HomeMy WebLinkAboutWQ0016966_Residual Annual Report 2019_20200218Initial Review
INITIAL REVIEW
Reviewer Williams, Kendall
Is this submital an
application?*
r Yes r No
Annual Report 2019
Year*
Date Paper Copy 2/18/2020
Received:*
Project Number* WQ0016966
Email Notifications
...................................................................................................
Does this need O Yes
review by the a No
hydrogeologist? *
Regional Office
CO Reviewer
Admin Reviewer Kendall.Williams@ncdenr.gov
Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by NJB Staff regarding electronic submittal, confirmation of receipt, and other issues.
....................................................................................................................................................................................................................................................................................................................................................................................................
Name * Troy Branch
Email Address*
troy. branch@townofdenton.com
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* WQ0016966
Applicant\Permittee * Town of Denton
Facility Name * Town of Denton WWTP
Phone Number*
3368594460
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.
Please attach all information required or requested for this submittal to be review here.
Application Form Engineering Rans, Specifications, Calculations, Etc.)
2019 Annual Report_ 20200210_0001.pdf 1.26MB
upload only 1 RJF document. Maniple documents rust be combined 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.
0 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, Y" Floor, Office #942W
---- -NC �-- - -------------------------------------------- ------------------------------------------------
Raleih, 7699-1617 512 N. SaVisbury St
For questions or problems contact Tessa Monday at tessa.monday@ncdenr.Qov 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
P -t,5 %O t~rI;IfI;
Submission Date 2/11/2020
2019
Town of Denton
2019 Annual Report
Land Application Program
Permit No. WQ0016966
ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: W00016966 County: Davidson Year:
Facility Name (as shown on permit): Town of Denton
Land Application Operator:
2019
Southern Soil Builders, Inc Phone: 336-957-7871
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number ofapplication fields in thepermit:
15
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:
78.37
Total number of acres utilizes for land application during the year:
45.2
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. 0 Yes 0 No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
I ) 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 .I 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.] I I I 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.
1 1) 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."
Permittee Name and Title (type or print)
Signature of Permittee
Date
a-4-7.yu
Signature of Preparer*
Date
Applier
Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T. 1102 (26) DENR FORM ACF (12/2006)
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: W00016966
Facility Name:
Residual Source WQ # or
NPDES #:
WWTP Name:
Residual Analvsis Data
Town of Denton
NCO026689
Denton WWTP
Laboratory:
1)
2)
3)
4)
5)
Meritech
Parameter
Percent Solids(%)
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."
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006)
ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past calendar year. Use additional
forms as needed.
WQ Permit Number: W00016966 Laboratory:
Facility Name: Town of Denton
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analvsis Data
NCO026689
Denton WWTP
1)
2)
3)
4)
5)
Meritech
Parameter
OWN
-----------
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
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: W00016966
Facility Name: Town of Denton
Residual Source WQ # or NCO082949
NPDES1h
WWTP Name: Denton WTP
Residual Analysis Data
Laboratory: 1) Waypoint
2)
3)
4)
5)
I
Parameter
Sample or Composite Date
®---
' 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."
Signature of Preparer *
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1 102 (26)
Date
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: W00016966
Facility Name:
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analysis Data
Town of Denton
NCO082949
Denton WTP
Laboratory: I) Waypoint
2)
3)
4)
5)
-Sample
or Composite •. te
Parameter
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer * Dale
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (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:
Permit #:
Operator:
Acres Used:
Town of Denton
W00016966
Joel Sexton Owner:
6.7 Acres Permitted
Total Dry Tons Applied (Annual): 39.62
Cation Exchange Capacity (non 503 only):
Joel Sexton Predominant Soil Series: BaD
6.7 Site #: 2 Field #: 1
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
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 1
'®
1 11
1 11:
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
1111
1 111
1111
1 111
1111
1111
1 111
1111
1111
��••
WI�911Y91L'�®'
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
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 11
'
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 1
�'
®
11•
1 •
1 111
1111
1 111
1 111
1111
1111
1111
1 111
1 111
1 111
1 `.
®
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 1�.
®®
1• 1
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
®
•�
1111
1 111
1111
1 111
1111
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".
/ mrm �/
Sigi ture of LAW 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 of Denton Total Dry Tons Applied (Annual): 3.90
Permit #: W00016966 Cation Exchange Capacity (non 503 only):
Operator: Joel Sexton Owner: Joel Sexton Predominant Soil Series: MeB
Acres Used: 11.3 Acres Permitted: 11.3 Site #: 2 Field #: 3
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
MINI'MENEEMENEEN
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
1 11
1
®
1 111
1 11.
1 111
1 111
1 111
1 111
1 111
1 111
1 Itl
1 111
1 111
1 111
1 11.
