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HomeMy WebLinkAboutWQ0006984_Residual Annual Report 2019_20200302Initial 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 3/2/2020 Received:* Project Number* WQ0006984 Email Notifications Does this need review by the hydrogeologist?* r Yes r No 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 MB Staff regarding electronic subnittal, confirmation of receipt, and other issues. .......................................................................................................................................................................................................................................................................................................................................................................... Name * Lysa Finnerty Email Address* Ifinnerty@synagro.com 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* WQ0006984 Applicant\Permittee * SYNAGRO Facility Name * South Fork Industries Phone Number* 4434899026 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. 2019 Annual Report for South Fork Industries Please attach all information required or requested for this submittal to be review here. Application Form Engineering Rans, Specifications, Calculations, Etc.) SOUTH FORK NC 2019 Annual Report FINAL.pdf 5.68MB 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 2/27/2020 435 Vinams Court, Suite 100 Bal6rnore, MD 21220 www s y nagro. Corn FEBRUARY 27, 2020 NCDEQ Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: 2019 Annual Report for Permit No. WQ0006984 Dear NCDEQ: Synagro is submitting one copy and one electronic copy of the above referenced report on behalf of South Fork Industries, NC. If you have any questions or comments, please contact Everette Owens at 828-428-9921 or Alex Fox at (336) 703-8681. Sincerely, v Derrick Shivar Environmental Compliance Manager Enclosures cc: Everette Owens, South Fork Industries Alex Fox, Synagro YOUR PARTNER FORA CLEANER,GREENERWORL.D SOUTH FORK INDUSTRIES, INC., NC RESIDUALS LAND APPLICATION -PROGRAM Permit No. WQ0006984 2019 ANNUAL REPORT South Fork Industries, Inc., NC Residuals Land Application Program 2019 Annual Report TABLE OF CONTENTS 1. Certification Form and Annual Operations Summary 2. Annual Residual Sampling Summary Forms, Residuals Analyses, & SAR Calculation Pages 3. Annual Land Application Field Summary Forms 4. TCLP Analyses 5. Pathogen ReductionNector Attraction Reduction 6. Soil pH & Lime Application Records 7. Soil Analyses SECTION 1 ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit #: WQ0006984 County Catawba Year 2019 Facility Name (as shown on permit) South Fork Industries NPDES No. NC0006190 Land Application Operator 5ynagro Phone.# (336) 998-7150 Land application of residuals as allowed by the above permit occurred during the past calendar year? X YES NO. If NO, skip PartA, 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 the permit: 6 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: 182.56 Total number of acres utilized for land application during the year: 65.5 Part B — Annual Compliance 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 QualityX YES NO. If no, please provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1. Only residuals approved for this permit were applied to the permitted sites. 2. Soil pH was adjusted as specified in the .permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3. Annual soils analysis was 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 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.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 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 receiving 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. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Everette Owens. Plant ManaEer Permittee Vame and Title (type or print) Signature of Pelitt Da 2•2,/-za2.o IJ1� Signatu of Preparer* Date Sig►atu d Appli Date (if different from Permittee) (if different from rmittee and Preparer) *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006) 2019 ANNUAL OPERATIONS SUMMARY - LAND APPLICATION IN NC SOUTH FORK INDUSTRIES, INC., NC SOUTH FORK INDUSTRIES, INC., NC MAIDEN PLANT TEXTILE RESID. LIQUID MONTHNEAR October 2019 YEARLY TOTAL 861, 800.00 G 182.56 D 861, 800.00 G 182.56 D DRY METRIC TONS 165.58 165.58 i1L6101;+Y41] SECTION 2 ANNUAL RESIDUALS SAMPLING SUMMARY FORM Attach this form to the corresponding Annual Report. Please note that your permit may contain additional parameters to be analyzed than those required to be summarized on this form. Permit Number: WQ0006984 Facility Name: SOUTH FORK INDUSTRIES, INC., NC NPDES# : NCO006190 or WQ# (residual only) WWTP Name: SOUTH FORK INDUSTRIES- MAIDEN PLANT Residuals Analysis Data Product Type TXLIQ ` Date Sampled (grab) or 09/17/19: Date Composited Percent Solids PARAMETERS (mg/kg dry weight) Arsenic <5 Cadmium <1 Mercury 0.0529 Chromium 118 Copper 413 Lead 4.56 Molybdenum 2.79 Nickel 32.2 Selenium <5 Zinc 954 Total Phosphorus 5960 TKN 60600 Ammonia -Nitrogen 5880 Nitrate and Nitrite <4.72 Laboratory Waypoint Analytical Virginia Inc. "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 PREPARER) Date z -2 f`Z.j 2_ o DENR FORM RSSF (5/2003) Printed: Friday - February 7, 2020 at 18:05:50 for: 2105 01 ANNUAL RESIDUALS SAMPLING SUMMARY FORM Attach this form to the corresponding Report Please note that your permit may contain additional parameters to be analyzed than those required to be summerized on this form Permit Number WQ0006984 Facility Name SOUTH FORK INDUSTRIES, INC., NPDES# N60006190 or WQ# (residual only) WWTP Name SOUTH FORK INDUSTRIES - Residual Analysis Data Product Type TXLIQ Date Sampled 09/17/19 Date Composited Percent Soilds 5.08 PARAMETERS (mg/kg dry weight)' Aluminium 3080 Calcium 5140 Magnesium 943 pH 7.10 Potasium 727 Sodium 6400 PAN 19361 SAR 4.8417 Laboratory Waypoint Analytical Virginia Inc. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordiance 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 . cluding the possibility of fines and imprisonment for knowing violations." X Date - 2-1 ~ (SIGNATUR9�1)FPREPARER) NR - Data Not Reported or Data Not Required Report Run Date:- 2/7/2020 6:07:25 PM Waypdlont,(D ANALYTICAL 9/27/2019 Synagro Central LLCI Technical Mary Brewer 284 Boger Road Mocksville, NC, 27028 Ref: Analytical Testing Report Number: 19-262-0016 Project Description: South Fork Industries 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 www.waypointanalytical.com Dear Mary Brewer: Waypoint Analytical Virginia, Inc. received sample(s) on 9/19/2019 for the analyses presented in the following report. The above referenced project has been analyzed per your instructions. The analyses were performed in accordance with the applicable analytical method. Sub -contracted testing is noted on the Sample Summary Table if applicable. The analytical data has been validated using standard quality control measures performed as required by the analytical method. Quality Assurance, method validations, instrumentation maintenance and calibration for all parameters (NELAP and non-NELAP) were performed in accordance with guidelines established by the USEPA (including 40 CFR 136 Method Update Rule May 2012) and NELAC unless otherwise indicated. Certain parameters (chlorine, pH, dissolved oxygen, sulfite...) are required to be analyzed within 15 minutes of sampling. Usually, but not always, any field parameter analyzed at the laboratory is outside of this holding time. Refer to sample analysis time for confirmation of holding time compliance. The results are shown on the attached Report of Analysis(s). Results for solid matrices are reported on an as - received basis unless otherwise indicated. This report shall not be reproduced except in full and relates only to the samples included in this report. Please do not hesitate to contact me or client services if you have any questions or need additional information. Sincerely, PAL P 6.7- Pauric McGroary Agronomist Laboratory's liability in any claim relating to analyses performed shall be limited to, at laboratory's option, repeating the analysis in question at laboratory's expense, or the refund of the charges paid for performance of said analysis. (2) • 7621 Whitepine Road, Richmond, VA 23237 Waypoint. Main 804-743-9401 ° Fax 804-271-6446 ANALYTICAL www.waypointanalytical.com Sample Summary Table Report Number: 19-262-0016 Client Project Description: South Fork Industries Lab No Client Sample ID Matrix Date Collected Date Received Method Lab ID 68268 south fork Solids 09/17/2019 10:50 09/19/2019 68268 south fork Solids 09/17/2019 10:50 09/19/2019 SM-4500-NH3C WTN 68268 south fork Solids 09/17/2019 10:50 09/19/2019 9045D WTN 68268 south fork Solids 09/17/2019 10:50 09/19/2019 4500NO3F2011 WTN 68268 south fork Solids 09/17/2019 10:50 09/19/2019 6010D WTN 68268 south fork Solids 09/17/2019 10:50 09/19/2019 SW-7471B WTN 68268 south fork Solids 09/17/2019 10:50 09/19/2019 SM-4500-NH3C-TKN WTN 68268 south fork Solids 09/17/2019 10:50 09/19/2019 SM-254OG WTN WTN: Waypoint Analytical - TN, Memphis, TN, Certification: #460181 - Virginia Report Humber: 19-262-0016 • 01% Account Number: 46622 Waypoi � 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 ° Fax 804-271-6446 Submitted By: Alex Fox ANALYTICAL www.waypointanalocal.com Send To: Synagro Central LLCI Technical Project : South Fork Industries Mary Brewer 284 Boger Road Mocksville , NC 27028 REPORT OFANALYSIS Date Sampled: 9/17/2019 10:50:00 Lab Number: 68268 Date Received: 09/19/2019 00:00 Sample Id : south fork Date Reported: 09/27/2019 Total Solids * 5.08 ADM 09/20/2019 16:38 SM-2540G Moisture * 94.90 ADM 0912012019 16:38 SM-254OG Total Kjeldahl Nitrogen 6.06 60600 250 JPJ 09/26/2019 13:00 SM-4500-NH3C-TKN Phosphorus 0.60 5960 50.0 BKN 09/24/2019 21:42 6010D Potassium 0.07 727 50.0 BKN 09/24/2019 21:42 6010D Sulfur 2.45 24600 50.0 BKN 09/24/2019 21:42 6010D Calcium 0.51 5140 250 BKN 09/24/2019 21:42 6010D Magnesium 0.09 943 50.0 BKN 09/24/2019 21:42 6010D Sodium 0.64 6400 250 BKN 09/24/2019 21:42 6010D Iron 7200 50.0 BKN 09/24/2019 21:42 6010D Aluminum 3080 50.0 BKN 09/24/2019 21:42 601 OD Manganese 113 5.00 BKN 09/24/2019 21:42 6010D Copper 413 2.50 BKN 09/24/2019 21:42 6010D Zinc 854 12.5 BKN 09/24/2019 21:42 6010D Ammonia Nitrogen 0,59 5880 100 JPJ 09/26/2019 13:00 SM 4500-NH3C Organic N 5.47 54720 250 09/26/2019 13:00 CALCULATION Nitrate+Nitrite-N <4.72 4.72 ZBD 09/24/201915:33 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 &fc-4 X owr Our reports and fetters are for the exclusive and confidenfial use of our ciients, and may not be reproduced is whole or pert, nor may any reference be made Pauric MCGroary to the work, the resuft% or the company in any advertising, news relaase, cr other public announcements without obtaining our prior written authorization Agronomist Report Number: 19-262-0016 Account Number: 46622 Submitted By: Alex Fox Send To: Synagro Central LLCI Technical Mary Brewer 284 Boger Road Mocksville , NC 27028 Lab Number: 68268 Sample Id : south fork Waypoint ANALYTICAL 7621 Whitepine Road, Richmond, VA 23237 Main 804-743-9401 0 Fax 804-271-6446 www.waypointanalytical.corn Project : South Fork Industries REPORT OF ANALYSIS Date Sampled: 9/17/2019 10:50:00 Date Received: 09119/2019 00:00 Date Reported: 09/27/2019 Cadmium <1.00 1.00 BKN 09/24/2019 21:42 6010D Chromium 118 2.50 BKN 09/24/2019 21:42 6010D Nickel 32.2 2.50 BKN 09/24/2019 21:42 6010D Lead 4.56 3.00 BKN 09/24/2019 21:42 6010D Arsenic <5.00 5.00 BKN 09/24/2019 21:42 6010D Mercury 0.0529 0.0151 TJS 09/24/201913:41 SW-7471B Selenium <5.00 5.00 BKN 09/24/2019 21 A2 6010D pH . 7.1 JSL 09/24/2019 06:50 9045D Molybdenum 2.78 2.50 BKN 09/24/2019 21:42 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 pork. XC 1QOlMr Our reports and letters are for the exclusive and conficlentiai use of our clients, and may not be reproduced in whole or pare, nor may any reference be made Pau ric MCGroary to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior wriffen authorization. Agronomist • PAa� nt .. 