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HomeMy WebLinkAboutWQ0002376_Residual Annual Report 2019_20200224Initial 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 2/24/2020 Received:* Project Number* WQ0002376 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 * Brent Collins Email Address* brent.collins@emaresourcesinc.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* WQ0002376 Applicant\Permittee * City of Reidsville Facility Name * City of Reidsville Phone Number* 336-751-1441 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 Reidsville Annual Report - WQ0002376.pdf 7.21VIB Upload only 1 R7F document. NL@iple documents must be combined into one R7F file. For new and modification permit applications, a paper copy may be required. If you have any questions about what is required, please contactthe reviewer or Tessa Monday. If a paper 2-pol cation is required, be advised, applications accepted for pre -review until both the paper and elect-c-ii.- --ol:ies have been received. The paper copy shall include the following: o Application Form o All relevant attachments {talcs, soils report, specs, etc.] o One full-size engineering plan set o One 11x17" engineering plan set o One extra set of specifications o Fee (if required) Mailine address: Division of Water Resources ! Division of Water Resources Non -Discharge Branch I Non -Discharge Branch 1617 Mail Service Center I Att: Nathaniel Thornburg, P Floor, Office #942W - = Raleigh, NC 27699-1617 S12 N.5alisburySt. For questions or problems contact Tessa Monday attessa.monday@)ncdenr.Qov or 919.707.3560. * rJ By checking this box I acknowledge that I understand the application will not be accepted for pre -review until the paper copy (if required) and fee (if required) have been received by the Non -Discharge Branch. I also confirm that the uploaded document is a single PDF with all parts of the application in correct order (as specified by the application). Signature Submission Date 2/24/2020 ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0002376 Facility Name (as shown on permit): Land Application Operator: County: Rockingham County Year: City of Reidsville ENIA Resources Inc. Phone: Land application of residuals as allowed by the permit occurred during the past calendar year? 0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were generated but not land applied, please attach an explanation on how the residuals were handled. Part A - Residuals Application Summary: 2019 336-751-1441 Total number of application fields in the permit:1 104 Total number of fields utilized for land application during the year: 25 Total amount of dry tons applied during the year for all application sites: 572.86 Total number of acres utilizes for land application during the year: 324.15 Part B - Annual Comolance 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 Quality. 0 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 were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Pennit were complied with (applicable to 40 CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T. I l l l 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. 1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." C'.inatles jr�htt� ek�Smith -Public Works Director /Zy Z,ca Permittee Name and Title (type or print) Signature of Permittee I Date P�( 2 iL..2r - -. 3' � 1 / 1112020 Signature of Preparer* Date Signature of Land Applier Date (if different from Permittee) (if different from Permittee and Preparer) * Preparer is defined in 40 CFR Part 503 9 (r) and 15A NCAC 02T 1102 (26) DENR FORM ACF (1212006) ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: Facility Name: Residual Source WQ # or NPDES #: W Q0002376 City of Reidsville NCO024881 WWTP Name: Reidsville WWTP Residual Analysis Data Laboratory: 1) Waypoint Analytical 2) 3) 4) 5) Parameter (mg/kg) Conc. Limit (mg/kg)a Sam le or Composite Date 1 / 16/ 19 4/8/ 19 7/2/ 19 10/3/ 19 Percent Solids (%) NA 0.854 2.57 0.908 1.52 Arsenic 75 52.4 16.1 46.6 279 Cadmium 85 6.19 2.68 5.5 3.65 Copper 4,300 341 221 221 325 Chromium NA 57.9 45 48.9 64.4 Lead 840 82.6 60.4 58.8 98 Mercury 57 1.73 4.15 0.362 1.67 Molybdenum 75 16.3 8.38 14.4 13.3 Nickel 420 32.5 23.1 45 25.9 Selenium 100 62.5 18.8 54.4 34.1 Zinc 7,500 1090 788 851 1160 Total Phosphorus NA 35900 22700 24400 26200 TKN NA 78800 65800 63000 33700 Ammonia -Nitrogen NA 40000 17300 21600 9670 Nitrate and Nitrite NA 585 2050 498 306 a For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer * *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .I 102 (26) Date 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: WQ0002376 Facility Name: City of Reidsville Residual Source NPDES # or WQ#: WWTP Name: R,P-ddlml Analvcia Data NCO024881 Reidsville WWTP Laboratory: 1) 2) 3) 4) 5) Waypoint Analytical Parameter (mg/kg) Sampleor • •• Date ------�- I------_- ' Magn ------------ ------------ ------------ ------------ "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of l'reparer * *Preparer is defined in 40 CFR Part 5039(r) and I SA NCAC 2T .1 102 (26) 1- 9.3- SIG Q)0 Date DENR FORM RSSF - B (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 71.15 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Ronnie Marshall Owner: Catherine Neal Predominant Soil Series: CgB2 Acres Used: 27.45 Acres Permitted: 27.45 Site #: RC004 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 4/8/19 2 7/2/19 3 10/3/19 4 5 6 7 8 9 10 11 12 % Solids 2.57 0.908 1.52 Arsenic 16.1 46.6 27.9 Cadmium 2.68 5.5 3.65 Copper 221 221 325 Chromium 45 48.9 64.4 Lead 60.4 58.8 98 Mercury 4.15 0.362 1.67 Molyb- denum 8.3 8 14.4 13.3 Nickel 23.1 45 25.9 Selenium 18.8 54.4 34.1 Zinc 788 851 1160 Total Phos- horns 22700 24400 26200 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ App. Event 1.52 0.57 0.50 Arsenic 1 0.049 0.053 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.130 Cadmium 0.008 0.006 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Copper 0.673 0.254 0.322 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.249 Chromium0.137 0.056 0.064 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.257 Lead 0.184 0.068 0.097 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.349 Mercury 0.013 0.000 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Molyb- 0.026 0.017 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.055 denum Nickel 0.070 0.052 0.026 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.148 Selenium 0.057 0.062 0.034 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.153 Zinc 2.400 0.977 1.148 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.526 Total Phos- 69.144 28.011 25.938 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 123.093 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Catherine Neal Operator: Ronnie Marshall Crop 1 Name: Fescue -Hay WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 71.15 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 27.45 RC004 Acres Permitted: 27.45 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NpDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o cc � � * ?. * �' o' 7� q - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/29 78000 2.57 0.305 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 15.378 NA Fescue 4/30 169000 2.57 0.660 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 33.320 NA Fescue 5/1 143000 2.57 0.558 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 28.194 NA Fescue 9/25 123500 0.908 0.170 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 8.081 NA Fescue 9/26 162500 0.908 0.224 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 10.633 NA Fescue 9/27 130000 0.908 0.179 Reidsville WWTP Dry <.5" S 0.5 1 0.3 63000 1 21600 498 8.506 NA Fescue 12/6 91000 1.52 0.210 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 5.190 NA Fescue 12/7 123500 1.52 0.285 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 7.044 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 1020500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 116.346 0.000 Lime Applied Annuallbs/acre 0.130 0.018 1.249 0.257 0.349 0.015 0.055 0.148 0.153 4.526 123.093 0.066 0.025 2.026 0.474 0.355 0.008 0.074 0.262 0.071 4.337 0.196 0.043 3.275 0.731 0.704 0.023 0.129 0.410 0.224 8.863 36 1 34 1 1338 1 267 15 374 1 89 2498 209 Date lbs/ac Prior Years Cumulative lbs/ac 2000 Current Cumulative lbs/ac Ordered in 2019 Permitted C. P. L. R.**** See Lime Receipts Permit PAN Limit 1 st/2nd Crop At end of report "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 31.83 Operator: Auman French Owner: Michael Bray Predominant Soil Series: CgB2 Acres Used: 8.45 Acres Permitted: 8.45 Site #: RC009 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 3.13 0.63 Arsenic 0.101 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.136 Cadmium 0.017 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Copper 1.385 0.412 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.797 Chromiuni 0.282 0.082 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.364 Lead 0.378 0.124 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.503 Mercury 0.026 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 Molyb- 0.053 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.069 denum Nickel 0.145 0.033 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.178 Selenium 0.118 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.161 Zinc 4.938 1.471 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 6.408 Total Phos- 142.238 33.222 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 175.460 horus 1 1 1 1 "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Michael Bray Operator: Auman French Crop 1 Name: Fescue -Hay WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 31.83 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 8.45 RC009 Acres Permitted: 8.45 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/3 84500 2.57 1.072 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 54.120 NA Fescue 4/4 162500 2.57 2.061 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 104.078 NA Fescue 10/26 84500 1.52 0.634 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 15.656 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 331500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 173.854 1 0.000 Lime Applied Annuallbs/acre 0.136 0.021 1.797 0.364 0.503 0.028 0.069 0.178 0.161 6.408 175.4601 0.064 0.029 2.551 0.612 0.57 0.01 0.094 0.319 0.079 6.594 0.200 0.050 4.348 0.976 1.073 0.038 0.163 0.497 0.240 13.002 36 1 34 1 1338 1 267 15 374 1 89 2498 I 209 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: City of Reidsville Total Dry Tons Applied (Annual): WQ0002376 Cation Exchange Capacity (non 503 only): Auman French Owner: Dan Stocks Predominant Soil Series: 8.4 Acres Permitted: 8.4 Site #: RC010 Field #: 10.05 RnD Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.55 0.65 Arsenic 0.058 0.060 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.118 Cadmium 0.007 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.376 0.285 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.661 Chromiuni 0.064 0.063 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.127 Lead 0.091 0.076 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.167 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Molyb- 0.018 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.037 denum Nickel 0.036 0.058 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.094 Selenium 0.069 0.070 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.139 Zinc 1.201 1.098 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.299 Total Phos- 39.562 31.476 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 71.038 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 1 Acres Utilized: Dan Stocks Annual Dry Tons Applied: 10.05 Site #: RC010 Acres Permitted: Auman French Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 141 RnD Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 8.4 8.4 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * o * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/25 78000 0.854 0.331 Reidsville WWTP Dry <.5" S 0.5 0.3 78800 40000 585 21.312 NA Fescue 3/27 52000 0.854 0.220 Reidsville WWTP Dry <.5" S 0.5 0.3 78800 40000 585 14.208 NA Fescue 8/20 123500 0.908 0.557 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 26.407 NA Fescue 8/21 19500 0.908 0.088 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 4.170 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: As Cd Cu Cr Pb Hg Mo Ni Se Zn P 66.097 r 0.000 Lime Applied Annuallbs/acre 0.118 0.014 0.661 0.127 0.167 0.002 0.037 0.094 0.139 2.299 71.038 5.416 7.715 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.049 0.026 1.859 0.493 0.389 0.014 0.083 0.272 0.066 Current Cumulative lbs/ac 0.167 0.040 2.520 0.620 0.556 0.016 0.120 0.366 0.205 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 141 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 15.75 Operator: Harry Sharpe Owner: Daisy Purgason Predominant Soil Series: NaB Acres Used: 19 Acres Permitted: 19 Site #: RC011 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.83 Arsenic 0.077 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.077 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 0.366 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.366 Chromiuni 0.081 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.081 Lead 0.097 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.097 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.024 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.024 denum Nickel 0.075 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.075 Selenium 0.090 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.090 Zinc 1.411 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.411 Total Phos- 40.455 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 40.455 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 1 Acres Utilized: Daisy Purgason Annual Dry Tons Applied: 15.75 Site #: RCOl l Acres Permitted: Harry Sharpe Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 178 NaB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 19 19 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * c * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 8/30 97500 0.908 0.194 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 9.217 NA Fescue 8/31 156000 0.908 0.311 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 14.747 NA Fescue 9/3 117000 0.908 0.233 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 11.060 NA Fescue 9/4 45500 0.908 0.091 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 4.301 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 4t6000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.325 r 0.000 Lime Applied Annuallbs/acre 0.077 0.009 0.366 0.081 0.097 0.001 0.024 0.075 0.090 1.411 40.455 0.076 0.027 2.243 0.569 0.392 0.007 0.085 0.312 0.073 4.767 0.153 0.036 2.609 0.650 0.489 0.008 0.109 0.387 0.163 6.178 36 34 1338 267 15 374 89 2498 1 178 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 7.63 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Harry Sharpe Owner: Lawrence McCollum Predominant Soil Series: CgB2 Acres Used: 8.8 Acres Permitted: 8.8 Site #: RCOl l Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date mammon on V WE 1 --------___ Total Phos- phorus ..� Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3J 4 J 6 7 9 j 1-2-1 11 j 12 __8j y DT/Ac./ App. 14 Event 0.87 Arsenic 0.081 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.081 Cadmium 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Copper 0.383 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.383 Chromium.0.085 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.085 Lead 0.102 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.102 Mercury 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.001 Molyb- 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 denum Nickel 0.078 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.078 Selenium 0.094 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.094 Zinc 1.476 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.476 Total Phos- 42.310 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 42.310 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land Applier 1/11/2020 Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Lawrence McCollum Operator: Harry Sharpe Crop 1 Name: Fescue -Hay WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 7.63 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 8.8 RCOl l Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 8.8 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/4 123500 0.908 0.531 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 25.207 NA Fescue 9/5 78000 0.908 0.336 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 15.920 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 2otsoo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 41.127 1 0.000 Lime Applied Annuallbs/acre 0.081 0.010 0.383 0.085 0.102 0.001 0.025 0.078 0.094 1.476 42.310 4.373 5.849 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.042 0.023 1.98 0.494 0.34 0.009 0.076 0.293 0.059 10/9 2000 Current Cumulative lbs/ac 0.123 0.033 2.363 0.579 0.442 0.010 0.101 0.371 0.153 Permitted C. P. L. R.****1 36 1 34 1 1338 267 1 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 209 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 4.88 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Mary Stanley Predominant Soil Series: CgB2 Acres Used: 2 Acres Permitted: 2 Site #: RC019 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.44 Arsenic 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.079 Cadmium 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Copper 1.078 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.078 Chromiuni 0.219 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.219 Lead 0.295 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.295 Mercury 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Molyb- 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 denum Nickel 0.113 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.113 Selenium 0.092 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.092 Zinc 3.842 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.842 Total Phos- 110.685 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 110.685 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Mary Stanley Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 4.88 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: RC019 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' p - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/6 45500 2.57 2.438 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 123.124 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 45500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 123.1241 0.000 Lime Applied Annuallbs/acre 0.079 0.013 1.078 0.219 0.295 0.020 0.041 0.113 0.092 3.842 110.685 0.159 0.046 3.484 1.727 0.55 0.021 0.177 0.74 0.108 11.743 0.238 0.059 4.562 1.946 0.845 0.041 0.218 0.853 0.200 15.585 36 34 1338 267 15 374 89 2498 1 1 156 Date lbs/ac Prior Years Cumulative lbs/ac 2000 Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 14.63 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Mary Stanley Predominant Soil Series: CgB2 Acres Used: 8.5 Acres Permitted: 8.5 Site #: RC019 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.72 Arsenic 0.055 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.055 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 0.761 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.761 Chromiuni 0.155 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.155 Lead 0.208 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.208 Mercury 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Molyb- 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 denum Nickel 0.080 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.080 Selenium 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.065 Zinc 2.712 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.712 Total Phos- 78.133 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 78.133 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Mary Stanley Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 14.63 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 8.5 RC019 Acres Permitted: 8.