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HomeMy WebLinkAboutWQ0001048_Residual Annual Report 2015_20160224ANNUAL LAND APPLICATION CER T N IICATIRON FO r IPermit#: logacoIGcv County: ?i+f- Year: LUI Facility Name. (as shown on permit): C06j er 4n)�z rf),b7 Laud Application Operator: 2jenf-26miq-n Phone. Z6Z15z14-55Qq -- 'Land application of residual solids as, allowed by the permit occurred during the past calendar year? Yes ® No If No, ship Part A, and Dart B and proceed to the certification. Also, if residuals were generated but not land applied, please attach an explanation on how the residuals were handfed. Part A: Total number of acres land application occurred during the year: I y-').ZZ Part B: Permitting Unit Facility was compliant during calendar year s 5 with all conditions of the land application permit (including but not limited to items 1-12 below) issued by the Division of Water Quality.Yes ® No if no please, provide a written description why the facility was not complia CRAF � xplaiu corrective action taken. FEB 2 4' 2016 1. Only residuals approved for this permit were applied to the permitted sites. ( M SECTION 2. Soil pH was adjusted as specified in the permit and lime was applied (if ne��I �Mg8N6bVW 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 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 Table 1 of 40 CFR Part 503.13 or the Pollutant Loading Rates in Table 2 of 40 CFR part 503.13 (applicable to 40 CFR Part 503 regulated facilities). 7. All general requirements in 40 CFR Part 503.12 and management practices in 40 CFR Part 503.14 were complied with (applicable to 40 CFR Part 503lregulated facilities). .f 8. All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the4Division of Water Quality. 9. No contravention of Ground Water Qualrty'Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 10. Vegetative cover as specified in the pepnit was maintained on this site and the crops grown were removed in accordance with.the crop management plan. 11. No runoff of residuals from the application sites onto adjacent property or nearby surface -waters has occurred. 12. All buffer requirements as specified on'the permit were maintained during each application of residuals. "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 significaut penalties for submitting false information, including the possibility of fines and imprisonment for knowin/g'violations." lr{l.6 s i ,fir. nctc�� m a �c�m � c Permittee Name and Title (type or print) Signature of Permittee Date Ay/Q �- Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503.9 (r) DENR FORM ACF (5/2003) EXPLANATIONS FOR DEVIATIONS FOR THE 2015 ANNUAL SLUDGE LAND APPLICATION REPORT 2-25-15 Monitoring Well #9 Total Organic Carbon Monitoring Well #10 Chromium Monitoring Well #15 Total Organic Carbon 6-23-15 Monitoring Well #9 Total Organic Carbon Monitoring Well #10 Chromium 10-28-15 Monitoring Well #10 Chromium 10.24 mg/L 0.010 mg/L 10.44 mg/L 10.08 mg/L 0.014 mg/L 0.012 mg/L All of the above violations were reported to NC Department of Environment and Natural Resources -Washington Regional Office. The TOC is typically higher in this area. The VOC analysis on 10-28-15 revealed no compounds over the detection limit: We are working with a representative from NCDENR-WRO in an effort to address the Chromium issues. l _f ANNUAL DISTRIBUTION AND MARKETE14 G/ SURFACE DISPOSAL CERTIFICATION AND SUNIMARY FORM PERMIT #: iA )a CG©I C)q q FACILITY NAME: C. C'l+er- `into- f l)b-D PHONE: ZdZ-52y-555?4 COUNTY: OPERATOR: FACILITY TYPE (please check one): ® Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C) ® Distribution and Marketing (complete Parts A, B, and C) Was the facility in operation during the past calendar year? 0 Yes ONo - No If No skip parts A, B, C and certify form below Part A*: Part B*: Month Sources(s) s) (include NPDES # if applicable) Volume (dry tons) Recipient Information Amendment/ Bullcing Agent ent Residual In Product Out Names) Volume (dry tons) Intended use(s) January February March April May Cm6:7 p t4cccawff) Zt-I June Gm6i U-)LUP N Co, 3Z&-))-) Z i -1 Olo July Grn&D tjLk)rP t4=370-) August September October November December 'Totals: Annual d tons): .BOG - . Amendments used: Bulkin A ent s used: * If more space than given is required, please attach additional information sheet(s). Check box if additional sheet(s) are attached Part C: Facility was compliant during calendar year i 5 with all cohditions of the permit (including but not limited to items 1-3 below) issued by the Division of Water Quality. ® Yes No If No, please provide a written description why the facility was not compliante 1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached. 2. All operation and maintenance requirements were compiled with or, in the case of a deviation, ,prior authorization was received from the Division of Water Quality. 3. No contravention of Ground Water Quality Standards occurred at a monitoring well. "I certify, under penalty of law, that the'above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that are significant penalties. for submitting false information, incl ding the possibility of fines and imprisonment for knowing violations." Signature of Permittee Date Signature of Preparer** Date (if different from Permittee) **Preparer is defined in 40 CFR Part 503.9(r) nFtvR FORnn nnn.qnF r1,1/9nn.si RESIDUAL SAMPLING SUMMARY LAB REPORTS ANNUAL RESIDUAL SAMPLING SUMMARY Y FORM Attach this form to the corresponding Annual Report Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: 00occ) I OLA9 (Laboratory: ]Facility Dame: COMA-4 ntQ- (116--'D N` PD ES # or WQ#: 1`1 CCG3Z6�� WWTP lame: C- c)n+ -4nea- r-f ) Q 1) A 4 L C-Q65n WbcrQ1Cx1 e5� lnC' 2) 3) 4) 5) Sample or Composite Date -- Percent Solids Nickel Selenium "I[ certify, under penalty of Yaw, 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/W &Y-4ij"- Signature of Preparer `k%V Date DENR FORM RSSF (5/2003) Page: 1 of 2 Report Number: 15-111-0210 Account Number: 07775 Submitted By: RENEE SMITH Send To: CONTENTNEA MSD RENEE SMITH 900 WILEY GASKINS RD P O BOX 477 GRIFTON , NC 28530 Lab Number: 61498 Sample Id : SLUDGE TO DISPOSAL A&L Eastern Laboratories, Inc. AIL 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (804) 2714"S wwwjleastern.com Project: CMSD SLUDGE TO DISPOSAL/NC CERT#257 REPORT OF ANALYSIS Date Sampled: 4/20/2015 13:15:00 Date Received: 04/21/2015 00:00 Date Reported: 04/24/2015 * 1.53 15300 100.0 JM 04/21/201514:50 Total Solids 100.0 JM 04/21/2015 14:50 Moisture * 98.47 58800 10.0 JM 04/22/2015 09:24 Total Kjeldahl Nitrogen 5.88 3.16 31600 100 KM 04/22/2015 13:07 Total Phosphorus 4680 100 KM 04/22/2015 13:07 Total Potassium 0.47 100 KM 04/22/2015 13:07 Total Sulfur 0.89 8860 1.51 15100 100 KM 04/22/2015 13:07 Total Calcium 3410 100 KM 04/22/2015 13:07 Total Magnesium 0.34 100 KM 04/22/2015 13:07 Total Sodium 0.25 2520 25300 100 KM 04/22/2015 13:07 Total Iron 28900 100 KM 04/22/2015 13:07 Total Aluminum 5 KM 04/22/2015 13:07 Total Manganese 330 5 KM 04/22/2015 13:07 Total Copper 273 5 KM 04/22/2015 13:07 Total Zinc 696 3270 10.0 JM 04/22/2015 09:24 Ammonia Nitrogen 0.33 04/22/2015 09:24 Organic N 5.55 55530 10.0 3100 2.00 JM 04/22/2015 09:35 Nitrate+Nitrite-N 2.0 KM 04/22/2015 13:07 Total Cadmium 2.0 All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt SM-2540G SM-2540G SM-4500-NH3C-TKN SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SW 6010C SM-4500-NH3C CALCULATION SM-450ONO3F SW 6010C Page: 2 of 2 Report Number: 15-111-0210 Account Number: 07775 Submitted By: RENEE SMITH Send To: CONTENTNEA MSD RENEE SMITH 900 WILEY GASKINS RD P O BOX 477 GRIFTON , NC 28530 Lab Number: 61498 Sample Id: SLUDGE TO DISPOSAL �L A&L Eastern Laboratories, Inc. 7621 Whitepine Road Richmond, Virginia 23237 (804) 743-9401 Fax (804) 271-6446 www.aleastern.com Project: CMSD SLUDGE TO DISPOSAUNC CERT#257 REPORT OF ANALYSIS Date Sampled: 4/20/2015 13:15:00 Date Received: 04/21 /2015 00:00 Date Reported: 04/24/2015 Total Chromium 40 5 KM 04/22/2015 13:07 SW 6010C Total Nickel 18 5 KM 04/22/2015 13:07 SW 6010C Total Lead 26 5 KM 04/22/2015 13:07 SW 6010C Total Arsenic 7.0 3.0 KM 04/22/2015 13:07 SW 6010C Total Mercury 0.5 0.4 KM 04/22/2015 09:00 SW-7471 B Total Selenium <5.0 5.0 KM 04/22/2015 13:07 SW 6010C pH (Standard Units) " 4.09 2.00 JM 04/22/2015 10:09 SW-9045D Total Molybdenum 6 5 KM 04/22/2015 13:07 SW 6010C Comments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Al, "Fe", "P", AND "S". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt TCLP LAB REPORTS I F,'ZW .C,hIblFhlTbI- "9'Fe:NNOLC1MFSt 1 ., August 10, 2015 Deedee Woolard Environment 1, Inc. 114 Oakmont Dr P.O. Box 7085 Greenville, NC 27858 TEL: (252) 756-6208 FAX: (252) 756-0633 RE: Sludge Sample Dear Deedee Woolard: . Summit Environmental Technologies, Inc. 3310 Win St. Cuyahoga Falls, Ohio 44223 TEL: (330) 253-8211 FAX. (330) 253-4489 Wehsite: htto:/hvivw.settek.com Order No.: 15073160 Summit Environmental Technologies, Inc. received 1 sample(s) on 7/30/2015 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 LAI2004, 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 9940, Oregon OH200001, Rhode Island LA000317, South Carolina 92016001, Tennessee TN04018, Texas T104704466-11-5, Region 8 8TMS-L, USDA/APH1S 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 8 Su»nnit Environmental Technologies, Inc. 3310 Win St. Narrative Case�+VT�r)i��14E�1� CtahogaFalls, Ohio44223ZgN6L0 .-_=, AC w0#: 15073160 Laibar:a: TEL: (330) 253-8211 FAX (330) 253-4989 Website: h�://rviviv.settek.com Date: 8/10/2015 CLIENT: Environment 1, Inc. Project: Sludge Sample 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. Analysis performed by DBM, VRM, or SFG were performed at Summit Labs 2704 Eatonton Highway Haddock, GA 31033 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. The information contained in this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the customer. It cannot be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the customer for which this report was issued. The results contained in this report are only representative of the samples received. Conditions can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not responsible for use or interpretation of the data included herein. This report is believed to meet all of the requirements of NELAC or the accrediting / certifying agency. Any comments or problems with the analytical events associated with this report are noted below. Original Page 2 of 8 Summit Environmental Technologies, In, .� ..� Q�aa�Ile>rs and Aclrony>t>s rJ�; j s 3 f al�1r� A ,pk 3310 Win 5 k 1t I rtIVRONMErl'(`AL itt Mr)LGn1K iN-7 Cuyahoga Falls, Ohio4422 WO#: 15073160 ¢ 1�a`: "5,. ; L::i; 7r.3=n;fes TEL: 330 253-8211 FAX. 330 253-445 Date S/10/2015 Website: h�://iviviv.senek.co, These commonly used Qualifiers and Acronyms may or may not be present in this report. Qualifiers U The compound was analyzed for but was not detected. J The reported value is greater than the Method Detection Limit but less than the Reporting Limit. H The hold time for sample preparation and/or analysis was exceeded. D The result is reported from a dilution. E The result exceeded the linear range of the calibration or is estimated due to interference. MC The result is below the Minimum Compound Limit. * The result exceeds the Regulatory Limit or Maximum Contamination Limit. In Manual integration was used to determine the area response. N The result is presumptive based on a Mass Spectral library search assuming a 1:1 response. P The second column confirmation exceeded 25% difference. C The result has been confirmed by GC/MS. X The result was not confirmed when GUMS Analysis was performed. B/M[B+ The analyte was detected in the associated blank. G The ICB or CCB contained reportable amounts of analyte. QC-/+ The CCV recovery failed low (-) or high (+). R/QDR The RPD was outside of accepted recovery limits. QL-/+ The LCS or LCSD recovery failed low (-) or high (+). QLR The LCS/LCSD RPD was outside of accepted recovery limits. QM-/+ The MS or MSD recovery failed low (-) or high (+). QMR The MS/MSD RPD was outside of accepted recovery limits. QV-/+ The ICV recovery failed low (-) or high (+). S The spike result was outside of accepted recovery limits. Acronyms ND Not Detected RL Reporting Limit QC Quality Control MDL Method Detection Limit MB Method Blank LOD Level of Detection LCS Laboratory Control Sample LOQ Level of Quantitation LCSD Laboratory Control Sample Duplicate PQL Practical Quantitation Limit QCS Quality Control Sample CRQL Contract Required Quantitation Limit DUP Duplicate PL Permit Limit MS Matrix Spike RegLvl Regulatory Limit MSD Matrix Spike Duplicate MCL Maximum Contamination Limit RPD Relative Percent Different MinCL Minimum Compound Limit ICV Initial Calibration Verification RA Reanalysis ICB Initial Calibration Blank RE Reextraction CCV Continuing Calibration Verification TIC Tentatively Identified Compound CCB Continuing Calibration Blank RT Retention Time RLC Reporting Limit Check CF Calibration Factor DF Dilution Factor RF Response Factor This list of Qualifiers and Acronyms reflects the most commonly utilized Qualifiers and Acronyms for reporting. Please refer to the Analytical Notes in the Case Narrative for any Qualifiers or Acronyms that do not appear in this list or for additional information regarding the use of these Qualifiers on reported data. Original Page 3 of 8 Summit Environmental Technologies, Inc. WOO korder 3310 Win St. er, it F,�'VRO N Pal E NVU(L I EC?�M') S: Mr —Mr —Cuyahoga Falls, Ohio 44223 Sample Summary V-V TEL: (330) 253-8211 FAX.- (330) 2.53-4489 WO#: 15073160 Websile: htW.-Ilivivw.settelc.com 10-Aug45 CLIENT: Environment 1, Inc. Project: Sludge Sample Lab SampleID Client Sample ID Tag No 15073160-001 Sludge Sample Date Collected Date Received Matrix 7/29/2015 9:25:00 AM 7/30/2015 10: 10:00 AM Sludge Page 4 of 8 Summit Environmental Technologies, Inc. . 3310WinSt. Analytical Report %a ik t.._1 € NVIRDNPAE�Wri:L 1PCr N0L0C,:-E -, INC. Cuyahoga Falls, Ohio 44223 (base report) r-x —Ji ;lrair<<;cst (_3i c?1:3tiJ!'r:,; TEL: (330) 253-8211 FAX.- (330) 253-4489 WO#: 15073160 Website: &W.//wwiv.settek.com Date Reported: 8/10/2015 CLIENT: Environment 1, Inc. Tag Number: Matrix: SLUDGE Collection Date: 7/29/2015 9:25:00 AM Lab ID: 15073160-OOIA Project: Sludge Sample Client Sample ID Sludge Sample Analyses Result RL Qual Units DF Date Analyzed RCI SW9045D Analyst: DHC PH (SW9045D) pH 5.21 s.u.@25.8C 1 8/5/2015 1:15:00 PM Qualifiers: " Value exceeds Maximum Contaminant Level. E Value above quantitation range H Holding times for preparation or analysis exceeded M Manual Integration used to determine area response ' MC Value is below Minimum Compound Limit. N Tentatively identified compounds ND Not Detected at the Reporting Limit 0 RSD is greater than RSDlimit P Second column confirmation exceeds PL Permit Limit Original R RPD outside accepted recovery limits RL Reporting Detection Limit U Samples with CaICVal <MDL J Malyte detected below quantitation limits Page 5 of 8 I Szi n nit Environmental Technologies, Inc. 3310 Win St. WO#: 15073160 r Date Reported: 8/10/2015 i } j g-NVIR0NIlENIT.ALIFC11,N0L0Gt_L:,lh;i, Cuyahoga Falls, Ohio44223 3:n.y ; i:rat i_:= z alai , i :,. TEL: (330) 253-8211 FAX (330) 253-4489 Company: Environment 1, Inc. Website: huy://wivw.seltek.corn Address: 114 Oakmont Dr Greenville NC 27858 Received: 7/30/2015 Project#: Sludge Sample TCLP Metals Analysis (6010) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 7/29/2015 TCLP Arsenic(As) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/3/2015 WK Sludge Sample 001 7/29/2015 TCLP Barium(Ba) 5.00 ND mg/L Sludge EPA 6010 C 1 100 8/3/2015 WK Sludge Sample 001 7/29/2015 TCLP Cadmium(Cd) 0.100 ND mg/L Sludge EPA 6010 C 1 1.00 8/3/2015 WK Sludge Sample 001 7/29/2015 TCLP Chromium(Cr) 0.200 ND mg/L Sludge EPA 6010 C 1 5.00 8/3/2015 WK Sludge Sample 001 7/29/2015 TCLP Lead(Pb) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/3/2015 WK Sludge Sample 001 7/29/2015 TCLP Selenium(Se) - 0.500 ND mg/L Sludge EPA 6010 C 1 1.00 8/3/2015 WK Sludge Sample 001 7/29/2015 TCLP Silver(Ag) 0.500 ND mg/L Sludge EPA 6010 C 1 5.00 8/3/2015 WK TCLP Mercury Analysis (1311/7470) Client ID# Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst -fudge Sample 001 7/29/2015 TCLP Mercury 0.00200 ND mg/L Sludge EPA 7470 A 1 0.200 8/3/2015 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 7/29/2015 Chlordane, total 0.0250 ND mg/L Sludge EPA 8081 B 1 0.0300 8/5/2015 JBN Sludge Sample 001 7/29/2015 Toxaphene 0.0500 ND mg/L Sludge EPA 8081 B 1 0.500 8/5/2015 JBN Sludge Sample 001 7/29/2015 Endrin 0.00250 ND mg/L Sludge EPA 8081 B 1 0.0200 8/5/2015 JBN' Sludge Sample 001 7/29/2015 gamma-BHC 0.00250 ND mg/L Sludge EPA 8081 B 1 0.400 8/5/2015 JBN Sludge Sample 001 7/29/2015 Heptachlor 0.00250 ND mg/L Sludge EPA 8081 B 1 0.00800 8/5/2015 JBN Sludge Sample 001 7/29/2015 Heptachlor epoxide 0.00250 ND mg/L Sludge EPA 8081 B 1 0.00800 8/5/2015 JBN Sludge Sample 001 7/29/2015 Methoxychlor 0.00250 ND mg/L Sludge EPA 8081 B 1 10.0 8/5/2015 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 7/29/2015 1,1-Dichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/4/2015 JCR Sludge Sample 001 7/29/2015 1,2-Dichloroethane 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/4/2015 JCR Sludge Sample 001 7/29/2015 MEK 2.00 ND mg/L Sludge EPA 8260 B 1 200 8/4/2015 JCR Sludge Sample 001 7/29/2015 Benzene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/4/2015 JCR Sludge Sample 001 7/29/2015 Carbon tetrachloride 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/4/2015 JCR Sludge Sample 001 7/29/2015 Chlorobenzene 0.100 ND mg/L Sludge EPA 8260 B 1 100, 8/4/2015 JCR Sludge Sample 001 7/29/2015 Chloroform 0.100 ND mg/L Sludge EPA 8260 B 1 6.00 8/4/2015 JCR Sludge Sample 001 7/29/2015 Tetrachloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.700 8/4/2015 JCR Sludge Sample 001 7/29/2015 Trichloroethene 0.100 ND mg/L Sludge EPA 8260 B 1 0.500 8/4/2015 JCR Mudge Sample 001 7/29/2015 Vinyl chloride 0.200 ND mg/L Sludge EPA 8260 B 1 0.200 8/4/2015 JCR Page 6 of 8 Swmnit Environmental Technologies, Inc. 33/0 Win St. WO#: 15073160 �w Date Reported: 8/10/2015 CNIVIROHMENTAL 1 4 i PitlLcsGlcS, sNC• Cuyahoga Falls, Ohio 44223 " TEL: (330) 253-8211 FAX. (330) 253-4489 Company: Environment 1, Inc. Website: htto:/hv,v,v.sette%com Address: 114 Oakmont Dr Greenville NC 27858 Received: 7/30/2015 Project#: Sludge Sample SVOC 8270 TCLP BNA List Client EN Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 7/29/2015 1,4-Dichlorobenzene 0.200 ND mg/L Sludge EPA 8270 C 2 7.50 8/8/2015 RLF Sludge Sample 001 7/29/2015 2,4,5-Trichlorophenol 0.500 ND mg/L Sludge EPA 8270 C 2 400 8/8/2015 RLF Sludge Sample 001 7/29/2015 2,4,6-Trichlorophenol 0.500 ND mg/L Sludge EPA 8270 C 2 2.00 8/8/2015 RLF Sludge Sample 001 7/29/2015 2,4-Dinitrotoluene 0.200 ND mg/L Sludge EPA 8270 C 2 0.130 8/8/2015 RLF Sludge Sample 001 7/29/2015 Cresols, Total 10.0 ND mg/L Sludge EPA 8270 C 2 200 8/8/2015 RLF Sludge Sample 001 7/29/2015 Hexachloro-1,3- 0.200 ND mg/L Sludge EPA 8270 C 2 0.500 8/8/2015 RLF butadiene Sludge Sample 001 7/29/2015 Hexachlorobenzene 0.200 ND mg/L Sludge EPA 8270 C 2 0.130 8/8/2015 RLF Sludge Sample 001 7/29/2015 Hexachloroethane 0.200 ND mg/L Sludge EPA 8270 C 2 3.00 8/8/2015 RLF Sludge Sample 001 7/29/2015 Nitrobenzene 0.200 ND mg/L Sludge EPA 8270 C 2 2.00 8/8/2015 RLF Sludge Sample 001 7/29/2015 Pentachlorophenol 0.500 ND mg/L Sludge EPA 8270 C 2 100 8/8/2015 RLF Sludge Sample 001 7/29/2015 Pyridine 0.500 ND mg/L Sludge EPA 8270 C 2 5.00 8/8/2015 RLF SVOC SW-846: 8321 Herbicides-TCLP Client EN Lab ID# Collected Analyte Rep Lmt Result Units Matrix Method DF RegLvl Run Analyst Sludge Sample 001 7/29/2015 2,4-D 5.00 ND mg/L Sludge EPA 8321 A 1 10.0 8/4/2015 BJH Sludge Sample 001 7/29/2015 2,4,5-TP 0.500 ND mg/L Sludge EPA 8321 A 1 1.00 8/4/2015 BJH Page 7 of 8 fm }�" R kr Summit Environmental Technologies, Inc. 3310 Win St. WO#: 15073160 Date Reported: 8/10/2015 I '1 MVIRONttFNT:it_ Gems'NOLGOac , a.r Cuyahoga Falls, Ohio44223 -- "�,_ :: ;+.rsif:r;cstLsi�•; :_; ,a:rs TEL: (330) 253-8211 FAX.- (330) 253-4489 Company: Environment 1, Inc. Website: httn://ivww.settek.com Address: 114 Oakmont Dr Greenville NC 27858 Received: 7/30/2015 Project#: Sludge Sample Client ID# Lab ID# Collected Analyte Result Units Matrix Method DF RL Run Analyst Sludge Sample 001 7/29/2015 Flashpoint (140°F) >140 °F Sludge EPA 1010 1 8/3/2015 TAH Sludge Sample 001 7/29/2015 Cyanide, Reactive Sludge Sample 001 7/29/2015 Sulfide, Reactive ND mg/Kg Sludge EPA 9014 1 0.500 7/31/2015 MS ND mg/Kg Sludge EPA 9034 1 25.0 7/31/2015 , MS Page 8 of 8 1"'llvirolkilivn4 1, Inc- CTIAIN OCCUSTOD'V VEC("P'qZl llage V10; I -lox WIB5, I H OnkJ11oill Gmvuvillc. NC 27,WiN, -om ii-GRNI- NEUTHAUZED AT COLLECTION W"Z' -6208 Fax 2521 7jO-0633 Mimic ('15117.56 pH fC-HEC-,KILAE3O) CIA ENT'416 Uy CONTANM TYPE, n. (si'voc'R & 1ylu'l.8 Acco ) 1) 1) p G G G COMUNI'INLA Nis, lufNlu- PRIDGEN, A A A 1W. BON 477 (;RjArrON INIC 28530 '4 -1Wlll"r_- D-NA011 B - HNIO., E - HOL (2-52) 524-5-"4 G - NATHIOSULFATE COLLF 111E SAWLE LOCATION DAIr Qj- pliNn" IFO WATE FA OVATGW SOLID YVAS-1 E SECTICN CHAIN OF'CUSTogy MAINTAiNED DURING stir i.--N'lfDELiVERY ti SAMPLES CaLECrED 811�. p jam pmq i- i-tllmr- ;AL m ES RVATIO qE "I ""o E 1 S-A%IVILES RECEIVCD m LAB f'T I A VNIEMME REv7pjEf3Pyl,-;js rjqjtnui5I-Irb 13Y ;SIG.) f DATET. ME '7 Ab-- RECOW'D VAIMG) lis) i I 41, cm- pkife 15'(" for compoMesvilple ors "Tfof D t 8 'q I, r) DC.7 -E&Ms Rt-,. 14 �umrfdt Environmental Technologies, Inc. GoolOr Receipt Form Initials Of Person iftspccling cooier and samples.