WQ0036153_Residual Annual Report 2014_20150219

NCDENR
Division of Water Resources
Aquifer Protection Section
Land Application Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
Dear Sir or Madam,
Johnston County Water
complete and sufficient
Johnston County contra
in eastern North Carolir
JW4"/J`�
DEPARTMENT OF PUBLIC UTILITIES
POST OFFICE BOX 2263
SMITHFIELD, N.C. 27577
- [phone]
Y
,fitting our 2014 land application rep
runty has contitiued distributing wat
rplace Logistics Inc. to distribute our
In this report includes:TCL"P, meta.ls� he
magnesium, total potassium, total"sod
once per year and aN_other testingkis d
also have dry ton dataderived from
Supp DMSDF, RSSF, RSS'F-6,0.Lab Sheev
residuals are waived from"ha`vink vectt
Johnston County has listed f
each farm. Johnston County
needed. Johnston County ha
Sincerely,
John D. Wa I
Water & Wastewater Facility Manager
Johnston County Public Utilities
919-989-5075
[e-mail]
e you find this report
esiduals in 2014.
f=nt!residuals on farms
11 alumin`um,�capld
sting.,done. TCLW ti
amount of confzrai
r -been distribute4
PVRF 02T and 503 are included. Joh
,attractio-fi'44, fiction in our permit i
4.
oUrTesiduals have b,een-ilistributec
pose of residuals in -the County ovu-r
n, total
ting is done
hauling. We
Forms DMSDF,
Water Plant
I36153.
ind dry ton amounts to
c-Sub Title D Landfill if
�j
FEB 19 LU 15
waterQuatsty
pal riftong Section
Printed on recycled paper V, tp

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0036153 FACILITY NAME: Johnston County WTP
PHONE: [phone] COUNTY: Johnston OPERATOR: John D. Wall
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
❑ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 2 No ❑ —► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bullring Agent
Residual In
Product Out
Name(s)
-
Volume (dry tons)
Intended use(s)
January
WQ0036153
18.84
February
WQ0036153
8.87
March
WQ0036153
8.91
April
May
June
July
August
September
October
November
December
Total from FORM DMSDF (sup);0,
° -_ �
00
_. °_
_ �_ 37.37;
Totals:
Annual (dry tons):
_: 0 ° ` "
� � 36:62- � _
` `0
3.7.37 __ ,__
Amendment(s) used: I Bulkin Agent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp) 1
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit p Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No 0, If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
No contravention of Ground Water Quality Standards occurred at a monitoring well.
"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."
Signature of Permittee Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Signature ofPreparer**
(if different from Permittee)
Date
DENR FORM DMSDF (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
Supplemental Information
WQ PERMIT #: WQ0036153 FACILITY NAME::',- . Johnston County WTP
PHONE: [phone]=4740 COUNTY:;-- OPERATOR:; John�D::�1IVall `.,<�,�;�;;°j
FACILITY TYPE (please check one): ❑ Surface Disposal (complete Part A - "Month", "Source(s)" and "Residual In" columns only)
n Distribution and Marketing (complete Parts A. and B)
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry
tons)
Intended use(s)
January
WQ0036153
none
Hudson Brothers
18.84
Agriculture
February
WQ0036153
none
Hudson Brothers
4.76
Agriculture
February
WQ0036153
none
Temple Farms
4.86
Agriculture
March
WQ0036153
none
Manor Farms
8.91
Agriculture
Totals:
Annual (dry tons):
a . ,: 0 _ , °
0 -
..........................................
0 . - `<? : `37.37 "
.....................
Amendment(s) used:
Bulking Agent(s) used:
(supp)): Total Number of Form DMSDF (Supp) I 1
* If more space is required, attach additional information sheets (FORM DMSDF
DENR FORM DMSDF (Supp) (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: WQ0036153 Laboratory: 1) Meritech
Facility Name: Johnston County WTP 2) Garden State Laboratories, Inc.
Residual Source WQ # or WQ0036153 3)
NPDES #: 4)
WWTP Name: N/A 5)
Uneirinal Analveie llata
Parameter
(mg/kg)
Conc.
Limit
(Mg/kg a
Sample or Composite Date
2-4-14
9/23/14
Percent Solids (%)
NA
18.6
21.9
Arsenic
75
<2.63
<2.28
Cadmium
85
10.9
<0.457
Copper
4,300
294
355
Chromium
NA
N/A
N/A
Lead
840
9.42
9.36
Mercury
57
<.05
<.046
Molybdenum
75
19.8
47
Nickel
420
12.3
21.4
Selenium
100
<2.63
<2.28
Zinc
7,500
57.4
110
Total Phosphorus
NA
2450
4150
TKN
NA
1770
1260
Ammonia -Nitrogen
NA
<53.8
<45.7
Nitrate and Nitrite
NA
<53.8
<45.7
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
pena=--d
false information, including the possibility of fines and imprisonment for knowing violations."
Z- 13 -Ir
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: WQ0036153 Laboratory: 1) Meritech
Facility Name: Johnston County WTP 2) Garden State Laboratories, Inc.
Residual Source WQ0036153 3)
NPDES # or WQ#: 4)
WWTP Name: N/A 5)
Parameter
Sample or •mposite Date
---
Total Nitrogen
Total Mangnesium
Total Sodium
"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."
ac Z- —f 3 —Ir
Signature of Preparer *
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
Date
DENR FORM RSSF - B (12/2006)

