WQ0000520_Residual Annual Report 2017 - Part 1_20180228

City of Burlington — WQ0000520
Biosolids Land Application Program
Annual Report
Table of Contents
1. Annual Land Application Certification Form
a. RSSF Forms
2. N1FLSF Forms
a. FSF Forms
3. Residuals Analysis Lab Sheets
a. TCLP Lab Sheets
4. PVRF Forms
a. Pathogen & Vector Attraction Reduction Lab Sheets
5. Soils Analyses
6. Zimpro Ash

ANNUAL LAND APPLIC;A110N C:EH'I'll+'1C:A110N FORM
WQ Permit#: WQ0000520 County: Alamance Year:
Facility Name (as shown on permit): City of Burlington
Land Application Operator: EMA Resources Inc.
2017
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
© Yes © No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summar.:
Total number of ap plication fields in the ermit:
182
Total number of fields utilized for land application during the year:
85
Total amount of dry tons applied during the year for all application sites:
4,387
Total number of acres utilizes for land application during the year: 1542.35
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2017 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. 0 Yes Q No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of
laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of Qortified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading
Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified
in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fines and imprisonment for knowing violations."
Shane Fletcher - Residuals Coordinator
Permittee Name and Title (type or print)
Signature of Permittee Date
x� 4;2LO" 1/30/2018
Signature of Preparer* Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Pranarar is riafinari in 10 CPR Part U)I Q (r) and 1 i A 1,,T(' A ( 01T 1 101 flAl

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B'
WQ Permit Number:
WQ0000520
Facility Name: City of Burlington
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Anal sis Data
NCO023868
Eastside WWTP
Laboratory: 1) Waypoint Analytical
2) ATT
3)
4)
5)
Parameter
(mg/kg)
Cone.
Limit
m 1. )a
Sample or Composite Date
12/12/16
1/17/17
2/6/17
3/6/17
4/10/17
5/8/17
6/5/17
7/10/17
8/7/17
9/11/17
10/9/17
11/6/17
Percent Solids (%)
NA
5.18
3.6
5.16
5.6
5.3
6
5.3
5
3
3.6
3
3
Arsenic
75
3
5
5
5
5
5
5
5
5
5
5
5
Cadmium
85
2
5
5
5
5
5
5
5
5
5
5
5
Copper
4,300
148
80
190
160
123
117
217
180
108
305
500
230
Chromium
NA
52.5
40
120
56
38
39
66
62
48
36
75
38
Lead
840
13.1
50
24
5
5
38
59
70
33
5
5
5
Mercury
57
0.4
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
Molybdenum
75
5
5
14
5
5
5
5
5
5
5
5
5
Nickel
420
15.8
25
10
16
14
16
19
18
18
14
23
10
Selenium
100
5
5
5
5
5
5
5
5
5
5
5
5
Zinc
7,500
431
720
410
495
470
380
800
460
620
470
670
570
Total Phosphorus
NA
8000
9170
27250
6230
3000
6920
14530
26000
6000
4170
7900
10000
TKN
NA
31200
16000
27000
18000
12200
22400
21130
17500
18600
24900
21470
23000
Ammonia -Nitrogen
NA
3660
6000
4000
3800
2600
3730
2960
16000
1'1200
2180
10270
6000
Nitrate and Nitrite
NA
11.1
340
90
64
90
80
90
60
80
73
60
140
a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number:
WQ0000520
Facility Name: City of Burlington
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
Laboratory: 1) Waypoint Analytical
2) ATT
NCO023868 3)
4)
Eastside WWTP 5)
Parameter
(mg/kg)
Sample or Composite Date
12/12/16
1/17/17
2/6/17
3/6/17
4/10/17
5/8/17
6/5/17
7/10/17
8/7/17
9/11/17
10/9/17
11/6/17
Aluminum
36300
27780
32250
31250
26420
26420
7740
31000
18300
33300
40000
36500
Calcium
144000
205560
180000
92860
198100
141670
273590
140000
310000
147200
215000
151000
Magnesium
2540
3330
3920
2770
2830
2250
5280
4400
5000
2640
6000
2810
Potassium
1300
1940
2550
1790
680
1375
2360
2100
430
1530
4000
1140
Sodium
3410
3890
3530
890
2100
2570
3585
3100
3800
1390
1350
4120
pH
11.6
11.96
11.66
11.31
11.89
11.95
11.67
11.89
12.3
11.5
12
11.81
PAN
7349
5340
6690
4804
3310
5679
5204
8360
7160
5707
7435
6540
SAR
0.55
0.44
0.31
0.19
0.3
0.45
0.43
0.5
0.32
0.19
0.14
0.02
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
r-
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

ANNUAL RESIDUAL SAiv1:PLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0000520 Laboratory: 1) Waypoint Analytical
Facility Name: City of Burlington 2) ATT
Residual Source WQ # or
NPDES #:
NCO023876
WWTP Name: Southside WWTP
Residual Analysis Data
3)
4)
5)
Parameter
(mg/kg)
Conc.
Limit
m T/lc a
Sample or Composite Date
12/12/16
1/17/17
2/6/17
3/6/17
4/10/17
5/8/17
615/17
7/10/17
8/7/17
9/11/17
10/9/17
11/6/17
Percent Solids (%)
NA
3.94
4.34
5.1
4.2
5
4
3.4
3.6
3
3.7
3
3
Arsenic
75
3
5
5
5
5
5
5
5
5
5
5
5
Cadmium
85
2
5
5
5
5
5
5
5
5
5
5
5
Copper
4,300
165
115
150
120
120
125
162
153
85
135
250
130
Chromium
NA
226
160
70
140
160
145
160
140
180
100
136
72
Lead
840
10.4
10
50
5
5
16
9
22
5
5
5
5
Mercury
57
0.642
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
Molybdenum
75
5
6
11
5
5
5
5
5
5
5
5
5
Nickel
420
9.61
5
20
5
5
6
6
40
15
11
33
8
Selenium
100
5
5
5
5
5
5
5
5
5
5
5
5
Zinc
7,500
343
350
650
290
460
325
460
347
430
300
330
420
Total Phosphorus
NA
21100
21890
11960
8330
8100
19130
24270
37500
24000
14270
20000
240000
TKN
NA
63500
58000
54000
45000
30000
44100
38700
39000
37000
30000
34500
31000
Ammonia -Nitrogen
NA
7340
14000
11000
15190
20000
10830
30470
16000
17000
9000
10000
14000
Nitrate and Nitrite
NA
11.2
110
140
260
100
230
40
80
110
55
70
110
'For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (1212006)

ANNUAL RESIDUAL SAME j,ING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number:
WQ0000520
Facility Name: City of Burlington
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
NCO023876
Southside WWTP
Laboratory: 1) Waypoint Analytical
2) ATT
3)
4)
5)
Sample or Composite Date
Parameter
(mg/kg)
12/12/16
1/17/17
2/6/17
3/6/17
4/10/17
5/8/17
6/5/17
7/10/17
8/7/17
9/11/17
10/9/17
11/6/17
Aluminum
8650
2770
32250
1900
1800
2980
5000
4170
2830
4320
4500
2500
Calcium
87000
126730
180000
96430
120000
172500
235290
208300
175000
202700
143300
183330
Magnesium
5940
5760
3920
5360
5500
6000
10150
6810
12300
7300
11170
7170
Potassium
6160
6570
2550
8930
5300
8630
9270
7780
2500
7000
14000
6500
Sodium
4710
5300
3530
1430
2700
3330
4410
5700
4500
450
1400
1100
pH
12.15
12.07
12.26
12.6
9.78
11.98
9.28
10.74
7.76
12.18
12.01
12.4
PAN
14913
15910
14240
13817
12100
12299
16921
12680
12610
8755
9970
10510
SAR
0.83
0.82
0.51
0.25
0.46
0.43
0.45
0.63
0.48
0.05
0.17
0.12
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF - B (12/2006)

rI

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r Yator: Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series:
32:.17
DbB
A-- zs Used: 7.7 Acres Permitted: 7.7 Site #: AM002 Field #: 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
2/6/17
2
3
4
5
6
7
8
9
10
11
12
% Solids
5.16
Arsenic
5
Cadmium
5
Copper
190
Chromiurn
120
Lead
24
Mercury
0.2
Molyb-
denum
14
Nickel
10
Selenium
5
Zinc
410
Total
Phos-
horus
27250
?zal Heavy Metal Field Loadings (Calculated in lbs/acre):
i otal
1 1
L2J
L3J
L4J
L5J
L6J
L7J
L8
10
11
12
DT/Ac./
0
App.
Fn
Event
4.18
Arsenic
,0.042
0.000
OA0.0,
AGO:
:0.000
0.000,
0 flgo
0.000
.000
0.000
0 000
0.000 .
0 042
Cadmium
0 U2
1,90QO .;
A,000
0 000
0000 _
Q 9910
P&W.J.
0000 ,
.0 OQQ;...
OO,U
A.0O0
OJUQO
0 042°
Copper
1 5$8
Od00
O OQU
a.-
b 0.00
. 0Oa
O.000
O',CCAO
,;'1$8.
Chromium
JQ®
©���
0 g 9
O OU:O
0 00
fl OQ }
.. A _
0 QQQ
Cl 0 ?
' O.OQ
�aQ�
:011
1',Q3
Lead
pU l
Q, a()0
'(1 O1? r
0 000
0 Ik110
O�Q.'hi'
0Q
17
` d�b1.
.4
in
(1.1Q
,
.
Mercury
;Y0�(
. 0
0 flA(J .,
.-AtO.:
��
0
0�:.A
. OA00
Molyb-
-
> 1°°
o goo
aaa
a�oAUon
oo
OAOAo.beo
r
01
enum
t
x
-
Nickel
0 4
fl�0
t1QU ,..
!QA1
0,0.0
0 001.:
Q;Q ao
fl 00ll:
, 000
0 t0(
:4 084:
Selenium
00
0 U06
OtOO,
A`0 .
v p OVA
00'00-
0 04
Zinc
3 42G
0 a40
Q 00
0 00(?
0 Oa0 ,
O OOQ .
°r f0
0 000"�00
' (lOQ
0 000
0;_000
., 3 42.f =
Total
�
Phos-
227 7=01
0 Q00
b 000
b._000
-
Q Q00
0.0(?4 <
4 BOA
0.400
a 0{
O.Q04
0 0 0
O QbO
22�7 7 1'
horus
- -
-
-
-
-- -
"I certify, under penalty of law, that this document was prepared under my direction or, supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir- �sonment for knowing violations".
zl,tz 4;zz-
Signature of Land Applier
1/30/2018
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 4 Acres Utilized: 7.7
Land Owner: Kenneth Culberson _ Annual Dry Tons Applied: 32.17 Site #: AM002 Acres Permitted: 7.7
Operator: Kenneth Culberson Predominant Soil Series: DbB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 237 Crop 2 Name: Crop 2 Max. PAN:
S.
o
c? a'
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
DES #, W #
Q ,
Fert., Animal
Waste, etc)
Soil
Cond.
(D
wet, '
Moist)
Precip.
Past 24
Hrs.
inches
D
4 '�
co `d
w
* o
c
*
4
7d 9
w
�; m
* w
TKN
mg/kg
Z a
cr
o
av o
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
( Ibs/acre)
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3/27
52000
5.16
1.453
East Burlington
D
<.5"
S
0.5
0.3
27000
4000
90
26.127
NA
Fescue
3/28
45500
5.1.6
1.271
East Burlington
D
<.5"
S
0.5
0.3
27000
4000
90
22.861
NA
Fescue
3/29
52000
5.16
1.453
East Burlington
D
<.5"
S
0.5
0.3
27000
4000
90
26.127
26.127
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
......
0
0
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
.....
TOTALS:
01
149500
::::::::::;:::
As
Cd
Cu
Cr
Pb
Ho
Mo
Ni
Se%Zn
P
75.115
26.127
Lime A lied
Annuallbs/acre
0.042
0.042
1.588
1.003
0.201
0.002
0.117
0.084
0.042227.701
::::::::::::::::::::::::::::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.041
0.036
3.637
2.474
0.309
0.016
0.095
0.229
0.069Current
Cumulative lbs/ac
0.083
0.078
5.225
3.477
0.510
0.018
0.212
0.313
0.111
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
Permit PAN Limit 1 st/2nd Crop
237
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date **" Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C l-ator: Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series:
A- _ zs Used: 8.2 Acres Permitted: 8.2 Site #: AM002 Field #:
20'-OQ
IaB
5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
2/6/17
2
3
4
5
6 i
71
8�
L9,1
10 I
11
121
% Solids
5.16
Arsenic
5
Cadmium
5
Copper
190
Chromitim
120
Lead
24
Mercury
0.2
Molyb-
denum
14
Nickel
10
Selenium
5
Zinc
410
Total
Phos-
L_ph.orus
27250
1 'aal Heavv Metal Field Loadines (Calculated in lbs/acre):
Total
1
21
3
4
5
6 J
L 7
8 j
9
LOJ
11 j
92
DT/Ac./
rt
APp-
Event
2.56
Arsenic
0,026
0.000
0,000
0.000
0.000
0.000
0.000
1 0,000
0.000
0.000
0.000
0,000
0.026
Cadmium
4 OQ4:. _
0 0,40
O Q00
: {l (}(IO-
0 [700,.
Copper
072
4,O.Q0
0017`
0 OQO
' O
O 010
000
9 000
OOOQ
0 972
< ,
;0
y000
x,
;0
Al
Chromic
0 W
�w
Aw
Q 000
O ()00
m000
0 OOI)
0 OQOr
D 000
I Obi
0 60Q
0 000
0{W
<
,
_
Lead
0 123
0 000 :
0 000 _`
O�OOQ
0 OOQ
, Q �QO,.
0 00
000
000
0 (#D0
` 0 000
0 :.000
70 123
Mercury
O OQi„
s 0 000�
O'OOQ
, 0 000
t 0"000
' 0.OQO
0 0©
, 0<OQOa
O OQO
OQ�:
0 OQ6
9 �00A
001.:;
Molyb-
0 07
0 000
Q 000
0 000
0,0.=00
0 0?O
0 OOtt0
0'00
Q 000
0 000
0 000
0 "000
072
denum
r
c0
Nickel
0 05�
0 0000
000
0 00
0 0.00
0 000
010
x O QO
O OOQ
A U00
0 000
O' 000
0 {151
,<
<
y
Zinc
2 098
0 000
9,000„
0 OOQ
0 O.i�O
� Q 000
0 000
0 000,
0-000
0 OCFO=
0 OOA
0
�
�
_
_„_ „ ,.
Total
�.
Phos-
139 411
U000
0 000
0 OOQ
0 000
! 000
.` 0 0000
OUO
0.000
139 4T>
chorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it- isonment for knowing violations".
4;:��`' 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 5 Acres Utilized: 8.2
Land Owner: Kenneth Culberson Annual Dry Tons Applied: 20.98 Site #: AM002 Acres Permitted: 8.2
Operator: Kenneth Culberson Predominant Soil Series: laB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 121 Crop 2 Name: Crop 2 Max. PAN:
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soi1
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
Y
coo b
o
o� w
�'
o
'
*
o'
w •,
TKN
mg/kg
Z a
o
� °
o w.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre}
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3/28
97500
5.16
2.558
East Burlington
D
<.5"
S
0.5
0.3
27000
4000
90
46.001
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALSI
01
97500
.:::::.:.:.::.
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
46.001
0.000
Lime Applied
Annuallbs/acre
0.026
0.026
0.972
0.614
0.123
0.001
0.072
0.051
0.026
2.098
139.411 :.:::.:::.:::.::
..................
..................
.............
:=:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.051
0.029
3.011
1.175
0.252
0.013
0.087
0.209
0.086
6.886
Current Cumulative lbs/ac
0.077
0.055
3.983
1.789
0.375
0.014
0.159
0.260
0.112
8.984
Permitted C. P. L. R.****
36
34
1338
1
1 267
1 15
1
374
1 89
2498
Permit PAN Limit l 2n Crop
sU d p
121
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Z-z/ 4�24_ *Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30J2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, annerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 19.5 -
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C rator: Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series: IaB
— .;'s Used: 8.6 Acres Permitted: 8.6 Site #: AM002 Field #: 6
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/kiz, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
EB
2/6/17
2
3
4
�
6
7
8
10
1j
12
% Solids
5.16
Arsenic
5
Cadmium
5
Copper
190
Chromium
120
Lead
24
Mercury
0.2
Molyb-
denum
14
Nickel
10
Selenium
5
Zinc
410
Total
Phos-
horus
27250
f Aal
Heavy ivletat r imu Loauings
tuaicuiaieu In iAsiacreJ_:
1 "07
711
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
o
App.
P*
L
Event
2.28
Arsenic 1
0.023
1 0.000•
0.000 1
0.000
0.000
1 0.000
0.000
0.000 ,
0.:000
0.000
0.000
6}000
1 0.023
Cadmium
0 023
0.000
.. 0 000
._
0,00.0,
0,Q00
0 000 ...
0 D0,01,
0,.0.00
0,,000,1
0 QQO::
0,0.00
0,000, ,
0. 02,.
Copper
U $6S
0 QDO..
;0 OOQy"
0 000
0.000.
_ 0 600,.'
0 000.
0 Q00
865 ,
Lead
Molyb-
0 064
0:000
0 000 :;
0.006
0..000
0 000 ``
0 000
0 000
0 000 _'
0 00,
0 00©`
0:000
0.064
denum
----- ..
_...:
:.....
y
Nickel
0 046
` 0 0�0
_ 0 U00 ,
0 OOQ
(i 000
Q.000
...© 000`
0 0OQ
0 N000
; 0 a00:"{
0 Q00
0:400
' p 046 '
Selenium
0 023
0 0,00
U 000 „.
0 000"
r
0.000
„ 0.- 000
0-0OQ:
0 000
OA00
0 000
0 OUxO
0::000 '
0 023
Zinc
1 $C
0 `OOA
= O OOO,r ,
0 000
0 000
Of 000
0 Q00'
0 000
0:000
0 000
0 000 LL
0000 .
1.8.67
Total
.
._.
Phos-
124.0
0.0-00 :'
'0 000 -
0.000
0:006
0.000
7 0.000'
0.000
' .0.000
0 000 .
0.000
0A00
.124..097
horus
:..
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im- ~isonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 6 Acres Utilized: 8.6
Land Owner: Kenneth Culberson Annual Dry Tons Applied: 19.58 Site #: AM002 Acres Permitted: 8.6
Operator: Kenneth Culberson Predominant Soil Series: IaB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 120 Crop 2 Name: Crop 2 Max. PAN:
°
° p
A
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume.
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Wte, etc)
as
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs,
inches
Y
4 ��
co
o a
a.
*
o
,n;
* n,'
o'
4
:o
w -
*
* "
TKN
mg/kg
Z Y
�o c
E.
�.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(Ibs/acre)
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3/27
58500
5.16
1.464
East Burlington
D
<.5" I
S
0.5
0.3
27000
4000
90
26.317
NA
Fescue
3/28
32500
5.16
0.813
East Burlington
D
<.5"
S
0.5
0.3
27000
4000
90
14,620
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
..................
TOTALS:
01
91000
::::::::::::::
As
Cd
Cu
I Cr
Pb
Hag
Mo
Ni
Se
Zn
40.937
0.000
Lime A plied
Annuallbs/acre
0.023
0.023
0.865
0.546
0.109
0.001
0.064
0.046
0.023
1.867
:::::::::::::::::::::::::.:::::::::
RR .................
:=: _ _ _
:
........................
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.037
0.047
2.323
1.23
0.326
0.008
0.07
0.325
0.048-
6.448
Current Cumulative lbs/ac
0.060
0.070
3.188
1.776
0.435
0.009
0.134
0.371
0.071
8.315
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1 st/2nd Crop
120
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 12.59
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
i ator: Kenneth Culberson Owner: Kenneth Culberson Predominant Soil Series: IaB
A.., -es Used: 6.4 Acres Permitted: 6.4 Site #: AM002 Field #: 7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
EB
2/6/17
21
31
14,
1 51
1 6_1
1 71
18-
9�
10
11
12]
% Solids
5.16
Arsenic
5
Cadmium
5
Copper
190
Chromiwii
120
Lead
24
Mercury
0.2
Molyb-
denum
14
Nickel
10
Selenium
5
Zinc
410
Total
Phos-
nhorus
27250
= tieavy ivletai r ieia Loaaings tuaicuiatea in ins/acre):
Total 1 121 L314 5 6 7 8 9 10 11 12
DT/Ac./ „0
App.
Event 1.97
Arsenic 0.02U 0.°000:- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 On:O'` 0.000 O.00Q 0.020
Cadmium 0..020 O U00 0 000: 0 OQO 0;000 0.0.00 0.000 O:.OAO. 0..000- 0. 0,00 0:000 0.606 0..020:
Lead
Molyb-
0 OS=
O:g00
0 000
0 000
0 0,00
0-_ 000
..
0 000
0 0'00
Q 000 ;"
0 00O'
0 O1j0
0000
0 OS'S
denum
. ..
Nickel
0 039
O Q00
0 ODCT
0 00
1 0;000°f
U 00�'
` 0 OOQ,�
0 OOQ
0 000
0 000'
p 000
0;000
0 039'
Selenium
0 020
0 QOQ
0 000
0 000
0 -0.00
0 000
r 0 000'
0 000. ,
Q 000
' 0 000
a 000
0 U00 ,
0 020
Zinc
1 613
4.�0
_.. 000 :'
0 OUQ
Q 000
0 000
0 000
0 0.00
0 000.,
' 0 OOQ.
0 000
0000
..l 613
Total
All
Phos-
107 202
0:000
OA-00;
O;a.0
0 000
0 000 '
' 0-004
0.000
0 OOQ: `
0.004-
0.0;60
0.000
T07 2Q2_
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it �sonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 7
Kenneth Culberson Annual Dry Tons Applied: 12.59 Site #: AM002
Kenneth Culberson Predominant Soil Series:
Crop 1 Name: Fescue -Hay Crop I Max. PAN:
121
laB
Crop 2 Name:
Acres Utilized: 6.4
Acres Permitted: 6.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
QLiquid
Volume applied
PP
(enter one) Solids/
Cu. Yds Gallons
"�o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc}
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs.
inches
Y
� '�
a o
C
o
w'
°o
;n �
w -
* N
TKN
mpg
z Y
� �
o
w•
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
P yP
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
3/24
58500
5.16
1.967
East Burlington
D
<.5"
S
0.5
0.3
27000
1 4000
90
35.363
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
58500
::::::::;:::::
As
Cd
Cu
Cr
Pb
Hg,
Mo
Ni
Se
Zn
P
35.363
1 0.000
Lime Applied
Annual lbs/acre
0.020
0.020
0.747
0.472
0.094
0.001
0.055
0.039
0.020
1.613
107.202 :::::.:::::: ::::::: ::::::::
>:=
................................ .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.0253
0.0396
1.8435
1.116
0.2839
0.0064
0.0507
0.2755
0.0288
5.2546
Current Cumulative lbs/ac
0.045
0.059
2.591
1.588
0.378
0.007
0.106
0.315
0.048
6.868
Permitted C. P. L. R.****
36
34
1 1338
1
1:267
15
374
89
2498
Permit PAN Limit 1 2nd r st/ Crop p
121
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 56,,26
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Bator: Joseph Johnson Owner: Jaime Graves Predominant Soil Series: GaB
A,. es Used: 13.6 Acres Permitted: 27.2 Site #: AM003 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
_ 1
SB
1/17/17
2 j
SB
5/8/17
3 J
141
5 J
6'
7 J
8
'9-1
10
11
121
% Solids
4.34
4
Arsenic
1 5
5
Cadmium
5
5
Copper
115
125
ChromiLsm
160
145
Lead
10
16
Mercury
0.2
0.2
Molyb-
d
6
5
Nickel
5
6
Selenium
5
5
Zinc
350
325
Total
Phos-
pb orus
21890
19130
i ;gal
Heavy
Metal Field Loadings
(Calculated in Ibs/acre):
'l otal
1
1 21
L3 J
L4]5
6]
L71
8
LOJ
11 J
12
DT/Ac./
_9j
App.
y
Event
2.94
1.20
"
Arsenic
0.o�9
0.012
0.000
0.000
1 0.000
0.000
0.060
0.000
0.000
0.000
0.000
0.000
0..041 ..
Cadmium
0 02;9
0.,_012r
0 00[?.:;
0,00.0
CI,.QOQ ,
aQ OOQ .;
0 OOD
0 D00;
, (?.000
0 fli70:
0 U00
O.00,p
a 041.
Copper
0 676
D 299
0 000-
D Q00
0 000
O OOD
0 OQO
0 OUO
0 000
=0 O(0
0 nU0
0:
Chromit�«
34�
U 000,E
Q 000
Q Q00t
00U
34 OOQ
0 UUO
0 000
0 00(
' 0;000
0<000
1 28$.
Lead
0 0�59
0 038
OQ0 '
Q OOQ
0 U00q
x 0 000
Q OOU
O OOQ
O'OOD .
O OOa
0 Q00
0 000
0 097 '
Mercury
0 00;1
0 000
`0 000
0 000
0 000
01300
0 OOQ
0 000
TO,
0 000
0 400
0,,000
0 002
_
:
.
.
Molyb-
0 035
0 Q12
0 000"
0 000
0 000
0 000
0 ,000
0 000
Q 000
'a 0 000
0 0 0
0.000
0 0�}
denum
Nickel
0 029
0 Q14
0 000 :'
0 000
0 0=01
0 OOi�
0 000.`
0 Q00
0 000
0 000
0 0U0
0.000
0 044
„
<
Selenium
n0 02
DQ12
Q OQO
0 OOQ
0 000 <
„0 fOQ
RIl 000
O,Q00
Q. 000
0 D00
U.40D
0:';OQO
.:0 04
Zinc
2 059
0„77
0 00©
0 ObO
000
�.Q 000 ,
,v 0 0011`
0`00
0OOOx
" 0 OffO
01)00
0:`000
2
Total
Phos-
128 757
45.759
=0 000
0.0"00
0 000
0 00.0
0 000
Q-A. 00
0 000
0 OA0
0 00.0
0: 000 ;
174 516
•chorus
A.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it ;sonment for knowing violations".
Z�f 1 /30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION..iELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 1 Acres Utilized:
Jaime Graves Annual Dry Tons Applied:Site #: AM003 Acres Permitted:
Joseph Johnson Predominant Soil Series: GaB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
13.6
27.2
0
o
QLiquid
Volume applied
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wet'
Moist)
Precip.
Past 24
Hrs.
inches
a
b
" a
a
o
w w..
*
°�
7y 0
I
*
* 0
TKN
mg/kg
Z
� o
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(]bs/acre )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
2/14
221000
4.34
z2F 41
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
1:) 9A59
NA
Fescue
6/13
97500
4
' 1`1b9�S
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
.37.371
NA
Fescue
Q 000
0.400
9.000
0.900
: ROT
0 000
0.000
0.000
0.000 ..
0 000. ry
o.000
Ok0W0''
0.600
0.000
eop i w
0 000
.: o Qoa
0
0
0 rOi1t
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form).
TOTALS11,""°
0
3 i sson
::;:::::::::
As
Cd
Cu
Cr
H T
Mo
Ni
Se
Zn
P
1,56 830�
�' 0.000
Lime A died
Annual Ibs/acre
"ktl4�0
Q�ap
,a 9i5a
1�2$8
©0l)2,
011Q�O
()4I2
f36-1516'
:::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.055
0.052
4.108
2.597
r46
0.014
0.12
0.277
0.068
8.139
Current Cumulative lbs/ac
n t 85
t'Y6'a�
i
093
�() Q3 h
0 4S`
Permitted C. P. L. R.****
36
34
1338
15
1
1 374
89
2498
e P rmit PAN Limit 1 st12n d Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.%: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 62.46
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
-ator: Joseph Johnson Owner: Jaime Graves Predominant Soil Series: GaB
Ate.. es Used: 26.2 Acres Permitted: 26.2 Site #: AM003 Field #: 2
Residual Analvsis Data (Heave Metals and Total Phosphorus use mg 2, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
1/17/17
21
31
L41
L5.
6
7
8
9
10 �
11
12
% Solids
3.6
Arsenic
5
Cadmium
5
Copper
80
Chromium
40
Lead
50
Mercury
0.2
Molyb-
denum
5
Nickel
25
Selenium
5
Zinc
720
Total
Phos-
chorus
9170
ial Heavy 1Vletal V ield Loadings (calculated in ins/acre):
1 otal 1 21 3 4 L5J L6J L7; 8 9 10 11 j 12
DT/Ac./ c
App.
Event 2.38
Arsenic 1 0.024 0:.QOU 1 .0.000 .0.000 0 00Q j 0.000 " 0.000 0° 0:00 0 000 0.000 0.000 0:000 0.024
Cadmiuml 6.624. 1 0.000 1 0.000 1 0-000 1 0.-0.09 ,1 0.006 , 0:000 0,00,0 1 0 00, 0 1 0.0Q0 1; 0.000 1 0 00.0 0.024
Lead
0.238
A,OOQ
0 OOtI;
: a 00';0
O.U00
0=00.Q
0 OQ0'
0 {)'i10 -
0 000.:
O.00Q,
� 00
D" Q tl _
_ 0 23=8
Mercury
0.007
0.000
0 0 z Q.
0 000
0 400
0 OflO
0.0
' 0 II00 -.
0 OOIi
0 000;;
0 00
0:0(1Q
0 Q0.1
Molyb-
denum
"
0 02.4
t1609
_
Q.DDb
.. _ -_
0 00.0
_
0.6.00
-0 0D0 ,>
0 OQ0
0 U:Of} .
0 00D
0 000
0.660
0;000
' :0:024
Nickel
0 ,00.0,
0:000
0 00(
0 000.
0 O,-OD ;
, 0 Q00
' 0 00
0 0.00
0 000
,..0.119
Selenium
0 024
0000
0 OU0 ;
0 OOQ
0.0"00.
U 0©f1
0 000'
O.000
.0.0 0
0.000
0 O:OQ
0.,©00
0.02
Zinc
3
0.000
r 0 OOD u
D 00;U
0 OOO
0 Q4)0 ;,
O'.000
0 Q00
.0, (iQ
' 0 QDQ
0 O.Oa
, O,:OOQ
Total
Phos-
nhorus
43.7
0:000
U 000
O,Q:00.
0.:000
0.000
0 000 t
0000
_
0 000 '-
0.000
O:OQO
0.000
43 723
"1 certifv. under nenaltv of law. that this document was nrenared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it sonment for knowing violations".
Z.-z 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION Y-,cELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Jaime Graves
Operator: Joseph Johnson
Crop 1 Name: Small Grain
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 62 46 t. Site #:
Predominant Soil Series: GaB
Crop t Max. PAN:
116
Crop 2 Name:
Acres Utilized: 26.2
AM003 Acres Permitted: 26.2
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o Y
Q 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet>
Moist
Precip.
Past 24
EIrs.
inches
Y
cc n
a raw,
* o
c
R.
* w
�..
4
;t 0
w 9
* N
TKN
mglkg
Z
a
o
w
mg/kg
Nitrate
and
Nitrite
mgncg
PAN Applied
lbslacre
( )
Name of Crop Type
Receiving Residual
Application
Crop
I Crop 2
Crop 1
Crop 2
2/8
201500
3.6
1.155 t=
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000
340
1'4 ti4Q;,
NA
SO
2/13
214500
3.6
1 29
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000
340
15 584';
NA
SG
0 OOb
0 000
d 000r
QA00 ;
=A 000
0 .0
Q 000
0.000 -:
o noo
4 o0b
. 0.000
o.000t
; a ono
0,006
ITOTALS:1�,,�;J01
11
0'
0r000 '
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
0 000
4 0.000 '
41600
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
3Q 224
0:000''
Lime Applied
Annual lbs/acre
0>024
;;° 0 024 ;
0 381"`
0I1
0.238
0.001
0.024
0.119
Bate
lbs/ac
Prior Years Cumulative lbs/ac
0.086
0,062
5.635
3.403
0.637
0.021
0.165
0.501
0.087
13.052
Current Cumulative lbs/ac
0:1x;0
0 08b '
6 016 ;'
"a 3 594
0.875
0 022 q�
0 189 ,:'
w..
0 620"
0;111'
16 A 85
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit lst/2nd Crop
> .:
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1 /3012018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 34:82
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r ,ator: Joseph Johnson Owner: Jaime Graves Predominant Soil Series: GaB
A..res Used: 22.7 Acres Permitted: 22.7 Site #: AM003 Field #: 4
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/ke. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
EB
1/17/17
2
SB
1/17/17
3
4 J
5
6
7
8
9
10
11 1
12
% Solids
3.6
4.34
Arsenic
5
5
Cadmium
5
5
Copper
80
115
Chromiuiii
40
160
Lead
50
10
Mercury
0.2
0.2
Molyb-
denum
5
6
Nickel
25
5
Selenium
5
5
Zinc
720
350
Total
Phos-
rhorus
9170
21890
!jai heavy metai r ieiq Loacungs (uaiculateti m ibs/acre):
Total 1. LT L31, 4 5 6 7 8 9 10 11 12
DT/Ac./ oyr
App.
Event 0.86 0.67
Arsenic 0.009 0.007 0.000 0.000 0.000 1 0.000 1 0.000 0.000 0 0* b.000 0.000 0.000 0.015
Cadmium 0.009. 0:.0071..U.f100 - . 0:000.. 0-000 0:000= 0.000. 0:0,00..- 0A00 0..000 ..0 000 0=:000 0.01.5
Lead
0 Off
s 0013
0 000
_ .._. _ . ,..
0 000
a z . _
. _,
0 000
0170
OQQ
.. U ('10}OUQ
;
U 0(10.
U (0
U; UiIU
;U U99
Mercury
0 000
fl 000
0 0(
000
0 U00
000.00
0 000
17 000
0 OQO
Q Q00
; 0000
0 00,1
,
„
Molyb-
tt�NI
0 00Q
0 Q08
nx
0 000
0 000
D 0,00
000
` 0 OOA
0 q00
0 000
0 000
0 000
0-000
0 0l 7
denum
Nickel
0 043
0 D07
�:U 000.
} 0 000
0 000
0 000
;a 0 OOQ.
0 Q00
004
%Q000."
0 OQ10
OOQO
` _0 O50
Selenium
0 009
(07
0170
0 OQb
0 Ob4
9 000
0 00l5
0 000
Q 000
0 OOQ
0 00
Ov0�0
0 015.
.
E
Zinc
13$
072
U 000
0 000
0 0.00
6 000`
R
6 040_
0 01
©0',
0 ©b0
O Q00
1 710
.6000
Total
"
Phos-
15 7 2
29t508
0 000
' 0 000
0 000
0 000 ..
" 0 OOQ
0 ,000
Q Doo .0
000_
0 000
0 '000
' 4s 2,80
_ horns
. x
,
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it .Sonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION •,d�LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Jaime Graves
Operator: Joseph Johnson
Crop 1 Name: Small Grain
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons APP lied 34 $2` " . Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN:
116
Crop 2 Name:
4 Acres Utilized: 22.7
AM003 Acres Permitted: 22.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
�.
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
b
o
o w
* `�
c
w ..
;
* N
5.5.
7a
w
* N
*
TKN
mglkg
Z
o °n
.
o -
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
2/7
84500
3.6
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000 1
340
7.086
NA° .r..
SG
2/8
13000
3.6
0 b86 "
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000
340
1.090
DNA z
`' SG
2/13
32500
3.6
r:
0275 x
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000
340
2.725
NA,?
SG
2/13
39000
4.34
Q3I1� .
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
12.630
NA:
SG
2/14
45500
4.34
,a�r��.
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
14.735
NSA'
SG
( pUOk
0.000
0.000
o HlOfO"
0.000
0.000
0.000
0.()00
0.000
0t000
t
i3 A00
0.000
0 0d0.
`
1yl 0 00©,
0.000
0.000
oQo
0.000
0.000
>
_ U
O
:..':.
; tl,'.Q9t
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
1 0.000
TOTALS:
.., o
214500
.:: ;:::::
As
Cd
Cu
Cr
Pb
H 7
Mo
Ni
Se
Zn
P
38.266
0.000
Lime A lied
Annual lbs/acre�01�5
" 0 0�5
0`�3gr•
08d
0.099
O OOJ0
U1�0SE?
"O 01,5i710
"(4�5 280 :::
::::::::::::::::::::::::::::: - * -
...........................
............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.077
0.062
5.579
2.474
0.539
0.025
0.163
0.424
0.108
12.762
:
Current Cumulative lbs/ac
0&3
r4147
Permitted C. P. L. R.****
36
34
1338
1
1 267f
1 15
1
1 374
1 89
2498
Permit mit PAN Limit 1 d Cro
p o
P
b... ..
•�1
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 68.95
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f -ator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: HbB
A_ —is Used: 17 Acres Permitted: 17 Site #: AM006 Field #: 1
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mz/kiz, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 1
EB
4/10/17
2
3
4
5 I
6
7
8
9
1(
11
12
% Solids
5.3
Arsenic
5
Cadmium
5
Copper
123
Chromium
38
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
14
Selenium
5
Zinc
470
Total
Phos-
h orus
3000
1 ;iai heavy lvletal rMCI Loaaings tuaicuiatea in insiacre):
i otal 1 2 3 4 5 6 7 8 9 10 11 12
DT/Ac./ ayr
App.
Event 4.06
Arsenic 0.041 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 .1-. 0.000 0-000. 0.000 0.000 0.041
Cadmium 0.041 . _.0.0.00 0.000 .0.000 0.0.0.0 _.. 0.000. 0:060c^ . 0.000. 1 0.000... 0.0.00 .0000 . 0.0.0.0 0.041
Lead
Molyb-
0 04k
x#1600
O Q0fl {
0.000
O ff00
Q 000
0 00Q
0 { 4fl�
fl OQ"0.
0 0 .
0 0 0
0<000
Q.�Q41
denurn
Nickel
0�14
0 (?00
0 Q
0`OQQ
0 010
0 00
0 OOQ
0 ADO
0 �6fl'-{{1dQ'
0 040
000
-0 114
z
Selenium
0, �41 .
0 0D0
0 r0 03
0 0 U
Q 000
0 00 4
; 0000'
0 000
0 OQO '
Oy 00
0 000
O AflQ '
b A41
Zinc
3 813
0 000
O flQQ;
0 000
O.00D
0 fly,
O�UQO
0 000
0,000�
©fl00.
0 Q00
T-
fl 06.13
„
.;
;;
,'
Total
..
Phos-
�4 336
0:000
` 0 OpO:.,
CIO
0 Q"00
, -0 0
` 0 000"
0 000
0000,�
0,00
0.Ofl0
. 0:000
24.3"36
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it -isonment for knowing violations".
i9� 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION x YELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Walter Hessenthaler
Operator: Tom Neal
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual D Tons Applied: 3 r
Dry PP � ^ ��8 �� Site #:
Predominant Soil Series: HbB
Crop 1 Max. PAN:
169
Crop 2 Name:
Acres Utilized:
AM006 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
17
17
0
Q �
Volume applied
(enter one) Solids/
Liquid
q
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist
Precip.
Fast 24
i1rs.
inches
"
* o
c
_
°
w °
*
TKN
mg/kg
Z
o
�°
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
PP
Crop l
Crop 2
Crop I
Crop 2
5/11
52000
5.3
076
East Burlington
D
<5"
S
0.5 1
0.3
12200
2600
90
773
Fescue
5/12
143000
.3
1$5
East Burlington
D
<.5"
S
0.5
0.3
12200
2600
90
15 877'
. NA
Fcscue
5/15
117000
f�53
1z55 1
East Burlington
D
<.5"
S
0.5
0.3
12200
2600
90
12.990'
NA
Fescue
aCF1�'` AKi
Q 0flfl
.
0.000
0.000'
50 CJ to
0.006
0.000
h0117�0 R ',
0.000
0.000 „
r�°f0 (j00 �1
0.000
0.000
t)Q
Q.o00
0.000
0 QOl7
U.000
0.000
r oQ
0.000
0.000
{)
0
0 OQ�h�� �;:
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form).
0,000 .,
' j 0.000,','
TOTALS:
01
3.,.2000
As
Cd
Cu
Cr
H
Mo
Ni
Se
Zn
P
34 640
` O.Obo`
Lime A died
Annual lbs/acre
O 041t
b sQ�10?9$4tl
38
0 OQ)041
*`(�P>
Q; T
F 3r83
'Z"4;36
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.108
0.083
6.665
3.715
r26
0.02
0.172
0.45
0.134
16.516
Current Cumulative lbs/ac
(1 L49
fl 4 :
7 663{A
fl23
Permitted C. P. L. R.****
36
34
1338
15
374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
P
169
" I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUNLMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 74.70
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(-' -ator: Tom Neal Owner: Walter Hessenthaler Predominant Soil Series: AbB
A.,. es Used: 18.6 Acres Permitted: 18.6 Site #: AM006 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
4/10/17
2
3
L4 1
5,
61
7
8
9
10
11
12
% Solids
5.3
Arsenic
5
Cadmium
5
Copper
123
ChromiL1111
38
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
14
Selenium
5
Zinc
470
Total
Phos-
chorus
3000
1 ial
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
Total
1
L2J
L3
L4
5
6
7
L81
L9
01
1
12
DT/Ac./
App-
Event
4.02
Arsenic
0.040
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000:
0,000
0.000
'0 009
0.040
Cadmium
fl 04.0
fl,_0.00
. -0 D00:.,
PAP
0:a0a .-
, 0 000 J
0 O,QO ,
.
#:000
0.000.
, 0.000
0; Q'00
0 040
Copper
0 g8f8
0 000
0,000
0 000
.0 OOQ
0 00t"0
Q00)0.'..00
0 000
< 0 000`r
0 000
0:000;
0 9$8,. .
Chromium
0 305
0 000
0 000
0 OOD
0 0.00
0 Q0(1
0 00`f?y
0 000
Q 000
0 000'
0 00,0
0 000
0 305;
..
,
.
Lead
040
0 Q00z
d 00?,"
0 flO.0
0 Q60
0 000.`
. 0 OQ:
QAOt
Q 000
0..000
000
0 000
;. 0,040,
Mercury
0 002
((0a
Q.00
-,;
0 000
0:+ kt
_
0 000'
.
0 000.
4 Q'00
0;.000
©000
QO
Q Q00.
<0.002
Molyb-
0.04
©0
A OtO.
O.000
fl t100
0 000
0 000
0.00
0.000
0 000;
0 000
°000
0:.040
denum
Nickel
0 1 y 2
0 U00
0 00.
0 OOU
0 OtO
0 {�Q
U OaO
0 OQO41000
., 0.000
0 000
000b
; N©;1 l'
Selenium
0 040
0 000
0 Ofl0
0, 000
0 9UO
O;QO
0 000,
0 U;00
0.000
0.000
0 0�60
0:0ab
04Q
Zinc
3 775
0 000
000 :
0 000
0 b00
0 00
Q 000
O Oe00
0 000
0 000°
0 000
O;00077:
Total
_.
Phos-
24 495
0 :000
0 00:b.
0.000
0:000
0 000
' 0.000
0 OtIO
0:..600
0 OQU
0 OfiO
t1:0o0
-24.096
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it `sonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION ):.i:LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Walter Hessenthaler
Operator: Tom Neal
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied w 70 Site #:
Predominant Soil Series: AbB
Crop 1 Max. PAN: 237 Crop 2 Name:
Acres Utilized: 18.6
AM006 Acres Permitted: 18.6
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o =
15
A 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
'b
co 1
a �
* 5
o
* w
°p
7�
w -,
* P.
G
TKN
mg/kg
Z
Q
o
� w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/8
182000
5.3
2 ;'3`
East Burlington
D
<.5'"
S
0.5
0.3
12200
2600
90
1i3.468,'
NA
Fescue
5/9
19500
5.3
© 3'2 'r`
East Burlington
D
<5"
S
0.5
0.3
12200
2600
90
4.979.1 ``
NA
Fescue
5/11
136500
5.3
12
East Burlington
D
<.5"
S
0.5
0.3
12200
2600
90
Fescue
�0 OQ ,`"L
O.00tl
`0 U00
FAO
0000
`0 000
01, 00
0000
0 000 `
o 000
,o 000
777W&77o
000
o aoo
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
Q; 000"
TOTA1
4 0
;3so(�n
;:;:;:;:;:::
As
Cd
Cu
Cr
Pb
Ha
Mo
Ni
Se
Zn
P
34 298
:,'b,046
Lime A lied
Annual lbs/acre
m O Q4�3
:0 040s„08&03U
(1.0 40
0 002
":04
':13
, 0
f 3 7754`096
>;.::`::• ::::::::::::::�
........:..... .............
...........................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.135
0.099
9.774
4.412
0.868
0.033
0.238
0.599
0.163
24.036
Current Cumulative lbs/ac
0.908
U 035{ru'
0 278
0 731
0 2Q3
f 27 811
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
89
2498y
,Permit
e t PAN Limit 1 st/2nd Crop
.......... ;
Z37 .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/3012018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 23:37
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'-ator: Walter Hessenthaler Owner: Tom Neal Predominant Soil Series: AbB
A..res Used: 10.4 Acres Permitted: 10.4 Site #: AM006 Field #: 8
Residual Analysis Data (Heave Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
11
EB
4/10/17
_ 2-!
SB
4/10/17
31
4-1
5 I
6 i
1 7'
L 81
L 9 I
L01
11
12 I
% Solids
5.3
5
Arsenic
5
5
Cadmium
5
5
Copper
123
120
Chromium
38
160
Lead
5
5
Mercury
0.2
0.2
Molyb-
denutn
5
5
Nickel
14
5
Selenium
5
5
Zinc
470
460
Total
Phos-
chorus
3000
8100
.ial
Heavy
Metal Field Loadings
(Calculated
in lbs/acre):
Total
1
121
L3 J
L4]5
6
7
8
9
10
11
12
DT/Ac./
_
y
o
App.
Event
0.55
1.69
Arsenic
0.006 1
0.017
0.000 1
0.000
-0.000
0. 0r.0
0 000
0.000
0.000
0.00,0
0 000
0:000
f 0.02`2
Cadmium
0 0.00
0.017
0.0,
0.000
0:;000
0 OU0
0 000
0:000 .
0 000.
. A. 0-9-0,0
0110
0 00.
4).022
Copper
0 136
0 407
0 000,
0 OUO
0 000
0 000
0 000
0.000
0 000
0 OQO„
0 000
0:000
0 543 '
Chromium0
042
0 542
U 000 -
0 000
0 0:00
0 000.
0 000
0 000
( 000
0 0`00.
0 000,
0.:000
_ 0 5$4:
Lead
0 00
0 :017-0.000'
D OQ:O
0.000
0 00U
0 000
0; Q00
. 0 OQO
0 Q00`
0 000
U000
0 022
Mercury
0 000
0,001
0 0 b;
0 000
0.000
0 000
0 OOU
0 0:00
0. 000
0 000
0 U'00
0 000
- 0 001
Molyb-
0 006
0;017
0 000
0 000
0..000
OA00
0.000
0 000
.0 000
0 Q0;0
0 O:QO
0:000
0 022
de rn
,''
Nickel
0 015
0 017
0 000
0 Q0:0
0, 000 ,
0 000
0 000
0 000
Job
0 000
0 000
0..000
0 032
Selenium
0 006
60 17
O 000
0 000
0 000
:0 000 °
0 000
0 0'00
0.000
0 000
0 000
, 0.000
0 022.-
Zinc
0 52
1 5158
6 000 s
0 000
0 000 ,
, 9 000 `'
0 00:0
0 000
0 000
0 000;
0..040
0.000
2 078
Total
-
Phos-
3.31'8.
-27.4-43
'-.0.000.:.
0.000
0.000
0 DUO.
0.000
a.000
� 0- 000 '"
0 OOQ
0.000
0::000
30.761
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it `sonment for knowing violations".