'®
1 111
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
111
1 1
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 1 1
1 111
111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1 1
®'
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 1
®
1 111
1 111
1 111
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
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
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 1
®
1 111
1 11
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 1
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
•
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
1-V lx
Signa ure of Land A pplier
%y-26.L8
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 of Denton Total Dry Tons Applied (Annual): 10.06
Permit #:
Operator:
Acres Used:
Cation Exchange Capacity (non 503 only):
Joel Sexton Predominant Soil Series: BaD
16.6 Acres Permitted: 16.6 Site #:
W00016966
Joel Sexton Owner:
Field #:
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual heavy Metal Field Loadings (Calculated in Ibs/acre):
1 •
1 11
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 11 t
1 111
1 111
1 111
1 111
1 11
'®
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
111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 1
®''
l l
1 111
1 111
1 111
1 111
1 111
1111
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
1 111
1 111
®
1 11
1 111
1111
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 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 '
®
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
' ,
..1 certuy, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations".
Signature of Land Applier
Date
DENR FORM MFLSF (12/2006)
ANNUAL 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 Denton
Total Dry Tons Applied (Annual): 24.81
W00016966 Cation Exchange Capacity (non 503 only):
Joel Sexton Owner:
10.6 Acres Permitted:
Joel Sexton
1•
Site #:
Predominant Soil Series:
2 Field #:
ME
Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #):
Annual Heavy Metal Field Loadings (Calculated in Ibs/acre):
1
®
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 1
'®
1 111
1 11'
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 �
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
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 ..
111•
11`•
1 111
1111
1 111
1111
1 111
1111
1111
1 111
1111
1 111
1 1
®
1 111
1 11
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 11
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 1
®
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 1:
�®
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 1
®��
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1 111
1111
1 111
1
MMMMMMMMMMMMMM
' 1
"t 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
)-Al-) �) V
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 Denton
Land Owner: Joel Sexton
Operator: Joel Sexton
Crop 1 Name: Fescue
WQ Permit #: WQ0016966 Field #: 02 01
Annual Dry Tons Applied: 39.6140 Site #: 02 01
Predominant Soil Series: BaD
Crop I Max. PAN:
138
Crop 2 Name:
Acres Utilized: 6.7
Acres Permitted: 6.7
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
L
°
°
Q
Volume applied
enter one Solids/
( )
Liquid
Cu. Yds Gallons
o
/o
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
(Dry'
Wet
Moist)
Precip.
Past 24
Hrs.
inches
Y
K �
m
o m
d ,..
* '
o
;9 2
m _
: N
t m
w ry
TKN
mg/kg
z D
9
'0 3
�' ?
o N
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
Name of Crop Type
Receiving Residual
Application
PP
Crop 1
Crop 2
Crop I
Crop 2
3-2019
123500
2.65
2.037
WWTP
dry
0
s
0.5
0.3
21200
377
1230
31.228
NA
Fescue
8-2019
130000
4.79
3.876
WTP
dry
0
s
0.5
0.4
9790
2920
4.63
32.653
NA
Fescue
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):
TOTALS:
0
253500
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
63.881
0.000
Lime A lied
Annual lbs/acre
0.074
0.014
1.944
0.449
0.263
0.005
0.032
0.196
0.046
3.815
85.966
Date
Ibs/ac
Prior Years Cumulative Ibs/ac
0.174
0.052
10.877
0.922
0.739
0.025
0.09
0.618
0.121
29.697
0
Current Cumulative Ibs/ac
0.248
0.066
12.821
1.371
1.002
0.030
0.122
0.814
0.167
33.512
Permitted C. P. L. R.****
36
34
1338
NA
267
15
NA
374
89
2498
Permit PAN Limit 1st/2nd Crop
138
"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 tines and imprisonment for knowing violations."
Signature of Land Applier
)-y
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 Denton
Land Owner: Joel Sexton
Operator: Joel Sexton
Crop 1 Name: Fescue
WQ Permit#: W00016966 Field #: 02 03 Acres Utilized: 11.3
Annual Dry Tons Applied: 3.8950 Site #: 02 03 Acres Permitted: 11.3
Predominant Soil Series: MeB Cation Exchange Capacity (non 503):
Crop 1 Max. PAN: 188 Crop 2 Name:
Crop 2 Max. PAN:
°
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
"�u
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES g, WQ#.
Fen., Animal
Waste, etc)
Soil
Cond.
(Dr},
Wet,
Moist)
Preci P
Past24
Hrs.
inches
D
K a
;; a
c .mod'.
°
°
a
N
K.
z -
m
^'
5
TKN
mg/kg
Z D
=
"oo o
° °
a G.
