WQ0031725_Residual Annual Report 2014_20150223

a,
RECEIVED
FEB 2' 3 '2015
DWR SECTION
INFORMATION PROCESSING UNIT
Baxter
Health-care20
Baxter Healthcare Corporation
2014 Annual Report
Land Application Program
NC Permit No. WQ0031725

Medical Products
na"er
February 17, 2015
NCDENR DWQ
Information Processing Unit
1617 Mail Processing Unit
Raleigh, NC27699-1617
RE: 2014 Annual Land Application Report
Permit No. WQ0031725
Baxter Healthcare Corporation
McDowell County
FEt3 2`3 2015
VRIF®RMASECTION
T"NPROC SSING UNIT
Please find the enclosed annual land application report for calendar year 2014.
If you have any questions or require additional information, please contact me at 828-756-6017
or michael pisarikAbaxter.com.
Sincerely,
Michael J. Pisarik
Sr. Environmental Engineer
Cc: NC Division of Water Quality (3 copies with enclosures)
WWTP File Copy
EHS File Copy
Baxter Healthcare Corporation
61 Pitts Station Road / PO Box 1390 / Marion, North Carolina 28752
T 828.756.4151

r3: ) � a k" ANN UAL PATHUGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare
WWTP Name: Baxter Healthcare
Monitoring Period: From
WQ Permit Number: WQ0031725
NPDES Number: NC0006564
1/1/2014 To 12/31/2014
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ®
Alt B (Alk Treatment) ®
Alt. C (Prior Testing)
Ah.D (No Prior Test) D
Process to Further Reduce Pathogengs D
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost D
Heat Drying D
Heat Treatment D
Theimophilic D
Beta Ray D
Gamma Ray D
Pasteurization D
Class B.
JAII. (1) Fecal Density
Alt. (2) Process to Significantly Reduce Pathogens D
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization D
Air Drying D
Com ostin D
Ae_ robic Digestion D
Anaerobi c Di i
g est on
If applicable to alternative performed (Class A or Class B) complete the following
monitoring
data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
n s
Frequency
of Analysis
Sample
Type
Analytical
Tech -
nicue
Minim
Geo. Mean
axim
Units
Fecal Coliform
2 x 10, to the
6th power
per gram of
total solids
MPN
8397
225,349
1280000
MPN/g
0
���
b
sm9221 c
CFU
REB
2 Z 2015
1000 mpn per gram
of total solid (dry
weight)
INFORMA
DWR SECTIOI
ON PROCESSING
UNIT
Salmonella bacteria
(in lieu of fecal
coliform
3 WN per 4 grams
total solid (dry
weight)
vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) Ed
Alt. 2 (40-day bench) D
Alt. 3 (30-day bench) ®Alt.
4 (Spec. OZ uptake) (�
Alt. 5 (14-Day Aerobic) D
Alt. 6 (Alk. Stabilization D
Alt 7 (Drying - Stable) D
1 Alt. 8 (Drying - Unstable)
Alt. 9 (Injection) D
Alt. 10 (Incorporation) D
No vector attraction reduction alternatives were performed D
CERTIFI ATION STATEMENT (please check the appropriate statement)
53' "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
D "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination -has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
o.� Q c% �2 Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signa of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

Medical Products
February 23, 2015
NCDENR DWQ
Information Processing Unit
1617 Mail Processing Unit
Raleigh, NC27699-1617
RE: 2014 Annual Land Application Report
Permit No. WQ0031725
Baxter Healthcare Corporation
McDowell County
FEB 2
7 2015
INFpRAM D �PSECTION
NGUNIT
Affe"er
Please find enclosed the signed Annual Pathogen and Vector Attraction Reduction Form. This
form was mistakenly sent unsigned as part of the annual land application report for calendar year
2014.
If you have any questions or require additional information, please contact me at 828-756-6017
or michael-pisarik@,baxter.com.
Sincerely,
Michael J. Pisarik
Sr. Environmental Engineer
Cc: NC Division of Water Quality (3 copies)
WWTP File Copy
EHS File Copy
Baxter Healthcare Corporation
61 Pitts Station Road / PO Box 1390 / Marion, North Carolina 28752
T 828.766.4151

a ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0031725 County: McDowell Year: 2014
Facility Name (as shown on permit): Baxter Healthcare
Land Application Operator:
Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
13 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 Summary:
Total number of application fields in the ermit:
14
Total number of fields utilized for land application during the year:
7
Total amount of dry tons applied during the year for all application sites:
108.5
Total number of acres utilizes for land application during the year:
1 43.81
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2014 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. NYes El 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 .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 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."
Permittee Name and Title (type or print)
~ 2 A 7 /1:
ature of Permittee Date
a-.7- IT
Signature of Preparer*
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and
Date
of laAd Applier
Date
(if different from Permittee and Preparer)
15A NCAC 02T .l 102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0031725
Facility Name:
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvcic data
Baxter Healthcare
WQ0031725
Baxter Healthcare
Laboratory:
1)
2)
3)
4)
5)
A&L Eastern Labs.
Parameter
\mlgl
Conc.
Limit
m x a
Sample or Composite Date
1-22-14
Percent Solids (%)
NA
9.75
Arsenic
75
8
Cadmium
85
2
Copper
4,300
118
Chromium
NA
74
Lead
840
12
Mercury
57
0.6
Molybdenum
75
5
Nickel
420
25
Selenium
100
5
Zinc
7,500
305
Total Phosphorus
NA
14800
TKN
NA
111000
Ammonia -Nitrogen
NA
7900
Nitrate and Nitrite
a 17nr mid no 4; .,1 F ..;
NA
1;f:,-.. az -
18.5
- - ---r _--- --- -- --� �--� ��•=ems --AU ULIVII 1u111LJ 11 LVLI ul unS 101 W are nor appacame. Keterence the mdividual 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 su witting false information, including the possibility, of fines and imprisonment for knowing violations."
Sign e of Preparer * Date
01
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (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: Baxter Healthcare Total Dry Tons Applied (Annual): 9.93
Permit #: WQ0031725 Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 5.02 Acres Permitted: 5:02 Site #: DP2 Field #: DP2
Residual Analvsis Data (Heavy Metals and Tntal Phnenharnc r tea v"tr&- of c„14a.
.
;�
-
'�
.
;
mCom-
N
E
D.
Total
.:,,
. .1.1-11.15
Total
L2j
3
4
5
6
7
8
9
10
11
12
DT/Aa/
�
App.
i
Event
1.98
14
Arsenic
0.032
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.1
0.000
0.000
1 0.032
Cadmium
0.008
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.008
Copper
0.467
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.467
Chromium
0.293
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.293
Lead
0.047
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
0.047
Mercury
0.002
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0..002
Molyb-
denum
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.020
Nickel
0.099
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.099
Selenium
0.020
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.020
Zinc ,
1.207
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.207
Total
Phos-
58.578
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
58.578
horus
11T nnri'iii
■nr�nr r,
., 11-„ ..F
7..�. i.L
��. �.L__ J_
_- - _
- r -- --✓ - •»••--».....� .,....,■,ateu� nao yicNaa- unuu, u.y u,.-ecuvn 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".
SigKture of La Applier -. Date
r)l=t%10 CnDhA nncl ec /41)11)nncN

+ ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Total :Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
5.877 Acres Permitted: 5.877 Site #: DP3-Corn Field #:
16.05
FcB2
DP3-Corn
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
. .
com-
posite
SEEM
d
M
m
Total
•M
..
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
2
3
4
5
6
7
8
9
10
11 J
12
DT/Ac./
o
App.
►'.
Event
2.73
Arsenic
0.044
1 0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
1 0:000
0.000
1 0.044
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
0.645
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.645
Chromium
0.404
0.000
0.000
0.000
0.000
0.000-
0.000
0.000
0.000
0.000
0.000
0.000
0.404
Lead
0.066
1 0.000
0.000
0.000
1 0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
1 0.066
Mercury'
0.003
0.000
0.000
0.000
.0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.027
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.027
denum
Nickel
0.137
0.000
0.000
0.000
0.000
0.000
- 0.000
0.000
0.000
0.000
0.000
0.000
0.137
Selenium
0.027
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
0.027
Zinc
1.666
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.666
Total
Phos-
80.838
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
80.838
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".
Si ature of Lan pplier,
a- 3- ► .5-
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS HELD LUAll1N(7 SUMMARY FORM"
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare Total Dry Tons Applied (Annual):
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series:
19.25
FcB2
6.983 Acres Permitted: 6.983 Site #: DP3-Grass Field #: DP3-Grass
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
...
com-
posite
Date
1
a
n
11'I'MU2
lio
0
M. RIM
Total
Phos-
..•
�;��
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 1
21
L 3
4
5
6
7
8
9
10
11
12
H
DT/Ac./
C
App.
E4
Event
2.76
Arsenic
0.044
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.044
Cadmium
0.011
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.011
Copper
0.651
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000.
0.000
0.000
0.651
Chromium
0.408.1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.408
Lead
0.066
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.066
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
denum
Nickel
1 0.138
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.138
Selenium
0.028
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.028
Zinc
1.682
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.682
Total
Phos-
81.607
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
81.607
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
imprisonment for knowing violations".
Sigpdture of Land Applier
Date
DENR FORM MFLSF (12/2006)

'Wll A1V 1r U AL 1VIL 1'ALN l+ILLI) LUA EN li N U IVIN AK Y FURM'
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare
Total Dry Tons Applied (Annual): 15.65
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
6.8 Acres Permitted: 6.8 Site #: DP4 Field #: DP4
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
. , .
Corn-
posite
Date,
in
M-
Total
Ph.;��
��
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
131
41
5
1718
9
10
ill
12
DT/Ac./
_qj
c
App.
Event
2.30
Arsenic
0.037
0.000
0.000
.0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.037
Cadmium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
0.543
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.543
0.341
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.341
0.055
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.055
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
l
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
0.115
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.115
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
1.404
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1.404
Phos-
68.110
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
68.110
horus
"1 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 LaridApplier
{0- P s
Date
DENR FORM MFLSF (12/2006)

L' A,kANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Baxter Healthcare
WQ0031725
Total Dry Tons Applied (Annual): 30.31
Cation Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 11.82 Acres Permitted: 11.82 Site #: DP5 Field #: DP5
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
10,lpm
Com-
posite
Date
Total
Phos-
..
-:��
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1
1 21
3
4
5
6
7
8
9
10
11
12
DT/Ac./
0
App.
Event
2.56
"
Arsenic
0.041
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.041
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.010
Copper
0.605
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.605
Chromium
0.379
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.379
Lead
0.062
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.062
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.026
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.026
denum
Nickel
0.128
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.128
Selenium
0.026
0.000
0.000
0.000
0.000
0.000
1 0:000
0.000
1 0.000
0.000
0.000
0.000
0.026
Zinc
1.564
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
1.564
Total
Phos-
75.894
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
75.894
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".
r�- _-Kn-
Si ature of La Applier
Date
I)FNR FnRM MFI SF (1?/?006)

IL• � ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Baxter Healthcare
Total Dry Tons Applied (Annual): 9.80
WQ0031725 Cation Exchange Capacity (non 503 only):
Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
3.97 Acres Permitted: 3.97 Site #: DP6 Field #: DP6
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com- -in
posite
Monsoon'
a
a
non
NONE
TotalDate
•
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
111
2j
31
4 j5j
61
71
L8J9
10
Ij
12
DT/Ac./
o
App.
Event
2.47
Arsenic
0.040
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000,1
0.000
0.000
0.000
0.040
Cadmium
0.010
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000,
0.010
Copper
0.583
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.583
Chromium
0.365
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000'
0.000
0.000
0.000
0.365
Lead
0.059
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.059
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
0.025
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.025
denum
Nickel
0.123
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.123
Selenium
0.025
0.000
0.000
0.000
0.000
0.000
0:000
0.000
0.000
0.000
0.000
0.000
1 0.025
Zinc
1.506
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 1.506
Total
Phos-
73.082
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
73.082
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".
/�/�`". Z:� - -
S' ature of Lan Applier
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: Baxter Healthcare Total Dry Tons Applied (Annual): 7.67
Permit #: WQ0031725 Cation, Exchange Capacity (non 503 only):
Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2
Acres Used: 3.34 Acres Permitted: 3.34 Site #: DP7 Field #: DP7
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Com-
posite
Date,
Total
Phos-
...
�:��
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
1 11
1 21
1 3 1
5
6
__7j
1 9
10
1Ij
12
DT/Ac./
c
App.
Event
2.30
Arsenic
0.037
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.037
Cadmium
0.009
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.009
Copper
0.542
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.542
Chromium
0.340
0.000
0.000
0.000'
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.340
Lead
0.055
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.055
Mercury
0.003
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.003
Molyb-
denum
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.023
Nickel
0.115
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.115
Selenium
0.023
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.023
Zinc
1.400
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 1.400
Total
Phos-
67.932
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
67.932
horus
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land pplier
9-3-1S
Date
DENR FORM MFLSF (12/2006)