Z�f 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION —x4ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Tom Neal
Operator: Walter Hessenthaler
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520
Annual Dry 'tons Applied:
Predominant Soil Series: AbB
Field #:
Site #: AM006
Crop 1 Max. PAN: 177 Crop 2 Name:
Acres Utilized: 10.4
Acres Permitted: 10.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
aai
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
wry'
Wet,
Moist)
Precip.
past 24
Hrs.
inches
Y
4 �
o w
a =•
o
2
N'
w
rJ
4
w S
* N
w
8
TKN
mg/kg
z
�o c
CD a
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(ibslacre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/15
26000
5.3
0 553
East Burlington
D
<.5"
S
0.5
0.3
12200
2600
90
4.719
NA
Fescue
5/15
84500
5
1.G`94, _'
South Burlington
D
<.5"
S
0.5
0.3
30000
20000
100
:44.384
I9A =
Fescue
0.000
0,00
au off,
q<000
0-000
o.oao
0.000
©fi 00
;'.0.000
.4
0 U.qb
0.000
lkbQft:s
b oA
0.00o
o "'o
aa,b
0.000
0.000.1
0 000 •
0.000
-Ot 4,
0 AQO
"0.000
0.000
0
0
::
0 000 " "
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
0.000
0.500
TOTALS
a
11 o5oo
As
Cd
Cu
Cr
Pb
H T
Mo
Ni
Se
Zn
P
49. t 03
_060t
Lime Ap2lied
Annual lbs/acre
q°t ?2 3.. t
n o+b�z
�h4 543
0 584
OA22
{
6 0
`t10
d ©
2�D 8
:: ::.:: .:
36 61AIR
:': ;:.:................... ..
,...... _...
....
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.063
0.036
4.524
3.28
0.387
0.014
0.111
0.264
0.089
9.265
Current Cumulative lbs/ac
0 0'85
0 058° '
S 067'
3 Sd;4�
0409
0 0'1's
1a ;
- 0 296
011'1#
11 34
Permitted C. P. L. R.****
36
34
1 1338
267
15
374
89
2498
Permit Li
PAN 1mlst/2nd Cro
mit p P
7.
7
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, annerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 12.20
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f ';ator: Walter Hessenthaler Owner: Tom Neal Predominant Soil Series: AbB
Acres Used: 6 Acres Permitted: 18 Site #: AM006 Field #: 9
Residual Analvsis Data (Heave Metals and Total Phosphorus use m0ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
4/10/17
2
3
4 1
5
61
L7J
8
9
10
11
121
% Solids
5
Arsenic
5
Cadmium
5
Copper
120
Chromiu113
160
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
5
Selenium
5
Zinc
460
Total
Phos-
T+hnruS
8100
xai heavy ivietai rieia i,oaaings kuaicuiatea in iasiacre):
Total 1 1 '21 3 4 5 J 6 7 8 9 10 11 ' 12
DT/Ac./ 0
App.
Event 2.03
Arsenic 01.020 0.000 0.000 0.000 0.000 0..09.0" 0.000 0:000 0.000 0.000 1 0.000 0.000 1 0.020
Cadmium _ 01 020 0>000 0.000 6.000 0:000 -0.000 0 000 0:000 ..: 0.:000- . 0.000 0:0.00 0:000 0 02.0.
Lead
0 02D
0,000
0 000
0 00:0
0.000 ,
0 00,0
0 000
0,000
0 000.
0 000:
0 000 .
0,000
0 02U,
Mercury
0 :1
0;000
0 000
0 000
0 000
: `0 000
0 000:
0 0 0
0;000
Molyb-
denum
0 0.2
0 000
0 000
0 0.0:0
0.000
0 004
0.000
O.D00
- 0 000
0.000
0 000
.0.000.
:' 0.02Q "
Nickel
0 ©20
O.00Q
. �0 000
0 000
O QUO „
: 0 000
0 OOQ,
O Q00
0000
0 000
0..00;0
0:_000
Selenium
0 020
0 ;000
; 0 000
0 000
x.....
0 0;00
0 OOr)
0 000;
0 000
0.. 000:
. 0 000
0 000
0.000
0 0�0
Zinc
1 8?0
F
000
0 000
0 060),
0 00o
a o00 :
o ©oo
0 00o
a.000
o Ooo
0 000
0000 -
I s7o
Total
Phos-
ohorus
32 93'S
0:0°00
- .0 000 .
0.00C
0:006 .
0.000
0 000'
0.000
:.0.000- '
0:0.00
01.0W
0:000
;32.935
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it "sonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION i`.t+LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Tom Neal
Walter Hessenthaler
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field-77
#:
Annual Dry Tons Applied. -1 r n Ik ` Site #:
Predominant Soil Series: AbB
Crop 1 Max. PAN:
177
Crop 2 Name:
Acres Utilized:
AM006 Acres Permitted: 18
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
0 0
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NUDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Precip.
Past 24
Hrs.
inches
a
r d
2.
o w
c
by �;
P g.
#
-
:� @
iv
* G
TKN
mg/l�q
o
e �.
mgtkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
5/16
58500
5
2 43'3
South Burlington
D
<.5"
S
0.5
0.3
30000
20000
100
53.261
NA
fescue
0 OQO
OQ00''
0.000
Or000
0:000 ^!
0.0oo
01i00
0040`.'`
0.000
0.000
440
"0.`
0.000
�t)b0,�
0000
0.000
0 OOO , s ''
0 000 '
0.000
b�0406
OW=oOo
0.000
a t)E,V
61=.;0.000.:,
,.0
0 .
:
r o 0rOQ0'
,`
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
TOTALS
' x; «
585u0
>:-.:: �:::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
5 2f1
� ;,000 ��`
Lime Applied
Annual lbs/acre
0.D20
O:Qb�� i
00
`t002R',�
U2,
• 1 87
`33�
.•. .....• . :•:•:•.•
:...:......... .
. .
.... ...... ..
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.036
0.021
2.44
1.768
0.202
0.008
0.062
0.11
0.033
3.715
Current Cumulative lbslac
0 056 4
O�Qtf?1
2 928', :
-
r 4tJ
().222
409
..� .. ..
fit? Q8� ..._
013rj°�©53
..,..
.-, . ...
3 38.5
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permi N Li 1
t PA mit st/2nd Cro P
. - " 7
17
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1 /30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 7:8:48
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
';ator: Jimmy Staley Owner: Jimmy Staley Predominant Soil Series: EdC2
Acres Used: 15.6 Acres Permitted: 15.6 Site #: AM008 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
EB
12/12/16
2
EB
10/9/17
_3�,
L4
5
6
7 j
8
9
10
11
121
% Solids
5.18
3
Arsenic
3
5
Cadmium
2
5
Copper
148
500
Chromiui 7
52.5
75
Lead
13.1
5
Mercury
0.4
0.2
Molyb-
denum
5
5
Nickel
15.8
23
Selenium
5
5
Zinc
431
670
Total
Phos-
1-1--i is
8000
7900
r Ial
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
°may
App.
Event
3.78
1.25
Arsenic
0 023
0.013`
0.000"-
0.000
0.000
U.000
0,000
0.000
0.000
`� 0.000
0.000'
0.000
0.035.
Cadmium
0 015
0_ 13
0 000
Q 000
0 000
0 040
Q 000
0.900
0 040
0 "4 00-
0 W.
0 000
0 028
Copper
1 119
1251
9 000 .f
©40Q
0 QQO,
0 000
0 OOQ
0 000
0' 000
0 000
0:000
0000.
2 370
ChroniUMR.397
­
0 D00
0 000 '.
0 000
0 040
Lead
0 099 .
0 :03
0 000
0 0O0
0 ;000
0 00b
0 0�0
0 000
0} OOtJ _
0 000"
0 OQO
0: 0U0
0 112 '
Mercury
0 Opp
0 OQ1 "'
; „U OOQ
0 00
0;000
0 fl00 ,
` 0.001) "
0 OQO
0 00Q
a° 0 000
0 OQO
0.000
fl 004
Molyb-
0 08
0 0�3 `
000
0 OOQ
O:OOQ
0 000 .i:
0 00
0 4'00
0` 000
0 400"
0 000
0..000
0 O50 ",
denum
.
Nickel
4 1 9
0 0�$ $
0 000.
0 000
0 000
0 ©QO n-
0 OQ.g _
000_
0.z000
, 0 0OQ
0=0001T7
Selenium
Q 038
0 Q13
0 000.
0 000
0 OQO
0 OQO
0 006
0 UQO
Oa000
: 0 00
�..
O.OUO
O:OOn
A 650
Zinc
3 258 "
1 676
U Q00 `;
0 000
0 0`00
0 000
` D 000
0 000
Q; 000
0 000
0 D00
-W 0
.4 935"
Total.F
t"
Phos-
60 4°8:0
19766
. 0 000
0 000
0...000
„0 000 _
4 40o
0 0`00
0 400
_' 0 000'
0. 0'00
Q 000
80.24.6'
chorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
;e::�e 4��_ 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION i, -LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Jimmy Staley
Operator: Jimmy Staley
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied Site #:
Predominant Soil Series: EdC2
Crop 1 Max. PAN:
162
Crop 2 Name:
1 Acres Utilized: 15.6
AM008 Acres Permitted: 15.6
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
o =
1
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds G8110nS
oho
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
nest)
Precip.
Past 24
Hrs.
inches
Y
4 '0
c� 1
w
*
c
�*
4
p� 0
*
* 0
TKN
mglkg
Z
i~
IR c
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
1/30
130000
5.1$
East Burlington
Dry
<.5"
S
0.5
0.3
31200
3660
11.1
36.372
`NA
Fescue
1/31
143000
5.18
* fr $
East Burlington
Dry
<.5"
S
0.5
0.3
31200
3660
11.1
40.009
Fescue
11/2
156000
3
I
, '� �.2,_
East Burlington
Dry
<.5
S
0.5
0.3
21470
10270
60
21.405
NA
Fescue
U lhr)
0.000
U(j00
0.000
^°0.000`
60
`
0:000
0.000
xa'
oo
.
0.000
0.000
4roo�
0.000
0 oon
0.000
0.000
„0 Q'UO
0.000
0.000
006
0.000
0.000
0
0®rQQ
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
' 0
429000
As
Cd
Cu
Cr
Ph
H
Mo
Ni
Se
Zn
P
97.78G
o.000
Lime A lied
Annual lbs/acre
035
b 02
�376
8 &
0.112
0 004
Qfi1.¢5
a '(
�' OxS �`
35
80 N6 :....:......... .
:::':::::::::::::: :::::::: .
............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.126
0.081
8,801
4.906
0.835
0.035
0.24
0.619
0.155
20.397
Current Cumulative lbs/ac
*0 1,1'
; �'0t 09 "
"' 11 1s73X
49t
0;4w+f,;
0 039'
,% 2 tJ�
°, Q p796
h 0 2OS�F
25 332
Permitted C. P. L. R.****
36
34
1 1338
267
15
374
89
2498
Permit PAN Limit 1st/2nd Cro p
162,
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 44.12
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
ator: James Hadley Owner: Kay Goldsworthy Predominant Soil Series: TaB2
Acres Used: 10.2 Acres Permitted: 10.2 Site #: AM013 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
12/12/16
2
SB
5/8/17
31
L4]5
6
7
8]
L91
10 I
111
12
% Solids
3.94
4
Arsenic
3
5
Cadmium
2
5
Copper
165
125
Chromitiiii
226
145
Lead
10.4
16
Mercury
0.642
0.2
Molyb-
denum
5
5
Nickel
9.61
6
Selenium
5
5
Zinc
343
325
Total
Phos-
T,t, `)rus
21100
19130
1 1al Heavy 1vletal rlela Eoaaings (ualculatea In ins/acre):
Total 1 1 2 3 4 5 6 781 9 10 11 12
DT/Ac./ c
AAP-
Event 2.20 2.13
Arsenic 0..013 0: 021 ! ` ,0.000 1 0.000 1 0.00.0 1 0.000 J. 0.000 U.000 (000 1 0.000 0:00O 0.000 0.034
Cadmium 0.0097 Q.02;1 ; 0 00.0 0 00.6 0,000 : 0 00,0 ` 0.000 - 0.000 0 000 ° U OO:U i , 0 400 , 1 0;000 0:.03-0
Lead 1, 0 046 05Q i.8 - 0 0000 OQO O.Q00 0:000 0 (16;0 0.{ll?Q 0 000 0 Q00 0 9, 9f 0-, . ' , 0 114
..
Mercury OOI t 0 000 0 ObO 0 000 =. 0.000 0.000 0© 0 000 . UtIQ U OQ( Q,O�RO: 0.004
Molyb- 0 022 0 -02i. 0,0 00- 0 000 0' 0.1000 0.000[0.000, &000'" > 0 Ofl0 0 0 0 0.000. 0..043
rlamim
Nickel 1 0 042 0 02h 0 ORQ 0.,000 0:000 0 OOp°j 0.00 OA00 0 000, 0 0{10: 0 000 f -0410q 0.4)68
Selenium 0 02 0 021 01 0 000 0:000 OT OOU 0 000 0 000 0 000 {, 0 OA0 , , 060 O'.000 0.043
Zinc 1 509 1,382 m '0,.44Q ,; 0 000 0 000 0 OQQ „ 0 000 0 000 0 �00 . 0 00;0 O..O60 0:.U00 , 890
Total I' I I. i I I .
Phos- 92 798 81341 0 0,00 0.000. 0000 . O.000 0 000 0 000 0..000 0 000 0:000 _ 0:000 174 139
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ii '�sonment for knowing violations".
Z.z 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION i- .:ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 1 Acres Utilized: 10.2
Land Owner: Kay Goldsworthy Annual Dry Tons Applied 44.1- _ Site #: AM013 Acres Permitted: 10.2
Operator: James Hadley Predominant Soil Series: •TaB2 Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 190 Crop 2 Name: Crop 2 Max. PAN:
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
DES #, W #,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
4 b
°
w
* o
o
,h
*
4
x 5
w ,
°
#
g
°
TKN
mg/kg
z
o
°4 °
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1/28
45500
3.94
South Burlington
D
<.5"
S
0.5
0.3
63500
7340
ll.2
30.092A
..
Fescue
1/30
91000
3.94
': 14Fb
South Burlington
D
<.5"
S
0.5
0.3
63500
7340
11.2
60.183
NAB
Fescue
6/16
65000
4
Y 06 ti'
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
33219
-N� ,
Fescue
6/27
65000
4
10 `"
South Burlington
D
<.5"
S
0.5
0,3
44100
10830
230
Fescue
0"s,000
0 0 0
: t1.000
_' 6 6
4.000
0.000
0 0,0
0.000
0.000 .,
0.000
omao"'
0.000
0 O,,kO
0.000
0.000
0.000
0.000
0
- 0
0,000
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
0.0t)fl
O.000
. .
.'`.'
TOTALS
a
26650ia
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
156.713
0 000
Lime A lied
Annual lbs/acre
0 034�
9 03,0`
1257
1610;
0.114
a'4x0 1
0�04OfO`fl'_0yQ4"E
2 890
174sna 39 ::
::::.::::::::::::::: :::::::::
...........................
............................
:.::::.:..: ....::::::::::::.::: :
"' . • .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.237
0.414
45.406
20.6
6.973
0.116
0.55
3.475
0.254
66.034
Current Cumulative lbs/ac
;, 0 271 `
. 0 444 �
will¢ 663 `
F 22 21Q
`1087 `"
U 12t)
5 3
r 3 54
U 297
68 92
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1st/2nd Crop
PI.
190
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 53.67
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
i '-ator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2
Acres Used: 11.6 Acres Permitted: 11.6 Site #: AM013 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/k2, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
12/12/16
_2j
SB
5/8/17
3
4
5
6
7 j
8
9
10
11 1
12
% Solids
3.94
4
Arsenic
3
5
Cadmium
2
5
Copper
165
125
Chromiuii
226
145
Lead
10.4
16
Mercury
0.642
0.2
Molyb-
denum
5
5
Nickel
9.61
6
Selenium
5
5
Zinc
343
325
Total
Phos-
r�+nrus
21100
19130
I Jai heavy ivletal f iew Loaaings (ualculatea In lbs/acre):
Total 1. 1_1 21 1._3j L4,1 5j 6 7 8 J L9J 0 11 j 12 y
DT/Ac./ o
App.
Event 3.04 1.59
Arsenic 0 0�18 0,016 0.000 0.000 0.000. 0 000 ; 0 00'0 0.Q:00 6.00'0.' 0.000 0.000 O;,Q00 0.034
Cadmium 0.012 0' 0"0 ::0'16 0.00.000 0:000 I0.00:0 O.O.QO 0:000 1 0.000 0.000 1 0:000 .1 0.00.0. 1 0.02'8° .
1
Lead 0 063 005.;1 0 00Q 0.000. 0.000 0 OOfl' 0 000 0 000 0 000;_ 0 000 0.0"00 0000 , Q.
Mercury 0 001 0-:001 , 0 00.0 0.000 0 000 " U 000 0 000F, 0 0"00 0 000 0 00:0 0 000 0000 .' ,0 005.
..
Molyb- 0 000 0 00.0.. 0.000 O000. `
�annm 0,03.0 OQl6 U 000� 0 OQ:O O:OO.O 0 000 0 000 0:000 ' 0.04_G:.
Nickel
O,Or8
0019
0 000
0.000
0:000
0 Q00 ;..
0 000
Os000.
0 000
0 00:0-
0.000
0.000
0..077
Selenium
0 030
O;UL6
A.60 0:.
0 000
0.000
0 000>. ':
0 000
N:
0:000
0.000 _
0 000,
0 Ob0
0..000` .
0 046
Zinc
2 084
1,65J
0 000 ;
0 000
0.600
0.000 '
0 000
014
0 000
0 OOQ.
0 0;00
6.000
3.117
Total
Phos-
horus
129,204
60 795
0.000
0.000
0:000 .
0.000 .
0.000
.
0.000
0.000'.
.,.
0.000'
.
0.0;00
` 0.000
1-88 999
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
;e:. - 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION -t-xELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Ernest Goldworthy
Operator: James Hadley
Crop 1 Name: Rye Grass
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:x ,~67 - Site #:
Predominant Soil Series: TaB2
Crop 1 Max. PAN:
AM013
Acres Utilized: 11.6
Acres Permitted: 11.6
Cation Exchange Capacity (non 503):
137 Crop 2 Name: Sudex
Crop 2 Max. PAN
0
50
�
°
p
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
a/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,Past
Fert., Animal
Waste, etc)
Soil
Cond.c
(Dry'
Moist
Precip.
24
Hrs.
inches
a
°
� '�
a w
* 0
c
� �,
Y
* w'
0
K
. �
w �,
* w
# 0
TKN
mg/kg
Z
0 w•
mglkg
Nitrate
and
Nitrite
mg/kg
PAN bs/ace) Applied
Name of Crop Type
Receiving Residual
Application
Crop 1
C'mp 2
Crop 1 I
Crop 2
1/17
214500
3.94
. 3 03:8 " '
South Burlington
D
<.5"
S
0.5
0.3
63500
7340
11.2
124.730
NA
Rve Grass
6/26
45500
4
0 654°, ..
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
Na
20.447
Sudex
6/27
65000
4
South Burlington
D
<5'
S
0.5
0.3
44100
10830
230
Na
29.210
Sudex
s' b 000
0.000
0.000
0 UOEI `
0000
0.000
Ox,00Q
0.000
. 0.000
0.000
0.000
0.900
b.000
O OQ0
6.000
0,000
0 Q00
0.000
0.000
0 000 ,ti,
0.000
0,000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
6.000
0.000
TOTALS
01
3250001,As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
124.7391
4.9.657
Lime Applied
Annual lbs/acre
0.1 t4
@.00�
0 046
s Dr077w
Q"0
1f31r17
1$8 99
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.108
1 0.204
23.288
7.483
2.459
0.074
0.408
1.448
0.128
39.476
Current Cumulative lbs/ac
01`4�
f424 �6$8
<QiF
?,573
UO9
' .0
Permitted C. P. L. R.****
36
34
1338
267
15
1
1 374
1 89
2498
Permit PAN Limit lst/2nd Crop137
50
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 129,92.
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
`ator: James Hadley Owner: Ernest Goldworthy Predominant Soil Series: TaB2
Acres Used: 29.5 Acres Permitted: 29.5 Site #: AM013 Field #: 3
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/ke, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
12/12/16
2j
SB
5/8/17
3j
4
5
6
7
8
9
10
11
12
% Solids
3.94
4
Arsenic
3
5
Cadmium
2
5
Copper
165
125
Chromium
226
145
Lead
10.4
16
Mercury
0.642
0.2
Molyb-
denum
5
5
Nickel
9.61
6
Selenium
5
5
Zinc
343
325
Total
Phos-
r11rus
21100
19130
z uai aeavy ivietai rieia Loauings kt-aicuiaiea in iasiacre):
Total 1 11 12]L3J 4 51 6 7 j L8J L9J LOJ 11 J 12
DT/Ac./ 0
App.
Event 2.86 1.54
Arsenic 0 017 . 0.015 1 0.000' 1 6,0001 0 000 1,10.000 0.000 0..060 1 0.900 0.000 0 0'00 1 0::000 0 033;
Cadmium 0 011 0,015 O.00Q. 0 00.0 OOQO 0.000 0 0.00.. 0.000 0 000 0 000 0.000 0.000 0.027
Copper 1 07, 944 Ox.386 0.000 ".000 O'0:00 0 "000 0 00'0 0.0:00 0 000 0,00=0 0 000 1 0.000 1 330
IChromiun4 1,298 0:448 0 000 4 000 0 000 . U 000 0 000 0.000 0.000 0..000.' 0 000 0.000 1.74U
Lead
0.059
0:049
: '0 000.
0.000
0.0
0.09VI
0 000
A 900 "
, - 0 000 ,
,0 000
0 000
Q.000
0.1.09
Mercury
0,0:04
0 001
0 000 ;,
0 OO;U
0.000
0 000
0 00;0
0 000
0: 000 :
0 000
0:000
0.:000:
0 004
Molyb-
den
0 029
0.015
0 000.
01000
0.00.0
0 000
0 060
0.000
0.000 :
0.000
0.000
0.600
0:044
Nickel
0 055
0:919
0y000
0 D
0.000
0000-
6.000
O Q00 "
0.000 _;
.0.000_
0.00.0
0.:000
0,073.
Selenium
0.029
0 O15
6. 000 _
0 000
0 000
0 000
0 00`0
0 0:00
0 000
0 D00
0 0,00
0:000
0 044
Zinc
1 96.2.
1.004 '
. 0,000
0 000
0 000
0 00a-
0 000
0 000
0.000
. 0 0%
0..000
0.0002.966
Total
Phos-
phorus
120 692
59.073
0.000,
0::000.
0:000..
...
0.000
0 000
0.000
-_
0=:000
0.000'
0.000
_
0.000
179.765
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it isonment for knowing violations".
Z�fe 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION x,, LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Ernest Goldworthy
James Hadley
Crop 1 Name: Rye Grass
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Site #:
Predominant Soil Series: TaB2
Crop 1 Max. PAN:
137
Crop 2 Name:
Acres Utilized: 29.5
AM013 Acres Permitted: 29.5
Cation Exchange Capacity (non 503):
Sudex
Crop 2 Max. PAN:
50
o
QLiquid
Volume applied
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Con&
We '
Moist)
Precip.
Past 24
Hrs.
inches
Y
cc
a a
* 0
o
�;
o'
7�
* �~,.
c
0
TICK
mg/kg
Z
i
o
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
Ibs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1/17
52000
3.94
0 2 d
South Burlington
D
<.5"
S
0.5
0.3
63500
7340
11.2
11.891
NA
ye Grass
1/27
286000
3.94
South Burlington
D
<.5"
S
0.5
0.3
63500
7340
11.2
65.400
NA
lye Grass
1/28
175500
1 3.94
South Burlington
D
<.5"
S
0.5
0.3
63500
7340
11.2
40.132
NA
Rvc Grass
6/26
130000
4
aQ 735
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
Na
22.972
Sudex
6/27
143000
4
= `��r8(39 `
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
Na
25.269
Sudex
0.000
0,000
0.000
0.000
;r • �;
0.000
0.000
0.000
0.M0
aq0
0.000
0.000
' 00.0 me
0.000
0.000
0.000
0.000
0
0
b O,ODr,., .
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0:(►00
0.000
TOTALS
As
Cd
Cu
Cr
Pb
H 7
Mo
Ni
Se
Zn
P
117.423
48.241
Lime A lied
Annual lbs/acrea
03yN0
0�'0
,�) TKO+
0.109
0.0U�p
©$44Q;xQ53'
1044
2 9rF
' 179 765 :.:::::::::::::: :::::<:;:::.
:::_:::::::�:::::::::::::�::::::::::, ,:,:=:,:*:* ,:
<
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.142
0.23
26.853
10.794
2.88
0.091
0.384
1.922
0.152
41.357
Current Cumulative lbs/ac
3 5
, 2�5
2$n 8
12 534
2.989
0.099
0�
Y�9 ;;'�{kt9
=��44
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1st/2nd Crop
P
' =137 ^ gip:
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 49.39
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'•ator: James Roney Owner: James Roney Predominant Soil Series: 14bC2
Acres Used: 12.5 Acres Permitted: 12.5 Site #: AM014 Field #: 2
Residual Analvsis Data (14eavv Metals and Total Phosphorus use mg/ka. % Solids use Raw Percent ft
Com-
posite
Date
Total
lPhos-
.1 aal
Heavy
Metal Field Loadings
(Calculated
in lbs/acre):
Total
Ill
2 J
3
4
L5J
6
7
8
9
LOJ
111112
DT/Ac./
App.
Event
2.80
1.15
Arsenic
0,028
01.01.1
0.000
0.000
0.000
0.900
00:00
0.000
0 000
6,000,
0.000
0.000.
-0.040
Cadmium
0.0224.
0..0,1.1,
0 000
0.000
0._000 :
0 00Q :.
0 090
0 000
0 000
0 00.0
0.000
0.00-0
0.040
Copper
0 9A:8
:0;499
0 000 .,
0-000
0..0.00
0 000<
0.000
0 000
0 000'
0 00:0
0.000
0.00
1.407
Chromiu
0 897
0 152 ..:0.000
:
0 000
0 000
0 000:
0 000
0 00,0
0 000,
0 000
0.000
0:000
1.048
Lead
0.050
-0 13-6
0 00U
0.1060
0:000,
0 000 °
0 OQO:, :
0.000
` 0 000 ;:
0 000:
0 000
0 000.
O.4i86,.
Mercury
0 001
fl:000 :
�--0:000
0 0.00
0.000
0 000
4 Oo0
0 (k
Q.000
0 000.
0.000
0:000
0.002.
Molyb-
0:029,
0.011
0:0.00
U 000
10 000
0.000
0.0.00
0;000....
0 000
0.000
0.000
0:000
0.040
denum
.
.
Nickel
0 034
0 044
0 000 :
0 000
0 000
0 000
. 0.000
0 0;00
0 00:0
0 000
0.000
0:000
0.077
Selenium
0 02$
0 011
0 OOQ ;'
0 00:0
0 0:00 , ..0400;
0 000
0 000
0. 000- ;
0 OQ0
0 OQ
O'.:000
0,040
Zinc
2.598�
1-. 38 .
0 000::,
0.000
0:000
0 000 ,:
0 000
0 000
0000 .
0.000"
0. 000
0:000
' .4 416
Total
_ ..
Phos-
136.009
33.39'0
0.000.
0.000
0.000 :
0.0.00
0.000
0 000
0.00.0
0.000
.0.000-
0:000
169.391
chorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it sonment for knowing violations".
Z-z 4�e- 1 /3 0/2018
Signature of Land Applier Date
DFNR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION )r.-cLD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Roney
James Roney
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied: '4.-11339 "' Site #:
Predominant Soil Series: HbC2
Crop I Max. PAN: 118 Crop 2 Name:
Acres Utilized: 12.5
AM014 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
12.5
0
o •�
+�
QLiquid
Volume applied
PP
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, W #
Q
Fert., Animal
Waste, etc)
Soil
Cond.
Wet'
Moist)
Precip.
Past 24
His•
inches
a
4 b
cP T�
a s -
* o
0
C
o
7d �»
*
o
* w
0
TKN
mgJkg
Z
4
o
CDw
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
PP
(lbs/acre)
Name of Crop Type
p yp
Receiving Residual
Application
(r )p 1
Crop 2
Crop I
Crop 2
7/18
247000
3.4
2r8Q2, t ,.
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
99.422
NA
Fescue
7/20
65000
5.3
4149' ' `
East Burligton
Dry
<.5"
S
0.5
0.3
21130
2960
90
16.1=38 j
NA
Fescue
0 OOQ
O,:000
Q000 ,
p
olQoa'�
040o
aoao`
aY000
� �,:
o 00o
aQoo
aoo
0=aoo
a:000
%oo
0.000
0 000�a �;�
o:oaa
0000
6.000 �w .
o.000
o.000
0
6--
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0 0:9b
-'fl,
'OTALS:
.0
, .`3'1200i)
,V
Cd
Cu
Cr
Pb
Ha
Mo
Ni
Se
Zn
P
115566
a ot) '
Lime Applied
lnnual lbs/acre
,a040�%40
1.. .
�1=4g,.
0.186
©:UO2
l�Q;®0=U
07�7
Of A0
4lc6ti
l69 3;99:.
Date
lbs/ac
'rior Years Cumulative lbs/ac
0.064
0.042
4.796
3.781
0.346
o.t)1.
0.106
0.283
0.106
10.777
'.urrent Cumulative lbs/ac
_. tr O� tf
82u
¢ 2Q3
" "t4 > 29
0.532
-0 (111
U�14
3 4
D 1#6
1531.9
'ermitted C. P. L. R.****
36
34
1338
267
15
1
374
89
2498
'ermit PAN Limit 1 st/2nd Cr o p
. 118
'I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
30.01
r '-ator: James Roney Owner: James Roney Predominant Soil Series: HbB
Acres Used: 9.6 Acres Permitted: 9.6 Site #: AM014 Field #: 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
aal Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
F2.21
App-
14
Event
0.92
Arsenic
0.022
1 0.009
0.000 1
0.000
0.000
0:000
0.000,
0.:000
0.000
0.000
0.000
0.000
0.031
Cadmium
0.02-2
0..009
0A10
0.000
0.00.0
0.000
6,900
0.600
0.000
0.000
0.000
0.000
0.031
Copper
0.715
0.062
0 000 `;
0.000
0.:000
0 000
0.0.00
0.000
0:000
0.000.
0:000
0.000
0.778
Chromium
0.707
0.184
0.000
0.000.
0.000
0.000
0.000
0.000
0.00.0
0:000
0.000
0.000
0.890
Lead
0.040
0.367
1 0.000
0.000
0.000
0-000
0:0.00
0.000
0..000
0.000
0.000
0.000
0:407
Mercury
0,001
0.000
0.900
0.000
0.000.
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0:001
Molyb-
0.022
_ 0.009
0.000
0.0.00
0.000
0.000
0.000
06.0.00
0.000
0.000
0.000
0.000
0.031
denum
Nickel
0.026
0.015
0.000:
0.000
0.000
0.000
0 900
0.000
0.000
0.0.00
0.000
0.000
0.041,
Selenium
0 0 2
0,6009
0.000
0..000
0.000
0.000
0 00.0
0.000 ';
0.000
0.00.0.
0.000
0.000
0.031
Zinc
2.031
0062
0.000 .
0,000
0.000
0 000 :
0.000
0000
0 00.0
0.000
0.000
0.000
2.094
Total
_
Phos-
107.176
4:039
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
111.216
honts
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
Z.e Z�/ 1 /3 0/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION i,.%LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Roney
James Roney
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied. " . >3j)t0s Site #:
Predominant Soil Series: HbB
Crop 1 Max. PAN:
169
Crop 2 Name:
Acres Utilized:
AM014 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
9.6
9.6
0
W
o -�
A °_
Volume applied
(enter one) Solids/
Liquid
Cu. Yds G8110nS
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NpDES #, W #
Fert., Animal
Waste, etc)
Soil
Cond.
Wet,
Moist)
Precip.
Past 24
Urs.
inches
Y
� 10
ro 'n
0 w
0
0
o
R
* N.,
0
4.
;v �
a n
0
TKN
mg/kg
Z I
q
o
p 0.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
7/14
149500
3.4
Z208
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
78.355
NA
Fescue
7/27
84500
2.5
0 9ti8 _.¶
Mackintosh
D
<5"
S
0.5
0.4
10000
1360
70
7.719
NA
Fescue
{Q
0.000
0.000
�0a6d
0.000
0.000
-g
oiaaa
0.000
0.000
0.000
0.000
kp bQO •,
0.000
0.000
,aYoeb: °s
0.000
0.000
p oao
0.000
0.000
fl as
0.000
0.000
0.000
0.000
0.000
0.000
0;
(1
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
r0TAI.
N 01
2340001
As
Cd
Cu
Cr
Pb
H�
Mo
Ni
Se
Zn
P
86.074
0.00o
Lime Applied
Annual lbs/acre
A C113 r
0 03�
U %"/
,$�0 890;';
0.407
0.001
„� Qu03� 41
0 O�3i�
�O Q31,�
2�$'�
� 09`4,,
ll4`..
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.077
0.051
5.417
3.572
0.426
0,011
0.128
0.339
0.128
12.317
Current Cumulative lbs/ac
11
.b,.. x „Y..,...
0 Q82
C
d 4'6
0.833
0,012-.
a;1 9
A 0 3$0
i ©1 9
14
Permitted C. P. L. R.****
36
34
1338
267
15
1
374
1 89
2498
Permit PAN Limit 1 st/2nd Cro P
169
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
;!!: �Z 4 0e: I �O'-
Signature of Land Applier
1/30/2018
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 94.68
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f -ator: James Roney Owner: Jame Roney Predominant Soil Series: EdC2
A,. es Used: 21.8 Acres Permitted: 21.8 Site #: AM014 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, %Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
SB
6/5/17
21
Mack
7/10/17
3
SB
7/10/17
4
5
6
7
8
9
10
11
12 1
% Solids
3.4
2.5
3.6
Arsenic
5
1 5
5
Cadmium
5
5
5
Copper
162
34
153
Chromium
160
100
140
Lead
9
200
22
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
6
8
40
Selenium
5
5
5
Zinc
460
34
347
Total
Phos-
phorus
24270
2200
37500
ial
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
Total
1
1 21
L3J
L415
6
7
8
9
10
11
12
DT/Ac./
g
App.
Event
1.52
1.52
1.30
Arsenic
0.015
0::015'
0.013
0.000
1 0.9100
0.000
0:000
0.00.0.
6,000
1 0.000
0..000
0.043
Cadmium
0 Ow15.
0.:015
'0 013 .
0 000
0.000
0 000,
0 000
0.000'
01000
0:.0.00
0.000
0.000
0.043
Copper
0.49
O:L04
_
0 397
0 000
0,000
0 000 ,:,
„ ,
0 000
0.000 '
0 000
0 00 0
0 Q.06
0.000
0.994
Chromium
0 487
Q 305
0 3�63•
Q:000 '
O. ,'O '
O.AO'(
0 000
0 000
0 000 ;.
0 00'0
0 OOQ
t?:..0 ,
L255
Lead
0.027
=-
0~609
0 057
0.000
0.000..
Q Ooo:.:
0 000
000
00.004
-
0.694'
Mercury
0 001
0i(}1
;0 001
0 oao
O.000
.:.0 000 '..
0 600
oO.Qa
Q 000.
0 O6U
6 000
0,.000
0.002.
Molyb-
O.O1S
0;015
fl 013
_.
0 00.0
Or.000
0.000
0 000
0.000
0 006�
" 0.000
0:000
0.000
0.043
denum
Nickel
0 018
0..024 .
010>, ;'
0 000
00.00
0 000
0 000.
goo '
0 OQO
0 00O
0,000
0:00,0.:
0 146
Selenium
0 O 15
0 015 ;
.0 013
Q. 000
0 q00
0 00Q
0 000:
0 000
0; 000 ;
' 0 000'
0.0.00
0.000
0 043.
Zinc
1.400
0.104
0 901..;
0 00�0
0:000
0 000�
Q 00"Q'
O.000
0. 000 :'
0 000
0 0:00
0 000
05
Total
_.
Phos-
73.87°8`
6.70-1
97 35.0 ;
0..000
0:000-
0.00'..0.'
0:000
0.00,E
0.00.0
: O'OUO'
0.000
0.60:0
117.929
rhorus
"I certifv. under penalty of law. that this document was nrenared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it ',,sonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION x­A,LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Jame Roney
Operator: James Roney
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied h 94;iG$ Site #:
Predominant Soil Series: EdC2
Crop 1 Max. PAN:
122
Crop 2 Name:
Acres Utilized: 21.8
AM014 Acres Permitted: 21.8
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
o
C'sLiquid
Q
Volume applied
PP
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Preci .
p
Past 24
Fks.
inches
a
b
cn '5
*a
t
o
w iK
* N'
7y
C
# N
F.
0
TKN
mgikg
Z
iz
�o o
q w
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
lbs/acre
( )
Name of Crop
p Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
7/13
84500
3.4
0A55Q .-
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
19'`'S031A
Y'
Fescue
7/14
45500
3.4
0 29
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
10502
:AIA >
Fescue
7/17
221000
2.5
I057`
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
8.890
NA
Fescue
7/26
104000
3.4"6T6
w`'','
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
24.003
NA
Fescue
7/27
97500
2.5
�yd
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
3.922
NA
Fescue
8/14
13000
3.6
O A,90 .�
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
2.682
NA
Fescue
8/16
175500
3.6
�`
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
36.208
NA
Fescue
r0 DOE1
0.000
0,000
0
0.000
0.000
X.
0 X. 5.'
o.000
0.000
0.000
0.000
0.000
0.001)
:0"r7�00
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0,000
0.000
TOTALS
01
,74[0001
As
Cd
Cu
Cr
Pb
H�P_
Mo
Ni
Se
Zn
P
105.7101
0. 00
Lime; Applied
Annual Ibs/acre
0:694
t1.00
.... •....:......... .
:: :::::::::=:
[)ate
lbs/ac
Prior Years Cumulative lbs/ac
0.06
0.039
4.092
3.655
0.294
0.01
0.1
0.24
0.1
9.985
Current Cumulative Ibs/acl(3`
,
°
s , 8�
1i0
5 Q$6k
aa*4la
;0 9$8
0112 ;
0 L43
0
Y8b
r "Q19.d
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498~
Permit PAN Limit 1 m st/2nd Crop
-
-
122
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 42-.4.46
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
`ator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: VbC3
Acres Used: 13.1 Acres Permitted: 13.1 Site #: AM015 Field #: 1
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
7/10/17
2
SB
8/7/17
3
41
L5
L6 1
7
8
9
10
11
12
% Solids
3.6
3
Arsenic
5
5
Cadmium
5
5
Copper
153
85
Chromiun
140
180
Lead
22
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
40
15
Selenium
5
5
Zinc
347
430
Total
Phos-
r -rus
37500
24000
11ai Heavy ivletal Yield Loadings (Calculated in lbs/acre):
Total 121 L3 4 5 6 7 8 9 J 10 11 j 12
DT/Ac./
App.
Event 1.94 1.30
Arsenic 0.019 1 0.013 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 [).064 (woo 0.000 000° 0.032"
Cadmium 0.019 - 0;013 . ` 0 000:: 0.000" 0..000, - '0 000: 0.00.0 0 000 0;:.000 0.0(20` 0 :000 0 006 : 0.;032
Lead
0.085
013
_O.OQO
0 OO,Q
O q
'0.000
1 0.000
0 04
a.000
0.000
0 a0 }
0-00a
00 9`-8 .,
Mercury
0 4b
0.40I
s0.000 '
0 00.0
0 OOa
0 000 :
, 0.00
0 Q0
0".000
0.000>
t1 A00
0_(I00
O.00 I
Molyb-
0 019
0 fli3
0 000
0 000
O..00fl
0.000 .;
0 000
0 d'
0.000 .
0 OOQ°
0 D0
0.:000
0.032
denum
Nickel
0 155
0 039f
U OOQ,
0 000
t 0.000
U 000
0 00:0
000=
000 .
. 0 000
0 000
D._000
. 0 l9,4.
Selenium
0 61.51
0.013 '
0 000
0 OOQ
0 200
0 00� .
; 0 006'
0 000
0.`000
O�i100
0 OQO
0.000 ,
r ,Q�032
Zinc
1344
1127
O 000:,
0 000
0 000�
9 000
0 06
0 000
O,OOp
©000
r.0 Op0
=
0:000
Total
_
Phos-
145 5
62 592
0 000,.'>
0 000
0 000
OQ0
0 OOU:
U 000
D.000 :'
0 00=U
0 D O
> 0:000
207.8G7
nhorus
_
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
if 'sonment for knowing violations".
1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION j-fELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 1 Acres Utilized:
Charlie Wyatt Annual Dry Tons Applied ` ' 4>;4 Site #: AM015 Acres Permitted:
Charlie Wyatt Predominant Soil Series: VbC3 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 182 Crop 2 Name: Crop 2 Max. PAN:
13.1
13.1
0
o
o o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
ova
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
Wet
Moist)
Past 24
Hrs.
inches
Y
r, 'n
a
o
a f;
*
-�
o
* .+
m ti
!"
* N
w
TKN
mg/kg
t4 a
at �
o
as o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
8/31
169000
3.6
193`-7;
South Burlington
D
<.5"
S
0.5
0.3
39000
16000
80
58.022
NA
Fescue
9/5
136500
3
f,304 -
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
38.089
NA
Fescue
0 00`0
0.000
0.000
^`500,0
0,000
0.000
w, t QR:s,:
0.000
0,000
' 00„�
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
0,000
0.000
0.000
0.000
._r._
0.000 ,
0.000
0.000
0'
0;
0 OQO
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
O.OoO
11.000
roTats
W o
` °'3ossoo,
As
Cd
Cu
Cr
Pb
Mg
Mo
Ni
Se
Zn
P
96.1► I
0000
1_ime A lied
Annuallbs/acre0032".6U32
wt.,.
,,0�84
0.098
0.()Q1
0032
01+
`.1a�32
246b
207C7
::::::::::::::::::::::::::.:
..............
............................
. . . . .
::.. ,.. .:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.08
0.05
4.852
2.959
0.433
0.015
0.138
0.35
0.119
13.044
Current Cumulative lbs/ac
011
0318�
_.5 b661
0.531
U Orb
17Q
Permitted C. P. L. R.****
36
1 34
1 1338
1
267
15
374
1 89
2498
Permit PAN Limit 1 sd2nd Crop2
18
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 35.18
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
F '-ator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: EdC2
A.,. es Used: 12.1 Acres Permitted: 12.1 Site #: AM015 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/ke, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
SB
8/7/17
21
31
1415
61
7
8
9;
10
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
85
ChromiLini
180
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
15
Selenium
5
Zinc
430
Total
Phos-
phorus
24000
;.jai heavy ivtetai r ieia l,oaamgs << aicuiatea in IDsiacre):
'l otal I 11 1213 4 5 6 7 8 9 10 11 12
DT/Ac./ 0
App,
Event 2.96
Arsenic 1 0.030 1 0.000 0:600 0:000 0.000 0.000 0.000 0.000 0.000 ' 0.060 1 0:0:00 1 0.006 0.030:
Cadmium 1 0.030 1.0:00.0 0:000 ' 0.00`0 0..000 : r U.000 0.000 0.;000 0.00:0 0.00,0 0-_00`0 OOQO 0.03'0
Lead
0 Opp
0 000
0.000.
0.0,00
0;.000
0 000 :'
0.000
0 000
0 000
0 00.'0'
0 OOp
0.,00' :,
0.030
Mercury
0 001
0:.000
0 0.00 .
0.000
0.0'00
U 000 ;
0 000
-
0.0;00.
0 0.00
0.000
0.,000
0:000
„ 0 001"
Molyb-
denum
0 030
0:000 :
q 000
0.000
0;:000
0 000 '
0 Oq0
O:OflO .
0 000
0 000
0 000
O'.000
0..030
Nickel
0.08.9
fl 000
0 Q00 J,
0.000
0.`0:00
Q 000
0 000
0:0:00
0 000
0 000.
0 O,.DO
0.000
0 "0.89
Selenium
Q. 6,3
0 000
" 0 '0
0 000
0 000 .
0 000
0 000
0;000
0- 000..
fl.Q00
0 000
0:.000
0 03 ;
Zinc
2.543
Q.' Q00
0 OOQ'.
0.000
0.000,
0 Oo0
0_fl00
0.900
0 000.
0:fl00
-543 `
Total
Phos-
phorus
141.936
0.000
0.000
0.000
0:000
U 000.
0.00.0
0..000
0.00:0
0.000
0.0:00
0_:000
141:936
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it isonment for knowing violations".
zllz 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION x ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 2 Acres Utilized:
Charlie Wyatt Annual Dry Tons Applied M t 357&�� V;`c Site #: AM015 Acres Permitted:
Charlie Wyatt Predominant Soil Series: EdC2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 122 Crop 2 Name: Crop 2 Max. PAN:
12.1
12.1
0
o
0
0
.� o
Q
Volume applied
Pp
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
y
4
cc
o� c
�
<
o
p
4
* w
TKN
mg/kg
Z4
q
a°ro o
m
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
lbs/acre
( )
Name of Crop Type
p yp
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
9/5
136500
3
1 4°) )i
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
41.237
NA
rescue
9/7
123500
3
h v 1 277'� t
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
37 309,
NA
Fescue
9/8
26000
3
0269 fit'
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
7855.
NA
Fescue
O.000 +
0.000
•10000 , ,
0.000
Q Q4o
O o00. ,
0,000
Oit)b0
A.
0.000
0
oia '
0000
0.000
ii b;00 �
0000
0 000 .
A 00'a;
000.
0 Q00;
0 04
0
0
OrQp©,"
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form)
0000.
, 0 000,
TOTALS
`"' 0
,.;.,sf)iloo
AS
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P.8t
401Off00''
Lime A lied
Annual lbs/acre
0 030°y,i)
030
0 503"=
l Q6:
0.030
0.001}
030
; 0 089
a9 03
„2,543 ;
I4,93"6`
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.058
0.036
3.556
2.805
0.333
0.012
0.109
0.263
0.077
9.666
Current Cumulative lbs/ac
0r088
:: 0 06 Ma
>, 9 Q59
53 870
0s36
0013`0139
0 35�'
Of107
w l`2 209
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
374
1 89
1 2498
itP
Perm AN Limit l st/2nd Crop
p
_ ........ 122
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
lator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series:
Au, -es Used: 10.1 Acres Permitted: 10.1 Site #: AM015 Field #:
30.73
EdC
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
. Ttwx9
Com-
posite
Date
0
Total
Phos-
-plin'rusmMEMENEENEEN
ial Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
L2J
3j
4
5
6
7
8
9
10
11
12
DT/Ac./
rt
App.
Event
2.37
0.67
Arsenic
0:024
0,007
0*000
0.000
0,000
0.000
0.00'0
0.000
0.:000
O:U'0"0
0.0000..000
0:030
Cadmium
0.024
0:0.07
0.000
0.000
0..000
0.000
0.000
0 000
0.00:0
0.000
0:0.00.
0..000
0.030.
Copper
0.769
0:046
0.000
0.0.00
0.000 ;
• 0.000
0.00.0
0.00.0
O.0.00
0.0:00
0 000
0.0000.814
Chromium
0:759
03,34
0.000
0.000 `
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.893
Lead
0.04.3
0.268
0,000:
0.000
O;.D00
0.000.
0:00:0
0,000
0.000
0.000.
0.000'
0.000
0.311
Mercury
0.001
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000'
0.000
0:000
0..000
0.001.
Molyb-
0.024
0.007
0.000
0.000
0.000
0.000
0.00.0
0.000
0-.000.
0.000
0.000
0.000
0;030
denum
denum
Nickel
0.028
0,011
0.000
0.000
0.:000
0:000
0.000
0.000
0.000
0.009
0.000
0.000
0..0,39
Selenium
0.024
0.0.07
0.000
0.000
0.090
ROW
0 000
0-000
0.000 '
0.000-
0 Q00
0.:000..,.