7621 0 Whitepine Road, Richmond, VA 23237 Way Main 804-743-9401 0 Fax 804-271-6446 NALYTICAL www.waypointanalytical.com Cooler Receipt Form Customer Number: 46622 Customer Name: Synagro Central LLCI Technical Report Number: 19-262-0016 Shipping Method 0 Fed Ex 0 US Postal 0 Lab 0 Other UPS 0 Client 0 Courier Thermometer ID: Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received 1 Custody seals intact on shipping container/cooler? 0 Yes 0 No 0 Not Required Custody seals intact on sample bottles? 0 Yes 0 No 0 Not Required Chain of Custody (COC) present? I♦ Yes 0 No COC agrees with sample label(s)? 4D Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? Yes No Sample containers intact? Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? Yes 0 No Cooler temperature in compliance? Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. • Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No NIA Water - VOA vials free of headspace 0 Yes 0 No 41 NIA Trip Blanks received with VOAs 0 Yes 0 No 0 NIA Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 NIA F High concentration container (48 hr) Low concentration High concentration pre -weighed (methanol -14 d) Low conc EnCore samplers (48 hr) pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes 0 No Comments: I Signature: IBrandi Watson Date & Time: 09/19/2019 13:40:02 1 SAMPLING LOG # CUSTOMER: SYNGR® PROJECT MANAGER: Pic r-ax Phone:( '33(o) -703 -W f A & 1L CUSTOMER LAB # SAMPLE I.D. Helinquisfled by Sampler: Relinquished by: Relinquished by: SPECIAL INSTRUCTIONS: For SAMPLING LOCATION lI{ IlI!lI IllHAIN OF CUSTODY $o-1� 9 -�® REC ®ILYS8 SYnaaro Central LLC! Techrucal 13-38:13 South Fork 6ndustries =1d sampling procedures uLurrljy me collection of these samples. 4 SAMPLER SAMPLE # OF SAMPLING METHOD METHOD TYPE CONTAINERS DATE TIME PRESERVED SHIPPED A. ate Time Date Time Date Time 5 monitoring purposes. Recieved by: i Recieved by: Pp#: SL I: Total Solids (Moisture), Tota( Kjeldahl Nitrogen, Phosphorus, and Potassium'" SL2: Basic Test SL1 plus Sulfur, Calcium, Magnesium, Sodium, Iron, Aluminum, Manganese, Copper and Zinc REMARKS: Paae h of e Sodium Absorption Ratio Calculation (SAR) Product Code Product Name Sample Date Report Range Ratio 2105-01-TXLIQ-NC SOUTH FORK INDUSTRIES, INC., NC 9/1712019 9/112019-1213112019 4.8417 MAIDEN PLANT TEXTILE RESID. LIQUID Na mgll = (Na mglkg x % Solids) + 100 = (6400 x 5.0800) + 100 = 325.12 Ca mgll = (Ca mglkg x % Solids)—. 100 = (5140 x 5.0800) + 100 = 261.112 Mg mg/I = (mg mglkg x % Solids) + 100 = (943 x 5.0800) . 100 = 47.9044 Na meq = Na mg/1 + Molec.VVgt.Na = 325.12 + 23 = 14.1357 Ca meq = Ca mgll + Molec.Wgt.Ca = 261.112 + 20 = 13.0556 Mg meq = Mg mgll + Molec.Wgt.Mg = 47.9044 + 12 = 3.99203 SAR = Na meq + SgrRoot[0.5 x (Ca meq + Mg meq)] = 14.1357 + SgrRoot[0.5(13.0556+3.99203)] = 4.84171 Printed: 2/7/2020 Page 1 17:55 SECTION 3 ANNUAL LAND APPLICATION FIELD SUMMARY FORM FACILITY NAME : SOUTH FORK INDUSTRIES, INC., NC PREDOMINANT SOIL SERIES: CECIL OWNER: DENNIS LUTZ PERMIT #: WQ0006984 ANNUAL DRY TONS APPLIED: 42.03 SITE 9: NC CA 00006 FIELD# : CA 00006 0001 OPERATOR: DENNIS LUTZ CATION EXCHANGE CAPACITY (NON-503): RESIDUAL SOURCE(S): See list at bottom of report ACRES UTILIZED: 16.80 ACRES PERMITTED: 16.80 Page : 1 Lime Applied *t* Date Lbs/Ac allons (G) or Cubic Yards (CY) Dry Site. Inches Appli- Vola- Miner - or Wet Tons (WT) (specify) "�a Tons Cond. Precip. cation tili- ali- Ammonia Nitrate PAN DATE or Per Residual Dry, Wet, Past24 Method zation zation TKN Nitrogen and (PP-) Crop MONTH Total I Per Acre Solids Acre Source Moist Hours * Rate** Rate Nitrite 10/4/19 1.98,400.00 (G) 11809.5241 5.08 2.502 SFIMPTX DRY 0-Q/2" SUR 0.5 0,30 60,600. p 5,880.00 p 4.72 p 19361 FESCUE PASTURE Oct-19 198,400.00 (G) 11,809.524 Total Gallons/Ac: 11,809.52 Total Wet Tons/Ac: - .,.0 — . —,- 1. U.UU As Cd Cr Cu Pb Hg Mo Ni Se Zn P PAN TOTALS Annual Ibslacre 97 0.025 0.005 0.590 2.066 0.023 <.001 0.014 0.161 0.025 4.273 29.82 Cumulative lbs/acre 0.094 0.049 0.985 1 27.437 1 0.173 0.014 0.143 0.819 0.116 12.209 Permit PAN Limit (lbslacre) Ist Cropl2nd Crop 216 FD Cumulative Pollutant Loading Rate Limit (lbslacre) 36.6 34.8 1339.0 267.9 15.0 375.0 89.0 2500.0 SFEYTTXL = SOUTH FORK INDUSTRIES, INC., NC MAIDEN PLANT TEXTILE RESID. LIQUID X (SIGNATURE OF LAND APPLIER) DATE "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." NIA = Not Applicable NR = Not Reported or Not Required % = percent p = ppm or mg/kg ** Volatilization Rate: Surface 0.5, Injection/Incorporation 1.0 * Application Method: SUR - Surface, IN7 - Injection, SURIN - Incorporation *** See Site pH & Lime Application Records Section of Report for Fields where Lime is to be applied in 2020 FACILITY NAME : SOUTH FORK INDUSTRIES, INC., NC OWNER: DENNIS LUTZ SITE #: NC CA 00006 FIELD# : CA 00006 0002 RESIDUAL SOURCE(S): See list at bottom of report ANNUAL LAND APPLICATION FIELD SUMMARY FORM PREDOMINANT SOIL SERIES : LLOYD PERMIT #: WQ0006984 ANNUAL DRY TONS APPLIED: 34.15 OPERATOR: DENNIS LUTZ CATION EXCHANGE CAPACITY (NON-503): ACRES UTILIZED: 13.30 ACRES PERMITTED: 13,30 Page : ] L,iine Applied *** Date Lbs�Ac Gallons (G) or Cubic Yards (CY) Dry Site Inches Appli- Vola- Miner - or Wet Tons (WT) (specify) Tons Cond. Precip. cation tili- all- Ammonia Nitrate PAN Total Per Acre DATE or MONTH Solids Per Residual Dry, Wet, Past 24 Method zation zation TKN Nitrogen and (ppm) Crop 1 Acre Source Moist Hours * Rate** Rate Nitrite 10/7/19 161,200.00 (G) 12120.3011 5.08 2.568 SFEMPTX DRY 0-<1/2" SUP, 0.5 0.30 60,600.p 5,880.00 p 4.72 p 19361 FESCUEPASTURE Oct-I9 161,200.00 (G) 12,120.301 1 1 1 1 Total Gallons/Ac: 12,120.30 Total Wet Tons/Ac: Total Cubic Yds/Ac 0 00 As Cd Cr Cu Ph Hg Mo Ni Se Zn P PAN TOTALS: Annual lbs/acre 99 0,026 0.005 0.606 2.121 0.023 <.001 0.014 0.165 0.026 4.385 30.60 Cumulative lbs/acre 0.107 0.060 1.108 3I.109 0.197 0.015 0.171 0.975 0.i35 12.874 Permit PAN Limit (lbs/acre) 1st Crop/2nd Crop 216 FD Cumulative Pollutant Loading