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WQ0000702_Residual Annual Report 2015_20160203
I 2015 ANNUAL REPORT LAND APPLICATION PROGRAM CITY OF HAVELOCK PERMIT #WQ0000702 Prepared For: Bio-Nomic Services 516 Rountree Road Charlotte, North Carolina 28217 Compiled By: Willcox & Mabe Soil Solutions, PLLC 1205 West Bessemer Avenue, Suite 202 Greensboro, North Carolina 27408 February 2016 Willcox&mabe SOIL SOLUTIONS February 3, 2016 US EPA Region 7 W WPD / WENF 11201 Renner Boulevard Lenexa, Kansas 66219 Attention: BIOSOLIDS CENTER Reference: 2015 LAND APPLICATION ANNUAL REPORT City of Havelock Permit No. WQ0000702 WMSS Project No.15-18 Ph: 02 Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting requirements as specified in the above referenced permit for the City of Havelock (North Carolina) on behalf of Bio-Nomic Services, Inc. (Bio-Nomics). WMSS compiled this report using data gathered during the compliance year from the City of Havelock and Bio-Nomics. This data includes: 1) certification form, 2) residual analyses and pathogen / vector data, 3) I application summ pp ' summary,,and 4) soils analysis report. Bio-Nomics conducted application events in Pamlico County within the year of 2015. During 2015, a total of 223.56 Dry Tons of residual solids were land applied (202.77 Dry Metric Tons). If there is any further information required or questions regarding this land application program please do not hesitate to contact Mr. Frank Bottorff, City Manager (252-444-6400) for further assistance. Sincerely, WMSS Martin Mabe N.C. Land Application/Residuals Operator #22753 Enclosure(s) cc: Bio-Nomic Services, Inc. NCDEQ https://wilicoxandmabe-my.sharepoint.com/personal/rob willcoxmabesoil_com/Documents/Shared/WMSS Projects/2015/15-18 Bio-Nomics/Phase 02 - Havelock/2015 Annual Report/2015 ANNUAL REPORT.doc Willcox & Mabe Soil Solutions, PLLC / 1205 W. Bessemer Avenue, Suite 202 / Greensboro, NC 27408./ Rob 336.339.9128 or Martin 336.312.13.96/www.willcoxmabesoil.com willcox&mabe SOIL SOLUTIONS February 3, 2016 NCDEQ-DWR 512 North Salisbury Street, Room 640A Raleigh, North Carolina 27604 Attention: Non -Discharge Permitting Unit _ Reference: 2015 LAND APPLICATION ANNUAL REPORT City of Havelock 1 Permit No. WQ0000702 WMSS Project No. 15-18 Ph: 02 Non -Discharge Permitting Unit: j Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting __! requirements as specified in the above referenced permit on behalf of Bio-Nomic Services, Inc. (Bio-Nomics) for the City of Havelock. WMSS compiled this report using data gathered during the compliance year by Bio-Nomics and the City of Havelock. This data includes: 1) certification form, 2) residuals analyses and pathogen / vector data, 3) application summaries and field loading rate reports, and 4) soil analyses. If there is any further information required or questions regarding this annual report please do not hesitate to contact the City of Havelock for further assistance. Sincerely, WMSS Ma rtin Mabe NC Land Application/Residuals Operator #22753 Enclosures https://wilicoxandmabe-my.sharepoint.com/personaVrob willcoxmabesoil_com/Documents/Shared/WMSS Projects/2015/15-18 Bio-Nomics/Phase 02 - Havelock/2015 Annual Report/2015 ANNUAL REPORT.doc Willcox & Mabe Soil Solutions, PLLC / 1205 W. Bessemer Avenue, Suite 202 / Greensboro, NC 27408 / Rob 336.339.9128 or Martin 336.312.1396 / www.wilicoxmabesoil.com TABLE OF CONTENTS SECTION NO. TITLE I Certification Form Il Residuals Analyses & Pathogen / Vector Attraction Data III 2015 Application Summary and Field Loading Rate Reports IV Soil Analysis Bio-Nomic Services, Inc. 516 Rountree Road Charlotte, North Carolina 28217 704-529-0000 CITY OF HAVELOCK NPDES #NC0021253 NC PERMIT # WQ0000702 Mr. Frank Bottorff, City Manager City of Havelock Post Office Box 368 Havelock, NC 28532 LAND APPLIERS: Bio-Nomic Services, Inc. 516 Roundtree Road Charlotte, North Carolina 28217 704-529-0000 2015 City of Havelock WWTP Dry Tons 223.56 2015 City of Havelock WWTP Dry Metric Tons 202.77 Total Dry Metric Tons 202.77 CERTIFICATION FORM ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0000702 County: Craven Year: 2015 Facility Name (as shown on permit): City of Havelock Land Application Operator: Bio-Nomic Services, Inc. Phone: 704-529-0000 Land application of residuals as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: Total number of application fields in the permit: 59 Total number of fields utilized for land application during the year: 25 Total amount of dry tons applied during the year for all application sites: 223.560 Total number of acres utilizes for land application during the year: 133.32 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2015 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Resources. 0 Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) `All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. _ 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .I 105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior . authorization was received from the Division of Water Resources. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriateactions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Frank Bottorff, City Manager Permittee Name and Title (type or print) )/ ZA.J 2"D/f. Signature of Perrnittedf Date l� 2� Jan Z©I Signature of Preparer* Date Sign tune of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) RESIDUAL ANALYSES TCLP ANALYSES AND PATHOGEN AND VECTOR ATTRACTION REDUCTION ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: Facility Name: Residual Source WQ # or NPDES #: WWTP Name: Residual Analysis Data WQ0000702 City of Havelock NCO021253 Havelock WWTP Laboratory: 1) Environment 1 2) 3) 4) 5) Parameter (mg/kg) Conc. Limit (m )a Sample or Composite Date 1/13/2015 Percent Solids (%) NA 4.08 Arsenic 75 5.2 Cadmium 85 1.4 Copper 4,300 775 Chromium NA 10 Lead 840 12 Mercury 57 0.44 Molybdenum 75 5 Nickel 420 8 Selenium 100 5 Zinc 7,500 1383 Total Phosphorus NA 8,966 TKN NA 26,539 Ammonia -Nitrogen NA 5,703 Nitrate and Nitrite NA 5.76 a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false informatiop, including the possibility of fines and imprisonment for knowing violations." ,4/13 A a-&� Signature of Preparer * o� I 4A � 7�U16 Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional forms as needed. WQ Permit Number: WQ0000702 Laboratory: Facility Name: City of Havelock Residual Source NPDES # or WQ#: WWTP Name: Residual Analysis Data NCO021253 Havelock WWTP 1) Environment 1 2) 3) 4) 5) Parameter CompositeSample or Date Aluminum ---------- Potassium ------------ "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer * *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) a 1 J,q.J 2 016 Date DENR FORM RSSF - B (12/2006) CITY OF HAVELOCK LAND APPLICATION PROGRAM RESIDUALS ANALYSIS Residual Type: Wastewater Treatment Plant Date Sampled: January 13, 2015 Havelock Permit No. WQ0010975 Mineralization Rate 0.30 4.08 % Solids 6.6 nH itro en (TKN) 2.654 26,539.000 53.078 Phosphorus 0.897 8,966.000 17.932 Potassium 0.366 3,661.000 7.322 PAN (injected)* 1.196 11,959.560 23.919 PAN surface)* 0.911 9,108.060 18.216 Ammonia Nitrogen 0.570 5,703.000 11.406 Calcium 3.127 31,265.000 62.530 Calcium Carbonate Eq. --- --- --- Ma esium --- 1,990.000 3.980 Sodium --- 3,967.000 7.934 Sulfur --- --- --- Nitrate N / Nitrite N --- 5.760 0.012 Barium --- --- --- Chloride --- --- --- Iron --- --- --- Aluminum --- 39,184.00 78.368 Arsenic --- 5.200 0.010 Cadmium --- 1.400 0.003 Chromium --- 10.000 0.020 Copper --- 775.00 1.550 Lead --- 12.00 0.024 Mercury --- 0.440 0.001 Molybdenum --- 5.000 0.010 Nickel --- 8.00 0.016 Selenium --- 5.000 0.010 Zinc --- 1,383.00 2.766 Environment 1, Inc. 414 *Determination of Plant Available Nitrogen (PAN): Injected Application: (Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN Surface Application: (Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits for calculation purposes. 75 85 840 57 75 420 100 7,501 CITY OF HAVELOCK(SLUDGE) MR. ART HOUGH WASTEWATER TREATMENT PLANT 304 N. JACKSON DRIVE HAVELOCK ,NC 28532 Sample Sample Sample PARAMETERS #1 #2 #3 Total Residue, mg/l 31080 31260 28780 Fecal Coliform (IMPN), /gram Solids 41828 54383 38221 ID#: 414 DATE COLLECTED: 01/13/15 DATE REPORTED : 02/03/15 t � REVIEWED BY. Sample Sample Analysis Method #4 #5 Date Analyst Code 7460 31180 01/14/15 KKF 2540B-97 146812 76972 01/14/15 KKF 9221E-06 E '(vi�]rao�L �n��m�e1n (t��1�j , (�orporate�dlf (�(� Uil U Is iJ UU tiUkS�L7n, g- u p E� ac, Drinking Water SDt 37715 REENVILLE, N.0 27835-7085 CITY OF HAVELOCK(SLUDGE) MR. ART HOUGH WASTEWATER TREATMENT PLANT 304 N. JACKSON DRIVE HAVELOCK ,NC 28532 ID#s 414 DATE COLLECTEDs 01/13/15 DATE REPORTED s 02/03/15 REVIEWED Sample Sample Sludge Analysis Method PARAMETERS X6 #7 Sample Date Analyst Code PH, Units 6.6 01/15/15 TRB 450ORB-00 Total Residue, mg/l 33260 30200 01/14/15 KKF 254OB-97 Aluminum, (dry wt. basis), mg/kg 39184 01/26/15 LFJ EPA200.7 Arsenic (dry wt. basis), mg/kg 5.2 01/29/15 MTi41 311313-04 Calcium (dry wt. basis), mg/kg 31265 01/26/15 LFJ EPA200.7 Cadmium (dry wt. basis), mg/kg 1.4 01/26/15 MTh1 311311-04 Copper (dry wt. basis), mg/kg 775 01/26/15 LFJ EPA200.7 Chromium, T.(dry wt. basls),mg/kg 10 01/26/15 LFJ EPA200.7 Lead (dry weight basis), rng/kg 12 01/27/15 MT11.1 311313-04 Magnesium (dry, wt. basis), mg/kg 1990 01/26/15 LFJ EPA200.7 Mercury (dry wt. basis), mg/kg 0.44 01/21/15 MTM 245.1 R3-94 Nickel (dry wt. basis), mg/kg 8 01/26/15 LFJ EPA200.7 Potassium (dry wt, basis), mg/kg 3661 01/26/15 LFJ EPA200.7 Selenium (dry wt. basis), nig/kg <5.0 01/30/15 MTM 311313-04 Sodium (dry wt. basis), mg/kg 3967 01/26/15 LFJ EPA200.7 Zinc (dry wt. basis), mg/kg 1383 01/26/15 LFJ EPA200.7 Sodimn Adsorption Ratio 0.2 02/03/15 LFJ Total Solids, % 4.08 01/14/15 KKF 2540G-97 TKN (dry wt.), mg/kg 26539 01/20/15 RND 351.2 R2-93 Ammonia Nitrogen (dry w•t.),mg/kg 5703 01/20/15 SEJ 350.1 R2-93 Phosphorus, T. (dry wt.), mg/kg 8966 01/20/15 KDB 365.4-74 Nitrate -Nitrite (dry wt.), ing/kg 5.76 01/16/15 KDB 353.2 R2-93 Plant Available Nitrogen, mg/kg 9108 01/28/15 SEJ Fecal Coliform (IMPN), /grain Solids 39086 109835 01/14/15 KKF 9221E-06 Molybdenum (dry wt. basis), mg/kg <5.0 01/26/15 LFJ EPA200.7 rnvir(nlu:rxnt i, lut. P-0. P%-)\ 70S55. 11-1 (florin -Dr, CTectivi11G. NNC'. 27855 ;uvuu111uuiux��z4.�u�tl phone 252} 756-620S • fa% i;?52) 756-06B' T�1ti1:�T1"I Clll!i�` 4 CHLORINE NEIrfRALt2CDA7 COLLECTTO�I CI•TLC�F� )TL.'E 414 Week.5 pH CHECK (LAB? P P P P P P P P P P P P G G CONTAINER TYPE. PIG =TY OF HAVELOCK(SLUDGE) VML ART HOUGH (�( •t1'1�- � jd3� VASTEWATER TF:EATMENT PLAINT W4 N. XACKSON DPJn 1 A A A A A A A A A A A JAI A A A CHEwIICAI PR>_SERVATtON YAVELocK NC 2s532 A - ntOntE D • NAOM 75'1.) 444-6421 z ui 9 Lu rj „ o 6 Z 2'aa �0 r LL' B•woa , E•HCL tZ- F Vj M w y ^ a y G H SO, F-ZINC ACFT'itiTF INA4rr COLLECTION �,' � t�s a 4 LL o c. t1�i E � r rig � E' o6 tr z G ;4 0Z .. U �� „�'� G • NATMID5t1L1 AYE SAMPLE LOCATION O.ATE TIME ate. r�� r�-�^�. EVE FU• Sample #1 I / 3 i5 ai 2 CLASSIRCAT0t WASTEWATER (NPOF.S:) Sample#2i 2 0 Sample 03 tt�� f , V lb 2 �. DRINKINGWATER Sample !el O 2 , Sample #5 3 Ja y b 5 2 SOLID WASTE SECTION Sample #6 �3 % C7 2 I I Sample 97 J►6y 2 s� CHAIN OF CUSTODY MAINTAINED' DURINGS`{ Phil NNJDELIVERY ftd a Sample ,� �b 9 oil 0 0 m' N a A , �a. SAMPLES COLLECTED BY. 1t1se Pit SAMPLES RECEIVED •, tAe AT_,.3r3 RELiNQUt DY(SIi, EL, iStG.BG ATE-111ME COMMEPS ��m $ % 1ill RELINQUtSHEQ Yr DATEMME RECOVI:DBYiS ti.) OATE7IME t RELINQUISHEDBY(SIG) DATETIME RECEIVEDB-v(SIC,.) DATETIME PLEASE READ instructions for completing this form on the reverse Side. J Sampler must place a "C' for composite sample or a'G" for N O• 2 D 9 +� rl)rme ma Grata .;£In1G45 ir) the L`ra'KS ajbove for 'each onrnma_ter fw•�lr.?51?d. O RO. BOX 7CAS. 1.14 Oalrmaur: f)r. Cb,,` ;nville, NC 27858 CHAIN 01'CUST ODY RECORD P ag, ... _2_ of 2, .•lA..U.VAJALIORALut-.' Pill L'h(m (•}S?) 75t',-6'_OS -1--ax :rs6-or3. D ]J.:�F.I: /'�CiN ,.',.52') C1it_OTci�l' Cl op,rvENEUTRALI?�a,ATIALLECTIC4y CLITN'�,, 4I4 Week 5 ID ! pH CHECK i'LAS) =Fy OF HAVELOCK(SLUDGE) M. ART HOUGH ID ;tirO:N.S G G CONTAINERTYPE. P!G WASTEWATER MAMENT PLANT A A - - CHEMICAL PRESERVATION N. JACKSUN AiiXVE � BrA �A VELOC,K NC Mn , A - NONE D-NAOH 7P'7 7S2) 444-6421 U P h cc o `is u, ' L C D - HNG, E • I•ICL COLLECTION C. °� '' wf C - H,SO, F • !_INC ACf I A-fEt1YAvH w a• a+ U G NATHB)SULFATE SAMPLELOCATION DATE TIMEr s i� E+ Sample #I 2 CLASSIRCAMN: WASTV ATER (NPDES) Sample 2 Sample #3 2 GRINI(ING NEATER Sample #4 2 Sample #5 2 a1M061N SOUD 4vASTE SECTION Sample #6 2 &-mple #7 2 CHAIN OF CUSTOD Y MAIN TAINEr OURING SHIPMENVDEUVERY - Sludge Sample 5 ID Z„� 9 Y N SAMPLES COL' =CTED BY: r SAMPLES RECEIVED IN LA T, 3_,F .-'C I RELIM 51 t%,,Wm�r DAT51MI—E REC v sY 1 I DATE TIME COMM&gS. / / REU I IG;1 DATEMME RECENEO BY (5 . OATETIM1IE REUNQUISHED BY (SIG. DATFrTIMC RECEIVED BY (SILti.) DATE~TIME PLEASE READ Instruckins for cornpleting mis fofm on the reverse swe. SamRler must place a "C- for Composile sample or a "G" for NO 2 8 g s 6J 6 Gfa i Sample in the blocks i 4ve for esch n_ Gar�l1`?tr✓! r utfe7 A TCLP ANALYSIS Summit Environmental Technologies, Inc. 3310 Win St. Fr1VI1i�NttE J741. TECiK LoG1E$, JIVC Cuyahoga Falls, Ohio 44223 Ar,�lyf4at i.gSorgisi�n,, TEL. (330) 253-8211 FAX. (330)153-4489 Website: hM2: ff ww.settek.com January 23, 2015 Deedee Woolard Environment 1, Inc. 114 Oakmont Dr P.O. Box 7085 Greenville, NC 27858 TEL: (252) 756-6208 FAX: (252) 75.6-0633 RE: City of Havelock (Sludge) Dear Deedee Woolard: Order No.: 15011020 Summit Environmental Technologies, Inc. received 1 sample(s) on 1/15/2015 for the analyses presented in the following report. There were no problems with the analytical events associated with this report unless noted in the Case Narrative. Quality control data is within laboratory defined or method specified acceptance limits except where noted. If you have any questions regarding these tests results, please feel free to call the laboratory. . Sincerely, � Dr. Mo Osman Project Manager 3310 Win St. Cuyahoga Falls, Ohio 44223 A2LA 0724.01, Alabama 41600, Arizona AZ0788, Arkansas 88-0735, California 07256CA, Colorado, Connecticut PH-0105, Delaware, Florida NELAC E87688, Georgia E87688 and 943, Idaho OH00923, Illinois 200061 and Reg.5, Indiana C-OH-13, Kansas E-10347, Kentucky (Underground Storage Tank) 3, Kentucky 90146, Louisiana 04061 and LA 12004, Maine 2012015, Maryland 339. Massachusetts M-OPH923, Minnesota 409711. Montana CERT0099, New Hampshire 2996, New Jersey OH006, New York 11777. North Carolina 39705 and 631, Ohio Drinking Water 4170, Ohio VAP CL0052, Oklahoma n 9940, Oregon OH2O0001, Pennsylvania 68-01335, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5, Region 8 STMS-L, USDA/APHIS P330-11-00244, Utah OH009232011-1, Vermont VT-87688, Virginia 00440 and 1581, Washington C891, West Virginia 248 and 9957C and E87688, Wisconsin 399013010 Page 1 of 6 Stmmil Environmental Technologies, Inc. Workorder IMP rNWRONMENTAL T'ECHUOLOCtES, wC 3310 Win Sr. Cuyahoga Falls, Ohio44223 Sample Summary �tralytdral; Txypraluj'ses TEL: (330) 253-8111 FAX. (330) 253-4489 WO#: 15011020 Website: hnp:/fwww.settekcom Z3-Jam-15 CLIENT: Environment 1, Inc. Project: City of Havelock (Sludge) Lab SampleID Client Sample ID Tag No Date Collected Date Received Matrix 15011020.0U1 Sludge Sample 1/13/2015 10:50:00 AM 1/15/2015 9:45:00 AM Solid Page 2 of 6 Summit Environmental Technologies, Inc. frSUMMIT3310 win St Case Narrative Et IRONlAENTAI. TECiiUOLOG:ES, WIC. Cuyahoga Falls, Ohio 44223 Hip#; 15011020 Ana+yticat Laboyaturles TEL: (330) 253-8211 FAX. (330) 253-4489 Website: hQ://www.settek.com Date: 1/23/2015 CLIENT: Environment 1, Inc. Project: City of Havelock (Sludge) This report in its entirety consists of the documents listed below. All documents contain the Summit Environmental Technologies, Inc., Work Order Number assigned to this report. Paginated Report including Cover Letter, Case Narrative, Analytical Results, Applicable Quality Control Summary Reports, and copies of the Chain of Custody Documents are supplied with this sample set. Concentrations reported with a J-Flag in the Qualifier Field are values below the Limit of Quantitation (LOQ) but greater than the established Method Detection Limit (MDL). Method numbers, unless specified as SM (Standard Methods) or ASTM, are EPA methods. Estimated uncertainty values are available upon request. All results for Solid Samples are reported on an "as received" or "wet weight" basis unless indicated as "dry weight" using the "-dry" designation on the reporting units. Summit Environmental Technologies, Inc., holds the accreditations/certifications listed at the bottom of the cover letter that may or may not pertain to this report. Any comments or problems with the analytical events associated with this report are noted below. Original Page 3 of 6 f SUMM111 ENVIRONMENTAL TECHNOLOGIES, jNC -- knatyticaf L�b�2rtu7p5 Summit Environmental Technologies, Inc. VVO#• 15011020 3310 Win St. Cuyahoga Falls, Ohio 44223 Date Reported: 1/2312015 TEL: (330) 253-8211 FAX, (33o) 253-4489 Company: Environment 1, Inc. Website: hge.