- S(, 1,A 33166 Client— ©`der Number, �b Date Received• Time Pecaivbd'. Dale cooler(s) opened and samples inspected-- 7 Wimber of Go6lersiBoxas:— WA Shipper:' F50 EX `lf) OHL Adrbome US Postal Ojall-in Pickup Oilier: Packaging: PiOrlmits SubbOW— . N10no Oilier. Tap6 un coofer/boX: WA Qjsiody Seats intact Y N ip C-O-C in plastic N Ice aluoca i absent f rnalled NVA. Sample Temperature R Gun #jkgaqM CF 1C Radio logical Testing, instrument seriaf#,1,5127 Y M WA (zea page .2 for scan result`) "Use I shout per sample for Radiological Testing. If sample is!40T, the Radiological Safety Officer must be notified immediately. C-0-C F,,Ilz-d out properly N N1 A Samples In separate bags, tlo N N[A Sample: containers intbat' N NfA V no, list broken sarnpfefs 1: trample label(s) mmple-e 00. dale, etz,) N Will agree Will C-0-C N h,IJA t. Correct containers used N INIA Sufficientsam0a received ld N/A Samples received ti- Aihin !iolding tinia Y N SubLies absent Ircm 40 n. NJ NlA Samples with butUias • 6fnm are AmWtzble VsIa--s client c:vqtacled at)out samples Y N 1,tWI client send mein samples Y N r'llefit contact,_ DatefTima: Longed in by; Comments: Page 1 of 2 Environment 1, 1 1 CHAIN Aff' C�1 1 OS' )'�j CORD P.O. Box 7085, 111 <mont Dr. YT g Page 1 of 1 Greenville; NC 27858 environment) mc.com DISINFECTION Phone (252) 756-6208 • Fax (252) 756-0633 CHLORINE NEUTRALIZED AT COLLECTION CHLORINE pH CHECK (LAB) CLIENT: 416 Week: 11 UV P P P G G G G CONTAINER TYPE, P/G '.M.S.D. (SLUDGE & WELLS ACCT) NONE !ONTENTNEA METRO. SEWAGE DIST. A A A A A A A CHEMICAL PRESERVATION IS. RENEE PRIDGEN .O. BOX 477 :RIFTON NC 28530 0 A -NONE D-NAOH 152) 524-5584 Ld JLj b.2 B- HNO3 E- HCLzw C Fr O v z ;, - �0 CHF ZINC LU ACETATE/NAOF COLLECTION c o o L J 0 ¢ 0 �" C4 0 � 0 U a E- , 4 E-4 a F a H 24 "' < G- NATHiOSULFATE a SAMPLE LOCATION DATE TIME Sludge Sample '�-2'j-)6 �: Z 4 (:`:.` `.:;: '' `' °<' ` `;""` CLASSIFICATION: WASTEWATER (NPDES) DRINKING WATER DWQ/GW SOLID WASTE SECTION CHAIN OF CUSTODY MAINTAINED DURING SH ENT/DELIVERY N SAMPLES COLLECTED BY: (Please Print) FFSAMPLES RECEIVED IN LAB AT 0- °C RELI!!!� I AMPLER) DATBTIME RECEIVED BY (S .) DATUFIME COMMENTS: � .33 RELINQUISHED BY (SIG.) DATE/TIME RECEIVE BY (SIG. DATE/TIME ELINQ SHED BY (SIG.) DATEfflME RECEIVED BY ( G.) DATE/TIME PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "G" for N ® 299160 CnoRn if, (;rah camnhz in tha hlnrkc ohnuo fnr oonh nor—M— rnn—o —4 >> I � .{ i� .b` ���i` r° it � t '� f � i ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS FLANK FORM TO ICE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: CoMeI^4necL nO6-D Permit #: jx) CMlC)Uq Owner: C©n-J N. )60_m6L-) Operator: '-P-),e_net6rn)Qq , Site #: lb Field #: i Acres Utilized: Z• q la Annual Dry Tons Applied: Cation Exchange Capacity (non 503): c_.I .oj Acres Permitted: to Specify Totals Per Acre 21172 % Solid s >0153 Dry Tons Per Acre .3 Residual Sources (Summarize) arnoio rP Site Cond. Dry' Wet, ' i3► Inches Preci p Past 24 Hrs. O Appli- cation Meth- od': S Vola- tili- zation Rate** O,5 Miner- ali- zation Rate p•30 TKN 58 O Ammo nia- Ni- trogen 3Z�o Ni- trite and Nitrite �100 PAN 1 c •5 . 8 PAN 2 Must Select Crop 1 or Crop 2 x 1 2 Q Gal. CuNd.D Report Report Totals in Gal. �O� Crop 1 tef Crop 2 5- -5 3 4 5 6 - 8 9 10: 11 12 TOTALS: 1 '� :::::::::::::::: Annual lbs/acre Current Cumulative lbs/ac Zn P PAN 1 PAN 2 As Cd Cr Cu Pb H Mo NPn.o 41_�l , GI Ci . ,C�G6 D• i (51 O 0: Lb I a•OI U�� 55CxJ , wS S13 L4 .0 V -6% 7 143 "" • � 3i 11 5 LW 9 � � �14 • (,lD ::::: O ci ZZ •G5G 00 U U 2.43Z:::.:::.:.:.:.:.:..:.:..:..:::.:::. < ...:. (0 3u Z )7 13-39 Z 7 I —' `D c1 Zit Lime A Date I G Z 15 lied lbs/ac lu a Prior Years Cumulative lbs/ac C. P. L. R.*''`* �errmitted 1 st/2n m it PA d CroN LimP "I certify, under penalty of law, that this document was prepared sander 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 Signature of Land Applier Date **Vnlatili7.atinn Rate- Surffare - Ql_5_ llniectinn)Tnenrnnrntinn - 1_0 �'u miantive Pallutnnt 1,nndinpr Rate The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIE LD LOADING SUMMARY FORM* Attach this forma to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility blame: CCnA6)44_ -e . K)D 'total Dry Tons Applied (Annual): z� rmit #: Cation Exchange Capacity (non 503 only): 4. 5 operator: J?i�nr?� I Owner: �Dn tenlnep_ rYl6' Acres Used: 7. � LI Acres Permitted: ��, 55 Site #: j j Field #: � Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 a Z(1 I 2 3 4 5 6 7 8 9 10 11 12 % Solids 3`�D Arsenic �, p Cadmium Chromium 40 Copper 13 Lead Z(p Mercury Q rj Molyb- denurn Nickel I Q Selenium G 6. p Zinc LCI Co Total "hos- orus 31 U-1) Annual Heavy Metal Field Loadings (Calculated in llbs/acre): ®i TotalPhos- :�phorus�EENEEEEEEEEN,l r. "I certify, under penalty of law, that this document was prepared under my direction or supervision in [)rdance with a system designed to assure that qualified personnel properly gathered and evaluated the r Ormation 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 r See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION (FIELD SUMMARY ]FORM PLEASE MADE A COPY OF THIS BLANK (FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLAND OR BOX WHEN NOT APPLICABLE. Facility Name: COn� �n >rCt�. (`(�;� 17 Permit #: U)gpW lOG � Annual Dry Tons Applied: W • l j Owner: bnig-)� nfcA- MQ Operator: i�)er)et6m q r.) Cation Exchange Capacity (non 503): Acres Utilized: Acres Permitted: 6 g . 55 Side #: �j Field #: �, Z.t�Z Totals per Acre 'ZZCp1 % Solid s .01,53 Dry Tons Per Acre 1.�I � o GCI Residual Sources (Summarize) `t217toorp CMS i Site Cond. Dry, Wet, &— Inches Preci p past 24 Hrs. C) Appli- cation Meth- �; od• �7 Vola- tili- zation Rate' .k CS.�j C�, 5 Miner- ali- zation Rate oo+�.(� :3 TKN `JS4S� 5� Ammo nia- Ni- trogen t�� 3Z�U Ni- trate and Nitrite 31 � 31Ca PAN 1 CtG L-613 �.55� PAN 2 Must Select Crop 1 or Crop 2 �; �; 1 2 3 ° ocu.Yd. Q l 6-)5 Gal. Report Totals in Gal. " Crop 1 Crop 2 63 :D< 4 5 6 g 9 10 11 12' TOTALS: �3 :::::::::::::::: Annual lbs/acre Current Cumulative lbs/ac As Cd Cr F�� H Mo Ni Se Zn P PAN 1 PAN 2 G , C5 ' 3 U • C © < . O. CO2D. D2G U .CZ4 Zt3 Z7r3 i0 • �,`L 1 D 3L4.13 6 � . zu, 7 ."l�° D . '� D i . 5 ; < ; (�� � ,��0 ZGZ. I (9t::::::::::::::::::::::::::::::::::::: o, 5 g �. 3�3,GG� �io.G�lo G,, (o G,3U AG o W 0, (� Z ZI :::::::::`:::;: `:::::::::;:;?;:;::::;:! �3u h 7 3� 2(�� I 4s U Z Lime ffp=lb Date r v Z i 5 lied 14i� Prior Years Cumulative lbs/ac Permitted C. P. L. R.* * * mit 1 s t/2nd Crop Permit PAN un Li "I certify, under penalty of lave, 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 l *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **vnlntili7.atinn Rate: gnriai`p. - 0_5_ 1niP..e.tinn1fne.nrnnratinn - I_1D 'ti'�`a`Q-'._l�_1(<_�__ �''�uunnu➢atie�e Pn➢➢u�tant �,na�lin� 13at� The RSSF Data and the Dry Tons Per acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1< DENR FORM FSF (5/2003) AN1° UAL MI ETALS FIELD LOATl 0TG SUMIViARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report _]Facility Name: Ccn��n 4i�a-r��� Total Dry Tons Applied (Annual): � • l�j rmit #: 1")000O l aU Cation Exchange Capacity (non 503 only): f -:55 operator: 1? (fnet 6rf), -h Owner: _ ronlen+nca_ M.6D Acres Used: Z- VL Acres Permitted: (o�,rj�j Site #: ]Field #: z Residual Analysis Data (Heavy Metals and 'Total Phosphorus use mg/kg, % Solids use Raw Percent #): MENOMONEE Total 1 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): million. Phos- jphorusmm,-E-EE-00000-000 "I certify, under penalty of law, that this document was prepared under my direction or supervision in irdance with a system designed to assure that qualified personnel properly gathered and evaluated the rmation 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 r See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: men b6a- rn6D( Permit #: J�a. DO(G104g Annual Dry Tones Applied: 5. 970 Owner: Cmien -n(D- fnQ Operator: Cation Exchange Capacity (non 503): U S Site #: •-j Field #: 2) Acres Utilized: Z.7 Z Acres Permitted: 6 Q. rj5 o Specify Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Drys Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- od Vola- tili- zation Rate* Miner- all- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 �- PAN 2 Must Select Crop 1 or Crop 2 :r a- Gal. CGal. Report Totals in Gal. Crop 1 Crop 2 5- -►5 yl 1.., 14 .�i O.G Z �7w� i&+ o _5 0,5 6,3o 588Co 3Z,)v (31 01.14"Z 1 �- - 5 ! CGY9 15c7 . di53 f G to C ">�D ti3tu7 ' cLi �5 G , . 0,30 3 03100 5 . 4 m 2 3 4 5 6 8 9 10 11 12 TOTALS: .:.>: >5« As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied ;.:. Annual lbs/acre o, D60 o,coD, o• 3 t, n q C), IIZ o obZ ,,, vDZZ 3,DD4 06, 6(Z.33h Date lbs/ac Current Cumulative lbs/ac 1.; D is•ZI `� C�-Z Gq ZcD 5q 3:.:::::::::::::::::::::::::::::::::::: : :::::::: : :: ::: ::::: : ::: : : :::::::Prior �.ZI�6q6 ,61, IG3 o; -)'Z i(5.Z Z G• 3) 30 3gl:::::: 3q Va-n 133q ;3-)4 Nctg .. �O Zip l40 70 Years Cumulative lbs/ac Permitted C. P. L. R.*** Pe nit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared wader 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 Signature of Land Applier Date **Vnlatili7.atinn Rate: Snrfaee - 61_5_ 1niectinn/Tna.nrnnrntinn - 1 _fl Dim nlative Pnl➢ntnnt T,nndina Rate The RSSF Data and the Dry- Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. le. FSF row # 1 to MFLSF column # I. DENR FORM FSF (5/2003) ANNUAL METALS FIELD ELD LOADING G SUMMM2\,RY FORM Attach this forms to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: ��(` ien� )ff( - M,0 Total Dry Tons Applied (Annual): 5 rmit #: LJG,()C,O I oL4q Cation Exchange Capacity (non 503 only): 0.6 operator: 6-nw Y) Owner: clonfeNmo_ft-D Acres Used: 7.77 Acres Permitted: 421,61S Site #: tom' Field #: Kusiuuai Analysis apata kaneavy 1vietais anu A uaai Phosphorus use MglKg, ro Sonas use Kaw rercent ff) Sample or Com- posite Date Ll I 4ZL-6 2 - -1'5 3 4 J 5 6j L7J8] Lgj 10 11 12 % Solids ! . 63`7 j, 634)o Arsenic `J . D /), L Cadmium Z.0 Z. p Chromium 140 1 40 Copper 3 Z73 Lead Uo V, Mercury (3.,5 0.5 Molyb- denlim Nickel Inv 1 Selenium t, Zinc (Q Total n"1os- )rus 31(LDO 3 i (oU0 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): y 1 2 3 4 5 6 7 8 9 10 11 12 d cu y Arsenic D .013 0, Dn O, p30 Cadmium p , GC U . , 5 0: CO-) Chromium 6 , 77 p , CQ (r, 0 ' 17 3 Copper ©, 625 0,653 w-)13 Lead 6D p, D(O-L o•i12 Mercury , CO 1 C> , M CQ^JZ Molyb- o,ojz o,0114 o.ozl: Nickel 0,D35 6:614 p Selenium p,©j0 D,GIZ o22 Zinc 1.33G1 Total Phos- horus (of).-?q "I certify, under penalty of law, that this document was prepared under my direction or supervision in rdance with a system designed to assure that qualified personnel properly gathered and evaluated the ,rniation submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations" bAg /Z- 4-/ C0 Signature of Land Applier Date r See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK ]FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "ICl/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Dame: COni�Q" m�� Permit #:pld4c� Annual Drytons Applied: g; 677G Owner: �_DnJ)4nf_0_ M6DI Operator: Renee ,4Xni�J n Cation Exchange Capacity (non 503): y. 5 Site #: B Field #: q Acres Utilized: Acres Permitted: 6q.65 • o r- o Q � ST)eciffv, Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Inches Precip. Past 24 FL.S. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 Ib5 PAN 2 Must Select Crop 1 or Crop 2 a: Gal. Cu.Yd. ::: Report Totals in Gal. Crop 1 Crop 2 -2 c� 0,145 Or O�TJ P m6k5,+ D 0,5 0,3D 5' 3-C)D 31CO /�4_6 JGncc-) 10c"JD ,DiS,:5 0. q65 ;-D JJ(Crp 0.5 0,30 5 100 3Z"70 3100 4011363 cx� 2 3 4 5 6 7 8 9 10 11 12 TOTALS: iJ47 :::::::::::::::: As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annual lbs/acre D =GZ�a ). CU-) 0, ►3 (< 0, 0,09 C . WZ 5. 62.0 p.O6 I 0. L 7 -Z.3tp(� I�.uU .2 7t-tD ..... Date lbs/ac Current Cumulative lbs/ac I� G�GG3 3U.2Z, .Ll. �> 5�i"I US n_3 Z 7u5 q. ? ::::::::::::::::::::::::::::::::::::::::::::::::::::::: 6s36 80.(90 � .4 .'6D� o = I I Z •�ZS (off D. 9� I Z la :::::::::::::::::::::::::::::::::::::: : 0 3q Z )7 13. Z� �I "D i Ucg :: 1 Prior Years Cumulative lbs/ac Permitted C. P. L. R.*** op e nit PAN Lim 1 P i7 it st/2nd CrP "I certify, under penalty of lave, 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 L *Application Method: S - Surface, IN -]Injection, INC - Incorporation Signature of Land Applier Date **VVnlatilizntinn Rnte_ Snrfnce - 0_5_ Yniee"tion/Ynenrnnrntina➢ - 1.0 cPilmi➢intive Polintnnt LnAdinu'Rate The RSSF Data and the )(Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # I. DENR FORM FSF (512003) ANNUAL METALS liIE1LD ILOADDTG SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Cwief}--ne_4-- (f)&P Total Dry Tons Applied (Annual): 5, 6-7G �rmit #: IA;(\y( of Oug Cation ]Exchange Capacity (non 503 only): Q. 5 Operator: _i,eneC65miL-h Owner: LrC e_nl-neo_(Yl`llo Acres Used: 013q Acres Permitted: Lc�, 56 Site #: _1� ]Field #: (� Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date = Qf W-15 2 ZD-1 3 4 5 6 7 8 L9J Ill 1 12 % Solids p,�3`)p I .,53b Arsenic �. p 0, Q Cadmium Z p _. Q Chromium 40 (.d® Copper Z73 Z-)3 Lead Z(19 Vp Mercury 0,6 D .5 Molyb- Nickel I o S Selenium <5. CU 4`5,C0 Zinc (�Gj (� G( L, Total "I- - )rus 31 bra 3i co Annual Heavy Metal Field Loadings (Calculated in lbs/acre): �C oIll 2 L3J 5 6j L7]8 9 10 11 12 ��y C) 65 y Arsenic C), C) I O O, C I 3 0, 623 Cadmium 0,CD5 G,Wq 0•LU7 Chromium p,Obb Q )-)(G G.i to Copper 0,66) 0,6ZI GZ� Lead p, CZq ©, 0 50 O• , Mercury G , CC? l 0, M l p, co�- Molyb- denirm C>,C09 C05 oZD Nickel 0, M-) CQ,(<' H GOb1 Selenium (),oc37. O,p►p o.Gl-7 Zinc 1. CQ7 1.3101 Z. GtG Total Phos- phorus I - ).3Z I I C)� L "I certify, under penalty of law, that this document was prepared under my direction or supervision in rdance with a system designed to assure that qualified personnel properly gathered and evaluated the -mation 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 See, bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY ]FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SNBMETTED .FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: C cnJ en4nf-a- m6p Permit #: k)0Cc0i Q4q Annual Dry Tons Applied: Ll . G p-:s Owner: CC;11i2 11 e0. fYl�z� Operator: Cation Exchange Capacity (non 503): t..l, ,5 Site #: 1"�j Field #: 15 Acres Utilized: 3,�L� Acres Permitted: 6 q.66 :: s eci Totals Per Acre i 45'? 1 % Solid s .063 ,C31`53 Dry Tons Per Acre 0,231 D,5S0 Residual Sources (Summarize) ft%`�� EU cM6 Lo0-fP Site Cond. Dom' Wet, rnD16--1 CIN Inches Precip. Past 24 Hrs. (3 C9 Appli- cation Meth- od• 5 5 Vola- tili- zation �i Rate* L3.5 0.,5 Miner- all- zation Rate 0,-6() o.z)D TIT J-O 5�,gco Ammo nia- Ni- trogen 3vC> 327�0 Ni- tiate and Nitrite 3100 3100 PAN 1 Ili GG 31. �8 'ZU•31-7 PAN 2 Must Select Crop 1 or Crop 2 a• 1 2 3 0 0 o Gal. Cu.Yd. .. Report Totals in Gal. UZ 50 3Uc;x) Crop 1 �ecralx r Crop 2 6 5 o-G)5 4 5 6 7 I 1 8 9 { I 10 11 12 TOTALS: U�d ::::::::::::::: Annual lbs/acre Current Cumulative lbs/ac As O.D 1� 0,-)C(4 Cd D_ t1.D� Cr O, IOLI 3� 4�-41, Cu :- lc .1456 Pb O,C(A I IO H ,CX�2 G,ZGZ Mo , �i 61a4 Ni O. Uu7 eb Se D, D13 ,cmi Zn P PAN 1 PAN 2 I • . Z•"3 S�.Ca� G(,:211::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................ ................'.................... ZU:.:.::::::::.........•............., Lime A Date lied lbs/ac Prior Years Cumulative lbs/ac C3 ,T) , <-I,nC3 ,3 Z 1?5:U6Cl ').915 a2ciO 3.1Zq, xi-8w Permitted C. P. L. R:''_** 3 3LI r O� 133 Z(P� I -- 37 G e it PAN Limit 1 st/2nd Cro P rm p "I certify, under penalty of law, that this document was prepared under any 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/Y4L, Z *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applies Date *Vnl.9filli�.9tinn mute_ suirffnca' - 0.5_ >lni��tinn/gnenu•renvattinuo - _n Pnllutgn4 �,�a�lin� iante The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF rove to properly complete the metals equations. ie. FSF row # 1 to'MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL MIETAILS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Cbn-}6--�� rf)6-1) Total Dry Tons Applied (Annual): y C�,3 rmit #: LOOC D I OU g Cation Exchange Capacity (non 503 only): 4 , 5 ,;jperator: --R . et 6m,4-r) Owner: (OnAPl-1 ne-CX— rn6 I� Acres Used: Acres Permitted: (�� rj5 Site #: Field #• Residual Analysis Data (Heavy Metals and 'Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date III 4-M-6 2 0- 046 3 4 E8l El DI 11 j 12 % Solids 1, 53`70 1.535 Arsenic r).D /), D Cadmium Z-U Z. D Chromium Copper Lead ,(.0 Z Mercury 0-6 C) , 5 Molyb- denurn Nickel j 1 Selenium lj, O C f5. D Zinc { (p (�Cf (p Total p,�Os- )rus , ! U 1( Annual Heavy Metal Field Loadin s Oalculated in lbs/acre : I Total IN Phos- MEN !?�40ras "I certify, under penalty of law, that this document was prepared under my direction or supervision in -rdance with a system designed to assure that qualified personnel properly gathered and evaluated the •mation 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 See bottom of FSF Form for helpful instructions for this 1VMFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MADE A COPY OF THIS- BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Dame: CC'UfliC'_4of-a . 0)6D Permit #: W=IOUq Annual Dry Tons Applied: I Owner: rbnl MOD Operator: j eniee6miVr) Cations Exchange Capacity (non 503): Lj• S Site #: I) Field #: (A Acres Utilized: 7.4q Acres Permitted: 61.56 o „ � ' ° soecifv Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dr y Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- ode` Vola- tili- zation Rate" Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 �C PAN 2 Must Select Crop 1 or Crop 2 Gal. Cu.Yd. Report Totals in Gal. Crop 1 Crop 2 I - LA Z3000 qnq 110163C�, 5G2 Crf)6-D k%J-r' cLN © 6 0,5 0"30 15V= 6no 31dO Z6330 1 2 3 4' 5, 6' 7' g 9 10 11 12 TOTALS: QT)U ::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime Applied Annual lbs/acre 0; G 3 0. ool, .0) a.30 0.03 10, (o I D> Ob-) 0. G L I • bc) 0 .37t L41 25. 33a I e lbs/ac , Current Cumulative lbs/ac 3 3-)•315 . UZCD U . i 6.� .0 I O C.1.4� �I Z , u501 0-y 1.G) 4 i 4 Z3U 13 )Z i� bl b, rIZ .3Hi3 0,165 1. 0-5 u.U53 0,45 5_ .' .............•.•.•............. . :36 3�I ZIo)7 )33q t,-) i 6 . :...I 0 Prior Years Cumulative lbs/ac Permitted C. P. L. R. ''''' mit 1 t/ n d Crop Pn s 2 e nit PAN Li "I certify, under penalty of law, that this document was prepared under my d ireefion or supervision nn accoruaance wntu 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 lines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Vn➢ntiil 7..gtinn Rate- Snnrfhep. - il_�_ lniea°tinn/fnrnrnnrntinn - 1.0 :r•:r•=r-ft^_P_>l._lf8_:.(Cuunnnn➢ati�e P01111taant Jr,naflinVF RatP. The RSSF Data and the )(Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (512003) AID N JAL Mj EETAL S FIELD LOADING SUMMARY FORM" Attach this foam to the corresponding Field Loading Summary !Horan to be submitted in Annual Report FacifityName: nJen+n-(o_ MO Total Dry Tons Applied (Annual): 1 14L) rmit #: ii wo—o loQq Cation Exchange Capacity (non 503 only): CI. rj ky'�erator: -ile-ne2 &rnw-n Owner: COfI1en+n'0C�- [Y)bD1 Acres Used: Z. ({ Acres Permitted: tA. 55 Site #: 6 (Field #: („ 0 Residual Analysis Data (heavy Metals and Icotal Phosphorus use mg/kg, /o Solids use Raw Percent 4); Sample or Com- posite Date 1 zb_ 1 2 3 4 5 6 7 8 9 10 11 12 % Solids I �j Arsenic _ Cadmium Chromium L{ C Copper Z-)3 Lead Z(p Mercury Molyb- denilm Nickel Selenium Zinc �,Ct (O Total D1,os- )rus Annual Heavy fetal Field Loadings (Calc)ulated in labs/acre): �C o 1 11 L2J L3J 1516 7 L8J 9 10 11 12 CD Arsenic p, pog Ca Cadmium 0, UUL O U�>2 Chromi C) , Copper 6.3Z3 p,3Z3 Lead (); Cj3 ©.G-6 1 Mercury p, pp i O. co Molyb- C)- cc') Nickel Q �► I Selenium Zinc p, c�ZU O• U Total Phos- horus L}1 a 3-j.0 IU "1 certify, under penalty of law, that this document was prepared under my direction or supervision in rdance with a system designed to assure that qualified personnel properly gathered and evaluated the �mation 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 Y See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form .DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MADE A COPY OF THIS BLANK ]FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE -A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: C01�+ �� K (1;� 17 Permit #: t ,OlGLI'? Annual Dry Tons Applied: O . (D3q Owner: CCni-erke( m&-D Operator: bm ik -n Cation Exchange Capacity (non 503): 4, 15 Site #: -j ]Field #: I Acres Utilized: 1 .—S? Acres Permitted: 61- 5 Specify Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, I Inches Precip. past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate* * Miner- ali- zation Rate TKN Ammo ma- Ni- trogen Ni- trate and Nitrite PAN 1 � .0 PAN 2 Must Select Crop 1 or Crop 2 �- Gal. Cu.Yd. Report Totals in Gal. Crop 1 Crop 2 CM00 iU TE d rJC3 5 0.5 0,3E 5i5W0 3Z"70 3100 W. ui . errry 1 2 3 4 5 6 7 8 9 10 11 1121 TOTALS: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annual lbs/acre b' OG'� v, bn (), Czi O. ZUU O. 6Z`5 . r,oa G: o , c l� v, [x>5 ©, b�Z 3U.5Zb ZC. 7 Date lbs/ac Current Cumulative lbs/ac 0, LZ G� D.117c, 36,E 7 3. o'L O,ZDI� I. 1q2 , . 3 .3�3 �0:::::::::::::::::::.:::::::::::::::::::::::::::::::: C), i5 Z. CZ 1-7,01�3 6 (A 3 3, -2 6,16(e t ,1 (� ' .11 lc 0,3 W, " � :::::: :::::::::::::::: ::::::::::::::: ............................. O a 3u Z '-? 