. The facility treats domestic waste and influent from several industries in North
Wilkesboro. Primary settled solids and final settled solids are pumped into one of two 2.5 million
gallon aerobic digesters or basins. Sludge from the basins are decanted to a thickener where it is
sent to the sludge holding tank after the achievement of 3% to 5% solids. Biosolids are removed
from the sludge holding tank and land applied as needed.
A process schematic for the Town of North Wilkesboro WWTP is presented on the following page.

"/ V W LUOa ll: JO aaoOaol / /a I UWN Ur N W rHbt 10.1/ oO

Quantitative Justification for residuals production rate:
The average dry tons produced over the last 5 years are 132.9 dry tons. The 250 dry tons asked
for in this land application permit should be more than ample to cover the average amount
produced by the residuals source.

Southern Soil Builders, Inc.
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled'B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 04/30/2018
Reported: 06/15/2018
For: NW
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
180430-19-Ot 30 Day Benchscale NW 14 1 �/ EPA6zsa9z/o 05/01/2018 WC
Respectfully submitted,
i
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Analvtical Results
Southern Soil Builders For: NW
958 Hoots Rd.
Roaring River, NC 28669
Entered: 4/30/2018
Reported: 6/15/2018
Sample ID: 180430-19-01
PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludgej30day)_
Total Solids
Week t
2.06
Week 2
1.90
Week 3
1.64
Week 4
1.62
Week 5
1.64
Volatile Solids
1.15
1.06
0.85
0.86
0.86
Volatile Solids Reduction: 0.5641 - 0.5264 X 100 = 14.1
0.5641 - (0.5641 X 0.5264)
Respectfully submitted,
Dena Myers
Statesville Analytical, Inc.
NC W W Cert.# 440NC
% Volatile Solids
0.5641
0.5570
0.5213
0.5299
0.5264

PaceAnalytical e
h*++.Veaelws.com
ANALYTICAL RESULTS
Pace Analytical Servicea, LLC
9800 Kincey Ave. Suite 100
HUMersville, NC 28078
[phone]
Project: 160430-20
Pace Project No.: 92383183
Sample: 180430.20
Results reported on a ^dry weight"
Lab ID: 92383183001
basis and 08:15 Matrix: Solitl
Sam 18 Ile
Parameters
are adjusted far pamelnt moisture, size and and urio2/18
p Y tlilutions.
Results Units Report Limit OF Prepared Analyzed CAS No.
8081 TCLP P0301ides FIVE
Oual
Analytical Method: EPA 8061 Pre
EPA 3510
paration Method Leachate Method/Date: EPA 1311: 05/13/18
gamma BHC (Linda..)
22:00
Chlordene(Technical)
NO°g/L 0.50 1 05/1611810:05 05/16/1816: 16
NO
Ell
58-89-9
°9/L 3o 1 05/16/18 1005 05/16/18 16A6 57-74-9
ND
Heptachlor
u9/L 0.50 1 05/16/18 10:05 05/16/18 16:16 72. 20-8
NO ug/L
Heptachlorepoxide
0,50 1
NO 05H 6/1810:05 05/16/18 16:16 76-44.8
°g/L
Melhoxychlor
0.50 1 05/16/18 1005 05/16/18 16:16 1024-57-3
ND ug/L
Toxaphene
Surrogates
1000 1 05/16/1810;05 0511611816:16 72-
ND ug/L 3.0 43-5
1 05/16/18 10,05 05/16/18 16:16 8001.3 5�2
Decchlorobiphenyl (S)
Tee chlorobm-xylene (S)
46 10.138 1 05/16/18 10.05 05/16/18 16:16 2051-24-3
8151A Cl Acid Herbicides TCLP
° 10-110 1 05/16/18 10:05 05/16/18 16'16 877-09-8
Analytical Method: EPA 8151A Preparation Method EPA 8151A
Leachate Method/Dale: EPA 1311; 05/14/18 16:15 Initial pH' 7.43, Final
2.4-D
2,4,5-TP(Silvex)
pH: 5.1
ND ml 0.0050 1 05/16/1810:00 05/1711821:48 94-75-7
NO
Surrogates
mg/L 0,010 1 0511611810:00 05A 7/1821:48 93-72-1
2p.DCAA (S)
95 %,
6010 MET ICP, TCLP
10-155 1 05/16/1810:00 OS/17I1821:48 1971 9-28-9
A
Analytical Method: EPA 6010 Preparation MethodEPA 3010A
Arsenic
Leachate Malltod/Date: EPA 1311; 05/11/18 1800 Initial pH: 6,64; Final 6.64
Barium
pH.
ND mg/L 0.050 1 05/1211818. 15 05/13/1820.53 7440-38-2
NO
Cadmium
hall 0.25 1 05/12/1818:15 05/13/1820:53 7440-39-3
NO mg/L
Chromium
0,0050 1 05/1211818: 15 05113/1820:53 7440- 43.9
NO ml
Lead
0.050 1 05/12/18 18:15 05/13/18 20:53 7440-47 3
NO
Selenium
mg/L 0.025 1 05/12/18 18:15 05/13/18 20:53 7439-92-1
NO
Silver
hl 0.10 1 05/12/18 18: 15 05/13/18 20:53 7782-49-2
ND mg/L
7470 Mercury, TCLP
0.025 1 05/12/1818,15 05/1311820,53 7440-224
Analytical Method EPA 7470 Preparation Method: EPA 7470
Leachate MethodlDate: EPA 13 11 ; 05/11/18 18.00 Initial PH. 6.64: Final pH: 6,64
Mercury
NO n1g/L 0.00020 1 05/14/1807,30 05/14/1814:38 7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method'. EPA 8270 Preparation Method. EPA 3510
Leachate Method/Date: EPA 1311; 05/13118 22:00
1,4-Dichlorobenzene
NO ug/L
2,4-Dinilrololuene
50.0 1 05/15/18 22:31 05111118 16:44 106-46-7
NO uglL
Hexachlorobenzeutatliane
50.0 1 05/15/18 22:31 05/17/18 16A4 121-14-2
NO ug/L
Hexachlorobenzene
50.0 1 05/15/1822'.31 051171181644 87. 683
NO og/L
Hexachloroeihane
50.0 1 05/15/18 22:31 05/17/18 16:44 118.74-1
NO ug/L
2-MelhylphethaneCresol
50.0 1 05/1511822: 31 05/1711816,44 67-72-7
NO ug/L
3&4.Methylphenol(mBp Cresol)
50.0 1 05/15/1822, 31 05117/181644 95-484
NO ug1L
Nitrobenzene
50o 1
NO 05/15/16 22:31 05/17/18 16 44
ug/L
Penlachlomphenol
98-95-10-4
1 05M5/1822:31 05/17/1816:44 98-95-3
NO ug/L
Pyddine
10.0
100 1 OS/15/1822:31 05/17l181644 87-86-5
2,4,5-TricMorophenol
NO ug/L 50.0 1 05/15/18 22:31 05M 7/18 16:44 110-86-1
ug/L
50.0 1 05/15/1822,31 05/1711816:44 95-95-4
REPORT OF LABORATORY ANALYSIS
This epon shall not be reproduced, except in hilt.
Dale: 05120/2018 10,51 PM
without the whitlan consent of par,. Anzlyucal Services. I-I-C.
Page 4 0126
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 7 of 29

PaceAnalyticals
NMW paLBMOb. COm
ANALYTICAL RESULTS
Pace Analytical services, LLG
9800 Kincey Ave. Suite 100
Hunterevitle, NC 26078
[phone]
Project'. 180430-20
Pace Project No.: 92383183
Sample: 180430.20
Results reported on a -dry weight-
Lab ID: 92383183001
basis
Collected: 04/30/1812:55 Received: 05/02/1808.15
Matrix. Soled
and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units
Report Limit OF Prepared
P
Analyzed
CAS No. Dual
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA
3510
Leachate Method/Date: EPA 1311: 05/13/18 22:00
orophenol
NO ug/L
50.0
Surrogate
Surrogates
1 05/1511822:31
051l 711816:44
88-06-2 L1
Nitrobenzene-d5(S)
21 %
2-Fluorobiphenyl(S)
22
12-102 1 05/15/1822:31
051171181644
4165-60-0
TerphenyLdl4(S)
81
13-1W 7 05/15/1e 22:31
OSH 7/78 16:44
321-60-8
Phenol-d6 (S)
%v
7
21.132 1 05/15/18 22:31
05117/18 16'.44
1718-51-0
2-Fluorophenol(S)
11
10-110 1 05115/1822: 31
05117/1816:44
13127-88-3 So
2,4,6-Tribromophenol (S)
%
gg
10.110 1 05/15/18 22:31
OS/17I18 i6'44
367-12-4
27-108 1 05/15/18 22:31
05/17/18 16:44
118-79-6
8260 MSV TCLP
Analytical Method: EPA 8260 Leachate Method/Date. EPA 1311; 05/04/18
11:15
Benzene
2-Bulanone (MEK)
No
1660 0
50.0 10
05/06118 1201
71-43-2
Carbon tetrachloride
9 /L
NO
100 10
05106/18 1201
78-93-3
Chlorobenzene
uglL
NO
50.0 10
05/0611812:01
56-23.5
Chloroform
ug/L
ND ug/L
50.0 10
05/06/18 12.01
108-90-7
1,4-Dichloroethanee
ND ug/L
50.0 10
05/06/181201
67-66-3
1,2-Dichloroethane
ND ug/L
50.0 10
05/0611812,01
106-46-7
1,1-Dichloroethene
ND ug/L
50.0 10
05/06/18 12:01
-2
Telrachloroethene
ND u9/L
50.0 10
OS/06/18 12:01
75-35.
75-35-0
oroethene
ND ug/L
50.0 10
05/06/1812,01
127-18.4
n
Vinyl
Vinyl chloride
ND u9/L
50.0 10
05106/1612:01
79-01-6
Surrogates
50.0 10
05/06/1812:01
75-01-4
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
104 %
70-130 10
05/06/18 1201
:
i] 060-07-0
4-Bromofluorobenzene (S)
103
99
67-135 10
05/06/1812:01
2037-26-5
/
70.130 10
05/06/18 12:01
460-00-4
Percent Moisture
Analytical Method: ASTM D2974-67
Percent Moisture
96.3 %
0,10 1
05/03/18 10'.44
1010 Flash polnt,Closed Cup
Analytical Method: EPA 1010
Flashpoint
>200.0 deg F
70.0 1
05/08/18 10:00
9045 pH Soil
Analytical Method: EPA 9045
pH at 25 Degrees C
6.7 Bid. Units
0.10 1
05/04/18 04:23
733C S Reactive Cyanide
Analytical Method: EPA 9014
Preparation Method : SW-846 T3.3.2
Cyanide, Reactive
NO mg/kg
26.8 1 05/09/1822:46
05/1011800:40
734S Reactive Sulfide
Analytical Method' SM4500S2F-00
Preparation MethodSW-846 7.3.4.2
Sulfide, Reactive
ND mg/kg
268 1 05109/1822.46
05/09/1823.23
REPORT OF LABORATORY ANALYSIS
This report shall not he mpreduced, except in lull.
Date: 051220/2018 10:51 PM without the wrdten cnnsent of Pace Analytical Services, LLC.
Page 5 of 26
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 8 of 29

'" Pace Analytical 8ervlces, LLC
/aeetlnalytcal 9800KlnceyAve Suitet00
xwapa<eNearom Humersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project'. 180430-20
Pace Project No.: 92383183
Sample: PCB Lab ID: 92383183002 Collected: 04l30/1812'S5 Received 05/02/1808.15 Mnie wore,
Parameters
8082 GCS PCB RVE
PCB-1016 (Aroclor 1016)
PCB- 1221 (Aroclor 1221)
PCB-1232 (Aroclor 1232)
PCB-1242 (Aroclor 1242)
PCB-1248 (Aroclor 1248)
PCB-1254 Aroclor 1254)
PCB 1260 (Aroclor 1260)
Surrogates
Decachlorobiphenyl(8)
Date: 05/20/2018 10:51 PM
Results
Units
Report Limit
UP
Pre ared P Analyzed
CAS No. Dual
Analytical Method. EPA 8082 Preparation Method.
EPA 3510
NO
ND
ug/L
ug/L
0.50
1
05/16/16 00:45 05/16/16 14:34
12674-11-2
ND
ug/L
0.50
1
05/16/18 0045 05/15/18 14:34
11104-28-2
NO
ug/L
0.50
1
OS/16/1800:45 05/1611814'34
11141-16-5
0.50
1
05/16/18 00:45 05/16/18 14.34
53469-21-9
NO
ND
ug/L
u9/L
0,50
1
05/1611800:45 05/16/1814.34
1267229-6
ND
ug/L
0.50
1
05/16/18 00'.45 05/16/18 1434
11097-69 1
0,50
1
05/16/18 00:45 05/16/18 14:34
11096-82�5
29
%
10-132
1
05/16/18 00:45 05/16/18 14:34
2051-24-3
REPORT OF LABORATORY ANALYSIS
This report shall not 5e 1a11o0uce8, encePl n loll,
without the written c -,sacl nl Pane Analylical Services, LLC.
Page 6 o126
PO Box 228 • Statesville, NC 28687 a 704/872/4697
Page 9 of 29

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Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 04/30/2018
Reported: 05/02/2018
For: NW
Comments: Geometric Mean <495 MPN/g
Sample Number
180430-18-01
180430-18-01
180430-18-02
180430-18-02
180430-18-03
180430-18-03
180430-18-04
180430-18-04
180430-18-05
180430-18-05
180430-18-06
180430-18-06
180430-18-07
180430-18-07
Parameter
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
Fecal Coliforms
Percent Solids
F ecal Coliforms
Percent Solids
Sample ID
1
1
2
2
3
3
4
4
5
5
6
6
7
7
Result
<472
4.24
<482
4.15
<425
4.71
<548
3.65
<508
3.94
<514
3.89
<526
3.80
Unit
MPN/g
0
/o
MPN/g
%
MPN/ g
%
MPN/g
%
MPN/g
% �o
MPN/ g
%
MPN/g
%
Method
sMszzlce-zoos
SM2540B1997
sMszz,cBzoos
SM2540B-1997
SM92210E200s
SM2540B 1997
SM9221ce-2008
snnz54as.,ss]
SM92210E2006
SM25406 1997
SM9221Ce-zoos
$M2540B-I997
sMszzlce-zoos
SM25403-1997
Analyzed
Analyst
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/01/2018
05/O1/2018
05/01/2018
05/01/2018
05/01/2018
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
Respectfully submitted,
Dena Myers
NC Cart #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28697 • 704/972/4697
Page 1 of 4

DWR
State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: Town of Forest Citv
2. Facility permit holder is: [] Federal, Q State, Local Government, or Q Private.
Facility permit issued by: El Div. of Water Resources, E Div. of Environmental Health,
or E] Other (explain: ).
3. Facility contact person and title: Sonny Penson
Complete mailing address: PO Box 278
City: Forest Citv State: NC Zip: 28043
Telephone number: [phone] E-mail address: sonnypenson@townofforesteit,/.com
4. Facility physical address: 397 Riverside Drive
City: Forest City State: NC Zip: 28043
Coordinates: Latitude: 35' 19' 36 64" Longitude: 81 ° 50' 37 85"
Datum: NAD83 Level of accuracy: .01
Method of measurement: MAP
5. Purpose of the facility:
treatment of municipal wastewater, treatment of 100% domestic wastewater,
treatment of potable water, treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: W % industrial and % domestic)
Q other (explain: ).
6. Does the facility have an approved pretreatment program: Yes No
7. Facility permitted/design flow: 4.95 MGD and facility average daily flow: 1.25 MGD
8. Average amount of residuals being generated at this facility 160 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: ,�_
Type and volume of residuals storage (i.e., outside of residuals treatment units): Sludge press/dryer & 500 000-gallon
sludge holding basin
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I. Specify if residuals are regulated under: xz
Z 40 CFR Part 503 or El 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
0 Biological [] Non -Biological
FORM: RSC 06-16 Page I of 5

Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: El yesno.
If yes, list the number(s): LLL
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: 0 yes 0' no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 1-15-2018
Passed corrosivity test: 0 yes [ no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: 0 yes no. Flashpoint: 200 OF (> 140°F)
Passed reactivity test: 0 yes [lno. HCN: ND mg/kg (<250) & H2S: ND mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
0.0078
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1, 1 -Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Wavooint Analytical and Date of analysis: 1-28-2019
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mglkg)
Arsenic
75
41
5
Cadmium
85
39
3.27
Copper
4,300
1,500
261
Lead
840
300
67.5
Mercury
57
17
0.4
Molybdenum
75
n/a
6.69
Nickel
420
420
12.7
Selenium
100
100
21.0
Zinc
7,500
2,800
1070
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e, on a dry weight
basis) for the following metal parameters:
Laboratory ; ' L and Date of analysis: '
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
> 0 but < 25
30
200
210
> 25 but < 50
34
220
240
Q > 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
[] > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 13.4 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: WaypointAnalytical and Date of analysis: 1-15-2018
c. using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 1.39
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): Z default value, or 0 actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (I") Year PAN
Five -Year
Maximum Adjusted PAN
(mglkgJ
(mg/kg)
Surface
15587
16678.09
Injection/incorporation
15637
16731.59
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:_
FORM: RSC 06-16 Page 4 of 5

Pathogen Reduction: Per 15A NCAC 02T 1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Analication otClass A or Equivalent.
I A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Q Alternative I [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
0 Alternative 2 [15A NCAC 02T.I 106(b)(3)(13)] - Alkaline Treatment.
0 Alternative 3 [15A NCAC 02T.1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova,
El Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
El Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: composting, El heat drying,
© heat treatment,
thermophilic aerobic digestion, [] beta ray irradiation,
gamma ray irradiation, or d pasteurization.
b. For Land Application of Class B:
Alternative I [15A NCAC 02T.]106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.1106(c)(2)] -Process to Significantly Reduce Pathogens (PSRP).
Specify one: [l aerobic digestion, fl air drying n anaerobic digestion,
0 composting, or 0 lime stabilization.
C. For Surface Disposal:
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
Q Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
0 Exempt- If Daily Cover Alternative is chosen in Item I1.8. below [15A NCAC 02T.] 106(a)(2)].
[f Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
Alternative 1 [15A NCAC 02T.1 I07(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Q Alternative 2 [15A NCAC 02T.1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [15A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
0 Alternative 4 [15A NCAC 02T.1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [ISA NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1 107(a)(6)] - Alkaline Stabilization.
Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
Q Alternative 8 [15A NCAC 02T.1107(a)(8)] - Drying of Unstabilized Residuals.
Aiternative 9 115A NCAC 02T.1 107(a)(9)] - Injection.
Alternative 10115A NCAC 02T.1107(a)(10)] - Incorporation.
Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I 5A NCAC 02T.] 107(b)(2)].
Q Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

E�
1
L �o

:S
11
11
w
¢3�
4f

Quantitative Justification of Residuals Production Rate:
The''own of Forest City produces an average of 160 Dry Tons per year of residuals. The
requested 300 Dry Tons per year in this permit application package should allow for any growth
or increase of residual production rates.

Southern Soil Builders, Inc.
Permit No. WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)]; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

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SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg: Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Ca M /L M M /L
121.4 1 14.74 335
Na�ME).
5.Ca ME1gM�
278261 9E
6673M
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 3394491 (From Mg/L entered above)
SAR= 1.394796 (From ME entered below)
Na ME Ca ME Mg (ME)
5.28 0.74 27.92
The amour
amount of
Permitting

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Analytical Results
1,A
Southern
Soil Builders
958 Hoots Road
Roaring River,
NC 28669
Receive Date:
01/28/2019
Reported:
01/30/2019
For:
Forest City
Comments:
Geometric Mean 30,544
MPN/g
Sample Number
190128-13-01
190128-13-01
190128-13-02
190128-13-02
190128-13-03
190128-13-03
190128-13-04
190128-13-04
190128-13-05
190128-13-05
190128-13-06
190128-13-06
190128-13-07
190128-13-07
Parameter Sample ID
Fecal Coliforms 1
Percent Solids 1
Fecal Coliforms 2
Percent Solids 2
Fecal Coliforms 3
Percent Solids 3
Fecal Coliforms 4
Percent Solids 4
Fecal Coliforms 5
Percent Solids 5
Fecal Coliforms 6
Percent Solids 6
Fecal Coliforms 7
Percent Solids 7
Result
36496
13.7
22388
13.4
36496
13.7
22901
13.1
22901
13.1
67669
13.3
23438
12.8
Unit
MPN/g
%
MPN/g
%
MPN/ 9
o
�0
MPN/ 9
%
MPN/ 9
%
MPN/ 9
°
�0
MPN/ 9
° �0
Method
smszzlcE-zoos
sM2540e-2011
smszzlce-zoos
SM254OB-2011
SM92210E-2006
SM254OB-2011
SM92210E-zoos
SM254OB-2011
SM92210E-loos
SM254OB-2011
SM92210E-200s
sM254oe-2011
SM92210E-zoos
SM2540a-201,
Analyzed
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29/2019
01/29l2019
01/29/2019
01/29/2019
01129/2019
Analyst
-
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
WC
Respectfully submitted,
'OP wO(' Jrht ,
Dena Myers
NC Cert #440,
NCDW Cart #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 704/972/4697
Page i of 4

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/28/2019
Reported: 04/04/2019
For:
Comments:
07,A7K
d�04ALt ¢ 19w Pii,.
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190128-14-01 30 Day Benchscale Forest City 10.7 % EPA625-R-92i0
01/28/2019 WC
190128-14-01 TCLP Forest City as Noted
Respectfully submitted,
&' vvoG'J'n)f,
Dena Myers
NC Cent #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 -, 704/872/4697
Page 1 of 4

Analytical Results
Southern soil Builders
958 Hoots Rd.
Roaring River, NC 28669
Entered: O1/28/2019
Reported:03/01/2019
Sample ID: 190128-14-01
For: Forest city
PARAMETER: Vector Attraction Reduction Aerobi ally Digested Sludge 30da
Total Solids
Volatile Solids
% Volatile Solids
Week
1
0.79
0.61
0.7753
Week
2
0.77
0.59
0.7586
Week
3
0.72
0.56
0.7696
Week
4
0.73
0.55
0.7523
Week
5
0.68
0.51
0.7549
Volatile Solids Reduction: 0.7753 - 0.7549 X 100 = 10.7 %
0.7753 - (0.7753 X 0.7549)
Respectfully submitted,
Dena Myers
Statesville Analytical, Inc.
INC WW Cert.4 440NC
��914
PO Box 228 • Statesville, NC 28687 ,, 704/972/4697
Page 4 of 4

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/15/2018
Reported: 01 /31 /2018
For: Forest City
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
180115-01-01 TCLP Forest City See Attached esN°ted 01/30/2018 PACE
Respectfully submitted,
rO (/ -wo, JTT)t'
Dena Myers
NC Cart #440,
NCDW Cart #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 25

/ wmxpaaeNSxsam
I
ANALYTICAL RESULTS
Pace Ana lyllcaI Services, LLC
9800 Kincey Ave, Suite too
Hunteraville, NC 28078
[phone]
Project: 180115.01
Pace Project No.: 92369724
Sample: Is po tedot
Results reported on a "dry weight'
Lab ID; 92389724001 Colleoled:. 01/15/18 12:15 Received: 01/16/18 0846 Matrix: Solid
basis
end fire adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units Report Limit DF Prepared Analyzed CAS No. Cual
8001 005 Pesticides, TCLP
Analytical Method: EPA 8081 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/25/1814:20
Chford (Technical)
NO ug/L 3.0
EnchinChlordane
1 01/29MB 08;23 01/29/18 16:29 57-74.9
NO
Heptachlor
ug/L 0.50 1 0129/18 08:23 01/29/18 16:29 72-20.8
NO
Heptachlor epoxide
ug/L 0.60 1 01129/1608:23 01/29/1816:29 78.44-8
NO
Methoxycblor
ug/L 0,50 1 01/29/18 08:23 01/29/18 16:29 1024-57-3
NO ug/L
Toxaphene
1000 1 0112911808:23 01129/1816:29 72.43-5
gamma-BHC(Undane)
No ug/L 3:0 1 01/29/1808:23 01/29/1818:29 8001-35-2
ug/L
Surrogates
0.50 1 01/29/18 08:23 01/29/18 16;29 58.89-9
Deoachtorobiphenyt(S)
Tetrachlpro-m-xylem, (S)
61 % 10-138 1 0112911808:23 01/29/18 16:29 2051-
32
10.110 1 01/29/18 08:23 01/29/18 18:29 877-09.88.8
8082 GCSPCB
Analytical Method: EPA 8082 Preparation Method: EPA 3546
PCB-1016 (Aroclor 1016)
PCB-1221(Aroclor 1221)
ND uglkg 435 1 01/16/18 18:52 01/18/18 20:18 12674.11-2
PCB-1232(Aroclor 1232)
NO ug/kg 436 1 01/16/f818:52 01/18M820:18 11104-28-2
NO
PCB-1242(Aroolor 1242)
uglkg 435 1 01116/18 18:52 01/18/18 20:18 11141-16-5
NO ug/kg
PCB-1248'.(Aroc)or 1248)
435 1 01/16/18 18:52 01/18/18 20:18 53469-21.9
NO
PCB-1254 :(Aroclor 1254)
uglkg 435 1 01/16/18 18:52 01/18/18 20:18 12672-29-5
NO ug/kg 435
PCB-1280(Aroclor 1260)
1 01/16/18 18:52 01/18/18 20:18 11097.694
NO uglkg
Surrogates
435 1 01/16/IB 18:52 01/18/18 20:18 11096-82-5
Decachloroblphenyl(S)
66 % 21-132 1 01/16/18 18:52 01/18/18 20:18 2051.24-3
8154 Chlorinate Herblclds TCLP
Analytical Method: EPA 8151 Preparation Method: EPA 3510
2,4-D
2,4,5-TP(31lv,x)
NO mg/L 0,068 1 01/23/18 09:31 01/30/18 11:47 94-75-7
ND
Surrogates
mg/L 0.068 1 01123/1809:31 01/30/1811:47 93-72-i
2,4-DCAA(8)
73 % 39.139 1 0112311809:31 01/30/1811747 19719.28-9
0010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Leachate Method/Date: EPA 1311; 01/18/1818:15 Initial pH: 6.09; Final pH: 4.5
Arsenic
Barium
NO mg/L 0.050 1 01/19/1817.25 01/24/1814:00 7440-38.2
Cadmium
NO mg1L 0.25 1 01119/1817:25 01/23/1822:63 7440-39-3
Chromium
0.0078 mg/L 0.0050 1 01/19/1817:25 01/23/18 22:53 7440.43.9
NO
Lead
mg/L 0.050 1 01/19/18 17:25 01/23/18 22:53 7440.47-3
Selenium
ND mg1L 0.025 1 01/19/18 17:26 01/23/18 22:53 7439.92.1
NO
Silver
mg/L 0.10 1 01/19/18 17,25 01/23118 22:53 7782-49.2
NO mg/L 0.025 1 01/19/1817:25 01123/1822:53 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311: 01/18/18 18:15 Initial pH: 6.09; Final pH: 4.5
Mercury
NO mg/L 0.00020 1 01/19/18 19:05 01/22/18 11:29 7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311: 0112511814:20
1,4-Mchlorobanzene
NO ug/L 500 1 01/26/18 09A0 01/26/18 13:46 106-46.7
REPORT OF LABORATORY ANALYSIS
This report$hall not be reproduced, except in full,
Date: 01/30/2018 07:33 PM
without the wriaen consent of Pea. Anaiyacal Services, LLC Page 5 of 25
PO Box 228 a Statesville, NC 28687 e 704/872/4697
Page 6 of 26

aceAnalytical
/ xwx.7a4ee5a:aom
I
ANALYTICAL RESULTS
Project: 180115.01
Pace Project No.: 92369724
Pace Analyllcal Sarvicee, LLC
9800 Kincey Ave. Suite 100
Huntemville, NC 28078
[phone]
ebo: 9236972.
Received: 8.46 Matrix: Solid
Results r�portedone'dry weight' basis Land ere ad/usted or ,sample
Parameters
percent
moisture,
size and any dllutlons'8010121b
Results Units
Report Limit OF
Prepared
p Analyzed CAS No.
8270 MSSV TCLP sapFunnel
Analytical Method: EPA 8270 Preparation
h Cual
Leechate Method/Date; EPA 1311;
Method: EPA
01/25/18
3510
2;4-Dlnitrotoluene
14:20
Hexachloro-1,3-bUtadlene
NO ug/L
NO ug/L
50.0 1
01/26/18 09:40 01/26/18 13:46 121.14-2
Hexachicrobenzene
NO ug1L
50.0 1
01/26/18 09:40 01/26/18 13:46 87.68.3
Hezechlofoethene
NO ug/L
50.0 1
01/20/18 09.40 01/20/18 13:46 118-74.1
2-Methylphend(o-Cresol)
50.0 1
01/28/1809:40 01/26/18 13:46 67-72-1
3&4-Mathylphanol(m&p Cresol)
NO ug/L
50.0 1
01126/1809:40 01/26/18 13:46 95.48.7
Nitrobenzene
ug/L
NO U91L
50.0 1
01/2611809:40 01/26/1813:46 15831-0.4
Penlachlorophenol
NO
50.0 1
01/26/18 09:40 01/26/18 13:46 98-95-3
Pyridine
ug/L
ND ug/L
100 1
01/26/18 09:40 01/26/18 13:46 87-86-5
2,4,5-Trichlorophenol
NO ug/L
50,0 1
01/26/1809AD 01/28A813:46 110.88.1
2,4,6-Trichlorophenol
NO uglL
60.0 1
01126/1809:40 01126/1813:46 95-954
Surrogates
60.0 1
01/26/18 09:40 01/26/1813;46 88-06-2
Nitrobenzened5 (S)
55 %
2-Muorobiphenyl(8)
50 pA
12-102 1
01/26/18 09:40 01/26/18 13:46 4165-60-0
Terphenyl-d14 (S)
fie o
13,107 1
01/26/18 09:40 01/26/18 13:46 321.60.8
Phenol.dB(a)
19 Y
21-132 1
01126/1809:40 01/26/18 13:46 1718-51-0
2-Fluorophenol(S)
30 %
10-110 1
01/26/18 09:40 01/26/18 13:46 13127-88-3
2,4,6-Tribromophancl (S)
49 %
10-110 1
01/26/18 09:40 01/26/18 13:46 367.12-4
826D MSV TCLP
27-108 1
01126/18 09:40 01/26/18 13:46 118.79.6
Analyllcal Method: EPA 8260 Leachate Method/Date: EPA
1311; 01/17/18 10:58
Benzene
2-Butanone(MEK)
NO IL
NO ug/L
g
192 38.5
01/17/1822:10 71.43-2
Carbon tetrachloride
385 38.5
01117/1822:10 78-93-3
loroba
Chloroform a
No �g,L
g
192 36.5
01/17/18 22 10 56-23.5
Chloroform
ug/L
192 38.5
01117/1822:10 108-90.7
1,2-Dichlomethe
NO ug/L
192 38.5
01/17/1822:10 67-56-3
1,-DichloelhenO
s
g
192 38.5
01/1711622:10 106.46.7
1,1-Dlchloraethena
NO u g/L
192 38.5
01/17/'is 22.10 107-06-2
Tetrachloroethene
NO ug/L
192 38.5
01/17/18 22:10 75-35-4
Trichloroathene
NO ug/L
102 38.5
01/17/1822:10 127-18 4
Vinyl chloride
NO ug/L
192 38.5
01/17/1822:10 79-01-6
Surrogates
192 38,5
01/17/18 22:10 75-01.4
1,2-Dichloroethana.d4 (S)
95 %
Tolusna-d8(S)
99 %
70-130 38.5
01/17/1822:10 1g
4,8romo0uorobenzene(S)
99
67-130 38.5
01117/1822:10 2037-26.6
Percent Molature
Analytical Method: ASTM D2974.87
70-130 38.5
01/17/1822:10 460-00-4
460-004
Percent Moisture
85.2 %
0.10 7
01/18/18 14:13
1010 FlashpolnLCloeed Cup
Analytical Method: EPA 1010
Flashpolnt
>200 deg F
70.0 1
01/18/18 11:50
9045 pH Soil
Analytical Method: EPA 9045
PH at 25 Degrees C
5.3 Sid. Units
0.10 1
01/18/1813:50
REPORT OF LABORATORY ANALYSIS
Title report shall not be reproduced, except In full,
Dale: 011301201807:33 PM
without the wrinen mneent of Pace Analyllcal Services,LLC.
Page B of 25
PO Box 228 a Statesville, NC 28687 • 704/872/4697
Page 7 of 26

ace Analytical'
w+w.me be.eom
1
ANALYTICAL RESULTS
Project: 180115-01
Pace Project No.; 92369724
Pace Analyticel services, LLC
9800 Kincey Ave. Suite too
Huntereville, NC 28078
[phone]
- - Lab ID; 92369724001 Results Pab"N"d one •tlry welphP bests Colleoled: 01/i5/18 12:10 Received: 01/16/18 08:46 1
mod are actuated for percent moisture, sample size and any d/lut/ons.
Parameters Results Units p
Re ort Limit DF Prepared Anal ad
733C 3 Reactive Cyanide Yz
Y Analytical Method: EPA 9014 Preparation Method: SW-848 7.3.3.2
Cyanide, Reactive ND mg/kg
8.7 1 01/18/1816:09 01/18/182339
7343 Reactive Sulfide Analytical Method: SM4500821`-
00 Preparation Method: SW.846 7,3.4 2
Sulfide, Reactive ND mg/kg
67,2 1 01/18/1816:09 01/18/182197
Date: 01/30/2018 07:33 PM
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except In lull,
without the written consent ofAece Analytical Sarvinea. LLC.
Solid
CAS No. Dual
Page 7 of 25
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 8 of 26

