WQ0001953_Renewal Application_20200103

Initial Review
INITIAL REVIEW
Reviewer Thornburg, Nathaniel
Is this submital an
application?*
r Yes r No
Is this a complete
application?* Complete App Date
r Yes r No 01/02/2020
Project Number* WQ0001953
Applicant/Permittee Town of Spindale
Applicant/Permittee 125 Reveley Street Spindale, NC 28160
Address
Is the owner in BIMS?
r Yes r No
Owner Type
Facility Name
County
Municipal
Town of Spindale RLAP
Rutherford
Fee Category
Minor
Signature Authority
Signature Authority Title
Signature Authority Email
Document Type (if
non -application)
Email Notifications
Does this need O Yes
review by the r No
hydrogeologist? *
Regional Office Asheville
Is the facility in BIMS?
r Yes r No
Fee Amount

CO Reviewer Poonam Giri: eads\pagiri
Admin Reviewer
Below list any additional email address that need notification about a new project.
Email Address
Comments to be added to email notification
Comments for Kendall
Comments for RO
Comments for Reviewer
Comments for Applicant

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
.......................................................................................................................................................................................................................................................................................................................................................................................................
Name * Zach Key
Email Address*
[e-mail]
Project Information
........................................................................................................................................................................
Submittal Type* r New Permit Application
r Renewal
r Annual Report
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?*
r Yes r Nor N/A
Permit Number WQ0001953
currently has project
Applicant\Permittee * Town of Spindale
Phone Number*
336-957-7871
Applicant/Permittee 125 Reveley Street Spindale, NC 28160
Address*
Facility Name * Town of Spindale
r Modification (Major or Minor)
r Additional Information
r Other
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
Land Application Permit WQ0001953 renewal for the Town of Spindale, NC
Please attach all information required or requested for this submittal to be review here.
Application Form Engineering Rans, Specifications, Calculations, Etc.)
2020 Land App Renewal.pdf 3.13MB
Upload only 1 R7F document. NL@iple documents must be combined into one R7F file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper --polka*-ion is required,
be advised, applications accepted' far pre -review until both the paper and eIect-c-,i_ co1)ies nave been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (calcs, soils report, specs, etc.)
o One full-size engineering plan set
o One 11x17" engineering plan set
o One extra set of specifications
o Fee (if required)
MallinE address:
❑iuision of Water Resources1 Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
1617 Mail Service Center 1 Aft: Nathaniel Thornburg, 91° Floor, Cfice #942W
----------------------------------------------------------- -----------------------------------------
Raleih, NC 27699-1617 512 N. Salisbury St.
Far questions or problems contact Tessa Monday [e-mail] or 919.707.3560.
* W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
t �
Submission Date 1/2/2020

S Southern
S Soil
B Builders, Inc.
Friday, November 29, 2019
958 Hoots Road Roaring River, NC 28669
Zach Key 336-957-7871 • Fax [phone]
Email: [e-mail]
North Carolina Department of Environment Quality
Division of Water Resources
Water Quality Permitting Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Reference: Permit Renewal for the Town of Spindale
Land Application Permit No. WQ0001953
Southern Soil Builders, Inc. is assisting the Town of Spindale in applying for a renewal to its current land
application permit WQ0001953.
There are no changes in this permit renewal, apart from the deletion of one field.
Your attention to this permit application package is greatly appreciated. If you have any questions or
concerns, please feel free to contact me at 336-957-7871 or at [e-mail]
Sincerely,
3-.114 _�
Zach Key
Southern Soil Builders, Inc.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .1100 — RESIDUALS LAND APPLICATION PROGRAM
INSTRUCTIONS FOR FORM: RLAP 06-16 & SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General -- This application is for treatment, storage, transport, and/or land application of Class B residuals (may include residuals that
are generated from a water treatment plant or other type facilities) on the proposed or currently approved land application site(s) under
15A NCAC 02T .I 100.
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Land Application Program (FORM: RLAP 06-16) Application: (All Application Packages):
❑ Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ The Applicant's Certification on Page 5 of this form shall be signed in accordance with 15A NCAC 02T .0I06(b). An alternate
person may be designated as the signing official if a delegation letter is provided from a person who meets the criteria in 15A
NCAC 02T .0I06(b).
❑ If this project is for a modification of an existing permit, submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies) for application packages involving new or changes to treatment and storage units.
B. Application Fee (New and Major Modification Application Packages)
❑ Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environmental
Quality (NCDEQ).
C.
il
Facility Classification New Permit
Major (land are permitted for > 300 acres) $1,310
Minor (land are permitted for <300 acres)
$810
Major Modification
$395
$245
' - A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage:
adds additional land application areas not previously approved for that particular program [including transferring of field(s) from
one program to another]: adds additional residuals sources; or includes the addition of new treatment or storage units/processes not
previously permitted. There is no fee for minor modifications to a permit.
Cover Letter (All Application Packages)
❑ List all items included in the application package, as well as a brief description of the requested permitting action.
Environmental Assessments (May be Required — See 15A NCAC IC.0300)
❑ Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
INSTRUCTIONS FOR FORM: RLAP 06-16 Page I of 3

E. Operation and Maintenance Plan (New and Renewal Application Packages)
❑ For Modification Application, if there are any changes to the existing plan, submit an updated O&M plan.
❑ Submit the O&M Plan in accordance with 15A NCAC 02T .I 110 and include at a minimum:
Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
❑ Maintenance schedules; may include equipment calibration, maintenance of signs, etc.
❑ Safety measures; may include safety training program, manuals, signs, etc.
❑ Spill response plan; including control, containment, remediation, emergency contact information, etc.
❑ Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s) and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per
year but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most
likely to be negatively affected by cold temperatures.
THE FOLLOWING ADDITIONAL ITEMS (G to M) ARE REQUIRED FOR DEDICATED PROGRAM ONLY.
F. Program Determination
❑ Dedicated residuals land application programs are ones in which land application sites meet the criteria in 15A NCAC 021'
.1 102(12). Specifically, a residuals land application program is designated as dedicated if any of the following are applicable:
❑ Any land application site certified for the residuals land application program that receives residuals at rates or frequencies
greater than agronomic rates.
❑ Any land application site certified for the residuals land application program that is used primarily for residuals disposal,
and agricultural crop production is of secondary importance.
❑ Any land application site certified for the residuals land application program that receives residuals through fixed irrigation
facilities or irrigation facilities fed through a fixed supply system.
❑ Please contact the Non -Discharge Permitting Unit if you need any assistance in determining whether your residuals program
falls under the dedicated program definitions.
G. Program Information
Provide an explanation of why a dedicated system is required instead of a conventional non -dedicated system.
❑ Provide an explanation of the dedicated system and its operation.
H. Detailed Site Maps (All New or Modification Application Packages)
❑ Submit three (3) sets of standard size plans and two (2) sets of I I" by 17" plans (electronic format is acceptable - Adobe PDF
only). For Modifications, submit plans specific to the modification(s) only.
❑ Plans must include the following minimum items:
❑ A general location map, a vicinity map and a topographic map with contours not exceeding 10 feet or 25% of the total site
relief and showing all facility related structures and fences within the land application area.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of the land application site(s).
❑ Delineation of the review and compliance boundaries
❑ Setbacks as required by 15A NCAC 02T .1108
❑ Site property boundaries within 500 feet of all waste treatment, storage, and disposal site(s).
❑ A map showing the entire irrigation area with an overlay of the suitable irrigation area depicted by the soil scientist's
evaluation. The irrigation plans shall show each nozzle/emitter and wetted area (when applicable). Clearly label spray
irrigation zones as they will be operated.
❑ Plans must depict a completed design and not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans. However, the plans may be labeled with
the phrase: FINAL DESIGN - NOT RELEASED FOR CONSTRUCTION
INSTRUCTIONS FOR FORM: RLAP 06-16 Page 2 of 3