133 ZL�i ):::::::::::::::::::::::::::::::::::: OPer Prior Years Cumulative lbs/ac (Permitted C. P. L. R.a::i:�: it PAN Limit I st/2nd Crop "I certify, under penalty of lady, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly as 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." a -Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date *4*Vn➢ntilizatinn Rgte_ ,quurfas.e - Iniectinu/Ifvnenrnnratingn - 1.0 ruumnliative pn➢➢ itaant Y,anding Rnte The RSSF Data and the Dry Tons der Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (512003) ANNUAL ME, TALr,S FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field, Loading Summary Form to be submitted in AnnuO Report IFacility Name: Can ►erAnC1a- M6D Total Dry Tons Applied (Annual): 0.1"39 ( Irmit #: �)QIGU� Cation Exchange Capacity (non 503 only): Cf. 5 ,j�perator: j��&rrlN-h Owner: CC�n}�f1�11�'0� ifl�� Acres Used: I , 3 Z Acres Permitted: (91.15 j Site #: j3 Field #: i Residual Analysis Data (Heavy Metals and 'dotal Phosphorus use mg/kg, % Solids use Raw Percent #): posite Date NONE 0000,2, SIT" M11MMMMMMMMMMMM, •� _-MENEM Annual Heavy Metal Field Loadings (Calculated in lbs/acre): i logo,, logoI . , MINIM_� 6, "46 WWI M_ Total Phos- . . " 1 certify, under penalty of law, that this document was prepared under my direction or supervision in . rdance with a system designed to assure that qualified personnel properly gathered and evaluated the i ; mation submitted. I.am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations" Signs re of Land Applier Date r See bottom of FSF Form for helpful instructions for this'MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2nm) ANNUAL LAND APPLICATION IFIDELJ<D SUMMARY (FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR ]EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Cm+4r)fo_ r00 Permit #: � � fOU Annual Dry Tons Applied: J , GZ Omer: Operator: I�iPf1P�1� {n Cation ]Exchange Capacity (non 503): 4 Site #: % Acres Pernitted: :IaFAcres Utilized: (o 9,55 :. o Q S eci Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize Site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- tro en g Ni- trate and Nitrite PAN 1 91 GICs PAN 2 Must Select Crop I or Crop p p. 2 Gal. Cu.Yd. :: Report in Gal. Crop1 Crop 2 p -Z-6 ZtlocO 6105 .0153 0, rnn6-0 �J 0 P 0 o.30 6iMo 3 7?b 3106 I.LnZ, a 1 6 •- 5. UUAUO .aZ�1; .0153 0,33') cmV-,D Juir G 6 G.5 0, 30 5�900 3no 310o iu4.Azo � 2 6-4�6 'Nac-)0 3(v'1Z ,C>155 0 L&I _ m6D�jLF m(:7i5+ 6 J O.6 0,3o 60900 3 -)o 3100 P-S94 ��� � 3 i 4 5 6 7 8 9 10 11 12 TOTALS: I `(75 :::::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre 0106 O'ck3 0.061 0 Iv ID.00 G.UOU G: 0-b-n o.CO_) 1.0(i 4g, 11 Date lbs/ac <. Current Cumulative lbs/ac p , 5 '16C) 6,61" 51 r) (.g 6,16 o ,13 D Z. U53 5.1 0 • &Z4 1 .v51::::::::::::::::::::::::::::::::::::::::::::: C).577 67)::::::::::::::::::::::::::::::::::: 13 (r ,3 U 133 3 8C) Z4{ I 10-Z-1 I 21- IZ Prior Years Cumulative lbs/ac Pennitted C. P. L. R. * * Perrri i d Cro it PAN Limit 1 st/21 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." *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date 0_5_ ll _ll (r"umuhgtive Poll➢➢tnnt Landi➢➢o Rntp *4-** The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The.FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMA>' Y FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Lnfen4 i°LCL r` )61) Total Dry Tons Applied (Annual): rmit #: t,-"QC)("O 1©L4q Cation ]Exchange Capacity (non 503 ouniy): U•�� operator: 1en62 6m-i44--) Owner: Acres Used: Acres Permitted: (9r� Site #• CTFCCi.Q7 ]Field #• g Residual Analysis Data (Heavy Metals and Total ]Phosphorus use mff/kLy. % Solids use Raw Percent 91: Sample or Com- posite Date 1 G 7-& 5 2 y.Zb-1'5 3 Cj 7b-1 4 5 6 7 8 9 LOJ 11 J12 % Solids . �j�j'Jp 5��o F •� Arsenic Cadmium Chromium G O Ll U D Copper M3 7"73 73 Lead 6 Vo Z(o Mercury p , <j O• <j () , ,5 Molyb- denum Nickel Selenium ��,Q <5c` .0 zinc 6q,(o 6,G(0 (uq(o Total nt,os- )rus l o0 31 bQQ 131600 Annual Heavv Metal ]Field ]Loadings (raleninted in 1hP/nTw&-1- ! 1 � I gumi 1 `, • -1 certnxy, under penanty of iaw, that tins document was prepared under my direction or supervision in !rdance with a system designed to assure that qualified personnel properly gathered avid evaluated the i mation submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations" Irlw- z- u-1 Signature of Land Applier Date r See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MF1 .qF r.rvgnn-i� ANNUAL -LAND APPLICATION IFIELDSUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR BOX WII:IIEN NOT APPLICABLE. Facility blame: (bma-neD- f)r)6--D Permit #: )(C CDpICLf-g Annual Dry Tons Applied: 9E.01GI(p . Owner: C0ni 8-)�ne _ fa - Operator: i�)e-ne f Cation Exchange Capacity (non 503): G.I. 5 Site #: C'TfW_+ r Field #: Cl Acres Utilized: 5.1 Acres Permitted: / g. 55 . o M S eci Totals per Acre % Solid s D Tons Per Acre Residual Sources (Summarize) Site Cond. D Dry, wet, Inches Preci p' Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 )�z PAN 2 Must Select Crop 1 or Crop 2 Gal. Cu.Yd. .: Report Totals in Gal. Crop 1 Crop 2 -1-6 g5200 I -663 1.11_2 cm5pwe -JP Q __5 01,5 a. o 5mo R56 310o — t m 1 Z 0153 f f�2! t �° 5 0.3c> 5SW 3Z� i o0 q. 2 3 4) 5 6 8 9 10 11 12 TOTALS: :::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 PAN 2 Lime A plied Annual lbs/acre p.C:(D? p.(UD q5(0. c i p.rC2 6.0Q, l 0. 3 0.01b L`I?,) IlD•ITi V Date lbs/ac Current Cumulative lbs/ac 0, 60 I , 5c) Z&•b42 .516US .Z3U 0.131� Z • I G� U a. Ve 291 ::: : :: :::::::::::::::::::::: ............................. p. a q3 1 4_62 74,,5tZ 6•6 i 5.)43 cmzu t6qq 5, l I 0, I U ZVP l 15 — 3_�NCl �2 - - 13C IZ ... Prior Years Cumulative lbs/ac Permitted C. P. L. R. * * * Permit PAN Limit 1stl2nd 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 flues and imprisonment for knowing violations." *Application Method: S -Surface, IN -Injection, INC -Incorporation -Signature of Land Applier Date*g7n➢ntili�atinn 13nte: �enrtnce - 0_�_.lnie�tinn/1<nenwo�nratinn - 1 _Cl rumn➢ntive Pn➢lntnnt 1,nndinu Dante a, * The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL Yj-tETALS FIELD LOADING SUMMARY FOB''° Attach this form to the corresponding Field ]Loading Summary Form to be submitted in Annual Report. Facility Name: ��s���n e� rY� Total Dry Tons Applied (Annual): `rmit #: U)QQQ01pQ9 Nation Exchange Capacity (non 503 only): iperator: ' 1Ienec&nw-) Owner: oonien�n&,_(Y)6D Acres Used: Acres Permitted: LC 66 Site #: (` j ECG-} Field #: C, Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw ]Percent #): �W I'Mon OMNI Total. los- OrUSNEENEENE-0000 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): i F MOM 1 • 1 11 I _�__�_-��_ r • ► ' i BMW M MENNEN "I certify, under penalty of law, that this document was prepared under my direction or supervision in '-_ `�,)rdance with a system designed to assure that qualified personnel properly gathered and evaluated the - i-2)rmation 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 See bottom of FSF Form for helpful instructions for this MFLSF Form and the,mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM[ PLEASE MAKE A COPY OF THIS PLANK FORM[ TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A PLANK OR BOX WHEN NOT APPLICABLE. FacilityName: tc)N en4nea- rn6D Permit #: [00CoOIC4q Annual Dry Tons Applied: 6,rq3 Owner: 0on+en4,9t0-rn(2_b Operator: j�enee 1 ,'4� Cation Exchange Capacity (non 503): Q. 5 Site #: P-Trnr4 ff ]Field #: l-�) Acres Utilized: �, &C,) Acres Permitted:. (og. 65 -specify Site Inches Appli- Vola-� Miner- Ammo Ni- Must Select Gal. Gal. Y Cu.Yd. Totals % D Tons Per Dry Residual Cond. Precip. cation tili- ali- TKN nia- trate PAN 1 PAN 2 Crop 1 or Crop 2 , i O Report Per Solid Acre Sources (Summarize) Dry' Past 24 Meth- zation zation Ni- and r Q Totals Acre s Wet, Hrs. od � k * Rate' Rate trogen Nitrite Ili Crop 1 Crop 2 in Gal. 15 30t7O i Copp , O Crf-a"a OWTI Ir4lu n o "5 a-30 am 3 )oU - -zcicf1 -15 aDC� -c))53 D. o Cw�J VJwTP rndl-;5F ©, LI S C�> `5 a,3(� �o IOU ► o 2 ' a3-6 L4cco . lo3b3 ,U153 L, - kJuTP rro)� ©.-&D 5 "00 'Z7(> 310v ZS,II -L 3 4 5 6 7 8 9 10 11 12 TOTALS; Z1Zie.l :::::::::::::::: As Cd Cr Cu Pb H Mo Ni Se Zn P PAN 1 PAN 2 Lime A lied Annual lbs/acre (� Le 0 8 o. 6 0 1 0-VL1 oxq,) 0, W o . vZ3 O. oG q , of c Z. (� I D I ,Sexy b-Z79 Date lbs/ac ': Current Cumulative lbs/ac U9 0,*)G3 ILLA49 D 52 2•Z�I ), Z. I.G3Z Z. Zg C,-Zq-z, ,70V5 12 ZGLI• &.Z3a Z• 3U 0,CC(CA I. Lm10o G-65eS '�.6n:::::::::::::::::: Prior Years Cumulative lbs/ac rmitted C. P. L. R.*** at" 3y („7� 133S 7 IS 3 -9G LPq :.....::...................... ..: i ;. .... Cro PnnitPANLunit lst/2ndp "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 1i��11 �j 1 2 44G *Application Method: S - Surface, IN - Injection, INC = Incorporation Signature of Land Applier Date **Vn1nti11i7.ntian Rate_ %nrfnee - 0_5. in ieetlnin/Yneornnratinn - I.dl ,i,a<rumnlative Pnilutant Londinu Rote. :r• * c, c The RSSF Data and the Dry 'Bons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically Oinked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row it 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL METALS FIELD LOADING SUMMARY ia'011�.M* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: CGn+� 0.. I )i5D Total Dry Tons Applied (Annual): 6. Pik 4-y')bColo -k Cation Exchange Capacity (non 503 only): 45 �,�erator: "i ,P ee , I Owner: Con+enAn&a-m 6,D Acres Used: 3,3 O Acres Permitted: 6,q. -55 Site #: C IcaOIT Field Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): . - ONE' MR. ®�����_���s�� t ., •NN twunual Heavy Metal Field Loadings (Calculated in lbs/acre): y 1 2 3 4 5 6 7 8 9j 10 11 J 12 d--I 5I3U-15 CD y y s a 63, f3 o, 6� 0 0. 65 t. 5 Arsenic O. 00°) D, DUg o,Cerl Cadmium O<C.)C55 0.0(?Z 0.603 6,O Chromiurr 0, 0,51 0 ,04�1 0, 53 0,160 Copper O.-bL49 0•31-1 0,3601 t .DZ4 Lead 6, Cj333 o , c3 Q n ZZi y Mercury 0, 001 O.OD 1 0, CO I Molyb- Q, GO 9 10, 00O 6, W9 D.UZ3 Nickel , (j73 p, 021 o. aLj Dbg Selenium 0.00(p ,,OO(v O.()(�? Zinc 0•�1906 o•. c� c.GlS Z.t"i© Total Phos- phorus 4)321 j&&5�a q 1. 52Z f 14s.5[x� "I certify, under penalty of law, that this document was prepared under my direction or supervision in {- zprdance with a system designed to assure that qualified personnel properly gathered and evaluated the lrmation 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 Y See bottom of FSF Form for helpful instructions for this MASF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION k IlhLID SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM[ TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. .PLACE A "N/A" IN A BLAND OR FOX WHEN NOT APPLICABLE. Facility Name: COGnkn4r�ea- f)lO Permit #: ,L)QCM1048' Annual Dry Tons Applied: �-700 Owner: COn+en+n-ea mo Operator: ,'_h�ef 6mi-�h Cation Exchange Capacity (non 503): Ca, 5 Site #: D Field #: 14 Acres Utilized: Acres Permitted: 4�9.55 o o Q Specify Totals Per Acre % Solid s D Tons Per Dry Acre' _ Residual Sources (Summarize) SiteMust Cond. D Wei, Inches Preci p• Past 24 Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 � � PAN 2 Select Crop 1 or Crop 2 Gal. Cu.Yd. Report ls inTotal. Crop 1 Crop 2 � l--//� /� A33.3 IC65 I -E-5 !./ t..±LT 1y /Hrs. lJ O, �5 &-6i) /r 2 3 4 5 6 8 9 10 11 12 TOTALS: 1G As Cd Cr Cu Pb H Mo Ni . Se Zn P PAN 1 PAN 2 Lime A lied Annuallbs/acre O © o,ax f . G o. O o,DW -OCA c�.015 ,p G,OfZ t Z 5`Z:75g Date lbs/ac Current Cumulative lbs/ac CG: ZO 6 , 40 , -). , . 34 1. v 0, G� O, ? © Z VC) 3 3 r :: o . I d�1 O, 4S� �, G I i .fir 1'� o.C2� o, .Z4 a 310 7�::::::::::::::::::::::::::::::::::::::::::::::::::::::: 3c, 3 Z 7 i 3 S' Zb') 15 --� 3�4 ZUGB .............................. -I iZ�(a Prior Years Cumulative 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 Signature of Land Applier Date **Vn➢�4i➢i�n4intro I�nte� �ecrface - (1_S_ �miectinn/imcnwnn�a9inua �.91 '�*a`tf:_P_�f,_�_: €T^'��aeee�lativa� Pn➢lue4ar+41f.na�irler D2at� :r• * * a: The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANINT(UAL MET] ALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Siamnmry Form to be submitted in Annual Report Facility Name: Cpnfen�nfarrIZ 'total bry Tons Applied (Annual): 4A%�CC(9104� Cation lExchange'Capacity (non 503 only): U 0- �,,V lerator.: T)enee.6m'ar) Owner: Co eainf.CL n)6-Dt Acres Used: 6, pp Acres Permitted: (q • 65 Site #: _p ]Field #: ICa Residual Analysis Data (Heavy Metals and Total Phosphorus use a��/k� ®/�► �n➢irlc i�ap Raw ���-r�,�+ �l• posite Date =IAuaa xiIL,"V v i.ic.sax wxvxu juunuiumm .w.kaicuim en .n inciarrd-i- =IAuaa xiIL,"V v i.ic.sax wxvxu juunuiumm .w.kaicuim en .n inciarrd-i- t i Total Phos- ... rus ,, ,,..... —. ----.0 I.L rraa pluralcu uuucr uiy uirecnon or supervision in accordance with a system designed to assure that.qualified personnel properly gathered and evaluated the i, mation 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 r See bottom of FSF Form for helpful. instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MADE A COPY OF THIS PLANK FORM TO ICE COMPLETED AND SUBMITTED IFOR EACH APPLICATION ]FIELD. PLACE A "N/A" IN A BLANK OR PDX WHEN NOT APPLICABLE. ]Facility Name: Conf e )4 n-eo- MOD Permit #: I_-QOCO)CJ4g Operator: 1Owner:LMen+n1CGL_n)db �__, Site #: -a ]Field #: j,5 Acres Utilized: Z,3S? Annual Dry Tons Applied: Lj, Z 1 I Cation Exchange Capacity (non 503): Li, Acres Permitted: &q. 55 o � o Q Totals Per Acre % Solid s Dry Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, Wet, Inches Precip. Past 24 Hrs. Appli- cation Meth- od* Vola- tili- zation Rate** Miner- ali- zation Rate TKN Ammo ma- Ni- trogen Ni- trite and Nitrite PAN 1 b�Jh G PAN 2 Must Select Crop 1 or Crop p p 2 Gal. Cu.Yd. ::: Report Totals in Gal. Crop 1 Crop 2 1. 15 52' D Z g, 46f .0153 1.3Gy G 1)6D otoT P :roil O 0•-60 �`10b 37-)0 0100 601L4(11 1 , C�15 )(-Ic o0 5�,;2 °a1 0.3 �7W�li P mol&t O 5 Q� -` O•� 5SID00 3-no 0i100 H- 45 �- 2 3 4 5 6 I 7 8 9 10 11 12 TOTALS: �31 ::: As Cd Cr Cu Pb H Mo Ni Se Zn• P PAN 1 PAN 2 Lime A lied Annuallbs/acre D.cUZS o,00� 0.14Z C). o(a 3;LAl ,WI O.—al 0,0{C3 0,01g Z•4toZ �6C1 �,G}1 Date lbs/ac Current Cumulative lbs/ac , ZO- .3G 1 .� I 23n1 to , Z°i 6.as 0.557 .2 ,'6V l::::::::::::::::::::::::::::::::::::::::::.............. D. 1 G. LI �3.�y Z .•750 I.-J39 D oZ-) 0. 3tv Z. R I .3U3 I : -::::::::::::::::::::::::::::::::::::::::::::::: W 3l-I (7Q 139 �7 -► iZSsCo :: Prior Years Cumulative lbs/ac Permitted C. P. L. R. * * * Pe nit Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared sander 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." D /YX,I Z L1 *Application Method: S - Surface, IN - Injection, INC - Incorporation Signature of Land Applier Date **Vnlatilizatin➢➢ bate! Surface. - Ql_15_ lniertinn/incnrnnrntin➢➢ - I _iD ***(r_'P_>l._R_: (r➢H➢ ulat➢ve ball➢aunt T,nndiner Rntc The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (512003) ANDPT UAL METALS YIELD LOADING STUMI��Y FOB',' - Attach this form to the corresponding ]Field Loading Summary Form to be submitted in Annual Report IFaciIlity Name: %Gn i-dn�fD_ im6� Total Dry Tons Applied (Annual): y. Z1 rmit #: Vj0C)CDipuq Cation Exchange Capacity (non 503 only): 45 'ierator: -TI)enee- 6rni�-h Owner: Con4en`Enea—n('60 Acres Used: Acres Permitted: M •<j5 Site #• D Field #: i 5 '"--!-]I__._7 A—_L__!- 41%-A_ /1T7r_ _ _-AAT_A_1_ __ -3 r7P_A_7 '"I _ 1 u`DtGaau"Mi "Lunly'bls IO ULK kKhUUV'y lVILMURb UIRU ]LULU KHUSPIlUFU S Use IIng Kg, % bouas use jsaw rercent i4 Sample or Com- posite Date 1 L)-Z&T5 2 U- l 3 4 5 6 7 8 9 10 11 12 % Solids I , 5-5� p 1 Arsenic 7, p Cadmium z, p Z. p Chromium 14 0 Q O Copper . Z')3 73 Lead Zlo I uo Mercury D . S G 5 Molyb- denum Nickel g r g Selenium <5.0 Zinc (1A jp (PG (p Total Phos- )rus I Izoo I (ob0 -__sual hlleavv fetal ]Field Loadings Walculated iin lhs/arrml- Total Phos- . ! . "1 cernly, under penaity of iaw, tnat tnis document was prepared under my direction or supervision in, accordance with a system designed to assure that qualified personnel properly gathered and evaluated the i mation submitted. I am aware that there are significant penalties for submitting false information, in'duudingthepossibility of fines and imprisonment for knowing violations" 6= Q Signature of Land Applier Date r See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLIEASIE MAKE A COPS' OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OIL BOX WHEN NOT APPLICABLE. ]Facility Name: Con4er4n-ea (Y)t.lD Omer: CGn�Pll�flCO. fY17 Site #: D ]Field #: Permit #: i�)`C ,'01oq} Annual Dry Tons Applied: (0, g115V Operator: - enPt&nl4k-) Cation Exchange Capacity (anon 503): q. S (� Acres Utilized: Acres Permitted: 613,55 a°, o � Q S eci Totals per Acre % Solid s D Tons Per Acre Residual Sources (Summarize) Site Cond. Dry, wet, Inches Preci p' past 24 Hrs. Appli- cation Meth- od �< Vola- tili- zation Rate ti-i_ Miner- ali- zation Rate TKN Ammo nia- Ni- trogen Ni- trate and Nitrite PAN 1 G PAN 2 Must Select Crop I or Crop 2 4: a_ Gal. Cu.Yd. Report Totals in Gal. Crop I Crop 2 �l -6 5q0o0 1 q 17-1 .053 1 - 156 Crf)�D wu.Y G30 1 5 21-45 55oDo fqi 115b ,U1�3 1. 1-7 1;C 57 i,o T1� rr , S O,'5 C�.3c� 5 �Q Z-)O al D U So.Go burr 2 3 4 5 6 7 8 9 10 11 12 : :::::::::=: As Cd Cr Cu Pb H Mo Ni Se Zn P PAN I PAN 2 Lime A lied s/acre v.G32 O,a10 O i.Z�U D•IZ1 �,(UZ ©,UZS O•CXs� CSL�1 3.Z�r P 'cfi Qq•`�b7 Date lbs/acumulative rinnual lbs/ac 0 ZZci 0 36R .01D Z .U23 i,G�7 O.C30 0,55� Z,3c� 6.3U� I :::::::::::::::::::::::::::::::::::: 9 . �4 4 ?-O-W9 1 •� 3 6 O.( �5,30 Z.3tZ p,-6Z�i I Cfr,. ld.4Z::::::::::::::: " U Z ��� 338 Z�� i --74 Z�I�(�N - -I iZK(ors Cumulative lbs/ac C. P. L. R. * * * Limit Ist/2nd Crop "I certify, sender 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 Signature of Land Applier Date 0_5. lnirrtiQnn[1nr. nrnrnratiQnn - 1.0 Q,'uuunuulntivr p nllntnnt T,Qngding Rate :r• a: i �: The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL ME T A11. ,5 YIELD LOADING SUMYli-ARY FORM* Attach this forum to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: QDnJCn1,pe0_ (Y152 Total Dry Tons Applied (Annual): L.01,5 -L "D_rmit #: QQDW IQQq Cation ]Exchange Capacity (non 503 only): ,aerator: --Renee6n)i4-h Owner: CCn+en,1iea_ ms -D Acres Used: Z.L� Acres Permitted: L q.,rD j Site #• D Field Residual Analysis Data (Heavy Metals and Total Phosihorus use Yng/kg. % Solids use Raw }percent #): Sample or Com- posite Date 1 42b-15 2 - -I5 3 4J 6 7 8 L 10 11 12 % Solids Arsenic D p Cadmium 2, D Z. 0 Chromium 4 p Copper Lead 2� Mercury r G , 1j Molyb- denum to Nickel j g Selenium <rj, b <6, Q Zinc W(o 03 (v Totalir Phos- us II 1 DO tual Heavy Metal Field Loadings (Calculated in lbs/acre): . oil go I �ru M- Total Phos- _Rkorus�NN.,.______E,EE_E "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 it nation submitted. I am aware that there are significant penalties for submitting false information, including the trr� possibility of fines and imprisonment for knowing violations" LU 2-4_1(0 Signature of Land Applier Date Y See bottom of FSF Form for helpful instructions for this MFLSF Form and the mathematically linked FSF Form DENR FORM MFLSF (5/2003) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THUS BLANK (FORM TO BE COMPLETED AND SUBMITTED FOR EACH APPLICATION FIELD. PLACE A "N/A" IN A BLANK OR PDX WHEN NOT APPLICABLE. (Facility Name: Canie71` neo- M tDi Permit #: t�:PCCG 104q Owner: Site #: CGn tern} new m�� Operator: ` jP_nee 6-n 4_h )Field #: F 1 Acres Utilized: 61 t,Z Annual Dry Towns Applied: 0.-71,44 Cation (Exchange Capacity (non 503): Acres Permitted: Gad .55 o � o Q Specify Totals per Acre % Solid s D Tons Per Acre Residual Sources (Summarize) Site Cond. Dr y� We, Inches Preci p' Past 24 Hrs. Appli- cation Meth- ode` Vola- tili- zation Rates* Miner- ali- zation Rate TKN Ammo ma- Ni- trogen Ni- trate and Nitrite PAN 1 ! b5Jr�G PAN 2 Must Select Crop 1 or Crop 2 6 Gal. Cu.Yd. Report Totals Crop 1 Crop 2 Iqq , 01 3 1 C)u O o)6D wwi P m o t- O 5 0,6 0, D !%SDo 30 oloci . 'ua c"hP_(1 2•. 3 4 5 6 7 8 9 10 11 12 TOTALS: I Zq ::::::::::::: As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN 1 I PAN 2 Lime A lied Annual lbs/acre , p { a,W� ! 3 a= oo 0,, 6 u 0,. W I O. D IZ , L-3-) , C> C�V,DPCO) .-W-9 446oc> Date lbs/ac :< Current Cumulative lbs/ac 0 , 2�37 , G SLt. "LZ 2. lb-6 5 v . 3 2 "3. U 3 O • U4�i C�• Z�Z G, (f . U f ,5 3 1 .U(60 0, 0 0 o, C 3. vZla UPI :: ; :; :: >:::: :::::: :::: : a 314 Zu-�� I 3 , Z -) 15 — 3--) q �3ci Z� I cg ............... Z (C� 2 15 { Z Cv Prior Years Cumulative lbs/ac Permitted C. P. L. R. * * * Permit PAN Limit lst/2nd Crop "If 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. It am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." "e , /Y1 - Z- 0-1 U *Application Method: S - Surface, ENT - Infection, INC - Incorporation Signature of Land Applier Date 4-Vointilizntinn _Rnte- Sunu•ynee - Ql_,;_ l nr ev.tina fnenrnnrntunn - 1-0 ruumuulntive lPniluutnunt lf,nndin(w'Rnte The RSSF Data and the Dry Tons Per Acre are to be entered on the MFLSF Form. The FSF and MFLSF are mathematically linked so this information needs to be entered into the same numbered column on the MFLSF as is entered on the identically numbered FSF row to properly complete the metals equations. ie. FSF row # 1 to MFLSF column # 1. DENR FORM FSF (5/2003) ANNUAL MIETALS FIELD LOADING SUBIAMAR iI FORM* Attach this foam to the corresponding Field Loading Summary Form to be submitted in Annpnual Report Facility Name: Lni en-�1Q0. m6D Total Dry Toni Applied (Annual): xmit #: I�C�C( ? iQu� Cation lExchange Capacity (non 503 only): 6 flierator: I�enee6rs1,4n Owner: �_w4e_nAne _ m& Acres Used: 616-Z Acres Permitted: (A- 6-5 Site #: D Field #: I-? Residual Analysis Data (Heavy Metals and l<'dtaI Pllos�horus use m¢/kg- °/n Oil. Date _ —__lld[ll JLAUA V Y 11103 61 Mulu JLunuings R.aicuiaLed in ins/acre l: 0 _ —__lld[ll JLAUA V Y 11103 61 Mulu JLunuings R.aicuiaLed in ins/acre l: 0 1 2 3 4 5 6 7 8 9 10 11 12 tt �a '� d 5-Zo I� I 046 Arsenic p, G l 5 O'O Cadmium 6 WL-1 hromi p p G. 04 Copper p',5�� O, 3 o .51,,g Lead a,G54 Mercury.(), CO 1 Molyb- denilm G. al2 Nickel Selenium p , p ►0 U37 Zinc i.Lllk� �ir� Total Phos- -x7 phorus rj,"?Z�3 IIT nnw"f% ..-Aaw "an 11-., _r 1. ., a1 a aL_.. a_ -_J,r-•--»-_.T __ ­•, LuaL .u=ao UUUUM ;(. E I— �,, \,• r' /` '' tip r� �'�. �� a !