WQ0035576_Residual Annual Report 2019_20200226

Initial Review
INITIAL REVIEW
Reviewer Williams, Kendall
Is this submittal an application? (Excluding additional information.)*
r Yes r No
If not an application r Annual Report
what is the submittal r Residual Annual Report
type?* r Additional Information
r Other
Annual Report 2019
Year*
Date Paper Copy 2/26/2020
Received:*
Project Number* WQ0035576
Email Notifications
Does this need review by the hydrogeologist?*
r Yes r No
Regional Office
CO Reviewer
Admin Reviewer [e-mail]

Submitted Form
Project Contact Information
Rease provide information on the person to be contacted by MB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
..........................................................................................................................................................................................................................................................................................................................................................................
Name * Brad Joyner
Email Address*
[e-mail]
Project Information
Submittal Type* r New Permit Application
r Renewal
r Annual Report
r Other
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* WQ0035576
Applicant\Permittee * Maria Hunnicutt
Facility Name * Broad River Water Authority WTP
Phone Number*
8282860731
r Modification (Major or Minor)
r Additional Information
r Residual Annual Report
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.)
WQ0035576 2019 Submittal.pdf 3.02MB
upload only 1 R7F document. NL@iple documents must be combined into one R7F file.

For new and modification permit applications, a paper copy may be required. If you have any questions
about what is required, please contactthe reviewer or Tessa Monday. If a paper 2-pol cation is required,
be advised, applications accepted for pre -review until both the paper and elect-c-ii.- --ol:ies have been
received. The paper copy shall include the following:
o Application Form
o All relevant attachments {talcs, soils report, specs, etc.]
o One full-size engineering plan set
o One 11x17" engineering plan set
o 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
1617 Mail Service Center I Att: Nathaniel Thornburg, P Floor, Office #942W
- =
Raleigh, NC 27699-1617 S12 N.5alisburySt.
For questions or problems contact Tessa Monday attessa.monday@)ncdenr.Qov or 919.707.3560.
* rJ By checking this box I acknowledge that I understand the application will not be accepted
for pre -review until the paper copy (if required) and fee (if required) have been received by
the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with
all parts of the application in correct order (as specified by the application).
Signature
Submission Date 2/24/2020

2019
Broad River Water Authority
2019 Annual Report
Land Application Program
Permit No. W00035576

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0035576 County:
Facility Name (as shown on permit):
Land Application Operator:
Rutherford Year: 2019
River Water
_ 336-957-7871
Land application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ❑ No - If No, ship 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:
Soil Builders. Inc.
Total number ofa lication fields in thepermit:
NA
Total number of fields utilized for land application during the year:
3
Total amount of dry tons applied during the year for all application sites:
544
Total number of acres utilizes for land application during the year:
n.....n.
74
Facility was compliant during calendar yen, 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 ❑ No
If no please, provide n 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 .l 105(a) or the Pollutant
Loading Rates in 15A NCAC 02T.1105(b) (applicable to 40 CPR Pail 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Pail
503 regulated facilities).
8) All monitoring and reporting requirements in I SA NCAC 02T.1 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
sI imprisonment for knowing violations."
' 1 �V a l hit Anl^Y r-t.l`l C, �P t�tpyc`.jl )/1cY.V¢�p,— .ice
Permittee Name and Title (type or print) f Si natLf of Permittee Date
Signatu?e of Prepay
(if different from
' Preparer is defined in 40
�. oLl�luzo //.✓ � J�y
Date
Applier Date
Part 503.9 (r) and 15A NCAC 02T(if 1102 different from Permittee and Preparer)
( ) 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: W00035576 Laboratory: 1) Statesville Analytical
Facility Name: Broad River Water Authority 2)
Residual Source WQ # or W00035576 3)
NPDES #: 4)
WWTP Name: Broad River Water Authority 5)
Residual Analvsis Data
Parameter
(mg/kg)
ceiling
Cone.
Limit
(m ),
Sample or Composite Date
10-15-19
Percent Solids (%)
NA
32
Arsenic
75
1.67
Cadmium
85
0.5
Copper
4,300
27.94
Chromium
NA
NA
Lead
840
25.16
Mercury
57
2.062
Molybdenum
75
0.74
Nickel
420
10.38
Selenium
100
1.67
Zinc
7,500
71.625
Total Phosphorus
NA
406.2
TKN
NA
3640
Ammonia -Nitrogen
NA
122.5
Nitrate and Nitrite
'For surface disposal facilities
NA
the
203.75 11
a 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."
D ?IZo/zozo
Signatur orepar - Date
•Preparer is defined in CFR Part 503.9(r) and I SA NCAC 2T . 1102 (26)