0.030
Zinc
2.182
0.046
0.000
0.000
0:000
0,000
0 000
0.000_
0 000 :
0.000
0 000
0.:000 '
2.228
Total
Phos-
115.137
2.952
0.000
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
11.8.089
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 1sonment for knowing violations".
Z: 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION i IjELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 3 Acres Utilized:
Charlie Wyatt Annual Dry Tons AppliedSite #: AM015 Acres Permitted:
Charlie Wyatt Predominant Soil Series: EdC Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 122 Crop 2 Name: Crop 2 Max. PAN:
10.1
10.1
0
�
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
Y
'b
c
'4
Z Y
ct
Nitrate
PAN Applied
Name of Crop Type
o
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Past 24
c z?
�',
coo
w •,
TKN
o°a o
and
lbs/acre
( )
Receiving Residual
Q
Liquid
Solids
Acre
Fert., Animal
We '
Hrs.
�.
*
9 w
Nitrite
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist}
inches
�
mg/kg
mg/kg
niog
Crop 1
Crop 2
Crop 1
Crop 2
7/25
78000
3.4
109 «±
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
3,$85 7
1V'A ,
Fescue
7/26
91000
3.4
L'2Z 7? ';
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
45.333
NA
Fescue
7/31
65000
2.5
°0a1",
Mackintosh
D
<5"
S
0.5
0.4
10000
1360
70
5.644
NA -'
fescue
Oy00pz'
0:000
0,.000 '
e, 010
0.000
O':000 . i
Q.00()
0.000
k+ko baoo:000
,
a000
Gi0op
0
,, 0
0 O" t=,
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
roTar_s
0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
89834
,000 "
Lime Applied
Annual lbs/acre
O EF U
wQ o i1
:ro ,$�1
� Q 8�
0.311
0.001
-11`030
p0 Q 9
Q`� ©
E ,2 22$
118 089
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.044
0.026
2.65
1.311
0.222
0.014
0.074
0.236
0.063
7.061
Current Cumulative lbs/ac.
e=t 56
464
20?t:33
ge
0.015
0 4�
t
br25
0 0�3
4289
....
Permitted C. P. L. R.****
36
34
1338
267
15
374
1 89
2498
Permit PAN Limit lst/2nd Crop
...................,.
IZ2
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 32.47
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r ,ator: Charlie Wyatt Owner: Charlie Wyatt Predominant Soil Series: CbB2
Acres Used: 10 Acres Permitted: 15.8 Site #: AM015 Field #: 4
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mg/kLF, % Solids use Raw Percent #):
posite
018nnIMENNIMEMEN
lei
Total
Phos-
t Jai
heavy ivietai r ieia l,oaaings
(t-aicuiatea in iasiacre):
Total
1 11
L2J3
4
5
6
7
8
9
10
11
12
DT/Ac./
APP-
„oyr
Event
2.03
1.22
Arsenic
0.020
v.
0 000"
0.000
0..000 .
0 00'0 `.
0 0.00
0.000
0:000
0.000
0,0.00
O:O.OQ,
0.032
Cadmium
0 0�0
0 012 ,
, -6 00 0 :
,.. 0 OOp
O:,000
0 000 '
0.000
0.000:
O.000
0.000
0 0;00 .
O:000
0.032
Copper
0 657
0 207
0 000 `
0 000
0.:000
0 000
0 000
0 000
0.000
0 00-0
0 000
A.
0,864
Chromium
6.649
0:439
0 000
0.000
0,000
0 000 '
` 0 000
0 000 ":
0.000
0 000
0.000
0.000
1` 048
Lead
0,63
0.012
0.000
0.000
O.OpO
0 Q00
6.06.6
0 000
0 000
0 000
4 aU0"
0.00a
0:049
Mercury
0.001
. 0.000 '
-0 060
0.000
0:000
0 006
O OUO
0..000 "
0.00:0
0 0Q:0
0 OQ0
0 000
0.00-1 ..
Molyb-
0 020
0.0,12 -
0.00.0
0. 000
0.006
0.000
0.000 .
0,000
0.000'.
0:000
0 000
0 00".0
0.032
denum
Nickel
0.024
0.0 7
0 000
0.000
0..000
0.000
O,OOQ
0 i700
0 000
.' 0 OQ'U
0.000
O.000
0 4.61
Selenium
0 02i0
0 Q12 ..
0 000 .A
0v000
0:000
.,.0 Ob0
000-
0 000
0 000. `.
Q 00.0
0.000
0 000
4.03
Zinc
1 8G
1 049
0 000'
0 00:0
0.000-
Q 000
0 OOU
0,006,
0 000
0 000
0;000
0:000 _
2 914
Total
Phos-
98.391
581.560:,
0.000 '
0:000
0-.000
0.00"0
0.000:
0-600
0.000-'
0.000
0.00.0
0.000.
1$6.954
Dhorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it `sonment for knowing violations".
Z--z 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION• -x rALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Charlie Wyatt
Operator: Charlie Wyatt
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied r 4? x ? Site #:
Predominant Soil Series: CbB2
Crop 1 Max. PAN:
216
Crop 2 Name:
4 Acres Utilized: 10
AM015 Acres Permitted: 15.8
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
$..
o
A 41
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet'
Moist
Precip.
Past 24
Hrs.
inches
Y
cc
0 a
# o
o
�'
* m'
m
c
* �3
TKN
mg/kg
Z
a
o
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/25
143000
3.4
a«""117
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
71".'95[1`
. °AG
Fescue
9/8
97500
3
22,0 '''
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
35.640
1�A"
Fescue
0.000
0.000
() OOO F
0.000
0.000
O�QSXO
0.(@0
0.000
0M00
0.000
rt o1oo.Q
0.000
0.000
aa;
0.000
0.000
0.000
0.000
0-000
0.000
0.000
0-000
0.000
0.000
0
0"
0 00(l
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS],q:"
01
2405001
As
Cd
Cu
Cr
Pb
H 3
Mo
Ni
Se
Zn
P
t07.591
0.000
Lime Applied
Annual lbs/acre
k 0 032
y0 02„« ;
., 0 $n6'4`
v 1088`
0.049
O.EDC1
0$032
QY 1 'i
(�32
914
)61351 ::::::::::::;:?;
....:........................
:::::::::<>:: ' ' ' '
Date
lbs/ac
'Prior Years Cumulative lbs/ac
0.053
0.034
3.507
2.696
0.267
0.015
0.091
0.254
0.082
8.398
Current Cumulative lbs/ac
`02Q8
�?art066
w 4 37i
�4
0,316
0.0G.
123°'R
�3i3
O 11'
1131
Permitted C. P. L. R.****
36
1 34
1 1338
1
1 267
1 15
1
1 374
1 89
1 2498
Pe Limit PAN d Cr
A tmtt lst/2n o P
21 6
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 107.06
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'rator: Michael Hadley Owner: C.L. Hadley Predominant Soil Series: HdC2
A... es Used: 30.5 Acres Permitted: 30.5 Site #: AM016 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use ma/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
SB
4/10/17
2
SB
5/8/17
3
4
51
61
7
8
L9
10
11
12
% Solids
5
4
Arsenic
5
t 5
Cadmium
5
5
Copper
120
125
Chromium
160
145
Lead
5
16
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
5
6
Selenium
5
5
Zinc
460
325
Total
Phos-
phorus
8100
19130
lal rrieavy iweLai r ieia Loauings (L:alculatea in tbs/acre):
Total 1 2 1 1 31 1 4 5 6 7 81 91 101 11 _ 12
DT/Ac./
App.
Event 2.80 0.71
Arsenic 0.028 0.00:71 0.000 1 Q 00.0 0.000 Of 0:000 0.000 0:000 1 (1.000 1 0.:000 1 0:000 0 03
Cadmium 0.028 0 067 0.000 .1 0.00& OAD6 I 0.00;0:.: 0 000 1 6-0, T 0- 00 0.000 1 0,000 1, 0.000 0AJ5
Chromium 0.8960:206: ; 0 0' ®; 0.00;0 O::Q.00 Q OOQ :, 0 000 Q o:00 0.000. „ 0.000 0 000 0,000 1.102
Lead 0 62-8 Q.0 3 a OUt 0 Q0:0 o.aoo o aoo o.o 0 0 00 . 0.000 0.000 Q O IO 0:.000 0.051
Mercury
0.001
tI.000
.. l_000.:
Q-99-Q
0#0
_ .0 0" ..
0:000
0.0
~ 0.000 1
0 UOfl
0-000
D.000
: 0.0.0.1
Molyb-
0.028
0 A07
0.00.0
0 O.OU .
0.000
,ffoo
0.000.
Ot0"44
0 000
O'004
1.0 On0
0.000
0.635
denum
Nickel
0.028
„0 009
0 000;
0 00Q
0 000
0 000 {
o:aoo
..__ _
o Ooo
oo
o oon
0 U00
0.000
,0.037
Selenium
0 02;8
0007
0 000.,,
Q00
0 000
Q 04(1k.,
0 00:0
• 0 000
0 OOb ;
0,000
D 000
O..OQO
' 0.035
Zinc
2 575
0 462
0 000 '
0 0.00
..000
O OQ0 .
' 0 000
0 000.
0 000
0.000
0,001) .
0-.000, .
3.037.
Total
_.
Phos-
45:344
2 7.2,05
0.000'. '.
0.000
0.000
= .0 000` '
0.000.
-0:000
0.:.00,0
0.000
0.000
O..Ow
12.541
chorus
"I certify_ ender nenaltv of law. that this dnenment was nrenared nnder my direetinn or cunervi.qinn in acenrdnnee
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
;9! a 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION . iELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
C.L. Hadley
Operator: Michael Hadley
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied ; ) ll?6- Site #:
Predominant Soil Series: HdC2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
198
Crop 2 Name:
Acres Utilized: 30.5
AM016 Acres Permitted: 30.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Volume applied
PP
Volume
Residual Sources
Soil
Cond.
Preci .
p
Y
,0
c
�'
Z
Nitrate
PAN Applied
PP
Name of Crop Type
y
enter one Solids/
( )
u
/o
pP Per
Applied r
(NPDFS #, WQ#,
Past 24
cu _
xt w
^,
r -,
w -+
o e
TKN
o c
and
lbs/acre
( )
Receiving Residual
g
O
Q
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
"
o w
C°
.� �'
*
� �•
�
Nitrite
Application
Cu. Yds Gallons
(DryTons/Ac)
Waste, etc)
Wet,
Moist)
inches
0
mg/kg
mg/kg
mglkg
Crop I
Crop 2
Crop 1
Crop 2
5/30
149500
5
1 02�r ?
South Burlington
D
<,5"
S
0.5
0.3
30000
20000
100
--26f.776
NA
Fescue
5/31
260000
5
South Burlington
D
<5"
S
0.5
0.3
30000
20000
100
46.567
NA: `Fescue
6/1
130000
4,0
11
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
22.219
NA t ?
Fescue
a 0 Q00 ".o
0.000
41 sb'QOb
0.000
0.000:
0.000
0.006
0.000
,O 000
0.000
0 000^
o 000
0.000
0.09
u
0.000
0 �r10
0.000
0 oor
©aoa
0.000
a ooa "
0
0
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
539500
:::;':::::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
95.562
0.0 00
Lime Applied
Annual lbs/acre0;?i�0�,
k
Sl;lb?
0,051
0 00
ROh03
0 037
0 0'5j'
3 Q9�72-547
.: ..
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.044
0.03
2.309
2.295
(1.193
0.008
0.073
0.155
0.073
5.661
Current Cumulative lbs/ac
a
044
,x
,
Permitted C. P. L. R.****
36
34
1138
267
15
374
89
2498
Permit P Limit 1 2 d
AN st/ n Crop
.......•..•................•.•.•.•......•.......-...............•................-.................. .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 68,30
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
`ator: Michael Hadley Owner: C.L. Hadley Predominant Soil Series: AaB
Acres Used: 25.1 Acres Permitted: 25.1 Site #: AM016 Field #: 2
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/ke, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1,
SB
5/8/17
2'
3
41
5
6
7
8
9 1
10
11
12
% Solids
4
Arsenic
5
Cadmium
5
Copper
125
Chromiinn
145
Lead
16
Mercury
0.2
Molyb-
denum
5
Nickel
6
Selenium
5
Zinc
325
Total
Phos-
-'- -as
19130
f Aai heavy ivtetai r ieia .Loaaings t4 aicumea in ins/acre):
Total 11 L2]3 4] [_5j L 6 L 7 L 8 L91 10 11 12
DT/Ac./ oy*
App.
Event 2.72
Arsenic 0.027 0.000 0,000 0.000 ,G.000 0 O.OQ 0.000 0.000 0.000 0.000 0.000 1 0.00() 0.027
Cadmium 0 027 0.4)"b", . 0.000`` O.OU:O 0..000a . '0.000 0.000 O.66. '0:A00 6-060,. 0.0 0 0 000 ' ` OA2'7
Lead
K
I Ntolyb 10 0 7 I i :'000 `, 00 0 fl0 0 0:00 ;I , O.Q00` 0 00:0; 10 000 0. O6 10 000 0 QQ0 ''0 O `0.02
7
Nickel
0 0 ;
O;Qflfl
:, 0 001 ;
� " 0 OQO
O ;Q'0
0, 000
0 000
0.000
0 000 .:
0 OOQ'
0 000
0.00-0:
0.033
Selenium
0 �21
0_QOD
O pbO
., 0 00t
0 000
U OOOf:;
0 0�l);000
Q:U00
0 027.
Zinc
1 7b9
0 000
00 ,..
U DOU
0 OOfl
U 000 ''
0 000
0 000
Q000
: OFQ90
0 000
O :ij00
' " 1.769
Total
..
Phos-
104 1`0
0000
0 000:
0.0.00
O.O.C..0
0 UOq
0 0`O:p
0.000-
0 UOQ
O. QQ:.
0 O:OA .
O:000.
144. i-05
nhorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it sonment for knowing violations".
Z� 41_2 `' 1 /3 0/2018
Signature of Lana Appaer
Date
np:KiQ g7nRnn nnpi cr= (iolonna)

ANNUAL LAND APPLICATION .-1ELD SUMMARY FORM
_ PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 2 Acres Utilized: 25.1
Land Owner: C.L. Hadley Annual Dry Tons Applied 1 30 f.. Site #: AM016 Acres Permitted: 25.1
Operator: Michael Hadley Predominant Soil Series: AaB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 143 Crop 2 Name: Crop 2 Max. PAN:
$., ill
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
a
410
c
Z a
Nitrate
PAN Applied
Name of Crop Type
(enter one) Solids/
oho
Applied per
(NPDES #, W #,
Past 24
cc �?
�»,
W
w
TKN
o
°'Q °
and
( lbs/acre)
ReceivingResidual
°
Liquid
Solids
Acre
Fert., Animal
(Dry,
firs.
w,
�
w'
Nitrite
Application
A
Cu. Yds Gallons
(Dry TonslAc)
Waste, etc)
Wet,
Moist)
inches
*
*
0
mg/kg
mg/kg
mg/kg
Crop I
Crop 2
Crop I
Crop 2
6/1
123500
4
0,$2s1 x °
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
25.649
NA
Fese ue
6/2
214500
4
1,4 "
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
44 548
NA `
Fescue
6/3
71500
4
g0 4-.1
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
1([4 849
` .n ' A . ;
Fescuc
Q p'0b
000
o.o00
pQQI� „
0.000,"
0.000
0.000
0.000
©i00A
0.o00
'' 0•o00
0 000
0.000
0.000'
0.000
omoo
:-• 0
0
bib'. D ;
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS
.. ': 01
40950ol
As
Cd
Cu
Cr
Pb
H g
Mo
Ni
Se
Zn
13
85.046
0.000''
Lime Applied
Annual lbs/acre
w b l)17r
<0 01s0�b8o,
�" 0" 78;9
0.087
0 U01?'y6w02�,�
0�03 °s
,©1
�g 1 769
104105 :,' ::.::::::::::::
:' ...:........ •.. .....
..". . ... . '
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.044
0.027
3.121
2.203
0.247
0.008
0.082
0.176
0.067
6.971
Current Cumulative lbs/ac0
U71
0%�`
3 801,E
2"9�
0 334 d
1) 0f9:
0 19
Ox209"
0+094
8 7:40°
.
4
s
a.
..............
...........................
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1st/2nd CropLam:.
............ .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 82.93
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f -ator: Michael Hadley Owner: C.L. Hadley Predominant Soil Series: GaB2
A,. es Used: 23.5 Acres Permitted: 23.5 Site #: AM016 Field #: 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
9/11/17
2'
3j
L41,
L 5
L6J
L7
1.8
91
0
11
12
% Solids
3.6
Arsenic
5
Cadmium
5
Copper
305
Chromiuryi
36
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
14
Selenium
5
Zinc
470
Total
Phos-
phorus
4170
.1ai
rieavy metal Plela Loadings
(t_.alculatea in lbs/acre):
To
1 1
2 J
3 I
L4J5
6
7
8
9
10
11
12
DT/Ac./
c
APp-
Event
3.53
"
Arsenic
0.035
0.000
0.000
0:000'
0.000
0.000
f 0.000
0.000
0 000i.
T 0.000
0.000
0.000
„.0.035
Cadmium
03
0000
U:000
0,000
00:00
0 OQQ :
0 O.UQ
0.000
0 00
0 000
0 0;00
Capper
0,000 '
0 00'0
0 000
0 000>:
; 0 00;0
0 0..0(
Q 000_
' 0 000"
0 000
O OQO
;2 I3
Chromiurl
0'.
0.,000 :.
0 000
0 000
0 000
6.00Q
0 400
0.060
` 6.066,
a�f)40
©:U00,
0 254
Lead
0 (3
0 (700
0.000
0 ObU
x 0 a00
0.000,
',, O.00Q
0 t}0
Q 000
0 000'
0i)0
Q000 .'
0.035
Mercury
0 0
0:000 .
0.006
0 000
Os
0.006
0 000
-0 0_QO
0 fiiOQ
: 0 0.
Q' 000
0.0 1
Molyb-
_
0 0
0ljffl0..
0.000
0.000
0 0°00
0 000
0 000:
O Qt}
0. (i00
-
' 0�0
0 Dt 4
0.000
0..035
denum
_
Nickel
0 09
0 00©
0.000 `
O.QQO
0 ODO
0 �Q,
0.900.
O O.OQ
OF000
fl'
0 OQfl
0000 .
0 09Q;
Selenium
01A3$I
0 000
,.
0.000
0 OOQ
O,QAO
D}000,
i� 000
0DQ0
0 000
0 Qq0
0 DQO
0:000
: r0 933°
Zinc
3 31.7`7_
0, 000
0 000
0 000
0 000
Q 000
0 000'
O, OQO
0` 000
:; 0` Q40;
0 Oa0
0 000
F3 317M
Total
e
Phos-
29.432
0.:060
=O OOQQ00<<
. 0 000
O a00
4` 000
.0 QQ0
0.000
0 000
2.9 43
chorus
,
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it isonment for knowing violatioonnss�".
2!: �e G; _: 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION,L .&LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
C.L. Hadley
Michael Hadley
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:*. ` $ 93 Site #:
Predominant Soil Series: GaB2
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 211 Crop 2 Name:
Acres Utilized: 23.5
AM016 Acres Permitted: 23.5
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
�
N
i�
Volume applied
PP �
(enter one) Solids/
Liquid
Cu. Yds Gallons
°�u
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wet,
Moist)
Precip.
Past 24
His.
inches
,a
b
co 5L
o
a o
0
o
7y �;
�,
**�
w .,
N
* �.
0
TKN
mg/kg
Z
q
o
cu
o w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop T
p Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
10/23
52000
3.6
0 3r32 "
East Burlington
Dry
<.5"
S
0.5
0.3
24900
2180
73
5:.301
NA
Fescue
10/26
260000
3.6
16 r1
East Burlington
Dry
<.5"
S
0.5
0.3
24900
2180
73
26.505
- NA
Fescue
10/27
240500
3.6
1 536
East Burlington
Dry
<.5"
S
0.5
0.3
24900
2180
73
Z4 5.17
` NA `.
Fescue
0 (hOq
060 "
0.000
0`.600
0 000
R 4` coo , •; :
0000
0 lD00 i
6.000
=0.000
0 000 t'
Q;000
0..000
Os0 0
0,000
:0.000..
0.000
0.000
0 000
0.000
0.000 `
`U,QO x
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.0000
TOTALS
01
552500
:: `::::•
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
56.322
-`0.000 '
1_ime Applied
Annual lbs/acre
' bl`0;5
0 035
2x15
O Z54
0.035
M ?g01;`*
"1) 3
(16 9
OA3S
3 3 7
)29 432
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.065
0.043
3.694
2.042
0.312
0.012
0.114
0.31
0.104
9.888
Current Cumulative lbs/ac
0 1Q n
nQ U`78
5 841.
296
0.347
0.013
* 0 y149
J 4
4�34y`13
205
Permitted C. P. L. R.****
36
34
1338
267
IS
374
89
2498
Permit PAN Limit 1 st/2nd Crop
...................•................ .. .
211
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 49.3-8
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C ,ator: Michael Hadley Owner: Russell Hadley Predominant Soil Series: HdC2
A,. es Used: 29.8 Acres Permitted: 29.8 Site #: AM016 Field #: 4
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mg/ke, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 J
SB
9/11/17
2 1
EB
9/11/17
3
4
5
6J
L7J
8
9'
10
11
12
% Solids
3.7
3.6
Arsenic
5
1 5
Cadmium
5
5
Copper
135
305
Chromium
100
36
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
11
14
Selenium
5 1
5
Zinc
300
470
Total
Phos-
phorus
14270
4170
1 ;xai rneavy ivletai r ieia Loaaings tuaicuiatea in ias/acre):
"1 otal 7F 2 —31 4 751 6 7-1 L8j 9 j 10 j Fj 12
DT/Ac./ rt
App.
Event 0.74 0.92
Arsenic 1 0,007 1 0.009 1 0.000 1 0.000 0.000 0 0"00:, 0 000: 0 600 1 0.000 0.000 0.000 0,000 0.017
Cadmium 0 00+7 0 0.09 -- - 0.00.0= 0..0,00 0.0:0.0 > ..0 040 = 0.A0.0 0 000 0..000 0..000 0,000, 0 000 : ;. 0-;017
Lead
Mercury
U UUU
, U 11Ui1
U Ul1U
ll Ut1U
U„IiUU
UIJU,_e
U UUUX
r U 1i:UU
U UUU ;
; U UUU
U (�lU
UUU11 ;:
U UUl
Molyb-
0 007
0 009
0 000
=
0 000
0 000
Q 000
0 000
0 0
0 000 �
o 0.,
0:000
0 017
denum
^
Nickel
0
Q26
0 000
0 000
0 000
0 000
0 000
0 000
0: 000 ,
0 �004
0 Q40
„ 0'=000
0 042
Selenium
0 007
009
0 000
0 000
0 000
( 000
0 00
0 000 ¢
0 Q4a
.a: 0�000`
0, 4Q0"
O U00
0 017
Zinc
0 444
x 0 $6�'
`0 000 -
0 00:0
0 Q:O
Q 0004
0 000
0 000
E. O:n00
;. 0 O6.610
fl00
0000
1 306'
Totalrr-
Phos-
21.120
7648.
0 000 `
0.000
0-` )'A
K 000
;Y 0 0.00'
0.000
b.000`
0 OC70'
0 000
0".:000
28.767
horusJ.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it �,sonment for knowing violations".
Z--z 1/30/2018
J1g'11Q.1U1G U1 Lallu riPP11G1
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION —. iELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Russell Hadley
Operator: Michael Hadley
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 49,38,G, .: Site #:
Predominant Soil Series: HdC2
Crop 1 Max. PAN:
149
Crop 2 Name:
Acres Utilized: 29.8
AM016 Acres Permitted: 29.8
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
0 �
Volume applied
PP
Volume
Residual Sources
Soil
Cond.
Preci P•
>
,.d
c
D'
Z Y
.� D
Nitrate
PAN Applied
Name of CropType
yP
-
°N' o
(enter one) Solids/
%
Applied per
PDES # W #,
(l`I Q
Past 24
�.
� a.w
w n
w
TKN
o S
and
(lbs/acre)
Receiving Residual
A
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
o
a
* R
* w
0
�-
Nitrite
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet,
Moist)
inches
x o
9
* —
0
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
10/28
143000
3,7
0`7d0 '
South Burlington
Dry
<.5"
S
0.5
0.3
30000
9000
55
16.074
NA
rescue
10/30
182000
3.6
East Burlington
Dry
<.5"
S
0.5
0.3
24900
2180
73
14.631
NA
rescue
0 4Qox
().000
0.000
0 0:00
0.000
0.000
5 F ,,()b (1Q `.,
0.000
0.000
0-000
0.000
0.000
0.000
0.000
0.000
Oa000
0.000
0.000
„0, 000
0.000
0.000
6.000
0.000
0
0.000
0.000
t)
0
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.001)
TOTALS:
+ `","''' 0
325000
As
Cd
Cu
Cr
Pb
H��
Mo
Ni
Se
Zn
P
30,705
0.000
lime A lied
Annual lbs/acre
0 0'17
^0 417
�,7?1
214
;0°0) 7
0 00
0 bt7h4...
`0<01
1 34i
2867 ::.;'.;:•:.:::::.::::
Date
lbs/ac
M ::::.:.
...............•.....
::•::<
Prior Years Cumulative lbs/ac
0.068
0.043
4.336
3.14
0.48
0.017
0.121
0.319
0.098
11.762
Current Cumulative lbs/ac
b;085� r
x0�06©f
5095
4
t 497
lt$
0 3$"
3b '
115
1 fJ68'
„
,33
xAl
.. .....•
........
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN d
e Limit lst/2n Crop
. .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
�C *Application Method: S - Surface, IN - Injection, INC - Incorporation
;Gl•*�- 1 /30/201 S **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 29:27
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f" ;ator: Michael Hadley Owner: Michael Hadley Predominant Soil Series: GaB2
A... es Used: 11.1 Acres Permitted: 11.1 Site #: AM016 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use ma/ke, % Solids use Raw Percent ft
Com-
posite
—Date
Total
..
E w
heavy ivieiai r ieia l,oaaings
tt-aicuiaiea in tps/acre):
TZI
11
2 J
L3J
L4
5
6
7
8
9
10
11
12
DT/Ac./
APP-
y
Event
2.64
Arsenic
0.026
o:000
� 0 0oo 1
0.000
'.0.0.00
0.0 00.
0 000
0 boo
O Doo
0.00.0
0:000
0.000
U
Cadmium
0 026
0.000
" 0 00.0
0 000
0 0'Q.0
0 000::
0,00'0
0,000.
0 000 '
;. 0 00.0
0 0:00
0000'
O.A.
Copper
OrOS9
000.0
0 000
0.0:00
0.000
0 O,OQ .,
0 Q0:0
0:.o:00
- Q".00D
Q 0¢Q
0 0.00
OOQ.O
0 6`.
Lead
Molyb 0 0 - 4.000 ' 0.000 0:0.00 0.000 0 Q00: ` O.OU"8 0 U;Oo 0:000 0,000 0A:00 0.000 0 026
denum
Nickel 0 032 0:000 0 0110 0 OOQ 0 000. 0 000 ; 0 Of)D 0 Q90 U 000 0 000` 0.0.40 opo0 0 032, .
Selenium 0.026 O;OOQ 0 00Q 0 OOQ O .Q00 o OOo 0 00 0 U00 0: 000 0 000: 0 000 0:000 ;' 0 02b
Zinc 1 714 0 000 0 000. , 0 000 0.000 , Q„ 000 " 4 OOQ 0 000 0:.000 0 OOQ 0 000 0.000 1 7`14
Total
Phos- l oo.892 0 o0o 0 000 0.000 9.1000 ' 0100,0 0 00:0 0..000 0.000, 0..000 0.,000 0.000 100.992
vhorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION . tELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Michael Hadley
Michael Hadley
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied t zF�` Site #:
Predominant Soil Series: GaB2
Crop 1 Max. PAN: 158 Crop 2 Name:
AM016
Acres Utilized: 11.1
Acres Permitted: 11.1
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
°
y s i
c� 0
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
pp P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,A
Moist)
Precip.
Past 24
11rs.
inches
b
4 �
co
a o
* ^�
o
7d w
*
-<
*
* o
TKN
mg/kg
z
o D
R.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/12
175500
4
2'637
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
82.419
; 1`fiA
Fescue
OrQ0;0�
0.000
00 ` `
0.000
0 000
0.000
0.000 .
0.000
.0 000
}s0{Oab
0.000
0.000
0.000
0.000
w o�or;
0.000
0.000
0.000
0 000
Q A. 0
0,000
x0 00Q
Q o':;
0.000
066 '
0
Sl
lx0 ab0.
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
I" ol
175500
::::.:.:.:::::
As
Cd
Cu
Cr
PbP'�O�
Mo
Ni
Se
Zn
P
82.419
0.000
Lime A lied
Annual lbs/acre
0 ,Q2fi �4
`0 026
Q`9
0 76
0.084
w.
Qy
:�Q,(L2:,
17
10089' ..:: ;:: `>.':.: '<:..
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
4 0 6
84Permitted
C. P. L. R.****
36
34
1338
267
374
89
2498
r ' Pe mrt PAN Limit 1 2 d Cr st/ n Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 47.59
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
V mtor: Joe Rice Owner: Joe Rice Predominant Soil Series: GaB
A__ es Used: 25.1 Acres Permitted: 25.1 Site #: AM035 Field #: 5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 j
EB
2/6/17
2
SB
2/6/17
3
SB
3/6/17
4
5
6;
7J
8j
9j
10j
Ill 1
1121
% Solids
5.16
5.1
4.2
Arsenic
5
5
5
Cadmium
5
5
5
Copper
190
150
120
Chromic 3 in
120
70
140
Lead
24
50
5
Mercury
0.2
0.2
0.2
Molyb-
denum
14
11
5
Nickel
10
20
5
Selenium
1 5
5
5
Zinc
410
650
290
Total
Phos-
horus
27250
11960
8330
1 Aai Heavy lvietai r leia hoa(i1ng5 (uaiculatea In ins/acre):
i otal 11 L21 L31 L 41 L51 L 61 L-71 8 9 101 11 12
DT/Ac./
04.
App. E
Event 0.72 0.22 0.95
Arsenic 0.007 1 0.002 0.010 0 006 10.000 0.000 0.000 0.000 0 000 0 0000.000 1 0.000 0.019
Cadmium 0.0-07 0= 002. : 0.010 .< 0.0.00 0:0.00 0.000: 0.000 0 000 : 0.000> 0.00:0 . 0:000 10.000 0:019
Lead
J Molyb- + 0 00 O'.OnS 0 010 f 0 OOQ 0 000 I U 000,; 0 00"0 0 0:00 0, 000 �4 0 OOb 0:000 , 0000 ti 0 035
Nickel
0 OZ 4
0 Q09
-.0 010
0 OOa
0 00U
0 000:.`
0 OOD
0 0.00
Q_"OOU ";:
U UO(lt:
U UOU
U: (100
Selenium
0 0070
002
0 010
0 000
0, 000
0 OC�Q
0 004
0 0:00
0 000
0 Q00
0 000
0 000
m0 0�19
,
,,
"
Zinc
0 594
0g60
552`
0 00
0 000
OnO `
0 000
40 00'0
LL `Oy000
= U OD0
0.:,000
Total
f
Phos-
3458
9
5 262
15 860
0 000
0 Q00"
0 000
: 0 000
0.000
0' 000
0 000
0 000
0:000
038"1
-horus
,.."
,
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it �,sonment for knowing violations".
;'f—e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 5 Acres Utilized:
Joe Rice Annual Dry Tons Applied: 47.59 Site #: AM035 Acres Permitted:
Joe Rice Predominant Soil Series: GaB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
25.1
25.1
0
� O
q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
A hed per
Applied P
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert.. Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
firs-
inches
Y
15
.� o
o_
m w
* 4
�
4
w .��,
,�
* N
w
8
TItN
mg/kg
Z a
o
aro o
R.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
3/30
84500
5.16
0.724
East Burlington
D
<.5"
S
0.5
0.3
27000
4000
90
13.024
NA
Fescue
3/30
26000
5.1
0.220
South Burlington
D
<.5"
S
0.5
0.3
54000
11000
140
8.169
NA
Fescue
4/3
136500
4.2
0.952
South Burlington
D
<.5"
S
0.5
0.3
45000
15190
260
31.999
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0
0
.......
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
..................
TOTALS:
01
247000::::::::::::::
As
Cd
Cu
Cr
Pb
14.2.
Mo
Ni
Se
Zn
P
53.192
0.000
Lime A .lied
Annual lbs/acre
0.019
0.019
0.570
0.471
0.066
0.001
0.035
0.033
0.019
1.432
60.5x 1
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.1506
0.1699
27.8698
11.2521
3.7521
0.1082
0.4417
2.2016
0.0887
33.2805
Current Cumulative lbs/ac
0.170
0.189
28.439
11.723
3.818
0.109
0.476
2.234
0.108
34.712
Permitted C. P. L. R.****
36
1 34
1 1338
J
267
15
374
89
2498
Permit PAN Limit 1st/2nd Crop
P
158
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
;de 4;2�_ 1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 34.15
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C 'rator: Joseph Rice Owner: Joseph Rice Predominant Soil Series: GaB
A --es Used: 13.2 Acres Permitted: 13.2 Site #: AM055 Field #: 5
Residual Analvsis Data (Heave Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
1/17/17
2
3
4
5
6
7
81
9
0j
11 j
12
% Solids
3.6
Arsenic
5
Cadmium
5
Copper
80
Chromium
40
Lead
50
Mercury
0.2
Molyb-
denum
5
Nickel
25
Selenium
5
Zinc
720
Total
Phos-
?horus
9170
L lal Heavv lvletal rlelcl LOanlnas (Calculatecl in lbs/acre):
i otal 1 1 21 3 J 1 41 L5]6 7j L81 9 10 11 12
DT/Ac./ oy,
APp- y
Event 2.59
Arsenic 0.026 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.000 01,000 0.026
Cadmium 0 Q2.6 O,:;U. 0 0 00Q, . 5.0.000 a 0.00. , 0.000 0.0..0.0 4.00a I:.0 OOt7J0 00.0,, 0 0:00 0.000 0 026
Lead
Mercury
0 0 6 0 >0.000 , 0 00,0 0 @ U00 0 04 ti a0 4Q0 4 00. ° 0 000 0:000 0.026
de _
Nickel
Q,kl29r
° 0 000
0.000
0 000
0 000
0 000 :.
O ,OOQ
0 00°0
0. 0 .,
0 a l '
0 000
0 000
';: 0 ,,9
Selenium
0
0 U00
0 000
0 OOQ
0 0'U0�
0 000
Q OOO.e
0 000
0 0„y
0 aOU
0 000
0.(00
`0.026
.
Zinc4+
��Q00
0 QDOE�
b' OQO.
�ialOQ
0 000
D` ODO'
x 0OQ
0 000
0.Oa0
,. ,3, 725'
Phos-?
�4b
0.000
0 000' .'
QbU
0;"OOOx
o 000:
o 000
0 ova
o;
0 00:0 .
O.O:OQ
t100Q
, 47.446
:.
"T certifv. under nenalty of law. that this document was nrenared under my direction or sunervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it ;,sonment for knowing violations".
Z�f 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION . ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 5 Acres Utilized:
Joseph Rice Annual Dry Tons Applied ,.. 3 1 344�5, Site #: AM055 Acres Permitted:
Joseph Rice Predominant Soil Series: Gag Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
13.2
13.2
0
° Y
Y o
A
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/a
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
b
o w
0.
o
qy ,�
�:
7d
* N'
v
T .N
mg/kg
Z �
CR c
0 �•
°'
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
2/27
227500
3.6
2 587
East Burlington
D
<.5"
S
0.5
0.3
16000
6000
3d(1
32.807
NA
Fescue
0 0'Ob
0.000
0.000
0.000
0.000
O:Ud
0.000
0.000
,.' Q QO
0.000
0.000
0.000
0.000
000 4 ,
0.000
0.000
0.000
1 0.000
0 •Q,00
0.000
0.000
f ©oho
0.000
0.000
0A00
0.000
0.000
0.000
0
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
o.000
0.000
TOTALS:
�,1 ?„ a 01
227500
::::;:::::::::
As
Cd
Cu
Cr
Pb
H ,
Mo
Ni
Se
Zn
P
32.8n7
0.000
Lime A lied
Annual lbs/acre
_t} 02 "
17 02b
Ord 14
4 0 207
0,259
I} OOl
r 0,
0« 2
Gl'026s[28.837
y25
�4"46
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.142
0.313
19.889
8.688
2.634
0.068
0.311
1.31
0.101
Current Cumulative Ibs/ac2.893
0 0bp
7L1
43tQ
k2
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1st/2nd Crop
..........................•.............. 158''
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 37.41
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Bator: Leonidas Newlin Owner: Leonidas Newlin Predominant Soil Series: GaB
A_ es Used: 9.2 Acres Permitted: 9.2 Site #: AM073 Field #: 3
Residual Analvsis Data (Heave Metals and Total Phosphorus use mg/ke. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
5/8/17
2
3 j
L41
5
6
7
8 1
9
10
11
12
% Solids
6
Arsenic
5
Cadmium
5
Copper
117
Chromium
39
Lead
38
Mercury
0.2
Molyb-
denum
5
Nickel
16
_
Selenium
5
Zinc
380
Total
Phos-
i5horus
6920
1 ual
Heavy Metal Field Loadings
(Calculated in lbs/acre):
1 otal
1
2
3 I
4
5
6
7
8
9
10
11
12
DT/Ac./
oy
App-
Event
4.07
Arsenic
0.041
0.000
- .0 000 .
0:000
0 000
O.00D
0.000 '
0.000
0,0.00
0.000
0.000
0:000
0.041
Cadmium
0 04a
0;000
0 000
0 000
0; 0.00
0 000
0 0`00
0..0o0
0.000
4 000
0,0:00
0.000�,
0 0:41
Copper
0 9 1
0 060
0 000 .,:
0 000
0 0"0
Oy000 <;,,
0 000
0 000
0 000
0 000.:
0 000
0.,000
U:951
Chromium
0 317
0 000
0 000 '
0 00:0
0.000
0 000
0 OO:U
0 0'00
0 000 '
0.000
0 000
0.000 .
0.317
Lead
0 309
0..000
0 0.,0
0 000
0,0-00
0 000
0 OOQ
0 000
0:000
0 000
0 000
Q,00"0
` - . .9
Mercury
G. 002
O Q00
0 OOa '
0.000
0.000,
1000,•
0-solo q
0 000
U 000 .
0 000.
0 000
0.000
'.0.002
Molyb-
o 044
0 :000
0.0 ao .:,
o 000
a.606
0.000
0..000
0 0:00 _
o 000
v o.000
0 0..00.
o::000
0..04:1
Nickel
0.130
0 000
0 000
0 000
0 000
0 Q00 ; :
0 000
0 U_00
0' 000 •;'
0 000.
0 000
O;OQO
0 130
Selenium
0 041
0 000
0 000
0 OOn
0 000
0 000
0 000
0 090
0: 000
0 000:
0 000
0.:000
0 041
Zinc
3 690
0.000
0..000
_ 0 000
0 000
0 Q00 .'
0 000.
0.Q00 ,
0 000
0 OOU'
0, QQO
0.000'
3 690
Total
Phos-
56.273
0,000
0.60.0
0.000.
Ua000
0 000 .
0 000-
0.000'
. 000.0 ''
0 000
0.000
U-00
56.273
?horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it Isonment for knowing violations".
4;2°_ 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION x _&LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Leonidas Newlin
Operator: Leonidas Newlin
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied: ,4lc Site #:
Predominant Soil Series: GaB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
211
Crop 2 Name:
Acres Utilized: 9.2
AM073 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
9.2
0
v
A
Volume applied
eater one Solids/
( )
Liquid
Cu. Yds Gallons
a
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
r ,
Moist)
Precip.
Past 24
Hrs.
inches
y
co
w
# o
o
7� w
p, �,
* w'
r.
7d
w, K
* N
* ^'.
0
TKN
mg/kg
Z
o
d �•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
6/15
149500
6
k4 06'S ` "i
East Burlington
Dry
<.5"
S
0.5
0.3
22400
3730
80
61360
NA
Fescue
0.00,0 .
a01bg41
Q 000
, f} 000;:•
4,O.000
0 StIOs`µ
0.000 ''
0.000
OrOQ©Y
O 0Q0 .
0.000
00
0.000
II.w
0'
0
0.000
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form)
0000
0 Q00
Tot!�t
o
l4ysa{�
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
61360
O.000--
Lime A lied
Annual Ibs/acre
a 0 1 F
iFQ4lt
35� :,.,
0 17
0.309
0.002.
Q Q41
s D 041 `d
345U
SG� S73 ` :.:. •::::`:: ? ::::
Date
Ibs/ac
Prior Years Cumulative lbs/ac
0.21
0.157
24.42
8.401
3.1,18
0.094
0.868
1.596
0.232
40.101
Current Cumulative Ibs/ac
0 2519$
5 311;
S 71
3.457
0.096„�0943
19
Permitted C. P. L. R.****
36x
34
1338
267
15
374
89
2498
N •
Permit PA Limit 1 s Crop
2 11 ;. s.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 41.12
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r '-ator: Terry McPherson Owner: Terry McPherson Predominant Soil Series: CbB
A,.. es Used: 20 Acres Permitted: 27 Site #: AM100 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kE, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
9/11/17
2�
3
4
5
6
L7
L8
9
LOJ
11 j
12
% Solids
3.7
Arsenic
5
Cadmium
5
Copper
135
Chromium
100
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
11
Selenium
5
Zinc
300
Total
Phos-
chorus
14270
lial
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
Total
1
1 21
L 3
4
L5
6
7
8
9
10
11j
12
DT/Ac./
App-
Event
2.06
Arsenic
0.021
0.000
1 0.000
0.000
O.Q0011:
0.000
0.0-00
0,.6-
0 0.00
0.000
1 O.Q00
-0.000
0.021
Cadmium
Q 021
0.Q00
0 OOQ .
0 000
0.000
d0 000 ,
: 0.000
0.000
0 000 .".,A
0.400;
0 0'00
0.000
Copper
0 555
0000 „
,0 QOQ
0. 00:0
0.000
0 000..
0�000
0 000
Q 000 y
; 0 0`i0:.:, .
0 O:Qq
0.000 :
0 555
Chromium
0 4'1,1
0:000
.0 000 ,
0 000
0 000
0 OOQ
0 OOU
O.000
0 000
6.009
0 0(i0 '
6.000
0 41 i ._
Lead
0 021
0 Q00
0 000
O.O:OQ
0 000
0.000
,0 0
0 000
Q.000-
0 00:0
6- -w
' fl.000
0 i),1
Mercury
0 00`1
0060 ,
_�-
i0 000
0 000
0 Q00
iI AO(1,::
0 00:0
-ooil
0.000 :
0.000.
0 00�
0000
0 Obl -
Molyb-
.
0.11 1
fi OlfO
©000 :
0,00:0
D Ofl _
-:
- �0
0 000
ilfl"00
.01009
0.000
0:000
denum
:x
: .
Nickel
0 045
0 000
0 OOi .F`
. l 000
0 000
U(()O f "`
< 0 000
77Qfl0
Q Q.
- 0 000`
0 000
0:::000:
OR
Selenium
0 Obi
0 Q00
Q00
QtQOU ,
0 000
0 (
0 000'
0 Q00
OQt7 Y'
Q QQO,
0 000
O.000
(102_
Zinc
1 234
O'.Q00
_._,
0 000 "
. , ..
0 000
0 000
0 OUP .
O.00Q"
0 0:,00 .
0 000
0 Q00.,
0 000
00.00
1.234 `
Total
Phos-
58,6T�
U=,000
;:: 0 000
0 000
0:000 '
O Op0
0 OOQ.
0.000
0 000::
0 000:
0000 `
o.oao
nhorus
"I certify. under nenalty of law. that this document was nrenared under my direction or sunervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it "sonment for knowing violations".
Z:' z 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION x ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Terry McPherson
Tony McPherson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied4�1'2r` ` Site #:
Predominant Soil Series: CbB
Crop 1 Max. PAN:
162
Crop 2 Name:
Acres Utilized: 20
AM100 Acres Permitted: 27
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
a
b
c
;o
Z
c;
Nitrate
PAN Applied
Name of Crop Type
Y00
(enter one) Solids/
%
Applied per
(NPDES 4, WQ#,
Past 24
'�+
TKN
and
►bs/acre
( )
Receiving Residual
Q 0
Liquid
Solids
Acre
Fert., Animal
D
Hrs.
a w,
* �:
*
�.
Nitrite
Application
Waste, etc)
Cu. Yds Gallons
(Dry Tons/Ac)
Moist)
inches
p
mg/kg
mg/kg
mglkg
Crop I
Crop 2
Crop 1
Crop 2
10/4
175500
3.7
1 354 ,
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
29.393
NA
Fescue
10/5
91000
3.7
rOw(12�
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
15.241
NA
Fescue
0.000
NA
Fescue
" b odor
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
.070,00
0.000
0.000
oor,=
0.000
0.000
0.000
0.000
0..000
0.000
1N0..
0.000
0,000
.:
,%0 OOQ!, .s
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
i"" a
2GG5!)0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
44.634
0.000
Lime Applied
Annual lbs/acre
a �Q21
"�
555
Q 4t]
0.021
0 0d11)YQ
1``,
Q;45
b102
1`4
..:<?: ?
`�85678 :.
Date
lbs/ac
021
,0
:::.: ::.::::
Prior Years Cumulative lbs/ac
0.12
0.051
8.894
4.405
1.572
0.036
0.39
0.592
0.087
16.245
Current Cumulative lbs/ac
0 1
6 h
44
4�816..:
L593
0 0f7
a ;
, Q ..
Permitted C. P. L. R.****
36
34
1338v
1
1 267
15
374
89
2498
Permit PAN Limit lst/2nd Crop
p
16Z . p'
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 88.17
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
F Bator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series: HcB
A-�s Used: 11.4 Acres Permitted: 11.4 Site #: AM109 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
12/12/16
2
EB
1/17/17
3
Mack
7/10/17
L4J
L5J6
L 7
L8
9
10
11
12
% Solids
5.18
3.6
2.5
Arsenic
1 3
5
5
Cadmium
2
5
5
Copper
148
80
34
Chromium
52.5
40
100
Lead
1 13.1
50
200
Mercury
0.4
0.2
0.2
Molyb-
denum
5
5
5
Nickel
15.8
25
8
Selenium
1 5
5
5
Zinc
431
720
34
Total
Phos-
horns
8000
9170
2200
1 xai
raeavy ivieTai rieia Loaaings
tt-aicuiaiea m Ws/acre):
l otal
1
121
L3J
L4JL5J
L6J
L7J
L8J
L9J10
11
12
DT/Ac./
Oq
0
App.
y
Event
1.11
1.46
5.17
Arsenic
0.00
0.015
0.052
0.000
�0.000
;(► 00Q.
0.000
0.000
0,000
0 O:OQ
0.000
0.000.
0::073
Cadmium
9.004
5
0.0,52
0.000
0:000
0 000` ;
0.000
0,000
0,090.
0,000
0.0`00
0.000
0:071
Copper
0 328
0„ 23:3
0 3, 52; ;
0.000
O;OAO
0 000
0 000:
0.000
0 000
0 OUO
0 0:00
0.:000
0.912
Chronuui
0.11
0.116 ,;
1 034
0.00.0
0:000
0.000'
0 000
0.000
0.000
0.000
6 000..
0.006
1.267
Lead
0 0 9
. 0:.146.
2.068
0.000
0: 0.00 :
:0:000
0.000:
0.0.00
0.1000
0.000:
0 000
O.:000
2.243
Mercury
0.001
4 QOl
0.002 `
0.00:0
a. t)00
0 OOU
0 00.0 .
0.000
6--Mo
6 000
0.000
0.000
0.004
Molyb-
denum
0.011
0 015
. 0 052' _.
