WQ0000702_Residual Annual Report 2019_20200210

Initial Review
INITIAL REVIEW
Reviewer Williams, Kendall
Is this submital an
application?*
r Yes r No
Annual Report 2019
Year*
Date Paper Copy 2/10/2020
Received:*
Project Number* WQ0000702
Email Notifications
...................................................................................................
Does this need O Yes
review by the a No
hydrogeologist? *
Regional Office
CO Reviewer
Admin Reviewer [e-mail]

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by NUB Staff regarding electronic submittal, confirmation of receipt, and other issues.
....................................................................................................................................................................................................................................................................................................................................................................................................
Name * Martin Mabe
Email Address*
[e-mail]
Project Information
........................................................................................................................................................................
Submittal Type* f New Permit Application
r Renewal
r Annual Report
Permit Type * r Wastewater Irrigation
r Other Wastewater
r Closed -Loop Recycle
r Single -Family Residence
Wastewater Irrigation
Is a paper copy of the application being submitted?*
r Yes r Nor N/A
Permit Number* WQ0000702
Applicant\Permittee * Frank Bottorff
Facility Name * City of Havelock
Phone Number*
3363121396
r Modification (Major or Minor)
r Additional Information
r Other
r High -Rate Infiltration
r Reclaimed Water
r Residuals
r Other
Please provide comments/notes on your current submittal below.
One hard copy is being mailed to NCDEW-DWR-NDCU
Please attach all information required or requested for this submittal to be review here.
Application Forrn Engineering Rans, Specifications, Calculations, Etc.)
Havelock 2019 Annual Report NCDEQ.pdf 22.46MB
Upload only 1 R7F document. I laltiple docurrents must be corrbined into one RJF file.
For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contact the reviewer or Tessa Monday. If a paper application is required,
be advised, applications accepted for pre -review until both the paper and electronic copies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments (caIcs, sails report, specs, etc.
o one full-size engineering plan set
0 one 11x17" engineering plan set
0 one extra set of specifications
o Fee (if required}
Mailine address:
Division of Water Resources Division of Water Resources
Non -Discharge Branch I Non -Discharge Branch
---- --- - --- - --- ------------ ------------------------------------i----------------------------------------------------------------------------
1617 Mail -service Center Att: Nathaniel Thornburg, 9"' Floor, Office #942W
---- -NC �-- - -------------------------------------------- ------------------------------------------------
Raleih, 7699-1617 512 N. SaVisbury St
For questions or problems contact Tessa Monday at [e-mail] or 919.707.3660.

* W By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 2/6/2020

2019 ANNUAL REPORT
LAND APPLICATION PROGRAM
CITY OF HAVELOCK
PERMIT #WQ0000702
Prepared For:
Bio-Nomic Services
530 Woodlawn Street
Belmont, North Carolina 28012
Compiled By:
Willcox & Mahe Soil Solutions, PLLC
7231B Summerfield Road
Summerfield, North Carolina 27358
February 2020

willcox&mabe
SOIL SOLUTIONS
February 6, 2020
NCDEQ-DWR
512 North Salisbury Street, 9 h Floor, Room 942X
Raleigh, North Carolina 27604
Attention: Non -Discharge Permitting Unit
Reference: 2019 LAND APPLICATION ANNUAL REPORT
City of Havelock
Permit No. WQ0000702
WMSS Project No. 15-18 Ph: 02
Non -Discharge Permitting Unit:
Willcox & Mabe Soil Solutions, PLLC (WMSS) is submitting all monitoring and reporting
requirements as specified in the above referenced permit on behalf of Bio-Nomic Services,
Inc. (Bio-Nomics) for the City of Havelock. WMSS compiled this report using data gathered
during the compliance year by Bio-Nomics and the City of Havelock. This data includes: 1)
certification form, 2) residuals analyses and pathogen / vector data, 3) application summaries
and field loading rate reports, and 4) soil analyses.
If there is any further information required or questions regarding this annual report please do
not hesitate to contact the City of Havelock for further assistance.
Sincerely,
WMSS
Martin Mabe
NC Land Application/Residuals Operator
#22753
Enclosures
Shared\WMSS Projects\2015\15-18 Bio-Nomics\Phase 02 - Havelock\2019 Annual Report\2019 ANNUAL REPORT.doc
Willcox & Mabe Soil Solutions, PLLC /7231 B Summerfield Road / Summerfield, NC 27358 / Rob336.339.9128 or
Martin 336.312.1396 / www.willcoxmabesoil.com

Bio-Nomic Services, Inc.
530 Woodlawn Street
Belmont, North Carolina 28012
704-529-0000
CITY OF HAVELOCK
NPDES #NC0021253
NC PERMIT # WQ0000702
Mr. Frank Bottorff, City Manager
City of Havelock
Post Office Box 368
Havelock, NC 28532
LAND APPLIERS:
Bio-Nomic Services, Inc.
530 Woodlawn Street
Belmont, North Carolina 28012
704-529-0000
2019 City of Havelock WWTP Dry Tons to Land Application 153.81
2019 City of Havelock WWTP Dry Metric Tons to Land Application 139.51
Total Dry Metric Tons 139.51

TABLE OF CONTENTS
SECTION NO. TITLE
Certification Form
II Residuals Analyses & Pathogen / Vector Attraction Data
III 2019 Application Summary and Field Loading Rate Reports
IV Soil Analysis

CERTIFICATION FORM

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit##: W00000702 County:
Facility Name (as shown on permit):
Land Application Operator:
Craven
Year: 2019
City of Havelock
Bio-Nomic Services, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summarv:
Total number of application fields in the permit: 61
Total number of fields utilized for land application during the year: 18
Total amount of dry tons applied during the year for all application sites: 153.81
Total number of acres utilizes for land application during the year: 68.9
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2019 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. El Yes ❑ No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the
limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of
laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .I 105(a) or the Pollutant Loading
Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .l I I 1 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified
in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the possibility
of fines and imprisonment for knowing violations."
Frank Bottorff, City Manager
Permittee Namond Title,('(ype or print)
Signature of Permittee Date
S ignature
of Land Applier
Date
(if differe t rom�xmittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

RESIDUAL ANALYSES
TCLP ANALYSES
AND PATHOGEN AND VECTOR ATTRACTION REDUCTION

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CITY OF HAVELOCK
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: January 14, 2019
Havelock Permit No. NCO021253
Mineralization Rate 0.30 3.49 %Solids
6.3 pH
Parameter
%
Mg/Kg Dry Weight
(% x 10,000)
Pounds/Dry Ton
(Mg/Kg x 0.002)
Nitrogen (TKN)
4.930
49,300.000
98.600
Phosphorus
5.408
54,080.000
108.160
Potassium
0.424
4,244.000
8.488
PAN (injected)*
1.594
15,938.080
31.876
PAN (surface)*
1.512
15,121.580
30.243
AmmoniaNitrogen
0.163
1,633.000
3.266
Calcium
3.411
34,108.000
68.216
Calcium Carbonate Eq.
-
---
Magnesium
---
2,246.000
4.492
Sodium
---
3,413.000
6.826
Sulfur
-
Nitrate N / Nitrite N
---
4.980
0.010
Barium
Chloride
Iron
---
---
---
___
--
SA
0
Ceiling Concen.
Aluminum
---
22,819.00
45.638
(M g)
Arsenic
---
3.000
0.006
75
Cadmium
1.100 1
0.002
85
Chromium
17.000
0.034
--
Copper
---
708.00
1.416
4,300
Lead
---
21.00
0.042
840
Mere
---
0.390
0.001
57
Molybdenum
---
6.000
0.012
75
Nickel
---
11.00
0.022
420
Selenium
--- 1
5.000
0.010
100
Zinc
---
1,800.00
3.600
7,500
Environmentl : 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