4�+
Contact: Debra Cutler
Client: Johnston County WTP
P.O. Box 2263
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Page 1
Report Date: 2/26/2014
Smithfield, NC 27577 Date Sample Rcvd: 2/4/2014
Meritech Work Order # 02041493
Para:neter,N
% Total Solids
Ammonia, Nitrogen
TKN
Nitrate/Nitrite, Nitrogen
Nitrogen, total
Aluminum, total
Arsenic, total
Cadmium, total
Calcium, total
Copper, total
Lead, total
Magnesium, total
Mercury, total
Molybdenum, total
Nickel, total
Phosphorus, total
Potassium, total
Selenium, total
Sodium, total
Zinc, total
SA R
pH
Results
Sample: Sludge Grab
18.6 %
< 53.8 mg/kg
1,770 mg/kg
< 53.8 mg/kg
1,770 mg/kg
9,320 mg/kg
< 2.63 mg/kg
10.9 mg/kg
1,060 mg/kg
294 mg/kg
9.42 mg/kg
423 mg/kg
< 0.05 mg/kg
19.8 mg/kg
12.3 mg/kg
2,450 mg/kg
339 mg/kg
< 2.63 mg/kg
197 mg/kg
57.4 mg/kg
1.83
6.5 S.U.
Analysis D,ai:e
2/5/14
2/5/14
2/7/14
2/6/14
2/10/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/7/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/9/14
2/5/14
Rg o¢ -tang Limit
0-100 %
53.8 mg/kg
20 mg/kg
53.8 mg/kg
20 mg/kg
5.00 mg/kg
2.63 mg/kg
0.200 mg/kg
10.0 mg/kg
1.00 mg/kg
1.00 mg/kg
10.0 mg/kg
0.05 mg/kg
0.500 mg/kg
1.00 mg/kg
2.00 mg/kg
20.0 mg/kg
2.63 mg/kg
20.0 mg/kg
1.00 mg/kg
1.0 - 14.0 S.U.
2/4/14
Method
SM 2540B
EPA 350.1
EPA 351.1
EPA 353.2
EPA 353.2
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 245.1
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
EPA 200.7
SM 4500-HB
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