-h1wim,serrekcom Address: 114 Oakmont Dr Greenville NC 27858 Received: 1/15/2015 Project#: City of Havelock TCLP Metals Analysis (6010) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 1/13/2015 TCLP Arsenic(As) 0.50 ND mg/L Solid EPA 6010 C 1 5.0 1/2012015 WK Sludge Sample 001 1/13/2015 TCLP Barium(Ba) 5.0 ND mg/L Solid EPA 6010 C 1 100 1/20/2015 WK Sludge Sample 001 1/13/2015 TCLP Cadmium(Cd) 0.10 ND mg/L Solid EPA 6010 C 1 1.0 1/20/2015 WK Sludge Sample 001 1/13/2015 TCLP Chromium(Cr) 0.20 ND mg/L Solid EPA 6010 C 1 5.0 1/20/2015 WK Sludge Sample 001 1/13/2015 TCLP Lead(Pb) 0.50 ND mg/L Solid EPA 6010 C 1 5.0 1/20/2015 WK Sludge Sample 001 1/13/2015 TCLP Selenium(Se) 0.50 ND mg/L Solid EPA 6010 C 1 1.0 '1/20/2015 WK Sludge Sample 001 1/13/2015 TCLP Silver(Ag) 0.50 ND mg/L Solid EPA 6010 C 1 •5.0 1/20/2015 WK TCLP Mercury Analysis (1311/7470) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 1/13/2015 TCLP Mercury 0.0020 ND mg/L Solid EPA 7470 A 1 0.20 1/20/2015 ALJ SVOC SW-846: 8081-TCLP Pesticides Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 1/13/2015 Chlordane, total 0.025 ND mg/L Solid EPA 8081 B 1 0.030 1/22/2015 JBN Sludge Sample 001 1/13/2015 Toxaphene 0.050 ND mg/L Solid EPA 8081 B 1 0.50 1/22/2015 JBN Sludge Sample 001 1/13/2015 Endrin 0.0025 ND mg/L Solid EPA 8081 B 1 0,020 IJ22/2015 JBN Sludge Sample 001 1/13/2015 gamma-BHC 0.0025 ND mg/L Solid EPA 8081 B 1 0.40 1/22/2015 JBN Sludge Sample 001 1/13/2015 Heptachlor 0.0025 ND mg/L Solid EPA 8081 B 1 0.0080 1/22/2015 JBN Sludge Sample 001 1/13/2015 Heptachlor epoxide 0.0025 ND mg/L Solid EPA 8081 B 1 0.0080 1=2015 JBN Sludge Sample 001 1/13/2015 Methoxychlor 0.0025 ND mg/L Solid EPA 8081 B 1 10 1/22/2015 JBN VOC by GC/MS (8260)-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 1/13/2015 1,1-Dichloroethene 0.10 ND mg/L ` Solid EPA 8260 B 1 0.70 1/20/2015 MES Sludge Sample 001 1/13/2015 1,2-Dichloroethane 0.10 ND mg/L Solid EPA 8260 B 1 0.50 1/20/2015 MES Sludge Sample 001 1/13/2015 Benzes' 0.10 ND mg/L Solid EPA 8260 B 1 0.50 1/20/2015 MES Sludge Sample 001 1/13/2015 Carbon tetrachloride 0.10 ND mg/L Solid EPA 8260 B 1 0.50 1/20/2015 MES Sludge Sample 001. 1/13/2015 Chlorobenzene 0.10 ND mg/L Solid EPA 8260 B 1 100 1/20/2015 MES Sludge Sample 001 1/13/2015 Chloroform 0.10 ND mg/L. Solid EPA 8260 B 1 6.0 1/20/2015 MES Sludge Sample 001 1/13/2015 Tetrachloroethene 0.10 ND mg/L Solid EPA 8260 B 1 0.70 1/20/2015 MES Sludge Sample 001 1/13/2015 Trichloroethene 0.10 ND mg/L Solid EPA 8260 B 1 0.50 1/20/2015 MES Sludge Sample 001 1/13/2015 Vinyl chloride 0.20 ND mg/L Solid EPA 8260 B 1 0.20 1/20/2015 MES Sludge Sample 001 1/13/2015 MEK 2.0 ND mg/L Solid EPA 8260 B 1 200 1/20/2015 MES Page 4 of 6 Summit Environmental Technologies, Inc. WO#, SUMMMIT 3310 Win St. t?WIRONMENTAL TECHNOLOGtE5, ovc Cuyahoga Falls Ohio44223 Date Reported: 4naP}`Nca1 1,9b,+raf)ria6 TEL: (330)253-8211 FAX. (330) 253-4489 Company: Website: http://wwmsettekcom Address: Received: Project#: SVOC 8270 TCLP BNA List 15011020 1/23/2015 Environment 1, Inc. 114 Oakmont Dr Greenville NC 27858 1/15/2015 City of Havelock Client ID# Lab ID# Collected Analyte Rep Lint Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 1/13/2015 1,4-Dichlorobenzene 0.10 ND mg/L Solid EPA 8270 C 1 7.5 1/23/2015 AKE Sludge Sample 001 1/13/2015 2,4,5-Tdchlorophenol 0.25 ND mg/L Solid EPA 8270 C 1 400 1/23/2015 AKE Sludge Sample 001 1/13/2015 2,4,6-Trichlorophenol 0.25 ND mg/L Solid EPA 8270 C 1 2.0 1/23/2015 AKE Sludge Sample 001 1/13/2015 2,4-Dinitrotoluene 0.10 ND mg/L Solid EPA 8270 C 1 0.13 1/23/2015 AKE Sludge Sample 001 1/13/2015 Cresols, Total 5.0 ND mg/L Solid EPA 8270 C 1 200 1/23/2015 AKE Sludge Sample 001 1/13/2016 Hexachloro-1,3- 0.10 ND mg/L Solid EPA 8270 C 1 0.50 1/23/2016 AKE butadtene Sludge Sample 001 1/13/2015 Hexachlorobenzene 0.10 ND mg/L Solid EPA 8270 C 1 0.13 1/23/2015 AKE Sludge Sample 001 1/13/2015 Hexachloroethane 0.10 ND mg/L Solid EPA 8270 C 1 3.0 1/23/2015 AKE Sludge Sample 001 1/13/2015 Nitrobenzene 0.10 ND mg/L Solid EPA 8270 C 1 2.0 1/23/2015 AKE Sludge Sample 001 1/13/2015 Pentachlorophenoi 0.25 ND mg/L Solid EPA 8270 C 1 100 1/23/2015 AKE Sludge Sample 001 1/13/2015 Pyridine 0.25 ND mg/L Solid EPA 8270 C 1 5.0 1/23/2015 AKE SVOC SW-846: 8321 Herbicides-TCLP Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 1/13/2015 2,4-1) 5.0 ND mg/L Solid EPA 8321 A 1 10 1/23/2015 AMZ Sludge Sample 001 1/13/2015 2,4,5-TP 0.50 ND mg/L Solid EPA 8321 A 1 1.0 1/23/2015 AMZ Page 5 of 6 Summit Environmental Technologies, Inc. WO#: 15011020 PESUMMIT 33I0 Win St. RIVI tONMENTAL TECNNOLo^,;pS, +rah, Cuyahoga Falls, Ohio 44223 Date Reported: 1123/20I5 ll—tyffcal Laboratories. TEL: (330) 253-8211 FAX. (330) 253-4489 Company: Environment 1, Inc. Website: him.- www.settacom Address: 114 Oakmont Dr Greenville NC 27858 Received: 1/15/2015 Project#: City of Havelock Client ID# Lab ID# Collected Analyte Result Units Matrix Method DF RL Run Analyst Sludge Sample 001 1/13/2015 Flashpoint (140"F) >200 T Solid EPA 1010 1 1/16/2015 TAH Sludge Sample 001 1/13/2015 Cyanide, Reactive ND ppm Solid EPA 9014 1 0.50 1/16/2015 TIR Sludge Sample 001 1/13/2015 pH 7.47 sm. Solid EPA 9045 D 1 1/21/2015 DHC Sludge Sample 001 1/13/2015 Sulfide, Reactive ND ppm Solid EPA 9034 1 25 1/16/2015 TIR Page 6 of 6 CHAIN OF CUSTODY RECORD t. . ..■..... UNIONISM ......M. .. CLIENT. 414 Week: S ■ ■ee�eeeeeeeeeoe■ .... c eee�eeeeeei ieeeee �• eeeeeeeeA�� ieeeee e moon NP111111111 MEMO I It, WWII" : r :i i ii i���� ■ .,��......�� .�■1TIi1 a ., ,. ■ � , � n � 1 • ur e�� �u� BOOM Ammon In IVA -ji I. CITY OF fLtVEt.00K(SLUDCH� MR. AKT HOUCH p1,Ah-t• ao4 , I. JACKSOy DRIVF• tIAyHLQCK tcr. zexu Pagt —I_ ni _7 PLEASE READ Ilutrueltorts for canptebng Uvs !wm on the rewarse s oo Sampler must P%ce a V for composite sat" or a "T for N p 2 9 9 S S 7 - — Gmb saemb In Me bb W above for each parameter requested. L� I"n PO.Bo 703 1" Inc. CHAIN OF (TSTODY RECORD P.O. Box 71193. 114 Orkman[ Dr. GMeavillc, NC 27858 fygc �L 111 _�Z enviw]Imem I i— — 756-063.1CITY eeeeeeeeeeeeeeee '• ••]] r■ / . ■ eeeeeeeeeeeeeeee " " ' ...:. OF 1.... e®eeeeeeeeeeeeee 4/ a aoeeeeee■ ■on ' 1 11 . 1 -1 • z i R 1 iiieeeeeeeeeeeeeONES 1 . L r ■©eeeeeeeeeeeeeee■ � �■eee�eeeeeeeeeeee■ ■eee■ e�ieeeeeeeeeeeeeeeee■ ] eeeeeeeeeee■ ■eeeeeeeee ©-.1, . . eeee■©eeeeeeeeeeeeeeee --eeee ,,. 1 . • 1 1 '. 1 I'I ..eeeeeeeeeeeeee MIKEI[eeeeeeeeeeeeee o iY�eeeeeeeeeeeeeeeeeee � •1 .: , :-.. mmeeeeeeeeeeeeee■eeee i L.. ■ r ' . ��e�eeeeeeeeeeeeeeee■ ` .: -1 ; PLEASE READ kllkattfons br complseng ins farm on rie feinrsa sde. Wpfer must place a'C" tar 6ampo9i1e saffos of a'G" /or N Q 2 S 9 9 S 6 "„" •• firab sample n the blocks above for such pemmeler roquesteU. ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules) Facility Name: City of Havelock WWTP Name: City of Havelock WWTP Monitoring Period: From 1/1/2015 To rathogen Reduction (4U (. YK 5U3.32) Class A: Alternative 1 ❑ Alternative 4 If applicable to alternative performed (C Compost ElHeat Drying Beta Rav ElGamma Rav El WQ Permit Number: NPDES Number: 12/31/2015 WQ0000702 NCO021253 - rlease indicate level achieved and alternative performed: Alternative 2 ❑ Alternative 3 ❑ ❑ Alternative 5 ElAlternative 6 El lass A only) indicate "Process to Further Reduce Pathogens": Treatment [IThermophilic El ❑ Pasteurization ❑............................................... Clas s B• Alternative 1 ❑ Alternative 2 ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying❑ I Composting ❑ jAerobic, Digestion 0 Anaerobic Digestion ❑ ................................................................................................................... If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Allowable Level Pathogen Density Number of Frequency Sample Analytical Parameter Excee- in SludgeMinimum Geo. Mean MaximumUnits of Analysis Type Tech- 2 x 10 to the MPN 6th power per gram of CFU Fecal Coliform total solids 1000 mpn per gram of total solid (dry 39,086 63,619 146,812 MPN/g 0 Annual Grab 9221 E ilmonella bacteria 3 MPN per 4 grams (in lieu of fecal total solid (dry Vector Attraction Reduction (40 CFR 503.331- Please indicate option performed: Alt.1 (VS reduction) I Alt. 2 (40-day bench) ❑ JAIL 3 (30-day bench) ❑ JAR. 4 (Spec. OZ uptake) ❑ Alt. 5 (14-Day Aerobic) jAlt. 6 (Alk. Stabilization ❑ I Alt 7 (Drying -Stable) ❑ 1 Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) jAlt. 10 (Incorporation) ❑ INo vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check s this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Frank Bottorff, City Manager Vaughn Stevenson, Land Application Manager Preparer Name and Title a or print) Land Applier Name and Title (if applicable)(type or print) I Signature of Preparer* Date SignYlire of Land Applier (if applicable) D to i' *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) G DENR FORM PVRF 503 (12/2006) CITY OF HAVELOCK WQ0000702 City of Havelock WWTP Date Fecal C©i -orm NIPhT Log O1/13/15 41,828 4.6215 O1/13/15 54,383 4.7355 O1/13/15 38,221 4.5823 O1/13/15 146,812 5.1668 O1/13/15 76,972 4.8863 O1/13/15 39,086 4.5920 01/13/15 109,835 5.0407, Total 33.6251 Average 4.8036 Geometric Mean 6U19 < ; Fecal Coliform MPN / gram Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction requirement. f A 2015 APPLICATION SUMMARY CITY OF HAVELOCK Permit #WQ0000702 2015 SUMMARY SITE NO. FIELD NO. SOURCE LAND APPLIED APPL. DATE ACRES USED I TOTAL I GALLONS I TOTAL 1DRYTONS1 I TOTAL PAN Crop 1 Cro 2 NC-PA-2 2C Havelock March-15 6.48 42,000 7.15 26.38 NC-PA-2 2D Havelock Mar-15 7.04 84,000 14.29 48.56 NC-PA-2 2E Havelock Mar-15 6.28 72,000 12.25 46.66 NC-PA-2 3A Havelock Apr-15 5.42 42,000 7.15 31.53 NC-PA-2 3B Havelock Apr-15 4.04 48,000 8.17 48.35 NC-PA-2 3C Havelock Apr-15 5.64 66,000 11.23 47.62 NC-PA-2 3D Havelock Mar-15 8.04 12,000 2.04 6.07 Havelock Apr-15 84,000 14.29 42.52 NC-PA-2 3E Havelock Mar-15 7.42 84,000 14.29 46.07 NC-PA-2 3G Havelock Mar-15 6.65 72,000 12.25 44.06 NC-PA-2 3F Havelock Mar-15 7.42 84,000 14.29 46.07 NC-PA-2 4A Havelock Sep-15 2.43 24,000 4.08 40.19 NC-PA-2 4B Havelock Sep-15 4.34 42,000 7.15 39.38 NC-PA-2 4C Havelock Sep-15 4.51 42,000 7.15 37.90 NC-PA-2 4D Havelock Sep-15 3.62 36,000 6.12 40.47 NC-PA-2 4E Havelock Sep-15 3.55 30,000 5.10 34.39 NC-PA-2 4F Havelock Sep-15 3.60 36,000 6.12 40.70 NC-PA-2 4G Havelock Sep-15 3.55 30,000 5.10 34.39 NC-PA-2 5A Havelock Sep-15 5.21 48,000 8.17 37.49 NC-PA-2 5B Havelock Sep-15 6.48 54,000 9.19 33.91 NC-PA-2 5C Havelock Sep-15 1 6.16 48,000 8.17 31.71 NC-PA-2 5D Havelock Sep-15 6.26 48,000 8.17 31.20 NC-PA-2 5E Havelock Sep-15 3.90 48,000 8.17 50.09 NC-PA-2 517 Havelock Sep-15 3.59 36,000 6.12 40.81 NC-PA-2 6A Havelock Sep-15 5.21 1 48,000 8.17 37.49 NC-PA-2 6B Havelock Sep-15 6.48 54,000 9.19 33.91 TOTALS Dry Metric Tons 202.77 FIELD LOADING RATE REPORTS ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 2C Acres Utilized: 6.48 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 7.1457 Site #: NC-PA-2 Acres Permitted: 6.48 Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Corn Crop 1 Max. PAN: 119 Crop 2 Name: Crop 2 Max. PAN: 50 ;.. 4 a0i � cd o A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES # W # Q Fert., Animal(Dry' Waste, etc) Soil Cond. We Moist) Precip. Past 24 Hrs. inches � o " `d o a �. * o w * N' * o 0 �, * w' "• TKN mg/kg Z � �o c �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 3/2015 42000 4.08 1.103 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 30.972 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications pp totals on FORM FSF su (attach pp ( ttac FORM FSF su PP to this form ) TOTALS: 0 42000 ;<:::<'>»s As Cd Cu Cr Pb H Mo Ni Se Zn P 30.972 0.000 Lime A lied Annual lbs/acre 0.011 0.003 1.709 0.022 0.026 0.001 0.011 0.018 0.011 3.050 19.774 >`:i: ::;;:':.: Date lbs/ac Prior Years Cumulative lbs/ac 0 02 5 0.017 7.34 0.134 0.108 0.009 0.054 0.079 0.045 14.203 :> Current0.036 Cumulative lbs/ac 0 2 0 0 9.049 0:156 0.134 0.010 .06 0 5 0.097 0.056 17.253 . Permitted C. P. L. R **** Permit AN Limit I st/2nd Crop ..: _................... . »»>::»>:.> ::>::>:.»»::»<:::;;:; :::>:::119 "I certify, under penalty of law, that this'document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false informationlincluding the possibility of fines and imprisonment for knowing violations." Z / *Application Method: S - Surface, IN - Injection, INC - Incorporation b **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.15 IPermit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 6.48 Acres Permitted: 6.48 Site #: NC-PA-2 Field #: 2C J Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg,mg/kg, % Solids use Raw Percent #): m- posite Date © mono 0130NO o on Total h .. nnuaHeavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ c App. Event 1.10 Arsenic 0.000 0.000 0.011 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.011 Cadmium 0.000 0.000 0.003 0.000 0.000 0.000 0,000 0.000 0.000 0.000 0.000 0.000 0.003 Copper 0.000 0.000 1.709 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.709 Chromium 0.000 0.000 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Lead 0.000 0.000 0.026 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.026 Mercury. 0.000 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 enum d enum 0.000 0.000 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Nickel 0.000 0.000 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Selenium 0.000 0.000 0.011 0.000 0.000 0:000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Zinc 0.000 0.000 3.050 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 3.050 Total Phos- 0.000 0.000 19.774 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 19.774 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signatur of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 2D Acres Utilized: 7.04 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 14.2914 Site #: NC-PA-2 Acres Permitted: 7.04 Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: w Volume applied ° ++ enter one Solids/ o ° p ( ) /o 1 ° Liquid Solids A Cu. Yds Gallons Corn Volume Applied per Acre (Dry Tons/Ac) Crop 1 Max. PAN: Soil Residual Sources Cond. PDES #, W # (N Q , Fert. Animal (Dry' Wet, Waste, etc) Moist) 119 Precip. y Past 24 co '� •Y ..; Hrs. o w a . • inches a Crop 2 Name: C o %o w 7y 0 w � w, ., ; K' * p" « w �' c * " 7 0 TKN mg/kg z �� _ o � °o 0 o w mg/kg Crop 2 Max. PAN: Nitrate PAN Applied and PP (lbs/acre) Nitrite mg/kg Crop 1 Crop 2 50 Name of CropType Receiving Residual Application Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 Mar-15 84000 4.08 2.030 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 57.016 NA Corn 0.000 0.000 0.000. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications PP total n s o FORM FSF su attach FORM FSF su PP ( to this PP s f r o m ) TOTALS: 0 s4000 ; As Cd Cu Cr Mo NiSe Zn P 57.016 0.000 Lime A lied Annuallbs/acre 0.021 o.025 0.046 0.006 3.147 0.0177.365 0.023 10.512 0.041 0.135 0176 JPbH 0.002 0.009 0 1 .0 1 0.020 0.055 0.075 . 75 0.032 0.079 0.111 0.020 0.045 0.065 5.615 14.262 1 9.877 36.402 '' 119 :::;:;:;: 50 Date lbs/ac PriorYears C umulative lb s/ac Current Cum 1 i u at ve lbs/ac Permitted **** Permit PAN Limit lst/2n d Cro P "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." r *Application Method: S - Surface, IN - Injection, INC - Incorporation ! lzg�id **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 14.29 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 7.04 Acres Permitted: 7.04 Site #: NC-PA-2 Field #: 2D Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): . .v posite Date © © v © Nunn Nona TotalLai Phos- .. �.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 1 8 10 j IIJ 12 DT/Ac./ _R_j o App. Event 2.03 Arsenic 0.000 1 0.000 0.021 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.021 Cadmium 0.000 0.000 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.000 0.000 3.147 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.147 Chromium 0.000 0.000 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 Lead 0.000 0.000 0.049 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.049 Mercury 0.000 0.000 0.002 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.000 0.000 0.020 0.000 0.000 0.0.00 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.000 0.000 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Selenium 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 0.000 0.000 5.615 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.615 Total Phos- 0.000 0.000 36.402 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 36.402 phorns "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". i ~ 'Signature of Land Applier 1-2,9119 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #:-WQ0000702 Field #: 2E Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 12.2498 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): Crop 1 Name: Corn Crop 1 Max. PAN: 119 Crop 2 Name: Crop 2 Max. PAN: 6.28 6.28 5.0 50 N 14 O i-1 Volume applied pp enter one Solids/ ( ) Li Liquid 4 Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert. Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches a 4 � o w a �. * o 7y w �, �, r, * �' * w g 7y m * w Z TKN mg/kg Z a a 5 o w mg/kg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of CropType yp Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 Mar-15 72000 4.08 1.951 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 54.785 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF su attach FORM FSF su PP ( PP to this form): ) TOTALS: 01 7z000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 54.785 0.000 Lime Applied Annuallbs/acre 0.020 0.005 3.023 0.039 0.047 0.002 0.020 0.031 0.020 5.395 34.978 .::*.*,..::::;::;::: 0.024 0.017 7.126 0.129 0.105 0.009 0.053 0.076 0.044 13.775 0 44 .0 22 0.0 10.149 1 0. 