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/6 6500 2.57 0.082 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 4.139 NA Fescue 5/7 130000 2.57 1.639 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 82.772 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 1365001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 86.911 0.000 Lime Applied Annuallbs/acre 0.055 0.009 0.761 0.155 0.208 0.014 0.029 0.080 0.065 2.712 78.133 0.167 0.064 4.354 2.219 1.031 0.027 0.204 0.984 0.121 14.121 0.222 0.073 5.115 2.374 1.239 0.041 0.233 1.064 0.186 16.833 36 34 1339 267 15 374 89 2498 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 11.84 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Mary Stanley Predominant Soil Series: CgB2 Acres Used: 7.1 Acres Permitted: 7.1 Site #: RC019 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 1.67 Arsenic 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 Cadmium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 0.737 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.737 Chromiuni 0.150 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.150 Lead 0.201 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.201 Mercury 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Molyb- 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 denum Nickel 0.077 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.077 Selenium 0.063 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.063 Zinc 2.629 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.629 Total Phos- 75.727 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 75.727 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Mary Stanley Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 11.84 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 7.1 RC019 Acres Permitted: 7.1 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' p - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/8 110500 2.57 1.668 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 84.230 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 110500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 84.230 0.000 Lime Applied Annuallbs/acre 0.054 0.009 0.737 0.150 0.201 0.014 0.028 0.077 0.063 2.629 75.727 0.116 0.033 2.764 1.154 0.467 0.021 0.138 0.635 0.067 8.155 0.170 0.042 3.501 1.304 0.668 0.035 0.166 0.712 0.130 10.784 36 34 1338 267 15 374 1 89 2498 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 18.31 Operator: Johnie Carty Owner: Johnie Carty Predominant Soil Series: CcB Acres Used: 11.4 Acres Permitted: 11.4 Site #: RC118 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.10 0.51 Arsenic 0.035 0.028 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.064 Cadmium 0.006 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Copper 0.486 0.329 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.815 Chromiuni 0.099 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.164 Lead 0.133 0.099 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.232 Mercury 0.009 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Molyb- 0.018 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.032 denum Nickel 0.051 0.026 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.077 Selenium 0.041 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.076 Zinc 1.734 1.174 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 2.908 Total Phos- 49.940 26.514 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 76.454 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 1 Acres Utilized: Johnie Carty Annual Dry Tons Applied: 18.31 Site #: RC118 Acres Permitted: Crop 1 Name Johnie Carty Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 156 CcB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 11.4 11.4 0 o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' - �. � a• o TKN mg/kg 65800 a o aQ 5 � �. mg/kg 17300 Nitrate and Nitrite mg/kg 2050 PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/3 39000 2.57 0.367 Reidsviile WWTP Dry <.5" S 0.5 0.3 18.515 NA Fescue 6/4 78000 2.57 0.733 Reidsviile WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 37.030 NA Fescue 10/17 65000 1.52 0.361 Reidsviile WWTP Dry <.5" S 0.5 0.3 33700 9670 306 8.927 NA Fescue 10/18 26000 1.52 0.145 Reidsviile WWTP Dry <.5" S 0.5 0.3 33700 9670 306 3.571 NA Fescue 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 2oa000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 68.042 0.000 Lime Applied Annuallbs/acre 0.064 0.010 0.815 0.164 0.232 0.011 0.032 0.077 0.076 2.908 76.454 52.289 55.197 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.523 0.444 30.892 1.23 5.974 0.156 1.17 4.35 0.682 Current Cumulative lbs/ac 0.587 0.454 31.707 1.394 6.206 0.167 1.202 4.427 0.758 Permitted C. P. L. R.****1 36 1 34 1 1338 1 1 267 1 15 1 1 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 156 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 4.53 Operator: Johnie Carty Owner: Johnie Carty Predominant Soil Series: CcB Acres Used: 5.6 Acres Permitted: 5.6 Site #: RC118 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 1 C 11 12 DT/Ac./ App. Event 0.81 Arsenic 0.045 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.045 Cadmium 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.526 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.526 Chromiuni 0.104 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.104 Lead 0.159 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.159 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 denum Nickel 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.042 Selenium 0.055 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.055 Zinc 1.877 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.877 Total Phos- 42.392 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 42.392 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 2 Acres Utilized: Johnie Carty Annual Dry Tons Applied: 4.53 Site #: RC118 Acres Permitted: Crop 1 Name Johnie Carty Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 156 CcB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 5.6 5.6 o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 -t � � * o * �' o' p - ~ �. � a• o TKN mg/kg a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 10/18 71500 1.52 0.809 Reidsviile WWTP Dry <.5" S 0.5 0.3 33700 9670 306 19.989 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 715001 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 19.989 0.000 Lime Applied Annuallbs/acre 0.045 0.006 0.526 0.104 0.159 0.003 0.022 0.042 0.055 1.877 42.392 62.982 64.859 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.525 0.473 39.875 1.31 7.499 0.177 1.243 5.509 0.673 Current Cumulative lbs/ac 0.570 0.479 40.401 1.414 7.658 0.180 1.265 5.551 0.728 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 156 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 42.78 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 23 Acres Permitted: 23 Site #: RC119 Field #: 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.09 0.77 Arsenic 0.035 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.078 Cadmium 0.006 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Copper 0.482 0.501 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.982 Chromiuni 0.098 0.099 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.197 Lead 0.132 0.151 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.283 Mercury 0.009 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.012 Molyb- 0.018 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.039 denum Nickel 0.050 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.090 Selenium 0.041 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.093 Zinc 1.718 1.786 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.504 Total Phos- 49.486 40.348 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 89.834 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 42.78 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 23 RC119 Acres Permitted: 23 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/30 110500 2.57 0.515 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 26.001 NA Fescue 5/31 123500 2.57 0.575 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 29.060 NA Fescue 10/24 149500 1.52 0.412 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 10.176 NA Fescue 10/25 130000 1.52 0.358 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 8.849 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 513500 As Cd Cu Cr Pb H Mo Ni Se Zn P 74.087 0.000 Lime A lied Annuallbs/acre 0.078 0.011 0.982 0.197 0.283 0.012 0.039 0.090 0.093 3.504 89.834 0.373 0.37 24.566 1.107 4.268 0.129 1.012 3.918 0.56 40.115 0.451 0.381 25.548 1.304 4.551 0.141 1.051 4.008 0.653 43.619 36 34 1338 267 15 374 89 2498 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 21.76 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 7.1 Acres Permitted: 7.1 Site #: RC119 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.96 1.10 Arsenic 0.063 0.062 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.125 Cadmium 0.011 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 0.867 0.717 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.584 Chromiuni 0.177 0.142 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.319 Lead 0.237 0.216 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.453 Mercury 0.016 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Molyb- 0.033 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.062 denum Nickel 0.091 0.057 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.148 Selenium 0.074 0.075 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.149 Zinc 3.092 2.559 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.651 Total Phos- 89.075 57.797 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 146.872 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 21.76 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 7.1 RC119 Acres Permitted: 7.1 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg 65800 a a o aQ 5 � �. mg/kg 17300 Nitrate and Nitrite mg/kg 2050 PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 6/3 130000 2.57 1.962 Reidsviile WWTP Dry <.5" S 0.5 0.3 99.094 NA Fescue 10/25 91000 1.52 0.812 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 20.066 NA Fescue 10/26 32500 1.52 0.290 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 7.166 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 253500 As Cd Cu Cr Pb H Mo Ni Se Zn P 126.326 0.000 Lime App lied Annuallbs/acre 0.125 0.019 1.584 0.319 0.453 0.020 0.062 0.148 0.149 5.651 146.8721 0.381 0.35 24.011 1.232 4.12 0.133 0.929 3.774 0.542 38.568 0.506 0.369 25.595 1.551 4.573 0.153 0.991 3.922 0.691 44.219 36 34 1339 267 15 374 89 2498 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 46.68 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 19.1 Acres Permitted: 19.1 Site #: RC119 Field #: 4 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.44 Arsenic 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.079 Cadmium 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 Copper 1.080 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.080 Chromiuni 0.220 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.220 Lead 0.295 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.295 Mercury 0.020 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.020 Molyb- 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 denum Nickel 0.113 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.113 Selenium 0.092 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.092 Zinc 3.852 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.852 Total Phos- 110.958 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 110.958 horus 1 1 1 1 "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 46.68 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 19.1 RC119 Acres Permitted: 19.1 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/23 91000 2.57 0.511 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 25.785 NA Fescue 5/24 91000 2.57 0.511 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 25.785 NA Fescue 5/28 188500 2.57 1.058 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 53.412 NA Fescue 5/29 65000 2.57 0.365 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 18.418 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 435500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 123.4001 0.000 Lime Applied Annuallbs/acre 0.079 0.013 1.080 0.220 0.295 0.020 0.041 0.113 0.092 3.852 110.958 0.294 0.323 21.598 0.76 3.637 0.12 0.86 3.514 0.489 34.516 0.373 0.336 22.678 0.980 3.932 0.140 0.901 3.627 0.581 38.368 3 1 34 1 1338 1 1 267 1 15 F 374 1 89 1 2498 1 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.****1 Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 18.11 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 8.5 Acres Permitted: 8.5 Site #: RC119 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.13 Arsenic 0.069 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.069 Cadmium 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Copper 0.942 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.942 Chromiuni 0.192 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.192 Lead 0.257 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.257 Mercury 0.018 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.018 Molyb- 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 denum Nickel 0.098 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.098 Selenium 0.080 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.080 Zinc 3.358 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.358 Total Phos- 96.747 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 96.747 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 18.11 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 8.5 RC119 Acres Permitted: 8.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/9 39000 2.57 0.492 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 24.832 NA Fescue 5/10 130000 2.57 1.639 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 82.772 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: o t69000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 107.6041 0.000 Lime Applied Annuallbs/acre 0.069 0.011 0.942 0.192 0.257 0.018 0.036 0.098 0.080 3.358 96.747 31.283 34.641 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.394 0.309 15.394 2.001 2.887 0.077 0.645 2.052 0.507 Current Cumulative lbs/ac 0.463 0.320 16.336 2.193 3.144 0.095 0.681 2.150 0.587 Permitted C. P. L. R.****1 3 1 34 1 1338 1 1 267 1 15 F 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 156 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 26.72 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 9.5 Acres Permitted: 9.5 Site #: RC119 Field #: 6 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.64 0.17 Arsenic 0.085 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.095 Cadmium 0.014 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Copper 1.167 0.112 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.279 Chromiuni 0.238 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.260 Lead 0.319 0.034 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.353 Mercury 0.022 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.022 Molyb- 0.044 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.049 denum Nickel 0.122 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.131 Selenium 0.099 0.012 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.111 Zinc 4.161 0.401 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.562 Total Phos- 119.856 9.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 128.921 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 26.72 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: Acres Utilized: 9.5 RC119 Acres Permitted: 9.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' q - �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/29 123500 2.57 1.393 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 70.356 NA Fescue 5/30 110500 2.57 1.247 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 62.951 NA Fescue 10/24 26000 1.52 0.173 Reidsville WWTP Dry <.5" S 0.5 0.3 33700 9670 306 4.285 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 260000 As Cd Cu Cr Pb H Mo Ni Se Zn P 137,592 0.000 Lime App lied Annuallbs/acre 0.095 0.015 1.279 0.260 0.353 0.022 0.049 0.131 0.111 4.562 128.921 0.178 0.067 5.523 1.221 0.846 0.029 0.266 0.738 0.205 12.274 0.273 0.082 6.802 1.481 1.199 0.051 0.315 0.869 0.316 16.836 36 34 1339 267 15 374 89 2498 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.**** Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: Acres Used: 4.5 Acres Permitted: 4.5 Site #: RC119 Field #: 5.57 0 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.24 Arsenic 0.040 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.040 Cadmium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Copper 0.547 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.547 Chromiuni 0.111 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.111 Lead 0.150 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.150 Mercury 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.010 Molyb- 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 denum Nickel 0.057 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.057 Selenium 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Zinc 1.951 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.951 Total Phos- 56.205 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 56.205 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 8 Acres Utilized: Thomas Carter Annual Dry Tons Applied: 5.57 Site #: RC119 Acres Permitted: Thomas Carter Crop 1 Name: Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 87.75 JkB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 4.5 4.5 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * o * �' o' p - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/22 52000 2.57 1.238 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 62.539 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 52000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 62.539 0.000 Lime Applied Annuallbs/acre 0.040 0.007 0.547 0.111 0.150 0.010 0.021 0.057 0.047 1.951 56.205 2.111 4.062 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.057 0.014 1.126 0.044 0.204 0.006 0.055 0.159 0.061 Current Cumulative lbs/ac 0.097 0.021 1.673 0.155 0.354 0.016 0.076 0.216 0.108 Permitted C. P. L. R.**** 36 34 1338 1 267 1 15 374 89 Permit PAN Limit 1 st/2nd Crop 87.75 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 13.23 Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 6.6 Acres Permitted: 6.6 Site #: RC119 Field #: 10 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.01 Arsenic 0.065 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.065 Cadmium 0.011 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.011 Copper 0.886 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.886 Chromiuni 0.180 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.180 Lead 0.242 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.242 Mercury 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Molyb- 0.034 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.034 denum Nickel 0.093 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.093 Selenium 0.075 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.075 Zinc 3.160 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.160 Total Phos- 91.027 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 91.027 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 13.23 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: 10 Acres Utilized: 6.6 RC119 Acres Permitted: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 6.6 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/8 32500 2.57 0.528 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 26.650 NA Fescue 5/9 91000 2.57 1.478 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 74.620 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: o t235oo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 101.2711 0.000 Lime Applied Annuallbs/acre 0.065 0.011 0.886 0.180 0.242 0.017 0.034 0.093 0.075 3.160 91.027 0.084 0.035 1.712 0.747 0.263 0.014 0.118 0.43 0.047 5.283 0.149 0.046 2.598 0.927 0.505 0.031 0.152 0.523 0.122 8.443 3 1 34 1 1338 1 1 267 1 15 F 374 1 89 1 2498 1 1 156 Date lbs/ac Prior Years Cumulative lbs/ac Current Cumulative lbs/ac Permitted C. P. L. R.****1 Permit PAN Limit 1 st/2nd Crop "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 9.06 Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: CgB2 Acres Used: 20 Acres Permitted: 20 Site #: RC119 Field #: 11 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.45 Arsenic 0.015 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.015 Cadmium 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.002 Copper 0.200 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.200 Chromiuni 0.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.041 Lead 0.055 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.055 Mercury 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Molyb- 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 denum Nickel 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Selenium 0.017 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.017 Zinc 0.714 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.714 Total Phos- 20.566 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 20.566 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Thomas Carter Operator: Thomas Carter Crop 1 Name: Fescue -Pasture WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 9.06 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 156 Crop 2 Name: 11 Acres Utilized: 20 RC119 Acres Permitted: 20 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' p - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/22 84500 2.57 0.453 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 22.866 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: o a45oo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 22.866 0.000 Lime Applied Annuallbs/acre 0.015 0.002 0.200 0.041 0.055 0.004 0.008 0.021 0.017 0.714 20.566 4.291 5.005 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.074 0.023 1.573 0.691 0.202 0.01 0.089 0.371 0.04 Current Cumulative lbs/ac 0.089 0.025 1.773 0.732 0.257 0.014 0.097 0.392 0.057 Permitted C. P. L. R.