Emworro�lo]i pM I D000rrPor Udo
114 OAKMONT DRIVE
GREENVILL_E, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
PARAMETERS
P11, Units
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt, basis), mg/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt, basis),mg/kg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/lig
Sodium (dry wt. basis), mg/kg
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (cahc)
Total Solids, %.
TIIN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mg/fig
Nitrate -Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
6.3
01/18/19
JTH
4500HB-11
22819
01/17/19
LFJ
EPA200.7
3.0
01/22/19
MTM
311313-04
34108
01/17/19
LFJ
EPA200.7
1.1
01/17/19
MTM
3113B-04
708
01/17/19
LFJ
EPA200.7
17
01/17/19
LFJ
EPA200.7
21
01/18/19
MTM
3113E-04
2246
01/17/19
LFJ
EPA200.7
0.39
02/07/19
MTM
EPA7471B
11
01/17/19
LFJ
EPA200.7
4244
01/17/19
LFJ
EPA200.7
<5.0
01/28/19
MTM
3113E-04
3413
01/17/19
LFJ
EPA200.7
1800
01/17/19
LFJ
EPA200.7
4.8
3,49
01/14/19
RDS
2540G-11
c 49300
01/23/19
BLD
351.2 R2-93
c 1633
01/24/19
CLO
350.1 H2-93
c 54080
01/23/19
DTL
365.4.74
c 4.98
01/16/19
BLD
353.2 R2-93
15938
01/28/19
SEJ
6
01/17/19
LFJ
EPA200.7
Drinking Water To, 17719
Waeteweter ID. 10
PHONE- [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 01/14/19
DATE REPORTED : 02/08/19
REVIEWED BY:
0 Dncertif Lod data. DWR doe. not offer non -aqueous certification for thin analytical procedure.

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CITY OF HAVELOCK
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: April 15, 2019
Havelock Permit No. NC0021253
Mineralization Rate 0.30 3.44 % Solids
6.5 pH
Parameter
%
Mg/Kg Dry Weight
Pounds/Dry Ton
(Mg/Kg x 0.002)
(TKN)
4.793
47,930.000
95.860
horus
2.949
29,490.000
58.980
rNitrogen
ium
0.428
4,283.000
8.566
(injected)*
1.700
17,002.280
34.005
PAN (surface)*
1.513
15,132.780
30.266
Ammonia Nitrogen
0.374
3,739.000
7.478
Calcium
2.951
29,512.000
59.024
Calcium Carbonate Eq.
---
.--
__-
Magnesium
---
2,165.000
4.330
Sodium
---
3,187.000
6.374
Sulfur
___
-__
---
Nitrate N / Nitrite N
--•
5.980
0.012
Barium
Chloride
---
---
---
---
SAR
0.89
Iron
---
---
---
Ceiling Concen.
Aluminum
19,580.000
39.160
(Mg/Kg)
Arsenic
---
2.500
0.005
75
Cadmium
---
1.200
0.002
85
Chromium
--
15.000
0.030
--
Copper
---
578.000
1.156
4,300
Lead
---
13.000
0.026
840
Mercury
---
0.220
0.000
57
Molybdenum
---
5.000
0.010
75
Nickel
---
11.000
0.022
420
Selenium
5.000
0.010
100
Zinc
1,508.000
3.016
7,500
Environment I, Inc. 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N+ Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.

L�dorro��c�� Flo � �c�QpoQa �d Drinking Water 10. 17715
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OP HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
PARAMETERS
PH, Units
Aluminum, (dry wt. basis), mg/kg
Arsenic (dry wt. basis), mg/kg
Calcium (dry wt. basis), fug/kg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/Icg
Chromium, T.(dry wt, basis),mg/kg
Lead (dry weight basis), mg/kg
Magnesium (dry wt. basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/kg
Sodium (dry wt. basis), mg/kg
Zhu (dry wt. basis), mg/kg
Sodium Adsorption Ratio (cafe)
Total Solids, %
TKN (dry wt.), mg/lig
Ammonia Nitrogen ((try wt.),mg/Icg
Phosphorus, T. (dry wt.), mg/lig
Nitrate -Nitrite (dry wt.), mg/kg
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/kg
Sludge Analysis Method
Sample Date Analyst Code
6.5 04/17/19 JTH 4500HB-11
19580 04/24/19 LPJ EPA200.7
<2.5 04/23/19 MTM 3113E-04
29512 04/24/19 LPJ EPA200.7
1.2 04/25/19 MTM 3113B-04
578 04/24/19 LPJ EPA200.7
15 04/24/19 LPJ EPA200.7
13 04/24/19 MTM 3113B-04
2165 04/24/19 LPJ EPA200.7
0.22 05/10/19 MTM EPA7471B
11 04/24/19 LPJ EPA200.7
4293 04/24/19 LPJ EPA200.7
<5.0 04/30/19 bITM 3113B-04
3187 04/29/19 AKS 3111B-11
1508 04/24/19 LPJ EPA200.7
4.8
3.44 04/16/19 KDS 254OG-11
c 47930 04/18/19 TLH 351.2 R2.93
e 3739 04/18/19 BLD 350.1 112-93
c 29490 04/19/19 DTL 365.4.74
c 5.98 04/18/19 DTL 353.2 112-93
17002 04/22/19 SEJ
<5.0 04/24/19 LPJ EPA200.7
PHONE [phone]
FAX [phone]
ID#: 414
DATE COLLECTED: 04/15/19
DATE REPORTED : 05/13/19
REVIEWED BY: --
c Uncertified data. ➢WR does not offer non-agueoue certification for this analytical procedure.

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CITY OF HAVELOCK
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: July 15, 2019
Havelock
Mineralization Rate 0.30
Parameter
Carbonate
N / Nitrite N
4.39 %Solids
6.6 pH
Y. Mg/Kg
t% x
3.612
Permit No. NCO021253
D
ry Weight Pounds/Dry Ton
10,000) (Mg/Kg x 0.002)
53,120.000 106.240
36,120.000 72.240
3,937.000 7.874
17,432.780 34.866
16,365.780 32.732
2,134.000 4.268
31,184.000 62.368
2.980
3.30
1.40
12.00
641.00
12.00
0.32
9.00
9.00
5.00
1.685.00
7.328
0.006
41.324
0.007
0.003
0.024
1.282
0.024
0.001
0.018
0.018
0.010
3.370
Environment 1, Inc. k 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N +Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
SAR
1.12
Ceiling Concert.
(M /Kg)
75
85
4,300
840
57
75
420
100
7,500
2.980
3.30
1.40
12.00
641.00
12.00
0.32
9.00
9.00
5.00
1.685.00
7.328
0.006
41.324
0.007
0.003
0.024
1.282
0.024
0.001
0.018
0.018
0.010
3.370
Environment 1, Inc. k 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N +Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or < detection limits are listed as detection limits
for calculation purposes.
SAR
1.12
Ceiling Concert.
(M /Kg)
75
85
4,300
840
57
75
420
100
7,500