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
( pp)
Ihs/acre
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop 1
Crop 2
08-2019
19500
4.79
0.345
WTP
dry
0
s
0.5
0.4
9790
2920
4.63
2.904
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):
TOTALSI
01
As
Cd
Cu
Cr
Pb
I Ha
Mo
I Ni
I Se
I Zn
P
1 2.904
0.000
Lime Applied
Annual Ibs/acre
0.006
0.001
0.033
0.030
0.015
0.000
0.002
0.012
0.003
0.053
1.270
Date
lbs/ac
Prior Years Cumulative Ibs/ac
0.961
0.967
36
0.035
0.036
34
5.157
5.190
NA
0.189
0.219
1338
0.472
0.487
267
0.03
0.030
15
0.01
0.012
NA
0.353
0.365
374
0.069
0.072
89
13.673
13.726
2498
0
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
Permit PAN Limit I st/2nd Crop
188
"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
*Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
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
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 Denton
Land Owner: Joel Sexton
Operator: Joel Sexton
Crop 1 Name: Fescue
WQ Permit #: WQ0016966 Field #: 02 04
Annual Dry Tons Applied: 10.0560 Site #: 02 04
Predominant Soil Series: $aD
Crop 1 Max. PAN: 204 Crop 2 Name:
Acres Utilized: 16.6
Acres Permitted: 16.6
Cation Exchange Capacity (non 503):
Crop 2 Max. PAN:
o t
m �°
Volume a lied
PP
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry TonslAc)
Residual Sources
(NPDES #. WQ#,
Fert., Animal
Waste, etc)
Soil
Cord.
Wets
Moist)
Precip.
Past 24
Hrs.
inches
Y
K �
T
* 'M
<
o
w m
w'
d m
m
*
o
TKN
mg/kg
z D
3
d 3
°o °
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
(Ibs/acre)
Name of Crop Type
Receiving Residual
Application
Crop I
Crop 2
Crop 1
Crop 2
8-2019
91000
2.65
0.606
WWTP
dry
0
s
0.5
03
21200
377
1230
9.287
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 ESE supp ( attach FORM ESE supp to this form):
TOTALS4
01
91000
As
Cd
Cu
Cr
Pb
H
Mo
Ni
Se
Zn
P
9.287
0.000
Lime Applied
Annuallbs/acre
0.002
0.002
0.467
0.034
0.028
0.000
0.004
0.018
0.002
0.956
21.331
Date
Ibs/ac
Prior Years Cumulative Ibs/ac
0.154 0.027 5.129 0.253 0.366 0.016 0.013 0.448 0.065 11.02
0.156 0.029 5.596 0.287 0.394 0.016 0.017 0.466 0.067 11.976
36 34 1338 NA 267 15 NA 374 89 2498
2pq
9-2019
2000
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Signature of Land Applier
*Application Method: S - Surface, IN - Injection, INC - Incorporation
aJJO **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
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
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 Denton
Land Owner: Joel Sexton
Operator: Joel Sexton
Crop 1 Name: Fescue
WQ Permit #: WQ0016966 Field #: 02 05 Acres Utilized: 10.6
Annual Dry Tons Applied: 24.8065 Site #: 02 05 Acres Permitted: 10.6
Predominant Soil Series: HeB Cation Exchange Capacity (non 503):
Crop 1 Max. PAN:
204
Crop 2 Name:
Crop 2 Max. PAN:
o t
Volume applied
(enter one) Solids/
Liquid
Cu. Yds Gallons
%
Solids
Volume
Applied per
Acre
(Dry Tons/Ac)
Residual Sources
(NPDES #, WQ#,
Fert., Animal
Waste, etc)
Soil
Cond.
Wet'
Moist)
Precip.
Past 24
Hrs.
Inches
D
�
S 'o
c W
o
o
w =
d'
$
a '
q
TKN
mg/kg
z D
w o
mg/kg
Nitrate
and
Nitrite
mg/kg
PAN Applied
Ibs/acme
( )
Name of Crop Type
Receiving Residual
Application
Crop 1
Crop 2
Crop I
Crop 2
08-2019
13000
2.65
0.136
WWTP
dry
0
s
0.5
0.3
21200
377
1230
2.078
NA
Fescue
08-2019
117000
4.79
2.205
WTP
dry
0
s
0.5
0.4
9790
2920
4.63
18.575
NA
Fescue
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
0.000
0.000
0.000
Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form):
TOTALS:
01
130000
As
Cd
Cu
Cr
Pb
Hg
Mo
Ni
Se
Zn
P
20.653
1 o.000
Lime Applied
Annual Ibs/acre
0.038
0.005
0.319
0.199
0.102
0.003
0.012
0.081
0.023
0.556
12.902
Date
Ibs/ac
Prior Years Cumulative Ibs/ac
0.078 0.042 7.472 0.246 0.633 0.03 0.043 0.406 0.088 20.242
0.116 0.047 7.791 0.445 0.735 0.033 0.055 0.487 0.111 20.798
36 34 1338 NA 267 15 NA 374 89 2498
204
0
Current Cumulative Ibs/ac
Permitted C. P. L. R.****
Permit PAN Limit Ist/2nd Crop
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
/ *Application Method: S - Surface, IN - Injection, INC - Incorporation
**Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0
Signature of Land Applier Date" Mineralization Rates: Compost -0.1, anaerobially digested -0.2,
aerobically digested -0.3, raw sludge -0.4
****C.P.L.R.: Cumulative Pollutant Loading Rate
Report Number: 19-240-0010
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 67986
Sample Id: Denton WTP
Waypoint,06
.
ANALYTICAL
Project: Denton WTP
REPORT OFANALYSIS
7621 Whitepine Road, Richmond, VA 23237
Main 804-743-9401 ° fax 804-271-6446
www.waypointanalytical.com
Date Sampled: 8/25/2019 11:52:00
Date Received: 08/28/2019 00:00
Date Reported: 09/06/2019
Total Solids `
4.79
ADM
08/30/2019 15:57
SM-254OG
Moisture .
