WQ0006906_Residual Annual Report 2019_20200211

FEB 112020
INFORRATION pROCESSING UNIT
2019
RECEIVEDINCDEQIDWR
FEB 1 1 2020
Town of Taylorsville
2019 Annual Report
Land Application Program
Permit No. WQ0006906
Non-Disdlarg
Permuting Unit

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0006906 County: Alexander Year: 2019
Facility Name (as shown on permit): Town of Taylorsville
Land Application Operator: Southern Soil Buildes, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
21 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in thepermit:
1 7
Total number of fields utilized for land application during the year:
4
Total amount of dry tons applied during the year for all application sites:1
92.02
Total number of acres utilizes for land application during the year:
1 58.2
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. [A Yes D 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 .1105(a) or the Pollutant
Loading Rates in 15A NCAC 02T .l 105(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 11 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,
ficant penalties for submitting false information, including the
and complete. I am aware that there are signi
possibility of fines and imprisonment for knowing violations."
nW o oN M Tu..:, i"r ko, 61^�, J,44/A/
Permittee Name and Title (t e or print) Signature of Permittee Date
Signature of
Date S
Applier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1 102 (26) DENR FORM ACF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0006906
Facility Name: Town of Taylorsville
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Anal sis Data
WQ0006906
Town of Taylorsville
Laboratory:
1)
2)
3)
4)
5)
Waypoint
Parameter
(mg/kg)
Conc.
Limit
(mg/kg) a
Sample or Composite Date
6-3-2019
Percent Solids (%)
NA
3.5
Arsenic
75
5
Cadmium
85
1.25
Copper
4,300
281
Chromium
NA
25
Lead
840
17.3
Mercury
57
0.491
Molybdenum
75
4.09
Nickel
420
12.8
Selenium
100
5
Zinc
7,500
1070
Total Phosphorus
NA
13100
TKN
NA
83100
Ammonia -Nitrogen
NA
6000
Nitrate and Nitrite
NA
523
2 For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ZA2--. 2-0
Signature of Preparer * Date
b
*Preparer is defined FR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0006909
Facility Name:
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
Town of Taylorsville
WQ0006909
Town of Taylorsville
Laboratory:
1)
2)
3)
4)
5)
Waypoint
Sample or Composite Date
Parameter
(mg/kg)
Potassium
1300
Sulfur
7220
Calcium
128000
Magnesium
3620
Sodium
1030
Iron
8520
Aluminum
168
Manganese
168
Organic N
77100
pH
12.1
SAR
0.14
PAN
26653
"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
significInt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
2-412-0 24-)
Signaturekajrer� Date
*Preparened in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM RSSF - B (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town of Taylorsville Total Dry Tons Applied (Annual): 28.47
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen lcehour Predominant Soil Series: CeB2
Acres Used: 19.3 Acres Permitted: 19.3 Site #: 08 01 Field #: 0801
Residual Analysis Data (Heavy Metals and Total Phosnhorus use mu/ku, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1
6/3/19
2
3
4
5
6
7
8
9 i
19j
11 !
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total•
I�
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11�
1 111
1 111
i 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11�
•••-
1 : •
1 111
1 111
1 111
1111
1 111
1111
1 111
1 111
1 111
1 111
1111
1 •
Q{'
11 �
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1111
11
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
••
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®®
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Total
Phos-
_phorus
"1 certlIy, unaer penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM`
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Town ofTaylorsviIle Total Dry Tons Applied (Annual):
Permit #: WQ0006906 Cation Exchange Capacity (non 503 only):
Operator: Owen Icenhour Owner: Owen Icehour Predominant Soil Series:
Acres Used: 13.1 Acres Permitted: 13.1 Site #: 08 04 Field #:
22.77
CeB2
0804
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/lcg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
11
6/3/19
5
6 j
7j
S
9j
10
1j
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horuS
13100
Annual Heavy Metal Yield Loadings (Calculated in lbs/acre):
Total
App.
Event
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11�
•.•-
1'
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 •
'®
1 1:
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1:
®''
11.1
1 111
1 111
1111
1111
1111
1111
1111
1111
1 111
1 111
1111
11.1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
�� �
1 1 �
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1��
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1..
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Total
•
.
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
horus
x certny, unuer penairy 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 information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
I7- - - %�
Signature of Land Applier
0`1'jV-2p
Date
DENR FORM MFLSF (12/2006)