****1 36 34 1 1339 267 1 15 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 1 156 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 2.02 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Thomas Carter Owner: Thomas Carter Predominant Soil Series: NaB Acres Used: 2.6 Acres Permitted: 2.6 Site #: RC119 Field #: 12 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.78 Arsenic 0.025 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.025 Cadmium 0.004 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.004 Copper 0.343 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.343 Chromium 0.070 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.070 Lead 0.094 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.094 Mercury 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Molyb- 0.013 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.013 denum Nickel 0.036 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.036 Selenium 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Zinc 1.223 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.223 Total Phos- 35.230 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 35.230 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 12 Acres Utilized: Thomas Carter Annual Dry Tons Applied: 2.02 Site #: RC119 Acres Permitted: Thomas Carter Crop 1 Name: Fescue -Pasture Predominant Soil Series: Crop 1 Max. PAN: 133.5 NaB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 2.6 2.6 o Volume applied (enter one) Solids/ Liquid q Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * c * �' o' p - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/22 26000 1.86 0.776 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 39.169 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 2600o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 39.169 r 0.000 Lime Applied Annuallbs/acre 0.025 0.004 0.343 0.070 0.094 0.006 0.013 0.036 0.029 1.223 35.230 8.405 9.628 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.111 0.069 3.752 0.789 0.441 0.012 0.184 0.85 0.076 Current Cumulative lbs/ac 0.136 0.073 4.095 0.859 0.535 0.018 0.197 0.886 0.105 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 133.5 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Gene Small Owner: Harvery Albert Predominant Soil Series: Acres Used: 9.9 Acres Permitted: 9.9 Site #: RC125 Field #: 25.08 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 2.53 Arsenic 0.082 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.082 Cadmium 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 1.120 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.120 Chromiuni 0.228 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.228 Lead 0.306 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.306 Mercury 0.021 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.021 Molyb- 0.042 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.042 denum Nickel 0.117 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.117 Selenium 0.095 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.095 Zinc 3.992 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.992 Total Phos- 114.998 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 114.998 horus 1 1 1 1 "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 4 Acres Utilized: Harvery Albert Annual Dry Tons Applied: 25.08 Site #: RC125 Acres Permitted: Gene Small Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 178 NaB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 9.9 9.9 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * c * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/2 143000 2.57 1.548 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 78.174 NA Fescue 5/21 91000 2.57 0.985 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 49.747 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 23400o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 127.921 F0,000 Lime Applied Annuallbs/acre 0.082 0.014 1.120 0.228 0.306 0.021 0.042 0.117 0.095 3.992 114.9981 4.008 8.000 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.037 0.02 1.639 0.416 0.361 0.011 0.058 0.241 0.051 Current Cumulative lbs/ac 0.119 0.034 2.759 0.644 0.667 0.032 0.100 0.358 0.146 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 178 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 33.44 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Gene Small Owner: Harvery Albert Predominant Soil Series: CgB2 Acres Used: 9.5 Acres Permitted: 9.5 Site #: RC125 Field #: 5 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 3.52 Arsenic 0.113 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.113 Cadmium 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 1.556 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.556 Chromiuni 0.317 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.317 Lead 0.425 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.425 Mercury 0.029 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.029 Molyb- 0.059 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.059 denum Nickel 0.163 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.163 Selenium 0.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.132 Zinc 5.548 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 5.548 Total Phos- 159.808 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 159.808 horus 1 1 1 1 "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Harvery Albert Operator: Gene Small Crop 1 Name: Fescue -Hay WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 33.44 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 9.5 RC125 Acres Permitted: 9.5 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/3 188500 2.57 2.126 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 107.386 NA Fescue 5/4 123500 2.57 1.393 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 70.356 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 3t2000 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 1177.743 1 0.000 Lime Applied Annuallbs/acre 0.113 0.019 1.556 0.317 0.425 0.029 0.059 0.163 0.132 5.548 159.8081 3.775 9.323 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.037 0.019 1.599 0.422 0.31 0.01 0.057 0.235 0.051 Current Cumulative lbs/ac 0.150 0.038 3.155 0.739 0.735 0.039 0.116 0.398 0.183 Permitted C. P. L. R.****1 36 1 34 1 1338 267 1 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 209 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 28.55 Operator: Gene Small Owner: Harold Sharpe Predominant Soil Series: RnD Acres Used: 25 Acres Permitted: 25 Site #: RC125 Field #: 6 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 1.14 Arsenic 0.037 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.037 Cadmium 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.006 Copper 0.505 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.505 Chromiuni 0.103 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.103 Lead 0.138 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.138 Mercury 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Molyb- 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 denum Nickel 0.053 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.053 Selenium 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.043 Zinc 1.800 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.800 Total Phos- 51.847 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 51.847 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 6 Acres Utilized: Harold Sharpe Annual Dry Tons Applied: 28.55 Site #: RC125 Acres Permitted: Gene Small Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 141 RnD Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 25 25 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * o * �' o' - ~ �. � a• o TKN mg/kg 65800 a a o aQ 5 � �. mg/kg 17300 Nitrate and Nitrite mg/kg 2050 PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 5/18 188500 2.57 0.808 Reidsviile WWTP Dry <.5" S 0.5 0.3 40.807 NA Fescue 5/20 78000 2.57 0.334 Reidsviile WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 16.886 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4-0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 266soo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 57.692 1 0.000 Lime Applied Annuallbs/acre 0.037 0.006 0.505 0.103 0.138 0.009 0.019 0.053 0.043 1.800 51.847 3.713 5.513 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.035 0.019 1.586 0.406 0.304 0.01 0.059 0.239 0.052 Current Cumulative lbs/ac 0.072 0.025 2.091 0.509 0.442 0.019 0.078 0.292 0.095 Permitted C. P. L. R.**** 36 1 34 1 1339 267 1 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 141 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): 82.69 Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Auman French Owner: State of N.C. Predominant Soil Series: CgB2 Acres Used: 34 Acres Permitted: 34 Site #: RC126 Field #: 2 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or posm10 - Date 1 1 1/16/19 2 4/8/19 L7/2/19 4 WTP19 5 6 7 8 9 10 11 12 % Solids 0.854 2.57 0.908 1 2.37 Arsenic 52.4 16.1 46.6 17.5 Cadmium 6.19 2.68 5.5 2.06 Copper 341 221 221 119 Chromium 57.9 45 48.9 32.3 Lead 82.6 60.4 58.8 19.9 Mercury 1.73 4.15 0.362 0.139 Molyb- denum 16.3 8.38 14.4 5.42 Nickel 32.5 23.1 45 17.7 Selenium 62.5 18.8 54.4 20.4 Zinc 1090 788 851 78.3 Total Phos- horns 35900 22700 24400 1510 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ App. Event 0.36 0.80 0.72 0.55 Arsenic 1 0.038 0.026 0.067 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.150 Cadmium 0.004 0.004 0.008 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.019 Copper 0.246 0.353 0.320 0.130 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.050 Chromium0.042 0.072 0.071 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.220 Lead 0.060 0.097 0.085 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.263 Mercury 0.001 0.007 0.001 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Molyb- 0.012 0.013 0.021 0.006 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.052 denum Nickel 0.023 0.037 0.065 0.019 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.145 Selenium 0.045 0.030 0.079 0.022 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.176 Zinc 0.787 1.259 1.232 0.086 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.364 Total Phos- 25.920 36.275 35.331 1.655 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 99.181 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville State of N.C. Operator: Auman French Crop 1 Name: Fescue -Hay WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 82.69 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 209 Crop 2 Name: Acres Utilized: 34 RC126 Acres Permitted: 34 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o cc � � * ?. * �' o' 7� q - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 3/27 58500 0.854 0.061 Reidsville WWTP Dry <.5" S 0.5 0.3 78800 40000 585 3.949 NA Fescue 3/28 136500 0.854 0.143 Reidsville WWTP Dry <.5" S 0.5 0.3 78800 40000 585 9.214 NA Fescue 3/29 149500 0.854 0.157 Reidsville WWTP Dry <.5" S 0.5 0.3 78800 40000 585 10.092 NA Fescue 4/1 84500 2.57 0.266 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 13.450 NA Fescue 4/2 1 97500 1 2.57 0.307 Reidsville WWTP Dry <.5" S 0.5 0.3 65800 17300 2050 15.520 NA Fescue 4/3 71500 2.57 0.225 Reidsville WWTP Dry <.5" S 0.5 1 0.3 65800 1 17300 2050 11.381 NA Fescue 8/21 162500 0.908 0.181 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 8.584 NA Fescue 8/27 45500 0.908 0.051 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 2.404 NA Fescue 8/28 136500 0.908 1 0.152 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 7.211 NA Fescue 8/29 1 221000 0.908 0.246 Reidsville WWTP Dry <.5" S 0.5 0.3 1 63000 21600 1 498 11.675 NA Fescue 8/30 84500 0.908 0.094 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 4.464 NA Fescue 11/6 78000 2.37 0.227 Reidsville WTP Dry <.5" S 0.5 0.1 7580 15300 206 3.212 NA Fescue 0 110500 0.321 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): 4.551 0.000 TOTALS: o t436soo As Cd Cu Cr Pb Hg Mo Ni Se Zn P 105.707 0.00o Lime Applied Annuallbs/acre 0.150 0.019 1.050 0.220 0.263 0.009 0.052 0.145 0.176 3.364 99.181 8.499 11.863 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.073 0.038 2.834 0.9 0.852 0.016 0.123 0.462 0.098 Current Cumulative lbs/ac 0.223 0.057 3.884 1.120 1.115 0.025 0.175 0.607 0.274 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 209 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM Supplemental Information PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: City of Reidsville WQ Permit #: WQ0002376 Field #: 2 Acres Utilized: 34 Land Owner: State of N.C. Annual Dry Tons Applied: 82.69 Site #: NC-RC126 Acres Permitted: 34 Operator: Auman French Predominant Soil Series: CgB2 Cation Exchange Capacity (non 503): Crop 1 Name: Fescue -Hay Crop 1 Max. PAN: 209.00 Crop 2 Name: Crop 2 Max PAN: 61 o Q Volume applied (enter one ) Cu. Yds Gallons ��o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. D (Dry, e ' Moist) Dry Preci P Past 24 Hrs. inches Y '`j c�c �• * C o * °� �, F r 0.1 TKN mg/kg 7580 Z a o ac C Z mg/kg 15300 Nitrate and Nitrite mg/kg 206 PAN Applied ( lbs/acre) Name of Crop Type P YP Receivin Residual g Application Crop 1 Crop 2 Crop 1 Crop 2 11/7 110500 2.37 0.321 Reidsville WTP <.5" S 0.5 4.551 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 TOTALS: 0 110500 0.321 4.551 0.000 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation -1.0 Signature of Land Applier Date ***C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (SUPP) (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): 23.34 Operator: Auman French Owner: Marian French Predominant Soil Series: CgB2 Acres Used: 17.15 Acres Permitted: 17.15 Site #: RC126 Field #: 3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 1 Unifi 4/8/19 21 Reids 7/2/19 L31 4 5 6 7 8 9 10 J jjj 12 % Solids 2.55 0.908 Arsenic 16.8 46.6 Cadmium 1.98 5.5 Copper 144 221 Chromium 48.8 48.9 Lead 61.2 58.8 Mercury 1.22 0.362 Molyb- denum 5.2 14.4 Nickel 16.4 45 Selenium 19.6 54.4 Zinc 576 851 Total Phos- horns 5800 24400 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 2 3 4 5 6 7 8 9 10 11 12 DT/Ac./ App. Event 0.89 0.47 Arsenic 1 0.030 0.044 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.074 Cadmium 0.004 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Copper 0.255 0.210 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.465 Chromium0.087 0.046 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.133 Lead 0.109 0.056 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.164 Mercury 0.002 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- 0.009 0.014 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.023 denum Nickel 0.029 0.043 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.072 Selenium 0.035 0.052 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.086 Zinc 1.022 0.807 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.829 Total Phos- 10.289 23.131 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 33.420 horus "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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville Marian French Operator: Auman French Crop 1 Name: Fescue -Hay WQ Permit #: WQ0002376 Field #: Annual Dry Tons Applied: 23.34 Site #: Predominant Soil Series: CgB2 Crop 1 Max. PAN: 185 Crop 2 Name: Acres Utilized: 17.15 RC126 Acres Permitted: 17.15 Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons coo Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches >o � � * * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 4/11 78000 2.58 0.489 Unifi Inc. Dry <.5" S 0.5 0.3 34250 6600 2305 13.603 NA Fescue 4/12 19500 2.58 0.122 Unifi Inc. Dry <.5" S 0.5 0.3 34250 6600 2305 3.401 NA Fescue 4/17 45500 2.58 0.285 Unifi Inc. Dry <.5" S 0.5 0.3 34250 6600 2305 7.935 NA Fescue 8/19 117000 0.908 0.258 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 12.253 NA Fescue 8/20 97500 0.908 0.215 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 10.211 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 01 357500 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 47.403 0.000 Lime Applied Annuallbs/acre 0.074 0.009 0.465 0.133 0.164 0.003 0.023 0.072 0.086 1.829 33.420 1.788 3.617 1 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.016 0.009 0.782 0.18 0.14 0.004 0.032 0.105 0.025 Current Cumulative lbs/ac 0.090 0.018 1.247 0.313 0.304 0.007 0.055 0.177 0.111 Permitted C. P. L. R.****1 36 1 34 1 1338 1 1 267 1 15 1 1 374 1 89 Permit PAN Limit 1 st/2nd Crop 1 185 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: City of Reidsville Total Dry Tons Applied (Annual): Permit #: WQ0002376 Cation Exchange Capacity (non 503 only): Operator: Ken Martin Owner: Ken Martin Predominant Soil Series: Acres Used: 21 Acres Permitted: 21 Site #: RC130 Field #: 37.07 CmB 1 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Com- posite Date Total Phos- phonis Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 2 3 4 5 6 7 8 9 LOJ 11 12 DT/Ac./ App. Event 0.35 1.41 Arsenic 0.033 0.079 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.112 Cadmium 0.004 0.010 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.014 Copper 0.156 0.918 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.074 Chromiuni 0.034 0.182 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.216 Lead 0.041 0.277 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.318 Mercury 0.000 0.005 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.005 Molyb- 0.010 0.038 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.048 denum Nickel 0.032 0.073 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.105 Selenium 0.038 0.096 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.135 Zinc 0.599 3.278 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.877 Total Phos- 17.178 74.041 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 91.219 horus "1 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". Z�fz 4; 1/11/2020 Signature of Land Applier Date DENR FORM MFLSF (12/2006) Facility Name: Land Owner: Operator: ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. City of Reidsville WQ Permit #: WQ0002376 Field #: 1 Acres Utilized: Ken Martin Annual Dry Tons Applied: 37.07 Site #: RC130 Acres Permitted: Ken Martin Crop 1 Name: Fescue -Hay Predominant Soil Series: Crop 1 Max. PAN: 146 CmB Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: 21 21 0 o Volume applied (enter one) Solids/ Liquid 4 Cu. Yds Gallons % Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet, Moist) Precip. Past 24 Hrs. inches 4 � � � * o * �' o' - ~ �. � a• o TKN mg/kg a a o aQ 5 � �. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 9/5 84500 0.908 0.152 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 7.227 NA Fescue 9/6 110500 0.908 0.199 Reidsville WWTP Dry <.5" S 0.5 0.3 63000 21600 498 9.451 NA Fescue 10/18 104000 1.52 0.314 Reidsviile WWTP Dry <.5" S 0.5 0.3 33700 9670 306 7.753 NA Fescue 10/19 182000 1.52 0.549 Reidsviile WWTP Dry <.5" S 0.5 0.3 33700 9670 306 13.568 NA Fescue 12/7 32500 1.52 0.098 Reidsviile WWTP Dry <.5" S 0.5 0.3 33700 9670 306 2.423 NA Fescue 12/8 149500 1.52 0.451 Reidsviile WWTP Dry <.5" S 0.5 0.3 1 33700 9670 306 11.145 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): TOTALS: 0 66300o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 51.568 FO.000 Lime Applied Annuallbs/acre 0.112 0.014 1.074 0.216 0.318 0.005 0.048 0.105 0.135 3.877 91.219 1 12.677 16.554 2498 Date lbs/ac Prior Years Cumulative lbs/ac 0.131 0.064 5.295 1.515 0.956 0.029 0.213 0.812 0.168 Current Cumulative lbs/ac 0.243 0.078 6.369 1.731 1.274 0.034 0.261 0.917 0.303 Permitted C. P. L. R.**** 36 34 1338 267 15 374 89 Permit PAN Limit 1 st/2nd Crop 1 1 146 "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1/11/2020 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Waypoint ANALYTICAL 1/31/2019 EMA Resources Inc Brent Collins 755 Yadkinville Rd Mocksville, NC, 27028 Ref: Analytical Testing Lab Report Number: 19-018-0263 Client Project Description: Reidsville, NC 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Dear Brent Collins: Waypoint Analytical, LLC. received sample(s) on 1/18/2019 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. 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. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '—' symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. 