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: W00035576 Laboratory:
Facility Name: Broad River Water Authority
Residual Source
NPDES # or WQ#: W00035576
W WTP Name: Broad River Water Authority
Residual Analvsis Data
1) Statesville Analytical
2)
3)
4)
5)
Sample or Composite Date
Parameter
(mg/kg)
10-15-19
Aluminum
180638
Calcium
750
Magnesium
716
PH
6.45
Potassium
2480
SAR
1.57
Sodium
443.75
PAN
1672
i eerury, under penatty or law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
L vzv
Signa[ur of Preparer ' ate
'Preparer is defined in Pa 503.9(r) and 15A NCAC 2T .I 102 (26)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQPERMIT#: W00035576 FACILITY NAME: Broad River Water Authority
PHONE: [phone] COUNTY: Rutherford OPERATOR: Brad Joyner
FACILITY TYPE (please check one): _0 Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
O Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the oast calendar year? Yee P11 Nn r-1 � wN,, u:......-.. � o !`....d ......:r.. "___ ,. _,_...
Part A°:
P
Part B°:
nth
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Names)
Volume (dry tons)
Intended use(s)
0J.nec
July
August
September
October
November
BRWA
0
544
544
Todd Hunnicutt
544
Soil Admendment
December
Total from FORM DMSDF (sup)
Totals:
Annual(dry tons):
0
544
544
i
544
Amendment(s) used: I I Bulking Agents) used:
* If mare space is required, attach additional information sheets (FORM DMSDF (supp)): Total Number of Form DMSDF (Supp)�
art C:
Facility was compliant during the past calendar year with all conditions of the land application permit Rl Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of deviation, prior authorization was received from the Division of Water Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and complete. 1 am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Dz v ?sZo
Signature of Date Permittee Date Sign reof !Pyrgpar�e\r. �— Date
(if diffeerent menLCOpptd
"Preparer is defined in 40 CFR Pan 503.9(r) and 15A NCAC 2T.1102 (26)

Analytical Results
/
Southern Soil Builders
®/I
956 Hoots Road
Roaring River, NC 28669
Receive Date:
10/15/2019
Reported:
10/31/2019
For:
BRWA
Comments:
Sample Number Parameter
19101505-01 Aluminum
191015-15-01 Ammonia Nitrogen
191015-15-01 Arsenic - Solid
191015- 15-01 Cadmium
191015-15-01 Calcium
191015-15-01 Copper - Solid
191015d5-01 Lead -Solid
791015-15-01 Magnesium
191015-15-01 Mercury Solid
191015-15-01 Molybdenum - Solid
191015-15-01 Nickel - Solid
191015- 15-01 Nitrate/Nitrite-
Solids
Sample ID
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
Result
180638
122.5
<1.67
0.5
750
27.94
25.76
716
2.062
0.74
10.38
203.75
Unit
m /k
9 9
mg/kg
mg/kg
mg/kg
mg/kg
m /k
9 9
mg/kg
mg/kg
mg/kg
mg/kg
mg/kg
m /k
9 9
Method
sMzu+o-2on
snvsooee3ss-+991
am311382W4
srnrna�+9a9
SM3111B eon
ek311+e�2on
smri3e
smamezon
SM31120-2011
sauooa
sMa3136
srnas9own
Analyzed
70/25/2019
10/17/2019
10/25/2019
10/25/2019
10/23/2019
1022019
10/21/1/2019
10/23/2019
10/24/2019
10/25/2019
10/23/2019
10/28/2079
Analyst
MD
CJE
MT
MD
MD
MD
MD
MD
MD
MD
MD
CL
191015-15-01
191015-15-01
191015-15-01
191015-15-01
191015-15-01
191015-15-61
191015-15-01
191015-15-01
191015-15-01
Percent Solids
pH
Potassium - Solid
SAR
Selenium Solid
Sodium - Solid
T. Phosphorus Solid
TKN
Zinc - Solid
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
BRWA
32
6.45
2480
1.57
<1.67
443.75
406.2
3640
71.625
Std. Units
mg/kg
%
mg/kg
mg/kg
mg/kg
m9/k9
m /k
9 9
smxsaoo-zan
sm50ena.2on
evozooa
c.�mimo
sm3++3s
sm 311+e
smassoaason
smasooHo.9 a-2o++
SM31118Qor+
10/76/2019
10//2019
10/282B/2U19
10//2019
10/2828/2019
10/17/2019
10/21/2019
10/22/2019
10/23/2079
MD
CL
MT
CL
MT
MD
CL
CL
MD
Respectfully submitted
PO Box 228 • Statesville, INC 28687 • 704/872/4697
Page t of 9