ANNUAL, METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsville Total Dry Tons Applied (Annual): 42.59
WQ0006906 Cation Exchange Capacity (non 503 only):
Clyde Hendren Owner: Clyde Hendren Predominant Soil Series:
23.4 Acres Permitted: 23.4 Site #: CH 01 Field #:
PcB2
CH 01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Sample or
Com-
posite
Date
_1)
6/3/19
2
3
5 i
6
7
8
9!
10
11 !
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
Total
•
• •.
WIN
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
••.
1 111
1 111
1 111
ff, 111
KIT, 11
1 111
1 111
1 111
1 111
1 111
'®
1 1•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1'
1 1•
MITI
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1•
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
IT, 1
�
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
��
1 1�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1�
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®
: •
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
:'Total
•m
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
.:�
.•
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
>7'.. Zk�
Signature of Land Applier
2­1-2,Jk,
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
Operator:
Acres Used:
Town of Taylorsville Total Dry Tons Applied (Annual):
WQ0006906 Cation Exchange Capacity (non 503 only):
Phillip Hoover Owner: Phillip Hoover Predominant Soil Series:
18.98
PcB2
14.7 Acres Permitted: 14.7 . Site #: PH 01 Field #: PH 01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft
Sample or
Com-
posite
Date
6/3/19
? f
a
5
6
9
101
11j
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
Annual Heavy Metal Field Loadings (Calculated in lbs/acre):
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
� '
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
•
1 •
1 111
1 111
1 111
1 111
1 111
1 111
I Ili
1 111
1 111
1 111
1 111
1
'®
1 1•
1 111
1 111
1 111
ITI MIKITIT,1
1 111
1 111
1 111
1 111
1 111
1 111
1 1.
1 1�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1�
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
�
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
��
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Total
Phos-
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
.•
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
/Z�- :��
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit th
Operator:
Acres Used:
Town of T
WQ0006906
Carol Price
lorsvill
Owner:
7 Acres Permitted:
e Total Dry Tons Applied (Annual):
Cation Exchange Capacity (non 503 only):
Carol Price Predominant Soil Series:
7 Site #: CP 01 Field #:
7.59
F eB2
CP 01
Residual Analysis Data (Heavy Metals and Total Phosphorus use mLy/kg. % Solids use Raw Percent #)!
Sample or
Com-
posite
Date
Lij
6/3/19
21
4
5j
6
7
81
10
11
12
% Solids
3.5
Arsenic
5
Cadmium
1.25
Copper
281
Chromium
25
Lead
17.3
Mercury
0.491
Molyb-
denum
4.09
Nickel
12.8
Selenium
5
Zinc
1070
Total
Phos-
horus
13100
Annual Heavy lvietal rlela 11 alms ivaicuiatea in the/acrel!
Total
D
_
•••
Event
1:
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
.RRIM
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
••.-
1 •1•
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 .1'
M•
1 1
1 ITI IMEN
1011
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
• •
•enum
1 11•
1 111
1 111
1 111
fill
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11•
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 Itl
1 111
1 111
1 1
1 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®�
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
Total
Phos-
-phorus
I-c1111y, u11uC1 pulialty ui iaw, uiat ups uocument was prepared under my alrectlon 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 LandfrApplier
Date
DENR FORM MFLSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #: WQ0006906 Field #: 08 01 Acres Utilized: 19.3
Land Owner: Owen Icenhour Annual Dry Tons Applied: 28.4603 Site #: 08 01 Acres Permitted: 19.3
Operator: Owen Icenhour Predominant Soil Series: CeB2 Cation Exchange Capacity (non 503):
Crop l Name: Fescue Crop l Max. PAN: 216 Crop 2 Name: Crop 2 Max. PAN:
o r
p �
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet,
Moist)
Precip.
Past 24
Hrs.
inches
D
K -0
rn
o
n -
* N
°
w
o
TKN
mglkg
z D
o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
lbs/acre
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
6-2019
195000
3.5
1.475
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
78.606
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
FOTALs:
T 19500ol
As
Cd
Cu
Cr
Pb
Hg
Nlo
N1
Se
Zn
P
78,6061
0.000
Lime Applied
Annuallbs/acre
0.015
0.004
0.829
0.074
0.051
0.001
0.012
0.038
0.015
3.157
38.645
Date
lbs/ac
?rior Years Cumulative lbs/ac
0.318
0.333
36
0.214
0.218
34
34.429
35.258
1338
1.719
1.793
NA
2.77
2.821
267
0.181
0.182
15
0.447
0.459
NA
2.89
2.928
374
4.171
4.186
89
125.548
128.705
2498
0
�urrent Cumulative lbs/ac
3ermitted C. P. L. R.****
'ermit PAN Limit Ist/2nd Crop
216
`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
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" 1N A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town ofTaylorsville
Land Owner: Owen Icenhour
Operator: Owen Icenhour
Crop 1 Name: Fescue
WQ Permit #: WQ0006906 Field #: 08 04
Annual Dry Tons Applied: 22.7682 Site #• 08 04
Predominant Soil Series: CeB2
Crop 1 Max. PAN: 216 Crop 2 Name:
Acres Utilized: 13.1
Acres Permitted: 13.1
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
.
_
°
Volume applied
Volume
Residual Sources
Soil
Preci P
D
<
o
K
z
Nitrate
Name of CropType
yP
y
(enter one) Solids/
%
Applied per
PP P
(NPDES #, WQ#,
Cond.
Past 24
FD _
TKN
o
and
PAN Applied
Receiving Residual
s °
Liquid
Solids
Acre
Fert., Animal
(Dry,
Hrs.
S" o'
o F
=•
-
N
_ -
0° °
Nitrite
( lbs/acre)
`
Application
Cu. Yds Gallons
(Dry Tons/Ac)
Waste, etc )
Wet,
Moist)
inches
" o
T
^-
o
mg/kg
mg/kg
mg/kg
Crop 17
Crop 2
Crop I
Crop 2
6-2019
156000
3.5
1.738
WQ0006906
dry
0
s
0.5
1 0.3
83100
6000
523
92.647
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0-000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
TOTALS.
01
156000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
92.647 J
.0.000
Lime Applied
Annuallbs/acre
0.017
0.004
0.977
0.087
0.060
0.002
0.014
0.044
0.017
3-719
45.536
Date
lbs/ac
Prior Years Cumulative lbs/ac
0.266 0.178 29.499 1.233 2.421 0.172 0.358 2.64 6.29 137.584
0.283 0.182 30.476 1.320 2.481 0.174 0.372 2.684 6.307 141.303
36 34 1338 NA 1 267 15 NA 374 89 2498
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit 1st/2nd Crop
216
`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
jualified 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 *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" 1N A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #• WQ0006906 Field #: CH 01 Acres Utilized: 23.4
Land Owner: Clyde Hendren Annual Dry Tons Applied: 42.6904 Site #: CH O1 Acres Permitted: 23.4
Operator: Clyde Hendren Predominant Soil Series: PcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crnn 2 Mav PAN•
L
a) =
�
10-2019
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
292500
%
Solids
3.5
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
1.824
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
WQ0006906
Soil
Cond.
(Dry'
Wet,
Moist)
dry
Precip.
Past 24
Hrs.
inches
0
D
a -0
_
o R
o-
s
<
o
� w
_
N
0.5
X
0.3
TKN
mg/kg
83100
z _
o j
o
1
mg/kg
6000
Nitrate
and
Nitrite
mg/kg
523
PAN Applied
(Ibs/acre)
Name of CropType
YP
Receiving Residual
Application
Crop 1
97.250
Crop 2
NA
Crop 1
Fescue
Crop 2
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM
FSF supp ( attach FORM
FSF supp to this form):
roTALs:
Annuallbs/acre
01 292500
As
0.018
Cd
0.005
Cu I
1.023
Cr I
0.091
Pb
0.063
Hg I
0.002
Mo
0.015
Ni
0.047
Se
0.018
Zn
3.895
P
47.684
97.250 0.000
Lime
Date I
Applied
Ibs/ac
Prior Years Cumulative ]bs/ac
0.025 0A17 1.991 0.188 0.137 0.006 0.042 0.087 2.22 33.714
0.043 0.022 3.014 0.279 0.200 0.008 0.057 0.134 2.238 37.609
36 34 1338 NA 2: IS NA 374 89 2498
194
0
�urrent Cumulative ]bs/ac
'ermitted C. P. L. R.****
"ermit PAN Limit 1 st/2nd Crop
Y'..a..y LP. lavv, uiat "Alb uvcuii,eni was prepares unuer my airectton or supervision in accordance with a system designed to assure that
lualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
.7-4.DI-0� �
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #: WQ0006906 Field #: PH 01 Acres Utilized: 14.7
Land Owner: Phillip Hoover Annual Dry Tons Applied: 18.9735 Site #: PH 01 Acres Permitted: 14.7
Operator: Phillip Hoover Predominant Soil Series: PcB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN:
°
Q 7
Volume applied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#.
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry,
e '
Moist)
Precip.
Past 24
Hrs.
inches
D
�
2 a
o
o
`-°
o
TKN
mg/kg
z D
o �
ry �.
J
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( )Receiving
Ibs/acre
Name of Crop Type
Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
10-2019
130000
3.5
1.291
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
68.803
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
1 0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
r0TALS:J
01
130000
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
68.803
0.000
Lime Applied
Annual
lbs/acre
0.013
0.003
0.726
0.065
0.045
0.001
0.011
0.033
0.013
2.763
33.824
Date I
lbs/ac
Prior Years Cumulative lbs/ac
0.304
0.317
36
0.04
0.043
34
4.976
5.702
1338
0.48
0.545
NA
0.334
0.379
267
0.013
0.014
15
0.102
0.113
NA
0.225
0.258
374
6.883
6.896
89
101.573
104.336
2498
0
Current Cumulative lbs/ac
Permitted C. P. L. R.****
Permit PAN Limit l st/2nd Crop
194
"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
9--,-1-a00,b
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