Rate Limit (lbs/acre) 36.6 34.8 L. 1339.0 26T9 15.0 375.0 89.0 2500.0 SFIMPTXL = SOUTH FORK INDUSTRIES, INC., NC MAIDEN PLANT TEXTILE RESID. LIQUID XL c: /-/, (SIGNATURE OF LAND APPLIER) DATE "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." NIA = Not Applicable NR = Not Reported or Not Required % = percent p = ppm or mg/kg * * 'Volatilization Rate: Surface 0.5, Injection/Incorporation 1.0 Application Method SUR - Surface, INJ -Injection, SURIN -Incorporation *** See Site pH & Lime Application Records Section of Report for Fields where Lime is to be applied in 2020 ANNUAL LAND APPLICATION FIELD SUMMARY FORM FACILITY NAME : SOUTH FORK INDUSTRIES, INC., NC PREDOMINANT SOIL SERIES: CECIL OWNER: JAMES JARRETT PERMIT #: WQ0006984 ANNUAL DRY TONS APPLIED: 106.38 SITE #: NC LT 00035 FIELD# : LT 00035 0001 OPERATOR: JAMES JARRETT CATION EXCHANGE CAPACITY (NON-503): RESIDUAL SOURCE(S): See Iist at bottom of report ACRES UTILIZED: 35.40 ACRES PERMTTTED: 35,40 Page Lime Applied *** Date Lbs/Ac DATE or MONTH allons (G) or Cubic Yards (CY) or or Wet Tons (WT) (specify) Solids Dry Tons Per Residual site Cond. Dry, Wet, Inches Precip. Past 24 Appli- cation Method Vola- tili- zation Miner - ali- zation TKN Ammonia Nitrogen Nitrate and PAN (ppm) Crop l Total I Per Acre 111 Acre Source Moist Hours * Rate** Rate Nitrite 10/1/19 124,000.00 (G) 3502.825 5.08 0.742 SFEVIPTX DRY 0-<1/2" SUR 0.5 030 60,600.p 5,880.00 p 4.72 p 19361 FESCUE PASTURE 10/2/19 186,000.00 (G) 5254.237 5.08 1.113 SFEv1PTX DRY 0-<1/2" SUR 0.5 0.30 60,600.p 5,880.00 p 4.72 p 19361 FESCUE PASTURE 10/3/19 192,200.00 (G) 5429.379 5,08 1.150 SFIMPTX DRY 0-<1/2" SUR 0.5 0.30 60,600.p 5,880.00 p 4.72 p 19361 FESCUE PASTURE Oct-14 1 502,200.00 (G) 14,186.441 Total Ualions/Ac: 14,186.44 Total Wet Tons/AC: TOTALS: As Cd Cr Cu Pb Hg Me Ni Se Zn P PAN Annuallbs/acre 116 0.030 0.006 0,709 2,482 0.027 <.001 0.017 0.194 0.030 5.133 35.82 Cumulativelbs/acre 0.056 0.024 0.889 16.190 0,100 0.005 0.066 0.562 0.055 8.190 Permit PAN Limit (lbs/acre) 1st Cropl2nd Crop 216 FD Cumulative Pollutant Loading Rate Limit (lbslacre) 36.6 34.8 1339.0 26T9 15.0 375.0 89.0 2500.0 SFEviPTXL = SOUTH FORK INDUSTRIES, INC., NC MAIDEN PLANT TEXTILE RESID. LIQUID (SIGNATURE OF LAND APPLIER) DATE "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." NIA=Not Applicable NR=Not Reported or Not Required %=percent p=ppmormg/kg ** Volatilization Rate: Surface 0.5, Injection/Incorporation 1.0 * Application Method: SUR - Surface, INJ - Injection, SURIN - Incorporation *** See Site pH & Lime Application Records Section of Report for Fields where Lune is to be applied in 2020 SECTION 4 SHEALY ENVIRONMENTAL SERVICES, INC. Report of Analysis Synagro 12701 Lancaster Hwy Pineville, NC 28134 Attention: Alex Fox Project Name: South Fork Industries Lot Number:UJ30008 Date Completed:11/13/2019 '- is 11 /14/2019 10:52 AM Approved and released by: Lab Director - Greenville: Lucas Odom "y .LC§- AM A CC RE 017 ED qe� DOD The Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (903) 791-9700 Fax (803) 791-9111 www,shealylab.com Page 1 of 9 SHEALY ENVIRONMENTAL SERVICES, INC. SC DHEC No: 32010001 NELAC No: E87653 NC DENR No: 329 NC Fie[d Parameters No: 5639 Case Narrative Synagro Lot Number: UJ30008 This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary following this Case Narrative. The sample receiving date is documented in the header information associated with each sample. All results listed in this report relate only to the samples that are contained within this report. Sample receipt, sample analysis, and data review have been performed in accordance with the most current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any exceptions to the NELAC standards, the QAMP, SOPS or policies are qualified on the results page or discussed below. Where applicable, all soil sample analysis are reported on a dry weight basis unless flagged with a "W" qualifier If you have any questions regarding this report please contact the Shealy Project Manager listed on the cover page. The pH analysis associated with the sample(s) in this report waslwere performed after the method recommended 15 minute holding time. TCLP VOCs The method blank for analytical batch 35131 contained Tetrachloroethene greater than the acceptance criteria. The associated sample, UJ30008-001, did not contain detections for the target analyte; therefore, re -extraction and/or re -analysis of sample was not performed. Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803 ) 791-9700 Fax (803) 791-9111 www.shealylab.com Page 2 of 9 diem: aynagro Laocratory tu: UJJUUU45-UU-1 Description: South Fork Matrix: Solid Date Sampled:10129i2019 1100 % Solids: 4.69 10/31/2019 0031 Date Received:1013012019 Inorganic non-metals Run Pre Method p Analytical Method y Dilution Analysis ysl Date Analyst y Pre Date p _ Batch 1 (% Solids) SM 2540G 1 10/31/2019 0031 KFE 34027 1 (Ignitability) 1010A 1 11/08/2019 1039 SLC 35076 1 (Reactive Cya) 7.3.3 1 11/12/2019 1740 KFE 11/11/2019 1008 1 (Reactive Sul) 7.3.4 1 11/11/2019 1612 HET 11/11/2019 1008 1 (Soil pH meas) 9045❑ 1 11/07/2010 2227 HET 34692 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run % Solids SM 254OG 4.69 % 1 Ignitability (Pensky-Martens Closed -Cup) 1010A >140 140 0 - F 1 Reactive Cyanide 7.3.3 ND 50 mglkg 1 Reactive Sulfide 7.3.4 ND 50 mglkg 1 Soif ply measured in water @ 18.9 ° C 9045D 6.8 su 1 TCLP Volatiles Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/5030B 8260D 10 11/09/2019 2116 STM 35131 11/07/2019 2013 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Benzene 71-43-2 8260D ND 0.050 0.0040 mg1L 1 2-Butanone (MEK) 78-93-3 8260D ND 0.10 0.020 mglL 1 Carbon tetrachloride 56-23-5 8260D ND 0.050 0.0040 mglL 1 Chlorobenzene 108-90-7 8260D ND 0.050 0.0040 mglL 1 Chloroform 67-66-3 8260D ND 0.050 0.0040 mg1L 1 1,2-Dichloroethane 107-06-2 8260D ND 0A50 0.0040 mg1L 1 1,1-Dichioroethene 75-35-4 8260D ND 0.050 0,0040 mglL 1 Tetrachloroethene 127-18-4 8260D ND 0.050 0.0040 mglL 1 Trichloroethene 79-01-6 8260D