95.20
ADM
08/30/2019 15:57
SM-2540G
Total Kjeldahl Nitrogen
0.98
9790
250
JPJ
09/04/2019 13:00
SM-4500-NH3C-TKN
Phosphorus
0.18
1840
50.0
JTR
09/03/2019 19:53
6010D
Potassium
0.10
982
50.0
JTR
09/03/2019 19:53
6010D
Sulfur
0.33
3260
50.0
JTR
09/03/2019 19:53
6010D
Calcium
0.28
2810
250
JTR
09/03/2019 19:53
6010D
Magnesium
0.14
1430
50.0
JTR
09/03/2019 19:53
6010D
Sodium
0.03
297
250
JTR
09103/201919:53
6010D
Iron
36500
50.0
JTR
09/03/2019 19:53
6010D
Aluminum
152000
500
JTR
09/04/201917:46
6010D
Manganese
2700
5.00
JTR
09/03/2019 19:53
6010D
Copper
48.5
2.50
JTR
09/03/2019 19:53
6010D
Zinc
77.5
12.5
JTR
09/03/2019 19:53
6010D
Ammonia Nitrogen
0.29
2920
100
JPJ
09/05/2019 13:00
SM-4500-NI3C
Organic N
0.69
6870
250
09/04/2019 13:00
CALCULATION
Nitrate+Nitrite-N
c4.63
4.63
ZBD
09/04/201915:21
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
Pauric McGroary
Agronomist
Page 3 of 6
Report Number: 19-240-0010
Account Number: 46381
Send To: Southern Soil Builders
Dennis Key
958 Hoots Road
Roaring River, NC 28669
Lab Number: 67986
Sample Id : Denton WTP
Cadmium
Chromium
Nickel
Lead
Arsenic
Mercury
Selenium
pH'
Molybdenum
Comments:
Waypoint,(DO,
.
ANALYTICAL
Project : Denton WTP
REPORT OF ANALYSIS
7621 Whitepine Road, Richmond, VA 29237
Main 804-743-9401 ° fax 804-271-6446
www.waypointanalytical.com
Date Sampled: 8/25/2019 11:52:00
Date Received: 08/28/2019 00:00
Date Reported: 09/06/2019
<1.00
1.00
JTR
09/03/2019 19:53
6010D
43.3
2.50
JTR
09/03/2019 19:53
6010D
17.5
2.50
JTR
09/03/2019 19:53
6010D
21.7
3.00
JTR
09/03/2019 19:53
6010D
8.61
5.00
JTR
09/03/2019 19:53
601OD
0.0585
_ 0.0141
TJS
09/03/2019 14:49
SW-7471B
<5.00
5.00
JTR
09/03/2019 19:53
601OD
6.5
JSL
09/03/2019 05:31
9045D
<2.50
2.50
JTR
09/03/2019 19:53
6010D
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
Por« mC G�
Pauric McGroary
Agronomist
Page 4 of 6
PAN
Mineralization
as decimal
Total dry
Acres
Rate
0.4
TKN
9790
NH3
2920
NO3
4.63
NO2
0
% Solids
0.0479
tonslyear
Applied on
PAN Surface
4212.63 me /k 8.42526 lbs/dry ton
0 11bs total PAN
#DIV/0! Ibs PAN/acre
PAN Injection
5672.63 m /k 11.34526 lbs/dry ton
0 Ibs total PAN
#DIV/0! Ibs PAN/acre
Dry T2ns/1000 gal.
0.199743
1st year PAN
Surface Ibs.
0
1st year PAN
Injected
0
Ibs./acre
Surface
#DIV/01
Ibs./acre
Injected
#DIVl01
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/1000gal."
2000
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
14.22 134.6 68.49
Na_jME)
I Cam
MIME)
0.618261
6.73
5.7075
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)10.5 power
SAR = 0.247925 (From Mg/L entered above)
SAR= 0.248597 (From ME entered below)
Na (ME)
Ca (ME)
M ME
0.62
1 6.73
1 5.71
The amour
amount of f
Permitting!
Meritech, Inc.