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

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T.1100— RESIDUALS LAND APPLICATION PROGRAM
FORM: RLAP 06-16
1. APPLICANT INFORMATION:
I. Applicant's name: Town of Spindale
Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership ❑ Privately -Owned Public Utility
❑ Federal ❑ State ® Municipal ❑ County
Signature authority's name per 15A NCAC 02T .0106: G. Scott Webber Title: Town Manaeer
Applicant's mailing address: 125 Reveley St.
City: S ip ndale State: NC Zip: 28160
Telephone number: [phone] Email Address: gswebbert(_spindalenc net
2. Consultant's name: Zach Key License Number (for P.E.):
Affiliation: ❑ On Staff ❑ Retained (Firm: Southern Soil Builders. Inc.)
Consultant's mailing address: 958 Hoots Road
City: Roaring River State: NC Zip: 28669
Telephone number: [phone] Email Address: [e-mail]
3. Agronomist's name: _
License Number:
Affiliation: ❑ N/A ❑ On Staff
❑ Retained (Firm: )
Agronomist's mailing address:
City: _ State:
Zip:
Telephone number: (_)
Email Address:
4. Soil Scientist's name: _
License Number:
Affiliation: ❑ N/A ❑ On Staff
❑ Retained (Firm:
Soil Scientist's mailing address: _
City: _ State: _
Zip: _
Telephone number: (_) _- _
Email Address:.
5. Fee submitted: $000 (See Instruction B)
H. PERMIT INFORMATION:
I. Application is for (check all that apply): ❑ new, ❑ modified, Z renewed permit
2. If this application is being submitted to renew or modify an existing permit, provide the following:
Permit number: W00001953
Date of most -recently issued permit: 5-25-2015
Date of most -recently certified Attachment A (if different than the permit): 5-25-2015
Date of most -recently certified Attachment B (if different than the permit): 5-25-2015
FORM: RLAP 06-16 Page I of 5

III. RESIDUALS LAND APPLICATION PROGRAM INFORMATION:
I. Residuals Processing Facility's physical address: 101 Ecolot4v Stree
City: S indale State: NC Zip: 28160
Coordinates: Latitude: 35' 22' 32 78" Longitude: 81' 54' 20 24"
Datum: NAD83 Level of accuracy: .01
Method of measurement: GPS
2. County where residuals land application program is headquartered: Rutherford
3. List the Operator In Responsible Charge (ORC) and all Back -Up ORCs for the residuals land application program, their
certification numbers, and their affiliations in the following table:
Designation
Name
Affiliation
Certification Number
ORC
Dennis Key
Southern Soil Builders, Inc.
15704
Back -Up ORC
Zach Key
Southern Soil Builders. Inc.
27660
Additional Back -Up
ORCs
(if a licable)
If an ORC and at least one Back -Up ORC are not currently designated for this residuals land application program, provide the
candidates' names, affiliations, and an estimated time schedule for each candidate's completion of the required training school
and certification test:
4. Complete the following tables regarding management of the residuals land application program:
a. Plant Available Nitroeen Summary: Determine the maximum plant available nitrogen (PAN) generated by all residuals
source -generating facilities as currently certified and proposed for certification with this application and list the results in the
following table:
Maximum amount of residuals to be certified: 200 dry tons per year.
PAN
Pounds of PAN per Dry Ton
(Weighted Average)
Pounds of PAN per Year
Surface
Incorporation
or Injection
Surface
Incorporation
or Injection
First -Year
35.08
44.75
7016
8950
Five -Year Maximum Adjusted
37.52
47.57
7504
9514
b. Land Application Site Use Summary: Summarize information regarding the land application sites as currently certified and
proposed for certification with this application:
Category
Use
Acres
Comments
Crops
Forest or Plantation
0
Row Crops
0
Hay
58.3
Pasture
6.1
Total:
Methods
Surface
64.4
Incorporation or Injection
0
Total:
64.4
FORM: RLAP 06-I6 Page 2 of 5

c. Residuals Land Application Sun:nearv: Determine the minimum acreage required to land apply the residuals as currently
certified and proposed for certification assuming the scenarios listed in the following table:
Assumed
Application Rate
Obs PAN/ac-yi)
Acres Required Using
First -Year PAN Concentrations
Acres Required Using
Five -Year Maximum Adjusted PAN
Concentrations
Surface
Incorporation or
Injection
Surface
Incorporation or
Injection
50
140.32
179
150
190.28
100
70.16
89.5
75
95.14
150
46.77
59.6
50
63.4
200
35.08
44.75
37.5
47.57
6. If applicable, provide a plan and a schedule to resolve any known issues that would prevent land application of the proposed
residuals due to the violation of North Carolina Administrative Code (e.g. not enough storage, not enough land, vector reduction
practices not in place, etc.):
7. Specify type of residuals program (See Instruction F): ® Non -dedicated ❑ Dedicated
If Dedicated, specify the following (check all that apply):
❑ Residuals program contains any land application site(s) that receives residuals at rates or frequencies greater than agronomic
rates, explain; _
❑ Residuals program contains any land application site(s) that is used primarily for residuals disposal, and agricultural crop
production is of secondary importance, explain;
❑ Residuals program contains any land application site(s) that receives residuals through fixed irrigation facilities or irrigation
facilities fed through a fixed supply system, explain; _
IV. RESIDUALS SOURCE INFORMATION: (Required for all new, renewed, or modified residuals source)
Complete and submit the following Residuals Source Certification and all associated documentation.
Residuals Source
Certification
V. LAND APPLICATION SITE INFORMATION: (Required for all new, renewed, or modified land application site)
Complete and submit the following Land Applications Site Certification and all associated documentation.
L�
Land Application Site
Certification.doc
FORM: RLAP 06-16 Page 3 of 5

Note: Item VI. Applicable to Dedicated Program with fixed irrigation system only.
VI. DESIGN INFORMATION FOR FIXED IRRIGATION SYSTEM
I. The irrigation system is: ❑ Spray ❑ Drip
2. Disposal system is: ❑ existing ❑ proposed.
I Minimum depth to mean seasonal high water table (SH WT) within irrigation sites(s) per Soil Scientist's Evaluation: _ feet
below ground surface. Rules 15A NCAC 02T .0505(p) requires at least one -foot vertical separation between SH WT and ground
surface.
4. Are there any artificial drainage or water movement structures within 200 feet of any irrigation area?
❑ Yes or ❑ No If Yes, please explain if the soil scientist report addresses artificial structures and please indicate if
structures are to be maintained or modified:
5. Loading rates recommended by the Soil Scientist Evaluation:
Soil Series
Fields within Soil Area
Recommended
Loading Rate
in/hr
Recommended
Loading Rate
in/ r
6. Design loading rates are equal or less than the loading rates recommended by Soil Scientist?
❑ Yes or ❑ No If No, explain why 15A NCAC 02T .0505(n) is not met: _
7. Non -dedicated System Design (fill in the appropriate information for either a spray or drip irrigation system):
Field /Zone
Design Area
ftZ
Number of
Nozzles
Maximum Application
Rate allons/hr
Design Annual Loading
Rate allons/ r
Total
Spray Irrigation Design Element
Plan Sheet
Number
Specification
Page Number
Wetted diameter of nozzles
ft
Wetted area of nozzles
ft2
Nozzle capacity
gpm
Nozzle manufacturer / model
/
Elevation of highest nozzle
ft
FORM: RLAP 06-16 Page 4 of 5

Applicant's Certification (signing authority must be in compliance with ISA NCA( 0'1 .0106):
"fhe applicant x any affiliate has nor been convicted ofan environmental crime, has nor abandoned a wastewater facility without proper
closure, does no[ have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with any active
compliance schedule, and do not have any overdue annual tees under Rule 15A NCA 02T_0105,
E yes ❑ No, Fxplain,
G. Scotl Webber (Signature Authori(v's Name PL1-.ASF, PRINT) (1 ilte)
attest that this application for .__, Ibwn of SE.indaIc
(Facility Name)
has been reviewed by me and is accurate and complete to the hest of my knowledge. I understand that the Division of Water Resources
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless specifically
granted in the permit Further, any discharge of residuals to surface waters or the land will resuk in an immediate enforcement action,
which may, include civil penalties, injunctive relief, and -`or criminal prosecution. I will make no claim against the Division of Water
Resources should a condition of this permit be violated. I also understand that if all required parts of this application arc not completed
and that if all reouired supporting information and attachments are not included, this application package will be returned to me as
mcomple[e.
.Note: In accordance with North Carolina General Statutes § 143.215.6A and �'43.215.68, any person who knowingly makes an_v false
statement, representation, or certification in any application shall be euilty of a Class 2 misdemeanor. ,It ,h ma_v include a tine not to
exceed $10.000 as well as civil penalties up to S25.000 per violation_
Date:
FORM: RL.AP 06• i 6
Page 5 of 5

Operation and Maintenance Plan
Town of Spindale, NC
Permit No. WQ0001953
In accordance to the requirements set forth in Permit WQ0001953 by the
North Carolina Department of Environmental and Natural Resources using
NCGS 143-215.1 and 143-215.3(a) based on 15A NCAC 02T .l 10, The Town
of Spindale and Southern Soil Builders, Inc. is implementing this Operation
and Maintenance Plan.
The project manager of the land application event will make sure a daily
check off is performed at the start of each work day. This inspection is to
prevent any spills, leaks, or run-offs.
The daily check -off will consist of inspection the following items:
1. Access to the facility will be controlled with a locked gate and
signs to prevent any unauthorized entry into the complex.
2. All pumps and hose will be checked at the start of each day for
leaks or loose fittings.
3. All tanker valves are closed prior to loading and lids are closed
prior to transport.
4. All dump trailers or dump trucks gates are tightly fastened and
do not leak prior to transport.
5. All on road equipment is check as per DOT regulations for any
safety or mechanical hazards or issues.
6. All equipment is secured at the end of each working day to
prevent any tampering or unauthorized use.
The ORC or back up ORC will inspect the field after each land application
event to make sure all regulations as required by the permit are followed.
Also the project manager at the end of each working day during a land
application event will make sure that all gates if present are closed.
All samples shall be taken as early as possible before the first application
event of the calendar year to make sure the facility is compliance.