1
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (Sec Instruction R.):
I. Facility Name: Town ofRutherfortlton
2. Facility permit holder is: ❑ Federal, ❑ State, Local Government, or ❑ Private.
Facility permit issued by: 0 Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain:_).
3. Facility contact person and title: DLOggBatrick, Town Manager
Complete mailing address: 129 N, Main Street
City: Rutherftrdton State: NBC Zip: 28139
Telephone number: ($$� 287-214 E-mail address: d�ck&uthowrfordton net
4. Facility physical address: 1021 S. Maim Street
City: Rutherfordton State: NC Zip: 28139
Coordinates: Latitude: 35` ' 37 58" Longitude: 81 ' 57' 25_40"
Datum: NAD'83 Level of accuracy: .01
Method of measurement: MAD
5. Purpose of the facility:
® treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
treatment of potable water, ❑ treatment of 100% industrial wastewater,
0 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: _ % industrial and _ % domestic)
other (explain:_).
6. Does the facility have an approved pretreatment program: 0 Yes ❑ No
7. Facility permitted/design Flow: 3 MGD and facility average daily flow: 04 MGD
8. Average amount of residuals being generated at this facility 373_.61 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 450.000-gallon storage tank
Type and volume of residuals storage (i.e., outside of residuals treatment units): _
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I. Specify if residuals are regulated under:
40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1 102(6) as:
Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons. activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16 Page I of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes ED no.
If yes, list thenumber(s):�
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: ❑ yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace and Date of analysis: 5-8-2018
Passed corrosivity test: N yes ❑ no, pH: s.u. (2 < PH < 12.5)
Passed ignitability test: ® yes ❑ no. Flashpoint 200 OF (> 140°F)
Passed reactivity test: Z yes Ono. HCN: NQ mg/kg (<250) & HZS: ND mg/kg (<500)
TCLP Parameter
Limit
(m9/0
Result
(mg/l)
TCLP Parameter
Limit
(mg/q
Result
(m9/0
Arsenic _ _
5_0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
HexacItloro-I,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol _
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
1,1-DichIoroethyten e
0.7
ND
2,4,5-Trichloropheno1
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichloropheno1
2.0
ND
Endrin
0.02
ND
2,4,5=rP(Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waytwint Anal3tical and Date of analysis 6-13-2017
LqArsenic
Ceiling
ntration Limits
ssA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(nig/kg)
Result
(mg/kg)
75
_.
41
3
Cadmium
85_._
39
2
Copper
4,300
1,500
440
Lead
840
300
30.5
Mercury
57
17
0.965
Molybdenum
75
n/a
5.31
Nickel
420
420
11.8
Selenium
100
100
5
Zinc
7,500
2,800
804
b. For S
basis)
Labor
FORM: RSC 06-

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3,09
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: WWoint and Date of analysis 6-132017
Parameter
—
Result
- (mg/kg)
Aluminum
5190
Ammon is-N itrogen
11000
Calcium
10600
Magnesium
1670
Nitrate -Nitrite Nitrogen
623
pH (Standard Unit)
7.111
Phosphorus
10800
Potassium
1870
Sodium
1570
Total Kjeldahl Nitrogen
61600
c. Using the results listed in Item IL 5b. above, calculate the sodium adsorption ration (SAR): 0.655
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g, gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): Z default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (IS') Year PAN
Five -Year
Maximum Adjusted PAN
(mg4g)
Surface
21303
22662
Injection/Incorporation
26803
28513
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: _
FORM: RSC 06-16 Page 4 of 5

Pathoee�on: Per 15A NCAC 02T 1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or E uivalent.
El
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
El or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
Alternative I [15A NCAC 02T.1106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.I 106(b)(3)(B)] -Alkaline Treatment.
El Alternative 3 [ 15A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
El
Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, [] heat drying, Y S, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
gamma ray irradiation, or ❑ pasteurization.
b. For Land A.plicalion of Class B:
Alternative I [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, El airdrying, ❑ anaerobic digestion,
El composting, or [] lime stabilization.
c. For Surface Disposal.,
Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item H. 7b. above.
Exempt- If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.I 106(a)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T 1107, specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.]107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.I 107(a)(2)] -40-Day Bench Scale Test (Anaerobic Digestion).
Alternative 3 [ 15A NCAC 021'.1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02 F. 1107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.1 107(a)(5)] - 14-Day Aerobic Processes.
0 Alternative 6 [15A NCAC 02T.] 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1 107(a)(9)] - Injection.
❑ Alternative 10 [15A NCAC 021'.1 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [ 15A NCAC 02T.1 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 mac be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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QUANTITATIVE JUSTIFICATION
For the past 7 years the Town of Rutherfordton has produced the following Dry Tons
2017 53.61
2016 35.48
2015 30.77
2014 39.77
2013 34.29
2012 39.47
2011 29.92
s out to a seven year
of 37.61
currently requested amount of 100 dryyt ons per year Thswill allow for an per year. This is W rol less of the
system or inflow rates. Y g h in the

Southern Soil Builders, Inc.
Permit No. WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)J; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the sludge
holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known
as lime stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)], This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by A&L Labs.

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SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L
48.513
C�M-9 L)
M M /L
327.54
51.603
2.100261
J r
SAR= Na Milli Equivalent/
[0.5 X (Ca Milli Equivalent + M The amour
M</I
SAR - 0.655g93 t'i„n g Milli equivalent)]0.5 Power amount of
( J -, eirt<-:red above)
Permitting
SAR'= 0.655915
(From MI:_ entered helow)
Na ME Ca_( M ME
2.109 16.377 —��
4,3

Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Data:
Reported:
For:
Comments:
Analytical Results
05/03/2018
06/15/2018
Rutherfordton
Sample Number parameter
80503-31-01 y Sample It Result
30 Da Benchscale Rutherfordton 12,7
Respectfully submitted,
4
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
Unit Method
% EPA625-R.92/0
Analyzed Analyst
05/03/2018-C
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

An
Southern Soil Builders
958 Hoots Rd,
Roaring River, NC 28669
Entered: 5/03/2018
Reported: 6/15/2018
Sample ID: 180503-31.01
Results
For: Rutherfordton
Total S�
Volatile Solids
—
o
/o Volatile Solids
Week j
.81
0.61
760
W— ek2
0.79
0.60
0.7604
Week
0.71
0.53
—� 0.7454
Week 4
0.70
0.52
0.7394
Week 5
0.7346
Volatile Solids Reduction: 0.7603 - 0,7346 X 100 = 12.7
0.7603 - (0,7603 X 0.7346)
Respectfully submitted,
Dena Myers
Statesville Analytical, Inc.
NC W W Cert.k 440NC

a'aceAJVRiCRI e
n'^+ewe40euom
Project: 180503-32
PaceProjectNo.: 92383546
ANALYTICAL RESULTS'
Pace Ana lyrical sarvlcea, LLC
9800 Kinney Avo. 5uile too
Huntersville. NC 28078
(704)8759092
Readily reported on a-drY w Lab ID: 92383666001 Collecletl: OS/03/1812:1$ Received: OS/O4/i612:35 Matrix: Solitl
elghY' basis and are adjusted )or
Parameters Percent mots lure, samP/a size and an Readily Units Ydlluflons,
8081 TCLP Pesticides RVE Report Llmil _ OF Prepared
Analytical Method: EPA 8081 Pre �"� Analy2etl CAS No,
0=a1
Leachala Methotl/ , 05/ton Method: EPA 3510
gamma-BHC (Lindane) Date:.EPq 13 p; OS/22/18 15:38
Chlordane (Technical) NO ug/L
Endrin
Heptachlor
NO
NO
ug/L
0.50
3.0
1 05/23/18 02:05
1 05123/1802:05
o5/24/1815.00
58-
Heptachlor epoxide
ND
ug/L
ug/L
0,50
1 OS/23/1802:05
05/24/1815:00
79
51.4- 9
Melhoxychlcr
NO
u9/L
0.50
1 05/23/1802:05
05/24/1815:00
05/24/1615'00
72. 206
Toxaphena
NO
ug/L
050
1 05123/1802:05
05/24/1815:00
76.44.8
Surrogates
NO
ug/L
1000
1 05123/1802:05
OS/24/181500
1024-57.3
Decachlorobiphe
3'0
1 05/23
TO
43.5
Y
7elrachloro(S)
-m-xylene(S)
8151A CI Acid Herbicides TCLP
2,4.0
2,4,5-TP(Silvez)
Surrogates
2A-DCAA(S)
6010 MET MR. TCLP
Arsenic
Barium
Cadmium
Chromium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSSV TCLP SIP Funnel
1,a-Dictaorobenzene
2,a-Dndrotoluena
Heachloro-1,3-butadlene
Hexacnfombenzane
Hexacht)r0elhans
2-Methylphenol(o.Crass)
3a4-Methylphenol(map C+eaol)
Nibobenzena
Petnachlorophenol
Pyridine
2,4,5-TnchlarOpt18u01
Dale: 05/31/2016 06 34 PM
52 /
1802:05 05/24/1815:00 8001-35.2
50 % 10-110 1 05R3/18 02:05 05/24/18 15t00 2051-24 3
Analylical Method: EPA 8151 A Preparation Method:
02.05 OS/24/1615100 877.09-8
6
Leachala Ma1ho0/Dale: EPA 1311; 05/1511
EPAB tq
NO
816:45
""flat pH: ; Final pH; 7,72
mglL
NO mg/L
0,0050
0.010
1 05lA1181710: 15 05118/1816.41 94.75.7
1
109 .a
051810:15 05/18/1816'41 93-12-1
Analytical Method: EPA 6010
10-155
Pn
reparatioMelllod
' 10.15 05/18/18 1641 11119,28.9
Leachate Method/pate: EPA 1311; 05/18/18
EPA 301pA18
NO
19:45
Initial pH: 6,9; Final pH' 8,9
mg/L
NO mg/L
0.050 1
05/19/1603:45 06/20/1810:03 7110.38-2
NO mg/L
NO mg/L
0.0050
05/19/18 03:45 OS/20/18 10'.03 7440.39 3
05/19/1803:45 05/20/1810.03
NO mg/L
0.050 1
0.050
744043.9
05/19/1803:45 06/20/1810:03 744047.3
NO m9/L
1
DW 1
05/19/1803;45 05/20/1810.03 7439-92.1
NO mg/L
00.10 1
05119/1803:45 05/20/181003 7782.49.2
/18 03:45 OS/20/18
Analytical Method: EPA 7470
PrepefallOn Method:
10:03 ]4g0.22-4
EPA 747OSY70
Leachad Melhod/Dale: EPA
1311; 05/18/18 19:45 Initial PH: 6.9; Final
NO mg/L
0.00020 1
pH: 6.9
Analytical Method : EPA 8270
/7804:00 05/21/1010:57 7439.97.5
Leachala Method/Date:
Preparation Melhod: EPA
3510
EPA 1311;
05/22/1815:38
ND ug/L
NO ug/L
50.0 1
50.0
05/23/1807.51 05/25/18 19 26 106.46-7
NO ug/L
1
50.0
05/23/18 07:51 05/26/18 19:26 121-14-2
H2
NO ug/L
105123/1807:51
50.0 1
05125/1819:26 87-68.3
H2
H2
ND ug/L
50.0
05/2311807:51 05125/1819.26 118-74-1
H2
NO ug/L
1
50.0 1
0512311807:51 05/25/1819:26 67-72-1
H2
NO ug/L
50.0 1
05/23/18 07,51 05125/18 19:26 95-q8-I
H2
NO Pik
ND ug/L
50.0 1
05/2wle 07.51 05/25/181926 15831-10-4
05123/1807:51 051251181926 98-9$-3
H2
Nug/L
100 1
50.0 1
OS123/18 25/161926 87-86.5
07:51 05/18
H2
H2
NO O uglL
50.0 1
05123/07:51 05/25/16 1926 110.86-1
)5/23/1807:51
H2
05/25/1819'26 95-954
H2
REPORT OF LABORATORY ANALYSIS
This rayonn ehatI not be repmouced. except in 1.
withoIt the written consent of Pace Analylical Sarvizes. LLC.
H2
H2
H2
H2
H2
H2
H2
Page 4 If 24
PO Box 228 a Statesville, NC 28687 a 704/872/4697
Page 7 of 27

/ ,-PaceAnalytical e
_ ewepecalaDernn
Face Aualyllcal Servlcea, LLC
9800 Klncey Ave. Suite 100
Hantemlle, NC "c e
(7041875.9092
ANALYTICAL RESULTS
Project: 180508-32
Pape Project No.; 92383546
Sample; 1805W-J2
Results re ported on a "dry w.11
Lab 1D: 9238J846001 Collecletl: 05/03/781275
basis and are Received:
Paramelers
adjusted for OS/04/18 12.35
Percent moisture, ,,Pig sire and an Matrix; Selitl
Results P Ydilutions.
$270 MSSV TCLP Sep Funnel
Units Report Lln.i1
--' =F Prepared Analyzed
Analytical Method: EPA 6270 Pre ---- CAS No. Q=al
2.4,6-Triahlorophenol
Leachate Method/Date:.EPA 1311, 05/22/18 15.38 EPA3510
3510
Surrogates
NO ug/L
Nitrobenzene-d5 (3)
2-Fluorobiphenyl(S)
50.0 1 05/23/18 07:51 05/25/18 1926 88
22 % 06-2
Terphenyl-dl4(8)
Phanoi2-Rucr-d6(5)
H2
20 °^ 12-102 1 05/23/1807:51 05/25/1819:26 4165.60.0
56
132 1 05/2311807:51
2.Fluorophenol(S)
% 05/25/1819:26 321-
7 21-132 1 05/23/1807:51
2,4,fi TribromoPhonol ($
OS/25/181g28 17;860-8
10 110 51 0
71 % 1 05123/180]:51 10-110 05/25/181926
8260 M$V TCLP
13127.
54 Y 1 05/23/10 07:51 05/25/18 19:21 317- 88-3 SO
27 loft 1
8enzena
05/23/1807,51 051251181926 118-796
Analytical Method: EPA 8260 Leachate Melhod/Dare:
2-Bulanone(MEK)
EPA lj11; 05,10/18 11:58
NO ug/L
Carbon tetrachloride
Chlorobenzena
NO ug/L 100 20
NO 20G 20 05/14/18 18;41 71.43.2
loon
Og/L
NO ug/L 100 20 05114/1818:41 78 .933
05/14/18 18,41
l.4.DiChlor,4-Dichlorobenzena
1,2-Dichloroelhene
NO 100 20 56-23.5
ug/L
NO 100 20 05/14/16 18:41 108-90-7
1,t-Dichloraelhene
ug/L
NO ug/l 05/14/18 18:41 6] 100 20 66y
Tetracbletherlene
100 2p 05/14/18 1R:41 107.06-2
NO ug/L 05/14/18 18:41
Trichlor0elhene
ND pg/L 100 20 f07-O6.2
100 20 OS/14/18 18'41 75-35.4
Vinyl chloride
Surrogates
NO °9/L 100 20 05/14/18 16:41 127.18-0
ND
1.2-Dichlor06lhane d4 S O
ug/l 06/14/18 18:41 ]
100 20 9-0L6
18:41
Toluene-do(S)
80 %05/14/18 ]5.01-4
4-8romofluorobenzene (S)
116 7p-1320
G7�135 20 05/14/1818:41 1706007.0
PeroentMolalure
98 05/14/18 18,4
70.130 2U 1 2037-26-5
Percent Moisture
Analytical Method: ASTM D2974.87 05/14/18 18:41 460-00 4
1010 FlashPolnt,Closed Cu P
98.5 %
0.10 1
Analytical Method: EPA 1010 05/08/18 12:55
FlasM1ppinl
9045 pH Soil
>200.0 deg F
70'p 1
05/16/18 10,00
Analytical Method: CPA 9045
PH al ZS Degrees C
6.5 Sid, Units 0,10 1
733C S Reactive Cyanide
05/10/18 07:40
Analytical Method: EPA 9p14 Hi
Cyanide. React,,
Preparation Melh otl: S'N8a6 7.3.3.2
7345 Reactve Sulfide
NO mg/kg
1.0 i 05/•0/1801:34 05/1011802:06
AnalyliCal Method: SM4500SU-00 Preparation Method : SW-846
S dde. RmPh a
7.3.4,2
NO
mg/kg 10 1 05J10/1801:34 05/10/1801:42
REPORT OF LABORATORY ANALYSIS
Dab s5r31/201806This nepart shall nol be reproe A9duced,.. n '.34 PM wim0ut the written consent or Pace Analy9c215amova_LLC.
Page 5 0124
PO Box 228 a Statesville, NC 28687 a 704./872/4697
Page 6 of 27