ANNUAL LAND APPLICATION FIELD SUMMARY FORM
PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON
PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE.
Facility Name: Town of Taylorsville WQ Permit #- WQ0006906 Field #: CP 01 Acres Utilized: 7
Land Owner: Carol Price Annual Dry Tons Applied: 7.5894 Site #: CP 01 Acres Permitted- 7
Operator: Carol Price Predominant Soil Series: F eB2 Cation Exchange Capacity (non 503):
Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Cron 2 MnY_ PAN -
o Y
r)
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
PP P
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fen., Animal
Waste, etc)
Soil
Cond.
(Dry,
Wet
Moist)
Preci P
Past 24
Hrs.
inches
>
R _
- E
n
°
o
,
c
-
o
;v �,
ry
o
TKN
mg/kg
z >
�
o o
q o
J
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( Ibs/acre)
Name of Crop Type
Receivin- Residual
y
Application
Crop 1
Crop 2
Crop 1
Crop 2
10-2019
52000
3.5
1.084
WQ0006906
dry
0
s
0.5
0.3
83100
6000
523
57.794
NA
Fescue
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000 1
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
-4
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM
FSF supp to this form):
fOTALS:
01 52000
As
Cd
Cu
Cr
Pb
He, I
Mo
Ni
Se
Zn
P
57.794
0.000
Lime A lied
4nnuallbs/acre
0.011
0.003
0.609
0.054
0.038
0.001
0.009
0.028
0.011
2.320
28.401
LDate
lbs/ac
°rior Years Cumulative lbs/ac
0.03 0.019 2.009 0.175 0.151 0.006 0.05 0.078 0.05 5.731
0.041 0.022 2.618 0.229 0.189 0.007 0.059 0.106 0.061 8.051
36 34 1338 1 NA 1 267 15 NA 374 89 2498
994
0
�urrent Cumulative lbs/ac
'ermitted C. P. L. R.****
'ermit PAN Limit Ist/2nd Crop
...u, L,.y, ui,uc, pullaliy ut taw, that tms uocument was prepared under my direction or supervision in accordance with a system designed to assure that
Iualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
nformation, including the possibility of fines and imprisonment for knowing violations."
Signattfe of Land Applier
Date
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
*** Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
DENR FORM FSF (12/2006)