ND 0.050 0,0040 mglL 1 Vinyl chloride 75-01-4 8260D ND 0.010 0.0040 mg1L 1 Run 1 Acceptance Surrogate Q % Recovery Limits Bromofluorobenzene 95 70-130 1,2-Dichloroethane-d4 93 70-130 Toluene-d8 102 70-130 TCLP Semivolatiles Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 131113520C 8270E 1 11/13/2019 1323 SCD 11/10/2019 1607 35161 11/07/2019 0137 GAS Analytical Parameter number Method Result Q LOQ DL Units Run 14-Dichlorobenzene 106-46-7 8270E ND 0.040 0.0050 mglL 1 2,4-Dinitrotoluene 121-14-2 8270E ND 0.080 0.0050 mg1L 1 LOQ = Limit of Quantitation B = Detected In the method blank E = Quantitatton of compound exceeded the calibration range DL - Defection Limit ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40% J - Estimated result < LOQ and n DL H = Out of holding time W = Reported on wet weight basis Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com Page 3 of 9 unencbynagro Description: South Fork Date Sampled:1012912019 1100 Date Received: 1013 012019 Laoormory iu: uaauuuu-uu-t Matrix: Solid % Solids: 4.69 10/31/2010 0031 TCLP Semivolatiles Run Prop Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 131113520C 8270E 1 11/13/2019 1323 SCD 11/10/2019 1607 35161 11107/2019 0137 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Hexachlorobenzene 118-74-1 8270E ND 0.040 0.0050 mglL 1 Hexachlorobutadiene 87-68-3 8270E ND 0.040 0.0050 mglL 1 Hexachloroethane 67-72-1 8270E ND 0.040 0.010 mglL 1 2-Methylphenol 95-48-7 8270E ND 0.040 0.010 mglL 1 3+4-Methylphenol 106-44-5 8270E 0.026 J 0.040 0.015 mg1L 1 Nitrobenzene 98-95-3 8270E ND 0.040 0.015 mglL 1 Pentachlorophenol 87-86-5 8270E N❑ 0.20 0.020 mglL 1 Pyridine 110-86-1 8270E ND 0.040 0.0050 mglL 1 2,4,5-Trichloraphenol 95-95-4 8270E ND 0,040 0.0050 mglL 1 2,4,6-Trichlorophenol 88-06-2 8270E ND 0.040 0.0050 mg1L 1 Run 1 Acceptance Surrogate Q % Recovery Limits 2-Fluorobiphenyl 88 37-129 2-Fluarophenol 49 24-127 Nitrobenzene-d5 84 38-127 Phenol-d5 65 28-128 Terphenyl-d 14 120 10-148 2,4,6-Tribromophenol 93 41-144 TCLP Herbicides Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/8151 A 8151 A 1 11/12/2019 1926 DAL 1 11 / 11 /2019 1959 35264 11 /07/2019 0137 CAS Analytical Parameter Number Method Result Q 1-00 DL Units Run 2,4-D 94-75-7 8151A ND 0.020 0.0050 mglL 1 2,4,5-TP (Slivex) 93-72-1 8151A ND 0.0050 0.0013 mglL 1 Run I Acceptance Surrogate Q % Recovery Limits DCAA 74 50-112 PCBs by GC Run Prep Method Cleanup Analytical Method Dilution Analysis Date Analyst Prop Date Batch 1 3550C 3660B/3665A 8082A 1 11/06120191637 CHG 11105120191521 34628 CAS Analytical Parameter Number Method Result Q LOQ Units Run Aroclor 1016 12674-11-2 8082A ND 630 uglkg 1 Aroclor 1221 11104-28-2 8082A ND 630 uglkg 1 Aroclor 1232 11141-16-5 8082A ND 630 uglkg 1 LOQ m Llmit of Quantitation B = Detected in the method blank E - Quantitation of compound exceeded the calibration range DL = Detection Limit ND = Not detected at or above the DL N W Recovery Is out of criteria P - The RPD between two GO columns exceeds 40 % J = Estimated result e LOQ and n DL H = Out of holding time W = Reported on wet weight basis Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791.9700 Fax (803) 791-9111 www.shealylab.com Page 4 of 9 i,neneaynagro Laboratory tu: uasuuuts-uu-1 Description: South Fork Matrix: Solid Date Sampled:10/29/2019 1100 % Solids: 4.69 10131/2019 0031 Date Received:1013012019 PCBs by GC Run Prep Method Cleanup Analytical Method Dilution Analysis Date Analyst Prep Date Batch 1 3550C 3660B13665A 8082A 1 11/06120191637 CHG 11/05/20191521 34628 CAS Analytical Parameter Number Method Result Q LOQ Units Run Aroclor 1242 53469-21-9 8082A ND 630 uglkg 1 Aroclor 1248 12672-29-6 8082A ND 630 uglkg 1 Aroclor 1254 11097-69-1 8082A ND 630 uglkg 1 Aroclor 1260 11096-82-5 8082A ND 630 uglkg 1 Run 1 Acceptance Surrogate Q % Recovery Limits Decach(orobiphenyl 76 41-132 Tetrachloro-m-xylene 56 35-106 TCLP Pesticides Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3520C 8081E 1 11/11/2019 1504 DAL1 11/08/2019 1238 35022 11/07/2019 0137 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run gamma-BHC (Lindane) 58-89-9 8081B ND 0.00040 0.00017 mglL 1 Chlordane 57-74-9 8081B ND 0.0040 0.0015 mglL 1 Endrin 72-20-8 8081 B ND 0.00040 0.00015 mg1L 1 Heptachlor 76-44-8 8081 B ND 0.00040 0.00015 mglL 1 Heptachlor epoxide 1024-57-3 8081 B ND 0.00040 0.00016 mglL 1 Mothoxychlor 72-43-5 80818 ND 0.0016 0.00021 mglL 1 Toxaphene 8001-35-2 8081B ND D,0080 0.0030 mglL 1 Run 1 Acceptance Surrogate Q % Recovery Limits Decachlorobiphenyl 77 20-131 Tetrachloro-m-xylene 84 26-132 TCLP Metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 131113010A 6010D 1 11/09/2019 1527 KSH2 11/08/2019 0908 34990 11/07/2019 0137 1 1311/7470A 7470A 1 11/09/2019 1102 KSH2 11 /08/2019 1447 35005 11 /07/2019 0137 2 1311/3010A 6010D 1 11/11/2019 0847 LLL 11/08/2019 0908 34990 11/07/2019 0137 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Arsenic 7440-38-2 6010D 0.045 J 0.15 0.025 mglL 1 Barium 7440-39-3 6010D 0.32 0.25 0.031 mglL 2 Cadmium 7440-43-9 601OD ND 0.050 0.0060 mglL 1 Chromium 7440-47-3 60100 0.078 J 0.10 0.013 mg1L 1 Lead 7439-92-1 601OD ND 0.10 0.047 mgJL 1 LOQ = Llmlt of Quantitation B = Detected in the method blank E = Quanttation of compound exceeded the calibration range DL = Detection Limit NO = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated result < LOQ and > DL H = Out of holding time W = Reported on wet weight basis Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.corn Page 5 of 9 t uent:aynagro Description: South Fork Date 3ampled:10/2912019 1100 Late Received: 1013012019 Laoorarory lu:ujsuuul -uu-t Matrix: Solid % Solids: 4.69 10/3112019 0031 TCLP Metals Run Prep Method Analytical Method Dilution Analysis Date Analyst Prep Date Batch Leachate Date 1 1311/3010A 6010D 1 11/09/2019 1527 KSH2 11/08/2019 0908 34990 11/07/2019 0137 1 1311/7470A 7470A 1 11/09/2019 1102 KSH2 11/08/2019 1447 35005 11/07/2019 0137 2 1311/3010A 601OD 1 11/11/2019 0847 LLL 11/08/2019 0908 34990 11/07/2019 0137 CAS Analytical Parameter Number Method Result Q LOQ DL Units Run Mercury 7439-97-6 Selenium 7782-49-2 Silver 7440-22-4 7470A ND 0.0020 0,00091 mg1L 1 6010D ND 0.20 0.085 mg1L 1 6010D ND 0.10 0.021 mg1L 1 LOQ W Limit of Quantitation B = Detected in the method blank E = Quartitation of compound exceeded the calibration range DL = Detection Limit ND = Not detected at or above the DL N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40 % J = Estimated result a LOQ and > DL H = Out of holding t[me W = Reported on wet weight basis Shealy Fnvironmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com Page 6 of 9 Chain of Custody and Miscellaneous Documents Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com Page 7 of 9 SHEALY ENVIRONMENTAL SERVICES, INC. FS C %r � O 3 w" c d .1 m GS r R v ❑...