;• Environmental Laboratory
Laboratory Certification No. 165 -11
I ow
Contact: Mr. Troy Branch Report Date: 1/6/2020
Client: Town of Denton NPDES#: NC0026689
P.O. Box 306 Project#: Sludge 2019
Denton, NC 27239 Date Sample Rcvd: 12/17/2019
Meritech Work Order # 12171931 Sample: Sludge/Digester 42 Grab 12/17/2019
Parameters Result Analysis Date Re o�gLimit Method
%Solids
2.65 %
12/18/19
0.2 %
SM 2540B
Ammonia, Nitrogen
<377 mg/kg
12/23/19
377 mg/kg
EPA 350.1
TKN
21200 mg/kg
12/24/19
20 mg/kg
EPA 351.1
Nitrate/Nitrite, Nitrogen
1230 mg/kg
12/20/19
31.3 mg/kg
EPA 353.2
Aluminum, total
9580 mg/kg
12/27/19
2.50 mg/kg
EPA 200.7
Arsenic, total
<1.89 mg/kg
12/27/19
1.89 mg/kg
EPA 200.7
Cadmium, total
1.61 mg/kg
12/27/19
0200 mg/kg
EPA 200.7
Chromium, total
27.8 mg/kg
12/27/19
0.250 mg/kg
EPA 200.7
Copper, total
385 mg/kg
12/27/19
1.00 mg/kg
EPA 200.7
Lead, total
23.3 mg/kg
12/27/19
0.500 mg/kg
EPA 200.7
Magnesium, total
4490 mg/kg
12/27/19
10.0 mg/kg
EPA 200.7
Mercury, total
0.151 mg/kg
12/24/19
0.02 mg/kg
EPA 245A
Molybdenum, total
3.20 mg/kg
12/27/19
0.500 mg/kg
EPA 200.7
Nickel, total
14.9 mg/kg
12/27/19
2.0 mg/kg
EPA 200.7
Phosphorus, total
17600 mg/kg
12/30/19
2.00 mg/kg
EPA 200.7
Potassium, total
5280 mg/kg
12/27/19
20.0 mg/kg
EPA 200.7
Selenium, total
<1.89 mg/kg
12/27/19
1.89 mg/kg
EPA 200.7
Sodium, total
551.0 mg/kg
12/27/19
20.0 mg/kg
EPA 200.7
Zinc, total
789 mg/kg
12/27/19
0.500 mg/kg
EPA 200.7
Cyanide, total
<18.9 mg/kg
12/27/19
18.9 mg/kg
EPA 335.4
Sulfide
<377 mg/kg
12/23/19
377 mg/kg
SW 846 9038
Ignitability
>140 OF
12/24/19
EPA 1.030
Corrositivity, (pH)
7.1 S.U.
12/18/19
1.0 - 14.0 S.U.
SM 4500 HB
I hereby certify that I have reviewed and approve these data. CA)_
Laboratory Repr sentative
642 Tamco Road, Reidsville, North Carolina 27320
tel.(336)342-4748 fax.(336)342-1522
PAN
Mineralization
as decimal
Total dry
Acres
Rate
0.3
TKN
21200
NH3
377
NO3
1230
NO2
0
% Solids
0.0265
tons/year
Applied on
PAN Surface
7665.41mg/kg 15.3308 lbs/dry ton
0 1 Ibs total PAN
#DIV/0! jibs PAN/acre
PAN Injection
7853.91mg/kg 1 15.7078 lbs/dry ton
Olt total PAN
#DIV/0! Ibs PAN/acre
Dry T2ns11000 al.
0.110505
1st year PAN
Surface Ibs.
0
1st year PAN
Injected
1
0
Ibs./acre
Surface
#DIV/0!
lbs./acre
Injected
#DIV/01
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 so. gravity "=dry tons/1000gal."
2000
Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC 28669
Receive Date:
09/10/2019
Reported:
09/12/2019
For:
Denton WTP
Comments:
<435 MPN/g
TATFSVI I
n ANALYMAL
E
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
190910-37-01
Fecal Coliforms
1
<490
MPN/g
SM92210E-2006
09/11/2019
WC
190910-37-01
Percent Solids
1
4.08
%
SM254oB-2011
09/11/2019
WC
190910-37-02
Fecal Coliforms
2
<348
MPN/g
SM92210E-zoos
09/11/2019
WC
190910-37-02
Percent Solids
2
5.74
%
SWWB-2011
09/11/2019
WC
190910-37-03
Fecal Coliforms
3
<442
MPN/g
SM92210E-2006
09/11/2019
WC
190910-37-03
Percent Solids
3
4.52
%
SM2540B-2011
09/11/2019
WC
190910-37-04
Fecal Coliforms
4
<424
MPN/g
SM92210E-2006
09/11/2019
WC
190910-37-04
Percent Solids
4
4.72
%
SM2640B-2011
09/11/2019
WC
190910-37-05
Fecal Coliforms
5
<476
MPN/g
SM92210E-2006
09/11/2019
WC
190910-37-05
Percent Solids
5
4.20
%
SM2540B-2011
09/11/2019
WC
190910-37-06
Fecal Coliforms
6
<435
MPN/g
SM92210E-2006
09/11/2019
WC
190910-37-06
Percent Solids
6
4.60
%
SM254oB-2011
09/11/2019
WC
190910-37-07
Fecal Coliforms
7
<443
MPN/g
SM92210E-2oo6
09/11/2019
WC
190910-37-07
Percent Solids
7
4.51
%
SM2540e.2011
09/11/2019
WC
Respectfully submitted,
Dena Myers
NC Cert #440,
NCDW Cart #37755,
EPA #NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 4
Condition of Receipt
Sample Number 190910-37-01 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190910-37-02 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190910-37-03 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190910-37-04 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190910-37-05 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 4
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190910-37-06 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
Sample Number 190910-37-07 Temp on Arrival: 3.2
Parameter Schedule: Percent Solids
Received on Ice
Parameter Schedule: Fecal Coliforms
Sodium Thiosulfate Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 3 of 4
t
�ClienL 4J
" J0�' W,li{ of
STATEMLLB ANALYTICAL
122 Can Street • PO. Box 228
Sme VHK NC 28637
Address ((�� ^ ----- -- ---
158 Aof- Rd
L 211669
(704)8724W
'a r
Contact Peraon:
Phone tt
cl V�4L. 336"
gs'1 -'2�'11
FAXN
336-ar? _,8yy;
chain Of
Custody Record
ro x Requisitioned by: O�)
BamPWIDe _.