•v 4• �•_� i t. •` ,�' �„s> 4' 1 .l,,�C.. '�•' ANNUAL PATHOGEN AND VECTOR ATTRACTION RE, DUCTI®IN FORlA Facility Name: COrd2f,4npGZ fYl6l7 Perrr�ait 1`�t�nnnl�er: GuQCCY3 fOUS� WWTP Name: CCn4,er-) r),eC_ Imo` -[D 1NPDIES Number. t-1COG3Z077 Monitoring Period: From 0nuartl 1,Z015 To T?2Cpmbe(ai,w15 —' Pathogen Reduction (40 CFR 503.32) - Please indicate Revel achieved and alternative }performed: Class A: Alternative 1 ❑ Alternative 2 ❑ Alternative 3 ❑ Alternative 40 Alternative 5 ❑ Alternative 6 ❑ If applicable to alternative performed (Class A only) -indicate "Process to Further Reduce Pathogens": Compost 0.1 Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray❑ Pasteurization ❑ Class B: Alternative 1 P Alternative 2 ❑ Alternative 3 ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ Aerobic Digestion ❑ Anaerobic robe on Dig esti❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data. Parameter Allowable Level Pathogen Density Number of Frequency Sample Analytical in Sludge Minimurr. Geo. Mean Makimurr Units Excee- of Type Tech- 2 x 10 to the 6th power MPN per < l 1 ') y 1 �) mQm U c��ah G2ZI-t3L� gram of total solids or 2 x 10 to Fecal Coliform the 6th power 1000 mpn per I gram of total solid weig4t Salmonella bacteria 3 MPN per 4 (in lieu of fecal grams total solid colifopp) (k wei t Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed: _ ........................ Option 1 ❑ Option 2 ❑ 1 Option 3 ❑ Option 4 ® Option 5 ❑ Option 6 ❑ Option 7 ❑ Option 8 ❑ Option 9 ❑ 10ption 10 ❑ No vector attraction reduction options were perfo rmed rmed ❑ p ...................................... CERTIFICATION STATEMENT (please check the appropriate statement) "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the -information used to determine that the pathogen and vector attraction reduction requirements' have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." �,�n�P�5nni l(cnd aA(n 02G ljenef&M-h nd APO'i(-"cn n2C, Preeparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) Signature of Preparer Date Signature of Land Applier (if applicable) Date DENR FORM RF (5/2003) ROBOX 7085, 114 OAKMONT DRIVE CiMP:,ENVILLE, N.C. 27835-7085 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON NC 28530 Sample Analysis Method PARAMETERS #1 Date Analyst Code Total Residue, mg/l 15740 04/27/15 KKF 2540B-97 Fecal Coliform (MPN), /gram Solids 40 04/27/15 KKF 9221E-06 Drinking Water ID: 37715 Wastewater ID: 10 PHONF (252) 756-6201-. FAX (252) 756-0633 ID#: 416 A DATE COLLECTED: 04/27/15 DATE REPORTED : 04/28/15 REVIEWED BY: .O. BOX 7085, 114 OAKMONT Dn�vL GREENVILLE, N.C. 27835-7085 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Total Residue, mg/l Fecal Coliform (MPH /gram Solids Sample Analysis Method #2 Date Analyst Code 16480 04/28/15 SDB 2540B-97 < 11 04/28/15 SDB 9221E-06 Drinking Water ID: 37715 Wastewater ID: 10 PHONE ( j i-U—U'GUO FAX (252) 756-0633 ID#: 416 A DATE COLLECTED: 04/28/15 DATE REPORTED : 04/30/15 REVIEWED BY: Envi�on ent nmfffl,lr,@r, ed Drinking Water ID: 37715 Wastewater ID: 10 sZ r'.O. BOX 7085,- 114 OAKMONT DRIVE PHONE (252) 756-6208 GREENVILLE, N.C. 27835-7085 FAX (252) 756-0633 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Total Residue, mg/l Fecal Coliform (MPH /gram Solids Sample Analysis Method #3 Date Analyst Code 15580 04/29/15 LW 254OB-97 148 04/30/15 LW 9221E-06 ID#: 416 A DATE COLLECTED: 04/29/15 DATE REPORTED : 04/30/15 REVIEWED BY: Environment 1, Incorporated P.C). BCt' 7'Q�5, 114 CStXFCM�71'VT DRIVfr GREENVILLE, N.C. 27835-7 `' C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Total Residue, mg/l Fecal Coliform (MPH /gram Solids Sample Analysis Method #4 Date Analyst Code 14980 05/04/15 LW 2540B-97 87 05/04/15 LW 9221E-06 Drinking Water ID: 37715 Wastewater ID: 10 ID#: 416 A DATE COLLECTED: 05/04/15 DATE REPORTED : 05/05/15 REVIEWED BY:/X� - P.O. BOX 7085, 114 OAKMONT DRIVE Y GREENVILLE, N.C. 27835-7085 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Total Residue, mg/l Fecal Coliform (MPH /gram Solids Sample Analysis Method #5 Date Analyst Code 15760 05/05/15 KKF 2540B-97 147 05/05/15 KKF 9221E-06 Drinking Water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 416 A DATE COLLECTED: 05/05/15 DATE REPORTED : 05/07/15 REVIEWED BY: P.O,EnAnNE&M % hmpumb®r" BOX 7085, 114 OA€ MON T DRIVE GREENVILLE, N.C. 27835-7085 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Total Residue, mg/l Fecal Coliform (MPH /gram Solids Sample Analysis Method #6 Date Analyst Code 15360 05/06/15 SDB 2540B-97 < 117 05/06/15 SDB 9221E-06 Drinking Water ID: 37715 Wastewater ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 416 A DATE COLLECTED: 05/06/15 DATE REPORTED : 05/08/15 REVIEWED BY: 41'�— Environment 1, ncor P.O. BOX 7085,114 OAKMONT DHIWE GREENVILLE, N.C. 27835-7085 on Tmqod w,mmm"Im C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON NC 28530 PARAMETERS Total Residue, mg/l Fecal Coliform (MPN), /gram Solids Sample Analysis Method #7 Date Analyst Code 15020 05111115 LW 2540B-97 120 05111115 LW 9221E-06 Drinking Wat:r ID: 37715 Wast.wat r ID: 10 PHONE (252) 756-6208 FAX (252) 756-0633 ID#: 416 A DATE COLLECTED: 05/11/15 DATE REPORTED : 05/13/15 REVIEWED BY: Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name: Biosolids Permit Number: Date: Digester Temperature: Sampling Date/Time: Sampled By: Analysis Date/Time: Analyzed By: Total Solids: Beginning Temperature: End Temperature: Dissolved Oxygen Level A 91 8. 10 7. 7. Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Contentnea MSD WQ0001048 4/28/2015 22 4-28-15/1315 Stephen Berry 4-28-15/1325 1.57 % Dry Solids 20 degrees Celsius 21 deorees Celsius 0.05 8.6 1.00 2.84 mg Oxygen/hr 0.18 mg Oxygen/hr/g 21 degrees Celsius 0.95 Temperature Corrected Specific Oxygen Uptake Rate: 0.17 mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10/23/2013 0 Oxygen Uptake Rate Chart E:1:l 8.4 7.8 7.6 y=1-0.0473� + 8.658� 74 I I I ' ' I i I ' i ' i i i 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Time (minutes) Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name: Biosolids Permit Number: Date: Digester Temperature: Sampling Date/Time: Sampled By: Analysis Date/Time: Analyzed By: Total Solids: Beginning Temperature: End Temperature: Dissolved Oxygen Level 7.8 7. Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: c;ontentnea ivi5u WQ0001048 4/29/2015 21 4-29-15/1400 Ricky Barrow 4-29-15/1405 Windv Sammond 56 % Dry Solids 21 degrees Celsius 21 degrees Celsius 0.05 8.6 0.99 3.12 mg Oxygen/hr 0.20 mg Oxygen/hr/g 21 degrees Celsius 0.95 Temperature Corrected Specific Oxygen Uptake Rate:1 mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10123/2013 Oxygen Uptake Rate Chart 8.4 8.2 x O m > 8 0 U) 7.8 7.6 7.4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Time (minutes) Specific Oxygen Uptake Rate SOUR Facility Name: Biosolids Permit Number: Date: Digester Temperature: Sampling Date/Time: Sampled By: Analysis Date/Time: Analyzed By: Total Solids: Beginning Temperature: End Temperature: Time Dissolved Oxygen Level (minutes) (mg/I) 0 8.84 1 8.81 2 8.77 3 8.77 4 8.74 5 8.69 6 8.66 7 8.62 8 8.59 9 8.51 10 8.45 11 8.33 12 8.32 13 8.29 14 8.21 15 Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Contentnea MSD WQ0001048 4/30/2015 22 4-30-15/1315 Stephen Berry 4-30-15/1325 Windy Sammond 1.56 0.05 8.9 0.98 % Dry Solids degrees Celsius degrees Celsius 2.75 mg Oxygen/hr 0.18 mg Oxygen/hr/g 22 degrees Celsius 0.91 Temperature Corrected Specific Oxygen Uptake Rate: 0.16 mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10/2312013 0 m 0 U) U) rM RE 7.8 Oxygen Uptake Rate Chart 1 1 y =-0.0459 + 8.940 e I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Time (minutes) Time (minutes) 0 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling Date/Time Sampled By Analysis Date/Time Analyzed By Total Solids Beginning Temperature End Temperature Dissolved Oxygen Level 8.8 8.8 87 8.7 87 8.7 77" 8. 8.6 86 8.5 8.5 8.4 8.4 8. 8.3 Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: Contentnea MSD WQ0001048 5/4/2015 21 5-4-15/1305 Stephen Berry 5-4-15/1320 Windy Sammond 1.55 % Dry Solids 21 degrees Celsius 21 degrees Celsius 0.03 8.9 0.98 1.93 mg Oxygen/hr 0.12 mg Oxygen/hr/g 21 degrees Celsius 0.95 Temperature Corrected Specific Oxygen Uptake Rate:1 0.12 mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10123/2013 Oxygen Uptake Rate Chart M a� 8.6 c m 8.5 0 8.4 0 8.3 8.2 8.1 _-0.0321 + 8.914 8 1i I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Time (minutes) Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name Biosolids Permit Number Date Digester Temperature Sampling Date/Time Sampled By Analysis Date/Time Analyzed By Total Solids Beginning Temperature End Temperature Dissolved Oxygen Level Rd E 8.E 8 451 8.41 8.37 E1 Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: IContentnea MSD 1 01 Dry Solids grees Celsius arees Celsius 0.03 8.7 0.99 2.01 mg Oxygen/hr 0.13 mg Oxygen/hr/g 21 degrees Celsius 0.95 Temperature Corrected Specific Oxygen Uptake Rate:1 0.12 mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10/23/2013 Oxygen Uptake Rate Chart 8.8 8.7 7 - s 8.6 .— 8.5 rn E 8.4 x O m 8.3 0 N 8.2 8.1 8 7.9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Time (minutes) Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name: Biosolids Permit Number: Date: Digester Temperature: Sampling Date/Time: Sampled By: Analysis Date/Time: Analyzed By: Total Solids: Beginning Temperature: End Temperature: Dissolved Oxygen Level E:1 U. E:1 El 8 Slope: Intercept: Correlation Coefficient: Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: itnea MSD 01048 5/6/201 /130 :n Berry� /131 Sammonc i6 % Dry Solids 1 degrees Celsius 1 degrees Celsius 0.04 9.0 0.99 2.34 mg Oxygen/hr 0.15 mg Oxygen/hr/g 21 degrees Celsius 0.95 Temperature Corrected Specific Oxygen Uptake Rate:1 0.14 mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10/23/2013 Oxygen Uptake Rate Chart 9.1 J.+ 9 8.9 y = 8.8 8.7 m O 8.6 am O 8.5 N_ 8.4 { i 8.3 8.2 j 1 8.1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Time (minutes) Time (minutes) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Specific Oxygen Uptake Rate SOUR Facility Name:' Biosolids Permit Number: Date: Digester Temperature: Sampling Date/Time: Sampled By: Analysis Date/Time: Analyzed By: Total Solids: Beginning Temperature: End Temperature: Dissolved Oxygen Level Es3 8.7 8. 8.6 8. 8.48 8.41 8.4 8.3 8.26 8.21 8.1 Slope: Intercept: Correlation Coefficient: WQ0001048 5/7/2015 Oxygen Uptake Rate: Ambient Specific Oxygen Uptake Rate: Average Temperature: Temperature Correction Factor: 5-7-15/1346 Ricky Barrow 5-7-15/1355 Windv Sammond 1.57 % Dry Solids 21 degrees Celsius 21 deorees Celsius 0.05 8.8 1.00 2.80 mg Oxygen/hr 0.18 mg Oxygen/hr/g 21 degrees Celsius 0.95 Temperature Corrected Specific Oxygen Uptake Ratel mg Oxygen/hr/g Instructions: Enter Data in the Blue Boxes. The Calculation and the Spreadsheet execute automatically. Updated 10/23/2013 9 [:]I 8 7.8 7.6 Oxygen Uptake Rate Chart i I y -0.046 x + 8.863 i 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 -10 Time (minutes) o?. ..r Al%� •,j _ A' is @, hh ti•', q. .'. .:, �, \�,' ,'3_i. P, QLi-yfl6t'k, r,_`-O oto-19 (S'uF;rPJia' ?raL' ECe CIJ PPJurb it �Pifao Pf 23'i�fl r:�i6'/8 l �t �g��06 fps Il [inter date rnonitorin6 rosulto were due. Will this Mnit©ring report (GUV-59 and GNll-59A) be'submitted after the established due date? Was any required Information missing on the G@W-59 report forms? YES IT j� IF the answer to question I or 2 is 'YES", list in the space provided below the well identification number(s) and explain the problems encountered in obtaining the required information. 3 Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked ®r missing cap, missing Y1v5 NO Identification plate, area overgrown, etc.)? Ijthe answer is "Yes", contact the Regional Of ce forguidance. 4 Are any monitored constituents equal to or abode the established standards? S Y NO -If the answer to question 4 is "NO", skip to section B. if the answer to question 4 is "YES" list the affected wells individually with consfituent(s) and concentrations) exceeding standards in the space provided below: well Flo Chrorn�um 0•oi0mg1L Wei) -f�15 10G 10-UQ - For the constituents identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) In the same well(s) in the last two years? � / : If the answer to question 5 is ONO" skip to section B. If the answer to question 5 Is "YES", list in the space provided below, each well with constituent(s) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). f) elI -4 -TM k)el l -tllO CI-fGrni utn we-11 -i15 -HOC. ZZU13 a.ZU-IL .tU-Z4(�f 15•c22rrgiL �_��_lu D,DII m-71L- Z-15-13 I0.10mg1L G"ZL13 10•-76It. Z-Zr3 tU U, D15rnQ/L jcrZ!-i3 13-,e5rngit b•Z� 13 O.Gt�m /L Z-Z5-14 rZ•-74 M41t- G-trd-t4 iu•�4mtlt 6 Are the monitoring wells listed In section 5 located at or beyond the review boundary? YES IT If the answer Is "YES", a groundwater quality problem maybe occurring. CONTACT THE REGIONAL . OFFICE IMIWE®IATELYt FOR GUIDANCE If the answer is "NO", monitoring wells may be Improperly located; contact the Regional Office. i Us the permittee implementing previously approved actions required by the Division Involving this YES!�® groundwater quality problems? If the answer to question 7 is "YES", describe those actions in the space provided below. if the answer to question 7Is "NO", contact the Regional Office within 90 days• an evaluation may be required to determine the Impact the waste disposal system Is having at the review and corngllance boundaries surrounding this facility. Failure to do so ®nay sublect the pertnittee to a Notice of Violation, Fines, and/or penalties. Tine Tc�C 16-} pi Willy hi5h a4 %-kme5 in q,ll rrf--nitor! n� k,cb • VoC al�lly�e5 i n Qcicbe� are nioicvlCall) all 1P-55Vaf)det'e�tCn- VM are- Cuffei-\-l9 uOUA u,i ,-Doz-Ockvo +0- c.raluc6teCl\rcrYitam i5d u�5- 4)i\liol�iG,� have he>'r1 t�[ le ad �rv2 i a20 8 the person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GW 59 forms for required wells to the address provided at the top of the current Gi1l159 form. :1'tteP�b�;�c�n®earl®fig® i� r}hagth®�cie'_6nf®Pri�gloat;���:raiil�aat�c!`" `d �_ �. �- • Y . _ �:. = • .:. _ el0 h��daitl`o�ia�gig[r=�ta�r� tt FRI. r®p® ®p®et.�FfN���A):.kMM;Laaind�e�®m�0® $h® `® t�,, f� ,(G®tnpllanc®�rtt® s Si nature of Permittea (or Authorized Agent) ®ate GAV-59A 12/8/2003 i _l GROUNDWATER QUALff Y MONOTORWG: COMPLIANCE REPORT FORM Facility Name:( Permit Name (if di Well Location/ Site SUBMIT FORM ON !ELL_qV_V PAPER ONLY Please Print Clearly or Type County -"I`J7- Telephone lf:_Z�7-5Z1! No. of Wells to be Sampled: Well Identification Number (from Permlti: Far Groundwater Treatment Systems Well Depth: ft. Well 11 ameler•: in. Glyecfc One: ® 9rt$Itlarf�� Q9�) Screened Interval: 3 ft. to SS R Depth to Water Level: F �ft. below measuring point. ®EffIDt'ng (gg) Measuring Point (M.P.) is: Z 5 It. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: 5 Da a sample collected: Z-25-15 Field analysis: pH U• [� 9 , Specific Conductance I �i (n uMhos Temp. /q "C.Odor CO-C Appearance doudV. PARAMETERS (Samples for metals were collected unfilte COD mg/I Coliform: MF Fecal < I /100m1 Coliform: MF Total /100m1 (Note: Use MPH method for highly turbid samples) Dissolved Solids: Total <90 mg/I pH (when analyzed) ' I • &Cf units TOC i ©. Zy mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Phenol mg/I Sulfate mg/I Specific Conductance— 14(p yMhos Total Ammonia mg/I TKN as N mg/1 Rev. os/annn DEPARTMENT OF ENVIRONMENT IL NATUQAt_ 13CRouAcc2 WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT V: EXPIRATION DATE: 1-31-7620 Non -Discharge 0g000 f O 419 UIC NPDES L1C_0D5Zn_) TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon -Remedialion: Infiltration Gallery Spray Field Remedialion: Rotary Distributor Land Application of Sludge Other. OT • Values should reflect dissolved and colloidal concentrations. Date sample analyzed: z z6-i'3 Laboratory Name: _ &-nUf r G17 I M .T' ill[ Certification No. red__ /N YES NO and field acidif Nitrite (NO2) as N mg/I Nitrate (NO3) as N 0. Z') mg/I Phosphorus: Total as P mg/I Orthophosphate -- 0. C��Z. Al - Aluminum mg/I Ba - Barium mg/I Ca - Calcium mg/1 Cd Cadmium mg/I Chromium: Total (-0, 005 mg/l Cu - Copper <0.010 mg/I Fe - Iron mg/I I-Ig - Mercury mg/I K - Potassium mg/1 Mg - Magnesium mg/l Mn - Manganese mg/I led A YES NO) Ni - Nickel Mg/I Pb - Lead Mg/1 Zn' - Zinc Mg/I Ammonia Nitrogen 0•5-) mg/1 Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method 1). Attach lab report.) (Report Attached? Yes (1) No (®) VOC method I= method Il : method 0 = - a j GROUNDWATER Qa.DALtTY MON9TORING: COMPIL LANCE REPORT FORM Facility Name: - Permit Name (if Well Location/ Site Name: SUBMIT FORM ON Y_ E LOW PAPER ONLY Please FriW Clearly or Type County r i i--F Telephone if:. 26Z-5ZL1-5' No. of Wells to be Sampled: ................ Well Identification Number (from Permit): 10 For Groundwater Treatment Systems Well Depth: IV, ft. Well Diameter: Z in. CheclrOne: ® Inf,luent (98) Screened Interval: •Z it. to 19 ft. . ® Effluent (99) Depth to Water Level: `5 ft. below measuring point. Measuring Point (M.P.) is: 3 It. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: 5 Date sample collected: ZZ5-ID Field analysis: pH u •20 , Specific Conductance 4, 9. ) - • uMhos Temp. ICU °C, Odor Want= Appearance DEPARTMENT 0V RUVIAOMMENT tZ NATURAL HES®UR10W WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL, SERVICE CENTER PERMIT 0: EXPIRATION DATE: 1.61 ZDZO Non -Discharge "P1000IOLKI? UIC NPDES 114OD&E TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon - Remediatton: Infiltration Gallery Spray Meld Remediation: Rotary Distributor Land Applicatiori of Sludge Other. Ng —IL Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: TZ55-I5 - Laboratory Name: I/ 1 nO Certification No. PARAMETERS (Samples for metals were collected unfiltered i YES' NO and field acidified COD Coliform: MF Fecal < I mg/I, /1 OOmI Nitrite (NO2) as N Nitrate (NO3) as N G I m /1 mg/I Coliform: MF Total /100ml Phosphorus: Total' as P mg/I (Note: Use MPH method for hlghly turbid samples) Orthophosphate D • 0Z mill Dissolved Solids: Total 3 1 mg/1 Al - Aluminum mg/I pH (when analyzed) I--7O units Ba - Barium mg/1 TOC _ ►3. �I I mg/I Ca - Calcium mg/1 Arsenic mg/I mg/1 Cd - Cadmium Chromium: Total O Oi Ca m mg/1 g Grease and Oils mg/1 Cu - Copper 0.010 mg/l Phenol. Sulfate mg/I Fe - Iron rng /➢ Specific Conductance G S -1 mg/I uMhos 1-Ig - Mercury K - Potassium mI mg 1 Total Ammonia mg/1 Mg - Magnesium mg/I TKN as"N mg/1 Mn - Manganese mg/I YES NO) Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc rng/I Ammonia Nitrogen 0.09 mg/l Other (Specify Compounds and Concentration Units) (ORGANICS: (GC,GC/MS,I-IPLC) (Specify test and method 0. Attach Ian report.) Repolit Attached? Yes (1) No (0) O/OC : method # = : method 0 = GROUNDWATER QUAL ffV M0NffORNG: COMPLIANCE REPORT FORM Facility Name: - Permit Name (if Well Location/ Site Name: SUBMIT FORM ON YELLOW PAPER ONLY Please Print Clearly or Type County - `►'dui-1- Telephone 19: ZfZ- 5Zu-'� No. of Wells to be Sampled: Well Identification Number (from Permit): I LF F®r Groundwater Treatment Systems Well Depth: 13 ft. Well Diameter: Z in. Checit one: Screened Interval: �_ It. to 1-3 It. ® Irinfluent( 98 ) .Depth to Water Level: C• 5 ® Effluent (99) t4. below measuring point. Measuring Point (M.P.) is: Z- It. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/balled before sampling: S Dale sample collected: Z2515 Field analysis: pF( �'`•l(-1 , Specific Conductance <3.5 uMhos Temp. 1-3 °C, Odor ► cif Appearance Gl0(.1 Cif/, DEPARTMENT OF ENVIR6NMI:NT A NA` UAAL ncc®uraec-9 WATER QUALITY DIVISION, GROUNDWATER SECTION 1696 MAIL SERVICE CENTER PERMIT ll: EXPIRATION DATE: 1-31-71)7_0 Non -Discharge _L 00ynDQ l0Lj(�UIC NPDES TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedialion: Infiltration Gallery Spray Field Remedialion: Rotary Distributor Y Land Application of Sludge Other. NOTE: Values should reflect dissolved and colloidal concentrations. Date sample analyzed: Z Z5 15 Laboratory Name: FM)f0Drr16'1a a, ing, Certification No. PARAMETERS (Samples for metals were collected unfiltered__ X YES NO and field acidified COD Coliform: MF Fecal < I mg/I 1100ml Nitrite (NO2) as N Nitrate (NO3) as N m /1 7.�D mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPH method for highly turbid samples) Dissolved Solids: Total LA (_v Orthophosphate <a n I mg/I pH (when analyzed) 5:1 U mg/I units Al - Aluminum Da - Barium mg/I mg/I. TOC Chloride mg/I Ca - Calcium mg/I Arsenic mg/I mg/I Cd - Cadmium Chromium: Total mg/l 8•�D mg/l Grease and Oils mgll Cu - Copper CC9.010 mg/I. Phenol Sulfate mg/I Fe - Iron mg/I Specific Conductance 23 5 mg/I uMhOS Hg - Mercury K - Potassium mg/I mg/l Total Ammonia mg/I Mg - Magnesium mg/I TIN as N mg/l Mn - Manganese mg/1 YES NO) Ni - Nickel mg/I Pb - Lear] mg/I Zn - Zinc mg/I Ammonia Nitrogen C. &S Mg/1 Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method 0. Attach lah reporra.) Report Attached? Yes (1) No (®) VOC method ll = : method # = method # _ fin- GVV-59 Rev- n9/9nnn ni or type &Z5-/5- SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUAUTY Vl OMTORING- COMPLY ANCE REPORT FORM Please Prlrrf Clearly or 'type Facility Name:_ Permit Name (if i FAcilily. Address: tchy)wf `"°`J L County 1' 1-1. 1- Contact Person:- Telephone fl: Z52--SZLI Well Location/ Site Name:1No. of Wells to be Sampled: Well Identification Number (from Permit): 1,5 For Groundwater Treatment Systems Well Depth: � ft.. Well Diameter: Z. in. Check One: ® IrtfluJfrf�t Q91�D Screened Interval: � ft. to � ft. ®�fflltet�t (��) Depth to Water Level: ft. below measuring point. Measuring Point (M.P.) is: 16 ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/balled before sampling: 6 Date sample collected: Z-Z5-1-5 Field analysis: pN 9- 11 , Specific Conductance 57. 