0 000
0.000
0,00 0
0.000
0:000 ::
0 0010 ~
. 0.000
0.0.00
.0 00
0.077
Nickel
0 03`5
0:_073.
.. 0 083
0 000
0,-G
0 600
0 000:
0.000
'0.000
; 0 000
0.000
O,000
0.190
Selenium
0 011
0:015
0 052
:t 0 0.00
0.000
0 000:
0 000 .
O:000 ,
0 000 ..0
000
0.000
0.=000
:.
0.077
Zinc
0 955
21.095..`
.0 32 .;
0 OO.D
O:Q;00
0 000
0 OOQ
0.0'00
0 000
0 00:0
0..000
.0;000
3.402
Total
Phos-
nhorus
17 728
2G.685
' 22.752 :
0.00'0-
0-000
0.000
0.000
0'.000
0.60-a
0.000
0.000 _
0.000
67.165
"I certify ender nenalty of low_ that this document was nrenared under my direction or sunervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it �sonment for knowing violations".
;e!f-e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (1212006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION -.4ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Chapman McQueen
Operator: Lonnie Thompson
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied r -$$ 1`7 I Site #:
Predominant Soil Series: HcB
Crop I Name: Fescue -Hay Crop I Max. PAN:
169
Crop 2 Name:
Acres Utilized: 11.4
AM109 Acres Permitted: 11.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
P
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
( ry
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
E
0 w
0.
* o
o
c
w,
p
:�
TKN
mg/kg
Z t
q
o o
cl El.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1/31
58500
5.18
h l`0$
East Burlington
Dry
<.5"
S
0.5
0.3 1
31200
3660
11.1
22.398
NA
Fescue
2/1
110500
3.6
e V; l
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000
340
18.451
NA
Fescue
8/4
162500
2.5
1 %486
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
12.500
NA
Fescue
815
162500
2.5
�� 1r:$,6 ".,
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
12.500
NA
Fescue
8/10
240500
2.5
' "99��
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
18.501
NA
Fescue
0.000
0.000
0` p00
0.000
0.000
0 000
0.000
0.000
bUOQ
0.000
0.000
0.000
0.000
0.000
0.000
l
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000.:::<:'::
' ' ' •' ' ' '
TOTALS
s` ° 01
734500
As
Cd
Cu
Cr
Pb
H g
Mo
Ni
Se
Zn
P
84.350
o.00o
Lime Applied
Annual Ibs/acre
. , �,,^
=` U1,01
0 9
�Y,67
2.243
O OU1
lI941'(�
61.165 .::::.:.::.::: -
:.: `'. ::': ;::'.:'
Date
lbs/ac
Prior Years Cumulative Ibs/ac
0.287
0.27
29.719
9.422
4.148
0.108
0.992
3.054
0.291
53,461
Current Cumulative lbs/ac
fl 0
0 All 3
30 631
O 04
6.391
0. I i2
Permitted C. P. L. R.****
36
1 34
1 1338
1
267
1 15
1 374
1 89
1 2498
mit PAN Per Limit nd Crop
L t 1 st/2 0
19
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.&: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r 'rator: Lonnie Thompson Owner: Chapman McQueen Predominant Soil Series:
A- es Used: 6.1 Acres Permitted: 6.1 Site #: AM 109 Field #:
37.42
HcB
2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date
Total
Phos-
M
�Aal Heavy Metal Field Loadings (Calculated in lbs/acre):
'Dotal
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
App.
F3.91
Event
2.22
Arsenic
0.039
0 022
0..009
0.000
Q-000
0.000
0.000
0..000
0.000
0.000
0.000
0.000
0.061
Cadmium
0.01..9
.0.022
0,000
0,000
0.000
0.0W
U.000
01.000
0.OQ0
0:000
0.000
0.000
0.061
Copper
6.626
0.0,1
0-000
0.000
0,000.
0.000 '
0.00:0
0.1000
0.000
0.060
0-mO
0.000
0.177
Chromiuni
0.313
0.444
0.000
0.000
0,,000
0.,000
0.000
0:000
0,000
0.000
0.000.
0-0160
0.757
Lead
0.391
0.88.9
0.000
0.000
0:000
0.000'
0.000
0.000
0.000
0.0.00
0.000
0.000 '
1.290
Mercury
0:002
0.901
0.000
0.000
;0.000
0.000.
0.000
0.000
0.000
0.000
0 000
0.000.
0.002
Molyb-
0.039
0.022
0.000
0.000
0 0.0
0.000
0:000
0 000
0.000
0.000
0.000
0:0.00
0.061
denum
.
Nickel
0.196
O:Q3'6
0.000
0.000
0:00U
0.0.00
0 :00.0
0.00.0
0.000
0.0.00
0.000
0.00.0
0231
Selenium
0.0.9
0.022
0.000.'
0.000
0.000
0.000.
0.000
W 0.
0.000
0:000
0.000
0.000
0.061
Zinc
5 635
0::151,
' 0.000.1
0.00
0..000
0.000
0.000
0.000
9.000 1
0.000
0 000_
0.000
5.786
Total
Phos-
71.764
9.777
0.000
0.000
0.:000
0.000
0.00.0
0.000
0.0,00
0.000
0.000
0.000
81.541
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it isonment for knowing violations".
;e::�e Z��_
1/30/2018
Date
Signature of Land Applier
DENR FORM MFLSF (1212006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION � ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Chapman McQueen
Operator: Lonnie Thompson
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:, 73 Vw° Site #:
Predominant Soil Series: HcB
Crop 1 Max. PAN: 169 Crop 2 Name:
Acres Utilized: 6.1
AM109 Acres Permitted: 6.1
Cation Exchange Capacity (non 503)
Crop 2 Max. PAN:
0
-�
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
d
o
70
Z
cr �
Nitrate
PAN Applied
Name of Crop Type
a
(enter one) Solids/
%
Applied per
(NPDES # WQ#,
Past 24
co d
%� �'.
V
0
-,
o L
TKN
o Q
ac o
and
lbs/acre }
Receiving Residual
o
Q
Liquid
Solids
Acre
Fert., Animal
D
(Dry,
Wet
Hrs.
"
ory
CD
*
C° o
o w.
Nitrite
Application
pp
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist}
inches
o
o
0
mg/kg
mg/kg
mg/kg
Crop I
Crop 2
Crop I
Crop 2
I 2/1
110500
3.6
2 7y1- 4 ";
East Burlington
Dry
<.5"
S
0.5
0.3
16000
6000
340
34�k824
1A
Fescue
8/11
130000
2.5
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
18 6&9
NA , ,
Fescue
s
f , wa 000
0000
0 oao 2
o.000
0 000 '
�� � o c3„a�$� •, �
0000
0 000 _.
�TMU"OUb�'"
U:900'
'4000
Q0
00 . ,
0 000
'N01 4
6
0 000 ;
OIi00
� 000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
0:000.
.:.000
TOTALS
o
24osoo
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
53;71,
0:000`'
Lime Applied
Annual lbs/acre
0 OGI
0 061
Q 777 :?
b 75 =
1,280
'O.OQ
fi�'¢631
0�2
061?
5 78
541 -
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.302
0.311
32.518
9.865
4.2
0.13
1.045
3.002
0.316
60.731
Current Cumulative lbs/ac
; ` ' 06r
O71,4,.
5.480
71,127
................................
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit lst/2nd Crop
169 �.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 68.30
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(% -ator: Leonidas Newlin Owner: Leonidas Newlin Predominant Soil Series: GaB
A --es Used: 19.3 Acres Permitted: 19.3 Site #: AM110 Field #: 1
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mg/kz, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
5/8/17
2
EB
5/8/17
3 1
4
5`
6
7'
8
9 �
10
11
12
% Solids
4
6
Arsenic
5
5
Cadmium
5
5
Copper
125
117
Chromium
145
39
Lead
16
38
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
6
16
Selenium
5
5
Zinc
325
380
Total
Phos-
L.phorus
19130
6920
1 Iai neavy ivie-tai r iew Eoaaings tuaicuiarea in Ins/acre):
1 otal 1 121 L 3 4 5 6 7 8 9 LOJ 11 j 12
DT/Ac./ oyr
APp-
Event 1.18 2.36
Arsenic 0.0.12 4,0.024 0.000 0.000 1 0.000 1 0.000 1 0.000 1 0.000 0.000 0.000 0.000 0:000 0.035
Cadmium 0.0,12 0:- 0 00.0. , 0.00.0 . _ 0 0.00. 0.00.0 ; 0 0000 O:O.Ofl Q.0.U0 0 OQ.O_, D_000 0:01).4 OA35
Lead
0 038
0u 39
v (Q00",.
0 OOA
QQQ,,
_`Q.000'
0 fl00
0000
t�Q.-MQ0
; 0.000
tI % 0 _
Ot3D0::
0.21-7
Mercury
0 Ob0
fl QOI,
0;000 ''
0 00()
„ 0 tt10
0:000
0 000
0.O.0fl
0;:000
0:000`
0 1I
(@00_
0 001
Molyb-
0 V-
6'024
0.000
0 000 {
0 QQO,
0 000
0.000%
'. 0`:000
0 00d
6"'d<,.000
0.035
t _
Nickel
04
(} 075
.0 00„
Q00
0 OOQ�
0£OOfl
0 OOQ
0
OOfl
Q: OQO
0 000
0 OQO
0 Q00
0.090
Selenium
0. 12
0 024,
0 00�
. Q OOFO
0 D,00
a OOOc
; `0, 000'
0
000
Q 000
0000
0 OQO
0,000
0,035
.
Zinc
Os� 37
1 43
0 0�..i'K14OO..0
r r
O 0,00
0 000
O OOQ:
O OOO
Q.p(l
0 QOO"
0 000
0.000,-
'2y,
Total
Y
r�
Phos-
45 �47
2 649 ,
.0 00`0
t0 01000
0 Q00
Q 000
0 000
0 000
0 000 ::
0. 000
Ol?0
O flOa
77 7.'951
ohorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it T,sonment for knowing violations".
�'6`"`'�" Z�114_ 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION . t ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Leonidas Newlin
Operator: Leonidas Newlin
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied-f$ BO Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN: 211 Crop 2 Name:
Acres Utilized: 19.3
AMl 10 Acres Permitted: 19.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
0
o
Q°
Volume applied
(enter one) Solids/
Liquid,
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
W
Moist)
Precip.
Past 24
Hrs.
inches
a
'°
cc b
w
* c
o
w
# 5.
w
�,
w
* �,
TKN
mg/kg
Z a
a
�o o
CD
p
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre}
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/3
91000
4
0; 7i86''
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
24.579
.,,N °"' `
Fescue
6/8
182000
6
2 359 y
East Burlington
D
<.5"
S
0.5
0.3
22400
3730
80
35.608
DNA ':
Fescue
6/9
45500
4
0 3'93 `.
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
12.289
NA
Fescue
0 0`0�0
A0'00o
0.000
0<000
"O:ow-Y
0.000
0.000
0.000
"'0:000
0.000
�Q UUA
0.000
0.000
0:00o
0.000
b 000
0-000
0.000
0.000
o.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
i).000
4.000
TOTALS
0
31s:��U
...:':::::::::
As
Cd
Cu
Cr
Ph
Hg
Mo
Ni
Se
Zn
P
72176
0.000
Lime Applied
lbs/acre
a0 ;; 5
9,6 5
b 4
� 526
0.217
>fl 1� '
. A Q S `r
= 0 090.,,"
�11�Q35 �
� 2 5¢0
77 7Annual
�� 795 :..: ::.:.:......:.::
.. ............... .. . .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.19
0.145
18.191
6.696
3,474
0.071
0.787
1.88
0.172
32.225
Current Cumulative lbs/acA
_
' 19 038„
7°22Z
3 G9'i,.
z:
0 0720
822
__.... .
w 19�0}
. .. _ _ _.
0 2a7
34 785
Permitted C. P. L. R.****
36
34
1 1338
267
1 15
374
89
2498
Permit PAN Limit lst/2nd Crop
P
...............•........................................................................................ ,..,
:">::: :::::::::: ::::: ::.: ::.::;:................_...........:..:..........:.:.:.::.:::.::.:..::.::.:.::.: ;.... 271
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
; � � 4: 2�1
Signature of Land Applier
1 /30/2018
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(' wator: Leonidas Newlin Owner: Leonidas Newlin Predominant Soil Series:
A__ es Used: 5 Acres Permitted: 5 Site #: AM110 Field #:
1Q$4
GaB
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or.--!]
Com-
posite
Date
SB
5/8/17
2 J
3
L4 I
15_16
7
8
9 I
10 I
11
12
% Solids
4
Arsenic
1 5
1
1
1
Cadmium
5
Copper
125
Chromiiinn
145
Lead
16
Mercury_
0.2
Molyb-
denum
5
Nickel
6
Selenium
5
Zinc
325
Total
Phos-
phorus
19130
1 ;Aal Heavy Metal Field Loadings (Calculated in lbs/acre):
1ctal
1
1 31
41
5
6
7
8
9
10
11
12'
y
DT/Ac./
0
App.
y
Event
2.17
Arsenic
0.022
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.022
Cadmium
0 02
0 00
_ 0 OdO;
i 0 000
0 "00
fl 000a
_0 000...
(1:Q0
h -:QE; 4C1
0 00
0 0 0
0 A00
-0 022: ,
Copper
0 542
0 OOD
000
0 000
0 000
Q�000
0 000}
O QUO
0 000
OAUj
Q00
0 542
ti .
�
Chromic,
0 629bDC}
'-Q
Ow0` 0
OOO
O. U00~
0 O(10
Af 00®0
000
O'`000
629_
000 a'
d QOI z
©QOOf
K'0
Lead
0 09�
000
0 QOi�
d O OOQ
0 OO�Q.,�
Q Q00
y 0 OOb
t Q D00QO
0 000';
0 000
0 000
0 065?
_
Mercury
0'OO
+ 0 QOU�0
000'"
0 000
0 OOD0
OOQ
v OOOQ
D 000}
0�000
0 Q00
D OQO
0 000
0 001
, ,,
;
Molyb-
s
0 022
0 QD0
0 000
x
0 O"bb
g
x 0 000
fi Q DQO
, 0 000
0 000
a
0 00D `
0 000
w
0 000
0 000
=0 022
de um
Nickel
0 026D.Qpp
0 000
fl OUQ
Q{UUU�
0 d�0;
Q4009
OUOa,
0;000..
O R00
O OOU
0:000
0 026_
3
=
�O
Selenium
0 02
0 000
0 00(r
' 0 000 i0
0 0
OL 000
0, ODO`
O,OUO
Dk0170
D00
D 0(70
0000
0 022
�,r0
Zinc
109
OOQD_
0 UO
0 000
0 (U�
3rQOA
- 000
0 000
4y000
0 OOU'
0 �QO
0 000x409
„
Total
AT.:
`
Y
Phos-
82 948
0 000 f
: U OOD .
; 0 00n.
0 Q00
0 OOQ
0 00.0
Q OQO
0000
r 0 OOQ''
Q 000
0000
82.948
chorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
irr -isonment for knowing violations".
ZY 4;2/_ 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION GELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 2 Acres Utilized:
Leonidas Newlin Annual Dry Tons Applied ' 1f 84 Site #: AM110 Acres Permitted:
Leonidas Newlin Predominant Soil Series: GaB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 211 Crop 2 Name: Crop 2 Max. PAN:
5
5
0
-�
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
a
4 `b
c
:�
Z >
cx
Nitrate
PAN Applied
Name of Crop Type
(enter one) Solids/
%
Applied per
(NPDES #, WQ#
Past 24
co `b
c,
w ti
TKN
cI
and
(lbs/acre)o
Receiving Residual
Solids
Acre
Fert., Animal
(Dry,
Hrs.
o
a.
�quid
V
Nitrite
Application
Q
Yds Gallons
(Dry Tens/Ac)
Waste, etc)Cu.
Wet,
Most)
inches
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
6/9
65000
4
kx68 ;
�..
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
G7.767
NA
Fescue
Q 000-
0000
0.000
0 U/00
0000
0.000
0000
0.000
a01J©
0:000
0'000
0;50A:0 w
O:OQO
0 000'
0dlk
'0000 :
0.000
9."'0
0.000
R0 OQ=O
0 000L
dbo0
000
d ADO
0000
Q:000 '
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
0 OOQ
Q.000 -:<
iTOTALS
n
65non
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
6T:767
0.000'
Lime Applied
Annual lbs/acre
0;02jr
Q 0,0
5Q,629
0.069
0.001
0.022
.3 0�0
"ka42
r 409
8 948
Date
lbs/ac
::::..:::..:: ::.::
------------
Prior Years Cumulative lbs/ac
0.173
0.129
15.936
6.045
2.667
0.06
0.742
1.742
0.157
29.125
Current Cumulative 1bs/ac
0 15Y
478
6 �4
2.736
1 0b1 u
tt r1768}79Q34
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit 1 st/2nd Crop
..........................•......•.•..•............
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1 /30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 157.36
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
('" Yator: David Ridlin Owner: H.W. Byrd Predominant Soil Series: TaB
A _:s Used: 86.7 Acres Permitted: 86.7 Site #: AM116 Field #: 7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
SB
1/17/17
21
EB
1/17/17
L3
SB
2/6/17
4
5
6
7
8
9
10
11
12
% Solids
4.34
3.6
5.1
Arsenic
5
5
5
Cadmium
5
5
5
Copper
115
80
150
Chromium
160 1
40
70
Lead
10
50
50
Mercury
0.2
0.2
0.2
Molyb-
denum
6
5
11
Nickel
5
25
20
Selenium
5
5
5
Zinc
350
720
650
Total
Phos-
7horus
21890
9170
11960
1
ivletal .rield Loadings (ualcuiatecl in ins/acre):
i otal 1 1 21 3 41 L51 LI-517 J L8_j9 10 R -ij 12 y
DT/Ac./ 0
App-
Event 0.80 0.28 0.73
Arsenic 0.008 O':003 0:007 0.00.0 0.000 O.UU(i {L(IUO 0.0'00 :.0:000 0.000 0.000 0.000 0.018
Cadmium 0.00 —. & 0,03, 0.:007. 0 00:0 1. 0:0,00 10.000. 0 OOn 0.0.00.. I., 0•.000 0.000 OA00 1 0.:006 0 018'
unromlu
V w" `d
u?.UL�
. U 1u3'y'
V.UVU
U::UVV
V VVU „
V VWV
VaYUU
' .A VVU'
a VPu
u vyu
. V.Uuu
V..3bl
Lead
04,
0:428°,
0 073.1
0 000
0 000
` 0 OODa
4� 000
0 00(i
1} OOIJ
0 000
0 00
0:,000`
0.11�
Mercury
0.060
0 000'
0 000
0 000100
0 QAi7 ;
Q 000
0a
0 000 ''
0 00
0 AUfI -
0000 -
. 0.001
Molyb-
0.01,0
0:003
0 01
0.000
0100
0 QOn
0 0(lU
0 (OiS
0.000 '
0 00
©A:00
0.000
0.029
d num
Nickel
0 008
0=fld4
0 029:..
0 000
0 Q.00r
0
000 ".
90
0 0.00
0:000
0.09
0.000
_
0..,,00Q
0.051
Selenium
0.00`
0 00
_
0 OQ 7.
0 OOQ
0 ,OO,Of
(
b0Q .
OOl)-
0 000
,n
0 b00 '
0 OOU
0.00©
0.000 ;
0.01$
Zinc
O.S61,
0 40
0 9. '
OQ:U
0 a00
0 00Q
'„ 1 000:
0 OOQ _
O: 9OQ
0, 000
0 0'00
0.000
1 918 .
Total
Phos- 35.06`8 5.154 " 17 533' 0.000f -0.0W, 0 00.0 0 0.00 0.000 0 00.0 0 017.0..> 0.000 0.000 57.755
nhorus �: ._.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'isonment for knowing violations".
ZJ: 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION i-ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
H.W. Byrd
David Ridlin
Crop 1 Name: Soybeans
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied z , 157,36 Site #:
Predominant Soil Series: TaB
Crop 1 Max. PAN
171
Crop 2 Name:
Acres Utilized: 86.7
AM116 Acres Permitted: 86.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
>
b
* o
c
*.
�.
P
* �».
TKN
mg/kg
z
8 c
a w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
2/23
182000
4.34
+; 0 3$,0
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000 1
110
15.432
NA ` `'
Beans
2/24
182000
4.34
" 0 3:$0` y
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
15.432
r'
Beans
2/28
162500
3.6
",,­,,,0',. di,
East Burlington
D
<5"
S
0.5
0.3
16000
6000
340
3°568
Beans
2/28
19500
4.34
a 6 tQ; ,r .',
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
1.653
,NA
Beans
3/1
299000
5.1
� fi3'3
.?
South Burlington
Dry
<5"
S
0.5
0.3
54000
11000
140
2T 196
A :'
Beans
o ooc
omo
6000
0 00�
0.000
0.000
a6 _ _
0.000
0.000
0 OQ©
0.000
0.000
0.000
0.000
jgEOoq,
0.000
0.000
0.000
0.000
0
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS
'� sc. = u
84s000
As
Cd
Cu
Cr
Pb
11
Mo
Ni
Se
Zn
P
63.280
0.990,"
Lime Applied
Annuallbs/acre
0(18'
UtO°14481'
aQ.1�1',
0.00,EQWn29a(S1
..........................
..:....:::::::5::::.=....:.. .:.:
-:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.088
0.072
7.823
3.444
0.919
0M44
0.274
0.534
0.101
14.942
Current Cumulative lbs/ac
0'?10 .. �
' 0z690
;- 'S `
� v8 S
1.036
0. 451'
0 303 ;
_ 0 58
t Q�119-
"1f 860
Permitted C. P. L. R.****
36
1 34
1 1338
1
1 267
1 15
374
1 89
2498
Permit PAN Limit 1st/2nd Crop
r.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.IL: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 270.94
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
V `-ator: David Ridlin Owner: H.W. Byrd Predominant Soil Series: TaB
A. es Used: 66.7 Acres Permitted: 66.7 Site #: AM116 Field #: 8
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/ka. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
11
SB
2/6/17
21
EB
2/6/17
3
141
5j
6 1
1 71
1 81
9.
10.
Ill
12 11
% Solids
5.1
5.16
Arsenic
5
1 5
Cadmium
5
5
Copper
150
190
ChromiLin
70
120
Lead
50
24
Mercury
0.2
0.2
Molyb-
d num
11
14
Nickel
20
10
Selenium
5
5
Zinc
650
410
Total
Phos-
nhorus
11960
27250
1 )iai
Heavy iwetai r iew l.oaaings
tc:aicuiatect in Ws/acre):
1 otal
L
21
1314
5 j
6_1
L7!
8
9
10
11
12
DT/Ac./
0
App.
Event
2.28
1.78
Arsenic
0.023
0.018
,0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
. 0.000
0.000
0.04.1
Cadmium
0 11
0 018 ;
U OOU'.
0 OUO
0 000
..:0 000: ;
0 O(i0
0 0:00
.060.00 :.:
0..000
0.000
0.:000,
40 041
Copper
0 6$4
Q ;677
, aU 000
0 000
Oi000
0 000` ..
0 00:'
0 000
0 000,',
0 000
0 OUO
0,000
' 1 361 ._
Chromium.-0
3_,
0.428
0 OOQ
0 OO:U
0 000
0 000
` 0 004
0 Q;00
0 000
0 000
0 000
0,:000
0 747`
Lead
0 22$
0 086
0 000 .
0 000
0;000
y 04000
0 000
0:000
0 000
0 000
0 000
0..000
0 314'
Mercury
0 OOjl
0 001..
0 000
0 OOQ
0 Q00
0 000
0 000
0 ;000
0 000
= o 000.
o 000
0:600
Molyb-
0 050
0 050
0 000
0 000
0.000
0 Q40 ;
0 000
0 0:00; .
0 000
. 0 000
0 OQO
0.`000
r�amim
,
s
Nickel
0 991,
0 03:6
0 000,
0 000
0 000
0 000<
0 000
0 000
0 000
0 QOQ .
,0 0.00
0.000
.0 127-
Selenium
0 023
0 01$
0 000.
0 000
0 000
0 000
0 000
0 0:00
0 0,00
0 000:
0 000
0,004
. 9.04
Zinc
2 9 4
1 461
m-0 000:-
0 000
0 400
0 000 „
0 OOi7
0 0;00
0. 000
0 000
0 000
0:000
:. 4 425
Total
Phos-
,horus
54 S38
97 119
0 000
0 000
0..000
0.00.0 '
x.
0 000
0,.000
U OOQ'
0.000
01100
0400
151 657
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly, gathered and evaluated the information submitted.
I am aware that there are significant. penalties for submitting false information, including the possibility of tines and
it i,sonment for knowing violations".
Z:fz 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 8 Acres Utilized: 66.7
Land Owner: H.W. Byrd Annual Dry Tons Applied: 270.94 Site #: AM116 Acres Permitted: 66.7
Operator: David Ridlin Predominant Soil Series: TaB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Soybeans Crop 1 Max. PAN: 171 Crop 2 Name: Crop 2 Max. PAN:
°
O
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac1
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soi)
Cond.
(Dry'
Moist)
Precip.
Past 24
Hrs.
inches
Y
S o'
0 m
*
o
:A a
_
R.
�
%v N
w
* N
w
TKN
mgtkg
Z
o o
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
PP
]bs/acre
Name of Crop Type
Receiving Residual
Application
Crop l
Crop 2
Crop l
Crop 2
3/3
266500
5.1
0.850
South Burlington
Dry
<.5"
S
0.5
0.3
54000
11000
140
31.508
NA
Beans
3/6
156000
5.1
0.497
South Burlington
Dry
<.5"
S
0.5
0.3
54000
11000
140
18.444
NA
Beans
3/6
65000
5.16
0.210
East Burlington
Dry
<.5"
S
0.5
0.3
27000
4000
90
3.770
NA
Beans
3/7
130000
5.16
0.419
East Burlington
Dry
<.5"
S
0.5
0.3
27000
4000
90
7.540
NA
Beans
3/7
71500
5.1
0.228
South Burlington
Dry
<.5"
S
0.5
0.3
54000
11000
140
8.453
NA
Beans
3/13
136500
5.16
0.440
East Burlington
Dry
<.5"
S
0.5
0.3
27000
4000
90
7.917
NA
Beans
3/16
221000
5.16
1 0.713
East Burlington
Dry
<.5"
S
0.5
0.3
27000
4000
90
12.819
NA
Beans
3/16
19500
5.1
0.062
South Burlington
Dry
<.5"
S
0.5
0.3
54000
11000
140
2.305
NA
Beans
3/17
1
201500
5.1
0.642
South Burlington
Dry
<.5"
S
0.5
0.3
54000
11000
140
23.823
NA
Beans
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
1
0
0
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
01
1267500
::::::::::::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
116.5901
0.000
Lime Applied
Annuallbs/acre
0.041
0.041
1.361
0.747
0.314
0.002
0.100
0.127
0.041
4.425
151.657:::::::::::::::::::::::::::::::::::
.......................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.072
0.05
5.712
2.938
0.685
0.037
0.175
0.348
0.075
11.221
Current Cumulative lbs/ac
0.113
0.091
7.073
3.685
0.999
0.039
0.275
0.475
0.116
15.646
Permitted C. P. L. R.****
36
34 1
1338
1
1 267
1 15
1
1 374
1 89
1 2498
Permit PAN Limit Ist/2nd Crop
171
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 79.72
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(_' "ator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB
A_s Used: 40.2 Acres Permitted: 40.2 Site #: AM116 Field #: 9
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
11/6/17
2
EB
11/6/17
31
4
5
6_
7
8
9
10
11
12
% Solids
3
3
Arsenic
5
5
Cadmium
5
5
Copper
130
230
ChrOMiL11111
72
38
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
8
10
Selenium
5
5
Zinc
420
570
Total
Phos-
phorus
240000
10000
1 !xa►
rteavy ivietai rieia Loaamgs
(t✓aicuiatea in iusiacre):
1 otal
1
2:
3
4
5
6 1
7
8
9
10
11
12
DT/Ac./
oy'
App-
Event
1.56
0.43
Arsenic
0_016
1 0.004
0.000
0.000
1 0.00.0
0:000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.020
Cadmium
0 016
1 0.-004
0 000
U.00U
0..000
0.00U
0 00.0
0.000
0 OUO
0 OOU'
0.000 ,
0::000
0.020
Copper
0.405
0.196,
0 000
1'0.000
0 090
O,b00
0 000
,. 0 OU0 ,
0.000
0.000
0.000
0.000.
0:000
0.601
Chromiun
0.22.4
0..032
0 000:
0.000
0.000 -
' Q 000
` 0.000
0.000
0.000
0..000
.0-:000
0.257
Lead 1 0.
Mercury 0.001 1, Q;0,0-01 -1 0.000 1 0:000:.. -0 000:.. ° 0.000 0.000 : 0. 000 0.000 0:000 1 0.000 1 0 0 -1
Molyb- 0.016 O.604 0.000 0.00,0 OA00 0 000 0 00-0 0.000 0 000 0 000 0 000: 0.:.000 1. 0.020
Nickel 1
0 025
0 009:I
0 000 1
G.;W I
0 000 :
0 000
0 000
0.000
0 00.0
0.000
I 0;000
0.033
Selenium
0 016
4.004
0 000
0 OOQ
0 0=00
.0 000
0 000
0 000
0 000 '
0 000
0.00.0
0:000
0.020
Zinc
1.309
0 485
.0 000.1
,OJ00a,
0.60" 11,
0 ODO -.1.
0 000
0:0,0,0
0:000 1-0.-0
0400
1 0.0010
1.7931
Phosl 11747.U6f,:9.500 1 0.000. 10;000 10.:000 � 0.000 1 0.000-1 U.000 I OA00 1 0.000. 10.000 10:000 [756.3401
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it �sonment for knowing violations".
;ef- 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION i ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: HWB Family
Operator: David Ridlin
Crop 1 Name: Wheat
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied t Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN:
113
Crop 2 Name:
Acres Utilized: 40.2
AM116 Acres Permitted: 40.2
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
$.
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
Y
de
o
:+�
Z ]�,
q
Nitrate
PAN Applied
Name of Crop Type
o =
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Past 24
co
qy �;
�,
ti
TKN
o
and
(lbs/acre)
Receiving Residual
Q
Liquid
Solids
Acre
Fert., Animal
Wei'
Hrs.
*
# ~N5•
p
Nitrite
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
o
o
r.
°�
* w.
0
mg/kg
mglkg
mglkg
Crop 1
Crop 2
Crop 1
Crop 2
12/5
19500
3
0 ©.bAlw ;;
South Burlington
D
<.5"
S 1
0.5
0.3
31000
14000
110
1.482
NA
Wheat
12/6
84500
3
0'2 `A`
South Burlington
D
<.5"
S
0.5 J
0.3
31000 1
14000
110
6.421
NA
Wheat
12/7
149500
3
0 465
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
11.361
NA
Wheat
12/13
32500
3
Q hpr) `14,
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
2.470
NA
Wheat
12/13
1
104000
3
East Burlington
D
<.5"
S
0.5
0.3
23000
6000
140
5.334
NA
Wheat
12/14
91000
3
Or$3r
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
6.915
NA
Wheat
12/14
32500
3
0;0;1,,'
East Burlington
D
<.5"
S
0.5
0.3
23000
6000
140
1.667
NA
Wheat
12/15
123500
3
y 0 38 s
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
9.385
NA
Wheat
0,400AOfq _:
0.000
0.000
4,00
0.000
0.000
0.000
0.000
000.E
0.000
0.000
0
U
0.U0{t
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
t' :¢ o
G37000
::::::;:::::
As
Cd
Cu
Cr
Pb
H�=
Mo
Ni
Se
Zn
P
45.035
0.00o
Lirne A lied
Annual lbs/acrea�o24fl4l1�6I)1
�025
0.020
O.UUIa'
1200x0
',kn„,0*023;'"17g3
756340
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.0856
0.0685
10.3605
3.2975
1.0158
0.0448
0.2814
0.7118
0.1229
18.4091
Current Cumulative lbs/ac
1.03(i
{► 046
U 30
745
a140
2g2Permitted
C. P. L. R.****
M
34
1338
267
15
374
89
249$
Permit PAN Limit lst/2nd Crop
P
113
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
�*Application Method: S - Surface, IN - Injection, INC - Incorporation
Z�f 1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 24.40
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
,ator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB
Ate. es Used: 12.8 Acres Permitted: 12.8 Site #: AMl 16 Field #: 10
Residual Analvsis Data (Heave Metals and Total Phosnhorus use ma/ke. % Solids use Raw Percent 9):
Sample or
Com-
posite
Date
1
SB
11/6/17
2
3
4
L5 J
L6j7
I
8
9
10
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
130
Chromium
72
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
8
Selenium
5
Zinc
420
Total
Phos-
phorus
240000
I aa► heavy ivtetai riew Eoaaings tL;atcuiarea in tusiacre):
l otal 1 21 3 4 5 6 7 8 9 10 11 12
DT/Ac./
APP •
Event 1.91 14
Arsenic 0' 019 1 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.019
Cadmium 010 =19_. 0:000 Or000` 0 0.00 a 00.4 0.000 0:0.00 . 0:000- -0.000 0 00:0, 0::000 a�:Goa 0.019
Lead
0 D1=9
0:,40-
0.000
0 000
O:ODO
n.000
0 00
0 OOD
0 400'
:. 0 00t
0 Q60
OOQO
09`
MercuryMyb-
0 U
07fl
,' 0 000
0 Ot
0 000
Q..000
0 000
A AQ�
0 000
0 000.
n 0
0,0A -
:.li QOF1
0 Ol°9
0 (1i10
' 0 000'_`
0 ©04
0 0�90
0 00
0,40(
0 000
4:000
0 00
0 0
-0:000
denum
Nickel
0 03t0
0 Q00
0.000
b ©00
©.boo
aabQU
4 (SOU_
it011
00
0 Q'
0 000 :.
0 030
Selenium
0.019
...
0 :000
U 000; :
0 (?00
0 000
Q "0`°
OOa ..
0 0:00
, 0 Q00 :
0 000
r
0 Oaa ,
6,000,
0.019: .
Zinc
1 6.01
0, 000
o 000
0 4qp
0 OOO
0 bOaK5000
0 000
0 000
0 000
000
0000
1 6kY
Total
w
Phos-
914.8&:8O
.O..00o
0.000 :
0 pop
0 000
:0 00p
` 0 p%
0 000
0 000°
0 OUIJ
0 {100
Am914.880'
nhorus
"T certifv_ under nenalty of lnw_ that this dneument was nrenared ender my dirertinn nr cnnervisinn in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'isonment for knowing violations".
e� Gam; 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION i­.tfLD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 10 Acres Utilized:
HWB Family Annual Dry Tons Applied:' 24 41 Site tt AM116 Acres Permitted:
David Ridlin Predominant Soil Series: GaB Cation Exchange Capacity (non 503):
Crop 1 Name: Wheat Crop 1 Max. PAN: 113 Crop 2 Name: Crop 2 Max. PAN:
12.8
12.8
0
Volume applied
Volume
Residual Sources
Soil
Precip.
410
C
e
�
Z �
Nitrate
PAN Applied
Name of Crop
p Type
°
°
enter one Solids/
( )
u
/o
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
d
w -a
� w
TKN
� o
and
Ibs/a re
( )
Receiving Residual
Q°_
Liquid
Solids
Acre
Fert., Animal
(Dry'
Hrs.
a
#
* �;
w
Nitrite
Application
Waste, etc)
Wet
*
Cu. Yds Gallons
(Dry TonslAc)
Moist)
inches
mgtkg
mg/kg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
12/15
45500
344
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
19859 '
NA
Wheat
12/16
149500
3
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
35.681
NA
Wheat
b UV.O
0,000
0.000
0, 0_p0
0000
0.000
0tpp.
0`.000
__0.000 .
0000
0.000
0:000
0.000
0 Ooo
0.000
0 0
:0.000
0:000'
x
0.000
0,000
doQu
0.000
0.000
0
U
y0 40@, s; ;
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0000:
0.000:
TOTALS:t1
195000
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
46.540
0.000
Lime A lied
Annual lbs/acre
A14O�OaAt}flt
49
tj 24
0.019
0.001
13f
OiI�9
fill
694880
•... .... ........... .
.
...............
.............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.083
0.0767
9.3913
3.2392
1.2132
0.0233
0.1903
0.5158
0.0826
14.491
Current Cumulative lbs/ac
Q 1kC).,
U 0�6
98 d;
3 514
1.232
o.024,�
•.;0ti29,I"
`' t
�546
0 10
) 6 t)92{
..... _
Permitted C. P. L. R.****
36
34
1338
1
1 267
15
1
1 374
89
2498
d r Permit PAN Limit 1 st/2n Crop
L
..............
...................... ...........
ah3
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 78.87
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
iator: David Ridlin Owner: 13WB Family Predominant Soil Series: GaB
A,. es Used: 52.9 Acres Permitted: 52.9 Site #: AM116 Field #: 11
Residual Analysis Data (Heald Metals and Total Phosphorus use mg/ka, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 11
SB
11/6/17
2.
EB
11/6/17
3
L4J
5
61
7
8
9 i
10
11
12
% Solids
3
3
Arsenic
5
5
Cadmium
5
5
Copper
130
230
Chromium.
72
38
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
8
10
Selenium
5
5
Zinc
420
570
Total
Phos-
L-rhorus
240000
10000
ui
trieavy lvletal rlela Emaings
tualculatea In ins/acre):
Total
1
L2J
3j
4
5]
6]
L7J
8
L9J
10
11
112
DT/Ac./
y
App.
Event
0.98
0.51
"
Arsenic
0 01:b
`, 0.005
1 0,006
0.000
0.000
0 000",
.. Q.000
0.6,00
0.00'0
0.00(o
Oy0'00
' :U.000
0.015
Cadmium
0 OI0
00s-
;; 0,000
0 000
0 (lOD
0 0�0 -
0 000
0 D(10
0.OfJ0
: 0 OOQ
0 OUO
D:000 `,
0 O15
Copper
0 25U
0;233
0 OQOe
0 000
O.000K
0 000
0 0`OQ.
0 0,00
0 000
0 000"
0 000
0`;, 00
0 487
.
Chromium
0 142
0 039
0 000 :`
0 000
0 b:00
0 000. '
0 000'
0 000
U 000
0 000.
OQO
0 000 ,
. 0 180
Lead
0 Dl0
0 QD5
0 Ob©"
0 000
0 0;00
0 00
t D OOU
0 0,00
0, 000
0 000?
9,0
„0000
0 OX5
Mercury
0 000
Q 000
0 000 ,
, „0 000
0 Q00
0 000'
0 000°
0 0;00
0.00D
; 0 000'
0 OQO
0:000 .,
:0 OO,
Molyb-
0 01::0
r
0 005
0 000
0 000
0 O:Db
0 000
0 OOQ:
- OAOQ
0' 000
. 0 ODU
0 °00D
r
0000
0 015
denum
,
Nickel
0 06
Q,O1Q_
0 000
: 0 000
0 0:00
4 Oaths:"
0 000'
0 0'Ol)
0 OOQ
a 0 000:,
0 Q00
000
0 026
Selenium
0 O10
O QOS
0 000
° 0 OQO
0 OOOt
O D00
0 Op0'
0.000 _.
0 000
0 000`
0 000
0000'
0 015:;
Zinc
0 827
Ot578
, .0 OOD
0 00:0
D.000
0 DQO
: 0 OQQ;,
0 OpO
U fl00
0 000~
0 000
0;000
1 405 ,
Total
Phos-
472 320
10:140
0 OOb -
0 000
Q.000
0.000', ;
0 000
O Q00
:0 000 .
" 0 000
0 000
0:000- `..4'$2
4`60
,horus
;.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it `sonment for knowing violations".
1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION i .LELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
HWB Family
Operator: David Ridlin
Crop 1 Name: Wheat
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 7 $7 a _ , Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN: 113 Crop 2 Name:
Acres Utilized:
AM116 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
52.9
52.9
0
=
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wets
Moist)
Precip.
Past 24
inches
Y
410
co `d
¢ o
d
<
o
�».
*� w
�.
p
4
7y 9
�'
* w
0
TKN
mg/kg
Z a
q 5
Q°o o
R.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop
p Type
Receiving Residual
Application
Crop l
Crop 2
Crop I
Crop 2
12/27
221000
3
Q ..4:
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
J2.161,NA
Wheat
12/28
13000
3
(4'1
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
0;751
NA
Wheat
12/28
84500
3
0 2U0
East Burlington
D
<.5"
S
0.5
0.3
23000
6000
140
3':293 '
NA
Wheat
12/29
6500
3
0 5 ° Yi;
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
0 375''
NA
Wheat
12/29
1
130000
3
East Burlington
D
<.5"
S
0.5
0.3
23000
6000
140
5:066.
NA
Wheat
12/30
175500
3
n 0.; '^t5 a
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
10:135,;`
NA
Wheal
ok,,6.�xa�'
booa
=o,pob
f st
o oao
l.000
x- T,,,"
ti'000
(1 {10D
{1h0Q0 . _
0 Ob0
j100a
0
0
,rQaQ° ,,
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
0`000A
„uti.006 :;
TOTALS:
0T
630500
:::.::::.:::
As
Cd
Cu
Cr
Pb
H *
Mo
Ni
Se
Zn
P
3=383
0:000 '
Lime Applied
Annual lbs/acre
tIFO; 5
1 0 Ol'S
@ 4r890180
0.015
0,001
VI 1
O it
0 0
p82
460
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.1111
0.0667
8.9294
3.914
1.0125
0.044
0.2528
0.8819
0.1087
15.0124
Current Cumulative lbs/ac
1-027
0.045
Permitted C. P. L. R.****
36
34
1338
267
15
1
374
89
2498
Permit PAN Limit 1 st/2nd Crop113
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 29.27
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C Bator: David Ridlin Owner: HWB Family Predominant Soil Series: GaB
A_ _ ds Used: 21.3 Acres Permitted: 21.3 Site #: AM116 Field #: 12
Residual Analysis Data (Heavy Metals and Total Phosphorus use me/ki!, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
___.
SB
11/6/17
2
3
4
5
6
7
8
9
10
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
130
Chromium
72
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
8
Selenium
5
Zinc
420
Total
Phos-
>horus
240000
j �iai rieavy ivieiai r ieia i�oaarngs kuaicuiarea in ins/acre:
i otal 1 121 L 3 4 5 L61 7 8 9 10 11 12
DT/Ac./ 0
App• W
Event 1.37
Arsenic 0.0141 0.000 0.000 0.000 0:000 t1006. •0.000 0.000 0.000 0.000 0.000 0.000 0.011
Cadmium 0.014 0:000 6.0,06 1 0,.0()( 0.000 0.0.00 0•..00(;1 0:.000 0.000 , ., 0. 000 , 0_(100. 0.000 .0.01<4
Lead
O1
OOa
- -0 �U0-_
Q 000
0 000
_ Q 00
it ,},
0 00©
0 000
00{;
fl fl04_
0 _Q00`
4; ..
Mercury
0 00
0 Q00
(i 00
b OOo
0 Q0
0 4400 ti
. 0.©0(
Q 000. •
�0 00Q
` Q 04(1
Q QOa
0=00(I
r 0 001,
Molyb-
0 01
0 000
0cS.:
0 ooa
o coo
0 000 ::6
o aoo��o
o o
ono
0000
0 014 '
denum
.
Nickel
0 022
O.0
Q 000
# 0'a
{) 000
0 00,° ;}
OOQ:
ox00
0- OQO„
: OOtIIT
0 D0
t000`
0 022 -_
Selenium
0 014
0 000
Q 00(
b apt
0 0:00
0 fl0i
Q�000_
0 OUO
0' 0
OLOQQ
0 t1Q
0_000:._
014
e
Zinc
154
O.Q00
0 00A ;
0.00
0 000_ ,
0 OQQ:
ti 000
0 0t00
0 0((F',
0 000
0 ODQ
0000
..;fi_54
Total
-
Phos-
69 520
0,000
0:000
0 000,
0 000'
6.000
0 0.00
' 0 OQ0
000
fl.;000 j-,659.520
L,borus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it -isonment for knowing violations".
Z�f 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION i ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: HWB Family
Operator: David Ridlin
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 21 27 Site #:
Predominant Soil Series: GaB
Crop 1 Name: Wheat Crop 1 Max. PAN:
113 Crop 2 Name:
12
AM116
Acres Utilized: 21.3
Acres Permitted: 21.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
$-. -[
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
DES # W # ,
rt., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
b
0
11
o
4.
;e
w
o w
* N
0
TIC
mglkg
Z
r
a°o c
g R-
mg/kg
Nitrate
and
Nitrite
mgtkg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
12/18
130000
3
0'7 '4 °, ;,;;
„...
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
18,645
NA
Wheat
12/19
104000
3
0,6l�1 ` '
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
14.916
NA
Wheat
o
0.000
0.000
o#t>po
0.000
0,000
0.000
0A00
0.000
0.000
0 pp''ij
0.000
0.000
0.000
0.000
1h0U1i na=,
0.t100
0.000
0.000
0.000
0.000
0.000
4Qo {
0-000
0,000
.. -A.
0
b_i)A, 0`��
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
(TOTALS
01
234000
As
Cd
Cu
Cr
Pb
H g
Mo
Ni
Se
Zn
P
33.561
0.000
Lime Applied
GAnnuallbs/acre
m 01'4µyd`04x
0035
0.014
0.001
0014
3 x}
,01
0-01113
4
fi59520 ..::;':.::.;.:?.::'::.:..::
.....•... •. •. •....... .
:.._ .. ...........
................:: >:.>:::.:..:.. .
Date
lbs/ac
,Prior Years Cumulative lbs/ac
0.0592
0.0227
2.3061
1.3276
0.2532
0.0116
0.0822
0.1898
0.0436
4.4709
Current Cumulative lbs/ac
0 � 3
0 0 6a
; 2 663
15i23,
0.267
OAll W
9z l7t09Cr
+ 0 21 ^ ,
, 0 05 f
y 5+6
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
89
1 2498
Permit PAN Limit 1st/2nd Crop
3
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 47.11
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(% Yator: Simon Stephens Owner: Simon Stephens Predominant Soil Series: HdB
A —es Used: 12.3 Acres Permitted: 12.3 Site #: AM118 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
5/8/17
2
EB
5/8/17
3
EB
6/5/17
4
5
6 1
7
8
9
10
11
12 .
% Solids
4
6
5.3
Arsenic
5
5
5
Cadmium
5
15
5
Copper
125
117
217
Chromium
145
39
66
Lead
16
38
59
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
6
16
19
Selenium
5
5
5
Zinc
325
380
800
Total
Phos-
phorus
19130
6920
14530
1 uai Heavy ivletai v ieia Emaings tuaicuiatea in iasiacre):
1 otal 1 121 L3J 4 L5 6 j-7-1 L8J 91 10 i Li 11 12
DT/Ac./ 0
App.
Event 1.15 1.98 0.70
Arsenic I 0.017- 6.020 0.007 0.000 0.000 0.000 1 0;000 0.000. ` 0.000'',0.000, 0.000 0.000 0.018
Cadmium 0 Ofl 0:..020 0..007 ry 0.00:01 0 000 1 0.00:0 0.000 0.000 1 6,000' 0 000 0.000 D:000 I a03.8'
Lead
Molyb-
denum I O 011 10 020 0 007 0 000 ! 0 000 10 000 " 0 000 0 000 10 000 , 0 000 0 00 0-;000 0 03$
Nickel
0 014
Ova063
0 027'
0 009
0 900
0 000 ;
; 0 000;
0 0;00
O i100 ''
0 000
0 Q00
0 000
.0 1 U4
Selenium
0 07.1
0
020 .
0 007 `
0 000
0 000
0 000 ,
0AW „
0 000
0 000;
0 QOt)
0 OQ0
0 000.,
0 038
Zinc
A. 507
1 122`
0 000
0 Q00
Q 000 °
0 000"
0 000
0 000 '
. 0,000
0 000
0 000 _
3 374 .