68 0.152 0.011 0.073 0.107 0.064 19.170 9 0 ..:.::.:::. ..:::... : ;::::::>:::>:::>::::::::> s;;:;;;;:: 119 50 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative u ulative 1 bs/ac Permitted C. P. L. R. * * * * Permit PAN Limit l st/2nd Crop-::;: "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Zg �� *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 12.25 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 6.28 Acres Permitted: 6.28 Site #: NC-PA-2 Field #: 2E Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1, 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App. Event 1 1.95 Arsenic 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0. 000 0 0. 00 0.000 0.000 0.020 Cadmium 0.000 0.000 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Copper 0.000 0.000 3.023 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.023 Chromium 0.000 0.000 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Lead 1 0.000 0.000 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.047 Mercury 0.000 0.000 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.002 Molyb- 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.000 0.000 0.031 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.031 Selenium 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 0.000 0.000 5.395 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.395 Total Phos- 0.000 0.000 34.978 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 34.978 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". !/ -'Signature of Land Applier z8 !� Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3A Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 7.1457 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): Crop 1 Name: Corn Crop 1 Max. PAN: 119 Crop 2 Name: Crop 2 Max. PAN: 5.42 5.42 5.0 50 4) � A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. wry' Wet, Moist) Precip. Past 24 Hrs. inches > b a *o c w �; * w * °p TKN mg/kg z o o mg/kg Nitrate and Nitrite mg/kg PA1bsA/a Applied ( ) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Apr-15 42000 4.08 1.318 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 37.029 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1Applications Residuals t tals on FORM FSF su attach FORM FSF su totals PP ( PP to this form): ) TOTALS: 01 42000 <<:> As Cd Cu Cr Pb Hg Mo Ni Se Zn P 37.029 1 0.0oo Lime Applied Annuallbs/acre 0.014 0.004 2.044 0.026 0.032 0.001 0.013 0.021 0.013 3.647 23.642 :'= 0 <: 0 046 092 0.05 13.684 0.036 0.014 9.825 0.138 0.097 0.006 . 0 O50 0.018 11.869 0.164 0.129 0.007 0.059 0.113 0.063 17.331 >< 50 Date Ibs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R. **** Permi t PAN Limit 1st/2nd Crop119 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Z a 6 *Application Method: S - Surface, IN - Injection, INC - Incorporation A�-U **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.15 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 5.42 Acres Permitted: 5.42 Site #: NC-PA-2 Field #: 3A Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Corn- posite Date non no an on on no 0 Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 11 2J 3 Al6 7 8 9 i2-1 11 1 12 DT/Ac./ -iJ o App. Event 1.32 Arsenic 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Cadmium 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 2.044 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.044 Chromium 0.000 0.000 0.000 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 Lead 0.000 0.000 0.000 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Mercury 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 denum Nickel 0.000 0.000 0.000 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Selenium 0.000 0.000 0.000 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 0.000 0.000 0.000 3.647 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.647 M 0.000 0.000 0.000 23.642 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 23.642 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier z� l� Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3B Acres Utilized: 4.04 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 8.1665 Site #: NC-PA-2 Acres Permitted: 4.04 Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Corn Crop 1 Max. PAN: 119 Crop 2 Name: Crop 2 Max. PAN: 50 ° y c: ° A Volume applied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied er PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. past 24 Hrs. inches b 51 8' °a * %e �' w , . co * o' a '� ° � * �' * o ° TKN mg/kg z a o El °Q ° a w. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual g Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Apr-15 48000 4.08 2.021 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 56.774 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM F F suPP attach FORM FSF suPP to this form): .................................. TOTALS: 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 56.774 0.0oo Lime Applied Annuallbs/acre ...... 0.021 0.006 3.133 0.040 0.049 0.002 0.020 0.032 0.020 5.591 36.248 >:<: ?:: 0.043 0.015 8.443 0.159 0.121 0.007 0.059 0.11 0.063 16.575 >. 0.064 0.021 11.576 0.199 0.170 0.009 0.079 0.142 0.083 22.166 `. 1 0 19 5 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac a Permitted C. P. L. R. **** Permit PAN Limit lst/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation Z� **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date - Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 8.17 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 4.04 Acres Permitted: 4.04 Site #: NC-PA-2 Field #: 3B Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft posite Date MENNUM0000 in NonaI iTotal Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 Al6 7 8 9 i2_1 11 12 DT/Ac./ App. Event 2.02 Arsenic 0.000 0.000 0.000 0.021 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.000 0.000 0.000 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.000 0.000 0.000 3.133 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.133 Chromium 0.000 0.000 0.000 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.040 Lead 0.000 0.000 0.000 0.049 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.049 Mercury 0.000 0.000 0.000 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.000 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.000 0.000 0.000 0.032 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 Selenium 0.000 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 0.000 0.000 0.000 5.591 0.0.00 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.591 Total Phos- 0.000 0.000 0.000 36.248 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 36.248 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3C Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 11.2290 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): Crop 1 Name: Corn Crop 1 Max. PAN: 119 Crop 2 Name: Crop 2 Max. PAN: 5.64 5.64 5.0 50 o 0 � ALiquid Volume applied (enter one) Solids/ Cu. Yds Gallons ova Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES # WQ# Fert., Animal Waste, etc) Soil Cond. We , Moist) precip. Past 24 Hrs. inches y � 'n a * c w �. .- * o' ;u � ., * w TI{N mglkg Z o CD o w. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Apr-15 66000 4.08 1.991 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 55.919 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 66000 _;:#; As Cd Cu Cr Pb Hg Mo Ni Se Zn P 55.919 0.000 Lime Applied Annual lbs/acre 0.021 0.066 3.086 0.040 0.048 0.002 0.020 0.032 0.020 5.507 35.703 <:»:<:>`.': < Date lbs/ac Prior Years Cumulative lbs/ac 0.049 0.017 9.76 4 1 0. 78 1 0. 39 0 0.0 8 0 068 0 125 0.072 19.038 >«< < :::..... Current Cumulativelbs c /a ' 0.070 0.023 12.850 0:218 1 0.187 1 0.0 0 0.088 O1 0.157 0 92 .0 4 2 .545 Permitted rm' CPLR **** Permit PAN Limit 1 st/2nd Cro P 119 50 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated .the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 2. / *Application Method: S - Surface, IN - Injection, INC - Incorporation fj **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date _ *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 11.23 Permit #: WQ0000702. Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 5.64 Acres Permitted: 5.64 Site #: NC-PA-2 Field #: 3C Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): RA Com- posite Date non MENOU "I M5��0�������� 'Total Phos- phorus •.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9' 10 11 12 DT/Ac./ 0 App. y Event 1.99 Arsenic 0.000 0.000 0.000 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.000 0.000 0.000 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.000. 0.000 0.000 3.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.086 Chromium 0.000 0.000 0.000 0.040 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.040 Lead 0.000 0.000 0.000 0.048 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.048 Mercury 0.000 0.000 0.000 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.000 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.000 0.000 0.000 0.032 0.000 0.000 0.000 0.000 0.000' 0.000 0.000 0.000 0.032 Selenium 0.000 0.000 0.000 0.020 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 0.000 0.000 0.000 5.507 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.507 Total Phos- 0.000 0.000 0.000 35.703 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 35.703 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". YV. z� 6 Signature of Land Applier Date DENR FORM MFLSF (12/2006) L 7 f -- ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3D Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 16.3331 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Corn Crop 1 Max. PAN: 138 Crop 2 Name: Crop 2 Max. PAN: 8.04 8.04 5.0 50 ,� o � a� Q A Volume applied pp (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources DES # W # (NP Q , Fert., Animal Waste, etc) Soil Cond. (Dry, Wet' Moist) Precip. Past 24 Hrs. inches y b cob a a * C o %h w * w' o o 0 * C;,' * 5, 0 TKN mg/kg z Q o .°n CD 0. mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 Mar-15 12000 4.08 0.254 Havelock D < 0.5" 1 1 0.4 26,539 5,703 5:76 7.132 NA Corn Apr-15 84000 4.08 1.778 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 49.925 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 96000 ;?; ;'::> As Cd Cu Cr Pb H Mo Ni - Se Zn P 57.057 0.000 Lime A lied Annual ibs/acre 0.021 0.006 3.149 0.041 0.049 0.002 0.020 0.033 0.020 5.619 36.427 Date lbs/ac Prior Year s Cumulative lbs ac / 0.057 0.019 11.137 0.206 0 16 0.00 9 0 8 0. 7 4 0.1 3 0.083 21 73 3 Curren t Cumulative lbs c /a 0.078 0.025 14.286 0.247 0 20 9 0.0 11 0.098 0.176 0.103 2 352 7. Permitted C. P. L. R. **** Permit PAN Limit1 st/2nd Crop 138 50 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation v Z g 6 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 16.33 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: 8.04 Acres Permitted: 8.04 Site #: NC-PA-2 Field #: 3D Residual Analvsis Data (Heave Metals and Total Phosphorus use =/kLy. % Solids use Raw Percent ft m- posite Date v © © v EDMUND mono Total Phos- .. ••. ; •.. Annual Heavy Metal Field LoadinEs (Calculated in lbs/acre): Total 1 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App. Event 0.25 1.78 Arsenic 0.000 0.000 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Cadmium 0.000 0.000 0.001 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.000 0.000 0.394 2.755 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.149 Chromium 0.000 0.000 0.005 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 Lead 0.000 0.000 0.006 0.043 0:000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.049 Mercury 0.000 0.000 0.000 0.002 0.000 0.000 0.000 0.000 0.000 0.000 .0.000 0.000 0.002 Molyb- 0.000 0.000 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 denum Nickel 0.000 0.000 0.004 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000' 0.033 Selenium 0.000 0.000 0.003 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Zinc 0.000 0.000 0.702 4.917 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.619 .Total Phos- 0.000 0.000 4.553 31.874 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 36.427 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". { jig i6 Signature of Land Applier Date i DENR FORM MFLSF (12/2006) -- --1 - .-� - - - r----' - • - (- F ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3E Acres Utilized: 7.42 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 14.2914 Site #: NC-PA-2 Acres Permitted: 7.42 Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Corn Crop 1 Max. PAN: 138 Crop 2 Name: Crop 2 Max. PAN: 50 H ° y C d ° Q Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ# Fert., Animal Waste, etc) Soil Cond. (Dry, We t' Moist) Precip. Past 24 Hrs. inches y b co 'b i; a * c %h � = * �' o p � o m * � 0 TKN mg/kg z Y � o El o w. mg/kg Nitrate and Nitrite mg/kg PAN Applied PP ( lbs/acre) Name of CropType Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 Mar-15 84000 4.08 1.926 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 54.096 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications PP totals on FORM FSF su attach FORM FSF su PP ( PP to this form): ) TOTALS: 0 84000 '>': ' : . .............. As Cd Cu Cr Pb H Mo Ni Se Zn P 54.096 0.000 Lime Applied Annual lbs/acre 0.020 0.005 2.985 0.039 0.046 0.002 0.019 0.031 0.019 5.328 34.539 Date lbs/ac Prior Years Cumulative lbs a / C 0 05 6 0.019 10.871 0.202 0.156 0.009 0.076 0.14 0.081 21.225 Current urr nt Cumulative lbs/ac 0.0.6 7 0.024 13.856 0.241 0.202 0.011 0.095 0.171 0.100 2 6.553 Permitted C. P. L . R. **** P ermi PA L' ' t N imrt lst/2nd Cro P 138 50 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation /' Z ! I b **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate - J DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Havelock Total Dry Tons Applied (Annual): WQ0000702 Cation Exchange Capacity (non 503 only): Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: 7.42 Acres Permitted: 7.42 Site #: NC-PA-2 Field #: 14.29 5.0 Stockade Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg. % Solids use Raw Percent #): 3E Com- posite Date EMDEN Non 0 000MEN000000 Non Total Phos- Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 1 3 1 9 j9_j 11 12 DT/Ac./ o App. Event 1.93 Arsenic 0.000 0.000 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Cadmium 0.000 0.000 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Copper 0.000 0.000 2.985 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.985 Chromium 0.000 0.000 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Lead 0.000 0.000 0.046 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.046 Mercury 0.000 0.000 0.002 0.000 0.000 0.060 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.000 0.000 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.000 0.000 0.031 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.031 Selenium 0.000 0.000 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Zinc 0.000 0.000 5.328 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.328 Total Phos- 0.000 0.000 34.539 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 34.539 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 1/2,g, Date DENR FORM MFLSF (12/2006) ANNUAL- LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3F Acres Utilized: 7.42 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 14.2914 Site #: NC-PA-2 Acres Permitted: 7.42 Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Corn Crop 1 Max. PAN: 138 Crop 2 Name: Crop 2 Max. PAN: 50 o y � A Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per PP � P Acre D Tons/Ac (Dry ) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches y 4 b � '� o o o o w � * w' c 0 5 .. co ?= * N d TKN mg/kg � o � o R. mg/kg Nitrate and Nitrite mg/kg PAN Applied pp (Ibs/acre) Name of Crop Type Receiving Residual Application Crop I Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 Mar-15 84000 4.08 1.926 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 54.096 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 n-Ono n nnn Residuals Applications pp totals to s on FORM FSF su attach FORM FSF su PP ( PP to this form ) TOTALS: 0 s4000 i;;> As Cd Cu Cr Pb H Mo Ni Se Zn P 54.096 0.00o Lime A lied Annuallbs/acre 0.020 0.005 2.985 0.039 0.046 0.002 0.019 0.031 0.019 5.328 34.539 >: Date lbs/ac Prior Years Cumulative u ulative lbs/ac 0.055 0.018 10.709 0.199 0.154 0.008 0.075 0.138 0.08 20.909 :> rr Cu ent Cumulative 1 s e b /ac o .075 0.02 3 1 3.694 0.238 3 0.200 0.010 0.094 1 0. 69 0.09 9 2 2 6. 37 Permitted C. P. L. R. **** Permit PANLimit is 2n P - 138 50 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." L *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization -Rates: Compost -0.1; anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* i I Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Havelock Total Dry Tons Applied (Annual): 14.29 WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade 7.42 Acres Permitted: 7.42 Site #: NC-PA-2 Field #: 3F Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): PIR1v Com- posite Date © © v © o v v v Total Phos- •. •.