EmwoPomn@[N T, bw
N.C.
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACK60N DRIVE
RAVELOCK ,NC 28532
PARAMETERS
PH, Units
Aluminum, (dry wt. basis), mg/kg
Arsenic ((fry wt. basis), mg/kg
Calcium (dry wt, basis), mg/kg
Cadmium (dry wt. basis), mk/kg
Copper (dry wt. basis), mg/Icg
Chromium, T.(dry wt. basis),mg/kg
Lead (dry -weight basis),. mg/Icg
Magnesium (dry wt, basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mg/Icg
Sodium (dry wt. basis), mg/Icg.
Zinc (dry wt. basis), mg/kg
Sodium Adsorption Ratio (calc)
Total. Solids, %
TKN (dry wt.), mg/Icg
Ammonia Nitrogen (dry wt.),mg/kg
Phosphorus, T. (dry wt.), mglkg
Nitrate-Nitri(e (dry wt.), mglkg
Platt Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mglkg
Sludge Analysis Method
Sample Date Analyst Code
6.6 07/17/19 JTH 45001113-11
20662 08/06/19 LrJ EPA200.7
3.3 08107/19 MTM 3113B-04
31184 09/07/19 LFJ EPA200.7
1.4 08/06/19 MTM 3113B-04
641 08/07/19 LFJ EPA200.7
12. 08/07/19 LFJ EPA200.7
12 08/08119 MTM 3113B-04
2434 08/07/19 LFJ EPA200.7
0.32 07/26/19 MTM EPA7471B
9 08/07/19 LFJ EPA200.7
3937 08/07/19 LFJ EPA200.7
<5.0 08/07/19 MTM 3113B-04
3664 08/06/19 LFJ EPA200.7
1685 08/07/19 LFJ EPA200.7
5.4
4.39 07/16/19 IMS 2540G31
c 53120 07/18/19 TLH 351.2 R2-93
c 2134 07/19/19 AILS 350.1 R2-93
c 36120 07/18/19 BLD 365.4.74
c 2.98 07/19/19 TLH 353.2 R2.93
17433 07/25/19 SEJ
9 08/07/19 LFJ EPA200.7
ID#; 414
DATE COLLECTED; 07/15/19
DATE REPORTED : 08/13/19
REVIEWED BY: :� _
0 Uncertified data. DWR does not oiler non -aqueous oartilicetlon for this -analytical procedure.
756-0. 03

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CITY OF HAVELOCK
LAND APPLICATION PROGRAM
RESIDUALS ANALYSIS
Residual Type: Wastewater Treatment Plant
Date Sampled: October 8, 2019
Havelock Permit No. NCO021253
Mineralization Rate 0.30 5.09 % Solids
6.7 off
Parameter
%*
Mg/Kg Dry Weight
% x 19,0001
Pounds/Dry Ton
(Mg/Kg x 0.002)
Nitrogen (TKN)
4.745
47,450.000
94.900
Phosphorus
3.250
32;500.000
65.000
Potassium
0.261
2,606.000
5.212
PAN (injected)*
1.572
15,723.390
31.447
PAN (surface)*
1.466
14,662.390
29.325
Ammonia Nitrogen
0.212
2,122.000
4.244
Calcium
3.364
33,641.000 1
67.282
Calcium Carbonate Eq.
---
--
Magnesium
---
1,907.000
3.814
Sodium
---
3,542.000
7.084
Sulfur
---
---
---
Nitrate N / Nitrite N
---
2.990
0.006
Barium
---
---
---
Chloride
--
---
---
Iron
---
---
---
Aluminum
---
22,524.00
45.048
Arsenic
3.000
0.006
Cadmium
---
1.300
0.003
Chromium
---
14.000
0.028
Copper
---
607.00
1.214
Lead
---
15.000
0.030
Mercury
---
0.300
0.001
Molybdenum
---
7.000
0.014
Nickel
---
8.00
0.016
Selenium
---
5.000
0.010
Zinc
2,417.00
4.834
Environment I, Inc. # 414
*Determination of Plant Available Nitrogen (PAN):
Injected Application:
(Mineralization Rate)(TKN-Ammonia N) + Ammonia N + Nitrate N + Nitrite N = % PAN
Surface Application:
(Mineralization Rate)(TKN-Ammonia N) + (0.5)(Ammonia N) + Nitrate N + Nitrite N = % PAN
Note: Constituents N.D. (Not Detected) or <detection limits are listed as detection limits
for calculation purposes.
Ceiling Concen.
85
840
75
420
100
7.50i

Environment 1t Inc
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
PARAMETERS
PH, Units
Aluminum, (dry wt. basis), mg/Icg.
Arsenic (dry wt. basis), rug/kg
Calcium (dry wt. basis), mg/leg
Cadmium (dry wt. basis), mg/kg
Copper (dry wt. basis), mg/kg
Chromium, T.(dry wt, basis),mgllcg
Lead (dry weight basis), mg/kg
Magnesium (dry wt, basis), mg/kg
Mercury (dry wt. basis), mg/kg
Nickel (dry wt. basis), mg/kg
Potassium (dry wt. basis), mg/kg
Selenium (dry wt. basis), mglkg
Sodium (dry wt. basis), mg/kg
Zinc. (dry wt. basis), mg/kg
Sodium Adsorption Ratio (cafe)
Total Solids, %a
TKN (dry wt.), mg/kg
Ammonia Nitrogen (dry wt.),mg/Icg
Phosphorus, T. (dry wt.), mg/kg
Nitrate -Nitrite (dry wt.), mg/lig
Plant Available Nitrogen, mg/kg
Molybdenum (dry wt. basis), mg/Icg
Sludge Analysis Method
Sample Date Analyst Code
6.7 10/10/19 GNB 4500HB-11
22524 11/22/19 LtJ EPA200.7
3.0 11114/19 MTM 3113)3.04
33641 11/22/19 LFJ EPA200.7
1.3 11/15/19 MTM 3113B-04
607 11/22/19 LFJ EPA200.7
14 11/22/19 LFJ EPA200.7
15 11/14/19 MTM 311313-04
1907 11/22119 LFJ EPA200.7
0.30 10/25/19 MTM EPA7471B
8 11/22/19 LFJ EPA200.7
2606 11/22/19 LFJ EPA200.7
<5.0 11/19/19 MTM 3113B-04
3542 11/22/19 LFJ EPA200.7
2417 11/22/19 LFJ EPA200.7
5.1
5.09 10/,10/19 ICDS 2540G-1l
c 47540 10/16/19 AKS 351.2 R2-93
c 2122 10/10/19 BLD 350.1 R2.93
c 32500 10/16/19 TLH 365.4-74
c 2.99 10/15/19 BLD 353.2 112-93
15750 10/17/19 SEJ
7 11/22/19 LRJ EPA200,7
FAX
ID#: 414
DATE COLLECTED-: 10/08/19
DATE REPORTED : 11/25/19
REVIEWED BY:
c Uncertified data. DWa done not offer non-aquooun certification for thin analytical procedure..

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TCLP ANALYSIS

—`
h
0rlarfda;
The reSLl1ts Set forth herei4 are provided by SGS North America Inc.
T ' hn cal Report fat
Environment 1, Inc
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
414
SGS Job Number: FA60954
Sampling Date: 01/14/19
Report to:
,ironment 1, Inc
Box 7085
enville. NC 27835
Deedee Woolard
Total number of pages in report: 14
e-Hardeopy 2.0
Anlorrrated Report
V'pCf6 O
etlinBZtMS.
Test results contained within this data package meet Ike requirements
of the National Environmental Laboratory Accreditation Program
General Manager
and/or stale specific certification programs as applicable.
Client Service contact: Jean Dent -Smith 407-425-6700
Cal ti6callons: FL(E83510), LA(0305L), KS(E-10327), IL(200063), NC(573), NJ(FLOo2), NY(L2022), SC(96038000
DoD ELAP(ANAII L2229), AZ(AZ0806), CA(2937), TX(T104704404), PA(68-03573), VA(460177),
AK, AR, 1A, KY, MA, MS, ND, NH, NV, OK, OR, UT, WA, WV
TIOs report shall not he reproduced, except in its enlirely, without (lie written approval of SGS.
Tesl results relate only to samples analyzed.
SGS North America Inc. • 4405 Vineland Road • Suite C-15 • Orlando, FL 32811 • lel; 407-425-0700
SGS is the sole au(hvi ily for authorizing edits or nmdifrca(ions to this document. please; shorn your ideas about
Unliuthorized modification of (his report is strictly prohibiled. how wo onn serve you better at:
Review standard terns at: blip:/hwvsysgs.comkn/Ictms-and-conditions EHSAJS.CuslmnarCare n sgs.com
Fax: [phone]
1 of 14
FA9e95A