r-
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: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP2 Acres Utilized: 5.02
Land Owner: Douglas Poplin Annual Dry Tons Applied: 9.9364 Site #: DP2 Acres Permitted: 5.02
Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Corn Crop 1 Max. PAN: 214 Crop 2 Name: Crop 2 Max. PAN:
°
°
QLiquid
Volume applied
enter one Solids/
( )
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
Soil
Cond.
Wey'
Moist)
Precip.
Past 24
Hrs.
inches
Y
a
oa w
o
�;
?', G
D i .-
0
7y
w. w
CD
�'
a
TKN
mg/kg
Z
i;
o°a 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
10-2014
121.01
9.75
1.979
WQ0031725
dry
0
Inc
1
0.3
111000
7900
18.5
153.790
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
121.011
o
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
153.7901
0.000
Lime Applied
Annual
lbs/acre
0.032
0.07
0.102
36
0.008
0.032
0.040
34
0.467
1.626
2.093
1338
0.293
0.892
1.185
NA
0.047
0.136
0.183
267
0.002
0.003
0.005
15
0.020
0.056
0.076
NA
0.099
0.323
0.422
374
0.020
0.029
0.049
89
1.207
3.484
4.691
2498
58.578 ~ "
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
2500
Current Cumulative lbs/ae
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
214
"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
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
**x Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
Signa re of Land Applier Date aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loading Rate
DENR FORM FSF (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: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Cron 1 Name: Corn
WQ Permit #: WQ0031725 Field #: DP3-Corn
Annual Dry Tons Applied: 16.0504 Site #: DP3-Corn
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 214 Crop 2 Name:
Acres Utilized: 5.877
Acres Permitted: 5.877
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
y
Volume applied
Volume
Residual Sources
Soil
Precip.
,>
C
o
o
Z
Nitrate
PAN Applied
Name of Crop Type
° Y
(enter one) Solids/
%
Applied per
(NpDES #, WQ#
Cond.
Past 24
�.
;e
w =°
w
TKN
o
0
and
. ( lbs/acre)
Receiving Residual
° °
Liquid
Solids
Acre
Fert., Animal
W
ems•
Q �;
* w.
�'
R.
Nitrite
lic
Application
Q
Cu. Yds Gallons
(Dry TonslAc)
Waste, etc)
Moist)
inches
mg/kg
mglkg
mg/kg
Crop 1
Crop 2
Crop 1
Crop 2
1-2014
57.67
9.75
0.806
W00031725
dry
0
INC
1
0.3
111000
7900
18.5
62.604
NA
Corn
2-2014
87.13
9.75
1.217
WQ0031725
dry
0
INC
1
0.3
111000
7900
18.5
94.585
NA
Corn
3-2014
50.67
9.75
0.708
WQ0031725
dry
0
INC
1
0.3
111000
7900
18.5
55.005
NA
Corn
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
"0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp (attach FORM
FSF supp to this form):
TOTAL&I
195.47
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
212.1951
0.000
Lime Applied
Annuallbs/acre
0.044
0.011
0.645
0.404
0.066
0.003
0.027
0.137
0.027
1.666
80.838
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.187
0.071
3.673
2.443
0.305
0.007
0.124
0.692
0.43
8.186
10-2014
1000
Current Cumulative lbs/ac
0.231
0.082
4.318
2.847
0.371
0.010
0.151
0.829
0.457
9.852
Permitted C. P. L. R.****
36
34
1 1338
1 NA
267
15
NA
374
89
2498
Permit PAN Limit lst/2nd Crop
214
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed iu assure LuaL
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
9-P-I
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 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: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
WQ Permit #: WQ0031725 Field #: DP3-Grass
Annual Dry Tons Applied: 19.2437 Site #: DP3-Grass
Predominant Soil Series: FcB2
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 6.983
Acres Permitted: 6.983
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o Y
+� o
(�
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonstAC)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc )
Soil
Cond.
wry'
Wet,a
Moist)
Precip.
Past 24
Hrs.
inches
>
410
5 �,
^o
o
❑.
* o
o
w
c �-
C'
Z
7y
P
o
TKN
mglkg
Z Y
3
o R
o
o ?
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
3-2014
113.84
9.75
1.339
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
93.432
NA
Fescue
4-2014
60.52
9.75
0.712
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
49.671
NA
Fescue
11-2014
60
9.75
0.706
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
49.244
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
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:J
234.36
01
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
192.3461
0.000
Lime Applied
Annuallbs/acre
0.044
0.011
0.651
0.408
0.066
0.003
0.028
0.138
0.028
1.684
81.696
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.187
0.231
36
0.071
0.082
34
3.673
4.324
1338
2.443
2.851
NA
0.305
0.371
267
0.007
0.010
15
0.124
0.152
NA
0.692
0.830
374
0.43
0.458
89
8.186
9.870
2498
10-2014
2500
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
F 194
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*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 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: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
WQ Permit #: WQ0031725 Field #: DP4
Annual Dry Tons Applied: 15.6563 Site #: DP4 Acres Permitted: 6.8
Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 6.8
Crop 2 Max. PAN:
° Y
y °
A
Volume applied
pp
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
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
1Irs.
inches
a
c�
o w
* 0
o
qy �;
�,
* �'
*
o
a
w' `�
�'
TKN
mg/kg
Z
9 1
o
°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
4-2014
25.93
9.75
0.313
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
21.854
NA
Fescue
5-2014
53.04
9.75
0.640
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
44.703
NA
Fescue
6-2014
29.68
9.75
0.358
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
25.015
NA
Fescue
7-2014
82.02
9.75
0.990
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
69.128
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
Residuals Applications totals
on FORM FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
190.67
o
As
Cd
Cu
Cr
Pb
Hg
MoF37489
Zn
P
160.700
0.000
Lime A lied
Annuallbs/acre
0.037
0.131
0.168
36
0.009
0.046
0.055
34
0.543
2.392
2.935
1338
0.341
1.685
2.026
NA
0.055
0.186
0.241
267
0.003
0.005
0.008
15
0.023
0.081
0.104
NA2498
1.404
5.467
6.871
68.110
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
1000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit l st/2nd Crop
194
"1 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
9-a-)f
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 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: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP5
Annual Dry Tons Applied: 30.3190 Site #: DP5
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 11.82
Acres Permitted: 11.82
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
°
c� o
Q
Volume applied
PP
enter one Solids/
( )
Liquid
Cu. Yds Gallons
u
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Drys
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
y
� 10
co �'
o w
�o_
o
`P'.
CD `y
�'
x�
7d g
w ,
`-
TKN
mg/kg
Z
a �
o
p w
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
5-2014
59.49
9.75
0.413
WQ0031725
dry
0
s
0.5
0.3
111000
7900
1 18.5
28.845
NA
Fescue
6-2014
53.33
9.75
0.370
W00031725
dry
0
s
0.5
0.3
111000
7900
18.5
25.858
NA
Fescue
8-2014
140.8
9.75
0.978
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
68.270
NA
Fescue
9-2014
115.62
9.75
0.803
W00031725
dry
0
s
0.5
0.3
111000
7900
18.5
56.061
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
b.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
Residuals Applications totals on FORM FSF supp ( attach
FORM
FSF supp to this form):
TOTALS:
369.241
0
As
Cd
Cu
Cr
Pb
H.F4
Mo
Ni
Se
Zri I
P
179.0331
0.00o
Lime Applied
Annuallbs/acre
0.041
0.108 1
0.149
36
0.010
0.038
0.048
34
0.605
1.93
2.535
1338
0.379
1.26
1.639
NA'
0.062
0.162
0.224
267
0.003
0.004
0.007
15
0.026
0.065
0.091
NA
0.128
0.461
0.589
374
0.026
0.014
0.040
89
1.564
4.395
5.959
2498
75.894 -
Date
ibs/ac
Prior Years Cumulative lbs/ac
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
... .__. -_,_, . . .
194
"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."
l/
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loadinp_ Rate
DENR FORM FSF (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: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP6
Annual Dry Tons Applied: 9.8025 Site #: DP6
Predominant Soil Series: FcB2
Crop 1 Max. PAN: . 194 Crop 2 Name:
Acres Utilized: 3.97
Acres Permitted: 3.97
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
:e o
A
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
R b
a o
o
�.
�,
*
w w
TKN
mg/kg
Z
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of CropType
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
11-2014
62.16
9.75
1.286
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
89.735
NA
Fescue
12-2014
57.22
9.75
1.183
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
82.604
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.600
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
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TOTALS:
119.381
0
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
172.339
0.000
Lime A lied
Annuallbs/acre
0.040
0.161
0.201
36
0.010
0.059
0.069
34
0.583
3.045
3.628
1338
0.365
2.142
2.507
NA
�0.059
0.273
0.3312
267
0.003
0.005
0.008
15
0.025
0.103
0.128
NA.
0.123
0.491
0.614
374
0.025
0.015
0.040
89
1.506
6.766
8.272
2498
73.082
Date
lbs/ac
Prior Years Cumulative lbs/ac
10-2014
1000
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit lst/2nd Crop
- - ,.... -.
_
194
1 certhy, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R: Cumulative Pollutant Loadinll Rate
DENR FORM FSF (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: Baxter Healthcare
Land Owner: Douglas Poplin
Operator: Douglas Poplin
Crop 1 Name: Fescue
WQ Permit #: WQ0031725 Field #: DP7
Annual Dry Tons Applied: 7.6651 Site #: DP7
Predominant Soil Series: FcB2
Crop 1 Max. PAN: 194 Crop 2 Name:
Acres Utilized: 3.34
Acres Permitted: 3.34
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
° y
o
Q 0
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
DES # W #
0 '
Fert., Animal
Waste, etc)
Soil
Cond.
D
(ry,
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
Y
cc
o'
� a;
'� 0
c
�y P
-
� �'
o'
w �
� �•
0
TKNo
mg/kg
Z
°
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
5-2014
32.85
9.75
0.808
WQ0031725
dry
0
s
0.5
0.3
111000
7900
18.5
56.368
NA
Fescue
10-2014
60.5
9.75
1.487
W00031725
dry
0
s
0.5
0.3
111000
7900
18.5
103.813
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
1 0.000
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):
TOTALS:
93.35
0
'
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
1 0.1811
0.000
Lime Applied
Annuallbs/acre
0.037
0.108
0.145
36
0.009
0.038
0.047
34
0.542
1.93
2.472
1338
0.340
1.26
1.600
NA
0.055
0.162
0.217
267
0.003
0.004
0.007
15
0.023
0.065
0.088
NA
0.115
0.461
0.576
374
0.023
0.014
0.037
89
1.400
4.395
5.795
2498
67.932
Date
lbs/ac
Prior Years Cumulative Ibs/ac
10-2014
2506
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
194
"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."
� J *Application Method: S - Surface, IN - Injection, INC - Incorporation
//
F t-- �� " a-t Y **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)