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, Jimmy R. Ferguson Assistant Technical Director 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. Alabama #40750 Louisiana #04015 VA NELAP #460181 Texas #T104704180-11-6 Arkansas #88-0650 Mississippi California #2904 NC #415 Oklahoma #9311 Virginia #00106 Kentucky #90047 Tennessee #TN02027 EPA #TN00012 Kentucky UST #41 Page 1 of 6 Waypointo ANALYTICAL Client: EMA Resources Inc Project: Reidsville, NC Lab Report Number: 19-018-0263 Date: 1/29/2019 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com CASE NARRATIVE Metals Analysis Method 6010D Sample 94614 Analyte: Aluminum QC Batch No: L417781 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Calcium QC Batch No: L417781 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was not within the method limits. Matrix interference is suspected. Analyte: Iron QC Batch No: L417781 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Potassium QC Batch No: L417781 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Manganese QC Batch No: L417781 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Selenium QC Batch No: L418187 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Page 2 of 6 Wa OI �� ' 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 Y ANALYTICAL www.wa ointanal tical.com Yp Y 46245 EMA Resources Inc Brent Collins Project Reidsville, NC Report Date : 01/31/2019 755 Yadkinville Rd Information : Received : 01/18/2019 Mocksville , NC 27028 Report Number : 19-018-0263 REPORT OFANAL YSIS Jimmy R. Ferguson Assistant Technical Director Lab No : 95023 Matrix: Solids Sample ID : Sludge Sampled: 1/16/2019 10:30 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method % Moisture 99.2 % 1 01/23/19 16:42 TKM SW-DRYWT Ammonia Nitrogen 4.00 % - dry 0.250 1.25 1 01/25/19 10:00 ZBD 4500NH3C-2011 Nitrate+Nitrite-N <585 mg/Kg - dry 585 585 1 01/24/19 10:52 ZBD 4500NO3F-2011 pH 6.9 S.U. 1 01/25/19 09:07 JSL 9045D Total Solids 0.854 % 0.010 0.010 1 01/21/19 13:42 CJR 2540G-2011 Total Volatile Solids 64.5 % 0.010 0.010 1 01/21/19 13:42 CJR 2540G-2011 Total Kjeldahl Nitrogen 7.88 % - dry 0.125 3.13 1 01/29/19 14:30 CLP 4500NH3C-2011 Phosphorus 35900 mg/Kg - dry 321 625 1 01/21/19 23:15 KKM 6010D Aluminum 25800 mg/Kg - dry 254 625 1 01/21/19 23:15 KKM 6010D Arsenic <52.4 mg/Kg - dry 52.4 62.5 1 01/21/19 23:15 KKM 6010D Cadmium <6.19 mg/Kg - dry 6.19 12.5 1 01/21/19 23:15 KKM 6010D Calcium 25900 mg/Kg - dry 2100 3130 1 01/21/19 23:15 KKM 6010D Chromium 57.9 mg/Kg - dry 23.8 31.3 1 01/21/19 23:15 KKM 6010D Copper 341 mg/Kg - dry 18.1 31.3 1 01/21/19 23:15 KKM 6010D Iron 21300 mg/Kg - dry 530 625 1 01/21/19 23:15 KKM 6010D Lead 82.6 mg/Kg - dry 18.6 37.5 1 01/21/19 23:15 KKM 6010D Magnesium 6400 mg/Kg - dry 278 625 1 01/21/19 23:15 KKM 6010D Manganese 850 mg/Kg - dry 22.9 62.5 1 01/21/19 23:15 KKM 6010D Mercury 1.733 mg/Kg - dry 0.415 1.88 1 01/21/19 11:57 TJS 7471A Molybdenum <16.3 mg/Kg - dry 16.3 31.3 1 01/21/19 23:15 KKM 6010D Nickel 32.5 mg/Kg - dry 20.6 31.3 1 01/21/19 23:15 KKM 6010D Potassium 6790 mg/Kg - dry 373 625 1 01/21/19 23:15 KKM 6010D Selenium <62.5 mg/Kg - dry 61.3 62.5 1 01/21/19 23:15 KKM 6010D Qualifiers/ DF Dilution Factor J Estimated value Definitions MQL Method Quantitation Limit Page 3 of 6 Waypoint, ANALYTICAL 46245 EMA Resources Inc Brent Collins 755 Yadkinville Rd Mocksville , NC 27028 Report Number : 19-018-0263 Lab No : 95023 Sample ID : Sludge 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Project Reidsville, NC Information : REPORT OFANALYSIS Report Date : 01/31/2019 Received : 01/18/2019 Jimmy R. Ferguson Assistant Technical Director Matrix: Solids Sampled: 1/16/2019 10:30 Test Results Units MDL MQL DF Date / Time Analyzed By Analytical Method Sodium 19400 mg/Kg - dry 965 3130 1 01/21/19 23:15 KKM 6010D Zinc 1090 mg/Kg - dry 135 156 1 01/21/19 23:15 KKM 6010D Sulfur 12600 mg/Kg - dry 611 625 1 01/21/19 23:15 KKM 6010D Organic N 3.88 % - dry 0.250 1.25 1 01/25/19 10:00 CALCULATION Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit J Estimated value Page 4 of 6 (2)W• ayPoi nt 2790 Whitten Road, Memphis, 21.2440 Main 901.213.2400 'Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com Cooler Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 19-018-0263 Shipping Method ® Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: T56 Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received F-71 Custody seals intact on shipping container/cooler? 0 Yes 0 No ! Not Required Custody seals intact on sample bottles? 0 Yes 0 No ® Not Required Chain of Custody (COC) present? 0 Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? 0 Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No ® N/A Water - VOA vials free of headspace 0 Yes 0 No ® N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes ® No Comments: Signature: ISovanchampa Yos Date & Time: 01/18/2019 12:51:12 Page 5 of 6 6( Client Name/Address Client Project Manager/Contact Billing Information For Laboratory Use Only EMA Resources Inc Brent Collins Account #46245 755 Yadkinville Rd Mocksville, NC 27028 Project Description Project/site Location (City/State) RUSH - Additional charges apply Id d of Shipment Matrix Key $V�II� ;OISv���C-nIC[:]Client Special Detection Limits) Date Results Needed Ex UPS �USPS PFC0.1urier Client Drop Off WW -Wastewater GW -Groundwater DW - Drinking Water S- Soil /Solid 0 - Oil P- Product M - Mist Other CWNM Project Number Project Manager Phone # Project Manager Email Purchase Order Number Site/Facility ID # 336-399-3646 brent coilins@emaresoirces.com N Q M Z C 1 (n A Cool < 10C Na25203 (Micro Only) Waypoint Yp o r 0 L a Cool <_ 6C C ANALYTICAL 0 o E �-' cEc (� tT rr0nn V J H2SO4 pH<2 D None Required 2790 Whitten Road o U rn C Q O IU E NaOH pH>30 F HNO3 pH<2 Memphis, TN 38133 Unless noted, all containers ii o $ N N Z } G HCL pHQ (901) 213-2400 per Table II of 40 CFR Part a E x n a Y ;. O L Q H H3PO4 pH<2 136. Z Z I — Cool — 6C NA25203 Date Time Sample Identification Required Analysis / Preservative Comments/Notes Metals:Al,As,Ga,Cd,Cr,CU,Fe,Pb Mn,M9,Mo,Hg,Nj,Se,Na,P,S,k,Zn 111111111111111110 1111111111IN11111 III11111111111 III III o -18- 0193 EMA Resources Inc 124944 Reidsville M�Cl�ientemarks/Comments For Laboratory Use Only Sampled by (Name - Print) �� �- ��� A Sudge Samples - Report Dry Weight Ice Custody Seals Lab Comments� p�ry % Relinquished by: (SIGNATURE) ) Date Time Received by: (SIGNATURE) Date Time Blank/Co ler T Relinquished by: (SIGNATURE) Date Time Received by: (SIGNATURE) Date Time C, [Relinquished by: (SIGNATURE) Date Time Receive by: IGNAT E) (S� ate Ti l� n ` 1 Waypoint ANALYTICAL 4/17/2019 EMA Resources Inc Brent Collins 755 Yadkinville Rd Mocksville, NC, 27028 Ref: Analytical Testing Lab Report Number: 19-099-0218 Client Project Description: Reidsville, NC 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Dear Brent Collins: Waypoint Analytical, LLC. received sample(s) on 4/9/2019 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. 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 August 2017) and NELAC unless otherwise indicated. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '—' symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. 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, Danyale Love Project Manager 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. Alabama #40750 Louisiana #04015 Mississippi California #2904 Kentucky #90047 Tennessee #TN02027 VA NELAP #460181 NC #415 EPA #TN00012 Texas #T104704180 Arkansas #88-0650 Oklahoma #9311 SC #84002 Kentucky UST #80215 PA DEP #68-03195 . L +� i vxu CL Page 1 of 7 Waypointo ANALYTICAL Client: EMA Resources Inc Project: Reidsville, NC Lab Report Number: 19-099-0218 Date: 4/17/2019 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com CASE NARRATIVE Metals Analysis Method 6010D Analyte: Aluminum QC Batch No: L431642 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Arsenic QC Batch No: L431318 MS/MSD Recovery failed, DT confirmed matrix interference QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Calcium QC Batch No: L431318 MS/MSD Recovery failed, DT confirmed matrix interference QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Chromium QC Batch No: L431642 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Iron QC Batch No: L431642 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Potassium QC Batch No: L431318 MS/MSD Recovery failed, DT confirmed matrix interference QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Page 2 of 7 Waypointo ANALYTICAL Analyte: Manganese QC Batch No: L431318 MS/MSD Recovery failed, DT confirmed matrix interference 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range due to the analyte concentration being greater than 25 times the method quantitation limit (MQL). A dilution test was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Lead QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Selenium QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Analyte: Zinc QC Batch No: L431467 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Solids Total Mercury Analysis - CVAA Method 7471A Sample 94650 (Reidsville) Analyte: Mercury QC Batch No: L430890/L431165 The matrix spike (MS) and/or the matrix spike duplicate (MSD) was out of the acceptable recovery range. Due to the analyte concentration being less than 25 times the method quantitation limit (MQL) a post digestion spike was performed and the recovery was within the method limits. No matrix interference is suspected. Page 3 of 7 Wa OI �� ' 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 Y ANALYTICAL www.wa ointanal tical.com Yp Y 46245 EMA Resources Inc Brent Collins Project Reidsville, NC Report Date : 04/17/2019 755 Yadkinville Rd Information : Received : 04/09/2019 Mocksville , NC 27028 Report Number : 19-099-0218 REPORT OFANAL YSIS Danyale Love Project Manager Lab No : 94650 Matrix: Solids Sample ID : Reidsville Sampled: 4/8/2019 8:15 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method % Moisture 97.4 % 0.010 1 04/10/19 14:30 CJR SW-DRYWT Ammonia Nitrogen 1.73 % - dry 0.076 0.384 1 04/15/19 15:30 JPJ 4500NH3C-2011 Nitrate+Nitrite-N 2050 mg/Kg - dry 187 187 1 04/15/19 12:52 ZBD 4500NO3F-2011 pH 6.5 S.U. 1 04/15/19 07:07 JSL 9045D Total Solids 2.57 % 0.010 0.010 1 04/10/19 14:30 CJR 2540G-2011 Total Volatile Solids 71.4 % 0.010 0.010 1 04/10/19 14:30 CJR 2540G-2011 Total Kjeldahl Nitrogen 6.58 % - dry 0.038 0.961 1 04/15/19 12:30 CLP 4500NH3C-2011 Phosphorus 22700 mg/Kg - dry 98.8 192 1 04/15/19 21:59 BKN 6010D Aluminum 18800 mg/Kg - dry 78.1 192 1 04/17/19 13:13 BKN 6010D Arsenic <16.1 mg/Kg - dry 16.1 19.2 1 04/15/19 21:59 BKN 6010D Cadmium 2.683 mg/Kg - dry 1.90 3.85 1 04/15/19 21:59 BKN 6010D Calcium 14900 mg/Kg - dry 646 962 1 04/15/19 21:59 BKN 6010D Chromium 45.0 mg/Kg - dry 7.31 9.62 1 04/15/19 21:59 BKN 6010D Copper 221 mg/Kg - dry 5.58 9.62 1 04/15/19 21:59 BKN 6010D Iron 15500 mg/Kg - dry 163 192 1 04/15/19 21:59 BKN 6010D Lead 60.4 mg/Kg - dry 5.73 11.5 1 04/15/19 21:59 BKN 6010D Magnesium 3600 mg/Kg - dry 85.4 192 1 04/15/19 21:59 BKN 6010D Manganese 677 mg/Kg - dry 7.04 19.2 1 04/15/19 21:59 BKN 6010D Mercury 4.15 mg/Kg - dry 0.130 0.592 1 04/16/19 12:59 KKM 7471A Molybdenum 8.383 mg/Kg - dry 5.00 9.62 1 04/15/19 21:59 BKN 6010D Nickel 23.1 mg/Kg - dry 6.35 9.62 1 04/15/19 21:59 BKN 6010D Potassium 4120 mg/Kg - dry 115 192 1 04/15/19 21:59 BKN 6010D Selenium <18.8 mg/Kg - dry 18.8 19.2 1 04/15/19 21:59 BKN 6010D Qualifiers/ DF Dilution Factor J Estimated value Definitions MQL Method Quantitation Limit Page 4 of 7 Waypoint, ANALYTICAL 46245 EMA Resources Inc Brent Collins 755 Yadkinville Rd Mocksville , NC 27028 Report Number : 19-099-0218 Lab No : 94650 Sample ID : Reidsville 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Project Reidsville, NC Information : REPORT OFANALYSIS Report Date : 04/17/2019 Received : 04/09/2019 Q0" Danyale Love Project Manager Matrix: Solids Sampled: 4/8/2019 8:15 Test Results Units MDL MQL DF Date / Time Analyzed By Analytical Method Sodium 6190 mg/Kg - dry 297 962 1 04/15/19 21:59 BKN 6010D Zinc 788 mg/Kg - dry 41.5 48.1 1 04/15/19 21:59 BKN 6010D Sulfur 10600 mg/Kg - dry 188 192 1 04/15/19 21:59 BKN 6010D Organic N 4.85 % - dry 0.076 0.384 1 04/15/19 12:30 ACA CALCULATION Qualifiers/ DF Dilution Factor Definitions MQL Method Quantitation Limit J Estimated value Page 5 of 7 (2)W• ayPoi nt 2790 Whitten Road, Memphis, 21.2440 Main 901.213.2400 'Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com Cooler Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 19-099-0218 Shipping Method ® Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: 39 Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received F-71 Custody seals intact on shipping container/cooler? 0 Yes 0 No ! Not Required Custody seals intact on sample bottles? 0 Yes 0 No ® Not Required Chain of Custody (COC) present? 0 Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? 0 Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No ® N/A Water - VOA vials free of headspace 0 Yes 0 No ® N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes ® No Comments: Signature: lKristinaA. McAdams Date & Time: 04/09/2019 11:19:44 Page 6 of 7 Client Name/Address Client Project Manager/Contact Billing Information For Laboratory Use Only EMA Resources Inc Brent Collins Account #46245 755 Yadkinville Rd Mocksville, NC 27028 Project Description Project/Site Location (City/State) RUSH —Additional charges apply od of Shipment Matrix Key Special Detection Limit(s) ed Ex UPS DUSPS WW —Wastewater GW —Groundwater Date Results Needed Courier Client Drop Off DW— Drinking Water S — Soil /Solid O — Oil P - Product M - Misc Other Project Number Project Manager Phone q Project Manager Email Purchase Order Number Site/Facility ID k 336-399-3646 brent.collins@emaresources.com Z W A Cool < 10C Na2S203 (Micro Only) Q 'C - Cool H Waypoint m �- Q 0 C C H2SO4 pH<2 ANALYTICAL m c Y ° a E O (n W D None Required E NaOH pH>10 2790 Whitten Road Unless noted, all containers v o U rn Q O T �/� V J \ (1 F HNO3 <2 G HCL pHc2 Memphis, TN 38133 .... c .._, Z io / v (901) 213-2400 per Table II of 40 CFR Part E x '� Z 0 �L Q ' 1 v H H3Po4 pHc2 1 Cool c 6C NA2S203 136. z m Date Time Sample Identification Required Analysis / Preservative Comments/Notes IZ�ds..:tl� I g C x %� Metals:AI,As,Ca,Cd,Cr,Cu,Fe,Pb 4:`l.b,, Un; j; 1 G X %C iC X i` Mn,Mg,Mo,Hg,Ni,Se,Na,P,S,K,Zn 1111111111Jill gJ111111111111g1l11111111 -0218 46245 9199 EMA Resources Inc 09 2019 EMA Resources Inc Reidsville. NC 11:18:33 Analvtical Testino For Laboratory Use Only Sampled by (Name — Print) x �o �u }��j Client Remarks/Comments Sludge Samples - Report Dry Weight Ice Custody Seals Lab Comments Y N Relinquished by: (SIG A u Date Time Received by: (SIGNATURE) Date Time I- IY X We iz.'y.J .6- 12: yljp, Blank Cool Temp Relinq hed by: (SIGNATURE) Date Time Received by: (SIGNATURE) Date Time `! kr 3:3oe, C � Relinquished by: (SIGNATURE) Date Time Rece've by: (SIGNATURE) Da Time Page 7 of 7 Waypointo ANALYTICAL 7/ 15/2019 EMA Resources Inc Mr. Brent Collins 755 Yadkinville Road Mocksville, NC, 27028 Ref: Analytical Testing Lab Report Number: 19-184-0018 Client Project Description: Reidsville, NC 2790 Whitten Road, Memphis, TIN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Dear Mr. Brent Collins: Waypoint Analytical, LLC. received sample(s) on 7/3/2019 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. Where the laboratory was not responsible for the sampling stage (refer to the chain of custody) results apply to the sample as received. 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 August 2017) and NELAC unless otherwise indicated. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '—' symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. 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, Danyale Love Project Manager 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. Alabama #40750 Louisiana #04015 Mississippi California #2904 Kentucky #90047 Tennessee #TN02027 VA NELAP #460181 NC #415 EPA #TN00012 Texas #T104704180 Arkansas #88-0650 Oklahoma #9311 SC #84002 Kentucky UST #80215 PA DEP #68-03195 Page 1 of 7 Waypointo ANALYTICAL Client: EMA Resources Inc Project: Reidsville, NC Lab Report Number: 19-184-0018 Date: 7/15/2019 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com CASE NARRATIVE Metals Analysis Method 6010D Analyte: Aluminum QC Batch No: L444816 The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance ranges. Matrix interference is suspected. Analyte: Arsenic QC Batch No: L444816 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post digestion spike was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Calcium QC Batch No: L445112 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Iron QC Batch No: L444816 The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance ranges. Matrix interference is suspected. Analyte: Iron QC Batch No: L444931 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Potassium QC Batch No: L444816 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Magnesium QC Batch No: L444816 The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance ranges. Matrix interference is suspected. Analyte: Manganese QC Batch No: L444931 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Page 2 of 7 Waypoint ANALYTICAL 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 0 Fax 901.213.2440 www.waypointanalytical.com Analyte: Phosphorus QC Batch No: L444816 The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance ranges. Matrix interference is suspected. Analyte: Lead QC Batch No: L444816 The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance ranges. Matrix interference is suspected. Analyte: Sulfur QC Batch No: L444816 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Zinc QC Batch No: L444816 The matrix spike, matrix spike duplicate and the dilution test were all outside of the quality control acceptance ranges. Matrix interference is suspected. Page 3 of 7 i Wa2790 Whitten Road, Memphis, TN 38133 ypoint.Main 901.213.2400 ° Fax 901.213.2440 ANALYTICAL www.waypointanalytical.com 46245 EMA Resources Inc Mr. Brent Collins Project Reidsville, NC Report Date : 07/15/2019 755 Yadkinville Road Information : Received : 07/03/2019 Mocksville , NC 27028 Report Number : 19-184-0018 REPORT OFANALYSIS Danyale Love Project Manager Lab No : 89114 Matrix: Solids Sample ID : Reidsville Sludge Sampled: 7/2/2019 11:00 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method % Moisture 99.1 % 0.010 1 07/09/19 10:48 CJR SW-DRYWT Ammonia Nitrogen 21600 mg/Kg - dry 2780 1 07/15/19 09:00 JPJ 4500NH3C-2011 Nitrate+Nitrite-N <498 mg/Kg - dry 498 498 1 07/11/19 16:02 ZBD 4500NO3F-2011 Organic N 41400 mg/Kg - dry 111 5560 1 07/15/19 09:00 CALCULATION pH 7.7 S.U. 1 07/09/19 07:31 JSL 9045D Total Solids 0.908 % 0.010 0.010 1 07/09/19 10:48 CJR 2540G-2011 Total Volatile Solids 67.1 % 0.010 0.010 1 07/09/19 10:48 CJR 2540G-2011 Total Kjeldahl Nitrogen 63000 mg/Kg - dry 111 5560 1 07/15/19 15:23 CLP 4500NORGD-2011 Phosphorus 24400 mg/Kg - dry 286 556 1 07/11/19 22:25 BKN 6010D Aluminum 18000 mg/Kg - dry 226 556 1 07/11/19 22:25 BKN 6010D Arsenic <46.6 mg/Kg - dry 46.6 55.6 1 07/11/19 22:25 BKN 6010D Cadmium <5.50 mg/Kg - dry 5.50 11.1 1 07/11/19 22:25 BKN 6010D Calcium 16000 mg/Kg - dry 1870 2780 1 07/11/19 22:25 BKN 6010D Chromium 48.9 mg/Kg - dry 21.1 27.8 1 07/11/19 22:25 BKN 6010D Copper 221 mg/Kg - dry 16.1 27.8 1 07/11/19 22:25 BKN 6010D Iron 13900 mg/Kg - dry 471 556 1 07/11/19 22:25 BKN 6010D Lead 58.8 mg/Kg - dry 16.6 33.3 1 07/11/19 22:25 BKN 6010D Magnesium 4480 mg/Kg - dry 247 556 1 07/11/19 22:25 BKN 6010D Manganese 709 mg/Kg - dry 20.3 55.6 1 07/11/19 22:25 BKN 6010D Mercury <0.362 mg/Kg - dry 0.362 1.64 1 07/09/19 12:29 TJS 7471A Molybdenum <14.4 mg/Kg - dry 14.4 27.8 1 07/11/19 22:25 BKN 6010D Nickel 45.0 B mg/Kg - dry 18.3 27.8 1 07/11/19 22:25 BKN 6010D Potassium 6840 mg/Kg - dry 331 556 1 07/11/19 22:25 BKN 6010D Qualifiers/ B Analyte detected in blank DF Dilution Factor Definitions L Limit Exceeded MQL Method Quantitation Limit Page 4 of 7 i Waypoint. ANALYTICAL 46245 EMA Resources Inc Mr. Brent Collins 755 Yadkinville Road Mocksville , NC 27028 Report Number : 19-184-0018 Lab No : 89114 Sample ID : Reidsville Sludge 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Project Reidsville, NC Information : REPORT OFANALYSIS Report Date : 07/15/2019 Received : 07/03/2019 Danyale Love Project Manager Matrix: Solids Sampled: 7/2/2019 11:00 Test Results Units MDL MQL DF Date / Time Analyzed By Analytical Method Selenium <54.4 mg/Kg - dry 54.4 55.6 1 07/11/19 22:25 BKN 6010D Sodium 14800 mg/Kg - dry 858 2780 1 07/11/19 22:25 BKN 6010D Zinc 851 mg/Kg - dry 120 139 1 07/11/19 22:25 BKN 6010D Sulfur 10800 mg/Kg - dry 543 556 1 07/11/19 22:25 BKN 6010D Sodium Absorption Ratio 2.52 Ratio 2.22 5.00 1 07/11/19 22:25 CALCULATION Qualifiers/ B Analyte detected in blank Definitions DF Dilution Factor Page 5 of 7 • WayPAoi nt ..(2) 2790 Whitten Road,3.240 Memphis, TN 38133 21.2440 Main 9fl1.213.2400 °Fax 901.213.2440 N A LYT I C A L www.waypointanalytical.com Cooler Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 19-184-0018 Shipping Method ® Fed Ex 0 US Postal 0 Lab 0 UPS 0 Client 0 Courier 0 Other: Thermometer ID: T45 Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received -7 Custody seals intact on shipping container/cooler? 0 Yes 0 No ! Not Required Custody seals intact on sample bottles? 0 Yes 0 No ® Not Required Chain of Custody (COC) present? 0 Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? 0 Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No ® N/A Water - VOA vials free of headspace 0 Yes 0 No ® N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes ® No Comments: Signature: ISovanchampa Yos Date & Time: 07/03/2019 11:04:27 Page 6 of 7 Client Name/Address Client Project Manager/Contact Billing Information for Laboratory Use Only El Resources Inc Brent Collins Account #46245 755 Yadkinville Rd Mocksvilie, NC 27028 Project Description PToject/Site Location jCity/State] RUSH—Additfonal charges apply Method of Shipment Matrix Key Special Detection Limits] ❑ Fed Ex UPS OUSps WW —Wastewater GW—Groundwater Date Results Needed CourierClienr H Drop Off DW -- Prinking Water 5 —Soil /Solid 0 — Oil P - Product M - Misc Other Project Number Project Manager Phone p Project Manager Email Purchase Order Number Site/Facility ID p 336-399-3646 brent.collinsu@emaresources.com t6 z Cn A Cool c XDC Na2W03IMi, onfyj U Cool cefiC Waypoint C7 E _ c Fi250a pNe2 ANALYTICAL v CL E � u/ C None Required E 2790 Whitten Road a " v ,� V1 Q � U) NO OH pl W F HNO3 pFic2 Memphis, TN 38133 Unless noted, all containers 75- Z 2 1 HCL ph<2 V� {901} 213-2400 per Table II of 4e [FR pat a 136. n M (D �[ t_ O I— l^ H H3PO4 pHc2 U I Bate T]me Sam Ee Identification Z Cord — K NAM203 Re uired Analysis Preservative q YS 1 Comments/Notes 1 •� �/ �' ti �f. Metals:A .4 q d.Cr'.C*Fe,Pb M n, Mg, Mo, H g, N i, Se, N a, P, S, K,Zn EMA Resources Inc 0 24`5 19 Reidsville- NC tT 03:50 Client RemarkstCurnments For Laboratory Use Only Sampled by (Name — Print) Ice Custody Sea Is �Y/N Lab Comments I rk Studge Samples - Report Dry VVeight Y N� Relin ished by: (SIGNATURE) Date Time Received by: (SIGNATURE) ) Date Time iTime Rlank/C termp Relinquished by: (SIGNATURE) Date Received by: (SIGNATURE) Date Time R Date Time Receiv IGIy E] to Tim 7 Relinquished by: (SIGNATURE) �V++ Waypointo ANALYTICAL 10/25/2019 EMA Resources Inc Brent Collins 755 Yadkinville Rd Mocksville, NC, 27028 2790 Whitten Road, Memphis, TIN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Ref: Analytical Testing Revised Lab Report Number: 19-277-9006 (Original Report 19-277-0006) Client Project Description: Reidsville, NC Dear Brent Collins: Waypoint Analytical, LLC. received sample(s) on 10/4/2019 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. Where the laboratory was not responsible for the sampling stage (refer to the chain of custody) results apply to the sample as received. 