Table of Contents
Section1: Sample Summary..........................................................................I.......................
Section2: Summary of Hits ...............................................................................................
Section3: Sample Results......................................................................................................,
3.1: FA60954-1: SLUDGE SAMPLE.................................................................................
3.2: FA60954-IL: SLUDGE SAMPLE...............................................................................
Section4: Misc. Forms............................................................................................................
4.1: Chain of Custody...........................................................................................................
Sections:
3
4 p'
5 ^`
6
7
12
13
_ SGa''.. 2 of 14
rAGN54

SGS North America Inc.
Sample Summary
Environment 1, Inc
City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Project No: 414
Job No: FAG0954
Sample
Collected
Matrix
Client
Number
Date Time By
Received Code Type
Sample ID
FA60954.1 01/14/19 13:25FW 01/19/19 AQ Water
M6006474L401/14/19 13:25FW 01119119 AQ Water
SLUDGEUMPLE
SLUDGE8AMPLE
I
-SGS' 3 of 14
FAMU

Summary of Hits
Job Number: FAGO954
Account: Environment 1, Inc
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
Collected: 01/14/19
i
e
Page 1 of 1
Lab Sample ID Client Sample ID Result/
Analyte Qual RL MDL Units Method
FA60954-1 SLUDGE SAMPLE
Corrosivity as pH kg
Ignitability (Flashpoini) a > 200
FA60954-1L SLUDGE SAMPLE
No hits reported in this sample.
(a) Not ignitable.
su SW846 CIIAP7
Deg. F SW8461010A
1 4of 14
_SG$.
fAGU95d

Sample Resplts
Report of Analysis
5 of 99
_ SG5..
FAfi0951

SGS North America Inc.
Report of Analysis
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA60954-1 Date Sampled: 01/14/19
Matrix: AQ - Water Date Received: 01/19/19
Percent Solids: 1.2
Project: City of Havelock W WTP; 304 N Jackson Dr, Havelock, NC
Page 1 of 1
General Chemistry
Analyte
Result
RL Units
DF
Analyzed
By
Method
Coirosivity as pH
6 0
so
1
01/29/1912:43
Bw
SW846 CHAP7
Cyanide Reactivity
<1,5
1.5 mg/I
1
01129/1918:27
JK
SW046CHAP7
Ignitabilily (Flashpoint) a
>'200
Deg. F
1
02/02/19 11:30
BW
swe4c loioA
Solids, Percent
1
01/23/19 14:46
BR
SMI0254OG
Sulfide Reactivity
c5o
50 mg/1
1
01/29/19 14; 15
Bw
sw64s cHAP7
(a) Not Ignitable.
RL = Reporting Limit
6 of 14
i
FA60964

SGS North America Inc.
Report of Analysis
Page 1 of I
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA60954-1L Date Sampled: O1114/19
Matrix: AQ - Water Date Received: 01/19/19
Method: SW846 8260B SW846 1311 Percent Solids: 1.2
Project: City of Havelock WWTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run 41 Y39989.1) 10 01/25/19 15:30 SP O1/24/19 09:00 OP73531 VY1597
Run #2
Purge Volume
#1 5.0 ml
#2
VOA TCLP List
TCLP Leachate method SW846 1311
CAS No.
Compound
Result
HW#
MCL RL
MDL
Units Q
71-43-2
Benzene
ND
D018
0.50 0.010
0.0031
mg/1
78-93.3
2-Butanone (MEK)
ND
D035
200 0.050
0.020
mg/I
56-23-5
Carban Tetrachloride
ND
DON
0.50 0.010
0.0036
mg/1
108-90-7
Chlorobenzene
N..D
D021
100 0.010
0.0020
mg/l
67-66-3
Cldorofonn
ND
D022
6.0 0,010
0.0030
mg/l
106-46-7
1,4-Dichlorobenzene
ND
D027
7.5 0.010
0.0026
mg/I
107-06-2
1,2-Dlchloroethane
ND
D028
0.50 0.010
0.0031
mg/1
75-35-4
1,1-Dichloroethylene
ND
'' D029
0.70 0.010
0.0032
mg/l
127-18-4
Tetrachloroethylene
ND
D039
0.70 0,010
0,0022
mg/l
79-01-6
Trichloroethylene
'ND
D040
0.50 0.010
0.0035
mg/l
75-01-4
Vinyl Chloride
ND
D093
0.20 0.010
0.0041
mg/I
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
1868-53-7
Dibromolluoromethane
111%
83-118%
17060-07-0
1,2-Dichloroelhane-D4
1.09%
79-125%
2037-26-5
Toluene-D8
93%
85-112%
460-00-4
4-Bromotluorobenzene
98So
83-118%
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyle found In associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
AN
i 7of 14
SG
fAG0954

SGS North America Inc.
Report of Analysis
Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA60954-1L Date Sampled: 01/14/19
Matrix: AQ - Water Date Received: Ol/19/19
Method: SW846 8270D SW846 3510C Percent Solids: 1.2
Project: City of Havelock W WTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prop Date Prep Batch Analytical Batch
Run #1 X064918.1) 1 01/Z8/19 17:22 MV 01/26/19 09:30 OP73560 SX2675
Run #2
Initial Volume Final Volume
Run #1 100 ml 1.0 ml
Run #2
ABN TCLP List TCLP Leachato method SW846 1311
CAS No. Compound Result HW# MCL RL MDL Units Q
95-48-7
2-Methylphenal
ND
D023
200 0.050
0.0056
mglf
3&4-Methylphenal
ND
D024
200 0.050
0.0098
mg/1
87.86.5
Pentachlorophenol
ND
D037
100 0.25
0.050
mg/1
95-95-4
2,45-Trichlorophenoi
NI)
D041
400 0.050
0.0074
mg/I
8846-2
2,9,6-Trichlorophenoi
IVD
D042
2.0 0,050
0.0075
mg/I
106-46-7
1,9-Dichlorabenzene
ND
D027
7.5 0.050
0.0050
mg/I
121-14-2
2,4-Dinitrotoluene
ND
_D030
0.13 0,050
0.0081
mg/l
I18-74-1
Hexachlorobenzene
ND
D032
0.13 0.050
0.0069
mg/I
87-68-3
Hexachlorobutadiene
ND
D033
0.50 0.050
0.0050
mg/I
67-72.1
Hexacliloroethane
ND
D034
3.0 0.050
0.016
mg/1
98-95-3
Nitrobenzene
Np
s; D036
2.0 0.050
0.0093
mg/I
110.86-1
Pyridine
ND
D038
5.0 0.10
0.020
mg/I
CAS No.
Surrogate Recoveries
Run# 1
Run# 2
Limits
367-12-4
2-Fluorophenol
41%
14-67%
4165-62-2
Phenol-d5
4U%
10-50%
118-79-6
2,4,6-Tribromophenol
33-118%
4165-60-0
Nitrobenzene-d5
7U°h
42-106%
321-60-8
Z-Fluorobiphenyl
6i3%
90-106°6
1718-51-0
Terphenyl-d14
7lp/o
39-121%'
ND = Not detected MDL = Method Detection Limit j = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 2617/1111) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
EM
8 of 14
FAU°95.1

SGS North America Inc.
Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA60954-1L Date Sampled: 01/14/19 x
Matrix: AQ - Water Date Received: O1119/19
Method: SW846 8151A SW846 3510C Percent Solids: 1.2
Project: City of Havelock W WTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #1 CC060886.D 1 01/28/19 18:12 RS 01/26/19 11:45 OP73562 GCC1403
Rut #2
Initial Volume Final Volume
IRun #1 10.0 ml 5.0
Run #2
Herbicide TCLP Leachate
CAS No.
Compound
94-75-7
2,4-D
93-72-1
2,4,5-TP (SRvex)
CAS No.
Surrogate Recoveries
I9719-28-9
2,4-DCAA
ml
Report of Analysis
Result HW# MCL RL
ND I .
.'fi0016 10 0.050
ND
D017
Run# 1
Run# 2 Limits
39-135%
TCLP Leachate method SW846 1311
MDL Units Q
0,017 mg/1
0.0013 ntg/I
ND = Not detected MDL = Method Defection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CPR 201 7/1/11) . B = Indicates analyle found in associated method blank
E = Indicates value exceeds calibration range N = Indicates Presumptive evidence of a compound
SG9 o114
FAGO964