..�,�,.i�..,ubv...vii�,,,..v.�,i �.cuviwu u►►N.iiuuuicu►aavii.uwu.cuwyiciu��uiucx.jruj�rrwuiir
`• 1 `►
Realistic field Expectations for North Carolina Soils
The North Carolina Realistic Yield Database is the product of an extensive data gathering and review process conducted by NC State
University, the Natural Resource Conservation Service, the North Carolina Department of Agriculture and ConsurmerServices, and
the North Carolina Division of Soil and Water Conservation. In 1999, county -based representatives of each of the above -named
organizations were asked to collect yield data and make a reasoned judgement of the yields for various crops on each of the soils
occurring in their county. These data were collected from 87 responses, representing 93 counties. The data were then compared
with available research data and intensively reviewed by a panel of field agronomists, soil scientists and researchers familiar with the
soils, crops and climatic conditions in each region. In reviewing the data, the following assumptions were made:
1. Realistic Yield Expectations should be based on the average of the best 3 years in a 5 year period which could be achieved with
a high level of management (top 20% of growers)
2. For soils that may be mapped in multiple regions or in slightly different landscapes (for example, flood plains or stream
terraces), the Realistic Yields are based on the most common prevailing conditions for that soil rather than the most ideal site
for agricultural production.
3. For soils that are Somewhat Poorly, Poorly, or Very Poorly Drained, effective artificial drainage MUST be in place to achieve the
yields shown in the RYE tables.
4. For tobacco production in the Piedmont physiographic, irrigation was assumed to be available, whereas no irrigation was
assumed in the Coastal Plain physiographic region. This is in accordance with numerous surveys which show less than
15%-20% of tobacco in the Coastal Plain is irrigated, while 70 to 80% of tobacco in the Piedmont receives some irrigation
Citation: North Carolina Nutrient Management Workgroup. 2003. Realistic yields and nitrogen application factors for North Carolina
crops. http://nutrients,soll,ncsu.edu/yields/ North Carolina State University, North Carolina Department of Agriculture and Consumer
Services, North Carolina Department of Environment and Natural Resources, Natural Resources Conservation Service. Raleigh NC.
To access the database, select a county and at least one crop. Multiple crops may be selected by holding the Ctrl key when selecting
crops. A report will be generated showing a summary of currently available data for the county you selected.
Select Your County Wilkes
EsD: Evard-Cowee complex, 8 to 25 percent slopes, stony
Select Your Soil EsE: Evard-Cowee complex, 25 to 60 percent slopes, stony
FaD: Fairview sandy loam, 15 to 25 percent slopes
FcB2: Fairview sandy clay loam, 2 to 8 percent slopes, moderately eroded
Use Representative Slope Typical of the Soil Mapunit
Correct for Slope
Use my slope 0
Submit Reset
1 of 2 1/20/2014 1:56 PTV

.... uiiubvuivu� ui l�viw �.ui viuiu
uLLli.iiuuuiciILaavu.uUau.cuuiyicivai UIUOX.iuPttwuuLy
Realistic Yields for FcB2: Fairview sandy clay loam, 2 to 8 percent slopes,
moderately eroded in Wilkes County
Crop
Yield
Nitrogen
Factor
Realiistic
Nitrogen.
Rate (lbs/acre)
Estimated Phosphorus
Removal
(lbs P20s/acre)
Barley (Grain)
67 Bushels
1.49
99
25
Corn (Grain)
_
108 Bushels
_
1.11
120
47
Corn (Silage)
19.6 Tons
10.9
214
67
Cotton
_ 637_Pounds
0.081
52
18
Sorghum (Silage)
16.7 Tons
7.6
127
50
Oats (Grain) _ _
83 Bushels__
1.13___
94
_
21
Peanuts _ _
0 Pounds
0
0
0
Rye (Grain)
49 Bushels
_
2.01
913
16
Small Grain (Silage)
8.8 Tons
11.1
98
48
Sorghum (Grain) _
49 CWT
1.72
84
37
Soybeans (Double Cropped)
33 Bushels
0
0
_
27
Soybeans (Full Season)
39 Bushels
0
0
31
Soybeans (Double Cropped - Manured)
33 Bushels
3.89
130
_
27
Soybeans (Full Season - Manured)
_ 39 Bushels
3.89
152
31
Tobacco (Burley)
0 Pounds
0.074
0
0
Tobacco (Flue Cured)
2548 Pounds
0.029
74
13
Triticale (Grain)
69 Bushels
1.52
104
_
23
Tropical Corn (Silage)
19.6 Tons
—
6.5
127
_
67
Wheat (Grain) _
_ 49 Bushels
2.01
98
25
Bahiagrass (Hay)
3.4 Tons
44
151
39
Caucasion/Old World Bluestem (Hay)
3.4 Tons
44
151
41
Common Bermudagrass (Hay)
3.4 Tons
_
44
151
42
Dallisgrass (Hay) _
_
3.4 Tons
44
151
45
Fescue (Hay) _
4.4 Tons
194_
69
Hybrid Bermudagrass (Hay)
4.4 Tons
_44
44
_^
194
54
Hybrid Bermudagrass overseeded with Rescuegrass
(Hay)
0 Tons
44
0
0
Mixed Cool Season Grass (Hay)
3.2_Tons
44
140
45
Orchardgrass (Hay)
3.4 Tons
44
151
50
Pearl Millet (Hay)
3.7 Tons
49
_
180_
49
Rescuegrass(Hay)
_ 0 Tons
44
_
0
0
Sorghum Sudan (Hay)
4.2 Tons
49
204
58
Timothy Grass (Hay)
0 Tons
44
0
0
Additional Guidance for speciality crops can be found at: http://nutrients.soil ncsu.edu/guidance/
2 of 2 1 /20/2014 1:.56 PM

Location of Samples
The Plant process diagram on the flowing page shows the location of where the following
samples were taken.
The Analysis from A&L Eastern Laboratories, Inc., report number 14-028-0210 was taken from
the Belt Filter Press, and is labeled with a red X (it on the diagram.
The Fecal Coliform Samples from Statesville Analytical Sample IDs 14019-20.1, 14019-20.2,
14019-20.3, 140122-27.1, 140122-27.2, 140122-27.3, 140122-27.4 were taken from Aerobic
Digester No. 1 and is labeled with a blue X (V on the diagram.
The Volatile Solids In, Sample ID 140122-25.1 was taken from where the solids from the
clarifier are pumped to the aerobic digesters and is labeled with a green X (K) on the diagram.
The Volatile Solids Out, Sample ID 140122-25.2 was taken from Aerobic Digester No. 1 and is
labeled with a blue X I on the diagram.
The TCLP test Sample ID 14019-18was taken from Aerobic Digester No.I and is labeled with a
blue X I on the diagram.

PLAN
SCALE. 1 40'
WASTEWATER TREATMENT
PLANT EVALUATION
BARTER HEALTHCARE CORPORATION
McDOWEII CpUNJY, NORTH CAROLMA
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Page: 1 of 2
Report Number: 14-028-0210 YY AFL Eastern Laboratories, Inc
Account Number: 46381 ^� 7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
Submitted By: ZACH KEY J.
www.aleastern.com
Send To: SOUTHERN SOIL BUILDERS Project: BAXTER
DENNIS KEY NC CERT#257
958 HOOTS ROAD
ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 1/22/2014 12:55:00
Lab Number: 97673 Date Received: 01/28/2014 00:00
Sample id,: BAXTER Date Reported: 02/03/2014
' utaj �Ullull
a•i5
Ufbuu
100.0
JM
01/28/2014 15:00
SM-2540G
Moisture "
90.25
100.0
JM
01/28/2014 15:00
SM-2640G
Total Kjeldahl Nitrogen
11.10
111000
10.0
JM
01/29/2014 09:29
SM-4500-NH3C-TKN
Total Phosphorus
1.48
14800
100
KM
01/29/2014 13:31
SW 6010C
Total Potassium
0.42,
4160
100
KM
01/29/2014 13:31
SW 6010C
Total Sulfur
1.14
11400
100
KM
01/29/2014 13:31'
SW 6010C
Total Calcium
0.93
9280
100
KM
01/29/2014 13:31
SW 6010C
Total Magnesium
0.40
4010
100
KM
01/29/2014 13:31
SW 6010C
Total Sodium
0.48
4780
100
KM
01/29/2014 13:31
SW 6010C
Total Iron
9150
100
KM
01/29/2014 13:31
SW 6010C
Total Aluminum
1300
100,
KM
01/29/2014 13:31
SW 6010C
Total Manganese
119
5
KM
01/29/2014 13:31
SW 6010C
Total Copper
118
5
KM
01/29/2014 13:31
SW 6010C
Total Zinc
305
5
KM
01/29/2014 13:31
SW 6010C
Ammonia Nitrogen
0.79
7900
10.0
JM
01/29/2024 00:00
SM-4500-NI3C
Organic N
10.31
103100
10.0
01/29/2014 09:29
CALCULATION
Nitrate+Nitrite-N
18.5
2.00
JM
01/29/2014 09:30
SM-450ONO3F
Total Cadmium
2.0
2.0
KM
01/29/2014 13:31
SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Drr repo is and letters are inr the exclusive ar rd coofidera!iat !,use of our cfierts, ancr may not be reproduced in v hofe or pat-. nor may atry reference be .made ��
to the work, the results, or the company in any adverrising, news release, or other pubLc announcements wirhou: obtaininc our p, ier written a;lthor.'zatior..
Debbie Holt