�! .-�°aceAna�rcal
�wlxpaaNeEe.a�
Pace AnalYlical 6ervlcea, LLC
9800alncey Ave. Suit. 100
Hummolla, NC 280)e
P041e75-9092
Project:
ANALYTICAL RESULTS
1e0503.32
Pace Project No.:
92383546
$ample: PCB
Parameters
92383546002
Collacletl; O5/03/1812:15
fi0B2 GCS PCB RVE
esutD;
Results
Units
Rep,d Llmll OF
Received; O S/04/1812:35
Matrix: Water
PCB4016 (Aroclor 1016)
Analytical Meth, Prepared Analyzed
'EPA 8082 Preparellon ���
Method:
CAS No QQ=al
PCB-1 221 (Aroclor 1232)
NO
ug/L
EPA
3510
PCB-12J2(Aroclor 1232)
PCB-1242(Aroclor 1242)
NO
NO
ug/L
0.50 1
0.50 1
05/30/1815:45 05/31/1810,48
12674-11-
PCB-1254 (Aroclor 1254)
NO
ug/L
Ug/L
0.50 1
05/30/1815:45 OS/31/18 10:a8
06/30/1815:95 05/3111810'a
2
11104-28-2
PCB"1254(Amclor 1260)
PCB-1260 (Ar,el,r 1260)
NO
NO
ug/L
0.50 1
0.50 1
05/30/1815:45
11141.16-5
Surro9a(es
Decachloroblphenyl
NO
ug/L
ugQ
0.50 1
0.50
05/30/1815:46 05131/1810:48
0513011815.45 05/311161048
526702-29-6
($)
60
1
0,5/30/181g:45 01131118 10 48
1109T.
10.132 1
05/30118 15.4 5 05/31/1810:48
1f096.82..5
2051-24-3
REPORT OF LABORATORY ANALYSIS
Dale 05/ 1I2018 O6'34 PM na Tms repo, snap not be reprooucee. exceq U.
m:nc_I Iwritten conaenl of pace Analytical 6eriee_ LLC
Page 6 of 24
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 9 Of 27

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 05/03/2018
Reported: 05/04/2018
For:
RUTHERFORDTON
Comments: Geometric Mean 15,224 MPN/g
Sample Number Parameter
Sample ID Result
180503-17-01 Qannl �_,:._ Unit Mmw,.N
80503-17-01
�011iurrns
Percent Solids
1
14024
MPN/g
--._,,,
sdszz,cE.200,
Analyzed
Analyst
180503-17-02
Fecal Coliforms
1
1.64
%
$M26408-1997
05/03/2018
WC
180503-17-02
Percent Solids
2
15541
MPN/g
sMszzlcE.zoos
05/03/2018
WC
180503-17-03
Fecal Coliforms
2
1.48
%
SM25408.1997
05/03/2018
WC
180503-17-03
Percent Solids
3
3690
MPN/g
SM9540BCE zoos
05/03/2018
WC
180503-17-04
Fecal Coliforms
3
1,68
%
.1
&M249B 1g97
05/03/2018
WC
180503-17-04
Percent Solids
4
20000
MPN/g
SM92210E 2006
05/03/2018
WC
180503-17.05
Fecal Coliforms
4
1.70
%
SM25409.1997
05/03/2018
WC
180503-17-05
Percent Solids
5
13939
MPN/g
SM92210E 2006
05/03/2018
WC
180503-17-06
Fecal Coliforms
5
g
1.65
%
SM2540B 1997
05/03/2018
05/03/2018
WC
80503-17-06
Percent Solids
6
17341
MPN/g
SM92210E 2006
05/03/2018
WC
180503.17-07
Fecal Coliforms
7
.73
%
sM25408.1997
05/03/2018
WC
180503-17-07
Percent Solids
7
13143
MPN/g
SM92210E 2006
05/03/2018
WC
1.75
SM2540B.1997
05/03/2018
WC
WC
Respectfully submitted,
Dena Myers
NC Cent #440,
NCDW Can #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • '704/972./4697
Page i of 4

State ol'North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: Yadkin Valley Sewer Authority
2. Facility permit holder is: ❑ Federal, ❑ State, Local Government, or ❑ Private.
Facility permit issued by: Div. of Water Resources, ❑ Div. of Environmental Health,
or ❑ Other (explain: —).
3. Facility contact person and title: Niehole Johnston. Executive Director
Complete mailing address: PO Box 828
City: Elkin State: NC Zip 28621-
Telephone number: (336) 835_-98�19 E-mail address: nichole.iohnston _vsa.ore
4. Facility physical address: 200 Marion Street
City: Elkin State: NC Zip' 28621,
—
Coordinates: Latitude: 36° 49' 24.58,, Longitude: 80° 49, 57_66"
Datum: NAD 83 Level of accuracy: .Of
Method of 'measurement MAP
5. Purpose of the facility:
Z treatment of municipal wastewater, ❑ treatment of 100% domestic wastewater,
❑ treatment of potable water, [] treatment of 100% industrial wastewater,
❑ treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: — % industrial and — %domestic)
❑ other (explain: _ ).
6. Does the facility have an approved pretreatment program: ® Yes ❑ No
7. Facility permitted/design flow: 1.8 MGD and facility average daily flow: 0.805 MGD
8. Average amount of residuals being generated at this facility 85_I3 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 200.000_gatlon 210.Oo0 gallons­tnd 19Q OOOgallons residual holding tanks
Type and volume of residuals storage (i.e., outside of residuals treatment units):
RESIDUALS QUALITY INFORMATION (See Instruction C.):
Specify if residuals are regulated under:
0 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during dontestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1 102(6) as:
0 Biological ❑ Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
Processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-16
Page I of 5

' Hazardous Waste Deter
urination: C
RCRA; (Note -this omplete the folio
win
item does not have to be completed for facilities that are less than 0.5 MGD in design flow
g to demonstrate that the residuals are non -hazardous under
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR hat neat
If yes, list the number(s)_ §261 31 §26 L,3. ❑Yes
Eno.
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CPR §261.21-
261.24: ❑ yes
no.
Fill in the following tables with the results of the latest toxicity characteristic n
well as those for corrosivity, ignitability, and reactivity: leaching Laboratory: Pace Anal and Date of analysis: 1.30-2018 Procedure (TCLP) analysis as
Passed corrosivity, test:
® Yes ❑ no.
Passed ignitability test: ® pH: s.u. (2 pH < 12.5)
Yes ❑ no. Plasltpoint: 200 T (� 140°F)
Passed reactivity test: ®yes Ono. HCN: ND m /k <
g g ( 250) & HzS: ND mg/kg (<500)
TCLP Parameter
Limit Result TCLP Parameter
(i�ag/l) (mgll) Limit Result
Ate_ 5.0 ND (mg/l) (fleg/l)
Hexachlorobenzene 0,13
Barium_ 100.0 Np — — ND
_ Hexachloro-1,3-Butadiene 0.5 Benzene ND
0.5 — --
_ ND Hexachloroethane
- --- N D ----.
- ---- 3 0
_------- -- ND
adnuum — ---
— -
Carbon lenachloride
Lead
0.5 S0
_ND Lindane ----- -
Chlordane — -- 04 ND
0.03 ND Mercury 0.2 - -----
Chlorobenzene 100.0 — ND
_-------_--- ND Methoxychlor 0.0 ----
Chloroform -- ND
-- 6.0 ND -------
___...___---ND
ChromiumUU
5 0
ND
Nitrobenzene
m-C esol _
200.0
ND
Pentachlorophenol
100.0
0-cresol —
200.0
ND
Pyridine ---
5.0
ND
— --
p-Cresol
200.0
ND
Selenium
0
ND
i -Cresol
200.0
ND
Silver
5.0
ND
ND
2'jD
10.0
ND
Tetrachloroethylene
0.7
ND
IA-DDichlorobenzene _
7_5
_ND
Toxaphene
O.S
ND
1,2-Dichlot oethane
0_5
ND
Trichloroethylene
0.5
ND
I,I- Dichla'oethylene
0.7
_ ND
2,4,5-Trichloropheno1
400.0
ND
2,4-Dinitrotoluene —
0.13
—
ND
2,4,6-Trichlorophenol
2.0
ND
- Endrin -
0.02
_ ND
--- —
2,4,5=fP (Silvcx)
1.0
---------
ND
Heptachlor and its Hydroxide
0.008
ND
Vinvl i'hlnriria
n I,.�
Page Z of 5
FORM. RSC 06-16

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceilingconcentrations for metals regulated under 15A NCAC 021' .1105.
a. For Distribution/Lund Anu/icntiou: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Wayooint Analytical and Date of analysis: 1-15-2018
Parameter
Ceiling
Concentration Limits
(ClassA & ClassD)
—(pig/kg)
Monthly Average
Concentration Limits
(Class A Only)
(nrg/kg)
Result
(mg/kg)
Arsenic
75
__.__ —
41
—
5.25
Cadmium
85
39
----- 2 --
Copper
4,300
1,500
411
Lead
840
300
26.3
Mercury
57
17
0.573
Molybdenum
75
n/a
5
Nickel
420
420
22.3
Selenium
100
--
100
--
Zinc
—_7,500—
2,800--------622
--
b. For Surface Disposal Unit (lan(Ifill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: _ and Date of analysis: _
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(nvg/kg)
Chromium
(mg/kg)
Nickel
(nag/kg)
El > 0 but < 25 -
30
200
210
❑ > 25 but < 50
34
220
240 —
❑' >_ 50 but < 75
--
39
—
260
270
❑ > 75 but < 100
46
300 ---
—_ — 320 --
❑ > 100 but < 125
53
360
390
❑ > 125 _----- -
62
---------
450
420
Result (mg/kg)
------
------
FORM: RSC 06-16
Page 3 of 5

6
5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.45 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Wavnoint and Date of analysis: 1-15-2018
ubmg me results listed in Item 11, 5b. above, calculate the sodium adsorption ration (SAR): 10 [Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): ® default value, or ❑ actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the fnun a { Buie.
Application MethodF18
First (1") Year PAN Five -Year
(mg/kg) Maximum Adjusted PAN
---- — (ntg/kg)
_Surface 15986
Injection/Incorporation 20415
Other PouumntsVet Pratt ination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-I6
Page 4 of 5

7. Pathoeen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Applicalion of Class A or Equivalent:
❑ A fecal colifornt density that is demonstrated to be less than 1,000 MPN per grant of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
❑ Alternative I [15A NCAC 02T.1 106(b)(3)(A)] - Time/Temperature Compliance.
❑ Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline Treatment.
❑ Alternative 3 [I5A NCAC 02T.I 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helininth Ova.
❑ Alternative 4 [I5A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Flelminth Ova.
❑ Alternative 5 [I5A NCAC 02T.1 I06(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: ❑ composting, ❑ heat drying, ❑ heat treatment,
❑ thermophilic aerobic digestion, ❑ beta ray irradiation,
❑ gamma ray irradiation, or ❑ pasteurization.
b. For and Application of Class B:
Alternative I [I5A NCAC 02T.I 106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.1 106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
❑ composting, or ❑ lime stabilization.
c. For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
El Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
❑ Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [ I5A NCAC 02T. 1106(a)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per I5A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
❑ Alternative I [I5A NCAC 02T.1107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
❑ Alternative 2 [I5A NCAC 02T.I 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
® Alternative 3 [I5A NCAC 02T.1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [I5A NCAC 02T.1 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
❑ Alternative 5 [I5A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [I5A NCAC 02T.I 107(a)(6)] - Alkaline Stabilization.
❑ Alternative 7 [I5A NCAC 02T.1 I07(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [I5A NCAC 02T.1 107(a)(9)] - Injection.
❑ Alternative 10 [ I5A NCAC 02T.1 107(a)(10)] - Incorporation.
❑ Alternative for Surface Disposal Units Only - Soil/Other Material Cover [ I5A NCAC 021'.I 107(b)(2)].
❑ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16
Page 5 of 5

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Process Flow Diagram

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ELKIN / YVSA WWTP
MODIFICATIONS
TOWN QE ELKIN
ELKIN, NORTH GAROLINA
PROPOSED
FLOW CHART DIAGRAM
r' , Hobbs, Upchurch & Assocla
Consulting Engineers
Chgdotle, 80dh Coto/ino 28273
9140 Hrowpolnl 61r0,. 51e, 120, cnanolle, Notln Corz 'Zo boi) apt—a000 — ro,: (7oi) 342-3

Quantitate Justification for Residual Production Rate:
For the past five years the Yadkin Valley Sewer Authority has produced an average of 85.13 dry tons. The
100 dry tons requested in this permit, along with the 250 dry tnnr AuthnrR„', i,_A __ ,. ._

Southern Soil Builders, Inc.
Permit No, WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the
digester. Samples from the digester will be combined to form individual grab samples to be sent
to a laboratory for analysis. If a land application event is to occur in the earl
year (i.e. January or early February) these samples may have to be taken in December so results
can be obtained before the land application event, as some results take 30+y part of a calendar
These individual grab samples are collected and tested for fecal coliformsanalysis,
eive,
volatile solids reduction, nutrient analysis, and a TCLP test. These tests will be taken b
Soil Builders, Inc. All samples with the exception of the composite residual sample will be taken
to Statesville Analytical. All samples taken will be taken in the same condition as the residuals
are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)];
38% volatile solids reduction. This option will be attempted first due to it being the most cost
effective. One sample will be taken at the aeration basin and labeled "B" The next sample will
be labeled "A" and be taken from the digester.
scale
f the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day
option 3 [503.33(b)(3)) test will be used. This sample will be taken from the digbench
sample being at least a quart in quantity, ester with the
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the
sludge holding tank will be stabilized using sufficient alkaline et option 6 [503.33(b)(11
commonly (mown as lime stabilization, to me
Fecal Coliform is gather in seven (7) individual samples and tested to meet the
requirements of f503.32(b)(2)]. This requirement is for the geometric mean fecal coliform
density of the samples be less than two million (2,000,000) MPN
Per gram, These samples will
be placed in 250ml containers and placed on ice, in a cooler for transport to the laboratory
before 1600 hours (4pm) the same day the samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior
to a land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum,
Ammonia Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, % total Solids, pH, Phosphorus,
Potassium, TKN, Sodium
From this information, the Plant Available Nitrogen (PAN)
d
Ratio (SAR) will be calculated. This sample will collected in a and
container, berr,,ratlleast
one quart in size. This sample will be taken from the digester, This test will be done by A&L Labs.

