WQ0011260_Residual Annual Report 2019_20200220

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 2/20/2020
Received:*
Project Number* WQ0011260
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 * Anthony West
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* WQ0011260
Applicant\Permittee * Town of Old Fort
Facility Name * Town of Old Fort WWTP
Phone Number*
8286684561
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.)
sludgereport2019.pdf 1.22MB
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 2/18/2020

go-wn of Nd dart
— FOUNDED IN 1870 —
38 CATAWBA AVENUE
OLD FORT, NORTH CAROLINA 28762 Office of [lie Mayor
January 31, 2020
NC Department of Environmental Quality
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Subject: Town of Old Fort Annual Bioresiduals report, (calendar year 2019)
To Whom It May Concern:
The Town of Old Fort operates a 1.2 MGD wastewater treatment plant (NPDES #
NCO021229). The Town does not have a Pretreatment Program due to the lack of a
sizeable industry, but will probably required to restart its program in 2020.
The Town has a bioresidual management permit, # WQ0011260, to process class A
bioresiduals to be sold or given away to the public. The process consists of two 0.075
MG sludge holding tanks, a 0.7 meter belt press and an RDP lime pasteurization process
with a covered storage pad.
The solids are mixed with quicklime to raise the pH up to 12 or higher after two hours
and 11.5 or greater after 22 hours to satisfy the vector attraction reduction requirement,
and heat the solids to 70 degrees Celsius or greater to satisfy the PFRP requirement. The
pH is tested immediately as the final product begins to be discharged from the
pasteurization vessel, after two hours, and again after 22 more hours. The temperature is
monitored at the pasteurization vessel inlet and outlet every thirty minutes.
In April 2019, the Town of Old Fort distributed 9.41 dry tons of bioresiduals that had
been produced in 2018. These residuals were given to a farmer for use on pasture.
These residuals were sampled for metals and nutrients in December 2018, and fecal
coliform in February 2019.
In all of 2019 the Town of Old Fort WWTP produced 48.64 dry tons of bioresiduals
(25.76 tons of dry sludge + 22.88 tons of lime), which were sampled for metals and
nutrients on December 17, 2019. These bioresiduals will be sampled for fecal coliform in
March 2020. As always, untested biosolids are stored apart from those previously
analyzed.
"Colonial America's Western Outpost Until 1756"

The result for Total Phosphorus from the December 17 was 24900 mg/kg, much higher
than previous results that were always less than 2000 mg/kg. Another sample was
submitted from the remaining bioresiduals composite on January 21, 2020. Its result was
1850 mg/kg — more in line with previous results. We have no limit on Total Phosphorus;
it only affects the application rate when land applying. After speaking with Mikal
Wilimer of Asheville Regional Office, DWR, I was advised to use the second result for
land application rate planning.
Enclosed with this narrative are copies of the operational logs and laboratory analyses of
the bioresiduals. If you have any questions or require further information, please contact
me at 828-668-4561.
Sincerely,
Anthony West
Town of Old Fort WWTP ORC
Land Application / Siosolids ORC
38 Catawba Ave
Old Fort, NC 28762