-�
_ Contact: Debra Cutler
Client: Johnston County WTP
P.O. Box 2263
Smithfield, NC 27577
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Report Date:
Date Sample Rcvd:
10/6/2014
9/23/2014
Meritech Work Order # 09231484 Sample: Belt Press Sludge Grab
9/23/14
Parameters
Results
Analysis Date
Reporting Limit
Method
% Total Solids
21.9 %
9/24/14
0-100 %
SM2540B
-
Ammonia, Nitrogen
< 45.7 mg/kg
9/29/14
45.7 mg/kg
EPA 350.1
TKN
1,260 mg/kg
10/1/14
40.5. mg/kg
EPA 351.1
Nitrate/Nitrite Nitrogen
< 45.7 mg/kg
9/25/14
45.7 mg/kg
5.00 mg/kg
EPA 353.2
EPA 200.7
Aluminum, total
Arsenic, total
9,770 mg/kg
< 2.28 mg/kg
10/6/14
10/6/14
2.28 mg/kg
EPA 200.7
Cadmium, total
k
< 0.457 mg/ g
10 6 14
/ /
0.457 mg/kg
EPA 200.7
Calcium, total
1,810 mg/kg
10/6/14
10.0 mg/kg
EPA 200.7
upper, total
355 mg/kg
10/6/14
1.00 mg/kg
EPA 200.7
Lead, total
9.36 mg/kg
10/6/14
1.00 mg/kg
EPA 200.7
Magnesium, total
489 mg/kg
10/6/14
10.0 mg/kg
EPA 200.7
Mercury, total
< 0.046 mg/kg
9/30/14
0.046 mg/kg
EPA 245.1
Molybdenum, total
47.0 mg/kg
10/6/14
0.546 mg/kg
EPA 200.7
Nickel, total
21.4 mg/kg
10/6/14
1.00 mg/kg
EPA 200.7
Phosphorous, total
4,150 mg/kg
10/6/14
2.00 mg/kg
EPA 200.7
Potassium, total
336 mg/kg
10/6/14
20.0 mg/kg
EPA 200.7
Selenium, total
< 2.28 mg/kg
10/6/14
2.28 mg/kg
EPA 200.7
- Sodium, total
265 mg/kg
10/6/14
20.0 mg/kg
EPA 200.7
Zinc, total
110 mg/kg
10/6/14
1.0 mg/kg
EPA 200.7
SAR
2.02
10/6/14
-
-
pH
5.5 S.U.
9/24/14
1.0 -14.0 S.U.
SM 4500 H B
I herebycertify that I have reviewed and approve these data. -� t
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

Meritech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Page 2
Contact: Debra
Cutler
Report Date:
2/26/2014
- Client: Johnston County WTP
P.O. Box 2263
Smithfield, NC 27577 Date Sample Rcvd:
2/4/2014
Meritech Work Order # 02041493 Sample: Sludge Collection Date:
2/4/14
1311- TCLP Metals
- Parameter
Result Units Analysis Det. Limit
Reg. Limit
Method
Arsenic
< 0.100 mg/L 2/11/14 0.100
5.0
EPA 200.7
Barium
0.944 mg/L 2/11/14 0.020
100.0
EPA 200.7
Cadmium
< 0.020 mg/L 2/11/14 0.020
1.0
EPA 200.7
J Chromium
< 0.050 mg/L 2/11/14 0.050
5.0
EPA 200.7
Lead
< 0.100 mg/L .2/11/14 0.100
5.0
EPA 200.7
Mercury
< 0.02 mg/L 2/7/14 0.02
0.2
EPA 245.1
Selenium
< 0.100 mg/L 2/11/14 0.100
1.0
EPA 200.7
Silver
< 0.050 mg/L 2/11/14- 0.050
5.0
EPA 200.7
1311- TCLP Pesticides & Herbicides
Pesticide - SW-846 8O81A
Analyst: Summit
Analysis Date:
2/12/14
Parameter
Results Det. Limit
Reg. Limit
Dilution Factor
Chlordane
< 0.01 mg/L 0.01
0.030
1
Toxaphene
< 0.1 mg/L 0.1
0.50
1
- Endrin
< 0.002 mg/L 0.002
0.020
1
Gamma-BHC
< 0.002 mg/L 0.002
0.40
1
-' Heptachlor
< 0.002 mg/L 0.002
0.0080
1
Heptachlor Epoxide
< 0.002 mg/L 0.002
0.0080
1
I Methoxychlor
< 0.002 mg/L 0.002
10.0
1
Herbicides - SW-846 8151A
Analyst: Summit
Analysis Date:
2/12/14
Parameter
Results Det. Limit
Reg. Limit
Dilution Factor
2,4-D
< 5 mg/L 5.0
10.0
1
7 ( 2,4,5-TP (Silvex)
< 0.5 mg/L 0.5
1.0
1
642 Tamco Road * Reidsville, NC 27320
-
[phone] Ph * [phone] Fax