LaoIDI
tG�ONO
aeSNyleo
!
x A181nx
rv,
PasiWasnparaC)a nW"ie
i.� wfP
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Samples Transported On In:
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IMada:
NCDABCS Agronomic Division Phone: (919) 733-2655 Website: w .ncagr.gov/agronomi/
Report No. FY20-SL013922
`
}
Client:
Joel Sexton
Advisor:
Zach Key
; Predictive
t
1129 Gallimore Road
Southern Soil Builders,
Soil Report Mehlich-3Extraction
Denton, NC 27239
Inc.
958Hoots Rd
Sampled County : Davidson
Roaring River, NC 28669
Links to Helpful Information
Client ID:
444521
Advisor
10: 231531
Sampled: 10/28/2019 Received: 11/06/2019 Completed: 11/19I2019 Farm:
Sample ID: JS1
Recommendations: Lime
Nutrients (Ib/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
0
0 0
0
0
0
0
Note: 12
2 - 0.0
I
Test Results [units - WN in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-Al2
Zn-I
Zn-AI
Cu-I
Na ESP SS -I NO3-N
0.36 0.88 11.3 92 0.9 6.5 143 82 69 19 38
334
210
372
372
354
0.1 1
Sample ID: JS3
Recommendations: Lime
Nutrients (Ib/acre)
More
Crop (tonslacre) N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 0
0
0 0
pH$
0
0
0
Note: 12 Note:
2 - 0.0
Test Results [units - W/V in g1cm3; CEC and Na in meq/100 cm3; NO3-N in mgldrr j:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg°/ S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.51 0.85 12.0 93 0.9 6.6 170 99 72 17 41
299
188
327
327
293
0.1 1
Sample ID: JS4A
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre) N P2O5
K2O
Mg S
Mn
Zn
Cu
B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0 120-200 0
0
0 0
pH$
0
0
0
Note: 12 Note:
2 - 0.0
Test Results [units -WIV in g/cm3; CEC and Na in meg1100 cm3; NO3-N in mg/drrt3]:
Soil Class:
Mineral
HM%n WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.46 0.77 12.7 93 0.9 6.6 110 183 57 29 41
137
91
403
403
223
0.1 1
North Carolina
Ail
±,u�., Itn� c •Yn.....�
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 Troxter.Commissioner ofAariculture
NCDABCS Agronomic Division Phone: (919) 733-2655
Website: www.ncagr.gov/agronomi/
Report No.
FY20-SL013922
Joel Sexton
Page 2 of 4
Sample ID: 0201T2-
mendations: Lime
Nutrients (lb/acre)
More
(tons/acre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
cue/OGrass/Tim, M 0.0
120-200 0
40
0
0
pH$
0
0 0
Note: 12 Note:
0.0
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N
in mg1dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.41 0.83 24.1 100 0.0 7.5 314 54
92 7 63
351
205
1049
1049
438 0.1
0
Sample ID: 0202
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tons/acre)
N P2O5
K2O
Mg
S
Mn
in
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0
120-200 0
0
0
0
pH$
0
0 0
Note: 12 Note:
1.00 tons/acre; 9/2019
2 - 0.0
Test Results [units - WN in g/cm3; CEC and Na in meg1100 cm3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.41 0.90 16.4 95 0.8 6.9 259 109
78 14 62
1588
957
578
578
267 0.2
1
Sample ID: 0203
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
90
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/drna]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca% Mg% S-1
Mn-I
Mn-Alt
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP
SS-1 NO3-N
0.51 0.85 17.7 98 0.3 7.2 298 26
88 10 56
372
222
679
679
435 0.2
1
Sample ID: 0204
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
1-Fescue/OGrass/Tim, M 0.0
120-200 0
0
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 mgldm3]:
Soil Class:
Mineral
HM% WN CEC BS% Ac pH P-1 K-1
Ca % Mg% S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.46 0.77 23.0 100 0.1 7.5 444 159
85 11 67
240
139
1074
1074
572 0.2
1
NCDABCS Agronomic Division Phone: (919) 733-2655
Website:
w .ncagr.gov/agronomi/
Report No. FY20-SL013922
Joel Sexton
Page 3 of 4
Sample ID: 0205
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 60
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-AN
Mn-AI2
Zn-I Zn-AI
Cu-1 Na ESP SS-1 NO3-N
0.41 0.82 26.2 100 0.0 7.6 367 39
93 7
73 398
232
960 960
518 0.2 1
NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO13922
Joel Sexton
Page 4 of 4
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
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 -I levels appear
Mn
manganese
only on reports for greenhouse soil or problem samples.