CLASS A ANNUAL, DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0011260 FACILITY NAME:
PHONE:[phone] COUNTY:
TOWN OF OLD FORT WWTP - YEAR 2019
MCDOWELL OPERATOR:
TONY WEST
FACILITY TYPE (please check one): d Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
R1 Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes 21 No ® If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources s include NPDIrS # if
() {
applicable)
Volume (d tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
OLD FORT WWTP
February
NCO021229
2.08
1.94
4.02
March
"
April
P2.11
2.4
4.51
CRAIG WALKER
9.41
PASTURE
May
2.53
3.26
5.79
June
2.16
2.48
4.64
July
1.09
1.25
2.34
August
0.88
1.02
1.9
September
1.12
1.13
2.25
October
0.95
1.15
2.1
November
1.07
1.04
2.11
December
Total from FORM DMSDF (sup)
Totals: Annual (dry tons):1
13.99
15.67
29.66
9.41
Amendments used: I LIME
Bulking A ent(s) used:
* If more space is required, attach additional information sheets (FORM DMSDF (supp)):
Part C:
Total Number of Form DMSDF (Supp)0
Facility was compliant during the past calendar year with all conditions of the land application permit Cl Yes
(including but not limited to items 1-3 below) issued by the Division of Water Quality: ® 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 a deviation, prior authorization was received from the Division of Water Quality.
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. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permi
1 /24/2020
Date Signature ofPreparer**
(if different from Permittee)
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
1 /24/2020
Date
DENR FORM DMSDF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORK!
Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B
WQ Permit Number: WQ0011260
Facility Name: TOWN OF OLD FORT WWTP -YEAR 2019
Residual Source WQ # or
NPDES #:
NCO021229
WWTP Name: TOWN OF OLD FORT WWTP
Residual Analvsis Data
Laboratory: 1) WATERTECH LABS
2) RESEARCH & ANALYTICAL
3) ENVIRONMENTAL TESTING
4)
5)
Parameter
(mg/kg)
Conc.
Limit
m a
Sam le or Composite Date
12/17/19
1/21/20
12/27/18
12/19/17
12/27/16
Percent Solids (%)
NA
46
gubmittec
57.5
48.3
45.8
Arsenic
75
3.45
2nd
2.13
< 1.99
< 2.18
Cadmium
85
< 0.217
sample
0.177
1 0.213
< 0.218
Copper
4,300
179
for TP
138
166
137
Chromium
NA
analysis
Lead
840
15
6.77
11.1
9.36
Mercury
57
0.21
0.133
0.246
0.127
Molybdenum
75
12.2
9.7
10.3
10.4
Nickel
420
6.36
6.14
4.73
6.07
Selenium
100
< 2.17
< 1.72
< 1.99
< 2.18
Zinc
7,500
192
166
140
126
Total Phosphorus
NA
24900
1850
1180
1780
1230
TKN
NA
17500
6190
7650
12700
Ammonia -Nitrogen
NA
751
1500
1250
4840
E�]
Nitrate and Nitrite
NA
88.1
72.4
122
70.3
For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits.
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant
penalties for submitting false information., including the possibility of fines and imprisonment for knowing violations."
/ % 4 1/24/2020
Signature of Preparer *
Date
*Preparer is defined in 40 CFR Part 5039(r) and 15A NCAC 2T .1102 (26)
DENR FORM RSSF (12/2006)

ANNUAL RESIDUAL SAMPLING SUMMARY FORM - B
Report all sampling analysis results for parameters not listed in FORM RSSF that are part of the WQ permit or were analyzed for over the past
calendar year. Use additional forms as needed.
WQ Permit Number: WQ0011260
Facility Name: TOWN OF OLD FORT WWTP-YEAR 2019
Residual Source
NPDES # or WQ#:
WWTP Name:
Residual Analysis Data.
NCO021229
TOWN OF OLD PORT WWTP
Laboratory: 1) WATERTECH LABS
2) RESEARCH & ANALYTICAL
3) ENVIRONMENTAL TESTING S.
4)
5)
Parameter
(mg/kg)
Sam le or Cam osite Date
12/17/19
12/27/18
12/19/17
12/27/16
Aluminum
5130
2820
3410
3000
Calcium
359000
385000
397000
327000
Magnesium
2850
2530
2600
2600
H
12.31
12.07
12.70
11.78
P.A.N.
5490
2230
2670
4850
Potassium
622
444
496
656
Sodium
208
224
171
318
S.A.R.
0.095
0.099
0.074
0.152
641 certify, wader penalty of law, that this document was prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are
significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Preparer *
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
1/24/2020
Date
DENR FORM RSSF - B (12/2006)

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: TOWN OF OLD FORT W WTP WQ Permit Number: WQ0011260
VMTP Name- TOWN OF OLD FORT WWTP NPDES Number: NCO021229
Monitoring Period: From 1/1/2019 To 12/31/2019
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A:
Alt. A (time/temp) ElAlt
B (Alk Treatment) ❑
Alt. C (Prior Testing)❑
A1t.D (No Prior Test) ® I
Process to Further Reduce Pathogengs
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying ❑
Heat Treatment ❑
Thermoplvlic ❑
Beta Ra ❑
Gamma Ray ❑
Pasteurization
Class B:
jAlt. (1) Fecal Density ❑
Alt. (2) Process to Significantly Reduce Pathogens 13
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying ❑
Composting ❑
lAcrobic Digestion[]
Anaerobic Di estion ❑
If applicable to alternative performed (Class A or Class B) complete the following
monitoring data:
Parameter
Allowable Level
in Sludge
Pathogen Density
Number of
Excee-
ences
Frequency
of Analysis
Sample
type
Analytical
Tech -pique
Minim
Geo. Mean
Maximu
Units
Fecal Coliform
2 x 10 to the 1
6th power
per gram of
total solids
WN
< 97
0
< 117
MPN/g
0
7/YEAR
GRAB
SM9221 E
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform
3 WN per 4 grams
total solid (dry
Wei&L9
Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed:
Alt-1 (VS reduction) ❑
Alt. 2 (40-day bench) ❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. Oz uptake) ❑
Alt. 5 (14-Day Aerobic) ❑
Alt. 6 (Alk. Stabilization ®
Alt 7 (Drying - Stable) ®
Alt. 8 (Drying - Unstable) Q
Alt. 9 (injection) ❑
Alt. 10 (Incorporation) ❑
No vector attraction reduction alternatives were performed ❑
CERTIFICATION STATEMENT (please check the appropriate statement)
E "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." _
❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the
vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note
if you check this statement attach an explanation why you have not met one or both of the
requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
TONY WEST / ORC
Preparer Name and Title (type or print)
Signature of parer*
TONY WEST / ORC
Land Applier Name and Title (if applicable)(type or print)
1/24/2020 1/24/2020
Date Signature of Lamp Tier (if applicable) Date
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