� ?Ili h1; � a"a� q, r57 tj E N �• G7 U cs o Al F. > i� i �o �c d Lu � x � SU +- N C � 8 7 re r, x 4 6 Y ft otD 11M IICa Je?lid YiLki {uo,tsr i3IDS) luaaj ON rV�hl �r��au�g gf a X a�i'al4�a�r'3 aalawE;ad d'i��t Lf=� SM ieuv J0410 m fJ} It Ilk 2 f � to � a :L.xo --- C; 0. m r fWID i Y 0La LQ C 4 . p—Ze S 4 r L In ri 0 Uy •� s .4 .t' rr m J .n n E_ € E k d 3 7 IF s 6 y t❑ b a 3 fl E i 8 W Shealy Environmental Services, Inc. 106 Vantage Point Drive West Columbia, SC 29172 (803) 791-9700 Fax (803) 791-9111 www.shealylab.com Page 9 of 9 SHEALY ENVIRONMENTAL SERVICES INC. tsltWly kM MIU1 If Tlclth SU* iuui' 111L. I'dgu I U, I Do= aviol Nwi- bui MEAM t He- 1.1 Lf1UUw Dulu: 412+NI's Sample Receipt Cheeldist (SRQ gitmt; synagro cooleksocued bv/daw: MIT- T j)j , MOODS mewl:5 0 re': t [3 ESI E] CULerji X1 ITH [] Ft!,IFx tj"Yes Nol I. wcu- Custody sells aneat on fifei-'oolo7? yus FORtrip TD: NA Chlorine Ship.0- NA Tos,+cd bv-, NA Originu L tuinpuralurn up-mi roocipt i VuNed (Corrwled) temperawre t1pall roccipt %Solid Strap -Cup ID. I'M616 L5.0 15,0 -C. NA iNA -C Nil +NA :,C NA iNA vC ediLILL-E]Teti,,pa4itLi.-�,Blank f,-/fAgR!rLsiLio(ttes IRGun lD 1 IR Crun Comcatiou Factor.- 41C '�d'L — MNJ'ho'd o I- is 0 Wet k-e Q Ice rucLq 11 QrX Im 11 Nrmu: E] Y u5 q01y' D No - 1 Z NA 3. II' lurripuraLuru o F an-y ui;)n1ar 074COCKled 6.01: U, %v%u ProjeCL 'Mrmtgger Notiflcd? P-M ivat Nud fied by: p hane ' eni ai Noz-m-fhoe eiie), V.- t4: —�E:l —N-o-F —EINA 4, 4 thu 4;umjnaukfl cmirizy"F, packh)g slip actachad to this foritt? Ycs El No 5. NOm proper caiswdy piuceduri2s. 0 YU5, —Yog No 6. wim sample IDS listed On the MO.) 0 [1 -40 7. W= sample IDs listed on ail sauq)h- ronilaimrs? El 'Yes [z] N�ch 8, A"LIS C01le-C6412111(kie & LiUM ELL-dcm the CSC:? -EJ Y-us 0 No 4. Was roll e4Lion date & time flstcd oo all sample coaainej:a'� 0 ycq j0:3 NLO M Did all cunl.uiner labol in Rirmalion (t 11), ante., d Lite) agree wifli the COO? Y� ®into 11, WUO W-03 10 be PeErOtltltAl li'4V41QF1 the COC'? IZI YeLs Ll NO: 12, Did all san)PIP, artive fil Lilt 11nipt-x mmbiincrn far c.avil test andior it goad condi Lion Luibroken, Us on, 4ukc.)7 yaq ❑ N-L — B. Was aduclLmLe.,umpla vulunio n%-ai[nbtm,7 LJ NQ —0 14. Wer-!- all samples veccivcd wilhin `A, die. ho Iding tirrut or 48 h(iurs, whiohc, er conies fjrqe-' No 15, Wuc any iainpieq confainaTx m (circle one) qLUJI 1p tt:N Kul JiAcd un Cocrll El Yes Lj No NA 16.For VOA and R-SK-175 oamb� ps, wvr4�bubblcq in(Hainotor) in any Of the V0A vws? [j Yes =, [,(j NA: 17. Were all T)R0hnL:u17•awtrir.nt qninples received alpH of.-- 2? El Yus ELND 0 N A ,a 18- WaU apiiidri &implcs received at a �11;, 12 and suffidc, &nnipllca roccived at a 1511 > 0 Yaq 1:1 NL, ONA 19, we3%e U11 UMEL: al7fc jj"fKNerymmdc-phejioF625 (� 0.5ingiT ) sall'1-1)2-5 troe of fiesidwal chlorine? 13 Yes M No ONA 20. X%f1liclit remark lref[1.10515 (i.e. wquu.4&-d diluOumx, W'N,180 dmgnafionsl etc... 4wn-ectly kraxcribod froiri ffie COC itito dio ournrnent Hurtolon in UNIs? lu—i'vT7 No 2 1. Was the quote number h qted tm the Cont"i tlxr label? If ns, Quutc d NA Swvplo(s) NA Wcuc lxaxed%kad ificolroody prowncd iind wcTe adJustqA accot in �anlph: ncciving,�%jth NA...,-;.;;;; nil, of airMt noo.- HM04, I- NL03, HU, Naoll-I uNing 19114 NA NA If mori-. than oxic prc=rvadve Is needed, ph:mu notoin the con-iiiiemts below. Satnpje(s)'NA WCU-0 received vifth btittbEL-i 6 in rn in diam.7itcl, jSampks(s) NA d wep-!: adjusted acciAingly in mrnpIr. rcczik11119 With 50;lium (Mu541fuW fNu2SIO.t) wUh Shealy ID: NA LSR�b�aroo laboliapplied ley; NIX Date. 1IN10139 C"Olutnelill" Shealy Environmental Services, Inc. 106Vantage Point Drive West Columbia, SC 29172 (803)791-9700 Fax (803) 791-9111 www.shealylab.com Page 9 of 9 SECTION 5 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: WWTP Name: Monitoring Period South Fork Industries South Fork Industries From 01/01/ 2019 To 12/31/19 WQ Permit Number: WQ 00006984 NPDFS Number: NC0006190 Pathogen Reduction (40 CFR 503.32/15A NCAC 02T.1106) - Please indicate level achieved and alternative performed: Class A: Alt. 1 /A (timchemp) Alt. 2/B (Alk Treatment) Alt. 3/C (Prior Testing) Alt. 4/D (No Prior Test) Alt. 5/Process to Further Reduce Pathogens Alt. 6 (Equivalent to PFRP) 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; Alt. (1) Fecal Density X 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 Aerobic Digestion Anaerobic Digestion If annlirahlr to artrrnativr nPrfnrmvrl Wjucc A nr Claee M emmnlaty A., falinwina manitnrina Amin - Parameter Allowable Level in Sludge Pathogen Density No. of Frequency Sample Analytical Excee- of Type Technique Minimum Geo, Mean Maximum Units dences Analysis Fecal 2x10tothe 60' MPN <583 <611 <637 MPN/g 0 Annual Grab Sm9221C Coliform power per gram E of total solids CFU CFU/g 1000 MPN per gram of MPN/g total solids (dry weight) Salmonella 3 MPN per 4 grams total bacteria (in solids (dry weight) lieu of fecal coliform) Vector Attraction Reduction (40 CFR 503.33/15A NCAC 02T.1107) -Please indicate option/alternative performed: Option/Alt. 1 Option/Alt. 2 Option/Alt. 3 Option/Alt. 4 (VS reduction) (40-day bench) (30-day bench) (Spec. 02 uptake) Option/Alt. 5 Option/Alt. 6 Option/Alt. 7 Option/Alt. 8 (14-Day Aerobic) (Alk Stabilization) (Drying — Stable) (Drying — Unstable) Option/Alt. 9 OptionWt. 