AdEbL
Report Number: 19-156-0205 s
•
Account Number: 46381 7621 Whitepine Road, Richmond, VA 23237
Waypoint' Main 804-743-9401 ° Fax [phone]
ANALYTICAL www.waypointanalyticat.com
Send To: Southern Soil Builders Project : Taylorsville
Dennis Key
958 Hoots Road
Roaring River, NC 28669
REPORT OF ANALYSIS
Date Sampled: 6/3/2019 12:45:00
Lab Number. 66761
Date Received: 06/05/2019 00:00
Sample Id : Taylorsville
Date Reported: 06/12/2019
Total Solids *
3.50
CJR
06/10/2019 13:24
SM-2540G
Moisture *
96.50
CJR
06/10/2019 13:24
SM-2540G
Total Kjeldahl Nitrogen
8.31
83100
250
JPJ
06/11/2019 14:00
SM-4500-NH3C-TKN
Phosphorus
1.31
13100
50.0
KKM
06/10/2019 07:44
6010D
Potassium
0.13
1300
50.0
KKM
06/10/2019 07:44
601 OD
Sulfur
0.72
7220
50.0
KKM
06/10/2019 07:44
601 OD
Calcium
12.80
128000
1250
KKM
06/10/201918:24
601 OD
Magnesium
0.36
3620
50.0
KKM
06/10/2019 07:44
6010D
Sodium
0.10
1030
250
KKM
06/10/2019 07:44
6010D
Iron
8520
50.0
KKM
06/10/2019 07:44
6010D
Aluminum
18800
50.0
KKM
06/10/2019 07:44
6010D
Manganese
168
5.00
KKM
06/10/2019 07:44
6010D
Copper
281
2.50
KKM
06/10/2019 07:44
6010D
Zinc
1070
12.5
KKM
06/10/2019 07:44
6010D
Ammonia Nitrogen
0.60
6000
100
JPJ
06/12/2019 11:00
SM-4500-NH3C
Organic N
7.71
77100
250
06/11/2019 14:00
CALCULATION
Nitrate+Nitrite-N
523
4.79
ZBD
06/07/201912:45
4500NO3F-2011
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B-Analyte detected in blank H - Beyond Holding Time PwiG mV 6ewr
Pauric McGroary
Agronomist
D�M1c C nF Q

