WQ0035576_Regional Office Physical File Scan Up To 7/30/2020

ROY COOPER-
- Governor
MICHAEL S.REGAN
_ Seem/my
S.JAY ZIMMERMAN
Director
May 31, 2017
Maria Hunnicutt, General Manager
Broad River Water Authority
PO Box 37
Spindale,NC 28160
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SUBJECT: Annual Report(2016)Review Inspection
Broad River Water Authority DCAR
Permit No: WQ0035576
Rutherford County
Dear Ms. Hunnicutt:
Enclosed please find a copy of the Annual Report Review Inspection Form from the inspection conducted on
5/30/2017. The facility was found to be in compliance with permit WQ0035576.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at 828-296-4500.
Sincerely,
Beverly ce
Environmental Senior Specialist
Enclosure: Inspection Report
cc: MSC 1617-Central Files-Basement
Asheville Ei'es�
G:\WR\WQ\Rutherford\Wastewater\Non-discharge\Broad River Water Authority\CEI17.2016 AR Revie.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S.Highway 70 Swannanoa,NC 28778
828 296 4500

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Compliance Inspection Report •
Permit: WQ0035576 Effective: 11/01/16 Expiration: 10/31/21 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River WaterAuthority_DCAR
County: Rutherford 1661 Baber Rd
Region: Asheville
Rutherfordton NC 28139
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Contact Person: Brad Joyner Title: Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx.10 miles to Union Rd Exit.Tum left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner 828-286-0731
Related Permits:
Inspection Date: 05/30/2017 Entry Time: 09:30AM Exit Time: 10:00AM
Primary Inspector: Beverly Price BP Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review ,
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: Compliant EI Not Compliant .
Question Areas: .
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Miscellaneous Questions
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(See attachment summary)
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Page: 1

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Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 05/30/2017 Inspection Type:Annual Report Review Reason for Visit: Routine
Inspection Summary:
The 2016 Annual Residuals Report review was conducted by Beverly Price of the Asheville Regional Office.
There were no distributions in 2016. All residuals were stored on site in the alum residuals ponds.
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Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: . Effective: Expiration: Facility: Broad River Water Authority
County: Rutherford Broad River Water Authority WTP
Region: Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx.10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name .Zach D Key 336-957-8909
Related Permits:
Inspection Date: 05/21/2016 Entry Time: 10:00AM Exit Time: 10:15AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: I. Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions
(See attachment summary) •
Page: 1

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Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 05/21/2016 Inspection Type:Annual Report Review Reason for Visit: Routine
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Inspection Summary:
The 2015 Annual Report indicates there were no distributions in 2015;distribution is expected in 2016.
Page: 2

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Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 05/21/2016 Inspection Type:Annual Report Review Reason for Visit: Routine
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Page: 3

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State of North Carolina
Department of Environmental Quality
Division of Water Resources
Water Quality Permitting
Regional Staff Report
May 23 ,2016
To: DWR Water Quality Permitting Section Central Office Application No.: WO0035576
Attn: Troy Doby Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or❑No Facility CEI 2014
a. Date of site visit: 9/18/2014
b. Site visit conducted by: Bev Price
c. Inspection report attached? ® Yes or❑No
d. Person contacted: Bradley Joyner,WTP Superintendent and their contact information: [phone]
e. Driving directions: I-26 E.to Hwy.74 East. Go approximately 10 miles to Union Road exit,turn left. Go
2.8 miles to Baber Rd. on right.WTP is located.3 miles on the right.
f.
H. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system? ❑Yes or❑No
If no, explain:
3. Are site conditions(soils, depth to water table,etc)consistent with the submitted reports? ❑Yes ❑No ❑N/A
If no,please explain:
4. Do the plans and site map represent the actual site(property lines,wells,etc.)? ❑Yes ❑No ❑N/A
If no,please explain:
5. Is the proposed residuals management plan adequate? ❑ Yes ❑No ❑N/A
If no,please explain:
6. Are the proposed.application rates(e.g.,hydraulic,nutrient) acceptable? ❑Yes ❑No ❑N/A
If no,please explain:
7. Are there any setback conflicts for proposed treatment,storage and disposal sites? ❑Yes or❑No
If yes, attach a map showing conflict areas.
8. Is the proposed or existing groundwater monitoring program adequate? ❑Yes ❑No ❑N/A
If no,explain and recommend any changes to the groundwater monitoring program:
9. For residuals,will seasonal or other restrictions be required? ❑Yes ❑No ❑N/A
If yes, attach list of sites with restrictions(Certification B)
FORM:APSRSR 04-10 Page 1 of 3

III.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS •
1. Are there appropriately certified Operators in Charge(ORCs)for the facility? ❑Yes ❑No ®N/A
ORC: Certificate#: Backup ORC: Certificate#:
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ®Yes or❑No
If no,please explain:
3. Are the site conditions(e.g., soils,topography, depth to water table, etc)maintained appropriately and adequately
assimilating the waste? ❑ Yes or❑No N/A-This is a Class A Distribution facility; distribution sites are
not permitted.
If no,please explain:
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development, etc.)? ❑Yes or®No
If yes,please explain:
5. Is the residuals management plan adequate? ® Yes or n No
If no,please explain:
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable? ®Yes or❑No
If no,please explain:
7. Is the existing groundwater monitoring program adequate? ❑Yes ❑No ®N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑Yes or / No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or❑No
If no,please explain:
10. Were monitoring wells properly constructed and located? n Yes ❑No ®N/A
If no,please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑Yes ❑No ®N/A
If no,please complete the following(expand table if necessary):
Monitoring Well Latitude Longitude
O , „ 0 , II
O , „ 0 I II
O I II 0 I II
O I II 0 , II
O , ,I 0 % II
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR, GW)? ®Yes or❑No
Please summarize any findings resulting from this review: The 2015 Annual Report indicates there were no
distributions in 2015.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑Yes or®No
If yes,please explain:
14. Check all that apply:
®No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e.,NOV,NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? n Yes ❑No ®N/A
If no,please explain:
FORM:APSRSR 04-10 Page 2 of 3

16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No ❑N/A
` If yes,please explain:
IV.REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑Yes or®No
If yes,please explain: -
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
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3. List specific permit conditions recommended to be removed from the permit when issued: .
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: n Hold,pending receipt and review of additional information by regional office
® Hold,pending review of draft permit by regional office
n Issue upon receipt of needed additional information
n Issue
❑Deny(Please state reasons: ) .
6. Signature of report preparer: BJyg /;�
Signature of APS regional-supervisor: -
Date: qr,.g'^ 7 4 , r c,
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS .
FORM:APSRSR 04-10 .Page 3 of 3

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Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: . Facility: Broad River Water Authority
Broad River Water Authority WTP
County: Rutherford
Region: Asheville
Rutherfordton NC 28139
Contact Person: • Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx.10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name . Dennis Key 336-957-8909
Related Permits:
•
Inspection Date: 08/11/2015 Entry Time: 01:OOPM Exit Time: 01:45PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: El Compliant Not Compliant
Question Areas:
1111 Miscellaneous Questions • Record Keeping MI Pathogen and Vector Attraction
(See attachment summary) •
Page: 1

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
Inspection Summary:
592.79 dry tons or residuals were distributed in 2014. All residuals were distributed to the same person.
Metals/nutrients/TCLP analyses were completed and the results are compliant with permit limits.
Pathogen Reduction is verified by fecal coliform analyses. Seven samples were collected and all were compliant.
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Vector Attraction Reduction is not required for this permit.
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Reminder:
The address of the residuals recipients is required to be kept on file.
For land application events performed by the permitee-Nitrogen application rates based upon RYES(if using the NC State
University Department of Soil Science Website),the printout shall be kept on file and reprinted every five years.
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Page: 2

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Permit: WO0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
Record Keeping Yes No NA NE
Do lab sheets support data reported on Residual Analysis Summary? ❑
Are hauling records available? •
Are hauling records maintained and up-to-date? • ❑
#Has permittee been free of public complaints in last 12 months? •
Has application occurred during Seasonal Restriction window? • ❑ ❑
Comment: No seasonal restrictions.
Type Yes No NA NE
Land Application ❑
Distribution and Marketing •
Page: 4

•Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority •
SOC: Effective: Expiration: Facility: Broad River Water Authority
Broad River Water Authority WTP
County:Rutherford
Region: Asheville
Rutherfordton'NC'28139
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility: _ •
1-26 E to Hwy 74 E.Go appx. 10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right..
System Classifications:
•
Primary ORC: Certification: Phone:
Secondary ORC(s): -
On-Site Representative(s): .
24 hour contact name Bradley Carson Joyner
On-site representative Bradley Carson Joyner .
Related Permits: i
• Inspection Date: 09/18/2014 ' Entry Time: 10:00AM 'Exit Time: 10:30AM
Primary Inspector: Beverly Price Phone: [phone]
•
Secondary Inspector(s): •
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Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: 111 Compliant ❑ Not Compliant
Question Areas: -
Miscellaneous Questions II Record Keeping '
- (See attachment summary)
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Page: 1

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Permit: W00035576 Owner-Facility:Broad River Water Authority
Inspection Date:'09/18/2014. Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
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The inspection included a records review and a tour of the facility. Residuals have been removed from the second pond
(lower pond)and are temporarily stockpiled on-site. Residuals were removed the latter part of August. Silt-fencing has
been placed around the stockpile to prevent migration of solids. Distribution is expected within a couple of weeks.
Southern Soil Builders sampled the residuals; results were not available at the time of inspection. Residual analyses will
be reviewed when the 2014 annual report is received.
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There was no distribution of residuals in 2013.
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Page: 2

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_ AELL
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R.van der Vaart,
Governor Secretary
August 17,2015
Maria Hunnicutt, General Manager
Broad River Water Authority
POBox37
Spindale,NC 28160
SUBJECT: Annual Report(2014) Review Inspection
Broad River Water Authority
Distribution of Water Treatment Plant Residuals
Permit No: WQ0035576
Rutherford County
Dear Ms. Hunnicutt:
Enclosed please find a copy of the Annual Report Inspection Form from the inspection conducted on 8/11/2015.
The facility was found to be in compliance with permit WQ0035576:
As a reminder, for bulk distributions performed by the peinuttee, the address of the residuals recipient and the
Nitrogen Application Rate data, in addition to the other requirements in permit Condition IV.6., shall be
maintained.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call me at 828-296-4685. '-
Sincerely,
•
Beverly Price
Environmental Specialist
Enc.
cc: Dennis Key, ORC Southern Soil Builders
MSC 1617-Central Files-Basement
she_uUleiaire
G:\WR\WQ\Rutherford\Wastewater\Non-discharge\Broad River Water Authority\CEI15 2014 AR Review.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet http://portal,ncdenr.org/web/wq
An Equal Opportunity\Affirmative Action Employer

Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
County: Rutherford Broad River Water Authority WTP
Region: Asheville •
Rutherfordton NC 28139
• Contact Person: Bradley Carson Joyner__ : Title:, Water Treatment Plant SUperintend Phone:_•828-286-0731 _
Directions to Facility:
1-26 E to Hwy 74 E.Go appx.10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications: •
Primary ORC: Certification: Phone:
Secondary ORC(s): . •
On-Site Representative(s):
24 hour contact name Dennis Key 336-957-8909
Related Permits:
Inspection Date: 08/11/2015 Entry Time:. 01:00PM Exit Time: 01:45PM
Primary Inspector: Beverly Price BR Phone: [phone]
Secondary Inspector(s):
Reason for InspeCtion: Routine Inspection Type: Annual Report Review
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: III Compliant 0 Not Compliant
Question Areas:
III Miscellaneous Questions III Record Keeping • III Pathogen and Vector Attraction
•
(See attachment summary)
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Page: 1

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
Inspection Summary:
•
592.79 dry tons or residuals were distributed in 2014. All residuals were distributed to the same person.
Metals/nutrients/TCLP analyses were completed and the results are compliant with permit limits.
Pathogen Reduction is verified by fecalcoliform analyses. seven samples were collected and all were compliant. _
Vector Attraction Reduction is not required for this permit. _ -
•
Reminder:
The address of the residuals recipients is required to be kept on file.
For land application events performed by the permitee-Nitrogen application rates based upon RYES(if using the NC State
University Department of Soil Science Website),the printout shall be kept on file and reprinted every five years.
•
•
Page: 2

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aa• 8- c d c .ro m < 0 c c a a (ca o. n C a m im 0 . € c�. c co c o c ED 2 E
c n o ;.c E w a) 1 ai .ri Z Z ;o E d -c N •_ Q. a d m m a) o m = = m
d v c O 0 L O > > Q Q a) C n m a) n E p ti. U E E a n co
c) 0 c d a w w c CO t c f6
c . C) o a) 2 0 as 2 a) 2 d m `i 2 2 o ) E .I R 0 e- a) a0i 'Cl
.

Permit: WO0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
e. Time/Temp on: ❑ ❑ 1111 ❑
•
Digester(MCRT) ❑
Compost - ❑
Class A lime stabilization - ❑
f. Volatile Solids Calculations ❑ ❑ III ❑
g. Bench-top Aerobic/Anaerobic digestion results ❑ ❑ II El
Comment:
•
•
Page: 4

NCDENR
_ _ . - . _ _North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
October 3,2014
Bradley Joyner, WTP Superintendent
Broad River Water Authority
Post Office Box 37 •
Spindale,NC 28160
SUBJECT: . Spetmenber 18, 2014
Compliance Evaluation Inspections
Water Treatment Plant .
Distribution of Water Treatment Plant Residuals •
Permit No:YVQ0035576
Closed-Loop Recycle System
Permit No: WQ0005221 •
Rutherford County - •
Dear Mr. Joyner: — —
Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the inspections that I
conducted on 9/18/2014. The facility was found to ,be in compliance with permit#'sWQ0005221 &
WQ0035576. 0
Please refer to the enclosed inspection report for additional observations and comments. Your assistance during
the inspection was appreciated. If you or your staff have any questions,please"call me at(828)296-4685.
Sincerely,
•
AW4 - 6 .
Beverly Price -
Environmental Specialist .
Enc. '
cp:._,Water,Quality Central Files
Ashe�nlle Files 7�
G:\WR\WQ\Rutherford\Wastewater\Non-discharge\Broad River Water Authority\WQ00035576,WQ005221 CEI14.doc
Water Quality Regional Operations—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,North Carolina 28778
Phone:[phone] FAX:[phone]
Internet http:llportal.ncdenr.orglweblwq
An Equal Opportunity\Affirmative Action Employer •

Compliance Inspection`Report •
J
Permit: WQ0035576 - Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
County: Rutherford Broad River Water Authority WTP
Region: Asheville
• Rutherfordton NC 28139'
•
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx.10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
•
Primary ORC: Certification: Phone:
• Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner
'On-site representative Bradley Carson Joyner
•
Related Permits:
•
Inspection Date: 09/18/2014 Entry Time: 10:00AM - Exit Time: 10:30AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
•
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: El Compliant El Not Compliant
Question Areas:
II Miscellaneous Questions II Record Keeping
•
(See attachment summary)
•
•
Page: 1
k

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 09/18/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The inspection included a records review and a tour of the facility. Residuals have been removed from the second pond
(lower pond)and are temporarily stockpiled on-site. Residuals were removed the latter part of August. Silt-fencing has
been placed around the stockpile to prevent migration of solids. Distribution is expected within a couple of weeks.
Southern Soil Builders sampled the residuals; results were not available at the time inspection. Residual analyses will be
reviewed when the 2014 annual report is received. .
There was no distribution of residuals in 2013.
•
•
•
•
•
•
•
•
•
Page: 2

•
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Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
County: Rutherford Broad River Water Authority WTP
Region: Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Superintend Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx.10 miles to Union Rd Exit.Tum left,go 2.8 miles to.Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Maria S Hunnicutt 828-286-0640
Related Permits:
Inspection Date: 07/01/2014 Entry Time: 03:OOPM Exit Time: 03:15PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions
(See attachment summary)
•
Page: 1

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 07/01/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Broad River Water Authority did not distribute any residuals in 2013; all residuals were held on site.
•
• Page: 2

Permit: WO0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 07/01/2014 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Page: 3

Rv/EOO
FEB 269014
Broad �ui„pTI Gn(ln
��oR(1�C„SlPIP I IP
,,
I
River 1
' ��f,a
Water4
Authority „.4, r„ i,t4 ,...„
_.. _ _ ,
Broad River Water Authority
2013 Annual Report
Land Application Program
Permit No. WQ0035576
RECEIVED
Division of Water Resources
MAR - 3 2014
Water Quality Regional Operations
Asheville Regional Office

Ann UAL LAIN L ArrL1l:A 11U1V LK 111r 11:A 11Ulr 1+UK1V1
ermit#: WQ0035576 County: Rutherford Year: 2013
facility Name(as shown on permit): Broad River Water Authority
Land Application Operator: Southern Soil Builders,Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
® Yes EJ 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 the permit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B-Annual Compiance Statement:
Facility was compliant during calendar year 2013 with all conditions of the land application permit
(including but not limited to items 1-13 below)issued by the Division of Water Resources. ® 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."
4-- - >ti/( - ,_ I-6UL 6,4 a f04I►4
Permittee Name and Title(type or print) Signature of Permittee Date
VP-
Sign ture of ' -p. er* Date Signature of Land Applier Date
(if different' om P,rmi -e) (if different from Permittee and Preparer)
* Preparer is de .. in 40 CFR Part 503.9 (rl and 15A NCAC 02T .1102 (261 DENR FORM ACF (12/20061

All Residuals produced were stored on site,

1n 3 r'� '1� i�irl
r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E.Skvarla, III
Governor Director Secretary
September 30,2013
Bradley Joyner, Water Treatment Plant Superintendent
Broad River Water Authority
Post Office Box 37
Spindale, NC 28160
SUBJECT: September 12, 2013
Compliance Evaluation Inspection
Water Treatment Plant
Distribution of Water Treatment Plant Residuals
Permit No: WQ0035576
Closed Loop Recycle System
Permit No: WQ0005221
Rutherford County
Dear Mr. Joyner:
Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the inspections
. conducted on September 12, 2013. The facility was found to be in Compliance with permits WQ0035576
a WQ0005221.
Oprerator In Responsible Charge (ORC) Designation Forms need to be submitted,for Southern
Soil Builders. The Forms can be found on our website at the following address:
http://portal.ncdenr.orq/web/wq/tacu-downloads Click on Wastewater ORC Forms.
Please refer to the enclosed inspection reports for additional observations and comments. Your
assistance was greatly appreciated during the inspection. If you or your staff have any questions, please
call me at(828) 296-4685.
Sincerely, ^ c
AA7A6
Beverly Price
Environmental Specialist
Enclosure
cc: Dennis Key, ORC SSB
APS Central Files
WQ AsheuillexFile_s`
WATER GTU LITY SECTION
North Carolina Division of Water Resources—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer

Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
County: Rutherford Broad River Water Authority WTP
Region: Asheville
Rutherfordton NC 28139
Contact.Person: Bradley Carson Joyner Title: Water Treatment Plant Su Phone:[phone]
Directions to Facility:
1-26 E to Hwy 74 E. Go appx. 10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Dennis Key Certification: 15704 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner Phone: [phone] •
On-site representative Bradley Carson Joyner Phone: [phone]
Related Permits:
Inspection Date: 09/12/2013 Entry Time: 10:45 AM Exit Time: 11:15 AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: ® Compliant 0 Not Compliant
Question Areas:
®Miscellaneous Questions WI Record Keeping - • Pathogen and Vector
Attraction
(See attachment summary)
Page: 1

Permit: WQ0035576 Owner-Facility: Broad River Water Authority
Inspection Date: 09/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The inspection included a review of the 2012 Annual Report(AR)and a site visit.
2012 AR: 1088 Dry Tons distributed but only one set of monitoring data; all distribution was done in one quarter.
They plan to have one distribution before the end of the year. The second basin is drying and is scheduled to be cleaned
out.
ORC Designation Forms need to be filled out for Southern Soil Builders.
Page: 2

Permit: WQ0035576 Owner-Facility: ''Broad River Water Authority
. Inspection Date: 09/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Land Application ❑
Distribution and Marketing
Record Keeping Yes No NA NE
• Is GW monitoring being conducted,if required? ❑ ❑ ® ❑
Are GW samples from all MWs sampled for all required parameters? 0 0 L. 0
Are there any GW quality violations? 00100
Is GW-59A certification form completed for facility? ❑ ❑ Ili ❑
Is a copy of current permit on-site? 11 ❑ ❑ ❑
Are current metals and nutrient analysis available? al 0 0 0
Are nutrient and metal loading calculating most limiting parameters? au ❑ ❑ ❑
a. TCLP analysis? 1E ❑ ❑ ❑
b. SSFA(Standard Soil Fertility Analysis)? 0 0 ® 0
Are PAN balances being maintained? ❑ ❑ ® ❑
Are PAN balances within permit limits? ❑ ❑ ® ❑
Has land application equipment been calibrated? 0 0 0
Are-there pH records for alkaline stabilization? ❑ ❑ ® ❑
Are there pH records for the land application site? 0 0 ® 0
• Are nutrient/crop removal practices in place? ❑ ❑ ® ❑
Do lab sheets support data reported on Residual Analysis Summary? ® ❑ ❑ ❑
Are hauling records available? 141000
Are hauling records maintained and up-to-date? p ❑ ❑ ❑
#Has permittee been free of public complaints in last 12 months? ® ❑ ❑ ❑
Has application occurred during Seasonal Restriction window? 0 0 ® 0
• Comment: •
Pathogen and Vector Attraction Yes No NA NE
a. Fecal coliform SM 9221 E(Class A or B) •
IN 0 0 0
Class A,all test must be<1000 MPN/dry gram •
Geometric mean of 7 samples per monitoring period for class B<2.0`10E6 CFU/dry gram 0
Fecal coliform SM 9222 D(Class B only) ❑ ❑ ® ❑
Page: 3

Permit: WQ0035576 Owner•Facility: Broad River Water Authority
Inspection Date: 09/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Geometric mean of 7 samples per monitoring period for class B<2.0*10E6 CFU/dry gram 0
b. pH records for alkaline stabilization(Class A) 0 0 0
c. pH records for alkaline stabilization (Class B) n n ® n
Temperature corrected n
d. Salmonella(Class A,all test must be<3MPN/4 gram day) 0 0 ® 0
e. Time/Temp on: n n n
Digester(MCRT) 0
Compost .. n
Class A lime stabilization 0
f. Volatile Solids Calculations n n n
g. Bench-top Aerobic/Anaerobic digestion results n n ® n
Comment:
Page: 4

Compliance Inspection Report
Permit: WQ0005221 Effective: 08/18/09 Expiration: 07/31/18 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Plant
County: Rutherford 1661 Baber Rd
Region: Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Plant Superintendent Phone: [phone]
Directions to Facility:
1-26 East to Hwy.74 East. Go approximately 10 miles to Union Rd. Exit.Turn left,go 2.8 miles and turn right onto Baber Road.
WWTP is.3 mile on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner Phone: [phone]
On-site representative Bradley Carson Joyner Phone: [phone]
Related Permits:
Inspection Date: 09/12/2013 Entry Time: 10:45 AM Exit Time: 11:15 AM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Closed-Loop Recycle
Facility Status: IN Compliant 0 Not Compliant
Question Areas:
®Miscellaneous Questions ®Record Keeping
(See attachment summary)
Page: 1

Permit: WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date: 09/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The inspection included a site visit and records review.
Freeboard=6'
Pond dam was mowed 7/13/13.
Basin#2 is drying and scheduled to be cleaned out.
The facility is well maintained and records appear to be complete and accurate.
Page: 2

Permit: WQ0005221 Owner-Facility: Broad River'Water Authority
Inspection Date: 09/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Reuse(Quality) 0
Lagoon Spray,LR 0
Infiltration System • 0
Activated Sludge Spray, LR
Single Family Spray, LR 0
Recycle/Reuse
Single Family Drip
Activated Sludge Drip,LR 0
Activated Sludge Spray, HR .0
Record Keeping. Yes No NA NE •
Is a copy of current permit available? 0 0 0
Are monitoring reports present: NDMR? 0 0 0
NDAR? ❑ 0a0
Are flow rates less than of permitted flow? E 0 ❑ 0
Are flow rates less than of permitted flow? 0 0
Are application rates adhered to? ❑ 0 ® 0
Is GW monitoring being conducted, if required(GW-59s submitted)? 0 ® ❑
Are all samples analyzed for all required parameters? 0 0 tfiZ 0
Are there any 2L GW quality violations? 0 0 ® 0
Is GW-59A certification form completed for facility? 00510
Is effluent sampled for same parameters as GW? 0 0 113 0
Do effluent concentrations exceed GW standards? 0 0 ® 0
Are annual soil reports available? 0 0 ® 0
#Are PAN records required? 0 0 ® 0
#Did last soil report indicate a need for lime? 0 0 ® 0
If so, has it been applied? 0 0 Cii 0
Are operational logs present? ® 0 0 ❑
Are lab sheets available for review? 0 0"® 0
Do lab sheets support data reported on NDMR? 0 0 ® �
Page: 3

Permit: WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date: 09/12/2013 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do lab sheets support data reported on GW-59s? 0 0 MI 0
Are Operational and Maintenance records present? B ❑ 0 n
Were Operational and Maintenance records complete? ® ❑ 0 n
Has permittee been free of public complaints in last 12 months? t n n n
Is a copy of the SOC readily available? n 0 ® 0
No treatment units bypassed since last inspection? WOOD
Comment:
Page: 4

, ArrA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory, Thomas A. Reeder John E. Skvarla, Ill
Governor Acting Director Secretary
June 18, 2013
Maria Hunnicutt, Town Manager
Broad River Water Authority
Post Office Box 37
Spindale, NC 28160
Subject: 2012 Annual Residuals Report
Distribution of Residual Solids
Permit No.WQ0035576
Dear Ms. Honeycutt: •
The Asheville Regional Office has received a copy of your 2012 Annual Report. We
have completed a preliminary review of the Report. You will be contacted if any
additional information is needed.
Thank-you"for your submittal.
Sincerely,
15.afv.ku
Beverly Price
Environmental Specialist
•
AQUIFER PROTECTION SECTION
North Carolina Division of Water Quality—Asheville Regional Office
2090 U.S.Highway 70,Swannanoa,N.C. 28778
Phone[phone]
FAX [phone]
Internet: h2o.enr.state.nc.us
An Equal Opportunity/Affirmative Action Employer

-�- RLE CODy
NCDENR
North Carolina Department of Environment and Natural Resources
• Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
September 19, 2012
•
Bradley Joyner
Water Treatment Plant Superintendent
Broad River Water Authority
Post Office Box 37
Spindale, NC 28160
SUBJECT: August 31, 2012
Compliance Evaluation Inspections
Broad River Water Plant
Closed-Loop Recycle System
Permit No: WQ0005221
• Distribution of Water Treatment Plant Residuals
• Permit No: WQ0035576
. Rutherford County
Dear Mr. Joyner:
•
- Enclosed please find a copy of the Compliance Evaluation Inspection Forms from the
inspections conducted on August 31, 2012. The"facility was found to be in Compliance with the
Subject permits.
Please refer to the enclosed inspection report for additional observations and comments.
Your assistance was greatly appreciated during the inspection. If you or your staff have any
questions, please call me at [phone].
Sincerely,
Beverly Price " .
• Environmental Specialist
Enclosures
cc:APS Central Files
APS=Asheville-,Files.
AQUIFER PROTECTION SECTION—Asheville Regional Office(ARO)
2090 U.S.70 Highway,Swannanoa,NC 28778-8211
Phone:[phone] FAX:[phone] One
Internet:www.ncwaterqualitv.orq North Carolina
An Equal Opportunity 1 Affirmative Action Employer Vaturall ff

Compliance Inspection Report
Permit: WQ0005221 Effective: 08/18/09 Expiration: 07/31/18 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Plant
County: Rutherford 1661 Baber Rd
Region: Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Plant Superintendent Phone: [phone]
Directions to Facility:
1-26 East to Hwy.74 East. Go approximately 10 miles to Union Rd.Exit.Turn left,go 2.8 miles and turn right onto Baber Road.
WWteTPm isClassifi.3 mil cation on thes:right.
Sys
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner Phone: [phone]
On-site representative Bradley Carson Joyner Phone: [phone]
Related Permits:
•
Inspection Date: 08/31/2012 Entry Time: 01:30 PM Exit Time: 02:00 PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Recycling
Facility Status: Compliant 0 Not Compliant
Question Areas: •
Miscellaneous Questions . Record Keeping
(See attachment summary) -
Page: 1

Permit: WQ0005221 Owner-Facility: Broad.River Water Authority
Inspection Date: 08/31/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
The recycle pond dam is scheduled to be mowed this fall.
Freeboard in the recycle pond was 8 ft.
The facility is well maintained and operated.
Page: 2

Permit: WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date: 08/31/2012 Inspection Type: Compliance Evaluation .Reason for Visit: Routine
Type Yes No NA NE
Infiltration System 0
Reuse(Quality) ❑
Single Family Spray,LR 0
Lagoon Spray, LR 0
•
Activated Sludge Spray, LR ❑
Activated Sludge Drip,LR 0
Activated Sludge Spray, HR 0
Single Family Drip 0
Recycle/Reuse ■
Record Keeping Yes No NA NE
Is a copy of current permit available? ■ ❑ ❑ ❑
Are monitoring reports present: NDMR? 0 0 ■ 0
NDAR? ❑ ❑ ■ ❑
Are flow rates less than of permitted flow? ■ ❑ ❑ ❑
Are flow rates less than of permitted flow? ■ ❑ ❑ ❑
Are application rates'adhered to? 0 0 • 0
•
Is GW monitoring being conducted,if required(GW-59s submitted)? 0 0 ■ 0
Are all samples analyzed for all required parameters? 0 0 ■ 0
Are there any 2L GW quality violations? 00110
Is GW-59A certification form completed for facility? ❑ ❑ ■ 0
Is effluent sampled for same parameters as GW? 0 0 ■ 0
Do effluent concentrations exceed GW standards? a. 0 ■ 0
Are annual soil reports available? 0 0 • ❑.
#Are PAN records required? 0 0 ■ 0
#Did last soil report indicate a need for lime? 0 0 • 0
If so,has it been applied? 0 0 ■ 0
Are operational logs present? ■ ❑ ❑ ❑
Are lab sheets available for review? 0 0 ■ 0
Do lab sheets support data reported on NDMR? 0 0 ■ 0
Page: 3

Permit: WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date: 08/31/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do lab sheets support data reported on GW-59s? 0 0 ■ 0
Are Operational and Maintenance records present? ■ ❑ ❑ ❑
Were Operational and Maintenance records complete? ■ ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
Is a copy of the SOC readily available? 0 0 ■ 0
No treatment units bypassed since last inspection? ■ ❑ ❑ ❑
Comment:
Page: 4

Compliance Inspection Report
Permit: WQ0035576 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority
County: Rutherford Broad River Water Authority WTP
Region: Asheville
• Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Water Treatment Plant Su Phone: [phone]
Directions to Facility:
1-26 E to Hwy 74 E.Go appx. 10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site.Representative(s):
24 hour contact name Bradley Carson Joyner Phone: [phone]
On-site representative Bradley Carson Joyner Phone: [phone]
Related Permits:
Inspection Date: 08/31/2012 Entry Time: 01:00 PM Exit Time: 01:30 PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Distribution of Residual Solids(503 exempt)
Facility Status: ■Compliant ❑Not Compliant
Question Areas:
Miscellaneous Questions II Record Keeping •Treatment
(See attachment summary)
Page: 1

Permit: WQ0035576 Owner-Facility: Broad River Water Authority
Inspection Date: 08/31/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
New permit-no distributions in 2011.
2012 Distribution data will be reviewed in the Annual Report(AR)-this data was not on site as the contract operator
(SSB)will be compiling the data for the 2012 AR.
Page: 2

Permit: WQ0035576 Owner-Facility: Broad River Water Authority
Inspection Date: 08/31/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type • Yes No NA NE
Land Application ❑-
Distribution and Marketing ■
Record Keeping Yes No NA NE
Is GW monitoring being conducted, if required? : 0 0 ■ 0
Are GW samples from all MWs sampled for all required parameters? - 0 0 ■ 0
Are there any GW quality violations? 0 0 ■ 0
Is GW-59A certification form completed for facility? 0 0 • 0
Is a copy of current permit on-site? U ❑ ❑ ❑
Are current metals and nutrient analysis available? 0 0 ■ 0
Are nutrient and metal loading calculating most limiting parameters? 0 0 ■ 0
a. TCLP.analysis? 0 0 • 0
b. SSFA(Standard Soil Fertility Analysis)? 0 0 • 0
Are PAN balances being maintained? 0 0 ■ 0
Are PAN balances within permit limits? 0 0 ■ ❑
Has land application equipment been calibrated? 0 0 • 0
Are there pH records for alkaline stabilization? 0 0 • 0
Are there pH records for the land application site? 0 0 ■ 0
Are nutrient/crop removal practices in place? ❑• 0 ■ 0
Do lab sheets support data reported on Residual Analysis Summary? 0 0 • 0
Are hauling records available? • ❑ ❑ ❑
Are hauling records maintained and up-to-date? U ❑ ❑ ❑
#Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
Has application occurred during Seasonal Restriction window? 0 0 • 0
Comment:
Treatment Yes No NA NE
Check all that apply
Aerobic Digestion 0
Anaerobic Digestion 0
Alkaline Pasteurization(Class A) 0
Page: 3

Permit: WQ0035576 Owner-Facility: Broad River Water Authority
Inspection Date: 08/31/2012 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Alkaline Stabilization(Class B) ❑
Compost 0
Drying Beds 0
Other ■
Comment: Settling Ponds
Page: 4

(-)
RECEIVED
32M2
Broad River Water Authority Asheville Regional pike
A Wier Protection
2011 Annual Report
Land Application Program
Sht
NC Permit No. WQ0035576
e
o° C9
‘Oc
REC IE
E-EB 0 9 2012
Information Procass.ng Unit
DWQ/BOG

ANNUAL LAND APPLICATION CERTIFICATION FORM
,Q Permit#: WQ0035576 ( �jty: Rutherford Year: 201 I
Facility Name(as shown on permit): Broad River Water Authority
Land Application Operator: Southern Soil Builders, Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes 0 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 the permit: NA
Total number of fields utilized for land application during the year: 0
Total amount of drytons applied during the year for all application sites: 0
Total number of acres utilizes for land application during the year: 0
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2011 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Quality. ❑ 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 .1 1 1 1 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, pro
authorization was received from the Division of Water Quality.
E m
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violatio%prct- . e�
attached to include appropriate actions and remediations. gy� pp• �N1 230
1 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as�``�` G- C1
specified in the permit. IL C o
1ri
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. -I- E
13) All buffer requirements as specified on the permit were maintained during each application of residuals. t .
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."
Maria Hunnicutt Manager
Permittee Name and Title (type or print) rgnature of Permittee 'Date.
/7,e.t; i‘-„4
Signature of Pre Preparer* Date Si nature of Lancf"A lier Date
P PP
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and I 5A NCAC 02T .1102 (26) DENR FORM ACF (12/20061

The Broad River Water Authority has just received permit No. WQ0035576 fo,r the
distribution of Water Plant Residuals, so no distribution of residuals took place in the
calendar year of 2011. Broad River Water Authority is planning a distribution event in the
calendar year of 2012. All residuals produced were stored on site.