1 uMhos Temp. 15°C, Odor nand Appearance _ C1 C`UCIv DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT 0: EXPIRATION DATE: _I-31-ZO?C) Non -Discharge h' OQDQ 1349 UIC NPDES - P GC03ZbM • TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Ramediation: Infilfralion Gallery Spray Field- Remedialion: Rotary Distributor Land Application of Sludge -Other. NOTE: values should reflect dissolved and colloidal concentrations. Date sample analyzed: Z 75-1'i Laboratory Name: ' F �rftf)-I- Z I '1 nC. Certification No. PARAMETERS (Samples for metals were collected unfiltered X YES NO and field acidified COD Coliform: MF Fecal - < I mg/I /1 OOml Nitrite (1102) as N Nitrate (NO3) as N - 0 I`J mg/I mg/I Coliform: MF Total /1 OOml Phosphorus: Total as P mg/I (Note: Use MPH method for highly turbid samples) Dissolved Solids: Total gZ mg/I Orthophosphate a. o I Al - Aluminum mg/I pH (when analyzed) y I 1 units Ba - Barium mg/1 mg/l.- TOC -- 1 -W mg/I Ca - Calcium mg/l Chloride Arsenic mg/I mg/I Cd - Cadmium Chromium.: Total 0 -CC(,g mg/I mg/l, Grease and Oils Phenol mg/I Cu - Copper_ <0, OIO mg/I Sulfate mg/I mg/I Fe - Iron I-Ig - Mercury mg/l mg/I Specific Conductance 62. ) uMhos K - Potassium mg/I Total Ammonia mg/I Mg - Magnesium mg/l TKN as N mg/I Mn - Manganese mg/l YES NO) Ni - Nickel mg/l Pb - Lead mg/I Zn - Zinc mg/l Ammonia Nitrogen 0. 10 mg/l Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method 1). Attach lab report.) Report Attached? Yes (I) No QO) VOC : method 8 = : method 0 = SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALOTY MOMTORINO: COMPLIANCE REPORT [FORM - FACILITY INFORMATION Please Prdne Clearly or Type Facility Name:- C'CF1- e -4ntcL m- 6D Permit Name (if different): Well Location/ Site Name: County `I' i-J'r Telephone #: &5Z- 5ZO-559�1 No. of Wells to be Sampled, 5 Irom P¢rm1Y Well Identification Number (from Permit): i C � For Groundwater Treatment Systems Well Depth: i b ft. Well Diameter: in. Screened Interval: 5 ft. to _ i C2 t Checic One: ® IrtfflL9ir t Q9 ) Depth to Water Level: Co ft. below measuring ®Bgf,la�et�t (gg) g point. Measuring. Point (M.P.) is: .7- It. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped ailed before sampling: J ` Date sample collected: Z-Z5-15 Field analysis: pH 4, Specific Conductance ) 4(o uMhos I I Temp. °C, Odor nMe Appearance LPaC DEPARTMENT OF ENVIRONMENT & NATURAL RE80U9CE9 WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT t#: EXPIRATION DATE: I-31-ZL W Non -Discharge_ y:00 C)CI�; UIC NPDES1jC-C 05Zn_) APE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedialion: Infiltration Gallery Spray Feld . Remediation: Rotary Distributor- %L Land Application of Sludge other: OT • Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: Certification No. PARAMETERS (Samples for metals were collected unfiltered� YES NO and field acidified COD Coliform:. MF Fecal < mg/I /100MI Nitrite (NO2) as N Nitrate (N021) as N <'a nLl mg/I mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total G- Orthophosphate O Q ( mg/I pH (when analyzed) 4.5ta mg/I units Al - Aluminum Ba - Barium mg/I mg/I TOC _ 1). ZL1 Chloride mg/I Ca - Calcium mg/I mg/I mg/I /I Cd - Cadmium Chromium: Total �O C35 mg/I mg/I 9 Grease and Oils Phenol mg/I Cu -Copper �O..C�IQ mg/I . Sulfate mg/I mg/I Fe - Iron Hg - Mercury mgA mg/I Specific Conductance 14(.E uMhos K - Potassium mg/I Total Ammonia mg/I Mg -Magnesium f�g/I TKN as N mg/I Mn - Manganese mg/1 YES NO) Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Ammonia Nitrogen_ 0• i-7 mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,I-IPLC) (Specify test and method 0. Attach lab repore.) . Report Attached? Yes (1) No (0) VOC : method 9 = : method #/ = C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 ID#: 416 DATE COLLECTED: 02/25/15 DATE REPORTED : 03/18/15 REVIEWED BY: Well Well Well Well Well Analysis Method PARAMETERS #9 #10 #14 #15 #18 Date Analyst Code Fecal Coliform (MF), /100 Mls < 1 < 1 < 1 < 1 < 1 02/25/15 SDB 9222D-97 Ammonia Nitrogen as N, mg/1 0.57 0.08 0.05 0.10 0.17 02/26/15 SEJ 350.1 R2-9: Nitrate Nitrogen as N, mg/l 0.27 0.91 2.70 0.17 <0.04 02/27/15 KDB 353.2 R2-9: Total Organic Carbon, mg/l 10.24 3.41 1.63 10.44 7.24 02/27/15 SEJ 531OC-00 Total Dissolved Residue, mg/l 80 31 46 82 93 02/26/15 LW 2540C-97 Copper, ug/1 < 10 < 10 < 10 < 10 < 10 03/06/15 LFJ EPA200.7 Total Chromium, ug/1 <5.0 10 <5.0 6 <5.0 03/06/15 LFJ EPA200.7 Total Ortho-Phosphate as P, mg/1 0.02 0.02 <0.01 0.01 <0.01 02/26/15 SEJ 450OPE-99 I'� t? Ti,noriilr popmt� I],, j] oncmv-f p goMWO-1 Drinking Water ID: 37715 - "°" qr Wastewater ID: 10 P. .µBOX 7085,E 114 OAKMONT DRIVE 10N �� } rJr. GREENVILLE, N.C. 27835-7085 FAX (252) 75P C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Conductivity (at 25c), uMhos/cm ID#: 416 X DATE COLLECTED: 02/25/15 DATE REPORTED : 03/20/15 REVIEWED BY: 5 __ Well Well Well Well Well Analysis Method #9 #10 #14 #15 #17 Date Analyst Code 146 68.1 83.5 52.1 79.6 03/19/15 CMC 251OB-97 IB E A �OW00ftmgl l� `1117111mm oCl7]��c�-c'] P.O. BOX 7085, 114 OAKMONT GREENVILLE, N.C. 27835-7085 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Well Analysis Method #18 Date Analyst Code Conductivity (at 25c), uMhos/cm 146 03/19/15 CMC 251OB-97 FAX (252) 756-0633 ID#: 416 X DATE COLLECTED: 02/25/15 DATE REPORTED : 03/20/15 REVIEWED BY: / U W — 5 9 A cry 01 M PZLAA1',I C1ZT 1��P0RT i, (0)MU1 +� 0 (:CC) 1(;1-1- ; (NeehU119 QW? dwell fro onitoHis.- yF'arrad nt,h* � F-V-59 foria.%) Enler date monitoring results were due.( °-)-31--1`7) Will this monitorng report (GVV.559 and Glfl -52A) NO be submitted airier the established due data? Was any required Information missing on the GW-59 report forms? YES NO IF the answer to question I or 2 is 'YES" list in the space provided below the well identification numbers) and h explain the problems encountered in obtaining the required information. Are any of the monitor wells in need of repair or maintenance (damaged casing, unlocked mr missing cap, mraissi►cg �(��• �® Identification plate, area overgrown, etc.)? /lthe answer is "Yes", contact the Regional Of ce for guldance. Are any monitored constituents equal to or above the established standards?T gl® if the answer to question 4 is "NO", ship to section B. if the answer to question 4 is "YES"list the affected wells individually with constituent(s) and concentration(s) exceeding standards in the space provided below: 0e)) -#q ToG ;IJ•p.l l� i G CrrG�cil t.l�-Y� o. o i u r,r�j l(., - lFor the constituents identified in questions 4 above, have standards been exceeded previously for the YES NO same constituent(s) in the same wells) in the last team years? �1 if the answer to question 5 is 'NO". skip to section 8. if the answer to question 5 is "YES"; list in the space provided below, each well with constituents) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). i:�el l G TGG 1�� 1I ;i i ©Ca�fOm� larva L-Zlu-13 iiU•7I(�,-IU G.OI1rycfK- (_•CU}fj iG21-i3 iz -%(� r-q I C 1 c,- -ti-1 Z-ZS-ilk Q Gl 5rcc- IL• Z-Z5-10 i-L-7Z1M�iL Z-"L{�-I s ib.zq.nq)(, a ^I ro Zr�l.- o . o t`l nil 1 t.. Are the monitoring wells listed In section 5 Rotated at or beyond the review boundary? YES NO if the answer is "YES", a groundwater quality t1i problem maybe occurring. O®1liiAta9' THE REG1®1N!-dl. OFFICI= Ili9ME®IATE,LYFOR GUIDANCE If the answer is "NO", monitoring wells maybe Improperly /®caged; contact the regional ®ice., 7 IZ the parmittee implementing previously approved actions required by the Division Involving this YES No groundwater quality problem? V If the answer to question i is "YES", describe those actions in the space provided below. if the answer to question 7Is 'WO", contact the 13eolonal Ofce within 90 days• an evaluation rnav be required to determine the impact the waste dlsvosal system Is having at the review and comemaunce boundaries surrounding this facility. Failure to do so may sublect the ®ermittee m a Notice of �lodation fines, andlor oenaldes. 1 h-e-TDC, i0CQk h��)n `;I'1 G11 r��ei�i%`Ii�� G.eltS 4`1 1n� j.yocarV�ly� ; in DC}ob-er ocdlc ctd C�i�in. I�;eQl c rieniI oxfir f-ep 4tb cA-0 -Dij2-;k-�QD. $ the person completing this portion (GW-59A) of the monitoring report should sign below and submit this form with GIRL--59 forms for required wells to the address provided the at top of the current GW 59 form. .@ )O®P��gt;a�ckn®mil®fig® ghat iF�@ 6eoy®_�rtffdPraiatl®ei;tvaj pep. r$.(l�®rnp ®R®p�r4-.G�Il��g� i�i}esi®�a, pi®� ` �4®aei �";;�x>:... y Signature of Pernsittee (or Authorized Agent) ®ate G%V-59A 12/8/2003 SUBMIT FORM ON YELLOW PAPER ONLY ;1PROUJ MDWATER OQ.DAUTJ V MON�TOM NOD C rI MP 1UAMCE REPORT FORM EA COLl T V INFORMATION - - --- Please Print Clearly or Type Facility Name:- rnnientnea. m6—o Permit Name (if different): t= �ilih° Address: Qco I,yl Iff f I`) I -PC) jac (LLM l5treml County Contact Person: C `eJ PrF_ �5rs)ly ll`s�`°� ��01 Telephone tl: � �%-'�Z4 —55S'L1 Welf Location/ Site Name: ��uC'a��C l(]nf �lfl' No. of Wells to be Sampled:_ t6am Pcrtnll� Well Mentificakn Number (from Permit): Ci G=ar Groundwater Treatment Systems Well I]epth: ft. Well Diameter: Z in. Check One: ® 6'nf cent (98) Screened Interval: It. to C9 ft. ® f-fluent (99) Depth to Water Level: r ft. below measuring point. Mieesuring Point (M.P.) is: 5 ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: ' Dale sample collected: �n-Z3-1� Field analysis: pH' S° Z- . Specific Conductance I I •q• uMhos Temp. Z3 °C, Odor n C )e . Appearance _ C'l ouciLy DEPARTMENT OF ENVIRONMENT 81 NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT f): EXPIRATION DATE: 1-31-7020 Non -Discharge is )QC.C.010Ll•�Z UIC NPDES 1�4C0C';37n—) TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon . Remediation: Infiltration Gallery Spray Field Remediation: Rolary Distributor Land Application of Sludge Other. OT • Values should reflect dissolved and , colloidal concentrations. Date sample analyzed: LZ3-I Laboratory Name: _,Eovl (EMMM-j 1 ity— Certification No. PARAMETERS (Samples for metals were collected unfiltered_YES N0 and field acidified COS' mg/I Nitrite (NO2) as N. mg/I Coliform: MF Fecal A00ml Nitrate (NO3) as N n •C mg/I Coliform: MF Total /100ml Phosphorus: Total as P mg/I (6UO2e: Use MPH method for highly turbid samples) Orthophosphate U OLI mg/I Dissolved Solids: Total ,5L1 mg/I Al - Aluminum mg/I pFa (when analyzed) 5. 2g units Ba. - Barium mg/I TOC 1009 mg/I Ca - Calcium mg/I Chloride mg/I Cd - Cadmium mg/I Arsenic mg/I Chromium: Total o. c ' mg/l Crease and Oils mg/I Cu - Copper <G, 010 mg/I Plhenoi mg/I Fe - Iron mgh sulfate :specific Conductance 91.9 mg/I uMhos Hg - Mercury K - Potassium rng/I mg/1 T ota.1 Ammonia mg/I Mg = Magnesium Mg/I KNasN m 11 Mn-M A_ YES NO) Ni - Nickel mg/I Pb - Lead mg/I Zn - Zinc mg/I Ammonia Nitrogen 1- CIU mg/I Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS.HPLC) (Specify test and method 1). Attach la's report.) Repon Attached? Yes —(I) KID (0) yOC : method # = g anganese mgll : method # = method # = `I f �fP•tiY�N v , �r�aw�� SUBMIT FORM ON YELLOW PAPER ONLY G- 1�014/11U®Cll ATER QUAD II ll MONff®R11 G- COMPLIANCE REPORT FORM 17121ICILI u Y INFORMATION Please Prinf Clearly or Type 6 acility Name:- ,6L 1 0_ M6 17 [permit Name (iI different): Fa ilRy Address: (4cPEI tcCounty -- Contact Persan� °(l��'� 11� G� ISlam) ��Dt h Telephone 81: G5Z-5Z�l--55.�, (4 Well Location/ -Site Name: 6 r rl el ci f l No. of Wells to be Sampled: (from Parmll� V1fe11 Identification Number (from Permit): I L' For Groundwater Treatment Systems �Illell Depth: � It. Well Diameter: L in. Checict]ne: ® InflLtefll4 QI��) -Screened Interval: L � ft. to g It. ®���Iaaertt Qg9) Depth to Water Level: j5 ft. below measuring point. Measuring Point (M.P.) is: .3 It. above land surface. Relative M.P. Elevation in ft.: Lallans of water pumped/bailed before sampling: J� Date sample collected: Field analysis: pH tiS � 5 , Specific Condyclance 0-2• 5 uMhos Temp. �.5 °C, Odor i�G�� Appearance c1puci j- DEPARTMENT OF ENVIRONMENT A NATURAL RESOURCES WATER OUALITV DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT 0: EXPIRATION DATE: 1-.�I-70Z6 Non -Discharge 1_=0 0-0- 01 CLI�s - UIC NPDES 1`IC_.GC3Zv) ) TYPE OF PERMITTE0 OPERATION BEING MONITORED Lagoon Remedialton: Infiltration Gallery Spray Field Remediallon: Rotary Distributor Land Application of Sludge Other: OT • Values should reflect dissolved and. colloidal concentrations. Date sample analyzed: (,-?�I Laboratory Name: _f/iuIIof) rnC'n+ --r, I nC-. Certification No. PARAMETERS (Samples for metals were collected unfiltered_LYES NO and field acidified COD Colitorm: MF Fecal mg/I /100ml Nitrite (NO2) as N Nitrate (NO3) as N C. mg/I trig/I <, ! Cofforrn: MF Total /100ml Phosphorus: Total as P mg/I Mole: Use MPN method ror highly turbid samples) Orthophosphate v • C)z mg/I Dissolved Solids: Total 5� mg/I Al -Aluminum mg/I pH 2 (when analyzed) 5 3 units Ba - Barium mg/l TOO 3 ° I mg/I Ca - Calcium mg/I CG�Eoride Arsenic mg/I Cd - Cadmium mg/I Grease and Oils mg/l mg/l Chromium: Total G 14 Cu - Copper <CG G l O mg/l mg/l phenol sulfate mg/l Fe - Iron mg/I Specific Conductance 5Z mg/I LlMhos I-lg - Mercury K - Potassium mg/1 mg/I T ®tat Ammonia mg/I Mg - Magnesium mg/I o E �NPI as N __XJ_ YES NO) Ni -Nickel mg/l Pb - Lead mg/I Zn - Zinc mg/1 Ammonia Nitrogen d • 15 mg/l Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method 0.' Attach lab report.) ReporQ Attached? Yes (I) No (0) 0/OC : method 11= mg/1method 0 at IU�t i ah l Odh9'I]ESt �f M knnwtcr'rnr, nnr1 W, H r u;;, ..,r..— -- ---•- -- .. :._.-._ CW-59 Rev. 0312 t Grl ( or type 15 SUBMIT FORM ON YELLOW PAPER ONLY COME UAMCE REPORTFORM Ff OILI TiY INFORMATION Please Print Clearly or Type. Facili[y Name: rt%t liPt'%i11�'(1Y1�� Permit Name (if di((erent): - Weil Location/ Site Name: County -r i 'art" Telephone 9: 7_57- 5ZQ(- No. of Wells to be Sampled: iftlell Identification Number (from Permit): I (-I For Groundwater Treatment Systems Well Depth: 13 ft. Well Diameter: Z in. Checlrt)ne: ® 9nfflt9eo�Q 96 Screened Interval: L, ft. to I-3 t. Q Depth to Water Level: 0 • 5 ® Effluent (99) I �_fi. below measuring point. ivteasuring Point (M.P.) is: G it. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: 5 Dale sample collected: (�-Z3-I 5 Field analysis: pH 5- ZZ , Specific Conductance l63" (,,uMhos Temp. 25 °C, Odor Ct1 nt Appearance rifui' DEPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES WATER OUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT 0: EXPIRATION DATE: Ki 7n7(_,) Non -Discharge PL DCD C:LI UIC NPDES L1(:CO3ZC_Q`) TYPE OF PFFiMI]±ED OPERATION BEING MONITORED Lagoon Remedialion: Infiltration Gallery Spray Field Remedialion: Notary Distributor Land Application of Sludge Other. OT • Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: - 6_-Z3-15 Laboratory Name:-_Fi(Q')fY_)5n-1 T InC" Certification No. PAE;fMETERS (Samples for metals were collected unfiltered %f YES NO and field acidified X YES r- �.QD Coliform: MF Fecal mg/I /100ml Nitrite (NO2) as N Nitrate (NO3) as N `-I- (-(i mg/I mg/I < I ColHorm: MF Total 1100ml Phosphorus: Total as P mg/I £Note: Use MPN method For highly turbid samples) Orthophosphate � C:" o, I mg/I Dissolved Solids: Total 11)0 mg/I Al - Aluminum mg/l PH (when analyzed) 6'.-1 units Ba - Barium mg/1 TOC Chloride I Lam} mg/I Ca - Calcium mg/I Arsenic rsreg teO�G� mg/I Cd'- Cadmium mg/I .G Ore'c�and ®Its mg/1 mg/I Chromium: Total D. �o� Cu.- Copper <0, CAI C- mg/I mg/I Phenol Sulfate mg/I Fe - Iron mg Specific Conductance mg11 uMhos Hg - Mercury K - Potassium mg/I mg/l Total Ammonia mg/I Mg - Magnesium Mg/1 T KN as NO) Ni - Nickel mg/I Pb - Leans mg/I Zn - Zinc mg/1 Ammonia Nitrogen 0. l (o mg/I Other (Specify Compounds and Concentration Units) (ORGANICS: (GC,GC/MS,HPLC) (Specify test and method lf. Attach lab report.) Repon Attached? Yes (I) No (0) y®C : method # = method#= method#= r. _-- SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MOWORNG- O MPUANCG REPORT FORM i-A.QOL0 T V INFORMATION Please Print Clearly or Type Eacilihj Name: Permit Name (if difjferent): • is �� 1 County .aP (cavD Contact Personr)-8 5rn1�4(+"r r L Telephone !#: Weli Location/ Site Name: I M66PCF��1lrk�t �f7 IG i a No. of Wells to be Sampled: „15 Afell Identification Number (from Permit): 1 'D Far Groundwater Treatment Systems Weil Depth: it. Well Diameter: G in. Check One: ® Ir9GILlentt (98) Screened Interval: 7 it. to e t. Depth to Water Level: &"'S ft. below measuring point. ®I=fglt�art�t (��) ieasuring Point (M.P.) is: Z 5 It. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: J Dale sample collected: 6-43-1 Field analysis: pH �A.__)') , Specific Conductance I (a9 uMhos Temp. Zc °C, Odor nag'�-' Appearance C—loudU. DEPARTMENT OF ENVIRONMENT 81 NATURAL RESOURCES WATER ®UALrry DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT 13: (EXPIRATION DATE: 131-7ao Non -Discharge L'_YQ`OCO I ' UIC NPDES NIGC.(`31b_)__) TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedialion: Infiltration Gallery Spray Field - Remedialion: Rotary Distributor '2 Land Applicattori of Sludge Other t7TE: Values should reflect dissolved and . colloidal concentrations. Dale sam(ole analyzed: LaboratoryName: T��r I Of ym�r> I J (IBC Certification No. _ PARAMETERS (Samples for metals were collected unfiltered r YES NO and field acidified COO mg/I Nitrite (NO2) as N mg/1 Coliforrn: MF Fecal C I /100ml Nitrate (NO3) as N cL. GPI mg/I Coliforrn: MF Total /100MI Phosphorus: Total as P Ing/1 (Note: Use MPN method for highly turbid samples) Orthophosphate <0 • o I mg/I Dissolved Solids: Total I, log mg/I Al - Aluminum mg/I pit (wizen analyzed) -- �I.�7 units Ba - Barium mg/I TOO Chloride mg/l Ca - Calcium mg/I mg/l Cd - Cadmium mg/I Arsenic mg/1 Chromium: Total C). C05 mg/1 Grease and Oils mg/l Cu - Copper mg/l Phend mg/l Fe - Iron mg/I SuUaie Specific Conductance mg/l uMhos Hg - Mercury K - Potassium mg/I mg/I I ll Total Ammonia mg/I Mg - Magnesium mg/1 TKN as N mg/I Mn - Manganese mg/1 YES NO) Ni - Nickel mg/I Pb - Leant mg/I Zn - Zinc mg/1 Ammonia Nitrogen n'L- ? mg/1 Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Specify test and method f l: Attach lab report.) Report Attached? Yes (I) No - (U) VOC method 0 method 0 = method # = SUBMIT FORM ON YELLOW PAPER ONLY GGu',OUNDWA ER OUA►UTY 6tlllONFOR NG- O lillPUANCEC REPORT FORlllli Please Print Clearly or Type Facifihr Name: — Permit Name (if L crb;»c' County (06v) 1 0_lec �fYll l �l�Pl r antact Person: J Telephone I#: Weli Location/ Site Name: No. of Wells to be Sampled: Well Identification Number (from Permit): I �11 Far Groundwater Treatment Systems Depth: .10 ft. Well Diameter.. Z, in. Sbreened Interval: 5 ft. to ID k' Checlt0ne: ® lnffluerlt (90) ��. Q99� Depth to Wafer Level: ft. below measuring point. ® Gffluerlt Measuring Point (M.P.) is: G It. above land surface. Relative M.P. Elevation in It.: Gallons of water pumped/bailed before sampling: 5 Date sample collected: I field analysis: pFl `I (° , Specific Conductance f J uMhos Temp. 15 °C, Odor ncil"e Appearance CIOU:CW DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT 0: EXPIRATION DATE: 1-31i 702M Non -Discharge k)Q00C11049 UIC NPDES P. CCO __ PE OF PERMITTED OPERATION BEING MONITORED ,Lagoon Remedialion: Infiltration Gallery Spray Field _`� Remedialion: Rotary Distributor T, Land Application of Sludge Other: - NOTE: Values should refleca dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: L.nN l rC%n Men ,F) InC Certification No. _ PARAMETERS (Samples for metals were collected unfiltered YES NO and field acidified COIF mg/1 Nitrite (NOZ) as N mg/1 Coliforrn: MF Fecal I /100ml Nitrate (NOs) as N <G. O� 1 mg/l C oliform: MF Total /100ml Phosphorus: Total as P mg/l Note: Use MPN method For highly turbid samples) Orthophosphate O . r✓ /. mg/l. Dissolved Solids: Total I C1) mg/I Al - Aluminum mg/1 pH (when analyzed) 4.15(11 units Ba - Barium mg/l TOO 0.17 mg/l Ca - Calcium mg/l Chi®ride mg/l Cd - Cadmium mg/l Amenic mg/1 Chromium: Total C-),o -7 mg/l Grease and Oils mg/l Cu - Copper c),Oto mg/1 Phenol mg/1 Fe - Iron mg/l SuHate Specific Conductance I_ , 5 mg/1 uMhos 1-19 - Mercury K - Potassium mg/l mg/l a otal Ammonia mg/1 Mg - Magnesium mg/l I KN as N mg/1 Mn - Manganese mg/l V YES NO) Ni - Nickel mg/l Pb - Leant mg/l Zn - Zinc mg/1 Ammonia Nitrogen O-Z3 mg/l Other (Specify Compounds and Concentration Units) ORGANICS: (GC;GC/MS,I-IPLC) (Specify test and method 0. Attach lob report.) Report Attached? Yes (I) No (0) VOC : method 11= .. method 0 L±.i rvl.ah.fn•lho heel ni rnPi Lnw...l..:l:.�--.��_c._r .. �._.._ ... ..-'-----.r.+_�e4 .. for GVY-5g yeti. or type C:. -- . d_ 1-I 5 ,Dale) aUNIME&W 1,1911wa, �at�aa GREENVILLE, N.C. 27835-7085 FAX (252) 756-0633 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON ,NC 28530 PARAMETERS Fecal Coliform (MF), /100 Mls Ammonia Nitrogen as N, mg/I Nitrate Nitrogen as N, mg/l Total Organic Carbon, mg/l - otal Organic Carbon, mg/l 'otal Dissolved Residue, mg/1 Total Chromium, ug/l Copper, ug/l Conductivity (at 25c), uM[hos/cm Total Ortho-Phosphate as P, mg/l ID#: 416 DATE COLLECTED: 06/23/15 DATE REPORTED : 07/15/15 REVIEWED BY: Well Well Well Well Well Analysis Method #9 #10 #14 #15 #18 Date Analyst Code < 1 < 1 < 1 < 1 < 1 06/23/15 LW 9222D-97 1.04 0.15 0.16 0.49 0.23 06/25/15 RND 350.1 R2-93 0.07 0.58 4.64 <0.04 <0.04 06/24/15 RND 353.2 R2-93 10.08 3.51 1.64 7.17 06/29/15 SEJ 531OC-00 5.76 07/07/15 SEJ 531OC-00 54 50 70 168 107 06/24/15 SDB 2540C-97 5 14 8 <5.0 7 07/02/15 LFJ EPA200.7 < 10 < 10 < 10 < 10 < 10 07/02/15 LFJ EPA200.7 81.9 52.5 63.6 169 135 06/25/15 CMC 251OB-97 0.04 0.02 <0.01 <0.01 0.02 06/25/15 SEJ 450OPE-99 rOARN1 ��°uir�➢L t��1'GCn`�� ti`'� ffurbfals sue each in aPblea,Fin g pasliaFd iolelS �fsr[���y�F•rdJ.r°�' — Enter date monitoring results were due. (I I-;c.i l�I l U is r,u®niBorl�g eepo1 (Gtli/=59 and Gtlkf=a91�) Cie submitted after the established due dat®? Was any required information missing on the GW-59 report forms? YES NO IF the answer to question I or 2 is "YES", list in the space provided below the well identification number(s) and explain the problems encountered in obtaining the required information. � � d nc; re-cew e- r eb ali6 vcira-n ca n►macicii I ah a rn�t i i tz-i5. Are any+ of the monitor wells in need of repair or maintenance (damaged casing, unlocked or missing cap, missing YES NQ identification plate, area overgrown, etc.)