Report Number: 19-156-0205
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 66761
Sample Id : Taylorsville
Ira o0 0
Aint,.
NALYTICAL
Project : Taylorsville
REPORT OF ANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° Fax [phone]
www.waypointanalytical.com
Date Sampled: 6/3/2019 12:45:00
Date Received: 06/05/2019 00:00
Date Reported: 06/12/2019
Cadmium
1.25
1.00
KKM
06/10/2019 07:44
6010D
Chromium
25.0
2.50
KKM
06/10/2019 07:44
6010D
Nickel
12.8
2.50
KKM
06/10/2019 07:44
6010D
Lead
17.3
3.00
KKM
06/10/2019 07:44
6010D
Arsenic
<5.00
5.00
KKM
06/10/2019 07:44
6010D
Mercury
0.491
0.0157
KKM
06/10/2019 15:16
SW-7471 B
Selenium
<5.00
5.00
KKM
06/10/2019 07:44
6010D
pH �
12.1
JSL
06/11/2019 05:53
9045D
Molybdenum
4.09
2.50
KKM
06/10/2019 07:44
6010D
Comments:
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
B-Analyte detected in blank H - Beyond Holding Time
iiifc E<✓f..)L Wive <.. Eu :C7rr`:'.. P.;`ia1 4�,e of ow cP&r;t.Y.:an. tray .mot i;e �eQn vuc: J;...,...,.., � :3r); to%er,.,
.N{)/ii.:.h£? Or th-- tATPU%if? it; ;;,z):•,•?{iVB!';:v;?s1. !taws,.' Ziff ase' i::...v.. ub?'4 �8•�r...tr:: n ; +:j a.'x,T.
.. Jug:':3:i
.. :-:•'�'�.• • a..... t,. ah';'i t{ {iUr r t of d' t 1on, Zd{i6:Ti
-. p. ..:. r , a...
Porte In
Pauric McGroary
Agronomist
PaaP F of R