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

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

SPILL CONTROL PLAN- Southern Soil Builders Inc.
Town of Soindale NC - Permit No WQ0001953
In the event of a spill, the following should be taken IMMEDITALY.
1. Make sure all personal and bystanders are safe- if not contact emergency
services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to
contain the spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as
much of the spilled material as possible. Use straw to soak -up the
remaining material. Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable
area, till the same into the soil and spread lime if necessary. If a spill occurs
on private property, final clean-up should be to the satisfaction of the
owner.
6. Notification. (This should be done as soon as safely possible.)
A. Southern Soil Builders, Inc. [phone]
B. Town of Spindale, WWTP- [phone]
C. NCDEQ-Asheville Regional Office [phone]

D. County Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting:
The Permittee shall report by telephone to the Asheville Regional Office,
telephone number [phone], as soon as possible, but in no case
more than 24 hours or on the next working day following the occurrence
or first knowledge of the occurrence of any of the following:
A. Surface disposal of residuals abnormal in quantity or characteristic.
B. Any failure of the surface disposal program resulting in a release of
material to surface waters.
C. Any time self -monitoring indicates the facility has gone out of
compliance with its permit limitations.
D. Any process unit failure, due to known or unknown reasons,
rendering the facility incapable of adequate residual treatment
E. Any spill or discharge from a vehicle or piping system during
residuals transportation.
Any emergency requiring immediate reporting (e.g., discharges to
surface waters, imminent failure of a storage structure, etc.) outside of
normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone],
or [phone]. Persons reporting such occurrences by telephone shall
also file a written report in letter form within five days following first
knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure that the problem does not recur.
8. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed
C. Inspect all seals and replace if necessary.

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one orieinal and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application, distribution, or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form (FORM: RLAP 11-15, FORM: DCAR 11-15, or FORM: SDR 11-15).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification (FORM: RSC 11-15):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 11-15) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ For new or renewed permits, submit a separate certification for each source facility.
❑ For modified permits, submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new, renewed, or modified facilities.
B. Residuals Source -Generating Facility Information:
❑ For each source facility, attach the following:
❑ Vicinity map - A vicinity map that shows the location of the facility and meets all of the criteria in the "Map Guidance for
Residuals Land Application Permits".
❑ Process Flow diagram and/or narrative - A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated, treated, processed, and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source -generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division -certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied, distributed, and/or disposed.
C. Residuals Quality Information:
❑ For each source facility, attach the following:
❑ Laboratory analytical reports and operational data - reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM: RSC 06-16 Page 1 of I

L
9
u
u
Y
�
c
o
oN
L
`
i
a
N_
F
C
E
0
E
c
O
L
N
cW
G
O
U
u
a
E
�
`D
o
Z
�
�
0
0
�
U
z
a
_T
Q
C
J
O
L
v
�
U
5
o!
u
E
a
F-
z
3
W
�
LL
N
L
O
2
-o
c
E
�
L
Q
�
o
-
y w
� d
in U

State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
Division of Water Resources RESIDUALS SOURCE CERTIFICATION
FORM: RSC 06-16
I. RESIDUALS SOURCE -GENERATING FACILITY INFORMATION (See Instruction B.):
I. Facility Name: Town of Spindale
2. Facility permit holder is: Q Federal, Q State, El Local Government, or Q Private.
Facility permit issued by: G] Div. of Water Resources, Q Div. of Environmental Health,
or Q Other (explain:
3. Facility contact person and title: Guy O'Connor
Complete mailing address: PO Box 186
City: Spindale State: NC Zip: 28160
Telephone number: [phone] E-mail address: Roconnor(a spindalenc.net
4. Facility physical address: 101 Ecology Street
City: Spindale State: NC Zip: 28160
Coordinates: Latitude: 35° 22' 32.78" Longitude: 81' 54' 20 24"
Datum: NAD83 Level of accuracy: .01
Method of measurement: GPS
5. Purpose of the facility:
treatment of municipal wastewater, 0 treatment of 100% domestic wastewater,
treatment of potable water, E] treatment of 100% industrial wastewater,
treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages. % industrial and % domestic)
[] other (explain: _ ).
6. Does the facility have an approved pretreatment program: IR Yes No
7. Facility permitted/design flow: 6 MGD and facility average daily flow: 0.75 MGD
8. Average amount of residuals being generated at this facility 6516 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: Two 200,000 gallon digesters
Type and volume of residuals storage (i.e., outside of residuals treatment units):
11. RESIDUALS QUALITY INFORMATION (See Instruction C.):
I . Specify if residuals are regulated under:
0 40 CFR Part 503 or ❑ 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503, otherwise, the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6) as:
Z Biological Q Non -Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems, extended aeration systems, and fixed film systems).
17ORM: RSC 06-16 Page I of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non -hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design Flow that treat
100% non -municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ❑ yes U no.
If yes, list thenumber(s): _
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: Q yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability, and reactivity:
Laboratory: Pace Analytical and Date of analysis: 01/13/2017
Passed corrosivity test: 1Z yes Q no. pH: s.u. (2 < pH < 12.5)
Passed ignitability test: [D yes Q no. Flashpoint 200 OF (> 140°F)
Passed reactivity test: Z yes ❑no. HCN: ND mg/kg (<250) & HiS: NO mg/kg (<500)
TCLP Parameter
Limit
(mg/1)
Result
(m9/1)
TCLP Parameter
Limit
(m9/1)
Result
(mg/1)
Arsenic
5.0
ND
Hexachlorobenzene
0.13
ND
Barium
100.0
ND
Hexachloro-1,3-Butadiene
0.5
ND
Benzene
0.5
ND
Hexachloroethane
3.0
ND
Cadmium
1.0
ND
Lead
5.0
NO
Carbon Tetrachloride
0.5
NO
Lindane
0.4
ND
Chlordane
0.03
ND
Mercury
0.2
ND
Chlorobenzene
100.0
NO
Methoxychlor
10.0
ND
Chloroform
6.0
ND
Methyl Ethyl Ketone
200.0
ND
Chromium
5.0
ND
Nitrobenzene
2.0
ND
m-Cresol
200.0
ND
Pent achlorophenol
100.0
ND
o-Cresol
200.0
ND
Pyridine
5.0
ND
p-Cresol
200.0
ND
Selenium
1.0
ND
Cresol
200.0
ND
Silver
5.0
ND
2,4-D
10.0
ND
Tetrachloroethylene
0.7
NO
1,4-Dichlorobenzene
7.5
ND
Toxaphene
0.5
ND
1,2-Dichloroethane
0.5
NO
Trichloroethylene
0.5
ND
1,1-Dichloroethylene
0.7
ND
2,4,5-Trichlorophenol
400.0
ND
2,4-Dinitrotoluene
0.13
ND
2,4,6-Trichlorophenol
2.0
NO
Endrin
0.02
ND
2,4,5-TP (Silvex)
1.0
ND
Heptachlor and its Hydroxide
0.008
ND
Vinyl Chloride
0.2
ND
FORM: RSC 06-I6 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T .1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: Waypoint Analytical and Date of analysis: 3/21/2019
Parameter
Ceiling
Concentration Limits
(ClassA & ClassB)
(mg/kg)
Monthly Average
Concentration Limits
(Class A Only)
(mg/kg)
Result
(mg/kg)
Arsenic
75
41
5
Cadmium
85
39
3.28
Copper
4,300
1,500
1140
Lead
840
300
67.3
Mercury
57
17
0.893
Molybdenum
75
n/a
7.78
Nickel
420
420
104
Selenium
100
100
38.9
Zinc
7,500
2,800
1770
b. For Surface Disposal Unit (landfill): Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: and Date of analysis:
Distance from Disposal
Unit to Boundary to
Closest Property Line
(meters, check one)
Arsenic
(nag/kg)
Chromium
(mg/kg)
Nickel
(mg/kg)
El > 0 but < 25
30
200
210
> 25 but < 50
34
220
240
> 50 but < 75
39
260
270
> 75 but < 100
46
300
320
> 100 but < 125
53
360
390
0 > 125
62
450
420
Result (mg/kg)
FORM: RSC 06-16 Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 2.98 %.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: Waypoint Analytical and Date of analysis: 3/21/2019
Parameter
Result
(mg/kg)
Aluminum
30900
Ammonia -Nitrogen
9670
Calcium
16100
Magnesium
3350
Nitrate -Nitrite Nitrogen
4.67
pH (Standard Unit)
6.9
Phosphorus
16800
Potassium
2220
Sodium
3930
Total Kjeldahl Nitrogen
52000
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 126
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist, or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 30 %. This
rate is a (check one): Z default value, or fl actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals:
e. Calculate the PAN for the residuals (i.e., on a dry weight basis) and fill the results in the following table:
Application Method
First (Is`) Year PAN
Five -Year
Maximum Adjusted PAN
(mg1kg)
(mg/kg)
Surface
17538.67
18766.37
Injection/Incorporation
22373.67
23939.82
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses:
FORM: RSC 06-I6 Page 4 of 5