PO Box 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
EnvironmentalTGsting Solutions, Inc. Certificate of Analysis
Project name: Old Fort WWTP
Project number:
190218.50
Collection date: 18-Feb-19
Date received: I8-Feb-19
Sample identification: Sludge Grab - l
Sample number:
165988
Parameter
Method
Result
RL
Units
Date Analyst
Footnotes
Analyzed
%TS
SM 2540 G
62
0,10
%
i s-rcb-l9 KEK
Mull le Tube Fermentation Procedure
SM 9221-E
<112
112
MPN
18 Falrf9 KEK
Sample identification: Sludge Grab - 2-
_
—
Y
Sample number: _
165989
Parameter
Method
Result
RL
Units
Date Analyst
Footnotes
Analyzed
%TS
SM 2540 G
57
0.10
%
18.Feb-19 KEK
Mulitple Tube Fermentation Procedure
SM 9221_E
<103
103
MPN
18-Feb•i9 KEK
Sample identification: Sludge Grab - 3 Sample number: 1659"
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
0/0TS SM 2540 G 63 0.10 % 18-Feb-19 KEK
Mull le Tube Fermentation Procedure SM 9221-E <113 113 MPN Is-Fat,-19 KEK
Sample identification: Sludge Grab - 4 Sample number: 165991
Parameter Method Result RL Units AnaDate Analyst Footnotes
%TS SM 2540 G 59 0.10 % t8-Fe3-19 KEK
Mull le Tube Fermentation Procedure SM 9221-E <106 106 MPN is-Feb-19 KEK
Footnotes:
RL = Repotting Limit. Values are reported down to the Reporting Limit only.
Date reviewed: OA-Al. 1C
Data reviewed by: lfelle E. Keenan
Signature: �&
NC Certification Number 600
SC Certification Number: 99053
NC Drinking Water Certification Number: 37786
This report should not be reproduced, exept in its entirety, without the written consent o En iranmcntal Tcstiag Su utions, tnc.
The results in this report relate only to the samples submitted for analysis.

Certificate of Analysis
Project name: Old Fort WWTP
Collection date: 25-Feb-19
Hate received: 25-Feb-19
Sample identification: Sludge Grab-5
PO Sox 7565
Asheville, NC 28802
Phone: [phone]
Fax: [phone]
Project number: 190225.500
Sample number: 166221
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
%TS SM 2540 G 54 0.10 % 25-Feb-19 KEK
Mulit le Tube Fermentation Procedure SM 9221-E <97 97 MPN 25-Fab-[9 KEK
Sample identification: Sludge Grab - 6 -. Sample number: 166222
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
%TS SM 2540 G 65 0.10 % 25-Feb-[9 KEK
Muli le Tube Fermentation Procedure SM 9221-E <117 117 MPN 2s-Feb-i9 KEK
Sample identification: Sludge Grab - 7 Sample number: 166223
Parameter Method Result RL Units Date Analyst Footnotes
Analyzed
°YOTS SM 2540 G 59 0.10 % 25-Feb-19 KEK
[viuli ie Tube Fermentation Procedure SM 9221-E <106 106 MPN 25-Feb-►9 KEK
Footnotes:
RL = Reporting Limit. 'Values are reported down to the Reporting Limit only.
Bate reviewed: NC Certification Number: 600
Data reviewed by- Kelley E. Keenan SC Certification Number 99053
Signature: NC Drinking Water Certification Number. 37786
�%
This report should not be reproduced, exept in its entirety, without the written consent of Environmantal Testing Solutions, Inc_
The results in this report relate only to the samples submitted for analysis.