SAR
Sodium Absorption Ratio
Na: Sodium (Mg/L) Equivalent weight: 23
Ca: Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12
Milli Equivalent = Mg/L / Equivalent weight
Na M /L Ca M /L M M /L
36.05 4480 1 26.7
Na (.ME)
Ca .(MEN
Mg. -NE)
1.567391
224
10.55833
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 0.144733 (From Mg/L entered above)
7-77
SAR= 0.147731 (From ME entered below)
Na ME
Ca ME
M ME
1.6
224
10.6
The amour
amount of
Permitting I

PAN
Mineralization
Rate TKN
0.3 83100
NH3 I NO3 NO2
6000 523 0
PAN Surface
26653 mg/kg
53.306 lbs/dry ton
0
Ibs total PAN
#DIV/0!
jibs PAN/acre
PAN Injection
29653 mg/kg
59.306 lbs/dry ton
0
Ibs total PAN
#DIV/0! jibs
PAN/acre
Dry Tons/1000 gal.
0.14595
1st year PAN
Surface lbs.
0
1st year PAN
Injected lbs.
0
lbs./acre
Surface
#DIV/O1
lbs./acre
Injected
#DIV/01
iecimal Total dry Acres
% Solids tons/year Applied on
0.035
MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
MR(TKN-NH3) + l(NH3)+NO3+NO2 =mg/kg
mg/kg x .002 =Ibs/dry ton
1000 X 8.34 X %solids X sp. gravity "=dry tons/1000ga1."
2000

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
ReportNo. FY20-SL015623
Client:
Caro! Price
Advisor: Zach Key
/
Predictive
912 Boston Rd
Southern Soil Builders,
YXS1"?a:d t
Soil Report Mehlich-3 Extraction
Taylorsville, NC 28681
Inc.
958 Hoots Rd
. {
Sampled County: Alexander
Roaring River, NC 28669
Links to Helpful Information
Client ID: 448752
Advisor ID: 231531
Sampled: 11/05/2019
Received: 11/12/2019 Completed: 12/03/2019 Farm:
Sample ID: CP1
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre) N P2O5
K2O
Mg S Mn Zn
Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M 0.0 120-200 0
40
0 0 pH$ 0
0 0
Note: 12 Note: $
2 - 0.0
Test Results [units - WN 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-1 Na ESP SS-1 NO3-N
0.27 1.19 6.9
93 0.5 6.6 150 49 81 9 42
152
99 214 214
299 0.1 1
North Carolina
AL—
i.. 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 Troxler. Commissioner of Agriculture

NCDABCS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SL015623
Carol Price
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
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1Mn-Al2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
Mn-I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
M-O
N
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
nitrogen
sodium
ncaqr.qov/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.gov/agronomi/obpart4.html fsfind 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
WN
weight per volume
0 o
The first seven values [soil class, HM /o, W/V, CEC, BS /o, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability index
remaining 16 [P-I, K-I, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-1, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routine[)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.qov/agronomi/uyrst.htm