SGS North America Inc.
Report of Analysis
Page 1 of 1
Client Sample ID: SLUDGE SAMPLE
Lab Sample ID: FA60954-1L Date Sampled: 01/14/19
Matrix: AQ - Water Date Received: 01/19/19
Method: SW846 8081B SW846 3510C Percent Solids: 1.2
Project: City of Havelock W WTP; 304 N Jackson Dr, Havelock, NC
File ID DF Analyzed By Prep Date Prep Batch Analytical Batch
Run #I KK92795.D 1 01/29/19 01:46 WH O1/26/19 08:00 OP73561 GKK2949
6Run #2
Initial Volume Final Volume
Zoo #1 100 ml 5.0 ml
Zoo #2
Pesticide TCLP Leachate
CAS No. Compound
58-89-9 gamma-BHC (Lindane) a
12789-03-6 Chlordane
72-20-8 Endrin a
76-44-8 Heplachlor a
I024-57-3 heptachlor epoxide a
72-43-5 Methoxychlor
8001-35-2 Toxaphene
CAS No. Surrogate Recoveries
877-09-8 Tetrachloro-m-xylene
2051-24-3 Decachlorobiphenyl
TCLP Leachate method S W 846 1311
Result HW# MCL RL
..... .............
ND...
_ ``: D013
0.40 0.00010
ND
D020
0.030 0.0010
ND
" D012
0.020 0.00020
ND._
D031
0100800.00010
ND
;:' D031
0,0080 0.00010
ND
D014
10 0.00020
ND': ..
D015
0.50 0.0050
Run# I
Run# 2
Limits
99%
42-127%
27-127%
(a) Associated CCV outside of control limits high, sample was ND.
MDL Units Q
0.000022 mg/I
0.00038 mg/I
0.000021 mg/I
0.000026 mg/I
0.000020 mg/1
0.000050 mg/I
0.0021 mg/I
ND = Not detected MDL = Method Detection Limit J = Indicates an estimated value
MCL = Maximum Contamination Level (40 CFR 261 7/1/11) B = Indicates analyte found in associated method blank
E = Indicates value exceeds calibration range N = Indicates presumptive evidence of a compound
10 of 14
FAGO954

SGS North America Inc.
Report of Analysis
Client Sample ID; SLUDGE SAMPLE
Lab Sample ID: FA60954-IL Date Sampled: 01/14/19
Matrix: AQ - Water Date Received: 01/19/19
Percent Solids: 1.2
Project: City of Havelock W WTP; 309 N Jackson Dr, havelock, NC
Metals Analysis, TCLPLeachate SW8461311
Page 1 of t
Analyte Result HW# MCL RL Units DF Prep Analyzed By Method Prep Method
Arsenic <;p.10 ;+, D004 5.0 0.10 mg/1 1 01/28/19 01/28/19 LM SW846 60I0D 2 SW846 3010A 4
Barium <2 :0 D005 100 2.0 mg/1 1 01/28/19 01/28/19 LM SW846 6010D 3 SW846 3010A 4
Cadmium 2;0i050 ';.'' D906 1.0 0.050 mg/l 1 01/28/19 01/98/19 LM SW846 G610D 2 SW84G 3010A 1
Chromium D007 5.0 0.10 mg/l 1 01/28/19 01/28/19 LM SW846 6010D 2 SW840 3010A 4
Lead S 0 05.Vi :. D008 5.0 0.050 mg/l 1 01/28/19 01/28/19 LM SW846 6010D 2 SWE46 3010A 4
Mercury <0 0050 D009 0.20 0.0050 mg/l 1 01/25/19 01/25/19 1c SW846 7476A 1 SW046 7470A 3
Selenium <;010,`:.`:;i.y°DOW 1.0 0.10 mg/l 1 01/28/19 01/28/19 LM SW8466010D2 SW846 3010A4
Silver <' TV.;i'.:i' DOI l 5.0 0.10 mg/I 1 01/28/19 01/28/19 LM SWB46 Ga1OD 2 SW940 3010A 4
(1) Instrument QC Batch: MA15564
(2) Instrument QC Batch: MA15567
(3) Prep QC Batch: MP34974
(4) Prep QC Batch: MP34981
RL = Reporting Limit
MCL = Maximum Contamination Level (40 CFR 261 7/1/11)
_ 11 of
FAGOM

Misc. Forms
Custody Documents and Other Forms
Includes the following where applicable:
• Chain of Custody
14
_ S..12 of .
FA50954

C
A
c
3
1
0
Grrvhnumenll,lne. CHAIN OFCT7STODYRECORD F jSq 1 s
P.O. Box 7085.114 Oakmont Or. }�' ,�L7 Peee _.af_
rM. IISNC77&58 --'-- — -
CLIENT.. 414 Mk. 6
�■MWMP
®mWULM
UMI
,
www
5�/MiM
i
low.
PLEASE BEM Instrucllons for complepnp Ibis form on the Inverse slde.l ...... "'�"°°°""""`"^"°'""'"""'°°""" N: H41"
Fonu is Grub sample in 0e blocks above for each pammuler requested,
FA60954: Chain of Custody
Page 1 of 2
73 of 10.
�� Faeobsa

SGS Sample Receipt Summary
Job Number: FA60954 Client: ENV. 1 Project: 414
Date ITlme Received: 1119/201910:00:OOAM Delivery Method: F% AIrblll#'s: 11101893382710003201100481211580901
Therm ID; IR 1; Thertn CF: -0.2; N of Coolers: 1
Cooler Temps (Raw Measured) °C: Cooler 1: (2.6);
Cooler Temps (Corrected) IC: Gaoler 1: (2.4);
1. Custody Seals Present
to
❑
2. Custody Seals lnlect
®
❑
3. Tomp called. achlawd
®
❑
4. Cooler temp vadncalian
IR Gun
5. Cooler media
Ice regal
Trip Blank Information
1. Trip Blank present/cooler
2. Trip Blank listed on COC
3. Type Of TB Received
Y or N N/A
❑ ❑
❑ ❑
W or 5 NIA
❑ ❑ 21
Sample Information
1. Sample labels present on bellies
2. Samples preserved properly
3. Sufficient volumerwnlelners raced for analysis:
4. Condienn of sample
S. Sample recvd vAthln HT
S. Datesfrimesfi0s on COC match Sample Label
T. VOCs have headspace
S. Bolllen received forumpecli ed testa
9. Compoallin9 Instructions dear
10. Von Soil WhIJare recolvad past 411hrs9
I i. % Sonds Jarracelved?
12. Residual Chlorine Present?
I ?
Y or N NIA
El
© ❑
Inlael
® ❑
❑ 10
❑ ❑
❑ ❑ 21
❑ ❑
Misc. Information
Numberaf Enwres: 25-Gmm_ a -Gram Numberaf5035 Field Kits:_ Number of Lab Filtered Metals:_
Test Slip Lot Its: pH 0-3 230315 pH 10-12 219513A Other. (Specify)
Residual Chlorine Test Ship Lot 0:
Comments
Technician: PETERH DOW 1/19201910:00:00A RaNawer: ow.]
0. 0lrs11fr
Date:
FA6O954: Chain of Custody
Page 2 of 2
14 of 14
FAf0964