Page: 2 of 2
Report Number: 14-028-0210 DOD
A&L EasternLaboratories, Inc.
r7Account Number: 46381 7621 Whitepine Road Richmond, Virginia 23237 [phone] Fax [phone]
Submitted By: ZACH KEY
www.aleastern.com
Send To: SOUTHERN SOIL BUILDERS Project: BAXTER
DENNIS KEY NC CERT#257
958 HOOTS ROAD
ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 1/22/2014 12:55:00
Lab Number: 97673 Date Received: 01/28/2014 00:00
Sample Id: BAXTER Date Reported: 02/03/2014
5
KM
01/29/2014 13:31
SW 6010C
Total Nickel
25
5
KM
01/29/2014 13:31
SW 6010C
Total Lead
12
5
KM
01/29/2014 13:31
SW 6010C
Total Arsenic
8.0
3.0
KM
01/29/2014 13:31
SW 6010C
Total Mercury
0.6
0.4
KM
01/29/2014 09:00
SW-7471B
Total Selenium
<5.0
5.0
KM
01/29/2014 13:31
SW 6010C
pH (Standard Units) * 7.93
2.00
JM
01/29/2014 09:29
SW-9045D
Total Molybdenum
5
5
KM
01/29/2014 13:31
SW 6010C
Comments:
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: IFIER: THE LRB WAS OU T OF LIMITS FOR "Mn".
THE MAT RIX SPIKE WAS OUT OF LIMITS
FOR "Al". ALL
OTHER QC DATA IS ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced ir, whole or part, nor -ray any r ereronce be rnade
to the ,xrk. the results• or the company in any advertising, news release, or otherpublrc announcements without obtaining our prior written authorizatio,:. .
Debbie Holt

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na(Mg/L� Ca M�j //LL M M /L
466.05 T 9-04.8 1 390.975
N_ a (ME)
Ca (IVII�
1 45.2.4
�Ic� IV( 1F)
32,58125
20.26304
SAR= Na Milli Equivalent/[0.5 X (("a Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 3.248408 (Frorn Mg/L entered above)
SAR= 3.247946 (From ME entered below)
Na ME
Ca ME
Mc -(ME)
20.26
1 45.24
32.58
The amour
amount of E
Permitting I

PAN
Mineralization
Rate
TK�N:�NH�3�NO3
0.3
111000
7900 18.51;�
PAN Surface
Ikg
69.797 JbsIdry ton
1261; 0.22 Ibs total pLill
287.8389libs PAN/acre I
PAN Injection
2 7.697 lbs! ry Lei.
14037.521!bs totalfA—Lll
-320.4131FIbs —PAN/acre
Dry Tons/1000
gal.
0.406575
1st year PAN
lbs./acre
Surface Ibs.
Surface
12610.22399
287.8389407
I st year PAN
Ibs./acre
�njected Ibs.
Injected
14037.51699I
32 0.418105-0-71
NO2 % Solids tons/year I ARplied on
0 0.0975 180.67 43.81
MR(TKN-NH3)+ +.5(NH3)+NO3+NO2 =mg/kg
mg/kg x.002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x.002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity "=dry tons/1 000gal.
2000

1 4
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/9/2014
Reported: 1/16/2014
For: Baxter
Sample ID
Parameter
Cust ID
Result
Units
Method
Date
Analyzed Analyst
14019-20.1
% Solids
1
1.31
%
SM2540B-1997
1/10/14
CL
14019-20.1
Fecal Coliform MTF
1
8397
MPN/g
SM92210E-2006
1/10/14
CL
14019-20.2
% Solids
2
1.31
%
SM2540B-1997
1110114
CL
14019-20.2
Fecal Coliform MTF
2
129,771
MPN/g
SM92210E-2006
1/10/14
CL
14019-20.3
% Solids
3
1.34
%
SM254OB-1997
1/10/14
CL
14019-20.3
Fecal Coliform MTF
3
82,090
MPN/g
SM92210E-2006
1/10/14
CL
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697

Client: f
.joJiVIP.`r.. 1J(``3e
Address:
�&
STATESVELLE ANALYTICAL
122 CourtStreet - P.O. Box 228
Statesville, NC `8687
(704) 872-469:7 '
Contact Person`.` —
Z e.t ! t
Phone # 2 _ `i -
FAX# a C$ '
Chain of"
PO #
Requisitioned by:
(Time
Date)
Custody Record
Customer Time Sampled
Lab-ID #ly)
Sample ID# (Grab On
Date Sampled
(Grab Only)
n a
0
Matrix
Sludge w
Parameters requested for analysis
ww
Fec-
jj
3t /
g
Relinquished by: � r,✓ ' /
t
Time
•t �$
amjprn Date
/ / `�
Sampled by:-
znl
/
Received by: ibf <✓ �i , �, ' _�•
Time
, _ <; t,.°
�
am, 52 Date
/� /�
Transported by:
Relinquished by:
Time
am, pm Date'
/
Holding times met:
Received by:
Time
am, pm Date
v
Composite Sampling #1:
Compliance work:
Time begin am, pm Date / /
Non-compliance work:
Time end am, pm Date
Composite Sampling #2•
rLabComments:
S,c", e 1'
J3' ,
. ;� ,e,l e
Time begin am, pm Date
Time end am, pm Date / /

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/22/2014
Reported: 1/29/2014
For: Baxter
Sample ID
Parameter
Cust ID
Result
Units
Method
Date
Analyzed Analyst
140122-27.1
% Solids
1
1.26
%
SM2540B-1997
1/22/14
CL
140122-27.1
Fecal Coliform MTF
1
174,603
MPN/g
SM92210E-2006
1/22/14
CL
140122-27.2
% Solids
2
1.28
%
SM2540B-1997
1/22/14
CL
140122-27.2
Fecal Coliform MTF
2
1,250,000
MPN/g
SM92210E-2006
1/22/1.4
CL
140122-27.3
% Solids
3
1.25
%
SM2540B-1997
1/22/14
CL
140122-27.3
Fecal Coliform MTF
3
1,280,000
MPN/g
SM92210E-2006
1/22/14
CL
140122-27.4
% Solids
4
1.25
%
SM2540B-1997
1/22/14
CL
140122-27.4
Fecal Coliform MTF
4
1,280,000
MPN/g
SM92210E-2006
1/22/14
CL
Respectfully submitted,
Dena Myers
NC Cert #440,W NCDCert #37755,
EPA NCO0909
P.O. Box 228 • Statesville, North Carolina 28687 0 704/872/4697