Dena Myers
NC Cert #440,
NCDW Cert #37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704187214697
Page 2 of 9

Condition of Receipt
Sample Number 191015-15-01
Temp on Arrival: 6,0
PH on Arrival: <2
Parameter Schedule: Aluminum
Nitric Acid
Received on Ice
Chemicals in containers, lab
Chemicals in containers, lab
Received on Ice
PH on Arrival: <2
Parameter Schedule:
Arsenic Solid
Nitric Acid
Received on Ice
Chemicals in containers, lab
PH on Arrival: <2
Parameter Schedule:
Cadmium
Nitric Acid
Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule:
Cadmium -Solid
Nitric Acid
Chemicals in containers, lab
PH on Arrival: <2
Received on Ice
Parameter Schedule:
Copper
Nitric Acid
Received on Ice
PH on Arrival; <2
Chemicals in containers, lab
Parameter Schedule:
Copper - Solid
Nitric Acid
Chemicals in containers, lab
PH on Arrival: <2
Received on Ice
Parameter Schedule:
Molybdenum -Solid
Nitric Acid
Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule:
Nickel
Nitric Acid
Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule:
Nickel - Solid
Nitric Acid
Chemicals in containers, lab
PH on Arrival: <2
Received on Ice
Parameter Schedule:
Potassium
Nitric Acid
Chemicals in containers, lab
PH on Arrival: c2
Received on Ice
Parameter Schedule:
Potassium - Solid
Nitric Acid
Received on Ice
Chemicals in containers, lab
PH on Arrival: <2
Parameter Schedule:
Nitric Acid
Received on Ice
PO Box 228 • Statesville, INC 28687 • 704187214697
Page 3 of 9

Chemicals in containers, lab
PH on Arrival: <2
Parameter Schedule: Sodium
Nitric Acid Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule: Sodium - Solid
Nitric Acid Chemicals in containers, lab
Received on Ice
PH on Arrival: <2
Parameter Schedule:
Nitric Acid Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule: Zinc - Solid
Nitric Acid Received on Ice
Chemicals in containers, lab
PH on Arrival: <2
Parameter Schedule:
Nitric Acid Received on Ice
Chemicals in containers, lab
PH on Arrival: <2
Parameter Schedule:
Received on Ice
Chemicals in containers, lab
PH on Arrival: <2
Parameter Schedule: Magnesium
Nitric Acid Received on Ice
Chemicals in containers, lab
Parameter Schedule:
Received on Ice
Parameter Schedule: pH
Received on Ice
PH on Arrival: <2
Parameter Schedule: Nitrate/Nitrite
Sulfuric Acid Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule: Nitrate/Nitrite - Solids
Sulfuric Acid Received on Ice
PH on Arrival: <2
Chemicals in containers, lab
Parameter Schedule: Phosphate, Total as P
Sulfuric Acid Received on Ice
Chemicals in containers, lab
PO Box 228 • Statesville, NC 28687. • 704/872/4697
Page 4 or 9

PH on Arrival: <2
PH on Arrival: <2
Parameter Schedule: TKN
Sulfuric Acid Received on Ice
Parameter Schedule:
Sulfuric Acid
Parameter Schedule:
Chemicals in containers, lab
Received on Ice
Chemicals in containers, lab
Received on Ice
PO Box 228 • Statesville, NC 28687 • 704187214697
Page 5 of 9

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9
Contact C.LI[de
Client: Statesville Analytical
122 Court St
Statesville, NC 28677
Meritech, Inc.
Environmental Laboratory
Laboratory Certification No. 165
Meritech Work Order#
10171973 Sample:
191015.15.01.
Parameg
R sol6
Analysis Car,
%Total Solids
29.9%
10/18/2019
Arsenic, total
<1.67 mg/kg
10/20/2019
Pmessi nn'to l
2480 mg/kg
10/28/2019
Selenlum,total
<1.67 mg/kg
10/20/2019
Report Date: 10/30/2019
Date Sample Rcvd: 10/17/2019
10/16/2019
1Re on rtinv Limit
Method
0-100 %
SM 2540B
1.67 mg/kg
EPA 200.7
20.0 mg/Itg
EPA 200.7
1.67 mg/Icg
EPA 200.7
I hereby certify thnll/mve"allowed and approve those onto. .�YYk]YTOQ
� L homtory Re resentative
642'ranico Road, Reidsville, North Carolina 27320
tel,[phone] fax.[phone]
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 8 or 9