7. Pathogen Reduction: Per 15A NCAC 02T.1106, specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
0 A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings (except for non -biological residuals):
0 Alternative I [I5A NCAC 02T.I 106(b)(3)(A)] - Time/Temperature Compliance.
Alternative 2 [15A NCAC 02T.1 106(b)(3)(B)] - Alkaline Treatment.
0 Alternative 3 [15A NCAC 02T.1106(b)(3)(C)] - Prior Testing for Enteric Virus/Viable Helminth Ova.
Q Alternative 4 [15A NCAC 02T.1 106(b)(3)(D)] - No Prior Testing for Enteric Virus/Viable Helminth Ova.
n Alternative 5 [15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: Q composting, ❑ heat drying, ❑ heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
El gamma ray irradiation, or n pasteurization.
b. For Land Application of Class B:
Alternative 1 [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
Alternative 2 [15A NCAC 02T.1106(c)(2)] - Process to Significantly Reduce Pathogens (PSRP).
Specify one: ❑ aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
[] composting, or ❑ lime stabilization.
c. For Surface Disposal:
El Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item 11. 7a. above.
0 Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item 11. 7b. above.
0 Exempt- If Daily Cover Alternative is chosen in Item 11.8. below [I5A NCAC 02T.I 106(a)(2)].
EJ Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1 107, specify how residuals will meet the VAR requirements:
0 Alternative I [I5A NCAC 02T.I 107(a)(1)] - 38% Volatile Solids Reduction (Aerobic/Anaerobic Digestion).
El Alternative 2 [15A NCAC 02T.1 107(a)(2)] - 40-Day Bench Scale Test (Anaerobic Digestion).
® Alternative 3 [I5A NCAC 02T.I 107(a)(3)] - 30-Day Bench Scale Test (Aerobic Digestion).
❑ Alternative 4 [I5A NCAC 02T.I 107(a)(4)] - Specific Oxygen Uptake Rate Test (Aerobic Digestion).
Alternative 5 [15A NCAC 02T.I 107(a)(5)] - 14-Day Aerobic Processes.
Alternative 6 [15A NCAC 02T.1107(a)(6)] - Alkaline Stabilization.
Q Alternative 7 [15A NCAC 02T.I 107(a)(7)] - Drying of Stabilized Residuals.
Q Alternative 8 [I5A NCAC 02T.1 107(a)(8)] - Drying of Unstabilized Residuals.
Alternative 9 [15A NCAC 02T.1 107(a)(9)] - Injection.
Alternative 10 [ I5A NCAC 02T.1 107(a)(l0)] - Incorporation.
Q Alternative for Surface Disposal Units Only - Soil/Other Material Cover [I5A NCAC 02T.1 107(b)(2)].
Not Applicable - Non -Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 06-16 Page 5 of 5

O
co
rV
OR
W
a

■IF
If 0
n
n
d
A ,

Quantitative Justification
The Town of Spindale has produced the flowing Dry Tons of Residuals per year.
2018 9.12
2017 123.05
2016 0
2015 120.26
2014 73.39
This averages to 65.16 Dry Tons per year. The 200 Dry Tons requested for the
Town of Spindale will be ample to handle the residuals produced by the Town of
Spindale's WWTP.

Town of Spindale, NC
WWTP SAMPLING PLAN
Annually, if a land application event occurs, grab samples are collected from the digester.
Samples from the digester will be combined to form individual grab samples to be sent to a laboratory
for analysis. If a land application event is to occur in the early part of a calendar year (i.e. January or
early February) these samples may have to be taken in December so results can be obtained before the
land application event, as some results take 30+ days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, volatile solids
reduction, nutrient analysis, and a TCLP test. These tests will be taken by Southern Soil Builders, Inc. All
samples with the exception of the composite residual sample will be taken to Statesville Analytical. All
samples taken will be taken in the same condition as the residuals are to be land applied.
The volatile solids will first be attempted to be achieved using option 1 [S03.33(b)(1)1; 38%
volatile solids reduction. This option will be attempted first due to it being the most cost effective. One
sample will be taken at the aeration basin and labeled "B". The next sample will be labeled "A" and be
taken from the digester.
If the option 1 cannot be achieved to meet the volatile solids reduction, a 30 day bench scale
option 3 [503.33(b)(3)] test will be used. This sample will be taken from the digester with the sample
being at least a quart in quantity.
If both option 1 and 3 are used and volatile solids reduction cannot be achieved; the digesters
will be stabilized using sufficient alkaline to meet option 6 [503.33(b)(6)], commonly known as lime
stabilization.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than two million (2,000,000) MPN per gram. These samples will be placed in 250ml containers and
placed on ice, in a cooler for transport to the laboratory before 1600 hours (4pm) the same day the
samples are obtained.
Annually, if land application occurs, a composite residual sample will be analyzed, prior to a land
application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum, Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium, TKN,
Sodium
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated. This sample will collected in a non -breakable container, at least one quart in size. This
sample will be taken from the digester. This test will be done by a state certified laboratory.

CO
N
o'
3
0
m
Z
0 0
d
F
m
d
N
1O 3 o 0 m c 0 0 oni c o o d w
+ n J J c 3 to 3 c o m m o
? Z Z m 3 3 N a a
z � z
N
J p
O
N (D W W Ql J N Ql N O
O O O O O O O O
O N O N N O O O N O N O O O N O O
V O O U1 O O O O O o O O O O O o O
N N W w w w w w w w w w w D D
U O Z Z Z Z Z Z Z Z Z Z Z v 3 3
O O O O O O O O O O O O O O O O O
O N N W W W W W W W W 47) W W N N N
0 0 0 0 0 0 0 0 0 t0 W OJ
N N N N N N N N N N N N N N N N N
0 0 0 0 0 0 0 0 0 0 0 0 0 0 o a o
in m co co co co 0 o co cn o o m co co
O O O O O O O O O O O
N O O O O O O O O O O O O O N 4) OJ
m 0 0 (SI Ut O1 (Tt 4) 4i N Ui U) N N O A A
r
y
D
m
y d
P
J
O
N
d
3 z
O
o
O
3
0
z
o-
z
O. m
O� N0
Oy
o
C
P
V
10
O
C
A
Z
�
D
O
N
N
y
�
N
O
V
m
m
0 0 0
N 01 y
A N �

3
0
2
m
m
N
m
m
n
w
y
o
0
m
3
u
z
c
0
c
3
v
cn
p
O
O°
O
J
(n
O
N
m
V
�'
o
rn
�
a
A�
W
_
Y
tO
N
O
y
O
V
7
S
O
x
Q
0)
W
d
O
N
N
2
N
O
Co
m
10
O
Q
7
N
a
J
O
p
0
_
N
O
6
�
N
�
N
f3D
N
V
W
OA
N
O
T
J
O
�
D
m
o
o
N
o
0
0
0
o
it
!'1
N
✓y
Z
2
N
-
n
N
�
a
N
vi
n
e
Z
r
Z
Z
Z
Z
Z
Z
m
a
r
N
N
N
N
N
O
O
O
O
O
O
O
O
O
N
N
N
N
N
N
N
N
N
Y
d y
N
2
lD A
} N
cp
ao
tp
tp
co
co
co
co
<D
M
M
a s
—
O
V
O
O
0
0
0
0
m
p
°
(�
V1
N
(li
N
N
Cn
U�
N
Vt
pt
p
N
ry'
m m
O
15 .
a
a a
S ti r
� A
�
W �
° Q
co
3 Q
p
0
0
0
0
0
o
w • D
� N
n P W
3 m w