Client: r a.
a_) _. I A " (, , I- ` ( .,
No log -
STATESVILLE ANALYTICAL
122 Court Street - P.O.Box 228
Address:
Statesville, NC 28687.
[phone]
Contact Person:
Phone #
FAX# -3
�c,
Chain of
Custody Record
PO# Requisitioned by: (Time Date)
Customer
Sample 1D#
Lab -ID #
Time Sampled
(Grab Only)
Date Sampled
Only)
o
CL
E
a
Matrix
Parameters requested for analysis
VM
(Grab
0
0
O>
C
Relinquished
Relinquished by:
/7 A -
Time 1�)
am,rrl Date
1
Sampled by:
Received by:
Time —2)
am,/pm Date
72ZI f
Transported by:
Relinquished by:
Time
am, pm Date
Holding times met:
Received by:
Time
am, pm Date
Compliance work:
Composite Sampling
#11:
Time begin—
am, pm Date
Non-compliance work:
Time end
am, pm Date
Lab Comments:
Composite Sampling
#2:
bc 01
Time begin—
am, pm Date
Time end
am, pm Date

a � ,
Condition of Receipt
Sample ID 140122-27.1-27.4 Client Southern Soil Builders
Temp on Arrival 1
pH upon Arrival Parameter Schedule Fecal Coliform WW
❑ HNO3
❑ HCl
❑ NaOH
❑ H2SO
0 Na2S2O
❑ Dechlorinated
❑ Chemicals in containers, client
❑ Chemicals upon receipt
❑�/ Received on Ice
❑ Samples chilled upon receipt
�/❑ Chemicals in containers, lab
Page 1 of 1

y
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/22/2014
Reported: 1/31/2014
For: Baxter
Sample ID
Parameter'
Cust ID
Result
Units
Method
Date
Analyzed Analyst
140122-25.1
140122-25.1
140122-25.2
140122-25.2
% Total Solids
% Volatile Solids
% Total Solids
% Volatile Solids
in
In
Out
Out
1.23
1.04
0.57
0.38
%
%
%
%
SM2540B-1997
SM2540G
SM2540B-1997
SM2540G
1/22/14 CL
1/23/14 CL
1/22/14 CL
1/23/14 CL
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.O. Box 228 • Statesville, North Carolina 28687 e 704/872/4697

Client: rr t • q }n
Address: f STATESVILLE ANALYTICAL
I ! 5 fu 4 `� 5 d` r 122 Court Street • P.O- Box 228
Q Statesville, NC 28687
(704) 8724697
Contact Person:` ` Phone # FAX#
33- �. � 1) y Ct Chain of
PO # C/ Requisitioned by: (Time Date) Custody Record
Customer Lab -ID # Time Sampled Date Sampled a Matrix
Sample ID# (Grab Only) (Grab Only) sioaye w vnv Parameters requested for analysis
� .�a Y"1 �- (� J lc t i � � , i i . ' ;?`� d� 1 " fi �'• i `4 J�! L
fi
Relinquished by: '�•� 'f Time �( am 1 / �!/%`,
� ' t� � Date p� � Sampled by: �r, �a..t/
Received by: p ' 1 t
Time l ] a pm ,, Date /=
Transported by: .-
Relinquished by: Time am, pm Date / / /f
i�Holding times met:
Received by: Time am, pm Date / /
Compliance work:
Composite Sampling #1:
Time begin am, pm Date / / Non-compliance work:
Time end am, pm Date / / Lab Comments:
Composite Sampling#2•i�•� P),,,y' rLied jc`
Time begin am, pm Date __L F P
Time end am, pm Date / /

Condition of Receipt
Sample ID 140122-25.1-25.2 Client Southern Soil Builders
Temp on Arrival
pH upon Arrival Parameter Schedule
% Volatile Solids
HNO3
❑ Chemicals in containers, client
HCI
❑ Chemicals upon receipt
NaOH
❑Q Received on Ice
H2SO
❑ Samples chilled upon receipt
Na2S2O
❑ Chemicals in containers, lab
Dechlorinated
Page 1 of 1

VS in 0.0104
VS out 0.0038
VSFR= 0.637036
VSFR=(IN-OUT)/(IN-(IN'OUT))

i k t,
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669
Entered 1/9/2014
Reported: 1 /28/2014
For: Baxter TCLP
Sample ID
Parameter
Cust ID
Result Units
Method
Date
Analyzed Analyst
14019-18
14019-18
14019-18
14019-18
Corrosivity
Ignitability
Reactivity
TCLP
Baxter
Baxter
Baxter
Baxter
See Attached
See Attached
See Attached
See Attached
SW-846
1010M
SW-846
1311
1/2.3/14 PACE
1/23/14 PACE
1/2.3/14 PACE
1/23/14 PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA NCO0909
P.O. Box 228 0 Statesville, North Carolina 28687 9 7091872/4697

j� ;1 -, 0
aceAnalytical
www.pacelabs.com
Project: 14019-18
Pace Project No.: 92186027
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc,
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 KinceyAve. Suite 100
Huntersville, NC 28078
[phone]
00111plu; "14ulu-7tf Lab ID: 92186027001 Collected: 01/09/14 13:30 Received: 01/10/14 14:55 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Re ort Limit DF P
8081 GCS Pesticides, TCLP
gamma-BHC (Lindane)
Chlordane (Technical)
Endrin
Heptachlor epoxide
Methoxychlor
Toxaphene
Surrogates
Decachlorobiphenyl (S)
Tetrachloro-m-xylene (S)
p repared
Analytical Method: EPA 8081 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/16/14 14:00
Analyzed CAS No. Qual
ND tag/L
0.50
1
01/21/14 10:40
01/23/14 14:55
58-89-9
ND ug/L
3.0
1
01/21/14 10:40
01/23/14 14:55
57-74-9
ND ug/L
0.50
1
01/21/14 10:40
01/23/14 14:55
72-20-8
ND ug/L
0.50
1
01/21/14 10:40
01/23/14 14:55
1024.57-3
ND ug/L
1000
1
01121/1410:40
01/23/14 14:55
72-43-5
ND ug/L
3.0
1
01/21/14 10:40
01/23/14 14:55
8001-35-2
68 %
10-138
1
01/21/14 10:40
01/23/14 14:55
2051-24-3
59 %
10-110
1
01/21/14 10:40
01/23/14 14:55
877-09-8
8151 Chlorinate Herbicide TCLP
Analytical Method: EPA 8151 Preparation Method: EPA 3510
2,4-D
2,4,5-TP (Silvex)
ND mg/L 0.010 1
01/16/14 08:00
01/18/14 21:00
94-75-7
Surrogates
ND rng/L 0.010 1
01/16/14 08:00
01/18/14 21:00
93-72-1
2,4-DCAA (S)
94 % 70-130 1
01/16/14 08:00
01/18/14 21:00
19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA 6010 Preparation Method: EPA
3010
Leachate Method/Date: EPA 1311; 01/13/14 10:49
Arsenic
Barium
ND mg/L 0.050 1
01/14/14 11:10
01/14/14 23:13
7440-38-2
Cadmium
0.74 mg/L 0.25 1
01/14/14 11:10
01/14/14 23:13
7440-39-3
Chromium
ND mg/L 0.0050 1
01/14/14 11:10
01/14/14 23:13
7440-43-9
Lead
ND mg/L 0.025 1
01/14/14 11:10
01/14/14 23:13
7440-47-3
Selenium
ND mg/L 0.025 1
01/14/14 11:10
01/14/14 23:13
7439-92-1
Silver
ND mg/L 0.10 1
01/14/14 11:10
01/14/14 23:13
7782-49-2
ND mg/L 0.025 1
01/14/14 11:10
01/14/14 23:13
7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date: EPA 1311; 01/13/14 10:49
Mercury
ND ug/L 0.20 1
01/14/14 11:45
01/15/14 16:02
7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/16/14 14:00
1,4-Dichlorobenzene
2,4-Dinitrotoluene
ND ug/L 50.0 1
01/21/14 09:40
01/22/14 16:04
106-46-7
Hexachloro-1,3-butadiene
ND ug/L 50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
121-14-2
Hexachlorobenzene
50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
87-68-3
Hexachloroethane
50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
118-74-1
2-Methylphenol(o-Cresol)
50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
67-72-1
3&4-Methylphenol(m&p Cresol)
50.0 1
313 ug/L
01/21/14 09:40
01/22/14 16:04
95-48-7
Nitrobenzene
50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
Pentachlorophenol
50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
98-95-3
Pyridine
100 1
01/21/14 09:40
01/22/14 16:04
87-86-5
2,4,5-Trichlorophenol
ND ug/L 50.0 1
ND ug/L
01/21/14 09:40
01/22/14 16:04
110-86-1
50.0 1
01/21/14 09:40
01/22/14 16:04
95-95-4
REPORT OF LABORATORY ANALYSIS
'This report shall not be reproduced, except in full,
Date: 01/28/2014 11:40 AM without the written consent of Pace Analytical Services, Inc,.
Page 4 of 21

