WQ0022155_Residual Annual Report 2019_20200225

Town of Jefferson W a tier Re4ourcek
1233 Highway 16 South P.O. Box 67 Jefferson, NC 28640 336.246.2165
Cathy HoweU, Town Manager
February 20, 2020
NC Division of Water Resources
1617 Mail Service Center
Information Processing Center
Raleigh, NC 27699-1617
Annual Sludge Reports
SUBJECT: Annual Report for the Land Application of Biosolids
Town of Jefferson WWTP NPDES NCO021709
Class A Permit WQ0022155
Class B Permit WQ0004166
Dear Staff:
Tim Church, Director
Please find enclosed three copies of the Town of Jefferson Water Resources Annual Report for the Land
Application of Biosolids for the calendar year 2019. This mailing contains the reports for both the Class
A and Class B sludge programs.
If you have questions or require additional information please call [phone] or Email
�el ffwn� centurylink. net.
Respectfully,
Tim Church, Water Resources Director
Town of Jefferson
FEB 2 5 2020
DVVF; SECTION
1?fFORKATION PROCESSING UNIII
[e-mail]

Class A Sludge
Produced by Belt Press & Sludge Dryer
Permit Number WQ0022155
9.2 dry tons of Class A sludge were produced in 2019. This product
was applied to hay fields and pasture land sections not included in a
Class B permit, along with private yards. These individuals have signed
Utilization Agreements.
Process documentation on file at the WWTP includes flow records to
the belt press, dryer production, dryer temperature/time information
related to achieving Class A requirements.
,r—r'PI\IF.n
FEB 2 5 7020
pyd? SECTION
I14�GR"kkTION FRGCESSING UNIT

ANNUAL LAND APPLICATION CERTIFICATION FORM CIQS$ f {
WQ Permit#: WQ0022155 County:
Facility Name (as shown on permit):
Ashe
Year: 2019
Town of Jefferson
Land Application Operator:
Tim Church Phone: [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:
Total number of application fields in thepermit:
na
Total number of fields utilized for land application during the year:
na
Total amount of dry tons applied during the year for all application sites:
9.2
Total number of acres utilizes for land application during the year:
na
Part B - Annual Compiance 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 Resources. 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 Permit were complied with (applicable to 40 CFR Part 503
regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CFR Part 503
regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in
the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
Tim Church, Water Resources Director
Permittee Name and Title (type or print)
_LOLuk 2-/1-S /Z20-
Signature of Permittee Date
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 (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/ SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT #: WQ0022155 FACILITY NAME:
PHONE: [phone] COUNTY
FACILITY TYPE (please check one):
Ashe
OPERATOR:
Town of Jefferson
Tim Church
0 Surface Disposal (complete Part A (Source(s) and "Residual In" Volume only) and Part C)
❑ Distribution and Marketing (complete Parts A, B, and C)
Was the facility in operation during the past calendar year? Yes Q No ❑ —► If No skip parts A, B, C and certify form below
Part A*:
Part B*:
Month
Sources(s) (include NPDES # if
applicable)
Volume (dry tons)
Recipient Information
Amendment/
Bulking Agent
Residual In
Product Out
Name(s)
Volume (dry tons)
Intended use(s)
January
NCO021709
0.47
0.47
February
NCO021709
1.46
1.46
March
NCO021709
2.7
2.7
April
NCO021709
1.48
1.48
May
NCO021709
2.67
2.67
June
July
NCO021709
0.48
0.48
August
September
October
November
December
Total from FORM DMSDF (sup)
Totals:
Annual (dry tons): 1
0
9.26
9.26
0
Amendment(s) used:
Bulking Agent(s) used:
(supp)): Total Number of Form DMSDF (Supp)��
* If more space is required, attach additional information sheets (FORM DMSDF
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit 0 Yes
(including but not limited to items 1-3 below) issued by the Division of Water Resources: ❑ No —► If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three (3) copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or, in the case of a deviation, prior authorization was received from the Division of Water Resources.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
�- n A� 2 5A
Signature of Permittee Date
Signature ofPreparer**
(if different from Permittee)
Date
**Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM DMSDF (12/2006)

WATER QUALITY LAB & OPERATION, INC.
P.O. BOX 11673ANNER ELK, NC 28604
[phone]
CLIENT: JEFFERSON
SLUDGE
I D#
LOGIN TIME 2 35 PNI
SAMPLER.
COLLECTED DATE: 15-Apr-19
REPORTED DATE: 7-May-19
ANALYSIS
ANALYSIS
MQL's
UNITS
SAMPLE
ANALYSIS
METHOD
INT
RESULTS
LOCATION
COMPLETED
CODE
TOTAL SOLIDS
91.6
%
FECAL COLIFORM
19
1
MPN
SLUDGE
16-Apr-19
SM-9222D
WPS
REPORTED BY: NC CERTIFIED LAB 9 544
PAUL ISENHOUR, SUPERVISOR