Hier to i ch, Inc.
Environmental Laboratory
Laboratory Certification No.165
Contact: Debra Cutler
Client: Johnston County WTP
P.O.'Box 2263
Smithfield, NC 27577
Meritech Work Order # 02041493
Report Date:
Date Sample Rcvd:
Sample: Sludge Collection Date:
Page 3
2/26/2014
2/4/2014
2/4/14
TCLP Organics
Parameter Result Analysis Reporting Limit Method
Pesticides 8080
Volatiles 8260
Semi Vol. 8270
Herbicides 8150
Attached
Attached
Attached
Attached
2/12/14 - -
2/7/14 - -
2/17/14 - -
2/12/14 - -
8080
8260
8270
8150
Other Tests
Parameter
Result
Analysis Reporting Limit
Method
Ignitability
* WNI
2/19/14 - -
EPA 1030
pH
6.5 S.U.
2/5/14 1.0 -14.0 S.U.
SM 4500 HB
-- Cyanide, total
< 0.5 mg/kg
2/7/14 0.5 mg/kg
EPA 335.4
Sulfide, total
20.4 mg/kg
2/7/14 10 mg/kg
SM 4500 SD
* Will Not Ignite
I hereby certify that I have reviewed and approve these data.
Laboratory Representative
642 Tamco Road * Reidsville, NC 27320
[phone] Ph * [phone] Fax

H, MERITECH, INC.
Environmental Laboratories
A Division of Water Technology and Controls, Inc.
Client: Johnston County PU
Proj ect: TCLP
Client Sample ID: WTP Sludge
Sample Collection: 02/4/14
Meritech Sample ID: 02041493
1311 - TCLP Organics
Volatiles: SW-846 8260
Analysis: 02/07/14 Extracted: 02/06/14
Analyst: V W V
Parameter
Result
Units
Det. Limit
Reg. Limit
Dilution Factor
Benzene
< 0.0100
mg/L
0.0100 "
5.00
10
Carbon Tetrachloride
< 0.0100
mg/L
0.0100
5.00
10
Chlorobenzene
< 0.0100
mg/L
0.0100
100
10
Chloroform
< 0.0100
mg/L
0.0100
6.0
10
1,2-Dichloroethane
< 0.0100
mg/L
0.0100
0.50
10
1,1-Dichloroethene
<0.0100
mg/L
0.0100
0.70
10
Methyl Ethyl Ketone
< 0.100
mg/L
0.100
200
10
-- 'etrachloroethylene
< 0.0100
mg/L
0.0100
0.70
10
Trichloroethene
< 0.0100
mg/L
0.0100
0.50
10
Vinyl Chloride
< 0.0200
mg/L
0.020
0.20
10
Semi-Volatiles: SW-846 8270
Extraction: 02/10/14
Analysis: 02/17/14
Analyst:
PM
Parameter
Result
Units
Det. Limit
Reg. Limit
Dilution Factor
1,4-Dichlorobenzene
<0.100
mg/L
0.100
7.5
10
Hexachlorobenzene
<0.100
mg/L
0.100
0.13
10
Hexachloro-1,3-butadiene
<0.100
mg/L
0.100
0.5
10
Hexachloroethane
<0.100
mg/L
0.100
3.00
10
o-cresol
<0.100
mg/L
0.100
200
10
m&p-cresol
<0.200
mg/L
0.200
200
10
- Total cresols
<0.300
mg/L
0.300
200
10
Nitrobenzene
<0.100
mg/L
0.100
2.00
10
Pentachlorophenol
<0.500
mg/L
0.500
100
10
Pyridine
<0.100
mg/L
0.100
5.0
10
2,4,5-Trichlorophenol
<0.100
mg/L
0.100
400
10
2,4,6-Trichlorophenol
<0.100
mg/L
0.100
2.00
10
2,4-Dinitrotoluene
<0.100
mg/L
0.100
0.13
10
t
- i" hereby certify that I have
reviewed and
approve
these data.
`-
Laboratory Representative
642 Tamco Road * Reidsville, NC
27320
[phone] Ph *
[phone] Fax