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App. Event 1.93 Arsenic 1 0.000 0.000 0.020 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 '0.000 0.000 0.020 Cadmium 0.000 0.000 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Copper 0.000 0.000 2.985 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.985 Chromium 0.000 0.000 0.039 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 Lead 0.000 1 0.000 0.046 0.000 1 0.000 0.000 0.000 1 0,000 0.000 0.000 1 0.000 0.000 0.046 Mercury 0.000 0.000 0.002 0.000 0.000 0:000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.000 0.000 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum denum Nickel 0.000 0.000 0.031 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.031 Selenium 0.000 0.000 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Zinc 0.000 0.000 5.328 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 .0.000 5.328 Total Phos- 0.000 0.000 34.539 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 34.539 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 3G Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 12.2498 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 6.65 6.65 5.0 Crop 1 Name: Volume applied ° +� enter one Solids/ o ° � ( ) /o ° Liquid Solids A Cu. Yds Gallons Corn Volume Applied per Acre D Tons/Ac (Dry ) Crop 1 Max. PAN: Residual Sources Soil Cond. (NPDES #, WQ#, (Dry, FerL, Animal Wet, Waste, etc) Moist) 138 Precip. > b Past 24 rob Hrs. o inches ° Crop 2 Name: c 0 :° `" ° K�' # o 0 TKN mg/kg z �� o S 40 ° ° mg/kg Crop 2 Max. PAN: Nitrate PAN Applied and pp lbs/acre Nitrite ( ) mg/kg Crop 1 Crop 2 Name of Crop Type ReceivingResidual Application Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 Mar-15 72000 4.08 1.842 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 51.737 NA Corn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications pp totals on FORM FSF su attach FORM FSF pp ( supp to this form): TOTALS: 0 72000 :;<; As Cd Cu Cr Pb Hg Mo Ni Se Zn P 51.737 0.000 Lime Applied Annual lbs/acre 0.019 0.055 0.074 0.005 2.855 0.019 10.873 0.024 13.728 3.7 8 0.037 0.201 0.238 0.044 1 0. 56 0.200 0.002 0.009 0.011 0.018 0.076 0.094 9 0.029 0.14 0.169 0.018 0.081 0.099 5.095 21.218 26.313 33.033 138 Date lbs/ac Prior Year m s Cumulative lbs/ac rr Cu ent Cumulative e lbs/ac Permitted C. P .L.R **** Permit PANLimit m t l s 2n t/ d Crop "1 certify, under, penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the .possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation lLz T Lb **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: -Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Havelock Total Dry Tons Applied (Annual): WQ0000702 Cation Exchange Capacity (non 503 only): Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: 12.25 5.0 Stockade 6.65 Acres Permitted: 6.65 Site #: NC-PA-2 Field #: 3G Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- I posite Date U non a Nunn mono 107-1 Total Phos- phoruslEEMENNEENE00- Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ Oq 0 App. y 4 Event 1.84 Arsenic 0.000 1 0.000 0.019 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.019 Cadmium 0.000 0.000 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Copper 0.000 0.000 2.855 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.855 Chromium 0.000 0.000 0.037 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.037 Lead 0.000 1 0.000 0.044 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.044 Mercury 0.000 0.000 0.002 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.002 Molyb- 0.000 0.000 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 denum Nickel 0.000 0.000 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Selenium 0.000 0.000 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Zinc 0.000 0.000 5.095 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.095 Total Phos- 0.000 0.000 33.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 33.033 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". v / A_ Signature of Land Applier /2- $,/1 6 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 4A Acres Utilized: 2.43 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 4.0833 Site #: NC-PA-2 Acres Permitted: 2.43 Operator: Michael Spencer Predominant Soil Series: Yonges Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: 97 Crop 2 Name: Crop 2 Max. PAN: 50 w ° y °2 0 A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources DES # W # Q ' Fert., Animal Waste, etc) Soil Cond. �� Wet Moist) Precip. Past 24 Hrs. inches y b �� o 2.* * °p c ? "' w' o' ° * w' * o• p T mg/kg Z = ct �° ° ° R. p w mg/kg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 24000 4.08 1 1.680 Havelock D < 0.5" I 1 1 0.4 1 26,539 5,703 1 5.76 47.195 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF suPP (attach ttach FORM FSFsuPP tothi s form): ............................. TOTALS: 01 24000 <.. .s > ..... ...... As Cd Cu Cr Pb H Mo Ni Se Zn P .47.195 0.000 Lime Applied Annuallbs/acre 0.017 0.005 2.605 0.034 0.040 0.001 0.017 0.027 0.017 4.648 30.133 Date lbs/ac Prior YearsCumulative um alive lbs/ac 0.000 0.000 0.000 0.000 0 00 0 0.000 0.000 0.000 0.000 0.000 Current Cumulative u ulative lbs/ac 0.017 0.005 2.605 0.034 0 040 0.001 0.017 0.02 7 O 1 .0 7 4 4 .6 8 Permitted C .P.L.R.**** _ Permit PAN Limit Ist/2nd Cro P 97 50 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /_ *Application Method: S - Surface, IN - Injection, INC - Incorporation Zg 6 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 4.08 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges Acres Used: 2.43 Acres Permitted: 2.43 Site #: NC-PA-2 Field #: 4A Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Or Com- posite Date on no 0000 Total Phos- ., �.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 7 Al9 i9_1 11 12 DT/Ac./ _§_1 0 App. 4 Event 1.68 Arsenic 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.017 0.000 1 0.000 0.000 0.017 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.000 0.000 0.005 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.605 0.000 0.000 0.000 2.605 Chromiurn 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 0.000 0.000 0.034 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.040 0.000 0.000 0.000 0.040 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 denum enum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 0.000 0.000 0.000 0.027 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.648 0.000 0.000 0.000 4.648 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 30.133 0.000 0.000 0.000 30.133 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". -vAA- Signature of Land Applier Z� �d Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 4B Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 7.1457 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: ill Crop 2 Name: . Crop 2 Max. PAN: 4.34 4.34 5.0 50 o A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc ) Soil Cond. �rY� Wet, Moist),. Precip. Past 24 Hrs• inches > b ° d �' * ° 0 o ° * w p 7y w ° * w' °p TKN mg/kg z cf �� �o ° ° o ° iv mg/kg Nitrate and Nitrite mg/kg PAN Applied lbs/acre ( ) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 42000 4.08 1.646 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 46.243 NA Wheat 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 Residuals Applications e s A PP cations totals on FORM FSF su attach FORM FSF su PP PP to this form ) ............................. TOTALS: 0 a2000 :< As Cd Cu Cr Pb Hg Mo Ni Se Zn P 46.243 0.000 Lime Applied Annuallbs/acre 0.017 0.005 2.552 0.033 0.040 0.001 0.016 0.026 0.016 4.554 29.525 ;;::;;::::;:.::-,:;;:: ::.:.::..:..::::::.::.::...:...:..: . Date lbs/ac Prior to Years Cumulative lbs /ac 0.000 0.000 0.000 0.000 0.0 00 0.000 0.000 0.000 0.000 0.000 Current Cumulative lbs/ac 0.017 0.005 2.552 0.033 0.040 0 001 1 0.0 6 0.026 0.016 .0 4 54 .5 Permitted C. P. L. R. **** Permit PAN ' Ltmit lst/2nd Cro P 111 50 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." / L-7 *Application Method: S - Surface, IN - Injection, INC - Incorporation I f7 Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ""C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Acres Used: 4.34 Acres Permitted: 4.34 Site #: NC-PA-2 Field #: 7.15 5.0 Stockade 4B Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date , . Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App. Event 1.65 Arsenic 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.017 0.000 1 0.000 0.000 0.017 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.000 0.000 0.005 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.552 0.000 0.000 0.000 2.552 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 0.000 0.000 0.000 0.033 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.040 0.000 0.000 0.000 0.040 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.026 0.000 0.000 0.000 0.026 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.554 0.000 0.000 0.000 4.554 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 29.525 0.000 0.000 0.000 29.525 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". y Signature of Land Applier ZiS !•d Date DENR FORM MFLSF (12/2006) f I ' ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 4C Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 7.1457 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: 4.51 4.51 5.0 50 O A Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume A lied er PP P Acre D Tons/Ac (Dry ) Residual Sources (NPDES # WQ# Fert. Animal Waste, etc) Soil Cond. ��' Wet, Moist ) Precip. Past 24 Hrs. inches y co � o � a M * o o c 7y a� .. ": �. �' * w .. °p %� w ., o * o p TKN m /k 9 9 Z Y o o R. m /k 9 9 Nitrate and Nitrite m /k 9 9 PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 P Crop 2 P Crop 1 P Crop 2 P 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 _ 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 42000 4.08 1.584 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 44.500 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF suPP attach FORM FSF uPP to this form): TOTALS: 0 42000 ::<<> As Cd Cu Cr Pb H Mo Ni Se Zn P 44.500 0.000 Lime A lied Annuallbs/acre 0.016 0.004 2.456 0.032 0.038 0.001 0.016 0.025 0.016 4.382 28.411 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 016 02 0.016 4.382 0.016 0.004 2.456 0.032 0.038 0.00 0. 0. 5 111 50 Date lbs/ac s Prior Yea u s/ r Cumulative lb ac C rr n Cumulative u e t Cumu attve lbs/ac Permitted C. P. L. R **** Permit PAN Limit 1 st/2nd Crop P "I certify, under penalty of law, that this document was prepared under my direction or supervision -in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." j*Application Method: S - Surface, IN - Injection, INC - Incorporation bi /( 6 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 ' Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.15 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: 4.51 Acres Permitted: 4.51 Site #: NC-PA-2 Field #: 4C Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date non Mono on NMOUMMUNN,3000,2 Lei Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 1 DT/Ac./ 0 0 App. Event 1.58 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.456 0.000 0.000 0.000 2.456 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 -0.032 0.000 0.000 0.000 0.032 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.038 0.000 1 0.000 0.000 0.038 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 1 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 0.000 0.000 0.000 0.025 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.382 0.000 0.000 0.000 4.382 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 28.411 0.000 0.000 0.000 28.411 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and -- imprisonment for knowing violations". Signature of Land Applier Date ._ DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 4D Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 6.1249 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: III Crop 2 Name: Crop 2 Max. PAN: 3.62 3.62 5.0 50 1.Volume a0i � O A applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources tNPDES #, WQ#, Fert., Animal Waste etc) Soil Cond. (Dry, Wet, Moist) Precip. P� 24 �s inches y � b a * 0 . c w �. K * w' c p 4 � � co * K' o p TKN mg/kg z �� o B R. mg/kg Nitrate and Nitrite mg/kg pAN Applied PP (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 36000 4.08 1.692 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 47.521 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications PP s attach FORM FSF su totals on FORM FSFu PP ( PP to this fo rm )• TOTALS: .............. AS Cd Cu Cr Pb Hg Mo Ni Se Zn P 47.521 0.000 Lime Applied Annuallbs/acre 0.018 0.005 2.623 0.034 0.041 0.001 0.017 0.027 0.017 4.680 30.341Date 0 0 0.000 0.00 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 .00 2 0 17 4.680 2 0.034 0.041 0.001 0.017 0.0 7 .0 0.018 0.005 2.623 111 50 lbs/ac ' r Cumulative 1 /a Prior Years Cumu at ve bs c rr Cumulative lbs c Current Cumu at ve /a Permitted C. P. L. R. ** Permit i 1 2n ro erm t PAN Limit stl d L C P "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." V!/ *Application Method: S - Surface, IN - Injection, INC - Incorporation %�� Ar !6 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 T Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Acres Used: 3.62 Acres Permitted: 3.62 Site #: NC-PA-2 Field #: 6.13 5.0 Stockade Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): 4D Com- posite Date i0ii iin0iiTotal Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 ip-1 11 12 DT/Ac./ o App. y Event 1 1.69 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 0.000 0.000 0.000 0.018 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.000 0.000 0.005 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.623 0.000 0.000 0.000 2.623 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 0.000 0.000 0.034 Lead 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.041 0.000 0.000 0.000 0.0.41 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 0.000 0.000 0.000 0.027 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.680 0.000 0.000- 0.000 4.680 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000. 0.000 30.341 0.000 0.000 0.000 30.341 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 28G 6 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock . WQ Permit #: WQ0000702 Field #: 4E Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 5.1041 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: 3.55 3.55 5.0 50 o � y r. A Volume applied enter one Solids/ ( ) Liquid 9 Cu. Yds Gallons u �u Solids Volume A lied er Applied p Acre (Dry Tons/Ac) Residual Sources (NPDES # W # Q Fert., Animal Waste, etc) Soil Cond. (Dry, Wet,w' Moist Precip. Past 24 Hrs. inches y '° co d i; o w o '� w - �i' � ° ry o * �, p TKN m /k 9 9 z t o �; m /k 9 9 Nitrate and Nitrite m /k 9 9 PAN Applied PP (lbs/acre) Name of Crop Type Receiving Residual Application PP Crop 1 P Crop 2 P Crop 1 P Crop 2 P 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 30000 4.08 1.438 Havelock D <0.5" I 1 0.4 26,539 5,703 5.76 40.382 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals APP li su attach FORM FSF ( a i n c t o s totals on FORM FSF PP S su PP to this form): TOTALS: 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P. 40.382 o.000 Lime Applied Annuallbs/acre 0.015 0.004 2.229 0.029 0.035 0.001 0.014 0.023 0.014 3.977 25.783 <' 0.000 0.000 0.000 0.000 0.000 0.000 0.000 00 0 0 0.000 0.015 1 0.004 2.229 0.029 0.035 0.001 4 0.01 0.023 0.014 .0 3.977 t777_ 111 50 Date Ibs/ac Prior0.000 Years Cumulative lbs ac / Current Cumulative lbs/ac P **** Permitted tt C. P. L. R. PermitPAN AN Limit 1 2 st/ nd Crop P "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I'am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Q -- *Application Method: S - Surface, IN - Injection, INC - Incorporation /.Yy L g **Volatilization Rate Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/20016) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Acres Used: 3.55 Acres Permitted: 3.55 Site #: NC-PA-2 Field #: 5.10 5.0 Stockade 4E Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phorus�EEEEEEEEMEEE Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 11 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App- Event 1.44 4 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.015 0.000 1 0.000 0.000 0.015 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.229 0.000 0.000 0.000 2.229 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 0.000 0.000 0.000 0.029 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 0.000 0.000 0.000 0.035 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 0.000 0.000 0.000 0.023 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.977 0.000 0.000 0.000 3.977 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 25.783 0.000 0.000 0.000 25.783 phoras "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". YX-d Signature of Land Applier 17t � Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 4F Acres Utilized: 3.60 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 6.1249 Site #: NC-PA-2 Acres Permitted: 3.60 Operator: Michael Spencer Predominant. Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: III Crop 2 Name: Crop 2 Max. PAN: ,� O A Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ# Fert., Animal Waste, etc) Soil Cond. wry' Wet,+ Moist Precip. Past 24 Hrs. inches a •* 'b o c -* * �' 0 � 9 w r, o 0 TKN m /k 9 9 Z c: o o0 0 ? o w m /k 9 9 Nitrate and Nitrite m /k 9 9 PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 P Crop 2 P Crop 1 P Crop 2 P 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 36000 4.08 1.701 Havelock D < 0.5" 1 I 1 0.4 26,539 5,703 5.76 47.785 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals onXX FORM FSF suPP (attach FORM F F su PP to this form ) ........ ............ . TOTALS: 01 36000 iz:':4`: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 47.785 0.000 Lime Applied Annual lbs/acre 0.018 0.000 0.018 0.005 0.000 0.005 2.637 0.000 2.637 0.034 0.000 - 0.034 0.041 0.00 0 0 041 0.001 0.000 0. 