acmnalytical
www.pacelabs.com
Project: 14019-18
Pace Project No.: 92186027
Pace Analytical Services, Inc.
205 East Meadow Road - Suite A
Eden, NC 27288
[phone]
Pace Analytical Services, Inc.
2225 Riverside Dr.
Asheville, NC 28804
[phone]
ANALYTICAL RESULTS
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
sample: 14019-18 Lab ID: 92186027001 Collected: 01/09/14 13:30 Received: 01/10/14 14:55 Matrix: Solid
Results reported on a "dry -weight" basis
Parameters Results Units Report Limit DF Pre ared
8270 MSSV TCLP Sep Funnel
2,4,6-Trichlorophenol
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
Terphenyl-d14 (S)
Phenol-d6 (S)
2-Fluorophenol (S)
2,4,6-Tribromophenol (S)
8260 MSV TCLP
Benzene
2-Butanone (MEK)
Carbon tetrachloride
Chlorobenzene
Chloroform
1,4-Dichlorobenzene
1,2-Dichloroethane
1,1-Dichloroethene
Tetrachloroethene
Trichloroethene
Vinyl chloride
Surrogates
1,2-Dichloroethane-d4 (S)
Toluene-d8 (S)
4-Bromofluorobenzene (S)
1010 Flash point, Closed Cup
Flashpoint
734S Reactive Sulfide
Sulfide, Reactive
9046 pH Soil
pH at 25 Degrees C
733C Reactive Cyanide
Cyanide, Reactive
Date: 01/28/2014 11:40 AM
_ p
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/Date: EPA 1311; 01/16/14 14:00
Analyzed CAS No. Qual
ND ug/L
50.0
1
01/21/14 09:40
01/22/14 16:04
88-06-2
56 %
12-102
1
01/21/14 09:40
01/22/14 16:04
4165-60-0
56 %
13-107
1
01/21/14 09:40
01/22/14 16:04
321-60-8
69 %
21-132
1
01/21/14 09:40
01/22/14 16:04
1718-51-0
35 %
10-110
1
01/21/14 09:40
01/22/14 16:04
13127-88-3
41 %u
10-110
1
01/21/14 09:40
01/22/14 16:04
367-12-4
77 %
27-108
1
01/21/14 09:40
01/22/14 16:04
118-79-6
Analytical Method: EPA 8260
ND ug/L
5.0
1
01/15/14 13:08
71-43-2
52.6 ug/L
10.0
1
01/15/14 13:08
78-93-3
ND ug/L
5.0
1
01/15/14 13:08
56-23-5
ND ug/L
5.0
1
01/15/14 13:08
108-90-7
ND ug/L
5.0
1
01/15/14 13:08
67-66-3
ND ug/L
5.0
1
01/1511413:08
106-46-7
ND u9/L
5.0
1
01/15/14 13:08
107-06-2
ND ug/L
5.0
1
01/15/14 13:08
75-35-4
ND ug/L
5.0
1
01/15/14 13:08
127-18-4
ND ug/L
5.0
1
01/15/14 13:08
79-01-6
ND ug/L
5.0
1
01/15/14 13:08
75-01-4
109 %
70-130
1
01/15/14 13:08
17060-07-0
98 %
67-135
1
01/15/14 13:08
2037-26-5
98 %
70-130
1
01/15/14 13:08
460-00-4
Analytical Method: EPA 1010
>200 deg F
70.0
1
01/13/14 00:00
Analytical Method: SW-846 7.3.4.2 Modified
ND mg/L
10.0
1
01115/1414:00
Analytical Method: EPA 9045
6.9 Std, Units
0.10
1
01/21/14 15:45
Analytical Method: SW-846 7.3.3.2 Modified
ND mg/L
0.0050
1
01/15/1412:45
REPORT OF LABORATORY ANALYSIS
'This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 21

Client: z t
Address: y
959
Contact Person. p t Phone #
PO # Requisitioned by:
Customer
Sam a ID# Lab -ID # Time Sampled Date Sampled
p (Grab Only) (Grab Only)
M
STATESVILLE ANALYTICAL w
122 Court Street • P.O. Box 228
Q Statesville, NC 28687
(704) 8724697
FAX#�) �� `� Chain of
(Time Date) Custody Record
Matrix Parameters requested for analysis
udge W WW
CL C e . .4
�..
Relinquished by: 1,
-� Time �•l - � am, 6��iD ate
Received by: Time am, pate L /_//
Relinquished by: Time am, pm Date
Received by:
Composite Sampling
#1
Time begin
am, pm
Date
Time end
am, pm
Date
_Composite Sampling
#2-
Time begin
am, pm
Date
Time end
am, pm
Date
Time am, pm Date
Sampled by:
Transported by: 7
r
�r
Holding times met:
Compliance work:
Non-compliance work:
Lab Comments:. i �.
:_ A C." P I C s
I r-t ci �j .` i,

C x . ANN UAL FATIIMJL N AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Baxter Healthcare WQ Permit Number: WQ0031725
WWTP Name: Baxter Healthcare NPOES Number: NQ0006564
Monitoring Period: From 1/1/2014 To 12/31/2014
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ®
I Alt B (Alk Treatment) ®
Alt. C (Prior Testing) El
A1t.D (No Prior Test) ®
I Process to Further Reduce Pathogengs D
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ®
Heat Drying ®
Heat Treatment ®
Thermophilic
Beta Ray ®
Gal Ray ®
Pasteurization
Class B:
JAIt. (1) Fecal Density 5d
Alt. (2) Process to Significantly Reduce Pathogens
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ®
Air Drying ®
Composting ®
Aerobic Digestion E3
naer i A ob c Digestion ElIf
applicable to alternative performed (Class A or Class B) complete the following
monitoring
data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
Number ot
Excee-
e
Frequency
of Analysis
Y
Sample
Type
Analytical
Tech -
ue
Minimum
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
8397
225,349
1280000
MPN/g
0
7
grab
sm9221c
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) 52r
Alt. 2 (40-day bench) ®
Alt. 3 (30-day bench) ®
Alt. 4 (Spec. Oz uptake)
Alt. 5 (14-Day Aerobic) ®
Alt. 6 (Alk. Stabilization ®
Alt 7 (Drying - Stable) ®
I Alt. 8 (Drying - Unstable) [�
Alt. 9 (Injection) ®
Alt. 10 (Incorporation) ®
No vector attraction reduction alternatives were performed El
CERTIFICATION STATEMENT (please check the appropriate statement)
E' "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Dennis Key Southern Soil Builders, Inc.
P Er Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
OSignature of Preparer* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

NCDA&CS Agronomic Division
Phone: [phone] Website: www.neagr.gov/agronomi/
r
Predictive
Soil Report
Mehlich-3 Extraction
Client: Southern Soil Builders, Inc.
958 Hoots Rd
Roaring River, NC 28669
Sampled County: Wilkes
Sampled: Received: 09/30/2014 Completed: 10/08/2014 Farm:
Sample ID: DP1A Recommendations: Lime
Crop (tons/acre) N P2O5 K2O
Lime History: 1 - Fescue/OGrass/Tim, 1 0.0 120-200 0 0
2-
Test Results [units - WN in g/cnr3• CEC and Na in me /100 crrr3 NO N ' lrr3
Advisor:
Links to Helpful Information
Nutrients (lb/acre) More
Mg S Mn Zn 77 7CUB Information
0 0 0 0 0 0 Note: 12
q s- in mg/d ]:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2
Zn-I Zn-AI
Cu-I
0.41 0.93 12.9
Sample ID: DP113
86 1.8 6.1 231 185
Recommendations:
55 24
36
ill
82
435 435
932
Lime
Nutrients (lb/acre)
Lime History:
Crop (tons/acre)
1- Fescue/OGrass/Tim, 1 0.0
N P2O5
120-200
K2O
Mg S
Mn Zn
Cu
2-
0
10
0 0
0 0
0
Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/drr?]:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn All Mn-AI2
Zn-I Zn-AI
Cu-1
0.46 0.86 12.2
Sample ID. DP1C
88 1.4 6.1 150 72
Recommendations:
62 23
43
65
54
539 539
659
Lime
Nutrients (lb/acre)
Lime History:
Crop (tons/acre)
1- Fescue/OGrass/Tim, 1 0.5
N P2O5
K2O
Mg S
Mn Zn
Cu
120-200 0
10
0 0
0 0
0
2-
Test Results [units - WN
in g/crrr3; CEC and Na in meq/100 cn73; NO3-N in mg/dnr3]:
Soil Class:
Mineral
HM% WN CEC
BS% Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All Mn-AI2 Zn-1 Zn-AI
Cu-1
0.51 0.92 11.7
83 2.0 5.8 202 75
60 20
45
131
96 am an7
4 nn�
Na ESP SS i NOs-„I
0.1 1
More
B Information
0 Note: 12
Na ESP SS-1 NO3-N
0.1 1
More
B Information
0 Note: 12
Na ESP SS-1 NO3-N
.North Carolina Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
Steve Troxler, Commissioner of Agriculture