r
Garden State Laboratories, Inc® �p,� ACCp9011
Toll Free 800-273-8901
Telephone [phone]
Mathew Klein, M.S., Founder (1916-1996) RT®F Fax [phone]
Harvey Klein, M.S., Laboratory Director email: [e-mail]
Internet: www.gslabs.com
REPORT # 341105004.0
TO: Cutler, Debra
P.O. Box 2263
Smithfield
ATT.
Bacteriological and Chemical Testing
4101EIillside Avenue �
U ° �
Hillside, New Jersey 07205
REPO
ANALYSIS
SAMPLE TYPE: SLUDGE, GRAB SAMPLE
SAMPLE! L/.: BELT-PRESSSLUDGE
SAMPLE LOCATION: PRESS
DATE SAMPLED: 11/4/14
NC 27577
TIME SAMPLED: 09:00
CLIENT # CUT06
DATE SUBMITTED: 11/5/14
ANALYSIS RESULT UNITS DATE ANALYZED
Salmonella, SM 9260D +Appendix F <0.35 organisms/4g dry wt 11/5/14-17:40
Total Solids, SM 2540 G 20.7 % as received 11/6114
I
< = less than, not detected.
Client provided sample container; sample was received past holding time
17
277449
The liability of Garden State Laboratories, Inc. for services rendered shall in no event exceed the amount of the invoice.
Certified by NJ Dept. of Health, NJDEP #20044, NY Dept. of Health #11550 and PADEP #68-03680.

,N ACCCg
'9A Garden State Laboratories, Ind..-.,
Bacteriological and Chemical Testing e° F
410 Hillside Avenue
Hillside, New Jersey 07205
Mathew Klein, M.S., Founder (1916-1996)
Harvey Klein, M.S., Laboratory Director
TO: Cutler, Debra
P.O. Box 2263
Smithfield
rams
REPORT OF I
ANALYSIS
I I
SAMPLE TYPE: SLUDGE, GRAB SAMPLE
SAMPLE ID: BELT PRESS SLUDGE
SAMPLE LOCATION: BELT PRESS
DATE SAMPLED: 3/4/14
NC 27577
TIME SAMPLED: 11:30
Toll Free 800-273-8901
Telephone [phone]
Fax [phone]
email: [e-mail]
Internet: www.gslabs.com
REPORT # 340305066.0
CLIENT # CUT06
DATE SUBMITTED: 3/5/14
�.. ANALYSIS
RESULT
UNITS _
—
DATE ANALYZED
Salmonella, SM 9260D +Appendix F
<0.47
organisms/4g dry wt
3/5/14-15:20
Total Solids, SM 2540 G
15.4
% as received
3/6/14
< = less than, not detected.
267589
The liability of Garden State Laboratories, Inc. for services rendered shall in no event exceed the amount of the invoice.
Certified by NJ Dept. of Health, NJDEP #20044, NY Dept. of Health #11550 and PADEP #68-03680