01 0 0.017 0.00 0 0 1 .0 7 0.027 0.000 2 0.0 7 0.017 0.000 0.017 4.706 30.510 : 0.000 4 .706 Date lb_ s/ac rior Ye Cumulative i Prior Years C mu at ve lbs/ac Current 1 u t Cumulative lbs/ac Permitted C. P. L . R. **** Permit PAN Limit 1st/2nd Crop ill "I certify,under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." / *Application Method: S - Surface, IN - Injection, INC - Incorporation VA*-'ZQ `b **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 6.13 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: 3.6 Acres Permitted: 3.6 Site #: NC-PA-2 Field #: 4F Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): h"R-0 ..Wu Corn - Date on on NEEMB 0 on NUNN a [a .ago 11 Total Phos- phorusEENEENEEME00- Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ 0 App. y Event 1.70 Arsenic 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.018 1 0.000 0.000 0.000 0.018 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.000 0.000 0.005 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.637 0.000 0.000 0.000 2.637 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 0.000 0.000 0.034 Lead 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.041 1 0.000 0.000 0.000 0.041 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0..001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 0.000 0.000 0.000 0.027 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.706 0.000 0.000 0.000 4.706 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 30.510 0.000 0.000 0.000 30.510 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". '4 v� Signature of Land Applier a� Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 4G Acres Utilized: 3.55 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 5.1041 Site #: NC-PA-2 Acres Permitted: 3.55 Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: . Crop 2 Max. PAN: o o A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NpDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wet' Moist) Precip. Past 24 Hrs. inches a b a 8 * c w .* -� * w o 0 4 F �. * w g p TKN mg/kg z o as 0 p P. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 00 0.000 0.000 00 Sep-15 30000 4.08 1.438 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 40.382 ENA Wheat0.000 0.000 000.000 0.000 00 0.000 n_nnn n_000 Residuals Applications P P al n F s totals o FORM FSF su attach FORM FSF su PP ( PP to this form ) .................................. TOTALS: 01 30000 s : >:: < As Cd Cu Cr Pb H Mo Ni Se Zn P 40.382 0.000 Lime A lied Annuallbs/acre 0.015 0.004 2.229 0.029 0.035 0.001 0.014 0.023 0.014 3.977 25.783 Date lbs/ac Prior Y Years Cumulative lbs ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Current Cumulative 1 bs/ac 0.015 0.004 2.229 0.029 0.035 0.001 0.014 0. 023 0 14 .0 3.977 Permitted C. P. L. R. **** Permit t PAN Limit Ist/2n d Crop ...::::::.::.....:::..:::.... 111 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /J % -Application Method: S - Surface, IN - Injection, INC - Incorporation Y-*(/ f' b **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 5.10 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: 3.55 Acres Permitted: 3.55 Site #: NC-PA-2 Field #: 4G Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): .�.-� - ComDate posite no © 0 © 0 000 0 � � Total Phos- phorus �.� Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App. Event 1.44 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.015 0.000 0.000 0.000 0.015 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.229 0.000 0.000 0.000 2.229 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 0.000 0.000 0.000 0.029 Lead 0.000 1 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.035 0.000 0.000 0.000 0.035 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 0.000 0.000 0.000 0.023 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.977 0.000 0.000 0.000 3.977 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 25.783 0.000 0.000 0.000 25.783 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier illzshi Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 5A Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 8.1665 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop i Max. PAN: III Crop 2 Name: Crop 2 Max. PAN: 5.21 5.21 5.0 o ° A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet Moist) Precip. Past 24 Hrs. inches a 'd �° 'n � 8' a * o n o w � * w' a° 4 ;n Ei. » P � i✓ * �' TKN mg/kg z a a 51 o El °�° � C, w. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 48000 4.08 1.567 Havelock D < 0.5" I 1 1 0.4 26,539 5,703 5.76 44.025 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications PP totals on FORM FSF su attach FORM FSF su PP ( to this form): PP ) TOTALS: 01 48000 ;>'::::>::>':>;: .... As Cd Cu Cr Pb H Mo Ni Se Zn P 44.025 0.0oo Lime Applied Annuallbs/acre 0.016 0.004 2.430 0.031 0.038 0.001 0. 116 0.025 0.016 4.336 28.108 _. :: Date lbs/ac Prior Ye Cumulative 1 Yearsbs/ac 0.000 0.000 0.0 00 0.000 0.00 0 0.000 0.000 0 000 0. 000 0.00 0 <> Current Cumulative lbs/ac 0.016 0.00 4 4 2. 30 0.031 0.038 O 1 .00 1 0.0 6 0.025 0.016 4.336 Permitted C. P. L. R. **** Permit PAN Limit 1 st/2nd Crop 111 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." L*Application Method: S - Surface, IN - Injection, INC - Incorporation Zg **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Acres Used: 5.21 Acres Permitted: 5.21 Site #: NC-PA-2 Field #: 8.17 5.0 Stockade Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): 5A Com- posite Date 0 © m o 0 0 0 0 0 0 0 1,3 Total Phos- .. �.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ 0 App- y Event 1.57 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.016 0.000 0.000 0.000 0.016 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000, 0.000 0.000 0.000 0.000 0.000 2.430 0.000 0.000 0.000 2.430 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.031 0.000 0.000 0.000 0.031 Lead 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.038 0.000 1 0.000 0.000 0.038 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000' 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 0.000 0.000 0.000 0.025 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 '0.000 .4.336 0.000 0.000 0.000 4.336 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 28.108 0.000 0.000 0.000 28.108 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier z� 6 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 5B Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 9.1873 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: 6.48 6.48 5.0 ,. 4) ALiquid Volume applied pP (enter one) Solids/ Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wet' Moist) Preci P• Past 24 Hrs. inches Y � :s co ° a * a c �* * w' o' a '� w' w. * w * o p TKN mg/kg Z � o av o mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop p Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 54000 4.08 1.418 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 39.821 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF suPP (attach FORM FSF suPP to this form): TOTALS: 0 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.8211 0.000 Lime Applied Annuallbs/acre 0.015 0.004 2.198 0.028 0.034 0.001 0.014 0.023 0.014 3.922 25.424 Date lbs/ac Prior Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0 .0 00 0 0. 00 0 0.0 0 Current Cumulative lbs c8 e /a 0.015 0.004 2.198 0.02 0. 034 O 1 .00 0 014 2 0.0 3 0.0 14 2 3.9 2 PermittedC. P. L. R. **** Permit PAN Limitr 1 s t/2n dCo P 111 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." n / *Application Method: S - Surface, IN - Injection, INC - Incorporation (� **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, annerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 9.19 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: 6.48 Acres Permitted: 6.48 Site #: NC-PA-2 Field #: 5B Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): �.-, om- .. Date M M © 0 ® 0 0 0 0 0 Lai Total Phos- phorus �.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ App. y Event 1.42 Arsenic 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.015 0.000 1 0.000 0.000 0.015 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.198 0.000 0.000 0.000 2.198 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 0.000 0.000 0.000 0.028 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 0.000 0.000 0.034 Mercury 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 0.000 0.000 0.000 0.023 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 Zinc 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 3.922 0.000 0.000 0.000 3.922 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 25.424 0.000 0.000 0.000 25.424 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 5C Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 8.1665 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: 6.16 6.16 5.0 � A Volume applied (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ# Fert., Animal Waste, etc) Soil Cond. Wei Moist) Precip. Past 24 Hrs. inches y � 0 'd a * o '� o m �' * »' Z 7y � 'v. * * °. 0 TKN mg/kg Z =t � o n w. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 48000 4.08 1.326 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 37.235 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications PP n F F F attach FORM FSF su totals o FORM S su ac PP ( PP to this r form): ) TOTALS: 01 48000 «>': As Cd Cu Cr Pb Hg Mo Ni Se Zn P 37.235 1-0.060 Lime Applied Annuallbs/acre 0.014 0.004 2.055 0.027 0.032 0.001 0.013 0.021 0.013 3.667 23.772 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.00 4 2.055 0.027 0.032 0.001 0.013 0.021 0.013 3.667 111 Date lbs/ac Prior Years Cumulative lbs/ac enCumulative Current lbs/ac Permitted C. P. L. R. **** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Havelock Total Dry Tons Applied (Annual): WQ0000702 Cation Exchange Capacity (non 503 only): Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: 8.17 5.0 Stockade 6.16 Acres Permitted: 6.16 Site #: NC-PA-2 Field #: 5C Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg,, % Solids use Raw Percent #): .-• Com- posite Date 0 © © 0 © 0 0 0 0 � � lei Total Phos- phorus h :••• Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ o App. 50. Event 1.33 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.055 0.000 0.000 0.000 2.055 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 0.000 0.000 0.000 0.027 Lead 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.032 0.000 1 0.000 0.000 0.032 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 0.000 0.000 0.000 0.013 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 0.000 0.000 0.000 0.021 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 0.000 0.000 0.000 0.013 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.667 0.000 0.000 0.000 3.667 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 23.772 0.000 0.000 0.000 23.772 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier z8 114 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIE_ D ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 5D Acres Utilized: 6.26 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 8.1665 Site #: NC-PA-2 Acres. Permitted: 6.26 Operator: Michael Spencer - Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: S. � y 0 A Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons u /o Solids Volume A lied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc ) Soil Cond. (Dry, Wet, Moist Precip. Past 24 Hrs. inches y 4 b co b 0' a m * < c w - � * �' Z 7y 5 CD * w * ° 0 TKN m /k 9 9 z 0 o 0 p �. m /k 9 9 Nitrate and Nitrite m /k 9 9 PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 P Crop 2 P Crop 1 P Crop 2 P 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 48000 4.08 1.305 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 36.640 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications PP totals on FORM FSF su 'attach FORM FSF su PP ( PP to this form ) TOTALS: 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 36.640 0.000 Lime Applied Annuallbs/acre 0.014 0.000 0.014 0.004 0.000 0.004 2.022 0.000 .0 2 2.022 0.026 0.000 0.026 0.031 0.000 0.031 0.001 0.000 0.001 0.013 0.000 " 0.013 0.021 0.000 0.021 0.013 0.000 0.013 3.609 0.000 3.609 23.394 ';`< Date lbs/ac Prior Years Cumulative lbs/ac Current, e t Cumulative Ibac Permitted C. P. L . R. **** Permit PAN Limit tmtt 1 s 2n t/ d Crop 111 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing vi lations." /1 / *Application Method: S - Surface, IN - Injection, INC - Incorporation �73 t **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 8.17 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: 6.26 Acres Permitted: 6.26 Site #: NC-PA-2 Field #: 51) Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date non MEMO 0 Total Phos- phorus Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 1 5 7 1 10j 11 1 12 DT/Ac./ _q_j o App. y Event 1.30 Arsenic 0.000- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.022 0.000 0.000 0.000 2.022 Chromium 0.000 -0.000 0.000 0.000, 0.000 0.000 0:000 0.000 0.026 0.000 '0.000 0.000 . 0.026 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.031 0.000 0.000 0.000 0.031 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 0.000 0.000 0.000 0.013 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 0.000 0.000 0.000 0.021 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 0.000 0.000 0.000 0.013 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.609 0.000 0.000 0.000 3.609 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 23.394 0.000 0.000 0.000 23.394 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing.violations". Signature of Land Applier Zo. I � Dad DENR FORM MFLSF (12/2006) -- - - I -- ---- --- - - - - - ,ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 5E Acres Utilized: Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 8.1665 Site #: NC-PA-2 Acres Permitted: Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): Crop 1 Name: Wheat Crop 1 Max. PAN: ill Crop 2 Name: Crop 2 Max. PAN: 3.90 3.90 5.0 ,� o °� o 14 A Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources DES #, W # Q ' Fert., Animal Waste, etc) Soil Cond. D ( Dry, Wet, Moist) Precip. Past 24 Hrs• inches y 410 cob a w C c ?» * �' p w. * w' p T mg/kg z w. mg/kg Nitrate and Nitrite mg/kg PAN Applied PP (lhs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 48000 4.08 2.094 Havelock D < 0.5" I 1 0.4 26,539 5,703 5.76 58.812 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF suPP ( attach FORM FSF suPP to this form): .............. ............. ....:... TOTALS: 0 48000 >' As Cd Cu Cr Pb Hg Mo Ni Se Zn P 58.812T 0.0oo LimeApplied Annuallbs/acre 0.022 0.006 3.246 0.042 0.050 0.002 0.021 0.034 0.021 5.792 37.550 ::;';.,:;:;;::.;>::':,' Date lbs/ac Prior nor Years Cumulative lbs/ac 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 ................................... 0.000 Current Cumulative lbs c /a 0.0 22 0.006 3.246 0.042 0.050 0.002 0.021 0.034 0.021 5.792 Pennitted C. P. L. R. **** Permit PAN Limit lst/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." - 1 *Application Method: S - Surface, IN - Injection, INC - Incorporation !/ - 6 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Havelock Total Dry Tons Applied (Annual): WQ0000702 Cation Exchange Capacity (non 503 only): Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: 8.17 5.0 Stockade 3.9 Acres Permitted: 3.9 Site #: NC-PA-2 Field #: 5E Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): MIAMI Com- posite Date non 00000000ma ONO Non NO I Total h .. : �.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 il Al-2-1 10 j iij 12 DT/Ac./ -3j c App. Event 2.09 Arsenic 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.022 0.000 1 0.000 0.000 0.022 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 0.000 0.000 0.000 0.006 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.246 0.000 0.000 0.000 3.246 Chromi 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.042 0.000 0.000 0.000 0.042 Lead 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.050 0.000 1 0.000 0.000 0.050 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 0.000 0.000 0.000 0.002 Molyb- denum denum 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 0.000 0.000 0.000 0.021 Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 0.000 0.000 0.034 Selenium 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.021 0.000 0.000 0.000 0.021 Zinc 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.792 0.000 0.000 0.000 5.792 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 37.550 0.000 0.000 0.000 37.550 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". VIA Signature of Land Applier Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 5F Acres Utilized: 3.59 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 6.1249 Site #: NC-PA-2 Acres Permitted: 3.59 Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: PP � Volume G � a Volume applied Residual Sources Soil Precip. y o Z Nitrate Name of Crop Type ° (enter one) Solids/ % Applied per Cond. Pd , PAN Applied ° P DES # W # Past 24 :: d ?: PP (NP Q , w, TKN o and Receiving Residual i ° Liquid Solids Acre �� �' fD °= °$ ( lbs/acre) g A Fert., Animal Wet, Hrs. a ?