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Ol O V V V V V N N N N N N N N N N N N N N N _ _ N
O D O O O O O O O O O O O O O O O
0 0 0 0 0 0 0 0 0 0 0
O O q
O O O O O O O O O O O O O O O M
V1 h V] to U] N
O
O
M
O O O O O O
M W N
M
d' LQ
M m V M O O .- O O
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m U
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c E c Z m
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a c E c
m !� M m m m m m m co m m m E f0
¢ 0 Z
am.
J
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J
Z
Q
0
O
W
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T
m
0 o U U o a o 0 a
� � � coo coo 3 coo rn coo
m
N N N N N O N M N
O
0 0 0 0 0 0 0 0 0
N N N N N N N N N
N
O O O O O O O O O
0 0 0 0 0 0 0� o
0
0 0 0 0 0 0 0 0 0
O O O O p a p O
N h N 6 M A N N
p N M M 1p M O
V O V
I
E
E
o Z E
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a
U U Z °; a i y
m m m m m m m co
F2 E
E
E
0
U
Lo
A

0
0
0
a
0
I
a
�o
II
LO N
O M
co
O
u N O O pNj
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t co1 U N
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co
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e) V
C

SAR
Sodium Absorption Ratio
Na : Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /Lj CM
89.01 6M M
Na..(ME) C4 (ME). M9 (MEl
3.87 18.1125 9,918333
The amour
SAR= Na Milli EquivalenU[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power amount of
SAR = 1,0337-- (From Mg/L entered above) Permitting
SAR= 1.033747 (From ME entered below)
Na ME Ca ME Mg (ME1
3.87 18.11 9.92

Southern Sc
958 Hoots Road
Roaring River, NC
Receive Date:
Reported:
For:
Comments:
Sample Number p;
180115-21-01 3C
Respectfully submit
Dena Myers
NC Cart #440,
NCDW Cart #37755
EPA #NC00909

Analytical Results
Southern Soil Builders For: YVSA
958 Hoots Road
Roaring River NC 28669
Entered: 01/15/2018
Reported:02/20/2018
Sample ID: 180115-21-01
PARAMETER: Vector Attraction Reduction/Aerobically Digested Sludge (30day)
Total Solids
Volatile Solids
% Volatile Solids
Week
1
2.40
1.31
0.5451
Week
2
2.38
1.32
0.5532
Week
3
2.33
1.27
0.5457
Week
4
2.45
1.32
0.5409
Week
5
2.17
1.12
0.5186
Volatile Solids Reduction: 0.5451 - 0.5186 X 100 = 10%
0.5451- (0.5451 X 0.5186)
Respectfully submitted,
Dena Myers
Statesville Analytical, Inc.
NC WW Cert.# 440NC
DW Cert. #37755

A�_�_ .. _

aceAnalyical
/ xweps4Wbac4m
t
ANALYTICAL RESULTS
Project 180115-20
Pace Project No.: 92369723
Pace Analytical aervlcee, LLC
9800 Kincey Ave. Suite too
'Hunlersvi8e, NC 26078
[phone]
Lab ID:-92369723001 Collected: 01/i5118 09:00 Recelvetl: 01/16/18 0848 Matrix: Said
Results reported on a "dry weight' basis and are ed/usretl for
Comments:
• Chain of custody lists
per moisture, sample size and any dilutions.
matrix as SL; determined to be VOT by laboratory
Parameters
:Results Units Report Limit OF P
6081 GCS Pesticides, TCLP
-_ _ _Prepared Analyzed CAS No. Dual
Analytical Method: EPA 8081 Preparation
Method;
Leachete Method/Date: EPA 1311: 01/25/18
EPA 3510
gamma-SHC (Llndane)
14:20
NO
Chlordane (Technical)
ug/L 0.50 1
01/29/18 08;23 01/29/18 16:71 58-68-9
Endrin
Heptachlor
ug/L
No 3.0 1
g 0.50 1
01/29/1808:23 01/29/18 16:11 57-74-9
Heptachlor ePoxlde
NO ug/L 0.50 1
01/29/18 08:23 01/29/18 16:11 72.20-8
0112911808:23 01/29/18 16:11
Methoxychlor
NO ug/L 0.50 1
NO ug/L
76-44.8
01129/1808:23 01/29/18 16:11 1024-57-3
Toxaphene
1000 1
NO ug/L
01/29/18 08:23 01/29/18 16:11 72.43-5
Surrogates
Decachlorobiphenyt(S)
3:0 1
01/29/18 08:23 01/29/18 16:11 8001-35-2
Tetrachloro-m-xylene(5)
50
34 10-138 1
01/29/18 08:23 01/29/1816'. 11 2051-24-3
8151 Chlorinate Herbicide TCLP
10-110 1
01/29/1808,23 01/2911816:11 877- 09 8
Analytical Method. EPA 8151 Preparation Method: EPA 3510
2,4-D
2,4,5-TP(Silvex)
NO mglL 0.31 i.
NO mg/L
01/23/18 09:31 01/30/18 12:12 94-75-7
Surrogates
2,4•DCAA(S)
0,31 1
01123/18 09:31 01/30/18 12:12 93-72-1
6010 MET ICP, TCLP
85 e/
39.139 1
01/23/18 09:31 01 /30/18 12:12 19719.28.9
Analytical Method: EPA 6010 Preparation Method: EPA 3010A
Leachete Melh0410ate: EPA 1311; 01/18/1618:15 Initial
pH: 6.79, Final 4.5
Arsenic
Barium
NO mg/L 0,050 1
NO
pH.
01/19/1817:25 01124/1813:56 7440-38-2
Cadmium
mg/L 0.25 1
NO mg/L
011191181725 01/23/1822:50 7440-39-3
Chromium
0.0050 1
NO
01/19/1817:25 01/23/1822:50 7440-43-9
Lead
MA 0.050 1
NO mg/L
01/1911817:25 01/23/1822:50 7440.47.3
Selenium
0.025 1
NO mg/L
01119/1817:25 01/231182150 7439-92-1
Silver
0.10 1
NO mg/L
01/19/1817:25 01/23/1822:50 7782-49-2
0,025 1
0111911817:25 01/23/1822:50 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leechate Method/Date: EPA 1311; 01/18/18 18:15 Initial pH: 6.79; Final pH: 4.5
Mercury
NO mg/L 0.00020 1
01/19/1819:05 0112211811:26 7439- g7 6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA.8270 Preparation Method: EPA 3510
Leachate MelhoolOale: EPA 1311; 01/25/18 14:20
1,4-Dichlorobenzene
2,4-Dinitrotoluene
NO ug/L 50.0 1
NO
01/26/18 09:40 01/26/18 13:10 106 46.7
Hexechloro-1,3-bmadiene
ug/L 60.0 1
NO ug/L
01/26/18 09.40 01/2511813:10 121-14-2
Hezachlorobenzene
50.0 1
NO ug/L
01/26/18 09:40 01/26/18 13:16 87.68-3
Hexachlorobenzo
50.0 1
NO ug/L
01/26/18 09:40 01/26/18 13:16 118.74.1
2-Methyiphiethan�Cresol
re
50.0 1
NO ug/L
01/26/18 09:40 01/26/18 13:16 67-72-1
364-Meth henol Cresol
( P )
50.0 1
NO ug/L
01126/1809:40 01/2611813:16 95.48-7
Nittoben2e e
50.0 1
NO ug/L
01/26/18 09:40 01/26/18 13:16 15831-10.4
Pentachlorophenol
50.0 1
NO ug/L
01/26/18 09.40 01/26/18 13:16 98-95-3
Pyridine
100 1
NO ug/L
01/26/18 09.40 01/26/18 13:16 87-86.5
2,45-Trichlorophenol
50.0 1
NO ug/L
01/2611809:40 0112611813:16 110-86.1
SU 1
01/26/1809A0 01126/1813:16 95-95-4
REPORT OF LABORATORY ANALYSIS
This '.Pon shell not be reproduced, except In full,
Dale: 01/30/2016 07:33 PM
without the written consent of Pace Analytical Services, LLC.
Page 50! 25
PO Box 228 a Statesville, NC 28687 e 704/872/4697
Page 6 of 26

aceAnalytical a
/ t✓x'a'panlsb:wm
Pace Analytical Services, LLC
9900KIncey Ave. Suile100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: 180115-20
Pace Project No.: 92369723
Sample: 180115.20
Results Yepogetl on "tlry weight'
Lab itch -S2369723001 Col'aI: I, O7/15/7608:00 Received; 01/16/1808:46
basl%nd
o Matrix: Solltl
are ed/usted for percent moisture, sample size and any difufions,
Comments: • Chain of custody lists matrix as SL; determined to be WT
Parameters
by laboratory
.Results
6270 M35V TCLP Se Punnet
P
Units�_ Rap or[ Limit OF
----
Prepared Analyzed CAS No
Analytical Method: EPA 8270 Preparation Method: EPA 3510
rophanol
Leachate MethotllOate: EPA 1311; 01/25/18 14:20
Surrogates
Surrogates
Nltrobeltzene-d5 (S)
NO ug/L 50.0 1
01/26/18 09:40 01/26/18 13:16 88-06-2
2-Fluorobiphenyl(S)
Terphenyl-ii (S)
55 % 12.102 1
53
01/26/18 09:40 01/26/18 13:16 4165.60.0
Phenobtl6 S
( )
68 % 23-132 1
110 1
01/2611809.40
2-Fluorr[bMmophe
19 %
30 0� 10.110 1
01/26/1813.16 171-60-8
0112611809:40 01/2611813:16 1718-57-0
Ot/28/78.09:40 01/26/18 13:18
2,4,6-Trlbromophenol (S)
10-110 1
50
13127-883
01/26/1809;40 01126/1813:16
8280 MSV TCLP
27-108 1
367- 2.6
01/26/1809:40 01/26/1813'16 it6.79-fi
Benzene
Analytical Method: EPA 6260 Leschate Method/Date: EPA 1311; 01/22/18 10:37
2-Butanone(MEK)
Carbon tetrachloride
NO ug/L 100 20
NO ug/L 200 20
01/24/18 20.49 71.43-2
Chdrobenzene
NO ug/L 100 20
01/24/18 20:49 78-93-3
Chloroform
NO ug/L 100 20
5
01/24/18 20A9
1,4-Dichlorobenzene
NO ug/L 100 20
01/24/18 20:49 108-9 -7
1,2-Dichloloethane
NO ug/L 100 20
07/24/78 20:49 67-
7-66-
646.
1,7-Dlbhloroelhene
NO ug/L 100 20
01/24/18 20:49 107-46.2
Telrachdroethene
NO ug/L 100 20
01/24/18 20:49 107-
Trichloroethena
NO ug/L 100 20
01/2411820:49 75-35-4
5-4
Vinyl chloride
ug/L 100 20
01/24/18 20:49 127-19-4
Surrogates
No ug/L 100 20
01/24/18 20:49 79-01-5
1,2-Dichloroethene-d4 (S)
01/24/18 20:49 75-01-4
Toluene -de (S)
09 70.130 20
102 >�
20:49 17060-07-0
4-8romo0uorobanzane (S)
9g 67-135 20
01/24/18
01/24/18 20:49 2037-
2037-26.5
Percent Moisture
70-130 20
Analytical Method: ASTM 02974-87
01/24/1820:49 460-00-4
0-4
Percent Moisture
96.7
1010 Flashpoint,Closed Cu P
0.10 1
Analytical Method: EPA 1010
01/18/18 14:13
Flashpoint
>200 do F
g 70.0 1
8048 pH Soil
Analytical Method: EPA 9045
01/18/1811:50
PH at 25 Degrees C
6.3 Sid. Units
733C S Reactive Cyanide
0.70 1 Preparation
Analytical Method: EPA 9014
Ot/i e/18 13:50
Method: 846 SW-
7.3.3.2
Cyanide, Reactive
NO mg/kg 099 1 01/18/18
16:09 01/18/18 23:40
734S Reactive Sulfide
Analytical Method: SM4500S2F-00 Preparation
Method: SW-848
7.3,4.2
Sulfide, Reactive
NO mg/kg 9,9 t 01/18/1816:09 01/18/1821:37
REPORT OF LABORATORY ANALYSIS
This report shell not be r.plotluceQ except In fuu,
Data: 61/30/201807:33 PM without the w11I ccneant of Pace Analytical Services, ll
Qua;
Page 6 of 25
PO Box 228 a Statesville, NC 28687 e 704/872/4697
Page 7 of 26

aceAnal /l I a
'" J•,Ca/ Pacegnalyticel9ervlcea, LLC
s'sxps[aNOsrom 9800 Kincey Ave. Sulle too
1 Hunlereville, NC 28078
[phone]
ANALYTICAL RESULTS
Project: 180115.20
Pace Project No.: 92369723
Sample; 180115.20PC0
Parameters
Labt
Results
92369723its
Collecletl: 01/15/1809:00 Recalved: 01/16/1808:46
Matrix: Water
8082 GCS PCB
lJl� Report Limit OF
_�
Analytical Method: EPA 8082 Preparation
Prepared Analyzetl
CAS No. Cual
PCB-1016 (Aroclor 7076)
Method: EPA
351
PC13-1221 (Aroolor 1221)
PCB• 1232 (Aroclor 1242)
ND
ND
ug/L
up/L
5.0 1
5.0
01/29/7817:10 01/30/1809:53
12674-11-2
PCB-1242 (Aroclor 1242)
NO
ug/L
1
5.0 7
01/29/18 17:10 01/30/18 09:53
11104-28-2
PCB-1248(Aroclor 1248)
ND
ug/L
5.0 1
07/29/7817:10 01/30/1809:53
11741-28.2
16-5
PCB-1254.(Aroclor 1254)
NO
u9/L
5.0 1
0112911817:10 01130/1809:53
53469-21.9
PCB-1260 (Aroclor 1260)
ND
ugA
5.0 1
01/29/1817:10 Ot/30/1808:53
12672-29-6
Surrogates
Deoachlorobiphenyt
NO
u9/L
5.0 1
OV29/1817:10 01/30/1809:53
01/29/181T.10 O1/30/1809�53
11097-69-1
(9)
20
11096-82.5
10-132 7
01/29/1817:10 01/30/1809:53
2051-24-3
REPORT OF LABORATORY ANALYSIS
This report shell not be reproduced, except In full,
Date: 0113012018 07:33 PM without the written consent of Pace Anelylicel Servkes, LLC.
Page 7 of 25
PO Box 229 • Statesville, NC 28687 e 704/872/4697
Page 8 of 26

Z Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/15/2018
Reported: 01 /16/2018
For: YVSA
Comments: Geometric Mean 6869 MPN/g
Sample Number Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
180115-04-01 Fecal Coliforms
1
6785
MPN/ 9
SM92210E 2006
01/15/2018
CL
180115-04-01 Percent Solids
1
3.39
%
SM254OB-1997
180115-04-02 Fecal Coliforms
2
6949
01/15/2018
WC
MPN/g
SM92210E 2006
01/15/2018
CL
180115-04-02 Percent Solids
2
3.31
%
SM2540B4997
01/15/2018
WC
180115-04-03 Fecal Coliforms
3
6949
MPN/g
SM92210E-2006
01/15/2018
CL
180115-04-03 Percent Solids
3
3,31
%
SM25408-1997
01/15/2018
WC
180115-04-04 Fecal Coliforms
4
6805
MPN/g
SM92210E-2006
01/15/2018
CL
180115-04-04 Percent Solids
4
3.38
%
SM254OB-1997
01/15/2018
WC
180115-04-05 Fecal Coliforms
5
6725
MPN/g
SM92210E-2006
01/15/2018
CL
180115-04-05 Percent Solids
5
3.42
%
SM25406-1997
01/15/2018
WC
180115-04-06 Fecal Coliforms
6
6970
MPN/g
SM92210E-2005
01/15/2018
CL
180115-04-06 Percent Solids
6
3.30
%
SM25408-1997
01/15/2018
WC
180115-04-07 Fecal Coliforms
7
6907
MPN/g
SM92210E-2006
01/15/2018
CL
180115-04-07 Percent Solids
7
3.33
%
SM254OB-1997
01/15/2018
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2

DWR State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
1. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: (iit 6fBeltaQ'ri
2. Facility permit holder is: 0 Federal, 0 State, 0 Local Government, or 0 Private.
Facility permit issued by: 0Div. of Water Resources, 0 Div. of Environmental Health,
or 0 Other (explain:
3. Facility contact person and title: SSartdi'a CTaii Senior 1 V/TP Ctoetator
Complete mailing address: PO,8ox,431
City: Bed State: NC Zip: 2=
Telephone number: (704) 821-4Q E-mail address: sctaftgkitivolibel
4. Facility physical address: 298-Parkdale.1)ri g
City: Be tna t State: IBC Zip: 28012
Coordinates: Latitude: 3,5' 13' 59_04" Longitude: 81' 01' Q211;✓'
Datum: NAi?83' Level of accuracy: 80;],
Method of measurement: MAP
5. Purpose of the facility:
0 treatment of municipal wastewater, 0 treatment of 100% domestic wastewater,
0 treatment of potable water, 0 treatment of 100% industrial wastewater,
0 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: _ % industrial and % domestic)
0 other (explain ).
6. Does the facility have an approved pretreatment program: Yes El No
7. Facility permitted/design flow: 5 MGD and facility average daily flow: 12 MGD
8. Average amount of residuals being generated at this facility 29,a dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 1.7 Million GallonSiudee Holding Tank
Type and volume of residuals storage (i.e., outside of residuals treatment units):
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I. Specify if residuals are regulated under:
0 40 CFR Part 503 or 0 40 CFR Part 257.
Now Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
0 Biological Fj Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
FORM: RSC 06-I6 Page I of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261,33: O yes no.
If yes, list the number(s): ..,: ' :_
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: 0 yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: PACE and Date of analysis: 44: ' '18
Passed corrosivity test: 0 yes n no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: [9 yes 0 no. Flashpoint: 200 OF (> 140°F)
Passed reactivity test: ® yes Ono. HCN: Nb mg/kg (<250) & H2S: ++1D mg/kg (<500)
TCLP Parameter
Limit
(m9/1)
Result
(+n9/1)
TCLP Parameter
Limit
(mg/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
ND
Carbon Tetrachloride
0.5
ND
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
ND
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pentachlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
ND
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
ND
Trichloroethylene
0.5
ND
l,l-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
ND
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-16 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: WftlioitttArtalytsaal and Date of analysis: 4-25-2019
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mglkg)
Arsenic
75
41
5
Cadmium
85
39
1
Copper
4,300
1,500
324
Lead
840
300
25.1
Mercury
57
17
0.471
Molybdenum
75
n/a
4.4
Nickel
420
420
21.1
Selenium
100
100
6.35
Zinc
7,500
2,800
1570
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: LLL and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(mg/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
0 > 0 but < 25
30
200
210
0 > 25 but < 50
34
220
240
> 50 but < 75
39
260
270
0 > 75 but < 100
46
300
320
0 > 100 but < 125
53
360
390
> 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 3.86 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: ' r jf" and Date of analysis: 4-25-2019
c. using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 2.55
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): [D default value, or 0 actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: IkfattlY foi Aerobic
pia
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (1") Year PAN
Five -Year
Maximum Adjusted PAN
(mg/kg)
(mglkg)
Surface
14010.84
14991.59
Injection/incorporation
16700.84
17869.89
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-16 Page 4 of 5