Southern'
AQuIppR'PROTPC.TION SECTION
ION
S Soil 958 Hoots.lold2 paring River, NC 28669
(336)`957-8909 • Fax [phone]
B Builders , Inc .
NOVRECEEIVED
30 2u1
Monday,November 21, 2011 Asheville Regional Office
Aquifer Protection
Chonticha McDaniel
Division of Water Quality
1636 Mail Service Center
Raleigh,NC 27699-1636
Reference: Broad River Water Authority
Permit No. WQ0035576
In an e-mail received November 8, 2011; additional information was requested for the
permit application of Broad River Water Authority. Enclosed you will find the following
information:
1. A revised O&M Plan
2. The Residuals Source Facility Summary Page
3. A copy of the TCLP report that shows the Flash Point.
If you have any questions, contact me at [e-mail] or at 336-957-
7871.
Sincerely,
Zach Key
Southern Soil,Builders, Inc.

RECEIVED i DEN c I DM
Operation and Maintenance Plan ItCUI�`F'•phi 1Trt It1i�!SECTIOiV
Broad River Water'Authority N O V 22 2011
In accordance to the requirements set forth by the North Carolina Department of
Environmental and Natural Resources using NCGS 143-215.1 and 143-215.3(a)based on
15A NCAC 02T .110, Broad River Water Authority and Southern Soil Builders, Inc. is
implementing this Operation and Maintenance Plan.
The project manager of the distribution event will make sure a daily check off is •
performed at the start of each work day. This inspection is to prevent any spills, leaks, or
run-offs.
The daily check-off will consist of inspection the following items:
1. Access to the facility will be controlled with a locked gate and signs to
prevent any unauthorized entry into the complex.
2. All pumps and hose will be checked at the start of each day for leaks or loose
fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to
transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak
prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or
mechanical hazards or issues.
6. All equipment is secured at the end of each working day to prevent any
tampering or unauthorized use.
7. All equipment will be calibrated per outline in the owner's manual of each
piece of equipment.
The ORC or back up ORC will inspect the field after each distribution event to make sure
all regulations as required by the permit are followed. Also the project manager at the end
of each working day during a land application event will make sure that all gates if
present are closed.
All samples shall be taken as early as possible before the first application event of the
calendar year to make sure the facility is compliance.

The samples S
samples will be
will be mired en in a matter
laboratory
prior that is representative of the residuals and all grab
Plan attached to
esesaples iust to be placed in to the containers that will go to the
O&M Plan be collected and transported as outlined in the Sampling
All records of
these laboratory
be kept on file for results as well as the annual report and loading rates will
Hums of five(5) years.
l attached
Tents
with this p& arnresiduals will receive a copy of the product information label

The following procedures will take place in the unlikely event of a spill:
SPILL CONTROL PLAN- Southern Soil Builders,Inc.
Broad River Water Authority
In the event of a spill,the following should be taken IMMEDITALY.
1. Halt the source of the spill-overturned truck,leaking valve,ruptured tank.
2. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
3. Cleanup.Employ vacuum trucks, dump trucks, and'loaders to remove as much of
the spilled material as possible. Use straw to soak-up the remaining material.
Dispose of the same in a landfill.
4. Flush the roadways with water if needed. If the spill occurred on a tillable area,
till the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
5. Notification. (This should be done as soon as safely possible.)
A. Southern Soil Builders,Inc. Main Office(336)957-8909
B. Broad River Water Authority Maria Hunnicutt(828)286-0640
C. NCDENR,Mooresville Regional Office [phone]
D. County Emergency Services(Sheriff,Fire Dept.) 911
6. Reporting. The project manager shall detail how the spill occurred and all action
that was taken. A written report shall be given to the Asheville regional office as
soon as possible, and within 24 hours of the spill, or next working day.
7. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed. 0
C. Inspect all seals and replace if necessary. '

Broad River Water Authority
WTP SAMPLING PLAN
Quarterly, if a distribution event occurs,grab samples are collected from the two sludge
lagoons.Samples from the two sludge lagoons will be combined to form individual grab samples to be
sent to a laboratory for analysis. If a distribution event is to occur in the early part of a calendar year(i.e.
January or early February)these samples may have to be taken in December so results can be obtained
before the land application event,as some results take 30+days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, nutrient
analysis, and a TCLP test.These tests will be taken by Zach Key of Southern Soil Builders, Inc. All samples
with the exception of the composite residual sample will be taken to Statesville Analytical,the
composite residual sample will be sent to A&L Eastern Laboratory. All samples taken will be taken in the
same condition as the residuals are to be land applied.
pJa G►.tA• reel11'"cg
Fecal Coliform is gather in seven(7) individual sample and tested to meet the requirements of
[503.32(b)(2)].This requirement is for th ecal coliform density of the samples be less
than one thousand (1,000) MPN per gram.These samples will be placed in 250mI containers and placed
on ice, in a cooler for transport to the laboratory before 1600 hours(4pm)the same day the samples are
obtained.
Quarterly, if land application occurs,a composite residual sample will be analyzed, prior to a
land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium,Zinc,Aluminum,Ammonia
Nitrogen,Calcium, Nitrate Nitrogen, Magnesium,%total Solids, pH, Phosphorus,Potassium,TKN,
Sodium
From this information,the Plant Available Nitrogen(PAN) and a Sodium Absorption Ratio(SAR)
will be calculated.This sample will collected in a non-breakable container, at least one quart in size.This
sample will be taken from the digester.

• Product Information: Residuals produced from:
Broad River Water Authority
Water Treatment Plant
PO Box 37
Spindale,NC 28160
•
• This product contains plant nutrients such as nitrogen and aluminum and
can be used as a soil amendment. This material has been processed in
accordance with EPA guidelines. Chemical composition of this product
is such that it does not exceed pollutant ceiling concentrations.
• It shall not be applied to any site that is frozen, snow-covered, or
flooded. It shall not be applied within 10 feet of any public,private water
supply source(including wells) and any stream, lake,river, or natural
• drainage way. It should not be applied within a 100-year flood plain
unless incorporated within 24 hours.
• For current analysis and appropriate loading rates for farmland
application, contact:
Southern Soil Builders, Inc.
958 Hoots Road Roaring
Roaring River,NC 28669
Phone [phone]
E-Mail [e-mail]
• Application of this material to the land is prohibited except in
accordance with instructions on this label. Use of the material should
conform to recommendations of the-current analysis and loading rates.

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it CAS
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lI f
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.
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•
33'IC tnr r.. Stre.et.. - •, Cuyatioga.Falls, Ohio'44223 Phone [phone] 'Fax: 330-253,.44ao
Web Site` www:Se(fek:corrr .

RESIDUALS SOURCE FACILITY SUMMARY'
Applicant's name: Broad River Water Authority
•
Status . Maximum Dry Tons Per Year
Facility Permit Holder Facility Name County Permit Number
Code' Current ° Proposed 1
Broad River Water Broad River Water Authority 1
N Authority WTP Rutherfordton 1.649
Pws •rp olsno -
I
•
I•
I
I .
I
t
1 .
i
. a
1
1---
—
f I . j
!— L. - - — 1
, . t
.—.-------- — -- — - — -- — — j
a Status Code !Or source l tcility are: • N(Ne‘‘) i R (Renewed) •M(Modified) • f)(Deleted)
h The amount of residuals currently permitted for distribution. land application.or disposal(i.e.not applicable to new tacility).
SUMMARY FOR FORM: RSC 08-I 1 Page 1

Price, Bev
From: Mcdaniel, Chonticha
Sent: Tuesday, November 08, 2011 4:18 PM
To: [e-mail]
Cc: Price, Bev
Subject: Broad River Water Authority's WTP residuals permit(WQ0035576)
Zach,
I completed my review of the subject permit application received September 8, 2011.There are a few additional items
required before we can issue the permit. Please address the following items no later than November 23,2011.
1) Please revised the O&M Plan to include:
a. Equipment maintenance/calibration schedules or plan
b. Inspection Plan (i.e.who will be responsible for conducting the inspections,frequency and location of
inspections, description of inspection procedures, record keeping, etc.)
c. The front page of the plan references Blue Ridge Tissue, include the address (1661 Baber Rd. not Barber
Rd.), and states residuals will be removed on an as needed basis as fluctuations in plant output are due to
changing economic conditions. Is this statement also for Blue Ridge Tissue?
2) The Residuals Source Facility Summary page is missing the permit number of the Water Treatment Plant. Please
revise the form to include this information.
3) The lab result for Flash Point is not legible on the report. Can you resubmit a better copy so that we can clearly
see the number?
Please reference the subject application number when providing the requested information, and
submitted the information to my attention via email or at the address below.
Division of Water Quality
Aquifer Protection Section
1636 Mail Service Center
Raleigh, NC 27699-1636
Attention: Chonticha McDaniel
If you have any questions,please do not hesitate to contact me. Thank you!
Chonticha McDaniel
NORTH CAROLINA DEPARTMENT OF
ENVIRONM ENT AND NATURAL RBSMARC7`;''a-::_i
Division of'rroter Quality ',-
Aquifer Protection Section ,:, ;,".",
1636 Mail Service Center
Raleigh,NC 27699-1636
CHONTICHA MCDANIEL Phone: [919}715-6188
Enuironrnentgl Engineer Fax: [919}715-0588
chonticl-io.mcdoniei@ncdenugov Iittp:ffportol,ncdenr.orgfweb/wq
1

DISCLAIMER:Email correspondence to and from this address is subject to the North Carolina Public Records Law and may
be disclosed to third parties unless the content is exempt by statute or other regulation.
2

ar
affaMillMfgaT
North ,Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins eman
Governor Director RECEDIED Se i retary
September 19,2011 SEP 22 2011
Maria Hunnicutt—Manager
Broad River Water Authority • Asheville Regional Office
PO Box 37 A uifer Protection
Spindale,NC 28160
Subject: Acknowledgement of
Application No.WQ0035576
Broad River Water Authority
Distribution of Residual Solids
50 3 eAe- P -) System
Rutherford County
Dear Ms.Hunnicutt:
The Aquifer Protection Section acknowledges receipt of your permit application and supporting
documentation received on September 8, 2011. Your application package has been assigned the number
listed above, and the primary reviewer is Chonticha McDaniel.
Central and Asheville Regional Office staff will perform a detailed review of the provided
application, and may contact you with a request for additional information. To ensure maximum
efficiency in processing permit applications, the Aquifer Protection Section requests your assistance in
providing a timely and complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Chonticha McDaniel at(919) 715-6188 or [e-mail].
Sincerely,
.Bay
for Jon Risgaar
Land Application Unit Supervisor
cc: Asheville_RegionaLOfficerAquifer Protection Section)
Zach Key—Southern Soil Builders,Inc. -958 Hoots Road,Roaring River,NC 28669
Permit File WQ0035576
AQUIFER PROTECTION SECTION
1636 Mail Service Center,Raleigh,North Carolina 27699-1636
Location:2728 Capital Boulevard,Raleigh,North Carolina 27604 One 1'„Phone:[phone] FAX 1:919-715-0588;FAX 2:919-715-60481 Customer Service:1-877-623-6748 No th Carolina
Internet:www.ncwateraualitv.oro
An Equal Opportunity 1 Affirmative Action Employer • Naturally

W A T1
O 9 State of North Carolina
� P
-P G _ err, Department of Environment and Natural Resources
�� "s�:a tm �s11 Division of Water Quality
Aquifer Protection Section
Regional Staff Report
To: Aquifer Protection Section Central Office Application No.: WQ0035576
Attn: Chonticha McDaniel Regional Login No.:
From: Bev Price
Asheville Regional Office
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted?®Yes or❑No
a. Date of site visit: 7/11/11 &9/7/11
b. Site visit conducted by: Bev Price&Landon Davidson(7/11)Bev Price(9/7)
c. Inspection report attached? Z Yes or❑No
d. Person contacted: Brad Joyner and their contact information: (828),429-1054(828)286-0731
e. Driving directions: I-26 E. to Hwy. 74 East. Go approximately.10 miles to Union Road Exit. Turn left. Go
2.8 miles to Baber Rd. on right. WTP is located .3 miles on the right.
H. PROPOSED FACILITIES FOR NEW AND MODIFICATION APPLICATIONS
1. Facility Classification: NA. (Please attach completed rating sheet to be attached to issued permit)
2. Are the new treatment facilities adequate for the type of waste and disposal system?®Yes or❑No
If no,explain:
3. Are site conditions(soils,depth to water table,etc)consistent with the submitted reports? ❑Yes ❑=No ®N/A
If no,please explain:
4. Do the plans and site map represent the actual site(property lines,wells,etc.)? ❑Yes ❑No®N/A
If no,please explain:
5. Is the proposed residuals management plan adequate? ®Yes❑No❑N/A
If no,please explain:
6. ' Are the proposed application rates(e.g.,hydraulic,nutrient)acceptable? 0 Yes ❑No N/A
If no,please explain:
7. Are there any setback conflicts for proposed treatment,storage.and disposal sites? ❑Yes or❑No
If yes,attach a map showing conflict areas.NA
8. Is the proposed or existing groundwater monitoring program adequate? ❑Yes ❑No ®N/A
If no, explain and recommend any changes to the groundwater monitoring program:
9. For residuals,will seasonal or other restrictions be required? ❑Yes ❑No ®N/A
If yes,attach list of sites with restrictions(Certification B)
FORM: APSRSR 04-10 . Page 1 of 3

III.EXISTING FACILITIES FOR MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge(ORCs)for the facility? El Yes ❑No❑N/A
ORC: Certificate#: Backup ORC: Certificate#:
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ❑Yes or El No
If no,please explain:
3. Are the site conditions(e.g., soils,topography, depth to water table, etc)maintained appropriately and adequately
assimilating the waste? ❑Yes or El No
If no,please explain:
4. Has the site changed in any way that may affect the permit(e.g., drainage added,new wells inside the compliance
boundary,new development, etc.)? El Yes or❑No
If yes,please explain:
5. Is the residuals management plan adequate? El Yes or❑No
If no,please explain:
6. Are the existing application rates(e.g.,hydraulic,nutrient)still acceptable?❑Yes or El No
If no,please explain:
7. Is the existing groundwater monitoring program adequate? El Yes ❑No ❑N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or El No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? El Yes or El No
If no,please explain:
10. Were monitoring wells properly constructed and located? El Yes El No ❑N/A
If no,please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑Yes El No❑N/A
If no,please complete the following(expand table if necessary):
Monitoring Well Latitude Longitude
O 0 It
o I If 0 I
O , If 0 I II
O I „ 0 I if
O , „ 0 I II
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR, GW)? El Yes or❑No
Please summarize any findings resulting from this review:
13. Are there any permit changes needed in order to address ongoing BIMS violations? El Yes or❑No
If yes,please explain:
14. Check all that apply:
El No compliance issues ❑ Current enforcement action(s) El Currently under JOC
❑Notice(s)of violation El Currently under SOC El Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD,etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? El Yes El No El N/A
If no,please explain:
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑Yes❑No❑N/A
If yes,please explain:
FORM:APSRSR 04-10 Page 2 of 3

IV.REGIONAL OFFICE RECORu: ENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or®No
If yes,please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
Item Reason
3. List specific permit conditions recommended to be removed from the permit when issued:
Condition Reason
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
Condition Reason
5. Recommendation: ❑Hold,pending receipt and review of additional information by regional office
®Hold,pending review of draft permit by regional office
❑Issue upon receipt of needed additional information
❑Issue
❑Deny(Please state rea ns: )
6. Signature of report preparer:
Signature of APS regional supervisor:
Date: tp
V. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
Just FYI;
SSB should edit the OP&Maintenance Plan as it references Blue Ridge Tissue,include the address(1661 Baber Road not Barber
Road),and it says residuals will be removed on an as needed basis as fluctuations in plant output are due to changing economic
conditions.I think this is also a reference to Blue Ridge Tissue.I checked the SAR calculation and got a different result than that
reported by SSB.But,my calculation was even less than SSB's so not an issue.
•
FORM:APSRSR 04-10 Page 3 of 3

AQUIFER PROTECTION SECTION
APPLICATION REVIEW REQUEST FORM SEP 22 2(it
Date: September 20,2011 ? FA:-. .1,:i,-, r1t- ;c -).1 s^,.ff's,e
n,
To: ® Landon Davidson,ARO-APS El David May,WaRO-APS
El Art Barnhardt,FRO-APS El Charlie Stehman,WiRO-APS
El Andrew Pitner,MRO-APS El Sherri Knight,WSRO-APS
El Jay Zimmerman,RRO-APS
From: Chonticha McDaniel,Land Application Unit
Telephone: [phone] Fax: [phone]
E-Mail: [e-mail]
•
A. Permit Number: W00035576
•
B. Owner: Broad River Water Authority
C. Facility/Operation: Broad River Water Authority Distribution of Residual Solids (503 exempt)
® Proposed El Existing El Facility ® Operation
D. Application:
1. Permit Type: El Animal El Surface Irrigation ❑ Reuse ❑ H-R Infiltration
El Recycle El I/E Lagoon ❑ GW Remediation(ND)
El UIC- (5QW)closed loop water only geothermal
For Residuals: El Land App. ® D&M El Surface Disposal
El 503 ® 503 Exempt El Animal
2. Project Type: ® New El Major Mod. El Minor Mod. El Renewal El Renewal w/Mod.
E. Comments/Other Information: El I would like to accompany you on a site visit.
Attached, you will find all information submitted in support of the above-referenced application for your
review,comment, and/or action. Within'30 calendar days,please take the following actions:
® Return a Completed Form APSARR.
❑ Attach Well Construction Data Sheet.
El Attach Attachment B for Certification by the LAPCU.
El Issue an Attachment B Certification from the RO*.
* Remember that you will be responsible for coordinating site visits, reviews, as well as additional
information requests with other RO-APS representatives in order to prepare a complete Attachment B for
certification. Refer to the RPP SOP for additional detail.
When you receive this request form,please write your name and dates in the spaces below, make a copy
of this sheet, and return it to the appropriate Central Office-Aquifer Protection Section contact person
listed above.
RO-APS Reviewers / PA./.--c4". Date: /0/5/i t
FORM: APSARR 02/06 Page 1 of 1

r^�
Compliance Inspection Report
Permit: WQ0005221 Effective: 08/18/09 Expiration: 07/31/18 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Plant
County: Rutherford 1661 Baber Rd
Region: Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Plant Superintendent Phone:[phone]
Directions to Facility:
1-26 East to Hwy.74 East. Go approximately 10 miles to Union Rd. Exit.Turn left,go 2.8 miles and turn right onto Baber Road.
WWTP is.3 mil.on the right.
System Classitications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Maria S Honeycutt Phone: [phone]
Related Permits:
Inspection Date: 07/11/2011 Entry Time: 01:00 PM Exit Time: 01:30 PM
Primary Inspector: Beverly Price Phone:[phone]
Secondary Inspector(s):
Reason for Inspection: Other Inspection Type:Technical Assistance
Permit Inspection Type: Wastewater Recycling
Facility Status: 0 Compliant 0 Not Compliant
Question Areas:
II Miscellaneous Questions
•
(See attachment summary)
Page: 1

Permit:WO0005221 ,Owner-Facility: Broad River Water Authority
Inspection Date:07/11/2011 Inspection Type:Technical Assistance Reason for Visit:Other
Inspection Summary:
The purpose of the site visit was to choose a site for temporary storage of alum residuals from Basin#1.The Authority
wants to clean out Basin#1 so that it can be put back into service.Basin#2 is currently drying.The Authority plans to apply
for a Distribution of Residuals Solids permit.
The residuals can be temporarily stored adjacent to Basin#1 so that any runoff will drain back to the basin.
Page: 2

Compliance Inspection Report
Permit: WQ0005221 Effective: 08/18/09 Expiration: 07/31/18 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Plant
County: Rutherford 1661 Baber Rd
Region:Asheville
Rutherfordton NC 28139
Contact Person: Bradley Carson Joyner Title: Plant Superintendent Phone:[phone]
Directions to Facility:
1-26 East to Hwy.74 East. Go approximately 10 miles to Union Rd. Exit.Turn left,go 2.8 miles and turn right onto Baber Road.
WWfPis.3milaontheright. _.
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
24 hour contact name Bradley Carson Joyner Phone: [phone]
On-site representative Bradley Carson Joyner Phone: [phone]
Related Permits:
Inspection Date: 09/07/2011 Entry Time: 11:30 AM Exit Time: 12:15 PM
Primary Inspector: Beverly Price Phone:[phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Wastewater Recycling
Facility Status: ■Compliant 0 Not Compliant
Question Areas:
Miscellaneous Questions II Treatment I Record Keeping I.Treatment Lagoons
(See attachment summary)
Page: 1

v '
Permit:WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date: 09/07/2011 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Inspection Summary:
The facility is well maintained.
Alum Basin#1 is active, Freeboard=4ft.9in.
Alum Basin#2 is drying, Freeboard=5ft.
The dam of the recycle pond will be mowed this fall.
The alum residuals from Basin#1 were removed in July and are being temporarily stored on-site until a Distribution of
Residuals Solids(DRS) permit can be obtained. The residuals are stored adjacent to Basin#1 so that run-off will drain
back to the basin. Southern Soil Builders is handling the permit application for the Authority.
Page: 2

Permit:WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date: 09/07/2011 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Type Yes No NA NE
Lagoon Spray, LR
• 0
Single Family Spray, LR 0
Infiltration System 0
Reuse(Quality) 0
Activated Sludge Spray, HR
Activated Sludge Spray, LR 0
Activated Sludge Drip, LR
Single Family Drip
Recycle/Reuse •
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? • 000
Do all treatment units appear to be operational?(if no,note below.) , • 0 O. 0
Comment:
Record Keeping Yes No NA NE
Is i copy of current permit available? • 000
Are monitoring reports present: NDMR? 0 0 • 0
NDAR? 001110
Are flow rates less than of permitted flow? E000
Are flow rates less than of permitted flow? • 0 0 0
Are application rates adhered to? 00 110
Is GW monitoring being conducted,if required(GW-59s submitted)? 0000
Are all samples analyzed for all required parameters? 1 0 0 • 0
- Are there any 2L GW quality violations? 00E0
Is GW-59A certification form completed for facility? , 00 • 0
Is effluent sampled for same parameters as GW? 0 0 • 0-
Do effluent concentrations exceed GW standards? 0 0 • 0
Are annual soil reports available? 0 0 • 0 •
#Are PAN records required? 0 0 • 0'
#Did last soil report indicate a need for lime? 0 0 • 0
Page: 3

,
Permit:WQ0005221 Owner-Facility: Broad River Water Authority
Inspection Date:09/07/2011 Inspection Type:Compliance Evaluation Reason for Visit:Routine
If so,has it been applied? 0 0 ■ 0
Are operational logs present? ■ ❑ ❑ ❑
Are lab sheets available for review? 0 0 • 0
Do lab sheets support data reported on NDMR? 0 0 ■ 0
Do lab sheets support data reported on GW-59s? 0 0 • 0
Are Operational and Maintenance records present? ■ ❑ ❑ ❑
Were Operational and Maintenance records complete? _ ■ ❑ ❑ ❑
Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
Is a copy of the SOC readily available? 0 0 ■ 0
No treatment units bypassed since last inspection? ■ ❑ ❑ ❑
Comment:
RECYLE LAGOON -
Treatment Lagoons Yes No NA NE
Lagoon Type None
Primary/Secondary
Influent structure ■ ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) 0 ■ 0 0
Comment:
Vegetation(excessive vegetation on banks/berms) 0 ■ 0 0
Comment:
Liner ❑ ❑ ❑ ■
Comment:. Possibly clay
Liner Type - Unknown
Baffles/curtains 0 0 ■ 0
Comment:
Freeboard Marker •
■ ❑ ❑ ❑
Comment:
Required freeboard 2
Feet
Page: 4

Permit:WQ0005221 Owner:Facility: Broad River Water Authority
Inspection Date: 09/07/2011 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Feet
Actual freeboard 9.5
Are increments clearly marked on gauge at adequate intervals? ■ ❑ ❑ ❑
Comment:
• Has the water level gauge been surveyed w/respect to lowest point on dike?wall? • 000
Comment:
•
No Evidence of overflow - • 000
Comment:
Acceptable color ■ ❑ ❑ ❑
Comment: •
Floating mats 0 • 0 0
Comment:
Excessive solids buildup • 0 ■ 0 0
Comment:
Aerators/mixers ❑ ❑ ■ ❑
Comment:
Effluent structure 0 0 ■ 0
Comment:
Lagoon cover ❑ ❑ ■ ❑
Comment:
•
•
Page: 5

er
S Southern •
S Soil 958 Hoots Road Roaring River, NC 28669.
[phone] ,• Fax [phone]
B Builders, Inc .
Friday, April 22, 2016 RECEIVED/NCDEQ]DWR
North Carolina Department of Environmental Quality APR 2 9 2016
Division of Water Resources Non-Discharge
Water Quality Permitting Section Permitting Unit
Non-Discharge Unit
512 N. Salisbury Street
Raleigh,NC 27604
Reference: Broad River Water Authority
Permit Renewal Package
Distribution of Alum Residuals
Permit No. WQ0035576
Southern Soil Builders, Inc. is assisting the Broad River Water Authority with the renewal of the
Authority's distribution of alum residuals permit. These residuals are produced through the
treatment of potable water and are stored in two residuals holding lagoons.
Included with this permit renewal package are all of the required forms and testing showing
compliance with the requirements of a class A residual. There have been no changes in the
process or how the residuals are produced since the last issuance of permit WQ0035576.
Your attention in the review of this permit renewal application package is greatly appreciated.
Please contact me with any question or concerns at [e-mail] or at
336-957-7871.
Sincerely, . RECEIVED
/� Division of Water Resource*
!, MAY — 3 2°16
Zach Key
Southern Soil Builders, Inc. Water Quality Regional l OffiOperationsce
Asheville Regiona _ _
•