Mn-All
Mn-availability index for crop 1
Mn-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 Mote: Secondary Nutrients and Micronutrients In general, homeowners do not
M-0
N
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
Na
nitrogen
sodium
ncagr.gov/agronomi/pubs.htm.
NO3-N
nitrate nitrogen
ORG
organic soil class
Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 sq ft. If you cannot find
pH
current soil pH
the exact fertilizer grade recommended on the report, visit www ncaar oov/aoronomi/oboart4 htmgis£nd 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-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, S-I, SS -I, Na, ESP, SS-1, NO3-N (not routine)
01st
Zn-I
zinc index
available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaaroov/aarono htm
Agronomic Division Phone: (919) 733-2655
Website: www.ncagr.gov/agronomi/
ReportNo. FY20-SL013922
rNCDA&CS�
Predictive
Soil Report Mehlich-3 Extraction
_'.v Links to Helpful Information
Client:
Joel Sexton
1129 Gallimore RoadSouthern
Denton, NC 27239
Sampled County : Davidson
Advisor: Zach Key
Soil Builders,
Inc.
958 Hoots Rd
Roaring River. NC 28669
Sampled: 10/28/2019 Received: 11/06/2019 Completed: 11/19/2019
Farm:
Client ID:
444521
Advisor ID: 231531
Sample ID: JS1
Lime History:
Recommendations: Lime
Crop (tons/acre)
1-Fescue/OGrass/Tim, M 0.0
2 - 0.0
N P2O5
120-200 0
K2O
0
Nutrients (lb/acre)
Mg S Mn
0 0 0
Zn
0
Cu
0
iO
More
Information
Note: 12
Test Results [units - WN in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]:
Soil Class:
Mineral
HM% WfV 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
0.36 0.88 11.3 92 0.9 6.5 143 82
69 19 38
334
210
372
372
354
0.1 1
Sample ID: JS3
Lime History:
Recommendations: Lime
Crop (tons/acre)
1-Fescue/OGrass/Tim, M 0.0
2 - 0.0
N P2O5
120-200 0
K2O
0
Nutrients (lb/acre)
Mg S Mn
0 0 pH$
Zn
0
Cu
0
B
0
More
Information
Note: 12 Note:
Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% W/V CEC BS°/ Ac pH P-1 K-1
Ca% Mg°/ S-1
Mn-I
Mn-All Mn-AI2
Zn-I
Zn-AI
Cu-I
Na ESP SS-1 NO3-N
0.51 0.85 12.0 93 0.9 6.6 170 99
Sample ID: JS4A Recommendations: Lime
Crop (tonsfacre)
Lime History: 1- Fescue/OGrass/Tim, M 0.0
2 - 0.0
72 17 41
N P2O5
120-200 0
299
K2O
0
188 327
Nutrients (lb/acre)
Mg S Mn
0 0 pH$
327
Zn
0
293
Cu
0
0.1 1
More
B Information
0 Note: 12 Note:
Test Results [units - WN in glcm3; 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-I
Ca% Mg% S-1
Mn-1
Mn-All Mn-Al2
Zn4
Zn-AI
Cu.]
Na ESP SS-1 NO3-N
0.46 0.77 12.7 93 0.9 6.6 110 183
57 29 41
137
91
403
403
223
0.1 1
North Carolina
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Trox/er. Commissioner ofAgricu/ture
NCDABCS Agronomic Division Phone: (919) 733-2655
Website: w .ncagr.gov/agronomi/
Report No.
FY20-SL0 33922
Joel Sexton
Page 2 of 4
Sample ID: 0201
mendations: Lime
Nutrients (lb/acre)
More
(tons/acre)
T2-
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
ue/OGrass/Tim. M 0.0
120-200 0
40
0
0
pH$
0
0 0
Note: 12 Note:
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-Al2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.41 0.83 24.1
100 0.0 7.5 314 54
92 7
63
351
205
1049
1049
438 0.1
0
Sample ID: 0202
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
0
0
0
pH$
0
0 0
Note: 12 Note:
1.00 tons/acre; 9/2019
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-I Na ESP
SS-1 NO3-N
0.41 0.90 16.4
95 0.8 6.9 259 109
78 14
62
1588
957
578
578
267 0.2
1
Sample ID: 0203
endations: Lime
Nutrients (lb/acre)
More
(tons/acre)
T2-
N P2O5
K2O
Mg
S
Mn
Zn
Cu B
Information
Lime History:
ue/OGrass/Tim, M 0.0
120-200 0
90
0
0
pH$
0
0 0
Note: 12 Note:
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-1
Zn-AI
Cu-1 Na ESP
SS-1 NO3-N
0.51 0.85 17.7
98 0.3 7.2 298 26
88 10
56
372
222
679
679
435 0.2
1
Sample ID: 0204
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
0
0
0
pH$
0
0 0
Note: 12 Note:
2 - 0.0
Test Results [units - W/V in
g/cm3; CEC and Na in meq/100 cm3; NO3-N
in mg/dm3]:
Soil Class:
Mineral
HM% WN CEC BS%
Ac pH P-1 K-1
Ca% Mg%
S-1
Mn-I
Mn-All
Mn-AI2
Zn-I
Zn-AI
Cu-I Na ESP SS-1 NO3-N
0.46 0.77 23.0 100
0.1 7.5 444 159
85 11
67
240
139
1074
1074
572 0.2
1
NCDA&CS Agronomic Division Phone: (919) 733-2655
Website:
www.ncagr.gov/agronomi/
Report No. FY20-SL013922
Joel Sexton
Page 3 of 4
Sample ID: 0205
Recommendations: Lime
Nutrients (lb/acre)
More
Crop (tonslacre)
N
P2O5 K2O
Mg
S
Mn Zn
Cu B
Information
Lime History:
1 -Fescue/OGrass(fim, M 0.0
120-200
0 60
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-I Na ESP SS-1 NO3-N
0.41 0.82 26.2 100 0.0 7.6 367 39
93 7
73 398
232
960 960
518 0.2 1
NCDABCS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/
Report No. FY20-SLO13922
Joel Sexton
Page 4 of 4
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 oni
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
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-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-0
mineral -organic soil class
need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit
N
nitrogen
ncagr.gov/agronomi/pubs.htm.