? Ythe answer is "Yes". .contact the Regional Ofce for guidance. Are any monitored constituents oqual to or above the established standards? Y NO If the answer to question 4 is ONO", skip to section B. if the answer to question 4 is "YES" list the affected wells individually with constituent(s) and concentrations) exceeding standards in the space provided below. . tL)e[1-0 0 Chfomn Lkirn IZ u9.1(- for the constituents Identified in question 4 above, have standards been exceeded previously for the YES NO same constituent(s) In the same well(s) In the last two years? �! If the answer to question 5 is "N0", skip to section 8. if the answer to question 5 Is "YES", list in the space provided below, each well with constituents) exceeding standards, concentration(s) reported, and sample collection date for each occurrence (for the last two years). tjel1 #10 C-)iG-ij!e`n to ugi (. Z-z ts( t6uq1( - 6 Are the monitoring wells listed In section 5 located at or beyond the'review boundary? YES Mg 7, . If the answer is "TIES", a groundwater quality problem may be occurring. CONTACT THE REGIONAL OFFICE Ill/iME®IATELYFOR GUIDANCE. if the answer is `740". monitoring wells maybe Improperly located; contact the (regional Office. i Os the permittee implementing previously approved actions required by the Division Involving this Y 8 NO groundwater quality problem? If the answer to question 7 is "YES", describe those actions in the space provided below. if the answer to question 7 Is "NO", contact the Regional Office within 90 dabs; an evaluation may be required to determine the impact the waste disposal system is having at the review and compliance boundaries surrounding this facility. Failure to do so may sublect the permittee to a Notice of Qldolatiore fines, and/or penalties. D �Z-.+Q� -0 c�tQ\UQJC(�ChfCrNL[rn lL Q i��1p., 8, the person completing this portion (GW-59A) of the monitoring report should sign below and submit this forme with GW-59 forms for required wells to the address provided at the top of the current GW-59 form., .y... . _ .,l� a�_thi��bi®y®•:Ingm�eeii�tl®e� c�ra�s ���luagmd;�leal ghe:ln�oemagta�n.���ett 4teid. n�iisx.�� >,, r Wit.---„•:- ,.1�- .irep®rt.(�ornpli�ei6® pd® orb G�ftf;S�`; ii®end®r�i I®t�` �'. . •' "� p ): �>}f_ fLU �f IZ-Z--6 Signature of permitte® or Authorized Agent) 4 i� ) ®ate GW-59A 12/8/2003 GROUNDWATER QU Ail. TY MONHORING- COMPL0ANCE REPORT FORM Facility Name: COn } 6-) Permit Name (if di event): FeCility Address: 1 C (� IT r IC,rI tcuyl PnC�' `�?1 Conlact Person: Well Location/ Site Name:`0A SUBMIT FORM ON YELLOW PAPER ONLY Please Prinl Clearly or Type County `r ► IT Telephone il: No. of Wells to be Sampled: Well Identification Number (from Permit): C1' Ivor Groundwater Treatment Systems Well Depth: � ft. Well�iameter: �- in. Check®ne:® Irafluerrat(98) Screened Interval: it. to It. Depth to Water Level: ? ft. below measuring point. ® Effluent (99) Measuring Point (M.P.) is: Z,5 It. above land surface_. Relative M.P. Elevation in It.: Gallons'of water pumped/bailed before sampling: 5 Date sample collected: IQ-Z2-1'� Field analysis: pr0_l• 5Z- , Specific Conductance R3,1-I uMhos Temp. `7--:Z °C, Odor gone. Appearance lJC_clCl"{ DEPARTMENT Of: ENVIRONMENT A NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 11636 MAIL SERVICE CENTER PERMIT If: EXPIRATION DATE: 13)-ZbZ( Non-Discharge_LiG^OIC� UIC NPDES _MCCf 37-C7- TYPE OF PFF EFD OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field Remediation: Rotary Distributor _ _G� Land Application- of Sludge Other: ®TF, Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: IC­7_3-+'5 Laboratory Name: _FD,7i on ) _, _T InC Certification No. 1CD PARAMETERS (Samples for metals were collected unfiltered X YES NO and field acidified COD Coliform: MF Fecal mg/I /100ml Nitrite (NO2) as N Nitrate (NO3) as N r). ail mg/I mg/I I Coliform: M1= Total /100m1 Phosphorus: Total as P mg/I (Note: Use MPH method for highly turbid samples) Dissolved Solids: Total 53 Orthophosphate O. Cf mg/I pH (when analyzed) 52 mg/I units Al - Aluminum Sa - Barium mg/I mg/I. TOC Chloride 5;32. mg/I Ca - Calcium mg/I Arsenic mg/I Cd - Cadmium mg/I Grease and Oils mg/I mgA ChrornluI n: Total (c: �'xc )-) Cu - Copper , ,c")►C mg/I mg/I Phenol Sulfate mg/I Fe - Iron rng/ Specific Conductance 20 • c,l mg/I uMhos Hlg - Mercury K - Potassium mg/I mg/I . Total Ammonia TKN as N mg/I Mg - Magnesium faro/1 mg/I Mn - Manganese rn'/1 YES NO) Ni - Nickel mg/I Pb - Leant mg/I Zn - Zinc lrtg/I Ammonia Nitrogen— P .1 (.r mg/l Other (Specify Compounds and Concentration Units) ORGANICS: (GC-.GC/MS,FIPLC) (Specify test and method U.,Attach lab report.) Report Attached? Yes�(1) No (®➢ O/OC : method 0 _ method 0 = Iff cart- that, to the best f " _-. �- i� fy 0 my knowlarina anri hpri;r rho ��r,,. ' - _ -• ° � _---.- - �_- -_..._ .- - - _- - _ - SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALITY MONITORING - COMPLIANCE .REPORT FORM FACILITY INFORMATION Please PPlrrf Clearly or Type Facility Name: Cbn+ef-�-H-)ax r y)6D Permit Name (if different): County Contact Person--lLen'I�-I� ISW`°' `LD1 �� < �< Telephone tl: ��-�71-�-�.. Well Location/ Site Name- G-I� Fi eIrJ i:� I -I No. of Wells to be Sampled: Well Identification Number ((rom Permit): 1C3 t or GroundwaterTreatmenl Systems Well Depth: 119 ft. Well�Piameler- Z in. Checicone: ® finfluent (98) Screened Interval: Z It. to `� ft. ® Effluent 99 Depth to Water Level: S ft. below measuring point. Measuring Point (M.P.) is: ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pumped/bailed before sampling: _5Date sample collected: ICS-2`2—I'S Field analysis: pH , u �J , Specific Conductance uMhos Temp. Z:I °C, Odor Appearance C1CU-61y PARAMETERS (Samples for metals were collected unf COD mg/I Coliform: MF Fecal < 1 /1 00ml Coliform: MF Total /100ml (Note: Use MPH method for highly turbid samples) Dissolved Solids: Total qD mg/I pH (when analyzed)_ U•5 units TOC i '7Gj mg/I mg/I Arsenic mg/I Grease and Oils mg/I Phenol mg/l Sulfate mg/1 Specific Conductance L1 uMhos Total Ammonia mg/I TKN as N mg/I DEPARTMENT OF ENVIRONMENT th NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1635 MAIL SERVICE CENTER PERMIT €l: EXPIRATION DATE: f 3.1-71-2o I Non -Discharge (OC G(D IDLI , UIC I NPDES HC00370_)_) TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remediation: Infiltration Gallery Spray Field Remedialion: Rotary Distributor Land Applications of Sludge Dlhen NOTE: Values should reflect dissolved and'. colloidal concentrations. Date sample analyzed: Laboratory Name: nn �C�r'Y�Fi1t 7�)C Certification No. l iJ lered J\ YES NO and field a-cidifled Nitrite (NO2) as N mg/1 Nitrate (NO3) as N n . ice mg/I Phosphorus: Total as P mg/I Orthophosphate 0 C.33 , mg/I Al - Aluminum mg/I Ba - Barium ITIg/I Ca - Calcium mg/1 Cd - Cadmium mg/I Chromium: Total c? . C + Z mg/I Cu - Copper <p. 010 mg/I Fe - Iron rng/I Hg - Mercury mg/I . K a Potassium mg/I Mg - Magnesium mgh Mn - Manganese mg/I Y YES NO) Ni - Nickel rng/I Pb - Learl mg/I Zn - Zinc l�Tgll Ammonia Nitrogen- <c'04- mgh Other (Specify Compounds and Concentration Units). (ORGANICS. (GC,GC/MS,HPLC) (Specify test and method ll. Attach lab repora,) Reparl Attached? Yes .� 0) No (0) VOC method 0-= method Il = method a i SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUAU-Il Y M'OMTOMNG: COMPLMNOIE REPORT FORM FACILITY INFORMATION please PrIne Clearly or Type Facility Name:- ' n} Yi`An y-n6 ) Permit Name (if different): _ Well Location/ Site Name: County ill-I-J- Telephone 0:127-5al-79 No. of Wells to be Sampled: Well Identification Number (from Permit): 10 Well Depth: i3 t=or Groundwater Treatment Systems P it. Well Diameter: Z. in. ChechOne: ® Inffluent (90) Screened Interval: it. to I � ft. Depth to Water Level: 16 ft. below measuring point. ® Effluent (99) Measuring Point (M.P.) is: 7-ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water Pumped/bailed before sampling: '15 bate sample collected: )c;Z�2-I� Field analysis: PH Q. to Specific Conductance 4Mhos Temp. 21°C, Odor l m Appearance Pl .I DEPARTMENT OF ENVIRONMENT Ili NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT 0: EXPIRATION DATE: )-31 ZL_ Non -Discharge l00, '001CUUIC NPDES DPE 9F PERMITTED OPERA71ION BEING MONITORED Lagoon Remedialion: Infiltration Gallery Spray Field Remediatlon: Rolary Distributor T Land Application of Sludge Other. NOTE: Values should reflect dissolved and colloidal concentrations. Date sample analyzed: 1Cr7_(,�- 15 Laboratory Name: _Fi-wi r0f'l1`( 1-F �; Ili. Certification No. I C) PARAMETERS (Samples for metals were collected unfiltered �� YES" N® and field acidified C®® mg/I Coliform: MF Fecal I /100m1 Coliform: MF Total /100ml (Note: Use MPN method for highly turbid samples) Dissolved Solids: Total �i-3 mg/I pH (when analyzed) LI . units TOC I mg/I Chloride mg/I Arsenic mg/I Grease and Oils mg/I Phenol mg/I Sulfate mg/l Specific Conductance uMhos Total Ammonia mg/I TIN as N mg/1 Nitrite (NO2) as N mg /1 Nitrate (NO3) as N 1 , i mg/I Phosphorus: Total as P mg/l Orthophosphate Cq-n I mg/l Al - Aluminum mg/I Pa a Barium mg/I Ca - Calcium mg/1 Cd a Cadmium mg/I Chromium: Total 0 : C-0(r1 mg/I Cu - Copper < C:, n ► C7 mg/l 1=e - Iron mgn I-Ig - Mercury mg/l K - Potassium mg/I Mg -Magnesium mg/I Mn a Manganese mg/I x YES NO) Ni - Nickel m0/1 Pb - Lean mg/I Zn - Zinc mg/l Ammonia Nitrogen 40.04 rrlgll Other (Specify Compounds and Concentration Units) (ORGANICS: (GC,GC/MS,HPLC) QSpeclfy test and method 0.. Attach 16 report.) Report Attached? lYes V (1) No (T VOC method Q Cf611 �Ifceriify that, to the best of m kn - . __, •_ _� _•_ _, _ , _ , „ y owled ie and belief. the infnrrriat:nn ci 33 �,11r♦ a•: a� SUBMIT FORM ON YELLOW PAPER ONLY COM PLANCIE REPORT FORi,!(Il FACILITY INFORMATION Please PrIng Clearly or Type Facility Name:— Permit Name (if -different): Well Location/ Site Name: i EYE PNLI 4- County rat-rr Telephone 11: 667 57 No. of Wells.to be Sampled: Well Identification Number (from Permit): 1 f7 For Groundwater Treatment Systems Well Depth: ft. Well Diameter: Z. in. chechone: ® lnfluen 96 Screened Interval: 3 ft. to , f . ) Depth to Water Level: 'S ft. below measuring point. ®EfGBLtentl (99) Measuring Point (M.P.) is: Z , 5 It. above land surface._ Relative M.P. Elevation in R.: Gallons of water pumped/bailed before sampling: 5 Dale sample collected: 1G-Z,'—►� Field analysis: pH * JI , Specific Conductance ► G3 uMhos Temp. z-1 °C, Odor CLUOe Appearance r ICLIC%1 DEPARTMENT OF ENVIRONMENT to NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT ll: EXPIRATION DATE: I-Z1-zne U Non' Discharge_LL- YC�IOU f; UIC NPDES IKIQD57 77 TYPE DF PERMITTED OPERATION BEING MONITORED Lagoon Remedialion: Infiltration Gallery Spray Field Remedialion: Rotary Distributor ' Land Application of Sludge Other. COTE: Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name:Il�►(O�r 51�11��,'IrJC Certification No. L PARAMETERS (Samples for metals were collected unfiltered X YES NO and field acidified COD Coliform: MF Fecal < 1 mg/I /100ml ' Nitrite (NO2) as N Nitrate (NO3) as N m /I O I O _ mg/l Coliform: IVI1= Total /100ml Phosphorus: Total as P mg/I. (Note: Use MPH method for highly turbid samples' Dissolved Solids: Total 1 �6Z Orthophosphate O , 01 mg/l pH (when analyzed) 5.1 1 mg/l units Al - Aluminum Sa - Barium mg/l T®C1�� mg/I Ca - Calcium mg/l . mg/1 Chloride Arsenic mg/l Cd - Cadmium mg/1 Grease and Oils Mg/I Chromium: Total f� ,. c �l�� mg/1 Phenol mg/I Cu - Copper �O, Oi G mg/I /I P k YES N®) Ni - Nickel rrtgll Pb - Leant rng>l Zn - Zinc mgll Ammonia Nitrogen O.Ze, mg/1 Other (Specify Compounds and Concentration Units) Sulfate 11j9 . mg1ll e - Iron g - Mercury mg/I mg/1 ORGANICS: (GC,GC/MS,HPLC) Specific Conductance 1 { �? u1V H mg/1 (SPcclfy test and method 1). Attach lmb report.) Repool Total Ammonia mg/I - IUIg - Mac�nesiufTt mg/1 des (J) No Q®� yOC TFZN as N mg/l Mn - Manganese mg/1 � : method if = �2�C(ci-1 :method 11= method 11= . ,i1111111111A.41no Rev.. 03/200D `t SUBMIT FORM ON YELLOW PAPER ONLY GROUNDWATER QUALOTY MOMTORMG- cCOMPLIANDE REPORT FORM FACILITY INFORMATION Please Prinr Clearly or Type Facility Name:- CnnicN-nec - rno Permit Name (if different): Well Location/ Site Name: County i'►' 1'r ,Telephone 0: 'jQ �7-_u-f No. of Wells to be Sampled: Well Identification Number (from Permit): - I 1=or Groundwater Treatment Systems Well Depth: ID ft. Well Diameter-: T• in. ChedcOne: ® Irtfluerlt (96) Screened Interval: - It. to 10 ft. ® Effluent (gg) Depth to Water Level: ft. below measuring point. Measuring Point (M.P.) is: �- ft. above land surface. Relative M.P. Elevation in ft.: Gallons of water pum ed/bailed before sampling: S Date sample collected: IG-7. -1 '5 Field analysis: pH E• Q I , Specific Conductance 130 uMhos Temp. ZO °C, Odor no-M Appearance CYC�f` DEPARTMENT OF ENVIRONMENT to NATURAL RESOURCES WATER QUALITY DIVISION, GROUNDWATER SECTION 1636 MAIL SERVICE CENTER PERMIT €l: EXPIRATION DATE: i-31-"LUZO Non -Discharge 10GCaCf)10(4� UIC NPDES £14l --)QZZU)-) TYPE OF PERMITTED OPERATION BEING MONITORED Lagoon Remedialion: Infiltration dallety Spray Field Remedialion: Rotary Distributor Land Applicatioro of Sludge Other NOTE, Values should reflect dissolved and . colloidal concentrations. Date sample analyzed: Laboratory Name: / .a f i-cn+_ I' Certification No. 1 PARAMETERS (Samples for metals were collected unfiltered i YES NO and field acidified COD mg/I /100ml Nitrite (NO2) as N Nitrate (NO3) as N mg/l <G,c�� mg/I Coliform: MF Fecal { I Coliform: MF Total /100ml . Phosphorus: Total as P mg/l (Note: Use MPH method for highly turbid samples) Dissolved Solids: Total 100 Orthophosphate 0 . C2.: mg/I pH (when analyzed) 4O 1 mg/l units AI - Aluminum Ba - Barium mg/l mg/l., TOC ` OG Chloride mg/I Ca - Calcium mg/I Arsenic mg/I mg/I Cd - Cadmium Chromium: Total mg/I < o.C,c% mg/l Grease and Oils Phenol mg/l Cu.- Copper_ <0, 010 mg/I Sulfate mg/l mg/I Fe - Iron Fig -Mercury mg/l mg/I g/ Specific Conductance 130 uMhos K - Potassiu mg/I Total Ammonia mg/I Mg - Magnesium rng/I TKN as N mg/I Mn - Manganese mg/I YES NO) Ni -Nickel mg/I Pb - Lean mg/I Zn - Zinc MOO Ammonia Nitrogen_ 0. (N0 mg/1 Other (Specify Compounds and Concentration Units) ORGANICS: (GC,GC/MS,HPLC) (Speclfy test and method €3. attach lib report.) (Report Attached? Yes k (1) No (0) 4/OC method 11= �, lboc iG I i method 8 = method 11 = G �C�U��O�lf��1C������ ll„ �1;►�������f�[°1Co�l:��l�(� o "' "biinking`NaEe�i I't�'z lh:i! Wastewater IDt 10 .Y? MR "9:SeeRl1R': dr.s:'.aG-2.i .a,'., $x` .6. `•+.r .>:..„,� �,. . 9 P.O. BOX 7085, 114„OAKMONT DRIVE PHONE (252) 756-6208 GREENVILLE, N.C. 27835-7085 FAX (252) 756-0633 ID#: 416 C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN DATE COLLECTED: 10/28/15 P.O. BOX 477 DATE REPORTED : 11/25/15 GRIFTON ,NC 28530 REVIEWED BY: v Well Well Well Well Well Analysis Method PARAMETERS #9 #10 #14 #15 #18 Date Analyst Code Fecal Coliform (MIT), /100 Mls < 1 < 1 < 1 < 1 < 1 10/28/15 KDS 9222D-97 Ammonia Nitrogen as N, mg/1 1.16 <0.04 <0.04 0.29 0.06 10/30/15 RND 350.1 R2-S Nitrate Nitrogen as N, mg/l 0.34 0.69 1.51 0.10 <0.04 10/30/15 AKS 353.2 R2-4 Total Organic Carbon, mg/1 5.32 1.79 1.30 7.66 8.09 10/29/15 SEJ 531OC-00 Total Dissolved Residue, mg/1 53 40 53 162 100 11/02/15 KDS 254OC-97 Total Chromium, ug/l 7 12 6 6 <5.0 11/03/15 LFJ EPA200.7 Copper, ug/1 < 10 < 10 < 10 < 10 < 10 11/03/15 LFJ EPA200.7 Conductivity (at 25c), uMhos/cm 83.4 70.4 85.8 163 130 11/23/15 CMC 251OB-97 Total Ortho-Phosphate as P, mg/l 0.05 0.03 0.01 0.01 0.02 10/29/15 SEJ 450OPE-99 EWWIJIMER&A `v 7 Wnw1oumbdo, P.O. BOX 7085, 114 OAKMONT DRIVE GREENVILLE, N.C. 27835-7085 CLIENT: C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON, NC 28530 REVIEWED BY: //� lor VOLATILE ORGANICS STD. METHODS 6200C (97) FAX (252) 756-0633 CLIENT ID: 416 ANALYST: CRS DATE COLLECTED: 10/28/15 Page: 1 DATE ANALYZED: 11/03/15 DATE REPORTED: 11/25/15 PARAMETERS, ug/I Well #9 Well #10 Well #14 Well #15 Well #18 1. Benzene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 2. Bromobenzene <0.50 <0.50 <0.50 <0.50 <0.50 3. Bromochloromethane <0.50 <0.50 <0.50 <0.50 <0.50 4. Bromodichloromethane < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 5. Bromoform < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 6. Bromomethane < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 7. N-Butylbenzene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 8. Sec-Butylbenzene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 9. Tert-Butylbenzene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 10. Carbon Tetrachloride <0.50 <0.50 <0.50 <0.50 <0.50 11. Chlorobenzene <0.50 <0.50 <0.50 <0.50 <0.50 12. Chloroethane <0.50 <0.50 <0.50 <0.50 <0.50 13. Chloroform < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 14. Chloromethane <0.50 <0.50 <0.50 <0.50 <0.50 15. 2-Chlorotoluene <0.50 <0.50 <0.50 <0.50 <0.50 16. 4-Chlorotoluene <0.50 <0.50 <0.50 <0.50 <0.50 17. Dibromochloromethane <0.50 <0.50 <0.50 <0.50 <0.50 18. 1,2-Dibromo-3-Chloropropane <0.50 <0.50 <0.50 <0.50 <0.50 19. 1,2-Dibromoethane <0.50 <0.50 <0.50 <0.50 <0.50 20. Dibromomethane <0.50 <0.50 <0.50 <0.50 <0.50 21. 1,2-Dichlorobenzene <0.50 <0.50 <0.50 <0.50 <0.50 22. 1,3-Dichlorobenzene <0.50 <0.50 <0.50 <0.50 <0.50 23. 1,4-Dichlorobenzene <0.50 <0.50 <0.50 <0.50 <0.50 24. Dichlorodifluoromethane < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 25. 1,1-Dichloroethane < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 26. 1,2-Dichloroethane <0.50 <0.50 <0.50 <0.50 <0.50 27. 1,1-Dichloroethene <0.50 <0.50 <0.50 <0.50 <0.50 28. Cis-1,2-Dichloroethene <0.50 <0.50 <0.50 <0.50 <0.50 29. trans-1,2-Dichloroethene <0.50 <0.50 <0.50 <0.50 <0.50 30. 1,2-Dichloropropane <0.50 <0.50 <0.50 <0.50 <0.50 31..1,3-Dichloropropane <0.50 <0.50 <0.50 <0.50 <0.50 32. 2,2-Dichloropropane < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 33. 1,1-Dichloropropene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 34. Cis-1,3-Dichloropropene <0.50 <0.50 <0.50 <0.50 <0.50 35. trans-1,3-Dichloropropene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 36. Ethlbenzene <0.50 <0.50 <0.50 <0.50 <0.50 37. Hexachlorobutadiene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 38. Isopropylbenzene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 39. 4-Isopropyltoluene <0.50 <0.50 <0.50 <0.50 <0.50 40. Methylene Chloride < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 41. Naphthalene <0.50 <0.50 <0.50 <0.50 <0.50 42. Propylbenzene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 43. Styrene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 44. 1,1,1,2-Tetrachloroethane <0.50 <0.50 <0.50 <0.50 <0.50 45. 1,1,2,2-Tetrachloroethane <0.50 <0.50 <0.50 <0.50 <0.50 46. Tetrachloroethene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 47. Toluene < 0.50 < 0.50 < 0.50 < 0.50 < 0.50 48. 1,2,3-Trichlorobenzene <0.50 <0.50 <0.50 <0.50 <0.50 � u FI, 11rimoumm-Wo, X 7085, 114 OAKMONT DRIVE GREENVILLE, N.C. 27835-7085 CLIENT: C.M.S.D. (SLUDGE & WELLS ACCT) CONTENTNEA METRO. SEWAGE DIST. MS. RENEE PRIDGEN P.O. BOX 477 GRIFTON, NC 28530 REVIEWED BY: VOLATILE ORGANICS STD. METHODS 6200C (97) Drinking Water ID: 3771! , ,.wastewater ID: 10 )NE (252) 756.6208 FAX (252) 756-0633 CLIENT ID: 416 ANALYST: CRS DATE COLLECTED: 10/28/15 Page: 2 DATE ANALYZED: 11/03/15 DATE REPORTED: 11/25/15 PARAMETERS, ug/l Well #9 Well #10 Well #14 Well #15 Well #18 49. 1,2,4-Trichlorobenzene <0.50 <0.50 <0.50 <0.50 <0.50 50. 1,1,1-Trichloroethane <0.50 <0.50 <0.50 <0.50 <0.50 51. 1,1,2-Trichloroethane <0.50 <0.50 <0.50 <0.50 <0.50 52. Trichloroethene <0.50 <0.50 <0.50 <0.50 <0.50 53. Trichlorofluoromethane <0.50 <0.50 <0.50 <0.50 <0.50 54. 1,2,3-Trichloropropane <0.50 <0.50 <0.50 <0.50 <0.50 55. 1,2,4-Trimethylbenzene <0.50 <0.50 <0.50 <0.50 <0.50 56. 1,3,5-Trimethylbenzene <0.50 <0.50 <0.50 <0.50 <0.50 57. Vinyl Chloride <0.50 <0.50 <0.50 <0.50 <0.50 58. Total Xylenes < 1.00 < 1.00 < 1.00 < 1.00 < 1.00 59. Methyl Tert Butyl Ether < 1.00 < 1.00 < 1.00 < 1.00 < 1.00 SOILS ANALYSIS LAB REPORTS LIME APPLICATION 'NCDA&CS Ag..._,,:nic Division Phone: (919) 733-2655 N Predictive Soil Report Website: www.nca,.;__,rDv/agronomil Client: CMSD PO Box 477 Grifton, NC 28530 Mehlich-3 Extraction Sampled County : Pitt Sampled: 09/14/2015 Received: 09/18/2015 Completed: 09/28/2015 Farm: Sample ID: 39 Recommendations: Lime Crop (tonslacre) N P2O5 Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 2- Test Results [units - W/V in g/aril; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% 1.02 1.18 7.5 91 0.7 6.7 183 36 64 24 Sample ID: 40 Recommendations: Lime Crop (tons/acre) N P2O5 Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 2- Test Results [units - W/V in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% 0.46 1.19 7.0 86 1.0 6.3 447 35 61 23 Sample ID: 41 Recommendations: Lime Crop (tons/acre) N P2O5 Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% 0.66 1.14 7.7 80 1.5 5.9 517 39 60 18 -. Norte Carolina 3��UatiaF Tiutit Rute� �.i�nuctt.stuta ReportNo. FY16-'-__':.i708 Advisor: Ayden Nitrogen PO Box 7 Ayden, NC 28513 Links to Helpful Information Nutrients (lb/acre) More K2O Mg S Mn Zn Cu B Information 150 0 0 $ 0 0 0 Note: 12 Note: $ Soil Class: Mineral S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 M03-N 26 25 22 433 433 136 0.1 1 Nutrients (lb/acre) More Information K2O Mg S Mn Zn Cu B 150 0 0 0 0 0 0 Note:12 Soil Class: Mineral S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 26 33 31 919 919 246 0.1 1 Nutrients (lb/acre) More Information K2O Mg S Mn Zn Cu B 140 0 0 0 0 0 0 Note:12 Soil Class: Mineral S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 34 40 41 966 966 314 0.1 1 Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Trox NCDA&CS Ag' _ _,`nic Division Phone: (919) 733-2655 Website: www.ncaf_, ,; w/agronomi/ Report No. FY16-11'___J708 Page 2 of 4 Sample ID: 42 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 120 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 1.25 1.07 9.8 92 0.8 6.6 329 45 67 23 35 39 31 . 