Al")
DWR
RECENEDINCDECIDWR State of North Carolina
APR 2 9 201b Department of Environment and Natural Resources
Division of Water Resources
Division of Water-Resources Non-Discha��rr�gg�ettl5A NCAC 02T.1100—DISTRIBUTION OF CLASS A RESIDUALS
I' PUNS FOR FORM:DCAR 11-13&SUPPORTING DOCUMENTATION
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information, visit the Water Quality Permitting Section's Non-Discharge Permitting Unit website at:
http://portal.ncdenr.org/web/wq/aps/lau
General — This application is for treatment, storage, transport, distribution, land application, and/or marketing of Class A (or
Equivalent)residuals under 15A NCAC 02T.1100.
Unless otherwise noted,the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Distribution of Class A Residuals(FORM:DCAR 11-13):
E Submit the completed and appropriately executed Distribution of Class A Residuals (FORM:DCAR 11-13)form. Please do
not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to
the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
refer.
E The project name should be consistent on the plans,specifications,etc.
The Applicant's Certification on Page 3 of this form shall be signed in accordance with 15A NCAC 02T,.0106(b). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T.0106(b).
❑ If this project is for a modification of an existing permit,submit one copy of the existing permit.
❑ Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies)for application packages involving new or changes to treatment and storage units.
B. Application Fee(New and Major Modification Application Packages)
E Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources(NCDENR).
❑ STANDARD REVIEW— Submit the appropriate fee for all new and major modification applications as listed in the table
below.
STANDARD APPLICATION REVIEW FEES:
Facility Classification i New Permit (( Major Modification
Major(residuals permitted for distribution >3,000 dry tons/year) $1,310 $395
Minor(residuals permitted for distribution<3,000 dry tons/year) $810 $245
t-A major modification shall be defined as any permit modification that:increases the generating facility's residuals dry tonnage;
adds additional residuals sources; or includes the addition of new treatment or storage units/processes not previously permitted.
There is no fee for minor permit modifications.
C. Cover Letter(All Application Packages)
E List all items included in the application package,as well as a brief description of the requested permitting action.
INSTRUCTIONS FOR FORM:DCAR 11-13 Page 1 of 3

r
D. Program Information(All Application Packages)
0 Provide a narrative explaining the following:
❑How the materials will be handled and transported from where the residuals were produced to where it will be treated.
❑How the residuals will be processed/treated(attach process flow diagram).
❑How leachate collection will be handled.
❑Where the residuals will be stored until processed.
❑How the final product will be distributed(packaging,bulk, etc.)
El What nutrients or other constituents(i.e.nitrogen,phosphorous,aluminum,calcium,etc.)are used or recommended as the
limiting parameter for determination of residuals loading rate to ensure that it does not overload the soil and cause
contravention of surface water or groundwater standards, limit crop growth,or adversely impact soil quality.
❑ Attach a marketability statement detailing destinations and approximate amounts of the final product to be distributed.
El Provide either a label that shall be affixed to the bagged processed residual or an information sheet that shall be provided to
the person who receives the processed residual. The label or information sheet shall contain, at a minimum, the following
information:
Name and address of the person who prepared the residual that is sold or given away.
• A statement that application of the residuals to the land shall be in accordance with the instructions on the label or
information sheet.
❑A statement that the residuals shall not be applied to any site that is flooded,frozen or snow-covered.
A statement that adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
❑Information on all applicable setbacks in accordance with 15A NCAC 02T.1108(b).
O A statement that the residuals shall be applied at agronomic or recommended rates for intended uses.
E. Detailed Plans and Specifications(Application Involving New or Changes to Treatment or Storage Units)
❑ Submit detailed plans and specifications that have been signed, sealed, and dated by a NC Professional Engineer per 15A
NCAC 02T .1104(a). Specifications for standard equipment may only be omitted for municipalities with approved standard
specifications,but use of the standard specifications must be noted on each sheet of the plans.
❑ Plans must include the following minimum items: a general location map; a topographic map, plan and profile view of the
residuals treatment and storage units as well as the proximity of the residuals treatment and storage units to other utilities and
natural features within 500 feet of all treatment and storage facilities, and detail drawings of all items pertinent to the
residuals treatment and storage units. Depict minimum separations required in 15A NCAC 02T.1108(a)on the plans.
❑ Specifications must include, at a minimum, the following for all items pertinent to residuals treatment and storage units:
description of materials to be used,methods of construction, quality of construction testing procedures to ensure the integrity
of the final product in accordance with 15A NCAC 02T.1104(a)(2)(B),including leakage and pressure testing as appropriate.
❑ Plans and specifications must not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.) that indicate that they are anything other than final plans and specifications. However, the plans
and specifications may be labeled with the phrase:FINAL DESIGN—NOT RELEASED FOR CONSTRUCTION.
F. Engineering Calculations(Application Involving New or Changes to Treatment or Storage Units)
❑ Submit all design calculations that have been signed, sealed, and dated by a NC Professional Engineer per 15A NCAC 02T
.1104(a).
G. Environmental Assessments(May be Required—See 15A NCAC 1 C .0300)
Submit a copy of the Findings of No Significant Impact(FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s) from the Environmental Assessment (EA) that impact the construction of the
residuals treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands
are used for the construction of the subject facilities.
INSTRUCTIONS FOR FORM: DCAR 11-13 Page 2 of 3

t J
H. Operation and Maintenance Plan(New and Renewal Application Packages)
O For Modification Application,if there are any changes to the existing plan,submit an updated O&M plan.
0 Submit the O&M Plan in accordance with 15A NCAC 02T.1110 and include at a minimum:
0 Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
O Maintenance schedules;may include equipments calibration,maintenance of signs,etc.
O Safety measures;may include safety training program,manuals,signs,etc.
O Spill response plan;including control,containment,remediation,emergency contact information,etc.
O Inspection plan including the following information;
O Names and titles of personnel responsible for conducting the inspections.
0 Frequency and location of inspections, including those to be conducted by the ORC, and procedures to assure that the
selected location(s)and inspection frequency are representative of the residuals management program.
• Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
O Sampling and monitoring plan including the following information;
O Names and titles of personnel responsible for conducting the sampling and monitoring.
0 Detailed description of monitoring procedures including parameters to be monitored.
Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for
residuals to meet pathogen and vector attraction reduction requirements(e.g. facilities that land apply multiple times per year
but have an annual sampling frequency, may need to sample during winter months when pathogen reduction is most likely to
be negatively affected by cold temperatures.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE,INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS,SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON-DISCHARGE PERMITTING UNIT
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N.SALISBURY STREET
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM:DCAR 11-13 Page 3 of 3

r �
State of North Carolina
DWR Department of Environment and Natural Resources
RECEIVEDINC©EQIDWR Division of Water Resources
Division of Water Resources APR 2 9 201 A NCAC 02T.1100—DISTRIBUTION OF CLASS A RESIDUALS
FORM:DCAR 08-13
Non-Discharge
I. APPLICANT INFORMATION: Permitting Unit
1. Applicant's name:Broad River Water Authority
Applicant type: ❑Individual ❑Corporation ❑General Partnership ❑Privately-Owned Public Utility
❑Federal ❑ State Municipal ❑County
Signature authority's name per 15A NCAC 02T.0106:Maria Hunnicutt Title:Manager
Applicant's mailing address: PO Box 37
City: Spindale State:NC Zip:28160
Telephone number: (828.)286-0640 Email Address: mhunnicutt(aincbrwa.com
2. Consultant's name:Zach Key License Number(for P.E.):
Affiliation: ❑ On Staff El Retained(Firm: Southern Soil Builders,Inc.)
Consultant's mailing address: 958 Hoots Road
City: Roaring River State:NC Zip:28669
Telephone number: [phone] Email Address: zkeyasouthernsoilbuilders.com
3. Fee submitted: $0.00(See Instruction B)
II. PERMIT INFORMATION:
1. Application is for(check all that apply):❑ new, ❑ modified, ® renewed permit
2. If this application is being submitted to renew or modify an existing permit,provide the following:
Permit number: W00035576
Date of most-recently issued permit: 11-30-2011
Date of most-recently certified Attachment A(if different than the permit): 11-30-2011
III. FACILITY INFORMATION:
1. Name of residuals processing facility:Broad River Water Authority
City:Rutherfordton State:NC Zip:28139
Coordinates: Latitude: 35° 18'44.77" Longitude: 81°59'20.87"
Datum:NAD 83 Level of accuracy: 0.01
Method of measurement: MAP
County where facility is located:Rutherford
2. Facility contact(person familiar with residuals preparation):
Name:Brad Joyner Title:WTP Superintendent
Mailing address:PO Box 37
City: Spindale State:NC Zip:28160
Telephone number:[phone] E-mail address:bjoyner(a ncbrwa.com
FORM:DCAR 11-13 ' Page 1 of 3

c ?
3. Is the residual process facility also the generator? El Yes; 0 No
If No,please specify delivery frequency and quantity of residual to be processed:
4. Length of residuals storage at facility: 365+ days (Note: the Division requires minimum 30 days storage in units that are
separate from treatment system,i.e.not in clarifiers, aeration basins, etc.)
IV. RESIDUALS QUALITY INFORMATION:
1. Specify how these residuals will be distributed:
Ei sold or given away in bags or other containers; 0 lawn(bulk); El home garden(bulk);
/! other(explain); given away through land application
Note:Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
load capacity of one metric ton or less.
2. Complete the following if residuals are to be mixed with other materials:
Type of Materials Amounts to be added
per 1.0 dry ton of residuals(dry ton)
3. Approximate amounts of the residuals received and processed at the facility: 1.649 dry tons per year.
4. Approximate amounts of the final product(processed residuals)to be distributed: 1,649 dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution):Two(2)300'X 150' lagoons
6. Does the facility have a stormwater management plan? El Yes; ® No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled: All runoff will
remain in the lagoon
V. RESIDUALS SOURCE INFORMATION: (Required for all new,renewed, or modified residuals source)
Complete and submit the attached Residuals Source Certification and all associated documentation.
11,
N'`J�
Residuals Source
Certification
FORM:DCAR 11-13
Page 2 of 3

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
I, ,attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I
have reviewed this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal,Signature, and Date:
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are compliant with
any active compliance schedule,and do not have any overdue annual fees under Rule 15A NCAC 02T.0105.
sit Yes 0 No,Explain;
aye S c c l�v�1 Ctiff aevitva( git `a ey
(Signature Authority's Name—PLEASE PRINT) � (Title)
attest that this application for ()VD "2i - v J..
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water
Resources may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes
unless specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action,which may include civil penalties,injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Resources should a condition of this permit be violated. I also understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, any person who knowingly makes any
false statement,representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: Date: 1-1' I 7/b I I
I ,,
FORM:DCAR 11-13 Page 3 of 3

Program Information
All of the residuals produced from the Broad River Water Authority's Water Treatment
plant are stored in one of two 750,000 gallon sludge holding lagoons.
The first location during the treatment that the residuals are produced is from the
sedimentation basins, from where the residuals are allowed to settle out. The return water left in
the sedimentation basin is pumped to the sludge holding lagoons.
The second place in the treatment process that produced residuals are from the filters.
The filters are backwashed and the residuals from the backwash process are sent to the sludge
holding pond. Also residuals are sent to the lagoons when a filter is rewashed during plant start-
up.
Once the residuals reach the sludge holding lagoons, they are stored until a lagoon is full
enough to need a distribution even. Once it is determined that a distribution event is needed, the
residuals are allowed to dry till they can be removed using loaders and dump trucks. The
residuals are given to local landowner's for use as a soil amendment.
All of the residual are stored in the sludge holding pond along with any leachate or run
off the maybe present.
All land owners that receive the residuals are given an information sheet that will
explain all of the requirements and regulations for the material. This information sheet will also
highlight any nutrients that will be the limiting parameter for determining the residuals loading
rate. In most cases,the limiting parameter for determining the loading rate will be nitrogen.

A
Marketability Statement:
The product will be given to local landowners who desire the material as a soil
amendment. The amount of residuals to be land applied,per year is approximately 900 dry tons.
These residuals can be beneficial to soils and plants and the improved soil physical properties are
the results of the addition of organic matter and plant nutrients. Destinations for these residuals
are local landowners and farmers that have sufficient amount of land to handle a bulk
distribution of the alum residuals; a field or combination of fields of around 100 acres are
desired.

Product Information:
Residuals produced from:
Broad River Water Authority
Mailing Address:
PO Box 37
Spindale, NC 28139
Facility Address:
1661 Baber Road.
Rutherfordton, NC 28139
[phone]
• This product contains plant nutrients such as nitrogen and aluminum and can be used as a soil
amendment.This material has been processed in accordance with EPA guidelines. Chemical
composition of this product is such that it does not exceed pollutant ceiling concentrations
• This material shall not be applied to any site that is:
o frozen,snow-covered or flooded
o 100 feet of any public or private water supply source (including wells)
o 100 feet of surface waters (streams, rivers,wetlands)
o 25 feet of water diversions(ditches)
o Within a 100 year flood plain unless incorporated within 24 hours
o During a measurable precipitation event(0.01 inch per hour) or within 24 hours of a
rainfall event of 0.5 inches
o Slope greater than 10%
o Has a vertical separation of the bedrock less than one foot
o If vertical separation of seasonal water table is less than one foot
o Than does not have an established vegetative cover unless incorporated
• If soil pH is less than 6.0, lime shall be added to maintain at least 6.0 unless an agronomist
provides information indication otherwise
• Residual stockpile for more than 14 days shall be covered -

• For current analysis and appropriate loading rates for farmland application, contact:
Southern Soil Builders, Inc.
958 Hoots Road
Roaring River, NC 28669
Phone [phone]
[e-mail]
• Application of this material to the land is prohibited except in the accordance with the
instructions on this label. Use of this material should conform to the recommendations of the
current analysis and loading rates.

Operation and Maintenance Plan
Broad River Water Authority
Permit No. WQ0035576
In accordance to the requirements as issued by the North Carolina Department of
Environmental and Natural Resources using NCGS 143-215.1 and 143-215.3(a)based on
15A NCAC 02T .110, the Broad River Water Authority and Southern Soil Builders, Inc.
is implementing this Operation and Maintenance Plan.
The Class A distribution program from the Broad River Water Authority be conducted
from the Water Treatment facility, located at Broad River Water Authority's facility
located at Barber Road, in Spindale,NC. Residuals will be removed and given away to
local farmers to be used as a soil amendment. The residuals will be removed on as needed
bases; as fluctuation in the output of the plant will vary with changing economic
conditions. The day to day operation of the running of the Water Treatment will be
conducted by Broad River Water Authority. The operations of the distribution program
will be conducted by Southern Soil Builders, Inc.
A label shall be provided to every recipient of the residual material, in addition to this
label,the ORC will make sure every recipient is educated in the proper use of the
residuals.
Prior to distributing these residuals to local farmers, the following sampling conditions
must be met:
Toxicity Characteristics Leaching Procedure (TCLP)will be conducted each
quarter that a distribution event takes place.
An analysis of the parameters will be conducted each quarter a distribution event
takes place.
A fecal coliform test shall be conducted as required in 15A NCAC 027T .1106
chapters (a) and (b) to show that the density of the fecal coliform is less than
1,000 MPN per gram of total solids, each quarter a distributing event takes place
These samples will be collected by the ORC or his/her designee and transported to an
approved lab the same day the samples are taken, as in accordance to 15A NCAC 02B
.0505. The samples must be taken in a matter to ensure a representative sample of the
residuals has been taken.

. A
To prevent any spills and or safety issues from occurring the flowing will take place
during a distribution event.
1. Access to the facility will be controlled with a locked gate and signs to
prevent any unauthorized entry into the complex;this gate will be lock at the
end of each day.
2. All pumps and hose will be checked at the start of each day for leaks or loose
fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to
transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak
prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or
mechanical hazards or issues.
6. All equipment is secured at the end of each working day to prevent any
tampering or unauthorized use.

Broad River Water Authority
Permit WQ0035576
WTP SAMPLING PLAN
Quarterly, if a distribution event occurs, grab samples are collected from the two sludge
lagoons.Samples from the two sludge lagoons will be combined to form individual grab samples to be
sent to a laboratory for analysis. If a distribution event is to occur in the early part of a calendar year(i.e.
January or early February)these samples may have to be taken in December so results can be obtained
before the land application event, as some results take 30+days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, nutrient
analysis, and a TCLP test.These tests will be taken by Zach Key of Southern Soil Builders, Inc. All samples
will be taken to a state approved laboratory. All samples taken will be taken in the same condition as
the residuals are to be land applied.
Fecal Coliform is gather in seven (7) individual samples and tested to meet the requirements of
[503.32(b)(2)]. This requirement is for the geometric mean fecal coliform density of the samples be less
than one thousand (1,000) MPN per gram.These samples will be placed in 250m1 containers and placed
on ice, in a cooler for transport to the laboratory before 1600 hours (4pm)the same day the samples are
obtained.
Quarterly, if land application occurs,a composite residual sample will be analyzed, prior to a
land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel,Selenium, Zinc,Aluminum,Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium,TKN,
Sodium
From this information,the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated.This sample will collected in a non-breakable container, at least one quart in size.This
sample will be taken from the digester.

SPILL CONTROL PLAN- Southern Soil Builders, Inc.
Permit WQ0035576
Broad River Water Authority Water Treatment Plant
In the event of a spill, the following should be taken IMMEDITALY.
1 . Make sure all personal and bystanders are safe- if not contact emergency
services
2. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
3. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
4. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much
of the spilled material as possible. Use straw to soak-up the remaining material.
Dispose of the same in a landfill.
5. Flush the roadways with water if needed. If the spill occurred on a tillable area, till
the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
6. Notification. (This should be done as soon as safely possible.)
A. Southern Soil Builders, Inc. Main Office [phone]

B. Broad River Water Authority [phone]
C. NCDEQ-Asheville Regional Office [phone]
D. County Emergency Services (Sheriff, Fire Dept.) 911
7. Reporting:
The Permittee shall report by telephone to the Asheville Regional Office,
telephone number [phone], as soon as possible, but in no case more than
24 hours or on the next working day following the occurrence or first knowledge
of the occurrence of any of the following:
A. Surface disposal of residuals abnormal in quantity or characteristic.
B. Any failure of the surface disposal program resulting in a release of
material to surface waters.
C. Any time self-monitoring indicates the facility has gone out of compliance
with its permit limitations.
D. Any process unit failure, due to known or unknown reasons, rendering the
facility incapable of adequate residual treatment
E. Any spill or discharge from a vehicle or piping system during residuals
transportation.
Any emergency requiring immediate reporting (e.g., discharges to surface
waters, imminent failure of a storage structure, etc.) outside of normal business
hours shall be reported to the Division's Emergency Response personnel at
telephone number [phone], [phone], or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter
form within five days following first knowledge of the occurrence. This report shall
outline the actions taken or proposed to be taken to ensure that the problem
does not recur.

S. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. -Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed
C. Inspect all seals and replace if necessary.

I
= S r' r State of North Carolina
ri-
.. t >, $_;
Department of Environ II ent and Natural Resources
D ivision of Water Resoirces
1
Divislo of Water Resources RESIDU• S SOURCE CERTIFICATION
INSTRU 1 TIONS FOR FORM:RSC 11-13
Please use the following instructions as a checklist in order to ensure all required items ar• submitted. Adherence to these
instructi.ns and checking the provided boxes will help produce a quicker review time and educe the amount of addi;ional
informat on requested. Failure to submit all of the required items will lead to additional p ocessing and review time fqr the
permit a i plication. Unless otherwise noted, the Applicant shall submit one original and t• o co dies of the a. i lication and
supportii g documentation
For more information, visit the Water Quality Permitting Section's Non-Discharge Per itting Unit website at: 1
http://portalncdenr.org/web/wq/aps/lau
General This certification provides detailed information of residuals source generating facili and its residuals quality fill land
applicatio ,distribution,or disposal in accordance with 15A NCAC 02T.1100. Do not submit th s certification for review without
a corresp ending application form(FORM: RLAP 11-13,FORM:DCAR 11-13,or FORM: SD' 11-13).
Unless otl erwise noted,the Applicant shall submit one original and two copies of the application . d supporting documentation listed
below.
I
A. Resit uals Source Certification(FORM: RSC 11-13):
❑ `ubmit the completed and appropriately executed Residuals Source Certification(FORM RSC 11-13) form. Please clo not
ake any unauthorized content changes to this form. If necessary for clarity or due to spa ce restrictions, attachments to the
a.plication may be made,as long as the attachments are numbered to correspond to the sec ion and item to which they refer.
❑ ,or new or renewed permits,submit a separate certification for each source facility.
❑ or modified permits,submit a separate certification for only those facilities that are affect-d by the proposed modification.
❑ I omplete the residuals source facility summary page.List all new,renewed, or modified f.cilities.
B. Resi•uals Source-Generating Facility Information:
❑ or each source facility,attach the following: :
11 Vicinity map-A vicinity map that shows the location of the facility and meets all of thr criteria in the"Map Guidance for
Residuals Land Application Permits".
11 Process flow diagram and/or narrative-A detailed narrative and/or process flow diagr m that describes how the residuals
are to be generated,treated,processed,and stored at the facility.
11 Quantitative justification for residuals production rate - A quantitative justification f r the value provided in Item I. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be gen rated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actua ly to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that a e added to the residuals during
processing. .
11 Sampling plan - A detailed sampling plan for the residuals source-generating facili . Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division-certified 1 boratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any pplicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring mus be completed on the residuals as
they are to be land applied,distributed,and/or disposed.
C. Resid als Quality Information:
❑ Fbr each source facility,attach the following:
11 Laboratory analytical reports and operational data--reports for all laboratory analyses u ed to complete this certification.
11 Documentation that the facility complies and/or the residuals comply with any applic. le pathogen reduction and Vector
attraction reduction requirements.
11 For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the-de.cription of similarities of the two
facilities.
INSTRU IONS FOR FORM:RSC 11-13 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name:Broad River Water Authority
Status Facility Permit Holder Facility Name County Permit Number Maximum Dry Tons Per Year
Code a
Current b Proposed
R Broad River Water Broad River Water Authority Rutherfordton NC0181035 1,649 1,649
Authority WTP
a Status Code for source facility are: •N(New) •R(Renewed) •M(Modified) •D(Deleted)
b The amount of residnala currently permitted f y y
SUMMARY FOR FORM:RSC 11-13 Page 1

r.i ' State of North CLrolina
IIj `; ;�' Department of EnvironanDivisionent and Nof Wateratural ReReso ouncesurces
;.: .
DIA ion of Water Resources
RESIDUALS SOURCE CERTIFICATION
FORM:R C 11-13
I• ' SIDUALS SOURCE-GENERATING FACILITY INFORMATION(See Instruction B.):
. Facility Name: Broad River Water Authority
. Facility permit holder is: [] Federal,
State, LEI Local Government, or [] Private.
Facility permit issued by: 9A1 Div. of Water Resources,
0 Div. of Environmental Health,
or 0 Other(explain: _),
3. Facility contact person and title:Maria Hunnicutt
Complete mailing address: PO Box 37
City: S indale State:NC
Telephone number: 336)286-0640 Zip:28160
E-mail address: mhunnicuri@nrhr.a,a
4 Facility physical address: 1661 Barber Road LLl
City:Rutherfo�State:NC
Zip:28139
Coordinates: Latitude:35° 18'44.77
Longitude: 81°59'20.87"
Datum:N AD 83 Level of accuracy:0.01
Method of measurement:MAP
5. Purpose of the facility:
D treatment of municipal wastewater
lEi 0 treatment of 100%domestic wastewater,
treatment of potable water,
treatment of 100%industrial wastewater,
0 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages: : %/o industrial and - '%
0 other(explain: domestic)
6. Does the facility have an approved pretreatment program:
7. Facility perm gn flow: 8
itted/desi 0 Yes � No
_0 MGD and facility average daily flow: 6_4 MGD
8• verage amount of residuals being generated at this facility 900 dry tons per year.
9. pecify the following regarding treatment and storage volumes available at the facility:
ype and volume of residuals treatment: 2 slud a la oohs 750 000 allons each
ype and volume of residuals storage(i.e., outside of residuals treatment units): None
IL RES UALS QUALITY INFORMATION
1• S ecify if residuals are regulat de (See Instruction C.):
0 40 CFR Part 503 or
ote: Only residuals that are generated during®mes�o domestic/municipal
Part 257.
C R Part 503, otherwise,the residuals are regulated under 40 CFR Part 257.
umcipal wastewater treatment processes are regulated under 40
____
2. S ecify if residuals are defined under 15A NCAC 02T.1102 6 as:
0 Biological
N te: Biological residuals are residuals that have been generatedN e: Big wasal esd, or the biological treatment of industrialduring (biological
bit ogi in was ews er, in t the treatment of dome a watem tha, anim 1
FORM:RSC 1-13 g lagoons, activated sludge systems, extended aerat on ystems andfi is a system that utilizes
and fixed film systems).
Page 1 of 5

3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non-hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100%non-municipal, domestic wastewater only)
a. Are the residuals listed in 40 CFR§261.31-§261.33: El yes ITA no.
If yes,list the number(s): _
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR§261.21-
261.24: 0 yes 0 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity,ignitability,and reactivity:
Laboratory:Pace Analytical and Date of analysis: 8-13-2014
Passed corrosivity test: El yes 0 no. pH: s.u.(2<pH<12.5)
Passed ignitability test: El yes IM no. Flashpoint:200°F(> 140°F)
Passed reactivity test: ®/yes Ono.HCN:ND mg/kg(<250)&H2S:ND mg/kg(<500)
TCLP Parameter Limit Result TCLP Parameter Limit Result
(mg/1) (mg/1) (mg/1) (mg/1)
Arsenic 5.0 ND Hexachlorobenzene 0.13 ND
Barium 100.0 0.67 Hexachloro-1,3-Butadiene 0.5 ND
Benzene 0.5 ND Hexachloroethane 3.0 ND
Cadmium 1.0 ND Lead 5.0 ND
Carbon Tetrachloride 0.5 ND Lindane 0.4 ND
Chlordane 0.03 ND Mercury 0.2 ND
Chlorobenzene 100.0 ND Methoxychlor 10.0 ND 1
Chloroform 6.0 ND Methyl Ethyl Ketone 200.0 ND
Chromium 5.0 ND Nitrobenzene 2.0 ND
m-Cresol 200.0 ND Pentachlorophenol 100.0 ND
o-Cresol 200.0 ND Pyridine 5.0 ND
p-Cresol 200.0 ND Selenium 1.0 ND
Cresol 200.0 ND Silver 5.0 ND
2,4-D 10.0 ND Tetrachloroethylene 0.7 ND
1,4-Dichlorobenzene 7.5 ND Toxaphene 0.5 ND
1,2-Dichloroethane 0.5 ND Trichloroethylene 0.5 ND
1,1-Dichloroethylene 0.7 ND 2,4,5-Trichlorophenol 400.0 ND
2,4-Dinitrotoluene 0.13 ND 2,4,6-Trichlorophenol 2.0 ND
Endrin 0.02 ND 2,4,5-TP(Silvex) 1.0 ND
Heptachlor and its Hydroxide 0.008 ND Vinyl Chloride 0.2 ND
FORM:RSC 11-13 Page 2 of 5

•
4. etals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
vi late the ceiling concentrations for metals regulated under 15A NCAC 02T.1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis)for the following metal parameters:
Laboratory:A&L Eastern Laboratories,Inc. and Date of analysis: 8-13-2014
Parameter Ceiling Monthly Average Result
Concentration Limits Concentration Limits
(ClassA &ClassB) (Class A Only)
(mg/kg) (mg/kg)
(mg/kg)
Arsenic 75 41
7
Cadmium 85 39
2
Copper 4,300 1,500
33
Lead 840 300
18
Mercury 57 17
0.4
Molybdenum 75 n/a
5
Nickel 420 420
22
Selenium 100 100
5
Zinc 7,500 2,800
90
b. For Surface Disposal Unit(landfill): Fill in the following table with the results of the latest analyses(i.e., on a dry weight
basis)for the following metal parameters:
Laboratory: and Date of analysis: .: ,'"a',:
Distance from Disposal! Arsenic Chromium
Unit to Boundary to Nickel
Closest Property Line
(meters, check one) (mg/kg) (mg/kg) (mg/kg)
[] >0 but<25 30 200
210
>_25 but<50 34 220
240
0 >_50 but<75 39 260
270
D >_75 but< 100 46 300 320
[l >_ 100 but<125 53 360 390
0 >_ 125 62 450
420
Result(mg/kg)
—
FORM:RSC 11-13
Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 32.86%.
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrie of and
•
micronutrient parameters:
Laboratory:A&L Eastern Labs and Date of analysis: 8-13-2014
Parameter Result
(mg/kg)
Aluminum 125000
Ammonia-Nitrogen 243
Calcium 1130
Magnesium 593
Nitrate-Nitrite Nitrogen 38.3
pH(Standard Unit) 6.18
Phosphorus 981
Potassium 2420
Sodium 100
Total Kjeldahl Nitrogen 3440
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.19
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Servie, a
North Carolina Licensed Soil Scientist, or an agronomist,prior to land application of residuals.The recommendations hall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen(PAN) of the residuals: 40 %. This
rate is a(check one): =® default value,or 0 actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide tec ical
justification as to why the selected default value is appropriate to be applied to these residuals: Default for Alum Stud e
e. Calculate the PAN for the residuals(i.e.,on a dry weight basis)and fill the results in the following table:
Application Method First(ls`)Year PAN Five-Year
(mg/kg) Maximum Adjusted PAN
(mg/kg)
Surface 1438.6 1538.8
Injection/Incorporation 1560.1 1669.4
6. Oth•r Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the r•sults of the latest analyses: None
FORM:RSC 11-13
Page 4 of 5

7. Pa ho•en Reduction:Per 15A NCAC 02T.1106,specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
z A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
0 A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings(except for non-biological residuals):
0 Alternative 1 [15A NCAC 02T.1106(b)(3)(A)]-Time/Temperature Compliance.
El Alternative 2 [15A NCAC 02T.1106(b)(3)(B)]-Alkaline Treatment.
El Alternative 3 [15A NCAC 02T.1106(b)(3)(C)]-Prior Testing for Enteric Virus/Viable Helminth Ova.
0 Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] -No Prior Testing for Enteric VirusNiable Helminth Ova.
0 Alternative 5 [15A NCAC 02T.1106(b)(3)(E)-(K)]-Process to Further Reduce Pathogens(PFRP).
Specify one: [] composting, 0 heat drying, 0 heat treatment,
]] thermophilic aerobic digestion, El beta ray irradiation,
0 gamma ray irradiation, or El pasteurization.
b. For Land Application of Class B:
® Alternative 1 [15A NCAC 02T.1106(c)(1)]-Fecal Coliform Density Demonstration.
0 Alternative 2[15A NCAC 02T.1106(c)(2)]-Process to Significantly Reduce Pathogens(PSRP).
Specify one: El aerobic digestion, [] air drying, El anaerobic digestion,
0 composting,or 0 lime stabilization.
c. For Surface Disposal:
:= Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II.7a. above.
0 Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
El Exempt-If Daily Cover Alternative is chosen in Item II.8.below[15A NCAC 02T.1106(a)(2)].
0 Not Applicable-Non-Biological Residuals with NO Domestic Wastewater Contribution.
8. Vec or Attraction Reduction AR): Per 15A NCAC 02T.1107,specify how residuals will meet the VAR requirements:
;., Alternative 1 [15A NCAC 02T.1107(a)(1)]-38%Volatile Solids Reduction(Aerobic/Anaerobic Digestion).
0 Alternative 2 [15A NCAC 02T.1107(a)(2)]-40-Day Bench Scale Test(Anaerobic Digestion).
El Alternative 3 [15A NCAC 02T.1107(a)(3)]-30-Day Bench Scale Test(Aerobic Digestion).
El • ternative 4 [15A NCAC 02T.1107(a)(4)]-Specific Oxygen Uptake Rate Test(Aerobic Digestion).
0 •lternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
0 ,Alternative 6 [15A NCAC 02T.1107(a)(6)]-Alkaline Stabilization.
0 lternative 7 [15A NCAC 02T.1107(a)(7)]-Drying of Stabilized Residuals.
'N lternative 8 [15A NCAC 02T.1107(a)(8)]-Drying of Unstabilized Residuals.
El Alternative 9 [15A NCAC 02T.1107(a)(9)]-Injection.
El Irllternative 10 [15A NCAC 02T.1107(a)(10)]-Incorporation.
[] I•lternative for Surface Disposal Units Only-Soil/Other Material Cover[15A NCAC 02T.1107(b)(2)].
of Applicable-Non-Biological Residuals with NO Domestic Wastewater Contribution.
Not-• For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occ when these residuals are applied and left on the land surface.
FORM:RS 11-13
Page 5 of 5

Vicinity Map
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Mao.data @arl6Go&IF 500ht e
Broad River Water Authority -
1661 Barber Road
Rutherfordton,.NC 28139

•
JET MIXING—
NOZZLE j ti
' CHLORINE SOLUTION— CHLORINE SOLUTION—• 1a�3
UME— -.0-- ROF yliiii
• 'SAMPLE SAMPLE . . SAMPLE CONTROLLER f i.i 12
BROAD RAW WATER 2b'RW Z FLOW 20••RW 0 FLOCCULATION 42'TW I. SEDIMENTATION 4136'SW I �. ROF _�
RIVER—�PUMP STATION i 0 -HBMENT' . BASINS BASINS �J OoNTROU.ER.
•
•
•
• ALUM•
8
• fr i is
,JET /0.• 1,...
Tit
m .
r
e'sL/PD
•
20'BW • • 1.IZ REW I SAMPLE .
o _
19
ea •.,.. a0 N � W
FLUORIDE •
• CHLORINE SOLUTION •
•
\• • r OEARW[iL EJQST
\1 © FINISHED
RELYCIIJ(' SLUDGE SLUDGE .WATER•PUMPS _ ELEMENT WATER
o POND LAGOON NO.1 LAGOON NO2
. --...s.N\I ( .
••
) , ,..) • . • ' .
3- • 6 , f 1 1613W SASH a! i
Z MASS BALANCE LIQUIDS AND SOLIDS BALANCE • 1 I 1
Q. (MCA) (LBS/0)DS • `
1 10 MGO(MAX) — 24.5 *2.050 'r�tl
2 10 MGD(MAX) — 27.5 2 300 .'ate®.+_o-.am�n s
4 10 MOO — 0 0 1•6671.n6oss
_ 5 10'MGD — • Ivnm ceemeu meat •
6 • 7,840(GPM) — 0 0 16 PT —
p3 7 53 000(GPD) s 000 r 2 200 am'm`COMM
8 250.000(GPD)10.240(6PM) 1.3 100 •
(MAX.) • _
1 9 1,388(GPM). — — —• iRDM%ftOU DIAGRAM
II
*BASED ON TURBIDITY• •
•
, 7 G00-44 . •

Quantitative Justification
The Broad River Water Authority has distributed the following amounts in the last 5 years:
Year Dry Tons
2011 0
2012 1088
2013 0
2014 592.79
2016 0
This data shows that the 1,649 Dry tons per year will be sufficient to handle the amount of
residuals the Broad River Water Authority is producing at this time.

Broad River Water Authority
Permit WQ0035576
WTP SAMPLING PLAN
Quarterly, if a distribution event occurs, grab samples are collected from the two sludge
lagoons.Samples from the two sludge lagoons will be combined to form individual,grab samples to be
sent to a laboratory for analysis. If a distribution event is to occur in the early part of a calendar year(i.e.
January or early February)these samples may have to be taken in December so results can be obtained
before the land application event, as some results take 30+days to receive.
These individual grab samples are collected and tested for fecal coliform analysis, nutrient
analysis, and a TCLP test.These tests will be taken by Zach Key of Southern Soil Builders, Inc. All samples
will be taken to a state approved laboratory. All samples taken will be taken in the same condition as
the residuals are to be land applied.
Fecal Coliform is gather in seven (7) individual samples and tested to meetithe requirements of
[503.32(b)(2)].This requirement is for the geometric mean fecal coliform density of the samples be less
than one thousand (1,000) MPN per gram.These samples will be placed in 250m1 containers and placed
on ice, in a cooler for transport to the laboratory before 1600 hours (4pm)the same day the samples are
obtained.
Quarterly, if land application occurs,a composite residual sample will be analyzed, prior to a
land application event for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel,Selenium, Zinc,Aluminum,Ammonia
Nitrogen, Calcium, Nitrate Nitrogen, Magnesium, %total Solids, pH, Phosphorus, Potassium,TKN,
Sodium
From this information,the Plant Available Nitrogen (PAN) and a Sodium Absorption Ratio (SAR)
will be calculated.This sample will collected in a non-breakable container, at least one quart in size.This
sample will be taken from the digester.