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: City of Havelock WQ Permit Number: W00000702
WWTP Name: City of Havelock W WTP NPDES Number: NCO021253
Monitoring Period: From 1/1/2019 To 3/31/2019
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
Alternative 4 ❑
Alterative 5 ❑
Alternative 6 ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ra ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alternative 1 El
Alternative 2 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑I
Air Drying ❑
Com ostius p � ❑
Aerobic Digestion ❑
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
g
Pathogen Density
Number o
Excee-
Frequency
q i
of Analysis
Sample
p
Type
na ica
Tech-
Minimu
Geo. Mean
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
wei ht
11,218
25,461
50,794
MPN/g
0
Quarterly
Grab
SM9221E
ella bacteria
eu of fecal
rliform)
3 MPNper 4 grams
total solid (dry
weight)
. ccurr riuracuon rceuucaan k4u Cris 503.33) - Please indicate option performed:
Alt.1 (VS reduction) ❑
JAIL 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
JAIL 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
jAlt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
I Alt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) El
jAlt. 10 (Incorporation) ❑
INo vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check
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."
Jams Carter, ORC Vaughn Stevenson, Land Application Manager
Preparer Name nd Ti (type or print) Land
/Applier Name and Title (if applicable)(type or print)
G 3� oaf l/ a-Zy�
�
Signature of pa * � Signature of Land Applier (if applicable) Date
*Preparer' d fine in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 503 (12/2006)

CITY OF HAVELOCK
WQ0000702
City of Havelock WWTP
Date
Fecal Coliform
MPN per grain
Log
O1/14/19
17,308
4.2382
O1/14/19
17,035
4.2313
O1/14/19
49,080
4.6909
O1/14/19
16,770
4.2245
01/14/19
50,157
4.7003
O1/14/19
50,794
4.7058
O1/14/19
11,218
4.0499
Total 30.8411
Average 4.4059
Geometric Mean 25,461 Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative I Pathogen Reduction
requirement.

I
114 OAKMONT DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. TACKSON DRIVE
HAVELOCK ,NC 28532
Drinking Water ID, 37735
Waatewatar ID, 10
PHONE [phone]
FA:: [phone]
ID#: 414 B
DATE COLLECTED: 01/14/19
DATE REPORTED ; 01/18/19
REVIEWED BY: 4-
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS
#1
#2
#3
#4
#5
Date Analyst
Cade
Total Residue, mg/I
31240
31680
32600
32220
31900
01/15/19 JTH
2540B-11
Fecal Coliform WN), /gram Solids
17308
17035
49080
16770
50157
01/15/19 JTH
9221E-06

MAQm EM % hcwpo 0TM!'N 601
'114 OAKNIONT DRIVE
GI?EENVILLE, N,C. 27858
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
Drinking Water IDi 37715
Waetawater Ioo 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 01/14/19
DATE REPORTED : 01/18/19
REVIEWED BY:
Sample Sample Analysis Method
PARAMGTCRS #6 #7 Date Analyst Code
Total Residue, mg/1 31500 31240 01/15/19 JTH 2540B-11
Fecal Coliform (MPN), /grain Solids 50794 11218 01/15/19 JTH 9221E-06

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ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: City of Havelock WQ Permit Number: WQ0000702
W WTP Name: City of Havelock W WTP NPDES Number: NCO021253
Monitoring Period: From 4/1/2019 To 6/30/2019
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative nerfarmed-
Class A:
Alternative 1 ❑
Alternative 2 ❑
- . ----------
Altemative 3 ❑
Alternative 4 ❑
Alternative 5 ❑
Alternative 6 ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray 01
Gamma Ray ❑
Pasteurization ❑
Class B:
Alternative 1 El
Alternative 2 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying[]
Compostin ❑
Aerobic Digestion O
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number ot
Excee-
Frequency
�of`Analysis
Sample
Type
na ica
Tech -
Minimu
Geo. Mean
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
wei ht
2,687
5,882
52,288
MPN/g
0
Quarterly
Grab
SM 9221 CE
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
v Cctur arrraCH011 I-CUUCIIOn t4U C.UK nu'.SS) - Please indicate OW1011 Derformed:
Alt.1 (VS reduction)
❑
Alt. 2 (40-day bench)
[IAlt.
3 (30-day bench) El
Alt. 4 (Spec. 02 uptake)
❑
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization
❑
I Alt 7 (Drying - Stable) ❑
Alt. 8 (Drying - Unstable).
❑
Alt. 9 (Injection)
El
Alt. 10 (Incorporation)
❑
INo vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "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."
James Carter, ORC Vaughn Stevenson, Land Application Manager
Preparer Na and Tit (type or print) Lannd7 A�pplier Name and Title (if applicable)(type or print)
o dy 4Da
�
Signature f repa n to Signature of Land Applier (if applicable)
*Preparedefined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
nrMD C(1DKA DXIDC cnc noronna�

CITY OF HAVELOCK
WQ0000702
City of Havelock W WTP
Date
Fecal Coliform
MPN per'gram
Log
04/15/19
2,687
3.4293
04/15/19
52,288
4.7184
04/15/19
3,846
3.5850
04/15/19
11,706
4.0684
04/15/19
1,591
3.2017
04/15/19
8,136
3.9104
04/15/19
2,974
3.4733
Total 26.3865
Average 3.7695
Geometric Mean 5,882 Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

o�or��c��� Flo D��oQpo�a�c�c]
114 OAKMONT pRIVE
GREENVILLE, qI.C.27858
CI Y OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WA TEWATER TREATMENT PLANT
30 N. JACKSON DRIVE
HA, LOCK ,NC 28532
Total Residue,
Fecal Colitorm
Sample
RAMETERS #1
mg/I 29360
(MEPN), /gram Solids 2687
Drinking Water ID, 37715
Weetemater ID, le
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 04/15/19
DATE REPORTED : 04/18/19
REVIEWED BY:
Sample
ample
Sample
Sample
Analysis
Method
N2
N3
N4
k5
Date Analyst
Code
30620
28600
29940
30800
04/16/19 KDS
254OB-11
52288
3846
11706
1591
04/16/19 KDS
9221&06

EflWUh*@fl1 �, WupwaW
114 0AKMONT ORRIVE
GREENVILLE, G.27858
CI- OF RAVELOCK(SLUDGE)
MR RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
EWrELOCK ,NC 28532
Sample Sample
#6 #7
Total Residue, g/l 29460 30100
Fecal Coliform N), /gram Solids 8136 2974
Dsiakiaa water IDt 17715
wastewater IDI 10
PHONE [phone]
FAX [phone]
ID#: 414 B
DATE COLLECTED: 04/15/19
DATE REPORTED : 04/18/19
REVIEWED BY:
Method
Analyst Code
KDS 254OB-11
KDS 9221E.06

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ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: City of Havelock WQ Permit Number: W00000702
WWTPName: City of Havelock WWTP NPDESNumber• NCO021253
Monitoring Period: From 7/1/2019 To 9/30/2019 .
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
" ''
Alternative 4 ❑
Alternative 5 ❑
Alternative 6 ❑
If applicable to alternative performed (Class A only) indicate 'Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization ❑
Class B:
Alternative 1 El
Alternative 2 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Dryin ❑
Composting ❑
lAerobic Digestion 0
Anaerobic Digestion ❑
_.._
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data
Parameter
Allowable Level
in Sludge
g
Pathogen Density
Number o
Excee-
Frequency
of Anal
Analysis
Sample
Type
na yttca
Tech-
Minimu
Geo. Mean
Maximu
Units
Fecal Coliform
2x10tothe
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
968
2,030
3,790
MPN/g
0
Quarterly
Grab
SM 9221 CE
Salmonella bacteria
(in lieu of fecal
coIiform
3 MPN per 4 grams
total solid (dry
weight)
. ocur. auracuvu 1<eeuucnou 1,40 Crir, 30.5.33) - Please indicate option performed:
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
1 Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
jAlt. 6 (Alk. Stabilization ❑
Alt 7 (Drying - Stable) ❑
ITIt. 8 (Drying - Unstable) ❑
Alt. 9 (Injection) El
jAlt. 10 (Incorporation) ❑
INo vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
El "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."
Jagies Carter, OR C Vaughn Stevenson, Land Application Manager
Preparer Nam and Ti e (type or print) Land/ A�pplier Name and Title (if applicable)(type or print)
240
Signature o P epa ate Signature of Land Applier (if applicable) Date
*Preparer I" fine in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)