� * w' * p E Nitrite Application Waste, etc) Cu. Yds GeIIOnS (Dry Tons/Ac) Moist) inches- 0 °p mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 36000 4.08 1.706 Havelock D < 0.50, I 1 0.4 26,539 5,703 5.76 47.918 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp attach FORM FSF suPP to this form): TOTALS: 01 36000<: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 47.918 0.000 Lime7pplied Annual lbs/acre 0.018 o.o 00 0.018 0.005 0.000 0.005 2.644 0.000 2.644 .6 0.034 0.000 0.034 0.041 0.000 0 0 0.041 0.002 0.000 0.002 0.017 0.000 0.017 0.027 0.000 0.027 0.017 0.000 0.017 4.719 0.000 4.719 30.594 :';: _Date lbs/ac Prior Years Cumulative lbs/ac rr Cu ent Cumulative1 bs/ac Permitted C. P. **** L. R. Permit PAN Limit is /2n d Crop 111 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." / 7u� *Application Method: S - Surface, IN - Injection, INC - Incorporation b **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 vg� I Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3; raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Acres Used: 3.59 Acres Permitted: 3.59 Site #: NC-PA-2 Field #: 6.12 5.0 Stockade 5F Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): 6-Tatq'strimon Com- posite Date Nunn 0000no NNONUM .. Total Phos- phorus �.. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 Aj 6 7 8 9 i2_1 11 12 DT/Ac./ _�ij 0 App. it in Event 1 1 1.71 1 F Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 0.000 0.000 0.000 0.018 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 0.000 0.000 0.000 0.005 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.644 0.000 0.000 0.000 2.644 Chromiuni 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 0.000 0.000 0.034 Lead 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.041 0.000 0.000 0.000 0.041 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 0.000 0.000 0.000 0.002 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 0.000 0.000 0.000 0.027 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 0.000 0.000 0.000 0.017 Zinc 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 4.719 0.000 0.000 0.000 4.719 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 30.594 0.000 0.000 0.000 30.594 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Ag ! 6 Signature of Land Applier 1 Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 6A Acres Utilized: 5.21 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 8.1665 Site #: NC-PA-2 Acres Permitted: 5.21 Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: o � y >~ A Volume applied (enter one) Solids/ Li Liquid 4 Cu. Yds Gallons % Solids Volume Applied per P Acre (Dry Tons/Ac) Residual Sources (NPDES # WQ# Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist Precip. Past 24 Hrs. inches > 'd co d 0' o M a o ° c 7d ?: . �' 0 4 7d 9 * o p TKN m gIk g z t a o °C, o ? R. m g/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 48000 4.08 1.567 Havelock D < 0:5" I 1 1 0.4 26,539 5,703 5.76 44.025 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0-000 1 0-000 Residuals Applications pp totals on FORM FSF S supp (attach FORM FSF su PP to this form ) .............................. .. TOTALS: 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 44.025 0.000 Lime Applied Annual lbs/acre 0.016 0.004 2.430 0.031 0.038 0.001 0.016 0.025 0.016 4.336 28.108 ;;.;;:::;:.;;; Date lbs/ac Prior no Years Cumulative lbs ac / 0.0 0 0 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 00 Current Cumulative ib s/ac 0.016 0.004 2.430 0.031 0 038 0 .001 0.016 0.025 5 0.016 16 4.336 Permitted C. P. L. R **** PermitPAN Limit 1 st/2nd CroP ....................................................................... :.::::.::::.::::::.::::::::..:::.:.::.:.:.:...:................. :..:.:::.:::::::.::.:::..::..:::....: ...:::....:.:......:.....:. ;;.:::::::::::::.::..::..:::.:.:.:::.:.:::,..::::::::::::::::::.::::,:.::.:::.. -.:...:.:::::;...:;:;:::::::.::<.;. ;;.<.; "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation (/ Zg **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Havelock Total Dry Tons Applied (Annual): 8.17 Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 5.0 Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Stockade Acres Used: .5.21 Acres. Permitted: 5.21 Site #: NC-PA-2 Field #: 6A j Residual Analysis Data (Heavy Metals and Total Phosphorus use mg2ig, % Solids use Raw Percent #): Com- posite Date moo Total Phos- phorus Annuai iieav_v ivletal r ieia Loaaines (ualculatea in ins/acre): Total 1 2 3 4 5 6 7 8 9 i2-j 11 12 . DT/Ac./ c App. Event 1.57 Arsenic 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0:004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.430 0.000 0.000 0.000 2.430 Chromium 0.000- 0.000 0.000 0:000 0.000 0.000 0.000 0.000 0.031 0.000 0.000 0.000 0.031 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.038 0.000 0.000 0.000 0.038 Mercury 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 0.000 0.000 0.000 0.001 Molyb- m denu 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 - 0.000 0.016 Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 0.000 0.000 0.000 0.025 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.016 0.000 0.000 0.000 0.016 Zinc ' 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.336 0.000 0.000 0.000 4.336 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 28.108 0.000 0.000 0.000 28.108 phorus "I certify, under penalty of law,that this document was prepared under my direction or supervision in accordance with a - system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". 14� Signature of Land Applier A V/191 � Date DENR FORM MFLSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Havelock WQ Permit #: WQ0000702 Field #: 611 Acres Utilized: 6.48 Land Owner: Spencer Farms, Inc. Annual Dry Tons Applied: 9.1873 Site #: NC-PA-2 Acres Permitted: 6.48 Operator: Michael Spencer Predominant Soil Series: Stockade Cation Exchange Capacity (non 503): 5.0 Crop 1 Name: Wheat Crop 1 Max. PAN: 111 Crop 2 Name: Crop 2 Max. PAN: Volume applied Volume Residual Sources Soil Preci . a P Cond. C o � Z Nitrate PAN Name of CropType enter one Solids/ o o ( ) /o Applied per DES # W # past 24 1 (NP Q , � w R � w, TI{N and Applied Receiving Residual co Liquid Solids Acre (Dry, �' Fert., Animal Hrs. ory w� cc �' CD � * c " e Nitrite (lbs/acre) Application A Cu. Yds Gallons (Dry Tons/Ac) Wet Waste, etc) * 0 Moist) inches * g p w �. mg/kg mg/kg mg/kg Crop 1 Crop 2 Crop 1 Crop 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Sep-15 54000 4.08 1.418 Havelock_ D < 0.5" I 1 0.4 26,539 5,703 5.76 39.821 NA Wheat 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF suPP (attach FORM FSF suPP to this or m): TOTALS: 01 54000 :': As Cd Cu Cr Pb Hg Mo Ni Se Zn P 1 39.821 0.000 Lime Applied Annual lbs/acre 0.015 0.000 0 1 .0 5 0.004 2.198 0.028 0.034 0.001 0.000 0.000 0.000 0.000 0.000 0.004 2.198 0.028 8 0.034 0.001 0.014 0.000 0.014 0.023 0.000 0.023 0.014 3.922 0.000 0.000 0.014 3.9 .Ol 22 25.424 :'XXI :':.•`: ; >:' <; Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative 1ve lbs/ac Permitted C.P.L R **** . 111 Permit....... PAN Limit 1 st/2 d n Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Lp ��*Application Method: S - Surface, IN - Injection, INC - Incorporation 8 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Havelock Total Dry Tons Applied (Annual): WQ0000702 Cation Exchange Capacity (non 503 only): Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: 9.19 5.0 Stockade 6.48 Acres Permitted: 6.48 Site #: NC-PA-2 Field #: 6B Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): ,. .v Com- posite Date © © v © v EMO N00000 10 Tt,. . , .. :.,. Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 jj 7 1 8 LOJ 11 12 DT/Ac./ _P_j 0 App. Event 1.42 Arsenic 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.015 0.000 0.000 0.000 0.015 Cadmium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 0.000 0.000 0.000 0.004 Copper 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.198 0.000 0.000 0.000 2.198 Chromium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 0.000 0.000 0.000 0.028 Lead 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 0.000 1 0.000 0.000 0.034 Mercury 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.001 '0.000 0.000 0.000 0.001 Molyb- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 denum Nickel 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 0.000 0.000 0.000 0.023 Selenium 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 0.000 0.000 0.000 0.014 Zinc 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 3.922 0.000 0.000 0.000 3.922 Total Phos- 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 25.424 0.000 0.000 0.000 25.424 phorus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations",. Signature of Land Applier Date DENR FORM MFLSF (12/2006) FIELD APPLICATION SUMMARIES r G) a r z N mwm C» o RRm � t m .0-C>>_ r "gym 3 �s NO= ` O�Cf o- a T v . o m t5 I a r• vp o = o c a a m Z*0 mo a C_ m o A o o G EMEEMEMEM ,p W N i O (WO W V G! CIO C7f A co Ea W s t7 V co m M A co 0 x 9 �a 8 BlOnNOAC'SERIVICES, INC. - LAND APPLICATION WORK ORDER DATE: G+aAfg //s-- START': (O ,3tl r9r� FINISH; SUN MON TUES WED UR FRI SAT WORK FOR ��'V at 1ntrL JOB NO. i PHONE REPORT TO lA��_ CONTACT AT r e EQUIP. & WO TO BE DONE�17� /yISU i`�2Z !� r��� i---WK iC7' 111 lU7�if1 i �R'�ydT V P C �l�_ HOURS WCPIV ll Tom— O OTHEF SHOP JOB TRAVEL TOTAL Ztic ,A -A 5Ati --.J A Maintenance Checklist N O® _ of e t owe 09 all Unit dvf Unit � r 2L .� �' Unit (yJ Js� Unit c(r7r , e1uZ �' � Unit-1+-f'^ra-ntiT3 UPqti1.w � � 0 2 FOREMAN's AEPOFIr cmelcm clon oQ Ord, KIM. Wee ©'�'ii i ♦ %� r� rtr �'S i` L II I GetFaw NB �e Aaes d..... Jp 23 24 L O R Na ndd iNzr Ho. Gal am TR. 25 26 27 26 29. 30 3] 32 33 -34 35 m6 37 36 I 40 _ i 41' 42 43 .i 44 Job Foreman: TOTAL GALLONS Customer Signature Vhts customer Weasel veldt fnh pa?annerr k 0 �m PJ 4' ID tD A !n a O r N M R M 'M N N N N N N N CA Cq CQ d] M M tq M M a� i � L s -a N W T Tco T. T tr) T (a - r co N N W f J z inJ M 0 0 LLI cc a tq �C1 w I N MZI vl `YH ZIY 0 0 Z 5 O CO 3 < a X CE Z I {~- U d5 0 F aw 0 00 d d 0 w-I El Rt7QI.R7Qi7n/ I 2 f BID-N MIC SERVICES; INC. L ND APPLICATION WOR7 ORDER (lDATE: D 1 START:If`r"?0?r'%& FINISH: g: Wtof' 'SUN MON TUES WED THURS SAT WORK FOR L--t-3n( GET JOB/NO. ADDRESS 3 64 6LL S lk PHONE REPORT TO W �• M CONTAOT'Al EQUIP. & WOAK TO BE DONE I3R.T.J U P C_WP OD.O.T TP D 01,• ER HOURS WORKED w � SHOP JOB �G L —1 Maintenance Checklist Non -Powered Equipment Oil Water Hvd. att Tires Unit Unit Unit rUn ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ O ❑ ❑ - ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ a ❑ ❑ FOREMAWS REPORT: 4 LEA Weather Catdei sr corsets a Drop r7rm.r Narru N�a Galws Net sat Temp . Ram i3❑o Mcelf. W., r 5� •1 ©�t:IY w % � �17➢ ILP 192IAm E = _ 0,4 a MN I p < I: AMIA Lp Li moW M, U/, mmmmm ®M___ ®___M M__MM ®m_m_ ®_MM_ l___m ®____ ®M___ ©____ Job Foreman: Customer Signature Was customer pleased with job performed I A _. , AIM i' 11"AINIII SERVICES, INC. LAND APPLICATION WORK -ORDER DATE: STARTNt5P,26 A! `j FINISH: 9! 3aPm SUN MON UE WED THURS FRI SAT WORK FOR �- 4NV-e-kLy-yeJOB NO. ADDRESS_, _ oq . PHONE REPORT CONTACT ATr EQUIP. & WORK TO BE DONE- ❑R.T.J ❑D.O.T U P C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB Maintenance Checklist Non -Powered Equipment Powered Equipment Oil Water Hyd. Batt. Ilres Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ` ❑ ❑ ❑ ❑ ❑ P / ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: Weather Condition S48 Conditions Crop Crop Farmer Name Field Gallons Net Acres Surtagg„ u -Surfa Temp Rain Dry. rest Wet r ,�.ftr►1s �. plc+ L C R Na Field Na Gyors TTanker 2 17: 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 L C R No. Field Time Tanker No. Gallons 23 241 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Job Foreman: TOTAL GALLONS Customer Signature Was customer pleased with job performed % ' - ryw 1110-NOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE: Q `r 5 .0� START: 04,- FINISH: / :3d A^ WORK FOR 4,,%V OT /yi e- (Gc < JOB NO. ADDRESS 36q, I bir 1 44✓C u- TNils — PHONE � y REPORT TO W •r--Pr. CONTACT AT I -i I` I EQUIP. & WOR 711 -n y V1 7'P7 TO BE DONE/3JV—', , 9*1(1 110L,1oi,/6 t I&C �? ' ❑IiTj D.O.T U P C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB o t (o ��,�► d ,� �o �o Maintenance Checklist Non -Powered Equipment Powered Equipment Oil Water Had. Batt. Tires Unit /75Y UnitLo4�`'f��►�� Unit !='T i3 UnitTLt. Unitalitilt 16L,11113 Nr l?, tel, Zl U P Ri-1�4� t ay � � ❑ ❑ P 4 o W ❑ .�. FOREMAN' REPORT: 0/0 Weather Condition Site Conditlons Crop Farmer Name Field No. Gallons Net Acres Surface urta Tem P Raln ❑ ❑ ❑ Dry, M,lst. Wet LNCII' gives _ _ - L C R No. Field Time Tanker No. Garora 4 5 'D� TiZ� )OCJ 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 L C R'No. Field Time Tanker No. Gallons 23 24 25 26 j 27 I I 28 29 30 31 32 33 I 34 I 35 I 36 I 37 38 39 40 41 42 43 44 Job Foreman: TOTAL GALLONS` — Customer Signature Was customer pleased with job performed IZ 1310-NOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE:" START:Y36/91-r FINISH: -7 r�36 P/"I SUN MON TUE WED THURS FRI SAT WORK FOR V 4 J444e JOB NO. ADDRESS PHONE REPORT TO CONTACT f� AT i`-tCA- EQUIP. & WORK TO BE DONE ❑R.T.J ❑D.O.T LiP C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB Maintenance Checklist Non -Powered Equipment Unit rn Unit Unit P P FOREMAN'S Oil Water Hyd. Batt. Tires Weather Condition Site Conditions Crop Farmer Name Feld No. Gallons Net Acres S ace Sub-S an Temp Rein 13 0 0 Dry. ► oist Wet HI'i>�I r '�� +J ,/!/ 16o�m . • u____ M____ m____ ®m___ ®____ m____ ®____ m____ m____ ®____ m____ ®____ ®�___ ®m�,__ CD Job Foreman: LZ Customer Signature Was customer pleased with Job performed LC R Na Field Time Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS �v 1110-NOMIC SERVICES, INC. LAND APPLICATION WORK OR ER DATE: j START:. ;._36 Of? FINISH: SUN MONU WED THURS FRI SAT WORK FOR z/'J .1 V Q�C61C JOB NO. ADDRESS All ackcZsor*J_, I)�, )J"e1gc1, N jG PHONE REPORT TO CONTACT AT ) rJ EQUIP. & WORK TO BE DONE ❑R.T.J ❑D.O.T U P C WE TP R HOURS WORKED TRAVEL TOTAL SHOP JOB :1D_0T C Maintenance Checklist Non -Powered Eouiome Unit Unit Unit FOREMAN'S Powered Equipment Oil Water Hyd. Batt. Tires Unit ❑ ❑ ❑ ❑ ❑ Unit ❑ ❑ ❑ ❑ ❑ Unit 0 ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ Weather Condition site CgndiUdtie Crop Farmer Name Field No Gallons Net Acres Su ce Su ce Temp ;Rain ory', Meist WQf• 4,I eec -n. ��li7LLL11�® LC R No. nine, Tanker No. Gallons 23 24 25 26 27 28 29 30 - 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Job Foreman: TOTAL GALLONS Customer Signature Nas customer pleased With job performed nmMRAIn emmnco INC SUN MONf� TUES pE THURS FRI SAT WORK FOR (. �/ C; d If�V P / G!lC 1 ,JOB NO. ADDRESS (� tI %U J 4c bCS��.L� /`� �P JUC ke N L PHONE REPORT TO '!CIA U� ' 1 '..P � CONTACT AT 1q r� EQUIP. & WORK TO BE DONE ❑R.T.J ❑D.O.T U P C WP TP D OTHER - HOURS WORKED TRAVEL TOTAL SHOP JOB MaintenanceoCh zk#'. Non -Powered Equipment Powered Equipment Oil Water Hyd. Batt. Tires Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P i. ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPft: Weather Cm6eon_ Site Condifions Crop Farmer Name Nod Gallons, Nt AcBes SubSu Temp Ravi ❑ ❑ o Dry. Moist. War v c �C �✓ rr% 5 I ( �' ©u �v L C R qo- T� Tanker No. Gallons 1 v" D 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Job Foreman: Customer Signature Was customer pleased with job performed - poll _1 L C R No. Field Time Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS l% � BIO-NOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE: O ~ /,5 z ` START: 6.r,b Al-t FINISH: /a,'_�6)94 SUN MON TUES WED UR FRI SAT WORK FOR " / [� _, i¢Ve 10'-Z JOB NO. ADDRESS -3 y Ali, PHONE REPORT TO W . l-/%. rto CONTACT AT_ / //� 1r I EQUIP. & WORK Til,vy. Mir,! TO BE DONEL-TI? 1sV, 404,,✓er if WTIg1 1f12 10IQ I(�sy---r`'e ❑R.T.J ❑D.O.T U P C WP TP Dr OTHER ---------------- HOURS WORKED TRAVEL TOTAL SHOP JOB 71YIYA6,"I Maintenance Checklist Non -Powered Equipment Powered Equipment Oil Water Hvd. Batt. Tires Unit /yJ' � ev -o- Er Unit r~v,} 'iu•r�� Unit%$ IOl1111Z �/ ,jar gr UnifTq, 1'?, lilt 2-1 Unit(2+Nby, l� ,gam If ❑ J2- Er P33- ,e' Ter ❑ ,0' 'Er Pbb �Y ❑ W !a' FOREMAN'S REPORT. 1-1% I\ _I Weather Condition Site Conditions Crop Farmer Name Nod Gallons Nel Acres Sudace Sub•Su ` Temp Rain ❑ ❑ ❑ Dry, Moist, Wet P t r L C R No. Field Time Tanker No. Gallons 1 , 2 3 4 5 6 7 6 9 10 11 12 13 14 15 16 17 19 20 21 22 Job Foreman: Customer Signature Was customer pleased with job performe1d 1 1 .A w l ` A i) n v . _. 17. r, - ( L C R No. Field Time Tanker No. Gallons 23 24 25 26 27 _ 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS _ & CZY0 1110-NOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE: START: : /-V ^ FINISH: : UO G/'N SUN ON TUES WED THURS FRI SAT WORK FOR_ iL(� c 7-D }—�+►��1G loL,1i JOB NO. ADDRESS ';bq ►e5d rJ cif r�oLyCT�� PHONE REPORT TO 7V CONTACT AT AA EQUIP. & WO TO BE DONE l3�.►'�95t/i P,3-1b 1, l62,1030 btl, 105; PIP0 L iu,,+-tr ❑ O.T U P C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB h,ALW �r 3r Maintenance Checklist Non -Powered Eouinment Unit MJ 4/ Unitz,aiJ, "Tow -e ' Unt,r). , q,1). Iq' 2 i Powered E ui ment Unit FT) Oil Water Hyd. Batt. Tires je Unit R& 10 11 10,r ,Rol -5r P" P. �'fi Iny, �u PR- � . o : P P (rib JY 9/ ❑ J , Weather Condition site. _ CordiUdns Crop Farmer Name Field No Gallons Nat Acres b-SurNa Temp Rain ❑ ❑-.❑ Dry, Maist, Wet - _ _ ►JCar Y��Y`� d` �. Job Foreman: Customer Signatur Was customer pleased wi joh perf ed 1 - � \ A -^\, A L C R No. Field Time Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS & y . &0-0 - U/if I —' 111016MIC SERVICES, INC. LAND APPLICATION t WORK ORDER DATE: Ur O r/�5 START-J `,3b ,111` / FINISH: ' -SCV ' SUN MON UE WED THURS FRI SAT WORK FOR ` r—�1�ti��OL�- JOB NO. ADDRESS NT ��►C, . 