Laboratory Analytical Reports

Page: 1 of 2 _._._._,___
Report Number: 14-227-0207 v AFL Eastern Laboratories, Inc.
Y
Account Number: 46381 nL
7621 Whitepine Road Richmond,Virginia 23237 [phone] Fax[phone]
wwwaleastern.com
Send To: SOUTHERN SOIL BUILDERS Project:BRWA
DENNIS KEY NC CERT #257 •
958 HOOTS ROAD
.ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 8/13/2014 12:05:00
Lab Number: 57063 Date Received: 08/15/2014 00:00
Sample id : BRWADate Reported: 08/21/2014
PARAMETER . kESULT • RESULT QUANTITATION LIMIT ANALYSIS` •
- ---• -- •.- - -(.%); , - ;"(mg/kg) . , _ (mg/kg ) ANALYST DATE/TIME METHOD' _
• Total Solids* 32.86 328600 100.0 JM 08/15/2014 15:00 SM-2540G
Moisture* 67.14 100.0 JM 08/15/2014 15:00 SM-2540G
Total Kjeldahl Nitrogen 0.34 3440 10.0 TW 08/20/2014 08:35 SM-4500-NH3C-TKN
Total Phosphorus 0.10 981 100 KM 08/19/2014 13:04 SW 6010C
Total Potassium 0.24 2420 100 KM 08/19/2014 13:04 SW 6010C
Total Sulfur 0.25 2520 100 KM 08/19/2014 13:04 SW 6010C
Total Calcium - 0.11 1130 100 KM 08/19/2014 13:04 SW 6010C
Total Magnesium 0.33 3280 100 KM 08/19/2014 13:04 SW 6010C
Total Sodium <0.01 <100 100 KM 08/19/2014 13:04 SW 6010C
Total Iron 45300 - 100 ' KM 08/19/2014'13:04 SW 6010C
Total Aluminum 125000 100 KM 08/19/2014 13:04 SW 6010C
Total Manganese - 593 5 KM • 08/19/2014 13:04 SW 6010C
Total Copper 33 5 . KM 08/19/2014 13:04 SW 6010C
Total Zinc 90 5 KM 08/19/2014 13:04 SW 6010C
Ammonia Nitrogen 0.02 243 10.0 .MW 08/18/2014 09:09 SM-4500-NH3C
Organic N 0.32 3197 10.0 08/18/2014 09:09 CALCULATION
Nitrate+Nitrite-N •
38.3 2.00. MW 08/18/2014 09:10 SM-4500NO3F
Total Cadmium <2.0 2.0 KM 08/19/2014 13:04 SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N.series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients,and may not be reproduced in whole or part,nor may any reference be madekit;oesizt
—to-the-work,.hc results-.-or-the c.virwas ly in duy advertising,news release,or other public announcements without obtaining our prior written authorization.
Debbie Holt

Page: 2 of 2
Report Number: 14-227-0207 - -
Account Number: 46381 at : A&L Eastern Laboratories In
• 7621 Whit-.-,-
® )743-9401 Fax[phone]
•
www.aleastern.com
Send To: SOUTHERN SOIL BUILDERS
• DENNIS KEY Project:BRWA
958 HOOTS ROAD NC CERT #257
ROARING RIVER, NC 28669
Lab Number: 57063 REPORT OF ANALYSIS ,Date Sampled: 8/13/2014 12:05:00
Sample Id: BRWA -
Date Received: 08/15/2014 00:00
PARAMETER Date Reported: 08/21/2014
RESULT "-- RESULT_,- QUANTITATION LIMIT
(a/) {m9/kg).. ANALYST ANALYSIS
Total Chromium {mg/kg') -___ DATE/TIME----= METHOD
Total Nickel 57 5
KM 08/19/2014 13:04 SW 6010C
Total Lead 22 5 KM
18 08/19/2014 13:04 SW 6010C
Total Arsenic
7•0 5 KM 08/19/2014 13:04
Total Mercury 3 0 SW 6010C
7.0 KM 08/19/2014 13:04 SW 6010C
Total Selenium 0.4 • KM 08/20/2014 08:50
-
<5.0 5 0 SW-7471B
Total Molybdenum 6.18 KM 08/19/2014 13:04 SW 6010C
pH(Standard Units)*
2.00 TW 08/18/2014 09:49
Comments: <5 5 SW-9045D
SULFUR AND ORGANIC NITROGEN NOT FOR r•n A KM 08/19/2014 13:04 SW 6010C
PLQUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS�ANCE FOR"Cr' ANDSNS ALL OTHER QC DATA
IS ACCEPTABLE.
•
•
•
All values are on a dry weight basis except as noted by asterisk. Detection limit o n all N series is on a wet basis.
Our reports and letters are for the exclusive and confidential use of our clients,and may not he rA . •
to the work,the results,or the company in a advertising.news release,or other public announcements without obtaining our
p may rior writt e aUtho i be made
aulhorization.
Debbie Holt

Analytical Results
Southern Soil Builders
958 Hoot:; Road
Roaring River NC 28669
Entered 8/13/2014li
AI
Reported: 8/19/2014
For: BRWA
Sample ID Parameter Cust ID Result Units Date
- Method Analyzed Ani lyst
a
140813-28.1 % Solids 1 28,7 % SM2540B-1997 8/14/14 WL
140813-28.1 Fecal Coliform MTF
1 <7 MPN/g SM92210E-2006 8/14/14 I
140813-28.2 % Solids 2 29.8 % SM2540B-1997 8/14/14 WWLL
140813-28.2 Fecal Coliform MTF 2 <6.7 MPN/g SM92210E-2006 8/14/14 11�/
140813-28.3 % Solids L
3 IINL
30.5 % SM2540B-1997 8/14/14
ril
140813-28.3 Fecal Coliform MTF 3 <6.6 MPN/g SM92210E-2006 8/14/14
140813-28.4 % SolidsL
4 29.5 % SM2540B-1997 8/14/14 NL
140813-28,4 Fecal Coliform MTF 4 <6,8 MPN/g SM92210E-2006 8/14/14 wL
140813-28.5 % Solids 5 28.6 % SM2540B-1997 8/14/14 IAIL
140813-28.5 Fecal Coliform MTF 5 <7 MPN/g SM92210E-2006 8/14/14 iVL
140813-28.6 % Solids 6 31.3 % SM2540B-1997 8/14/14 WL
140813-28.6 Fecal Coliform MTF 6 <6.4 MPN/g SM92210E-2006 8/14/14 IZI
L
140813-28,7 . % Solids 7 29.8 % SM2540B-1997 8/14/14 L
140813-28.7 Fecal Coliform,MTF 7 <6,7 MPN/g SM92210E-2006 8/14/14 \A/
L
Respectfully submitted,
Ler\A-A, Q/14VAP .
Dena Myers
NC Cert#440,
NCDW Cert #37755,
EPA NC00909
P.O.Box 228• Statesville,North Carolina 28687. 704/872/469

Analytical Results .. ,.x
Southe n Soil Builders
958 Hoot Road
Roaring F iver NC 28669
Entered 8/13/2014 STATESVILI,E
Reported: 8/27/2014
For: BRW•
Sample I 1.. Parameter Cust ID Result Units Date
Method Analyzed A alyst
140813-31 Corrosivity BRWA See Attached
SW-846 8/22/14 I ACE
140813-31 Ignitability BRWA See Attached 1010M
8/22/14 PACE
140813-31 Reactivity BRWA See Attached
SW-846 8/22/14 'ACE
140813-31 TCLP BRWA See Attached 1311
8/22/14 `ACE
Respectfully submitted,
Qvv
Dena Mye s
NC Cert #•40, •
NCDW Cart#37755,
EPA NC0 i 909
P.O.Box 228• Statesville,North Carolina 28687. 704/872/469

.
Pace® AnalyticalServices Inc.
(aceAnalytical 8800 Kincey Ave, Suit 100
wwwpacela6s.com Huntersville,NC 2I 078
[phone]
ANALYTICAL RESULTS
Project: 08/13/14 140813-31
Pace Proje ct No.: 92213461
Sample: 1.0813-31 Lab ID: 92213461001 Collected: 08/13/14 13:15 Received: 08/14/14 15:10 Matrix: Solid
Results re.orted on a"dry-weight"basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qu-I
8081 GCS •esticldes,TCLP Analytical Method:EPA 8081 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;08/18/14 15:15
gamma-BH (Llndane) ND ug/L 0.50 1 08/19/14 10:01 08/2.0/14 11:00 58-89-9
Chlordane( echnical) ND ug/L 3.0 1 08/19/14 10:01 08/20/14 11:00 57-74-9
Endrin ND ug/L 0.50 1 08/19/14 10:01 08/20/14 11:00 72-20-8
Heptachlor-poxide ND ug/L 0.50 1 08/19/14 10:01 08/20/14 11:00 1024-57-3
Methoxychlor ND ug/L 1000 1 08/19/14 10:01 08/20/14 11:00 72-43-5
Toxaphene ND ug/L 3.0 1 08/19/14 10:01 08/20/14 11:00 8001-35-2
Surrogates
Decachlorot iphenyl(S) 49 % 10-138 1 08/19/14 10:01 08/20/14 11:00 2051-24-3
Tetrachloro- -xylene(S) 52 % 10-110 1 08/19/14 10:01 08/20/14 11:00 877-09-8
8082 GCS CB Analytical Method:EPA 8082 Preparation Method:EPA 3546
PCB-1016( roclor 1016) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 12674-11-2
PCB-1221 ( roclor 1221) , ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11104-28-2
PCB-1232( oclor 1232) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11141-16-5
PCB-1242( roclor 1242) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 53469-21-9
PCB-1248(roclor 1248) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 12672-29-6
PCB-1254(Aroclor 1254) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11097-69-1
PCB-1260(Aroclor 1260) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11096-82-5
Surrogates
Decachlorobtphenyl(S) 51 % 21-132 1 08/15/14 15:02 08/18/14 16:44 2051-24-3
8151 Chlorl ate Herbicide TCLP Analytical Method:EPA 8151 Preparation Method:EPA 3510
2,4-D ND mg/L 0.038 1 08/22/14 08:00 08/22/14 22:19 94-75-7
2,4,5-TP(Sil ex) ND mg/L 0.038 1 08/22/14 08:00 08/22/14 22:19 93-72-1
Surrogates
2,4-DCAA(S 98 % 42-142 1 08/22/14 08:00 08/22/14 22:19 19719-28-9
6010 MET IC•,TCLP Analytical Method:EPA 6010 Preparation Method:EPA 3010
Leachate Method/Date:EPA 1311;08/15/14 16:30
Arsenic ND mg/L 0.050 1 08/18/14 19:05 08/19/14 11:26 7440-38-2
Barium 0.67 mg/L 0.25 1 08/18/14 19:05 08/19/14 11:26 7440-39-3
Cadmium ND mg/L 0.0050 1 08/18/14 19:05 08/19/14 11:26 7440-43-9
Chromium ND mg/L 0.025 1 08/18/14 19:05 08/19/14 11:26 7440-47-3
Lead ND mg/L 0.025 1 08/18/14 19:05 08/19/14 11:26 7439-92-1
Selenium ND mg/L 0.10 1 08/18/14 19:05 08/19/14 11:26 7782-49-2
Silver ND mg/L 0.025 1 08/18/14 19:05 08/19/14 11:26 7440-22-4
7470 Mercu TCLP Analytical Method:EPA 7470 Preparation Method:EPA 7470
Leachate Method/Date:EPA 1311;08/15/14 16:30
Mercury ND ug/L 0.20 1 08/18/14 20:00 08/21/14 14:08 7439-97-6
8270 MSSV T LP Sep Funnel Analytical Method:EPA 8270 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;08/18/14 15:15
1,4-Dichlorobe zene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 106-46-7
2,4-Dinitrotolu ne ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 121-14-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full.
Date:08/27/2014 09:52 AM without the written consent of Pace Analytical Services,Inc..
Page 4 of 2

i
•
Pace Analytical Service ,Inc.
' a °Analytical® 9800 KinceyAve. Suit 100
wwwpecelabs.com Huntersville,NC 8078
[phone]
ANALYTICAL RESULTS
Project: 08/13/14 140813-31
Pace Project No.: 92213461
Sample: .40813-31 Lab ID: 92213461001 Collected: 08/13/14 13:15 Received: 08/14/14 15:10 Matrix: Solid
Results re•oiled on a"dry-weight"basis
Parameters Results • Units Report Limit DF Prepared Analyzed CAS No. Qual
8270 MSS TCLP Sep Funnel Analytical Method:EPA 8270 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;08/18/14 15:15
Hexachloro 1,3-butadiene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 87-68-3
Hexachloro.enzene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 118-74-1
Hexachloro-thane ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 67-72-1
2-Methylph:nol(o-Cresol) ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 95-48-7
38,4-Methyl.henol(m&p Cresol) ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54
Nitrobenzer e ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 98-95-3
Pentachlorophenol ND ug/L 100 1 08/19/14 10:01 08/20/14 12:54 87-86-5
Pyridine ND ug/L dnech) rophenol g 50.0 1 08/19/14 10:01 08/20/14 12:54 110-86-1
ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 95-95-4
2,4,6-Trichl,rophenol ND ug/L 50,0 1 Surrogates 08/19/14 10:01 08/20/14 12:54 88-06-2
Nitrobenzen--d5(S) 25 %
Nitrob nzen enyl(S) 12-102 1 08/19/14 10:01 08/20/14 12:54 4165-60-0
26 % 13-107 1 08/19/14 10:01 08/20/14 12:54 321-60-8
Terphenyl-d 4(S) 53
Phenol-d6(•.) 21-132 1 08/19/14 10:01 08/20/14 12:54 1718-51-0
9 % 10-110 1 08/19/14 10:01 08/20/14 12:54 13127-88-3 SO
2-Fluorophe of(S) 15 % 10-110 1 08/19/14 10:01 08/20/14 12:54 367-12-4
2,4,6-Tribro ophenol(S) 32
27-108 1 08/19/14 10:01 08/20/14 12:54 118-79-6
8260 MSV T LP Analytical Method:EPA 8260 Leachate Method/Date:EPA 1311;08/19/14 11:34
Benzene ND ug/L 192 38,5 2-Butanone EK) ND ug/L 38508/20/14 21:25 71-43-2
Carbon tetra hlorid g 38.5 08/20/14 21:25 78-93-3
ND ug/L 192 38.5 08/20/14 21:25 56-23-5
Chlorobenze e ND ug/L
Chloroform 192 38.5 08/20/14 21:25 108-90-7
ND ug/L 192 38.5 08/20/14 21:25 67-66-3
1,4-Dichloro.enzene ND ug/L 192 38.5
1,2-Dichloroe)I hane ND ug/L 08/20/14 21:25 106-46-7
1,1-Dichloroethne 192 38.5 08/20/14 21:25 107-06-2
ND ug/L 192 38.5 08/20/14 21:25 75-35-4
Tetrachioroet ene ND ug/L 192 38.5
Trichloroethe e ND ug/L 08/20/14 21:25 127-18-4
Vinyl chloride g 192 38,5 08/20/14 21:25 79-01-6
Surrogates ND ug/L 192 38.5 08/20/14 21:25 75-01-4
1,2-Dichloroe hane-d4(S) 103
1,2-Di hlor(�) 94 % 70-130 38.5 08/20/14 21:25 17060.07-0 1g
Toluene-d8( benzene(S) 96 % 67-135' 38.5 08/20/14 21:25 2037-26-5
70-130 38.5 08/20/14 21:25 460-00-4
Percent Mols ure Analytical Method:ASTM D2974-87
Percent Moistlire 73.9
0.10 1 08/15/14 14:51
1010 Flashpo nt,Closed Cup Analytical Method:EPA 1010
Flashpoint >200 deg F 70.0 1
08/27/14 03:40
733C S React ve Cyanide Analytical Method:SW-846 7.3.3.2
Cyanide,Rea.tive ND mg/kg 3.8 1
08/18/14 19:34
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except In full,
Date:08/27/2014 09:52 AM without the written consent of Pace Analytical Services,Inc..
Page 5 of 2'

I
Pac
e ce Analytical Service ,Inc.
'a‘eAnalytical 9800 Kincey Ave. Suit 100
Kynv.pecelabs.com Huntersville,NC 8078 '
[phone]
ANALYTICAL RESULTS
•
Project: 08/13/14 140813-31
Pace Project No.: 92213461
Sample: '40813-31 Lab ID: 92213461001 Collected: 08/13/14 13:15 Received: 08/14/14 15:10 Matrix: Solid
Results re•orted on a"dry-weight"basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
735S Reac lye Sulfide Analytical Method:SW 846 7.3.4.2
Sulfide,Reactive ND mg/kg 38.2 1
08/18/14 15:00
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except In full,
Date:08/27/2014 09:52 AM without the written consent of Pace Analytical Services,Inc..
Page 6 of 2'

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC
286;9
Rec-ive Date: 09/22/2014 ( A Vi '
Rep•rted: 09/26/2014 `•
For: BRWA
Co ments:
Sam.le Number Parameter Sample ID Result Unit Method Analyzed Anal st
1 -17-01 Corrosivity BRWA 5.0
SW-846 09/23/2014 Pace
Resp-ctfuily
submitted,
nQP.
Dena yers
NC C rt#440,
NCDW Cert#37755,
EPA#VC00909
PO Box 228•Statesville, NC 28687 . 704
/872/4697
Page 1 of 1

(00.--
Pace Analytical Service,Inc.
®
'aleAnalytical 9800 Kincey Ave. Suie100
www.pacelabs.com
Huntersville,NC 8078
[phone]
ANALYTICAL RESULTS
Project: 140922-17
Pace Proj:ct No.: 92218545 •
Sample: 40922-17 Lab ID: 92218545001 Collected: 09/22/14 11:00 Received: 09/23/14 16:00 Matrix: Solid
Results r •orted on a"wet-weight"basis
Parameters Results Units Report Limit DF
Prepared Analyzed CAS No. Qu.l
9045 pH S.II Analytical Method:EPA 9045
pH at 25 D-grees C 5.0 Std. Units
0.10 1 09/25/14 15:45 H1
•
•
•
•
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:09/26/2014 01:34 PM
without the written consent of Pace Analytical Services,Inc.,
Page 4of•

-PART
Mineralization
Rate TICK NH3 Total dry Acres
%Solids tons/year Applied on
0.4 3440 243 I NO3 I NO2 38.3 0 0.3286 1649
PAN Surface MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 m /k
I 1438.6jmg/kg 2.8772 lbs/dry ton = 9 9
4744.50311bs total PAN I mg/kg x nn _Jb ,a. ,t_
#DitiiO! libs PAN/acre ��2 -�.,s���y on
PAN Injection MR(TKN-NH3) + 1(NH3)+NO3+NO2 I 1560.1 Img/kg 3.1202 lbs/dry ton =mg/kg
5145.21 Ibs total PAN mg/kg x.002 =lbs/dry ton
#DlV//0! Ilbs PAN/acre
-Dry Tons/1000 gal.
I 1.370262 I 1000 X 8.34 X %solids X sp. gravity "=dry tons/1000gal."
2000
1st year PAN lbs./acre
Surface lbs. Surface
I 4744.5028I I I
#DtV/0!
1st year PAN lbs./acre
Injected lbs. Injected
51452098 I #DIV/0! I

s
SAR
Sodium Absorption Ratio Na M /L Ca M /L) M M /L
Na : Sodium (Mg/L) Equivalent weight: 23 32.86 371.31 1077.8
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12 I Na (ME) I Ca (ME) Mg (ME)
Milli quivalent= Mg/L/Equivalent weight 1.428696 18.5655 189.816G7�
g The amo r
SAR Na Milli Equivalent/[0.5 X (Ca Milli Equivalent+ Mg Milli equivalent)]0.5 power amount o
AR = 0.194078 (From Mg/I_ entered above) Permitting
SAR= 0.192023 ((From ME entered below)
INa (ME) I Ca (MEN I Mg (ME) I
1.42 19.56 89.81

State of North Carolina
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
. NON-DISCHARGE P I U T FORM
Division of Water Resources � �� iv
DMcion of W^!Pr Rpgr IRC8.4
April 29, 2016
MAY - 3 2016
To: A<RO «QROS: ;andQriDavidson
From: Troy Doby, Water Quality Permitting Section-Non-Discharge Permi 'ng Af Qshevivalitylle RegRegional Oiona]Opfficeerations
Permit Number: WQ0035576 Permit Type: Distribution of Residual Solids (503 Exempt)
Applicant: Broad River Water Authority Project Type: Renewal
Owner Type: Municipal Owner in BIMS?Yes
Facility Name: Broad River Water Authority DCAR Facility in BIMS?Yes
Signature Authority: Maria Hunnicutt Title: Manager
Address: Post Office Box 37, Spindale,North Carolina 28160 County: Rutherford
Fee Category: Non-Discharge Minor Fee Amount: $0
Comments/Other Information: -
Attached, you will find all information submitted in support of the above-referenced application for your review,
comment, and/or action. Within 45 calendar days,please take the following actions:
Return this form completed. ® Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer: LIN /t-"--c—k, Date: 5A1
FORM: WQROSNDARR.09-15 Page ] of 1

,tee
PAT MCCRORY
d"` S,8
a ..1. CJOi'l')7io,
•
DONALD R. VAN DER VAART
Secrela)y
Water Resources
ENVIRONMENTAL QUALITY S. JAY ZIMMERMAN
Director*
April 29,2016
MARIA HUNNICUTT—MANAGER
BROAD RIVER WATER AUTHORITY -
POST OFFICE BOX 37
SPINDALE,NORTH CAROLINA 28160
Subject: Acknowledgement of
Application No.WQ0035576
Broad River Water Authority
DCAR
Residuals Management System
Rutherford County
Dear Ms.Hunnicutt:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on April 29, 2016. Your application package has been assigned the.
number listed above,and the primary reviewer is Troy Doby.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Troy Doby at(919) 807-6336 or [e-mail].
Sincerely,
Nathaniel D.Thornburg, Supervisor
Division of Water Resources
cc: Water Quality Regional;Op t gns Section-
Permit File WQ0035576
RECEIVcD
Division of Water ResoI rces
MAY - 3 2016
•
Water Quelity Regional Operations
Ashen,,! Regional Ott°_r____•
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non-Discharge Permitting
1617 Mail Service Center I Raleigh,North Carolina 27699-1617 '
919 807 6464

(eI
)�
Op
BROAD RIVER WATER
AUTHORITY
2018
Broad River Water Authority [�Water Treatment Plant2018 Annual ReportL'JFQRLand Application Program ur Jar
Permit No. WQ0035576
' r
P - rev
Division cf Wats;Resources
MAR - 4 2019
Water Quality R^ zonal Operations
Astiet_G;srt;-_--7;Office

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0035576 County: Rutherford
Year: 2018
Facility Name(as shown on permit): Broad River Water Authority
Land Application Operator: Southern Soil Builders, Inc.
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
El Yes FJ 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 the permit:I NA
Total number of fields utilized for land application during the year:) 3
Total amount of dry tons applied during the year for all application sites:) 652.21
Total number of acres utilizes for land application during the year:) 90
Part B-Annual Compiance Statement:
Facility was compliant during calendar year 2018 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. (1 Yes
o
If no please, provide a written description why the facility was not compliant, the dates,and explain corrective actionl
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."
wici
Permittee Name and Title(type or print) Signature of Permittee
Date
/Zei
jSign Dture of Prep rer � �-����)��f
Date Signature of Land'pplier Date
(if different from er tt e) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and I5A NCAC 02T.1102 (26) nENR Fr)Ran nrr raornnnc‘

•
CLASS A ANNUAL DISTRIBUTION AND MARKETING/SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT#: WQ0035576 FACILITY NAME: Broad River Water Authority
PHONE: [phone] COUNTY: Rutherford OPERATOR:
FACILITY TYPE(please check one): Brad Joyner
❑ Surface Disposal(complete Part A(Source(s)and "Residual In" Volume only)and Part C)
El Distribution and Marketing(complete Parts A,B,and C)
Was the facility in operation during the past calendar year? Yes El No
0 —► If No skip parts A,B,C and certify form below
Part A*: '
•Part B*:
Sources(s)(include NPDES#if Volume(dry_tons) Recipient Information Month Amendment/
applicable) Residual In Product Out Name Bulking Agent (s) Volume(dry tons) Intended use(s)
January
February
March
April
•
May
•
June
July
August 0 652.51 652.21
September Todd Hunnicutt 652.21 Soil Admendment
October
•
November .
December
Total from FORM DMSDF(sup)
Totals:
Annual(dry tons): 0 552.51 652.21 .
`
Amendment(s)used: ..: 652.21
Bulking Agent(s)used:
* If more space is required, attach additional information sheets(FORM DMSDF(supp)):
Part C Total Number of Form DMSDF(Supp)) I
Facility was compliant during the past calendar year with all conditions of the land application permit El 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.
1. 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.
1. 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
)enalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
JALAAstki-LII-U. ____ .
ignature of Permittee141.z... ��
Date Sign tureofPrep **
(if different from rm ee)
:*Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 2T.1102 (26)

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: WQ0035576 Laboratory: 1) Waypoint Analytical
Facility Name: Broad River Water Authority 2)
Residual Source WQ#or 3)
NPDES#: W0003557,6
4)
WWTP Name: - Broad River Water Authority 5)
•
Residual Analysis Data
Conc. Sample or Composite Date
Parameter Limit -
(mg/kg) (mg/kg)a 6-29-18
Percent Solids(%) NA- 38.84
Arsenic 75 5 V
Cadmium 85 1 V
Copper 4,300 - 3.0 \"
Chromium NA 43.4 ✓
Lead 840 20.4 V
Mercury 57 0.4 V
Molybdenum 75 2.5 ✓ -
Nickel 420 16.1_✓
Selenium 100 5 '✓
Zinc 7,500 75.7 V
Total Phosphorus NA 1070
TKN „ NA 4070 vi
Ammonia-Nitrogen NA 257 V V
Nitrate and Nitrite NA 2.36 ✓ . ,
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."
V r+.� •
V
461j_i_t__
S ignat re of PreparerV ate
*Preparer is defined in •: R Part 503.9(r)and 15A NCAC 2T.1102(26)

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: WQ0035576 Laboratory: 1) Waypoint Analytical
Facility Name: Broad River Water Authority 2)
Residual Source 3)
•
NPDES#or WQ#: WQ0035576
• 4)
WWTP Name: Broad River Water Authority 5)
Residual Analysis Data
Sample or Composite Date
Parameter
(mg/kg) 6-29-18
Moisture 61.15
Potassium 1830 V
Sulfur 1670
Calcium 618 ✓
Magnesium 2810 ✓
Sodium 250 V
Iron 42200
Aluminum 117000 V
Manganese 505 '/
Organic N 3813
pH 5.5 ✓
SAR 0.588
PAN 1910.7
•
"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 reparer* Date
*Preparer is defined in 40 rt 5 3.9(r) and 15A NCAC 2T .1102 (26)

•
Report Number 18-183-0200 O
Account Number: 46381 • "
WaypOI nt:,. 7621 Whitepine Road,Richmond,VA 23237
- Main 804-743-9401°Fax [phone]
ANALYTICAL _ www.waypointanalytical.com
Send To: Southern Soil Builders - • Project:Broad River
Dennis Key
958 Hoots Road
Roaring River, NC 28669 '`
•
Lab Number: 61471 REPORT OF ANALYSIS Date Sampled: 6/29/2018 15:00:00
Date Received: 07/02/2018 00:00
Sample Id: Broad River Date Reported:07/12/2018
wa'"x?' ��'-�m*' s,� - „�..s`d" PS!F*4;n�m .� �'��?°' M�' '¢r .t:.YF � yyyr ar• 1 P ^S a�<a
lj
Rd ,. 3 RE5ULT RESt1Rx� ,(fi9 „ fATi0Nvl ifilI '' `ttP . „ . • - ,1 ,
,lo} tlt,�g/k M•Te..$T Att u
M n7 m9 ) � DATEIIME ETIiOD
Total Solids* 38.84 388400 100.0 JM• 07/02/2018 13:40 SM-2540G
Moisture* • 61.15 100.0 JM 07/02/2018 13:40 SM-2540G
Total Kjeldahl Nitrogen 0.41 4070 50.0 R D 07/03/2018 09:00 SM-4500-NH3C-TKN
Phosphorus 0.11 1070
50.0 KKM 07/10/2018 00:22 6010D
Potassium 0.18 1830 50.0 JTR 07/10/2018 00:22 6010D
Sulfur 0.17 1670 50.0 KKM ' 07/10/2018 00:22 6010D
Calcium _ 0.06 618 50.0 KKM 07/10/2018 00:22 6010D
Magnesium 0.28 2810 .50.0 KKM 07/10/2018 00:22 6010D
Sodium . <0.03 <250 250 KKM 07/11/2018 00:40 6010D
Iron ,42200 50.0 KKM 07/10/2018 00:22 6010D
Aluminum
117000 . 500 BKN 07/11/2018 11:20 6010D
Manganese . 505 - 5.00 KKM 07/10/2018 00:22 , 6010D
Copper 30.0, 2.50
KKM 07/10/2018 00:22 6010D
Zinc 75.7 5.00 KKM 07/10/2018 00:22 6010D
Ammonia Nitrogen 0.03 257 50.0 R D 07/03/2018 09:00 SM-4500-NH3C
Organic N 0.38 3813 50.0 . - 07/03/2018 09:00 CALCULATION
Nitrate+Nitrite-N <2.36 2.36 MMT 07/05/2018 09:47 4500NO3F-2011
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. • '
Cur repo? a d:ettels are 550'the exc?us?ve and corx?;Fan/,•a;use of our oPeits.and may not be,p adu ti,ced In o;e or pan,nor may any referee ca be ma;+e a "iG fir 01)~
ork.the"-ems .e c:0.17:03ny to,o s,;vc'.^.;S,r79.n8i:,..,..C2Se O.';;f.hCrt D nnr,Ci;?;fvnJe.^,i5 ..°i?C::f obtaining CU.t-)���,wallet;�i??h r
r CY%2ut[C. -
Pauric McGroary
Agronomist
Page 5 of'

Report Number 18-183-0200 O`9
Account Number: 46381 • �
7621 Whitepine Road,Richmond,VA 23237
Way-point..
Main 804-743-9401°Fax [phone]
ANALYTICAL www.waypointanalytical.com
Send To: Southern Soil Builders Project:Broad River
Dennis Key V
958 Hoots Road
Roaring River, NC 28669
Lab Number: 61471 REPORT OF ANALYSIS Date Sampled:6/29/2018 15:00:00 -
Date Received: 07/02/2018 00:00
Sample ld: Broad River
_ Date Reported: ,
=a' ,,..�, i�r� ..:. '.• .,��e ,•'.t..._ g `'=w ✓,f..w�.�_�!°.�''. .' ,'w;>^�:-..6fi��.`=Utz'"'�a�°:.r�-%,w,F�`Y '°ra;ra«-.iFC a•a,�:r,�:.�sfv,.� �..- 07
/12/2018
At AS,5, R s, . i ESI�L•',W R S JL-T UAMf1T Verki ^iVr' -"i e A ts, g•. x,f;r m ma.# r)
. ` m*. %a' � .,{., gJkVAIMS rm`i ,e'' �; rti. ABiALYSIS �, fM
_
- �; 72. � .. ikg a L?AT�J E * �� � �
Lx �: ���:�: � "s ;.�:, 'x°Pa »« %' s ,,ter r°
Cadmium <1.00 1.00 KKM 07/10/2018 00:22 6010D
Chromium 43.4 2.50 KKM 07/10/2018 00:22 6010D
Nickel 16.1 2.50 • KKM 07/10/2018 00:22 6010D
Lead
20.4 3.00 KKM 07/10/2018 00:22 6010D
Arsenic <5.00
5.00 KKM 07/11/2018 00:40 6010D
Mercury <0.400 0.400 SMC 07/06/2018 13:50 SW-7471B
Selenium <5.00 5.00 KKM 07/10/2018 00:22 6010D
pH* 5-5 1.0 R D 07/03/2018 09:00 9045D
Molybdenum , <2.50 2.50 KKM 07/10/2018 00:22 6010D
Comments:
NC CERT#257
SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
•
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Cur rep;;!;s and 1eiie!s are for The exc usn-e and^�nrden';ai use of cur ciienis.an.+may not be rr::rrducce:i in whole or part,rar may any refe enoe he made �♦M"'iG prover ,
to the wofk.Me!-,3..... ,'fie compw,y 11 any aacvertiain rt..-!$, oihe,. -,�r:. :o. a ra'eas;s,x, ',;ctbi,c enrvt!.!;ctr;?r-r:i->,•irf;oui obtaining cur p,ivr:sn,'!'en auL^orizat!on
Pauric McGroary
Agronomist
'age 6 of 8