t
MERITECH, INCe
ENVIRONMENTAL LABORATORIES6a2 Tamm 0.L. PM1pne: 336-343-0>4gReidaa!e NC 2]320 Fax: 336-302-M22 2
Email: info@merft,hI.bs.com
www.meritechlabs.com
Sampling Dates & Times Sample Loca[ionand/or lD# _
Method
Diner
Statesville Analytiml, Inc
122 Cow Street
PO Box 228
Siatesville,NC 28687
OMIe all Nat apply; Email 1prteneel, Fa; Man
T
r
m
m
ry m
r
a
o a
r
W
N
U
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v
;'RWHW0,k=�V�,.pp,_sk
-so 5 3e<BMLab
Ue Only
m
n ke] pH OK?d
a / nu n nvo

PAN
PAN Surface
1672 m /kg 1 3.344 Ibs/dry on
1819.136 Ibs total PAN
24.58292 Ibs PAN/acre
PAN Injection
1733.251 mg/kg 3.4665 Ibs/dry ton
1885.776 Ibs total PAN
25.48346 Ibs PAN/acre
DryTons/1000 gal.
1.3344
tat year PAN
Surface Ibs.
1819.136
1st year PAN
In'ected.lbs.
1885.776
Ibs./acre
Surface
24.58291892
Ibs./acre
Injected
25.48345946
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/10009a1.
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
142 240 229.1
Na lME1
Ca IMEI,
Mg lME1
6.1739131
12
119.091671
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power
SAR = 1.565662 (From Mg/L entered above)
SAR= 1.564912 (From ME entered below)
Na lMEI Ca ME Mo(ME)
6.17 12 19.09
The amour
amount of ,
Permitting I

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: Broad River Water Authority
WQ Permit W00035576
W WTP Name: Broad Rver Water Authority NPDCS Number: NC 8181035
Monitoring Period: From 1/1/2019 To 12/31/2019
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A: Alterative 1 ❑ Alternative 2 ❑ Alternative 3 ❑
Alterafivr d fl ^ �-----�'--- � ❑ I Alterative 6 ❑
If applicable to alternative performed (Class A only) mdrea to 'Process to Further Reduce Pathogens,,:
�ompost ❑ El
Heat Ur in
Y gHea[ Treahnent ❑ 'n.,.,,,,,..,i,:r—rT T—
If applicable to alternative performed (Class B only) indicate "Process to Signific:mtly R duce Pathogens":
Anaerobic Digestion
Lime Stabilization ❑ Air Drying❑ Compos[in-- [-I-- Aerobic Digestion El❑ ----
If applicable to alternative performed (Class A or Class B) com plete the following monilorin data:
Parameter Allowable Level Pathogen Density um Bxcer Frequency Sample na yur
in Sludge Minima Geo. Mean Maximo Units of Analysis Type Tech-
2xl0tothe MPN yP
6th power
per gram of
Fecal Coliform total solids CFU
1000 mpn per gram
oftotal solid (dry
in o mrry per 4 grams
(in lieu of fecal Itotal solid (dry
-
❑ Alt 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. O, u take AIL 5 (I4-Day Aerobic) ❑ AIf 6 (Alk SlabTzation p ) ❑ ❑ AI[ 7 (Drying Stable) ❑ qlt 8 (Drying Unstable) ❑ Alt 9 (Iniecuon) ❑ Alt 10 (loco 00 1t ) n N
CERTIFICATION STATEMDNf (please check the approprmte statement) F u
0 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503 i2 and the vector attraction reduction re utrement in 40 CFR 503.33 have been met."
❑ "I certify, under penalty of law, Ihat the pathogen requirements in 40 CFR 503.32 and the vector attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check
this statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I an, aware that there are
Significant penalties for false certification including fine and imprisonment."
�v 2/Dennis Key Southern Soil Builders Inc
Tule (type or print) Land Applier Name and Title (if applicable)(type or print)
o�� / 7 w-�uw Signa ure of Pr r Date Signature of Land Applier (if applicable) Date
'Preparer is defn C R art 503.9(r) and 15A NCAC 2T.1102 (26)
DENR FORM PVPP cm