CITY OF HAVELOCK
WQ0000702
City of Havelock W WTP
Mate;€
..,....,
.T. ....... ...
riXJri
et.. ram ......:....:..:...:.:.:.:.:.:.:.:.:::::
og
07/15/19
1,508
3.1784
07/15/19
2,324
3.3662
07/15/19
1,503
3.1770
07/15/19
2,438
3.3870
07/15/19
968
2.9859
07/IS/19
3,790
3.5786
07/15/19
3,012
3.4789
Total 23.1520
Average 3.3074
Geometric Mean'Sl311`€€ Fecal Coliform MPN /
' .,. gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

Nmwkoumm Flo
27858
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. .JACKSON DRIVE
HAVELOCK ,NC 28532 '
Sample
PARAMETERS Nl
Total Residue, mg/1 32540
Fecal Coliform (MPH /gram Solids 1508
Sample
#2
34020
2324
Sample
#3
32580
1503
Prl.king W.t.. My, 37715
FAX [phone]
ID#: 414 B
DATE COLLECTED: 07/15/19
DATE REPORTED : 07/17/19
REVIEWED BY:
Sample Sample Analysis Method
N4 #5 Date Analyst Cade
32360 34060 07/16/19 ICDS 2540D-11
2438 968 07/16/19 ICDS 9221E-06

EIMUnIOUM V % kwwl1 Mi Dsinkln9 Water ID1 I7715-
utstvt PHONE [phone]
N.C. 27858 FAX [phone]S3
ID#: 414 E
CITY OF HAVELOCK (SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT DATE COLLECTED: 07/15/19
304- N. JACKSON DRIVE DATE REPORTED ; 07/17/19
HAVELOCK ,NC 28532
REVIEWED BY:
Sample
Sample
Analysis
Method
PARAMETERS N6
#7
Date Analyst
Code
Total Residue, mg/l 34280
34660
OV16/19 ICDS
254OB-11.
Petal. Coliform (MPH [gram Solids 3790
3012
07/16/19 KDS
9221E 06

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ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: City of Havelock WQ Permit Number: W00000702
W WTP Name: City of Havelock W WTP NPDES Number: NCO021253
Monitoring Period: From 10/1/2019 To 12/31/2019
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative nerfarmed-
Class A:
Alternative 1 ❑
Alterative 2 ❑
.-----------
Alternative 3 ❑
Alternative 4 ❑
Alternative 5 ❑
Alternative 6 ❑
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
I Heat Drying ❑
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
I Gamma Ray ❑
L Pasteurization ❑
Class B:
Alternative 1 O
Alternative 2 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
I Air Drying[]
Composting ❑
JAerobic Di estion C]
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data
Parameter
Allowable Level
in Sludge
Pathogen Density
Number o
Excee-
Frequency
9 i
Sample
p
Analytical
Tech-
ninnp
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CFU
1000 mpn per gram
of total solid (dry
weight)
59,533
188,929
399,002
MPN/g
0
Quarterly
Grab
SM 9221 CE
Salmonella bacteria
(in lieu of fecal
coliforr I
3 MPN per 4 grams
total solid (dry
weight)
vecwr attraction rteauctron (40 I.:FK JUS.33) -Please Indicate ontion performed-
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
JAIL 3 (30-day bench) ❑
Alt. 4 (Spec. 0, uptake) El
Alt. 5 (14-Day Aerobic) ❑
I Alt. 6 (Alk. Stabilization ❑
jAlt 7 (Drying - Stable) ❑
jAlt. 8 (Drying -Unstable) ❑
Alt. 9 (Injection) El
jAlt. 10 (Incorporation) ❑
INo vector attraction reduction alternatives were performed ❑
UER'1'WICATION STATEMENT (please check the appropriate statement)
El "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."
James Cajiter, ORC Vaughn Stevenson, Land Application Manager
Preparer N*definedin
pe or print) Land Ap ier Name and Title (if applicable)(type or print)
v
aOoze)
Signature ate Signatur of Land Applier (if applicable) Date
*PreparerR Part 503.9(r) and 15A NCAC 2T .1102 (26)

CITY OF HAVELOCK
W00000702
City of Havelock W WTP
10/08/19
222,222
5.3468
10/08/19
134,328
5.1282
10/08/19
367,816
5.5656
10/08/19
59,553
4.7749
10/08/19
87,065
4.9398
10/08/19
378,251
5.5778
10/08/19
1 399,002
5.6010
Total 36.9341
Average 5.2763
Geometric Mean 18$49'_€ Fecal Coliform MPN / gram
Geometric Mean of Less than 2,000,000 meets Class B - Alternative 1 Pathogen Reduction
requirement.

Environment 1, Inco
GREENVILLE, N.C. 27858
MOO
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK ,NC 28532
FAX
ID#: 414 B
DATE COLLECTED: 10/08/19
DATE REPORTED : 10/11/19
REVIEWED BY:
Sample
Sample
Sample
Sample
Sample
Analysis
Method
PARAMETERS
#1
#2
#3
N4
#5
Date Analyst
Code.
Total Residue, mg1l
41433
40167
43467
40300
40233
10/08/19 JMS
2540B-11
Cecal Coliform (AlMP , /gram Solids
222222
134328
367816
59553
87065
10/08119 JMS
9221E-06

Environment 1,
114'.UAKMUN'1 DRIVE
GREENVILLE, N.C. 27858
CITY OF HAVELOCK(SLUDGE)
MR. RODNEY GEORGE
WASTEWATER TREATMENT PLANT
304 N. JACKSON DRIVE
HAVELOCK NC 28532
Sample
PARAMETERS N6
Total Residue, mg/I 42267
Fecal Coliform (MPN), /gram Solids 378251
FAX [phone]
ID#: 414 B
DATE COLLECTED: 10/06/19
DATE REPORTED : 10/11/19
REVIEWED BY:
Sample Analysis Method
N7 Date Analyst Code
40067 10/08/19 JMS 2540E-11
399002 10/08/19 JMS 9221E-06
9

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2019 APPLICATION SUMMARY

CITY OF HAVELOCK
Permit #WQ0000702
2019 SUMMARY
SITE
NO.
FIELD
NO.
SOURCE
LAND APPLIED
APPL.
DATE
ACRES
USED
TOTAL
GALLONS
TOTAL
DRY TONS
TOTALPAN
Crop t Crop 2
NC-PA-2
6A
Havelock
Mar-19
5.21
66,000
9.61
58.77
NC-PA-2
6B
Mar-19
6.48
84,000
12.22
60.14
NC-PA-2
6C
Mar-19
6.16
78,000
11.35
58.74
NC-PA-2
6D
Mar-19
6.26
84,000
12.22
62.25
NC-PA-2
6E
Mar-19
3.90
30,000
4.37
35.68
Apr-19
1 18,000
2.62
21.41
NC-PA-2
6F
Apr-19
3.59
48,000
6.99
62.03
NC-PA-2
Sep-19
12,000
2.20
21.33
NC-PA-2
6G
Apr-19
3 84
30,000
4.37
36.24
NC-PA-2
Sep-19
48,000
8.79
79.78
NC-PA-2
7A
Sep-19
2.18
30,000
5.49
87.83
NC-PA-2
7B
Sep-19
2.57
30,000
5.49
74.50
NC-PA-2
7C
Sep-19
3.32
42,000
7.69
80.74
NC-PA-2
7D
Sep-19
3.32
42,000
7.69
80.74
NC-PA-2
7E
Sep-19
3.26
42,000
7.69
82.23
NC-PA-2
7F
Sep-19
3.03
42,000
7.69
88.47
NC-PA-2
7G
Sep-19
3.53
48,000
8.79
86.79
NC-PA-2
7H
Sep-19
3.28
42,000
7.69
81.73
NC-PA-2
71
Sep-19
3.25
42,000
7.69
82.48
NC-PA-2
W
Sep-19
3.25
42,000
7.69
82.48
NC-PA-2
7K
Sep-19
2.47
30,000
5.49
77.52
TOTALS
68.90
930,000
153.81
Dry Metric Tons 139.51