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 August 2017) and NELAC unless otherwise indicated. Any parameter for which the laboratory is not officially NELAP accredited is indicated by a '—' symbol. These are not included in the scope because NELAP accreditation is either not available or has not been applied for. Additional certifications may be held/are available for parameters, where NELAP accreditation is not required or applicable. A full list of certifications is available upon request. 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, Danyale Love Project Manager 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. Alabama #40750 Louisiana #04015 Mississippi California #2904 Kentucky #90047 Tennessee #TN02027 VA NELAP #460181 NC #415 EPA #TN00012 Texas #T104704180 Arkansas #88-0650 Oklahoma #9311 SC #84002 Kentucky UST #80215 PA DEP #68-03195 Page 1 of 7 Waypointo ANALYTICAL Client: EMA Resources Inc Project: Reidsville, NC Lab Report Number: 19-277-9006 Date: 10/25/2019 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com CASE NARRATIVE Client questioned moisture results for L98488. The sample was reanalyzed and the results have been updated. Metals Analysis Method 6010D Sample 98490 Analyte: Aluminum QC Batch No: L458204 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Calcium QC Batch No: L457636 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Iron QC Batch No: L457636 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Potassium QC Batch No: L458057 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Manganese QC Batch No: L458057 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Phosphorus QC Batch No: L457636 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Analyte: Zinc QC Batch No: L457636 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A dilution test was performed and passed quality control acceptance ranges. No matrix interference is suspected. Solids Total Mercury Analysis - CVAA Method 7471A Sample 91943 Analyte: Mercury QC Batch No: L459028 The matrix spike and/or the matrix spike duplicate was outside quality control acceptance ranges. A post digestion spike was performed and passed quality control acceptance ranges. No matrix interference is suspected. Page 2 of 7 i Waypoint. ANALYTICAL 46245 EMA Resources Inc Brent Collins 755 Yadkinville Rd Mocksville , NC 27028 Report Number : 19-277-9006 2790 Whitten Road, Memphis, TN 38133 Main 901.213.2400 ° Fax 901.213.2440 www.waypointanalytical.com Project Reidsville, NC Information : REPORT OFANALYSIS Original Report Date : 10/15/2019 Revised Report Date: 10/25/2019 Received : 10/04/2019 Lab No : 98488 Matrix: Solids Sample ID : Reidsville Sampled: 10/3/2019 11:00 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method Moisture 98.5 % 0.010 1 10/24/19 18:17 ADM SW-DRYWT Ammonia Nitrogen 9670 mg/Kg - dry 1670 1 10/15/19 13:00 JPJ 4500NH3C-2011 Nitrate+Nitrite-N <306 mg/Kg - dry 306 306 1 10/14/19 13:49 ZBD 4500NO3F-2011 Organic N 24000 mg/Kg - dry 66.67 3333 1 10/14/19 14:51 DH CALCULATION — pH 7.1 S.U. 1 10/14/19 08:04 JSL 9045D Total Solids 1.52 % 0.010 0.010 1 10/24/19 18:17 ADM 2540G-2011 Total Volatile Solids 68.0 % 0.010 0.010 1 10/24/19 18:17 ADM 2540G-2011 Total Kjeldahl Nitrogen 33700 mg/Kg - dry 66.7 3330 1 10/14/19 14:51 CLP 4500NORGD-2011 Phosphorus 26200 mg/Kg - dry 171 333 1 10/07/19 19:41 BKN 6010D Aluminum 22500 mg/Kg - dry 135 333 1 10/07/19 19:41 BKN 6010D Arsenic <27.9 mg/Kg - dry 27.9 33.3 1 10/07/19 19:41 BKN 6010D Cadmium 3.653 mg/Kg - dry 3.30 6.67 1 10/07/19 19:41 BKN 6010D Calcium 21100 mg/Kg - dry 1120 1670 1 10/07/19 19:41 BKN 6010D Chromium 64.4 mg/Kg - dry 12.7 16.7 1 10/07/19 19:41 BKN 6010D Copper 325 mg/Kg - dry 9.67 16.7 1 10/07/19 19:41 BKN 6010D Iron 19300 mg/Kg - dry 283 333 1 10/07/19 19:41 BKN 6010D Lead 98.0 mg/Kg - dry 9.93 20.0 1 10/07/19 19:41 BKN 6010D Magnesium 4300 mg/Kg - dry 148 333 1 10/07/19 19:41 BKN 6010D Manganese 960 mg/Kg - dry 12.2 33.3 1 10/07/19 19:41 BKN 6010D Mercury 1.67 mg/Kg - dry 0.211 0.953 1 10/15/19 12:39 TJS 7471A Molybdenum 13.33 mg/Kg - dry 8.67 16.7 1 10/07/19 19:41 BKN 6010D Nickel 25.9 mg/Kg - dry 11.0 16.7 1 10/07/19 19:41 BKN 6010D Potassium 4450 mg/Kg - dry 199 333 1 10/08/19 14:38 BKN 6010D Qualifiers/ DF Dilution Factor J Estimated value Definitions L Limit Exceeded MQL Method Quantitation Limit Page 3 of 7 i Wa2790 Whitten Road, Memphis, TN 38133 ypoint.Main 901.213.2400 ° Fax 901.213.2440 ANALYTICAL www.waypointanalyiical.com 46245 EMA Resources Inc Original Report Date : 10/15/2019 Brent Collins Project Reidsville, NC Revised Report Date: 10/25/2019 755 Yadkinville Rd Information : Received : 10/04/2019 Mocksville , NC 27028 Report Number : 19-277-9006 REPORT OFANALYSIS Lab No : 98488 Sample ID : Reidsville Matrix: Solids Sampled: 10/3/2019 11:00 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method Selenium 34.1 mg/Kg - dry 32.7 33.3 1 10/07/19 19:41 BKN 6010D Sodium 8800 mg/Kg - dry 515 1670 1 10/07/19 19:41 BKN 6010D Zinc 1160 mg/Kg - dry 72.0 83.3 1 10/07/19 19:41 BKN 6010D Sulfur 12900 mg/Kg - dry 326 333 1 10/07/19 19:41 BKN 6010D Sodium Absorption Ratio <2.22 Ratio 2.22 5.00 1 10/07/19 19:41 CALCULATION Qualifiers/ DF Dilution Factor Definitions L Limit Exceeded J Estimated value MQL Method Quantitation Limit Page 4 of 7 i Wa2790 Whitten Road, Memphis, TN 38133 ypoint.Main 901.213.2400 ° Fax 901.213.2440 ANALYTICAL www.waypointanalyiical.com 46245 EMA Resources Inc Original Report Date : 10/15/2019 Brent Collins Project Reidsville, NC Revised Report Date: 10/25/2019 755 Yadkinville Rd Information : Received : 10/04/2019 Mocksville , NC 27028 Report Number : 19-277-9006 REPORT OFANALYSIS Lab No : 98489 Matrix: Solids Sample ID : Reidsville VS IN Sampled: 10/3/2019 11:15 Test Results Units MDL MQL DF Date / Time By Analytical Analyzed Method Moisture 99.5 % Total Volatile Solids 52.7 % Qualifiers/ DF Dilution Factor Definitions L Limit Exceeded 1 10/08/1917:09 ADM SW-DRYWT 0.010 0.010 1 10/08/1917:09 ADM 2540G-2011 J Estimated value MQL Method Quantitation Limit Page 5 of 7 • WayPAoi nt ..(2) 2790 Whitten Road,3.240 Memphis, TN 38133 21.2440 Main 9fl1.213.2400 °Fax 901.213.2440 N A LYT I C A L www.waypointanalytical.com Cooler Receipt Form Customer Number: 46245 Customer Name: EMA Resources Inc Report Number: 19-277-0006 Shipping Method 0 Fed Ex 0 US Postal 0 Lab ® UPS 0 Client 0 Courier 0 Other: Thermometer ID: #39 Shipping container/cooler uncompromised? 0 Yes 0 No Number of coolers received F-71 Custody seals intact on shipping container/cooler? 0 Yes 0 No ! Not Required Custody seals intact on sample bottles? 0 Yes 0 No ® Not Required Chain of Custody (COC) present? 0 Yes 0 No COC agrees with sample label(s)? 0 Yes 0 No COC properly completed 0 Yes 0 No Samples in proper containers? 0 Yes 0 No Sample containers intact? 0 Yes 0 No Sufficient sample volume for indicated test(s)? 0 Yes 0 No All samples received within holding time? 0 Yes 0 No Cooler temperature in compliance? 0 Yes 0 No Cooler/Samples arrived at the laboratory on ice. Samples were considered acceptable as cooling process had begun. 0 Yes 0 No Water - Sample containers properly preserved 0 Yes 0 No ® N/A Water - VOA vials free of headspace 0 Yes 0 No ® N/A Trip Blanks received with VOAs 0 Yes 0 No N/A Soil VOA method 5035 — compliance criteria met 0 Yes 0 No 0 N/A F_ High concentration container (48 hr) F_ Low concentration EnCore samplers (48 hr) F_ High concentration pre -weighed (methanol -14 d) F_ Low conc pre -weighed vials (Sod Bis -14 d) Special precautions or instructions included? 0 Yes ® No Comments: Signature: lKristinaA. McAdams Date & Time: 10/04/2019 08:24:09 Page 6 of 7 ro (4 m 0 rh Client Name/Address EMA Resources Inc 755 Yadkinville Rd Mocksville, NC 27028 Project Description Client Project Manager/Contact Brent Collins Project/Site Location (City/State) Billing Information Account #46245 RUSH - Additional charges apply Special Detection Limits] Date Results Needed For Laboratory Use Only Methud of Shipment Fed Ex HUCIP�' ent �USPS LaurierDrop off Other Project Number Project Manager Phone P Project Manager Email Purchase Order Number 336-399-3646 brent.collies@emaresources.com z N Y V Waypoint ANALYTICAL v E C7 E {) 2790 Whitten Road o to Q � rVJ W Memphis, TN 38133 Unless noted, all containers r cv a (901) 213-2400 per Table II of 40 CFR Part E k a m Y fl Q 0 136. , F L':Ite 1 in;� Sample Identification a L7 Required Analysis / Preservative to' It:ov r�77 t 3 ILf: �Sv i L� c �i aJ C ✓ 1/ ✓ ✓ �/ ✓ 1013 ,t:,5 �r.ds� llc VS 7n1 I Matrix Key WW -Wastewater GW - Groundwater DW- Drinking Water S-Soil/Soild O-Oil P - Product M - Misc Site/Facility lD p A Cool < IOC Na2S203 (KM ir.ro Only) H Cool c= 6C C H2504 pW2 n None Required E Mom pHa10 F HN01 pH0 G HCLpHc2 N H3PO4 pHc2 Cool a= 6C NA25203 Metals:Al,As,Ca,Cd,Cr,Cu,Fe,Pb Mn,Mg,Mo,Hg,Ni,Se,Na,P.S,K,Zn ! Illllllllfll [IIIIIIII! III! IIIIlIII II1!11111111 IIN '� EMIR Resnurres Inc 2019 Reidsville. NC 082357 For Laboratory Use Only Sampled by (Name - Print) Client Remarks/Comments custody dy Lab Comments fl Trrt� 4 , s Sludge Samples - Report Dry Weight yIce N y lye Refin fished b IGNATURE Y� i Date Time Received by: (SIGNATURE) Date Time f o,13 .1 3J, r-, BEan Copler7emp Relinquished by: ISIGNATURE( Date Time Received by: [SIGNATURE) Date Time C�` �� Relinquished by: (SIGNATURE) Date Time(Received y: (SIGNATURE) Date Time 41.r J aceAnalytical a ANALYTICAL REPORT National Center for Testing & Innovation January 25, 2019 EMA Resources Sample Delivery Group: L1061377 Samples Received: 01/16/2019 Project Number: Description: Reidsville Report To: Mr. Brent Collins 755 Yadkinville Road Mocksville, NC 27028 Entire Report Reviewed By: z � /�� Cassandra Foster Project Manager Results relate only to the items tested or calibrated and are reported as rounded values. This test report shall not be reproduced, except in full, without written approval of the laboratory. Where applicable, sampling conducted by Pace National Is performed per guidance provided in laboratory standard operating procedures:060302, 060303,and 060304. F + TABLE OF CONTENTS ONE LAB. NATIONWIDE. Cp: Cover Page 1 FP Tc: Table of Contents 2 Ss: Sample Summary 3 Cn: Case Narrative 4 Sr: Sample Results 5 FS REIDSVILLE L1061377-01 5 Fn Qc: Quality Control Summary 7 Wet Chemistry by Method 9012 B 7 Fr Wet Chemistry by Method 9034-9030B 8 Wet Chemistry by Method 9045D 9 FC Wet Chemistry by Method D93/1010A 10 F Mercury by Method 7470A 11 Metals (ICP) by Method 6010D 12 [Al Volatile Organic Compounds (GC/MS) by Method 8260B 13 Chlorinated Acid Herbicides (GC) by Method 8151A 15 RC Pesticides (GC) by Method 8081B 16 Semi Volatile Organic Compounds (GC/MS) by Method 8270D 17 GI: Glossary of Terms 19 al: Accreditations & Locations 20 Sc: Sample Chain of Custody 21 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 2 of 21 SAMPLE SUMMARY ONE LAB. NATIONWIDE. Collected by Collected date/time Received date/time REIDSVILLE L1061377-01 Waste Brent Collins 01/15/1910:00 01/16/1908:30 , C P Method Batch Preparation by Method 1311 WG1226240 Preparation by Method 1311 WG1226323 Wet Chemistry by Method 9012 B WG1226690 Wet Chemistry by Method 9034-9030B WG1227454 Wet Chemistry by Method 9045D WG1224499 Wet Chemistry by Method D93/1010A WG1227145 Mercury by Method 7470A WG1226579 Metals (ICP) by Method 6010D WG1226617 Volatile Organic Compounds (GC/MS) by Method 8260B WG1226698 Chlorinated Acid Herbicides (GC) by Method 8151A WG1226568 Pesticides (GC) by Method 8081B WG1225807 Semi Volatile Organic Compounds (GC/MS) by Method 8270D WG1225806 Dilution Preparation Analysis date/time date/time 1 01/21/19 09:52 01/21/19 09:52 1 01/21/1910:45 01/21/1910:45 1 01/22/19 2158 01/23/1912:38 1 01/24/1916:06 01/24/1916:06 1 01/17/1913:00 01/17/1915:11 1 01/23/1916:40 01/23/1916:40 1 01/22/19 07:22 01/22/191144 1 01/22/19 08:26 01/22/191139 1 01/22/1916:25 01/22/1916:25 1 01/22/19 09:15 01/22/1918:20 1 01/24/1910:17 01/24/1915:52 1 01/22/1918:33 01/23/1913:14 Analyst ITC TM CGD JER MJA Sim Fn MJA ABL FrCCE DWR TD FCRP AO �GI SAI RC ACCOUNT: PROJECT: SDG: DATE/TIME: EMA Resources L1061377 01/25/1913:00 PAGE: 3 of 21 CASE NARRATIVE ONE LAB. NATIONWIDE. * All sample aliquots were received at the correct temperature, in the proper containers, with the FP appropriate preservatives, and within method specified holding times, unless qualified or notated within the report. Where applicable, all MDL (LOD) and RDL (LOQ) values reported for environmental samples FC have been corrected for the dilution factor used in the analysis. All Method and Batch Quality Control are within established criteria except where addressed in this case narrative, a non-conformance form or properly qualified within the sample results. By my digital signature below, I affirm to the best of my FS knowledge, all problems/anomalies observed by the laboratory as having the potential to affect the quality of the data have been identified by the laboratory, and no information or data have been knowingly withheld that would affect the quality of the data. 0 Fr FC 7 GI Cassandra Foster Project Manager RC Project Narrative All Reactive Cyanide results reported in the attached report were determined as totals using method 9012B. All Reactive Sulfide results reported in the attached report were determined as totals using method 9034/9030B. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 4 of 21 REIDSVILLE Collected date/time: 01/15/19 10:00 Preparation by Method 1311 SAMPLE RESULTS - 01 L1061377 Result Qualifier Prep Batch Analyte date / time TCLP Extraction 1/21/2019 9:52:39 AM WG1226240 TCLP ZHE Extraction - 1/21/201910:45:55 AM WG1226323 Fluid 1 1/21/2019 9:52:39 AM WG1226240 Initial pH 7.11 1/21/2019 9:52:39 AM WG1226240 Final pH 4.95 1/21/2019 9:52:39 AM WG1226240 Wet Chemistry by Method 9012 B Result Qualifier RDL Dilution Analysis Batch Analyte mg/kg mg/kg date / time Reactive Cyanide ND 0.250 1 01/23/201912:38 WG1226690 Wet Chemistry by Method 9034-9030B Result Qualifier RDL Analyte mg/kg mg/kg Reactive Sulfide 54.6 25.0 Wet Chemistry by Method 9045D Dilution Analysis Batch date / time 1 01/24/201916:06 WG1227454 Result Qualifier Dilution Analysis Batch Analyte su date / time Corrosivity by pH 7.37 T8 1 01/17/201915:11 WG1224499 Sample Narrative: L1061377-01 WG1224499: 7.37 at19C Wet Chemistry by Method D93/1010A Result Analyte Deg. F Ignitability DNI at170 Mercury by Method 7470A Qualifier Dilution Analysis Batch date / time 1 01/23/201916:40 WG1227145 Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Mercury ND 0.0100 0.20 Metals (ICP) by Method 6010D Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Arsenic ND 0.100 5 Barium ND 0.100 100 Cadmium ND 0.100 1 Chromium ND 0.100 5 Lead ND 0.100 5 Selenium ND 0.100 1 Silver ND 0.100 5 Volatile Organic Compounds (GC/MS) by Method 8260B Result Qualifier RDL Limit Analyte mg/I mg/I mg/I Benzene ND 0.0500 0.50 Carbon tetrachloride ND 0.0500 0.50 Chlorobenzene ND 0.0500 100 Chloroform ND 0.250 6 ACCOUNT: PROJECT: EMA Resources Dilution Analysis Batch date / time 1 01/22/20191144 WG1226579 Dilution Analysis Batch date / time 1 01/22/20191139 WG1226617 1 01/22/20191139 WG1226617 1 01/22/20191139 WG1226617 1 01/22/20191139 WG1226617 1 01/22/20191139 WG1226617 1 01/22/20191139 WG1226617 1 01/22/20191139 WG1226617 ONE LAB. NATIONWIDE. * Fp Fc FS Fn Fc �GI SAI Rc Dilution Analysis Batch date / time 1 01/22/201916:25 WG1226698 1 01/22/201916:25 WG1226698 1 01/22/201916:25 WG1226698 1 01/22/201916:25 WG1226698 SDG: DATE/TIME: PAGE: L1061377 01/25/1913:00 5 of 21 REIDSVILLE SAMPLE RESULTS Collected date/time: 01/15/19 10:00 L1061377 Volatile Organic Compounds (GC/MS) by Method 8260B - 01 Result Qualifier RDL Limit Dilution Analysis Batch Analyte mg/I mg/I mg/I date/time 1,2-Dichloroethane ND 0.0500 0.50 1 01/22/201916:25 WG1226698 1,1-Dichloroethene ND 0.0500 0.70 1 01/22/201916:25 WG1226698 2-Butanone (MEK) ND 0.500 200 1 01/22/201916:25 WG1226698 Tetrachloroethene ND 0.0500 0.70 1 01/22/201916:25 WG1226698 Trichloroethene ND 0.0500 0.50 1 01/22/201916:25 WG1226698 Vinyl chloride ND 0.0500 0.20 1 01/22/201916:25 WG1226698 (S) Toluene-dH 108 80.0-120 011221201916.25 WG1226698 (S) Dibromofluoromethone 101 75.0-120 011221201916.25 WG1226698 (S) a, a,o-Trifluorotoluene 101 80.0-120 011221201916.25 WG1226698 (S) 4-Bromofluorobenzene 105 77.0-126 011221201916.25 WG1226698 Chlorinated Acid Herbicides (GC) by Method 8151A Result Analyte mg/I 2,4,5-TP (Silvex) ND 2,4-D ND (S) 2,4-Dichlorophenyl Acetic Acid 58.0 Pesticides (GC) by Method 8081B Result Analyte mg/I Chlordane ND Endrin ND Heptachlor ND Lindane ND Methoxychlor ND Toxaphene ND (S) Decochlorobiphenyl 95.1 (S) Tetrochloro-m-xylene 71.7 Qualifier RDL Limit mg/I mg/I 0.00200 1 0.00200 10 14.0-158 Qualifier RDL Limit mg/I mg/I 0.00500 0.03 0.00500 0.02 0.00500 0.0080 0.00500 0.40 0.00500 10 0.0100 0.50 10.0-128 10.0-127 Semi Volatile Organic Compounds (GC/MS) by Method 8270D Dilution Analysis date / time 01/22/201918:20 01/22/201918:20 0112212019 18.20 Dilution Analysis date / time 01/24/201915:52 01/24/201915:52 01/24/201915:52 01/24/201915:52 01/24/201915:52 01/24/201915:52 0112412019 15.52 0112412019 15.52 Batch WG1226568 WG1226568 WG1226568 Batch WG1225807 WG1225807 WG1225807 WG1225807 WG1225807 WG1225807 WG1225807 WG1225807 Result Qualifier RDL Limit Dilution Analysis Batch Analyte mg/I mg/I mg/I date/time 1,4-Dichlorobenzene ND 0.100 7.50 1 01/23/201913:14 WG1225806 2,4-Dinitrotoluene ND 0.100 0.13 1 01/23/201913:14 WG1225806 Hexachlorobenzene ND 0.100 0.13 1 01/23/201913:14 WG1225806 Hexachloro-1,3-butadiene ND 0.100 0.50 1 01/23/201913:14 WG1225806 Hexachloroethane ND 0.100 3 1 01/23/201913:14 WG1225806 Nitrobenzene ND 0.100 2 1 01/23/201913:14 WG1225806 Pyridine ND 0.100 5 1 01/23/201913:14 WG1225806 3&4-Methyl Phenol ND 0.100 400 1 01/23/201913:14 WG1225806 2-Methylphenol ND 0.100 200 1 01/23/201913:14 WG1225806 Pentachlorophenol ND 0.100 100 1 01/23/201913:14 WG1225806 2,4,5-Trichlorophenol ND 0.100 400 1 01/23/201913:14 WG1225806 2,4,6-Trichlorophenol ND 0.100 2 1 01/23/201913:14 WG1225806 (S) 2-Fluorophenol 32.9 10.0-120 011231201913.14 WG1225806 (S) Phenol-d5 23.2 10.0-120 011231201913.14 WG1225806 (S) Nitrobenzene-d5 35.6 10.0-127 011231201913.14 WG1225806 (S) 2-Fluorobiphenyl 35.1 10.0-130 011231201913.14 WG1225806 (S)2,4,6-Tribromophenol 374 10.0-155 011231201913.14 WG1225806 (S) p-Terphenyl-d14 48.8 10.0-128 011231201913.14 WG1225806 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 6 of 21 WG1226690 Wet Chemistry by Method 9012 B Method Blank (MB) (MB) R3378005-1 01/23/191233 MB Result Analyte mg/kg Reactive Cyanide U MB Qualifier MB MDL MB RDL mg/kg mg/kg 0.0390 0.250 L1061511-34 Original Sample (OS) • Duplicate (DUP) QUALITY CONTROL SUMMARY L1061377-01 (OS) L1061511-34 01/23/1912:39 • (DUP) R3373005-3 01/23/1912:40 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/kg mg/kg %_ Reactive Cyanide ND 0.000 1 0.000 20 L1061511-74 Original Sample (OS) • Duplicate (DUP) (OS) L1061511-74 01/23/19 12:54 • (DUP) R3373005-6 01/23/19 12:55 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/kg mg/kg Reactive Cyanide ND 0.000 1 0.000 20 Laboratory Control Sample (LCS) (LCS) R3378005-2 01/23/19 12:34 Spike Amount LCS Result LCS Rec. Analyte mg/kg mg/kg Reactive Cyanide 2.50 2.54 102 Rec. Limits LCS Qualifier 50.0-150 L1061511-46 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) ONE LAB. NATIONWIDE. * (OS) L1061511-46 01/23/19 12:43 • (MS) R3373005-4 01/23/19 12:46 • (MSD) R3373005-5 01/23/19 12:47 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/kg mg/kg mg/kg mg/kg Reactive Cyanide 1.67 ND 1.52 1.56 91.3 93.8 1 75.0-125 2.76 20 L1061511-78 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1061511-73 01/23/19 12:53 • (MS) R3373005-7 01/23/19 12:59 • (MSD) R3373005-8 01/23/1913:00 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/kg mg/kg mg/kg mg/kg Reactive Cyanide 1.67 ND 1.47 1.38 88.0 82.9 1 75.0-125 5.95 20 FP1 ITC FS-1 [Cn] Fr �GI FAI Fc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 7 of 21 WG1227454 Wet Chemistry by Method 9034-9030B Method Blank (MB) (MB) R3373449-1 01/24/1916:06 MB Result Analyte mg/kg Reactive Sulfide U MB Qualifier MB MDL MB RDL mg/kg mg/kg 7.63 25.0 L1061511-10 Original Sample (OS) • Duplicate (DUP) QUALITY CONTROL SUMMARY L1061377-01 (OS) L1061511-10 01/24/1916:06 • (DUP) R3373449-3 01/24/1916:06 Original Result DUP Result Dilution DUP RPD DUP Qualifier DUP RPD Limits Analyte mg/kg mg/kg %_ Reactive Sulfide 78.9 78.9 1 0.000 20 Laboratory Control Sample (LCS) (LCS) R3373449-2 01/24/19 16:06 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/kg mg/kg Reactive Sulfide 100 85.0 85.0 70.0-130 ONE LAB. NATIONWIDE. * FP1 ITC FS-1 [Cn] Fr �GI FAI Fc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 3 of 21 WG1224499 QUALITY CONTROL SUMMARY Wet Chemistry by Method 9045D L1061377-01 L1061309-02 Original Sample (OS) • Duplicate (DUP) (OS) L1061309-02 01/17/1915:11 • (DUP) R3376636-3 01/17/19 15:11 Original Result DUP Result Dilution DUP RPD Analyte su su Corrosivity by pH 3.58 3.56 1 0.560 Sample Narrative: OS: 3.58 at19.1C DUP: 3.56 at19C Laboratory Control Sample (LCS) (LCS) R3376686-1 01/17/19 1511 Spike Amount LCS Result Analyte su su Corrosivity by pH 10.0 9.96 Sample Narrative: LCS: 9.96 at18.5C DUP Qualifier DUP RPD Limits LCS Rec. Rec. Limits LCS Qualifier 99.6 99.0-101 