696 696 214 0.1 1 Sample ID: 43 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 130 0 0 pH$ 0 0 0 Note: 12 Note: $ 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-I Na ESP SS -I NO3-N 1.31 1.03 11.5 92 0.9 6.5 378 41 69 21 34 41 34 1022 1022 241 0.1 1 Sample ID: 44 Recommendations: Lime Nutrients (Ib/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 1.4 180-220 0 190 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 1.10 7.2 68 2.3 5.1 692 21 55 11 42 51 48 1397 1397 416 0.1 1 Sample ID: 45 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.6 180-220 0 140 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.41 1.15 7.2 76 1.8 5.7 546 40 54 19 36 54 49 704 704 337 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005708 Page 3 of 4 Sample ID: 46 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information 1 Bermuda ha /past M 00 180-220 0- 150 0 0 0 . 0 0 0 Note: 12 Lime History. - Y 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 1.09 8.7 89 1.0 6.3 366 36 65 22 29 51 43 868 868 240 0.1 1 Sample ID: 47 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 120 0 0 pH$ 0 0 0 Note: 12 Note: 2 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W1V CEC BS% Ac PH P-1 K-1 Ca%' Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.97 1.05 10.1 91 0.9 6.5 391 46 67 22 28 40 33 915 915 242 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.neagr.gov/agronomi/ Report No. FY16-SL005708 Page 4 of 4 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note Secondary Nutrients and Micronutrients_ In general, homeowners do not need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncagr.gov/agronomi/pubs.htm. Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find the exact fertilizer grade recommended on the report, visit www.ncaqr.,qovlagrotioi-nilobnart4.11tlngtsfjnd information that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fettilizei Test Results The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree'of acidity. The remaining 16 [P-I, K-1, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www.�cagr.Lovla-qronomiluvrst.htm Report Abbreviations Ac exchangeable acidity B boron BS% % CEC occupied by basic cations Ca% % CEC occupied by calcium CEC cation exchange capacity Cu-I copper index - ESP exchangeable sodium percent HM% percent humic matter K-1 potassium index K20 potash Mg% % CEC occupied by magnesium MIN mineral soil class Mn manganese Mn-All Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index M-0 mineral -organic soil class N nitrogen Na sodium NO3-N nitrate nitrogen ORG organic soil class pH current soil pH P-1 phosphorus index P205 phosphate S-1 sulfur index SS-1 soluble salt index W/V weight per volume Zn-AI zinc availability index Zn-I zinc index NCDA&CS Agrviavmic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005707 Client: CMSD Advisor: Ayden Nitrogen Predictive PO Box 477 Griffon, NC 28530 PO Box 7 Ayden, NC 28513 Mehlich-3 Extraction SoilReport Sampled County . Pitt Sampled: 09/14/2015 Received: 09/18/2015 completed: 09/28/2015 Farm: Links to Helpful Information Na Sample ID: 34 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 140 0 20 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-AI1 Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 1.02 1.15 6.8 83 1.2 6.1 238 40 64 16 20 21 28 437 437 134 0.1 1 Sample ID: 35 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B ' Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 120 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/crrr3; CEC and Na in meq/100 cm3; NO3-N in mg/dO]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 1.08 1.09 9.1 89 1.0 6.4 257 47 66 20 27 29 28 635 635 167 0.1 1 Sample ID: 36 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 160 0 20 $ 0 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/c0; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% •S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1, Na ESP SS-1 NO3-N 1.25 1.18 10.1 99 0.1 7.3 88 32 72 26 25 25 12 361 361 45 0.1 1 .North .Caroli a �ri>Li:It�t+h 1ru�•c l� iaisd �:�4iAnn6>5ic�tk Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. Steve Trox NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr,gov/agronomi/ Report No. FY16-SL005707 Page 2 of 3 Sample ID: 37 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 ' 0 120 0 0 0 0 0 0 Note: 12 2- Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 1.02 1.08 7.5 84 1.2 6.1 166 46 61 19 30 22 29 451 451 103 0.1 1 Sample ID: 38 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1- Bermuda hay/past., M 0.0 180-220 0 120 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/c0; CEC and Na in meg1100 cm3; NO3-N in mg/do]: Soil Class:, Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.92 1.13 6.8 81 1.3 6.0 301 45 62 15 26 26 32 871 871 248 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.neagr.gov/agronomi/ Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at time, even if the report recommends more. You can apply the rest in similar increments every six months until the full i is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies for the crop being grown, not on soil test results. K-I and P-1 values are based on test results and should be > 50. If they are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note Secondary Nutrients and Micronutrients. In general, homeowners do not need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncagr.gov/agronomi/pubs.htni. Report No. FY16-SL005707 Report Abbreviations Ac exchangeable acidity B BS% Ca% CEC Cu-I ESP HM% K-1 K20 Mg% MIN Mn Mn-All Mn-AI2 Mn-I M-0 N Na NO3-N O RG Recommendations for small areas, such as home lawnslgardens, are listed in units of Ib/1000 sq ft. If you cannot find pH the exact fertilizer grade recommended on the report, visit www ncagr govlagronomilobpart4.htir> sfind information that P-1 may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 S-1 SS-1 Test Results W/V Zn-AI The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-I remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www ncagr govlagronomiluyrst htm Page 3 of 3 boron • CEC occupied by basic cations • CEC occupied by calcium cation exchange capacity copper index exchangeable sodium percent percent humic matter potassium index potash % CEC occupied by magnesium mineral soil class manganese Mn-availability index for crop 1 Mn-availability index for crop 2 manganese index mineral -organic soil class nitrogen sodium nitrate nitrogen organic soil class current soil pH phosphorus index phosphate sulfur index soluble salt index weight per volume zinc availability index zinc index NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr6gov/agronomi/ Report No. FY16-SL005706 Client: CMSD Advisor: Ayden Nitrogen Predictive PO Box 477 PO Box 7 Grifton, NC 28530 Ayden, NC 28513 Soil Report Mehlich-3 Extraction f• Sampled County: Pitt Sampled: 09/14/2015 Received: 09/18/2015 completed: 09/29/2015 Farm: Links to Helpful Information Agronomist's Comments: ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop production. The C and Z symbols are printed on your report for soil test index levels of 2000 or more; for peanuts with zinc, the level is 250. This note is destVed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for Cu &amp; Zn has been set at 3000 index; for peanuts with zinc, the level is 500. These levels are used by DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulatin2 to the point where they become toxic to crops grown on a field. Sample ID: 24 Recommendations: Lime Nutrients (lb/acre) More. Lime History: Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B 1 -Bermuda hay/past., M 0.0 180-220 0 120 0 0 pH$ 0 0 0 Information Note: 12 Note: 2- Test Results [units - W/V in g/c0; CEC and Na in meq/100 cm3; NO3-N in rrg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 1.09 9.9 93 0.7 6.8 542 45 71 20 33 35 26 1375 1375 316 0.1 1 Sample ID: 25 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 100 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 1.31 0.97 12.2 91 1.1 6.5 645 54 72 17 .34 30 28 1827 1827 464 0.1 1 ,.North Carolina a T'otalow Iruwv rUM C k'4111101,S109 Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. Steve Trox ._r NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: wwrw.ncagr.gov/agronomi/ Report No. FY16-SL005706 Page 2 of 4 Sample ID: 26 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 100 0 0 0 Z 0 0 Note: 12 Note: 2- Test Results [units- W/V in g/cm3; CEC. and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 1.49 0.91 12.1 86 1.7 6.2 674 55 67 17 34 29 31 2208 2208 664 0.1 1 Sample ID: 27 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 130 0 0 pH$ 0 0 0 Note: 12 Note: $ 2- Test Results [units - W/V in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mg/drm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 1.02 1.16 9.6 95 0.4 7.0 291 41 70 23 26 50 31 568 568 151 0.1 1 Sample ID: 28 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0:0 180-220 0" 150 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3=N 1.25 1.16 8.9 90 0.9 6.5 408 33 68 20 26 39 32 795 795 240 0.1 1 Sample ID: 29 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History.: 1-Bermuda hay/past., M 0.0 180-220 0 140 0 0 0 Z 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/c0; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN 'CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 1.08 10.1 89 1.1 6.3 724 38 70 17 31 28 29 2098 2098 650 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncag'r.gov/agronomi/ Report No. FY16-SL005706 Page 3 of 4 Sample ID: 30 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: a 1 -Bermuda hay/past., M 0.0 180-2.20 0 110 0 0 $ 0 0 0 Note: 12 Note: $ 2- Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-I Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.56 1.13 10.2 93 0.7 6.8 658 49 70 20 28 29 22 1938 1938 508 - 0.1 1 Sample ID: 31 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 130 0. 0 0 0 0 0 Note:.12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: 'Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 2.08 1.04 10.9 91 1.0 6.5 286 42 69 20 30 37 32 839 839 220 0.1 1 NCDA&CS Agic-l-c.mic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005706 Page 4 of 4 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of Ib/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncagr.gov/agronomi/pubs.htm. Report Abbreviations Ac exchangeable acidity B boron BS% % CEC occupied by basic cations Ca% % CEC occupied by calcium CEC cation exchange capacity Cu-I copper index ESP exchangeable sodium percent HM% percent humic matter K-1 potassium index K20 potash Mg% % CEC occupied by magnesium MIN mineral soil class Mn manganese Mn-All Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index M-O mineral -organic soil class N Na NO3-N O RG Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find pH the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obpart4.htrnsfind information that P-1 may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 S-I Test Results SS-1 W/V The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI Zn-I remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-1, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.gov/apronorni/uyrst.htm nitrogen sodium nitrate nitrogen organic soil class current soil pH phosphorus index phosphate sulfur index soluble salt index weight per volume zinc availability index zinc index NCDA&CS Agronomic Division Phone: (9.19) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005705 !,�~ �u,•t - Client: CMSD Advisor: Ayden Nitrogen /:�`;� ;'r. Predictive PO Box 477 PO Box 7 Griffon, NC 28530 Ayden, NC 28513 Mehlich-3 Extraction Soil Report Jf Sampled County : Pitt Sampled: 09/14/2015 Received: 09/18/2015 Completed: 09/29/2015 Farm: Links to Helpful Information Agronomist's Comments: ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop production. The C and Z symbols are printed on your report for soil test index levels of 2000 or more; for peanuts with zinc, the level is 250. This note is deslggned to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for Cu &amp; Zn has been set at 3000 index; for peanuts with zinc, the level is 500. These levels are used by DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulatin to the point where they become toxic to crops grown on a field. Sample ID: 16 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 130 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.05 8.6 86 1.2 6.2 624 43 63 20 32 39 38 1367 1367 386 0.1 1 Sample ID: 17 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.5 180-220 0 130 0 0 0 Z 0 0 Note: 12 Note: $ 2- Test Results [units - W/V in g/c0; CEC and Na in meq/100 cm3; NO3-N in mg/dn-3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-Al Cu-I Na ESP SS -I NO3-N 0.41 1.02 10.7 81 2.0 5.8 858 41 62 17 45 40 41 2370 2370 700 0.1 1 l orth Carolina �i}t?ot«M 7nitiG Fuifd ti��rns�lssl+sir Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Trox 'NCDA&CS Agrui ornic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005705 Page 2 of 4 Sample ID: 18 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 1.3 180-220 0 140 0 0 0 Z 0 0 Note: 12 Note: $ 2- Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 1.08 9.1 74 2.4 5.3 898 38 56 16 46 57 51 2013 2013 780 0.1 1 Sample ID: 19 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 80 0 0 pH$ 0 - 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.51 1.12 8.9 92 0.7 6.7 327 64 67 21 27 46 34 819 819 225 0.1 1 Sample ID: 20 Recommendations: Lime Nutrients (lb/acre) . More Crop (tons/acre) N P20e K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 130 0 20 pH$ 0 0 0 Note: 12 Note: $ 2- Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.36 1.23 5.4 91 0.5 6.8 198 44 65 22 19 50 - 35 262 262 101 0.1 2 Sample ID: 21 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 140 0 0 0 0 0 0 Note: 12 2- Test Results [units - WIV in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WIV CEC BS% Ac. pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 1.13 8.3 81 1.6 5.9 687 38 60 19 40 50 47 1287 1287 531 0.1 1 NCDA&CS Ayronumic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomil Report No. FY16-SL005705 Page 3 of 4 Sample ID: 22 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 140 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% - Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.12 8.9 85 1.3 6.0 743 38 64 19 37 46 44 1914 1914 522 0.1 1 Sample ID: 23 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 140 0 0 pH$ 0 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N 0.56 1.15 9.2 92 0.7 6.8 406 39 66 24 31 43 31 994 994 255 0.1 1 NCDA&CS Ayiruiiijmic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ ReportNo. FY16-SL005705 Page 4 of 4 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations I Report Abbreviations Lime Ac exchangeable acidity If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either B boron tonlacre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS% % CEC occupied by basic cations For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on Ca% % CEC occupied by calcium time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate CEC cation exchange capacity is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-1 copper index ESP exchangeable sodium percent Fertilizer HM% percent humic matter Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of K-1 potassium index lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they Mg% % CEC occupied by magnesium are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear Mn Mn-All manganese Mn-availability index for crop 1 only on reports for greenhouse soil or problem samples. Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z M-0 mineral -organic soil class notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients_ In general, homeowners do not N nitrogen need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit Na sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.qov/agronorni/obpart4.htt77 nd information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P206 phosphate S-1 sulfur index Test Results SS-1 soluble salt index W/V weight per volume Zn-AI zinc availability index The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-1 zinc index remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www•ncagr cioi gronomUuyrst.htm " NCDA&CS AC • ., mic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005704 Client: CMSD Advisor: Ayden Nitrogen {:!="= Predictive PO Box 477 PO Box 7 Griffon, NC 28530 Ayden, NC 28513 Soil Report Mehlich-3 Extraction Sampled County : Pitt Sampled: 09/14/2015 Received: 09/18/2015 Completed: 09/29/2015 Farm: Links to Helpful Information Agronomist's Comments: ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop production. The C and Z symbols are printed on your report for soil test index levels of 2000 or more; for peanuts with zinc, the level is 250. This note is desfJg ed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for Cu &amp; Zn has been set at 3000 index; for peanuts with zinc, the level is 500. These levels are used by DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulating to the point where they become toxic to crops Urown on a field. Sample ID: 13 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Soybean 0.0 0 0 50 0 20 $pH 0 0 0 Note: 3 Note: $ 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dnr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.46 1.26 8.0 91 0.7 6.8 437 44 65 24 23 42 22 741 741 234 0.1 1 Sample•'ID: 14 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Soybean 0.0 0 0 50 0 0 $pH 0 0 0 Note: 3 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm31: Soil class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 1.15 10.7 90 1.1 6.5 804 44 67 20 32 31 22 1982 1982 598 0.1 1 -.North Carolina Tc�i�:�:di� 3rru6 f ua� Ci�nir�sssluir Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - 'Steve Trox NCDA&CS Augiuilumic Division Phone: (019) 733-2656 Website: www.ncagr.gov/agronomi/ Report No.- FY16-SL005704 Page 2 of 3 Sample ID: 15 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Soybean 0.0 0 0 50- 0 0 0 Z 0 0 Note: 3 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 . Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.27 1.12 12.4 88 1.5 6.3 850 46 66 20 34 33 26 2366 2360 755 0.1 1 ' NCDA&CS A__ _,jmic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ ReportNo. FY16-SL005704 Page 3 of 3 Understanding the Soil Report: explanation of measurements, abbreviations and units . Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at o time, even if the report recommends more. You can apply the rest in similar increments every six months until the full ra is applied. If MG is recommended and lime is needed,. use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies for the crop being grown, not on soil test results. K-I and P-1 values are based on test results and should be > 50. If they are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncagr.gov/agronomi/pubs.htm. Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find the exact fertilizer grade recommended on the report, visit www.ncac7r.gov/agroa7omi/oboart4.litin ind information that may help you choose a comparable alternate. For more information; read A Homeowner's Guide to Fedilizer Test Results The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-1, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagrgov/agronomi/uyrst.htm Report Abbreviations Ac exchangeable acidity B boron BS% % CEC occupied by basic cations Ca% % CEC occupied by calcium CEC cation exchange capacity Cu-I copper index ESP exchangeable sodium percent HM% percent humic matter K-I potassium index K20 potash Mg% % CEC occupied by magnesium MIN mineral soil class Mn manganese Mn-All Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index M-O mineral -organic soil class N nitrogen Na sodium NO3-N nitrate nitrogen ORG organic soil class pH current soil pH P-1 phosphorus index P206 phosphate S-1 sulfur index SS-1 soluble salt index W/V weight per volume Zn-AI zinc availability index Zn-I zinc index NCDA&CS A(, mic Division Phone: (919) 733-2655 Website: wvvw.ncagr.gov/agronomi Report No. FY16-SL005703 �A_V� '`'>>. Client: CMSD Advisor: Ayden Nitrogen ; `'�;• Predictive PO Box 477 PO Box 7 f_� Grifton, NC 28530 Ayden, NC 28513 '1� ¢ Soil Report Mehlich-3 Extraction y Sampled County . Pitt Sampled: 09/14/2015 Received: 09/18/2015 Completed: 09/29/2015 Farm: Links to Helpful Information Agronomist's Comments: ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop production. The C and Z symbols are printed on your reportfor soil test index levels of 2000 or more; for peanuts with zinc, the level is 250. This note is desf�g ed to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for Cu &amp; Zn has been set at 3000 index; for peanuts with zinc, the level is 500. These levels are used by DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to prevent levels from accumulatin2 to the eoint where they become toxic to cro s grown on a field. Sample ID: 1 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B - Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 90 0 0 pH$ Z 0 0 Note: 12 Note: 3 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 . Mn-I Mn-All Mn-AI2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N 0.32 1.05 14.9 93 1.1 6.6 751 60 70 21 37 46 36 2400 2400 632 0.1 1 Sample ID., 2 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 110 0 0 0 Z 0 0 Note: 12 Note: 2- Test Results [units - W/V in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 0.97 17.2 89 1.9 6.2 815 53 68 20 50 43 40 3758 3758 985 0.2 1 ,-North Carolina Tobacco Ift wB V'1*11 CLNORWINIOO Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. Steve Trox •NCDA&CS A - �__ YDmic Division Phone: (919) 733-2665 Website: www.ncag`rgov/agronomi/ Report No. FY16-SL005703 Page 2 of 4 Sample ID: 3 Recommendations: Lime Nutrients (lb/acre) , More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.5 180-220 0 150 0 0- 0 Z 0 0 Note: 12 Note: 2- Test Results [units - W/V in glcm3; CEC and Na in meg1100 cm3; NO3-N in mgldn-3]: Soil Class: Mineral HM% WIV CEC BS% Ac pH P-1 K-1 Ca% Mg%a S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.36 1.04 11.8 83 2.0 5.8 836 36 64 17 - 49 42 42' 2925 2925 897 0.2 2 Sample ID: 4 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.6 180-220 0 120 0 0 0 Z 0 0 Note: 12 Note: 2- Test Results [units - W/V in glcm3; CEC and Na in meg1100 cm3; NO3-N. in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% . Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All ' Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 0.94 13.8 84 2.2 5.8 842 45 65 17 55 41 42 3317 3317 944 0.2 1 Sample ID: 5 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 140 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/c &; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.51 1.03 11.8 90 1.2 6.3 657 37 70 19 43 39 36 1772 1772 551 0.1 1 Sample ID: 6 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 100 0 0 0 Z 0 0 Note: 12 Note: $ 2- Test Results [units -W/V in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.60 1.03 14.5 91 1.3 6.4 723 54 68 21 42 37 33 2333 2333 703 0.2 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ ReportNo. FY16-SL005703 Page 3 of 4 Sample ID: 7 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 100 0 0 $ 0 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.41 1.10 11.4 94 0.7 6.9 661 58 69 22 31 35 25 1368 1368 434 0.1 1 Sample ID: 8 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 100 0 0 0 Z 0 0 Note: 12 Note. 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 _ K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.41 1.00 14.4 89 1.6 6.3 782 56 67 21 36 38 36 2838 2838 763 0.1 1 Sample ID: 9 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 1.5 180-220 0 130 0 0 0 Z 0 0 Note: 12 Note: 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dtrr]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.46 0.90 12.9 77 2.9 5.4 858 43 57 19 47 40. 41 3548 3548 1244 0.1 1 -NCDA&CS Ay.:r.ramic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches.of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at time, even *if the report recommends more. You can apply the rest in similar increments every six months until the full I is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or otherlarge areas are listed separately for each nutrient to be added (in units of lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 Ib per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not need to. be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncagr.gov/agronomi/pubs.htm. Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot find the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomUobpart4.li ind information that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilize Test Results Report No. FY16-SL005703 Page 4 of 4 Report Abbreviations AG exchangeable acidity B boron BS% % CEC occupied by basic cations Ca% % CEC occupied by calcium CEC cation exchange capacity Cu-I copper index ESP exchangeable sodium percent HM% percent hLIMIC matter K-I potassium index K20 potash Mg% % CEC occupied by magnesium MIN mineral soil class Mn manganese Mn-All Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index M-0 mineral -organic soil class N nitrogen Na sodium NO3-N nitrate nitrogen ORG organic soil class pH current soil pH P-1 phosphorus index P205 phosphate S-1 sulfur index SS-1 soluble salt index W/V weight per volume The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI zinc availability index Zn-I zinc index remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, CA, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagrgov/agronomi/uyrst.htm NCDA&CS AH­i.�amic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005702 Client: CMSD Advisor: Ayden Nitrogen Predictive PO Box 477 PO Box 7 0:� fi Mehlich-3 Extraction Grifton, NC 28530 Ayden, NC 28513 IK Soil Report i� Sampled County : Pitt Sampled: 09/14/2015 Received: 09/18/2015 completed: 09/28/2015 Farm: f-06 Links to Helpful Information Na Sample ID: 1 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 110 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V' CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.60 1.14 8.0 85 1.2 6.3 396 53 64 18 28 42 38 733 733 221 0.1 1 Sample ID: 2 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P206 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 130 0 20 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/crn3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.81 1.12 9.1 85 1.3 6.4 431 43 66 17 25 53 43 879 879 252 0.1 1 �rtl� C rolina ti. y �,;,1?acdu TftltiG I' UI4t) t.C!iltlt19551U17 Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for. using agronomic services to manage nutrients and safeguard environmental quality. - Steve Trox NCDA&CS AN—i-amic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005702 Page 2 of 2 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Report Abbreviations Lime Ac exchangeable acidity If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either B boron ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS% % CEC occupied by basic cations For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at on Ca% % CEC occupied by calcium time, even if the report recommends more. You can apply the rest in similar increments every six months until the full rate CEC cation exchange capacity is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-I copper index ESP exchangeable sodium percent Fertilizer HM% percent humic matter Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of K-I potassium index lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they Mg% % CEC occupied by magnesium are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear Mn Mn-All manganese Mn-availability index for crop 1 only on reports for greenhouse soil or problem samples. Mn-Al2 Mn-availability index for crop 2 Mn-I manganese index Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z M-O mineral -organic soil class notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not N nitrogen need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit Na sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft . If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.qov/agronomi/obpart4.17trrr„sfind information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 phosphate S-1 sulfur index Test Results SS-1 soluble salt index W/V weight per volume The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI Zn-I zinc availability index zinc index remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit www•ncagr.gov/agronorniluyrst htm NCDA&CS A_' 1._._,%DMic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005701 -'>'�.��+ Client: CMSD Advisor: Ayden Nitrogen ,' "';• ;• Predictive PO Box 477 PO Box 7 Grifton, NC 28530 Ayden, NC 28513 Soil Report Mehlich-3 Extraction r Sampled County : Pitt Sampled: 09/14/2015 Received: 09/18/2015 completed: 09/28/2015 Farm: f-02 Links to Helpful Information Agronomist's Comments: ATTENTION: This report was flagged with a "C" and/or "Z" to alert you that copper and/or zinc have accumulated in the soil and are approaching a level that could be detrimental to crop production. The C and Z symbols are printed on your report for soil test index levels of 2000 or more; for peanuts with zinc, the level is 250. This note is destNg�ied to be a "trigger" that allows enough time to either reduce the rate of application or find another field for application of biosolids and/or waste water. The CTL (critical toxic level) for Cu &amp; Zn has been set at 3000 index; for peanuts with zinc, the level is 500. These levels are used by DENR as a benchmark to determine when application of waste products should be stopped. The CTL for copper and zinc was set to revent levels from accumulatino to the point where they become toxic to crops 2rown on a field. Sample•ID: 10 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Bermuda hay/past., M 0.0 180-220 0 120 0 0 0 0 0 0 Note: 12 2- Test Results [units - W/V in g/c0; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.17 11.0 86 1.6 6.3 704 45 65 19 31 47 40 1569 1569 582 0.1 1 Sample -ID.' 11 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 80 0 0 0 Z 0 0 Note: 12 Note: $ 2 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.22 1.04 14.0 86 1.9 6.2 862 68 65 19 34 34 35 3826 3826 1114 0.2 1 No th Carolina lotla,.Co Tfot I'uisd is miciessloo Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Trox NCDA&CS A- .',omic Division Phone: (919) 733-2655 I Website: www.ncagr.gov/agronomi/ Report No. FY16-SL005701 Page 2 of 3 Sample ID: 12 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Bermuda hay/past., M 0.0 180-220 0 90 0 0 $ Z 0 0 Note: 12 Note: $ 2- Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.18 1.13 13.3 94 0.8 6.9 808 61 71 21 27 36 25 2608 2608 822 0.1 1 NCDA&CS A_ _ _._',Dmic Division Phone: (919) 733-2656 Website: www.neagr.gov/agronomi/ Report No. FY16-SL005701 Page 3 of 3 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies for the crop being grown, not on soil test results. K-1 and P-1 values are based on test results and should be > 50. If they are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do hot need to be concerned about micronutrients. Various. crop notes also address lime fertilizer needs; visit ncagr.gov/agronomi/pubs.htm. Report Abbreviations Ac exchangeable acidity B BS% Ca% CEC Cu-I ESP HM% K-1 K20 Mg% MIN Mn Mn-All Mn-Al2 Mn-I M-O N Na NO3-N ORG Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find pH the exact fertilizer grade recommended on the report, visit www.ncaqr.gov/agronomi/obpart4.htrrr(fsfind information that P-1 may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P205 S-1 Test Results SS-1 WIV The first seven values [soil class, HM%, W/V, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The Zn-AI Zn-I remaining 16 [P-I, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, CA, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routinel available)] indicate levels of plant nutrients or other fertility measurement. Visit wwwncapr.pov/apr-onomi/uyrst.htm boron % CEC occupied by basic cations % CEC occupied by calcium cation exchange capacity copper index exchangeable sodium percent percent humic matter potassium index potash % CEC occupied by magnesium mineral soil class manganese Mn-availability index for crop 1 Mn-availability index for crop 2 manganese index mineral -organic soil class nitrogen sodium nitrate nitrogen organic soil class current soil pH phosphorus index phosphate sulfur index soluble salt index weight per volume zinc availability index zinc index �: E FCS Y S T E M S"" Grower: CMSD Farm: WILEY GASKINS RD Field(s): Multiple Fields Tenn Lime - Fertilizer Application (Ibs/ac) 20.: 10, Fertility Analysis 400 1063 1725 23R3 3051 Labs: A&L Eastern,Waters NCDA Equation: Lab - NCDA, Default Commodity: Bermuda Grass Sample Dates: 2015-09-14 - 2014-11-17 Constraints: Target pH: 6.0 Crop Type: Pick Type Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Minimum Application Rate: 400.0 Ibs/ac Maximum Application Rate: 3050.9 Ibs/ac Average Application Rate: 1347.7 Ibs/ac Application Area: 18.5 ac Average Field Rate: 338.0 Ibs/ac Total Area: 73.8 ac Total Product: 24939.8 Ibs Total Product Bulk: 12.4699 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 Ayden, NC 28513 252-746-2152 10-2-2015 1:26 PM 1/2 Fertility Analysi! Fertilizer Application Summary Grower: CMSD Commodity: Bermuda Grass Farm: WILEY GASKINS RD Labs: A&L Eastern,Waters NCDA Field(s): Multiple Fields Selected Parameters Product Tenn Lime 1100 1 N/A 1400 Ibs/ac 10.00 1400 Ibs/ac Tenn Lime 24939.8 (Ibs) 12.5 ton 18.5 $0.0/ton $0.0 $0.0/ac Application $0.0 /ac $0.0 $0.0/ac Totals $0.0 $0.0/ac Field Summary Field PLS ID FSA. County Area Centroid F-04 13.83 ac 135.367513, -77.419061 F-01 16.18 ac 35.360361,-77.418702 F-03 2.35 ac 35.358478,-77.421019 F-02 2.21 ac 35.358556,-77.418100 F-07 5.91 ac 35.360321,-77.410402 F-08 114.40 ac 35.362013,-77.410097 F 06 4.40 ac 35.365362,-77.416477 F-05 114.34 ac 35.366959,-77.415219 Ayden Nitrogen 4728 Old NC 11 10-2-2015 1:26 PM Ayden, NC 28513 2/2 252-746-2152 E FC•SYSTE M S' Fertility Analysis Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-01 Tenn Lime - Fertilizer Application (Ibs/ac) 37. 1 B. 0. 400 1062, 1725 2387 3050 Lab: A&L Eastern Equation: Lab - NCDA Commodity: Bermuda Grass Sample Date: 2015-09-14 Constraints: Target pH: 6.0 Crop Type: Pick Type Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Minimum Application Rate: 400.0 Ibs/ac Total Product: 9264.1 Ibs Maximum Application Rate: 3049.8 Ibs/ac Total Product Bulk: 4.6321 ton Average Application Rate: 1408.4 Ibs/ac Product Cost / Bulk: $0.0/ton Application Area: 6.6 ac Total Product Price: $0.0 Average Field Rate: 571.5 Ibs/ac Application Cost / Area: $0.0/ac Total Area: 16.2 ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:08 PM Ayden, NC 28513 1/2 252-746-2152 j� EFC•SYSTEMS"' Fertility Analysis Fertilizer Application Summary Grower: CMSD Commodity: Bermuda Grass Farm: WILEY GASKINS RD Labs: A&L Eastern Field(s): F-01 Product Wt App Wt App Bulk Applied Area Product Cost Est. Cost Est. Cost/Area gIN Field Summary -. PLS ID FSA ID County Area Centroid -01 1 F 1 16.18 ac 135.360361, -77.418702 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:08 PN Ayden, NC 28513 2/2 252-746-2152 j: EFC- SYSTEMS i Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-02 Tenn Lime - Fertilizer Application (Ibs/ac) 0.0 02 Lab: A&L Eastern Equation: Lab - NCDA :onstraints: Target pH: 6.0 Crop Type: Pick Type Minimum Application Rate: 0.0 Ibs/ac Maximum Application Rate: 0.0 Ibs/ac Average Application Rate: 0.0 Ibs/ac Application Area: 0.0 ac Average Field Rate: 0.0 Ibs/ac Total Area: 2.2 ac 015 0u Commodity: Bermuda Grass Fertility Analysi! 10 Sample Date: 2015-09-14 Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Total Product: 0.0 Ibs Total Product Bulk: 0.0 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 Ayden, NC 28513 252-746-2152 10-2-2015 2:10 PN 1/1 EFC•SYSTEMS� Fertility Analysis Fertilizer Application Summary Grower: CMSD Commodity: Bermuda Grass Farm: WILEY GASKINS RD Labs: A&L Eastern Field(s): F-02 Field Summary :ield PLS ID FSA ID County Area .. -02 2.21 ac 135.358556, -77.418100 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:10 PM Ayden, NC 28513 2/2 252-746-2152 j� EFC SYSTEMS,,. Fertility Analysis Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-03 Tenn Lime - Fertilizer Application (Ibs/ac) p a._ Qn n2 Lab: A&L Eastern Equation: Lab - NCDA :onstraints: Target pH: 6.0 Crop Type: Pick Type Minimum Application Rate: 0.0 Ibs/ac Maximum Application Rate: 0.0 Ibs/ac Average Application Rate: 0.0 Ibs/ac Application Area: 0.0 ac Average Field Rate: 0.0 Ibs/ac Total Area: 2.4 ac oa ou to Commodity: Bermuda Grass Sample Date: 2015-09-14 Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Total Product: 0.0 Ibs Total Product Bulk: 0.0 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 Ayden, NC 28513 252-746-2152 10-2-2015 2:11 PM 1/2 c F C SYSTE M s 1:.., Fertilizer Application Summary Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-03 Commodity: Bermuda Grass Labs: A&L Eastern Selected Parameters ProductRate Min Rate Switch Rate Tenn Lime 1100 1 N/A 400 Ibs/ac 10.00 1400 Ibs/ac Tenn Lime 0.0 (Ibs) 0.0 ton 0.0 $0.0/ton $0.0 $0.0/ac Application $0.0 /ac $0.0 $0.0/ac Totals $0.0 $0.0/ac Field Summary Field PLS ID FSA ID County Area .d F-03 I 1--2.35 ac 135.358478, -77,421019 Fertility Analysi Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:11 PM Ayden, NC 28513 2/2 252-746-2152 EFG-SYSTEMS"-' Grower: CMSD Farm: WILEY GASKINS RD Tenn Lime - Fertilizer Application (Ibs/ac) r 401 981 Lab: A&L Eastern Equation: Lab - NCDA :onstraints: Target pH: 6.0 Crop Type: Pick Type Minimum Application Rate: 401.2 Ibs/ac Maximum Application Rate: 2719.3 Ibs/ac Average Application Rate: 1342.9 Ibs/ac Application Area: 5.9 ac Average Field Rate: 567.1 Ibs/ac Total Area: 13.9 ac Fertility Analysi! Field(s): F-04 1560 2140 2719 Commodity: Bermuda Grass Sample Date: 2015-09-14 Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Total Product: 7870.4 Ibs Total Product Bulk: 3.9352 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 Ayden, NC 28513 252-746-2152 10-2-2015 2:11 PM 1/2 1 : E FC•SYSTE M i'.1 Fertility Analysi<_ Fprtilizer Application Summary Grower: CMSD Commodity: Bermuda Grass Farm: WILEY GASKINS RD Labs: A&L Eastern Field(s): F-04 Product Wt App Wt App Bulk Applied Area Product Cost Est. Cost Est. Cost/Area 1 • • • • 1 1 • '.1 1 ,1 1 Field Summary ield PLS ID FSA ID County Area .. -04 f13.83 ac 35.36757-3 77.419061 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:11 PN Ayden, NC 28513 2/-, 252-746-2152 E FC•SYSTE M S" Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-05 Tenn Lime - Fertilizer Application (Ibs/ac) n o_ 0.0 A 2 Lab: A&L Eastern Equation: Lab - NCDA :onstraints: Target pH: 6.0 Crop Type: Pick Type Minimum Application Rate: 0.0 Ibs/ac Maximum Application Rate: 0.0 Ibs/ac Average Application Rate: 0.0 Ibs/ac Application Area: 0.0 ac Average Field Rate: 0.0 Ibs/ac Total Area: 14.4 ac Fertility Analysi! 0,5 0u 1.0 Commodity: Bermuda Grass Sample Date: 2015-09-14 Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Total Product: 0.0 Ibs Total Product Bulk: 0.0 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:12 PN Ayden, NC 28513 1/2 252-746-2152 EFC•SYSTEM S"" Fertilizer Application Summary Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-05 Commodity: Bermuda Grass Labs: A&L Eastern Selected Parameters ProductRate Switch Rate Tenn Lime 1100 1 N/A 1400 Ibs/ac 10.00 1400 Ibs/ac Tenn Lime 0.0 (Ibs) 0.0 ton 0.0 $0.0/ton $0.0 $0.0/ac Application $0.0 /ac $0.0 $0.0/ac Totals $0.0 $0.0/ac Field Summary Field PLS r FSA ID County Area Centrold F-05 14.34 ac 135.366959, -77.415219 Fertility Analysis Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:12 PM Ayden, NC 28513 2/2 252-746-2152 EFC•SYSTEMS' Grower: CM5D Farm: WILEY GASKINS RD Field(s): F-06 Tenn Lime - Fertilizer Application (Ibs/ac) ran 02 Lab: Waters NCDA Equation: Lab - Default :onstraints: Target pH: 6.0 Crop Type: Pick Type Minimum Application Rate: 0.0 Ibs/ac Maximum Application Rate: 0.0 Ibs/ac Average Application Rate: 0.0 Ibs/ac Application Area: 0.0 ac Average Field Rate: 0.0 Ibs/ac Total Area: 4.4 ac t Fertility Analysis 05 03 1.0 Commodity: Bermuda Grass Sample Date: 2014-11-17 Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Total Product: 0.0 Ibs Total Product Bulk: 0.0 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 Ayden, NC 28513 252-746-2152 10-2-2015 2:13 PN 1/1 H0 SYSTEMS -.; Fertility Analysis FArtilizer Application Summary Grower: CMSD Commodity: Bermuda Grass Farm: WILEY GASKINS RD Labs: Waters NCDA Field(s): F-06 Product Wt App Wt App Bulk Applied Area Product Cost Est. Cost Est, Cost/Area Field Summary Area .. -06 -- 4.40 ac 35.365362,-77.416477 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:13 PN Ayden, NC 28513 2/: 252-746-2152 Z�CSN9,, Fertility Analysis Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-07 Tenn Lime - Fertilizer Application (Ibs/ac) 0ei A 05 U 1.0 Lab: A&L Eastern Equation: Lab - NCDA Commodity: Bermuda Grass Sample Date: 2015-09-14 Constraints: Target pH: 6.0 Crop Type: Pick Type Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Minimum Application Rate: 0.0 Ibs/ac Total Product: 0.0 Ibs Maximum Application Rate: 0.0 Ibs/ac Total Product Bulk: 0.0 ton Average Application Rate: 0.0 Ibs/ac Product Cost / Bulk: $0.0/ton Application Area: 0.0 ac Total Product Price: $0.0 Average Field Rate: 0.0 Ibs/ac Application Cost / Area: $0.0/ac Total Area: 5.9 ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:13 PP Ayden, NC 28513 252-746-2152 H E FC•SYSTEMS,.1 Fertility Analysis Fertilizer Application Summary Grower: CMSD Commodity: Bermuda Grass Farm: WILEY GASKINS RD Labs: A&L Eastern Field(s): F-07 Product Wt App Wt App Bulk Applied Area Product Cost Est. Cost Est. Cost/Area •1.11 11 Field Summary • County Area Centroid -07 1 1--5.91 ac 135.360321, -77.410402 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:13 PM Ayden, NC 28513 2/2 252-746-2152 E FC-SYS` E M S,.., Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-08 Tenn Lime - Fertilizer Application (Ibs/ac) 20. 10. 400 1026 Lab: A&L Eastern Equation: Lab - NCDA :onstraints: Target pH: 6.0 Crop Type: Pick Type Minimum Application Rate: 400.0 Ibs/ac Maximum Application Rate: 2904.2 Ibs/ac Average Application Rate: 1286.3 Ibs/ac Application Area: 6.2 ac Average Field Rate: 550.9 Ibs/ac Total Area: 14.4 ac Fertility Analysis 1652 2275 2904 Commodity: Bermuda Grass Sample Date: 2015-09-14 Max Rate: N/A Multiplier: N/A Min Rate: 400 Ibs/ac Subtract: N/A Switch Rate: 400 Ibs/ac Total Product: 7944.7 Ibs Total Product Bulk: 3.9723 ton Product Cost / Bulk: $0.0/ton Total Product Price: $0.0 Application Cost / Area: $0.0/ac Total Application Cost: $0.0 Total Cost: $0.0 Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:14 PM Ayden, NC 28513 1/2 252-746-2152 FFC -SYSTE M S".i Fertilizer Application Summary Grower: CMSD Farm: WILEY GASKINS RD Field(s): F-08 Commodity: Bermuda Grass Labs: A&L Eastern Selected Parameters ,roduct Rec % Max Rate Min Rate Switch Rate -enn Lime 1100 1 N/A 1400 Ibs/ac 10.00 1400 Ibs/ac Field Summary r FSA ID County Area Centrdid -08 J14.40 ac 135.362U13,-77.410097 Fertility Analysis Ayden Nitrogen 4728 Old NC 11 10-2-2015 2:14 PM Ayden, NC 28513 2/2 252-746-2152