I
WATER QUALITYSERVICES, IINC.
P.O.'Box 1 101, BANNH' ELK, NC 2860-'
Class A S uA a fax (828)-S98-6255
CHAIN OF Ck'�Tr)Dv
SAMPLE TYPE: WA S TE- W A TE R
LOCATION:
FACILITY ID#: Jefferson Wastewater Treatment Plant I . H2SO4, 2 - HNO3,
4 - NAOH, 5 -NON"L' 6 - COOL R 1.
SAMPLER NAN-14E: Tim Church N A 2S 2 0 3, S - DT
CONMPOSITESAMPLE; START TIME.
STOP "IME
L
'Ej
[=�SANIPLE N11"okLIE COLLLCT!0.4 DL,—Ilv. SA�MPILE 77"
DATC TIME F.�� �1 P �AA 0 1 C P F - F 1—: A :3 �7 ' �F —
IP�
TS S - I F.
BOD - EFF,
�TSS - EFF,
H3 as,S iL
OIL &- GREASE
TOTAL N IT.
*ro'rAl. PROS. --T T- - ILI
FECAL S i-I
1 dot, - 1 t4. 115. 1 q I Own 1 7
FECAL EFF.0
FECAJ. DO"N
sL7
HARD-NBS UPS'j
HARI)N)-.'SS EFFL,
COPPER ZINC
cvallide
LEAD NICKEL
SILVER
CADMIUM
M 10 �m I u N �',
UISIJED Br T, DA
T11•' I F
17P A P-
RELINQUISHED BY. D A T r-- 11 N I F
-7—
"J2
'-L3t>oru10ry PrOcrv23ion it cnsurcd by addition of prcscnjisa,cs prior to SAr.-.p1c
cOn'lir.erl Ic3v1.,%g the 13b. unIcSS 0,hcm"qt nxcJ
t m Chlorc chcck, and drc!,!Lq'naj
? I a 1k VA T! ON
CDOL 4C DOD, RESIDUE, CONDUCTIVITY, %I bA S, j:,
j CL-)()!- -:C PH,1142SO4 : NH3. NO2-NO3, TWN. 0,1'cG,
�CL PHA fIN03 : METALS cxccpt CR, vi
NO",E CHLORIDE. PH. FLUORIDE SAKI- , L I E'. A':
OTHER
CO4C. NA2S203 COLIFORNI BACTERIA
Y"11 1-cd 11-z; (1)
R c <
— +(j C-
lo '361js; qo"/, Or >'

Additional laboratory information for Metals, Nutrients, SAR calculation, and TCLP
is included in the Class B section of this report.

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (503 Rules)
Facility Name: Town of Jefferson
WWTP Name: Town of Jefferson WWTP
WQ Permit Number:
NPDES Number:
WQ0022155
NCO021709
Monitoring Period: From 1/1/2019 To 12/31/2019
Pathogen Reduction (40 CFR 503.32) - Please indicate level achieved and alternative performed:
Class A:
Alternative 1 ❑
Alternative 2 ❑
Alternative 3 ❑
Alternative 4 ❑
Alternative 5 0
Alternative 6 ❑
T-
If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens":
Compost ❑
Heat Drying {p
Heat Treatment ❑
Thermophilic ❑
Beta Ray ❑
Gamma Ray ❑
Pasteurization
Class B:
Alternative 1 ❑
Alternative 2 ❑
If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens":
Lime Stabilization ❑
Air Drying❑
Composting Cl
Aerobic Digestion p
Anaerobic Digestion ❑
If applicable to alternative performed (Class A or Class B) complete the
following monitorin
data:
Parameter
Allowable Level
in Sludge
Pathogen Density
g tY
Number o
Excee-
dences
Frequency
of Analysis
Sample
Type
Analytical
Tech -pique
Minimum
Geo. Mean
Maximum
Units
Fecal Coliform
2 x 10 to the
6th power
per gram of
total solids
MPN
19
19
19
MPN
0
1
Grab
M-9222D
CFU
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria
(in lieu of fecal
coliform) I
3 MPN per 4 grams
total solid (dry
weight)
Vector Attraction Reduction (40 CFR 503.33) - Please indicate option performed:
Alt.1 (VS reduction)
❑
Alt. 2 (40-day bench)
❑
Alt. 3 (30-day bench) ❑
Alt. 4 (Spec. 02 uptake)
❑
Alt. 5 (14-Day Aerobic)
❑
Alt. 6 (Alk. Stabilization
❑
Alt 7 (Drying - Stable) 211
Alt. 8 (Drying - Unstable)
❑
Alt. 9 (Injection)
❑
Alt. 10 (Incorporation)
❑
No vector attraction reduction alternatives were performed
❑
CERTIFICATION STATEMENT (please check the appropriate statement)
U "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have been met."
L1 "I certify, under penalty of law, that the pathogen requirements in 40 CFR 503.32 and the vector
attraction reduction requirement in 40 CFR 503.33 have not been met." (Please note if you check
this statement attach an explanation why you have not met one or both of the requirements.)
"This determination has been made under my direction and supervision in accordance with the system
designed to ensure that qualified personnel properly gather and evaluate the information used to determine
that the pathogen and vector attraction reduction requirements have been met. I am aware that there are
significant penalties for false certification including fine and imprisonment."
Tim Church, Water Resources Director
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
7&- amck Z./x/Z
Signature of Preparer* Date Signature of Land Applier (if applicable)
*Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
Date
DENR FORM PVRF 503 (12/2006)