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 9 of 21 WG1227145 QUALITY CONTROL SUMMARY Wet Chemistry by Method D93/1010A L1061377-01 L1061097-01 Original Sample (OS) • Duplicate (DUP) (OS) L1061097-01 01/23/1916:40 • (DUP) R3373293-2 01/23/1916:40 Original Result DUP Result Dilution DUP RPD Analyte Deg. F Deg. F Ignitability DNI at170 DNI at170 1 0.000 Laboratory Control Sample (LCS) DUP Qualifier DUP RPD Limits i 10 (LCS) R3378298-1 01/23/19 16:40 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte Deg. F Deg. F Ignitability 82.0 83.1 101 96.0-104 ONE LAB. NATIONWIDE. * ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 10 of 21 ■ WG1226579 Mercury by Method 7470A Method Blank (MB) (MB) R3377643-1 01/22/191119 MB Result Analyte mg/I Mercury U MB Qualifier MB MDL MB RDL mg/I mg/I 0.00330 0.0100 QUALITY CONTROL SUMMARY L1061377-01 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3377643-2 01/22/191122 • (LCSD) R3377643-3 01/22/191129 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I Mercury 0.0300 0.0307 0.0299 102 99.6 80.0-120 2.68 20 L1061608-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) ONE LAB. NATIONWIDE. * (OS) L1061603-02 01/22/19 11:31 • (MS) R3377643-4 01/22/191134 • (MSD) R3377643-5 01/22/191136 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I mg/I Mercury 0.0300 ND 0.0304 0.0291 101 96.9 1 75.0-125 4.40 20 FP1 ITC FS-1 [Cn] Fr �GI SAI Fc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 11 of 21 WG1226617 Metals (ICP) by Method 6010D Method Blank (MB) QUALITY CONTROL SUMMARY L1061377-01 (MB) R3377629-1 01/22/191105 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I Arsenic U 0.0333 0.100 Barium U 0.0333 0.100 Cadmium U 0.0333 0.100 Chromium U 0.0333 0.100 Lead 0.0996 J 0.0333 0.100 Selenium U 0.0333 0.100 Silver U 0.0333 0.100 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3377629-2 01/22/1911:08 • (LCSD) R3377629-3 01/22/191111 Spike Amount LCS Result LCSD Result LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I Arsenic 10.0 9.98 10.0 99.8 100 80.0-120 0.238 20 Barium 10.0 10.2 10.3 102 103 80.0-120 0.918 20 Cadmium 10.0 10.2 10.3 102 103 80.0-120 0.796 20 Chromium 10.0 9.18 9.10 91.8 91.0 80.0-120 0.884 20 Lead 10.0 9.76 9.80 97.6 98.0 80.0-120 0.430 20 Selenium 10.0 10.5 10.6 105 106 80.0-120 0.828 20 Silver 2.00 1.88 1.87 93.8 93.6 80.0-120 0.281 20 L1061608-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1061603-02 01/22/19 11:14 • (MS) R3377629-5 01/22/19 1119 • (MSD) R3377629-6 01/22/19 1122 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Analyte mg/I mg/I mg/I mg/I Arsenic 10.0 ND 10.2 10.2 102 102 Barium 10.0 0.753 11.1 11.1 103 103 Cadmium 10.0 ND 10.4 10.4 104 104 Chromium 10.0 ND 9.18 9.21 91.8 92.1 Lead 10.0 ND 9.82 9.81 97.7 97.5 Selenium 10.0 ND 10.7 10.8 107 108 Silver 2.00 ND 1.89 1.90 94.5 95.1 ACCOUNT: EMA Resources PROJECT: ONE LAB. NATIONWIDE. * Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits 1 75.0-125 0.100 20 1 75.0-125 0.225 20 1 75.0-125 0.216 20 1 75.0-125 0.264 20 1 75.0-125 0.142 20 1 75.0-125 0.242 20 1 75.0-125 0.633 20 SDG: DATE/TIME: PAGE: L1061377 01/25/1913:00 12 of21 WG1226698 QUALITY CONTROL SUMMARY ONE LAB. NATIONWIDE. Volatile Organic Compounds (GC/MS) by Method 8260B L1061377-01 Method Blank (MB) (MB) R3377739-3 01/22/1915:05 MB Result Analyte mg/I Benzene U Carbon tetrachloride U Chlorobenzene U Chloroform U 1,2-Dichloroethane U 1,1-Dichloroethene U 2-Butanone (MEK) U Tetrachloroethene U Trichloroethene U Vinyl chloride U (S) Toluene-d8 108 (S) Dibromofluoromethane 103 (S) a, a, a- Trifluorotoluene 101 (S) 4-Bromofluorobenzene 107 MB Qualifier MB MDL mg/I MB RDL mg/I 0.0165 0.0500 0.0165 0.0500 0.0165 0.0500 0.0825 0.250 0.0165 0.0500 0.0165 0.0500 0.165 0.500 0.0165 0.0500 0.0165 0.0500 0.0165 0.0500 80.0-120 75.0-120 80.0-120 77.0-126 Laboratory Control Sample (LCS) • Laboratory Control Sample Duplicate (LCSD) (LCS) R3377739-1 01/22/1912:43 • (LCSD) R3377739-2 01/22/1913:03 Spike Amount LCS Result LCSD Result Analyte mg/I mg/I mg/I LCS Rec. LCSD Rec. Rec. Limits LCS Qualifier LCSD Qualifier RPD RPD Limits Benzene 0.0250 0.0239 0.0246 95.7 98.6 70.0-123 2.98 20 Carbon tetrachloride 0.0250 0.0231 0.0239 92.4 95.6 68.0-126 3.38 20 Chlorobenzene 0.0250 0.0261 0.0269 105 108 80.0-121 2.93 20 Chloroform 0.0250 0.0250 0.0247 100 98.8 73.0-120 1.26 20 1,2-Dichloroethane 0.0250 0.0245 0.0239 98.1 95.6 70.0-128 2.58 20 1,1-Dichloroethene 0.0250 0.0263 0.0271 105 108 71.0-124 3.05 20 2-Butanone (MEK) 0.125 0.180 0.186 144 149 44.0-160 3.05 20 Tetrachloroethene 0.0250 0.0261 0.0273 104 109 72.0-132 4.22 20 Trichloroethene 0.0250 0.0273 0.0271 109 108 78.0-124 0.716 20 Vinyl chloride 0.0250 0.0254 0.0261 102 104 67.0-131 2.82 20 (S) Toluene-d8 102 106 80.0-120 (S) Dibromofluoromethane 100 99.2 75.0-120 (S) a, a, a- Trifluorotoluene 99.6 101 80.0-120 (S) 4-Bromofluorobenzene 110 110 77.0-126 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 13 of 21 WG1226698 QUALITY CONTROL SUMMARY Volatile Organic Compounds (GC/MS) by Method 8260B L1061377-01 L1061704-02 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) ONE LAB. NATIONWIDE. * (OS) L1061704-02 01/22/19 20:27 • (MS) R3377739-4 01/22/19 20:47 • (MSD) R3377739-5 01/22/19 2107 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits Analyte mg/I mg/I mg/I mg/I Benzene 1.25 ND 1.04 1.22 83.2 97.9 1 17.0-158 16.2 27 Carbon tetrachloride 1.25 ND 1.01 1.20 81.2 96.3 1 23.0-159 17.0 28 Chlorobenzene 1.25 ND 1.08 1.32 86.5 106 1 33.0-152 20.2 27 Chloroform 1.25 ND 1.08 1.27 86.1 101 1 29.0-154 16.4 28 1,2-Dichloroethane 1.25 ND 1.00 1.22 80.1 97.3 1 29.0-151 19.4 27 1,1-Dichloroethene 1.25 ND 1.18 1.37 94.7 110 1 11.0-160 14.9 29 2-Butanone (MEK) 6.25 ND 6.83 8.41 109 135 1 10.0-160 20.8 32 Tetrachloroethene 1.25 ND 1.04 1.30 83.1 104 1 10.0-160 22.2 27 Trichloroethene 1.25 ND 1.06 1.28 85.0 103 1 10.0-160 18.9 25 Vinyl chloride 1.25 ND 1.11 1.28 88.8 103 1 10.0-160 14.4 27 (S) Toluene-d8 105 104 80.0-120 (S) Dibromofluoromethane 103 100 75.0-120 (S) a, a, a- Trifluorotoluene 101 101 80.0-120 (S) 4-Bromofluorobenzene 109 110 77.0-126 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 14 of 21 WG1226568 Chlorinated Acid Herbicides (GC) by Method 8151A Method Blank (MB) QUALITY CONTROL SUMMARY L1061377-01 (MB) R3377792-1 01/22/191753 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I 2,4-D U 0.000667 0.00200 2,4,5-TP (Silvex) U 0.000667 0.00200 (S) Z4-Dichlorophenyl Acetic 64.2 14.0-158 Acid Laboratory Control Sample (LCS) (LCS) R3377792-2 01/22/19 18:06 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I 2,4-D 0.0500 0.0416 83.2 50.0-120 2,4,5-TP (Silvex) 0.0500 0.0374 74.8 50.0-125 (S) Z4-Dichlorophenyl Acetic 68.6 14. 0-158 Acid L1061680-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1061630-01 01/22/19 13:33 • (MS) R3377792-3 01/22/19 13 47 • (MSD) R3377792-4 01/22/19 19:00 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Analyte mg/I mg/I mg/I mg/I 2,4-D 0.0500 ND 0.0366 0.0377 73.2 75.4 2,4,5-TP (Silvex) 0.0500 ND 0.0342 0.0345 68.4 69.0 (S) Z4-Dichlorophenyl Acetic 66.6 63.8 Acid ACCOUNT: EMA Resources PROJECT: ONE LAB. NATIONWIDE. * Dilution Rec. Limits MS Qualifier MSD Qualifier RPD RPD Limits 1 50.0-120 2.96 20 1 50.0-125 0.873 20 14.0-158 SDG: DATE/TIME: PAGE: L1061377 01/25/1913:00 15 of 21 WG1225807 Pesticides (GC) by Method 8081B Method Blank (MB) QUALITY CONTROL SUMMARY L1061377-01 (MB) R3378405-2 01/24/191425 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I Gamma BHC U 0.00167 0.00500 Endrin U 0.00167 0.00500 Heptachlor U 0.00167 0.00500 Methoxychlor U 0.00167 0.00500 Chlordane U 0.00167 0.00500 Toxaphene U 0.00333 0.0100 (S) Decachlorobiphenyl 101 10.0-128 (S) Tetrochloro-m-xylene 75.5 10.0-127 Laboratory Control Sample (LCS) (LCS) R3378405-1 01/24/19 1413 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I Gamma BHC 0.0100 0.00894 89.4 55.0-129 Endrin 0.0100 0.00965 96.5 57.0-134 Heptachlor 0.0100 0.00710 71.0 27.0-132 Methoxychlor 0.0100 0.0108 108 54.0-155 (S) Decachlorobiphenyl 95.6 10.0-128 (S) Tetrochloro-m-xylene 73.9 10.0-127 L1061100-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1061100-01 01/24/19 15:02 • (MS) R3373405-3 01/24/19 1515 • (MSD) R3373405-4 01/24/19 15:27 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits Analyte mg/I mg/I mg/I mg/I Gamma BHC 0.0100 ND 0.00868 0.00877 86.8 87.7 1 14.0-141 Endrin 0.0100 ND 0.00931 0.00966 93.1 96.6 1 10.0-160 Heptachlor 0.0100 ND 0.00728 0.00718 72.8 71.8 1 16.0-136 Methoxychlor 0.0100 ND 0.0114 0.0117 114 117 1 10.0-160 (S) Decachlorobiphenyl 91.9 92.7 10.0-128 (S) Tetrochloro-m-xylene 75.4 72.9 10.0-127 ONE LAB. NATIONWIDE. * MS Qualifier MSD Qualifier RPD RPD Limits 1.03 40 3.69 39 1.38 40 2.60 34 FP1 ITC FS-1 [Cn] Fr �GI FAI Fc ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 16 of 21 WG1225806 QUALITY CONTROL SUMMARY Semi Volatile Organic Compounds (GC/MS) by Method 8270D L1061377-01 Method Blank (MB) (MB) R3373025-2 01/23/1910:03 MB Result MB Qualifier MB MDL MB RDL Analyte mg/I mg/I mg/I 1,4-Dichlorobenzene U 0.0333 0.100 2,4-Dinitrotoluene U 0.0333 0.100 Hexachlorobenzene U 0.0333 0.100 Hexachloro-1,3-butadiene U 0.0333 0.100 Hexachloroethane U 0.0333 0.100 Nitrobenzene U 0.0333 0.100 Pyridine U 0.0333 0.100 2-Methylphenol U 0.0333 0.100 3&4-Methyl Phenol U 0.0333 0.100 Pentachlorophenol U 0.0333 0.100 2,4,5-Trichlorophenol U 0.0333 0.100 2,4,6-Trichlorophenol U 0.0333 0.100 (S) Nitrobenzene-d5 38.5 10.0-127 (S) 2-Fluorobiphenyl 37.1 10.0-130 (S) p-Terphenyl-d14 54.0 10.0-128 (S) Phenol-d5 22.4 10.0-120 (S) 2-Fluorophenol 33.4 10.0-120 (S) Z4, 6-Tribromophenol 34.4 10. 0-155 Laboratory Control Sample (LCS) ONE LAB. NATIONWIDE. * (LCS) R3378025-1 01/23/19 09:39 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I 1,4-Dichlorobenzene 0.0500 0.0193 38.6 18.0-120 2,4-Dinitrotoluene 0.0500 0.0394 78.8 49.0-124 Hexachlorobenzene 0.0500 0.0343 68.6 44.0-120 Hexachloro-1,3-butadiene 0.0500 0.0191 38.2 19.0-120 Hexachloroethane 0.0500 0.0193 38.6 15.0-120 Nitrobenzene 0.0500 0.0207 41.4 27.0-120 Pyridine 0.0500 0.00921 18.4 10.0-120 2-Methylphenol 0.0500 0.0208 41.6 28.0-120 3&4-Methyl Phenol 0.0500 0.0226 45.2 31.0-120 Pentachlorophenol 0.0500 0.0340 68.0 23.0-120 2,4,5-Trichlorophenol 0.0500 0.0296 59.2 44.0-120 2,4,6-Trichlorophenol 0.0500 0.0272 54.4 42.0-120 (S) Nitrobenzene-d5 33.0 10.0-127 (S) 2-Fluorobiphenyl 36.2 10.0-130 (S) p-Terphenyl-d14 66.2 10.0-128 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 17 of 21 I WG1225806 QUALITY CONTROL SUMMARY Semi Volatile Organic Compounds (GC/MS) by Method 8270D L1061377-01 Laboratory Control Sample (LCS) (LCS) R3378025-1 01/23/19 09:39 Spike Amount LCS Result LCS Rec. Rec. Limits LCS Qualifier Analyte mg/I mg/I (S) Phenol-d5 19.8 10.0-120 (S) 2-Fluorophenol 28.4 10.0-120 (S) 2,4, 6-Tribromophenol 54.0 10. 0-155 L1060425-01 Original Sample (OS) • Matrix Spike (MS) • Matrix Spike Duplicate (MSD) (OS) L1060425-01 01/23/19 10:50 • (MS) R3373025-3 01/23/19 1114 • (MSD) R3373025-4 01/23/19 1133 Spike Amount Original Result MS Result MSD Result MS Rec. MSD Rec. Dilution Rec. Limits MS Qualifier MSD Qualifier RPD Analyte mg/I mg/I mg/I mg/I 1,4-Dichlorobenzene 0.500 ND 0.239 0.257 47.8 51.4 1 17.0-120 7.26 2,4-Dinitrotoluene 0.500 ND 0.358 0.389 71.6 77.8 1 39.0-125 8.30 Hexachlorobenzene 0.500 ND 0.317 0.346 63.4 69.2 1 35.0-122 8.75 HexachIoro-1,3-butadiene 0.500 ND 0.237 0.268 47.4 53.6 1 12.0-120 12.3 Hexachloroethane 0.500 ND 0.248 0.271 49.6 54.2 1 10.0-120 8.86 Nitrobenzene 0.500 ND 0.249 0.277 49.8 55.4 1 12.0-120 10.6 Pyridine 0.500 ND 0.0994 0.100 19.9 20.0 1 10.0-120 0.602 2-Methylphenol 0.500 ND 0.251 0.281 50.2 56.2 1 10.0-120 11.3 3&4-Methyl Phenol 0.500 ND 0.281 0.309 56.2 61.8 1 10.0-120 9.49 Pentachlorophenol 0.500 ND 0.342 0.387 68.4 77.4 1 10.0-128 12.3 2,4,5-Trichlorophenol 0.500 ND 0.325 0.368 65.0 73.6 1 33.0-120 12.4 2,4,6-Trichlorophenol 0.500 ND 0.314 0.367 62.8 73.4 1 26.0-120 15.6 (S) Nitrobenzene-d5 39.9 43.5 10.0-127 (S) 2-Fluorobiphenyl 41.9 48.6 10.0-130 (S) p-Terphenyl-d14 55.2 61.9 10.0-128 (S) Phenol-d5 26.4 28.4 10.0-120 (S) 2-Fluorophenol 36.7 40.0 10.0-120 (S)2,4,6-Tribromophenol 54.5 61.0 10.0-155 ONE LAB. NATIONWIDE. * RPD Limits 40 25 24 34 40 30 37 30 36 37 31 31 ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 13 of 21 GLOSSARY OF TERMS Guide to Reading and Understanding Your Laboratory Report ONE LAB. NATIONWIDE. * The information below is designed to better explain the various terms used in your report of analytical results from the Laboratory. This is not intended as a comprehensive explanation, and ifyou have additional questions please contact your project representative. Abbreviations and Definitions u Fc MDL Method Detection Limit. ND Not detected at the Reporting Limit (or MDL where applicable). FS RDL Reported Detection Limit. Rec. Recovery. RPD Relative Percent Difference. Fn SDG Sample Delivery Group. Surrogate (Surrogate Standard Anal es added to eve blank, sample, Laboratory Control Sample/Duplicate and 9 ( 9 )- Yt n1 P n1 F (S) Matrix Spike/Duplicate; used to evaluate analytical efficiency by measuring recovery. Surrogates are not expected to be detected in all environmental media. U Not detected at the Reporting Limit (or MDL where applicable). F Analyte The name ofthe particular compound or analysis performed. Some Analyses and Methods will have multiple analytes reported. Ifthe sample matrix contains an interfering material, the sample preparation volume or weight values differ from the Dilution standard, or if concentrations of analytes in the sample are higher than the highest limit of concentration that the laboratory can accurately report, the sample may be diluted for analysis. If a value different than 1 is used in this field, the result reported has already been corrected for this factor. e These are the target % recovery ranges or % difference value that the laboratory has historically determined as normal AI Limits for the method and analyte being reported. Successful QC Sample analysis will target all analytes recovered or duplicated within these ranges. Original Sample The non -spiked sample in the prep batch used to determine the Relative Percent Difference (RPD) from a quality control Rc sample. The Original Sample may not be included within the reported SDG. This column provides a letter and/or number designation that corresponds to additional information concerning the result Qualifier reported. If a Qualifier is present, a definition per Qualifier is provided within the Glossary and Definitions page and potentially a discussion of possible implications ofthe Qualifier in the Case Narrative if applicable. The actual analytical final result (corrected for any sample specific characteristics) reported for your sample. Ifthere was no measurable result returned for a specific analyte, the result in this column may state "ND" (Not Detected) or "BDL" Result (Below Detectable Levels). The information in the results column should always be accompanied by either an MDL (Method Detection Limit) or RDL (Reporting Detection Limit) that defines the lowest value that the laboratory could detect or report for this analyte. Uncertainty (Radiochemistry) Confidence level of 2 sigma. A brief discussion about the included sample results, including a discussion of any non -conformances to protocol Case Narrative (Cn) observed either at sample receipt by the laboratory from the field or during the analytical process. If present, there will be a section in the Case Narrative to discuss the meaning of any data qualifiers used in the report. Quality Control This section ofthe report includes the results ofthe laboratory quality control analyses required by procedure or Summary (Qc) analytical methods to assist in evaluating the validity ofthe results reported for your samples. These analyses are not being performed on your samples typically, but on laboratory generated material. This is the document created in the field when your samples were initially collected. This is used to verify the time and Sample Chain of date of collection, the person collecting the samples, and the analyses that the laboratory is requested to perform. This Custody (Sc) chain of custody also documents all persons (excluding commercial shippers) that have had control or possession ofthe samples from the time of collection until delivery to the laboratory for analysis. This section ofyour report will provide the results of all testing performed on your samples. These results are provided Sample Results (Sr) by sample ID and are separated by the analyses performed on each sample. The header line of each analysis section for each sample will provide the name and method number for the analysis reported. Sample Summary (Ss) This section ofthe Analytical Report defines the specific analyses performed for each sample ID, including the dates and times of preparation and/or analysis. Qualifier Description J The identification ofthe analyte is acceptable, the reported value is an estimate. T8 Sample(s) received past/too close to holding time expiration. ACCOUNT: PROJECT: SDG: DATE/TIME: PAGE: EMA Resources L1061377 01/25/1913:00 19 of 21 ACCREDITATIONS & LOCATIONS ONE LAB. NATIONWIDE. Pace National is the only environmental laboratory accredited/certified to support your work nationwide from one location. One phone call, one point of contact, one laboratory. No other lab is as accessible or prepared to handle your needs throughout the country. Our capacity and capability from our single location laboratory is comparable to the collective totals of the network laboratories in our industry. The most significant benefit to our one location design is the design of our laboratory campus. The model is conducive to accelerated productivity, decreasing Cp turn -around time, and preventing cross contamination, thus protecting sample integrity. Our focus on premium quality and prompt service allows us to be YOUR LAB OF CHOICE. Not all certifications held by the laboratory are applicable to the results reported in the attached report. Accreditation is only applicable to the test methods specified on each scope of accreditation held by Pace National. Fc State Accreditations Alabama 40660 Nebraska NE-OS-15-05 FS Alaska 17-026 Nevada TN-03-2002-34 Arizona AZ0612 New Hampshire 2975 Arkansas 88-0469 New Jersey—NELAP TNO02 Fn California 2932 New Mexico n/a Colorado TN00003 New York 11742 Connecticut PH-0197 North Carolina Env375 Fr Florida E87487 North Carolina' DW21704 Georgia NELAP North Carolina 3 41 Georgia' 923 North Dakota R-140 Fc Idaho TN00003 Ohio—VAP CL0069 Illinois 200008 Oklahoma 9915 7G1 Indiana C-TN-01 f Oregon TN200002 Iowa 364 Pennsylvania 68-02979 Kansas E-10277 Rhode Island LA000356 Kentucky' 6 90010 South Carolina 84004 Kentucky 2 16 South Dakota n/a Louisiana A130792 Tennessee'" 2006 Louisiana' LA180010 Texas T 104704245-17-14 Rc Maine TN0002 Texas 5 LABO152 Maryland 324 Utah TN00003 Massachusetts M-TNO03 Vermont VT2006 Michigan 9958 Virginia 460132 Minnesota 047-999-395 Washington C847 Mississippi TN00003 West Virginia 233 Missouri 340 Wisconsin 9980939910 Montana CERT0086 Wyoming A2 LA Third Party Federal Accreditations A2LA— ISO17025 1461.01 AIHA-LAP,LLC EMLAP 100789 A2 LA — ISO 17025 5 1461.02 DOD 1461.01 Canada 1461.01 USDA P330-15-00234 EPA—Crypto TN00003 ' Drinking Water 2 Underground Storage Tanks 3 Aquatic Toxicity "Chemical/Microbiological 5 Mold 6 Wastewater n/a Accreditation not applicable Our Locations Pace National has sixty-four client support centers that provide sample pickup and/or the delivery of sampling supplies. If you would like assistance from one of our support offices, please contact our main office. Pace National performs all testing at our central laboratory. WA MT ND OR ID SD VWY ` NV T NE T UT CA co KS W o �AZ NM O� T TX AK � . b C, fo • B HI 4 S ACCOUNT: V PROJECT: EMA Resources ME MN WVI NY MI T IA T PA 4 OH Mo IL Ihi T T WV VAT KY N * r� AR Ms AL GA LA FL SDG: DATE/TIME: PAGE: L1061377 01/25/1913:00 20 of 21 3iilrng In� �, EMA Resource 755 Yadkinvillp Road Morksville, W 27028 Report to: Mr. r. Brent Collins Praktt] + Ims[riptiark F311ii Dill Cl+ent Project x Fax! 336-751-1442 Colierted by {print): Mr. Brent coil ins r}res 755 Yadkinville Road Chw Mockswille, NC 2702E Email To; brent,toll4lsem;rasa,�rteslne-com City{$Cate Collected 14lii.�}iIY M��f4�' lab Praj�,trk !! acl aky I 8 p 4. v Catlel by {ylgniti 8r7Sh (Lab MUST i Iyal I Quote d — 51111 NY _ Five i rrnrtrpdia[ el V Neat Da Y — 5 bay I i _ Tvry DAY 10 bx4 iAad �Mk� f]ate P asked all Ire N Y Thri bey Sample ib Comp1C*rib 41a#rix * Oaplh pate l�i $ ''Teo IT;/)q Matrix., i - 51311 AIR - Air F - Fil I oa All - Graundwatfir 9 - Bloassay W-WaateWil fir N - Dunking Waller r-Ohl Orlqulshed by ' fS,Rnarurel by;I by ' fSviiii +:l fl -- Z 6x rs Nerded ]tr$ H TimC � �.3 H & a ! . 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P689632 r5li- 702 • CpSSantJra Foster Pell i+1a: Fel Ground he�i,..ks .