Garden State Laboratories, Inc© a��o,1 A000,9 y�
Q� o Bacteriological and Chemical Testing �� F
i qe o� 410 hillside Avenue,
�9q, _aRQ Hillside, New Jersey 07205
Mathew Klein, M.S., Founder (1916-1996)
Harvey Klein, M.S., Laboratory Director
TO: Cutler, Debra
P.O. Box 2263
Smithfield
FINa9
REPORT OF�
ANALYSIS
SAMPLE TYPE: SLUDGE, GRAB SAMPLE
SAMPLE ID:
SAMPLE LOCATION: BELT PRESS
DATE SAMPLED: 4/1/14
NC 27577
TIME SAMPLED: 09:00
as
Toll Free 800-273-8901
Telephone [phone]
Fax [phone]
email: [e-mail]
Internet: www.gslabs.com
REPORT # 340402033.0
CLIENT # CUT06
DATE SUBMITTED: 4/2/14
< = less than, not detected.
j 268573
The liability of Garden State Laboratories, Inc. for services rendered shall in no event exceed the amount of the invoice.
Certified by NJ Dept. of Health, NJDEP #20044, NY Dept. of Health #11550 and PADEP #68-03680.
I

c srsr Garden State Laboratories, Inc. ,".'o ,N ACCCRO1i Vx�
Bacteriological and Chemical Testing
410 Hillside Avenue
Hillside, New Jersey 07205
Mathew Klein, M.S., Founder (1916-1996) I REPORTF
O
Harvey Klein, M.S., Laboratory Director ANALYSIS
TO: Cutler, Debra
P.O. Box 2263
Smithfield NC 27577
ATT:
SAMPLE TYPE: SLUDGE, GRAB SAMPLE
SAMPLE ID:
SAMPLE LOCATION: BELT PRESS SLUDGE
DATE SAMPLED: 8/11/14 TIME SAMPLED: 09:25
as
< = less than, not detected.
Submitted past holding time.
Toll Free 800-273-8901
Telephone [phone]
Fax [phone]
email: [e-mail]
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REPORT # 340812003.0
CLIENT # CUT06
DATE SUBMITTED: 8/12/14
274265
The liability of Garden State Laboratories, Inc. for services rendered shall in no event exceed the amount of the invoice.
Certified by NJ Dept. of Health, NJDEP #20044, NY Dept. of Health #11550 and PADEP #68-03680.

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Johnston County WTP WQ Permit Number: WQ0036153
WWTP Name: N/A
NPDES Number:
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) ❑
Alt B (Alk Treatment) ❑
Alt. C (Prior Testing) ❑
Alt.D (No Prior Test) ❑
Process to Further Reduce Pathogengs ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B: JAIt.
(1) Fecal Density ❑
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 ❑
I Composting ❑
1 Aerobic Digestion ❑
Anaerobic Digestion estion ❑
....................................................................................................
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
Number of
Excee-
Frequency
of Analysis
Y
Sample
Type
Analytical
Tech -
Minimum
Geo. Mean
aximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
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)
<1
<1
O/drywt
0
Quaterly
Grab
sm9260d
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Joln�v
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Z /3 /S
Signature of rev
eparer* Date Signature of Land Applier (if applicable)
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM PVRF 02T (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: Johnston County Water Plant WQ Permit Number: WQ0036153
WWTP Name: N/A NPDES Number:
Monitoring Period: From 1/1/2014 To 12/31/2014
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
..................
Alternative 4
Alternative 5 ❑
Alternative 6 ❑
If applicable to alternative
performed (Class A only) indicate "Process to Further
Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alternative 1 ❑
Alternative 2 ❑
If applicable to alternative
performed (Class
B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying❑ I
Composting ❑
Aerobic Digestion ❑
Anaerobic Digestion
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in
in Sludge
Pathogen Density
Number of
Excee-
Frequency
of Analysis
Sample
Type
Analytical
Tech -
Minim
Geo. Mean
Maximum
Units
Fecal Coliform
2x10tothe
6th power
per gram of
total solids
WN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
3 WN per 4 grams
total solid (dry
wei ht
<1
<1
O/drywt
0
Quaterly
Grab
sm9260d
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
Alt.1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
"I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 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."
Preparer Name and Title (type or print)
i Z-13 /Y-
Signature o Preparer* Date
Land Applier Name and Title (if applicable)(type or print)
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 503 (12/2006)