1 r IAJ e� bL� Nf j�' PHONE REPORT TO UJ + W �r" CONTACT AT EQUIP. & WO Tt"'i 'I' u "T2 "%I% �l --�- TOBEDONE,,j ��oi�1D'L,lO�F10yf)uS,�'e�rG+A R. O.T r U P C I WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB e2131A Maintenance Checklist Non -Powered E ui ment Powered E ui ment Oil Water _ Had. Batt.. Tires Unit P75 Unit jC 7J Unitto,Q,'tt-Jer' Unit Ri-10I,Id2,Jos J^ 7 Unit,-; Unit P i?f Iby,1a� 0 P (o J '�' 0 FOREMAN'S REPORT: Weather Condition site Conddons Crop Partner Name Field No' -Acres Gallons Net Sud urt� Temp Rain ❑ ❑ ❑ DM Moist wet «� L C R No. rer No. Ga ds j1dTad bow 2�t 3 , IWOo 4 i 5 . 6 7 8 9 10 11 12 13 14 15 16 17 18 lid 19 20 21 11221 1 1 1 1 Job Foreman: Customer Signature Was customer pleased with job performed f ,a a r a iN�` 6437-�'Grj L C R No. Field Time Tanker No. Gallons 23 24 25 26 �27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 43 F4442 TOTAL GALLONS �y 0vu 14ve 1-' f q I BIO-N IC SERVICES, INC. LAND APPLICATION WORK ORDER DATE: 0 L2-�I/5 START: 6,' 7a�t FINISH: e'(JZ)A" SUN MON TUES VED. THURS FRI SAT WORK FOR (-�� 1/ !}{ , 114tIe- I (Y 4C JOB NO. ADDRESS IV, jc 6kC -� -Qr1r jjQf1 �(4� 4 ff—C--/- PHONE J REPORT TO W ,W CONTACT AT I� r EQUIP. & W02i -rli, 7-1I/ TI7 TO BE DONEf1 ,13'I5�1AfIfa2e !QYt WS;Lapiiti�� p5.5, (t 6 ❑R. O.T U P C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB 131 Maintenance Checklist Non -Powered Equipment Powered Equipment Oil 'a",i Water Hy�d. Batt. Tires Unit M_3 UnitLnP+c�."� �C1Wt✓ Unit % 3 Unitktid) Unit-r% t)b), Unit 1,3 der, ;,12- ,0' 1?i l�, Zk �)0`/, PP �' ❑ P LL) f�Y ❑ ei sY FOREMAN'S REPORT: Weather Condition site Cone Crop Farmer Name Feld No. Gallons Net Acres s e MErla Temp Rain D❑ry, Moist, Wet ./� cF%Cef - Aj)M /'7 17, 2�3 � mfi, � .0 ©=r/ .42 ...iL% U �am"i6quM i%/!10 BRIM 1I_ 0 = , ! ,0 rW-00m �a a _ 9 --, i worm. ili WOMEN MI-Wo'l-offif ®no, ! I"�. M, Rj,0"*!e1PO4P 120',Ww� 1,"Ok MR?$= ®mmmm m____ m____ ®____ m____ ®____ L C R No. .Flme Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 Job Foreman: TOTAL GALLONS (�5L/ t" " — Customer Signature Was customer pleased with Job performs j V � RIO-NO IC SERVICES, INC. a LAND APPLICATION WORK OR ER DATE: �.,� IS - START: j-FINISH: S� DO . f-I SUN LION TUES WED THURS SAT i y WORK FOR ► 6"ACK JOB NO. ADDRESS a S eItgeG i `,\ PHONE REPORT TO W rW,� CONTACT AT MM Pei — EQUIP. & WOR r TO BE DONE_ _- �3.r'�'1 �a'ib•rcr .V12, 040 kA02, O�(�IO, OR. O.T U P C ' -WP TP O OTHER HOURS WORKED TOTAL SHOP JOB TRAVEL �z 13k" =�?irtainteiianae;Checfii unit4c?j0<<'�"'�xy UnitT1., .'�3 FaweredE ui me ' Q Wa6er" Unit7------- Unit''rt�y. zz- �� - Q Vat 'fires. U Ps� 113 WaalhorCwdrdrn C Ste. Cmp Farmer Nan* G20ons Met Acres Temp Hain D Dris M - 4 �� Lit .S U ct r ©MM, © M ®M_M_ MM__� M__ o MMM om==� I'MM_ om 0M MM ®____ ©____ L C R Na Thee Twfti No. Gaaons 23 24 25 26 27 281 29 30 . 31 32 33 i 34 35 38 39 40 41 42 43 44 Job Foreman: TOTAL GALLONS OKJ Uy Cf"" Customer Signature I Was astomer pleased with Job pedonned � a 61110111111111WOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE: 03 Z3 START: . UU,q✓"► FINISH: on — SUN ON TUES WED THURS FRI SAT WORK FOR L't (EC )AP,SQ_ ` 1 tX-k JOB NO. ADDRESS .�0�T�(T jar k'_184 , j)r hcpc��11(. PHONE- n 1 REPORT TO %A�,�:'Q CONTACT AT l'1rT EQUIP. & WOFF��KK TO BE DONEYI13, i'IS�/. Oki d2i 104 14 4oi0aowc +per ❑R. O.T U P C NIP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB � A �' 2 lob 3 � 31 Maintenance Checklist Non -Powered Eauioment Unit /MSq Unit LOp`�uW-ar Unit't1?, 1-1l21 Powered E ui ment Oil Unit f % 101" Water Hvd. @- Batt. R Tires Unitatw- 1py t l6 � '.� ❑ P, ;' Unit �" PS.S .AT ❑ 13 'r P(Db ZY 0 ❑ W ❑' Weather Condition site Conditions Crop Farmer Name Field No.. Gallons Net Acres u c Su u Temp Rain Dry. Moist Wet ��� CC7 Me '1 'r v 2-3 L C R No. rReld rne Tanker No. Gallons 1 2 339; 19050 4 I 5 6 7 6) 9 10 11 12 13 14 15 16 17 18 19 20 22 L C R No. Time Tanker No. Gallons 23 1 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 l 39 40 41 42 43 44 Job Foreman: TOTAL GALLONS oL r (5-Lyo Customer Signatur Was customer pleased with job perform d BIOMNOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE: b3 Z �` START: � .,;36&,, FINISH: SUN MON UES ((WED THURS FRI SAT WORK FORi V l)r H\WJQ 10C(4 JOB N0. ADDRESS < � f IV �c�' � p� {Ame-,Dar- l�innC PHONE REPORT TO W CONTACT AT Iq' f EQUIP. & WOR -T;-r)gr"TAI Tv) TO BE DONE M_!? ,q . r�✓a T►► >,or, Q-l- Ib f fi► ,1 l r ❑R F�D.O.T U P C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB Iq Maintenance Checklist Non -Powered Equipment Unit i •-/-5y UnitLo,e+ck . % ,-a. t" Unitry, -,f ley,, FOREMAN'S REPORT: Powered Equipment Oil Water Hyd. Batt. Tires Unit F7_13 ❑ ❑ ❑ ❑ ❑ Unite,�01 )OLL ❑ ❑ ❑ ❑ ❑ Unit Rotlo , 1 ❑ ❑ ❑ ❑ ❑ P5i� ❑ ❑ ❑ ❑ ❑ P6"h ❑ ❑ ❑ ❑ ❑ Weather Condition Site Conditions Crop Farmer Name Field No. Gallons Net Acres S utrSurta Temp Rain ❑ ❑ ❑ Dry, Moist, Wet e.Jc�T c� C-PA' �o.� J �ub� L C R No. Field Time Tanker No. Gallons 1 � r 2 3 O 4 �� TV 7V 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Job Foreman: Customer Signatur Was customer pleased with Job performed t A . i , (L� f)nv ed�, L C R No. Feld Time Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 E38 39 40 41 42 43 44 TOTAL GALLONS �- 0 5P 1110-NOMIC SERVICES, INC. LAND APPLICATION WORK ORDER DATE:/2 /b START: : 3p JV" t FINISH: �'� OftN SUN MON UE WED THURS FRI SAT WORK FOR r V . Q - IV-< JOB NO. ADDRESS---�bq/Q f J�.Gir!�� jjAy' � mot/ Jnq' PHONE \ - REPORT TO CONTACT AT EQUIP. & WORD JI�J�"TLI� tl, TO BE DONE T10N 13;ln.sU L.o►�r�Z�.,J�r �f32 t1oxju��"A (n0 ❑�.��R IOU.O.T U P C ! WF TP D�—�-�O"T'HER HOURS WORKED TRAVEL TOTAL SHOP JOB )i �o N Maintenance h t Non-P�owere_quipment Powered E ment it Water Hvd. Batt. Tires Unit Unit ❑ ❑ ❑ ❑ ❑ Unit ❑ ❑ ❑ ❑ ❑ Unit ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ !�L ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: Weather Cordtion Stte ConAtions Crop Farmer Name Field No. Gallons Net S ace b-Surfac Temp Hain try. �+ost wec Pn% (2P 61 /M JAcres ,J, C.C' -3 `� �" �© Ili � ����� .�, � •� ©'Y/f�7is.'�� ,. ►+fir •► ® I s rrosM ®M�m ®____ m____ m____ m____ O____ ®_m__ ®____ ®____ Job Foreman: Customer Signature Was customer pleased with job performs L C R No. nine Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS v `'� .�1119-NOMIC LAND APPLICATION WORK ORDER ry.�a t01-1 SUN MON/1 TUES((E I THURS FRI SAT WORK FOR0,�V 4 kA%1 e 1 qc-V,7- JOB NO. ADDRESS 3614 it:r 5r w %�� de II� L PHONE REPORT TO CONTACT AT & 7 EQUIP. & WORK TO BE DONE ❑R.T.J ❑D.O.T U P C WP TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB G-G G Maintenance Checklist Non -Powered Equipment Powered Equipment Oil Water Hyd. Batt. Tires Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: ,, I / Is Weather Condition Site Conditions Crop Farmer Name Field Gallons Net Acres Surface h=Su`ir a' Temp Rain Dry. MoisL We[ 3 LC R No. Field Time Tanker No, Gallons 1 rr 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 L C R No. Time Tanker No. Gallons 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 IV 40 41 42 43 44 Job Foreman: TOTAL GALLONS Customer Signature Was customer pleased with job perfor d _ r I A , 1 A^ n 1, . 1 r <i '?,:• 1 -NOMIC SERVICES, INC. �t LAN® APPLICATION WORK ORDER 1� U DATE:I15^_. START:-.---- FINISH: SUN iVPOPd TUES WED THURS F3I WORK FOR___,.,____ JOB NO. ADDRESS. — PHONE ____ REPORT TO CONTACT AT._.._.._.. EQUIP? & WORK TO BE DONE_ iuFi.T.J I 'ji---..— p _C 1Jyp i❑U.O.r 1 T3 D OTHER I......—..1.—_..�_ HOURS WORKED TRAVEL TOTAL SHOP d08 i i i i i N�i�ten�ncE�t�eckli�t Non _PQyveTd Equig_ment Powere Eaui men 21 Water i d gaff Tires Unit Unit Unit ❑ ❑ ❑ _ ❑ ❑ Unit Unit Unit ❑ ❑ b ❑ ❑ ❑ ❑ ❑ ❑ ❑ P ❑ ❑ 17 ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: 5 TQ y�C PQ_ Z A Weather Cow sie Cr Temp Rain CaWitions Farmer Nama Fpb Gatlora Acts es ❑ O P� � l Dry. Momt. Wet �'rl(C't ev.;,- F—,qr i .j I A (t" LC R No. rne Field Tim Tanker No. Getlolm 4i 7 0 7 ��. �� �00 5 9 --__ 10 ~ 12 13 14 15 16 17 18 19 20 M� 21 22 Job Foreman: j Customer Signature Was customer pleasetl wi rmetl L C R No. Flab Time Tanker Na w10 m 23 24 25 1 26 27 28 29 30 i 31 i 32 33 i 34 35 I I 36 I 37 38 I 39 40 41 42 43 44 TOTAL GALLONS 2"Lf ./D44.,V- 2 CIP,� -� -NOMIC SERVICES, IN& LAND i■ ..,,.� APPLI ■/�_ V1 TION WOO RDER DATE: START: FINISH: '3UN MON TUES WED THURS FRI SAT WORK FOR_ JOB NO. ADDRESS -- 'HONE _ ____ REPORT TO CONTACT AT EQUIP & WORK O BE DONE CJR.1„t I V---.—.P —_C wP TE --_ 0 OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB I j i p�1Tntenanrye Chqgklist 9•iQn n,vered_Eouigmen. Powered Eduiomgnt Oil Water Hyd Tires Unit Unit Unit Unit ❑ ❑ ❑ ❑ ❑ ❑ —Bu ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: v Weather Canc0on Silo Temp Raiin�� Condiuor�s 7 S (/J N ❑ ❑ Dry. ?doisl, w.1 sly ►vc-Ply-z-�� Crop Farmer Name Field Gallons met Na Acres hPb �nc� FS `t6eT L C R Na Fold Tema me Tanker Na Gallons .�Q j _q 8 - 9 10 �-- ---� 12 13 --- 14 —•-- 15 16 17 18 19 20 21 22 Job Foreman: Customer Signatur A2&= Was customer pleased with job performed L C R Na cl T Tanker Np. Gallons 231 24 i l 1 25 i t 26 27 28 29 I 30 31 I 321 i 33 34 35 36 ! j 37 i I 38 39 40 41 j 42 43 1 44 I 1 1 TOTAL GALLONS 4 -)-00.0 � T :BIO-NOMIC SERVICES INC. LAND APPLICATION WORK ORDER DATE: START: FINISH: i SUN ....MON..ti._.. — TUES ' WED THURS FRI SAT ...... ... ....... ........:.... �..�� i..__......__.....__....._.......-_.— WORK FOR JOB NO. — ADDRESS `_ `1 r1J i 2L'K:� Dr PHONE _,- REPORT TO 7• tI L CONTACT AT Mil—ienance Checklist �lon_Powerer Eq��pment Unit ry , aowereO E ui ment Unit i T i5 9-1 Wal�r Hsi Batt. Tugs UnitUnit,,-,,� IaP011btt,f05 13 a Unit Unit jai' r v 6 g E) 17 13 t3- a t3' E3 Ef P LC a 9- e B o. P h 5 E-- a- 11 B rOREPAAN'S REPORT: 7(nt3ri�. Weather Condition TempHVia ain Con ns Clod Faarmer Name ❑ ❑ !! i- Dry. most, wet :i }:f � ' S i, l A ( L' i -11' k. L C R No, Field Time Tanner N. Gallons Ir 4 G 7 _ • , _ 1GdD �Q (fir 8 10 -- 11 12 34 13 14 15 ^— -- 16 17 18 i •�• 19 20 21 •- 22 Job Foreman: Customer Signature ;z RJ�P�S� Was customer Pleased with job performed Feltl `+ L Gallons §?� L C R No. Field Time Tanker tJo. Gallons 23 24 I ; 25 � I j t 26 27 28 29 30 i 31 i 32 � I 33 I 35 36 # 37 i 38 39 I j 40 41 i 42 43 ! 44 TOTAL GALLONS -- t Z, 0 O-D F 4sz 1-� S r.J ji?.. . . -NOMIC SERVICES® INC. . . . . . . . . . . +'Y '.: LAND APPLICATION :- WORK ORDER "` =4 DATE: �I'Z % J START: FINISH: SUN. MOH UE WED THURS _FR_i SAT WORK FOR_ JOB NO.M ADDRESS-_ PHONE_ REPORT TO CONTACT AT EQUIP. & WORK TO BE DONE_ J P C yVp ❑o.o.T j T� D OTHER -•--- — —__ HOURS WORKED TRAVEL TOTAL SHOP JOB i i i -tiainten�nceChecklist Von-or2d, ui ent Powered Equipment (Al Water Ham¢ Batt. Tires Unit Unit Unit Unit ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT- - �6) � i � e- �' � *- - -1 - W - - 7 L _ iaz�I— G ReW Tuna runo [L Tanker No, 1 -7 Galrons 0 qXo 9 --�-- 12 13 14 — 15 16 17 18 19 20 21 22 Job Foreman: Customer Signature Was customer pleased with job performed /1 1 4 - / . 23 24 LC R Na ew Fime Time Tanker No. Gallons 25 26 � j 1 i 27:F--. 28 29 30 31 32 33 34 35 36 37 38 i 1391 40 41 I 42 43 44 TOTAL GALLONS 3 @ 1900 n D e SERVICES, INC. 1110-NOMICLAND APPLICATION WORK ORDER �;: DATE: -7/ �-_......._ START: FINISH: SUN MON WED THURS FRI SAT tfllORK FOR._,..,_ JOB NO. ADDRESS PHONE REPORT TO CONTACT AT EQUIP. & WORK TO BE DONE ;UK; LJ U p C Wp iCJU.0.7 i'P. D OTHER —.i HOURS WORKED TRAVEL TOTAL SHOP JOB Maintenanc�he�ilst von _PovXere�l_EguiLmnt Pow re �gcll�n>Qn Oil Wwter HA,, Batt. Tires Unit Unit Unit ❑ ❑ 0 ❑ ❑ Unit Unit Unit p ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPOFM weather 31—jz� Site Temp CordlPons .�5o o it Wet e— N-PA- z - Crop Far=Name RM �lws Nei Sgfiace No. Acres r a SIe,>6� r F� �m sI I— 3,5 � 72 P 5� s L C R No. -� `� Fx4d Time S Tanker No. ( � Gallons . u 7 - 8 10 11 12 13 i4 15 16 17 18 Y 19 20 21 22 Job Foreman:_ _. Customer Sign Was customer pleased with job PeAormed L C R Na I Feld t rmo Tanker No. i Gallons t 23— 74-4, 24 25 26 27 28 i 29 30 ' 31 32 33 34 35 36 37 381 39 40 t 41 42 i 43 44 i .�` TOTAL GALLONS __ , DOG ��3aP5 i BIO-im OM C SERVICES, INC. ` LAND APPLICATION " WORK ORDER START: F(NISH: SUN MON _ TUESj WED THURS FRI _ SAT WORK FOR JOB NO. ADDRESS --'- PHONE.— REPORT TO CONTACT AT EQUIP. & WORK TO BE DONE JR; i;J C WP Qo Or : Tt' 0 OTHER HOURS WORKED TRAVEI TOTnI SHOP JOB U4 i3Ot onze Cheg list Non_PgUTrgd Equig_mgnt Pow re ui ment it Water Hy— -wL Tires Unit Unit Unit Unit p ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Q Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT- Site Conaons crop Farmer Name Field Gallors Net Surface No. Acres u m—c El p y Ory. Most, wet it/tt�'cf S i'ITc-p t' ut m5 _ T L C R No. !PUK field Time Tanker No. Gallons COao 4 7 8y 9 10 �—�— 11 12 13 14 15 �^ 16 17 18 19 20 21 22 Job Foreman: Customer Signature Was customer pleased with job performed L C q Na Field Time Tanker No. l Gnllons 23 l 24 25 l 26 l 27 28 j 29 I 30 I 31 i 32 i 33 i 34 ! l 35 36 37 38 39 l 40 41 i 42 43 44 TOTAL GALLONS � � (/ — — . . 1 ....7 C, }: ,810-NOMIC SERVICES, INC. . . . . . . . . . . . . LAND APPLICATION WC!� ORDER . . . . . . . . . . . . . . . . DATE: START:—. .............. ---.—FINISH: SUN MON TUES WED WORK FOR_ ADDRESS PHONE.,.-._ CONTACT AT EQUIP. & WORK TO BE DONE THURS FRI JOB NO._ REPORT TO i0fl,Tj 1 Fi--C—wp HOURS WORKED !QD.c).T DOTHERI�_�—��,�Fl� TRAVEL TOTAL SHOP JOB U-14inkrlaM-,Aqck List �1oLn--.F�0—Me(OLAWPMeAt Unit -PPM!N—Egme —qqi nt — QjI Water r _L Z_ H_yd. Egg . Tires Unit Unit Unit 11 0 0 0 0 0 0 0 0 0 Unit Unit 0 0 0 0 0 P 0 0 0 E3 0 P 0 0 0 FOREMAN'S REPORT- b) Weamer Condition — I Site Temp Rain cowfliam �5 E3 DrY. kftst Wet Crap Farmrer Name !lee SP6%cer r-affA5 LCRNo. FWd T 11,y* Tanker Nm Gay 20 1 'C )a j 3 4 6 7 8 9 10 12 13 14 15 16 17 18 19 20 21 22 Job Foreman: Customer Signature Was customer pleased with job performed Hold GaGons Natsurtue Apes 23 24 25 26 27 LCRNo. Field Time Tanker Na Galtond 28 29 so 31 32 33 34 4 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS I 1-, 000 11, - ";.. 1; J. 7 IC SERVICES, INC. LAND APPLICATION WORK ORDER DATE----Z/ START: .--S- FINISH: . . . ....... M.O.N.-..Ty�� ED THURS FRI .... ... .... SAT WORKFOR— JOB NO.__ ADDRESS — PHONE REPORT TO 4 CON TI ACT AT EQUIP. & WORKI- TO BE DONE RT I c2 -5 - to U-- P C_wp HOURSWOFIKED Gd-O-T Te- [)-OTHER-- TRAVEL TOTAL SHOP JOB 13 z 7 lie, 5c LZ ['A�Cin Ognp te -p—Ched!jisit !N,QjL--P0vL(2tre LEw-112-ragnt unit Unit Unit FOREMAN'S REPORT. Powered n Unitr QOilWater_ ft Batt Tires Unit it: 2- CI 2 ,0 rzr 13 0- Iq 0- Unit .0 cr P55, 13 i 13 P 0 El 13 U-1 1 4 LCRNo. - Fi0d 'rime, 6- Tanker Na Gallons 5 7 12 13 14 15 16 17 18 19 20 21 1 F 22 Job Foreman: - - - Customer Signature--f!��' Was customer pleased YAM job 9-rw-w 0 / 'y /7 --f LCANIX Field Tune Tanker No. 23 -1 I 2 251 — F- 26 27 28 29 301 311 34 35 36 371 38 39 40 41 42 43 44 TOTAL GALLONS 19OCT P A -It 1 5 f Lr r 810-NOMIC SERVICES, INC. LAND APPLICATION WORK ORDER , yo ..v w• .... X �J ,�j Sri s N DATE: START: - —.-FINISH: t 1: 30 SUN 1/10N TUES _WED THURS RI SAT _ JOS NO. ADDRESS _<5A. PHONE _ REPORT TO CONTACT AT EQUIP. & WORK 10 BE DONE-_-- IJR•T•% C WP TP D OTH£R HOURS WORKED TRAVEL TOTAL SHOP 408 i i I I j _ ! �T7 MaintgD_? f ecklist IV�n^Po'r�er��t Eoui� en Powered Equipment Oil WA_t_g_r Ind Batt Tires Unit, 7 Unit f"X 13 pr' [ - ® 0- d Unit Unit UnitFT i0-.�i i. Ca- Unit] I IN Cr [3- a I - B B' U O P5 `( to `t�¢ -H- [a 0— a B P ©r 0 GL� trt' If FOREMAN'S REPORT: _.. "-4, r>Cy . 6 NL t /i /4 Weather Condrion Site Temp Rain Conditions Crop Farmer Name Field Moist Net c 5 Na Gallons Acres u4Sudace ❑ ❑ My. osc Wet Af4I /� f eitGt.'i` a m 5 5A S .-El L C R No. Field T TankerNo. I Gauonss..l 2 ��•� y r f- 6 60 F 9 - 10 11 12 13 14 15 16 17 — 18 19 20 21 22 Job Foreman: Customer Signature was customer pleased %W rmed -D / 4_"r '/'. L C R No. Field Tinge rime I Tanker No. Gallons l 23 24 I 25 26 27 28 29 ! 30 31 32 33 34 I 1 l 35 ! I i 36 37 38 39 40 41 42 43 44 I TOTAL GALLONS RIO-NOMIC SERVICES INC. LAND APPLICATION .' DATE: _-{�J,-......._._......__.. START: FINISH; SUlri MON TUES WED THURS FRI SAT -NORK FOR. JOB NO. ADDRESS _ ?HOME----------� REPORT TO CONTACT AT.. EQUIP. & WORK O BE DONE-__ R. t.J , v.__I C 4VP HOURS WORKED 0-O:r fit' p OTHER TRAVEL TOTAL —;---- SHOP JOB i-ance Q,beckfst UqU-Pcnnrer2.ti EcluiRmen_I Powerm. EE Wipment Oil Water HV¢ gatt- Trres Unit Unit Unit p ❑ ❑ ❑ ❑ Unit Unit Unit ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FORFMIAN'S REPORT: Site Conditions ❑ ❑ V. Moist, We lead 5,4�� Crop // Farmer Name ( �j4%GiL,eC \ CCCIrM1J L C R No. rime 7j/`_� 7antter Na Gallons — � r" _ 0 1Q — 11 12 13 14 ••- 16 �- 17 —.^ 18 • 19 20 21 22 Job Foreman: _ Customer Signature _-�� Was customer pleased with job performed MM" Now _-M- -MMM- EAM t LC R Na Field' 7aNcar Na r Galbns tttt Time 23 24 i 25 26 27 28 a 29 3o i 31' t 32 =33 34 ' 35 36 I 37 t 38 39 40 t 41 42 43 as ! i TOTAL GALLONS -5 tt© 0 c) -0- . 0. ! ..,r. 4 -:: 1 -N® IC SERVICES, INC. LAND APPLICATION WORICn C ,.;:.::trc•="' DATE:...... START: FINISH: SUN MON TUES WED THURS FRI SAT WORK FOR-..__. JOB NO._ ADDRESS. PHONE REPORT TO CONTACT AT EQUIP. & WORK TO BE DONEr �'�'�•'•' f V•• -- P C yip 10D.O.' ; 'FP D OTHER f i HOURS WORKED TRAVEL TOrAL SHOP JOB I ? ;yi�irttenanc� �hecicljst LQn_Pq,���er2c!_Ecl�ioment Pow grec E ui meat Oil Water tied. Batt. Tires Unii Unit ❑ ❑ © 0 0 Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ rOREMAN'S REPORT: Lw w Site ConQiUons 0 t. Moist. Wet 1 Pie e Crop Farmer NarTle vltrc�� Spe A r F�rp, 4 3— 5 7 l C R No, 7 A l /S otJ M T TM r - S /r`��-' Tanker No. 2 ( Galtons wo Q t 1a 12 13 .� 14 15 16 17 19 20 •. 