Total
.r,
}
_
Phos-
43 846
27.445
20:371'
0.000
0:000
0 000
0 000_. ,
0,000
0:.000 .;,
0 000
0.0.00
0.000-
'`91.662
;)horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it isonment for knowing violations".
Zf 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION i, ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Simon Stephens
Operator: Simon Stephens
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 1 Site #:
Predominant Soil Series: HdB
Crop 1 Max. PAN:
158
Crop 2 Name:
AM118
Acres Utilized: 12.3
Acres Permitted: 12.3
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
N
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tonsl4c)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
ry,n
W
Moist
Precip.
Past 24
Hrs.
inches
Y
4
'a
oa w,
c
*
p
z �
w a'_
*
TKN
mg/kg
Z ��
c"f
84 El
�-
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop T e
P Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6/28
84500
4
1 14;;fj. , <
South Burlington
D
<.5"
S 1
0.5
0.3
44100
10830
230
35.812
CIA ";
Fescue
6/29
52000
6
East Burlington
D
<.5"
S
0.5 1
0.3
22400
3730
80
15.964
Fescue
6/30
45500
6
_ 'frQ 9�2
East Burlington
D
<51
S
0.5
0.3
22400
3730
80
13.968
N'A "a
Fescue
7/5
39000
5.3
East Burlington
D
<.5"
S
0.5
0.3
21130
2960
90
9.840
NA
Fescue
6 0.00�
`.
0.000
0.000
b g
^a
01000
0.000
0000
0 tltl0 '
0,000
0 000
oii000
0.000 .
F 6 Qt'b
0:'000
w.
0 000 4'
0.000
-0 60,0
0 ©QA ,
0.000
0.000
.
0
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
': ° �A 01
2.21000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
75.594
0.000
Lime Applied
Annual lbs/acre
0 038
bfi031) ,`.
1rAS5
p 58©:
0.270
0.002
fS
,} 0�1 itl
z 7
Gb62 .'
::.::: :::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.1
0.094
14.287
5.193
2.24
0,043
0.434
0.925
0.147
22.1
'Current Cumulative lbs/ac
0 1,3
O l'2
L15 342
3 71
2.510
0.045
0 472v'
�1 0
OY 85 ,
25 414
Permitted C. P. L. R.****
36
34
1 1338
1
267
15
374
1 89
1 2498
Permit PAN Limit l st/2nd Crop
p
l58
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 106.38
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(' rator: Simon Stephens Owner: Simon Stephens Predominant Soil Series: HdB
A -'s Used: 14.8 Acres Permitted: 14.8 Site #: AM118 Field #: 3
Residual Analvsis Data (Heave Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
5/8/17
21
EB
5/8/17
3
EB
6/5/17
4 j
5
6
7
8
9
10
11
12
% Solids
4
6
5.3
Arsenic
5
1 5
5
Cadmium
5
5
5
Copper
125
117
217
Chromitaii
145
39
66
Lead
16
38
59
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
6
16
19
Selenium
5 1
5
5
Zinc
325 1
380
800
Total
Phos-
}horus
19130
6920
14530
1 imi
heavy inetai new Loadings
(uaiculated in ws/acre):
otal
1
121
3
4
5j
6
7
8
9
L1
Li12
DT/Ac./
APP•
,oy,
Event
0.37 1
4.40
2.43
Arsenic
0.004
1 0.044
0.024
0.000
1 0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.00;0
V.072
Cadmium
0 U04
0 044
U 024 ,
0 00o
O U00
Q OOn ;
e 0 00,0
0:000 .
0 000 .� :
0 00U
0 Q00
Q.00Q
0 072
Copper
0 Og?
1 0�8
,z 1 033
0 OOJ
0 000
0 000 ;:
0 ODOR
O.ODO
0 000
` 0 000
0 000
D000
Chromiun
0 10b
0.343
0 320' ,
4 0 O00
-
0 000
0 000
01i00
O.00D
0 000 .:
0 000
0 OQO
0 000
0 769'..
Lead
0 O1 2
D34
-
0 286`
0 00'U
0000
a ODQ ;
0 000
D`00 ,
U 000, :
_ 0 OQO;
0 OOU
0.000
0 632
Mercury0
OOn Q
0 002
0 001_
0 OQO
0 000
0 000
A OOQ
0 040
0 OOD
;. 0 000`
0 OOD
0(100
0 003
Molyb-
0 004
0.;044
0 024
0 000
O.,Q00
%U 000
0 Q00
4 000
0 000
f 0 000
0 000
0:000
Q 072
denum
Nickel
0 Q0
0:141 .
, 0 092 .
0 000
0 000 .
0 000
- 0 000
0 b00
0 000
0 OQQ`
0 OOD
O.;OOQ
0 23T-
Selenium
0 OQ4 r
0 044
0 024 `
0 006
D 000
0 00}0
0 OOUfi
a 000
fl 000
; 0 000
0 000
0000,,
0 07
Zinc
0 238j
3..340
3 883
0 -000
O Q00
0 OiO .'
0 000
0 000
3411900
a 0 000
000
0.000
7 461=
Total
Phos-
14.003
60 827
.70 529
0 OOQ
0.000—
Q 000,
0:000
0..000
0 000 .
0 000
0 0'00=
0 000'
145.359]
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
irr Isonment for knowing violations".
;e:�e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION .4ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Simon Stephens
Operator: Simon Stephens
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied S; � 1g16 3+8 Site #:
Predominant Soil Series: HdB
Crop 1 Max. PAN: 158 Crop 2 Name:
Acres Utilized: 14.8
AM118 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
14.8
0
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
Y
o
4
Z a
Nitrate
PAN Applied
Name of Crop Type
°
°
enter one Solids/
( )
o
/a
Applied per
(NPDES #, WQ#
Past 24
v
p
M w
�,
�
; P
Ev
TKN
o
Q °
and
(lbs/acre)
Receiving Residual
°
0
Liquid.
Solids
Acre
Fert., Animal
(Dry,
Hrs.
c,
n. w,
�:
w
p w
Nitrite
Application
Q
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Wet,
Moist)
inches
*
*
°n
*
mg/kg
mg/kg
mg/kg
Crop 1
Crop 2
Crop I
Crop 2
6/28
32500
4
{ , 0 3_6_ a
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
11.447
NA
Fescue
6/28
84500
6
r 1r429.
East Burlington
D
<,5"
S
0.5
0.3
22400
3730
80
21.559
NA
fescue
6/29
110500
6
F1 868, a
East Burlington
D
<.5"
S
0.5
0.3
22400
3730
80
28.193
NA
Fescue
6/30
65000
6
East Burlington
D
<.5"
S
0.5
0.3
22400
3730
80
16.584
NA
Fescue
7/5
1
104000
5.3.
553";
East Burlington
D
<.5"
S
0.5
0.3 1
21130
2960
90
21.808
NA
Fescue
7/6
58500
5.3
t
East Burlington
D
<.5"
S
0.5
0.3
21130
2960
1 90
12.267
NA
Fescue
09b
0.000
0.000
�O U0
0.000
0.000
0.000
0.000
Q QtI
0.000
0,000
0.000
0.000
o ,oab
0.000
0.000
0
U
4w0.
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS
w 01
45,50001
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
I 111.857T0,000
Lime Applied
Annual lbs/acre
Q72'
`,°Q'172�
;27�3
`it 0 769
u.632
0 uU3Ey
;, xb?
'l
t1
��?6145359
:::..:.::':.:.:.:.:.:.;:.:.:.:.
..:.:...:.............. . .
...
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.12
0.098
14.766
4.551
2.374
0.049
0.409
0.838
0.165
24.491
Current Cumulative lbs/ac
`)9?;
";.0 �7©
16 � 4-,
5 3211
3.006
0 052
p, .0 �
,
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit lst/2nd Crop
p
58 ==
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): . 20.34
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C rator: Simon Stephens Owner: Simon Stephens Predominant Soil Series: HdB
ti__ m Used: 16.4 Acres Permitted: 16.4 Site #: AM118 Field #: 4
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mg/ka. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
SB
11/6/17
2
31
4
5 1
61
7 J
8
9
10
11
12
% Solids
1 3
Arsenic
5
Cadmium
5
Copper
130
Chromiwii
72
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
8
Selenium
5
Zinc
420
Total
Phos-
chorus
240000
ilal Heavy metal rield Loadings (Ualculatea In lbs/acre):
otal 1 2 3 4 5 161 171 8 9 10 11 12
DT/Ac./ 0
App-
Event 1.24
Arsenic 0.012 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 0.000 0.000 1 0.000 1 0.000 0.012
Cadmium . 0.0:1.2 :.0_000, � . 0 000 :. 0:0,0.0 ,. 0itam,: ..0 000, . 0 0U0 4..0.00, . 0.0010.. 0 00Q , 0._000 0.000 0 012.
Lead
Mercury
Nickel
Q
O'000
O Q00
AM
Q0 BOO g
`O U001
OK 000
Q 000
` 0 a0_0;
0 000,
2920910r,
0 020;
Selenium
0 U
0 OOb
U QOO
0 OOQ`
Q 0000
000
0 000�
0 000.0
000
' 0 0©
0 00
0000
012
Zinc
1 ©42„
0 900
0 b00 f
0 000
0,000
0 �p0' `
y 0 OOU
0 0Ofl ,
0 000
fl 0©Q=
D 000
0.000
"°l 042 :.
Total
J,
V
Phos-
595 200
0 004 .
e'0 000
0 00
0 :Q00
O 000
A.OU:O
0 Q00
A 000 :
- 0 OOO r
0 Q00
O. o00
20Q`
horus
,
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it Isonment for knowing violations".
4!f—e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION x-ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Simon Stephens
Operator: Simon Stephens
Crop 1 Name: Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied _ 2(1,34 °� Site #:
Predominant Soil Series: HdB
Crop 1 Max. PAN:
158
Crop 2 Name:
AM118
Acres Utilized: 16.4
Acres Permitted: 16.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
In, .�
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
4 '�
c� t+
o w
o
?:
.».
4
�
w
P-
� •
0
TKN
mglkg
Z
ct
Wo o
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
12/5
162500
3
1240 ' '
South Burlington
D
<.5"
S
0.5
0.3
31000
14000
110
30.270
NA
Fescue
0.000
0,000
0.000
0.000
o'ola�a�
0.000
0,000
0.000
0.000
hobo
0.000
0.000
0.000
0.000
�pCat��
0.000
0.000
r 0 bb©`
0.000
0A00
),Qf(1(ld F
0.000
0.000
0.000
0.000
OiQbb °`
0.000
0.000
5,(1
0
:
' fOz,bQ`Q_ _:a'
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
0.000
0.000
TOTALs
�� a
1ti2SC1(I
AS
Cd
Cu
Cr
Pb
Hk
Mo
Ni
Se
Zn
P
30.270
0.00o
Lime Applied
Annual lbs/acre
©,kl ,
_ -
^(t12�
0.012
U04
.0 01k11
.0Q
:::::
30.703 .................... ..
.....::.........................
J45' ::::: .
1 2498
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.159
0.165
16.157
5.666
2.57
0.056
0.517
1.347
0.188
Current Cumulative lbs/ac
0:1,711'�"d77.w�36.4
5 84,i
2.582
0 056
g"0 529 "!'
1367,
020;l
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
1 89
Permit PAN Limit 1st/2nd Crop
P
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R,: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 26:02
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C' rator: Simon Stephens Owner: Simon Stephens Predominant Soil Series: HdB
h ds Used: 9.2 Acres Permitted: 9.2 Site #: AM118 Field #: 8
Residual Analvsis Data (Heavy Metals and Total Phosphorus use m0ka, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
SB
5/8/17
2
3
4 J
5
6 i
7
8 1
9
10 I
11
12
% Solids
4
Arsenic
5
Cadmium
5
Copper
125
Chromium
145
Lead
16
Mercury
0.2
Molyb-
denum
5
Nickel
6
Selenium
5
Zinc
325
Total
Phos-
L—LAO—rus
19130
ivietai rim Eoaaings tt-aicuiatea in ius/acrel:
DT/Ac./
App .
Event 2.83
Arsenic 0.028 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.028
Lead
Molyb-
0 028
0 000
©000
0 000
0 OQO
o 0 000
0 000
0 0.00
0 000
0 000;
0 OQO
0000
0 028=.
denum
Nickel
0 034
O bOQ
000
0 000
0 000
U . 6
y
Selenium
Oil8
0,0000
OOQ
0 �OQ
0 OOQ
Q 000
0 �00
0 Q00
wQr000
0 OOO,F
0 �Q0
0 000
`0,028
Zinc
1 g3_$
=Q OdO
0 000
0 000
0 D00
OQO_0
0017
0 00
0 000
+ 0 000'
0 OQD
0=000
' 1 838'
Total
_
Phos
000,
0 Q;00
0 000
0 000
0 0:00
0 000 .
'T08.199?
E?horus
"T certify under nenalty of law_ that this document was nrenared under my direction or sunervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir- Isonment for knowing violations".
_ ;z:Le 4;2_ 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION v ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Simon Stephens
Operator: Simon Stephens
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied = k� Zf 02 3 Site #:
F. .. .,, .... _ .......:_...
Predominant Soil Series: HdB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
211
Crop 2 Name:
Acres Utilized: 9.2
AM118 Acres Permitted: 9.2
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o y
Volume applied
PP
Volume
Residual Sources
Soil
Cond.
Precip.
a
o
4
7y
Z >
ct
Nitrate
PAN Applied
Name of Crop Type
(enter one) Solids/
%
Applied per
(NPDES #, WQ#,
Past 24
n
w .,
TKN
o
and
Receiving Residual
A°,
Liquid
Solids
Acre
Fert., Animal
W
Hrs.
a w
N'
N
Nitrite
(tbs/acre)
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
o.o
o
,gym
*�
8
mg/kg
w'
mg/kg
mg/kg
Crop 1
Crop 2
Crop l
Crop 2
6/13
156000
4
2 ,8 8;
South Burlington
D
<.5"
S
0.5
0.3
44100
1 10830
230
NA
Fescue
0 ©7
0 �
0000
tf OQ0
;Y9
0 OUO
0.000
0.000 -'
0000 .
0.000
o�gl� •��
, - Ii�Ooo
� aao..
O'00a
0.000 `
0.000
0.000
0 OrOa
0o00
,0.000
Q
s0 •`°
"f0�0,Q0
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form)
Oi;000
0,000'
TOTALS
Or
15600o
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
F0092
.. 040'
Lime Applied
Annual 1bs/acre
Q 08 `
Q? 2g `'
0 7-07
80
(1,090;
0Ob1 1,oIL}3d"0028
-�
,..
..
: . `i
8
4108199
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.192
1 0.161
21.079
6.759
2301
0.056
0.516
1.387
0.199
34.24
Current Cumulative lbs/ac
21 78Cr ?
{ Z 579
2.391
0.057
0 54�
, 1
b 22
3i 08
R
!421
-
Permitted C. P. L. R.****
36
34
1 1338
267
1 15
374
89
2498
Permit PAN
N Limi d Cr t 1 st/2n o p
21l
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 55.30
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C 'rator: Simon Stephens Owner: Simon Stephens Predominant Soil Series: Aa
ti .;'s Used: 19.7 Acres Permitted: 19.7 Site #: AM1 18 Field #: 9
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
L 1j
SB
1/17/17
2
3
4
5
6j
7
8
9 1
10
11 j
12
% Solids
4.34
Arsenic
5
Cadmium
5
Copper
115
ChromiLV11
160
Lead
10
Mercury
0.2
Molyb-
denum
6
Nickel
5
Selenium
5
Zinc
350
Total
Phos-
chorus
21890
iai heavy ivietat r zew uoaaings (uaxcuiatea in ias/acre):
. otal 1 L2 I 3 4 5 6 7 8 9 10 11 12
DT/Ac./ o
App.
Event 2.81
Arsenic 0.028 '0.000 :0.000 0 66.0 0A00 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0,000 0.02&
Cadmium 0.0,2& _ .0_00,0 J. 0..000. ®,:0'00 0;0:00- - 0::,000. ...OA00 :, 0.:,0.0.0 . .0:.0.0:0 0..00...0" 0.0.00 0...00.0 I -0.028
Lead
Molyb-
z
0 03_
0 400
=0 OOQ -
0 Old
O.QOA
0 000
0 000
-
0 _00
0 000 =;
0 O(30
0 OQO
0:000.,.
0.034'
denum
Nickel
0 02,8�
0 000
0 000"
0 OOQ
Q(©0
0 00.0
0 000
0 OQO
x b 00
LL QO
QQa
Q Oo0
0 oti$'
Selenium
0 Q$
0 Q00
0 00(!.
0 000
0 A00
0 000
0 000
0 000
0 00Q
U©00
0 OQO
0`000
0
Zinc
1 965
' 0 000
000
0.000
0 000
Q 000
'Otti000:
0 000
0 000
Q00
Q 000
0000
' . 9b5
Total
,
Phos-
122 890
0.000
0.000
0:000
U.0.6.
0 000 .
0 OQ0
0.0'0© ..
0. 000
,^ 0 000
0.000:
0.000
1� -90
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir- Isonment for knowing violations".
2�e 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION Y.-ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Simon Stephens
Simon Stephens
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:'- Site #:
Predominant Soil Series: Aa
Crop 1 Max. PAN:
138
Crop 2 Name:
AM118
Acres Utilized: 19.7
Acres Permitted: 19.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o�
A
Volume applied
pP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES # WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
met'
Moist)
Precip.
Past 24
Rrs.
inches
Y
� 't+
cc
, E
a
o
-�
C
o
w �
* '.
:�
w •,
N
* w.
0
TKN
mg/kg
Z
�
�o o
R.
mg/kg
Nitrate
and
NiMte
mg/kg
PAN Applied
lbs/acre
( )
Name of Cro T
p ype
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
2/17
143000
4.34
1 1-4 '
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
53.362
NA
Fescue
2/21
162500
4.34
g„ 1Q3
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
60.639
NA
Fescue
0 d'lOr
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
. p0
0.000
0000
00,00
0.000
0.000
0.000
0.000
0-000
0.000
0.000
0.000
0
0 O60*
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0,000
TOTALs:
"°"` ��
3nssnc►
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
114.002
0.000
Lime A lied
Annual lbs/acre
4 4 >,8 f�
'0 b28
w 0 6
e 8 $
0.056
0 001 `
_ ©�
�O A Bti
..
?y9 5
122?890 :..:%::..:>;::'::.:::;':> ::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.232
0.176
21.978
8.749
2.85
0.073
0.687
1.442
0.256
39.94
Current Cumulative lbs/ac
0. 60
rb'2 4 �..,
22 624'`
..
64
2.906
0
284
41 05
_
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit l st/2nd Crop
P
138
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel property gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 94.84
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
F -ator: Simon Stephens Owner: Nelda Kiser Predominant Soil Series: HdB
A__,s Used: 17 Acres Permitted: 17 Site #: AM119 Field #: 2
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mz/kiz, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 J
SB
1/17/17
2
SB
5/8/17
_11
L4J51
6j
L71L8J
9[
10
11
12
% Solids
4.34
4
Arsenic
5
5
Cadmium
5
5
Copper
115
125
Chromium
160
145
Lead
10
16
Mercury
0.2
0.2
Molyb-
denum
6
5
Nickel
5
6
Selenium
5
5
Zinc
350
325
Total
Phos-
chorus
21890
19130
)zal
Heavy Metal Field Loadings
(Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8 j
9
10
11
12
DT/Ac./
oy,
APP-
m
Event
2.84
2.74
Arsenic
0.028
1 0.027
0.000
0.000
1 0.000
0.000
1 0,000
0.0o0
-0 000°,
fl 000
0.000
0.000
0.056
Cadmium
O Q :B
0127
0 000 .
00.00
0.Q00
0.000, ;
0 OQQ
—Q, 0
,..0 0.00
0 000
Q,Q00 ..
Q:OOa,„
0 056
Copper
0 6$3
06$6
0 000
0 000
0 000
0 000
0 000
0 000
0 000 .
0 000
0 000
Qf000
1 338'
Chromium0
90&
Q95
0 a00
0 000
0 U00
0 0�
0 OOq
0000
0 000
= 0 OOOf
0 0:00
0
7. 1 70
Lead
0 07
0088
` 0 000.
Q 000
©000
t) OQO=
0 000
0 OUO
0 000
O ObQ
0 000
0`000
0 144,
Mercury
0 0©
0 QOl
0 OOQ .
0 000
0 U00
.0 000„
._ . 0 000
0 OOQ
0 000 <°
0 00.0
0 000
0:000
Molyb-
denumn
0 034
0 027
0 000 :
0.000
0 000
U 0,00
0 000,
0.000
U' 000
0 00,
6.0
O QOfl
.. 0 06
Nickel
0 0>$
s ©.033
0 000=
0 Oq0
0 000
U 000„
0 000
Q 000
4 0 000`
0 000
0 000
0000
=0 061
Selenium
0 OZ8
0 027
0 OOQ ;
U 000
0 000
U
Q00.
` 0 00 _
0 Q00� s
U 000
; 0 (i0Q-
0 OQO
_ U,=000
0 O5G
Zinc
i 9
1`"782
' 0.1
` 0 Q0
0 D00
0
000.
0 000
0QO
.0 (�00
-: 0 OOU;
0 000
0000
3.768
Total
-
Phos-
124.204
104 �091
0 000' `
0 000
0.000
=0 000 .
000
0 000
0.0.00
0 D00°
0:000
0 0.00
229.11
chorus
"T eertifv. under nenaltv of law. that this document was nrenared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it Isonment for knowing violations".
ZJ: 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION j-GELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Nelda Kiser
Operator: Simon Stephens
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied �4�$4 .� Site #:
Predominant Soil Series: HdB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
211
Crop 2 Name:
AM119
Acres Utilized: 17
Acres Permitted: 17
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
4
� �
Q
Volume a lied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
oho
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wet'
Moist)
Preci P
Past 24
Hrs.
inches
Y
b
� `�
0 w,
CL
*o
�
o
w �'«
�.r.
-
7y
� �
0
TKN
mg/kg
Z
q
� o
p P•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
PP
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
2/17
104000
1 4.34
1st1F s =
South Burlington
Dry I
<.5"
S 1
0.5
0.3
58000 1
14000
110 1
44.973
NA
Fescue
2/20
162500
4.34
17Q
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
7t3:.270
NA
Fescue
6/9
78000
4
0 7�;� ?
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
J. 918 '-
NA
Fescue
6/10
149500
4
1 �FC7
South Burlington
D
<.5"
S
0.5
0.3
44100
10830
230
45842
NA : ;:1
Fescue
6l12
52000
01`0 "'
South Burlington
D
<_5"
S
0.5
0.3
44100
10830
230
15945
NA =<
Fescue
[::4]4tN,'l-
0000
� W­
Olep 0
yY0 00U �'
0000
�0 ODO _'
Q
t0 0`00 ,
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form)
TOTA1
°"0
546000
::::::;:;:
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
-200.948
" 0.000
_:
Lime Applied
Annual lbs/acre
©fi16
a 456
=1�33$
k �3
0. t 44
0.002 3
;4='
`Gl,
Q�QSi6829]
13
:??«
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.225
0.194
22.634
8.875
2.928
0.079
0.632
1.645
0.322
42.744
Current Cumulative lbs/ac
378
3.072
0.08J,0
Permitted C. P. L. R.****
36
34
1338
267
IS
374
89
2498
Permit PAN Limit 1st/2nd Crop
P
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'•ator: Russell Cartner Owner: Russell Cartner Predominant Soil Series:
Ares Used: 4 Acres Permitted: 4 Site #: AM120 Field #:
28.19
HcB
1
Residual Analvsis Data (Heavv Metals and Total Phosphorus use m&ke. % Solids use Raw Percent ft
Com-
posite
Date
Total
....,
4 jal Heavv Metal Field Loadines (Calculated in lbs/acre):
Total
1 11
L2]3
4
5
6
7
8
9
10
11
12
DT/Ac./
c
APP•
Event
3.66
3.39
Arsenic
0.037
0.034
0.000
0.0.00
0.000
0.000
0.000
0.000
6.000
0,000
0.000
0.000
0.070
Cadmium
0.037
0.034
0.000
0.000
0.000
0.000
'0.000
0.000
0.000
0.000
0.000
0.600
0.070
Copper
0.856
0.230
6.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
1.087
Chromium
0.295
0.678
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.963
Lead
0.27'8
1.355
0.0.00
0.000
0.000
0.000
0.000
0.000
0.000
0.0.00.
0.000
0.000
1.633
Mercury
0.001
0.001
0.000
0.060
0.0.00
0.000
0.000
0.000,
0.000
0.000
0;000
0.000
0.003
Molyb-
0.037
0.034
0.000
0.0.00
0.0.00
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.070
denum
Nickel
0.117
0.054
01000
0.000
0.000
0.0.00
0.000
0.00:0
0.000
0;000
0:000
0.000
0.171
Selenium
0.037
0.034
0.000
0.000`
0:000 1
0.0.0.0
0.000
0.000
0.000
0.000
0,000
0.000
0.0.70
Zinc
2.781_
0.230
0:000
0.600
0.000
0.000
0.000
0.000.
0.000
0.000
0.0.00
0.000
3.011
Total
Phos-
50.641
14.907
0.000
0.000
0.000
0.000
0.0.00
0.000
0.000
0.000
0.000
0.000
65.548
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
Signature of Land Applier
1/30/2018
Date
nP=niQ P7nann hAM eG 1101')nnaN

ANNUAL LAND APPLICATION r;_e:LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 1 Acres Utilized: 4
Land Owner: Russell Cartner Annual Dry Tons Applied Site #: A>\,1120 Acres Permitted: 4
Operator: Russell Cartner Predominant Soil Series: HcB Cation Exchange Capacity (non 503): 0
Crop I Name: Fescue -Pasture Crop 1 Max. PAN: 126 Crop 2 Name: Crop 2 Max. PAN:
o
Volume applied
PP
Volume
Residual Sources
Soil
Cond.
Precip.
K
<
0
4
7d �•
z
Nitrate
PAN Applied
Name of CropType
(enter one) Solids/
%
Applied per
(NPDES ##, WQ#,
Past 24
a
'
w
TKN
o
oo c
and
(lbs/acre)
Receiving Residual
A
Liquid
Solids
Acre
Fert., Animal
(Dry,
r '
Hrs.
0 0
* g•
* N
Nitrite
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
* 0
�.
0
* p
mg/kg
mg/kg
mglkg
Crop I
Crop 2
Crop I
Crop 2
6/14
58500
6
3 6 9
East Burlington
Dry
<.5"
S
0.5
0.3
22400 1
3730
80
05 224 ';
NA
Fescue
7/11
130000
2.5
3 388 `
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
28 501
NA
Fescue
08 ',
0 QOOa
©Food
o�goo�
�a oflo
� duo ,,:
o�000
o00
0.000
?ate , �fl�r 000 fit' . °,
0:,00fl
U fl00'
0,`0.000
0.400
0.000
0
0
0.000
1 Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
OiU00
0 000
TQTAI-s
o
lsssbo
.:::.::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
83Z25
d;00O '''
Limc Applied
Annual lbs/acre
Q 070
1 087;1Q
96;
t.633
Q0�03�
070�0*17h
0"07°
3h01
`65'48
Date
lbs/ac
x ,07
::•:::::%:
::::::.:::::::::::::::::::::::::::::
.:-:.:":•:.:.:..::•:•:":•
..... .........
...............:............
;:
Prior Years Cumulative lbs/ac
0.056
0.051
8.177
2.97
1.039
0.03
0.278
0.527
0.085
15.124
Current Cumulative lbsJac^0
lib; ,k
123-96,49..
2.672
0.033?k8
....t5
fl8
a
Qi15
' 18F13
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1 374
1 89
1 2498
it N
Perm PA Lim't lst/2nd Cr o P
..=�2 if a ::'' :a
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'•-ator: Edgar Cashwell Owner: Edgar Cashwell Predominant Soil Series:
A... es Used: 8.8 Acres Permitted: 8.8 Site #: AM121 Field #:
5`8.55
HcB
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
EB
5/8/17
2j
Mack
7/10/17
3_j
L4,
5
6
7
8
9
10
11 (
12
% Solidsj
6
2.5
Arsenic
5
5
Cadmium
5
5
Copper
117
34
Chromium
39
100
Lead
38
200
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
16
8
Selenium
5
5
Zinc
380
34
Total
Phos-
phorus
6920
2200
'ial Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
11
L-3-14'
5 f
6
L7_1
L819
10
11 '
12
DT/Ac./
App.
„0
Event
2.96
3.70
Arsenic
0.030,
1 0.037
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.000
0:000
� 0 067'
Cadmium
0 03U
P QQ.7 .
q 000 _
,0 QQQ
0 Q-0©
1) k000
0 0,40>
pope.,
Q 000
Q.Q00
y. 0,06
Copper
000
0 0�'
0, OUO
,40
Chromiu�,
0� 179
L 0 �A,O'0
'
§U'4(10
OOQ
^ft OQtI4 .
il000
'
t, QOQ
3 0lI
O.�Q��
. __ 7.
Lead
4 OnQ
O
Mercury
0•.,'
Q:. Q00
'. (Y Ur)0:'?
0 0„QO
�t
0.,.
;.�H'
: . -
Molyb-
O j0
0,37
OKflt)0
0 6U
0 O'00.000
0 0a0
'r�..1�00
:� 0 0`0denurn0"
O Df�/"
;'
Nickel
0
t9
40
QO
QAfJO
O.pO` Q0
UA
O�fl
D >00
0 154
4 t
rn''®Ol4.
;
Selenium
®':037f
RV&A00fl
00(?
fi 0 fl0�"tO1z0
t 0 0i1�
`0 0°000OQ
0 00;
Q 000
000
d 06
Zinc
2+�
' 05,
,QOx
Total
wa
a
=
Phos-
�10 5
l b2
&_00
y fl NOfl;Q40
718.7
chorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it `sonment for knowing violations".
z � tz 4; - 24-
1/30/2018
Date
Signature of Land Applier
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION it-.i:ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Edgar Cashwell
Operator: Edgar Cashwell
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied S$'.;55 , Site #:
Predominant Soil Series: HcB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
126
Crop 2 Name:
Acres Utilized: 8.8
AM121 Acres Permitted: 8.8
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Y
y �
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
PP p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cored.
D
Wet,
Moist)
Precip.
past 24
Hrs.
inches
>
a 4
* -
o
w
w' �.
w
w '
,�
N
*�
p
TKN
mg/kg
z Y
o
c°4,
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(]bs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6l14
104000 1
6
East Burlington
Dry
<.5"
S
0.5 1
0.3
22400 1
3730
80
44.626
NA .
Fescue
7/8
84500
_ 2.5
I,�,O/1: '
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
8.421
NA `'
Fescue
7/10
143000
2.5
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
14.250
Fescue
7/11
84500
2.5
1 OOy :
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
8.421
: '�
Fescue
OAOb t
0.000
0.000.=
0.000
r
Cl OgfY'
'd000
0.000OTO''
0.000
a:000
0 000
0.000
0.000
0 �09 .
0.000
0.000
0 00•;0
0,000
0,000
0.000
0.000
>
0.000 .:,;
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
POTALs
_" a
"416000
:::.; :::`.
As
Cd
Cu
Cr
Pb
14g
Mo
Ni
Se
Zn
P
75.718
Fo.000
Lime Applied
annual lbs/acre
0 067 r "
•,Q.©67:
k 0, 94k3,Oj,7Q1
4.703
0.003 ,
aU`0�7x:0154
0 067294
57 1$7 ; : ; : <::::::::..< ;
.............
.........................•...... .
Date
lbs/ac
3rior Years Cumulative lbs/ac
0.08
0.065
11.521
4.084
1.344
0.051
0.344
0.693
0.104
21.105
�urrent Cumulative lbs/ac
0 147
0 132x
12 4'�4
5 054`
3 047
Q O5 _...
01 1
0 847'"°
K _
.A713
604
'ermitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
mit PA /2 er N Limit 1st red Crop
._.
°'.12 6
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
reformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 33.34
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'Yator: Steven Wright Owner: Steven Wright Predominant Soil Series: DdB
A,. es Used: 4 Acres Permitted: 4 Site #: AM123 Field #: 1
Residual Analvsis Data (Heavv Metals and Total Phosphorus use ni&kLy. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 j
EB
5/8/17
2
Mack
7/10/17
__3j
L4 I
L5J
L6J
L7
8
9
10
11
12 J
% Solids
6
2.5
Arsenic
5
5
Cadmium
5
5
Copper
117
34
Chromiiiiii
39
100
Lead
38
200
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
16
8
Selenium
5
5
Zinc
380
34
Total
Phos-
phorus
6920
2200
l Am heavy ivietai r iew .Loaaings (t-aicuiatea in ins/acre):
rotal 1 1 21 L3 4 5 6 7 8 9 10 11 12
DT/Ac./ 0
App.
Event 5.29 3.05
Arsenic 0.053 0.0.30 '0.000 0 000 Q.000` 0.000 0.060 0.0'.00 0 000 0 00.0 0 Q00 0: 00,9 0.083
Cadmium 0.0-53, O O�Q 0 000 Q.0:00 ,. 0 000., : 0 000 ;: O,OOQ:. O:000 Q 000...:.. 0.000 O.o:Oo. Q 000 0.083
Lead 1 ;0.'
Molyb-
0 053
0 03Q
0 000
0 000
00:00
0 000
0 OOQ
0 000
0' 000
0 OQ0
0 Q00
0:_000
. 0 083 .
denum
Nickel
0169
E „0 09
0 000 '
0 �00
0 0'00
0 00�1 •
; 0 00
0 000
0; 000 :
` 0 000
0 �J00
0000
0 21$ _
Selenium
0 0;3
0 030
0 000 ;;
0 000
0 QAO
Q 000
- 0 QOA<.
O Q:00
0 000
`. 0 OOU;,
0 OUO
0:000
0 083
Zinc
4 01'7
U 207
0 000-
z.
0 000
0 U00
U 000
0 OOq
0 000
0 000 .`
0 00
0 Ow00
0`000
` 4 224'
Total
Phos-
73.144
13.:416.
; 0 000 `
Q:0"00
.000.0;
0.. 000
0 0.00`
0.0:001
0.000 '
`. 0-D00
0:000
0 000
86.560
,horns
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it isonment for knowing violations".
z,fZ� 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION Y ,&LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Steven Wright
Operator: Steven Wright
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied rt 34 r Site #:
Predominant Soil Series: DdB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
194
Crop 2 Name:
Acres Utilized: 4
AM123 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
�
Volume applied
Volume
Residual Sources
SoilPrecip.
Cond.
y
b
c
7�
z
€x
Nitrate
PAN Applied
Name of Crop Type
o y
(enter one) Solids/
%
Applied per
(NPDES #; WQ#,
Past 24
cc t?
�',
-
m
Fo '✓
TKN
o o
and
(lbs/acre)
Receiving Residual
0
Liquid
Solids
Acre
Fert., Animal
(Dry;
His.
x
ory w
w
* N
w•
Nitrite
Application
p
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
*
*
0
w
*
mg/kg
mglkg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
6/14
65000
6
4 066
East Burlington
Dry
<.5"
S
0.5
0.3
22400 1
3730
80
6T 360
NA
Fescue
6/15
19500
6
3122;9
East Burlington
Dry
<.5"
S
0.5
0.3
22400
3730
80
18408
NA
Fescue
7/12
117000
2.5
3 84'9
Mackintosh
D
<.5"
S
0.5
0.4
10000
1360
70
25 651
NA
Fescue
0 AO`0
o
O:Q00
0.000
"."o.oao
o.000
0�900 "
a�ao`
ba�oo
u�ol� :
o.goo
o:000
U UQ©k
0 000'
0.000
0 0Q ° "`
0000
1i.000
Q:
(I
tl, Q A0 '
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
O,000
0;000 ,
TOTALS
0
201500
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
lfi 419
0040=
Lime A lied
Annual lbs/acre
qQ
w Q 0$3+,,1
44x1
122
1.621
0.003
jQ Q,>j3
0y2 8'
'0"8
4 24
8¢ 560 `
Date
lbslac
.. ._
,
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
21 il" F
`BSI i)g t
41
2
I.621QO
tfi011
-1$;�
o b83'
224`
Permitted C. P. L. R.****
36
1 34
1338
1
1 267
15
1
374
1 89
1 2498
Permit PAN Limit lst/2nd Crop
-
'�r 9
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

Signature of Land Applier
ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 10.84
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
( ',ator: Terry McPherson Owner: Billy McPherson Predominant Soil Series: TaB
A... es Used: 4.2 Acres Permitted: 4.2 Site #: AM 125 Field #: 4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
SB
9/11/17
2
EB
9/11/17
_3j
4
51
6 I
7
8
9
10
11
12
% Solids
3.7
3.6
Arsenic
5
5
Cadmium
5
5
Copper
135
305
Chromium
100
36
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
11
14
Selenium
5
5
Zinc
300
470
Total
Phos-
chorus
14270
4170
f ,iai tieavy metal r ieia L,oaaings �t.aicuiatea in ins/acre):
Total 1 1 21 L31 4j 5 6 L7L8J9 10 111.1 12 y
DT/Ac./
App.
Event 0.96 1.63
Arsenic [1.010 0.016 0.000 0.000 0.000 0.066. 0.000 .0:000 0.000 0.000 0.000 0.000 1 0.026
Cadmium .0.010 0.016 `:.0.0.00 ! .0.0-00 . 0.040 0..000 < 0 OOQ:. O:. W 0,000' 0 00:0 .a 0:00.0 0 000 _: ,O.U26
Lead
l denum I 0 O10� 0 66 U ObA �} U00i aJ00 0 OVO I 0 000- 6iQt V V�OIR' e0 017(I 0k/S7 a 000 .0 026
Nickel
0 02-1
a 046
' 0 D,00
f ®I100
0 °0;170
0 000
Oy 000'
0 U0
0 ©Q0
;;,kAfA
©Q00
0 0001
_0.067
Selenium
0 OlU
' 0 016
0 OOOk
it Q,00
Q 000
b OQ4
0 0001.
;
.:'�s,
�50
iOOF'
Zinc
0 573
1528"'Aft
Q Q0
D OUO
0 OT10";
0,00`
0„000
00t�0
QOQ
0 00`0
0000
101,
.
Total
.k
�:. ;
-
-
Phos-
27 25:f
13 561
0 000 :;
0 �00
0QO
0 OOfQ'
0 OOOF
0 Q04
600 ,`.
fil 000`
O;OOa
0b40O.g:1=7
,horus
f
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
,9:Le 1/30/2018
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION it-r%LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 4 Acres Utilized:
Billy McPherson Annual Dry Tons Applied. ? 1%84 Site #: AM125 Acres Permitted:
Terry McPherson Predominant Soil Series: TaB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 190 Crop 2 Name: Crop 2 Max. PAN:
4.2
4.2
0
o
+, o
Q
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fel Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
d
co
a w
* 8
o
CD �
* m
o
0
�
;r/
P. -,
* N
* c
0
TKN
mg/kg
z
o
as °
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
1015
26000
3.7
F �0 SSx ""
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
20.736
NA
Fescue
1015
45500
3.6
�576,2.5 .
East Burlington
D
<.5"
S
0.5
0.3
24900
2180
73
25.952
NA
Fescue
O,a000't=
'0000
0.000
0.000
0,000
k}t00
`•
0.000
0.000
"G,�lOA.
0.000
0.000
t10QQ:".
0.000
0.000
0s000
0.000
0.000
o.000
0.000
aa@
0000
o:000
F-
0.000
0.000
A6cio
0,0()0
0.00o
0
U
0.000
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
(1.000
0.(l0U
7TALS:
o
�1500
As
Cd
Cu
Cr
Pb
H g
Mo
Ni
Se
Zn
P
46.688
OMN)
Lime Applied
knnual lbs/acre
k b 6
O Orb
F _12"5©
0 308
0A26
0-001 .=
z t) ,?6 ,
U 067 ;
i•�1 6 i
2,Xbkl +
�40 817 ::,' :..::.:..::< :
.............. ..........
...........................
.. .
.... ..:.::..:,.:.
Date
lbs/ac
'rior Years Cumulative lbs/ac
0.072
0.035
4.653
2.064
0.518
0,02
0.128
0.269
0.078
12.139
. urrent Cumulative lbs/ac
0 09$
-
Q Q6
..
0.544
Q°(}11�454�
A336,'
1J14
142i1"
3ermitted C. P. L. R.****
36
34
1338
267
1 15
374
1 89
2498
ermit PAN Limit is t/2n d Crop
r.. ., •::
. ; 190
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'-ator: Larry Fogleman Owner: Larry Fogleman Predominant Soil Series:
Ages Used: 6.8 Acres Permitted: 6.8 Site #: AM126 Field #:
DdB
1
Residual Analvsis Data (Heavy Metals and Total Phosphorus use ma/kz % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
SB
10/9/17
2
3
4
L5J
L6,
7
8J
9
10
11 J
1121
% Solids
3
Arsenic
5
Cadmium
5
Copper
250
Chromium
136
Lead
5
Mercury
0.2
Molyb-
e um
5
Nickel
33
Selenium
5
Zinc
330
Total
Phos-
phoruS
20000
�. aal Heavv Metal Field Loadings (Calculated in lbs/acre):
Total
1
121
L3J
L4
5
6L_j
7 1
8
91
1 C
11
12
DT/Ac./
0
App.
Event
1.67
Arsenic
0.017
1 0.000
0.000
0.000
1 0,000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.017
Cadmium
Q O1<7
0 000
0 Q00
fl..000
0 000
0 000
_, 0 OOQ
O,.;Q00
0 OOn
" QQU'?
JO Q0
0 000
_ 0 01'7
Copper
0 83'
0s000.
0 004;
U.000
0 040;
Q�OQQ,.Q
b`'
0 900;
: 0 000
4 Ob`
( !LR
Chromiun
0.45
fl 0�0
"
0 000 .
0 000
(Oflfl
' b00
�
'4 0 000
Q 000}
Lead
0 OQ0
_0 QOU`
0:00
4 OQQ'
0 000
0 OAOfl
t
b 000,;
O�fl®Q
_t_,-w
k4F01T0
, Ofl000:017,
Merc
t
0 Q00 '
SOY }��F
0 q0`0 `
>1000
r 0 000
OQO
0 000t
: 0 f(Q;
0 000�
Q,;QOi
0 DOI
ury0
::1 ,00
�.Q.
,
2
.Q
Molyb-
0 01 /
0 000
0 OOQ ;
O i3(
0 Q00
777777r
Ua900
0 000,.
s
fil 000
,�
0: 000
0 00U'
1? QQO
(1:00¢
0:017 .
denum
Nickel
0 1100
Q00:0
000
0 D4a0
fl00
©tta4(
©4(1{I
1700�
000
tI �t3,
-ail00a ,`0
k1OOh:
-;
Selenium
0 O1
�O,.Q00
0 000 «.°.
00
0 000
`OOQ4
O,Q00
,0 OOfl
:, Q Q U
',QQOfJ
"0 QD0 ,
rt 0r�04
017'
Zinc
1 J 0`0,0`00
U` 00
Q
r-0 Ob0
U00
Q_
O00
013
Q00.
116OA`0
``0 00'
0 OQ0
0�1Q0
7 10'S
Total
g
F
S`ut
h
Phos-
6��a
0 QA4IT
o ::
o00
0
OQ0 ;v
©_0
a e0fl
.: 0 Q�
o �0
r0000
k6b Aso
1horuS
.0
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it 'sonment for knowing violations".
25J 1/30/2018
Signature of Land Applier Date
nFNR r:r)PRA hAm CF tio/onnrn

ANNUAL LAND APPLICATION -t LLD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #:
Land Owner: Larry Fogleman Annual Dry Tons Applied r 1,13,�� Site #:
Operator: Larry Fogleman Predominant Soil Series: DdB
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 178 Crop 2 Name:
AM126
Acres Utilized: 6•8
Acres Permitted: 6.8
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
° =
Volume applied
Volume
Residual Sources
Soil
Cond.
Precip.
y
4 -
o
4
� N
Z
ct
Nitrate
PAN Applied
Name of Crop Type
°
(enter one) Solids!
o/p
Applied per
(NPDES #, WQ#
Past 24
%y ',
w -�
TKN
o El
°Q °
and
(Ibs/acre)
Receiving Residual
A°
Liquid
Solids
Acre
Fert, Animal
D
(Dry,
Hrs.
�
�:
�•
g �•
Nitrite
Application
�
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc)
Moist)
inches
c
�
*
mg/kg
mg/kg
mg/kg
Crop I
Crop 2
Crop t
Crop 2
11/29
91000
3
674.`. ; ;
South Burlington
Dry
<.5"
S
0.5
0.3
34500
10000
70
41 585 '
. -�NA.. ,
Fescue
3c� 01,,
0 000
o.cloo
fob
?
o.00a
o000
,2o.
o.000
0000
� 0 OQ�Ia "
O.OUD
0-�000'
0.000
o 000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
.. .
'OTALs
As
Cd
Cu
Cr
Pb
11
Mo
Ni
Se
Zn
P
Lime Applied
\nnuallbs/acre
s 001, r
`0,01�T�
0.017
0.00l
`U11`7
01�°0"
A OrQ17
,`al„10`5
k'�6,'� 0t
Date
lbs/ac
...:.:. .:::...:?_.:..::......:
'rior Years Cumulative lbs/ac
0.151
0.085
8.455
5.072
1.093
0.028
0.253
0.562
0.147
19.461
:urrent Cumulative lbs/ac
4 16
0,:142
" ;�
5 5,-
1.110
0.029
, Q?270L
4 0 672 w
01°64
2Q 566
'ermitted C. P. L. R.****
36
34
1338
267
15
374
1 89
1 2498
ermit PAN Limit 1st/2nd Crop
P
. ,,:.m,: , 77-.4.
',
.
`I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual):
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
'rator: Larry Fogleman Owner: Larry Fogleman Predominant Soil Series:
,A-. es Used: 5.25 Acres Permitted: 5.25 Site #: AM126 Field #:
6.50.
GaB
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 J
SB
10/9/17
2
31
1 4
5
L 6 I
L 7-1
81
L9'
10 �
11 j
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
250
Chromium
136
Lead
5
Mercury
0.2
Molyb-
denurn
5
Nickel
33
Selenium
5
Zinc
330
Total
Phos-
phorus
20000
1ia1 Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
1 21
3_
4
5
6
7j
8
9
10
Li12
DT/Ac./
App•
u
Event
1.24
"
Arsenic
0.012
0,000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.012
Cadmium
0 ,012
0�000
0 000
Qn00,4 ,
O.;QUO
°.:U OUT.:..
QUO
Oy0�0
0 oUQ�.
-,OaQQO
0 OOU
O ODUa
.. Q;>012
Copper
0 60
0 000
0 Q0„
ry Q'000
O Q00.00O;x.,
80(i
000
D OIQ
;(l 000
®000
Qy 000,
620
0:
„
_
,0,
i,
,
..
Chromium0'34
o:000
:' oc�o
��o a©o
000
`.o.33.z
Lead
0 Ol:
8 000
0 o0b
Q oU4
() OaQ
Q :
p�9nQQQO
b
:
_
Me -,ury
0 00t
4A0
{l
Molyb-
denum
Nickel
0 0$
Q QQ0
0 0bd,
0 400
QO
{ QDO
00f
0 Ol(
(1.Q®W
�Q1�
„
zA
Selenium
01�¢
000
6 0
U00
0 Q00
0
0()U:
0 000�
0,40k;:
SQ(j0
0 OUO
0,�0
kk�1F '
}
`0 81$
Zinc
1 81$'•
, O�QOQU
001g
0 0000
00(LL
kJ' 11+`p
0 000
Q 0�1
0 040
0 'OOi1
µ
t00
K00�
1
*-4
=,
Phos-
49f s.a
0 0110
o 000.:
0 000
o aU.o
0 00oao
o.000
4 �o�
; o oo..
Uao
o-.:ooQ
49.560
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it ;,sonment for knowing violations".
ze,tl 4�e 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION w GELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Larry Fogleman
Operator: Larry Fogleman
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied Site #:
Predominant Soil Series: GaB
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN:
157
Crop 2 Name:
AM126
Acres Utilized: 5.25
Acres Permitted: 5.25
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
o �
Q °
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
W
Moist
Precip.