PAN
✓ ✓ 6734
Mineralization as decimal. Total dry Acres _
Rate TKN NH3 NO3 NO2) Solids tons/year Applied on
0.4 4070 I %257 257 !-� 0 0.3884
PAN Surface MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
1910.7 mg/kg 3.8214 lbs/dry ton 3 i2/Z
0 Ibs total PAN
"mg/kg x.002 =Ibs/dry ton
#DIV/0! lbs PAN/acre
PAN Injection MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
2039.2 mg/kg 4.0784 lbs/dry ton "
0 lbs total PAN mg/kg x.002 =lbs/dry ton
#DIV/0! lbs PAN/acre
Dry Tons/1000 gal. 1000 X 8.34 X%solids X sp. gravity "=dry tons/1000gal."
1.619628 .
2000
1st year PAN lbs./acre
Surface lbs. • Surface
OI I #DIV/0! I
1st year PAN lbs./acre
Injected lbs. Injected
0I I #DIV/0! I

SAR
Sodium Absorption Ratio Na(Mq/L) Ca(Mq/L) Mq(Mq/L)
Na : Sodium (Mg/L) Equivalent weight: 23 97.1 240.03 1091.4
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12 Na (ME) Ca (ME) Mg (ME)
4.221739 12.0015 90.95
Milli Equivalent= Mg/L/Equivalent weight The amount of exchangeable sodium ions ver
amount of exchangeable calcium & magnesiu
SAR= Na Milli Equivalent/[Q15 X (Ca Milli Equivalent+ Mg Milli equivalent)]0.5 power
�/ Permitting guidance is if greater than 10 requi
SAR= 0.588424 l(From Mg/L entered above)
SAR= 0.588185 l(From ME entered below)
Na (ME) Ca (ME) Mq (ME)
4.22 12 90.95

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules)
Facility Name: Broad River Water Authority
WQ Permit Number: WQ0035576
WWTP Name: Broad River Water Authority NPDES Number: NC0181035
Monitoring Period: From 1/1/2018 To 1 2/31/2018
Pathogen Reduction (15A NCAC 02T .1106) - Please indicate level achieved and alternative performed:
Class A: Alt. A (time/temp) CI I Alt B (Alk Treatment)❑ I Alt. C (Prior Testing)❑
AIt.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 C❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑
Beta Ray El Gamma Ray ❑
Pasteurization 0
Class B: IAIt. (1) Fecal Density 0 I Alt. (2) Process to Significantly Reduce Pathogens ❑ I
If applicable to alternative performed (Class B only) indicate"Process to Significantly Reduce Pathogens":
Lime Stabilization ❑ I Air Drying 0 I Composting CI !Aerobic Digestion ❑
Anaerobic CI
Digestion ;::•>: ::•:::.: •;:.:>::.: ::.: :;:.:.>:::;; :.>: :;:;::>:>;:.;:.:: . . . :.:: ..::............
g
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Parameter Allowable Level Pathogen Density Number of Frequency Sample Analytical
Excee-
in Sludge Minimum Geo. Mean Maximum Units deuces of Analysis Type ni�ue Tcme
ech-
2 x 10 to the MPN •
6th power
per gram of
Fecal Coliform total solids CFU •
1000 mpn per gram
of total solid (dry
weight)
Salmonella bacteria 3 MPN per 4 grams
' (in lieu of fecal total solid (dry
coliform) 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) ❑ Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying- Stable
Alt. 9 (Injection) ) CI Alt. 8 (Drying- Unstable) ❑
❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed 1
CERTIFICATION STATEMENT (please check the appropriate statement)
❑ "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 line and imprisonment."
R efh „ Dennis Key Southern Soil Builders,Pr parer Namnd Title (type o print)
Inc.
\ J
( YP P ) Land Applier Name and Title (if applicable)(type or print)
DziR(za/q A . �/
Sigr� Prepar *ture of J anti
Date Si ature of Land Applier (if applicable) Date
*Prepares is define 40 FR Part 503.9(r) and 15A NCAC 2T.1102 (26)
DENR FORM PVIPP nor t47/nn11c%

Compliance Inspection Report
Permit: WQ00355.76 Effective: 11/30/11 Expiration: 10/31/16 Owner: Broad River Water Authority
SOC: Effective: Expiration: Facility: Broad River Water Authority DCAR
County: Rutherford 1661 Baber Rd
Region: Asheville
Rutherfordton NC 28139
Contact Person: Maria S Hunnicutt Title: General Manager Phone: [phone]
•
Directions to Facility:
1-26 E to Hwy 74 E.Go appx. 10 miles to Union Rd Exit.Turn left,go 2.8 miles to Baber Rd.on right.WTP is 0.3 miles on the right.
`System Classifications:
•
Primary ORC: Certification: Phone:
Secondary ORC(s):
•
On-Site Representative(s):
24 hour contact name Dennis Key 336-957-8909
•
Related Permits:
•
Inspection Date: 08/11/2015 Entry Time: 01:OOPM Exit Time: 01:45PM
Primary Inspector: Beverly Price Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Annual Report Review
Permit Inspection Type: Distribution of Residual Solids(503 Exempt)
Facility Status: Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Record Keeping El Pathogen and Vector Attraction
(See attachment summary)
Page 1 of 4

Permit: WQ0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
Inspection Summary:
592.79 dry tons or residuals were distributed in 2014. All residuals were distributed to the same person.
Metals/nutrients/TCLP analyses were completed and the results are compliant with permit limits.
Pathogen Reduction is verified by fecal coliform analyses. Seven samples were collected and all were compliant.
Vector Attraction Reduction is not required for this permit.
Reminder:
The address of the residuals recipients is required to be kept on file.
For land application events performed by the permitee-Nitrogen application rates based upon RYES (if using the NC State
University Department of Soil Science Website),the printout shall be kept on file and reprinted every five years.
•
Page 2 of 4

Permit: WO0035576 Owner-Facility:Broad River Water Authority
Inspection Date: 08/11/2015 Inspection Type:Annual Report Review Reason for Visit: Routine
e. Time/Temp on: ❑ ❑ � ❑
Digester(MCRT) ❑
Compost • ❑
Class A lime stabilization ❑
f. Volatile Solids Calculations ❑ ❑ I ❑
g. Bench-top Aerobic/Anaerobic digestion results ❑ ❑ ••
❑
Comment:
•
•
•
•
Page 4 of 4

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419 `71>-40
•
II
FEB 2 3 Z018
I�1r0�111,gT1uNPROCE�`�
ssi�lc u>>arr •
BROAD RIVER WATER.
AUTHORITY
2017
•
Broad River Water Authority ''"`tiYa<° ' -' "
.Water Treatment Plant MqA ` •
• 2017 Annual Report 5 2018
. Land Application Program vvate,-Q,
Permit No. WQ0035576 �sh�l ;��"^°��,,„at

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0035576 County: Rutherford Year: 2017
Facility Name(as shown on permit): Broad River Water Authority
Land Application Operator: Southern Soil Builders, Inc,. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes fJ 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 the permit:
Total number of fields utilized for land application during the year:
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:
Part B- Annual Compiance Statement:
Facility was compliant during calendar year 2,017 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. E Yes El 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 .1 1 1 1 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."
Permittee Name and Title(type or print) ignature of Permittee Date
346
Signatui of Prepay. Da e Signature of Land Applier Date
(if different from mi e) (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)

All of the residuals produced by the Broad River Water Authority in 2017 were stored onsite in the
lagoons at the Water Treatment Plant.

6130b7
RECEIVED k3P
Division of Water Resources
FEB 2 8 2017
Water Quality Regional Operations
Asheville Regional Office
fnf erination pro-‘aDvia
Sao;lo� g Unit
:Broad
Rivern. .
Water
�ti•: r a
Authority
Broad River Water Authority
Water Treatment Plant
2016 Annual Report
Land Application Program
NC Permit No. WQ0035576

AAA UAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0035576 County: Rutherford
Facility Name(as shown on permit): Year: 2016
Broad River Water Authority
Land Application Operator: Southern Soil Builders, Inc.
Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
❑ Yes CI 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 the permit:I
Total number of fields utilized for land application during the year:I
Total amount of dry tons applied during the year for all application sites:
Total number of acres utilizes for land application during the year:`
Part B-Annual Compiance Statement:
Facility was compliant during calendar year 2016 with all conditions of the land application permit
(including but not limited to items 1-13 below)issued by the Division of Water Resources.
No
If no please, provide a written description why the facility was not compliant,the dates, and explain orrective Yes ❑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
��ppjossibility of fines and imprisonment for knowing violations."
SPw� o 2S. �1 cal(,Clevie.yed IIII
Permittee Name and Title(type orprint) Q G17 ���(-0 a(l(a I��
igr ature of Permittee
Date
. 2fr.„..
Sign ture of Prepare , , �r�°�'�
Di * Signature of Land Applier Date
(if different from i' ee)
*Preparer is define:„ilk,
(if different from Permittee and Preparer)
R Part 503.9 (rl and 1 5 A NC e ni r 1 1 n� i�c. __ — ---

All of the residuals produced by the Broad River Water Authority in 2016 were stored onsite in
the lagoons at the Water Treatment Plant.

go/5' P
Annual Report Review Class A Distribution Sid
1. Class A Annual Distribution and Marketing/Surface Disposal Certification Form
• Was a certification form submitted?
• Was distribution conducted during the reported year? IJ 0
• How many dry tons were distributed? 0
• Were:the distributions-within the permitted amount?
• Were recipients information listed?
• Did it indicate compliance? 1-0-5
• Was form complete? .1/41*i5
• Was it signed by the appropriate people? y,-S •
2. -Monitoring .
• Were the analyses conducted at the required frequency?
• Were the metals analyses reported on the Residual.Sampling Summary Form?
• Were the results reported in mg/kg?
• Were the metals within ceiling concentration permit limits?
• Were the metals within monthly average concentration permit limits?
• If no,were the lab analyses.attached?
• .Were all the required parameters tested?
• Was TCLP analysis conducted?
• Were the TCLP contaminants within regulatory limits?
.3. Pathogen and Vector Attraction Reduction .
• Was a signed copy of the Pathogen and Vector Attraction Reduction Form submitted?
• Did the form indicate the period of coverage,the residual class,and the pathogen reduction alternative and the
vector attraction reduction option used?
• Was the appropriate documentation to show pathogen and vector attraction reduction included in the report?
• Was pathogen and vector attraction reduction demonstrated according to 40 CFR Part 503 or 2T?
4. General . .
• -.Was the report in the proper,format?
• Were any parts of the annual report missing? "
• Was the report submitted on time?

5/ I Vie
RFCE VE'
FEB 2 9 2016
DWR SECTION
INFORMATION PROCESSING UNIT
Broad
River
Water 201
Authority
Broad River Water Authority
2015 Annual Report
Land Application Program
NC Permit No.WQ0035576
RECEIVED
Division of Water Resources
MAR - 8 20S
Water Quality Regional Operations
Asheville Re ionai Office

AN N UAL LAND AYYLIC;Al1UN CERTIFICATION 1CA11UN I OK1Vl
Q Permit#: WQ00355769 County: Rutherford Year: 2015
Facility Name(as shown on permit): Broad River Water Authority
Land Application Operator: Southern Soil Builders,Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
El Yes CI 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 the permit: NA
Total number of fields utilized for land application during the year: 0
Total amount of dry tons applied during the year for all application sites: 0
Total number of acres utilizes for land application during the year: 0
Part B-Annual Compiance Statement:
Facility was compliant during calendar year 2015 with all conditions of the land application permit
(including but not limited to items 1-13 below)issued by the Division of Water Resources. El 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."
ir1Cu/1 � �01 c2dt 5etriek .l air. . I ut t c; 5 i 10
�\ � I, I n
Permittee Name and Title(typeor print) Signature of Permittee ' Date
DZ-IblI
Si ure of Pr .� +' ,* / ZZlip
Date Signature of Land Applier Date
(if different ' om Pe i r•e) (if different from Permittee and Preparer)
*Preparer is I e 1--I in 40 CFR Part 503.9(r)and 15A NCAC 02T.1102(26) DENR FORM ACF(12/2006)

All of the residuals produced by the Broad River Water Authority in 2015 were stored. There is a
land application event planned in the calendar year of 2016.

•
clAc1/0
RECEIVED
FE 1'6 2015
1�1� tip �'t1�
esspesurr
Broad •.
•• River
W•
•ate •rA
•
• Authority
Broad River Water Authority
2014 Annual:Report
Land Application Program
NC Permit.No.WQ0035576
RECEIVED
DMsion of Water ResourC®s
•
FEB 23 2015
Water Quality Regional Operations
Asheville Regional Office

ANN UAL LANs) APPLICATION CERTIFICATION 1CA'1'1ON 1+'ORM
Permit#: WQ0035576 County: Rutherford Year: 2014
Facility Name(as shown on permit):
F pBroad River Water Authority
Land Application Operator: Southern Soil Builders,Inc. Phone: [phone]
Land application of residuals as allowed by the permit occurred during the past calendar year?
i 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 the permit: NA
Total number of fields utilized for land application during the year: 3
Total amount of dry tons applied during the year for all application sites: 592.79
Total number of acres utilizes for land application during the year: 90
Part B-Annual Compiance Statement:
Facility was compliant during calendar year 2014 with all conditions of the land application permit
(including but not limited to items 1-13 below)issued by the Division of Water Resources. Ikr Yes 0 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."
A.setal..s 11;C..-i, e.leielicti mil - ALU44,— --ikaliti-ettA alal4
Permittee Name and Title(type or print) ignature of Permittee Date
0. s
.6, ttr..._.
Sign e of Preparer* Date Signature of Lau AApplier Date
(if different from P:, ittee, (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)

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: WQ0035576 Laboratory: 1) A&L Eastern Labs.
Facility Name: - Broad River Water Authority 2)
Residual Source WQ#or 3)
NPDES#: WQ0035576
4)
WWTP Name: Broad River Water Authority 5)
Residual Analysis Data
Cone. Sample or Composite Date
Parameter Limit I I I I I I
(mg/kg) (m kg)a 8-13-14
Percent Solids(%) NA 32.86
Arsenic 75 7
Cadmium - 85 —2— y -
Copper 4,300 33 V
Chromium NA 57 i/
Lead 840 18 ✓ , - .
Mercury 57. 0.4 1
Molybdenum 75 5 v
• Nickel 420 22 V
Selenium 100 5 ,/
Zinc 7,500 90 ✓
' - Total Phosphorus NA 981 •
TKN NA 3440
Ammonia-Nitrogen NA 243 I,
Nitrate and Nitrite NA 38.3 V
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."
. rZl[ZJ2o15
Signatu e of Prepare Date
*Preparer is defin-' i CFR Part 503.9(r)and 15A NCAC 2T.1102(26
) DENR FORM RSSF(12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT#: WQ0035576 FACILITY NAME: Broad River Water Authority
PHONE: [phone] COUNTY: Rutherford OPERATOR: Brad Joyner
FACILITY TYPE(please check one): ID Surface Disposal(complete Part A(Source(s)and "Residual In"Volume only)and Part C)
IS Distribution and Marketing(complete Parts A,B,and C)
Was the facility in operation during the past calendar year? Yes E+ ' No U —► If No skip parts A,B,C and certify form below
Part A*: Part B*:
Volume(dry tons) Recipient Information
Month Sources(s)(include NPDES#if Amendment/
applicable) Bulking Agent Residual In Product Out Name(s) Volume(dry tons) Intended use(s)
January
February
March
April
May
June
July .
August -
September
October
November -
I,December WQ0035576 0 592.79 592.79 Todd Hunnicutt 592.79 Soil Admendment
Total from FORM DMSDF(sup)
Totals: Annual(dry tons):^ 0 592.79 592.79 592.79
Amendment(s)used: Bulking Agent(s)used: -
*If more space is required,attach additional information sheets(FORM DMSDF(supp)): Total Number of Form DMSDF(Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit G""Yes
(including but not limited to items 1-3 below)issued by the Division of Water Resources: C7 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."
du � ce lea-(ts 0 l 5
ignature of Permittee Date Sign tare of ep: erl Date
(if different om P:, • ee)
**Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 2T.1102(26)
DENR FORM DMSDF(12/2006)

Page: 1 of 2
Report Number: 14-227-0207 7at Y A&L Eastern Laboratories, Inc.
Account Number: 46381 ? "� 7621 Whitepine Road Richmond,Virginia 23237 [phone] Fax[phone]
wwwaieastem.com
Send To: SOUTHERN SOIL BUILDERS Project: BRWA '
DENNIS KEY - NC CERT #257
- 958 HOOTS ROAD
ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 8/13/2014 12:05:00
Lab Number: 57063 Date Received: 08/15/2014 00:00
Sample Id : BRWA Date Reported: 08/21/2014
RE-SALT. n4 QUaN 1 �1=LION 1EIMl - ANALYSIS
PARAMETER' •. - _ _ _ (%� '(mg/kg)• , (mg/kg*) - ANALYST ,`DATE/TIME METHOD
Total Solids* 32.86 328600 100.0 JM 08/15/2014 15:00 SM-2540G
- Moisture* 67.14 100.0 JM 08/15/2014 15:00 SM-2540G
Total Kjeldahl Nitrogen 0.34 3440 _ 10.0 '- TW 08/20/2014 08:35 SM-4500-NH3C-TKN
Total Phosphorus. • 0.10 981 100 KM 08/19/2014 13:04 SW 6010C
Total Potassium • , 0.24 2420 100 KM 08/19/2014 13:04 SW 6010C ,
Total Sulfur 0.25 2520 100 KM 08/19/2014 13:04 SW 6010C
. Total Calcium 0.11 1130 100 KM - 08/19/2014 13:04 SW 6010C
Total Magnesium 0.33 3280. 100 KM 08/19/2014 13:04 SW 6010C
Total Sodium <0.01 <100 - 100 KM 08/19/201413:04 SW 6010C
Total Iron 45300 100 KM 08/19/2014 13:04 SW 6010C
Total Aluminum 125000 100 KM 08/19/2014 13:04 SW 6010C
Total Manganese 593 5 KM 08/19/2014 13:04 SW 6010C
Total Copper . • 33" 5 KM 08/19/2014 13:04 SW 6010C
Total Zinc 90 5 KM 08/19/2014 13:04 SW 6010C
Ammonia Nitrogen 0.02 243 10.0 MW 08/18/2014 09:09 SM-4500-NH3C
Organic N 0.32 3197 10.0 08/18/2014 09:09 CALCULATION
Nitrate+Nitrite-N • 38:3 2.00 MW 08/18/2014 09:10 SM-4500NO3F
Total Cadmium <2.0 2.0 KM 08/19/2014..13:04 SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
kJ.
Our reports and letters are for the exclusive and confidential use of our clients.and maynot be reproduced in whole or art nor anyreferencebe made ,(`
P P may 4.-
to the work.the results or the company in any advertising news release,or other public announcements without obtaining our prior written authorization.
Debbie Holt

Page: 2 of 2 v '
Report Number: • 14-227-0207 fit A&L Eastern Laboratories, Inc.Account Number: 46381 7621 Whitepine Road Richmond,'Virginia23237 [phone]• Fax [phone]•
•
wwaieasiem.co w m • •
Send To: SOUTHERN SOIL BUILDERS Project:BRWA • •
DENNIS KEY NC CERT #257
958 HOOTS ROAD
ROARING RIVER, NC 28669 •
REPORT OF ANALYSIS - Date Sampled: 8/13/2014 12:05:00.
Lab Number:. 57063• Date Received: 08/15/2014 00:00
Sample Id : BRWA Date Reported: 08/21/2014
R-E-S:1II F2-ESUE-T— Q1J-A-N-TITA=TION--LIMITT�l` ' ANALXSISr_. -
t'fAKA•Nl t t tK
•(m /k 'r r g*)
(t ) ANALYST METHOD
� •DATEITIME
Total Chromium • 57 5 • KM 08/19/2014 13:04 SW 6010C
Total Nickel 22 5 KM 08/19/2014 13:04 SW 6010C
Total Lead. • 18 - 5. KM 08/19/2014 13:04 • SW 6010C
Total Arsenic - 7.0 3.0 KM 08/19/2014 13:04 • SW 6010C
Total Mercury - - <0.4 0.4 KM 08/20/2014 08:50 SW-7471 B
Total Selenium <5.0 5.0 KM 08/19/2014 13:04 SW 6010C
pH(Standard Units)* 6.18 2.00 TW 08/18/2014 09:49 SW-9045D
Total Molybdenum . <5 5 KM 08/19/2014 13:04 SW 6010C
Comments: •
- SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES.
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR"Cr"AND"Ni". ALL OTHER QC DATA IS ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
itiii .mm .
•
., ,
Cur reports and letters are for the exclusive and confidential use of our clients.and may not be reproduced in whole or part,nor may any reference be made •
to the work.the results,or the company in any advertising,news release,or other public announcements without obtaining our prior written authorization.
' Debbie Holt -

PAN
Mineralization as decimal Total dry Acres
Rate TKN NH3 NO3 NO2 %Solids tons/year Applied on
0.4 3440 342 38.3 0 0.3286 592.79 • 90
PAN Surface MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
1448.5 mg/kg-.. 2.897 lbs/dry ton
1717.313 lbs total PAN mg/kg x.002 =lbs/dry ton
19.08125 lbs PAN/acre
PAN Injection MR(TKN-NH3) + 1(NH3)+NO3+NO2 - =mg/kg
1619.5 mg/kg 3.239 lbs/dry ton
1920.047 lbs total PAN mg/kg x.002 =lbs/dry ton
21.33385 lbs PAN/acre
Dry Tons/1000 gal. 1000 X 8.34 X%solids X sp. gravity "=dry tons/1000gal."
1.370262 2000
1st year PAN lbs./acre
Surface lbs. Surface
1717.31283 19.08125144
1st year PAN lbs./acre -
Injected lbs. Injected
1920.04681 21.33385344

SAR
Sodium Absorption Ratio Na(Mo/L) Ca(Mq/L) Mq(Mq/L)
Na : Sodium (Mg/L) Equivalent weight: 23 32.86 371.3 1077.8
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12 Na (ME) Ca (ME) Mg (ME)
1.428696 18.565 89.81667
Milli Equivalent= Mg/L/ Equivalent weight The amour
amount of
SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent+ Mg Milli equivalent)j0.5 power
Permitting
SAR = 0.194078 ((From Mg/L entered above)
SAR= 0.192907 (From ME entered below)
Na (ME) Ca (MEI Mg (MEI
1.42 18.56 89.81

Analytical Results
Southern Soil Builders "
.958 Hoots Road
Roaring River NC 28669
Entered 8/13/2014 STATESVILLE
ILLE
Reported: 8/19/2014 ANALYTICAL
For: BRWA
Sample ID Parameter Cust ID Result Units Date
Method � Analyzed Analyst
140813-28.1 % Solids 1 28.7 % SM2540B-1997 8/14/14 WL
140813-28.1 Fecal Coliform MTF 1 <7 MPN/g SM9221 CE-2006 8/14/14 WL
140813-28.2 % Solids 2 29.8 % . SM2540B-1997 8/14/14 WL
140813-28.2 Fecal Coliform MTF 2 <6.7, MPN/g . SM9221 CE-2006 8/14/14 WL
140813-28.3 % Solids 3 30.5 % SM2540B-1997 8/14/14 WL
140813-28.3 Fecal Coliform MTF 3 <6.6 MPN/g SM9221 CE-2006 8/14/14 WL
140813-28.4 ' % Solids 4 29.5 % SM2540B-1997 8/14/14 WL
140813-28.4 Fecal Coliform MTF 4 <6.8• MPN/g SM9221 CE-2006 8/14/14 WL
140813-28.5 % Solids 5 28.6 % SM2540B-1997 8/14/14 WL
140813-28.5 Fecal Coliform MTF 5 <7 . MPN/g SM9221 CE-2006 8/14/14 WL
140813-28.6 % Solids , 6 31.3 % SM2540B-1997 8/14/14 WL
140813-28.6 Fecal Coliform MTF 6 <6.4, MPN/g SM92210E-2006 8/14/14 WL
140813-28.7 % Solids 7 29.8 % SM2540B-1997 8/14/14 WL
140813-28.7 Fecal Coliform MTF 7 <6.7. MPN/g SM92210E-2006 8/14/14 WL
Respectfully submitted,
0,e/ A./fA. @)/1,0
Dena Myers
NC Cert#440,
NCDW Cert #37755,
EPA NC00909
P.O.Box 228• Statesville,North Carolina 28687. 704/872/4697

Client: '
v e,„I Sr,• Q G4 Q,s, itC , .76 STATESVILLE ANALYTICAL,
_,.
Address: Ci g 1� � S
122 Court Street • P.O.Box 228
3 (c _j�a Statesville,NC 28687
-- — • —— Th -- --(--)- .2_4.697--- ------ -- -- -------- —
[1 704'87
tactPerson: 2 UPI. i'C c Lx 33 G.,- q S -7 g'71 FAX# -- 3G. qS '? ,g��tl(1 — Chain of
PO# u - Requisitioned by: (Time Date) sTAT>STATESVILLE Custod Record'
ANALYTICAL Y
Customer Lab-ID# Time Sampled Date Sampled a a Matrix
Only) �- Parameters requested for analysis
Sample ID#
(Grab (Grab Only) � 0 swage w ww
SRw1(1 / iu1D'819)- g,S•i 1 = is 0n. I A- l' - )-1 i x x Fe co. ! ). ' A .1
I a?.1 ] . d . 1-. .I ,_
I I I N . 1 o
i .I . ) Aif
I / I x f - 1
Relinquished by: t`
/eA //�� Time 31) i am, eDate /t.)/I Sampled by: Ifri-A-)
Received by: ( i/ ( l , Time 3: Z y am, Date /_/�L� (1,--11A
_ � Transported by.
Relinquished by: &!..______.
Time am, pm Date / / l -/
--- Holding times met: V
Received by:y Time am, pm Date Compliance work:
Composite Sampling#1:
Time begin am,pm Date / / Non-compliance work:
Time end am, pm Date / /_ Lab Comments:
Composite Sampling#2:
•
Time begin am, pm Date _/ /_
Time end am, pm Date / / -

Condition of Receipt
Sample ID 140813-28.1-28.7 Client Southern Soil Builders
Temp on Arrival
.pH upon Arrival Parameter Schedule %Solids
❑ HNO3 ❑ Chemicals in containers, client
❑ HCl ❑ Chemicals upon receipt
• ❑ NaOH ❑ Received on Ice
❑ H2SO ❑ Samples chilled upon receipt
❑ Na2S2O ❑ Chemicals in containers, lab
❑ Dechlorinated
- ---pH upon Arrival Parameter Schedule_ Fecal Coliform MTF
❑ HNO3 ❑ Chemicals in containers, client
❑ HCl ❑ Chemicals upon receipt
• NaOH ❑Q Received on Ice
H2SO ❑.Samples chilled upon receipt
❑ Na2S2O 0 Chemicals in containers, lab
❑ Dechlorinated
•
Page 1 of 1

Analytical Results -
Southern Soil Builders _.
958 Hoods Road
Roaring;River NC 28669
STATESVILLE
ANALYTICAL
Entered 8/13/2014
Reported: 8/27/2014
For: BRWA
Sample ID Parameter Cust ID Result Units. . Date
Method Analyzed Analyst
140813-31: Corrosivity BRWA See Attached SW-846 8/22/14 PACE
140813-31 Ignitability BRWA See Attached 1010M 8/22/14 PACE
140813-31 Reactivity BRWA See Attached SW-846 8/22/14 ,PACE
140813-31 - TCLP BRWA See Attached 1311 8/22/14 PACE
Respectfully submitted, S S
L
t`OVVOL 1/1
Dena Myers
NC Cert#440,
NCDW Cert#37755,
EPA NC00909 S _
P.O.Box 228• Statesville,North Carolina 28687. 704/872/4697

Client: tt i -) _yt
S0r�Ae.,\ SU.I ev { U e/t , `r)C
�:: '.: STATESVILLE ANALYTICA_
Address: 9 .), P cif T 122 Court Street • P.O.Box 228
` Cj Statesville,NC 28687
_4.jf��} /�lit
0i.,;r-r� _. _.Ny-. _. C_ ._,__)_y,.c.0.�.____.___ ___ _ ___._. __ �7 �_ -,ELM..____ __IQ, O' � 2-�v7cG
rsontaOt Person: f Phone FAX°
g-t 3 b- �s, 1�-�l 336' qs,_ $pry v Chain of
PO# C/ Requisitioned by: (lime Date) ANALync SVILLL Custody Record
Customer Lab-ID# Time Sampled Date Sampled . a Matrix
Sample ID# _ (Grab Only) (Grab Only) - Cy 8 sludge W ww
Parameters requested for analysis
A .J, 1 a.L..
�Iprrr4.J:4L ,/
Cl
q by: �, ! J0--- Time 3-..)-1 am, m Date /�3/p`� Sampled by: '�,,'1,�
Relinquished il
Received b .fr() � Z / f q
y- Time am,_em Date / _I Transported by: lyi
S
Relinquished by: Time am, pm Date / / Holding times met:
Received by: Time - am, pm Date / / ./
Compliance work:
Composite Sampling#1:
Time begin am, pm Date / / - Non-compliance work:
Time end am, pm Date / / Lab Comments:
Composite Sampling#2:
Time begin am, pm Date / /
Time end am, pm Date / /_ •

Condition of Receipt
Sample ID 140813-31 , Client Southern Soil Builders
Temp on Arrival
pH upon Arrival Parameter Schedule Corrosivity
❑ HNO3 ❑ Chemicals in containers, client
HCl ❑ Chemicals upon receipt
El NaOH ❑ Received on Ice
El H2S0 ❑ Samples chilled upon receipt
El Na2S20 ❑ Chemicals in containers, lab
❑ Dechlorinated
pH:upon Arrival Parameter Schedule Ignitability
❑ HNO3 ❑ Chemicals in containers, client
El HCI ❑ Chemicals upon receipt
El NaOH ❑ Received on Ice
❑ H2S0 ❑ Samples chilled upon receipt
El Na2S2O ❑ Chemicals in containers, lab
❑ Dechlorinated
pH upon Arrival Parameter Schedule Reactivity
❑ HNO3 ❑ Chemicals in containers, client
❑ HCl ❑ Chemicals upon receipt
❑ NaOH El Received on Ice
El H2SO El Samples chilled upon receipt
El Na2S2O ❑ Chemicals in containers, lab •
❑ Dechlorinated
pH upon Arrival Parameter Schedule TCLP
❑ HNO3 El Chemicals in containers, client
El HCl ❑ Chemicals upon receipt
El NaOH ❑ Received on Ice
El H2SO ❑ Samples chilled upon receipt
❑ Na2S2O ❑ Chemicals in containers, lab
❑ Dechlorinated
Page l of I