7 N
`m
C N
0
<
04
m
2
CL
� 0)
0
0
N D
y D
A
Z
Z
o
0
o
m
o
I
l
I
O
O
O
O
61
Q
D
Z

SAR
Sodium Absorption Ratio
Na : Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
117.11 479.78 99.83
Na (MEN
Ca (M�.
Mg1ME�
5.091739
23.989
8.319167
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 1.266849,(From Mg/L entered above)
SAR= 1.266381 (From ME entered below)
Na ME Ca ME--1 FMILM7-
5.09 23.99 8.32
The amour
amount of i
Permitting

Analytical Results
Southern Soil Builders
958 Hoots Road w
Roaring River, NC 28669
Receive Date: 03/21/2019
Reported: 05/10/2019
For: Spindale
Comments:
Sample Number
Parameter
Sample ID
Result
Unit
Method
Analyzed
Analyst
190321-31-01
30 Day Benchscale
Spindale
4.7
%
EPM2e-R.92/0
03/25/2019
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 3

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 03/21/2019
Reported: 03/22/2019
For: Spindale
Comments: Geometric Mean <1470 MPN/g
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190321-29-01 Fecal Coliforms 1 <545 MPN/ SM92210E-loos
9 03/21/2019 WC
190321-29-01 Percent Solids 1 3.70 % SM2540B-2011
03/21/2019 WC
190321-29-02 Fecal Coliforms 2 <489 MPN/ SM92210E-2006
9 03/21/2019 WC
190321-29-02 Percent Solids 2 4.09 % SM2540B-2011
03/21/2019 WC
190321-29-03 Fecal Coliforms 3 <4444 SM92210E-
MPN/g zoos 03/21/2019 WC
190321-29-03 Percent Solids 3 0.45 % SM25408-2011
03/21/2019 WC
190321-29-04 Fecal Coliforms 4 <3175 MPN/ SM92210E-20
9 03/21/2019 WC
190321-29-04 Percent Solids 4 0.63 % SM25408-2011
03/21/2019 WC
190321-29-05 Fecal Coliforms 5 <1923 MPN/ SM92210E-loos
9 03/21/2019 WC
190321-29-05 Percent Solids 5 1.04 ° SM2540B-2011
�0 03/21/2019 WC
190321-29-06 Fecal Coliforms 6 <2000 MPN/ SMW210E-200B
9 03/21/2019 WC
190321-29-06 Percent Solids 6 1.00 ° SM2540B-2011
�0 03/21/2019 WC
190321-29-07 Fecal Coliforms 7 <1026 MPN/ SM92210E-zoos
9 03/21/2019 WC
190321-29-07 Percent Solids 7 1.95 ° SM2540e-2011
�0 03/21/2019 WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page i of 4

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date: 01/12/2017
Reported: 02/14/2017
For: Spindale
Comments:
Sample Number Parameter
Sample ID
Result
Unit Method
Analyzed
Analyst
170112-28-01 30 Day Benchscale
Spindale
<1
oho EPA625-F-92I0
01/12/2017
WC
170112.28-01 Corrosivity
Spindale
See Attached
SW-846
02/02/2017
PACE
170112.28-01 Ignitability
Spindale
See Attached
IDIOM
02/02/2017
PACE
170112-28-01 Reactivity
Spindale
See Attached
5W-846
02/02/2017
PACE
170112-28-01 TCLP
Spindale
See Attached
as Noted
02/02/2017
PACE
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 0f 4

aceAnalytical
I www.paca's6scom
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 1701128
Pace Project No.: 92326301
Sample: 1701128
Results reported on a "dry weight'
Lab ID: 92328301001 Collected: 01/12/171300 Received: 01/13/17 1032 Matrix: Solid
basis
and are adjusted for percent moisture, sample size and any dilutions.
Parameters
Results Units
Report Limit OF
Prepared Analyzed CAS No. 01ual
8081 GCS Pesticides, TCLP
Analytical Method: EPA8081
Preparation Method: EPA 3510
Leachate Method/Date: EPA
1311; 01/24/1714:00
gamma-BHC (Lindane)
Chlordane (Technical)
NO ug/L
0,50 1
01/25/17 15:33 01/26/17 19:13 58-89-9
Endrin
NO ug/L
NO
3.0 1
01/25/1715: 33 01/26/17 19.13 57-74-9
Heptachlor
ug/L
ND
0.50 1
01/25/1715: 33 01/26/1719:13 72-20-8
Heptachlor epoxide
ug/L
NO
0.50 1
01/25/17 15:33 01126/1719:13 76-44-8
Methoxychlor
ug/L
NO
0.50 1
01/25/17 15:33 01/26/1719,13 1024-57-3
Toxaphene
ug/L
ND
1000 1
01/25/17 15: 33 01/26/17 19:13 72-43-5
Surrogates
ug/L
3.0 1
01/25/17 15:33 01/26/17 19:13 8001-35-2
Decachlorobiphenyl (S)
51 %
Tetrachloro-m-xylene(S)
62
10-138 1
O1/25/17 15:33 01/26/17 19:13 2051-24-3
%
10-110 1
01/25/17 15:33 01/26/17 19:13 877-09-8
8151 Chlorinate Herbicide TCLP
Analytical Method: EPA 8151
Preparation Method. EPA3510
2,4-D
2,4,5-TP(Silvex)
NO mg/L
NO
0,19 1
01/28/1714:25 02102/1704:10 94-75-7
Surrogates
mg/L
0,19 1
01/28/1714:25 02/0211704:10 93-72-1
2,4-DCAA(S)
92 %
39-139 1
01/28/1714:25 02/02/1704:10 19719-28-9
6010 MET ICP, TCLP
Analytical Method: EPA6010 Preparation Method: EPA 3010A
Leachate Method/Date: EPA 1311; 01/17/1718:45 Initial
pH: 7.2; Final pH: 5
Arsenic
Barium
NO mg/L
NO
0.050 1
01/18/1717:30 01/19/1717: 06 7440-38-2
Cadmium
mg/L
NO
0.25 1
01/18/171T30 01/19/1717:06 7440-39-3
Chromium
mg/L
NO
0.0050 1
01/18/1717:30 01/19/1717:06 7440.43-9
Lead
mg/L
ND
0,050 1
01118/1717:30 01/19/1717:06 7440-47-3
Selenium
mg/L
NO
0.025 1
01/18/1717:30 01/19/1717:06 7439-92-1
Silver
mg/L
NO
0,10 1
01/18/1717:30 01119/1717.06 778249-2
mg/L
0,025 1
01/18/1717:30 01/19/1717'. 06 7440-22-4
7470 Mercury, TCLP
Analytical Method: EPA 7470 Preparation Method: EPA 7470
Leachate Method/Date. EPA 1311:
01/17/17 18:45 Initial pH. 7.2; Final pH: 5
Mercury
NO mg/L
0,00020 1
01/18/1720.00 01/20/171353 7439-97-6
8270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method: EPA 3510
Leachate Method/pate: EPA 1311;
01/24/17 14:00
1,4-Dichlorobenzene
2,4-Dinitrotoluene
ND ug/L
50.0 1
01/2511710,15 01/25/1715.56 106-46-7
Hexachloro-1,3-butadiene
NO ug/L
NO
50.0 1
01/25/1710. 15 01125/1715. 56 121-14-2
Hexachlorobenzene
ug/L
NO
50.0 1
01/25/1710:15 01/25/1715:56 87-68-3
Hexachloroethane
ug/L
NO
50.0 1
01/25/1710:15 01/25/1715:56 118-74-1
2-Methylphenol(o-Cresol)
ug/L
NO
50.0 1
01/25/1710:15 01/25/1715:56 67-72-1
3&4-Methylphenol(m&p Cresol)
ug/L
NO
50.0 1
01125/1710:15 01/25/1715:56 95-48-7
Nitrobenzene
ug/L
NO
50.0 1
01/25/1710:15 01/25M715:56
Pentachlorophenol
ug/L
NO
50.0 1
01/25/1710:15 01/25/1715:56 98-95-3
Pyridine
ug/L
NO
100 1
01/25/1710:15 01/25/1715:56 87-86-5 L3
2,4,5-Trichlorophenol
ug/L
NO
50.0 1
01/25/1710:15 01/25/1715:56 110-86-1
2,4,6-Trichlorophenol
ug/L
NO
50.0 1
01/25/1710:15 01/25/1715:56 95-95-4
ug/L
50.0 1
01/25/1710:15 01125/1715: 56 88-06-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 02/03/2017 09:20 AM without the written consent of Pace Analytical Services, LLC,
Page 5 of 28