NCDA&CS Agronomic Division Phone: [phone]
Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15626
Client:
Owen Icenhour
Advisor: Zach Key
+ " Z.- - +'•,, Predictive
716 Stikeleather Rd.it
Southern Soil Builders,
"1 rx + ''''
Hiddenite, NC 28636
Inc.
Soil Report Mehlich-3
Extraction
958 Hoots Rd
Sampled County: Alexander
Roaring River, NC 28669
Links to Helpful Information
Client ID: 123035
Advisor ID: 231531
Sampled: 11/05/2019 Received: 11/12/2019 Completed: 12/03/2019
Farm:
Sample ID: 0801
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M 0.0
120-200 0
40
0 0
pH$
0
0 0
Note: 12 Note:
2 - 0.0
Test Results [units - WN 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-1 Na ESP SS-1 NO3-N i
0.36 0.76 44.9 100 0.0 7.6 608 52
95 4 93
134
74
1447
1447
1293 0.2 0
Sample ID: 0804
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P205
K20
Mg S
Mn
Zn
Cu B
Information
Lime History:
1 -Fescue/OGrass/Tim, M 0.0
120-200 0
40
0 0
pH$
0
0 0
Note: 12 Note:
2 - 0.0
i
Test Results [units - WN 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-Al
Cu-1 Na ESP SS-1 NO3-N
0.32 0.97 29.2 100 0.0 7.8 261 50
95 4 72
140
74
787
787
787 0.2 1
North Carolina
Ilk
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 Troxler. Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15626
Owen Icenhour
Page 2 of 2
Understanding the Soil Report: explanation of measurements, abbreviations and units
Recommendations
Abbreviations
Lime
F
If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either
exchangeable acidity
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 ond
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
Fertilizer
ESP
exchangeable sodium percent
Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of
HM%
K-I
percent humic matter
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
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
M-0
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
nca.qr.gov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
ORG
organic soil class
the exact fertilizer grade recommended on the report, visit www.ncagrgov/agronomi/obpart4 hind information that
pH
P-1
current soil pH
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
WN
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
remaining 16 [P-1, K-1, Ca%, Mg%, Mn-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cud, S-1, SS -I, Na, ESP, SS-1, NO3-N (not routinel
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.goy/aqronomi/uyrsf htm

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
a
a Client: Phillip Hoover
Predictive 37 Carolina Lane
IN y�.�' �� Taylorsville, NC 28681
Soil Report Mehlich-3 Extraction
Sampled County: Alexander
Links to Helpful Information
Client ID: 438308
Sampled: 11/05/2019
Received: 11/12/2019 Completed:
12/03/2019
Farm:
Sample ID: PH1
Recommendations:
Lime
Crop (tonslacre)
N
Lime History:
1 -Fescue/OGrass/Tim, M
0.0
120-200
2 -
0.0
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°/
0.27 1.06 10.4
100 0.0 7.4 122
32
90 8
A�
North Carolina
Report No. FY20-SLO15624
Advisor: Zach Key
Southern Soil Builders,
Inc.
958 Hoots Rd
Roaring River, NC 28669
Advisor ID: 231531
o
„' �WlnujUj
More
P205 K20
Mg
S
Mn Zn
Cu B
Information
0 70
0
0
pH$ 0
0 0
Note: 12 Note:
Soil Class:
Mineral
S-1 Mn-I
Mn-All
Mn-AI2
Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
45 216
125
318 318
371 0.2 2
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 Troxler. Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15624
Phillip Hoover
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-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
M9%
% 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
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z
M
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
M-0
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncaqr.qov/agronomi/pubs.htm.
Na
sodium
NO3-N
nitrate nitrogen
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
ORG
pH
organic soil class
current soil pH
the exact fertilizer grade recommended on the report, visit www.ncagr.gov/agronomi/obpart4 htmtfsfind 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
WN
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
remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-1, S-1, SS -I, Na, ESP, SS -I, NO3-N (not routinel
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr.govlaqronomiluyrst.htm

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SL015625
Client: Clyde Hendren
Y
Advisor: Zach Key
r ,
Predictive
PO Box 732
Southern Soil Builders,
Soil Report Mehlich-3 Extraction
Taylorsville, NC 28681
Inc.
958 Hoots Rd
Jp
Sampled County: Alexander
Roaring River, NC 28669
-�
Links to Helpful Information
Sampled: 11/05/2019
Received: 11/12/2019 Completed: 12/03/2019 Farm:
Client ID: 438306
Advisor ID: 231531
Sample ID: CH1
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre) N P2O5
K2O Mg S Mn Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 50
80 0 0 0 0
0 0
Note: 12
2 - 0.0
Test Results [units - WN 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-1 Zn-AI
Cu-1 Na ESP SS4 NO3-N
0.46 1.07 8.2
88 1.0 6.3 36 30 66 20 40
202 133 167 167
83 0.1 1
North Carol inn
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 Troxler. Commissioner of Agriculture