Past 24
Hrs.
inches
Y
C 't+
co n?
a P_
o
0
C
o
�,
w P
*
0
4
7y
w •i
0
TKN
mg/kg
Z
ct
o
0.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
Ibs/acre
( )
Name of Crop Type
p yp
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
12/20
52000
J 3
1 2,39 '
South Burlington
Dry
<,5"
S
0.5
0.3
34500
10000
70
30.779
NA
Fescue
1)z000 '
0.000
0.000
0 0Q0
0.000
0.000
0:000
0.000 ,
01100`
0:000
0.000
0 QQI7
0.000
0.000
0 OQ0
O'000
0.000
0 014ti
0.000
0.000
x 0 QOA
0.000
0.000
0.000,
0.000
0.000
; 0.000
0 000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0:000
TOTALS
M1u.., 01
52000
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
30.779
0.000
Lime Applied
Annual lbs/acre
s Q Oj2
0 012 y'OxCr20.a'"Q337
0.012
'0`000 .
`•fl(i
'.0 48
4 giL0
88
d9'560 ...........
.: ..• .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.087
0.066
6.698
4.482
0,622
0.025
0.201
0.432
0.096
12.752
Current Cumulative lbs/ac
O Q'99
U 078+;
7 31a8
4 81'
0.634
04025*
213 0t
0 514
0 1Q8"
13 570
Permitted C. P. L. R.****
36
34
1338
267
1 15
1
374
89
2498
Permit
erm t PAN 1 st/2nd
:-�57 .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 43.9p-
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C rator: Larry Fogleman Owner: Larry Fogleman Predominant Soil Series: GaB
h A Used: 27.1 Acres Permitted: 27.1 Site #: AM126 Field #: 3
Residual Analvsis Data (Heave Metals and Total Phosphorus use mo/ke, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
DJ
EB
10/9/17
2jf
SB
10/9/17
3
4 1
5
6
7
8
91
10
11
12
% Solids
3
3
Arsenic
5
5
Cadmium
5
5
Copper
500
250
Chromitini
75
136
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
23
33
Selenium
5
5
Zinc
670
330
Total
Phos-
phorus
7900
20000
r !jai rneavy
otal 1
DT/Ac./
App.
Event 1.47
Arsenic 0.015
Cadmium 0415
Lead
ivierat rma Loaaings tuaicuiatea in tnsiacre):
21 3 4 1 5, L7 8 9' 10 11 j 12
,-�
0
H
0.15 "
0.002 0.000 1 0.000 0,000 0.000 1 0,000 0.000 0,000 1 0.000 0.000 0.000 1 0.016
0:,002.. r 0.000 U.00.0 , Q00Q: - 0 000._ 0.000 OQ00_ 0 OQO 0 000 0.000 , -0000. O.U16
Mercury UsU(}1 U'.ODU U:000 U:pOU'1Jt1C :zUt1U�lE!(1, D OUn U(10 U Olr(l: tU FIiIU 0000 0 001"
Molyb- fl O1°5 0: 2 }0.000 ` 0.00040.000 n 0i1 9 .41 A0A 0 :0:60 0 (100 6 000 0 t1QU , 0,000 ,':0 616 •:
Nickel 0 Of 8 AIO.. P 0 OQ0 0 06I 03 OOOS U 00 011-1
. 0 0.00 0 000_. ; Q 1J00 .0 0.00 OOfI( 1 U7$:
CI . F Y -
Selenium 0 O15 0 002 0 ()17 ? 0 000Q 004 0 OOU e : 0 fk0 0 OOOs 0 OOOF (�pOQ 0 000, 0;000 (1G_
Zinc L,9'70 0.099 w0 O�Or OOb to 000 0 000 :.. o oao 0 0;00 0 ooq. 0 r7o a:ovo 0.;000,, .2 Q6
Total
Phos- 23 226 6.000 ° v 0Axpo, 0 000 r 0.40,04 0000 u 0000, fi 00:0;00 O OOQ9320
}horus
"I certify. under nenalty of law. that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iir -isonment for knowing violations".
;e� 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION -.- MELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Larry Fogleman
Larry Fogleman
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied s 4390 Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN: 157 Crop 2 Name:
Acres Utilized: 27.1
AM126 Acres Permitted: 27.1
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
oho
Solids
Volume
Applied per
p
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wet'
Moist)
Precip.
Past 24
Hrs.
inches
Y
4 �
ro
* o
o
qy w
P
* �3
7* o
P- "
* N
a.
TKN
mg/kg
Z >
,
a°a a
0 w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
Ibs/acre
( }
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
11/27
143000
3
East Burlington
Dry
<.5"
S
0.5
0.3
21470
10270
60
F1'295
A1A:' °
Fescue
11/28
175500
3
r s HOw10°
East Burlington
Dry
<.5"
S
0.5
0.3
21470
10270
60
13$62
Fescue
11/29
32500
3
0 150
South Burlington
Dry
<.5"
S
0.5
0.3
34500
10000
70
3 727
NA. ,"
Fescue
0000
0 000_
�k 0 040en0;.000
0 D00 W;
0 OQ;O
0:000 `'
0.000
-01000
.':iQ
0
" 0 .0:0 (
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form)
0"000
U 000 ";
TOTA1
01
351000
As
Cd
Cu
Cr
Pb
H 7
Mo
Ni
Se
Zn
P
2ff883
a.040```
Lime Applied
(Annual lbs/acre
' U OLD
b 01
54��
0 ti6 .
0.016
0M01
0.016
j".0%0{)78 w
0Otf l
2 069
29 226.'i
date
lbs/ac
Prior Years Cumulative lbs/ac
0.143
0.088
8.213
4.8
0.786
0.024
0.243
0.607
0.145
17.095
.Current Cumulative lbs/ac
� 0.13�9 �
.;`D L04 �,
� 9 7�8�_,
�. 5 �6.L
�.802
0,025
}
�*
'Permitted C. P. L. R.****
36
34
1338
267
15
374
1 89
2498
'Permit PAN Limit nd L t 1st/2 Crop
157
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 32.52
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f' rator: James Brewer Owner: James Brewer Predominant Soil Series: GaB
h__zs Used: 14.5 Acres Permitted: 14.5 Site #: CH039 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
10/9/17
-2-1
31
4
5
6
7
8
9
10 J
11
12J
% Solids
3
Arsenic
5
Cadmium
5
Copper
250
Chromium
136
Lead
5
Mercury
0.2
Molyb-
num
5
Nickel
33
Selenium
5
Zinc
330
Total
Phos-
L_j)horus
20000
Iual Heavy Metal Field Loadings (Calculated in lbs/acre):
otal
1
2
3
4
6 j
7
8
9
10
11
12
e
y
DT/Ac./
App.
Event
2.24
Arsenic
0.022
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0.022
Cadmium
6.022
0.000
0:000
0.000
0.000.
0.000
0.000
0.000
0.0.00
0.000
0.000
0.000
0.022
Copper
1.122
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.00.0
0.000
1.122
Chromium
0.610
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.610
Lead
0.022
0.000
0.000
0.000
0.000
0.00.0
0.000
0.000
0.000
0.000
0.000
0.000
0.022.
Mercury
0.001
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.001
Molyb-
0.022
0.000
0.000
0.000_
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0:000
0.022
denum
Nickel
0148:
0:000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.148
Selenium
0.022
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0:022.
Zinc
1.480
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.006
0.000
0.000
0.000
1.480
Total
Phos-
89.720
0.000
0.000
0.000
0.000
0.000.
0.000
0.000
0.000
0.000
0.000
0.000
89.720
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it -•isonment for knowing violations".
Z�f 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION . MELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Brewer
Operator: James Brewer
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied K 32 52 Site #:
Predominant Soil Series: GaB
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN:
157
Crop 2 Name:
Acres Utilized: 14.5
CH039 Acres Permitted: 14.5
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
QLiquid
Volume applied
PP
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist
Precip.
Past 24
Hrs.
inches
Y
co
w,
* -�
C
o
�
7y n
w
* w
TKN
mg/kg
Z
i*
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
p yp
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
I I/14
136500 1
3
1 , 117.8' � .
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
'29°253
f :NA'"
Fescue
11/15
58500
3
a SAS
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
.12.537
N"A
Fescue
11/16
65000
3
0 5:E%1
South Burlington
D
<51
S
0.5
0.3
34500
10000
70
43.930
Fescue
"b.000
i3 otxs
0 00.0' _
0°OOU
0.000
0 OQ0
1,0.000
0.600
Qrb O"
0:000
0.000",
0 OOQ
4000
.0,46
o bp,0
0.000
0 000
0.000
0.000, :
QQ.UQ` t ,R
0.000
0.000
0
0
Q;QQO, `,
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0,000
0.000
As
Cd
Cu
Cr
Pb
H 4
Mo
Ni
Se
Zn
P
55.720
0.000
Lime A lied
Annual lbs/acre
0 02 °
F 9 022
1 122`'
0 6:U
0.022
0.001O
022
%;i 9 14& ;?
0 b='�
1 48,Q^�
89.720 ;:
.......... ... ........
Date
Ibs/ac
,Prior Years Cumulative lbs/ac
0.093
0.048
6.186
4.214
0.527
0.022
0.179
0.339
0.122
13.511
Current Cumulative lbs/ac
0 PS
0 070 .
'' 7 3 Q8" `
4 824
0 6 49.
0' 023"`
7 9 291
0 4$7
a 14,4
14 991
'Permitted C. P. L. R.****
36
34
1 1338
1
1 267
15
1 374
89
1 2498
i Perm t PAN Limit 1 st/2nd Crop
f5.7
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 16:26
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
('- rator: James Brewer Owner: James Brewer Predominant Soil Series: GaB
r� es Used: 13 Acres Permitted: 13 Site #: CH039 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use ma/kLy, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
10/9/17
21
3 1
4 1
5
1
7.
8
9 1
10
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
250
Chromitrrn
136
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
33
Selenium
5
Zinc
330
Total
Phos-
horus 11
20000
e uai heavy ivietai rieia uoaaings <<;aicuiaTea in ias/acre):
otal 1 2 3 4 5 6 7 8 9 10 11 12
DT/Ac./
App-
Event 1.25
Arsenic 1 0.013 1 0.000 1 0.000 1 0.000 1 0.000 1 0.000 0.000 0.000 1 0.000 1 0.000 0.000 0.000 0.013
Cadmium 0.013 .- 0.000 _ 0.00-0 0.00.o 1 0.000 0.o.00,":= O.00o .1. 0.000 0.00a a o0.0, 0.0.0a R-000 a 011_3
Lead
Nickel
0 083
O,.Q(10�LL
0 000;;
0 OOU
0 000
0 000.E
' 0 000
0 000
0 DOD
0 OnO,:
0 0'00
0 000
`.0 083"'
Selenium
0 013
0 000,
0 000 :
0 000
O Q00
000
0 OOp
O U00 ,0
000
0 000'
0 UQO
0 000
0 013. '
Zinc
0 826
0 000
0 000
O OQO
a Q00
„ 0 000
g0 000
0 000
Q: 000
0 D00
0 000
O'000
"0 $26
Total
Phos-
50 040
0 000
0 000 :<
0 000
0:000
0 000
0 000 .
Qm
0: 000 =,
=° 0 OA0`
0 0100
Q D00 -
50.040
,horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
it- Isonment for knowing violations".
;e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION A nELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 2 Acres Utilized: 13
Land Owner: James Brewer Annual Dry Tons Applied 12�9 Site #: CH039 Acres Permitted: 13
Operator: James Brewer Predominant Soil Series: GaB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 157 Crop 2 Name: Crop 2 Max. PAN:
o
o
QLiquid
Volume applied
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
cu
o
�J
c
*
* t
0
TKN
mglkg
Zt
4
Q°o o
�•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbslacre
( )
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
11/15
130000
3
1251
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
31.075
NA
Fescue
0 040
0,000
0.000
0 O.QO
0:000 ,
0.000
0.000
0,000
0 Ob0 "
0`000
0.000
O'000
400:0 " °
0000
0.000
o UQQ e
Q.000 `
0.000
0000
0.000
4E a&0oo,
0.000
0,000
0 OAO,
0400
`0.000
0
�,
00`O •v'
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0,000 .
0:000.
iTOTALs
o
`"" 1's0000
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
31.075
.0.000
lime Aplied
Annual lbs/acre
0 0<k3
0,013`l)
626
0 340
0.013
0.()O1
0 0T3
O A83
0 ©13�
048fi
50 Q40 ,.
::::::::::::::::
........... .....
............................
`" - • . '
.............
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.097
0.052
6.994
4.854
0.593
0.027
0.198
0.386
0.135
14.614
Current Cumulative lbs/ac
01.110
. ;.0 065
0.606
0.028 h
0211� ;
.A
Q" 148'A�
15'440"
`Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
:Permit PAN Limit lst/2nd Crop
•........,.....................................,........................................ .. ........................ .
......................".:............. ..
..:........::..:..:.:...:...........::::::: :..:::::. :::::•:::: 157.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1 /30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 35.11
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
P rator: James Brewer Owner: James Brewer Predominant Soil Series: CmB
tom_ _ ,�s Used: 14.3 Acres Permitted: 14.3 Site #: CH039 Field #: 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg*z, % Solids use Raw Percent #):
Sample or,
Com-
posite
Date
1
SB
9/11/17
21
3
1 5
6 f
71
8
91
10
11
12
% Solids
3.7
Arsenic
5
Cadmium
5
Copper
135
Chromitim
100
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
11
Selenium
5
Zinc
300
Total
Phos-
horus
14270
.1 uai
tieavy xtetai r ieia l,oaaings
(c:aicuiatea in ins/acre):
offal
1
12.1
4
15
6
7
8
9
10
11
12
DT/Ac./
.31
y
o
App.
Event
2.46
Arsenic
'0.025
1 0.000
0.000.:.
0.000
0.000
0.000
0.000-
0:000
0.000
0.000
0.000
0.000
0 025
Cadmium
0 02°5
�0 000, '.
0.000
0 000
0:00'0
0:000`
0 000 ',
O..00Q:
0.000
0:000
0.025
Copper
0 663
0:000
0 000.''
0:000
0,000
0 000
0 000
OQ00
0 0"00
- 0 OOQ:
0.0.00
0 663.'
Chromium0
49'1
0;000
0 000 °
0:000
0.000
0 000.
- 0 000
0.0:00
0 000
` 0 000
0 000
0;000,-
0 491
Lead
0 025
0_DOQ
' 0 000 ,._
0 O,U:O
U.000
0 000
0 000
0b00
0 000 '
0 000
0 000.
0..000
;. 6.02
Mercury
0 OQ1
0000
0 006`
0 ;000
0000
0 000 :
0 000
0 `0:00
0 000
0 :000
0 000
U:000
0 OOI
Molyb-
0 02:5
0.000
:0 .0
0.000
.0.000
0 000 ;
;
° 0 00.0
0:000
0 000
0 000
0 000
0:000
0.025
denum
_
Nickel
0 05;4
0.000:
0 000" _:
0 000
0.00.0
0 000 :
0 000
0 0;00 .
0 000 ,.:'
0 000
0 000
0 000:
01.0,54.
Selenium
0 025
0000
O OQO,
0.000
0 000
0 000,.
, 0 OOU
0 000
0 000
O Ono`
0 0:00
O'.000025
Zinc
1473
0.000
,' U OQO. -
O.n00 ,
0.000
0 000; :
0 000
O.D00 '
, Q 000
_. 0 000
0:000
0"00,.0
1 473
Total
_
Phos-
70.066
0.000
` . 0.000;
0.000
0.000
0.000
0.060
-0.000 ,
0 000.`
6.000,
0.000
0..000
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir- --isonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION ­1ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Brewer
Operator: James Brewer
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 3'S 11 Site #:
Predominant Soil Series: CmB
Crop 1 Max. PAN:
189
Crop 2 Name:
Acres Utilized: 14.3
CH039 Acres Permitted: 14.3
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
o
N
°
Q
Volume applied
PP
(enter one) Solids/
Liquid
4
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
b
o '�
o w
* $
C
o
70E.
N'
* ?=
a
r 2,
w -,
»
0
TKN
mg/kg
Z
ct
o
�°
°
mg/kg
Nitrate
and
Nitrite
mgrkg
PAN Applied
(lbs/acre)
Name of Crop T
p Type
Receiving Residual
Application
pp
Crop 1
Crop 2
Crop 1
Crop 2
10/11
6500
3.7
0.070
South Burlington
D
<.5"
S
0.5 1
0.3
30000 1
9000
55
.1.523
NA
Fescue
10/12
169000
3.7
18?3
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
39.587 ,
' NA
fescue
10/13
52000
3.7
0 56,1
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
12:180
NA .. '
Fescuc
',Q 000
tt000
�U,OQO �>
30
.00
0 %
0 00o '
0.000
0 000
000Q ,
,o 000
6.606. ;'
0.000
o Qoo
0000 ,
0.000
0 67.7
0000
7000
0 000
0.000
0.00.0
0
0 ;,.,_
Q 000 " ' '
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0000
7.0.000
TOTALS:
01
227500
:::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Niri
Zn
P
5-3i.290
0.000 `
Lime Applied
Annual lbs/acre
0 025 ` t
U 025'
0 61?3 '
Or493
OA25
Q00 ]�
0 i
.Of .,
:
. 0 4541
473
4 70 `,066 :: _:,;.;.;:;
>: .:............... ..:.:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.031
0.021
2.568
1.83
0.255
0.015
0.055
0.146
5.168
Current Cumulative lbs/ac
0 05b
` 0 ®4fi•
° 3�23
2 321
0.280
0.016
a ;bf�$0
' Q00
6 G1
Permitted C. P. L. R.****
36
34
1338
267
15
374
2498
Permit PAN Limit 1s 2 d tm1 t/ n Crop
- -
38 9 ,
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 41.99
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C- ,rator: James Brewer Owner: James Brewer Predominant Soil Series: GaB
ti :s Used: 20.1 Acres Permitted: 20.1 Site #: CH039 Field #: 4
Residual Analvsis Data (Heavv Metals and Total Phosbhorus use ma/kLF, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 J
SB
9/11/17
21
SB
10/9/17
31
41
5,
6'
7i
8 j
9 j
10 j
11
12�
% Solids
3.7
3
Arsenic
5
5
Cadmium
5
5
Copper
135
250
Chromium
100
136
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
11
33
Selenium
1 5
5
Zinc
300
330
Total
Phos-
phorus
14270
20000
I 'ual
Heavy Metal Field Loadings
(Calculated in lbs/acre):
offal
1
121
3
4
5j
61
7j
L8J
9
10
11
12
DT/Ac./
App•
w
Event
1.85
0.24
Arsenic
0.018
0.002
0.0.00 1
0.000
0:000.
0.000
`0.000:
1 0,000
0.000
'0.000
0.000
0.000
0.021
Cadmium
0.018
0.002
0.0.00
0:000
0.000
0.000
0,000
0.OQO
. - 0.000
0.000,
0.000
0.000
0.02.1
Copper
0 4:98
0.,122 :
0 000 _ :
0:000
0.900,
0 000
0 000
0.000
Q 000'�
O:OOQ
0.00,0
0.000
0 620
Chromium0.369
0 ,o ,
0 000
0.0.00
0.Q00:
0 000
0 000
0:000
0.006
0 000
. 0.000
0.000-
0:435
Lead
0.018
0-002.
'. 0 000 ,
0.000
O OU0
0 000
,0 000
0.000
Q OQ0
0 000
O.00U
0;.000.
0.02i
Mercury
0 0:01
0,000
0 000_
0:0Q:0
0:000
0.000.
0.000
0000
0 000
0.00'0
0.001
0.000 ''
07. do
Molyb-
0.018
'0;002
0.000
0.000
0:000
0.000
0.000
0-.0.00 '
0.000
0.000
0.000
0.000
0.021
denum
Nickel
0.041,
0:016
0:000 ,
0.0.00
0.000
0 000,
0.000
0 000 :.
0 00:0
0,000'
0.000
0.000
- 0 05'7
Selenium
O.OY:$
O Q02 :
0 000,.
0.000
0.000
0 000 -
0 000
0`0`00
0.000 `
0.0,00
0.000
0:000
0.021
Zinc
1.1=08
0:`160 :
0 0.00 '
0.00:0
O:Q00
0 00�
0.000
0.000
0 00.0
0 00.0
0.0;,00:
0.000.,
1.268
Total
Phos-
52.685
„ 9.720
0.000
0.000
0.000-
0.000
0.'000
000
0.000
0.000
0.000
0.000
62.405
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir--isonment for knowing violations".
;2!�Le 4;:��`' 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION x lELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Brewer
Operator: James Brewer
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied: m . 4-1.9.9 Site #:
4
Acres Utilized:
CH039 Acres Permitted:
Predominant Soil Series: GaB Cation Exchange Capacity (non 503):
Crop 1 Max. PAN:
158 Crop 2 Name:
Crop 2 Max. PAN:
20.1
20.1
0
I..
°
Q �
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet'
Moist)
Precip.
past 24
Hrs.
inches
Y
w
* p
o
�*.
o
" o'
TKN
mg/kg
Z
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
Ibs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/13
97500
3.7
0 7.4:8
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
162419
>tTA a'
Fescue
10l31
143000
3.7
109$ 77�4=
South Burlington
D
<5"
S
0.5
0.3
30000
9000
55
23.83 l
`1�Tz��`
_
Fescue
11/14
39000
3
0 24,3
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
6.029
' NA ,;
Fescue
0 000 '>
a.000
a000""`'
0 000 =
0.000
0,000
0 OQO
0.000,
-" 0 000 '
0 000 s_
0.000
D.000
40000.
0000
0.000
0.000
0
0
0, 00,
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0A00
U.0oo
TOTALS:
0
279500
As
Cd
Cu
Cr
Pb
H�*
Mo
Ni
Se
Zn
P
46.108
0.000
Lime Applied
Annual lbs/acre
!1 21
d 021
}' 0 620 ;;
d 43:
00.021
0.001
{3�421._..
' 0 b5'I .'
x^ 0 02 u
1 268
62'405 ' :
...•.•.•..•..•.. ............
:':
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.025
0.017
2.166
1.582
0.176
0.013
0.045
0.131
0.031
4.277
Current Cumulative lbs/ac
0..046
0 0�8 `.
2 7$6
2 Q:1'9,'
6197
0.0i4
_0 066
; 088' :
0 052:
5 545
Permitted C. P. L. R.****
36
34
1 1338
1
267
1 15
1
89
1 2498
P it PA Limit erm N is 2nd Crop
P
5
18
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
4.ej/, *Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 63:03"
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
f' rator: James Brewer Owner: James Brewer Predominant Soil Series: GaB
r_ Js Used: 30.7 Acres Permitted: 30.7 Site #: CH040 Field #: 1
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mz/lig, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
SB
9/11/17
2
SB
10/9/17
3
4
5]
L61
1 7
8
9
10
11
12 '
% Solids
3.7
3
Arsenic
5
1 5
Cadmium
5
5
Copper
135
250
Chromi
100
136
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
_
Nickel
11
33
Selenium
5
5
Zinc
300
330
Total
Phos-
-horus
14270
20000
I uai
tieavy ivietai rieia t�oaaings
kt-aicuiatea in iustacre):
-
.,,tal
1 1
L9_1
3
4]
71
L 8
9
10j
11 j
12
DT/Ac./
App.
y
Event
0.49
1.56
Arsenic
0.005
0.016; :
0 000
0.000
0;000
0.000
0.000
0.00:0
0.000
0.000
0.000
0.000
0.021
Cadmium
O O;OS
O .plf
0 000..
0„000
0.0.00
U ,Q,0; .
0.000
-0.O.UO
„ Q.0"00 '
0.00.0
.O,,Q!,00
- 0.000..
0 02:1.
Copper
0.132
O.782 ,
= 0 000'
0 000
0;.000
0 000 '
0 00:0
0 ;000
0 OOQ .
0 O1)Q
0 0.00
.0:000 "
. 0 �14
Chromiu
0 09`8
0 425
0 000
0 000
0:000
0 000 '
0 000
0;000 ,
0 000, }
" 0 000
0 Q00
0:000"
0 S23
Lead
0 005
0016
0 000
0 00
0000 "
" 0 OQO
0 000
0 000
Q Q00
° 0 OOQ,
0 000_
0000
0 02-1
Merc ury
0 000
0 =U01,
0 000 `
0 OOQ
0 ,000
0 000 -
° 0 0'0
0 000
0,000 ..
; 0 000
0 000
0..000 "
0 00 1
Molyb-
0 0.05
Os016
0 000
0.000
V 0:000
0 000
O 000
0 000
Q 000
= 0 000
0.000
Q,000:
0.02'Y
denumU.
.
.
Nickel
0 011 .
0103
0 000
Q OQQ
0 000
, „0 000 ;;
0 OOU
0 000
0 004 :'
0 OOQ
0 OQO
0000
.-. 0,114
Selenium
0 00:5
0 :016 ;
0 000
0 000 I
0.000
0 000 ,
> 0 000
0 000
0 000
0 000
0 000.
0,000
0 021
Zinc
094
1 032
0 OOQ
.0 000
0 000
0 000 ..
` 0 000
0 000
0 000
0" 000
0 000
0.-.000
..1 326
Total
Phos-
13 9$5
62;,52Q
0.00.0 .
0.,000
0;000
0 000 `'.
Oy000
0 0:00
0 0.00
0:000
0.:00.0
0 000.`
. 76.505
phorus
"
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iir---isonment for knowing violations".
;2!:�e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION rIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: James Brewer
Operator: James Brewer
Crop 1 Name
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied `:- ? Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN: 158 Crop 2 Name:
CH040
Acres Utilized: 30.7
Acres Permitted: 30.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
N
o
Volume applied
(enter one) Solids/
Li uid
9
Cu. Yds Gallons
oho
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES ##, WQ#1
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
(D
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
410
co 'b
o 8
a O.
o
�
* N
* W
.�
°p
K
� W
w 2,
°
* N•
* w
* C.
TKN
mg/kg
Z
cx
o
QQ
o W•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
10/31
97500
3.7
1}0p l
South Burlington
D
<.5"
S
0.5
0.3
30000
9000
55
10.638.
J. .'
Fescue
11/1
240500
3
0 9.80 ;}'
South Burlington
D
<•5"
S
0.5
0.3
34500
10000
70
24.344
Y I�fA '
Fescue
11/7
52000
3
0 2'12 d"
South Burlington
D
<•5"
S
0.5
0.3
34500
10000
70
5.263
°' NA��'
Fescue
11/13
91000
3
Ot3 771
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
9.211
NA °"
Fescue
o Q(?Q
0.000
0.000
0 Q66 3
0.000
0.000
Ot000
0.000
0.000.1
0 0.00
0.000
0 000
0 000
0.000
OboA
" a o00
0.000
0©a
0 000
0.000
0 0'00
0,000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
„: ,- 0
_.
"4sto 10
As
Cd
Cu
Cr
Pb
H
Mo
Ni
5e
Zn
P
49.456
0.000
Lime A lied
Annual lbs/acre
0 021 •'
0A24
0`Qid i
�a 4 523
f).021
Q 1
05�2
1}�4
R.
2
t 13 6
X 6 505
::'
..I .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.159
0.097
15.118
6.341
1.243
0.057
0.376
0.874
0.182
26.609
Current Cumulative lbs/ac
.,
1.264
0 058
0 3'97 ;
?0 91t$
A O 203
27,9'35,
Permitted C. P. L. R.****
3=
34
1338
267
15
374
89
2498
,Permit PA N Lim 2n rt 1st/ d Crop
P
..
.
' 158
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 7.06
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(?--gyrator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: BdB
;'s Used: 5.1 Acres Permitted: 5.1 Site #: CH098 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kiz, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
1/17/17
L 2
31
4
5
6]
L71
8
9 1
10
11
12 1
% Solids
4.34
Arsenic
5
Cadmium
5
Copper
115
Chr0miur1
160
Lead
10
Mercury
0.2
Molyb-
den
6
Nickel
5
Selenium
5
Zinc
350
Total
Phos-
chorus
21890
ual
Heavy Metal Field Loadings
(Calculated in lbs/acre):
[al
1
121
3
41
5 1
6
7
8
9
10
11
12
DT/Ac./
App.
Event
1.38
Arsenic
0.01.4 "
"O.000"
0.000
0.000
0.000
O.00O
0.000
0:000
0.0"00
0.000
0:000
0..0.00
0.014
Cadmium
0 0-14-,
. 0.000,,.
9..000
0..000
0_.000
0 000_
; O,OfIO, ,
0.000
_{l 004
,. 000
0,*AO0
- 0.000
.0.014
Copper
0 318
Ow, ":
0 000
0.000
0:000 "
0 000;
0 000
0 0'00
0 000
': 0 000:
0 000
O':000
0 318.
Chromi
0 443
0.000
.;._0 000
0.000
0.000
Q 000 .
` 0 000
0 0.00
0 000
: 0 OOU.
0 000,
O'.OQO ';
0 4:43
Lead
0 028
0 004,
0 000�
0 00,0
0 000
U OOQ 1'
0 000,
0 OA00
0 OOO
0 OOQ
0 OQ0
0..000
0 028
Mercury
0.0"01
0 Q00
0 000`
0 00.0
0.000 _
. 0 000
0 000
O.000
Q 000
0 000
0 O00
O OOO
0.60 ,1 "
Molyb-
0 017
0.001
0 0.00 '
0.000
0.0.00:
0 0,
0 000
0 000
0 OO D
0 000
0 ;000
0 000
0.017
denum
+
Nickel
0 O14
0" 900
0.0 00 ,'
0 0`00
0,000
0 000 ;
:- 0 00.0.,
0 000
Q 000.
0 000'
0 400
0;000 `
0.014
Selenium
0 014
0.000 "'
_0 000 1
6.060
O.U`00
0 OOO
0 600
0 000
0 000
0 OOQ.
0 OQO .
,.. 0 000
0 014
Zinc
O 969
0 000 .
0 000
+ 0 00.0
O:Q00
0 000 ,
: 0 000
0 000,
Total
.
_..
_
Phos-
60502j,0.000
U 000,
0.000
0,000
0 0,60 ;
0 00U: ;
0:000
0- 000
;. 0.000
0.000 :
0 000
60:592
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
G�� -- 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION- ., MLD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
William Brookbank Jr.
Bobby Cooper
Crop 1 Name
Fescue -Pasture
WQ Permit #: WQ0000520
Annual Dry Tons Applied
Predominant Soil Series: BdB
Crop 1 Max. PAN:
Field #:
Site #: CH098
128 Crop 2 Name:
Acres Utilized: 5.1
Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
5.1
0
t
� �
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
( ry'
Wet,w.
Moist)
Precip.
Past 24
Hrs.
inches
>
co �_
° w
o
PO R.
� �,
N'
4
F
�
CD
* ~
u.
TKN
mg/kg
Z
o �
°Q °
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop l
Crop 2
2/6
39000 J
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
56.216
NA
Fescue
H434184
0.000
0.000
0.000 '„
0.000
0.000..
0000 "'
0.000.
0.000
0.000 -:
0.000
0.000
0 000
0.OQ0
0.000 `
0.000
0400
0,000
0.000 „
0.000
0000=
0.000 ''
4000,
000`
0.000
0,000 -
o 000
0,060
0.000
0
0 -
;:
0900k..F
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form ):
0.000
0.000
•' ' •' '
TOTALS
,' 01
39000
_ :.::::::::
As
Cd
Cu
Cr
Pb
Hag
Mo
Ni
Se
Zn
P
56.216
0.000
Lime Applied
Annual lbs/acre
4014
0 014
OB?
a 0.443
0.028
4 p01
0 0Y7
m 0 014d
91
�k9b�
60 592 >
............... . •.
...... > '
bale
lbs/ac
Prior Years Cumulative lbs/ac
0.133
0.031
3.17
1.072
0 274
0.017
0.096
0.228
0.088
8.615
Current Cumulative Ibs/ac
0147 �.
0 045'
3 4$8
a'.515
0.302
0 018
0 113`.
0 2
4
0 1.02
9`584
�..... .
Permitted C. P. L. R.****
36
34
1338
1 267
1 15
1
374
1 89
1 2498
Permit PAN Limit 1st/2nd Crop,
,,•••............•....................................
:1
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 20.00
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
!` --.rator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: CmB
:s Used: 8.7 Acres Permitted: 8.7 Site #: CH098 Field #: 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use maU, % Solids use Raw Percent #):
Com-
posite
Date
fee -
Total
Phos-
h
i uai heavy ivietai r iew l.oaamgs (uaicuiatea in ius/acre):
.,4a1 1 L2J L3J 4 L5J L6J L7JL8J 9 1101 11 12
DT/Ac./
APp-
Event 2.30
Arsenic 1 0.023 1, 0.000 0.000 -.0,000 O.000 0.000 � 0.000 0.000 0,069 0.000. 0.000 01000 0:023
Cadmium 4.023 0 000 , 0.00D 0.000 0.000 ' 0.006 0.000 0...000 0.000 0.000 0.000" 0;:000 0.023'
Lead
Molyb-
0 02$
0: 000 '
0 OQU
0.00.0
4:000
0,000.
MOO
-0 OD4
0.000
0.000
0 000
0.00.0
0 028
d num
Nickel
0.023
0=000
OAo'0
0 0.00
0000
" 0 000 `
` 0 OQO
O.U00
0 0010
;> o oOQ
oOa
ooDo
° 0,623
Selenium
0 023
b 000
0.6 00 :
0 000
0.,000
0 000;
0 400
0,000
0 000
0 000
0 000
0.000 `
0 02.3
Zinc
1 609
0 000 ,
, 0 000:.
0;000
0.000
0 OoQ
0 000
0 Q00
0 000 :`
0 000
0 000
O:00 :
1.609
Total
Phos-
140:650
00.0.0
0.000-
0.0-00
0..000 -
0.000:
0.000
0.000
0....00.0
0.000
04000 ,
0.0.00
.100.650
nhorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im—risonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION r'IELD SUMMARY FORM
PLEASE MAKE A COPY OF' THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 3 Acres Utilized:
William Brookbank Jr. Annual Dry Tons Applied: Z0 l)6. Site #: CH098 Acres Permitted:
Bobby Cooper Predominant Soil Series: CmB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop I Max. PAN: 141 Crop 2 Name: Crop 2 Max. PAN:
8.7
8.7
0
o
Volume applied
PP �
(enter one) Solids/
Cu. Yds Gallons
/
Solids
Volume
APPlied erDES
Acre
(Dry Tons/Ac)
Residual Sources
# W #
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Moist)
Precip.
Pat 2Y 4
Rrs.
inches
Y
aa �, '
o
,r o
C
c
ro*
�.
$
�.
8
TKN
mg/kg
Z
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PA( N Applied
lbs/acre)Liquid
Name of Crop Type
p yp
ReceivingResidual
ApplicationW
Crop I
Crop 2
Crop 1
Crop 2
2/6
19500
4.34
0 40.6
South Burlington
Dry
<.5"
S
0.5 1
0.3
58000
14000 1
110
16:477
14A
Fescue
2/7
91000
4.34
1$93< t. `
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
76:$93
A
Fescue
0 004 •' '
' ,.000
6 -
"a° 0 000_ ,.
o.000
0 00�
.fr
0.000
a;a0o
0.000
y"
0.000
0�0,
0 0b0
0.000<4;01141<
.0 000
O.:000
0 bOQL
0.0 00
A Q='
0
0 .
w 0 OOII a, •
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
U
"n" 15"
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
93.370
0.000
Lime Applied
Annual 1bsJacre
0 023 `�
�0 923
d 529
0.736
0.046
0 db1 °
�tU 11
�30 023
025_w
1609 t
t GO.G50 ::
<
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.117
0.035
3.611
2.182
0.582
0.015
0.102
0.273
0.096
10.382
Current Cumulative lbs/ac
0.140,
0"058
4 140
2 918
0 62'R
04160.;130
_.
. mot
,y.0119
11991
Permitted C_ P. L. R.****
36
34
1338
267
15
1
374
89
2498
Permit PAN Limit 1 s 2nd Crop t/
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
zl--e 4:2�- *Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loadine Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 49.41
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q- gyrator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: CmB
I A Used: 20.4 Acres Permitted: 20.4 Site #: CH098 Field #: 9
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/ka. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 i
SB
1/17/17
2
LL,
5
6
7 j
8
9 I
10 1
11
12
% Solids
4.34
Arsenic
5
Cadmium
5
Copper
115
Chromiu11
160
Lead
10
Mercury
0.2
Molyb-
denum
6
Nickel
5
Selenium
5
Zinc
350
Total
Phos-
horus
21890
F uai
rneavy iwetai r ieia i,oaaings
(uaicuiatea in iasiacre):
1
21
3
4
5j
6j
L 7 j8
9
10
11
12
DT/Ac./
App.
Event
2.42
Arsenic
0 024
0.000
0.000
0.000
0.000
0 000.
00100
0 000
0.000
0.000
0.000
1 0.000
:0.024
Cadmium
0 924
Q,900
0.000 .
0.0.00
0 000
. 0 000:
0 0,00
0:000 :._
0,0.00 ,
- 0 00,0
. 0:000,.
6.0010
0.024
Copper
645
0 000
0.00:0 ,
0 000
0900
:0 000 '
0 OOU
0 0`00
0.000; _
. 0.00'0
0 0:0.0
O':000:
0 57
hromi
0.775
0.:000 .
,..0 000
0 00;0
0:000
0 000
0 000
0 0'00
0 000 ;
. 0 000
0 000
0-:,000
0 775
Lead
0 048
w
0000
O OOQ` .
0 000
0.000
0 000 ,.,;
0 000
0 0:00
0 000
0. 000;
0 OQO
0.000 ;
0 04$'
Mercury
0 OQ
0 000 :
'0 000
0.000
0.000
.0 000
Q 000
0 00,0
0 i700
0000
0:001
Molyb-
0 029
0000
0.000:
0.000
0.00-0
0 000
0.000
0.000
0 000
0.000
0.000
0.000
0,029
denum
_ ,.
Nickel
0 024
O:000y :
; 0 000 =
0 00.0
0.000
0 000,
0 00:0
0 000
0 000
0.0.0;0
0 0:00
0.000 ,
0.024
Selenium
0 024
0 000
0 000
0 00.0
N
0;000 .,
0 000. ,
0 000
0 000
0 000
_-
_ 0 00.0
0 0;00
0000
0 02.4.
Zinc
1 695
0.000-`
0 OOb_
0-000
0:000
0 000'
0.040
0.606 ,
0 000
.' 0 00:0
O.o..o0
0;000 `'
1.695
Total
Phos-
chorus
106.035
' 0 000 ..
0.:1 00'
0.000
0:000
0 O.OU.- `,
0.000
0.:000 .
Q.000
0 000
0;0:00
0:000.
106.035
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im„risonment for knowing violations".
Z-z 1 /3 0/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION- v IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
William Brookbank Jr.
Operator: Bobby Cooper
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:_.. 4:.9 41 Site #:
Predominant Soil Series: CmB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 189 Crop 2 Name:
Acres Utilized: 20.4
CH098 Acres Permitted: 20.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet'
Moist
Precip.
Past 24
Hrs.
inches
y
d
cv d
w
�
c
w �'
* w'
o
Z
W
w
TIN
mg/kg
Z a
i*
�o o
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residua]
Application
Crop 1
Crop 2
Crop 1
Crop 2
2!2
214500
4.34
11103
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
77.297
:: NA
_.
Fescue
2!4
58500
4.34
0 519
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
21,081
` N, '.
Fescue
0.000
0 000'
0:
0.000
0 04t1 ,
0 0.00
0.000
0000:
0;0;00
0boo
0 0.00
0.000
0 UUQ
4000
0000
: 0:000
a o�os
OObO -
0000
0.000
O A00 .
"0 000
0.000
0.000
0.000
U
0
0 000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
-'0.000
0.000
TOTALS:
01
273000
..
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
98.378
0 000-
Lime Applied
Annual lbs/acre
x 0.024 ` .
w Of024
0 55?
0 775
0:048
0 001 `
„p0.0�9
Of02
0 02
3 1 695 k
I0.6 035 :.:::...':::::::: ::::::: :::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.035
0.022
2.258
2.115
0.301
0.007
0.055
0.138
0.055
5.594
Current Cumulative lbs/ac
0059
Q O�16
2 81S
2 890
0.349 :
o-p-o;
i 0 084'
D 162';
0 079
7 2;89
Permitted C. P. L. R.****
36
34
1 1338
1
267
15
374
89
2498
r .
Pe mit PAN Limit
mtt 1 st/2nd Crop
p
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 70.60
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(` -,rator: Bobby Cooper Owner: William Brookbank Jr. Predominant Soil Series: Cm.B
!s Used: 31.8 Acres Permitted: 31.8 Site #: CH098 Field #: 10
Residual Analvsis Data (Heavv Metals and Total Phosphorus use mg/ke, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
L 1
SB
1/17/17
2
3
4
5
6
7
8
9 j
10
11 1
12
% Solids
4.34
Arsenic
5
Cadmium
5
Copper
115
Chromium
160
Lead
10
Mercury
0.2
Molyb-
denum
6
Nickel
5
Selenium
5
Zinc
350
Total
Phos-
phorus
21890
i uat heavy iviLetai r iew Loauings tt.atcutatea in ins/acre:
- Ital 1 1 2 L _3J 4j L-5-J 6 7 8 1 9 1 LOJ 11 12
DT/Ac./ c
App.
Event 2.22
Arsenic 0.022 1 0.000 0.006 0.000 0 000 1 0.000 0.000 1 0.000 1 0.000 1 0.000 1 0.000 0.000" 0.022
Cadmium .0.022 0 000 0..000... ,..0.000 0.00.0 0.:.00.0. ,..0.000. O...OQO . 0.000. 0.0000.0000.0.00 . 0.022
Lead
Molyb-
0.0.27
fl 0fld
0.000 '
0 000
0 fl-00
Q 040
0 000
0 ,000
6.006
0 OA0
0:000
O OOQ
:. 0.027
denture
Nickel
0,62
0.000
0 000
_00 OQO
0..
a fl0
000
00.
02.
OAO :.
0 OO,b ,
4 0"00
0 000
0.022
Selenium
0 0
0 000
0 Ofl(i;
0 000
0:000F00
.
0,0Q0
0 Q00
0 000
0.':.000
: 0 022
Zinc
:4
0;000
. `OOQ6".:
(S OOQ
0 000
0 OOU_
it 0 000
0 Q00
OOOQ,
. 1 55
Total
..
y
Phos-
97 192
0 000-::
0 QOU `
0 000
, 0.000
U .0D
0 OQ0
fl.000
0 OQO.:
0 000
0 0;00
Ci.000
97.192
;,horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^*-isonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION .- tELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 10 Acres Utilized: 31.8
Land Owner: William Brookbank Jr. Annual Dry Tons Applied.' . ' 7A 60 Site #: CH098 Acres Permitted: 31.8
Operator: Bobby Cooper Predominant Soil Series: CmB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 141 Crop 2 Name: Crop 2 Max. PAN:
o =
+-
Q �
Volume applied
(enter one) Solids/
Li Liquid
9
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
PDES #, W #,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
A
cu 'a.
o w
� o
o
o
w
co N'
p
7
w .,
�.
0
TKN
mg/kg
z
�
o 6
� R.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
PP
Cro17
Crop 2
Crop 1
Crop 2
2/3
156000
4.34
0 888 =;
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
: 36.063
Nth '<
Fescue
2/4
97500
4.34
6 5.35:
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
22.539
NA
Fescue
2/6
136500
4.34
0 T77
South Burlington
Dry
<.5"
S
0.5
0.3
58000
14000
110
31.555
DNA "
Fescue
0 000
0 000
0 Q:00 A'
0 b011
-0 000
.000
0rb00
,0.()00
0.000
0 000 `"
'.0`:000
0 OQOi�
0.000
Q pO0
1 6:000
A' 000
0
0` ' .
:. ,
O q00
, ,";
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.(100'::
::.:::::
TOTALS
t1
900��1>
As
Cd
Cu
Cr
Pb
Kt-Mo
Ni
Se
Zn
P
90.158
0 000 ``
Lime A lied
Annual lbs/acre
0 a22
0 022
0 511
fl11.0
0.044
;0 001'027
0 02
10�0a2
1 5'S`4
s 9719' .'
.. . .. _..
<
:::. :: ....................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.198
0.11
12.127
5.609
1.835
0.047
0.315
1.312
0.21
34.099
Current Cumulative lbs/ac
0.320
: 0 132
12 63".8
6 h9
1:,879 �
0 048 •:
0 342�
l 334„
� 0 232
35 6S3
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
2498
Permit PAN Limit2nd Cr 1st/ Crop
141
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 5530
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r" -ator: Charles Lutterloh Owner: Charles Lutterloh Predominant Soil Series: NaB
t_ Js Used: 22.2 Acres Permitted: 22.2 Site #: CH251 Field #: 1
Residual Analvsis Data (Heave Metals and Total Phosphorus use ma/ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
2/6/17
21
31
L4]5
6
7
8
91
10 I
11 1
1121
% Solids
5.1
Arsenic
5
Cadmium
5
Copper
1 150
Chromini»
70
Lead
50
Mercury
0.2
Molyb-
denum
11
Nickel
20
Selenium
5
Zinc
650
Total
Phos-
chorus
11960
I )I.ial
Heavy
Metal Yield Loadings
(Calculated in lbs/acre):
1
1
1 21
3
4
5]
L61
L7J
L8J
9
10
11 J
12
DT/Ac./
App.
Event
2.49
Arsenic
0,025
Ot000
O.Q00.'
0:000 '
0.000
1 0.000
0.000`
0.000
0.000-1
0.000
: 0,000
`0:000
6.025
Cadmium
. I).02
.. O.CiQQ
0 000,.
0 OOa
0;000
-`0 000..'
0.004 ,,
O.Q00
0 000
O.O.OQ
0 -OQO
0:,000
0.025
Copper
0 7 7
O Q00
0 00.0
;
0 0.00-
Q
0:Q00.
0001.
0 000
O Mq
0 000
:: 0 000
0 000
0.000 ,
;, 0 74.T
Chromium
0 349
Oa000
0 Q00'
0 OOp
0..000
0 000 ,
0 000
0 000
0 000
` 0 000°
0 0.00
0`:000
. 0 349`.
Lead
0 249
0 Q00
. 0 000:
0 000
0 000
0 Ol)0 "
0 l)00v
000
Ue040
0 00U
0 Q:00
Q:000
0.249
Mercury
0 001
O.Q00
00
O.Q00
0 000 "
0 OOQ
0 Q_00
0 Q00 ;
0 000'
0.000
0:000
0 001,.
Molyb-
0 O55
0 U00
0 000-
0 000
MOO,*
0 000
0 000
0..0:00
0 000
` 0 000
0.000
0:000
" 0 055
denum
_ .; ....._
. .
Nickel
0 100
0,:000
0 000
0 000
0,000
0 000
0 000
0:000
0 000
;, 0 00Q
0 000
0;000
0.100
Selenium
0 O25
0�000
0 000
0 000
O:QQO
0 000
0 000
0 000
toll"
; 0 �OQ
0 000
Q 000
0 025. .
Zinc
3 238
-
0.600,
, 0 000 '
0 OQO
O.Q00
0 000
0 OQQ
e
0 Q00
0 000 `
0,00 OQ
4.
0 000 ,"
0.000
3.23$
Total
-
Phos-
5.9.585
-0:.000;`�,
. Q 000
0,.0.00
0;00:0
0 000 ;
0 000,
0 000
U:000
0 O,O.Q
TM O:000
0000
' 59.58.5
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im--isonment for knowing violations".
1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION- x4ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 1 Acres Utilized:
Charles Lutterloh Annual Dry Tons Applied 55#.36• Site #: CH251 Acres Permitted:
Charles Lutterloh Predominant Soil Series: NaB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 135 Crop 2 Name: Crop 2 Max. PAN:
22.2
22.2
0
.=
o
Q 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
D
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
:
co
a w,
o
c
h ?:,
* w'
�..