00'-
1_7 ceAnalXical
I wwr+:pacelebScnm
i
ANALYTICAL RESULTS
Pace Analytical Services, LLC
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
Project: 1701128
Pace Project No.: 92326301
Sample: 1701128 Lab ID: 92326301"I Collected: 01/12/1713,00 Received: 01/13/171032 Matrix:
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions. Solid
Parameters Results Units Report Limit OF
Prepared Analyzed CAS No. Qual
6
270 MSSV TCLP Sep Funnel
Analytical Method: EPA 8270 Preparation Method. EPA 3510
Leachate Method/Date: EPA 1311; 01/24/17 14:00
Surrogates
Nitrobenzene-d5 (S)
2-Fluorobiphenyl (S)
47 % 12-102 1 01/25/17 10:15 01/25/1715:56
45 %
4165E0-0
Terphenyl-d14 (S)
13-107 1 01/25/17 10.15 01/25/17 15:56
68 %
321-60-8
Phenol-d6 (S)
21-132 1 01/25/1710:15
19 %
01/25/17 15:56
1716-51-0
2-Fluorophenol(S)
10-110 1 01/25/17 10:15
27 %
01/25/17 15:56
13127-88-3
2,4, 6-Tribromophenol (S)
10-110 1 01/25/17 10.15
45 %
01/25/17 15:56
367-12-4
8260 MSV TCLP
27-108 1 01/25/1710:15
01/25/17 15:56
118-79-6
Analytical Method: EPA8260 Leachate Method/Date: EPA 1311; 01/18/17 09:46
Benzene
2-Butanone (MEK)
NO ug/L 100 20
NO ug/L
0/124/17 16:41
71-43-2
Carbon tetrachloride
200 20
NO ug/L
16:41
0101/2424/1716:41
3-3
78-93-5
Chlorobenzene
100 20
NO ug/L
56-17
Chloroform
100 20
NO u9/L
01/2411716A1
108-90-7
1,4-Dichlorobenzene
100 20
NO ug/L
01/24/1716: 41
67-663
1,2-Dichloroethane
100 20
NO ug/L
01/24/17 1641
106-46-7
1,1-Dichloroethene
100 20
NO ug/L
01/24/1716:41
107-06-2
Tetrachloroethene
100 20
NO ug/L
01/24/17 16:41
75-35-4
Trichloroethene
100 20
NO ug/L
01/24/1716.41
127-184
Vinyl chloride
100 20
Np 9
01/24/17 16:41
79-Ob6
Surrogates
100 20
01/24/17 16:41
75-01-4
1,2-Dichloroethane-d4 (S)
90
Toluene-tl8 S
( )
% 70-130 20
105 %
O1/24/17 16A1
17060-07-0
4-Bromofluorobenzene (S)
67-130 20
97 %
01/24/17 16:41 2037-26-5
Percent Moisture
70-130 20
Ot/24/1716:41 460-00-4
460-00-4
Analytical Method: ASTM D2974-87
Percent Moisture
94.8
1010 Flashpoint,Closed Cup
0.10 1
Analytical Method: EPA 1010
01/16/1713:08
Flashpoint
>200 deg F 70.0 1
9045 pH Soil
Analytical Method: EPA 9045
01/17/17 10:05
PH at 25 Degrees C
7.2 Sid. Units
9095 Paint Filter Liquid Test
0.10 1
Analytical Method: EPA 9095
01/16/1712:47
H1
Free Liquids
FAIL
733C S Reactive Cyanide
1.0 1
Analytical Method: EPA9014 Preparation
01/17/1710:36
Method: SW-846 7.3.3.2
Cyanide, Reactive
NO
734S Reactive Sulfide
mg/kg 19.2 1 01/19/17 17:35
01/19/17 23:50
Analytical Method. SM4500S2F-00 Preparation Method: SW-846 7.3.4.2
Sulfide, Reactive
NO
mg/kg 192 1 01/19/1717:35
01/19/1722:11
REPORT OF LABORATORY ANALYSIS
Date: 02/03/2017 09:20 AM
This report shall not be reproduced. except in full,
without the written consent of Pace Analytical Services, LLC.
Page 6 of 28

aceAnalytical e
Inrvapacalabscom
i
ANALYTICAL RESULTS
Pace Analytical services, LLC
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
Project: 1701128
Pace Project No.: 92326301
Sample: 1701128 PCB Lab ID: 92326301002 Collected. 01/12/1713:00 Received: 01/1311710:32 Matrix: Non Aqueous
Results reported on a "dry weight' basis and are adjusted for percent moisture, sample size and any dilutions. Liquid
Parameters Results Units Report Limit OF Prepared Analyzed CAS No, Gival
8082 GCS PCB Analytical Method: EPA 8082 Preparation Method: EPA 3580
PCB-1016 (Aroclor 1016)
NO
mg/kg
1,0 1
PCB-1221 (Aroclor 1221)
NO
mg/kg
1.0 1
PCB-1232 (Aroclor 1232)
NO
mg/kg
1.0 1
PCB-1242 (Aroclor 1242)
NO
mg/kg
1,0 1
PCB-1248 (Aroclor 1248)
NO
mg/kg
1,0 1
PCB-1254 (Aroclor 1254)
NO
mg/kg
1.0 1
PCB-1260 (Aroclor 1260)
NO
mg/kg
1.0 1
Surrogates
Decachlorobiphenyl (S)
14
%
49-130 1
Date: 02/03/2017 09:20 AM
01/31/1706,03
01/31/1711: 13
12674-11-2
01/31/17 06:03
01/31/17 11:13
11104-28-2
01/31/1706. 03
01/31/1711. 13
11141-16-5
01/31/17 06:03
01/31/17 11:13
53469-21-9
01/31/17 06:03
01/31/17 11:13
12672-29-6
01/31/17 06:03
01/31/17 11:13
11097-69-1
01131/1706:03
01/31/17 11:13
11096-82-5
01/31/1706:03 01/3111711:13 2051-24-3 S2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, LLC,
Page 7 of 28

11�d13
Division of Water Resources
State of North Carolina
Department of Environmental Quality
Division of Water Resources
LAND APPLICATION SITE CERTIFICATION
INSTRUCTIONS FOR FORM: LASC 06-I6
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General - This certification provides detailed information of receiving sites for land application of Class B residuals (may include
water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not submit this certification for review
without a corresponding application form (FORM: RLAP 06-16 or FORM: SDR 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Application Site Certification (FORM: LASC 06-16):
❑ Submit the completed and appropriately executed Land Application Site Certification (FORM: LASC 06-16) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
❑ For new or renewed permits, submit the requested information for all land application sites.
❑ For modified permits, submit the requested information for only those sites that are new, transferred or affected by the
proposed modification.
B. Land Application Site Information:
❑ The status of the land application site with respect to this residuals land application program must be provided in table I. The
status categories and their corresponding codes are as follows:
♦ New (N) ♦ Renewed (R) ♦ Modified (M) ♦ Transferred (T) ♦ Deleted (D)
❑ Attach the following in accordance with each status code:
Required Item
Status Code
N
R
T
M
County Board
✓
Notification. doc
Land Owner
✓
`�
`�
Agreement
(If applicable)
Setback Waiver
Agreement
An updated vicinity/setback map in accordance with the "Map Guidance
for Residuals Land Application Permits"
`�
`�
✓
A soils and agronomic evaluation in accordance with the "Soil Scientist
Evaluation Policv"
✓
INSTRUCTIONS FOR FORM: LASC 06-16 Page I of 3

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

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

T;i�
U
R
C
o
v
a
E
OU
U
U
U
y
V
G7
y
N
OJ
L
U
U
6
U
U
y
U
V
L
N
N
y
N
N
7
e
�
v
i
R
6
O
0
i
Y
=
c
c
=
c
N
N
N
N
y
O
=
C
G
=
=
C
0
o
a
o
0
a
�d
� 90
O!
C
C
5
Y
❑
,Z
� U
o
a
3
3
3
3
3
y
a
_Q
c
u
O
O
O
9
f�l
M
A
L y
U
U
Y
Y
Y
9 E
v
o
ti
a
0
U
0
U
O
O
0
U
rn
rn
F
F
�n
V
R
a
a
a
a
a
a
a
a
0
0
0
0
0
0
0
0
z
z
z
z
z
z
z
z
U
0
U
0
�
❑Q
�
Q
Q
Q
Q
Q
Q
O
V
C
E
M
o0
M
00
M
07
M
z
M
o0
In
m
In
m
In
o7
V R
Q
Q
Q
Q
Q
Q
Q
Q
z
•�
i1
i�
i�
i1
i�
O
0
0
0
00
O.
o0
00
0o
co
00
In
V
N
N
N
N
N
O
In
O
N
O
In
O
In
O
h
O
O
In
In
M
M
In
a
In
1
ME