•
•
® Pace Analytical Services,Inc.
Ave.' 100
aceAnalytical 9800H lntersvlle,NCite 28078
. www.pacelabs.com
[phone]
ANALYTICAL RESULTS
Project: 08/13/14 140813-31
Pace Project No.: 92213461
Sample:'140813-31 Lab ID: 92213461001 Collected: 08/13/14 13:15 Received: 08/14/14 15:10 Matrix: Solid
Results reported on a"dry-weight"basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides,TCLP Analytical Method:EPA 8081 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;08/18/14 15:15
gamma-BHC(Lindane) ND ug/L 0.50 1 08/19/14 10:01 08/2.0/14 11:00 58-89-9
Chlordane(Technical) ND ug/L 3.0 1 08/19/14 10:01 08/20/14 11:00 57-74-9
Endrin •
ND ug/L 0.50 1 08/19/14 10:01 08/20/14 11:00 72-20-8
Heptachlor epoxide ND ug/L 0.50 1 08/19/14 10:01 08/20/14 11:00 1024-57-3
Methoxychlor ND ug/L 1000 1 08/19/14 10:01 08/20/14 11:00 72-43-5 '
Toxaphene ND ug/L 3.0 1 08/19/14 10:01 08/20/14 11:00 8001-35-2
Surrogates
Decachlorobiphenyl(S) 49 % 10-138 1 08/19/14 10:01 08/20/14 11:00 2051-24-3
Tetrachloro-m-xylene(S) 52 % 10-110 1 08/19/14 10:01 08/20/14 11:00 877-09-8
8082 GCS PC:B ' Analytical Method:EPA 8082 Preparation Method:EPA 3546
PCB-1016(Aroclor 1016) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 12674-11-2
PCB-1221 (Aroclor 1221) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11104-28-2
PCB-1232(Aroclor 1232) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11141-16-5
PCB-1242(Aroclor 1242) ND ug/kg 127 1 08/15/14.15:02 08/18/14 16:44 53469-21-9
PCB-1248(Aroclor 1248) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 12672-29-6
PCB-1254(Aroclor 1254) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11097-69-1
PCB-1260(Aroclor 1260) ND ug/kg 127 1 08/15/14 15:02 08/18/14 16:44 11096-82-5
Surrogates
Decachlorobiphenyl(S) 51 % 21-132 1 08/15/14 15:02 08/18/14 16:44 2051-24-3
8151 Chlorinate Herbicide TCLP Analytical Method:EPA 8151 Preparation Method:EPA 3510
2,4-D ND mg/L 0.038 1 08/22/14 08:00 08/22/14 22:19 94-75-7
2,4,5-TP(Silvex) ND mg/L 0.038 1 08/22/14 08:00 08/22/14 22:19 93-72-1
Surrogates
2,4-DCAA'(S) 98 % 42-142 1 08/22/14 08:00 08/22/14 22:19 19719-28-9
6010 METiICP;TCLP Analytical Method:EPA6010 Preparation Method:EPA 3010
Leachate Method/Date:EPA 1311;08/15/14 16:30 ,
Arsenic ND mg/L 0.050 1 08/18/14 19:05 08/19/14 11:26 7440-38-2
Barium 0.67 mg/L 0.25 1 08/18/14 19:05 08/19/14 11:26 7440-39-3
Cadmium ND mg/L 0.0050 1 08/18/14 19:05 08/19/14 11:26 7440-43-9
•
Chromium. ND mg/L 0.025 1 08/18/14 19:05 08/19/14 11:26 7440-47-3
Lead ND mg/L 0.025 1 08/18/14 19:05 08/19/14 11:26 7439-92-1
Selenium . ND mg/L 0.10 1 08/18/14 19:05 08/19/14 11:26 7782-49-2
Silver ND mg/L 0,025 1 08/18/14 19:05 08/19/14 11:26 7440-22-4
7470 Mercury,TCLP Analytical Method:EPA 7470 Preparation Method:EPA 7470
Leachate Method/Date:EPA 1311;08/15/14 16:30
Mercury ND ug/L 0.20 1 08/18/14 20:00 08/21/14 14:08 7439-97-6
8270 MSS1/TCLP Sep Funnel Analytical Method:EPA 8270 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;08/18/14 15:15 •
1,4-Dichlorbbenzene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 106-46-7
2,4-Dinitrot'oluene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 121-14-2
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except In full, • •
Date:08/27%2014 09:52 AM without the written consent of Pace Analytical Services,Inc..
Page 4 of 21

Pace Analytical Services,Inc.
abeAnalytical® Kinc00
ey Ave.
Ile,NC Suite 178
wwwpecelabs.com
[phone]
ANALYTICAL RESULTS
Project: 08/13/14 140813-31
Pace Project No.: 92213461
Sample: 140813-31 Lab ID: 92213461001 Collected: 08/13/14 13:15 Received: 08/14/14 15:10 Matrix: Solid
Results reported on a"dry-weight"basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8270 MSSV TCLP Sep Funnel Analytical Method:EPA 8270 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;08/18/14 15:15
Hexachloro-1,3-butadiene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 87-68-3
Hexachlorobenzene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 118-74-1
Hexachloroethane ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 67-72-1
2-Methylphenol(o-Cresol) ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 95-48-7
3&4-Methylphenol(m&p Cresol) ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54
Nitrobenzene ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 98-95-3
Pentachlorophenol ND ug/L 100 1 08/19/14 10:01 08/20/14 12:54 87-86-5
Pyridine ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 110-86-1
2,4,5-Trichlorophenol ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 •95-95-4
2,4,6-Trichlorophenol ND ug/L 50.0 1 08/19/14 10:01 08/20/14 12:54 88-06-2
Surrogates
Nitrobenzene-d5(S) 25 % 12-102 1 08/19/14 10:01 08/20/14 12:54 4165-60-0
2-Fluorobiphenyl(S) 26 % 13-107 1 08/19/14 10:01 08/20/14 12:54 321-60-8
Terphenyl-d14(S) 53 % 21-132 1 08/19/14 10:01 08/20/14 12:54 1718-51-0
Phenol-d6r(S) 9 % 10-110 1 08/19/14 10:01 08/20/14 12:54 13127-88-3 SO
2-Fluorophenol(S) 15 % 10-110 1 08/19/14 10:01 08/20/14 12:54 367-12-4
2,4,6-Tribromophenol(S) 32 % 27-108 1 08/19/14 10:01 08/20/14 12:54 118-79-6
8260 MSV TCLP Analytical Method:EPA 8260 Leachate Method/Date:EPA 1311;08/19/14 11:34
Benzene ND ug/L 192 38.5 08/20/14 21:25 71-43-2
2-Butanone(MEk) ND ug/L 385 38.5 08/20/14 21:25 78-93-3
Carbon tetrachloride ND ug/L 192 38.5 08/20/14 21:25 56-23-5.
Chlorobenzene ND ug/L 192 38.5 08/20/14 21:25 108-90-7
Chloroform ND ug/L 192 38.5 08/20/14 21:25 67-66-3
1,4-Dichlorobenzene ND ug/L 192 38.5 08/20/14 21:25 106-46-7
1,2-Dichloroethane ND ug/L 192 38.5 08/20/14 21:25 107-06-2
1,1-Dichloroethene ND ug/L 192 38.5 08/26/14 21:25 75-35-4
Tetrachlordethene ND ug/L 192 38.5 08/20/14 21:25 127-18-4
Trichloroethene ND ug/L 192 38.5 08/20/14 21:25 79-01-6
Vinyl chloride ND ug/L 192 38.5 08/20/14 21:25 75-01-4
Surrogates
1,2-Dichloroethane-d4(S) 103 % 70-130 38.5 08/20/14 21:25 17060-07-0 1 g
Toluene-d8,(S) 94 % 67-135 38.5 08/20/14 21:25 2037-26-5
4-Bromofluorobenzene(S) 96 % 70-130 38.5 08/20/14 21:25 460-00-4
Percent Moisture Analytical Method:ASTM D2974-87
Percent Moisture 73.9 % 0.10 1 08/15/14 14:51
1010 Flashpoint,Closed Cup Analytical Method:EPA 1010 A1
Flashpoint >200 deg F V 70,0 1 08/27/14 03:40
733C S Reactive Cyanide Analytical Method:SW-846 7,3.3.2
Cyanide,Reactive ND mg/kg ✓ 3.8 1
08/18/14 19:34
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:08/27/2014 09:52 AM without the written consent of Pace Analytical Services,Inc.. Page 5 of 21
1

•
Pace Analytical Services,Inc.
aceAnalytical® 9800 Kincey Ave. Suite 100
wwwpecelabs.com Huntersville,NC 28078
P171 , [phone]
ANALYTICAL RESULTS
Project: 08/13/14 140813-31
Pace Project No.: 92213461
Sample: 141)813-31 Lab ID: 92213461001 Collected: 08/13/14 13:15 Received: 08/14/14 15:10 Matrix: Solid
Results ieported on a"dry-weight"basis•
Parameters Results Uriits Report Limit DF Prepared Analyzed- . CAS No. Qual
735S Reactive Sulfide Analytical Method:SW-846 7.3.4.2
Sulfide,Reactive - ND mg/kg I/ 38.2 1 - . 08/18/14 15:00
•
•
•
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:08/27/2014 09:52 AM • without the written consent of Pace Analytical Services,Inc..
Page 6 of 21

Analytical Results
Southern Soil Builders
958 Hoots Road
Roaring River, NC
28669;
Receive Date: 09/22/2014 STATESYILLE
Reported: 09/26/2014 ANALYTICAL
V
For: BRWA
Comments:
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
1409 )1 Corrosivity BRWA 5.0
/ SW-846 09/23/2014 Pace
Respectfully
submitted,
0P- v✓,j'aVA,1
Dena Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 1

Client .
Sd„ F +, Su l �j t'�� S �e .: STATES VILLE ANALYTICAL
Address: ,y =
R S L 1LU)S / • 122 Court Street • P.O.Box 228
/y Statesville,NC 28687
l� / � [phone]
pc„r:r i , 1tr , k/C 2,tt7G`7
Contact Person:z-• i'. , ( Phone# 3-�- gS7 ��"7! FAX#- j 1 -
6gS1 .g ,y v — Chain of.
PO# : v Requisitioned by: (Time Date) Custody Record
Customer - Time SamPpled Date Sampled a MatrixLab-ID# ao
Parameters requested for analysisSample ID# (Grab Only) (Grab Only) 08 Sludge W ww 8a�'
-
0 ILluq' 0 -. 17 1r;-o v P.� q )2 -/7 ,k CL.f:, any .
U
•
•
•
•
Relinquished by: you Time i-3 u am, p)Date I-/ )2/ l Sampled by: •/�J; _\
.Received b r Ij\( 4"
ti ?y= Iir;e i i l am,`p Date /�_1_ Transported by: Z<<
-Relinquished by: Time am, pm Date / .
Holding times met �•
Received by: Time am, pm Date /_/_ "
Compliance work:
Composite Sampling#1:
Time begin - am,pm Date / / Non-compliance work:
Time end am, pm Date //_
I Lab Comments:
Composite Sampling 1r2.
Time begin am, pm Date /_/
Time end am, pm Date_/_/ •

® Pace Analytical Servioes,Inc. _
-ace.Analytical 9800 Kincey Ave. te 100
Hunte svlle,NC128b78
www.pacelabs,com
[phone]
ANALYTICAL RESULTS
Project: 140922-17 .
Pace Project No.: 92218545 ,
Sample: 140922-17 Lab ID: 92218545001 Collected: 09/22/14 11:00 Received: 09/23/14 16:00 Matrix: Solid
Results reported on a"wet-weight"basis
Parameters Results Units Report Limit DF ' Prepared Analyzed CAS No. Qual
9045 pH Soil Analytical Method:EPA 9045
pH at 25 Degrees C ..5.0 Std.Units 0.10 1 09/25/14 15:45 H1
•
•
•
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced,except in full,
Date:09/26/2014 01:34 PM without the written consent of Pace Analytical Services,Inc.,
Page 4 of 9

' ANNUAL FA'1'HOGLN AND VECTOR AT TRACTION REV UCT1ON FORM(02T Rules) .
- !acility Name: Broad River Water Authority WQ Permit Number: WQ0035576
' WWTP Name: Broad River Water Authority . NPDES Number: NC0181035
Monitoring Period: From 1/1/2014 ' ' To 12/31/2014
Pathogen Reduction (15A NCAC 02T .1106) -Please indicate level achieved and alternative performed:•
Class A: Alt. A (time/temp) D', Alt 13 (Alk Treatment) 1 Alt. C (Prior Testing)
A1t.D (No Prior Test) Process to Further Reduce Pathogengs
If applicable to alternative performed(Class.A only)indicate"Process to Further Reduce Pathogens":
Compost ® Heat Drying ® Heat Treatment 0 Thermophilic ® •
Beta Ray ® Ganuna Ray CI • - Pasteurization ® ............ ."__ _ ,
Class B: Alt: (1) Fecal Density El. Alt. (2)Process to Significantly Reduce Pathogens 0
If applicable to alternative performed(Class B only)indicate"Process to Significantly Reduce Pathogens": '
Lime Stabilization ® , Air Drying ® Composting U • Aerobic Digestion
An e a robic Digestion
If applicable to alternative performed (Class A or Class B) complete the following monitoring data:
Allowable Level Pathogen DensityNumber of Analytical
Parameter gExcee- Frequency Sample Tech-
.in Sludge Minimum Geo. Mean Maximum Units deuces of Analysis Type niaue
2x10tothe• MPN •
6th power, . , '
per gram of
Fecal Coliform total solids CFU-
1000 mpn per gram
of total solid '(dry 6.4 6.73 7 , MPN/g 0 7 grab sm9221e
weight) -
Salmonella bacteria 3 MPN per 4 grams _
(in lieu of fecal total solid(dry '
coliform) weight) - . .
Vector Attraction Reduction (15A NCAC 02T .1107) -Please indicate alternative performed:
Alt.1 (VS reduction) El Alt. 2'(40-day bench) 'El Alt. 3(30-day bench) ® Alt. 4(Spec. 02 uptake) ID
Alt. 5 (14-Day Aerobic) ® Alt. 6(Alk. Stabilization ® Alt 7(Drying-Stable) ® Alt. 8 (Drying-Unstable)
Alt. 9(Injection) , [a Alt. 10(Incorporation) ® No vector attraction reduction alternatives were performed Cr
CERTIFICATION STATEMENT (please check the appropriate statement) '
Lir "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."
El "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." .
r-SgiVb
SyGit,— k rr .— Dennis Key Southern Soil Builders, Inc.
Preparer Nae and Title (type or print) , Land Applier Name and Title (if applicable)(type or print)
\-----. ' 7ols i7 7/ a-6-15
Si ature of Pr er* ate Signature of Land Applier(if applicable) , Date
*Preparer is define FR Part 503.9(r)and 15A NCAC 2T.1102(26)
DENR FORM PVRF 02TI(12/2006)
•
.

RECEIVED,/
tlAR 04 2213
Asheville Regional Office
A.uifer Protectio_
RECEIVED
FEB 2 8.2013
WATER QUALITY SECTION
INFORMATION PROCESSING UNIT
Broad
River
n
Water
Authority
Broad River Water Authority
2012 Annual Report
Land Application Program
NC Permit No. WQ0035576

1 / ,2/ 13 g l Q. �V h'�/ Q`Lr 1.4e(7-,1J(
P.ecu\c...(& S\sf.tev\
6Aitl
rc6. ~ Rec , mil.S — okl
,mow .ct 1(( 3 (13
ti(Rc9
j Aso -C
r

t ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0035576 County: Rutherford Year: 2012
Facility Name(as shown on permit): Broad River Water Authority
Land Application Operator: Southern Soil Builders, Inc. 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 the permit: NA
Total number of fields utilized for land application during the year: 3
Total amount of dry tons applied during the year for all application sites: 1088
Total number of acres utilizes for land application during the year: 90
Part B-Annual Compiance Statement:
Facility was compliant during calendar year 2012 with all conditions of the land application permit
(including but not limited to items 1-13 below)issued by the Division of Water Quality. E1 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 Quality.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C- Certification:
"I certify, under penalty of law,that the above information is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
Maria Hunnicutt Manager (, pLt,a,C EG4 c:37)/13
Permittee Name and Title(type or print) ignature of Permittee Date
yL.D.44 •,
Signature of reparer* �� i fat: Sid ature ofLane�pplier Date
(if different from Pe r!� (if different from Permittee and Preparer)
* Preparer is defined ink' WFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DENR FORM ACF (12/2006)

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: WQ0035576 Laboratory: 1) A&L Eastern Labs
Facility Name: Broad River Water Authority 2)
Residual Source WQ#or WQ0035576 3)
NPDES#: 4)
WWTP Name: 5)
Residual Analysis Data
Conc. Sample or Composite Date
Parameter Limit
(mg/kg) (mg/kg)a 4-23-12
Percent Solids(%) NA 55.21
Arsenic 75 4
Cadmium 85 1 _
Copper 4,300 35
Chromium NA 97
Lead 840 14
Mercury 57 0.4 _
Molybdenum 75 5
Nickel 420 16
Selenium 100 1
Zinc 7,500 65
Total Phosphorus NA 772
TKN NA 2680
Ammonia-Nitrogen NA 290
Nitrate and Nitrite NA 74.3
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
pe ies for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signatu a of Prepa er *"1"--- r----
e lb' ate
*Preparer is defined ' 40 i FR Dart 503.9(r)and 15A NCAC 2T.1102(26) DENR FORM RSSF (12/2006)

CLASS A ANNUAL DISTRIBUTION AND MARKETING/SURFACE DISPOSAL CERTIFICATION AND SUMMARY FORM
WQ PERMIT#: WQ0035576 FACILITY NAME: Broad River Water Authority
PHONE: [phone] COUNTY: Rutherford OPERATOR: Brad Joyner
FACILITY TYPE(please check one): ❑ Surface Disposal(complete Part A(Sourcejs)and "Residual In"Volume only)and Part C)
El Distribution and Marketing(complete Parts A, B,and C)
Was the facility in operation during the past calendar year? Yes El No ❑ —► If No skip parts A,B,C and certify form below
Part A*: Part B*:
Sources s include NPDES#if Volume(dry tons) Recipient Information
Month ( )( Amendment/
applicable) Residual In Product Out Name(s) Volume(dry tons) Intended use(s)
Bulking Agent
January 0 0 0
February 0 0 0
March 0 0 0
April WQ0035576 0 1088 1088 , Todd Hunnicutt 1088 soil admendment
May 0 0 0
June 0 0 0 '
July - 0 0 0
August 0 0 0
September 0 0 0
October 0 0 0
November 0 0 0
December 0 0 0
Total from FORM DMSDF(sup) _"
Totals: Annual(dry tons): 0 1088 -1088: - 1088 -
Amendment(s)used: Bulking Agent(s)used:
*If more space is required,attach additional information sheets(FORM DMSDF(supp)): Total Number of Form DMSDF(Supp)
Part C:
Facility was compliant during the past calendar year with all conditions of the land application permit p Yes
(including but not limited to items 1-3 below)issued by the Division of Water Quality: ❑ No > If No, Explain in Narritive
1. All monitoring was done in accordance with the permit and reported for the year as required and three(3)copies of certified laboratory results are attached.
2. All operation and maintenance requirements were compiled with or,in the case of a deviation,prior authorization was received from the Division of Water Quality.
3. No contravention of Ground Water Quality Standards occurred at a monitoring well.
"I certify,under penalty of law,that the above information is,to the best of my knowledge and belief,true,accurate and complete.I am aware that there are significant
penalties for submitting false information,including the possibility of fines and imprisonment for knowing violations."
_Le5.1.2.4..A.-ils
- cl-k7k3 P2—j 0 VI 2-c•I
Signature of Permittee Date Si atu e of Pre ar ate
$ P
(if different from P i ee)
**Preparer is defined in 40 CFR Part 503.9(r)and 15A NCAC 2T.1102(26)
DENR FORM DMSDF(12/2006)

PAN
Mineralization as decimal Total dry Acres
Rate TKN NH3 NO3 NO2 %Solids tons/year Applied on
0.4 2680 290 74:3 0 0.5527 1088 90
PAN Surface MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
1175.3 mg/kg 2.3506 lbs/dry ton
2557.453 lbs total PAN mg/kg x .002 =Ibs/dry ton
28.41614 lbs PAN/acre
PAN Injection MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
1320.3 mg/kg 2.6406 lbs/dry ton
2872.973 lbs total PAN mg/kg x.002 =lbs/dry ton •
31.92192 lbs PAN/acre
Dry Tons/1000 gal. 1000 X 8.34 X%solids X sp. gravity "=dry tons/1000gal."
2.304759 2000
1st year PAN lbs./acre
Surface lbs. Surface
2557.4528 28.41614222
1st year PAN lbs./acre
Injected lbs. Injected
2872.9728 31.92192

•
SAR
Sodium Absorption Ratio Na(Mq/L) Ca(Mq/L) Mq(Mg/L)
Na : Sodium (Mg/L) Equivalent weight: 23 • 93.85 1137.326 1608.35
Ca : Calcium (Mg/L) Equivalent weight: 20
Mg : Magnesium (Mg/L) Equivalent weight: 12 Na (ME) Ca (ME) Mg (ME)
4.080435 56.8663 134.0292
Milli Equivalent= Mg/L/Equivalent weight The amour
amount of E
SAR= Na Milli Equivalent/[0.5 X(Ca Milli Equivalent+ Mg Milli equivalent)]0.5 power
Permitting
SAR= 0.417661 I(From Mg/L entered above)
SAR= 0.417633 ((From ME entered below)
Na (MEI Ca (ME) Mg (ME)
4.08 56.86 134.02

Page: 1 of 2
Report Number: 12-115-0201 u 'LI A&L Eastern Laboratories
Account Number: 46381 L . .....,.,. •7821 Whttepine Road Richmond,Virginia 23237 [phone] Fax[phone]
Submitted By: ZACH KEY The one Source.
Send To: SOUTHERN SOIL BUILDERS Project:BRWA
DENNIS KEY NC CERT#257 • ' •
958 HOOTS ROAD
' ROARING RIVER., NC 28669
REPORT OF ANALYSIS . Date Sampled: 4/23/2012 12:30:00
Lab Number: 87550 Date Received: 04/24/2012 00:00 •
Sample Id : BRWA Date Reported: 04/30/2012 .
RESULT RESULT QUANTITATION LIMIT ANALYSIS
PARAMETER (%) (mg/kg) (mg/kg') ANALYST DATE/TIME METHOD
--------------55.21-------—.552100- 1-00:0 -—J M- 04/24/2012-15:29 SM-2540G .
---�-0talSolids* ----------
•
Moisture*- - 44.79 100.0 JM 04/24/2012 15:29 SM-2540G
Total Kjeldahl Nitrogen 0.27 2680 - . 10.0 JM 04/25/2012 08:44 SM-4500-NH3C-TKN
Total Phosphorus . 0.08, 772 100 KM • 04/25/2012 12:26 SW 6010C
... . -Total Potassium. - - - .... 0.25 2450; 100. ._ • _ .. KM 04/25/2012 12:26' SW 6010C - — - —
Total Sulfur 0.18 1780 100 KM 04/25/2012 12:26 SW 6010C
Total Calcium 0.21 2060 100 KM 04/25/2012 12:26 SW 6010C
Total Magnesium 0.29 , • 2910 100 KM 04/25/2012 12:26 SW 6010C
Total Sodium • ' 0.02 170 100 - KM 04/25/2012 12:26 SW 6010C
Total Iron 38100 1 KM 04/25/2012 12:26 SW 6010C
Total Aluminum 76300 10 KM 04/25/2012 12:26 SW 6010C _
Total Manganese 505 1 KM 04/25/2012 12:26 SW 6010C
Total Copper • 35 1 KM 04/25/2012 12:26 SW 601.0C
Total Zinc 65 1 KM 04/25/2012 12:26 . SW 6010C
Ammonia Nitrogen 0.03 290 10.0 JM 04/25/2012 08:44 SM-4500-NH3C
Organic N 0.24 2390 10.0 04/25/2012 08:44 CALCULATION
Nitrate+Nitrite-N 74.3 2.00 JM 04/25/2012 08:45 SM-4500NO3F
Total Cadmium <1.0 1.0 KM 04/25/2012 12:26 _ .__ SW 6010C
All values are o►i a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Alkali.
Our rePoits andfetters are for the exclusive and confidential use of our clients,and may not be reproduced in whole or part,nor may any reference be made
to the work,the results,or the company in any advertising,news release,or other public announcements without obtaining our prior written authorization. -
Debbie Holt

Page: 2 of 2
Report Number: 12-115-0201 , u .r j A&L Eastern Laboratories
Account Number: 46381 t 4 7621 Whitapine Road Richmond,Virginia 23237 [phone] Fax[phone]
Submitted By: ZACH KEY The One Source.
Send To: SOUTHERN SOIL BUILDERS Project: BRWA •
DENNIS KEY NC CERT#257
•
958 HOOTS ROAD
ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 4/23/2012 12:30:00
Lab Number: 87550 Date Received: 04/24/2012 00:00
Sample Id : BRWA Date Reported: 04/30/2012
RESULT RESULT QUANTITATION LIMIT ANALYSIS
PARAMETER
(/o) (mg/kg) (mg/kg ) ANALYST DATE/TIME METHOD
--T-otal-Chromium- 97 5 KM 04/25/201-2 12426------SW 601-0C
Total Nickel 16 5 KM 04/25/2012 12:26 SW 6010C
Total Lead 14 5 KM 04/25/2012 12:26 SW 6010C
Total Arsenic 4.0 1.0 . KM 04/25/2012 12:26 SW 6010C
Total Mercury ---- --- <0.4 0.4 KM 04/25/2012 09:00 SW-7471B Total Selenium <1.0 1.0 KM 04/25/2012 12:26• SW 6010C
pH (Standard Units)* 5.56 0.01 JM 04/25/2012 08:44 SW-9045D
Total Molybdenum <5 5 KM 04/25/2012 12:26 SW 6010C
"Comments: •
QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR"Fe", P .AND"Se". ALL OTHER QC DATA IS ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. / 1//►
.44,24
Our reports and letters are for the exclusive and confidential use of our clients,and may not be reproduced in whole or part,nor may any reference be made ,`` �
to the work,the results,or the company in any advertising,news release,or other public announcements without obtaining our prior written authorization.
Debbie Holt

r.
Analytical Results �-
P
Southern Soil Builders
958 Hoots Road
Roaring River NC 28669 STATESVILLE
Entered 4/25/2012 • ANALYTICAL
Reported: ' 4/30/2012
For: BRWA
Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst
120425-18.1 %Solids 1 54.7 % SM2540B 4/25/12 CL
120425-18.1` Fecal Coliform MTF I <4 MPN/g SM92210E 4/25/12 CL
120425-18.1; Geometric Mean 1 <3 MPN/g dry wt. basis 4/26/12 CL
120425-18.2 %Solids 2 67.1 % SM2540B 4/25/12 CL
120425-18.2 Fecal Coliform MTF 2. <3 MPN/g SM92210E 4/25/12 CL
120425-18.3 %Solids 3 67.3 % SM2540B 4/25/12 CL
120425-18.3 Fecal Coliform MTF 3 <3 MPN/g SM92210E 4/25/12 CL
120425-18.4 %Solids .4 66.3 % SM2540B 4/25/12 CL
120425-18.4 Fecal Coliform MTF 4 <3 MPN/g SM92210E 4/25/12 CL
120425-18.5 %Solids 5 64.6 % SM2540B 4/25/12 CL
120425-18.5 Fecal Coliform MTF 5 <3 MPN/g SM92210E' 4/25/12 CL
120425-18.6 %Solids 6 72.2 % SM2540B 4/25/12 CL
120425-18.6 Fecal Coliform MTF 6 <3 MPN/g SM92210E 4/25/12 CL
120425-18.7 %Solids 7 70.5 % SM2540B 4/25/12. CL
120425-18.7 - Fecal Coliform MTF 7 <3 MPN/g SM92210E 4/25/12 CL
Respectfully submitted, '
KO-e/VA-
Dena Myers
NC Cert#440,
NCDW Cert#37755, .
EPA NC0O9O9 .
P.O.Box 228 • Statesville, North Carolina 28687 • 704/872/4697

C[jent: C q 1 . .,
Jb�7I,errs Su:I 'At): Idc s (
c,
STATESVILLE ANALYTICAL
Address: (� _ 122 Court Street • P.O.Box 228
9 fj Wd! AV
o�� Statesville,NC 2868
ULir.
�,"_,,ter 1 VC 2- C C O 1 [phone]
Contact Person: Phone# FAX# Chain of
Po# «�L ��� 33f+-�ts�-x4�j 3C-y5-)-$y(lo STATESVILLE
Requisitioned by: ime Date) ANAL111CAL Custody Record .
Customer Lab-ID# Time Sampled Date Sampled a a Matrix
Sample ID# (Grab Only) • (Grab Only) g 8 `su,dye w ww Parameters requested for analysis
0RwPi .1w as- I ,-� ue z v
j - \Cij —i
{ y x
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•
Relinquished by: Time 3,30 am, m ate `( /19 I.? Sampled by: �
Received by: Time am, pm Date_/ / Transported by:
Relinquished by: Time am, pm Date / / s
Holding times met: 1
t jReceived by: ` Tin ,gym, P Dat4C4I�a�`- �� '
Composite Sampling#1:
Compliance work: ' t
fTime begin am, pm Date / / Non-compliance work: • • =x
�
-Time end am, pm Date / / Lab Comments: ,.•- �
Composite Sampling#2:
Time begin am, pm Date_/ /
Time end am, pm Date_/ /•
.

Condition of Receipt
Sample ID 120425-18 Client Southern Soil Builders
Temp on Arrival 1
pH upon Arrival Parameter Schedule %Solids
❑ HNO3 ❑ Chemicals in containers, client
❑ HCl ❑ Chemicals upon receipt
❑ NaOH [ Received on Ice
❑ H2S0 ❑ Samples chilled upon receipt
• Na2S2O ❑ Chemicals in containers, lab
Dechlorinated
pH upon Arrival Parameter Schedule Fecal Coliform MTF
❑ HNO3 ❑ Chemicals in containers, client
❑ HCl ❑ Chemicals upon receipt
❑ NaOH 0 Received on Ice
• ❑ H2S0 ❑ Samples chilled upon receipt
❑� Na2S2O ❑ Chemicals in containers, lab
❑ Dechlorinated
Page 1 of 1

Analytical Results
Southern Soil Builders
958 Hoots Road : •
Roaring River NC 28669.
STATESVILLE
ANALYTICAL
Entered 4/25/2012
Reported: 5/9/2012
For: TCLP
•
Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst
120425-19 Corrosivity BRWA See Attached SW-846 5/8/12 PACE
120425-19 ,. Ignitability BRWA See Attached 1010M 5/8/12 PACE
120425-19 Reactivity BRWA See Attached , SW-846 5/8/12 . PACE
120425-19 TCLP BRWA See Attached 1311 5/8/12 PACE
Respectfully submitted, .
Dena Myers
NC Cert#440,
NCDW Cert#37755,
EPA NC00909 0
•
P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697

® Pace Analytical Services,Inc. Pace Analytical Services,Inc. Pace Analytical Services,Inc.
aceAnalytical 205 East Meadow Road-Suite A 2225 Riverside Dr. 9800 Kinsey Ave. Suite 100
„ „ y4�,„ Eden,NC 27288 Asheville,NC 28804 Huntersville,NC 28078
[phone] [phone] [phone]
ANALYTICAL RESULTS
Project: 120425-19 •
Pace Project No.: 92117286
•
Sample: 120425-19 Lab ID: 92117286001 Collected: 04/25/12 12:30 Received: 04/26/12 13:40 Matrix: Solid
Results reported on a"dry-weight"basis
Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual
8081 GCS Pesticides,TCLP SPE Analytical Method:EPA 8081 Preparation Method:EPA 3535
Leachate Method/Date:EPA 1311;04/30/12 13:30
gamma-BHC(Lindane) ND ug/L 0.50 1 05/01/12 11:00 05/02/12 19:44 58-89-9
Chlordane(Technical) ND ug/L 3.0 1 05/01/12 11:00 05/02/12 19:44 57-74-9
Endrin ND ug/L 0.50 1 05/01/12 11:00 05/02/12 19:44 72-20-8
Heptachlor epoxide ND ug/L 0.50 1 05/01/12 11:00 05/02/12 19:44 '1024-57-3
Methoxychlor ND ug/L 1000 1 05/01/12 11:00 05/02/12 19:44 72-43-5
Toxaphene ND ug/L 3.0 1 05/01/12 11:00 05/02/12 19:44 8001-35-2
Surrogates -
Decachlorobiphenyl(S) 73 % 10-138 1 05/01/12 11:00 05/02/12 19:44 2051-24-3
Tetrachloro-m-xylene(S) 80 % 10-110 1 05/01/12 11:00 05/02/12 19:44 877-09-8
8151 Chlorinate Herbicide TCLP Analytical Method:EPA 8151
2,4-D ND mg/L 0.010 1 05/02/12 08:00 05/03/12 01:16 94-75-7
2,4,5-TP(4ilvex) • ND mg/L 0.010 1 05/02/12 08:00 05/03/12 01:16 93-72-1 M1
Surrogates
2,4-DCAA(S) 77 % 70-130 1 05/02/12 08:00 05/03/12 01:16 19719-28-9
6010 MET ICP,TCLP Analytical Method:EPA 6010 Preparation Method:EPA 3010
Leachate Method/Date:EPA 1311;05/07/12 17:25
Arsenic ND mg/L 0.025 1 05/08/12 11:10 05/08/12 17:10 7440-38-2
Barium • 0.58 mg/L 0.50 1 05/08/12 11:10 05/08/12 17:10 7440-39-3
Cadmium ND mg/L 0.0050 1 05/08/12 11:10 05/08/12 17:10 7440-43-9
Chromium 0.084 mg/L• 0.025 1 05/08/12 11:10 05/08/12 17:10 7440-47-3
Lead ND mg/L 0.025 1 05/08/12 11:10 05/08/12 17:10 7439-92-1
Selenium ND mg/L 0.10 1 05/08/12 11:10 05/08/12 17:10 7782-49-2
Silver ND mg/L 0.025 1 05/08/12 11:10 05/08/12 17:10 7440-22-4
7470 Mercury,TCLP Analytical Method:EPA 7470 Preparation Method:EPA 7470
Leachate Method/Date:EPA 1311;05/07/12 17:25
Mercury ND ug/L 0.20 1 05/08/12 11:35 05/09/12 11:47 7439-97-6
8270 MSSV TCLP Sep Funnel Analytical Method:EPA 8270 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;04/30/12 13:30
1,4-Dichlorobenzene ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 106-46-7
2,4-Dinitrotoluene ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 121-14-2 '
Hexachloro-1,3-butadiene ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 87-68-3
Hexachlorobenzene ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 118-74-1
Hexachloroethane ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 67-72-1
2-Methylphenol(o-Cresol) ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 95-48-7
3&4-Methylphenol(m&p Cresol) ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44
Nitrobenzene ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 98-95-3
Pentachlorophenol ND ug/L 100 1 05/01/12 11:15 05/01/12 21:44 87-86-5
Pyridine ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 110-86-1
2,4,5-Trichlorophenol ND ug/L 50.0 1 05/01/12 11:15 05/01/12 21:44 95-95-4
Date:05/09/2012 03:01 PM REPORT OF LABORATORY ANALYSIS Page 4 of 20
This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc..