Pathogen Reduction: Per 15A NCAC 02T 1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Apolication of Class A or Equivalent,
A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
El Alternative I [15A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
n Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline Treatment.
Q Alternative 3 [15A NCAC 02T.1 106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
Q Alternative 5 [15A NCAC 02T.I 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: 0 composting, Q heat drying, heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
gamma ray irradiation, or [Q pasteurization.
b. For Land Application of Class B:
0 Alternative I [15A NCAC 02T.1 106(c)(1)] - Fecal Coliform Density Demonstration.
ED Alternative 2 [15A NCAC 02T.]106(c)(2)] -Process to Si nificantly Reduce Pathogens (PSRP).
Specify one: aerobic digestion, [ air drying, anaerobic digestion,
(� composting, or [ lime stabilization.
c. For Surface Disposal:
E3 Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
El Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item H. 7b. above.
Q Exempt - If Daily Cover Alternative is chosen in Item 11.8. below [15A NCAC 02T.I 106(a)(2)].
EJ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Vector Attraction Reduction (VAR): Per 15A NCAC 02T.I 107, specify how residuals will meet the VAR requirements:
Q Alternative I [15A NCAC 02T.]107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
Alternative 2 [15A NCAC 02T.1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
( Alternative 3 [15A NCAC 02T.1 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
Alternative 4 [15A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Q Alternative 5 [15A NCAC 02T.1 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.] 107(a)(6)] -Alkaline Stabilization.
44! Alternative 7 [15A NCAC 02T.1107(a)(7)] - Drying of Stabilized Residuals.
j Alternative 8 [15A NCAC 02T.] 107(a)(8)] -Drying of Unstabilized Residuals.
d Alternative 9 [15A NCAC 02T.1107(a)(9)] -Injection.
Q Alternative 10 [15A NCAC 02T.1107(a)(10)] -Incorporation.
Q Alternative for Surface Disposal Units Only - Soil/Other Material Cover [15A NCAC 02T.] 107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

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Quantitative Justification for Residuals Production Rate
In the last 10 years the City of Belmont Waste Water Treatment Plant has produced the flowing amount
of residuals in Dry Tons per year:
2008 175.12
2009 49.56
2010 177.04
2011 96.43
2012 111.87
2013 85.87
2014 99.26
2015 164.98
2016 213.85
2017 116.5
This is an average of 129.04 Dry Tons per year, which is less than the 300 dry tons currently requested in
this permit modification package.

Southern Soil Builders, Inc.
Permit No. WQ0037135
SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the
digester. Samples from the digester will be combined to form individual grab samples to be sent
to a laboratory for analysis. If a land application event is to occur in the early part of a calendar
year (i.e. January or early February) these samples may have to be taken in December, so results
can be obtained before the land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis,
volatile solids reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern
Soil Builders, Inc. All samples except for the composite residual sample will be taken to
Statesville Analytical. All samples taken will be taken in the same condition as the residuals are
to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [503.33(b)(1)];
38%volatile solids reduction. This option will be attempted first due to it being the most cost
effective. One sample will be taken at the aeration basin and labeled "B". The next sample will
be labeled "A" and be taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench
scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the
sample being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the
sludge holding tank will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)],
commonly known as lime stabilization.
Fecal Coliform is gathered in seven (7) individual samples and tested to meet the
requirements of [503.32(b)(2)]. This requirement is for the geometric mean fecal coliform
density of the samples be less than two million (2,000,000) MPN per gram. These samples will
be placed in 250ml containers and placed on ice, in a cooler for transport to the laboratory
before 1600 hours (4pm) the same day the samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior
to a land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum,
Ammonia Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus,
Potassium, TKN, Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption
Ratio (SAR) will be calculated. This sample will be collected in a non -breakable container, at least
one quart in size. This sample will be taken from the digester. This test will be done by A&L Labs.

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SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M L
CaM /L
M M /L
34
04233.9
Na„LME,
Ca_(ME�
Mg�ME)
10.17
22.967
8.620833
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 2.559034 (From Mg/L entered above)
SAR= 2.516171 (From ME entered below)
Na ME Ca ME MgfME]
10 22.97 8 62
The amour
amount of
Permitting

Analytical Results :' , " I ,,I
Southern Soil Builders i
958 Hoots Road
Roaring River, NC 28669
Receive Date: 04/25/2019
Reported: 04/29/2019
For: Belmont
Comments: GM <546 MPN/g
Sample Number Parameter Sample ID Result
Unit Method Analyzed Analyst
190425-21-01 Fecal Coliforms 61 <562
MPN/g SM92210E-2006 04/2!5/2019 WC
190425-21-01 Percent Solids Bt
3.56 % sM2540e-2011 04/2;5/2019 WC
190425-21-02 Fecal Coliforms B2 <541
MPN/g sm92210E-2006 04/25/2019 WC
190425-21-02 Percent Solids B2 3.7
SM2540B-2011 04/25/2019 WC
190425-21-03 Fecal Coliforms B3
<542 MPN/g smszzlCE-zoos 04/25/2019 WC
190425-21-03 Percent Solids B3
3.69 % sm2540e-2011 04/25/2019 WC
190425-21-04 Fecal Coliforms B4 <555
MPN/g SM92210E-20o6 04/25/2019 WC
190425-21-04 Percent Solids Bq
3.6 % sM254oB-2011 04/25/2019 WC
190425-21-05 Fecal Coliforms B5 <494
MPN/g SM92210E-2o06 04/25/2019 WC
190425-21-05 Percent Solids B5 4.05 % SM25408.2011
190425-21-06 Fecal Coliforms B6 < 04/25/2019 WC
504 MpN/g sM92210E-2006 04/25/2019 WC
190425-21-06 Percent Solids B6 3.97 % SM254OB-2011
04/25/2019 WC
190425-21-07 Fecal Coliforms B7 <639 MPN/ SM92210E-2006
9 04/25/2019 WC
190425-21-07 Percent Solids B7 3.13 ° SM2540B-2011
�0 04/25/2019 WC
Respectfully submitted,
'OP vv1k..Jwry(,. ,
Dena Myers
NC Cert #440,
NCDW Cent #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4

Southern
958 Hoots Roa
Roaring River,
Receive Date:
Reported:
For:
Comments:
Sample Number
180129-20-01
180129-20-01
Respectfully sub
Dena Myers
NC Cert #440,
NCDW Cert #3T
EPA #NC00909

V ri -
waceAnaiXical n
..race:aD,.11
ANALYTICAL RESULTS
Pace Analytical Servic., LL6
98o0 Kn¢oy Ave. Suitelou
Humcrsville, NC 28010
f704)876&9093
=volerh 180129 20
'ace Project No- 92371512
Sample: 180129.20
Results reported on a -dry weight'
Lab ID: 92371512001 Collecbxl: 0112911813:30 Receivnd'. 01131/1809'.53 Matrix. Solid
basis
arrd are adjusted for Percent moisture, sarrrp7e size and any dllun,noy
Parameters
Result. Units RePoll Unnrl OF
Prepared Analyzed CAS No. dual
8081 GCS Pesticides, TCLP
Analytical Method: EPA 8081 Preparation Method : EPA 3510
Leachate MCRmdlDate: EPA 1311; 02/12118 14:36
pznlmaBHC (Lindano)
Chlordane (Technicaq
ND u9/L 1
021131181602 0211411812,57 58.74-9
Endhn
10
ND °g!L 30 1
0211311816:02 02/14l1812:57 57-74-9
Heptachlor
ND ugiL 0 50 1
02/13118 1692 02I14118 12.57 7b20 8
MPlachlorepoxid°
NO ug/L 0.50 1
NO
0211311816;02 0211411812:57 ]G-448
xychlor
o9ll 0.'v0 1
ND uylL
021131tft IS02 02I14/1812L57 1024 SA, 3
To,,apMithc
7oxzPhene
1000 1
ND
02!17/1816:02 0211911812.9 72-43.5
Surrogates
o9/1- 3.0 1
0211311816.02 0211411812:57 8001.3.5.2
Derachloicaphenyl (S)
Telrachloro-mxylene(S)
28 °', 10-138 1
02113'18 16'.02 02114!18 12'.57 2051 24-3
41 % 10-I10 1
02/131181602 0211411612'57 872.09.8
8151 Chlorinate Herbicide TCLP
Analytical Method; EPA 8151 Preparation Method: EPA 3510
24 D
24,5 TP (Sllvex(
Smrogafes
2 4 DCAA fS)
6010 MET ICP, TCLP
Arsenic
Barium
Cadmium
Chro,nium
Lead
Selenium
Silver
7470 Mercury, TCLP
Mercury
8270 MSSV TCLP Sep Funnel
1 E-Dlchlorobenzene
2.4-0iniloolaimnla
Hexa6hlOro-1, 3-butadiene
Hexachlorobenzene
Hexachl0methane
2.Ms1nvlPha,roga4raae0
384- MelhylphendifinKp Cresol)
Nitrobenzene
Peolachloraphonal
Pyridine
24,5-Trichlomphenof
2 4,6-Trichlorophennl
Cate: 02114120/8 04-.32 PM
ND
mg!L
0.010 1
0210711818:56 02il3118 00:46 94 75 7
NO
m9IL
0-010 1
021W/1818:56 02/131800-46 93-72-1
75
.a
39-139 1
0210711818:56 02!1311800:46 19719 28-9
Analytical Melhotl:
EPA 6010 Preparation MethodEPA
30101
LHarhale MethodlDme:
EPA 13'11;
02/01118 18:da Initial
PH: 4.85'. Flnel PH: 4.5
ND
n,g/L
0.050 1
02102/182155 02106/18 11 43 7440,38-2
ND
mg/L
0.25 1
02102/1821,55 0210611811:43 7440-39-3
ND
mg1L
0.0050 1
0210211821,55 02/06/1811:43 7440-439
ND
mg/L
0.050 1
0210211821:55 0210611811:43 7440-47.3
NO
mg1L
0.025 1
02102/1821:55 02/0611811:4.3 7439-92-1
ND
m91
0.10 1
02/0211821,55 02/0611811:43 778249-2
NO
mg/L
0.025 1
0210211821'55 02106M811:43 7440-224
Analytical Method
EPA 7470 Preparation Method FPA 7470
Leachate MethodlDate-
EPA 1311', 02/O1118 18:00 Ini0al
PH: 4,85, Final PH: 4 5
NO
mµ+L
0.00020 1
02/02.1821:45 02!121161051 743997-6
Analytical Method. EPA 8270 Preparation Method: EPA 3510
Lea6hale MethodlDate'. EPA 1311;
02ND18 14:36
ND
oglL
50.0 1
02113/18 1128 02/14/1811 42 106-46 7
ND
ugll-
50.0 1
02I13)1811.28 02/14l1811 :42 121.14-2
NO
u9/1-
50.0 1
02/13118 11 28 02/14/18 11 :42 87-68-3
ND
ug/L
50,0 1
02/13/181128 02114M811'.42 11874-1
ND
ug/L
50.0 1
021l 3/18 11 28 02!14/18 11:42 67 72-1
NO
u9;L
500 1
02MIS 11 28 02.r14l181142 95487
NO
u91
50.0 1
OL131181128 02/14/1811 :42 15831 10-4
NO
ug/L
60.0 1
02113118 11 28 02N411811-42 98-95-3
NO
ugiL
100 1
02113I18 11 28 0204116 11.42 87 865
ND
ugll
50,0 1
02113/1811.26 02/1411811:42 110-861
NO
ugiL
50.0 1
02/1311811,28 02114/1811 :42 95 95 4
NO
ugiL
50.0 1
02113,118 11 28 02/14/18 11.42 88 06-2
REPORT OF LABORATORY ANALYSIS
Tlisremr, xhall uol he reyrnVlntA J except in lell.
witheot the wnuen conee,4 01 Poce Analyliwl Sconces, LLC
Page 5 of 26
PO Box 228 e Statesville, NC 28687 e 704/872/4697
Page 8 of 29

y;.
�ceAnalytji
w.caam .
ANALYTICAL RESULTS
Project: 180129-20
Pace Project No.: 9231,51,
Pace A11W,tical Serv"ev, LLC
9890 Kinary Ave. b,.,a t0U
Ilome111111o. NC 28018
O04)875 9092
Results reporfetl on a' °a'nbT3001 Collected: oil 11813iv0
90 Receed: D1I31i1A 453
tlry weight' basis add are adjusted for percent
MalrinSolid '.
Parameters
Results
moisture, sample
size and any filly(ions.
8270 MSSV TCLP Sep Funnel
Units
Report Limit DF
_
Prepared
I Analyzed
CAS No.
anal:
Analylical MethodEPA 8270
Preparation Method: EPA 3510
Surrogates
LHachate Maoud/Dale: EPA 1311; 02!1211814:36
N .b,, nzene45 (S)
2-Fluenobiphanyl(S)
Terphenyl.d14 (S)
47 0
31 %
12-102 1
13-107
02/1.3/18 11'.28 02il4i1A 11,42
4155-60-0
Phenohtl6(S)
49
1
2L110 1
02/13/18 1128 02/14,18 1142
321-'
651-
2-4 (S)
11
10-110 1
02'13/1811:28 02/14/1811:42
02113l18 itZ9
1312788-
&Tribhenal
2.4.64nbromopbenol i5)
20 X,
10110 1
02/14/18 1L42
0211311811:28
1312I
8260 MSV iCLP
52 9
21-108 1
02il411811:42
021131181128 02/14i161142
367- -4
&4
11849-8
Benzene
Analytical Method: EPA 8260
Leachate Method/Date:
EPA 1311; 02106,18 11 17,
2entanane. (MEK)
NO uglL
100 20
Carbon IelracMoride
NO og/L
20
02/08!1811-.36
71-43-2
Chlorobenzwle
NO u9/L
100
100 20
02/08/18 11:36
78 9&J
Chloroform
NO ug/L
100 20
02/08/18 11'36
5
1 Dfchloroethare a
NO uglL
100 20
02/08i18 11:36
108 9
108 00-]
2
1.2-Dichloroethalle
NO ug'L
t00 20
D2/08118 11:36
67. 66.3
1.1-Di
NO ug/L
10U 20
D2/08l18 11:36
46.
106-464
Telmchlomelhene
10101thtme,
NO Ui
100 20
0210811811:36
107-062
oroelhene
ND ug/L
ton 20
0210811811:36
75 35-4
Vin
Vinyl
nyl chloride
NO u0/L
t00 20
02/08,18 11:36
121.18 4
Surrogates
NDO °g`L
100 2U
VC811811:35
7901-6
1,2-0ichloroelhane-d4 )S)
02108/1811 :36
75�01-4
Toluene-dA(S)"
104
104 %
70130 20
02i08/18 11:36
4Bromolludrobenzene (S)
97 !.
67-1.f5 20
D2/08/18 11:31i 8037.26�5
2037 26.5
Percent Moisture
70130 20
DVUene 11:36 460-004
Analytical Method : ASTM D29]4-87
Percent Moisture
91 3
1010 Flaahpoint,Closed Cup
Analylical Method EPA 1010
0.10 1
01I01118 11,53
Flashpoint
>200.0 deg F
70.0 1
9045 pH Soil
Analytical Method. EPA 9045
02/06118 0025
pH at 25 Degrees C
4.4 sin Units
0.1U 1
733C S Reactive Cyanide
Analylical fdethod. EPA 9014 Preparation
02!03r1803D2
Method: SW846 7 3 3.2
Hi
Cyanide. Reactive
NO ing.rk9
370 1 0T05/1816o9
0210511822:18
734S Reactive Sulfide
Analylical Melho,. SM450052F.00
PnfparallOn Method.
SW-846 7 3.4.2
Wide, Reactive
NO mg/kg
370
1 02r05'18
16:09 02/D5!18 21:35
REPORT OF LABORATORY ANALYSIS
Tl* reocn Shan nm be repbbo<eij. exCenl n, ful'
Dale: 02114/2018 04132 P1.4 wahobl the.eriuee consent of Film Analyli[a15erc¢M LLC
Pages 6 of 26
PO Box 228 e Statesville, NC 28687 e 704/872/4697
Page 9 of 29

