WQ0006594_Residual Annual Report 2014_20150430

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0006594 County:
Facility Name ( own on permit):
Land Application Operator:
ROCKINGHAM Year: 2014
LISA HAYNES
UNIFI, INC.
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
Ll Yes 21 No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were p' 1A1®
generated but not land applied, please attach an explanation on how the residuals were haRECEIVEDIDENRIDWR
Part A - Residuals Application Summary:
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Total number of application fields in the permit: � k >> 6
Total number of fields utilized for land application during the year:
myawr QUAVY
Total amount of dry tons applied during the year for all application sites:
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Total number of acres utilizes for land application during the year:
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ® Yes ® No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2). Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of
laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T. 1 105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T. 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 Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified
in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I.certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fines and imprisonment for knowing violations."
LISA HAYNES, CORP ENV MGR a,
As
Permittee Name and Title (type or print) Signature of Pe tee bate
Signature of Preparer* Date
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T
Signature of Land Applier
Date
(if different from Permittee and Preparer)
1102 (26) DENR FORM ACF (12/2006)