�r7nln Y plan ��as� PH _ Temp preeliFn:1 Intilli � Y flow__ Other CL1C �i - H 9ArtlfArecrata; __ _ B.Dtclee anise intaZt. --- �tlzrl 1+4ttll ulAersz F! r aUElelrnt 141um, nand —N TnBI�YskRCtl�ived Yey V Earl Jdeac[epa� �: eelr4eCl�r —� — Ca�rlctltheciel Y TAR : <0.5 !] .,l r Temp: °C Bottles flaai I} pre5erval ?pquired by Loin_ Aa to/Tlrrme f -� ]aoe; Time: V, 4 hI i Carrdi-_- FlCr` ! -Oli ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: WWTP Name: City of Reidsville Reidsville WWTP WQ Permit Number: W00002376 NPDES Number: NCO024881 Monitoring Period: From 1/1/2019 To 3/31/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (timc/temp) ❑ I Alt B (Alk Treatment) ❑ I Alt. C (Prior Testing) ❑ AIt.D (No Prior Test) [IProcess to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) Indicate `Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: JAlt. (1) Fecal Density p Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Composting ❑ JAerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number oFrequency Excee- ences of Analysis Sample Type Analytical Tech-nique inimu Geo. Mean ax.imu Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 6208 9073 14520 col/g 0 Quarterly G SM9222D 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ JAlt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 17 "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." Ben Bani - WWTP Superintendent Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) a-702D o�e4;2- 1/11/2020 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .l 102 (26) DENR FORM PVRF 02T (12/2006) Page 1 Contact: Brent Collins Report Date: 1/23/2019 Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Date Sample Rcvd: 1/15/2019 Meritech Work Order # 01151919 Sample: Reidsville 1 Grab 1/15/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.84 % 1/16/19 0-100 %© SM 2540B Fecal Coliform (Sludge) 9882 cal/g dry wt 1/15/19 1398 col/g dry wt SM 9222D Meritech Work Order # 01151920 Sample: Reidsville 2 Grab 1/15/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.87 % 1/16/19 0-100 % SM 2540B Fecal Coliform (Sludge) 8265 cal/g dry wt 1/15/19 1398 col/g dry wt SM 9222D Meritech Work Order # 01151921 Sample: Reidsville 3 Grab 1/15/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.82 % 1/16/19 0-100 % SM 2540B Fecal Coliform (Sludge) 8991 col/g dry wt 1/15/19 1398 col/g dry wt SM 9222D Meritech Work Order # 01151922 Sample: Reidsville 4 Grab 1/15/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.88 % 1/16/19 0-100 % SM 2540B Fecal Coliform (Sludge) 6286 col/g dry wt 1/15/19 1398 col/g dry wt SM 9222D Meritech Work Order # 01151923 Sample: Reidsville 5 Grab 1/15/19 Parameters Result Analysis Date Resorting Limit Method % Total Solids 1.42 % 1/16/19 0-100 % SM 2540B Fecal Coliform (Sludge) 12164 col/g dry wt 1/15/19 1398 col/g dry wt SM 9222D 642 Tameo Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Meritech Work Order # 01151924 Sample: Reidsville 6 Grab Parameters Result Analysis Date % Total Solids 1.44 % 1/16/19 Fecal Coliform (Sludge) 14520 col/g dry wt 1/15/19 Meritech Work Order # 01151925 Sample: Reidsville 7 Grab Parameters Result Analysis Date % Total Solids 2.05 % 1/16/19 Fecal Coliform (Sludge) 6208 col/g dry wt 1/15/19 Page 2 Report Date: 1/23/2019 Project: Salisbury Date Sample Rcvd: 1/15/2019 1/15/19 Reporting -Limit Method 0-100 % SM 2540B 1398 col/gdry wt SM9222D 1/15/19 Reporting Limit Method 0-100 % SM 2540E 1398 col/g dry wt SM 9222D I hereby certify that have reviewed and approve these data. 'LaAlraibry Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax. (336) 342-1522 Chain of Custody Record (COC) NPDES#: Client: EMA Resources Inc. Phone:— Address:_ 755 Yadkinville Rd Fax: Mocksville NC 27028 Email:—brent.coilipsPemaresourcesinc.com Project: P.O.#: Attention:_ Brent Collins How would you like your report sent? all that appl . f mail { eferred), Fax, Mail Person Taking Sample (Sign/Print): 336-751-1441 336-751-1442 Turn Around Time* *RUSH work needs prior approval. Std 10 da s) 3 - 5 Da s 24-4S Hrs Lab Use Only RA ER ITE C H . ENVIRONMENTAL LABORATORIES ' 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechiabs.com www.meritechiabs.comCircle Sample Location and/or ID # Sampling Dates & Times Start End Comp? Grab? #of Cont. Test(s) Required a Ice? es / No pH OK? Cl OK? Date Time Date Time e:dsv: fit, 1 tIISl�9 1D'za (, l Fecal eel;4ro, z G y l Temperature Upon Receipt: C„ Method of Shipment: *** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** Comments: Compositor # JJug # Eli UPS Fed Ex Are these results for regulatory purposes? Yes No Q Report results in: mg/L E:1' mg/kg ug/L El ED Hand Delivery Relinquished by: Date: )' S ? Time: Received by: Date: Time: other Relinquished by: Date: Time: Received by: Date: Time: Relinquished by: Date: Time: R ived by L. 0 Contact: Brent Collins Report Date: 2/22/2019 Client: EMA Resources, Inc 755 YadkinvilIe Road Mocksville, NC 27028 Date Sample Rcvd: 1/15/2019 Vector Attraction Reduction / Aerobicallv DiLyested Sludge (30 Dav Test) Meritech Work Order # 01151928 Sample: Reidsville Composite 1/15/19 Total Solids Volatile Solids % Volatile Solids Week 1 1.15 0.760 0.664 Week 2 1.25 0.830 0.668 Week 3 1.22 0.800 0.658 Week 4 1.07 0.720 0.678 Week 5 1.16 0.760 0.656 Van Kleek Reduction (%): 3.33 I hereby certify that I have reviewed and approve these data. Pass or Fail Pass Am Ma ,) Laboratory Represeiztative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 5-9-2016 Chain of Custody Record (COC) NPDES#: Client: EMA Resources Inc. Phone:_ 336-751-1441 Address:_ 755 Yadkinville Rd Fax: — 336-751-1442 Mocksville NC 27028 Email: brentcollins@emaresourcesinc.com Project: P.0.#: Attention:_ Brent Collins Turn Around Time* How Would you like your report sent? *RUSH work needs prior approval. Circle all thatappl . Finail( eferred), Fax, Mail Std 10days) 3 24-4914rs Person Taking Sample (Sign/Print): Lab Use Only N + M E R'TE H INC, 4 1 ENVIRONMENTAL LABORATORIES ' 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechlabs.com VNUi/w.meritechiabs.com Sample Location and/or ID # Sampling Dates & Times Start End COMP?on Gab? nt. Test(s) Required ice? 6�>/ No H 00 Cl OK? Date Time Date Time JQt� dsvr ilt , iisl i 4 )a ; 3So,, Temperature Upon Receipt: L Method of Shipment: *** Dechlorination <0.5 m of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** Comments: Compositor # 0' UPS 1JU9# E Fed Ex Are these results for regulatory purposes? Yes No Report results in: mg/L Di mg/kg 19.7' ug/L E: Hand Delivery Relinquished by: D te: Time: Received by: Date: Time: ❑, Other Relinquished by: Date: Time: Received by: Date: Time: Relinquished by. Date: Time: R7v by to . ` _ -D e• ' Z— ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Reidsville WQ Permit Number: WQ0002376 WWTP Name: Reidsville WWTP NPDES Number: NCO024881 Monitoring Period: From 4/1/2019 To 6/30/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ 1 Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ I Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray 01 Gamma Ray ❑ Pasteurization ❑ Class B: jAlt. (1) Fecal Density p 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 aeplicable to alternative performed Class A or Class B complete the following monitoring data: Parameter Allowable Level in Sludge Pathogen Density Number oFrequency Excee- of Analysis Sample Type Analytical Tech-nique MinimumGeo. Mean MaximumUnits Fecal Coliform 2 x 10 to the 6th power per gram of fatal solids MPN CFU 3896 4822 67$4 col/ g 0 Quarterly Q �' G SM9222D 1000 mpn per gram of total solid (dry weight)- Salmonella bacteria (in lieu of fecal coliform 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 211 Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ JAR. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 0 "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." Ben Bani - WWTP Superintendent Brent Collins; Director of Technical Services Preparer me and Title (type or print) Land Applier Name and Title (if (if applicable)(type or print) ��2 4+21 /11/2020 Signature of Preparer* Date Signature of Land Applier (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) Page 1 Contact: Brent Collins Report Date: 4/12/2019 Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Date Sample Rcvd: 4/3/2019 Meritech Work Order # 04031922 Sample: Reidsville 1 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.09 % 4/4/19 0-100 % SM 2540B Fecal Coliform (Sludge) 4785 cal/g dry wt 4/3/19 431 col/g dry wt SM 9222D Meritech Work Order # 04031923 Sample: Reidsville 2 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.10 % 4/4/19 0-100 % SM 2540B Fecal Coliform (Sludge) 3896 col/g dry wt 4/3/19 431 col/g dry wt SM 9222D Meritech Work Order # 04031924 Sample: Reidsville 3 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.07 % 4/4/19 0-100 % SM 2540E Fecal Coliform (Sludge) 3953 col/g dry wt 4/3/19 431 col/g dry wt SM 9222D Meritech Work Order # 04031925 Sample: Reidsville 4 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.01 % 4/4/19 0-100 % SM 2540E Fecal Coliform (Sludge) 6784 col/g dry wt 4/3/19 431 col/g dry wt SM 9222D Meritech Work Order # 04031926 Sample: Reidsville 5 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.08 % 4/4/19 0-100 % SM 2540B Fecal Coliform (Sludge) 4808 cal/g dry M 4/3/19 431 col/g dry wt SM 9222D 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Page 2 Contact: Brent Collins Report Date: 4/12/2019 Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Date Sample Rcvd: 4/3/2019 Meritech Work Order # 04031927 Sample: Reidsville 6 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.09 % 4/4/19 0-100 % SM 2540B Fecal Coliform (Sludge) 5220 col/g dry wt 4/3/19 431 col/g dry wt SM 9222D Meritech Work Order # 04031928 Sample: Reidsville 7 Grab 4/3/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 2.07 % 4/4/19 0-100 % SM 2540B Fecal Coliform (Sludge) 4831 col/g dry wt 4/3/19 431 col/g dry wt SM 9222D I hereby certify that I have reviewed and approve these data. - n)l(,. A Yl� Ia Wrarory Re esentative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (COC) NPDES#: Client: EMA Resources Inc. Phone:,�,336-751-1441 n/l E RTECH INC. Address:_ 755 Yadkinville Rd Fax: 336-751-1442 ENVIRONMENTAL LABORATORIES Mocksville NC 27028 Email: b ent.�ciiins@ema esoulleesfpcXu1P 642 Tam co Rd. Phone. 336-342-4748 f� Project: Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritechiabs.com Attention: Brent Collins Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. wwn ri c .c Std 10days) 3-5 Da s 24-48Flrr Circle all that apply: Email [preferred) , Fax, Mail Sampling Dates & Times Person Taking Sample (Sign/Print): r� ���✓ �,�� jv � T��1 Lab Use Only Sample Location and/or ID # Start End comp? #°f Test(s) Required On Ice? pH OK? Date Time Date Time Grab? Cont. Yes No Cl OK? -3 Temperature Upon Receipt: t- Method of *** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** Comments: Compositor # JJug # Shipment: UPS Fed Ex Are these results for regula ry purposes? Yes �- No Report results in: mg/L [ mg/kg ug/L Hand Delivery ReEinquished by: Date: T �- r -1� � m t; Received by: Date: Time: Other Relinquished by: Date: Time: Received by: Date: Time: ReEinquished by: Date: Time: Rec a i 0 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Meritech, Inc. Environmental Laboratory Laboratory Certification. No.165 Report Date: 5/7/2019 Date Sample Rcvd: 4/3/2019 Vector Attraction Reduction Aerobically Digested Sludge 30 Day Test Meritech Work Order # 04031921 Sample: Reidsville Composite 4/3/19 Total Solids Volatile Solids % Volatile Solids Week 1 1.35 0.960 0.707 Week 2 1.34 0.940 0.704 Week 3 1.29 0.910 0.708 Week 4 1.21 0.830 0.687 Week 5 1.19 0.830 0.696 Van Kleek Reduction (%): 5.26 I hereby certify that I have reviewed and approve these data. Pass or Fail Pass z2A'6L- Laboratory Representative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 59-2015 Chain of Custody Record (COC) NPDES#: Client: EMA Resources Inc. Phone: 336-751-1441 Address:_ 755 Yadkinville Rd Fax: 336-751-1442 Mocksville NC 27028 Email:____ Project: P.Q.#: Attention:_ Brent Collins Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. Circle all that apply: Email (preferred), Fax, Mail Std 10 days) 3 - S Da s 24-49 Rrs ER I T E C HINC. J ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336-342-4748 Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechkabs.com wg ml m Sample Location and/or ID # Sampling Dates & Times person Taking Sample (Sign/Pri t� ): Lab Use Only Start End Comp? Grab? # of Cont. Test(s) Required Ice? Yes% No pH OK? Cl OK? Date Time Date Time C l,.;p dte L T-7 Temperature Upon Receipt: 4. �. Method Of Shipment: *** Dechlorination (<0.5 pm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** Comments: Compositor # [J UPS Jug# Fed Ex Are these results for regulatory purposes? Yes E No Report results in: mg/L [ mg/kg ug/L `Hand Delivery Relinquished by: Date: Ti �� Received by: Date: Time: E Other Relinquished by: ate: Time: Received by: Date: Time: Relinquished by: Date: Time: �, 3 R y a 1 {{m ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Reidsville WQ Permit Number: W00002376 WWTP Name: Reidsville WWTP NPDES Number: NCO024881 Monitoring Period: From 7/l/2019 To 9/30/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/teen) ❑ 1 Alt B (Alk Treatment) ❑ 1 Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost 131 Heat Drying ❑ Heat Treatment ❑ Thermophilie ❑ Beta R2Z ❑ 1 Gamma Ray ❑ 1 Pasteurization ❑ Class B: Alt_ (1) Fecal Density r❑ I Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Si nificantl Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ Com osting ❑ Aerobic Digestion ❑ Anaerobic Digestion ❑ If applicable to alternative pe med (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge g Pathogen Density Number of Excee- FrequencySample of Analysis Type yp Analytical Tech -pique Minimum Geo. Mean Maximum Units Fecal Coliform 2 x 10 to the 6th power per gram of total solids MPN CFU 797 1301 3987 col/ g 0 Quarterly Q y G SM9222D 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) 21 Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ jAlt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 17 "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." Ben Bani - WWTP Superintendent Brent Collins; Director of Technical Services Preparer Na a and Title pe or print) Land Applier Name and Title (if applicable)(type or print) � p - 1 / 11 /2020 Signature of Preparer* Date Signature of Land Applier (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) Meritech, Inc. Environmental Laboratory Laboratory Certification No. 165 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Page 1 Report Date: 7/12/2019 Date Sample Rcvd: 7/2/2019 Meritech Work Order # 07021912 Sample: Reidsville 1 Grab 7/2/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.14 % 7/2/19 0-100 % SM 2540E Fecal Coliform (Sludge) 3987 col/g dry wt 7/2/19 130 cal/g dry wt SM 9222D Meritech Work Order # 07021913 Sample: Reidsville 2 Grab 7/2/19 Parameters Result Analysis Date Reporting Limit Method %Total Solids 1.13 % 7/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) <804 cal/g dry wt 7/2/19 804 col/g dry wt SM 9222D Meritech Work Order # 07021914 Sample: Reidsville 3 Grab 7/2/19 Parameters Result Analysis Date Reporting Limit Method %Total Solids 1.13 % 7/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 804 col/g dry wt 7/2/19 130 col/g dry wt SM 9222D Meritech Work Order # 07021915 Sample: Reidsville 4 Grab 7/2/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.14 % 7/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) <797 col/g dry wt 7/2/19 797 col/g dry wt SM 9222D Meritech Work Order # 07021916 Sample: Reidsville 5 Grab 7/2/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.12 % 7/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 812 col/g dry wt 7/2/19 130 col/g dry wt SM 9222D 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Meritech Work Order # 07021917 Sample: Reidsville 6 Grab Parameters Result Analysis Date % Total Solids 1.14 % 7/2/19 Fecal Coliform (Sludge) 1595 col/g dry wt 7/2/19 Meritech Work Order # 07021918 Sample: Reidsville 7 Grab Parameters Result Analysis_Date % Total Solids 1.15 % 7/2/19 Fecal Coliform (Sludge) 2371 col/g dry wt 7/2/19 Page 2 Report Date: 7/12/2019 Date Sample Rcvd: 7/2/2019 7/2/19 Reporting Limit Method 0-100 % SM 2540B 130 col/g dry wt SM 9222D 7/2/19 Reporting Limit Method 0-100 % SM 2540E 130 col/g dry wt SM 9222D I hereby certify that1 have reviewed and approve these data. Laboratory Represen ative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 s4-1016 Chain of Custody Record (COC) Client: EMA Resources Inc. NPDES#: Phone: 336-751-1441 ER 11�E C H � � � ■ Address: Rd Fax: 336-751-1442 ENVIRONMENTAL LABORATORIES _755Yadkinville Mocksville NC 27028 Email:—bre.n—t _fl€ 642 Tamco Rd. Phone: 336-342-4748 Project: Reidsville NC 27320 Fax: 336-342-1522 P.O.#: Email: info@meritechlabs.com Attention:_ Brent Collins Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. w, eri Circle all that apply: Ema[I referred) Fax, Std 1Qda s} 3-5 DaVS I 2a-AR14m Mail , Sampling Dates & Times Person Taking Sample (Sign/Print): Lab Use Only Start End Comp? #of Test(s) Required On Ice? pH OK? Date Time Date Time Grab? Cont. Yes / No CI OK? 12P dsvc Ilc 7�Z n: a°oM 2 3 4 4 7 V Temperature upon Receipt: Method of *** Dechlorination (<0.5 p m) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior topreservation. *** Comments: Compositor # Jug # Shipment: UPS Fed Ex Are these results for regulatory purposes? Yes No Report results in: p m L g/ m k u L g/ g g/ - Hand Delivery Relinquished b Date:2 � 7j Time: Received by: Date: Time: Other Relinquished by: Date: Time: Received by: Date: Time: Relinquished by: Date: Time: R eived b ate• cm Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Report Date: 9/20/2019 Date Sample Rcvd: 8/19/2019 Vector Attraction Reduction Aerobically Digested Sludge 30 Day Test Meritech Work Order # 08191906 Sample: Reidsville Grab 8/19/19 Total Solids Volatile Solids % Volatile Solids Week 1 0.710 0.470 0.660 Week 2 0.750 0.500 0.662 Week 3 0,850 0.560 0.657 Week 4 0.820 0.540 0.659 Week 5 0.870 0,590 0.678 Van I{leek Reduction (%): -8.37 Pass or Fall Pass I hereby certify that I have reviewed and approve these data. Laboratory Representative 642 Tarnco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Chain of Custody Record (COC) NPDES#: Client: EMA Resources Inc. Phone:_ 336-751'-1441 755 Yadkinviile Rd Fax: 336-751''-1442 Mocksville NC 27028 Email:_ �r.ccll sC erna€esoa,re�:SinC.CS Project: P.O.#: Attention:_ Brent Collins Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. - Circle all that apply: Email (preferred), Fax, Mail Std zoda s) 3 5 Da s 48 ws f 4 � � � INC. MERI I 1Address:— ENVIRONMENTAL LABORATORIES a4 642 Tamco Rd. Phone. 336-342-4748 i? Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechlabs.com , www2a 'mm� -com Sample Location and/or ID # Sampling Dates & Times Person Taking Sample (Sign/Print): Lail Use Only Start End comp, Grab? #of Cont. Test(s) Required on Ice? Yes , No pH OI<? Cl OK? Date Time Date Time ) J` i. Temperature Upon Receipt: { .? Method Of Shipment: *** Dechlorination (<0.5 m) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field priorto ereservation. *** Comments: Compositor # D UPS Jug # El Fed Ex Are these results for regulatory purposes? Yes No Report results in: mg/L 0� mg/kg Qi ug/L Hand Delivery Relinquished by: �. Date: Time: f a /G t� Received by: Date: Time: Other Relinquished by_ Date: J,,Time: Received by: Date: Time: Relinquished by: J' Date: (� Time: t6 J 1a 2, J Received by Lab:._ fl Dad: Time: Un t 3 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: City of Reidsville WQ Permit Number: WWTP Name: Reidsville WWTP NPDES Number: WQ0002376 NCO024881 Monitoring Period: From 10/1/2019 To 12/31/2019 Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed: Class A: Alt. A (time/temp) ❑ 7 All B (Alk Treatment) ❑ Alt. C (Prior Testin ) ❑ A1t.D (No Prior Test) ❑ 1 Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophiiic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ Class B: jAlt. (1) Fecal Density Cp 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 applicable to alternative performed (Class A or Class B) complete the following monitorin data: Parameter Allowable Level in Sludge g Pathogen Density o NumberFrequency Excee- ences of Analysis Sample Type Analytical Tech-nique inimu Geo. Mean aximu Units Fecal Coliform 2 x 10 to the 6th power pterotagro ids of MPN CFU 4546 7054 10586 col/ g 0 Quarterly G SM9222D 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.I (VS reduction) ❑ Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) I] Alt. 4 (Spec. O, uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) I Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) R1 "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 .L107 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." Ben Bani - WWTP Superintendent Brent Collins; Director of Technical Services Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) ..�L 1 /11/2020 Signature of Preparer* Date Signature of Land Applier (if applicable) Date *Preparer is defined in 40 CFR Part 503.9(r) and 1SA NCAC 2T .1102 (26) DENR FORM PVRF 02T (1212006) Page 1 Contact: Brent Collins Report Date: 10/9/2019 Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Date Sample Rcvd: 10/1/2019 Meritech Work Order # 10011918 Sample: Reidsville #1 Grab 10/1/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.43 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 8264 col/g dry wt 10/1/19 130 col/g dry wt SM 9222D Meritech Work Order # 10011919 Sample: Reidsville #2 Grab 10/1/19 Parameters Result Analysis Date Reporting_ Limit Method % Total Solids 1.48 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 6143 col/g dry wt 10/1/19 130 col/g dry wt SM 9222D Meritech Work Order # 10011920 Sample: Reidsville #3 Grab 10/1/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.46 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 10586 cal/g dry wt 10/1/19 130 col/g dry wt SM 9222D Meritech Work Order # 10011921 Sample: Reidsville #4 Grab 10/1/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.77 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 5136 col/g dry wt 10/1/19 130 cal/g dry wt SM 9222D Meritech Work Order # 10011922 Sample: Reidsville #5 Grab 10/1/19 Parameters Result Analysis Date Reporting Limit Method % Total Solids 1.50 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 6667 cal/g dry wt 10/1/19 130 col/g dry wt SM 9222D 642 Tameo Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Mocksville, NC 27028 Meritech Work Order # 10011923 Sample: Reidsville #6 Grab Parameters Result Analysis Date Page 2 Report Date: 10/9/2019 Date Sample Rcvd: 10/1/2019 10/1/19 Reporting Limit Method Total Solids 1.60 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 4546 col/g dry wt 10/1/19 130 col/g dry wt SM 9222D Meritech Work Order # 10011924 Sample: Reidsville #7 Grab 10/1/19 Parameters Result Analysis Date Resorting Limit Method % Total Solids 1.40 % 10/2/19 0-100 % SM 2540B Fecal Coliform (Sludge) 10389 col/g dry wt 10/1/19 130 col/g dry wt SM 9222D I hereby certify that I have reviewed and approve these data. La oratory Representative 642 Tarnco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 5.9-2016 Chain of Custody Record (COG) NPDES#: - Client: EMA Resources Inc. Phone:_ 336-751-1441 Address: —755 Yadkinville Rd Fax: 336-751-1442 Mocksville NC 27028 Email: Brent.c©llins a erriaresourcesinc.com Project: P.O.