°p
70 9
w -,
;
* N
TKN
mg/kg
Z
4
o
nc o
5.
mgtkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
(:rop 2
Crop 1
Crop 2
3/23 1
227500
1 5.1
;.179
South Burlington
D
<.5"
S
0.5 1
0.3
54000
11000 1
140
80.812
NA
Fescue
3/24
32500
5.1
0 3>i l
South Burlington
D
<_5"
S
0.5
0.3
54000
11000
140
11.545
NA
Fescue
0000 _'
0.000 "
0.000
0:0.00•
0.000
0.000 '
0 0T)0
0.000
0.000
0.000
10.000
0 000
0.000
0.000 .
O OOO,r '
0.000
0.000
0 000
0.006
0.006
Us•U00
0.000
0.000 '
0 000 "
0.000
b.000 '
0.000
0.000
0
0,
0:0`00 nx
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
0.000 •
0,000` -.
TOTALS:
O
260000
As
Cd
Cu
Cr
Pb
Hs:
Mo
Ni
Se
Zn
P
92.356`
`0,000 :
Lime Applied
Annual lbs/acre
'O f 25 +
0 025Al
0 74T
k
0.349
l
0 49�
Q OOrI�•
0 0�5
0100�
�0 025 �
� 3 238�
a 59. 585 ::::.::::::
...........................
.: > ::::.:::: ;:• ::•
.............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.198
0.191
29.191
11.515
3.426
0.101
0.895
2.23
0.185
46.462
Current Cumulative lbs/ac
0 223
D 216 „
29 938
a 1 864
3.675
O a102
:' {1950
2 330<
0 210
49 700'
Permitted C. P. L. R.****
36
34
1338
267
15
374
89
1 2498
Permit A it 1 st/2 d PAN Lim n Crop p
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 17.97
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Charles Lutterloh Owner: Charles Lutterloh Predominant Soil Series: GaB
's Used: 7.2 Acres Permitted: 7.2 Site #: CH251 Field #: 2
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
2/6/17
2
3]
141
L5
6
17J
8
110
11
12
% Solids
5.1
Arsenic
5
Cadmium
5
Copper
150
Chromiuiu
70
Lead
50
Mercury
0.2
Molyb-
denum
11
Nickel
20
Selenium
5
Zinc
650
Total
Phos-
chorus
11960
F uai tieavy ivtetai r ieia Eoauings tuaicuiatectin ins/acre):
.cal 1 2 3 4f 5 6 7 8 9 10 11 12 y
DT/Ac./ o
App-
Event 2.50 "
Arsenic 0.0,2 t _0:000 1 0.000 1 0.000 D.;000 1 0.000 0.000 0` 000 0.000 0.000 0.000 6.000 0.025
Cadmium ..0,025 ...000.0 1 0.:000 1. 0-00.0 1, 0:000 .1 0.0.00 0:000 . 0.000 0.000 ,. 0:000 1 0.000.... 04000. 1 0A25
Lead
0 250
0..000
_. 0 000 _11,
0.000
O,Q00
q 000?Y :
0 000
0..000
a
000
O 000
0 0.00
0:000
;`', 0 250
Mercury
0 OU1
0:000
0 000','
0 OU:O
O.Q00
"0 000 .
0 000
0.0:00
0
000 ,
0.000'
0 0.00
U::000
0 001
Molyb-
denum
0 OSS
0000 .
_ 0 000
0 00,0
0:000
0 000
0 000
0 U00
0 000
0 000
0. 000
0000
0 O55
Nickel
0 100
0 000
0 000
0 000
O,.Q00'
0 OQO
0 000
0 U00
0 OOn
` 0 0007VO
OUO
. 0000
, ' 0 lOQ°
Selenium
0 0°5
'0 000
0 000. ;
0 000
0000
0 000 ;
0 „OOQ
0 (100
0 000
;, 0 000„
0 000
0:,000
0 025'
Zinc
3 245
0 ,000
' :.0 000
00_D
0 Q00
0 OOU
0 000
f� 0:00
U 00�1.
b 000.
000
Q.000
3 245
Total
Phos-
,)horus
59 7Q4
0 000 ,
. 0 OOQ;
0.000
0 000
.- 0 000 :
`' 0 000
0.000
0 000 :
0 OQ0
0 OQO
0 0170
; 59.704
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
z" 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION xI ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Charles Lutterloh
Operator: Charles Lutterloh
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied ,17 91' ' Site #:
Predominant Soil Series: GaB
Crop 1 Max. PAN:
158
Crop 2 Name:
Acres Utilized: 7.2
CH251 Acres Permitted: 7.2
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
o
to
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
� 4
a d
o �
CL o.
o
%`' �.,
7y
w
TKN
mg/kg
z Y
i;
o
?
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibslacre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
3/24 1
84500
5.1
_4:91i ` "
South Burlington
D
<.5"
S
0.5
0.3
54000
11000
140
0.549
NA
Fescue
0.000
0.000
0 Q00
0.000
0,000
0 000
0.000
0.000
0 000
0.000
0.000
0.000
0.000
O;Q00
0.00.0
0,000
0,:000
0.000
0.000
0:Q00
0.000
0.000
O;UOQ
0.000
0.000
0 OOU
0.000
0.000
0.000 `
0.000
0
0 ,:......:
O'OOA
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
"0.000
0.000
TOTALS
84500
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
92.540,
0.000
Lime Applied
Annual Ibs/acre
Ot125
i 0°025
0 �4
049
0.250
Y� 00 }
0 055
tl 1000
05
3.45
c 39704
::::::::::::::::::':'::::::: :;::
.. ... .. ....
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.1954
0.1856
28.0526
10.8381
3.515
0.0834
0.7952
1.7728
0.1519
36.6772
Current Cumulative lbs/ac
0 2 0{r
0 211 `°
28 1,
r 11.188
3.765
r► n84 �r"
{, 0 $50 '':1
1 873
ON17
39 922r
Permitted C. P. L. R.****
36
34
1 1338
1 267
1 15
1
1 374
89
1 2498
mit P i ' is Per AN mrt L t/ 2nd CroP
158
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
1/30/2018
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 12-2 68
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q---rator: Dennis Simmons Owner: Delmar Allred Predominant Soil Series: ApB
A Used: 28.9 Acres Permitted: 28.9 Site #: CS018 Field #: 1
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/ke. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
_L1
EB
7/10/17
2
SB
7/10/17
3
4
5
6
7
8
9
10
11
12
% Solids
5
3.6
Arsenic
5
1 5
Cadmium
5
5
Copper
180
153
Chromium
62
140
Lead
70
22
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
18
40
Selenium
5
5
Zinc
460
347
Total
Phos-
chorus
26000
37500
F uai heavy mietai r ieia Loaaings (uaicuiatea in iusiacre):
'-,,7-7F LT LTI 4 51 6 7 8 9 10 11 12 H
DT/Ac./ o
App.
Event 3.71 0.54
Arsenic 0 0�7 ' 0.005 0.000 .Q.,000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.042
Cadmium 0 03<7 0.005 0.000,.. 0..000 _ ..0.000 . D.0.00 000"0° 0.000 :A000 0.000 0.0.00 0..000 .. 0.042
Lead
0 519
0 U24
'0 000
0 OQO
0 000
'0 000 ';0
000'
0 000
0 000
0 OQ:O .
0 OtO
' 0:000:
,
0 542 .
Mercury
0 001
q;000
0 000
U00
`0 000 _,
0 00`0
0 0,00
0 000
° 0 000°
0 000
0..000
0 002 ;
';
Molyb-
0.0-7
0 005
U 000
0 000
0 000
0 000
' 0 000
0 QOQ
0 000
0 OOQ'
0.000
0;000
0 042:denum
Nickel
013
0 ;043
0 000,
0 000
0.'Q00
0 000
= 0 000
0 .Q`00 ,
Q 000
'; 0 000'
0 OUO
0000
0 177_
Selenium
0 037
0 005
0 000 ..;
0 000
0 Q00
0 000
` 0 000
r
0 0,.00
Q 000
= 0 000
00
Zinc
3 409
0 375
0 000
0 00.0
=
0.000
0 000
0 OOQ
0 0;00
0 000
0 OOQ
`0 fl00
Q:.000
-
-
3 783
Total
Phos-
192 600
4 ;500
-� -0 000
0.000 ,
0 000
0 000
0 OOQ
0 000
0 000
'` 0 000
0 U.00
U 000
23.3.1-6.0.
,horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^risonment for knowing violations".
z�z 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION , IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Delmar Allred
Operator: Dennis Simmons
Crop I Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied , 12 68 .'� Site #:
Predominant Soil Series: ApB
Crop 1 Max. PAN:
178 Crop 2 Name:
Acres Utilized:
CS018 . Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
28.9
28.9
0
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tans/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wei'
Moist)
Precip.
Past 24
Hrs.
inches
Y
'T3
4 'z?
o
o� w
* °
Z
c
co
e
7y
-+
EL
N'
�
TKN
mg/kg
Z
o
p �•
mg/kg
Nitrate
and
Nitrite
mgJkg
PAN Applied
( s/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
8/21
19500
5
0141
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
7` 2.394
NA .,
Fescue
8/22
123500
5
0:891
East Burlington
Dry
<.5"S
"
0.5
0.3
17500
16000
60
";15: l65
NA . , `
Fescue
8/22
26000
3.6
013S k
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
4.046
Fescue
8/23
32500
3.6
a 0 169
South Burlington
Dry
<5"
S
0.5
0.3
39000
16000
80
h-5,058
NA
Fescue
8/23
1
136500
5
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
16.761
1vA
Fescue
$/24
188500
5
1360 H„
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
23.146
. NA .`
Fescue
8/24
26000
3.6
Q41M:
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
4.046
FNA;`
Fescue
8/25
19500
3.6
.' A.J,
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
3'035
NA .
Fescue
8/25
45500
5
Q 32,8 oF.
East Burlington
Dry
<5"
S
0.5
0.3
17500
16000
60
5.587
NA
Fescue
0.000
0 000
UO
Q +0
0.000
0.000
0 000
0.0(N)
0
!?
0 000 R ?
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
o
, 4 ':617500
::.:.:..-:;:
As
Cd
Cu
Cr
Pb
H i
Mo
Ni
Se
Zn
P
79.238
0.0001-
Lime Applied
Annual lbs/acre
0.0'4
0 042A='
1499>,
0 617'
0 542•
e 002
L
.t77 -
0;f342
3 7 3 Y
233 160 ;,; ;;,: , :.; ::
....:'::::::.:.:.:..:.:::::::.:..:.:?::.:::.
......... .
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.078
0.053
5.021
1.788
0.423
0.024
0.147
0.41
0.131
14.771
Current Cumulative lbs/ac
020
0 095 :
` 6 5©•
2 3 9 .
. 0 965
01126(1587._:
r.© 473
" i8 55
Permitted C. P. L. R.****
36
34
1338
267
15
374
. 89
2498
Permit PAN Limit l st/2nd Cr
,.•.•.... _ ...•.... ,.......:.:... ,:•:..:...... >,...:•: >....•:< :•:•;:•:.•: >::::...::::: ;:•;:...: � - ... .,:
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): .104.45
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C-rator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: IrB
r_ -''s Used: 21.1 Acres Permitted: 21.1 Site #: CS036 Field #: 6
Residual Analvsis Data (Heavy Metals and Total Phosphorus use muA2, % Solids use Raw Percent #):
Sample or
Corn-
posite
Date
11
SB
7/10/17
2
EB
7/10/17
3
4
5J
6
7
L8
9
10 1
11
12
% Solids
3.6
5
Arsenic
5
5
Cadmium
5
5
Copper
153
180
ChromiLAIA
140
62
Lead
22
70
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
40
18
Selenium
5
5
Zinc
347
460
Total
Phos-
phorus
37500
26000
! Vital heavy metai neld Loadings (Ualculated in lbs/acre):
..,cal 1 1 2 J 4 J L5J8 L7J L8 9J 101 11 12 1
DT/Ac./ c
App-
Event 0.65 4.30 "
Arsenic 0.006 0.043. 0.000 0.000 0.000 0.000 0.000 1 0.000 1 0.000 1 0.000 0.000 0.000 0.050
Cadmium 0.006 ,,0.043 ... 0..000 0.00,0. 0.0.00 O O:OO.r, _ 0.0_U0 0,_OOO 0.000: {J,,OOOa Q 0,00 _ 0,00-0 0,05:0
Lead
0,08
�} 602;O.000x-
i a 00
oQOo
0 OOQ ;
ti,®f1t
�.,
O (I#)0
= 0 OOCF'
000
QDQ
Q;000
©3
Mercury
0 00;0.002
0 000'
Q ORQ
4"1?OiI
0 000::
�1y000�
1100
fl 0©0
0 D00
0.000
0.000
x 0;00:
Molyb-
0 00fr�
o 000
�0 o(lj
o
0 000
0 OiloOtT
oo
':, a 000:
Ooo
o::000
Nickel
0 000:_:
0 000
0
0
_ 0 OOn
0 0{10
0 {X 0
< Q UOOi
0 000
0 ,000
`a 2Q7
Selenium
0 006
0 043
000'
0 OOU
. 0,000
Q 000
: 0 00
o 000
, 0 OQ
U OoO,
` 0.000
01�O11
0 050
Zinc
O�A49
3'959
Q 000,
0 OUO
0„OOO
h O 000
O OOb}
0 b00
=£0 OOO
y 00{J
Q OQO
00(D „i„
408
Total.. ;
Phos- 4$ 55 U 000' 0 00..0 OADO Q 00,0 0 000 0 0'00 0 OOA 0 000 A OQO Q000 ; : 7.28
chorus <;.
"I certify- under nenalty of law. that this document was nrenared under my direction or sunervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iir---isonment for knowing violations"
Z..;e 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION . lELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #:
Land Owner: Dennis Simmons Annual Dry Tons Applied 1Q4 4S = :.y Site #:
Operator: Dennis Simmons Predominant Soil Series: 1rB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
117
Crop 2 Name:
Acres Utilized:
CS036 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
21.1
21.1
0
+'
Q
Volume applied
(enter one) Solids/
Li Liquid
9
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
A
'b
n �
0
o� w
* °
o
w
� •
* a.
p
:n c
w -,
�° N.
* ~
0
TKN
mg/kg
z a
tt
o
MCD a
a 0•
mgtkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crap I
Crop 2
Crop I
Crop 2
8/17
39000
3.6
0':27�
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
8.313
NA
Fescue
8/17
156000
5
1 52
East Burlington
Dry
<.5"
S
0.5
03
17500
16000
60
26.237
NA -=
Fescue
8/18
26000
3.6
0 185
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
3 542:
NA
Fescue
8/18
175500
5
1734
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
29.516'•
NA
Fescue
8/21
26000
3.6
4185
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
S 542 ;:
NA
Fescue
8/21
104000
5
102
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
17 49 -"`
NA
Fescue
0 Q:OOt
0.000
0.000
0.000
0.000
a?OQ'
0.000
`0.000
o ooa ..
0.000
0 000
0 oap
o 00o
0.000
o00
0.0,00
0 000
0
0 .
O,p'Ol�r�
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
OA00
0 000;
TOTALS
01
526500
As
Cd
Cu
Cr
Pb
H J
Mo
Ni
Se
Zn
P
L2,2.641
0.000
Linre Applied
lied
Annual lbs/acre
0` 05p
" 0 456 *
1 747
0 715
0.631
p Q02 fi
''' Or Q50
0 2p7
0 OSQ ;
" 4 4Q8 r
272 2$1 ` :::::::.. . .. ..:...
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.379
0.467
56.275
20.11:3
7,607
0.168
1.127
4.121
0.266
75.05
Current Cumulative lbs/ac
o 429
0517k'
S802
20828
8.238
0176i1177,A�4328
(3.31fi
79458'
Permitted C. P. L. R.****
36
1 34
1 1338
1
1 267
1 15
374
89
1 2498
e P rmit AN Limit Is nd P t/2 Crop.:
fi 7 .
1T �.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 75.70
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q--krator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: IrB
's Used: 17.7 Acres Permitted: 17.7 Site #: CS036 Field #: 7
Residual Analvsis Data (Heavv Metals and Total Phosphorus use me/kIz. % Solids use Raw Percent #):
Sample or..1.
Com-
posite
Date
EB
6/5/17
21
SB
6/5/17
31
L4I
5_
16
L71
L 81
L 91
ILol11
12
% Solids
5.3
3.4
Arsenic
5
1 5
Cadmium
5
5
Copper
217
162
Chromium
66
160
Lead
59
9
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
19
6
Selenium
5
5
Zinc
800
460
Total
Phos-
chorus
14530
24270
I ual
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
"-,0-7F
12 1
31
L4j
5
6
7
L_8j
L91lol
111j
121
DT/Ac./
0
App•
it
Event
3.65
0.63
"
Arsenic
0, 0.117
Aof,
o p-
0.000
1 0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
0.043
Cadmium
0 037
01006
0 000
0 000 _
0.P4Q
0 C300 .,;
0,000
d.C100
(?.0(?Q
0.040
0 000
0.000
0.;043
Copper
1 5&5
0:203
- :0 000
0 000
O OOa
Q 000
'- 0 000
0 0,00
0 000
0 0.00
0 000
U:.000
1, 787
Chromium'0
482
0 200
0 000 '
0 000
0 000
0.000
0 000 ;
0 000;
0 000
, y Q:000
D 682
Lead'0,431
"
01.1
0 000 `
X 0 000
0 000
0 000„
' 0 000
000
- Q 000
; 4 OOQ
0 000
0000 ,
0 442:r
Mercury
0 DOl
0 000�
.0 000 `
0 OOQ
0 Q00
0 000
000
0 000"
0-0 00
: 0-
0.000
0 000,..
' 0 002'
1Vlolyb-
p 03 7
O OA6
0 000.: '
0.010
0 04,0
0 Q;00
0 000
0 w
0.000
0.000
0 043
denum
_
Nickel
0" 139
0
008 _
' 0 000
Q 000
U,OOQ
0 000 _.
0 000
0 OUO
0 000
` 0 OOQ'
0 000
0:000
0 146
Selenium
0 037
0
006
0 000,
0 000
0.0�0
A 000 ..::
0 000'
0 000
f 0' 000
0 000r
0 000
0 000
0 043: .
Zinc
5 83
0 575
0 000
0 000
,
0 000
U 000. `;
0. OOQ
O:000
Q 000
0 000'
0 000
0000
``_ 6 4.1$.
Total
Phos-
106:127
30:,338 ,.
0.000 =
0 000 :
0 000
0 00.4
0 000
0,000 ,
0 000 :
- 0.000
0:000
-.000
136:465
chorus
"I certifv. under Denalty of law. that this document was DreDared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^risonment for knowing violations".
;;!:�e 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATIOlN ALD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Dennis Simmons
Operator: Dennis Simmons
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:,.,. '. ��:�U'`.: Site #:
Predominant Soil Series: IrB
Crop 1 Max. PAN:
88
Crop 2 Name:
Acres Utilized: 17.7
CS036 Acres Permitted: 17.7
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
a
++ o
11
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Precip.
Past 24
Hrs.
inches
Y
cc 'E
°
o
co
w, �
* --
o
TKN
mg/kg
Z
cl
10 o
co
es m•
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
7/22
84500
5.3
1 b55
East Burlington
Dry
<.5"
S
0.5
0.3
21130
2960
90
r 4.816
' ' NA..a
Fescue
7/24
78000
3.4
0 625
South Burlington
Dry
<.5"
S
0.5
0.3
38700
30470
40
22.173`
a
N.�i
Fescue
7/24
208000
5.3
2.,97, t
East Burlington
Dry
<.5"
S
0.5
0.3
21130
2960
90
36.470A
`Fescue
0 Q'00
0.000
0:000
0.000
0 000'
0 000
0.000
O.00Q
0.000
0000
0.0oo
a oao
0 000
0.000
o tlol�
0.000
o•obb
0.000
fl.oSo`
fl 0000 '`
0.000
0.000
. 0
0
�.'
Residuals Applications totals on FORM
FSF su attach FORM FSF supp
to this form :
0.000
0 OOQ._.
TOTALS
' 4 O
3�0a00
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
73.458
0 000 :
Lime A lied
Annual lbs/acre
6.043
0 043` `
1 7$7 .
'4 682
0. 42
0 002
0 4
A r14fi
0 �43
`6 4Y8
1 ;6' 465 ::: ....:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.415
0.445
55.435
17.203
7.278
0.145
1.27
4.143
0.317
77.112
Current Cumulative lbs/ac
0 4',58F , _ ,
, ., 0 488 '
S7.222
17 885
7.720
Permitted C. P. L. R.****
36
34
1 1338
1
267
1 15
374
1 89
1 2498
ermit P P AN Limit 1 s 2nd Cro t/ P
;.88
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 _ **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier
Date I
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 51.71
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q -,rator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: IrB
?s Used: 11 Acres Permitted: 11 Site #: CS036 Field #: 8
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
M.
Com-
posite
�.
©
©
m
iQ
0
Total
.,phorus
f uai rieaw ivietai r iela
(uaicuiatea in ins/acre):
DT1Ac./
App.
Event 4.70
Arsenic 6.047 0.000 0.000 0.00.E 0.40 0.000 0.000 0.00:0 0.000 0.0.00 0,000 0.000 0 647
Cadmium 0.047 0' 000 0.00.0 0:.00:0 0..00.0 0.0020., ., 0..00.0 0.000 0 000 0.00.0 . 0.000. 0.000..:. OW
Lead
Molyb-
0.041,
0.0fl0;
> '0 flOQ` :
0 000
0.000
0-000
0 OOn
O fl00
Q 000
`' 0 00:0
0 Q.00
0::000•
0 047_
denum
Nickel
0 179
fl .000_
0 00
0 fl00
0 r000
Q 000
0 000
0 0:00
0 000
:r 0 0�0
0 0=00
0, ;;
6.179
Selenium
0 047
, 0 Q00
rt 0 000� ,:
0 000
0 Q00
0 OOO t
0 000,
0.000
0 000 „
0 OOQ.
O ,OqO
0000
0.047
Zinc
7 522
O.Q00
,0 000
. `0.000
0,000
0 OUn `.
0 000
0 000
0 000,
`0 0.00
0 000
0000
7 522
Total
Phos-
136::611
0::000
0 00
0 00:0
0,:000 ..
0 OUO .
0 OQU
0.000
Q 000.• :.
0.000
0.0QO
0:00:0
136.611
Dhorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im—isonment for knowing violations".
4��
`_ 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION - aLD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Dennis Simmons
Dennis Simmons
Crop I Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 5~1 71 . Site #:
Predominant Soil Series: IrB
Crop 1 Max. PAN
88
Crop 2 Name:
Acres Utilized: I
CS036 Acres Permitted: 11
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
5
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
firs.
inches
Y
410
�; 'd
w
c
o
* �.
4
� Es
* N'
0
TKN
mg/kg
Z a
a �
a' c
w•
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
Ibs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
7/21
130000
5.3
2 612
East Burlington
Dry
<.5"
S
0.5
0.3
21130
2960
90
36.677
NA
Fescue
7/22
104000
5.3
2 000
East Burlington
Dry
<.5"
S
0.5
0.3
21130
2960
90
29.341 '
NA
Fescue
0 OOp
0,000 ".
0.000 ".
O 600
0.000 .
0.000
0.000
0.000
6.000
0.000
0:000
0.000
0 O:UO
0.000
0.000
0 U;00
0.000
0.000:
Q
6;001.
0.000
'0.000
0
000
"
0.000
0.000'
0
ORO fi"
0.000
0.000
"il
0 ... *r".
�, 0 OQOt" ":
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0:000
TOTALS
01
234006
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
66.018
0.000`
Lime Applied
Annual lbs/acre
0 Qit7
. 0 047 r
` 2 0400
62r1
0.555
0 002
`0xb47''
{1 179a,
©04;rT7
522
13:.611
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.367
0.458
56.386
18.574
7.583
0.151
1.124
3.965
0.287
75.522
Current Cumulative lbs/ac
_ Q 414
;;' 0 505 .
58 426;x
19 1.95
8.138
0 T53 "
., lr 171 '
' L44'
`�,0.
8 .Q44
Permitted C. P. L. R.****
36
34
1338
1
1 267
15
1
1 374
1 89
2498
Permit PAN Limit 1 st/2nd Crop
P
8$.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 60.34
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q-rator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: IrB
t_ :9 Used: 14 Acres Permitted: 14 Site #: CS036 Field #: 10
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
EB
6/5/17
__2j
3 j
L41
1 511
6
1 71
18 f
191
10J
11 1
121
% Solids
5.3
Arsenic
5
Cadmium
5
Copper
217
Chromium
66
Lead
59
Mercury
0.2
Molyb-
denum
5
Nickel
19
Selenium
5
Zinc
800
Total
Phos-
vhorus
14530
£ ual
�.,ial
DT/Ac./
App.
Event
Heavy metal r ieia
1
4.31
1 21
1 3
Arsenic 1
0.,043
0.000
0
Cadmium
0 043
0:000.
0
Copper
14-71
0<000
0
Chromium
0 SG9
0000
0
Lead
0 569
0..000
0
alcu_ latea In lbs/acre):
5 6 7 8 9 10 11 12
H
0
0.000 '.. 0.000° 0.000 0.000 0.00'0' 0.000 0.000 0.000 0 0�
Q,000, 0 000 0.0,00 a ooQ o.00:0 0.000 0:00o Q.000 owl
Molyb-
0 043
0:000
0,000:
0 000
0.000
0 000, `
6w, 000
0.:00.0 ,
0 000
0 �00.0
0 000
0.000
0:043
denum
,.
Nickel
0 164,
D:000
0 000 _
0 00Q
0 Q00
0 000: ..
0 OOQ
0 000
0 000
0 000
- 0.6-00.
Q.000
0 164;
Selenium
0 043
0000
;, 0 000 >
0 000
0 000
0 000' '
0 000
0 000
0 000
: 0 00.0:
0.000
0>:000
0 043
Zinc
6 89:6
0:000
.0 OU0
0 00.0
0-Q00 .
0 000 :
0.00:0=
0 ObO
0 OQQ
` 0 000
0:000
0: 000
6.896
Total
Phos-
125.249
0.000 .
' 0.000
0.00.0
OAOQ
0 000
:. 0,00'Q
O.U`00
Q.000
0.000'
0.000
0.000 .
125.249
,horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iir- -isonment for knowing violations".
25;L 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION . iELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 10 Acres Utilized: 14
Land Owner: Dennis Simmons Annual Dry Tons Applied . r 60 34 Site #: CS036 Acres Permitted: 14
Operator: Dennis Simmons Predominant Soil Series: IrB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 88 Crop 2 Name: Crop 2 Max. PAN:
$..
o �
O
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
ova
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Precip.
Past 24
Hrs.
inches
Y
4 b
'8
o
o
N'
x
a+ �.
N
* 0
TKN
mg/kg
Z a
o
w'
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop I
Crop 2
7/20
110500
5.3
1.744
East Burlington
Dry
<.5"
S
0.5
0.3
21130
2960
90
24.495
NA
Fescue
7/21
162500
5.3
2;5.65 �:
East Burlington
Dry
<.5"
S
0.5
0.3
21130
2960
90
36.022
NA
Fescue
000
0:000 .
0.000
0 000
0 000 '.
0.000
0 00A
0 000 <"
0.000
O'000
0.000 .
0.000
.6..0601
0.000
0 000,' ,P
0 000 ,
0.000
0.0 ' .:
A000 '
0;000
U 006
0 Q00
414
�0.000 "_
0.000
0.000
0:000
:: :• :
0
�0
;:•
0,Q00 `,
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form).
TOTALS:
01
As
Cd
Cu
Cr
Pb
Ri4
Mo
Ni
Se
Zn
P
Go 517
0.000'
Lirne Applied
Annual lbs/acre
O ;Q43'
'` 0 043
y 1 871
e 0 569
0;�09
0 02 <
.0 043
'0 164;.tQ
043 j
6 89b,2:249
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.22
0.178
33.736
9.774
4.274
0.087
1.091
2.352
0.278
47.891
Current Cumulative lbs/ac
0 63 ;:.
0 221
35 607
10 43>..
1.783
q 089
,_� r34 ;;
"24�16_
0 3 1
�54`787
Permitted C. P. L. R.****
36
34
1338
267
1..15
374
89
2498
Permit PAN Limit 1st/2nd Crop
88
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (1212006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 64.26
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(?aerator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: IrB
S Used: 18.8 Acres Permitted: 18.8 Site #: CS036 Field #: 11
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1;
SB
7/10/17
2
EB
7/10/17
3
EB
8/7/17
4
1 6
L 7 1
8
9
10
11
12
% Solids
3.6
5
3
Arsenic
5
5
5
Cadmium
5
5
5
Copper
153
180
108
Chromium
1.40
62
48
Lead
22
70
33
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
40 1
18
18
Selenium
5
5
5
Zinc
347
460
620
Total
Phos-
?horus
37500
26000
6000
P -uai Heavy ivietal r ieia uoaaings tuaicuiatea in iasiacre):
(al 1 12 3 4 5 6 7 8 9 L01 11 I 12
DT/Ac./
App-
Event 0.26 2.16 1.00
Arsenic 0 001' 0.022 1 0.010 ,0.000 0:0060.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.034
Cadmium 0.003 O;Q22 . `0 010 '. . 0.000 0;000" " 0 00,0 0,000 0.000 0A00 0.0.00. 0_000 , 0.0.OU :, 0.0,34
Lead
Molyb-
0 003
4 422 :
0 010;.:
` 0 OtI9
U 00
0.000
OQt
Q 6bII
_0 000
0 00()
0 000
{I flQO.
= A 034,
denum
_
: _ ..
Nickel
0 02
0 g78
0 036>,R
0 000
O.OQD
0 00
;' Q 00(
O YlUO
0 000
`. i1,000
0 (QO
0:000
;. 0 134
_
,
.
Selenium
0� 003
0 02
0 010 ,
0 000
0 000 _
0 000 .
b OQ:D
0.'Q00 .:
0 OQQ
000'
0 OUO
0000 ?
. 0 034
Zinc
0 180
190
1 234 ;
0, 000
0 000
0 000 :?"
0 000`
0 000
0 000
O,QUq
0 000 ,
0:000
3,404
Total
Phos-
19 500
11,2 -76
11 _4A::
0 U00
O.o00
_ 0.000 '
0 OOQ.
o:000
a o0a. ,
o.a.0o
0.000
-0 000
` 143.9`1-6'
phorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imnrisonment for knowing violations".
2e G� 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATIOlti v IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 11 Acres Utilized:
Dennis Simmons Annual Dry Tons Applied:.' ;54 26 ' `' Site #: CS036 Acres Permitted:
Dennis Simmons Predominant Soil Series: IrB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 88 Crop 2 Name: Crop 2 Max. PAN:
18.8
18.8
0
� =
Q
Volume applied
(enter one) Solids/
Li Liquid
q
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
SoilPrecip.
Cond.
(Dry,
e °
Moist)
Past 24
Hrs.
inches
a
4 "
t?'
o w
0, 11
* o
c
* �'
R
;e
w -,
*
p
TKN
mg/kg
Z �
q
o
w.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop l
Crop 2
8/28
32500
3.6
0.2;60
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
7,775
NA
Fescue
8/28
195000
5
2163
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
36 808.,
NA
Fescue
9/25
149500
3
05 x
East Burlington
Dry
<.5"
S
0.5
0.3
18600
11200
8o
1;5 718 :':
NA
Fescue
0 ona
o 000
=o oqg„.
o aoo
n aoo :
0.000
0 6;00 `
o:000 `
0.000
o aao
0.000, `
0.000
0- 000
b 000
0.000
o 000 ;
a ooa
0.000
0 000 '
0 000 ;
0.000
� 0 b°00„
' 9 000
0.000
O;a00
0,006
. 0.000
0
0
4 000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000,.
0:000,
TOTALS
o
3� u�.ea
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
66.30� ,
0.000
Lime Applied
Annual lbs/acre
0634
".r 0 034 ,'
1 Q73 +
�? 0 4,7
038Q
0 OQ�1*OAQ3;
5� Q 134
4034
3 464
143`.916:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.171
0.131
14.057
3.794
1.904
0.044
0.423
1.463
0.185
31.241
Current Cumulative lbs/ac
t1;05
-. 0165
15 15
ss4 2 1
2.284
0 045
.:s fil 457
119 i
0 214�
. _34f645 }
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
1 374
1 89Y
1 2498
Permit PAN Limit 1 st/2nd Cro P
88
"°I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 72.79
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Qr gyrator: Dennis Simmons Owner: Dennis Simmons Predominant Soil Series: IrB
1 ;s Used: 24.2 Acres Permitted: 24.2 Site #: CS036 Field #: 12
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
SB
7/10/17
2
EB
7/10/17
3.
EB
8/7/17
14.
5
6
_7_1
8 J
9
10 j
Ill
12
% Solids
3.6
5
3
Arsenic
5
5
5
Cadmium
5
5
5
Copper
153
180
108
Chromimn
140
62
48
Lead
22
70
33
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
40
18
18
Selenium
5
5
5
Zinc
347
460
620
Total
Phos-
chorus
37500
26000
6000
F ual
heavy lvietai r iela i oaaings
(ualculateci1n iDs/acre):
ial
1.1
12,
1 3,
L41
5
6
7
8
9
10
11
12
DT/Ac./
0
App.
Event
0.04
1.46
1.51
1"
Arsenic
0.666,
0.015
0.015 ''
0.000
U00
0.000
0.000
0 000
0.000
0.000.
0.000
0 000:.
0.0310
Cadmium
0 000 _
,0.015:,
,, 0 01,E
0 OOU
0.000.:
0.09 0,
0 000'
0.000
0.000
0.000
Q.000
0.00Q ,.
0.030.
Copper
0 012
0 524
0 327,.
0 OQO
0 U00
U 000 ;
0 OOq
0 000
0. 000 ,.
,` 0 (J00
0 000
0,000
$ } 0 63
Chromikam
0 011
0`.181
A 145
0 000
0.000
0 600
0 000
0 Q00
Q 000
'' 0 000
0 QUO
0-000
.v 0 33T
Lead
0 002
„ 6.204
0 100
0 OQO
O:Q00
0 000
L 0 000
0 0:00
Q 000
0 000` r
0 OUO
0.000
0 305.
Mercury
0 000
0.001
0 001 ,'
0 D00
0 000
0 000 "
0 000
0 000
b 000
0 000
0 000
0 000.
0 001
Molyb-
0 000
Of 015
0 01.5
0 00:0
0 000
0 000
0 00Q
0000
0 000
0 000
0..000
0:;000
0 030
denum
....
Nickel
0 003
0 052
0 054 '
O OOQ
0 000
0 000
0 000
0 UOQ
0 000
0 000
0 Ob0
„0.000
0 11,0
Selenium
0 00`0
O:Ui5
0 O15
low-
0 000
0 000;,
0 OOU
0 U"00
0 000
0 000
0 000
0 000.
0 030'
Zinc
0 02:8
1.340
`. 1
OQO
0 000
OOQ
1 0 000
Oee0D0
0 000
; 0 QOQ,
0.000
0=000
342'.
_
�
' .
L.horus
3 000
75 712
. 1-8.144.
0.000
U:.000
000
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
aae 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION efELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Dennis Simmons
Operator: Dennis Simmons
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 72 79 ' ` Site #:
Predominant Soil Series: IrB
Crop 1 Max. PAN: 88 Crop 2 Name:
12 Acres Utilized: 24.2
CS036 Acres Permitted: 24.2
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
$*
°
° °
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
ova
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(Np Q
DES #, W #,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
b
'd
rt
o
c
7y
* C'
=
w
N
TKN
mg/kg
Z ��
o°a c
co R
�.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
pp
Ibs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
8/25
6500
3.6
O:;Q40
South Burlington
Dry
<.5"
S
0.5
0.3
39000
16000
80
1J08
NA'
Fescue
8/25
123500
5
1 A64
East Burlington
Dry
<5"
S
0.5
0.3
17500
16000
60
18110
Ni✓, " '
Fescue
8/28
45500
5
0 392
East Burlington
Dry
<.5"
S
0.5
0.3
17500
16000
60
,` .672
NA"
Fescue
9/21
221000
3
1 j`,2
East Burlington
D
<.5"
S
0.5
0.3
18600
11200
80
18.051
NA w`.
Fescue
9l22
71500
3
0 30
East Burlington
D
<.5"
S
0.5
0.3 1
18600
11200 1
80
5840
NA
Fescue
0 OpOs
U' 000
0 0,00
0.000
0.000
a o0o ah
co. 000
0.000
0 Q00
1r.000
0.000
.0.000
a000
o 0oo
0 0;01?
0.000
0,000
0
0 ,..>
0 0.00`
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.t)00
0.000
TOTALS:
a
468000
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
49.88 t
0.00 0:
Lime Applied
Annual lbs/acre
O Q30
" a 030 _
t) 863
0 337
0.305
0 ot)t�03�0
lid
UFO
' 342
96856 :.:.:...::...:.:::.:......:
<
-
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.19
0.145
18.244
5.854
2.994
0.053
0.739
1.649
0.21
32.185
Current Cumulative lbs/ac
0 220+
`. 0, 17S °
` 19107
61: '1
3.29 }
0 t154
0 769
i 1339
' 0 24Q'
35 427 ;
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
15
1,
1 374
891
2498
it P Limit
Perm AN L mit nd Cr
1 st/2 Crop
�.
88...
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 3496
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q„gyrator: Elizabeth Kirby Owner: Elizabeth Kirby Predominant Soil Series: FgB
;. ;9 Used: 14.2 Acres Permitted: 14.2 Site #: CS 113 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
EB
8/7/17
2
3
L4J
5
6
7
8
9
10
11 .
1121
% Solids
3
Arsenic
5
Cadmium
5
Copper
108
Chromium
48
Lead
33
Mercury
0.2
Molyb-
denum
5
Nickel
18
Selenium
5
Zinc
620
Total
Phos-
horus
6000
P ual
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
fal
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
0
App°
Event
2.46
Arsenic
0.025
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
"0 025.
Cadmium
0..025
0
JO
3
.
.ao0
0_U0.0,p.00U,
000_
Copper
0 5°2
Q Q00
0 000 ,;
0 000
0 b0`9
0 000 ;`
0 OOD„
30 0;00
U 000,
000 -
0000
Chromic
0 236
0 004
„ 0 000
0 Q00
n,OQ
0 OOli
0 OOU
.A 0 000
Q,000
Om000
0 Ob0
0.000
Lead
0 1.62
0 y00=0 ¢
0 000..
0 OOp
0
000, `
:0 000
0 OOfl
0 000
:0 000
OOQ
Q -000
f� '000
0 162 _
Mercury
' 0 001D00
9 000 -
y 0 000
0 OOU ,
, 0 000 ,;
0 000
0 ODO
„ t)00 !
�YO 600 a
4 0 000
O'000
`'LL-0 001
Molyb-
0�025�
, 0 U00
0 000�'a
0 000
0 fl00
0 000
r 0 000
0 0:00
0 On0
- 0 000'
0 OUO
0;=000
en
Nickel
0 089
0 (100
0 000
u 0 00...(1
0 0�0
0 000
r 0 000
0°000 $0
�00
0 000:
0 00
O'000
r0 089°
Selenium
0 025
000
0 000
0 00Q
0 000
, 0 000
`r 0 00
0,U00
0 000
9 0 000
0 000
0.000
- 0 025 r:
Zinc
3hO5a
0 000
0 OAO _'
0 000
z 0 QOD
0 000
OOQ
0 Q:00
Q OOb
0,0.. 000-`
0 OUO
3 053-,
Total
t
Phos-
29 544
0 U00
U 000 '
0 00.0
0:000
0 000..,
000
0 0.-�0
Q 000
'" 0 000
0 000
0000
29 544
horus
.0
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imnrisonment for knowing violations".
._Z� 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATIO1* :e IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Elizabeth Kirby
Operator: Elizabeth Kirby
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied & }`'4 96 , :` `' Site #:
Predominant Soil Series: FoR
Crop 1 Max. PAN:
117 Crop 2 Name:
CS113
Acres Utilized: 14.2
Acres Permitted: 14.2
Cation Exchange Capacity (non 503)
Crop 2 Max. PAN:
°
y
Q °
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
A
b
o
a ..
o
>v
�.
* N'
+�».
o
2
# N
* w
TKN
mg/kg
Z
ct
o o
R
w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
9/25
71500
3
East Burlington
Dry
<.5"
S
0.5
0.3
18600
11200
80
9.952
Fescue
9/26
169000
3
1.484
East Burlington
Dry
<,5"
S
0.5
0.3
18600
11200
80
" 23':524
wNA , :
Fescue
9/27
39000
3
0 344 ",;
East Burlington
Dry
<.5"
S
0.5
0.3
18600
11200
80
5.429
Fescue
°1DtlbD
0.000
.000
0.000
0 000
0`.000
0.000
0000 �
0.000
OM),
0.000
,0000
0.000
{ 0 OOU
O OOOt
0.000
®004Y
0.000
0'-
0
+' 0,,000�
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0•00{)
0 b00,
:::•
•:•.::•.. .
TOTALS
01
279500
:;:,:: ; ::
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
38.905
1 o OOU-:;
Lime A plied
Annual lbs/acres0
236
O. l62
0.001
s 0 05'
089
OZ_
3, 0533~
29 54.::.:::::':.:::::::.:::::::::.::
::..::•.:. •:• : :
Date
lbs/ac
Prior Years Cumulative lbs/ac
0
0
0
0
0
0
0
0
0
0
Current Cumulative lbs/ac
tx925
025„
0 2:
'0 2 6
U 162
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
1 15
1
374
89
2498
it PA
N AN Li nd Limit 1 st/2 Crop
P
11 7 's.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/lncorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 1 -9:.1
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
('--gyrator: Ervin Kimrey Owner: Ervin Kimrey Predominant Soil Series: HrB
1 s Used: 3.2 Acres Permitted: 3.2 Site #: OR007 Field #: IA
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1 1
SB
4/10/17
21
1 3
4
5
6
7
8
9
10
11 J
12!
% Solids
5
Arsenic
5
Cadmium
5
Copper
120
Chromer11-1
160
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
5
Selenium
5
Zinc
460
Total
Phos-
?horus
8100
f ual
meavy lvletai k lew Loaaings
(ualculatect in ins/acre):
Kcal
1
121
L 31
L 41
L-5-1
6 j
L718
L9J
10
11 j
2
_
DT/Ac./
0
App.
Event
4.66
Arsenic
0.047
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1 0.047
Cadmium
Q 047
Q _01).O,e
Q Q000
Q00
O;Q00::.
0 000:.,.
0 000 ..
0:00.0
0 OQQ,k
p 000
OQQO
,. O.00Q z,
0 U7 :.
Copper
1.118
l 0::000
0 00`
a ,0 Q00
0.00,0
0Ob t
0 00(} "
0 Q00
0 000,
:0 (100
0 QQO
Q000
i 1 11
Chromiun
1 49=1,
0.000
0 Ob0`�'a
0 OQO
s & 000`
' "(1..OflD
0 000 t„
0 U00
0 max';.
0 O(10
0 E?(30
b00
1
Lead
101. W
* 0 090
b b0'
, O OOQ
< 4 Qt1D
OFb
O QQ4
O f4
©O(f 00.0."
Mercury1)An
s
t
4 Ofi<!O<�
�°0
Molyb-
A.-_
0,047
k
0
o oocF.:
�lao
o:000
_
0 ooc
�
o ooc
�
, �ty000
34
0 000
a.oea30=(4
.
Nickel 1
0 047
Q00
D 000
0 i10()
00
00„
0, OOQ
0 000
0 000;Ii.Q
OQU
©00
0(l0( .;
;0
Selenium
0. Q47 ,O
OOa
�0 00
0 0
0 U00
Zinc
286 _
0 000
``0 00
` Q 000
0 Q00
0 OOQ
Q AV0
000
Q00''6
Q(p
0 000
OOOQ'486:
Total
.Y
.. Y
x ff
Phos-
i 476
Q00
_0 0t
0.000
O.Q_00
0 OQO
0 OQEI
0 60
D 00��'`
0,000
--OD
0 6
,�F5:476`
�hOrI1S
r^.
T -
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel property gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iip-risonment for knowing violations".
;6(-e G; %{Oz_ 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION .&LD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Ervin Kimrey
Operator: Ervin Kimrey
Crop I Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 1:4 91 Site #:
Predominant Soil Series: HrB
Crop 1 Max. PAN:
158
Crop 2 Name:
lA Acres Utilized: 3.2
OR007 Acres Permitted: 3.2
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
a0i �
O
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NpDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
� 'z?
a
o w
8, o
o
o
w m
u
*
w P
E✓
* ~
TKN
mg/kg
z
S
o S
rs w'
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I T
Crop 2
Crop I
Crop 2
5/4
71500
5
4.659
South Burlington
Dry
<.5"
S
0.5
0.3
30000
20000
100
1.22.057
NA
Fescue
0:000 , °
0.000 "-
0.000
0 000
0, 00
0.000
0 oqo
0:000 .
>o
"4 ti.00
0.000
0.OQ0
0 000
o.000
oola �r,
0:000
0.000
o..Qoo
0.000
0.000
6.000
0.000
o.06 -
0:000
0.000 .
o aoo
0.000
'000
a Qsso ';
0.000
0.000
Q
0
Q,000,�
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0; 000
0 0
TOTALS:
0
71500
As
Cd
Cu
Cr
Pb
RR
Mo
Ni
Se
Zn
P
�2. 571
0.000
Lime Applied
Annual lbs/acre
0 047 r
0 047
1 118
1491
0:047
„D 042
0J4�7.,
OdQ4�
<6 4147
4286,E75
476
:::::::::::::::.::: ::
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.044
0.028
3.046
3.119
0.223
0.009
0.073
0.175
0.067
6.682
Current Cumulative Ibs/ac
0 0:91
0 07S -
4?164;
.,..4 61;0�
07b
'0 01y
X. 0.12a;,
�} 22
•01
10 9G&
Permitted C. P. L. R.****
36
1 34
1 1338
1 267
1 15
374
89
2498
,Permit 't PAN Lima 1st/2nd CroP
p
158.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 27.1,0
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
¢ �rator: Ervin Kimrey Owner: Ervin Kimrey Predominant Soil Series: HrB
t_ ;9 Used: 7.7 Acres Permitted: 7.7 Site #: OR007 Field #: 113
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/kg. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1
SB
4/10/17
2
1 4
15 1
6
7
8
9
LOJ
11
12
% Solids
5
Arsenic
5
Cadmium
5
Copper
120
Chromiutn
160
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
5
Selenium
5
Zinc
460
Total
Phos-
chorus
8100
F liai rneavy iweTai r ieia i,o.
-I- 1 1 121 3
DT/Ac./
App.
Event 3.52
Arsenic 0.035 0.000 0.000
Cadmium . 0..03.5 T .0-000 0.000
in tasiacrel:
0.000 ! 0.000 ! 0.000
000 1 0.000
111119111
Lead
0 035
_ D00
0 000 _1
Q QQIQI
19.,,Q00
0 000'
0 000_
Q Q00
U
Mercury
Q.6
0 000
:_ 0 000
0 0.00
0.0:00
0 000
0 000
0 Q00.
, 0. 000
= 0 000
0 000
0 000
0 OQ1
Molyb-
0 035
0 000
0 000 .
0 000
0 000
0 000,
. 0 000°
O Q00
0`000
-' 0 000
0 000
0:000
0 035
denum
Nickel
0 035
AW,
0 000 ::
0.00,
0 000
s 0 000
'" 0 000
0 000
Q QQO
- 0 000
0 000
0_.000
` 0 035
Selenium
0 03.5
0 000
0 000
0 000
0 000
0 000
` 0 000>
0 0;00.
0 000
0 000
0 000
.. 0000
0 635
Zinc
3.2
0 000
U 000 ;'
0 000
0 000
Q 000 :=
0 000
O OQO
0 000 ;
0 000`
0.000
0000
3 238
Total
Phos-
57 024
0 000
0 OQO
0.0.00
0 Q00
Oboe ,'"
0.000
0 Q00 "
. 0-000
0.000
0.000
0,000.