21 22 Job Foreman: _ Customer Signature Was customer pleased with job performed Field No.Atras Ga9ons Not S r. ob•Sudooe 23 24 LC R No. I I Fete Time I Tanker No. Gano j ns f � 25 26 27 i 28 i 29 f 30 I f 31 f t 32 I I 33 34 1 35 I 36 j I 37 f 381 39 I i 40 41 i 42 43 44 TOTAL GALLONS 04K-P- —z' o� ::.B10-NOMIC SERVICES, INC. LAND APPLICATION N WORK ORDER DATE: START: SUN ION TOES WE THURS FRI SAT WORK FOR_ JOB NO. ADDRESS PHONE CONTACT AT EQUIP. & INORK T O BE 'DONE REPORT TO •JH.TJ I U_ P _t; Wp �0'O'' { TP 0 OTHER r--•—I---....— _ HOURS WORKED TRAVEL TOTAL SHOP JOB 1 i I li intenaiice Ckq(;. IisI pment Unit Unit Unit FOREMAN'S REPORT: Powered Equjpme_nt O11 Water Hyo $0 Tjres Unit ❑ ❑ ❑ ❑ ❑ Unit ❑ ❑ ❑ ❑ ❑ Unit ❑ ❑ ❑ ❑ ❑ p ❑ ❑ ❑ ❑ ❑ p ❑ ❑ ❑ ❑ ❑ LC R NaReld Temp r=0 z:uc ra Tanker No. Gallons 73 - -G7 7 10 -� 11 12 � v 13 14 Y 15 16 17 18 19 20 21 t22 Job Foreman -- Customer Signatur Was Customer pleased with job performed 1 1 �r / LC R Na Field Time Tanker No. Gallons 23 ` 24 ( I 25 t I 261 I 271 t I 28 1 29 i 30 31 I 32 33 1 34 35 361 37 ( I ` r 38 39 I i- 40 41 42 43 44 TOTAL GALLONS �nCi p "Ive { D T 10 -NOMIC SERVICES, INC. LAN® APPLICATION zY ni WORK ORDER ... -rys ❑ATE: chi START: FINISH: SUN MON TUES WED HU S FRI SAT V...... —._�_. WORK FOR_.____...— JOB NO. ADDRESS _ PHONE _.-__-- REPORT TO CONTACT AT. EQUIP & WORK TO BE DONE_. iJR.T.J I tj P C 4VP YP — D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB r i i ;vlintelist tiq,t_Pov_gerei Equipment PoWe_red Eouig ent 2 Wafer {iyd Batt` ]fires Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit 0 ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT - Weather condition sRa eff Conditions Crop Farmer Name J7 Dry. HlcisL Wet I Wi' !PI ��%.a✓1fi�� :3 L C R No. _4? Field Tlmp Tkm a Tanker No. . � 7� Gallons o 9 so ��_ l�d10 12 13 — 14 15 16 17 18 19 �- 20- — 21 — 22 i Job Foreman_ Customer Signature Was customer pleased w4-1-rmed Nei Surface NO. I Gaeons I Acres I suD-Suriace 1 L C R No. T� Tanker No. Gallons 23 I , 24 3 I 25 261 I C I I 271 I 26 29 I 30 i 31 � 32 33 34 t 351 361 I 37 38 39 40. 41 42 l i 43 j ! [4:4 TOTAL GALLONS ; 7- C) B10-NOMIC SERVICES, INC. . . . . . . . . . . . . . . . . . . . . ... ............ LAND APPLICATION z�r WORK ORDER DATE: 9 -4 -ILL START: FINISH: SUN MON TOES WED HUR FRI SAT WORK FOR JOB NO. ADDRESS �`V .��Zc� ?HONE _...� REPORT TO bl CONTACT AT TQ BEDONE WORK i�ys /lf 3 7 11-15;!ij `j----- P C WE. ?'15.0.—r TP 0 _OTHER HOURS WORKED 'RAVEL TOTAL, SHOP JO f\SB _ 3 :M-9i.0tenance Checklist iVon_Powered Et�ui�ment Unit rye 5 Pow re EauipFpen Oil Water y-0. Batt- Ti_ tell Unit 0 ❑ ❑ ❑ ❑ Unit Unit ``r ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ OREMAN•S REPORT; _U N'L-Y'A- I-- �> L LCRNo. -3- M T. unff�� t/ -" - 7 Z Tw"rNo. 7_'. Gallwis Q m / - G .rr _7 % 6 9 10 12 13 �- 14 15 16 17 18 19 20 _- 21 22 Jab Foreman: Customer Signature • `---- Was customer pleased w rmed 0 / . , /1 ` fi-• LC R No. Fee rare Tanker No. ! Gallons 23 24 25 26 ' 27 28 29 30 j t 31 32 33 35 i 36 37 38 39 i I 40 41 42 43 44 TOTAL GALLONS L Z4 V f eL5 e I D f tt a ►vC. -V 11—L.—:D l C VICES® JN LAND APPLICATION ,r ? WORK OR® R DATE: / START:- FINISH: SUN MON TUES WED FiUR� FRI SAT kf%/ORK FOR-- _ JOB NO. ADDRESS_.. :'HONE ......� REPORT To CONTACT AT_ .EQUIP. & WORK TO BE DONE 1 Uri. t..: I O . P C tigp HOURS WORKED TRAVEL TOTAL SHOP JOB I I flaintenanne CAQgkiist NQ Po QI@A-E LuMnoat Powered E5 tUipmapt Oii Water Hyd Satt. Tires Unit Unit ❑ p ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ p ❑ ❑ ❑ ❑ ❑ p ❑ ❑ ❑ ❑ ❑ 70REPAAM'S REPORT: LC R No. _ Ln Field Tanker No. Gallons q((33 7 8 9 • �•- 10 - 12 13 14 15 16 17 ...� 18 — 19 20 _.._ 21 22 Job Foreman: Customer Signature �•�'�-- Was customer plea dor7 A - e L CA No. Raw Tunnee Tanker No. Gallons 23 [ z41 l i 251 �26 27 I 28 1 29 I 30 31 i 32 33 I 341 1 35 1 1 36 37 , i 381 39 40 i 1 41 42 431 44 1 TOTAL GALLONS flw-t& 3 a�,- � h y 10-NONIIC SERVICES, INC. LAND APPLICATION F WORK ORDER DATE: START:.--....._.__,..._...... FINISH: SAT WORK FOR—_ JOB NO._ ADDRESS PRONE REPORT TO CONTACT AT EQUIP. & WORK TO BE DONE 'EIS 7.J ` `-1 . P C w HOURS WORKED QD'O.T i i D OTHER TRAVEL TOTAL SHOP JOB i �,1ainten nce Ch@cklkt (Vpn-PMeaJ EQtAipment Powere 5_quip�rZ Oil Water Hid Bat. h Tl'res Unit Unit Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: LC R Na Fi: Tanker No. 1 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 23 24 25 26 27 L C R No. } Flow f rime � Tanker No. I I Gallons ! i 28 t 29 ! 30 31 32 33 34 35 36 37 ! 38 39 j 40 41 i 42 43 44 i Job Foreman:T _Y TOTAL GALLONS Customer Signature Was customer pleased wlthlw armed a n i L—j 10-NOMIC SERVICES, INC. LAND APPLICATION RDER DATER ./I START.-.7.'4jC--' FINISH: SUN WORK FOR_,"C JOB NO. ADDRESS PHONE.— REPORT To CONTACT AT EQUIP. &WORK P TOBEDONE 1UR.T'j 1 U-p c—wp— !,Qr/o.'r HOURS WORKED - - SHOP JOB i T2 D—OTHER— TRAVEL TOTAL H MO,3,yo djEQUWOgnI I., Unit Unit FOREMAN'S REPORT: Powered Equipment Oil 7pir Water HVg. B Tires Unit F El- -0 cr a El - Unit tl j"'5 0- ff- a - It Z11fill/I 1-7 0^ ET' Er B [I- p 0- 12 13- la 0-- v Job Foreman: Customer Signature Was customer pleased rtormed LCRNo, FietO Tuna Tanuef No. Gallons 23 2-4 25 26 27 28 291 301 31 32 33 34 35 36 37 38 39 40 41 42 43 44 TOTAL GALLONS t?-4110 k- 810-NOMIC SERVICES, INC. LAND �YFar APPLICATION WORK ORDER r i START: 5UN MON TUES WED THURS FRI _ q WORK FOR JOB NO.^ ADDRESS_ PHONE_ REPORT TO CONTACT AT. EQUIP. & WORK TO BE DONE rH• r. i U P C WP s TA D OTHER HOURS WORKEDC7p.O.T TRAVEL TOTAL SHOP JOB i i i Main ,13nantr•-Chgc lis NonjPowerW FgwpMnt Powered ui ment 21 Water Hy. Bait. Tires Unit Unit Unit 13 ❑ ❑ ❑ ❑ Unit Unit Unit ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT. �1� i Jab Foreman:_ Customer Signature Was customer Pleased w, rmed At r /? L C R No. Held n� Ta,dwr Na � Gollo,w 231 24 t ; 25 i 1 I 26 f I 27 28 291 30 31 32 33 34 35 36 1 37 38 39 40 ' 41 42 i 44 TOTAL GALLONS 30, -00 1110-NOMIC INj- LAND APPLICATION .w. rRK •Ir"RI :a"•s •• DATE START: —FINISH:— MON - TUES WED THURS FRI SAT WORK FOR Uia4 a t ReitieIOcK JOB NO. ADDRESS--�r_ PHONE REPORT TO l t G U'1 CONTACT AT EQUIR & WORK TO BE DONE ❑R.T.J ❑O.O.T 11P C WP- TP D OTHER HOURS WORKED TRAVEL TOTAL SHOP JOB „ �intenance�he lis Nan -Powered E ui mgyii Powered Equipment QH Water Hyq. 8att. lire Unit Unit ❑ ❑ p ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ Unit Unit ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ P ❑ ❑ ❑ ❑ ❑ FOREMAN'S REPORT: Tomp 11rht i comfolo r, O'o(, Farme, Na,"" NaG.tlom ..._—...__ _ 4.� ❑ ❑ _ i .�._......_..._-- _ i ....... L C I1 No ......_......_.. TOO _..t..... ....._ Tarr No. .-����������jjjjjjjjj777777777 j.-.._...... Gallons 5 ........... ... ............._....__.._ __. _......... 7 .. .................__—. - --- 8 —_............... 9 --..... ....... _..-- 10 __................ it _._...-._.....__....... ....... — 12 13 14 15 ..._._.------ __ 16 _........... -- ..._..... __- ...... 17 ............. _ 18 19 20 21 — -----....._.._... 22 _-- -------- L C R No. , - Fipld i 1'a :cr r ho Gau a: Thn 231 i 24 25 26 i 271 I 28 29 301 31 I i ; -- I 32� 331 •--------i 341 351 361 I 37 j E `•, ----••I! 381 39 40 41 421 431 1 i 441 i I Job Foreman: TOTAL GALLONS Customer Signature j" -- — Was cuslomor pleased - rformed SOIL ANALYSIS REPORTS Lime applications were performed by Spencer Farms during the 2015 calendar year to all fields with a pH below 6.0. however the 2015 soil sampling results do not reflect the lime amendments. Additional sampling will be performed during the 2016 calendar year. Any liming adjustments resulting from this subsequent sampling event will be made during 2016 if required. Page 1 of 6 Report Number: 15-273-0501 Account Number: 45671 Send To: BIO-NOMIC SERVICES INC Joel Coert 516 ROUNDTREE RD CHARLOTTE NC 28217 Waypoint. ANALYTICAL Every acre... Every year.". SOIL ANALYSIS REPORT Date Received: 09/30/2015 Date Of Analysis: 10/01/2015 Date Of Report: 10/01/2015 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 o Fax 804-271-6446 www.waypointanalytical.com Grower: SPENCER FARMS Analytical Method(s): Mehlich 3 OM WN ENR Phosphorus Potassium Magnesium Calcium Sodium pH Acidity C.E.0 Sample ID Lab % Soil Ibs/A. Mehlich 3 Reserve K Mg Ca Na Soil Buffer H Field ID Number Rate Class ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate pH Index meq/700g meq/100g 2A 16631 8.8 150 81 H 149 H 126 L 1899 M 5.7 6.64 2.9 13.8 M-0 VH NC = 67 NC = 76 2B 16632 8.7 150 86 H 130 M 105 L 1619 M 5.7 6.68 2.5 11.8 MIN VH NC = 72 NC = 66 2C 16633 9.2 150 84 H 173 H 120 L 1867 M 5.6 6.60 3.3 14.1 H VH NC = 70 NC = 88 2D 16634 8'8150 H 108 VH 199 VH 114 L 1747 M 5.7 6.66 2.7 12.9 VH NC = 90 NC = 102 2E 8'7H150 86 H 207 VH 116 L 1830 M 16635 5.8 6.68 2.5 13.1 VH NC = 72 NC = 106 Percent Base Saturation Nitrate Sulfur Zinc Manganese Iron Copper Boron soluble Salts Chloride Aluminum Samplef ID Field ID K Mg Ca Na H NO3N S Zn Mn Fe Cu B SS CI AI % % % % • % ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ms/cm Rate ppm Rate ppm 2A 2.8 7.6 68.8 21.1 26 2.8 7.4 68.6 21.1 2C 3.1 7.1 66.2 23.2 2D 4.0 7.4 67.7 21.1 2E 4.1 7.4 69.8 19.1 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), :(pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: Waypoint Analytical Virginia, Inc. by: POW. mF'07"' Pauric McGroary Page 2 of 6 Report Number: 15-273-0501 Account Number: 45671 Send To: BIO-NOMIC SERVICES ING Joel Coert 516 ROUNDTREE RD CHARLOTTE NC 28217 Waypoint.0 ANALYTICAL Every acre... Everyyear. "7m SOIL ANALYSIS REPORT Date Received: 09/30/2015 Date OfAnalvsis: 10/01/2015 Date Of Report: 10/01/2015 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 a Fax 804-271-6446 www.waypointanalytical.com Grower: SPENCER FARMS Analytical Method(s): Mehlich 3 OM W/V ENR Phosphorus Potassium Magnesium Calcium Sodium pH Acidity C.E.0 Sample ID Lab % Soil Ibs/A Mehlich 3 Reserve K Mg Ca Na Soil Buffer H Field ID , Number Rate Class- ppm Rate ppm Rate ppm Rate ppm Rate pp m Rate ppm Rate pH Index meq/100g meg1100g 3A 16636 8.6 150 87 H 137 M 115 L 1985 M 5.7 6.63 3.0 14.2 IN VH NC = 72 NC = 70 313 16637 8.7 150 83 H 153 H 124 L 2000 H 5.9 6.69 2.4 13.8 MIN VH NC = 69 NC = 78 3C 16638 8.7 150 103 VH 176 H 123 L 1859 H 5.9 6.71 2.2 13.0 MIN VH NC = 86 NC = 90 3D 16639 8.6 150 84 H 141 M 121 L 1933 H Fo 6.73 2.0 13.0 MIN VH NC = 70 NC = 72 3E 16640 7.4 150 87 H 144 M 1121 L 1885 M 5.7 6.64 2.9 13.7 VHH NC = 72 NC = 74 Percent Base Saturation Nitrate Sulfur Zinc Manganese Iron Copper Boron Soluble Salts Chloride Aluminum Sample ID Field ID K Mg Ca Na. H NO3N S Zn Mn Fe Cu B SS Cl Al % % % % % ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ms/cm Rate ppm Rate ppm 3A 2.5 6.7 69.9 21.1 36 2.8 7.5 72.5 17.1 3C 3.5 7.9 71.5 17.2 3D 2.8 7.8 74.3 15.4 3E 2.7 7.4 68.8 21.1 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. 0 H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 Ibs/A, Soluble by: PAYr« m G� Analysis prepared by: WaypointMalytical Virginia, Inc. C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Pauric McGroary Page 3 of 6 Report Number: 15-273-0501 Account Number:45671 Send To: BIO-NOMIC SERVICES INC Joel Coert 516 ROUNDTREE RD CHARLOTTE NC 28217 • Waypoint. ANALYTICAL Every acre ... Every year."m SOIL ANALYSIS- REPORT Date Received: 09/30/2015 Date Of Anaivsis: 10/01/2015 Date Of Report: 10/0112015 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.wayp of nta n a lyti ca l.co m Grower: SPENCER FARMS Analytical Method(s): Mehlich 3 OM WN ENR Phosphorus Potassium Magnesium Calcium .Sodium pH Acidity C.E.0 Sample ID Lab % Soil Ibs/A Mehlich 3 Reserve K M g Ca Na Soil Buffer H. Field ID � Number Rate Class ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate pH Index meq/100g meq/100g 3F 16642 8.8 150 86 H 160 H 129 L 1871 M 5.7 6.64 2.9 13.7 M-O VH NC = 72 NC = 82 3G 16643 8.9 150 H 189 189 H 138 L 2042 M 5.6 6.57 3.6 15.4 VH60� NC = 74 NC = 9.7 4A 16644 8'1 150 192 H 131 M 110 VL 2894 VH 6.6 1.0 16.7 MIN VH NC = 77 NC = 67 413 16645 8.2 150 87 H M ffNC 104 VL 3031 VH 6.9 0.2 16.6 MIN VH NC = 72 = 71 4C 16646 8.4 150 193 H 1 145 M 101 VL 3067 VH 6.6 1.0 17.6 MIN VH NC = 77 NC = 74 Percent Base Saturation Nitrate Sulfur. Zinc Manganese Iron Copper Boron soluble salts Chloride Aluminum Sample ID Field ID K Mg Ca Na H NO3N S Zn Mn Fe Cu B SS Cl AI % ova off, % ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ms/cm Rate ppm Rate ppm 3F 3.0 7.8 68.3 21.1 313 , 3.1 7.5 66.3 23.4 4A 2.0 5.5 86.6 T5.9 4B 2.1 5.2 91.3 1.4 4C 2.1 4.8 87.1 5.9 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: WaypointMalytical Virginia, Inc. by: Pew me 60 r Pauric McGroary Page 4 of 6 Report Number: 15-273-0501 Account Number:45671 Send To: BIO-NOMIC SERVICES INC Joel Coert 516 ROUNDTREE RD CHARLOTTE NC 28217 Waypoint.0 ANALYTICAL "Every acre ... Every year. ",m SOIL ANALYSIS REPORT Date Received: 09/30/2015 Date Of Analysis: 10/01/2015 Date Of Report: 10/01/2015 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanai-Ytical.com Grower: SPENCER FARMS Analytical Method(s): Mehlich 3 OM WN ENR Phosphorus Potassium Magnesium Calcium 'Sodium pH Acidity C.E.0 Sample ID Lab % Soil Ibs/A Mehlich 3 Reserve K Mg Ca Na Soil Buffer H Field ID Number Rate Class ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate pH Index meq/700g meq/100g 4D 16647 8.7 150 93 H 161 H 116 L 2056 H 6.1 6.74 1.9 13.5 I MIN VH NC = 77 NC = 82 4E 16648 8.6 150 1109 VH 251 VH 120 L 1651 H 6.0 6.75 1.8 11.7 MIN VH NC = 91 NC = 128 4F 16649 8.9 150 89 H 113 M 99 L 1537 H 5.8 6.72 2.1 10.9 M-O VH NC = 74 . ' NC = 58 4G 16650 8.0 150 95 H 119 M 108 L 1664 M 5.7 6.68 2.5 12.1 MIN VH NC = 79 NC = 61 15A 16651 8.2 150 H 180 144 M 118 L 1792 H 5.9 6.72 2.1T12.4 MIN VH NC = 67 NC = 74 Percent Base Saturation Nitrate Sulfur Zinc Manganese Iron Copper Boron Soluble Salts Chloride Aluminum Sample ID ' Field ID K Mg Ca Na. H NO3N S Zn Mn Fe Cu B SS Cl AI % % % % "�o ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ms/cm Rate ppm Rate ppm 4D 3.1 7.2 76.1 13.7 4E 5.5 8.5 70.6 15.4 4F 2.7 7.6 70.5 19.0 4G 2.5 7.4 68.8 21.0 5A 3.0 7.9 72.3 17.2 Values on,this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble C.E.C. - Cation Exchange Capacity. Salts nis/cm x 640 = ppm. Analysis prepared by: waypointMalytical Virginia, Inc. by. ?&d. m° 10700' Pauric McGroary i Page 5 of 6 Report Number: 15-273-0501 Account Number: 45671 Send To: BIO-NOMIC SERVICES INC Joel Coert 516 ROUNDTREE RD CHARLOTTE NC 28217 Waypoint.0 ANALYTICAL "Every acre... Every year. "Tu SOIL ANALYSIS REPORT Date Received: 09/30/2015 Date Of Analysis: 16/01/2015 Date Of Report: 10/01/2015 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Grower: SPENCER FARMS Analytical Method(s): Mehlich 3 Sample ID Field ID Lab . Number OM WN ENR Phosphorus Potassium Magnesium Calcium Sodium pH Acidity C.E.0 % Rate Soil Class Ibs/A Mehllch 3 ppm Rate Reserve ppm Rate K ppm Rate Mg ppm Rate Ca ppm Rate Na ppm Rate Soil pH Buffer Index H meq/100g meq/100g 513 16653 8.8 150 88 H 152 H 147 L 2101 M 5.8 6.65 2.8 15.0 M-O VH NC = 73 NC = 78 5C 16654 8.9 150 102 VH 137 M 1119 L 1781 H 5.8 6.69 2.4 12.7 M-O VH NC = 85 NC = 70 5D 16655 8.8 150 102 VH 124 M 113 L 1743 H 5.9 6.72 2.1 12.0 I VHL_� NC = 85 NC = 63 5E 16656 8.9 150 92 H 130 M 102 L 1639 M 5.5 6.60 3.3 12.6 M-O VH NC = 77 NC = 66 5F 16657 8.8 150 97 H 108 M 199 L 1515 H 5.8 6.73 2.0 10.7 M-O VH NC = 81 NC = 55 Percent Base Saturation Nitrate Sulfur Zinc Manganese Iron Copper Boron Soluble Salts Chloride Aluminum Sample Field ID ID K % Mg % Ca % Na' % H % NO3N ppm Rate S ppm Rate Zn ppm Rate ppm Mn Rate Fe ppm Rate Cu ppm Rate B ppm Rate SS ms/cm Rate Cl ppm Rate AI ppm 5B 2.6 8.2 70.0 19.0 5C 2.8 7.8 70.1 19.0 5D 2.6 7.8 72.6 17.2 5E 2.6 6.7 65.0 25.8 5F - 2.6 7.7 70.8 19.1 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. by. �" is G� H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble Analysis prepared by: Waypoint Analytical Virginia, Inc. C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Paudc McGroary I f Page 6 of 6 Report Number: 15-273-0501 Account Number: 45671 Send To: BIO-NOMIC SERVICES INC Joel Coert 516 ROUNDTREE RD CHARLOTTE NC 28217 WaypANALYTICAL Every acre... Every year. SOIL ANALYSIS REPORT Date Received: 09/30/2015 Date Of Analysis: 10/01/2015 Date Of Report: 10/01/2015 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Grower: SPENCER FARMS Analytical Method(s): Mehlich 3 OM W/V ENR Phosphorus Potassium Magnesium Calcium Sodium pH Acidity C.E.0 Sample ID Lab % Soli Ibs/A Mehlich 3 Reserve K Mg Ca Na Soil Buffer H Field ID Number Rate Class ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate ppm Rate pH Index meq/100g meq/100g 6A 16658 8.7 150 84 H 305 VH 127 L 1832 M 5.9 6.70 2.3 13.3 I MIN VH NC = 70 NC = 156 6B 16659 8.1 150 99 H 122 M 100 VL 2583 VH 6.8 0.4 14.5 MIN VH NC = 82 NC = 62 Percent Base Saturation Nitrate Sulfur Zinc Manganese Iron Copper Boron Soluble salts Chloride Aluminum Sample ID Field ID K Mg Ca Na -H NO3N S Zn Mn Fe Cu B SS Cl AI % % % % % ppm Rate ppm Rate ppm Rate ppm Rate. ppm Rate ppm Rate pp m Rate ms/cm Rate ppm Rate ppm 6A 5.9 8.0 68.9 17.1 613 2.2 5.7 89.1 2.9 Values on this report represent the plant available nutrients in the Explanation of symbols: % (percent), ppm (parts per million), Ibs/A This report applies to sample(s) tested. Samples are retained a soil. Rating after each value: VL (Very Low), L (Low), M (Medium), (pounds per acre), ms/cm (milli -mhos per centimeter), meq/100g maximum of thirty days after testing. ,yl' u� H (High), VH (Very High). ENR - Estimated Nitrogen Release. (milli -equivalent per 100 grams). Conversions: ppm x 2 = Ibs/A, Soluble by: Pod. C.E.C. - Cation Exchange Capacity. Salts ms/cm x 640 = ppm. Analysis prepared by: WaypointAnalytical Virginia, Inc. Pauric McGroary