Na
sodium
NOs-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/obgart4 hnd 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%, 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-1, Mn-All, Mn-AI2, Zn-I, Zn-AI, Cu-I, 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.ncaor.gov/agronomi/uvrst him
ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Denton
WWTPName: Denton WTP
Monitoring Period: From I/l/2019
WQ Permit Number: W00016966
NPDES Number: NCO082949
To 12/31/2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ❑
I Alt B (Alk Treatment)❑
I Alt. C (Prior Testing)❑
Alt.D (No Prior Test) ❑
I Process to Further Reduce Pathogengs ❑
If applicable to alternative pet -formed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑ Thermophilic ❑
Beta Ray ❑
Gantma Ray ❑
Pasteurization ❑
Class B:
Alt. (1) Fecal Density O
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 ❑
Composting ❑
JAerobic Digestion ❑
Anaerobic Digestior ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
um er o
Excee-
ences
Frequency
lof Analysis
Sample
Type
n ay nca
Tech -
Minimu
Geo.MeanMaximu
Units
Fecal Coliform
2 x l0 to the
6th power
per gram of
total solids
MPN
348
435
490
MPN/g
0
7
grab
sm9221
CFU
1000 mpn per gram
of total solid (dry
wei ht)
Salmonella bacteria
(in lieu of fecal
coliform)
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt.l (VS reduction)
I It. 2 (40-day bench) ❑
jAlt. 3 (30-day bench) ❑ I
Alt. 4 (Spec. Oz uptake)
Alt. 5 (14-Day Aerobic)
JAIL 6 (Alk. Stabilization Rl
jAlt 7 (Drying - Stable) ❑ JAIL
8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
jAft. 10 (Incorporation) ❑
INo vector attraction reduction alternatives were performed
CER'I IFICATION STATEMENT (please check the appropriate statement)
❑ "1 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."
❑ "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 not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
"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."
Preparer Name and Title (type or print)
Signature of Preparer*
Dennis Key Southern Soil Builders, Inc.
Land Applier Name and Title (if applicable)(type or print)
Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26)
DENR FORM PVRF 02T (12/2006)
ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Town of Denton
WWTP Name: Denton W WTP
Monitoring Period: From 1/1/2019
WQ Permit Number: W00016966
NPDES Number: NCO026689
To 12/31/2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative Derformed:
Class A:
Alt. A (time/temp) ❑
1 Alt B (Alk Treauuent)❑
Alt. C (Prior Testing)❑
Alt.D (No Prior Test) ❑
I Process to Further Reduce Pathogengs ❑
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:
jAlt. (1) Fecal Density ❑
Alt (2) Process to Significantly Reduce Pathogens Rl
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization p
I Air Drying ❑
Composting ❑
jAerobic Digestion ❑
Anaerobic Digestior. ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
n Sludge
Pathogen Density
um er oAnalytical
Excee-
denceq
Frequency
of Analysis
Sample
Type
Tech-
moue
Minimu
Geo. MeanMaximu
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
CPU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (15A NC:AU OTT .1107) - Please indicate alternative Derformed:
Alt.I (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. O, uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
jAlt. 6 (Alk. Stabilization 21
Alt 7 (Drying - Stable) ❑ JAR.
8 (Drying - Unstable) ❑
Alt. 9 (Injection) ❑
I Alt. 10 (Incorporation) ❑
INo vector attraction reduction alternatives were performed ❑
CERUIUAT10N S'I'A'FEMENF (please check the appropriate statement)
Rl "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."
❑ "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 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."
Preparer Name and Title (type or print)
Signature of Preparer*
Dennis Key Southern Soil Builders, Inc.
Land Applier Name and Title (if applicable)(type or print)
Date Signature of Land Applier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 21'.I 102 (26)
DENR FORM PVRF 02T (12/2006)