Divislon of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
LAND OWNER AGREEMENT
FORM: LOA 06-16
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted. the Applicant shall submit one original and two copies of the application and
supportin¢ documentation
For more information, visit the Water Quality Permitting Section's Non -Discharge Permitting Unit
General — This document is an agreement between the Applicant and land owner(s) of residuals receiving sites for land application of
Class B residuals (may include water treatment plant or other type residuals) in accordance with 15A NCAC 02T .1100. Do not
submit this agreement for review without a corresponding application form (FORM: RLAP 06-16).
Unless otherwise noted, the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Land Owner Agreement (FORM: LOA 06-16):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: LASC 06-16) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made, as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Prepare a separate agreement for each set of land application sites that are owned or operated by an entity other than the
Applicant.
❑ A copy of the completed and appropriately executed agreement must be provided to the landowner and the lessee/operator.
AGREEMENT FOR THE LAND APPLICATION OF RESIDUALS TO PRIVATELY OWNED LAND
The undersigned landowner or his representative hereby permits:
Applicant's name: Town of Svindale
hereinafter referred to as the Permittee, to land apply residuals from the following facility(ies) onto the following land
application site(s) (i.e., see attached setback maps) in accordance with the stipulations and restrictions as given in this
Agreement:
Site/Field ID
Lease
es/no
(Y )
Land Use or
Cropping Patterns
pp g
Intended Use of Crops
Residuals Source
(optional)
Special note
(no-till/over-seed/
pasture)
MI
No
Hay
Animal Feed
M3
No
Hay
Animal Feed
M4
No
Hay
Animal Feed
M5
No
Hay
Animal Feed
M6
No
Pasture
Animal Feed
The landowner or his representative receives, in consideration, full use of the nutrient value of the applied residuals while the
Permittee receives, in consideration, the use of the land application site(s) described above for the disposal of the residuals.
This Agreement shall remain in effect for the length of the Division's permit for the residuals land application program and
shall be renewed each time this permit is renewed.
The undersigned landowner or his representative and the Permittee agree to abide with the following restrictions and
stipulations until such time as written notification, given 30 calendar days in advance, modifies or cancels this Agreement.
FORM: LOA 06-16 Page I of 3

1. STIPULATIONS:
I. The landowner or his representative shall not enter into any additional residuals application contracts or agreements with another permitted
entity for the sites) specified by this Agreement.
2. Should the landowner or his representative lease or otherwise permit the use of the land application site(s) to a third party, the landowner shal I
be responsible to ensure that the third party agrees and complies with the terms and conditions of this Agreement.
3. The landowner or his representative shall adhere to the provisions of this Agreement until all ofthe site restrictions (under Section II) are met.
4. Notification of cancellation of this Agreement shall be immediately forwarded to NCDF.NR-DWR. Non -Discharge Permitting Unit, 1636
Mail Service Center, Raleigh, NC 27699-1636.
5. 'Fhe Permittee must request and obtain a permit modification from the Division prior to a transfer of the land application sites) to a new
landowner. In addition, the current landowner shall give a notice to the new landowner that gives full details of the residuals applied at the
land application site(s).
6. The Permittee has provided the landowner or his representative with information and data concerning the residuals land application program,
including an analysis of constituents of the residuals, residuals application methods, schedules for typical cropping patterns, a description of
the equipment used by the Permittee.
7. The Permittee will provide the landowner or his representative with a copy of the residuals permit prior to commencement of any residuals
land application event and a copy of the results of each soil analysis.
8. If the soil pH of the land application site(s) is not maintained at 6.0 or greater, sufficient amounts of lime shall be applied to achieve a final
soil pH of at least 6.0. unless an agronomist provides information indicating that the pH of the soil, residuals and lime mixture is suitable for
the specified crop.
9. The landowner or his representative and the Permittee will agree on residuals application rates and schedules based on crop patterns, results of
soil samples, and the permitted application limits.
10. The landowner or his representative will provide the Permittee with information regarding the amount and analysis of other sources of
nutrients (e.g., fertilizer, unregulated animal waste, etc.) that have been applied to the land application site(s).
11. The landowner or his representative will inform the Permittee of any revisions or modifications to the intended use and cropping patterns for
the land application site(s) prior to each planting season to enable the Permittee to amend this Agreement and schedule residuals land
application events at appropriate periods.
12, Specific residuals land application area boundaries shall be clearly marked on the land application site(s) by the Permittee. the landowner, or
his representative prior to and during a residuals land application event.
13. The landowner or his representative hereby authorizes the Permittee, local officials, and State officials or their representatives to: enter and
inspect any property, premises. or place on or related to the land application site(s) at any reasonable time for the purpose of determining
compliance with the permit; establish monitoring facilities on or near the land application site(s) as required by the permit: copy any records
that must be kept under the terms and conditions of the permit: take necessary leachate, surface water, groundwater. or soil samples during the
term of, and 12 months after termination of. this Agreement.
IL RESTRICTIONS:
I. Appropriate measures must be taken by the Permittee and/or the landowner or his representative to control public access to the land
application site(s) during active use and for the 12-month period following a residuals land application event. Such controls may include the
posting of signs that indicate the activities being conducted at the land application site(s).
2. Animals shall not be grazed on the land application site(s) for a 30-day period following a residuals land application event. Land application
sites that are to be used for grazing shall have fencing that will be used to prevent access during these periods after such residuals land
application events.
3. Food crops, feed crops, and fiber crops shall not be harvested for a 30-day period following a residuals land application event.
4. Food crops with harvested parts that touch the residuals/soil mixture and are totally above the land surface shall not be harvested for a 14-
month period following a residuals land application event.
5. Food crops with harvested parts below the surface of the land shall not be harvested for a 20-month period following a residuals land
application event when the residuals remain on the land surface for four months or longer prior to incorporation into the soil.
6. Food crops with harvested parts below the surface of the land shall not be harvested for a 38-month period following a residuals land
application event when the residuals remain on the land surface for less than four months prior to incorporation into the soil.
7. Turf grown on land where residuals are applied shall not be harvested for a 12-month period following a residuals land application event.
I II.ALTERNATIVES FOR WATER SUPPLY WELLS INSIDE THE COMPLIANCE BOUNDARY: (please check one)
15A NCAC 02L .0107(d) prohibits water supply wells within the compliance boundary. However, 15A NCAC 02T .0105(h) allows the
compliance boundary to be placed closer to the waste disposal area, such that the water supply well is situated outside of the compliance
boundary provided the groundwater standards can be met at the newly -established compliance boundary. Please mark one of the following;
❑ A re -defined compliance boundary is needed for field(s) ID: _
(Please include the rationale for the requested rc-location
compliance boundary to the application package)
® A re -defined compliance boundary is not needed for this site.
of the compliance boundary and attach a map showing the newly proposed
IV. ACKNOWLEDGEMENT OF FIELD TRANSFER: (if needed)
❑ The land application field(s) ID: is currently permitted under another
residuals land application program; Permit Number WQ: . The land owner hereby acknowledge that by signing this
agreement, he/she is requesting that the field(s) be removed from the previously permitted residuals land application program and transferred
into the new oroeram:
(Name of the new program)
FORM: LOA 06-16 Page 2 of 3

Landowner's Certification
I certify that I am a deeded landowner of the above -referenced land application site(s) and am authorized to make decisions
regarding the use of the land application sites) on behalf of other deeded landowners OR that I ant otherwise authorized, through
a power of anorney or other legal delegation, to make decisions regarding the use of the land application site(s) on behalf of the
deeded landowners. I certify that the above -referenced and application site(s) are not included in any waste disposal contract or
agreemen? with another municipality, contractor. or other permitted entity. Furthermore, I certify that I have read this Agreement -
understand the s6puiations, resit imons, alternatives for water suppl} wells inside the comptiar,-ce boundary, acknom ledgcment of
field transfer, ar.d do hereby gram permission to the Porr;ttec to land apply residuals to the land application sites) as specified
herein.
landowner name John William McFadden
Address. _ 400 McFadden Road
Cite forest City State. _.. NC ___,___ Lip: __.. 28043
Phone. 822g-287-4023/ 1.-mail address:
Signature: [/✓r'h ..e^.i /UG- Date _.. _
NORTH CAROL'NA, _ RA er'fu!il ....._.. _........_ COUNIY �-
1, the unde:aigned Notary Public do hereb} certify that _ To (,.J, ((r�
persona0y appeared before me this day and acknowledged the due execution of the forgoing instrument.xssttppittNurrr
��ry pv ypCNERy�
N i 14'E;SS my hand and official leaf dtis the S
da)of_ _...---- 20 1 Gi
-- - — -- -OfYlyOftp
Signature and seal. - 3' y/ ;� .COtr
My Comm ission exp€rAs: °I-Cl)Ja3
Lessee'siOperator's Certification:
I certify that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein.
Lessee -operator name.
Address.
City .._...... State. .._.Lip'.
Phone: E-mail address'
Signature:
Perm itree's Certification:
i Unifi that I have read this Agreement and do hereby agree to abide by the stipulations and restrictions as specified herein-
Signing official nan;e: G. Scott Weer .
b._._ _
Signature Date:
I
FORM: LOA 06-16 Page ? of