® Pace Analytical Services,Inc. Pace Analytical Services,Inc. Pace Analytical Services,Inc.
aceAnalytical 205 East Meadow Road-Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100
wyy.com . Eden,NC 27288 Asheville,NC 28804 Huntersville,NC 28078
•
[phone] [phone] [phone]
•
ANALYTICAL RESULTS .
Project: . 120425-19
Pace Project No.: 9211.7286
Sample: 120425-19 Lab ID: 92117286001 Collected: 04/25/12 12:30 Received: 04/26/12 13:40 Matrix: Solid
Results reported on a"dry-weight"basis •
Parameters Results Units Report Limit . DF Prepared Analyzed CAS No. Qual
•
8270 MSSV TCLP Sep Funnel Analytical Method:EPA 8270 Preparation Method:EPA 3510
Leachate Method/Date:EPA 1311;04/30/12 13:30
2,4,6-Trichlorophenol ND ug/L . 50.0 1 05/01/12 11:15 05/01/12 21:44 88-06-2
Surrogates
Nitrobenzene-d5(S) 76 % 12-102 1 05/01/12 11:15 05/01/12 21:44 4165-60-0
2-Fluorobiphenyl(S) 73 % 13-107 1 05/01/12 11:15 05/01/12 21:44 321-60-8
Terphenyl-d14(S) 88 % ' 21-132 1 05/01/12 11:15 05/01/12 21:44 1718-51-0
Phenol-d6(S) 24 % 10-110 1 05/01/12 11:15 05/01/12 21:44 13127-88-3
2-Fluorophenol(S) 35 % - 10-110 1 05/01/12 11:15 05/01/12 21:44 367-12-4
2,4,6-Tribromophenol(S)• 73 % 27-108 1 05/01/12.11:15 05/01/12 21:44 118-79-6
8260 MSV TCLP Analytical Method:EPA 8260
•
Benzene ND ug/L - 190 38 05/01/12 20:25 71-43-2
2-Butanone(MEK) ND ug/L' 380 38 0'5/01/12 20:25 78-93-3 •
Carbon tetrachloride ND ug/L 190 38 05/01/12 20:25 56-23-5
Chlorobenzene ND ug/L - 190 38 05/01/12 20:25 108-90-7
Chloroform ND ug/L 190 38 05/01/12 20:25 .67-66-3
1,4-Dichlorobenzene ND ug/L 190 38 05/01/12 20:25 106-46-7
1,2-Dichloroethane 'ND ug/L 190 38 05/01/12 20:25 107-06-2
1,1-Dichioroethene ND ug/L 190 38 05/01/12 20:25 75-35-4
Tetrachloroethene - ND ug/L 190 38 05/01/12 20:25 127-18-4
Trichloroethene ND ug/L 190 38 05/01/12 20:25 79-01-6
Vinyl chloride ND ug/L 190 38 05/01/12 20:25 75-01-4
Surrogates •
1,2-Dichloroethane-d4(S) 99 % 70-130 38 05/01/12 20:25 17060-07-0 1g
Toluene-d8(S) 99 % . 67-135 38 05/01/12 20:25 2037-26-5
4-Bromofluorobenzene(S) 101 % 70-130 38 05/01/12 20:25 460-00-4
Dibromofluoromethane(S) 103 % - 70-130 38 05/01/12 20:25 1868-53-7
Percent Moisture' Analytical Method:ASTM D2974-87
V
Percent Moisture 42.0 % 0.10 1 04/27/12 14:14
1010 Flashpoint,Closed Cup Analytical Method:EPA 1010
Flashpoint >200 deg F 70.0 1 05/01/12 17:55
Reactive Sulfide Analytical Method:SW-846 7.3.4.2
Sulfide,Reactive ND mg/kg 100 1 05/07/12 14:45
9045 pH Soil Analytical Method:EPA 9045
pH at 25 Degrees C 6.2 Std.Units 0.10 1 05/04/12 12:45
733C S Reactive Cyanide Analytical Method:SW-846 7.3.3.2 •
Cyanide,Reactive ND mg/kg • . 0.025 1 • 05/02/12 16:41
Date:05/09/2012 03:01 PM REPORT OF LABORATORY ANALYSIS Page 5 of 20
• This report shall not be reproduced,except in full,
without the written consent of Pace Analytical Services,Inc.. •

ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM(02T Rules)
.Facility Name: Broad River Water Authority WQ Permit Number: WQ0035576
WWTP Name: Broad River Water Authority NPDES Number: NCO181035
Monitoring Period: From 1/1/2012 To 12/31/2012
Pathogen Reduction (15A NCAC 02T .1106) -Please indicate level achieved and alternative performed:
•
Class A: Alt. A (time/temp) ❑ Alt B (Alk Treatment)❑ Alt. C (Prior Testing)❑
Alt.D (No Prior Test) El Process 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: Alt. (1) Fecal Density ❑ 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 monitoring data:
Patho en Densi Number of Analytical
Allowable Level g ty Frequency Sample
• Parameter Excee- Tech-
in Sludge Minimum Geo. Mean Maximum Units of Analysis Type
dences moue niaue
2 x 10 to the MPN
.f.�,, 6th power
per gram of CFU
Fecal coliform total solids
1000 mpn per gram
of total solid (dry 3 3 4 MPN/g 0 7 grab sm9221e
weight)
Salmonella bacteria 3 MPN per 4 grams
(in lieu of fecal total solid(dry
coliform) 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) ❑ Alt. 4 (Spec. 02 uptake) ❑
Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying- Stable) ❑ Alt. 8 (Drying-Unstable) ❑
Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed [:1
CERTIFICATION STATEMENT (please check the appropriate statement)
❑ "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."
Brad Joyner WTP Superintendent Dennis Key Southern Soil Builders, Inc.
Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print)
i:_:0t' 2or� �- 5-1\3
'gnature o ' :�.ar;• 4ate Si ature of La Applier(if applicable) Date
*Preparer is A �d i �:,40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26)
DENR FORM PVRF 02T (12/2006)

=f,
S
Southern' )
Soil 958 Hoots Road Roaring River, NC 28669
S [phone] • Fax [phone]
B Builders, Inc .
AAquifer Protection SecctiNR on
SEP 08 2011
Wednesday, September 07, 2011
RECE[IVIED
North Carolina Department of Environmental and Natural Resources
Division Of Water Quality S P 22 2611
Aquifer Protection Section
Land Application Unit Asheville Regional Office
2728 Capital Boulevard Aquifer Protection
Raleigh,NC 27604
Subject: Permit Application for the Distribution of Class A Residuals
1.) Broad River Water Authority
Spindale,NC
Enclosed you will find the permit application for the distribution of class A residuals
from the Broad River Water Authority Water Treatment Plant located at 1661 Barber
Road Rutherfordton,NC 28139 located in Rutherford County, in the NCDENR's
Asheville Regional Office.
This distribution of class A residuals will occur using both dump trailers and cake
spreaders and also using a dredge and tanker trucks and liquid spreaders. The material
will be given away to local land owners and farmers as a soil amendment. The residuals
will be land applied in an agronomic matter as not to: overload the soil and cause
contravention of surface water or groundwater standards, limit crop growth, or adversely
impact soil quality.
If you have any question or concerns, please contact me at [phone] or at
[e-mail]
Sincerely,
_ V
Zach Key
Southern Soil Builders, Inc.

WATF9Q • State of North Carolina
-O G Department of Environment and Natural Resources
`� r titEteril:PDprotieopc:tion:SpielpictivrnDivision of Water Quality
- — ♦ DISTRIBUTION OF CLASS A RESIDUALS
• ,. INSTRUCTIONS FOR FORM: DCAR 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit(LA U) web site at:
http://portal.ncdenr.org/web/wq/aps/lau
General — This application is for treatment, storage, transport, distribution, land application, and/or marketing of Class A (or
Equivalent)residuals under 15A NCAC 02T.1100.
Unless otherwise noted,the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Distribution of Class A Residuals(FORM: DCAR 08-11):
9 Submit the completed and appropriately executed Residuals Land Application Program (FORM: RLAP 08-11) form. Please
do not make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments
-to the application may be made, as long as the attachments are numbered to correspond to the section and item to which they
,refer.
• The project name should be consistent on the plans,specifications,etc.
0 The Applicant's Certification on Page 3 of this form shall be signed in accordance with 15A NCAC 02T .0106(b). An
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T.0106(b).
0 If this project is for a modification of an existing permit,submit one copy of the existing permit.
O Please submit this application form at least 180 days prior to the expiration date on the existing permit, or 90 days prior to
operation of proposed facility(ies)for application packages involving new or changes to treatment and storage units.
B. Application Fee(New and Major Modification Application Packages)
D Submit a check, money order or electronic funds transfer made payable to: North Carolina Department of Environment and
Natural Resources(NCDENR).
O STANDARD REVIEW — Submit the appropriate fee for all new and major modification applications as listed in the table
below.
O EXPRESS REVIEW—Visit the Express Review webpage for the Express Fee Schedule:
STANDARD APPLICATION REVIEW FEES:
Facility Classification New Permit Major Modification l
Major(residuals permitted for distribution >—3,000 dry tons/year) I $1,310 $395
Minor(residuals permitted for distribution<3,000 dry tons/year) $810 $245
-A major modification shall be defined as any permit modification that: increases the generating facility's residuals dry tonnage;
adds additional residuals sources; or includes the addition of new treatment or storage units/processes not previously permitted.
There is no fee for minor permit modifications.
C. Cover Letter(All Application Packages)
[] List all items included in the application package, as well as a brief description of the requested permitting action.
INSTRUCTIONS FOR FORM:DCAR 08-11 Page 1 of 3

D. Program Information(All Application Packages)
0 Provide a narrative explaining the following:
0 How the materials will be handled and transported from where the residuals were produced to where it will be treated.
El How the residuals will be processed/treated(attach process flow diagram).
How leachate collection will be handled.
Where the residuals will be stored until processed.
Ei How the final product will be distributed(packaging, bulk,etc.)
What nutrients or other constituents (i.e. nitrogen, phosphorous, aluminum, calcium, etc.) are used or recommended as the
limiting parameter for determination of residuals loading rate to ensure that it does not overload the soil and cause
contravention of surface water or groundwater standards, limit crop growth, or adversely impact soil quality.
O Attach a marketability statement detailing destinations and approximate amounts of the final product to be distributed.
Provide either a label that shall be affixed to the bagged processed residual or an information sheet that shall be provided to
the person who receives the processed residual. The label or information sheet shall contain, at a minimum, the following
information:
❑Name and address of the person who prepared the residual that is sold or given away.
A statement that application of the residuals to the land shall be in accordance with the instructions on the label or
information sheet.
0 A statement that the residuals shall not be applied to any site that is flooded, frozen or snow-covered.
❑ A statement that adequate procedures shall be provided to prevent surface runoff from carrying any disposed or stored
residuals into any surface waters.
0 Information on all applicable setbacks in accordance with 15A NCAC 02T.1 108(b).
A statement that the residuals shall be applied at agronomic or recommended rates for intended uses.
E. Detailed Plans and Specifications(Application Involving New or Changes to Treatment or Storage Units)
❑ Submit detailed plans and specifications that have been signed, sealed, and dated by a NC Professional Engineer per I5A
NCAC 02T .1 104(a). Specifications for standard equipment may only be omitted for municipalities with approved standard
specifications,but use of the standard specifications must be noted on each sheet of the plans.
0 Plans must include the following minimum items: a general location map, a topographic map, plan and profile view of the
residuals treatment and storage units as well as the proximity of the residuals treatment and storage units to other utilities and
natural features within 500 feet of all treatment and storage facilities,and detail drawings of all items pertinent to the residuals
treatment and storage units. Depict minimum separations required in 15A NCAC 02T .1 108(a)on the plans.
❑ Specifications must include, at a minimum, the following for all items pertinent to residuals treatment and storage units:
description of materials to be used, methods of construction, quality of construction testing procedures to ensure the integrity
of the final product in accordance with 15A NCAC 02T .1 104(a)(2)(B), including leakage and pressure testing as appropriate.
❑ Plans and specifications must not be labeled with preliminary phrases (e.g., FOR REVIEW ONLY, NOT FOR
CONSTRUCTION, etc.)that indicate that they are anything other than final plans and specifications. However,the plans and
specifications may be labeled with the phrase: FINAL DESIGN—NOT RELEASED FOR CONSTRUCTION.
F. Engineering Calculations(Application Involving New or Changes to Treatment or Storage Units)
❑ Submit all design calculations that have been signed, sealed, and dated by a NC Professional Engineer per 1 5A NCAC 02"1
.1 104(a).
G. Environmental Assessments(May be Required—See I5A NCAC 1 C .0300)
• Submit a copy of the Findings of No Significant Impact (FONSI) or Environmental Impact Statement (EIS). Also, include
information on any mitigating factor(s)from the Environmental Assessment(EA)that impact the construction of the residuals
treatment and storage facilities. An EA may also be required for private systems if any public funds and/or lands are used for
the construction of the subject facilities.
H. Operation and Maintenance Plan (New and Renewal Application Packages)
• For Modification Application, if there are any changes to the existing plan,submit an updated O&M plan.
El Submit the O&M Plan in accordance with 15A NCAC 02T.1 1 10 and include at a minimum:
O Operational functions; describe the operation of the program to show what operations are necessary for the program to
function and by whom the functions are to be conducted.
INSTRUCTIONS FOR FORM: DCAR 08-11 Page 2 of 3

Y: Y
❑ Maintenance schedules;may include equipments calibration, maintenance of signs,etc.
▪ Safety measures;may include safety training program, manuals,signs,etc.
• Spill response plan; including control,containment,remediation,emergency contact information, etc.
El Inspection plan including the following information;
❑ Names and titles of personnel responsible for conducting the inspections.
❑ Frequency and location of inspections, including those to be conducted by the ORC,and procedures to assure that the selected
location(s)and inspection frequency are representative of the residuals management program.
❑ Detailed description of inspection procedures including record keeping and actions to be taken by the inspector in the event
that noncompliance is observed.
❑ Sampling and monitoring plan including the following information;
❑ Names and titles of personnel responsible for conducting the sampling and monitoring.
❑ Detailed description of monitoring procedures including parameters to be monitored.
❑ Sampling frequency and procedures to assure that representative samples are being collected. Fluctuation in temperature,
flow, and other operating conditions can affect the quality of the residuals gathered during a particular sampling event. The
sampling plan shall account for any foreseen fluctuations in residuals quality and indicate the most limiting times for residuals
to meet pathogen and vector attraction reduction requirements (e.g. facilities that land apply multiple times per year but have
an annual sampling frequency, may need to sample during winter months when pathogen reduction is most likely to be
negatively affected by cold temperatures.
ONE ORIGINAL AND TWO COPIES OF THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL
SUPPORTING INFORMATION AND MATERIALS,SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service: By Courier/Special Delivery:
1636 MAIL SERVICE CENTER 2728 CAPITAL BOULEVARD
RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
INSTRUCTIONS FOR FORM: DCAR 08-1 1 Page 3 of 3

'- 1• r`,
�FWA7
State of North Carolina
O� QG RECEIVED 1 DENR!DWQ Department of Environment and Natural Resources
r MI
Protection Section P Division of Water Quality
SEP 0:8 2011
DISTRIBUTION OF CLASS A RESIDUALS
FORM: DCAR 08-11
I. APPLICANT INFORMATION:
1. Applicant's name: Broad River Water Authority
Applicant type: 0 Individual El Corporation ,ti General Partnership 0 Privately-Owned Public Utility
0 Federal El State 11 Municipal 0 County
Signature authority's name per I 5A NCAC 02T.0106: Maria Hunnicutt Title: Manager
Applicant's mailing address: PO Box 37
City: Spindale State:NC Zip:28160
Telephone number: [phone] Email Address: [e-mail]
2. Consultant's name: Southern Soil Builders, Inc. License Number(for P.E.): ji'' '
Affiliation: On Staff Retained(Firm: )
Consultant's mailing address: 958 Hoots Road
City: Roaring River State:NC Zip:28669-
1Telephone number: [phone] Email Address: zkey(a,southernsoilbuilders.com
3. Fee submitted: $810.00(See Instruction B)
II. PERMIT INFORMATION:
1. Application is for(check all that apply):Z new, (] modified, 0 renewed permit
2. If this application is being submitted to renew or modify an existing permit,provide the following:
Permit number: ik'.Tg`'"f,
Date of most-recently issued permit: Og 5'='#
Date of most-recently certified Attachment A(if different than the permit): ?- " •
III. FACILITY INFORMATION:
1. Name of residuals processing facility: Broad River Water Authority WTP
City: Rutherfordton State:NC Zip:28139- - t
Coordinates: Latitude: 35° 18.706 Longitude: 081° 59.353
Datum:NAD 83 Level of accuracy: 0.01
Method of measurement:gps -- ---
3 c 31 22 ,-2',v
County where facility is located: Rutherfordton
2. Facility contact(person familiar with residuals preparation): cg ( .9.3 6 a7 w
Name: Brad Joyner Title: WTP Supe:
Mailing address: PO Box 37
• City: Spindale State:NC Zip:
Telephone number: [phone] E-mail address: [e-mail]
FORM: DCAR 08-11 Page 1 of 3

3. Is the residual process facility also the generator? Z Yes; ❑ No
If No,please specify delivery frequency and quantity of residual to be processed: T';'`':!-
4. Length of residuals storage at facility: 365 days (Note: the Division requires minimum 30 days storage in units that are
separate from treatment system, i.e. not in clarifiers,aeration basins,etc.)
IV. RESIDUALS QUALITY INFORMATION:
1. Specify how these residuals will be distributed:
❑ sold or given away in bags or other containers; ❑ lawn (bulk); ❑ home garden(bulk);
® other(explain); given away through land application
Note: Bulk residuals shall mean residuals that are transported and not sold or giving away in a bag or other receptacles with a
load capacity of one metric ton or less.
2. Complete the following if residuals are to be mixed with other materials:
Type of Materials Amounts to be added
per 1.0 dry ton of residuals(dry ton)
ti
3. /Approximate amounts of the residuals received and processed at the facility: 1,649 dry tons per year.
4. Approximate amounts of the final product(processed residuals)to be distributed: I.649 dry tons per year.
5. Provide a description of the onsite storage management plan for the treated residuals (including estimated average and
maximum storage times prior to distribution): s
6. Does the facility have a stormwater management plan? 0 Yes; ® No
Explain whether the treatment and storage areas are under roof or how stormwater runoff will be handled: All runoff will
remain in the lagoon
V. RESIDUALS SOURCE INFORMATION: (Not required if no new,renewed,or modified residuals source)
Complete and submit the attached Residuals Source Certification and all associated documentation.
Residuals Source
Certification
FORM: DCAR 08-11 Page 2 of 3

Professional Engineer's Certification: (Application Involving New or Changes to Treatment or Storage Units)
I, ,attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. l further attest that to the best of my knowledge
the proposed design has been prepared in accordance with the applicable regulations. Although certain portions of this submittal
package may have been developed by other professionals, inclusion of these materials under my signature and seal signifies that I have
reviewed this material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Seal, Signature,and Date:
RECEIVED/DENR i®Vvo
Aquifer Protection Sodom
ISEP 08 oil
Applicant's Certification:
The applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater facility without
proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned,are compliant with any
active compliance schedule,and do not have any overdue annual fees under Rule 15A NCAC 02T .0105.
atires No, Explain;
.1.Qa.v,o
(Signature Authority's Name—PLEASE PRINT) (Title)
attest that this application for Z(0.11" 7��u'''k ,
(Facility Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that the Division of Water Quality
may not conduct a technical review of this program and approval does not constitute a variance to any rules or statutes unless
specifically granted in the permit. Further, any discharge of residuals to surface waters or the land will result in an immediate
enforcement action, which may include civil penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the
Division of Water Quality should a condition of this permit be violated. I also understand that if all required parts of this application
are not completed and that if all required supporting information and attachments are not included, this application package will be
returned to me as incomplete.
Note: In accordance with North Carolina General Statutes §143-215.6A and §143-215.6B, any person who knowingly makes any
false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor, which may include a fine
not to exceed$10,000 as well as civil penalties up to$25,000 per violation.
Signature: ct-� Date: - - l`
FORM: DCAR 08-11 Page 3 of 3

fl
• Product Information: Residuals produced from:
Broad River Water Authority
Water Treatment Plant
PO Box 37
Spindale,NC 28160
• This product contains plant nutrients such as nitrogen and aluminum and
can be used as a soil amendment. This material has been processed in
accordance with EPA guidelines. Chemical composition of this product
is such that it does not exceed pollutant ceiling concentrations.
• It shall not be applied to any site that is frozen, snow-covered, or
flooded. It shall not be applied within 10 feet of any public, private water
supply source (including wells) and any stream, lake, river, or natural
drainage way. It should not be applied within a 100-year flood plain
unless incorporated within 24 hours.
• For current analysis and appropriate loading rates for farmland
application, contact:
Southern Soil Builders, Inc.
958 Hoots Road Roaring
Roaring River,NC 28669
Phone [phone]
E-Mail [e-mail]
• Application of this material to the land is prohibited except in
accordance with instructions on this label. Use of the material should
conform to recommendations of the current analysis and loading rates.

Operation and Maintenance Plan
Broad River Water Authority
Permit No.
In accordance to the requirements as issued by the North Carolina Department of
Environmental and Natural Resources using NCGS 143-215.1 and 143-215.3(a) based on
15A NCAC 02T .110, the Broad River Water Authority and Southern Soil Builders, Inc.
is implementing this Operation and Maintenance Plan.
4
c The Class A distribution program from the Broad-River er Authority be conduc
fr e Water Treatment facility, located a lue Ridge Tissue'facility located at i(Q(Q /
artier oad, in Spindale, NC. Residuals will e remove and given away to local
-armers to b e used as a soil amendment. The residuals will be removed on as needed
bases; astuation in the output of the plant will vary with changing economic 7
conditions-The day to day operation o "tt el�running o"t e ater re ' e "
conducted by Broad River Water Authority. The operations of the distribution program
- will be conducted by Southern Soil Builders, Inc.
The following label shall be provided to every recipient of the residual material, in
addition to this label, the ORC will make sure every recipient is educated in the proper
use of the residuals.
• Product Information: Residuals produced from:
Broad River Water Authority
PO Box 37
Spindale,NC 28160
• This product contains plant nutrients such as nitrogen and aluminum and
can be used as a soil amendment. Residuals have been processed in
accordance with EPA guidelines (Class A Pathogen Requirements).
Chemical composition of this product is such that it does not exceed
pollutant ceiling concentrations or monthly average concentrations for
Arsenic, Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel,
Selenium and Zinc.
• For current analysis and appropriate loading rates for farmland
application, contact Southern Soil Builders, Inc. 958 Hoots Road Roaring River, NC
28669. Phone [phone]

• The residuals shall not be applied to the land under the flowing conditions:
• Application of this material to the land is prohibited except in
accordance with instructions on this label. Use of the material should
conform to recommendations of the current analysis and loading rates
Prior to distributing these residuals to local farmers, the following sampling conditions
must be met:
Toxicity Characteristics Leaching Procedure (TCLP) will be conducted each
quarter that a distribution event takes place.
An analysis of the parameters will be conducted each quarter a distribution event
takes place.
A fecal coliform test shall be conducted as required in 15A NCAC 027T .1106
chapters (a) and (b) to show that the density of the fecal coliform is less than
1,000 MPN per gram of total solids, each quarter a distributing event takes place
These samples will be collected by the ORC or his/her designee and transported to an
approved lab the same day the samples are taken, as in accordance to 15A NCAC 02B
.0505. The samples must be taken in a matter to ensure a representative sample of the
residuals has been taken.
To prevent any spills and or safety issues from occurring the flowing will take place
during a distribution event.
1. Access to the facility will be controlled with a locked gate and signs to
prevent any unauthorized entry into the complex; this gate will be lock at the
end of each day.
2. All pumps and hose will be checked at the start of each day for leaks or loose
fittings.
3. All tanker valves are closed prior to loading and lids are closed prior to
transport.
4. All dump trailers or dump trucks gates are tightly fastened and do not leak
prior to transport.
5. All on road equipment is check as per DOT regulations for any safety or
mechanical hazards or issues.

A. T -
6. All equipment is secured at the end of each working day to prevent any
tampering or unauthorized use.
The following procedures will take place in the unlikely event of a spill:
SPILL CONTROL PLAN- Southern Soil Builders, Inc.
BROAD RIVER WATER AUTHORITY
In the event of a spill, the following should be taken IMMEDITALY.
1. Halt the source of the spill- overturned truck, leaking valve, ruptured tank.
2. Contain the spill. Use straw bales or earthen barrier to form a dike to contain the
spill.
3. Cleanup. Employ vacuum trucks, dump trucks, and loaders to remove as much of
the spilled material as possible. Use straw to soak-up the remaining material.
Dispose of the same in a landfill.
4. Flush the roadways with water if needed. If the spill occurred on a tillable area,
till the same into the soil and spread lime if necessary. If a spill occurs on private
property, final clean-up should be to the satisfaction of the owner.
5. Notification. (This should be done as soon as safely possible.)
Southern Soil Builders, Inc. Main Office [phone]
Broad River Water Authority Maria Hunnicutt 828-286-0640
NCDENR, Asheville Regional Office [phone]
County Emergency Services (Sheriff, Fire Dept.) 911
6. Reporting. The project manager shall detail how the spill occurred and all action
that was taken. A written report shall be given to the Asheville regional office as
soon as possible, and within 24 hours of the spill, or next working day.
7. Spill Prevention. The easiest way to clean a spill is to prevent one.
A. Ensure loading personal watch the vehicle being loaded.
B. Ensure all valves and lids are closed.

T
C. Inspect all seals and replace if necessary.

,
�pF W ATFgQ • State of North Carolina
"--
O G Department of Environment and Natural Resources
>
Division of Water Quality
RESIDUALS SOURCE CERTIFICATION
INSTRUCTIONS FOR FORM: RSC 08-11
Please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to these
instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of additional
information requested. Failure to submit all of the required items will lead to additional processing and review time for the
permit application. Unless otherwise noted, the Applicant shall submit one original and two copies of the application and
supporting documentation
For more information or for an electronic version of this form, visit the Land Application Unit(LA U)web site at:
http://portal.ncdenr.org/web/wq/aps/lau
General — This certification provides detailed information of residuals source generating facility and its residuals quality for land
application,distribution,or disposal in accordance with 15A NCAC 02T .1100. Do not submit this certification for review without
a corresponding application form(FORM: RLAP 08-11,FORM: DCAR 08-11,or FORM: SDR 08-11).
Unless otherwise noted,the Applicant shall submit one original and two copies of the application and supporting documentation listed
below.
A. Residuals Source Certification(FORM: RSC 08-11):
❑ Submit the completed and appropriately executed Residuals Source Certification (FORM: RSC 08-1 I) form. Please do not
make any unauthorized content changes to this form. If necessary for clarity or due to space restrictions, attachments to the
application may be made,as long as the attachments are numbered to correspond to the section and item to which they refer.
❑ Fqr new or renewed permits,submit a separate certification for each source facility.
❑ For modified permits,submit a separate certification for only those facilities that are affected by the proposed modification.
❑ Complete the residuals source facility summary page. List all new,renewed,or modified facilities.
B. Residuals Source-Generating Facility Information:
❑ For each source facility,attach the following:
❑ Vicinity map-A vicinity map that shows the location of the facility and meets all of the criteria in the"Map Guidance for
Residuals Land Application Permits".
❑ Process flow diagram and/or narrative-A detailed narrative and/or process flow diagram that describes how the residuals
are to be generated,treated,processed,and stored at the facility.
❑ Quantitative justification for residuals production rate - A quantitative justification for the value provided in Item 1. 8.
Ensure that the amount of residuals listed is the maximum amount expected to be generated by the facility for the life of
the permit. In addition, ensure that this amount is equivalent to that which is actually to be land applied, distributed,
and/or disposed, including any chemicals, amendments, or other additives that are added to the residuals during
processing.
❑ Sampling plan - A detailed sampling plan for the residuals source-generating facility. Ensure that the plan identifies
sampling points, sampling frequency, sample type, as well as the Division-certified laboratory to be used. In addition,
ensure that the plan details how the facility and/or the residuals are monitored for any applicable pathogen reduction and
vector attraction reduction requirements. Note that all sampling and monitoring must be completed on the residuals as
they are to be land applied,distributed,and/or disposed.
C. Residuals Quality Information:
❑ For each source facility,attach the following:
❑ Laboratory analytical reports and operational data-reports for all laboratory analyses used to complete this certification.
❑ Documentation that the facility complies and/or the residuals comply with any applicable pathogen reduction and vector
attraction reduction requirements.
❑ For new facility that may have not yet been constructed and analytical results of residuals cannot be obtained, please
attach analytical results of residuals generated from a similar facility along with the description of similarities of the two
facilities.
INSTRUCTIONS FOR FORM:RSC 08-11 Page 1 of 1

RESIDUALS SOURCE FACILITY SUMMARY
Applicant's name: Broad River Water Authority
Maximum Dry Tons Per Year
Status Facility Permit Holder Facility Name County Permit Number b
Code' CurrentProposed
N Broad River Water Broad River Water Authority Rutherfordton 1,649
Authority WTP
'Status Code for source facility are: •N(New) •R(Renewed) •M(Modified) •D(Deleted)
b The amount of residuals currently permitted for distribution,land application,or disposal(i.e,not applicable to new facility).
SUMMARY FOR FORM: RSC 08-1 1 Page 1