NCDA&CS Agronomic Division Phone: [phone] Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO15625
Clyde Hendren
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 one
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-I and P-I 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
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1Mn-AI2
Mn-availability index for crop 2
Farmers and other commercial producers should pay special attention to micronutrienf levels. If $, pH$, $pH, C or Z
Mn-I
manganese index
notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients In general, homeowners do not
M-O
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncagr.gov/aqronomi/pubs.htm.
Na
sodium
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.gov/agronomi/obpart4.html fsfind information that
P-I
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
WN
weight per volume
The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The
Zn-AI
zinc availability 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 routine)
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaar.pov/agronomi/uvrst.htm

06
G
a
z
0
c
c
Limp, Stabilization
v
Town of
" — —TaylorsAlle WWTpLocation.
0
Date,
Date: Zo ` 4 Date: Z-2 2 rg o
Tj61i d �O O ""�-��'" �1 . 2 in
----- Time; /�u4 Time, oSo 0
pGallons�'� t�rnp�, at�+ & f�r�p ��er�orr�eoiedph � terr�pv e�R�r t;arrt;��#ea�art H Ad _ 2 hours S .._ N deft _ }?2►urs�
W
5G3 Requlroments: 12 duiinirnum t i 5 Mintmom
pH
9Uoges;
Stbrt pH taken irnrnediafeiy aitcr lit��ie addition.
pH-roadings laken with an approved low (tocfjurn glass electrodo Rrobo• pH Meter rvns calllbrated to r-a PH of 10 prior to aornpiinp.
y
Operator, e-----L
Z&— �-

00
N
00
ll
I
0. Lime Stabilization
irag�az;t: "awn Of ire iorsville illfVwi6'
Date;
Time: 0,8 j o
xaiirts p .8� OMP, at Caa�werti
....,.�_._.._. start_
PH
Notes''
Date:
Time: too a
Added
w� � 2 hours
i 000 Gn
503 ReQulremeni v;
Date: � � Zug 9
Time, �..,
;arre CC ed ph- ttemp� after Orr"c�4
H 22 hours
jz_z lz.�� �gaG /2, a
i2 t44inimum 115 Minimum
&fart pH taken immediately of er lime addition,
PH,rsadings taken with an approved law sodtim glass elocirodo Rrobo, pH Meier was callibrated to a pH of 10 prior to aarnpling.
i
Operator:

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town ofTaylorsville WQ Permit Number: WQ0006906
WWTP Name: Town ofTaylorsville
Monitoring Period: From 1 /l /2019
NPDES Number: NCO026271
To 12/31 /2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performer)_
Class A:
Alt. A (time/temp)
Alt B (Alk Treatment)
Alt. C (Prior Testing)LI
A1t.D (No Prior Test) $:=1
Process to Further Reduce Pathogengs L1
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost
Heat Drying J
Heat Treatment CJ
Thertnophilic I3
Beta Ray Ej
Gamma Ray LJ
Pasteurization L1
. ..........
Class B:
jAlt. (1) Fecal Density D
Alt. (2) Process to Significantly Reduce Pathogens
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization
Air Drying L1
Composting
Aerobic Digestion Cl
Anaerobic Digestion
- - -
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter
Allowable Level
in Sludge
en Pathog y Densit
Number o
Excee-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech -
i oue
Minimurn
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
M PN
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform)
V.. ..L�_ A LL___ _
3 MPN per 4 grams
total solid (dry
weight)
it _ 1
v ectoi rcuracuun tceuuction t13A 1Vl.A1L. U11 .107) - Please indicate alternative nerfnrmPrl-
Alt.l (VS reduction) L1
Alt. 2 (40-day bench) Ll
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. O, uptake) ( .)
Alt. 5 (14-Day Aerobic) L7
Alt. 6 (Alk. Stabilization 21
Alt 7 (Drying - Stable) 0
jAlt. 8 (Drying - Unstable) LI
Alt. 9 (Injection) L1
Alt. 10 (Incorporation) 1j
No vector attraction reduction alternatives were performed 0
CERTIFICATION STATEMENT (please check the appropriate statement)
21 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met."
Li "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC_ 02'.r .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certificatio including fine and imprisonment."
Lvwi P Dennis Key Southern Soil Builders, Inc.
eparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
Signature of Prepares* Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
DENR FORM PVRF 02T (12/2006)