I� �
m
x vt x x z
cu
L
(U Ll
m IA N
N
.• ~� ln��i2V1
• `` M • X
1 . •yv u M � ^v_
�.. A �• m -` M 1:
v �M..
a l r0fu
i
fo
• is. JV) (a^00� C CN
f EnN _I > _
h. •, N �` Ip U v .....� O �, mp C
L C
' V1 0 j y p p N'0 O� y .�u_' C V
• �aat/10mM: C CLLLCL
v I o
�_
[Q VJ LL

I ,v
\gg
ka

o ova �" r/�
Y 1g yy��
Y O �✓� P,�
so
tic `o �Yc
7 Y
n`A
^ nn
m N O T O
Y.N zp A
3' y� A Y .L .4
'La y d '•i _
Syt 4 .
CI n
i c
a u OL-
O = •�
C tv'o oc
OF-YnnA I / X
Cl)
O (h
Eco
Ln
N v v
1 X L CU . -..-.
J 3 0 0 0 CC
Ln a)N �v0
N C M t 1�/1 (A
O." U = ==
OL (U = i+ O O N c
d x m
G x X
F r0 61
1 3:
\ va obi
CA Ln
(nm3=(n
x X 1 0 < x
d 4
v
E
v �v
C L
�m C
Q y n
ci Nu&OW Rd n v uN
---
J U Z
�a

/%1

Ci
�7
° a N
U
.O
5 a
Z a
U
w
a
q
N
a
Q
O
o
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O
0
O
0
0
0
0
0
0
0
0
a u
tj
c
o
0
o
c
o
0
0
0
0
0
0
S a
L
(j
n
C
G
o
C
C
O
Ci
o
G
C
G
r
1 d d
da
7
-
n
Ammonia
C
N
m
Nitrogen E
a
o.
y
N
N
n
N
N
V
t`F•G� E
E
w
0
0
m
0
5
Mineralization
M
O
o
Raters*
o
s
c
v
N
�
Volatilization
O
o
Rate**
Q
H
w
o
0
0
Application
Method*
x
c
0
o
-------------
O
w
Q N
rn U G1 3 F'
9
O
U
C�
O
IN
N
M
M
z
4
-
.0
•-+
lV
O C
7fi U
M
vl
6
'"i•
h
�
b
�
O�
mm
O�
y
U
MM
Q
o
A
a O
:a
o
a
3
rLLL
aU000�
U
d
't
B
u
O
O
O
O
O
?S 0
O Q F
h
O
O
O
O
O
O
O
O
O
O
O
7 q r
N
C
O
O
C
G
C
C
G
C
O
C
O
C
O
«
d �
J
9
m
E
d
m
-
0. 4
OM C
U
w
1z O
o
o
1
0
p, m
4 ;G U
N
m
>
•w+
p
a*i
c 0C
� C
-IT
� C
E
,ii
7
7C4
2
.-
e
1uU
N
��z
411
gluow
h
ro
✓
°
.to aleQ

rl
A
R
ai
N
TJ
U
U Q
O
N
G
am^
y
Z
U
wa
aQ�
N
a
Q
0
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
O
0
0
0
0
0
0
0
0
0
a
U
o
0
0
0
0
o
c
o
0
0
0
0
Z
O
0
0
0
0
0
0
0
0
0
0
0
yl
U�
--------------
9 a rn
a
a
z Z E
N
E
w
o
y
r
Ammonia
a
m
Nitrogen E
a
a
0
w
E
o
0
0
Mineralization
Rate***
D
<
O
V
yq
`FR-'
^
fJ
Volatilization
•.,
o
v
o
Rate**
o
m-------------------
o
vNi
O
Q
z
W
o
0
0
Applicationbf
Method*
O
U �3
z
o
o
^
u
N
�
o f
a
d
UC'!
M
^
^
^
o
R
Cv
3
:o
a,
N
;,aw3
V000M
U
Q om¢ F
M
0
G
0
O
0
G
0
O
> a
NI
C
O
O
O
O
G
O
C
C
C
d °
�
o
�
�
M
U
�
h
a �
1
.a a C
D
o
o
•D
*
U
O
0
O
N
>•
?
C i
p V ()
N
y
d
N
a/
f
qN
7
B
mUA"a
c
>
v
h
o
U
z
ii
V
c
�a
Q 4
a14
g1uoW
�
toaz
o
1 Q
2
n
1
N
Q
0
0
N
LL
U-
LL
0
0
LL
x
Z
W
0

n �
N
F• L C 0.
-p U
0 ,o
C N U
N p
U OU .0
ii hl
rOC
> d
Q
L N
b
N N
b
� O
E
N
0
`�
= 'E a
s 'a V z z
o 0 0 0 0 0 0 0 0 0
o
•=
� L o
x n� U
o 0 0 0 0 0 0 0 0 p
bn �
o
G z A
1
L
U y
N ¢
w
W
A a
U
G
z z
3 G
w
tL
u
w
Ammonia
R
y U
O
o o
Nitrogen
•n
G
N
Q m
'�
a o v 'n r�-ry
•p ,bD
�y Q
N
6
L N
a F U
U
z or o0 op
h
u i
0
C
o
Mineraltion
a0
OF
�, Z
Rate+++o o
�*. 'n o
•�
to G z
z o ^
Z
q z
N
o i ry
_
v
¢ w
o
Volatilizationnn
n
W W
U
Rate**
3
E
U
Application
G
O
M
N
Method+
O O
7
a o
¢]
5 0 0
a
a 0
3 M rn
a=
o pa o e
L o
��ass
L
o
Q Z? d o f
�
E
F ..,
a
r•a Q� T m
L C
c 3 E %� �n v^i
a G� �rvi `a^. oo
'^ E G
Q U
7; U
O O
Q O
> R
}
v o ¢
u° u Y
0
0 0 0 0 0
'O
Q
=
O F 0
0 0 0 0 0 0 0 0 0° ^
4•.
0.¢ O O
>¢
�O
Q
N
N
��•• n.
'a m
� o 0
3 ro 7
O
Q C
m
o
>
L
L
v C P
(0
>
A
3 4 U
O u >'
ti
V
ce U E
G L
A z
a o
O
J
'❑
E
.I0 OIL(]N N
Q C O`
p
G
u
C o C
- Q O.. U
Ca
m
MKO:

d j N
U
E a U U
h h
U
N U v
4 u
9
C
0
4 v a Q Q
o 0 0 0 0 0 0 0 0 o
p
"oa U
O O
O
K d NU
O o O o G O O p
p
4
y 4
y
w Q
a
Q
d d
m
g
«T
N
z a _
- -•
v
0 0 0 0 0 0 0 0 0
p
Q
'�
a o v a
o 0 0 0 0 0 0 0 0 0
A 9
v
�
z z
Q
L
•.
W
u
y
[C
w
Ammonia
O
Nitrogen E ^
o c a o 00
coc
•�
N o o a
C co
p� Q
u iE
•o
u
E
Mineralizatiml
p.
2
"7
V
Z
Rate**a o o
O o
z v
—
W
Volatilization
U
Rate** o o
a 0 0 0 0
Z
O4 m
APPlication
S
M
a U
Method* N N
" •� o 0 0 '^
o,
o
o 0 0
O
Q
p N
0
�-
F•1 Q
V1 d
�
a
�oa
3� N
4
6
O -
z z a o o�
Q
;
U
Q
U VJ
a s
z
N—
Q O
o 0 0
O O
O
U
U
U O 0
j
O p 0 0 0 0 0 ti 0 b
0 0 0 0 0 0 0 O N N
a¢
A
Y �
� �
Q C
� �
O r•1
rnIN
O O
Lt
U
cc
Q O
A
v 9 O
oo w U
o
u c a
N
v
is
0
CC
zc
w
U
o °�' >�•
o� E m -�
p
U z
U
t{1UoW ED
v
a
H
- Q 0. V d a
Om t