' W ATFAP - State of North Carolina
Department of Environment and Natural Resources
C Division of Water Quality
>
'c RESIDUALS SOURCE CERTIFICATION
FORM: RSC 08-11
I. RESIDUALS SOURCE-GENERATING FACILITY INFORMATION(See Instruction B.):
1. Facility Name: Broad River Water Authority
2. Facility permit holder is: " Federal, [J State, E Local Government,or El Private.
Facility permit issued by: 0 Div.of Water Quality, 0 Div.of Environmental Health,
or 0 Other(explain: ,`' ).
3. Facility contact person and title: Maria Hunnicutt
Complete mailing address: PO Box 37
City: Spindale State:NC Zip:28160
Telephone number: [phone] E-mail address: mhunnicutt(crincbrwa.com
4. Facility physical address: 1661 Barber Road
City: Rutherfordton State:NC Zip:28139
Coordinates: Latitude: 35°18.809 Longitude:081°59.304
Datum:NAD 83 Level of accuracy: .01
Method of measurement:gas
5. Purpose of the facility:
0 treatment of municipal wastewater, 0 treatment of 100%domestic wastewater,
® treatment of potable water, E] treatment of 100%industrial wastewater,
0 treatment of industrial wastewater mixed with domestic wastewater,
(approximate percentages:''"'"''' i% industrial and i``: l'','t%domestic)
0 other(explain: ).
6. Does the facility have an approved pretreatment program: 0 Yes 0 No
7. Facility permitted/design flow: 8 MGD and facility average daily flow: 6_4 MGD
8. Average amount of residuals being generated at this facility 900 dry tons per year.
9. Specify the following regarding treatment and storage volumes available at the facility:
Type and volume of residuals treatment: 2 sludge lagoon ponds 750,000 gallons each
Type and volume of residuals storage(i.e.,outside of residuals treatment units): None
II. RESIDUALS QUALITY INFORMATION (See Instruction C.):
1. Specify if residuals are regulated under:
0 40 CFR Part 503 or ® 40 CFR Part 257.
Note: Only residuals that are generated during domestic/municipal wastewater treatment processes are regulated under 40
CFR Part 503,otherwise,the residuals are regulated under 40 CFR Part 257.
2. Specify if residuals are defined under 15A NCAC 02T.1102(6)as:
0 Biological 1�2 Non-Biological
Note: Biological residuals are residuals that have been generated during the treatment of domestic wastewater, animal
processing wastewater, or the biological treatment of industrial wastewater (biological treatment is a system that utilizes
biological processes including lagoons, activated sludge systems,extended aeration systems,and fixed film systems).
FORM: RSC 08-11 Page 1 of 5

v.
3. Hazardous Waste Determination: Complete the following to demonstrate that the residuals are non-hazardous under
RCRA: (Note - this item does not have to be completed for facilities that are less than 0.5 MGD in design flow that treat
100%non-municipal,domestic wastewater only)
a. Are the residuals listed in 40 CFR §261.31-§261.33: ® yes 0 no.
If yes, list the number(s): i' a
b. Specify whether or not the residuals exhibit any of the characteristics defined by 40 CFR §261.21-
261.24: 0 yes /1 no.
Fill in the following tables with the results of the latest toxicity characteristic leaching procedure (TCLP) analysis as
well as those for corrosivity, ignitability,and reactivity:
Laboratory:Summit and Date of analysis: 12-28-2010
Passed corrosivity test: El yes Q no. pH: s.u. (2 <pH < 12.5)
Passed ignitability test: El yes 0 no. Flashpoint:>140°F(> 140°F)
Passed reactivity test: Ell yes Ono. HCN:ND mg/kg(<250)& H2S: ND mg/kg(<500)
TCLP Parameter Limit Result TCLP Parameter Limit Result
(mg/1) (mg/i) (mg/1) (mg/1)
Arsenic 5.0 ND Hexachlorobenzene 0.13 0.1
Barium 100.0 ND Hexachloro-1,3-Butadiene 0.5 0.1
Benzene 0.5 0.1 Hexachloroethane 3.0 0.1
Cadmium 1.0 ND Lead 5.0 ND
Carbon Tetrachloride 0.5 0.1 Lindane 0.4 0.002
Chlordane 0.03 0.01 Mercury 0.2 ND
Chlorobenzene 100.0 0.1 Methoxychlor 10.0 0.002
Chloroform 6.0 0.1 Methyl Ethyl Ketone 200.0 2.0
Chromium 5.0 ND Nitrobenzene 2.0 0.1
m-Cresol 200.0 5.0 Pentachlorophenol 100.0 0.25
o-Cresol 200.0 5.0 Pyridine 5.0 0.25
p-Cresol 200.0 5.0 Selenium 1.0 ND
Cresol 200.0 5.0 Silver 5.0 ND
2,4-D 10.0 5.0 Tetrachloroethylene 0.7 0.I
1,4-Dichlorobenzene 7.5 0.1 Toxaphene 0.5 0.1
1,2-Dichloroethane 0.5 0.1 Trichloroethylene 0.5 0.1
1,1-Dichloroethylene 0.7 0.1 2,4,5-Trichlorophenol 400.0 0.25
2,4-Dinitrotoluene 0.13 0.1 2,4,6-Trichlorophenol 2.0 0.25
Endrin 0.02 0.002 2,4,5-TP(Silvex) 1.0 0.5
Heptachlor and its Hydroxide 0.008 0.002 Vinyl Chloride 0.2 <0.2
FORM: RSC 08-11 Page 2 of 5

4. Metals Determination: Complete one of the following tables (i.e., as applicable) to demonstrate that the residuals do not
violate the ceiling concentrations for metals regulated under 15A NCAC 02T.1105.
a. For Distribution/Land Application: Fill in the following table with the results of the latest analyses (i.e., on a dry weight
basis) for the following metal parameters:
Laboratory: A&L Eastern Laboratories, Inc. and Date of analysis: 8-25-2011
Parameter Ceiling Monthly Average Result
Concentration Limits Concentration Limits
(ClassA & ClassB) (Class A Only)
(mg/kg) (mg/kg) (mg/kg)
Arsenic 75 41 6
Cadmium 85 39 1
Copper 4,300 I,500 29
Lead 840 300 16
Mercury 57 17 1.4
Molybdenum 75 n/a 5
1 Nickel 420 420 15
Selenium 100 100 1
Zinc 7,500 2,800 66
b. For Surface Disposal Unit(landfill): Fill in the following table with the results of the latest analyses(i.e.,on a dry weight
basis)for the following metal parameters:
Laboratory: ' '`'. and Date of analysis: ...
Distance from Disposal Arsenic Chromium Nickel
Unit to Boundary to
Closest Property Line
(meters, check one) (mg/kg) (mg/kg) (mg/kg)
O >O but<25 30 200 210
O >25 but<50 34 220 240
O >_50 but<75 39 260 270
0 >75 but< 100 46 300 320
0 > 100 but< 125 53 360 390
O ? 125 62 450 420
Result(mg/kg)
FORM: RSC 08-1 l Page 3 of 5

5. Nutrient/Micronutrient Determination: Complete the following:
a. Total solids: 49.44%. . I' tfc(
b. Fill in the following table with the results of the latest analyses (i.e., on a dry weight basis) for the following nutrient and
micronutrient parameters:
Laboratory: A&L Eastern laboratories,Inc. and Date of analysis: 8-25-2011
Parameter Result
(mg/kg)
Aluminum 94800
Ammonia-Nitrogen 142
Calcium 774 35 2•
Magnesium 409 �v� 09(g
Nitrate-Nitrite Nitrogen 43.1
pH (Standard Unit) 5.94
Phosphorus 915
Potassium 2170
Sodium 173 5-3/2
Total Kjeldahl Nitrogen 2140
c. Using the results listed in Item II. 5b. above, calculate the sodium adsorption ration (SAR): 0.96
[Note: If residuals contain SAR of 10 or higher, the applicant shall obtain recommendations from the local Cooperative
Extension Office, the Department of Agriculture and Consumer Services, the Natural Resource Conservation Service, a
North Carolina Licensed Soil Scientist,or an agronomist, prior to land application of residuals. The recommendations shall
address the sodium application rate, soil amendments (e.g., gypsum, etc.), or a mechanism for maintaining site integrity
and conditions conducive to crop growth].
d. Specify the mineralization rate to be used in calculating the plant available nitrogen (PAN) of the residuals: 40%. This
rate is a(check one): El default value,or ID actually established.
If the residuals are not generated from the treatment of municipal or domestic wastewater, explain or provide technical
justification as to why the selected default value is appropriate to be applied to these residuals: Default for Alum Sludge
e. Calculate the PAN for the residuals(i.e., on a dry weight basis)and fill the results in the following table:
Application Method First(1")Year PAN Five-Year
Maximum Adjusted PAN
(mg/kg) (mg/kg)
Surface 913.3 1388.2
Injection/Incorporation 984.3 1496.13
6. Other Pollutants Determination: Specify whether or not there are any other pollutants of concern in the residuals and provide
the results of the latest analyses: None
FORM: RSC 08-11 Page 4 of 5

3
7. Pathogen Reduction: Per 15A NCAC 02T.1106,specify how residuals will meet the pathogen reduction requirements:
a. For Distribution/Land Application of Class A or Equivalent:
® A fecal coliform density that is demonstrated to be less than 1,000 MPN per gram of total dry solids,
or
❑ A salmonella sp. density that is demonstration to be less than 3 MPN per 4 grams of total dry solids.
AND one of the followings(except for non-biological residuals):
❑ Alternative 1 [15A NCAC 02T.1 106(b)(3)(A)] -Time/Temperature Compliance.
❑ Alternative 2 [l5A NCAC 02T.1106(b)(3)(B)]-Alkaline Treatment.
▪ Alternative 3 [15A NCAC 02T.1106(b)(3)(C)]-Prior Testing for Enteric VirusNiable Helminth Ova.
❑ Alternative 4 [15A NCAC 02T.1106(b)(3)(D)] -No Prior Testing for Enteric VirusNiable Helminth Ova.
❑ Alternative 5 [15A NCAC 02T.1 106(b)(3)(E)-(K)] - Process to Further Reduce Pathogens (PFRP).
Specify one: 0 c• omposting, ❑ heat drying, ❑ heat treatment,
thermophilic aerobic digestion, ❑ beta ray irradiation,
0 g• amma ray irradiation, or ❑ pasteurization.
b. For Land Application of Class B:
❑ Alternative I [15A NCAC 02T.1106(c)(1)] - Fecal Coliform Density Demonstration.
❑ Alternative 2 [15A NCAC 02T.1 106(c)(2)]- Process to Significantly Reduce Pathogens(PSRP).
Specify one: 0 aerobic digestion, ❑ air drying, ❑ anaerobic digestion,
0 composting,or 0 lime stabilization.
c. ?For Surface Disposal:
❑ Select One of the Class A or Equivalent Pathogen Reduction Alternatives in Item II. 7a. above.
❑ Select One of the Class B or Equivalent Pathogen Reduction Alternatives in Item II. 7b. above.
❑ Exempt- If Daily Cover Alternative is chosen in Item 11.8.below[15A NCAC 02T.1 106(a)(2)].
❑ Not Applicable-Non-Biological Residuals with NO Domestic Wastewater Contribution.
8. Vector Attraction Reduction (VAR): Per 15A NCAC 02T.1107,specify how residuals will meet the VAR requirements:
❑ Alternative 1 [15A NCAC 02T.1 107(a)(1)] -38%Volatile Solids Reduction(Aerobic/Anaerobic Digestion).
❑ Alternative 2 [15A NCAC 02T.1107(a)(2)]-40-Day Bench Scale Test(Anaerobic Digestion).
❑ Alternative 3 [15A NCAC 02T.1107(a)(3)]-30-Day Bench Scale Test(Aerobic Digestion).
❑ Alternative 4 [15A NCAC 02T.1107(a)(4)] -Specific Oxygen Uptake Rate Test(Aerobic Digestion).
❑ Alternative 5 [15A NCAC 02T.1107(a)(5)] - 14-Day Aerobic Processes.
❑ Alternative 6 [15A NCAC 02T.1107(a)(6)] -Alkaline Stabilization.
❑ Alternative 7 [15A NCAC 02T.1 107(a)(7)] - Drying of Stabilized Residuals.
❑ Alternative 8 [15A NCAC 02T.1 107(a)(8)] - Drying of Unstabilized Residuals.
❑ Alternative 9 [15A NCAC 02T.1 107(a)(9)] - Injection.
Alternative 10 [15A NCAC 02T.1107(a)(10)]-Incorporation.
❑ Alternative for Surface Disposal Units Only-Soil/Other Material Cover[15A NCAC 02T.1 107(b)(2)].
►Z/ Not Applicable-Non-Biological Residuals with NO Domestic Wastewater Contribution.
Note: For animal processing residuals, only alternatives 9 or 10 may be chosen due to the nuisance conditions that typically
occur when these residuals are applied and left on the land surface.
FORM: RSC 08-11 Page 5 of 5

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1 MASS BALANCE LIQUIDS AND SOLIDS BALANCE - i I I
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9 Q . O (UC/L) (LBS/D)OS . Q
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2 10 MGO(MAX) - 27.8 2.300
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QUANTITATIVE JUSTIFICATION FOR RESIDUALS PRODUCTION RATE
The 1,649 dry tons requested in this permit application will be sufficient to meet the residuals output for
the Broad River Water Authority. It is estimated that the Authority will produce approximately 1,300 dry
tons of residuals per year.The 1,649 dry tons will be ample dry tons to meet any changes in the
production of residuals from the Broad River Water Authority.

Broad River.Water Authority WTP Sampling Plan
Quarterly, if a land application event occurs during the quarter, grab samples are
collected from the lagoons. Samples from the lagoons will be combined to form
individual grab samples to be sent to a laboratory for analysis. If a land application event
is to occur in the early part of a calendar year(i.e. in January or early February) these
samples may have to be taken in December so results can be obtained before the land
application event, as some results take 30+days to receive.
These individual grab samples are collected and tested for fecal coliform analysis,
nutrient analysis, and TCLP test.
Fecal Coliform is gathered in seven (7) individual samples and tested to meet the
requirements of 15A NCAC 027T .1106 chapters (a) and (b). This requirement is for the
geometric mean fecal coliform density of the samples be less than one thousand (1,000)
MPN per gram. These samples will be placed in 250 mL containers and placed on ice, in
a cooler for transported to the laboratory before 1600 hrs (4:00 PM) the same day the
samples are taken.
Quarterly, if land application occurs during a quarter, a composite residual solid
sample will be analyzed for:
Cadmium, Copper, Lead, Mercury, Molybdenum, Nickel, Selenium, Zinc, Aluminum,
Ammonia nitrogen, Calcium,Nitrate nitrogen,Nitrogen, Magnesium, %total solids, pH,
phosphorus, Potassium, TKN, and Sodium.
From this information, the Plant Available Nitrogen (PAN) and a Sodium Absorption
Ratio (SAR) will be calculated. This sample will be collected in a non-breakable plastic
container, at least one quart in size.
Quarterly, a composite TCLP sample will be collected to include:
Aresenic Hexachlorobenzene pH for Corrosivity
Barium Hexachloro-1, 3-Butadiene

•
Benzene Hexachloroethane Flash point for ignitability
Cadium Lead
Carbon Tetrachloride Lindane Sulfides and Cyanides for reactivity
Chlordane Mercury 1,2-Dichloroethane
Chlorobenzene Methoxychlor 1<1-Dichloroethylene
Chloroform Methyl Ethyl Ketone 2,4-Dinitrotoluene
Chromium Nitrobenzene Endrin
M-Cresol Pentachlorophenol Heptachlor and its Hydroxide
0-Cresol Pyridine Trichloroethylene
P-Cresol Selenium 2, 4, 5-Trichlorophenol
Cresol Silver 2, 4, 6-Trichlorophenol
2, 4-D Tetrachloroethylene 2, 4, 5-TP (Silvex)
1, 4-Dichlorobenzene Toxaphene Vinyl Chloride
This sample must contain at least Two (2) gallons for proper analysis to take place.
All the samples must be taken to a Division-certified lab and should be collected in the
same condition as the residuals are to be land applied.
s The current labs used are Statesville Analytical for TCLP and Fecal results. A&L Eastern
Laboratories is currently used for the Analysis test of the residuals.
1r\y

Page: I.of 2 -
Report Number: 11-241-0200
Account Number: 46381 fiti A A&L Eastern Laboratories,_ Inc.
7621%%Repine Road Richmond,Virginia 23237 (804)7439401 Fax[phone]
Submitted By: ZACH KEY www.aleastem.com - .
Send To: SOUTHERN SOIL BUILDERS Project:BRWA
DENNIS KEY - NC CERT#257
958 HOOTS ROAD
ROARING RIVER, NC 28669
•
- REPORT OF ANALYSIS Date Sampled: 8/25/2011 12:30:00
Lab Number 83774 Date Received: 08/29/2011 00:00
Sample Id:BRWA Date Reported: 09/02/2011 rTh
RESULT RESULT DETECTION LIMIT ANALYSIS
' PARAMETER (%) (mg/kg) (mglky*) ANALYST DATEITIME METHOD
Total Solids* 49.44 494400 100.0 D H 09/01/2011 14:50 SM-2540G
Moisture' 50.56 100.0 D H 09/01/2011 14:50 SM-2540G
Total Kjeldahl Nitrogen 0.21 2140 10.0 JM 08/30/2011 08:44 SM-4500-NH3C-TKN
- Total Phosphorus 0.09 915 - 100 KM 08/30/2011 10:00 SW 6010C _
_ Total Potassium 0.22 2170 100 KM 08/30/2011 10:00 SW 6010C
Total Sulfur 0.16 1610 100 KM 08/30/2011 10:00 SW 6010C .
Total Calcium 0.08 774 100 KM 08/30/2011 10:00 SW 6010C
Total Magnesium 0.25 2510 - 100 KM 08/30/2011 10:00 SW 6010C
Total Sodium 0.02' 173 100 KM 08/30/2011 10:00 SW 6010C -
Total Iron 35700 1 KM 08/30/2011 10:00 SW 6010C
Total Aluminum 94800 10 KM - 08/30/2011 10:00 _ SW 6010C
Total Manganese 409 - 1 KM 08/30/2011 10:00 SW 6010C
Total Copper 29 1 _ KM 08/30/2011 10:00 SW 6010C
Total Zinc 66 _ 1 KM 08/30/2011 10:00 SW 6010C
Ammonia Nitrogen 0.01 142 _ 10.0 JM 08/30/2011 08:44 SM-4500-NH3C
Organic N 0.20 1998 10.0 08/30/2011 08:44 CALCULATION
Nitrate+Nitrite-N 43.1 1.00 JM 08/30/2011 08:45 SM-4500NO3F
Total Cadmium <1.0 1.0 KM 08/30/2011 10:00 SW 6010C
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. gp2:10„/AM
Our!enrols and letters are for tine elcltsrve arrd confiderrtra!use of our clients;and may not be reproduced❑r whole or part nor may any reference be uradeto the work the results or the company rn any advertising news release or other public announcements without obtaining our prior written authorization
Debbie Holt

Page: 2 of 2
Report Number: 11-241-0200 A&L Eastern Laboratories, Inc.
Account Number: 46381in.8.
7621 Whitepine Road Richmond,Vlrglnia 23237 (604)7438401 Fax[phone]
Submitted By: ZACH KEY wwwa$eastern com .
Send To: SOUTHERN SOIL BUILDERS Project:BRWA
DENNIS KEY NC CERT#257
•
958 HOOTS ROAD .
ROARING RIVER, NC 28669
REPORT OF ANALYSIS Date Sampled: 8/25/2011-12:30:00
Lab Number: 83774 Date Received:08/29/2011 00:00
Sample Id :BRWA Date Reported: 09/02/2011 ('h'
RESULT RESULT DETECTION LIMIT ANALYST ANALYSIS METHOD
PARAMETER (%) (mg/kg) (mg/kg') DATE/TIME
•
Total Chromium 100 - 5 KM 08/30/2011 10:00 SW 6010C .
Total Nickel - 15 5 KM ' 08/30/2011 10:00 SW 6010C
Total Lead 16 5 KM 08/30/2011 10:00 SW 6010C
Total Arsenic 6.0 1.0 KM 08/30/2011 10:00 SW 6010C
Total Mercury 1.4 0,4 KM 08/30/2011 12:00 SW-7471B
Total Selenium <1.0 1.0 KM 08/30/2011 10:00 SW 6010C
pH(Standard Units)* 5.94 JM 08/30/2011 09:00 SW-9045D
Total Molybdenum <5 5 KM 08/30/2011 10:00 . SW 6010C
Comments:
QUALIFIER: THE LRB WAS OUT OF LIMITS FOR"Na". THE MATRIX SPIKE WAS OUT OF LIMITS FOR"Se". ALL OTHER QC DATA IS ACCEPTABLE.
All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis.
Our reports and letters are for the exclusive arid confidential use of our clients.and may not be reprouuced in whole or part ma may any reference be made 64,14;0"it.m.
to the work,the results..or the company in any abredrsing.news release or other public announcements wit/Out obtarnmy our prior written authorization
Debbie Holt

.
PAN
Mineralization as decimal Total dry Acres
Rate TKN NH3 NO3 NO2 % Solids tons/year Applied on
0.4 2140 142 43.1 0 0.4944 1649 50
PAN Surface MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg
I 913.31mg/kg 1.8266 lbs/dry ton
3012.063 lbs total PAN mg/kg x.002 =Ibs/dry ton
60.24127 lbs PAN/acre
PAN Injection MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg
I 984.3Img/kg 1.9686 lbs/dry ton .
3246.221 lbs total PAN mg/kg x .002 =lbs/dry ton
64.92443 lbs PAN/acre
Dry Tons/1000 gal. 1000 X 8.34 X%solids X sp. gravity "=dry tons/1000ga1."
I 2.061648 2000
1st year PAN IbsJacre
Surface lbs. Surface
3012.0634 60.241268
1st year PAN lbs./acre
Injected lbs. Injected •
I 3246.2214 64.924428 t '

SAR& ESP
Sodium Absorption Ratio Na(Mg/L) Ca(Mg/L) Mg(Mg/L)
Na : Sodium (Mg/L) Equivalent weight: 23 349.91 1565.5 5076.86
Ca : Calcium (Mg/L) Equivalent weight: 20
• Mg : Magnesium (Mg/L) Equivalent weight: 12 Na (ME) Ca (ME) Mg (ME)
15:21348 78.275 423.0717
Milli Equivalent= Mg/L/Equivalent weight
- SAR= Na Milli Equivalent/[0.5 X(Ca Milli Equivalent+ Mg Milli equivalent)]0.5 power
I SAR = 0.960892 I(From Mg/L entered above)
SAR= 0.960674 I(From ME entered below)
Na (ME) Ca (ME) Mg (ME).
15.21 78.275 423.07
Exchangeable Sodium Percentage
ESP Na (Milli Equivalents)/CEC X 100 • The percentage of sodium ions occupying the
Na (ME) CEC
ESP = #DIV/0!
Na on NC soil test is expressed as meq.

i
LABORATORY REPORT
Client
Synagro Southeast
284 Boger Rd.
Mocksville, NC 27028
Order Number
1020744
Project Number
Broad River Water Auth.
issued)
Tuesday, December 28, 2010
Total Number of Pages
5 (excluding C.O.C. and cooler receipt form)
•
Approved By :
QA Manager *1020744*
NELAC Accreditation #E87688

J
•
Sample Summary
Client: Synagro Southeast
Order Number: 1020744
Laboratory ID Client ID Matrix Sampling Date
1020744-01 Broad River Solid 12/13/2010

•
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, 3
Report Narrative
Client: Synaciro Southeast
Order Number: 1020744
•
Solid sample results are reported on a wet weight basis except as noted.
No problems were encountered during analysis of this order number, except as noted.
•
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Data Qualifiers: •
B =Analyte found in the method blank
= F:sumated concentration of analyte between MD( CLOD)and Reporting I !mil ii_OQt
Anaivle has been confirmed'by another instrument or method t•Aatr ces
Aro yto exooei 9 tne ;t)Ue'!r l 0't!:C cal l'�alio' i vt
D = Sample or extract was analyzed at a higher dilution t•" r
X = User defined dataqualifier •
" uid y
L - Liquid
S = Surrogate out of control limits • 0- Oil
U = Undetected SL= Sludge
a'. Not Accredited by NELAC SO= Sod
• S =Solid
ND = Non Detected at LOQ , T =Tablet
OF= Dilution Factor TC=TCLP Extract
WW = Waste Water
Limit Of Quantitation(LOQ)= Laboratory Reporting Limit(not adjusted for dilution factor) W =Wipe
Limit Of Detection(LOD)= Laboratory Detection Limit
Estimated uncertainty values are available upon request. ,
The test results meet the requirements of the NELAC standard, except where noted. The information contained in
this analytical report is the sole property of Summit Environmental Technologies, Inc. and that of the client. It cannot
be reproduced in any form without the consent of Summit Environmental Technologies, Inc. or the client for which this
report was issued. The results contained in this report are only representative of the samples received. Conditions
can vary at different times and at different sampling conditions. Summit Environmental Technologies, Inc. is not
responsible for use or interpretation of the data included herein.
• .

O
u
; 1-) 0 . -
December 28,2010 •
e - '✓ j',ii' is ':.1 �e'O,"iia.. '
Client: Synagro Southeast
Address: 284 Boger Rd.
Moeksvitle. NC 27028
Received: 12115/2010
•Project 0:Broad River Water Auth.
TCLP Metals
( hear IDa lab II)t+ Collected Analvte Reo Lmt Result Units Mau•is Method DP Re9Lvl Run Arttthsr
Broad River 1020744-01 13-Dec-10 Lead 0.5 ND mg/I S 1311 1 5 21-Dec-10 VVK
Broad River 1020744-01 13-Dec-10 Cadmium 0.1 ND : mg/I S 1311 1 1 21-Dec 10 VVK
Broad River 1020741-01 13-Dec-10 Chromium 0.2 ND mg/I S 1311 1 5 21-Dec-10 VVK
Broad River 1020744-01 13-Dec-10 Silver 0.5 ND mg/I S 1311 1 5 21-Dec-10 VVK
Broad River • 1020744-01 13-Dec-10 Mercury 0.002 ND mg/I S 1311 1 0.2' 21-Dec-10 VVK
Broad River 1020744-01 13-Dec-10 Barium 5 ND mg/I S 1311 I 100 21-Dec-10 VVK
Brood Rive' 1020744-01 13-Dec-10 Arsenic 0.5 ND mg/I S 1311 I S ?1-Dec•10 VVK
Broad River 1020744-01 13-Dec-10 Selenium 0.5 ND mg/I S 1311 1 1 21-Dec-10 VVK
TCLP Volatiles
( lee II i_ I ab ll)= ( ollecn•(1 \nat)te Rep Lmt Itr:uIi I nu: \Lure. \Irrhud III Regl.vi Hui; \nalt•r
Broad River 1020744-01 13-Dec-10 1,1-Dichloroethene 0.1 <0.1 , moll_ S 1311 1 , 0.7 21"Dec 10 MS
B:,:adR.ve: 1020744-01 13-Dec:101,2-Dichloroethane 0.1 <0.1 -ng:l- S :1 Det '.C, ''.•1S
Broad River : 1020744.01 :3-Dec.•10 2-Butanone(MEK) 2 <2.0 mgiL S 1311 1 200 21 Dec-10 MS
Broad River 1020744-01 13-Dec-10 Benzene 0.1 <0.1 mg/L" S 1311 1 0.5 21-Dec-10 MS
Broad River 1020744-01 13-Dec-10 Carbon Tetrachloride 0.1 <0.1 mg/L S 1311 1 0.5 21-Dec-10 MS
Broad River 1020744-01 13-Dec-10 Chlorobenzene 0.1 <0.1 mg/L S 1311 1 100 21-Dec.-10 MS
Broad River 1020741-01 13-Dec-10 Chloroform 0.1 <0.1 rng/L • S 1311 1 6 21 Dec 10 MS
Broad River 10207,14.01 13-Dec-10 Tetrachloroethene 0.1 <0.1 mg/L S 1311 1 0.7 21-Dec•10 MS
Broad River 1020744-01 13-Dec-10 Trichloroethene 0.1 <0.1 nig/L S 1311 1 0.5 21 Dec.10 MS
Broad River 1020744-01 13-Dec-10 Vinyl Chloride 0.? <0.? mg/L 5 1311 1 112 21-Dec"10 MS
TC1..P 36U1 (1311)
• •- , ..,....,. •.., -it;2, -- ..
Broau Rwc-i 1020744-01 13 Dec-10 IA•Dichlorobentene 0.1 -c0.1 iig,: S :31] 1 :.`.. 2.: Dec :0 JRT
Broad River 1020744-01 13-Dec-10 2,4,5-Trichlorophenot 0.25 <0.25 mg/I 5 1311 1 900 23-Dec-10 JRT
Broad River 1020744-01 13-Dec-10 2,4,6-Trichlorophenol 0.25 <0.25 mg/I S 1311 ' 1 2 23-Dec-10 JRT
Broad River 1020744-01 13-Dec-10 2,4-Dinitrotoluene 0.1 <0.1 mg/I S 1311 1 0.13 23-Dec•10 JRT
Broad River 1020744-01 13-Dec-10 Cresols • 5 <5.0 mg/I 5 1311 1 . 200 23-Dec 10 JR1
Broad River 1020744-01 13-Dec-10 Hexachloro-1,3-butadiene 0.1 <0.1 mg/I S 1311 1 0.5 23-Dec-10 AT
Broad River 1020744-01 13-Dec-.10 Hexachlorobenzene 0.1 <0.1 mg/I S 1311 1 0.13 23-Dec-10 JRT
Broad River 1020744-01 13-Dec-10 Hexachloroethane 0.1 <0.1 mg/I 5 1311 1 3 23-Dec•10 JRT
Broad River 1020744-01 13-Dec••10 Nitrobenzene 0.1 <0.1 rng/I S 1311 1 2 23-Dec-10 JRT
Broad River 1020744-01 13-Dec-10 Pentachlorophenol 0.25 <0.25 mg/I S 1311 1 100 23-Dec-10 JRT
Broad River 1020744-01 13-Dec-10 Pyridine 0.25 <0.25 mg/I S 1311 1 5 23-Dec 10 JRT
•
Page 4
., • •",.:1" -..,.-: 'S,/a iCga Units Ohio 44123 Prom.: 330-253-8211 -n):: 330 253 C.q.149
o ✓O. Sits.‘ ,1/,-,''r'sf t:('/t.:c' .. '

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0 . . -•
•
0
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•
December 28,2010
Client: Svnagro Southeast
. Address: 234 Baler Rd. •
\4ucksvillc.NC 27028
•
Received: 12/15/2010 •
• Project u:Broad River Water Auth.
• TCLP Pesticides
Client II)r 1.ab Illy Collected Anah'te - Rep Lmt Result I,nl!s M_)trih \•lethud 1)f: RegLvl Run .'\nuly_si
Broad River 1020744-01 13-Dec-10 Gamma-BHC 0.002 <0.002 - mg/I S 1311 .1 0.4 23-Dec-10 KMG
Broad River 1020744-01 13-Dec-10 Toxaphene • 0.1 <0.1 mg/I S 1311 1 0.5 23-Dec-10 KMG
Broad River 1020744-01 13-Dee-10 Methoxychlor 0.002 <0.002. mg/I S 1311 1 10 23-Dec•10 KMG
Broad River 1020744-01 13-Dec-10 Endrin 0.002'<0.002 mg/I S 1311 1 0.02 23-Dec-10 KMG
Broad,River 1020714-01 13-Dec-10 Heptachlor Epoxide 0.007 <0.002 mg/I S 1311 1 0.008. 23-Der-10 KMG
Broad River 1020744-01 13-Dec-10 Heptachlor 0.002 <0.002 mg/I S 1311 1 0.008 23-Dec-10 KMG
Broad River ' 1020749.01 13-Dec 10 Chlordane 0.01 <0.01 mg;'I S 1311 1 0.03 23 Dec 10 KMG
• TCLP Herbicides
( hcnl•ID:.' I,tihll)� -Cullc.c 0d Anal\Ic Rep Lml Result l nn, \'thin> ;!lethoul D1:, RegLvi Run _\tiuI
• Broad River 10207,14-01 13-Dec-10 2,4,5-TP(S:Ivex) 0.5 <0.5 mg/I 5 1311 1 1 22 Dor 10 KMG
Bread Rive! 1020744-01 13 Dec-10 2.1,D 5 <5.0 mq;l S 131: IC 22 Der 1r. KM
I.hcntl�t) • Lab ID? i.ollecicd \niihic R .ulr Lw!c \I;rtn\ \litho(' 1)I LOQ Run \n,il -'
Broad River 1020744-01 13-Dec-10 Free Liquid pass S' 9095 1 22-Dec.-10 DHC
(•Iicnr II)= Lab II)- Lullcc•ied 1ir;)I1rc Itcsidi i.:nn, Main\ \lctho. DI LOG Run
Broad River 1020744-01 13-Dec-10 PCBs ND mg/kg S 8082 1 0.2 27-Dec 10 AE
•
r ,r::r III•. • ,.th II). ( Ih,Rc1 .\ii il'h R-'ulr l no, \loll':•. \Iai,r! ' ill G ) w: \i:.•;••i
1. : L)c fr,i h ' P(t • S • , I)r.. ],c
t unit il)= Lab th u K.',uir l:nu' Mains. \Icibutl 1)1 LUC) Run
Broad River 1020749-01 13-Dec-10 pH 6.67 su417.9C 5 9040 1 . 0.01 22-Dec'10 DHC
(Ircnl lU= I-tih II)ti (idlgricil ArraIvi Rtsult • L ini. Matrix \Ierhorl DI LOG Run
Broad River 1020744-01 13-Dec-10 Reactive Cyanide ND mg/kg S 7.3.3.2 1 0.5 17•Dec•10 TIR
Chem Orr l..abIL)n 1:c111ii_Icd Anal\lc • Rcs.ull lrims :Miiirrx \IeLlud IA LOG Run .\ultl st
Broad River 1020744-01 13-Dec-10 Reactive Sulfide. ND mg/kg S 7.3.4.2 1 25 17-Dec 10 TIR
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Page 5
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• %iic ^, ? i.=r\n 1noca Foils, Ohio 4023 °oon3: . 0-25:3•821.1 ' Er.,,. . 1C.253 :089

Order ED: 1020744 COC
, Summit Environmental Technno➢ogies, 11 lril l�,;r-.. _kr. ;, ��'clt/CC T - -- p
""°" 3310 Win Street
�� Cuyahoga Falls, Ohio 44223 Tel [phone] l ' -'r.. ' '.5.3.448�� ''': `::nr_,:: I;m irn;:r.lental Tech! ���p�s�10���IQ al �����9��9I��o��I���II��Oq� 1111 ill
• Company Name (Please Print) 1 Project Name . __ q. -; T p1;._:._____a_A
pi
I 11
El 111
RINI
II, 1 ill
I
Cottipany Ald,dress Project Address ! J
, Ii •
0 GLCS (..1` 1/ e-PU ., 2 7c 2-7% — _ . :f I
Client Phone No. Report to :i I l
•
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