10 (Injection) (Incorporation) No vector attraction reduction alternatives were performed X CERTIFICATION STATEMENT (please cheek the appropriate statement) "I certify, under penalty of law, that the pathogen reqquirements in 40 CFR 503.32/15A NCAC 02TJ 106 and the vector attraction X reduction requirement m 40 CFR503.33/15A NCAC 02T.1107 have been met," "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32/15A NCAC 02T.1106 and the vector attraction reduction requirement in 40 CFR 503.33/15A 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." _Everette Owens, Plant Manager Preparer Name and Title (type or print) �,Lf_taL� Signature reparer* Date Land Applier Name and Title (if applicable) (type or print) Signature of Land Applier (if applicable) t}ate *Preparer is defined in 40 CFR Part 503.9(r) and I SA NCAC 2T.1102 (26) Analytical Results Synagro 284 Boger Rd. Mocksville, NC 27028 Receive Date: 09/23/2019 Reported: 09/25/2019 For: Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 190923-16-01 Fecal Coliforms 1 <583 MPN/g SM92210E-2006 09/24/2019 WC 190923-16-01 Percent Solids 1 3.43 % SM254OB-2011 09/24/2019 WC 190923-16-02 Fecal Coliforms 2 <599 MPNIg SM92210E-2006 09/24/2019 WC 190923-16-02 Percent Solids 2 3.34 % sM25408-211 09/24/2019 WC 190923-16-03 Fecal Coliforms 3 <637 MPNIg SM92210E-2006 09/24/2019 WC 190923-16-03 Percent Solids 3 3.14 % SM2540e-2011 09/24/2019 WC 190923-16-04 Fecal Coliforms 4 <613 MPNIg SM92210E-2006 Q9124/2019 WC 190923-16-04 Percent Solids 4 3.26 % SM254013-2011 09/24/2019 WC 190923-16-05 Fecal Coliforms 5 <621 MPNIg SM92210E-2006 09/24/2019 WC 190923-16-05 Percent Solids 5 3.22 % SM25405-2011 09/24/2019 WC 190923-16-06 Fecal Coliforms 6 <612 MPNIg SM92210E-2006 09/24/2019 WC 190923-16-06 Percent Solids 6 3.27 % SM25408-2011 09/24/2019 WC 190923-16-07 Fecal Coliforms 7 <615 MPN/g SM92210E-2006 09/24/2019 WC 190923-16-07 Percent Solids 7 3.25 % SM254OB-2011 09/24/2019 WC Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 + Statesville, NC 28687 • 704/872/4697 Page 1 of 4 Condition of Receipt Sample Number 190923-16-01 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190923-16-02 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190923-16-03 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thlosulfate Received on Ice Sample Number 190923-16-04 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190923-16-05 Temp on Arrival: 3.2 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190923-16-06 Temp on Arrival: 3.2 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 4 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice Sample Number 190923-16-07 Temp on Arrival 12 Parameter Schedule: Percent Solids Received on Ice Parameter Schedule: Fecal Coliforms Sodium Thiosulfate Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 4 n cc tZ cc N V Z v v m ro +) co N [V X O m d SECTION 6 Agricultural Lime Application Log Year: 2019 Project: South Fork Industries IField Soil Lime Requirement Tons/Acre Date Applied (state-county-site-field) pH (from soil analysis) Applied(CCE Eq.) CA-06-01 6.5 O.OTIAc. - CA-06-02 6.0 O.OTIAc. CA-06-03 5.8 0.4 TIAC .5 Tons 11/15/19 LT-35-1 5.6 0.6 TlAc. .75 Tons 11/15/19 SECTION 7 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.govlagronomil Report No, FY20-SLO12709 }�-,•' •�:;�.�.� ' Client: Alex Fox Advisor: Y - Predictive Synagro 284 Boger Rd Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Links to Helpful Information Catawba Client ID: 501947 Advisor ID: Sampled: 10129/2019 Received: 10/30/2019 Completed: 11/08/2019 Farm: CA-06 Dennis Luke Sample ID: 1 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1-FescuelOGraSslTim, M 0.0 120-200 80 10 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - WN in glcm3; 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% $-I Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-I Na ESP SS-1 NO3-N 0.36 1.00 9.2 91 0.8 6.7 25 76 56 31 41 350 216 99 99 241 0.1 1 Sample ID: 2A Recommendations: Lime Nutrients (Iblacre) More Crop (tons/acre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1-FescuelOGrass/Tim, M 0.0 120-200 60 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-AI2 Zn-I Zn-AI Cu4 Na ESP SS-1 NO3-N 0.41 0.92 9.8 82 1.7 6.0 32 193 48 25 65 1083 667 154 154 291 0.1 1 Sample ID: 2B Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGraSSlTim, M 0.0 120-200 80 20 0 0 pH$ 0 0 0 Note: 12 Note: $ 2 - 0.0 Test Results [units - WN in 91cm3; 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-1 NO3-N 0.46 1.01 8.9 88 1.0 6.5 25 66 55 30 47 1159 704 129 129 271 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 Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SLO12709 Alex Fox 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 Ib11000 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 tonlacre (50 Ib11000 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-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 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-n- [ in a ex manganese index notations appear on the soil report, refer to Note: Secondary Nutrients and Micronutrients In general, homeowners do not N min anese nsoil class nitrogen need to be concerned about micro nutrients. Various crop notes also address lime fertilizer needs; visit Na sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations forsmall areas, such as home lawnslgardens, are listed in units of Ib11000 sq ft, If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.govlagronomilobpart4.htm nd information that P-1 phosphorus index may help you choose a comparable alternate. For more information, read A Homeowners Guide to Fertilizer. P205 phosphate S-I sulfur index Test Results SS -I 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-Al, Cu-I, S-I, SS-1, Na, ESP, SS -I, NO3-N (not routinel zn-1 zinc index available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncapr..govlapronomiluvrst.htm NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomil Report No. FY20-SL004626 Client: Dennis Lutz Advisor: Alex Fox Predictive 2531 Cattle Creek Farm Rd S na ro Y g } Soil Report Mehiich-3 Extraction Newton, NC 28658 284 Boger Rd Mocksville, NC 27028 a. Sampled County: Catawba Links to Helpful Information Client ID: 244145 Advisor 1D: 501947 Sampled: 09110/2019 Received: 09/1212019 Completed: 09/21/2019 Farm: NC-CA-6 Sample ID: 1 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 0.4 120-200 90 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - WN in glcm3; CEC and Na in meg1100 cm3; NO3-N in mg1dm31: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 0.96 8.7 80 1.7 5.8 20 116 49 24 76 1461 894 135 135 258 0.1 1 Norkh Carol inla I- I'A,o.. 1111-"C F L;r"I c i rrnr.,. • "lor: 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 ofAwiculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.neagr.gov/agronomcl Dennis Lutz Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib11000 sq ft. For best results, mix the lime into the top 6 to S inches of soil several months before planting. 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 time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies 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 are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to Note: Secondaly Nutrients and Micronutrients In general, homeowners do not need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncaqr.qov/agronomi/pubs.htm. Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft. If you cannot find the exact fertilizer grade recommended on the report, visit www,ncaqr.govlagronomiloboart4.htrr4ffsfind information that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizes Test Results The first seven values [soil class, HM%, WIV, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The remaining 16 [P-I, K-1, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine] available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaAr.pov/agronomi/uy_rst.htm Report No. FY20-SL004626 Page 2 of 2 Report Abbreviations Ac exchangeable acidity B boron BS% % CEC occupied by basic cations Ca% % CEC occupied by calcium CEC cation exchange capacity Cu-I copper index ESP exchangeable sodium percent HM% percent humic matter K-I potassium index K20 potash Mg% % CEC occupied by magnesium MIN mineral soil class Mn manganese Mn-Ali Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index M-O mineral -organic soil class N nitrogen Na sodium NO3-N nitrate nitrogen ORG organic soil class pH current soil pH P-1 phosphorus index P205 phosphate S-1 sulfur index SS-1 soluble salt index WN weight per volume Zn-Al zinc availability index Zn-I zinc index NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomil Report No. FY20-SLO12712 ,�. Client: Alex Fox Advisor: Predictive Synagro dj FU 284 Boger Rd r-- ' Soil Re Mehlich-3 Extraction t) o rt Mocksville, NC27028 Links to Helpful Information Sampled County : Lincoln Client ID: 501947 Advisor 1D: Sampled: 10120/2019 Received: 1013012019 completed: 1110812019 Farm: NC-Lt-35 Jarret Ottman Sample ID: 01 Recommendations: Lime Nutrients (Iblacre) More Crop (tonslacre) N P205 K20 Mg S Mn Zn Cu B Information Lime History: 1-FescuelOGrasslTim, M 0.6 120-200 100 80 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - WN in glcm3; CEC and Na in meq/100 cm3; NO3-N in mgldm3l: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-I Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 1.05 6.0 76 1.4 5.6 16 30 51 22 59 1402 858 70 70 112 0.2 3 North Carolina 'u d7acc(• IIWIZ FUM) U5.nsma+.ion 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: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Alex Fox Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Lime If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either ton/acre or Ib11000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 tonlacre (50 Ib11000 sq ft) at time, even if the report recommends more. You can apply the rest in similar increments every six months until the full r is applied. If MG is recommended and lime is needed, use dolomitric lime. Fertilizer Recommendations for field crops or other large areas are listed separately for each nutrient to be added (in units of Iblacre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies 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 are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS -I levels appear only on reports for greenhouse soil or problem samples. Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or Z notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do not need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit ncagr.govlagronomi/pubs.htm. Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib11000 sq ft. If you cannot find the exact fertilizer grade recommended on the report, visit www.nca r. ov/a ronomi/ob art4.ht ind information that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilize, Test Results The first seven values [soil class, HM%, WN, CEC, BS%, Ac and pH] describe the soil and its degree of acidity. The remaining 16 [P-1, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-Al2, Zn-1, Zn-Al, Cud, S-I, SS -I, Na, ESP, SS -I, NO3-N (not routine] available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncaqr..qovlaqronomiluvrst.htm Report No. FY20-SLO12712 Page 2 of 2 Report Abbreviations Ac exchangeable acidity B boron BS% % CEC occupied by basic cations Ca% % CEC occupied by calcium CEC cation exchange capacity Cu-1 copper index ESP exchangeable sodium percent HM% percent humic matter K-1 potassium index K20 potash Mg% % CEC occupied by magnesium MIN mineral soil class Mn manganese Mn-All Mn-availability index for crop 1 Mn-Al2 Mn-availability index for crop 2 Mn-I manganese index M-O mineral -organic soil class N nitrogen Na sodium NO3-N nitrate nitrogen ORG organic soil class pH current soil pH P-1 phosphorus index P205 phosphate S-1 sulfur index SS-1 soluble salt index W/V weight per volume Zn AI zinc availability index Zn-I zinc index