FIELD LOADING RATE REPORTS

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock
Permit #: WQ0000702
Total Dry Tons Applied (Annual): 9.61
Cation Exchange Capacity (non 503 only): 10.0
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series:
Acres Used: 5.21 Acres Permitted: 5.21 Site #: NC-PA-2 Field #:
Stockade
6A
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
111t
t 111
1 1
1111
I I11
t 11t
1 Itl
1 Ilt
I I11
1 Itl
1111
1111
1 1
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1 111
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1 111
1 111
1 111
1 111
1 111
1 111
1 111
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1 111
1 111
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1 111
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 12.22
Permit #:
Operator:
Acres Used:
WO0000702 Cation Exchange Capacity (non 503 only):
Michael Spencer Owner: Spencer Farms, Inc.
6.48 Acres Permitted: 6.48 Site #:
Predominant Soil Series:
NC-PA-2 Field #:
10.3
Stockade
6B
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
.
0
©
Annual Heavy eta ie oa ings ( alculated in lbs/acre):
1 111
1 111
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
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1 111
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1 111
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1 111
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•.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
1 2_ 11-2-P
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
of Havelock
W00000702
Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
Michael Spencer Owner: Spencer Farms, Inc.
6.16 Acres Permitted: 6.16 Site #:
Predominant Soil Series:
NC-PA-2 Field #:
11.35
9.9
Stockade
6C
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
. .
0
©
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
one
MEN00001010
• ,.
1 111
1 111
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 111
1 111
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1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
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1 111
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1 111
1 111
1 111
1 111
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1 111
1 111
1 111
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1 111
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1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
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Signature of Land Applier Date
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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 12.22
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 8.2
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges
Acres Used: 6.26 Acres Permitted: 6.26 Site #: NC-PA-2 Field #: 6D
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
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system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 6.99
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 8.7
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges
Acres Used: 3.9 Acres Permitted: 3.9 Site #: NC-PA-2 Field #: 6E
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
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aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment knowing violations".
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Signature of Land Applier
Date
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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock
Permit #: WQ0000702
Total Dry Tons Applied (Annual): 9.18
Cation Exchange Capacity (non 503 only): 7.8
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges
Acres Used: 3.59 Acres Permitted: 3.59 Site #: NC-PA-2 Field #: 6F
Residual Analysis Data (Heavy Metals and Total Phosphorus use me/ke, % Solids use Raw Percent #):
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imprisonment for knowing violations".
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Signature of Land Applier
Date
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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 13.15
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 8.9
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 3.84 Acres Permitted: 3.84 Site #: NC-PA-2 Field #: 6G
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
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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 tines and
imprisonment for knowing violations".
Signature of Land Applier
1-2A 2U
Date
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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tans Applied (Annual): 5.49
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 7.1
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 2.18 Acres Permitted: 2.18 Site #: NC-PA-2 Field #: 7A
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
0000000MENNING
1 111
1 111
1 111
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1 111
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"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".
W
Signature of Land Applier
Date
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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 5.49
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 7.9
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 2.57 Acres Permitted: 2.57 Site #: NC-PA-2 Field #: 7B
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
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"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".
,/A
Signature of Land Applier
2,� LL0
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock
Permit #: WQ0000702
Total Dry Tons Applied (Annual): 7.69
Cation Exchange Capacity (non 503 only): 9.0
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 3.32 Acres Permitted: 3.32 Site #: NC-PA-2 Field #: 7C
Residual Analysis Data (Heavy Metals and Total Phosphorus use me/ke. % Solids use Raw Percent M:
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Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
__�4 i ,7.,t
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Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.69
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 6.5
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 3.32 Acres Permitted: 3.32 Site #: NC-PA-2 Field #: 7D
Residual Analysis Data (Heavy Metals and Total Phosphorus use rn&k¢, % Solids use Raw Percent M:
Annual Heavy lyletal Field Loadings (Calculated in Ibs/acre):
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"1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment(�ff or knowing violations".
� 11-
Signature of Land Applier
1/14/2-1.)
Dat
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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.69
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 7.5
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 3.26 Acres Permitted: 3.26 Site #: NC-PA-2 Field #: 7E
Residual Analysis Data (Heavy Metals and Total Phosphorus use me/Ict=. % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
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1 111
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
�-V.4` 1Z9 20
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock
Permit #: WQ0000702
Total Dry Tons Applied (Annual): 7.69
Cation Exchange Capacity (non 503 only): 8.5
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 3.03 Acres Permitted: 3.03 Site #: NC-PA-2 Field #: 7F
Residual Analysis Data (Heavy Metals and Total Phosphorus use ma/ke. % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
.'®
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1 111
1 111
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 8.79
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 9.9
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Argent
Acres Used: 3.53 Acres Permitted: 3.53 Site #: NC-PA-2 Field #: 7G
Residual Analysis Data (Heavy Metals and Total Phosphorus use me/ke, % Solids use Raw Percent #l:
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
2 Z;J
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.69
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 9.3
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges
Acres Used: 3.28 Acres Permitted: 3.28 Site #: NC-PA-2 Field #: 7H
Residual Analysis Data (Heavy Metals and Total Phosphorus use me/kia. % Solids use Raw Percent #):
Non
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock Total Dry Tons Applied (Annual): 7.69
Permit #: WQ0000702 Cation Exchange Capacity (non 503 only): 10.1
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges
Acres Used: 3.25 Acres Permitted: 3.25 Site #: NC-PA-2 Field #: 7I
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #).
nnua eavy Metal Field Loa togs a cu ated in lbs/acre):
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"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 k owing violations".
Signature of Land Applier
2
Date
DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: City of Havelock
Permit #: WQ0000702
Total Dry Tons Applied (Annual): 7.69
Cation Exchange Capacity (non 503 only): 9.4
Operator: Michael Spencer Owner: Spencer Farms, Inc. Predominant Soil Series: Yonges
Acres Used: 3.25 Acres Permitted: 3.25 Site #: NC-PA-2 Field #: 7J
Residual Analysis Data (Heavy Metals and Total Phosphorus use m0k¢. % Solids use Raw Percent #lc
0
Annual Heavy Metal k ield Loa m s a cu ate In lbs/acre :
1 111
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
24 '2_U
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DENR FORM MFLSF (12/2006)

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ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
City of Havelock
W00000702
Michael Spencer Owner: Spencer Fanns, Inc. Predominant Soil Series: Yonges
2.47 Acres Permitted: 2.47 Site #: NC-PA-2 Field #: 7K
Total Dry Tons Applied (Annual): 5.49
Cation Exchange Capacity (non 503 only): 10.0
Residual Analysis Data (Heavy Metals and Total Phosphorus use m2/k2, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
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"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier Date
DENR FORM MFLSF (12/2006)

SOIL ANALYSIS REPORTS

Lime applications were performed by Spencer Farms during the 2019 calendar year to all fields
with a pH below 6.0, however the 2019 soil sampling results do not reflect the lime amendments
as the soil samples were collected prior to land application activities being performed. Additional
sampling will be performed during the 2020 calendar year. Any liming adjustments resulting
from this subsequent sampling event will be made during 2020 if required.

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