57.024
t 1horus
4
y
"i certifv- under nenalty of law- that this dneument was nrennred under my direction or snnervisinn in neenrdnnee
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^risonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION x tELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
Ervin Kimrey
Operator: Ervin Kimrey
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520
Annual Dry Tons Applied 27� 10
Predominant Soil Series: HrB
Crop 1 Max. PAN:
158
Field #: 113
Acres Utilized:
Site #: OR007 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Name:
Crop 2 Max. PAN:
7.7
7.7
0
y
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
a
/o
Solids
Volume
lied per
Applied P
Acre
(Dry TonslAc)
Residual Sources
(NPDES # WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
�s
o� h
*o
o
� w
w •'
w ,
Fv !✓
# w
TKN
mg/kg
Z
o 5
�;
p w
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/3
39000
1 S
1 OS6 F .' ,
South Burlington
Dry
<.5"
S
0.5 1
0.3
30000
20000
100
.7:668
NA
Fescue
5/4
91000
5
2 4:64 , :
South Burlington
Dry
<.5'
S
0.5
0.3
30000
20000
100
b4'S59
1*7A `Fescue
0.000 :
0.000
0.000
O'OUO '<Y
0.000
0.000
0.000
0.000
4000
1 0.000
fl 0
1 0.000
a000
o•:000
0.000
0 000
- 0,000
0.000
3 ojQno .. '
0.000
0.000
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
0.000
0.000
7377 :
" "' "
13ow
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
92.227
1 0.000
Lime Applied
Annual lbs/acre
�0 0�
0 035 ;
_0 845.E
t*1 126
0.035
U 001°'Q
03S
O 435
;tl 035
N.3 2$,�
,5024:.:::::..::.::::::::.::::::.:.:::.
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.044
0.025
2.781
2.663
0.219
0.008
0.071
0.174
0.059
6.182
Current Cumulative lbs/ac
Q 079
: 0 060
3 bf
389
0.254
Q 009
1 Q
0 2a9'
k U 02
9 420
Permitted C. P. L. R.****
36
1 34
1 1338
267
15
374
89
2498
Permit PAN Limit lst/2nd Crop
.. ..... ..
- -
158'
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 74..54
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
('-rator: Ervin Kimrey Owner: Ervin Kimrey Predominant Soil Series: HrB
t_ ;s Used: 15 Acres Permitted: 18.8 Site #: OR007 Field #: 2
Residual Analvsis Data (Heavy Metals and Total Phosphorus use mLy/ke. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
11
SB
4/10/17
21
EB
10/9/17
3
L4
5
61
L71
8
91
11
12 1
% Solids
5
3
Arsenic
5
1 5
Cadmium
5
5
Copper
120
500
Chromium
160
75
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
5
23
Selenium
5
5
Zinc
460
670
Total
Phos-
chorus
8100
7900
r lliai rneavy ivietai rieia l.oaaings (t-aicuiatea in ins/acre):
. ial 1 2 j 3 f 4 5 6 L 71 L8J 9 Lol 11 I 12 y
DT/Ac./ o
APp-
Event 3.34 1.63
Arsenic 0.033 0.016 1 0.000 0.000 0.000 0.000 0.000 1 0.000 1, 0.000 0.000 1 0.000 0.000 0.050
Cadmium 0:03:3 -0 016 >... 0:00.0 0.00.0 0,000 0.000 . 0.000 ..0 0.0.0 0.000 kaw—) I O.0 000
Lead
Molyb-
0.033
0..016
:.
'. 0 000.
-0 000
0 000
0 000
0 000
0 000
x
0 000
0 000
Q 0'00
O:i000
0 O50
denum
Nickel
0 03
,
01.
0 000
0 000
O:UQO
WL
{
D00
0 000
0 000
0 000
0 000"
0 O:QO
0. 000
0 X 08
Selenium
0 03
0 A00
0 000
Q
000
3 0 000
0 6;00
U
; 0 000_
0 Q00
O OOQ
0 0-5,
Zinc
3 076
2 179
b 000: '
0 000
0 000
0 000 ,;'
0 00
0 UUO
0 000 ;
„0 OOQ
0 OQO
, 0 000
,_SS 254 ,
.•
.
"'
1
-
7oh
54 15--
25:;.691
Q OQQ` ;
0.000.
0 .0'00:
0 000 `
0-000
.0.00Q
0.060,
0 00-0
0.000
0- 000
79.847
"Icertify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iir--isonment for knowing violations".
t�f 1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION .1ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: Ervin Kimrey
Operator: Ervin Kimrey
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied: "' 74;54 Site #:
Predominant Soil Series: HrB
Crop 1 Max. PAN:
158
Crop 2 Name:
Acres Utilized: 15
OR007 Acres Permitted: 18.8
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o �
+�
° 0
°
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonsrAc)
Residual Sources
DES #, W #
' Q °
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Moist)
Precip.
Past 24
Hrs.
inches
a
X 'd
5 d
o w
R
* �
�,
0
w
* kk
A
* 0
TKN
mg/kg
cr
o 3
1 o
, w
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
5/3
240500
5
3' 3'43
South Burlington
Dry
<.5"
S
0.5 1
0.3
30000
20000
100
Fescue
11/21
195000
3
1 626 ,
East Burlington
D
<.5"
S
0.5
0.3
21470
10270
60
•27 826
' . NA
Fescue
ObO
0.000
0 b00'r
0 000
OQ00 Vf,0
00¢
0 b00
0 000:b
000., ;;
O'Q(0�0
b-.0�(00n
Q'-000 .
O
OQO
0."000
0 Qb0'"
'0.00o
%'o.bbO._
O ODO
0.000
x O ;OQO
o.000
0.000
0 000
0
0
......
0,Q'QQ
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000
TOTALS
"~ 01
As
Cd
Cu
Cr
Pb
He
Mo
Ni
Se
Zn
P
115.4111
_%Q
Lime Applied
Annual lbs/acre
�O
1 314
0:050
0,002
d dui
br108 t
UfflS
254�
79 847 :: '::.:' '.:.:
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.048
0.027
3.179
2.669
0.239
0.008
0.095
0.22
0.071
7.246
Current Cumulative 1bs/ac
Q 098 , :
0 b77
r .
5 bA7.
3 983
0.289
U 0l0
0145
. ..
0 328-
0 I2`h
12 3:00
Permitted C. P. L. R.****
36
1 34
1 1338
267
1 15
374
1 89
1 2498
Permit t 1 PAN Limit st/2nd Crop
P
158
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 61.82
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(' --rator: Andy Thompson Owner: James Thompson Predominant Soil Series: GeB
;'s Used: 31.7 Acres Permitted: 31.7 Site #: OR64 Field #: 1
Residual Analvsis Data (Heave Metals and Total Phosuhorus use ma/ka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
8/7/17
_2j
3
4
5 J
6
7
8
9
10
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
85
Chromium
180
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
15
Selenium
5
Zinc
430
Total
Phos-
horus
24000
F
r
1vleral r ieia Loaaings tt-alculate(1 In 1ps/acre
DT/Ac./ — rt
App.
Event 1.95
Arsenic 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 1 0,000 0.000 0.000 0.02,0
Cadmium . 0 02.0 .._0, 000 : 0.000 > O::o00 .0,:000 0.:000. , . O Qoo; .-0.000 0.000 0.00:0 0.0:00 0 0.00
Lead
0 020
0 0©0
= 0 Doo
0 000
O;Q00
0 000
0 oOQ:
0:000
0.000
020
Mercury
0 001
0 U00
0 000`'
0 OOU
0..000
a 000
0 000,
0 000
p 000
0 000_
0 000
0000
0 OOT'
Molyb-
0 020 4
0 000
0 000.
0 00.0
0 ODO
Q 000
,;' 0 0,00.
0 0`00
0" 000
0 000;
O.000
0000
0 020
denum
_
. _
s.
4
Nickel
0 059
0 001)
0 000
0 OOQ„
0 000
0 Q00
0 000
U 000
O'000
0 000'
0 000
0:_000
y0 059
Selenium
0 O20
0 .Q00
0 000 '
0 000
0 000
0 000
0 OOi7
0 000
0" Q00
0 000
0 000
0 000
0 020
Zinc
1 677.
Ot 000
U 000
0 ODQ
0, 0:00
U 000
0 ©Q
0 Q00
U: 000
0 000
0 OQO
0 Q00
>` 1 677.'
Totala:
}
Phos-
93 60,0
0 U00�
0 000
0,
c 0 00U
0 QQO
0 000
. 0 000
Q.090
0 000.0
000
0 OQ0
0.000
93.600
..
:chorus
,._.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im—Misonment for knowing violations".
1/30/2018
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION . IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Thompson
Operator: Andy Thompson
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied: 6182 , Site #:
Predominant Soil Series: GeB
Crop 1 Name: Fescue -Hay Crop 1 Max. PAN:
211
Crop 2 Name:
Acres Utilized: 31.7
OR64 Acres Permitted: 31.7
Cation Exchange Capacity (non 503): 0
Crop 2 Max. PAN:
°�
ALiquid
Volume applied
(enter one) Solids/
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
met'
Moist)
Precip.
Past 24
Ms.
inches
a
0 m
*
o
%e
m
0
w 1
*
TKN
mg/kg
Z
�
a°� o
�.
mg/kg
Nitrate
and
Nitrite
mglkg
PAN Applied
lbs/acre
( )
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop I
Crop 2
9/15
97500
3
0 3'85
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
11.243
1 NA
Fescue
9116
182000
3
.0718 '°,.
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
20.987'
= NA
Fescue
9/18
175500
3
0 693
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
20.237
NA ;;
Fescue
9/19
39000
3
, 0 1'S4
South Burlington
D
<5"
S
0.5
0.3
37000
17000
110
4.497
NA
Fescue
O'000
0.000
0.000
0 U00
0.000
0.000
Ow
0.000
6.600
0 000
s
0.000
0.000
�0 Q00
0.000-0.000
0 0"00
0.000
0-.000
O.b00
6.000
0.000
O, OOQ
0.000
0:000'
0
0`•
0:000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.000,
TOTALS:
o
g940n0
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
. 50.965
0.000
Lime Applied
Annual lbs/acre
0 020
0 020 ,
0 332.
0.'7.02
0.020
0 40T'
0 020
;# 0 05"
„ 0 Q2P
r 167
93 600 .
::::::::::::::::::::::::::: :
...........................
............................
.......................
[late
lbs/ac
Prior Years Cumulative lbs/ac
0.662
0.471
64.912
22.655
12.426
0.241
3.16
5.208
0.459
134.101
Current Cumulative lbs/ac
. OG$2
0 491
f5 244;
23°S7
12.446
0 24^�
..3 18�
6 267_
079
13?78
Permitted C. P. L. R.****
36
34
1 1338
267
1 15
374
1 89
1 2498
Permit PAN Limit lst/2nd Cro
o p
- 21I • .
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 36.60
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
e--rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
t. A Used: 15.6 Acres Permitted: 15.6 Site #: OR64 Field #: 3
Residual Analvsis Data (Heavy Metals and Total Phosphorus use me/ke, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
1 1
SB
10/9/17
2
31
L41.
5
6
7
8
9 1
10
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
250
Chromimn
136
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
33
Selenium
5
Zinc
330
Total
Phos-
chorus
20000
F uai heavy ivletal r ieia Loaumgs kt aicuiatea in lDsiacre):
1- 1 21 L3]4J L 5j L6]7 8 9 10 11 j 12
DT/Ac./ ,oy�
App.
Event 2.35
Arsenic 0,023. - 0.000 1 0.000 I 0.000 1 6.000 1 0.006 1 0.000 0.000 1 0.000 0.000 1. 0.000 0.000 1 0.023
Cadmium 1 0.023 0..00.0, 1 0,00.0..1, 0.000 1 0-000, .1 0.0.001 0.000 w000 I 0..000 0.00.0 Ir 0.000..1 0-00 1 0..023.:
Lead
Molyb-
denum 0 OMB 0 000 0 000 0:00.0 0.006 jp
0 000 0 000. 0 0;00 Q 000 0 000 0 000 0: 000 0 023
Nickel
055
0,000 :
0 000'
0;0Q0
0 000
_ U 000
0 OOU
0 000
Q000
0 000
0 OQO
0 000
0 15
Selenium
0 023
0 000 _
.0 000' ;
0 OOU
0 OOU
0 000
0 OOQ
0 Q-00
[A*
to 000'
0:0.00
0 000
0 023
Zinc
1 548
0 000
0 000:
0 000 ,
0:000
Q 000 :.
0 000:'
0 0:00:
0 000
u
60
0..000
0 000- :
1.548
Total
Phos-
horus
93 ,840
0 Q00
0 000°
0.000
0::000
t'0 000
0 000:
0.000
0.0.00
0..00:0;
0.000
0:000,
; 03 840 `
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^risonment for knowing violations".
/� 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATION .1ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Thompson
Operator: James Thompson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied:. 3g Site #:
Predominant Soil Series: GeB
Crop 1 Max. PAN:
159
Crop 2 Name:
Acres Utilized:
OR64 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
15.6
15.6
0
1.
y o
A
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
pP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,Past
Wet,
Moist
Precip.
24
Hrs.
inches
Y
b
o� m
* o
o
w �._
* rt
o
�.
TKN
mg/kg
z Y
6 o
g R.
mg/kg
Nitrate
and
Nitrite
mgrkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
('r"p I
Crop 2
Crop I
Crop 2
11/16
136500
3
-1.0',
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
27. -90 "
NA
fescue
11/17
156000
3
111
South Burlington
D
<.5"
S
0.5
0.3
34500
10000
70
31.075
NA
Fescue
0.000
0.000
0 O:,Oq
0 000
0.000
0.000 °
0.000
o aoo
0:000
0.000 .
0 Q0,0
0.000
0.000
0 000
1.000
0.000
0.000
0.000
0 0 D0
0.000
O'.000
0 000
0.000
0.000
VIA
0:000
0.000
0
4,,
00,00 ' ?'=
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000 .:
i'OW0,
TOTALS:
0
292500
:::::;:::::
As
Cd
Cu
Cr
H
Mo
Ni
Se
Zn
P
58 265
:°`0A00'`
.:.......
Lime Applied
Annual Ibs/acre
0,A23 ;%''
0 023
> 173:.
0 63`8
0 001
x0 b23 i
r0.905
Osl
yb p23'�
ri.
1548
9>840 .:;: :; ; ::<;:;:;:;
.......
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.273
0.223
29.168
11.534
r3.9962
0.085
1.948
0.243
45.151
Current Cumulative lbs/ac
0296
0 246.�-
30 341
a12' 172
"'0
6
Permitted C. P. L. R.****
36
34
1338
15
374
89
2498
Permit P 2 e AN Limit 1 st/ nd Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
- *Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 99.93
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r --rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
�. is Used: 21.9 Acres Permitted: 21.9 Site #: OR64 Field #: 4
Residual Analvsis Data (Heavv Metals and Total Phos>,horus use m0ke. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1;
SB
3/6/17
21
EB
3/6/17
31
EB
10/9/17
L4J
L5
L6
L7J
8
9
10
Lj
12
% Solids
4.2
5.6
3
Arsenic
5
5
5
Cadmium
5
5
5
Copper
120
160
500
Chromium
140
56
75
Lead
5
5
5
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
5 1
16
23
Selenium
5
5
5
Zinc
290
495
670
Total
Phos-
horus
8330
6230
7900
.1 '1ta1
Heavy
Metal Field Loadings
(Calculated
in lbs/acre):
_,i777F
12 1
3
L4_i
L 5 1
L 6
1 7
8
9
10
Li12
1
DT/Ac./
rt
App.
Event
0.57
2.36
1.63
Arsenic
0.006
6.024.
0.016
0..000
0.00.
0 000
0.00o
o`,000 ,
0.000
0.000
0.000
0.000.
0.0.46
Cadmium
U U,(b
0,.024
0.016
01)00
_ 0:000;
0 000 ;;
, 0 9P
0..000
, 0 00.0,
0.000
, . 0 -000 .
0,000
- 0 046:
Copper
0 137
0�.754
1 634.
0 00:0
0000
0 000
0 000
0.000
0 000 ;
: o 000$
00
op o _
0.000
2 526,
Chromium
0 16:0
0 264
0 245 ;;
0 000
0 Q00
0 000
= 0 OO:Ofi
0 000,
0 000 .
' 0 004
0 000
0 :,000 .
; 0 669
Lead
0 OOC
0.Q24
0 016
0 000
0 Q00
0 000
0 ODQ
0 000
0 000
0 000
0 000
0000 ;
„0 046
Mercury
0 000
„0 401
0 001
0 00',0
0 000
0 000
4 OOQ
0FQ00
-0.0
0 000
0 000
0:.000,
0 002'.
Molyb-
0.006
0 024
0 016 :
0:000
�.00D
0 000
0 OOU
0 ;000
6.000.
0 000
0 000
O'.000
= 0:046-
denum
Nickel
0 006
0 075
0 075 `
0 OOQ
0.0'00
0 000
0 000
0 000
0 000 :
= 0 000:
0 000
Selenium
0 006
0 024
0 016
. 0 000
0 000
0 000
0 000
0 000
O'000
_ 0 000f
0 000 .
0.000
Zinc
0 332
2.333
190 -'
000"0
0 000
Q000
0 000
0 0;00
0000
O'000
0 000
0000
Total
Phos-
9 530
29 368
25 817'
0:00.0
0 060
0 000'
0 000
0:0:00 .
0-0.00
` 0000'
0.000
0;000 -
64.715
chorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im- -isonment for knowing violations".
4;2_ 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION- Y4 ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 4 Acres Utilized: 21.9
Land Owner: James Thompson Annual Dry Tons Applied: Site #: OR64 Acres Permitted: 21.9
Operator: James Thompson Predominant Soil Series: GeB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
U.Volume
0'
�,
� O
Q
applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied
PP P
Acre
(Dry TonstAc)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
>
'�
rt _.
CL w
* 0
o
w�
o'
❑
4
:l
,. w
* N
c
TKN
mg/kg
Z Y
o
as C
mg/kg
Nitrate
and
Nitrite
mgJkg
PAN Applied
(lbs/acre)
Name of Crop Type
ReceivingResidual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/12
71500
4.2
0 572 •
South Burlington
D
<.5"
S
0.5
0.3
45000
15190
260
I9':21(J
NA _:
Fescue
4/12
71500
5.6
0 7b2 . `'
East Burlington
D
<.5"
S
0.5
0.3
18000
3800
64
9.490
NA
Fescue
4/13
149500
5.6
1 594 ,":
East Burlington
D
<5"
S
0.5
0.3
18000
3800
64
19.844
ETA `.
Fescue
11/17
65000
3
b 3 71
East Burlington
D
<.5"
S
0.5
0.3
21470
10270
60
6.353
39A
Fescue
11l20
221000
3
1 2 :`
East Burlington
D
<.5"
S
0.5
0.3
21470
10270
60
21,600
NA.� ,
Fescue
0,000
`4Q90
0.000
0 OQO
0.000
0 OQ0
0 Obo
o.000
o q40
0 000 .
0.0o0
0 040'
1.0.000
0.040
:.:.... -.
o
o .
:::::::::'::
o 000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0.000
0.Wo
As
Cd
Cu
Cr
Pb
H".
Mo
Ni
Se
Zn
P
76-497
0.000---
Lime Applied
Annual lbs/acre
' O Q46 '
0 046 ,'
; 2 526
0 669
0 °Q46
0 002
' 0 0?36 +
O l`5r6
x� 0 046
L4°8,55�
64715 :
....::::.::::: :•:::..::::...
...........................
....................... ....
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.322
0.317
42.825
16.353
5.232
0.135
1.289
2.924
0.272
57.103
Current Cumulative lbs/ac
0 3,
0 363 ,
45 351
J7 022
Permitted C. P. L. R.****
36
34
1 1338
1
1 267
15
374
89
2498
Permit PAN Limit lst/2nd Crop.::
_ :..•...•::•:••>...........;:".:"::•.•.:•:•::::::.:.......:•...:.::•,.•:•:............ ,."::..
:.:::.. .... ..... .............
,.......... .......................... .. ,................. ....
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface- 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 65>86
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
gyrator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
s Used: 16.8 Acres Permitted: 16.8 Site #: OR64 Field #: 5
Residual Analvsis Data (Heavv Metals and Total Phosphorus use maAa. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
—11
EB
3/6/17
2
SB
3/6/17
__3J
SB
8/7/17
L4J
L 51
L6J7
J
8
9
101
11 1
12
% Solids
5.6
4.2
3
Arsenic
5
5
5
Cadmium
5
5
5
Copper
160
120
85
Chromium
56
140
180
Lead
5
5
5
Mercury
0.2
0.2
0.2
Molyb-
denum
5
5
5
Nickel
16
5
15
Selenium
5
5
5
Zinc
495
290
430
Total
Phos-
phorus
6230
8330
24000
F ual
Heavy
Metal Field Loadings
(Calculated in lbs/acre):
1
2
3
4
5
6
7
8
9
10
11
12
DT/Ac./
0
App.
Event
2.17
0.20
1.55
Arsenic
0.022 1
0.002
0.015
0.000
1 0.000
0.000
1 0.000
0.000
0.000
1 0.000
0.000
0.000
I-'Qi.03q
Cadmium
0 22 _
%Q0,2
_. 0,015: „
0.000
0.000 ,
0.000
0 000
0 900 ..
Q Q04
0.000
0.000
0.000_
0.01c, ,
Copper
0 694'_
0
049,
0 263 `
0 OOU,
.. 0 000 y
0 000
` 0 OOQ
0 ODO
0 000
0 000.
0 000
0060
✓1 006;rn
Chromiun
02430'057
0 558
0 0000
Q000
000
0 000
O Q00
0 000
°` 0 006
0 OUOr0
000;
0 857
4,
;
Lead
0 02
fl 402
015.
0 000
0 0000
000t
''. 0 000
0 000
0 000 '
0 OOO:ry
0 OUO
`0 000F%0
03
kU
Mercury
0 OQl
0 Ufl0
0 001 K0
000
0 000
0 000
0 OOU
0 000 '
0" 000
0 OOQ
0 OUO
0 °0-00,
0 002 7 ;
Molyb-
0 fl22
0 UO2
0 O15
0 OOU
0 U00
0 00p
0 000
a.000
x
0--_ 000
l 0 000.
a
0 000
OOOfl
y
0 039
denum
.;
Nickel
0 0�69
0 002
D 046
0 OOQ
0 UQO
000
0 000"0
QUO
0.000
' 0 000
0 nU0
0000
0 1 8
°.
Selenium
0 022 `
' 0 002
0 O15
004
0 000
0 000
' 0 OOQ
0 0'00
U" 000
00�
0 000
0 OOO
U 039':
:
„ =-0
, x
:
Zinc
2 14:6�
0 11$
332 _:
0 000
3000 f
0 fl00
G 0 000
fl00
`4 0 000
- 0 OOt?,
0 000
000,3
59b
Total
",-
-
Phos-
27 01
j 3,3
00,0
0 000
0 OOfl
O OOA'
01?00
0 000
:_ 0 OOU-
0 000
0;000
1-04 747
nhorus
: '
.:
t
>`.
=,.
..
r.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
ze.�e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION �, IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington
Land Owner: James Thompson
Operator: James Thompson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied 65 86 Site #:
Predominant Soil Series: GeB
Crop 1 Max. PAN: 211 Crop 2 Name:
Acres Utilized:
OR64 Acres Permitted:
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
16.8
16.8
0
+� o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist
Precip.
Past 24
Hrs.
inches
Y
n
b
o'
a ?'.
o
o
%e
*
;d
w •,
P
TKN
mg/kg
Z a
Gt 5
o �
P.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
FCrop 2
Crop 1
Crop 2
4/14
156000
5.6
2 L68 ..
East Burlington
D
<.5"
S 1
0.5
0.3
18000
3800
64
25.992
NA. ";
Fescue
4/14
19500
4.2
O:Zg3
South Burlington
D
<.5"
S
0.5
0.3
45000
15190
260
G:831)
NA `Fescue
9/8
91000
3
0 678 '
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
19.800
NA
Fescue
9/14
117000
3
; 0„871., . ;
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
: 25.457
I't2..K;'.
Fescue
0`l1.00 "J41'
0:00000.'.
0 QOQ
4000
O'900'o
o:o00•
aoa
0ono
.6000'?
0 400
0;000 •
0.000
'0.000
0.000
0
0'
10'd00j
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0,000
0.000
TOTALS:
, ," 01
383500
':':::.:::::::
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
���.079
0.000
Lime Applied
Annual lbs/acre
0.039
0 O0 ' ,;
OvO J
a O li8'
• 0, 039 T
3 596
104.747 .. :.:..::::..:.::':::< ' ::
....... .... .. • •..- •
... ....
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.216
0.262
40.76
11.989
4.888
0.088
0.759
1.966
0.18
49.012
Current Cumulative Ibs/ac
0 255.
40 301 -
41 �66;
12t$464.92
s0 y98 ;
2 084
0 2Z9
52 d08
Permitted C. P. L. R.****
1 36
1 34
1 1338
1
1 267
1 15
1
374
1 89
2498
Permit PAN Limit 1 st/2nd Crop
P
- : 2Y .. .
- 1
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 30.58
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C --rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
is Used: 15.4 Acres Permitted: 15.4 Site #: OR64 Field #: 6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or.
Com-
posite
Date
1
SB
3/6/17
2
SB
8/7/17
3 1
4
5
6 f
L7.
L8
91
10 1
11
12 1
% Solids
4.2
3
Arsenic
5
5
Cadmium
5
5
Copper
120
85
Chromiur-n
140
180
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
1 5
15
Selenium
5
5
Zinc
290
430
Total
Phos-
phorus
8330
24000
f uai tneavy ivletat riew Eoaamgs (uaiculatea in ins/acre):
-.,ial 1 _2 3L4 5 L6 L7J L8j 9 1101 11J 1_21
DT/Ac./
APP.
Event 0.30 1.69
oyr
y
Arsenic 0.(}LJ+ 0.017 0.000 0.000 0.000 0.000 0.000 0.0011. 0.000 0.000 0.000 0.000 l?.OWCi
Cadmium 0.003 r. 0:000 O.00Q . 0:_00.o 0,0,00 : o oo0 . 0:.00.0 0 000 ,000 0.0.20 0:017 0 000 .0.0..00.
Lead
0 00
x O fI L7
O Q00` -
0:000
0.000
0, 000 „
(1 fJ00
b o00
tr 0 0 (I�
r 0 004
0 40
0
Mercury
0 000
�D(?l
©000.
0.00-0
9 D00
a®00
0()
0_oi
t Ob(r
QOpB
(3I10000�,
0.001 ;
.
_
;
;„
Molyb-
0 003
3
Q{1i 1
, 0.000 . ;
0.006j0
U00
0 000
r.
0 ��1
0 f 00
000
0 000
0 0.00
0 000
0 OZO
enum
y ,
s >
Nickel
0 003;
0.051
fii 0.00"
0.000
0 000f10
' 0 Q00
0,00
() Q00
4.0 00
moo
O..oOo .
a`'o a5
Selenium
0 003
0 017
0 000:
0 OOU
0 000
0 ()
�000
0 Q00
VOb
? OAOQ
0 OUO
OOOQ
^ 000' ".
Zinc
0 17>>
F u1 453
0 OOtj ',
0 OOU
0 000
0 000'; .
0 000
0 000
Q 0(D :::;t
000
0 OUO
O OQQ
Total
x
,F
}
Phos-
4 932
81.120
0 000°
0 000
0 000
.4 000
(1}�QQ
0 000
0,000
0 Ob0
00
$ ©SF1
chorus
s
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imn*-isonment for knowing violations".
2!:f-e 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
ANNUAL LAND APPLICATIOTS r IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Thompson
Operator: James Thompson
Crop 1 Name:
Fescue -Pasture
WQ Permit #: WQ0000520 Field #:
Annual Dry Tons Applied =• 3(} 58 Site #:
Predominant Soil Series: GeB
Crop 1 Max. PAN:
158
Crop 2 Name:
OR64
Acres Utilized: 15.4
Acres Permitted: 15.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o
15
Y o
Q
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
p P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
d
a
�.
a
* o
c
w
�.
TKN
mg/kg
Z Y
8
R.
p W.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
4/14
26000
4.2
0 296 , , •
South Burlington
D
<5"
S
0.5
0.3
45000
15190
260
9°934
Fescue
9/14
58500
3
075 ' °:
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
"' 13.886
NA
Fescue
9/I5
149500
3
1214 ,t ;
South Burlington
D
<5"
S
0.5
0.3
37000
17000
110
35:486
NA
Fescue
o aoo
Cow
0.000
0 O'003"
0:000
0.000
0 Qt10 ::.y
U:000
0.000
'0.000
0,000
0 0.00 r '`
4:000
0.000
0.000
0 00
0 0001. ` `
0.000
0.000
0
0
, 0;,0
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
0,o0o
0 �QO,. ;
:' <:::'::::::
:::::F-T
:::::
TOTALS:
0
214000
;:::`'::,'-
As
Cdff20.989
Cr
Pb
Rg
Mo
Ni
Se
Zn
P
59.306
0060'.
Lime A lied
Annual lbslacre
' r O:U20 „�
s 020";
0 61
0-..020
U 001
_ 0 00r'
0 054
0 020�
a 1 ¢25
�86051 ; :....:;.•:,.;: _;:
' ' '
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.117
0.146
6.857
2.63
0.045
0.506
1.235
0.105
25.645
Current Cumulative lbs/ac01°37
7 548
2:650 .
0 04fi:'
b2(i= =
1289
U 125
27 2�0
Permitted C. P. L. R.****
36
34
1338
1
1 267
1 15
1
1 374
89
2498
r N Pe mrt PA Limit 1 s 2 d Cr
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 63:.65
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
(.`- -,rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
;'s Used: 11 Acres Permitted: 18.9 Site #: OR64 Field #: 7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
SB
3/6/17
21
EB
3/6/17
3
SB
8/7/17
14
EB
8/7/17
5
6
7,
IL8
L9_1
JLOJ11
j
12
% Solids
4.2
5.6
3
3
Arsenic
5
5
5
5
Cadmium
5
5
5
5
Copper
120
160
85
108
Chromiiiiii
140
56
180
48
Lead
5
5
5
33
Mercury
0.2
0.2
0.2
0.2
Molyb-
denum
5
5
5
5
Nickel
5
16
15
18
Selenium
5
5
5
5
Zinc
290
495
430
620
Total
Phos-
horus
8330
6230
24000
6000
F uai heavy xtetai r ieta Loaaings kuaicuiatea in ins/acre):
1 121 3 4 5 6 7` 8 9 10 1 11 12
0-3
DT/Ac./ 0
App.
Event 1.04 1.79 0.30 2.66
Arsenic 0.010 1 -O.018_1 0.003 6.027 0.000 0.000 0.000 1 0,000 0.000 1 0.000 0:000 0:000 0.058
Cadmiumi, 0.01.0 1 `0.018 1 0.003 0.027 : 0:00.0. , .0.0.00 - o.000. 1 0.0001 0.000 1 0 0.00 1 0.:000 :0.000. 0.058-
M
Lead
Molyb-
0 or,0
o.A18
0 003 .
0.027
0.000
. .
0 000 ;
14
0 000
0A
0 000 ''''0.000
0 000
0, 00
denum
Nickel
0 010
0 U57`,
. U 009
O.U96
0 000
0 OUO
0 000
0 D00
0 000 -
0 000_
0 000
0.:000
0:172
Selenium
0 O10
0,D18
0 003_;
0.027
0 000
0 000
` 0 000
0 QUO
0 000
0 000.
0.0:00 .
U000 ':
' 0 OS$
Zinc
0 600 _
1 77f
0.255 .,
3 3Q0
6.000
{) 000
Q. 00.0
0 000 "
Q p00
0 000
0 OQO
0. 000. '.
5 931°
Total
_
Phos-
17 243
22 353
` 14116$` `
31.932
0,000
_. 0 000> -
. 0 00,0
Q.000
0.00Q ;,.'
0..000
0 000 ;
0.000
85.73`6
Dhorus
"I certifv. under penalty of law. that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^*isonment for knowing violations".
z�z 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION r IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington WQ Permit #: WQ0000520 Field #: 7 Acres Utilized:
James Thompson Annual Dry Tons Applied 63 65 Site #: OR64 Acres Permitted:
James Thompson Predominant Soil Series: GeB Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
11
18.9
0
o 4
N
A
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES # WQ#,
Feit., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
4 T3
co '�
IYr o'
a w
o.
�
o
,� w
0
7y
w •,
* w
0
TKN
mg/kg
Z a
zt
o
vac
w'
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/12
65000
4.2
1.b'35
South Burlington
D
<.5"
S
0.5
0.3
45000
15190
260
34 769
xNA
Fescue
4113
84500
5.6
1 4
East Burlington
D
<.5"
S
0.5
0.3
18000
3800
64
22 330
' NA .
Fescue
9/19
26000
3
06
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
8:640
- "NA`. `'
Fescue
9/20
169000
3
1.2 q`
East Burlington
D
<.5"
S
0.5
0.3
18600
11200
80
3b367
NA Fr
Fescue
9/22
65000
3
nU; 7-, � .
East Burlington
D
<.5"
S
0.5
0.3
18600
11200
80
14.680
NA,,_.
Fescue
0:000
10 000
,0 0'00
o000
0 000 . =
0000
0 000
0 400
0:000
0 a00
0 AA0
;�0.000
0.000
Residuals Applications totals on FORM
FSF supp (attach FORM FSF supp
to this form):
0.000
0.000
TOTALS:
0
n9j0i1
::::.::::.:.:
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
107.7861
0.000
Lime Applied
Annual lbs/acre
0 058
0.353
0"11
36
"0 058
0.344
0 4p2 t
34
� 1448_
49.335
50 783
1338
0.853
15.857
16 7>10
0.207
7.185
7.392
267
0 002
0.087
0.089
1 15
: 0 fl58
0.986
' ` 1044
` 0172
3.002
3 174°
374
'0 05$"
„ ....
0.231
, 0 289,
89
.933
64.478
70,Q9
_., ,.
2498
85 736
............................ . .
. ... ....
.` ` .
............................
............................
Date
lbs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit is /2 rP
t nd C o
158'
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 15.45
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
Q----�rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
Js Used: 8.4 Acres Permitted: 8.4 Site #: OR64 Field #: 10
Residual Analvsis Data (Heavv Metals and Total Phosnhorus use mz/ka. % Solids use Raw Percent #):
Sample or
Corn-
posite
Date
1 J
SB
8/7/17
2'
3�
14
L5j
6
L71
L8]9
10
11
12J
% Solids
3
Arsenic
5
Cadmium
5
Copper
85
Chromium
180
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
15
Selenium
5
Zinc
430
Total
Phos-
phorus
24000
uai
heavy x-tetai r ieia Loaaings
�uaicuiatea in ins/acre):
_ ial
1
L2j
L31
L4_
5_
L6
7
8
9
10
1j
12'
DT/Ac./
o
App-
Event
1.84
Arsenic
0.018
0,000
0,000
0.000
1 0.000
0.000
0.000
fl.000
1 .0 000
0.00.0
0.000 _
0.000
-0.018
Cadmium
0M8
0 000 :
0 000
Ot 000
0-,000
. _0 000 ":
O.000
0 .Q;00
Q 000. ;
., 0 000
0 000
` a:000
; 0 018.
Copper
0 313
0 000
0 000' a
0 Od0
0„000
U 0(1$
0 000
Chromium
0 62
0 000
0 0C10, :
Q 000
0 U00
0 0,40
l OOU
O..QflO
0 000`
0.0`O,Q'
Lead
0 018
0 U00
0 00 ;
0 00U
0}00
(1� Q13,Q
Q. OOU
a o00
o Ooo :
o oaf
{Qt1
0 ,00D
; .0 Q _ 8:
Mercury
0 001
0 000
0 01x
0 000
0013
e
4 000?
= Os00
a d(10
Q 000
> 0.000
Molyb-
0 01;8
0 0©0
0 000
0 000
� �0Q
0 000 *T
0 000e
Q +Q00
0.000
0 000
0 Obi
fl 0Q0
0 O18
denum
. d
Nickel
0 03f
0.000
0 000 .;
0.000
0 000
Q 000
U 000
0 000
0` 000
„ 0 000
0
000
O A00
"0 055
Selenium
0 0,18
0.000
f1000
0 OOU
0 000
0 000
-t Q! 000
0 000
0000,
' 0 000'
r 0
000
OA00
0,0�g..
Zinc
5$
O Q00
' '0 0 0 .
0 001
0 000
0,130
0 000
0 000
- 0 000 ';•
0 000;
0
Total
k
-
Phos-
88 272
0 000�
' 0 000
0:000
0 0:00
0 000
0 000'
0 000
0 000
O.00U
0..000
0000
88.2
phorus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im^-isonment for knowing violations".
;!`—Iz' 4 ;5'_ 1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

Facility Name:
Land Owner:
Operator:
ANNUAL LAND APPLICATION IELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
City of Burlington
James Thompson
James Thompson
Crop 1 Name: Fescue -Hay
WQ Permit #: WQ0000520
Annual Dry Tons Applied:, 15 45j;
Predominant Soil Series: GeB
Crop 1 Max. PAN: 211
Field #: 10
Site #: OR64
Crop 2 Name:
Acres Utilized: 8.4
Acres Permitted: 8.4
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o -�
Q 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
Soil
Cond.
(D ry,
Wet,,
Moist)
Precip.
Past 24
firs.
inches
a
4 d
cc 11
* C
o
w y,
* N'
4
70 �
w
* i
* 0
TKN
mglkg
Z 1
ct
GQ o
g m.
mglkg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
C:nip 2
Crop 1
Crop 2
9/19
123500
3
1 839
South Burlington
D
<.5"
S
0.5
0.3
37000
17000
110
53,743
NA
Fescue
0;000
0.000
0.000
..0a);00
0.000
0.000
0 OUO
0,000
0.000
0 ogok :
0000 "
0.000
o 000 , "
0000 , `
0.000
0 000
0.:000 ::
0.000
0.000
o:Qoo
i;doo ;
0.000
o ono t
6000
: 0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form)
,3755717777
000
TOTALS
n
12_1500
....::::::::
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
53 743
'01000
Lime A plied
Annual lbs/acre
0 01'8,i
:0 018
0 313
b 662
0.018
0 U01
0 9t8 .�
m
Or055 !
0 018
1 5$2
88 272 ' ::: .. . . . ....: ::::.: .:
Hate
lbs/ac
Prior Years Cumulative lbs/ac
0.098
0.097
13.821
6.777
2.045
0.043
0.737
0.848
0.156
23.67
Current Cumulative lbs/ac
0..1.1b
tx115 ,,
; 14 134-
7.439 '
2.063
0 044
0755 ,.
0903
,0.174
25 252;
Permitted C. P. L. R.****
36
34
1338
267
1 15
1
374
1 89
2498
Pennrt PAN Limit 1st/Znd Crop
_.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 31.40
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
r -,rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
1 As Used: 23.2 Acres Permitted: 23.2 Site #: OR64 Field #: 12
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11J
SB
8/7/17
2
3
4J
L-5-J
L 61
17
8J
L9_J
LoJ
11
12
% Solids
3
Arsenic
5
Cadmium
5
Copper
1 85
Chromimij
180
Lead
5
Mercury
0.2
Molyb-
denum
5
Nickel
15
Selenium
5
Zinc
430
Total
Phos-
horus
24000
./ dal Heavy Metal Field Loadings (Calculated in Ibs/acre):
_,W
1
2
4
5
6
L7
8j
L9
O
11
121
DT/Ac./
_L3
App.
Event
1.61
Arsenic
0.016
0.000
0.000
0.000
OA00
-.0.000
0.000
0.000
0.000
0.000
00 0 ;.
0.000
0.016
Cadmi
O.Ol6
0,000
F:uO 000 ;
OiQ04
0
Ot):00
0.000
..'0 OQ0
fl,00Q
0 000
O O,U:A
U,fll
Capper
0 274
O Q00
0 OOd:' :
b,000
0000
_,;0, 00
OOU
0 000
0 QUO <
QDfl:
Q 000
Q.00Q ...,
074;..
Chromium5$p
r O'OOQy..
0 OQA3
0 f100
0 000
0 00`,
�'00(a
0 600
0 OQ0
r 0�J0
0` 000
4 b00: "
if 5$b
Lead
6 016
Q
0 004 ':
Q A0 `
0 ®00
0 00
OOQ
O=fl O
0,0
'
t 0
0_y000
O k6
„ _Q00
_. <'
K_
z
-Q
Mercury
6 00`100
f10110 ..
0
O f3�d
0i©
ONOiI
4 (4(l
dtT
tl QO
00©
4OOQ
; tl. ©fl l
Mol b-
y
0 01.-6
tJ000
f.
0 0
A (Qt)
0Of1
-0 00a
0 �DU
01t�0
( A
4fi1(lt
0 (0
0::000
d num
Nickel
0 08
0 000
(00 ,
..0 000
.. 000
0S()
O,d000
0 .. .,.
0.0
Selenium
0 01:6
0 000
,0 000 .
Q, 000
,0 00
0 000
Y(i;0lJO k'
0 000
0 OOQ
17 0`
0.O i0
OWN
`416
Zinc
1 816
0;000.
0 0'4,
0"OOQ0
0:04 }
0 00
0�1?i1)n
l0 000
f ((pp„00
"
0 �00
00
1 38C.
.
s
.
Total
4�
a
.
Phos-
77 3 76
U U40
.OLQ R ;
•
0.000
0 �000
U 00
I (�00
000
0. Oad
0 OQ
0 a00
O OQQ
77,376
horns
� ,.
_
•
��
�
:t-:.
�.a�x
-
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im--isonment for knowing violations".
Signature of Land Applier
1/30/2018
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Burlington Total Dry Tons Applied (Annual): 118.06
Permit #: WQ0000520 Cation Exchange Capacity (non 503 only):
C ,rator: James Thompson Owner: James Thompson Predominant Soil Series: GeB
's Used: 23.5 Acres Permitted: 23.5 Site #: OR64 Field #: 13
Residual Analvsis Data (Heavv Metals and Total Phosphorus use meJke. % Solids use Raw Percent ft
Sample or
Com-
posite
Date
L 1;
SB
3/6/17
2 f
SB
8/7/17
3 1
4
5
6
171
18119
[101
11 j
12
% Solids
4.2
3
Arsenic
5
5
Cadmium
5
5
Copper
120
85
Chromium
140
180
Lead
5
5
Mercury
0.2
0.2
Molyb-
denum
5
5
Nickel
5
15
Selenium
5
5
Zinc
290
430
Total
Phos-
1horus
8330
24000
I lial
Heavy
Metal Field Loadings
(Ualculated in lbs/acre):
. ,cal
1
1 21
L 3
4 !
5_I
L7
8]9
•
10 I
11 J
12'
DT/Ac./
_6]
o
ApP-
y
Event
3.29
1.73
Arsenic
` 0.033
0,017
0.000 1
0.000
0:000;
0,000
0.000
1 0.000
10 000
0:000
0.000
0.000
1 U50'
Cadmium
0 033.
0: 017 ;
0 000;..
0 0:00
U.:(7UU _
.O.U00 _
0 000
0,.000
0 U00
0 OUQ
0.0-00
0 000 °
O.O Q .
Copper
0 791 ,
.A 0= 294 :
' 0, OA.O
0 00:0
0:;000
0.000
0 000
0 000
0 OOQ
A 000
0 0:00
OOOA,
f 08
Chromium
0.922
0623
0 000
0 00.0
0 000`
0 000 "
,9 000
0 000
0 0.00
: 0 000.
0 000
0.':000
. 1 545
Lead
0 0
0 017 .
0 D00 `
0.0.00
0 Q00
Q30(10
0 004
h 000
0 000
0 OD
0 000
Q: A
,- 6110
Mercury
0 00-:1
0 A01
0 00(1:
0 OOQ
0 ()04
0 000 %:
0 00
0U0
3 0 000 .
` 0 400
0 flOfl
0r000
.:Q.,
Molyb-
0 03`3
Q 017
Y..
b 100 -
0 OQ0
0 80I1
. °0 000
04000
606
Q 000
' 0 00Q-
O.OflO
0.000 '
0 05b.
denum
Nickel
0 033
0 fl52
.. 0 000
0 O,On
0 000
0 000
Q 000
0 000
k, 0 OflQ1.'
. O,bO.
0 OUO
U: 0
fl 085,
Selenium
0 033
07, 017
0 000
„ Q OOU
O, Q00
0 OOY '
0 000
0 000
0. 000
fl00
0 000
0 000
0 OSa
Zinc
1911
I.488
0 Q0^ '
�. 0Q .
0.000
0 Q00 .
b (10,0:
0 0..00
0.000 '
0,000
0 OQO
0000
Total
::...
Phos-
54..8-78
83;040
0 006 1
6000
0 000
0 000 411
01000
0,b.00
A 000
0.000.
r 0.000
0 000•
137.918
ilhorus
"I certify. under nenalty of law. that this document was nrenared under my direction or sunervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
im- -isonment for knowing violations".
1/30/2018
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION w 1ELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "NIA" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: City of Burlington WQ Permit #: WQ0000520 Field #: 13 Acres Utilized: 23.5
118 06 Site #: OR64 Acres Permitted: 23.5
br , �
Land Owner: James Thompson Annual Dry Tons Applied ;
Operator: James Thompson Predominant Soil Series: GeB Cation Exchange Capacity (non 503): 0
Crop 1 Name: Fescue -Pasture Crop 1 Max. PAN: 158 Crop 2 Name: Crop 2 Max. PAN:
° Y
° 5
QLiquid
Volume applied
enter one Solids/
( )
Cu. Yds Gallons
o
/o
Solids
Volume
hed er
APp P
Acre
(Dry Tons/AC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
a
co b
°n
* o
o
;h �•
* h:
;
w� •,
;
TKN
mg/kg
Z
:
o
as o
0 w•
mg/kg
Nitrate
and
Nitrite
mgtkg
PAN Applied
(lbs/acre)
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
4/10
201500
4.2
1 5.2
South Burlington
D
<.5"
S
0.5
0.3
45000
15190
260
50452
NAv
Fescue
4/11
240500
4.2
"1792
South Burlington
D
<•5"
S
0.5
0.3
45000
15190
260
60,217
Fescue
9/28
97500
3
" 0 519
South Burlington
D
<5"
S
0.5
0.3
37000
17000
110
15.166
, NA • :
Fescue
9/29
227500
3
121l ,,
South Burlington
D
<,5"
S
0.5
0.3
37000
17000
110
35388
1�TA '
Fescue
0 0:00
0`s000
0 000
0.000
0.0.00.0,
0�0;9Q
0.000
0 000:
-b.,wo
0.000
0 Q00,
'0 000i
'0 00o
0 0
0.000
0.00
uo:ooQ,
0
0
0.OQ
Residuals Applications totals on FORM
FSF supp ( attach FORM FSF supp
to this form):
Os000
0 01?0
TOTALs
. 0
7H�(uiG
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
161.223
0 0o0 'R
Lime Applied
Annual lbs/acre
0 "050
0 O50"
1085
°i 54
0.050
6,002
0 p50 �
' OF085`
a 05o
3 98'
13T 918" :::...:.:: . ::::::::::::::::.;:
::::::::::::::::::::'::::::: ::::::::::::::
' '
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.065
0.041
4.529
2.099
0.41
0.015
0.15
0.328
0.096
11.672
Current Cumulative lbs/act5
460
'0 01
Q 20
0 413`r.
014b
M15 0.70
Permitted C. P. L. R.****
36
34
1338
267
15
1
374
89
2498
Permit PAN Limit 1st/2nd Cro P
1513
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
*Application Method: S - Surface, IN - Injection, INC - Incorporation
1/30/2018 **Volatilization Rate: Surface - 0.6, Injection/Incorporation -1.0
Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

F,
n
u