WQ0002897_2019 Residual Annual Report_20200228

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 2/28/2020
Received:*
Project Number* WQ0002897
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 NDB Staff regarding electronic subnittal, confirmation of receipt, and other issues.
..........................................................................................................................................................................................................................................................................................................................................................................
Name * Drew Matthews
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* WQ0002897
ApplicantTermittee * Town of Robersonville
Facility Name * Robersonville WWTP
Phone Number*
2528839301
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.)
2019 Robersonville Annual Report.pdf 1.09MB
upload only 1 RDF document. NL@iple documents must be combined into one RDF 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 2/28/2020

SOIL PLUS
February 12, 2020
NCDEQ-DWR
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: 2019 LAND APPLICATION ANNUAL REPORT
Town of Robersonville "Class B" Program
NC Permit No.: WQ0002897
Soil Plus Project No. 201107.A10
Information Processing Unit:
Soil Plus, LLC (Soil Plus) is submitting the reporting requirements as specified in the above
referenced permit for the Town of Robersonville. No "Class B" Residual Biosolids were
land applied in 2019. The Town of Robersonville tentatively plans to land apply in the
Spring of 2020.
If there is any further information required or questions regarding this report, please do
not hesitate to contact me or the Town of Robersonville (252-508-0313) for further
assistance.
Respectfully,
Drew Matthews, Soil Plus
James Pittman, Envirolink
PO Box 1396
Oxford, NC 27565
[phone]
dmatthewsgsoilplus.ne t
www.soilplus.net

ANNUAL LAND APPLICATION CERTIFICATION FORM
PermitNumber FacilityName Land Application Operator County Phone Number
WQ0002897 Town of Robersonville
Year: 2019
Envirolink Martin [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year? If No, skip Part A, and yes No
Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how EJ X
the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in the permit: 3
Total number of fields utilized for land application during the year: 0
Part B - Annual Compiance Statement:
Facility was compliant during calendar year with all conditions of the land application permit? Yes No
Including but not limited to items 1-13 below) issued by the Division of Water Quality © El
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
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
S. 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
7. All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part 503 regulated facilit
8. All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503 regulated facilitic
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 Quality
10. No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to
include appropriate actions and remediations.
11. Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit.
12. No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13. All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
Elizabeth Jenkins, Town Manager
Pe ittee Name and Title (type or print):
�- �-.-- 2--3- Z o
Signature of Preparer* Date
(if different from Permittee)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26)
Thursday, Januarys 30, 2020
Sign re of Permttte Date
2- 3
Signature of Land Applier Date
(if different from Permittee)