AaceAnalytical
w xearo4a4s.mnr
ANALYTICAL RESULTS
Pace Analytical Sarvicas, LLC
9800 K.ncey Ave. Suifb 100
HotnersvileNC 28078
1704i875.9092
Pmjerl. 18012920
Pace Project No.'. 92371512
Sample: 160129.20PCB LabiD: 92371512002 Collected 01129M81330 Received: D1!31:1809,55 Matrix. Water
Parameters Results Units Report blind DP Prop ared Analyzed CAS No. Qual
8082 GCS PCB
Analylical Method
EPA 8082
Preparation Method:
EPA 3510
PCB. 1016(Arodur 1016)
ND
,911-
5.0
1
02l14/1809:20
02!141181256
12G7411-2
PCB 1221(Ar000r 1221)
NO
u4,L
5.0
1
0211411808'.20
02/1411812,56
11104-28-2
PC81232(Aroclor 1232)
NO
uglL
5.a
1
0211411809: 20
02114/1812:
66 11141,16-5
PCB 1242 (Aroclor 1242)
ND
u9/L
5.0
1
02I14118 09.20
02114118 12.56
53469
21 9
PCB-1248 (Aroclor 1248)
ND
ug/1.
5.0
1
02M411809'.20
02114!10 12:56
12572-29
6
PCB�1254(Aroclor 1254)
NO
ugll-
5.0
1
02/1411809:20
02!14,!1812'.
56 11097-
69 1
P08-1250 (Aroclor 1280)
NO
u9/1-
50
1
112114A809.20
0211411912
SF 11098-82-5
Surrogates
Decachlorobiphenyl(S)
15
10-132
1
0211411809.20
02/1411812,56
2051-24-3
REPORT OF LABORATORY ANALYSIS
This roped h [ not ne,emboucea. brceln in lull
Date: 021141201804J2 PM wimof4 the cvrhren coosmn of Pa. Analytical servlces.l
Pug, 7 of 26
PO Box 228 a Statesville, NC 28687 • 704/872/4697
Page 10 of 29

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
COUNTY BOARD NOTIFICATION
INSTRUCTIONS FOR FORM: CBN 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Perrnitline_U»it
General — This notification is intended to provide the county board in which the land application site is proposed to be located with
general information on the size, location and type of residuals land application proposed to occur in their county, and to give them an
opportunity to comment on the pending permitting request as stipulated in Session Law 2013-340. Notification is not required for
fields deemed permitted to receive Class A residuals under 15A NCAC 02T A 100. Do not submit this document for review
without a corresponding residuals program application form (FORM: RLAP 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. County Board Notification (FORM: CBN 11-15):
❑ Submit the completed and appropriately executed County Board Notification (FORM: CBN I 1-15). Please do not make any
unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the form may
be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate County Board Notification (FORM: CBN 11-15) for each county in which the proposed land application
sites are located.
B. Critical Watershed Areas Information:
❑ Under 15A NCAC 02B .0212, no new permitted sites for land application of residuals are allowed within critical watershed
areas. It is the Applicant's responsibility to ensure that the proposed land application sites are not located within these areas.
❑ For more information regarding Water Supply Watershed Protection Program, please visit the Division website at:
liL0s//deq.nc.t+ov/about/divisions/Water_resources/water-resoarcCS-1 ogram
❑ If uncertain about whether the proposed sites are located within the critical areas, contact the Division or call [phone].
C. Notification Package Submission:
❑ Complete and mail the notification letter, source facility summary, land application site summary, and site location maps to
the appropriate County Board by certified mail with a return receipt requested. It is recommended that a copy of the
notification package also be sent to the County Manager.
❑ The most current publication of the Directory of State and County Officials may be downloaded at:
IA41s://evww.sosnc.;,00v/puhlicati�ns/direct awx
❑ A list of the Division's regional offices, their county coverage, and their contact information may be downloaded at:
lut}r//dec�icy�y/e<nt�ct/regional-ofl ices.
❑ The source facility summary shall include: facility name; county where it is located; and the proposed annual dry tonnage
(i.e., a copy of "Residuals Source Facility Summary" is adequate but not required).
❑ The land application site summary shall include: field ID; acreage; county where it is located; latitude and longitude (i.e,, a
copy of "Land Application Site Certification" is adequate but not required).
D. Proof of Submission:
❑ Attach an 8.5 by 11-inch copy of the return receipt to the back of this attachment rp for to submission of the application to the
Division for review.
INSTRUCTIONS FOR FORM: CBN 06-16 Page 1 of I

North Carolina Department of Environmental Quality
Pat McCrory
Governor
Date: May 9, 2019
To: Name of Chairman to the Board of County Commissioners:
Complete mailing address: 110 North Street
City: Wilkesboro
State: NC
County where land application sites are located: Wilkes
Donald R. van der Vaart
Secretary
Giddeon Keith Elmore Chairman
Zip: 28697
From: Applicant's name: Southern Soil Builders Inc. (on behalf of the Division of Water Resources in accordance with
Session Law 2013-340)
Contact person and title: Zach Kev
Complete mailing address: .1151 Wagon Ridge Road
City: Roaring River State: NC
Zip: 28669
Telephone number: [phone] E-mail address: [e-mail] i
Subject: Notification of residual land application site proposal
This is to notify you that the Applicant listed above will be submitting an application to the Division of Water
Resources for the land application of residual solids to site(s) located in your county. During this review, the Division
will ensure that all federal and state regulations are enforced. Attached to this form is information regarding residuals-
ed
attachmenssources
the appropriate Department wapplication ill
th n your County(esHealthorsEnvironmental lHealth Department rand
Planning Department) if applicable.
More information of the land application sites included in this application will be available at the following
Division of Water Resources Regional Office:
Name of appropriate regional office: Winston-Salem Region Office
Complete mailing address: 450 West Hanes Mill Road
City: Winston-Salem State: NC Zip: 27105
Telephone number: 336 176-9800
Expected date of application submission: May 15, 2019
Should you desire to comment on this application, please do so no later than 30 calendar days following the
notification, or if you would like
expected application submission date. If you have any questions or comments about this noti
more information, please contact the appropriate regional office at the telephone number provided above. Thank
advance for your attention to this matter. you i e
Enclosures: Source Facility Summary
Land Application Site Summary
Maps
Non -Discharge Permitting Und
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: [phone] Internet: 11Pa/oortal.nccenr,o lwe6/,,
An Equal Opporlunity 1 Affirmative Action Employer- Made in part with recycled paper
FORM: CBN 06-16

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1.. Article Addressed to:
1' tdt. F1{nort f tC(w:rmun
11V NU41N
KfS)5pratN�
❑ Agent
X ❑ Addre
B. Received by (Printed N e) I C. Date of Del
D. Is delivery address different from item 1? ❑ Ye:
If YES, enter delivery address below: ❑ No
e
0 Priority Mall
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❑ Certified Mail Restricted Delivery
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❑ Return Receipt for
❑ Collect on Delivery
Merchandise
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0Collecton Delivery Restricted Delivery
Mail
❑ Signature Confirmatlon^
❑ Signature Confirmation
7 015 0640 0005 7 4 8 4 0562
Mall Restricted Delivery
Restricted Delivery
PS Form 3811, July
2015 PSlL7f;3o.o2-oDo-qO5rs
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DWR
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permittine Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Southern Soil Builders. Inc
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cro m Patterns
pP B
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
CM1
yes
Pasture
Animal Feed
CM2
yes
Pasture
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page] of 3

1. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program.
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping pattems, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
11. RESTRICTIONS:
I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I II. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L.0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T.0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: . The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new Droeram_
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
I certify that 1 am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that 1 am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that 1 have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address: 6508 GREENHORN RD
(R n
City: Roaring River State:
Zip:
Phone: 336_-957-8009 E-mail address:
Signature: 'L/�/ Date: S `10- Oki
NORTH CAROLINA, : I KC S COUNTY
1, the undersigned Notary Public do hereby certify that CA rV n /3 /!le-Cgnn
personally appeared before me this day and acknowledged the due execution of the forgoing instrument.
r F 1111111141Ni
WITNESS my hand and official seal this the IU '� _ %,%N,InCHERrNi,
day of 7)r
Signature and seal: % Not
"YPublic
My commission expire: �`�1"1°�3 A ^
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name: Bill Hinson
Address: 537 ROCKY FORD RD
City: Roaring River State:
Phone:
Signature:
Permittee's Certification:
E-mail
Zip: 28669
Date: J - ) o - 1 q
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name:
Signature:
Date: i-/0-301
FORM: LOA 06-16
Page 3 of 3

Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .1100 — LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two conies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit.
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit
this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-I6):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Southern Soil Builders Inc
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
(yes/no)
Land Use or
Cropping Patterns
Intended Use of Crops
p s
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
SKI
No
Pasture
Animal Feed
SK2
No
Pasture
Animal Feed
SK3
No
Pasture
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page I of 3

1. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the site(s) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application sites) to a third party, the landowner shall
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all of the site restrictions (under Section 11) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDENR-DWR, Non -Discharge Permitting Unit, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
5. The Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application site(s) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the land
application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of the
equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals land
application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final soil
pH of at least 6.0, unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for the
specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of nutrients
(e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land application
events at appropriate periods.
12. Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee, the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to; enter and
inspect any property, premises, or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application sites) as required by the permit; copy any records
that must be kept under the terms and conditions of the permit; take necessary leachate, surface water, groundwater, or soil samples during the
term of, and 12 months after termination of, this Agreement.
H. RESTRICTIONS:
I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land application
site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the posting of
signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land application
events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-month
period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land application
event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land application
event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
III. ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T 0105(h) allows the compliance
boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance boundary provided
the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID:
(Please include the rationale for the requested re -location of the compliance boundary and attach a map showing the newly proposed compliance
boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program: Permit Number WQ: . The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new program;
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification:
1 certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application site(s) on behalf of other deeded landowners OR that 1 am otherwise authorized, through
a power of attorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. 1 certify that the above -referenced land application site(s) are not included in any waste disposal contract or
agreement with another municipality, contractor, or other permitted entity. Furthermore, I certify that I have read this Agreement,
understand the stipulations, restrictions, alternatives for water supply wells inside the compliance boundary, acknowledgement of
field transfer, and do hereby grant permission to the Permittee to land apply residuals to the land application site(s) as specified
herein.
Landowner name:
Address:
City: Ronda State:
Phone: [phone] E- a
Signature: 1 0 2t i
NORTH CAROLINA, ) , 1 V14 S COUNTY
Zip: 28670
S
1, the undersigned Notary Public do hereby certify that Sit Air• 0 h tvr
personally appeared before me this day and acknowledged the due execution of the forgoing instrr* 11 HE y rrr�r
WITNESS my hand and official seal this the
day of 120 Motor
U �ryr esk—coun
C
Signature and seal: c
My commission exp' es:
Lessee's/Operator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee/operator name
Address:
City:
Phone:
Signature:
Permittee's Certification:
State:
E-mail
Date:
Zip:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Signing official name: // Dennis Key
Signature: 1nn/.t�..... Date: S'fi
FORM: LOA 06-16 Page 3 of 3

Engineers and Soil Scientists
Agri -Waste Technology, Inc.
501 North Salem Street
Suite 203
Apex, NC 27502
919-859-0669
www.agriwaste.com
SITE EVALUATION AND SOIL REPORT
SOUTHERN SOIL BUILDERS, INC.
STEPHEN KEY AND CAROLYN McCANN PROPERTIES
WILKES COUNTY, NC
JANUARY 19, 2019

&W� T
Engineers and Soil Scientists
Agri -Waste Technology, Inc.
501 North Salem Street
Suite 203
Apex, NC 27502
919-859-0669
www,agriwaste.com
January 19, 2019
Mr. Zach Key
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Subject: Site Evaluation for Wastewater Residuals Application Fields
Stephen Key and Carolyn McCann Properties — Parcels 0605588 and 0605407
Wilkes County, NC
On December 18, Karl Shaffer and Alex Thompson of AWT, Inc. evaluated the cleared fields on
the above -named properties for potential for wastewater residuals (Class B) application. The
properties are owned by Stephen Key of Ronda, NC, and Carolyn McCann of Roaring River, NC.
The purpose of this evaluation was to review the soils for suitability for residuals application as
required by 15 A NCAC 02T and the subsequent site evaluation policies found in the Soil
Scientist Evaluation Policy document from September, 2008. This report will document the site
evaluation details and includes all required reporting information therein. Soil fertility samples
were taken from each of the proposed fields and these samples were analyzed for the required
fertility and heavy metal analysis. This report also includes the watershed classification
attachment from the application supplement LASC-page 4.
Overall, these fields are well suited to residuals application. Each field has slopes ranging from 2
to over 10 percent. The site is proposed for surface application of residuals. Areas with slopes that
exceed 10 percent have been appropriately buffered. Soil borings were completed over the fields
and the location of these borings is found on the attached site maps. These parcels are segregated
into individual fields for purpose of naming the fields, developing buffer maps, and soil sampling.
The soils in ALL fields and reflected by all soil borings are in agreement with the USDA mapped
soils. The USDA soils map is overlain and found in the report attachments for each field.
Parcel 0605588 (Stephen Key) is mapped on USDA maps as Fairview, Danripple, Rhodhiss, and
Codorus soils. The Danripple and Rhodhiss soil map units exist on areas that will be buffered
either by slope or proximity to cultural features. The soils encountered then are the Fairview soil

series on proposed residuals application fields 1 and 2 and the Codorus soil series in proposed
residuals application Field 3.
Parcel 0605407 (Carolyn McCann) is mapped as Fairview soils and this mapping was confirmed.
Bedrock was not noted within 7 feet in any of the fields. None of the fields have any rock
outcrops or other obstructions for residuals application.
The USDA maps are attached in this report. Most of the areas are moderately eroded with a thin
topsoil ranging from 2 to 5 inches in depth. In all cases on the uplands, soil depth to seasonal
wetness exceeds seven feet. On Field 2 for Stephen Key, a small rock outcrop was noted and this
is shown on the map with the required 25-foot setback. On Field 3 (Codorus soil series), seasonal
high water table was noted at 32 inches.
In all cases, the attached maps show required setbacks and slope buffers. The remainder of the
fields as shown is suitable for surface application of residuals.
The Stephen Key tract is separated into three fields for permitting. The Carolyn McCann tract is
separated into two fields for permitting. At least one detailed soil description to 7 feet or bedrock
is provided for each field to be added to the residuals application permit. None of the areas
evaluated contains jurisdictional wetlands. Field 3 on Stephen Key tract has floodplain soils but is
outside the 100-year floodplain.
With the exception of required setbacks for homes, wells, rights -of -way, surface waters, and/or
property lines, the remainder of thefmids are suitable for residuals application.
Because the soil evaluation closely confirmed the soil mapping by the National Cooperative Soil
Survey no distinct map unit lines have been mapped on the site maps- all areas shown are the
same soil type and consistent with the soil survey and thus the map just depicts the boring
location and field names. Setbacks to all required features have been mapped out, and these must
be flagged at the time of residuals application. Each proposed residuals application field contains
one soil type, and thus one application rate based on nitrogen will be specified.
Representative soil samples have been collected for each field. All fields are in pasture or
hayland. The soil sample results are discussed later in this report.
The next report section will discuss the field evaluation details, including the detailed soil
description and range of soil characteristics encountered.il survey map. It will include a table of
useable acres for each proposed field. This acreage data can also be found on the Land
Application Site Certification (enclosed) as well as a table found in the agronomic and project
management section.
The last report section discusses agronomic issues, including calculation of nitrogen rates,
calculation of soil ESP, and calculation of total cumulative regulated heavy metals presently in
the fields with a comparison to EPA CPLR limits.
Attachments to this report include:
1) Site maps for Key and McCann properties
2) The soil testing results for soil fertility and regulated heavy metals.
3) Watershed Classification Sheet from form LASC-page 4