5
._....... �,
Environmental Testing Solutions, Inc.
PO Box 7565, Asheville, NC 28802 `
Phone: [phone], Fax; [phone]
Project Name:
Project Number: 1q Oz IT
rim I
• �11 1r '•�
Client Name: jdW Ci a L��--
Address: 3a C
LD EYL7 29' 762..-
Report to: o:!y W a`
Phone: '9,LFr -- q t! 2 -- 23 4-7 Fax: FZir -
PO Number:
< 0.2
Preservatives
Sample Identification1. a c
d�
+ cS
g c� o a o o d 1 Fleid
rit A Temp. (`Q Comments
S[.u,OL% (5RAS Z G (�Sqn S z as 19 073) ! ►
S1-v4)C6 GRts 3 G USJq" S Uz 1 �< J I
ISL',"Oce- GgAa 11 1c, 1(0 Vq1 s h& 1tc� tw) I
AddMonal Comments:
Printed Name of Sampler:
a-7 2-4-,g
Signature of sampler: C1 r i

CiientName:�=_ GOEZ
Address: ✓ r
_ 7 6 Z.
Report to: /v,Uy �n'r--s -7
Phone: SZt- LltiZ- 2S43 Fax: '9'79' (a69 -'2,510i
PO Number:
t
Environmental T44sting Solutlans, Inc.
PO Box 7565, Asheville, NC 28802
Phone: [phone], Pax: [phone]
Prof ect Name:
Project Number:

i
Yb
For. Wader Tech Labs, tno.
P.O. Box 1056
Granite Falb, NG 28630
Afro: Joe Grag
NC 034
NC937761
i
Y : LL^� !-l�.fi�cwfr�a=%T`4:s�.�
�r—y t�S�4."� Qlk%.[u ct �i ri, �,
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g"��%'�.b#+�iAw',ti���sas� '
0.095
PAN
Calculation
.a!1
.a tC
SM25M
46.012r2=19
TotalCz. Ntman SM 4600 N r C B4997
17WO
mg"
FK
4=020
r as
Ammonia Nikoon
SM 4500 NH3 r
v"
FK
=020
Phosphom
SM 4500 ' E
24WO
mag
Bi
1212712019
Nitrate + Mwe
SM45DO NO3E
88.1
UQ&9
DW
9/312020 law
Alwftun, ToUd
5W M 6010D
6130
MAO
EA
1213912019
Amealc, TOM
SW 846 MOD
3.4E
mgtkg
EA
12/3112019
Cadmkon, TbtW
SW 846 6D10D
<0.217
EA
4213IJ22619
Caiclum, Total
SW M MOD
35
mplkg
SK
1t2=0
Comer, Tom!
SW M 8011D
179
mg/kg
EA
12t3'Ef2019
LOW, TOW
SW 840 MOD
16.0
mg*g
EA
12/311201 g
M89fteck(mTow
SW 846 6010D
28W
notg
EA
1213112019
Molybdorm.Total
SW 8466010D
12.2
mg&g
EA
1213112019
Poksatum, Tow
SW 846 00100
a2
moo
EA
12131120i 9
Seim, Total
SW M 60100
<2.17
mglkg
EA
12131/2019
RM Sox M 10S SW SbIW KaWMWFA MGM Cmmbm 2=4 TIC 1 Fad 3304KK60M wwwr&rAMsb&oom pop 3
m cwa pas;,q-nclRl._v4

Report r
i i
LAb Smple 10. 76278.01
Cohan 11 : 12/1712019 8:00
Zinc Thal '
SW 846 601OD —
192
EA
1WIMD19
TOW
SW846 74718 -
0.210
m9ft
MM
12f30i I9
NlGke4 Tom
SW846 MeOWd 0040 C
6.38
m
EA
=31=19
Softm. ToW
SW846 MeDiod 6010 C
208
ffQlkg
PA
1213112049
12.31
Ski. utldis
LP
12=019 1347
NA s rioted
PA. @ox473 9tlB Shm NoM Cmba 27284- 1" 2841 Pa:C e Page 2
rsLcoa haskssoR4,—V I

RlESEARCh&ANA1Y1riCA1
LAWRATORiES, INC.
e
For: Water Tech Labs, Inc.
P.O. Box 1056
Granite Fails, NC 28630
Attn: Joe Gragg
Report of Analysis
2/5/2020
tthaIIIrq
co
NC#34 C z;
NC ##37701
e
Client Sample ID: Town of Old Fort Sludge Lab Sample ID: 77674-01
Site: Water Tech Labs Collection Date: 1121/2020 8:00
Parameter Method Result Units Analyst Analysis bate/Time
Total Phosphorus SM 4500 P E 1850 mglkg BJ 1/27/2020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville. North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1