NuuA&GS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY15-SL007224 }
Page 2 of 4 e
Sample ID: DP1D Recommendations: Lime
Crop (tons/acre) N P20s
Nutrients (lb/acre)
More
K20
M S
Lime History: 1 -Fescue/OGrass/Tim, I 0.9 120-200 0
0
g Mn Zn
Cu
B Information
2-
0 0 0 0
0
0 Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meq/100 CO; NO3-N in mg/drrP]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na
90 11.4 81 2.2 5.6 208 116 56 20 49
0.60 07Results
95
ESP SS-1 NO3-N
SampleDP2
Recommendations: Lime
74 697 697
785
0.1 1
Crop (tons/acre) N P205
Nutrients (lb/acre)
More
K20
M S
1 -Corn, silage
9 1.3 180-220 0
80
g Mn Zn
Cu
B
Information
2-
0 0 0 0
0
0
Note:3
[units - WN in g/cm3; CEC and Na in meg1100 cm3; NO3_N i.^..^ry/d.^]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na ESP
0.36 0.96 8.8 72 2.5 5.3 190 59 48 20 60
67
57
SS-1 NO3-N
Sample ID: DP3C
Recommendations: Lime
666 666
745
0.1 1
Crop (tons/acre) N P205
Nutrients (lb/acre)
More
K20
M S
Lime History:
1 -Corn, sila e
9 0.8 180-220 0
100
g Mn Zn
Cu
B
Information
_
2-
0 0 0 0
0
0
Note:3
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/drrP]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na
0.13 0.87 9.3 79 1.9 5.6 91 50 46 31 142
61
ESP SS-1 NO3-N
Sample ID: DP3G
Recommendations: Lime
54 419 419
378
0.1 1
Crop (tons/acre) N P205
Nutrients (lb/acre)
e
K20
Mg S
Lime History:
1-Fescue/OGrass/Tim, 1 1.4 120-200 0
10
Mn Zn
2-
0 00 02
=BInformation
Test Results [units - WN in 9/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2 Zn-I Zn-AI
Cu-I
Na
0.32 0.85 9.2 73 2.4 5.1 95 70 45 24 87
79
ESP SS-1 NO3-N
64 510 510
351
0.1 1

Nt;UA&L;S Agronomic Division Phone: (919'
epsite: www.ncagr.gov/agrpnomi/
Report No. FY15-SL007224
Page 3 of 4 +
Sample ID: DP4
Recommendations: Lime
Crop (tons/acre)
Nutrients (lb/acre)
More
N P2O5
K2O
Mg S Mn Zn
Lime History:
1- Fescue/OGrass/Tim, 1 0.6
120-200 0
50
0
Cu
B Information
2-
0 0 0
0
0 Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N
in mg/dnr ]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2 Zn-I Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.60 0.91 11.6 81 2.2 5.8 93 44
DP5 Recommendations: Lime
53 26 45
87
69 686 686
637 0.1
1
FSaleD:
Crop (tons/acre)
Nutrients (Ib/acre)
More
N P2O6
K2O
Mg S Mn
tory:
1-Fescue/OGrass/Tim, 1 0.0
120-200 0
0
Zn
0
Cu
B
Information
2-
0 0 0
0
0
Note: 12
Test Results [units - W/V in glca; CEC and Na in mea/100 cm3; NO3-N in mg!rin. '-
Soil Class iviineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2 Zn-I Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.41 0.86 11.8 88 1.4 6.2 95 113
Sample ID: DP6
55 28 49
83
65 805 805
532 0.1
1
Recommendations: Lime
Nutrients (lb/acre)
Lime History:
Crop (tons/acre)
1 - Fescue/OGrass/Tim, 1 0.6
N P2O5
120-200 40
K2O
Mg S Mn Zn
Cu
B
More
Information
2-
50
0 0 0 0
0
0
Note: 12
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% W/V CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2 Zn-I Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.41 0.95 7.5 77 1.7 5.7 41 47
Sample ID: DP7
54 20 32
75
62 188 188
94 0.1
1
Recommendations: Lime
Nutrients (Ib/acre)
Lime History:
Crop (tons/acre)
1-Fescue/OGrass/Tim, 1 1.4
N P2O5
120-200
K2O
Mg S Mn Zn
Cu
B
More
Information
2-
0
10
0 0 0 0
0
0
Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class: Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-1
-Mn-All Mn-Al2 Zn-1 Zn-AI
Cu-I Na
ESP SS-1 NO3-N
0.51 0.94 7.4 68 2.4 5.1 99 77 -
47 16 39
77
63 305 305
573 0.1
1

NL;uA&GS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
4
Report No. FY15-SL007224 t
the Soil Report: explanation of measurements, abbreviations and units
Page 4 of 4 IF,Understanding
Recommendations
Report Abbreviations
Lime
If testingfinds that soil H is too low for the crop(s) s indicated, a lime recommendation will be given in units
p P() g
gc
exchangeable acidity
of either
ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting.
For
BS%
boron
% CEC
no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at
Ca%
occupied by basic cations
/a CEC
one time, even if the report recommends more. You can apply the rest in similar increments every six months until the
full rate is applied. If MG is recommended and lime is
occupied by calcium
cation nge capacity
needed, use dolomitric lime.
Cu-I
copper
Fertilizer
ESP
exchangeable sodium percent
Recommendations for field crops or other large areas are listed separately for each nutrient to be added in units of
(
KM%
percent h matter
lb/acre unless otherwise specified). Recommendations for ni'14 +:.,. es for , ^_ based
potassium index
index
for the cropon g
ro beine
p g grown not on soil test results. K-1 and P-1 values are basedoniest're results and should bet>50. Iftheyg%
follow y
M
Potash
/o CEC occupied by magnesium
are not, the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is
an excellent source; 175 to 250 lb acre alone in
MIN
mineral soil class
per or a fertilizer blend will usually satisfy crop needs, SS -I levels appear
only on reports for greenhouse soil or problem samples.
Mn
Mn-All
manganese
Mn-availability index for crop 1
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-AI2
Mn-I
Mn-availability index for crop 2
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients• In general, homeowners do not
need to be concerned about micronutrients. Various
M-0
N
mineral -organic soil class
crop notes also address lime fertilizer needs; visit
nitrogen
ncagr.gov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations forsmall areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot
0H G
organic soil class
find the exact fertilizer grade recommended on the report, visit
P
P
current soil pH
wFvw.ncaQr.aov/aaronomi/oboart4 htm s to find
information that may help you choose a comparable alternate. For more information, readA Homeowner's
P-1
P205
phosphorus index
o
Guide to Ferti/iz r
phosphate
Test Results
S-1
sulfur index
SS -I
soluble salt index
The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pHj describe the soil and its degree of acidity. The
WN
Zn AI
weight per volume
zinc availability index
remaining 16 [P-1, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not
routinely available)] indicate levels
Zn-I
zinc index
of plant nutrients or other fertility measurement. Visit :Nvnrv.ncaar gov/agronomi/uyrst htm
for more information.