Stephen Key Fields SKI, SK2, SK3
These entire three fields, minus required setbacks from surface waters, property lines, wells,
homes, and rights -of -way is suitable for land application of residuals/biosolids. Soils in fields
SKI and SK2 classify as Fairview clay loam, eroded, 2 to 8 percent slopes. Soils in field SK3
classify as Codorus loam, 0-3 percent slopes.
Stephen Key Farm- Field 1 (SKI)
The attached detailed site map shows the location of the soil borings that were completed as well
as required setbacks and useable acreage for residuals application. The soils all classify in the
Fairview soil series. Taxonomic class: Fine, kaolinitic, mesic, Typic Kanhapludults. Following is
a representative description of the soils to 7 feet.
Horizon
Depth
(in)
Texture
Matrix Color
Mottles
Structure
Moist
Consistence
Other
A
0-5
CL
SYR 4/4
2f GR
Fr
Btl
5-36
C
2.5 YR 4/8
2 m SBK
Fi
Bt2
36-66
C
2.5 YR 4/8
C2D 7.5 YR 5/6,
F11) 10 YR 7/2
lm SBK
Fi
C
66-84
CL
2.5 YR 4/8
C2D 5 YR 6/8,
C2D 7.5 YR 5/8
M
Fi/Fr
The remainder of the soil borings were performed for general field parameters, noted in the table
below. The center coordinates of the field are: Latitude: Longitude: 36.254559:-80.945706
The detailed site map depicts that 29.3 acres is available for residuals application.
Soil
Boring
#
Soil
Series
Depth to
Saprolite
in
Depth to
SHWT
in
Slope
%
Slope range
around soil
boring %
Landscape
Position
Restrictions
For residuals
application
1
Fairview
66
>84
8
6-10
Sideslo a
NONE
2
Fairview
24
>42
3
2-6
Convex ride
NONE
3
Fairview
22
>41
2
2-8
Convex ride
NONE
4
Fairview
>34
>44
6
2-8
Sideslo e
NONE
One boring indicates soils deeper than typical for the Fairview series. This is a similar inclusion.
The remainder of the borings represent the typical range of characteristics for the Fairview series.
Stephen Key Farm- Field 2 (SK2)
The attached detailed site map shows the location of the soil boring that was completed as well as
required setbacks and useable acreage for residuals application. As the field is small, one soil
boring was sufficient to define this field. The soils classify in the Fairview soil series. Taxonomic
class: Fine, kaolinitic, mesic, Typic Kanhapludults. Following is a representative description of
the soils to 7 feet.

Horizon
Depth
(in)
Texture
Matrix Color
Mottles
Structure
Moist
Consistence
Other
A
0-8
SL
10YR 4/4
2f GR
Fr
Bt
8-34
C
2.5 YR 4/8
2 m SBK
Fi
BC
34-42
C/ CL
2.5 YR 4/8
C2D 5 YR 5/6,
1m SBK
Fi/Fr
C
42-84
CL/L
2.5 YR 4/8
C2D 5 YR 6/8,
C21) 7.5 YR 5/8
M
Fr
Mica schist
parent
material
The center coordinates of the field are: Latitude: Longitude: 36.254559 :-80.945706
The detailed site map depicts that 0.8 acres is available for residuals application.
A small rock outcrop was noted on the west side of the field, at the edge. This has been buffered
by 25-feet as required.
Stephen Key Farm- Field 3 (SK3)
Following is the general overview and detailed site map for this field. The attached detailed site
map shows the location of the soil boring that was completed as well as required setbacks and
useable acreage for residuals application. As the field is small, one soil boring was sufficient to
define this field. The soils classify in the Codorus soil series. Taxonomic class: Fine loamy,
mixed, active, mesic, Fluvaquentic Dystrudepts. Following is a representative description of the
soils to the point of auger refusal due to saturation. These are floodplain soils, however, the 100-
year flood elevation starts south, across the road. Portions of this field will have wetness that
precludes operation during wet periods. The depth to seasonal wetness must be adhered to as
stated in the permit. However, physical access to this field would not allow vehicle access during
these periods. Morphological seasonal high water table noted at 32 inches. Physical water table
on December 18, 2018 after 18-inch snow melt: 6 inches (noted as temporary).
Horizon
Depth
(in)
Texture
Matrix Color
Mottles
Structure
Moist
Consistence
Other
A
0-11
L
10YR4/4
1fGR
Fr
C1
11-32
L
7.5 YR 5/4
M
Fr
C2
32-40
CL
10 YR 3/2
C21D 5 YR 4/4
M
Fr/Fi
Stratified
lenses
C3
40-44
CL
Mottled
10 YR 6/2, 5/6
M
Fi
The center coordinates of the field are: Latitude: Longitude: 36.251597 :-80.948393
The detailed site map depicts that 3.5 acres is available for residuals application.

Carolyn McCann Fields CM I, CM2
These entire two frelds, minus required setbacks from surface waters, property lines, wells,
homes, and rights -of -way is suitable for land application of residuals/biosolids. Solis infields
CM] and CM2 classify as Fairview clay loam, eroded, 2 to 8 percent slopes.
Carolyn McCann Farm- Field 1 (CM1)
The attached detailed site map shows the location of the soil borings that were completed as well
as required setbacks and useable acreage for residuals application. The soils all classify in the
Fairview soil series. Taxonomic class: Fine, kaolinitic, mesic, Typic Kanhapludults. Following is
a representative description of the soils to 7 feet.
Horizon
Depth
Texture
Matrix Color
Mottles
Structure
Moist
Other
(in)
Consistence
A
0-8
CL
2.SYR 4/6
1 m GR
Fr
Bt
8-28
C
2.5 YR 4/8
2 in SBK
Fi
Mica
C/Bt
28-34
L/CL
2.5 YR 4/8
C2D 5 YR 5/4,
1 in SBK
Fr
PM colors
C2D 7.5 YR
15-20% Coarse
5/8
fragments
Cr
34-AR
SiL
2.5 YR 4/8
C21) 5 YR 5/4,
M
Fr
Mica Schist
C2D 7.5 YR
5/8
The remainder of the soil borings were performed for general field parameters, noted in the table
below. The center coordinates of the field are: Latitude: Longitude: 36.268897:-80.961866
The detailed site map depicts that 5.1 acres are available for residuals application.
Soil
Soil
Depth to
Depth to
Slope
Slope range
Landscape
Restrictions
Boring
Series
Saprolite
SHWT
% I
around soil
Position
For residuals
#
in
in
boring %
application
1
Fairview
66
>40
9
6-10
Sideslo e
NONE
2
Fairview
29
>44
3
2-6
Convex ride
NONE
One boring indicates soils deeper than typical for the Fairview series. This is a similar inclusion.
The remainder of the borings represent the typical range of characteristics for the Fairview series.
Carolyn McCann Farm- Field 2 (CM2)
The attached detailed site map shows the location of the soil borings that were completed as well
as required setbacks and useable acreage for residuals application. The soils classify in the
Fairview soil series. Taxonomic class: Fine, kaolinitic, mesic, Typic Kanhapludults. Following is
a representative description of the soils to 7 feet.
Horizon
Depth
(in)
Matrix Color
Mottles
Structure
Moist
Consistence
Other
A
0-7
LTexture
SYR 5/4
1mGR
Fr
Bt
7-44
2.5 YR 4/8
2 inSBK
Fi
Cr
44+Mica
schist
Abrupt

The remainder of the soil borings were performed for general field parameters, noted in the table
below. The center coordinates of the field are: Latitude: Longitude: 36.271020:-80.960612
The detailed site map depicts that 6.8 acres is available for residuals application. This field is
separated by the state road and occurs in 2 sections. Use and management and soil type is the
same in both sections.
Soil
Boring
#
Soil
Series
Depth to
Saprolite
in
Depth to
SHWT
in
Slope
%
Slope range
around soil
boring %
Landscape
Position
Restrictions
For residuals
application
1
Fairview
66
>40
9
6-10
Sideslo a
NONE
2
Fairview
27
>44
3
2-6
Convex ride
NONE
3
Fairview
32
>44
4
2-6
Sideslo e
NONE
PROJECT EVALUATION AND SITE MANAGEMENT PLAN
The following table defines useable acres after all required setbacks and slope exceedances have
been assessed.
FIELD NAME
USEABLE ACRES FOR
SURFACE APPLICATION
USEABLE ACRES FOR
SUBSURFACE APPLICATION
SKI
29.3
NA
SK2
0.8
NA
SK3
3.5
NA
CMI
5.1
NA
CM2
6.8
NA
All fields currently exist in fescue pasture and hayland. Permanent soil cover is the best
conservation option. Old soil conservation measures of terraces and grassed waterways exist over
the fields. Soil pH adjustment, if needed, should be coordinated with any liming agents that may
be in the residuals.
Addition of residuals must be monitored such that the known application rates of nitrogen,
phosphate, potash, and lime equivalent are taken into account with respect to the soil test
recommendations, or the RYE limit as given from the nutrient management tables. The
permanent hay/pasture supplies adequate erosion control for those fields, however, judgment
must be applied when applying liquid residuals to fields where slopes exceed 6 percent as runoff
may occur.
2T rules require the use of nutrient management RYE guidance when defining application rates of
residuals. The RYE table for Fairview and Codorus soils for Wilkes County were used to create
the agronomic recommendation below.
The soil test results are applicable for all nutrients, and lime, EXCEPT NITROGEN. For
nitrogen, the realistic tables from NCSU are applied. This results in the following nutrient
recommendation for N for each relevant field. The units are pounds/acrelyear. Each field
should be monitored for nutrient loading, by crop, for the annual report data. Any commercial
nutrient sources must also be recorded. When grazing, reduce N rates by 25%.

NITROGEN APPLICATION RATES (shown as RYE in lbs/acre-year)
FIELD
PREDOMINANT
CROP
RYE
N factor
N
NAME &
SOIL SERIES FOR
(tons/acre)
application
NUMBER
NUTRIENT
rate
MANAGEMENT
(lbs/acre)
PLANNING
SKI
Fairview
Fescue hay
4.4
44
194
SK2
Fairview
Fescue hay
4.4
44
194
SK3
Codorus
Fescue hay
4.5
42
189
CM1
Fairview
Fescue hay
4.4
44
194
CM2
Fairview
Fescue hay
4.4
44
194
All 5 fields show pH in ideal agronomic ranges for fescue hay and pasture. No lime application is
recommended. If the applied wastewater residuals are handled in a manner that would
render them as a liming source, then the residuals should be tested for their liming
equivalency (also called calcium carbonate equivalency) to ensure that soil pH is maintained
in the proper range.
Phosphate, copper, and zinc indices show evidence of past organic nutrient source loading (such
as poultry litter). No additional commercial P should be applied. Fields SK2, SK3, CMl and
CM2 require a S amendment of 20 pounds per acre.
No micronutrients are deficient and no amendments of such are recommended.
With adequate erosion control as currently exists, P and other nutrient losses should not be a
concern.
The basic cations are all in good ratio. Overall, the soil test shows normal agronomic
management and does not indicate any parameters that pose a concern for residuals application.
Metals will be discussed below.
Sodium and ESP: The sodium levels for all fields are very low at 0.1 to 0.2 milliequivalents.
The ESP is found on the soil test is reported as % of the cation exchange capacity. The following
table shows each field ESP:
Soil test number
Field Name and Number
Calculated ESP value (%)
SKI
Stephen Key 1(SK1)
1.7
SK2
Stephen Key 2 (SK2)
1.5
SK3
Stephen Key 3 (SK3)
1.5
CM3
Carolyn McCann 1(CM3)
1.4
CM2
Carolyn McCann 2 (CM2)
1.4
ESP levels above 15 generate a level of concern for sodium. None of these fields shows any
concern, and sodium will not be limiting for residuals application. ESP is a parameter that should
be calculated annually as residuals are applied to help with sodium monitoring.

Metals:
Soils were evaluated for regulated metals as required by 2T rules. The metals sample results from
Waypoint Labs are found in the soil sampling attachment. The following are the metals results, in
ppm (same as reported- reported as mg/Kg) and converted to total pounds per acre.
Field metals loadings tables:
FIELD
NUMBER
Hg
Hg CPLR
(Ib/ac)
Mo
Mo CPLR
(Ib/ac)
As
As CPLR
(Ib/ac)
Cd
Cd CPLR
(Ib/ac)
SKI
0.0133
0.0266
0.722
1.444
5.37
10.74
1.21
2.42
SK2
0.0133
0.0266
1.25
2.50
7.36
14.72
0.500
1.0
SK3
0.0133
0.0266
1.25
2.50
10.0
20.0
0.500
1.0
CMS
0.0133
0.0266
0.991
1.982
3.00
6.00
1.19
2.38
CM2
0.0133
0.0266
1.05
2.10
2.99
5.98
1.17
2.34
EPA CPLR
EXCEEDED?
17
NO
NA
NA
41
NO
39
NO
FIELD
NUMBER
Ni
Ni
CPLR
(Ib/ac)
Pb
Pb
CPLR
(lb/ac)
Se
Se
CPLR
(lb/ac)
Cu**
Cu
CPLR
(I AO
Zn**
Zn
CPLR
(Ib/ac)
SKI
8.22
16.44
11.3
22.6
2.50
5.0
9.8
19.6
19
38
SK2
8.63
17.26
18.9
37.8
2.50
5.0
8.2
16.4
15.6
31.2
SK3
8.47
16.94
17.2
34.4
2.50
5.0
7.2
14.4
20.4
40.8
CM1
6.19
12.38
13.2
26.4
0.500
1.0
5.8
11.6
16.32
32.64
CM2
1 6.89
13.78
15.8
31.6
1 2.50
5.0
5.1
1 10.2
1 19.52
39.04
EPA CPLR
EXCEEDED?
1 420
NO
300
NO
100
NO
1500
1 NO
2800
NO
* Below Detection Limit
*Converted to mg/Kg from Soil Test Index values based on NCDA&CS conversion tables: see
http://www.ncagr.gov/agronomi/pdffiles/obook.pdf
No metals approach CPLR limits. Continued monitoring will be required to insure these levels
do not inhibit crop health.
Hay/Agronomic Management
Removal of the crop is required to insure continued nutrient uptake and removal from the system.
If the crop appears damaged or diseased, soil and plant tissue samples may he used to diagnose
the problem. You should not apply residuals on any fields/crops where plant tissue appears
unhealthy or lacks sufficient density to hold the residuals in place on the field. The application
permit will specify the set -out time for grazing animals, and this must be coordinated with the
landowner. Typically, grazing requires 3 or more management areas: one where the animals are,
one where residuals have recently been applied and waiting the set -out time, and one where
residuals are actively being applied. Where fields are grazed, reduce N rates by 25% from the
limits specified in the table above.

SUMMARY
All soils and sites as shown in this report are suitable for residuals application. The soils are
consistent as mapped on the soil survey and meet all required separations to bedrock and seasonal
high water table.
We appreciate the opportunity to perform this service for you. Please contact me if you have any
questions.
Sincerely,
Karl Shaffer, L.S.S.
AWT,Inc.
Attachments:
• Site Maps- Stephen Key and Carolyn McCann
• Soil Fertility Test Results
• Soil Heavy Metal Test Results
• LASC certification form- Page 4- Watershed Classifications
10

Attachment 1
Stephen Key Property Maps
1) General Site Location Map
2) Field Topographic Maps
3) USDA Soil Maps
4) Field Map
5) Land Application Map with
Buffers

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(2)
Waypoi
2850 Daisy lane, Wilson, NC 27896
nt
Main
252-206.1721 °Fax [phone]
ANALYTICAL
www.waypointanalytical.com
Sample Summary Table
Report Number: 19-008-0200
Client Project Description: Zach Key
Lab No
Client Sample ID
Matrix Date Collected
Date Received
Method
Lab ID
50630
Steve key 1
Solids
01/08/2019
6010D
WTN
50630
Steve key 1
Solids
01/08/2019
SW-7471A
WTN
50631
Steve key 2
Solids
01/08/2019
SW-7471A
WTN
50631
Steve key 2
Solids
01/08/2019
6010D
WTN
50632
Steve key 3
Solids
01/08/2019
SW-7471A
WTN
50632
Steve key 3
Solids
01/08/2019
6010D
WTN
50633
McCann 1
Solids
01/08/2019
6010D
WTN
50633
McCann 1
Solids
01/08/2019
SW-7471A
WTN
50634
McCann 2
Solids
01/08/2019
SW-7471A
WTN
50634
McCann 2
Solids
01/08/2019
6010D
WTN
WTN: Waypoint Analytical Tennessee, Memphis, TN

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