#: Attention:_ Brent Collins Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. Circle all that apply. Email (p ferred) , Fax, Mail Std so days) 3 S Da s 2a-49 Rrs M E R ITECH INC. 1 ENVIRONMENTAL LABORATORIES 642 Tamco Rd. Phone: 336.342-4748 i Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechlabs.com www.meritechiabs.com Sampling Dates & Times Person Taking Sample (Sign/Print): 2 Lab Use Only Start End comp? Grab? #of Coknt. Test(s) I \eq u � 1 eu �n ice? es / No pl-1 OK? Cl OK? Date Time Date Time / 1 n I� /Ohb kZ R 3 - �i S Q7 Temperature Upon Receipt: Method of Shipment: **" Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. Comments: Compositor # UPS Jug # Fed Ex Are these results for regulatory purposes? Yes No Report results in: mg/L Q mg/kg ug/L J Hand Delivery Relinquished by:_,e, Date:Oc' rq / / Time: Received by: Date: Time: Other Relinquished by: Date: Time: Received by: Date: Time: Relinquished by: Date: Time: Receiv Da : I Tiro Meritech, Inc. Environmental Laboratory Laboratory Certification No.165 Contact: Brent Collins Client: EMA Resources, Inc 755 Yadkinville Road Report Date: 11/4/2019 Mocksville, NC 27028 Date Sample Rcvd: 10/1/2019 Vector Attraction Reduction Aerobically Digested Sludge 30 Day Test Meritech Work Order # 10011917 Sample: Reidsville Grab 10/1/19 Total Solids Volatile Solids % Volatile Solids Week 1 1.31 0.910 0.695 Week 2 1.26 0.860 0.687 Week 3 1.35 0.940 0.697 Week 4 1.15 0.810 0.705 Week 5 1.08 0.760 0.705 Van Kleek Reduction (%): -4.47 I hereby certify that I have reviewed and approve these data. Pass or Fail Pass / ji'l L Laboratory epresentative 642 Tamco Road, Reidsville, North Carolina 27320 tel.(336)342-4748 fax.(336)342-1522 �gzo�6 Chain of Custody Record (COC) NPDES#: Client: EMA Resources Inc. Phone:_ 336-751-1441 Address:_ 755 Yadkinville Rd Fax: 336-751-1442 Mocksville NC 27028 Email: _brent.colisr,= Project: P.O.#: Attention:_Brent Collins Turn Around Time* How would you like your report sent? *RUSH work needs prior approval. Std 10 days) 3-S Da s 2a-aB Mrs Circle all that apply: Email eferred} , Fax, Mall `. ME R I T E C H INC. 1 642 Tamco Rd. Phone: 336-342-4748 4LENVIRONMENTAL LABORATORIES Reidsville NC 27320 Fax: 336-342-1522 Email: info@meritechiabs.com a r .co -- ----- ----- -- ---- Sample Location and/or ID # Sampling Dates & Times Person Taking sample (sign/Print): f� Lab Use Only Start End Comp? crab? #af Cont. } Test(s) l(S} Required o 1ce? / No pH OK? Cl OK? Date Time me Date Time x'1i�51i<u� ►errrr� /.,sp^^ � � � ,3��� �; t��.e,, � Temperature Upon Receipt: Method of Shipment: *** Dechlorination (<0.5 ppm) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. *** Comments: Compositor # UPS Jug # Fed Ex Are these results for regulatory purposes? Yes �4< No f Report results in: mg/L [_ mg/kg ug/L Wand Delivery Relinquished by: pate: �0 %��9 Time: Received Received by: Date: Time: Q,. Other Relinquished by: Date: Time: Received by: Date: Time: Relinquished by: Date: Time: Re 'tved L . lD NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL031695 CU)-Toeg Predictive Client: Catherine Neal Advisor: Brent Collins �C, 996 Simpson Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Stokesdale, NC 27357 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham �nllE� 18 Links to Helpful Information Sampled: Not Provided Received: 05/07/2019 Farm: RC004 Completed: 05/16/2019 Client ID: 450840 Advisor ID: 405413 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.6 120-200 30 110 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.41 0.90 5.7 74 1.5 5.6 48 17 53 20 57 160 113 109 109 116 0.1 2 North Carolina x AL Tobacco Trust Fund Commission 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. FY19-SL031693 CU)-ToegPredictive Client: Mike Bray Advisor: Brent Collins �C' 981 Wolf Island Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham F� x7- Links to Helpful Information Sampled: Not Provided Received: 05/07/2019 Farm: RC009 Completed: 05/16/2019 Client ID: 469422 Advisor ID: 405413 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 60 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 0.91 8.5 93 0.6 6.8 92 41 68 23 53 154 98 226 226 ill 0.3 4 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 40 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.12 7.2 91 0.7 6.7 113 48 60 27 30 857 521 220 220 99 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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. FY19-SL031708 CU)-Toeg Predictive Client: Dan Stocks Advisor: Brent Collins �C' 1612 Crutchfield Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham F� x7- Links to Helpful Information Sampled: Not Provided Received: 05/08/2019 Farm: RC010 Completed: 05/17/2019 Client ID: 450848 Advisor ID: 405413 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 50 60 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 0.98 9.9 92 0.8 6.6 38 39 65 25 42 1690 1022 172 172 109 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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-SL007044 �5{i �141..tiL Client: Daisy Sharpe Advisor: Brent Collins Predictive 6079 NC Hwy 65 EMA Resources Inc ;• Reidsville, NC 27320 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 465895 Advisor ID: 405413 Sampled: Received: 09/30/2019 Completed: 10/08/2019 Farm: RC-011 Sample ID: 0001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 80 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 0.96 10.2 87 1.3 6.1 63 30 61 24 40 132 95 297 297 80 0.1 1 Noah Carolina i� FutaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL007042 �5{i �141..tiL Client: Lawrence McCollum Advisor: Brent Collins Predictive 434 Truman Rd EMA Resources Inc ;• Reidsville, NC 27320 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 289332 Advisor ID: 405413 Sampled: Received: 09/30/2019 Completed: 10/08/2019 Farm: RC012 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.6 120-200 80 90 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.09 5.9 76 1.4 5.5 26 25 47 27 41 122 90 189 189 60 0.1 2 Noah Carolina fdtaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL033303 CU)-Toeg Predictive Client: William / Mary Stanley Advisor: Brent Collins �C' 381 King Carter Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham F� x7- Links to Helpful Information Sampled: Not Provided Received: 06/04/2019 Farm: RC019 Completed: 06/13/2019 Client ID: 427989 Advisor ID: 405413 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.5 120-200 0 70 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.60 1.19 5.2 74 1.4 5.7 166 33 56 14 58 442 282 165 165 187 0.1 2 Sample ID: 0004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 80 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.86 1.09 7.7 85 1.2 6.2 143 28 63 20 53 369 235 235 235 127 0.1 1 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 10 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.51 1.07 11.1 93 0.8 6.8 174 73 61 29 43 198 124 259 259 99 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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-SL014180 �5{i �141..tiL Client: Lofton Lovelace Advisor: Brent Collins Predictive 3575 NC Hwy 150 EMA Resources Inc ;• Reidsville, NC 27320 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 219281 Advisor ID: 405413 Sampled: Received: 11/05/2019 Completed: 11/21/2019 Farm: RC041 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.36 0.87 16.7 92 1.3 6.2 233 82 68 21 67 300 194 407 407 258 0.2 1 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 20 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.51 0.92 12.1 92 1.0 6.4 500 64 80 9 58 194 127 464 464 313 0.1 1 Noah Carolina i� FutaiW frum FundCiwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL007043 �5{i �141..tiL Client: Johnie Carty Advisor: Brent Collins Predictive 350 Donathan Rd EMA Resources Inc ;• Reidsville, NC 27320 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 70260 Advisor ID: 405413 Sampled: Received: 09/30/2019 Completed: 10/08/2019 Farm: RC118 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.60 0.97 21.6 97 0.7 6.9 556 30 86 11 56 418 254 803 803 538 0.1 0 Noah Carolina i� Futaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY20-SL011802 �5{i �141..tiL Client: Johnie Carty Advisor: Brent Collins Predictive 350 Donathan Rd EMA Resources Inc ;• Reidsville, NC 27320 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 70260 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: RC118 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 80 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.56 0.94 20.0 94 1.2 6.6 489 31 82 12 74 192 122 863 863 541 0.1 1 Noah Carolina i� Futaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL033301 CU)-ToegPredictive Client: Thomas / Tommy Carter Advisor: Brent Collins �C' 381 King Carter Rd EMA Resources Inc Mehlich-3 Extraction Soil Report Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Sampled: Not Provided �nllE� 18 Received: 06/04/2019 Farm: RC119 Completed: 06/13/2019 Client ID: 480518 Advisor ID: 405413 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 60 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.46 1.04 9.2 84 1.5 6.0 125 40 61 21 35 189 130 228 228 149 0.1 1 Sample ID: 00010 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 20 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.71 1.07 9.6 90 0.9 6.5 136 62 58 29 51 481 298 215 215 119 0.1 1 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 0.85 16.9 92 1.3 6.5 614 181 70 17 60 405 252 696 696 425 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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. FY19-SL033301 Thomas / Tommy Carter Page 2 of 4 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 50 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 0.93 14.1 93 1.0 6.6 548 47 79 12 51 160 105 493 493 371 0.1 1 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 0 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.04 14.6 93 1.0 6.7 261 92 73 17 44 766 466 351 351 230 0.1 1 Sample ID: 00008 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 70 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 1.37 0.99 13.1 90 1.4 6.3 82 36 62 27 74 591 367 382 382 174 0.1 1 Sample ID: 00011 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 10 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.76 0.94 18.6 95 1.0 6.8 131 70 61 31 54 458 280 307 307 177 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL033301 Thomas / Tommy Carter Page 3 of 4 Sample ID: 00012 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 70 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.97 1.01 8.7 83 1.4 6.0 114 35 59 22 49 756 470 339 339 113 0.1 1 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL033519 CU)-Toeg Predictive Client: Thomas / Tommy Carter Advisor: Brent Collins �C' 381 King Carter Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham �nllE� 18 Links to Helpful Information Sampled: Not Provided Received: 06/07/2019 Farm: RC119 Completed: 06/18/2019 Client ID: 480518 Advisor ID: 405413 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 50 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.05 13.4 90 1.3 6.2 656 43 70 18 59 241 159 859 859 504 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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. FY19-SL031697 CU)-ToegPredictive Client: Harvey Albert Advisor: Brent Collins �C, 571 Hudson Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Summerfield, NC 27358 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham F� x7- Links to Helpful Information Sampled: Not Provided Received: 05/07/2019 Farm: RC 125 Completed: 05/16/2019 Client ID: 449649 Advisor ID: 405413 Sample ID: 00004 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 90 60 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/dnfl: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.27 0.87 10.6 96 0.4 7.0 19 38 59 35 45 109 68 316 316 62 0.1 1 Sample ID: 00005 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 30 60 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.41 0.86 11.5 95 0.6 6.9 50 38 61 32 35 112 71 413 413 84 0.1 1 North Carolina x AL Tobacco Trust Fund Commission 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-SL011801 �5{i �141..tiL Client: Harold Sharpe Advisor: Brent Collins Predictive 248 Griffen Rd EMA Resources Inc ;• Stokesdale, NC 27357 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 486905 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: RC125 Sample ID: 00006 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 60 50 0 0 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.04 6.8 88 0.8 6.3 35 44 59 25 44 185 123 94 94 74 0.1 1 Noah Carolina Futaw frum Fund Ciwn1nl55km 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 Aqriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY19-SL031709 CU)-Toeg Predictive Client: State of NC Advisor: Brent Collins �C' 1612 Crutchfield Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham F� x7- Links to Helpful Information Sampled: Not Provided Received: 05/08/2019 Farm: RC126 Completed: 05/17/2019 Client ID: 442976 Advisor ID: 405413 Sample ID: 00002 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 40 40 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/drrr3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.22 1.02 6.8 89 0.7 6.6 44 51 54 31 55 182 118 61 61 65 0.2 3 North Carolina x AL Tobacco Trust Fund Commission 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. FY19-SL031694 CU)-Toeg Predictive Client: Marian French Advisor: Brent Collins �C' 1612 Crutchfield Rd EMA Resources Inc Soil Report Mehlich-3 Extraction Reidsville, NC 27320 755 Yadkinville Rd b Mocksville, NC 27028 Sampled County: Rockingham F� x7- Links to Helpful Information Sampled: Not Provided Received: 05/07/2019 Farm: RC 126 Completed: 05/16/2019 Client ID: 450843 Advisor ID: 405413 Sample ID: 00003 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fescue/OGrass/Tim, M 0.0 120-200 0 40 0 20 0 0 0 0 Note: 12 2 - 0.0 Test Results [units - W/V in g/cO; CEC and Na in meq/100 cm3; NO3-N in mg/do]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.22 1.15 4.3 81 0.8 6.1 137 49 51 24 25 513 324 140 140 77 0.0 North Carolina x AL Tobacco Trust Fund Commission 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-SL011800 �5{i �141..tiL Client: Ken Martin Advisor: Brent Collins Predictive 551 Bakers Cross Rd EMA Resources Inc ;• Reidsville, NC 27320 755 Yadkinville Rd +_ Soil Report Mehlich-3 Extraction Mocksville, NC 27028 Sampled County: Rockingham Links to Helpful Information Client ID: 329325 Advisor ID: 405413 Sampled: Received: 10/23/2019 Completed: 11/04/2019 Farm: RC130 Sample ID: 00001 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 -Fescue/OGrass/Tim, M 0.0 120-200 0 100 0 0 pH$ 0 0 0 Note: 12 Note: 2 - 0.0 Test Results [units - W/V in g/cm3; CEC and Na in meq/100 cm3; NO3-N in mg/dm3]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-I Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.32 1.12 10.8 95 0.5 6.9 335 20 87 7 44 280 172 218 218 138 0.1 1 Noah Carolina Futaw frum Fund Ciwn1nl55km 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 Aqriculture SOUTHERN STATES" Farmer owned since t923• SOUTHERNSTATES.COM 341 US 29 Businesses Reids-.ille, NC 2732o (336) 349-7074 Jan 271",2020 To whom it may concern: The lime in question was ordered in 2019. Due to weather, it was not able to be delivered until January of 2020.0 Signed Southern States Reidsville 1/27/20 Field:. Fertilizer Invoice Equipment: 0 562100 Other Equip: soul HERN Page 1 Crop: STATES Patron: 1509625 Density: 94 Ibs 1 cu ft Southern States Coo p PO: RC0041RC005 Acres: 0 341 U S 29 Business Sold: 01/16/20 11:12 Reidsville, NC 27320 By: Zane K Total Wt. 39.0000 tons 336-349-7074 TTR: K118531 Appl. Rate: 0 Ibs 1 acre REPRINT Ema Resource Inc Ema Resource Inc 755 Yadkin'ville 755 Yadkinville Mocksville, NC 27028-0000 Mocksville, NC 27028-0000 Item ID Description Units Quantity Unit Price Ext. Amt. T PPD Ingredients 60039120 LIMESTONE DOLOMITE TON 39.0000 PULVERIZED BULK Total Ingredients 39.0000 Total Fertilizer 15eed P Chemicals 1,092.00 Smices S175 LIME SPREADING BY TON EACH 39,0000 17.00 663.00 S182 STATE LIME INSPECTION EACH 1.0000 19.50 19.50 FEE S216 ENVIR & COMPLIANCE CHG - EACH 1.0000 39.00 39.00 FERT Subtotal 1,813.50 Sales Tax " 122.85 Total 1,936.35 1,936.35 charged to JDF Multi -Use account Jahn Deere # xxxxxx 7754 Approval # 068643 CPN: 249 - PURCHASE DBC: 790 - GENERAL SUPPLIES PFLW100 I bs PFU1100 - Ingred PFUTAcre N P K 0 0 0 0 0 0 0 0 0 Guaranteed Analysis i B Mg s 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Mn Fe Cu Ca Mo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LIMITATION OF SELLER AND APPLICATORS LIABILITY: The product(s) listed above are sold 'As Is'. SELLER MAKES NO WARRANTY, EITHER EXPRESSED OR IMPLIED, AS TO THE PRODUCTS' MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Customer agrees to look solely to the manufacturer for any damage or claim resulting from or arising out of the customers use of product. Field:. Equipment: Other Equip: Crop: Density: 94 Ibs 1 cu ft Acres: 0 Total Wt. 39.0000 tons Appl. Rate: 0 Ibs 1 acre 0 souTHERN STATES Southern States Coop 341 U S 29 Business Reidsville, NC 27320 336-349-7074 Fertilizer Invoice 562100 Page 2 Patron: 1509625 PO: RC004/RC005 Sold: 01/16/20 11:12 TTR: K118531 REPRINT Item ID Description Units Quantity Unit Price Ext. Amt, T PPD Customer certifies that all purchases of non -taxed items comply with the sales tax exemption laws of this state, and Customer agrees to be liable for any sales tax and related charges if non -taxed items are used in a taxable manner. This purchase is subject to the terms of the John Deere Financial Multi -use Account Agreement. I grant the issuer a purchase money security interest, except as limited in that agreement, in the goods described. Picked up by Delivered KNIGHT FARM SUPPLY 3W Knlght Road SUMMERFIELD, NORTH CAROLINA 27358 336-643-3410 1°% per month on all accounts over 30 days Customer's Order No. Name I� `r�'� Date C 20 e [4 r Ce Address SOLD 6Y CASH C. O. R CHARGE ON MDSE. PAID OUT ACCT. RETD. • • v L, Og 0 1 f �1 TAX TOTAL 0005740 Rec'dby no r6ms and returned goods MUST be aGCompanied by this bHl. G&• 01-2 PR4NTW IN U.SA `� R AtT— @: SDk'INN 1115/2020 9:11 AM FR<)M; f1 003j 768-9330 Nutrien Ag Solutions, Inc. TO: 1-336-751.1442 PAGE: 001 OF 002 Nutrien Ag Solutions, Inc, BROWN SUMMIT INC (2301 Poi BOX 508 BROWN SUMMIT, NC 27214 336.656-3034 EMA RESOURCES (1419521) 755 YADIQNVILLE ROAD MOCK5VILLE, NC 27028 trig Ag Solutions- DANIEL JONES (FERT ONLY) INVOICE Invoice #: 41049710 Invoice Date: 01/16/20 Due Date: Cash On Delivery Delivery Date: 10109/19 order 4: 15543549 paX: RC-19 Field 2 Sales Rep: Brovm, Heath Product r7 Product DeScnpVo{k .... iliii3l3tity 79rtl43 tll:it " y _ P'Ice '.-.. - . ... .. GMss, EitE 4 . Sales Tax Ptice , 10OU180759 - DOLOMITE BULK 4UJU.J000 LB {].6160 64.UU 1000189836 - TONNAGE TAX 1.0000 EA 1.0000 1,D0 1000000421 - LIME APPLICATION / TN 2.000D EA 10.0000 20.D0 Safety Data Sheets are available upon request for applicable products. Contact your local branch for details. For a medical emergency involving this product, call 1-866-944-8565. For help with any spill, leak, fire or exposure, call Cherntrec at 1-800-424-9300. *** Invoice Dotes *** PO- RC-19 Feild 42 for Thmaas Carter Fayrmrnt in ru11is due andpsyehrc on the loth of tier launch following the statement dair; for invulce amuuais nut paid by the lath of di two nth Following the italetpenI dale, customer shall also he ltahlp f'nr a late fee equat to Four pctmnr (4 % ) of the unpaid aituiuht For purchmes in North Carntlna and Nfisahaippi and tiae Pereeat (A%j 1h 06110' euhtul {SH1 fire IFI VidU amouno[ rills paid by ME I5tb of 1he nsnnttt faltuwing [he statement date, you shall ZLW Le gable fur iuiercct accrued un the unpaid baiastce at the high on pale ailuwit bir by law. Sn (he event of ashy conflict hrtwa m the tcrine of dw lnwdci and the Cusnrtncr b-o le, she IsTms 4f the im4ke shall control. FRAlfO ALERT - Our bank information has NOT changed. Please immediately tail (833) 684-9293 and speak to a member of our Credt o Marmnerrt if you are asked to change hank irnfnrmMon, Agam, DO NOT CHANGE 01JR BANK REMITTAN:,E INFORMATION. Payment Terms: IMMEDIATE Invoite Sub Total: 85.00 Sales Tax: 0.00 Invoice Total: 85.00 Less Prepay Used: 0.00 Less Prepay Discount: 0.00 Gross Invoice Total: 85.00 Amount Due: 85.00 Nutrien Ag 5dutnons, Inc, 1 0f 2 PC) BOX 807 LUMBERTON, NC 28359