TOWM OF
OLD FORT.R
PASTEURIZATION VESSEL TIME FROM INLET THEFT
TIME FROM OUTLET THERMOMETER -m DI THERMOMETER
O)q-- 1130
OUTLET THE ETER:2 -2.-1 r
Amv 12 SCHARGE:____�ttP
MOT MEETINQTWFJTEMP REQUIRENEWS IS RECYCLED THROUGH
"DIGESTER Q START: " QlGESTER yE PRt7C.
END: TOTAL GAL:�
LIME @ START: a�'1227 LIME EN©: 2 6 t SLUDGE TOTAL DRY WT LBS: C1
% SOLIDS FROM BELT PRESS: / T©TAL SOLIDSLIBS:
TOTAL VOLUME OF SIORE5IQUAIS LlfE OF FINAL PRODUCT:
MOISTURE, IN TONS: 3 r 7
IMMEDAFTER
PRODUCT
SAMPLE.
—LAZ•.• I lvm AFTER 2 HRS
Z —ry f j D 1 U 2 —fcr_ r
--S Z
UM' OF SLUICE PROCESSED IS MEASURED BY
AFTER BELT PRESS RUN,
AFTER 24 HRS.
—U,j
RSURING DEPTH OF DIGESTER BEFORE
a,75
4- R 1

IZ"
Q
um
2
"� - 121-19
F
arm
3ID
1 �S
lZl
590
1614
1410
!f
-i 30
1
Y30
7�
1?
17
017:�; 121p
I7
51: 2
TER 2 HR5
AFTER24 HF
-01 Z
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AML2,2019 1000 am
626 Salem Church Rd, Old fort NC; Craig Walker
Approximately six acres pasture; half fenced; two acres flat, the rest hilly and not easy to drive around;
Stay ten feet from property lines.
April 24, 2019 09:00 am
626 Salem Church Rd, Old Fort NC
Pasture appeared to be in good shape, residuals within boundaries. Residuals breaking down after rain.

TOINN OF : 1 y FORT BIORESIDUALS WQM121
DEUVERYLOG
2

TOWN Or-41.
SIORESIDUALS (CLASS A) DISTRIBUTION PROGRAM
PERMIT # WQ0011260
By agreeing to accept the bulk Class A residuals, it is recognized that the application of these residuals is
allowed under the conditions of this agreement. Land application of Class A residuals is considered the
beneficial reuse of a waste under 15A NCAC 02T.1100, and has been deemed permitted under 15A
NCAC 02T.1103(4) provided the conditions of this agreement are met. Any action resulting in damages
to surface water or groundwater, caused by failure to follow the conditions of this agreement, is subject
to NC Division of Water Quality enforcement action.
Bulk residuals shall not be land applied under the following conditions:
a. if the residuals are likely to adversely affect a threatened or endangered species listed under
section 4 of the Endangered Species Act or its designated critical habitat;
b. If the application causes prolonged nuisance conditions;
c- if the land fails to assimilate the bulk residuals or the application causes the contravention of
surface water or groundwater standards;
d. If the land is flooded, frozen or snow-covered, or is otherwise in a condition such that runoff of
the residuals would occur;
e. Within the 100-year flood elevation, unless the bulk residuals are injected or incorporated
within a 24-hour period following a residuals land application event;
f. During a measurable precipitation event (i.e., greater than 0.01 inch per hour), or within 24
hours following a rainfall event of 0.5 inches or greater in a 24-hour period;
g. If the slope is greater than 10% for surface applied liquid residuals, or if the slope is greater than
18% for injected or incorporated bulk liquid residuals;
h. If the soil pH is not maintained at 6.0 or greater, unless sufficient amounts of lime are applied to
achieve a final soil pH of at least 6.0, or if an agronomist provides information indicating that the
pI4 of the soil, residuals and lime mixture is suitable for the specified crop. Any approved
variations to the acceptable soil pH (6-0) will be noted in this permit;
i. If the land does not have an established vegetative cover unless the residuals are incorporated
or injected within a 24-hour period following a residuals land application event;
j. if vertical separation between the seasonal high water table and the depth of residuals
application is less than one foot;
k. if the vertical separation of bedrock and the depth of residuals application is less than one foot;
Application exceeds agronornic rates.
The person or entity accepting the bulk Class A residuals shall to the best of their knowledge meet the
following application requirements:
L Residuals stockpiled for more than 14 days shall be covered;
ii. Application of bulk residuals shall not occur within 100 feet of a public or private water
supply source;
JiL Application of bulk residuals shall not occur within 100 feet of any well, with the exception
of Division approved monitoring wells;
iv. Application of bulk residuals shall not occur within 25 feet of surface waters.

shall be provi4ed to the applkaWr or party
y
Mop
oov Gf 1-r' zaliv
are being applied.
Signed
L � Date...
Pant
Aiding Addy
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